code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
APC,00701,Sr89 strontium ,,,4021.94,4021.94,1
APC,00702,"Inj, human-lans, per i.u ",,,1.68,1.68,1
APC,00703,Inj daxibotulinumtoxina-la ,,,2.97,2.97,1
APC,00704,"Inj, aflibercept hd, 1 mg ",,,289.72,289.72,1
APC,00705,Inj avacincaptad pegol 0.1 ,,,100.11,100.11,1
APC,00706,Inj talquetamab-tgvs 0.25 ,,,74.42,74.42,1
APC,00707,"Cantharidin top, applicato ",,,674.35,674.35,1
APC,00708,"Inj, elranatamab-bcmm, 1 m ",,,186.71,186.71,1
APC,00709,Flortaucipir inj 1 millicu ,,,359.87,359.87,1
APC,00710,Inj velmanase alfa-tycv 1 ,,,464.82,464.82,1
APC,00711,"Inj, artesunate, 1mg ",,,50.27,50.27,1
APC,00713,Inj roctavian ml 2x10^13vc ,,,12177.1,12177.1,1
APC,00714,Inj delandistrogene mox ro ,,,3217390.09,3217390.09,1
APC,00715,Pegunigalsidase alfa-iwxj ,,,218.9,218.9,1
APC,00716,"Vyjuvek 5x10^9pfu/ml, 0.1 ",,,1001.46,1001.46,1
APC,00717,"Instill adstiladrin, tx do ",,,62401.66,62401.66,1
APC,00719,Inj cyclophos frindovyx 5 ,,,8.65,8.65,1
APC,00720,"Inj glofitamab gxbm, 2.5 m ",,,2778.74,2778.74,1
APC,00721,Inj rozanolixizum-noli 1 m ,,,22.88,22.88,1
APC,00723,Inj efgart-alfa 2mg hya-qv ,,,33.23,33.23,1
APC,00725,Inj secukinumab intrav 1mg ,,,17.69,17.69,1
APC,00726,Dexrazoxane HCl injection ,,,40.2,40.2,1
APC,00727,"Inj, adzynma, 10 iu ",,,35.13,35.13,1
APC,00728,"Inj, mirikizumab-mrkz, 1 m ",,,31.68,31.68,1
APC,00729,"Inj, motixafortide, 0.25 m ",,,25.68,25.68,1
APC,00730,Inj melphalan (hepzato) 1 ,,,777.43,777.43,1
APC,00731,Sargramostim injection ,,,60.6,60.6,1
APC,00732,"Inj, brixadi, 7 days or le ",,,417.66,417.66,1
APC,00733,"Inj brixadi, more than 7 d ",,,1670.64,1670.64,1
APC,00734,"Inj, levothyroxine, freska ",,,6.63,6.63,1
APC,00736,Amphotericin b liposome in ,,,19.25,19.25,1
APC,00737,"Inj, cipaglucosidase, 5 mg ",,,93.41,93.41,1
APC,00738,Rasburicase ,,,375.83,375.83,1
APC,00739,"Inj, rykindo, 0.5 mg ",,,12.64,12.64,1
APC,00740,Inj hydroxocobalamin iv 25 ,,,5.4,5.4,1
APC,00741,Inj cyclophos dr reddys 5 ,,,0.48,0.48,1
APC,00743,"Inj, cyclophosphamide, nos ",,,0.56,0.56,1
APC,00744,Inst tauro 1.35mg/hep 100u ,,,4.08,4.08,1
APC,00745,"Inj, toripalimab-tpzi, 1 m ",,,39.67,39.67,1
APC,00746,"Inj, betibeglogene autotem ",,,2842352.2,2842352.2,1
APC,00747,"Inj, zolbetuximab-clzb, 2 ",,,32.91,32.91,1
APC,00748,"Inj, lovotibeglogene autot ",,,3138244.88,3138244.88,1
APC,00749,Inj travoprost intra impl ,,,190.84,190.84,1
APC,00750,"Inj, nithiodote, 3mg / 125 ",,,2.1,2.1,1
APC,00752,Dactinomycin injection ,,,298.19,298.19,1
APC,00755,Oral methotrexate (jylamvo ,,,15.97,15.97,1
APC,00756,Oral methotrexate (xatmep) ,,,22.23,22.23,1
APC,00757,"Docetaxel (docivyx), 1 mg ",,,45.89,45.89,1
APC,00759,"Naltrexone, depot form ",,,4.39,4.39,1
APC,00760,Tc-99m graphite crucible ,,,318.74,318.74,1
APC,00761,"Inj, focinvez, 1mg ",,,2.38,2.38,1
APC,00763,"Inj, bupivacaine liposome ",,,1.41,1.41,1
APC,00764,Ketorolac tromethamine inj ,,,0.28,0.28,1
APC,00765,"Inj, donanemab-azbt, 2 mg ",,,4.04,4.04,1
APC,00767,"Inj, nogapendekin pmln 1 m ",,,91.48,91.48,1
APC,00768,"Inj, tarlatamab-dlle, 1 mg ",,,1564.05,1564.05,1
APC,00770,In111 oxyquinoline ,,,806.52,806.52,1
APC,00771,In111 pentetate ,,,723.25,723.25,1
APC,00772,"Inj, pegulicianine, 1 mg ",,,36.38,36.38,1
APC,00774,Tc99m bicisate ,,,752.25,752.25,1
APC,00776,Technetium tc-99m auto wbc ,,,906.11,906.11,1
APC,00777,Indium in-111 auto wbc ,,,1070.09,1070.09,1
APC,00778,"Inj, vasopressin (baxter) ",,,1.7,1.7,1
APC,00779,Indium in-111 pentetreotid ,,,1940.91,1940.91,1
APC,00780,Iodine i-123 iobenguane ,,,2247.97,2247.97,1
APC,00781,Iodine i-123 ioflupane ,,,1346.11,1346.11,1
APC,00782,"Inj, pemrydi rtu, 10 mg ",,,65.9,65.9,1
APC,00784,"Inj, tyenne, 1 mg ",,,3.93,3.93,1
APC,00785,"Inj, cyclophosphamd, sando ",,,3.33,3.33,1
APC,00786,"Inj, tofidence, 1 mg ",,,4.86,4.86,1
APC,00798,"Inj, sezaby, 1 mg ",,,1.08,1.08,1
APC,00800,Leuprolide acetate ,,,1786.02,1786.02,1
APC,00802,Etoposide oral 50 mg ,,,85.41,85.41,1
APC,00804,"Capecitabine, oral, 50 mg ",,,0.08,0.08,1
APC,00805,"Hiv prep, inj, cabotegravi ",,,7.23,7.23,1
APC,00806,"Hiv prep, ftc/tdf 200/300m ",,,0.45,0.45,1
APC,00807,Aldesleukin injection ,,,3238.7,3238.7,1
APC,00808,"Hiv prep, ftc/taf 200/25mg ",,,70.82,70.82,1
APC,00811,"Inj, nyposi 1 mcg ",,,1.0,1.0,1
APC,00812,Carmustine injection ,,,232.81,232.81,1
APC,00813,"Injection, imetelstat, 1 m ",,,57.75,57.75,1
APC,00814,"Inj, magtrace per study do ",,,1216.38,1216.38,1
APC,00815,"Inj, palonosetron (posfrea ",,,53.57,53.57,1
APC,00816,"Inj, tislelizumab-jsgr ",,,56.42,56.42,1
APC,00818,"Inj, crovalimab-akkz, 10 m ",,,534.97,534.97,1
APC,00819,"Inj, alyglo, 500 mg ",,,117.9,117.9,1
APC,00821,Indigotindisulfonate sod 1 ,,,9.02,9.02,1
APC,00822,"Inj, romiplostim 1 microgr ",,,11.27,11.27,1
APC,00824,"Inj, exagamglogene autotem ",,,2231879.79,2231879.79,1
APC,00825,Nelarabine injection ,,,63.44,63.44,1
APC,00827,Floxuridine injection ,,,4264.6,4264.6,1
APC,00831,Obecbtge autol up to 400 m ,,,269902.5,269902.5,1
APC,00835,"Datopotamab deruxtecan, 1 ",,,50.92,50.92,1
APC,00837,"Inj, treosulfan, 50 mg ",,,31.36,31.36,1
APC,00839,Inj axatilimab-csfr 0.1 mg ,,,54.77,54.77,1
APC,00840,Inj melpha hydroch nos 50 ,,,101.75,101.75,1
APC,00841,"Inj, docetaxel (beizray) 1 ",,,45.4,45.4,1
APC,00842,"Inj, melphalan (apotex) 1 ",,,62.83,62.83,1
APC,00843,Pegaspargase injection ,,,28774.04,28774.04,1
APC,00844,Pentostatin injection ,,,2617.05,2617.05,1
APC,00845,"Inj, atidarsagene autotemc ",,,4369850.0,4369850.0,1
APC,00846,"Inj, eculizumab-aeeb, 2 mg ",,,39.93,39.93,1
APC,00847,Inj thiotepa nos 1 mg ,,,4.78,4.78,1
APC,00848,Inj nivolumab 2 mg hyaluro ,,,27.3,27.3,1
APC,00852,"Inj, eculizumab-aagh, 2 mg ",,,30.82,30.82,1
APC,00853,Inj zenocutuzumab-zbco 1 m ,,,32.85,32.85,1
APC,00854,In111 capromab ,,,1678.38,1678.38,1
APC,00855,"Inj ustekinumab-stba, 1 mg ",,,2.98,2.98,1
APC,00858,Inj cladribine per 1 mg ,,,7.94,7.94,1
APC,00859,"Inj ustekinumab-aekn, 1 mg ",,,10.21,10.21,1
APC,00860,"I131 iodobenguate, dx ",,,924.42,924.42,1
APC,00861,"I125 serum albumin, dx ",,,454.99,454.99,1
APC,00862,Cr51 chromate ,,,1860.42,1860.42,1
APC,00863,"I125 iothalamate, dx ",,,630.15,630.15,1
APC,00864,Mitoxantrone hydrochl ,,,28.81,28.81,1
APC,00865,"Inj, hercessi, 10 mg ",,,31.49,31.49,1
APC,00866,"Inj, sod thiosulfate (hope ",,,0.81,0.81,1
APC,00869,"Inj ustekinumab-kfce, 1 mg ",,,3.19,3.19,1
APC,00870,Inj. calaspargase pegol-mk ,,,83.22,83.22,1
APC,00871,Inj pemetrexed (bluepoint) ,,,10.28,10.28,1
APC,00872,"Inj. denosumab-bbdz, 1 mg ",,,26.84,26.84,1
APC,00874,Synvisc or synvisc-one ,,,5.84,5.84,1
APC,00875,Euflexxa inj per dose ,,,95.19,95.19,1
APC,00876,Gallium gozellix 1 millicu ,,,1136.16,1136.16,1
APC,00877,Orthovisc inj per dose ,,,97.32,97.32,1
APC,00878,Aztreonam/avibactam 10 mg ,,,1.72,1.72,1
APC,00879,Inj ceftobipole medocarl 3 ,,,1.07,1.07,1
APC,00880,"Hiv prep, inj, lenacapavir ",,,15.6,15.6,1
APC,00881,"Hiv prep, oral lenacapavir ",,,602.28,602.28,1
APC,00882,Inj glucagon (gvoke) 0.01 ,,,1.75,1.75,1
APC,00883,"Inj, ethacrynate sod, 1 mg ",,,12.05,12.05,1
APC,00884,"Inj, fosdenopterin, 0.1mg ",,,17.2,17.2,1
APC,00885,"Inj, isoniazid, 1 mg ",,,0.29,0.29,1
APC,00886,Inj. remestemcel-l-rknd/ t ,,,197550.01,197550.01,1
APC,00887,Azathioprine parenteral ,,,247.12,247.12,1
APC,00888,"Inj. concizumab-mtci, 0.5 ",,,83.57,83.57,1
APC,00889,Injection fitusiran 0.04 m ,,,127.27,127.27,1
APC,00890,Lymphocyte immune globulin ,,,5382.49,5382.49,1
APC,00891,"Inj, denosumab-bmwo, 1 mg ",,,25.2,25.2,1
APC,00892,"Inj, denosumab-bnht, 1 mg ",,,27.95,27.95,1
APC,00893,"Inj, nipocalimab-aahu, 3 m ",,,31.59,31.59,1
APC,00894,Telisotuzumab vedotin-tllv ,,,141.68,141.68,1
APC,00895,Inj ustekinumab-aauz 1 mg ,,,12.76,12.76,1
APC,00896,"Inj, carboprost, 0.1 mg ",,,15.88,15.88,1
APC,00897,"Revakinagene, per implant ",,,253732.31,253732.31,1
APC,00898,Inj meloxicam (azurity) 1m ,,,1.03,1.03,1
APC,00900,"Inj, liothyronine, 1 mcg ",,,38.92,38.92,1
APC,00901,Alpha 1 proteinase inhibit ,,,4.98,4.98,1
APC,00902,"Injection,onabotulinumtoxi ",,,6.31,6.31,1
APC,00903,Cytomegalovirus imm IV /vi ,,,1803.06,1803.06,1
APC,00904,Testosterone pellet 75 mg ,,,70.62,70.62,1
APC,00905,"Inj, posaconazole, 1 mg ",,,0.33,0.33,1
APC,00906,Inj elivaldogene autotemec ,,,3084600.0,3084600.0,1
APC,00907,"Inj, cyclophos (baxter) 5m ",,,4.26,4.26,1
APC,00908,Topi adm prad zami per tre ,,,3187209.51,3187209.51,1
APC,00909,Inj gemcitabin (avyxa) 200 ,,,388.32,388.32,1
APC,00911,"Inj pozelimab-bbfg, 1 mg ",,,88.98,88.98,1
APC,00912,"Inj, wezlana, iv, 1 mg ",,,2.28,2.28,1
APC,00913,Mitomycin intravesical ins ,,,266.11,266.11,1
APC,00914,Ustekinumab-ttwe iv inj 1 ,,,8.3,8.3,1
APC,00915,"Inj cosibelimab-ipdl, 2 mg ",,,21.61,21.61,1
APC,00916,Inj linvoseltamab-gcpt 1 m ,,,96.33,96.33,1
APC,00917,"Inj, carboplatin (avyxa) ",,,5.05,5.05,1
APC,00918,"Inj, jobevne, 10 mg ",,,79.77,79.77,1
APC,00920,Tc99m succimer ,,,640.13,640.13,1
APC,00921,"Inj, tyruko, 1 mg ",,,23.76,23.76,1
APC,00922,Inj onase abepar-brve trea ,,,2584301.16,2584301.16,1
APC,00923,Inj yimmugo 100 mg ,,,23.42,23.42,1
APC,00924,Inj zopapogene per ther do ,,,118243.0,118243.0,1
APC,00925,Factor viii ,,,1.21,1.21,1
APC,00926,Gemcitabine intravesical s ,,,70794.71,70794.71,1
APC,00927,Factor viii recombinant ,,,1.53,1.53,1
APC,00928,Factor ix complex ,,,1.69,1.69,1
APC,00929,Anti-inhibitor ,,,2.37,2.37,1
APC,00930,Pembrolizumab 1mg berahyal ,,,30.98,30.98,1
APC,00931,Factor IX non-recombinant ,,,1.36,1.36,1
APC,00932,Factor ix recombinant nos ,,,1.81,1.81,1
APC,00933,"Suzetrigine, orl, 1mg ",,,0.3,0.3,1
APC,00934,"Inj, denosumab-nxxp, 1 mg ",,,15.19,15.19,1
APC,00935,"Inj. ferumoxytol, 1 mg ",,,0.39,0.39,1
APC,00936,"Inj, leucovorin cal (avyxa ",,,2.5,2.5,1
APC,00937,Inj fosfomycin disodium 20 ,,,0.61,0.61,1
APC,00938,"Narsoplimab-wuug, 1 mg ",,,99.38,99.38,1
APC,00939,"Inj, qivigy, 100mg ",,,28.7,28.7,1
APC,00940,Inj depemokimab-ulaa 1 mg ,,,259.77,259.77,1
APC,00941,Riboflavin epioxa/hd<=2ml ,,,39214.67,39214.67,1
APC,00942,Inj amivantamab 5mg hyalur ,,,39.52,39.52,1
APC,00943,Octagam injection ,,,45.64,45.64,1
APC,00944,Gammagard liquid/erc inj ,,,47.82,47.82,1
APC,00946,Hepagam b im injection ,,,63.64,63.64,1
APC,00947,Flebogamma injection ,,,88.02,88.02,1
APC,00948,Gamunex-C/Gammaked ,,,47.54,47.54,1
APC,00949,"Inj, denosumab-qbde, 1 mg ",,,4.0,4.0,1
APC,00950,"Inj, tocilizumab-anoh, 1 m ",,,4.55,4.55,1
APC,00951,"Inj, denosumab-kyqq, 1 mg ",,,13.58,13.58,1
APC,00952,"Inj ustekinumab-srlf, 1 mg ",,,11.2,11.2,1
APC,00953,Ibuprofen injection ,,,3.15,3.15,1
APC,00957,Inj belantamab mafodot blm ,,,35.16,35.16,1
APC,00961,"Albumin (human),5%, 50ml ",,,10.3,10.3,1
APC,00963,"Albumin (human), 5%, 250 m ",,,51.49,51.49,1
APC,00964,"Albumin (human), 25%, 20 m ",,,20.69,20.69,1
APC,00965,"Albumin (human), 25%, 50ml ",,,51.72,51.72,1
APC,01064,"I131 iodide cap, rx ",,,23.35,23.35,1
APC,01138,"Hepagam b intravenous, inj ",,,63.64,63.64,1
APC,01139,Protein c concentrate ,,,14.62,14.62,1
APC,01142,Supprelin LA implant ,,,36367.21,36367.21,1
APC,01150,"I131 iodide sol, rx ",,,20.15,20.15,1
APC,01168,"Inj, temsirolimus ",,,31.7,31.7,1
APC,01178,Busulfan injection ,,,1.0,1.0,1
APC,01203,Verteporfin injection ,,,11.03,11.03,1
APC,01207,"Octreotide injection, depo ",,,201.85,201.85,1
APC,01213,Antihemophilic viii/vwf co ,,,1.23,1.23,1
APC,01214,Inj IVIG privigen 500 mg ,,,49.68,49.68,1
APC,01232,Mitomycin injection ,,,33.08,33.08,1
APC,01235,Valrubicin injection ,,,1209.64,1209.64,1
APC,01237,Inj iron dextran ,,,18.42,18.42,1
APC,01238,Topotecan oral ,,,121.57,121.57,1
APC,01253,Triamcinolone a inj prs-fr ,,,18.61,18.61,1
APC,01263,Antithrombin iii injection ,,,4.05,4.05,1
APC,01268,Xyntha inj ,,,1.33,1.33,1
APC,01274,Edetate calcium disodium i ,,,6003.8,6003.8,1
APC,01281,Bevacizumab injection ,,,1.81,1.81,1
APC,01289,AbobotulinumtoxinA ,,,8.68,8.68,1
APC,01295,Sm 153 lexidronam ,,,3065.01,3065.01,1
APC,01296,Degarelix injection ,,,4.35,4.35,1
APC,01297,"Ferumoxytol, non-esrd ",,,0.36,0.36,1
APC,01311,Canakinumab injection ,,,151.84,151.84,1
APC,01312,Hizentra injection ,,,14.44,14.44,1
APC,01327,Imiglucerase injection ,,,42.03,42.03,1
APC,01340,"Collagenase, clost hist in ",,,75.95,75.95,1
APC,01352,Wilate injection ,,,1.29,1.29,1
APC,01353,Belimumab injection ,,,56.55,56.55,1
APC,01413,Lumizyme injection ,,,204.79,204.79,1
APC,01415,Glassia injection ,,,5.42,5.42,1
APC,01416,Factor xiii anti-hem facto ,,,10.9,10.9,1
APC,01417,Gel-one ,,,517.58,517.58,1
APC,01420,Aflibercept injection ,,,721.3,721.3,1
APC,01421,Imported lipodox inj ,,,296.19,296.19,1
APC,01426,Eribulin mesylate injectio ,,,58.18,58.18,1
APC,01441,Dom nonHEU Tc99m add-on/do ,,,9.7,9.7,1
APC,01446,Visualization adjunct ,,,10.55,10.55,1
APC,01458,Phentolaine mesylate inj ,,,279.97,279.97,1
APC,01464,Factor viii (porcine) ,,,5.3,5.3,1
APC,01467,Factor ix recombinan rixub ,,,1.67,1.67,1
APC,01468,"Inj, abilify maintena, 1 m ",,,7.24,7.24,1
APC,01469,Inj filgrastim excl biosim ,,,0.98,0.98,1
APC,01471,"Injection, Pertuzumab, 1 m ",,,16.68,16.68,1
APC,01474,Certolizumab pegol inj 1mg ,,,3.34,3.34,1
APC,01475,Golimumab for iv use 1mg ,,,10.7,10.7,1
APC,01476,Obinutuzumab inj ,,,81.93,81.93,1
APC,01478,Inj human fibrinogen con n ,,,1.44,1.44,1
APC,01480,"Elosulfase alfa, injection ",,,309.93,309.93,1
APC,01482,"Darbepoetin alfa, esrd use ",,,2.83,2.83,1
APC,01485,"Ferumoxytol, esrd use ",,,0.36,0.36,1
APC,01486,Factor ix fc fusion recomb ,,,3.6,3.6,1
APC,01488,"Injection, ramucirumab ",,,74.27,74.27,1
APC,01489,Inj vedolizumab iv 1 mg ,,,20.97,20.97,1
APC,01490,Inj pembrolizumab ,,,58.83,58.83,1
APC,01491,New Technology  - Level 1A ,,,4.96,4.96,1
APC,01492,New Technology  - Level 1B ,,,15.37,15.37,1
APC,01493,New Technology  - Level 1C ,,,25.28,25.28,1
APC,01494,New Technology  - Level 1D ,,,35.2,35.2,1
APC,01495,New Technology  - Level 1E ,,,45.11,45.11,1
APC,01496,New Technology  - Level 1A ,,,4.96,4.96,1
APC,01497,New Technology  - Level 1B ,,,15.37,15.37,1
APC,01498,New Technology  - Level 1C ,,,25.28,25.28,1
APC,01499,New Technology  - Level 1D ,,,35.2,35.2,1
APC,01500,New Technology  - Level 1E ,,,45.11,45.11,1
APC,01502,New Technology - Level 2 ( ,,,74.86,74.86,1
APC,01503,New Technology - Level 3 ( ,,,149.22,149.22,1
APC,01504,New Technology - Level 4 ( ,,,248.36,248.36,1
APC,01505,New Technology - Level 5 ( ,,,347.51,347.51,1
APC,01506,New Technology - Level 6 ( ,,,446.66,446.66,1
APC,01507,New Technology - Level 7 ( ,,,545.81,545.81,1
APC,01508,New Technology - Level 8 ( ,,,644.96,644.96,1
APC,01509,New Technology - Level 9 ( ,,,744.1,744.1,1
APC,01510,New Technology - Level 10 ,,,843.25,843.25,1
APC,01511,New Technology - Level 11 ,,,942.4,942.4,1
APC,01512,New Technology - Level 12 ,,,1041.55,1041.55,1
APC,01513,New Technology - Level 13 ,,,1140.69,1140.69,1
APC,01514,New Technology - Level 14 ,,,1239.84,1239.84,1
APC,01515,New Technology - Level 15 ,,,1338.99,1338.99,1
APC,01516,New Technology - Level 16 ,,,1438.14,1438.14,1
APC,01517,New Technology - Level 17 ,,,1537.28,1537.28,1
APC,01518,New Technology - Level 18 ,,,1636.43,1636.43,1
APC,01519,New Technology - Level 19 ,,,1735.58,1735.58,1
APC,01520,New Technology - Level 20 ,,,1834.73,1834.73,1
APC,01521,New Technology - Level 21 ,,,1933.87,1933.87,1
APC,01522,New Technology - Level 22 ,,,2231.32,2231.32,1
APC,01523,New Technology - Level 23 ,,,2727.05,2727.05,1
APC,01524,New Technology - Level 24 ,,,3222.79,3222.79,1
APC,01525,New Technology - Level 25 ,,,3718.53,3718.53,1
APC,01526,New Technology - Level 26 ,,,4214.27,4214.27,1
APC,01527,New Technology - Level 27 ,,,4710.01,4710.01,1
APC,01528,New Technology - Level 28 ,,,5205.74,5205.74,1
APC,01529,New Technology - Level 29 ,,,5701.48,5701.48,1
APC,01530,New Technology - Level 30 ,,,6197.22,6197.22,1
APC,01531,New Technology - Level 31 ,,,6692.96,6692.96,1
APC,01532,New Technology - Level 32 ,,,7188.7,7188.7,1
APC,01533,New Technology - Level 33 ,,,7684.43,7684.43,1
APC,01534,New Technology - Level 34 ,,,8180.17,8180.17,1
APC,01535,New Technology - Level 35 ,,,8675.91,8675.91,1
APC,01536,New Technology - Level 36 ,,,9171.65,9171.65,1
APC,01537,New Technology - Level 37 ,,,9667.38,9667.38,1
APC,01539,New Technology - Level 2 ( ,,,74.86,74.86,1
APC,01540,New Technology - Level 3 ( ,,,149.22,149.22,1
APC,01541,New Technology - Level 4 ( ,,,248.36,248.36,1
APC,01542,New Technology - Level 5 ( ,,,347.51,347.51,1
APC,01543,New Technology - Level 6 ( ,,,446.66,446.66,1
APC,01544,New Technology - Level 7 ( ,,,545.81,545.81,1
APC,01545,New Technology - Level 8 ( ,,,644.96,644.96,1
APC,01546,New Technology - Level 9 ( ,,,744.1,744.1,1
APC,01547,New Technology - Level 10 ,,,843.25,843.25,1
APC,01548,New Technology - Level 11 ,,,942.4,942.4,1
APC,01549,New Technology - Level 12 ,,,1041.55,1041.55,1
APC,01550,New Technology - Level 13 ,,,1140.69,1140.69,1
APC,01551,New Technology - Level 14 ,,,1239.84,1239.84,1
APC,01552,New Technology - Level 15 ,,,1338.99,1338.99,1
APC,01553,New Technology - Level 16 ,,,1438.14,1438.14,1
APC,01554,New Technology - Level 17 ,,,1537.28,1537.28,1
APC,01555,New Technology - Level 18 ,,,1636.43,1636.43,1
APC,01556,New Technology - Level 19 ,,,1735.58,1735.58,1
APC,01557,New Technology - Level 20 ,,,1834.73,1834.73,1
APC,01558,New Technology - Level 21 ,,,1933.87,1933.87,1
APC,01559,New Technology - Level 22 ,,,2231.32,2231.32,1
APC,01560,New Technology - Level 23 ,,,2727.05,2727.05,1
APC,01561,New Technology - Level 24 ,,,3222.79,3222.79,1
APC,01562,New Technology - Level 25 ,,,3718.53,3718.53,1
APC,01563,New Technology - Level 26 ,,,4214.27,4214.27,1
APC,01564,New Technology - Level 27 ,,,4710.01,4710.01,1
APC,01565,New Technology - Level 28 ,,,5205.74,5205.74,1
APC,01566,New Technology - Level 29 ,,,5701.48,5701.48,1
APC,01567,New Technology - Level 30 ,,,6197.22,6197.22,1
APC,01568,New Technology - Level 31 ,,,6692.96,6692.96,1
APC,01569,New Technology - Level 32 ,,,7188.7,7188.7,1
APC,01570,New Technology - Level 33 ,,,7684.43,7684.43,1
APC,01571,New Technology - Level 34 ,,,8180.17,8180.17,1
APC,01572,New Technology - Level 35 ,,,8675.91,8675.91,1
APC,01573,New Technology - Level 36 ,,,9171.65,9171.65,1
APC,01574,New Technology - Level 37 ,,,9667.38,9667.38,1
APC,01575,New Technology - Level 38 ,,,12393.94,12393.94,1
APC,01576,New Technology - Level 39 ,,,17351.32,17351.32,1
APC,01577,New Technology - Level 40 ,,,22308.7,22308.7,1
APC,01578,New Technology - Level 41 ,,,27266.08,27266.08,1
APC,01579,New Technology - Level 42 ,,,34702.15,34702.15,1
APC,01580,New Technology - Level 43 ,,,44616.91,44616.91,1
APC,01581,New Technology - Level 44 ,,,54531.66,54531.66,1
APC,01582,New Technology - Level 45 ,,,64446.42,64446.42,1
APC,01583,New Technology - Level 46 ,,,74361.18,74361.18,1
APC,01584,New Technology - Level 47 ,,,84275.94,84275.94,1
APC,01585,New Technology - Level 48 ,,,94190.7,94190.7,1
APC,01589,New Technology - Level 38 ,,,12393.94,12393.94,1
APC,01590,New Technology - Level 39 ,,,17351.32,17351.32,1
APC,01591,New Technology - Level 40 ,,,22308.7,22308.7,1
APC,01592,New Technology - Level 41 ,,,27266.08,27266.08,1
APC,01593,New Technology - Level 42 ,,,34702.15,34702.15,1
APC,01594,New Technology - Level 43 ,,,44616.91,44616.91,1
APC,01595,New Technology - Level 44 ,,,54531.66,54531.66,1
APC,01596,New Technology - Level 45 ,,,64446.42,64446.42,1
APC,01597,New Technology - Level 46 ,,,74361.18,74361.18,1
APC,01598,New Technology - Level 47 ,,,84275.94,84275.94,1
APC,01599,New Technology - Level 48 ,,,94190.7,94190.7,1
APC,01609,"Rho(D) immune globulin h, ",,,34.72,34.72,1
APC,01613,Trastuzumab injection ,,,68.14,68.14,1
APC,01630,"Hep b ig, im ",,,132.84,132.84,1
APC,01643,"Y90 ibritumomab, rx ",,,55119.81,55119.81,1
APC,01656,Factor viii fc fusion reco ,,,2.5,2.5,1
APC,01658,"Injection, belinostat, 10m ",,,52.81,52.81,1
APC,01660,"Injection, oritavancin ",,,28.84,28.84,1
APC,01662,Inj tedizolid phosphate ,,,2.02,2.02,1
APC,01664,Florbetapir f18 ,,,1810.08,1810.08,1
APC,01670,Tetanus immune globulin in ,,,577.17,577.17,1
APC,01675,P32 na phosphate ,,,269.89,269.89,1
APC,01683,Basiliximab ,,,4757.9,4757.9,1
APC,01685,"Darbepoetin alfa, non-esrd ",,,2.83,2.83,1
APC,01686,"Epoetin alfa, non-esrd ",,,6.67,6.67,1
APC,01687,Digoxin immune fab (ovine) ,,,5337.43,5337.43,1
APC,01688,Ethanolamine oleate ,,,530.85,530.85,1
APC,01689,Fomepizole ,,,6.0,6.0,1
APC,01690,Hemin ,,,34.75,34.75,1
APC,01694,Ziconotide injection ,,,10.7,10.7,1
APC,01696,Palifermin injection ,,,37.53,37.53,1
APC,01700,Inj secretin synthetic hum ,,,41.71,41.71,1
APC,01701,Treprostinil injection ,,,53.1,53.1,1
APC,01704,"Humate-P, inj ",,,1.49,1.49,1
APC,01705,Factor viia recomb novosev ,,,2.69,2.69,1
APC,01710,Clofarabine injection ,,,15.76,15.76,1
APC,01712,Paclitaxel protein bound ,,,6.39,6.39,1
APC,01744,Zidovudine ,,,1.47,1.47,1
APC,01745,Radium ra223 dichloride th ,,,176.1,176.1,1
APC,01746,Factor xiii recomb a-subun ,,,18.54,18.54,1
APC,01747,Monovisc inj per dose ,,,548.32,548.32,1
APC,01748,Inj tbo filgrastim 1 micro ,,,0.23,0.23,1
APC,01809,"Injection, alemtuzumab ",,,2468.59,2468.59,1
APC,01822,"Injection, zarxio ",,,0.34,0.34,1
APC,01823,"Injection, dalbavancin ",,,10.95,10.95,1
APC,01824,Ceftaroline fosamil inj ,,,4.26,4.26,1
APC,01825,Ceftazidime and avibactam ,,,106.47,106.47,1
APC,01826,Hyqvia 100mg immuneglobuli ,,,17.8,17.8,1
APC,01827,Factor viii recomb obizur ,,,3.14,3.14,1
APC,01829,Penicillin g benzathine in ,,,31.61,31.61,1
APC,01832,Dimethyl sulfoxide 50% 50 ,,,726.41,726.41,1
APC,01844,Factor viii pegylated reco ,,,2.06,2.06,1
APC,01846,Factor viii nuwiq recomb 1 ,,,1.18,1.18,1
APC,01847,"Injection, inflectra ",,,26.88,26.88,1
APC,01848,Artiss fibrin sealant ,,,141.3,141.3,1
APC,01850,Gamma globulin 1 cc inj ,,,47.41,47.41,1
APC,01851,Gamma globulin > 10 cc inj ,,,157.64,157.64,1
APC,01853,Minocycline hydrochloride ,,,2.65,2.65,1
APC,01854,Pentobarbital sodium inj ,,,18.72,18.72,1
APC,01856,Factor viii recomb novoeig ,,,1.4,1.4,1
APC,01857,"Inj, factor x, (human), 1i ",,,9.65,9.65,1
APC,01859,Argatroban nonesrd use 1mg ,,,0.84,0.84,1
APC,01861,"Inj., bendeka 1 mg ",,,12.16,12.16,1
APC,01862,Gelsyn-3 injection 0.1 mg ,,,0.57,0.57,1
APC,01901,New Technology - Level 49 ,,,106584.18,106584.18,1
APC,01902,New Technology - Level 49 ,,,106584.18,106584.18,1
APC,01903,New Technology - Level 50 ,,,121456.32,121456.32,1
APC,01904,New Technology - Level 50 ,,,121456.32,121456.32,1
APC,01905,New Technology - Level 51 ,,,136328.46,136328.46,1
APC,01906,New Technology - Level 51 ,,,136328.46,136328.46,1
APC,01907,New Technology - Level 52 ,,,151200.59,151200.59,1
APC,01908,New Technology - Level 52 ,,,151200.59,151200.59,1
APC,02062,"Inj zanidatamab-hrii, 2 mg ",,,24.89,24.89,1
APC,02064,"Inj marstacim-hncq, 0.5 mg ",,,49.66,49.66,1
APC,02065,"Flurpiridaz f18, diag, 1 m ",,,514.1,514.1,1
APC,02066,Inj bortezomib boruzu 0.1 ,,,24.0,24.0,1
APC,02067,Afamitresgene autoleucel ,,,807028.94,807028.94,1
APC,02068,"Inj, aflibercept-ayyh, 1 m ",,,779.16,779.16,1
APC,02069,"Inj, testosterone, azmiro ",,,1.26,1.26,1
APC,02070,"Inj, eculizumab, 2 mg ",,,42.87,42.87,1
APC,02071,Inj ocrelizumab 1mg hya-oc ,,,46.62,46.62,1
APC,02072,"Inj, erzofri, 1 mg ",,,15.4,15.4,1
APC,02073,Inj atezolizumb 5mg hya-tq ,,,31.58,31.58,1
APC,02075,Inj acetaminoph 10mg/ibu 3 ,,,0.09,0.09,1
APC,02076,"Inj, pemetrexed dipotassiu ",,,71.46,71.46,1
APC,02616,"Brachytx, non-str,Yttrium- ",,,17237.88,17237.88,1
APC,02632,Iodine I-125 sodium iodide ,,,384.43,384.43,1
APC,02634,"Brachytx, non-str, HA, I-1 ",,,168.84,168.84,1
APC,02635,"Brachytx, non-str, HA, P-1 ",,,103.55,103.55,1
APC,02636,"Brachy linear, non-str,P-1 ",,,86.72,86.72,1
APC,02638,"Brachytx, stranded, I-125 ",,,34.2,34.2,1
APC,02639,"Brachytx, non-stranded,I-1 ",,,35.54,35.54,1
APC,02640,"Brachytx, stranded, P-103 ",,,85.61,85.61,1
APC,02641,"Brachytx, non-stranded,P-1 ",,,62.55,62.55,1
APC,02642,"Brachytx, stranded, C-131 ",,,115.54,115.54,1
APC,02643,"Brachytx, non-stranded,C-1 ",,,96.81,96.81,1
APC,02645,"Brachytx, non-str, Gold-19 ",,,498.16,498.16,1
APC,02646,"Brachytx, non-str, HDR Ir- ",,,346.77,346.77,1
APC,02647,"Brachytx, NS, Non-HDRIr-19 ",,,881.44,881.44,1
APC,02648,"Brachytx planar, p-103 ",,,4.55,4.55,1
APC,02698,"Brachytx, stranded, NOS ",,,34.2,34.2,1
APC,02699,"Brachytx, non-stranded, NO ",,,35.54,35.54,1
APC,02731,"Immune globulin, powder ",,,78.53,78.53,1
APC,04017,Radiation tx delivery lvl ,,,78.81,78.81,1
APC,04018,Radiation tx delivery lvl ,,,314.93,314.93,1
APC,04019,Radiation tx delivery lvl ,,,388.12,388.12,1
APC,05012,Clinic Visits and Related ,,,134.86,134.86,1
APC,05021,Level 1 Type A ED Visits ,,,85.42,85.42,1
APC,05022,Level 2 Type A ED Visits ,,,155.53,155.53,1
APC,05023,Level 3 Type A ED Visits ,,,276.51,276.51,1
APC,05024,Level 4 Type A ED Visits ,,,422.67,422.67,1
APC,05025,Level 5 Type A ED Visits ,,,603.24,603.24,1
APC,05031,Level 1 Type B ED Visits ,,,75.29,75.29,1
APC,05032,Level 2 Type B ED Visits ,,,94.09,94.09,1
APC,05033,Level 3 Type B ED Visits ,,,174.11,174.11,1
APC,05034,Level 4 Type B ED Visits ,,,267.73,267.73,1
APC,05035,Level 5 Type B ED Visits ,,,416.04,416.04,1
APC,05041,Critical Care ,,,836.73,836.73,1
APC,05045,Trauma Response with Criti ,,,1350.17,1350.17,1
APC,05051,Level 1 Skin Procedures ,,,203.23,203.23,1
APC,05052,Level 2 Skin Procedures ,,,411.78,411.78,1
APC,05053,Level 3 Skin Procedures ,,,748.64,748.64,1
APC,05054,Level 4 Skin Procedures ,,,2090.0,2090.0,1
APC,05055,Level 5 Skin Procedures ,,,3589.62,3589.62,1
APC,05061,Hyperbaric Oxygen ,,,139.39,139.39,1
APC,05071,Level 1 Excision/ Biopsy/ ,,,717.3,717.3,1
APC,05072,Level 2 Excision/ Biopsy/ ,,,1672.99,1672.99,1
APC,05073,Level 3 Excision/ Biopsy/ ,,,2942.33,2942.33,1
APC,05091,Level 1 Breast/Lymphatic S ,,,3966.14,3966.14,1
APC,05092,Level 2 Breast/Lymphatic S ,,,6726.16,6726.16,1
APC,05093,Level 3 Breast/Lymphatic S ,,,8279.24,8279.24,1
APC,05094,Level 4 Breast/Lymphatic S ,,,13959.43,13959.43,1
APC,05101,Level 1 Strapping and Cast ,,,164.6,164.6,1
APC,05102,Level 2 Strapping and Cast ,,,283.31,283.31,1
APC,05111,Level 1 Musculoskeletal Pr ,,,249.86,249.86,1
APC,05112,Level 2 Musculoskeletal Pr ,,,1628.82,1628.82,1
APC,05113,Level 3 Musculoskeletal Pr ,,,3314.37,3314.37,1
APC,05114,Level 4 Musculoskeletal Pr ,,,7350.19,7350.19,1
APC,05115,Level 5 Musculoskeletal Pr ,,,13004.95,13004.95,1
APC,05116,Level 6 Musculoskeletal Pr ,,,17760.89,17760.89,1
APC,05117,Level 7 Musculoskeletal Pr ,,,27485.43,27485.43,1
APC,05151,Level 1 Airway Endoscopy ,,,202.19,202.19,1
APC,05152,Level 2 Airway Endoscopy ,,,396.18,396.18,1
APC,05153,Level 3 Airway Endoscopy ,,,1802.95,1802.95,1
APC,05154,Level 4 Airway Endoscopy ,,,3776.63,3776.63,1
APC,05155,Level 5 Airway Endoscopy ,,,7148.86,7148.86,1
APC,05161,Level 1 ENT Procedures ,,,239.92,239.92,1
APC,05162,Level 2 ENT Procedures ,,,546.31,546.31,1
APC,05163,Level 3 ENT Procedures ,,,1571.68,1571.68,1
APC,05164,Level 4 ENT Procedures ,,,3358.4,3358.4,1
APC,05165,Level 5 ENT Procedures ,,,5996.5,5996.5,1
APC,05166,Cochlear Implant Procedure ,,,33399.13,33399.13,1
APC,05181,Level 1 Vascular Procedure ,,,635.43,635.43,1
APC,05182,Level 2 Vascular Procedure ,,,1594.54,1594.54,1
APC,05183,Level 3 Vascular Procedure ,,,3198.37,3198.37,1
APC,05184,Level 4 Vascular Procedure ,,,5636.55,5636.55,1
APC,05191,Level 1 Endovascular Proce ,,,3283.92,3283.92,1
APC,05192,Level 2 Endovascular Proce ,,,5765.27,5765.27,1
APC,05193,Level 3 Endovascular Proce ,,,11693.69,11693.69,1
APC,05194,Level 4 Endovascular Proce ,,,18569.04,18569.04,1
APC,05200,Implantation Wireless PA P ,,,29054.82,29054.82,1
APC,05211,Level 1 Electrophysiologic ,,,1233.31,1233.31,1
APC,05212,Level 2 Electrophysiologic ,,,7900.67,7900.67,1
APC,05213,Level 3 Electrophysiologic ,,,26476.36,26476.36,1
APC,05221,Level 1 Pacemaker and Simi ,,,3785.36,3785.36,1
APC,05222,Level 2 Pacemaker and Simi ,,,8382.56,8382.56,1
APC,05223,Level 3 Pacemaker and Simi ,,,10587.36,10587.36,1
APC,05224,Level 4 Pacemaker and Simi ,,,19511.14,19511.14,1
APC,05231,Level 1 ICD and Similar Pr ,,,22531.65,22531.65,1
APC,05232,Level 2 ICD and Similar Pr ,,,31795.37,31795.37,1
APC,05241,Level 1 Blood Product Exch ,,,446.89,446.89,1
APC,05242,Level 2 Blood Product Exch ,,,1577.6,1577.6,1
APC,05243,Level 3 Blood Product Exch ,,,4411.91,4411.91,1
APC,05244,Level 4 Blood Product Exch ,,,63715.72,63715.72,1
APC,05301,Level 1 Upper GI Procedure ,,,918.73,918.73,1
APC,05302,Level 2 Upper GI Procedure ,,,1943.76,1943.76,1
APC,05303,Level 3 Upper GI Procedure ,,,3905.4,3905.4,1
APC,05311,Level 1 Lower GI Procedure ,,,942.0,942.0,1
APC,05312,Level 2 Lower GI Procedure ,,,1212.14,1212.14,1
APC,05313,Level 3 Lower GI Procedure ,,,2811.61,2811.61,1
APC,05331,Complex GI Procedures ,,,6149.52,6149.52,1
APC,05341,Level 1 Abdominal/Peritone ,,,3626.77,3626.77,1
APC,05342,Level 2 Abdominal/Peritone ,,,6557.66,6557.66,1
APC,05361,Level 1 Laparoscopy and Re ,,,6123.82,6123.82,1
APC,05362,Level 2 Laparoscopy and Re ,,,10767.49,10767.49,1
APC,05371,Level 1 Urology and Relate ,,,253.08,253.08,1
APC,05372,Level 2 Urology and Relate ,,,706.33,706.33,1
APC,05373,Level 3 Urology and Relate ,,,2117.46,2117.46,1
APC,05374,Level 4 Urology and Relate ,,,3570.63,3570.63,1
APC,05375,Level 5 Urology and Relate ,,,5431.23,5431.23,1
APC,05376,Level 6 Urology and Relate ,,,9589.06,9589.06,1
APC,05377,Level 7 Urology and Relate ,,,13364.32,13364.32,1
APC,05378,Level 8 Urology and Relate ,,,20994.54,20994.54,1
APC,05401,Dialysis ,,,695.2,695.2,1
APC,05411,Level 1 Gynecologic Proced ,,,204.79,204.79,1
APC,05412,Level 2 Gynecologic Proced ,,,308.68,308.68,1
APC,05413,Level 3 Gynecologic Proced ,,,932.98,932.98,1
APC,05414,Level 4 Gynecologic Proced ,,,3279.05,3279.05,1
APC,05415,Level 5 Gynecologic Proced ,,,5067.23,5067.23,1
APC,05416,Level 6 Gynecologic Proced ,,,7511.47,7511.47,1
APC,05431,Level 1 Nerve Procedures ,,,1978.01,1978.01,1
APC,05432,Level 2 Nerve Procedures ,,,3460.39,3460.39,1
APC,05433,Level 3 Nerve Procedures ,,,8889.5,8889.5,1
APC,05441,Level 1 Nerve Injections ,,,310.93,310.93,1
APC,05442,Level 2 Nerve Injections ,,,715.02,715.02,1
APC,05443,Level 3 Nerve Injections ,,,895.93,895.93,1
APC,05461,Level 1 Neurostimulator an ,,,3541.38,3541.38,1
APC,05462,Level 2 Neurostimulator an ,,,6455.53,6455.53,1
APC,05463,Level 3 Neurostimulator an ,,,11287.0,11287.0,1
APC,05464,Level 4 Neurostimulator an ,,,19651.36,19651.36,1
APC,05465,Level 5 Neurostimulator an ,,,31257.33,31257.33,1
APC,05471,Implantation of Drug Infus ,,,18257.27,18257.27,1
APC,05481,Laser Eye Procedures ,,,557.12,557.12,1
APC,05491,Level 1 Intraocular Proced ,,,2337.71,2337.71,1
APC,05492,Level 2 Intraocular Proced ,,,4186.95,4186.95,1
APC,05493,Level 3 Intraocular Proced ,,,5390.22,5390.22,1
APC,05494,Level 4 Intraocular Proced ,,,14693.97,14693.97,1
APC,05495,Level 5 Intraocular Proced ,,,14133.66,14133.66,1
APC,05496,Level 6 Intraocular Proced ,,,16674.01,16674.01,1
APC,05501,"Level 1 Extraocular, Repai ",,,321.52,321.52,1
APC,05502,"Level 2 Extraocular, Repai ",,,1009.79,1009.79,1
APC,05503,"Level 3 Extraocular, Repai ",,,2408.28,2408.28,1
APC,05504,"Level 4 Extraocular, Repai ",,,3982.31,3982.31,1
APC,05521,Level 1 Imaging without Co ,,,88.15,88.15,1
APC,05522,Level 2 Imaging without Co ,,,105.9,105.9,1
APC,05523,Level 3 Imaging without Co ,,,241.69,241.69,1
APC,05524,Level 4 Imaging without Co ,,,553.49,553.49,1
APC,05571,Level 1 Imaging with Contr ,,,177.67,177.67,1
APC,05572,Level 2 Imaging with Contr ,,,353.39,353.39,1
APC,05573,Level 3 Imaging with Contr ,,,794.07,794.07,1
APC,05591,Level 1 Nuclear Medicine a ,,,404.95,404.95,1
APC,05592,Level 2 Nuclear Medicine a ,,,550.0,550.0,1
APC,05593,Level 3 Nuclear Medicine a ,,,1311.41,1311.41,1
APC,05594,Level 4 Nuclear Medicine a ,,,1448.47,1448.47,1
APC,05611,Level 1 Therapeutic Radiat ,,,136.15,136.15,1
APC,05612,Level 2 Therapeutic Radiat ,,,379.28,379.28,1
APC,05613,Level 3 Therapeutic Radiat ,,,1402.06,1402.06,1
APC,05621,Level 1 Radiation Therapy ,,,103.35,103.35,1
APC,05622,Level 2 Radiation Therapy ,,,390.69,390.69,1
APC,05623,Level 3 Radiation Therapy ,,,559.7,559.7,1
APC,05624,Level 4 Radiation Therapy ,,,705.49,705.49,1
APC,05625,Level 5 Radiation Therapy ,,,1265.93,1265.93,1
APC,05626,Level 6 Radiation Therapy ,,,1811.21,1811.21,1
APC,05627,Level 7 Radiation Therapy ,,,7460.68,7460.68,1
APC,05661,Therapeutic Nuclear Medici ,,,236.36,236.36,1
APC,05671,Level 1 Pathology ,,,52.79,52.79,1
APC,05672,Level 2 Pathology ,,,172.58,172.58,1
APC,05673,Level 3 Pathology ,,,363.09,363.09,1
APC,05674,Level 4 Pathology ,,,816.11,816.11,1
APC,05691,Level 1 Drug Administratio ,,,47.43,47.43,1
APC,05692,Level 2 Drug Administratio ,,,72.93,72.93,1
APC,05693,Level 3 Drug Administratio ,,,215.46,215.46,1
APC,05694,Level 4 Drug Administratio ,,,334.58,334.58,1
APC,05721,Level 1 Diagnostic Tests a ,,,130.34,130.34,1
APC,05722,Level 2 Diagnostic Tests a ,,,218.72,218.72,1
APC,05723,Level 3 Diagnostic Tests a ,,,377.99,377.99,1
APC,05724,Level 4 Diagnostic Tests a ,,,869.86,869.86,1
APC,05731,Level 1 Minor Procedures ,,,29.3,29.3,1
APC,05732,Level 2 Minor Procedures ,,,37.83,37.83,1
APC,05733,Level 3 Minor Procedures ,,,59.76,59.76,1
APC,05734,Level 4 Minor Procedures ,,,134.77,134.77,1
APC,05735,Level 5 Minor Procedures ,,,452.51,452.51,1
APC,05741,Level 1 Electronic Analysi ,,,37.8,37.8,1
APC,05742,Level 2 Electronic Analysi ,,,96.3,96.3,1
APC,05743,Level 3 Electronic Analysi ,,,311.12,311.12,1
APC,05771,Cardiac Rehabilitation ,,,130.58,130.58,1
APC,05781,Resuscitation and Cardiove ,,,669.5,669.5,1
APC,05791,Pulmonary Treatment ,,,221.81,221.81,1
APC,05801,Ventilation Initiation and ,,,625.79,625.79,1
APC,05811,Manipulation Therapy ,,,21.87,21.87,1
APC,05821,Level 1 Health and Behavio ,,,37.95,37.95,1
APC,05822,Level 2 Health and Behavio ,,,102.91,102.91,1
APC,05823,Level 3 Health and Behavio ,,,179.79,179.79,1
APC,05851,Intensive Outpatient (3 se ,,,126.65,126.65,1
APC,05852,Intensive Outpatient (4 or ,,,165.95,165.95,1
APC,05853,Partial Hospitalization (3 ,,,126.65,126.65,1
APC,05854,Partial Hospitalization (4 ,,,165.95,165.95,1
APC,05861,Intensive Outpatient (3 se ,,,316.66,316.66,1
APC,05862,Intensive Outpatient (4 or ,,,414.88,414.88,1
APC,05863,Partial Hospitalization (3 ,,,316.66,316.66,1
APC,05864,Partial Hospitalization (4 ,,,414.88,414.88,1
APC,05871,Dental Procedures ,,,654.86,654.86,1
APC,05881,Ancillary Outpatient Servi ,,,14107.59,14107.59,1
APC,06000,PMA Skin Substitute Produc ,,,126.06,126.06,1
APC,06001,510K Skin Substitute Produ ,,,126.06,126.06,1
APC,06002,HCT/P Skin Substitute Prod ,,,126.06,126.06,1
APC,07043,Infliximab not biosimil 10 ,,,30.53,30.53,1
APC,07046,Doxorubicin inj 10mg ,,,113.11,113.11,1
APC,07048,Alteplase recombinant ,,,95.63,95.63,1
APC,07308,Aminolevulinic acid hcl to ,,,377.6,377.6,1
APC,08004,Ultrasound Composite ,,,298.01,298.01,1
APC,08005,CT and CTA without Contras ,,,224.14,224.14,1
APC,08006,CT and CTA with Contrast C ,,,435.16,435.16,1
APC,08007,MRI and MRA without Contra ,,,533.27,533.27,1
APC,08008,MRI and MRA with Contrast ,,,859.69,859.69,1
APC,08010,Mental Health Services Com ,,,414.88,414.88,1
APC,08011,Comprehensive Observation ,,,2649.37,2649.37,1
APC,09002,Tenecteplase injection ,,,210.9,210.9,1
APC,09003,Rsv mab im 50mg ,,,423.65,423.65,1
APC,09004,"Injection, inclisiran, 1 m ",,,12.52,12.52,1
APC,09006,Tacrolimus injection ,,,260.13,260.13,1
APC,09007,Inj cutaquig 100 mg ,,,13.61,13.61,1
APC,09008,"Inj tezepelumab-ekko, 1mg ",,,17.38,17.38,1
APC,09009,"Inj, vutrisiran, 1 mg ",,,4862.22,4862.22,1
APC,09010,Inj efgartigimod 2mg ,,,31.58,31.58,1
APC,09013,Inj risankizumab-rzaaÂ1 m ,,,14.1,14.1,1
APC,09014,"Inj., cerliponase alfa 1 m ",,,119.68,119.68,1
APC,09016,"Inj., triptorelin xr 3.75 ",,,3705.34,3705.34,1
APC,09017,"Inj. byooviz, 0.1 mg ",,,233.74,233.74,1
APC,09018,"Inj, rimabotulinumtoxinB ",,,12.89,12.89,1
APC,09020,Argatroban nonesrd (accord ,,,1.76,1.76,1
APC,09025,"Inj glucagon hcl, freseniu ",,,125.4,125.4,1
APC,09026,"Inj, bortezomib, dr. reddy ",,,3.36,3.36,1
APC,09027,"Inj, bortezomib freseniusk ",,,6.76,6.76,1
APC,09028,Inj inotuzumab ozogam 0.1 ,,,2786.91,2786.91,1
APC,09029,"Inj., guselkumab, 1 mg ",,,64.91,64.91,1
APC,09031,"Inj, etelcalcetide, 0.1 mg ",,,2.39,2.39,1
APC,09032,Baclofen 10 MG injection ,,,180.52,180.52,1
APC,09033,Cidofovir injection ,,,519.66,519.66,1
APC,09034,"Inj cuvitru, 100 mg ",,,17.6,17.6,1
APC,09035,Axicabtagene ciloleucel ca ,,,545625.87,545625.87,1
APC,09036,"Injection, renflexis ",,,25.82,25.82,1
APC,09038,Inj estrogen conjugate ,,,389.46,389.46,1
APC,09042,Glucagon hydrochloride ,,,113.81,113.81,1
APC,09043,"Inj, afstyla, 1 i.u. ",,,1.57,1.57,1
APC,09044,Ibutilide fumarate injecti ,,,170.61,170.61,1
APC,09045,Idursulfase injection ,,,552.94,552.94,1
APC,09046,"Inj., fibryga, 1 mg ",,,1.2,1.2,1
APC,09048,"Inj, alymsys, 10 mg ",,,77.55,77.55,1
APC,09050,"Leuprolide inj, camcevi, 1 ",,,40.8,40.8,1
APC,09051,"Inj, lanreotide, (cipla) 1 ",,,19.72,19.72,1
APC,09052,Fluciclovine f-18 ,,,312.6,312.6,1
APC,09053,Fluorodopa f-18 diag per m ,,,829.88,829.88,1
APC,09054,Lutetium lu 177 vipivotide ,,,259.3,259.3,1
APC,09055,Gallium locametz 1 millicu ,,,351.63,351.63,1
APC,09056,Gallium ga-68 ,,,48.14,48.14,1
APC,09057,Inj nivol relatlimab 3mg/1 ,,,199.35,199.35,1
APC,09059,Vonvendi inj 1 iu vwf:rco ,,,1.76,1.76,1
APC,09063,Rh ig minidose im ,,,77.6,77.6,1
APC,09067,Lutetium lu 177 dotatat th ,,,339.7,339.7,1
APC,09068,Smallpox&monkeypox vac 0.5 ,,,0.01,0.01,1
APC,09070,Inj luxturna 1 billion vec ,,,2977.55,2977.55,1
APC,09071,Capsaicin 8% patch ,,,3.4,3.4,1
APC,09073,Buprenorph xr 100 mg or le ,,,2006.11,2006.11,1
APC,09075,"Inj, kovaltry, 1 i.u. ",,,1.55,1.55,1
APC,09078,Testosterone undecanoate 1 ,,,2.08,2.08,1
APC,09079,"Genvisc 850, inj, 1mg ",,,3.69,3.69,1
APC,09087,"Inj, clevidipine, 1 mg ",,,2.75,2.75,1
APC,09088,Peng benzathine/procaine i ,,,18.94,18.94,1
APC,09094,Radiesse injection ,,,346.21,346.21,1
APC,09095,"Inj, sculptra, 0.5mg ",,,2.14,2.14,1
APC,09097,Inj retacrit non-esrd use ,,,7.73,7.73,1
APC,09099,"Inj fosnetupitant, palonos ",,,488.73,488.73,1
APC,09101,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.01,1
APC,09102,"Inj, fulvestrant (teva) ",,,40.42,40.42,1
APC,09103,"Inj, fulvestrant (freseniu ",,,26.3,26.3,1
APC,09104,Antithymocyte globuln rabb ,,,1026.06,1026.06,1
APC,09105,Inj pemetrexed (teva) 10mg ,,,10.66,10.66,1
APC,09108,Thyrotropin injection ,,,2093.9,2093.9,1
APC,09109,"Inj, elahere, 1 mg ",,,69.83,69.83,1
APC,09110,"Inj, tremelimumab-actl, 1 ",,,142.49,142.49,1
APC,09111,Inj teclistamab cqyv 0.5 m ,,,34.26,34.26,1
APC,09112,Inj teplizumab mzwv 5 mcg ,,,38.04,38.04,1
APC,09113,Inj olipudase alfa-rpcp 1m ,,,392.8,392.8,1
APC,09114,Inj eflapegrastim-xnst 0.1 ,,,37.41,37.41,1
APC,09115,"Inj, spesolimab-sbzo, 1 mg ",,,63.76,63.76,1
APC,09117,"Inj, cimerli, 0.1 mg ",,,80.05,80.05,1
APC,09118,"Inj, fylnetra, 0.5 mg ",,,101.96,101.96,1
APC,09119,"Inj, pedmark, 100 mg ",,,93.88,93.88,1
APC,09122,Triptorelin pamoate ,,,452.37,452.37,1
APC,09123,"Inj pemetrexed, hospira 10 ",,,2.85,2.85,1
APC,09125,"Risperidone, long acting ",,,10.77,10.77,1
APC,09126,Natalizumab injection ,,,23.67,23.67,1
APC,09127,Inj pemetrexed (accord) 10 ,,,9.44,9.44,1
APC,09129,"Inj, stimufend, 0.5 mg ",,,139.36,139.36,1
APC,09130,"Inj, imm glob bivigam, 500 ",,,78.8,78.8,1
APC,09131,"Inj, Ado-trastuzumab Emt 1 ",,,42.32,42.32,1
APC,09132,Prothrombin complex kcentr ,,,1.95,1.95,1
APC,09133,"Rabies ig, im/sc ",,,272.75,272.75,1
APC,09134,"Rabies ig, heat treated ",,,341.87,341.87,1
APC,09135,"Varicella-zoster ig, im ",,,2422.8,2422.8,1
APC,09136,Inj leu acet lutr dpt 7.5 ,,,666.67,666.67,1
APC,09138,"Inj, hemgenix, per tx dose ",,,3580706.5,3580706.5,1
APC,09139,"Rabies vaccine, im ",,,322.02,322.02,1
APC,09140,"Rabies vaccine, id ",,,229.75,229.75,1
APC,09141,Inj onase abepar-xioi trea ,,,2599636.86,2599636.86,1
APC,09142,FecalÂmicrobiota jslm 1 m ,,,63.64,63.64,1
APC,09144,"Inj, panzyga, 500 mg ",,,69.21,69.21,1
APC,09145,"Inj, invega hafyera/trinza ",,,12.86,12.86,1
APC,09146,"Inj, ixinity, 1 i.u. ",,,1.88,1.88,1
APC,09149,"Inj ublituximab-xiiy, 1 mg ",,,70.07,70.07,1
APC,09150,"Inj mosunetuzumab-axgb, 1 ",,,654.26,654.26,1
APC,09154,"Inj, vivimusta, 1 mg ",,,29.02,29.02,1
APC,09155,Inj lenacapavir (hiv tx) 1 ,,,22.25,22.25,1
APC,09157,"Lecanemab-irmb, for iv inj ",,,1.33,1.33,1
APC,09158,"Inj, pegcetacoplan, 1mg ",,,144.48,144.48,1
APC,09159,"Inj, vegzelma, 10 mg ",,,22.94,22.94,1
APC,09166,"Inj, fosaprepitant (teva) ",,,0.03,0.03,1
APC,09171,Factor ix idelvion inj ,,,5.34,5.34,1
APC,09173,"Injection, fulphila ",,,65.01,65.01,1
APC,09174,"Inj, durolane 1 mg ",,,6.05,6.05,1
APC,09178,"Inj., meropenem, vaborbact ",,,2.16,2.16,1
APC,09179,"Inj., aristada initio, 1 m ",,,3.36,3.36,1
APC,09180,"Inj., patisiran, 0.1 mg ",,,98.0,98.0,1
APC,09181,"Inj., perseris, 0.5 mg ",,,11.84,11.84,1
APC,09182,"Inj mogamulizumab-kpkc, 1 ",,,250.78,250.78,1
APC,09183,"Inj., plazomicin, 5 mg ",,,3.41,3.41,1
APC,09186,"Inj., rituximab, 10 mg ",,,71.08,71.08,1
APC,09187,"Injection, burosumab-twza ",,,497.97,497.97,1
APC,09189,"Inj., ibalizumab-uiyk, 10 ",,,77.13,77.13,1
APC,09190,"Inj., vestronidase alfa-vj ",,,282.79,282.79,1
APC,09193,Nivestym ,,,0.31,0.31,1
APC,09194,Tisagenlecleucel car-pos t ,,,593342.4,593342.4,1
APC,09195,"Injection, udenyca 0.5 mg ",,,144.66,144.66,1
APC,09196,"Inj, trivisc 1 mg ",,,2.94,2.94,1
APC,09198,"Inj andexxa, 10 mg ",,,127.23,127.23,1
APC,09199,"Injection, caplacizumab-yh ",,,813.99,813.99,1
APC,09200,"Inj, remdesivir, 1 mg ",,,7.29,7.29,1
APC,09201,Rabies ig ht&sol human im/ ,,,235.9,235.9,1
APC,09203,Inj cyclophosphamd auromed ,,,0.48,0.48,1
APC,09204,"Inj tisotu vedotin-tftv, 1 ",,,190.24,190.24,1
APC,09205,Inj lon tesirin-lpyl 0.075 ,,,219.81,219.81,1
APC,09206,Inj plasminogen tvmh 1mg ,,,37.27,37.27,1
APC,09208,Agalsidase beta injection ,,,225.74,225.74,1
APC,09209,Laronidase injection ,,,40.24,40.24,1
APC,09213,Inj. pemetrexed nos 10mg ,,,6.74,6.74,1
APC,09214,Bevacizumab injection ,,,72.58,72.58,1
APC,09215,Cetuximab injection ,,,79.22,79.22,1
APC,09217,Leuprolide acetate suspnsi ,,,155.53,155.53,1
APC,09219,Procainamide hcl injection ,,,286.5,286.5,1
APC,09224,Galsulfase injection ,,,510.19,510.19,1
APC,09225,Fluocinolone acetonide imp ,,,328.64,328.64,1
APC,09230,Abatacept injection ,,,44.48,44.48,1
APC,09233,Ranibizumab injection ,,,49.56,49.56,1
APC,09235,Panitumumab injection ,,,176.72,176.72,1
APC,09237,"Inj, lanreotide acetate ",,,36.31,36.31,1
APC,09239,Buprenorphine xr over 100 ,,,2006.11,2006.11,1
APC,09240,"Injection, ixabepilone ",,,135.56,135.56,1
APC,09241,Inj sirolimus prot part 1 ,,,88.3,88.3,1
APC,09243,"Inj, bendamustine hcl, 1mg ",,,2.87,2.87,1
APC,09246,"Inj, abilify asimtufii, 1 ",,,6.0,6.0,1
APC,09247,"Inj, amisulpride, 1 mg ",,,9.28,9.28,1
APC,09250,Inj epcoritamab-bysp 0.16 ,,,56.25,56.25,1
APC,09251,C1 esterase inhibitor inj ,,,64.75,64.75,1
APC,09252,Plerixafor injection ,,,27.63,27.63,1
APC,09253,Temozolomide injection ,,,10.1,10.1,1
APC,09254,Flotufolastat f18 diag 1 m ,,,705.73,705.73,1
APC,09255,"Inj, invega sustenna, 1 mg ",,,14.97,14.97,1
APC,09256,Dexamethasone intra implan ,,,197.55,197.55,1
APC,09257,"Inj., emicizumab-kxwh 0.5 ",,,56.29,56.29,1
APC,09258,Telavancin injection ,,,7.26,7.26,1
APC,09259,Pralatrexate injection ,,,374.54,374.54,1
APC,09260,Ofatumumab injection ,,,60.37,60.37,1
APC,09262,Inj tofersen intrathec 1 m ,,,159.87,159.87,1
APC,09263,Ecallantide injection ,,,578.07,578.07,1
APC,09264,Tocilizumab injection ,,,5.25,5.25,1
APC,09266,"Inj, uzedy, 1 mg ",,,25.4,25.4,1
APC,09267,"Inj, rezafungin, 1 mg ",,,10.67,10.67,1
APC,09268,Inj. acthar gel to 40 unit ,,,4009.45,4009.45,1
APC,09269,"C-1 esterase, berinert ",,,76.88,76.88,1
APC,09270,Gammaplex IVIG ,,,64.28,64.28,1
APC,09271,Velaglucerase alfa ,,,381.06,381.06,1
APC,09272,"Inj, denosumab ",,,29.2,29.2,1
APC,09273,Sipuleucel-T auto CD54+ ,,,54254.46,54254.46,1
APC,09274,Crotalidae Poly Immune Fab ,,,1890.65,1890.65,1
APC,09275,"Inj. (ani), up to 40 units ",,,3564.44,3564.44,1
APC,09276,Cabazitaxel injection ,,,226.72,226.72,1
APC,09277,Altuviiio per factor viii ,,,4.49,4.49,1
APC,09278,Incobotulinumtoxin A ,,,5.13,5.13,1
APC,09280,"Inj, retifanlimab-dlwr, 1 ",,,30.05,30.05,1
APC,09281,"Injection, pegloticase ",,,3811.46,3811.46,1
APC,09284,Ipilimumab injection ,,,184.72,184.72,1
APC,09285,Inj allopurinol sodium 1 m ,,,3.95,3.95,1
APC,09286,Belatacept injection ,,,3.77,3.77,1
APC,09287,Brentuximab vedotin inj ,,,270.83,270.83,1
APC,09293,"Injection, glucarpidase ",,,445.28,445.28,1
APC,09294,"Inj, taliglucerase alfa 10 ",,,41.39,41.39,1
APC,09295,"Injection, Carfilzomib, 1 ",,,58.48,58.48,1
APC,09296,"Inj, ziv-aflibercept, 1mg ",,,8.41,8.41,1
APC,09299,Inj. jivi 1 iu ,,,2.67,2.67,1
APC,09300,Omalizumab injection ,,,45.19,45.19,1
APC,09301,"Aminolevulinic acid, 10% g ",,,1.79,1.79,1
APC,09302,"Inj daunorubicin, cytarabi ",,,264.7,264.7,1
APC,09304,"Inj., cemiplimab-rwlc, 1 m ",,,28.78,28.78,1
APC,09305,"Inj., lumoxiti, 0.01 mg ",,,22.69,22.69,1
APC,09306,"Inj., tildrakizumab, 1 mg ",,,120.54,120.54,1
APC,09308,Dexametha opth insert 0.1 ,,,87.32,87.32,1
APC,09309,Inj. tagraxofusp-erzs 10 m ,,,346.8,346.8,1
APC,09310,"Inj., emapalumab-lzsg, 1 m ",,,381.0,381.0,1
APC,09311,"Inj., omadacycline, 1 mg ",,,4.06,4.06,1
APC,09312,"Inj., ravulizumab-cwvz 10 ",,,220.11,220.11,1
APC,09313,Inj. belrapzo/bendamustine ,,,11.25,11.25,1
APC,09314,"Inj. herceptin hylecta, 10 ",,,56.59,56.59,1
APC,09320,Carbidopa levodopa ent 100 ,,,237.16,237.16,1
APC,09321,Fosphenytoin inj pe ,,,0.65,0.65,1
APC,09322,Bcg live intravesical 1mg ,,,3.27,3.27,1
APC,09323,Gallium ga-68 dotatoc ,,,3.5,3.5,1
APC,09324,Phenylep ketorolac opth so ,,,93.42,93.42,1
APC,09325,"Inj., eravacycline, 1 mg ",,,1.34,1.34,1
APC,09326,"Inj., lanadelumab-flyo, 1 ",,,85.57,85.57,1
APC,09327,Inj. romosozumab-aqqg 1 mg ,,,12.35,12.35,1
APC,09328,"Inj., yutiq, 0.01 mg ",,,513.99,513.99,1
APC,09329,Inj mvasi 10 mg ,,,23.8,23.8,1
APC,09330,"Inj., kanjinti, 10 mg ",,,58.71,58.71,1
APC,09331,"Inj, polatuzumab vedotin 1 ",,,139.3,139.3,1
APC,09335,Oral busulfan ,,,9.82,9.82,1
APC,09336,Inj truxima 10 mg ,,,33.53,33.53,1
APC,09338,"Inj., triluron, 1 mg ",,,10.12,10.12,1
APC,09340,"Inj, brolucizumab-dbll, 1 ",,,348.92,348.92,1
APC,09341,Inj  ogivri 10 mg ,,,30.99,30.99,1
APC,09343,Inj givosiran 0.5 mg ,,,117.29,117.29,1
APC,09345,Inj pegfilgrastim-bmez 0.5 ,,,128.13,128.13,1
APC,09346,Mometasone sinus sinuva ,,,11.0,11.0,1
APC,09347,Inj luspatercept-aamt 0.25 ,,,42.21,42.21,1
APC,09348,"Inj., zirabev, 10 mg ",,,25.11,25.11,1
APC,09349,Inj herzuma 10 mg ,,,53.29,53.29,1
APC,09350,"Inj., trazimera, 10 mg ",,,12.64,12.64,1
APC,09351,Inj bimatoprost itc imp 1m ,,,207.34,207.34,1
APC,09353,Inj fam-trastu deru-nxki 1 ,,,31.89,31.89,1
APC,09354,Inj recombin esperoct per ,,,2.23,2.23,1
APC,09355,Inj. teprotumumab-trbw 10 ,,,368.5,368.5,1
APC,09357,Inj. eptinezumab-jjmr 1 mg ,,,20.47,20.47,1
APC,09358,Inj xipere 1 mg ,,,46.34,46.34,1
APC,09359,Inj crizanlizumab-tmca 5mg ,,,126.04,126.04,1
APC,09361,Inj. cetirizine hcl 0.5mg ,,,17.01,17.01,1
APC,09364,Inj enfort vedo-ejfv 0.25m ,,,35.56,35.56,1
APC,09367,"Inj ruxience, 10 mg ",,,15.68,15.68,1
APC,09370,Fluoroestradiol F 18 ,,,446.61,446.61,1
APC,09372,"Inj. xembify, 100 mg ",,,14.79,14.79,1
APC,09374,Mitomycin instillation ,,,320.04,320.04,1
APC,09375,"Inj., evomela, 1 mg ",,,17.5,17.5,1
APC,09376,Sacituzumab govitecan-hziy ,,,36.51,36.51,1
APC,09377,Inj. isatuximab-irfc 10 mg ,,,85.52,85.52,1
APC,09378,"Daratumumab, hyaluronidase ",,,55.34,55.34,1
APC,09381,"Inj. avsola, 10 mg ",,,29.91,29.91,1
APC,09382,Inj ontruzant 10 mg ,,,20.36,20.36,1
APC,09383,Copper cu 64 dotatate diag ,,,576.45,576.45,1
APC,09385,"Inj., tafasitamab-cxix ",,,14.0,14.0,1
APC,09388,Inj. fe derisomaltose 10 m ,,,20.44,20.44,1
APC,09389,"Inj. lurbinectedin, 0.1 mg ",,,209.47,209.47,1
APC,09390,"Pertuzu, trastuzu, 10 mg ",,,58.1,58.1,1
APC,09391,Brexucabtagene car pos t ,,,494800.78,494800.78,1
APC,09392,Inj. asceniv ,,,493.86,493.86,1
APC,09394,"Inj. inebilizumab-cdon, 1 ",,,495.33,495.33,1
APC,09395,Factor viia recomb sevenfa ,,,2.13,2.13,1
APC,09396,"Afamelanotide implant, 1 m ",,,2855.12,2855.12,1
APC,09398,Covid-19 Vaccine Administr ,,,41.17,41.17,1
APC,09399,"Pneumococcal, Influenza, H ",,,36.54,36.54,1
APC,09406,"Inj, nyvepria ",,,132.8,132.8,1
APC,09407,"Inj. lumasiran, 0.5 mg ",,,326.86,326.86,1
APC,09408,"Inj. naxitamab-gqgk, 1 mg ",,,664.35,664.35,1
APC,09409,Gallium ga-68 psma-11 ucsf ,,,533.63,533.63,1
APC,09410,"Gallium ga-68 psma-11, ucl ",,,352.59,352.59,1
APC,09411,"Inj. riabni, 10 mg ",,,17.98,17.98,1
APC,09412,"Injection, casimersen, 10 ",,,161.19,161.19,1
APC,09413,lisocabtagene car pos t ,,,562183.48,562183.48,1
APC,09414,"Inj, cabote rilpivir 2mg 3 ",,,23.93,23.93,1
APC,09415,"Injection, trilaciclib, 1m ",,,5.3,5.3,1
APC,09416,"Inj, evinacumab-dgnb, 5 mg ",,,191.7,191.7,1
APC,09418,"Inj. margetuximab-cmkb, 5 ",,,54.75,54.75,1
APC,09419,Inj fensolvi 0.25 mg ,,,140.95,140.95,1
APC,09420,Eptifibatide injection ,,,3.75,3.75,1
APC,09421,"Inj, granisetron, xr, 0.1 ",,,3.12,3.12,1
APC,09422,Idecabtagene vicleucel car ,,,550938.47,550938.47,1
APC,09426,"Inj, cefiderocol, 10 mg ",,,2.47,2.47,1
APC,09427,"Injection, oritavancin 10 ",,,45.99,45.99,1
APC,09428,Inj romidepsin non-lyo 0.1 ,,,32.58,32.58,1
APC,09429,Inj romidepsin lyophil 0.1 ,,,29.79,29.79,1
APC,09430,"Piflu f-18, dia 1 millicur ",,,336.1,336.1,1
APC,09431,"Inj, dostarlimab-gxly, 10 ",,,243.76,243.76,1
APC,09432,"Inj, amivantamab-vmjw ",,,22.52,22.52,1
APC,09433,Inj aval alfa-nqpt 4mg ,,,81.43,81.43,1
APC,09434,Inj anifrolumab-fnia 1mg ,,,17.95,17.95,1
APC,09436,Inj pegfilgrast ex bio 0.5 ,,,138.94,138.94,1
APC,09437,"Inj, aspara, rylaze, 0.1 m ",,,56.94,56.94,1
APC,09439,"Inj, susvimo 0.1 mg ",,,72.55,72.55,1
APC,09440,"Instill, bupivac and melox ",,,0.82,0.82,1
APC,09441,Inj ferric carboxymaltos 1 ,,,1.1,1.1,1
APC,09442,"Inj. pemetrexed, 10 mg ",,,7.75,7.75,1
APC,09443,Gallium illuccix 1 millicu ,,,464.16,464.16,1
APC,09444,"Inj, sutimlimab-jome, 10 m ",,,19.05,19.05,1
APC,09445,"Injection, ruconest ",,,36.7,36.7,1
APC,09446,"Inj, tebentafusp-tebn, 1 m ",,,221.17,221.17,1
APC,09447,"Inj, releuko 1 mcg ",,,0.3,0.3,1
APC,09448,"Oral netupitant, palonoset ",,,459.82,459.82,1
APC,09449,"Injection, blinatumomab ",,,167.71,167.71,1
APC,09450,Fluocinol acet intravit im ,,,500.91,500.91,1
APC,09451,"Injection, peramivir ",,,1.63,1.63,1
APC,09452,Inj ceftolozane tazobactam ,,,9.74,9.74,1
APC,09453,"Injection, nivolumab ",,,33.2,33.2,1
APC,09454,"Inj, pasireotide long acti ",,,598.21,598.21,1
APC,09455,"Injection, siltuximab ",,,168.84,168.84,1
APC,09456,"Injection, isavuconazonium ",,,1.0,1.0,1
APC,09458,Florbetaben f18 diagnostic ,,,1571.16,1571.16,1
APC,09459,Flutemetamol f18 diagnosti ,,,1927.44,1927.44,1
APC,09460,"Injection, cangrelor ",,,19.67,19.67,1
APC,09461,Choline c-11 ,,,2440.94,2440.94,1
APC,09463,"Inj., aprepitant, 1 mg ",,,1.54,1.54,1
APC,09466,"Inj., benralizumab, 1 mg ",,,160.6,160.6,1
APC,09467,"Inj rituximab, hyaluronida ",,,35.3,35.3,1
APC,09468,Factor ix recomb gly rebin ,,,4.53,4.53,1
APC,09469,Inj triamcinolone ace xr 1 ,,,18.7,18.7,1
APC,09470,Aripirazole lauroxil 1 mg ,,,3.45,3.45,1
APC,09471,"Hyaluronan, hymo or hymo o ",,,17.59,17.59,1
APC,09472,Inj talimogene laherparepv ,,,75.02,75.02,1
APC,09473,"Injection, mepolizumab, 1m ",,,31.31,31.31,1
APC,09474,Inj irinotecan liposome 1 ,,,63.89,63.89,1
APC,09475,"Injection, necitumumab, 1 ",,,5.56,5.56,1
APC,09476,"Injection, daratumumab 10 ",,,71.56,71.56,1
APC,09477,"Injection, elotuzumab, 1mg ",,,7.94,7.94,1
APC,09478,Inj sebelipase alfa 1 mg ,,,523.41,523.41,1
APC,09480,Injection trabectedin 0.1m ,,,398.16,398.16,1
APC,09481,"Injection, reslizumab ",,,11.38,11.38,1
APC,09483,"Inj, atezolizumab,10 mg ",,,93.65,93.65,1
APC,09484,"Inj, eteplirsen, 10 mg ",,,162.4,162.4,1
APC,09487,"Ustekinumab, iv inject,1 m ",,,11.02,11.02,1
APC,09489,"Inj, nusinersen, 0.1mg ",,,1293.45,1293.45,1
APC,09490,"Inj, bezlotoxumab, 10 mg ",,,38.63,38.63,1
APC,09491,"Injection, avelumab, 10 mg ",,,105.38,105.38,1
APC,09492,"Inj., durvalumab, 10 mg ",,,85.31,85.31,1
APC,09493,"Injection, edaravone, 1 mg ",,,6.27,6.27,1
APC,09494,"Injection, ocrelizumab ",,,59.14,59.14,1
APC,09495,Gemtuzumab ozogamicin inj ,,,239.95,239.95,1
APC,09496,"Inj, faricimab-svoa, 0.1mg ",,,31.41,31.41,1
APC,09498,Ciltacabtagene car-pos t ,,,570338.47,570338.47,1
APC,09500,"Platelets, irradiated ",,,381.18,381.18,1
APC,09501,Platelet pheres leukoreduc ,,,496.24,496.24,1
APC,09502,Platelet pheresis irradiat ,,,920.66,920.66,1
APC,09503,Fr frz plasma donor retest ,,,51.65,51.65,1
APC,09504,RBC deglycerolized ,,,303.61,303.61,1
APC,09505,RBC irradiated ,,,140.86,140.86,1
APC,09507,"Platelets, pheresis ",,,299.69,299.69,1
APC,09508,Plasma 1 donor frz w/in 8 ,,,83.4,83.4,1
APC,09509,"Frozen plasma, pooled, sd ",,,54.28,54.28,1
APC,09510,Whole blood for transfusio ,,,184.14,184.14,1
APC,09511,Cryoprecipitate each unit ,,,69.79,69.79,1
APC,09512,RBC leukocytes reduced ,,,179.36,179.36,1
APC,09513,"Plasma, frz between 8-24ho ",,,71.56,71.56,1
APC,09514,"Plasma protein fract,5%,50 ",,,7.87,7.87,1
APC,09515,"Platelets, each unit ",,,51.57,51.57,1
APC,09516,Plaelet rich plasma unit ,,,543.0,543.0,1
APC,09517,Red blood cells unit ,,,146.05,146.05,1
APC,09518,Washed red blood cells uni ,,,357.52,357.52,1
APC,09519,"Plasmaprotein fract,5%,250 ",,,34.26,34.26,1
APC,09520,Blood split unit ,,,151.16,151.16,1
APC,09521,Platelets leukoreduced irr ,,,183.9,183.9,1
APC,09522,RBC leukoreduced irradiate ,,,257.45,257.45,1
APC,09523,Cryoprecipitatereducedplas ,,,128.09,128.09,1
APC,09524,"Blood, l/r, cmv-neg ",,,147.03,147.03,1
APC,09525,"Platelets, hla-m, l/r, uni ",,,686.82,686.82,1
APC,09526,Platelets leukocytes reduc ,,,139.93,139.93,1
APC,09527,"Blood, l/r, froz/degly/was ",,,257.23,257.23,1
APC,09528,"Plt, aph/pher, l/r, cmv-ne ",,,242.98,242.98,1
APC,09529,"Blood, l/r, irradiated ",,,82.01,82.01,1
APC,09530,Plate pheres leukoredu irr ,,,660.19,660.19,1
APC,09531,"Plt, pher, l/r cmv-neg, ir ",,,488.35,488.35,1
APC,09532,"RBC, frz/deg/wsh, l/r, irr ",,,410.01,410.01,1
APC,09533,"RBC, l/r, cmv-neg, irrad ",,,241.92,241.92,1
APC,09534,Pathogen reduced plasma po ,,,54.11,54.11,1
APC,09535,Pathogen reduced plasma si ,,,285.65,285.65,1
APC,09536,Platelets pheresis path re ,,,589.21,589.21,1
APC,09537,Blood component/product no ,,,34.26,34.26,1
APC,09538,Plasma cryo redu path each ,,,129.75,129.75,1
APC,09539,Cryo fib comp path redu ea ,,,532.8,532.8,1
APC,09540,Covid-19 convalescent plas ,,,659.63,659.63,1
APC,09541,Rbc o2 co2 reduced ,,,496.24,496.24,1
APC,1064,"I131 iodide cap, rx ",,,23.83,73.41,32
APC,1064,"I131 iodide cap, rx Trauma",,,57.77,57.77,6
APC,1138,"Hepagam b intravenous, inj ",,,64.95,200.11,32
APC,1138,"Hepagam b intravenous, inj Trauma",,,157.46,157.46,6
APC,1139,Protein c concentrate ,,,14.92,45.97,32
APC,1139,Protein c concentrate Trauma,,,36.17,36.17,6
APC,1142,Supprelin LA implant ,,,37117.05,114350.51,32
APC,1142,Supprelin LA implant Trauma,,,89980.73,89980.73,6
APC,1150,"I131 iodide sol, rx ",,,20.56,63.35,32
APC,1150,"I131 iodide sol, rx Trauma",,,49.85,49.85,6
APC,1168,"Inj, temsirolimus ",,,32.35,99.68,32
APC,1168,"Inj, temsirolimus Trauma",,,78.43,78.43,6
APC,1178,Busulfan injection ,,,1.02,3.15,32
APC,1178,Busulfan injection Trauma,,,2.48,2.48,6
APC,1203,Verteporfin injection ,,,11.26,34.69,32
APC,1203,Verteporfin injection Trauma,,,27.3,27.3,6
APC,1207,"Octreotide injection, depo ",,,206.01,634.69,32
APC,1207,"Octreotide injection, depo Trauma",,,499.43,499.43,6
APC,1213,Antihemophilic viii/vwf co ,,,1.26,3.87,32
APC,1213,Antihemophilic viii/vwf co Trauma,,,3.05,3.05,6
APC,1214,Inj IVIG privigen 500 mg ,,,50.71,156.21,32
APC,1214,Inj IVIG privigen 500 mg Trauma,,,122.92,122.92,6
APC,1232,Mitomycin injection ,,,33.77,104.03,32
APC,1232,Mitomycin injection Trauma,,,81.86,81.86,6
APC,1235,Valrubicin injection ,,,1234.58,3803.49,32
APC,1235,Valrubicin injection Trauma,,,2992.91,2992.91,6
APC,1237,Inj iron dextran ,,,18.8,57.93,32
APC,1237,Inj iron dextran Trauma,,,45.58,45.58,6
APC,1238,Topotecan oral ,,,124.08,382.27,32
APC,1238,Topotecan oral Trauma,,,300.8,300.8,6
APC,1253,Triamcinolone a inj prs-fr ,,,18.99,58.52,32
APC,1253,Triamcinolone a inj prs-fr Trauma,,,46.05,46.05,6
APC,1263,Antithrombin iii injection ,,,4.13,12.73,32
APC,1263,Antithrombin iii injection Trauma,,,10.02,10.02,6
APC,1268,Xyntha inj ,,,1.36,4.18,32
APC,1268,Xyntha inj Trauma,,,3.29,3.29,6
APC,1274,Edetate calcium disodium i ,,,6127.59,18877.94,32
APC,1274,Edetate calcium disodium i Trauma,,,14854.77,14854.77,6
APC,1281,Bevacizumab injection ,,,1.85,5.71,32
APC,1281,Bevacizumab injection Trauma,,,4.49,4.49,6
APC,1289,AbobotulinumtoxinA ,,,8.86,27.29,32
APC,1289,AbobotulinumtoxinA Trauma,,,21.47,21.47,6
APC,1295,Sm 153 lexidronam ,,,3128.2,9637.39,32
APC,1295,Sm 153 lexidronam Trauma,,,7583.52,7583.52,6
APC,1296,Degarelix injection ,,,4.44,13.67,32
APC,1296,Degarelix injection Trauma,,,10.75,10.75,6
APC,1297,"Ferumoxytol, non-esrd ",,,0.37,1.13,32
APC,1297,"Ferumoxytol, non-esrd Trauma",,,0.89,0.89,6
APC,1311,Canakinumab injection ,,,154.98,477.45,32
APC,1311,Canakinumab injection Trauma,,,375.7,375.7,6
APC,1312,Hizentra injection ,,,14.73,45.39,32
APC,1312,Hizentra injection Trauma,,,35.72,35.72,6
APC,1327,Imiglucerase injection ,,,42.89,132.14,32
APC,1327,Imiglucerase injection Trauma,,,103.98,103.98,6
APC,1340,"Collagenase, clost hist in ",,,77.52,238.81,32
APC,1340,"Collagenase, clost hist in Trauma",,,187.92,187.92,6
APC,1352,Wilate injection ,,,1.31,4.04,32
APC,1352,Wilate injection Trauma,,,3.18,3.18,6
APC,1353,Belimumab injection ,,,57.71,177.8,32
APC,1353,Belimumab injection Trauma,,,139.91,139.91,6
APC,1413,Lumizyme injection ,,,209.02,643.94,32
APC,1413,Lumizyme injection Trauma,,,506.71,506.71,6
APC,1415,Glassia injection ,,,5.53,17.03,32
APC,1415,Glassia injection Trauma,,,13.4,13.4,6
APC,1416,Factor xiii anti-hem facto ,,,11.12,34.27,32
APC,1416,Factor xiii anti-hem facto Trauma,,,26.96,26.96,6
APC,1417,Gel-one ,,,528.26,1627.46,32
APC,1417,Gel-one Trauma,,,1280.62,1280.62,6
APC,1420,Aflibercept injection ,,,736.17,2268.0,32
APC,1420,Aflibercept injection Trauma,,,1784.65,1784.65,6
APC,1421,Imported lipodox inj ,,,295.75,911.16,32
APC,1421,Imported lipodox inj Trauma,,,716.98,716.98,6
APC,1426,Eribulin mesylate injectio ,,,59.38,182.94,32
APC,1426,Eribulin mesylate injectio Trauma,,,143.95,143.95,6
APC,1441,Dom nonHEU Tc99m add-on/do ,,,9.9,30.5,32
APC,1441,Dom nonHEU Tc99m add-on/do Trauma,,,24.0,24.0,6
APC,1446,Visualization adjunct ,,,10.76,33.16,32
APC,1446,Visualization adjunct Trauma,,,26.09,26.09,6
APC,1458,Phentolaine mesylate inj ,,,285.74,880.31,32
APC,1458,Phentolaine mesylate inj Trauma,,,692.7,692.7,6
APC,1464,Factor viii (porcine) ,,,5.41,16.65,32
APC,1464,Factor viii (porcine) Trauma,,,13.1,13.1,6
APC,1467,Factor ix recombinan rixub ,,,1.7,5.24,32
APC,1467,Factor ix recombinan rixub Trauma,,,4.12,4.12,6
APC,1468,"Inj, abilify maintena, 1 m ",,,7.39,22.76,32
APC,1468,"Inj, abilify maintena, 1 m Trauma",,,17.91,17.91,6
APC,1469,Inj filgrastim excl biosim ,,,1.0,3.07,32
APC,1469,Inj filgrastim excl biosim Trauma,,,2.41,2.41,6
APC,1471,"Injection, Pertuzumab, 1 m ",,,17.03,52.46,32
APC,1471,"Injection, Pertuzumab, 1 m Trauma",,,41.28,41.28,6
APC,1474,Certolizumab pegol inj 1mg ,,,3.41,10.5,32
APC,1474,Certolizumab pegol inj 1mg Trauma,,,8.27,8.27,6
APC,1475,Golimumab for iv use 1mg ,,,10.92,33.66,32
APC,1475,Golimumab for iv use 1mg Trauma,,,26.48,26.48,6
APC,1476,Obinutuzumab inj ,,,83.62,257.61,32
APC,1476,Obinutuzumab inj Trauma,,,202.71,202.71,6
APC,1478,Inj human fibrinogen con n ,,,1.47,4.54,32
APC,1478,Inj human fibrinogen con n Trauma,,,3.57,3.57,6
APC,1480,"Elosulfase alfa, injection ",,,316.32,974.53,32
APC,1480,"Elosulfase alfa, injection Trauma",,,766.84,766.84,6
APC,1482,"Darbepoetin alfa, esrd use ",,,2.89,8.91,32
APC,1482,"Darbepoetin alfa, esrd use Trauma",,,7.01,7.01,6
APC,1485,"Ferumoxytol, esrd use ",,,0.37,1.13,32
APC,1485,"Ferumoxytol, esrd use Trauma",,,0.89,0.89,6
APC,1486,Factor ix fc fusion recomb ,,,3.67,11.32,32
APC,1486,Factor ix fc fusion recomb Trauma,,,8.91,8.91,6
APC,1488,"Injection, ramucirumab ",,,75.8,233.52,32
APC,1488,"Injection, ramucirumab Trauma",,,183.76,183.76,6
APC,1489,Inj vedolizumab iv 1 mg ,,,21.41,65.95,32
APC,1489,Inj vedolizumab iv 1 mg Trauma,,,51.89,51.89,6
APC,1490,Inj pembrolizumab ,,,60.04,184.97,32
APC,1490,Inj pembrolizumab Trauma,,,145.55,145.55,6
APC,1491,New Technology  - Level 1A ,,,5.06,15.59,32
APC,1491,New Technology  - Level 1A Trauma,,,12.27,12.27,6
APC,1492,New Technology  - Level 1B ,,,15.68,48.32,32
APC,1492,New Technology  - Level 1B Trauma,,,38.02,38.02,6
APC,1493,New Technology  - Level 1C ,,,25.8,79.5,32
APC,1493,New Technology  - Level 1C Trauma,,,62.56,62.56,6
APC,1494,New Technology  - Level 1D ,,,35.92,110.67,32
APC,1494,New Technology  - Level 1D Trauma,,,87.09,87.09,6
APC,1495,New Technology  - Level 1E ,,,46.04,141.85,32
APC,1495,New Technology  - Level 1E Trauma,,,111.62,111.62,6
APC,1496,New Technology  - Level 1A ,,,5.06,15.59,32
APC,1496,New Technology  - Level 1A Trauma,,,12.27,12.27,6
APC,1497,New Technology  - Level 1B ,,,15.68,48.32,32
APC,1497,New Technology  - Level 1B Trauma,,,38.02,38.02,6
APC,1498,New Technology  - Level 1C ,,,25.8,79.5,32
APC,1498,New Technology  - Level 1C Trauma,,,62.56,62.56,6
APC,1499,New Technology  - Level 1D ,,,35.92,110.67,32
APC,1499,New Technology  - Level 1D Trauma,,,87.09,87.09,6
APC,1500,New Technology  - Level 1E ,,,46.04,141.85,32
APC,1500,New Technology  - Level 1E Trauma,,,111.62,111.62,6
APC,1502,New Technology - Level 2 ( ,,,76.4,235.37,32
APC,1502,New Technology - Level 2 ( Trauma,,,185.21,185.21,6
APC,1503,New Technology - Level 3 ( ,,,152.29,469.19,32
APC,1503,New Technology - Level 3 ( Trauma,,,369.2,369.2,6
APC,1504,New Technology - Level 4 ( ,,,253.49,780.94,32
APC,1504,New Technology - Level 4 ( Trauma,,,614.51,614.51,6
APC,1505,New Technology - Level 5 ( ,,,354.68,1092.69,32
APC,1505,New Technology - Level 5 ( Trauma,,,859.82,859.82,6
APC,1506,New Technology - Level 6 ( ,,,455.87,1404.45,32
APC,1506,New Technology - Level 6 ( Trauma,,,1105.14,1105.14,6
APC,1507,New Technology - Level 7 ( ,,,557.06,1716.2,32
APC,1507,New Technology - Level 7 ( Trauma,,,1350.45,1350.45,6
APC,1508,New Technology - Level 8 ( ,,,658.25,2027.95,32
APC,1508,New Technology - Level 8 ( Trauma,,,1595.77,1595.77,6
APC,1509,New Technology - Level 9 ( ,,,759.44,2339.7,32
APC,1509,New Technology - Level 9 ( Trauma,,,1841.08,1841.08,6
APC,1510,New Technology - Level 10 ,,,860.64,2651.46,32
APC,1510,New Technology - Level 10 Trauma,,,2086.39,2086.39,6
APC,1511,New Technology - Level 11 ,,,961.83,2963.21,32
APC,1511,New Technology - Level 11 Trauma,,,2331.71,2331.71,6
APC,1512,New Technology - Level 12 ,,,1063.02,3274.96,32
APC,1512,New Technology - Level 12 Trauma,,,2577.02,2577.02,6
APC,1513,New Technology - Level 13 ,,,1164.21,3586.71,32
APC,1513,New Technology - Level 13 Trauma,,,2822.33,2822.33,6
APC,1514,New Technology - Level 14 ,,,1265.4,3898.47,32
APC,1514,New Technology - Level 14 Trauma,,,3067.65,3067.65,6
APC,1515,New Technology - Level 15 ,,,1366.6,4210.22,32
APC,1515,New Technology - Level 15 Trauma,,,3312.96,3312.96,6
APC,1516,New Technology - Level 16 ,,,1467.79,4521.97,32
APC,1516,New Technology - Level 16 Trauma,,,3558.27,3558.27,6
APC,1517,New Technology - Level 17 ,,,1568.98,4833.73,32
APC,1517,New Technology - Level 17 Trauma,,,3803.59,3803.59,6
APC,1518,New Technology - Level 18 ,,,1670.17,5145.48,32
APC,1518,New Technology - Level 18 Trauma,,,4048.9,4048.9,6
APC,1519,New Technology - Level 19 ,,,1771.36,5457.23,32
APC,1519,New Technology - Level 19 Trauma,,,4294.21,4294.21,6
APC,1520,New Technology - Level 20 ,,,1872.56,5768.98,32
APC,1520,New Technology - Level 20 Trauma,,,4539.53,4539.53,6
APC,1521,New Technology - Level 21 ,,,1973.75,6080.74,32
APC,1521,New Technology - Level 21 Trauma,,,4784.84,4784.84,6
APC,1522,New Technology - Level 22 ,,,2277.32,7015.99,32
APC,1522,New Technology - Level 22 Trauma,,,5520.78,5520.78,6
APC,1523,New Technology - Level 23 ,,,2783.28,8574.76,32
APC,1523,New Technology - Level 23 Trauma,,,6747.35,6747.35,6
APC,1524,New Technology - Level 24 ,,,3289.24,10133.52,32
APC,1524,New Technology - Level 24 Trauma,,,7973.92,7973.92,6
APC,1525,New Technology - Level 25 ,,,3795.2,11692.28,32
APC,1525,New Technology - Level 25 Trauma,,,9200.49,9200.49,6
APC,1526,New Technology - Level 26 ,,,4301.16,13251.05,32
APC,1526,New Technology - Level 26 Trauma,,,10427.05,10427.05,6
APC,1527,New Technology - Level 27 ,,,4807.12,14809.81,32
APC,1527,New Technology - Level 27 Trauma,,,11653.62,11653.62,6
APC,1528,New Technology - Level 28 ,,,5313.08,16368.58,32
APC,1528,New Technology - Level 28 Trauma,,,12880.19,12880.19,6
APC,1529,New Technology - Level 29 ,,,5819.04,17927.34,32
APC,1529,New Technology - Level 29 Trauma,,,14106.76,14106.76,6
APC,1530,New Technology - Level 30 ,,,6325.0,19486.1,32
APC,1530,New Technology - Level 30 Trauma,,,15333.33,15333.33,6
APC,1531,New Technology - Level 31 ,,,6830.96,21044.87,32
APC,1531,New Technology - Level 31 Trauma,,,16559.89,16559.89,6
APC,1532,New Technology - Level 32 ,,,7336.92,22603.63,32
APC,1532,New Technology - Level 32 Trauma,,,17786.46,17786.46,6
APC,1533,New Technology - Level 33 ,,,7842.88,24162.39,32
APC,1533,New Technology - Level 33 Trauma,,,19013.03,19013.03,6
APC,1534,New Technology - Level 34 ,,,8348.83,25721.16,32
APC,1534,New Technology - Level 34 Trauma,,,20239.6,20239.6,6
APC,1535,New Technology - Level 35 ,,,8854.79,27279.92,32
APC,1535,New Technology - Level 35 Trauma,,,21466.17,21466.17,6
APC,1536,New Technology - Level 36 ,,,9360.75,28838.68,32
APC,1536,New Technology - Level 36 Trauma,,,22692.73,22692.73,6
APC,1537,New Technology - Level 37 ,,,9866.71,30397.45,32
APC,1537,New Technology - Level 37 Trauma,,,23919.3,23919.3,6
APC,1539,New Technology - Level 2 ( ,,,76.4,235.37,32
APC,1539,New Technology - Level 2 ( Trauma,,,185.21,185.21,6
APC,1540,New Technology - Level 3 ( ,,,152.29,469.19,32
APC,1540,New Technology - Level 3 ( Trauma,,,369.2,369.2,6
APC,1541,New Technology - Level 4 ( ,,,253.49,780.94,32
APC,1541,New Technology - Level 4 ( Trauma,,,614.51,614.51,6
APC,1542,New Technology - Level 5 ( ,,,354.68,1092.69,32
APC,1542,New Technology - Level 5 ( Trauma,,,859.82,859.82,6
APC,1543,New Technology - Level 6 ( ,,,455.87,1404.45,32
APC,1543,New Technology - Level 6 ( Trauma,,,1105.14,1105.14,6
APC,1544,New Technology - Level 7 ( ,,,557.06,1716.2,32
APC,1544,New Technology - Level 7 ( Trauma,,,1350.45,1350.45,6
APC,1545,New Technology - Level 8 ( ,,,658.25,2027.95,32
APC,1545,New Technology - Level 8 ( Trauma,,,1595.77,1595.77,6
APC,1546,New Technology - Level 9 ( ,,,759.44,2339.7,32
APC,1546,New Technology - Level 9 ( Trauma,,,1841.08,1841.08,6
APC,1547,New Technology - Level 10 ,,,860.64,2651.46,32
APC,1547,New Technology - Level 10 Trauma,,,2086.39,2086.39,6
APC,1548,New Technology - Level 11 ,,,961.83,2963.21,32
APC,1548,New Technology - Level 11 Trauma,,,2331.71,2331.71,6
APC,1549,New Technology - Level 12 ,,,1063.02,3274.96,32
APC,1549,New Technology - Level 12 Trauma,,,2577.02,2577.02,6
APC,1550,New Technology - Level 13 ,,,1164.21,3586.71,32
APC,1550,New Technology - Level 13 Trauma,,,2822.33,2822.33,6
APC,1551,New Technology - Level 14 ,,,1265.4,3898.47,32
APC,1551,New Technology - Level 14 Trauma,,,3067.65,3067.65,6
APC,1552,New Technology - Level 15 ,,,1366.6,4210.22,32
APC,1552,New Technology - Level 15 Trauma,,,3312.96,3312.96,6
APC,1553,New Technology - Level 16 ,,,1467.79,4521.97,32
APC,1553,New Technology - Level 16 Trauma,,,3558.27,3558.27,6
APC,1554,New Technology - Level 17 ,,,1568.98,4833.73,32
APC,1554,New Technology - Level 17 Trauma,,,3803.59,3803.59,6
APC,1555,New Technology - Level 18 ,,,1670.17,5145.48,32
APC,1555,New Technology - Level 18 Trauma,,,4048.9,4048.9,6
APC,1556,New Technology - Level 19 ,,,1771.36,5457.23,32
APC,1556,New Technology - Level 19 Trauma,,,4294.21,4294.21,6
APC,1557,New Technology - Level 20 ,,,1872.56,5768.98,32
APC,1557,New Technology - Level 20 Trauma,,,4539.53,4539.53,6
APC,1558,New Technology - Level 21 ,,,1973.75,6080.74,32
APC,1558,New Technology - Level 21 Trauma,,,4784.84,4784.84,6
APC,1559,New Technology - Level 22 ,,,2277.32,7015.99,32
APC,1559,New Technology - Level 22 Trauma,,,5520.78,5520.78,6
APC,1560,New Technology - Level 23 ,,,2783.28,8574.76,32
APC,1560,New Technology - Level 23 Trauma,,,6747.35,6747.35,6
APC,1561,New Technology - Level 24 ,,,3289.24,10133.52,32
APC,1561,New Technology - Level 24 Trauma,,,7973.92,7973.92,6
APC,1562,New Technology - Level 25 ,,,3795.2,11692.28,32
APC,1562,New Technology - Level 25 Trauma,,,9200.49,9200.49,6
APC,1563,New Technology - Level 26 ,,,4301.16,13251.05,32
APC,1563,New Technology - Level 26 Trauma,,,10427.05,10427.05,6
APC,1564,New Technology - Level 27 ,,,4807.12,14809.81,32
APC,1564,New Technology - Level 27 Trauma,,,11653.62,11653.62,6
APC,1565,New Technology - Level 28 ,,,5313.08,16368.58,32
APC,1565,New Technology - Level 28 Trauma,,,12880.19,12880.19,6
APC,1566,New Technology - Level 29 ,,,5819.04,17927.34,32
APC,1566,New Technology - Level 29 Trauma,,,14106.76,14106.76,6
APC,1567,New Technology - Level 30 ,,,6325.0,19486.1,32
APC,1567,New Technology - Level 30 Trauma,,,15333.33,15333.33,6
APC,1568,New Technology - Level 31 ,,,6830.96,21044.87,32
APC,1568,New Technology - Level 31 Trauma,,,16559.89,16559.89,6
APC,1569,New Technology - Level 32 ,,,7336.92,22603.63,32
APC,1569,New Technology - Level 32 Trauma,,,17786.46,17786.46,6
APC,1570,New Technology - Level 33 ,,,7842.88,24162.39,32
APC,1570,New Technology - Level 33 Trauma,,,19013.03,19013.03,6
APC,1571,New Technology - Level 34 ,,,8348.83,25721.16,32
APC,1571,New Technology - Level 34 Trauma,,,20239.6,20239.6,6
APC,1572,New Technology - Level 35 ,,,8854.79,27279.92,32
APC,1572,New Technology - Level 35 Trauma,,,21466.17,21466.17,6
APC,1573,New Technology - Level 36 ,,,9360.75,28838.68,32
APC,1573,New Technology - Level 36 Trauma,,,22692.73,22692.73,6
APC,1574,New Technology - Level 37 ,,,9866.71,30397.45,32
APC,1574,New Technology - Level 37 Trauma,,,23919.3,23919.3,6
APC,1575,New Technology - Level 38 ,,,12649.49,38970.64,32
APC,1575,New Technology - Level 38 Trauma,,,30665.42,30665.42,6
APC,1576,New Technology - Level 39 ,,,17709.08,54558.28,32
APC,1576,New Technology - Level 39 Trauma,,,42931.1,42931.1,6
APC,1577,New Technology - Level 40 ,,,22768.67,70145.91,32
APC,1577,New Technology - Level 40 Trauma,,,55196.78,55196.78,6
APC,1578,New Technology - Level 41 ,,,27828.27,85733.55,32
APC,1578,New Technology - Level 41 Trauma,,,67462.46,67462.46,6
APC,1579,New Technology - Level 42 ,,,35417.66,109115.0,32
APC,1579,New Technology - Level 42 Trauma,,,85860.98,85860.98,6
APC,1580,New Technology - Level 43 ,,,45536.84,140290.27,32
APC,1580,New Technology - Level 43 Trauma,,,110392.34,110392.34,6
APC,1581,New Technology - Level 44 ,,,55656.03,171465.54,32
APC,1581,New Technology - Level 44 Trauma,,,134923.7,134923.7,6
APC,1582,New Technology - Level 45 ,,,65775.21,202640.81,32
APC,1582,New Technology - Level 45 Trauma,,,159455.06,159455.06,6
APC,1583,New Technology - Level 46 ,,,75894.4,233816.08,32
APC,1583,New Technology - Level 46 Trauma,,,183986.42,183986.42,6
APC,1584,New Technology - Level 47 ,,,86013.59,264991.35,32
APC,1584,New Technology - Level 47 Trauma,,,208517.78,208517.78,6
APC,1585,New Technology - Level 48 ,,,96132.77,296166.62,32
APC,1585,New Technology - Level 48 Trauma,,,233049.14,233049.14,6
APC,1589,New Technology - Level 38 ,,,12649.49,38970.64,32
APC,1589,New Technology - Level 38 Trauma,,,30665.42,30665.42,6
APC,1590,New Technology - Level 39 ,,,17709.08,54558.28,32
APC,1590,New Technology - Level 39 Trauma,,,42931.1,42931.1,6
APC,1591,New Technology - Level 40 ,,,22768.67,70145.91,32
APC,1591,New Technology - Level 40 Trauma,,,55196.78,55196.78,6
APC,1592,New Technology - Level 41 ,,,27828.27,85733.55,32
APC,1592,New Technology - Level 41 Trauma,,,67462.46,67462.46,6
APC,1593,New Technology - Level 42 ,,,35417.66,109115.0,32
APC,1593,New Technology - Level 42 Trauma,,,85860.98,85860.98,6
APC,1594,New Technology - Level 43 ,,,45536.84,140290.27,32
APC,1594,New Technology - Level 43 Trauma,,,110392.34,110392.34,6
APC,1595,New Technology - Level 44 ,,,55656.03,171465.54,32
APC,1595,New Technology - Level 44 Trauma,,,134923.7,134923.7,6
APC,1596,New Technology - Level 45 ,,,65775.21,202640.81,32
APC,1596,New Technology - Level 45 Trauma,,,159455.06,159455.06,6
APC,1597,New Technology - Level 46 ,,,75894.4,233816.08,32
APC,1597,New Technology - Level 46 Trauma,,,183986.42,183986.42,6
APC,1598,New Technology - Level 47 ,,,86013.59,264991.35,32
APC,1598,New Technology - Level 47 Trauma,,,208517.78,208517.78,6
APC,1599,New Technology - Level 48 ,,,96132.77,296166.62,32
APC,1599,New Technology - Level 48 Trauma,,,233049.14,233049.14,6
APC,1609,"Rho(D) immune globulin h, ",,,35.43,109.16,32
APC,1609,"Rho(D) immune globulin h, Trauma",,,85.9,85.9,6
APC,1613,Trastuzumab injection ,,,69.54,214.24,32
APC,1613,Trastuzumab injection Trauma,,,168.58,168.58,6
APC,1630,"Hep b ig, im ",,,135.58,417.7,32
APC,1630,"Hep b ig, im Trauma",,,328.68,328.68,6
APC,1643,"Y90 ibritumomab, rx ",,,56256.3,173314.88,32
APC,1643,"Y90 ibritumomab, rx Trauma",,,136378.92,136378.92,6
APC,1656,Factor viii fc fusion reco ,,,2.55,7.86,32
APC,1656,Factor viii fc fusion reco Trauma,,,6.19,6.19,6
APC,1658,"Injection, belinostat, 10m ",,,53.9,166.06,32
APC,1658,"Injection, belinostat, 10m Trauma",,,130.67,130.67,6
APC,1660,"Injection, oritavancin ",,,29.43,90.67,32
APC,1660,"Injection, oritavancin Trauma",,,71.34,71.34,6
APC,1662,Inj tedizolid phosphate ,,,2.06,6.35,32
APC,1662,Inj tedizolid phosphate Trauma,,,4.99,4.99,6
APC,1664,Florbetapir f18 ,,,1807.38,5568.2,32
APC,1664,Florbetapir f18 Trauma,,,4381.54,4381.54,6
APC,1670,Tetanus immune globulin in ,,,589.07,1814.8,32
APC,1670,Tetanus immune globulin in Trauma,,,1428.04,1428.04,6
APC,1675,P32 na phosphate ,,,275.46,848.63,32
APC,1675,P32 na phosphate Trauma,,,667.78,667.78,6
APC,1683,Basiliximab ,,,4856.0,14960.4,32
APC,1683,Basiliximab Trauma,,,11772.12,11772.12,6
APC,1685,"Darbepoetin alfa, non-esrd ",,,2.89,8.91,32
APC,1685,"Darbepoetin alfa, non-esrd Trauma",,,7.01,7.01,6
APC,1686,"Epoetin alfa, non-esrd ",,,6.81,20.97,32
APC,1686,"Epoetin alfa, non-esrd Trauma",,,16.5,16.5,6
APC,1687,Digoxin immune fab (ovine) ,,,5329.49,16419.13,32
APC,1687,Digoxin immune fab (ovine) Trauma,,,12919.97,12919.97,6
APC,1688,Ethanolamine oleate ,,,541.8,1669.18,32
APC,1688,Ethanolamine oleate Trauma,,,1313.45,1313.45,6
APC,1689,Fomepizole ,,,6.12,18.86,32
APC,1689,Fomepizole Trauma,,,14.84,14.84,6
APC,1690,Hemin ,,,35.46,109.25,32
APC,1690,Hemin Trauma,,,85.97,85.97,6
APC,1694,Ziconotide injection ,,,10.69,32.92,32
APC,1694,Ziconotide injection Trauma,,,25.9,25.9,6
APC,1696,Palifermin injection ,,,38.3,118.0,32
APC,1696,Palifermin injection Trauma,,,92.86,92.86,6
APC,1700,Inj secretin synthetic hum ,,,42.57,131.15,32
APC,1700,Inj secretin synthetic hum Trauma,,,103.2,103.2,6
APC,1701,Treprostinil injection ,,,54.19,166.96,32
APC,1701,Treprostinil injection Trauma,,,131.38,131.38,6
APC,1704,"Humate-P, inj ",,,1.52,4.68,32
APC,1704,"Humate-P, inj Trauma",,,3.68,3.68,6
APC,1705,Factor viia recomb novosev ,,,2.74,8.45,32
APC,1705,Factor viia recomb novosev Trauma,,,6.65,6.65,6
APC,1710,Clofarabine injection ,,,16.08,49.55,32
APC,1710,Clofarabine injection Trauma,,,38.99,38.99,6
APC,1712,Paclitaxel protein bound ,,,6.52,20.09,32
APC,1712,Paclitaxel protein bound Trauma,,,15.81,15.81,6
APC,1744,Zidovudine ,,,1.5,4.61,32
APC,1744,Zidovudine Trauma,,,3.63,3.63,6
APC,1745,Radium ra223 dichloride th ,,,179.73,553.73,32
APC,1745,Radium ra223 dichloride th Trauma,,,435.72,435.72,6
APC,1746,Factor xiii recomb a-subun ,,,18.92,58.3,32
APC,1746,Factor xiii recomb a-subun Trauma,,,45.87,45.87,6
APC,1747,Monovisc inj per dose ,,,559.62,1724.09,32
APC,1747,Monovisc inj per dose Trauma,,,1356.66,1356.66,6
APC,1748,Inj tbo filgrastim 1 micro ,,,0.23,0.72,32
APC,1748,Inj tbo filgrastim 1 micro Trauma,,,0.57,0.57,6
APC,1809,"Injection, alemtuzumab ",,,2519.49,7762.06,32
APC,1809,"Injection, alemtuzumab Trauma",,,6107.85,6107.85,6
APC,1822,"Injection, zarxio ",,,0.35,1.08,32
APC,1822,"Injection, zarxio Trauma",,,0.85,0.85,6
APC,1823,"Injection, dalbavancin ",,,11.18,34.44,32
APC,1823,"Injection, dalbavancin Trauma",,,27.1,27.1,6
APC,1824,Ceftaroline fosamil inj ,,,4.35,13.39,32
APC,1824,Ceftaroline fosamil inj Trauma,,,10.54,10.54,6
APC,1825,Ceftazidime and avibactam ,,,108.67,334.79,32
APC,1825,Ceftazidime and avibactam Trauma,,,263.44,263.44,6
APC,1826,Hyqvia 100mg immuneglobuli ,,,18.16,55.96,32
APC,1826,Hyqvia 100mg immuneglobuli Trauma,,,44.03,44.03,6
APC,1827,Factor viii recomb obizur ,,,3.2,9.87,32
APC,1827,Factor viii recomb obizur Trauma,,,7.77,7.77,6
APC,1829,Penicillin g benzathine in ,,,32.27,99.41,32
APC,1829,Penicillin g benzathine in Trauma,,,78.22,78.22,6
APC,1832,Dimethyl sulfoxide 50% 50 ,,,741.39,2284.08,32
APC,1832,Dimethyl sulfoxide 50% 50 Trauma,,,1797.31,1797.31,6
APC,1844,Factor viii pegylated reco ,,,2.1,6.46,32
APC,1844,Factor viii pegylated reco Trauma,,,5.09,5.09,6
APC,1846,Factor viii nuwiq recomb 1 ,,,1.21,3.72,32
APC,1846,Factor viii nuwiq recomb 1 Trauma,,,2.93,2.93,6
APC,1847,"Injection, inflectra ",,,27.43,84.52,32
APC,1847,"Injection, inflectra Trauma",,,66.5,66.5,6
APC,1848,Artiss fibrin sealant ,,,144.22,444.31,32
APC,1848,Artiss fibrin sealant Trauma,,,349.62,349.62,6
APC,1850,Gamma globulin 1 cc inj ,,,48.39,149.07,32
APC,1850,Gamma globulin 1 cc inj Trauma,,,117.3,117.3,6
APC,1851,Gamma globulin > 10 cc inj ,,,160.89,495.68,32
APC,1851,Gamma globulin > 10 cc inj Trauma,,,390.05,390.05,6
APC,1853,Minocycline hydrochloride ,,,2.71,8.34,32
APC,1853,Minocycline hydrochloride Trauma,,,6.56,6.56,6
APC,1854,Pentobarbital sodium inj ,,,19.11,58.86,32
APC,1854,Pentobarbital sodium inj Trauma,,,46.32,46.32,6
APC,1856,Factor viii recomb novoeig ,,,1.43,4.4,32
APC,1856,Factor viii recomb novoeig Trauma,,,3.46,3.46,6
APC,1857,"Inj, factor x, (human), 1i ",,,9.85,30.36,32
APC,1857,"Inj, factor x, (human), 1i Trauma",,,23.89,23.89,6
APC,1859,Argatroban nonesrd use 1mg ,,,0.86,2.64,32
APC,1859,Argatroban nonesrd use 1mg Trauma,,,2.07,2.07,6
APC,1861,"Inj., bendeka 1 mg ",,,12.41,38.22,32
APC,1861,"Inj., bendeka 1 mg Trauma",,,30.08,30.08,6
APC,1862,Gelsyn-3 injection 0.1 mg ,,,0.58,1.78,32
APC,1862,Gelsyn-3 injection 0.1 mg Trauma,,,1.4,1.4,6
APC,1901,New Technology - Level 49 ,,,108781.79,335135.83,32
APC,1901,New Technology - Level 49 Trauma,,,263713.44,263713.44,6
APC,1902,New Technology - Level 49 ,,,108781.79,335135.83,32
APC,1902,New Technology - Level 49 Trauma,,,263713.44,263713.44,6
APC,1903,New Technology - Level 50 ,,,123960.57,381898.73,32
APC,1903,New Technology - Level 50 Trauma,,,300510.48,300510.48,6
APC,1904,New Technology - Level 50 ,,,123960.57,381898.73,32
APC,1904,New Technology - Level 50 Trauma,,,300510.48,300510.48,6
APC,1905,New Technology - Level 51 ,,,139139.35,428661.64,32
APC,1905,New Technology - Level 51 Trauma,,,337307.52,337307.52,6
APC,1906,New Technology - Level 51 ,,,139139.35,428661.64,32
APC,1906,New Technology - Level 51 Trauma,,,337307.52,337307.52,6
APC,1907,New Technology - Level 52 ,,,154318.13,475424.54,32
APC,1907,New Technology - Level 52 Trauma,,,374104.56,374104.56,6
APC,1908,New Technology - Level 52 ,,,154318.13,475424.54,32
APC,1908,New Technology - Level 52 Trauma,,,374104.56,374104.56,6
APC,2041,"Cath, bladed, vasc prep ",,,,,0
APC,2041,"Cath, bladed, vasc prep Trauma",,,,,0
APC,2042,"Endo, single, pulmonary ",,,,,0
APC,2042,"Endo, single, pulmonary Trauma",,,,,0
APC,2043,Orth/matrx/bn fill drug-el ,,,,,0
APC,2043,Orth/matrx/bn fill drug-el Trauma,,,,,0
APC,2044,"Ret dev, laser, ivc filter ",,,,,0
APC,2044,"Ret dev, laser, ivc filter Trauma",,,,,0
APC,2045,"Grft, trnsmurl/trnsvens by ",,,,,0
APC,2045,"Grft, trnsmurl/trnsvens by Trauma",,,,,0
APC,2046,"Pmkr, dual, leadless ",,,,,0
APC,2046,"Pmkr, dual, leadless Trauma",,,,,0
APC,2047,"Adapter, us to endoscope ",,,,,0
APC,2047,"Adapter, us to endoscope Trauma",,,,,0
APC,2049,"Suprt dev, a-v fistula, im ",,,,,0
APC,2049,"Suprt dev, a-v fistula, im Trauma",,,,,0
APC,2050,Cath coronary drug-deliver ,,,,,0
APC,2050,Cath coronary drug-deliver Trauma,,,,,0
APC,2051,Cath renal denerv radiofre ,,,,,0
APC,2051,Cath renal denerv radiofre Trauma,,,,,0
APC,2052,Cath renal denerv ultrasnd ,,,,,0
APC,2052,Cath renal denerv ultrasnd Trauma,,,,,0
APC,2053,Si&pelvis fusn&fixn dev ,,,,,0
APC,2053,Si&pelvis fusn&fixn dev Trauma,,,,,0
APC,2054,Power endo us-guid bx dev ,,,,,0
APC,2054,Power endo us-guid bx dev Trauma,,,,,0
APC,2055,"Tissue marker, detectable ",,,,,0
APC,2055,"Tissue marker, detectable Trauma",,,,,0
APC,2062,"Inj zanidatamab-hrii, 2 mg ",,,25.41,78.27,32
APC,2062,"Inj zanidatamab-hrii, 2 mg Trauma",,,61.59,61.59,6
APC,2064,"Inj marstacim-hncq, 0.5 mg ",,,50.68,156.13,32
APC,2064,"Inj marstacim-hncq, 0.5 mg Trauma",,,122.86,122.86,6
APC,2065,"Flurpiridaz f18, diag, 1 m ",,,524.7,1616.5,32
APC,2065,"Flurpiridaz f18, diag, 1 m Trauma",,,1272.0,1272.0,6
APC,2066,Inj bortezomib boruzu 0.1 ,,,24.5,75.48,32
APC,2066,Inj bortezomib boruzu 0.1 Trauma,,,59.39,59.39,6
APC,2067,Afamitresgene autoleucel ,,,805827.73,2482600.57,32
APC,2067,Afamitresgene autoleucel Trauma,,,1953521.76,1953521.76,6
APC,2068,"Inj, aflibercept-ayyh, 1 m ",,,795.22,2449.93,32
APC,2068,"Inj, aflibercept-ayyh, 1 m Trauma",,,1927.81,1927.81,6
APC,2069,"Inj, testosterone, azmiro ",,,1.28,3.95,32
APC,2069,"Inj, testosterone, azmiro Trauma",,,3.11,3.11,6
APC,2070,"Inj, eculizumab, 2 mg ",,,43.76,134.8,32
APC,2070,"Inj, eculizumab, 2 mg Trauma",,,106.08,106.08,6
APC,2071,Inj ocrelizumab 1mg hya-oc ,,,47.58,146.58,32
APC,2071,Inj ocrelizumab 1mg hya-oc Trauma,,,115.34,115.34,6
APC,2072,"Inj, erzofri, 1 mg ",,,15.71,48.41,32
APC,2072,"Inj, erzofri, 1 mg Trauma",,,38.1,38.1,6
APC,2073,Inj atezolizumb 5mg hya-tq ,,,32.23,99.29,32
APC,2073,Inj atezolizumb 5mg hya-tq Trauma,,,78.13,78.13,6
APC,2074,"Lt vent pacing syst, seque ",,,,,0
APC,2074,"Lt vent pacing syst, seque Trauma",,,,,0
APC,2075,Inj acetaminoph 10mg/ibu 3 ,,,0.09,0.28,32
APC,2075,Inj acetaminoph 10mg/ibu 3 Trauma,,,0.22,0.22,6
APC,2076,"Inj, pemetrexed dipotassiu ",,,72.93,224.69,32
APC,2076,"Inj, pemetrexed dipotassiu Trauma",,,176.81,176.81,6
APC,2077,Anchor/screw bone absorb ,,,,,0
APC,2077,Anchor/screw bone absorb Trauma,,,,,0
APC,2078,"Pressure sens syst, cont i ",,,,,0
APC,2078,"Pressure sens syst, cont i Trauma",,,,,0
APC,2086,Neurostim integ rechg ,,,,,0
APC,2086,Neurostim integ rechg Trauma,,,,,0
APC,2087,"Prosthesis, dual mob cmc1 ",,,,,0
APC,2087,"Prosthesis, dual mob cmc1 Trauma",,,,,0
APC,2088,Scafld endovas resrb drg e ,,,,,0
APC,2088,Scafld endovas resrb drg e Trauma,,,,,0
APC,2089,Vert dev motion-preserv ,,,,,0
APC,2089,Vert dev motion-preserv Trauma,,,,,0
APC,2616,"Brachytx, non-str,Yttrium- ",,,17593.3,54201.58,32
APC,2616,"Brachytx, non-str,Yttrium- Trauma",,,42650.42,42650.42,6
APC,2632,Iodine I-125 sodium iodide ,,,392.36,1208.78,32
APC,2632,Iodine I-125 sodium iodide Trauma,,,951.17,951.17,6
APC,2634,"Brachytx, non-str, HA, I-1 ",,,172.32,530.88,32
APC,2634,"Brachytx, non-str, HA, I-1 Trauma",,,417.74,417.74,6
APC,2635,"Brachytx, non-str, HA, P-1 ",,,105.68,325.59,32
APC,2635,"Brachytx, non-str, HA, P-1 Trauma",,,256.2,256.2,6
APC,2636,"Brachy linear, non-str,P-1 ",,,88.51,272.67,32
APC,2636,"Brachy linear, non-str,P-1 Trauma",,,214.56,214.56,6
APC,2638,"Brachytx, stranded, I-125 ",,,34.91,107.54,32
APC,2638,"Brachytx, stranded, I-125 Trauma",,,84.62,84.62,6
APC,2639,"Brachytx, non-stranded,I-1 ",,,36.27,111.75,32
APC,2639,"Brachytx, non-stranded,I-1 Trauma",,,87.94,87.94,6
APC,2640,"Brachytx, stranded, P-103 ",,,87.38,269.19,32
APC,2640,"Brachytx, stranded, P-103 Trauma",,,211.82,211.82,6
APC,2641,"Brachytx, non-stranded,P-1 ",,,63.84,196.66,32
APC,2641,"Brachytx, non-stranded,P-1 Trauma",,,154.75,154.75,6
APC,2642,"Brachytx, stranded, C-131 ",,,117.92,363.29,32
APC,2642,"Brachytx, stranded, C-131 Trauma",,,285.86,285.86,6
APC,2643,"Brachytx, non-stranded,C-1 ",,,98.8,304.39,32
APC,2643,"Brachytx, non-stranded,C-1 Trauma",,,239.52,239.52,6
APC,2645,"Brachytx, non-str, Gold-19 ",,,508.43,1566.39,32
APC,2645,"Brachytx, non-str, Gold-19 Trauma",,,1232.57,1232.57,6
APC,2646,"Brachytx, non-str, HDR Ir- ",,,353.92,1090.34,32
APC,2646,"Brachytx, non-str, HDR Ir- Trauma",,,857.98,857.98,6
APC,2647,"Brachytx, NS, Non-HDRIr-19 ",,,899.61,2771.53,32
APC,2647,"Brachytx, NS, Non-HDRIr-19 Trauma",,,2180.88,2180.88,6
APC,2648,"Brachytx planar, p-103 ",,,4.64,14.3,32
APC,2648,"Brachytx planar, p-103 Trauma",,,11.26,11.26,6
APC,2698,"Brachytx, stranded, NOS ",,,34.91,107.54,32
APC,2698,"Brachytx, stranded, NOS Trauma",,,84.62,84.62,6
APC,2699,"Brachytx, non-stranded, NO ",,,36.27,111.75,32
APC,2699,"Brachytx, non-stranded, NO Trauma",,,87.94,87.94,6
APC,2731,"Immune globulin, powder ",,,80.15,246.93,32
APC,2731,"Immune globulin, powder Trauma",,,194.31,194.31,6
APC,4017,Radiation tx delivery lvl ,,,80.44,247.81,32
APC,4017,Radiation tx delivery lvl Trauma,,,195.0,195.0,6
APC,4018,Radiation tx delivery lvl ,,,321.43,990.25,32
APC,4018,Radiation tx delivery lvl Trauma,,,779.21,779.21,6
APC,4019,Radiation tx delivery lvl ,,,396.13,1220.39,32
APC,4019,Radiation tx delivery lvl Trauma,,,960.3,960.3,6
APC,5012,Clinic Visits and Related ,,,137.64,424.05,32
APC,5012,Clinic Visits and Related Trauma,,,333.68,333.68,6
APC,5021,Level 1 Type A ED Visits ,,,88.06,184.92,21
APC,5021,Level 1 Type A ED Visits Trauma,,,211.34,211.34,6
APC,5022,Level 2 Type A ED Visits ,,,160.34,336.72,21
APC,5022,Level 2 Type A ED Visits Trauma,,,384.82,384.82,6
APC,5023,Level 3 Type A ED Visits ,,,285.06,598.64,21
APC,5023,Level 3 Type A ED Visits Trauma,,,684.16,684.16,6
APC,5024,Level 4 Type A ED Visits ,,,435.74,915.05,21
APC,5024,Level 4 Type A ED Visits Trauma,,,1045.77,1045.77,6
APC,5025,Level 5 Type A ED Visits ,,,621.9,1305.99,17
APC,5025,Level 5 Type A ED Visits Trauma,,,1492.56,1492.56,6
APC,5031,Level 1 Type B ED Visits ,,,77.62,163.0,21
APC,5031,Level 1 Type B ED Visits Trauma,,,186.29,186.29,6
APC,5032,Level 2 Type B ED Visits ,,,97.0,203.7,21
APC,5032,Level 2 Type B ED Visits Trauma,,,232.8,232.8,6
APC,5033,Level 3 Type B ED Visits ,,,179.5,376.95,21
APC,5033,Level 3 Type B ED Visits Trauma,,,430.8,430.8,6
APC,5034,Level 4 Type B ED Visits ,,,276.01,579.62,21
APC,5034,Level 4 Type B ED Visits Trauma,,,662.42,662.42,6
APC,5035,Level 5 Type B ED Visits ,,,428.91,900.71,13
APC,5035,Level 5 Type B ED Visits Trauma,,,1029.38,1029.38,6
APC,5041,Critical Care ,,,853.98,2630.94,32
APC,5041,Critical Care Trauma,,,2070.25,2070.25,6
APC,5045,Trauma Response with Criti ,,,1378.01,4245.39,32
APC,5045,Trauma Response with Criti Trauma,,,3340.63,3340.63,6
APC,5051,Level 1 Skin Procedures ,,,207.42,639.03,32
APC,5051,Level 1 Skin Procedures Trauma,,,502.84,502.84,6
APC,5052,Level 2 Skin Procedures ,,,420.27,1294.77,32
APC,5052,Level 2 Skin Procedures Trauma,,,1018.84,1018.84,6
APC,5053,Level 3 Skin Procedures ,,,764.08,2353.98,32
APC,5053,Level 3 Skin Procedures Trauma,,,1852.31,1852.31,6
APC,5054,Level 4 Skin Procedures ,,,2133.09,6571.65,32
APC,5054,Level 4 Skin Procedures Trauma,,,5171.14,5171.14,6
APC,5055,Level 5 Skin Procedures ,,,3663.63,11286.94,32
APC,5055,Level 5 Skin Procedures Trauma,,,8881.53,8881.53,6
APC,5061,Hyperbaric Oxygen ,,,142.27,438.29,32
APC,5061,Hyperbaric Oxygen Trauma,,,344.89,344.89,6
APC,5071,Level 1 Excision/ Biopsy/ ,,,732.09,2255.44,32
APC,5071,Level 1 Excision/ Biopsy/ Trauma,,,1774.77,1774.77,6
APC,5072,Level 2 Excision/ Biopsy/ ,,,1707.48,5260.42,32
APC,5072,Level 2 Excision/ Biopsy/ Trauma,,,4139.35,4139.35,6
APC,5073,Level 3 Excision/ Biopsy/ ,,,3003.0,9251.67,32
APC,5073,Level 3 Excision/ Biopsy/ Trauma,,,7280.0,7280.0,6
APC,5091,Level 1 Breast/Lymphatic S ,,,4047.92,12470.86,32
APC,5091,Level 1 Breast/Lymphatic S Trauma,,,9813.13,9813.13,6
APC,5092,Level 2 Breast/Lymphatic S ,,,6864.85,21149.27,32
APC,5092,Level 2 Breast/Lymphatic S Trauma,,,16642.05,16642.05,6
APC,5093,Level 3 Breast/Lymphatic S ,,,8449.95,26032.66,32
APC,5093,Level 3 Breast/Lymphatic S Trauma,,,20484.72,20484.72,6
APC,5094,Level 4 Breast/Lymphatic S ,,,14247.25,43893.04,32
APC,5094,Level 4 Breast/Lymphatic S Trauma,,,34538.78,34538.78,6
APC,5101,Level 1 Strapping and Cast ,,,168.0,517.57,32
APC,5101,Level 1 Strapping and Cast Trauma,,,407.27,407.27,6
APC,5102,Level 2 Strapping and Cast ,,,289.16,890.83,32
APC,5102,Level 2 Strapping and Cast Trauma,,,700.98,700.98,6
APC,5111,Level 1 Musculoskeletal Pr ,,,255.01,785.65,32
APC,5111,Level 1 Musculoskeletal Pr Trauma,,,618.21,618.21,6
APC,5112,Level 2 Musculoskeletal Pr ,,,1662.4,5121.54,32
APC,5112,Level 2 Musculoskeletal Pr Trauma,,,4030.06,4030.06,6
APC,5113,Level 3 Musculoskeletal Pr ,,,3382.71,10421.49,32
APC,5113,Level 3 Musculoskeletal Pr Trauma,,,8200.51,8200.51,6
APC,5114,Level 4 Musculoskeletal Pr ,,,7501.74,23111.41,32
APC,5114,Level 4 Musculoskeletal Pr Trauma,,,18186.03,18186.03,6
APC,5115,Level 5 Musculoskeletal Pr ,,,13273.1,40891.87,32
APC,5115,Level 5 Musculoskeletal Pr Trauma,,,32177.21,32177.21,6
APC,5116,Level 6 Musculoskeletal Pr ,,,18127.1,55846.11,32
APC,5116,Level 6 Musculoskeletal Pr Trauma,,,43944.48,43944.48,6
APC,5117,Level 7 Musculoskeletal Pr ,,,28052.14,86423.24,32
APC,5117,Level 7 Musculoskeletal Pr Trauma,,,68005.18,68005.18,6
APC,5151,Level 1 Airway Endoscopy ,,,206.36,635.76,32
APC,5151,Level 1 Airway Endoscopy Trauma,,,500.27,500.27,6
APC,5152,Level 2 Airway Endoscopy ,,,404.35,1245.73,32
APC,5152,Level 2 Airway Endoscopy Trauma,,,980.25,980.25,6
APC,5153,Level 3 Airway Endoscopy ,,,1840.12,5669.07,32
APC,5153,Level 3 Airway Endoscopy Trauma,,,4460.9,4460.9,6
APC,5154,Level 4 Airway Endoscopy ,,,3854.5,11874.97,32
APC,5154,Level 4 Airway Endoscopy Trauma,,,9344.24,9344.24,6
APC,5155,Level 5 Airway Endoscopy ,,,7296.26,22478.37,32
APC,5155,Level 5 Airway Endoscopy Trauma,,,17687.9,17687.9,6
APC,5161,Level 1 ENT Procedures ,,,244.86,754.38,32
APC,5161,Level 1 ENT Procedures Trauma,,,593.61,593.61,6
APC,5162,Level 2 ENT Procedures ,,,557.58,1717.79,32
APC,5162,Level 2 ENT Procedures Trauma,,,1351.7,1351.7,6
APC,5163,Level 3 ENT Procedures ,,,1604.08,4941.87,32
APC,5163,Level 3 ENT Procedures Trauma,,,3888.69,3888.69,6
APC,5164,Level 4 ENT Procedures ,,,3427.64,10559.91,32
APC,5164,Level 4 ENT Procedures Trauma,,,8309.43,8309.43,6
APC,5165,Level 5 ENT Procedures ,,,6120.13,18854.96,32
APC,5165,Level 5 ENT Procedures Trauma,,,14836.69,14836.69,6
APC,5166,Cochlear Implant Procedure ,,,34087.77,105017.87,32
APC,5166,Cochlear Implant Procedure Trauma,,,82637.02,82637.02,6
APC,5181,Level 1 Vascular Procedure ,,,648.53,1997.99,32
APC,5181,Level 1 Vascular Procedure Trauma,,,1572.19,1572.19,6
APC,5182,Level 2 Vascular Procedure ,,,1627.42,5013.76,32
APC,5182,Level 2 Vascular Procedure Trauma,,,3945.26,3945.26,6
APC,5183,Level 3 Vascular Procedure ,,,3264.32,10056.74,32
APC,5183,Level 3 Vascular Procedure Trauma,,,7913.5,7913.5,6
APC,5184,Level 4 Vascular Procedure ,,,5752.77,17723.17,32
APC,5184,Level 4 Vascular Procedure Trauma,,,13946.1,13946.1,6
APC,5191,Level 1 Endovascular Proce ,,,3351.63,10325.72,32
APC,5191,Level 1 Endovascular Proce Trauma,,,8125.15,8125.15,6
APC,5192,Level 2 Endovascular Proce ,,,5884.15,18127.92,32
APC,5192,Level 2 Endovascular Proce Trauma,,,14264.59,14264.59,6
APC,5193,Level 3 Endovascular Proce ,,,11934.8,36768.82,32
APC,5193,Level 3 Endovascular Proce Trauma,,,28932.84,28932.84,6
APC,5194,Level 4 Endovascular Proce ,,,18951.91,58387.19,32
APC,5194,Level 4 Endovascular Proce Trauma,,,45944.02,45944.02,6
APC,5200,Implantation Wireless PA P ,,,29653.89,91357.93,32
APC,5200,Implantation Wireless PA P Trauma,,,71888.21,71888.21,6
APC,5211,Level 1 Electrophysiologic ,,,1258.74,3877.92,32
APC,5211,Level 1 Electrophysiologic Trauma,,,3051.48,3051.48,6
APC,5212,Level 2 Electrophysiologic ,,,8063.57,24842.33,32
APC,5212,Level 2 Electrophysiologic Trauma,,,19548.06,19548.06,6
APC,5213,Level 3 Electrophysiologic ,,,27022.27,83250.42,32
APC,5213,Level 3 Electrophysiologic Trauma,,,65508.53,65508.53,6
APC,5221,Level 1 Pacemaker and Simi ,,,3863.4,11902.41,32
APC,5221,Level 1 Pacemaker and Simi Trauma,,,9365.83,9365.83,6
APC,5222,Level 2 Pacemaker and Simi ,,,8555.4,26357.54,32
APC,5222,Level 2 Pacemaker and Simi Trauma,,,20740.36,20740.36,6
APC,5223,Level 3 Pacemaker and Simi ,,,10805.65,33290.14,32
APC,5223,Level 3 Pacemaker and Simi Trauma,,,26195.52,26195.52,6
APC,5224,Level 4 Pacemaker and Simi ,,,19913.43,61349.47,32
APC,5224,Level 4 Pacemaker and Simi Trauma,,,48274.99,48274.99,6
APC,5231,Level 1 ICD and Similar Pr ,,,22996.22,70846.93,32
APC,5231,Level 1 ICD and Similar Pr Trauma,,,55748.4,55748.4,6
APC,5232,Level 2 ICD and Similar Pr ,,,32450.94,99975.13,32
APC,5232,Level 2 ICD and Similar Pr Trauma,,,78668.95,78668.95,6
APC,5241,Level 1 Blood Product Exch ,,,456.1,1405.16,32
APC,5241,Level 1 Blood Product Exch Trauma,,,1105.7,1105.7,6
APC,5242,Level 2 Blood Product Exch ,,,1610.12,4960.48,32
APC,5242,Level 2 Blood Product Exch Trauma,,,3903.33,3903.33,6
APC,5243,Level 3 Blood Product Exch ,,,4502.88,13872.49,32
APC,5243,Level 3 Blood Product Exch Trauma,,,10916.06,10916.06,6
APC,5244,Level 4 Blood Product Exch ,,,65029.45,200343.25,32
APC,5244,Level 4 Blood Product Exch Trauma,,,157647.14,157647.14,6
APC,5301,Level 1 Upper GI Procedure ,,,937.67,2888.79,32
APC,5301,Level 1 Upper GI Procedure Trauma,,,2273.15,2273.15,6
APC,5302,Level 2 Upper GI Procedure ,,,1983.84,6111.82,32
APC,5302,Level 2 Upper GI Procedure Trauma,,,4809.3,4809.3,6
APC,5303,Level 3 Upper GI Procedure ,,,3985.93,12279.88,32
APC,5303,Level 3 Upper GI Procedure Trauma,,,9662.85,9662.85,6
APC,5311,Level 1 Lower GI Procedure ,,,961.42,2961.96,32
APC,5311,Level 1 Lower GI Procedure Trauma,,,2330.72,2330.72,6
APC,5312,Level 2 Lower GI Procedure ,,,1237.13,3811.36,32
APC,5312,Level 2 Lower GI Procedure Trauma,,,2999.1,2999.1,6
APC,5313,Level 3 Lower GI Procedure ,,,2869.58,8840.62,32
APC,5313,Level 3 Lower GI Procedure Trauma,,,6956.55,6956.55,6
APC,5331,Complex GI Procedures ,,,6276.31,19336.12,32
APC,5331,Complex GI Procedures Trauma,,,15215.31,15215.31,6
APC,5341,Level 1 Abdominal/Peritone ,,,3701.55,11403.76,32
APC,5341,Level 1 Abdominal/Peritone Trauma,,,8973.45,8973.45,6
APC,5342,Level 2 Abdominal/Peritone ,,,6692.87,20619.45,32
APC,5342,Level 2 Abdominal/Peritone Trauma,,,16225.14,16225.14,6
APC,5361,Level 1 Laparoscopy and Re ,,,6250.08,19255.31,32
APC,5361,Level 1 Laparoscopy and Re Trauma,,,15151.72,15151.72,6
APC,5362,Level 2 Laparoscopy and Re ,,,10989.5,33856.56,32
APC,5362,Level 2 Laparoscopy and Re Trauma,,,26641.22,26641.22,6
APC,5371,Level 1 Urology and Relate ,,,258.3,795.78,32
APC,5371,Level 1 Urology and Relate Trauma,,,626.19,626.19,6
APC,5372,Level 2 Urology and Relate ,,,720.89,2220.93,32
APC,5372,Level 2 Urology and Relate Trauma,,,1747.61,1747.61,6
APC,5373,Level 3 Urology and Relate ,,,2161.11,6657.98,32
APC,5373,Level 3 Urology and Relate Trauma,,,5239.07,5239.07,6
APC,5374,Level 4 Urology and Relate ,,,3644.25,11227.24,32
APC,5374,Level 4 Urology and Relate Trauma,,,8834.55,8834.55,6
APC,5375,Level 5 Urology and Relate ,,,5543.22,17077.59,32
APC,5375,Level 5 Urology and Relate Trauma,,,13438.11,13438.11,6
APC,5376,Level 6 Urology and Relate ,,,9786.77,30151.16,32
APC,5376,Level 6 Urology and Relate Trauma,,,23725.5,23725.5,6
APC,5377,Level 7 Urology and Relate ,,,13639.87,42021.83,32
APC,5377,Level 7 Urology and Relate Trauma,,,33066.36,33066.36,6
APC,5378,Level 8 Urology and Relate ,,,21427.42,66013.77,32
APC,5378,Level 8 Urology and Relate Trauma,,,51945.26,51945.26,6
APC,5401,Dialysis ,,,709.54,2185.95,32
APC,5401,Dialysis Trauma,,,1720.09,1720.09,6
APC,5411,Level 1 Gynecologic Proced ,,,209.01,643.93,32
APC,5411,Level 1 Gynecologic Proced Trauma,,,506.7,506.7,6
APC,5412,Level 2 Gynecologic Proced ,,,315.04,970.58,32
APC,5412,Level 2 Gynecologic Proced Trauma,,,763.73,763.73,6
APC,5413,Level 3 Gynecologic Proced ,,,952.22,2933.59,32
APC,5413,Level 3 Gynecologic Proced Trauma,,,2308.4,2308.4,6
APC,5414,Level 4 Gynecologic Proced ,,,3346.66,10310.41,32
APC,5414,Level 4 Gynecologic Proced Trauma,,,8113.11,8113.11,6
APC,5415,Level 5 Gynecologic Proced ,,,5171.71,15933.06,32
APC,5415,Level 5 Gynecologic Proced Trauma,,,12537.49,12537.49,6
APC,5416,Level 6 Gynecologic Proced ,,,7666.35,23618.54,32
APC,5416,Level 6 Gynecologic Proced Trauma,,,18585.08,18585.08,6
APC,5431,Level 1 Nerve Procedures ,,,2018.8,6219.53,32
APC,5431,Level 1 Nerve Procedures Trauma,,,4894.06,4894.06,6
APC,5432,Level 2 Nerve Procedures ,,,3531.74,10880.61,32
APC,5432,Level 2 Nerve Procedures Trauma,,,8561.79,8561.79,6
APC,5433,Level 3 Nerve Procedures ,,,9072.79,27951.53,32
APC,5433,Level 3 Nerve Procedures Trauma,,,21994.65,21994.65,6
APC,5441,Level 1 Nerve Injections ,,,317.34,977.66,32
APC,5441,Level 1 Nerve Injections Trauma,,,769.3,769.3,6
APC,5442,Level 2 Nerve Injections ,,,729.77,2248.27,32
APC,5442,Level 2 Nerve Injections Trauma,,,1769.13,1769.13,6
APC,5443,Level 3 Nerve Injections ,,,914.4,2817.09,32
APC,5443,Level 3 Nerve Injections Trauma,,,2216.73,2216.73,6
APC,5461,Level 1 Neurostimulator an ,,,3614.4,11135.28,32
APC,5461,Level 1 Neurostimulator an Trauma,,,8762.18,8762.18,6
APC,5462,Level 2 Neurostimulator an ,,,6588.63,20298.31,32
APC,5462,Level 2 Neurostimulator an Trauma,,,15972.44,15972.44,6
APC,5463,Level 3 Neurostimulator an ,,,11519.72,35490.04,32
APC,5463,Level 3 Neurostimulator an Trauma,,,27926.59,27926.59,6
APC,5464,Level 4 Neurostimulator an ,,,20056.54,61790.35,32
APC,5464,Level 4 Neurostimulator an Trauma,,,48621.91,48621.91,6
APC,5465,Level 5 Neurostimulator an ,,,31901.81,98283.35,32
APC,5465,Level 5 Neurostimulator an Trauma,,,77337.72,77337.72,6
APC,5471,Implantation of Drug Infus ,,,18633.71,57406.89,32
APC,5471,Implantation of Drug Infus Trauma,,,45172.63,45172.63,6
APC,5481,Laser Eye Procedures ,,,568.61,1751.77,32
APC,5481,Laser Eye Procedures Trauma,,,1378.44,1378.44,6
APC,5491,Level 1 Intraocular Proced ,,,2385.91,7350.54,32
APC,5491,Level 1 Intraocular Proced Trauma,,,5784.03,5784.03,6
APC,5492,Level 2 Intraocular Proced ,,,4273.28,13165.16,32
APC,5492,Level 2 Intraocular Proced Trauma,,,10359.47,10359.47,6
APC,5493,Level 3 Intraocular Proced ,,,5501.36,16948.62,32
APC,5493,Level 3 Intraocular Proced Trauma,,,13336.62,13336.62,6
APC,5494,Level 4 Intraocular Proced ,,,14996.94,46202.68,32
APC,5494,Level 4 Intraocular Proced Trauma,,,36356.21,36356.21,6
APC,5495,Level 5 Intraocular Proced ,,,14425.07,44440.88,32
APC,5495,Level 5 Intraocular Proced Trauma,,,34969.87,34969.87,6
APC,5496,Level 6 Intraocular Proced ,,,17017.8,52428.58,32
APC,5496,Level 6 Intraocular Proced Trauma,,,41255.28,41255.28,6
APC,5501,"Level 1 Extraocular, Repai ",,,328.15,1010.95,32
APC,5501,"Level 1 Extraocular, Repai Trauma",,,795.5,795.5,6
APC,5502,"Level 2 Extraocular, Repai ",,,1030.61,3175.11,32
APC,5502,"Level 2 Extraocular, Repai Trauma",,,2498.45,2498.45,6
APC,5503,"Level 3 Extraocular, Repai ",,,2457.93,7572.41,32
APC,5503,"Level 3 Extraocular, Repai Trauma",,,5958.62,5958.62,6
APC,5504,"Level 4 Extraocular, Repai ",,,4064.42,12521.7,32
APC,5504,"Level 4 Extraocular, Repai Trauma",,,9853.14,9853.14,6
APC,5521,Level 1 Imaging without Co ,,,89.97,277.18,32
APC,5521,Level 1 Imaging without Co Trauma,,,218.11,218.11,6
APC,5522,Level 2 Imaging without Co ,,,108.08,332.98,32
APC,5522,Level 2 Imaging without Co Trauma,,,262.02,262.02,6
APC,5523,Level 3 Imaging without Co ,,,246.68,759.96,32
APC,5523,Level 3 Imaging without Co Trauma,,,598.0,598.0,6
APC,5524,Level 4 Imaging without Co ,,,564.9,1740.36,32
APC,5524,Level 4 Imaging without Co Trauma,,,1369.46,1369.46,6
APC,5571,Level 1 Imaging with Contr ,,,181.34,558.66,32
APC,5571,Level 1 Imaging with Contr Trauma,,,439.6,439.6,6
APC,5572,Level 2 Imaging with Contr ,,,360.68,1111.18,32
APC,5572,Level 2 Imaging with Contr Trauma,,,874.37,874.37,6
APC,5573,Level 3 Imaging with Contr ,,,810.45,2496.83,32
APC,5573,Level 3 Imaging with Contr Trauma,,,1964.72,1964.72,6
APC,5591,Level 1 Nuclear Medicine a ,,,413.3,1273.29,32
APC,5591,Level 1 Nuclear Medicine a Trauma,,,1001.93,1001.93,6
APC,5592,Level 2 Nuclear Medicine a ,,,561.34,1729.39,32
APC,5592,Level 2 Nuclear Medicine a Trauma,,,1360.83,1360.83,6
APC,5593,Level 3 Nuclear Medicine a ,,,1338.45,4123.52,32
APC,5593,Level 3 Nuclear Medicine a Trauma,,,3244.74,3244.74,6
APC,5594,Level 4 Nuclear Medicine a ,,,1478.33,4554.46,32
APC,5594,Level 4 Nuclear Medicine a Trauma,,,3583.84,3583.84,6
APC,5611,Level 1 Therapeutic Radiat ,,,138.96,428.1,32
APC,5611,Level 1 Therapeutic Radiat Trauma,,,336.86,336.86,6
APC,5612,Level 2 Therapeutic Radiat ,,,387.1,1192.58,32
APC,5612,Level 2 Therapeutic Radiat Trauma,,,938.42,938.42,6
APC,5613,Level 3 Therapeutic Radiat ,,,1430.96,4408.52,32
APC,5613,Level 3 Therapeutic Radiat Trauma,,,3469.0,3469.0,6
APC,5621,Level 1 Radiation Therapy ,,,105.48,324.97,32
APC,5621,Level 1 Radiation Therapy Trauma,,,255.71,255.71,6
APC,5622,Level 2 Radiation Therapy ,,,398.75,1228.46,32
APC,5622,Level 2 Radiation Therapy Trauma,,,966.66,966.66,6
APC,5623,Level 3 Radiation Therapy ,,,571.24,1759.88,32
APC,5623,Level 3 Radiation Therapy Trauma,,,1384.82,1384.82,6
APC,5624,Level 4 Radiation Therapy ,,,720.04,2218.31,32
APC,5624,Level 4 Radiation Therapy Trauma,,,1745.55,1745.55,6
APC,5625,Level 5 Radiation Therapy ,,,1292.03,3980.49,32
APC,5625,Level 5 Radiation Therapy Trauma,,,3132.19,3132.19,6
APC,5626,Level 6 Radiation Therapy ,,,1848.55,5695.04,32
APC,5626,Level 6 Radiation Therapy Trauma,,,4481.34,4481.34,6
APC,5627,Level 7 Radiation Therapy ,,,7614.5,23458.83,32
APC,5627,Level 7 Radiation Therapy Trauma,,,18459.41,18459.41,6
APC,5661,Therapeutic Nuclear Medici ,,,241.23,743.19,32
APC,5661,Therapeutic Nuclear Medici Trauma,,,584.8,584.8,6
APC,5671,Level 1 Pathology ,,,53.87,165.98,32
APC,5671,Level 1 Pathology Trauma,,,130.6,130.6,6
APC,5672,Level 2 Pathology ,,,176.13,542.64,32
APC,5672,Level 2 Pathology Trauma,,,426.99,426.99,6
APC,5673,Level 3 Pathology ,,,370.57,1141.67,32
APC,5673,Level 3 Pathology Trauma,,,898.36,898.36,6
APC,5674,Level 4 Pathology ,,,832.94,2566.13,32
APC,5674,Level 4 Pathology Trauma,,,2019.25,2019.25,6
APC,5691,Level 1 Drug Administratio ,,,48.41,149.14,32
APC,5691,Level 1 Drug Administratio Trauma,,,117.36,117.36,6
APC,5692,Level 2 Drug Administratio ,,,74.44,229.33,32
APC,5692,Level 2 Drug Administratio Trauma,,,180.45,180.45,6
APC,5693,Level 3 Drug Administratio ,,,219.9,677.47,32
APC,5693,Level 3 Drug Administratio Trauma,,,533.09,533.09,6
APC,5694,Level 4 Drug Administratio ,,,341.48,1052.04,32
APC,5694,Level 4 Drug Administratio Trauma,,,827.84,827.84,6
APC,5721,Level 1 Diagnostic Tests a ,,,133.03,409.83,32
APC,5721,Level 1 Diagnostic Tests a Trauma,,,322.49,322.49,6
APC,5722,Level 2 Diagnostic Tests a ,,,223.23,687.73,32
APC,5722,Level 2 Diagnostic Tests a Trauma,,,541.16,541.16,6
APC,5723,Level 3 Diagnostic Tests a ,,,385.78,1188.53,32
APC,5723,Level 3 Diagnostic Tests a Trauma,,,935.23,935.23,6
APC,5724,Level 4 Diagnostic Tests a ,,,887.8,2735.13,32
APC,5724,Level 4 Diagnostic Tests a Trauma,,,2152.23,2152.23,6
APC,5731,Level 1 Minor Procedures ,,,29.9,92.12,32
APC,5731,Level 1 Minor Procedures Trauma,,,72.49,72.49,6
APC,5732,Level 2 Minor Procedures ,,,38.61,118.96,32
APC,5732,Level 2 Minor Procedures Trauma,,,93.61,93.61,6
APC,5733,Level 3 Minor Procedures ,,,60.99,187.89,32
APC,5733,Level 3 Minor Procedures Trauma,,,147.85,147.85,6
APC,5734,Level 4 Minor Procedures ,,,137.55,423.77,32
APC,5734,Level 4 Minor Procedures Trauma,,,333.45,333.45,6
APC,5735,Level 5 Minor Procedures ,,,461.84,1422.84,32
APC,5735,Level 5 Minor Procedures Trauma,,,1119.61,1119.61,6
APC,5741,Level 1 Electronic Analysi ,,,38.58,118.87,32
APC,5741,Level 1 Electronic Analysi Trauma,,,93.54,93.54,6
APC,5742,Level 2 Electronic Analysi ,,,98.29,302.81,32
APC,5742,Level 2 Electronic Analysi Trauma,,,238.27,238.27,6
APC,5743,Level 3 Electronic Analysi ,,,317.53,978.25,32
APC,5743,Level 3 Electronic Analysi Trauma,,,769.77,769.77,6
APC,5771,Cardiac Rehabilitation ,,,133.27,410.58,32
APC,5771,Cardiac Rehabilitation Trauma,,,323.08,323.08,6
APC,5781,Resuscitation and Cardiove ,,,683.31,2105.14,32
APC,5781,Resuscitation and Cardiove Trauma,,,1656.5,1656.5,6
APC,5791,Pulmonary Treatment ,,,226.39,697.45,32
APC,5791,Pulmonary Treatment Trauma,,,548.82,548.82,6
APC,5801,Ventilation Initiation and ,,,638.69,1967.69,32
APC,5801,Ventilation Initiation and Trauma,,,1548.35,1548.35,6
APC,5811,Manipulation Therapy ,,,22.32,68.77,32
APC,5811,Manipulation Therapy Trauma,,,54.12,54.12,6
APC,5821,Level 1 Health and Behavio ,,,38.74,119.34,32
APC,5821,Level 1 Health and Behavio Trauma,,,93.91,93.91,6
APC,5822,Level 2 Health and Behavio ,,,105.03,323.57,32
APC,5822,Level 2 Health and Behavio Trauma,,,254.61,254.61,6
APC,5823,Level 3 Health and Behavio ,,,183.5,565.33,32
APC,5823,Level 3 Health and Behavio Trauma,,,444.85,444.85,6
APC,5851,Intensive Outpatient (3 se ,,,129.26,398.23,32
APC,5851,Intensive Outpatient (3 se Trauma,,,313.36,313.36,6
APC,5852,Intensive Outpatient (4 or ,,,169.37,521.81,32
APC,5852,Intensive Outpatient (4 or Trauma,,,410.61,410.61,6
APC,5853,Partial Hospitalization (3 ,,,129.26,398.23,32
APC,5853,Partial Hospitalization (3 Trauma,,,313.36,313.36,6
APC,5854,Partial Hospitalization (4 ,,,169.37,521.81,32
APC,5854,Partial Hospitalization (4 Trauma,,,410.61,410.61,6
APC,5861,Intensive Outpatient (3 se ,,,323.19,995.68,32
APC,5861,Intensive Outpatient (3 se Trauma,,,783.48,783.48,6
APC,5862,Intensive Outpatient (4 or ,,,423.44,1304.53,32
APC,5862,Intensive Outpatient (4 or Trauma,,,1026.51,1026.51,6
APC,5863,Partial Hospitalization (3 ,,,323.19,995.68,32
APC,5863,Partial Hospitalization (3 Trauma,,,783.48,783.48,6
APC,5864,Partial Hospitalization (4 ,,,423.44,1304.53,32
APC,5864,Partial Hospitalization (4 Trauma,,,1026.51,1026.51,6
APC,5871,Dental Procedures ,,,668.36,2059.1,32
APC,5871,Dental Procedures Trauma,,,1620.27,1620.27,6
APC,5881,Ancillary Outpatient Servi ,,,14398.47,44358.93,32
APC,5881,Ancillary Outpatient Servi Trauma,,,34905.38,34905.38,6
APC,6000,PMA Skin Substitute Produc ,,,128.66,396.36,32
APC,6000,PMA Skin Substitute Produc Trauma,,,311.89,311.89,6
APC,6001,510K Skin Substitute Produ ,,,128.66,396.36,32
APC,6001,510K Skin Substitute Produ Trauma,,,311.89,311.89,6
APC,6002,HCT/P Skin Substitute Prod ,,,128.66,396.36,32
APC,6002,HCT/P Skin Substitute Prod Trauma,,,311.89,311.89,6
APC,701,Sr89 strontium ,,,4104.87,12646.32,32
APC,701,Sr89 strontium Trauma,,,9951.2,9951.2,6
APC,702,"Inj, human-lans, per i.u ",,,1.72,5.29,32
APC,702,"Inj, human-lans, per i.u Trauma",,,4.16,4.16,6
APC,703,Inj daxibotulinumtoxina-la ,,,3.04,9.35,32
APC,703,Inj daxibotulinumtoxina-la Trauma,,,7.36,7.36,6
APC,704,"Inj, aflibercept hd, 1 mg ",,,295.7,910.98,32
APC,704,"Inj, aflibercept hd, 1 mg Trauma",,,716.84,716.84,6
APC,7043,Infliximab not biosimil 10 ,,,31.16,96.01,32
APC,7043,Infliximab not biosimil 10 Trauma,,,75.55,75.55,6
APC,7046,Doxorubicin inj 10mg ,,,115.44,355.65,32
APC,7046,Doxorubicin inj 10mg Trauma,,,279.85,279.85,6
APC,7048,Alteplase recombinant ,,,97.6,300.69,32
APC,7048,Alteplase recombinant Trauma,,,236.61,236.61,6
APC,705,Inj avacincaptad pegol 0.1 ,,,102.17,314.77,32
APC,705,Inj avacincaptad pegol 0.1 Trauma,,,247.69,247.69,6
APC,706,Inj talquetamab-tgvs 0.25 ,,,75.95,234.0,32
APC,706,Inj talquetamab-tgvs 0.25 Trauma,,,184.13,184.13,6
APC,707,"Cantharidin top, applicato ",,,688.26,2120.38,32
APC,707,"Cantharidin top, applicato Trauma",,,1668.5,1668.5,6
APC,708,"Inj, elranatamab-bcmm, 1 m ",,,190.56,587.07,32
APC,708,"Inj, elranatamab-bcmm, 1 m Trauma",,,461.96,461.96,6
APC,709,Flortaucipir inj 1 millicu ,,,367.29,1131.55,32
APC,709,Flortaucipir inj 1 millicu Trauma,,,890.4,890.4,6
APC,710,Inj velmanase alfa-tycv 1 ,,,474.4,1461.53,32
APC,710,Inj velmanase alfa-tycv 1 Trauma,,,1150.06,1150.06,6
APC,711,"Inj, artesunate, 1mg ",,,51.31,158.08,32
APC,711,"Inj, artesunate, 1mg Trauma",,,124.39,124.39,6
APC,713,Inj roctavian ml 2x10^13vc ,,,12428.17,38288.82,32
APC,713,Inj roctavian ml 2x10^13vc Trauma,,,30128.9,30128.9,6
APC,714,Inj delandistrogene mox ro ,,,3283728.03,10116535.85,32
APC,714,Inj delandistrogene mox ro Trauma,,,7960552.8,7960552.8,6
APC,715,Pegunigalsidase alfa-iwxj ,,,223.41,688.28,32
APC,715,Pegunigalsidase alfa-iwxj Trauma,,,541.6,541.6,6
APC,716,"Vyjuvek 5x10^9pfu/ml, 0.1 ",,,1022.11,3148.93,32
APC,716,"Vyjuvek 5x10^9pfu/ml, 0.1 Trauma",,,2477.85,2477.85,6
APC,717,"Instill adstiladrin, tx do ",,,63688.29,196211.41,32
APC,717,"Instill adstiladrin, tx do Trauma",,,154395.86,154395.86,6
APC,719,Inj cyclophos frindovyx 5 ,,,8.83,27.21,32
APC,719,Inj cyclophos frindovyx 5 Trauma,,,21.41,21.41,6
APC,720,"Inj glofitamab gxbm, 2.5 m ",,,2836.03,8737.27,32
APC,720,"Inj glofitamab gxbm, 2.5 m Trauma",,,6875.23,6875.23,6
APC,721,Inj rozanolixizum-noli 1 m ,,,23.35,71.94,32
APC,721,Inj rozanolixizum-noli 1 m Trauma,,,56.61,56.61,6
APC,723,Inj efgart-alfa 2mg hya-qv ,,,33.92,104.49,32
APC,723,Inj efgart-alfa 2mg hya-qv Trauma,,,82.22,82.22,6
APC,725,Inj secukinumab intrav 1mg ,,,18.05,55.61,32
APC,725,Inj secukinumab intrav 1mg Trauma,,,43.76,43.76,6
APC,726,Dexrazoxane HCl injection ,,,41.03,126.4,32
APC,726,Dexrazoxane HCl injection Trauma,,,99.46,99.46,6
APC,727,"Inj, adzynma, 10 iu ",,,35.85,110.45,32
APC,727,"Inj, adzynma, 10 iu Trauma",,,86.91,86.91,6
APC,728,"Inj, mirikizumab-mrkz, 1 m ",,,32.33,99.61,32
APC,728,"Inj, mirikizumab-mrkz, 1 m Trauma",,,78.38,78.38,6
APC,729,"Inj, motixafortide, 0.25 m ",,,26.21,80.76,32
APC,729,"Inj, motixafortide, 0.25 m Trauma",,,63.55,63.55,6
APC,730,Inj melphalan (hepzato) 1 ,,,793.46,2444.51,32
APC,730,Inj melphalan (hepzato) 1 Trauma,,,1923.55,1923.55,6
APC,7308,Aminolevulinic acid hcl to ,,,385.39,1187.3,32
APC,7308,Aminolevulinic acid hcl to Trauma,,,934.27,934.27,6
APC,731,Sargramostim injection ,,,61.85,190.55,32
APC,731,Sargramostim injection Trauma,,,149.94,149.94,6
APC,732,"Inj, brixadi, 7 days or le ",,,426.27,1313.26,32
APC,732,"Inj, brixadi, 7 days or le Trauma",,,1033.38,1033.38,6
APC,733,"Inj brixadi, more than 7 d ",,,1705.08,5253.03,32
APC,733,"Inj brixadi, more than 7 d Trauma",,,4133.53,4133.53,6
APC,734,"Inj, levothyroxine, freska ",,,6.77,20.85,32
APC,734,"Inj, levothyroxine, freska Trauma",,,16.41,16.41,6
APC,736,Amphotericin b liposome in ,,,19.65,60.53,32
APC,736,Amphotericin b liposome in Trauma,,,47.63,47.63,6
APC,737,"Inj, cipaglucosidase, 5 mg ",,,95.34,293.72,32
APC,737,"Inj, cipaglucosidase, 5 mg Trauma",,,231.12,231.12,6
APC,738,Rasburicase ,,,383.58,1181.73,32
APC,738,Rasburicase Trauma,,,929.89,929.89,6
APC,739,"Inj, rykindo, 0.5 mg ",,,12.9,39.74,32
APC,739,"Inj, rykindo, 0.5 mg Trauma",,,31.27,31.27,6
APC,740,Inj hydroxocobalamin iv 25 ,,,5.39,16.6,32
APC,740,Inj hydroxocobalamin iv 25 Trauma,,,13.07,13.07,6
APC,741,Inj cyclophos dr reddys 5 ,,,0.49,1.52,32
APC,741,Inj cyclophos dr reddys 5 Trauma,,,1.2,1.2,6
APC,743,"Inj, cyclophosphamide, nos ",,,0.57,1.75,32
APC,743,"Inj, cyclophosphamide, nos Trauma",,,1.38,1.38,6
APC,744,Inst tauro 1.35mg/hep 100u ,,,4.16,12.83,32
APC,744,Inst tauro 1.35mg/hep 100u Trauma,,,10.1,10.1,6
APC,745,"Inj, toripalimab-tpzi, 1 m ",,,40.48,124.72,32
APC,745,"Inj, toripalimab-tpzi, 1 m Trauma",,,98.14,98.14,6
APC,746,"Inj, betibeglogene autotem ",,,2900957.4,8937293.0,32
APC,746,"Inj, betibeglogene autotem Trauma",,,7032624.0,7032624.0,6
APC,747,"Inj, zolbetuximab-clzb, 2 ",,,33.58,103.47,32
APC,747,"Inj, zolbetuximab-clzb, 2 Trauma",,,81.42,81.42,6
APC,748,"Inj, lovotibeglogene autot ",,,3202950.96,9867677.2,32
APC,748,"Inj, lovotibeglogene autot Trauma",,,7764729.6,7764729.6,6
APC,749,Inj travoprost intra impl ,,,194.78,600.08,32
APC,749,Inj travoprost intra impl Trauma,,,472.19,472.19,6
APC,750,"Inj, nithiodote, 3mg / 125 ",,,2.14,6.61,32
APC,750,"Inj, nithiodote, 3mg / 125 Trauma",,,5.2,5.2,6
APC,752,Dactinomycin injection ,,,304.34,937.6,32
APC,752,Dactinomycin injection Trauma,,,737.79,737.79,6
APC,755,Oral methotrexate (jylamvo ,,,16.3,50.22,32
APC,755,Oral methotrexate (jylamvo Trauma,,,39.52,39.52,6
APC,756,Oral methotrexate (xatmep) ,,,22.69,69.89,32
APC,756,Oral methotrexate (xatmep) Trauma,,,55.0,55.0,6
APC,757,"Docetaxel (docivyx), 1 mg ",,,45.82,141.18,32
APC,757,"Docetaxel (docivyx), 1 mg Trauma",,,111.09,111.09,6
APC,759,"Naltrexone, depot form ",,,4.48,13.8,32
APC,759,"Naltrexone, depot form Trauma",,,10.86,10.86,6
APC,760,Tc-99m graphite crucible ,,,325.31,1002.23,32
APC,760,Tc-99m graphite crucible Trauma,,,788.64,788.64,6
APC,761,"Inj, focinvez, 1mg ",,,2.43,7.49,32
APC,761,"Inj, focinvez, 1mg Trauma",,,5.89,5.89,6
APC,763,"Inj, bupivacaine liposome ",,,1.44,4.43,32
APC,763,"Inj, bupivacaine liposome Trauma",,,3.49,3.49,6
APC,764,Ketorolac tromethamine inj ,,,0.28,0.87,32
APC,764,Ketorolac tromethamine inj Trauma,,,0.69,0.69,6
APC,765,"Inj, donanemab-azbt, 2 mg ",,,4.12,12.7,32
APC,765,"Inj, donanemab-azbt, 2 mg Trauma",,,10.0,10.0,6
APC,767,"Inj, nogapendekin pmln 1 m ",,,93.36,287.63,32
APC,767,"Inj, nogapendekin pmln 1 m Trauma",,,226.33,226.33,6
APC,768,"Inj, tarlatamab-dlle, 1 mg ",,,1596.3,4917.88,32
APC,768,"Inj, tarlatamab-dlle, 1 mg Trauma",,,3869.81,3869.81,6
APC,770,In111 oxyquinoline ,,,823.15,2535.95,32
APC,770,In111 oxyquinoline Trauma,,,1995.5,1995.5,6
APC,771,In111 pentetate ,,,738.16,2274.14,32
APC,771,In111 pentetate Trauma,,,1789.49,1789.49,6
APC,772,"Inj, pegulicianine, 1 mg ",,,37.13,114.4,32
APC,772,"Inj, pegulicianine, 1 mg Trauma",,,90.02,90.02,6
APC,774,Tc99m bicisate ,,,767.76,2365.34,32
APC,774,Tc99m bicisate Trauma,,,1861.25,1861.25,6
APC,776,Technetium tc-99m auto wbc ,,,924.79,2849.1,32
APC,776,Technetium tc-99m auto wbc Trauma,,,2241.91,2241.91,6
APC,777,Indium in-111 auto wbc ,,,1092.16,3364.73,32
APC,777,Indium in-111 auto wbc Trauma,,,2647.66,2647.66,6
APC,778,"Inj, vasopressin (baxter) ",,,1.74,5.35,32
APC,778,"Inj, vasopressin (baxter) Trauma",,,4.21,4.21,6
APC,779,Indium in-111 pentetreotid ,,,1980.93,6102.87,32
APC,779,Indium in-111 pentetreotid Trauma,,,4802.26,4802.26,6
APC,780,Iodine i-123 iobenguane ,,,2294.32,7068.38,32
APC,780,Iodine i-123 iobenguane Trauma,,,5562.0,5562.0,6
APC,781,Iodine i-123 ioflupane ,,,1373.86,4232.61,32
APC,781,Iodine i-123 ioflupane Trauma,,,3330.58,3330.58,6
APC,782,"Inj, pemrydi rtu, 10 mg ",,,67.26,207.2,32
APC,782,"Inj, pemrydi rtu, 10 mg Trauma",,,163.04,163.04,6
APC,784,"Inj, tyenne, 1 mg ",,,4.02,12.37,32
APC,784,"Inj, tyenne, 1 mg Trauma",,,9.73,9.73,6
APC,785,"Inj, cyclophosphamd, sando ",,,3.4,10.49,32
APC,785,"Inj, cyclophosphamd, sando Trauma",,,8.25,8.25,6
APC,786,"Inj, tofidence, 1 mg ",,,4.96,15.29,32
APC,786,"Inj, tofidence, 1 mg Trauma",,,12.03,12.03,6
APC,798,"Inj, sezaby, 1 mg ",,,1.11,3.41,32
APC,798,"Inj, sezaby, 1 mg Trauma",,,2.68,2.68,6
APC,800,Leuprolide acetate ,,,1822.85,5615.85,32
APC,800,Leuprolide acetate Trauma,,,4419.03,4419.03,6
APC,8004,Ultrasound Composite ,,,304.15,937.04,32
APC,8004,Ultrasound Composite Trauma,,,737.34,737.34,6
APC,8005,CT and CTA without Contras ,,,228.76,704.78,32
APC,8005,CT and CTA without Contras Trauma,,,554.58,554.58,6
APC,8006,CT and CTA with Contrast C ,,,444.13,1368.28,32
APC,8006,CT and CTA with Contrast C Trauma,,,1076.68,1076.68,6
APC,8007,MRI and MRA without Contra ,,,544.26,1676.76,32
APC,8007,MRI and MRA without Contra Trauma,,,1319.42,1319.42,6
APC,8008,MRI and MRA with Contrast ,,,877.41,2703.15,32
APC,8008,MRI and MRA with Contrast Trauma,,,2127.07,2127.07,6
APC,8010,Mental Health Services Com ,,,423.44,1304.53,32
APC,8010,Mental Health Services Com Trauma,,,1026.51,1026.51,6
APC,8011,Comprehensive Observation ,,,2731.31,5735.75,13
APC,8011,Comprehensive Observation Trauma,,,6555.15,6555.15,6
APC,802,Etoposide oral 50 mg ,,,87.17,268.57,32
APC,802,Etoposide oral 50 mg Trauma,,,211.33,211.33,6
APC,804,"Capecitabine, oral, 50 mg ",,,0.08,0.24,32
APC,804,"Capecitabine, oral, 50 mg Trauma",,,0.19,0.19,6
APC,805,"Hiv prep, inj, cabotegravi ",,,7.22,22.25,32
APC,805,"Hiv prep, inj, cabotegravi Trauma",,,17.51,17.51,6
APC,806,"Hiv prep, ftc/tdf 200/300m ",,,0.45,1.38,32
APC,806,"Hiv prep, ftc/tdf 200/300m Trauma",,,1.09,1.09,6
APC,807,Aldesleukin injection ,,,3305.48,10183.55,32
APC,807,Aldesleukin injection Trauma,,,8013.29,8013.29,6
APC,808,"Hiv prep, ftc/taf 200/25mg ",,,70.71,217.85,32
APC,808,"Hiv prep, ftc/taf 200/25mg Trauma",,,171.42,171.42,6
APC,811,"Inj, nyposi 1 mcg ",,,1.02,3.15,32
APC,811,"Inj, nyposi 1 mcg Trauma",,,2.48,2.48,6
APC,812,Carmustine injection ,,,237.61,732.03,32
APC,812,Carmustine injection Trauma,,,576.03,576.03,6
APC,813,"Injection, imetelstat, 1 m ",,,58.94,181.57,32
APC,813,"Injection, imetelstat, 1 m Trauma",,,142.87,142.87,6
APC,814,"Inj, magtrace per study do ",,,1241.46,3824.7,32
APC,814,"Inj, magtrace per study do Trauma",,,3009.6,3009.6,6
APC,815,"Inj, palonosetron (posfrea ",,,54.68,168.45,32
APC,815,"Inj, palonosetron (posfrea Trauma",,,132.55,132.55,6
APC,816,"Inj, tislelizumab-jsgr ",,,57.59,177.42,32
APC,816,"Inj, tislelizumab-jsgr Trauma",,,139.61,139.61,6
APC,818,"Inj, crovalimab-akkz, 10 m ",,,546.0,1682.11,32
APC,818,"Inj, crovalimab-akkz, 10 m Trauma",,,1323.63,1323.63,6
APC,819,"Inj, alyglo, 500 mg ",,,120.33,370.71,32
APC,819,"Inj, alyglo, 500 mg Trauma",,,291.71,291.71,6
APC,821,Indigotindisulfonate sod 1 ,,,9.21,28.37,32
APC,821,Indigotindisulfonate sod 1 Trauma,,,22.32,22.32,6
APC,822,"Inj, romiplostim 1 microgr ",,,11.5,35.43,32
APC,822,"Inj, romiplostim 1 microgr Trauma",,,27.88,27.88,6
APC,824,"Inj, exagamglogene autotem ",,,2277897.93,7017766.35,32
APC,824,"Inj, exagamglogene autotem Trauma",,,5522176.8,5522176.8,6
APC,825,Nelarabine injection ,,,64.75,199.49,32
APC,825,Nelarabine injection Trauma,,,156.98,156.98,6
APC,827,Floxuridine injection ,,,4352.53,13409.3,32
APC,827,Floxuridine injection Trauma,,,10551.58,10551.58,6
APC,831,Obecbtge autol up to 400 m ,,,275467.5,848662.5,32
APC,831,Obecbtge autol up to 400 m Trauma,,,667800.0,667800.0,6
APC,835,"Datopotamab deruxtecan, 1 ",,,51.97,160.12,32
APC,835,"Datopotamab deruxtecan, 1 Trauma",,,126.0,126.0,6
APC,837,"Inj, treosulfan, 50 mg ",,,32.01,98.61,32
APC,837,"Inj, treosulfan, 50 mg Trauma",,,77.59,77.59,6
APC,839,Inj axatilimab-csfr 0.1 mg ,,,55.9,172.21,32
APC,839,Inj axatilimab-csfr 0.1 mg Trauma,,,135.51,135.51,6
APC,840,Inj melpha hydroch nos 50 ,,,103.85,319.94,32
APC,840,Inj melpha hydroch nos 50 Trauma,,,251.76,251.76,6
APC,841,"Inj, docetaxel (beizray) 1 ",,,46.34,142.76,32
APC,841,"Inj, docetaxel (beizray) 1 Trauma",,,112.34,112.34,6
APC,842,"Inj, melphalan (apotex) 1 ",,,64.13,197.57,32
APC,842,"Inj, melphalan (apotex) 1 Trauma",,,155.47,155.47,6
APC,843,Pegaspargase injection ,,,29367.32,90475.08,32
APC,843,Pegaspargase injection Trauma,,,71193.5,71193.5,6
APC,844,Pentostatin injection ,,,2671.01,8228.86,32
APC,844,Pentostatin injection Trauma,,,6475.17,6475.17,6
APC,845,"Inj, atidarsagene autotemc ",,,4459950.0,13740250.0,32
APC,845,"Inj, atidarsagene autotemc Trauma",,,10812000.0,10812000.0,6
APC,846,"Inj, eculizumab-aeeb, 2 mg ",,,40.76,125.56,32
APC,846,"Inj, eculizumab-aeeb, 2 mg Trauma",,,98.8,98.8,6
APC,847,Inj thiotepa nos 1 mg ,,,4.88,15.04,32
APC,847,Inj thiotepa nos 1 mg Trauma,,,11.83,11.83,6
APC,848,Inj nivolumab 2 mg hyaluro ,,,27.86,85.83,32
APC,848,Inj nivolumab 2 mg hyaluro Trauma,,,67.54,67.54,6
APC,852,"Inj, eculizumab-aagh, 2 mg ",,,31.46,96.92,32
APC,852,"Inj, eculizumab-aagh, 2 mg Trauma",,,76.27,76.27,6
APC,853,Inj zenocutuzumab-zbco 1 m ,,,33.52,103.28,32
APC,853,Inj zenocutuzumab-zbco 1 m Trauma,,,81.27,81.27,6
APC,854,In111 capromab ,,,1712.99,5277.38,32
APC,854,In111 capromab Trauma,,,4152.7,4152.7,6
APC,855,"Inj ustekinumab-stba, 1 mg ",,,3.04,9.38,32
APC,855,"Inj ustekinumab-stba, 1 mg Trauma",,,7.38,7.38,6
APC,858,Inj cladribine per 1 mg ,,,8.11,24.97,32
APC,858,Inj cladribine per 1 mg Trauma,,,19.65,19.65,6
APC,859,"Inj ustekinumab-aekn, 1 mg ",,,10.42,32.11,32
APC,859,"Inj ustekinumab-aekn, 1 mg Trauma",,,25.27,25.27,6
APC,860,"I131 iodobenguate, dx ",,,943.48,2906.68,32
APC,860,"I131 iodobenguate, dx Trauma",,,2287.22,2287.22,6
APC,861,"I125 serum albumin, dx ",,,464.37,1430.63,32
APC,861,"I125 serum albumin, dx Trauma",,,1125.74,1125.74,6
APC,862,Cr51 chromate ,,,1898.78,5849.78,32
APC,862,Cr51 chromate Trauma,,,4603.1,4603.1,6
APC,863,"I125 iothalamate, dx ",,,643.14,1981.4,32
APC,863,"I125 iothalamate, dx Trauma",,,1559.14,1559.14,6
APC,864,Mitoxantrone hydrochl ,,,29.4,90.59,32
APC,864,Mitoxantrone hydrochl Trauma,,,71.28,71.28,6
APC,865,"Inj, hercessi, 10 mg ",,,32.14,99.0,32
APC,865,"Inj, hercessi, 10 mg Trauma",,,77.9,77.9,6
APC,866,"Inj, sod thiosulfate (hope ",,,0.83,2.56,32
APC,866,"Inj, sod thiosulfate (hope Trauma",,,2.02,2.02,6
APC,869,"Inj ustekinumab-kfce, 1 mg ",,,3.26,10.03,32
APC,869,"Inj ustekinumab-kfce, 1 mg Trauma",,,7.9,7.9,6
APC,870,Inj. calaspargase pegol-mk ,,,84.93,261.66,32
APC,870,Inj. calaspargase pegol-mk Trauma,,,205.89,205.89,6
APC,871,Inj pemetrexed (bluepoint) ,,,10.49,32.33,32
APC,871,Inj pemetrexed (bluepoint) Trauma,,,25.44,25.44,6
APC,872,"Inj. denosumab-bbdz, 1 mg ",,,27.39,84.38,32
APC,872,"Inj. denosumab-bbdz, 1 mg Trauma",,,66.4,66.4,6
APC,874,Synvisc or synvisc-one ,,,5.96,18.35,32
APC,874,Synvisc or synvisc-one Trauma,,,14.44,14.44,6
APC,875,Euflexxa inj per dose ,,,97.16,299.32,32
APC,875,Euflexxa inj per dose Trauma,,,235.53,235.53,6
APC,876,Gallium gozellix 1 millicu ,,,1159.59,3572.46,32
APC,876,Gallium gozellix 1 millicu Trauma,,,2811.12,2811.12,6
APC,877,Orthovisc inj per dose ,,,99.33,306.01,32
APC,877,Orthovisc inj per dose Trauma,,,240.79,240.79,6
APC,878,Aztreonam/avibactam 10 mg ,,,1.76,5.41,32
APC,878,Aztreonam/avibactam 10 mg Trauma,,,4.26,4.26,6
APC,879,Inj ceftobipole medocarl 3 ,,,1.09,3.35,32
APC,879,Inj ceftobipole medocarl 3 Trauma,,,2.64,2.64,6
APC,880,"Hiv prep, inj, lenacapavir ",,,15.92,49.05,32
APC,880,"Hiv prep, inj, lenacapavir Trauma",,,38.59,38.59,6
APC,881,"Hiv prep, oral lenacapavir ",,,614.7,1893.77,32
APC,881,"Hiv prep, oral lenacapavir Trauma",,,1490.18,1490.18,6
APC,882,Inj glucagon (gvoke) 0.01 ,,,1.78,5.49,32
APC,882,Inj glucagon (gvoke) 0.01 Trauma,,,4.32,4.32,6
APC,883,"Inj, ethacrynate sod, 1 mg ",,,12.3,37.89,32
APC,883,"Inj, ethacrynate sod, 1 mg Trauma",,,29.82,29.82,6
APC,884,"Inj, fosdenopterin, 0.1mg ",,,17.56,54.09,32
APC,884,"Inj, fosdenopterin, 0.1mg Trauma",,,42.57,42.57,6
APC,885,"Inj, isoniazid, 1 mg ",,,0.3,0.92,32
APC,885,"Inj, isoniazid, 1 mg Trauma",,,0.73,0.73,6
APC,886,Inj. remestemcel-l-rknd/ t ,,,201623.2,621162.39,32
APC,886,Inj. remestemcel-l-rknd/ t Trauma,,,488783.52,488783.52,6
APC,887,Azathioprine parenteral ,,,252.21,777.01,32
APC,887,Azathioprine parenteral Trauma,,,611.42,611.42,6
APC,888,"Inj. concizumab-mtci, 0.5 ",,,85.3,262.78,32
APC,888,"Inj. concizumab-mtci, 0.5 Trauma",,,206.78,206.78,6
APC,889,Injection fitusiran 0.04 m ,,,129.89,400.17,32
APC,889,Injection fitusiran 0.04 m Trauma,,,314.88,314.88,6
APC,890,Lymphocyte immune globulin ,,,5493.47,16924.33,32
APC,890,Lymphocyte immune globulin Trauma,,,13317.51,13317.51,6
APC,891,"Inj, denosumab-bmwo, 1 mg ",,,25.72,79.24,32
APC,891,"Inj, denosumab-bmwo, 1 mg Trauma",,,62.35,62.35,6
APC,892,"Inj, denosumab-bnht, 1 mg ",,,28.53,87.89,32
APC,892,"Inj, denosumab-bnht, 1 mg Trauma",,,69.16,69.16,6
APC,893,"Inj, nipocalimab-aahu, 3 m ",,,32.24,99.33,32
APC,893,"Inj, nipocalimab-aahu, 3 m Trauma",,,78.16,78.16,6
APC,894,Telisotuzumab vedotin-tllv ,,,144.6,445.48,32
APC,894,Telisotuzumab vedotin-tllv Trauma,,,350.54,350.54,6
APC,895,Inj ustekinumab-aauz 1 mg ,,,13.02,40.12,32
APC,895,Inj ustekinumab-aauz 1 mg Trauma,,,31.57,31.57,6
APC,896,"Inj, carboprost, 0.1 mg ",,,16.21,49.94,32
APC,896,"Inj, carboprost, 0.1 mg Trauma",,,39.3,39.3,6
APC,897,"Revakinagene, per implant ",,,258963.9,797818.08,32
APC,897,"Revakinagene, per implant Trauma",,,627791.28,627791.28,6
APC,898,Inj meloxicam (azurity) 1m ,,,1.05,3.23,32
APC,898,Inj meloxicam (azurity) 1m Trauma,,,2.54,2.54,6
APC,900,"Inj, liothyronine, 1 mcg ",,,39.72,122.38,32
APC,900,"Inj, liothyronine, 1 mcg Trauma",,,96.3,96.3,6
APC,9002,Tenecteplase injection ,,,215.25,663.13,32
APC,9002,Tenecteplase injection Trauma,,,521.81,521.81,6
APC,9003,Rsv mab im 50mg ,,,432.38,1332.09,32
APC,9003,Rsv mab im 50mg Trauma,,,1048.2,1048.2,6
APC,9004,"Injection, inclisiran, 1 m ",,,12.78,39.36,32
APC,9004,"Injection, inclisiran, 1 m Trauma",,,30.97,30.97,6
APC,9006,Tacrolimus injection ,,,265.49,817.94,32
APC,9006,Tacrolimus injection Trauma,,,643.62,643.62,6
APC,9007,Inj cutaquig 100 mg ,,,13.89,42.79,32
APC,9007,Inj cutaquig 100 mg Trauma,,,33.67,33.67,6
APC,9008,"Inj tezepelumab-ekko, 1mg ",,,17.74,54.66,32
APC,9008,"Inj tezepelumab-ekko, 1mg Trauma",,,43.01,43.01,6
APC,9009,"Inj, vutrisiran, 1 mg ",,,4962.47,15288.43,32
APC,9009,"Inj, vutrisiran, 1 mg Trauma",,,12030.24,12030.24,6
APC,901,Alpha 1 proteinase inhibit ,,,5.08,15.66,32
APC,901,Alpha 1 proteinase inhibit Trauma,,,12.32,12.32,6
APC,9010,Inj efgartigimod 2mg ,,,32.23,99.29,32
APC,9010,Inj efgartigimod 2mg Trauma,,,78.13,78.13,6
APC,9013,Inj risankizumab-rzaaÂ1 m ,,,14.39,44.32,32
APC,9013,Inj risankizumab-rzaaÂ1 m Trauma,,,34.87,34.87,6
APC,9014,"Inj., cerliponase alfa 1 m ",,,122.15,376.31,32
APC,9014,"Inj., cerliponase alfa 1 m Trauma",,,296.11,296.11,6
APC,9016,"Inj., triptorelin xr 3.75 ",,,3781.73,11650.8,32
APC,9016,"Inj., triptorelin xr 3.75 Trauma",,,9167.84,9167.84,6
APC,9017,"Inj. byooviz, 0.1 mg ",,,238.56,734.96,32
APC,9017,"Inj. byooviz, 0.1 mg Trauma",,,578.33,578.33,6
APC,9018,"Inj, rimabotulinumtoxinB ",,,13.15,40.53,32
APC,9018,"Inj, rimabotulinumtoxinB Trauma",,,31.89,31.89,6
APC,902,"Injection,onabotulinumtoxi ",,,6.44,19.84,32
APC,902,"Injection,onabotulinumtoxi Trauma",,,15.61,15.61,6
APC,9020,Argatroban nonesrd (accord ,,,1.8,5.54,32
APC,9020,Argatroban nonesrd (accord Trauma,,,4.36,4.36,6
APC,9025,"Inj glucagon hcl, freseniu ",,,127.99,394.31,32
APC,9025,"Inj glucagon hcl, freseniu Trauma",,,310.27,310.27,6
APC,9026,"Inj, bortezomib, dr. reddy ",,,3.43,10.55,32
APC,9026,"Inj, bortezomib, dr. reddy Trauma",,,8.3,8.3,6
APC,9027,"Inj, bortezomib freseniusk ",,,6.9,21.26,32
APC,9027,"Inj, bortezomib freseniusk Trauma",,,16.73,16.73,6
APC,9028,Inj inotuzumab ozogam 0.1 ,,,2844.37,8762.96,32
APC,9028,Inj inotuzumab ozogam 0.1 Trauma,,,6895.45,6895.45,6
APC,9029,"Inj., guselkumab, 1 mg ",,,66.25,204.11,32
APC,9029,"Inj., guselkumab, 1 mg Trauma",,,160.61,160.61,6
APC,903,Cytomegalovirus imm IV /vi ,,,1840.23,5669.4,32
APC,903,Cytomegalovirus imm IV /vi Trauma,,,4461.17,4461.17,6
APC,9031,"Inj, etelcalcetide, 0.1 mg ",,,2.44,7.52,32
APC,9031,"Inj, etelcalcetide, 0.1 mg Trauma",,,5.92,5.92,6
APC,9032,Baclofen 10 MG injection ,,,184.24,567.62,32
APC,9032,Baclofen 10 MG injection Trauma,,,446.65,446.65,6
APC,9033,Cidofovir injection ,,,530.38,1633.99,32
APC,9033,Cidofovir injection Trauma,,,1285.76,1285.76,6
APC,9034,"Inj cuvitru, 100 mg ",,,17.97,55.35,32
APC,9034,"Inj cuvitru, 100 mg Trauma",,,43.55,43.55,6
APC,9035,Axicabtagene ciloleucel ca ,,,556875.89,1715627.74,32
APC,9035,Axicabtagene ciloleucel ca Trauma,,,1350002.16,1350002.16,6
APC,9036,"Injection, renflexis ",,,26.35,81.18,32
APC,9036,"Injection, renflexis Trauma",,,63.88,63.88,6
APC,9038,Inj estrogen conjugate ,,,397.49,1224.58,32
APC,9038,Inj estrogen conjugate Trauma,,,963.61,963.61,6
APC,904,Testosterone pellet 75 mg ,,,72.07,222.04,32
APC,904,Testosterone pellet 75 mg Trauma,,,174.72,174.72,6
APC,9042,Glucagon hydrochloride ,,,116.16,357.86,32
APC,9042,Glucagon hydrochloride Trauma,,,281.59,281.59,6
APC,9043,"Inj, afstyla, 1 i.u. ",,,1.6,4.94,32
APC,9043,"Inj, afstyla, 1 i.u. Trauma",,,3.89,3.89,6
APC,9044,Ibutilide fumarate injecti ,,,174.13,536.46,32
APC,9044,Ibutilide fumarate injecti Trauma,,,422.14,422.14,6
APC,9045,Idursulfase injection ,,,564.34,1738.63,32
APC,9045,Idursulfase injection Trauma,,,1368.1,1368.1,6
APC,9046,"Inj., fibryga, 1 mg ",,,1.22,3.76,32
APC,9046,"Inj., fibryga, 1 mg Trauma",,,2.96,2.96,6
APC,9048,"Inj, alymsys, 10 mg ",,,79.14,243.83,32
APC,9048,"Inj, alymsys, 10 mg Trauma",,,191.87,191.87,6
APC,905,"Inj, posaconazole, 1 mg ",,,0.34,1.04,32
APC,905,"Inj, posaconazole, 1 mg Trauma",,,0.82,0.82,6
APC,9050,"Leuprolide inj, camcevi, 1 ",,,41.64,128.28,32
APC,9050,"Leuprolide inj, camcevi, 1 Trauma",,,100.94,100.94,6
APC,9051,"Inj, lanreotide, (cipla) 1 ",,,20.13,62.01,32
APC,9051,"Inj, lanreotide, (cipla) 1 Trauma",,,48.79,48.79,6
APC,9052,Fluciclovine f-18 ,,,319.05,982.92,32
APC,9052,Fluciclovine f-18 Trauma,,,773.45,773.45,6
APC,9053,Fluorodopa f-18 diag per m ,,,846.99,2609.43,32
APC,9053,Fluorodopa f-18 diag per m Trauma,,,2053.32,2053.32,6
APC,9054,Lutetium lu 177 vipivotide ,,,264.64,815.31,32
APC,9054,Lutetium lu 177 vipivotide Trauma,,,641.56,641.56,6
APC,9055,Gallium locametz 1 millicu ,,,358.88,1105.63,32
APC,9055,Gallium locametz 1 millicu Trauma,,,870.0,870.0,6
APC,9056,Gallium ga-68 ,,,49.13,151.37,32
APC,9056,Gallium ga-68 Trauma,,,119.11,119.11,6
APC,9057,Inj nivol relatlimab 3mg/1 ,,,203.46,626.81,32
APC,9057,Inj nivol relatlimab 3mg/1 Trauma,,,493.23,493.23,6
APC,9059,Vonvendi inj 1 iu vwf:rco ,,,1.79,5.52,32
APC,9059,Vonvendi inj 1 iu vwf:rco Trauma,,,4.35,4.35,6
APC,906,Inj elivaldogene autotemec ,,,3148200.0,9699000.0,32
APC,906,Inj elivaldogene autotemec Trauma,,,7632000.0,7632000.0,6
APC,9063,Rh ig minidose im ,,,79.2,244.0,32
APC,9063,Rh ig minidose im Trauma,,,192.0,192.0,6
APC,9067,Lutetium lu 177 dotatat th ,,,346.7,1068.13,32
APC,9067,Lutetium lu 177 dotatat th Trauma,,,840.5,840.5,6
APC,9068,Smallpox&monkeypox vac 0.5 ,,,0.01,0.03,32
APC,9068,Smallpox&monkeypox vac 0.5 Trauma,,,0.02,0.02,6
APC,907,"Inj, cyclophos (baxter) 5m ",,,4.34,13.38,32
APC,907,"Inj, cyclophos (baxter) 5m Trauma",,,10.53,10.53,6
APC,9070,Inj luxturna 1 billion vec ,,,3038.94,9362.4,32
APC,9070,Inj luxturna 1 billion vec Trauma,,,7367.13,7367.13,6
APC,9071,Capsaicin 8% patch ,,,3.47,10.7,32
APC,9071,Capsaicin 8% patch Trauma,,,8.42,8.42,6
APC,9073,Buprenorph xr 100 mg or le ,,,2047.47,6307.87,32
APC,9073,Buprenorph xr 100 mg or le Trauma,,,4963.57,4963.57,6
APC,9075,"Inj, kovaltry, 1 i.u. ",,,1.58,4.86,32
APC,9075,"Inj, kovaltry, 1 i.u. Trauma",,,3.83,3.83,6
APC,9078,Testosterone undecanoate 1 ,,,2.13,6.55,32
APC,9078,Testosterone undecanoate 1 Trauma,,,5.16,5.16,6
APC,9079,"Genvisc 850, inj, 1mg ",,,3.77,11.61,32
APC,9079,"Genvisc 850, inj, 1mg Trauma",,,9.14,9.14,6
APC,908,Topi adm prad zami per tre ,,,3252925.17,10021638.15,32
APC,908,Topi adm prad zami per tre Trauma,,,7885879.2,7885879.2,6
APC,9087,"Inj, clevidipine, 1 mg ",,,2.81,8.65,32
APC,9087,"Inj, clevidipine, 1 mg Trauma",,,6.81,6.81,6
APC,9088,Peng benzathine/procaine i ,,,19.33,59.55,32
APC,9088,Peng benzathine/procaine i Trauma,,,46.86,46.86,6
APC,909,Inj gemcitabin (avyxa) 200 ,,,396.33,1221.02,32
APC,909,Inj gemcitabin (avyxa) 200 Trauma,,,960.8,960.8,6
APC,9094,Radiesse injection ,,,345.7,1065.03,32
APC,9094,Radiesse injection Trauma,,,838.06,838.06,6
APC,9095,"Inj, sculptra, 0.5mg ",,,2.14,6.59,32
APC,9095,"Inj, sculptra, 0.5mg Trauma",,,5.18,5.18,6
APC,9097,Inj retacrit non-esrd use ,,,7.89,24.3,32
APC,9097,Inj retacrit non-esrd use Trauma,,,19.12,19.12,6
APC,9099,"Inj fosnetupitant, palonos ",,,498.81,1536.74,32
APC,9099,"Inj fosnetupitant, palonos Trauma",,,1209.24,1209.24,6
APC,9101,Vaccinia vrs vac 0.3 ml pe ,,,0.01,0.03,32
APC,9101,Vaccinia vrs vac 0.3 ml pe Trauma,,,0.02,0.02,6
APC,9102,"Inj, fulvestrant (teva) ",,,41.25,127.09,32
APC,9102,"Inj, fulvestrant (teva) Trauma",,,100.01,100.01,6
APC,9103,"Inj, fulvestrant (freseniu ",,,26.84,82.69,32
APC,9103,"Inj, fulvestrant (freseniu Trauma",,,65.07,65.07,6
APC,9104,Antithymocyte globuln rabb ,,,1047.21,3226.26,32
APC,9104,Antithymocyte globuln rabb Trauma,,,2538.7,2538.7,6
APC,9105,Inj pemetrexed (teva) 10mg ,,,10.88,33.51,32
APC,9105,Inj pemetrexed (teva) 10mg Trauma,,,26.37,26.37,6
APC,9108,Thyrotropin injection ,,,2137.07,6583.92,32
APC,9108,Thyrotropin injection Trauma,,,5180.79,5180.79,6
APC,9109,"Inj, elahere, 1 mg ",,,71.27,219.57,32
APC,9109,"Inj, elahere, 1 mg Trauma",,,172.78,172.78,6
APC,911,"Inj pozelimab-bbfg, 1 mg ",,,90.81,279.78,32
APC,911,"Inj pozelimab-bbfg, 1 mg Trauma",,,220.15,220.15,6
APC,9110,"Inj, tremelimumab-actl, 1 ",,,145.43,448.03,32
APC,9110,"Inj, tremelimumab-actl, 1 Trauma",,,352.55,352.55,6
APC,9111,Inj teclistamab cqyv 0.5 m ,,,34.97,107.74,32
APC,9111,Inj teclistamab cqyv 0.5 m Trauma,,,84.78,84.78,6
APC,9112,Inj teplizumab mzwv 5 mcg ,,,38.82,119.61,32
APC,9112,Inj teplizumab mzwv 5 mcg Trauma,,,94.12,94.12,6
APC,9113,Inj olipudase alfa-rpcp 1m ,,,400.9,1235.09,32
APC,9113,Inj olipudase alfa-rpcp 1m Trauma,,,971.87,971.87,6
APC,9114,Inj eflapegrastim-xnst 0.1 ,,,38.18,117.61,32
APC,9114,Inj eflapegrastim-xnst 0.1 Trauma,,,92.55,92.55,6
APC,9115,"Inj, spesolimab-sbzo, 1 mg ",,,65.07,200.47,32
APC,9115,"Inj, spesolimab-sbzo, 1 mg Trauma",,,157.75,157.75,6
APC,9117,"Inj, cimerli, 0.1 mg ",,,81.7,251.71,32
APC,9117,"Inj, cimerli, 0.1 mg Trauma",,,198.07,198.07,6
APC,9118,"Inj, fylnetra, 0.5 mg ",,,104.06,320.58,32
APC,9118,"Inj, fylnetra, 0.5 mg Trauma",,,252.26,252.26,6
APC,9119,"Inj, pedmark, 100 mg ",,,95.81,295.18,32
APC,9119,"Inj, pedmark, 100 mg Trauma",,,232.27,232.27,6
APC,912,"Inj, wezlana, iv, 1 mg ",,,2.33,7.18,32
APC,912,"Inj, wezlana, iv, 1 mg Trauma",,,5.65,5.65,6
APC,9122,Triptorelin pamoate ,,,461.7,1422.41,32
APC,9122,Triptorelin pamoate Trauma,,,1119.28,1119.28,6
APC,9123,"Inj pemetrexed, hospira 10 ",,,2.91,8.98,32
APC,9123,"Inj pemetrexed, hospira 10 Trauma",,,7.06,7.06,6
APC,9125,"Risperidone, long acting ",,,10.99,33.87,32
APC,9125,"Risperidone, long acting Trauma",,,26.65,26.65,6
APC,9126,Natalizumab injection ,,,24.16,74.44,32
APC,9126,Natalizumab injection Trauma,,,58.57,58.57,6
APC,9127,Inj pemetrexed (accord) 10 ,,,9.64,29.69,32
APC,9127,Inj pemetrexed (accord) 10 Trauma,,,23.37,23.37,6
APC,9129,"Inj, stimufend, 0.5 mg ",,,142.24,438.2,32
APC,9129,"Inj, stimufend, 0.5 mg Trauma",,,344.82,344.82,6
APC,913,Mitomycin intravesical ins ,,,271.6,836.74,32
APC,913,Mitomycin intravesical ins Trauma,,,658.42,658.42,6
APC,9130,"Inj, imm glob bivigam, 500 ",,,80.43,247.79,32
APC,9130,"Inj, imm glob bivigam, 500 Trauma",,,194.98,194.98,6
APC,9131,"Inj, Ado-trastuzumab Emt 1 ",,,43.19,133.06,32
APC,9131,"Inj, Ado-trastuzumab Emt 1 Trauma",,,104.7,104.7,6
APC,9132,Prothrombin complex kcentr ,,,1.99,6.14,32
APC,9132,Prothrombin complex kcentr Trauma,,,4.83,4.83,6
APC,9133,"Rabies ig, im/sc ",,,278.37,857.61,32
APC,9133,"Rabies ig, im/sc Trauma",,,674.84,674.84,6
APC,9134,"Rabies ig, heat treated ",,,348.92,1074.94,32
APC,9134,"Rabies ig, heat treated Trauma",,,845.86,845.86,6
APC,9135,"Varicella-zoster ig, im ",,,2472.76,7618.09,32
APC,9135,"Varicella-zoster ig, im Trauma",,,5994.56,5994.56,6
APC,9136,Inj leu acet lutr dpt 7.5 ,,,680.41,2096.23,32
APC,9136,Inj leu acet lutr dpt 7.5 Trauma,,,1649.49,1649.49,6
APC,9138,"Inj, hemgenix, per tx dose ",,,3654535.5,11258922.5,32
APC,9138,"Inj, hemgenix, per tx dose Trauma",,,8859480.0,8859480.0,6
APC,9139,"Rabies vaccine, im ",,,328.66,1012.53,32
APC,9139,"Rabies vaccine, im Trauma",,,796.74,796.74,6
APC,914,Ustekinumab-ttwe iv inj 1 ,,,8.47,26.08,32
APC,914,Ustekinumab-ttwe iv inj 1 Trauma,,,20.52,20.52,6
APC,9140,"Rabies vaccine, id ",,,234.49,722.42,32
APC,9140,"Rabies vaccine, id Trauma",,,568.46,568.46,6
APC,9141,Inj onase abepar-xioi trea ,,,2653237.62,8174115.9,32
APC,9141,Inj onase abepar-xioi trea Trauma,,,6432091.2,6432091.2,6
APC,9142,FecalÂmicrobiota jslm 1 m ,,,64.95,200.09,32
APC,9142,FecalÂmicrobiota jslm 1 m Trauma,,,157.45,157.45,6
APC,9144,"Inj, panzyga, 500 mg ",,,70.63,217.61,32
APC,9144,"Inj, panzyga, 500 mg Trauma",,,171.23,171.23,6
APC,9145,"Inj, invega hafyera/trinza ",,,13.13,40.45,32
APC,9145,"Inj, invega hafyera/trinza Trauma",,,31.83,31.83,6
APC,9146,"Inj, ixinity, 1 i.u. ",,,1.92,5.91,32
APC,9146,"Inj, ixinity, 1 i.u. Trauma",,,4.65,4.65,6
APC,9149,"Inj ublituximab-xiiy, 1 mg ",,,71.52,220.33,32
APC,9149,"Inj ublituximab-xiiy, 1 mg Trauma",,,173.37,173.37,6
APC,915,"Inj cosibelimab-ipdl, 2 mg ",,,22.05,67.94,32
APC,915,"Inj cosibelimab-ipdl, 2 mg Trauma",,,53.46,53.46,6
APC,9150,"Inj mosunetuzumab-axgb, 1 ",,,667.75,2057.21,32
APC,9150,"Inj mosunetuzumab-axgb, 1 Trauma",,,1618.79,1618.79,6
APC,9154,"Inj, vivimusta, 1 mg ",,,29.61,91.23,32
APC,9154,"Inj, vivimusta, 1 mg Trauma",,,71.79,71.79,6
APC,9155,Inj lenacapavir (hiv tx) 1 ,,,22.71,69.95,32
APC,9155,Inj lenacapavir (hiv tx) 1 Trauma,,,55.05,55.05,6
APC,9157,"Lecanemab-irmb, for iv inj ",,,1.33,4.09,32
APC,9157,"Lecanemab-irmb, for iv inj Trauma",,,3.22,3.22,6
APC,9158,"Inj, pegcetacoplan, 1mg ",,,147.45,454.28,32
APC,9158,"Inj, pegcetacoplan, 1mg Trauma",,,357.47,357.47,6
APC,9159,"Inj, vegzelma, 10 mg ",,,23.41,72.12,32
APC,9159,"Inj, vegzelma, 10 mg Trauma",,,56.75,56.75,6
APC,916,Inj linvoseltamab-gcpt 1 m ,,,98.31,302.88,32
APC,916,Inj linvoseltamab-gcpt 1 m Trauma,,,238.33,238.33,6
APC,9166,"Inj, fosaprepitant (teva) ",,,0.04,0.11,32
APC,9166,"Inj, fosaprepitant (teva) Trauma",,,0.09,0.09,6
APC,917,"Inj, carboplatin (avyxa) ",,,5.15,15.87,32
APC,917,"Inj, carboplatin (avyxa) Trauma",,,12.49,12.49,6
APC,9171,Factor ix idelvion inj ,,,5.45,16.8,32
APC,9171,Factor ix idelvion inj Trauma,,,13.22,13.22,6
APC,9173,"Injection, fulphila ",,,66.35,204.42,32
APC,9173,"Injection, fulphila Trauma",,,160.86,160.86,6
APC,9174,"Inj, durolane 1 mg ",,,6.18,19.03,32
APC,9174,"Inj, durolane 1 mg Trauma",,,14.97,14.97,6
APC,9178,"Inj., meropenem, vaborbact ",,,2.2,6.78,32
APC,9178,"Inj., meropenem, vaborbact Trauma",,,5.33,5.33,6
APC,9179,"Inj., aristada initio, 1 m ",,,3.43,10.56,32
APC,9179,"Inj., aristada initio, 1 m Trauma",,,8.31,8.31,6
APC,918,"Inj, jobevne, 10 mg ",,,81.41,250.82,32
APC,918,"Inj, jobevne, 10 mg Trauma",,,197.37,197.37,6
APC,9180,"Inj., patisiran, 0.1 mg ",,,100.02,308.13,32
APC,9180,"Inj., patisiran, 0.1 mg Trauma",,,242.46,242.46,6
APC,9181,"Inj., perseris, 0.5 mg ",,,12.08,37.22,32
APC,9181,"Inj., perseris, 0.5 mg Trauma",,,29.29,29.29,6
APC,9182,"Inj mogamulizumab-kpkc, 1 ",,,255.95,788.53,32
APC,9182,"Inj mogamulizumab-kpkc, 1 Trauma",,,620.49,620.49,6
APC,9183,"Inj., plazomicin, 5 mg ",,,3.48,10.73,32
APC,9183,"Inj., plazomicin, 5 mg Trauma",,,8.45,8.45,6
APC,9186,"Inj., rituximab, 10 mg ",,,72.55,223.5,32
APC,9186,"Inj., rituximab, 10 mg Trauma",,,175.87,175.87,6
APC,9187,"Injection, burosumab-twza ",,,508.24,1565.78,32
APC,9187,"Injection, burosumab-twza Trauma",,,1232.09,1232.09,6
APC,9189,"Inj., ibalizumab-uiyk, 10 ",,,78.72,242.51,32
APC,9189,"Inj., ibalizumab-uiyk, 10 Trauma",,,190.83,190.83,6
APC,9190,"Inj., vestronidase alfa-vj ",,,288.62,889.18,32
APC,9190,"Inj., vestronidase alfa-vj Trauma",,,699.69,699.69,6
APC,9193,Nivestym ,,,0.32,0.98,32
APC,9193,Nivestym Trauma,,,0.77,0.77,6
APC,9194,Tisagenlecleucel car-pos t ,,,605576.27,1865664.26,32
APC,9194,Tisagenlecleucel car-pos t Trauma,,,1468063.68,1468063.68,6
APC,9195,"Injection, udenyca 0.5 mg ",,,147.64,454.86,32
APC,9195,"Injection, udenyca 0.5 mg Trauma",,,357.92,357.92,6
APC,9196,"Inj, trivisc 1 mg ",,,3.01,9.26,32
APC,9196,"Inj, trivisc 1 mg Trauma",,,7.29,7.29,6
APC,9198,"Inj andexxa, 10 mg ",,,129.85,400.05,32
APC,9198,"Inj andexxa, 10 mg Trauma",,,314.79,314.79,6
APC,9199,"Injection, caplacizumab-yh ",,,830.78,2559.47,32
APC,9199,"Injection, caplacizumab-yh Trauma",,,2014.01,2014.01,6
APC,920,Tc99m succimer ,,,653.33,2012.79,32
APC,920,Tc99m succimer Trauma,,,1583.83,1583.83,6
APC,9200,"Inj, remdesivir, 1 mg ",,,7.44,22.91,32
APC,9200,"Inj, remdesivir, 1 mg Trauma",,,18.03,18.03,6
APC,9201,Rabies ig ht&sol human im/ ,,,240.77,741.75,32
APC,9201,Rabies ig ht&sol human im/ Trauma,,,583.68,583.68,6
APC,9203,Inj cyclophosphamd auromed ,,,0.49,1.49,32
APC,9203,Inj cyclophosphamd auromed Trauma,,,1.18,1.18,6
APC,9204,"Inj tisotu vedotin-tftv, 1 ",,,194.16,598.17,32
APC,9204,"Inj tisotu vedotin-tftv, 1 Trauma",,,470.69,470.69,6
APC,9205,Inj lon tesirin-lpyl 0.075 ,,,224.34,691.15,32
APC,9205,Inj lon tesirin-lpyl 0.075 Trauma,,,543.86,543.86,6
APC,9206,Inj plasminogen tvmh 1mg ,,,38.04,117.18,32
APC,9206,Inj plasminogen tvmh 1mg Trauma,,,92.21,92.21,6
APC,9208,Agalsidase beta injection ,,,230.39,709.8,32
APC,9208,Agalsidase beta injection Trauma,,,558.53,558.53,6
APC,9209,Laronidase injection ,,,41.07,126.54,32
APC,9209,Laronidase injection Trauma,,,99.57,99.57,6
APC,921,"Inj, tyruko, 1 mg ",,,24.25,74.71,32
APC,921,"Inj, tyruko, 1 mg Trauma",,,58.79,58.79,6
APC,9213,Inj. pemetrexed nos 10mg ,,,6.88,21.2,32
APC,9213,Inj. pemetrexed nos 10mg Trauma,,,16.68,16.68,6
APC,9214,Bevacizumab injection ,,,74.07,228.21,32
APC,9214,Bevacizumab injection Trauma,,,179.58,179.58,6
APC,9215,Cetuximab injection ,,,80.85,249.08,32
APC,9215,Cetuximab injection Trauma,,,196.0,196.0,6
APC,9217,Leuprolide acetate suspnsi ,,,158.74,489.04,32
APC,9217,Leuprolide acetate suspnsi Trauma,,,384.82,384.82,6
APC,9219,Procainamide hcl injection ,,,292.41,900.85,32
APC,9219,Procainamide hcl injection Trauma,,,708.87,708.87,6
APC,922,Inj onase abepar-brve trea ,,,2637585.72,8125895.4,32
APC,922,Inj onase abepar-brve trea Trauma,,,6394147.2,6394147.2,6
APC,9224,Galsulfase injection ,,,520.71,1604.2,32
APC,9224,Galsulfase injection Trauma,,,1262.32,1262.32,6
APC,9225,Fluocinolone acetonide imp ,,,335.42,1033.35,32
APC,9225,Fluocinolone acetonide imp Trauma,,,813.13,813.13,6
APC,923,Inj yimmugo 100 mg ,,,23.9,73.64,32
APC,923,Inj yimmugo 100 mg Trauma,,,57.95,57.95,6
APC,9230,Abatacept injection ,,,45.4,139.87,32
APC,9230,Abatacept injection Trauma,,,110.06,110.06,6
APC,9233,Ranibizumab injection ,,,50.58,155.82,32
APC,9233,Ranibizumab injection Trauma,,,122.62,122.62,6
APC,9235,Panitumumab injection ,,,180.37,555.68,32
APC,9235,Panitumumab injection Trauma,,,437.25,437.25,6
APC,9237,"Inj, lanreotide acetate ",,,37.05,114.16,32
APC,9237,"Inj, lanreotide acetate Trauma",,,89.83,89.83,6
APC,9239,Buprenorphine xr over 100 ,,,2047.47,6307.87,32
APC,9239,Buprenorphine xr over 100 Trauma,,,4963.57,4963.57,6
APC,924,Inj zopapogene per ther do ,,,120681.0,371795.0,32
APC,924,Inj zopapogene per ther do Trauma,,,292560.0,292560.0,6
APC,9240,"Injection, ixabepilone ",,,138.36,426.25,32
APC,9240,"Injection, ixabepilone Trauma",,,335.41,335.41,6
APC,9241,Inj sirolimus prot part 1 ,,,90.12,277.64,32
APC,9241,Inj sirolimus prot part 1 Trauma,,,218.47,218.47,6
APC,9243,"Inj, bendamustine hcl, 1mg ",,,2.93,9.03,32
APC,9243,"Inj, bendamustine hcl, 1mg Trauma",,,7.1,7.1,6
APC,9246,"Inj, abilify asimtufii, 1 ",,,6.12,18.86,32
APC,9246,"Inj, abilify asimtufii, 1 Trauma",,,14.84,14.84,6
APC,9247,"Inj, amisulpride, 1 mg ",,,9.47,29.19,32
APC,9247,"Inj, amisulpride, 1 mg Trauma",,,22.97,22.97,6
APC,925,Factor viii ,,,1.23,3.8,32
APC,925,Factor viii Trauma,,,2.99,2.99,6
APC,9250,Inj epcoritamab-bysp 0.16 ,,,57.41,176.88,32
APC,9250,Inj epcoritamab-bysp 0.16 Trauma,,,139.18,139.18,6
APC,9251,C1 esterase inhibitor inj ,,,66.09,203.6,32
APC,9251,C1 esterase inhibitor inj Trauma,,,160.21,160.21,6
APC,9252,Plerixafor injection ,,,28.2,86.89,32
APC,9252,Plerixafor injection Trauma,,,68.37,68.37,6
APC,9253,Temozolomide injection ,,,10.3,31.74,32
APC,9253,Temozolomide injection Trauma,,,24.98,24.98,6
APC,9254,Flotufolastat f18 diag 1 m ,,,720.28,2219.05,32
APC,9254,Flotufolastat f18 diag 1 m Trauma,,,1746.14,1746.14,6
APC,9255,"Inj, invega sustenna, 1 mg ",,,15.28,47.06,32
APC,9255,"Inj, invega sustenna, 1 mg Trauma",,,37.03,37.03,6
APC,9256,Dexamethasone intra implan ,,,201.62,621.15,32
APC,9256,Dexamethasone intra implan Trauma,,,488.77,488.77,6
APC,9257,"Inj., emicizumab-kxwh 0.5 ",,,57.45,177.0,32
APC,9257,"Inj., emicizumab-kxwh 0.5 Trauma",,,139.28,139.28,6
APC,9258,Telavancin injection ,,,7.41,22.83,32
APC,9258,Telavancin injection Trauma,,,17.96,17.96,6
APC,9259,Pralatrexate injection ,,,382.26,1177.67,32
APC,9259,Pralatrexate injection Trauma,,,926.69,926.69,6
APC,926,Gemcitabine intravesical s ,,,72254.4,222601.93,32
APC,926,Gemcitabine intravesical s Trauma,,,175162.18,175162.18,6
APC,9260,Ofatumumab injection ,,,61.61,189.81,32
APC,9260,Ofatumumab injection Trauma,,,149.36,149.36,6
APC,9262,Inj tofersen intrathec 1 m ,,,163.17,502.69,32
APC,9262,Inj tofersen intrathec 1 m Trauma,,,395.56,395.56,6
APC,9263,Ecallantide injection ,,,589.98,1817.63,32
APC,9263,Ecallantide injection Trauma,,,1430.27,1430.27,6
APC,9264,Tocilizumab injection ,,,5.35,16.49,32
APC,9264,Tocilizumab injection Trauma,,,12.98,12.98,6
APC,9266,"Inj, uzedy, 1 mg ",,,25.92,79.85,32
APC,9266,"Inj, uzedy, 1 mg Trauma",,,62.83,62.83,6
APC,9267,"Inj, rezafungin, 1 mg ",,,10.89,33.54,32
APC,9267,"Inj, rezafungin, 1 mg Trauma",,,26.4,26.4,6
APC,9268,Inj. acthar gel to 40 unit ,,,4092.11,12607.02,32
APC,9268,Inj. acthar gel to 40 unit Trauma,,,9920.28,9920.28,6
APC,9269,"C-1 esterase, berinert ",,,78.47,241.75,32
APC,9269,"C-1 esterase, berinert Trauma",,,190.23,190.23,6
APC,927,Factor viii recombinant ,,,1.56,4.82,32
APC,927,Factor viii recombinant Trauma,,,3.79,3.79,6
APC,9270,Gammaplex IVIG ,,,65.61,202.13,32
APC,9270,Gammaplex IVIG Trauma,,,159.05,159.05,6
APC,9271,Velaglucerase alfa ,,,388.91,1198.17,32
APC,9271,Velaglucerase alfa Trauma,,,942.82,942.82,6
APC,9272,"Inj, denosumab ",,,29.8,91.81,32
APC,9272,"Inj, denosumab Trauma",,,72.24,72.24,6
APC,9273,Sipuleucel-T auto CD54+ ,,,55373.11,170593.91,32
APC,9273,Sipuleucel-T auto CD54+ Trauma,,,134237.83,134237.83,6
APC,9274,Crotalidae Poly Immune Fab ,,,1887.84,5816.06,32
APC,9274,Crotalidae Poly Immune Fab Trauma,,,4576.57,4576.57,6
APC,9275,"Inj. (ani), up to 40 units ",,,3637.93,11207.77,32
APC,9275,"Inj. (ani), up to 40 units Trauma",,,8819.23,8819.23,6
APC,9276,Cabazitaxel injection ,,,231.39,712.88,32
APC,9276,Cabazitaxel injection Trauma,,,560.95,560.95,6
APC,9277,Altuviiio per factor viii ,,,4.59,14.13,32
APC,9277,Altuviiio per factor viii Trauma,,,11.12,11.12,6
APC,9278,Incobotulinumtoxin A ,,,5.23,16.12,32
APC,9278,Incobotulinumtoxin A Trauma,,,12.68,12.68,6
APC,928,Factor ix complex ,,,1.73,5.33,32
APC,928,Factor ix complex Trauma,,,4.19,4.19,6
APC,9280,"Inj, retifanlimab-dlwr, 1 ",,,30.67,94.49,32
APC,9280,"Inj, retifanlimab-dlwr, 1 Trauma",,,74.35,74.35,6
APC,9281,"Injection, pegloticase ",,,3890.04,11984.48,32
APC,9281,"Injection, pegloticase Trauma",,,9430.41,9430.41,6
APC,9284,Ipilimumab injection ,,,188.53,580.82,32
APC,9284,Ipilimumab injection Trauma,,,457.04,457.04,6
APC,9285,Inj allopurinol sodium 1 m ,,,4.03,12.43,32
APC,9285,Inj allopurinol sodium 1 m Trauma,,,9.78,9.78,6
APC,9286,Belatacept injection ,,,3.85,11.85,32
APC,9286,Belatacept injection Trauma,,,9.32,9.32,6
APC,9287,Brentuximab vedotin inj ,,,276.41,851.58,32
APC,9287,Brentuximab vedotin inj Trauma,,,670.1,670.1,6
APC,929,Anti-inhibitor ,,,2.42,7.46,32
APC,929,Anti-inhibitor Trauma,,,5.87,5.87,6
APC,9293,"Injection, glucarpidase ",,,444.61,1369.77,32
APC,9293,"Injection, glucarpidase Trauma",,,1077.85,1077.85,6
APC,9294,"Inj, taliglucerase alfa 10 ",,,42.25,130.16,32
APC,9294,"Inj, taliglucerase alfa 10 Trauma",,,102.42,102.42,6
APC,9295,"Injection, Carfilzomib, 1 ",,,59.69,183.89,32
APC,9295,"Injection, Carfilzomib, 1 Trauma",,,144.7,144.7,6
APC,9296,"Inj, ziv-aflibercept, 1mg ",,,8.59,26.46,32
APC,9296,"Inj, ziv-aflibercept, 1mg Trauma",,,20.82,20.82,6
APC,9299,Inj. jivi 1 iu ,,,2.73,8.41,32
APC,9299,Inj. jivi 1 iu Trauma,,,6.61,6.61,6
APC,930,Pembrolizumab 1mg berahyal ,,,31.62,97.42,32
APC,930,Pembrolizumab 1mg berahyal Trauma,,,76.66,76.66,6
APC,9300,Omalizumab injection ,,,46.12,142.09,32
APC,9300,Omalizumab injection Trauma,,,111.81,111.81,6
APC,9301,"Aminolevulinic acid, 10% g ",,,1.83,5.64,32
APC,9301,"Aminolevulinic acid, 10% g Trauma",,,4.44,4.44,6
APC,9302,"Inj daunorubicin, cytarabi ",,,270.16,832.3,32
APC,9302,"Inj daunorubicin, cytarabi Trauma",,,654.93,654.93,6
APC,9304,"Inj., cemiplimab-rwlc, 1 m ",,,29.37,90.49,32
APC,9304,"Inj., cemiplimab-rwlc, 1 m Trauma",,,71.2,71.2,6
APC,9305,"Inj., lumoxiti, 0.01 mg ",,,23.16,71.35,32
APC,9305,"Inj., lumoxiti, 0.01 mg Trauma",,,56.15,56.15,6
APC,9306,"Inj., tildrakizumab, 1 mg ",,,123.03,379.03,32
APC,9306,"Inj., tildrakizumab, 1 mg Trauma",,,298.26,298.26,6
APC,9308,Dexametha opth insert 0.1 ,,,89.12,274.56,32
APC,9308,Dexametha opth insert 0.1 Trauma,,,216.05,216.05,6
APC,9309,Inj. tagraxofusp-erzs 10 m ,,,353.95,1090.44,32
APC,9309,Inj. tagraxofusp-erzs 10 m Trauma,,,858.05,858.05,6
APC,931,Factor IX non-recombinant ,,,1.39,4.28,32
APC,931,Factor IX non-recombinant Trauma,,,3.37,3.37,6
APC,9310,"Inj., emapalumab-lzsg, 1 m ",,,388.85,1197.98,32
APC,9310,"Inj., emapalumab-lzsg, 1 m Trauma",,,942.67,942.67,6
APC,9311,"Inj., omadacycline, 1 mg ",,,4.15,12.77,32
APC,9311,"Inj., omadacycline, 1 mg Trauma",,,10.05,10.05,6
APC,9312,"Inj., ravulizumab-cwvz 10 ",,,224.65,692.11,32
APC,9312,"Inj., ravulizumab-cwvz 10 Trauma",,,544.61,544.61,6
APC,9313,Inj. belrapzo/bendamustine ,,,11.48,35.38,32
APC,9313,Inj. belrapzo/bendamustine Trauma,,,27.84,27.84,6
APC,9314,"Inj. herceptin hylecta, 10 ",,,57.76,177.95,32
APC,9314,"Inj. herceptin hylecta, 10 Trauma",,,140.03,140.03,6
APC,932,Factor ix recombinant nos ,,,1.85,5.69,32
APC,932,Factor ix recombinant nos Trauma,,,4.47,4.47,6
APC,9320,Carbidopa levodopa ent 100 ,,,242.05,745.72,32
APC,9320,Carbidopa levodopa ent 100 Trauma,,,586.79,586.79,6
APC,9321,Fosphenytoin inj pe ,,,0.66,2.03,32
APC,9321,Fosphenytoin inj pe Trauma,,,1.6,1.6,6
APC,9322,Bcg live intravesical 1mg ,,,3.34,10.3,32
APC,9322,Bcg live intravesical 1mg Trauma,,,8.1,8.1,6
APC,9323,Gallium ga-68 dotatoc ,,,3.57,11.01,32
APC,9323,Gallium ga-68 dotatoc Trauma,,,8.66,8.66,6
APC,9324,Phenylep ketorolac opth so ,,,95.34,293.73,32
APC,9324,Phenylep ketorolac opth so Trauma,,,231.13,231.13,6
APC,9325,"Inj., eravacycline, 1 mg ",,,1.37,4.21,32
APC,9325,"Inj., eravacycline, 1 mg Trauma",,,3.31,3.31,6
APC,9326,"Inj., lanadelumab-flyo, 1 ",,,87.33,269.06,32
APC,9326,"Inj., lanadelumab-flyo, 1 Trauma",,,211.72,211.72,6
APC,9327,Inj. romosozumab-aqqg 1 mg ,,,12.6,38.83,32
APC,9327,Inj. romosozumab-aqqg 1 mg Trauma,,,30.56,30.56,6
APC,9328,"Inj., yutiq, 0.01 mg ",,,524.59,1616.16,32
APC,9328,"Inj., yutiq, 0.01 mg Trauma",,,1271.73,1271.73,6
APC,9329,Inj mvasi 10 mg ,,,24.29,74.83,32
APC,9329,Inj mvasi 10 mg Trauma,,,58.88,58.88,6
APC,933,"Suzetrigine, orl, 1mg ",,,0.31,0.95,32
APC,933,"Suzetrigine, orl, 1mg Trauma",,,0.75,0.75,6
APC,9330,"Inj., kanjinti, 10 mg ",,,59.92,184.59,32
APC,9330,"Inj., kanjinti, 10 mg Trauma",,,145.25,145.25,6
APC,9331,"Inj, polatuzumab vedotin 1 ",,,142.17,438.01,32
APC,9331,"Inj, polatuzumab vedotin 1 Trauma",,,344.67,344.67,6
APC,9335,Oral busulfan ,,,10.02,30.87,32
APC,9335,Oral busulfan Trauma,,,24.29,24.29,6
APC,9336,Inj truxima 10 mg ,,,34.22,105.42,32
APC,9336,Inj truxima 10 mg Trauma,,,82.95,82.95,6
APC,9338,"Inj., triluron, 1 mg ",,,10.33,31.81,32
APC,9338,"Inj., triluron, 1 mg Trauma",,,25.03,25.03,6
APC,934,"Inj, denosumab-nxxp, 1 mg ",,,15.5,47.76,32
APC,934,"Inj, denosumab-nxxp, 1 mg Trauma",,,37.58,37.58,6
APC,9340,"Inj, brolucizumab-dbll, 1 ",,,356.12,1097.12,32
APC,9340,"Inj, brolucizumab-dbll, 1 Trauma",,,863.31,863.31,6
APC,9341,Inj  ogivri 10 mg ,,,31.63,97.43,32
APC,9341,Inj  ogivri 10 mg Trauma,,,76.67,76.67,6
APC,9343,Inj givosiran 0.5 mg ,,,119.71,368.79,32
APC,9343,Inj givosiran 0.5 mg Trauma,,,290.2,290.2,6
APC,9345,Inj pegfilgrastim-bmez 0.5 ,,,130.78,402.89,32
APC,9345,Inj pegfilgrastim-bmez 0.5 Trauma,,,317.03,317.03,6
APC,9346,Mometasone sinus sinuva ,,,11.23,34.6,32
APC,9346,Mometasone sinus sinuva Trauma,,,27.23,27.23,6
APC,9347,Inj luspatercept-aamt 0.25 ,,,43.08,132.72,32
APC,9347,Inj luspatercept-aamt 0.25 Trauma,,,104.43,104.43,6
APC,9348,"Inj., zirabev, 10 mg ",,,25.63,78.96,32
APC,9348,"Inj., zirabev, 10 mg Trauma",,,62.13,62.13,6
APC,9349,Inj herzuma 10 mg ,,,54.39,167.57,32
APC,9349,Inj herzuma 10 mg Trauma,,,131.86,131.86,6
APC,935,"Inj. ferumoxytol, 1 mg ",,,0.4,1.23,32
APC,935,"Inj. ferumoxytol, 1 mg Trauma",,,0.97,0.97,6
APC,9350,"Inj., trazimera, 10 mg ",,,12.9,39.75,32
APC,9350,"Inj., trazimera, 10 mg Trauma",,,31.28,31.28,6
APC,9351,Inj bimatoprost itc imp 1m ,,,211.62,651.96,32
APC,9351,Inj bimatoprost itc imp 1m Trauma,,,513.01,513.01,6
APC,9353,Inj fam-trastu deru-nxki 1 ,,,32.55,100.27,32
APC,9353,Inj fam-trastu deru-nxki 1 Trauma,,,78.9,78.9,6
APC,9354,Inj recombin esperoct per ,,,2.27,7.0,32
APC,9354,Inj recombin esperoct per Trauma,,,5.51,5.51,6
APC,9355,Inj. teprotumumab-trbw 10 ,,,376.1,1158.69,32
APC,9355,Inj. teprotumumab-trbw 10 Trauma,,,911.76,911.76,6
APC,9357,Inj. eptinezumab-jjmr 1 mg ,,,20.89,64.36,32
APC,9357,Inj. eptinezumab-jjmr 1 mg Trauma,,,50.64,50.64,6
APC,9358,Inj xipere 1 mg ,,,47.29,145.7,32
APC,9358,Inj xipere 1 mg Trauma,,,114.65,114.65,6
APC,9359,Inj crizanlizumab-tmca 5mg ,,,128.64,396.31,32
APC,9359,Inj crizanlizumab-tmca 5mg Trauma,,,311.85,311.85,6
APC,936,"Inj, leucovorin cal (avyxa ",,,2.55,7.85,32
APC,936,"Inj, leucovorin cal (avyxa Trauma",,,6.18,6.18,6
APC,9361,Inj. cetirizine hcl 0.5mg ,,,16.98,52.33,32
APC,9361,Inj. cetirizine hcl 0.5mg Trauma,,,41.17,41.17,6
APC,9364,Inj enfort vedo-ejfv 0.25m ,,,36.29,111.81,32
APC,9364,Inj enfort vedo-ejfv 0.25m Trauma,,,87.98,87.98,6
APC,9367,"Inj ruxience, 10 mg ",,,16.0,49.29,32
APC,9367,"Inj ruxience, 10 mg Trauma",,,38.78,38.78,6
APC,937,Inj fosfomycin disodium 20 ,,,0.62,1.91,32
APC,937,Inj fosfomycin disodium 20 Trauma,,,1.5,1.5,6
APC,9370,Fluoroestradiol F 18 ,,,455.82,1404.28,32
APC,9370,Fluoroestradiol F 18 Trauma,,,1105.01,1105.01,6
APC,9372,"Inj. xembify, 100 mg ",,,15.09,46.49,32
APC,9372,"Inj. xembify, 100 mg Trauma",,,36.58,36.58,6
APC,9374,Mitomycin instillation ,,,326.64,1006.31,32
APC,9374,Mitomycin instillation Trauma,,,791.85,791.85,6
APC,9375,"Inj., evomela, 1 mg ",,,17.86,55.03,32
APC,9375,"Inj., evomela, 1 mg Trauma",,,43.31,43.31,6
APC,9376,Sacituzumab govitecan-hziy ,,,37.26,114.8,32
APC,9376,Sacituzumab govitecan-hziy Trauma,,,90.34,90.34,6
APC,9377,Inj. isatuximab-irfc 10 mg ,,,87.28,268.89,32
APC,9377,Inj. isatuximab-irfc 10 mg Trauma,,,211.58,211.58,6
APC,9378,"Daratumumab, hyaluronidase ",,,56.48,174.01,32
APC,9378,"Daratumumab, hyaluronidase Trauma",,,136.92,136.92,6
APC,938,"Narsoplimab-wuug, 1 mg ",,,101.43,312.49,32
APC,938,"Narsoplimab-wuug, 1 mg Trauma",,,245.9,245.9,6
APC,9381,"Inj. avsola, 10 mg ",,,30.52,94.03,32
APC,9381,"Inj. avsola, 10 mg Trauma",,,73.99,73.99,6
APC,9382,Inj ontruzant 10 mg ,,,20.78,64.02,32
APC,9382,Inj ontruzant 10 mg Trauma,,,50.37,50.37,6
APC,9383,Copper cu 64 dotatate diag ,,,588.34,1812.55,32
APC,9383,Copper cu 64 dotatate diag Trauma,,,1426.27,1426.27,6
APC,9385,"Inj., tafasitamab-cxix ",,,14.28,44.01,32
APC,9385,"Inj., tafasitamab-cxix Trauma",,,34.63,34.63,6
APC,9388,Inj. fe derisomaltose 10 m ,,,20.87,64.28,32
APC,9388,Inj. fe derisomaltose 10 m Trauma,,,50.58,50.58,6
APC,9389,"Inj. lurbinectedin, 0.1 mg ",,,213.79,658.65,32
APC,9389,"Inj. lurbinectedin, 0.1 mg Trauma",,,518.28,518.28,6
APC,939,"Inj, qivigy, 100mg ",,,29.29,90.23,32
APC,939,"Inj, qivigy, 100mg Trauma",,,71.0,71.0,6
APC,9390,"Pertuzu, trastuzu, 10 mg ",,,59.3,182.68,32
APC,9390,"Pertuzu, trastuzu, 10 mg Trauma",,,143.75,143.75,6
APC,9391,Brexucabtagene car pos t ,,,505002.86,1555816.9,32
APC,9391,Brexucabtagene car pos t Trauma,,,1224249.36,1224249.36,6
APC,9392,Inj. asceniv ,,,504.05,1552.87,32
APC,9392,Inj. asceniv Trauma,,,1221.93,1221.93,6
APC,9394,"Inj. inebilizumab-cdon, 1 ",,,505.55,1557.49,32
APC,9394,"Inj. inebilizumab-cdon, 1 Trauma",,,1225.56,1225.56,6
APC,9395,Factor viia recomb sevenfa ,,,2.17,6.69,32
APC,9395,Factor viia recomb sevenfa Trauma,,,5.27,5.27,6
APC,9396,"Afamelanotide implant, 1 m ",,,2913.99,8977.43,32
APC,9396,"Afamelanotide implant, 1 m Trauma",,,7064.21,7064.21,6
APC,9398,Covid-19 Vaccine Administr ,,,42.01,129.44,32
APC,9398,Covid-19 Vaccine Administr Trauma,,,101.85,101.85,6
APC,9399,"Pneumococcal, Influenza, H ",,,37.29,114.88,32
APC,9399,"Pneumococcal, Influenza, H Trauma",,,90.4,90.4,6
APC,940,Inj depemokimab-ulaa 1 mg ,,,265.12,816.79,32
APC,940,Inj depemokimab-ulaa 1 mg Trauma,,,642.72,642.72,6
APC,9406,"Inj, nyvepria ",,,135.54,417.58,32
APC,9406,"Inj, nyvepria Trauma",,,328.59,328.59,6
APC,9407,"Inj. lumasiran, 0.5 mg ",,,333.6,1027.77,32
APC,9407,"Inj. lumasiran, 0.5 mg Trauma",,,808.74,808.74,6
APC,9408,"Inj. naxitamab-gqgk, 1 mg ",,,678.05,2088.94,32
APC,9408,"Inj. naxitamab-gqgk, 1 mg Trauma",,,1643.76,1643.76,6
APC,9409,Gallium ga-68 psma-11 ucsf ,,,544.63,1677.9,32
APC,9409,Gallium ga-68 psma-11 ucsf Trauma,,,1320.31,1320.31,6
APC,941,Riboflavin epioxa/hd<=2ml ,,,40023.22,123303.88,32
APC,941,Riboflavin epioxa/hd<=2ml Trauma,,,97026.0,97026.0,6
APC,9410,"Gallium ga-68 psma-11, ucl ",,,359.87,1108.67,32
APC,9410,"Gallium ga-68 psma-11, ucl Trauma",,,872.4,872.4,6
APC,9411,"Inj. riabni, 10 mg ",,,18.35,56.53,32
APC,9411,"Inj. riabni, 10 mg Trauma",,,44.48,44.48,6
APC,9412,"Injection, casimersen, 10 ",,,164.51,506.82,32
APC,9412,"Injection, casimersen, 10 Trauma",,,398.81,398.81,6
APC,9413,lisocabtagene car pos t ,,,573774.89,1767690.33,32
APC,9413,lisocabtagene car pos t Trauma,,,1390969.44,1390969.44,6
APC,9414,"Inj, cabote rilpivir 2mg 3 ",,,24.42,75.23,32
APC,9414,"Inj, cabote rilpivir 2mg 3 Trauma",,,59.2,59.2,6
APC,9415,"Injection, trilaciclib, 1m ",,,5.41,16.66,32
APC,9415,"Injection, trilaciclib, 1m Trauma",,,13.11,13.11,6
APC,9416,"Inj, evinacumab-dgnb, 5 mg ",,,195.66,602.78,32
APC,9416,"Inj, evinacumab-dgnb, 5 mg Trauma",,,474.32,474.32,6
APC,9418,"Inj. margetuximab-cmkb, 5 ",,,55.88,172.15,32
APC,9418,"Inj. margetuximab-cmkb, 5 Trauma",,,135.46,135.46,6
APC,9419,Inj fensolvi 0.25 mg ,,,143.86,443.2,32
APC,9419,Inj fensolvi 0.25 mg Trauma,,,348.75,348.75,6
APC,942,Inj amivantamab 5mg hyalur ,,,40.34,124.27,32
APC,942,Inj amivantamab 5mg hyalur Trauma,,,97.78,97.78,6
APC,9420,Eptifibatide injection ,,,3.83,11.8,32
APC,9420,Eptifibatide injection Trauma,,,9.28,9.28,6
APC,9421,"Inj, granisetron, xr, 0.1 ",,,3.18,9.81,32
APC,9421,"Inj, granisetron, xr, 0.1 Trauma",,,7.72,7.72,6
APC,9422,Idecabtagene vicleucel car ,,,562298.02,1732332.29,32
APC,9422,Idecabtagene vicleucel car Trauma,,,1363146.72,1363146.72,6
APC,9426,"Inj, cefiderocol, 10 mg ",,,2.52,7.77,32
APC,9426,"Inj, cefiderocol, 10 mg Trauma",,,6.12,6.12,6
APC,9427,"Injection, oritavancin 10 ",,,46.93,144.6,32
APC,9427,"Injection, oritavancin 10 Trauma",,,113.78,113.78,6
APC,9428,Inj romidepsin non-lyo 0.1 ,,,33.25,102.44,32
APC,9428,Inj romidepsin non-lyo 0.1 Trauma,,,80.61,80.61,6
APC,9429,Inj romidepsin lyophil 0.1 ,,,30.41,93.67,32
APC,9429,Inj romidepsin lyophil 0.1 Trauma,,,73.71,73.71,6
APC,943,Octagam injection ,,,46.59,143.52,32
APC,943,Octagam injection Trauma,,,112.93,112.93,6
APC,9430,"Piflu f-18, dia 1 millicur ",,,343.03,1056.79,32
APC,9430,"Piflu f-18, dia 1 millicur Trauma",,,831.58,831.58,6
APC,9431,"Inj, dostarlimab-gxly, 10 ",,,248.79,766.46,32
APC,9431,"Inj, dostarlimab-gxly, 10 Trauma",,,603.12,603.12,6
APC,9432,"Inj, amivantamab-vmjw ",,,22.99,70.82,32
APC,9432,"Inj, amivantamab-vmjw Trauma",,,55.73,55.73,6
APC,9433,Inj aval alfa-nqpt 4mg ,,,83.11,256.03,32
APC,9433,Inj aval alfa-nqpt 4mg Trauma,,,201.47,201.47,6
APC,9434,Inj anifrolumab-fnia 1mg ,,,18.32,56.45,32
APC,9434,Inj anifrolumab-fnia 1mg Trauma,,,44.42,44.42,6
APC,9436,Inj pegfilgrast ex bio 0.5 ,,,141.8,436.86,32
APC,9436,Inj pegfilgrast ex bio 0.5 Trauma,,,343.76,343.76,6
APC,9437,"Inj, aspara, rylaze, 0.1 m ",,,58.11,179.03,32
APC,9437,"Inj, aspara, rylaze, 0.1 m Trauma",,,140.88,140.88,6
APC,9439,"Inj, susvimo 0.1 mg ",,,74.05,228.12,32
APC,9439,"Inj, susvimo 0.1 mg Trauma",,,179.51,179.51,6
APC,944,Gammagard liquid/erc inj ,,,48.81,150.37,32
APC,944,Gammagard liquid/erc inj Trauma,,,118.33,118.33,6
APC,9440,"Instill, bupivac and melox ",,,0.84,2.58,32
APC,9440,"Instill, bupivac and melox Trauma",,,2.03,2.03,6
APC,9441,Inj ferric carboxymaltos 1 ,,,1.12,3.45,32
APC,9441,Inj ferric carboxymaltos 1 Trauma,,,2.72,2.72,6
APC,9442,"Inj. pemetrexed, 10 mg ",,,7.91,24.38,32
APC,9442,"Inj. pemetrexed, 10 mg Trauma",,,19.19,19.19,6
APC,9443,Gallium illuccix 1 millicu ,,,473.73,1459.49,32
APC,9443,Gallium illuccix 1 millicu Trauma,,,1148.45,1148.45,6
APC,9444,"Inj, sutimlimab-jome, 10 m ",,,19.45,59.91,32
APC,9444,"Inj, sutimlimab-jome, 10 m Trauma",,,47.14,47.14,6
APC,9445,"Injection, ruconest ",,,37.45,115.39,32
APC,9445,"Injection, ruconest Trauma",,,90.8,90.8,6
APC,9446,"Inj, tebentafusp-tebn, 1 m ",,,225.73,695.42,32
APC,9446,"Inj, tebentafusp-tebn, 1 m Trauma",,,547.21,547.21,6
APC,9447,"Inj, releuko 1 mcg ",,,0.31,0.95,32
APC,9447,"Inj, releuko 1 mcg Trauma",,,0.75,0.75,6
APC,9448,"Oral netupitant, palonoset ",,,469.3,1445.82,32
APC,9448,"Oral netupitant, palonoset Trauma",,,1137.69,1137.69,6
APC,9449,"Injection, blinatumomab ",,,171.17,527.35,32
APC,9449,"Injection, blinatumomab Trauma",,,414.96,414.96,6
APC,9450,Fluocinol acet intravit im ,,,511.24,1575.04,32
APC,9450,Fluocinol acet intravit im Trauma,,,1239.37,1239.37,6
APC,9451,"Injection, peramivir ",,,1.66,5.12,32
APC,9451,"Injection, peramivir Trauma",,,4.03,4.03,6
APC,9452,Inj ceftolozane tazobactam ,,,9.94,30.62,32
APC,9452,Inj ceftolozane tazobactam Trauma,,,24.09,24.09,6
APC,9453,"Injection, nivolumab ",,,33.88,104.38,32
APC,9453,"Injection, nivolumab Trauma",,,82.13,82.13,6
APC,9454,"Inj, pasireotide long acti ",,,610.54,1880.96,32
APC,9454,"Inj, pasireotide long acti Trauma",,,1480.1,1480.1,6
APC,9455,"Injection, siltuximab ",,,172.33,530.9,32
APC,9455,"Injection, siltuximab Trauma",,,417.76,417.76,6
APC,9456,"Injection, isavuconazonium ",,,1.02,3.13,32
APC,9456,"Injection, isavuconazonium Trauma",,,2.46,2.46,6
APC,9458,Florbetaben f18 diagnostic ,,,1568.82,4833.24,32
APC,9458,Florbetaben f18 diagnostic Trauma,,,3803.21,3803.21,6
APC,9459,Flutemetamol f18 diagnosti ,,,1924.57,5929.23,32
APC,9459,Flutemetamol f18 diagnosti Trauma,,,4665.62,4665.62,6
APC,946,Hepagam b im injection ,,,64.95,200.11,32
APC,946,Hepagam b im injection Trauma,,,157.46,157.46,6
APC,9460,"Injection, cangrelor ",,,20.07,61.84,32
APC,9460,"Injection, cangrelor Trauma",,,48.66,48.66,6
APC,9461,Choline c-11 ,,,2491.27,7675.11,32
APC,9461,Choline c-11 Trauma,,,6039.43,6039.43,6
APC,9463,"Inj., aprepitant, 1 mg ",,,1.58,4.85,32
APC,9463,"Inj., aprepitant, 1 mg Trauma",,,3.82,3.82,6
APC,9466,"Inj., benralizumab, 1 mg ",,,163.91,504.97,32
APC,9466,"Inj., benralizumab, 1 mg Trauma",,,397.35,397.35,6
APC,9467,"Inj rituximab, hyaluronida ",,,36.03,110.99,32
APC,9467,"Inj rituximab, hyaluronida Trauma",,,87.33,87.33,6
APC,9468,Factor ix recomb gly rebin ,,,4.63,14.26,32
APC,9468,Factor ix recomb gly rebin Trauma,,,11.22,11.22,6
APC,9469,Inj triamcinolone ace xr 1 ,,,19.09,58.8,32
APC,9469,Inj triamcinolone ace xr 1 Trauma,,,46.27,46.27,6
APC,947,Flebogamma injection ,,,89.83,276.76,32
APC,947,Flebogamma injection Trauma,,,217.78,217.78,6
APC,9470,Aripirazole lauroxil 1 mg ,,,3.52,10.85,32
APC,9470,Aripirazole lauroxil 1 mg Trauma,,,8.54,8.54,6
APC,9471,"Hyaluronan, hymo or hymo o ",,,17.95,55.3,32
APC,9471,"Hyaluronan, hymo or hymo o Trauma",,,43.51,43.51,6
APC,9472,Inj talimogene laherparepv ,,,76.57,235.88,32
APC,9472,Inj talimogene laherparepv Trauma,,,185.61,185.61,6
APC,9473,"Injection, mepolizumab, 1m ",,,31.96,98.46,32
APC,9473,"Injection, mepolizumab, 1m Trauma",,,77.47,77.47,6
APC,9474,Inj irinotecan liposome 1 ,,,65.2,200.88,32
APC,9474,Inj irinotecan liposome 1 Trauma,,,158.07,158.07,6
APC,9475,"Injection, necitumumab, 1 ",,,5.67,17.48,32
APC,9475,"Injection, necitumumab, 1 Trauma",,,13.75,13.75,6
APC,9476,"Injection, daratumumab 10 ",,,73.03,225.0,32
APC,9476,"Injection, daratumumab 10 Trauma",,,177.05,177.05,6
APC,9477,"Injection, elotuzumab, 1mg ",,,8.11,24.98,32
APC,9477,"Injection, elotuzumab, 1mg Trauma",,,19.65,19.65,6
APC,9478,Inj sebelipase alfa 1 mg ,,,534.2,1645.78,32
APC,9478,Inj sebelipase alfa 1 mg Trauma,,,1295.04,1295.04,6
APC,948,Gamunex-C/Gammaked ,,,48.52,149.49,32
APC,948,Gamunex-C/Gammaked Trauma,,,117.63,117.63,6
APC,9480,Injection trabectedin 0.1m ,,,406.37,1251.96,32
APC,9480,Injection trabectedin 0.1m Trauma,,,985.15,985.15,6
APC,9481,"Injection, reslizumab ",,,11.61,35.77,32
APC,9481,"Injection, reslizumab Trauma",,,28.15,28.15,6
APC,9483,"Inj, atezolizumab,10 mg ",,,95.58,294.47,32
APC,9483,"Inj, atezolizumab,10 mg Trauma",,,231.71,231.71,6
APC,9484,"Inj, eteplirsen, 10 mg ",,,165.75,510.65,32
APC,9484,"Inj, eteplirsen, 10 mg Trauma",,,401.82,401.82,6
APC,9487,"Ustekinumab, iv inject,1 m ",,,11.24,34.64,32
APC,9487,"Ustekinumab, iv inject,1 m Trauma",,,27.25,27.25,6
APC,9489,"Inj, nusinersen, 0.1mg ",,,1320.12,4067.02,32
APC,9489,"Inj, nusinersen, 0.1mg Trauma",,,3200.28,3200.28,6
APC,949,"Inj, denosumab-qbde, 1 mg ",,,4.08,12.57,32
APC,949,"Inj, denosumab-qbde, 1 mg Trauma",,,9.89,9.89,6
APC,9490,"Inj, bezlotoxumab, 10 mg ",,,39.43,121.47,32
APC,9490,"Inj, bezlotoxumab, 10 mg Trauma",,,95.58,95.58,6
APC,9491,"Injection, avelumab, 10 mg ",,,107.55,331.34,32
APC,9491,"Injection, avelumab, 10 mg Trauma",,,260.73,260.73,6
APC,9492,"Inj., durvalumab, 10 mg ",,,87.07,268.25,32
APC,9492,"Inj., durvalumab, 10 mg Trauma",,,211.08,211.08,6
APC,9493,"Injection, edaravone, 1 mg ",,,6.4,19.71,32
APC,9493,"Injection, edaravone, 1 mg Trauma",,,15.51,15.51,6
APC,9494,"Injection, ocrelizumab ",,,60.36,185.96,32
APC,9494,"Injection, ocrelizumab Trauma",,,146.33,146.33,6
APC,9495,Gemtuzumab ozogamicin inj ,,,244.9,754.48,32
APC,9495,Gemtuzumab ozogamicin inj Trauma,,,593.69,593.69,6
APC,9496,"Inj, faricimab-svoa, 0.1mg ",,,32.06,98.76,32
APC,9496,"Inj, faricimab-svoa, 0.1mg Trauma",,,77.71,77.71,6
APC,9498,Ciltacabtagene car-pos t ,,,582098.02,1793332.29,32
APC,9498,Ciltacabtagene car-pos t Trauma,,,1411146.72,1411146.72,6
APC,950,"Inj, tocilizumab-anoh, 1 m ",,,4.65,14.31,32
APC,950,"Inj, tocilizumab-anoh, 1 m Trauma",,,11.26,11.26,6
APC,9500,"Platelets, irradiated ",,,389.04,1198.56,32
APC,9500,"Platelets, irradiated Trauma",,,943.13,943.13,6
APC,9501,Platelet pheres leukoreduc ,,,506.47,1560.35,32
APC,9501,Platelet pheres leukoreduc Trauma,,,1227.82,1227.82,6
APC,9502,Platelet pheresis irradiat ,,,939.64,2894.85,32
APC,9502,Platelet pheresis irradiat Trauma,,,2277.91,2277.91,6
APC,9503,Fr frz plasma donor retest ,,,52.72,162.41,32
APC,9503,Fr frz plasma donor retest Trauma,,,127.8,127.8,6
APC,9504,RBC deglycerolized ,,,309.87,954.65,32
APC,9504,RBC deglycerolized Trauma,,,751.2,751.2,6
APC,9505,RBC irradiated ,,,143.77,442.92,32
APC,9505,RBC irradiated Trauma,,,348.53,348.53,6
APC,9507,"Platelets, pheresis ",,,305.87,942.33,32
APC,9507,"Platelets, pheresis Trauma",,,741.5,741.5,6
APC,9508,Plasma 1 donor frz w/in 8 ,,,85.12,262.24,32
APC,9508,Plasma 1 donor frz w/in 8 Trauma,,,206.35,206.35,6
APC,9509,"Frozen plasma, pooled, sd ",,,55.4,170.68,32
APC,9509,"Frozen plasma, pooled, sd Trauma",,,134.3,134.3,6
APC,951,"Inj, denosumab-kyqq, 1 mg ",,,13.86,42.7,32
APC,951,"Inj, denosumab-kyqq, 1 mg Trauma",,,33.6,33.6,6
APC,9510,Whole blood for transfusio ,,,187.94,579.01,32
APC,9510,Whole blood for transfusio Trauma,,,455.62,455.62,6
APC,9511,Cryoprecipitate each unit ,,,71.23,219.45,32
APC,9511,Cryoprecipitate each unit Trauma,,,172.68,172.68,6
APC,9512,RBC leukocytes reduced ,,,183.06,563.98,32
APC,9512,RBC leukocytes reduced Trauma,,,443.78,443.78,6
APC,9513,"Plasma, frz between 8-24ho ",,,73.03,225.0,32
APC,9513,"Plasma, frz between 8-24ho Trauma",,,177.05,177.05,6
APC,9514,"Plasma protein fract,5%,50 ",,,8.03,24.74,32
APC,9514,"Plasma protein fract,5%,50 Trauma",,,19.46,19.46,6
APC,9515,"Platelets, each unit ",,,52.64,162.17,32
APC,9515,"Platelets, each unit Trauma",,,127.61,127.61,6
APC,9516,Plaelet rich plasma unit ,,,554.19,1707.36,32
APC,9516,Plaelet rich plasma unit Trauma,,,1343.5,1343.5,6
APC,9517,Red blood cells unit ,,,149.06,459.24,32
APC,9517,Red blood cells unit Trauma,,,361.37,361.37,6
APC,9518,Washed red blood cells uni ,,,364.89,1124.17,32
APC,9518,Washed red blood cells uni Trauma,,,884.59,884.59,6
APC,9519,"Plasmaprotein fract,5%,250 ",,,34.97,107.73,32
APC,9519,"Plasmaprotein fract,5%,250 Trauma",,,84.77,84.77,6
APC,952,"Inj ustekinumab-srlf, 1 mg ",,,11.44,35.23,32
APC,952,"Inj ustekinumab-srlf, 1 mg Trauma",,,27.72,27.72,6
APC,9520,Blood split unit ,,,154.28,475.31,32
APC,9520,Blood split unit Trauma,,,374.02,374.02,6
APC,9521,Platelets leukoreduced irr ,,,187.69,578.25,32
APC,9521,Platelets leukoreduced irr Trauma,,,455.02,455.02,6
APC,9522,RBC leukoreduced irradiate ,,,262.76,809.5,32
APC,9522,RBC leukoreduced irradiate Trauma,,,636.98,636.98,6
APC,9523,Cryoprecipitatereducedplas ,,,130.73,402.75,32
APC,9523,Cryoprecipitatereducedplas Trauma,,,316.92,316.92,6
APC,9524,"Blood, l/r, cmv-neg ",,,150.06,462.32,32
APC,9524,"Blood, l/r, cmv-neg Trauma",,,363.79,363.79,6
APC,9525,"Platelets, hla-m, l/r, uni ",,,700.98,2159.58,32
APC,9525,"Platelets, hla-m, l/r, uni Trauma",,,1699.34,1699.34,6
APC,9526,Platelets leukocytes reduc ,,,142.82,439.99,32
APC,9526,Platelets leukocytes reduc Trauma,,,346.22,346.22,6
APC,9527,"Blood, l/r, froz/degly/was ",,,262.54,808.83,32
APC,9527,"Blood, l/r, froz/degly/was Trauma",,,636.46,636.46,6
APC,9528,"Plt, aph/pher, l/r, cmv-ne ",,,247.99,763.99,32
APC,9528,"Plt, aph/pher, l/r, cmv-ne Trauma",,,601.18,601.18,6
APC,9529,"Blood, l/r, irradiated ",,,83.7,257.88,32
APC,9529,"Blood, l/r, irradiated Trauma",,,202.92,202.92,6
APC,953,Ibuprofen injection ,,,3.22,9.92,32
APC,953,Ibuprofen injection Trauma,,,7.8,7.8,6
APC,9530,Plate pheres leukoredu irr ,,,673.8,2075.86,32
APC,9530,Plate pheres leukoredu irr Trauma,,,1633.46,1633.46,6
APC,9531,"Plt, pher, l/r cmv-neg, ir ",,,498.42,1535.52,32
APC,9531,"Plt, pher, l/r cmv-neg, ir Trauma",,,1208.28,1208.28,6
APC,9532,"RBC, frz/deg/wsh, l/r, irr ",,,418.46,1289.2,32
APC,9532,"RBC, frz/deg/wsh, l/r, irr Trauma",,,1014.46,1014.46,6
APC,9533,"RBC, l/r, cmv-neg, irrad ",,,246.91,760.67,32
APC,9533,"RBC, l/r, cmv-neg, irrad Trauma",,,598.56,598.56,6
APC,9534,Pathogen reduced plasma po ,,,55.22,170.13,32
APC,9534,Pathogen reduced plasma po Trauma,,,133.87,133.87,6
APC,9535,Pathogen reduced plasma si ,,,291.54,898.16,32
APC,9535,Pathogen reduced plasma si Trauma,,,706.75,706.75,6
APC,9536,Platelets pheresis path re ,,,601.36,1852.66,32
APC,9536,Platelets pheresis path re Trauma,,,1457.83,1457.83,6
APC,9537,Blood component/product no ,,,34.97,107.73,32
APC,9537,Blood component/product no Trauma,,,84.77,84.77,6
APC,9538,Plasma cryo redu path each ,,,132.42,407.97,32
APC,9538,Plasma cryo redu path each Trauma,,,321.02,321.02,6
APC,9539,Cryo fib comp path redu ea ,,,543.79,1675.3,32
APC,9539,Cryo fib comp path redu ea Trauma,,,1318.27,1318.27,6
APC,9540,Covid-19 convalescent plas ,,,673.23,2074.09,32
APC,9540,Covid-19 convalescent plas Trauma,,,1632.07,1632.07,6
APC,9541,Rbc o2 co2 reduced ,,,506.47,1560.35,32
APC,9541,Rbc o2 co2 reduced Trauma,,,1227.82,1227.82,6
APC,957,Inj belantamab mafodot blm ,,,35.89,110.56,32
APC,957,Inj belantamab mafodot blm Trauma,,,87.0,87.0,6
APC,961,"Albumin (human),5%, 50ml ",,,10.51,32.38,32
APC,961,"Albumin (human),5%, 50ml Trauma",,,25.48,25.48,6
APC,963,"Albumin (human), 5%, 250 m ",,,52.55,161.89,32
APC,963,"Albumin (human), 5%, 250 m Trauma",,,127.39,127.39,6
APC,964,"Albumin (human), 25%, 20 m ",,,21.12,65.06,32
APC,964,"Albumin (human), 25%, 20 m Trauma",,,51.19,51.19,6
APC,965,"Albumin (human), 25%, 50ml ",,,52.79,162.64,32
APC,965,"Albumin (human), 25%, 50ml Trauma",,,127.98,127.98,6
APC,T0002,Maternity Observation ,,,1508.76,1508.76,1
APC,T0003,Debride abdom wall ,,,337.81,337.81,1
APC,T0004,Breast reconstruction ,,,1210.37,1210.37,1
APC,T0008,"Thoracoscopy, surgical ",,,808.38,808.38,1
APC,T0010,Removal of gallbladder ,,,1131.7,1131.7,1
APC,T0011,Removal of gallbladder ,,,1318.37,1318.37,1
APC,T0012,Removal of fallopian tube ,,,710.78,710.78,1
APC,T0013,Removal of ovary/tube(s) ,,,1498.2,1498.2,1
APC,T0014,Revise fallopian tube(s) ,,,646.34,646.34,1
APC,T0017,Laparoscopic banding revis ,,,589.98,589.98,1
APC,T0018,Laparoscopic banding adjus ,,,60.68,60.68,1
APC,T0020,Methadone Opioid Treatment ,,,152.27,152.27,1
APC,T0130,Laparoscopic ileostomy or ,,,3645.84,3645.84,1
APC,T0175,Intensive Outpatient Progr ,,,219.02,219.02,1
APC,T1084,Denileukin diftitox inj ,,,2008.62,2008.62,1
APC,T1239,Rotavirus vacc 2 dose oral ,,,135.09,135.09,1
APC,T1355,Itraconazole injection ,,,0.39,0.39,1
APC,T1357,Inj protirelin per 250 mcg ,,,37.01,37.01,1
APC,T1361,Enfuvirtide injection ,,,22.02,22.02,1
APC,T1435,Injection estrone per 1 MG ,,,1.92,1.92,1
APC,T1842,Leuprolide acetate implant ,,,199.2,199.2,1
APC,T2644,Brachytx cesium-131 chlori ,,,118.5,118.5,1
APC,T3050,Sermorelin acetate injecti ,,,2.23,2.23,1
APC,T5122,Level 2 Musculoskeletal Pr ,,,2945.08,2945.08,1
APC,T5271,Blood Product Exchange and ,,,1288.1,1288.1,1
APC,T5521,Level 1 Imaging without Co ,,,74.73,74.73,1
APC,T5861,Partial Hospitalization (m ,,,225.47,225.47,1
APC,T9060,Diazoxide injection ,,,815.81,815.81,1
APC,T9506,"Granulocytes, pheresis uni ",,,1826.35,1826.35,1
APR-DRG,0011,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT ,,,24326.31,36489.47,13
APR-DRG,0011,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Mental Health Geriatric,,,29191.57,29191.57,6
APR-DRG,0012,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT ,,,26045.26,39067.89,13
APR-DRG,0012,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Mental Health Geriatric,,,31254.31,31254.31,6
APR-DRG,0013,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT ,,,33134.43,49701.65,13
APR-DRG,0013,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Mental Health Geriatric,,,39761.32,39761.32,6
APR-DRG,0014,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT ,,,70514.29,105771.43,13
APR-DRG,0014,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT Mental Health Geriatric,,,84617.15,84617.15,6
APR-DRG,0021,HEART AND/OR LUNG TRANSPLANT ,,,43873.11,65809.67,13
APR-DRG,0021,HEART AND/OR LUNG TRANSPLANT Mental Health Geriatric,,,52647.73,52647.73,6
APR-DRG,0022,HEART AND/OR LUNG TRANSPLANT ,,,46973.97,70460.96,13
APR-DRG,0022,HEART AND/OR LUNG TRANSPLANT Mental Health Geriatric,,,56368.76,56368.76,6
APR-DRG,0023,HEART AND/OR LUNG TRANSPLANT ,,,65552.71,98329.07,13
APR-DRG,0023,HEART AND/OR LUNG TRANSPLANT Mental Health Geriatric,,,78663.25,78663.25,6
APR-DRG,0024,HEART AND/OR LUNG TRANSPLANT ,,,134458.54,201687.81,13
APR-DRG,0024,HEART AND/OR LUNG TRANSPLANT Mental Health Geriatric,,,161350.25,161350.25,6
APR-DRG,0041,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE ,,,18253.85,27380.77,13
APR-DRG,0041,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Mental Health Geriatric,,,21904.62,21904.62,6
APR-DRG,0042,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE ,,,27418.13,41127.19,13
APR-DRG,0042,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Mental Health Geriatric,,,32901.76,32901.76,6
APR-DRG,0043,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE ,,,43548.57,65322.85,13
APR-DRG,0043,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Mental Health Geriatric,,,52258.28,52258.28,6
APR-DRG,0044,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE ,,,69430.17,104145.26,13
APR-DRG,0044,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Mental Health Geriatric,,,83316.2,83316.2,6
APR-DRG,0051,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE ,,,10923.89,16385.83,13
APR-DRG,0051,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE Mental Health Geriatric,,,13108.67,13108.67,6
APR-DRG,0052,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE ,,,20974.92,31462.38,13
APR-DRG,0052,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE Mental Health Geriatric,,,25169.9,25169.9,6
APR-DRG,0053,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE ,,,31539.52,47309.28,13
APR-DRG,0053,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE Mental Health Geriatric,,,37847.42,37847.42,6
APR-DRG,0054,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE ,,,47460.78,71191.17,13
APR-DRG,0054,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE Mental Health Geriatric,,,56952.94,56952.94,6
APR-DRG,0061,PANCREAS TRANSPLANT ,,,20077.4,30116.1,13
APR-DRG,0061,PANCREAS TRANSPLANT Mental Health Geriatric,,,24092.88,24092.88,6
APR-DRG,0062,PANCREAS TRANSPLANT ,,,27787.15,41680.73,13
APR-DRG,0062,PANCREAS TRANSPLANT Mental Health Geriatric,,,33344.58,33344.58,6
APR-DRG,0063,PANCREAS TRANSPLANT ,,,33528.81,50293.21,13
APR-DRG,0063,PANCREAS TRANSPLANT Mental Health Geriatric,,,40234.57,40234.57,6
APR-DRG,0064,PANCREAS TRANSPLANT ,,,41018.96,61528.44,13
APR-DRG,0064,PANCREAS TRANSPLANT Mental Health Geriatric,,,49222.75,49222.75,6
APR-DRG,0071,ALLOGENEIC BONE MARROW TRANSPLANT ,,,25732.88,38599.32,13
APR-DRG,0071,ALLOGENEIC BONE MARROW TRANSPLANT Mental Health Geriatric,,,30879.46,30879.46,6
APR-DRG,0072,ALLOGENEIC BONE MARROW TRANSPLANT ,,,30546.44,45819.66,13
APR-DRG,0072,ALLOGENEIC BONE MARROW TRANSPLANT Mental Health Geriatric,,,36655.73,36655.73,6
APR-DRG,0073,ALLOGENEIC BONE MARROW TRANSPLANT ,,,44681.33,67021.99,13
APR-DRG,0073,ALLOGENEIC BONE MARROW TRANSPLANT Mental Health Geriatric,,,53617.6,53617.6,6
APR-DRG,0074,ALLOGENEIC BONE MARROW TRANSPLANT ,,,78328.28,117492.42,13
APR-DRG,0074,ALLOGENEIC BONE MARROW TRANSPLANT Mental Health Geriatric,,,93993.94,93993.94,6
APR-DRG,0081,AUTOLOGOUS BONE MARROW TRANSPLANT ,,,14131.77,21197.65,13
APR-DRG,0081,AUTOLOGOUS BONE MARROW TRANSPLANT Mental Health Geriatric,,,16958.12,16958.12,6
APR-DRG,0082,AUTOLOGOUS BONE MARROW TRANSPLANT ,,,16014.03,24021.05,13
APR-DRG,0082,AUTOLOGOUS BONE MARROW TRANSPLANT Mental Health Geriatric,,,19216.84,19216.84,6
APR-DRG,0083,AUTOLOGOUS BONE MARROW TRANSPLANT ,,,20719.53,31079.29,13
APR-DRG,0083,AUTOLOGOUS BONE MARROW TRANSPLANT Mental Health Geriatric,,,24863.44,24863.44,6
APR-DRG,0084,AUTOLOGOUS BONE MARROW TRANSPLANT ,,,34208.12,51312.18,13
APR-DRG,0084,AUTOLOGOUS BONE MARROW TRANSPLANT Mental Health Geriatric,,,41049.74,41049.74,6
APR-DRG,0091,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) ,,,20445.02,30667.53,13
APR-DRG,0091,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Mental Health Geriatric,,,24534.02,24534.02,6
APR-DRG,0092,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) ,,,21521.15,32281.73,13
APR-DRG,0092,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Mental Health Geriatric,,,25825.38,25825.38,6
APR-DRG,0093,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) ,,,51994.97,77992.46,13
APR-DRG,0093,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Mental Health Geriatric,,,62393.96,62393.96,6
APR-DRG,0094,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) ,,,92542.4,138813.6,13
APR-DRG,0094,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) Mental Health Geriatric,,,111050.88,111050.88,6
APR-DRG,0111,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,36235.28,54352.92,13
APR-DRG,0111,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Mental Health Geriatric,,,43482.34,43482.34,6
APR-DRG,0112,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,78527.73,117791.6,13
APR-DRG,0112,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Mental Health Geriatric,,,94233.28,94233.28,6
APR-DRG,0113,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,92546.57,138819.86,13
APR-DRG,0113,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Mental Health Geriatric,,,111055.88,111055.88,6
APR-DRG,0114,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,120112.03,180168.04,13
APR-DRG,0114,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Mental Health Geriatric,,,144134.44,144134.44,6
APR-DRG,0201,OPEN CRANIOTOMY FOR TRAUMA ,,,7548.87,11323.31,13
APR-DRG,0201,OPEN CRANIOTOMY FOR TRAUMA Mental Health Geriatric,,,9058.64,9058.64,6
APR-DRG,0202,OPEN CRANIOTOMY FOR TRAUMA ,,,9616.34,14424.51,13
APR-DRG,0202,OPEN CRANIOTOMY FOR TRAUMA Mental Health Geriatric,,,11539.61,11539.61,6
APR-DRG,0203,OPEN CRANIOTOMY FOR TRAUMA ,,,13261.0,19891.5,13
APR-DRG,0203,OPEN CRANIOTOMY FOR TRAUMA Mental Health Geriatric,,,15913.2,15913.2,6
APR-DRG,0204,OPEN CRANIOTOMY FOR TRAUMA ,,,19791.08,29686.62,13
APR-DRG,0204,OPEN CRANIOTOMY FOR TRAUMA Mental Health Geriatric,,,23749.3,23749.3,6
APR-DRG,0211,OPEN CRANIOTOMY EXCEPT TRAUMA ,,,8846.34,13269.51,13
APR-DRG,0211,OPEN CRANIOTOMY EXCEPT TRAUMA Mental Health Geriatric,,,10615.61,10615.61,6
APR-DRG,0212,OPEN CRANIOTOMY EXCEPT TRAUMA ,,,11630.3,17445.45,13
APR-DRG,0212,OPEN CRANIOTOMY EXCEPT TRAUMA Mental Health Geriatric,,,13956.36,13956.36,6
APR-DRG,0213,OPEN CRANIOTOMY EXCEPT TRAUMA ,,,16155.8,24233.7,13
APR-DRG,0213,OPEN CRANIOTOMY EXCEPT TRAUMA Mental Health Geriatric,,,19386.96,19386.96,6
APR-DRG,0214,OPEN CRANIOTOMY EXCEPT TRAUMA ,,,23728.3,35592.45,13
APR-DRG,0214,OPEN CRANIOTOMY EXCEPT TRAUMA Mental Health Geriatric,,,28473.96,28473.96,6
APR-DRG,0221,VENTRICULAR SHUNT PROCEDURES ,,,5295.5,7943.25,13
APR-DRG,0221,VENTRICULAR SHUNT PROCEDURES Mental Health Geriatric,,,6354.6,6354.6,6
APR-DRG,0222,VENTRICULAR SHUNT PROCEDURES ,,,6623.2,9934.8,13
APR-DRG,0222,VENTRICULAR SHUNT PROCEDURES Mental Health Geriatric,,,7947.84,7947.84,6
APR-DRG,0223,VENTRICULAR SHUNT PROCEDURES ,,,10047.91,15071.86,13
APR-DRG,0223,VENTRICULAR SHUNT PROCEDURES Mental Health Geriatric,,,12057.49,12057.49,6
APR-DRG,0224,VENTRICULAR SHUNT PROCEDURES ,,,18797.65,28196.48,13
APR-DRG,0224,VENTRICULAR SHUNT PROCEDURES Mental Health Geriatric,,,22557.18,22557.18,6
APR-DRG,0231,SPINAL PROCEDURES ,,,6452.24,9678.36,13
APR-DRG,0231,SPINAL PROCEDURES Mental Health Geriatric,,,7742.69,7742.69,6
APR-DRG,0232,SPINAL PROCEDURES ,,,9133.7,13700.55,13
APR-DRG,0232,SPINAL PROCEDURES Mental Health Geriatric,,,10960.44,10960.44,6
APR-DRG,0233,SPINAL PROCEDURES ,,,14738.11,22107.17,13
APR-DRG,0233,SPINAL PROCEDURES Mental Health Geriatric,,,17685.73,17685.73,6
APR-DRG,0234,SPINAL PROCEDURES ,,,22165.37,33248.06,13
APR-DRG,0234,SPINAL PROCEDURES Mental Health Geriatric,,,26598.44,26598.44,6
APR-DRG,0241,OPEN EXTRACRANIAL VASCULAR PROCEDURES ,,,3736.04,5604.06,13
APR-DRG,0241,OPEN EXTRACRANIAL VASCULAR PROCEDURES Mental Health Geriatric,,,4483.25,4483.25,6
APR-DRG,0242,OPEN EXTRACRANIAL VASCULAR PROCEDURES ,,,4930.66,7395.99,13
APR-DRG,0242,OPEN EXTRACRANIAL VASCULAR PROCEDURES Mental Health Geriatric,,,5916.79,5916.79,6
APR-DRG,0243,OPEN EXTRACRANIAL VASCULAR PROCEDURES ,,,8908.89,13363.33,13
APR-DRG,0243,OPEN EXTRACRANIAL VASCULAR PROCEDURES Mental Health Geriatric,,,10690.67,10690.67,6
APR-DRG,0244,OPEN EXTRACRANIAL VASCULAR PROCEDURES ,,,14535.53,21803.3,13
APR-DRG,0244,OPEN EXTRACRANIAL VASCULAR PROCEDURES Mental Health Geriatric,,,17442.64,17442.64,6
APR-DRG,0261,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES ,,,5204.12,7806.18,13
APR-DRG,0261,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,6244.94,6244.94,6
APR-DRG,0262,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES ,,,7908.86,11863.29,13
APR-DRG,0262,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,9490.63,9490.63,6
APR-DRG,0263,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES ,,,10165.7,15248.55,13
APR-DRG,0263,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,12198.84,12198.84,6
APR-DRG,0264,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES ,,,17221.51,25832.26,13
APR-DRG,0264,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,20665.81,20665.81,6
APR-DRG,0271,OTHER OPEN CRANIOTOMY ,,,6640.92,9961.38,13
APR-DRG,0271,OTHER OPEN CRANIOTOMY Mental Health Geriatric,,,7969.1,7969.1,6
APR-DRG,0272,OTHER OPEN CRANIOTOMY ,,,9429.4,14144.1,13
APR-DRG,0272,OTHER OPEN CRANIOTOMY Mental Health Geriatric,,,11315.28,11315.28,6
APR-DRG,0273,OTHER OPEN CRANIOTOMY ,,,13914.25,20871.38,13
APR-DRG,0273,OTHER OPEN CRANIOTOMY Mental Health Geriatric,,,16697.1,16697.1,6
APR-DRG,0274,OTHER OPEN CRANIOTOMY ,,,19319.21,28978.81,13
APR-DRG,0274,OTHER OPEN CRANIOTOMY Mental Health Geriatric,,,23183.05,23183.05,6
APR-DRG,0291,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES ,,,6988.4,10482.6,13
APR-DRG,0291,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES Mental Health Geriatric,,,8386.08,8386.08,6
APR-DRG,0292,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES ,,,8454.04,12681.06,13
APR-DRG,0292,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES Mental Health Geriatric,,,10144.85,10144.85,6
APR-DRG,0293,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES ,,,12745.0,19117.5,13
APR-DRG,0293,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES Mental Health Geriatric,,,15294.0,15294.0,6
APR-DRG,0294,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES ,,,17161.74,25742.61,13
APR-DRG,0294,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES Mental Health Geriatric,,,20594.09,20594.09,6
APR-DRG,0301,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES ,,,5900.46,8850.69,13
APR-DRG,0301,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES Mental Health Geriatric,,,7080.55,7080.55,6
APR-DRG,0302,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES ,,,10064.93,15097.4,13
APR-DRG,0302,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES Mental Health Geriatric,,,12077.92,12077.92,6
APR-DRG,0303,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES ,,,12936.46,19404.69,13
APR-DRG,0303,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES Mental Health Geriatric,,,15523.75,15523.75,6
APR-DRG,0304,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES ,,,17486.63,26229.94,13
APR-DRG,0304,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES Mental Health Geriatric,,,20983.96,20983.96,6
APR-DRG,0401,SPINAL DISORDERS AND INJURIES ,,,4034.52,6051.78,13
APR-DRG,0401,SPINAL DISORDERS AND INJURIES Mental Health Geriatric,,,4841.42,4841.42,6
APR-DRG,0402,SPINAL DISORDERS AND INJURIES ,,,5618.65,8427.97,13
APR-DRG,0402,SPINAL DISORDERS AND INJURIES Mental Health Geriatric,,,6742.38,6742.38,6
APR-DRG,0403,SPINAL DISORDERS AND INJURIES ,,,8005.45,12008.17,13
APR-DRG,0403,SPINAL DISORDERS AND INJURIES Mental Health Geriatric,,,9606.54,9606.54,6
APR-DRG,0404,SPINAL DISORDERS AND INJURIES ,,,10828.68,16243.02,13
APR-DRG,0404,SPINAL DISORDERS AND INJURIES Mental Health Geriatric,,,12994.42,12994.42,6
APR-DRG,0411,NERVOUS SYSTEM MALIGNANCY ,,,2815.23,4222.85,13
APR-DRG,0411,NERVOUS SYSTEM MALIGNANCY Mental Health Geriatric,,,3378.28,3378.28,6
APR-DRG,0412,NERVOUS SYSTEM MALIGNANCY ,,,3621.03,5431.55,13
APR-DRG,0412,NERVOUS SYSTEM MALIGNANCY Mental Health Geriatric,,,4345.24,4345.24,6
APR-DRG,0413,NERVOUS SYSTEM MALIGNANCY ,,,5214.54,7821.81,13
APR-DRG,0413,NERVOUS SYSTEM MALIGNANCY Mental Health Geriatric,,,6257.45,6257.45,6
APR-DRG,0414,NERVOUS SYSTEM MALIGNANCY ,,,8340.07,12510.1,13
APR-DRG,0414,NERVOUS SYSTEM MALIGNANCY Mental Health Geriatric,,,10008.08,10008.08,6
APR-DRG,0421,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS ,,,2937.89,4406.84,13
APR-DRG,0421,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Mental Health Geriatric,,,3525.47,3525.47,6
APR-DRG,0422,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS ,,,3775.65,5663.48,13
APR-DRG,0422,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Mental Health Geriatric,,,4530.78,4530.78,6
APR-DRG,0423,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS ,,,5434.15,8151.22,13
APR-DRG,0423,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Mental Health Geriatric,,,6520.98,6520.98,6
APR-DRG,0424,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS ,,,9969.03,14953.55,13
APR-DRG,0424,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS Mental Health Geriatric,,,11962.84,11962.84,6
APR-DRG,0431,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES ",,,3183.9,4775.85,13
APR-DRG,0431,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES Mental Health Geriatric",,,3820.68,3820.68,6
APR-DRG,0432,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES ",,,4654.76,6982.14,13
APR-DRG,0432,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES Mental Health Geriatric",,,5585.71,5585.71,6
APR-DRG,0433,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES ",,,8681.64,13022.46,13
APR-DRG,0433,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES Mental Health Geriatric",,,10417.97,10417.97,6
APR-DRG,0434,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES ",,,15963.65,23945.47,13
APR-DRG,0434,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES Mental Health Geriatric",,,19156.38,19156.38,6
APR-DRG,0441,INTRACRANIAL HEMORRHAGE ,,,3252.01,4878.02,13
APR-DRG,0441,INTRACRANIAL HEMORRHAGE Mental Health Geriatric,,,3902.41,3902.41,6
APR-DRG,0442,INTRACRANIAL HEMORRHAGE ,,,4258.29,6387.43,13
APR-DRG,0442,INTRACRANIAL HEMORRHAGE Mental Health Geriatric,,,5109.95,5109.95,6
APR-DRG,0443,INTRACRANIAL HEMORRHAGE ,,,6106.86,9160.29,13
APR-DRG,0443,INTRACRANIAL HEMORRHAGE Mental Health Geriatric,,,7328.23,7328.23,6
APR-DRG,0444,INTRACRANIAL HEMORRHAGE ,,,9480.83,14221.24,13
APR-DRG,0444,INTRACRANIAL HEMORRHAGE Mental Health Geriatric,,,11377.0,11377.0,6
APR-DRG,0451,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION ,,,2766.59,4149.89,13
APR-DRG,0451,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION Mental Health Geriatric,,,3319.91,3319.91,6
APR-DRG,0452,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION ,,,3561.96,5342.94,13
APR-DRG,0452,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION Mental Health Geriatric,,,4274.35,4274.35,6
APR-DRG,0453,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION ,,,5460.9,8191.35,13
APR-DRG,0453,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION Mental Health Geriatric,,,6553.08,6553.08,6
APR-DRG,0454,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION ,,,8864.41,13296.61,13
APR-DRG,0454,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION Mental Health Geriatric,,,10637.29,10637.29,6
APR-DRG,0461,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION ,,,3046.65,4569.98,13
APR-DRG,0461,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION Mental Health Geriatric,,,3655.98,3655.98,6
APR-DRG,0462,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION ,,,3803.45,5705.17,13
APR-DRG,0462,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION Mental Health Geriatric,,,4564.14,4564.14,6
APR-DRG,0463,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION ,,,4960.89,7441.34,13
APR-DRG,0463,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION Mental Health Geriatric,,,5953.07,5953.07,6
APR-DRG,0464,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION ,,,8787.62,13181.43,13
APR-DRG,0464,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION Mental Health Geriatric,,,10545.14,10545.14,6
APR-DRG,0471,TRANSIENT ISCHEMIA ,,,2736.01,4104.02,13
APR-DRG,0471,TRANSIENT ISCHEMIA Mental Health Geriatric,,,3283.21,3283.21,6
APR-DRG,0472,TRANSIENT ISCHEMIA ,,,3165.14,4747.71,13
APR-DRG,0472,TRANSIENT ISCHEMIA Mental Health Geriatric,,,3798.17,3798.17,6
APR-DRG,0473,TRANSIENT ISCHEMIA ,,,4270.11,6405.16,13
APR-DRG,0473,TRANSIENT ISCHEMIA Mental Health Geriatric,,,5124.13,5124.13,6
APR-DRG,0474,TRANSIENT ISCHEMIA ,,,6860.18,10290.27,13
APR-DRG,0474,TRANSIENT ISCHEMIA Mental Health Geriatric,,,8232.22,8232.22,6
APR-DRG,0481,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS ",,,2718.29,4077.43,13
APR-DRG,0481,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS Mental Health Geriatric",,,3261.95,3261.95,6
APR-DRG,0482,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS ",,,3317.33,4975.99,13
APR-DRG,0482,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS Mental Health Geriatric",,,3980.8,3980.8,6
APR-DRG,0483,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS ",,,4882.7,7324.05,13
APR-DRG,0483,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS Mental Health Geriatric",,,5859.24,5859.24,6
APR-DRG,0484,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS ",,,8108.31,12162.47,13
APR-DRG,0484,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS Mental Health Geriatric",,,9729.97,9729.97,6
APR-DRG,0491,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ,,,4838.58,7257.87,13
APR-DRG,0491,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM Mental Health Geriatric,,,5806.3,5806.3,6
APR-DRG,0492,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ,,,5484.88,8227.32,13
APR-DRG,0492,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM Mental Health Geriatric,,,6581.86,6581.86,6
APR-DRG,0493,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ,,,7971.05,11956.58,13
APR-DRG,0493,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM Mental Health Geriatric,,,9565.26,9565.26,6
APR-DRG,0494,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ,,,12021.91,18032.86,13
APR-DRG,0494,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM Mental Health Geriatric,,,14426.29,14426.29,6
APR-DRG,0501,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS ,,,2924.69,4387.03,13
APR-DRG,0501,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS Mental Health Geriatric,,,3509.63,3509.63,6
APR-DRG,0502,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS ,,,5256.93,7885.4,13
APR-DRG,0502,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS Mental Health Geriatric,,,6308.32,6308.32,6
APR-DRG,0503,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS ,,,8643.07,12964.6,13
APR-DRG,0503,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS Mental Health Geriatric,,,10371.68,10371.68,6
APR-DRG,0504,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS ,,,14673.48,22010.22,13
APR-DRG,0504,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS Mental Health Geriatric,,,17608.18,17608.18,6
APR-DRG,0511,VIRAL MENINGITIS ,,,2139.05,3208.58,13
APR-DRG,0511,VIRAL MENINGITIS Mental Health Geriatric,,,2566.86,2566.86,6
APR-DRG,0512,VIRAL MENINGITIS ,,,3162.71,4744.07,13
APR-DRG,0512,VIRAL MENINGITIS Mental Health Geriatric,,,3795.25,3795.25,6
APR-DRG,0513,VIRAL MENINGITIS ,,,5365.35,8048.03,13
APR-DRG,0513,VIRAL MENINGITIS Mental Health Geriatric,,,6438.42,6438.42,6
APR-DRG,0514,VIRAL MENINGITIS ,,,8883.17,13324.76,13
APR-DRG,0514,VIRAL MENINGITIS Mental Health Geriatric,,,10659.8,10659.8,6
APR-DRG,0521,ALTERATION IN CONSCIOUSNESS ,,,2434.06,3651.09,13
APR-DRG,0521,ALTERATION IN CONSCIOUSNESS Mental Health Geriatric,,,2920.87,2920.87,6
APR-DRG,0522,ALTERATION IN CONSCIOUSNESS ,,,3119.97,4679.95,13
APR-DRG,0522,ALTERATION IN CONSCIOUSNESS Mental Health Geriatric,,,3743.96,3743.96,6
APR-DRG,0523,ALTERATION IN CONSCIOUSNESS ,,,4528.98,6793.47,13
APR-DRG,0523,ALTERATION IN CONSCIOUSNESS Mental Health Geriatric,,,5434.78,5434.78,6
APR-DRG,0524,ALTERATION IN CONSCIOUSNESS ,,,7991.9,11987.85,13
APR-DRG,0524,ALTERATION IN CONSCIOUSNESS Mental Health Geriatric,,,9590.28,9590.28,6
APR-DRG,0531,SEIZURE ,,,2125.5,3188.25,13
APR-DRG,0531,SEIZURE Mental Health Geriatric,,,2550.6,2550.6,6
APR-DRG,0532,SEIZURE ,,,2908.7,4363.05,13
APR-DRG,0532,SEIZURE Mental Health Geriatric,,,3490.44,3490.44,6
APR-DRG,0533,SEIZURE ,,,4622.45,6933.67,13
APR-DRG,0533,SEIZURE Mental Health Geriatric,,,5546.94,5546.94,6
APR-DRG,0534,SEIZURE ,,,9177.48,13766.22,13
APR-DRG,0534,SEIZURE Mental Health Geriatric,,,11012.98,11012.98,6
APR-DRG,0541,MIGRAINE AND OTHER HEADACHES ,,,2671.03,4006.55,13
APR-DRG,0541,MIGRAINE AND OTHER HEADACHES Mental Health Geriatric,,,3205.24,3205.24,6
APR-DRG,0542,MIGRAINE AND OTHER HEADACHES ,,,3144.64,4716.96,13
APR-DRG,0542,MIGRAINE AND OTHER HEADACHES Mental Health Geriatric,,,3773.57,3773.57,6
APR-DRG,0543,MIGRAINE AND OTHER HEADACHES ,,,4380.6,6570.9,13
APR-DRG,0543,MIGRAINE AND OTHER HEADACHES Mental Health Geriatric,,,5256.72,5256.72,6
APR-DRG,0544,MIGRAINE AND OTHER HEADACHES ,,,7038.78,10558.17,13
APR-DRG,0544,MIGRAINE AND OTHER HEADACHES Mental Health Geriatric,,,8446.54,8446.54,6
APR-DRG,0551,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE ,,,2836.08,4254.12,13
APR-DRG,0551,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE Mental Health Geriatric,,,3403.3,3403.3,6
APR-DRG,0552,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE ,,,3971.63,5957.44,13
APR-DRG,0552,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE Mental Health Geriatric,,,4765.96,4765.96,6
APR-DRG,0553,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE ,,,6163.15,9244.72,13
APR-DRG,0553,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE Mental Health Geriatric,,,7395.78,7395.78,6
APR-DRG,0554,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE ,,,10483.99,15725.99,13
APR-DRG,0554,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE Mental Health Geriatric,,,12580.79,12580.79,6
APR-DRG,0581,OTHER DISORDERS OF NERVOUS SYSTEM ,,,3034.84,4552.26,13
APR-DRG,0581,OTHER DISORDERS OF NERVOUS SYSTEM Mental Health Geriatric,,,3641.81,3641.81,6
APR-DRG,0582,OTHER DISORDERS OF NERVOUS SYSTEM ,,,4468.86,6703.29,13
APR-DRG,0582,OTHER DISORDERS OF NERVOUS SYSTEM Mental Health Geriatric,,,5362.63,5362.63,6
APR-DRG,0583,OTHER DISORDERS OF NERVOUS SYSTEM ,,,6182.6,9273.9,13
APR-DRG,0583,OTHER DISORDERS OF NERVOUS SYSTEM Mental Health Geriatric,,,7419.12,7419.12,6
APR-DRG,0584,OTHER DISORDERS OF NERVOUS SYSTEM ,,,8393.58,12590.37,13
APR-DRG,0584,OTHER DISORDERS OF NERVOUS SYSTEM Mental Health Geriatric,,,10072.3,10072.3,6
APR-DRG,0591,ANOXIC AND OTHER SEVERE BRAIN DAMAGE ,,,2662.35,3993.52,13
APR-DRG,0591,ANOXIC AND OTHER SEVERE BRAIN DAMAGE Mental Health Geriatric,,,3194.82,3194.82,6
APR-DRG,0592,ANOXIC AND OTHER SEVERE BRAIN DAMAGE ,,,4263.16,6394.74,13
APR-DRG,0592,ANOXIC AND OTHER SEVERE BRAIN DAMAGE Mental Health Geriatric,,,5115.79,5115.79,6
APR-DRG,0593,ANOXIC AND OTHER SEVERE BRAIN DAMAGE ,,,5511.29,8266.93,13
APR-DRG,0593,ANOXIC AND OTHER SEVERE BRAIN DAMAGE Mental Health Geriatric,,,6613.55,6613.55,6
APR-DRG,0594,ANOXIC AND OTHER SEVERE BRAIN DAMAGE ,,,9102.43,13653.65,13
APR-DRG,0594,ANOXIC AND OTHER SEVERE BRAIN DAMAGE Mental Health Geriatric,,,10922.92,10922.92,6
APR-DRG,0601,HEAD TRAUMA WITH COMA < 1 HOUR ,,,2736.36,4104.54,13
APR-DRG,0601,HEAD TRAUMA WITH COMA < 1 HOUR Mental Health Geriatric,,,3283.63,3283.63,6
APR-DRG,0602,HEAD TRAUMA WITH COMA < 1 HOUR ,,,3905.96,5858.94,13
APR-DRG,0602,HEAD TRAUMA WITH COMA < 1 HOUR Mental Health Geriatric,,,4687.15,4687.15,6
APR-DRG,0603,HEAD TRAUMA WITH COMA < 1 HOUR ,,,5564.8,8347.2,13
APR-DRG,0603,HEAD TRAUMA WITH COMA < 1 HOUR Mental Health Geriatric,,,6677.76,6677.76,6
APR-DRG,0604,HEAD TRAUMA WITH COMA < 1 HOUR ,,,9423.15,14134.72,13
APR-DRG,0604,HEAD TRAUMA WITH COMA < 1 HOUR Mental Health Geriatric,,,11307.78,11307.78,6
APR-DRG,0731,ORBIT AND EYE PROCEDURES ,,,3803.8,5705.7,13
APR-DRG,0731,ORBIT AND EYE PROCEDURES Mental Health Geriatric,,,4564.56,4564.56,6
APR-DRG,0732,ORBIT AND EYE PROCEDURES ,,,5376.81,8065.22,13
APR-DRG,0732,ORBIT AND EYE PROCEDURES Mental Health Geriatric,,,6452.17,6452.17,6
APR-DRG,0733,ORBIT AND EYE PROCEDURES ,,,7456.1,11184.15,13
APR-DRG,0733,ORBIT AND EYE PROCEDURES Mental Health Geriatric,,,8947.32,8947.32,6
APR-DRG,0734,ORBIT AND EYE PROCEDURES ,,,13472.96,20209.44,13
APR-DRG,0734,ORBIT AND EYE PROCEDURES Mental Health Geriatric,,,16167.55,16167.55,6
APR-DRG,0821,EYE INFECTIONS AND OTHER EYE DISORDERS ,,,2333.64,3500.46,13
APR-DRG,0821,EYE INFECTIONS AND OTHER EYE DISORDERS Mental Health Geriatric,,,2800.37,2800.37,6
APR-DRG,0822,EYE INFECTIONS AND OTHER EYE DISORDERS ,,,3101.55,4652.33,13
APR-DRG,0822,EYE INFECTIONS AND OTHER EYE DISORDERS Mental Health Geriatric,,,3721.86,3721.86,6
APR-DRG,0823,EYE INFECTIONS AND OTHER EYE DISORDERS ,,,4538.36,6807.54,13
APR-DRG,0823,EYE INFECTIONS AND OTHER EYE DISORDERS Mental Health Geriatric,,,5446.03,5446.03,6
APR-DRG,0824,EYE INFECTIONS AND OTHER EYE DISORDERS ,,,8229.57,12344.35,13
APR-DRG,0824,EYE INFECTIONS AND OTHER EYE DISORDERS Mental Health Geriatric,,,9875.48,9875.48,6
APR-DRG,0891,MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,6692.0,10038.0,13
APR-DRG,0891,MAJOR CRANIAL OR FACIAL BONE PROCEDURES Mental Health Geriatric,,,8030.4,8030.4,6
APR-DRG,0892,MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,8901.24,13351.86,13
APR-DRG,0892,MAJOR CRANIAL OR FACIAL BONE PROCEDURES Mental Health Geriatric,,,10681.49,10681.49,6
APR-DRG,0893,MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,15139.44,22709.16,13
APR-DRG,0893,MAJOR CRANIAL OR FACIAL BONE PROCEDURES Mental Health Geriatric,,,18167.33,18167.33,6
APR-DRG,0894,MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,21622.26,32433.39,13
APR-DRG,0894,MAJOR CRANIAL OR FACIAL BONE PROCEDURES Mental Health Geriatric,,,25946.71,25946.71,6
APR-DRG,0911,OTHER MAJOR HEAD AND NECK PROCEDURES ,,,6353.91,9530.86,13
APR-DRG,0911,OTHER MAJOR HEAD AND NECK PROCEDURES Mental Health Geriatric,,,7624.69,7624.69,6
APR-DRG,0912,OTHER MAJOR HEAD AND NECK PROCEDURES ,,,9926.29,14889.44,13
APR-DRG,0912,OTHER MAJOR HEAD AND NECK PROCEDURES Mental Health Geriatric,,,11911.55,11911.55,6
APR-DRG,0913,OTHER MAJOR HEAD AND NECK PROCEDURES ,,,15040.06,22560.09,13
APR-DRG,0913,OTHER MAJOR HEAD AND NECK PROCEDURES Mental Health Geriatric,,,18048.07,18048.07,6
APR-DRG,0914,OTHER MAJOR HEAD AND NECK PROCEDURES ,,,23366.24,35049.36,13
APR-DRG,0914,OTHER MAJOR HEAD AND NECK PROCEDURES Mental Health Geriatric,,,28039.49,28039.49,6
APR-DRG,0921,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,5989.41,8984.11,13
APR-DRG,0921,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES Mental Health Geriatric,,,7187.29,7187.29,6
APR-DRG,0922,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,7513.08,11269.62,13
APR-DRG,0922,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES Mental Health Geriatric,,,9015.7,9015.7,6
APR-DRG,0923,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,12642.49,18963.74,13
APR-DRG,0923,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES Mental Health Geriatric,,,15170.99,15170.99,6
APR-DRG,0924,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES ,,,20169.82,30254.73,13
APR-DRG,0924,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES Mental Health Geriatric,,,24203.78,24203.78,6
APR-DRG,0951,CLEFT LIP AND PALATE REPAIR ,,,3487.6,5231.4,13
APR-DRG,0951,CLEFT LIP AND PALATE REPAIR Mental Health Geriatric,,,4185.12,4185.12,6
APR-DRG,0952,CLEFT LIP AND PALATE REPAIR ,,,4091.85,6137.77,13
APR-DRG,0952,CLEFT LIP AND PALATE REPAIR Mental Health Geriatric,,,4910.22,4910.22,6
APR-DRG,0953,CLEFT LIP AND PALATE REPAIR ,,,7047.12,10570.68,13
APR-DRG,0953,CLEFT LIP AND PALATE REPAIR Mental Health Geriatric,,,8456.54,8456.54,6
APR-DRG,0954,CLEFT LIP AND PALATE REPAIR ,,,12289.46,18434.19,13
APR-DRG,0954,CLEFT LIP AND PALATE REPAIR Mental Health Geriatric,,,14747.35,14747.35,6
APR-DRG,0971,TONSIL AND ADENOID PROCEDURES ,,,2435.1,3652.65,13
APR-DRG,0971,TONSIL AND ADENOID PROCEDURES Mental Health Geriatric,,,2922.12,2922.12,6
APR-DRG,0972,TONSIL AND ADENOID PROCEDURES ,,,4086.64,6129.96,13
APR-DRG,0972,TONSIL AND ADENOID PROCEDURES Mental Health Geriatric,,,4903.97,4903.97,6
APR-DRG,0973,TONSIL AND ADENOID PROCEDURES ,,,6729.18,10093.77,13
APR-DRG,0973,TONSIL AND ADENOID PROCEDURES Mental Health Geriatric,,,8075.02,8075.02,6
APR-DRG,0974,TONSIL AND ADENOID PROCEDURES ,,,12219.97,18329.95,13
APR-DRG,0974,TONSIL AND ADENOID PROCEDURES Mental Health Geriatric,,,14663.96,14663.96,6
APR-DRG,0981,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES ",,,3467.1,5200.65,13
APR-DRG,0981,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES Mental Health Geriatric",,,4160.52,4160.52,6
APR-DRG,0982,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES ",,,5686.06,8529.09,13
APR-DRG,0982,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES Mental Health Geriatric",,,6823.27,6823.27,6
APR-DRG,0983,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES ",,,8974.56,13461.84,13
APR-DRG,0983,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES Mental Health Geriatric",,,10769.47,10769.47,6
APR-DRG,0984,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES ",,,14262.77,21394.15,13
APR-DRG,0984,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES Mental Health Geriatric",,,17115.32,17115.32,6
APR-DRG,1101,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES ",,,3233.25,4849.88,13
APR-DRG,1101,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES Mental Health Geriatric",,,3879.9,3879.9,6
APR-DRG,1102,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES ",,,3549.1,5323.65,13
APR-DRG,1102,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES Mental Health Geriatric",,,4258.92,4258.92,6
APR-DRG,1103,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES ",,,5656.88,8485.32,13
APR-DRG,1103,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES Mental Health Geriatric",,,6788.26,6788.26,6
APR-DRG,1104,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES ",,,9619.47,14429.2,13
APR-DRG,1104,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES Mental Health Geriatric",,,11543.36,11543.36,6
APR-DRG,1111,VERTIGO AND OTHER LABYRINTH DISORDERS ,,,2546.64,3819.96,13
APR-DRG,1111,VERTIGO AND OTHER LABYRINTH DISORDERS Mental Health Geriatric,,,3055.97,3055.97,6
APR-DRG,1112,VERTIGO AND OTHER LABYRINTH DISORDERS ,,,2872.57,4308.86,13
APR-DRG,1112,VERTIGO AND OTHER LABYRINTH DISORDERS Mental Health Geriatric,,,3447.08,3447.08,6
APR-DRG,1113,VERTIGO AND OTHER LABYRINTH DISORDERS ,,,3770.44,5655.66,13
APR-DRG,1113,VERTIGO AND OTHER LABYRINTH DISORDERS Mental Health Geriatric,,,4524.53,4524.53,6
APR-DRG,1114,VERTIGO AND OTHER LABYRINTH DISORDERS ,,,5756.95,8635.42,13
APR-DRG,1114,VERTIGO AND OTHER LABYRINTH DISORDERS Mental Health Geriatric,,,6908.34,6908.34,6
APR-DRG,1131,INFECTIONS OF UPPER RESPIRATORY TRACT ,,,1391.63,2087.45,13
APR-DRG,1131,INFECTIONS OF UPPER RESPIRATORY TRACT Mental Health Geriatric,,,1669.96,1669.96,6
APR-DRG,1132,INFECTIONS OF UPPER RESPIRATORY TRACT ,,,2015.0,3022.5,13
APR-DRG,1132,INFECTIONS OF UPPER RESPIRATORY TRACT Mental Health Geriatric,,,2418.0,2418.0,6
APR-DRG,1133,INFECTIONS OF UPPER RESPIRATORY TRACT ,,,3072.71,4609.07,13
APR-DRG,1133,INFECTIONS OF UPPER RESPIRATORY TRACT Mental Health Geriatric,,,3687.25,3687.25,6
APR-DRG,1134,INFECTIONS OF UPPER RESPIRATORY TRACT ,,,6062.73,9094.09,13
APR-DRG,1134,INFECTIONS OF UPPER RESPIRATORY TRACT Mental Health Geriatric,,,7275.28,7275.28,6
APR-DRG,1141,DENTAL DISEASES AND DISORDERS ,,,1800.26,2700.39,13
APR-DRG,1141,DENTAL DISEASES AND DISORDERS Mental Health Geriatric,,,2160.31,2160.31,6
APR-DRG,1142,DENTAL DISEASES AND DISORDERS ,,,2386.1,3579.15,13
APR-DRG,1142,DENTAL DISEASES AND DISORDERS Mental Health Geriatric,,,2863.32,2863.32,6
APR-DRG,1143,DENTAL DISEASES AND DISORDERS ,,,3923.68,5885.52,13
APR-DRG,1143,DENTAL DISEASES AND DISORDERS Mental Health Geriatric,,,4708.42,4708.42,6
APR-DRG,1144,DENTAL DISEASES AND DISORDERS ,,,8806.38,13209.57,13
APR-DRG,1144,DENTAL DISEASES AND DISORDERS Mental Health Geriatric,,,10567.66,10567.66,6
APR-DRG,1151,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES ",,,2058.44,3087.66,13
APR-DRG,1151,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES Mental Health Geriatric",,,2470.13,2470.13,6
APR-DRG,1152,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES ",,,2920.87,4381.31,13
APR-DRG,1152,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES Mental Health Geriatric",,,3505.04,3505.04,6
APR-DRG,1153,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES ",,,4608.2,6912.3,13
APR-DRG,1153,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES Mental Health Geriatric",,,5529.84,5529.84,6
APR-DRG,1154,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES ",,,9115.29,13672.94,13
APR-DRG,1154,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES Mental Health Geriatric",,,10938.35,10938.35,6
APR-DRG,1201,MAJOR RESPIRATORY AND CHEST PROCEDURES ,,,7026.62,10539.93,13
APR-DRG,1201,MAJOR RESPIRATORY AND CHEST PROCEDURES Mental Health Geriatric,,,8431.94,8431.94,6
APR-DRG,1202,MAJOR RESPIRATORY AND CHEST PROCEDURES ,,,8677.82,13016.73,13
APR-DRG,1202,MAJOR RESPIRATORY AND CHEST PROCEDURES Mental Health Geriatric,,,10413.38,10413.38,6
APR-DRG,1203,MAJOR RESPIRATORY AND CHEST PROCEDURES ,,,12902.4,19353.6,13
APR-DRG,1203,MAJOR RESPIRATORY AND CHEST PROCEDURES Mental Health Geriatric,,,15482.88,15482.88,6
APR-DRG,1204,MAJOR RESPIRATORY AND CHEST PROCEDURES ,,,22661.21,33991.82,13
APR-DRG,1204,MAJOR RESPIRATORY AND CHEST PROCEDURES Mental Health Geriatric,,,27193.45,27193.45,6
APR-DRG,1211,OTHER RESPIRATORY AND CHEST PROCEDURES ,,,5511.63,8267.44,13
APR-DRG,1211,OTHER RESPIRATORY AND CHEST PROCEDURES Mental Health Geriatric,,,6613.96,6613.96,6
APR-DRG,1212,OTHER RESPIRATORY AND CHEST PROCEDURES ,,,7077.0,10615.5,13
APR-DRG,1212,OTHER RESPIRATORY AND CHEST PROCEDURES Mental Health Geriatric,,,8492.4,8492.4,6
APR-DRG,1213,OTHER RESPIRATORY AND CHEST PROCEDURES ,,,10864.82,16297.23,13
APR-DRG,1213,OTHER RESPIRATORY AND CHEST PROCEDURES Mental Health Geriatric,,,13037.78,13037.78,6
APR-DRG,1214,OTHER RESPIRATORY AND CHEST PROCEDURES ,,,17762.18,26643.27,13
APR-DRG,1214,OTHER RESPIRATORY AND CHEST PROCEDURES Mental Health Geriatric,,,21314.62,21314.62,6
APR-DRG,1301,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS ,,,9645.18,14467.77,13
APR-DRG,1301,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Mental Health Geriatric,,,11574.22,11574.22,6
APR-DRG,1302,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS ,,,12222.75,18334.13,13
APR-DRG,1302,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Mental Health Geriatric,,,14667.3,14667.3,6
APR-DRG,1303,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS ,,,15465.37,23198.06,13
APR-DRG,1303,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Mental Health Geriatric,,,18558.44,18558.44,6
APR-DRG,1304,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS ,,,20418.96,30628.44,13
APR-DRG,1304,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Mental Health Geriatric,,,24502.75,24502.75,6
APR-DRG,1311,CYSTIC FIBROSIS - PULMONARY DISEASE ,,,3981.7,5972.55,13
APR-DRG,1311,CYSTIC FIBROSIS - PULMONARY DISEASE Mental Health Geriatric,,,4778.04,4778.04,6
APR-DRG,1312,CYSTIC FIBROSIS - PULMONARY DISEASE ,,,6636.06,9954.09,13
APR-DRG,1312,CYSTIC FIBROSIS - PULMONARY DISEASE Mental Health Geriatric,,,7963.27,7963.27,6
APR-DRG,1313,CYSTIC FIBROSIS - PULMONARY DISEASE ,,,8281.0,12421.5,13
APR-DRG,1313,CYSTIC FIBROSIS - PULMONARY DISEASE Mental Health Geriatric,,,9937.2,9937.2,6
APR-DRG,1314,CYSTIC FIBROSIS - PULMONARY DISEASE ,,,9775.83,14663.74,13
APR-DRG,1314,CYSTIC FIBROSIS - PULMONARY DISEASE Mental Health Geriatric,,,11731.0,11731.0,6
APR-DRG,1321,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ,,,1737.37,2606.05,13
APR-DRG,1321,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Mental Health Geriatric,,,2084.84,2084.84,6
APR-DRG,1322,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ,,,2570.61,3855.91,13
APR-DRG,1322,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Mental Health Geriatric,,,3084.73,3084.73,6
APR-DRG,1323,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ,,,4325.7,6488.55,13
APR-DRG,1323,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Mental Health Geriatric,,,5190.84,5190.84,6
APR-DRG,1324,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ,,,7238.93,10858.4,13
APR-DRG,1324,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Mental Health Geriatric,,,8686.72,8686.72,6
APR-DRG,1331,RESPIRATORY FAILURE ,,,2169.63,3254.45,13
APR-DRG,1331,RESPIRATORY FAILURE Mental Health Geriatric,,,2603.56,2603.56,6
APR-DRG,1332,RESPIRATORY FAILURE ,,,2922.26,4383.39,13
APR-DRG,1332,RESPIRATORY FAILURE Mental Health Geriatric,,,3506.71,3506.71,6
APR-DRG,1333,RESPIRATORY FAILURE ,,,4563.38,6845.07,13
APR-DRG,1333,RESPIRATORY FAILURE Mental Health Geriatric,,,5476.06,5476.06,6
APR-DRG,1334,RESPIRATORY FAILURE ,,,7854.3,11781.45,13
APR-DRG,1334,RESPIRATORY FAILURE Mental Health Geriatric,,,9425.16,9425.16,6
APR-DRG,1341,PULMONARY EMBOLISM ,,,2073.03,3109.55,13
APR-DRG,1341,PULMONARY EMBOLISM Mental Health Geriatric,,,2487.64,2487.64,6
APR-DRG,1342,PULMONARY EMBOLISM ,,,2767.28,4150.92,13
APR-DRG,1342,PULMONARY EMBOLISM Mental Health Geriatric,,,3320.74,3320.74,6
APR-DRG,1343,PULMONARY EMBOLISM ,,,4381.99,6572.98,13
APR-DRG,1343,PULMONARY EMBOLISM Mental Health Geriatric,,,5258.39,5258.39,6
APR-DRG,1344,PULMONARY EMBOLISM ,,,7817.82,11726.73,13
APR-DRG,1344,PULMONARY EMBOLISM Mental Health Geriatric,,,9381.38,9381.38,6
APR-DRG,1351,MAJOR CHEST AND RESPIRATORY TRAUMA ,,,2622.04,3933.06,13
APR-DRG,1351,MAJOR CHEST AND RESPIRATORY TRAUMA Mental Health Geriatric,,,3146.45,3146.45,6
APR-DRG,1352,MAJOR CHEST AND RESPIRATORY TRAUMA ,,,3351.73,5027.6,13
APR-DRG,1352,MAJOR CHEST AND RESPIRATORY TRAUMA Mental Health Geriatric,,,4022.08,4022.08,6
APR-DRG,1353,MAJOR CHEST AND RESPIRATORY TRAUMA ,,,4921.97,7382.95,13
APR-DRG,1353,MAJOR CHEST AND RESPIRATORY TRAUMA Mental Health Geriatric,,,5906.36,5906.36,6
APR-DRG,1354,MAJOR CHEST AND RESPIRATORY TRAUMA ,,,9055.17,13582.76,13
APR-DRG,1354,MAJOR CHEST AND RESPIRATORY TRAUMA Mental Health Geriatric,,,10866.2,10866.2,6
APR-DRG,1361,RESPIRATORY MALIGNANCY ,,,3194.33,4791.49,13
APR-DRG,1361,RESPIRATORY MALIGNANCY Mental Health Geriatric,,,3833.2,3833.2,6
APR-DRG,1362,RESPIRATORY MALIGNANCY ,,,3579.68,5369.52,13
APR-DRG,1362,RESPIRATORY MALIGNANCY Mental Health Geriatric,,,4295.62,4295.62,6
APR-DRG,1363,RESPIRATORY MALIGNANCY ,,,4939.69,7409.53,13
APR-DRG,1363,RESPIRATORY MALIGNANCY Mental Health Geriatric,,,5927.63,5927.63,6
APR-DRG,1364,RESPIRATORY MALIGNANCY ,,,7968.62,11952.93,13
APR-DRG,1364,RESPIRATORY MALIGNANCY Mental Health Geriatric,,,9562.34,9562.34,6
APR-DRG,1371,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS ,,,2137.31,3205.97,13
APR-DRG,1371,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Mental Health Geriatric,,,2564.77,2564.77,6
APR-DRG,1372,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS ,,,2497.64,3746.46,13
APR-DRG,1372,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Mental Health Geriatric,,,2997.17,2997.17,6
APR-DRG,1373,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS ,,,3853.49,5780.23,13
APR-DRG,1373,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Mental Health Geriatric,,,4624.19,4624.19,6
APR-DRG,1374,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS ,,,7414.75,11122.13,13
APR-DRG,1374,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Mental Health Geriatric,,,8897.7,8897.7,6
APR-DRG,1381,BRONCHIOLITIS AND RSV PNEUMONIA ,,,1242.22,1863.33,13
APR-DRG,1381,BRONCHIOLITIS AND RSV PNEUMONIA Mental Health Geriatric,,,1490.66,1490.66,6
APR-DRG,1382,BRONCHIOLITIS AND RSV PNEUMONIA ,,,1941.34,2912.01,13
APR-DRG,1382,BRONCHIOLITIS AND RSV PNEUMONIA Mental Health Geriatric,,,2329.61,2329.61,6
APR-DRG,1383,BRONCHIOLITIS AND RSV PNEUMONIA ,,,3793.37,5690.06,13
APR-DRG,1383,BRONCHIOLITIS AND RSV PNEUMONIA Mental Health Geriatric,,,4552.04,4552.04,6
APR-DRG,1384,BRONCHIOLITIS AND RSV PNEUMONIA ,,,7285.49,10928.24,13
APR-DRG,1384,BRONCHIOLITIS AND RSV PNEUMONIA Mental Health Geriatric,,,8742.59,8742.59,6
APR-DRG,1391,OTHER PNEUMONIA ,,,1726.25,2589.38,13
APR-DRG,1391,OTHER PNEUMONIA Mental Health Geriatric,,,2071.5,2071.5,6
APR-DRG,1392,OTHER PNEUMONIA ,,,2414.25,3621.38,13
APR-DRG,1392,OTHER PNEUMONIA Mental Health Geriatric,,,2897.1,2897.1,6
APR-DRG,1393,OTHER PNEUMONIA ,,,3706.85,5560.27,13
APR-DRG,1393,OTHER PNEUMONIA Mental Health Geriatric,,,4448.22,4448.22,6
APR-DRG,1394,OTHER PNEUMONIA ,,,6341.75,9512.63,13
APR-DRG,1394,OTHER PNEUMONIA Mental Health Geriatric,,,7610.1,7610.1,6
APR-DRG,1401,CHRONIC OBSTRUCTIVE PULMONARY DISEASE ,,,1934.04,2901.06,13
APR-DRG,1401,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Mental Health Geriatric,,,2320.85,2320.85,6
APR-DRG,1402,CHRONIC OBSTRUCTIVE PULMONARY DISEASE ,,,2430.58,3645.87,13
APR-DRG,1402,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Mental Health Geriatric,,,2916.7,2916.7,6
APR-DRG,1403,CHRONIC OBSTRUCTIVE PULMONARY DISEASE ,,,3450.42,5175.63,13
APR-DRG,1403,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Mental Health Geriatric,,,4140.5,4140.5,6
APR-DRG,1404,CHRONIC OBSTRUCTIVE PULMONARY DISEASE ,,,6177.74,9266.61,13
APR-DRG,1404,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Mental Health Geriatric,,,7413.29,7413.29,6
APR-DRG,1411,ASTHMA ,,,1575.1,2362.65,13
APR-DRG,1411,ASTHMA Mental Health Geriatric,,,1890.12,1890.12,6
APR-DRG,1412,ASTHMA ,,,2325.3,3487.95,13
APR-DRG,1412,ASTHMA Mental Health Geriatric,,,2790.36,2790.36,6
APR-DRG,1413,ASTHMA ,,,3544.23,5316.35,13
APR-DRG,1413,ASTHMA Mental Health Geriatric,,,4253.08,4253.08,6
APR-DRG,1414,ASTHMA ,,,6365.38,9548.07,13
APR-DRG,1414,ASTHMA Mental Health Geriatric,,,7638.46,7638.46,6
APR-DRG,1421,INTERSTITIAL AND ALVEOLAR LUNG DISEASES ,,,2538.3,3807.45,13
APR-DRG,1421,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Mental Health Geriatric,,,3045.96,3045.96,6
APR-DRG,1422,INTERSTITIAL AND ALVEOLAR LUNG DISEASES ,,,3326.72,4990.08,13
APR-DRG,1422,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Mental Health Geriatric,,,3992.06,3992.06,6
APR-DRG,1423,INTERSTITIAL AND ALVEOLAR LUNG DISEASES ,,,5202.03,7803.05,13
APR-DRG,1423,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Mental Health Geriatric,,,6242.44,6242.44,6
APR-DRG,1424,INTERSTITIAL AND ALVEOLAR LUNG DISEASES ,,,8136.1,12204.15,13
APR-DRG,1424,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Mental Health Geriatric,,,9763.32,9763.32,6
APR-DRG,1431,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,2112.99,3169.48,13
APR-DRG,1431,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,2535.59,2535.59,6
APR-DRG,1432,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,3009.12,4513.68,13
APR-DRG,1432,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,3610.94,3610.94,6
APR-DRG,1433,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,4713.14,7069.71,13
APR-DRG,1433,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,5655.77,5655.77,6
APR-DRG,1434,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,8241.39,12362.08,13
APR-DRG,1434,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,9889.67,9889.67,6
APR-DRG,1441,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,2036.2,3054.3,13
APR-DRG,1441,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,2443.44,2443.44,6
APR-DRG,1442,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,3093.91,4640.86,13
APR-DRG,1442,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,3712.69,3712.69,6
APR-DRG,1443,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,4363.23,6544.84,13
APR-DRG,1443,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,5235.88,5235.88,6
APR-DRG,1444,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES ",,,7779.94,11669.91,13
APR-DRG,1444,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,9335.93,9335.93,6
APR-DRG,1451,ACUTE BRONCHITIS AND RELATED SYMPTOMS ,,,1898.95,2848.43,13
APR-DRG,1451,ACUTE BRONCHITIS AND RELATED SYMPTOMS Mental Health Geriatric,,,2278.74,2278.74,6
APR-DRG,1452,ACUTE BRONCHITIS AND RELATED SYMPTOMS ,,,2377.76,3566.64,13
APR-DRG,1452,ACUTE BRONCHITIS AND RELATED SYMPTOMS Mental Health Geriatric,,,2853.31,2853.31,6
APR-DRG,1453,ACUTE BRONCHITIS AND RELATED SYMPTOMS ,,,3315.6,4973.4,13
APR-DRG,1453,ACUTE BRONCHITIS AND RELATED SYMPTOMS Mental Health Geriatric,,,3978.72,3978.72,6
APR-DRG,1454,ACUTE BRONCHITIS AND RELATED SYMPTOMS ,,,5479.66,8219.49,13
APR-DRG,1454,ACUTE BRONCHITIS AND RELATED SYMPTOMS Mental Health Geriatric,,,6575.59,6575.59,6
APR-DRG,1601,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ,,,12424.98,18637.47,13
APR-DRG,1601,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Mental Health Geriatric,,,14909.98,14909.98,6
APR-DRG,1602,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ,,,16699.95,25049.93,13
APR-DRG,1602,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Mental Health Geriatric,,,20039.94,20039.94,6
APR-DRG,1603,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ,,,22404.78,33607.17,13
APR-DRG,1603,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Mental Health Geriatric,,,26885.74,26885.74,6
APR-DRG,1604,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ,,,56279.32,84418.98,13
APR-DRG,1604,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Mental Health Geriatric,,,67535.18,67535.18,6
APR-DRG,1611,IMPLANTABLE HEART ASSIST SYSTEMS ,,,49854.53,74781.79,13
APR-DRG,1611,IMPLANTABLE HEART ASSIST SYSTEMS Mental Health Geriatric,,,59825.44,59825.44,6
APR-DRG,1612,IMPLANTABLE HEART ASSIST SYSTEMS ,,,51457.42,77186.13,13
APR-DRG,1612,IMPLANTABLE HEART ASSIST SYSTEMS Mental Health Geriatric,,,61748.9,61748.9,6
APR-DRG,1613,IMPLANTABLE HEART ASSIST SYSTEMS ,,,67755.0,101632.5,13
APR-DRG,1613,IMPLANTABLE HEART ASSIST SYSTEMS Mental Health Geriatric,,,81306.0,81306.0,6
APR-DRG,1614,IMPLANTABLE HEART ASSIST SYSTEMS ,,,96139.8,144209.7,13
APR-DRG,1614,IMPLANTABLE HEART ASSIST SYSTEMS Mental Health Geriatric,,,115367.76,115367.76,6
APR-DRG,1621,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,15180.79,22771.19,13
APR-DRG,1621,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,18216.95,18216.95,6
APR-DRG,1622,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,18543.3,27814.95,13
APR-DRG,1622,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,22251.96,22251.96,6
APR-DRG,1623,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,24219.63,36329.44,13
APR-DRG,1623,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,29063.56,29063.56,6
APR-DRG,1624,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,35262.7,52894.05,13
APR-DRG,1624,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,42315.24,42315.24,6
APR-DRG,1631,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,13287.41,19931.11,13
APR-DRG,1631,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,15944.89,15944.89,6
APR-DRG,1632,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,15782.27,23673.4,13
APR-DRG,1632,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,18938.72,18938.72,6
APR-DRG,1633,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,20860.25,31290.38,13
APR-DRG,1633,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,25032.3,25032.3,6
APR-DRG,1634,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,31486.36,47229.54,13
APR-DRG,1634,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,37783.63,37783.63,6
APR-DRG,1651,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,14288.13,21432.19,13
APR-DRG,1651,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,17145.76,17145.76,6
APR-DRG,1652,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,16272.21,24408.31,13
APR-DRG,1652,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,19526.65,19526.65,6
APR-DRG,1653,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,20068.71,30103.06,13
APR-DRG,1653,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,24082.45,24082.45,6
APR-DRG,1654,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,27409.79,41114.68,13
APR-DRG,1654,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,32891.75,32891.75,6
APR-DRG,1661,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,12059.43,18089.15,13
APR-DRG,1661,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,14471.32,14471.32,6
APR-DRG,1662,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,14035.17,21052.76,13
APR-DRG,1662,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,16842.2,16842.2,6
APR-DRG,1663,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,17365.71,26048.56,13
APR-DRG,1663,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,20838.85,20838.85,6
APR-DRG,1664,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS ,,,23776.95,35665.43,13
APR-DRG,1664,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,28532.34,28532.34,6
APR-DRG,1671,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES ,,,9293.89,13940.83,13
APR-DRG,1671,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Mental Health Geriatric,,,11152.67,11152.67,6
APR-DRG,1672,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES ,,,12222.75,18334.13,13
APR-DRG,1672,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Mental Health Geriatric,,,14667.3,14667.3,6
APR-DRG,1673,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES ,,,16415.02,24622.53,13
APR-DRG,1673,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Mental Health Geriatric,,,19698.02,19698.02,6
APR-DRG,1674,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES ,,,27980.34,41970.51,13
APR-DRG,1674,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Mental Health Geriatric,,,33576.41,33576.41,6
APR-DRG,1691,MAJOR ABDOMINAL VASCULAR PROCEDURES ,,,9837.68,14756.52,13
APR-DRG,1691,MAJOR ABDOMINAL VASCULAR PROCEDURES Mental Health Geriatric,,,11805.22,11805.22,6
APR-DRG,1692,MAJOR ABDOMINAL VASCULAR PROCEDURES ,,,11355.45,17033.18,13
APR-DRG,1692,MAJOR ABDOMINAL VASCULAR PROCEDURES Mental Health Geriatric,,,13626.54,13626.54,6
APR-DRG,1693,MAJOR ABDOMINAL VASCULAR PROCEDURES ,,,13972.97,20959.45,13
APR-DRG,1693,MAJOR ABDOMINAL VASCULAR PROCEDURES Mental Health Geriatric,,,16767.56,16767.56,6
APR-DRG,1694,MAJOR ABDOMINAL VASCULAR PROCEDURES ,,,21214.33,31821.5,13
APR-DRG,1694,MAJOR ABDOMINAL VASCULAR PROCEDURES Mental Health Geriatric,,,25457.2,25457.2,6
APR-DRG,1701,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK ",,,7663.89,11495.84,13
APR-DRG,1701,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,9196.67,9196.67,6
APR-DRG,1702,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK ",,,8770.59,13155.89,13
APR-DRG,1702,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,10524.71,10524.71,6
APR-DRG,1703,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK ",,,12676.55,19014.82,13
APR-DRG,1703,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,15211.86,15211.86,6
APR-DRG,1704,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK ",,,21033.3,31549.95,13
APR-DRG,1704,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,25239.96,25239.96,6
APR-DRG,1711,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK ",,,5430.32,8145.48,13
APR-DRG,1711,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,6516.38,6516.38,6
APR-DRG,1712,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK ",,,6807.36,10211.04,13
APR-DRG,1712,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,8168.83,8168.83,6
APR-DRG,1713,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK ",,,9288.33,13932.49,13
APR-DRG,1713,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,11146.0,11146.0,6
APR-DRG,1714,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK ",,,14601.55,21902.32,13
APR-DRG,1714,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,17521.86,17521.86,6
APR-DRG,1741,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI ,,,6727.79,10091.68,13
APR-DRG,1741,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Mental Health Geriatric,,,8073.35,8073.35,6
APR-DRG,1742,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI ,,,8574.27,12861.41,13
APR-DRG,1742,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Mental Health Geriatric,,,10289.12,10289.12,6
APR-DRG,1743,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI ,,,10241.1,15361.65,13
APR-DRG,1743,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Mental Health Geriatric,,,12289.32,12289.32,6
APR-DRG,1744,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI ,,,14586.96,21880.44,13
APR-DRG,1744,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Mental Health Geriatric,,,17504.35,17504.35,6
APR-DRG,1751,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI ,,,7287.57,10931.35,13
APR-DRG,1751,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Mental Health Geriatric,,,8745.08,8745.08,6
APR-DRG,1752,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI ,,,9497.16,14245.74,13
APR-DRG,1752,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Mental Health Geriatric,,,11396.59,11396.59,6
APR-DRG,1753,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI ,,,11643.85,17465.78,13
APR-DRG,1753,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Mental Health Geriatric,,,13972.62,13972.62,6
APR-DRG,1754,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI ,,,16475.13,24712.69,13
APR-DRG,1754,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Mental Health Geriatric,,,19770.16,19770.16,6
APR-DRG,1761,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES ",,,6700.69,10051.03,13
APR-DRG,1761,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Mental Health Geriatric",,,8040.83,8040.83,6
APR-DRG,1762,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES ",,,8925.56,13388.34,13
APR-DRG,1762,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Mental Health Geriatric",,,10710.67,10710.67,6
APR-DRG,1763,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES ",,,12244.29,18366.44,13
APR-DRG,1763,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Mental Health Geriatric",,,14693.15,14693.15,6
APR-DRG,1764,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES ",,,17582.88,26374.32,13
APR-DRG,1764,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Mental Health Geriatric",,,21099.46,21099.46,6
APR-DRG,1771,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ,,,5059.22,7588.83,13
APR-DRG,1771,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Mental Health Geriatric,,,6071.06,6071.06,6
APR-DRG,1772,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ,,,7754.23,11631.34,13
APR-DRG,1772,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Mental Health Geriatric,,,9305.08,9305.08,6
APR-DRG,1773,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ,,,10120.18,15180.27,13
APR-DRG,1773,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Mental Health Geriatric,,,12144.22,12144.22,6
APR-DRG,1774,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ,,,13812.09,20718.14,13
APR-DRG,1774,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Mental Health Geriatric,,,16574.51,16574.51,6
APR-DRG,1781,EXTERNAL HEART ASSIST DEVICES ,,,17233.67,25850.5,13
APR-DRG,1781,EXTERNAL HEART ASSIST DEVICES Mental Health Geriatric,,,20680.4,20680.4,6
APR-DRG,1782,EXTERNAL HEART ASSIST DEVICES ,,,19116.98,28675.47,13
APR-DRG,1782,EXTERNAL HEART ASSIST DEVICES Mental Health Geriatric,,,22940.38,22940.38,6
APR-DRG,1783,EXTERNAL HEART ASSIST DEVICES ,,,23341.91,35012.86,13
APR-DRG,1783,EXTERNAL HEART ASSIST DEVICES Mental Health Geriatric,,,28010.29,28010.29,6
APR-DRG,1784,EXTERNAL HEART ASSIST DEVICES ,,,30317.45,45476.18,13
APR-DRG,1784,EXTERNAL HEART ASSIST DEVICES Mental Health Geriatric,,,36380.94,36380.94,6
APR-DRG,1791,DEFIBRILLATOR IMPLANTS ,,,12002.79,18004.19,13
APR-DRG,1791,DEFIBRILLATOR IMPLANTS Mental Health Geriatric,,,14403.35,14403.35,6
APR-DRG,1792,DEFIBRILLATOR IMPLANTS ,,,14222.11,21333.17,13
APR-DRG,1792,DEFIBRILLATOR IMPLANTS Mental Health Geriatric,,,17066.53,17066.53,6
APR-DRG,1793,DEFIBRILLATOR IMPLANTS ,,,17584.27,26376.4,13
APR-DRG,1793,DEFIBRILLATOR IMPLANTS Mental Health Geriatric,,,21101.12,21101.12,6
APR-DRG,1794,DEFIBRILLATOR IMPLANTS ,,,23081.31,34621.97,13
APR-DRG,1794,DEFIBRILLATOR IMPLANTS Mental Health Geriatric,,,27697.57,27697.57,6
APR-DRG,1801,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES ,,,5174.24,7761.36,13
APR-DRG,1801,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Mental Health Geriatric,,,6209.09,6209.09,6
APR-DRG,1802,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES ,,,6103.03,9154.55,13
APR-DRG,1802,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Mental Health Geriatric,,,7323.64,7323.64,6
APR-DRG,1803,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES ,,,7766.39,11649.59,13
APR-DRG,1803,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Mental Health Geriatric,,,9319.67,9319.67,6
APR-DRG,1804,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES ,,,15225.96,22838.94,13
APR-DRG,1804,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Mental Health Geriatric,,,18271.15,18271.15,6
APR-DRG,1811,LOWER VASCULAR PROCEDURES ,,,6019.64,9029.46,13
APR-DRG,1811,LOWER VASCULAR PROCEDURES Mental Health Geriatric,,,7223.57,7223.57,6
APR-DRG,1812,LOWER VASCULAR PROCEDURES ,,,8796.65,13194.97,13
APR-DRG,1812,LOWER VASCULAR PROCEDURES Mental Health Geriatric,,,10555.98,10555.98,6
APR-DRG,1813,LOWER VASCULAR PROCEDURES ,,,12008.01,18012.01,13
APR-DRG,1813,LOWER VASCULAR PROCEDURES Mental Health Geriatric,,,14409.61,14409.61,6
APR-DRG,1814,LOWER VASCULAR PROCEDURES ,,,17657.24,26485.86,13
APR-DRG,1814,LOWER VASCULAR PROCEDURES Mental Health Geriatric,,,21188.69,21188.69,6
APR-DRG,1821,OTHER UPPER VASCULAR PROCEDURES ,,,6630.5,9945.75,13
APR-DRG,1821,OTHER UPPER VASCULAR PROCEDURES Mental Health Geriatric,,,7956.6,7956.6,6
APR-DRG,1822,OTHER UPPER VASCULAR PROCEDURES ,,,8068.35,12102.53,13
APR-DRG,1822,OTHER UPPER VASCULAR PROCEDURES Mental Health Geriatric,,,9682.02,9682.02,6
APR-DRG,1823,OTHER UPPER VASCULAR PROCEDURES ,,,9844.98,14767.47,13
APR-DRG,1823,OTHER UPPER VASCULAR PROCEDURES Mental Health Geriatric,,,11813.98,11813.98,6
APR-DRG,1824,OTHER UPPER VASCULAR PROCEDURES ,,,15727.37,23591.06,13
APR-DRG,1824,OTHER UPPER VASCULAR PROCEDURES Mental Health Geriatric,,,18872.84,18872.84,6
APR-DRG,1831,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES ,,,13322.5,19983.75,13
APR-DRG,1831,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Mental Health Geriatric,,,15987.0,15987.0,6
APR-DRG,1832,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES ,,,14559.51,21839.26,13
APR-DRG,1832,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Mental Health Geriatric,,,17471.41,17471.41,6
APR-DRG,1833,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES ,,,18375.82,27563.73,13
APR-DRG,1833,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Mental Health Geriatric,,,22050.98,22050.98,6
APR-DRG,1834,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES ,,,25849.29,38773.93,13
APR-DRG,1834,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Mental Health Geriatric,,,31019.15,31019.15,6
APR-DRG,1901,ACUTE MYOCARDIAL INFARCTION ,,,2298.19,3447.28,13
APR-DRG,1901,ACUTE MYOCARDIAL INFARCTION Mental Health Geriatric,,,2757.83,2757.83,6
APR-DRG,1902,ACUTE MYOCARDIAL INFARCTION ,,,3609.21,5413.82,13
APR-DRG,1902,ACUTE MYOCARDIAL INFARCTION Mental Health Geriatric,,,4331.05,4331.05,6
APR-DRG,1903,ACUTE MYOCARDIAL INFARCTION ,,,4867.07,7300.6,13
APR-DRG,1903,ACUTE MYOCARDIAL INFARCTION Mental Health Geriatric,,,5840.48,5840.48,6
APR-DRG,1904,ACUTE MYOCARDIAL INFARCTION ,,,8066.26,12099.39,13
APR-DRG,1904,ACUTE MYOCARDIAL INFARCTION Mental Health Geriatric,,,9679.51,9679.51,6
APR-DRG,1911,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE ,,,3761.06,5641.59,13
APR-DRG,1911,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Mental Health Geriatric,,,4513.27,4513.27,6
APR-DRG,1912,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE ,,,4465.74,6698.61,13
APR-DRG,1912,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Mental Health Geriatric,,,5358.89,5358.89,6
APR-DRG,1913,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE ,,,5973.08,8959.62,13
APR-DRG,1913,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Mental Health Geriatric,,,7167.7,7167.7,6
APR-DRG,1914,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE ,,,9678.19,14517.28,13
APR-DRG,1914,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Mental Health Geriatric,,,11613.83,11613.83,6
APR-DRG,1921,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ,,,3832.64,5748.96,13
APR-DRG,1921,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Mental Health Geriatric,,,4599.17,4599.17,6
APR-DRG,1922,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ,,,4976.87,7465.31,13
APR-DRG,1922,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Mental Health Geriatric,,,5972.24,5972.24,6
APR-DRG,1923,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ,,,7325.1,10987.65,13
APR-DRG,1923,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Mental Health Geriatric,,,8790.12,8790.12,6
APR-DRG,1924,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ,,,12160.55,18240.82,13
APR-DRG,1924,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Mental Health Geriatric,,,14592.66,14592.66,6
APR-DRG,1931,ACUTE AND SUBACUTE ENDOCARDITIS ,,,4077.95,6116.92,13
APR-DRG,1931,ACUTE AND SUBACUTE ENDOCARDITIS Mental Health Geriatric,,,4893.54,4893.54,6
APR-DRG,1932,ACUTE AND SUBACUTE ENDOCARDITIS ,,,4675.26,7012.89,13
APR-DRG,1932,ACUTE AND SUBACUTE ENDOCARDITIS Mental Health Geriatric,,,5610.31,5610.31,6
APR-DRG,1933,ACUTE AND SUBACUTE ENDOCARDITIS ,,,6279.55,9419.33,13
APR-DRG,1933,ACUTE AND SUBACUTE ENDOCARDITIS Mental Health Geriatric,,,7535.46,7535.46,6
APR-DRG,1934,ACUTE AND SUBACUTE ENDOCARDITIS ,,,9163.24,13744.86,13
APR-DRG,1934,ACUTE AND SUBACUTE ENDOCARDITIS Mental Health Geriatric,,,10995.89,10995.89,6
APR-DRG,1941,HEART FAILURE ,,,1996.24,2994.36,13
APR-DRG,1941,HEART FAILURE Mental Health Geriatric,,,2395.49,2395.49,6
APR-DRG,1942,HEART FAILURE ,,,2706.82,4060.23,13
APR-DRG,1942,HEART FAILURE Mental Health Geriatric,,,3248.18,3248.18,6
APR-DRG,1943,HEART FAILURE ,,,4395.89,6593.84,13
APR-DRG,1943,HEART FAILURE Mental Health Geriatric,,,5275.07,5275.07,6
APR-DRG,1944,HEART FAILURE ,,,8942.24,13413.36,13
APR-DRG,1944,HEART FAILURE Mental Health Geriatric,,,10730.69,10730.69,6
APR-DRG,1961,CARDIAC ARREST AND SHOCK ,,,1806.86,2710.29,13
APR-DRG,1961,CARDIAC ARREST AND SHOCK Mental Health Geriatric,,,2168.23,2168.23,6
APR-DRG,1962,CARDIAC ARREST AND SHOCK ,,,2359.35,3539.02,13
APR-DRG,1962,CARDIAC ARREST AND SHOCK Mental Health Geriatric,,,2831.22,2831.22,6
APR-DRG,1963,CARDIAC ARREST AND SHOCK ,,,3920.55,5880.83,13
APR-DRG,1963,CARDIAC ARREST AND SHOCK Mental Health Geriatric,,,4704.66,4704.66,6
APR-DRG,1964,CARDIAC ARREST AND SHOCK ,,,7233.02,10849.53,13
APR-DRG,1964,CARDIAC ARREST AND SHOCK Mental Health Geriatric,,,8679.62,8679.62,6
APR-DRG,1971,PERIPHERAL AND OTHER VASCULAR DISORDERS ,,,2262.75,3394.13,13
APR-DRG,1971,PERIPHERAL AND OTHER VASCULAR DISORDERS Mental Health Geriatric,,,2715.3,2715.3,6
APR-DRG,1972,PERIPHERAL AND OTHER VASCULAR DISORDERS ,,,2922.6,4383.9,13
APR-DRG,1972,PERIPHERAL AND OTHER VASCULAR DISORDERS Mental Health Geriatric,,,3507.12,3507.12,6
APR-DRG,1973,PERIPHERAL AND OTHER VASCULAR DISORDERS ,,,4752.75,7129.13,13
APR-DRG,1973,PERIPHERAL AND OTHER VASCULAR DISORDERS Mental Health Geriatric,,,5703.3,5703.3,6
APR-DRG,1974,PERIPHERAL AND OTHER VASCULAR DISORDERS ,,,8445.01,12667.51,13
APR-DRG,1974,PERIPHERAL AND OTHER VASCULAR DISORDERS Mental Health Geriatric,,,10134.01,10134.01,6
APR-DRG,1981,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS ,,,2176.58,3264.87,13
APR-DRG,1981,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Mental Health Geriatric,,,2611.9,2611.9,6
APR-DRG,1982,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS ,,,2567.83,3851.74,13
APR-DRG,1982,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Mental Health Geriatric,,,3081.4,3081.4,6
APR-DRG,1983,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS ,,,3397.95,5096.92,13
APR-DRG,1983,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Mental Health Geriatric,,,4077.54,4077.54,6
APR-DRG,1984,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS ,,,7113.84,10670.76,13
APR-DRG,1984,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Mental Health Geriatric,,,8536.61,8536.61,6
APR-DRG,1991,HYPERTENSION ,,,2259.28,3388.92,13
APR-DRG,1991,HYPERTENSION Mental Health Geriatric,,,2711.14,2711.14,6
APR-DRG,1992,HYPERTENSION ,,,2638.37,3957.55,13
APR-DRG,1992,HYPERTENSION Mental Health Geriatric,,,3166.04,3166.04,6
APR-DRG,1993,HYPERTENSION ,,,3774.26,5661.39,13
APR-DRG,1993,HYPERTENSION Mental Health Geriatric,,,4529.11,4529.11,6
APR-DRG,1994,HYPERTENSION ,,,7347.69,11021.53,13
APR-DRG,1994,HYPERTENSION Mental Health Geriatric,,,8817.23,8817.23,6
APR-DRG,2001,CARDIAC STRUCTURAL AND VALVULAR DISORDERS ,,,2444.48,3666.72,13
APR-DRG,2001,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Mental Health Geriatric,,,2933.38,2933.38,6
APR-DRG,2002,CARDIAC STRUCTURAL AND VALVULAR DISORDERS ,,,3239.85,4859.77,13
APR-DRG,2002,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Mental Health Geriatric,,,3887.82,3887.82,6
APR-DRG,2003,CARDIAC STRUCTURAL AND VALVULAR DISORDERS ,,,5019.96,7529.94,13
APR-DRG,2003,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Mental Health Geriatric,,,6023.95,6023.95,6
APR-DRG,2004,CARDIAC STRUCTURAL AND VALVULAR DISORDERS ,,,9276.17,13914.26,13
APR-DRG,2004,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Mental Health Geriatric,,,11131.4,11131.4,6
APR-DRG,2011,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS ,,,1754.74,2632.11,13
APR-DRG,2011,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Mental Health Geriatric,,,2105.69,2105.69,6
APR-DRG,2012,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS ,,,2388.54,3582.81,13
APR-DRG,2012,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Mental Health Geriatric,,,2866.25,2866.25,6
APR-DRG,2013,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS ,,,3602.96,5404.44,13
APR-DRG,2013,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Mental Health Geriatric,,,4323.55,4323.55,6
APR-DRG,2014,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS ,,,6625.29,9937.93,13
APR-DRG,2014,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Mental Health Geriatric,,,7950.35,7950.35,6
APR-DRG,2031,CHEST PAIN ,,,2234.95,3352.42,13
APR-DRG,2031,CHEST PAIN Mental Health Geriatric,,,2681.94,2681.94,6
APR-DRG,2032,CHEST PAIN ,,,2540.03,3810.05,13
APR-DRG,2032,CHEST PAIN Mental Health Geriatric,,,3048.04,3048.04,6
APR-DRG,2033,CHEST PAIN ,,,3184.25,4776.38,13
APR-DRG,2033,CHEST PAIN Mental Health Geriatric,,,3821.1,3821.1,6
APR-DRG,2034,CHEST PAIN ,,,5533.52,8300.28,13
APR-DRG,2034,CHEST PAIN Mental Health Geriatric,,,6640.22,6640.22,6
APR-DRG,2041,SYNCOPE AND COLLAPSE ,,,2510.85,3766.27,13
APR-DRG,2041,SYNCOPE AND COLLAPSE Mental Health Geriatric,,,3013.02,3013.02,6
APR-DRG,2042,SYNCOPE AND COLLAPSE ,,,2896.54,4344.81,13
APR-DRG,2042,SYNCOPE AND COLLAPSE Mental Health Geriatric,,,3475.85,3475.85,6
APR-DRG,2043,SYNCOPE AND COLLAPSE ,,,3786.77,5680.15,13
APR-DRG,2043,SYNCOPE AND COLLAPSE Mental Health Geriatric,,,4544.12,4544.12,6
APR-DRG,2044,SYNCOPE AND COLLAPSE ,,,6292.41,9438.61,13
APR-DRG,2044,SYNCOPE AND COLLAPSE Mental Health Geriatric,,,7550.89,7550.89,6
APR-DRG,2051,CARDIOMYOPATHY ,,,2198.47,3297.7,13
APR-DRG,2051,CARDIOMYOPATHY Mental Health Geriatric,,,2638.16,2638.16,6
APR-DRG,2052,CARDIOMYOPATHY ,,,2801.68,4202.52,13
APR-DRG,2052,CARDIOMYOPATHY Mental Health Geriatric,,,3362.02,3362.02,6
APR-DRG,2053,CARDIOMYOPATHY ,,,4130.08,6195.12,13
APR-DRG,2053,CARDIOMYOPATHY Mental Health Geriatric,,,4956.1,4956.1,6
APR-DRG,2054,CARDIOMYOPATHY ,,,8250.08,12375.12,13
APR-DRG,2054,CARDIOMYOPATHY Mental Health Geriatric,,,9900.1,9900.1,6
APR-DRG,2061,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE ",,,2366.65,3549.98,13
APR-DRG,2061,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Mental Health Geriatric",,,2839.98,2839.98,6
APR-DRG,2062,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE ",,,3402.12,5103.18,13
APR-DRG,2062,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Mental Health Geriatric",,,4082.54,4082.54,6
APR-DRG,2063,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE ",,,5108.22,7662.33,13
APR-DRG,2063,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Mental Health Geriatric",,,6129.86,6129.86,6
APR-DRG,2064,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE ",,,9007.92,13511.88,13
APR-DRG,2064,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Mental Health Geriatric",,,10809.5,10809.5,6
APR-DRG,2071,OTHER CIRCULATORY SYSTEM DIAGNOSES ,,,2135.23,3202.85,13
APR-DRG,2071,OTHER CIRCULATORY SYSTEM DIAGNOSES Mental Health Geriatric,,,2562.28,2562.28,6
APR-DRG,2072,OTHER CIRCULATORY SYSTEM DIAGNOSES ,,,2688.41,4032.61,13
APR-DRG,2072,OTHER CIRCULATORY SYSTEM DIAGNOSES Mental Health Geriatric,,,3226.09,3226.09,6
APR-DRG,2073,OTHER CIRCULATORY SYSTEM DIAGNOSES ,,,4158.22,6237.33,13
APR-DRG,2073,OTHER CIRCULATORY SYSTEM DIAGNOSES Mental Health Geriatric,,,4989.86,4989.86,6
APR-DRG,2074,OTHER CIRCULATORY SYSTEM DIAGNOSES ,,,7960.98,11941.47,13
APR-DRG,2074,OTHER CIRCULATORY SYSTEM DIAGNOSES Mental Health Geriatric,,,9553.18,9553.18,6
APR-DRG,2201,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,5772.59,8658.89,13
APR-DRG,2201,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,6927.11,6927.11,6
APR-DRG,2202,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,8350.5,12525.75,13
APR-DRG,2202,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,10020.6,10020.6,6
APR-DRG,2203,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,12001.06,18001.59,13
APR-DRG,2203,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,14401.27,14401.27,6
APR-DRG,2204,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,20090.25,30135.38,13
APR-DRG,2204,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,24108.3,24108.3,6
APR-DRG,2221,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,3304.13,4956.19,13
APR-DRG,2221,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,3964.96,3964.96,6
APR-DRG,2222,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,5504.34,8256.51,13
APR-DRG,2222,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,6605.21,6605.21,6
APR-DRG,2223,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,8387.33,12580.99,13
APR-DRG,2223,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,10064.8,10064.8,6
APR-DRG,2224,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES ",,,15101.57,22652.35,13
APR-DRG,2224,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,18121.88,18121.88,6
APR-DRG,2231,OTHER SMALL AND LARGE BOWEL PROCEDURES ,,,4440.02,6660.03,13
APR-DRG,2231,OTHER SMALL AND LARGE BOWEL PROCEDURES Mental Health Geriatric,,,5328.02,5328.02,6
APR-DRG,2232,OTHER SMALL AND LARGE BOWEL PROCEDURES ,,,5691.62,8537.43,13
APR-DRG,2232,OTHER SMALL AND LARGE BOWEL PROCEDURES Mental Health Geriatric,,,6829.94,6829.94,6
APR-DRG,2233,OTHER SMALL AND LARGE BOWEL PROCEDURES ,,,8064.52,12096.78,13
APR-DRG,2233,OTHER SMALL AND LARGE BOWEL PROCEDURES Mental Health Geriatric,,,9677.42,9677.42,6
APR-DRG,2234,OTHER SMALL AND LARGE BOWEL PROCEDURES ,,,14076.17,21114.26,13
APR-DRG,2234,OTHER SMALL AND LARGE BOWEL PROCEDURES Mental Health Geriatric,,,16891.4,16891.4,6
APR-DRG,2241,PERITONEAL ADHESIOLYSIS ,,,4872.28,7308.42,13
APR-DRG,2241,PERITONEAL ADHESIOLYSIS Mental Health Geriatric,,,5846.74,5846.74,6
APR-DRG,2242,PERITONEAL ADHESIOLYSIS ,,,6221.52,9332.28,13
APR-DRG,2242,PERITONEAL ADHESIOLYSIS Mental Health Geriatric,,,7465.82,7465.82,6
APR-DRG,2243,PERITONEAL ADHESIOLYSIS ,,,9182.0,13773.0,13
APR-DRG,2243,PERITONEAL ADHESIOLYSIS Mental Health Geriatric,,,11018.4,11018.4,6
APR-DRG,2244,PERITONEAL ADHESIOLYSIS ,,,14731.86,22097.79,13
APR-DRG,2244,PERITONEAL ADHESIOLYSIS Mental Health Geriatric,,,17678.23,17678.23,6
APR-DRG,2261,ANAL AND PERINEAL PROCEDURES ,,,3334.36,5001.54,13
APR-DRG,2261,ANAL AND PERINEAL PROCEDURES Mental Health Geriatric,,,4001.23,4001.23,6
APR-DRG,2262,ANAL AND PERINEAL PROCEDURES ,,,4083.17,6124.76,13
APR-DRG,2262,ANAL AND PERINEAL PROCEDURES Mental Health Geriatric,,,4899.8,4899.8,6
APR-DRG,2263,ANAL AND PERINEAL PROCEDURES ,,,6288.93,9433.4,13
APR-DRG,2263,ANAL AND PERINEAL PROCEDURES Mental Health Geriatric,,,7546.72,7546.72,6
APR-DRG,2264,ANAL AND PERINEAL PROCEDURES ,,,10165.7,15248.55,13
APR-DRG,2264,ANAL AND PERINEAL PROCEDURES Mental Health Geriatric,,,12198.84,12198.84,6
APR-DRG,2271,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL ",,,4609.59,6914.39,13
APR-DRG,2271,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Mental Health Geriatric",,,5531.51,5531.51,6
APR-DRG,2272,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL ",,,5706.22,8559.33,13
APR-DRG,2272,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Mental Health Geriatric",,,6847.46,6847.46,6
APR-DRG,2273,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL ",,,8404.35,12606.53,13
APR-DRG,2273,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Mental Health Geriatric",,,10085.22,10085.22,6
APR-DRG,2274,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL ",,,15000.45,22500.68,13
APR-DRG,2274,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Mental Health Geriatric",,,18000.54,18000.54,6
APR-DRG,2281,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES ",,,3988.31,5982.47,13
APR-DRG,2281,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Mental Health Geriatric",,,4785.97,4785.97,6
APR-DRG,2282,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES ",,,4839.97,7259.95,13
APR-DRG,2282,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Mental Health Geriatric",,,5807.96,5807.96,6
APR-DRG,2283,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES ",,,6856.7,10285.05,13
APR-DRG,2283,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Mental Health Geriatric",,,8228.04,8228.04,6
APR-DRG,2284,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES ",,,12009.05,18013.57,13
APR-DRG,2284,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Mental Health Geriatric",,,14410.86,14410.86,6
APR-DRG,2291,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES ,,,4489.36,6734.04,13
APR-DRG,2291,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Mental Health Geriatric,,,5387.23,5387.23,6
APR-DRG,2292,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES ,,,6190.94,9286.41,13
APR-DRG,2292,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Mental Health Geriatric,,,7429.13,7429.13,6
APR-DRG,2293,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES ,,,9627.11,14440.67,13
APR-DRG,2293,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Mental Health Geriatric,,,11552.53,11552.53,6
APR-DRG,2294,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES ,,,15420.9,23131.35,13
APR-DRG,2294,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Mental Health Geriatric,,,18505.08,18505.08,6
APR-DRG,2301,MAJOR SMALL BOWEL PROCEDURES ,,,4432.03,6648.05,13
APR-DRG,2301,MAJOR SMALL BOWEL PROCEDURES Mental Health Geriatric,,,5318.44,5318.44,6
APR-DRG,2302,MAJOR SMALL BOWEL PROCEDURES ,,,7349.08,11023.62,13
APR-DRG,2302,MAJOR SMALL BOWEL PROCEDURES Mental Health Geriatric,,,8818.9,8818.9,6
APR-DRG,2303,MAJOR SMALL BOWEL PROCEDURES ,,,10813.04,16219.56,13
APR-DRG,2303,MAJOR SMALL BOWEL PROCEDURES Mental Health Geriatric,,,12975.65,12975.65,6
APR-DRG,2304,MAJOR SMALL BOWEL PROCEDURES ,,,17200.66,25800.99,13
APR-DRG,2304,MAJOR SMALL BOWEL PROCEDURES Mental Health Geriatric,,,20640.79,20640.79,6
APR-DRG,2311,MAJOR LARGE BOWEL PROCEDURES ,,,5474.8,8212.2,13
APR-DRG,2311,MAJOR LARGE BOWEL PROCEDURES Mental Health Geriatric,,,6569.76,6569.76,6
APR-DRG,2312,MAJOR LARGE BOWEL PROCEDURES ,,,7072.83,10609.24,13
APR-DRG,2312,MAJOR LARGE BOWEL PROCEDURES Mental Health Geriatric,,,8487.4,8487.4,6
APR-DRG,2313,MAJOR LARGE BOWEL PROCEDURES ,,,10110.45,15165.68,13
APR-DRG,2313,MAJOR LARGE BOWEL PROCEDURES Mental Health Geriatric,,,12132.54,12132.54,6
APR-DRG,2314,MAJOR LARGE BOWEL PROCEDURES ,,,15383.72,23075.58,13
APR-DRG,2314,MAJOR LARGE BOWEL PROCEDURES Mental Health Geriatric,,,18460.46,18460.46,6
APR-DRG,2331,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ,,,3949.04,5923.56,13
APR-DRG,2331,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4738.85,4738.85,6
APR-DRG,2332,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ,,,4961.93,7442.9,13
APR-DRG,2332,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,5954.32,5954.32,6
APR-DRG,2333,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ,,,7639.91,11459.86,13
APR-DRG,2333,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,9167.89,9167.89,6
APR-DRG,2334,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ,,,12319.69,18479.53,13
APR-DRG,2334,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,14783.63,14783.63,6
APR-DRG,2341,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ,,,3765.58,5648.37,13
APR-DRG,2341,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4518.7,4518.7,6
APR-DRG,2342,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ,,,4594.65,6891.97,13
APR-DRG,2342,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,5513.58,5513.58,6
APR-DRG,2343,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ,,,7138.16,10707.24,13
APR-DRG,2343,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,8565.79,8565.79,6
APR-DRG,2344,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ,,,9778.27,14667.41,13
APR-DRG,2344,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,11733.92,11733.92,6
APR-DRG,2401,DIGESTIVE MALIGNANCY ,,,3022.33,4533.49,13
APR-DRG,2401,DIGESTIVE MALIGNANCY Mental Health Geriatric,,,3626.8,3626.8,6
APR-DRG,2402,DIGESTIVE MALIGNANCY ,,,3599.48,5399.22,13
APR-DRG,2402,DIGESTIVE MALIGNANCY Mental Health Geriatric,,,4319.38,4319.38,6
APR-DRG,2403,DIGESTIVE MALIGNANCY ,,,5525.53,8288.3,13
APR-DRG,2403,DIGESTIVE MALIGNANCY Mental Health Geriatric,,,6630.64,6630.64,6
APR-DRG,2404,DIGESTIVE MALIGNANCY ,,,9101.73,13652.59,13
APR-DRG,2404,DIGESTIVE MALIGNANCY Mental Health Geriatric,,,10922.08,10922.08,6
APR-DRG,2411,PEPTIC ULCER AND GASTRITIS ,,,2652.96,3979.44,13
APR-DRG,2411,PEPTIC ULCER AND GASTRITIS Mental Health Geriatric,,,3183.55,3183.55,6
APR-DRG,2412,PEPTIC ULCER AND GASTRITIS ,,,3288.49,4932.73,13
APR-DRG,2412,PEPTIC ULCER AND GASTRITIS Mental Health Geriatric,,,3946.19,3946.19,6
APR-DRG,2413,PEPTIC ULCER AND GASTRITIS ,,,5026.91,7540.36,13
APR-DRG,2413,PEPTIC ULCER AND GASTRITIS Mental Health Geriatric,,,6032.29,6032.29,6
APR-DRG,2414,PEPTIC ULCER AND GASTRITIS ,,,9412.38,14118.57,13
APR-DRG,2414,PEPTIC ULCER AND GASTRITIS Mental Health Geriatric,,,11294.86,11294.86,6
APR-DRG,2421,MAJOR ESOPHAGEAL DISORDERS ,,,2576.17,3864.26,13
APR-DRG,2421,MAJOR ESOPHAGEAL DISORDERS Mental Health Geriatric,,,3091.4,3091.4,6
APR-DRG,2422,MAJOR ESOPHAGEAL DISORDERS ,,,3209.62,4814.43,13
APR-DRG,2422,MAJOR ESOPHAGEAL DISORDERS Mental Health Geriatric,,,3851.54,3851.54,6
APR-DRG,2423,MAJOR ESOPHAGEAL DISORDERS ,,,4958.11,7437.16,13
APR-DRG,2423,MAJOR ESOPHAGEAL DISORDERS Mental Health Geriatric,,,5949.73,5949.73,6
APR-DRG,2424,MAJOR ESOPHAGEAL DISORDERS ,,,9237.94,13856.91,13
APR-DRG,2424,MAJOR ESOPHAGEAL DISORDERS Mental Health Geriatric,,,11085.53,11085.53,6
APR-DRG,2431,OTHER ESOPHAGEAL DISORDERS ,,,2374.29,3561.43,13
APR-DRG,2431,OTHER ESOPHAGEAL DISORDERS Mental Health Geriatric,,,2849.15,2849.15,6
APR-DRG,2432,OTHER ESOPHAGEAL DISORDERS ,,,3089.04,4633.56,13
APR-DRG,2432,OTHER ESOPHAGEAL DISORDERS Mental Health Geriatric,,,3706.85,3706.85,6
APR-DRG,2433,OTHER ESOPHAGEAL DISORDERS ,,,4509.17,6763.76,13
APR-DRG,2433,OTHER ESOPHAGEAL DISORDERS Mental Health Geriatric,,,5411.0,5411.0,6
APR-DRG,2434,OTHER ESOPHAGEAL DISORDERS ,,,8086.76,12130.14,13
APR-DRG,2434,OTHER ESOPHAGEAL DISORDERS Mental Health Geriatric,,,9704.11,9704.11,6
APR-DRG,2441,DIVERTICULITIS AND DIVERTICULOSIS ,,,1942.73,2914.1,13
APR-DRG,2441,DIVERTICULITIS AND DIVERTICULOSIS Mental Health Geriatric,,,2331.28,2331.28,6
APR-DRG,2442,DIVERTICULITIS AND DIVERTICULOSIS ,,,2724.89,4087.34,13
APR-DRG,2442,DIVERTICULITIS AND DIVERTICULOSIS Mental Health Geriatric,,,3269.87,3269.87,6
APR-DRG,2443,DIVERTICULITIS AND DIVERTICULOSIS ,,,4274.28,6411.42,13
APR-DRG,2443,DIVERTICULITIS AND DIVERTICULOSIS Mental Health Geriatric,,,5129.14,5129.14,6
APR-DRG,2444,DIVERTICULITIS AND DIVERTICULOSIS ,,,7836.23,11754.34,13
APR-DRG,2444,DIVERTICULITIS AND DIVERTICULOSIS Mental Health Geriatric,,,9403.48,9403.48,6
APR-DRG,2451,INFLAMMATORY BOWEL DISEASE ,,,2250.59,3375.89,13
APR-DRG,2451,INFLAMMATORY BOWEL DISEASE Mental Health Geriatric,,,2700.71,2700.71,6
APR-DRG,2452,INFLAMMATORY BOWEL DISEASE ,,,3022.68,4534.02,13
APR-DRG,2452,INFLAMMATORY BOWEL DISEASE Mental Health Geriatric,,,3627.22,3627.22,6
APR-DRG,2453,INFLAMMATORY BOWEL DISEASE ,,,4838.92,7258.38,13
APR-DRG,2453,INFLAMMATORY BOWEL DISEASE Mental Health Geriatric,,,5806.7,5806.7,6
APR-DRG,2454,INFLAMMATORY BOWEL DISEASE ,,,7607.25,11410.88,13
APR-DRG,2454,INFLAMMATORY BOWEL DISEASE Mental Health Geriatric,,,9128.7,9128.7,6
APR-DRG,2461,GASTROINTESTINAL VASCULAR INSUFFICIENCY ,,,2276.3,3414.45,13
APR-DRG,2461,GASTROINTESTINAL VASCULAR INSUFFICIENCY Mental Health Geriatric,,,2731.56,2731.56,6
APR-DRG,2462,GASTROINTESTINAL VASCULAR INSUFFICIENCY ,,,2981.33,4471.99,13
APR-DRG,2462,GASTROINTESTINAL VASCULAR INSUFFICIENCY Mental Health Geriatric,,,3577.6,3577.6,6
APR-DRG,2463,GASTROINTESTINAL VASCULAR INSUFFICIENCY ,,,4505.0,6757.5,13
APR-DRG,2463,GASTROINTESTINAL VASCULAR INSUFFICIENCY Mental Health Geriatric,,,5406.0,5406.0,6
APR-DRG,2464,GASTROINTESTINAL VASCULAR INSUFFICIENCY ,,,7524.2,11286.3,13
APR-DRG,2464,GASTROINTESTINAL VASCULAR INSUFFICIENCY Mental Health Geriatric,,,9029.04,9029.04,6
APR-DRG,2471,INTESTINAL OBSTRUCTION ,,,1795.4,2693.1,13
APR-DRG,2471,INTESTINAL OBSTRUCTION Mental Health Geriatric,,,2154.48,2154.48,6
APR-DRG,2472,INTESTINAL OBSTRUCTION ,,,2415.29,3622.93,13
APR-DRG,2472,INTESTINAL OBSTRUCTION Mental Health Geriatric,,,2898.35,2898.35,6
APR-DRG,2473,INTESTINAL OBSTRUCTION ,,,3968.5,5952.75,13
APR-DRG,2473,INTESTINAL OBSTRUCTION Mental Health Geriatric,,,4762.2,4762.2,6
APR-DRG,2474,INTESTINAL OBSTRUCTION ,,,7092.99,10639.49,13
APR-DRG,2474,INTESTINAL OBSTRUCTION Mental Health Geriatric,,,8511.59,8511.59,6
APR-DRG,2481,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS ,,,2096.31,3144.47,13
APR-DRG,2481,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Mental Health Geriatric,,,2515.57,2515.57,6
APR-DRG,2482,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS ,,,2855.54,4283.31,13
APR-DRG,2482,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Mental Health Geriatric,,,3426.65,3426.65,6
APR-DRG,2483,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS ,,,4407.36,6611.04,13
APR-DRG,2483,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Mental Health Geriatric,,,5288.83,5288.83,6
APR-DRG,2484,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS ,,,7786.89,11680.34,13
APR-DRG,2484,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Mental Health Geriatric,,,9344.27,9344.27,6
APR-DRG,2491,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING ",,,1917.36,2876.04,13
APR-DRG,2491,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Mental Health Geriatric",,,2300.83,2300.83,6
APR-DRG,2492,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING ",,,2388.88,3583.32,13
APR-DRG,2492,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Mental Health Geriatric",,,2866.66,2866.66,6
APR-DRG,2493,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING ",,,3673.15,5509.73,13
APR-DRG,2493,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Mental Health Geriatric",,,4407.78,4407.78,6
APR-DRG,2494,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING ",,,6503.32,9754.98,13
APR-DRG,2494,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Mental Health Geriatric",,,7803.98,7803.98,6
APR-DRG,2511,ABDOMINAL PAIN ,,,2196.38,3294.57,13
APR-DRG,2511,ABDOMINAL PAIN Mental Health Geriatric,,,2635.66,2635.66,6
APR-DRG,2512,ABDOMINAL PAIN ,,,2749.91,4124.86,13
APR-DRG,2512,ABDOMINAL PAIN Mental Health Geriatric,,,3299.89,3299.89,6
APR-DRG,2513,ABDOMINAL PAIN ,,,3670.72,5506.08,13
APR-DRG,2513,ABDOMINAL PAIN Mental Health Geriatric,,,4404.86,4404.86,6
APR-DRG,2514,ABDOMINAL PAIN ,,,5873.01,8809.51,13
APR-DRG,2514,ABDOMINAL PAIN Mental Health Geriatric,,,7047.61,7047.61,6
APR-DRG,2521,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE ",,,2215.84,3323.76,13
APR-DRG,2521,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Mental Health Geriatric",,,2659.01,2659.01,6
APR-DRG,2522,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE ",,,3140.47,4710.7,13
APR-DRG,2522,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Mental Health Geriatric",,,3768.56,3768.56,6
APR-DRG,2523,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE ",,,4837.19,7255.78,13
APR-DRG,2523,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Mental Health Geriatric",,,5804.63,5804.63,6
APR-DRG,2524,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE ",,,9021.12,13531.68,13
APR-DRG,2524,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Mental Health Geriatric",,,10825.34,10825.34,6
APR-DRG,2531,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE ,,,2286.03,3429.05,13
APR-DRG,2531,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Mental Health Geriatric,,,2743.24,2743.24,6
APR-DRG,2532,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE ,,,2976.81,4465.22,13
APR-DRG,2532,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Mental Health Geriatric,,,3572.17,3572.17,6
APR-DRG,2533,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE ,,,4505.7,6758.55,13
APR-DRG,2533,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Mental Health Geriatric,,,5406.84,5406.84,6
APR-DRG,2534,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE ,,,7857.43,11786.15,13
APR-DRG,2534,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Mental Health Geriatric,,,9428.92,9428.92,6
APR-DRG,2541,OTHER DIGESTIVE SYSTEM DIAGNOSES ,,,2242.6,3363.9,13
APR-DRG,2541,OTHER DIGESTIVE SYSTEM DIAGNOSES Mental Health Geriatric,,,2691.12,2691.12,6
APR-DRG,2542,OTHER DIGESTIVE SYSTEM DIAGNOSES ,,,2975.07,4462.61,13
APR-DRG,2542,OTHER DIGESTIVE SYSTEM DIAGNOSES Mental Health Geriatric,,,3570.08,3570.08,6
APR-DRG,2543,OTHER DIGESTIVE SYSTEM DIAGNOSES ,,,4464.0,6696.0,13
APR-DRG,2543,OTHER DIGESTIVE SYSTEM DIAGNOSES Mental Health Geriatric,,,5356.8,5356.8,6
APR-DRG,2544,OTHER DIGESTIVE SYSTEM DIAGNOSES ,,,7662.15,11493.22,13
APR-DRG,2544,OTHER DIGESTIVE SYSTEM DIAGNOSES Mental Health Geriatric,,,9194.58,9194.58,6
APR-DRG,2601,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES ",,,7059.98,10589.97,13
APR-DRG,2601,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Mental Health Geriatric",,,8471.98,8471.98,6
APR-DRG,2602,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES ",,,9534.69,14302.03,13
APR-DRG,2602,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Mental Health Geriatric",,,11441.63,11441.63,6
APR-DRG,2603,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES ",,,12805.81,19208.72,13
APR-DRG,2603,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Mental Health Geriatric",,,15366.97,15366.97,6
APR-DRG,2604,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES ",,,21498.56,32247.84,13
APR-DRG,2604,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Mental Health Geriatric",,,25798.27,25798.27,6
APR-DRG,2611,MAJOR BILIARY TRACT PROCEDURES ,,,5919.91,8879.86,13
APR-DRG,2611,MAJOR BILIARY TRACT PROCEDURES Mental Health Geriatric,,,7103.89,7103.89,6
APR-DRG,2612,MAJOR BILIARY TRACT PROCEDURES ,,,8633.69,12950.53,13
APR-DRG,2612,MAJOR BILIARY TRACT PROCEDURES Mental Health Geriatric,,,10360.43,10360.43,6
APR-DRG,2613,MAJOR BILIARY TRACT PROCEDURES ,,,10804.7,16207.05,13
APR-DRG,2613,MAJOR BILIARY TRACT PROCEDURES Mental Health Geriatric,,,12965.64,12965.64,6
APR-DRG,2614,MAJOR BILIARY TRACT PROCEDURES ,,,18356.36,27534.54,13
APR-DRG,2614,MAJOR BILIARY TRACT PROCEDURES Mental Health Geriatric,,,22027.63,22027.63,6
APR-DRG,2631,CHOLECYSTECTOMY ,,,4426.82,6640.23,13
APR-DRG,2631,CHOLECYSTECTOMY Mental Health Geriatric,,,5312.18,5312.18,6
APR-DRG,2632,CHOLECYSTECTOMY ,,,5684.33,8526.49,13
APR-DRG,2632,CHOLECYSTECTOMY Mental Health Geriatric,,,6821.2,6821.2,6
APR-DRG,2633,CHOLECYSTECTOMY ,,,7697.94,11546.91,13
APR-DRG,2633,CHOLECYSTECTOMY Mental Health Geriatric,,,9237.53,9237.53,6
APR-DRG,2634,CHOLECYSTECTOMY ,,,12718.24,19077.36,13
APR-DRG,2634,CHOLECYSTECTOMY Mental Health Geriatric,,,15261.89,15261.89,6
APR-DRG,2641,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES ",,,4978.95,7468.42,13
APR-DRG,2641,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Mental Health Geriatric",,,5974.74,5974.74,6
APR-DRG,2642,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES ",,,6422.71,9634.07,13
APR-DRG,2642,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Mental Health Geriatric",,,7707.25,7707.25,6
APR-DRG,2643,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES ",,,9469.71,14204.56,13
APR-DRG,2643,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Mental Health Geriatric",,,11363.65,11363.65,6
APR-DRG,2644,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES ",,,17091.55,25637.32,13
APR-DRG,2644,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Mental Health Geriatric",,,20509.86,20509.86,6
APR-DRG,2791,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS ,,,1947.94,2921.91,13
APR-DRG,2791,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Mental Health Geriatric,,,2337.53,2337.53,6
APR-DRG,2792,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS ,,,2793.0,4189.5,13
APR-DRG,2792,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Mental Health Geriatric,,,3351.6,3351.6,6
APR-DRG,2793,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS ,,,4875.76,7313.64,13
APR-DRG,2793,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Mental Health Geriatric,,,5850.91,5850.91,6
APR-DRG,2794,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS ,,,9271.3,13906.95,13
APR-DRG,2794,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Mental Health Geriatric,,,11125.56,11125.56,6
APR-DRG,2801,ALCOHOLIC LIVER DISEASE ,,,2314.18,3471.27,13
APR-DRG,2801,ALCOHOLIC LIVER DISEASE Mental Health Geriatric,,,2777.02,2777.02,6
APR-DRG,2802,ALCOHOLIC LIVER DISEASE ,,,3166.53,4749.8,13
APR-DRG,2802,ALCOHOLIC LIVER DISEASE Mental Health Geriatric,,,3799.84,3799.84,6
APR-DRG,2803,ALCOHOLIC LIVER DISEASE ,,,5001.19,7501.78,13
APR-DRG,2803,ALCOHOLIC LIVER DISEASE Mental Health Geriatric,,,6001.43,6001.43,6
APR-DRG,2804,ALCOHOLIC LIVER DISEASE ,,,9994.39,14991.58,13
APR-DRG,2804,ALCOHOLIC LIVER DISEASE Mental Health Geriatric,,,11993.27,11993.27,6
APR-DRG,2811,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS ,,,2746.43,4119.64,13
APR-DRG,2811,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Mental Health Geriatric,,,3295.72,3295.72,6
APR-DRG,2812,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS ,,,3405.25,5107.88,13
APR-DRG,2812,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Mental Health Geriatric,,,4086.3,4086.3,6
APR-DRG,2813,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS ,,,5375.77,8063.66,13
APR-DRG,2813,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Mental Health Geriatric,,,6450.92,6450.92,6
APR-DRG,2814,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS ,,,8332.77,12499.16,13
APR-DRG,2814,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Mental Health Geriatric,,,9999.32,9999.32,6
APR-DRG,2821,DISORDERS OF PANCREAS EXCEPT MALIGNANCY ,,,2015.0,3022.5,13
APR-DRG,2821,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Mental Health Geriatric,,,2418.0,2418.0,6
APR-DRG,2822,DISORDERS OF PANCREAS EXCEPT MALIGNANCY ,,,2756.16,4134.24,13
APR-DRG,2822,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Mental Health Geriatric,,,3307.39,3307.39,6
APR-DRG,2823,DISORDERS OF PANCREAS EXCEPT MALIGNANCY ,,,4703.06,7054.59,13
APR-DRG,2823,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Mental Health Geriatric,,,5643.67,5643.67,6
APR-DRG,2824,DISORDERS OF PANCREAS EXCEPT MALIGNANCY ,,,9730.31,14595.47,13
APR-DRG,2824,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Mental Health Geriatric,,,11676.37,11676.37,6
APR-DRG,2831,OTHER DISORDERS OF THE LIVER ,,,2303.06,3454.59,13
APR-DRG,2831,OTHER DISORDERS OF THE LIVER Mental Health Geriatric,,,2763.67,2763.67,6
APR-DRG,2832,OTHER DISORDERS OF THE LIVER ,,,3062.29,4593.43,13
APR-DRG,2832,OTHER DISORDERS OF THE LIVER Mental Health Geriatric,,,3674.75,3674.75,6
APR-DRG,2833,OTHER DISORDERS OF THE LIVER ,,,4735.72,7103.58,13
APR-DRG,2833,OTHER DISORDERS OF THE LIVER Mental Health Geriatric,,,5682.86,5682.86,6
APR-DRG,2834,OTHER DISORDERS OF THE LIVER ,,,8942.24,13413.36,13
APR-DRG,2834,OTHER DISORDERS OF THE LIVER Mental Health Geriatric,,,10730.69,10730.69,6
APR-DRG,2841,DISORDERS OF GALLBLADDER AND BILIARY TRACT ,,,2249.89,3374.84,13
APR-DRG,2841,DISORDERS OF GALLBLADDER AND BILIARY TRACT Mental Health Geriatric,,,2699.87,2699.87,6
APR-DRG,2842,DISORDERS OF GALLBLADDER AND BILIARY TRACT ,,,3616.51,5424.77,13
APR-DRG,2842,DISORDERS OF GALLBLADDER AND BILIARY TRACT Mental Health Geriatric,,,4339.81,4339.81,6
APR-DRG,2843,DISORDERS OF GALLBLADDER AND BILIARY TRACT ,,,5055.05,7582.58,13
APR-DRG,2843,DISORDERS OF GALLBLADDER AND BILIARY TRACT Mental Health Geriatric,,,6066.06,6066.06,6
APR-DRG,2844,DISORDERS OF GALLBLADDER AND BILIARY TRACT ,,,8397.75,12596.63,13
APR-DRG,2844,DISORDERS OF GALLBLADDER AND BILIARY TRACT Mental Health Geriatric,,,10077.3,10077.3,6
APR-DRG,2991,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,14000.07,21000.1,13
APR-DRG,2991,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,16800.08,16800.08,6
APR-DRG,2992,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,16902.87,25354.31,13
APR-DRG,2992,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,20283.44,20283.44,6
APR-DRG,2993,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,23329.75,34994.63,13
APR-DRG,2993,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,27995.7,27995.7,6
APR-DRG,2994,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,30722.96,46084.44,13
APR-DRG,2994,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,36867.55,36867.55,6
APR-DRG,3001,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,10467.65,15701.47,13
APR-DRG,3001,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,12561.18,12561.18,6
APR-DRG,3002,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,11968.05,17952.07,13
APR-DRG,3002,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,14361.66,14361.66,6
APR-DRG,3003,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,15859.41,23789.11,13
APR-DRG,3003,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,19031.29,19031.29,6
APR-DRG,3004,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,20793.19,31189.78,13
APR-DRG,3004,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,24951.83,24951.83,6
APR-DRG,3031,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK ,,,14546.3,21819.45,13
APR-DRG,3031,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Mental Health Geriatric,,,17455.56,17455.56,6
APR-DRG,3032,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK ,,,17202.4,25803.6,13
APR-DRG,3032,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Mental Health Geriatric,,,20642.88,20642.88,6
APR-DRG,3033,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK ,,,22820.35,34230.52,13
APR-DRG,3033,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Mental Health Geriatric,,,27384.42,27384.42,6
APR-DRG,3034,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK ,,,35770.71,53656.07,13
APR-DRG,3034,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Mental Health Geriatric,,,42924.85,42924.85,6
APR-DRG,3041,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK ,,,9392.92,14089.38,13
APR-DRG,3041,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Mental Health Geriatric,,,11271.5,11271.5,6
APR-DRG,3042,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK ,,,12699.83,19049.74,13
APR-DRG,3042,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Mental Health Geriatric,,,15239.8,15239.8,6
APR-DRG,3043,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK ,,,17774.68,26662.02,13
APR-DRG,3043,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Mental Health Geriatric,,,21329.62,21329.62,6
APR-DRG,3044,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK ,,,25020.56,37530.84,13
APR-DRG,3044,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Mental Health Geriatric,,,30024.67,30024.67,6
APR-DRG,3051,AMPUTATION OF LOWER LIMB EXCEPT TOES ,,,4229.45,6344.17,13
APR-DRG,3051,AMPUTATION OF LOWER LIMB EXCEPT TOES Mental Health Geriatric,,,5075.34,5075.34,6
APR-DRG,3052,AMPUTATION OF LOWER LIMB EXCEPT TOES ,,,5751.74,8627.61,13
APR-DRG,3052,AMPUTATION OF LOWER LIMB EXCEPT TOES Mental Health Geriatric,,,6902.09,6902.09,6
APR-DRG,3053,AMPUTATION OF LOWER LIMB EXCEPT TOES ,,,8848.43,13272.65,13
APR-DRG,3053,AMPUTATION OF LOWER LIMB EXCEPT TOES Mental Health Geriatric,,,10618.12,10618.12,6
APR-DRG,3054,AMPUTATION OF LOWER LIMB EXCEPT TOES ,,,15126.59,22689.89,13
APR-DRG,3054,AMPUTATION OF LOWER LIMB EXCEPT TOES Mental Health Geriatric,,,18151.91,18151.91,6
APR-DRG,3081,HIP AND FEMUR FRACTURE REPAIR ,,,4966.79,7450.18,13
APR-DRG,3081,HIP AND FEMUR FRACTURE REPAIR Mental Health Geriatric,,,5960.15,5960.15,6
APR-DRG,3082,HIP AND FEMUR FRACTURE REPAIR ,,,6422.01,9633.01,13
APR-DRG,3082,HIP AND FEMUR FRACTURE REPAIR Mental Health Geriatric,,,7706.41,7706.41,6
APR-DRG,3083,HIP AND FEMUR FRACTURE REPAIR ,,,8130.2,12195.3,13
APR-DRG,3083,HIP AND FEMUR FRACTURE REPAIR Mental Health Geriatric,,,9756.24,9756.24,6
APR-DRG,3084,HIP AND FEMUR FRACTURE REPAIR ,,,11924.96,17887.44,13
APR-DRG,3084,HIP AND FEMUR FRACTURE REPAIR Mental Health Geriatric,,,14309.95,14309.95,6
APR-DRG,3091,OTHER SIGNIFICANT HIP AND FEMUR SURGERY ,,,5678.07,8517.1,13
APR-DRG,3091,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Mental Health Geriatric,,,6813.68,6813.68,6
APR-DRG,3092,OTHER SIGNIFICANT HIP AND FEMUR SURGERY ,,,7607.94,11411.91,13
APR-DRG,3092,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Mental Health Geriatric,,,9129.53,9129.53,6
APR-DRG,3093,OTHER SIGNIFICANT HIP AND FEMUR SURGERY ,,,10593.09,15889.64,13
APR-DRG,3093,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Mental Health Geriatric,,,12711.71,12711.71,6
APR-DRG,3094,OTHER SIGNIFICANT HIP AND FEMUR SURGERY ,,,15223.88,22835.82,13
APR-DRG,3094,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Mental Health Geriatric,,,18268.66,18268.66,6
APR-DRG,3101,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES ,,,4923.01,7384.52,13
APR-DRG,3101,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Mental Health Geriatric,,,5907.61,5907.61,6
APR-DRG,3102,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES ,,,6763.93,10145.9,13
APR-DRG,3102,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Mental Health Geriatric,,,8116.72,8116.72,6
APR-DRG,3103,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES ,,,9652.83,14479.24,13
APR-DRG,3103,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Mental Health Geriatric,,,11583.4,11583.4,6
APR-DRG,3104,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES ,,,13647.74,20471.61,13
APR-DRG,3104,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Mental Health Geriatric,,,16377.29,16377.29,6
APR-DRG,3121,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES ,,,5724.29,8586.43,13
APR-DRG,3121,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,6869.15,6869.15,6
APR-DRG,3122,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES ,,,8430.07,12645.1,13
APR-DRG,3122,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,10116.08,10116.08,6
APR-DRG,3123,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES ,,,12538.25,18807.38,13
APR-DRG,3123,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,15045.9,15045.9,6
APR-DRG,3124,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES ,,,23997.6,35996.4,13
APR-DRG,3124,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,28797.12,28797.12,6
APR-DRG,3131,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT ,,,5357.35,8036.03,13
APR-DRG,3131,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Mental Health Geriatric,,,6428.82,6428.82,6
APR-DRG,3132,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT ,,,7227.46,10841.19,13
APR-DRG,3132,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Mental Health Geriatric,,,8672.95,8672.95,6
APR-DRG,3133,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT ,,,10194.89,15292.33,13
APR-DRG,3133,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Mental Health Geriatric,,,12233.87,12233.87,6
APR-DRG,3134,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT ,,,15282.6,22923.9,13
APR-DRG,3134,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Mental Health Geriatric,,,18339.12,18339.12,6
APR-DRG,3141,FOOT AND TOE PROCEDURES ,,,3680.44,5520.66,13
APR-DRG,3141,FOOT AND TOE PROCEDURES Mental Health Geriatric,,,4416.53,4416.53,6
APR-DRG,3142,FOOT AND TOE PROCEDURES ,,,4927.53,7391.3,13
APR-DRG,3142,FOOT AND TOE PROCEDURES Mental Health Geriatric,,,5913.04,5913.04,6
APR-DRG,3143,FOOT AND TOE PROCEDURES ,,,7438.03,11157.05,13
APR-DRG,3143,FOOT AND TOE PROCEDURES Mental Health Geriatric,,,8925.64,8925.64,6
APR-DRG,3144,FOOT AND TOE PROCEDURES ,,,12076.46,18114.69,13
APR-DRG,3144,FOOT AND TOE PROCEDURES Mental Health Geriatric,,,14491.75,14491.75,6
APR-DRG,3151,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT ",,,4739.89,7109.84,13
APR-DRG,3151,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Mental Health Geriatric",,,5687.87,5687.87,6
APR-DRG,3152,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT ",,,7047.82,10571.73,13
APR-DRG,3152,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Mental Health Geriatric",,,8457.38,8457.38,6
APR-DRG,3153,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT ",,,9378.67,14068.01,13
APR-DRG,3153,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Mental Health Geriatric",,,11254.4,11254.4,6
APR-DRG,3154,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT ",,,14713.79,22070.69,13
APR-DRG,3154,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Mental Health Geriatric",,,17656.55,17656.55,6
APR-DRG,3161,HAND AND WRIST PROCEDURES ,,,3726.31,5589.47,13
APR-DRG,3161,HAND AND WRIST PROCEDURES Mental Health Geriatric,,,4471.57,4471.57,6
APR-DRG,3162,HAND AND WRIST PROCEDURES ,,,4920.58,7380.87,13
APR-DRG,3162,HAND AND WRIST PROCEDURES Mental Health Geriatric,,,5904.7,5904.7,6
APR-DRG,3163,HAND AND WRIST PROCEDURES ,,,7544.7,11317.05,13
APR-DRG,3163,HAND AND WRIST PROCEDURES Mental Health Geriatric,,,9053.64,9053.64,6
APR-DRG,3164,HAND AND WRIST PROCEDURES ,,,10797.75,16196.63,13
APR-DRG,3164,HAND AND WRIST PROCEDURES Mental Health Geriatric,,,12957.3,12957.3,6
APR-DRG,3171,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES ",,,4169.34,6254.01,13
APR-DRG,3171,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Mental Health Geriatric",,,5003.21,5003.21,6
APR-DRG,3172,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES ",,,5432.06,8148.09,13
APR-DRG,3172,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Mental Health Geriatric",,,6518.47,6518.47,6
APR-DRG,3173,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES ",,,7866.46,11799.69,13
APR-DRG,3173,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Mental Health Geriatric",,,9439.75,9439.75,6
APR-DRG,3174,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES ",,,12953.83,19430.74,13
APR-DRG,3174,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Mental Health Geriatric",,,15544.6,15544.6,6
APR-DRG,3201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES ,,,4632.87,6949.31,13
APR-DRG,3201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Mental Health Geriatric,,,5559.44,5559.44,6
APR-DRG,3202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES ,,,6398.04,9597.06,13
APR-DRG,3202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Mental Health Geriatric,,,7677.65,7677.65,6
APR-DRG,3203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES ,,,9121.19,13681.78,13
APR-DRG,3203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Mental Health Geriatric,,,10945.43,10945.43,6
APR-DRG,3204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES ,,,14130.38,21195.57,13
APR-DRG,3204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Mental Health Geriatric,,,16956.46,16956.46,6
APR-DRG,3211,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES ,,,6416.11,9624.16,13
APR-DRG,3211,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Mental Health Geriatric,,,7699.33,7699.33,6
APR-DRG,3212,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES ,,,8644.81,12967.22,13
APR-DRG,3212,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Mental Health Geriatric,,,10373.77,10373.77,6
APR-DRG,3213,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES ,,,13591.45,20387.18,13
APR-DRG,3213,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Mental Health Geriatric,,,16309.74,16309.74,6
APR-DRG,3214,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES ,,,18946.71,28420.06,13
APR-DRG,3214,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Mental Health Geriatric,,,22736.05,22736.05,6
APR-DRG,3221,SHOULDER AND ELBOW JOINT REPLACEMENT ,,,6156.54,9234.81,13
APR-DRG,3221,SHOULDER AND ELBOW JOINT REPLACEMENT Mental Health Geriatric,,,7387.85,7387.85,6
APR-DRG,3222,SHOULDER AND ELBOW JOINT REPLACEMENT ,,,7621.15,11431.72,13
APR-DRG,3222,SHOULDER AND ELBOW JOINT REPLACEMENT Mental Health Geriatric,,,9145.38,9145.38,6
APR-DRG,3223,SHOULDER AND ELBOW JOINT REPLACEMENT ,,,10074.31,15111.47,13
APR-DRG,3223,SHOULDER AND ELBOW JOINT REPLACEMENT Mental Health Geriatric,,,12089.17,12089.17,6
APR-DRG,3224,SHOULDER AND ELBOW JOINT REPLACEMENT ,,,14386.47,21579.7,13
APR-DRG,3224,SHOULDER AND ELBOW JOINT REPLACEMENT Mental Health Geriatric,,,17263.76,17263.76,6
APR-DRG,3231,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT ,,,5886.9,8830.35,13
APR-DRG,3231,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Mental Health Geriatric,,,7064.28,7064.28,6
APR-DRG,3232,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT ,,,7118.0,10677.0,13
APR-DRG,3232,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Mental Health Geriatric,,,8541.6,8541.6,6
APR-DRG,3233,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT ,,,9407.51,14111.26,13
APR-DRG,3233,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Mental Health Geriatric,,,11289.01,11289.01,6
APR-DRG,3234,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT ,,,13614.38,20421.57,13
APR-DRG,3234,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Mental Health Geriatric,,,16337.26,16337.26,6
APR-DRG,3241,ELECTIVE HIP JOINT REPLACEMENT ,,,5216.28,7824.42,13
APR-DRG,3241,ELECTIVE HIP JOINT REPLACEMENT Mental Health Geriatric,,,6259.54,6259.54,6
APR-DRG,3242,ELECTIVE HIP JOINT REPLACEMENT ,,,6420.62,9630.93,13
APR-DRG,3242,ELECTIVE HIP JOINT REPLACEMENT Mental Health Geriatric,,,7704.74,7704.74,6
APR-DRG,3243,ELECTIVE HIP JOINT REPLACEMENT ,,,9166.36,13749.54,13
APR-DRG,3243,ELECTIVE HIP JOINT REPLACEMENT Mental Health Geriatric,,,10999.63,10999.63,6
APR-DRG,3244,ELECTIVE HIP JOINT REPLACEMENT ,,,14017.45,21026.18,13
APR-DRG,3244,ELECTIVE HIP JOINT REPLACEMENT Mental Health Geriatric,,,16820.94,16820.94,6
APR-DRG,3251,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT ,,,7690.64,11535.96,13
APR-DRG,3251,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Mental Health Geriatric,,,9228.77,9228.77,6
APR-DRG,3252,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT ,,,9381.8,14072.7,13
APR-DRG,3252,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Mental Health Geriatric,,,11258.16,11258.16,6
APR-DRG,3253,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT ,,,11666.44,17499.66,13
APR-DRG,3253,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Mental Health Geriatric,,,13999.73,13999.73,6
APR-DRG,3254,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT ,,,14520.24,21780.36,13
APR-DRG,3254,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Mental Health Geriatric,,,17424.29,17424.29,6
APR-DRG,3261,ELECTIVE KNEE JOINT REPLACEMENT ,,,5119.33,7678.99,13
APR-DRG,3261,ELECTIVE KNEE JOINT REPLACEMENT Mental Health Geriatric,,,6143.2,6143.2,6
APR-DRG,3262,ELECTIVE KNEE JOINT REPLACEMENT ,,,5879.96,8819.94,13
APR-DRG,3262,ELECTIVE KNEE JOINT REPLACEMENT Mental Health Geriatric,,,7055.95,7055.95,6
APR-DRG,3263,ELECTIVE KNEE JOINT REPLACEMENT ,,,7754.92,11632.38,13
APR-DRG,3263,ELECTIVE KNEE JOINT REPLACEMENT Mental Health Geriatric,,,9305.9,9305.9,6
APR-DRG,3264,ELECTIVE KNEE JOINT REPLACEMENT ,,,12850.63,19275.94,13
APR-DRG,3264,ELECTIVE KNEE JOINT REPLACEMENT Mental Health Geriatric,,,15420.76,15420.76,6
APR-DRG,3401,FRACTURE OF FEMUR ,,,1953.15,2929.73,13
APR-DRG,3401,FRACTURE OF FEMUR Mental Health Geriatric,,,2343.78,2343.78,6
APR-DRG,3402,FRACTURE OF FEMUR ,,,2563.66,3845.49,13
APR-DRG,3402,FRACTURE OF FEMUR Mental Health Geriatric,,,3076.39,3076.39,6
APR-DRG,3403,FRACTURE OF FEMUR ,,,3869.82,5804.73,13
APR-DRG,3403,FRACTURE OF FEMUR Mental Health Geriatric,,,4643.78,4643.78,6
APR-DRG,3404,FRACTURE OF FEMUR ,,,5960.92,8941.38,13
APR-DRG,3404,FRACTURE OF FEMUR Mental Health Geriatric,,,7153.1,7153.1,6
APR-DRG,3411,FRACTURE OF PELVIS OR DISLOCATION OF HIP ,,,2167.89,3251.84,13
APR-DRG,3411,FRACTURE OF PELVIS OR DISLOCATION OF HIP Mental Health Geriatric,,,2601.47,2601.47,6
APR-DRG,3412,FRACTURE OF PELVIS OR DISLOCATION OF HIP ,,,2756.51,4134.77,13
APR-DRG,3412,FRACTURE OF PELVIS OR DISLOCATION OF HIP Mental Health Geriatric,,,3307.81,3307.81,6
APR-DRG,3413,FRACTURE OF PELVIS OR DISLOCATION OF HIP ,,,4153.7,6230.55,13
APR-DRG,3413,FRACTURE OF PELVIS OR DISLOCATION OF HIP Mental Health Geriatric,,,4984.44,4984.44,6
APR-DRG,3414,FRACTURE OF PELVIS OR DISLOCATION OF HIP ,,,7565.9,11348.85,13
APR-DRG,3414,FRACTURE OF PELVIS OR DISLOCATION OF HIP Mental Health Geriatric,,,9079.08,9079.08,6
APR-DRG,3421,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK ",,,2330.51,3495.77,13
APR-DRG,3421,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Mental Health Geriatric",,,2796.61,2796.61,6
APR-DRG,3422,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK ",,,3055.69,4583.53,13
APR-DRG,3422,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Mental Health Geriatric",,,3666.83,3666.83,6
APR-DRG,3423,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK ",,,4370.88,6556.32,13
APR-DRG,3423,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Mental Health Geriatric",,,5245.06,5245.06,6
APR-DRG,3424,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK ",,,7907.12,11860.68,13
APR-DRG,3424,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Mental Health Geriatric",,,9488.54,9488.54,6
APR-DRG,3431,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI ,,,3388.57,5082.86,13
APR-DRG,3431,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Mental Health Geriatric,,,4066.28,4066.28,6
APR-DRG,3432,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI ,,,4120.69,6181.03,13
APR-DRG,3432,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Mental Health Geriatric,,,4944.83,4944.83,6
APR-DRG,3433,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI ,,,6316.03,9474.05,13
APR-DRG,3433,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Mental Health Geriatric,,,7579.24,7579.24,6
APR-DRG,3434,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI ,,,9990.57,14985.85,13
APR-DRG,3434,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Mental Health Geriatric,,,11988.68,11988.68,6
APR-DRG,3441,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS ",,,2713.08,4069.62,13
APR-DRG,3441,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Mental Health Geriatric",,,3255.7,3255.7,6
APR-DRG,3442,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS ",,,3732.57,5598.86,13
APR-DRG,3442,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Mental Health Geriatric",,,4479.08,4479.08,6
APR-DRG,3443,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS ",,,5530.74,8296.11,13
APR-DRG,3443,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Mental Health Geriatric",,,6636.89,6636.89,6
APR-DRG,3444,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS ",,,8856.07,13284.1,13
APR-DRG,3444,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Mental Health Geriatric",,,10627.28,10627.28,6
APR-DRG,3461,CONNECTIVE TISSUE DISORDERS ,,,2840.95,4261.42,13
APR-DRG,3461,CONNECTIVE TISSUE DISORDERS Mental Health Geriatric,,,3409.14,3409.14,6
APR-DRG,3462,CONNECTIVE TISSUE DISORDERS ,,,3890.67,5836.01,13
APR-DRG,3462,CONNECTIVE TISSUE DISORDERS Mental Health Geriatric,,,4668.8,4668.8,6
APR-DRG,3463,CONNECTIVE TISSUE DISORDERS ,,,6163.84,9245.76,13
APR-DRG,3463,CONNECTIVE TISSUE DISORDERS Mental Health Geriatric,,,7396.61,7396.61,6
APR-DRG,3464,CONNECTIVE TISSUE DISORDERS ,,,11581.66,17372.49,13
APR-DRG,3464,CONNECTIVE TISSUE DISORDERS Mental Health Geriatric,,,13897.99,13897.99,6
APR-DRG,3471,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES ",,,2733.93,4100.89,13
APR-DRG,3471,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Mental Health Geriatric",,,3280.72,3280.72,6
APR-DRG,3472,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES ",,,3520.26,5280.39,13
APR-DRG,3472,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Mental Health Geriatric",,,4224.31,4224.31,6
APR-DRG,3473,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES ",,,4958.8,7438.2,13
APR-DRG,3473,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Mental Health Geriatric",,,5950.56,5950.56,6
APR-DRG,3474,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES ",,,8485.66,12728.49,13
APR-DRG,3474,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Mental Health Geriatric",,,10182.79,10182.79,6
APR-DRG,3491,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE ",,,2478.18,3717.27,13
APR-DRG,3491,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Mental Health Geriatric",,,2973.82,2973.82,6
APR-DRG,3492,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE ",,,3397.95,5096.92,13
APR-DRG,3492,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Mental Health Geriatric",,,4077.54,4077.54,6
APR-DRG,3493,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE ",,,5011.27,7516.91,13
APR-DRG,3493,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Mental Health Geriatric",,,6013.52,6013.52,6
APR-DRG,3494,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE ",,,8342.5,12513.75,13
APR-DRG,3494,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Mental Health Geriatric",,,10011.0,10011.0,6
APR-DRG,3511,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES ,,,2188.04,3282.06,13
APR-DRG,3511,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,2625.65,2625.65,6
APR-DRG,3512,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES ,,,2825.31,4237.97,13
APR-DRG,3512,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,3390.37,3390.37,6
APR-DRG,3513,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES ,,,4185.67,6278.51,13
APR-DRG,3513,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,5022.8,5022.8,6
APR-DRG,3514,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES ,,,7500.23,11250.34,13
APR-DRG,3514,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,9000.28,9000.28,6
APR-DRG,3611,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES ,,,6207.62,9311.43,13
APR-DRG,3611,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Mental Health Geriatric,,,7449.14,7449.14,6
APR-DRG,3612,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES ,,,8202.47,12303.7,13
APR-DRG,3612,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Mental Health Geriatric,,,9842.96,9842.96,6
APR-DRG,3613,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES ,,,11628.56,17442.84,13
APR-DRG,3613,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Mental Health Geriatric,,,13954.27,13954.27,6
APR-DRG,3614,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES ,,,21726.16,32589.24,13
APR-DRG,3614,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Mental Health Geriatric,,,26071.39,26071.39,6
APR-DRG,3621,MASTECTOMY PROCEDURES ,,,5928.6,8892.9,13
APR-DRG,3621,MASTECTOMY PROCEDURES Mental Health Geriatric,,,7114.32,7114.32,6
APR-DRG,3622,MASTECTOMY PROCEDURES ,,,8901.59,13352.39,13
APR-DRG,3622,MASTECTOMY PROCEDURES Mental Health Geriatric,,,10681.91,10681.91,6
APR-DRG,3623,MASTECTOMY PROCEDURES ,,,9669.51,14504.26,13
APR-DRG,3623,MASTECTOMY PROCEDURES Mental Health Geriatric,,,11603.41,11603.41,6
APR-DRG,3624,MASTECTOMY PROCEDURES ,,,10681.35,16022.03,13
APR-DRG,3624,MASTECTOMY PROCEDURES Mental Health Geriatric,,,12817.62,12817.62,6
APR-DRG,3631,BREAST PROCEDURES EXCEPT MASTECTOMY ,,,5080.07,7620.1,13
APR-DRG,3631,BREAST PROCEDURES EXCEPT MASTECTOMY Mental Health Geriatric,,,6096.08,6096.08,6
APR-DRG,3632,BREAST PROCEDURES EXCEPT MASTECTOMY ,,,8067.3,12100.95,13
APR-DRG,3632,BREAST PROCEDURES EXCEPT MASTECTOMY Mental Health Geriatric,,,9680.76,9680.76,6
APR-DRG,3633,BREAST PROCEDURES EXCEPT MASTECTOMY ,,,10948.56,16422.84,13
APR-DRG,3633,BREAST PROCEDURES EXCEPT MASTECTOMY Mental Health Geriatric,,,13138.27,13138.27,6
APR-DRG,3634,BREAST PROCEDURES EXCEPT MASTECTOMY ,,,11533.36,17300.04,13
APR-DRG,3634,BREAST PROCEDURES EXCEPT MASTECTOMY Mental Health Geriatric,,,13840.03,13840.03,6
APR-DRG,3641,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES ",,,3170.01,4755.02,13
APR-DRG,3641,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Mental Health Geriatric",,,3804.01,3804.01,6
APR-DRG,3642,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES ",,,4199.22,6298.83,13
APR-DRG,3642,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Mental Health Geriatric",,,5039.06,5039.06,6
APR-DRG,3643,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES ",,,6991.87,10487.81,13
APR-DRG,3643,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Mental Health Geriatric",,,8390.24,8390.24,6
APR-DRG,3644,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES ",,,12433.66,18650.49,13
APR-DRG,3644,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Mental Health Geriatric",,,14920.39,14920.39,6
APR-DRG,3801,SKIN ULCERS ,,,2016.74,3025.11,13
APR-DRG,3801,SKIN ULCERS Mental Health Geriatric,,,2420.09,2420.09,6
APR-DRG,3802,SKIN ULCERS ,,,2835.74,4253.61,13
APR-DRG,3802,SKIN ULCERS Mental Health Geriatric,,,3402.89,3402.89,6
APR-DRG,3803,SKIN ULCERS ,,,4392.42,6588.63,13
APR-DRG,3803,SKIN ULCERS Mental Health Geriatric,,,5270.9,5270.9,6
APR-DRG,3804,SKIN ULCERS ,,,7619.06,11428.59,13
APR-DRG,3804,SKIN ULCERS Mental Health Geriatric,,,9142.87,9142.87,6
APR-DRG,3811,MAJOR SKIN DISORDERS ,,,1752.66,2628.99,13
APR-DRG,3811,MAJOR SKIN DISORDERS Mental Health Geriatric,,,2103.19,2103.19,6
APR-DRG,3812,MAJOR SKIN DISORDERS ,,,3312.47,4968.7,13
APR-DRG,3812,MAJOR SKIN DISORDERS Mental Health Geriatric,,,3974.96,3974.96,6
APR-DRG,3813,MAJOR SKIN DISORDERS ,,,5511.63,8267.44,13
APR-DRG,3813,MAJOR SKIN DISORDERS Mental Health Geriatric,,,6613.96,6613.96,6
APR-DRG,3814,MAJOR SKIN DISORDERS ,,,11669.57,17504.35,13
APR-DRG,3814,MAJOR SKIN DISORDERS Mental Health Geriatric,,,14003.48,14003.48,6
APR-DRG,3821,MALIGNANT BREAST DISORDERS ,,,3046.3,4569.45,13
APR-DRG,3821,MALIGNANT BREAST DISORDERS Mental Health Geriatric,,,3655.56,3655.56,6
APR-DRG,3822,MALIGNANT BREAST DISORDERS ,,,3247.84,4871.76,13
APR-DRG,3822,MALIGNANT BREAST DISORDERS Mental Health Geriatric,,,3897.41,3897.41,6
APR-DRG,3823,MALIGNANT BREAST DISORDERS ,,,4811.13,7216.69,13
APR-DRG,3823,MALIGNANT BREAST DISORDERS Mental Health Geriatric,,,5773.36,5773.36,6
APR-DRG,3824,MALIGNANT BREAST DISORDERS ,,,8584.0,12876.0,13
APR-DRG,3824,MALIGNANT BREAST DISORDERS Mental Health Geriatric,,,10300.8,10300.8,6
APR-DRG,3831,CELLULITIS AND OTHER SKIN INFECTIONS ,,,1774.55,2661.82,13
APR-DRG,3831,CELLULITIS AND OTHER SKIN INFECTIONS Mental Health Geriatric,,,2129.46,2129.46,6
APR-DRG,3832,CELLULITIS AND OTHER SKIN INFECTIONS ,,,2444.48,3666.72,13
APR-DRG,3832,CELLULITIS AND OTHER SKIN INFECTIONS Mental Health Geriatric,,,2933.38,2933.38,6
APR-DRG,3833,CELLULITIS AND OTHER SKIN INFECTIONS ,,,3846.54,5769.81,13
APR-DRG,3833,CELLULITIS AND OTHER SKIN INFECTIONS Mental Health Geriatric,,,4615.85,4615.85,6
APR-DRG,3834,CELLULITIS AND OTHER SKIN INFECTIONS ,,,7427.26,11140.89,13
APR-DRG,3834,CELLULITIS AND OTHER SKIN INFECTIONS Mental Health Geriatric,,,8912.71,8912.71,6
APR-DRG,3841,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE ",,,2730.1,4095.15,13
APR-DRG,3841,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Mental Health Geriatric",,,3276.12,3276.12,6
APR-DRG,3842,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE ",,,3290.23,4935.35,13
APR-DRG,3842,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Mental Health Geriatric",,,3948.28,3948.28,6
APR-DRG,3843,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE ",,,4635.65,6953.47,13
APR-DRG,3843,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Mental Health Geriatric",,,5562.78,5562.78,6
APR-DRG,3844,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE ",,,8337.99,12506.99,13
APR-DRG,3844,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Mental Health Geriatric",,,10005.59,10005.59,6
APR-DRG,3851,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS ",,,1928.83,2893.24,13
APR-DRG,3851,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Mental Health Geriatric",,,2314.6,2314.6,6
APR-DRG,3852,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS ",,,2749.21,4123.82,13
APR-DRG,3852,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Mental Health Geriatric",,,3299.05,3299.05,6
APR-DRG,3853,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS ",,,4285.05,6427.58,13
APR-DRG,3853,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Mental Health Geriatric",,,5142.06,5142.06,6
APR-DRG,3854,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS ",,,8546.12,12819.18,13
APR-DRG,3854,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Mental Health Geriatric",,,10255.34,10255.34,6
APR-DRG,4011,ADRENAL PROCEDURES ,,,4616.54,6924.81,13
APR-DRG,4011,ADRENAL PROCEDURES Mental Health Geriatric,,,5539.85,5539.85,6
APR-DRG,4012,ADRENAL PROCEDURES ,,,6550.93,9826.4,13
APR-DRG,4012,ADRENAL PROCEDURES Mental Health Geriatric,,,7861.12,7861.12,6
APR-DRG,4013,ADRENAL PROCEDURES ,,,11067.05,16600.57,13
APR-DRG,4013,ADRENAL PROCEDURES Mental Health Geriatric,,,13280.46,13280.46,6
APR-DRG,4014,ADRENAL PROCEDURES ,,,18804.25,28206.38,13
APR-DRG,4014,ADRENAL PROCEDURES Mental Health Geriatric,,,22565.1,22565.1,6
APR-DRG,4031,PROCEDURES FOR OBESITY ,,,4078.3,6117.45,13
APR-DRG,4031,PROCEDURES FOR OBESITY Mental Health Geriatric,,,4893.96,4893.96,6
APR-DRG,4032,PROCEDURES FOR OBESITY ,,,5059.57,7589.35,13
APR-DRG,4032,PROCEDURES FOR OBESITY Mental Health Geriatric,,,6071.48,6071.48,6
APR-DRG,4033,PROCEDURES FOR OBESITY ,,,8468.64,12702.96,13
APR-DRG,4033,PROCEDURES FOR OBESITY Mental Health Geriatric,,,10162.37,10162.37,6
APR-DRG,4034,PROCEDURES FOR OBESITY ,,,16224.6,24336.9,13
APR-DRG,4034,PROCEDURES FOR OBESITY Mental Health Geriatric,,,19469.52,19469.52,6
APR-DRG,4041,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES ",,,4155.79,6233.68,13
APR-DRG,4041,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Mental Health Geriatric",,,4986.95,4986.95,6
APR-DRG,4042,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES ",,,5744.09,8616.14,13
APR-DRG,4042,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Mental Health Geriatric",,,6892.91,6892.91,6
APR-DRG,4043,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES ",,,9759.15,14638.72,13
APR-DRG,4043,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Mental Health Geriatric",,,11710.98,11710.98,6
APR-DRG,4044,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES ",,,19909.57,29864.35,13
APR-DRG,4044,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Mental Health Geriatric",,,23891.48,23891.48,6
APR-DRG,4051,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS ",,,4867.42,7301.13,13
APR-DRG,4051,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Mental Health Geriatric",,,5840.9,5840.9,6
APR-DRG,4052,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS ",,,6146.12,9219.18,13
APR-DRG,4052,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Mental Health Geriatric",,,7375.34,7375.34,6
APR-DRG,4053,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS ",,,9274.08,13911.12,13
APR-DRG,4053,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Mental Health Geriatric",,,11128.9,11128.9,6
APR-DRG,4054,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS ",,,16261.78,24392.67,13
APR-DRG,4054,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Mental Health Geriatric",,,19514.14,19514.14,6
APR-DRG,4201,DIABETES ,,,1946.2,2919.3,13
APR-DRG,4201,DIABETES Mental Health Geriatric,,,2335.44,2335.44,6
APR-DRG,4202,DIABETES ,,,2558.45,3837.67,13
APR-DRG,4202,DIABETES Mental Health Geriatric,,,3070.14,3070.14,6
APR-DRG,4203,DIABETES ,,,3908.39,5862.59,13
APR-DRG,4203,DIABETES Mental Health Geriatric,,,4690.07,4690.07,6
APR-DRG,4204,DIABETES ,,,7190.97,10786.45,13
APR-DRG,4204,DIABETES Mental Health Geriatric,,,8629.16,8629.16,6
APR-DRG,4211,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS ",,,1894.78,2842.17,13
APR-DRG,4211,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Mental Health Geriatric",,,2273.74,2273.74,6
APR-DRG,4212,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS ",,,3089.39,4634.09,13
APR-DRG,4212,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Mental Health Geriatric",,,3707.27,3707.27,6
APR-DRG,4213,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS ",,,4690.55,7035.83,13
APR-DRG,4213,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Mental Health Geriatric",,,5628.66,5628.66,6
APR-DRG,4214,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS ",,,8025.61,12038.41,13
APR-DRG,4214,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Mental Health Geriatric",,,9630.73,9630.73,6
APR-DRG,4221,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS ,,,1617.14,2425.71,13
APR-DRG,4221,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Mental Health Geriatric,,,1940.57,1940.57,6
APR-DRG,4222,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS ,,,2242.94,3364.41,13
APR-DRG,4222,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Mental Health Geriatric,,,2691.53,2691.53,6
APR-DRG,4223,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS ,,,3293.01,4939.52,13
APR-DRG,4223,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Mental Health Geriatric,,,3951.61,3951.61,6
APR-DRG,4224,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS ,,,5626.3,8439.45,13
APR-DRG,4224,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Mental Health Geriatric,,,6751.56,6751.56,6
APR-DRG,4231,INBORN ERRORS OF METABOLISM ,,,2642.54,3963.81,13
APR-DRG,4231,INBORN ERRORS OF METABOLISM Mental Health Geriatric,,,3171.05,3171.05,6
APR-DRG,4232,INBORN ERRORS OF METABOLISM ,,,3747.85,5621.77,13
APR-DRG,4232,INBORN ERRORS OF METABOLISM Mental Health Geriatric,,,4497.42,4497.42,6
APR-DRG,4233,INBORN ERRORS OF METABOLISM ,,,5399.4,8099.1,13
APR-DRG,4233,INBORN ERRORS OF METABOLISM Mental Health Geriatric,,,6479.28,6479.28,6
APR-DRG,4234,INBORN ERRORS OF METABOLISM ,,,20645.52,30968.28,13
APR-DRG,4234,INBORN ERRORS OF METABOLISM Mental Health Geriatric,,,24774.62,24774.62,6
APR-DRG,4241,OTHER ENDOCRINE DISORDERS ,,,2253.37,3380.05,13
APR-DRG,4241,OTHER ENDOCRINE DISORDERS Mental Health Geriatric,,,2704.04,2704.04,6
APR-DRG,4242,OTHER ENDOCRINE DISORDERS ,,,3199.54,4799.31,13
APR-DRG,4242,OTHER ENDOCRINE DISORDERS Mental Health Geriatric,,,3839.45,3839.45,6
APR-DRG,4243,OTHER ENDOCRINE DISORDERS ,,,4797.23,7195.84,13
APR-DRG,4243,OTHER ENDOCRINE DISORDERS Mental Health Geriatric,,,5756.68,5756.68,6
APR-DRG,4244,OTHER ENDOCRINE DISORDERS ,,,8281.35,12422.03,13
APR-DRG,4244,OTHER ENDOCRINE DISORDERS Mental Health Geriatric,,,9937.62,9937.62,6
APR-DRG,4251,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS ,,,1814.86,2722.29,13
APR-DRG,4251,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Mental Health Geriatric,,,2177.83,2177.83,6
APR-DRG,4252,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS ,,,2444.48,3666.72,13
APR-DRG,4252,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Mental Health Geriatric,,,2933.38,2933.38,6
APR-DRG,4253,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS ,,,3606.43,5409.64,13
APR-DRG,4253,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Mental Health Geriatric,,,4327.72,4327.72,6
APR-DRG,4254,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS ,,,7066.58,10599.87,13
APR-DRG,4254,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Mental Health Geriatric,,,8479.9,8479.9,6
APR-DRG,4261,NON-HYPOVOLEMIC SODIUM DISORDERS ,,,1879.83,2819.74,13
APR-DRG,4261,NON-HYPOVOLEMIC SODIUM DISORDERS Mental Health Geriatric,,,2255.8,2255.8,6
APR-DRG,4262,NON-HYPOVOLEMIC SODIUM DISORDERS ,,,2529.61,3794.41,13
APR-DRG,4262,NON-HYPOVOLEMIC SODIUM DISORDERS Mental Health Geriatric,,,3035.53,3035.53,6
APR-DRG,4263,NON-HYPOVOLEMIC SODIUM DISORDERS ,,,3955.99,5933.98,13
APR-DRG,4263,NON-HYPOVOLEMIC SODIUM DISORDERS Mental Health Geriatric,,,4747.19,4747.19,6
APR-DRG,4264,NON-HYPOVOLEMIC SODIUM DISORDERS ,,,6954.34,10431.51,13
APR-DRG,4264,NON-HYPOVOLEMIC SODIUM DISORDERS Mental Health Geriatric,,,8345.21,8345.21,6
APR-DRG,4271,THYROID DISORDERS ,,,2022.3,3033.45,13
APR-DRG,4271,THYROID DISORDERS Mental Health Geriatric,,,2426.76,2426.76,6
APR-DRG,4272,THYROID DISORDERS ,,,2928.51,4392.77,13
APR-DRG,4272,THYROID DISORDERS Mental Health Geriatric,,,3514.21,3514.21,6
APR-DRG,4273,THYROID DISORDERS ,,,4706.19,7059.28,13
APR-DRG,4273,THYROID DISORDERS Mental Health Geriatric,,,5647.43,5647.43,6
APR-DRG,4274,THYROID DISORDERS ,,,8260.15,12390.22,13
APR-DRG,4274,THYROID DISORDERS Mental Health Geriatric,,,9912.18,9912.18,6
APR-DRG,4281,GENETIC DISORDERS ,,,2736.01,4104.02,13
APR-DRG,4281,GENETIC DISORDERS Mental Health Geriatric,,,3283.21,3283.21,6
APR-DRG,4282,GENETIC DISORDERS ,,,5134.97,7702.45,13
APR-DRG,4282,GENETIC DISORDERS Mental Health Geriatric,,,6161.96,6161.96,6
APR-DRG,4283,GENETIC DISORDERS ,,,11185.19,16777.78,13
APR-DRG,4283,GENETIC DISORDERS Mental Health Geriatric,,,13422.23,13422.23,6
APR-DRG,4284,GENETIC DISORDERS ,,,18969.65,28454.48,13
APR-DRG,4284,GENETIC DISORDERS Mental Health Geriatric,,,22763.58,22763.58,6
APR-DRG,4401,KIDNEY TRANSPLANT ,,,17899.43,26849.15,13
APR-DRG,4401,KIDNEY TRANSPLANT Mental Health Geriatric,,,21479.32,21479.32,6
APR-DRG,4402,KIDNEY TRANSPLANT ,,,19278.55,28917.82,13
APR-DRG,4402,KIDNEY TRANSPLANT Mental Health Geriatric,,,23134.26,23134.26,6
APR-DRG,4403,KIDNEY TRANSPLANT ,,,21893.64,32840.46,13
APR-DRG,4403,KIDNEY TRANSPLANT Mental Health Geriatric,,,26272.37,26272.37,6
APR-DRG,4404,KIDNEY TRANSPLANT ,,,33284.88,49927.32,13
APR-DRG,4404,KIDNEY TRANSPLANT Mental Health Geriatric,,,39941.86,39941.86,6
APR-DRG,4411,MAJOR BLADDER PROCEDURES ,,,7764.31,11646.47,13
APR-DRG,4411,MAJOR BLADDER PROCEDURES Mental Health Geriatric,,,9317.17,9317.17,6
APR-DRG,4412,MAJOR BLADDER PROCEDURES ,,,9846.02,14769.03,13
APR-DRG,4412,MAJOR BLADDER PROCEDURES Mental Health Geriatric,,,11815.22,11815.22,6
APR-DRG,4413,MAJOR BLADDER PROCEDURES ,,,12841.25,19261.88,13
APR-DRG,4413,MAJOR BLADDER PROCEDURES Mental Health Geriatric,,,15409.5,15409.5,6
APR-DRG,4414,MAJOR BLADDER PROCEDURES ,,,21257.07,31885.6,13
APR-DRG,4414,MAJOR BLADDER PROCEDURES Mental Health Geriatric,,,25508.48,25508.48,6
APR-DRG,4421,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY ,,,5250.33,7875.49,13
APR-DRG,4421,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6300.4,6300.4,6
APR-DRG,4422,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY ,,,6172.53,9258.8,13
APR-DRG,4422,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,7407.04,7407.04,6
APR-DRG,4423,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY ,,,9564.57,14346.85,13
APR-DRG,4423,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,11477.48,11477.48,6
APR-DRG,4424,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY ,,,16678.06,25017.09,13
APR-DRG,4424,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,20013.67,20013.67,6
APR-DRG,4431,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY ,,,5026.56,7539.84,13
APR-DRG,4431,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Mental Health Geriatric,,,6031.87,6031.87,6
APR-DRG,4432,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY ,,,6067.59,9101.39,13
APR-DRG,4432,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Mental Health Geriatric,,,7281.11,7281.11,6
APR-DRG,4433,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY ,,,8303.59,12455.39,13
APR-DRG,4433,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Mental Health Geriatric,,,9964.31,9964.31,6
APR-DRG,4434,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY ,,,14406.62,21609.93,13
APR-DRG,4434,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Mental Health Geriatric,,,17287.94,17287.94,6
APR-DRG,4441,RENAL DIALYSIS ACCESS PROCEDURES ,,,4589.44,6884.16,13
APR-DRG,4441,RENAL DIALYSIS ACCESS PROCEDURES Mental Health Geriatric,,,5507.33,5507.33,6
APR-DRG,4442,RENAL DIALYSIS ACCESS PROCEDURES ,,,6803.89,10205.84,13
APR-DRG,4442,RENAL DIALYSIS ACCESS PROCEDURES Mental Health Geriatric,,,8164.67,8164.67,6
APR-DRG,4443,RENAL DIALYSIS ACCESS PROCEDURES ,,,9359.21,14038.81,13
APR-DRG,4443,RENAL DIALYSIS ACCESS PROCEDURES Mental Health Geriatric,,,11231.05,11231.05,6
APR-DRG,4444,RENAL DIALYSIS ACCESS PROCEDURES ,,,14786.76,22180.14,13
APR-DRG,4444,RENAL DIALYSIS ACCESS PROCEDURES Mental Health Geriatric,,,17744.11,17744.11,6
APR-DRG,4451,OTHER BLADDER PROCEDURES ,,,3986.92,5980.38,13
APR-DRG,4451,OTHER BLADDER PROCEDURES Mental Health Geriatric,,,4784.3,4784.3,6
APR-DRG,4452,OTHER BLADDER PROCEDURES ,,,5571.05,8356.58,13
APR-DRG,4452,OTHER BLADDER PROCEDURES Mental Health Geriatric,,,6685.26,6685.26,6
APR-DRG,4453,OTHER BLADDER PROCEDURES ,,,7638.87,11458.31,13
APR-DRG,4453,OTHER BLADDER PROCEDURES Mental Health Geriatric,,,9166.64,9166.64,6
APR-DRG,4454,OTHER BLADDER PROCEDURES ,,,11382.21,17073.31,13
APR-DRG,4454,OTHER BLADDER PROCEDURES Mental Health Geriatric,,,13658.65,13658.65,6
APR-DRG,4461,URETHRAL AND TRANSURETHRAL PROCEDURES ,,,3582.11,5373.16,13
APR-DRG,4461,URETHRAL AND TRANSURETHRAL PROCEDURES Mental Health Geriatric,,,4298.53,4298.53,6
APR-DRG,4462,URETHRAL AND TRANSURETHRAL PROCEDURES ,,,4522.72,6784.08,13
APR-DRG,4462,URETHRAL AND TRANSURETHRAL PROCEDURES Mental Health Geriatric,,,5427.26,5427.26,6
APR-DRG,4463,URETHRAL AND TRANSURETHRAL PROCEDURES ,,,7058.93,10588.4,13
APR-DRG,4463,URETHRAL AND TRANSURETHRAL PROCEDURES Mental Health Geriatric,,,8470.72,8470.72,6
APR-DRG,4464,URETHRAL AND TRANSURETHRAL PROCEDURES ,,,10977.75,16466.63,13
APR-DRG,4464,URETHRAL AND TRANSURETHRAL PROCEDURES Mental Health Geriatric,,,13173.3,13173.3,6
APR-DRG,4471,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES ",,,5348.67,8023.01,13
APR-DRG,4471,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6418.4,6418.4,6
APR-DRG,4472,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES ",,,6205.19,9307.78,13
APR-DRG,4472,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,7446.23,7446.23,6
APR-DRG,4473,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES ",,,9471.1,14206.65,13
APR-DRG,4473,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,11365.32,11365.32,6
APR-DRG,4474,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES ",,,16373.32,24559.98,13
APR-DRG,4474,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,19647.98,19647.98,6
APR-DRG,4481,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES ",,,5784.75,8677.13,13
APR-DRG,4481,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6941.7,6941.7,6
APR-DRG,4482,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES ",,,7219.12,10828.68,13
APR-DRG,4482,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,8662.94,8662.94,6
APR-DRG,4483,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES ",,,9835.95,14753.93,13
APR-DRG,4483,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,11803.14,11803.14,6
APR-DRG,4484,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES ",,,16674.93,25012.4,13
APR-DRG,4484,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,20009.92,20009.92,6
APR-DRG,4611,KIDNEY AND URINARY TRACT MALIGNANCY ,,,2838.17,4257.26,13
APR-DRG,4611,KIDNEY AND URINARY TRACT MALIGNANCY Mental Health Geriatric,,,3405.8,3405.8,6
APR-DRG,4612,KIDNEY AND URINARY TRACT MALIGNANCY ,,,3324.28,4986.42,13
APR-DRG,4612,KIDNEY AND URINARY TRACT MALIGNANCY Mental Health Geriatric,,,3989.14,3989.14,6
APR-DRG,4613,KIDNEY AND URINARY TRACT MALIGNANCY ,,,5120.03,7680.05,13
APR-DRG,4613,KIDNEY AND URINARY TRACT MALIGNANCY Mental Health Geriatric,,,6144.04,6144.04,6
APR-DRG,4614,KIDNEY AND URINARY TRACT MALIGNANCY ,,,9199.72,13799.58,13
APR-DRG,4614,KIDNEY AND URINARY TRACT MALIGNANCY Mental Health Geriatric,,,11039.66,11039.66,6
APR-DRG,4621,NEPHRITIS AND NEPHROSIS ,,,2160.59,3240.89,13
APR-DRG,4621,NEPHRITIS AND NEPHROSIS Mental Health Geriatric,,,2592.71,2592.71,6
APR-DRG,4622,NEPHRITIS AND NEPHROSIS ,,,3073.76,4610.64,13
APR-DRG,4622,NEPHRITIS AND NEPHROSIS Mental Health Geriatric,,,3688.51,3688.51,6
APR-DRG,4623,NEPHRITIS AND NEPHROSIS ,,,5828.53,8742.8,13
APR-DRG,4623,NEPHRITIS AND NEPHROSIS Mental Health Geriatric,,,6994.24,6994.24,6
APR-DRG,4624,NEPHRITIS AND NEPHROSIS ,,,11189.36,16784.04,13
APR-DRG,4624,NEPHRITIS AND NEPHROSIS Mental Health Geriatric,,,13427.23,13427.23,6
APR-DRG,4631,KIDNEY AND URINARY TRACT INFECTIONS ,,,1950.37,2925.55,13
APR-DRG,4631,KIDNEY AND URINARY TRACT INFECTIONS Mental Health Geriatric,,,2340.44,2340.44,6
APR-DRG,4632,KIDNEY AND URINARY TRACT INFECTIONS ,,,2454.9,3682.35,13
APR-DRG,4632,KIDNEY AND URINARY TRACT INFECTIONS Mental Health Geriatric,,,2945.88,2945.88,6
APR-DRG,4633,KIDNEY AND URINARY TRACT INFECTIONS ,,,3495.94,5243.91,13
APR-DRG,4633,KIDNEY AND URINARY TRACT INFECTIONS Mental Health Geriatric,,,4195.13,4195.13,6
APR-DRG,4634,KIDNEY AND URINARY TRACT INFECTIONS ,,,5777.8,8666.7,13
APR-DRG,4634,KIDNEY AND URINARY TRACT INFECTIONS Mental Health Geriatric,,,6933.36,6933.36,6
APR-DRG,4651,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION ,,,1688.38,2532.57,13
APR-DRG,4651,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Mental Health Geriatric,,,2026.06,2026.06,6
APR-DRG,4652,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION ,,,2926.08,4389.12,13
APR-DRG,4652,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Mental Health Geriatric,,,3511.3,3511.3,6
APR-DRG,4653,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION ,,,4474.08,6711.12,13
APR-DRG,4653,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Mental Health Geriatric,,,5368.9,5368.9,6
APR-DRG,4654,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION ,,,8338.33,12507.49,13
APR-DRG,4654,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Mental Health Geriatric,,,10006.0,10006.0,6
APR-DRG,4661,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE ",,,2126.54,3189.81,13
APR-DRG,4661,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Mental Health Geriatric",,,2551.85,2551.85,6
APR-DRG,4662,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE ",,,2767.98,4151.97,13
APR-DRG,4662,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Mental Health Geriatric",,,3321.58,3321.58,6
APR-DRG,4663,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE ",,,4366.36,6549.54,13
APR-DRG,4663,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Mental Health Geriatric",,,5239.63,5239.63,6
APR-DRG,4664,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE ",,,7580.49,11370.74,13
APR-DRG,4664,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Mental Health Geriatric",,,9096.59,9096.59,6
APR-DRG,4681,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS ",,,2032.38,3048.57,13
APR-DRG,4681,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Mental Health Geriatric",,,2438.86,2438.86,6
APR-DRG,4682,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS ",,,2736.01,4104.02,13
APR-DRG,4682,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Mental Health Geriatric",,,3283.21,3283.21,6
APR-DRG,4683,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS ",,,4143.63,6215.44,13
APR-DRG,4683,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Mental Health Geriatric",,,4972.36,4972.36,6
APR-DRG,4684,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS ",,,7967.23,11950.84,13
APR-DRG,4684,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Mental Health Geriatric",,,9560.68,9560.68,6
APR-DRG,4691,ACUTE KIDNEY INJURY ,,,1850.65,2775.98,13
APR-DRG,4691,ACUTE KIDNEY INJURY Mental Health Geriatric,,,2220.78,2220.78,6
APR-DRG,4692,ACUTE KIDNEY INJURY ,,,2540.73,3811.1,13
APR-DRG,4692,ACUTE KIDNEY INJURY Mental Health Geriatric,,,3048.88,3048.88,6
APR-DRG,4693,ACUTE KIDNEY INJURY ,,,4606.81,6910.22,13
APR-DRG,4693,ACUTE KIDNEY INJURY Mental Health Geriatric,,,5528.17,5528.17,6
APR-DRG,4694,ACUTE KIDNEY INJURY ,,,9191.03,13786.55,13
APR-DRG,4694,ACUTE KIDNEY INJURY Mental Health Geriatric,,,11029.24,11029.24,6
APR-DRG,4701,CHRONIC KIDNEY DISEASE ,,,1974.0,2961.0,13
APR-DRG,4701,CHRONIC KIDNEY DISEASE Mental Health Geriatric,,,2368.8,2368.8,6
APR-DRG,4702,CHRONIC KIDNEY DISEASE ,,,2459.77,3689.65,13
APR-DRG,4702,CHRONIC KIDNEY DISEASE Mental Health Geriatric,,,2951.72,2951.72,6
APR-DRG,4703,CHRONIC KIDNEY DISEASE ,,,4558.86,6838.29,13
APR-DRG,4703,CHRONIC KIDNEY DISEASE Mental Health Geriatric,,,5470.63,5470.63,6
APR-DRG,4704,CHRONIC KIDNEY DISEASE ,,,8596.51,12894.76,13
APR-DRG,4704,CHRONIC KIDNEY DISEASE Mental Health Geriatric,,,10315.81,10315.81,6
APR-DRG,4821,TRANSURETHRAL PROSTATECTOMY ,,,3189.46,4784.19,13
APR-DRG,4821,TRANSURETHRAL PROSTATECTOMY Mental Health Geriatric,,,3827.35,3827.35,6
APR-DRG,4822,TRANSURETHRAL PROSTATECTOMY ,,,4318.06,6477.09,13
APR-DRG,4822,TRANSURETHRAL PROSTATECTOMY Mental Health Geriatric,,,5181.67,5181.67,6
APR-DRG,4823,TRANSURETHRAL PROSTATECTOMY ,,,6913.0,10369.5,13
APR-DRG,4823,TRANSURETHRAL PROSTATECTOMY Mental Health Geriatric,,,8295.6,8295.6,6
APR-DRG,4824,TRANSURETHRAL PROSTATECTOMY ,,,10689.34,16034.01,13
APR-DRG,4824,TRANSURETHRAL PROSTATECTOMY Mental Health Geriatric,,,12827.21,12827.21,6
APR-DRG,4831,"PENIS, TESTES AND SCROTAL PROCEDURES ",,,3856.27,5784.4,13
APR-DRG,4831,"PENIS, TESTES AND SCROTAL PROCEDURES Mental Health Geriatric",,,4627.52,4627.52,6
APR-DRG,4832,"PENIS, TESTES AND SCROTAL PROCEDURES ",,,5534.91,8302.36,13
APR-DRG,4832,"PENIS, TESTES AND SCROTAL PROCEDURES Mental Health Geriatric",,,6641.89,6641.89,6
APR-DRG,4833,"PENIS, TESTES AND SCROTAL PROCEDURES ",,,8019.0,12028.5,13
APR-DRG,4833,"PENIS, TESTES AND SCROTAL PROCEDURES Mental Health Geriatric",,,9622.8,9622.8,6
APR-DRG,4834,"PENIS, TESTES AND SCROTAL PROCEDURES ",,,14829.5,22244.25,13
APR-DRG,4834,"PENIS, TESTES AND SCROTAL PROCEDURES Mental Health Geriatric",,,17795.4,17795.4,6
APR-DRG,4841,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,4628.7,6943.05,13
APR-DRG,4841,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,5554.44,5554.44,6
APR-DRG,4842,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,5900.8,8851.2,13
APR-DRG,4842,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,7080.96,7080.96,6
APR-DRG,4843,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,9498.2,14247.3,13
APR-DRG,4843,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,11397.84,11397.84,6
APR-DRG,4844,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,17740.63,26610.94,13
APR-DRG,4844,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,21288.76,21288.76,6
APR-DRG,4851,PROSTATECTOMY PROCEDURES ,,,5435.88,8153.82,13
APR-DRG,4851,PROSTATECTOMY PROCEDURES Mental Health Geriatric,,,6523.06,6523.06,6
APR-DRG,4852,PROSTATECTOMY PROCEDURES ,,,6357.73,9536.59,13
APR-DRG,4852,PROSTATECTOMY PROCEDURES Mental Health Geriatric,,,7629.28,7629.28,6
APR-DRG,4853,PROSTATECTOMY PROCEDURES ,,,10100.37,15150.56,13
APR-DRG,4853,PROSTATECTOMY PROCEDURES Mental Health Geriatric,,,12120.44,12120.44,6
APR-DRG,4854,PROSTATECTOMY PROCEDURES ,,,14222.11,21333.17,13
APR-DRG,4854,PROSTATECTOMY PROCEDURES Mental Health Geriatric,,,17066.53,17066.53,6
APR-DRG,5001,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM ",,,2594.94,3892.41,13
APR-DRG,5001,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Mental Health Geriatric",,,3113.93,3113.93,6
APR-DRG,5002,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM ",,,3215.87,4823.81,13
APR-DRG,5002,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Mental Health Geriatric",,,3859.04,3859.04,6
APR-DRG,5003,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM ",,,4891.39,7337.09,13
APR-DRG,5003,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Mental Health Geriatric",,,5869.67,5869.67,6
APR-DRG,5004,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM ",,,7743.81,11615.72,13
APR-DRG,5004,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Mental Health Geriatric",,,9292.57,9292.57,6
APR-DRG,5011,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY ,,,1916.67,2875.01,13
APR-DRG,5011,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Mental Health Geriatric,,,2300.0,2300.0,6
APR-DRG,5012,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY ,,,2663.39,3995.09,13
APR-DRG,5012,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Mental Health Geriatric,,,3196.07,3196.07,6
APR-DRG,5013,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY ,,,4101.58,6152.37,13
APR-DRG,5013,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Mental Health Geriatric,,,4921.9,4921.9,6
APR-DRG,5014,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY ,,,8319.22,12478.83,13
APR-DRG,5014,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Mental Health Geriatric,,,9983.06,9983.06,6
APR-DRG,5111,GYNECOLOGIC PROCEDURES FOR MALIGNANCY ,,,5249.64,7874.46,13
APR-DRG,5111,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6299.57,6299.57,6
APR-DRG,5112,GYNECOLOGIC PROCEDURES FOR MALIGNANCY ,,,6287.19,9430.78,13
APR-DRG,5112,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,7544.63,7544.63,6
APR-DRG,5113,GYNECOLOGIC PROCEDURES FOR MALIGNANCY ,,,10004.47,15006.7,13
APR-DRG,5113,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,12005.36,12005.36,6
APR-DRG,5114,GYNECOLOGIC PROCEDURES FOR MALIGNANCY ,,,17589.13,26383.69,13
APR-DRG,5114,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,21106.96,21106.96,6
APR-DRG,5131,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY ,,,3889.28,5833.92,13
APR-DRG,5131,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Mental Health Geriatric,,,4667.14,4667.14,6
APR-DRG,5132,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY ,,,4953.24,7429.86,13
APR-DRG,5132,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Mental Health Geriatric,,,5943.89,5943.89,6
APR-DRG,5133,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY ,,,7730.6,11595.9,13
APR-DRG,5133,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Mental Health Geriatric,,,9276.72,9276.72,6
APR-DRG,5134,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY ,,,15581.43,23372.15,13
APR-DRG,5134,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Mental Health Geriatric,,,18697.72,18697.72,6
APR-DRG,5141,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,4248.22,6372.33,13
APR-DRG,5141,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Mental Health Geriatric,,,5097.86,5097.86,6
APR-DRG,5142,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,6412.63,9618.94,13
APR-DRG,5142,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Mental Health Geriatric,,,7695.16,7695.16,6
APR-DRG,5143,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,8674.34,13011.51,13
APR-DRG,5143,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Mental Health Geriatric,,,10409.21,10409.21,6
APR-DRG,5144,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,17981.78,26972.67,13
APR-DRG,5144,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Mental Health Geriatric,,,21578.14,21578.14,6
APR-DRG,5171,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES ,,,3243.67,4865.51,13
APR-DRG,5171,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Mental Health Geriatric,,,3892.4,3892.4,6
APR-DRG,5172,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES ,,,4254.82,6382.23,13
APR-DRG,5172,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Mental Health Geriatric,,,5105.78,5105.78,6
APR-DRG,5173,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES ,,,6718.41,10077.61,13
APR-DRG,5173,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Mental Health Geriatric,,,8062.09,8062.09,6
APR-DRG,5174,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES ,,,10196.62,15294.93,13
APR-DRG,5174,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Mental Health Geriatric,,,12235.94,12235.94,6
APR-DRG,5181,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,3420.53,5130.8,13
APR-DRG,5181,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,4104.64,4104.64,6
APR-DRG,5182,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,5774.32,8661.48,13
APR-DRG,5182,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,6929.18,6929.18,6
APR-DRG,5183,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,8886.65,13329.97,13
APR-DRG,5183,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,10663.98,10663.98,6
APR-DRG,5184,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES ,,,14081.04,21121.56,13
APR-DRG,5184,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,16897.25,16897.25,6
APR-DRG,5191,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA ,,,3720.75,5581.13,13
APR-DRG,5191,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Mental Health Geriatric,,,4464.9,4464.9,6
APR-DRG,5192,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA ,,,4917.8,7376.7,13
APR-DRG,5192,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Mental Health Geriatric,,,5901.36,5901.36,6
APR-DRG,5193,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA ,,,8557.94,12836.91,13
APR-DRG,5193,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Mental Health Geriatric,,,10269.53,10269.53,6
APR-DRG,5194,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA ,,,13461.49,20192.24,13
APR-DRG,5194,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Mental Health Geriatric,,,16153.79,16153.79,6
APR-DRG,5301,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY ,,,2591.81,3887.72,13
APR-DRG,5301,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Mental Health Geriatric,,,3110.17,3110.17,6
APR-DRG,5302,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY ,,,3368.07,5052.11,13
APR-DRG,5302,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Mental Health Geriatric,,,4041.68,4041.68,6
APR-DRG,5303,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY ,,,5245.12,7867.68,13
APR-DRG,5303,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Mental Health Geriatric,,,6294.14,6294.14,6
APR-DRG,5304,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY ,,,8603.46,12905.19,13
APR-DRG,5304,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Mental Health Geriatric,,,10324.15,10324.15,6
APR-DRG,5311,FEMALE REPRODUCTIVE SYSTEM INFECTIONS ,,,1919.1,2878.65,13
APR-DRG,5311,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Mental Health Geriatric,,,2302.92,2302.92,6
APR-DRG,5312,FEMALE REPRODUCTIVE SYSTEM INFECTIONS ,,,2677.98,4016.97,13
APR-DRG,5312,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Mental Health Geriatric,,,3213.58,3213.58,6
APR-DRG,5313,FEMALE REPRODUCTIVE SYSTEM INFECTIONS ,,,4583.88,6875.82,13
APR-DRG,5313,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Mental Health Geriatric,,,5500.66,5500.66,6
APR-DRG,5314,FEMALE REPRODUCTIVE SYSTEM INFECTIONS ,,,7341.43,11012.15,13
APR-DRG,5314,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Mental Health Geriatric,,,8809.72,8809.72,6
APR-DRG,5321,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS ,,,2022.3,3033.45,13
APR-DRG,5321,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Mental Health Geriatric,,,2426.76,2426.76,6
APR-DRG,5322,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS ,,,2672.77,4009.15,13
APR-DRG,5322,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Mental Health Geriatric,,,3207.32,3207.32,6
APR-DRG,5323,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS ,,,3867.04,5800.56,13
APR-DRG,5323,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Mental Health Geriatric,,,4640.45,4640.45,6
APR-DRG,5324,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS ,,,7174.99,10762.49,13
APR-DRG,5324,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Mental Health Geriatric,,,8609.99,8609.99,6
APR-DRG,5391,CESAREAN SECTION WITH STERILIZATION ,,,3063.91,4595.86,13
APR-DRG,5391,CESAREAN SECTION WITH STERILIZATION Mental Health Geriatric,,,3676.69,3676.69,6
APR-DRG,5392,CESAREAN SECTION WITH STERILIZATION ,,,3995.8,5993.7,13
APR-DRG,5392,CESAREAN SECTION WITH STERILIZATION Mental Health Geriatric,,,4794.96,4794.96,6
APR-DRG,5393,CESAREAN SECTION WITH STERILIZATION ,,,11128.16,16692.24,13
APR-DRG,5393,CESAREAN SECTION WITH STERILIZATION Mental Health Geriatric,,,13353.79,13353.79,6
APR-DRG,5394,CESAREAN SECTION WITH STERILIZATION ,,,27512.78,41269.17,13
APR-DRG,5394,CESAREAN SECTION WITH STERILIZATION Mental Health Geriatric,,,33015.34,33015.34,6
APR-DRG,5401,CESAREAN SECTION WITHOUT STERILIZATION ,,,3051.09,4576.64,13
APR-DRG,5401,CESAREAN SECTION WITHOUT STERILIZATION Mental Health Geriatric,,,3661.31,3661.31,6
APR-DRG,5402,CESAREAN SECTION WITHOUT STERILIZATION ,,,3899.66,5849.49,13
APR-DRG,5402,CESAREAN SECTION WITHOUT STERILIZATION Mental Health Geriatric,,,4679.59,4679.59,6
APR-DRG,5403,CESAREAN SECTION WITHOUT STERILIZATION ,,,8661.88,12992.82,13
APR-DRG,5403,CESAREAN SECTION WITHOUT STERILIZATION Mental Health Geriatric,,,10394.26,10394.26,6
APR-DRG,5404,CESAREAN SECTION WITHOUT STERILIZATION ,,,22570.7,33856.05,13
APR-DRG,5404,CESAREAN SECTION WITHOUT STERILIZATION Mental Health Geriatric,,,27084.84,27084.84,6
APR-DRG,5411,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C ,,,2984.03,4476.05,13
APR-DRG,5411,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Mental Health Geriatric,,,3580.84,3580.84,6
APR-DRG,5412,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C ,,,3332.63,4998.94,13
APR-DRG,5412,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Mental Health Geriatric,,,3999.16,3999.16,6
APR-DRG,5413,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C ,,,7026.47,10539.7,13
APR-DRG,5413,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Mental Health Geriatric,,,8431.76,8431.76,6
APR-DRG,5414,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C ,,,14352.5,21528.75,13
APR-DRG,5414,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Mental Health Geriatric,,,17223.0,17223.0,6
APR-DRG,5421,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C ,,,2068.41,3102.61,13
APR-DRG,5421,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Mental Health Geriatric,,,2482.09,2482.09,6
APR-DRG,5422,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C ,,,2557.04,3835.56,13
APR-DRG,5422,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Mental Health Geriatric,,,3068.45,3068.45,6
APR-DRG,5423,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C ,,,6889.77,10334.66,13
APR-DRG,5423,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Mental Health Geriatric,,,8267.72,8267.72,6
APR-DRG,5424,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C ,,,22617.5,33926.25,13
APR-DRG,5424,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Mental Health Geriatric,,,27141.0,27141.0,6
APR-DRG,5431,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,3085.6,4628.4,13
APR-DRG,5431,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,3702.72,3702.72,6
APR-DRG,5432,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,3872.04,5808.06,13
APR-DRG,5432,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,4646.45,4646.45,6
APR-DRG,5433,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,8690.36,13035.54,13
APR-DRG,5433,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,10428.43,10428.43,6
APR-DRG,5434,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,23987.06,35980.59,13
APR-DRG,5434,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,28784.47,28784.47,6
APR-DRG,5471,ANTEPARTUM WITH O.R. PROCEDURE ,,,3029.89,4544.84,13
APR-DRG,5471,ANTEPARTUM WITH O.R. PROCEDURE Mental Health Geriatric,,,3635.87,3635.87,6
APR-DRG,5472,ANTEPARTUM WITH O.R. PROCEDURE ,,,5742.24,8613.36,13
APR-DRG,5472,ANTEPARTUM WITH O.R. PROCEDURE Mental Health Geriatric,,,6890.69,6890.69,6
APR-DRG,5473,ANTEPARTUM WITH O.R. PROCEDURE ,,,12558.51,18837.76,13
APR-DRG,5473,ANTEPARTUM WITH O.R. PROCEDURE Mental Health Geriatric,,,15070.21,15070.21,6
APR-DRG,5474,ANTEPARTUM WITH O.R. PROCEDURE ,,,27635.13,41452.69,13
APR-DRG,5474,ANTEPARTUM WITH O.R. PROCEDURE Mental Health Geriatric,,,33162.16,33162.16,6
APR-DRG,5481,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE ,,,2409.12,3613.68,13
APR-DRG,5481,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,2890.94,2890.94,6
APR-DRG,5482,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE ,,,5971.52,8957.28,13
APR-DRG,5482,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,7165.82,7165.82,6
APR-DRG,5483,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE ,,,13862.85,20794.28,13
APR-DRG,5483,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,16635.42,16635.42,6
APR-DRG,5484,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE ,,,29724.78,44587.17,13
APR-DRG,5484,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,35669.74,35669.74,6
APR-DRG,5601,VAGINAL DELIVERY ,,,1833.22,2749.83,13
APR-DRG,5601,VAGINAL DELIVERY Mental Health Geriatric,,,2199.86,2199.86,6
APR-DRG,5602,VAGINAL DELIVERY ,,,2114.76,3172.14,13
APR-DRG,5602,VAGINAL DELIVERY Mental Health Geriatric,,,2537.71,2537.71,6
APR-DRG,5603,VAGINAL DELIVERY ,,,4618.58,6927.87,13
APR-DRG,5603,VAGINAL DELIVERY Mental Health Geriatric,,,5542.3,5542.3,6
APR-DRG,5604,VAGINAL DELIVERY ,,,10974.57,16461.85,13
APR-DRG,5604,VAGINAL DELIVERY Mental Health Geriatric,,,13169.48,13169.48,6
APR-DRG,5611,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE ,,,1409.18,2113.77,13
APR-DRG,5611,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Mental Health Geriatric,,,1691.02,1691.02,6
APR-DRG,5612,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE ,,,2343.05,3514.58,13
APR-DRG,5612,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Mental Health Geriatric,,,2811.66,2811.66,6
APR-DRG,5613,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE ,,,6281.75,9422.63,13
APR-DRG,5613,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Mental Health Geriatric,,,7538.1,7538.1,6
APR-DRG,5614,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE ,,,15309.88,22964.82,13
APR-DRG,5614,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Mental Health Geriatric,,,18371.86,18371.86,6
APR-DRG,5641,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,1868.72,2803.08,13
APR-DRG,5641,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,2242.46,2242.46,6
APR-DRG,5642,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,2548.16,3822.24,13
APR-DRG,5642,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,3057.79,3057.79,6
APR-DRG,5643,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6269.65,9404.47,13
APR-DRG,5643,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,7523.58,7523.58,6
APR-DRG,5644,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14242.47,21363.7,13
APR-DRG,5644,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,17090.96,17090.96,6
APR-DRG,5661,ANTEPARTUM WITHOUT O.R. PROCEDURE ,,,1573.37,2360.05,13
APR-DRG,5661,ANTEPARTUM WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,1888.04,1888.04,6
APR-DRG,5662,ANTEPARTUM WITHOUT O.R. PROCEDURE ,,,2333.19,3499.78,13
APR-DRG,5662,ANTEPARTUM WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,2799.83,2799.83,6
APR-DRG,5663,ANTEPARTUM WITHOUT O.R. PROCEDURE ,,,6099.48,9149.22,13
APR-DRG,5663,ANTEPARTUM WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,7319.38,7319.38,6
APR-DRG,5664,ANTEPARTUM WITHOUT O.R. PROCEDURE ,,,15873.96,23810.94,13
APR-DRG,5664,ANTEPARTUM WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,19048.75,19048.75,6
APR-DRG,5801,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE ",,,1136.59,1704.88,13
APR-DRG,5801,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Mental Health Geriatric",,,1363.91,1363.91,6
APR-DRG,5802,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE ",,,1592.47,2388.7,13
APR-DRG,5802,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Mental Health Geriatric",,,1910.96,1910.96,6
APR-DRG,5803,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE ",,,3150.55,4725.83,13
APR-DRG,5803,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Mental Health Geriatric",,,3780.66,3780.66,6
APR-DRG,5804,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE ",,,5923.04,8884.56,13
APR-DRG,5804,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Mental Health Geriatric",,,7107.65,7107.65,6
APR-DRG,5811,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE ",,,375.27,562.9,13
APR-DRG,5811,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Mental Health Geriatric",,,450.32,450.32,6
APR-DRG,5812,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE ",,,665.76,998.64,13
APR-DRG,5812,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Mental Health Geriatric",,,798.91,798.91,6
APR-DRG,5813,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE ",,,1352.02,2028.03,13
APR-DRG,5813,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Mental Health Geriatric",,,1622.42,1622.42,6
APR-DRG,5814,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE ",,,3178.34,4767.51,13
APR-DRG,5814,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Mental Health Geriatric",,,3814.01,3814.01,6
APR-DRG,5831,NEONATE WITH ECMO ,,,75588.1,113382.15,13
APR-DRG,5831,NEONATE WITH ECMO Mental Health Geriatric,,,90705.72,90705.72,6
APR-DRG,5832,NEONATE WITH ECMO ,,,88608.3,132912.45,13
APR-DRG,5832,NEONATE WITH ECMO Mental Health Geriatric,,,106329.96,106329.96,6
APR-DRG,5833,NEONATE WITH ECMO ,,,115403.06,173104.59,13
APR-DRG,5833,NEONATE WITH ECMO Mental Health Geriatric,,,138483.67,138483.67,6
APR-DRG,5834,NEONATE WITH ECMO ,,,190853.92,286280.88,13
APR-DRG,5834,NEONATE WITH ECMO Mental Health Geriatric,,,229024.7,229024.7,6
APR-DRG,5881,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE ,,,62423.01,93634.51,13
APR-DRG,5881,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,74907.61,74907.61,6
APR-DRG,5882,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE ,,,66672.62,100008.93,13
APR-DRG,5882,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,80007.14,80007.14,6
APR-DRG,5883,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE ,,,70921.53,106382.29,13
APR-DRG,5883,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,85105.84,85105.84,6
APR-DRG,5884,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE ,,,127611.91,191417.86,13
APR-DRG,5884,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,153134.29,153134.29,6
APR-DRG,5891,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL ",,,58796.77,88195.15,13
APR-DRG,5891,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Mental Health Geriatric",,,70556.12,70556.12,6
APR-DRG,5892,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL ",,,58753.68,88130.52,13
APR-DRG,5892,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Mental Health Geriatric",,,70504.42,70504.42,6
APR-DRG,5893,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL ",,,58710.94,88066.41,13
APR-DRG,5893,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Mental Health Geriatric",,,70453.13,70453.13,6
APR-DRG,5894,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL ",,,1447.92,2171.88,13
APR-DRG,5894,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Mental Health Geriatric",,,1737.5,1737.5,6
APR-DRG,5911,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE ,,,4550.17,6825.26,13
APR-DRG,5911,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,5460.2,5460.2,6
APR-DRG,5912,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE ,,,46385.35,69578.02,13
APR-DRG,5912,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,55662.42,55662.42,6
APR-DRG,5913,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE ,,,60144.62,90216.93,13
APR-DRG,5913,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,72173.54,72173.54,6
APR-DRG,5914,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE ,,,82679.7,124019.55,13
APR-DRG,5914,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,99215.64,99215.64,6
APR-DRG,5931,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE ,,,27191.58,40787.37,13
APR-DRG,5931,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,32629.9,32629.9,6
APR-DRG,5932,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE ,,,40471.69,60707.54,13
APR-DRG,5932,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,48566.03,48566.03,6
APR-DRG,5933,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE ,,,52311.86,78467.79,13
APR-DRG,5933,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,62774.23,62774.23,6
APR-DRG,5934,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE ,,,76869.24,115303.86,13
APR-DRG,5934,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,92243.09,92243.09,6
APR-DRG,6021,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,22561.49,33842.24,13
APR-DRG,6021,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,27073.79,27073.79,6
APR-DRG,6022,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,32880.42,49320.63,13
APR-DRG,6022,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,39456.5,39456.5,6
APR-DRG,6023,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,42498.5,63747.75,13
APR-DRG,6023,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,50998.2,50998.2,6
APR-DRG,6024,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,56528.46,84792.69,13
APR-DRG,6024,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,67834.15,67834.15,6
APR-DRG,6031,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,6438.35,9657.53,13
APR-DRG,6031,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,7726.02,7726.02,6
APR-DRG,6032,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,19273.34,28910.01,13
APR-DRG,6032,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,23128.01,23128.01,6
APR-DRG,6033,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,25566.09,38349.14,13
APR-DRG,6033,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,30679.31,30679.31,6
APR-DRG,6034,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,41715.3,62572.95,13
APR-DRG,6034,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,50058.36,50058.36,6
APR-DRG,6071,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,14644.29,21966.44,13
APR-DRG,6071,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,17573.15,17573.15,6
APR-DRG,6072,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,22668.16,34002.24,13
APR-DRG,6072,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,27201.79,27201.79,6
APR-DRG,6073,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,31229.92,46844.88,13
APR-DRG,6073,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,37475.9,37475.9,6
APR-DRG,6074,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,39807.66,59711.49,13
APR-DRG,6074,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,47769.19,47769.19,6
APR-DRG,6081,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,8630.21,12945.31,13
APR-DRG,6081,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,10356.25,10356.25,6
APR-DRG,6082,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,14681.82,22022.73,13
APR-DRG,6082,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,17618.18,17618.18,6
APR-DRG,6083,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,22845.72,34268.58,13
APR-DRG,6083,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,27414.86,27414.86,6
APR-DRG,6084,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION ,,,24619.58,36929.37,13
APR-DRG,6084,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,29543.5,29543.5,6
APR-DRG,6091,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE ,,,15984.85,23977.28,13
APR-DRG,6091,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,19181.82,19181.82,6
APR-DRG,6092,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE ,,,19978.02,29967.03,13
APR-DRG,6092,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,23973.62,23973.62,6
APR-DRG,6093,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE ,,,30497.45,45746.18,13
APR-DRG,6093,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,36596.94,36596.94,6
APR-DRG,6094,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE ,,,93914.23,140871.35,13
APR-DRG,6094,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,112697.08,112697.08,6
APR-DRG,6111,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY ,,,5976.21,8964.32,13
APR-DRG,6111,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,7171.45,7171.45,6
APR-DRG,6112,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY ,,,11402.71,17104.06,13
APR-DRG,6112,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,13683.25,13683.25,6
APR-DRG,6113,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY ,,,18455.73,27683.6,13
APR-DRG,6113,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,22146.88,22146.88,6
APR-DRG,6114,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY ,,,37321.83,55982.75,13
APR-DRG,6114,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,44786.2,44786.2,6
APR-DRG,6121,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,9636.15,14454.22,13
APR-DRG,6121,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,11563.38,11563.38,6
APR-DRG,6122,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,13684.92,20527.38,13
APR-DRG,6122,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,16421.9,16421.9,6
APR-DRG,6123,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,21340.46,32010.69,13
APR-DRG,6123,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,25608.55,25608.55,6
APR-DRG,6124,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,33219.9,49829.85,13
APR-DRG,6124,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,39863.88,39863.88,6
APR-DRG,6131,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,6726.75,10090.13,13
APR-DRG,6131,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,8072.1,8072.1,6
APR-DRG,6132,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,11752.96,17629.44,13
APR-DRG,6132,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,14103.55,14103.55,6
APR-DRG,6133,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,19373.76,29060.64,13
APR-DRG,6133,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,23248.51,23248.51,6
APR-DRG,6134,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,36949.34,55424.01,13
APR-DRG,6134,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,44339.21,44339.21,6
APR-DRG,6141,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION ,,,4653.37,6980.06,13
APR-DRG,6141,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5584.04,5584.04,6
APR-DRG,6142,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION ,,,9467.97,14201.95,13
APR-DRG,6142,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,11361.56,11361.56,6
APR-DRG,6143,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION ,,,15148.13,22722.19,13
APR-DRG,6143,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,18177.76,18177.76,6
APR-DRG,6144,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION ,,,23120.57,34680.85,13
APR-DRG,6144,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,27744.68,27744.68,6
APR-DRG,6211,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY ,,,2275.95,3413.92,13
APR-DRG,6211,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,2731.14,2731.14,6
APR-DRG,6212,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY ,,,7033.22,10549.83,13
APR-DRG,6212,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,8439.86,8439.86,6
APR-DRG,6213,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY ,,,13611.95,20417.93,13
APR-DRG,6213,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,16334.34,16334.34,6
APR-DRG,6214,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY ,,,27687.42,41531.13,13
APR-DRG,6214,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,33224.9,33224.9,6
APR-DRG,6221,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,5699.96,8549.94,13
APR-DRG,6221,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,6839.95,6839.95,6
APR-DRG,6222,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,8657.31,12985.97,13
APR-DRG,6222,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,10388.77,10388.77,6
APR-DRG,6223,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,13591.1,20386.65,13
APR-DRG,6223,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,16309.32,16309.32,6
APR-DRG,6224,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER ,,,18087.06,27130.59,13
APR-DRG,6224,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,21704.47,21704.47,6
APR-DRG,6231,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,4369.14,6553.71,13
APR-DRG,6231,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,5242.97,5242.97,6
APR-DRG,6232,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,7401.54,11102.31,13
APR-DRG,6232,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,8881.85,8881.85,6
APR-DRG,6233,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,11031.26,16546.89,13
APR-DRG,6233,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,13237.51,13237.51,6
APR-DRG,6234,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,19608.65,29412.98,13
APR-DRG,6234,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,23530.38,23530.38,6
APR-DRG,6251,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,4461.22,6691.83,13
APR-DRG,6251,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5353.46,5353.46,6
APR-DRG,6252,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,6702.08,10053.12,13
APR-DRG,6252,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,8042.5,8042.5,6
APR-DRG,6253,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,11404.79,17107.19,13
APR-DRG,6253,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,13685.75,13685.75,6
APR-DRG,6254,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,24284.96,36427.44,13
APR-DRG,6254,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,29141.95,29141.95,6
APR-DRG,6261,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL ",,,818.49,1227.74,13
APR-DRG,6261,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Mental Health Geriatric",,,982.19,982.19,6
APR-DRG,6262,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL ",,,1685.3,2527.95,13
APR-DRG,6262,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Mental Health Geriatric",,,2022.36,2022.36,6
APR-DRG,6263,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL ",,,7502.07,11253.1,13
APR-DRG,6263,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Mental Health Geriatric",,,9002.48,9002.48,6
APR-DRG,6264,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL ",,,15253.22,22879.83,13
APR-DRG,6264,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Mental Health Geriatric",,,18303.86,18303.86,6
APR-DRG,6301,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE ,,,10453.06,15679.59,13
APR-DRG,6301,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Mental Health Geriatric,,,12543.67,12543.67,6
APR-DRG,6302,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE ,,,18100.27,27150.4,13
APR-DRG,6302,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Mental Health Geriatric,,,21720.32,21720.32,6
APR-DRG,6303,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE ,,,44193.48,66290.22,13
APR-DRG,6303,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Mental Health Geriatric,,,53032.18,53032.18,6
APR-DRG,6304,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE ,,,78832.82,118249.23,13
APR-DRG,6304,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Mental Health Geriatric,,,94599.38,94599.38,6
APR-DRG,6311,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE ,,,3875.03,5812.55,13
APR-DRG,6311,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Mental Health Geriatric,,,4650.04,4650.04,6
APR-DRG,6312,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE ,,,14586.61,21879.92,13
APR-DRG,6312,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Mental Health Geriatric,,,17503.93,17503.93,6
APR-DRG,6313,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE ,,,24092.46,36138.69,13
APR-DRG,6313,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Mental Health Geriatric,,,28910.95,28910.95,6
APR-DRG,6314,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE ,,,87734.06,131601.09,13
APR-DRG,6314,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Mental Health Geriatric,,,105280.87,105280.87,6
APR-DRG,6331,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY ,,,833.94,1250.91,13
APR-DRG,6331,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,1000.73,1000.73,6
APR-DRG,6332,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY ,,,3906.3,5859.45,13
APR-DRG,6332,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,4687.56,4687.56,6
APR-DRG,6333,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY ,,,10226.51,15339.76,13
APR-DRG,6333,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,12271.81,12271.81,6
APR-DRG,6334,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY ,,,30559.99,45839.99,13
APR-DRG,6334,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,36671.99,36671.99,6
APR-DRG,6341,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA ,,,2185.26,3277.89,13
APR-DRG,6341,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Mental Health Geriatric,,,2622.31,2622.31,6
APR-DRG,6342,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA ,,,4269.07,6403.6,13
APR-DRG,6342,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Mental Health Geriatric,,,5122.88,5122.88,6
APR-DRG,6343,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA ,,,9298.06,13947.09,13
APR-DRG,6343,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Mental Health Geriatric,,,11157.67,11157.67,6
APR-DRG,6344,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA ,,,18544.69,27817.03,13
APR-DRG,6344,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Mental Health Geriatric,,,22253.63,22253.63,6
APR-DRG,6361,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,2815.23,4222.85,13
APR-DRG,6361,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,3378.28,3378.28,6
APR-DRG,6362,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,4262.12,6393.18,13
APR-DRG,6362,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,5114.54,5114.54,6
APR-DRG,6363,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,9498.2,14247.3,13
APR-DRG,6363,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,11397.84,11397.84,6
APR-DRG,6364,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION ,,,17289.26,25933.89,13
APR-DRG,6364,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,20747.11,20747.11,6
APR-DRG,6391,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,1223.11,1834.66,13
APR-DRG,6391,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,1467.73,1467.73,6
APR-DRG,6392,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,2646.71,3970.07,13
APR-DRG,6392,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,3176.05,3176.05,6
APR-DRG,6393,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,7875.85,11813.78,13
APR-DRG,6393,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,9451.02,9451.02,6
APR-DRG,6394,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION ,,,9810.23,14715.34,13
APR-DRG,6394,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,11772.28,11772.28,6
APR-DRG,6401,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM ",,,601.05,901.57,13
APR-DRG,6401,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Mental Health Geriatric",,,721.26,721.26,6
APR-DRG,6402,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM ",,,898.37,1347.56,13
APR-DRG,6402,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Mental Health Geriatric",,,1078.04,1078.04,6
APR-DRG,6403,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM ",,,2789.52,4184.28,13
APR-DRG,6403,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Mental Health Geriatric",,,3347.42,3347.42,6
APR-DRG,6404,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM ",,,7855.28,11782.92,13
APR-DRG,6404,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Mental Health Geriatric",,,9426.34,9426.34,6
APR-DRG,6501,SPLENIC PROCEDURES ,,,5731.93,8597.9,13
APR-DRG,6501,SPLENIC PROCEDURES Mental Health Geriatric,,,6878.32,6878.32,6
APR-DRG,6502,SPLENIC PROCEDURES ,,,8056.88,12085.32,13
APR-DRG,6502,SPLENIC PROCEDURES Mental Health Geriatric,,,9668.26,9668.26,6
APR-DRG,6503,SPLENIC PROCEDURES ,,,10603.17,15904.76,13
APR-DRG,6503,SPLENIC PROCEDURES Mental Health Geriatric,,,12723.8,12723.8,6
APR-DRG,6504,SPLENIC PROCEDURES ,,,16166.23,24249.35,13
APR-DRG,6504,SPLENIC PROCEDURES Mental Health Geriatric,,,19399.48,19399.48,6
APR-DRG,6511,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS ,,,4738.5,7107.75,13
APR-DRG,6511,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,5686.2,5686.2,6
APR-DRG,6512,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS ,,,6706.25,10059.38,13
APR-DRG,6512,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,8047.5,8047.5,6
APR-DRG,6513,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS ,,,9297.01,13945.51,13
APR-DRG,6513,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,11156.41,11156.41,6
APR-DRG,6514,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS ,,,21792.87,32689.31,13
APR-DRG,6514,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,26151.44,26151.44,6
APR-DRG,6601,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA ,,,2132.8,3199.2,13
APR-DRG,6601,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Mental Health Geriatric,,,2559.36,2559.36,6
APR-DRG,6602,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA ,,,3027.54,4541.31,13
APR-DRG,6602,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Mental Health Geriatric,,,3633.05,3633.05,6
APR-DRG,6603,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA ,,,5432.41,8148.61,13
APR-DRG,6603,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Mental Health Geriatric,,,6518.89,6518.89,6
APR-DRG,6604,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA ,,,10423.87,15635.81,13
APR-DRG,6604,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Mental Health Geriatric,,,12508.64,12508.64,6
APR-DRG,6611,COAGULATION AND PLATELET DISORDERS ,,,2978.89,4468.34,13
APR-DRG,6611,COAGULATION AND PLATELET DISORDERS Mental Health Geriatric,,,3574.67,3574.67,6
APR-DRG,6612,COAGULATION AND PLATELET DISORDERS ,,,4163.78,6245.67,13
APR-DRG,6612,COAGULATION AND PLATELET DISORDERS Mental Health Geriatric,,,4996.54,4996.54,6
APR-DRG,6613,COAGULATION AND PLATELET DISORDERS ,,,6163.15,9244.72,13
APR-DRG,6613,COAGULATION AND PLATELET DISORDERS Mental Health Geriatric,,,7395.78,7395.78,6
APR-DRG,6614,COAGULATION AND PLATELET DISORDERS ,,,10380.44,15570.66,13
APR-DRG,6614,COAGULATION AND PLATELET DISORDERS Mental Health Geriatric,,,12456.53,12456.53,6
APR-DRG,6621,SICKLE CELL ANEMIA CRISIS ,,,2236.69,3355.03,13
APR-DRG,6621,SICKLE CELL ANEMIA CRISIS Mental Health Geriatric,,,2684.03,2684.03,6
APR-DRG,6622,SICKLE CELL ANEMIA CRISIS ,,,3094.6,4641.9,13
APR-DRG,6622,SICKLE CELL ANEMIA CRISIS Mental Health Geriatric,,,3713.52,3713.52,6
APR-DRG,6623,SICKLE CELL ANEMIA CRISIS ,,,5098.14,7647.21,13
APR-DRG,6623,SICKLE CELL ANEMIA CRISIS Mental Health Geriatric,,,6117.77,6117.77,6
APR-DRG,6624,SICKLE CELL ANEMIA CRISIS ,,,9370.68,14056.02,13
APR-DRG,6624,SICKLE CELL ANEMIA CRISIS Mental Health Geriatric,,,11244.82,11244.82,6
APR-DRG,6631,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS ,,,2070.25,3105.38,13
APR-DRG,6631,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,2484.3,2484.3,6
APR-DRG,6632,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS ,,,2883.34,4325.01,13
APR-DRG,6632,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,3460.01,3460.01,6
APR-DRG,6633,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS ,,,4109.23,6163.84,13
APR-DRG,6633,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,4931.08,4931.08,6
APR-DRG,6634,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS ,,,7537.75,11306.63,13
APR-DRG,6634,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,9045.3,9045.3,6
APR-DRG,6801,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,6125.27,9187.91,13
APR-DRG,6801,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,7350.32,7350.32,6
APR-DRG,6802,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,8290.38,12435.57,13
APR-DRG,6802,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,9948.46,9948.46,6
APR-DRG,6803,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,13415.28,20122.92,13
APR-DRG,6803,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,16098.34,16098.34,6
APR-DRG,6804,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,25854.85,38782.27,13
APR-DRG,6804,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,31025.82,31025.82,6
APR-DRG,6811,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,4902.51,7353.77,13
APR-DRG,6811,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,5883.01,5883.01,6
APR-DRG,6812,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,6614.52,9921.78,13
APR-DRG,6812,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,7937.42,7937.42,6
APR-DRG,6813,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,10467.31,15700.97,13
APR-DRG,6813,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,12560.77,12560.77,6
APR-DRG,6814,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS ",,,22324.51,33486.76,13
APR-DRG,6814,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,26789.41,26789.41,6
APR-DRG,6901,ACUTE LEUKEMIA ,,,4590.13,6885.19,13
APR-DRG,6901,ACUTE LEUKEMIA Mental Health Geriatric,,,5508.16,5508.16,6
APR-DRG,6902,ACUTE LEUKEMIA ,,,8429.02,12643.53,13
APR-DRG,6902,ACUTE LEUKEMIA Mental Health Geriatric,,,10114.82,10114.82,6
APR-DRG,6903,ACUTE LEUKEMIA ,,,14642.55,21963.82,13
APR-DRG,6903,ACUTE LEUKEMIA Mental Health Geriatric,,,17571.06,17571.06,6
APR-DRG,6904,ACUTE LEUKEMIA ,,,23942.7,35914.05,13
APR-DRG,6904,ACUTE LEUKEMIA Mental Health Geriatric,,,28731.24,28731.24,6
APR-DRG,6911,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA ",,,3012.6,4518.9,13
APR-DRG,6911,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Mental Health Geriatric",,,3615.12,3615.12,6
APR-DRG,6912,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA ",,,4714.53,7071.8,13
APR-DRG,6912,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Mental Health Geriatric",,,5657.44,5657.44,6
APR-DRG,6913,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA ",,,8227.49,12341.24,13
APR-DRG,6913,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Mental Health Geriatric",,,9872.99,9872.99,6
APR-DRG,6914,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA ",,,14125.51,21188.26,13
APR-DRG,6914,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Mental Health Geriatric",,,16950.61,16950.61,6
APR-DRG,6921,RADIOTHERAPY ,,,4148.14,6222.21,13
APR-DRG,6921,RADIOTHERAPY Mental Health Geriatric,,,4977.77,4977.77,6
APR-DRG,6922,RADIOTHERAPY ,,,6975.89,10463.84,13
APR-DRG,6922,RADIOTHERAPY Mental Health Geriatric,,,8371.07,8371.07,6
APR-DRG,6923,RADIOTHERAPY ,,,10488.5,15732.75,13
APR-DRG,6923,RADIOTHERAPY Mental Health Geriatric,,,12586.2,12586.2,6
APR-DRG,6924,RADIOTHERAPY ,,,13838.5,20757.75,13
APR-DRG,6924,RADIOTHERAPY Mental Health Geriatric,,,16606.2,16606.2,6
APR-DRG,6941,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR ,,,2541.42,3812.13,13
APR-DRG,6941,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Mental Health Geriatric,,,3049.7,3049.7,6
APR-DRG,6942,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR ,,,3610.6,5415.9,13
APR-DRG,6942,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Mental Health Geriatric,,,4332.72,4332.72,6
APR-DRG,6943,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR ,,,5429.98,8144.97,13
APR-DRG,6943,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Mental Health Geriatric,,,6515.98,6515.98,6
APR-DRG,6944,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR ,,,9044.75,13567.13,13
APR-DRG,6944,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Mental Health Geriatric,,,10853.7,10853.7,6
APR-DRG,6951,CHEMOTHERAPY FOR ACUTE LEUKEMIA ,,,3101.9,4652.85,13
APR-DRG,6951,CHEMOTHERAPY FOR ACUTE LEUKEMIA Mental Health Geriatric,,,3722.28,3722.28,6
APR-DRG,6952,CHEMOTHERAPY FOR ACUTE LEUKEMIA ,,,4997.37,7496.06,13
APR-DRG,6952,CHEMOTHERAPY FOR ACUTE LEUKEMIA Mental Health Geriatric,,,5996.84,5996.84,6
APR-DRG,6953,CHEMOTHERAPY FOR ACUTE LEUKEMIA ,,,9565.61,14348.42,13
APR-DRG,6953,CHEMOTHERAPY FOR ACUTE LEUKEMIA Mental Health Geriatric,,,11478.73,11478.73,6
APR-DRG,6954,CHEMOTHERAPY FOR ACUTE LEUKEMIA ,,,20985.34,31478.01,13
APR-DRG,6954,CHEMOTHERAPY FOR ACUTE LEUKEMIA Mental Health Geriatric,,,25182.41,25182.41,6
APR-DRG,6961,OTHER CHEMOTHERAPY ,,,2670.69,4006.03,13
APR-DRG,6961,OTHER CHEMOTHERAPY Mental Health Geriatric,,,3204.83,3204.83,6
APR-DRG,6962,OTHER CHEMOTHERAPY ,,,3621.03,5431.55,13
APR-DRG,6962,OTHER CHEMOTHERAPY Mental Health Geriatric,,,4345.24,4345.24,6
APR-DRG,6963,OTHER CHEMOTHERAPY ,,,5833.39,8750.09,13
APR-DRG,6963,OTHER CHEMOTHERAPY Mental Health Geriatric,,,7000.07,7000.07,6
APR-DRG,6964,OTHER CHEMOTHERAPY ,,,10787.33,16180.99,13
APR-DRG,6964,OTHER CHEMOTHERAPY Mental Health Geriatric,,,12944.8,12944.8,6
APR-DRG,7101,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE ,,,5121.77,7682.66,13
APR-DRG,7101,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Mental Health Geriatric,,,6146.12,6146.12,6
APR-DRG,7102,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE ,,,7419.61,11129.41,13
APR-DRG,7102,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Mental Health Geriatric,,,8903.53,8903.53,6
APR-DRG,7103,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE ,,,10926.32,16389.48,13
APR-DRG,7103,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Mental Health Geriatric,,,13111.58,13111.58,6
APR-DRG,7104,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE ,,,17274.67,25912.0,13
APR-DRG,7104,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Mental Health Geriatric,,,20729.6,20729.6,6
APR-DRG,7111,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE ",,,4309.72,6464.58,13
APR-DRG,7111,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Mental Health Geriatric",,,5171.66,5171.66,6
APR-DRG,7112,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE ",,,6203.11,9304.66,13
APR-DRG,7112,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Mental Health Geriatric",,,7443.73,7443.73,6
APR-DRG,7113,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE ",,,9580.9,14371.35,13
APR-DRG,7113,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Mental Health Geriatric",,,11497.08,11497.08,6
APR-DRG,7114,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE ",,,17195.79,25793.69,13
APR-DRG,7114,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Mental Health Geriatric",,,20634.95,20634.95,6
APR-DRG,7201,SEPTICEMIA AND DISSEMINATED INFECTIONS ,,,2401.74,3602.61,13
APR-DRG,7201,SEPTICEMIA AND DISSEMINATED INFECTIONS Mental Health Geriatric,,,2882.09,2882.09,6
APR-DRG,7202,SEPTICEMIA AND DISSEMINATED INFECTIONS ,,,3322.55,4983.83,13
APR-DRG,7202,SEPTICEMIA AND DISSEMINATED INFECTIONS Mental Health Geriatric,,,3987.06,3987.06,6
APR-DRG,7203,SEPTICEMIA AND DISSEMINATED INFECTIONS ,,,5395.92,8093.88,13
APR-DRG,7203,SEPTICEMIA AND DISSEMINATED INFECTIONS Mental Health Geriatric,,,6475.1,6475.1,6
APR-DRG,7204,SEPTICEMIA AND DISSEMINATED INFECTIONS ,,,10015.94,15023.91,13
APR-DRG,7204,SEPTICEMIA AND DISSEMINATED INFECTIONS Mental Health Geriatric,,,12019.13,12019.13,6
APR-DRG,7211,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS ",,,2314.87,3472.3,13
APR-DRG,7211,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Mental Health Geriatric",,,2777.84,2777.84,6
APR-DRG,7212,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS ",,,3353.82,5030.73,13
APR-DRG,7212,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Mental Health Geriatric",,,4024.58,4024.58,6
APR-DRG,7213,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS ",,,5564.8,8347.2,13
APR-DRG,7213,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Mental Health Geriatric",,,6677.76,6677.76,6
APR-DRG,7214,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS ",,,9718.5,14577.75,13
APR-DRG,7214,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Mental Health Geriatric",,,11662.2,11662.2,6
APR-DRG,7221,FEVER AND INFLAMMATORY CONDITIONS ,,,1689.07,2533.61,13
APR-DRG,7221,FEVER AND INFLAMMATORY CONDITIONS Mental Health Geriatric,,,2026.88,2026.88,6
APR-DRG,7222,FEVER AND INFLAMMATORY CONDITIONS ,,,2459.07,3688.61,13
APR-DRG,7222,FEVER AND INFLAMMATORY CONDITIONS Mental Health Geriatric,,,2950.88,2950.88,6
APR-DRG,7223,FEVER AND INFLAMMATORY CONDITIONS ,,,3401.77,5102.65,13
APR-DRG,7223,FEVER AND INFLAMMATORY CONDITIONS Mental Health Geriatric,,,4082.12,4082.12,6
APR-DRG,7224,FEVER AND INFLAMMATORY CONDITIONS ,,,5567.92,8351.88,13
APR-DRG,7224,FEVER AND INFLAMMATORY CONDITIONS Mental Health Geriatric,,,6681.5,6681.5,6
APR-DRG,7231,VIRAL ILLNESS ,,,1584.83,2377.24,13
APR-DRG,7231,VIRAL ILLNESS Mental Health Geriatric,,,1901.8,1901.8,6
APR-DRG,7232,VIRAL ILLNESS ,,,2319.39,3479.09,13
APR-DRG,7232,VIRAL ILLNESS Mental Health Geriatric,,,2783.27,2783.27,6
APR-DRG,7233,VIRAL ILLNESS ,,,3850.36,5775.54,13
APR-DRG,7233,VIRAL ILLNESS Mental Health Geriatric,,,4620.43,4620.43,6
APR-DRG,7234,VIRAL ILLNESS ,,,7792.1,11688.15,13
APR-DRG,7234,VIRAL ILLNESS Mental Health Geriatric,,,9350.52,9350.52,6
APR-DRG,7241,OTHER INFECTIOUS AND PARASITIC DISEASES ,,,1987.9,2981.85,13
APR-DRG,7241,OTHER INFECTIOUS AND PARASITIC DISEASES Mental Health Geriatric,,,2385.48,2385.48,6
APR-DRG,7242,OTHER INFECTIOUS AND PARASITIC DISEASES ,,,2906.27,4359.4,13
APR-DRG,7242,OTHER INFECTIOUS AND PARASITIC DISEASES Mental Health Geriatric,,,3487.52,3487.52,6
APR-DRG,7243,OTHER INFECTIOUS AND PARASITIC DISEASES ,,,4765.61,7148.41,13
APR-DRG,7243,OTHER INFECTIOUS AND PARASITIC DISEASES Mental Health Geriatric,,,5718.73,5718.73,6
APR-DRG,7244,OTHER INFECTIOUS AND PARASITIC DISEASES ,,,9265.39,13898.08,13
APR-DRG,7244,OTHER INFECTIOUS AND PARASITIC DISEASES Mental Health Geriatric,,,11118.47,11118.47,6
APR-DRG,7401,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE ,,,3413.58,5120.37,13
APR-DRG,7401,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,4096.3,4096.3,6
APR-DRG,7402,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE ,,,5818.1,8727.15,13
APR-DRG,7402,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,6981.72,6981.72,6
APR-DRG,7403,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE ,,,10623.67,15935.51,13
APR-DRG,7403,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,12748.4,12748.4,6
APR-DRG,7404,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE ,,,21647.63,32471.44,13
APR-DRG,7404,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,25977.16,25977.16,6
APR-DRG,7501,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS ,,,2258.93,3388.39,13
APR-DRG,7501,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Mental Health Geriatric,,,2710.72,2710.72,6
APR-DRG,7502,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS ,,,3130.05,4695.08,13
APR-DRG,7502,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Mental Health Geriatric,,,3756.06,3756.06,6
APR-DRG,7503,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS ,,,4783.67,7175.51,13
APR-DRG,7503,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Mental Health Geriatric,,,5740.4,5740.4,6
APR-DRG,7504,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS ,,,9642.06,14463.09,13
APR-DRG,7504,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Mental Health Geriatric,,,11570.47,11570.47,6
APR-DRG,7511,DEPRESSIVE DISORDERS ,,,1377.04,2065.56,13
APR-DRG,7511,DEPRESSIVE DISORDERS Mental Health Geriatric,,,1652.45,1652.45,6
APR-DRG,7512,DEPRESSIVE DISORDERS ,,,1854.82,2782.23,13
APR-DRG,7512,DEPRESSIVE DISORDERS Mental Health Geriatric,,,2225.78,2225.78,6
APR-DRG,7513,DEPRESSIVE DISORDERS ,,,3748.55,5622.83,13
APR-DRG,7513,DEPRESSIVE DISORDERS Mental Health Geriatric,,,4498.26,4498.26,6
APR-DRG,7514,DEPRESSIVE DISORDERS ,,,7735.12,11602.68,13
APR-DRG,7514,DEPRESSIVE DISORDERS Mental Health Geriatric,,,9282.14,9282.14,6
APR-DRG,7521,PERSONALITY DISORDERS ,,,1548.34,2322.51,13
APR-DRG,7521,PERSONALITY DISORDERS Mental Health Geriatric,,,1858.01,1858.01,6
APR-DRG,7522,PERSONALITY DISORDERS ,,,1930.91,2896.37,13
APR-DRG,7522,PERSONALITY DISORDERS Mental Health Geriatric,,,2317.09,2317.09,6
APR-DRG,7523,PERSONALITY DISORDERS ,,,4642.25,6963.38,13
APR-DRG,7523,PERSONALITY DISORDERS Mental Health Geriatric,,,5570.7,5570.7,6
APR-DRG,7524,PERSONALITY DISORDERS ,,,10241.1,15361.65,13
APR-DRG,7524,PERSONALITY DISORDERS Mental Health Geriatric,,,12289.32,12289.32,6
APR-DRG,7531,BIPOLAR DISORDERS ,,,1628.61,2442.91,13
APR-DRG,7531,BIPOLAR DISORDERS Mental Health Geriatric,,,1954.33,1954.33,6
APR-DRG,7532,BIPOLAR DISORDERS ,,,2181.09,3271.64,13
APR-DRG,7532,BIPOLAR DISORDERS Mental Health Geriatric,,,2617.31,2617.31,6
APR-DRG,7533,BIPOLAR DISORDERS ,,,3973.02,5959.53,13
APR-DRG,7533,BIPOLAR DISORDERS Mental Health Geriatric,,,4767.62,4767.62,6
APR-DRG,7534,BIPOLAR DISORDERS ,,,7745.54,11618.31,13
APR-DRG,7534,BIPOLAR DISORDERS Mental Health Geriatric,,,9294.65,9294.65,6
APR-DRG,7551,ADJUSTMENT DISORDERS ,,,1046.59,1569.88,13
APR-DRG,7551,ADJUSTMENT DISORDERS Mental Health Geriatric,,,1255.91,1255.91,6
APR-DRG,7552,ADJUSTMENT DISORDERS ,,,1455.57,2183.36,13
APR-DRG,7552,ADJUSTMENT DISORDERS Mental Health Geriatric,,,1746.68,1746.68,6
APR-DRG,7553,ADJUSTMENT DISORDERS ,,,3307.95,4961.92,13
APR-DRG,7553,ADJUSTMENT DISORDERS Mental Health Geriatric,,,3969.54,3969.54,6
APR-DRG,7554,ADJUSTMENT DISORDERS ,,,3990.04,5985.06,13
APR-DRG,7554,ADJUSTMENT DISORDERS Mental Health Geriatric,,,4788.05,4788.05,6
APR-DRG,7561,ACUTE ANXIETY AND STRESS SYNDROMES ,,,1737.02,2605.53,13
APR-DRG,7561,ACUTE ANXIETY AND STRESS SYNDROMES Mental Health Geriatric,,,2084.42,2084.42,6
APR-DRG,7562,ACUTE ANXIETY AND STRESS SYNDROMES ,,,2584.16,3876.24,13
APR-DRG,7562,ACUTE ANXIETY AND STRESS SYNDROMES Mental Health Geriatric,,,3100.99,3100.99,6
APR-DRG,7563,ACUTE ANXIETY AND STRESS SYNDROMES ,,,4102.28,6153.42,13
APR-DRG,7563,ACUTE ANXIETY AND STRESS SYNDROMES Mental Health Geriatric,,,4922.74,4922.74,6
APR-DRG,7564,ACUTE ANXIETY AND STRESS SYNDROMES ,,,6822.65,10233.97,13
APR-DRG,7564,ACUTE ANXIETY AND STRESS SYNDROMES Mental Health Geriatric,,,8187.18,8187.18,6
APR-DRG,7571,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES ,,,2210.28,3315.42,13
APR-DRG,7571,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Mental Health Geriatric,,,2652.34,2652.34,6
APR-DRG,7572,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES ,,,3155.76,4733.64,13
APR-DRG,7572,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Mental Health Geriatric,,,3786.91,3786.91,6
APR-DRG,7573,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES ,,,4773.6,7160.4,13
APR-DRG,7573,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Mental Health Geriatric,,,5728.32,5728.32,6
APR-DRG,7574,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES ,,,11122.3,16683.45,13
APR-DRG,7574,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Mental Health Geriatric,,,13346.76,13346.76,6
APR-DRG,7581,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT ,,,1733.9,2600.85,13
APR-DRG,7581,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Mental Health Geriatric,,,2080.68,2080.68,6
APR-DRG,7582,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT ,,,2316.61,3474.91,13
APR-DRG,7582,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Mental Health Geriatric,,,2779.93,2779.93,6
APR-DRG,7583,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT ,,,3760.02,5640.03,13
APR-DRG,7583,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Mental Health Geriatric,,,4512.02,4512.02,6
APR-DRG,7584,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT ,,,12773.14,19159.71,13
APR-DRG,7584,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Mental Health Geriatric,,,15327.77,15327.77,6
APR-DRG,7591,EATING DISORDERS ,,,3998.73,5998.1,13
APR-DRG,7591,EATING DISORDERS Mental Health Geriatric,,,4798.48,4798.48,6
APR-DRG,7592,EATING DISORDERS ,,,5013.01,7519.52,13
APR-DRG,7592,EATING DISORDERS Mental Health Geriatric,,,6015.61,6015.61,6
APR-DRG,7593,EATING DISORDERS ,,,6970.68,10456.02,13
APR-DRG,7593,EATING DISORDERS Mental Health Geriatric,,,8364.82,8364.82,6
APR-DRG,7594,EATING DISORDERS ,,,14154.35,21231.53,13
APR-DRG,7594,EATING DISORDERS Mental Health Geriatric,,,16985.22,16985.22,6
APR-DRG,7601,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS ,,,1757.52,2636.28,13
APR-DRG,7601,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Mental Health Geriatric,,,2109.02,2109.02,6
APR-DRG,7602,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS ,,,2679.37,4019.05,13
APR-DRG,7602,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Mental Health Geriatric,,,3215.24,3215.24,6
APR-DRG,7603,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS ,,,3586.63,5379.94,13
APR-DRG,7603,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Mental Health Geriatric,,,4303.96,4303.96,6
APR-DRG,7604,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS ,,,8610.41,12915.61,13
APR-DRG,7604,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Mental Health Geriatric,,,10332.49,10332.49,6
APR-DRG,7611,SCHIZOAFFECTIVE DISORDERS ,,,2847.2,4270.8,13
APR-DRG,7611,SCHIZOAFFECTIVE DISORDERS Mental Health Geriatric,,,3416.64,3416.64,6
APR-DRG,7612,SCHIZOAFFECTIVE DISORDERS ,,,3096.34,4644.51,13
APR-DRG,7612,SCHIZOAFFECTIVE DISORDERS Mental Health Geriatric,,,3715.61,3715.61,6
APR-DRG,7613,SCHIZOAFFECTIVE DISORDERS ,,,5630.82,8446.23,13
APR-DRG,7613,SCHIZOAFFECTIVE DISORDERS Mental Health Geriatric,,,6756.98,6756.98,6
APR-DRG,7614,SCHIZOAFFECTIVE DISORDERS ,,,9657.69,14486.53,13
APR-DRG,7614,SCHIZOAFFECTIVE DISORDERS Mental Health Geriatric,,,11589.23,11589.23,6
APR-DRG,7621,OBSESSIVE COMPULSIVE DISORDERS ,,,2275.61,3413.41,13
APR-DRG,7621,OBSESSIVE COMPULSIVE DISORDERS Mental Health Geriatric,,,2730.73,2730.73,6
APR-DRG,7622,OBSESSIVE COMPULSIVE DISORDERS ,,,2846.16,4269.24,13
APR-DRG,7622,OBSESSIVE COMPULSIVE DISORDERS Mental Health Geriatric,,,3415.39,3415.39,6
APR-DRG,7623,OBSESSIVE COMPULSIVE DISORDERS ,,,4187.41,6281.11,13
APR-DRG,7623,OBSESSIVE COMPULSIVE DISORDERS Mental Health Geriatric,,,5024.89,5024.89,6
APR-DRG,7624,OBSESSIVE COMPULSIVE DISORDERS ,,,5236.09,7854.14,13
APR-DRG,7624,OBSESSIVE COMPULSIVE DISORDERS Mental Health Geriatric,,,6283.31,6283.31,6
APR-DRG,7701,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE ",,,1000.03,1500.05,13
APR-DRG,7701,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Mental Health Geriatric",,,1200.04,1200.04,6
APR-DRG,7702,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE ",,,1632.43,2448.64,13
APR-DRG,7702,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Mental Health Geriatric",,,1958.92,1958.92,6
APR-DRG,7703,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE ",,,2766.59,4149.89,13
APR-DRG,7703,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Mental Health Geriatric",,,3319.91,3319.91,6
APR-DRG,7704,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE ",,,6925.85,10388.78,13
APR-DRG,7704,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Mental Health Geriatric",,,8311.02,8311.02,6
APR-DRG,7721,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY ,,,2068.86,3103.29,13
APR-DRG,7721,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Mental Health Geriatric,,,2482.63,2482.63,6
APR-DRG,7722,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY ,,,2605.71,3908.57,13
APR-DRG,7722,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Mental Health Geriatric,,,3126.85,3126.85,6
APR-DRG,7723,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY ,,,4323.27,6484.91,13
APR-DRG,7723,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Mental Health Geriatric,,,5187.92,5187.92,6
APR-DRG,7724,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY ,,,10305.38,15458.07,13
APR-DRG,7724,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Mental Health Geriatric,,,12366.46,12366.46,6
APR-DRG,7731,OPIOID ABUSE AND DEPENDENCE ,,,1188.36,1782.54,13
APR-DRG,7731,OPIOID ABUSE AND DEPENDENCE Mental Health Geriatric,,,1426.03,1426.03,6
APR-DRG,7732,OPIOID ABUSE AND DEPENDENCE ,,,1797.14,2695.71,13
APR-DRG,7732,OPIOID ABUSE AND DEPENDENCE Mental Health Geriatric,,,2156.57,2156.57,6
APR-DRG,7733,OPIOID ABUSE AND DEPENDENCE ,,,3302.74,4954.11,13
APR-DRG,7733,OPIOID ABUSE AND DEPENDENCE Mental Health Geriatric,,,3963.29,3963.29,6
APR-DRG,7734,OPIOID ABUSE AND DEPENDENCE ,,,7369.92,11054.88,13
APR-DRG,7734,OPIOID ABUSE AND DEPENDENCE Mental Health Geriatric,,,8843.9,8843.9,6
APR-DRG,7741,COCAINE ABUSE AND DEPENDENCE ,,,1391.98,2087.97,13
APR-DRG,7741,COCAINE ABUSE AND DEPENDENCE Mental Health Geriatric,,,1670.38,1670.38,6
APR-DRG,7742,COCAINE ABUSE AND DEPENDENCE ,,,1765.52,2648.28,13
APR-DRG,7742,COCAINE ABUSE AND DEPENDENCE Mental Health Geriatric,,,2118.62,2118.62,6
APR-DRG,7743,COCAINE ABUSE AND DEPENDENCE ,,,3109.89,4664.84,13
APR-DRG,7743,COCAINE ABUSE AND DEPENDENCE Mental Health Geriatric,,,3731.87,3731.87,6
APR-DRG,7744,COCAINE ABUSE AND DEPENDENCE ,,,7775.43,11663.15,13
APR-DRG,7744,COCAINE ABUSE AND DEPENDENCE Mental Health Geriatric,,,9330.52,9330.52,6
APR-DRG,7751,ALCOHOL ABUSE AND DEPENDENCE ,,,1513.6,2270.4,13
APR-DRG,7751,ALCOHOL ABUSE AND DEPENDENCE Mental Health Geriatric,,,1816.32,1816.32,6
APR-DRG,7752,ALCOHOL ABUSE AND DEPENDENCE ,,,2304.8,3457.2,13
APR-DRG,7752,ALCOHOL ABUSE AND DEPENDENCE Mental Health Geriatric,,,2765.76,2765.76,6
APR-DRG,7753,ALCOHOL ABUSE AND DEPENDENCE ,,,4171.08,6256.62,13
APR-DRG,7753,ALCOHOL ABUSE AND DEPENDENCE Mental Health Geriatric,,,5005.3,5005.3,6
APR-DRG,7754,ALCOHOL ABUSE AND DEPENDENCE ,,,9728.23,14592.34,13
APR-DRG,7754,ALCOHOL ABUSE AND DEPENDENCE Mental Health Geriatric,,,11673.88,11673.88,6
APR-DRG,7761,OTHER DRUG ABUSE AND DEPENDENCE ,,,1366.27,2049.4,13
APR-DRG,7761,OTHER DRUG ABUSE AND DEPENDENCE Mental Health Geriatric,,,1639.52,1639.52,6
APR-DRG,7762,OTHER DRUG ABUSE AND DEPENDENCE ,,,1909.72,2864.58,13
APR-DRG,7762,OTHER DRUG ABUSE AND DEPENDENCE Mental Health Geriatric,,,2291.66,2291.66,6
APR-DRG,7763,OTHER DRUG ABUSE AND DEPENDENCE ,,,3915.34,5873.01,13
APR-DRG,7763,OTHER DRUG ABUSE AND DEPENDENCE Mental Health Geriatric,,,4698.41,4698.41,6
APR-DRG,7764,OTHER DRUG ABUSE AND DEPENDENCE ,,,7457.83,11186.74,13
APR-DRG,7764,OTHER DRUG ABUSE AND DEPENDENCE Mental Health Geriatric,,,8949.4,8949.4,6
APR-DRG,7921,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,5736.45,8604.67,13
APR-DRG,7921,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,6883.74,6883.74,6
APR-DRG,7922,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,7244.49,10866.74,13
APR-DRG,7922,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,8693.39,8693.39,6
APR-DRG,7923,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,10332.49,15498.74,13
APR-DRG,7923,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,12398.99,12398.99,6
APR-DRG,7924,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,17616.58,26424.87,13
APR-DRG,7924,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,21139.9,21139.9,6
APR-DRG,7931,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,4299.64,6449.46,13
APR-DRG,7931,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,5159.57,5159.57,6
APR-DRG,7932,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,5668.0,8502.0,13
APR-DRG,7932,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,6801.6,6801.6,6
APR-DRG,7933,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,8203.51,12305.26,13
APR-DRG,7933,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,9844.21,9844.21,6
APR-DRG,7934,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,14309.67,21464.51,13
APR-DRG,7934,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,17171.6,17171.6,6
APR-DRG,7941,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,3454.59,5181.89,13
APR-DRG,7941,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,4145.51,4145.51,6
APR-DRG,7942,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,4663.1,6994.65,13
APR-DRG,7942,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,5595.72,5595.72,6
APR-DRG,7943,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,6633.28,9949.92,13
APR-DRG,7943,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,7959.94,7959.94,6
APR-DRG,7944,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT ,,,13313.81,19970.72,13
APR-DRG,7944,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,15976.57,15976.57,6
APR-DRG,8101,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION ,,,2020.21,3030.32,13
APR-DRG,8101,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Mental Health Geriatric,,,2424.25,2424.25,6
APR-DRG,8102,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION ,,,2809.33,4213.99,13
APR-DRG,8102,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Mental Health Geriatric,,,3371.2,3371.2,6
APR-DRG,8103,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION ,,,4370.18,6555.27,13
APR-DRG,8103,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Mental Health Geriatric,,,5244.22,5244.22,6
APR-DRG,8104,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION ,,,8280.31,12420.47,13
APR-DRG,8104,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Mental Health Geriatric,,,9936.37,9936.37,6
APR-DRG,8111,ALLERGIC REACTIONS ,,,1399.97,2099.95,13
APR-DRG,8111,ALLERGIC REACTIONS Mental Health Geriatric,,,1679.96,1679.96,6
APR-DRG,8112,ALLERGIC REACTIONS ,,,2045.58,3068.37,13
APR-DRG,8112,ALLERGIC REACTIONS Mental Health Geriatric,,,2454.7,2454.7,6
APR-DRG,8113,ALLERGIC REACTIONS ,,,3971.28,5956.92,13
APR-DRG,8113,ALLERGIC REACTIONS Mental Health Geriatric,,,4765.54,4765.54,6
APR-DRG,8114,ALLERGIC REACTIONS ,,,8194.13,12291.19,13
APR-DRG,8114,ALLERGIC REACTIONS Mental Health Geriatric,,,9832.96,9832.96,6
APR-DRG,8121,POISONING OF MEDICINAL AGENTS ,,,1515.33,2272.99,13
APR-DRG,8121,POISONING OF MEDICINAL AGENTS Mental Health Geriatric,,,1818.4,1818.4,6
APR-DRG,8122,POISONING OF MEDICINAL AGENTS ,,,2368.04,3552.06,13
APR-DRG,8122,POISONING OF MEDICINAL AGENTS Mental Health Geriatric,,,2841.65,2841.65,6
APR-DRG,8123,POISONING OF MEDICINAL AGENTS ,,,3654.73,5482.1,13
APR-DRG,8123,POISONING OF MEDICINAL AGENTS Mental Health Geriatric,,,4385.68,4385.68,6
APR-DRG,8124,POISONING OF MEDICINAL AGENTS ,,,7288.96,10933.44,13
APR-DRG,8124,POISONING OF MEDICINAL AGENTS Mental Health Geriatric,,,8746.75,8746.75,6
APR-DRG,8131,OTHER COMPLICATIONS OF TREATMENT ,,,2290.9,3436.35,13
APR-DRG,8131,OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,2749.08,2749.08,6
APR-DRG,8132,OTHER COMPLICATIONS OF TREATMENT ,,,3127.61,4691.41,13
APR-DRG,8132,OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,3753.13,3753.13,6
APR-DRG,8133,OTHER COMPLICATIONS OF TREATMENT ,,,4586.31,6879.47,13
APR-DRG,8133,OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,5503.57,5503.57,6
APR-DRG,8134,OTHER COMPLICATIONS OF TREATMENT ,,,7879.32,11818.98,13
APR-DRG,8134,OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,9455.18,9455.18,6
APR-DRG,8151,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES ",,,1741.89,2612.84,13
APR-DRG,8151,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Mental Health Geriatric",,,2090.27,2090.27,6
APR-DRG,8152,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES ",,,2741.22,4111.83,13
APR-DRG,8152,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Mental Health Geriatric",,,3289.46,3289.46,6
APR-DRG,8153,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES ",,,4506.04,6759.06,13
APR-DRG,8153,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Mental Health Geriatric",,,5407.25,5407.25,6
APR-DRG,8154,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES ",,,9261.92,13892.88,13
APR-DRG,8154,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Mental Health Geriatric",,,11114.3,11114.3,6
APR-DRG,8161,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES ,,,1804.09,2706.13,13
APR-DRG,8161,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Mental Health Geriatric,,,2164.91,2164.91,6
APR-DRG,8162,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES ,,,2627.95,3941.92,13
APR-DRG,8162,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Mental Health Geriatric,,,3153.54,3153.54,6
APR-DRG,8163,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES ,,,4799.31,7198.97,13
APR-DRG,8163,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Mental Health Geriatric,,,5759.17,5759.17,6
APR-DRG,8164,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES ,,,9477.35,14216.03,13
APR-DRG,8164,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Mental Health Geriatric,,,11372.82,11372.82,6
APR-DRG,8171,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE ,,,1565.37,2348.05,13
APR-DRG,8171,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Mental Health Geriatric,,,1878.44,1878.44,6
APR-DRG,8172,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE ,,,2261.71,3392.57,13
APR-DRG,8172,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Mental Health Geriatric,,,2714.05,2714.05,6
APR-DRG,8173,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE ,,,4064.75,6097.13,13
APR-DRG,8173,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Mental Health Geriatric,,,4877.7,4877.7,6
APR-DRG,8174,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE ,,,8696.93,13045.4,13
APR-DRG,8174,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Mental Health Geriatric,,,10436.32,10436.32,6
APR-DRG,8411,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT ,,,19866.83,29800.25,13
APR-DRG,8411,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Mental Health Geriatric,,,23840.2,23840.2,6
APR-DRG,8412,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT ,,,20912.38,31368.57,13
APR-DRG,8412,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Mental Health Geriatric,,,25094.86,25094.86,6
APR-DRG,8413,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT ,,,33344.99,50017.49,13
APR-DRG,8413,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Mental Health Geriatric,,,40013.99,40013.99,6
APR-DRG,8414,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT ,,,88873.77,133310.65,13
APR-DRG,8414,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Mental Health Geriatric,,,106648.52,106648.52,6
APR-DRG,8421,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS ,,,6426.18,9639.27,13
APR-DRG,8421,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Mental Health Geriatric,,,7711.42,7711.42,6
APR-DRG,8422,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS ,,,9770.97,14656.45,13
APR-DRG,8422,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Mental Health Geriatric,,,11725.16,11725.16,6
APR-DRG,8423,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS ,,,18004.71,27007.06,13
APR-DRG,8423,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Mental Health Geriatric,,,21605.65,21605.65,6
APR-DRG,8424,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS ,,,45558.36,68337.54,13
APR-DRG,8424,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Mental Health Geriatric,,,54670.03,54670.03,6
APR-DRG,8431,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT ,,,3015.03,4522.55,13
APR-DRG,8431,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,3618.04,3618.04,6
APR-DRG,8432,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT ,,,4074.48,6111.72,13
APR-DRG,8432,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,4889.38,4889.38,6
APR-DRG,8433,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT ,,,7165.61,10748.41,13
APR-DRG,8433,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,8598.73,8598.73,6
APR-DRG,8434,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT ,,,10742.51,16113.76,13
APR-DRG,8434,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,12891.01,12891.01,6
APR-DRG,8441,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT ,,,1933.69,2900.53,13
APR-DRG,8441,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,2320.43,2320.43,6
APR-DRG,8442,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT ,,,3342.35,5013.52,13
APR-DRG,8442,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,4010.82,4010.82,6
APR-DRG,8443,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT ,,,5923.39,8885.09,13
APR-DRG,8443,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,7108.07,7108.07,6
APR-DRG,8444,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT ,,,11288.74,16933.11,13
APR-DRG,8444,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,13546.49,13546.49,6
APR-DRG,8501,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL ",,,5612.75,8419.13,13
APR-DRG,8501,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Mental Health Geriatric",,,6735.3,6735.3,6
APR-DRG,8502,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL ",,,8825.49,13238.24,13
APR-DRG,8502,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Mental Health Geriatric",,,10590.59,10590.59,6
APR-DRG,8503,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL ",,,12920.82,19381.23,13
APR-DRG,8503,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Mental Health Geriatric",,,15504.98,15504.98,6
APR-DRG,8504,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL ",,,29002.61,43503.92,13
APR-DRG,8504,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Mental Health Geriatric",,,34803.13,34803.13,6
APR-DRG,8511,GENDER RELATED PROCEDURES ,,,7668.4,11502.6,13
APR-DRG,8511,GENDER RELATED PROCEDURES Mental Health Geriatric,,,9202.08,9202.08,6
APR-DRG,8512,GENDER RELATED PROCEDURES ,,,11062.88,16594.32,13
APR-DRG,8512,GENDER RELATED PROCEDURES Mental Health Geriatric,,,13275.46,13275.46,6
APR-DRG,8513,GENDER RELATED PROCEDURES ,,,42346.31,63519.46,13
APR-DRG,8513,GENDER RELATED PROCEDURES Mental Health Geriatric,,,50815.57,50815.57,6
APR-DRG,8514,GENDER RELATED PROCEDURES ,,,42346.31,63519.46,13
APR-DRG,8514,GENDER RELATED PROCEDURES Mental Health Geriatric,,,50815.57,50815.57,6
APR-DRG,8601,REHABILITATION ,,,4224.59,6336.89,13
APR-DRG,8601,REHABILITATION Mental Health Geriatric,,,5069.51,5069.51,6
APR-DRG,8602,REHABILITATION ,,,5369.86,8054.79,13
APR-DRG,8602,REHABILITATION Mental Health Geriatric,,,6443.83,6443.83,6
APR-DRG,8603,REHABILITATION ,,,7084.65,10626.97,13
APR-DRG,8603,REHABILITATION Mental Health Geriatric,,,8501.58,8501.58,6
APR-DRG,8604,REHABILITATION ,,,8786.23,13179.34,13
APR-DRG,8604,REHABILITATION Mental Health Geriatric,,,10543.48,10543.48,6
APR-DRG,8611,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS ",,,2032.38,3048.57,13
APR-DRG,8611,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Mental Health Geriatric",,,2438.86,2438.86,6
APR-DRG,8612,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS ",,,2639.41,3959.11,13
APR-DRG,8612,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Mental Health Geriatric",,,3167.29,3167.29,6
APR-DRG,8613,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS ",,,3932.36,5898.54,13
APR-DRG,8613,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Mental Health Geriatric",,,4718.83,4718.83,6
APR-DRG,8614,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS ",,,6361.21,9541.82,13
APR-DRG,8614,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Mental Health Geriatric",,,7633.45,7633.45,6
APR-DRG,8621,OTHER AFTERCARE AND CONVALESCENCE ,,,2964.65,4446.98,13
APR-DRG,8621,OTHER AFTERCARE AND CONVALESCENCE Mental Health Geriatric,,,3557.58,3557.58,6
APR-DRG,8622,OTHER AFTERCARE AND CONVALESCENCE ,,,4155.09,6232.64,13
APR-DRG,8622,OTHER AFTERCARE AND CONVALESCENCE Mental Health Geriatric,,,4986.11,4986.11,6
APR-DRG,8623,OTHER AFTERCARE AND CONVALESCENCE ,,,5818.45,8727.67,13
APR-DRG,8623,OTHER AFTERCARE AND CONVALESCENCE Mental Health Geriatric,,,6982.14,6982.14,6
APR-DRG,8624,OTHER AFTERCARE AND CONVALESCENCE ,,,6379.97,9569.95,13
APR-DRG,8624,OTHER AFTERCARE AND CONVALESCENCE Mental Health Geriatric,,,7655.96,7655.96,6
APR-DRG,8631,NEONATAL AFTERCARE ,,,4694.37,7041.56,13
APR-DRG,8631,NEONATAL AFTERCARE Mental Health Geriatric,,,5633.24,5633.24,6
APR-DRG,8632,NEONATAL AFTERCARE ,,,9142.39,13713.58,13
APR-DRG,8632,NEONATAL AFTERCARE Mental Health Geriatric,,,10970.87,10970.87,6
APR-DRG,8633,NEONATAL AFTERCARE ,,,17323.32,25984.98,13
APR-DRG,8633,NEONATAL AFTERCARE Mental Health Geriatric,,,20787.98,20787.98,6
APR-DRG,8634,NEONATAL AFTERCARE ,,,37458.74,56188.11,13
APR-DRG,8634,NEONATAL AFTERCARE Mental Health Geriatric,,,44950.49,44950.49,6
APR-DRG,8641,HOSPICE AND PALLIATIVE CARE ,,,715.45,1073.18,13
APR-DRG,8641,HOSPICE AND PALLIATIVE CARE Mental Health Geriatric,,,858.54,858.54,6
APR-DRG,8642,HOSPICE AND PALLIATIVE CARE ,,,736.64,1104.96,13
APR-DRG,8642,HOSPICE AND PALLIATIVE CARE Mental Health Geriatric,,,883.97,883.97,6
APR-DRG,8643,HOSPICE AND PALLIATIVE CARE ,,,817.61,1226.41,13
APR-DRG,8643,HOSPICE AND PALLIATIVE CARE Mental Health Geriatric,,,981.13,981.13,6
APR-DRG,8644,HOSPICE AND PALLIATIVE CARE ,,,858.61,1287.91,13
APR-DRG,8644,HOSPICE AND PALLIATIVE CARE Mental Health Geriatric,,,1030.33,1030.33,6
APR-DRG,8901,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS ,,,2996.96,4495.44,13
APR-DRG,8901,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Mental Health Geriatric,,,3596.35,3596.35,6
APR-DRG,8902,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS ,,,4311.11,6466.66,13
APR-DRG,8902,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Mental Health Geriatric,,,5173.33,5173.33,6
APR-DRG,8903,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS ,,,7170.47,10755.7,13
APR-DRG,8903,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Mental Health Geriatric,,,8604.56,8604.56,6
APR-DRG,8904,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS ,,,13078.92,19618.38,13
APR-DRG,8904,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Mental Health Geriatric,,,15694.7,15694.7,6
APR-DRG,8911,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI ,,,3357.64,5036.46,13
APR-DRG,8911,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI Mental Health Geriatric,,,4029.17,4029.17,6
APR-DRG,8912,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI ,,,3534.16,5301.24,13
APR-DRG,8912,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI Mental Health Geriatric,,,4240.99,4240.99,6
APR-DRG,8913,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI ,,,4648.16,6972.24,13
APR-DRG,8913,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI Mental Health Geriatric,,,5577.79,5577.79,6
APR-DRG,8914,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI ,,,7643.04,11464.56,13
APR-DRG,8914,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI Mental Health Geriatric,,,9171.65,9171.65,6
APR-DRG,8941,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS ,,,3015.03,4522.55,13
APR-DRG,8941,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Mental Health Geriatric,,,3618.04,3618.04,6
APR-DRG,8942,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS ,,,3348.61,5022.91,13
APR-DRG,8942,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Mental Health Geriatric,,,4018.33,4018.33,6
APR-DRG,8943,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS ,,,4274.28,6411.42,13
APR-DRG,8943,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Mental Health Geriatric,,,5129.14,5129.14,6
APR-DRG,8944,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS ,,,7205.22,10807.83,13
APR-DRG,8944,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Mental Health Geriatric,,,8646.26,8646.26,6
APR-DRG,9101,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,9448.17,14172.26,13
APR-DRG,9101,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,11337.8,11337.8,6
APR-DRG,9102,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,11988.9,17983.35,13
APR-DRG,9102,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,14386.68,14386.68,6
APR-DRG,9103,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,17305.25,25957.88,13
APR-DRG,9103,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,20766.3,20766.3,6
APR-DRG,9104,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,25828.09,38742.14,13
APR-DRG,9104,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,30993.71,30993.71,6
APR-DRG,9111,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,7344.91,11017.36,13
APR-DRG,9111,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,8813.89,8813.89,6
APR-DRG,9112,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,9429.05,14143.57,13
APR-DRG,9112,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,11314.86,11314.86,6
APR-DRG,9113,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13494.15,20241.22,13
APR-DRG,9113,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,16192.98,16192.98,6
APR-DRG,9114,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,26046.65,39069.98,13
APR-DRG,9114,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,31255.98,31255.98,6
APR-DRG,9121,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,7661.8,11492.7,13
APR-DRG,9121,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,9194.16,9194.16,6
APR-DRG,9122,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,10189.33,15283.99,13
APR-DRG,9122,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,12227.2,12227.2,6
APR-DRG,9123,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,14461.87,21692.81,13
APR-DRG,9123,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,17354.24,17354.24,6
APR-DRG,9124,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ,,,23378.4,35067.6,13
APR-DRG,9124,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,28054.08,28054.08,6
APR-DRG,9301,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE ,,,3410.8,5116.2,13
APR-DRG,9301,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,4092.96,4092.96,6
APR-DRG,9302,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE ,,,4302.77,6454.16,13
APR-DRG,9302,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,5163.32,5163.32,6
APR-DRG,9303,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE ,,,6727.44,10091.16,13
APR-DRG,9303,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,8072.93,8072.93,6
APR-DRG,9304,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE ,,,11898.2,17847.3,13
APR-DRG,9304,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,14277.84,14277.84,6
APR-DRG,9501,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,5957.09,8935.64,13
APR-DRG,9501,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,7148.51,7148.51,6
APR-DRG,9502,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,7762.92,11644.38,13
APR-DRG,9502,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,9315.5,9315.5,6
APR-DRG,9503,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,11992.02,17988.03,13
APR-DRG,9503,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,14390.42,14390.42,6
APR-DRG,9504,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,20213.26,30319.89,13
APR-DRG,9504,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,24255.91,24255.91,6
APR-DRG,9511,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,4315.97,6473.95,13
APR-DRG,9511,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,5179.16,5179.16,6
APR-DRG,9512,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,6325.07,9487.6,13
APR-DRG,9512,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,7590.08,7590.08,6
APR-DRG,9513,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,9429.75,14144.63,13
APR-DRG,9513,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,11315.7,11315.7,6
APR-DRG,9514,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,15953.57,23930.35,13
APR-DRG,9514,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,19144.28,19144.28,6
APR-DRG,9521,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,3847.93,5771.89,13
APR-DRG,9521,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4617.52,4617.52,6
APR-DRG,9522,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,5200.99,7801.48,13
APR-DRG,9522,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,6241.19,6241.19,6
APR-DRG,9523,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,8112.82,12169.23,13
APR-DRG,9523,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,9735.38,9735.38,6
APR-DRG,9524,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS ,,,14046.98,21070.47,13
APR-DRG,9524,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,16856.38,16856.38,6
CDM,10035,AMPICILLIN 250 MG INJ,143.0,143.0,7.58,171.6,30
CDM,10113,KETOROLAC 0.5% OPH 5ML,395.0,395.0,20.93,474.0,49
CDM,10135,POLYMYXIN B/TMP OP 10ML,17.47,17.47,0.93,20.96,48
CDM,10138,CYCLOSPORINE .05% OP.4ML,61.0,61.0,3.23,73.2,48
CDM,10186,ISOPROTERENOL 1MG INJ,19322.0,19322.0,1024.07,23186.4,30
CDM,10227,SODIUM POLYSYRENE PWD,155.0,155.0,8.21,186.0,48
CDM,10230,PHENYLEPH .125% GTTS15ML,98.0,98.0,5.19,117.6,49
CDM,10231,PHENYLEPHRIN 10% OP 5ML,319.0,319.0,16.91,382.8,49
CDM,10242,TETRACAINE 1% AMP,367.0,367.0,19.45,440.4,48
CDM,10246,TETRACAINE 0.5% OPH,17.0,17.0,0.9,20.4,48
CDM,10253,DOME PASTE 4IN,265.0,265.0,14.04,318.0,48
CDM,10277,MESALAMINE 4GM/60ML EN,319.0,319.0,16.91,382.8,48
CDM,10316,POV IODINE 10% OI 30GM,52.0,52.0,2.76,62.4,48
CDM,10324,CHLORHEX GLUCO 4% SCRB,96.0,96.0,5.09,115.2,48
CDM,103505,BOOT MULTI-POSI LA 4301D,284.0,284.0,15.05,340.8,49
CDM,10376,TOPIRAMATE SPRINKLE 15MG,61.0,61.0,3.23,73.2,48
CDM,10508,DRONABINOL 2.5 MG PO,113.0,113.0,5.99,135.6,30
CDM,10508,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",113.0,113.0,1.6,2.72,2
CDM,10511,DIAZEPAM 5MG/5ML LIQ,30.0,30.0,1.59,36.0,48
CDM,10523,HALOPERID 2MG/ML LIQ,31.0,31.0,1.64,37.2,48
CDM,10536,LIDOCAINE 2% VISC 100ML,125.0,125.0,6.63,150.0,48
CDM,10556,DIGOXIN 0.05MG/ML LIQ UD,31.0,31.0,1.64,37.2,48
CDM,10579,LIDOCAINE VISC 2% 20ML,69.0,69.0,3.66,82.8,48
CDM,10592,SOD POLYSTYRENE 30GM EN,377.0,377.0,19.98,452.4,48
CDM,10594,SOD POLYSTYRENE 15GM POW,14.07,14.07,0.75,16.88,48
CDM,10596,SOD POLYSTYRENE 15GM SUS,173.0,173.0,9.17,207.6,48
CDM,10597,HETASTARCH 6% 500ML NS,1239.0,1239.0,65.67,1486.8,48
CDM,10599,ACETYLCHOLINE 1% OPH 2ML,113.0,113.0,5.99,135.6,49
CDM,10643,PHENYLEPH/CYCLOP OP 2ML,317.0,317.0,16.8,380.4,49
CDM,10645,CYCLOPENTOLATE 1% OP 2ML,11.0,11.0,0.58,13.2,48
CDM,10650,CYCLOPENTOLATE 2% OP 2ML,182.0,182.0,9.65,218.4,48
CDM,10697,MAXITROL 3.5 GM OP,18.0,18.0,0.95,21.6,30
CDM,10698,TOBRAMYCIN OPHTHAL,17.0,17.0,0.9,20.4,30
CDM,10713,TOBRAMYCIN OPHTHAL,1026.0,1026.0,54.38,1231.2,30
CDM,10728,TOBRAMYCIN/DEXAM OPH SOL,132.0,132.0,7.0,158.4,49
CDM,10729,TOBRAMY/DEXAMET OPHTHAL,2736.0,2736.0,145.01,3283.2,30
CDM,10736,CIPROFLOXACIN 0.3% OPH,153.0,153.0,8.11,183.6,30
CDM,11038,"Injection, nalbuphine hydrochloride, per 10 mg ",125.0,125.0,3.32,5.64,2
CDM,11038,NALBUPHINE 20 MG INJ,125.0,125.0,6.63,150.0,30
CDM,11039,POT CHL 20MEQ/10ML VL,367.0,367.0,19.45,440.4,48
CDM,11040,VALPROATE 500MG VL,596.0,596.0,31.59,715.2,48
CDM,11043,DEXMEDETOMID 200 MCG INJ,15.0,15.0,0.8,18.0,43
CDM,11051,NITROPRUSSIDE 50 MG INJ,9508.0,9508.0,503.92,11409.6,30
CDM,11053,EPHEDRINE 50 MG INJ,367.0,367.0,19.45,440.4,43
CDM,11090,LIDOCAINE 4% 5ML AMP,367.0,367.0,19.45,440.4,48
CDM,11092,CISATRACURUM 2MG/ML 10ML,759.0,759.0,40.23,910.8,48
CDM,11093,CISATRACURIUM 200 MG INJ,1544.0,1544.0,81.83,1852.8,30
CDM,11099,DEXTROSE 50% 50ML SYR,177.0,177.0,9.38,212.4,48
CDM,11123,LIDOCAINE 100MG/5ML SYR,343.02,343.02,18.18,411.62,48
CDM,11130,CALCIUM CHL 1GM 10ML SYR,367.0,367.0,19.45,440.4,48
CDM,11134,SOD BICARB 4.2% 10ML SYR,367.0,367.0,19.45,440.4,48
CDM,11155,DEXTROSE 50% 50ML VL,367.0,367.0,19.45,440.4,48
CDM,11160,RITONAVIR/LOPINAVIR TABL,96.0,96.0,5.09,115.2,48
CDM,11163,NOREPINEPHRN 4MG/4ML AMP,566.0,566.0,30.0,679.2,48
CDM,11167,DEXTROSE 25% 10ML SYR,231.0,231.0,12.24,277.2,48
CDM,11171,ETOMIDATE 40MG AMP,983.0,983.0,52.1,1179.6,48
CDM,11172,ETOMIDATE 20MG/10ML INJ,310.0,310.0,16.43,372.0,48
CDM,11187,ERGOTAMINE/CAFFEINE SUPP,106.0,106.0,5.62,127.2,48
CDM,11190,OXCARBAZEPINE 300MG/5ML,33.0,33.0,1.75,39.6,48
CDM,11194,POLYMYXIN B 500MU VL,690.0,690.0,36.57,828.0,48
CDM,11197,BACITRAC/POLYMYX OINT,61.0,61.0,3.23,73.2,48
CDM,11199,SCOP 0.5MG/24 PAT,160.0,160.0,8.48,192.0,48
CDM,11214,NITROGLYC 0.8MG/HR PAT,50.0,50.0,2.65,60.0,48
CDM,11221,NITROGLYC 0.1MG./HR PAT,32.0,32.0,1.7,38.4,48
CDM,11222,NITROGLYC 0.2MG./HR PAT,32.0,32.0,1.7,38.4,48
CDM,11223,NITROGLYC 0.3MG./HR PAT,53.0,53.0,2.81,63.6,48
CDM,11224,NITROGLYC 0.4MG/HR PAT,17.0,17.0,0.9,20.4,48
CDM,11225,NITROGLYC 0.6MG/HR PAT,35.0,35.0,1.85,42.0,48
CDM,11237,NITROGLYCERIN 2% OI 1GM,31.0,31.0,1.64,37.2,48
CDM,11260,AZITHROMYCIN 500MG TAB,283.0,283.0,15.0,339.6,48
CDM,11264,METOCLOPRAM 10MG/10ML UD,29.0,29.0,1.54,34.8,48
CDM,11272,NA PHOS/NA BICAR EN,1.0,1.0,0.05,1.2,48
CDM,11273,NA PHOS/NA BICAR PED EN,11.0,11.0,0.58,13.2,48
CDM,11279,DANTRLNE(NOT SUSP)20 INJ,898.0,898.0,47.59,1077.6,30
CDM,11285,BACITRACIN 30GM OINT,45.0,45.0,2.38,54.0,48
CDM,11292,NEO/BACI/POLY OI 0.94G,1.0,1.0,0.05,1.2,48
CDM,11294,NEO/BACI/POLY OI 15G,9.4,9.4,0.5,11.28,48
CDM,11296,BACITR 500U/GM OPH OINT,97.0,97.0,5.14,116.4,48
CDM,11297,NEO/BACI/POLY OP 3.5G,194.0,194.0,10.28,232.8,48
CDM,11304,ERYTHROMYCIN OPH OI 1GM,132.0,132.0,7.0,158.4,49
CDM,11307,GENTAMICIN 0.1% OI 15GM,74.0,74.0,3.92,88.8,48
CDM,11311,PETROLATUM OP OI 3.5GM,171.0,171.0,9.06,205.2,48
CDM,11313,LIDOCAINE 5% OINT 35G,804.0,804.0,42.61,964.8,48
CDM,11317,HYDROXYZINE PAM 50 MG PO,68.0,68.0,3.6,81.6,30
CDM,11334,REMIFENTANIL 1 MG VL,565.0,565.0,29.95,678.0,48
CDM,11336,REMIFENTANIL 2 MG INJ,701.0,701.0,37.15,841.2,30
CDM,11354,ATOVAQUONE 750MG/5ML LIQ,244.0,244.0,12.93,292.8,48
CDM,11355,ATOVAQUO/PROGUAN 250/100,48.0,48.0,2.54,57.6,48
CDM,11356,ZANAMIVIR INH 5MG,494.0,494.0,26.18,592.8,48
CDM,11372,ATRACURIUM 50MG/5ML VL,367.0,367.0,19.45,440.4,48
CDM,11376,TETRAHYDROZOL 0.05% OPH,40.0,40.0,2.12,48.0,48
CDM,11380,CARBAMIDE 6.5% OTIC 15ML,103.0,103.0,5.46,123.6,48
CDM,11393,LIDOCAIN/EP 2%10ML1:200M,442.0,442.0,23.43,530.4,48
CDM,11411,LIDOCAINE 4% 50ML VL,367.0,367.0,19.45,440.4,48
CDM,11417,LIDOCAINE 4% TRACH KIT,367.0,367.0,19.45,440.4,48
CDM,11423,LIDOCAINE 1% 10ML VL,367.0,367.0,19.45,440.4,48
CDM,11430,LIDOCAINE 2% GEL 30ML,691.0,691.0,36.62,829.2,48
CDM,11456,BUDESONDE FLXHLR 180 MCG,1335.0,1335.0,70.75,1602.0,44
CDM,11463,BUPIV2.5/EPI0.005MG 30ML,367.0,367.0,19.45,440.4,43
CDM,11464,BUPIV2.5/EPI0.005MG 10ML,367.0,367.0,19.45,440.4,43
CDM,11473,BUPIV7.5/EPI0.005MG 30ML,367.0,367.0,19.45,440.4,43
CDM,11476,MULTIVITAMINS 10ML VL,367.0,367.0,19.45,440.4,48
CDM,11487,COCAINE 10% 4ML SOL,1229.0,1229.0,65.14,1474.8,48
CDM,11488,MULTIVITAMINS PED VL,636.0,636.0,33.71,763.2,48
CDM,11491,BUDESONIDE .25MG/2ML INH,81.0,81.0,4.29,97.2,48
CDM,11492,BUDESONIDE .5MG/2ML INH,96.0,96.0,5.09,115.2,48
CDM,11500,"Noc drugs, inhalation solution administered through dme ",19973.0,19973.0,,,0
CDM,11500,RIBAVIRIN 6 GM INH,19973.0,19973.0,1058.57,23967.6,30
CDM,11503,PYRIDOSTIGMINE 10MG AMP,367.0,367.0,19.45,440.4,48
CDM,115381,ANESTHESIA FIRST 60 MIN,18996.0,18996.0,1006.79,22795.2,49
CDM,115382,ANESTHESIA ADDL 30 MIN,9596.0,9596.0,508.59,11515.2,49
CDM,115396,XR SURGICAL SPECIMEN,1373.0,1373.0,118.08,1647.6,31
CDM,115402,"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation ",2067.0,2067.0,,,0
CDM,115402,XR MAMMARY DUCTO SGL,2067.0,2067.0,177.76,2480.4,31
CDM,115403,"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation ",2851.0,2851.0,,,0
CDM,115403,XR MAMMARY DCT/GL MUL,2851.0,2851.0,245.19,3421.2,31
CDM,115421,MAMMO SCR CAD BI,652.0,652.0,56.07,782.4,31
CDM,115421,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",652.0,652.0,92.57,291.03,34
CDM,115422,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",1180.0,1180.0,112.6,354.04,34
CDM,115422,MAMMO DIAG CAD BI,1180.0,1180.0,101.48,1416.0,31
CDM,115423,MAMMO DIAG CAD UNI LT,942.0,942.0,81.01,1130.4,31
CDM,115424,MAMMO DIAG CAD UNI RT,942.0,942.0,81.01,1130.4,31
CDM,115430,SC BX BREAST NDLE CORE,17857.0,17857.0,946.42,21428.4,34
CDM,115435,CT HEAD/BRAIN W/O CONT,16182.0,16182.0,1391.65,19418.4,28
CDM,115436,CT HEAD/BRAIN W/CONT,18192.0,18192.0,1564.51,21830.4,28
CDM,115437,CT HD/BR W&W/O CONT,19048.0,19048.0,1638.13,22857.6,28
CDM,115438,CT ORBIT/SELLA/IAC WO,16399.0,16399.0,1410.31,19678.8,28
CDM,115439,CT ORBIT/SELLA/IAC W,19054.0,19054.0,1638.64,22864.8,28
CDM,115440,CT ORBIT/SELLA/IAC W&WO,19959.0,19959.0,1716.47,23950.8,28
CDM,115441,CT MAXIFAC W/O CNT,16938.0,16938.0,1456.67,20325.6,28
CDM,115442,CT MAXIFAC W/CONTRAST,16399.0,16399.0,1410.31,19678.8,28
CDM,115443,CT MAXIFAC W&W/O CONT,17319.0,17319.0,1489.43,20782.8,28
CDM,115444,CT NECK W/O CONTRAST,12426.0,12426.0,1068.64,14911.2,28
CDM,115445,CT NECK W/CONTRAST,18192.0,18192.0,1564.51,21830.4,28
CDM,115446,CT NECK W&W/O CONT,13690.0,13690.0,1177.34,16428.0,28
CDM,115447,CTA HEAD,16182.0,16182.0,1391.65,19418.4,28
CDM,115448,CTA NECK,15684.0,15684.0,1348.82,18820.8,28
CDM,115449,CT CHEST W/O CONTRAST,13900.0,13900.0,1195.4,16680.0,28
CDM,115450,CT CHEST W/CONTRAST,20649.0,20649.0,1775.81,24778.8,28
CDM,115451,CT CHEST W&W/O CONT,21654.0,21654.0,1862.24,25984.8,28
CDM,115452,CTA CHEST,12727.0,12727.0,1094.52,15272.4,28
CDM,115453,CT C-SPINE W/O CONTRAST,15281.0,15281.0,1314.17,18337.2,28
CDM,115454,CT C-SPINE W/CONTRAST,17763.0,17763.0,1527.62,21315.6,28
CDM,115455,CT C-SPINE W&W/O CONT,13690.0,13690.0,1177.34,16428.0,28
CDM,115456,CT T-SPINE W/O CONTRAST,11862.0,11862.0,1020.13,14234.4,28
CDM,115457,CT T-SPINE W/CONTRAST,17334.0,17334.0,1490.72,20800.8,28
CDM,115459,CT L-SPINE W/O CONTRAST,16399.0,16399.0,1410.31,19678.8,28
CDM,115460,CT L-SPINE W/CONTRAST,19533.0,19533.0,1679.84,23439.6,28
CDM,115462,CTA PELVIS,1323.0,1323.0,113.78,1587.6,28
CDM,115463,CT PELVIS W/O CONTRAST,12426.0,12426.0,1068.64,14911.2,28
CDM,115464,CT PELVIS W/CONTRAST,18192.0,18192.0,1564.51,21830.4,28
CDM,115465,CT PELVIS W&W/O CONT,19048.0,19048.0,1638.13,22857.6,28
CDM,115468,CT UP EXTREM W/O CONT LT,12727.0,12727.0,1094.52,15272.4,28
CDM,115469,CT UP EXTREM W/O CONT RT,12727.0,12727.0,1094.52,15272.4,28
CDM,115470,CT UP EXTREM W/O CONT BI,12727.0,12727.0,1094.52,15272.4,28
CDM,115471,CT UP EXTREM W/CONT LT,12727.0,12727.0,1094.52,15272.4,28
CDM,115472,CT UP EXTREM W/CONT RT,12727.0,12727.0,1094.52,15272.4,28
CDM,115473,CT UP EXTREM W/CONT BI,12727.0,12727.0,1094.52,15272.4,28
CDM,115474,CT UP EXTRM W&W/O CON LT,12727.0,12727.0,1094.52,15272.4,28
CDM,115475,CT UP EXTRM W&W/O CON RT,12727.0,12727.0,1094.52,15272.4,28
CDM,115476,CT UP EXTRM W&W/O CON BI,12727.0,12727.0,1094.52,15272.4,28
CDM,115477,CTA UPPER EXTREMITY LT,10630.0,10630.0,914.18,12756.0,28
CDM,115478,CTA UPPER EXTREMITY RT,10630.0,10630.0,914.18,12756.0,28
CDM,115479,CT LOWER EXTRM W/O C LT,12426.0,12426.0,1068.64,14911.2,28
CDM,115480,CT LOWER EXTRM W/O C BI,12426.0,12426.0,1068.64,14911.2,28
CDM,115481,CT LOWER EXTRM W/O C RT,12426.0,12426.0,1068.64,14911.2,28
CDM,115482,CT LOWER EXTRM W/CON LT,18175.0,18175.0,1563.05,21810.0,28
CDM,115483,CT LOWER EXTRM W/CON RT,18175.0,18175.0,1563.05,21810.0,28
CDM,115484,CT LOWER EXTRM W/CON BI,18175.0,18175.0,1563.05,21810.0,28
CDM,115485,CT LW EXTRM W&W/O CON LT,12727.0,12727.0,1094.52,15272.4,28
CDM,115486,CT LW EXTRM W&W/O CON RT,12727.0,12727.0,1094.52,15272.4,28
CDM,115487,CT LW EXTRM W&W/O CON BI,12727.0,12727.0,1094.52,15272.4,28
CDM,115488,CTA LOW EXTREMITY RT,11572.0,11572.0,995.19,13886.4,28
CDM,115489,CTA LOW EXTREMITY LT,11572.0,11572.0,995.19,13886.4,28
CDM,115490,CTA LOW EXTREMITY BI,11572.0,11572.0,995.19,13886.4,28
CDM,115491,CT ABDOMEN W/O CONT,13029.0,13029.0,1120.49,15634.8,28
CDM,115492,CT ABDOMEN W/CONT,19048.0,19048.0,1638.13,22857.6,28
CDM,115493,CT ABDOMEN W&WO CONT,19957.0,19957.0,1716.3,23948.4,28
CDM,115494,CTA ABDOMEN,16182.0,16182.0,1391.65,19418.4,28
CDM,115499,CT HEART WO CN W QUAN CA,10582.0,10582.0,910.05,12698.4,28
CDM,115499,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",10582.0,10582.0,137.53,12342.0,14
CDM,115499,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium UNSCHEDULED",10582.0,10582.0,118.3,120.79,3
CDM,115501,CTHEART W CN STR MOR FNC,10582.0,10582.0,910.05,12698.4,28
CDM,115501,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",10582.0,10582.0,303.54,12342.0,17
CDM,115502,CTHEART CONGENITL DISEAS,10582.0,10582.0,910.05,12698.4,28
CDM,115502,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",10582.0,10582.0,303.54,12342.0,17
CDM,115503,CT HEART W CN ART/GRAFTS,10582.0,10582.0,910.05,12698.4,28
CDM,115504,CTA ABD AORTA IF LWEX RO,3384.0,3384.0,291.02,4060.8,28
CDM,115505,SP PERC DRAIN,11907.0,11907.0,631.07,14288.4,32
CDM,115506,3D CT/MRI/US/OTH NOT IND,5878.0,5878.0,311.53,7053.6,29
CDM,115507,3D CT/MRI/US/OTH IND,1410.0,1410.0,74.73,1692.0,29
CDM,115508,CT LTD/LOC,4137.0,4137.0,355.78,4964.4,28
CDM,115510,CT STEREO LOCALIZATION,5733.0,5733.0,303.85,6879.6,29
CDM,115510,Computed tomography guidance for stereotactic localization ,5733.0,5733.0,809.0,2469.0,8
CDM,115511,CT GUID NDL PLCMT,12978.0,12978.0,687.83,15573.6,29
CDM,115514,XR BONE LENGTH STUDIES,1121.0,1121.0,96.41,1345.2,31
CDM,115522,ASENAPINE 5MG TAB,100.0,100.0,5.3,120.0,48
CDM,115527,INSERT VENTR ASSIST DEV,11438.0,11438.0,606.21,13725.6,34
CDM,115528,HALOPERIDOL LACT 5MG INJ,160.0,160.0,8.48,192.0,30
CDM,115528,"Injection, haloperidol, up to 5 mg ",160.0,160.0,0.77,1.3,2
CDM,115542,DIPHENHYDRAMINE 50 MG PO,1.0,1.0,0.05,1.2,30
CDM,115542,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",1.0,1.0,2.28,2.28,1
CDM,115543,CHLORPROMAZINE 25 MG PO,36.0,36.0,1.91,43.2,30
CDM,115544,"Injection, methylergonovine maleate, up to 0.2 mg ",160.0,160.0,20.96,35.66,2
CDM,115544,METHYLERGONOV 0.2 MG INJ,160.0,160.0,8.48,192.0,30
CDM,115547,BONE MARROW BIOPSY,5452.0,5452.0,288.96,6542.4,34
CDM,115552,DOBUTAMINE 250 MG INJ,575.0,575.0,30.48,690.0,30
CDM,115553,ROPIVACAINE 150 MG INJ,228.0,228.0,12.08,273.6,30
CDM,115559,BX RENAL,5090.0,5090.0,269.77,6108.0,34
CDM,115562,BX PLEURA PERC,6980.0,6980.0,369.94,8376.0,34
CDM,115567,BX LIVER,6345.0,6345.0,336.29,7614.0,34
CDM,115568,BX LIVER W/OTHER PROC,4041.0,4041.0,214.17,4849.2,34
CDM,115581,BX ABD/RETROPERITO,3266.0,3266.0,173.1,3919.2,34
CDM,115584,SC INJ CATH ABS/CYST,691.0,691.0,36.62,829.2,34
CDM,115586,BX MUSCLE PERC,2938.0,2938.0,155.71,3525.6,34
CDM,115587,BX BONE SUPERFICIAL,2257.0,2257.0,119.62,2708.4,34
CDM,115589,SC BX SOFT TISSUE NECK,6413.0,6413.0,339.89,7695.6,34
CDM,115590,SC DRAIN ABSESS RENAL,8170.0,8170.0,433.01,9804.0,34
CDM,115603,BX BONE DEEP,2644.0,2644.0,140.13,3172.8,34
CDM,115605,BX PANCREAS,5798.0,5798.0,307.29,6957.6,34
CDM,115607,BX SAL IM GUID LT,5832.0,5832.0,309.1,6998.4,34
CDM,115610,CT BX LYMPH NODE,6447.0,6447.0,341.69,7736.4,34
CDM,115613,ASP/INJ CYST REN/PEL,8170.0,8170.0,433.01,9804.0,34
CDM,115616,ASP ABS/CYST SKIN,2285.0,2285.0,121.11,2742.0,34
CDM,115619,NDL/INCATH VEIN,1333.0,1333.0,70.65,1599.6,16
CDM,11562,ACETAMIN 650MG SUPP,1.0,1.0,0.05,1.2,48
CDM,115624,"Myelography, cervical, radiological supervision and interpretation ",6393.0,6393.0,1215.81,1215.81,1
CDM,115624,"Myelography, cervical, radiological supervision and interpretation UNSCHEDULED",6393.0,6393.0,2275.44,2323.34,3
CDM,115624,XR MYELOGRAM C-SPINE,6393.0,6393.0,549.8,7671.6,31
CDM,115625,"Myelography, thoracic, radiological supervision and interpretation ",6040.0,6040.0,1215.81,1215.81,1
CDM,115625,"Myelography, thoracic, radiological supervision and interpretation UNSCHEDULED",6040.0,6040.0,2275.44,2323.34,3
CDM,115625,XR MYELOGRAM T-SPINE,6040.0,6040.0,519.44,7248.0,31
CDM,115626,"Myelography, lumbosacral, radiological supervision and interpretation ",5948.0,5948.0,1215.81,1215.81,1
CDM,115626,"Myelography, lumbosacral, radiological supervision and interpretation UNSCHEDULED",5948.0,5948.0,2275.44,2323.34,3
CDM,115626,XR MYELOGRAM L-SPINE,5948.0,5948.0,511.53,7137.6,31
CDM,115629,"Discography, cervical or thoracic, radiological supervision and interpretation ",12013.0,12013.0,2982.46,2982.46,1
CDM,115629,"Discography, cervical or thoracic, radiological supervision and interpretation UNSCHEDULED",12013.0,12013.0,2275.44,2323.34,3
CDM,115629,XR DISKGRPHY CERV/THOR,12013.0,12013.0,1033.12,14415.6,31
CDM,11563,ACETAMIN 120MG SUPP,1.0,1.0,0.05,1.2,48
CDM,115631,"Discography, lumbar, radiological supervision and interpretation ",10374.0,10374.0,2982.46,2982.46,1
CDM,115631,"Discography, lumbar, radiological supervision and interpretation UNSCHEDULED",10374.0,10374.0,4035.8,4120.76,3
CDM,115631,XR DISKOGRAPHY LUMBAR,10374.0,10374.0,892.16,12448.8,31
CDM,115632,XR ARTHROGRAM SHLDR RT,2377.0,2377.0,204.42,2852.4,31
CDM,115633,XR ARTHROGRAM SHLDR LT,2377.0,2377.0,204.42,2852.4,31
CDM,115635,XR ARTHROGRAM ELBOW LT,708.0,708.0,60.89,849.6,31
CDM,115636,XR ARTHROGRAM ELBOW RT,708.0,708.0,60.89,849.6,31
CDM,115638,XR ARTHROGRAM WRIST LT,1204.0,1204.0,103.54,1444.8,31
CDM,115639,XR ARTHROGRAM WRIST RT,1204.0,1204.0,103.54,1444.8,31
CDM,11564,ACETAMIN 325MG SUPP,1.0,1.0,0.05,1.2,48
CDM,115641,XR ARTHROGRAM HIP LT,1097.0,1097.0,94.34,1316.4,31
CDM,115642,XR ARTHROGRAM HIP RT,1097.0,1097.0,94.34,1316.4,31
CDM,115644,XR ARTHROGRAM KNEE LT,2011.0,2011.0,172.95,2413.2,31
CDM,115648,XR ARTHROGRAM ANKLE RT,1204.0,1204.0,103.54,1444.8,31
CDM,115655,"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation ",9327.0,9327.0,,,0
CDM,115655,"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation UNSCHEDULED",9327.0,9327.0,857.41,875.46,3
CDM,115655,XR DIL BILE DUCT W/WO ST,9327.0,9327.0,494.33,11192.4,32
CDM,115656,XR UROGRAM ANTEGRADE,989.0,989.0,85.05,1186.8,31
CDM,115659,XR RENAL CYST STUDY,744.0,744.0,63.98,892.8,31
CDM,115664,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",1926.0,1926.0,3048.08,3048.08,1
CDM,115664,"Dilation of ureter(s) or urethra, radiological supervision and interpretation UNSCHEDULED",1926.0,1926.0,1427.97,1458.04,3
CDM,115664,XR DILAT URET OR URETHRA,1926.0,1926.0,165.64,2311.2,31
CDM,115665,XR HYSTROSALPNGOGRAM,4456.0,4456.0,383.22,5347.2,31
CDM,115668,SP AORTOGM TH W/FILM,7963.0,7963.0,684.82,9555.6,31
CDM,115669,SP AORTOGM ABD W/FILM,8382.0,8382.0,720.85,10058.4,31
CDM,115670,SP AORTOGM ABD W/RNF,7014.0,7014.0,603.2,8416.8,31
CDM,115683,SP ANGIO SPINAL SELECT,18312.0,18312.0,1574.83,21974.4,31
CDM,115684,SP ANGIO EXT UNI RT,6247.0,6247.0,537.24,7496.4,31
CDM,115685,SP ANGIO EXT UNI LT,6247.0,6247.0,537.24,7496.4,31
CDM,115686,SP ANGIO EXT BI,7142.0,7142.0,614.21,8570.4,31
CDM,115690,SP ANG VISC SEL W/WO F,6489.0,6489.0,558.05,7786.8,31
CDM,115691,SP ANG ADREN SEL UNI LT,11578.0,11578.0,995.71,13893.6,31
CDM,115692,SP ANG ADREN SEL UNI RT,11578.0,11578.0,995.71,13893.6,31
CDM,115693,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",3596.0,3596.0,4864.82,4864.82,1
CDM,115693,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation UNSCHEDULED",3596.0,3596.0,2433.0,2484.22,3
CDM,115693,SP ANGIO ADREN SEL BI,3596.0,3596.0,309.26,4315.2,31
CDM,115694,SP ANGIO PELVIC,1633.0,1633.0,140.44,1959.6,31
CDM,115695,SP ANGIO PULM SEL UNI RT,4062.0,4062.0,349.33,4874.4,31
CDM,115696,SP ANGIO PULM SEL UNI LT,4062.0,4062.0,349.33,4874.4,31
CDM,115697,SP ANGIO PULM SEL BI,6489.0,6489.0,558.05,7786.8,31
CDM,115698,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",8769.0,8769.0,4864.82,4864.82,1
CDM,115698,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation UNSCHEDULED",8769.0,8769.0,2433.0,2484.22,3
CDM,115698,SP ANGIO PULM NS,8769.0,8769.0,754.13,10522.8,31
CDM,115699,SP ANG INTRN MAMMARY,5085.0,5085.0,437.31,6102.0,31
CDM,115700,SP ANGIO ADDL VESSEL,4939.0,4939.0,261.77,5926.8,32
CDM,115702,SP LYMPHANG EXT UNI RT,2726.0,2726.0,234.44,3271.2,31
CDM,115704,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",3300.0,3300.0,2390.44,2390.44,1
CDM,115704,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation UNSCHEDULED",3300.0,3300.0,2433.0,2484.22,3
CDM,115704,SP LYMPHANG EXT BI,3300.0,3300.0,283.8,3960.0,31
CDM,115705,SP LYMPHANG PEL/AB UN RT,2957.0,2957.0,254.3,3548.4,31
CDM,115707,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",2758.0,2758.0,4864.82,4864.82,1
CDM,115707,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation UNSCHEDULED",2758.0,2758.0,2433.0,2484.22,3
CDM,115707,SP LYMPHANG PEL/ABD BI,2758.0,2758.0,237.19,3309.6,31
CDM,115708,SP SHUNTOGM NONVASC,572.0,572.0,49.19,686.4,31
CDM,115709,SP SPLENOPORTOGRAM,3923.0,3923.0,337.38,4707.6,31
CDM,115709,"Splenoportography, radiological supervision and interpretation ",3923.0,3923.0,4864.82,4864.82,1
CDM,115709,"Splenoportography, radiological supervision and interpretation UNSCHEDULED",3923.0,3923.0,2433.0,2484.22,3
CDM,115710,SP VENOGRAM EXT UNI RT,2040.0,2040.0,175.44,2448.0,31
CDM,115711,SP VENOGRAM EXT UNI LT,2040.0,2040.0,175.44,2448.0,31
CDM,115714,SP VENOGRAM EXT BI,2551.0,2551.0,219.39,3061.2,31
CDM,115714,"Venography, extremity, bilateral, radiological supervision and interpretation ",2551.0,2551.0,2390.44,2390.44,1
CDM,115714,"Venography, extremity, bilateral, radiological supervision and interpretation UNSCHEDULED",2551.0,2551.0,2433.0,2484.22,3
CDM,115715,SP VENOCAVAGM INF,4785.0,4785.0,411.51,5742.0,31
CDM,115716,SP VENOCAVAGM SUP,6680.0,6680.0,574.48,8016.0,31
CDM,115716,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",6680.0,6680.0,2390.44,2390.44,1
CDM,115716,"Venography, caval, superior, with serialography, radiological supervision and interpretation UNSCHEDULED",6680.0,6680.0,2433.0,2484.22,3
CDM,115718,SP VENOGM RENAL UNI RT,3694.0,3694.0,317.68,4432.8,31
CDM,115719,SP VENOGM RENAL UNI LT,3694.0,3694.0,317.68,4432.8,31
CDM,115720,SP VENOGM RENAL BI,6178.0,6178.0,531.31,7413.6,31
CDM,115720,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",6178.0,6178.0,4864.82,4864.82,1
CDM,115720,"Venography, renal, bilateral, selective, radiological supervision and interpretation UNSCHEDULED",6178.0,6178.0,2433.0,2484.22,3
CDM,115721,SP VENOGM ADRENAL UNI RT,5391.0,5391.0,463.63,6469.2,31
CDM,115722,SP VENOGM ADRENAL UNI LT,5391.0,5391.0,463.63,6469.2,31
CDM,115724,SP VENOGM SIN/JUG CATH,12046.0,12046.0,1035.96,14455.2,31
CDM,115724,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",12046.0,12046.0,4864.82,4864.82,1
CDM,115724,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation UNSCHEDULED",12046.0,12046.0,2433.0,2484.22,3
CDM,115726,SP VENOGM EPIDURAL,4485.0,4485.0,385.71,5382.0,31
CDM,115726,"Venography, epidural, radiological supervision and interpretation ",4485.0,4485.0,920.75,920.75,1
CDM,115726,"Venography, epidural, radiological supervision and interpretation UNSCHEDULED",4485.0,4485.0,2433.0,2484.22,3
CDM,115728,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",5794.0,5794.0,4864.82,4864.82,1
CDM,115728,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation UNSCHEDULED",5794.0,5794.0,2433.0,2484.22,3
CDM,115728,SP PORTOGM W/HEMODYN,5794.0,5794.0,498.28,6952.8,31
CDM,115732,SP VENOUS SAMP CATH,3144.0,3144.0,270.38,3772.8,31
CDM,115732,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",3144.0,3144.0,8109.63,8109.63,1
CDM,115732,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation UNSCHEDULED",3144.0,3144.0,2433.0,2484.22,3
CDM,115733,SP TRANSCTH THPY EMBL,2841.0,2841.0,150.57,3409.2,32
CDM,115735,SP TRANSCATH ANGIO F/U,961.0,961.0,82.65,1153.2,31
CDM,115739,"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation ",1322.0,1322.0,,,0
CDM,115739,"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation UNSCHEDULED",1322.0,1322.0,2433.0,2484.22,3
CDM,115739,SP RMV OBSTR MAT CV LUM,1322.0,1322.0,70.07,1586.4,32
CDM,11575,BENZOCAINE 20% SPR 60ML,778.0,778.0,41.23,933.6,49
CDM,115756,SP TRANSCATH BIOPSY,3423.0,3423.0,181.42,4107.6,32
CDM,115756,"Transcatheter biopsy, radiological supervision and interpretation ",3423.0,3423.0,,,0
CDM,115756,"Transcatheter biopsy, radiological supervision and interpretation UNSCHEDULED",3423.0,3423.0,2433.0,2484.22,3
CDM,115760,"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation ",1865.0,1865.0,,,0
CDM,115760,"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation UNSCHEDULED",1865.0,1865.0,2433.0,2484.22,3
CDM,115760,SP CHG TUBE/DRN W/C,1865.0,1865.0,98.84,2238.0,32
CDM,115761,SP PERC DRAIN,11907.0,11907.0,631.07,14288.4,32
CDM,115767,XR FLUOROSCOPY 0-60 MIN,3389.0,3389.0,291.45,4066.8,31
CDM,115769,XR ABSCESS/FIST/SIN,3149.0,3149.0,270.81,3778.8,31
CDM,115773,US GUIDANCE VASC ACCESS,150.0,150.0,7.95,180.0,32
CDM,115774,USG NDL PLACEMENT,1361.0,1361.0,72.13,1633.2,32
CDM,115775,FLUORO GUID CTRL ACC DEV,1828.0,1828.0,96.88,2193.6,32
CDM,115776,XR FLUORO NDL,3406.0,3406.0,180.52,4087.2,32
CDM,115777,XR FLUORO FOR SPINE INJ,1828.0,1828.0,96.88,2193.6,32
CDM,115809,CHEMO INTRA ART PUSH,1194.0,1194.0,102.68,1432.8,36
CDM,115809,"Chemotherapy administration, intra-arterial; push technique ",1194.0,1194.0,,,0
CDM,115809,"Chemotherapy administration, intra-arterial; push technique SCHEDULED",1194.0,1194.0,118.75,121.25,3
CDM,115809,"Chemotherapy administration, intra-arterial; push technique UNSCHEDULED",1194.0,1194.0,777.85,794.23,3
CDM,115848,SC DECLOT CAN W/BAL CATH,8918.0,8918.0,472.65,10701.6,34
CDM,115857,INJ PERC EXTREM PSEAN,2845.0,2845.0,150.78,3414.0,34
CDM,115864,INS TRNVEN INTRHEP SHUNT,88596.0,88596.0,4695.59,106315.2,34
CDM,115865,TIPS REVISION W/GUIDANCE,88596.0,88596.0,4695.59,106315.2,34
CDM,115871,CATH EA ADDL LOW ART,6948.0,6948.0,368.24,8337.6,34
CDM,115875,CV CATH INS >5YRS,20620.0,20620.0,1092.86,24744.0,34
CDM,115876,CV CATH TUN INS W/O P>5,8726.0,8726.0,462.48,10471.2,34
CDM,115877,CV CATH TUN INS W/P >5,16866.0,16866.0,893.9,20239.2,34
CDM,115879,PICC INS W/O P >5,21296.0,21296.0,1128.69,25555.2,34
CDM,115884,CV REPLC NON TUNCOMP W/O,6788.0,6788.0,359.76,8145.6,34
CDM,115885,CV REPLC TUN COMP W/O P,18725.0,18725.0,992.42,22470.0,34
CDM,115886,CV REPLC TUN COMP W/PORT,18725.0,18725.0,992.42,22470.0,34
CDM,115888,CV REMOVE TUN COMP W/O P,8946.0,8946.0,474.14,10735.2,34
CDM,115889,CV REMOVE TUN COMP W/P,7059.0,7059.0,374.13,8470.8,34
CDM,115895,SC INJ SINUS TRACT DX,1169.0,1169.0,61.96,1402.8,34
CDM,115900,INJ ARTHRO SHOULDER,4110.0,4110.0,217.83,4932.0,34
CDM,115901,INJ ARTHRO ELBOW,3090.0,3090.0,163.77,3708.0,34
CDM,115902,INJ ARTHRO WRIST,2475.0,2475.0,131.18,2970.0,34
CDM,115903,INJ ARTHRO HIP W/O AN,2207.0,2207.0,116.97,2648.4,34
CDM,115907,INJ KNEE ARTHRO,4121.0,4121.0,218.41,4945.2,34
CDM,115908,INJ ARTHRO ANKLE,2475.0,2475.0,131.18,2970.0,34
CDM,115927,INJ VENOGRAM,8731.0,8731.0,462.74,10477.2,34
CDM,115928,CATH IVC/SVC,5452.0,5452.0,288.96,6542.4,34
CDM,115929,CATH 1ST ORDER VEN,5025.0,5025.0,266.32,6030.0,34
CDM,115930,CATH 2ND ORDER VEN,5025.0,5025.0,266.32,6030.0,34
CDM,115933,CATH PULM ART UNI,5474.0,5474.0,290.12,6568.8,34
CDM,115934,CATH PLM ART SEG/SUB,8448.0,8448.0,447.74,10137.6,34
CDM,115938,NDL/INCATH EXT ART,6597.0,6597.0,349.64,7916.4,34
CDM,115940,NDL/INCTH AO TRNLMB,13105.0,13105.0,694.57,15726.0,34
CDM,115941,CATH AORTA,14968.0,14968.0,793.3,17961.6,34
CDM,115942,CATH 1ST ORD UP ART,11875.0,11875.0,629.38,14250.0,34
CDM,115943,CATH 2ND ORD UP ART,7282.0,7282.0,385.95,8738.4,34
CDM,115944,CATH 3RD ORD UP ART,10727.0,10727.0,568.53,12872.4,34
CDM,115946,CATH 1ST OD LOW ART,4902.0,4902.0,259.81,5882.4,34
CDM,115947,CATH 2ND OD LOW ART,7618.0,7618.0,403.75,9141.6,34
CDM,115948,CATH 3RD OD LOW ART,7618.0,7618.0,403.75,9141.6,34
CDM,115951,CATH VN BLD SMPL,8482.0,8482.0,449.55,10178.4,34
CDM,115952,SC BX TRANSCATH,20075.0,20075.0,1063.97,24090.0,34
CDM,115954,SC TRANSCATH TX NONTHROM,7333.0,7333.0,388.65,8799.6,34
CDM,11596,ACETIC ACID IRR 0.25% 1L,555.0,555.0,29.41,666.0,48
CDM,115963,INJ LYMPHANGIOGRAM,6692.0,6692.0,354.68,8030.4,34
CDM,115964,INJ SIALOGRAM,3864.0,3864.0,204.79,4636.8,34
CDM,115970,BIL ENDO W/DILATE,3717.0,3717.0,197.0,4460.4,34
CDM,115971,BIL ENDO W/DILATE W/ST,7098.0,7098.0,376.19,8517.6,34
CDM,115973,BX PANCREAS,5798.0,5798.0,307.29,6957.6,34
CDM,115979,DIL EX TRACT ENDOUR PRC,4621.0,4621.0,244.91,5545.2,34
CDM,115983,INJ ILEAL CONDUIT,3907.0,3907.0,207.07,4688.4,34
CDM,115990,CATH HYSTEROSALPING,9522.0,9522.0,504.67,11426.4,34
CDM,115992,BX THYROID,2285.0,2285.0,121.11,2742.0,34
CDM,115993,INJ CIST/CERV C1-C2,19336.0,19336.0,1024.81,23203.2,34
CDM,115995,EMBLZ INTRACRAN/SP,15157.0,15157.0,803.32,18188.4,34
CDM,115996,EMBOLIZE EXTRACRAN,15157.0,15157.0,803.32,18188.4,34
CDM,115998,PUNCTURE LUMBAR DX,2476.0,2476.0,131.23,2971.2,34
CDM,116000,INJ MYELOGRAM SPINE,17423.0,17423.0,923.42,20907.6,34
CDM,116012,BX BONE SUPERFICIAL,2257.0,2257.0,119.62,2708.4,34
CDM,116015,INJ DUCT/GALCTOGRAM,5425.0,5425.0,287.52,6510.0,34
CDM,116016,INJ URETHROCYST RET,1115.0,1115.0,59.09,1338.0,34
CDM,116030,SC BX/EXC LYMPH NODESUP,6447.0,6447.0,341.69,7736.4,34
CDM,116037,SC BX SALIVARY GLAND,5832.0,5832.0,309.1,6998.4,34
CDM,116046,INJ CYSTO/URETH,1125.0,1125.0,59.63,1350.0,34
CDM,116062,SP DIL OF URETER,5697.0,5697.0,301.94,6836.4,34
CDM,116075,SC INJ CATH ABS/CYST,691.0,691.0,36.62,829.2,34
CDM,116080,ASP/INJ CYST REN/PEL,8170.0,8170.0,433.01,9804.0,34
CDM,116081,BX ABD/RETROPERITO,3266.0,3266.0,173.1,3919.2,34
CDM,116082,BX LIVER,6345.0,6345.0,336.29,7614.0,34
CDM,116083,BX LIVER W/OTHER PROC,4041.0,4041.0,214.17,4849.2,34
CDM,116085,BX MUSCLE PERC,2938.0,2938.0,155.71,3525.6,34
CDM,116086,BX PLEURA PERC,6980.0,6980.0,369.94,8376.0,34
CDM,116087,BX RENAL,5090.0,5090.0,269.77,6108.0,34
CDM,116095,SC EXCHAG CATH ABS/CYS,15791.0,15791.0,836.92,18949.2,34
CDM,116096,BX BONE DEEP,2644.0,2644.0,140.13,3172.8,34
CDM,11610,NEO/POLY GU IRR AMP,691.0,691.0,36.62,829.2,48
CDM,116101,REMOVE PERTON CATH/PERM,13901.0,13901.0,736.75,16681.2,34
CDM,116108,I&D HEMOTM/SERMA/FLD COL,191.0,191.0,10.12,229.2,34
CDM,116116,CHLECYSTOSTMY PERC,11906.0,11906.0,631.02,14287.2,34
CDM,116119,DECLOT THROM IMP VAD CTH,2405.0,2405.0,127.47,2886.0,34
CDM,116120,CONT INJ EX CVAD W FLURO,1819.0,1819.0,96.41,2182.8,34
CDM,116121,SC PERC MECH THRMBTY INI,29948.0,29948.0,1587.24,35937.6,34
CDM,116123,SC PERC MECH THRM W INJ,30137.0,30137.0,1597.26,36164.4,34
CDM,116124,SC PERC MECH THR INJ RP,30137.0,30137.0,1597.26,36164.4,34
CDM,116128,SC REMOVE NEHP TUBE W/F,6655.0,6655.0,352.71,7986.0,34
CDM,116129,ABL 1/MORE RENL TU PC RF,29282.0,29282.0,1551.95,35138.4,34
CDM,11615,TRIFLURIDINE 1% 7.5ML OP,1520.0,1520.0,80.56,1824.0,30
CDM,116160,CATH 1ST OD LOW ART LT,4902.0,4902.0,259.81,5882.4,34
CDM,116176,INS GASTRO TUBE PERC,9331.0,9331.0,494.54,11197.2,34
CDM,116177,CONT INJ GS/ DU/ JJ/ GJ/,1261.0,1261.0,66.83,1513.2,34
CDM,116178,RPLC DUO OR JEJSTMY TUBE,3025.0,3025.0,160.32,3630.0,34
CDM,116179,RPLC GAST OR CECO TUBE,4293.0,4293.0,227.53,5151.6,34
CDM,116180,BLOCK L-SPINE SGL,6413.0,6413.0,339.89,7695.6,34
CDM,116181,BLOCK L-SPINE ADDL,3267.0,3267.0,173.15,3920.4,34
CDM,116183,BLOCK C/T SPI SGL,6413.0,6413.0,339.89,7695.6,34
CDM,116184,BLOCK C/T SPI ADL,3267.0,3267.0,173.15,3920.4,34
CDM,116186,RPLC GASTROJEJNSTY TUBE,4293.0,4293.0,227.53,5151.6,34
CDM,116187,RMV MRTL GS/DU/JJ/GJ/CC,4293.0,4293.0,227.53,5151.6,34
CDM,116189,INS DUO/JEJSTMT TUBE,8349.0,8349.0,442.5,10018.8,34
CDM,116200,MYELO W S&I LUMBOSAC,8710.0,8710.0,461.63,10452.0,34
CDM,116203,ASP ABS/CYST SKIN,2285.0,2285.0,121.11,2742.0,34
CDM,116208,INTRACRAN BAL ANGIO,73071.0,73071.0,3872.76,87685.2,34
CDM,116212,INJ FCT L/S SGL FL/CT,3736.0,3736.0,198.01,4483.2,34
CDM,116213,INJ FCT L/S 2ND FL/CT,572.0,572.0,30.32,686.4,34
CDM,116241,XR MANDIBLE < 4 V,3003.0,3003.0,258.26,3603.6,31
CDM,116242,XR MANDIBLE 4 + V,4431.0,4431.0,381.07,5317.2,31
CDM,116248,XR MASTOIDS 3 + V PS RT,1626.0,1626.0,139.84,1951.2,31
CDM,116250,XR FACIAL BONES < 3 V,3024.0,3024.0,260.06,3628.8,31
CDM,116251,XR FACIAL BONES 3 + V,4977.0,4977.0,428.02,5972.4,31
CDM,116252,XR NASAL BONES COMP,3577.0,3577.0,307.62,4292.4,31
CDM,116257,XR ORBITS 4 + V,5316.0,5316.0,457.18,6379.2,31
CDM,116258,XR SINUSES < 3 V,4513.0,4513.0,388.12,5415.6,31
CDM,116259,XR SINUSES 3 + V,6720.0,6720.0,577.92,8064.0,31
CDM,116260,"Radiologic examination, sella turcica ",613.0,613.0,137.53,137.53,1
CDM,116260,"Radiologic examination, sella turcica UNSCHEDULED",613.0,613.0,402.01,410.47,3
CDM,116260,XR SELLA TURCICA,613.0,613.0,52.72,735.6,31
CDM,116261,XR SKULL < 4 V,2793.0,2793.0,240.2,3351.6,31
CDM,116262,XR SKULL 4 + V,5514.0,5514.0,474.2,6616.8,31
CDM,116268,XR TMJ BI,2694.0,2694.0,231.68,3232.8,31
CDM,116274,XR NECK SOFT TISSUE,2563.0,2563.0,220.42,3075.6,31
CDM,116276,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,1133.0,1133.0,391.22,391.22,1
CDM,116276,Complex dynamic pharyngeal and speech evaluation by cine or video recording UNSCHEDULED,1133.0,1133.0,2398.97,2449.47,3
CDM,116276,XR SPEECH EV COMPLEX,1133.0,1133.0,97.44,1359.6,31
CDM,116280,"Sialography, radiological supervision and interpretation ",3133.0,3133.0,391.22,391.22,1
CDM,116280,"Sialography, radiological supervision and interpretation UNSCHEDULED",3133.0,3133.0,2398.97,2449.47,3
CDM,116280,XR SIALOGRAM,3133.0,3133.0,269.44,3759.6,31
CDM,11629,CORTISPORIN TC OTIC 10ML,703.0,703.0,37.26,843.6,30
CDM,116294,XR RIBS UNI 2 V LT,2421.0,2421.0,208.21,2905.2,31
CDM,116295,XR RIBS UNI 2 V RT,2421.0,2421.0,208.21,2905.2,31
CDM,116296,XR RIBS UNI W/CXR 3+V LT,4580.0,4580.0,393.88,5496.0,31
CDM,116297,XR RIBS UNI W/CXR 3+V RT,4580.0,4580.0,393.88,5496.0,31
CDM,116298,XR RIBS BI 3 V,3904.0,3904.0,335.74,4684.8,31
CDM,116299,XR RIBS BI W/CXR 4 + V,3918.0,3918.0,336.95,4701.6,31
CDM,116300,XR STERNUM 2 + V,3012.0,3012.0,259.03,3614.4,31
CDM,116301,XR SC JOINTS 3 + V,1175.0,1175.0,101.05,1410.0,31
CDM,116303,XR SPINE 1 V SPEC LEVEL,2881.0,2881.0,247.77,3457.2,31
CDM,116304,XR C-SPINE 2-3 VIEWS,4169.0,4169.0,358.53,5002.8,31
CDM,116305,XR C-SPINE 4-5 V,4465.0,4465.0,383.99,5358.0,31
CDM,116306,XR C-SPINE 6 + V,4743.0,4743.0,407.9,5691.6,31
CDM,116308,XR T-SPINE 2 VIEWS,3835.0,3835.0,329.81,4602.0,31
CDM,116310,"Radiologic examination, spine; thoracic, minimum of 4 views ",3559.0,3559.0,185.25,185.25,1
CDM,116310,"Radiologic examination, spine; thoracic, minimum of 4 views UNSCHEDULED",3559.0,3559.0,596.73,609.3,3
CDM,116310,XR T-SPINE 4 + VIEWS,3559.0,3559.0,306.07,4270.8,31
CDM,116311,XR T-L-SPINE 2 VIEWS,2702.0,2702.0,232.37,3242.4,31
CDM,116313,XR L-SPINE 2/3 VIEWS,6518.0,6518.0,560.55,7821.6,31
CDM,116314,XR L-SPINE 4 + VIEWS,7214.0,7214.0,620.4,8656.8,31
CDM,116315,XR L-SPINE W/BEND VIEW,7002.0,7002.0,602.17,8402.4,31
CDM,116317,XR PELVIS 1/2 VIEWS,2116.0,2116.0,181.98,2539.2,31
CDM,116318,XR PELVIS 3 + V,2467.0,2467.0,212.16,2960.4,31
CDM,116320,XR SI JOINTS 3 + V,1055.0,1055.0,90.73,1266.0,31
CDM,116321,XR SACRUM/COCCYX 2 + V,3723.0,3723.0,320.18,4467.6,31
CDM,116325,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",23304.0,23304.0,1215.81,1215.81,1
CDM,116325,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation UNSCHEDULED",23304.0,23304.0,41.88,42.76,3
CDM,116325,XR MYELOGR SPINE 2/M REG,23304.0,23304.0,2004.14,27964.8,31
CDM,116330,XR CLAVICLE COMP LT,2479.0,2479.0,213.19,2974.8,31
CDM,116331,XR CLAVICLE COMP RT,2479.0,2479.0,213.19,2974.8,31
CDM,116333,XR SCAPULA COMP LT,3185.0,3185.0,273.91,3822.0,31
CDM,116334,XR SCAPULA COMP RT,3185.0,3185.0,273.91,3822.0,31
CDM,116336,XR SHOULDER 1 V LT,1723.0,1723.0,148.18,2067.6,31
CDM,116337,XR SHOULDER 1 V RT,1723.0,1723.0,148.18,2067.6,31
CDM,116339,XR SHOULDER 2 + V LT,3723.0,3723.0,320.18,4467.6,31
CDM,116340,XR SHOULDER 2 + V RT,3723.0,3723.0,320.18,4467.6,31
CDM,116341,XR SHOULDER 2 + V BI,3723.0,3723.0,320.18,4467.6,31
CDM,116342,XR ARTHROGRAM SHLDR LT,2377.0,2377.0,204.42,2852.4,31
CDM,116343,XR ARTHROGRAM SHLDR RT,2377.0,2377.0,204.42,2852.4,31
CDM,116345,XR AC JNTS BI W/WO WT,2257.0,2257.0,194.1,2708.4,31
CDM,116346,XR HUMERUS 2 + V LT,2883.0,2883.0,247.94,3459.6,31
CDM,116347,XR HUMERUS 2 + V RT,2883.0,2883.0,247.94,3459.6,31
CDM,116349,XR ELBOW 2 VIEWS LT,1801.0,1801.0,154.89,2161.2,31
CDM,116350,XR ELBOW 2 VIEWS RT,1801.0,1801.0,154.89,2161.2,31
CDM,116352,XR ELBOW 3 + V LT,3768.0,3768.0,324.05,4521.6,31
CDM,116353,XR ELBOW 3 + V RT,3768.0,3768.0,324.05,4521.6,31
CDM,116354,XR ELBOW 3 + V BI,3768.0,3768.0,324.05,4521.6,31
CDM,116355,XR ARTHROGRAM ELBOW RT,708.0,708.0,60.89,849.6,31
CDM,116356,XR ARTHROGRAM ELBOW LT,708.0,708.0,60.89,849.6,31
CDM,116358,XR FOREARM 2 VIEWS RT,3033.0,3033.0,260.84,3639.6,31
CDM,116359,XR FOREARM 2 VIEWS LT,3033.0,3033.0,260.84,3639.6,31
CDM,11636,NEO/GRAMI/POLY OP 10ML,462.0,462.0,24.49,554.4,48
CDM,116360,XR FOREARM 2 VIEWS BI,3033.0,3033.0,260.84,3639.6,31
CDM,116364,XR WRIST 2 VIEWS LT,1865.0,1865.0,160.39,2238.0,31
CDM,116365,XR WRIST 2 VIEWS RT,1865.0,1865.0,160.39,2238.0,31
CDM,116367,XR WRIST 3 + V LT,3276.0,3276.0,281.74,3931.2,31
CDM,116368,XR WRIST 3 + V RT,3276.0,3276.0,281.74,3931.2,31
CDM,116369,XR WRIST 3 + V BI,3276.0,3276.0,281.74,3931.2,31
CDM,116370,XR ARTHROGRAM WRIST RT,1204.0,1204.0,103.54,1444.8,31
CDM,116371,XR ARTHROGRAM WRIST LT,1204.0,1204.0,103.54,1444.8,31
CDM,116373,XR HAND 2 V LT,1723.0,1723.0,148.18,2067.6,31
CDM,116374,XR HAND 2 V RT,1723.0,1723.0,148.18,2067.6,31
CDM,116376,XR HAND 3 + V LT,3269.0,3269.0,281.13,3922.8,31
CDM,116377,XR HAND 3 + V RT,3269.0,3269.0,281.13,3922.8,31
CDM,116378,XR HAND 3 + V BI,3269.0,3269.0,281.13,3922.8,31
CDM,116379,XR FINGER(S) 2 + V LT,2802.0,2802.0,240.97,3362.4,31
CDM,116380,XR FINGER(S) 2 + V RT,2802.0,2802.0,240.97,3362.4,31
CDM,116387,XR ARTHROGRAM HIP RT,1097.0,1097.0,94.34,1316.4,31
CDM,116388,XR ARTHROGRAM HIP LT,1097.0,1097.0,94.34,1316.4,31
CDM,116399,XR KNEE 1 OR 2 V LT,2154.0,2154.0,185.24,2584.8,31
CDM,116400,XR KNEE 1 OR 2 V RT,2154.0,2154.0,185.24,2584.8,31
CDM,116401,XR KNEE 1 OR 2 V BI,2154.0,2154.0,185.24,2584.8,31
CDM,116402,XR KNEE 3 V LT,3269.0,3269.0,281.13,3922.8,31
CDM,116403,XR KNEE 3 V RT,3269.0,3269.0,281.13,3922.8,31
CDM,116404,XR KNEE 3 V BI,3269.0,3269.0,281.13,3922.8,31
CDM,116405,XR KNEE 4 + V LT,3694.0,3694.0,317.68,4432.8,31
CDM,116406,XR KNEE 4 + V RT,3694.0,3694.0,317.68,4432.8,31
CDM,116407,XR KNEE 4 + V BI,572.0,572.0,49.19,686.4,31
CDM,116408,XR KNEE AP STAND BI,1968.0,1968.0,169.25,2361.6,31
CDM,116409,XR ARTHROGRAM KNEE RT,2011.0,2011.0,172.95,2413.2,31
CDM,116410,XR ARTHROGRAM KNEE LT,2011.0,2011.0,172.95,2413.2,31
CDM,116412,XR TIBIA/FIBULA 2 V LT,3223.0,3223.0,277.18,3867.6,31
CDM,116413,XR TIBIA/FIBULA 2 V RT,3223.0,3223.0,277.18,3867.6,31
CDM,116414,XR TIBIA/FIBULA 2 V BI,3223.0,3223.0,277.18,3867.6,31
CDM,116418,XR ANKLE 2 VIEWS LT,2330.0,2330.0,200.38,2796.0,31
CDM,116419,XR ANKLE 2 VIEWS RT,2330.0,2330.0,200.38,2796.0,31
CDM,116421,XR ANKLE 3 + V LT,3723.0,3723.0,320.18,4467.6,31
CDM,116422,XR ANKLE 3 + V RT,3723.0,3723.0,320.18,4467.6,31
CDM,116423,XR ANKLE 3 + V BI,3723.0,3723.0,320.18,4467.6,31
CDM,116425,XR ARTHROGRAM ANKLE LT,1204.0,1204.0,103.54,1444.8,31
CDM,116427,XR FOOT 2 VIEWS LT,2330.0,2330.0,200.38,2796.0,31
CDM,116428,XR FOOT 2 VIEWS RT,2330.0,2330.0,200.38,2796.0,31
CDM,11643,FLUORI/METHANE 85/15 SPR,443.0,443.0,23.48,531.6,48
CDM,116430,XR FOOT 3 + V LT,5871.0,5871.0,504.91,7045.2,31
CDM,116431,XR FOOT 3 + V RT,5871.0,5871.0,504.91,7045.2,31
CDM,116432,XR FOOT 3 + V BI,5871.0,5871.0,504.91,7045.2,31
CDM,116433,XR CALCANEUS 2 + V LT,1922.0,1922.0,165.29,2306.4,31
CDM,116434,XR CALCANEUS 2 + V RT,1922.0,1922.0,165.29,2306.4,31
CDM,116436,XR TOE(S) 2 + V LT,2212.0,2212.0,190.23,2654.4,31
CDM,116437,XR TOE(S) 2 + V RT,2212.0,2212.0,190.23,2654.4,31
CDM,116442,XR ABD ACUTE W/CHEST,552.0,552.0,47.47,662.4,31
CDM,116445,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",1968.0,1968.0,303.54,303.54,1
CDM,116445,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study UNSCHEDULED",1968.0,1968.0,857.41,875.46,3
CDM,116445,XR ESOPHAGUS,1968.0,1968.0,169.25,2361.6,31
CDM,116446,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",1851.0,1851.0,303.54,303.54,1
CDM,116446,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study UNSCHEDULED",1851.0,1851.0,617.67,630.67,3
CDM,116446,XR SWLW FUNC W/C&V,1851.0,1851.0,159.19,2221.2,31
CDM,116447,"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation ",1927.0,1927.0,,,0
CDM,116447,"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation UNSCHEDULED",1927.0,1927.0,857.41,875.46,3
CDM,116447,XR ESOPH FB REMOVAL,1927.0,1927.0,102.13,2312.4,32
CDM,116448,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",7070.0,7070.0,303.54,303.54,1
CDM,116448,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study UNSCHEDULED",7070.0,7070.0,2214.19,2260.81,3
CDM,116448,XR UGI SNGL CONTRAST,7070.0,7070.0,608.02,8484.0,31
CDM,116451,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",1052.0,1052.0,303.54,875.46,4
CDM,116451,XR UGI DBL CONTRAST,1052.0,1052.0,90.47,1262.4,31
CDM,116454,XR SMALL INTESTINE,2421.0,2421.0,208.21,2905.2,31
CDM,116455,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",2768.0,2768.0,303.54,875.46,4
CDM,116455,XR SMALL BOWEL/ENTERO,2768.0,2768.0,238.05,3321.6,31
CDM,116457,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",6213.0,6213.0,303.54,303.54,1
CDM,116457,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study UNSCHEDULED",6213.0,6213.0,857.41,875.46,3
CDM,116457,XR CONT ENEMA W/WO KUB,6213.0,6213.0,534.32,7455.6,31
CDM,116458,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",6953.0,6953.0,303.54,875.46,4
CDM,116458,XR ENEMA W/ AIR,6953.0,6953.0,597.96,8343.6,31
CDM,116460,"Cholecystography, oral contrast ",3169.0,3169.0,303.54,303.54,1
CDM,116460,"Cholecystography, oral contrast UNSCHEDULED",3169.0,3169.0,857.41,875.46,3
CDM,116460,XR CHOLECYST ORAL,3169.0,3169.0,272.53,3802.8,31
CDM,116462,XR CHOLANG INTRAOP,2203.0,2203.0,116.76,2643.6,32
CDM,116463,"Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and interpretation (List separately in addition to code for primary procedure) ",2793.0,2793.0,,,0
CDM,116463,"Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and interpretation (List separately in addition to code for primary procedure) UNSCHEDULED",2793.0,2793.0,857.41,875.46,3
CDM,116463,XR CHOLANG INTRAOP ADL,2793.0,2793.0,148.03,3351.6,32
CDM,116467,"Endoscopic catheterization of the biliary ductal system, radiological supervision and interpretation ",1828.0,1828.0,,,0
CDM,116467,"Endoscopic catheterization of the biliary ductal system, radiological supervision and interpretation UNSCHEDULED",1828.0,1828.0,857.41,875.46,3
CDM,116467,XR ERCP BILIARY ONLY,1828.0,1828.0,96.88,2193.6,32
CDM,116468,"Endoscopic catheterization of the pancreatic ductal system, radiological supervision and interpretation ",1828.0,1828.0,,,0
CDM,116468,"Endoscopic catheterization of the pancreatic ductal system, radiological supervision and interpretation UNSCHEDULED",1828.0,1828.0,857.41,875.46,3
CDM,116468,XR ERCP PANCREAS ONLY,1828.0,1828.0,96.88,2193.6,32
CDM,116469,"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation ",1828.0,1828.0,,,0
CDM,116469,"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation UNSCHEDULED",1828.0,1828.0,857.41,875.46,3
CDM,116469,XR ERCP,1828.0,1828.0,96.88,2193.6,32
CDM,116471,"Percutaneous placement of enteroclysis tube, radiological supervision and interpretation ",1454.0,1454.0,,,0
CDM,116471,"Percutaneous placement of enteroclysis tube, radiological supervision and interpretation UNSCHEDULED",1454.0,1454.0,857.41,875.46,3
CDM,116471,XR PLACE ENTERO TUBE,1454.0,1454.0,77.06,1744.8,32
CDM,116472,XR DILAT INTRALUM,1927.0,1927.0,102.13,2312.4,32
CDM,116474,XR IVP W OR W/O TOMO,16417.0,16417.0,1411.86,19700.4,31
CDM,116475,"Urography, infusion, drip technique and/or bolus technique; ",3297.0,3297.0,303.54,303.54,1
CDM,116475,"Urography, infusion, drip technique and/or bolus technique; UNSCHEDULED",3297.0,3297.0,1427.97,1458.04,3
CDM,116475,XR IVP INFUSION,3297.0,3297.0,283.54,3956.4,31
CDM,116476,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",15668.0,15668.0,303.54,303.54,1
CDM,116476,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography UNSCHEDULED",15668.0,15668.0,1427.97,1458.04,3
CDM,116476,XR IVP W/NEPHROTOMO,15668.0,15668.0,1347.45,18801.6,31
CDM,116477,XR UROGRAM RETRO,5764.0,5764.0,495.7,6916.8,31
CDM,116481,XR CYSTOGRAM 3 + V,1809.0,1809.0,155.57,2170.8,31
CDM,116484,XR CYSTOURETHRO RETRO,3500.0,3500.0,301.0,4200.0,31
CDM,116485,"Urethrocystography, voiding, radiological supervision and interpretation ",5129.0,5129.0,391.22,391.22,1
CDM,116485,"Urethrocystography, voiding, radiological supervision and interpretation UNSCHEDULED",5129.0,5129.0,1927.34,1967.92,3
CDM,116485,XR CYSTOURETHRO VDNG,5129.0,5129.0,441.09,6154.8,31
CDM,11649,ISOPROPY ALCOHOL 70% SOL,3.0,3.0,0.16,3.6,48
CDM,116493,XR HYSTROSALPNGOGRAM,4456.0,4456.0,383.22,5347.2,31
CDM,11650,POT IODIDE/IODINE SOL,23.0,23.0,1.22,27.6,48
CDM,116508,SP SHUNTOGM NONVASC,572.0,572.0,49.19,686.4,31
CDM,116512,SP VENOCAVAGM INF,4785.0,4785.0,411.51,5742.0,31
CDM,116531,XR FLUOROSCOPY 0-60 MIN,3389.0,3389.0,291.45,4066.8,31
CDM,116533,XR WHOLE BODY FB 1 V,613.0,613.0,52.72,735.6,31
CDM,116535,XR SURGICAL SPECIMEN,1373.0,1373.0,118.08,1647.6,31
CDM,116536,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",6213.0,6213.0,185.25,185.25,1
CDM,116536,"Radiologic examination, single plane body section (eg, tomography), other than with urography UNSCHEDULED",6213.0,6213.0,617.67,630.67,3
CDM,116536,XR TOMOGRAM SGL PLANE,6213.0,6213.0,534.32,7455.6,31
CDM,116544,FLUORO GUID CTRL ACC DEV,1828.0,1828.0,96.88,2193.6,32
CDM,116545,XR FLUORO NDL,3406.0,3406.0,180.52,4087.2,32
CDM,116546,XR FLUORO FOR SPINE INJ,1828.0,1828.0,96.88,2193.6,32
CDM,116558,XR BONE AGE STUDIES,2040.0,2040.0,175.44,2448.0,31
CDM,116559,XR BONE LENGTH STUDIES,1121.0,1121.0,96.41,1345.2,31
CDM,116560,"Radiologic examination, osseous survey; limited (eg, for metastases) ",1072.0,1072.0,185.25,185.25,1
CDM,116560,"Radiologic examination, osseous survey; limited (eg, for metastases) UNSCHEDULED",1072.0,1072.0,229.27,234.1,3
CDM,116560,XR BONE SURVEY LTD,1072.0,1072.0,92.19,1286.4,31
CDM,116561,XR BONE SURVEY COMP,2135.0,2135.0,183.61,2562.0,31
CDM,116562,XR BONE SURVEY INFANT,1055.0,1055.0,90.73,1266.0,31
CDM,116563,"Joint survey, single view, 2 or more joints (specify) ",608.0,608.0,185.25,185.25,1
CDM,116563,"Joint survey, single view, 2 or more joints (specify) UNSCHEDULED",608.0,608.0,354.9,362.37,3
CDM,116563,XR JOINT SURVEY 1 V,608.0,608.0,52.29,729.6,31
CDM,116564,DXA BONE DENSITY AXIAL,5782.0,5782.0,497.25,6938.4,31
CDM,116609,HOCM 350-399 IC 1ML,25.0,25.0,1.32,30.0,29
CDM,11663,AMPICIL/SULBAC 3 G INJ,277.0,277.0,14.68,332.4,30
CDM,116660,INJ CYSTO/URETH,1125.0,1125.0,59.63,1350.0,34
CDM,116688,CONT INJ GS/ DU/ JJ/ GJ/,1261.0,1261.0,66.83,1513.2,34
CDM,116689,INJ URETHROCYST RET,1115.0,1115.0,59.09,1338.0,34
CDM,116700,SP PERC DRAIN,11907.0,11907.0,631.07,14288.4,32
CDM,116703,US ENCEPHALOGRAM,1701.0,1701.0,146.29,2041.2,31
CDM,116720,US HEAD AND NECK,2489.0,2489.0,214.05,2986.8,31
CDM,116721,US CHST W/MEDIASTINUM,840.0,840.0,72.24,1008.0,31
CDM,116723,US ABDOMEN COMPLETE,4330.0,4330.0,372.38,5196.0,31
CDM,116724,US ABDOMEN LTD,2554.0,2554.0,219.64,3064.8,31
CDM,116725,US RETROPERITONEAL COM,1494.0,1494.0,128.48,1792.8,31
CDM,116726,US RETRO LTD,2904.0,2904.0,249.74,3484.8,31
CDM,116727,US RENAL TRANSPLANT,735.0,735.0,63.21,882.0,31
CDM,116729,US SPINAL CANAL,759.0,759.0,65.27,910.8,31
CDM,116730,US PREG 1ST TRIMTR,735.0,735.0,63.21,882.0,31
CDM,116731,US PRG 1ST TRI EA ADD,458.0,458.0,24.27,549.6,32
CDM,116732,US PREG AFTER 1ST TRI,1422.0,1422.0,122.29,1706.4,31
CDM,116733,US PRG AFT 1ST TRI AD,559.0,559.0,29.63,670.8,32
CDM,116734,US PREG W/FTL AN EX SGL,2857.0,2857.0,245.7,3428.4,31
CDM,116734,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation ",2857.0,2857.0,391.22,391.22,1
CDM,116734,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation UNSCHEDULED",2857.0,2857.0,565.33,577.23,3
CDM,116735,US PREG W/FTL EX EA ADDL,3423.0,3423.0,181.42,4107.6,32
CDM,116735,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separa",3423.0,3423.0,432.37,441.48,3
CDM,116736,US PREGNANCY LTD,1422.0,1422.0,122.29,1706.4,31
CDM,116738,US PREGNANCY FLW UP,894.0,894.0,76.88,1072.8,31
CDM,116738,"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ sy",894.0,894.0,185.25,718.32,4
CDM,116739,US PREG UT TRANSVAGINAL,735.0,735.0,63.21,882.0,31
CDM,116740,US FETAL BIOPHYS PROF,2326.0,2326.0,200.04,2791.2,31
CDM,116741,US FET BIO PH PR W/O NST,735.0,735.0,63.21,882.0,31
CDM,116752,US TRANSVAGINAL,2681.0,2681.0,230.57,3217.2,31
CDM,116753,"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed ",626.0,626.0,391.22,391.22,1
CDM,116753,"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed UNSCHEDULED",626.0,626.0,653.27,667.02,3
CDM,116753,US SIS,626.0,626.0,53.84,751.2,31
CDM,116754,US PELVIC COMPLETE,3285.0,3285.0,282.51,3942.0,31
CDM,116755,US PELVIC LTD OR FU,1686.0,1686.0,145.0,2023.2,31
CDM,116756,US SCROTUM AND CNTS,2683.0,2683.0,230.74,3219.6,31
CDM,116757,US TRANSRECTAL,1193.0,1193.0,102.6,1431.6,31
CDM,116758,US PROSTATE VOLUME,654.0,654.0,56.24,784.8,31
CDM,116758,"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure) ",654.0,654.0,185.25,185.25,1
CDM,116758,"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure) UNSCHEDULED",654.0,654.0,763.19,779.26,3
CDM,11676,BUPIV5MG/EPI0.005MG 10ML,367.0,367.0,19.45,440.4,43
CDM,116764,US INFANT HIP DYNAM,374.0,374.0,32.16,448.8,31
CDM,116771,USG COMPRESS REPAIR,1385.0,1385.0,119.11,1662.0,31
CDM,116771,"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging) ",1385.0,1385.0,449.57,449.57,1
CDM,116771,"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging) UNSCHEDULED",1385.0,1385.0,1461.47,1492.24,3
CDM,116776,USG NDL PLACEMENT,1361.0,1361.0,72.13,1633.2,32
CDM,116779,USG AMNIOCENTESIS,1126.0,1126.0,59.68,1351.2,32
CDM,116779,"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation ",1126.0,1126.0,,,0
CDM,116779,"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation UNSCHEDULED",1126.0,1126.0,933.83,953.49,3
CDM,116786,US INTRAOPERATIVE,1821.0,1821.0,96.51,2185.2,32
CDM,116786,"Ultrasonic guidance, intraoperative ",1821.0,1821.0,,,0
CDM,116786,"Ultrasonic guidance, intraoperative UNSCHEDULED",1821.0,1821.0,1123.33,1146.98,3
CDM,116787,US UNLSTD PROC,346.0,346.0,29.76,415.2,31
CDM,116787,"Unlisted ultrasound procedure (eg, diagnostic, interventional) ",346.0,346.0,137.53,137.53,1
CDM,116787,"Unlisted ultrasound procedure (eg, diagnostic, interventional) UNSCHEDULED",346.0,346.0,643.84,657.4,3
CDM,116803,DUP EXTRACRANIAL BIL,5522.0,5522.0,474.89,6626.4,36
CDM,116805,DOP TRANSCRANIAL COMP,1105.0,1105.0,95.03,1326.0,36
CDM,116806,DOP TRANSCRANIAL LTD,774.0,774.0,66.56,928.8,36
CDM,116807,DOP ART 1-2 LEVELS BIL,915.0,915.0,78.69,1098.0,36
CDM,116808,DOP ART >3 LEVELS BIL,6414.0,6414.0,551.6,7696.8,36
CDM,116810,DUP LE ART BIL,4482.0,4482.0,385.45,5378.4,36
CDM,116811,DUP LE ART UNI LT,915.0,915.0,78.69,1098.0,36
CDM,116813,DUP UE ART BIL,6003.0,6003.0,516.26,7203.6,36
CDM,116814,DUP UE ART UNI LT,963.0,963.0,82.82,1155.6,36
CDM,116817,DUP VEIN BIL,7611.0,7611.0,654.55,9133.2,36
CDM,116818,DUP VEIN UNI LT,935.0,935.0,80.41,1122.0,36
CDM,116819,DUP VEIN UNI RT,866.0,866.0,74.48,1039.2,36
CDM,116820,DUP AB/PEL/SC COMP,2674.0,2674.0,229.96,3208.8,36
CDM,116821,DUP AB/PEL/SC LTD,2012.0,2012.0,173.03,2414.4,36
CDM,116822,DUP AO/IVC/IV/BPG COMP,5254.0,5254.0,451.84,6304.8,36
CDM,116823,DUP AO/IVC/IV/BPG LTD,910.0,910.0,78.26,1092.0,36
CDM,116824,DUP AO/IVC/IV/BPG LTD,910.0,910.0,78.26,1092.0,36
CDM,116825,DUP AO/IVC/IV/BPG LTD,5254.0,5254.0,451.84,6304.8,36
CDM,116827,DUP A/V STUDY,935.0,935.0,80.41,1122.0,36
CDM,116839,INJ PERC EXTREM PSEAN,1598.0,1598.0,84.69,1917.6,34
CDM,116844,CATH HYSTEROSALPING,9522.0,9522.0,504.67,11426.4,34
CDM,116846,ASP CYST BREAST INI,3980.0,3980.0,210.94,4776.0,34
CDM,116847,ASP CYST BREAST ADL,2671.0,2671.0,141.56,3205.2,34
CDM,116855,BX LIVER,6345.0,6345.0,336.29,7614.0,34
CDM,116864,BX THYROID,2285.0,2285.0,121.11,2742.0,34
CDM,116877,FNA SUPERFICIAL,1313.0,1313.0,69.59,1575.6,34
CDM,116886,BX/EXC LYMPH NODE SUP,6447.0,6447.0,341.69,7736.4,34
CDM,116905,LITHOTRIPSY,10771.0,10771.0,570.86,12925.2,39
CDM,11698,HYDROXYZINE 10MG/5ML LIQ,31.0,31.0,1.64,37.2,48
CDM,11699,HYDROCODON/HOMATROP LIQ,29.0,29.0,1.54,34.8,48
CDM,117096,US TRANSRECTAL,1050.0,1050.0,90.3,1260.0,31
CDM,117105,CAPSULE ENDOSCOPY ILEUM,3304.0,3304.0,284.14,3964.8,39
CDM,117105,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",3304.0,3304.0,2820.0,5568.0,4
CDM,117105,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report SCHEDULED",3304.0,3304.0,801.8,818.68,3
CDM,117105,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report UNSCHEDULED",3304.0,3304.0,213.57,218.07,3
CDM,11713,ALBUTEROL 2.5MG/0.5ML,14.0,14.0,0.74,16.8,48
CDM,11714,ALBUTEROL 1.25MG/3ML SOL,15.0,15.0,0.8,18.0,48
CDM,117147,FOLLOW UP VISIT ONLY EP,263.0,263.0,13.94,315.6,30
CDM,11715,BENZOIN TINCT 120ML,481.0,481.0,25.49,577.2,48
CDM,117156,HEMORRHOID BANDING,3835.0,3835.0,203.25,4602.0,34
CDM,117158,BRONCH W ALVEOLAR LAVAGE,7831.0,7831.0,415.04,9397.2,34
CDM,117159,BRONCH W FBR,7831.0,7831.0,415.04,9397.2,34
CDM,117161,BRONCH W BIOPSY,7831.0,7831.0,415.04,9397.2,34
CDM,117172,BRONCHOSCOPY,9921.0,9921.0,525.81,11905.2,34
CDM,117173,BRONCH W/BRUSHINGS,7009.0,7009.0,371.48,8410.8,34
CDM,117179,TRACH TUBE CHANGE,926.0,926.0,49.08,1111.2,34
CDM,117181,COLON W/DILATION BY BAL,4982.0,4982.0,264.05,5978.4,34
CDM,117186,BRONCH W/4TH PROCEDURE,7831.0,7831.0,415.04,9397.2,34
CDM,117199,COLONOSCOPY DX,3980.0,3980.0,210.94,4776.0,41
CDM,11720,MAFENIDE AC 8.5% CR 60G,154.25,154.25,8.18,185.1,48
CDM,117200,COL W/BIOPSY,3207.0,3207.0,169.97,3848.4,41
CDM,117201,COLONOSCOPY W/REM FB,3207.0,3207.0,169.97,3848.4,41
CDM,117202,COLON W/SNARE TECH,3207.0,3207.0,169.97,3848.4,41
CDM,117203,COLON W/HBF OR BC,3204.0,3204.0,169.81,3844.8,41
CDM,117205,COL W/CNTRL BLD,3207.0,3207.0,169.97,3848.4,41
CDM,117206,COLONOSCOPY STOMA DX,3207.0,3207.0,169.97,3848.4,41
CDM,117207,COLONOSCOPY STOMA W/BIOP,3207.0,3207.0,169.97,3848.4,41
CDM,117209,COLONOSCOPY STOMA W/SNTE,3207.0,3207.0,169.97,3848.4,41
CDM,11721,MAFENIDE AC 8.5% CR 120G,508.0,508.0,26.92,609.6,48
CDM,117210,COLON STOMA W/HBF OR BC,3207.0,3207.0,169.97,3848.4,41
CDM,117214,PROC W/BIOPSY,3207.0,3207.0,169.97,3848.4,41
CDM,117215,PROC W/DILATION,3207.0,3207.0,169.97,3848.4,41
CDM,117216,PROC W/REM FB,3207.0,3207.0,169.97,3848.4,41
CDM,117217,PROC W/CNTL BLD,3207.0,3207.0,169.97,3848.4,41
CDM,117220,PROC MUL W/HBF/BC/ST,3207.0,3207.0,169.97,3848.4,41
CDM,117224,SIGMOID DX,1823.0,1823.0,96.62,2187.6,41
CDM,117225,SIG W/BIOPSY,2033.0,2033.0,107.75,2439.6,41
CDM,117226,SIG W/REMOVAL FB,2033.0,2033.0,107.75,2439.6,41
CDM,117227,SIG W/SNARE TECH,2033.0,2033.0,107.75,2439.6,41
CDM,117228,SIG W/HBF OR BC,2033.0,2033.0,107.75,2439.6,41
CDM,117229,SIGMOIDOSCOPY OTHER,1140.0,1140.0,60.42,1368.0,41
CDM,117230,SIG W/CNTL BLD,3259.0,3259.0,172.73,3910.8,41
CDM,117231,SIG W/DECOMP VOLVULUS,2033.0,2033.0,107.75,2439.6,41
CDM,117233,UPPER GI ENDO W/INJ SCL,3076.0,3076.0,163.03,3691.2,41
CDM,117236,SI ENDO W/PL JEJ TUBE,786.0,786.0,41.66,943.2,41
CDM,117237,COLONOSCOPY W STENT PLCM,3074.0,3074.0,162.92,3688.8,41
CDM,117240,UPPER GI ENDO DX,1763.0,1763.0,93.44,2115.6,41
CDM,117241,UPPER GI ENDO W/PLACE GT,3434.0,3434.0,182.0,4120.8,41
CDM,117242,ERCP DX,2981.0,2981.0,157.99,3577.2,41
CDM,117243,ERCP W/REM STONE,1218.0,1218.0,64.55,1461.6,41
CDM,117244,UPPER GI ENDO W/BIOPSY,4567.0,4567.0,242.05,5480.4,41
CDM,117245,UPPER GI ENDO W/TB OR CP,3076.0,3076.0,163.03,3691.2,41
CDM,117246,UPPER GI ENDO W/BAND LI,3076.0,3076.0,163.03,3691.2,41
CDM,117247,UPPER GI ENDO W/CNTR BLD,3076.0,3076.0,163.03,3691.2,41
CDM,117249,UPPER GI ENDO W/REM FB,3076.0,3076.0,163.03,3691.2,41
CDM,117250,UPPER GI ENDO W/SNARE TE,3076.0,3076.0,163.03,3691.2,41
CDM,117251,UPPER GI ENDO W/HBF/BC,3076.0,3076.0,163.03,3691.2,41
CDM,117253,UPPER GI ENDO W/GD WIRE,3076.0,3076.0,163.03,3691.2,41
CDM,117254,UPPER GI ENDO W/BAL DILA,3076.0,3076.0,163.03,3691.2,41
CDM,117258,ERCP W/BIOPSY,7954.0,7954.0,421.56,9544.8,41
CDM,117259,ERCP W/SPHINC/PAPIL,1218.0,1218.0,64.55,1461.6,41
CDM,11726,ATROPINE 0.4 MG INJ,245.0,245.0,12.98,294.0,30
CDM,117260,ERCP W/LITHOTRIPSY,3822.0,3822.0,202.57,4586.4,41
CDM,117263,ESOPHAGOSCOPY DX,3648.0,3648.0,193.34,4377.6,41
CDM,117264,ESOPHAGOSCOPY W/BAL DILA,1865.0,1865.0,98.84,2238.0,41
CDM,117268,ESOPHAGOSCOPY W/BAND LIG,2425.0,2425.0,128.53,2910.0,41
CDM,117274,UPPER GI ENDO W/US EX,6558.0,6558.0,347.57,7869.6,41
CDM,117275,SIGMOID SUBMUCOSAL INJ,3648.0,3648.0,193.34,4377.6,41
CDM,117276,COLON SUBMUCOSAL INJECT,1693.0,1693.0,89.73,2031.6,41
CDM,117278,EGD W/SUBMUCOSAL INJ,1272.0,1272.0,67.42,1526.4,41
CDM,117279,UGI W/EUS ESOPHAGUS,6558.0,6558.0,347.57,7869.6,41
CDM,117281,COLONOSCOPY W/ENDO US,3491.0,3491.0,185.02,4189.2,41
CDM,117282,SIGMOIDOSCOPY W/ENDO US,3133.0,3133.0,166.05,3759.6,41
CDM,117287,COLON DECOMPRESSION,2432.0,2432.0,128.9,2918.4,41
CDM,117292,ERCP W/4TH PROCEDURE,3648.0,3648.0,193.34,4377.6,41
CDM,117295,CHANGE GI TUBE NO REV,544.0,544.0,28.83,652.8,41
CDM,11731,SOD BICARBONATE 8.4% VL,367.0,367.0,19.45,440.4,48
CDM,117314,BIL ENDO W/REMOVE STN,1218.0,1218.0,64.55,1461.6,41
CDM,11732,POT ACET 40MEQ/20ML VL,367.0,367.0,19.45,440.4,48
CDM,11733,CYSTEINE 500MG/10ML VL,367.0,367.0,19.45,440.4,48
CDM,117332,ESOPHAGOSCPY W/2ND PROC,3648.0,3648.0,193.34,4377.6,41
CDM,117334,ESOPHAGOSCPY W/RM FB,3648.0,3648.0,193.34,4377.6,41
CDM,117335,ILEOSCOPY DX,2432.0,2432.0,128.9,2918.4,41
CDM,11734,SODIUM ACETATE 40MEQ VL,367.0,367.0,19.45,440.4,48
CDM,117341,SI ENDO CNTL BLEED,1218.0,1218.0,64.55,1461.6,41
CDM,11735,POT CHL 40MEQ/20ML VL,54.0,54.0,2.86,64.8,48
CDM,117351,SI ENDO W/RM FB,8172.0,8172.0,433.12,9806.4,41
CDM,11736,POT PHOS 15MM VL,170.0,170.0,9.01,204.0,48
CDM,117360,ESOPH MOTILITY STIM/PERF,1662.0,1662.0,88.09,1994.4,40
CDM,117360,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",1662.0,1662.0,18.05,3251.0,10
CDM,117362,ENDO US FINE NEED ASP BX,6558.0,6558.0,347.57,7869.6,41
CDM,11737,POT PHOS 45MM VL,170.0,170.0,9.01,204.0,48
CDM,11738,POT PHOS 150MM 50ML,170.0,170.0,9.01,204.0,48
CDM,117399,MRI TMJ,14061.0,14061.0,1209.25,16873.2,28
CDM,117399,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",14061.0,14061.0,391.22,2469.0,9
CDM,117399,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) UNSCHEDULED",14061.0,14061.0,2398.97,2449.47,3
CDM,117400,MRI OR/FCE/NCK W/O CONT,16822.0,16822.0,1446.69,20186.4,28
CDM,117400,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",16822.0,16822.0,391.22,2469.0,9
CDM,117400,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) UNSCHEDULED",16822.0,16822.0,2846.52,2906.45,3
CDM,117401,MRI OR/FCE/NCK W/CONT,19129.0,19129.0,1645.09,22954.8,28
CDM,117401,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",19129.0,19129.0,625.8,2469.0,9
CDM,117401,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) UNSCHEDULED",19129.0,19129.0,2398.97,2449.47,3
CDM,117402,MRI OR/FCE/NCK W&WO,16915.0,16915.0,1454.69,20298.0,28
CDM,117402,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",16915.0,16915.0,625.8,2469.0,9
CDM,117402,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED",16915.0,16915.0,4514.23,4609.27,3
CDM,117403,MRA HD W/O CONT,19890.0,19890.0,1710.54,23868.0,28
CDM,117403,"Magnetic resonance angiography, head; without contrast material(s) ",19890.0,19890.0,391.22,2469.0,9
CDM,117403,"Magnetic resonance angiography, head; without contrast material(s) UNSCHEDULED",19890.0,19890.0,2718.8,2776.03,3
CDM,117404,MRA HD W/CONTRAST,10241.0,10241.0,880.73,12289.2,28
CDM,117404,"Magnetic resonance angiography, head; with contrast material(s) ",10241.0,10241.0,625.8,2469.0,9
CDM,117404,"Magnetic resonance angiography, head; with contrast material(s) UNSCHEDULED",10241.0,10241.0,2398.97,2449.47,3
CDM,117405,MRA HD W&WO CONTRAST,10482.0,10482.0,901.45,12578.4,28
CDM,117405,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",10482.0,10482.0,625.8,2469.0,9
CDM,117405,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED",10482.0,10482.0,7378.55,7533.89,3
CDM,117406,MRA NECK W/O CONT,19890.0,19890.0,1710.54,23868.0,28
CDM,117406,"Magnetic resonance angiography, neck; without contrast material(s) ",19890.0,19890.0,391.22,2469.0,9
CDM,117406,"Magnetic resonance angiography, neck; without contrast material(s) UNSCHEDULED",19890.0,19890.0,2295.86,2344.19,3
CDM,117407,MRA NECK W/CONTRAST,10637.0,10637.0,914.78,12764.4,28
CDM,117407,"Magnetic resonance angiography, neck; with contrast material(s) ",10637.0,10637.0,625.8,2469.0,9
CDM,117407,"Magnetic resonance angiography, neck; with contrast material(s) UNSCHEDULED",10637.0,10637.0,4076.63,4162.45,3
CDM,117408,MRA NECK W&WO CONT,13057.0,13057.0,1122.9,15668.4,28
CDM,117408,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",13057.0,13057.0,625.8,2469.0,9
CDM,117408,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED",13057.0,13057.0,3180.49,3247.44,3
CDM,117409,MRI BRAIN W/O CONTRAST,16822.0,16822.0,1446.69,20186.4,28
CDM,117409,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",16822.0,16822.0,391.22,2469.0,9
CDM,117409,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material UNSCHEDULED",16822.0,16822.0,2671.68,2727.93,3
CDM,117410,MRI BRAIN W/CONTRAST,14590.0,14590.0,1254.74,17508.0,28
CDM,117410,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",14590.0,14590.0,625.8,2469.0,9
CDM,117410,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) UNSCHEDULED",14590.0,14590.0,3408.7,3480.47,3
CDM,117411,MRI BRAIN W&WO CONT,18280.0,18280.0,1572.08,21936.0,28
CDM,117411,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",18280.0,18280.0,625.8,2469.0,9
CDM,117411,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences UNSCHEDULED",18280.0,18280.0,3901.79,3983.94,3
CDM,117414,MRI CHEST W/O CONT,12189.0,12189.0,1048.25,14626.8,28
CDM,117414,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",12189.0,12189.0,391.22,2469.0,9
CDM,117414,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) UNSCHEDULED",12189.0,12189.0,3686.13,3763.74,3
CDM,117415,MRI CHEST W/CONTRAST,12804.0,12804.0,1101.14,15364.8,28
CDM,117415,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",12804.0,12804.0,1075.0,2469.0,9
CDM,117415,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) UNSCHEDULED",12804.0,12804.0,4849.24,4951.33,3
CDM,117416,MRI CHEST W&WO CONT,12804.0,12804.0,1101.14,15364.8,28
CDM,117416,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",12804.0,12804.0,625.8,2469.0,9
CDM,117416,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences UNSCH",12804.0,12804.0,3869.34,3950.8,3
CDM,117417,MRI C-SPINE W/O CONT,16091.0,16091.0,1383.83,19309.2,28
CDM,117417,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",16091.0,16091.0,391.22,2469.0,9
CDM,117417,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material UNSCHEDULED",16091.0,16091.0,2550.25,2603.94,3
CDM,117418,MRI C-SPINE W/CONTRAST,13918.0,13918.0,1196.95,16701.6,28
CDM,117418,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",13918.0,13918.0,625.8,2469.0,9
CDM,117418,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) UNSCHEDULED",13918.0,13918.0,4771.77,4872.23,3
CDM,117419,MRI T-SPINE W/O CONT,14721.0,14721.0,1266.01,17665.2,28
CDM,117419,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",14721.0,14721.0,391.22,2469.0,9
CDM,117419,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material UNSCHEDULED",14721.0,14721.0,2695.77,2752.52,3
CDM,117420,MRI T-SPINE W/CONTRAST,13267.0,13267.0,1140.96,15920.4,28
CDM,117420,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",13267.0,13267.0,625.8,2469.0,9
CDM,117420,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) UNSCHEDULED",13267.0,13267.0,2248.74,2296.09,3
CDM,117421,MRI L-SPINE W/O CONT,15466.0,15466.0,1330.08,18559.2,28
CDM,117421,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",15466.0,15466.0,391.22,2469.0,9
CDM,117421,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material UNSCHEDULED",15466.0,15466.0,2716.71,2773.9,3
CDM,117422,MRI L-SPINE W/CONT,14590.0,14590.0,1254.74,17508.0,28
CDM,117422,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",14590.0,14590.0,625.8,2469.0,9
CDM,117422,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) UNSCHEDULED",14590.0,14590.0,5871.02,5994.62,3
CDM,117423,MRI C-SPINE W&W/O CONT,17310.0,17310.0,1488.66,20772.0,28
CDM,117423,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",17310.0,17310.0,625.8,2469.0,9
CDM,117423,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical UNSCHEDULED",17310.0,17310.0,4354.06,4445.72,3
CDM,117424,MRI T-SPINE W&W/O CONT,11557.0,11557.0,993.9,13868.4,28
CDM,117424,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",11557.0,11557.0,625.8,2469.0,9
CDM,117424,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic UNSCHEDULED",11557.0,11557.0,5030.35,5136.26,3
CDM,117425,MRI L-SPINE W&W/O CONT,22508.0,22508.0,1935.69,27009.6,28
CDM,117425,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",22508.0,22508.0,625.8,2469.0,9
CDM,117425,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar UNSCHEDULED",22508.0,22508.0,3760.46,3839.63,3
CDM,117427,MRI PELVIS W/O CONT,7831.0,7831.0,673.47,9397.2,28
CDM,117427,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",7831.0,7831.0,391.22,2469.0,9
CDM,117427,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) UNSCHEDULED",7831.0,7831.0,2988.9,3051.82,3
CDM,117428,MRI PELVIS W/CONTRAST,11329.0,11329.0,974.29,13594.8,28
CDM,117428,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",11329.0,11329.0,625.8,2469.0,9
CDM,117428,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) UNSCHEDULED",11329.0,11329.0,1820.56,1858.89,3
CDM,117429,MRI PELVIS W&WO CONT,12262.0,12262.0,1054.53,14714.4,28
CDM,117429,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",12262.0,12262.0,625.8,2469.0,9
CDM,117429,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED",12262.0,12262.0,3468.38,3541.4,3
CDM,117430,MRI UPPER EX W/O CONT LT,11871.0,11871.0,1020.91,14245.2,28
CDM,117431,MRI UPPER EX W/O CONT RT,11871.0,11871.0,1020.91,14245.2,28
CDM,117432,MRI UPPER EX W/O CONT BI,11871.0,11871.0,1020.91,14245.2,28
CDM,117433,MRI UPPER EX W/CONT LT,12262.0,12262.0,1054.53,14714.4,28
CDM,117434,MRI UPPER EX W/CONT RT,12262.0,12262.0,1054.53,14714.4,28
CDM,117435,MRI UPPER EXT W/CONT BI,12262.0,12262.0,1054.53,14714.4,28
CDM,117436,MRI UP EX W&WO CONT LT,12262.0,12262.0,1054.53,14714.4,28
CDM,117437,MRI UP EX W&WO CONT BI,12262.0,12262.0,1054.53,14714.4,28
CDM,117438,MRI UP EX W&WO CONT RT,12262.0,12262.0,1054.53,14714.4,28
CDM,117439,MRI UP JNT W/O CONT LT,11871.0,11871.0,1020.91,14245.2,28
CDM,117440,MRI UP JNT W/O CONT BI,11871.0,11871.0,1020.91,14245.2,28
CDM,117441,MRI UP JNT W/O CONT RT,11871.0,11871.0,1020.91,14245.2,28
CDM,117442,MRI UP JNT W/CONT LT,12262.0,12262.0,1054.53,14714.4,28
CDM,117443,MRI UP JNT W/CONT RT,12262.0,12262.0,1054.53,14714.4,28
CDM,117444,MRI UP JNT W/CONT BI,12262.0,12262.0,1054.53,14714.4,28
CDM,117445,MRI UP JNT W&WO CONT LT,10241.0,10241.0,880.73,12289.2,28
CDM,117446,MRI UP JNT W&WO CONT RT,10241.0,10241.0,880.73,12289.2,28
CDM,117447,MRI UP JNT W&WO CONT BI,10241.0,10241.0,880.73,12289.2,28
CDM,117451,MRI LOW EXT W/O CONT LT,11871.0,11871.0,1020.91,14245.2,28
CDM,117452,MRI LOW EXT W/O CONT RT,11871.0,11871.0,1020.91,14245.2,28
CDM,117453,MRI LOW EXT W/O CONT BI,11871.0,11871.0,1020.91,14245.2,28
CDM,117454,MRI LOW EXT W/CONT LT,12262.0,12262.0,1054.53,14714.4,28
CDM,117455,MRI LOW EXT W/CONT RT,12262.0,12262.0,1054.53,14714.4,28
CDM,117456,MRI LOW EXT W/CONT BI,12262.0,12262.0,1054.53,14714.4,28
CDM,117457,MRI LOW EXT W&WO CONT LT,11871.0,11871.0,1020.91,14245.2,28
CDM,117458,MRI LOW EXT W&WO CONT RT,11871.0,11871.0,1020.91,14245.2,28
CDM,117459,MRI LOW EXT W&WO CONT BI,11871.0,11871.0,1020.91,14245.2,28
CDM,117460,MRI LW JNT W/O CONT LT,11871.0,11871.0,1020.91,14245.2,28
CDM,117461,MRI LW JNT W/O CONT BI,11871.0,11871.0,1020.91,14245.2,28
CDM,117462,MRI LW JNT W/O CONT RT,11871.0,11871.0,1020.91,14245.2,28
CDM,117463,MRI LW JNT W/CONTRAST LT,12262.0,12262.0,1054.53,14714.4,28
CDM,117464,MRI LW JNT W/CONTRAST RT,12262.0,12262.0,1054.53,14714.4,28
CDM,117465,MRI LW JNT W/CONTRAST BI,12262.0,12262.0,1054.53,14714.4,28
CDM,117466,MRI LW JNT W&WO CONT LT,13162.0,13162.0,1131.93,15794.4,28
CDM,117467,MRI LW JNT W&WO CONT RT,13162.0,13162.0,1131.93,15794.4,28
CDM,117468,MRI LW JNT W&WO CONT BI,13162.0,13162.0,1131.93,15794.4,28
CDM,117469,MRI ABDOMEN W/O CONT,12963.0,12963.0,1114.82,15555.6,28
CDM,117470,MRI ABDOMEN W/O CONT,12963.0,12963.0,1114.82,15555.6,28
CDM,117471,MRI ABDOMEN W/CONT,12963.0,12963.0,1114.82,15555.6,28
CDM,117471,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",12963.0,12963.0,625.8,2469.0,9
CDM,117471,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) UNSCHEDULED",12963.0,12963.0,3717.02,3795.27,3
CDM,117472,MRI ABDOMEN W&WO CONT,12963.0,12963.0,1114.82,15555.6,28
CDM,117472,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",12963.0,12963.0,625.8,2469.0,9
CDM,117472,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences UNSCHEDULED",12963.0,12963.0,4436.77,4530.17,3
CDM,117473,CAR MRI MORPH FUNC WO CM,9328.0,9328.0,802.21,11193.6,28
CDM,117473,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,9328.0,9328.0,391.22,2469.0,9
CDM,117473,Cardiac magnetic resonance imaging for morphology and function without contrast material; UNSCHEDULED,9328.0,9328.0,2027.84,2070.53,3
CDM,117475,CAR MRI MRP FN WO/W CM,9328.0,9328.0,802.21,11193.6,28
CDM,117475,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",9328.0,9328.0,625.8,2469.0,9
CDM,117475,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; UNSCHEDULED",9328.0,9328.0,2027.84,2070.53,3
CDM,117477,3D CT/MRI/US/OTH NOT IND,5799.0,5799.0,307.35,6958.8,29
CDM,117482,UL DX RAD PROCEDURE,1396.0,1396.0,120.06,1675.2,31
CDM,117482,Unlisted diagnostic radiographic procedure ,1396.0,1396.0,,,0
CDM,117482,Unlisted diagnostic radiographic procedure UNSCHEDULED,1396.0,1396.0,403.06,411.54,3
CDM,117485,MRI BONE MARROW BLD,9328.0,9328.0,802.21,11193.6,28
CDM,117485,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",9328.0,9328.0,391.22,2469.0,9
CDM,117485,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply UNSCHEDULED",9328.0,9328.0,229.27,234.1,3
CDM,117521,MRA W/O FOL W/CONT ABD,19890.0,19890.0,1710.54,23868.0,31
CDM,117521,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",19890.0,19890.0,625.8,2118.0,6
CDM,117522,MRI W/CONT BREAST UNI LT,13057.0,13057.0,1122.9,15668.4,31
CDM,117523,MRI W/CONT BREAST UNI RT,13057.0,13057.0,1122.9,15668.4,31
CDM,117529,MRI W/CONT BREAST BI,3147.0,3147.0,270.64,3776.4,31
CDM,117529,"Magnetic resonance imaging with contrast, breast; bilateral ",3147.0,3147.0,625.8,2118.0,6
CDM,117531,MRI WO FOL W/CON BRST BI,13057.0,13057.0,1122.9,15668.4,31
CDM,117531,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",13057.0,13057.0,625.8,2118.0,6
CDM,117532,MRA W/CONT CHEST,13057.0,13057.0,1122.9,15668.4,31
CDM,117532,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",13057.0,13057.0,625.8,2118.0,6
CDM,117533,MRA W/O CONT CHEST,13057.0,13057.0,1122.9,15668.4,31
CDM,117533,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",13057.0,13057.0,391.22,2118.0,6
CDM,117534,MRA W/O FOL W/CONT CHEST,13057.0,13057.0,1122.9,15668.4,31
CDM,117534,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",13057.0,13057.0,625.8,2118.0,6
CDM,117535,MRA W/CONT LWR EXT LT,13057.0,13057.0,1122.9,15668.4,31
CDM,117536,MRA W/CONT LWR EXT RT,13057.0,13057.0,1122.9,15668.4,31
CDM,117537,MRA W/CONT LWR EXT BI,13057.0,13057.0,1122.9,15668.4,31
CDM,117538,MRA W/O CONT LWR EXT LT,13057.0,13057.0,1122.9,15668.4,31
CDM,117539,MRA W/O CONT LWR EXT RT,13057.0,13057.0,1122.9,15668.4,31
CDM,11754,VERAPAMIL 5MG VIAL,367.0,367.0,19.45,440.4,48
CDM,117540,MRA W/O CONT LWR EXT BI,13057.0,13057.0,1122.9,15668.4,31
CDM,117541,MRA WO W CONT LWR EXT LT,13057.0,13057.0,1122.9,15668.4,31
CDM,117542,MRA WO W CONT LWR EXT RT,13057.0,13057.0,1122.9,15668.4,31
CDM,117543,MRA WO W CONT LWR EXT BI,13057.0,13057.0,1122.9,15668.4,31
CDM,117546,MRA WO FOL W CONT PELVIS,2823.0,2823.0,242.78,3387.6,31
CDM,117546,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",2823.0,2823.0,625.8,2118.0,6
CDM,117566,BASIC METABOLIC CALC ION,1836.0,1836.0,157.9,2203.2,31
CDM,117567,BMP TOTAL CALCIUM,510.0,510.0,43.86,612.0,31
CDM,117569,ELECTROLYTE PANEL,626.0,626.0,53.84,751.2,31
CDM,117569,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,626.0,626.0,6.94,21.38,37
CDM,117569,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) UNSCHEDULED,626.0,626.0,170.65,174.24,3
CDM,117570,COMP METABOLIC PANEL,2703.0,2703.0,232.46,3243.6,31
CDM,117572,LIPID PANEL,1015.0,1015.0,87.29,1218.0,31
CDM,117573,RENAL FUNCTION PANEL,1041.0,1041.0,89.53,1249.2,31
CDM,117574,ACUTE HEPATITIS PANEL,400.0,400.0,34.4,480.0,31
CDM,117575,HEPATIC FUNCTION PANEL,5754.0,5754.0,494.84,6904.8,31
CDM,117577,AMIKACIN QUANT,122.0,122.0,10.49,146.4,31
CDM,117582,CARBAMAZEPINE TOTAL,2839.0,2839.0,244.15,3406.8,31
CDM,117584,CYCLOSPORINE QUANT,160.0,160.0,13.76,192.0,31
CDM,117585,DIGOXIN QN,302.0,302.0,25.97,362.4,31
CDM,117586,VALPROIC ACID (DEPAKENE),1207.0,1207.0,103.8,1448.4,31
CDM,117588,GENTAMICIN (GARAMYCIN)QN,379.0,379.0,32.59,454.8,31
CDM,117591,LIDOCAINE QN,102.0,102.0,8.77,122.4,31
CDM,117591,Lidocaine ,102.0,102.0,14.54,44.8,37
CDM,117591,Lidocaine UNSCHEDULED,102.0,102.0,435.51,444.68,3
CDM,117592,LITHIUM QN,56.0,56.0,4.82,67.2,31
CDM,117593,PHENOBARBITAL LUMINAL QN,585.0,585.0,50.31,702.0,31
CDM,117596,PRIMIDONE (MYSOLINE) QN,143.0,143.0,12.3,171.6,31
CDM,117596,Primidone ,143.0,143.0,16.42,50.6,37
CDM,117596,Primidone UNSCHEDULED,143.0,143.0,129.29,132.02,3
CDM,117597,PROCAINAMIDE (PRONESTYL),248.0,248.0,21.33,297.6,31
CDM,117597,Procainamide; ,248.0,248.0,59.4,183.0,37
CDM,117597,Procainamide; UNSCHEDULED,248.0,248.0,129.29,132.02,3
CDM,117598,PROCAINAMIDE & NAPA QN,248.0,248.0,21.33,297.6,31
CDM,117598,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",248.0,248.0,16.58,51.09,37
CDM,117598,"Procainamide; with metabolites (eg, n-acetyl procainamide) UNSCHEDULED",248.0,248.0,129.29,132.02,3
CDM,117599,QUINIDINE QUANT,341.0,341.0,29.33,409.2,31
CDM,117599,Quinidine ,341.0,341.0,14.45,44.53,37
CDM,117599,Quinidine UNSCHEDULED,341.0,341.0,129.29,132.02,3
CDM,117601,TACROLIMUS QUANT,211.0,211.0,18.15,253.2,31
CDM,117601,Tacrolimus ,211.0,211.0,13.59,41.88,37
CDM,117601,Tacrolimus UNSCHEDULED,211.0,211.0,140.29,143.24,3
CDM,117602,THEOPHYLLINE QUANT,508.0,508.0,43.69,609.6,31
CDM,117602,Theophylline ,508.0,508.0,14.0,43.13,37
CDM,117602,Theophylline UNSCHEDULED,508.0,508.0,129.29,132.02,3
CDM,117604,TOBRAMYCIN QUANT,552.0,552.0,47.47,662.4,31
CDM,117607,VANCOMYCIN QUANT,730.0,730.0,62.78,876.0,31
CDM,117609,MEXILETINE MEXITIL QN,311.0,311.0,26.75,373.2,31
CDM,117612,PROPAFENONE RYTHMOL QN,311.0,311.0,26.75,373.2,31
CDM,117615,UA W MICRO AUTO,1327.0,1327.0,114.12,1592.4,31
CDM,117619,GLUC UR QUAL MANUAL,470.0,470.0,40.42,564.0,31
CDM,117619,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",470.0,470.0,3.45,39.55,40
CDM,11762,TRACE METALS VL,367.0,367.0,19.45,440.4,48
CDM,117634,UA W O MICRO AUTO,1179.0,1179.0,101.39,1414.8,31
CDM,117636,BACTERIAL SCREEN UR,1231.0,1231.0,105.87,1477.2,31
CDM,117636,"Urinalysis; bacteriuria screen, except by culture or dipstick ",1231.0,1231.0,29.68,91.44,37
CDM,117636,"Urinalysis; bacteriuria screen, except by culture or dipstick UNSCHEDULED",1231.0,1231.0,64.38,65.74,3
CDM,117638,PREG URINE QUAL BY DOO,1002.0,1002.0,86.17,1202.4,31
CDM,117643,ALBUMIN SERUM QN,68.0,68.0,5.85,81.6,31
CDM,117644,ALBUMIN OTHER QN,300.0,300.0,25.8,360.0,31
CDM,117645,MICROALBUMIN QN,288.0,288.0,24.77,345.6,31
CDM,117648,A-1-ANTITRYPSIN TOT,119.0,119.0,10.23,142.8,31
CDM,117650,ALPHA FETOPROT SERUM,146.0,146.0,12.56,175.2,31
CDM,117652,AMINO ACID SINGLE QL UR,730.0,730.0,62.78,876.0,31
CDM,117652,"Amino acids; single, qualitative, each specimen ",730.0,730.0,14.04,43.25,37
CDM,117652,"Amino acids; single, qualitative, each specimen UNSCHEDULED",730.0,730.0,80.61,82.3,3
CDM,117654,AMMONIA,681.0,681.0,58.57,817.2,31
CDM,117657,AMYLASE BLD,2011.0,2011.0,172.95,2413.2,31
CDM,117658,AMYLASE UR,2011.0,2011.0,172.95,2413.2,31
CDM,117659,AMYLASE FL,2011.0,2011.0,172.95,2413.2,31
CDM,117661,BETA 2 MICROGLOBULIN,143.0,143.0,12.3,171.6,31
CDM,117662,BILIRUBIN TOT,1358.0,1358.0,116.79,1629.6,31
CDM,117666,BILIRUBIN DIRECT,1065.0,1065.0,91.59,1278.0,31
CDM,117668,OCCULT BLD SCN 3 SPEC,160.0,160.0,13.76,192.0,31
CDM,117669,OCC BLD PEROX OTH SOURCE,268.0,268.0,23.05,321.6,31
CDM,117673,CALCIUM TOTAL,1227.0,1227.0,105.52,1472.4,31
CDM,117674,CALCIUM IONIZED,160.0,160.0,13.76,192.0,31
CDM,117675,CALCIUM UR TIMED QN,1297.0,1297.0,111.54,1556.4,31
CDM,117675,"Calcium; urine quantitative, timed specimen ",1297.0,1297.0,5.97,18.39,37
CDM,117675,"Calcium; urine quantitative, timed specimen UNSCHEDULED",1297.0,1297.0,80.61,82.3,3
CDM,117677,CARBON DIOXIDE BLD,593.0,593.0,51.0,711.6,31
CDM,117677,Carbon dioxide (bicarbonate) ,593.0,593.0,4.83,14.88,37
CDM,117677,Carbon dioxide (bicarbonate) UNSCHEDULED,593.0,593.0,45.02,45.97,3
CDM,117679,CEA,160.0,160.0,13.76,192.0,31
CDM,117680,CATECHOLAMINES TOT UR,190.0,190.0,16.34,228.0,31
CDM,117680,Catecholamines; total urine ,190.0,190.0,27.03,83.27,37
CDM,117680,Catecholamines; total urine UNSCHEDULED,190.0,190.0,80.61,82.3,3
CDM,117681,CATECHOLAMINES BLD,211.0,211.0,18.15,253.2,31
CDM,117681,Catecholamines; blood ,211.0,211.0,28.79,88.69,37
CDM,117681,Catecholamines; blood UNSCHEDULED,211.0,211.0,80.61,82.3,3
CDM,117682,CHLORIDE BLD,330.0,330.0,28.38,396.0,31
CDM,117683,CHLORIDE UR,185.0,185.0,15.91,222.0,31
CDM,117685,CHLORIDE OTHER,185.0,185.0,15.91,222.0,31
CDM,117685,Chloride; other source ,185.0,185.0,4.95,15.25,37
CDM,117685,Chloride; other source UNSCHEDULED,185.0,185.0,80.61,82.3,3
CDM,117686,CHOLESTEROL BLD,609.0,609.0,52.37,730.8,31
CDM,117690,COPPER URINE,110.0,110.0,9.46,132.0,31
CDM,117691,CORTISOL TOTAL,143.0,143.0,12.3,171.6,31
CDM,117692,CREAT KINASE (CK) TOTAL,990.0,990.0,85.14,1188.0,31
CDM,117693,CK-ISOENZYMES,1837.0,1837.0,157.98,2204.4,31
CDM,117693,"Creatine kinase (CK), (CPK); isoenzymes ",1837.0,1837.0,13.26,40.84,37
CDM,117693,"Creatine kinase (CK), (CPK); isoenzymes UNSCHEDULED",1837.0,1837.0,41.88,42.76,3
CDM,117694,CK MB FRACTION,554.0,554.0,47.64,664.8,31
CDM,117695,CREATININE BLD,168.0,168.0,14.45,201.6,31
CDM,117696,CREATININE OTHER,44.0,44.0,3.78,52.8,31
CDM,117697,CREATININE UR,1041.0,1041.0,89.53,1249.2,31
CDM,117698,CREATININE CLEARANCE,1774.0,1774.0,152.56,2128.8,31
CDM,117700,CRYOGLOBULINS QL SQN,288.0,288.0,24.77,345.6,31
CDM,117700,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",288.0,288.0,6.41,19.73,37
CDM,117700,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) UNSCHEDULED",288.0,288.0,137.14,140.03,3
CDM,117701,VITAMIN B12,122.0,122.0,10.49,146.4,31
CDM,117705,FECAL FAT QUAL,91.0,91.0,7.83,109.2,31
CDM,117705,"Fat or lipids, feces; qualitative ",91.0,91.0,5.05,15.55,37
CDM,117705,"Fat or lipids, feces; qualitative UNSCHEDULED",91.0,91.0,61.77,63.07,3
CDM,117706,FERRITIN,119.0,119.0,10.23,142.8,31
CDM,117707,FETAL FIBRONECTIN SQN,765.0,765.0,65.79,918.0,31
CDM,117708,FOLATE (FOLIC ACID) SER,122.0,122.0,10.49,146.4,31
CDM,117709,IGA EA,110.0,110.0,9.46,132.0,31
CDM,11771,ASCORBIC ACID 500MG VL,367.0,367.0,19.45,440.4,48
CDM,117710,IGG EA,110.0,110.0,9.46,132.0,31
CDM,117711,IGM EA,110.0,110.0,9.46,132.0,31
CDM,117713,IGE,143.0,143.0,12.3,171.6,31
CDM,117714,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",340.0,340.0,7.94,24.46,37
CDM,117714,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each UNSCHEDULED",340.0,340.0,80.61,82.3,3
CDM,117714,IGG SUBCLASSES EA,340.0,340.0,29.24,408.0,31
CDM,117721,OXYGEN SAT ONLY DM,784.0,784.0,67.42,940.8,31
CDM,117723,GLUCOSE BODY FLD QN,855.0,855.0,73.53,1026.0,31
CDM,117726,GLUCOSE BLD QN,951.0,951.0,81.79,1141.2,31
CDM,117731,GTT 1ST 3 SPECIMENS,1442.0,1442.0,124.01,1730.4,31
CDM,117732,LACTOSE TT 1ST 3 SPEC,1442.0,1442.0,124.01,1730.4,31
CDM,117733,GTT 3 HR SERUM,903.0,903.0,77.66,1083.6,31
CDM,117734,GTT 4 HR SERUM,903.0,903.0,77.66,1083.6,31
CDM,117735,GTT 5 HR SERUM,903.0,903.0,77.66,1083.6,31
CDM,117741,GAMMA GT,1065.0,1065.0,91.59,1278.0,31
CDM,117742,FSH,160.0,160.0,13.76,192.0,31
CDM,117743,LH,156.0,156.0,13.42,187.2,31
CDM,117744,HAPTOGLOBIN QUANT,1091.0,1091.0,93.83,1309.2,31
CDM,117745,HEMOGLOBIN FETAL QL,146.0,146.0,12.56,175.2,31
CDM,117745,"Hemoglobin; F (fetal), qualitative ",146.0,146.0,7.92,24.4,37
CDM,117745,"Hemoglobin; F (fetal), qualitative UNSCHEDULED",146.0,146.0,80.61,82.3,3
CDM,117746,GLYCOHEMOGLOBIN,44.0,44.0,3.78,52.8,31
CDM,117747,HEMOGLOBIN A1C,78.0,78.0,6.71,93.6,31
CDM,117749,HEMOSIDERIN QUAL,44.0,44.0,3.78,52.8,31
CDM,117750,HOMOCYSTEINE QN,146.0,146.0,12.56,175.2,31
CDM,117751,5 HIAA,113.0,113.0,9.72,135.6,31
CDM,117751,"Hydroxyindolacetic acid, 5-(HIAA) ",113.0,113.0,12.77,39.34,37
CDM,117751,"Hydroxyindolacetic acid, 5-(HIAA) UNSCHEDULED",113.0,113.0,80.61,82.3,3
CDM,117760,IRON,185.0,185.0,15.91,222.0,31
CDM,117761,IRON BINDING,68.0,68.0,5.85,81.6,31
CDM,117762,17 KETOSTEROIDS TOTAL,113.0,113.0,9.72,135.6,31
CDM,117762,"Ketosteroids, 17- (17-KS); total ",113.0,113.0,12.67,39.04,37
CDM,117762,"Ketosteroids, 17- (17-KS); total UNSCHEDULED",113.0,113.0,80.61,82.3,3
CDM,117764,LACTIC ACID,624.0,624.0,53.66,748.8,31
CDM,117766,LDH (LD),552.0,552.0,47.47,662.4,31
CDM,117769,LDH ISOENZYMES,671.0,671.0,57.71,805.2,31
CDM,117769,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",671.0,671.0,12.66,39.01,37
CDM,117769,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation UNSCHEDULED",671.0,671.0,80.61,82.3,3
CDM,117771,LIPASE,33.0,33.0,2.84,39.6,31
CDM,117772,LIPOPROTEIN (A),102.0,102.0,8.77,122.4,31
CDM,117772,Lipoprotein (a) ,102.0,102.0,14.18,43.68,37
CDM,117772,Lipoprotein (a) UNSCHEDULED,102.0,102.0,11.51,11.76,3
CDM,117773,HDL CHOLESTEROL DM,68.0,68.0,5.85,81.6,31
CDM,117773,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",68.0,68.0,8.11,24.98,37
CDM,117773,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) UNSCHEDULED",68.0,68.0,80.61,82.3,3
CDM,117775,MAGNESIUM BLD,341.0,341.0,29.33,409.2,31
CDM,117778,MAGNESIUM URINE,341.0,341.0,29.33,409.2,31
CDM,117779,MYOGLOBIN BLD,283.0,283.0,24.34,339.6,31
CDM,117780,MYOGLOBIN URINE,283.0,283.0,24.34,339.6,31
CDM,117781,NATRIURETIC PEPTIDE,1126.0,1126.0,96.84,1351.2,31
CDM,117782,LIGHT CHAINS KAP FREE,72.0,72.0,6.19,86.4,31
CDM,117783,LIGHT CHAINS LAM FREE,32.0,32.0,2.75,38.4,31
CDM,117784,NUCLEOTIDASE 5'-,231.0,231.0,19.87,277.2,31
CDM,117784,Nucleotidase 5'- ,231.0,231.0,11.04,34.01,37
CDM,117784,Nucleotidase 5'- UNSCHEDULED,231.0,231.0,80.61,82.3,3
CDM,117785,OLIGOCLONAL BANDS,271.0,271.0,23.31,325.2,31
CDM,117791,OSMOLALITY BLD,379.0,379.0,32.59,454.8,31
CDM,117792,OSMOLALITY UR,534.0,534.0,45.92,640.8,31
CDM,117793,OXALATE,113.0,113.0,9.72,135.6,31
CDM,117793,Oxalate ,113.0,113.0,14.31,44.07,37
CDM,117793,Oxalate UNSCHEDULED,113.0,113.0,80.61,82.3,3
CDM,117794,PARATHORMONE (PTH),713.0,713.0,61.32,855.6,31
CDM,117795,PTH INTACT,713.0,713.0,61.32,855.6,31
CDM,117797,NITRAZINE PH AMNIO FLD,148.0,148.0,12.73,177.6,31
CDM,11780,LIDOCAINE 2% GEL 10ML,383.0,383.0,20.3,459.6,48
CDM,117800,ACID PHOSPHATASE PROST,78.0,78.0,6.71,93.6,31
CDM,117800,"Phosphatase, acid; prostatic ",78.0,78.0,9.56,29.46,37
CDM,117800,"Phosphatase, acid; prostatic UNSCHEDULED",78.0,78.0,80.61,82.3,3
CDM,117801,ALK PHOS (ALP),1053.0,1053.0,90.56,1263.6,31
CDM,117803,PHOSPHORUS BLD,288.0,288.0,24.77,345.6,31
CDM,117805,PHOSPHORUS UR,211.0,211.0,18.15,253.2,31
CDM,117805,Phosphorus inorganic (phosphate); urine ,211.0,211.0,5.72,17.63,37
CDM,117805,Phosphorus inorganic (phosphate); urine UNSCHEDULED,211.0,211.0,80.61,82.3,3
CDM,117806,PORPHOBILINOGEN UR QUAN,185.0,185.0,15.91,222.0,31
CDM,117806,"Porphobilinogen, urine; quantitative ",185.0,185.0,8.36,25.74,37
CDM,117806,"Porphobilinogen, urine; quantitative UNSCHEDULED",185.0,185.0,80.61,82.3,3
CDM,117807,POTASSIUM BLD,784.0,784.0,67.42,940.8,31
CDM,117808,POTASSIUM UR,377.0,377.0,32.42,452.4,31
CDM,117809,PREALBUMIN,218.0,218.0,18.75,261.6,31
CDM,117810,PROLACTIN,162.0,162.0,13.93,194.4,31
CDM,117811,PROS SPEC AG (PSA) TOTAL,156.0,156.0,13.42,187.2,31
CDM,117813,TOTAL PROTEIN BLD,784.0,784.0,67.42,940.8,31
CDM,117814,TOTAL PROTEIN URINE QN,508.0,508.0,43.69,609.6,31
CDM,117816,TOTAL PROTEIN CSF QN,784.0,784.0,67.42,940.8,31
CDM,117817,PROTEIN ELECTRO SER,92.0,92.0,7.91,110.4,31
CDM,117818,BENCE JONES PROTEIN EP,92.0,92.0,7.91,110.4,31
CDM,117819,PROTEIN ELECTRO CSF,92.0,92.0,7.91,110.4,31
CDM,117820,PROTEIN ELECTRO URINE,92.0,92.0,7.91,110.4,31
CDM,117822,MA TA AB WB-BD,1292.0,1292.0,111.11,1550.4,31
CDM,117827,SODIUM UR,222.0,222.0,19.09,266.4,31
CDM,117832,TESTOSTERONE TOTAL,218.0,218.0,18.75,261.6,31
CDM,117832,Testosterone; total ,218.0,218.0,25.55,78.72,37
CDM,117832,Testosterone; total UNSCHEDULED,218.0,218.0,36.64,37.41,3
CDM,117833,THYROXINE T4 TOTAL,62.0,62.0,5.33,74.4,31
CDM,117834,T4 FREE,72.0,72.0,6.19,86.4,31
CDM,117835,THYROXINE BG (TBG),122.0,122.0,10.49,146.4,31
CDM,117835,Thyroxine binding globulin (TBG) ,122.0,122.0,14.63,45.08,37
CDM,117835,Thyroxine binding globulin (TBG) UNSCHEDULED,122.0,122.0,261.72,267.24,3
CDM,117836,TSH,146.0,146.0,12.56,175.2,31
CDM,117837,THYROID STIM IMMUNO TSI,443.0,443.0,38.1,531.6,31
CDM,117838,AST (SGOT),1388.0,1388.0,119.37,1665.6,31
CDM,117839,ALT (SGPT),1388.0,1388.0,119.37,1665.6,31
CDM,117840,TRANSFERRIN,113.0,113.0,9.72,135.6,31
CDM,117841,TRIGLYCERIDES,2227.0,2227.0,191.52,2672.4,31
CDM,117843,T3 UPTAKE,56.0,56.0,4.82,67.2,31
CDM,117843,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,56.0,56.0,6.41,19.73,37
CDM,117843,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) UNSCHEDULED,56.0,56.0,80.61,82.3,3
CDM,117844,T3 TOTAL,121.0,121.0,10.41,145.2,31
CDM,117845,T3 FREE,133.0,133.0,11.44,159.6,31
CDM,117846,T3 REVERSE,318.0,318.0,27.35,381.6,31
CDM,117846,Triiodothyronine T3; reverse ,318.0,318.0,15.6,48.07,37
CDM,117846,Triiodothyronine T3; reverse UNSCHEDULED,318.0,318.0,80.61,82.3,3
CDM,117847,TROPONIN QUANT,1837.0,1837.0,157.98,2204.4,31
CDM,117850,BUN,185.0,185.0,15.91,222.0,31
CDM,117851,UREA NITROGEN OTHER,185.0,185.0,15.91,222.0,31
CDM,117854,URIC ACID BLD,1475.0,1475.0,126.85,1770.0,31
CDM,117855,URIC ACID BODY FLD,821.0,821.0,70.61,985.2,31
CDM,117856,URIC ACID UR,821.0,821.0,70.61,985.2,31
CDM,117857,VITAMIN A,273.0,273.0,23.48,327.6,31
CDM,117857,Vitamin A ,273.0,273.0,11.49,35.41,37
CDM,117857,Vitamin A UNSCHEDULED,273.0,273.0,80.61,82.3,3
CDM,117858,D-XYLOSE ABSORPTION,185.0,185.0,15.91,222.0,31
CDM,117858,"Xylose absorption test, blood and/or urine ",185.0,185.0,12.78,39.38,37
CDM,117858,"Xylose absorption test, blood and/or urine UNSCHEDULED",185.0,185.0,228.23,233.03,3
CDM,117860,C-PEPTIDE,437.0,437.0,37.58,524.4,31
CDM,117860,C-peptide ,437.0,437.0,20.6,63.47,37
CDM,117860,C-peptide UNSCHEDULED,437.0,437.0,79.56,81.24,3
CDM,117861,HCG BETA QUANTITATIVE,4501.0,4501.0,387.09,5401.2,31
CDM,117863,HCG QUALITATIVE SERUM,3159.0,3159.0,271.67,3790.8,31
CDM,117866,BLEEDING TIME,873.0,873.0,75.08,1047.6,31
CDM,117866,Bleeding time ,873.0,873.0,4.77,14.7,37
CDM,117866,Bleeding time UNSCHEDULED,873.0,873.0,31.41,32.07,3
CDM,117867,"Blood count; blood smear, microscopic examination with manual differential WBC count ",25.0,25.0,3.76,11.59,37
CDM,117867,"Blood count; blood smear, microscopic examination with manual differential WBC count UNSCHEDULED",25.0,25.0,54.43,55.58,3
CDM,117867,MANUAL DIFFERENTIAL,25.0,25.0,2.15,30.0,31
CDM,117872,HEMATOCRIT,505.0,505.0,43.43,606.0,31
CDM,117873,HEMOGLOBIN,669.0,669.0,57.53,802.8,31
CDM,117875,CBC AUTOMATED,903.0,903.0,77.66,1083.6,31
CDM,117877,"Blood count; red blood cell (RBC), automated ",508.0,508.0,2.99,9.21,37
CDM,117877,"Blood count; red blood cell (RBC), automated UNSCHEDULED",508.0,508.0,106.78,109.03,3
CDM,117877,RBC COUNT BLD AUTO,508.0,508.0,43.69,609.6,31
CDM,117878,RETIC COUNT MANUAL,156.0,156.0,13.42,187.2,31
CDM,117879,RETIC COUNT AUTO,175.0,175.0,15.05,210.0,31
CDM,117881,EOSINOPHIL COUNT BLD AUT,248.0,248.0,21.33,297.6,31
CDM,117882,WBC COUNT BLD AUTO,248.0,248.0,21.33,297.6,31
CDM,117884,PLATELET AUTOMATED,990.0,990.0,85.14,1188.0,31
CDM,117886,FACTOR 2 PROTHROMBIN,249.0,249.0,21.41,298.8,31
CDM,117887,FACTOR 5 LABILE,249.0,249.0,21.41,298.8,31
CDM,117888,"Clotting; factor VII (proconvertin, stable factor) ",156.0,156.0,17.72,54.59,37
CDM,117888,"Clotting; factor VII (proconvertin, stable factor) UNSCHEDULED",156.0,156.0,34.55,35.28,3
CDM,117888,FACTOR 7 STABLE,156.0,156.0,13.42,187.2,31
CDM,117889,FACTOR 8 ACTIVITY 1STAGE,156.0,156.0,13.42,187.2,31
CDM,117892,Clotting; factor IX (PTC or Christmas) ,249.0,249.0,18.85,58.07,37
CDM,117892,Clotting; factor IX (PTC or Christmas) UNSCHEDULED,249.0,249.0,193.68,197.75,3
CDM,117892,FACTOR 9 ACTIVITY,249.0,249.0,21.41,298.8,31
CDM,117893,Clotting; factor X (Stuart-Prower) ,249.0,249.0,17.72,54.59,37
CDM,117893,Clotting; factor X (Stuart-Prower) UNSCHEDULED,249.0,249.0,106.78,109.03,3
CDM,117893,FACTOR 10 ASSAY,249.0,249.0,21.41,298.8,31
CDM,117895,ANTITHROMBIN 3 ACT,271.0,271.0,23.31,325.2,31
CDM,117896,PROTEIN C AG,119.0,119.0,10.23,142.8,31
CDM,117897,PROTEIN C ACTIVITY,675.0,675.0,58.05,810.0,31
CDM,117898,PROTEIN S ANTIGEN FREE,473.0,473.0,40.68,567.6,31
CDM,117899,PROTEIN S FUNCTIONAL,473.0,473.0,40.68,567.6,31
CDM,117900,ACTV PROT C RESISTANCE,1034.0,1034.0,88.92,1240.8,31
CDM,117900,Activated Protein C (APC) resistance assay ,1034.0,1034.0,15.17,46.73,37
CDM,117900,Activated Protein C (APC) resistance assay UNSCHEDULED,1034.0,1034.0,69.09,70.55,3
CDM,117902,ACT CLOT TIME,713.0,713.0,61.32,855.6,31
CDM,117905,D-DIMER SEMI,960.0,960.0,82.56,1152.0,31
CDM,117906,D-DIMER QUANT,334.0,334.0,28.72,400.8,31
CDM,117907,FIBRINOGEN ACTIVITY,85.0,85.0,7.31,102.0,31
CDM,117909,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",96.0,96.0,19.89,19.89,1
CDM,117909,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day UNSCH",96.0,96.0,318.26,324.96,3
CDM,117909,THROMBOELASTOGRAPHY TEG,96.0,96.0,5.09,115.2,35
CDM,117910,HEINZ BODY DIRECT,252.0,252.0,21.67,302.4,31
CDM,117910,Heinz bodies; direct ,252.0,252.0,4.16,12.81,37
CDM,117910,Heinz bodies; direct UNSCHEDULED,252.0,252.0,106.78,109.03,3
CDM,117911,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",83.0,83.0,7.65,23.58,37
CDM,117911,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) UNSCHEDULED",83.0,83.0,109.92,112.24,3
CDM,117911,KB STAIN (FETAL BLEED),83.0,83.0,7.14,99.6,31
CDM,117912,ACID HEMOLYSIN,704.0,704.0,60.54,844.8,31
CDM,117912,"Hemolysin, acid ",704.0,704.0,8.78,27.05,37
CDM,117912,"Hemolysin, acid UNSCHEDULED",704.0,704.0,106.78,109.03,3
CDM,117913,HEPARIN ASSAY,1135.0,1135.0,97.61,1362.0,31
CDM,117914,HEPARIN ANTI XA,1135.0,1135.0,97.61,1362.0,31
CDM,117916,OSMOTIC FRAGILITY INCUB,507.0,507.0,43.6,608.4,31
CDM,117916,"Osmotic fragility, RBC; incubated ",507.0,507.0,13.23,40.75,37
CDM,117916,"Osmotic fragility, RBC; incubated UNSCHEDULED",507.0,507.0,106.78,109.03,3
CDM,117917,PLATELET AGGREGATION,1041.0,1041.0,89.53,1249.2,31
CDM,117918,PLT AGGREGATE ADP,1041.0,1041.0,89.53,1249.2,31
CDM,117920,PLT AGGREGATE EPI,1041.0,1041.0,89.53,1249.2,31
CDM,117925,PROTIME,1356.0,1356.0,116.62,1627.2,31
CDM,117927,RUSSELL VIPER DILUTED,91.0,91.0,7.83,109.2,31
CDM,117927,Russell viper venom time (includes venom); diluted ,91.0,91.0,9.48,29.22,37
CDM,117927,Russell viper venom time (includes venom); diluted UNSCHEDULED,91.0,91.0,34.55,35.28,3
CDM,117928,REPTILASE,148.0,148.0,12.73,177.6,31
CDM,117928,Reptilase test ,148.0,148.0,9.75,30.04,37
CDM,117928,Reptilase test UNSCHEDULED,148.0,148.0,106.78,109.03,3
CDM,117930,SED RATE WESTERGREN,973.0,973.0,83.68,1167.6,31
CDM,117932,SICKLE CELL PREP,465.0,465.0,39.99,558.0,31
CDM,117934,THROMBIN TIME,377.0,377.0,32.42,452.4,31
CDM,117936,PTT,1494.0,1494.0,128.48,1792.8,31
CDM,117937,CIRCULAT ANTICOAG-PTT,113.0,113.0,9.72,135.6,31
CDM,117938,PTT SUBSTITUTION MIXING,64.0,64.0,5.5,76.8,31
CDM,117939,VISCOSITY,248.0,248.0,21.33,297.6,31
CDM,117939,Viscosity ,248.0,248.0,11.55,35.59,37
CDM,117939,Viscosity UNSCHEDULED,248.0,248.0,256.49,261.89,3
CDM,117940,BRUCELLA ABORT AGG,555.0,555.0,47.73,666.0,31
CDM,117943,PROTEUS OX19 AGG,555.0,555.0,47.73,666.0,31
CDM,117944,PROTEUS OX2 AGG,555.0,555.0,47.73,666.0,31
CDM,117945,PROTEUS OXK AGG,555.0,555.0,47.73,666.0,31
CDM,117948,ALLERGEN IGE EACH,6.0,6.0,0.52,7.2,31
CDM,117948,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",6.0,6.0,5.17,15.92,37
CDM,117948,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each UNSCHEDULED",6.0,6.0,121.44,124.0,3
CDM,117951,PLT AB HEPARIN INDUCED,698.0,698.0,60.03,837.6,31
CDM,117952,PLATELET ASSOC AB,300.0,300.0,25.8,360.0,31
CDM,117953,ANA QUAL SCREEN,110.0,110.0,9.46,132.0,31
CDM,117955,ANA QUANT TITER,91.0,91.0,7.83,109.2,31
CDM,117955,Antinuclear antibodies (ANA); titer ,91.0,91.0,11.05,34.04,37
CDM,117955,Antinuclear antibodies (ANA); titer UNSCHEDULED,91.0,91.0,51.3,52.38,3
CDM,117957,ASO QUAL SCREEN,62.0,62.0,5.33,74.4,31
CDM,117957,Antistreptolysin 0; screen ,62.0,62.0,5.71,17.6,37
CDM,117957,Antistreptolysin 0; screen UNSCHEDULED,62.0,62.0,94.22,96.2,3
CDM,117958,C-REACTIVE PROTEIN,78.0,78.0,6.71,93.6,31
CDM,117960,CARDIOLIPIN AB IGA,143.0,143.0,12.3,171.6,31
CDM,117961,CARDIOLIPIN AB IGG,143.0,143.0,12.3,171.6,31
CDM,117962,CARDIOLIPIN AB IGM,143.0,143.0,12.3,171.6,31
CDM,117964,COLD AGGLUTININ TITER,288.0,288.0,24.77,345.6,31
CDM,117965,COMPLEMENT C3,1170.0,1170.0,100.62,1404.0,31
CDM,117966,COMPLEMENT C4,1170.0,1170.0,100.62,1404.0,31
CDM,117968,DS DNA AB,119.0,119.0,10.23,142.8,31
CDM,117969,JO-1 ANTIBODY,367.0,367.0,31.56,440.4,31
CDM,117970,RNP ANTIBODY,367.0,367.0,31.56,440.4,31
CDM,117971,SJOGRENS A AB (SSA),367.0,367.0,31.56,440.4,31
CDM,117972,SJOGRENS B AB (SSB),367.0,367.0,31.56,440.4,31
CDM,117973,SCLERODERMA 70 AB,367.0,367.0,31.56,440.4,31
CDM,117977,FLUORESCENT AB SCREEN,1231.0,1231.0,105.87,1477.2,31
CDM,117979,MITOCHONDRIAL FA AB QL,427.0,427.0,36.72,512.4,31
CDM,117983,SMOOTH MUSCLE FA AB TIT,556.0,556.0,47.82,667.2,31
CDM,117984,CA 15-3 QN,168.0,168.0,14.45,201.6,31
CDM,117986,CA 19-9 QN,168.0,168.0,14.45,201.6,31
CDM,117988,MONO SCR (HETEROPHILE),1940.0,1940.0,166.84,2328.0,31
CDM,117989,CHROMOGRANIN A IA QN,389.0,389.0,33.45,466.8,31
CDM,11806,IPRATROPIUM 0.02% SOL,17.0,17.0,0.9,20.4,48
CDM,118197,IMMUNOFIX ELECTRO SER,227.0,227.0,19.52,272.4,31
CDM,118200,T CELLS CD4 8 RATIO,353.0,353.0,30.36,423.6,31
CDM,118200,"T cells; absolute CD4 and CD8 count, including ratio ",353.0,353.0,46.51,143.29,37
CDM,118200,"T cells; absolute CD4 and CD8 count, including ratio UNSCHEDULED",353.0,353.0,76.43,78.04,3
CDM,118201,THYROID PEROXIDASE AB,122.0,122.0,10.49,146.4,31
CDM,118203,LE LATEX AB,334.0,334.0,28.72,400.8,31
CDM,118203,"Particle agglutination; screen, each antibody ",334.0,334.0,11.42,35.2,37
CDM,118203,"Particle agglutination; screen, each antibody UNSCHEDULED",334.0,334.0,125.63,128.27,3
CDM,118206,RA FACTOR QUAL,62.0,62.0,5.33,74.4,31
CDM,118213,RPR QUAL,48.0,48.0,4.13,57.6,31
CDM,118214,VDRL CSF QUAL,39.0,39.0,3.35,46.8,31
CDM,118215,RPR QUANT,1136.0,1136.0,97.7,1363.2,31
CDM,118223,CHLAMYDIA PSITTACI IGM,120.0,120.0,10.32,144.0,31
CDM,118225,Antibody; cytomegalovirus (CMV) ,121.0,121.0,14.25,43.89,37
CDM,118225,Antibody; cytomegalovirus (CMV) UNSCHEDULED,121.0,121.0,109.92,112.24,3
CDM,118225,CMV IGG QUAL,121.0,121.0,10.41,145.2,31
CDM,118226,CMV IGM QUAL,146.0,146.0,12.56,175.2,31
CDM,118228,EBV NUCLEAR AG AB QUAL,222.0,222.0,19.09,266.4,31
CDM,118229,EBV CAPSID IGG QUAL,156.0,156.0,13.42,187.2,31
CDM,118230,EBV CAPSID IGM QUAL,156.0,156.0,13.42,187.2,31
CDM,118239,H PYLORI AB QUAL,190.0,190.0,16.34,228.0,31
CDM,118242,HERPES SIMPLEX 1 AB IGM,113.0,113.0,9.72,135.6,31
CDM,118244,HIV-1 AB QUAL,119.0,119.0,10.23,142.8,31
CDM,118245,HIV 1&2 AB QUAL,144.0,144.0,12.38,172.8,31
CDM,118246,HEP B CORE AB TOTAL,133.0,133.0,11.44,159.6,31
CDM,118247,HEP B CORE AB IGM QL,102.0,102.0,8.77,122.4,31
CDM,118247,Hepatitis B core antibody (HBcAb); IgM antibody ,102.0,102.0,11.65,35.9,37
CDM,118247,Hepatitis B core antibody (HBcAb); IgM antibody UNSCHEDULED,102.0,102.0,94.22,96.2,3
CDM,118248,HEP B SURFACE AB QUAL,92.0,92.0,7.91,110.4,31
CDM,118249,HEPATITIS BE AB QL,102.0,102.0,8.77,122.4,31
CDM,118249,Hepatitis Be antibody (HBeAb) ,102.0,102.0,11.45,35.29,37
CDM,118249,Hepatitis Be antibody (HBeAb) UNSCHEDULED,102.0,102.0,26.17,26.72,3
CDM,118250,HEP A AB TOTAL,110.0,110.0,9.46,132.0,31
CDM,118250,Hepatitis A antibody (HAAb) ,110.0,110.0,12.27,37.79,37
CDM,118250,Hepatitis A antibody (HAAb) UNSCHEDULED,110.0,110.0,31.41,32.07,3
CDM,118251,HEP A AB IGM QUAL,92.0,92.0,7.91,110.4,31
CDM,118253,LEGIONELLA AB IGM QUAL,133.0,133.0,11.44,159.6,31
CDM,118254,MUMPS AB QUAL,113.0,113.0,9.72,135.6,31
CDM,118255,MUMPS IGG QUAL,113.0,113.0,9.72,135.6,31
CDM,118256,MUMPS IGM QUAL,113.0,113.0,9.72,135.6,31
CDM,118257,MYCOPLASMA AB IGM QL,288.0,288.0,24.77,345.6,31
CDM,118261,Antibody; respiratory syncytial virus ,437.0,437.0,15.73,48.46,37
CDM,118261,Antibody; respiratory syncytial virus UNSCHEDULED,437.0,437.0,94.22,96.2,3
CDM,118261,RSV AB QUAL,437.0,437.0,37.58,524.4,31
CDM,118264,RUBELLA IGM,121.0,121.0,10.41,145.2,31
CDM,118265,Antibody; Toxoplasma ,231.0,231.0,14.25,43.89,37
CDM,118265,Antibody; Toxoplasma UNSCHEDULED,231.0,231.0,94.22,96.2,3
CDM,118265,TOXOPLASMA IGG QUAL,231.0,231.0,19.87,277.2,31
CDM,118266,"Antibody; Toxoplasma, IgM ",231.0,231.0,14.27,43.95,37
CDM,118266,"Antibody; Toxoplasma, IgM UNSCHEDULED",231.0,231.0,94.22,96.2,3
CDM,118266,TOXOPLASMA IGM QUAL,231.0,231.0,19.87,277.2,31
CDM,118267,VARIC ZOSTER IGG,367.0,367.0,31.56,440.4,31
CDM,118272,HEPATITIS C AB QUAL,868.0,868.0,74.65,1041.6,31
CDM,118275,HLA PHENOTYPING MULTI AG,2459.0,2459.0,211.47,2950.8,31
CDM,118277,SUCROSE HEMOLYSIN SCN,704.0,704.0,60.54,844.8,31
CDM,118278,AFB CONCENTRATION,207.0,207.0,17.8,248.4,31
CDM,118280,CULTURE BLOOD,122.0,122.0,10.49,146.4,31
CDM,118281,CULTURE STOOL,1231.0,1231.0,105.87,1477.2,31
CDM,118282,CULT STL ADD'L PATHOGENS,207.0,207.0,17.8,248.4,31
CDM,118282,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",207.0,207.0,9.35,28.79,37
CDM,118282,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate UNSCHEDULED",207.0,207.0,65.96,67.35,3
CDM,118284,CULTURE BONE NOT MARROW,1221.0,1221.0,105.01,1465.2,31
CDM,118285,CULTURE ABSCESS,1221.0,1221.0,105.01,1465.2,31
CDM,118286,CULTURE ASPIRATE,1221.0,1221.0,105.01,1465.2,31
CDM,118287,CULTURE BODY FLUID,1221.0,1221.0,105.01,1465.2,31
CDM,118288,CULTURE BONE MARROW,1221.0,1221.0,105.01,1465.2,31
CDM,118290,CULTURE BRONCH WASH,1221.0,1221.0,105.01,1465.2,31
CDM,118291,CULTURE BRONCHIAL,1221.0,1221.0,105.01,1465.2,31
CDM,118292,CULTURE CATHETER TIP,1221.0,1221.0,105.01,1465.2,31
CDM,118293,CULTURE CSF,1221.0,1221.0,105.01,1465.2,31
CDM,118294,CULTURE EAR,1221.0,1221.0,105.01,1465.2,31
CDM,118295,CULT ENVIRON EPIDEMI,1221.0,1221.0,105.01,1465.2,31
CDM,118296,CULTURE EYE,1221.0,1221.0,105.01,1465.2,31
CDM,118297,CULTURE GASTRIC,1221.0,1221.0,105.01,1465.2,31
CDM,118298,CULTURE GENITAL,1221.0,1221.0,105.01,1465.2,31
CDM,118299,CULT NASOPHARYNGEAL,1221.0,1221.0,105.01,1465.2,31
CDM,118300,CULT NOSE,1221.0,1221.0,105.01,1465.2,31
CDM,118301,CULTURE PLACENTA,1221.0,1221.0,105.01,1465.2,31
CDM,118302,CULTURE RESPIRATORY,1221.0,1221.0,105.01,1465.2,31
CDM,118303,CULTURE SINUS,1221.0,1221.0,105.01,1465.2,31
CDM,118305,CULTURE SPUTUM,1221.0,1221.0,105.01,1465.2,31
CDM,118306,CULTURE SURGICAL SPEC,1221.0,1221.0,105.01,1465.2,31
CDM,118308,CULT THROAT,1221.0,1221.0,105.01,1465.2,31
CDM,118309,CULTURE TISSUE,1221.0,1221.0,105.01,1465.2,31
CDM,118311,CULTURE UROGENITAL,1221.0,1221.0,105.01,1465.2,31
CDM,118312,CULTURE WOUND,1221.0,1221.0,105.01,1465.2,31
CDM,118313,CULTURE CERVICAL,1221.0,1221.0,105.01,1465.2,31
CDM,118315,CULTURE ANAEROBIC,1461.0,1461.0,125.65,1753.2,31
CDM,118316,ANAEROBIC ORG ID,65.0,65.0,5.59,78.0,31
CDM,118317,AEROBIC ORG ID,148.0,148.0,12.73,177.6,31
CDM,118318,H PYLORI UREASE (BIOPSY),148.0,148.0,12.73,177.6,31
CDM,118319,CULT BORDETELLA PERT SCR,355.0,355.0,30.53,426.0,31
CDM,118321,CULT DIPHTHERIA SCR,355.0,355.0,30.53,426.0,31
CDM,118322,CULT GC SCR,355.0,355.0,30.53,426.0,31
CDM,118324,CULT LEGIONELLA SCR,355.0,355.0,30.53,426.0,31
CDM,118326,CULT STREP GROUP A SCR,355.0,355.0,30.53,426.0,31
CDM,118327,CULT STREP GROUP B SCR,355.0,355.0,30.53,426.0,31
CDM,118328,CULT VIBRIO SCR,355.0,355.0,30.53,426.0,31
CDM,118329,CULT VRE SCR,355.0,355.0,30.53,426.0,31
CDM,118330,CULT YERSINIA SCR,355.0,355.0,30.53,426.0,31
CDM,118331,CULT COLONY COUNT UR,444.0,444.0,38.18,532.8,31
CDM,118332,CULT W PRESUMPTIVE ID UR,444.0,444.0,38.18,532.8,31
CDM,118333,CULT FUNGUS SKIN,211.0,211.0,18.15,253.2,31
CDM,118333,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",211.0,211.0,7.63,23.52,37
CDM,118333,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail UNSCHEDULED",211.0,211.0,50.25,51.31,3
CDM,118335,CULT FUNGUS BLOOD,122.0,122.0,10.49,146.4,31
CDM,118336,YEAST ID,208.0,208.0,17.89,249.6,31
CDM,118339,CULT CHLAMYDIA,175.0,175.0,15.05,210.0,31
CDM,118340,CULT AFB,121.0,121.0,10.41,145.2,31
CDM,118341,AFB IDENTIFICATION,330.0,330.0,28.38,396.0,31
CDM,118341,"Culture, mycobacterial, definitive identification, each isolate ",330.0,330.0,14.46,44.56,37
CDM,118341,"Culture, mycobacterial, definitive identification, each isolate UNSCHEDULED",330.0,330.0,109.92,112.24,3
CDM,118342,CULT TYPE AGGLUT,534.0,534.0,45.92,640.8,31
CDM,118343,SHIGELLA TYPING AGG,534.0,534.0,45.92,640.8,31
CDM,118347,PINWORM EXAM,190.0,190.0,16.34,228.0,31
CDM,118347,"Pinworm exam (eg, cellophane tape prep) ",190.0,190.0,4.23,13.02,37
CDM,118347,"Pinworm exam (eg, cellophane tape prep) UNSCHEDULED",190.0,190.0,109.92,112.24,3
CDM,118349,O&P SMEAR CONC ID,916.0,916.0,78.78,1099.2,31
CDM,118350,SUSC AGAR DIL EACH AGENT,148.0,148.0,12.73,177.6,31
CDM,118351,SUSC 1-12 DISKS,72.0,72.0,6.19,86.4,31
CDM,118353,SUSC MIC,272.0,272.0,23.39,326.4,31
CDM,118356,SUSC AFB PROP EA AGENT,231.0,231.0,19.87,277.2,31
CDM,118356,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",231.0,231.0,7.24,22.3,37
CDM,118356,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent UNSCHEDULED",231.0,231.0,109.92,112.24,3
CDM,118357,SERUM CIDAL LEVEL,377.0,377.0,32.42,452.4,31
CDM,118357,Serum bactericidal titer (Schlichter test) ,377.0,377.0,14.87,45.81,37
CDM,118357,Serum bactericidal titer (Schlichter test) UNSCHEDULED,377.0,377.0,109.92,112.24,3
CDM,118358,GRAM STAIN PRIMARY SRCE,235.0,235.0,20.21,282.0,31
CDM,118365,SMEAR AFB,428.0,428.0,36.81,513.6,31
CDM,118366,SMEAR MODIFIED KINYON,428.0,428.0,36.81,513.6,31
CDM,118371,SMEAR CYCLOSPORA STAIN,554.0,554.0,47.64,664.8,31
CDM,118373,SMR BLD PARASIT/INCL BDY,554.0,554.0,47.64,664.8,31
CDM,118375,CRYPTOCOCCUS SMEAR,465.0,465.0,39.99,558.0,31
CDM,118377,SMEAR WET MOUNT,465.0,465.0,39.99,558.0,31
CDM,118380,C DIFFICILE TOXIN TC,537.0,537.0,46.18,644.4,31
CDM,118380,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",537.0,537.0,19.54,60.21,37
CDM,118380,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) UNSCHEDULED",537.0,537.0,118.3,120.79,3
CDM,118381,CULT HERPES SIMP 1&2,714.0,714.0,61.4,856.8,31
CDM,118384,CULT CMV,714.0,714.0,61.4,856.8,31
CDM,118388,INFLUENZA B AG IFT,96.0,96.0,8.26,115.2,31
CDM,118388,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,96.0,96.0,12.13,37.36,37
CDM,118388,Infectious agent antigen detection by immunofluorescent technique; influenza B virus UNSCHEDULED,96.0,96.0,163.31,166.75,3
CDM,118389,INFLUENZA A AG IFT,96.0,96.0,8.26,115.2,31
CDM,118389,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,96.0,96.0,15.91,49.01,37
CDM,118389,Infectious agent antigen detection by immunofluorescent technique; influenza A virus UNSCHEDULED,96.0,96.0,163.31,166.75,3
CDM,118390,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,669.0,669.0,15.44,47.58,37
CDM,118390,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila UNSCHEDULED,669.0,669.0,169.59,173.16,3
CDM,118390,LEG PNEUMOPHILIA AG IFT,669.0,669.0,57.53,802.8,31
CDM,118392,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,113.0,113.0,13.29,40.93,37
CDM,118392,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus UNSCHEDULED,113.0,113.0,109.92,112.24,3
CDM,118392,RSV AG IFT,113.0,113.0,9.72,135.6,31
CDM,118393,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,162.0,162.0,11.86,36.54,37
CDM,118393,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii UNSCHEDULED,162.0,162.0,109.92,112.24,3
CDM,118393,PNEUMOCYSTIS CARINII IFT,162.0,162.0,13.93,194.4,31
CDM,118396,C DIFFICILE TOXIN AG EIA,537.0,537.0,46.18,644.4,31
CDM,118396,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",537.0,537.0,11.86,166.75,40
CDM,118398,CRYPTOSPORIDIUM AG EIA,231.0,231.0,19.87,277.2,31
CDM,118399,GIARDIA AG EIA,231.0,231.0,19.87,277.2,31
CDM,118402,H PYLORI AG EIA STOOL,143.0,143.0,12.3,171.6,31
CDM,118402,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",143.0,143.0,14.24,112.24,40
CDM,118403,HEP B S AG EIA QL,91.0,91.0,7.83,109.2,31
CDM,118405,HEP BE AG EIA,102.0,102.0,8.77,122.4,31
CDM,118405,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",102.0,102.0,11.41,35.17,40
CDM,118406,HISTOPLASMA CAPS AG EIA,400.0,400.0,34.4,480.0,31
CDM,118406,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",400.0,400.0,13.12,88.73,40
CDM,118407,INFLUENZA A AG IA,712.0,712.0,61.23,854.4,31
CDM,118408,INFLUENZA B AG IA,712.0,712.0,61.23,854.4,31
CDM,118409,RSV AG IA,1231.0,1231.0,105.87,1477.2,31
CDM,118411,SHIGA LIKE TOXIN EIA,94.0,94.0,8.08,112.8,31
CDM,118412,STREP A AG IA,847.0,847.0,72.84,1016.4,31
CDM,118413,LEGIONELLA AG EIA,400.0,400.0,34.4,480.0,31
CDM,118415,CHLAMYDIA T DIR PROBE,113.0,113.0,9.72,135.6,31
CDM,118415,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",113.0,113.0,22.52,69.39,37
CDM,118415,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique UNSCHEDULED",113.0,113.0,152.85,156.06,3
CDM,118417,CMV AMP PROBE,729.0,729.0,62.69,874.8,31
CDM,118418,HEP C RNA QN,1218.0,1218.0,104.75,1461.6,31
CDM,118419,HIV-1 AMP PROBE,237.0,237.0,20.38,284.4,31
CDM,118421,GC DIR PROBE,113.0,113.0,9.72,135.6,31
CDM,118421,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",113.0,113.0,26.61,81.98,37
CDM,118421,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique UNSCHEDULED",113.0,113.0,152.85,156.06,3
CDM,118427,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",1434.0,1434.0,12.6,38.83,37
CDM,118427,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B UNSCHEDULED",1434.0,1434.0,109.92,112.24,3
CDM,118427,STREP GR B OPTICAL IA,1434.0,1434.0,123.32,1720.8,31
CDM,118428,INFLUENZA VIRUS AG OIA,130.0,130.0,11.18,156.0,31
CDM,118429,RSV AG OIA,123.0,123.0,10.58,147.6,31
CDM,118432,STREP A OPTICAL IA,1854.0,1854.0,159.44,2224.8,31
CDM,118433,STREP PNEUMO AG OIA,113.0,113.0,9.72,135.6,31
CDM,118436,N MENINGITIDIS AG OIA,113.0,113.0,9.72,135.6,31
CDM,11850,PROCHLORPER 25MG SUPP,67.0,67.0,3.55,80.4,48
CDM,118575,CELL COUNT BODY FLD,188.0,188.0,16.17,225.6,31
CDM,118576,CELL COUNT CSF,188.0,188.0,16.17,225.6,31
CDM,118577,CELL CT & DIFF CSF,379.0,379.0,32.59,454.8,31
CDM,118579,CELL CT&DIFF BODY FL,48.0,48.0,4.13,57.6,31
CDM,118580,FECAL WBC COUNT QL,207.0,207.0,17.8,248.4,31
CDM,118581,CRYSTALS BODY FL,379.0,379.0,32.59,454.8,31
CDM,118582,FAT STAIN,65.0,65.0,5.59,78.0,31
CDM,118582,"Fat stain, feces, urine, or respiratory secretions ",65.0,65.0,5.82,17.93,37
CDM,118582,"Fat stain, feces, urine, or respiratory secretions UNSCHEDULED",65.0,65.0,99.46,101.55,3
CDM,118590,SEMEN ANALYSIS MOT & CT,609.0,609.0,52.37,730.8,31
CDM,118590,Semen analysis; motility and count (not including Huhner test) ,609.0,609.0,8.52,26.26,37
CDM,118592,DRUG SCRN COLLECT W COC,384.0,384.0,20.35,460.8,40
CDM,118592,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,384.0,384.0,6.63,6.63,1
CDM,118592,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) SCHEDULED,384.0,384.0,3.8,3.88,3
CDM,118592,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) UNSCHEDULED,384.0,384.0,65.96,67.35,3
CDM,11866,PILOCARPINE .5% OP 15ML,447.0,447.0,23.69,536.4,49
CDM,11867,PILOCARPINE 1% OP 15ML,299.0,299.0,15.85,358.8,49
CDM,11868,PILOCARPINE 2% OP 15ML,378.0,378.0,20.03,453.6,49
CDM,118711,FLUOXETINE PROZAC QN,157.0,157.0,13.5,188.4,31
CDM,11872,PILOCARPINE 4% OP 15ML,650.0,650.0,34.45,780.0,49
CDM,118763,ALBUMIN SERUM QN,22.0,22.0,1.89,26.4,31
CDM,118771,ALDOSTERONE UR QN,22.0,22.0,1.89,26.4,31
CDM,11885,ATROPINE OPHTHAL,215.0,215.0,11.39,258.0,30
CDM,118858,CHL HYDROCARBONS QUAL,189.0,189.0,16.25,226.8,31
CDM,118858,"Chlorinated hydrocarbons, screen ",189.0,189.0,5.95,18.33,37
CDM,118858,"Chlorinated hydrocarbons, screen UNSCHEDULED",189.0,189.0,80.61,82.3,3
CDM,118945,IGD EA,45.0,45.0,3.87,54.0,31
CDM,118946,IGG EA,10.0,10.0,0.86,12.0,31
CDM,118947,IGG CSF EA,17.0,17.0,1.46,20.4,31
CDM,118994,"Hemoglobin; methemoglobin, quantitative ",50.0,50.0,8.12,25.01,37
CDM,118994,"Hemoglobin; methemoglobin, quantitative UNSCHEDULED",50.0,50.0,43.97,44.89,3
CDM,118994,METHEMOGLOBIN QUANT,50.0,50.0,4.3,60.0,31
CDM,119027,CHROMATIN AB IA QL,180.0,180.0,15.48,216.0,31
CDM,119038,PTH RELATED PROTEIN RIA,25.0,25.0,2.15,30.0,31
CDM,119060,INTERLEUKIN 6 IA QN,52.0,52.0,4.47,62.4,31
CDM,119060,Interleukin-6 (IL-6) ,52.0,52.0,17.1,52.67,37
CDM,119060,Interleukin-6 (IL-6) UNSCHEDULED,52.0,52.0,80.61,82.3,3
CDM,11907,HYPROMELLOSE,56.0,56.0,2.97,67.2,48
CDM,119077,SULFATIDE AB IA QN,702.0,702.0,60.37,842.4,31
CDM,119095,INSULIN TOTAL,28.0,28.0,2.41,33.6,31
CDM,119141,METANEPHRINES FRACT,15.0,15.0,1.29,18.0,31
CDM,119194,PTH C TERMINAL,327.0,327.0,28.12,392.4,31
CDM,119196,PTH N TERMINAL,327.0,327.0,28.12,392.4,31
CDM,119198,PTH MID MOLECULE,327.0,327.0,28.12,392.4,31
CDM,119356,"Clotting; factor VIII, VW factor, ristocetin cofactor ",57.0,57.0,22.71,69.97,37
CDM,119356,"Clotting; factor VIII, VW factor, ristocetin cofactor UNSCHEDULED",57.0,57.0,106.78,109.03,3
CDM,119356,FACTOR 8 RISTOCETIN,57.0,57.0,4.9,68.4,31
CDM,119384,FIBRINOGEN ANTIGEN,143.0,143.0,12.3,171.6,31
CDM,119384,Fibrinogen; antigen ,143.0,143.0,14.32,44.1,37
CDM,119384,Fibrinogen; antigen UNSCHEDULED,143.0,143.0,61.77,63.07,3
CDM,119392,FETAL SCREEN (ROSETTE),443.0,443.0,38.1,531.6,31
CDM,11943,SILVER SULF 1% 50GM CRM,165.0,165.0,8.74,198.0,48
CDM,11944,SILVER SULF 1% 400GM CRM,493.0,493.0,26.13,591.6,48
CDM,119452,PLATELET AB HLA CLASS,53.0,53.0,4.56,63.6,31
CDM,119453,PLT AB HEPARIN INDUCED,180.0,180.0,15.48,216.0,31
CDM,119519,HISTONE AB QN EIA,180.0,180.0,15.48,216.0,31
CDM,119657,VDRL BLD QUANT,400.0,400.0,34.4,480.0,31
CDM,119658,VDRL CSF QN,13.2,13.2,1.14,15.84,31
CDM,119699,LYME AB WESTERN BLOT,135.0,135.0,11.61,162.0,31
CDM,11972,SUFENTANIL 250MCG AMP,1239.0,1239.0,65.67,1486.8,48
CDM,119760,COXSACKIE B AB QL,65.0,65.0,5.59,78.0,31
CDM,119813,SACCHAROMYCES AB IGA,64.0,64.0,5.5,76.8,31
CDM,119814,SACCHAROMYCES AB IGG,64.0,64.0,5.5,76.8,31
CDM,119820,GIARDIA AB QL SQN,141.0,141.0,12.13,169.2,31
CDM,11983,SULFACETAMIDE OPHTH,68.0,68.0,3.6,81.6,30
CDM,119830,SCHISTOSOMA AB QUAL,83.0,83.0,7.14,99.6,31
CDM,119855,HIV-1 AB QUAL,43.0,43.0,3.7,51.6,31
CDM,119856,HIV-2 AB QUAL,70.0,70.0,6.02,84.0,31
CDM,11990,GENTAMICIN 0.3% OPH 5ML,17.0,17.0,0.9,20.4,49
CDM,119919,RUBEOLA IGG,47.0,47.0,4.04,56.4,31
CDM,119945,HERPES 6 HUMAN AB IGG QL,88.0,88.0,7.57,105.6,31
CDM,119946,HERPES 6 HUMAN AB IGM QL,88.0,88.0,7.57,105.6,31
CDM,119947,HTLV 1 2 AB QL,230.0,230.0,19.78,276.0,31
CDM,11997,PREDNISOLON AC 1% OP 5ML,17.0,17.0,0.9,20.4,49
CDM,120077,GRAM STAIN PRIMARY SRCE,84.0,84.0,7.22,100.8,31
CDM,120078,CRYPTOSPORIDIUM SMEAR,178.0,178.0,15.31,213.6,31
CDM,120139,ASPERGILLUS AG EIA,283.0,283.0,24.34,339.6,31
CDM,120211,HIV-1 AMP PROBE,226.0,226.0,19.44,271.2,31
CDM,120235,EBV AMP PROBE,464.0,464.0,39.9,556.8,31
CDM,120237,HTLV2 AMP PROBE,167.0,167.0,14.36,200.4,31
CDM,120238,VARICELLA ZOSTER DNA AMP,322.0,322.0,27.69,386.4,31
CDM,120262,STREP PNEUMO AG OIA,26.0,26.0,2.24,31.2,31
CDM,12055,SOD BIPHOS/POT PHOS PKT,28.0,28.0,1.48,33.6,48
CDM,120776,PHILADELPHIA CHROMOSOME,353.0,353.0,30.36,423.6,31
CDM,12082,BACITRAC/POLYM OPH 3.5GM,212.0,212.0,11.24,254.4,48
CDM,12083,TROPICAMIDE 1% OPH SOL,148.0,148.0,7.84,177.6,48
CDM,12085,PHENYLEPHRIN 2.5% OP 2ML,17.0,17.0,0.9,20.4,49
CDM,12093,TRACE METALS 3ML VL,339.0,339.0,17.97,406.8,48
CDM,12094,ETHYL ALCOHL 98% AMP 5ML,594.0,594.0,31.48,712.8,48
CDM,121020,MORPH ANAL MAN INI PROBE,161.0,161.0,13.85,193.2,34
CDM,12118,INH ACETYLCYSTN 10% 4ML,72.0,72.0,3.82,86.4,30
CDM,12119,INH ACETYLCYST NONCMP 1G,108.0,108.0,5.72,129.6,30
CDM,12123,INH ACETYLCYSTN 20% 4ML,153.0,153.0,8.11,183.6,30
CDM,12124,INH ACETYLCYSTN 20% 10ML,183.0,183.0,9.7,219.6,30
CDM,12125,INH ACETYLCYSTN 20% 30ML,186.0,186.0,9.86,223.2,30
CDM,12131,SODIUM CL 3% IHN VL,0.6,0.6,0.03,0.72,48
CDM,121388,CARDIOVERSION EXTERNAL,2211.0,2211.0,190.15,2653.2,38
CDM,121389,EKG TRACING ONLY,1715.0,1715.0,147.49,2058.0,36
CDM,121389,"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report ",1715.0,1715.0,,,0
CDM,121389,"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report SCHEDULED",1715.0,1715.0,15.2,15.52,3
CDM,121389,"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report UNSCHEDULED",1715.0,1715.0,270.1,275.79,3
CDM,121391,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation an",10368.0,10368.0,59.85,1180.11,6
CDM,121391,STRESS TEST,10368.0,10368.0,891.65,12441.6,36
CDM,121392,RHYTHM STRIP TRACE,539.0,539.0,46.35,646.8,36
CDM,121392,"Rhythm ECG, 1-3 leads; tracing only without interpretation and report ",539.0,539.0,,,0
CDM,121392,"Rhythm ECG, 1-3 leads; tracing only without interpretation and report SCHEDULED",539.0,539.0,29.45,30.07,3
CDM,121392,"Rhythm ECG, 1-3 leads; tracing only without interpretation and report UNSCHEDULED",539.0,539.0,110.97,113.31,3
CDM,121393,"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection) ",7435.0,7435.0,,,0
CDM,121393,"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection) SCHEDULED",7435.0,7435.0,43.7,44.62,3
CDM,121393,"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection) UNSCHEDULED",7435.0,7435.0,494.13,504.54,3
CDM,121393,HOLTER RECORD VISUAL,7435.0,7435.0,639.41,8922.0,36
CDM,12140,ALBUTEROL 0.83MG/ML 3ML,14.0,14.0,0.74,16.8,48
CDM,121401,TILT TABLE W/WO RX,14951.0,14951.0,1943.63,17941.2,28
CDM,121419,MUL SLEEP LATENCY,11343.0,11343.0,975.5,13611.6,43
CDM,121419,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness ",11343.0,11343.0,4033.0,4033.0,1
CDM,121419,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness SCHEDULED",11343.0,11343.0,393.3,401.58,3
CDM,121419,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness UNSCHEDULED",11343.0,11343.0,5813.44,5935.83,3
CDM,121420,POLYSOMNOGRAPHY >4 PAR,11343.0,11343.0,975.5,13611.6,43
CDM,121420,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",11343.0,11343.0,4033.0,4033.0,1
CDM,121420,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist SCHEDULED",11343.0,11343.0,538.65,549.99,3
CDM,121420,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist UNSCHEDULED",11343.0,11343.0,5813.44,5935.83,3
CDM,121428,SP AORTOGM TH W/FILM,7963.0,7963.0,684.82,9555.6,31
CDM,121429,SP AORTOGM ABD W/FILM,8382.0,8382.0,720.85,10058.4,31
CDM,121430,SP AORTOGM ABD W/RNF,7014.0,7014.0,603.2,8416.8,31
CDM,121443,SP ANGIO EXT UNI LT,6247.0,6247.0,537.24,7496.4,31
CDM,121444,SP ANGIO EXT UNI RT,6247.0,6247.0,537.24,7496.4,31
CDM,121445,SP ANGIO EXT BI,7142.0,7142.0,614.21,8570.4,31
CDM,121450,SP ANGIO PELVIC,23534.0,23534.0,2023.92,28240.8,31
CDM,121451,SP ANGIO PULM SEL UNI RT,4062.0,4062.0,349.33,4874.4,31
CDM,121452,SP ANGIO PULM SEL UNI LT,4062.0,4062.0,349.33,4874.4,31
CDM,121453,SP ANGIO PULM SEL BI,6489.0,6489.0,558.05,7786.8,31
CDM,121462,SP VENOCAVAGM INF,15242.0,15242.0,1310.81,18290.4,31
CDM,121489,XR FLUOROSCOPY 0-60 MIN,3389.0,3389.0,291.45,4066.8,31
CDM,12149,FENTANYL 25MCG/HR PAT,306.0,306.0,16.22,367.2,48
CDM,12150,FENTANYL 50MCG/HR PAT,471.0,471.0,24.96,565.2,48
CDM,121506,CPR,1319.0,1319.0,69.91,1582.8,34
CDM,121507,TEMP EXTERNAL PACING,3596.0,3596.0,309.26,4315.2,38
CDM,121507,Temporary transcutaneous pacing ,3596.0,3596.0,7500.0,8100.0,2
CDM,121507,Temporary transcutaneous pacing SCHEDULED,3596.0,3596.0,33.25,33.95,3
CDM,121507,Temporary transcutaneous pacing UNSCHEDULED,3596.0,3596.0,8876.67,9063.54,3
CDM,121508,CARDIOVERSION EXTERNAL,2211.0,2211.0,190.15,2653.2,38
CDM,121509,PERC TRANS CORON THROM,4263.0,4263.0,225.94,5115.6,34
CDM,12151,FENTANYL 75MCG/HR PAT,541.0,541.0,28.67,649.2,48
CDM,121511,IVUS INITIAL VESSEL,29027.0,29027.0,1538.43,34832.4,41
CDM,121512,IVUS EA ADDL VESSEL,16605.0,16605.0,880.07,19926.0,41
CDM,121516,TEE 2D W/WOM MODE COMP,28785.0,28785.0,2475.51,34542.0,36
CDM,12152,FENTANYL 100MCG/HR PAT,559.0,559.0,29.63,670.8,48
CDM,121521,INSERTION FLO DR CATH,4649.0,4649.0,246.4,5578.8,34
CDM,121523,VELOCITY BLD FLOW INT,2212.0,2212.0,117.24,2654.4,34
CDM,121524,VELOCITY BLD FLOW EA ADD,1476.0,1476.0,78.23,1771.2,34
CDM,121525,BUNDLE OF HIS RECORDING,45892.0,45892.0,5965.96,55070.4,25
CDM,121525,Bundle of His recording ,45892.0,45892.0,6826.0,46072.0,21
CDM,121525,Bundle of His recording Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CDM,121525,Bundle of His recording PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CDM,121525,Bundle of His recording SCHEDULED,45892.0,45892.0,69.35,70.81,3
CDM,121525,Bundle of His recording UNSCHEDULED,45892.0,45892.0,11370.38,11609.76,3
CDM,121526,INTRA ATRIAL RECORDING,45892.0,45892.0,5965.96,55070.4,25
CDM,121526,Intra-atrial recording ,45892.0,45892.0,6826.0,46072.0,21
CDM,121526,Intra-atrial recording Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CDM,121526,Intra-atrial recording PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CDM,121526,Intra-atrial recording SCHEDULED,45892.0,45892.0,39.9,40.74,3
CDM,121526,Intra-atrial recording UNSCHEDULED,45892.0,45892.0,11370.38,11609.76,3
CDM,121527,RT VENTRICULAR RECORDING,45892.0,45892.0,5965.96,55070.4,25
CDM,121527,Right ventricular recording ,45892.0,45892.0,6826.0,46072.0,21
CDM,121527,Right ventricular recording Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CDM,121527,Right ventricular recording PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CDM,121527,Right ventricular recording SCHEDULED,45892.0,45892.0,59.85,61.11,3
CDM,121527,Right ventricular recording UNSCHEDULED,45892.0,45892.0,11370.38,11609.76,3
CDM,121528,IV/IA MAP ID ORIGIN,45892.0,45892.0,2432.28,55070.4,26
CDM,121528,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,45892.0,45892.0,95.95,46072.0,29
CDM,121529,IA PACING,45892.0,45892.0,5965.96,55070.4,25
CDM,121529,Intra-atrial pacing ,45892.0,45892.0,6826.0,46072.0,21
CDM,121529,Intra-atrial pacing Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CDM,121529,Intra-atrial pacing PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CDM,121529,Intra-atrial pacing SCHEDULED,45892.0,45892.0,49.4,50.44,3
CDM,121529,Intra-atrial pacing UNSCHEDULED,45892.0,45892.0,623.95,637.09,3
CDM,121530,IV PACING,45892.0,45892.0,5965.96,55070.4,25
CDM,121530,Intraventricular pacing ,45892.0,45892.0,6826.0,46072.0,21
CDM,121530,Intraventricular pacing Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CDM,121530,Intraventricular pacing PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CDM,121530,Intraventricular pacing SCHEDULED,45892.0,45892.0,57.95,59.17,3
CDM,121530,Intraventricular pacing UNSCHEDULED,45892.0,45892.0,11370.38,11609.76,3
CDM,121531,INTRACARD EP 3D MAPPING,45892.0,45892.0,2432.28,55070.4,26
CDM,121531,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,45892.0,45892.0,6826.0,46072.0,21
CDM,121531,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CDM,121531,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CDM,121531,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) SCHEDULED,45892.0,45892.0,397.1,405.46,3
CDM,121531,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) UNSCHEDULED,45892.0,45892.0,11370.38,11609.76,3
CDM,121532,ARRHYTHMIA INDUCE ELECT,45892.0,45892.0,5965.96,55070.4,25
CDM,121532,Induction of arrhythmia by electrical pacing ,45892.0,45892.0,6826.0,46072.0,21
CDM,121532,Induction of arrhythmia by electrical pacing Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CDM,121532,Induction of arrhythmia by electrical pacing PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CDM,121532,Induction of arrhythmia by electrical pacing SCHEDULED,45892.0,45892.0,140.6,143.56,3
CDM,121532,Induction of arrhythmia by electrical pacing UNSCHEDULED,45892.0,45892.0,11370.38,11609.76,3
CDM,121533,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",50675.0,50675.0,275.5,46072.0,34
CDM,121533,EP W/O ARRHYTHMIA,50675.0,50675.0,6587.75,60810.0,20
CDM,121534,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,50675.0,50675.0,86.45,46072.0,34
CDM,121534,EP W/ARRHYTHMIA,50675.0,50675.0,6587.75,60810.0,20
CDM,121535,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,50675.0,50675.0,6826.0,46072.0,26
CDM,121535,EP W/LA REC W/ARRHYTHMIA,50675.0,50675.0,2685.78,60810.0,26
CDM,121536,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,48288.0,48288.0,6826.0,46072.0,26
CDM,121536,EP W/LVREC W/ARRHYTHMIA,48288.0,48288.0,2559.26,57945.6,26
CDM,121537,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,50675.0,50675.0,6826.0,46072.0,21
CDM,121537,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) Cardiac Surgical Services,50675.0,50675.0,7950.0,7950.0,1
CDM,121537,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) PTCA/Angioplasty/ EP Studies,50675.0,50675.0,8300.0,8300.0,1
CDM,121537,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) UNSCHEDULED,50675.0,50675.0,11370.38,11609.76,3
CDM,121537,STIM & PACE AFTER IV INF,50675.0,50675.0,2685.78,60810.0,26
CDM,121538,EP FOLLOWUP,45892.0,45892.0,5965.96,55070.4,20
CDM,121538,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",45892.0,45892.0,6826.0,46072.0,26
CDM,121538,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia Cardiac Surgical Services",45892.0,45892.0,7950.0,7950.0,1
CDM,121538,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia PTCA/Angioplasty/ EP Studies",45892.0,45892.0,8300.0,8300.0,1
CDM,121538,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia SCHEDULED",45892.0,45892.0,70.3,71.78,3
CDM,121538,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia UNSCHEDULED",45892.0,45892.0,11370.38,11609.76,3
CDM,121539,AICD LEAD TEST INIT,6010.0,6010.0,318.53,7212.0,29
CDM,121539,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",6010.0,6010.0,255.55,46072.0,19
CDM,12154,FENTANYL 12 MCG/HR PATCH,143.0,143.0,7.58,171.6,48
CDM,121540,AICD LEAD/GEN TEST INIT,6010.0,6010.0,318.53,7212.0,24
CDM,121540,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",6010.0,6010.0,255.55,46072.0,24
CDM,121541,AICD EVAL & REPROGRAM,6010.0,6010.0,781.3,7212.0,28
CDM,121541,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",6010.0,6010.0,255.55,46072.0,19
CDM,121542,ABLATION AV NODE W/WO,74749.0,74749.0,9717.37,89698.8,20
CDM,121542,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",74749.0,74749.0,6826.0,46072.0,26
CDM,121542,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement Cardiac Surgical Servi",74749.0,74749.0,7950.0,7950.0,1
CDM,121542,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement PTCA/Angioplasty/ EP S",74749.0,74749.0,8300.0,8300.0,1
CDM,121542,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement SCHEDULED",74749.0,74749.0,788.5,805.1,3
CDM,121542,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement UNSCHEDULED",74749.0,74749.0,17325.15,17689.89,3
CDM,121545,TILT TABLE W/WO RX,14951.0,14951.0,1943.63,17941.2,28
CDM,121546,INTRACARDIAC ECHO,15813.0,15813.0,838.09,18975.6,29
CDM,121546,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",15813.0,15813.0,6826.0,46072.0,11
CDM,121546,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) Cardiac Surgical ",15813.0,15813.0,7950.0,7950.0,1
CDM,121546,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) PTCA/Angioplasty/",15813.0,15813.0,8300.0,8300.0,1
CDM,121546,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) UNSCHEDULED",15813.0,15813.0,11370.38,11609.76,3
CDM,121549,IV INITIAL UP TO 1 HOUR,187.0,187.0,16.08,224.4,41
CDM,12157,RISPERIDONE ODT 1MG,63.0,63.0,3.34,75.6,48
CDM,121578,LOCM 300-399 IC 1ML,6.0,6.0,0.32,7.2,29
CDM,12159,RISPERIDONE 3MG TAB,84.0,84.0,4.45,100.8,48
CDM,121614,CATH IVC/SVC,5452.0,5452.0,288.96,6542.4,34
CDM,121615,CATH AORTA,14968.0,14968.0,793.3,17961.6,34
CDM,121616,CATH 1ST ORD UP ART,11875.0,11875.0,629.38,14250.0,34
CDM,121617,CATH 2ND ORD UP ART,7282.0,7282.0,385.95,8738.4,34
CDM,121618,CATH 3RD ORD UP ART,10727.0,10727.0,568.53,12872.4,34
CDM,121619,CATH 1ST OD LOW ART,4902.0,4902.0,259.81,5882.4,34
CDM,121620,CATH 2ND OD LOW ART,8756.0,8756.0,464.07,10507.2,34
CDM,121621,CATH 3RD OD LOW ART,9370.0,9370.0,496.61,11244.0,34
CDM,121629,CATH EA ADDL LOW ART,6175.0,6175.0,327.27,7410.0,34
CDM,12163,RISPERIDONE ODT 0.5MG,43.0,43.0,2.28,51.6,48
CDM,121636,NDL/INCATH EXT ART,6597.0,6597.0,349.64,7916.4,34
CDM,121649,PPM ATRIAL,41721.0,41721.0,2211.21,50065.2,34
CDM,121650,PPM VENT,55636.0,55636.0,2948.71,66763.2,34
CDM,121651,INS TEMP PACER SGL,58564.0,58564.0,3103.89,70276.8,34
CDM,121652,INS TEMP PACER DUAL,41721.0,41721.0,2211.21,50065.2,34
CDM,121653,REPL GEN ATR/VENT SGL,92238.0,92238.0,4888.61,110685.6,34
CDM,121654,REPL GEN ATR/VENT DUAL,55636.0,55636.0,2948.71,66763.2,34
CDM,121655,UPGRADE PPM SGL TO DUAL,41721.0,41721.0,2211.21,50065.2,34
CDM,121657,INS LEAD PACE/DEFIB DUAL,41721.0,41721.0,2211.21,50065.2,34
CDM,121658,REPAIR LEAD SGL,41721.0,41721.0,2211.21,50065.2,34
CDM,121659,REPAIR LEAD DUAL,41721.0,41721.0,2211.21,50065.2,34
CDM,121660,REVISE PACER POCKET,41721.0,41721.0,2211.21,50065.2,34
CDM,121661,REVISE ICD POCKET,41721.0,41721.0,2211.21,50065.2,34
CDM,121662,REMOVE PACER GENERATOR,41721.0,41721.0,2211.21,50065.2,34
CDM,121664,REMOVE LEADS AT/VE DUAL,41721.0,41721.0,2211.21,50065.2,34
CDM,121665,REMOVE ICD GEN,41721.0,41721.0,2211.21,50065.2,34
CDM,121666,REMOVE ICD LEAD EXTRACT,41721.0,41721.0,2211.21,50065.2,34
CDM,121690,CATH PULM ART UNI LT,5474.0,5474.0,290.12,6568.8,34
CDM,121691,CATH PULM ART UNI RT,5474.0,5474.0,290.12,6568.8,34
CDM,121693,INS/REP OF PPM ATR/VENT,70277.0,70277.0,3724.68,84332.4,34
CDM,121697,REM ELECTRODE SGL LD SYS,41721.0,41721.0,2211.21,50065.2,34
CDM,121702,OCCLUSIVE DEVICE VEN/ART,2197.0,2197.0,116.44,2636.4,29
CDM,121702,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",2197.0,2197.0,1423.0,4750.0,8
CDM,121702,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) UNSCHEDULED",2197.0,2197.0,331.86,338.85,3
CDM,121707,INS SINGLE CHAMBER ICD,41721.0,41721.0,2211.21,50065.2,34
CDM,121710,INS ICD LEAD/GENERATOR,48411.0,48411.0,2565.78,58093.2,34
CDM,121720,IMP PT-ACT CARD EVNT REC,48411.0,48411.0,2565.78,58093.2,34
CDM,121734,CATH EA ADDL LOW ART,5404.0,5404.0,286.41,6484.8,34
CDM,121744,INSERT LV LEAD,117128.0,117128.0,6207.78,140553.6,34
CDM,121748,REMOVAL LOOP RECORDER,6357.0,6357.0,336.92,7628.4,34
CDM,12176,PHENYTOIN 100MG/4ML LIQ,40.0,40.0,2.12,48.0,48
CDM,121760,CATH EA ADDL UP ART,3647.0,3647.0,193.29,4376.4,34
CDM,121761,COMM/CAROT STENT W/O DPD,39731.0,39731.0,2105.74,47677.2,34
CDM,12177,PERPHENAZINE 4 MG PO,33.0,33.0,1.75,39.6,30
CDM,121773,PB VALVUPLSTY AORTIC VAL,20935.0,20935.0,1109.56,25122.0,34
CDM,121775,PB VALVUPLSTY PULMON VAL,42868.0,42868.0,2272.0,51441.6,34
CDM,12178,CHLORHEX GLUC .12% RINSE,15.0,15.0,0.8,18.0,48
CDM,121785,BIOPSY ENDOMYOCARDIAL,5877.0,5877.0,311.48,7052.4,34
CDM,121789,INSERTION IABP PERC,16376.0,16376.0,867.93,19651.2,34
CDM,121800,ILC/FEM ART ANG AT CCATH,20125.0,20125.0,1066.63,24150.0,34
CDM,121842,POLY >4 PAR W/CPAP OR BV,12449.0,12449.0,1070.61,14938.8,43
CDM,121842,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a",12449.0,12449.0,563.35,6530.16,7
CDM,121845,EEG REC AW & DROWSY,3050.0,3050.0,262.3,3660.0,41
CDM,121845,Electroencephalogram (EEG); including recording awake and drowsy SCHEDULED,3050.0,3050.0,337.25,344.35,3
CDM,121845,Electroencephalogram (EEG); including recording awake and drowsy UNSCHEDULED,3050.0,3050.0,793.55,810.26,3
CDM,121846,EEG REC AW & ASLEEP,3210.0,3210.0,276.06,3852.0,41
CDM,121846,Electroencephalogram (EEG); including recording awake and asleep SCHEDULED,3210.0,3210.0,412.3,420.98,3
CDM,121846,Electroencephalogram (EEG); including recording awake and asleep UNSCHEDULED,3210.0,3210.0,872.07,890.43,3
CDM,121847,EEG COMA OR SLEEP ONLY,583.0,583.0,50.14,699.6,41
CDM,121847,Electroencephalogram (EEG); recording in coma or sleep only SCHEDULED,583.0,583.0,368.6,376.36,3
CDM,121847,Electroencephalogram (EEG); recording in coma or sleep only UNSCHEDULED,583.0,583.0,925.46,944.94,3
CDM,121848,EEG CEREB DEATH,3777.0,3777.0,324.82,4532.4,41
CDM,121848,Electroencephalogram (EEG); cerebral death evaluation only SCHEDULED,3777.0,3777.0,9.5,9.7,3
CDM,121848,Electroencephalogram (EEG); cerebral death evaluation only UNSCHEDULED,3777.0,3777.0,925.46,944.94,3
CDM,121863,SHRT LATENCY SOMA UP LMB,2249.0,2249.0,193.41,2698.8,48
CDM,121863,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs SCHEDULED",2249.0,2249.0,123.5,126.1,3
CDM,121863,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs UNSCHEDULED",2249.0,2249.0,898.24,917.15,3
CDM,121868,VISUAL EVOKED POT VEP,1216.0,1216.0,104.58,1459.2,48
CDM,121868,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report SCHEDULED",1216.0,1216.0,53.2,54.32,3
CDM,121868,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report UNSCHEDULED",1216.0,1216.0,879.4,897.91,3
CDM,121877,EEG NONINTRACRANIAL SURG,3469.0,3469.0,183.86,4162.8,42
CDM,121877,"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery) SCHEDULED",3469.0,3469.0,171.0,174.6,3
CDM,121877,"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery) UNSCHEDULED",3469.0,3469.0,631.28,644.57,3
CDM,121890,THER APHERESIS PLASMA,13292.0,13292.0,2126.72,15950.4,12
CDM,121890,Therapeutic apheresis; for plasma pheresis ,13292.0,13292.0,1950.0,9710.0,23
CDM,121890,Therapeutic apheresis; for plasma pheresis Other Surgical Services,13292.0,13292.0,2850.0,2850.0,1
CDM,121890,Therapeutic apheresis; for plasma pheresis SCHEDULED,13292.0,13292.0,5556.95,5673.94,3
CDM,121890,Therapeutic apheresis; for plasma pheresis UNSCHEDULED,13292.0,13292.0,2762.77,2820.93,3
CDM,121891,HEMODIALYSIS SGL PHY EVL,1291.0,1291.0,111.03,1549.2,43
CDM,121891,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,1291.0,1291.0,,,0
CDM,121891,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional SCHEDULED,1291.0,1291.0,84.55,86.33,3
CDM,121891,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional UNSCHEDULED,1291.0,1291.0,3533.29,3607.67,3
CDM,121892,DIALYSIS CCPD,1337.0,1337.0,70.86,1604.4,49
CDM,121895,EMERGENT DIALYSIS ESRD,1722.0,1722.0,177.37,2066.4,29
CDM,121898,HEMODIALYSIS IN,1291.0,1291.0,68.42,1549.2,49
CDM,121900,CRRT HEMOFILTRATION,1291.0,1291.0,68.42,1549.2,49
CDM,121901,DIALYSIS CAPD,1341.0,1341.0,71.07,1609.2,49
CDM,121903,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; ",768.0,768.0,820.91,820.91,1
CDM,121903,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; UNSCHEDULED",768.0,768.0,653.27,667.02,3
CDM,121903,US FETAL CARDIOVASC,768.0,768.0,66.05,921.6,31
CDM,121904,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study ",617.0,617.0,391.22,391.22,1
CDM,121904,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study UNSCHEDULED",617.0,617.0,653.27,667.02,3
CDM,121904,US FETAL CARDIOVASC F/U,617.0,617.0,53.06,740.4,31
CDM,121905,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete ",768.0,768.0,185.25,185.25,1
CDM,121905,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete UNSCHEDULED",768.0,768.0,653.27,667.02,3
CDM,121905,US FETAL HEART DOPP,768.0,768.0,66.05,921.6,31
CDM,121906,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study ",617.0,617.0,185.25,185.25,1
CDM,121906,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study UNSCHEDULED",617.0,617.0,653.27,667.02,3
CDM,121906,US FETAL HEART DOPP F/U,617.0,617.0,53.06,740.4,31
CDM,121914,ECHO ANOMALIES COMP,8968.0,8968.0,771.25,10761.6,36
CDM,121914,Transthoracic echocardiography for congenital cardiac anomalies; complete ,8968.0,8968.0,,,0
CDM,121914,Transthoracic echocardiography for congenital cardiac anomalies; complete SCHEDULED,8968.0,8968.0,186.2,190.12,3
CDM,121914,Transthoracic echocardiography for congenital cardiac anomalies; complete UNSCHEDULED,8968.0,8968.0,1792.29,1830.02,3
CDM,121915,ECHO ANOMALIES LTD,7176.0,7176.0,617.14,8611.2,36
CDM,121915,Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study ,7176.0,7176.0,,,0
CDM,121915,Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study SCHEDULED,7176.0,7176.0,135.85,138.71,3
CDM,121915,Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study UNSCHEDULED,7176.0,7176.0,1784.96,1822.54,3
CDM,121916,ECHO2D COMP W CF DOP,14826.0,14826.0,1275.04,17791.2,35
CDM,121916,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc",14826.0,14826.0,147.25,1989.3,6
CDM,121917,ECHO2D COMP W/O CF DOP,10898.0,10898.0,937.23,13077.6,35
CDM,121917,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography ",10898.0,10898.0,,,0
CDM,121917,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography SCHEDULED",10898.0,10898.0,136.8,139.68,3
CDM,121917,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography UNSCHEDULED",10898.0,10898.0,2600.5,2655.25,3
CDM,121918,ECHO 2D W/WOM MODE LTD,1063.0,1063.0,91.42,1275.6,36
CDM,121918,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study ",1063.0,1063.0,,,0
CDM,121918,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study SCHEDULED",1063.0,1063.0,80.75,82.45,3
CDM,121918,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study UNSCHEDULED",1063.0,1063.0,906.61,925.7,3
CDM,121919,TEE 2D W/WOM MODE COMP,28785.0,28785.0,2475.51,34542.0,35
CDM,121924,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete ",2782.0,2782.0,,,0
CDM,121924,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete SCHEDULED",2782.0,2782.0,61.75,63.05,3
CDM,121924,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete UNSCHEDULED",2782.0,2782.0,1784.96,1822.54,3
CDM,121924,ECHO DOPPLER COMP,2782.0,2782.0,147.45,3338.4,36
CDM,121925,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in ",1925.0,1925.0,39.9,457.51,6
CDM,121925,ECHO DOPPLER LTD,1925.0,1925.0,102.03,2310.0,37
CDM,121926,Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) ,1147.0,1147.0,,,0
CDM,121926,Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) SCHEDULED,1147.0,1147.0,104.5,106.7,3
CDM,121926,Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) UNSCHEDULED,1147.0,1147.0,434.46,443.61,3
CDM,121926,ECHO COLOR FLOW MAPPING,1147.0,1147.0,60.79,1376.4,36
CDM,121927,ECHO STRESS,3450.0,3450.0,296.7,4140.0,35
CDM,121927,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or",3450.0,3450.0,130.15,2011.74,6
CDM,12193,SOD BICAR/SALT/POT SOL,354.0,354.0,18.76,424.8,48
CDM,12194,METHOHEXITAL 500MG INJ,613.0,613.0,32.49,735.6,48
CDM,121942,TTE2D W OR W&WO COMPLETE,10898.0,10898.0,937.23,13077.6,40
CDM,121945,TTE2D W OR W&WO STRESS,4535.0,4535.0,390.01,5442.0,40
CDM,121977,BG WITH CALC O2 SAT,3969.0,3969.0,341.33,4762.8,31
CDM,121978,ABG WITH MEAS O2 SAT,892.0,892.0,76.71,1070.4,31
CDM,121979,OXYGEN SAT ONLY DM,784.0,784.0,67.42,940.8,31
CDM,121986,CPR,1319.0,1319.0,69.91,1582.8,41
CDM,121990,VENT MGMT INITIAL IP/OBS,3150.0,3150.0,270.9,3780.0,48
CDM,121990,"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day SCHEDULED",3150.0,3150.0,108.3,110.58,3
CDM,121992,VENT MGMT IP/OBS SUB DAY,2767.0,2767.0,237.96,3320.4,48
CDM,121992,"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day SCHEDULED",2767.0,2767.0,78.85,80.51,3
CDM,121993,SPIROMETRY,2429.0,2429.0,208.89,2914.8,41
CDM,121993,"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation SCHEDULED",2429.0,2429.0,30.4,31.04,3
CDM,121993,"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation UNSCHEDULED",2429.0,2429.0,197.87,202.03,3
CDM,121994,BRONCH EV SPIR PRE/POST,2033.0,2033.0,174.84,2439.6,41
CDM,121994,"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration SCHEDULED",2033.0,2033.0,51.3,52.38,3
CDM,121994,"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration UNSCHEDULED",2033.0,2033.0,515.07,525.91,3
CDM,121995,BRONCH PROV EV MULT SPIR,5844.0,5844.0,502.58,7012.8,41
CDM,121995,"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigenºs», cold air, methacholine) SCHEDULED",5844.0,5844.0,34.2,34.92,3
CDM,121995,"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigenºs», cold air, methacholine) UNSCHEDULED",5844.0,5844.0,820.77,838.05,3
CDM,121996,VITAL CAPACITY,652.0,652.0,56.07,782.4,41
CDM,121996,"Vital capacity, total (separate procedure) SCHEDULED",652.0,652.0,23.75,24.25,3
CDM,121996,"Vital capacity, total (separate procedure) UNSCHEDULED",652.0,652.0,140.29,143.24,3
CDM,122025,RESP FLOW VOLUME LOOP,612.0,612.0,52.63,734.4,41
CDM,122025,Respiratory flow volume loop SCHEDULED,612.0,612.0,26.6,27.16,3
CDM,122025,Respiratory flow volume loop UNSCHEDULED,612.0,612.0,139.24,142.17,3
CDM,122030,INH TX AC AWY OBST,277.0,277.0,23.82,332.4,48
CDM,122031,INH TX AC AWY OBST,277.0,277.0,23.82,332.4,48
CDM,122032,INH TX AC AWY OBST,277.0,277.0,23.82,332.4,48
CDM,122035,CONT INHAL TRMT 1ST HOUR,697.0,697.0,59.94,836.4,48
CDM,122035,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour SCHEDULED,697.0,697.0,58.9,60.14,3
CDM,122035,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour UNSCHEDULED,697.0,697.0,78.52,80.17,3
CDM,122036,CONT IN TRMT EA ADD HOUR,697.0,697.0,36.94,836.4,49
CDM,122036,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) SCHEDULED,697.0,697.0,19.0,19.4,3
CDM,122036,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) UNSCHEDULED,697.0,697.0,78.52,80.17,3
CDM,122037,CPAP VENT INT&MGMT,2178.0,2178.0,187.31,2613.6,48
CDM,122038,CPAP VENT INIT&MGMT NB,2178.0,2178.0,187.31,2613.6,48
CDM,122040,CHEST WALL INITIAL,692.0,692.0,59.51,830.4,48
CDM,122041,INTRAPULM PERC INITIAL,692.0,692.0,59.51,830.4,48
CDM,122044,INTRAPULM PERC SUBSQ,216.0,216.0,18.58,259.2,48
CDM,122047,CHEST WALL SUBSEQUENT,216.0,216.0,18.58,259.2,48
CDM,122049,EXP GAS INC CO2 OUTPUT,302.0,302.0,25.97,362.4,41
CDM,122049,"Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted SCHEDULED",302.0,302.0,47.5,48.5,3
CDM,122049,"Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted UNSCHEDULED",302.0,302.0,471.1,481.02,3
CDM,122056,SMOKECESS 3-10 MIN,104.0,104.0,8.94,124.8,48
CDM,122056,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes SCHEDULED",104.0,104.0,14.25,14.55,3
CDM,122056,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes UNSCHEDULED",104.0,104.0,42.92,43.82,3
CDM,122057,SMOKECESS >10 MIN,111.0,111.0,9.55,133.2,48
CDM,122057,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes SCHEDULED",111.0,111.0,31.35,32.01,3
CDM,122057,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes UNSCHEDULED",111.0,111.0,42.92,43.82,3
CDM,122058,ATC DEL&INITIAL STABILIZ,1381.0,1381.0,73.19,1657.2,49
CDM,122059,DEL RESUS PPV CHEST COMP,879.0,879.0,75.59,1054.8,48
CDM,122060,STRENGTHN RESP MUS EA15M,158.0,158.0,13.59,189.6,48
CDM,122060,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) SCHEDULED",158.0,158.0,10.45,10.67,3
CDM,122062,OXYGEN PER HOUR,101.0,101.0,5.35,121.2,49
CDM,122064,INTUBATION ENDO EMERG,1272.0,1272.0,67.42,1526.4,34
CDM,122065,TRACH TUBE CHANGE,101.0,101.0,5.35,121.2,34
CDM,122066,BRONCH W PLCMT CATH INTR,16446.0,16446.0,871.64,19735.2,34
CDM,122067,BRONC W/TRNSBR NDLE ASP,14544.0,14544.0,770.83,17452.8,34
CDM,122070,BRONCH W/BRUSHINGS,5854.0,5854.0,310.26,7024.8,34
CDM,122071,BRONCHOSCOPY,12122.0,12122.0,642.47,14546.4,34
CDM,122077,BRONCHOSOPY DX FULL,11275.0,11275.0,597.58,13530.0,34
CDM,122080,CATHETER ASP NASOTR,174.0,174.0,9.22,208.8,49
CDM,12211,POV IODINE 7.5% 120ML,32.0,32.0,1.7,38.4,48
CDM,122119,FETAL SCREEN (ROSETTE),1065.0,1065.0,91.59,1278.0,31
CDM,122123,HLA PHENOTYPING MULTI AG,504.0,504.0,43.34,604.8,31
CDM,122126,ANTIBODY SCREEN EA,584.0,584.0,50.22,700.8,31
CDM,122128,ANTIBODY ELUTION EA,143.0,143.0,12.3,171.6,34
CDM,122128,"Antibody elution (RBC), each elution ",143.0,143.0,149.16,149.16,1
CDM,122128,"Antibody elution (RBC), each elution UNSCHEDULED",143.0,143.0,86.9,88.73,3
CDM,122130,ANTIBODY ID EA,1179.0,1179.0,101.39,1414.8,34
CDM,122132,DIRECT COOMBS AHG EA,1150.0,1150.0,98.9,1380.0,31
CDM,122136,INDIRECT COOMBS QL EA,1021.0,1021.0,87.81,1225.2,31
CDM,122137,ANTIBODY TITER EA INDIR,302.0,302.0,25.97,362.4,31
CDM,122137,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",302.0,302.0,5.13,15.8,36
CDM,122137,"Antihuman globulin test (Coombs test); indirect, each antibody titer UNSCHEDULED",302.0,302.0,105.73,107.96,3
CDM,122140,ABO TYPE,593.0,593.0,51.0,711.6,31
CDM,122141,ABO TYPE CORD BLOOD,29.0,29.0,2.49,34.8,31
CDM,122142,RH TYPE,624.0,624.0,53.66,748.8,31
CDM,122143,RH TYPE CORD BLOOD,29.0,29.0,2.49,34.8,31
CDM,122147,RBC ANTIGEN TYPING EA,304.0,304.0,26.14,364.8,40
CDM,122148,BLOOD TYPE RH PHENOTYPE,584.0,584.0,50.22,700.8,31
CDM,122148,"Blood typing, serologic; Rh phenotyping, complete ",584.0,584.0,7.67,23.64,36
CDM,122148,"Blood typing, serologic; Rh phenotyping, complete UNSCHEDULED",584.0,584.0,86.9,88.73,3
CDM,122149,CROSSMATCH IMM SPIN,845.0,845.0,72.67,1014.0,34
CDM,122149,Compatibility test each unit; immediate spin technique ,845.0,845.0,149.16,149.16,1
CDM,122149,Compatibility test each unit; immediate spin technique UNSCHEDULED,845.0,845.0,145.52,148.58,3
CDM,122150,CROSSMATCH INCUB,531.0,531.0,45.67,637.2,34
CDM,122150,Compatibility test each unit; incubation technique ,531.0,531.0,149.16,149.16,1
CDM,122150,Compatibility test each unit; incubation technique UNSCHEDULED,531.0,531.0,55.49,56.66,3
CDM,122152,CROSSMATCH AHG,454.0,454.0,39.04,544.8,43
CDM,122155,FFP THAW EA UNIT,248.0,248.0,21.33,297.6,34
CDM,122155,"Fresh frozen plasma, thawing, each unit ",248.0,248.0,149.16,149.16,1
CDM,122155,"Fresh frozen plasma, thawing, each unit UNSCHEDULED",248.0,248.0,91.08,92.99,3
CDM,122161,IRRADIATION BLD EA,379.0,379.0,32.59,454.8,34
CDM,122161,"Irradiation of blood product, each unit ",379.0,379.0,33.84,33.84,1
CDM,122161,"Irradiation of blood product, each unit UNSCHEDULED",379.0,379.0,86.9,88.73,3
CDM,122167,PRETREAT RBC'S ENZ EA,1508.0,1508.0,129.69,1809.6,34
CDM,122167,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",1508.0,1508.0,291.26,291.26,1
CDM,122167,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each UNSCHEDULED",1508.0,1508.0,47.11,48.1,3
CDM,122170,PRETREAT SERUM ABSORP EA,151.0,151.0,12.99,181.2,34
CDM,122170,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",151.0,151.0,33.84,33.84,1
CDM,122170,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption UNSCHEDULED",151.0,151.0,86.9,88.73,3
CDM,122172,THERAPEUTIC PHLEB,653.0,653.0,56.16,783.6,48
CDM,122180,WB FOR TRANSFUS PER UNIT,686.0,686.0,59.0,823.2,48
CDM,122185,CRYOPRECIPITATE POOLED,266.0,266.0,22.88,319.2,48
CDM,122186,CRYOPRECIPITATE,266.0,266.0,22.88,319.2,48
CDM,122188,PRBC LR,427.0,427.0,36.72,512.4,48
CDM,122192,FFP,215.0,215.0,18.49,258.0,48
CDM,122198,PLTS CONC,184.0,184.0,15.82,220.8,48
CDM,122199,PRBC,403.0,403.0,34.66,483.6,48
CDM,122212,PLTS PHERESIS EACH UNIT,1091.0,1091.0,93.83,1309.2,48
CDM,122216,PLTS PHERESIS LR EA UNIT,1391.0,1391.0,119.63,1669.2,48
CDM,122217,PLTS PH IRRADIATED EA UN,1130.0,1130.0,97.18,1356.0,48
CDM,122218,PLTS PH LR IRR EA UNIT,1583.0,1583.0,136.14,1899.6,48
CDM,122221,RBC IRRADIATED EACH UNIT,1370.0,1370.0,117.82,1644.0,48
CDM,122222,RBC DEGLYCEROLIZED EA UN,174.0,174.0,14.96,208.8,48
CDM,122223,RBC LEUKOREDUC IRR EA UN,871.0,871.0,74.91,1045.2,48
CDM,122225,PLASMA CRYO REDUCED,130.0,130.0,11.18,156.0,43
CDM,122225,"Plasma, cryoprecipitate reduced, each unit ",130.0,130.0,,,0
CDM,122240,TX SPEECH INDIVIDUAL SP,561.0,561.0,48.25,673.2,36
CDM,122240,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",561.0,561.0,75.65,237.87,33
CDM,122240,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual SCHEDULED",561.0,561.0,88.35,90.21,3
CDM,122240,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual UNSCHEDULED",561.0,561.0,250.21,255.48,3
CDM,122245,TX SWAL/ORAL FUNCTION SP,507.0,507.0,43.6,608.4,41
CDM,122245,Treatment of swallowing dysfunction and/or oral function for feeding ,507.0,507.0,83.69,263.15,33
CDM,122245,Treatment of swallowing dysfunction and/or oral function for feeding SCHEDULED,507.0,507.0,97.85,99.91,3
CDM,122245,Treatment of swallowing dysfunction and/or oral function for feeding UNSCHEDULED,507.0,507.0,250.21,255.48,3
CDM,122257,EV SGD W/PT FIRST HR SP,622.0,622.0,53.49,746.4,41
CDM,122257,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",622.0,622.0,121.47,381.92,33
CDM,122257,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour SCHEDULED",622.0,622.0,144.4,147.44,3
CDM,122257,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour UNSCHEDULED",622.0,622.0,254.4,259.76,3
CDM,122261,EVAL ORAL/PHARYNG SWL SP,1043.0,1043.0,89.7,1251.6,41
CDM,122261,Evaluation of oral and pharyngeal swallowing function ,1043.0,1043.0,84.43,265.44,33
CDM,122261,Evaluation of oral and pharyngeal swallowing function SCHEDULED,1043.0,1043.0,82.65,84.39,3
CDM,122261,Evaluation of oral and pharyngeal swallowing function UNSCHEDULED,1043.0,1043.0,240.79,245.86,3
CDM,122263,FLUORO EVAL OF SWALW SP,1867.0,1867.0,160.56,2240.4,41
CDM,122263,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,1867.0,1867.0,93.08,292.68,33
CDM,122263,Motion fluoroscopic evaluation of swallowing function by cine or video recording SCHEDULED,1867.0,1867.0,105.45,107.67,3
CDM,122263,Motion fluoroscopic evaluation of swallowing function by cine or video recording UNSCHEDULED,1867.0,1867.0,240.79,245.86,3
CDM,122265,ENDO EVAL OF SWALLOW SP,764.0,764.0,65.7,916.8,41
CDM,122265,Flexible endoscopic evaluation of swallowing by cine or video recording; ,764.0,764.0,202.46,636.57,33
CDM,122265,Flexible endoscopic evaluation of swallowing by cine or video recording; SCHEDULED,764.0,764.0,164.35,167.81,3
CDM,122265,Flexible endoscopic evaluation of swallowing by cine or video recording; UNSCHEDULED,764.0,764.0,240.79,245.86,3
CDM,122271,COGNITIV PERFORM TEST SP,622.0,622.0,53.49,746.4,41
CDM,122271,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",622.0,622.0,15.7,325.59,39
CDM,122341,"Application of a modality to 1 or more areas; traction, mechanical ",1267.0,1267.0,13.17,46.12,65
CDM,122341,"Application of a modality to 1 or more areas; traction, mechanical SCHEDULED",1267.0,1267.0,17.1,17.46,3
CDM,122341,TRACTION MECHANICAL PT,1267.0,1267.0,108.96,1520.4,36
CDM,122343,PARAFFIN BATH PT,966.0,966.0,83.08,1159.2,36
CDM,122344,WHIRLPOOL PT,2206.0,2206.0,189.72,2647.2,36
CDM,122348,ELEC STIMULATION/15M PT,1348.0,1348.0,115.93,1617.6,36
CDM,122349,IONTOPHORESIS/15 MIN PT,1329.0,1329.0,114.29,1594.8,36
CDM,122351,ULTRASOUND/15 MIN PT,1686.0,1686.0,145.0,2023.2,36
CDM,122352,HUBBARD TANK/15MIN PT,877.0,877.0,75.42,1052.4,36
CDM,122353,THER EXERCISES 15 MIN PT,1299.0,1299.0,111.71,1558.8,36
CDM,122355,NEUROMUSC REEDUCT 15M PT,1619.0,1619.0,139.23,1942.8,36
CDM,122358,GAIT TRAINING 15 MIN PT,720.0,720.0,61.92,864.0,36
CDM,122359,MASSAGE 15 MIN PT,1518.0,1518.0,130.55,1821.6,36
CDM,122360,MANUAL THER TECH 15M PT,877.0,877.0,75.42,1052.4,36
CDM,122361,THER PROCEDURES GROUP PT,391.0,391.0,33.63,469.2,36
CDM,122362,THER ACTIV DIR 15 MIN PT,1299.0,1299.0,111.71,1558.8,36
CDM,122365,SELF/HOME ONE/ONE 15M PT,609.0,609.0,52.37,730.8,36
CDM,122367,WHEELCHAIR MGT 15M PT,349.0,349.0,30.01,418.8,36
CDM,122370,DEBRIDE WND IN 20SQCM PT,2371.0,2371.0,203.91,2845.2,41
CDM,122371,DEBRD WD EA AD 20SQCM PT,2614.0,2614.0,224.8,3136.8,41
CDM,122373,NEG PRESSURE 50CM OR <,585.0,585.0,50.31,702.0,41
CDM,122374,NEG PRESSURE > 50 CM,585.0,585.0,50.31,702.0,41
CDM,122375,PHYS PER TEST/MSR 15M PT,1598.0,1598.0,137.43,1917.6,41
CDM,122376,ORTH MGT TRAIN EA 15M PT,322.0,322.0,27.69,386.4,41
CDM,122377,PROST TRAINING EA 15M PT,609.0,609.0,52.37,730.8,41
CDM,122380,EL ST UN IND NOT WC PT,1115.0,1115.0,95.89,1338.0,41
CDM,122394,Special medical radiation physics consultation ,3281.0,3281.0,10400.0,10400.0,1
CDM,122394,Special medical radiation physics consultation 1st Session,3281.0,3281.0,13000.0,13000.0,1
CDM,122394,Special medical radiation physics consultation 2nd-5th Sessions,3281.0,3281.0,9500.0,9500.0,1
CDM,122394,Special medical radiation physics consultation Cyber Knife,3281.0,3281.0,6000.0,6000.0,1
CDM,122394,Special medical radiation physics consultation UNSCHEDULED,3281.0,3281.0,1835.22,1873.86,3
CDM,122394,TR MED PHYSICS SPECIAL,3281.0,3281.0,282.17,3937.2,31
CDM,122413,NM THYROID METS W BDY,2835.0,2835.0,243.81,3402.0,31
CDM,122413,Thyroid carcinoma metastases imaging; whole body ,2835.0,2835.0,831.98,831.98,1
CDM,122413,Thyroid carcinoma metastases imaging; whole body UNSCHEDULED,2835.0,2835.0,2208.96,2255.46,3
CDM,122415,NM PLANAR PARATHYROID,1635.0,1635.0,140.61,1962.0,31
CDM,122415,"Parathyroid planar imaging (including subtraction, when performed); ",1635.0,1635.0,641.1,641.1,1
CDM,122415,"Parathyroid planar imaging (including subtraction, when performed); UNSCHEDULED",1635.0,1635.0,2208.96,2255.46,3
CDM,122428,NM SPLEEN W&W/O FLOW,1894.0,1894.0,162.88,2272.8,31
CDM,122428,"Spleen imaging only, with or without vascular flow ",1894.0,1894.0,641.1,641.1,1
CDM,122428,"Spleen imaging only, with or without vascular flow UNSCHEDULED",1894.0,1894.0,2208.96,2255.46,3
CDM,122439,Lymphatics and lymph nodes imaging ,3165.0,3165.0,831.98,831.98,1
CDM,122439,Lymphatics and lymph nodes imaging UNSCHEDULED,3165.0,3165.0,2208.96,2255.46,3
CDM,122439,NM LYMPHIMAG,3165.0,3165.0,272.19,3798.0,31
CDM,122440,Liver imaging; static only ,2321.0,2321.0,831.98,831.98,1
CDM,122440,Liver imaging; static only UNSCHEDULED,2321.0,2321.0,2208.96,2255.46,3
CDM,122440,NM LIVER,2321.0,2321.0,199.61,2785.2,31
CDM,122441,Liver imaging; with vascular flow ,2321.0,2321.0,831.98,831.98,1
CDM,122441,Liver imaging; with vascular flow UNSCHEDULED,2321.0,2321.0,2208.96,2255.46,3
CDM,122441,NM LIVER W/FLOW,2321.0,2321.0,199.61,2785.2,31
CDM,122444,Liver and spleen imaging; static only ,9462.0,9462.0,641.1,641.1,1
CDM,122444,Liver and spleen imaging; static only UNSCHEDULED,9462.0,9462.0,2102.18,2146.44,3
CDM,122444,NM LIVER & SPLEEN,9462.0,9462.0,813.73,11354.4,31
CDM,122449,NM SALIVARY GLND W/SER,2320.0,2320.0,199.52,2784.0,31
CDM,122449,Salivary gland imaging; with serial images ,2320.0,2320.0,641.1,641.1,1
CDM,122449,Salivary gland imaging; with serial images UNSCHEDULED,2320.0,2320.0,2208.96,2255.46,3
CDM,122450,NM SALIVARY GLND FUNCT,3876.0,3876.0,333.34,4651.2,31
CDM,122450,Salivary gland function study ,3876.0,3876.0,641.1,641.1,1
CDM,122450,Salivary gland function study UNSCHEDULED,3876.0,3876.0,2208.96,2255.46,3
CDM,122454,"Gastric emptying imaging study (eg, solid, liquid, or both); ",5242.0,5242.0,641.1,641.1,1
CDM,122454,"Gastric emptying imaging study (eg, solid, liquid, or both); UNSCHEDULED",5242.0,5242.0,2208.96,2255.46,3
CDM,122454,NM GASTRIC EMPTYING,5242.0,5242.0,450.81,6290.4,31
CDM,122460,Acute gastrointestinal blood loss imaging ,4573.0,4573.0,641.1,641.1,1
CDM,122460,Acute gastrointestinal blood loss imaging UNSCHEDULED,4573.0,4573.0,2208.96,2255.46,3
CDM,122460,NM ACUTE GI BLOOD LOSS,4573.0,4573.0,393.28,5487.6,31
CDM,122462,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",1824.0,1824.0,641.1,641.1,1
CDM,122462,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) UNSCHEDULED",1824.0,1824.0,2208.96,2255.46,3
CDM,122462,NM INTESTINE IMAGING,1824.0,1824.0,156.86,2188.8,31
CDM,122463,NM SHUNT PATENCY,1572.0,1572.0,135.19,1886.4,31
CDM,122463,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",1572.0,1572.0,641.1,641.1,1
CDM,122463,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) UNSCHEDULED",1572.0,1572.0,2208.96,2255.46,3
CDM,122464,Bone and/or joint imaging; limited area ,7257.0,7257.0,641.1,641.1,1
CDM,122464,Bone and/or joint imaging; limited area UNSCHEDULED,7257.0,7257.0,2208.96,2255.46,3
CDM,122464,NM BONE LIMITED,7257.0,7257.0,624.1,8708.4,31
CDM,122466,Bone and/or joint imaging; whole body ,7921.0,7921.0,641.1,641.1,1
CDM,122466,Bone and/or joint imaging; whole body UNSCHEDULED,7921.0,7921.0,567.42,579.36,3
CDM,122466,NM BONE WHOLE BODY,7921.0,7921.0,681.21,9505.2,31
CDM,122467,Bone and/or joint imaging; 3 phase study ,11588.0,11588.0,641.1,641.1,1
CDM,122467,Bone and/or joint imaging; 3 phase study UNSCHEDULED,11588.0,11588.0,2208.96,2255.46,3
CDM,122467,NM BONE 3 PHASE,11588.0,11588.0,996.57,13905.6,31
CDM,122474,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",1390.0,1390.0,2220.1,5330.8,4
CDM,122474,NM MYOCRD SPECT R/S SGL,1390.0,1390.0,119.54,1668.0,31
CDM,122475,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",1315.0,1315.0,2220.1,3974.32,4
CDM,122475,NM MYOCRD SPECT R/S MULT,1315.0,1315.0,113.09,1578.0,31
CDM,122476,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",6249.0,6249.0,2208.96,2255.46,4
CDM,122476,NM MYOCRD PERF R/S SGL,6249.0,6249.0,537.41,7498.8,31
CDM,122477,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",7292.0,7292.0,2208.96,2255.46,4
CDM,122477,NM MYOCRD PERF R/S MULT,7292.0,7292.0,627.11,8750.4,31
CDM,122478,"Acute venous thrombosis imaging, peptide ",2068.0,2068.0,2220.1,2220.1,1
CDM,122478,"Acute venous thrombosis imaging, peptide UNSCHEDULED",2068.0,2068.0,2208.96,2255.46,3
CDM,122478,NM ACUTE VENOUS THROM,2068.0,2068.0,177.85,2481.6,31
CDM,122479,NM VENOGRAM UNI LT,1969.0,1969.0,169.33,2362.8,31
CDM,122481,NM VENOGRAM BI,3477.0,3477.0,299.02,4172.4,31
CDM,122481,"Venous thrombosis imaging, venogram; bilateral ",3477.0,3477.0,641.1,641.1,1
CDM,122481,"Venous thrombosis imaging, venogram; bilateral UNSCHEDULED",3477.0,3477.0,2208.96,2255.46,3
CDM,122483,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",3257.0,3257.0,641.1,641.1,1
CDM,122483,"Myocardial imaging, infarct avid, planar; qualitative or quantitative UNSCHEDULED",3257.0,3257.0,2208.96,2255.46,3
CDM,122483,NM MYOCARD IMAGE,3257.0,3257.0,280.1,3908.4,31
CDM,122486,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",3823.0,3823.0,641.1,2503.45,4
CDM,122486,NM MUGA R/S SINGLE,3823.0,3823.0,328.78,4587.6,31
CDM,122488,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",2812.0,2812.0,831.98,2255.46,4
CDM,122488,NM CARDIAC PL SGL R/S,2812.0,2812.0,241.83,3374.4,31
CDM,122494,NM PULM PERF PARTIC,7493.0,7493.0,644.4,8991.6,31
CDM,122494,"Pulmonary perfusion imaging (eg, particulate) ",7493.0,7493.0,641.1,641.1,1
CDM,122494,"Pulmonary perfusion imaging (eg, particulate) UNSCHEDULED",7493.0,7493.0,3408.7,3480.47,3
CDM,122507,"Brain imaging, minimum 4 static views; with vascular flow ",5338.0,5338.0,831.98,831.98,1
CDM,122507,"Brain imaging, minimum 4 static views; with vascular flow UNSCHEDULED",5338.0,5338.0,2208.96,2255.46,3
CDM,122507,NM BRAIN MIN 4 STATIC VF,5338.0,5338.0,459.07,6405.6,31
CDM,122514,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",3290.0,3290.0,831.98,831.98,1
CDM,122514,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography UNSCHEDULED",3290.0,3290.0,2208.96,2255.46,3
CDM,122514,NM CISTERNOGRAM,3290.0,3290.0,282.94,3948.0,31
CDM,122516,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",1673.0,1673.0,831.98,831.98,1
CDM,122516,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation UNSCHEDULED",1673.0,1673.0,2208.96,2255.46,3
CDM,122516,NM CSF SHUNT EVAL,1673.0,1673.0,143.88,2007.6,31
CDM,122520,Kidney imaging morphology; ,2010.0,2010.0,641.1,641.1,1
CDM,122520,Kidney imaging morphology; UNSCHEDULED,2010.0,2010.0,1521.15,1553.17,3
CDM,122520,NM KIDNEY SCAN,2010.0,2010.0,172.86,2412.0,31
CDM,122522,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",5526.0,5526.0,831.98,831.98,1
CDM,122522,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention UNSCHEDULED",5526.0,5526.0,2208.96,2255.46,3
CDM,122522,NM KDNEY SCAN FLW&FNC,5526.0,5526.0,475.24,6631.2,31
CDM,122528,NM URETERAL REFLUX,1571.0,1571.0,135.11,1885.2,31
CDM,122528,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,1571.0,1571.0,641.1,641.1,1
CDM,122528,Ureteral reflux study (radiopharmaceutical voiding cystogram) UNSCHEDULED,1571.0,1571.0,2208.96,2255.46,3
CDM,122529,NM TESTICULAR W/FLOW,5877.0,5877.0,505.42,7052.4,31
CDM,122529,Testicular imaging with vascular flow ,5877.0,5877.0,641.1,641.1,1
CDM,122529,Testicular imaging with vascular flow UNSCHEDULED,5877.0,5877.0,2208.96,2255.46,3
CDM,122530,NM TUMOR LOCAL LTD,4343.0,4343.0,373.5,5211.6,31
CDM,122530,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",4343.0,4343.0,641.1,2255.46,4
CDM,122531,NM TUMOR LOCAL MULT,5806.0,5806.0,499.32,6967.2,31
CDM,122531,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",5806.0,5806.0,641.1,2255.46,4
CDM,122532,NM TUMOR LC WHBD SGL DAY,12102.0,12102.0,1040.77,14522.4,31
CDM,122532,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",12102.0,12102.0,2208.96,2255.46,4
CDM,122533,NM TUMOR LCL SPECT,5846.0,5846.0,502.76,7015.2,31
CDM,122533,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",5846.0,5846.0,2208.96,2255.46,4
CDM,122534,NM TUM LC WB 2/MORE DAYS,6367.0,6367.0,547.56,7640.4,31
CDM,122534,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",6367.0,6367.0,2208.96,2255.46,4
CDM,122538,INJ IV RP LOC NOIMG PROB,1446.0,1446.0,124.36,1735.2,31
CDM,122538,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",1446.0,1446.0,641.1,641.1,1
CDM,122538,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) UNSCHEDULED",1446.0,1446.0,2208.96,2255.46,3
CDM,12254,POLYVIN ALC 1% OP 15ML,35.0,35.0,1.85,42.0,48
CDM,122549,RADIOPHM THPY ORAL ADMIN,11933.0,11933.0,1026.24,14319.6,31
CDM,122549,"Radiopharmaceutical therapy, by oral administration ",11933.0,11933.0,424.35,424.35,1
CDM,122549,"Radiopharmaceutical therapy, by oral administration UNSCHEDULED",11933.0,11933.0,432.37,441.48,3
CDM,122550,RADIOPHARM THPY IV ADMIN,2313.0,2313.0,198.92,2775.6,31
CDM,122550,"Radiopharmaceutical therapy, by intravenous administration ",2313.0,2313.0,424.35,424.35,1
CDM,122550,"Radiopharmaceutical therapy, by intravenous administration UNSCHEDULED",2313.0,2313.0,432.37,441.48,3
CDM,122555,RDPHM INTRA ARTERIAL ADM,1501.0,1501.0,129.09,1801.2,31
CDM,122573,RADIOPHARM DX NOC,352.0,352.0,18.66,422.4,36
CDM,122575,TC99M SESTAMIBI DX DOSE,5683.0,5683.0,301.2,6819.6,36
CDM,122575,"Technetium tc-99m sestamibi, diagnostic, per study dose ",5683.0,5683.0,743.46,743.46,1
CDM,122576,TC99M TETROFOSMIN DXDOSE,279.0,279.0,14.79,334.8,36
CDM,122576,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",279.0,279.0,192.89,192.89,1
CDM,122577,TC99M MEDRONATE DX 30MCI,495.0,495.0,26.23,594.0,36
CDM,122577,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",495.0,495.0,106.36,106.36,1
CDM,122578,TC99M APCITIDE DX 20MCI,204.0,204.0,10.81,244.8,36
CDM,122578,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",204.0,204.0,867.45,867.45,1
CDM,122580,IN111 CAPRO PEN DX 10MCI,14028.0,14028.0,743.48,16833.6,36
CDM,122580,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",14028.0,14028.0,2854.98,2854.98,1
CDM,122581,I131 IOBENGUAN DX 0.5MCI,7782.0,7782.0,412.45,9338.4,36
CDM,122581,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",7782.0,7782.0,1572.47,1572.47,1
CDM,122583,TC99M DISOFENIN DX 15MCI,832.0,832.0,44.1,998.4,36
CDM,122583,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",832.0,832.0,101.95,101.95,1
CDM,122584,TC99M PERTECHNETA DX MCI,218.0,218.0,11.55,261.6,36
CDM,122584,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",218.0,218.0,18.18,18.18,1
CDM,122585,I123 SOD DX 100-999 UCI,774.0,774.0,41.02,928.8,36
CDM,122585,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",774.0,774.0,167.54,167.54,1
CDM,122587,TC99M EXAMETAZM DX 25MCI,21510.0,21510.0,1140.03,25812.0,36
CDM,122587,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",21510.0,21510.0,2644.26,2644.26,1
CDM,122588,I131 SOD IOD CAP DX MCI,581.0,581.0,30.79,697.2,36
CDM,122588,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",581.0,581.0,160.92,160.92,1
CDM,122594,TC99M MEBROFEN DX 15MCI,679.0,679.0,35.99,814.8,36
CDM,122594,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",679.0,679.0,187.21,187.21,1
CDM,122595,TC99M PYROPHOS DX 25MCI,1117.0,1117.0,59.2,1340.4,36
CDM,122595,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",1117.0,1117.0,74.96,74.96,1
CDM,122596,TC99M PENTETATE DX 25MCI,343.0,343.0,18.18,411.6,36
CDM,122596,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",343.0,343.0,47.39,47.39,1
CDM,122597,TC99M MACRO ALB DX 10MCI,7532.0,7532.0,399.2,9038.4,36
CDM,122597,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",7532.0,7532.0,50.14,50.14,1
CDM,122598,TC99M SULFUR CO DX 20MCI,2030.0,2030.0,107.59,2436.0,36
CDM,122598,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",2030.0,2030.0,1239.81,1239.81,1
CDM,12260,GENTAMICIN OPH OI 3.5GM,75.0,75.0,3.98,90.0,49
CDM,122604,IN111 OXYQUINO DX 0.5MCI,32213.0,32213.0,2770.32,38655.6,35
CDM,122604,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",32213.0,32213.0,1371.91,1371.91,1
CDM,122606,IN111 PENTETAT DX 0.5MCI,61838.0,61838.0,5318.07,74205.6,35
CDM,122606,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",61838.0,61838.0,1230.27,1230.27,1
CDM,122608,TC99M SUCCIMER DX 10MCI,9911.0,9911.0,525.28,11893.2,36
CDM,122608,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",9911.0,9911.0,1088.88,1088.88,1
CDM,122612,TC99M BICISATE DX 25 MCI,7922.0,7922.0,681.29,9506.4,35
CDM,122612,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",7922.0,7922.0,1279.61,1279.61,1
CDM,122613,XENON XE133 GAS DX 10MCI,1391.0,1391.0,73.72,1669.2,36
CDM,122613,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",1391.0,1391.0,505.38,505.38,1
CDM,122614,TC99M LABEL RBC DX 30MCI,2030.0,2030.0,107.59,2436.0,36
CDM,122615,TC99M LABEL RBC DX 30MCI,2030.0,2030.0,107.59,2436.0,36
CDM,122616,TC99M OXIDRONAT DX 30MCI,353.0,353.0,18.71,423.6,36
CDM,122616,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",353.0,353.0,85.98,85.98,1
CDM,122620,TC99M ARCITUMOM DX 45MCI,14028.0,14028.0,743.48,16833.6,36
CDM,122620,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",14028.0,14028.0,2138.32,2138.32,1
CDM,122625,STRONTIUM SR89 CL TX MCI,17069.0,17069.0,1467.93,20482.8,43
CDM,122625,"Strontium sr-89 chloride, therapeutic, per millicurie ",17069.0,17069.0,6841.46,6841.46,1
CDM,122626,SM153 LEXIDRON TX 150MCI,31162.0,31162.0,2679.93,37394.4,48
CDM,122626,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",31162.0,31162.0,5213.67,5213.67,1
CDM,122742,APP LONG ARM SPLINT OT,880.0,880.0,75.68,1056.0,28
CDM,122742,Application of long arm splint (shoulder to hand) ,880.0,880.0,1479.0,9710.0,13
CDM,122742,Application of long arm splint (shoulder to hand) UNSCHEDULED,880.0,880.0,896.14,915.01,3
CDM,122745,APP SH ARM SPL STATIC OT,880.0,880.0,75.68,1056.0,28
CDM,122745,Application of short arm splint (forearm to hand); static ,880.0,880.0,1479.0,9710.0,13
CDM,122745,Application of short arm splint (forearm to hand); static UNSCHEDULED,880.0,880.0,896.14,915.01,3
CDM,122748,APP SHT ARM SPL DYNAM OT,880.0,880.0,75.68,1056.0,28
CDM,122748,Application of short arm splint (forearm to hand); dynamic ,880.0,880.0,1479.0,9710.0,13
CDM,122748,Application of short arm splint (forearm to hand); dynamic UNSCHEDULED,880.0,880.0,896.14,915.01,3
CDM,122751,APP FNGR SPL STATIC OT,880.0,880.0,75.68,1056.0,28
CDM,122751,Application of finger splint; static ,880.0,880.0,1479.0,9710.0,13
CDM,122751,Application of finger splint; static UNSCHEDULED,880.0,880.0,896.14,915.01,3
CDM,122761,APP FNGR SPL DYNAMIC OT,880.0,880.0,75.68,1056.0,28
CDM,122761,Application of finger splint; dynamic ,880.0,880.0,1479.0,9710.0,13
CDM,122761,Application of finger splint; dynamic UNSCHEDULED,880.0,880.0,896.14,915.01,3
CDM,12277,TETRACAINE 0.5% OPH SOL,258.0,258.0,13.67,309.6,48
CDM,122787,ROM EA EXT/TRNK EX HN OT,190.0,190.0,16.34,228.0,41
CDM,122787,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,190.0,190.0,26.58,83.57,33
CDM,122787,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) SCHEDULED,190.0,190.0,17.1,17.46,3
CDM,122788,ROM HAND W/WO COMP OT,190.0,190.0,16.34,228.0,41
CDM,122788,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",190.0,190.0,21.92,68.93,33
CDM,122788,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side SCHEDULED",190.0,190.0,13.3,13.58,3
CDM,122796,PARAFFIN BATH OT,966.0,966.0,83.08,1159.2,36
CDM,122797,WHIRLPOOL OT,2206.0,2206.0,189.72,2647.2,36
CDM,122801,ELEC STIMULATION/15M OT,1348.0,1348.0,115.93,1617.6,36
CDM,122804,ULTRASOUND/15 MIN OT,1686.0,1686.0,145.0,2023.2,36
CDM,122806,THER EXERCISES 15 MIN OT,1299.0,1299.0,111.71,1558.8,36
CDM,122808,NEUROMUSC REEDUCT 15M OT,1619.0,1619.0,139.23,1942.8,36
CDM,122811,MASSAGE 15 MIN OT,1518.0,1518.0,130.55,1821.6,36
CDM,122812,MANUAL THER TECH 15M OT,877.0,877.0,75.42,1052.4,36
CDM,122813,THER PROCEDURES GROUP OT,391.0,391.0,33.63,469.2,36
CDM,122814,THER ACTIV DIR 15 MIN OT,1299.0,1299.0,111.71,1558.8,36
CDM,122818,SENSORY INTEGRATN 15M OT,370.0,370.0,31.82,444.0,36
CDM,122818,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",370.0,370.0,54.99,192.52,65
CDM,122818,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes SCHEDULED",370.0,370.0,57.95,59.17,3
CDM,122819,SELF/HOME ONE/ONE 15M OT,609.0,609.0,52.37,730.8,36
CDM,122820,COMM/WORK ONE/ONE 15M OT,370.0,370.0,31.82,444.0,36
CDM,122820,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",370.0,370.0,32.89,101.32,35
CDM,122821,WHEELCHAIR MGT 15M OT,349.0,349.0,30.01,418.8,36
CDM,122824,DEBRIDE WND IN 20SQC OT,2371.0,2371.0,203.91,2845.2,41
CDM,122825,DEBRD WD EA AD 20SQCM OT,2614.0,2614.0,224.8,3136.8,41
CDM,122827,PHYS PER TEST/MSR 15M OT,1598.0,1598.0,137.43,1917.6,41
CDM,122828,ORTH MGT TRAIN EA 15M OT,322.0,322.0,27.69,386.4,41
CDM,122829,PROST TRAINING EA 15M OT,609.0,609.0,52.37,730.8,41
CDM,122832,EL ST UN IND NOT WC OT,1115.0,1115.0,95.89,1338.0,41
CDM,12287,OXYCODONE 20MG/ML SOL,31.0,31.0,1.64,37.2,48
CDM,12317,THROMBIN EPISTAXIS 5M VL,1806.0,1806.0,95.72,2167.2,48
CDM,12321,NEOMYC/POLYMYX/DEXAM OPH,13.0,13.0,0.69,15.6,30
CDM,12357,TALC POWD SPR 4GM,1568.0,1568.0,83.1,1881.6,30
CDM,12359,TALC STERILE POWD 5GM,609.0,609.0,32.28,730.8,30
CDM,12369,OFLOXACIN OTIC,1606.0,1606.0,85.12,1927.2,30
CDM,12372,LEVALBUTEROL .31MG/3MLVL,63.0,63.0,3.34,75.6,48
CDM,12373,LEVALBUTEROL .63MG/3MLVL,1.1,1.1,0.06,1.32,48
CDM,12374,LEVALBUTR 1.25MG/3ML SOL,2.58,2.58,0.14,3.1,48
CDM,12392,DIAZEPM 2.5MG RECTAL GEL,3278.0,3278.0,173.73,3933.6,30
CDM,12393,DIAZEPAM 10MG RECTAL GEL,2742.0,2742.0,145.33,3290.4,30
CDM,124380,BLOOD TRANSFUSION,1021.0,1021.0,87.81,1225.2,32
CDM,124389,IMMUNIZ ADMIN SGL,328.0,328.0,33.78,393.6,27
CDM,124391,IMMUNIZ ADMIN EA ADDTL,262.0,262.0,13.89,314.4,49
CDM,124400,IV HYDRAT INIT UP TO 1HR,202.0,202.0,17.37,242.4,41
CDM,124401,IV HYDRAT EA ADD HR,6.0,6.0,0.52,7.2,41
CDM,124402,IV INITIAL UP TO 1 HOUR,187.0,187.0,16.08,224.4,41
CDM,124403,IV EACH ADD HOUR,16.0,16.0,1.38,19.2,41
CDM,124404,IV ADDL SEQ INF UP TO 1H,187.0,187.0,16.08,224.4,41
CDM,124405,IV CONCURRENT INFUSION,186.0,186.0,9.86,223.2,42
CDM,124406,SQ INFUSION UP TO 1 HOUR,143.0,143.0,12.3,171.6,48
CDM,124407,SQ INFUSION EA ADDL HOUR,66.0,66.0,5.68,79.2,48
CDM,124408,SQ INFUSION ADDL PUMP SU,69.0,69.0,5.93,82.8,48
CDM,124409,INJECTION IM OR SQ,711.0,711.0,73.23,853.2,27
CDM,124415,IVP SINGLE/INITIAL DRUG,723.0,723.0,74.47,867.6,27
CDM,124416,IVP EA ADD SEQ NEW DRUG,723.0,723.0,74.47,867.6,27
CDM,124417,IVP EA ADD SEQ SAME DRUG,132.0,132.0,13.6,158.4,27
CDM,12443,LIDOCAINE JELLY 2% (OR),1.0,1.0,0.05,1.2,48
CDM,124436,LVL 1 EMER DEPT,1971.0,1971.0,315.36,2365.2,10
CDM,124438,LVL 2 EMER DEPT,3654.0,3654.0,584.64,4384.8,10
CDM,124439,LVL 3 EMER DEPT,5859.0,5859.0,937.44,7030.8,10
CDM,124440,LVL 4 EMER DEPT,7676.0,7676.0,1228.16,9211.2,10
CDM,124441,LVL 5 EMER DEPT,16140.0,16140.0,2582.4,19368.0,10
CDM,124442,CRIT CARE 1ST 30-74 MINS,17424.0,17424.0,2787.84,20908.8,10
CDM,124443,CRIT CARE EACH ADD 30MIN,7636.0,7636.0,786.51,9163.2,19
CDM,124448,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,124462,ER PROC LEVEL 1,4643.0,4643.0,478.23,5571.6,27
CDM,124463,ER PROC LEVEL 2,5349.0,5349.0,550.95,6418.8,27
CDM,124464,ER PROC LEVEL 3,6060.0,6060.0,624.18,7272.0,27
CDM,12447,APAP/CODEINE LIQ UD,29.0,29.0,1.54,34.8,48
CDM,124587,NDL/INCATH VEIN,1333.0,1333.0,70.65,1599.6,16
CDM,124588,BLOOD TRANSFUSION,1021.0,1021.0,87.81,1225.2,32
CDM,124604,IMMUNIZ ADMIN SGL,294.0,294.0,25.28,352.8,48
CDM,124615,CHOLINESTERASE INH CHLNG,940.0,940.0,80.84,1128.0,48
CDM,124615,Cholinesterase inhibitor challenge test for myasthenia gravis SCHEDULED,940.0,940.0,38.0,38.8,3
CDM,124618,IV HYDRAT INIT UP TO 1HR,202.0,202.0,17.37,242.4,41
CDM,124619,IV HYDRAT EA ADD HR,6.0,6.0,0.52,7.2,41
CDM,124620,IV INITIAL UP TO 1 HOUR,187.0,187.0,16.08,224.4,41
CDM,124621,IV EACH ADD HOUR,16.0,16.0,1.38,19.2,41
CDM,124622,IV ADDL SEQ INF UP TO 1H,187.0,187.0,16.08,224.4,41
CDM,124623,IV CONCURRENT INFUSION,186.0,186.0,9.86,223.2,42
CDM,124624,SQ INFUSION UP TO 1 HOUR,143.0,143.0,12.3,171.6,48
CDM,124625,SQ INFUSION EA ADDL HOUR,66.0,66.0,5.68,79.2,48
CDM,124626,SQ INFUSION ADDL PUMP SU,69.0,69.0,5.93,82.8,48
CDM,124628,INJECTION IM OR SQ,429.0,429.0,36.89,514.8,48
CDM,124631,IVP SINGLE/INITIAL DRUG,495.0,495.0,50.98,594.0,29
CDM,124632,IVP EA ADD SEQ NEW DRUG,495.0,495.0,50.98,594.0,29
CDM,124633,IVP EA ADD SEQ SAME DRUG,91.0,91.0,4.82,109.2,30
CDM,124635,CHEMO SQ/IM HORMONL ANPL,302.0,302.0,25.97,362.4,36
CDM,124638,CHEMO IV PUSH SING/IN DR,324.0,324.0,27.86,388.8,36
CDM,124639,CHEMO IV PUSH EA ADD DRG,148.0,148.0,12.73,177.6,36
CDM,124640,CHEMO IV SING/IN DR 1 HR,324.0,324.0,27.86,388.8,36
CDM,124641,CHEMO IV EA ADD HOUR,217.0,217.0,18.66,260.4,36
CDM,124656,THERAPEUTIC PHLEB,238.0,238.0,20.47,285.6,48
CDM,124667,ADMIN INFLUENZA VACCINE,210.0,210.0,18.06,252.0,48
CDM,124667,Administration of influenza virus vaccine ,210.0,210.0,21.0,21.0,1
CDM,124668,ADMIN PNEUMOCOCCAL VAC,210.0,210.0,18.06,252.0,48
CDM,124668,Administration of pneumococcal vaccine UNSCHEDULED,210.0,210.0,74.33,75.89,3
CDM,12467,HAEMOPH B/TET TOX VACC,623.0,623.0,33.02,747.6,48
CDM,124682,INSERT CATH PICC/MIDLINE,6857.0,6857.0,363.42,8228.4,34
CDM,12469,VECURONIUM BROM 10MG VL,513.0,513.0,27.19,615.6,48
CDM,124698,BONE MARROW ASPIRATE,2763.0,2763.0,146.44,3315.6,34
CDM,12472,LABETALOL 100MG/20ML VL,367.0,367.0,19.45,440.4,48
CDM,124891,OP PROC LEVEL 1,1615.0,1615.0,85.59,1938.0,30
CDM,124892,OP PROC LEVEL 2,1861.0,1861.0,98.63,2233.2,30
CDM,124895,OP PROC LEVEL 3,5000.0,5000.0,265.0,6000.0,30
CDM,12513,ALBUTEROL 2MG/5ML UD,29.0,29.0,1.54,34.8,48
CDM,12543,SITZMARKERS,350.0,350.0,18.55,420.0,48
CDM,12570,SODIUM CITRATE SOL,174.0,174.0,9.22,208.8,48
CDM,12584,LIDOCAINE 0.4%/D5W 500ML,1138.0,1138.0,60.31,1365.6,48
CDM,12591,WATER FOR IRR 1000CC,48.0,48.0,2.54,57.6,48
CDM,12593,DEXTROSE 10% WATER 500ML,1138.0,1138.0,60.31,1365.6,48
CDM,12594,SODIUM CHLORIDE 3% SOL,28.0,28.0,1.48,33.6,48
CDM,12705,PLASMA-LYTE A 1000ML INJ,1138.0,1138.0,60.31,1365.6,43
CDM,12715,IBUPROFEN 100MG/5ML UD,50.0,50.0,2.65,60.0,48
CDM,12751,DULOXETINE 60MG CAP,52.0,52.0,2.76,62.4,48
CDM,12754,DULOXETINE 30MG CAP,61.0,61.0,3.23,73.2,48
CDM,12755,OLANZAPINE 2.5 MG TAB,100.0,100.0,5.3,120.0,48
CDM,12756,OLANZAPINE 5 MG TAB,117.0,117.0,6.2,140.4,48
CDM,12758,OLANZAPINE 10MG TAB,173.0,173.0,9.17,207.6,48
CDM,12759,RALOXIFENE 60 MG TAB,72.0,72.0,3.82,86.4,48
CDM,12760,OLANZAPINE 15MG TAB,157.0,157.0,8.32,188.4,48
CDM,12764,PRASUGREL 10MG TAB,69.0,69.0,3.66,82.8,48
CDM,12766,PRASUGREL 5MG TAB,69.0,69.0,3.66,82.8,48
CDM,12806,MUPIROCIN TOPICAL,515.0,515.0,27.3,618.0,30
CDM,12808,AMOXICILLIN 250MG CAP,28.0,28.0,1.48,33.6,48
CDM,12809,AMOXICILLIN 500MG CAP,29.0,29.0,1.54,34.8,48
CDM,12811,AMPICILLIN 500 MG CAP,29.0,29.0,1.54,34.8,48
CDM,12812,PRAVASTATIN 10MG TAB,67.0,67.0,3.55,80.4,48
CDM,12815,PRAVASTATIN 20MG TAB,74.0,74.0,3.92,88.8,48
CDM,12825,FLUDROCORTISO 0.1MG TAB,35.0,35.0,1.85,42.0,48
CDM,12826,CAPTOPRIL 12.5 MG TAB,29.0,29.0,1.54,34.8,48
CDM,12827,CAPTOPRIL 25 MG TAB,28.0,28.0,1.48,33.6,48
CDM,12828,CAPTOPRIL 50 MG TAB,40.0,40.0,2.12,48.0,48
CDM,12830,TRIAMCINOLONE TOPICAL,72.0,72.0,3.82,86.4,30
CDM,12835,NYSTATIN POWD 15GM,443.0,443.0,23.48,531.6,48
CDM,12837,PENICL V 125MG/5ML LIQ,31.0,31.0,1.64,37.2,48
CDM,12844,HYDROXYUREA 500 MG PO,52.0,52.0,2.76,62.4,30
CDM,12856,AMOXICIL 250 MG/5ML LIQ,50.0,50.0,2.65,60.0,48
CDM,12865,ATAZANAVIR 150MG CAP,31.0,31.0,1.64,37.2,48
CDM,12872,VALGANCICLOVIR 450MG TAB,545.0,545.0,28.89,654.0,48
CDM,12875,CLONAZEPAM 1 MG TAB,35.0,35.0,1.85,42.0,48
CDM,12876,CLONAZEPAM 0.5 MG TAB,31.0,31.0,1.64,37.2,48
CDM,12879,FLUCYTOSINE 500 MG PO,87.0,87.0,4.61,104.4,30
CDM,12882,CLONAZEPAM 2 MG TAB,47.0,47.0,2.49,56.4,48
CDM,12883,BUMETANIDE 1 MG TAB,29.0,29.0,1.54,34.8,48
CDM,12884,BUMETANIDE 0.5 MG TAB,29.0,29.0,1.54,34.8,48
CDM,12885,CALCITROL 0.25 MCG PO,45.0,45.0,2.38,54.0,30
CDM,12888,MIDAZOLAM 10MG/5ML LIQ,36.0,36.0,1.91,43.2,48
CDM,12899,TRETINOIN 10MG CAP,117.0,117.0,6.2,140.4,48
CDM,12914,OSELTAMIVIR 75MG CAP,131.0,131.0,6.94,157.2,48
CDM,12929,POLYCARBOPHIL 625MG TAB,24.0,24.0,1.27,28.8,48
CDM,12953,TRIAMTER/HCTZ 37.5/25TAB,29.0,29.0,1.54,34.8,48
CDM,12955,LEUCOVORIN 5 MG TAB,74.0,74.0,3.92,88.8,48
CDM,12956,PROPYLTHIOURAC 50 MG TAB,28.0,28.0,1.48,33.6,48
CDM,12959,AMINOCAPROIC 500 MG TAB,67.0,67.0,3.55,80.4,48
CDM,12963,MINOCYCLINE 100MG CAP,31.0,31.0,1.64,37.2,48
CDM,12969,DEMECLOCYCLINE 150MG TAB,198.0,198.0,10.49,237.6,48
CDM,12972,ENALAPRIL 2.5 MG TAB,31.0,31.0,1.64,37.2,48
CDM,12973,LISINOPRIL 2.5 MG TAB,29.0,29.0,1.54,34.8,48
CDM,12974,LISINOPRIL 5 MG TAB,35.0,35.0,1.85,42.0,48
CDM,12977,IVERMECTIN 3 MG PO,156.0,156.0,8.27,187.2,44
CDM,12986,FINASTERIDE 5 MG PO,74.0,74.0,3.92,88.8,30
CDM,12986,"Finasteride, 5 mg ",74.0,74.0,,,0
CDM,12991,DEXAMETHASONE 1.5 MG PO,32.0,32.0,1.7,38.4,30
CDM,12992,LISINOPRIL 10 MG TAB,35.0,35.0,1.85,42.0,48
CDM,12997,MONTELUKAST 10 MG TAB,74.0,74.0,3.92,88.8,48
CDM,13001,LISINOPRIL 20 MG TAB,40.0,40.0,2.12,48.0,48
CDM,13004,RALTEGRAVIR 400 MG TAB,189.0,189.0,10.02,226.8,48
CDM,13006,RIZATRIPTAN 10MG TAB,301.0,301.0,15.95,361.2,48
CDM,13007,MONTELUKAST 5 MG TAB,50.0,50.0,2.65,60.0,48
CDM,13008,SITAGLIPTIN 100MG TAB,83.0,83.0,4.4,99.6,48
CDM,13025,MONTELUKAST 4MG TAB,48.0,48.0,2.54,57.6,48
CDM,13026,ENALAPRIL 5 MG TAB,40.0,40.0,2.12,48.0,48
CDM,13027,ENALAPRIL 10 MG TAB,40.0,40.0,2.12,48.0,48
CDM,13028,ENALAPRIL 20MG TAB,53.0,53.0,2.81,63.6,48
CDM,13031,SIMVASTATIN 5 MG TAB,67.0,67.0,3.55,80.4,48
CDM,13034,SIMVASTATIN 10 MG TAB,72.0,72.0,3.82,86.4,48
CDM,13035,SIMVASTATIN 20MG TAB,81.0,81.0,4.29,97.2,48
CDM,13036,SIMVASTATIN 40MG TAB,81.0,81.0,4.29,97.2,48
CDM,13040,LOSARTAN 25MG TAB,61.0,61.0,3.23,73.2,48
CDM,13041,LOSARTAN 50MG TAB,61.0,61.0,3.23,73.2,48
CDM,13043,FAMOTIDINE 20 MG TAB,61.0,61.0,3.23,73.2,48
CDM,13048,DORZOLAMIDE 2% OP 10ML,510.0,510.0,27.03,612.0,48
CDM,13049,FAMOTIDNE 40MG/5MLPO50ML,486.0,486.0,25.76,583.2,30
CDM,13055,PROCHLORPER MAL 10 MG PO,56.0,56.0,2.97,67.2,30
CDM,13055,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",56.0,56.0,1.29,1.29,1
CDM,13066,LITHIUM CARB 450MG TAB,29.0,29.0,1.54,34.8,48
CDM,13076,ROPINIROLE 0.25 MG TAB,47.0,47.0,2.49,56.4,48
CDM,13078,ROPINIROLE 1 MG TAB,47.0,47.0,2.49,56.4,48
CDM,13089,FLAVOXATE 100MG TAB,61.0,61.0,3.23,73.2,48
CDM,13090,ALBENDAZOLE 200 MG PO,81.0,81.0,4.29,97.2,30
CDM,13093,OXCARBAZEPINE 150MG TAB,40.0,40.0,2.12,48.0,48
CDM,13115,ISOSORBIDE MON 20 MG TAB,31.0,31.0,1.64,37.2,48
CDM,13124,PANTOPRAZOLE 40MG TAB DR,68.0,68.0,3.6,81.6,48
CDM,13139,ISOSORBIDE 30 MG TAB,29.0,29.0,1.54,34.8,48
CDM,13140,ACEBUTOLOL 200MG TAB,40.0,40.0,2.12,48.0,48
CDM,13143,AMIODARONE 200MG TAB,53.0,53.0,2.81,63.6,48
CDM,13149,PRAMIPEXOLE 1 MG TAB,67.0,67.0,3.55,80.4,48
CDM,13152,HYDROCORTISONE 5 MG TAB,28.0,28.0,1.48,33.6,48
CDM,13162,HYDROCORTISONE 10MG TAB,29.0,29.0,1.54,34.8,48
CDM,13167,MEDROXYPROGEST 10MG TAB,29.0,29.0,1.54,34.8,48
CDM,13169,METHYLPREDNISO 4MG TAB,29.0,29.0,1.54,34.8,48
CDM,13174,MEDROXYPROGEST 2.5MG TAB,28.0,28.0,1.48,33.6,48
CDM,13181,COLESTIPOL 5GM PKT,47.0,47.0,2.49,56.4,48
CDM,13184,GLYBURIDE 1.5 MG TAB,29.0,29.0,1.54,34.8,48
CDM,13189,IBUPROFEN 800MG TAB,29.0,29.0,1.54,34.8,48
CDM,13191,IBUPROFEN 600MG TAB,28.0,28.0,1.48,33.6,48
CDM,13192,IBUPROFEN 400MG TAB,28.0,28.0,1.48,33.6,48
CDM,13193,CLINDAMYCIN 75MG/5ML LIQ,32.0,32.0,1.7,38.4,48
CDM,13197,CLINDAMYCIN 1% GEL 30GM,513.0,513.0,27.19,615.6,48
CDM,13200,CLINDAMYCIN 2% VAG CRM,513.0,513.0,27.19,615.6,48
CDM,13217,LINEZOLID 600MG PO,21.25,21.25,1.13,25.5,30
CDM,13222,TOLTERODINE-LA 2MG CAP,74.0,74.0,3.92,88.8,48
CDM,13226,EXEMESTANE 25 MG PO,143.0,143.0,7.58,171.6,30
CDM,13226,"Exemestane, 25 mg ",143.0,143.0,,,0
CDM,13231,SULFASALAZINE 500MG TAB,28.0,28.0,1.48,33.6,48
CDM,13232,SULFASALAZ 500MG TAB ENT,29.0,29.0,1.54,34.8,48
CDM,13233,OLSALAZINE 250MG CAP,53.0,53.0,2.81,63.6,48
CDM,13234,ESTRAMUSTINE 140MG CAP,72.0,72.0,3.82,86.4,48
CDM,13235,RIFABUTIN 150MG CAP,67.0,67.0,3.55,80.4,48
CDM,13237,LATANOPRS .005% OP 2.5ML,36.0,36.0,1.91,43.2,48
CDM,13241,MEGESTROL ACET 20 MG PO,29.0,29.0,1.54,34.8,30
CDM,13254,HYDROCORT 10% TOP 15GM,1295.0,1295.0,68.64,1554.0,30
CDM,13258,PRAMOXINE 1% FOAM,338.0,338.0,17.91,405.6,48
CDM,13267,PERMETHRIN 5% CR 60GM,471.0,471.0,24.96,565.2,48
CDM,13330,MEPERIDINE 50MG TAB,29.0,29.0,1.54,34.8,48
CDM,13340,PHENYLEPH .25% SPRY 15ML,48.0,48.0,2.54,57.6,48
CDM,13342,PHENYLEPH 1% SPRY 15ML,84.0,84.0,4.45,100.8,48
CDM,13343,PHENYLEPH .5% SPRY 15ML,48.0,48.0,2.54,57.6,48
CDM,13353,DRONEDARONE 400MG TAB,45.0,45.0,2.38,54.0,48
CDM,13362,SPIRONOLACTONE 50MG TAB,29.0,29.0,1.54,34.8,48
CDM,13366,MISOPROSTOL 100 MCG PO,29.0,29.0,1.54,34.8,30
CDM,13368,MISOPROSTOL 200 MCG PO,53.0,53.0,2.81,63.6,30
CDM,13369,CELECOXIB 100MG CAP,61.0,61.0,3.23,73.2,48
CDM,13370,CELECOXIB 200MG CAP,74.0,74.0,3.92,88.8,48
CDM,13374,VERAPAMIL 120MG SR CAP,40.0,40.0,2.12,48.0,48
CDM,13375,VERAPAMIL 180MG SR CAP,52.0,52.0,2.76,62.4,48
CDM,13386,NIMODIPINE 30MG CAP,142.0,142.0,7.53,170.4,48
CDM,13387,ACARBOSE 50MG TAB,31.0,31.0,1.64,37.2,48
CDM,13393,CLOTRIMAZOLE 1% CR 30GM,2.98,2.98,0.16,3.58,48
CDM,13401,CIPROFLOXACIN 250MG TAB,69.0,69.0,3.66,82.8,48
CDM,13402,CIPROFLOXACIN 500MG TAB,84.0,84.0,4.45,100.8,48
CDM,13407,NIFEDIPINE 10MG CAP,31.0,31.0,1.64,37.2,48
CDM,13409,NIFEDIPINE 30MG TAB SA,44.0,44.0,2.33,52.8,48
CDM,13410,NIFEDIPINE 60MG TAB SA,61.0,61.0,3.23,73.2,48
CDM,13411,NIFEDIPINE 90MG TAB SA,68.0,68.0,3.6,81.6,48
CDM,13418,METOPROLOL 100MG TAB,31.0,31.0,1.64,37.2,48
CDM,13419,TERBUTALINE 2.5 MG PO,29.0,29.0,1.54,34.8,44
CDM,13421,TERBUTALINE 5 MG PO,29.0,29.0,1.54,34.8,44
CDM,13445,PAROXETINE 10MG TAB,72.0,72.0,3.82,86.4,48
CDM,13446,PAROXETINE 20MG TAB,72.0,72.0,3.82,86.4,48
CDM,13453,AMOXICILL/CLAV 250MG TAB,74.0,74.0,3.92,88.8,48
CDM,13454,AMOXICILL/CLAV 500MG TAB,67.0,67.0,3.55,80.4,48
CDM,13461,AMOXICILL/CLAV 875MG TAB,84.0,84.0,4.45,100.8,48
CDM,13463,AMOX/CLAV 250MG/5ML LIQ,7.18,7.18,0.38,8.62,48
CDM,13502,HYDROCORT 100MG/60ML ENE,244.0,244.0,12.93,292.8,48
CDM,13504,FLUVOX/MALEATE 50MG TAB,72.0,72.0,3.82,86.4,48
CDM,13510,KETOROLAC 10 MG TAB,40.0,40.0,2.12,48.0,48
CDM,13520,MORPHINE 15MG TAB SA,31.0,31.0,1.64,37.2,48
CDM,13521,MORPHINE 30MG TAB SA,53.0,53.0,2.81,63.6,48
CDM,13526,SENNA TAB,1.0,1.0,0.05,1.2,48
CDM,13551,PENTOXIFYLLINE 400MG TAB,29.0,29.0,1.54,34.8,48
CDM,13552,RAMIPRIL 10MG CAP,61.0,61.0,3.23,73.2,48
CDM,13553,GLIMEPIRIDE 1MG TAB,29.0,29.0,1.54,34.8,48
CDM,13554,GLIMEPIRIDE 2MG TAB,29.0,29.0,1.54,34.8,48
CDM,13571,VERAPAMIL SR 240MG TAB,61.0,61.0,3.23,73.2,48
CDM,13572,PROPAFENONE 150MG TAB,61.0,61.0,3.23,73.2,48
CDM,13574,PROPAFENONE 225MG TAB,67.0,67.0,3.55,80.4,48
CDM,13576,COLLAGENASE 30 GM TOP,793.0,793.0,42.03,951.6,30
CDM,13591,ACETAMIN 325MG TAB,3.33,3.33,0.18,4.0,48
CDM,13595,TOPIRAMATE 25MG TAB,61.0,61.0,3.23,73.2,48
CDM,13596,TOPIRAMATE 100MG TAB,74.0,74.0,3.92,88.8,48
CDM,13597,TOPIRAMATE 200 MG TAB,81.0,81.0,4.29,97.2,48
CDM,13598,TOPIRAMATE 25 MG CAP,67.0,67.0,3.55,80.4,48
CDM,13599,TRAMADOL/ACET 37.5/325MG,40.0,40.0,2.12,48.0,48
CDM,13600,TRAMADOL 50MG TAB,31.0,31.0,1.64,37.2,48
CDM,13606,LEVOFLOXACIN 250MG TAB,164.0,164.0,8.69,196.8,48
CDM,13607,LEVOFLOXACIN 500MG TAB,189.0,189.0,10.02,226.8,48
CDM,13608,LEVAQUIN 750 MG TABLET,202.0,202.0,10.71,242.4,48
CDM,13610,PROPRANOLOL LA 80MG CAP,52.0,52.0,2.76,62.4,48
CDM,13628,ESTROGEN CON 0.625MG TAB,44.0,44.0,2.33,52.8,48
CDM,13629,ESTROGEN CONJ 0.3MG TAB,35.0,35.0,1.85,42.0,48
CDM,13631,ESTROGEN CONJ TOP 30GM,1048.0,1048.0,55.54,1257.6,30
CDM,13639,MINOCYCLINE 50MG CAP,52.0,52.0,2.76,62.4,48
CDM,13643,LEVOTHYROXIN 0.088MG TAB,28.0,28.0,1.48,33.6,48
CDM,13644,LEVOTHYROXIN 0.175MG TAB,28.0,28.0,1.48,33.6,48
CDM,13652,TACROLIMUS IMM 0.5 MG PO,106.0,106.0,5.62,127.2,30
CDM,13660,ELETRIPTAN 40MG TAB,160.0,160.0,8.48,192.0,48
CDM,13661,DOXAZOSIN 1MG TAB,35.0,35.0,1.85,42.0,48
CDM,13662,DOXAZOSIN 2MG TAB,35.0,35.0,1.85,42.0,48
CDM,13664,DOXAZOSIN 4MG TAB,35.0,35.0,1.85,42.0,48
CDM,13667,VORICONAZOLE 200MG TAB,267.0,267.0,14.15,320.4,48
CDM,13669,FLUCONAZOLE 100MG TAB,149.0,149.0,7.9,178.8,48
CDM,13670,FLUCONAZOLE 200MG TAB,242.0,242.0,12.83,290.4,48
CDM,13671,FLUCONAZOLE 10MG/ML LIQ,520.0,520.0,27.56,624.0,48
CDM,13674,FLUCONAZOLE 40MG/ML SUSP,1.52,1.52,0.08,1.82,48
CDM,13689,ZIPRASIDONE 20MG CAP,74.0,74.0,3.92,88.8,48
CDM,13690,ZIPRASIDONE 40MG CAP,63.0,63.0,3.34,75.6,48
CDM,13691,ZIPRASIDONE 60MG CAP,92.0,92.0,4.88,110.4,48
CDM,13692,ZIPRASIDONE 80MG CAP,96.0,96.0,5.09,115.2,48
CDM,13693,SERTRALINE 50MG TAB,72.0,72.0,3.82,86.4,48
CDM,13694,SERTRALINE 100MG TAB,72.0,72.0,3.82,86.4,48
CDM,13695,SERTRALINE 25MG TAB,68.0,68.0,3.6,81.6,48
CDM,13706,MIRTAZAPINE 15MG TAB,72.0,72.0,3.82,86.4,48
CDM,13708,MIRTAZAPINE 30MG TAB,72.0,72.0,3.82,86.4,48
CDM,13715,LITHIUM CARB 150MG CAP,13.0,13.0,0.69,15.6,48
CDM,13718,CALCIUM CARB 1250MG/5ML,31.0,31.0,1.64,37.2,48
CDM,13719,CALCITRIOL 1MCG/ML LIQ,128.0,128.0,6.78,153.6,48
CDM,13745,MORPHINE 20MG/ML LIQ,29.0,29.0,1.54,34.8,48
CDM,13751,METHADONE 40 MG PO,21.0,21.0,1.11,25.2,30
CDM,13753,MEGESTROL ACET 40 MG PO,45.0,45.0,2.38,54.0,30
CDM,13754,OXYCODONE 30MG TAB,23.0,23.0,1.22,27.6,48
CDM,13766,CODEINE 30MG TAB,29.0,29.0,1.54,34.8,48
CDM,13783,FUROSEMIDE 20MG TAB,28.0,28.0,1.48,33.6,48
CDM,13784,FUROSEMIDE 40MG/5ML LIQ,0.77,0.77,0.04,0.92,48
CDM,13785,FUROSEMIDE 40MG TAB,28.0,28.0,1.48,33.6,48
CDM,13787,HALOPERIDOL 0.5MG TAB,28.0,28.0,1.48,33.6,48
CDM,13788,HALOPERIDOL 1MG TAB,29.0,29.0,1.54,34.8,48
CDM,13790,HALOPERIDOL 2MG TAB,28.0,28.0,1.48,33.6,48
CDM,13791,HALOPERIDOL 5MG TAB,35.0,35.0,1.85,42.0,48
CDM,13792,HALOPERIDOL 10MG TAB,61.0,61.0,3.23,73.2,48
CDM,13794,HYDROMORPHONE 2MG TAB,29.0,29.0,1.54,34.8,48
CDM,13799,LITHIUM CARB 300MG CAP,28.0,28.0,1.48,33.6,48
CDM,13800,LITHIUM CARB 300MG TAB,29.0,29.0,1.54,34.8,48
CDM,13802,LOPERAMIDE 2MG CAP,31.0,31.0,1.64,37.2,48
CDM,13803,METHADONE 5 MG PO,29.0,29.0,1.54,34.8,30
CDM,13804,METHADONE 10 MG PO,29.0,29.0,1.54,34.8,30
CDM,13808,MINERAL OIL LIQ 30ML,2.0,2.0,0.11,2.4,48
CDM,13815,NEVIRAPINE 200MG TAB,120.0,120.0,6.36,144.0,48
CDM,13816,OXYCODONE 5 MG TAB,10.0,10.0,0.53,12.0,48
CDM,13827,QUINIDINE SULF 200MG TAB,28.0,28.0,1.48,33.6,48
CDM,13833,PROPRANOLOL 20MG/5ML LIQ,1.04,1.04,0.06,1.25,48
CDM,13836,NALTREXONE 50MG TAB,37.0,37.0,1.96,44.4,48
CDM,13837,WARFARIN 4MG TAB,31.0,31.0,1.64,37.2,48
CDM,13838,WARFARIN 1MG TAB,31.0,31.0,1.64,37.2,48
CDM,13839,WARFARIN 2MG TAB,31.0,31.0,1.64,37.2,48
CDM,13842,WARFARIN 5MG TAB,31.0,31.0,1.64,37.2,48
CDM,13844,WARFARIN 7.5MG TAB,44.0,44.0,2.33,52.8,48
CDM,13845,WARFARIN 10MG TAB,45.0,45.0,2.38,54.0,48
CDM,13846,WARFARIN 2.5MG TAB,31.0,31.0,1.64,37.2,48
CDM,13847,WARFARIN 3MG TAB,31.0,31.0,1.64,37.2,48
CDM,13854,EFAVIRENZ 600MG TAB,271.0,271.0,14.36,325.2,48
CDM,13858,CARBID/LEV 25/100 TAB CR,28.0,28.0,1.48,33.6,48
CDM,13901,CIPROFLOXACIN 0.3% OPH,857.0,857.0,45.42,1028.4,30
CDM,13934,DICYCLOMINE 10 MG CAP,28.0,28.0,1.48,33.6,48
CDM,13936,DICYCLOMINE 20 MG TAB,29.0,29.0,1.54,34.8,48
CDM,13946,METHENAMINE H 1GM TAB,40.0,40.0,2.12,48.0,48
CDM,13953,RIFAMPIN 300MG CAP,67.0,67.0,3.55,80.4,48
CDM,13955,RIFAMPIN 150 MG CAP,1.92,1.92,0.1,2.3,48
CDM,13973,AMLODIPINE 2.5MG TAB,61.0,61.0,3.23,73.2,48
CDM,13974,AMLODIPINE 5MG TAB,61.0,61.0,3.23,73.2,48
CDM,13976,AMLODIPINE 10MG TAB,67.0,67.0,3.55,80.4,48
CDM,13979,AZITHROMYCIN 250MG TAB,141.0,141.0,7.47,169.2,48
CDM,13981,AZITHROMYCIN 600MG TAB,336.0,336.0,17.81,403.2,48
CDM,13983,AZITHROMY 100MG/5ML LIQ,10.03,10.03,0.53,12.04,48
CDM,13986,SILDENAFIL CIT 20MG TAB,174.0,174.0,9.22,208.8,48
CDM,14019,PHENYTOIN 50MG TAB,28.0,28.0,1.48,33.6,48
CDM,14044,PHENYTOIN SOD 100MG CAP,28.0,28.0,1.48,33.6,48
CDM,14049,GABAPENTIN 800MG TAB,74.0,74.0,3.92,88.8,48
CDM,14050,GABAPENTIN 600MG TAB,72.0,72.0,3.82,86.4,48
CDM,14068,NITROGLYC 0.3MG SL TAB,142.0,142.0,7.53,170.4,48
CDM,14069,NITROGLYC 0.4MG SL TAB,74.0,74.0,3.92,88.8,48
CDM,14070,NITROGLYC 0.6MG SL TAB,142.0,142.0,7.53,170.4,48
CDM,14072,GABAPENTIN 100MG CAP,8.5,8.5,0.45,10.2,48
CDM,14073,GABAPENTIN 300MG CAP,52.0,52.0,2.76,62.4,48
CDM,14074,GABAPENTIN 400MG CAP,61.0,61.0,3.23,73.2,48
CDM,14075,PREGABALIN 25MG CAP,61.0,61.0,3.23,73.2,48
CDM,14076,PREGABALIN 50MG,53.0,53.0,2.81,63.6,48
CDM,14077,PREGABALIN 75MG,53.0,53.0,2.81,63.6,48
CDM,14078,PREGABALIN 100MG CAP,53.0,53.0,2.81,63.6,48
CDM,14079,PREGABALIN 150MG CAP,53.0,53.0,2.81,63.6,48
CDM,14108,AMMONIM LAC 12% LOT 225G,311.0,311.0,16.48,373.2,48
CDM,14128,CLARITHROMYCIN 500MG TAB,68.0,68.0,3.6,81.6,48
CDM,14146,CEFDINIR 300MG CAP,44.0,44.0,2.33,52.8,48
CDM,14151,TERAZOSIN 1MG CAP,61.0,61.0,3.23,73.2,48
CDM,14152,TERAZOSIN 2MG CAP,29.0,29.0,1.54,34.8,48
CDM,14153,TERAZOSIN 5MG CAP,29.0,29.0,1.54,34.8,48
CDM,14154,DIVALPROEX ER 250MG TAB,44.0,44.0,2.33,52.8,48
CDM,14156,TIAGABINE 4MG TAB,61.0,61.0,3.23,73.2,48
CDM,14167,VALPROATE 250MG/5ML SUS,45.0,45.0,2.38,54.0,48
CDM,14173,DIVALPROEX 125MG SA CAP,29.0,29.0,1.54,34.8,48
CDM,14174,FENOFIBRATE 48MG TAB,40.0,40.0,2.12,48.0,48
CDM,14175,FENOFIBRATE 145MG TAB,53.0,53.0,2.81,63.6,48
CDM,14178,DIVALPROEX 250MG TAB,45.0,45.0,2.38,54.0,48
CDM,14180,DIVALPROEX 500MG TAB,67.0,67.0,3.55,80.4,48
CDM,14182,ERYTHRMYCN 200/5 PO100ML,33.0,33.0,1.75,39.6,30
CDM,14188,ERYTHROMY 250MG TAB,4.0,4.0,0.21,4.8,48
CDM,14193,SELENIUM SULF 1% SHAM,96.0,96.0,5.09,115.2,48
CDM,14211,POT CHL 20MEQ PKT,28.0,28.0,1.48,33.6,48
CDM,14215,ZILEUTON 600MG TAB,29.0,29.0,1.54,34.8,48
CDM,14239,DESMOPRES 0.01% SPR 5 ML,2082.0,2082.0,110.35,2498.4,30
CDM,14242,THEOPHYLL 80MG/15ML LIQ,61.0,61.0,3.23,73.2,48
CDM,14249,BROMOCRIPTINE 2.5MG TAB,61.0,61.0,3.23,73.2,48
CDM,14252,METHYLERGONOVI 0.2MG TAB,35.0,35.0,1.85,42.0,48
CDM,14258,NORTRIPTYLINE 50MG CAP,28.0,28.0,1.48,33.6,48
CDM,14259,APAP/CAFF/BUTALB TAB,29.0,29.0,1.54,34.8,48
CDM,14265,TEMAZEPAM 7.5MG CAP,67.0,67.0,3.55,80.4,48
CDM,14274,LETROZOLE 2.5MG TAB,144.0,144.0,7.63,172.8,48
CDM,14275,CALCITONIN NASAL 3.7ML,849.0,849.0,45.0,1018.8,48
CDM,14280,CLOMIPRAMINE 50MG CAP,109.0,109.0,5.78,130.8,48
CDM,14281,URSODIOL 300MG CAP,67.0,67.0,3.55,80.4,48
CDM,14282,RIVASTIGMINE 1.5MG CAP,72.0,72.0,3.82,86.4,48
CDM,14283,RIVASTIGMINE 3MG TAB,72.0,72.0,3.82,86.4,48
CDM,14287,ENTACAPONE 200MG TAB,67.0,67.0,3.55,80.4,48
CDM,14288,OXCARBAZEPINE 300MG TAB,61.0,61.0,3.23,73.2,48
CDM,14299,VALSARTAN 80MG TAB,61.0,61.0,3.23,73.2,48
CDM,14300,VALSARTAN 160MG TAB,44.0,44.0,2.33,52.8,48
CDM,14309,VALSARTAN 40MG TAB,43.0,43.0,2.28,51.6,48
CDM,14331,LAMOTRIGINE 25MG TAB,74.0,74.0,3.92,88.8,48
CDM,14333,PERMETHRIN 1% SOL,13.4,13.4,0.71,16.08,48
CDM,14344,CARBAMAZE 100MG TAB CHEW,28.0,28.0,1.48,33.6,48
CDM,14399,LORATADINE 10MG TAB,1.0,1.0,0.05,1.2,48
CDM,14405,FLUTAMIDE 125 MG PO,67.0,67.0,3.55,80.4,30
CDM,14405,"Flutamide, oral, 125 mg ",67.0,67.0,,,0
CDM,14409,THEOPHYL SA 300MG TAB,29.0,29.0,1.54,34.8,48
CDM,14419,POT CHL SA 20MEQ TAB,29.0,29.0,1.54,34.8,48
CDM,14436,RIBAVIRIN 200MG CAP,189.0,189.0,10.02,226.8,48
CDM,14442,ISOSOR MONO SA 30MG TAB,45.0,45.0,2.38,54.0,48
CDM,14443,ISOSOR MONO SA 60MG TAB,47.0,47.0,2.49,56.4,48
CDM,14457,MED CHAIN TRIGLY OIL LIQ,24.0,24.0,1.27,28.8,48
CDM,14463,CHOLESTYR/ASPARTAMIN PKT,45.0,45.0,2.38,54.0,48
CDM,14468,ESTRADIOL 1MG TAB,24.0,24.0,1.27,28.8,48
CDM,14481,BUSPIRONE 5MG TAB,31.0,31.0,1.64,37.2,48
CDM,14482,BUSPIRONE 10MG TAB,52.0,52.0,2.76,62.4,48
CDM,14483,BUSPIRONE 15MG TAB,28.0,28.0,1.48,33.6,48
CDM,14487,METFORMIN 500MG TAB,28.0,28.0,1.48,33.6,48
CDM,14489,METFORMIN 850MG TAB,28.0,28.0,1.48,33.6,48
CDM,14508,NICOTINE 21MG/24HR PAT,53.0,53.0,2.81,63.6,48
CDM,14510,NICOTINE 14MG/24HR PAT,61.0,61.0,3.23,73.2,48
CDM,14511,NICOTINE 7MG/24HR PAT,61.0,61.0,3.23,73.2,48
CDM,14520,OXYBUTYNIN 5MG/5ML LIQ,68.0,68.0,3.6,81.6,48
CDM,14523,CALC CARB 600/VIT D TAB,28.0,28.0,1.48,33.6,48
CDM,14524,SUCRALFATE 1GM/10ML SUS,52.0,52.0,2.76,62.4,48
CDM,14525,SUCRALFATE 1GM TAB,31.0,31.0,1.64,37.2,48
CDM,14530,DILTIAZEM 120MG TAB,47.0,47.0,2.49,56.4,48
CDM,14531,DILTIAZEM 120MG CAP CD,40.0,40.0,2.12,48.0,48
CDM,14532,DILTIAZEM 180MG CAP CD,47.0,47.0,2.49,56.4,48
CDM,14533,DILTIAZEM 240MG CAP CD,61.0,61.0,3.23,73.2,48
CDM,14534,DILTIAZEM 300MG CAP CD,68.0,68.0,3.6,81.6,48
CDM,14535,LEFLUNOMIDE 10MG TAB,144.0,144.0,7.63,172.8,48
CDM,14544,METRONIDAZ .75% GEL 70GM,625.0,625.0,33.13,750.0,48
CDM,14552,FLECANIDE 50MG TAB,61.0,61.0,3.23,73.2,48
CDM,14553,FLECANIDE 100MG TAB,72.0,72.0,3.82,86.4,48
CDM,14613,MEGESTROL ACE 400 MG LIQ,290.0,290.0,15.37,348.0,30
CDM,14621,GUAIFENESN 100MG/5ML LIQ,169.0,169.0,8.96,202.8,48
CDM,14625,ACETAMINOPHEN 320MG/10ML,309.0,309.0,16.38,370.8,48
CDM,14631,LACOSAMIDE 50MG TABS,14.5,14.5,0.77,17.4,48
CDM,14642,MINERAL OIL ENEMA,178.0,178.0,9.43,213.6,48
CDM,14657,DANTROLENE 25MG CAP,44.0,44.0,2.33,52.8,48
CDM,14666,NITROFURA MAC 100MG CAP,167.0,167.0,8.85,200.4,48
CDM,14675,TRIAMCINOLONE TOPICAL,298.0,298.0,15.79,357.6,30
CDM,14680,NYSTATIN 100MU/GM OI 15G,170.0,170.0,9.01,204.0,48
CDM,14683,HYDROCORTISONE 1% CR 30G,240.0,240.0,12.72,288.0,48
CDM,14688,VITAMIN A&D OINT,13.0,13.0,0.69,15.6,48
CDM,14704,NYSTATIN 100MU/GM CR 15G,1.0,1.0,0.05,1.2,48
CDM,14708,BETAMETH DIP .05% OI 15G,257.0,257.0,13.62,308.4,48
CDM,14716,ZINC OXIDE OINT,24.0,24.0,1.27,28.8,48
CDM,14717,ZINC OXIDE OINT,31.0,31.0,1.64,37.2,48
CDM,14736,FLUOCINONIDE .05% CR 15G,218.0,218.0,11.55,261.6,48
CDM,14741,CLOTRIM 1% VAG CR 45GM,67.0,67.0,3.55,80.4,48
CDM,14747,REPAGLINIDE 0.5MG TAB,44.0,44.0,2.33,52.8,48
CDM,14749,REPAGLINIDE 2MG TAB,44.0,44.0,2.33,52.8,48
CDM,14780,ZIDOVUDINE 100 MG PO,67.0,67.0,3.55,80.4,30
CDM,14784,BUPROPION SR 150 MG PO,31.0,31.0,1.64,37.2,44
CDM,14789,BUPROPION 75MG TAB,31.0,31.0,1.64,37.2,48
CDM,14790,BUPROPION 100MG TAB,35.0,35.0,1.85,42.0,48
CDM,14792,PYRIMETHAMINE 25 MG PO,3783.0,3783.0,200.5,4539.6,30
CDM,14793,DIGOXIN 0.125MG TAB,28.0,28.0,1.48,33.6,48
CDM,14794,DIGOXIN 0.25MG TAB,28.0,28.0,1.48,33.6,48
CDM,14797,DIGOXIN 0.05MG/ML LIQ,271.0,271.0,14.36,325.2,48
CDM,14808,ALBUTEROL 5MG/ML20ML INH,196.0,196.0,10.39,235.2,48
CDM,14809,CEFUROXIME 250MG TAB,72.0,72.0,3.82,86.4,48
CDM,14814,CEFUROXIME 500MG TAB,136.0,136.0,7.21,163.2,48
CDM,14835,SUMATRIPTAN 25MG TAB,196.0,196.0,10.39,235.2,48
CDM,14836,LAMIVUDINE 150MG TAB,96.0,96.0,5.09,115.2,48
CDM,14839,ZIDOVUDINE 300 MG PO,100.0,100.0,5.3,120.0,30
CDM,14846,ONDANSETRON 4 MG PO,254.0,254.0,13.46,304.8,30
CDM,14846,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",254.0,254.0,0.02,0.03,2
CDM,14850,ZIDOVU/LAMIV 150/300 TAB,201.0,201.0,10.65,241.2,48
CDM,14851,CHLORAMBUCIL 2 MG PO,67.0,67.0,3.55,80.4,30
CDM,14851,"Chlorambucil, oral, 2 mg ",67.0,67.0,,,0
CDM,14853,LAMOTRIGINE 100MG TAB,61.0,61.0,3.23,73.2,48
CDM,14856,LAMOTRIGINE 200MG TAB,67.0,67.0,3.55,80.4,48
CDM,14860,ABACAVIR 300MG TAB,124.0,124.0,6.57,148.8,48
CDM,14878,MERCAPTOPURINE 50 MG PO,83.0,83.0,4.4,99.6,30
CDM,14878,"Mercaptopurine, oral, 50 mg ",83.0,83.0,,,0
CDM,14880,VALACYCLOVIR 500MG TAB,81.0,81.0,4.29,97.2,48
CDM,14881,ACYCLOVIR 800MG TAB,64.0,64.0,3.39,76.8,48
CDM,14890,ACYCLOVIR 200MG/5ML LIQ,7.91,7.91,0.42,9.49,48
CDM,14891,ACYCLOVIR 200MG CAP,29.0,29.0,1.54,34.8,48
CDM,14897,ACYCLOVIR 5% TOP 15 GM,1365.0,1365.0,72.34,1638.0,30
CDM,14901,POT CIT SA 540MG TAB,28.0,28.0,1.48,33.6,48
CDM,14923,PYRIDOXINE 100MG TAB,28.0,28.0,1.48,33.6,48
CDM,14925,TETRACYCLINE 250MG CAP,28.0,28.0,1.48,33.6,48
CDM,14933,NITROGLYC 2.5MG CAP SA,28.0,28.0,1.48,33.6,48
CDM,14934,NITROGLYC 6.5MG CAP SA,28.0,28.0,1.48,33.6,48
CDM,14941,PHENAZOPYRIDIN 200MG TAB,31.0,31.0,1.64,37.2,48
CDM,14961,CALC CARB 500MG CHEW TAB,1.0,1.0,0.05,1.2,48
CDM,14965,GUAIFENESIN SA 600MG TAB,1.0,1.0,0.05,1.2,48
CDM,14980,VERAPAMIL 80MG TAB,29.0,29.0,1.54,34.8,48
CDM,14985,NYSTATIN 500MU TAB,29.0,29.0,1.54,34.8,48
CDM,14987,OXYMETAZOL .05% SPR 15ML,20.0,20.0,1.06,24.0,48
CDM,15028,PROPRANALOL 60MG TAB,29.0,29.0,1.54,34.8,48
CDM,15031,ACETIC2%/HYDROC1% OTIC,430.0,430.0,22.79,516.0,30
CDM,15055,PROPRANOLOL 80MG TAB,13.0,13.0,0.69,15.6,48
CDM,15057,TEMAZEPAM 30MG CAP,31.0,31.0,1.64,37.2,48
CDM,15080,TRIAMCINOLONE TOPICAL,544.0,544.0,28.83,652.8,30
CDM,15090,FLUOCINONID .05% OI 15G,371.0,371.0,19.66,445.2,48
CDM,15091,CAPSAICIN 0.025% CR 60GM,96.0,96.0,5.09,115.2,48
CDM,15114,CALAMINE LOT,3.0,3.0,0.16,3.6,48
CDM,15121,CEPHALEX 250MG/5ML LIQ,1.51,1.51,0.08,1.81,48
CDM,15123,SIMETHICON 80MG TAB CHEW,1.0,1.0,0.05,1.2,48
CDM,15142,BUDESONIDE 3MG CAP,72.0,72.0,3.82,86.4,48
CDM,15156,METOPROLOL XL 25MG TAB,31.0,31.0,1.64,37.2,48
CDM,15161,METOPROLOL 50MG SA TAB,31.0,31.0,1.64,37.2,48
CDM,15162,METOPROLOL 100MG SA TAB,45.0,45.0,2.38,54.0,48
CDM,15170,VITAMIN E 50IU/ML LIQ,523.0,523.0,27.72,627.6,48
CDM,15173,PYRIDOSTIGMINE 60MG TAB,29.0,29.0,1.54,34.8,48
CDM,15174,PYRIDOSTIGM 60MG/5ML LIQ,61.0,61.0,3.23,73.2,48
CDM,15175,PYRIDOSTIGM 180MG SA TAB,40.0,40.0,2.12,48.0,48
CDM,15188,TROLAMINE SAL 10% CRM,31.0,31.0,1.64,37.2,48
CDM,15193,POT CHL SA 10MEQ TAB,28.0,28.0,1.48,33.6,48
CDM,15263,ANASTROZOLE 1 MG PO,122.0,122.0,6.47,146.4,30
CDM,15263,"Anastrozole, oral, 1 mg ",122.0,122.0,,,0
CDM,15270,QUETIAPINE 100MG TAB,74.0,74.0,3.92,88.8,48
CDM,15272,QUETIAPINE 200 MG TAB,108.0,108.0,5.72,129.6,48
CDM,15274,QUETIAPINE 25MG TAB,61.0,61.0,3.23,73.2,48
CDM,15275,QUETIAPINE 50MG TAB,55.0,55.0,2.92,66.0,48
CDM,15277,QUETIAPINE 400MG TAB,167.0,167.0,8.85,200.4,48
CDM,15281,QUETIAPINE XR 200MG TAB,101.0,101.0,5.35,121.2,48
CDM,15289,TAMOXIFEN 10 MG PO,61.0,61.0,3.23,73.2,30
CDM,15289,"Tamoxifen citrate, oral, 10 mg ",61.0,61.0,,,0
CDM,15290,BICALUTAMIDE 50 MG TAB,257.0,257.0,13.62,308.4,48
CDM,15308,COLCHICINE 0.6MG TAB,28.0,28.0,1.48,33.6,48
CDM,15322,HYDROXYZINE 10MG TAB,29.0,29.0,1.54,34.8,48
CDM,15323,HYDROXYZINE PAM 25 MG PO,56.0,56.0,2.97,67.2,30
CDM,15324,HYDROXYZINE HCL 50MG TAB,69.0,69.0,3.66,82.8,49
CDM,15326,MINOXIDIL 2.5MG TAB,29.0,29.0,1.54,34.8,48
CDM,15328,MINOXIDIL 10 MG PO,45.0,45.0,2.38,54.0,30
CDM,15328,"Minoxidil, 10 mg ",45.0,45.0,,,0
CDM,15338,BACLOFEN 10MG TAB,29.0,29.0,1.54,34.8,48
CDM,15341,CYCLOBENZAPRINE 10MG TAB,44.0,44.0,2.33,52.8,48
CDM,15363,PRAZOSIN 1MG CAP,29.0,29.0,1.54,34.8,48
CDM,15365,PRAZOSIN 5MG CAP,31.0,31.0,1.64,37.2,48
CDM,15375,NORTRIPTYLINE 10MG CAP,29.0,29.0,1.54,34.8,48
CDM,15378,NORTRIPTYLINE 25MG CAP,28.0,28.0,1.48,33.6,48
CDM,15399,CASTOR OIL 59ML,2.0,2.0,0.11,2.4,48
CDM,15400,MAGNES CITRATE 300ML,3.0,3.0,0.16,3.6,48
CDM,15416,OXYCODONE HCL 15 MG TAB,23.0,23.0,1.22,27.6,48
CDM,15423,METHENAMINE M 500MG TAB,29.0,29.0,1.54,34.8,48
CDM,15428,ETHINYL ESTRADIOL/NORETH,45.0,45.0,2.38,54.0,48
CDM,15440,LEVOTHYROXIN 0.025MG TAB,28.0,28.0,1.48,33.6,48
CDM,15441,LEVOTHYROXINE 0.05MG TAB,28.0,28.0,1.48,33.6,48
CDM,15442,LEVOTHYROXIN 0.075MG TAB,28.0,28.0,1.48,33.6,48
CDM,15443,LEVOTHYROXIN 0.1MG TAB,28.0,28.0,1.48,33.6,48
CDM,15444,LEVOTHYROXIN 0.125MG TAB,28.0,28.0,1.48,33.6,48
CDM,15445,LEVOTHYROXIN 0.15MG TAB,28.0,28.0,1.48,33.6,48
CDM,15446,LEVOTHYROXIN 0.112MG TAB,28.0,28.0,1.48,33.6,48
CDM,15447,LEVOTHYROXINE 0.137MG,29.0,29.0,1.54,34.8,48
CDM,15465,NEBIVOLOL 5MG TABLETS,39.0,39.0,2.07,46.8,48
CDM,15467,NEBIVOLOL 10MG TAB,24.0,24.0,1.27,28.8,48
CDM,15469,ESCITALOPRAM 5MG TAB,53.0,53.0,2.81,63.6,48
CDM,15472,MEMANTINE 5MG TAB,67.0,67.0,3.55,80.4,48
CDM,15473,MEMANTINE 10MG TAB,25.0,25.0,1.32,30.0,48
CDM,15476,CITALOPRAM 10MG TAB,68.0,68.0,3.6,81.6,48
CDM,15477,CITALOPRAM 20MG TAB,72.0,72.0,3.82,86.4,48
CDM,15478,DINOPROSTONE 10MG SUPP,1879.0,1879.0,99.59,2254.8,30
CDM,15480,FOSFOMYCIN TRO 3GM POWD,338.0,338.0,17.91,405.6,48
CDM,15482,TACROLIMUS IMM 5 MG PO,22.0,22.0,1.17,26.4,30
CDM,15503,SULFAMETH/TMP LIQ UD,8.93,8.93,0.47,10.72,48
CDM,15543,PROMETHAZINE/DM LIQ,29.0,29.0,1.54,34.8,48
CDM,15545,PHENOL/SOD PHENOLATE LIQ,100.0,100.0,5.3,120.0,48
CDM,155502,OBS PER HOUR,70.0,70.0,11.2,84.0,10
CDM,155512,RM & BD PRIVATE,3196.0,3196.0,,,0
CDM,155514,RM & BD SEMI PRIVATE ADJ,2940.0,2940.0,155.82,3528.0,49
CDM,155515,RM & BD SEMI PRIVATE,3196.0,3196.0,,,0
CDM,155516,SEMI-PVT RM W/ TELE,4866.0,4866.0,,,0
CDM,155523,INTERMEDIATE ICU,9421.0,9421.0,,,0
CDM,155524,INTERMEDIATE ICU ADJ,9421.0,9421.0,499.31,11305.2,49
CDM,155525,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,155531,RM & BD PRIVATE ADJ,3196.0,3196.0,169.39,3835.2,49
CDM,155536,RM & BD PRIVATE,3196.0,3196.0,,,0
CDM,155547,INTERMEDIATE ICU,9333.0,9333.0,,,0
CDM,155548,INTERMEDIATE ICU ADJ,9409.0,9409.0,498.68,11290.8,49
CDM,155569,CCU,14810.0,14810.0,,,0
CDM,15558,SODIUM BICARB 650MG TAB,28.0,28.0,1.48,33.6,48
CDM,15578,HYDROCORTISON 1% RECT CR,471.0,471.0,24.96,565.2,48
CDM,155789,CYTO FWB SMEAR & INTERP,44.0,44.0,3.78,52.8,34
CDM,155791,CYTO FWB FILTER & INTERP,75.0,75.0,6.45,90.0,34
CDM,155791,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",75.0,75.0,24.67,24.67,1
CDM,155791,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation UNSCHEDULED",75.0,75.0,168.55,172.1,3
CDM,155794,CYTOLOGY CONC & INTERP,176.0,176.0,15.14,211.2,34
CDM,155796,CYTO LIQUID BASE NON C/V,91.0,91.0,7.83,109.2,34
CDM,155804,CYTO SMEAR SCR & INTERP,41.0,41.0,3.53,49.2,34
CDM,155804,"Cytopathology, smears, any other source; screening and interpretation ",41.0,41.0,24.67,24.67,1
CDM,155804,"Cytopathology, smears, any other source; screening and interpretation UNSCHEDULED",41.0,41.0,168.55,172.1,3
CDM,155806,CYTO SMEAR PSI,48.0,48.0,4.13,57.6,34
CDM,155806,"Cytopathology, smears, any other source; preparation, screening and interpretation ",48.0,48.0,24.67,24.67,1
CDM,155806,"Cytopathology, smears, any other source; preparation, screening and interpretation UNSCHEDULED",48.0,48.0,168.55,172.1,3
CDM,155808,CYTOPATH EXTENDED,48.0,48.0,4.13,57.6,34
CDM,155808,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",48.0,48.0,49.76,49.76,1
CDM,155808,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains UNSCHEDULED",48.0,48.0,168.55,172.1,3
CDM,15581,PE/SHARKLIV/GLY/PET OINT,74.0,74.0,3.92,88.8,48
CDM,155812,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",32.0,32.0,149.16,149.16,1
CDM,155812,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site UNSCHEDULED",32.0,32.0,168.55,172.1,3
CDM,155812,FNA SAMPLE ADEQUACY IMM,32.0,32.0,2.75,38.4,34
CDM,155814,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",105.0,105.0,49.76,49.76,1
CDM,155814,"Cytopathology, evaluation of fine needle aspirate; interpretation and report UNSCHEDULED",105.0,105.0,306.75,313.2,3
CDM,155814,FNA INTERP & REPORT,105.0,105.0,9.03,126.0,34
CDM,155816,DNA CELL CYCLE FC,251.0,251.0,21.59,301.2,34
CDM,155816,"Flow cytometry, cell cycle or DNA analysis ",251.0,251.0,49.76,49.76,1
CDM,155816,"Flow cytometry, cell cycle or DNA analysis UNSCHEDULED",251.0,251.0,168.55,172.1,3
CDM,155817,CD3 TTFC 1ST MARKER,669.0,669.0,57.53,802.8,34
CDM,155818,CD4 HELPER INDUC 1ST MRK,669.0,669.0,57.53,802.8,34
CDM,155825,FC 1ST MARK,669.0,669.0,57.53,802.8,34
CDM,155827,T & B CELL FC 1ST MARK,669.0,669.0,57.53,802.8,34
CDM,155829,PAROXY NCTRN HGB 1ST MRK,669.0,669.0,57.53,802.8,34
CDM,155832,CD 20 1ST MARK,669.0,669.0,57.53,802.8,34
CDM,155844,FC ADD,181.0,181.0,9.59,217.2,35
CDM,155844,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",181.0,181.0,23.03,23.03,1
CDM,155844,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) UNSCHEDULED",181.0,181.0,46.07,47.04,3
CDM,155873,TISS CULT NEOPLAS BM BLD,611.0,611.0,52.55,733.2,31
CDM,155875,TISS CULT NEOPLAS TUMOR,714.0,714.0,61.4,856.8,31
CDM,155875,Tissue culture for neoplastic disorders; solid tumor ,714.0,714.0,146.04,449.94,37
CDM,155878,CHROM COUNT 5 KARY W BND,1974.0,1974.0,169.76,2368.8,31
CDM,155880,CHROM & KARYOTYPE 5 TISS,1974.0,1974.0,169.76,2368.8,31
CDM,155881,CHROM & KARY 15-20 2 KAR,2750.0,2750.0,236.5,3300.0,31
CDM,155882,PHILADELPHIA CHROMOSOME,2750.0,2750.0,236.5,3300.0,31
CDM,155887,CYTOGEN DNA ISH PROBE EA,2583.0,2583.0,222.14,3099.6,31
CDM,155887,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",2583.0,2583.0,21.21,65.33,37
CDM,155890,CYTOGEN I P ISH 100-300,193.0,193.0,16.6,231.6,31
CDM,155890,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",193.0,193.0,50.68,156.13,37
CDM,155891,CHROM ADDTL KARYOTYPE,121.0,121.0,10.41,145.2,31
CDM,155891,"Chromosome analysis; additional karyotypes, each study ",121.0,121.0,33.14,102.08,37
CDM,155892,CHROM ANAL ADDTL CELLS,92.0,92.0,7.91,110.4,31
CDM,155892,"Chromosome analysis; additional cells counted, each study ",92.0,92.0,26.64,82.08,37
CDM,155894,SURG PATH LEVEL 1,309.0,309.0,26.57,370.8,34
CDM,155896,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",199.0,199.0,24.67,240.51,4
CDM,155896,SURG PATH LEVEL 2,199.0,199.0,17.11,238.8,34
CDM,155898,SURG PATH LEVEL 3,355.0,355.0,30.53,426.0,34
CDM,155904,SURG PATH LEVEL 4,355.0,355.0,30.53,426.0,34
CDM,155905,SURG PATH LEVEL 5,922.0,922.0,79.29,1106.4,34
CDM,155907,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",922.0,922.0,299.41,656.15,4
CDM,155907,SURG PATH LEVEL 6,922.0,922.0,79.29,1106.4,34
CDM,155909,PATH DECALCIFICATION,309.0,309.0,16.38,370.8,35
CDM,155912,PATH ACID FAST STAIN,510.0,510.0,43.86,612.0,34
CDM,155914,PATH GIEMSA STAIN,510.0,510.0,43.86,612.0,34
CDM,155915,PATH GOMORI SILVER ST,510.0,510.0,43.86,612.0,34
CDM,155920,PATH STAIN GROUP 1,510.0,510.0,43.86,612.0,34
CDM,155936,PATH ALCIAN BLUE MAST,427.0,427.0,36.72,512.4,34
CDM,155952,PATH STAIN GROUP 2,427.0,427.0,36.72,512.4,34
CDM,155955,PATH TRICHROME STAIN,427.0,427.0,36.72,512.4,34
CDM,155958,PATH AMYLOID STAIN,427.0,427.0,36.72,512.4,34
CDM,155962,PATH CONGO RED STAIN,427.0,427.0,36.72,512.4,34
CDM,155964,PATH ELASTIC STAIN,427.0,427.0,36.72,512.4,34
CDM,155979,HISTOCHEM STAIN & FS,211.0,211.0,11.18,253.2,35
CDM,155979,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,211.0,211.0,79.91,79.91,1
CDM,155979,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) UNSCHEDULED,211.0,211.0,299.41,305.71,3
CDM,15598,HYDROCHLOROTH 12.5MG CAP,67.0,67.0,3.55,80.4,48
CDM,155986,HISTOCHM ENZYME STAIN EA,256.0,256.0,22.02,307.2,34
CDM,155986,"Special stain including interpretation and report; Group III, for enzyme constituents ",256.0,256.0,656.15,656.15,1
CDM,155986,"Special stain including interpretation and report; Group III, for enzyme constituents UNSCHEDULED",256.0,256.0,299.41,305.71,3
CDM,155989,Consultation and report on referred material requiring preparation of slides ,203.0,203.0,49.76,49.76,1
CDM,155989,Consultation and report on referred material requiring preparation of slides UNSCHEDULED,203.0,203.0,299.41,305.71,3
CDM,155989,PATH CONS PREP SLIDES,203.0,203.0,17.46,243.6,34
CDM,155991,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",1764.0,1764.0,149.16,149.16,1
CDM,155991,"Consultation, comprehensive, with review of records and specimens, with report on referred material UNSCHEDULED",1764.0,1764.0,299.41,305.71,3
CDM,155991,PATH CONS EXTENDED REF,1764.0,1764.0,151.7,2116.8,34
CDM,155994,PATH CONSULT FS 1 SPEC,922.0,922.0,79.29,1106.4,34
CDM,155994,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",922.0,922.0,149.16,149.16,1
CDM,155994,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen UNSCHEDULED",922.0,922.0,299.41,305.71,3
CDM,155995,PATH CONSULT FS EA ADDTL,510.0,510.0,27.03,612.0,35
CDM,155995,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,510.0,510.0,24.08,24.08,1
CDM,155995,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) UNSCHEDULED,510.0,510.0,299.41,305.71,3
CDM,155996,TOUCH PREP INITIAL SITE,44.0,44.0,3.78,52.8,34
CDM,155997,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",87.0,87.0,19.19,19.19,1
CDM,155997,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) UNSCHEDULED",87.0,87.0,299.41,305.71,3
CDM,155997,TOUCH PREP EA ADD SITE,87.0,87.0,4.61,104.4,35
CDM,156005,VIMENTIN PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,156007,ESTROGEN RECP PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,15601,DIPYRIDAMOLE/ASA CAP SA,67.0,67.0,3.55,80.4,48
CDM,156012,AAC PEROX 1ST AB,922.0,922.0,79.29,1106.4,34
CDM,156013,ACTI PEROX 1ST AB,922.0,922.0,79.29,1106.4,34
CDM,156014,AE PEROX 1ST AB,922.0,922.0,79.29,1106.4,34
CDM,156015,AFP PER 1ST AB,922.0,922.0,79.29,1106.4,34
CDM,156016,BCL 2 PER 1ST AB,922.0,922.0,79.29,1106.4,34
CDM,156017,ANTI-CEA FIRST AB IHC,922.0,922.0,79.29,1106.4,34
CDM,156022,EMA PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,156023,FACTOR VIII PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,156030,IMMUNOHISTOCHEM 1ST AB,922.0,922.0,79.29,1106.4,34
CDM,156043,CD 20 PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,156050,CD2 (LEU5B) PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,156060,AE1 AE3 PER 1ST AB,922.0,922.0,79.29,1106.4,34
CDM,156064,BER EP4 PER 1ST AB,922.0,922.0,79.29,1106.4,34
CDM,156065,BER H2 PER 1ST AB,922.0,922.0,79.29,1106.4,34
CDM,156066,CALCITON 1ST AB IHC,922.0,922.0,79.29,1106.4,34
CDM,156069,CD3 PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,156070,CD31 PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,15608,MELOXICAM 7.5MG TAB,39.0,39.0,2.07,46.8,48
CDM,15610,CLONIDINE 0.1MG/24HR PAT,290.0,290.0,15.37,348.0,48
CDM,156102,A1A PEROX FIRST AB,922.0,922.0,79.29,1106.4,34
CDM,156105,CD30 (KI-1) PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,156111,CD15 (LEUM1) PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,156114,"Immunofluorescence, per specimen; initial single antibody stain procedure ",922.0,922.0,291.26,291.26,1
CDM,156114,"Immunofluorescence, per specimen; initial single antibody stain procedure UNSCHEDULED",922.0,922.0,299.41,305.71,3
CDM,156114,TISSUE BIOPSY DIF AB INI,922.0,922.0,79.29,1106.4,34
CDM,156118,EM DIAGNOSTIC,1147.0,1147.0,98.64,1376.4,34
CDM,156118,"Electron microscopy, diagnostic ",1147.0,1147.0,656.15,656.15,1
CDM,156118,"Electron microscopy, diagnostic UNSCHEDULED",1147.0,1147.0,299.41,305.71,3
CDM,15612,CLONIDINE 0.2MG/24HR PAT,411.0,411.0,21.78,493.2,48
CDM,156123,MORPHOMETRIC TUMOR,121.0,121.0,10.41,145.2,34
CDM,156123,"Morphometric analysis; tumor (eg, DNA ploidy) ",121.0,121.0,149.16,149.16,1
CDM,156123,"Morphometric analysis; tumor (eg, DNA ploidy) UNSCHEDULED",121.0,121.0,299.41,305.71,3
CDM,156125,NERVE TEASING PREP,703.0,703.0,60.46,843.6,34
CDM,156125,Nerve teasing preparations ,703.0,703.0,656.15,656.15,1
CDM,156125,Nerve teasing preparations UNSCHEDULED,703.0,703.0,299.41,305.71,3
CDM,156126,ISH/FISH INITIAL PROBE,922.0,922.0,79.29,1106.4,34
CDM,156126,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",922.0,922.0,149.16,149.16,1
CDM,156126,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure UNSCHEDULED",922.0,922.0,299.41,305.71,3
CDM,156127,MORPH ANAL MAN INI PROBE,572.0,572.0,49.19,686.4,34
CDM,15613,CLONIDINE 0.3MG/24HR PAT,479.0,479.0,25.39,574.8,48
CDM,156130,ERH - ICU,14691.0,14691.0,,,0
CDM,156138,ERH PICU,14810.0,14810.0,,,0
CDM,156140,ERH - ICU ADJ,14810.0,14810.0,784.93,17772.0,49
CDM,156146,ERH PEDS,3196.0,3196.0,,,0
CDM,156148,ERH PICU ADJ,14810.0,14810.0,784.93,17772.0,49
CDM,15616,TAMSULOSIN 0.4MG CAP,67.0,67.0,3.55,80.4,48
CDM,15617,MEXILETINE 150MG CAP,29.0,29.0,1.54,34.8,48
CDM,15618,MEXILETINE 200MG CAP,31.0,31.0,1.64,37.2,48
CDM,156253,ETHOSUXIMIDE (ZARONTIN),143.0,143.0,12.3,171.6,31
CDM,156253,Ethosuximide ,143.0,143.0,16.18,49.84,37
CDM,156253,Ethosuximide UNSCHEDULED,143.0,143.0,129.29,132.02,3
CDM,156255,HALOPERIDOL HALDOL QN,185.0,185.0,15.91,222.0,31
CDM,156255,Haloperidol ,185.0,185.0,15.62,48.13,37
CDM,156255,Haloperidol UNSCHEDULED,185.0,185.0,129.29,132.02,3
CDM,156262,PHENYTOIN DILANTIN FR QN,1680.0,1680.0,144.48,2016.0,31
CDM,156262,Phenytoin; free ,1680.0,1680.0,13.62,41.97,37
CDM,156262,Phenytoin; free UNSCHEDULED,1680.0,1680.0,19.89,20.31,3
CDM,156273,TOPIRAMATE QUANT,288.0,288.0,24.77,345.6,31
CDM,156273,Topiramate ,288.0,288.0,11.8,36.36,37
CDM,156273,Topiramate UNSCHEDULED,288.0,288.0,15.7,16.03,3
CDM,156275,AMIODARONE QN,311.0,311.0,26.75,373.2,31
CDM,156275,Amiodarone ,311.0,311.0,18.45,56.85,37
CDM,156275,Amiodarone UNSCHEDULED,311.0,311.0,129.29,132.02,3
CDM,15628,BSS 15CC,27.0,27.0,1.43,32.4,48
CDM,156288,DISOPYRAMIDE NORPACE QN,311.0,311.0,26.75,373.2,31
CDM,156291,FLECAINIDE TAMBOCOR QN,311.0,311.0,26.75,373.2,31
CDM,156291,Flecainide ,311.0,311.0,18.45,56.85,37
CDM,156291,Flecainide UNSCHEDULED,311.0,311.0,129.29,132.02,3
CDM,15630,LORAZEPAM 2MG TAB,50.0,50.0,2.65,60.0,48
CDM,156306,METHOTREXATE RHEUMAT QN,311.0,311.0,26.75,373.2,31
CDM,156306,Methotrexate ,311.0,311.0,38.18,117.64,37
CDM,156306,Methotrexate UNSCHEDULED,311.0,311.0,129.29,132.02,3
CDM,156307,METHYLPHENIDATE RITAL QN,311.0,311.0,26.75,373.2,31
CDM,156319,SERTRALINE ZOLOFT QN,311.0,311.0,26.75,373.2,31
CDM,156328,TOCAINIDE TONOCARD QN,311.0,311.0,26.75,373.2,31
CDM,156329,TRAZADONE (DESYREL) QN,311.0,311.0,26.75,373.2,31
CDM,156334,VERAPAMIL ISOPTIN QN,311.0,311.0,26.75,373.2,31
CDM,156335,WARFARIN QN,311.0,311.0,26.75,373.2,31
CDM,156341,DEXAMETH SUPP PANEL,613.0,613.0,52.72,735.6,31
CDM,156341,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",613.0,613.0,160.26,493.73,37
CDM,156341,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) UNSCHEDULED",613.0,613.0,145.52,148.58,3
CDM,156346,MELANIN MELANOGEN UR QL,207.0,207.0,17.8,248.4,31
CDM,156346,"Urinalysis; qualitative or semiquantitative, except immunoassays ",207.0,207.0,2.15,6.62,37
CDM,156346,"Urinalysis; qualitative or semiquantitative, except immunoassays UNSCHEDULED",207.0,207.0,34.55,35.28,3
CDM,156347,BETA HYDROXYBUTYRATE,593.0,593.0,51.0,711.6,31
CDM,156351,ACTH QN,329.0,329.0,28.29,394.8,31
CDM,156351,Adrenocorticotropic hormone (ACTH) ,329.0,329.0,38.23,117.79,37
CDM,156351,Adrenocorticotropic hormone (ACTH) UNSCHEDULED,329.0,329.0,14.66,14.97,3
CDM,156352,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",227.0,227.0,25.54,78.69,37
CDM,156352,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) UNSCHEDULED",227.0,227.0,80.61,82.3,3
CDM,156352,CYCLIC AMP,227.0,227.0,19.52,272.4,31
CDM,156354,ALDOLASE,78.0,78.0,6.71,93.6,31
CDM,156354,Aldolase ,78.0,78.0,9.61,29.62,37
CDM,156354,Aldolase UNSCHEDULED,78.0,78.0,24.08,24.59,3
CDM,156355,ALDOSTERONE QN,341.0,341.0,29.33,409.2,31
CDM,156356,ALDOSTERONE UR QN,341.0,341.0,29.33,409.2,31
CDM,156358,A-1-ANTITRYPSIN PHENO,505.0,505.0,43.43,606.0,31
CDM,156358,Alpha-1-antitrypsin; phenotype ,505.0,505.0,14.32,44.1,37
CDM,156358,Alpha-1-antitrypsin; phenotype UNSCHEDULED,505.0,505.0,80.61,82.3,3
CDM,156360,ALUMINUM,211.0,211.0,18.15,253.2,31
CDM,156360,Aluminum ,211.0,211.0,25.23,77.71,37
CDM,156360,Aluminum UNSCHEDULED,211.0,211.0,8.38,8.56,3
CDM,156365,"Amino acids; single, quantitative, each specimen ",68.0,68.0,22.75,70.09,37
CDM,156365,"Amino acids; single, quantitative, each specimen UNSCHEDULED",68.0,68.0,9.42,9.62,3
CDM,156365,CYSTINE QN,68.0,68.0,5.85,81.6,31
CDM,156368,AMINOLEVULINIC ACID ALA,555.0,555.0,47.73,666.0,31
CDM,156368,"Aminolevulinic acid, delta (ALA) ",555.0,555.0,16.29,50.17,37
CDM,156368,"Aminolevulinic acid, delta (ALA) UNSCHEDULED",555.0,555.0,20.94,21.38,3
CDM,156369,AMINO ACIDS QN 6 OR MORE,673.0,673.0,57.88,807.6,31
CDM,156369,"Amino acids, 6 or more amino acids, quantitative, each specimen ",673.0,673.0,16.7,51.45,37
CDM,156369,"Amino acids, 6 or more amino acids, quantitative, each specimen UNSCHEDULED",673.0,673.0,80.61,82.3,3
CDM,156372,ANDROSTANEDIOL GLUCO,1273.0,1273.0,109.48,1527.6,31
CDM,156372,Androstanediol glucuronide ,1273.0,1273.0,28.54,87.93,37
CDM,156372,Androstanediol glucuronide UNSCHEDULED,1273.0,1273.0,80.61,82.3,3
CDM,156373,ANDROSTENEDIONE,249.0,249.0,21.41,298.8,31
CDM,156373,Androstenedione ,249.0,249.0,28.99,89.3,37
CDM,156373,Androstenedione UNSCHEDULED,249.0,249.0,80.61,82.3,3
CDM,156374,ANGIOTENSIN II,1360.0,1360.0,116.96,1632.0,31
CDM,156374,Angiotensin II ,1360.0,1360.0,20.31,62.59,37
CDM,156374,Angiotensin II UNSCHEDULED,1360.0,1360.0,80.61,82.3,3
CDM,156375,ANGIOTENSIN I CONV ENZ,121.0,121.0,10.41,145.2,31
CDM,156376,ANGIOTENSIN CONV ENZ CSF,121.0,121.0,10.41,145.2,31
CDM,156377,APOLIPOPROTEIN A1,121.0,121.0,10.41,145.2,31
CDM,156378,APOLIPOPROTEIN B,121.0,121.0,10.41,145.2,31
CDM,156379,ARSENIC BLD,185.0,185.0,15.91,222.0,31
CDM,156382,"Ascorbic acid (Vitamin C), blood ",122.0,122.0,9.79,30.16,37
CDM,156382,"Ascorbic acid (Vitamin C), blood UNSCHEDULED",122.0,122.0,80.61,82.3,3
CDM,156382,VIT C ASCORBIC ACID,122.0,122.0,10.49,146.4,31
CDM,156388,BILE ACIDS TOT,19.0,19.0,1.63,22.8,31
CDM,156388,Bile acids; total ,19.0,19.0,16.95,52.22,37
CDM,156388,Bile acids; total UNSCHEDULED,19.0,19.0,80.61,82.3,3
CDM,156393,VITAMIN D3 25-OH,249.0,249.0,21.41,298.8,31
CDM,156394,CALCITONIN,222.0,222.0,19.09,266.4,31
CDM,156394,Calcitonin ,222.0,222.0,26.52,81.71,37
CDM,156394,Calcitonin UNSCHEDULED,222.0,222.0,80.61,82.3,3
CDM,156398,CARNITINE TOT & FREE QN,78.0,78.0,6.71,93.6,31
CDM,156398,"Carnitine (total and free), quantitative, each specimen ",78.0,78.0,16.7,51.45,37
CDM,156398,"Carnitine (total and free), quantitative, each specimen UNSCHEDULED",78.0,78.0,148.66,151.79,3
CDM,156399,CAROTENE,102.0,102.0,8.77,122.4,31
CDM,156400,CATECHOL FRACTION BLD,207.0,207.0,17.8,248.4,31
CDM,156401,CATECHOL FRACTION UR,207.0,207.0,17.8,248.4,31
CDM,156402,CATHEPSIN-D,922.0,922.0,79.29,1106.4,31
CDM,156402,Cathepsin-D ,922.0,922.0,17.88,55.08,37
CDM,156402,Cathepsin-D UNSCHEDULED,922.0,922.0,80.61,82.3,3
CDM,156403,CERULOPLASMIN,92.0,92.0,7.91,110.4,31
CDM,156407,CHOLINESTERASE RBC,72.0,72.0,6.19,86.4,31
CDM,156407,Cholinesterase; RBC ,72.0,72.0,9.71,29.92,37
CDM,156407,Cholinesterase; RBC UNSCHEDULED,72.0,72.0,18.85,19.24,3
CDM,156412,CHROMIUM,168.0,168.0,14.45,201.6,31
CDM,156412,Chromium ,168.0,168.0,20.08,61.85,37
CDM,156412,Chromium UNSCHEDULED,168.0,168.0,46.07,47.04,3
CDM,156413,CITRATE,231.0,231.0,19.87,277.2,31
CDM,156413,Citrate ,231.0,231.0,27.52,84.79,37
CDM,156413,Citrate UNSCHEDULED,231.0,231.0,80.61,82.3,3
CDM,156415,C-TELOPEPTIDE CTX,367.0,367.0,31.56,440.4,31
CDM,156415,"Collagen cross links, any method ",367.0,367.0,18.49,56.97,37
CDM,156415,"Collagen cross links, any method UNSCHEDULED",367.0,367.0,80.61,82.3,3
CDM,156417,COPPER BLD,110.0,110.0,9.46,132.0,31
CDM,156420,CORTISOL FREE,146.0,146.0,12.56,175.2,31
CDM,156420,Cortisol; free ,146.0,146.0,16.54,50.97,37
CDM,156420,Cortisol; free UNSCHEDULED,146.0,146.0,80.61,82.3,3
CDM,156424,CYANIDE,160.0,160.0,13.76,192.0,31
CDM,156424,Cyanide ,160.0,160.0,19.21,59.17,37
CDM,156424,Cyanide UNSCHEDULED,160.0,160.0,29.32,29.93,3
CDM,156426,CYSTATIN C,160.0,160.0,13.76,192.0,31
CDM,156426,Cystatin C ,160.0,160.0,18.33,56.49,37
CDM,156426,Cystatin C UNSCHEDULED,160.0,160.0,80.61,82.3,3
CDM,156428,DHEA,271.0,271.0,23.31,325.2,31
CDM,156428,Dehydroepiandrosterone (DHEA) ,271.0,271.0,25.02,77.07,37
CDM,156428,Dehydroepiandrosterone (DHEA) UNSCHEDULED,271.0,271.0,80.61,82.3,3
CDM,156429,DHEA-S,192.0,192.0,16.51,230.4,31
CDM,156429,Dehydroepiandrosterone-sulfate (DHEA-S) ,192.0,192.0,22.01,67.8,37
CDM,156429,Dehydroepiandrosterone-sulfate (DHEA-S) UNSCHEDULED,192.0,192.0,80.61,82.3,3
CDM,156431,DEOXYCORTISOL 11,283.0,283.0,24.34,339.6,31
CDM,156431,"Deoxycortisol, 11- ",283.0,283.0,28.99,89.3,37
CDM,156431,"Deoxycortisol, 11- UNSCHEDULED",283.0,283.0,80.61,82.3,3
CDM,156432,DIBUCAINE INHIBITOR,377.0,377.0,32.42,452.4,31
CDM,156432,Dibucaine number ,377.0,377.0,12.13,37.36,37
CDM,156432,Dibucaine number UNSCHEDULED,377.0,377.0,80.61,82.3,3
CDM,156436,VITAMIN D 1-25 W/WO FRAC,305.0,305.0,26.23,366.0,31
CDM,156444,AMYLASE ISOENZYMES ELP,288.0,288.0,24.77,345.6,31
CDM,156444,"Electrophoretic technique, not elsewhere specified ",288.0,288.0,60.88,187.57,37
CDM,156444,"Electrophoretic technique, not elsewhere specified UNSCHEDULED",288.0,288.0,25.13,25.66,3
CDM,156446,ERYTHROPOIETIN QN,379.0,379.0,32.59,454.8,31
CDM,156446,Erythropoietin ,379.0,379.0,18.6,57.31,37
CDM,156446,Erythropoietin UNSCHEDULED,379.0,379.0,80.61,82.3,3
CDM,156447,ESTRADIOL TOTAL,231.0,231.0,19.87,277.2,31
CDM,156447,Estradiol; total ,231.0,231.0,27.66,85.22,37
CDM,156447,Estradiol; total UNSCHEDULED,231.0,231.0,80.61,82.3,3
CDM,156449,ESTROGEN TOTAL,185.0,185.0,15.91,222.0,31
CDM,156449,Estrogens; total ,185.0,185.0,21.48,66.18,37
CDM,156449,Estrogens; total UNSCHEDULED,185.0,185.0,80.61,82.3,3
CDM,156450,ESTRIOL,207.0,207.0,17.8,248.4,31
CDM,156450,Estriol ,207.0,207.0,23.94,73.75,37
CDM,156450,Estriol UNSCHEDULED,207.0,207.0,80.61,82.3,3
CDM,156454,ETHYLENE GLYCOL,122.0,122.0,10.49,146.4,31
CDM,156454,Ethylene glycol ,122.0,122.0,14.75,45.45,37
CDM,156454,Ethylene glycol UNSCHEDULED,122.0,122.0,27.22,27.79,3
CDM,156457,FATTY ACIDS NON EST,1041.0,1041.0,89.53,1249.2,31
CDM,156457,"Fatty acids, nonesterified ",1041.0,1041.0,18.58,57.25,37
CDM,156457,"Fatty acids, nonesterified UNSCHEDULED",1041.0,1041.0,80.61,82.3,3
CDM,156461,FOLATE RBC,133.0,133.0,11.44,159.6,31
CDM,156461,Folic acid; RBC ,133.0,133.0,17.47,53.83,37
CDM,156461,Folic acid; RBC UNSCHEDULED,133.0,133.0,49.2,50.24,3
CDM,156463,GALACTOKINASE RBC,1200.0,1200.0,103.2,1440.0,31
CDM,156463,"Galactokinase, RBC ",1200.0,1200.0,21.27,65.51,37
CDM,156463,"Galactokinase, RBC UNSCHEDULED",1200.0,1200.0,80.61,82.3,3
CDM,156470,GASTRIN,148.0,148.0,12.73,177.6,31
CDM,156470,Gastrin ,148.0,148.0,17.45,53.77,37
CDM,156470,Gastrin UNSCHEDULED,148.0,148.0,80.61,82.3,3
CDM,156471,GLUCAGON,148.0,148.0,12.73,177.6,31
CDM,156471,Glucagon ,148.0,148.0,14.15,43.58,37
CDM,156471,Glucagon UNSCHEDULED,148.0,148.0,16.75,17.1,3
CDM,156472,G-6-PD QUANT,102.0,102.0,8.77,122.4,31
CDM,156472,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,102.0,102.0,9.6,29.58,37
CDM,156472,Glucose-6-phosphate dehydrogenase (G6PD); quantitative UNSCHEDULED,102.0,102.0,80.61,82.3,3
CDM,156474,BETA GLUCOSIDASE,1443.0,1443.0,124.1,1731.6,31
CDM,156474,"Glucosidase, beta ",1443.0,1443.0,21.27,65.51,37
CDM,156474,"Glucosidase, beta UNSCHEDULED",1443.0,1443.0,80.61,82.3,3
CDM,156477,FRUCTOSAMINE,122.0,122.0,10.49,146.4,31
CDM,156477,Glycated protein ,122.0,122.0,16.59,51.12,37
CDM,156477,Glycated protein UNSCHEDULED,122.0,122.0,50.25,51.31,3
CDM,156479,GROWTH HORMONE (HGH),146.0,146.0,12.56,175.2,31
CDM,156481,H PYLORI BRTH UREASE NR,703.0,703.0,60.46,843.6,31
CDM,156481,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",703.0,703.0,66.69,205.45,37
CDM,156481,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) UNSCHEDULED",703.0,703.0,80.61,82.3,3
CDM,156484,HEAVY METAL QN,231.0,231.0,19.87,277.2,31
CDM,156484,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",231.0,231.0,21.74,66.98,37
CDM,156484,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified UNSCHEDULED",231.0,231.0,97.37,99.42,3
CDM,156490,HEMOGLOBIN ELECTRO,742.0,742.0,63.81,890.4,31
CDM,156493,HEMOGLOBIN FRACT HPLC,742.0,742.0,63.81,890.4,31
CDM,156493,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",742.0,742.0,17.88,55.08,37
CDM,156493,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) UNSCHEDULED",742.0,742.0,77.47,79.1,3
CDM,156498,HISTAMINE BLOOD,257.0,257.0,22.1,308.4,31
CDM,156499,HISTAMINE URINE,257.0,257.0,22.1,308.4,31
CDM,15650,GLYCERIN ADULT SUPP,1.0,1.0,0.05,1.2,48
CDM,156501,17 HYDROXYCORT (17OH),148.0,148.0,12.73,177.6,31
CDM,156501,"Hydroxycorticosteroids, 17- (17-OHCS) ",148.0,148.0,17.72,54.59,37
CDM,156501,"Hydroxycorticosteroids, 17- (17-OHCS) UNSCHEDULED",148.0,148.0,80.61,82.3,3
CDM,156502,HYDROXYPROG 17D,227.0,227.0,19.52,272.4,31
CDM,156502,"Hydroxyprogesterone, 17-d ",227.0,227.0,26.9,82.87,37
CDM,156502,"Hydroxyprogesterone, 17-d UNSCHEDULED",227.0,227.0,80.61,82.3,3
CDM,156504,HYDROXYPROLINE TOTAL,262.0,262.0,22.53,314.4,31
CDM,156504,Hydroxyproline; total ,262.0,262.0,24.06,74.11,37
CDM,156504,Hydroxyproline; total UNSCHEDULED,262.0,262.0,170.65,174.24,3
CDM,156509,PARIETAL CELL AB IA QL,435.0,435.0,37.41,522.0,31
CDM,15651,GLYCERIN PEDIATRIC SUPP,1.0,1.0,0.05,1.2,48
CDM,156511,SMOOTH MUSC AB IA QL,435.0,435.0,37.41,522.0,31
CDM,156529,MUSK ANTIBODY RIA QN,2539.0,2539.0,218.35,3046.8,31
CDM,15653,INDOMETHACIN 50 MG SUPP,143.0,143.0,7.58,171.6,30
CDM,156553,FIBRONECTIN AGGREG IGAQN,675.0,675.0,58.05,810.0,31
CDM,156561,GM1 AB IA QN,675.0,675.0,58.05,810.0,31
CDM,156571,MAG IGM AB IA QN,675.0,675.0,58.05,810.0,31
CDM,156586,INSULIN TOTAL,102.0,102.0,8.77,122.4,31
CDM,156590,KETOGENIC STEROID FRAC,121.0,121.0,10.41,145.2,31
CDM,156590,"Ketogenic steroids, fractionation ",121.0,121.0,15.32,47.18,37
CDM,156590,"Ketogenic steroids, fractionation UNSCHEDULED",121.0,121.0,80.61,82.3,3
CDM,156591,LACTOFERRIN STOOL IA QL,140.0,140.0,12.04,168.0,31
CDM,156591,"Lactoferrin, fecal; qualitative ",140.0,140.0,19.5,60.08,37
CDM,156591,"Lactoferrin, fecal; qualitative UNSCHEDULED",140.0,140.0,60.72,62.0,3
CDM,156592,LACTOGEN HPL,648.0,648.0,55.73,777.6,31
CDM,156592,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",648.0,648.0,20.02,61.67,37
CDM,156592,"Lactogen, human placental (HPL) human chorionic somatomammotropin UNSCHEDULED",648.0,648.0,80.61,82.3,3
CDM,156593,LEAD BLOOD,110.0,110.0,9.46,132.0,31
CDM,156594,LEAD URINE,110.0,110.0,9.46,132.0,31
CDM,156596,LEUC AMINOPEPTIDASE,72.0,72.0,6.19,86.4,31
CDM,156596,Leucine aminopeptidase (LAP) ,72.0,72.0,9.71,29.92,37
CDM,156596,Leucine aminopeptidase (LAP) UNSCHEDULED,72.0,72.0,80.61,82.3,3
CDM,156598,LIPOPROTEIN ELECTRO BLD,160.0,160.0,13.76,192.0,31
CDM,156598,"Lipoprotein, blood; electrophoretic separation and quantitation ",160.0,160.0,11.15,34.34,37
CDM,156598,"Lipoprotein, blood; electrophoretic separation and quantitation UNSCHEDULED",160.0,160.0,80.61,82.3,3
CDM,156600,LDL CHOLESTEROL NMR BLD,465.0,465.0,39.99,558.0,31
CDM,156600,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",465.0,465.0,33.85,104.28,37
CDM,156600,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed UNSCHEDULED",465.0,465.0,80.61,82.3,3
CDM,156603,MANGANESE,208.0,208.0,17.89,249.6,31
CDM,156603,Manganese ,208.0,208.0,26.38,81.28,37
CDM,156603,Manganese UNSCHEDULED,208.0,208.0,9.42,9.62,3
CDM,156607,MERCURY UR QUANT,143.0,143.0,12.3,171.6,31
CDM,156608,METANEPHRINES,146.0,146.0,12.56,175.2,31
CDM,156609,METANEPHRINES FRACT,146.0,146.0,12.56,175.2,31
CDM,156611,METHEMALBUMIN,457.0,457.0,39.3,548.4,31
CDM,156611,Methemalbumin ,457.0,457.0,10.63,32.76,37
CDM,156611,Methemalbumin UNSCHEDULED,457.0,457.0,80.61,82.3,3
CDM,156613,MUCOPOLYSAC ACID QUANT,273.0,273.0,23.48,327.6,31
CDM,156613,"Mucopolysaccharides, acid, quantitative ",273.0,273.0,28.21,86.92,37
CDM,156613,"Mucopolysaccharides, acid, quantitative UNSCHEDULED",273.0,273.0,80.61,82.3,3
CDM,156616,MYELIN BASIC PROT CSF,143.0,143.0,12.3,171.6,31
CDM,156616,"Myelin basic protein, cerebrospinal fluid ",143.0,143.0,17.03,52.46,37
CDM,156616,"Myelin basic protein, cerebrospinal fluid UNSCHEDULED",143.0,143.0,46.07,47.04,3
CDM,156618,"Nephelometry, each analyte not elsewhere specified ",72.0,72.0,13.46,41.48,37
CDM,156618,"Nephelometry, each analyte not elsewhere specified UNSCHEDULED",72.0,72.0,52.34,53.45,3
CDM,156618,RETINOL BIND PROTN NEPH,72.0,72.0,6.19,86.4,31
CDM,15663,HYDROCORTISONE 25MG SUPP,29.0,29.0,1.54,34.8,48
CDM,156644,METHYLMALONIC ACID QN,730.0,730.0,62.78,876.0,31
CDM,156655,OSTEOCALCIN,835.0,835.0,71.81,1002.0,31
CDM,156655,Osteocalcin (bone g1a protein) ,835.0,835.0,29.55,91.04,37
CDM,156655,Osteocalcin (bone g1a protein) UNSCHEDULED,835.0,835.0,80.61,82.3,3
CDM,156657,CALPROTECTIN FECAL,345.0,345.0,29.67,414.0,31
CDM,156657,"Calprotectin, fecal ",345.0,345.0,19.43,59.87,37
CDM,156657,"Calprotectin, fecal UNSCHEDULED",345.0,345.0,80.61,82.3,3
CDM,156666,ACID PHOSPHATASE TOT,65.0,65.0,5.59,78.0,31
CDM,156666,"Phosphatase, acid; total ",65.0,65.0,7.56,23.3,37
CDM,156666,"Phosphatase, acid; total UNSCHEDULED",65.0,65.0,80.61,82.3,3
CDM,156668,ALK PHOS ISOENZYMES,122.0,122.0,10.49,146.4,31
CDM,156668,"Phosphatase, alkaline; isoenzymes ",122.0,122.0,14.63,45.08,37
CDM,156668,"Phosphatase, alkaline; isoenzymes UNSCHEDULED",122.0,122.0,80.61,82.3,3
CDM,156671,PORPHYRINS UR QUAL,185.0,185.0,15.91,222.0,31
CDM,156671,"Porphyrins, urine; qualitative ",185.0,185.0,13.23,40.75,37
CDM,156671,"Porphyrins, urine; qualitative UNSCHEDULED",185.0,185.0,80.61,82.3,3
CDM,156672,PORPHYRINS UR QN + FRACT,185.0,185.0,15.91,222.0,31
CDM,156672,"Porphyrins, urine; quantitation and fractionation ",185.0,185.0,14.56,44.87,37
CDM,156672,"Porphyrins, urine; quantitation and fractionation UNSCHEDULED",185.0,185.0,80.61,82.3,3
CDM,156675,PREGNANEDIOL,341.0,341.0,29.33,409.2,31
CDM,156675,Pregnanediol ,341.0,341.0,21.06,64.87,37
CDM,156675,Pregnanediol UNSCHEDULED,341.0,341.0,40.83,41.69,3
CDM,156678,PROGESTERONE,175.0,175.0,15.05,210.0,31
CDM,156678,Progesterone ,175.0,175.0,20.65,63.62,37
CDM,156678,Progesterone UNSCHEDULED,175.0,175.0,80.61,82.3,3
CDM,156679,PROSTAGLANDIN EA,768.0,768.0,66.05,921.6,31
CDM,156679,"Prostaglandin, each ",768.0,768.0,41.35,127.4,37
CDM,156679,"Prostaglandin, each UNSCHEDULED",768.0,768.0,80.61,82.3,3
CDM,156683,WESTERN BLOT PROBE B ID,208.0,208.0,17.89,249.6,31
CDM,156684,FREE RBC PROTOPORPHYRIN,16.0,16.0,1.38,19.2,31
CDM,156685,PROTOPORPHYRIN RBC QUANT,113.0,113.0,9.72,135.6,31
CDM,156686,PROINSULIN,280.0,280.0,24.08,336.0,31
CDM,156686,Proinsulin ,280.0,280.0,26.42,81.4,37
CDM,156686,Proinsulin UNSCHEDULED,280.0,280.0,80.61,82.3,3
CDM,156687,PYRIDOXAL 5 PHOS VIT B6,156.0,156.0,13.42,187.2,31
CDM,156687,Pyridoxal phosphate (Vitamin B-6) ,156.0,156.0,27.82,85.7,37
CDM,156687,Pyridoxal phosphate (Vitamin B-6) UNSCHEDULED,156.0,156.0,12.56,12.82,3
CDM,156689,PYRUVIC ACID (PYRUVATE),92.0,92.0,7.91,110.4,31
CDM,156689,Pyruvate ,92.0,92.0,14.34,44.16,37
CDM,156689,Pyruvate UNSCHEDULED,92.0,92.0,80.61,82.3,3
CDM,156692,ESTROGEN RECEPTOR (ERA),1689.0,1689.0,145.25,2026.8,31
CDM,156692,Receptor assay; estrogen ,1689.0,1689.0,87.0,268.03,37
CDM,156692,Receptor assay; estrogen UNSCHEDULED,1689.0,1689.0,80.61,82.3,3
CDM,156694,Receptor assay; non-endocrine (specify receptor) ,659.0,659.0,36.2,111.54,37
CDM,156694,Receptor assay; non-endocrine (specify receptor) UNSCHEDULED,659.0,659.0,80.61,82.3,3
CDM,156694,SOLUBLE TRANSFER REC QN,659.0,659.0,56.67,790.8,31
CDM,156695,RENIN,377.0,377.0,32.42,452.4,31
CDM,156695,Renin ,377.0,377.0,21.77,67.07,37
CDM,156695,Renin UNSCHEDULED,377.0,377.0,25.13,25.66,3
CDM,156696,Riboflavin (Vitamin B-2) ,175.0,175.0,20.04,61.73,37
CDM,156696,Riboflavin (Vitamin B-2) UNSCHEDULED,175.0,175.0,80.61,82.3,3
CDM,156696,VITAMIN B2 (RIBOFL),175.0,175.0,15.05,210.0,31
CDM,156697,SELENIUM,455.0,455.0,39.13,546.0,31
CDM,156697,Selenium ,455.0,455.0,25.27,77.87,37
CDM,156697,Selenium UNSCHEDULED,455.0,455.0,80.61,82.3,3
CDM,156698,SEROTONIN,419.0,419.0,36.03,502.8,31
CDM,156698,Serotonin ,419.0,419.0,30.67,94.49,37
CDM,156698,Serotonin UNSCHEDULED,419.0,419.0,80.61,82.3,3
CDM,156699,SEX HORMONE BG,211.0,211.0,18.15,253.2,31
CDM,156699,Sex hormone binding globulin (SHBG) ,211.0,211.0,21.51,66.28,37
CDM,156699,Sex hormone binding globulin (SHBG) UNSCHEDULED,211.0,211.0,80.61,82.3,3
CDM,156700,SIALIC ACID,404.0,404.0,34.74,484.8,31
CDM,156700,Sialic acid ,404.0,404.0,13.31,40.99,37
CDM,156700,Sialic acid UNSCHEDULED,404.0,404.0,38.73,39.55,3
CDM,156701,SODIUM BLD,222.0,222.0,19.09,266.4,31
CDM,156703,SOMATOMEDIN A IGF-2,231.0,231.0,19.87,277.2,31
CDM,156704,SOMATOMEDIN C IGF-1,231.0,231.0,19.87,277.2,31
CDM,156706,ADENOSINE DEAMINASE SPEC,377.0,377.0,32.42,452.4,31
CDM,156709,LACTASE SPECT,283.0,283.0,24.34,339.6,31
CDM,15671,FLUOXETINE 10MG CAP,72.0,72.0,3.82,86.4,48
CDM,156710,MALTASE SPECT,283.0,283.0,24.34,339.6,31
CDM,156711,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",293.0,293.0,21.95,67.62,37
CDM,156711,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen UNSCHEDULED",293.0,293.0,80.61,82.3,3
CDM,156711,PALATINASE SPECT,293.0,293.0,25.2,351.6,31
CDM,156713,PHOSPHOLIPIDS SPECTRO,248.0,248.0,21.33,297.6,31
CDM,156714,SUCRASE SPECT,283.0,283.0,24.34,339.6,31
CDM,156717,TESTOSTERONE FREE,6.0,6.0,0.52,7.2,31
CDM,156717,Testosterone; free ,6.0,6.0,25.22,77.68,37
CDM,156717,Testosterone; free UNSCHEDULED,6.0,6.0,36.64,37.41,3
CDM,15672,FLUOXETINE 20MG CAP,72.0,72.0,3.82,86.4,48
CDM,156720,VITAMIN B1 THIAMINE,168.0,168.0,14.45,201.6,31
CDM,156721,THIOCYANATES,122.0,122.0,10.49,146.4,31
CDM,156721,Thiocyanate ,122.0,122.0,11.51,35.47,37
CDM,156721,Thiocyanate UNSCHEDULED,122.0,122.0,80.61,82.3,3
CDM,156723,THYROXINE FREE T4 DIALYS,72.0,72.0,6.19,86.4,31
CDM,156724,Tocopherol alpha (Vitamin E) ,119.0,119.0,14.04,43.25,37
CDM,156724,Tocopherol alpha (Vitamin E) UNSCHEDULED,119.0,119.0,80.61,82.3,3
CDM,156724,VITAMIN E,119.0,119.0,10.23,142.8,31
CDM,156726,TRYPSIN FECES QUANT,609.0,609.0,52.37,730.8,31
CDM,156726,"Trypsin; feces, quantitative, 24-hour collection ",609.0,609.0,9.83,30.29,37
CDM,156726,"Trypsin; feces, quantitative, 24-hour collection UNSCHEDULED",609.0,609.0,80.61,82.3,3
CDM,156727,UROBILINOGEN UR QUANT,361.0,361.0,31.05,433.2,31
CDM,156727,"Urobilinogen, urine; quantitative, timed specimen ",361.0,361.0,9.45,29.13,37
CDM,156727,"Urobilinogen, urine; quantitative, timed specimen UNSCHEDULED",361.0,361.0,80.61,82.3,3
CDM,156728,VMA URINE,156.0,156.0,13.42,187.2,31
CDM,156728,"Vanillylmandelic acid (VMA), urine ",156.0,156.0,15.35,47.27,37
CDM,156728,"Vanillylmandelic acid (VMA), urine UNSCHEDULED",156.0,156.0,80.61,82.3,3
CDM,156729,VASO INTEST PEPTIDE(VIP),75.0,75.0,6.45,90.0,31
CDM,156729,Vasoactive intestinal peptide (VIP) ,75.0,75.0,34.98,107.76,37
CDM,156729,Vasoactive intestinal peptide (VIP) UNSCHEDULED,75.0,75.0,80.61,82.3,3
CDM,15673,FLUOXETINE 20MG/5ML LIQ,122.0,122.0,6.47,146.4,48
CDM,156730,ADH (VASOPRESSIN),397.0,397.0,34.14,476.4,31
CDM,156730,"Vasopressin (antidiuretic hormone, ADH) ",397.0,397.0,33.6,103.52,37
CDM,156730,"Vasopressin (antidiuretic hormone, ADH) UNSCHEDULED",397.0,397.0,33.5,34.2,3
CDM,156733,Alcohols ,146.0,146.0,,,0
CDM,156733,Alcohols UNSCHEDULED,146.0,146.0,145.52,148.58,3
CDM,156733,METHANOL DOA,146.0,146.0,7.74,175.2,35
CDM,156736,ZINC BLOOD,102.0,102.0,8.77,122.4,31
CDM,156736,Zinc ,102.0,102.0,11.28,34.74,37
CDM,156736,Zinc UNSCHEDULED,102.0,102.0,21.98,22.45,3
CDM,156743,Clotting; factor VIII related antigen ,271.0,271.0,20.22,62.28,37
CDM,156743,Clotting; factor VIII related antigen UNSCHEDULED,271.0,271.0,225.08,229.82,3
CDM,156743,FACTOR 8 REL AG,271.0,271.0,23.31,325.2,31
CDM,156745,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",483.0,483.0,22.71,69.97,37
CDM,156745,"Clotting; factor VIII, von Willebrand factor, multimetric analysis UNSCHEDULED",483.0,483.0,106.78,109.03,3
CDM,156745,FACTOR 8 VW MULTIMERS,483.0,483.0,41.54,579.6,31
CDM,156746,Clotting; factor XI (PTA) ,156.0,156.0,17.72,54.59,37
CDM,156746,Clotting; factor XI (PTA) UNSCHEDULED,156.0,156.0,106.78,109.03,3
CDM,156746,FACTOR 11 ACTIVITY,156.0,156.0,13.42,187.2,31
CDM,156751,ANTITHROMBIN 3 AG,110.0,110.0,9.46,132.0,31
CDM,156751,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",110.0,110.0,10.7,32.97,37
CDM,156751,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay UNSCHEDULED",110.0,110.0,106.78,109.03,3
CDM,156752,PROTEIN S ANTIGEN TOTAL,675.0,675.0,58.05,810.0,31
CDM,156758,D-DIMER ULTRASEN QL SEMI,231.0,231.0,19.87,277.2,31
CDM,156758,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",231.0,231.0,10.08,31.05,37
CDM,156758,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative UNSCHEDULED",231.0,231.0,228.23,233.03,3
CDM,156760,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",211.0,211.0,6.46,19.92,37
CDM,156760,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay UNSCHEDULED",211.0,211.0,106.78,109.03,3
CDM,156760,PLASMINOGEN ACTIVITY,211.0,211.0,18.15,253.2,31
CDM,156764,LEUKO ALK PHOS STAIN,68.0,68.0,5.85,81.6,31
CDM,156764,Leukocyte alkaline phosphatase with count ,68.0,68.0,8.51,26.23,37
CDM,156764,Leukocyte alkaline phosphatase with count UNSCHEDULED,68.0,68.0,106.78,109.03,3
CDM,156765,"Mechanical fragility, RBC ",648.0,648.0,8.51,26.23,37
CDM,156765,"Mechanical fragility, RBC UNSCHEDULED",648.0,648.0,106.78,109.03,3
CDM,156765,RBC FRAGILITY MECHANICAL,648.0,648.0,55.73,777.6,31
CDM,156767,MURAMIDASE LYSOZYME,78.0,78.0,6.71,93.6,31
CDM,156767,Muramidase ,78.0,78.0,18.56,57.19,37
CDM,156767,Muramidase UNSCHEDULED,78.0,78.0,106.78,109.03,3
CDM,156775,SALMONELLA AGG,555.0,555.0,47.73,666.0,31
CDM,156776,SALMONELLA H GRP D TYP H,555.0,555.0,47.73,666.0,31
CDM,156777,SALMONELLA H PARATYP B,555.0,555.0,47.73,666.0,31
CDM,156778,SALMONELLA H PARATYPH A,555.0,555.0,47.73,666.0,31
CDM,156779,SALMONELLA O GRP D TYP O,555.0,555.0,47.73,666.0,31
CDM,156780,SALMONELLA O PARATYPH A,555.0,555.0,47.73,666.0,31
CDM,156781,SALMONELLA O PARATYPH B,555.0,555.0,47.73,666.0,31
CDM,156782,TULAREMIA AGG,555.0,555.0,47.73,666.0,31
CDM,156783,ALLERGEN MULTI PANEL,693.0,693.0,59.6,831.6,31
CDM,156783,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",693.0,693.0,7.89,24.31,37
CDM,156783,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) UNSCHEDULED",693.0,693.0,94.22,96.2,3
CDM,156786,Antibody identification; leukocyte antibodies ,318.0,318.0,14.9,45.9,37
CDM,156786,Antibody identification; leukocyte antibodies UNSCHEDULED,318.0,318.0,41.88,42.76,3
CDM,156786,NEUTROPHIL AB,318.0,318.0,27.35,381.6,31
CDM,156790,PLATELET ANTIBODIES,698.0,698.0,60.03,837.6,31
CDM,156795,PLATELET ASSOC AB IGG,300.0,300.0,25.8,360.0,31
CDM,156801,BETA 2 GLYCOPROT1 AB IGA,48.0,48.0,4.13,57.6,31
CDM,156802,BETA 2 GLYCOPROT1 AB IGG,48.0,48.0,4.13,57.6,31
CDM,156803,BETA 2 GLYCOPROT1 AB IGM,48.0,48.0,4.13,57.6,31
CDM,156804,CARDIOLIPIN AB TOTAL,143.0,143.0,12.3,171.6,31
CDM,156805,PHOSPHATIDYLSER AB IGA,122.0,122.0,10.49,146.4,31
CDM,156806,PHOSPHATIDYLSER AB IGG,122.0,122.0,10.49,146.4,31
CDM,156807,PHOSPHATIDYLSER AB IGM,122.0,122.0,10.49,146.4,31
CDM,156809,COMPLEMENT C1 ESTERASE,1170.0,1170.0,100.62,1404.0,31
CDM,156810,COMPLEMENT C1 Q,1170.0,1170.0,100.62,1404.0,31
CDM,156812,COMPLEMENT C5,70.0,70.0,6.02,84.0,31
CDM,156813,COMPLEMENT C6,1170.0,1170.0,100.62,1404.0,31
CDM,156814,COMPLEMENT C7,1170.0,1170.0,100.62,1404.0,31
CDM,156816,COMPLEMENT C9,1170.0,1170.0,100.62,1404.0,31
CDM,156820,COMPLEMENT TOT CH50,168.0,168.0,14.45,201.6,31
CDM,156826,ANTI-CCP,330.0,330.0,28.38,396.0,31
CDM,156826,"Cyclic citrullinated peptide (CCP), antibody ",330.0,330.0,12.82,39.5,37
CDM,156826,"Cyclic citrullinated peptide (CCP), antibody UNSCHEDULED",330.0,330.0,165.41,168.9,3
CDM,156841,ENDOMYSIAL FA AB IGA SCR,427.0,427.0,36.72,512.4,31
CDM,156846,GLOMERULAR BM FA AB SCR,427.0,427.0,36.72,512.4,31
CDM,156853,RETICULIN FA AB QL,427.0,427.0,36.72,512.4,31
CDM,156856,STRIATED MUSC FA AB SCR,427.0,427.0,36.72,512.4,31
CDM,156857,ADRENAL FA AB TIT,556.0,556.0,47.82,667.2,31
CDM,156862,ENDOMYSIAL FA AB IGA TIT,556.0,556.0,47.82,667.2,31
CDM,156867,HISTOPLASMA YEAST AB QL,133.0,133.0,11.44,159.6,31
CDM,156870,MYOCARDIAL FA AB TIT,556.0,556.0,47.82,667.2,31
CDM,156871,NEURON NUC AB 1 HU TIT,556.0,556.0,47.82,667.2,31
CDM,156880,GROWTH HORMONE AB,160.0,160.0,13.76,192.0,31
CDM,156880,"Growth hormone, human (HGH), antibody ",160.0,160.0,15.58,48.01,37
CDM,156880,"Growth hormone, human (HGH), antibody UNSCHEDULED",160.0,160.0,94.22,96.2,3
CDM,156882,CA 125 QN,168.0,168.0,14.45,201.6,31
CDM,156885,NEURON SPEC ENOLASE QN,389.0,389.0,33.45,466.8,31
CDM,156886,BABESIA MICROTI AB QN,160.0,160.0,13.76,192.0,31
CDM,156887,DIPHTHERIA AB QN,160.0,160.0,13.76,192.0,31
CDM,156890,HB S AB QN,130.0,130.0,11.18,156.0,31
CDM,156891,HIV-2 AB QUAL,156.0,156.0,13.42,187.2,31
CDM,156894,PNEUMOCOCCAL AB QN,160.0,160.0,13.76,192.0,31
CDM,156899,TETANUS AB QN,160.0,160.0,13.76,192.0,31
CDM,15690,ALPRAZOLAM 0.25MG TAB,29.0,29.0,1.54,34.8,48
CDM,156905,ALPHA 2 MACRO ID,273.0,273.0,23.48,327.6,31
CDM,156906,TEICHOIC ACID AB ID,273.0,273.0,23.48,327.6,31
CDM,15691,ALPRAZOLAM 0.5MG TAB,31.0,31.0,1.64,37.2,48
CDM,156911,C1Q BINDING IMM COMP,207.0,207.0,17.8,248.4,31
CDM,156913,RAJI IMMUNE COMP,207.0,207.0,17.8,248.4,31
CDM,156914,INSULIN AB,199.0,199.0,17.11,238.8,31
CDM,156914,Insulin antibodies ,199.0,199.0,21.2,65.3,37
CDM,156914,Insulin antibodies UNSCHEDULED,199.0,199.0,94.22,96.2,3
CDM,156915,INTRINSIC FACT AB,148.0,148.0,12.73,177.6,31
CDM,156915,Intrinsic factor antibodies ,148.0,148.0,14.93,45.99,37
CDM,156915,Intrinsic factor antibodies UNSCHEDULED,148.0,148.0,94.22,96.2,3
CDM,156916,ISLET CELL AB,467.0,467.0,40.16,560.4,31
CDM,156928,THYROID MICROSOMAL AB,122.0,122.0,10.49,146.4,31
CDM,156933,STREPTOKINASE AB,318.0,318.0,27.35,381.6,31
CDM,156933,"Streptokinase, antibody ",318.0,318.0,12.53,38.61,37
CDM,156933,"Streptokinase, antibody UNSCHEDULED",318.0,318.0,94.22,96.2,3
CDM,156939,ADENOVIRUS AB QL,113.0,113.0,9.72,135.6,31
CDM,156939,Antibody; adenovirus ,113.0,113.0,12.74,39.25,37
CDM,156939,Antibody; adenovirus UNSCHEDULED,113.0,113.0,128.77,131.48,3
CDM,156942,ASPERGILLUS FUMIGATUS AB,133.0,133.0,11.44,159.6,31
CDM,156948,BARTONELLA H IGG,185.0,185.0,15.91,222.0,31
CDM,15695,METOPROLOL 50MG TAB,28.0,28.0,1.48,33.6,48
CDM,156952,Antibody; Blastomyces ,133.0,133.0,12.77,39.34,37
CDM,156952,Antibody; Blastomyces UNSCHEDULED,133.0,133.0,105.73,107.96,3
CDM,156952,BLASTOMYCES AB QUAL,133.0,133.0,11.44,159.6,31
CDM,156962,LYME AB IGM WESTERN BLOT,122.0,122.0,10.49,146.4,31
CDM,156964,LYME DISEASE AB QL,122.0,122.0,10.49,146.4,31
CDM,156968,BRUCELLA AB QL IGG,406.0,406.0,34.92,487.2,31
CDM,156969,BRUCELLA AB QL IGM,406.0,406.0,34.92,487.2,31
CDM,156971,Antibody; Candida ,68.0,68.0,11.89,36.63,37
CDM,156971,Antibody; Candida UNSCHEDULED,68.0,68.0,94.22,96.2,3
CDM,156971,CANDIDA AB QUAL,68.0,68.0,5.85,81.6,31
CDM,156974,CHLAMYDIA PNEUMO IGG,355.0,355.0,30.53,426.0,31
CDM,156975,CHLAMYDIA PSITTACI IGA,355.0,355.0,30.53,426.0,31
CDM,156976,CHLAMYDIA PSITTACI IGG,355.0,355.0,30.53,426.0,31
CDM,156978,CHLAMYDIA TRACH IGG,355.0,355.0,30.53,426.0,31
CDM,156980,CHLAMYDIA TRACH IGM,120.0,120.0,10.32,144.0,31
CDM,156981,COCCIDIOID AB QUAL,133.0,133.0,11.44,159.6,31
CDM,156984,Antibody; Coxiella burnetii (Q fever) ,280.0,280.0,12.0,36.97,37
CDM,156984,Antibody; Coxiella burnetii (Q fever) UNSCHEDULED,280.0,280.0,27.22,27.79,3
CDM,156984,Q FEVER AB QUAL,280.0,280.0,24.08,336.0,31
CDM,156985,CRYPTOCOC AB BLD QUAL,121.0,121.0,10.41,145.2,31
CDM,156986,CRYPTOCOC AB CSF QUAL,121.0,121.0,10.41,145.2,31
CDM,156988,"Antibody; encephalitis, California (La Crosse) ",113.0,113.0,13.06,40.23,37
CDM,156988,"Antibody; encephalitis, California (La Crosse) UNSCHEDULED",113.0,113.0,94.22,96.2,3
CDM,156988,ENCEPH LACROSSE AB QUAL,113.0,113.0,9.72,135.6,31
CDM,15699,GLYBURIDE 1.25MG TAB,28.0,28.0,1.48,33.6,48
CDM,156994,"Antibody; encephalitis, Eastern equine ",133.0,133.0,13.06,40.23,37
CDM,156994,"Antibody; encephalitis, Eastern equine UNSCHEDULED",133.0,133.0,94.22,96.2,3
CDM,156994,ENCEPH E EQUINE AB QUAL,133.0,133.0,11.44,159.6,31
CDM,156998,"Antibody; encephalitis, St. Louis ",190.0,190.0,13.06,40.23,37
CDM,156998,"Antibody; encephalitis, St. Louis UNSCHEDULED",190.0,190.0,94.22,96.2,3
CDM,156998,ENCEPH ST LOUIS AB QUAL,190.0,190.0,16.34,228.0,31
CDM,157003,"Antibody; encephalitis, Western equine ",133.0,133.0,13.06,40.23,37
CDM,157003,"Antibody; encephalitis, Western equine UNSCHEDULED",133.0,133.0,94.22,96.2,3
CDM,157003,ENCEPH W EQUINE AB QUAL,133.0,133.0,11.44,159.6,31
CDM,157021,COXSACKIE B AB QL,478.0,478.0,41.11,573.6,31
CDM,157053,GIARDIA AB QL SQN,119.0,119.0,10.23,142.8,31
CDM,157055,GIARDIA AB QL SQN IGG,119.0,119.0,10.23,142.8,31
CDM,157056,GIARDIA AB QL SQN IGM,119.0,119.0,10.23,142.8,31
CDM,157059,CYSTICERCUS AB,863.0,863.0,74.22,1035.6,31
CDM,157061,ECHINOCOCCUS AB,863.0,863.0,74.22,1035.6,31
CDM,157063,FILARIA AB IGG,375.0,375.0,32.25,450.0,31
CDM,157064,SCHISTOSOMA AB QUAL,863.0,863.0,74.22,1035.6,31
CDM,157066,STRONGYLOIDES AB QUAL,863.0,863.0,74.22,1035.6,31
CDM,15707,PROMETHAZINE 25 MG PO,46.0,46.0,2.44,55.2,30
CDM,15707,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",46.0,46.0,0.48,0.48,1
CDM,157072,HIV AB WESTERN BLOT,675.0,675.0,58.05,810.0,31
CDM,157073,HTLV WESTERN BLOT,675.0,675.0,58.05,810.0,31
CDM,157077,HERPES SIMPLEX AB QUAL,121.0,121.0,10.41,145.2,31
CDM,157079,HERPES SIMPLEX 1 AB IGG,113.0,113.0,9.72,135.6,31
CDM,157082,"Antibody; herpes simplex, type 2 ",162.0,162.0,19.16,59.02,37
CDM,157082,"Antibody; herpes simplex, type 2 UNSCHEDULED",162.0,162.0,65.96,67.35,3
CDM,157082,HERPES SIMPLEX 2 AB QL,162.0,162.0,13.93,194.4,31
CDM,157084,HISTOPLASMA AB QL,133.0,133.0,11.44,159.6,31
CDM,157085,HISTOPLASMA MYCEL AB QL,133.0,133.0,11.44,159.6,31
CDM,157088,INFLUENZA A VIRUS AB,330.0,330.0,28.38,396.0,31
CDM,157090,INFLUENZA B VIRUS AB,330.0,330.0,28.38,396.0,31
CDM,157093,LEISHMANIA AB QUAL,190.0,190.0,16.34,228.0,31
CDM,157095,LEISHMANIA DONOVANI IGG,190.0,190.0,16.34,228.0,31
CDM,157096,LEISHMANIA DONOVANI IGM,190.0,190.0,16.34,228.0,31
CDM,157097,LEISHMANIA MEXICANA IGG,190.0,190.0,16.34,228.0,31
CDM,157098,LEISHMANIA MEXICANA IGM,190.0,190.0,16.34,228.0,31
CDM,157099,LEISHMANIA TROPICA IGG,190.0,190.0,16.34,228.0,31
CDM,157100,LEISHMANIA TROPICA IGM,190.0,190.0,16.34,228.0,31
CDM,157101,Antibody; Leptospira ,119.0,119.0,16.04,49.41,37
CDM,157101,Antibody; Leptospira UNSCHEDULED,119.0,119.0,94.22,96.2,3
CDM,157101,LEPTOSPIRA AB QUAL,119.0,119.0,10.23,142.8,31
CDM,157102,Antibody; Listeria monocytogenes ,231.0,231.0,13.06,40.23,37
CDM,157102,Antibody; Listeria monocytogenes UNSCHEDULED,231.0,231.0,94.22,96.2,3
CDM,157102,LISTERIA MONOCYTOGENE AB,231.0,231.0,19.87,277.2,31
CDM,157104,LYMPH CHORIO AB QUAL IGG,302.0,302.0,25.97,362.4,31
CDM,157105,LYMPH CHORIO AB QUAL IGM,302.0,302.0,25.97,362.4,31
CDM,157108,PARVOVIRUS AB QUAL,122.0,122.0,10.49,146.4,31
CDM,157112,AMOEBIC AB,162.0,162.0,13.93,194.4,31
CDM,157117,SERAMEBA AB QUAL,162.0,162.0,13.93,194.4,31
CDM,157118,TRYPANOSOMA CRUZI IGG,162.0,162.0,13.93,194.4,31
CDM,157120,RICKETTSIA AB IGG QL,156.0,156.0,13.42,187.2,31
CDM,157121,RICKETTSIA AB IGM QL,156.0,156.0,13.42,187.2,31
CDM,157122,RICKETTSIA AB QL,156.0,156.0,13.42,187.2,31
CDM,157127,ROTAVIRUS AB QUAL,110.0,110.0,9.46,132.0,31
CDM,157128,RUBELLA AB QUAL,121.0,121.0,10.41,145.2,31
CDM,157130,RUBEOLA IGM,173.0,173.0,14.88,207.6,31
CDM,157131,Antibody; Salmonella ,234.0,234.0,13.06,40.23,37
CDM,157131,Antibody; Salmonella UNSCHEDULED,234.0,234.0,94.22,96.2,3
CDM,157131,SALMONELLA AB QUAL,234.0,234.0,20.12,280.8,31
CDM,157133,FTA AB CONFIRM,113.0,113.0,9.72,135.6,31
CDM,157135,MHA TP CONFIRM,119.0,119.0,10.23,142.8,31
CDM,157138,Antibody; Trichinella ,404.0,404.0,12.43,38.31,37
CDM,157138,Antibody; Trichinella UNSCHEDULED,404.0,404.0,94.22,96.2,3
CDM,157138,TRICHINELLA AB QUAL,404.0,404.0,34.74,484.8,31
CDM,157140,VARIC ZOSTER IGM,367.0,367.0,31.56,440.4,31
CDM,157142,ENCEPH WEST NILE AB IGM,208.0,208.0,17.89,249.6,31
CDM,157144,ENCEPH WEST NILE AB IGG,208.0,208.0,17.89,249.6,31
CDM,157148,DENGUE VIRUS AB IGG QL,208.0,208.0,17.89,249.6,31
CDM,157149,DENGUE VIRUS AB IGM QL,208.0,208.0,17.89,249.6,31
CDM,157151,HANTAVIRUS AB IGG QL,208.0,208.0,17.89,249.6,31
CDM,157152,HANTAVIRUS AB IGM QL,208.0,208.0,17.89,249.6,31
CDM,157161,PARAINFLUENZA 1 AB QL,208.0,208.0,17.89,249.6,31
CDM,157162,PARAINFLUENZA 2 AB QL,208.0,208.0,17.89,249.6,31
CDM,157163,PARAINFLUENZA 3 AB QL,208.0,208.0,17.89,249.6,31
CDM,157166,THYROGLOBULIN AB QUANT,133.0,133.0,11.44,159.6,31
CDM,157169,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",218.0,218.0,25.55,78.72,37
CDM,157169,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen UNSCHEDULED",218.0,218.0,39.79,40.62,3
CDM,157169,TYPING SINGLE AG,218.0,218.0,18.75,261.6,31
CDM,157185,CULT ECOLI 0157 H7 SCR,355.0,355.0,30.53,426.0,31
CDM,157188,CULT MYCOPLASMA,1091.0,1091.0,93.83,1309.2,31
CDM,157188,"Culture, mycoplasma, any source ",1091.0,1091.0,15.24,46.94,37
CDM,157188,"Culture, mycoplasma, any source UNSCHEDULED",1091.0,1091.0,109.92,112.24,3
CDM,157192,MACRO EXAM PARASITE,62.0,62.0,5.33,74.4,31
CDM,157192,Macroscopic examination; parasite ,62.0,62.0,4.27,13.15,37
CDM,157192,Macroscopic examination; parasite UNSCHEDULED,62.0,62.0,109.92,112.24,3
CDM,157193,GRAM POS SENSI MIC,272.0,272.0,23.39,326.4,31
CDM,157198,CULT COXSACKIE A,714.0,714.0,61.4,856.8,31
CDM,157203,BORD PERTUSSIS AG IFT,334.0,334.0,28.72,400.8,31
CDM,157203,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,334.0,334.0,11.86,36.54,37
CDM,157203,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis UNSCHEDULED,334.0,334.0,109.92,112.24,3
CDM,157205,CHLAMYDIA TRACH AG IFT,102.0,102.0,8.77,122.4,31
CDM,157205,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,102.0,102.0,11.86,36.54,37
CDM,157205,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis UNSCHEDULED,102.0,102.0,194.72,198.82,3
CDM,157211,VARICELLA ZOSTER AG IFT,406.0,406.0,34.92,487.2,31
CDM,157213,ADENOVIRUS AGTY40/41 EIA,173.0,173.0,14.88,207.6,31
CDM,157213,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",173.0,173.0,11.86,112.24,40
CDM,157217,HEP DELTA AGENT AG EIA,146.0,146.0,12.56,175.2,31
CDM,157217,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",146.0,146.0,18.18,66.27,40
CDM,15722,SIMETHICO 40MG/0.6ML LIQ,1.0,1.0,0.05,1.2,48
CDM,157223,INFLU VIRUS NEURAMIN EIA,400.0,400.0,34.4,480.0,31
CDM,157224,NOROVIRUS AG EIA,400.0,400.0,34.4,480.0,31
CDM,157231,CHLAMYDIA T AMP PROBE,455.0,455.0,39.13,546.0,31
CDM,157233,ENTEROVIRUS AMP/REVERS T,404.0,404.0,34.74,484.8,31
CDM,157233,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",404.0,404.0,34.74,107.02,37
CDM,157233,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed UNSCHEDULED",404.0,404.0,247.07,252.27,3
CDM,157236,HEP B DNA QN,596.0,596.0,51.26,715.2,31
CDM,157236,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",596.0,596.0,42.41,130.66,37
CDM,157236,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification UNSCHEDULED",596.0,596.0,126.67,129.34,3
CDM,157237,HEP C DIR PROBE,1372.0,1372.0,117.99,1646.4,31
CDM,157237,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",1372.0,1372.0,30.91,95.22,37
CDM,157237,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique UNSCHEDULED",1372.0,1372.0,78.52,80.17,3
CDM,157241,HERPES SIMP AMP PROBE,1769.0,1769.0,152.13,2122.8,31
CDM,157246,HIV 1 DNA QN,593.0,593.0,51.0,711.6,31
CDM,157248,HIV 1 VIRAL LOAD,593.0,593.0,51.0,711.6,31
CDM,157250,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",283.0,283.0,26.61,81.98,37
CDM,157250,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique UNSCHEDULED",283.0,283.0,109.92,112.24,3
CDM,157250,MTB DIRECT PROBE,283.0,283.0,24.34,339.6,31
CDM,157251,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",1518.0,1518.0,41.26,127.12,37
CDM,157251,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique UNSCHEDULED",1518.0,1518.0,227.17,231.96,3
CDM,157251,MTB AMP PROBE,1518.0,1518.0,130.55,1821.6,31
CDM,157254,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",283.0,283.0,27.02,83.23,37
CDM,157254,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique UNSCHEDULED",283.0,283.0,109.92,112.24,3
CDM,157254,M AVIUM-INTRAC DIR PROBE,283.0,283.0,24.34,339.6,31
CDM,157256,GC AMP PROBE,455.0,455.0,39.13,546.0,31
CDM,157265,BORD PERTUSSIS AMP PR,257.0,257.0,22.1,308.4,31
CDM,157274,T GONDII AMP PROBE,427.0,427.0,36.72,512.4,31
CDM,157277,WEST NILE VIR AMP PROBE,379.0,379.0,32.59,454.8,31
CDM,157278,BK POLYOMA VIRUS AMP QN,283.0,283.0,24.34,339.6,31
CDM,157286,HIV 1 GENOTYPE RT & PROT,1587.0,1587.0,136.48,1904.4,31
CDM,157286,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",1587.0,1587.0,254.88,785.22,37
CDM,157286,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions UNSCHEDULED",1587.0,1587.0,839.61,857.29,3
CDM,157298,CD 59 1ST MARK,669.0,669.0,57.53,802.8,34
CDM,157323,ACT PEROX 1ST AB,922.0,922.0,79.29,1106.4,34
CDM,157324,ALPHA SMUSC ACTIN 1ST AB,922.0,922.0,79.29,1106.4,34
CDM,157325,B723 PER 1ST AB,922.0,922.0,79.29,1106.4,34
CDM,157326,CD1 (LEU-6) PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,157327,CD10 (CALLA) PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,157328,CD11C (LEUM1) PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,157329,CD23 (LEU 20) PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,157330,CD34 PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,157337,SPERM ANTIBODIES,467.0,467.0,40.16,560.4,31
CDM,157337,Sperm antibodies ,467.0,467.0,10.56,32.54,37
CDM,15734,HYDROXYZINE PAM 25 MG PO,34.0,34.0,1.8,40.8,30
CDM,157346,CLOMIPRAMINE ANAFRANL QN,311.0,311.0,26.75,373.2,31
CDM,157347,CMV DNA QN,92.0,92.0,7.91,110.4,31
CDM,157347,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",92.0,92.0,42.41,130.66,37
CDM,157347,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification UNSCHEDULED",92.0,92.0,109.92,112.24,3
CDM,157350,FELBAMATE FELBATOL QN,311.0,311.0,26.75,373.2,31
CDM,157350,Felbamate ,311.0,311.0,18.45,56.85,37
CDM,157350,Felbamate UNSCHEDULED,311.0,311.0,129.29,132.02,3
CDM,157351,FFP APH 250ML,557.0,557.0,47.9,668.4,48
CDM,157355,HEP C DNA QN,1218.0,1218.0,104.75,1461.6,31
CDM,157359,INSULIN LIKE GFBP 3 RIA,218.0,218.0,18.75,261.6,31
CDM,157360,LYME AB WESTERN BLOT,211.0,211.0,18.15,253.2,31
CDM,157370,PREGNENOLONE,1102.0,1102.0,94.77,1322.4,31
CDM,157370,Pregnenolone ,1102.0,1102.0,20.46,63.04,37
CDM,157370,Pregnenolone UNSCHEDULED,1102.0,1102.0,80.61,82.3,3
CDM,157372,THYROGLOBULIN,133.0,133.0,11.44,159.6,31
CDM,157372,Thyroglobulin ,133.0,133.0,15.9,48.98,37
CDM,157372,Thyroglobulin UNSCHEDULED,133.0,133.0,80.61,82.3,3
CDM,157374,TRANSGLUTAMIN IGA QL IA,435.0,435.0,37.41,522.0,31
CDM,157376,WB LR CMV NEG,575.0,575.0,49.45,690.0,48
CDM,157377,WB PHERESIS IRR EA UNIT,752.0,752.0,64.67,902.4,48
CDM,157379,STONE ANALYSIS QN CHEM,110.0,110.0,9.46,132.0,31
CDM,157383,FECAL FAT QUANT,218.0,218.0,18.75,261.6,31
CDM,157383,"Fat or lipids, feces; quantitative ",218.0,218.0,16.63,51.24,37
CDM,157383,"Fat or lipids, feces; quantitative UNSCHEDULED",218.0,218.0,80.61,82.3,3
CDM,157384,CD 15 PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,157385,CD3 (LEU 4) PEROX AB,922.0,922.0,79.29,1106.4,34
CDM,157391,GC MS QUANTITATIVE,98.0,98.0,8.43,117.6,31
CDM,157392,HPLC MS QUANTITATIVE,523.0,523.0,44.98,627.6,31
CDM,157397,OPSONAL CHEMILUMINESCNT,133.0,133.0,11.44,159.6,31
CDM,157400,HEMOGLOBIN PLASMA,414.0,414.0,35.6,496.8,31
CDM,157400,Hemoglobin; plasma ,414.0,414.0,7.24,22.3,37
CDM,157400,Hemoglobin; plasma UNSCHEDULED,414.0,414.0,80.61,82.3,3
CDM,157401,"Hemoglobin; sulfhemoglobin, quantitative ",355.0,355.0,8.71,26.84,37
CDM,157401,"Hemoglobin; sulfhemoglobin, quantitative UNSCHEDULED",355.0,355.0,80.61,82.3,3
CDM,157401,SULFHEMOGLOBIN QUANT,355.0,355.0,30.53,426.0,31
CDM,15742,POT CHL 10MEQ SA CAP,29.0,29.0,1.54,34.8,48
CDM,15744,SELENIUM 200MCG TAB,13.0,13.0,0.69,15.6,48
CDM,157457,MAJOR OR FIRST 60 MIN,52605.0,52605.0,2788.07,63126.0,34
CDM,157458,MAJOR OR ADDL 30 MIN,17777.0,17777.0,942.18,21332.4,34
CDM,157459,MINOR OR FIRST 60 MIN,45063.0,45063.0,2388.34,54075.6,34
CDM,157460,MINOR OR ADDL 30 MIN,12645.0,12645.0,670.18,15174.0,34
CDM,157461,ROBOTIC OR FIRST 60 MIN,71365.0,71365.0,3782.34,85638.0,34
CDM,157462,ROBOTIC OR ADDL 30 MIN,22876.0,22876.0,1212.43,27451.2,34
CDM,157463,OPEN HRT OR FIRST 60 MIN,64043.0,64043.0,3394.28,76851.6,34
CDM,157464,OPEN HRT OR ADDL 30 MIN,22051.0,22051.0,1168.7,26461.2,34
CDM,157465,LOC ANESTHESIA-1ST 60MIN,916.0,916.0,48.55,1099.2,49
CDM,157466,LOC ANESTHESIA-ADD 3OMIN,451.0,451.0,23.9,541.2,49
CDM,15754,MICONAZOL 100MG VAG SUPP,92.0,92.0,4.88,110.4,48
CDM,157573,DIATRIZOATE 18% 300ML,903.0,903.0,47.86,1083.6,48
CDM,157585,FOLIC ACID 1MG/0.2ML INJ,367.0,367.0,19.45,440.4,48
CDM,157611,LEECHES THERAPEUTIC EACH,355.0,355.0,18.82,426.0,48
CDM,157623,MAGGOT 1 EACH,1.0,1.0,0.05,1.2,49
CDM,157643,MORPINE 2MG ORAL SYR,15.0,15.0,0.8,18.0,48
CDM,157644,NACL 0.9% 3ML INJ,231.0,231.0,12.24,277.2,48
CDM,157647,NEOMYCIN 1GM PWD,155.0,155.0,8.21,186.0,48
CDM,157673,PORACTANT 120 MG INST,2610.0,2610.0,138.33,3132.0,30
CDM,157694,SEVOFLURANE/UTLANE 250ML,6724.0,6724.0,356.37,8068.8,48
CDM,157696,SOD BICARBONATE 5% 1 ML,72.0,72.0,3.82,86.4,48
CDM,157697,SOD CHL 4MEQ/1ML ORALSOL,57.2,57.2,3.03,68.64,48
CDM,15770,ESCITALOPRAM 20MG TAB,68.0,68.0,3.6,81.6,48
CDM,157703,SODIUM CL 20MEQ/5 ML VL,170.0,170.0,9.01,204.0,48
CDM,157709,TRACE ELE NEO 2ML VL,367.0,367.0,19.45,440.4,48
CDM,15771,ERLOTINIB 150 MG PO,1170.0,1170.0,62.01,1404.0,44
CDM,157718,ZINC OXIDE/CALAMINE WRAP,244.0,244.0,12.93,292.8,48
CDM,157730,D10% SODCHL0.45% 1000ML,761.0,761.0,40.33,913.2,48
CDM,157733,D2.5%-0.45% NS 1000MLBOT,1138.0,1138.0,60.31,1365.6,48
CDM,157738,D5W (DEHP FREE) 250 ML,23.0,23.0,1.22,27.6,48
CDM,15775,OXYMETAZOL .05% SPR 30ML,84.0,84.0,4.45,100.8,48
CDM,157767,SOD CHL 0.25% 1000ML,1138.0,1138.0,60.31,1365.6,48
CDM,157768,SOD CHL 0.3% 1000ML,1138.0,1138.0,60.31,1365.6,48
CDM,157771,SOD CHL 0.45% 50ML,610.0,610.0,32.33,732.0,48
CDM,157778,SODIUM CL 0.9%IRR 3000ML,407.0,407.0,21.57,488.4,48
CDM,157786,WATER MO PETROL 113GM,113.0,113.0,5.99,135.6,48
CDM,157792,CYPROHEP 4MG 10ML SYRUP,29.0,29.0,1.54,34.8,48
CDM,15782,MODAFINIL 100MG TAB,74.0,74.0,3.92,88.8,48
CDM,157820,ESOMEPRAZOLE 20MG PKT,19.88,19.88,1.05,23.86,48
CDM,157835,FEXOFENADINE 30MG/5MLLIQ,31.0,31.0,1.64,37.2,48
CDM,157844,GLYBURIDE MICRON 6MG TAB,40.0,40.0,2.12,48.0,48
CDM,157847,GUAIF/DM 5ML SYRUP,29.0,29.0,1.54,34.8,48
CDM,157852,HYDROCODONE/APAP 5ML LIQ,15.0,15.0,0.8,18.0,48
CDM,157866,ISOSORBIDE MON 10 MG TAB,31.0,31.0,1.64,37.2,48
CDM,157867,KARAYA GUM,107.0,107.0,5.67,128.4,48
CDM,157868,LACOSAMIDE 200MG TAB,33.9,33.9,1.8,40.68,48
CDM,157871,LAMIVUDINE 150MG/15MLLIQ,217.0,217.0,11.5,260.4,48
CDM,15788,EZETIMIBE 10MG TAB,72.0,72.0,3.82,86.4,48
CDM,157882,LIDOCAINE/PRILO 5G CR,383.0,383.0,20.3,459.6,48
CDM,157889,MAG HYD 30ML BOT,2.0,2.0,0.11,2.4,48
CDM,157901,METHYL SAL MENTH 85GM,47.0,47.0,2.49,56.4,48
CDM,157913,MICROFIBRILLAR COLL0.5GM,603.0,603.0,31.96,723.6,48
CDM,157916,MIDODRINE 10MG. TAB,1.75,1.75,0.09,2.1,48
CDM,157944,OXYCODONE 10MG IR TAB,10.0,10.0,0.53,12.0,48
CDM,157966,PRAMOXINE HCL 30 GM TUBE,61.0,61.0,3.23,73.2,48
CDM,157970,PREDNISOLSOD60MG/20MLLIQ,188.0,188.0,9.96,225.6,48
CDM,157982,RITONAVIR 80 MG/1 ML BOT,57.0,57.0,3.02,68.4,48
CDM,157988,SELENI SULF2.5%120ML LOT,234.0,234.0,12.4,280.8,48
CDM,157993,SILVASORB GEL 45ML TUBE,231.0,231.0,12.24,277.2,48
CDM,157994,SIMETHICONE 125MG TAB,1.0,1.0,0.05,1.2,48
CDM,158002,SUCROSE 24% 11ML SYR,24.0,24.0,1.27,28.8,48
CDM,158029,VALSARTAN 320MG TAB,43.0,43.0,2.28,51.6,48
CDM,158038,ZINC OXIDE PASTE 28G,44.0,44.0,2.33,52.8,48
CDM,158044,DTAP-HEPB-IPV VAC IM,943.0,943.0,49.98,1131.6,30
CDM,158044,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",943.0,943.0,114.34,218.96,2
CDM,158044,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use UNSCHEDULED",943.0,943.0,170.65,174.24,3
CDM,158048,"Injection, gadoteridol, (prohance multipack), per ml ",312.0,312.0,1.35,2.29,2
CDM,158048,PROHANCE MULTIPK 1 ML,312.0,312.0,16.54,374.4,29
CDM,158069,FOSCARNET 6000 MG INJ,5066.0,5066.0,268.5,6079.2,30
CDM,158069,"Injection, foscarnet sodium, per 1000 mg ",5066.0,5066.0,8.11,13.79,2
CDM,158085,HEPARIN 25000 U INJ,150.0,150.0,7.95,180.0,30
CDM,15809,OMEGA 3 FATTY ACIDS CAP,28.0,28.0,1.48,33.6,48
CDM,158100,MILRINONE LAC 10 MG INJ,946.0,946.0,50.14,1135.2,30
CDM,158104,MORPHINE SULF 4MG INJ,143.0,143.0,7.58,171.6,30
CDM,158105,MORPHINE SULF 5MG INJ,119.0,119.0,6.31,142.8,30
CDM,15811,ACTIV CHAR 260MG CAP,28.0,28.0,1.48,33.6,48
CDM,158123,PROMETHAZINE 50 MG INJ,160.0,160.0,8.48,192.0,30
CDM,158133,IG RHOPHYLAC 1500 IU,270.46,270.46,14.33,324.55,30
CDM,158133,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",270.46,270.46,4.7,8.0,2
CDM,158137,ROPIVACAINE 40 MG INJ,143.0,143.0,7.58,171.6,30
CDM,158145,FENTANYL CIT 1 MG INJ,40.0,40.0,2.12,48.0,30
CDM,158150,VIT K PHYTONADIONE 1 MG,160.0,160.0,8.48,192.0,30
CDM,158158,FAC IX COMPLEX 1 UNIT,9.0,9.0,0.77,10.8,29
CDM,158158,"Factor ix, complex, per i.u. ",9.0,9.0,1.65,2.81,2
CDM,158166,DEXAMETHASONE 1 MG PO,25.0,25.0,1.32,30.0,30
CDM,15817,ALVIMOPAN 12MG PO,668.0,668.0,35.4,801.6,30
CDM,158179,METHOTREXATE 1 G INJ,136.0,136.0,7.21,163.2,30
CDM,158194,HUMATE-P PER IU VWF:RCO,12.0,12.0,1.03,14.4,29
CDM,15833,QUININE 324MG CAP,28.0,28.0,1.48,33.6,48
CDM,15843,OXYBUTYNIN 5MG XL TAB,74.0,74.0,3.92,88.8,48
CDM,158488,"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and ",2216.0,2216.0,559.05,13000.0,7
CDM,158488,TR DOSIMETRY BASIC,2216.0,2216.0,190.58,2659.2,31
CDM,158490,CB INTERST APP COMP,5832.0,5832.0,501.55,6998.4,31
CDM,158490,"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed ",5832.0,5832.0,,,0
CDM,158491,RAD HAND/LOAD,1458.0,1458.0,77.27,1749.6,32
CDM,158491,"Supervision, handling, loading of radiation source ",1458.0,1458.0,,,0
CDM,158499,DXA BONE DENSITY AXIAL,570.0,570.0,49.02,684.0,31
CDM,158511,US GUIDANCE TISSUE ABLAT,816.0,816.0,43.25,979.2,32
CDM,158511,"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation ",816.0,816.0,,,0
CDM,158511,"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation UNSCHEDULED",816.0,816.0,933.83,953.49,3
CDM,158513,LOCM 300-399 IC 200ML,153.42,153.42,8.13,184.1,29
CDM,15853,CLOTRIMAZOLE 10MG TAB,52.0,52.0,2.76,62.4,48
CDM,15854,BRIMONIDINE 0.2% OPH,383.0,383.0,20.3,459.6,30
CDM,158571,INJ CATH ABS/CYST,691.0,691.0,36.62,829.2,34
CDM,158574,XR CHOLANG INTRAOP,2203.0,2203.0,116.76,2643.6,32
CDM,158582,DEBRD SKIN/SUBQ/MUSCL,2688.0,2688.0,142.46,3225.6,34
CDM,158588,EVAS RPR THR ARTA NO LSA,13839.0,13839.0,733.47,16606.8,34
CDM,15862,BENZO/MENTH LOZENGE,11.0,11.0,0.58,13.2,48
CDM,15888,GLYBURIDE 5MG TAB,31.0,31.0,1.64,37.2,48
CDM,15889,GLYBURIDE MICRON 3MG TAB,28.0,28.0,1.48,33.6,48
CDM,15890,GLYBURIDE 2.5MG TAB,29.0,29.0,1.54,34.8,48
CDM,15892,SELEGILINE 5MG TAB,67.0,67.0,3.55,80.4,48
CDM,15917,AMMONIM LAC 12% CRE 140G,238.0,238.0,12.61,285.6,48
CDM,15931,DAPSONE 100MG TAB,28.0,28.0,1.48,33.6,48
CDM,15932,DAPSONE 25MG TAB,28.0,28.0,1.48,33.6,48
CDM,15939,SOTALOL 80MG TAB,67.0,67.0,3.55,80.4,48
CDM,15942,SOTALOL 120MG TAB,74.0,74.0,3.92,88.8,48
CDM,15953,KETOCONAZOLE 2% CR 15G,319.0,319.0,16.91,382.8,48
CDM,15957,KETOCONAZOLE 2% SHAM,468.0,468.0,24.8,561.6,48
CDM,15960,ITRACONAZOLE 100MG CAP,8.75,8.75,0.46,10.5,48
CDM,159604,ARGININE PACKETS,31.0,31.0,1.64,37.2,48
CDM,15961,RISPERIDONE 1MG TAB,64.0,64.0,3.39,76.8,48
CDM,159618,GENTAMICIN 80 MG INJ,265.0,265.0,14.04,318.0,30
CDM,15962,RISPERIDONE 0.25MG TAB,74.0,74.0,3.92,88.8,48
CDM,159626,INSULIN 5 U INJ,143.0,143.0,7.58,171.6,44
CDM,159627,LEVETIRACETM500MG/5MLSOL,44.0,44.0,2.33,52.8,48
CDM,15963,RISPERIDONE 0.5MG TAB,74.0,74.0,3.92,88.8,48
CDM,159632,MORPHINE SULF 2MG INJ,131.0,131.0,6.94,157.2,30
CDM,159637,POT CHLORIDE 8 MEQ TAB,28.0,28.0,1.48,33.6,48
CDM,159644,SODIUM PHOSP 15MM/5ML VL,155.0,155.0,8.21,186.0,48
CDM,159648,VENLAFAXINE 150MG CAP XR,64.0,64.0,3.39,76.8,48
CDM,159649,VENLAFAXINE 37.5MG XRCAP,74.0,74.0,3.92,88.8,48
CDM,15966,RISPERIDONE 2MG TAB,97.0,97.0,5.14,116.4,48
CDM,15968,GALANTAMINE 4MG TAB,72.0,72.0,3.82,86.4,48
CDM,159845,TC99M MERTIATID DX 15MCI,4492.0,4492.0,238.08,5390.4,36
CDM,159845,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",4492.0,4492.0,1308.9,1308.9,1
CDM,159846,GA67 CITRATE DX 1 MCI,1595.0,1595.0,84.53,1914.0,36
CDM,159846,"Gallium ga-67 citrate, diagnostic, per millicurie ",1595.0,1595.0,37.47,37.47,1
CDM,159848,IN111 PENTETREOT DX 6MCI,61838.0,61838.0,5318.07,74205.6,35
CDM,159848,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",61838.0,61838.0,3301.55,3301.55,1
CDM,159849,TL201 THALLOUS CL DX MCI,1448.0,1448.0,76.74,1737.6,36
CDM,159849,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",1448.0,1448.0,91.49,91.49,1
CDM,159850,I131 SOD IOD CAP TX MCI,581.0,581.0,49.97,697.2,43
CDM,159850,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",581.0,581.0,39.72,39.72,1
CDM,159873,BONE MARROW ASPIRATION,2763.0,2763.0,146.44,3315.6,34
CDM,15994,LEVETIRACETAM 250MG TAB,61.0,61.0,3.23,73.2,48
CDM,15995,LEVETIRACETAM 500MG TAB,67.0,67.0,3.55,80.4,48
CDM,15996,LEVETIRACETAM 750MG TAB,74.0,74.0,3.92,88.8,48
CDM,159971,THORACIC PROX EXTEND INI,9951.0,9951.0,527.4,11941.2,34
CDM,159972,THORACIC PROX EXTEND ADD,3695.0,3695.0,195.84,4434.0,34
CDM,16001,THIORIDAZINE 10MG TAB,29.0,29.0,1.54,34.8,48
CDM,16002,THIORIDAZINE 25MG TAB,29.0,29.0,1.54,34.8,48
CDM,16004,THIORIDAZINE 50MG TAB,29.0,29.0,1.54,34.8,48
CDM,16005,LACTULOSE 20GM/30ML LIQ,29.0,29.0,1.54,34.8,48
CDM,16010,ASPIRIN 325MG TAB,1.0,1.0,0.05,1.2,48
CDM,16011,BISACODYL 5MG TAB,1.0,1.0,0.05,1.2,48
CDM,16015,PSEUDOEPHEDRINE 30MG TAB,28.0,28.0,1.48,33.6,48
CDM,16020,NEOMYCIN 500MG TAB,61.0,61.0,3.23,73.2,48
CDM,16021,ASPIRIN 325MG EC TAB,1.0,1.0,0.05,1.2,48
CDM,16022,DOCUSATE SOD 100MG CAP,1.0,1.0,0.05,1.2,48
CDM,16023,ISOSORBIDE DN 10MG TAB,28.0,28.0,1.48,33.6,48
CDM,16024,PYRIDOXINE 50MG TAB,28.0,28.0,1.48,33.6,48
CDM,16025,FOLIC ACID 1MG TAB,28.0,28.0,1.48,33.6,48
CDM,16029,HYDROCHLOROTHIA 25MG TAB,28.0,28.0,1.48,33.6,48
CDM,16034,BETHANECHOL 10MG TAB,8.75,8.75,0.46,10.5,48
CDM,16038,CHLORTHALIDONE 25MG TAB,28.0,28.0,1.48,33.6,48
CDM,16041,DIPHENOXYL/ATROPINE TAB,29.0,29.0,1.54,34.8,48
CDM,16043,DIPYRIDAMOLE 50MG TAB,28.0,28.0,1.48,33.6,48
CDM,16454,HYDRALAZINE 10MG TAB,28.0,28.0,1.48,33.6,48
CDM,16455,HYDRALAZINE 25MG TAB,28.0,28.0,1.48,33.6,48
CDM,16456,HYDRALAZINE 50MG TAB,28.0,28.0,1.48,33.6,48
CDM,16457,IMIPRAMINE 10MG TAB,29.0,29.0,1.54,34.8,48
CDM,16458,IMIPRAMINE 25MG TAB,31.0,31.0,1.64,37.2,48
CDM,16460,ISONIAZID 100MG TAB,28.0,28.0,1.48,33.6,48
CDM,16461,ISONIAZID 300MG TAB,28.0,28.0,1.48,33.6,48
CDM,16462,ISOSORBIDE DN 5MG TAB,28.0,28.0,1.48,33.6,48
CDM,16463,ISOSORBIDE DN 20MG TAB,28.0,28.0,1.48,33.6,48
CDM,16464,MECLIZINE 12.5MG TAB,28.0,28.0,1.48,33.6,48
CDM,16465,MECLIZINE 25MG TAB,28.0,28.0,1.48,33.6,48
CDM,16466,SPIRONOLACTONE 25MG TAB,28.0,28.0,1.48,33.6,48
CDM,16469,AMITRIPTYLINE 25MG TAB,29.0,29.0,1.54,34.8,48
CDM,16470,ERGOLOID MES 1MG TAB,40.0,40.0,2.12,48.0,48
CDM,16471,HYDROCHLOROTHIA 50MG TAB,28.0,28.0,1.48,33.6,48
CDM,16476,METRONIDAZOLE 250MG TAB,29.0,29.0,1.54,34.8,48
CDM,16477,BETHANECHOL 25MG TAB,61.0,61.0,3.23,73.2,48
CDM,16479,METRONIDAZOLE 500MG TAB,31.0,31.0,1.64,37.2,48
CDM,16480,CHLORPROMAZINE 50 MG PO,44.0,44.0,2.33,52.8,30
CDM,16481,AMITRIPTYLINE 10MG TAB,28.0,28.0,1.48,33.6,48
CDM,16484,AMITRIPTYLINE 50MG TAB,29.0,29.0,1.54,34.8,48
CDM,16485,CHLORDIAZEPOXID 25MG CAP,29.0,29.0,1.54,34.8,48
CDM,16487,CYPROHEPTADINE 4MG TAB,29.0,29.0,1.54,34.8,48
CDM,16488,ACETAMIN/COD #3 TAB,29.0,29.0,1.54,34.8,48
CDM,16489,CHLORPHENIRAMINE 4MG TAB,28.0,28.0,1.48,33.6,48
CDM,16490,INDOMETHACIN 25MG CAP,28.0,28.0,1.48,33.6,48
CDM,16491,INDOMETHACIN 50MG CAP,28.0,28.0,1.48,33.6,48
CDM,16492,METHYLDOPA 250MG TAB,28.0,28.0,1.48,33.6,48
CDM,16493,METHYLDOPA 500MG TAB,29.0,29.0,1.54,34.8,48
CDM,16496,ALLOPURINOL 100MG TAB,28.0,28.0,1.48,33.6,48
CDM,16497,ALLOPURINOL 300MG TAB,29.0,29.0,1.54,34.8,48
CDM,16499,BENZTROPINE 1MG TAB,28.0,28.0,1.48,33.6,48
CDM,16501,METOCLOPRAMIDE 10MG TAB,28.0,28.0,1.48,33.6,48
CDM,16504,DIAZEPAM 2MG TAB,29.0,29.0,1.54,34.8,48
CDM,16505,DIAZEPAM 5MG TAB,29.0,29.0,1.54,34.8,48
CDM,16510,VALPROIC ACID 250MG CAP,31.0,31.0,1.64,37.2,48
CDM,16511,CLONIDINE 0.1MG TAB,29.0,29.0,1.54,34.8,48
CDM,16512,CLONIDINE HCL 0.2MG TAB,29.0,29.0,1.54,34.8,48
CDM,16513,CLONIDINE HCL 0.3MG TAB,29.0,29.0,1.54,34.8,48
CDM,16516,NYSTAT 100000U/ML LIQ UD,31.0,31.0,1.64,37.2,48
CDM,16518,GUAIFENESIN/COD LIQ,31.0,31.0,1.64,37.2,48
CDM,16522,DIPHENH 12.5MG/5ML LIQ,17.0,17.0,0.9,20.4,48
CDM,16524,POT CHL 20MEQ/15ML LIQ,31.0,31.0,1.64,37.2,48
CDM,16525,CHLORDIAZEPOXIDE 5MG CAP,29.0,29.0,1.54,34.8,48
CDM,16526,CHLORDIAZEPOXID 10MG CAP,29.0,29.0,1.54,34.8,48
CDM,16527,CARBAMAZEPINE 200MG TAB,29.0,29.0,1.54,34.8,48
CDM,16528,LORAZEPAM 1MG TAB,35.0,35.0,1.85,42.0,48
CDM,16543,LORAZEPAM 0.5MG TAB,29.0,29.0,1.54,34.8,48
CDM,16544,TEMAZEPAM 15MG CAP,31.0,31.0,1.64,37.2,48
CDM,16547,TRAZODONE 50MG TAB,29.0,29.0,1.54,34.8,48
CDM,16548,TRAZODONE 100MG TAB,13.0,13.0,0.69,15.6,48
CDM,16549,TRIAMTER/HCTZ 75/50 TAB,29.0,29.0,1.54,34.8,48
CDM,16551,DOXEPIN 10MG CAP,28.0,28.0,1.48,33.6,48
CDM,16552,DOXEPIN 25MG CAP,29.0,29.0,1.54,34.8,48
CDM,16553,DOXEPIN 50MG CAP,29.0,29.0,1.54,34.8,48
CDM,16562,AMANTADINE 100MG CAP,29.0,29.0,1.54,34.8,48
CDM,16565,FLUPHENAZINE 1MG TAB,28.0,28.0,1.48,33.6,48
CDM,16568,FLUPHENAZINE 5MG TAB,28.0,28.0,1.48,33.6,48
CDM,16569,FLUPHENAZINE 10MG TAB,29.0,29.0,1.54,34.8,48
CDM,16578,ASPIRIN 300MG SUPP,1.0,1.0,0.05,1.2,48
CDM,16580,DOXYCYCLINE 100MG TAB,29.0,29.0,1.54,34.8,48
CDM,16581,LEUCOVORIN 25MG TAB,319.0,319.0,16.91,382.8,48
CDM,16582,NITROFURA MAC 50MG CAP,40.0,40.0,2.12,48.0,48
CDM,16589,CLINDAMYCIN 150MG CAP,29.0,29.0,1.54,34.8,48
CDM,16590,CEPHALEXIN 250MG CAP,31.0,31.0,1.64,37.2,48
CDM,16591,CEPHALEXIN 500MG CAP,47.0,47.0,2.49,56.4,48
CDM,16594,DICLOXACILLIN 250MG CAP,28.0,28.0,1.48,33.6,48
CDM,16595,DICLOXACILLIN 500MG CAP,31.0,31.0,1.64,37.2,48
CDM,16596,PENICILLIN VK 250MG TAB,28.0,28.0,1.48,33.6,48
CDM,16597,METOCLOPRAMIDE 5MG TAB,24.0,24.0,1.27,28.8,48
CDM,16598,CLORAZEPATE 3.75MG TAB,47.0,47.0,2.49,56.4,48
CDM,16599,CLORAZEPATE 7.5MG TAB,52.0,52.0,2.76,62.4,48
CDM,16611,ASPIRIN 81MG CHEW TAB,1.0,1.0,0.05,1.2,48
CDM,16619,VERAPAMIL 120MG TAB,29.0,29.0,1.54,34.8,48
CDM,16620,ATENOLOL 50MG TAB,31.0,31.0,1.64,37.2,48
CDM,16621,ATENOLOL 100MG TAB,45.0,45.0,2.38,54.0,48
CDM,16623,PYRAZINAMIDE 500MG TAB,44.0,44.0,2.33,52.8,48
CDM,16624,IBUPROFEN 200MG TAB,1.0,1.0,0.05,1.2,48
CDM,16625,PERPHENAZINE 2 MG PO,42.0,42.0,2.23,50.4,30
CDM,16626,PERPHENAZINE 8 MG PO,44.0,44.0,2.33,52.8,30
CDM,16629,DILTIAZEM 30MG TAB,29.0,29.0,1.54,34.8,48
CDM,16631,DILTIAZEM 60MG TAB,31.0,31.0,1.64,37.2,48
CDM,16632,DILTIAZEM 90MG TAB,40.0,40.0,2.12,48.0,48
CDM,16633,CARBID/LEV 10/100 TAB,29.0,29.0,1.54,34.8,48
CDM,16634,CARBID/LEV 25/100 TAB,35.0,35.0,1.85,42.0,48
CDM,16635,ATENOLOL 25MG TAB,31.0,31.0,1.64,37.2,48
CDM,16636,CARBID/LEV 25/250 TAB,40.0,40.0,2.12,48.0,48
CDM,16637,GEMFIBROZIL 600MG TAB,29.0,29.0,1.54,34.8,48
CDM,16638,ALPRAZOLAM 1MG TAB,45.0,45.0,2.38,54.0,48
CDM,16639,DIPHENHYDRAMINE 25MG CAP,1.0,1.0,0.05,1.2,48
CDM,16641,NAPROXEN 500MG TAB,45.0,45.0,2.38,54.0,48
CDM,16643,GLIPIZIDE 5MG TAB,29.0,29.0,1.54,34.8,48
CDM,16644,GLIPIZIDE 10MG TAB,29.0,29.0,1.54,34.8,48
CDM,16650,SULFADIAZINE 500MG TAB,45.0,45.0,2.38,54.0,48
CDM,16663,ETHAMBUTOL 100MG TAB,24.0,24.0,1.27,28.8,48
CDM,16664,ETHAMBUTOL 400MG TAB,53.0,53.0,2.81,63.6,48
CDM,16674,CYCLOBENZAPRINE 5MG TAB,28.0,28.0,1.48,33.6,48
CDM,16680,POLYETH GLYCOL PKT 17GM,61.0,61.0,3.23,73.2,48
CDM,16696,METHIMAZOLE 5MG TAB,24.0,24.0,1.27,28.8,48
CDM,16724,CAPSAICIN HP .075% CR60G,189.0,189.0,10.02,226.8,48
CDM,16734,METOLAZONE 10MG TAB,61.0,61.0,3.23,73.2,48
CDM,16737,METOLAZONE 5MG TAB,52.0,52.0,2.76,62.4,48
CDM,16738,METOLAZONE 2.5MG TAB,47.0,47.0,2.49,56.4,48
CDM,16752,MIDODRINE 5MG TAB,67.0,67.0,3.55,80.4,48
CDM,16758,ANAGRELIDE 0.5MG CAP,107.0,107.0,5.67,128.4,48
CDM,16763,MESALAMINE 250MG CAP SA,45.0,45.0,2.38,54.0,48
CDM,16781,LEVOCARNITINE 330MG TAB,35.0,35.0,1.85,42.0,48
CDM,16785,CINACALCET 30MG TAB,164.0,164.0,8.69,196.8,48
CDM,16802,METOPROLOL 25MG TAB,28.0,28.0,1.48,33.6,48
CDM,16811,PILOCARPINE 5MG TAB,69.0,69.0,3.66,82.8,49
CDM,16833,MESALAMINE 1000MG SUPP,176.0,176.0,9.33,211.2,48
CDM,16834,OXYCODONE 10MG TAB SR,52.0,52.0,2.76,62.4,48
CDM,16835,OXYCODONE 20MG TAB SR,67.0,67.0,3.55,80.4,48
CDM,16836,OXYCODONE 40MG TAB SR,91.0,91.0,4.82,109.2,48
CDM,16839,TIZANIDINE 4MG TAB,52.0,52.0,2.76,62.4,48
CDM,16846,ZONISAMIDE 100MG TAB,61.0,61.0,3.23,73.2,48
CDM,16851,PRIMIDONE 50MG TAB,29.0,29.0,1.54,34.8,48
CDM,16852,PRIMIDONE 250MG TAB,35.0,35.0,1.85,42.0,48
CDM,16856,CILOSTAZOL 100MG TAB,67.0,67.0,3.55,80.4,48
CDM,16857,CILOSTAZOL 50MG TAB,67.0,67.0,3.55,80.4,48
CDM,16858,ARIPIPRAZOLE 2MG TAB,96.0,96.0,5.09,115.2,48
CDM,16859,ARIPIPRAZOLE 5MG TAB,176.0,176.0,9.33,211.2,48
CDM,16860,ARIPIPRAZOLE 10MG TAB,188.0,188.0,9.96,225.6,48
CDM,16861,ARIPIPRAZOLE 15MG TAB,188.0,188.0,9.96,225.6,48
CDM,16865,TOLVAPTAN 15MG PO,2225.0,2225.0,117.92,2670.0,30
CDM,16877,GLYCOPYRROLATE 1MG TAB,31.0,31.0,1.64,37.2,48
CDM,16884,DARUNAVIR 600MG TAB,95.0,95.0,5.04,114.0,48
CDM,16900,LABETALOL 100MG TAB,29.0,29.0,1.54,34.8,48
CDM,16902,LABETALOL 200MG TAB,29.0,29.0,1.54,34.8,48
CDM,16903,LABETALOL 300MG TAB,35.0,35.0,1.85,42.0,48
CDM,16910,ESTROGEN EST 0.3MG TAB,29.0,29.0,1.54,34.8,48
CDM,16911,ESTROGEN EST 0.625MG TAB,29.0,29.0,1.54,34.8,48
CDM,16915,RAMIPRIL 1.25MG CAP,44.0,44.0,2.33,52.8,48
CDM,16916,RAMIPRIL 2.5 MG CAP,52.0,52.0,2.76,62.4,48
CDM,16918,RAMIPRIL 5MG,53.0,53.0,2.81,63.6,48
CDM,16920,PAROMOMYCIN 250MG CAP,67.0,67.0,3.55,80.4,48
CDM,16921,TENOFOVIR 300MG TAB,283.0,283.0,15.0,339.6,48
CDM,16923,EMTRICITABINE 200MG CAP,184.0,184.0,9.75,220.8,48
CDM,16943,DONEPEZIL 5MG TAB,89.0,89.0,4.72,106.8,48
CDM,16944,DONEPEZIL 10MG TAB,67.0,67.0,3.55,80.4,48
CDM,16946,NELFINAVIR 250MG TAB,72.0,72.0,3.82,86.4,48
CDM,16960,MORPHINE 15MG TAB,29.0,29.0,1.54,34.8,48
CDM,16963,MINERAL OIL 10ML VL,40.0,40.0,2.12,48.0,48
CDM,16971,TIAGABINE 16MG TAB,61.0,61.0,3.23,73.2,48
CDM,16976,OXYCODONE/APAP 5/325TAB,8.5,8.5,0.45,10.2,48
CDM,16981,CLOPIDOGREL 75MG TAB,117.0,117.0,6.2,140.4,49
CDM,16982,CLOPIDOGREL 300MG,232.0,232.0,12.3,278.4,49
CDM,16998,LUBIPROSTONE 24 MCG CAP,13.58,13.58,0.72,16.3,48
CDM,16999,PIOGLITAZONE 30MG TAB,0.24,0.24,0.01,0.29,48
CDM,17013,COLESEVELAM 625MG TAB,35.0,35.0,1.85,42.0,48
CDM,17014,RIFAXIMIN 200MG TAB,64.0,64.0,3.39,76.8,48
CDM,17030,RANOLAZINE 500 MG TAB,64.0,64.0,3.39,76.8,48
CDM,17069,MISOPROSTOL 25 MCG PO,1.0,1.0,0.05,1.2,30
CDM,17090,ACETAMIN 160/5ML LIQ UD,13.0,13.0,0.69,15.6,48
CDM,17105,FLUTICASONE NASAL,13.35,13.35,0.71,16.02,30
CDM,17106,ASPIRIN 81MG EC TAB,1.0,1.0,0.05,1.2,48
CDM,17116,MODAFINIL 200MG TAB,106.0,106.0,5.62,127.2,48
CDM,17117,TERBINAFINE 1% CRM,16.18,16.18,0.86,19.42,48
CDM,17122,HYDROCORT 2.5% RECT CR,106.0,106.0,5.62,127.2,48
CDM,17156,AMIN ACDS 3% ELEC/GLY 1L,1900.0,1900.0,100.7,2280.0,48
CDM,17159,DEXTROSE 50% WATER 500ML,582.0,582.0,30.85,698.4,49
CDM,17161,DEXTROSE 70%WATER 1000ML,629.0,629.0,33.34,754.8,49
CDM,17167,FAT EMULSIONS 10% 250ML,582.0,582.0,30.85,698.4,49
CDM,17170,FAT EMULSIONS 20% 250ML,582.0,582.0,30.85,698.4,49
CDM,17172,FAT EMULSIONS 20% 500ML,136.11,136.11,7.21,163.33,49
CDM,17174,FAT EMULSIONS 20% 100ML,22.36,22.36,1.19,26.83,49
CDM,17178,AMINO ACIDS 10% 500ML,2098.0,2098.0,111.19,2517.6,48
CDM,17183,DEXTROSE 20% WATER 500ML,582.0,582.0,30.85,698.4,49
CDM,17184,DEXTROSE 30% WATER 500ML,582.0,582.0,30.85,698.4,49
CDM,17190,AMINO ACIDS 4.25/D10W 1L,375.0,375.0,19.88,450.0,48
CDM,17192,URINE MULTIPLE TEST,37.0,37.0,1.96,44.4,49
CDM,17196,CARMUSTINE WAFERS 8/BOX,89245.0,89245.0,4729.98,107094.0,30
CDM,17196,"Not otherwise classified, antineoplastic drugs ",89245.0,89245.0,,,0
CDM,17202,BLOOD TRANSFUSION,1021.0,1021.0,87.81,1225.2,32
CDM,17212,IV HYDRAT EA ADD HR,175.0,175.0,15.05,210.0,41
CDM,17213,IV INITIAL UP TO 1 HOUR,187.0,187.0,16.08,224.4,41
CDM,17214,IV EACH ADD HOUR,187.0,187.0,16.08,224.4,41
CDM,17215,IV ADDL SEQ INF UP TO 1H,187.0,187.0,16.08,224.4,41
CDM,17216,IV CONCURRENT INFUSION,186.0,186.0,9.86,223.2,42
CDM,17222,INJECTION IM OR SQ,539.0,539.0,46.35,646.8,48
CDM,17224,IVP SINGLE/INITIAL DRUG,535.0,535.0,46.01,642.0,34
CDM,17225,IVP EA ADD SEQ NEW DRUG,535.0,535.0,46.01,642.0,34
CDM,17226,IVP EA ADD SEQ SAME DRUG,98.0,98.0,5.19,117.6,35
CDM,17227,CHEMO SQ/IM NON HORM ANP,252.0,252.0,21.67,302.4,36
CDM,17227,"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic ",252.0,252.0,,,0
CDM,17227,"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic SCHEDULED",252.0,252.0,88.35,90.21,3
CDM,17227,"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic UNSCHEDULED",252.0,252.0,214.61,219.13,3
CDM,17228,CHEMO SQ/IM HORMONL ANPL,302.0,302.0,25.97,362.4,36
CDM,17231,CHEMO IV PUSH SING/IN DR,324.0,324.0,27.86,388.8,36
CDM,17233,CHEMO IV PUSH EA ADD DRG,148.0,148.0,12.73,177.6,36
CDM,17234,CHEMO IV SING/IN DR 1 HR,324.0,324.0,27.86,388.8,36
CDM,17235,CHEMO IV EA ADD HOUR,217.0,217.0,18.66,260.4,36
CDM,17236,CHEM INF > 8HR REQ PUMP,1215.0,1215.0,104.49,1458.0,36
CDM,17236,"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump ",1215.0,1215.0,,,0
CDM,17236,"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump SCHEDULED",1215.0,1215.0,157.7,161.02,3
CDM,17236,"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump UNSCHEDULED",1215.0,1215.0,1033.29,1055.04,3
CDM,17237,CHEMO IV EA AD SEQ 1 HR,252.0,252.0,21.67,302.4,36
CDM,17237,"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure) ",252.0,252.0,,,0
CDM,17237,"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure) SC",252.0,252.0,76.95,78.57,3
CDM,17237,"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure) UN",252.0,252.0,232.41,237.3,3
CDM,17246,CHEMO CNS SPINAL PUNC,1215.0,1215.0,104.49,1458.0,36
CDM,17246,"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture ",1215.0,1215.0,,,0
CDM,17246,"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture SCHEDULED",1215.0,1215.0,127.3,129.98,3
CDM,17246,"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture UNSCHEDULED",1215.0,1215.0,777.85,794.23,3
CDM,17249,IRRIGATION OF VAD,279.0,279.0,28.74,334.8,27
CDM,17249,Irrigation of implanted venous access device for drug delivery systems ,279.0,279.0,,,0
CDM,17249,Irrigation of implanted venous access device for drug delivery systems SCHEDULED,279.0,279.0,31.35,32.01,3
CDM,17249,Irrigation of implanted venous access device for drug delivery systems UNSCHEDULED,279.0,279.0,777.85,794.23,3
CDM,17280,D5W 500 ML,448.0,448.0,23.74,537.6,30
CDM,17289,D5W 50 ML,403.0,403.0,21.36,483.6,30
CDM,17290,D5W 100 ML,403.0,403.0,21.36,483.6,30
CDM,17291,D5% SODCHL0.25% 500ML,761.0,761.0,40.33,913.2,48
CDM,17292,D5% SODCHL0.25% 1000ML,761.0,761.0,40.33,913.2,48
CDM,17294,D5NS0.45 500 ML,761.0,761.0,40.33,913.2,30
CDM,17295,D5NS0.45 1000 ML,761.0,761.0,40.33,913.2,30
CDM,17300,D5% SODCHL0.9% 500ML,761.0,761.0,40.33,913.2,48
CDM,17301,D5% SODCHL0.9% 1000ML,761.0,761.0,40.33,913.2,48
CDM,17304,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",752.0,752.0,1.32,2.24,2
CDM,17304,NS 500 ML,752.0,752.0,39.86,902.4,30
CDM,17305,"Infusion, normal saline solution , 1000 cc ",784.0,784.0,2.12,3.61,2
CDM,17305,NS 1000 ML,784.0,784.0,41.55,940.8,30
CDM,17307,NS 50 ML,403.0,403.0,21.36,483.6,30
CDM,17308,SOD CHL 0.45% 500ML,761.0,761.0,40.33,913.2,48
CDM,17309,SOD CHL 0.45% 1000ML,761.0,761.0,40.33,913.2,48
CDM,17313,NS 100 ML,403.0,403.0,21.36,483.6,30
CDM,17344,D5%SODCHL0.45% K10 1L,761.0,761.0,40.33,913.2,48
CDM,17346,D5%SODCHL0.45% K20 1L,761.0,761.0,40.33,913.2,48
CDM,17347,D5%SODCHL0.45% K30 1L,761.0,761.0,40.33,913.2,48
CDM,17348,D5%SODCHL0.45% K40 1L,761.0,761.0,40.33,913.2,48
CDM,17350,D5/KCL 1000 ML,761.0,761.0,40.33,913.2,30
CDM,17352,D5/KCL 1000 ML,761.0,761.0,40.33,913.2,30
CDM,17354,SOD CHL 0.9% K20 1000ML,761.0,761.0,40.33,913.2,48
CDM,17355,SOD CHL 0.9% K40 1000ML,761.0,761.0,40.33,913.2,48
CDM,17356,SOD CHL0.45% K20 1000ML,761.0,761.0,40.33,913.2,48
CDM,17358,D5% SODCHL0.9% K20 1L,761.0,761.0,40.33,913.2,48
CDM,17359,D5% SODCHL0.9% K40 1L,761.0,761.0,40.33,913.2,48
CDM,17386,IV SOL 10% DEX. INJ250ML,407.0,407.0,21.57,488.4,48
CDM,17390,D10% SODCHL0.9% 1000ML,761.0,761.0,40.33,913.2,48
CDM,17403,LACTATED RINGERS 1000 ML,771.0,771.0,40.86,925.2,30
CDM,17424,LACTATED RINGERS 1000 ML,771.0,771.0,40.86,925.2,30
CDM,1839,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,1858,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,1859,RM & BD SEMI PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,1878,INTERMEDIATE CCU ADJ,6194.0,6194.0,328.28,7432.8,49
CDM,1881,INTERMEDIATE CCU,6194.0,6194.0,,,0
CDM,1988,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,1990,DIRECT REFERRAL TO OBS,1236.0,1236.0,197.76,1483.2,10
CDM,1991,RM & BD ISOLATION,3175.0,3175.0,,,0
CDM,1992,RM & BD PRIVATE,3175.0,3175.0,,,0
CDM,1993,RM & BD PVT TELE ADJ,4839.0,4839.0,256.47,5806.8,49
CDM,1995,RM & BD PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,2119,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,211901,"Injection, remdesivir, 1 mg ",1560.0,1560.0,6.69,11.39,2
CDM,211901,REMDESIVIR 100 MG INJ,1560.0,1560.0,134.16,1872.0,29
CDM,2142,RM & BD SEMI PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,2230,SEMI-PVT RM W/ TELE ADJ,4839.0,4839.0,256.47,5806.8,49
CDM,2291,SEMI-PVT RM W/ TELE,4839.0,4839.0,,,0
CDM,2294,INTERMEDIATE ICU ADJ,9421.0,9421.0,499.31,11305.2,49
CDM,2295,INTERMEDIATE ICU,9333.0,9333.0,,,0
CDM,229888,HEATED HIGH FLOW O2 HR,101.0,101.0,5.35,121.2,49
CDM,2312,INTERMEDIATE CCU ADJ,6194.0,6194.0,328.28,7432.8,49
CDM,2313,INTERMEDIATE CCU,6194.0,6194.0,,,0
CDM,2315,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,2317,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,2329,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,2339,INTERMEDIATE CCU,6194.0,6194.0,,,0
CDM,2450,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,2451,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,2452,DIRECT REFERRAL TO OBS,1236.0,1236.0,197.76,1483.2,10
CDM,2453,RM & BD ISOLATION,3175.0,3175.0,,,0
CDM,2454,RM & BD PRIVATE,3175.0,3175.0,,,0
CDM,2457,RM & BD PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,2461,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,2463,RM & BD SEMI PRIVATE ADJ,3196.0,3196.0,169.39,3835.2,49
CDM,2464,SEMI-PVT RM W/ TELE,4839.0,4839.0,,,0
CDM,2485,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,2489,PEDIATRIC ICU ADJ,14554.0,14554.0,771.36,17464.8,49
CDM,2490,PEDIATRIC ICU,14554.0,14554.0,,,0
CDM,2532,RM & BD PRIVATE ADJ,2940.0,2940.0,155.82,3528.0,49
CDM,2561,INTERMEDIATE ICU ADJ,9333.0,9333.0,494.65,11199.6,49
CDM,2562,INTERMEDIATE ICU,9333.0,9333.0,,,0
CDM,2567,TRAUMA ICU,18963.0,18963.0,,,0
CDM,2592,RM & BD SEMI PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,2615,MEDICAL ICU ADJ,14554.0,14554.0,771.36,17464.8,49
CDM,2616,MEDICAL ICU,14691.0,14691.0,,,0
CDM,2619,INTERMEDIATE ICU ADJ,9421.0,9421.0,499.31,11305.2,49
CDM,2620,INTERMEDIATE ICU,9333.0,9333.0,,,0
CDM,2626,INTERMEDIATE CCU ADJ,6194.0,6194.0,328.28,7432.8,49
CDM,2629,INTERMEDIATE CCU,6137.0,6137.0,,,0
CDM,2630,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,2650,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,2652,RM & BD SEMI PRIVATE ADJ,3131.0,3131.0,165.94,3757.2,49
CDM,2653,SEMI-PVT RM W/ TELE ADJ,4839.0,4839.0,256.47,5806.8,49
CDM,2654,SEMI-PVT RM W/ TELE,4839.0,4839.0,,,0
CDM,2665,MEDICAL ICU,14691.0,14691.0,,,0
CDM,2669,INTERMEDIATE ICU,9421.0,9421.0,,,0
CDM,2675,INTERMEDIATE CCU ADJ,6194.0,6194.0,328.28,7432.8,49
CDM,2677,INTERMEDIATE CCU,6194.0,6194.0,,,0
CDM,2875,RM & BD PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,2876,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,2877,RM & BD SEMI PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,2881,RM & BD PRIVATE,3175.0,3175.0,,,0
CDM,2896,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,2899,DIRECT REFERRAL TO OBS,1236.0,1236.0,197.76,1483.2,10
CDM,2900,RM & BD PRIVATE,1758.0,1758.0,,,0
CDM,2901,RM & BD PRIVATE ADJ,2192.0,2192.0,116.18,2630.4,49
CDM,2902,RM & BD ISOLATION,1427.0,1427.0,,,0
CDM,2903,RM & BD PRIVATE OB,1427.0,1427.0,,,0
CDM,2907,RM & BD PRIVATE OB ADJ,1427.0,1427.0,75.63,1712.4,49
CDM,2911,RM & BD SEMI PRVT OB,1427.0,1427.0,,,0
CDM,2914,RM & BD SEMI PRVT OB ADJ,1218.0,1218.0,64.55,1461.6,49
CDM,3090,LEVEL I NEWBORN,566.0,566.0,,,0
CDM,3092,NURSERY R&B LV 1 ADJ,566.0,566.0,30.0,679.2,49
CDM,3093,CIRCUMCISION,302.0,302.0,16.01,362.4,48
CDM,327,DIRECT REFERRAL TO OBS,1236.0,1236.0,197.76,1483.2,10
CDM,335,RM & BD PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,3374,PACU FIRST 60 MIN,10989.0,10989.0,582.42,13186.8,49
CDM,3375,PACU ADDL 30 MIN,4299.0,4299.0,227.85,5158.8,49
CDM,3384,FETAL NONSTRESS TEST,1034.0,1034.0,88.92,1240.8,32
CDM,3384,Fetal non-stress test ,1034.0,1034.0,21.74,3645.0,10
CDM,3384,Fetal non-stress test SCHEDULED,1034.0,1034.0,336.05,343.13,3
CDM,3384,Fetal non-stress test UNSCHEDULED,1034.0,1034.0,393.63,401.92,3
CDM,3391,IV HYDRAT INIT UP TO 1HR,202.0,202.0,17.37,242.4,41
CDM,3392,IV HYDRAT EA ADD HR,6.0,6.0,0.52,7.2,41
CDM,3393,IV INITIAL UP TO 1 HOUR,187.0,187.0,16.08,224.4,41
CDM,3394,IV EACH ADD HOUR,16.0,16.0,1.38,19.2,41
CDM,3395,IV ADDL SEQ INF UP TO 1H,187.0,187.0,16.08,224.4,41
CDM,3396,IV CONCURRENT INFUSION,186.0,186.0,9.86,223.2,42
CDM,3397,SQ INFUSION UP TO 1 HOUR,143.0,143.0,12.3,171.6,48
CDM,3398,SQ INFUSION EA ADDL HOUR,66.0,66.0,5.68,79.2,48
CDM,3399,SQ INFUSION ADDL PUMP SU,69.0,69.0,5.93,82.8,48
CDM,3401,INJECTION IM OR SQ,711.0,711.0,73.23,853.2,27
CDM,3407,IVP SINGLE/INITIAL DRUG,723.0,723.0,74.47,867.6,27
CDM,3411,IVP EA ADD SEQ NEW DRUG,723.0,723.0,74.47,867.6,27
CDM,3414,IVP EA ADD SEQ SAME DRUG,132.0,132.0,13.6,158.4,27
CDM,344748,BEDSIDE PROCEDURE LVL 1,3101.0,3101.0,164.35,3721.2,34
CDM,344749,BEDSIDE PROCEDURE LVL 2,6977.0,6977.0,369.78,8372.4,34
CDM,344751,BEDSIDE PROCEDURE LVL 3,9792.0,9792.0,518.98,11750.4,34
CDM,344752,BEDSIDE PROCEDURE LVL 4,18940.0,18940.0,1003.82,22728.0,34
CDM,344755,BEDSIDE PROCEDURE LVL 5,57044.0,57044.0,3023.33,68452.8,34
CDM,3465,C-SECTION FIRST 60 MIN,7869.0,7869.0,417.06,9442.8,34
CDM,3467,C-SECTION ADDL 30 MIN,916.0,916.0,48.55,1099.2,34
CDM,3468,SURGERY FIRST 60 MIN,6223.0,6223.0,329.82,7467.6,34
CDM,3471,SURGERY ADDL 30 MIN,3110.0,3110.0,164.83,3732.0,34
CDM,3476,EXTERNAL VERSION,1189.0,1189.0,63.02,1426.8,34
CDM,3478,INSERT TEMP BLADDER CATH,437.0,437.0,23.16,524.4,34
CDM,3492,RECOVERY FIRST 60 MIN,2597.0,2597.0,137.64,3116.4,49
CDM,3493,RECOVERY ADDL 30 MIN,755.0,755.0,40.02,906.0,49
CDM,3494,DELIVERY,3905.0,3905.0,206.97,4686.0,48
CDM,3517,VARICELLA-ZOSTER IG IM,3948.0,3948.0,339.53,4737.6,29
CDM,3517,"Varicella-zoster immune globulin, human, for intramuscular use ",3948.0,3948.0,3899.36,3899.36,1
CDM,3517,"Varicella-zoster immune globulin, human, for intramuscular use UNSCHEDULED",3948.0,3948.0,1822.65,1861.02,3
CDM,3544,PPSV23 VAC IMSQ,923.0,923.0,79.38,1107.6,29
CDM,3544,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",923.0,923.0,129.47,220.23,2
CDM,3544,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use UNSCHEDULED",923.0,923.0,161.22,164.62,3
CDM,359,RM & BD ISOLATION,3175.0,3175.0,,,0
CDM,3593,ACETYLCYSTEIN 6000MG INJ,2670.0,2670.0,141.51,3204.0,30
CDM,3593,"Injection, acetylcysteine, 100 mg ",2670.0,2670.0,0.49,0.84,2
CDM,3598,ACYCLOVIR 500 MG INJ,252.0,252.0,13.36,302.4,30
CDM,3599,ACYCLOVIR 1000 MG INJ,267.0,267.0,14.15,320.4,30
CDM,3632,"Injection, methyldopate hcl, up to 250 mg ",233.0,233.0,15.99,15.99,1
CDM,3632,METHYLDOPATE 250 MG INJ,233.0,233.0,12.35,279.6,30
CDM,3654,AMIKACIN SULFATE 500 MG,331.0,331.0,17.54,397.2,30
CDM,3656,AMINOPHYLLIN 500 MG INJ,8.41,8.41,0.45,10.09,30
CDM,3673,AMIODARONE 450 MG INJ,29.0,29.0,1.54,34.8,30
CDM,3679,AMIODARONE 150 MG INJ,133.0,133.0,7.05,159.6,30
CDM,3707,AMPHOTERICN B 50 MG INJ,454.0,454.0,24.06,544.8,30
CDM,3707,"Injection, amphotericin b, 50 mg ",454.0,454.0,43.0,73.14,2
CDM,3729,AMPHOT B LIPOSOME 50 MG,2313.0,2313.0,198.92,2775.6,29
CDM,3729,"Injection, amphotericin b liposome, 10 mg ",2313.0,2313.0,22.13,37.64,2
CDM,3742,AMPICILLIN 500 MG INJ,143.0,143.0,7.58,171.6,30
CDM,3743,AMPICILLIN 1 G INJ,143.0,143.0,7.58,171.6,30
CDM,3744,AMPICILLIN 2 G INJ,184.0,184.0,9.75,220.8,30
CDM,3772,HYDRALAZINE 20 MG INJ,270.0,270.0,14.31,324.0,30
CDM,3772,"Injection, hydralazine hcl, up to 20 mg ",270.0,270.0,4.16,7.08,2
CDM,3782,AZITHROMYCIN 500 MG INJ,438.0,438.0,23.21,525.6,30
CDM,3784,ATROPINE 1 MG INJ,18.61,18.61,0.99,22.33,30
CDM,3820,BENZTROPINE 2 MG INJ,469.0,469.0,24.86,562.8,30
CDM,3820,"Injection, benztropine mesylate, per 1 mg ",469.0,469.0,13.11,22.31,2
CDM,3852,BIVALIRUDIN 250 MG INJ,338.0,338.0,17.91,405.6,30
CDM,3855,"Injection, onabotulinumtoxina, 1 unit ",7861.0,7861.0,6.31,10.74,2
CDM,3855,ONABOTULINUMTOXA 100 U,7861.0,7861.0,676.05,9433.2,29
CDM,3861,BUPRENORPHINE 0.3 MG INJ,143.0,143.0,7.58,171.6,30
CDM,3861,"Injection, buprenorphine hydrochloride, 0.1 mg ",143.0,143.0,4.04,6.88,2
CDM,3863,BUTORPHANOL 1 MG INJ,143.0,143.0,7.58,171.6,30
CDM,3865,BUTORPHANOL 2 MG INJ,47.0,47.0,2.49,56.4,30
CDM,3883,CALCITRIOL 1 MCG INJ,270.0,270.0,14.31,324.0,30
CDM,3883,"Injection, calcitriol, 0.1 mcg ",270.0,270.0,1.96,1.96,1
CDM,3897,LEUCOVORIN CA 50 MG INJ,494.0,494.0,26.18,592.8,30
CDM,3930,CEFAZOLIN 1 G INJ,97.0,97.0,5.14,116.4,30
CDM,3938,CEFEPIME HCL 1 G INJ,226.0,226.0,11.98,271.2,30
CDM,3940,CEFEPIME HCL 2 G INJ,306.0,306.0,16.22,367.2,30
CDM,3942,CEFOXITIN 1 G INJ,209.0,209.0,11.08,250.8,30
CDM,3947,CEFOXITIN 2 G INJ,214.0,214.0,11.34,256.8,30
CDM,3949,CEFTRIAXONE 250 MG INJ,282.0,282.0,14.95,338.4,30
CDM,3950,CEFTRIAXONE 1 G INJ,224.0,224.0,11.87,268.8,30
CDM,3953,CEFTRIAXONE 2 G INJ,315.0,315.0,16.7,378.0,30
CDM,3956,CEFUROXIME 750 MG INJ,143.0,143.0,7.58,171.6,30
CDM,3958,CEFUROXIME 1.5 G INJ,167.0,167.0,8.85,200.4,30
CDM,3960,CEFOTAXIME 1 G INJ,188.0,188.0,9.96,225.6,30
CDM,3965,BETAMETHSN 6 MG INJ,406.0,406.0,21.52,487.2,30
CDM,3972,CAFFEINE CITRAT 60MG INJ,386.0,386.0,20.46,463.2,30
CDM,3972,"Injection, caffeine citrate, 5 mg ",386.0,386.0,3.0,3.0,1
CDM,3993,CEFTAZIDIME 1 G INJ,103.0,103.0,5.46,123.6,30
CDM,3993,"Injection, ceftazidime, per 500 mg ",103.0,103.0,1.37,2.33,2
CDM,3995,CHLORAMPHENICOL 1 G INJ,224.0,224.0,11.87,268.8,30
CDM,3995,"Injection, chloramphenicol sodium succinate, up to 1 gm ",224.0,224.0,96.33,96.33,1
CDM,4049,CIPROFLOXACIN 400 MG INJ,414.0,414.0,21.94,496.8,30
CDM,4050,CIPROFLOXACIN 200 MG INJ,83.0,83.0,4.4,99.6,30
CDM,4056,COLISTIMETHATE 150MG INJ,398.0,398.0,21.09,477.6,30
CDM,4067,COSYNTROPIN 0.25 MG INJ,783.0,783.0,41.5,939.6,30
CDM,4067,"Injection, cosyntropin, 0.25 mg ",783.0,783.0,15.77,26.83,2
CDM,4071,DAPTOMYCIN 500 MG INJ,135.0,135.0,7.16,162.0,30
CDM,4071,"Injection, daptomycin, 1 mg ",135.0,135.0,0.03,0.05,2
CDM,419,RM & BD PRIVATE,3175.0,3175.0,,,0
CDM,4199,DEFEROX MESY 500 MG INJ,343.0,343.0,18.18,411.6,30
CDM,4199,"Injection, deferoxamine mesylate, 500 mg ",343.0,343.0,8.32,14.16,2
CDM,4270,DEXAMETH NA PHOS 4 MG,97.0,97.0,5.14,116.4,30
CDM,4275,DEXAMETH NA PHOS 10 MG,83.0,83.0,4.4,99.6,30
CDM,4277,DIHYDROERGOT 1 MG INJ,482.0,482.0,25.55,578.4,30
CDM,4277,"Injection, dihydroergotamine mesylate, per 1 mg ",482.0,482.0,53.24,90.57,2
CDM,4279,ACETAZOLAMIDE 500 MG INJ,366.0,366.0,19.4,439.2,30
CDM,4283,DIG IMMUNE FAB PER VIAL,34120.0,34120.0,2934.32,40944.0,29
CDM,4283,"Injection, digoxin immune fab (ovine), per vial ",34120.0,34120.0,5011.98,8525.53,2
CDM,4289,PHENYTOIN 250 MG INJ,143.0,143.0,7.58,171.6,30
CDM,4290,PHENYTOIN 100 MG INJ,143.0,143.0,7.58,171.6,30
CDM,4337,DIPYRIDAMOLE 10 MG INJ,1210.0,1210.0,64.13,1452.0,30
CDM,4337,"Injection, dipyridamole, per 10 mg ",1210.0,1210.0,8.16,13.88,2
CDM,4339,DOBUTAMINE 250 MG INJ,224.0,224.0,11.87,268.8,30
CDM,4356,DOPAMINE 800 MG INJ,448.0,448.0,23.74,537.6,30
CDM,4357,DOPAMINE 800 MG INJ,448.0,448.0,23.74,537.6,30
CDM,4364,DOPAMINE 400 MG INJ,143.0,143.0,7.58,171.6,30
CDM,4376,DOPAMINE 200 MG INJ,89.0,89.0,4.72,106.8,30
CDM,4399,EPTIFIBATIDE 20 MG INJ,136.45,136.45,7.23,163.74,30
CDM,4407,ERTAPENEM SOD 1 G INJ,1098.0,1098.0,58.19,1317.6,30
CDM,4407,"Injection, ertapenem sodium, 500 mg ",1098.0,1098.0,7.0,11.91,2
CDM,4410,ERYTHRO LACTO 500 MG INJ,679.0,679.0,35.99,814.8,30
CDM,4412,ESTROGEN CONJ 25 MG INJ,568.0,568.0,48.85,681.6,29
CDM,4412,"Injection, estrogen conjugated, per 25 mg ",568.0,568.0,379.97,646.34,2
CDM,4414,ETHANOLAMINE OLEAT 100MG,5218.0,5218.0,448.75,6261.6,29
CDM,4414,"Injection, ethanolamine oleate, 100 mg ",5218.0,5218.0,503.07,855.74,2
CDM,4430,FLUCONAZOLE 400 MG INJ,1481.0,1481.0,78.49,1777.2,30
CDM,4433,FLUCONAZOLE 200 MG INJ,1016.0,1016.0,53.85,1219.2,30
CDM,4437,FOMEPIZOLE 1500 MG INJ,8058.0,8058.0,692.99,9669.6,29
CDM,4437,"Injection, fomepizole, 15 mg ",8058.0,8058.0,10.79,10.79,1
CDM,473,RM & BD SEMI PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,474,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,477,SEMI-PVT RM W/ TELE,4839.0,4839.0,,,0
CDM,4944,GANCICLOVIR 500 MG INJ,966.0,966.0,51.2,1159.2,30
CDM,4976,GLUCAGON 1 MG INJ,2284.0,2284.0,196.42,2740.8,29
CDM,4976,"Injection, glucagon hydrochloride, per 1 mg ",2284.0,2284.0,141.94,241.44,2
CDM,4990,HEPARIN 1000 U INJ,6.0,6.0,0.32,7.2,30
CDM,5075,ENOXAPARIN 40 MG INJ,427.0,427.0,22.63,512.4,30
CDM,5077,ENOXAPARIN 60 MG INJ,28.0,28.0,1.48,33.6,30
CDM,5078,ENOXAPARIN 80 MG INJ,501.0,501.0,26.55,601.2,30
CDM,5079,ENOXAPARIN 100 MG INJ,626.0,626.0,33.18,751.2,30
CDM,5108,ENOXAPARIN 30 MG INJ,352.0,352.0,18.66,422.4,30
CDM,5146,ENOXAPARIN 120 MG INJ,751.0,751.0,39.8,901.2,30
CDM,5190,FONDAPARINUX 2.5 MG INJ,488.0,488.0,25.86,585.6,30
CDM,5256,FONDAPARINUX 7.5 MG INJ,829.0,829.0,43.94,994.8,30
CDM,5279,"Injection, tetanus immune globulin, human, up to 250 units ",1151.0,1151.0,541.38,920.9,2
CDM,5279,TETANUS IG HUMAN 250 U,1151.0,1151.0,98.99,1381.2,29
CDM,5321,HYDROCORT SUCC 100MG INJ,143.0,143.0,7.58,171.6,30
CDM,5324,HYDROCORT SUCC 500MG INJ,385.0,385.0,20.41,462.0,30
CDM,5349,IBUTILIDE FUM 1 MG INJ,2684.0,2684.0,230.82,3220.8,29
CDM,5349,"Injection, ibutilide fumarate, 1 mg ",2684.0,2684.0,361.71,361.71,1
CDM,5357,INFLIXIMAB 100 MG INJ,13053.0,13053.0,1122.56,15663.6,29
CDM,5357,"Injection, infliximab, excludes biosimilar, 10 mg ",13053.0,13053.0,30.11,51.22,2
CDM,5465,IRON SUCROSE 100 MG INJ,604.0,604.0,32.01,724.8,30
CDM,5465,"Injection, iron sucrose, 1 mg ",604.0,604.0,0.21,0.36,2
CDM,5574,KETOROLAC 30 MG INJ,143.0,143.0,12.3,171.6,29
CDM,5626,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",13136.0,13136.0,1712.6,2913.19,2
CDM,5626,LEUPRO DEPOT 3.75 MG INJ,13136.0,13136.0,1129.7,15763.2,29
CDM,5630,LEVETIRACETAM 500 MG INJ,397.0,397.0,21.04,476.4,30
CDM,5634,"Injection, levocarnitine, per 1 gm ",443.0,443.0,22.4,38.1,2
CDM,5634,LEVOCARNITINE 1 G INJ,443.0,443.0,23.48,531.6,30
CDM,5650,LEVOFLOXACIN 500 MG INJ,469.0,469.0,24.86,562.8,30
CDM,5796,LINEZOLID 600 MG INJ,704.0,704.0,37.31,844.8,30
CDM,587226,ACETONE 1 PAD,2.0,2.0,0.11,2.4,48
CDM,587232,AL HYD/MAG HYD/SIMET30ML,1.0,1.0,0.05,1.2,48
CDM,587248,AMANTAD10MG/ML10MLPOSYR,29.0,29.0,1.54,34.8,48
CDM,587258,AMOXICIL200MG/5ML50MLSUS,2.46,2.46,0.13,2.95,48
CDM,587262,AMPICIL/SULBAC 1.5 G INJ,168.0,168.0,8.9,201.6,30
CDM,587263,AMPICIL/SULBAC 3 G INJ,220.0,220.0,11.66,264.0,30
CDM,587264,AMPICILLIN 1 G INJ,383.0,383.0,20.3,459.6,30
CDM,587267,AMYL/LIP/PRO 30/6/19 CAP,19.0,19.0,1.01,22.8,48
CDM,587293,BACLOFEN 5MG/ML LIQ,12.6,12.6,0.67,15.12,48
CDM,587297,BENDAMUS HCL 100 MG INJ,19679.0,19679.0,1692.39,23614.8,29
CDM,587297,"Injection, bendamustine hydrochloride, 1 mg ",19679.0,19679.0,2.1,3.56,2
CDM,587314,BISMUTH SUBSAL 30ML ORAL,0.17,0.17,0.009,0.2,48
CDM,587331,CAFFEINE CITRAT 60MG PO,287.0,287.0,15.21,344.4,48
CDM,587350,CARBAMAZEPINE200/10MLLIQ,29.0,29.0,1.54,34.8,48
CDM,587352,CARBOXYMETHYCEL 0.4MLOPH,1.0,1.0,0.05,1.2,48
CDM,587358,CEFDINIR 250MG/5ML SUSP,54.0,54.0,2.86,64.8,48
CDM,587372,CR51 SOD CHROM DX 250UCI,41.0,41.0,2.17,49.2,36
CDM,587379,CLINDAMYCIN 300MG CAP,0.53,0.53,0.03,0.64,48
CDM,587388,COLESTIPOL 1 GM TAB,29.0,29.0,1.54,34.8,48
CDM,587392,LARYNGOSCOPY-PARTIAL,903.0,903.0,47.86,1083.6,34
CDM,587404,SPUTUM SPEC COLL IND,585.0,585.0,50.31,702.0,34
CDM,587404,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",585.0,585.0,,,0
CDM,587404,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) UNSCHEDULED",585.0,585.0,99.46,101.55,3
CDM,587423,Noninvasive ear or pulse oximetry for oxygen saturation; single determination SCHEDULED,262.0,262.0,8.55,8.73,3
CDM,587423,Noninvasive ear or pulse oximetry for oxygen saturation; single determination UNSCHEDULED,262.0,262.0,53.39,54.51,3
CDM,587423,SINGLE DX PULSE OX,262.0,262.0,13.89,314.4,42
CDM,587424,MULTIPLE DX PULSE OX,58.0,58.0,3.07,69.6,42
CDM,587424,"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise) SCHEDULED",58.0,58.0,19.0,19.4,3
CDM,587424,"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise) UNSCHEDULED",58.0,58.0,114.11,116.52,3
CDM,587447,HELIOX PER HOUR,91.0,91.0,4.82,109.2,49
CDM,587460,CONT BRONCH DEM/EVAL,424.0,424.0,36.46,508.8,41
CDM,587460,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device SCHEDULED",424.0,424.0,19.0,19.4,3
CDM,587460,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device UNSCHEDULED",424.0,424.0,250.21,255.48,3
CDM,587503,RM & BD SEMI PRIVATE,3196.0,3196.0,,,0
CDM,587522,ICU,14810.0,14810.0,,,0
CDM,587523,ICU ADJ,14554.0,14554.0,771.36,17464.8,49
CDM,587524,ICU,14554.0,14554.0,,,0
CDM,587539,INTERMEDIATE CCU W TEL,6242.0,6242.0,,,0
CDM,587540,INTERMEDIATE CCU W TEL,6242.0,6242.0,,,0
CDM,587541,INTERMED CCU W /TEL ADJ,6242.0,6242.0,330.83,7490.4,49
CDM,587542,INTERMEDIATE CCU W TEL,6242.0,6242.0,,,0
CDM,587543,INTERMEDIATE CCU W TEL,6242.0,6242.0,,,0
CDM,587554,ICU,14810.0,14810.0,,,0
CDM,587567,INT CORONARYCARE TEL ADJ,6242.0,6242.0,330.83,7490.4,49
CDM,587633,ASPERGILLUS AG EIA,294.0,294.0,25.28,352.8,31
CDM,587636,M A ER IHC AB QT/SQT MAN,252.0,252.0,21.67,302.4,34
CDM,587636,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",252.0,252.0,299.41,305.71,3
CDM,587637,IHC QN/SQN EA AB COMP,341.0,341.0,29.33,409.2,34
CDM,587637,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",341.0,341.0,299.41,305.71,3
CDM,587639,MORPH ANAL CMP INI PROBE,248.0,248.0,21.33,297.6,34
CDM,587639,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",248.0,248.0,,,0
CDM,587639,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure UNSCHEDULED",248.0,248.0,299.41,305.71,3
CDM,587698,PER CL CON INT COM W/IMP,115491.0,115491.0,6121.02,138589.2,34
CDM,587699,PER CL CON VT SP DF W/IM,115491.0,115491.0,6121.02,138589.2,34
CDM,587709,CARDIOVERSION INTERNAL,3265.0,3265.0,173.04,3918.0,41
CDM,587730,INSERTION OF CVP LINE,17566.0,17566.0,931.0,21079.2,34
CDM,587731,INTEROGATION EVAL ICD,435.0,435.0,37.41,522.0,35
CDM,587731,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",435.0,435.0,31.35,382.68,6
CDM,587747,PROG EVAL FUNC DUAL ICD,431.0,431.0,37.07,517.2,35
CDM,587747,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",431.0,431.0,37.05,98.34,6
CDM,587748,PROG EVAL FUNC SGL ICD,431.0,431.0,37.07,517.2,35
CDM,587748,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",431.0,431.0,34.2,238.38,6
CDM,587757,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only ",2763.0,2763.0,,,0
CDM,587757,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only SCHEDULED",2763.0,2763.0,159.6,162.96,3
CDM,587757,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only UNSCHEDULED",2763.0,2763.0,1784.96,1822.54,3
CDM,587757,TEE IMAGE ACQ INTER/RPT,2763.0,2763.0,146.44,3315.6,36
CDM,587758,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,45892.0,45892.0,7350.0,46072.0,18
CDM,587758,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CDM,587758,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CDM,587758,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction SCHEDULED,45892.0,45892.0,227.05,231.83,3
CDM,587758,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction UNSCHEDULED,45892.0,45892.0,189.49,193.48,3
CDM,587758,PACE & MAP INTRA-OP,45892.0,45892.0,2432.28,55070.4,26
CDM,587775,CAROTID ART STENT W/ DEP,13657.0,13657.0,723.82,16388.4,34
CDM,587801,COLONOSCOPY ATTEMPTD,3980.0,3980.0,210.94,4776.0,41
CDM,587812,GASTRO TUBE REMOVAL,160.0,160.0,8.48,192.0,30
CDM,587813,EGD W/FNA & ULTRASOUND,6558.0,6558.0,347.57,7869.6,41
CDM,587840,IMMUNIZ ADMIN EA ADDTL,262.0,262.0,13.89,314.4,49
CDM,587848,INJECTION IM OR SQ,487.0,487.0,50.16,584.4,29
CDM,587866,SKIN TB-PPD,207.0,207.0,17.8,248.4,34
CDM,587866,"Skin test; tuberculosis, intradermal ",207.0,207.0,,,0
CDM,587866,"Skin test; tuberculosis, intradermal UNSCHEDULED",207.0,207.0,94.22,96.2,3
CDM,587867,ESOPHAGEAL DILATION,2100.0,2100.0,111.3,2520.0,41
CDM,587868,COLONOSCOPY W POLY,3204.0,3204.0,169.81,3844.8,41
CDM,587870,EGD WITH BIOPSY,4567.0,4567.0,242.05,5480.4,41
CDM,587871,EGD W/SCLEOROTHERAPY,3076.0,3076.0,163.03,3691.2,41
CDM,587872,EGD W/POLYPECTOMY,3076.0,3076.0,163.03,3691.2,41
CDM,587873,COLON DILATION,3204.0,3204.0,169.81,3844.8,41
CDM,587875,EGD WITH CAUTERY,3076.0,3076.0,163.03,3691.2,41
CDM,587876,COLONOSCOPY WITH CAUT,3204.0,3204.0,169.81,3844.8,41
CDM,587877,SIGMOIDOSCOPY CAUTE,3250.0,3250.0,172.25,3900.0,41
CDM,587894,INSERTION IABP PERC,16376.0,16376.0,867.93,19651.2,34
CDM,588022,UL THERAPEUTIC PROC PT,407.0,407.0,21.57,488.4,37
CDM,588150,RETINAL PHOTOCOAGULATION,3714.0,3714.0,196.84,4456.8,34
CDM,588157,RM & BD DELUXE OB ADJ,1433.0,1433.0,75.95,1719.6,49
CDM,588159,LEVEL II NEWBORN,5806.0,5806.0,,,0
CDM,588161,OBS PER HOUR,77.0,77.0,12.32,92.4,10
CDM,588162,SEMI-PRIVATE,1758.0,1758.0,,,0
CDM,588198,OBS PER HOUR,77.0,77.0,12.32,92.4,10
CDM,588224,ARTH JNTBRS MJR WO US,1351.0,1351.0,71.6,1621.2,34
CDM,588253,BONE MARROW ASPIRATION,2763.0,2763.0,146.44,3315.6,34
CDM,588256,PLACE NG/OG TUBE FLUORO,1389.0,1389.0,73.62,1666.8,34
CDM,588274,CVRT GASTR TO GSJEJ TUBE,8470.0,8470.0,448.91,10164.0,34
CDM,588286,ABL 1/MORE RENL TU PC RF,38732.0,38732.0,2052.8,46478.4,34
CDM,592595,ECT WITH MONITORING,1448.0,1448.0,124.53,1737.6,34
CDM,592595,Electroconvulsive therapy (includes necessary monitoring) ,1448.0,1448.0,979.0,1349.0,7
CDM,592595,Electroconvulsive therapy (includes necessary monitoring) SCHEDULED,1448.0,1448.0,123.5,126.1,3
CDM,592595,Electroconvulsive therapy (includes necessary monitoring) UNSCHEDULED,1448.0,1448.0,1798.58,1836.44,3
CDM,592597,MINOR ROOM LEVEL II,6974.0,6974.0,369.62,8368.8,34
CDM,592598,POLYPECTOMY GI,3204.0,3204.0,169.81,3844.8,41
CDM,592620,COLON W POLYP HOT BX,3648.0,3648.0,193.34,4377.6,41
CDM,592621,EGD/PEG INSERTION,3434.0,3434.0,182.0,4120.8,41
CDM,592622,INS DUO/JEJSTMT TUBE,3648.0,3648.0,193.34,4377.6,41
CDM,592623,EGD W HEAT PROB CAUT,3648.0,3648.0,193.34,4377.6,41
CDM,594246,CHLORHEXIDINE 16OZ BTL,140.0,140.0,7.42,168.0,48
CDM,594248,POTASS CL 20 MEQ INJ,265.0,265.0,14.04,318.0,30
CDM,594249,RM & BD ADJ,5806.0,5806.0,307.72,6967.2,49
CDM,594250,HEPARIN 10 U LOCK,160.0,160.0,8.48,192.0,30
CDM,594250,"Injection, heparin sodium, (heparin lock flush), per 10 units ",160.0,160.0,0.02,0.03,2
CDM,594265,IPV VAC IMSQ,1581.0,1581.0,83.79,1897.2,30
CDM,594265,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",1581.0,1581.0,47.58,94.41,2
CDM,594265,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use UNSCHEDULED",1581.0,1581.0,170.65,174.24,3
CDM,594293,VIT K PHYTONADIONE 10 MG,243.0,243.0,12.88,291.6,30
CDM,594295,MMR VAC LIVE SQ,766.0,766.0,40.6,919.2,30
CDM,594295,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",766.0,766.0,99.45,193.28,2
CDM,594295,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use UNSCHEDULED",766.0,766.0,170.65,174.24,3
CDM,594316,PICC INS W/O P>5,10154.0,10154.0,538.16,12184.8,34
CDM,594333,CTA UPPER EXTREMITY BI,10630.0,10630.0,914.18,12756.0,28
CDM,594352,INJ SHUNTOGRAM,1049.0,1049.0,55.6,1258.8,34
CDM,594354,XR ARTHROGRAM ANKLE LT,1204.0,1204.0,103.54,1444.8,31
CDM,594355,REM VENTR ASSIST DEV,2120.0,2120.0,112.36,2544.0,34
CDM,594357,GLYCOPYRR ORAL SOL 0.2MG,8.9,8.9,0.47,10.68,48
CDM,594367,DIGOXIN 0.1 MG INJ,364.0,364.0,19.29,436.8,30
CDM,594378,CHEMO SQ/IM HORMONL ANPL,302.0,302.0,25.97,362.4,36
CDM,594433,MRA UP EXT WWO CONT LT,10200.0,10200.0,877.2,12240.0,31
CDM,594434,MRA UP EXT WWO CONT RT,10200.0,10200.0,877.2,12240.0,31
CDM,594443,"Injection, palonosetron hcl, 25 mcg ",163.0,163.0,0.63,1.07,2
CDM,594443,PALONOSETRON 0.25 MG INJ,163.0,163.0,8.64,195.6,30
CDM,594453,INTERMED CCU W/TEL,6242.0,6242.0,,,0
CDM,594454,INTERMED CCU W/TEL ADJ,5527.0,5527.0,292.93,6632.4,49
CDM,594461,QUETIAPINE XR 150MG TAB,89.0,89.0,4.72,106.8,48
CDM,594462,SODIUM CL 0.9%IRR 1000ML,279.0,279.0,14.79,334.8,48
CDM,594476,SC PTA INTCRAN SPASM INI,495000.0,495000.0,26235.0,594000.0,34
CDM,594478,INJECTION INTRA-ARTERIAL,474.0,474.0,40.76,568.8,48
CDM,594479,MIDAZOLAM 10 MG INJ,143.0,143.0,7.58,171.6,30
CDM,594482,DICYCLOMIN 20MG/10ML LIQ,29.0,29.0,1.54,34.8,48
CDM,594488,INS/REV LEAD PAC/DEF SGL,41721.0,41721.0,2211.21,50065.2,34
CDM,594489,ICD REMOVAL OF PULSE GEN,41721.0,41721.0,2211.21,50065.2,34
CDM,594501,SC EMBOLECTOMY FEM/POP,32065.0,32065.0,1699.44,38478.0,34
CDM,594502,SC EMBOLECTOMY POP/TIB,32065.0,32065.0,1699.44,38478.0,34
CDM,594505,MAG SULFATE 40G INJ,554.0,554.0,29.36,664.8,30
CDM,594506,HYDROCO/APAP 5/325MG TAB,11.0,11.0,0.58,13.2,48
CDM,594509,DABIGATRAN 150MG CAP,37.0,37.0,1.96,44.4,48
CDM,594510,INS ICD LEAD/GENERATOR,158123.0,158123.0,8380.52,189747.6,34
CDM,594522,ZINC OXIDE TOP PASTE 60G,8.98,8.98,0.48,10.78,48
CDM,594523,ALBUT/IPRAT 3MG/0.5MG,26.0,26.0,1.38,31.2,48
CDM,594534,RIFAXIMIN 550MG TAB,120.0,120.0,6.36,144.0,48
CDM,594548,GI MINOR PROCED 1ST HR,18359.0,18359.0,973.03,22030.8,34
CDM,594555,CLOZAPINE 50 MG PO,23.0,23.0,1.22,27.6,30
CDM,594558,DABIGATRAN 75MG CAP,37.0,37.0,1.96,44.4,48
CDM,594576,LEVEL III NEWBORN,10419.0,10419.0,,,0
CDM,594577,RM & BD ADJ,10419.0,10419.0,552.21,12502.8,49
CDM,594587,INTRMEDIATE CCU WTEL ADJ,6242.0,6242.0,330.83,7490.4,49
CDM,594607,PRIVATE RM W/TELE,4866.0,4866.0,,,0
CDM,594613,PRIVATE RM W/TELE,4839.0,4839.0,,,0
CDM,594621,RM & BD PVT TELE,4866.0,4866.0,,,0
CDM,594622,RM & BD SEMI PRIVATE ADJ,3196.0,3196.0,169.39,3835.2,49
CDM,594629,TRAUMA ICU ADJ,16930.0,16930.0,897.29,20316.0,35
CDM,594630,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,594638,CCU ADJ,13589.0,13589.0,720.22,16306.8,49
CDM,594644,RM & BD SEMI PRIVATE ADJ,3196.0,3196.0,169.39,3835.2,49
CDM,594682,RM & BD PRIVATE,3175.0,3175.0,,,0
CDM,594683,RM & BD PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,594684,CATH HRT RT W SAT/CO,93257.0,93257.0,4942.62,111908.4,34
CDM,594685,CATH HRT LT/INJ L VENT,69997.0,69997.0,3709.84,83996.4,34
CDM,594687,CATH PLC/INJ CORONRY ART,24311.0,24311.0,1288.48,29173.2,34
CDM,594688,CATH PLC/INJ BYPAS GRFTS,33062.0,33062.0,1752.29,39674.4,34
CDM,594689,CTH PLC/INJ CR ART W RHC,12936.0,12936.0,685.61,15523.2,34
CDM,594690,CTH PLC/INJ LHC & L VENT,30503.0,30503.0,1616.66,36603.6,34
CDM,594691,CTH PLC/INJ LHC W GRAFT,85945.0,85945.0,4555.09,103134.0,34
CDM,594692,CTH PLC/INJ R&LHC/L VENT,93257.0,93257.0,4942.62,111908.4,34
CDM,594693,CTH PLC/INJ R&LHC/GRAFTS,95271.0,95271.0,5049.36,114325.2,34
CDM,594694,LHC TRANS SEPTAL/APICAL,30503.0,30503.0,1616.66,36603.6,34
CDM,594695,INJ SELECT CA CONGENITAL,13705.0,13705.0,726.37,16446.0,34
CDM,594699,INJ SUPRAVALV AORTOGRM,1794.0,1794.0,95.08,2152.8,34
CDM,594701,US JOINT COMP,2339.0,2339.0,201.15,2806.8,31
CDM,594702,US JOINT COMP,2339.0,2339.0,201.15,2806.8,31
CDM,594706,US EXTREM NON VASC LTD,2339.0,2339.0,201.15,2806.8,31
CDM,594707,US EXTREM NON VASC LTD,2339.0,2339.0,201.15,2806.8,31
CDM,594722,"Injection, penicillin g benzathine, 100,000 units ",1279.0,1279.0,30.53,51.93,2
CDM,594722,PEN G BEN 1200000 U INJ,1279.0,1279.0,109.99,1534.8,29
CDM,594731,INVEGA SUSTEN 234 MG INJ,9551.0,9551.0,821.39,11461.2,29
CDM,594739,CYTARABINE 2000 MG INJ,1108.0,1108.0,58.72,1329.6,30
CDM,594739,"Injection, cytarabine, 100 mg ",1108.0,1108.0,0.78,1.32,2
CDM,594741,MITOMYCIN 20 MG INJ,1313.0,1313.0,112.92,1575.6,29
CDM,594742,MITOMYCIN 40 MG INJ,8037.0,8037.0,691.18,9644.4,29
CDM,594743,"Injection, topotecan, 0.1 mg ",212.1,212.1,2.05,3.48,2
CDM,594743,TOPOTECAN 4 MG INJ,212.1,212.1,11.24,254.52,30
CDM,594750,CTH PLC/INJ GRAFT W RHC,38812.0,38812.0,2057.04,46574.4,34
CDM,594751,IHC AB STAIN,450.0,450.0,38.7,540.0,34
CDM,594769,XR FLUOROSCOPY 0-60 MIN,2981.0,2981.0,256.37,3577.2,31
CDM,594771,CT ABD&PELVIS W/O CONT,25461.0,25461.0,2189.65,30553.2,28
CDM,594772,CT ABD&PELVIS W/CONT,37242.0,37242.0,3202.81,44690.4,28
CDM,594773,CT ABD&PELVIS W&WO CONT,39003.0,39003.0,3354.26,46803.6,28
CDM,594778,GASTRIC ACID W OR W/O PH,982.0,982.0,84.45,1178.4,31
CDM,594778,"Gastric acid analysis, includes pH if performed, each specimen ",982.0,982.0,6.64,20.47,36
CDM,594778,"Gastric acid analysis, includes pH if performed, each specimen UNSCHEDULED",982.0,982.0,80.61,82.3,3
CDM,594779,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",675.0,675.0,97.13,299.24,36
CDM,594779,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen UNS",675.0,675.0,187.4,191.34,3
CDM,594779,PAMG-1 CVS QL,675.0,675.0,58.05,810.0,31
CDM,594781,AG SC DON BLD REA SER EA,113.0,113.0,9.72,135.6,40
CDM,594783,FLU SINGLE TYPE/SUBTY AM,1120.0,1120.0,96.32,1344.0,31
CDM,594783,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",1120.0,1120.0,50.8,156.5,36
CDM,594783,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype UNSCHEDULED",1120.0,1120.0,109.92,112.24,3
CDM,594784,FLU 1ST 2 MPLEX TY SUBTY,159.0,159.0,13.67,190.8,31
CDM,594784,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",159.0,159.0,94.84,292.19,39
CDM,594893,BRONCH W/ NAVIGATION SD,559.0,559.0,29.63,670.8,34
CDM,594894,PHARMACY AGENT ADMIN,1582.0,1582.0,83.85,1898.4,34
CDM,594895,ATHEREC BRACHIO OP/PERC,90750.0,90750.0,4809.75,108900.0,34
CDM,594897,ATHREC VISCRL OP/PERC EA,90750.0,90750.0,4809.75,108900.0,34
CDM,594899,ATHERC ILIAC OP/PERC EA,90750.0,90750.0,4809.75,108900.0,34
CDM,5949,LORAZEPAM 2 MG INJ,8.0,8.0,0.42,9.6,30
CDM,594937,IVIG GAMUNX/GAMMAK 5G,3561.0,3561.0,306.25,4273.2,29
CDM,594943,FORMIC ACID QN,107.0,107.0,9.2,128.4,31
CDM,594993,REDUCING SUB STOOL MULTI,113.0,113.0,9.72,135.6,31
CDM,594994,REDUCING SUB STOOL MULTI,96.0,96.0,8.26,115.2,31
CDM,595005,BX SOFT TISSUE OF BACK,2263.0,2263.0,119.94,2715.6,34
CDM,595008,TEE2D W OR W&WO MONITOR,28785.0,28785.0,2475.51,34542.0,41
CDM,595026,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",25.0,25.0,168.55,172.1,3
CDM,595026,FNA ADEQUACY IMM ADDL,25.0,25.0,1.32,30.0,35
CDM,595042,FLUCONAZOLE 100 MG INJ,47.0,47.0,2.49,56.4,30
CDM,595052,AG SC DON BLD REA SER EA,218.0,218.0,18.75,261.6,31
CDM,595056,RM & BD PRIVATE W/ TELE,4839.0,4839.0,,,0
CDM,595058,RM & BD PVT W/ TELE ADJ,4839.0,4839.0,256.47,5806.8,49
CDM,595062,SEMI PVT ROOM W/ TELE,4839.0,4839.0,,,0
CDM,595063,SEMI PVT ROOM W/TELE ADJ,4866.0,4866.0,257.9,5839.2,49
CDM,595083,TISS CULT NEOPLAS BM BLD,794.0,794.0,68.28,952.8,31
CDM,595092,BARIUM SULFATE 450ML BOT,65.0,65.0,3.44,78.0,48
CDM,595101,DEL RESUS PPV CHEST COMP,879.0,879.0,75.59,1054.8,48
CDM,595102,CAROTID STENT INITIAL,38671.0,38671.0,2049.56,46405.2,34
CDM,595103,CAROTID STENT EA ADD,39381.0,39381.0,2087.19,47257.2,34
CDM,595117,WATER FOR IRR 2000 ML,482.0,482.0,25.55,578.4,48
CDM,595121,REMVL PLEURL CATH W/CUFF,3594.0,3594.0,190.48,4312.8,34
CDM,595122,INJ SI ANES/STD/TH AG,1538.0,1538.0,81.51,1845.6,34
CDM,595165,GADOXETATE 10 ML INJ,1829.0,1829.0,96.94,2194.8,29
CDM,595165,"Injection, gadoxetate disodium, 1 ml ",1829.0,1829.0,14.29,24.3,2
CDM,595175,TIPRANAVIR 250MG CAP,28.9,28.9,1.53,34.68,48
CDM,595177,PICC INS W/O P>5,10154.0,10154.0,538.16,12184.8,34
CDM,595189,RITONAVIR 100 MG PO,20.41,20.41,1.08,24.49,44
CDM,595196,LURASIDONE 40MG TAB,48.0,48.0,2.54,57.6,48
CDM,595221,TRANEXAMIC ACID 650MG TB,6.15,6.15,0.33,7.38,48
CDM,595222,HYDROCO/APAP 7.5/325 TAB,11.0,11.0,0.58,13.2,48
CDM,595225,FOSAPREPITANT 150 MG INJ,3310.37,3310.37,175.45,3972.44,30
CDM,595225,"Injection, fosaprepitant, 1 mg ",3310.37,3310.37,0.11,0.18,2
CDM,595226,CYSTO WITH BIOPSY,7546.0,7546.0,399.94,9055.2,34
CDM,595227,CYSTO W/ STENT INSERT,13697.0,13697.0,725.94,16436.4,34
CDM,595233,LURASIDONE 80MG TAB,87.0,87.0,4.61,104.4,48
CDM,595235,ILOPERIDONE 1MG TAB,109.0,109.0,5.78,130.8,48
CDM,595239,ACETYL/ME-B12/LMEFOLATE,35.0,35.0,1.85,42.0,48
CDM,595241,PICC INS W/O P>5,10154.0,10154.0,538.16,12184.8,34
CDM,595242,TRAUMA ICU,18963.0,18963.0,,,0
CDM,595243,TRAUMA ICU ADJ,18963.0,18963.0,1005.04,22755.6,35
CDM,595246,SCREENING COLONOSCOPY,3063.0,3063.0,162.34,3675.6,41
CDM,595254,SIG W/ DILATION,5068.0,5068.0,268.6,6081.6,41
CDM,595269,UPPER GI W/ESPH DILATION,4011.0,4011.0,212.58,4813.2,41
CDM,595281,SOD CHL 14.6% 40ML,211.0,211.0,11.18,253.2,48
CDM,595295,TPMT ERYTHROCYTES NRS,73.0,73.0,6.28,87.6,31
CDM,595295,Thiopurine S-methyltransferase (TPMT) ,73.0,73.0,21.95,67.62,36
CDM,595295,Thiopurine S-methyltransferase (TPMT) UNSCHEDULED,73.0,73.0,80.61,82.3,3
CDM,595304,GATIFLOXACIN 0.5%OP2.5ML,900.0,900.0,47.7,1080.0,49
CDM,595306,BRONCH W BIOPSY,7831.0,7831.0,415.04,9397.2,34
CDM,595307,BRONCH W/STENT PLCMT,19557.0,19557.0,1036.52,23468.4,34
CDM,595318,TRANSBRONCH LUNG BX SNGL,7831.0,7831.0,415.04,9397.2,34
CDM,595319,ASENAPINE 10MG TAB,98.0,98.0,5.19,117.6,48
CDM,595326,TICAGRELOR 90MG TAB,13.0,13.0,0.69,15.6,48
CDM,595327,FIDAXOMICIN 200 MG PO,1177.0,1177.0,62.38,1412.4,30
CDM,595329,TD VAC PF >=7YRS IM,282.0,282.0,14.95,338.4,30
CDM,595329,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",282.0,282.0,37.59,63.94,2
CDM,595329,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use UNSCHEDULED",282.0,282.0,103.64,105.83,3
CDM,595330,"Injection, lacosamide, 1 mg ",419.0,419.0,,,0
CDM,595330,LACOSAMIDE 200 MG INJ,419.0,419.0,22.21,502.8,30
CDM,595349,ENDOSCOPIC PANCREATOSCOP,8210.0,8210.0,435.13,9852.0,41
CDM,595355,PROCALCITONIN PCT,393.0,393.0,33.8,471.6,31
CDM,595355,Procalcitonin (PCT) ,393.0,393.0,26.95,83.02,36
CDM,595355,Procalcitonin (PCT) UNSCHEDULED,393.0,393.0,149.71,152.86,3
CDM,595358,AMIN AC 4.25/LYTES/D5W2L,421.0,421.0,22.31,505.2,48
CDM,595436,SODIUM CHL 7% INHAL,0.6,0.6,0.03,0.72,48
CDM,595443,WATER FOR IRR 4000ML,38.0,38.0,2.01,45.6,48
CDM,595445,OSELTAMIVR 6MG/ML PO60ML,5.0,5.0,0.27,6.0,30
CDM,595454,LARYNGOSCOPY DX,902.0,902.0,47.81,1082.4,34
CDM,595465,SGD INCL PROGRAM/MOD SP,622.0,622.0,53.49,746.4,41
CDM,595465,"Therapeutic services for the use of speech-generating device, including programming and modification ",622.0,622.0,102.03,320.83,33
CDM,595465,"Therapeutic services for the use of speech-generating device, including programming and modification SCHEDULED",622.0,622.0,121.6,124.16,3
CDM,595465,"Therapeutic services for the use of speech-generating device, including programming and modification UNSCHEDULED",622.0,622.0,240.79,245.86,3
CDM,595581,CHLOROTHIAZ 250MG/5ML OS,20.0,20.0,1.06,24.0,48
CDM,595632,PH STOOL,41.0,41.0,3.53,49.2,31
CDM,595633,RIVAROXABAN 10MG TAB,81.0,81.0,4.29,97.2,48
CDM,595648,ADMIN HEP B VACCINE,256.0,256.0,22.02,307.2,48
CDM,595648,Administration of hepatitis b vaccine UNSCHEDULED,256.0,256.0,78.52,80.17,3
CDM,595652,ABL RENL TUMRS PC CRYO,46449.0,46449.0,2461.8,55738.8,34
CDM,595660,LOCM 300-399 IC 100ML,98.0,98.0,5.19,117.6,29
CDM,595664,AMIN AC4.25/D10/LYTES 2L,498.0,498.0,26.39,597.6,48
CDM,595669,LVL 1 EMER DEPT,1971.0,1971.0,315.36,2365.2,10
CDM,595670,LVL 2 EMER DEPT,3654.0,3654.0,584.64,4384.8,10
CDM,595671,LVL 3 EMER DEPT,5859.0,5859.0,937.44,7030.8,10
CDM,595672,LVL 4 EMER DEPT,7676.0,7676.0,1228.16,9211.2,10
CDM,595673,LVL 5 EMER DEPT,16140.0,16140.0,2582.4,19368.0,10
CDM,595674,CRIT CARE 1ST 30-74 MINS,17424.0,17424.0,2787.84,20908.8,10
CDM,595675,CRIT CARE EACH ADD 30MIN,7636.0,7636.0,786.51,9163.2,19
CDM,595684,HEPARIN 2000 U INJ,55.0,55.0,2.92,66.0,30
CDM,595685,ER TRAUMA PROC LEVEL 1,4786.0,4786.0,492.96,5743.2,27
CDM,595686,ER TRAUMA PROC LEVEL 2,5514.0,5514.0,567.94,6616.8,27
CDM,595687,ER TRAUMA PROC LEVEL 3,6247.0,6247.0,643.44,7496.4,27
CDM,595688,SQ INFUSION ADDL PUMP SU,69.0,69.0,5.93,82.8,48
CDM,595689,INJECTION IM OR SQ,711.0,711.0,73.23,853.2,27
CDM,595690,INJECTION INTRA-ARTERIAL,740.0,740.0,76.22,888.0,27
CDM,595691,IVP SINGLE/INITIAL DRUG,723.0,723.0,74.47,867.6,27
CDM,595692,IVP EA ADD SEQ NEW DRUG,723.0,723.0,74.47,867.6,27
CDM,595693,IVP EA ADD SEQ SAME DRUG,132.0,132.0,13.6,158.4,27
CDM,595694,IMMUNIZ ADMIN SGL,328.0,328.0,33.78,393.6,27
CDM,595695,IMMUNIZ ADMIN EA ADDTL,277.0,277.0,28.53,332.4,27
CDM,595696,IV HYDRAT INIT UP TO 1HR,220.0,220.0,22.66,264.0,27
CDM,595697,IV HYDRAT EA ADD HR,11.0,11.0,1.13,13.2,27
CDM,595698,IV INITIAL UP TO 1 HOUR,187.0,187.0,16.08,224.4,41
CDM,595699,IV EACH ADD HOUR,16.0,16.0,1.38,19.2,41
CDM,595700,IV ADDL SEQ INF UP TO 1H,187.0,187.0,16.08,224.4,41
CDM,595701,IV CONCURRENT INFUSION,186.0,186.0,9.86,223.2,42
CDM,595702,SQ INFUSION UP TO 1 HOUR,143.0,143.0,12.3,171.6,48
CDM,595703,SQ INFUSION EA ADDL HOUR,66.0,66.0,5.68,79.2,48
CDM,595704,US CHST W/MEDIASTINUM,1166.0,1166.0,100.28,1399.2,31
CDM,595705,US ABDOMEN LTD,2216.0,2216.0,190.58,2659.2,31
CDM,595706,BASIC CARE NP,274.0,274.0,14.52,328.8,35
CDM,595707,OP VISIT LEVEL 2 NP,433.0,433.0,22.95,519.6,35
CDM,595708,OP VISIT LEVEL 3 NP,475.0,475.0,25.18,570.0,35
CDM,595709,OP VISIT LEVEL 4 NP,648.0,648.0,34.34,777.6,35
CDM,595710,OP VISIT LEVEL 5 NP,874.0,874.0,46.32,1048.8,35
CDM,595711,OP VISIT LEVEL 1 EST,274.0,274.0,14.52,328.8,35
CDM,595712,OP VISIT LEVEL 2 EST,376.0,376.0,19.93,451.2,35
CDM,595713,OP VISIT LEVEL 3 EST,433.0,433.0,22.95,519.6,35
CDM,595714,OP VISIT LEVEL 4 EST,475.0,475.0,25.18,570.0,35
CDM,595715,OP VISIT LEVEL 5 EST,648.0,648.0,34.34,777.6,35
CDM,595718,ETRAVIRINE 200MG TAB,72.0,72.0,3.82,86.4,48
CDM,595729,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,595730,RM & BD SEMI PRIVATE ADJ,3196.0,3196.0,169.39,3835.2,49
CDM,595731,RM & BD ISOLATION,3196.0,3196.0,,,0
CDM,595732,RM & BD ISOLATION ADJ,3196.0,3196.0,169.39,3835.2,49
CDM,595733,INVEGA SUSTEN 156 MG INJ,6758.0,6758.0,581.19,8109.6,29
CDM,595736,RIVAROXABAN 15MG TAB,76.0,76.0,4.03,91.2,48
CDM,595737,RIVAROXABAN 20MG TAB,11.86,11.86,0.63,14.23,48
CDM,595738,TRICHOMONAS VAG AG OIA,771.0,771.0,66.31,925.2,31
CDM,595743,ICU,14691.0,14691.0,,,0
CDM,595744,ICU ADJ,14810.0,14810.0,784.93,17772.0,49
CDM,595755,HERPES (HHV) 8 AMP QN,254.0,254.0,21.84,304.8,31
CDM,595756,ADIPONECTIN QN IA,57.0,57.0,4.9,68.4,31
CDM,595765,ANTIVENIN CROFAB 1 G INJ,14939.0,14939.0,1284.75,17926.8,29
CDM,595765,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",14939.0,14939.0,1785.79,3037.68,2
CDM,595766,ACETAMINO NOS 1000MG INJ,475.0,475.0,25.18,570.0,30
CDM,595768,CEFTAROLINE 600 MG INJ,1524.0,1524.0,131.06,1828.8,29
CDM,595768,"Injection, ceftaroline fosamil, 10 mg ",1524.0,1524.0,4.12,7.01,2
CDM,595773,AIRWAY RESISTANCE OSCILL,759.0,759.0,65.27,910.8,48
CDM,595773,Airway resistance by oscillometry SCHEDULED,759.0,759.0,31.35,32.01,3
CDM,595773,Airway resistance by oscillometry UNSCHEDULED,759.0,759.0,126.67,129.34,3
CDM,595776,CATH 1ST OD RENAL,22694.0,22694.0,1202.78,27232.8,34
CDM,595777,CATH 1ST OD RENAL BIL,26620.0,26620.0,1410.86,31944.0,34
CDM,595778,CATH 1ST OD RENAL BIL,13671.0,13671.0,724.56,16405.2,34
CDM,595781,CATH 1 OR M 2ND OD RNLBI,54450.0,54450.0,2885.85,65340.0,34
CDM,595782,CATH 1 OR M 2ND OD RNLBI,20897.0,20897.0,1107.54,25076.4,34
CDM,595784,PARACENTESIS W IMAGE,3396.0,3396.0,179.99,4075.2,34
CDM,595786,CTA ABD&PEL W CONT,1323.0,1323.0,113.78,1587.6,28
CDM,595787,HEPA IMAG INCL GB W PHA,8021.0,8021.0,689.81,9625.2,31
CDM,595787,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",8021.0,8021.0,,,0
CDM,595787,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed UNSCHEDULED",8021.0,8021.0,1795.43,1833.23,3
CDM,595788,PULM VENT IMAGING,11255.0,11255.0,967.93,13506.0,31
CDM,595788,"Pulmonary ventilation imaging (eg, aerosol or gas) ",11255.0,11255.0,,,0
CDM,595788,"Pulmonary ventilation imaging (eg, aerosol or gas) UNSCHEDULED",11255.0,11255.0,2208.96,2255.46,3
CDM,595789,PULM VENT & PERF IMAG,11255.0,11255.0,967.93,13506.0,31
CDM,595789,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",11255.0,11255.0,,,0
CDM,595789,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging UNSCHEDULED",11255.0,11255.0,2314.69,2363.42,3
CDM,595790,QUANT DIF PULM PERF,8990.0,8990.0,773.14,10788.0,31
CDM,595790,"Quantitative differential pulmonary perfusion, including imaging when performed ",8990.0,8990.0,,,0
CDM,595790,"Quantitative differential pulmonary perfusion, including imaging when performed UNSCHEDULED",8990.0,8990.0,2208.96,2255.46,3
CDM,595791,QUANT DIF PULM PRF & VNT,8571.0,8571.0,737.11,10285.2,31
CDM,595791,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",8571.0,8571.0,,,0
CDM,595791,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed UNSCHEDULED",8571.0,8571.0,2208.96,2255.46,3
CDM,595793,SP ANGIO ADDL VESSEL,4939.0,4939.0,261.77,5926.8,32
CDM,595794,SP ANG VISC SEL W/WO F,33575.0,33575.0,2887.45,40290.0,31
CDM,595795,CATH 2ND OD LOW ART LT,7618.0,7618.0,403.75,9141.6,34
CDM,595799,ATHERC ILIAC OP/PERC EA,90958.0,90958.0,4820.77,109149.6,34
CDM,595804,SC PERC MECH THRMBTY INI,30131.0,30131.0,1596.94,36157.2,34
CDM,595805,SC PERC MECH THRMBTY ADD,36603.0,36603.0,1939.96,43923.6,34
CDM,595813,SP TRANSCATH ANGIO F/U,961.0,961.0,82.65,1153.2,31
CDM,595816,US GUIDANCE VASC ACCESS,3538.0,3538.0,187.51,4245.6,32
CDM,595822,INSRT IVC FILTER W IMAG,7572.0,7572.0,401.32,9086.4,34
CDM,595823,REPO IVC FILTER W IMAG,31460.0,31460.0,1667.38,37752.0,34
CDM,595824,RETRVL IVC FILTER W IMAG,21611.0,21611.0,1145.38,25933.2,34
CDM,595825,CATH 1ST OD RENAL LT,31460.0,31460.0,1667.38,37752.0,34
CDM,595826,CATH 1ST OD RENAL RT,31460.0,31460.0,1667.38,37752.0,34
CDM,595827,CATH 1 OR M 2ND OD RNLLT,31460.0,31460.0,1667.38,37752.0,34
CDM,595828,CATH 1 OR M 2ND OD RNLRT,31460.0,31460.0,1667.38,37752.0,34
CDM,595829,PARACENTESIS W IMAGE,10318.0,10318.0,546.85,12381.6,34
CDM,595830,PARACENTESIS W IMAGE,10318.0,10318.0,546.85,12381.6,34
CDM,595831,HEPA IMAG INCL GB,8021.0,8021.0,689.81,9625.2,31
CDM,595831,"Hepatobiliary system imaging, including gallbladder when present; ",8021.0,8021.0,,,0
CDM,595831,"Hepatobiliary system imaging, including gallbladder when present; UNSCHEDULED",8021.0,8021.0,1902.21,1942.26,3
CDM,595876,REM/REPLACE PM SGL LD,60896.0,60896.0,3227.49,73075.2,34
CDM,595877,REM/REPLACE PM DUAL LD,93712.0,93712.0,4966.74,112454.4,34
CDM,595878,REM/REPLACE PM MULTI LD,137363.0,137363.0,7280.24,164835.6,34
CDM,595881,REM/REPLACE ICD SGL LD,272880.0,272880.0,14462.64,327456.0,34
CDM,595882,REM/REPLACE ICD DUAL LD,272880.0,272880.0,14462.64,327456.0,34
CDM,595883,REM/REPLACE ICD MULTI LD,272880.0,272880.0,14462.64,327456.0,34
CDM,595907,OMNIPAQUE PO 350 100ML,628.0,628.0,33.28,753.6,29
CDM,595925,"Injection, succinylcholine chloride, up to 20 mg ",14.0,14.0,2.46,2.46,1
CDM,595925,SUCCINYLCHOL UP TO 20 MG,14.0,14.0,0.74,16.8,30
CDM,595926,DICYCLOMINE 20 MG INJ,765.0,765.0,40.55,918.0,30
CDM,595926,"Injection, dicyclomine hcl, up to 20 mg ",765.0,765.0,9.09,15.46,2
CDM,595933,"Injection, prochlorperazine, up to 10 mg ",207.0,207.0,3.23,5.49,2
CDM,595933,PROCHLORPERAZ 10 MG INJ,207.0,207.0,10.97,248.4,30
CDM,595939,DEXAMETH NA PHOS 1 MG,1.0,1.0,0.05,1.2,30
CDM,595941,DIPHENHYDRAMNE 50 MG INJ,160.0,160.0,8.48,192.0,30
CDM,595941,"Injection, diphenhydramine hcl, up to 50 mg ",160.0,160.0,0.67,1.14,2
CDM,595945,HALOPERIDOL DEC 50MG INJ,455.0,455.0,24.11,546.0,30
CDM,595945,"Injection, haloperidol decanoate, per 50 mg ",455.0,455.0,5.89,10.02,2
CDM,595948,PROPRANOLOL 1 MG INJ,374.0,374.0,19.82,448.8,30
CDM,595951,KETOROLAC 15 MG INJ,136.0,136.0,11.7,163.2,29
CDM,595953,LEVOFLOXACIN 250 MG INJ,422.0,422.0,22.37,506.4,30
CDM,595958,MEPERIDINE 25 MG INJ,160.0,160.0,8.48,192.0,30
CDM,595960,MEPERIDINE 75 MG INJ,37.0,37.0,1.96,44.4,30
CDM,595962,MIDAZOLAM 1 MG INJ,1.0,1.0,0.05,1.2,30
CDM,595964,"Injection, orphenadrine citrate, up to 60 mg ",380.0,380.0,7.97,13.56,2
CDM,595964,ORPHENADRINE 60 MG INJ,380.0,380.0,20.14,456.0,30
CDM,595993,TERBUTALINE 1 MG INJ,507.0,507.0,26.87,608.4,30
CDM,595994,"Injection, trimethobenzamide hcl, up to 200 mg ",314.0,314.0,55.5,94.41,2
CDM,595994,TRIMETHBENZMD 200 MG INJ,314.0,314.0,16.64,376.8,30
CDM,596002,HYDROXYZINE 25 MG INJ,89.0,89.0,4.72,106.8,30
CDM,596002,"Injection, hydroxyzine hcl, up to 25 mg ",89.0,89.0,14.71,25.03,2
CDM,596003,MAG SULFATE 20G INJ,83.0,83.0,4.4,99.6,30
CDM,596004,MAG SULFATE 500 MG INJ,83.0,83.0,4.4,99.6,30
CDM,596006,EDETATE DISOD 150 MG INJ,208.0,208.0,11.02,249.6,30
CDM,596006,"Edetate disodium, per 150 mg ",208.0,208.0,0.54,0.54,1
CDM,596009,NS 250 ML,505.0,505.0,26.77,606.0,30
CDM,596010,D5W 1000ML,505.0,505.0,26.77,606.0,30
CDM,596010,"Infusion, d5w, 1000 cc ",505.0,505.0,2.98,5.07,2
CDM,596011,VINCRISTINE SULFATE 1MG,539.0,539.0,28.57,646.8,30
CDM,596011,"Vincristine sulfate, 1 mg ",539.0,539.0,7.87,13.38,2
CDM,596015,DIGOXIN 0.5 MG INJ,160.0,160.0,8.48,192.0,30
CDM,596019,GENTAMICIN 80 MG INJ,160.0,160.0,8.48,192.0,30
CDM,596021,"Injection, oxytocin, up to 10 units ",160.0,160.0,4.47,4.47,1
CDM,596021,OXYTOCIN 10 U INJ,160.0,160.0,8.48,192.0,30
CDM,596022,"Injection, procainamide hcl, up to 1 gm ",700.0,700.0,208.37,354.44,2
CDM,596022,PROCAINAMIDE 1 G INJ,700.0,700.0,60.2,840.0,29
CDM,596025,CHLORPROMAZINE 50 MG INJ,257.0,257.0,13.62,308.4,30
CDM,596025,"Injection, chlorpromazine hcl, up to 50 mg ",257.0,257.0,20.33,34.58,2
CDM,596026,TOBRAMYCIN 80 MG INJ,160.0,160.0,8.48,192.0,30
CDM,596028,CYANOCOBALAMIN 1000 MCG,160.0,160.0,8.48,192.0,30
CDM,596028,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",160.0,160.0,0.65,1.11,2
CDM,596030,LACTATED RINGERS 1000 ML,100.0,100.0,5.3,120.0,30
CDM,596037,REFILL/MAINT PUMP DRG DL,662.0,662.0,68.19,794.4,24
CDM,596037,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",662.0,662.0,,,0
CDM,596037,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) SCHEDULED",662.0,662.0,138.7,141.62,3
CDM,596037,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) UNSCHEDULED",662.0,662.0,777.85,794.23,3
CDM,596054,FNA WITHOUT IMAGE,999.0,999.0,52.95,1198.8,34
CDM,596055,BONE MARROW ASPIRATION,2763.0,2763.0,146.44,3315.6,34
CDM,596068,CORTISOL TOTAL SALIVARY,143.0,143.0,12.3,171.6,31
CDM,596082,BX SOFT TISS THIGH/KNEE,5906.0,5906.0,313.02,7087.2,34
CDM,596086,CV REMOVE TUN COMP W/P,7059.0,7059.0,374.13,8470.8,34
CDM,596087,INSRT IVC FILTER W IMAG,36603.0,36603.0,1939.96,43923.6,34
CDM,596088,RETRVL IVC FILTER W IMAG,21611.0,21611.0,1145.38,25933.2,34
CDM,596089,ANCA PERINUCLEAR TITER,63.0,63.0,5.42,75.6,31
CDM,596103,MAG SULFATE 1G INJ,265.0,265.0,14.04,318.0,30
CDM,596117,ALBUTEROL/IPRATROP PUFF,23.0,23.0,1.22,27.6,48
CDM,596138,VENLAFAXINE 75MG CAP XR,39.0,39.0,2.07,46.8,48
CDM,596139,ZINC SULFATE 25MG/5ML VL,188.0,188.0,9.96,225.6,48
CDM,596149,IVIG PRIVIGEN 10G/100ML,3200.0,3200.0,275.2,3840.0,29
CDM,596160,TTE2D W OR W/WO CN W DOP,3993.0,3993.0,343.4,4791.6,40
CDM,596167,ZINC OXIDE 40%/COD LIV,8.4,8.4,0.45,10.08,48
CDM,596173,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",1083.0,1083.0,551.03,1697.63,36
CDM,596173,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) UNSCHEDULED",1083.0,1083.0,114.64,117.05,3
CDM,596173,CFTR COMMON VARIANTS,1083.0,1083.0,93.14,1299.6,31
CDM,596195,REP LE VESSEL W/GRFT,31460.0,31460.0,1667.38,37752.0,34
CDM,596196,ENDO ILIAC ART OCCL DEV,18150.0,18150.0,961.95,21780.0,34
CDM,596203,CYCLOPENTOLATE 1% OP 5ML,213.0,213.0,11.29,255.6,48
CDM,596216,IVP SINGLE/INITIAL DRUG,495.0,495.0,50.98,594.0,29
CDM,596217,IVP EA ADD SEQ NEW DRUG,495.0,495.0,50.98,594.0,29
CDM,596218,IVP EA ADD SEQ SAME DRUG,91.0,91.0,4.82,109.2,30
CDM,596219,UNLISTED IV/IA INJ/INF,134.0,134.0,13.8,160.8,29
CDM,596219,"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion UNSCHEDULED",134.0,134.0,141.33,144.31,3
CDM,596220,OP VISIT LEVEL 1 EST,274.0,274.0,14.52,328.8,35
CDM,596221,OP VISIT LEVEL 2 EST,376.0,376.0,19.93,451.2,35
CDM,596222,OP VISIT LEVEL 3 EST,376.0,376.0,19.93,451.2,35
CDM,596223,OP VISIT LEVEL 3 NP,475.0,475.0,25.18,570.0,35
CDM,596224,OP VISIT LEVEL 4 EST,475.0,475.0,25.18,570.0,35
CDM,596225,OP VISIT LEVEL 4 NP,648.0,648.0,34.34,777.6,35
CDM,596226,OP VISIT LEVEL 5 EST,648.0,648.0,34.34,777.6,35
CDM,596227,OP VISIT LEVEL 5 NP,874.0,874.0,46.32,1048.8,35
CDM,596228,PROCEDURE CATEGORY 3,8991.0,8991.0,476.52,10789.2,30
CDM,596229,PROCEDURE CATEGORY 1,2904.0,2904.0,153.91,3484.8,30
CDM,596230,PROCEDURE CATEGORY 2,3348.0,3348.0,177.44,4017.6,30
CDM,596231,INJECTION IM OR SQ,487.0,487.0,50.16,584.4,29
CDM,596232,IMMUNIZ ADMIN SGL,294.0,294.0,25.28,352.8,48
CDM,596233,BURN ICU,19840.0,19840.0,,,0
CDM,596234,BURN ICU ADJ,20024.0,20024.0,1061.27,24028.8,43
CDM,596237,RM & BD PRIVATE,3196.0,3196.0,,,0
CDM,596238,RM & BD ISOLATION,3196.0,3196.0,,,0
CDM,596239,RM & BD SEMI PRIVATE,3196.0,3196.0,,,0
CDM,596240,SEMI-PVT RM W/ TELE,4866.0,4866.0,,,0
CDM,596241,INTERMEDIATE ICU,9496.0,9496.0,,,0
CDM,596242,RM & BD PRIVATE ADJ,3196.0,3196.0,169.39,3835.2,49
CDM,596243,RM & BD ISOLATION ADJ,3196.0,3196.0,169.39,3835.2,49
CDM,596244,RM & BD SEMI PRIVATE ADJ,3149.0,3149.0,166.9,3778.8,49
CDM,596245,SEMI-PVT RM W/ TELE ADJ,4866.0,4866.0,257.9,5839.2,49
CDM,596246,INTERMEDIATE ICU ADJ,9496.0,9496.0,503.29,11395.2,49
CDM,596248,BASIC CARE NP,274.0,274.0,14.52,328.8,35
CDM,596249,OP VISIT LEVEL 2 NP,376.0,376.0,19.93,451.2,35
CDM,596264,TDAP VAC >=7YRS IM,304.11,304.11,16.12,364.93,30
CDM,596264,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",304.11,304.11,38.3,65.14,2
CDM,596264,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use UNSCHEDULED",304.11,304.11,170.65,174.24,3
CDM,596265,LINAGLIPTIN 5 MG PO,25.0,25.0,1.32,30.0,44
CDM,596266,VALGANCICLOVIR 50MG/MLPO,65.0,65.0,3.44,78.0,44
CDM,596273,MAFENIDE 50GM PKT,1227.0,1227.0,65.03,1472.4,30
CDM,596274,SILVER NITRATE 25% SOL,675.0,675.0,35.77,810.0,48
CDM,596278,IMMUNIZ ADMIN SGL,304.0,304.0,26.14,364.8,48
CDM,596279,IMMUNIZ ADMIN EA ADDTL,262.0,262.0,13.89,314.4,49
CDM,596282,IV HYDRAT INIT UP TO 1HR,202.0,202.0,17.37,242.4,41
CDM,596283,IV HYDRAT EA ADD HR,6.0,6.0,0.52,7.2,41
CDM,596284,IV INITIAL UP TO 1 HOUR,187.0,187.0,16.08,224.4,41
CDM,596285,IV EACH ADD HOUR,16.0,16.0,1.38,19.2,41
CDM,596286,IV ADDL SEQ INF UP TO 1H,187.0,187.0,16.08,224.4,41
CDM,596287,IV CONCURRENT INFUSION,186.0,186.0,9.86,223.2,42
CDM,596288,INJECTION IM OR SQ,711.0,711.0,73.23,853.2,27
CDM,596289,IVP SINGLE/INITIAL DRUG,723.0,723.0,74.47,867.6,27
CDM,596290,IVP EA ADD SEQ NEW DRUG,723.0,723.0,74.47,867.6,27
CDM,596291,IVP EA ADD SEQ SAME DRUG,132.0,132.0,13.6,158.4,27
CDM,596292,LVL 1 FREE STD EMER DEPT,1971.0,1971.0,315.36,2365.2,10
CDM,596294,LVL 2 FREE STD EMER DEPT,3654.0,3654.0,584.64,4384.8,10
CDM,596295,LVL 3 FREE STD EMER DEPT,5859.0,5859.0,937.44,7030.8,10
CDM,596296,LVL 4 FREE STD EMER DEPT,7676.0,7676.0,1228.16,9211.2,10
CDM,596297,LVL 5 FREE STD EMER DEPT,16140.0,16140.0,2582.4,19368.0,10
CDM,596298,CRIT CARE 1ST 30-74M ER,17424.0,17424.0,2787.84,20908.8,10
CDM,596299,CRIT CARE EACH ADD 30MIN,7636.0,7636.0,786.51,9163.2,19
CDM,596309,ER PROC LEVEL 1,4643.0,4643.0,478.23,5571.6,27
CDM,596310,ER PROC LEVEL 2,5349.0,5349.0,550.95,6418.8,27
CDM,596311,ER PROC LEVEL 3,6060.0,6060.0,624.18,7272.0,27
CDM,596317,POTASS CL 2 MEQ INJ,76.0,76.0,4.03,91.2,30
CDM,596328,FMR1 DETECT ABN ALLELES,379.0,379.0,32.59,454.8,31
CDM,596329,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",1236.0,1236.0,50.56,155.76,35
CDM,596329,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis UNSCHEDULED",1236.0,1236.0,114.64,117.05,3
CDM,596329,SNRPN/UBE3A METHYLATION,1236.0,1236.0,106.3,1483.2,31
CDM,596334,ACD A/ANTICO-CIT-DEX1000,154.0,154.0,8.16,184.8,43
CDM,596335,CLOBAZAM 10 MG TAB,82.0,82.0,4.35,98.4,48
CDM,596342,DIALYSIS CCPD,1337.0,1337.0,70.86,1604.4,44
CDM,596347,SP TRANSCTH THPY EMBL,2841.0,2841.0,150.57,3409.2,32
CDM,596349,ROPIVACAINE 400 MG INJ,875.0,875.0,46.38,1050.0,30
CDM,596361,REPO PACER ICD LEAD,13439.0,13439.0,712.27,16126.8,34
CDM,596362,COLON W/ ENDO NEEDLE ASP,4093.0,4093.0,216.93,4911.6,41
CDM,596366,PERC TRANSCATH LAA CLOS,81258.0,81258.0,4306.67,97509.6,34
CDM,596367,INFECT ANTGN DETEC NOS,400.0,400.0,34.4,480.0,31
CDM,596370,HLA 1 TYP 1 ALLELE HR EA,201.0,201.0,17.29,241.2,31
CDM,596370,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",201.0,201.0,168.2,518.19,36
CDM,596370,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each UNSCHEDULED",201.0,201.0,114.64,117.05,3
CDM,596371,JAK2 V617F VARIANT,449.0,449.0,38.61,538.8,31
CDM,596387,MAG SULFATE 4G INJ,329.0,329.0,17.44,394.8,30
CDM,596390,UGI W/ENDO US FNA,6842.0,6842.0,362.63,8210.4,41
CDM,596407,IVIG GAMUNX/GAMMAK 10G,7194.0,7194.0,618.68,8632.8,29
CDM,596409,J C VIRUS AMP PROBE CSF,427.0,427.0,36.72,512.4,31
CDM,596419,HUBBARD TANK/15MIN OT,877.0,877.0,75.42,1052.4,36
CDM,596420,GAIT TRAINING 15 MIN OT,720.0,720.0,61.92,864.0,36
CDM,596427,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",62.0,62.0,72.64,223.78,36
CDM,596427,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant UNSCHEDULED",62.0,62.0,47.11,48.1,3
CDM,596427,F5 GENE LEIDEN VARIANT,62.0,62.0,5.33,74.4,31
CDM,596433,IMMUNIZ ADMIN SGL,304.0,304.0,26.14,364.8,48
CDM,596434,IMMUNIZ ADMIN EA ADDTL,262.0,262.0,13.89,314.4,49
CDM,596435,CPR,1274.0,1274.0,131.22,1528.8,27
CDM,596436,CARDIOVERSION EXTERNAL,2211.0,2211.0,190.15,2653.2,38
CDM,596437,IV HYDRAT INIT UP TO 1HR,202.0,202.0,17.37,242.4,41
CDM,596438,IV HYDRAT EA ADD HR,6.0,6.0,0.52,7.2,41
CDM,596439,IV INITIAL UP TO 1 HOUR,187.0,187.0,16.08,224.4,41
CDM,596440,IV EACH ADD HOUR,16.0,16.0,1.38,19.2,41
CDM,596441,IV ADDL SEQ INF UP TO 1H,187.0,187.0,16.08,224.4,41
CDM,596442,IV CONCURRENT INFUSION,186.0,186.0,9.86,223.2,42
CDM,596443,INJECTION IM OR SQ,711.0,711.0,73.23,853.2,27
CDM,596444,IVP SINGLE/INITIAL DRUG,723.0,723.0,74.47,867.6,27
CDM,596445,IVP EA ADD SEQ NEW DRUG,723.0,723.0,74.47,867.6,27
CDM,596446,IVP EA ADD SEQ SAME DRUG,132.0,132.0,13.6,158.4,27
CDM,596447,LVL 1 FREE STD EMER DEPT,1971.0,1971.0,315.36,2365.2,10
CDM,596449,LVL 2 FREE STD EMER DEPT,3654.0,3654.0,584.64,4384.8,10
CDM,596450,LVL 3 FREE STD EMER DEPT,5859.0,5859.0,937.44,7030.8,10
CDM,596451,LVL 4 FREE STD EMER DEPT,7676.0,7676.0,1228.16,9211.2,10
CDM,596452,LVL 5 FREE STD EMER DEPT,16140.0,16140.0,2582.4,19368.0,10
CDM,596453,CRIT CARE 1ST 30-74M ER,17424.0,17424.0,2787.84,20908.8,10
CDM,596454,CRIT CARE EACH ADD 30MIN,7636.0,7636.0,786.51,9163.2,19
CDM,596464,ER PROC LEVEL 1,4643.0,4643.0,478.23,5571.6,27
CDM,596465,ER PROC LEVEL 2,5349.0,5349.0,550.95,6418.8,27
CDM,596466,ER PROC LEVEL 3,6060.0,6060.0,624.18,7272.0,27
CDM,596482,"Injection, medroxyprogesterone acetate, 1 mg ",822.0,822.0,0.79,0.79,1
CDM,596482,MEDRXYPRGTRN 150MG INJ,822.0,822.0,43.57,986.4,30
CDM,596490,BRENTUXIMAB 50 MG INJ,10470.0,10470.0,900.42,12564.0,29
CDM,596490,"Injection, brentuximab vedotin, 1 mg ",10470.0,10470.0,260.67,443.4,2
CDM,596521,THORACENTESIS W/ IMAG,2224.0,2224.0,117.87,2668.8,30
CDM,596522,THORACENTESIS W/ IMAG,2224.0,2224.0,117.87,2668.8,30
CDM,596523,THORACENTESIS W/ IMAG,2224.0,2224.0,117.87,2668.8,30
CDM,596527,NSP THOR AORT W/ ANGIO,22493.0,22493.0,1192.13,26991.6,34
CDM,596528,NSP THOR AORT W/ ANGIO,22493.0,22493.0,1192.13,26991.6,34
CDM,596530,SP EX CAROTID ANGIO UNIL,22493.0,22493.0,1192.13,26991.6,34
CDM,596532,SP EX CAROTID ANGIO UNIL,22493.0,22493.0,1192.13,26991.6,34
CDM,596533,SP COM CAROTIDANGIO UNIL,22493.0,22493.0,1192.13,26991.6,34
CDM,596535,SP COM CAROTIDANGIO UNIL,22493.0,22493.0,1192.13,26991.6,34
CDM,596536,SP INT CAROTID ANGIO UNI,40884.0,40884.0,2166.85,49060.8,34
CDM,596538,SP INT CAROTID ANGIO UNI,40884.0,40884.0,2166.85,49060.8,34
CDM,596539,SP SUBCL ANGIO,23730.0,23730.0,1257.69,28476.0,34
CDM,596541,SP SUBCL ANGIO,23730.0,23730.0,1257.69,28476.0,34
CDM,596542,SP VERT ANGIO UNILAT,41564.0,41564.0,2202.89,49876.8,34
CDM,596544,SP VERT ANGIO UNILAT,41564.0,41564.0,2202.89,49876.8,34
CDM,596545,SP EX CARTIDANGIOUNI ADD,921.0,921.0,48.81,1105.2,34
CDM,596547,SP EX CARTIDANGIOUNI ADD,11449.0,11449.0,606.8,13738.8,34
CDM,596548,SP INCRAN ANGIO,1012.0,1012.0,53.64,1214.4,34
CDM,596550,SP INCRAN ANGIO,11449.0,11449.0,606.8,13738.8,34
CDM,596551,TRANSCATH RTRV FB S&I,22573.0,22573.0,1196.37,27087.6,34
CDM,596552,TRANSCATH RTRV FB S&I,15976.0,15976.0,846.73,19171.2,34
CDM,596553,NM THYROID UPTAKE W STIM,735.0,735.0,63.21,882.0,31
CDM,596553,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",735.0,735.0,,,0
CDM,596553,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) UNSCHEDULED",735.0,735.0,2208.96,2255.46,3
CDM,596554,NM THYROID SCAN W/FL,972.0,972.0,83.59,1166.4,31
CDM,596554,"Thyroid imaging (including vascular flow, when performed); ",972.0,972.0,,,0
CDM,596554,"Thyroid imaging (including vascular flow, when performed); UNSCHEDULED",972.0,972.0,2208.96,2255.46,3
CDM,596555,NM THYROID SCN UP/STIM V,1508.0,1508.0,129.69,1809.6,31
CDM,596555,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",1508.0,1508.0,,,0
CDM,596555,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) UNSCHEDULED",1508.0,1508.0,2208.96,2255.46,3
CDM,596556,PTCA SINGLE VESSEL,137198.0,137198.0,7271.49,164637.6,34
CDM,596559,COR ATH SGL ART,59870.0,59870.0,3173.11,71844.0,34
CDM,596562,PTCA STENT W ANGIO SGL,54612.0,54612.0,2894.44,65534.4,34
CDM,596564,PTCA STENT W ATH SGL,90747.0,90747.0,4809.59,108896.4,34
CDM,596566,RVS GFT ST/ATH/AN SGL,54612.0,54612.0,2894.44,65534.4,34
CDM,596568,RVS AMI ST/ATH/AN SGL,47007.0,47007.0,2491.37,56408.4,34
CDM,596569,RVS TCO ST/ATH/AN SGL,58293.0,58293.0,3089.53,69951.6,34
CDM,596571,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",99623.0,99623.0,1119.1,46072.0,25
CDM,596571,EP REPOS ELE SVT SGL,99623.0,99623.0,12950.99,119547.6,22
CDM,596573,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",106718.0,106718.0,1499.1,46072.0,25
CDM,596573,EP REPOS ELE VT 3D MAP,106718.0,106718.0,13873.34,128061.6,22
CDM,596575,EP INTRACARD DX TX,12219.0,12219.0,647.61,14662.8,28
CDM,596575,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",12219.0,12219.0,571.9,46072.0,24
CDM,596577,COM EP REPO CTH TX AFIB,106571.0,106571.0,13854.23,127885.2,22
CDM,596577,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",106571.0,106571.0,1502.9,46072.0,25
CDM,596579,ADD INTRACRD AFIB/PV ISO,12219.0,12219.0,647.61,14662.8,28
CDM,596579,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,12219.0,12219.0,570.95,46072.0,24
CDM,596581,PERC DRUG EL COR STNT SL,89124.0,89124.0,4723.57,106948.8,34
CDM,596582,PERC DRUG EL COR STNT AD,61811.0,61811.0,3275.98,74173.2,34
CDM,596583,PRC D-EL COR STNT ATH SL,96773.0,96773.0,5128.97,116127.6,34
CDM,596585,PRC D-EL COR RVSC CABG S,89124.0,89124.0,4723.57,106948.8,34
CDM,596587,PRC D-E COR REVSC AMI SL,93436.0,93436.0,4952.11,112123.2,34
CDM,596588,PRC D-E COR REVSC CHRN S,63084.0,63084.0,3343.45,75700.8,34
CDM,596600,NM PARATHY SPECT,2079.0,2079.0,178.79,2494.8,31
CDM,596600,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",2079.0,2079.0,,,0
CDM,596600,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) UNSCHEDULED",2079.0,2079.0,2208.96,2255.46,3
CDM,596601,PERC PLEUR DRN W/ IMG,2224.0,2224.0,117.87,2668.8,30
CDM,596602,PERC PLEUR DRN W/ IMG,2224.0,2224.0,117.87,2668.8,30
CDM,596603,PERC PLEUR DRN W/ IMG,2224.0,2224.0,117.87,2668.8,30
CDM,596604,ART THROMBOLYSIS INI,8011.0,8011.0,424.58,9613.2,34
CDM,596605,VEN THROMBOLYSIS INI,8022.0,8022.0,425.17,9626.4,34
CDM,596606,THROM F/U ADDITION DAY,17933.0,17933.0,950.45,21519.6,34
CDM,596607,THROM F/U W CATH REMOVAL,17933.0,17933.0,950.45,21519.6,34
CDM,596630,INJECTION IM OR SQ,711.0,711.0,73.23,853.2,27
CDM,596631,INJECTION IM OR SQ,711.0,711.0,73.23,853.2,27
CDM,596634,INJECTION IM OR SQ,711.0,711.0,73.23,853.2,27
CDM,596652,DIRECT COOMBS POLYVALENT,300.0,300.0,25.8,360.0,31
CDM,596658,APIXABAN 2.5MG TAB,53.0,53.0,2.81,63.6,49
CDM,596659,APIXABAN 5MG TAB,56.0,56.0,2.97,67.2,49
CDM,596671,PRAMOX/HC AC 2.5% CR 4GM,710.0,710.0,37.63,852.0,49
CDM,596674,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",966.0,966.0,412.61,1271.18,39
CDM,596674,RESP MPLEX RT AMP 12-25,966.0,966.0,83.08,1159.2,31
CDM,596708,CYSTO W/ STENT INSERT,13697.0,13697.0,725.94,16436.4,34
CDM,596710,XR CYSTOURETHRO RETRO,3500.0,3500.0,301.0,4200.0,31
CDM,596715,XR DILAT INTRALUM,3499.0,3499.0,185.45,4198.8,32
CDM,596717,CYSTO W/URETERAL CATH,8534.0,8534.0,452.3,10240.8,34
CDM,596718,DARUNAVIR 800MG TAB,216.0,216.0,11.45,259.2,49
CDM,6178,MEROPENEM 1 G INJ,40.0,40.0,2.12,48.0,30
CDM,6183,MEROPENEM 500 MG INJ,428.0,428.0,22.68,513.6,30
CDM,624,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,6246,MICAFUNGIN 100 MG INJ,1382.0,1382.0,73.25,1658.4,30
CDM,627,DIRECT REFERRAL TO OBS,1236.0,1236.0,197.76,1483.2,10
CDM,628,RM & BD ISOLATION,3175.0,3175.0,,,0
CDM,629,RM & BD PRIVATE,3175.0,3175.0,,,0
CDM,634,PRIVATE RM W/TELE ADJ,4839.0,4839.0,256.47,5806.8,49
CDM,6352,MIDAZOLAM 2 MG INJ,143.0,143.0,7.58,171.6,30
CDM,6357,MIDAZOLAM 5 MG INJ,143.0,143.0,7.58,171.6,30
CDM,6381,MILRINONE LAC 20 MG INJ,34.0,34.0,1.8,40.8,30
CDM,6429,MORPHINE SULF 10MG INJ,1.0,1.0,0.05,1.2,30
CDM,6445,MORPHINE SULF 10MG INJ,143.0,143.0,7.58,171.6,30
CDM,6508,"Injection, moxifloxacin, 100 mg ",292.0,292.0,8.48,8.48,1
CDM,6508,MOXIFLOXACIN 400 MG INJ,292.0,292.0,15.48,350.4,30
CDM,652,RM & BD SEMI PVT,3175.0,3175.0,,,0
CDM,655,RM & BD SEMI PVT ADJ,3191.0,3191.0,169.12,3829.2,49
CDM,6590,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",4302.72,4302.72,182.7,182.7,1
CDM,6590,OCTREOTIDE DEPO IM 20MG,4302.72,4302.72,370.03,5163.26,29
CDM,670,INTERMEDIATE ICU,9333.0,9333.0,,,0
CDM,671,INTERMEDIATE ICU ADJ,9421.0,9421.0,499.31,11305.2,49
CDM,6759,OCTREOTID ND SQIV 100MCG,95.0,95.0,5.04,114.0,44
CDM,6762,OCTREOTID ND SQIV 500MCG,13.24,13.24,0.7,15.89,44
CDM,6774,OCTREOTIDE ND SQIV 25MCG,85.0,85.0,4.5,102.0,44
CDM,678,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,681,DIRECT REFERRAL TO OBS,1236.0,1236.0,197.76,1483.2,10
CDM,684,RM & BD PRIVATE,3175.0,3175.0,,,0
CDM,6844,ONDANSETRON 4 MG INJ,13.75,13.75,0.73,16.5,30
CDM,6846,ONDANSETRON 1 MG INJ,3299.0,3299.0,174.85,3958.8,30
CDM,685,PRIVATE RM W/TELE ADJ,4839.0,4839.0,256.47,5806.8,49
CDM,6858,"Injection, pamidronate disodium, per 30 mg ",2356.0,2356.0,12.05,12.05,1
CDM,6858,PAMIDRONATE 30 MG INJ,2356.0,2356.0,124.87,2827.2,30
CDM,687,RM & BD PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,6872,"Injection, paricalcitol, 1 mcg ",435.0,435.0,0.99,0.99,1
CDM,6872,PARICALCITOL 5 MCG INJ,435.0,435.0,23.05,522.0,30
CDM,688,PRIVATE RM W/TELE,4839.0,4839.0,,,0
CDM,6908,PENTOBARBITAL 50 MG INJ,143.0,143.0,7.58,171.6,30
CDM,691,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,692,RM & BD SEMI PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,6953,PIP SOD/TAZ 2.25 G INJ,226.0,226.0,11.98,271.2,30
CDM,6954,PIP SOD/TAZ 3.375 G INJ,118.45,118.45,6.28,142.14,30
CDM,6955,PIP SOD/TAZ 4.5 G INJ,374.0,374.0,19.82,448.8,30
CDM,700093,SPLIT PROD SPECIFY AMT,3202.45,3202.45,275.41,3842.94,48
CDM,700095,COAG INTERPRETATION,50.0,50.0,4.3,60.0,31
CDM,700095,"Fibrinolysins or coagulopathy screen, interpretation and report ",50.0,50.0,15.33,47.21,36
CDM,700095,"Fibrinolysins or coagulopathy screen, interpretation and report UNSCHEDULED",50.0,50.0,40.83,41.69,3
CDM,700097,CHEST XRAY 1 V,302.0,302.0,25.97,362.4,31
CDM,700098,CHEST XRAY 2 V,302.0,302.0,25.97,362.4,31
CDM,700099,CHEST XRAY 3 V,302.0,302.0,25.97,362.4,31
CDM,700125,XR CLAVICLE COMP BI,302.0,302.0,25.97,362.4,31
CDM,700126,XR CLAVICLE COMP LT,302.0,302.0,25.97,362.4,31
CDM,700127,XR CLAVICLE COMP RT,302.0,302.0,25.97,362.4,31
CDM,700128,XR SHOULDER 1 V BI,302.0,302.0,25.97,362.4,31
CDM,700129,XR SHOULDER 1 V LT,302.0,302.0,25.97,362.4,31
CDM,700130,XR SHOULDER 1 V RT,302.0,302.0,25.97,362.4,31
CDM,700131,XR ELBOW 2 VIEWS BI,302.0,302.0,25.97,362.4,31
CDM,700134,XR ELBOW 2 VIEWS LT,302.0,302.0,25.97,362.4,31
CDM,700135,XR ELBOW 2 VIEWS RT,302.0,302.0,25.97,362.4,31
CDM,700136,XR WRIST 2 VIEWS BI,302.0,302.0,25.97,362.4,31
CDM,700137,XR WRIST 2 VIEWS LT,302.0,302.0,25.97,362.4,31
CDM,700138,XR WRIST 2 VIEWS RT,302.0,302.0,25.97,362.4,31
CDM,700139,XR ANKLE 2 VIEWS BI,302.0,302.0,25.97,362.4,31
CDM,700140,XR ANKLE 2 VIEWS LT,302.0,302.0,25.97,362.4,31
CDM,700141,XR ANKLE 2 VIEWS RT,302.0,302.0,25.97,362.4,31
CDM,700142,XR FOOT 2 VIEWS BI,302.0,302.0,25.97,362.4,31
CDM,700144,XR FOOT 2 VIEWS LT,302.0,302.0,25.97,362.4,31
CDM,700145,XR FOOT 2 VIEWS RT,302.0,302.0,25.97,362.4,31
CDM,700146,XR CALCANEUS 2 + V BI,302.0,302.0,25.97,362.4,31
CDM,700147,XR CALCANEUS 2 + V LT,302.0,302.0,25.97,362.4,31
CDM,700148,XR CALCANEUS 2 + V RT,302.0,302.0,25.97,362.4,31
CDM,700149,XR TOE(S) 2 + V BI,302.0,302.0,25.97,362.4,31
CDM,700153,XR TOE(S) 2 + V LT,302.0,302.0,25.97,362.4,31
CDM,700155,XR TOE(S) 2 + V RT,302.0,302.0,25.97,362.4,31
CDM,700156,ABD XR 1V,302.0,302.0,25.97,362.4,31
CDM,700157,XR FOOT 1 VIEW BI,302.0,302.0,25.97,362.4,31
CDM,700158,XR FOOT 1 VIEW LT,302.0,302.0,25.97,362.4,31
CDM,700159,XR FOOT 1 VIEW RT,302.0,302.0,25.97,362.4,31
CDM,700160,XR ELBOW 1 VIEW BI,302.0,302.0,25.97,362.4,31
CDM,700161,XR ELBOW 1 VIEW LT,302.0,302.0,25.97,362.4,31
CDM,700162,XR ELBOW 1 VIEW RT,302.0,302.0,25.97,362.4,31
CDM,700163,XR ANKLE 1 VIEW BI,302.0,302.0,25.97,362.4,31
CDM,700168,XR ANKLE 1 VIEW LT,302.0,302.0,25.97,362.4,31
CDM,700169,XR ANKLE 1 VIEW RT,302.0,302.0,25.97,362.4,31
CDM,700170,XR SPINE 1 VIEW,347.0,347.0,29.84,416.4,31
CDM,700171,XR HIP W PEL UNI 1 V LT,347.0,347.0,29.84,416.4,31
CDM,700172,XR HIP W PEL UNI 1 V RT,347.0,347.0,29.84,416.4,31
CDM,700173,XR HIP W PEL UN 2-3 V LT,347.0,347.0,29.84,416.4,31
CDM,700174,XR HIP W PEL UN 2-3 V RT,347.0,347.0,29.84,416.4,31
CDM,700178,XR FEMUR 1 VIEW BI,347.0,347.0,29.84,416.4,31
CDM,700179,XR FEMUR 1 VIEW LT,347.0,347.0,29.84,416.4,31
CDM,700180,XR FEMUR 1 VIEW RT,347.0,347.0,29.84,416.4,31
CDM,700181,XR FEMUR MIN 2 V BI,347.0,347.0,29.84,416.4,31
CDM,700185,XR FEMUR MIN 2 V LT,347.0,347.0,29.84,416.4,31
CDM,700186,XR FEMUR MIN 2 V RT,347.0,347.0,29.84,416.4,31
CDM,700189,XR ABD ACUTE W/CHEST,552.0,552.0,47.47,662.4,31
CDM,700190,CHEST XRAY 4+,555.0,555.0,47.73,666.0,31
CDM,700191,XR T-SPINE 3 VIEWS,555.0,555.0,47.73,666.0,31
CDM,700192,XR SCAPULA COMP BI,555.0,555.0,47.73,666.0,31
CDM,700193,XR SCAPULA COMP LT,555.0,555.0,47.73,666.0,31
CDM,700194,XR SCAPULA COMP RT,555.0,555.0,47.73,666.0,31
CDM,700195,XR HAND 2 V BI,555.0,555.0,47.73,666.0,31
CDM,700196,XR HAND 2 V LT,555.0,555.0,47.73,666.0,31
CDM,700197,XR HAND 2 V RT,555.0,555.0,47.73,666.0,31
CDM,700199,ABD XR 2V,555.0,555.0,47.73,666.0,31
CDM,700208,XR HAND 1 V BI,555.0,555.0,47.73,666.0,31
CDM,700209,XR HAND 1 V LT,555.0,555.0,47.73,666.0,31
CDM,700210,XR HAND 1 V RT,555.0,555.0,47.73,666.0,31
CDM,700211,XR KNEE 4 + V BI,572.0,572.0,49.19,686.4,31
CDM,700214,XR KNEE 4 + V LT,572.0,572.0,49.19,686.4,31
CDM,700218,XR KNEE 4 + V RT,572.0,572.0,49.19,686.4,31
CDM,700219,XR HIP W PEL BI 2 VIEW,578.0,578.0,49.71,693.6,31
CDM,700224,US PREG 1ST TRIMTR,735.0,735.0,63.21,882.0,31
CDM,700226,US PREG UT TRANSVAGINAL,735.0,735.0,63.21,882.0,31
CDM,700227,US CHST W/MEDIASTINUM,840.0,840.0,72.24,1008.0,31
CDM,700228,US SOFT TISSUE UPR BACK,840.0,840.0,72.24,1008.0,31
CDM,700229,DUP LE ART UNI LT,915.0,915.0,78.69,1098.0,36
CDM,700233,DUP LE ART UNI RT,915.0,915.0,78.69,1098.0,36
CDM,700235,DUP LE ART UNI/LTD,915.0,915.0,78.69,1098.0,36
CDM,700236,DUP VEIN UNI LT,935.0,935.0,80.41,1122.0,36
CDM,700237,DUP VEIN UNI RT,935.0,935.0,80.41,1122.0,36
CDM,700238,DUP VEIN UNI/LTD,935.0,935.0,80.41,1122.0,36
CDM,700239,DUP A/V STUDY,935.0,935.0,80.41,1122.0,36
CDM,700240,DUP UE ART UNI LT,963.0,963.0,82.82,1155.6,36
CDM,700241,DUP UE ART UNI RT,963.0,963.0,82.82,1155.6,36
CDM,700243,DUP UE ART UNI/LTD,963.0,963.0,82.82,1155.6,36
CDM,700244,XR SI JOINTS 3 + V,1055.0,1055.0,90.73,1266.0,31
CDM,700246,CTA UPPER EXTREMITY LT,1254.0,1254.0,107.84,1504.8,28
CDM,700247,CTA UPPER EXTREMITY RT,1254.0,1254.0,107.84,1504.8,28
CDM,700248,CTA PELVIS,1323.0,1323.0,113.78,1587.6,28
CDM,700249,CTA ABD&PEL W CONT,1323.0,1323.0,113.78,1587.6,28
CDM,700250,US PREG AFTER 1ST TRI,1422.0,1422.0,122.29,1706.4,31
CDM,700251,US PREGNANCY LTD,1422.0,1422.0,122.29,1706.4,31
CDM,700252,US RETROPERITONEAL COM,1494.0,1494.0,128.48,1792.8,31
CDM,700253,US PELVIC LTD OR FU,1686.0,1686.0,145.0,2023.2,31
CDM,700254,DUP AB/PEL/SC LTD,2012.0,2012.0,173.03,2414.4,36
CDM,700255,XR PELVIS 1/2 VIEWS,2116.0,2116.0,181.98,2539.2,31
CDM,700257,XR BONE SURVEY COMP,2135.0,2135.0,183.61,2562.0,31
CDM,700258,XR KNEE 1 OR 2 V BI,2154.0,2154.0,185.24,2584.8,31
CDM,700259,XR KNEE 1 OR 2 V LT,2154.0,2154.0,185.24,2584.8,31
CDM,700260,XR KNEE 1 OR 2 V RT,2154.0,2154.0,185.24,2584.8,31
CDM,700261,US EXTREM NON VASC LTD,2339.0,2339.0,201.15,2806.8,31
CDM,700263,XR RIBS UNI 2 V LT,2421.0,2421.0,208.21,2905.2,31
CDM,700264,XR RIBS UNI 2 V RT,2421.0,2421.0,208.21,2905.2,31
CDM,700265,US HEAD AND NECK,2489.0,2489.0,214.05,2986.8,31
CDM,700266,US ABDOMEN LTD,2554.0,2554.0,219.64,3064.8,31
CDM,700268,XR NECK SOFT TISSUE,2563.0,2563.0,220.42,3075.6,31
CDM,700269,US TRANSVAGINAL,2681.0,2681.0,230.57,3217.2,31
CDM,700270,US SCROTUM AND CNTS,2683.0,2683.0,230.74,3219.6,31
CDM,700271,XR T-L-SPINE 2 VIEWS,2702.0,2702.0,232.37,3242.4,31
CDM,700273,XR SKULL < 4 V,2793.0,2793.0,240.2,3351.6,31
CDM,700274,XR FINGER(S) 2 + V BI,2802.0,2802.0,240.97,3362.4,31
CDM,700275,XR FINGER(S) 2 + V LT,2802.0,2802.0,240.97,3362.4,31
CDM,700276,XR FINGER(S) 2 + V RT,2802.0,2802.0,240.97,3362.4,31
CDM,700277,XR SPINE 1 V SPEC LEVEL,2881.0,2881.0,247.77,3457.2,31
CDM,700279,XR HUMERUS 2 + V LT,2883.0,2883.0,247.94,3459.6,31
CDM,700280,XR HUMERUS 2 + V RT,2883.0,2883.0,247.94,3459.6,31
CDM,700281,XR MANDIBLE < 4 V,3003.0,3003.0,258.26,3603.6,31
CDM,700282,XR STERNUM 2 + V,3012.0,3012.0,259.03,3614.4,31
CDM,700284,XR FACIAL BONES < 3 V,3024.0,3024.0,260.06,3628.8,31
CDM,700285,XR FOREARM 2 VIEWS BI,3033.0,3033.0,260.84,3639.6,31
CDM,700286,XR FOREARM 2 VIEWS LT,3033.0,3033.0,260.84,3639.6,31
CDM,700287,XR FOREARM 2 VIEWS RT,3033.0,3033.0,260.84,3639.6,31
CDM,700288,XR TIBIA/FIBULA 2 V BI,3223.0,3223.0,277.18,3867.6,31
CDM,700289,XR TIBIA/FIBULA 2 V LT,3223.0,3223.0,277.18,3867.6,31
CDM,700291,XR TIBIA/FIBULA 2 V RT,3223.0,3223.0,277.18,3867.6,31
CDM,700292,XR HAND 3 + V BI,3269.0,3269.0,281.13,3922.8,31
CDM,700294,XR HAND 3 + V LT,3269.0,3269.0,281.13,3922.8,31
CDM,700295,XR HAND 3 + V RT,3269.0,3269.0,281.13,3922.8,31
CDM,700296,XR KNEE 3 V BI,3269.0,3269.0,281.13,3922.8,31
CDM,700297,XR KNEE 3 V LT,3269.0,3269.0,281.13,3922.8,31
CDM,700299,XR KNEE 3 V RT,3269.0,3269.0,281.13,3922.8,31
CDM,700306,XR WRIST 3 + V BI,3276.0,3276.0,281.74,3931.2,31
CDM,700308,XR WRIST 3 + V LT,3276.0,3276.0,281.74,3931.2,31
CDM,700310,XR WRIST 3 + V RT,3276.0,3276.0,281.74,3931.2,31
CDM,700312,US PELVIC COMPLETE,3285.0,3285.0,282.51,3942.0,31
CDM,700316,CTA ABD AORTA IF LWEX RO,3384.0,3384.0,291.02,4060.8,28
CDM,700318,XR NASAL BONES COMP,3577.0,3577.0,307.62,4292.4,31
CDM,700322,XR SACRUM/COCCYX 2 + V,3723.0,3723.0,320.18,4467.6,31
CDM,700324,XR SHOULDER 2 + V BI,3723.0,3723.0,320.18,4467.6,31
CDM,700326,XR SHOULDER 2 + V LT,3723.0,3723.0,320.18,4467.6,31
CDM,700328,XR SHOULDER 2 + V RT,3723.0,3723.0,320.18,4467.6,31
CDM,700332,XR ANKLE 3 + V BI,3723.0,3723.0,320.18,4467.6,31
CDM,700334,XR ANKLE 3 + V LT,3723.0,3723.0,320.18,4467.6,31
CDM,700338,XR ANKLE 3 + V RT,3723.0,3723.0,320.18,4467.6,31
CDM,700340,XR ELBOW 3 + V BI,3768.0,3768.0,324.05,4521.6,31
CDM,700342,XR ELBOW 3 + V LT,3768.0,3768.0,324.05,4521.6,31
CDM,700344,XR ELBOW 3 + V RT,3768.0,3768.0,324.05,4521.6,31
CDM,700346,XR T-SPINE 2 VIEWS,3835.0,3835.0,329.81,4602.0,31
CDM,700348,XR RIBS BI 3 V,3904.0,3904.0,335.74,4684.8,31
CDM,700350,XR C-SPINE 2-3 VIEWS,4169.0,4169.0,358.53,5002.8,31
CDM,700352,US ABDOMEN COMPLETE,4330.0,4330.0,372.38,5196.0,31
CDM,700354,XR MANDIBLE 4 + V,4431.0,4431.0,381.07,5317.2,31
CDM,700356,XR C-SPINE 4-5 V,4465.0,4465.0,383.99,5358.0,31
CDM,700360,DUP LE ART BIL,4482.0,4482.0,385.45,5378.4,36
CDM,700362,XR RIBS UNI W/CXR 3+V LT,4580.0,4580.0,393.88,5496.0,31
CDM,700363,XR RIBS UNI W/CXR 3+V RT,4580.0,4580.0,393.88,5496.0,31
CDM,700364,XR C-SPINE 6 + V,4743.0,4743.0,407.9,5691.6,31
CDM,700366,XR FACIAL BONES 3 + V,4977.0,4977.0,428.02,5972.4,31
CDM,700367,DUP AO/IVC/IV/BPG COMP,5254.0,5254.0,451.84,6304.8,36
CDM,700368,XR ORBITS 4 + V,5316.0,5316.0,457.18,6379.2,31
CDM,700371,XR SKULL 4 + V,5514.0,5514.0,474.2,6616.8,31
CDM,700372,DUP EXTRACRANIAL BIL,5522.0,5522.0,474.89,6626.4,36
CDM,700373,XR FOOT 3 + V BI,5871.0,5871.0,504.91,7045.2,31
CDM,700374,XR FOOT 3 + V LT,5871.0,5871.0,504.91,7045.2,31
CDM,700375,XR FOOT 3 + V RT,5871.0,5871.0,504.91,7045.2,31
CDM,700376,DOP ART >3 LEVELS BIL,6414.0,6414.0,551.6,7696.8,36
CDM,700377,XR L-SPINE 2/3 VIEWS,6518.0,6518.0,560.55,7821.6,31
CDM,700378,XR L-SPINE W/BEND VIEW,7002.0,7002.0,602.17,8402.4,31
CDM,700379,XR L-SPINE 4 + VIEWS,7214.0,7214.0,620.4,8656.8,31
CDM,700380,DUP VEIN BIL,7611.0,7611.0,654.55,9133.2,36
CDM,700382,CTA LOW EXTREMITY BI,11572.0,11572.0,995.19,13886.4,28
CDM,700383,CTA LOW EXTREMITY LT,11572.0,11572.0,995.19,13886.4,28
CDM,700384,CTA LOW EXTREMITY RT,11572.0,11572.0,995.19,13886.4,28
CDM,700385,CT T-SPINE W/O CONTRAST,11862.0,11862.0,1020.13,14234.4,28
CDM,700386,CT NECK W/O CONTRAST,12426.0,12426.0,1068.64,14911.2,28
CDM,700387,CT PELVIS W/O CONTRAST,12426.0,12426.0,1068.64,14911.2,28
CDM,700388,CT LOWER EXTRM W/O C BI,12426.0,12426.0,1068.64,14911.2,28
CDM,700389,CT LOWER EXTRM W/O C LT,12426.0,12426.0,1068.64,14911.2,28
CDM,700390,CT LOWER EXTRM W/O C RT,12426.0,12426.0,1068.64,14911.2,28
CDM,700391,CTA CHEST,12727.0,12727.0,1094.52,15272.4,28
CDM,700393,CT UP EXTREM W/O CONT BI,12727.0,12727.0,1094.52,15272.4,28
CDM,700394,CT UP EXTREM W/O CONT LT,12727.0,12727.0,1094.52,15272.4,28
CDM,700395,CT UP EXTREM W/O CONT RT,12727.0,12727.0,1094.52,15272.4,28
CDM,700396,CT UP EXTREM W/CONT BI,12727.0,12727.0,1094.52,15272.4,28
CDM,700397,CT UP EXTREM W/CONT LT,12727.0,12727.0,1094.52,15272.4,28
CDM,700398,CT UP EXTREM W/CONT RT,12727.0,12727.0,1094.52,15272.4,28
CDM,700399,CT ABDOMEN W/O CONT,13029.0,13029.0,1120.49,15634.8,28
CDM,700400,CT CHEST W/O CONTRAST,13900.0,13900.0,1195.4,16680.0,28
CDM,700401,CT C-SPINE W/O CONTRAST,15281.0,15281.0,1314.17,18337.2,28
CDM,700402,CTA NECK AIDOC TECH,15684.0,15684.0,1348.82,18820.8,28
CDM,700407,CTA NECK RAPIDAI TECH,15684.0,15684.0,1348.82,18820.8,28
CDM,700408,CTA NECK VIZ AI TECH,15684.0,15684.0,1348.82,18820.8,28
CDM,700409,CTA NECK,15684.0,15684.0,1348.82,18820.8,28
CDM,700410,CT HEAD/BRAIN W/O CONT,16182.0,16182.0,1391.65,19418.4,28
CDM,700411,CTA HEAD AIDOC TECH,16182.0,16182.0,1391.65,19418.4,28
CDM,700412,CTA HEAD RAPIDAI TECH,16182.0,16182.0,1391.65,19418.4,28
CDM,700413,CTA HEAD VIZ AI TECH,16182.0,16182.0,1391.65,19418.4,28
CDM,700415,CTA HEAD,16182.0,16182.0,1391.65,19418.4,28
CDM,700417,CTA ABDOMEN,16182.0,16182.0,1391.65,19418.4,28
CDM,700418,CT ORBIT/SELLA/IAC WO,16399.0,16399.0,1410.31,19678.8,28
CDM,700419,CT MAXIFAC W/CONTRAST,16399.0,16399.0,1410.31,19678.8,28
CDM,700420,CT L-SPINE W/O CONTRAST,16399.0,16399.0,1410.31,19678.8,28
CDM,700421,CT MAXIFAC W/O CNT,16938.0,16938.0,1456.67,20325.6,28
CDM,700422,CT T-SPINE W/CONTRAST,17334.0,17334.0,1490.72,20800.8,28
CDM,700423,CT LOWER EXTRM W/CON BI,18175.0,18175.0,1563.05,21810.0,28
CDM,700425,CT LOWER EXTRM W/CON LT,18175.0,18175.0,1563.05,21810.0,28
CDM,700426,CT LOWER EXTRM W/CON RT,18175.0,18175.0,1563.05,21810.0,28
CDM,700428,CT NECK W/CONTRAST,18192.0,18192.0,1564.51,21830.4,28
CDM,700429,CT PELVIS W/CONTRAST,18192.0,18192.0,1564.51,21830.4,28
CDM,700430,CT HD/BR W&W/O CONT,19048.0,19048.0,1638.13,22857.6,28
CDM,700431,CT ABDOMEN W/CONT,19048.0,19048.0,1638.13,22857.6,28
CDM,700432,CT ORBIT/SELLA/IAC W,19054.0,19054.0,1638.64,22864.8,28
CDM,700433,CT L-SPINE W/CONTRAST,19533.0,19533.0,1679.84,23439.6,28
CDM,700436,CT ORBIT/SELLA/IAC W&WO,19959.0,19959.0,1716.47,23950.8,28
CDM,700437,CT CHEST W/CONTRAST,20649.0,20649.0,1775.81,24778.8,28
CDM,700438,CT CHEST W&W/O CONT,21654.0,21654.0,1862.24,25984.8,28
CDM,700439,CT ABD&PELVIS W/O CONT,25461.0,25461.0,2189.65,30553.2,28
CDM,700440,CT ABD&PELVIS W/CONT,37242.0,37242.0,3202.81,44690.4,28
CDM,700441,CT ABD&PELVIS W&WO CONT,39003.0,39003.0,3354.26,46803.6,28
CDM,700489,VASOPRES 0.05UNIT/ML INJ,0.25,0.25,0.01,0.3,30
CDM,700490,PHENYLEPH 100 MCG/ML INJ,0.76,0.76,0.04,0.91,30
CDM,700513,LIDOC/PRILO 2.5/2.5% TOP,32.0,32.0,1.7,38.4,49
CDM,700527,ENALAPRIL LIQ PO,2.4,2.4,0.13,2.88,49
CDM,700668,CT UP EXTREM W/O CONT RT,12727.0,12727.0,1094.52,15272.4,28
CDM,700672,XR HIP W PEL UNI 1 V LT,347.0,347.0,29.84,416.4,31
CDM,700673,XR HIP W PEL UN 2-3 V LT,347.0,347.0,29.84,416.4,31
CDM,700674,XR HIP W PEL UN 2-3 V RT,347.0,347.0,29.84,416.4,31
CDM,700719,CTA LOW EXTREMITY RT,11572.0,11572.0,995.19,13886.4,28
CDM,700796,ETHIODIZED OIL INJ,7200.0,7200.0,381.6,8640.0,29
CDM,700822,IMMUNIZ ADMIN SGL,304.0,304.0,26.14,364.8,48
CDM,700823,IMMUNIZ ADMIN EA ADDTL,262.0,262.0,13.89,314.4,49
CDM,700824,IV HYDRAT INIT UP TO 1HR,202.0,202.0,17.37,242.4,41
CDM,700827,IV HYDRAT EA ADD HR,6.0,6.0,0.52,7.2,41
CDM,700828,IV INITIAL UP TO 1 HOUR,187.0,187.0,16.08,224.4,41
CDM,700829,IV EACH ADD HOUR,16.0,16.0,1.38,19.2,41
CDM,700830,IV ADDL SEQ INF UP TO 1H,187.0,187.0,16.08,224.4,41
CDM,700831,IV CONCURRENT INFUSION,186.0,186.0,9.86,223.2,42
CDM,700832,INJECTION IM OR SQ,711.0,711.0,73.23,853.2,27
CDM,700833,IVP SINGLE/INITIAL DRUG,723.0,723.0,74.47,867.6,27
CDM,700834,IVP EA ADD SEQ NEW DRUG,723.0,723.0,74.47,867.6,27
CDM,700835,IVP EA ADD SEQ SAME DRUG,132.0,132.0,13.6,158.4,27
CDM,700837,LVL 1 FREE STD EMER DEPT,1971.0,1971.0,315.36,2365.2,10
CDM,700838,LVL 2 FREE STD EMER DEPT,3654.0,3654.0,584.64,4384.8,10
CDM,700839,LVL 3 FREE STD EMER DEPT,5859.0,5859.0,937.44,7030.8,10
CDM,700841,LVL 4 FREE STD EMER DEPT,7676.0,7676.0,1228.16,9211.2,10
CDM,700842,LVL 5 FREE STD EMER DEPT,16140.0,16140.0,2582.4,19368.0,10
CDM,700843,CRIT CARE 1ST 30-74M ER,17424.0,17424.0,2787.84,20908.8,10
CDM,700844,CRIT CARE ECH ADD 30M ER,7636.0,7636.0,786.51,9163.2,19
CDM,700845,CAT 1 ED PROCEDURE,4643.0,4643.0,478.23,5571.6,27
CDM,700851,CAT 2 ED PROCEDURE,5349.0,5349.0,550.95,6418.8,27
CDM,700852,CAT 3 ED PROCEDURE,6060.0,6060.0,624.18,7272.0,27
CDM,700853,SQ INFUSION UP TO 1 HOUR,143.0,143.0,14.73,171.6,27
CDM,700859,SQ INFUSION EA ADDL HOUR,66.0,66.0,5.68,79.2,48
CDM,700860,SQ INFUSION ADDL PUMP SU,69.0,69.0,5.93,82.8,48
CDM,700900,ACETYLCYSTN 10% 4 ML INH,20.0,20.0,1.06,24.0,30
CDM,700901,"Injection, valproate sodium, 5 mg ",7.24,7.24,0.04,0.04,1
CDM,700901,VALPROATE 30MG/ML INJ,7.24,7.24,0.38,8.69,30
CDM,700939,HBIG HUMAN 0.5 ML IM,729.0,729.0,62.69,874.8,29
CDM,700939,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",729.0,729.0,136.0,136.0,1
CDM,700939,"Hepatitis B immune globulin (HBIg), human, for intramuscular use UNSCHEDULED",729.0,729.0,1067.84,1090.32,3
CDM,700952,"Injection, tranexamic acid in sodium chloride, 5 mg ",42.0,42.0,,,0
CDM,700952,TRANEX NACL 1000MG INJ,42.0,42.0,2.23,50.4,30
CDM,700958,RVSC IVT ANG SFL EA,101040.0,101040.0,5355.12,121248.0,34
CDM,700959,RVSC IVT ANG CL IN,101040.0,101040.0,5355.12,121248.0,34
CDM,700986,RV FPVT STN/ATH SFL IN,135075.0,135075.0,7158.98,162090.0,34
CDM,700995,RVSC FPVT STNT SFL EA,204941.0,204941.0,10861.87,245929.2,34
CDM,700996,RVSC FPVT STNT SFL IN,46585.0,46585.0,2469.01,55902.0,34
CDM,701894,RVSC FPVT ANG SFL IN,101040.0,101040.0,5355.12,121248.0,34
CDM,701895,LITH INTRVSC IVT SAM ART,42794.0,42794.0,2268.08,51352.8,34
CDM,701897,RVSC IVT STNT CL IN,204941.0,204941.0,10861.87,245929.2,34
CDM,701898,RVSC IVT STNT SFL EA,204941.0,204941.0,10861.87,245929.2,34
CDM,701899,RVSC IVT STN SFL IN,204941.0,204941.0,10861.87,245929.2,34
CDM,701947,TENECTEPLASE 25 MG INJ,36656.0,36656.0,3152.42,43987.2,29
CDM,701948,CT CER PER W/O CONC CT/A,16182.0,16182.0,857.65,19418.4,33
CDM,701948,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",16182.0,16182.0,,,0
CDM,701949,CT CER PER W CONC CT/CTA,16182.0,16182.0,857.65,19418.4,33
CDM,701949,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed with concurrent CT or CT angiography of the same anatomy (List separately in a",16182.0,16182.0,,,0
CDM,701953,CTA H&N W/CON+NONCON IMG,16182.0,16182.0,857.65,19418.4,33
CDM,701953,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",16182.0,16182.0,,,0
CDM,701959,MITOMYCIN 5 MG INJ,302.0,302.0,25.97,362.4,29
CDM,701960,OXALIPLATIN 50 MG INJ,71.0,71.0,3.76,85.2,30
CDM,701961,PANITUMUMAB 400 MG INJ,35572.0,35572.0,3059.19,42686.4,29
CDM,701979,XR HIP W PEL UN M4 VW RT,555.0,555.0,47.73,666.0,31
CDM,701980,XR HIP W PEL UN M4 VW LT,555.0,555.0,47.73,666.0,31
CDM,701981,XR HIP W PEL UN M4 VW RT,555.0,555.0,47.73,666.0,31
CDM,701982,XR HIP W PEL UN M4 VW LT,555.0,555.0,47.73,666.0,31
CDM,702468,RVSC FPVT STN CL IN,204941.0,204941.0,10861.87,245929.2,34
CDM,702538,RVSC FPVT STNT SFL IN,204941.0,204941.0,10861.87,245929.2,34
CDM,702539,RVSC FPVT ANG SFL IN,101040.0,101040.0,5355.12,121248.0,34
CDM,702540,RVSC FPVT ANG CL IN,101040.0,101040.0,5355.12,121248.0,34
CDM,702541,RVSC IVT ANG CL IN,101040.0,101040.0,5355.12,121248.0,34
CDM,702542,RVSC IVT ANG SFL IN,101040.0,101040.0,5355.12,121248.0,34
CDM,702544,RVSC IVT STN SFL IN,204941.0,204941.0,10861.87,245929.2,34
CDM,702545,RVSC IVT STNT CL IN,204941.0,204941.0,10861.87,245929.2,34
CDM,702555,RVSC IVT ANG SFL EA,101040.0,101040.0,5355.12,121248.0,34
CDM,702559,RVSC IVT ANG CL EA,101040.0,101040.0,5355.12,121248.0,34
CDM,702560,RVSC IVT STNT SFL EA,204941.0,204941.0,10861.87,245929.2,34
CDM,702564,COLONOSCOPY W/ DECOMPRS,17753.0,17753.0,940.91,21303.6,41
CDM,702567,RVSC FPVT ANG CL EA,101040.0,101040.0,5355.12,121248.0,34
CDM,702568,RVSC  FPVT ANG SFL EA,101040.0,101040.0,5355.12,121248.0,34
CDM,702580,BG WITH MEAS O2 SAT,3969.0,3969.0,341.33,4762.8,31
CDM,702586,RVSC FPVT STNT CL EA,204941.0,204941.0,10861.87,245929.2,34
CDM,702593,TOBR0.3%/DEX0.1%3.5G OPH,1223.64,1223.64,64.85,1468.37,30
CDM,702604,FLUOR/BEN0.25/0.4 5MLOPH,141.12,141.12,7.48,169.34,48
CDM,702627,RACEPINEPHRINE 2.25% INH,16.5,16.5,0.87,19.8,49
CDM,702628,BACLOFEN 40 MG INJ,1987.0,1987.0,170.88,2384.4,29
CDM,702628,"Injection, baclofen, 10 mg ",1987.0,1987.0,172.71,172.71,1
CDM,702629,DASATINIB 140 MG PO,160.0,160.0,8.48,192.0,30
CDM,702630,ESCITALOPRAM 10 MG PO,8.5,8.5,0.45,10.2,49
CDM,702631,PROPRANOLOL 40 MG PO,8.5,8.5,0.45,10.2,49
CDM,702632,PROPRANOLOL 10 MG PO,8.5,8.5,0.45,10.2,49
CDM,702633,PROPRANOLOL 20 MG PO,8.5,8.5,0.45,10.2,49
CDM,702635,REPAGLINIDE 1 MG PO,8.5,8.5,0.45,10.2,49
CDM,702636,PIOGLITAZONE 15 MG PO,8.5,8.5,0.45,10.2,49
CDM,702637,PRAMIPEXOLE 0.5 MG PO,8.25,8.25,0.44,9.9,49
CDM,702638,PRAMIPEXOLE 0.25 MG PO,8.25,8.25,0.44,9.9,49
CDM,702639,BG WITH MEAS O2 SAT,3969.0,3969.0,341.33,4762.8,31
CDM,702640,DRUG SCR ANY NBR PER DOS,3131.0,3131.0,269.27,3757.2,31
CDM,702641,SIALIDASE ACT OTHER FLD,53.0,53.0,4.56,63.6,31
CDM,702642,TRICHOMONAS VAG AG OIA,771.0,771.0,66.31,925.2,31
CDM,702643,PREG URINE QUAL BY DOO,434.0,434.0,37.32,520.8,31
CDM,702644,UA W O MICRO AUTO,113.0,113.0,9.72,135.6,31
CDM,702645,OCCULT BLD SCN 3 SPEC,220.0,220.0,18.92,264.0,31
CDM,702646,OCC BLD PEROX OTH SOURCE,268.0,268.0,23.05,321.6,31
CDM,702647,SARSCOV CORONAVIRU AG IA,1780.0,1780.0,153.08,2136.0,31
CDM,702648,INFLUENZA B AG IA,712.0,712.0,61.23,854.4,31
CDM,702649,INFLUENZA A AG IA,712.0,712.0,61.23,854.4,31
CDM,702650,RSV AG IA,701.0,701.0,60.29,841.2,31
CDM,702651,STREP A AG IA,847.0,847.0,72.84,1016.4,31
CDM,702652,CBC AUTOMATED,326.0,326.0,28.04,391.2,31
CDM,702653,D-DIMER QUANT,513.0,513.0,44.12,615.6,31
CDM,702654,PTT,303.0,303.0,26.06,363.6,31
CDM,702655,PROTIME,216.0,216.0,18.58,259.2,31
CDM,702656,TROPONIN QUANT,629.0,629.0,54.09,754.8,31
CDM,702657,NATRIURETIC PEPTIDE,1979.0,1979.0,170.19,2374.8,31
CDM,702658,LACTIC ACID,583.0,583.0,50.14,699.6,31
CDM,702660,MAGNESIUM BLD,337.0,337.0,28.98,404.4,31
CDM,702661,PHOSPHORUS BLD,239.0,239.0,20.55,286.8,31
CDM,702662,AMYLASE BLD,2011.0,2011.0,172.95,2413.2,31
CDM,702663,COMP METABOLIC PANEL,531.0,531.0,45.67,637.2,31
CDM,702664,BASIC METABOLIC CALC ION,691.0,691.0,59.43,829.2,31
CDM,702665,GLUCOSE BLD REAGENT STRP,9.33,9.33,0.8,11.2,31
CDM,702681,ACYCLOVIR 400 MG PO,8.5,8.5,0.45,10.2,49
CDM,702759,ACETAZOLAM ER 500 MG PO,9.75,9.75,0.52,11.7,49
CDM,702760,ACETAZOLAMIDE 250 MG PO,8.5,8.5,0.45,10.2,49
CDM,702761,ACAMPROSATE 333 MG PO,8.75,8.75,0.46,10.5,49
CDM,702767,GLUCOSE BLD REAGENT STRP,9.33,9.33,0.8,11.2,31
CDM,702768,GLUCOSE BLD REAGENT STRP,9.33,9.33,0.8,11.2,31
CDM,702771,GLUCOSE BLD REAGENT STRP,9.33,9.33,0.8,11.2,31
CDM,702772,GLUCOSE BLD REAGENT STRP,9.33,9.33,0.8,11.2,31
CDM,702829,BUMETANIDE 0.1 MG/ML INJ,0.83,0.83,0.04,1.0,30
CDM,702853,OFLOXACIN 0.3% 5ML OPH,23.0,23.0,1.22,27.6,49
CDM,702860,SKIN TE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702862,INNOVAMATRIX AC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702863,COLL-E-DERM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702864,NOVACHOR 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702865,PURAPLY 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702866,PURAPLY AM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702867,PURAPLY XT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702868,ARTACENT AC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702869,CYGNUS MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702870,AMNIOARMOR 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702871,MATRION 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702873,DERMA-GIDE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702874,XWRAP 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702875,MEMBRA GRAFT WRAP 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702876,NOVAFIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702877,SURGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702878,AMNION BIO AXOBIO 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702879,GENESIS AMNIOTIC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702880,FLOWERDERM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702881,CYTAL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702882,TRUSKIN 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702884,ARTACENT WOUND 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702885,CYGNUS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702886,PALINGEN XPLUS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702887,MIRODERM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702888,RESTORIGIN 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702889,FLOWERAMNIOPATCH 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702890,WOUNDFIX  BIOWOUND 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702891,REVITA 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702892,AMNIO WOUND 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702893,TRANSCYTE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702895,SURGIGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702896,CELLESTA CELLE DUO 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702897,EPIFIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702898,EPICORD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702899,NEOPATCH/THERION 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702900,ENVERSE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702901,AMNIOAMP-MP 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702902,VIM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702903,VENDAJE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702904,ZENITH AMNIOTIC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702905,NOVAFIX DL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702906,REGUARD TOP ONLY 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702908,CELLESTA CORD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702909,RELESE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702910,AMNIOTEXT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702911,CELERA DUAL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702912,SIGNATURE APATCH 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702913,TAG 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702914,DUAL LAYER IMPAX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702915,SURGRAFT TL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702916,COCOON MEMBRANE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702917,NEOSTIM TL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702919,MLG-COMPLETE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702920,CORPLEX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702921,WOUNDEX BIOSKIN 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702922,SURGICORD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702923,SURGIGRAFT-DUAL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702924,BELLACEL SUREDERM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702925,AMNIOWRAP2 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702926,PROGENAMATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702927,AMNIOBIND 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702928,AMNIPLY TOP ONLY 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702931,COGENEX AMNIO 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702932,DERMACYTE AMNIO 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702933,XCELLERATE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702934,AMNIOREP/ALTIPLY 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702935,CAREPATCH 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702936,CRYO-CORD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702937,DERM-MAXX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702938,AMNIOMAXX/LITE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702939,ARTACENT CORD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702940,AMNIOCORE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702942,OASIS BURN MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702943,MIROTRACT MATRIX SHEET 1,1.0,1.0,0.05,1.2,30
CDM,702944,MIRODRY 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702945,COHEALYX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702946,MARIGEN PACTO 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702947,INNOVAMATRIX FD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702948,INTEGRA MESHED 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702949,ALLODERM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702950,OASIS WOUND MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702951,RESOLVE MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702953,INTEGRA BMWD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702954,INTEGRA DRT OMNIGF 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702955,GRAFTJACKET 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702956,INTEGRA MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702957,PRIMATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702958,GAMMAGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702959,KERAMATRIX KERASOR 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702960,APLIGRAF 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702961,INNOVAMATRIX FS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702962,MIRRAGEN ADV MTX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702964,MICROLYTE MTX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702965,NOVOSORB SYNPATH 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702966,RESTRATA 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702967,THERAGENESIS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702968,SYMPHONY 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702969,APIS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702970,MATRIDERM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702971,SUPRATHEL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702972,MIRO3D CC,1.0,1.0,0.05,1.2,30
CDM,702973,PHOENIX WOUND MTX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702974,PERMEADERM B 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702975,PERMEADERM C 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702976,KERECIS MARIGEN SH 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702977,NEOMATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702978,INNOVAMATX XL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702979,HYALOMATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702980,SUPRA SDRM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702981,BIOVANCE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702982,REPRIZA 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702983,TENSIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702984,ARCHITECT PX FX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702986,NEOX CLARIX CORD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702987,ALLOWRAP DS DRY 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702988,AMNIOBAND GUARDIAN 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702989,ALLOSKIN 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702990,DERMAVEST PLURIVST 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702991,BIODFENCE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702992,NEOX100 CLARIX100 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702993,REVITALON 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702994,KERECIS OMEGA3 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702995,AFFINITY 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702997,NUSHIELD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702998,BIOCONNEKT MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,702999,SURGRAFT FT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703139,DERMAPURE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703140,GRAFIX PL CORE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703141,THERASKIN 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703142,DERMACELL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703143,ALLOSKIN RT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703144,OASIS TRI-LAYER 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703145,ARTHROFLEX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703147,MEMOD DERM TRZ INT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703148,TALYMED 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703149,XCM BIOLGIC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703150,STRATTICE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703151,ALLOSKIN AC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703152,GRAFIX STRAVIX PL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703153,HMATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703154,MEDISKIN 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703155,EZDERM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703156,AMNIOEXCEL BIODEXC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703158,BIODFENCE DRYFLEX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703159,HELICOLL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703160,FLEX  ALLOPATCH HD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703161,NEOGUARD SQCM,1.0,1.0,0.05,1.2,30
CDM,703162,AMN BRGN MEM HYDRO 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703163,AMN BRGN XPLS HYDR 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703164,AMN BRGN DLYR MEM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703165,DLYR AMN BRGN XMEM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703166,AMNIOCORE SL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703167,AMCHOTHICK 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703169,ADVOGRAFT ONE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703170,AEROGUARD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703171,AMCHOPLAST FD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703172,AMCHOPLAST EX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703173,MEM WRAP LIFE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703174,DUOGRAFT AC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703175,DUOGRAFT AA 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703176,TRIGRAFT FT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703177,RENEW FT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703178,DRMACYT AC MTRX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703181,AMNIOPLAST  1SQCM,1.0,1.0,0.05,1.2,30
CDM,703182,XCEED TL MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703183,NEOSTIM MEMBRANE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703184,MTRX HD ALGRFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703185,SHLTR DM MTRX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703186,RAMPART DL MTRX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703187,SENTRY SL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703188,MANTLE DL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703189,PALISDE DM MTRX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703190,CYGNUS DISK 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703192,OVERLAY SL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703193,EPIXPRESS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703194,PALIGN DL YR MEMB 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703195,ABIMD XPLS MEM HYD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703196,ABIMND MEM HYDRO 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703197,XWRAP PLUS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703198,XWRAP DUAL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703199,CHLORIPLY 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703346,ADVOGRAFT DUAL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703436,ENCLOSE TL MTRX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703498,AMCHOMDL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703499,XWRAP 2.0 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703579,XWRAP DL PLS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703580,XWRAP HYD PLS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703581,XWRAP FEN PLS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703582,XWRAP FEN 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703583,XWRAP TRIB 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703584,AMNIODEFEND FT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703585,AMNIOMF3X 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703586,SUMMIT FX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703587,AMNIOMF4X 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703598,CHRIOFIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703609,CYGNUS SOL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703697,SIMPLICHOR 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703753,ALEXIG STL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703763,ALEXIG TLT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703813,ALEXIG DLT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703814,XWRAP HYD 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703864,GRAFIX DUO 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703865,AXOLOTL ULTRA 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703866,AXOLOTL DL UL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703867,APOLLO FT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703868,ACESSO TRIFACA 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703869,NEOTHELIUM FT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703870,NEOTHELIUM FL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703871,NEOTHELIUM FL+ 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703872,ABSOLV3 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703874,AMNIOPLAST DBL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703875,POLYGON3 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703876,SURGRAFT AC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703877,SURGRAFT ACA 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703878,ACELAGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703879,NATALIN 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703880,SUMMIT AAA 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703881,SUMMIT AC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703882,THERAMEND 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703883,ASCENDION 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703885,REBOUND 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703886,DERMABIND CH 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703887,REVOSHIELD+ AMNIO 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703888,MEM WRAP HYDR 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703889,LAMELLAS XT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703890,LAMELLAS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703891,ACESSO DL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703892,GRAFIX PLUS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703893,AMNIO TRICORE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703894,NUDYN DL/DL MESH 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703896,EMERGE MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703897,AMNIOCORE PRO 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703898,AMNICORE PRO+ 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703899,ACESSO TL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703900,ACTIVATE MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703902,COMPLETE ACA 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703903,TRI MEMBR WRAP 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703904,AMNIO QUADCORE 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703905,EPIEFFECT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703906,NUFORM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703907,SURGRAFT XT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703909,COMPLETE SL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703910,COMPLETE FT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703911,ESANO A 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703912,ESANO AAA 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703913,ESANO AC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703914,DERMABIND DL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703915,ORION 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703916,NUDYN SL/SLW 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703917,VENDAJE AC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703918,XCELL AMNIO MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703921,BARRERA SL/DL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703922,CYGNUS DUAL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703923,BIOVANCE TRI 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703924,DERMABIND SL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703925,AMER AM AC TRI 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703926,ESANO ACA 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703927,AMNIOPLAST 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703928,WOUNDPLUS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703929,DUOAMNION 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703930,MOST 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703932,SINGLAY 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703933,TOTAL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703934,AXOLOTL GRAFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703935,COMPLETE AA 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703936,ARDEOGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703937,ALLOPLY 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703938,AMNIOPLAST 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703939,ARTECENT C 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703940,ARTECENT TRID 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703941,ARTRACENT VELOS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703942,ARTACENT VERICL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703943,SIMPLIGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703944,SIMPLEMAX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703945,AXOLOTL DUAL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703946,AMCHOPLAST 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703947,AMER AM AC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703948,AMER AM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703949,SANOPELLIS 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703950,VIA MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703951,ACESSO 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703952,ACESSO AC 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703953,DERMABIND FM 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703954,ACAPATCH 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703955,REGENELINK 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703956,AMNIOTX 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703957,VITOGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703958,EGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703959,SANOGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703960,PELLOGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703961,RENOGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703962,CAREGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703963,NEOSTIM DL 1SQCM,1.0,1.0,0.05,1.2,30
CDM,703964,REEVA FT 1SQCM,1.0,1.0,0.05,1.2,30
CDM,704052,C DIFF TOX B NAP1 ST AMP,393.0,393.0,33.8,471.6,31
CDM,704053,CULT VIRUS CPE,714.0,714.0,61.4,856.8,31
CDM,704054,SMEAR FUNGUS STAIN,235.0,235.0,20.21,282.0,31
CDM,704062,RVSC IVT STNT CL EA,204941.0,204941.0,10861.87,245929.2,34
CDM,704083,INIT ECMO VENO-VENOUS,57044.0,57044.0,3023.33,68452.8,34
CDM,704084,INIT ECMO VENO-ARTERIAL,57044.0,57044.0,3023.33,68452.8,34
CDM,704085,INS ECMO PERC PERIPH=>6Y,57044.0,57044.0,3023.33,68452.8,34
CDM,704086,REPOS ECMO PERC =>6Y,57044.0,57044.0,3023.33,68452.8,34
CDM,704087,REM ECMO PERC PERIPH=>6Y,57044.0,57044.0,3023.33,68452.8,34
CDM,704106,CTA UPPER EXTREMITY LT,1254.0,1254.0,107.84,1504.8,28
CDM,704107,CTA UPPER EXTREMITY RT,1254.0,1254.0,107.84,1504.8,28
CDM,704108,XR FEMUR 1 VIEW LT,347.0,347.0,29.84,416.4,31
CDM,704109,XR FEMUR 1 VIEW RT,347.0,347.0,29.84,416.4,31
CDM,704110,XR ARTHROGRAM KNEE RT,2011.0,2011.0,172.95,2413.2,31
CDM,704111,XR UROGRAM ANTEGRADE LT,989.0,989.0,85.05,1186.8,31
CDM,704112,XR UROGRAM ANTEGRADE RT,989.0,989.0,85.05,1186.8,31
CDM,704113,XR RENAL CYST STY LT,744.0,744.0,63.98,892.8,31
CDM,704115,XR RENAL CYST STY RT,744.0,744.0,63.98,892.8,31
CDM,704116,SP LYMPHANG EXT UNI LT,2726.0,2726.0,234.44,3271.2,31
CDM,704118,XR ARTHROGRAM ANKLE RT,1204.0,1204.0,103.54,1444.8,31
CDM,704119,DUP SCAN ART PREOP UN LT,394.0,394.0,33.88,472.8,36
CDM,704120,DUP SCAN ART PREOP UN RT,394.0,394.0,33.88,472.8,36
CDM,704121,MRI BREAST WO CONT LT,1017.0,1017.0,87.46,1220.4,31
CDM,704122,MRI BREAST WO CONT RT,1017.0,1017.0,87.46,1220.4,31
CDM,704128,NM VENOGRAM UNI RT,1969.0,1969.0,169.33,2362.8,31
CDM,704129,XR HIP W PEL UNI 1 V RT,347.0,347.0,29.84,416.4,31
CDM,704154,CNS DNA AMP PROB TY12-25,1218.0,1218.0,104.75,1461.6,31
CDM,704154,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",1218.0,1218.0,412.61,1271.18,39
CDM,704160,E TEST AGAR METH,148.0,148.0,12.73,177.6,31
CDM,704171,COXSACKIE A AB QL,478.0,478.0,41.11,573.6,31
CDM,704177,DEXMED 400MCG/NS100MLINJ,82.0,82.0,4.35,98.4,43
CDM,704180,ALPHA-FETOPROTEIN FLD QN,389.0,389.0,33.45,466.8,31
CDM,704183,MERCURY BLD QUANT,143.0,143.0,12.3,171.6,31
CDM,704189,TICAGRELOR 60 MG PO,2.04,2.04,0.11,2.45,49
CDM,704203,PHENYTOIN DILANT TOT QN,181.0,181.0,15.57,217.2,31
CDM,704204,DRUG SCR DOO MANUAL READ,87.0,87.0,7.48,104.4,31
CDM,704206,CULT VARICELLA ZOSTER,714.0,714.0,61.4,856.8,31
CDM,704207,MYCOPLASMA AB IGG QL,288.0,288.0,24.77,345.6,31
CDM,704211,GM1 AB IA QN IGM,675.0,675.0,58.05,810.0,31
CDM,704212,CARB/LEV ER 25/100 MG PO,8.5,8.5,0.45,10.2,49
CDM,704230,BILIRUBIN TOT FL,1358.0,1358.0,116.79,1629.6,31
CDM,704239,"Culture, typing; other methods ",70.0,70.0,7.66,23.61,36
CDM,704239,"Culture, typing; other methods UNSCHEDULED",70.0,70.0,109.92,112.24,3
CDM,704239,ORGANISM IDENTIFICATION,70.0,70.0,6.02,84.0,31
CDM,704240,CULT TYPING SEQ EA ISO,70.0,70.0,6.02,84.0,31
CDM,704240,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",70.0,70.0,114.21,351.85,36
CDM,704240,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) UNSCHEDULED",70.0,70.0,239.74,244.79,3
CDM,704241,DIRECT COOMBS IGG EA,1150.0,1150.0,98.9,1380.0,31
CDM,704242,DIRECT COOMBS COMP EA,1150.0,1150.0,98.9,1380.0,31
CDM,704245,"Injection, pentamidine isethionate, 1 mg ",287.2,287.2,0.16,0.16,1
CDM,704245,PENTAMIDINE 6MG/ML INJ,287.2,287.2,15.22,344.64,30
CDM,704246,NITROGLYCERIN 25 MG INJ,70.24,70.24,3.72,84.29,30
CDM,704247,SOD PHOS 45 MMOL INJ,465.0,465.0,24.64,558.0,48
CDM,704248,CEFUROXIME 100 MG/ML INJ,19.07,19.07,1.01,22.88,30
CDM,704251,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",900.0,900.0,1.41,1.41,1
CDM,704251,PROHANCE 20 ML INJ,900.0,900.0,47.7,1080.0,29
CDM,704252,GASTROGRAFIN 37% 120 ML,324.0,324.0,17.17,388.8,29
CDM,704253,MORPH ANAL CMP MLP PROBE,3202.45,3202.45,275.41,3842.94,34
CDM,704253,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",3202.45,3202.45,,,0
CDM,704253,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure UNSCHEDULED",3202.45,3202.45,208.34,212.72,3
CDM,704254,CHROM ANAL 20-25 CELLS,389.0,389.0,33.45,466.8,31
CDM,704254,Chromosome analysis; analyze 20-25 cells ,389.0,389.0,143.16,441.06,36
CDM,704255,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",207.0,207.0,34.74,107.02,36
CDM,704255,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique UNSCHEDULED",207.0,207.0,109.92,112.24,3
CDM,704255,TRICH VAGINALIS AMP PRBE,207.0,207.0,17.8,248.4,31
CDM,704256,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",325.0,325.0,34.74,107.02,36
CDM,704256,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique UNSCHEDULED",325.0,325.0,181.12,184.93,3
CDM,704256,STAPH AUREUS MRSA AMP,325.0,325.0,27.95,390.0,31
CDM,704257,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",70.0,70.0,76.0,234.15,35
CDM,704257,MTB RIFAMPIN RST AMP,70.0,70.0,6.02,84.0,31
CDM,704258,SARSCOV&INF VIR AB AG IA,1780.0,1780.0,153.08,2136.0,31
CDM,704259,KOH PREP TISSUE,554.0,554.0,47.64,664.8,31
CDM,704259,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",554.0,554.0,4.23,13.02,36
CDM,704259,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) UNSCHEDULED",554.0,554.0,55.49,56.66,3
CDM,704260,KOH PREP WET MOUNT,564.0,564.0,48.5,676.8,31
CDM,704267,OCCBLD PEROX 1-3 DIAG,220.0,220.0,18.92,264.0,31
CDM,704280,URINE UREA NITROGEN,33.0,33.0,2.84,39.6,31
CDM,704281,ADAMTS 13 AB IA QN,675.0,675.0,58.05,810.0,31
CDM,704282,SMITH ANTIBODY,367.0,367.0,31.56,440.4,31
CDM,704284,SMEAR EOSINOPHILS STAIN,235.0,235.0,20.21,282.0,31
CDM,704285,RIBOSOMAL P AB,367.0,367.0,31.56,440.4,31
CDM,704286,ACT KAOLIN/HEPARINAS CKH,713.0,713.0,61.32,855.6,31
CDM,704287,CHLM TRCH&NEISR GONO MUL,910.0,910.0,78.26,1092.0,31
CDM,704287,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",910.0,910.0,69.48,214.05,35
CDM,704306,SARSCOV&INF VIR AB AG IA,1780.0,1780.0,153.08,2136.0,31
CDM,704308,ECHOVIRUS AB QUAL,478.0,478.0,41.11,573.6,31
CDM,704314,ANTISTREPTOLYSIN O QN,62.0,62.0,5.33,74.4,31
CDM,704314,Antistreptolysin 0; titer ,62.0,62.0,7.23,22.26,36
CDM,704314,Antistreptolysin 0; titer UNSCHEDULED,62.0,62.0,39.79,40.62,3
CDM,704322,OCCBLD PEROX 1-3 DIAG,220.0,220.0,18.92,264.0,31
CDM,704329,RA QN,62.0,62.0,5.33,74.4,31
CDM,704329,Rheumatoid factor; quantitative ,62.0,62.0,5.61,17.29,36
CDM,704329,Rheumatoid factor; quantitative UNSCHEDULED,62.0,62.0,62.81,64.14,3
CDM,704331,ANNA-1 (ANTI-HU) SCR FA,556.0,556.0,47.82,667.2,31
CDM,704334,CABERGOLINE 0.5 MG PO,11.0,11.0,0.58,13.2,30
CDM,704334,"Cabergoline, oral, 0.25 mg ",11.0,11.0,0.15,0.15,1
CDM,704340,ACETONE BLD QL,593.0,593.0,51.0,711.6,31
CDM,704340,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",593.0,593.0,4.47,13.79,36
CDM,704340,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative UNSCHEDULED",593.0,593.0,72.24,73.76,3
CDM,704342,DEXAMETHASONE QN,613.0,613.0,52.72,735.6,31
CDM,704343,HLA 1 TYPING COMPLETE LR,2459.0,2459.0,211.47,2950.8,31
CDM,704343,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",2459.0,2459.0,399.55,1230.95,36
CDM,704343,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) UNSCHEDULED",2459.0,2459.0,114.64,117.05,3
CDM,704344,"Antibody; hepatitis, delta agent ",146.0,146.0,16.99,52.34,36
CDM,704344,"Antibody; hepatitis, delta agent UNSCHEDULED",146.0,146.0,94.22,96.2,3
CDM,704344,HEPATITIS DELTA AB QUAL,146.0,146.0,12.56,175.2,31
CDM,704345,"Clotting; factor VIII, VW factor antigen ",271.0,271.0,22.71,69.97,36
CDM,704345,"Clotting; factor VIII, VW factor antigen UNSCHEDULED",271.0,271.0,106.78,109.03,3
CDM,704345,FACTOR 8 VW AG,271.0,271.0,23.31,325.2,31
CDM,704359,POTASSIUM FECES AA,377.0,377.0,32.42,452.4,31
CDM,704375,A PULLULANS AB,64.0,64.0,5.5,76.8,31
CDM,704376,"Antibody; bacterium, not elsewhere specified ",125.0,125.0,12.75,39.28,36
CDM,704376,"Antibody; bacterium, not elsewhere specified UNSCHEDULED",125.0,125.0,94.22,96.2,3
CDM,704376,MICROPOLYSPORA FAENI AB,125.0,125.0,10.75,150.0,31
CDM,704377,T VULGARIS,100.0,100.0,8.6,120.0,31
CDM,704378,T SACCHARI,100.0,100.0,8.6,120.0,31
CDM,704379,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",100.0,100.0,11.86,36.54,36
CDM,704379,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody UNSCHEDULED",100.0,100.0,94.22,96.2,3
CDM,704379,PIGEON SERUM GD,100.0,100.0,8.6,120.0,31
CDM,704380,ANTI-AQP4 AB IFA TIT,556.0,556.0,47.82,667.2,31
CDM,704381,AQUAPORIN4 NMO AB CBA EA,40.0,40.0,3.44,48.0,31
CDM,704381,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",40.0,40.0,11.93,36.75,36
CDM,704381,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each UNSCHEDULED",40.0,40.0,94.22,96.2,3
CDM,704384,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,200.0,200.0,11.41,35.17,36
CDM,704384,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) UNSCHEDULED,200.0,200.0,94.22,96.2,3
CDM,704384,NEUROMYELIT OPT AB IA QN,200.0,200.0,17.2,240.0,31
CDM,704392,TISS CULT CHROM BLD NM,1231.0,1231.0,105.87,1477.2,31
CDM,704392,Tissue culture for non-neoplastic disorders; lymphocyte ,1231.0,1231.0,115.33,355.29,36
CDM,704402,METRONIDAZOLE LIQ PO,12.05,12.05,0.64,14.46,49
CDM,704441,HIV 1 PHENO EA ADD DRUG,2500.0,2500.0,215.0,3000.0,31
CDM,704441,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",2500.0,2500.0,25.81,112.24,39
CDM,704457,TB GAMMA INTERFERON RESP,478.0,478.0,41.11,573.6,31
CDM,704457,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",478.0,478.0,61.36,189.04,36
CDM,704457,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon UNSCHEDULED",478.0,478.0,121.44,124.0,3
CDM,704458,ADENOVIRUS AMP PROBE,464.0,464.0,39.9,556.8,31
CDM,704459,BABESIOSIS IGM AB,160.0,160.0,13.76,192.0,31
CDM,704460,BABESIOSIS IGG AB,160.0,160.0,13.76,192.0,31
CDM,704464,CEFOXITIN 2 G INJ,45.39,45.39,2.41,54.47,30
CDM,704474,ESMOLOL 2G/NACL100ML INJ,745.0,745.0,39.48,894.0,30
CDM,704483,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",250.0,250.0,412.61,1271.18,39
CDM,704483,NAT GI MULT 12-25 TARGET,250.0,250.0,21.5,300.0,31
CDM,704486,NK CELLS TOTAL CT,185.0,185.0,15.91,222.0,31
CDM,704486,"Natural killer (NK) cells, total count ",185.0,185.0,37.35,115.08,36
CDM,704486,"Natural killer (NK) cells, total count UNSCHEDULED",185.0,185.0,123.54,126.14,3
CDM,704488,GABA-B-R AB IFA TIT,556.0,556.0,47.82,667.2,31
CDM,704489,PCA-TR AB BY FA,1231.0,1231.0,105.87,1477.2,31
CDM,704491,GAD65 LINE BLOT,467.0,467.0,40.16,560.4,31
CDM,704492,GABA-B-R AB BY FA,1231.0,1231.0,105.87,1477.2,31
CDM,704493,AMPA-R2 ANTIBODY,1231.0,1231.0,105.87,1477.2,31
CDM,704494,AMPA-R1 ANTIBODY,1231.0,1231.0,105.87,1477.2,31
CDM,704496,ANTI-GAD65 AB TITER,556.0,556.0,47.82,667.2,31
CDM,704497,ZIC4 AB WB BAND ID,1292.0,1292.0,111.11,1550.4,31
CDM,704499,ZIC4 AB,1231.0,1231.0,105.87,1477.2,31
CDM,704500,MGLUR1-IGG IFA,1231.0,1231.0,105.87,1477.2,31
CDM,704502,MGLUR1-IGGAB IFA TIT,556.0,556.0,47.82,667.2,31
CDM,704503,MGLUR1-IGG AB CBA-IF,1231.0,1231.0,105.87,1477.2,31
CDM,704504,MA2-TA AB,1231.0,1231.0,105.87,1477.2,31
CDM,704506,ITPR1 IF TITER,556.0,556.0,47.82,667.2,31
CDM,704507,ITPR1 CB IFA,1231.0,1231.0,105.87,1477.2,31
CDM,704508,ITPR1 AB,1231.0,1231.0,105.87,1477.2,31
CDM,704509,IGLON5-IGG AB BY CBA,1231.0,1231.0,105.87,1477.2,31
CDM,704510,IGLON5 AB BY IFA TIT,556.0,556.0,47.82,667.2,31
CDM,704511,IGLON5 AB,1231.0,1231.0,105.87,1477.2,31
CDM,704513,GABA-B-R AB CBA-IFA,1231.0,1231.0,105.87,1477.2,31
CDM,704514,DPPX AB BY IFA TIT,556.0,556.0,47.82,667.2,31
CDM,704515,DPPX AB BY IFA,1231.0,1231.0,105.87,1477.2,31
CDM,704516,DPPX AB BY CBA-IFA,1231.0,1231.0,105.87,1477.2,31
CDM,704517,DNER LINE BLOT,1292.0,1292.0,111.11,1550.4,31
CDM,704518,DNER AB,1231.0,1231.0,105.87,1477.2,31
CDM,704519,ANNA-3 SCR BY IFA,1231.0,1231.0,105.87,1477.2,31
CDM,704520,AMPA-R-2 IF TITER,556.0,556.0,47.82,667.2,31
CDM,704521,AMPA-R-2 CBA,1231.0,1231.0,105.87,1477.2,31
CDM,704522,AMPA-R-1 IF TITER,556.0,556.0,47.82,667.2,31
CDM,704524,AMPA-R-1 CBA,1231.0,1231.0,105.87,1477.2,31
CDM,704525,VOLTAGE-GATED C C AB RIA,200.0,200.0,17.2,240.0,31
CDM,704525,"Voltage-gated calcium channel antibody, each ",200.0,200.0,11.93,36.75,36
CDM,704525,"Voltage-gated calcium channel antibody, each UNSCHEDULED",200.0,200.0,94.22,96.2,3
CDM,704526,NEURONAL NUC FA AB QL,1231.0,1231.0,105.87,1477.2,31
CDM,704527,PCA-TR/DNER AB IB,1292.0,1292.0,111.11,1550.4,31
CDM,704528,PCA-2 AB BY FA,1231.0,1231.0,105.87,1477.2,31
CDM,704529,LGI1-IGG AB CBA-IFA,1231.0,1231.0,105.87,1477.2,31
CDM,704530,CRMP5 IGG BY WB,1292.0,1292.0,111.11,1550.4,31
CDM,704531,CRMP-5 IGG BY FA,1231.0,1231.0,105.87,1477.2,31
CDM,704532,CASPR2-IGG AB CBA-IF,1231.0,1231.0,105.87,1477.2,31
CDM,704533,CASPR2 IGG AB TITER IFA,556.0,556.0,47.82,667.2,31
CDM,704535,ANTI-LGI1 AB TIT,556.0,556.0,47.82,667.2,31
CDM,704536,AMPHIPHYSIN AB IB,1292.0,1292.0,111.11,1550.4,31
CDM,704537,AMPHIPHYSIN AB FA,1231.0,1231.0,105.87,1477.2,31
CDM,704538,AGNA-1/SOX1 AB IB,1292.0,1292.0,111.11,1550.4,31
CDM,704539,AGNA-1 AB BY FA,1231.0,1231.0,105.87,1477.2,31
CDM,704559,CHLAMYDIA TRACH IGA,355.0,355.0,30.53,426.0,31
CDM,704609,CMPD PCNGK 2.5MU/D5W 50B,54.65,54.65,2.9,65.58,30
CDM,704610,DIPHENYDRAMINE 2.5MG PO,3.56,3.56,0.19,4.27,49
CDM,704611,SULFAMET/TMP 40/8MG PO,0.32,0.32,0.02,0.38,49
CDM,704612,SULFAMET/TMP 400/80MG PO,3.16,3.16,0.17,3.79,49
CDM,704613,PETROLATUM 95% 113 G TOP,13.04,13.04,0.69,15.65,49
CDM,704615,PETROLAT 93.5% 56.6G TOP,8.6,8.6,0.46,10.32,49
CDM,704616,NA BICARB 1 MEQ/ML INJ,0.73,0.73,0.04,0.88,30
CDM,704617,TOBR0.3%/DEX0.1%2.5MLOPH,183.4,183.4,9.72,220.08,30
CDM,704618,ENALAPRILAT 25MCG/ML INJ,7.34,7.34,0.39,8.81,30
CDM,704619,ALBUMIN INF 25% 1ML INJ,5.6,5.6,0.3,6.72,30
CDM,704620,ALBUMIN INF 5% 1ML INJ,1.1,1.1,0.06,1.32,30
CDM,704620,"Infusion, albumin (human), 5%, 50 ml ",1.1,1.1,10.3,10.3,1
CDM,704621,MILRIN 20MG/D5W100ML INJ,130.76,130.76,6.93,156.91,30
CDM,704622,COLISTIMETH 75MG/ML INJ,199.0,199.0,10.55,238.8,30
CDM,704627,CIRCUMCISION,1.0,1.0,0.05,1.2,48
CDM,704720,HLA 1 TYPE 1 LOCUS LR EA,504.0,504.0,43.34,604.8,31
CDM,704720,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",504.0,504.0,126.16,388.66,36
CDM,704720,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each UNSCHEDULED",504.0,504.0,114.64,117.05,3
CDM,704728,CMPD CUST TPN NICU 250ML,2800.0,2800.0,148.4,3360.0,30
CDM,704733,ELTROMBOPAG 50 MG PO,28.47,28.47,1.51,34.16,30
CDM,704737,RAD WOUND PROCEDURE,1.0,1.0,0.05,1.2,34
CDM,704753,CMPD RIFAMPIN 25MG/ML PO,1.6,1.6,0.08,1.92,44
CDM,704764,CEFPODOXIME 200 MG PO,10.38,10.38,0.55,12.46,49
CDM,704765,IVIG PRIVIGEN 5G,2931.0,2931.0,252.07,3517.2,29
CDM,704800,VASOPRES 0.2 UNIT/ML INJ,5.13,5.13,0.27,6.16,30
CDM,704806,ACTI CHAR 50G/240MLLIQPO,93.52,93.52,4.96,112.22,49
CDM,704840,SIALIDASE ACT VAG FLD,53.0,53.0,4.56,63.6,31
CDM,704857,SODIUM STOOL,222.0,222.0,19.09,266.4,31
CDM,704857,Sodium; other source ,222.0,222.0,4.81,14.82,36
CDM,704857,Sodium; other source UNSCHEDULED,222.0,222.0,80.61,82.3,3
CDM,704858,J C VIRUS AMP PROBE,427.0,427.0,36.72,512.4,31
CDM,704859,VITAMIN K,273.0,273.0,23.48,327.6,31
CDM,704859,Vitamin K ,273.0,273.0,13.58,41.85,36
CDM,704859,Vitamin K UNSCHEDULED,273.0,273.0,80.61,82.3,3
CDM,704867,ANCA CYTOPLASMIC TITER,63.0,63.0,5.42,75.6,31
CDM,704868,DNASE ANTIBODY,100.0,100.0,8.6,120.0,31
CDM,704868,"Deoxyribonuclease, antibody ",100.0,100.0,13.12,40.41,36
CDM,704868,"Deoxyribonuclease, antibody UNSCHEDULED",100.0,100.0,94.22,96.2,3
CDM,704869,HIV 1 PHENO & 1-10 DRUGS,2500.0,2500.0,215.0,3000.0,31
CDM,704869,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",2500.0,2500.0,483.77,1490.41,36
CDM,704869,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested UNSCHEDULED",2500.0,2500.0,109.92,112.24,3
CDM,704888,CISATRACURIUM 20 MG INJ,32.47,32.47,1.72,38.96,30
CDM,704889,AMINOCAPROC 100MG/ML INJ,1.55,1.55,0.08,1.86,30
CDM,704890,ALTEPLASE RECOMB 1 MG/ML,859.3,859.3,73.9,1031.16,29
CDM,704894,FENTANYL 2.5 MCG/ML INJ,6.65,6.65,0.35,7.98,30
CDM,704895,DIRECT REFERRAL TO OBS,1236.0,1236.0,197.76,1483.2,10
CDM,704897,DIRECT REFERRAL TO OBS,1236.0,1236.0,197.76,1483.2,10
CDM,704922,CALCIUM CARBONATE LIQ PO,2.48,2.48,0.13,2.98,49
CDM,704929,CATH EA ADDL UP ART,3647.0,3647.0,193.29,4376.4,34
CDM,704942,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,704987,CANGRELOR 50 MG INJ,4361.0,4361.0,375.05,5233.2,29
CDM,704987,"Injection, cangrelor, 1 mg ",4361.0,4361.0,,,0
CDM,705045,CHLAMYDIA PNEUMO IGA,355.0,355.0,30.53,426.0,31
CDM,705047,COMPLEMENT C2,117.0,117.0,10.06,140.4,31
CDM,705076,DUPILUMAB 300 MG INJ,8992.23,8992.23,476.59,10790.68,44
CDM,7071,DESMOPRESSIN 4 MCG INJ,886.0,886.0,46.96,1063.2,30
CDM,7076,DESMOPRESSIN 1 MCG INJ,128.0,128.0,6.78,153.6,30
CDM,7080,"Injection, progesterone, per 50 mg ",83.0,83.0,0.64,0.64,1
CDM,7080,PROGESTERONE 50 MG INJ,83.0,83.0,4.4,99.6,30
CDM,7107,FLUPHENAZINE DEC TO 25MG,224.0,224.0,11.87,268.8,30
CDM,7107,"Injection, fluphenazine decanoate, up to 25 mg ",224.0,224.0,5.42,5.42,1
CDM,7199,PROTAMINE 50 MG INJ,143.0,143.0,7.58,171.6,30
CDM,7201,PROTAMINE 250 MG INJ,339.0,339.0,17.97,406.8,30
CDM,7206,"Injection, pralidoxime chloride, up to 1 gm ",431.0,431.0,,,0
CDM,7206,PRALIDOXIME 1 G INJ,431.0,431.0,22.84,517.2,30
CDM,7207,"Injection, phentolamine mesylate, up to 5 mg ",451.0,451.0,249.73,249.73,1
CDM,7207,PHENTOLAMINE MES 5MG INJ,451.0,451.0,38.79,541.2,29
CDM,7212,METOCLOPRAMIDE 10 MG INJ,160.0,160.0,8.48,192.0,30
CDM,7265,"Injection, rasburicase, 0.5 mg ",9345.0,9345.0,370.72,370.72,1
CDM,7265,RASBURICASE 1.5 MG INJ,9345.0,9345.0,803.67,11214.0,29
CDM,7270,"Injection, regadenoson, 0.1 mg ",2802.0,2802.0,2.81,2.81,1
CDM,7270,REGADENOSON 0.4 MG INJ,2802.0,2802.0,148.51,3362.4,30
CDM,735,RM & BD ISOLATION,3175.0,3175.0,,,0
CDM,736,RM & BD PRIVATE,3175.0,3175.0,,,0
CDM,7427,"Injection, risperidone (risperdal consta), 0.5 mg ",8974.0,8974.0,10.48,10.48,1
CDM,7427,RISPERD CONSTA 50 MG INJ,8974.0,8974.0,771.76,10768.8,29
CDM,7444,ROPIVACAINE 200 MG INJ,287.0,287.0,15.21,344.4,30
CDM,7449,"Injection, sincalide, 5 micrograms ",448.0,448.0,104.95,104.95,1
CDM,7449,SINCALIDE 5 MCG INJ,448.0,448.0,23.74,537.6,30
CDM,745,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,7564,ALTEPLASE RECOMB 2 MG,1623.0,1623.0,139.58,1947.6,29
CDM,7566,ALTEPLASE RECOMB 50 MG,13087.0,13087.0,1125.48,15704.4,29
CDM,7569,ALTEPLASE RECOMB 100 MG,88769.27,88769.27,7634.16,106523.12,29
CDM,7586,FENTANYL CIT 0.25 MG INJ,143.0,143.0,7.58,171.6,30
CDM,7587,FENTANYL CIT 1 MG INJ,264.0,264.0,13.99,316.8,30
CDM,7591,FENTANYL CIT 0.1 MG INJ,160.0,160.0,8.48,192.0,30
CDM,7608,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",549.0,549.0,,,0
CDM,7608,SUMATRIPTAN SUCC 6MG INJ,549.0,549.0,29.1,658.8,30
CDM,7611,TENECTEPLASE 50 MG INJ,35600.0,35600.0,3061.6,42720.0,29
CDM,762,INTERMEDIATE ICU,9421.0,9421.0,,,0
CDM,7627,"Injection, tigecycline, 1 mg ",1582.0,1582.0,0.55,0.55,1
CDM,7627,TIGECYCLINE 50 MG INJ,1582.0,1582.0,83.85,1898.4,30
CDM,764664,FOLIC ACID 50 MG MDV,299.68,299.68,15.88,359.62,30
CDM,764664,"Injection, folic acid, 0.1 mg ",299.68,299.68,0.05,0.05,1
CDM,764668,FAMOTIDINE 40 MG MDV,17.5,17.5,0.93,21.0,30
CDM,764674,SMX/TMP 800/160MG MDV,41.44,41.44,2.2,49.73,30
CDM,764675,SMX/TMP 2400/480MG MDV,84.27,84.27,4.47,101.12,30
CDM,764715,EPI NOS 10 MG MDV,204.0,204.0,10.81,244.8,30
CDM,764716,EPI NOS 30 MG MDV,458.0,458.0,24.27,549.6,30
CDM,764737,LIDO 1% 200MG/20ML MDV,8.75,8.75,0.46,10.5,30
CDM,764739,LIDO 1% 500MG/50ML MDV,8.75,8.75,0.46,10.5,30
CDM,764746,LIDO 2% 400MG/20ML MDV,8.75,8.75,0.46,10.5,30
CDM,764751,LIDO 250MG/EPI0.25MG MDV,8.75,8.75,0.46,10.5,30
CDM,764754,LIDO 200MG/EPI 0.2MG MDV,43.0,43.0,2.28,51.6,30
CDM,764757,LIDO 400MG/EPI 0.2MG MDV,14.5,14.5,0.77,17.4,30
CDM,764811,PREMASOL 10% 500 ML MDV,220.81,220.81,11.7,264.97,48
CDM,764819,BALFAXAR 640 U IX INJ,3392.0,3392.0,291.71,4070.4,29
CDM,764819,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",3392.0,3392.0,,,0
CDM,764858,SOD TETRADEC 3% 60MG MDV,277.9,277.9,14.73,333.48,30
CDM,764871,BUMETANIDE 2.5 MG MDV,15.25,15.25,0.81,18.3,30
CDM,764892,TROPHAMINE 10% 500ML MDV,382.3,382.3,20.26,458.76,48
CDM,764896,PHENYLEPHRINE 50 MG MDV,34.2,34.2,1.81,41.04,30
CDM,764904,NOVOEIGHT 1000 U INJ,9331.2,9331.2,802.48,11197.44,29
CDM,764906,PHENYLEPHRINE 100 MG MDV,81.4,81.4,4.31,97.68,30
CDM,764907,NOVOEIGHT 2000 U INJ,18325.44,18325.44,1575.99,21990.53,29
CDM,764943,FLUOROURACIL 5000 MG MDV,126.0,126.0,6.68,151.2,30
CDM,764952,HUMATE-P 1200 U VWF:RCO,11817.92,11817.92,1016.34,14181.5,29
CDM,764977,BENEFIX 500 U INJ,2492.0,2492.0,214.31,2990.4,29
CDM,764985,BENEFIX 1000 U INJ,4630.0,4630.0,398.18,5556.0,29
CDM,765157,"Antithrombin iii (human), per i.u. ",10063.0,10063.0,3.98,3.98,1
CDM,765157,THROMBATE III 500 U INJ,10063.0,10063.0,865.42,12075.6,29
CDM,765349,NOVOEIGHT 500 U INJ,4570.56,4570.56,393.07,5484.67,29
CDM,765352,NOVOEIGHT 1500 U INJ,16442.0,16442.0,1414.01,19730.4,29
CDM,766,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,7691,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",582.0,582.0,0.87,0.87,1
CDM,7691,TRIAMCINOLN ACE 40MG INJ,582.0,582.0,30.85,698.4,30
CDM,7718,DIAZEPAM 10 MG INJ,201.0,201.0,10.65,241.2,30
CDM,7718,"Injection, diazepam, up to 5 mg ",201.0,201.0,8.25,8.25,1
CDM,772273,BETAMETHSN 30 MG MDV,322.0,322.0,17.07,386.4,30
CDM,772275,BUPIVAC 250 MG/50 ML MDV,398.33,398.33,21.11,478.0,30
CDM,772277,CARBOPLATIN 150 MG MDV,97.0,97.0,5.14,116.4,30
CDM,772278,CARBOPLATIN 450 MG MDV,253.0,253.0,13.41,303.6,30
CDM,772280,CARBOPLATIN 600 MG MDV,353.0,353.0,18.71,423.6,30
CDM,772283,CISPLATIN 100MG MDV,182.0,182.0,9.65,218.4,30
CDM,772284,CISPLATIN 200MG MDV,385.0,385.0,20.41,462.0,30
CDM,772286,CISPLATIN 50MG MDV,80.0,80.0,4.24,96.0,30
CDM,772291,DESMOPRESSIN 40 MCG MDV,785.0,785.0,41.6,942.0,30
CDM,772323,ETOPOSIDE 100 MG MDV,796.0,796.0,42.19,955.2,30
CDM,772343,GENTAMICIN 800 MG MDV,17.0,17.0,0.9,20.4,30
CDM,772344,HEPAR 10000U/10ML MDV,18.98,18.98,1.01,22.78,30
CDM,772346,HEPAR 30000U/30ML MDV,13.85,13.85,0.73,16.62,30
CDM,772399,KETAMINE 200 MG MDV,14.0,14.0,0.74,16.8,30
CDM,772498,KETAMINE 500 MG MDV,26.41,26.41,1.4,31.69,30
CDM,772499,LABETALOL 100 MG MDV,8.75,8.75,0.46,10.5,30
CDM,7773,THIAMINE 100 MG INJ,72.0,72.0,3.82,86.4,30
CDM,777460,LORAZEPAM 20 MG MDV,39.98,39.98,2.12,47.98,30
CDM,7781,"Injection, pyridoxine hcl, 100 mg ",143.0,143.0,14.45,14.45,1
CDM,7781,PYRIDOXINE 100 MG INJ,143.0,143.0,7.58,171.6,30
CDM,7787,VORICONAZOLE 200 MG INJ,963.0,963.0,51.04,1155.6,30
CDM,7792,HYALURONIDASE UP TO 150U,982.0,982.0,52.05,1178.4,30
CDM,7792,"Injection, hyaluronidase, up to 150 units ",982.0,982.0,30.6,30.6,1
CDM,779286,METHOTREXATE 50 MG MDV,96.83,96.83,5.13,116.2,30
CDM,7804,MAG SULFATE 1G INJ,178.0,178.0,9.43,213.6,30
CDM,7808,POTASS CL 20 MEQ INJ,32.0,32.0,1.7,38.4,30
CDM,782162,"Injection, neostigmine methylsulfate, up to 0.5 mg ",240.99,240.99,,,0
CDM,782162,NEOSTIGMINE 10 MG MDV,240.99,240.99,12.77,289.19,30
CDM,782845,PACLITAXEL 100 MG MDV,165.0,165.0,8.74,198.0,30
CDM,782861,PACLITAXEL 30 MG MDV,60.0,60.0,3.18,72.0,30
CDM,783,RM & BD PRIVATE,3175.0,3175.0,,,0
CDM,783487,PACLITAXEL 300 MG MDV,471.0,471.0,24.96,565.2,30
CDM,7849,ZIDOVUDINE 200 MG INJ,359.0,359.0,19.03,430.8,30
CDM,7851,"Injection, ziprasidone mesylate, 10 mg ",941.0,941.0,5.69,5.69,1
CDM,7851,ZIPRASIDONE 20 MG INJ,941.0,941.0,49.87,1129.2,30
CDM,786362,ROCURONIUM 100 MG MDV,9.75,9.75,0.52,11.7,30
CDM,786365,ROCURONIUM 50 MG MDV,9.75,9.75,0.52,11.7,30
CDM,786369,THIAMINE 200 MG MDV,19.0,19.0,1.01,22.8,30
CDM,7887,NOVOSEVEN RT 1 MG INJ,23142.0,23142.0,1990.21,27770.4,29
CDM,7888,NOVOSEVEN RT 2 MG INJ,46280.0,46280.0,3980.08,55536.0,29
CDM,7892,NOVOSEVEN RT 5 MG INJ,115745.0,115745.0,9954.07,138894.0,29
CDM,790251,DOBUTAMINE 500 MG INJ,157.0,157.0,8.32,188.4,30
CDM,790253,INDOCYANINE-GN 25 MG INJ,1125.0,1125.0,96.75,1350.0,29
CDM,790255,INSERT PERC VAD/ARTERIAL,11438.0,11438.0,606.21,13725.6,34
CDM,790263,C DIFF TOX GENE AMP PROB,393.0,393.0,33.8,471.6,31
CDM,790274,MESALAMINE 400MG CAP DR,40.0,40.0,2.12,48.0,49
CDM,790275,ENDOSCPY/SMALL INTESTINE,1164.0,1164.0,61.69,1396.8,41
CDM,790396,TRAUMA SEMIPVT W TEL ADJ,4866.0,4866.0,257.9,5839.2,49
CDM,790415,SEMI-PVT RM W/ TELE,4866.0,4866.0,,,0
CDM,790416,SEMI-PVT RM W/ TELE ADJ,4866.0,4866.0,257.9,5839.2,49
CDM,790440,RM & BD PVT TELE,4839.0,4839.0,,,0
CDM,790441,RM & BD PVT TELE ADJ,4839.0,4839.0,256.47,5806.8,49
CDM,790442,ICU,14554.0,14554.0,,,0
CDM,790443,ICU ADJ,14673.0,14673.0,777.67,17607.6,49
CDM,790460,BRONCH THERMOPLSTY1 LOBE,16083.0,16083.0,852.4,19299.6,34
CDM,790461,BRONCH THERMOPLSTY 2> L,16083.0,16083.0,852.4,19299.6,34
CDM,790496,BURN ICU,19840.0,19840.0,,,0
CDM,790497,PEDIATRIC ICU,14691.0,14691.0,,,0
CDM,790498,BURN ICU ADJ,20024.0,20024.0,1061.27,24028.8,43
CDM,790499,PEDIATRIC ICU ADJ,14810.0,14810.0,784.93,17772.0,49
CDM,790528,SEMI-PVT RM W/ TELE,4866.0,4866.0,,,0
CDM,790532,INTERMEDIATE ICU,9421.0,9421.0,,,0
CDM,790533,INTERMEDIATE ICU ADJ,9496.0,9496.0,503.29,11395.2,49
CDM,790540,SEMI-PVT RM W/ TELE,4839.0,4839.0,,,0
CDM,790541,SEMI-PVT RM W/ TELE ADJ,4866.0,4866.0,257.9,5839.2,49
CDM,790542,RM & BD PVT TELE,4839.0,4839.0,,,0
CDM,790543,RM & BD PVT TELE ADJ,4839.0,4839.0,256.47,5806.8,49
CDM,790545,IVIG PRIVIGEN 20G/200ML,5689.55,5689.55,489.3,6827.46,29
CDM,790547,ERH PEDS W/TELE,4866.0,4866.0,,,0
CDM,790548,ERH PEDS W/TELE ADJ,3149.0,3149.0,166.9,3778.8,49
CDM,790549,SEMI-PVT RM W/ TELE,4839.0,4839.0,,,0
CDM,790550,SEMI-PVT RM W/ TELE ADJ,4866.0,4866.0,257.9,5839.2,49
CDM,790554,CERCLAGE REMVL/NON-LOCAL,12708.0,12708.0,673.52,15249.6,34
CDM,790556,MDI VENT,1145.0,1145.0,98.47,1374.0,48
CDM,790577,VEN THROMBOLYSIS INI,8022.0,8022.0,425.17,9626.4,34
CDM,790579,ART THROMBOLYSIS INI,29282.0,29282.0,1551.95,35138.4,34
CDM,790586,VITAMIN D 400IU/ML DROPS,14.0,14.0,0.74,16.8,49
CDM,790595,MAG SULFATE 40 MG/ML INJ,8.75,8.75,0.46,10.5,30
CDM,790621,ESOPHAGEAL ENDO W/US,6558.0,6558.0,347.57,7869.6,41
CDM,790622,NEG PRESSURE 50CM OR <,396.0,396.0,40.79,475.2,29
CDM,790623,NEG PRESSURE > 50 CM,396.0,396.0,40.79,475.2,29
CDM,790662,SCIATIC NERVE BLOCK SGL,5625.0,5625.0,298.13,6750.0,34
CDM,790663,ESOPH ENDO W/DILATION,816.0,816.0,43.25,979.2,41
CDM,790664,AMIN AC 5%/LYTES/D20W 2L,589.0,589.0,31.22,706.8,48
CDM,790676,DOXORUB LIPOSOM 20MG INJ,2594.4,2594.4,223.12,3113.28,29
CDM,790676,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",2594.4,2594.4,69.7,69.7,1
CDM,790686,SI ENDO W/BPSY SNG/MULT,6558.0,6558.0,347.57,7869.6,41
CDM,790702,INS TEMP BLADDR CAT CPLX,605.0,605.0,32.06,726.0,34
CDM,790708,"Evaluation of speech fluency (eg, stuttering, cluttering) ",1366.0,1366.0,132.08,415.29,33
CDM,790708,"Evaluation of speech fluency (eg, stuttering, cluttering) SCHEDULED",1366.0,1366.0,127.3,129.98,3
CDM,790708,"Evaluation of speech fluency (eg, stuttering, cluttering) UNSCHEDULED",1366.0,1366.0,250.21,255.48,3
CDM,790708,SP/EVAL FLUENCY,1366.0,1366.0,117.48,1639.2,36
CDM,790710,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",1366.0,1366.0,112.36,353.31,33
CDM,790710,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); SCHEDULED",1366.0,1366.0,104.5,106.7,3
CDM,790710,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); UNSCHEDULED",1366.0,1366.0,250.21,255.48,3
CDM,790710,SP/EVAL SOUND PRODUCTION,1366.0,1366.0,117.48,1639.2,36
CDM,790712,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",1366.0,1366.0,224.05,704.49,33
CDM,790712,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) SC",1366.0,1366.0,216.6,221.16,3
CDM,790712,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) UN",1366.0,1366.0,250.21,255.48,3
CDM,790712,SP/EVAL SND W/ LANG EVAL,1366.0,1366.0,117.48,1639.2,36
CDM,790714,BEHAV QL ANALYSIS VOICE,1366.0,1366.0,117.48,1639.2,36
CDM,790714,Behavioral and qualitative analysis of voice and resonance ,1366.0,1366.0,109.51,344.38,33
CDM,790714,Behavioral and qualitative analysis of voice and resonance SCHEDULED,1366.0,1366.0,102.6,104.76,3
CDM,790714,Behavioral and qualitative analysis of voice and resonance UNSCHEDULED,1366.0,1366.0,250.21,255.48,3
CDM,790717,ST BRST BX 1ST LESION LT,15477.0,15477.0,820.28,18572.4,34
CDM,790718,ST BRST BX 1ST LESION RT,15477.0,15477.0,820.28,18572.4,34
CDM,790720,ST BRST BX ADD LESION LT,15477.0,15477.0,820.28,18572.4,34
CDM,790721,ST BRST BX ADD LESION RT,15477.0,15477.0,820.28,18572.4,34
CDM,790723,MG DVC PLC BRST 1ST LT,6144.0,6144.0,325.63,7372.8,34
CDM,790724,MG DVC PLC BRST 1ST RT,6144.0,6144.0,325.63,7372.8,34
CDM,790726,MG DVC PLC BRST ADD LT,6144.0,6144.0,325.63,7372.8,34
CDM,790727,MG DVC PLC BRST ADD RT,6144.0,6144.0,325.63,7372.8,34
CDM,790729,STERO DVC PLC BRS 1ST LT,15477.0,15477.0,820.28,18572.4,34
CDM,790730,STERO DVC PLC BRS 1ST RT,15477.0,15477.0,820.28,18572.4,34
CDM,790732,STERO DVC PLC BRS ADD LT,15477.0,15477.0,820.28,18572.4,34
CDM,790733,STERO DVC PLC BRS ADD RT,15477.0,15477.0,820.28,18572.4,34
CDM,790735,US BRST BX 1ST LESION LT,2240.0,2240.0,118.72,2688.0,34
CDM,790736,US BRST BX 1ST LESION RT,2240.0,2240.0,118.72,2688.0,34
CDM,790738,US BRST BX ADD LESION LT,2457.0,2457.0,130.22,2948.4,34
CDM,790739,US BRST BX ADD LESION RT,2457.0,2457.0,130.22,2948.4,34
CDM,790741,US DVC PLC BRST 1ST LT,2240.0,2240.0,118.72,2688.0,34
CDM,790742,US DVC PLC BRST 1ST RT,2240.0,2240.0,118.72,2688.0,34
CDM,790744,US DVC PLC BRST ADD LT,2240.0,2240.0,118.72,2688.0,34
CDM,790745,US DVC PLC BRST ADD RT,2240.0,2240.0,118.72,2688.0,34
CDM,790760,VASC EMBOLIZ VENOUS,74669.0,74669.0,3957.46,89602.8,34
CDM,790761,VASC EMBOLIZ VENOUS,49487.0,49487.0,2622.81,59384.4,34
CDM,790762,VASC EMBOLIZ ARTERIAL,81355.0,81355.0,4311.81,97626.0,34
CDM,790763,VASC EMBOLIZ ARTERIAL,81355.0,81355.0,4311.81,97626.0,34
CDM,790765,VASC EMBOL TUM/ORG/INF,89540.0,89540.0,4745.62,107448.0,34
CDM,790767,VASC EMBOL ART VEN HEM,17618.0,17618.0,933.75,21141.6,34
CDM,790769,TRANSCTH STNT PLC IA,28964.0,28964.0,1535.09,34756.8,34
CDM,790770,TRANSCTH STNT PLC IA,84918.0,84918.0,4500.65,101901.6,34
CDM,790771,TRANSCTH STNT PLC EA AD,29697.0,29697.0,1573.94,35636.4,34
CDM,790772,TRANSCTH STNT PLC EA AD,40995.0,40995.0,2172.74,49194.0,34
CDM,790773,TRANSCTH STNT PLC IN VN,26758.0,26758.0,1418.17,32109.6,34
CDM,790774,TRANSCTH STNT PLC IN VN,79061.0,79061.0,4190.23,94873.2,34
CDM,790775,TRANSCTH STNT PLC EA VN,26758.0,26758.0,1418.17,32109.6,34
CDM,790777,IG DRAIN VISCERAL PERC,6186.0,6186.0,327.86,7423.2,34
CDM,790778,IG DRAIN VISCERAL PERC,24321.0,24321.0,1289.01,29185.2,34
CDM,790780,IG DRAIN PERI/RETRO PERC,2938.0,2938.0,155.71,3525.6,34
CDM,790781,IG DRAIN PERI/RETRO PERC,24321.0,24321.0,1289.01,29185.2,34
CDM,790784,IG DRN PERI/RETR VAG-REC,22990.0,22990.0,1218.47,27588.0,34
CDM,790794,FILGRASTIM 300 MCG INJ,4347.0,4347.0,373.84,5216.4,29
CDM,790795,FILGRASTIM 480 MCG INJ,6433.0,6433.0,553.24,7719.6,29
CDM,790797,"Injection, zoledronic acid, 1 mg ",868.0,868.0,29.95,29.95,1
CDM,790797,ZOLEDRONIC ACID 4MG INJ,868.0,868.0,46.0,1041.6,30
CDM,790801,ESOPH TRNSORAL STENT PLC,15538.0,15538.0,823.51,18645.6,41
CDM,790802,EGD TRNSORAL STENT PLC,20131.0,20131.0,1066.94,24157.2,41
CDM,790804,ERCP W/PLACE STENT EA,9318.0,9318.0,493.85,11181.6,41
CDM,790805,ERCP W/REM STENT/FB,9317.0,9317.0,493.8,11180.4,41
CDM,790806,ERCP W/EXCH STENT EA,9163.0,9163.0,485.64,10995.6,41
CDM,790808,ERCP TRANS E BLLOON DIL,9039.0,9039.0,479.07,10846.8,41
CDM,790815,ESOPH TRNSORAL ABLASION,8109.0,8109.0,429.78,9730.8,41
CDM,790819,IG DRAIN SFT TISSUE PERC,1474.0,1474.0,78.12,1768.8,34
CDM,790820,IG DRN PERI/RETR VAG-REC,8822.0,8822.0,467.57,10586.4,34
CDM,790822,IG DRAIN SFT TISSUE PERC,9384.0,9384.0,497.35,11260.8,34
CDM,790824,CAFFEINE QN,25.0,25.0,2.15,30.0,31
CDM,790825,CAFFEINE QN,44.0,44.0,3.78,52.8,31
CDM,790827,GABAPENTIN NEURONTIN QN,913.0,913.0,78.52,1095.6,31
CDM,790827,"Gabapentin, whole blood, serum, or plasma ",913.0,913.0,21.45,66.09,36
CDM,790827,"Gabapentin, whole blood, serum, or plasma UNSCHEDULED",913.0,913.0,33.5,34.2,3
CDM,790831,LEVETIRACETAM QN,238.0,238.0,20.47,285.6,31
CDM,790834,OXCARBAZEPINE QN,280.0,280.0,24.08,336.0,31
CDM,790837,ZONISAMIDE ZONEGRAN QN,305.0,305.0,26.23,366.0,31
CDM,790837,Zonisamide ,305.0,305.0,13.12,40.41,36
CDM,790837,Zonisamide UNSCHEDULED,305.0,305.0,46.07,47.04,3
CDM,790879,EGD TRNSORAL W/ABLATION,5251.0,5251.0,278.3,6301.2,41
CDM,790890,TMVR PERC INITIAL DEVICE,126445.0,126445.0,6701.59,151734.0,34
CDM,790891,TMVR PERC ADDTL DEVICE,53119.0,53119.0,2815.31,63742.8,34
CDM,790906,EGD US TRNSMURAL INJ,6414.0,6414.0,339.94,7696.8,41
CDM,790907,EGD ENDO MUCOSAL RESECT,6427.0,6427.0,340.63,7712.4,41
CDM,790965,LOPERAMIDE 1MG/7.5ML LIQ,14.0,14.0,0.74,16.8,49
CDM,790967,H PYLORI AB QL IGA,190.0,190.0,16.34,228.0,31
CDM,790969,LURASIDONE 120MG TAB,182.0,182.0,9.65,218.4,49
CDM,790970,MECH CHEST WALL OSCILL,342.0,342.0,29.41,410.4,48
CDM,790970,"Mechanical chest wall oscillation to facilitate lung function, per session SCHEDULED",342.0,342.0,33.25,33.95,3
CDM,790970,"Mechanical chest wall oscillation to facilitate lung function, per session UNSCHEDULED",342.0,342.0,250.21,255.48,3
CDM,791,RM & BD PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,791074,MANNOSE BIND PROT IA QN,103.0,103.0,8.86,123.6,31
CDM,791089,BX SOFT TISSUE NECK/THRX,7071.0,7071.0,374.76,8485.2,34
CDM,791101,INJ SI ANES/STD/TH AG LT,4840.0,4840.0,256.52,5808.0,34
CDM,791102,INJ SI ANES/STD/TH AG RT,4840.0,4840.0,256.52,5808.0,34
CDM,791112,LACTOFERRIN FECAL QN,106.0,106.0,9.12,127.2,31
CDM,791112,"Lactoferrin, fecal; quantitative ",106.0,106.0,19.43,59.87,36
CDM,791112,"Lactoferrin, fecal; quantitative UNSCHEDULED",106.0,106.0,80.61,82.3,3
CDM,791135,GABAPENTIN 300MG/6ML UD,33.0,33.0,1.75,39.6,49
CDM,791140,TC99M TILMANOC DX 0.5MCI,6531.0,6531.0,346.14,7837.2,36
CDM,791146,IOP PSY GRP (NOT FAMILY),215.19,215.19,18.51,258.23,39
CDM,791162,EGD US W/DRAINAGE CATH,12160.0,12160.0,644.48,14592.0,41
CDM,791167,"Injection, pertuzumab, 1 mg ",54053.39,54053.39,16.51,16.51,1
CDM,791167,PERTUZUMAB 420 MG INJ,54053.39,54053.39,4648.59,64864.07,29
CDM,791195,CHIKUNGUNYA AB IGG,443.0,443.0,38.1,531.6,31
CDM,791196,CHIKUNGUNYA AB IGM,221.0,221.0,19.01,265.2,31
CDM,791197,D5W 250 ML,541.19,541.19,28.68,649.43,30
CDM,791204,ICU,14691.0,14691.0,,,0
CDM,791205,ICU ADJ,14810.0,14810.0,784.93,17772.0,49
CDM,791206,TRAUMA ICU,18456.0,18456.0,,,0
CDM,791207,TRAUMA ICU ADJ,18456.0,18456.0,978.17,22147.2,35
CDM,791220,DOLUTEGRAVIR 50MG TAB,590.0,590.0,31.27,708.0,49
CDM,791221,LVL 1 EMER DEPT,1971.0,1971.0,315.36,2365.2,10
CDM,791222,LVL 2 EMER DEPT,3654.0,3654.0,584.64,4384.8,10
CDM,791223,LVL 3 EMER DEPT,5859.0,5859.0,937.44,7030.8,10
CDM,791224,LVL 4 EMER DEPT,7676.0,7676.0,1228.16,9211.2,10
CDM,791225,LVL 5 EMER DEPT,16140.0,16140.0,2582.4,19368.0,10
CDM,791226,MORPHINE SULF 30MG INJ,552.0,552.0,29.26,662.4,30
CDM,791267,CLOBAZAM 2.5MG/ML OS,53.0,53.0,2.81,63.6,49
CDM,791268,IA2 AUTOANTIBODY,106.0,106.0,9.12,127.2,31
CDM,791273,BONE MARROW TECH ASSIST,2812.0,2812.0,241.83,3374.4,34
CDM,791274,BONE MARROW TECH ASSIST,2812.0,2812.0,241.83,3374.4,34
CDM,791296,DTAP-IPV/HIB VAC IM,872.0,872.0,46.22,1046.4,30
CDM,791296,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",872.0,872.0,134.21,134.21,1
CDM,791296,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use UNSCHEDULED",872.0,872.0,170.65,174.24,3
CDM,791299,IN111 AUTO WBC DX DOSE,29295.0,29295.0,2519.37,35154.0,35
CDM,791308,PRION INF AGENT QN IA,208.0,208.0,17.89,249.6,31
CDM,791327,VERETEBRO CERVICOTHOR,14612.0,14612.0,774.44,17534.4,34
CDM,791332,VERTEBRO LUMBOSACRAL,14612.0,14612.0,774.44,17534.4,34
CDM,791336,VERTEBRO EA ADD CER/LUMB,572.0,572.0,30.32,686.4,34
CDM,791338,VERT W FRAC RED & BB TH,67760.0,67760.0,3591.28,81312.0,34
CDM,791342,VERT W FRAC RED & BB LU,67760.0,67760.0,3591.28,81312.0,34
CDM,791346,VERT W FRAC RED & BB EAD,67760.0,67760.0,3591.28,81312.0,34
CDM,791368,ARTH JNT BRS MJR W US,4114.0,4114.0,218.04,4936.8,34
CDM,791375,ARTH JNT BRS MJR W US LT,1565.0,1565.0,82.94,1878.0,34
CDM,791377,ARTH JNT BRS MJR W US RT,1565.0,1565.0,82.94,1878.0,34
CDM,791387,ADENOSINE 6 MG INJ,459.0,459.0,24.33,550.8,30
CDM,791389,ADENOSINE 60 MG INJ,1522.0,1522.0,80.67,1826.4,30
CDM,791392,PACLITAXEL 1 MG INJ,2.0,2.0,0.11,2.4,30
CDM,791393,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",127.37,127.37,11.79,11.79,1
CDM,791393,MORPHINE EPD/IT PF 10 MG,127.37,127.37,6.75,152.84,30
CDM,791395,PROPOFOL 200 MG INJ,475.0,475.0,25.18,570.0,30
CDM,791396,PROPOFOL 500 MG INJ,689.0,689.0,36.52,826.8,30
CDM,791397,PROPOFOL 1000 MG INJ,321.88,321.88,17.06,386.26,30
CDM,791427,INTRACRAN INTRAVAS STENT,628.0,628.0,33.28,753.6,34
CDM,791440,TESTOSTERONE CYP 1MG INJ,376.0,376.0,19.93,451.2,30
CDM,791445,MENTHOL/ZINC OX OI 113G,40.0,40.0,2.12,48.0,49
CDM,791449,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",172.0,172.0,12.82,40.29,33
CDM,791449,TOMOSYNTHESIS MAMMO DX,172.0,172.0,14.79,206.4,36
CDM,791454,COLONOSCOPY W/BAND LIGAT,4226.0,4226.0,223.98,5071.2,41
CDM,791458,MYELO W S&I CERVICAL,5140.0,5140.0,272.42,6168.0,34
CDM,791459,MYELO W S&I THORACIC,5140.0,5140.0,272.42,6168.0,34
CDM,791460,MYELO W S&I LUMBOSAC,25289.0,25289.0,1340.32,30346.8,34
CDM,791461,MYEL W S&I 2 OR MORE REG,39930.0,39930.0,2116.29,47916.0,34
CDM,791463,MYELO W S&I CERVICAL,5140.0,5140.0,272.42,6168.0,34
CDM,791464,MYELO W S&I THORACIC,5140.0,5140.0,272.42,6168.0,34
CDM,791465,MYELO W S&I LUMBOSAC,5140.0,5140.0,272.42,6168.0,34
CDM,791466,MYEL W S&I 2 OR MORE REG,5140.0,5140.0,272.42,6168.0,34
CDM,791500,IHC AB STAIN EA ADD,105.0,105.0,5.57,126.0,35
CDM,791500,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",105.0,105.0,,,0
CDM,791500,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) UNSCHEDULED",105.0,105.0,299.41,305.71,3
CDM,791514,ACETAMINOPHEN QN,1588.0,1588.0,136.57,1905.6,31
CDM,791514,Acetaminophen ,1588.0,1588.0,18.45,56.85,36
CDM,791516,ALCOHOL QN EXC UA OR BRE,90.0,90.0,7.74,108.0,31
CDM,791516,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",90.0,90.0,17.1,52.67,35
CDM,791516,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) UNSCHEDULED",90.0,90.0,80.61,82.3,3
CDM,791519,AMPHETAMINE QN,623.0,623.0,33.02,747.6,35
CDM,791519,Amphetamines; 1 or 2 ,623.0,623.0,,,0
CDM,791519,Amphetamines; 1 or 2 UNSCHEDULED,623.0,623.0,145.52,148.58,3
CDM,791521,BARBITURATES QN,168.0,168.0,8.9,201.6,35
CDM,791527,PENTOBARBITAL QN,168.0,168.0,8.9,201.6,35
CDM,791528,PENTOBARBITAL QN,103.0,103.0,5.46,123.6,35
CDM,791532,MEPROBAMATE,105.0,105.0,5.57,126.0,35
CDM,791532,Skeletal muscle relaxants; 1 or 2 ,105.0,105.0,,,0
CDM,791532,Skeletal muscle relaxants; 1 or 2 UNSCHEDULED,105.0,105.0,145.52,148.58,3
CDM,791534,SULFONYLUREA QN,913.0,913.0,78.52,1095.6,31
CDM,791546,"Antipsychotics, not otherwise specified; 1-3 ",122.0,122.0,,,0
CDM,791546,"Antipsychotics, not otherwise specified; 1-3 UNSCHEDULED",122.0,122.0,145.52,148.58,3
CDM,791546,CHLORPROMAZINE,122.0,122.0,6.47,146.4,35
CDM,791551,"Analgesics, non-opioid; 1 or 2 ",90.0,90.0,,,0
CDM,791551,"Analgesics, non-opioid; 1 or 2 UNSCHEDULED",90.0,90.0,145.52,148.58,3
CDM,791551,DEF DRUG ANALGESICS 1-2,90.0,90.0,4.77,108.0,35
CDM,791554,"Antidepressants, tricyclic and other cyclicals; 1 or 2 ",168.0,168.0,,,0
CDM,791554,"Antidepressants, tricyclic and other cyclicals; 1 or 2 UNSCHEDULED",168.0,168.0,46.07,47.04,3
CDM,791554,DEF DRUG ANTIDEP TRI 1-2,168.0,168.0,8.9,201.6,35
CDM,791556,"Antiepileptics, not otherwise specified; 1-3 ",311.0,311.0,,,0
CDM,791556,"Antiepileptics, not otherwise specified; 1-3 UNSCHEDULED",311.0,311.0,145.52,148.58,3
CDM,791556,DEF DRUG ANTIELEPTIC 1-3,311.0,311.0,16.48,373.2,35
CDM,791558,DEF DRUG BENZODIAZ 1-12,329.0,329.0,17.44,394.8,35
CDM,791597,GLUTETHIMIDE,414.0,414.0,21.94,496.8,35
CDM,791597,Sedative hypnotics (non-benzodiazepines) ,414.0,414.0,,,0
CDM,791597,Sedative hypnotics (non-benzodiazepines) UNSCHEDULED,414.0,414.0,145.52,148.58,3
CDM,791615,OPIATES QN,177.0,177.0,9.38,212.4,35
CDM,791615,"Opiates, 1 or more ",177.0,177.0,,,0
CDM,791615,"Opiates, 1 or more UNSCHEDULED",177.0,177.0,145.52,148.58,3
CDM,791642,OSELTAMIVIR 30MG CAP,89.0,89.0,4.72,106.8,49
CDM,791647,"Echocardiography, transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel(s) structural intervention(s) (eg, TAVR, transcatheter pulmonary valve replacement, mitral valve re",670.0,670.0,268.85,1815.06,6
CDM,791647,TEE GUIDANCE INTRACARD,670.0,670.0,35.51,804.0,41
CDM,791668,PUNCTURE LUMBAR DX,2476.0,2476.0,131.23,2971.2,34
CDM,791678,HAST SUPP OXYGEN TITRATN,1022.0,1022.0,87.89,1226.4,41
CDM,791678,"High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care professional; with supplemental oxygen titration SCHEDULED",1022.0,1022.0,57.95,59.17,3
CDM,791678,"High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care professional; with supplemental oxygen titration UNSCHEDULED",1022.0,1022.0,250.21,255.48,3
CDM,791689,PROPOFOL 100 MG INJ,15.0,15.0,0.8,18.0,30
CDM,791690,TROPICAMIDE 1% OPH 3ML,92.0,92.0,4.88,110.4,48
CDM,791723,IPILIMUMAB 50 MG INJ,8574.32,8574.32,737.39,10289.18,29
CDM,791723,"Injection, ipilimumab, 1 mg ",8574.32,8574.32,181.55,181.55,1
CDM,791734,BARIUM SULF 0.1% OS,120.0,120.0,6.36,144.0,48
CDM,791736,HIV-1AG HIV-1/2AB SINGLE,62.0,62.0,5.33,74.4,31
CDM,791761,STRIBILD PO,513.0,513.0,27.19,615.6,44
CDM,791764,SQ INFUSION UP TO 1 HOUR,143.0,143.0,12.3,171.6,48
CDM,791765,SQ INFUSION EA ADDL HOUR,66.0,66.0,5.68,79.2,48
CDM,791766,SQ INFUSION ADDL PUMP SU,69.0,69.0,5.93,82.8,48
CDM,791771,INJ FACET L/S >=3 FL/CT,572.0,572.0,30.32,686.4,34
CDM,791774,ISH/FISH EA ADDL PROBE,535.0,535.0,28.36,642.0,35
CDM,791774,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",535.0,535.0,,,0
CDM,791774,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) UNSCHEDULED",535.0,535.0,299.41,305.71,3
CDM,791775,ISOSULFAN BLUE 50 MG INJ,1559.0,1559.0,134.07,1870.8,29
CDM,791778,IVABRADINE 5MG TAB,21.2,21.2,1.12,25.44,49
CDM,791787,CEFTAZ/AVIBCT 2.5 G INJ,3217.0,3217.0,276.66,3860.4,29
CDM,791787,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",3217.0,3217.0,101.61,101.61,1
CDM,791788,PERAMPANEL 4MG TAB,119.0,119.0,6.31,142.8,49
CDM,791826,ANTI-MULERIAN HORM ECLIA,122.0,122.0,10.49,146.4,31
CDM,791835,DOP TRANSCRANIAL COMP,1105.0,1105.0,95.03,1326.0,36
CDM,791836,DOP TRANSCRANIAL LTD,774.0,774.0,66.56,928.8,36
CDM,791837,HPLC MS QUANTITATIVE,74.0,74.0,6.36,88.8,31
CDM,791838,DEF DRUG SUBSTANCE 1-3,163.0,163.0,8.64,195.6,35
CDM,791838,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3 ",163.0,163.0,,,0
CDM,791838,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3 UNSCHEDULED",163.0,163.0,145.52,148.58,3
CDM,791840,NOROVIRUS AMP PROBE,188.0,188.0,16.17,225.6,31
CDM,791847,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",82.0,82.0,15.76,48.56,36
CDM,791847,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations UNSCHEDULED",82.0,82.0,157.03,160.34,3
CDM,791847,FECAL OCCULT BLD CRC IA,82.0,82.0,7.05,98.4,31
CDM,791877,CV CATH TUN INS W/P >5,40995.0,40995.0,2172.74,49194.0,34
CDM,791879,CIPROFLOXACN.2% .25ML OT,88.0,88.0,4.66,105.6,49
CDM,791881,SACUB/VALSART 24/26 TAB,47.0,47.0,2.49,56.4,49
CDM,791882,RSV-MAB RECOM 50 MG IM,20543.0,20543.0,1766.7,24651.6,29
CDM,791884,AMPICILLIN 100 MG/ML INJ,143.0,143.0,7.58,171.6,30
CDM,791885,GENTAMICIN 2 MG/ML INJ,1.0,1.0,0.05,1.2,30
CDM,791899,DTAP VAC <7YRS IM,304.11,304.11,16.12,364.93,30
CDM,791899,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",304.11,304.11,31.98,31.98,1
CDM,791899,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use UNSCHEDULED",304.11,304.11,170.65,174.24,3
CDM,791902,CPR,1197.0,1197.0,63.44,1436.4,34
CDM,791905,INSULIN 5 U INJ,1.0,1.0,0.05,1.2,44
CDM,791926,LEVETIRACTM 5 MG/ML INJ,8.5,8.5,0.45,10.2,30
CDM,791939,INJ CHOLANGIO EXST ACCES,2676.0,2676.0,141.83,3211.2,34
CDM,791940,INJ CHOLANGIO NEW ACCES,16569.0,16569.0,878.16,19882.8,34
CDM,791941,PLCMT BILIARY CATH,16569.0,16569.0,878.16,19882.8,34
CDM,791942,PLC BILIARY CATH INT/EXT,16569.0,16569.0,878.16,19882.8,34
CDM,791943,CONV EX BIL CTH INT/EXT,16569.0,16569.0,878.16,19882.8,34
CDM,791944,EXCHANGE BILIARY CATH,16569.0,16569.0,878.16,19882.8,34
CDM,791945,REMOVE BILIARY CATH,3673.0,3673.0,194.67,4407.6,34
CDM,791946,PLCMT STNT BILE DUCT,31347.0,31347.0,1661.39,37616.4,34
CDM,791947,PLCMT STNT BILE DUCT NEW,31347.0,31347.0,1661.39,37616.4,34
CDM,791948,PL STNT BILE DUCT SEP CT,31347.0,31347.0,1661.39,37616.4,34
CDM,791949,PLCMT BILIARY TREE S BOW,16569.0,16569.0,878.16,19882.8,34
CDM,791961,INJ CHOLANGIO EXST ACCES,2404.0,2404.0,127.41,2884.8,34
CDM,791972,REM CALC/DEB PERC BIL,254.0,254.0,13.46,304.8,34
CDM,791973,NEPH CATH EXCHANGE,3991.0,3991.0,211.52,4789.2,34
CDM,791975,PLCMT NEPH CATH,11463.0,11463.0,607.54,13755.6,34
CDM,791978,INJ NEPH EXIST ACCESS,3991.0,3991.0,211.52,4789.2,34
CDM,791981,PLCMT URETERAL STNT,17074.0,17074.0,904.92,20488.8,34
CDM,791982,PLCMT URETER STNT NEW,17074.0,17074.0,904.92,20488.8,34
CDM,791983,PLC URTR STNT SEP CTH,17074.0,17074.0,904.92,20488.8,34
CDM,791986,INTVSC US NONCORN EADD,3661.0,3661.0,194.03,4393.2,34
CDM,791989,INTVSC US NONCORN INIT,4100.0,4100.0,217.3,4920.0,34
CDM,792064,PRAXBIND 2.5 G INJ,23042.0,23042.0,1221.23,27650.4,30
CDM,792071,"Injection, ramucirumab, 5 mg ",505.0,505.0,73.21,73.21,1
CDM,792071,RAMUCIRUMAB 100 MG INJ,505.0,505.0,43.43,606.0,29
CDM,792074,CEFTOLOZ TAZOBACT 1.5 G,505.0,505.0,43.43,606.0,29
CDM,792074,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",505.0,505.0,8.57,8.57,1
CDM,792075,TBO-FILGRASTM 300MCG INJ,3143.0,3143.0,270.3,3771.6,29
CDM,792076,TBO-FILGRASTM 480MCG INJ,5028.0,5028.0,432.41,6033.6,29
CDM,792121,D5LRS UP TO 1000 ML,37.0,37.0,1.96,44.4,30
CDM,792143,CMPD MIDZLM 50MG 50B,453.0,453.0,24.01,543.6,30
CDM,792144,CMPD MORPH 100MG 100B,10.0,10.0,0.53,12.0,30
CDM,792149,CMPD OXYTOCIN 30U 500B,83.0,83.0,4.4,99.6,30
CDM,792152,CMPD ROPIVCN 0.2% 400Q,798.0,798.0,42.29,957.6,30
CDM,792157,CMPD PT SPEC TPN NOC,3128.0,3128.0,165.78,3753.6,30
CDM,792158,PREDNISONE IR/DR 1 MG PO,37.0,37.0,1.96,44.4,44
CDM,792159,PREDNISONE 10 MG PO,43.0,43.0,2.28,51.6,44
CDM,792161,PREDNISONE 20 MG PO,37.0,37.0,1.96,44.4,44
CDM,792162,PREDNISONE 5 MG PO,43.0,43.0,2.28,51.6,44
CDM,792164,PREDNISONE 50 MG PO,37.0,37.0,1.96,44.4,44
CDM,792166,BRODIFACOUM CHR QN,377.0,377.0,32.42,452.4,31
CDM,792167,COENZYME Q10 QN CHR,377.0,377.0,32.42,452.4,31
CDM,792176,MHPG QN HPLC,377.0,377.0,32.42,452.4,31
CDM,792179,PORPHYRINS FRAC BLD HPLC,185.0,185.0,15.91,222.0,31
CDM,792185,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",121.0,121.0,,,0
CDM,792185,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) UNSCHEDULED",121.0,121.0,299.41,305.71,3
CDM,792185,TISS IF IND EA ADDL AB,121.0,121.0,6.41,145.2,35
CDM,792190,DRUG TEST DEF 1-7 CLASS,181.0,181.0,15.57,217.2,31
CDM,792297,"Injection, minocycline hydrochloride, 1 mg ",936.86,936.86,,,0
CDM,792297,MINOCYCLINE HCL 100 MG,936.86,936.86,80.57,1124.23,29
CDM,792298,CEREBRAL MECH THROM/INF,25168.0,25168.0,1333.9,30201.6,34
CDM,792299,CEREB INFU NON-THROM INI,25168.0,25168.0,1333.9,30201.6,34
CDM,792300,CEREB INFU NON-THROM ADD,25168.0,25168.0,1333.9,30201.6,34
CDM,792301,NEPH CATH CONV TO NEPURT,3991.0,3991.0,211.52,4789.2,34
CDM,792302,NEPHURETERAL CATH PLCMT,11463.0,11463.0,607.54,13755.6,34
CDM,792304,BX URTER/RENAL PELVIS,254.0,254.0,13.46,304.8,34
CDM,792305,URETERAL EMBO/OCCLUSION,254.0,254.0,13.46,304.8,34
CDM,792307,BILIARY DUCT BALLOON DIL,254.0,254.0,13.46,304.8,34
CDM,792308,BX BILIARY TREE,254.0,254.0,13.46,304.8,34
CDM,792309,SCLEROTHERAPY FLUID COLL,7172.0,7172.0,380.12,8606.4,34
CDM,792310,UNLISTED ENDOCRINE PX,30029.0,30029.0,1591.54,36034.8,34
CDM,792321,BRONCH W/NAVIGATION,16870.0,16870.0,894.11,20244.0,34
CDM,792322,BRONCH EBUS 1-2 NODE,4217.0,4217.0,223.5,5060.4,34
CDM,792325,EPOPROSTENOL 1.5 MG INJ,638.0,638.0,33.81,765.6,30
CDM,792325,"Injection, epoprostenol, 0.5 mg ",638.0,638.0,14.43,14.43,1
CDM,792330,OBS PER HOUR,77.0,77.0,12.32,92.4,10
CDM,792331,OBS PER HOUR,77.0,77.0,12.32,92.4,10
CDM,792332,MYOCARD STRAIN IMAGE,1120.0,1120.0,59.36,1344.0,42
CDM,792332,Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging) SCHEDULED,1120.0,1120.0,14.25,14.55,3
CDM,792332,Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging) UNSCHEDULED,1120.0,1120.0,1784.96,1822.54,3
CDM,792334,SACUB/VALSART 49/51 TAB,47.0,47.0,2.49,56.4,49
CDM,792349,RM & BD PRIVATE,3175.0,3175.0,,,0
CDM,792350,RM & BD PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,792361,DEXAMTH NAP 0.1MG/ML INJ,97.0,97.0,5.14,116.4,30
CDM,792395,TC99M AUTO WBC DX DOSE,25259.0,25259.0,2172.27,30310.8,35
CDM,792412,INTEROGT VAD INC PROGRAM,531.0,531.0,45.67,637.2,40
CDM,792412,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",531.0,531.0,58.9,261.89,6
CDM,792413,IV HYDRAT INIT UP TO 1HR,1051.0,1051.0,90.39,1261.2,34
CDM,792414,IVP SINGLE/INITIAL DRUG,1051.0,1051.0,90.39,1261.2,34
CDM,792415,IV HYDRAT EA ADD HR,216.0,216.0,18.58,259.2,34
CDM,792416,IV INITIAL UP TO 1 HOUR,1051.0,1051.0,90.39,1261.2,34
CDM,792417,IV EACH ADD HOUR,216.0,216.0,18.58,259.2,34
CDM,792418,IVP EA ADD SEQ NEW DRUG,216.0,216.0,18.58,259.2,34
CDM,792426,ENTECAVIR 0.5MG TAB,147.0,147.0,7.79,176.4,49
CDM,792427,TAVR PERC FEM APPROACH,203500.0,203500.0,10785.5,244200.0,34
CDM,792428,TAVR OPEN FEM APPROACH,203500.0,203500.0,10785.5,244200.0,34
CDM,792429,TAVR OPEN AXILL APPROACH,203500.0,203500.0,10785.5,244200.0,34
CDM,792430,TAVR OPEN ILIAC APPROACH,27104.0,27104.0,1436.51,32524.8,34
CDM,792431,TAVR TRANSAORTC APPROACH,203500.0,203500.0,10785.5,244200.0,34
CDM,792432,TAVR TRANSAPICAL EXPOSRE,203500.0,203500.0,10785.5,244200.0,34
CDM,792435,DARUN/COBIC 800/150 TAB,642.0,642.0,34.03,770.4,49
CDM,792443,PSYCH BRIDGE APPT,135.0,135.0,7.16,162.0,46
CDM,792450,PROGESTERONE 100MG VAG,131.0,131.0,6.94,157.2,49
CDM,792454,INJ FACET C/T SGL FLU/CT,3630.0,3630.0,192.39,4356.0,34
CDM,792470,INJ FCT C/T 2ND FL/CT,5445.0,5445.0,288.58,6534.0,34
CDM,792471,INJ FCT C/T >=3 FL/CT,7260.0,7260.0,384.78,8712.0,34
CDM,792506,AMIN AC 5/LYTES/D20W 1L,394.0,394.0,20.88,472.8,48
CDM,792511,ETHIODIZED OIL INJ,1279.0,1279.0,67.79,1534.8,29
CDM,792525,INH INOMAX PER HR,2729.0,2729.0,144.64,3274.8,30
CDM,792529,UNLISTED BRONCH PX,7831.0,7831.0,415.04,9397.2,34
CDM,792552,PLT CONC LR,410.0,410.0,35.26,492.0,48
CDM,792553,PLTS PLD 5D LR IR EAUNIT,615.0,615.0,52.89,738.0,48
CDM,792554,RBC FRZ/DEG/WSH L/R IRRD,662.0,662.0,56.93,794.4,48
CDM,792560,PRBC WASH IRR,1001.0,1001.0,86.09,1201.2,48
CDM,792561,PRBC WASH,356.0,356.0,30.62,427.2,48
CDM,792562,PRBC WASH LR IRR,1068.0,1068.0,91.85,1281.6,48
CDM,792566,LDH (LD) CSF,76.0,76.0,6.54,91.2,31
CDM,792574,"Injection, naltrexone, depot form, 1 mg ",17564.0,17564.0,4.12,4.12,1
CDM,792574,NALTREXONE DEPOT 380MG,17564.0,17564.0,1510.5,21076.8,29
CDM,792579,BURN ICU,19840.0,19840.0,,,0
CDM,792580,TRAUMA ICU,18963.0,18963.0,,,0
CDM,792581,BURN ICU ADJ,20024.0,20024.0,1061.27,24028.8,43
CDM,792582,TRAUMA ICU ADJ,18963.0,18963.0,1005.04,22755.6,35
CDM,792583,RM & BD SEMI PVT PEDS,3175.0,3175.0,,,0
CDM,792584,RM & BD SEMIPVT PEDS ADJ,3196.0,3196.0,169.39,3835.2,49
CDM,792603,CMPD NEOSTG 3MG 3S,253.0,253.0,13.41,303.6,30
CDM,792611,CMPD MITOMYCIN OPHTHAL,124.0,124.0,6.57,148.8,30
CDM,792626,IHC EA MULTIPLEX AB PROC,1543.0,1543.0,132.7,1851.6,34
CDM,792626,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",1543.0,1543.0,,,0
CDM,792626,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure UNSCHEDULED",1543.0,1543.0,299.41,305.71,3
CDM,792629,MORPH ANAL MAN MLP PROBE,615.0,615.0,52.89,738.0,34
CDM,792629,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",615.0,615.0,,,0
CDM,792629,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure UNSCHEDULED",615.0,615.0,299.41,305.71,3
CDM,792639,FMR1 DETECT ABN ALLELES,317.0,317.0,27.26,380.4,31
CDM,792646,"Injection, pembrolizumab, 1 mg ",22754.72,22754.72,59.41,59.41,1
CDM,792646,PEMBROLIZUMAB 100 MG INJ,22754.72,22754.72,1956.91,27305.66,29
CDM,792656,ANTIADALIMUMAB AB QN CLA,75.0,75.0,6.45,90.0,31
CDM,792676,MOD SED MD 1ST 15 >5YRS,681.0,681.0,36.09,817.2,49
CDM,792678,MOD SED MD 1ST 15 >5YRS,681.0,681.0,36.09,817.2,49
CDM,792684,MOD SED MD EADD 15,341.0,341.0,18.07,409.2,49
CDM,792687,MOD SED MD EADD 15,341.0,341.0,18.07,409.2,49
CDM,792696,EVAL PT LOW COMPLEX,1598.0,1598.0,137.43,1917.6,36
CDM,792696,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",1598.0,1598.0,87.36,305.82,68
CDM,792698,EVAL PT MOD COMPLEX,1598.0,1598.0,137.43,1917.6,36
CDM,792698,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",1598.0,1598.0,87.36,305.82,68
CDM,792700,EVAL PT HIGH COMPLEX,1598.0,1598.0,137.43,1917.6,36
CDM,792700,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",1598.0,1598.0,87.36,305.82,68
CDM,792702,RE-EVALUATION PT,1598.0,1598.0,137.43,1917.6,36
CDM,792702,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",1598.0,1598.0,60.48,211.73,68
CDM,792703,EVAL OT LOW COMPLEX,1193.0,1193.0,102.6,1431.6,36
CDM,792703,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",1193.0,1193.0,89.78,314.3,68
CDM,792705,EVAL OT MOD COMPLEX,1193.0,1193.0,102.6,1431.6,36
CDM,792705,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",1193.0,1193.0,89.78,314.3,68
CDM,792707,EVAL OT HIGH COMPLEX,1193.0,1193.0,102.6,1431.6,36
CDM,792707,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",1193.0,1193.0,89.78,314.3,68
CDM,792709,RE-EVALUATION OT,747.0,747.0,64.24,896.4,36
CDM,792709,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",747.0,747.0,61.38,214.9,68
CDM,792717,INTRO NDL DX ANGIO,2983.0,2983.0,158.1,3579.6,34
CDM,792718,INTRO NEEDLE W TA,2983.0,2983.0,158.1,3579.6,34
CDM,792719,INTRO NEEDLE W STENT PLC,2983.0,2983.0,158.1,3579.6,34
CDM,792720,PERC MECH THRMB DX ANGIO,2983.0,2983.0,158.1,3579.6,34
CDM,792721,PERC MECH THRMBTY  W TA,2983.0,2983.0,158.1,3579.6,34
CDM,792722,PERC MECH THRMB STNT PLC,2983.0,2983.0,158.1,3579.6,34
CDM,792723,TA CENT DIAL SEG,67110.0,67110.0,3556.83,80532.0,34
CDM,792724,TRANS ANGIO SAME ART INT,67110.0,67110.0,3556.83,80532.0,34
CDM,792725,TRANS ANGIO SAME ART EAD,67110.0,67110.0,3556.83,80532.0,34
CDM,792726,TRANS BAL ANGIO EACH IN,67110.0,67110.0,3556.83,80532.0,34
CDM,792727,TRANS BAL ANGIO EACH AD,6533.0,6533.0,346.25,7839.6,34
CDM,792729,INJ EPI C/T W IMAGING,3025.0,3025.0,160.32,3630.0,34
CDM,792730,INJ EPI L/S WO IMAGING,4767.0,4767.0,252.65,5720.4,34
CDM,792731,INJ EPI L/S W IMAGING,4767.0,4767.0,252.65,5720.4,34
CDM,792759,INTRO NEEDLE W TA,8770.0,8770.0,464.81,10524.0,34
CDM,792760,PERC MECH THRMBTY  W TA,8770.0,8770.0,464.81,10524.0,34
CDM,792764,TRANS ANGIO SAME ART INT,19033.0,19033.0,1008.75,22839.6,34
CDM,792765,TRANS ANGIO SAME ART EAD,8770.0,8770.0,464.81,10524.0,34
CDM,792784,DRUG SCR DOO MANUAL READ,87.0,87.0,7.48,104.4,31
CDM,792787,DRUG SCR DOO INSTR READ,116.0,116.0,9.98,139.2,31
CDM,792790,DRUG SCR ANY NBR PER DOS,593.0,593.0,51.0,711.6,31
CDM,792792,DRUG SCR ANY NBR PER DOS,249.0,249.0,21.41,298.8,31
CDM,792793,RSV-MAB RECOM 50 MG IMJW,20543.0,20543.0,1766.7,24651.6,29
CDM,792848,BEVACIZUMAB 10 MG INJJW,731.0,731.0,62.87,877.2,29
CDM,792869,MITOMYCIN 5 MG INJJW,615.0,615.0,52.89,738.0,29
CDM,792871,"Injection, ofatumumab, 10 mg ",194.38,194.38,,,0
CDM,792871,OFATUMUMAB 10 MG INJJW,194.38,194.38,16.72,233.26,29
CDM,792873,PEMETREXED NOS 10MGINJJW,10.0,10.0,0.86,12.0,29
CDM,792938,STNT PLC CENT DIALYSIS,84700.0,84700.0,4489.1,101640.0,34
CDM,792939,EMBO DIALYSIS CIRCUIT,89964.0,89964.0,4768.09,107956.8,34
CDM,792948,ARGATROBAN NON ESRD 1MG,4.0,4.0,0.34,4.8,29
CDM,792949,ARGATROBAN ESRD HD 1MG,4.0,4.0,0.21,4.8,30
CDM,792953,"Injection, trabectedin, 0.1 mg ",3302.97,3302.97,379.34,379.34,1
CDM,792953,TRABECTEDIN 1 MG INJ,3302.97,3302.97,284.06,3963.56,29
CDM,792960,CULT T VAGINALIS SCRN,10.0,10.0,0.86,12.0,31
CDM,792963,CV CATH INS >5YRS,20620.0,20620.0,1092.86,24744.0,34
CDM,793282,BASIC METABOLIC CALC ION,691.0,691.0,59.43,829.2,31
CDM,793283,BMP TOTAL CALCIUM,510.0,510.0,43.86,612.0,31
CDM,793284,BMP TOTAL CALCIUM,510.0,510.0,43.86,612.0,31
CDM,793285,COMP METABOLIC PANEL,531.0,531.0,45.67,637.2,31
CDM,793286,COMP METABOLIC PANEL,531.0,531.0,45.67,637.2,31
CDM,793287,LIPID PANEL,1015.0,1015.0,87.29,1218.0,31
CDM,793288,LIPID PANEL,1015.0,1015.0,87.29,1218.0,31
CDM,793289,RENAL FUNCTION PANEL,1041.0,1041.0,89.53,1249.2,31
CDM,793290,ACUTE HEPATITIS PANEL,400.0,400.0,34.4,480.0,31
CDM,793291,ACUTE HEPATITIS PANEL,400.0,400.0,34.4,480.0,31
CDM,793292,HEPATIC FUNCTION PANEL,5754.0,5754.0,494.84,6904.8,31
CDM,793293,HEPATIC FUNCTION PANEL,5754.0,5754.0,494.84,6904.8,31
CDM,793294,CARBAMAZEPINE TOTAL,2839.0,2839.0,244.15,3406.8,31
CDM,793295,CARBAMAZEPINE TOTAL,2839.0,2839.0,244.15,3406.8,31
CDM,793296,CYCLOSPORINE QUANT,160.0,160.0,13.76,192.0,31
CDM,793297,DIGOXIN QN,302.0,302.0,25.97,362.4,31
CDM,793298,DIGOXIN QN,302.0,302.0,25.97,362.4,31
CDM,793299,VALPROIC ACID (DEPAKENE),1207.0,1207.0,103.8,1448.4,31
CDM,793300,VALPROIC ACID (DEPAKENE),1207.0,1207.0,103.8,1448.4,31
CDM,793301,GENTAMICIN (GARAMYCIN)QN,379.0,379.0,32.59,454.8,31
CDM,793302,LEVETIRACETAM QN,238.0,238.0,20.47,285.6,31
CDM,793303,LITHIUM QN,56.0,56.0,4.82,67.2,31
CDM,793304,LITHIUM QN,56.0,56.0,4.82,67.2,31
CDM,793305,OXCARBAZEPINE QN,280.0,280.0,24.08,336.0,31
CDM,793306,PHENOBARBITAL LUMINAL QN,585.0,585.0,50.31,702.0,31
CDM,793307,PHENOBARBITAL LUMINAL QN,585.0,585.0,50.31,702.0,31
CDM,793308,PHENYTOIN DILANT TOT QN,94.0,94.0,8.08,112.8,31
CDM,793309,PHENYTOIN DILANT TOT QN,94.0,94.0,8.08,112.8,31
CDM,793310,TOBRAMYCIN PEAK,552.0,552.0,47.47,662.4,31
CDM,793311,TOBRAMYCIN TROUGH,552.0,552.0,47.47,662.4,31
CDM,793312,VANCOMYCIN QUANT,730.0,730.0,62.78,876.0,31
CDM,793313,VANCOMYCIN TROUGH,730.0,730.0,62.78,876.0,31
CDM,793315,DRUG SCR DOO INSTR READ,116.0,116.0,9.98,139.2,31
CDM,793316,DRUG SCR ANY NBR PER DOS,3131.0,3131.0,269.27,3757.2,31
CDM,793317,DRUG SCR ANY NBR PER DOS,3131.0,3131.0,269.27,3757.2,31
CDM,793330,UA W MICRO AUTO,1327.0,1327.0,114.12,1592.4,31
CDM,793331,UA W MICRO AUTO,1327.0,1327.0,114.12,1592.4,31
CDM,793332,UA W O MICRO AUTO,113.0,113.0,9.72,135.6,31
CDM,793333,UA W O MICRO AUTO,113.0,113.0,9.72,135.6,31
CDM,793335,PREG URINE QUAL BY DOO,434.0,434.0,37.32,520.8,31
CDM,793336,PREG URINE QUAL BY DOO,434.0,434.0,37.32,520.8,31
CDM,793345,BETA HYDROXYBUTYRATE,593.0,593.0,51.0,711.6,31
CDM,793347,ALBUMIN SERUM QN,68.0,68.0,5.85,81.6,31
CDM,793348,ALBUMIN SERUM QN,68.0,68.0,5.85,81.6,31
CDM,793349,ALBUMIN OTHER QN,300.0,300.0,25.8,360.0,31
CDM,793350,ALBUMIN OTHER QN,300.0,300.0,25.8,360.0,31
CDM,793351,MICROALBUMIN QN,288.0,288.0,24.77,345.6,31
CDM,793352,MICROALBUMIN SEMIQN,38.0,38.0,3.27,45.6,31
CDM,793353,A-1-ANTITRYPSIN TOT,119.0,119.0,10.23,142.8,31
CDM,793356,AMMONIA,681.0,681.0,58.57,817.2,31
CDM,793357,AMMONIA,681.0,681.0,58.57,817.2,31
CDM,793358,AMYLASE,2011.0,2011.0,172.95,2413.2,31
CDM,793359,AMYLASE BLD,2011.0,2011.0,172.95,2413.2,31
CDM,793360,AMYLASE FL,326.0,326.0,28.04,391.2,31
CDM,793361,AMYLASE BLD,326.0,326.0,28.04,391.2,31
CDM,793362,BETA 2 MICROGLOBULIN,143.0,143.0,12.3,171.6,31
CDM,793363,BILIRUBIN TOT,1358.0,1358.0,116.79,1629.6,31
CDM,793364,BILIRUBIN TOT,1358.0,1358.0,116.79,1629.6,31
CDM,793365,BILIRUBIN DIRECT,1065.0,1065.0,91.59,1278.0,31
CDM,793366,BILIRUBIN DIRECT,1065.0,1065.0,91.59,1278.0,31
CDM,793367,OCCULT BLD SCN 3 SPEC,220.0,220.0,18.92,264.0,31
CDM,793368,OCCULT BLD SCN 3 SPEC,220.0,220.0,18.92,264.0,31
CDM,793369,OCC BLD PEROX OTH SOURCE,268.0,268.0,23.05,321.6,31
CDM,793372,VITAMIN D 25OH W/WO FRAC,249.0,249.0,21.41,298.8,31
CDM,793373,CALCIUM TOTAL,1227.0,1227.0,105.52,1472.4,31
CDM,793374,CALCIUM TOTAL,1227.0,1227.0,105.52,1472.4,31
CDM,793375,CALCIUM IONIZED,160.0,160.0,13.76,192.0,31
CDM,793376,CALCIUM IONIZED,160.0,160.0,13.76,192.0,31
CDM,793377,STONE ANALYSIS QN CHEM,110.0,110.0,9.46,132.0,31
CDM,793379,CEA,160.0,160.0,13.76,192.0,31
CDM,793381,CERULOPLASMIN,92.0,92.0,7.91,110.4,31
CDM,793382,CHLORIDE BLD,330.0,330.0,28.38,396.0,31
CDM,793383,CHLORIDE BLD,330.0,330.0,28.38,396.0,31
CDM,793384,CHLORIDE UR,185.0,185.0,15.91,222.0,31
CDM,793385,CHOLESTEROL BLD,609.0,609.0,52.37,730.8,31
CDM,793386,CHOLESTEROL BLD,609.0,609.0,52.37,730.8,31
CDM,793387,CORTISOL TOTAL,143.0,143.0,12.3,171.6,31
CDM,793389,CREAT KINASE (CK) TOTAL,990.0,990.0,85.14,1188.0,31
CDM,793390,CREAT KINASE (CK) TOTAL,990.0,990.0,85.14,1188.0,31
CDM,793391,CK MB FRACTION,554.0,554.0,47.64,664.8,31
CDM,793392,CK MB FRACTION,554.0,554.0,47.64,664.8,31
CDM,793393,CREATININE BLD,168.0,168.0,14.45,201.6,31
CDM,793394,CREATININE BLD,168.0,168.0,14.45,201.6,31
CDM,793395,CREATININE UR,44.0,44.0,3.78,52.8,31
CDM,793396,CREATININE UR,44.0,44.0,3.78,52.8,31
CDM,793397,CREATININE CLEARANCE,1774.0,1774.0,152.56,2128.8,31
CDM,793398,VITAMIN B12,122.0,122.0,10.49,146.4,31
CDM,793399,VITAMIN B12,122.0,122.0,10.49,146.4,31
CDM,793400,VITAMIN D 1-25 W/WO FRAC,305.0,305.0,26.23,366.0,31
CDM,793401,FERRITIN,119.0,119.0,10.23,142.8,31
CDM,793402,FERRITIN,119.0,119.0,10.23,142.8,31
CDM,793404,FOLATE (FOLIC ACID) SER,122.0,122.0,10.49,146.4,31
CDM,793405,FOLATE (FOLIC ACID) SER,122.0,122.0,10.49,146.4,31
CDM,793409,IGA EA,110.0,110.0,9.46,132.0,31
CDM,793410,IGG EA,110.0,110.0,9.46,132.0,31
CDM,793411,IGM EA,110.0,110.0,9.46,132.0,31
CDM,793412,IGE,143.0,143.0,12.3,171.6,31
CDM,793415,GLUCOSE BODY FLD QN,855.0,855.0,73.53,1026.0,31
CDM,793416,GLUCOSE BODY FLD QN,855.0,855.0,73.53,1026.0,31
CDM,793417,GLUCOSE BLD QN,951.0,951.0,81.79,1141.2,31
CDM,793418,GLUCOSE BLD QN,951.0,951.0,81.79,1141.2,31
CDM,793421,LH,156.0,156.0,13.42,187.2,31
CDM,793430,HEMOGLOBIN ELECTRO,742.0,742.0,63.81,890.4,31
CDM,793432,HEMOGLOBIN A1C,44.0,44.0,3.78,52.8,31
CDM,793433,HEMOGLOBIN A1C,44.0,44.0,3.78,52.8,31
CDM,793434,HEMOSIDERIN QUAL,44.0,44.0,3.78,52.8,31
CDM,793437,GLIADIN AB IGA IA QL,435.0,435.0,37.41,522.0,31
CDM,793438,GLIADIN AB IGG IA QL,435.0,435.0,37.41,522.0,31
CDM,793439,SMOOTH MUSC AB IA QL,435.0,435.0,37.41,522.0,31
CDM,793440,TRANSGLUTAMIN IGA QL IA,435.0,435.0,37.41,522.0,31
CDM,793442,IRON,185.0,185.0,15.91,222.0,31
CDM,793443,IRON,185.0,185.0,15.91,222.0,31
CDM,793444,IRON BINDING,68.0,68.0,5.85,81.6,31
CDM,793445,IRON BINDING,68.0,68.0,5.85,81.6,31
CDM,793446,LACTIC ACID,583.0,583.0,50.14,699.6,31
CDM,793447,LACTIC ACID,583.0,583.0,50.14,699.6,31
CDM,793448,LDH (LD),552.0,552.0,47.47,662.4,31
CDM,793449,LDH (LD) BODY FLUID,552.0,552.0,47.47,662.4,31
CDM,793450,LDH (LD),552.0,552.0,47.47,662.4,31
CDM,793451,LDH (LD) BODY FLUID,552.0,552.0,47.47,662.4,31
CDM,793452,LIPASE,33.0,33.0,2.84,39.6,31
CDM,793453,LIPASE,33.0,33.0,2.84,39.6,31
CDM,793454,LIPASE,33.0,33.0,2.84,39.6,31
CDM,793455,MAGNESIUM BLD,337.0,337.0,28.98,404.4,31
CDM,793456,MAGNESIUM BLD,337.0,337.0,28.98,404.4,31
CDM,793457,MYOGLOBIN URINE,283.0,283.0,24.34,339.6,31
CDM,793458,MYOGLOBIN BLD,283.0,283.0,24.34,339.6,31
CDM,793459,NATRIURETIC PEPTIDE,1979.0,1979.0,170.19,2374.8,31
CDM,793460,NATRIURETIC PEPTIDE,1979.0,1979.0,170.19,2374.8,31
CDM,793464,OSMOLALITY BLD,379.0,379.0,32.59,454.8,31
CDM,793465,OSMOLALITY UR,534.0,534.0,45.92,640.8,31
CDM,793467,PTH INTACT,713.0,713.0,61.32,855.6,31
CDM,793468,PH BODY FLUID,148.0,148.0,12.73,177.6,31
CDM,793469,ALK PHOS (ALP),1053.0,1053.0,90.56,1263.6,31
CDM,793470,ALK PHOS (ALP),1053.0,1053.0,90.56,1263.6,31
CDM,793472,PHOSPHORUS BLD,239.0,239.0,20.55,286.8,31
CDM,793473,PHOSPHORUS BLD,239.0,239.0,20.55,286.8,31
CDM,793474,POTASSIUM BLD,784.0,784.0,67.42,940.8,31
CDM,793475,POTASSIUM BLD,784.0,784.0,67.42,940.8,31
CDM,793476,POTASSIUM UR,377.0,377.0,32.42,452.4,31
CDM,793477,PREALBUMIN,218.0,218.0,18.75,261.6,31
CDM,793478,PROLACTIN,162.0,162.0,13.93,194.4,31
CDM,793479,PROS SPEC AG (PSA) TOTAL,156.0,156.0,13.42,187.2,31
CDM,793481,TOTAL PROTEIN BLD,784.0,784.0,67.42,940.8,31
CDM,793482,TOTAL PROTEIN BLD,784.0,784.0,67.42,940.8,31
CDM,793483,TOTAL PROTEIN URINE QN,508.0,508.0,43.69,609.6,31
CDM,793484,TOT PROTEIN BODY FLDS QN,784.0,784.0,67.42,940.8,31
CDM,793486,TOT PROTEIN BODY FLDS QN,784.0,784.0,67.42,940.8,31
CDM,793487,TOTAL PROTEIN CSF QN,784.0,784.0,67.42,940.8,31
CDM,793488,PROTEIN ELECTRO SER,92.0,92.0,7.91,110.4,31
CDM,793489,PROTEIN ELECTRO URINE,92.0,92.0,7.91,110.4,31
CDM,793490,SODIUM BLD,222.0,222.0,19.09,266.4,31
CDM,793491,SODIUM BLD,222.0,222.0,19.09,266.4,31
CDM,793492,SODIUM UR,222.0,222.0,19.09,266.4,31
CDM,793494,SOMATOMEDIN C IGF-1,231.0,231.0,19.87,277.2,31
CDM,793496,VITAMIN B1 THIAMINE,168.0,168.0,14.45,201.6,31
CDM,793497,THYROXINE T4 TOTAL,62.0,62.0,5.33,74.4,31
CDM,793498,THYROXINE T4 TOTAL,62.0,62.0,5.33,74.4,31
CDM,793499,T4 FREE,72.0,72.0,6.19,86.4,31
CDM,793500,T4 FREE,72.0,72.0,6.19,86.4,31
CDM,793501,TSH,146.0,146.0,12.56,175.2,31
CDM,793502,TSH,146.0,146.0,12.56,175.2,31
CDM,793503,THYROID STIM IMMUNO TSI,443.0,443.0,38.1,531.6,31
CDM,793504,AST (SGOT),1388.0,1388.0,119.37,1665.6,31
CDM,793505,AST (SGOT),1388.0,1388.0,119.37,1665.6,31
CDM,793506,ALT (SGPT),1388.0,1388.0,119.37,1665.6,31
CDM,793507,ALT (SGPT),1388.0,1388.0,119.37,1665.6,31
CDM,793508,TRANSFERRIN,113.0,113.0,9.72,135.6,31
CDM,793509,TRANSFERRIN,113.0,113.0,9.72,135.6,31
CDM,793510,TRIGLYCERIDES,2227.0,2227.0,191.52,2672.4,31
CDM,793512,T3 TOTAL,121.0,121.0,10.41,145.2,31
CDM,793513,T3 FREE,133.0,133.0,11.44,159.6,31
CDM,793514,T3 FREE,133.0,133.0,11.44,159.6,31
CDM,793515,TROPONIN QUANT,629.0,629.0,54.09,754.8,31
CDM,793516,TROPONIN QUANT,629.0,629.0,54.09,754.8,31
CDM,793517,BUN,185.0,185.0,15.91,222.0,31
CDM,793518,BUN,185.0,185.0,15.91,222.0,31
CDM,793519,URINE UREA NITROGEN,33.0,33.0,2.84,39.6,31
CDM,793520,URIC ACID BLD,1475.0,1475.0,126.85,1770.0,31
CDM,793521,URIC ACID BLD,1475.0,1475.0,126.85,1770.0,31
CDM,793522,URIC ACID UR,821.0,821.0,70.61,985.2,31
CDM,793523,HCG BETA QUANTITATIVE,4501.0,4501.0,387.09,5401.2,31
CDM,793524,HCG BETA QUANTITATIVE,4501.0,4501.0,387.09,5401.2,31
CDM,793525,HCG QUALITATIVE SERUM,3159.0,3159.0,271.67,3790.8,31
CDM,793526,HCG QUALITATIVE SERUM,3159.0,3159.0,271.67,3790.8,31
CDM,793528,HEMOGLOBIN,669.0,669.0,57.53,802.8,31
CDM,793529,HEMOGLOBIN,669.0,669.0,57.53,802.8,31
CDM,793530,CBC AUTOMATED,326.0,326.0,28.04,391.2,31
CDM,793531,CBC AUTOMATED,326.0,326.0,28.04,391.2,31
CDM,793534,RETIC COUNT MANUAL,156.0,156.0,13.42,187.2,31
CDM,793535,RETIC COUNT AUTO,175.0,175.0,15.05,210.0,31
CDM,793536,PLATELET AUTOMATED,990.0,990.0,85.14,1188.0,31
CDM,793537,PLATELET AUTOMATED,990.0,990.0,85.14,1188.0,31
CDM,793542,ANTITHROMBIN 3 ACT,271.0,271.0,23.31,325.2,31
CDM,793543,ANTITHROMBIN 3 ACT,271.0,271.0,23.31,325.2,31
CDM,793544,PROTEIN C AG,119.0,119.0,10.23,142.8,31
CDM,793545,PROTEIN C AG,119.0,119.0,10.23,142.8,31
CDM,793546,PROTEIN C ACTIVITY,675.0,675.0,58.05,810.0,31
CDM,793547,PROTEIN C ACTIVITY,675.0,675.0,58.05,810.0,31
CDM,793549,PROTEIN S ANTIGEN TOTAL,675.0,675.0,58.05,810.0,31
CDM,793551,ACT CLOT TIME,713.0,713.0,61.32,855.6,31
CDM,793552,ACT CLOT TIME,713.0,713.0,61.32,855.6,31
CDM,793554,D-DIMER SEMI,960.0,960.0,82.56,1152.0,31
CDM,793555,D-DIMER SEMI,960.0,960.0,82.56,1152.0,31
CDM,793556,D-DIMER QUANT,513.0,513.0,44.12,615.6,31
CDM,793557,FIBRINOGEN ACTIVITY,85.0,85.0,7.31,102.0,31
CDM,793558,FIBRINOGEN ACTIVITY,85.0,85.0,7.31,102.0,31
CDM,793562,PROTIME,216.0,216.0,18.58,259.2,31
CDM,793563,PROTIME,216.0,216.0,18.58,259.2,31
CDM,793565,SED RATE MANUAL,973.0,973.0,83.68,1167.6,31
CDM,793566,SED RATE MANUAL,973.0,973.0,83.68,1167.6,31
CDM,793568,SICKLE CELL PREP,465.0,465.0,39.99,558.0,31
CDM,793569,THROMBIN TIME,377.0,377.0,32.42,452.4,31
CDM,793570,THROMBIN TIME,377.0,377.0,32.42,452.4,31
CDM,793571,PTT,303.0,303.0,26.06,363.6,31
CDM,793572,PTT,303.0,303.0,26.06,363.6,31
CDM,793574,ANCA CYTOPLASMIC,318.0,318.0,27.35,381.6,31
CDM,793575,PLT AB HEPARIN INDUCED,698.0,698.0,60.03,837.6,31
CDM,793577,ANA QUAL SCREEN,110.0,110.0,9.46,132.0,31
CDM,793578,CENTROMERE AB,110.0,110.0,9.46,132.0,31
CDM,793580,ANA QUAL SCREEN,110.0,110.0,9.46,132.0,31
CDM,793582,C-REACTIVE PROTEIN,78.0,78.0,6.71,93.6,31
CDM,793583,C-REACTIVE PROTEIN,78.0,78.0,6.71,93.6,31
CDM,793584,C-REACTIVE PROTEIN HS,92.0,92.0,7.91,110.4,31
CDM,793589,CARDIOLIPIN AB IGA,143.0,143.0,12.3,171.6,31
CDM,793590,CARDIOLIPIN AB IGG,143.0,143.0,12.3,171.6,31
CDM,793591,CARDIOLIPIN AB IGM,143.0,143.0,12.3,171.6,31
CDM,793592,COLD AGGLUTININ TITER,288.0,288.0,24.77,345.6,31
CDM,793593,COMPLEMENT C3,1170.0,1170.0,100.62,1404.0,31
CDM,793594,COMPLEMENT C4,1170.0,1170.0,100.62,1404.0,31
CDM,793595,COMPLEMENT C1 EST INHIBI,1170.0,1170.0,100.62,1404.0,31
CDM,793596,COMPLEMENT C3,1170.0,1170.0,100.62,1404.0,31
CDM,793597,COMPLEMENT C4,1170.0,1170.0,100.62,1404.0,31
CDM,793598,COMPLEMENT TOT CH50,168.0,168.0,14.45,201.6,31
CDM,793599,COMPLEMENT TOT CH50,168.0,168.0,14.45,201.6,31
CDM,793600,DS DNA AB,119.0,119.0,10.23,142.8,31
CDM,793601,DS DNA AB,119.0,119.0,10.23,142.8,31
CDM,793602,JO-1 ANTIBODY,367.0,367.0,31.56,440.4,31
CDM,793603,RNP ANTIBODY,367.0,367.0,31.56,440.4,31
CDM,793604,SJOGRENS A AB (SSA),367.0,367.0,31.56,440.4,31
CDM,793605,SJOGRENS B AB (SSB),367.0,367.0,31.56,440.4,31
CDM,793606,SCLERODERMA 70 AB,367.0,367.0,31.56,440.4,31
CDM,793608,RNP ANTIBODY,367.0,367.0,31.56,440.4,31
CDM,793609,SJOGRENS A AB (SSA),367.0,367.0,31.56,440.4,31
CDM,793610,SJOGRENS B AB (SSB),367.0,367.0,31.56,440.4,31
CDM,793611,SCLERODERMA 70 AB,367.0,367.0,31.56,440.4,31
CDM,793612,SMITH ANTIBODY,367.0,367.0,31.56,440.4,31
CDM,793613,RETICULIN FA AB IGA SCR,1231.0,1231.0,105.87,1477.2,31
CDM,793614,MITOCHOND FA AB TIT,556.0,556.0,47.82,667.2,31
CDM,793617,CA 15-3 QN,168.0,168.0,14.45,201.6,31
CDM,793618,CA 27-29 QN,168.0,168.0,14.45,201.6,31
CDM,793619,CA 19-9 QN,168.0,168.0,14.45,201.6,31
CDM,793620,CA 125 QN,168.0,168.0,14.45,201.6,31
CDM,793621,MONO SCR (HETEROPHILE),1940.0,1940.0,166.84,2328.0,31
CDM,793622,MONO SCR (HETEROPHILE),1940.0,1940.0,166.84,2328.0,31
CDM,793624,HB S AB QN,100.0,100.0,8.6,120.0,31
CDM,793628,RA FACTOR QUAL,62.0,62.0,5.33,74.4,31
CDM,793629,RA FACTOR QUAL,62.0,62.0,5.33,74.4,31
CDM,793633,RPR QUAL,48.0,48.0,4.13,57.6,31
CDM,793635,VDRL CSF QUAL,39.0,39.0,3.35,46.8,31
CDM,793636,VDRL CSF QUAL,48.0,48.0,4.13,57.6,31
CDM,793637,RPR QUANT,1136.0,1136.0,97.7,1363.2,31
CDM,793639,LYME DISEASE AB QL,122.0,122.0,10.49,146.4,31
CDM,793640,COCCIDIOID AB QUAL,133.0,133.0,11.44,159.6,31
CDM,793641,CRYPTOCOC AB BLD QUAL,121.0,121.0,10.41,145.2,31
CDM,793642,CMV IGM QUAL,146.0,146.0,12.56,175.2,31
CDM,793643,EBV EARLY AB QUAL,94.0,94.0,8.08,112.8,31
CDM,793644,EBV NUCLEAR AG AB QUAL,222.0,222.0,19.09,266.4,31
CDM,793645,EBV CAPSID IGG QUAL,156.0,156.0,13.42,187.2,31
CDM,793646,EBV CAPSID IGM QUAL,156.0,156.0,13.42,187.2,31
CDM,793650,HIV 1&2 AB QUAL,144.0,144.0,12.38,172.8,31
CDM,793651,HEP B CORE AB TOTAL,133.0,133.0,11.44,159.6,31
CDM,793652,HEP B SURFACE AB QUAL,92.0,92.0,7.91,110.4,31
CDM,793653,HEP A AB IGM QUAL,92.0,92.0,7.91,110.4,31
CDM,793654,LEGIONELLA AB IGM QUAL,133.0,133.0,11.44,159.6,31
CDM,793655,MUMPS IGM QUAL,113.0,113.0,9.72,135.6,31
CDM,793656,MYCOPLASMA AB IGM QL,288.0,288.0,24.77,345.6,31
CDM,793657,MYCOPLASMA AB IGG QL,288.0,288.0,24.77,345.6,31
CDM,793658,MYCOPLASMA AB IGM QL,288.0,288.0,24.77,345.6,31
CDM,793660,ROTAVIRUS AB QUAL,110.0,110.0,9.46,132.0,31
CDM,793663,RUBELLA IGG,121.0,121.0,10.41,145.2,31
CDM,793664,RUBELLA IGM,121.0,121.0,10.41,145.2,31
CDM,793665,RUBEOLA IGM,173.0,173.0,14.88,207.6,31
CDM,793666,RUBEOLA AB QUAL,173.0,173.0,14.88,207.6,31
CDM,793667,RUBEOLA IGM,173.0,173.0,14.88,207.6,31
CDM,793668,RUBEOLA AB QUAL,173.0,173.0,14.88,207.6,31
CDM,793669,T PALLIDUM AB IGG,113.0,113.0,9.72,135.6,31
CDM,793670,T PALLIDUM AB IGG,113.0,113.0,9.72,135.6,31
CDM,793675,DENGUE VIRUS AB IGM QL,208.0,208.0,17.89,249.6,31
CDM,793678,DENGUE VIRUS AB IGG QL,208.0,208.0,17.89,249.6,31
CDM,793679,DENGUE VIRUS AB IGM QL,208.0,208.0,17.89,249.6,31
CDM,793680,CHIKUNGUNYA AB IGG,208.0,208.0,17.89,249.6,31
CDM,793681,CHIKUNGUNYA AB IGM,208.0,208.0,17.89,249.6,31
CDM,793682,THYROGLOBULIN AB QUANT,133.0,133.0,11.44,159.6,31
CDM,793683,HEPATITIS C AB QUAL,868.0,868.0,74.65,1041.6,31
CDM,793684,ANTIBODY SCREEN EA,56.0,56.0,4.82,67.2,31
CDM,793685,ANTIBODY SCREEN EA,56.0,56.0,4.82,67.2,31
CDM,793688,ANTIBODY ID EA,1179.0,1179.0,101.39,1414.8,34
CDM,793691,DIRECT COOMBS AHG EA,1150.0,1150.0,98.9,1380.0,31
CDM,793693,ABO TYPE,593.0,593.0,51.0,711.6,31
CDM,793694,ABO TYPE,593.0,593.0,51.0,711.6,31
CDM,793695,ABO TYPE,593.0,593.0,51.0,711.6,31
CDM,793696,RH TYPE,624.0,624.0,53.66,748.8,31
CDM,793697,RH TYPE,19.0,19.0,1.63,22.8,31
CDM,793698,RH TYPE,624.0,624.0,53.66,748.8,31
CDM,793700,AG SC DON BLD REA SER EA,122.0,122.0,10.49,146.4,40
CDM,793702,RBC ANTIGEN TYPING EA,584.0,584.0,50.22,700.8,31
CDM,793703,RBC ANTIGEN TYPING EA,584.0,584.0,50.22,700.8,31
CDM,793707,AFB CONCENTRATION,207.0,207.0,17.8,248.4,31
CDM,793708,AFB CONCENTRATION,207.0,207.0,17.8,248.4,31
CDM,793709,CULTURE BLOOD,122.0,122.0,10.49,146.4,31
CDM,793710,CULTURE BLOOD,122.0,122.0,10.49,146.4,31
CDM,793711,CULTURE STOOL,1231.0,1231.0,105.87,1477.2,31
CDM,793712,CULTURE STOOL,1231.0,1231.0,105.87,1477.2,31
CDM,793714,CULTURE BODY FLUID,1221.0,1221.0,105.01,1465.2,31
CDM,793715,CULTURE CSF,1221.0,1221.0,105.01,1465.2,31
CDM,793716,CULTURE EAR,1221.0,1221.0,105.01,1465.2,31
CDM,793717,CULTURE EYE,1221.0,1221.0,105.01,1465.2,31
CDM,793718,CULTURE GENITAL,1221.0,1221.0,105.01,1465.2,31
CDM,793719,CULTURE RESPIRATORY,1221.0,1221.0,105.01,1465.2,31
CDM,793721,CULT THROAT,1221.0,1221.0,105.01,1465.2,31
CDM,793722,CULTURE WOUND,1221.0,1221.0,105.01,1465.2,31
CDM,793723,CULTURE CATHETER TIP,1221.0,1221.0,105.01,1465.2,31
CDM,793724,CULTURE SPUTUM,1221.0,1221.0,105.01,1465.2,31
CDM,793725,CULTURE BODY FLUID,1221.0,1221.0,105.01,1465.2,31
CDM,793726,CULTURE CSF,1221.0,1221.0,105.01,1465.2,31
CDM,793727,CULTURE EAR,1221.0,1221.0,105.01,1465.2,31
CDM,793728,CULTURE EYE,1221.0,1221.0,105.01,1465.2,31
CDM,793729,CULTURE GENITAL,1221.0,1221.0,105.01,1465.2,31
CDM,793730,CULTURE RESPIRATORY,1221.0,1221.0,105.01,1465.2,31
CDM,793731,CULT THROAT,1221.0,1221.0,105.01,1465.2,31
CDM,793732,CULTURE WOUND,1221.0,1221.0,105.01,1465.2,31
CDM,793733,CULTURE SPUTUM,1221.0,1221.0,105.01,1465.2,31
CDM,793734,CULTURE ANAEROBIC,1461.0,1461.0,125.65,1753.2,31
CDM,793735,CULTURE ANAEROBIC,1461.0,1461.0,125.65,1753.2,31
CDM,793737,ANAEROBIC ORG ID,65.0,65.0,5.59,78.0,31
CDM,793738,AEROBIC ORG ID,148.0,148.0,12.73,177.6,31
CDM,793739,AEROBIC ORG ID,148.0,148.0,12.73,177.6,31
CDM,793740,CULT GC SCR,355.0,355.0,30.53,426.0,31
CDM,793741,CULT BORDETELLA PERT SCR,355.0,355.0,30.53,426.0,31
CDM,793743,CULT COLONY COUNT UR,444.0,444.0,38.18,532.8,31
CDM,793744,CULT COLONY COUNT UR,444.0,444.0,38.18,532.8,31
CDM,793745,CULT W PRESUMPTIVE ID UR,444.0,444.0,38.18,532.8,31
CDM,793746,CULT W PRESUMPTIVE ID UR,444.0,444.0,38.18,532.8,31
CDM,793747,CULT FUNGUS OTHER SRC,58.0,58.0,4.99,69.6,31
CDM,793749,CULT YEAST OTHER SOURCE,58.0,58.0,4.99,69.6,31
CDM,793751,YEAST ID,208.0,208.0,17.89,249.6,31
CDM,793752,YEAST ID,208.0,208.0,17.89,249.6,31
CDM,793754,CULT AFB,121.0,121.0,10.41,145.2,31
CDM,793755,CULT AFB,121.0,121.0,10.41,145.2,31
CDM,793756,O&P SMEAR CONC ID,916.0,916.0,78.78,1099.2,31
CDM,793758,SUSC 1-12 DISKS,72.0,72.0,6.19,86.4,31
CDM,793759,SUSC 1-12 DISKS,72.0,72.0,6.19,86.4,31
CDM,793760,SUSC MIC,272.0,272.0,23.39,326.4,31
CDM,793761,SUSC MIC,272.0,272.0,23.39,326.4,31
CDM,793762,GRAM STAIN PRIMARY SRCE,235.0,235.0,20.21,282.0,31
CDM,793767,GRAM STAIN PRIMARY SRCE,235.0,235.0,20.21,282.0,31
CDM,793768,SMEAR FUNGUS STAIN,235.0,235.0,20.21,282.0,31
CDM,793769,SMEAR FECAL MUCOUS STN,235.0,235.0,20.21,282.0,31
CDM,793771,SMEAR AFB,428.0,428.0,36.81,513.6,31
CDM,793772,SMR BLD PARASIT/INCL BDY,554.0,554.0,47.64,664.8,31
CDM,793773,SMR BLD PARASIT/INCL BDY,554.0,554.0,47.64,664.8,31
CDM,793774,SMEAR WET MOUNT,465.0,465.0,39.99,558.0,31
CDM,793775,SMEAR WET MOUNT,465.0,465.0,39.99,558.0,31
CDM,793777,CULT VIRUS CPE,714.0,714.0,61.4,856.8,31
CDM,793778,CULT HERPES SIMP 1&2,714.0,714.0,61.4,856.8,31
CDM,793779,CULT RSV,714.0,714.0,61.4,856.8,31
CDM,793780,CULT VARICELLA ZOSTER,714.0,714.0,61.4,856.8,31
CDM,793781,CULT VIRUS CPE,714.0,714.0,61.4,856.8,31
CDM,793782,CULT HERPES SIMP 1&2,714.0,714.0,61.4,856.8,31
CDM,793783,CULT RSV,714.0,714.0,61.4,856.8,31
CDM,793784,CULT VARICELLA ZOSTER,714.0,714.0,61.4,856.8,31
CDM,793789,VARICELLA ZOSTER AG IFT,406.0,406.0,34.92,487.2,31
CDM,793790,VARICELLA ZOSTER AG IFT,406.0,406.0,34.92,487.2,31
CDM,793791,CRYPTOSPORIDIUM AG EIA,231.0,231.0,19.87,277.2,31
CDM,793792,GIARDIA AG EIA,231.0,231.0,19.87,277.2,31
CDM,793794,HEP B S AG EIA QL,91.0,91.0,7.83,109.2,31
CDM,793795,HIV-1AG HIV-1/2AB SINGLE,62.0,62.0,5.33,74.4,31
CDM,793796,HIV-1AG HIV-1/2AB SINGLE,62.0,62.0,5.33,74.4,31
CDM,793799,SHIGA LIKE TOXIN EIA,94.0,94.0,8.08,112.8,31
CDM,793800,STREP A AG IA,847.0,847.0,72.84,1016.4,31
CDM,793802,INFECT ANTGN DETEC NOS,400.0,400.0,34.4,480.0,31
CDM,793803,LEGIONELLA AG EIA,400.0,400.0,34.4,480.0,31
CDM,793804,INFECT ANTGN DETEC NOS,400.0,400.0,34.4,480.0,31
CDM,793806,CHLAMYDIA T AMP PROBE,455.0,455.0,39.13,546.0,31
CDM,793807,CHLAMYDIA T AMP PROBE,455.0,455.0,39.13,546.0,31
CDM,793808,C DIFF TOX GENE AMP PROB,393.0,393.0,33.8,471.6,31
CDM,793812,HERPES SIMP AMP PROBE,1769.0,1769.0,152.13,2122.8,31
CDM,793813,GC AMP PROBE,455.0,455.0,39.13,546.0,31
CDM,793814,GC AMP PROBE,455.0,455.0,39.13,546.0,31
CDM,793818,INFLUENZA VIRUS AG OIA,130.0,130.0,11.18,156.0,31
CDM,793819,RSV AG OIA,123.0,123.0,10.58,147.6,31
CDM,793820,STREP A OPTICAL IA,1854.0,1854.0,159.44,2224.8,31
CDM,793821,STREP A OPTICAL IA,1854.0,1854.0,159.44,2224.8,31
CDM,793822,STREP PNEUMO AG OIA,39.0,39.0,3.35,46.8,31
CDM,793825,CYTO FWB SMEAR & INTERP,44.0,44.0,3.78,52.8,34
CDM,793826,CYTOLOGY CONC & INTERP,176.0,176.0,15.14,211.2,34
CDM,793827,CYTO LIQUID BASE NON C/V,91.0,91.0,7.83,109.2,34
CDM,793828,SURG PATH LEVEL 1,309.0,309.0,26.57,370.8,34
CDM,793829,SURG PATH LEVEL 3,355.0,355.0,30.53,426.0,34
CDM,793830,SURG PATH LEVEL 4,355.0,355.0,30.53,426.0,34
CDM,793831,SURG PATH LEVEL 5,922.0,922.0,79.29,1106.4,34
CDM,793832,PATH DECALCIFICATION,309.0,309.0,16.38,370.8,35
CDM,793833,PATH STAIN GROUP 1,510.0,510.0,43.86,612.0,34
CDM,793834,PATH STAIN GROUP 2,427.0,427.0,36.72,512.4,34
CDM,793835,TOUCH PREP INITIAL SITE,44.0,44.0,3.78,52.8,34
CDM,793836,CELL COUNT CSF,188.0,188.0,16.17,225.6,31
CDM,793838,CELL COUNT BODY FLD,188.0,188.0,16.17,225.6,31
CDM,793839,CELL COUNT BODY FLD,188.0,188.0,16.17,225.6,31
CDM,793840,CELL CT&DIFF BODY FL,379.0,379.0,32.59,454.8,31
CDM,793841,CELL CT & DIFF CSF,379.0,379.0,32.59,454.8,31
CDM,793842,CELL CT & DIFF CSF,379.0,379.0,32.59,454.8,31
CDM,793843,FECAL WBC COUNT QL,207.0,207.0,17.8,248.4,31
CDM,793844,CRYSTALS BODY FL,379.0,379.0,32.59,454.8,31
CDM,793845,CRYSTALS BODY FL,379.0,379.0,32.59,454.8,31
CDM,793846,DUP EXTRACRANIAL BIL,5522.0,5522.0,474.89,6626.4,36
CDM,793847,DUP EXTRACRANIAL BIL,5522.0,5522.0,474.89,6626.4,36
CDM,793848,DOP TRANSCRANIAL LTD,774.0,774.0,66.56,928.8,36
CDM,793849,DOP ART 1-2 LEVELS BIL,915.0,915.0,78.69,1098.0,36
CDM,793850,DUP LE ART BIL,4482.0,4482.0,385.45,5378.4,36
CDM,793851,DUP LE ART UNI LT,915.0,915.0,78.69,1098.0,36
CDM,793852,DUP LE ART UNI RT,530.0,530.0,45.58,636.0,36
CDM,793853,DUP LE ART UNI LT,915.0,915.0,78.69,1098.0,36
CDM,793854,DUP LE ART UNI RT,915.0,915.0,78.69,1098.0,36
CDM,793855,DUP UE ART UNI LT,963.0,963.0,82.82,1155.6,36
CDM,793856,DUP UE ART UNI RT,530.0,530.0,45.58,636.0,36
CDM,793857,DUP UE ART UNI LT,963.0,963.0,82.82,1155.6,36
CDM,793858,DUP UE ART UNI RT,963.0,963.0,82.82,1155.6,36
CDM,793859,DUP VEIN BIL,7611.0,7611.0,654.55,9133.2,36
CDM,793860,DUP VEIN BIL,7611.0,7611.0,654.55,9133.2,36
CDM,793861,DUP VEIN UNI LT,935.0,935.0,80.41,1122.0,36
CDM,793862,DUP VEIN UNI RT,530.0,530.0,45.58,636.0,36
CDM,793863,DUP VEIN UNI LT,935.0,935.0,80.41,1122.0,36
CDM,793864,DUP VEIN UNI RT,935.0,935.0,80.41,1122.0,36
CDM,793865,DUP AB/PEL/SC LTD,2012.0,2012.0,173.03,2414.4,36
CDM,793866,DUP AB/PEL/SC LTD,2012.0,2012.0,173.03,2414.4,36
CDM,793867,DUP AO/IVC/IV/BPG COMP,5254.0,5254.0,451.84,6304.8,36
CDM,793868,DUP AO/IVC/IV/BPG LTD,5254.0,5254.0,451.84,6304.8,36
CDM,793869,DUP AO/IVC/IV/BPG LTD,5254.0,5254.0,451.84,6304.8,36
CDM,793870,DUP A/V STUDY,935.0,935.0,80.41,1122.0,36
CDM,793871,DUP A/V STUDY,935.0,935.0,80.41,1122.0,36
CDM,793873,HIV1&/OR HIV2 AB SC RAP,87.0,87.0,7.48,104.4,31
CDM,793873,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",87.0,87.0,11.86,36.54,36
CDM,793873,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening UNSCHEDULED",87.0,87.0,306.75,313.2,3
CDM,793874,DRUG TEST DEF 1-7 CLASS,181.0,181.0,15.57,217.2,31
CDM,793875,DRUG TEST DEF 1-7 CLASS,181.0,181.0,15.57,217.2,31
CDM,793876,PRBC LR,427.0,427.0,36.72,512.4,48
CDM,793877,FFP,557.0,557.0,47.9,668.4,48
CDM,793878,PLTS CONC,184.0,184.0,15.82,220.8,48
CDM,793879,PLTS PHERESIS EACH UNIT,1091.0,1091.0,93.83,1309.2,48
CDM,793880,SMEAR WET PREP WO STAIN,87.0,87.0,7.48,104.4,31
CDM,793880,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",87.0,87.0,18.35,56.55,36
CDM,793892,DOPAMINE 1600 MCG/ML INJ,448.0,448.0,23.74,537.6,30
CDM,793894,DOBUTAMNE 1000MCG/ML INJ,45.12,45.12,2.39,54.14,30
CDM,793904,AOR UNIBODY BIFUR ENDO,11534.0,11534.0,611.3,13840.8,34
CDM,793905,UNI FEM ARTERY EXPOS,11534.0,11534.0,611.3,13840.8,34
CDM,793906,UNI ILIAC ARTERY EXPOS,11534.0,11534.0,611.3,13840.8,34
CDM,793908,INTRALIPID 20% 100 ML,421.0,421.0,22.31,505.2,48
CDM,794003,DUP EXTRCRNIAL UNI/LTD,530.0,530.0,45.58,636.0,36
CDM,794004,DUP AB/PEL/SC COMP,2674.0,2674.0,229.96,3208.8,36
CDM,794005,DUP UE ART BIL,6003.0,6003.0,516.26,7203.6,36
CDM,794086,DUP EXTRCRNIAL UNI/LTD,530.0,530.0,45.58,636.0,36
CDM,794087,DUP AB/PEL/SC COMP,2674.0,2674.0,229.96,3208.8,36
CDM,794090,DUP UE ART BIL,6003.0,6003.0,516.26,7203.6,36
CDM,794091,DUP LE ART BIL,4482.0,4482.0,385.45,5378.4,36
CDM,794092,DUP AO/IVC/IV/BPG COMP,5254.0,5254.0,451.84,6304.8,36
CDM,794094,LIDOCAINE 4% PATCH,4.13,4.13,0.22,4.96,49
CDM,794095,RENAL FUNCTION PANEL,1041.0,1041.0,89.53,1249.2,31
CDM,794096,CYCLOSPORINE QUANT,160.0,160.0,13.76,192.0,31
CDM,794098,GENTAMICIN (GARAMYCIN)QN,379.0,379.0,32.59,454.8,31
CDM,794099,TOBRAMYCIN PEAK,552.0,552.0,47.47,662.4,31
CDM,794100,TOBRAMYCIN TROUGH,552.0,552.0,47.47,662.4,31
CDM,794101,VANCOMYCIN QUANT,730.0,730.0,62.78,876.0,31
CDM,794102,VANCOMYCIN TROUGH,730.0,730.0,62.78,876.0,31
CDM,794103,MICROALBUMIN QN,288.0,288.0,24.77,345.6,31
CDM,794104,A-1-ANTITRYPSIN TOT,119.0,119.0,10.23,142.8,31
CDM,794105,ALPHA FETOPROT SERUM MAT,146.0,146.0,12.56,175.2,31
CDM,794106,ALPHA FETOPROT SERUM,146.0,146.0,12.56,175.2,31
CDM,794107,AMYLASE,2011.0,2011.0,172.95,2413.2,31
CDM,794108,AMYLASE FL,2011.0,2011.0,172.95,2413.2,31
CDM,794109,BETA 2 MICROGLOBULIN,143.0,143.0,12.3,171.6,31
CDM,794110,OCC BLD PEROX OTH SOURCE,268.0,268.0,23.05,321.6,31
CDM,794111,CHLORIDE UR,185.0,185.0,15.91,222.0,31
CDM,794112,CORTISOL TOTAL,143.0,143.0,12.3,171.6,31
CDM,794113,CREATININE CLEARANCE,1774.0,1774.0,152.56,2128.8,31
CDM,794114,FETAL FIBRONECTIN SQN,765.0,765.0,65.79,918.0,31
CDM,794115,IGA EA,110.0,110.0,9.46,132.0,31
CDM,794116,IGG EA,110.0,110.0,9.46,132.0,31
CDM,794117,IGM EA,110.0,110.0,9.46,132.0,31
CDM,794118,IGE,143.0,143.0,12.3,171.6,31
CDM,794119,GAMMA GT,1065.0,1065.0,91.59,1278.0,31
CDM,794120,FSH,160.0,160.0,13.76,192.0,31
CDM,794121,LH,156.0,156.0,13.42,187.2,31
CDM,794122,HAPTOGLOBIN QUANT,1091.0,1091.0,93.83,1309.2,31
CDM,794123,HOMOCYSTEINE QN,146.0,146.0,12.56,175.2,31
CDM,794124,MYOGLOBIN BLD,283.0,283.0,24.34,339.6,31
CDM,794125,MYOGLOBIN URINE,283.0,283.0,24.34,339.6,31
CDM,794126,LIGHT CHAINS KAP FREE,72.0,72.0,6.19,86.4,31
CDM,794127,OLIGOCLONAL BANDS,271.0,271.0,23.31,325.2,31
CDM,794128,OSMOLALITY BLD,379.0,379.0,32.59,454.8,31
CDM,794129,OSMOLALITY UR,534.0,534.0,45.92,640.8,31
CDM,794130,PH BODY FLUID,148.0,148.0,12.73,177.6,31
CDM,794131,POTASSIUM UR,377.0,377.0,32.42,452.4,31
CDM,794132,PREALBUMIN,218.0,218.0,18.75,261.6,31
CDM,794133,PROLACTIN,162.0,162.0,13.93,194.4,31
CDM,794134,PROS SPEC AG (PSA) TOTAL,156.0,156.0,13.42,187.2,31
CDM,794136,TOTAL PROTEIN URINE QN,508.0,508.0,43.69,609.6,31
CDM,794137,PROTEIN ELECTRO SER,92.0,92.0,7.91,110.4,31
CDM,794138,PROTEIN ELECTRO URINE,92.0,92.0,7.91,110.4,31
CDM,794139,SODIUM UR,222.0,222.0,19.09,266.4,31
CDM,794140,THYROID STIM IMMUNO TSI,443.0,443.0,38.1,531.6,31
CDM,794141,TRIGLYCERIDES,2227.0,2227.0,191.52,2672.4,31
CDM,794142,T3 TOTAL,121.0,121.0,10.41,145.2,31
CDM,794143,URINE UREA NITROGEN,33.0,33.0,2.84,39.6,31
CDM,794144,HEMATOCRIT,505.0,505.0,43.43,606.0,31
CDM,794145,FACTOR 2 PROTHROMBIN,249.0,249.0,21.41,298.8,31
CDM,794146,FACTOR 5 LABILE,249.0,249.0,21.41,298.8,31
CDM,794147,FACTOR 8 ACTIVITY 1STAGE,156.0,156.0,13.42,187.2,31
CDM,794149,HEPARIN ANTI XA,1135.0,1135.0,97.61,1362.0,31
CDM,794150,SICKLE CELL PREP,465.0,465.0,39.99,558.0,31
CDM,794151,ANCA CYTOPLASMIC,318.0,318.0,27.35,381.6,31
CDM,794152,PLT AB HEPARIN INDUCED,698.0,698.0,60.03,837.6,31
CDM,794153,C-REACTIVE PROTEIN HS,92.0,92.0,7.91,110.4,31
CDM,794154,COLD AGGLUTININ TITER,288.0,288.0,24.77,345.6,31
CDM,794155,MITOCHOND FA AB TIT,556.0,556.0,47.82,667.2,31
CDM,794156,CA 15-3 QN,168.0,168.0,14.45,201.6,31
CDM,794157,CA 27-29 QN,168.0,168.0,14.45,201.6,31
CDM,794158,CA 19-9 QN,168.0,168.0,14.45,201.6,31
CDM,794159,CHROMOGRANIN A IA QN,389.0,389.0,33.45,466.8,31
CDM,794160,IMMUNOFIX ELECTRO SER,227.0,227.0,19.52,272.4,31
CDM,794161,RPR QUAL,48.0,48.0,4.13,57.6,31
CDM,794162,CMV IGM QUAL,146.0,146.0,12.56,175.2,31
CDM,794163,EBV EARLY AB QUAL,94.0,94.0,8.08,112.8,31
CDM,794164,EBV NUCLEAR AG AB QUAL,222.0,222.0,19.09,266.4,31
CDM,794165,EBV CAPSID IGG QUAL,156.0,156.0,13.42,187.2,31
CDM,794166,EBV CAPSID IGM QUAL,156.0,156.0,13.42,187.2,31
CDM,794167,HEP B CORE AB TOTAL,133.0,133.0,11.44,159.6,31
CDM,794168,HEP A AB IGM QUAL,92.0,92.0,7.91,110.4,31
CDM,794169,LEGIONELLA AB IGM QUAL,133.0,133.0,11.44,159.6,31
CDM,794170,MUMPS IGM QUAL,113.0,113.0,9.72,135.6,31
CDM,794171,MYCOPLASMA AB IGG QL,288.0,288.0,24.77,345.6,31
CDM,794172,HEPATITIS C AB QUAL,868.0,868.0,74.65,1041.6,31
CDM,794173,MICROALBUMIN SEMIQN,38.0,38.0,3.27,45.6,31
CDM,794174,CAROTENE,102.0,102.0,8.77,122.4,31
CDM,794175,CERULOPLASMIN,92.0,92.0,7.91,110.4,31
CDM,794176,VITAMIN D 1-25 W/WO FRAC,305.0,305.0,26.23,366.0,31
CDM,794177,IGG EA,110.0,110.0,9.46,132.0,31
CDM,794178,IGM EA,110.0,110.0,9.46,132.0,31
CDM,794179,IGA EA,110.0,110.0,9.46,132.0,31
CDM,794180,HEMOGLOBIN A2 EP,742.0,742.0,63.81,890.4,31
CDM,794182,HEMOSIDERIN QUAL,44.0,44.0,3.78,52.8,31
CDM,794183,VITAMIN B1 THIAMINE,168.0,168.0,14.45,201.6,31
CDM,794184,CRYPTOCOC AB BLD QUAL,121.0,121.0,10.41,145.2,31
CDM,794185,HERPES SIMPLEX AB QUAL,121.0,121.0,10.41,145.2,31
CDM,794186,VITAMIN D 25OH W/WO FRAC,249.0,249.0,21.41,298.8,31
CDM,794187,GROWTH HORMONE (HGH),146.0,146.0,12.56,175.2,31
CDM,794188,GLIADIN AB IGA IA QL,435.0,435.0,37.41,522.0,31
CDM,794189,GLIADIN AB IGG IA QL,435.0,435.0,37.41,522.0,31
CDM,794190,SMOOTH MUSC AB IA QL,435.0,435.0,37.41,522.0,31
CDM,794191,COMPLEMENT C1 EST INHIBI,1170.0,1170.0,100.62,1404.0,31
CDM,794192,COCCIDIOID AB QUAL,133.0,133.0,11.44,159.6,31
CDM,794193,ROTAVIRUS AB QUAL,110.0,110.0,9.46,132.0,31
CDM,794194,THYROGLOBULIN AB QUANT,133.0,133.0,11.44,159.6,31
CDM,794195,EOSINOPHILS URINE,188.0,188.0,16.17,225.6,31
CDM,794196,TRANSGLUTAMIN IGA QL IA,435.0,435.0,37.41,522.0,31
CDM,794197,STREP A AG IA,847.0,847.0,72.84,1016.4,31
CDM,794198,HEP B S AG EIA QL,91.0,91.0,7.83,109.2,31
CDM,794199,HEP C VIRAL LOAD,1218.0,1218.0,104.75,1461.6,31
CDM,794201,STONE ANALYSIS QN CHEM,110.0,110.0,9.46,132.0,31
CDM,794202,PLATELET ANTIBODIES,698.0,698.0,60.03,837.6,31
CDM,794203,LEVETIRACETAM QN,238.0,238.0,20.47,285.6,31
CDM,794204,OXCARBAZEPINE QN,280.0,280.0,24.08,336.0,31
CDM,794205,CHROMATIN AB IA QL,435.0,435.0,37.41,522.0,31
CDM,794206,JO-1 ANTIBODY,367.0,367.0,31.56,440.4,31
CDM,794207,URIC ACID UR,821.0,821.0,70.61,985.2,31
CDM,794208,CULTURE CATHETER TIP,1221.0,1221.0,105.01,1465.2,31
CDM,794209,CULTURE SURGICAL SPEC,1221.0,1221.0,105.01,1465.2,31
CDM,794210,CULT BORDETELLA PERT SCR,355.0,355.0,30.53,426.0,31
CDM,794211,CULT GC SCR,355.0,355.0,30.53,426.0,31
CDM,794212,CULT FUNGUS BLOOD,122.0,122.0,10.49,146.4,31
CDM,794213,CULT CHLAMYDIA,175.0,175.0,15.05,210.0,31
CDM,794214,O&P SMEAR CONC ID,916.0,916.0,78.78,1099.2,31
CDM,794215,SUSC AGAR DIL EACH AGENT,148.0,148.0,12.73,177.6,31
CDM,794216,CRYPTOSPORIDIUM AG EIA,231.0,231.0,19.87,277.2,31
CDM,794218,GIARDIA AG EIA,231.0,231.0,19.87,277.2,31
CDM,794219,INDIRECT COOMBS QL EA,1021.0,1021.0,87.81,1225.2,31
CDM,794220,CROSSMATCH IGG AHG,454.0,454.0,39.04,544.8,43
CDM,794221,PRBC LR,427.0,427.0,36.72,512.4,48
CDM,794222,FFP,557.0,557.0,47.9,668.4,48
CDM,794223,PLTS CONC,184.0,184.0,15.82,220.8,48
CDM,794224,PLTS PHERESIS EACH UNIT,1091.0,1091.0,93.83,1309.2,48
CDM,794225,CYTO FWB SMEAR & INTERP,44.0,44.0,3.78,52.8,34
CDM,794226,CYTOLOGY CONC & INTERP,176.0,176.0,15.14,211.2,34
CDM,794227,CYTO LIQUID BASE NON C/V,91.0,91.0,7.83,109.2,34
CDM,794228,SURG PATH LEVEL 1,309.0,309.0,26.57,370.8,34
CDM,794229,SURG PATH LEVEL 3,355.0,355.0,30.53,426.0,34
CDM,794230,SURG PATH LEVEL 4,355.0,355.0,30.53,426.0,34
CDM,794231,SURG PATH LEVEL 5,922.0,922.0,79.29,1106.4,34
CDM,794232,PATH DECALCIFICATION,309.0,309.0,16.38,370.8,35
CDM,794233,PATH STAIN GROUP 1,510.0,510.0,43.86,612.0,34
CDM,794234,PATH STAIN GROUP 2,427.0,427.0,36.72,512.4,34
CDM,794235,TOUCH PREP INITIAL SITE,44.0,44.0,3.78,52.8,34
CDM,794318,VERETEBRO CERVICOTHOR,16504.0,16504.0,874.71,19804.8,34
CDM,794319,VERTEBRO EA ADD CER/LUMB,3458.0,3458.0,183.27,4149.6,34
CDM,794320,COLONOSCOPY W/RESECTION,10414.0,10414.0,551.94,12496.8,41
CDM,794329,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",694.0,694.0,53.51,53.51,1
CDM,794329,INH DORNASEALFA UD 2.5MG,694.0,694.0,36.78,832.8,30
CDM,794333,DIAZOXIDE 50MG/ML PO30ML,111.0,111.0,5.88,133.2,30
CDM,794338,"Injection, trastuzumab, excludes biosimilar, 10 mg ",14290.71,14290.71,71.23,71.23,1
CDM,794338,TRASTUZUMAB 150 MG INJ,14290.71,14290.71,1229.0,17148.85,29
CDM,794339,CEFOXITIN 40 MG/ML INJ,8.36,8.36,0.44,10.03,30
CDM,794351,CONT INJ GS/ DU/ JJ/ GJ/,1261.0,1261.0,66.83,1513.2,34
CDM,794385,CEFAZOLIN 100 MG/ML INJ,97.0,97.0,5.14,116.4,30
CDM,794389,CEFEPIME 40 MG/ML INJ,226.0,226.0,11.98,271.2,30
CDM,794390,CEFTRIAXONE 40 MG/ML INJ,8.96,8.96,0.47,10.75,30
CDM,794393,ACETAZLMDE 100 MG/ML INJ,366.0,366.0,19.4,439.2,30
CDM,794394,AMIKACIN 10 MG/ML INJ,331.0,331.0,17.54,397.2,30
CDM,794395,AMINOPHYLLIN 5 MG/ML INJ,8.41,8.41,0.45,10.09,30
CDM,794397,AMPICILLIN 30 MG/ML INJ,143.0,143.0,7.58,171.6,30
CDM,794400,FLUCONAZOLE 2 MG/ML INJ,0.2,0.2,0.01,0.24,30
CDM,794402,FENTANYL CIT 2.5 MG INJ,15.52,15.52,0.82,18.62,30
CDM,794412,Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube SCHEDULED,1123.0,1123.0,65.55,66.93,3
CDM,794412,Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube UNSCHEDULED,1123.0,1123.0,250.21,255.48,3
CDM,794412,SURFACTANT,1123.0,1123.0,96.58,1347.6,48
CDM,794423,MEROPENEM 20 MG/ML INJ,8.75,8.75,0.46,10.5,30
CDM,794460,"Injection, teriparatide, 10 mcg ",565.0,565.0,,,0
CDM,794460,TERIPARATIDE 10 MCG INJ,565.0,565.0,29.95,678.0,44
CDM,794469,BENZENE,43.0,43.0,3.7,51.6,31
CDM,794469,"Volatiles (eg, acetic anhydride, diethylether) ",43.0,43.0,16.94,52.19,36
CDM,794469,"Volatiles (eg, acetic anhydride, diethylether) UNSCHEDULED",43.0,43.0,34.55,35.28,3
CDM,794470,HLA CLASS 2 TYPING LR,973.0,973.0,83.68,1167.6,31
CDM,794479,HLA CLASS 2 TYPING LR,1747.0,1747.0,150.24,2096.4,31
CDM,794485,CATHETER ASP TRABRO FIBE,108.0,108.0,5.72,129.6,49
CDM,794493,INS/REPL LDLS PPM VENT,82541.0,82541.0,4374.67,99049.2,41
CDM,794510,ORTH/PROS MGT SBSQ ENCOT,609.0,609.0,52.37,730.8,36
CDM,794510,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",609.0,609.0,45.3,158.6,65
CDM,794510,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes SCHEDULED",609.0,609.0,58.9,60.14,3
CDM,794536,BONE MARROW BX AND ASP,8241.0,8241.0,436.77,9889.2,34
CDM,794537,BONE MARROW BX AND ASP,8241.0,8241.0,436.77,9889.2,34
CDM,794538,ENDO RPR UNI LIMB NONRUP,30250.0,30250.0,1603.25,36300.0,34
CDM,794554,ALLERGEN IGE REC/PURIF E,125.0,125.0,10.75,150.0,31
CDM,794554,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",125.0,125.0,17.75,54.69,36
CDM,794554,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each UNSCHEDULED",125.0,125.0,94.22,96.2,3
CDM,794556,EMTRIC/TENOF 200/25 TAB,70.0,70.0,3.71,84.0,49
CDM,794558,SPIRONOLACTONE 25MG/5ML,36.0,36.0,1.91,43.2,49
CDM,794560,TROPONIN QUANT,1837.0,1837.0,157.98,2204.4,31
CDM,794561,LACTIC ACID,624.0,624.0,53.66,748.8,31
CDM,7946,FAC VIII RECOMB 1U NOS,11.0,11.0,0.95,13.2,29
CDM,7946,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",11.0,11.0,1.52,1.52,1
CDM,794607,SAQUINAVIR 500 MG PO,98.0,98.0,5.19,117.6,30
CDM,794607,"Saquinavir, 200 mg ",98.0,98.0,,,0
CDM,794611,ELV/COB/EMTR/TENO 10MG,1102.0,1102.0,58.41,1322.4,49
CDM,794612,INTRACRAN INTRAVAS STENT,628.0,628.0,33.28,753.6,34
CDM,794613,INTRACRAN BAL ANGIO,73071.0,73071.0,3872.76,87685.2,34
CDM,794614,EMBLZ INTRACRAN/SP,15157.0,15157.0,803.32,18188.4,34
CDM,794639,CEREBRAL MECH THROM/INF,69212.0,69212.0,3668.24,83054.4,34
CDM,794690,CALCITONIN SALMON 400 U,499.1,499.1,26.45,598.92,44
CDM,794690,"Injection, calcitonin salmon, up to 400 units ",499.1,499.1,,,0
CDM,794745,LEVOFLOXACIN 750 MG INJ,1.86,1.86,0.1,2.23,30
CDM,794801,PCNG K 5 MILLION U INJ,3.87,3.87,0.21,4.64,30
CDM,794954,JAK2 V617F VARIANT,189.0,189.0,16.25,226.8,31
CDM,794961,INSULIN 0.5 UNIT/ML INJ,9.0,9.0,0.48,10.8,44
CDM,794968,INSULIN 5 U INJ,35.4,35.4,1.88,42.48,44
CDM,794972,INJ CYSTO/URETH,174.0,174.0,9.22,208.8,34
CDM,794980,INSULIN 5 U INJ,1.0,1.0,0.05,1.2,44
CDM,794981,INSULIN 5 U INJ,1.0,1.0,0.05,1.2,44
CDM,794996,INDIV SESSION 60MIN,384.09,384.09,33.03,460.91,39
CDM,795000,INDIV SESSION 60MIN,384.09,384.09,33.03,460.91,40
CDM,795015,INDIV SESSION 60MIN,384.09,384.09,33.03,460.91,35
CDM,795019,FAM WO PT 50 MIN,384.09,384.09,33.03,460.91,35
CDM,795019,"Family psychotherapy (without the patient present), 50 minutes SCHEDULED",384.09,384.09,113.05,115.43,3
CDM,795019,"Family psychotherapy (without the patient present), 50 minutes UNSCHEDULED",384.09,384.09,244.98,250.13,3
CDM,795024,FAM W PT 50 MIN,384.09,384.09,33.03,460.91,39
CDM,795028,FAM W PT 50 MIN,384.09,384.09,33.03,460.91,40
CDM,795031,FAM W PT 50 MIN,384.09,384.09,33.03,460.91,35
CDM,795036,MULT FAMILY GROUP,384.09,384.09,33.03,460.91,39
CDM,795040,MULT FAMILY GROUP,384.09,384.09,33.03,460.91,40
CDM,795043,MULT FAMILY GROUP,384.09,384.09,33.03,460.91,35
CDM,795049,IOP PSY GRP (NOT FAMILY),215.19,215.19,18.51,258.23,40
CDM,795095,SILDENAFIL CIT 10 MG INJ,1082.0,1082.0,57.35,1298.4,30
CDM,795095,"Sildenafil citrate, 25 mg ",1082.0,1082.0,,,0
CDM,795143,INSULIN 20 U INJ,3.0,3.0,0.16,3.6,44
CDM,795144,INSULIN 5 U INJ,3.0,3.0,0.16,3.6,44
CDM,795145,DELAFLOXACIN 300 MG INJ,586.0,586.0,31.06,703.2,30
CDM,795158,DIL EX TRACT ENDUR NW AC,21780.0,21780.0,1154.34,26136.0,34
CDM,795164,BX SKN/SQ TANGENITAL,1223.0,1223.0,64.82,1467.6,34
CDM,795165,BX SKN/SQ INCISIONAL,1223.0,1223.0,64.82,1467.6,34
CDM,795166,BX SKN/SQ TIS SGL PUNCH,1223.0,1223.0,64.82,1467.6,34
CDM,795180,DEV TEST INT&RPT 60M SP,671.0,671.0,57.71,805.2,41
CDM,795180,"Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when ",671.0,671.0,146.3,149.38,3
CDM,795181,DEV TEST INT&RPT A30M SP,9428.0,9428.0,499.68,11313.6,42
CDM,795181,"Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when ",9428.0,9428.0,66.5,67.9,3
CDM,795186,ERH - ICU ADJ,14810.0,14810.0,784.93,17772.0,49
CDM,795187,ERH IMCU ADJ,9421.0,9421.0,499.31,11305.2,49
CDM,795188,ERH PICU ADJ,14691.0,14691.0,778.62,17629.2,49
CDM,795190,INTERM ICU ISOL ADJ,9421.0,9421.0,499.31,11305.2,49
CDM,795191,INTERMEDIATE CCU ADJ,6194.0,6194.0,328.28,7432.8,49
CDM,795192,INTERMEDIDATE ICU ADJ,9421.0,9421.0,499.31,11305.2,49
CDM,795193,MEDICAL ICU ADJ,14691.0,14691.0,778.62,17629.2,49
CDM,795197,ERH - ER HOLD TEL,9421.0,9421.0,,,0
CDM,795198,ERH - ICU,14554.0,14554.0,,,0
CDM,795199,ERH IMCU,9421.0,9421.0,,,0
CDM,795200,ERH PICU,14691.0,14691.0,,,0
CDM,795202,INTERM ICU ISOL,9421.0,9421.0,,,0
CDM,795203,INTERMEDIATE CCU,6194.0,6194.0,,,0
CDM,795204,INTERMEDIATE ICU,9333.0,9333.0,,,0
CDM,795205,MEDICAL ICU,14691.0,14691.0,,,0
CDM,795208,ERH MED SURG ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,795209,ERH PEDS ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,795210,ERH PEDS W/TELE ADJ,4839.0,4839.0,256.47,5806.8,49
CDM,795211,RM & BD PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,795212,RM & BD PVT TELE ADJ,4839.0,4839.0,256.47,5806.8,49
CDM,795213,RM & BD SEMI OB ADJ,1218.0,1218.0,64.55,1461.6,49
CDM,795214,RM & BD SEMI PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,795215,SEMI-PVT RM W/ TELE ADJ,4839.0,4839.0,256.47,5806.8,49
CDM,795216,ERH MED SURG,3175.0,3175.0,,,0
CDM,795217,ERH PEDS,3175.0,3175.0,,,0
CDM,795218,ERH PEDS W/TELE,4839.0,4839.0,,,0
CDM,795219,RM & BD PRIVATE,3175.0,3175.0,,,0
CDM,795220,RM & BD PVT TELE,4839.0,4839.0,,,0
CDM,795221,RM & BD SEMI OB,1218.0,1218.0,,,0
CDM,795222,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,795223,SEMI-PVT RM W/ TELE,4839.0,4839.0,,,0
CDM,795224,FINE NDL ASP WUS 1ST LSN,572.0,572.0,30.32,686.4,34
CDM,795225,FINE NDL ASP WUS 1ST LSN,572.0,572.0,30.32,686.4,34
CDM,795226,FINE NDL ASP W US E ADD,191.0,191.0,10.12,229.2,34
CDM,795227,FINE NDL ASP W US E ADD,191.0,191.0,10.12,229.2,34
CDM,795228,FINE NDL ASP W FLURO 1ST,8833.0,8833.0,468.15,10599.6,34
CDM,795229,FINE NDL ASP W FLURO EAD,4840.0,4840.0,256.52,5808.0,34
CDM,795230,FINE NDL ASP W CT 1ST,3225.0,3225.0,170.93,3870.0,34
CDM,795237,INJ KNEE ARTHRO RT,6776.0,6776.0,359.13,8131.2,34
CDM,795238,INJ KNEE ARTHRO LT,6776.0,6776.0,359.13,8131.2,34
CDM,795240,PICC INS WO P <5 W/IMAG,3154.0,3154.0,167.16,3784.8,34
CDM,795241,PICC INS WO P >5 W/IMAG,5562.0,5562.0,294.79,6674.4,34
CDM,795262,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,795264,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",1330.01,1330.01,,,0
CDM,795264,MEROPNM/VABORB 2G INJ,1330.01,1330.01,114.38,1596.01,29
CDM,795268,"Injection, rituximab, 10 mg ",51022.0,51022.0,71.94,71.94,1
CDM,795268,RITUXIMAB 500 MG INJ,51022.0,51022.0,4387.89,61226.4,29
CDM,795275,DURVALUMAB 500 MG INJ,4046.95,4046.95,348.04,4856.34,29
CDM,795275,"Injection, durvalumab, 10 mg ",4046.95,4046.95,83.57,83.57,1
CDM,795279,GADOTERATE MEG 20 ML,314.0,314.0,16.64,376.8,29
CDM,795279,"Injection, gadoterate meglumine, 0.1 ml ",314.0,314.0,0.09,0.09,1
CDM,795314,OBS PER HOUR,85.0,85.0,13.6,102.0,10
CDM,795325,RETACRIT BS 10000U ESRD,965.0,965.0,51.15,1158.0,30
CDM,795326,RETACRIT BS 100U ESRD,10.0,10.0,0.53,12.0,30
CDM,795333,RETACRIT BS 1000U NESRD,97.0,97.0,8.34,116.4,29
CDM,795336,BURN ICU ADJ,19840.0,19840.0,1051.52,23808.0,43
CDM,795337,BURN ICU,19840.0,19840.0,,,0
CDM,795340,OMNIPAQUE 12 500ML PO,57.22,57.22,3.03,68.66,29
CDM,795344,RETACRIT BS 2000U ESRD,193.0,193.0,10.23,231.6,30
CDM,795345,RETACRIT BS 4000U ESRD,386.0,386.0,20.46,463.2,30
CDM,795346,RETACRIT BS 2000U NESRD,193.0,193.0,16.6,231.6,29
CDM,795347,RETACRIT BS 3000U NESRD,272.07,272.07,23.4,326.48,29
CDM,795348,RETACRIT BS 4000U NESRD,386.0,386.0,33.2,463.2,29
CDM,795349,RETACRIT BS 10000U NESRD,965.0,965.0,82.99,1158.0,29
CDM,795351,RETACRIT BS 3000U ESRD,272.07,272.07,14.42,326.48,30
CDM,795357,LOPERAMIDE 2MG/15ML LIQ,18.0,18.0,0.95,21.6,49
CDM,795372,TRAUMA RESPONSE CC LVL 1,30000.0,30000.0,2580.0,36000.0,32
CDM,795373,TRAUMA RESPONSE 1 WO/CC,30000.0,30000.0,1590.0,36000.0,33
CDM,795387,ATEZOLIZUMAB 1200 MG INJ,25237.15,25237.15,2170.39,30284.58,29
CDM,795387,"Injection, atezolizumab, 10 mg ",25237.15,25237.15,91.18,91.18,1
CDM,795395,HEPARIN 100 U LOCK SYR,93.0,93.0,4.93,111.6,49
CDM,795396,HEPARIN 2 U LOCK SYR,2.41,2.41,0.13,2.89,49
CDM,795406,AMIODARONE 1.8 MG/ML INJ,133.0,133.0,7.05,159.6,30
CDM,795410,TALC STERILE POWD 2GM,777.0,777.0,41.18,932.4,30
CDM,795417,RM & BD PRIVATE,1758.0,1758.0,,,0
CDM,795419,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,795420,RM & BD SEMI OB,1218.0,1218.0,,,0
CDM,795422,SEMI-PVT RM W/ TELE,4866.0,4866.0,,,0
CDM,795424,ICU,14673.0,14673.0,,,0
CDM,795428,INTERMEDIATE ICU,9333.0,9333.0,,,0
CDM,795430,PNU,1774.0,1774.0,,,0
CDM,795434,RM & BD PRIVATE ADJ,1758.0,1758.0,93.17,2109.6,49
CDM,795436,RM & BD SEMI PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,795437,RM & BD SEMI OB ADJ,1218.0,1218.0,64.55,1461.6,49
CDM,795439,SEMI-PVT RM W/ TELE ADJ,4866.0,4866.0,257.9,5839.2,49
CDM,795441,ICU ADJ,14810.0,14810.0,784.93,17772.0,49
CDM,795445,INTERMEDIDATE ICU ADJ,9421.0,9421.0,499.31,11305.2,49
CDM,795447,PNU ADJ,1774.0,1774.0,94.02,2128.8,49
CDM,795465,CMPD NOREPI 8MG 250B,31.0,31.0,1.64,37.2,30
CDM,795469,DOP ART >3 LEVELS BIL,6414.0,6414.0,551.6,7696.8,36
CDM,795470,DOP ART >3 LEVELS BIL,6414.0,6414.0,551.6,7696.8,36
CDM,795474,OBS PER HOUR,77.0,77.0,12.32,92.4,10
CDM,795482,RM & BD PRIVATE LD,1758.0,1758.0,,,0
CDM,795483,RM & BD PRIVATE LD ADJ,1758.0,1758.0,93.17,2109.6,49
CDM,795504,Compatibility test each unit; electronic ,690.0,690.0,,,0
CDM,795504,Compatibility test each unit; electronic UNSCHEDULED,690.0,690.0,74.33,75.89,3
CDM,795504,ELECTRONIC XMATCH,690.0,690.0,59.34,828.0,34
CDM,795521,LEVEL IV NEWBORN,8300.0,8300.0,,,0
CDM,795522,RM & BD ADJ,8300.0,8300.0,439.9,9960.0,49
CDM,795556,EXP GAS REST INDIRECT,147.0,147.0,12.64,176.4,41
CDM,795556,"Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) SCHEDULED",147.0,147.0,51.3,52.38,3
CDM,795556,"Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) UNSCHEDULED",147.0,147.0,348.62,355.96,3
CDM,795557,ENDOVENO RF ABLAT 1ST,13431.0,13431.0,711.84,16117.2,34
CDM,795558,ENDOVENO RF ABLAT SUBSQ,174.0,174.0,9.22,208.8,34
CDM,795586,COGSKLS DVLMNT INT15M SP,370.0,370.0,31.82,444.0,36
CDM,795587,COGSKLS DVLMNT EA15M SP,370.0,370.0,31.82,444.0,36
CDM,795588,COGSKLS DVLMNT INT15M OT,370.0,370.0,31.82,444.0,36
CDM,795590,COGSKLS DVLMNT EA15M OT,370.0,370.0,31.82,444.0,36
CDM,795605,VORICONAZOLE,122.0,122.0,10.49,146.4,31
CDM,795605,Voriconazole ,122.0,122.0,26.84,82.69,36
CDM,795605,Voriconazole UNSCHEDULED,122.0,122.0,129.29,132.02,3
CDM,795607,SPINE PUNC DX W FLUR CT,2739.0,2739.0,145.17,3286.8,37
CDM,795608,SPINE PUNC TX CSF FLU CT,4235.0,4235.0,224.46,5082.0,34
CDM,795681,WHIRLPOOL PTCQ,2206.0,2206.0,189.72,2647.2,36
CDM,795683,ELEC STMULATON/15M PTCQ,1348.0,1348.0,115.93,1617.6,36
CDM,795684,IONTOPHORESIS/15 MN PTCQ,1329.0,1329.0,114.29,1594.8,36
CDM,795686,HUBBARD TANK/15MN PTCQ,877.0,877.0,75.42,1052.4,36
CDM,795687,THER EXERCIS 15 MIN PTCQ,1299.0,1299.0,111.71,1558.8,36
CDM,795688,NEROMUSC REDUCT 15M PTCQ,1619.0,1619.0,139.23,1942.8,36
CDM,795690,GAIT TRAINNG 15 MN PTCQ,720.0,720.0,61.92,864.0,36
CDM,795691,MASSAGE 15 MIN PTCQ,1518.0,1518.0,130.55,1821.6,36
CDM,795692,MANL THER TECH 15M PTCQ,877.0,877.0,75.42,1052.4,36
CDM,795693,THER PROCEDURES GRP PTCQ,391.0,391.0,33.63,469.2,36
CDM,795694,THER ACTV DIR 15 MN PTCQ,1299.0,1299.0,111.71,1558.8,36
CDM,795696,SELFHOME ONEONE 15M PTCQ,609.0,609.0,52.37,730.8,36
CDM,795698,WHELCHAR MGT 15M PTCQ,349.0,349.0,30.01,418.8,36
CDM,795701,DEBRIDE WND 20SQCM PTCQ,2371.0,2371.0,203.91,2845.2,41
CDM,795702,DBRD WD EAAD 20SQCM PTCQ,2614.0,2614.0,224.8,3136.8,41
CDM,795704,PHYS PERTST/MSR 15M PTCQ,1598.0,1598.0,137.43,1917.6,41
CDM,795705,ORTH MGT TRN EA 15M PTCQ,322.0,322.0,27.69,386.4,41
CDM,795706,PROST TRANNG EA 15M PTCQ,609.0,609.0,52.37,730.8,41
CDM,795718,UL THRAPEUTC PROC PTCQ,407.0,407.0,21.57,488.4,37
CDM,795734,SELFHOME ONEONE 15M PTCQ,609.0,609.0,52.37,730.8,36
CDM,795746,PERICARD W GUIDANCE,8065.0,8065.0,427.44,9678.0,34
CDM,795751,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",1312.47,1312.47,54.69,54.69,1
CDM,795751,KANJINTI BS 10 MG INJ,1312.47,1312.47,112.87,1574.96,29
CDM,795752,EEG CONT MIN 8 CHNLS,174.0,174.0,14.96,208.8,41
CDM,795758,DUP SCAN ART PREOP BI,833.0,833.0,71.64,999.6,36
CDM,795758,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,833.0,833.0,,,0
CDM,795758,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study SCHEDULED,833.0,833.0,250.8,256.08,3
CDM,795758,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study UNSCHEDULED,833.0,833.0,755.86,771.77,3
CDM,795759,DUP SCAN ART PREOP UNI,394.0,394.0,33.88,472.8,36
CDM,795811,PRAZIQUANTEL 600 MG PO,445.0,445.0,23.59,534.0,44
CDM,795814,NOREPI 16MCG/ML INJ,329.0,329.0,17.44,394.8,30
CDM,795851,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",50.0,50.0,50.8,156.5,36
CDM,795851,COVID-19 NON CDC TEST,50.0,50.0,4.3,60.0,31
CDM,795858,ALBUTEROL HFA 90 8GM,510.0,510.0,27.03,612.0,44
CDM,795868,LEVALBUTEROL HFA 45 15GM,538.0,538.0,28.51,645.6,44
CDM,795874,TIOTROPIUM 18 MCG 1CAP,531.0,531.0,28.14,637.2,44
CDM,795877,CHLOROQUINE 500 MG PO,75.0,75.0,3.98,90.0,44
CDM,795878,HYDROXYCHLOROQN 200MG PO,50.0,50.0,2.65,60.0,44
CDM,795896,FULPHILA BS 6 MG INJ,7094.0,7094.0,610.08,8512.8,29
CDM,795896,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",7094.0,7094.0,77.11,77.11,1
CDM,795906,ZIRABEV BS 100 MG INJ,898.7,898.7,77.29,1078.44,29
CDM,795911,TRAUMA RESPONSE 2 WO/CC,23445.0,23445.0,1242.59,28134.0,33
CDM,795918,COVID-19 DNA/RNA AMP,70.0,70.0,6.02,84.0,31
CDM,795918,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",70.0,70.0,50.8,156.5,36
CDM,795918,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique UNSCHEDULED",70.0,70.0,109.92,112.24,3
CDM,795923,RM & BD PRIVATE,3175.0,3175.0,,,0
CDM,795924,RM & BD SEMI PRIVATE ADJ,3175.0,3175.0,168.28,3810.0,49
CDM,795925,RM & BD SEMI PRIVATE,3175.0,3175.0,,,0
CDM,795932,COVID-19 AB MULTISTEP,63.0,63.0,5.42,75.6,31
CDM,795933,COVID-19 AB MULTISTEP,42.13,42.13,3.62,50.56,31
CDM,795964,SARSCOV CORONAVIRU AG IA,1780.0,1780.0,153.08,2136.0,31
CDM,795965,NIMODIPINE 60 MG/10ML PO,718.0,718.0,38.05,861.6,44
CDM,795968,BIKTARVY PO,389.0,389.0,20.62,466.8,44
CDM,795971,CAPLACIZMAB-YHDP 11MGINJ,73635.0,73635.0,3902.66,88362.0,30
CDM,795971,"Injection, caplacizumab-yhdp, 1 mg ",73635.0,73635.0,,,0
CDM,795976,NIMODIPINE 30 MG/5 ML PO,189.0,189.0,10.02,226.8,44
CDM,795979,CMV AMP PROBE,221.5,221.5,19.05,265.8,31
CDM,795986,CIPROFLOX 2 MG/ML INJ,83.0,83.0,4.4,99.6,30
CDM,795993,MENB-FHBP 2 OR 3 DOSE IM,1133.0,1133.0,60.05,1359.6,30
CDM,795993,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",1133.0,1133.0,222.72,222.72,1
CDM,795993,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use UNSCHEDULED",1133.0,1133.0,170.65,174.24,3
CDM,795994,ESOMEPRAZOLE 40 MG PKT,66.11,66.11,3.5,79.33,49
CDM,795999,FAT EMUL SOY MCT OLV FSH,63.0,63.0,3.34,75.6,48
CDM,796000,REMMON INTL SETUP PT EDU,615.0,615.0,52.89,738.0,34
CDM,796000,"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate); initial set-up and patient education on use of equipment SCHEDULED",615.0,615.0,20.9,21.34,3
CDM,796001,REMMON INTL DEVC EA 30 D,178.0,178.0,15.31,213.6,34
CDM,796001,"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate); device(s) supply with daily recording(s) or programmed alert(s) transmission, 16-30 d",178.0,178.0,67.45,68.87,3
CDM,796024,INTERMEDIATE ICU,9333.0,9333.0,,,0
CDM,796026,DIALYSIS SLEDD,1000.0,1000.0,53.0,1200.0,49
CDM,796027,ESTRADIOL VAG CRM 0.01%,136.44,136.44,7.23,163.73,49
CDM,796028,SOD CHL 23.4% 4MEQ/ML,75.0,75.0,3.98,90.0,48
CDM,796048,US URINARY BLADDER,250.0,250.0,13.25,300.0,34
CDM,796057,AU EVO PO MULTFRQ W INTR,515.0,515.0,44.29,618.0,48
CDM,796057,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report UNSCHEDULED",515.0,515.0,240.79,245.86,3
CDM,796058,AU EVO PO NEURDIA W INTR,515.0,515.0,44.29,618.0,48
CDM,796058,"Auditory evoked potentials; neurodiagnostic, with interpretation and report UNSCHEDULED",515.0,515.0,240.79,245.86,3
CDM,796060,CORE NDL BX LG/MED PERC,6980.0,6980.0,369.94,8376.0,34
CDM,796061,CORE NDL BX LG/MED PERC,26620.0,26620.0,1410.86,31944.0,34
CDM,796063,MVASI BS 400 MG INJ,24226.0,24226.0,2083.44,29071.2,29
CDM,796093,PULMONARY STRESS TESTING,585.0,585.0,50.31,702.0,41
CDM,796093,"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed SCHEDULED",585.0,585.0,12.35,12.61,3
CDM,796093,"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed UNSCHEDULED",585.0,585.0,724.45,739.7,3
CDM,796107,HYDROCORTISN 1 MG/ML INJ,52.64,52.64,2.79,63.17,30
CDM,796110,HEPARIN ANTI XA LMWH,1135.0,1135.0,97.61,1362.0,31
CDM,796112,POT PHOS 0.12MMOL/ML INJ,72.5,72.5,3.84,87.0,30
CDM,796113,POT PHOS 0.05MMOL/ML INJ,72.5,72.5,3.84,87.0,30
CDM,796160,PLATELETS PATH RED EA UN,737.0,737.0,63.38,884.4,48
CDM,796174,ATROPINE 0.5 MG INJ,58.0,58.0,3.07,69.6,30
CDM,796198,LEVEL II NEWBORN,5806.0,5806.0,,,0
CDM,796199,NEWBORN L2 NURSERY ADJ,5806.0,5806.0,307.72,6967.2,49
CDM,796207,CMPD PT SPEC INJ NOC,1053.54,1053.54,55.84,1264.25,30
CDM,796223,TOCILIZUMAB INF 1ST DOSE,780.0,780.0,67.08,936.0,48
CDM,796224,TOCILIZUMAB INF 2ND DOSE,623.0,623.0,53.58,747.6,48
CDM,796247,REVSC LOW EXTR IVL ANGIO,19650.0,19650.0,1041.45,23580.0,41
CDM,796248,REVSC LOW EXTR IVL/ATHER,38720.0,38720.0,2052.16,46464.0,41
CDM,796249,REVSC LOW EXT IVL ST/ATH,61710.0,61710.0,3270.63,74052.0,41
CDM,796250,REVSC TIB/PER IVL/STNT,61710.0,61710.0,3270.63,74052.0,41
CDM,796251,REVSC TIB/PER IVL ST/ATH,61710.0,61710.0,3270.63,74052.0,41
CDM,796257,REVSC LOW EXTR IVL/ATHER,38720.0,38720.0,2052.16,46464.0,41
CDM,796261,REVSC TIB/PER IVL/ATH,20937.0,20937.0,1109.66,25124.4,41
CDM,796270,REVSC LOW EXTR IVL/STNT,39809.0,39809.0,2109.88,47770.8,41
CDM,796271,REVSC TIB/PER IVL ANGIO,39809.0,39809.0,2109.88,47770.8,34
CDM,796272,REVSC TIB/PER IVL/ATH,61710.0,61710.0,3270.63,74052.0,41
CDM,796303,DOSTARLIM-GXLY 500MG INJ,97464.35,97464.35,8381.93,116957.22,29
CDM,796303,"Injection, dostarlimab-gxly, 10 mg ",97464.35,97464.35,239.67,239.67,1
CDM,796307,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",4253.24,4253.24,123.56,123.56,1
CDM,796307,PEGFILGRASTIM 6 MG INJ,4253.24,4253.24,365.78,5103.89,29
CDM,796310,DEXMEDETOMID 4 MCG/MLINJ,129.0,129.0,6.84,154.8,43
CDM,796311,LT CATH CHD NOR ABN,13610.0,13610.0,721.33,16332.0,34
CDM,796327,CARBAMIDE PEROXIDE 10%,0.35,0.35,0.02,0.42,49
CDM,796331,INSERT/REPL CCM,120253.0,120253.0,6373.41,144303.6,34
CDM,796339,METHADONE 1 MG/ML PO,1.0,1.0,0.05,1.2,30
CDM,796340,D5LR 500 ML,7.75,7.75,0.41,9.3,30
CDM,796352,RUXIENCE BS 100 MG INJ,531.72,531.72,45.73,638.06,29
CDM,796354,FENTANYL CIT 0.05 MG INJ,11.09,11.09,0.59,13.31,30
CDM,796365,SODIUM CHLORIDE 3% 15ML,1.4,1.4,0.07,1.68,49
CDM,796366,RIG KEDRAB 150 U IMSQJW,20117.0,20117.0,1730.06,24140.4,29
CDM,796367,RIG KEDRAB 150 U IMSQ,4023.34,4023.34,346.01,4828.01,29
CDM,796370,CMPD ROPIVCN 0.2% 100C,798.0,798.0,42.29,957.6,30
CDM,796389,CENOBAMATE 12.5-25MG DPK,8.0,8.0,0.42,9.6,49
CDM,796397,METHADONE 5 MG/5 ML PO,1.0,1.0,0.05,1.2,30
CDM,7964,AZATHIOPRINE 50 MG PO,43.0,43.0,2.28,51.6,30
CDM,7964,"Azathioprine, oral, 50 mg ",43.0,43.0,0.17,0.17,1
CDM,796409,DARAT 1800MG/HYALU-FIHJ,22682.0,22682.0,1950.65,27218.4,29
CDM,796409,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",22682.0,22682.0,53.38,53.38,1
CDM,796410,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",105.0,105.0,50.8,156.5,36
CDM,796410,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each UNSCHEDULED",105.0,105.0,109.92,112.24,3
CDM,796410,ORTHOPOXVIRUS AMP PRB EA,105.0,105.0,9.03,126.0,31
CDM,796414,MENACWY-TT VAC IM,107.71,107.71,5.71,129.25,30
CDM,796416,SYMTUZA PO,140.0,140.0,7.42,168.0,30
CDM,796417,DORAVIRINE 100MG TAB,69.0,69.0,3.66,82.8,48
CDM,796419,BEDSIDE PROCEDURE LVL 1,4832.0,4832.0,256.1,5798.4,34
CDM,796420,BEDSIDE PROCEDURE LVL 2,10872.0,10872.0,576.22,13046.4,34
CDM,796421,BEDSIDE PROCEDURE LVL 3,15260.0,15260.0,808.78,18312.0,34
CDM,796422,BEDSIDE PROCEDURE LVL 4,29516.0,29516.0,1564.35,35419.2,34
CDM,796423,BEDSIDE PROCEDURE LVL 5,88900.0,88900.0,4711.7,106680.0,34
CDM,796428,SIGMOID W/ENDO NEEDL ASP,5113.0,5113.0,270.99,6135.6,41
CDM,796429,MIDAZOLAM 50 MG INJ,19.0,19.0,1.01,22.8,30
CDM,796430,TOPIRAMATE 25MG/ML SUS,3.2,3.2,0.17,3.84,49
CDM,796431,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",4028.88,4028.88,131.81,131.81,1
CDM,796431,UDENYCA BS 6 MG INJ,4028.88,4028.88,346.48,4834.66,29
CDM,796435,SIGMOIDOSCOPY W RESECT,11011.0,11011.0,583.58,13213.2,41
CDM,796439,"Injection, tisotumab vedotin-tftv, 1 mg ",5885.0,5885.0,190.24,190.24,1
CDM,796439,TISOTUMAB-TFTV 40 MG INJ,5885.0,5885.0,506.11,7062.0,29
CDM,796444,ENDO LARYNG SENS TEST SP,578.0,578.0,49.71,693.6,41
CDM,796444,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",578.0,578.0,154.37,485.38,33
CDM,796444,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; SCHEDULED",578.0,578.0,127.3,129.98,3
CDM,796444,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; UNSCHEDULED",578.0,578.0,240.79,245.86,3
CDM,796445,ENDO SWALL/LARYNG SEN SP,852.0,852.0,73.27,1022.4,41
CDM,796445,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,852.0,852.0,231.98,729.41,33
CDM,796445,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; SCHEDULED,852.0,852.0,173.85,177.51,3
CDM,796445,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; UNSCHEDULED,852.0,852.0,240.79,245.86,3
CDM,796449,CEFOTAXIME 50 MG/ML INJ,188.0,188.0,9.96,225.6,30
CDM,796450,VECURONIUM 1 MG/ML INJ,407.0,407.0,21.57,488.4,30
CDM,796451,RSV AG IA,701.0,701.0,60.29,841.2,31
CDM,796452,INFLUENZA A AG IA,712.0,712.0,61.23,854.4,31
CDM,796453,INFLUENZA B AG IA,712.0,712.0,61.23,854.4,31
CDM,796454,SARSCOV CORONAVIRU AG IA,1780.0,1780.0,153.08,2136.0,31
CDM,796455,BG WITH MEAS O2 SAT,3969.0,3969.0,341.33,4762.8,31
CDM,796456,INFLUENZA A AG IA,712.0,712.0,61.23,854.4,31
CDM,796457,INFLUENZA B AG IA,712.0,712.0,61.23,854.4,31
CDM,796458,SARSCOV CORONAVIRU AG IA,1780.0,1780.0,153.08,2136.0,31
CDM,796459,D-DIMER QUANT,513.0,513.0,44.12,615.6,31
CDM,796460,RSV AG IA,701.0,701.0,60.29,841.2,31
CDM,796461,BG WITH MEAS O2 SAT,3969.0,3969.0,341.33,4762.8,31
CDM,796467,BASIC METABOLIC CALC ION,691.0,691.0,59.43,829.2,31
CDM,796473,TRICHOMONAS VAG AG OIA,771.0,771.0,66.31,925.2,31
CDM,796474,TRICHOMONAS VAG AG OIA,771.0,771.0,66.31,925.2,31
CDM,796492,505HS LINEZOL 200MG INJ,704.0,704.0,37.31,844.8,30
CDM,796492,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",704.0,704.0,26.03,26.03,1
CDM,796530,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",15840.0,15840.0,71.72,71.72,1
CDM,796530,TALIMOGE 100 MIL PFU INJ,15840.0,15840.0,1362.24,19008.0,29
CDM,796531,APREPITANT 130 MG INJ,575.8,575.8,49.52,690.96,29
CDM,796531,"Injection, aprepitant, 1 mg ",575.8,575.8,1.64,1.64,1
CDM,796532,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",9469.08,9469.08,129.31,129.31,1
CDM,796532,NYVEPRIA BS 6 MG INJ,9469.08,9469.08,814.34,11362.9,29
CDM,796545,CMPD TOBRA BONE CEMENT,10.34,10.34,0.55,12.41,30
CDM,796550,FERR CRBXMLTS 750MG INJ,2197.75,2197.75,189.01,2637.3,29
CDM,796550,"Injection, ferric carboxymaltose, 1 mg ",2197.75,2197.75,1.07,1.07,1
CDM,796559,ZARXIO BS 480 MCG INJ,434.21,434.21,37.34,521.05,29
CDM,796563,PREDNISOLON 15MG/5ML LIQ,2.5,2.5,0.13,3.0,30
CDM,796563,"Prednisolone oral, per 5 mg ",2.5,2.5,0.72,0.72,1
CDM,796564,"Injection, nivolumab, 1 mg ",7374.14,7374.14,32.61,32.61,1
CDM,796564,NIVOLUMAB 240 MG INJ,7374.14,7374.14,634.18,8848.97,29
CDM,796622,CA GLUC NOS 50MG/ML INJ,72.16,72.16,3.82,86.59,30
CDM,796630,INFLECTRA BS 100 MG INJ,535.56,535.56,46.06,642.67,29
CDM,796630,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",535.56,535.56,25.26,25.26,1
CDM,796638,IMMUNIZ ADMIN SGL,304.0,304.0,26.14,364.8,48
CDM,796639,IMMUNIZ ADMIN EA ADDTL,262.0,262.0,13.89,314.4,49
CDM,796640,CPR,1274.0,1274.0,131.22,1528.8,27
CDM,796641,CARDIOVERSION EXTERNAL,2211.0,2211.0,190.15,2653.2,38
CDM,796642,IV HYDRAT INIT UP TO 1HR,202.0,202.0,17.37,242.4,41
CDM,796643,IV HYDRAT EA ADD HR,6.0,6.0,0.52,7.2,41
CDM,796644,IV INITIAL UP TO 1 HOUR,187.0,187.0,16.08,224.4,41
CDM,796645,IV EACH ADD HOUR,16.0,16.0,1.38,19.2,41
CDM,796646,IV ADDL SEQ INF UP TO 1H,187.0,187.0,16.08,224.4,41
CDM,796647,IV CONCURRENT INFUSION,186.0,186.0,9.86,223.2,42
CDM,796648,INJECTION IM OR SQ,711.0,711.0,73.23,853.2,27
CDM,796649,IVP SINGLE/INITIAL DRUG,723.0,723.0,74.47,867.6,27
CDM,796650,IVP EA ADD SEQ NEW DRUG,723.0,723.0,74.47,867.6,27
CDM,796651,IVP EA ADD SEQ SAME DRUG,132.0,132.0,13.6,158.4,27
CDM,796652,LVL 1 FREE STD EMER DEPT,1971.0,1971.0,315.36,2365.2,10
CDM,796653,LVL 2 FREE STD EMER DEPT,3654.0,3654.0,584.64,4384.8,10
CDM,796654,LVL 3 FREE STD EMER DEPT,5859.0,5859.0,937.44,7030.8,10
CDM,796655,LVL 4 FREE STD EMER DEPT,7676.0,7676.0,1228.16,9211.2,10
CDM,796656,LVL 5 FREE STD EMER DEPT,16140.0,16140.0,2582.4,19368.0,10
CDM,796657,CRIT CARE 1ST 30-74M ER,17424.0,17424.0,2787.84,20908.8,10
CDM,796658,CRIT CARE EACH ADD 30MIN,7636.0,7636.0,786.51,9163.2,19
CDM,796659,ER PROC LEVEL 1,4643.0,4643.0,478.23,5571.6,27
CDM,796660,ER PROC LEVEL 2,5349.0,5349.0,550.95,6418.8,27
CDM,796661,ER PROC LEVEL 3,6060.0,6060.0,624.18,7272.0,27
CDM,796662,INJECTION IM OR SQ,711.0,711.0,73.23,853.2,27
CDM,796881,DOP ART >3 LEVELS BIL,6414.0,6414.0,551.6,7696.8,36
CDM,796884,DUP AO/IVC/IV/BPG COMP,5254.0,5254.0,451.84,6304.8,36
CDM,796887,DUP A/V STUDY,935.0,935.0,80.41,1122.0,36
CDM,796890,DUP EXTRACRANIAL BIL,5522.0,5522.0,474.89,6626.4,36
CDM,796891,DUP AB/PEL/SC LTD,2012.0,2012.0,173.03,2414.4,36
CDM,796892,DUP VEIN BIL,7611.0,7611.0,654.55,9133.2,36
CDM,796893,DUP VEIN UNI LT,935.0,935.0,80.41,1122.0,36
CDM,796894,DUP VEIN UNI RT,530.0,530.0,45.58,636.0,36
CDM,796895,DUP VEIN BIL,7611.0,7611.0,654.55,9133.2,36
CDM,796896,DUP VEIN UNI LT,935.0,935.0,80.41,1122.0,36
CDM,796897,DUP VEIN UNI RT,530.0,530.0,45.58,636.0,36
CDM,7969,CYCLOSPORINE 100 MG PO,119.0,119.0,6.31,142.8,30
CDM,796901,DUP UE ART UNI LT,963.0,963.0,82.82,1155.6,36
CDM,796902,DUP UE ART UNI RT,530.0,530.0,45.58,636.0,36
CDM,796903,DUP LE ART BIL,4482.0,4482.0,385.45,5378.4,36
CDM,796904,DUP LE ART UNI LT,915.0,915.0,78.69,1098.0,36
CDM,796905,DUP LE ART UNI RT,530.0,530.0,45.58,636.0,36
CDM,796906,DUP AO/IVC/IV/BPG COMP,5254.0,5254.0,451.84,6304.8,36
CDM,796928,"Injection, lanreotide, (cipla), 1 mg ",14916.14,14916.14,31.22,31.22,1
CDM,796928,LANREOTI(CIPLA) 120MGINJ,14916.14,14916.14,1282.79,17899.37,29
CDM,796929,BASIC METABOLIC CALC ION,691.0,691.0,59.43,829.2,31
CDM,796930,COMP METABOLIC PANEL,531.0,531.0,45.67,637.2,31
CDM,796931,AMYLASE,2011.0,2011.0,172.95,2413.2,31
CDM,796932,PHOSPHORUS BLD,239.0,239.0,20.55,286.8,31
CDM,796933,MAGNESIUM OTHER,337.0,337.0,28.98,404.4,31
CDM,796934,LACTIC ACID,583.0,583.0,50.14,699.6,31
CDM,796935,NATRIURETIC PEPTIDE,1979.0,1979.0,170.19,2374.8,31
CDM,796936,TROPONIN QUANT,629.0,629.0,54.09,754.8,31
CDM,796937,PROTIME,216.0,216.0,18.58,259.2,31
CDM,796938,PTT,303.0,303.0,26.06,363.6,31
CDM,796939,D-DIMER QUANT,513.0,513.0,44.12,615.6,31
CDM,796940,CBC AUTOMATED,326.0,326.0,28.04,391.2,31
CDM,796941,STREP A AG IA,847.0,847.0,72.84,1016.4,31
CDM,796942,RSV AG IA,701.0,701.0,60.29,841.2,31
CDM,796943,INFLUENZA A AG IA,712.0,712.0,61.23,854.4,31
CDM,796944,INFLUENZA B AG IA,712.0,712.0,61.23,854.4,31
CDM,796945,SARSCOV CORONAVIRU AG IA,1780.0,1780.0,153.08,2136.0,31
CDM,796946,OCC BLD PEROX OTH SOURCE,268.0,268.0,23.05,321.6,31
CDM,796947,OCCULT BLD SCN 3 SPEC,220.0,220.0,18.92,264.0,31
CDM,796948,UA W O MICRO AUTO,113.0,113.0,9.72,135.6,31
CDM,796949,PREG URINE QUAL BY DOO,434.0,434.0,37.32,520.8,31
CDM,796950,TRICHOMONAS VAG AG OIA,771.0,771.0,66.31,925.2,31
CDM,796951,DRUG SCR ANY NBR PER DOS,3131.0,3131.0,269.27,3757.2,31
CDM,796952,ABG WITH MEAS O2 SAT,3969.0,3969.0,341.33,4762.8,31
CDM,796953,BG WITH MEAS O2 SAT,3969.0,3969.0,341.33,4762.8,31
CDM,796958,SALICYLATE QN,130.0,130.0,11.18,156.0,31
CDM,796958,Salicylate ,130.0,130.0,18.45,56.85,36
CDM,796958,Salicylate UNSCHEDULED,130.0,130.0,129.29,132.02,3
CDM,796959,EGD W/FUNDOPLASTY,43926.0,43926.0,2328.08,52711.2,41
CDM,796975,CLINDAMYCIN 900 MG INJ,448.0,448.0,23.74,537.6,30
CDM,796975,"Injection, clindamycin phosphate, 300 mg ",448.0,448.0,1.8,1.8,1
CDM,796976,ESMOLOL 100 MG INJ,17.0,17.0,0.9,20.4,30
CDM,796983,VASOPRESSIN 20 UNIT INJ,29.99,29.99,1.59,35.99,30
CDM,796990,BUPIVACAINE 150 MG INJ,239.0,239.0,12.67,286.8,30
CDM,796992,BUPIVACAINE 25 MG INJ,14.21,14.21,0.75,17.05,30
CDM,796994,BUPIVACAINE 75 MG INJ,239.0,239.0,12.67,286.8,30
CDM,796995,METRONIDAZOLE 500 MG INJ,28.75,28.75,1.52,34.5,30
CDM,796997,AZTREONAM 1 G INJ,637.0,637.0,33.76,764.4,30
CDM,796998,AZTREONAM 2 G INJ,609.75,609.75,32.32,731.7,30
CDM,7970,CYCLOSP MOD 100 MG PO,90.0,90.0,4.77,108.0,30
CDM,797089,505BX CLINDAMY 300MG INJ,55.68,55.68,2.95,66.82,30
CDM,797090,PHENYLEPHRINE 10 MG INJ,10.45,10.45,0.55,12.54,30
CDM,797091,505BX CLINDAMY 900MG INJ,273.0,273.0,14.47,327.6,30
CDM,797092,505BX CLINDAMY 600MG INJ,83.97,83.97,4.45,100.76,30
CDM,797096,NITROGLYCERIN 50 MG INJ,28.45,28.45,1.51,34.14,30
CDM,797097,PERTU/TRASTU/HYALU1200MG,13024.68,13024.68,1120.12,15629.62,29
CDM,797114,EEG EXT MNTR 61-119 MIN,1201.0,1201.0,103.29,1441.2,41
CDM,797114,Electroencephalogram (EEG) extended monitoring; 61-119 minutes SCHEDULED,1201.0,1201.0,353.4,360.84,3
CDM,797114,Electroencephalogram (EEG) extended monitoring; 61-119 minutes UNSCHEDULED,1201.0,1201.0,1066.79,1089.25,3
CDM,797115,505HS PEMETREX 500MG INJ,576.0,576.0,49.54,691.2,29
CDM,797115,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",576.0,576.0,5.04,5.04,1
CDM,797116,"Injection, pemetrexed (pemfexy), 10 mg ",170.87,170.87,7.75,7.75,1
CDM,797116,PEMFEXY 10 MG INJ,170.87,170.87,14.69,205.04,29
CDM,797122,UNLISTED PROC INTESTINE,3672.0,3672.0,194.62,4406.4,34
CDM,797123,VIT K PHYTON 1 MG/ML INJ,160.0,160.0,8.48,192.0,30
CDM,797124,TRANEXAMICAC 10MG/MLINJ,950.0,950.0,50.35,1140.0,30
CDM,797125,TOBRAMYCIN 2 MG/ML INJ,15.7,15.7,0.83,18.84,30
CDM,797128,PHENYTOIN 5 MG/ML INJ,143.0,143.0,7.58,171.6,30
CDM,797129,PHENYLEPHN 60 MCG/ML INJ,10.45,10.45,0.55,12.54,30
CDM,797130,PCNG K 50000 U/ML INJ,155.0,155.0,8.21,186.0,30
CDM,797131,OCTREOTD SQIV 10 MCG/ML,85.0,85.0,4.5,102.0,30
CDM,797132,MILRINONE 200 MCG/ML INJ,0.55,0.55,0.03,0.66,30
CDM,797133,LABETALOL 1 MG/ML INJ,54.0,54.0,2.86,64.8,30
CDM,797134,INDOMETHACIN 0.5MG/MLINJ,2898.0,2898.0,153.59,3477.6,30
CDM,797135,505BX CLINDA 12MG/ML INJ,1.05,1.05,0.06,1.26,30
CDM,797136,505BX CLINDA 6 MG/ML INJ,23.5,23.5,1.25,28.2,30
CDM,797139,AMPHO B LIPID 1MG/ML INJ,15.05,15.05,0.8,18.06,30
CDM,797139,"Injection, amphotericin b lipid complex, 10 mg ",15.05,15.05,,,0
CDM,797146,SOD PHOS 0.12MMOL/ML INJ,9.04,9.04,0.48,10.85,30
CDM,797147,SOD PHOS 0.05MMOL/ML INJ,9.04,9.04,0.48,10.85,30
CDM,797152,DOBUTAMNE 2000MCG/ML INJ,157.0,157.0,8.32,188.4,30
CDM,797153,ALPROSTADL 10 MCG/ML INJ,2088.0,2088.0,110.66,2505.6,30
CDM,797153,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",2088.0,2088.0,,,0
CDM,797158,FENTANYL 10 MCG/ML INJ,1.65,1.65,0.09,1.98,30
CDM,797159,FENTANYL 50 MCG/ML INJ,609.4,609.4,32.3,731.28,30
CDM,797160,ESMOLOL 10 MG/ML INJ,225.5,225.5,11.95,270.6,30
CDM,797161,HEPARIN 50 UNITS/ML INJ,83.6,83.6,4.43,100.32,30
CDM,797178,NITROPRSIDE400MCG/ML INJ,76.06,76.06,4.03,91.27,30
CDM,797179,NITROPRSIDE60MCG/ML INJ,12.66,12.66,0.67,15.19,30
CDM,797180,NITROGLYC 200 MCG/ML INJ,24.4,24.4,1.29,29.28,30
CDM,797181,MORPHINE 1MG/ML INJ,143.0,143.0,7.58,171.6,30
CDM,797182,MORPHINE 0.1 MG/ML INJ,14.3,14.3,0.76,17.16,30
CDM,797183,MIDAZOLAM 0.2 MG/ML INJ,24.5,24.5,1.3,29.4,30
CDM,797185,LEUCOVORIN 10 MG/ML INJ,64.2,64.2,3.4,77.04,30
CDM,797186,FOSPHEN PE 25 MG/ML INJ,88.0,88.0,4.66,105.6,30
CDM,797188,DIGOXIN 20 MCG/ML INJ,72.8,72.8,3.86,87.36,30
CDM,797190,PROPRANOL 0.2 MG/ML INJ,7.36,7.36,0.39,8.83,30
CDM,797191,PROPOFOL 10 MG/ML INJ,7.76,7.76,0.41,9.31,30
CDM,797192,METOCLOPRM 0.2 MG/ML INJ,3.88,3.88,0.21,4.66,30
CDM,797194,ROCURONIUM 10 MG/ML INJ,2.0,2.0,0.11,2.4,30
CDM,797202,BEYFORTUS 0.5 ML IM,3950.0,3950.0,209.35,4740.0,30
CDM,797202,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",3950.0,3950.0,611.85,611.85,1
CDM,797202,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use UNSCHEDULED",3950.0,3950.0,1126.46,1150.18,3
CDM,797204,VASOPRESSIN 1 UNIT INJ,73.68,73.68,3.91,88.42,30
CDM,797207,GLYCOPYRROL 0.2 MG INJ,12.16,12.16,0.64,14.59,30
CDM,797207,"Injection, glycopyrrolate, 0.1 mg ",12.16,12.16,0.36,0.36,1
CDM,797210,BUMETANIDE 1 MG INJ,5.68,5.68,0.3,6.82,30
CDM,797211,NICARDIPINE 0.1MG/ML INJ,0.6,0.6,0.03,0.72,30
CDM,797214,NICARDIPINE 0.2MG/ML INJ,3.8,3.8,0.2,4.56,30
CDM,797215,ENTRESTO 97/103 MG PO,47.0,47.0,2.49,56.4,49
CDM,797216,ACHR RCPT BLCK AB,185.0,185.0,15.91,222.0,31
CDM,797216,Acetylcholine receptor (AChR); blocking antibody ,185.0,185.0,18.22,56.12,36
CDM,797216,Acetylcholine receptor (AChR); blocking antibody UNSCHEDULED,185.0,185.0,94.22,96.2,3
CDM,797217,ACHR RCPT BND AB,218.0,218.0,18.75,261.6,31
CDM,797217,Acetylcholine receptor (AChR); binding antibody ,218.0,218.0,18.22,56.12,36
CDM,797217,Acetylcholine receptor (AChR); binding antibody UNSCHEDULED,218.0,218.0,94.22,96.2,3
CDM,797222,ASSAY ANTI-MULLERIAN HOR,122.0,122.0,10.49,146.4,31
CDM,797222,Anti-mullerian hormone (AMH) ,122.0,122.0,38.23,117.79,36
CDM,797222,Anti-mullerian hormone (AMH) UNSCHEDULED,122.0,122.0,80.61,82.3,3
CDM,797224,BUMETANIDE 0.25MG/ML INJ,1.2,1.2,0.06,1.44,30
CDM,797225,PERC TRANS CORONARY LITH,11173.0,11173.0,592.17,13407.6,34
CDM,797226,MUSK AB,2539.0,2539.0,218.35,3046.8,31
CDM,797226,Muscle-specific kinase (MuSK) antibody ,2539.0,2539.0,18.22,56.12,36
CDM,797226,Muscle-specific kinase (MuSK) antibody UNSCHEDULED,2539.0,2539.0,94.22,96.2,3
CDM,797227,ACHR RCPT MODLG AB,120.0,120.0,10.32,144.0,31
CDM,797227,Acetylcholine receptor (AChR); modulating antibody ,120.0,120.0,11.93,36.75,36
CDM,797227,Acetylcholine receptor (AChR); modulating antibody UNSCHEDULED,120.0,120.0,94.22,96.2,3
CDM,797240,BRIDION 200 MG INJ,484.36,484.36,25.67,581.23,30
CDM,797241,505HK CEFAZ 100MG/ML INJ,0.4,0.4,0.02,0.48,30
CDM,797241,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",0.4,0.4,0.82,0.82,1
CDM,797242,ANTI-RI AB FA QL,1231.0,1231.0,105.87,1477.2,31
CDM,797244,MIDAZOLAM 100 MG INJ,23.96,23.96,1.27,28.75,30
CDM,797261,RETACRIT BS 40000U ESRD,1451.4,1451.4,76.92,1741.68,30
CDM,797263,ZARXIO BS 300 MCG INJ,1059.36,1059.36,91.1,1271.23,29
CDM,797265,LARYNGOSCOPY FLEX DX,903.0,903.0,47.86,1083.6,34
CDM,797267,CEMIPLIMAB-RWLC 350MGINJ,39992.0,39992.0,3439.31,47990.4,29
CDM,797267,"Injection, cemiplimab-rwlc, 1 mg ",39992.0,39992.0,28.87,28.87,1
CDM,797269,BG WITH CALC O2 SAT,3969.0,3969.0,341.33,4762.8,31
CDM,797273,CA GLUC NOS 100MG/MLINJ,34.0,34.0,1.8,40.8,30
CDM,797275,CMPD CYC TRO PHE OPHTH,28.88,28.88,1.53,34.66,30
CDM,797276,NOREPI 32MCG/ML INJ,21.0,21.0,1.11,25.2,30
CDM,797277,NOREPI 64MCG/ML INJ,41.0,41.0,2.17,49.2,30
CDM,797282,PERFLUT LPDMCS 1.5ML INJ,2965.5,2965.5,157.17,3558.6,30
CDM,797283,TESTOSTERNE CY 200MG INJ,84.55,84.55,4.48,101.46,30
CDM,797299,NICARDIPINE 25 MG INJ,167.63,167.63,8.88,201.16,30
CDM,797318,INSULIN 1 UNIT/ML INJ,9.0,9.0,0.48,10.8,44
CDM,797319,CMPD LACTULOSE ENEMA,2.2,2.2,0.12,2.64,43
CDM,797322,RIVAROXABAN 2.5 MG PO,37.0,37.0,1.96,44.4,49
CDM,797325,BENEFIX 1 U INJ,4.28,4.28,0.37,5.14,29
CDM,797348,VEEG 2-12 HR W CONT MON,2300.0,2300.0,197.8,2760.0,41
CDM,797349,VEEG 12-26 HR CONT,4488.0,4488.0,385.97,5385.6,41
CDM,797350,EEG CONT MIN 8 CHNLS,174.0,174.0,14.96,208.8,41
CDM,797366,SODIUM ACETA 2MEQ/ML INJ,136.0,136.0,7.21,163.2,48
CDM,797369,ANTIVENIN ANAVIP120MGINJ,6631.0,6631.0,351.44,7957.2,30
CDM,797369,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",6631.0,6631.0,,,0
CDM,797379,FENTANYL 5 MCG/ML INJ,13.31,13.31,0.71,15.97,30
CDM,797380,COLLAGENASE TOPICAL,187.0,187.0,9.91,224.4,30
CDM,797383,RENAL SYMP DENERV BI,95098.0,95098.0,5040.19,114117.6,34
CDM,797384,RENAL SYMP DENERV UNI,95098.0,95098.0,5040.19,114117.6,34
CDM,797385,ACETYLCYSTN 20% 30ML INH,328.6,328.6,17.42,394.32,30
CDM,797387,BUPROPION XL 150 MG PO,78.0,78.0,4.13,93.6,49
CDM,797388,CA GLUC NOS 1 G INJ,160.0,160.0,8.48,192.0,30
CDM,797389,505FK LEVOTHY 100MCGINJ,601.0,601.0,51.69,721.2,29
CDM,797390,505HP NA THIOS 12.5GINJ,898.0,898.0,47.59,1077.6,30
CDM,797390,"Injection, sodium thiosulfate (hope), 100 mg ",898.0,898.0,,,0
CDM,797391,HYDROXOCOBALAM 5 G IV,4263.6,4263.6,366.67,5116.32,29
CDM,797391,"Injection, hydroxocobalamin, intravenous, 25 mg ",4263.6,4263.6,,,0
CDM,797392,CYCLOPHOS NOS 500 MGINJ,648.68,648.68,55.79,778.42,29
CDM,797393,CYCLOPHOS NOS 1 G INJ,1297.32,1297.32,111.57,1556.78,29
CDM,797394,METHYLPRED ACE 80 MG INJ,283.0,283.0,15.0,339.6,30
CDM,797395,METHYLPRED ACE 40 MG INJ,173.0,173.0,9.17,207.6,30
CDM,797396,METHYLPRED SS 1 G INJ,74.0,74.0,3.92,88.8,30
CDM,797397,METHYLPRED SS 125 MGINJ,160.0,160.0,8.48,192.0,30
CDM,797398,METHYLPRED SS 500 MG,266.0,266.0,14.1,319.2,30
CDM,797399,METHYLPRED SS 40 MG INJ,156.0,156.0,8.27,187.2,30
CDM,797401,CMPD ROPIVCN 0.2% 600Q,842.4,842.4,44.65,1010.88,30
CDM,797402,MORPHINE 0.04 MG/ML INJ,9.76,9.76,0.52,11.71,30
CDM,797410,505FK LEVOTH 20MCG/MLINJ,120.2,120.2,10.34,144.24,29
CDM,797413,505FK LEVOTHY 200MCGINJ,988.24,988.24,84.99,1185.89,29
CDM,797414,505FK LEVOTHY 500MCGINJ,2470.64,2470.64,212.48,2964.77,29
CDM,797415,METHYLPRED SS 2.5MG/ML,0.2,0.2,0.01,0.24,30
CDM,797421,ZIRABEV BS 400 MG INJ,5873.0,5873.0,505.08,7047.6,29
CDM,797440,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",4477.89,4477.89,10.12,10.12,1
CDM,797440,TRAZIMERA BS 150 MG INJ,4477.89,4477.89,385.1,5373.47,29
CDM,797442,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",1579.6,1579.6,26.0,26.0,1
CDM,797442,RENFLEXIS BS 100 MG INJ,1579.6,1579.6,135.85,1895.52,29
CDM,797451,POTASS CL 0.1 MEQ/ML INJ,15.14,15.14,0.8,18.17,30
CDM,797453,TACROLIMUS 0.1% TOPICAL,207.68,207.68,11.01,249.22,30
CDM,797459,PANCRELIPASE 12000 U PO,20.33,20.33,1.08,24.4,49
CDM,797460,MOXIFLOXACIN 0.5% OPHTH,13.44,13.44,0.71,16.13,30
CDM,797462,DOPAMINE 800 MCG/ML INJ,0.2,0.2,0.01,0.24,30
CDM,797464,AZITHROMYCIN 2 MG/ML INJ,1.76,1.76,0.09,2.11,30
CDM,797468,THROMBIN 5000 U TOPICAL,449.33,449.33,23.81,539.2,30
CDM,797469,ROPIVACAINE 200 MG INJ,308.0,308.0,16.32,369.6,30
CDM,797470,"Injection, luspatercept-aamt, 0.25 mg ",15503.6,15503.6,41.47,41.47,1
CDM,797470,LUSPAT-AAMT 25 MG INJ,15503.6,15503.6,1333.31,18604.32,29
CDM,797477,HEPARIN 100 UNITS/ML INJ,142.56,142.56,7.56,171.07,30
CDM,797478,LOKELMA 10 G PO,87.0,87.0,4.61,104.4,49
CDM,797480,INSULIN 1 U INJ,0.18,0.18,0.01,0.22,44
CDM,797483,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",783.0,783.0,261.23,261.23,1
CDM,797483,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use UNSCHEDULED",783.0,783.0,170.65,174.24,3
CDM,797483,VAXNEUVANCE VAC IM,783.0,783.0,67.34,939.6,29
CDM,797493,RIG KEDRAB 300 U IMSQ,4060.0,4060.0,349.16,4872.0,29
CDM,797494,ACD A/ANTICO-CIT-DEX 750,274.0,274.0,14.52,328.8,43
CDM,797498,"Injection, olanzapine, 0.5 mg ",360.1,360.1,0.69,0.69,1
CDM,797498,OLANZAPINE 10 MG INJ,360.1,360.1,19.09,432.12,30
CDM,797503,CMPD VANCO 1.5G 500B,267.0,267.0,14.15,320.4,30
CDM,797504,ENFORT V-EJFV 30 MG INJ,16854.0,16854.0,1449.44,20224.8,29
CDM,797505,ENFORT V-EJFV 20 MG INJ,11236.0,11236.0,966.3,13483.2,29
CDM,797508,CALCIUM CARBONATE LIQ PO,33.0,33.0,1.75,39.6,49
CDM,797511,HCG QL URINE OTH THN DOO,75.0,75.0,6.45,90.0,31
CDM,797512,HCG QL URINE OTH THN DOO,75.0,75.0,6.45,90.0,31
CDM,797513,SIALIDASE ACT OTHER FLD,53.0,53.0,4.56,63.6,31
CDM,797514,ARGATROB 250MG NESRD INJ,983.0,983.0,84.54,1179.6,29
CDM,797515,ARGATROB 250MG ESRD INJ,983.0,983.0,52.1,1179.6,30
CDM,797518,CLOZAPINE 25 MG PO,8.75,8.75,0.46,10.5,30
CDM,797519,CLOZAPINE 100 MG PO,10.25,10.25,0.54,12.3,30
CDM,797520,LARYNGEAL FUNCTN STUDIES,470.36,470.36,40.45,564.43,48
CDM,797520,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",470.36,470.36,93.62,288.44,32
CDM,797520,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) SCHEDULED",470.36,470.36,47.5,48.5,3
CDM,797520,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) UNSCHEDULED",470.36,470.36,250.21,255.48,3
CDM,797527,REM CERCLAGE W/O ANES,1.0,1.0,0.05,1.2,34
CDM,797530,CAT 3 OB ED PROCEDURE,1.0,1.0,0.1,1.2,27
CDM,797531,CAT 2 OB ED PROCEDURE,1.0,1.0,0.1,1.2,27
CDM,797532,CAT 1 OB ED PROCEDURE,1.0,1.0,0.1,1.2,27
CDM,797533,DELIVERY VAGINAL MULT,1.0,1.0,0.05,1.2,48
CDM,797537,LVL 2 LABOR,1.0,1.0,0.05,1.2,48
CDM,797538,LVL 3 LABOR,1.0,1.0,0.05,1.2,48
CDM,797539,LVL 1 LABOR,1.0,1.0,0.05,1.2,48
CDM,797540,OB BASIC RECOVRY SERVICE,1.0,1.0,0.05,1.2,49
CDM,797541,OB RECOVERY PER MINUTE,1.0,1.0,0.05,1.2,49
CDM,797542,OB ANESTH PER MINUTE,1.0,1.0,0.05,1.2,49
CDM,797543,OB BASIC ANES SERVICES,1.0,1.0,0.05,1.2,49
CDM,797544,C-SECTION & HYST PER MIN,1.0,1.0,0.05,1.2,34
CDM,797546,C-SECTION PER MIN,1.0,1.0,0.05,1.2,34
CDM,797547,BASIC C-SECTION SERVICES,1.0,1.0,0.05,1.2,34
CDM,797554,CRRT/SLEDD,1.0,1.0,0.05,1.2,49
CDM,797560,CAT 5 ENDO PROCEDURE,1.0,1.0,0.05,1.2,34
CDM,797561,CAT 4 ENDO PROCEDURE,1.0,1.0,0.05,1.2,34
CDM,797562,CAT 3 ENDO PROCEDURE,1.0,1.0,0.05,1.2,34
CDM,797563,CAT 2 ENDO PROCEDURE,1.0,1.0,0.05,1.2,34
CDM,797564,CAT 1 ENDO PROCEDURE,1.0,1.0,0.05,1.2,34
CDM,797580,ESWL-BILATERAL,1.0,1.0,0.05,1.2,39
CDM,797581,ESWL-UNILATERAL,1.0,1.0,0.05,1.2,39
CDM,797583,PHASE 1 PER MINUTE,1.0,1.0,0.05,1.2,49
CDM,797584,BASIC PHASE 1 SERVICES,1.0,1.0,0.05,1.2,49
CDM,797585,OR PER MIN LEVEL 5,1.0,1.0,0.05,1.2,34
CDM,797586,OR PER MIN LEVEL 4,1.0,1.0,0.05,1.2,34
CDM,797587,OR PER MIN LEVEL 3,1.0,1.0,0.05,1.2,34
CDM,797588,OR PER MIN LEVEL 2,1.0,1.0,0.05,1.2,34
CDM,797589,OR PER MIN LEVEL 1,1.0,1.0,0.05,1.2,34
CDM,797590,BASIC OR SERVICES,1.0,1.0,0.05,1.2,34
CDM,797591,CONTINUOUS EPIDURAL,1.0,1.0,0.05,1.2,49
CDM,797592,SPINAL ANESTHETIC,1.0,1.0,0.05,1.2,49
CDM,797593,ANESTH PER MINUTE,1.0,1.0,0.05,1.2,49
CDM,797594,BASIC ANES SERVICES,1.0,1.0,0.05,1.2,49
CDM,797628,KETAMINE 50 MG INJ,16.0,16.0,0.85,19.2,43
CDM,797631,BUPIVACAINE 15 MG INJ,21.25,21.25,1.13,25.5,30
CDM,797633,MYELO W S&I LUMBOSAC,25289.0,25289.0,1340.32,30346.8,34
CDM,797634,MYELO W S&I THORACIC,5140.0,5140.0,272.42,6168.0,34
CDM,797635,MYELO W S&I CERVICAL,5140.0,5140.0,272.42,6168.0,34
CDM,797636,VANCOMYCIN 125 MG PO,9.0,9.0,0.48,10.8,49
CDM,797640,VERTEBRO LUMBOSACRAL,14612.0,14612.0,774.44,17534.4,34
CDM,797641,POTASS CL 0.2MEQ/ML INJ,16.82,16.82,0.89,20.18,30
CDM,797645,PANTOPRAZ 4 MG/ML INJ,46.8,46.8,2.48,56.16,30
CDM,797648,NALOXEGOL 25 MG PO,78.48,78.48,4.16,94.18,30
CDM,797649,NALOXEGOL 12.5 MG PO,78.48,78.48,4.16,94.18,30
CDM,797651,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",389.5,389.5,,,0
CDM,797651,NITHIODOT 300MG/12.5GINJ,389.5,389.5,33.5,467.4,29
CDM,797652,PANTOPRAZOLE 40 MG INJ,51.17,51.17,2.71,61.4,30
CDM,797653,CYSTO ADD ON TO ESWL,1.0,1.0,0.05,1.2,34
CDM,797654,PHASE 2 AMB PER MIN,1.0,1.0,0.05,1.2,49
CDM,797661,MENQUADFI VAC IM,1005.0,1005.0,53.27,1206.0,30
CDM,797672,CEFIDEROCOL 1 G INJ,495.32,495.32,42.6,594.38,29
CDM,797672,"Injection, cefiderocol, 10 mg ",495.32,495.32,2.35,2.35,1
CDM,797674,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",207.15,207.15,7.19,7.19,1
CDM,797674,LEVOTHY NOS 20MCG/MLINJ,207.15,207.15,10.98,248.58,30
CDM,797677,PHYSOSTIGMINE 2 MG INJ,315.0,315.0,16.7,378.0,30
CDM,797683,DIRECT REFERRAL TO OBS,1236.0,1236.0,197.76,1483.2,10
CDM,797687,DIRECT REFERRAL TO OBS,1236.0,1236.0,197.76,1483.2,10
CDM,797692,HCG QL SERUM/URINE INSTR,3194.0,3194.0,274.68,3832.8,31
CDM,797709,UL PROC STOMACH,3893.0,3893.0,206.33,4671.6,41
CDM,797714,PCNG K 5 MILLION U INJ,327.37,327.37,17.35,392.84,30
CDM,797716,OXYCODONE LIQ PO,9.0,9.0,0.48,10.8,49
CDM,797721,VITAMIN D 1.25 MG PO,15.25,15.25,0.81,18.3,49
CDM,797731,ERYTHROMYCIN 250 MG PO,15.24,15.24,0.81,18.29,49
CDM,797732,CMPD LETS KIT,8.78,8.78,0.47,10.54,30
CDM,797733,LEVEL III NEWBORN,576.0,576.0,,,0
CDM,797734,LEVEL II NEWBORN,566.0,566.0,,,0
CDM,797737,OR PER MIN LEVEL 5,1.0,1.0,0.05,1.2,34
CDM,797738,OR PER MIN LEVEL 4,1.0,1.0,0.05,1.2,34
CDM,797739,OR PER MIN LEVEL 3,1.0,1.0,0.05,1.2,34
CDM,797740,OR PER MIN LEVEL 2,1.0,1.0,0.05,1.2,34
CDM,797741,OR PER MIN LEVEL 1,1.0,1.0,0.05,1.2,34
CDM,797742,BASIC OR SERVICES,1.0,1.0,0.05,1.2,34
CDM,797745,BUPIV2.5/EPI0.005MG 50ML,58.0,58.0,3.07,69.6,48
CDM,797746,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",1226.02,1226.02,,,0
CDM,797746,PCN G PROCN AQ 1.2MILL U,1226.02,1226.02,64.98,1471.22,30
CDM,797747,CMPD ZINC SUL 5MG/ML PO,2.8,2.8,0.15,3.36,44
CDM,797748,CMPD CARDIOPLEGIA,531.19,531.19,28.15,637.43,30
CDM,797749,TOBRAMYCIN NC 300 MG INH,15.75,15.75,0.83,18.9,30
CDM,797749,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",15.75,15.75,7.54,7.54,1
CDM,797751,"Injection, pegylated interferon alfa-2a, 180 mcg per ml ",4899.08,4899.08,,,0
CDM,797751,PEGINT ALFA2A 180MCG INJ,4899.08,4899.08,259.65,5878.9,30
CDM,797763,DROXIDOPA 100 MG PO,8.75,8.75,0.46,10.5,49
CDM,797766,ESMOLO 2.5G/NACL250MLINJ,513.7,513.7,27.23,616.44,30
CDM,797776,CMPD NITROGLY1000MCG 10S,122.0,122.0,6.47,146.4,30
CDM,797777,VECURONIUM 20 MG INJ,119.0,119.0,6.31,142.8,48
CDM,797779,METHYLENE BLUE 50 MG INJ,136.1,136.1,11.7,163.32,29
CDM,797780,CHLOROPROCAINE 400MG INJ,14.0,14.0,0.74,16.8,30
CDM,797781,CHLOROPROCAINE 600MG INJ,14.5,14.5,0.77,17.4,30
CDM,797790,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",214.32,214.32,32.2,32.2,1
CDM,797790,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use UNSCHEDULED",214.32,214.32,170.65,174.24,3
CDM,797790,RECOMBIVAX PED 5MCG IM,214.32,214.32,18.43,257.18,29
CDM,797794,CMPD VANCOMYCIN OPHTHAL,1.65,1.65,0.09,1.98,30
CDM,797799,CLINIMIX E 5/15 2L INJ,482.3,482.3,25.56,578.76,30
CDM,797800,IBUPROFEN LYS 5MG/ML INJ,4938.18,4938.18,261.72,5925.82,30
CDM,797801,ATROPINE 1 MG INJ,120.84,120.84,6.4,145.01,30
CDM,797802,DAPAGLIFLOZIN 10 MG PO,60.0,60.0,3.18,72.0,30
CDM,797805,CLINIMIX 5/15 2L INJ,497.84,497.84,26.39,597.41,30
CDM,797806,CLINIMIX E 4.25/5 1L INJ,224.21,224.21,11.88,269.05,30
CDM,797807,CLINIMIX E 8/14 2L INJ,582.89,582.89,30.89,699.47,30
CDM,797813,LINEZOLID 2 MG/ML INJ,0.22,0.22,0.01,0.26,30
CDM,797816,CISATRACURIUM 2MG/ML INJ,3.32,3.32,0.18,3.98,30
CDM,797848,MUPIROCIN 2% 1G TOP,8.5,8.5,0.45,10.2,49
CDM,797852,PIP/TAZ60MG/7.5MG PER ML,8.75,8.75,0.46,10.5,30
CDM,797853,PREVNAR-20 VAC IM,2114.35,2114.35,181.83,2537.22,29
CDM,797853,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",2114.35,2114.35,303.51,303.51,1
CDM,797853,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use UNSCHEDULED",2114.35,2114.35,170.65,174.24,3
CDM,797854,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",9.98,9.98,1.14,1.14,1
CDM,797854,NUWIQ 1 U INJ,9.98,9.98,0.86,11.98,29
CDM,797865,FAM-TRAS-NXKI 100 MG INJ,25752.75,25752.75,2214.74,30903.3,29
CDM,797865,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",25752.75,25752.75,30.32,30.32,1
CDM,797876,CLINIMIX 4.25/5 2L INJ,464.74,464.74,24.63,557.69,30
CDM,797877,GANCICLOVIR 5 MG/ML INJ,8.75,8.75,0.46,10.5,30
CDM,797892,DISOPYRAMID ER 150 MG PO,22.5,22.5,1.19,27.0,49
CDM,797893,DISOPYRAMID ER 100 MG PO,19.0,19.0,1.01,22.8,49
CDM,797922,MICONAZOLE 2% 85 G TOP,21.25,21.25,1.13,25.5,49
CDM,797929,HYDROMORPH 2 MG INJ,25.77,25.77,1.37,30.92,30
CDM,797930,HYDROMORPH 1 MG INJ,40.07,40.07,2.12,48.08,30
CDM,797934,CLINIMIX 5/20 1L INJ,234.9,234.9,12.45,281.88,30
CDM,797935,DOPAMINE 400MG/250ML INJ,75.56,75.56,4.0,90.67,30
CDM,797942,HYDROMORPH 0.5 MG INJ,34.12,34.12,1.81,40.94,30
CDM,797945,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",34.85,34.85,0.01,0.01,1
CDM,797945,LIDO D5W 2G/500 ML INJ,34.85,34.85,1.85,41.82,30
CDM,797967,HYDROMORPH 10 MG INJ,43.19,43.19,2.29,51.83,30
CDM,797968,CMPD MORPH 0.4MG/ML PO,0.15,0.15,0.008,0.18,44
CDM,797969,LIDO 400MG/EPI 0.1MG INJ,80.75,80.75,4.28,96.9,30
CDM,797970,LIDO 1% 20MG/2ML INJ,16.5,16.5,0.87,19.8,30
CDM,797971,LIDO 1% 50MG/5ML INJ,54.0,54.0,2.86,64.8,30
CDM,797972,LIDO 2% 40MG/2ML INJ,132.0,132.0,7.0,158.4,30
CDM,797973,LIDO 0.5% 250MG/50ML INJ,86.0,86.0,4.56,103.2,30
CDM,797974,HYDROMORPH 50 MG INJ,122.25,122.25,6.48,146.7,30
CDM,797975,MINER/PETR/PHEN RECTAL,17.75,17.75,0.94,21.3,30
CDM,797978,ADMELOG 20 U INJ,8.25,8.25,0.44,9.9,44
CDM,797979,LIDO 2% 100MG/5ML INJ,67.0,67.0,3.55,80.4,30
CDM,797980,LIDO 1% 300MG/30ML INJ,126.49,126.49,6.7,151.79,30
CDM,797982,CMPD CLONID 10 MCG/ML PO,3.8,3.8,0.2,4.56,44
CDM,797995,HEPARIN 5000U / 1ML INJ,11.5,11.5,0.61,13.8,30
CDM,797996,HEPAR 1000U/NS 500ML INJ,40.26,40.26,2.13,48.31,30
CDM,798001,DRESS/DEBRIDE BURN LG,1615.0,1615.0,85.59,1938.0,34
CDM,798002,DRESS/DEBRIDE BURN MED,811.0,811.0,42.98,973.2,34
CDM,798003,DRESS/DEBRIDE BURN SML,811.0,811.0,42.98,973.2,34
CDM,798004,REM DEVITALIZED TISS NS,737.0,737.0,75.91,884.4,29
CDM,798005,HBO FULL BODY 30 MIN INT,562.0,562.0,48.33,674.4,48
CDM,798005,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval SCHEDULED",562.0,562.0,149.15,152.29,3
CDM,798006,DEBRD WD EA AD 20SQCM PT,2420.0,2420.0,208.12,2904.0,41
CDM,798007,DEBRIDE WND IN 20SQC OT,2195.0,2195.0,188.77,2634.0,41
CDM,798008,OP VISIT LEVEL 4 EST,544.0,544.0,28.83,652.8,35
CDM,798009,OP VISIT LEVEL 5 EST,720.0,720.0,38.16,864.0,35
CDM,798010,OP VISIT LEVEL 3 EST,414.0,414.0,21.94,496.8,35
CDM,798011,OP VISIT LEVEL 2 EST,414.0,414.0,21.94,496.8,35
CDM,798018,OP VISIT LEVEL 2 NP,413.0,413.0,21.89,495.6,35
CDM,798019,DOP ART >3 LEVELS BIL,621.0,621.0,53.41,745.2,36
CDM,798020,DOP ART 1-2 LEVELS BIL,508.0,508.0,43.69,609.6,36
CDM,798021,OP VISIT LEVEL 1 EST,319.0,319.0,16.91,382.8,35
CDM,798022,OP VISIT LEVEL 5 NP,986.0,986.0,52.26,1183.2,35
CDM,798023,OP VISIT LEVEL 4 NP,720.0,720.0,38.16,864.0,35
CDM,798024,OP VISIT LEVEL 3 NP,440.0,440.0,23.32,528.0,35
CDM,798025,NEG PRESSURE > 50 CM,737.0,737.0,75.91,884.4,29
CDM,798026,NEG PRESSURE 50CM OR <,737.0,737.0,75.91,884.4,29
CDM,798027,INJECTION IM OR SQ,281.0,281.0,24.17,337.2,48
CDM,798062,MVASI BS 100 MG INJ,3262.0,3262.0,280.53,3914.4,29
CDM,798065,POTASS CL 10 MEQ INJ,22.0,22.0,1.17,26.4,30
CDM,798077,HEPAR 25000U/ 250ML INJ,71.0,71.0,3.76,85.2,30
CDM,798094,NOREPIN 4MG/NS 250ML INJ,190.0,190.0,10.07,228.0,48
CDM,798098,CMPD INSU DRIP 100U 100B,117.0,117.0,6.2,140.4,44
CDM,798099,INJECTION IM OR SQ,646.0,646.0,66.54,775.2,27
CDM,798102,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",247.0,247.0,2.42,2.42,1
CDM,798102,NEXTERONE AMIO 360MG INJ,247.0,247.0,13.09,296.4,30
CDM,798108,NICARDIP 20MG/200ML INJ,274.0,274.0,14.52,328.8,30
CDM,798143,CMPDHYDROXUREA100MG/MLPO,21.0,21.0,1.11,25.2,44
CDM,798184,RABAVERT 1 ML VAC IM,3660.0,3660.0,314.76,4392.0,29
CDM,798185,IMOVAX 1 ML VAC IM,3200.0,3200.0,275.2,3840.0,29
CDM,798197,AMP20MG/SUL10MG / ML INJ,1.0,1.0,0.05,1.2,30
CDM,798202,AZTREONAM 20 MG/ML INJ,12.74,12.74,0.68,15.29,30
CDM,798225,DIGOXIN 100 MCG/ML INJ,936.62,936.62,49.64,1123.94,30
CDM,798231,ERYTHROMYCIN2.5MG/ML INJ,2.6,2.6,0.14,3.12,30
CDM,798234,FILGRASTIM 15 MCG/ML INJ,217.35,217.35,18.69,260.82,29
CDM,798242,METRONIDAZOL 5 MG/ML INJ,0.29,0.29,0.02,0.35,30
CDM,798245,LEVETIRACTM 15 MG/ML INJ,0.28,0.28,0.01,0.34,30
CDM,798263,VORICONAZOLE 5MG/ML INJ,24.07,24.07,1.28,28.88,30
CDM,798278,ISOVUE 300 50 ML INJ,201.0,201.0,10.65,241.2,29
CDM,798305,23.4% NACL 30 ML INJ,65.83,65.83,3.49,79.0,30
CDM,798305,"Hypertonic saline solution, 1 ml ",65.83,65.83,,,0
CDM,798313,CMPD FLECAINID 20MG/MLPO,1.93,1.93,0.1,2.32,44
CDM,798317,ACETAMINO NOS 10MG INJ,4.75,4.75,0.25,5.7,30
CDM,798318,ACETAMINO NOS 1000MG INJ,33.0,33.0,1.75,39.6,30
CDM,798326,LIPID EMUL 20% 250ML INJ,92.84,92.84,4.92,111.41,43
CDM,798327,LIPID EMUL 20% 100ML INJ,90.92,90.92,4.82,109.1,43
CDM,798337,TERBUTALINE 1 MG/ML INJ,12.38,12.38,0.66,14.86,30
CDM,798341,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",258.0,258.0,0.16,0.16,1
CDM,798341,MIDAZOL/0.9NS 100 MG IV,258.0,258.0,13.67,309.6,30
CDM,798343,ISOVUE 370 100 ML INJ,67.0,67.0,3.55,80.4,29
CDM,798351,HUMULIN R 20 U INJ,3.48,3.48,0.18,4.18,44
CDM,798353,PROMETHAZINE 25 MG INJ,80.0,80.0,4.24,96.0,30
CDM,798375,DEBRID WND EA ADD 20SQCM,2241.0,2241.0,230.82,2689.2,29
CDM,798377,DEBRIDE WND INI 20SQCM,2032.0,2032.0,209.3,2438.4,29
CDM,798392,"Culture, fungi, definitive identification, each organism; mold ",211.0,211.0,10.22,31.48,36
CDM,798392,"Culture, fungi, definitive identification, each organism; mold UNSCHEDULED",211.0,211.0,38.73,39.55,3
CDM,798392,MOLD ID,211.0,211.0,18.15,253.2,31
CDM,798393,PATHOGEN TEST PLATELETS,207.0,207.0,17.8,248.4,39
CDM,798397,CRYPTOCOCCAL AG IA TIT,113.0,113.0,9.72,135.6,31
CDM,798398,O&P SPECIAL STAIN,554.0,554.0,47.64,664.8,31
CDM,798398,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",554.0,554.0,17.8,54.84,36
CDM,798398,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites UNSCHEDULED",554.0,554.0,61.77,63.07,3
CDM,798401,CULT FUNGUS OTHER SRC,58.0,58.0,4.99,69.6,31
CDM,798412,NMDA RECEPTOR NR1 IFA,1231.0,1231.0,105.87,1477.2,31
CDM,798422,GLUCOSE CSF QN,855.0,855.0,73.53,1026.0,31
CDM,798426,ANTIGLOMERULAR B MIA QL,427.0,427.0,36.72,512.4,31
CDM,798427,PLT AGGREGATE P2Y12,1041.0,1041.0,89.53,1249.2,31
CDM,798429,B CELLS TOTAL COUNT,478.0,478.0,41.11,573.6,31
CDM,798429,"B cells, total count ",478.0,478.0,37.35,115.08,36
CDM,798429,"B cells, total count UNSCHEDULED",478.0,478.0,86.9,88.73,3
CDM,798431,T CELLS TOTAL,593.0,593.0,51.0,711.6,31
CDM,798431,T cells; total count ,593.0,593.0,37.35,115.08,36
CDM,798431,T cells; total count UNSCHEDULED,593.0,593.0,86.9,88.73,3
CDM,798433,FUNGAL MIC,272.0,272.0,23.39,326.4,31
CDM,798434,CULT VIRUS SHELL VIAL,250.0,250.0,21.5,300.0,31
CDM,798434,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",250.0,250.0,19.36,59.66,36
CDM,798434,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus UNSCHEDULED",250.0,250.0,36.64,37.41,3
CDM,798439,CULT QN BRONCH LAVAGE,50.0,50.0,4.3,60.0,31
CDM,798439,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",50.0,50.0,9.79,30.16,36
CDM,798439,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool UNSCHEDULED",50.0,50.0,61.77,63.07,3
CDM,798445,CYCLOSPORA SMEAR FLUOR,250.0,250.0,21.5,300.0,31
CDM,798447,CHROMATIN AB,180.0,180.0,15.48,216.0,31
CDM,798448,GLUTAMIC ACID DECARB A,467.0,467.0,40.16,560.4,31
CDM,798452,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",175.0,175.0,5.51,85.52,39
CDM,798452,RETIC CT AUTO W/RET-HE,175.0,175.0,15.05,210.0,31
CDM,798453,SED RATE AUTO,973.0,973.0,83.68,1167.6,31
CDM,798453,"Sedimentation rate, erythrocyte; automated ",973.0,973.0,2.67,8.23,36
CDM,798453,"Sedimentation rate, erythrocyte; automated UNSCHEDULED",973.0,973.0,76.43,78.04,3
CDM,798455,PT SUBSTITUTION MIXING,1500.0,1500.0,129.0,1800.0,31
CDM,798455,"Prothrombin time; substitution, plasma fractions, each ",1500.0,1500.0,3.9,12.02,36
CDM,798455,"Prothrombin time; substitution, plasma fractions, each UNSCHEDULED",1500.0,1500.0,106.78,109.03,3
CDM,798458,CALCIUM UR RANDOM QN,1227.0,1227.0,105.52,1472.4,31
CDM,798465,CRYPTOCOCCUS AG OIA,113.0,113.0,9.72,135.6,31
CDM,798466,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",110.0,110.0,11.86,335.65,39
CDM,798466,ROTAVIRUS AG EIA,110.0,110.0,9.46,132.0,31
CDM,798471,AMIKACIN PEAK QN,122.0,122.0,10.49,146.4,31
CDM,798472,AMIKACIN TROUGH QN,122.0,122.0,10.49,146.4,31
CDM,798473,GENTAMICIN PEAK QN,379.0,379.0,32.59,454.8,31
CDM,798474,GENTAMICIN TROUGH QN,379.0,379.0,32.59,454.8,31
CDM,798475,TOBRAMYCIN PEAK,552.0,552.0,47.47,662.4,31
CDM,798476,TOBRAMYCIN TROUGH,552.0,552.0,47.47,662.4,31
CDM,798477,VANCOMYCIN PEAK,730.0,730.0,62.78,876.0,31
CDM,798478,VANCOMYCIN TROUGH,730.0,730.0,62.78,876.0,31
CDM,798480,LORAZEPAM,329.0,329.0,17.44,394.8,35
CDM,798481,VOLUME MEASUREMENT UR,470.0,470.0,40.42,564.0,31
CDM,798481,"Volume measurement for timed collection, each ",470.0,470.0,3.6,11.1,36
CDM,798481,"Volume measurement for timed collection, each UNSCHEDULED",470.0,470.0,37.69,38.48,3
CDM,798482,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",820.0,820.0,162.32,500.08,35
CDM,798482,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative UNSCHEDULED",820.0,820.0,114.64,117.05,3
CDM,798482,BCR/ABL1 MAJOR BREAKPT,820.0,820.0,70.52,984.0,31
CDM,798483,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",720.0,720.0,143.39,441.76,35
CDM,798483,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative UNSCHEDULED",720.0,720.0,114.64,117.05,3
CDM,798483,BCR/ABL1 MINOR BREAKPT,720.0,720.0,61.92,864.0,31
CDM,798486,ARSENIC UR,185.0,185.0,15.91,222.0,31
CDM,798488,Calculus; infrared spectroscopy ,110.0,110.0,12.77,39.34,36
CDM,798488,Calculus; infrared spectroscopy UNSCHEDULED,110.0,110.0,42.92,43.82,3
CDM,798488,STONE ANALYSIS INFRARED,110.0,110.0,9.46,132.0,31
CDM,798490,"Elastase, pancreatic (EL-1), fecal; quantitative ",250.0,250.0,22.74,70.06,36
CDM,798490,"Elastase, pancreatic (EL-1), fecal; quantitative UNSCHEDULED",250.0,250.0,80.61,82.3,3
CDM,798490,FECAL ELASTASE QN IA,250.0,250.0,21.5,300.0,31
CDM,798498,TOT PROTEIN BODY FLDS QN,784.0,784.0,67.42,940.8,31
CDM,798505,ADAMTS-13,240.0,240.0,20.64,288.0,31
CDM,798505,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",240.0,240.0,30.55,94.12,36
CDM,798505,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte UNSCHEDULED",240.0,240.0,268.0,273.65,3
CDM,798509,CA 27-29 QN,167.0,167.0,14.36,200.4,31
CDM,798513,IMMUNOFIX ELECTRO CSF,478.0,478.0,41.11,573.6,31
CDM,798516,ASPERGILLUS FLAVUS AB,133.0,133.0,11.44,159.6,31
CDM,798518,ASPERGILLUS NIGER AB,133.0,133.0,11.44,159.6,31
CDM,798519,BARTONELLA H IGM,185.0,185.0,15.91,222.0,31
CDM,798520,BARTONELLA Q IGG,185.0,185.0,15.91,222.0,31
CDM,798521,BARTONELLA Q IGM,185.0,185.0,15.91,222.0,31
CDM,798530,LEGIONELLA AB QUAL,133.0,133.0,11.44,159.6,31
CDM,798531,PARVOVIRUS IGM,122.0,122.0,10.49,146.4,31
CDM,798536,HOMOGENIZATION TISSUE,170.0,170.0,14.62,204.0,31
CDM,798536,"Homogenization, tissue, for culture ",170.0,170.0,5.82,17.93,36
CDM,798536,"Homogenization, tissue, for culture UNSCHEDULED",170.0,170.0,65.96,67.35,3
CDM,798541,HEP C GENOTYPE,1372.0,1372.0,117.99,1646.4,31
CDM,798541,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,1372.0,1372.0,254.88,785.22,36
CDM,798541,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus UNSCHEDULED,1372.0,1372.0,63.86,65.2,3
CDM,798547,DEF DRUG SUBSTANCE 7+,913.0,913.0,48.39,1095.6,35
CDM,798547,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more ",913.0,913.0,,,0
CDM,798547,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more UNSCHEDULED",913.0,913.0,145.52,148.58,3
CDM,798551,ALPHA FETOPROT SERUM MAT,146.0,146.0,12.56,175.2,31
CDM,798566,PARVOVIRUS IGG,122.0,122.0,10.49,146.4,31
CDM,798567,TREP PALLIDUM IGG IA SQ,113.0,113.0,9.72,135.6,31
CDM,798568,TREP PALLIDUM IGM IA SQ,113.0,113.0,9.72,135.6,31
CDM,798571,SPLITTING OF PRODUCT,3202.45,3202.45,275.41,3842.94,43
CDM,798571,"Splitting of blood or blood products, each unit ",3202.45,3202.45,,,0
CDM,798571,"Splitting of blood or blood products, each unit UNSCHEDULED",3202.45,3202.45,86.9,88.73,3
CDM,798575,BORDETELL PARAPERTUS AMP,427.0,427.0,36.72,512.4,31
CDM,798576,HTLV1 AMP PROBE,167.0,167.0,14.36,200.4,31
CDM,798584,IMMUNOFIX ELECTRO UR,478.0,478.0,41.11,573.6,31
CDM,798586,ENCPH WST NIL AB IGM CSF,208.0,208.0,17.89,249.6,31
CDM,798587,ENCPH WST NIL AB IGG CSF,208.0,208.0,17.89,249.6,31
CDM,798591,HIV1 AG & HIV1&2 ABS OIA,119.0,119.0,10.23,142.8,31
CDM,798591,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",119.0,119.0,32.44,99.95,36
CDM,798591,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies UNSCHEDULED",119.0,119.0,90.03,91.93,3
CDM,798594,CHLAMYDIA PNEUMO IGM,120.0,120.0,10.32,144.0,31
CDM,798595,LAMOTRIGINE LAMICTAL QN,377.0,377.0,32.42,452.4,31
CDM,798595,Lamotrigine ,377.0,377.0,13.12,40.41,36
CDM,798595,Lamotrigine UNSCHEDULED,377.0,377.0,11.51,11.76,3
CDM,798600,PURK CELL (YO) FA AB QL,1231.0,1231.0,105.87,1477.2,31
CDM,798609,ESOMEPRAZOLE LIQ PO,4.4,4.4,0.23,5.28,49
CDM,798610,LEVONORGESTREL 1.5 MG PO,78.31,78.31,4.15,93.97,49
CDM,798611,SEMGLEE 20 U INJ,9.35,9.35,0.5,11.22,44
CDM,798615,BASIC OR SERVICES,1.0,1.0,0.05,1.2,34
CDM,798616,OR PER MIN LEVEL 1,1.0,1.0,0.05,1.2,34
CDM,798617,OR PER MIN LEVEL 2,1.0,1.0,0.05,1.2,34
CDM,798618,OR PER MIN LEVEL 3,1.0,1.0,0.05,1.2,34
CDM,798619,OR PER MIN LEVEL 4,1.0,1.0,0.05,1.2,34
CDM,798620,OR PER MIN LEVEL 5,1.0,1.0,0.05,1.2,34
CDM,798621,NEUR NUC AB 1 HU WB&BAND,1292.0,1292.0,111.11,1550.4,31
CDM,798622,RI AB WB BAND ID,1292.0,1292.0,111.11,1550.4,31
CDM,798623,YO AB WB BAND ID,1292.0,1292.0,111.11,1550.4,31
CDM,798624,ACT CLOT TIME KAOLIN CK,713.0,713.0,61.32,855.6,31
CDM,798625,FUNCT FIBRINOGEN ACT CFF,85.0,85.0,7.31,102.0,31
CDM,798626,PLT AGG ACTIVATOR F ACTF,1041.0,1041.0,89.53,1249.2,31
CDM,798627,PLT AGGREG RAPID-TEG CRT,1041.0,1041.0,89.53,1249.2,31
CDM,798628,PLT AGGREGATE A ACID,1041.0,1041.0,89.53,1249.2,31
CDM,798629,PLTAGG KAOLIN/HEPARINASE,1041.0,1041.0,89.53,1249.2,31
CDM,798630,SILICA CLOTTING TIME,64.0,64.0,5.5,76.8,31
CDM,798634,INF AGENT CONCENTRATION,207.0,207.0,17.8,248.4,31
CDM,798635,SUSC MACROBROTH EA AGENT,62.0,62.0,5.33,74.4,31
CDM,798635,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",62.0,62.0,6.57,20.25,36
CDM,798635,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent UNSCHEDULED",62.0,62.0,134.01,136.83,3
CDM,798636,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",470.0,470.0,173.65,534.97,35
CDM,798636,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) UNSCHEDULED",470.0,470.0,114.64,117.05,3
CDM,798636,BRAF V600 VARIANTS,470.0,470.0,40.42,564.0,31
CDM,798637,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",1236.0,1236.0,321.33,989.97,35
CDM,798637,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) UNSCHEDULED",1236.0,1236.0,114.64,117.05,3
CDM,798637,EGFR COMMON VARIANTS,1236.0,1236.0,106.3,1483.2,31
CDM,798638,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",630.0,630.0,191.32,589.41,36
CDM,798638,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) UNSCHEDULED",630.0,630.0,114.64,117.05,3
CDM,798638,KRAS VAR EXN2 CODON12&13,630.0,630.0,54.18,756.0,31
CDM,798640,GENOTYPIC BIOINFORMATICS,650.0,650.0,55.9,780.0,31
CDM,798640,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,650.0,650.0,129.05,397.57,36
CDM,798640,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics UNSCHEDULED,650.0,650.0,109.92,112.24,3
CDM,798642,TRANSGLUTAMIN AB IGG QN,435.0,435.0,37.41,522.0,31
CDM,798644,CAMPYLOBACTER AG OIA,113.0,113.0,9.72,135.6,31
CDM,798648,CMPD URSODIOL 20MG/ML PO,1.2,1.2,0.06,1.44,44
CDM,798649,KPHOS 15MMOL/NS250ML INJ,307.0,307.0,16.27,368.4,48
CDM,798657,NA BICARB 10 MEQ INJ,86.0,86.0,4.56,103.2,48
CDM,798660,BIVALIRUDIN 1 MG INJ,41.2,41.2,2.18,49.44,30
CDM,798663,HLA 1 TYP 1 AG EQV LR EA,218.0,218.0,18.75,261.6,31
CDM,798663,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",218.0,218.0,73.59,226.71,36
CDM,798663,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each UNSCHEDULED",218.0,218.0,114.64,117.05,3
CDM,798664,HSV CULTURE/TYPING ELVIS,218.0,218.0,18.75,261.6,31
CDM,798664,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",218.0,218.0,33.52,103.27,36
CDM,798664,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) UNSCHEDULED",218.0,218.0,109.92,112.24,3
CDM,798667,CHLAMYDIA TRACH IGM,120.0,120.0,10.32,144.0,31
CDM,798668,SUSC BETA LACTAM,283.0,283.0,24.34,339.6,31
CDM,798668,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",283.0,283.0,4.7,14.49,36
CDM,798668,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme UNSCHEDULED",283.0,283.0,30.36,31.0,3
CDM,798669,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",8.75,8.75,0.48,0.48,1
CDM,798669,TRUVADA PREP 200/300MGPO,8.75,8.75,0.75,10.5,29
CDM,798676,METHOCARBAMOL 500 MG PO,8.75,8.75,0.46,10.5,49
CDM,798679,LEVEL IV NEWBORN,9472.0,9472.0,,,0
CDM,798680,LEVEL III NEWBORN,10419.0,10419.0,,,0
CDM,798681,LEVEL II NEWBORN,5806.0,5806.0,,,0
CDM,798694,DISOPYRAMIDE 150 MG PO,8.9,8.9,0.47,10.68,49
CDM,798703,NMDA RECEPTOR AB TIT FA,556.0,556.0,47.82,667.2,31
CDM,798712,SEVELAM HCL 800MG ESRDPO,16.9,16.9,0.9,20.28,44
CDM,798712,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",16.9,16.9,,,0
CDM,798723,HIV 1 P24 AG IA,478.0,478.0,41.11,573.6,31
CDM,798723,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",478.0,478.0,23.82,142.17,39
CDM,798730,DISOPYRAMIDE 100 MG PO,3.8,3.8,0.2,4.56,49
CDM,798731,MONITORED ANES CARE,1.0,1.0,0.05,1.2,49
CDM,798732,LOCAL ANESTHETIC,1.0,1.0,0.05,1.2,49
CDM,798733,NERVE BLOCK ANESTHETIC,1.0,1.0,0.05,1.2,49
CDM,798736,ACTI CHAR 50G/240MLLIQPO,95.0,95.0,5.04,114.0,49
CDM,798739,SEVEL CAR 800 MG ESRD PO,8.75,8.75,0.46,10.5,44
CDM,798739,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",8.75,8.75,,,0
CDM,798764,CALC ACET 667MG ESRD PO,8.75,8.75,0.46,10.5,44
CDM,798764,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",8.75,8.75,,,0
CDM,798765,NAFCILLIN 2 G INJ,60.0,60.0,3.18,72.0,30
CDM,798766,NAFCILLIN 20 MG/ML INJ,1.0,1.0,0.05,1.2,30
CDM,798778,NAFCILLIN 1 G INJ,38.5,38.5,2.04,46.2,30
CDM,798784,ROMIPLOSTIM 250 MCG INJ,24041.0,24041.0,2067.53,28849.2,29
CDM,798785,ROMIPLOSTIM 500 MCG INJ,48081.0,48081.0,4134.97,57697.2,29
CDM,798786,ROMIPLOSTIM 125 MCG INJ,12020.5,12020.5,1033.76,14424.6,29
CDM,798787,GUANFACINE 1 MG PO,8.75,8.75,0.46,10.5,49
CDM,798789,HIV-2 AMP PROBE,70.0,70.0,6.02,84.0,31
CDM,798789,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",70.0,70.0,34.74,107.02,36
CDM,798789,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed UNSCHEDULED",70.0,70.0,109.92,112.24,3
CDM,798790,NMDA-RCPT AB CBA,1231.0,1231.0,105.87,1477.2,31
CDM,798792,NAFCILLIN 100 MG/ML INJ,3.85,3.85,0.2,4.62,30
CDM,798793,SEVEL CAR 2.4G ESRD POWD,13.8,13.8,0.73,16.56,44
CDM,798794,SEVEL CAR 0.8G ESRD POWD,11.5,11.5,0.61,13.8,44
CDM,798795,AMP/SUL 30MG/15MG PER ML,1.0,1.0,0.05,1.2,30
CDM,798796,PANITUMUMAB 100 MG INJ,16012.0,16012.0,1377.03,19214.4,29
CDM,798798,BEVACIZUMAB 400 MG INJ,13548.0,13548.0,1165.13,16257.6,29
CDM,798799,CETIRIZINE 5 MG/5 ML PO,2.15,2.15,0.11,2.58,49
CDM,798802,SUMATRIPTAN 50 MG PO,8.0,8.0,0.42,9.6,49
CDM,798819,TRAUMA RESP TIER 2 CC,23445.0,23445.0,2016.27,28134.0,32
CDM,798824,PERAMPANEL 12 MG PO,152.82,152.82,8.1,183.38,49
CDM,798845,PSYLLIUM HUSK 3.4G PO,2.5,2.5,0.13,3.0,49
CDM,798846,HYDROXYUREA 1 G PO,235.0,235.0,12.46,282.0,30
CDM,798854,BUPRENORPHINE 2 MG PO,23.44,23.44,1.24,28.13,30
CDM,798857,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",90.0,90.0,2.32,2.32,1
CDM,798857,NA FERRIC GLUCON 62.5 MG,90.0,90.0,4.77,108.0,30
CDM,798863,CRYPTOCOCCUS AG OIA CSF,121.0,121.0,10.41,145.2,31
CDM,798864,CENTROMERE B AB IA,556.0,556.0,47.82,667.2,31
CDM,798868,NA BICARB 50 MEQ INJ,164.0,164.0,8.69,196.8,48
CDM,798869,ANCA-P ATYPICAL AB TITER,63.0,63.0,5.42,75.6,31
CDM,798870,VIRUS DEFINITIVE ID,250.0,250.0,21.5,300.0,31
CDM,798870,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",250.0,250.0,20.0,61.61,36
CDM,798870,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate UNSCHEDULED",250.0,250.0,109.92,112.24,3
CDM,798873,PLT AGGREGATE COLL/ADP,1041.0,1041.0,89.53,1249.2,31
CDM,798877,GLIADIN AB IGG IA QN,435.0,435.0,37.41,522.0,31
CDM,798878,GLIADIN AB IGA IA QN,435.0,435.0,37.41,522.0,31
CDM,798892,COLLAGENASE 30 G TOP,1123.0,1123.0,59.52,1347.6,49
CDM,798894,CMPD MAGIC MOUTHWASH 5ML,8.5,8.5,0.45,10.2,44
CDM,798895,ZOLPIDEM 5 MG PO,8.5,8.5,0.45,10.2,49
CDM,798896,ZOLPIDEM 10 MG PO,8.5,8.5,0.45,10.2,49
CDM,798897,ATORVASTATIN 80 MG PO,8.5,8.5,0.45,10.2,49
CDM,798898,ATORVASTATIN 40 MG PO,8.5,8.5,0.45,10.2,49
CDM,798899,ATORVASTATIN 10 MG PO,8.5,8.5,0.45,10.2,49
CDM,798900,ATORVASTATIN 20 MG PO,8.5,8.5,0.45,10.2,49
CDM,798901,BENZONATATE 100 MG PO,8.5,8.5,0.45,10.2,49
CDM,798902,CARVEDILOL 6.25 MG PO,8.5,8.5,0.45,10.2,49
CDM,798903,CARVEDILOL 3.125 MG PO,8.5,8.5,0.45,10.2,49
CDM,798904,CARVEDILOL 25 MG PO,8.5,8.5,0.45,10.2,49
CDM,798905,CARVEDILOL 12.5 MG PO,8.5,8.5,0.45,10.2,49
CDM,798906,COLLAGENASE TOPICAL,3078.0,3078.0,163.13,3693.6,30
CDM,798910,BUPIV5MG/EPI0.005MG 30ML,106.0,106.0,5.62,127.2,43
CDM,798916,LACOSAMIDE 100 MG PO,8.5,8.5,0.45,10.2,49
CDM,798918,CARBAMAZE ER 200 MG PO,8.5,8.5,0.45,10.2,49
CDM,798919,CARBAMAZE ER 100 MG PO,8.5,8.5,0.45,10.2,49
CDM,798920,"Injection, obinutuzumab, 10 mg ",78972.0,78972.0,79.36,79.36,1
CDM,798920,OBINUTUZUMAB 1000 MG INJ,78972.0,78972.0,6791.59,94766.4,29
CDM,798925,ESOMEPRAZOLE LIQ PO,29.0,29.0,1.54,34.8,49
CDM,798927,"Injection, vedolizumab, intravenous, 1 mg ",42962.0,42962.0,20.35,20.35,1
CDM,798927,VEDOLIZUMAB 300 MG IV,42962.0,42962.0,3694.73,51554.4,29
CDM,798930,ZIDOVUDINE 200 MG INJ,258.0,258.0,13.67,309.6,30
CDM,798931,METHYLPHENIDATE 10 MG PO,8.5,8.5,0.45,10.2,49
CDM,798932,METHADONE 100 MG/10ML PO,27.0,27.0,1.43,32.4,30
CDM,798933,METHYLPHENIDATE 5 MG PO,10.25,10.25,0.54,12.3,49
CDM,798949,SIALIDASE ACT OTHER FLD,53.0,53.0,4.56,63.6,31
CDM,798950,SIALIDASE ACT OTHER FLD,53.0,53.0,4.56,63.6,31
CDM,798951,LINEZOL 100MG/5ML LIQPO,60.0,60.0,3.18,72.0,30
CDM,798952,NITROPRUSSIDE 50 MG INJ,85.0,85.0,4.5,102.0,30
CDM,798953,ACYCLOVIR 5 MG/ML INJ,0.2,0.2,0.01,0.24,30
CDM,798954,EPTIFIBATIDE 75 MG INJ,383.31,383.31,20.32,459.97,30
CDM,798962,505WGCAGL1G/NACL 50MLINJ,71.98,71.98,3.81,86.38,30
CDM,798962,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",71.98,71.98,0.07,0.07,1
CDM,798971,CMPD EPI 5 MG 250B,210.5,210.5,11.16,252.6,30
CDM,798974,CARBOXYHEMOGLOBIN QN,465.0,465.0,39.99,558.0,31
CDM,798974,Carboxyhemoglobin; quantitative ,465.0,465.0,12.2,37.58,36
CDM,798974,Carboxyhemoglobin; quantitative UNSCHEDULED,465.0,465.0,83.75,85.52,3
CDM,798975,RM & BD PRIVATE,3175.0,3175.0,,,0
CDM,798983,LANSOPRAZOLE 30 MG PO,7.5,7.5,0.4,9.0,49
CDM,799005,CMPD INDOMET 100MG SUPP,1592.0,1592.0,84.38,1910.4,44
CDM,799006,ROCURONIUM 5 MG/ML INJ,1.0,1.0,0.05,1.2,30
CDM,799007,PENTOBARB 8 MG/ML INJ,27.05,27.05,1.43,32.46,30
CDM,799008,MIDAZOLAM 0.5 MG/ML INJ,1.42,1.42,0.08,1.7,30
CDM,799009,CISATRACURIUM0.4MG/MLINJ,1.27,1.27,0.07,1.52,30
CDM,799024,GEMCITABINE NOS 1 G INJ,160.0,160.0,8.48,192.0,30
CDM,799039,BG WITH MEAS O2 SAT,170.98,170.98,14.7,205.18,31
CDM,799062,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",60825.0,60825.0,69.0,69.0,1
CDM,799062,MIRVETUX-GYNX 100 MG INJ,60825.0,60825.0,5230.95,72990.0,29
CDM,799066,KETOTIFEN 0.025% 5ML OPH,31.8,31.8,1.69,38.16,49
CDM,799067,SUFENTANIL 50 MCG INJ,219.62,219.62,11.64,263.54,48
CDM,799070,LEVOFLOXACIN 5 MG/ML INJ,8.44,8.44,0.45,10.13,30
CDM,799077,ZIDOVUDINE 4 MG/ML INJ,7.18,7.18,0.38,8.62,30
CDM,799078,MICAFUNGIN 1 MG/ML INJ,2.1,2.1,0.11,2.52,30
CDM,799079,RUXIENCE BS 500 MG INJ,8009.0,8009.0,688.77,9610.8,29
CDM,799086,"Injection, rifampin, 1 mg ",628.0,628.0,0.16,0.16,1
CDM,799086,RIFAMPIN 600 MG INJ,628.0,628.0,33.28,753.6,30
CDM,799087,DOXYCYCL HYCL 100 MG INJ,69.41,69.41,3.68,83.29,30
CDM,799087,"Injection, doxycycline hyclate, 1 mg ",69.41,69.41,0.09,0.09,1
CDM,799089,FAMOTIDINE 20 MG INJ,8.75,8.75,0.46,10.5,30
CDM,799090,FUROSEMIDE 100 MG INJ,15.25,15.25,0.81,18.3,30
CDM,799091,FUROSEMIDE 40 MG INJ,8.75,8.75,0.46,10.5,30
CDM,799092,FUROSEMIDE 20 MG INJ,9.75,9.75,0.52,11.7,30
CDM,799093,ECULIZUMAB 300 MG INJ,59815.0,59815.0,5144.09,71778.0,29
CDM,799093,"Injection, eculizumab, 2 mg ",59815.0,59815.0,43.36,43.36,1
CDM,799103,TRUXIMA BS 500 MG INJ,18813.48,18813.48,1617.96,22576.18,29
CDM,799104,TRUXIMA BS 100 MG INJ,7753.69,7753.69,666.82,9304.43,29
CDM,799117,FAMOTIDINE 2 MG/ML INJ,0.87,0.87,0.05,1.04,30
CDM,799119,BISACODYL 10 MG RECTAL,8.5,8.5,0.45,10.2,49
CDM,799120,CULT TYPING AMP PROBE,211.0,211.0,18.15,253.2,31
CDM,799120,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",211.0,211.0,34.74,107.02,36
CDM,799120,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed UNSCHEDULED",211.0,211.0,107.83,110.1,3
CDM,799130,PRETREAT SERUM DIL EA,1200.0,1200.0,103.2,1440.0,34
CDM,799130,Pretreatment of serum for use in RBC antibody identification; by dilution ,1200.0,1200.0,,,0
CDM,799130,Pretreatment of serum for use in RBC antibody identification; by dilution UNSCHEDULED,1200.0,1200.0,86.9,88.73,3
CDM,799131,Hemolysins and agglutinins; incubated ,507.0,507.0,11.99,36.94,36
CDM,799131,Hemolysins and agglutinins; incubated UNSCHEDULED,507.0,507.0,86.9,88.73,3
CDM,799131,INCUBATED AUTO SCREEN,507.0,507.0,43.6,608.4,31
CDM,799132,HEMOLYSIN AGGLUTIN AUTO,704.0,704.0,60.54,844.8,31
CDM,799135,SMX/TMP 5.5/1.1 MG/ML,1.93,1.93,0.1,2.32,30
CDM,799137,TAU PHOSPHORYLATED EA,208.0,208.0,17.89,249.6,31
CDM,799137,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",208.0,208.0,127.63,393.21,35
CDM,799151,FUROSEMIDE 1 MG/ML INJ,0.15,0.15,0.008,0.18,30
CDM,799152,AMINOCAPROC 20 MG/ML INJ,0.2,0.2,0.01,0.24,30
CDM,799153,SMX/TMP 3.2/0.64 MG/ML,1.1,1.1,0.06,1.32,30
CDM,799157,AMINOCAPROIC 5 G INJ,50.71,50.71,2.69,60.85,30
CDM,799159,FUROSEMIDE 2 MG/ML INJ,0.3,0.3,0.02,0.36,30
CDM,799162,NIACIN VIT B 3,74.0,74.0,6.36,88.8,31
CDM,799162,"Vitamin, not otherwise specified ",74.0,74.0,16.89,52.03,36
CDM,799162,"Vitamin, not otherwise specified UNSCHEDULED",74.0,74.0,80.61,82.3,3
CDM,799168,LEVOTHY 25MCG/ML LIQ PO,1.8,1.8,0.1,2.16,49
CDM,799169,SULFAMET/TMP 400/80 PO,8.5,8.5,0.45,10.2,49
CDM,799170,SULFAMET/TMP 800/160 PO,8.5,8.5,0.45,10.2,49
CDM,799171,FUROSEMIDE 10 MG/ML INJ,1.53,1.53,0.08,1.84,30
CDM,799186,BUPRENORPHINE 8 MG PO,61.1,61.1,3.24,73.32,30
CDM,799187,LEVOFLOXACIN LIQ PO,0.1,0.1,0.005,0.12,49
CDM,799189,TOTAL TAU,208.0,208.0,17.89,249.6,31
CDM,799189,"Tau, total (tTau) ",208.0,208.0,127.63,393.21,35
CDM,799194,EDETAT CA DIS 1000MG INJ,26387.61,26387.61,2269.33,31665.13,29
CDM,799194,"Injection, edetate calcium disodium, up to 1000 mg ",26387.61,26387.61,5919.78,5919.78,1
CDM,799211,NIACIN ER 500 MG PO,8.5,8.5,0.45,10.2,49
CDM,799234,CMPD CLONAZ 0.1 MG/ML PO,8.75,8.75,0.46,10.5,44
CDM,799235,CMPD CLONAZ 0.1 MG/ML PO,8.5,8.5,0.45,10.2,44
CDM,799236,WITCH HAZEL 50% PAD TOP,21.25,21.25,1.13,25.5,49
CDM,799237,PRETREAT SERUM INHIB EA,1200.0,1200.0,103.2,1440.0,34
CDM,799237,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",1200.0,1200.0,,,0
CDM,799237,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each UNSCHEDULED",1200.0,1200.0,86.9,88.73,3
CDM,799238,PRETREAT RBC'S DENS EA,1200.0,1200.0,103.2,1440.0,34
CDM,799238,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",1200.0,1200.0,,,0
CDM,799238,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation UNSCHEDULED",1200.0,1200.0,86.9,88.73,3
CDM,799239,PRETREAT RBC'S CHEM EA,1200.0,1200.0,103.2,1440.0,34
CDM,799239,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",1200.0,1200.0,,,0
CDM,799239,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each UNSCHEDULED",1200.0,1200.0,86.9,88.73,3
CDM,799298,TERBINAFINE 250 MG PO,8.75,8.75,0.46,10.5,49
CDM,799320,PREDNISON 5MG/5ML LIQ PO,8.0,8.0,0.42,9.6,30
CDM,799327,DEXTROSE 20% 500 ML INJ,41.5,41.5,2.2,49.8,48
CDM,799334,FLUOROURACIL 500 MG INJ,285.0,285.0,15.11,342.0,30
CDM,799345,POT PHOS 3 MMOL/1ML INJ,34.0,34.0,1.8,40.8,48
CDM,799486,RYANODEX 250 MG INJ,10325.0,10325.0,547.23,12390.0,30
CDM,799625,MINERAL OIL/PETR 3.5GOPH,32.0,32.0,1.7,38.4,49
CDM,799640,TRAUMA ICU,18963.0,18963.0,,,0
CDM,799641,LURBINECTEDIN 0.1MGINJJW,405.5,405.5,34.87,486.6,29
CDM,799642,LURBINECTEDIN 4 MG INJ,16220.0,16220.0,1394.92,19464.0,29
CDM,799666,DILTIAZEM 25 MG INJ,23.75,23.75,1.26,28.5,30
CDM,799668,DILTIAZEM 125 MG INJ,70.0,70.0,3.71,84.0,30
CDM,799669,VANCO 500 MG INJ,16.5,16.5,0.87,19.8,30
CDM,799670,"Injection, metoprolol tartrate, 1 mg ",8.75,8.75,0.13,0.13,1
CDM,799670,METOPROLOL 5 MG INJ,8.75,8.75,0.46,10.5,30
CDM,799671,CALCIUM CHL 1 G INJ,80.0,80.0,4.24,96.0,30
CDM,799673,CMPD TPN SOLUTION,266.0,266.0,14.1,319.2,30
CDM,799678,EPI NOS 1 MG INJ,80.0,80.0,4.24,96.0,30
CDM,799679,EPI NOS 100MCG/ML INJ,8.0,8.0,0.42,9.6,30
CDM,799680,NALOX NOS 2 MG INJ,72.0,72.0,3.82,86.4,30
CDM,799681,NALOX NOS 0.4MG INJ,25.0,25.0,1.32,30.0,30
CDM,799701,EPI NOS 20MCG/ML INJ,1.6,1.6,0.08,1.92,30
CDM,799702,VANCO 750 MG INJ,40.0,40.0,2.12,48.0,30
CDM,799703,VANCO 1 G INJ,19.75,19.75,1.05,23.7,30
CDM,799704,OMNIPAQUE 300 100 ML,58.0,58.0,3.07,69.6,29
CDM,799705,EPI NOS 0.1 MG INJ,88.0,88.0,4.66,105.6,30
CDM,799706,CALCIUM CHL 20 MG/ML INJ,1.62,1.62,0.09,1.94,30
CDM,799708,CYCLOPHOS NOS 2 G INJ,1105.0,1105.0,95.03,1326.0,29
CDM,799714,INJ BLOOD PATCH,3058.0,3058.0,162.07,3669.6,34
CDM,799719,LIPID EMULS 20% 1ML INJ,4.21,4.21,0.22,5.05,48
CDM,799729,VANCO 5 MG/ML INJ,1.78,1.78,0.09,2.14,30
CDM,799731,VANCO 1.5 G INJ,73.0,73.0,3.87,87.6,30
CDM,799753,VANCO 1.25 G INJ,105.0,105.0,5.57,126.0,30
CDM,799759,CMPD VANCOMYCIN TOPICAL,20.0,20.0,1.06,24.0,30
CDM,799762,LORAZEPAM 2MG/ML LIQ PO,8.75,8.75,0.46,10.5,49
CDM,799765,OMNIPAQUE 300 50 ML INJ,253.0,253.0,13.41,303.6,29
CDM,799786,ISOVUE 370 50 ML INJ,254.0,254.0,13.46,304.8,29
CDM,799808,Contraceptive pills for birth control ,145.0,145.0,,,0
CDM,799808,ULIPRISTAL 30 MG PO,145.0,145.0,7.68,174.0,30
CDM,799818,PERTU/TRASTU/HYALU1800MG,63988.18,63988.18,5502.98,76785.82,29
CDM,799837,KETAMINE 2 MG/ML INJ,0.64,0.64,0.03,0.77,30
CDM,799847,BURN ICU W/ECMO,30000.0,30000.0,,,0
CDM,799848,TRAUMA ICU W/ECMO,30000.0,30000.0,,,0
CDM,799849,ICU W/ECMO,25000.0,25000.0,,,0
CDM,799852,PAXLOVID 300/100 MG PO,575.6,575.6,30.51,690.72,30
CDM,799873,CALCIUM IONIZED,148.0,148.0,12.73,177.6,31
CDM,799889,FLUZONE TRI 0.5 ML PF IM,60.0,60.0,5.16,72.0,29
CDM,799889,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",60.0,60.0,22.52,22.52,1
CDM,799889,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use UNSCHEDULED",60.0,60.0,170.65,174.24,3
CDM,799902,GUAIF/DEXTR 600/30MG PO,8.75,8.75,0.46,10.5,49
CDM,799907,BURN ICU,18370.0,18370.0,,,0
CDM,799922,"Injection, tranexamic acid, 5 mg ",19.75,19.75,,,0
CDM,799922,TRANEXAMIC 1000MG INJ,19.75,19.75,1.05,23.7,30
CDM,799923,CARBOPROST 0.25MG INJ,245.0,245.0,21.07,294.0,29
CDM,799923,"Injection, carboprost tromethamine, 0.1 mg ",245.0,245.0,,,0
CDM,799924,MANNITOL 12.5G INJ,72.44,72.44,3.84,86.93,30
CDM,799925,MOXIFLOXAC 0.5% 3 ML OPH,30.8,30.8,1.63,36.96,49
CDM,799929,MANNITOL 100G INJ,90.0,90.0,4.77,108.0,30
CDM,799935,CULT TYPING IFT,211.0,211.0,18.15,253.2,31
CDM,799935,"Culture, typing; immunofluorescent method, each antiserum ",211.0,211.0,5.51,16.99,36
CDM,799935,"Culture, typing; immunofluorescent method, each antiserum UNSCHEDULED",211.0,211.0,50.25,51.31,3
CDM,799936,MIDAZOLAM 5 MG/5 ML INJ,71.0,71.0,3.76,85.2,30
CDM,799944,OLANZAPINE 7.5 MG PO,8.5,8.5,0.45,10.2,49
CDM,799945,NYSTATIN 15 G TOP,26.0,26.0,1.38,31.2,49
CDM,799947,FLUORESCEIN 500MG INJ,48.14,48.14,2.55,57.77,30
CDM,799956,MANNITOL 250MG INJ,19.75,19.75,1.05,23.7,30
CDM,799984,MORPHINE 0.2 MG/ML INJ,28.6,28.6,1.52,34.32,30
CDM,799988,GANCICLOVIR 10 MG/ML INJ,5.04,5.04,0.27,6.05,30
CDM,799989,ESMOLOL 20 MG/ML INJ,20.17,20.17,1.07,24.2,30
CDM,799993,OCC BLD PEROX OTH SOURCE,13.92,13.92,1.2,16.7,31
CDM,799994,OCCULT BLD SCN 3 SPEC,12.57,12.57,1.08,15.08,31
CDM,799995,GLUCOSE BLD QN,12.64,12.64,1.09,15.17,31
CDM,800076,BIT DRILL 2.3MM 20MM,2412.0,2412.0,127.84,2894.4,49
CDM,800082,NEEDLE ENDO 14.6IN 21GA,1637.0,1637.0,86.76,1964.4,49
CDM,800165,SCREW CORT BN 3X16MM,220.0,220.0,11.66,264.0,20
CDM,800182,CATH ANGIO CRV 5FR 100CM,505.0,505.0,26.77,606.0,49
CDM,800187,CAGE SPNL 20X16X4MM SANT,2604.0,2604.0,138.01,3124.8,20
CDM,800189,CAGE SPNL 20X16X36-42MM,2604.0,2604.0,138.01,3124.8,20
CDM,800192,CAGE SPNL 20X16X36-42MM,2604.0,2604.0,138.01,3124.8,20
CDM,800193,CAGE SPNL 17X12X30-42MM,2604.0,2604.0,138.01,3124.8,20
CDM,800194,CAGE SPNL 17X22X23-25MM,2604.0,2604.0,138.01,3124.8,20
CDM,800195,CAGE SPNL 21X25X24-26MM,2604.0,2604.0,138.01,3124.8,20
CDM,800196,CAGE SPNL 21X25X30-38MM,2810.0,2810.0,148.93,3372.0,20
CDM,800197,CAGE SPNL 21X25X34-42MM,2810.0,2810.0,148.93,3372.0,20
CDM,800198,CAGE SPNL 24X30X38-46MM,2810.0,2810.0,148.93,3372.0,20
CDM,800203,CAGE SPNL 17X22X42-62MM,2810.0,2810.0,148.93,3372.0,20
CDM,800204,CAGE SPNL 24X30X46-62MM,2810.0,2810.0,148.93,3372.0,20
CDM,800205,CAGE SPNL 17X22X2MM CAPR,2810.0,2810.0,148.93,3372.0,20
CDM,800206,CAGE SPNL 21X25X2MM CAPR,3055.0,3055.0,161.91,3666.0,20
CDM,800207,CAGE SPNL 21X25X8MM CAPR,3055.0,3055.0,161.91,3666.0,20
CDM,800208,CAGE SPNL 24X30X8MM CAPR,3055.0,3055.0,161.91,3666.0,20
CDM,800209,CAGE SPNL 17X22X16MM CAP,3055.0,3055.0,161.91,3666.0,20
CDM,800210,CAGE SPNL 24X30X16MM CAP,3055.0,3055.0,161.91,3666.0,20
CDM,800211,SPACER ALGRF 17MM 10D LR,3055.0,3055.0,161.91,3666.0,20
CDM,800212,SPACER ALGRF 14X11X5MM V,3055.0,3055.0,161.91,3666.0,20
CDM,800214,PLATE 66MM TI L3 TETH BN,3055.0,3055.0,161.91,3666.0,20
CDM,800215,SPACER ALGRF 5MM VIKOS S,3299.0,3299.0,174.85,3958.8,20
CDM,800216,SPACER ALGRF 14X11X6MM V,3299.0,3299.0,174.85,3958.8,20
CDM,800217,SPACER ALGRF 14X11X6MM V,3299.0,3299.0,174.85,3958.8,20
CDM,800218,SPACER ALGRF 14X11X7MM V,3299.0,3299.0,174.85,3958.8,20
CDM,800219,SPACER ALGRF 14X11X7MM V,3299.0,3299.0,174.85,3958.8,20
CDM,800220,SPACER ALGRF 14X11X7MM V,3299.0,3299.0,174.85,3958.8,20
CDM,800221,SPACER ALGRF 7MM VIKOS S,3299.0,3299.0,174.85,3958.8,20
CDM,800222,SCREW BN SPN  4MM 10MM,415.0,415.0,22.0,498.0,20
CDM,800227,SCREW BN SPN  4MM 15MM,415.0,415.0,22.0,498.0,20
CDM,800229,SCREW BN SPN  4MM 17MM,415.0,415.0,22.0,498.0,20
CDM,800231,SCREW BN SPN  4MM 20MM,415.0,415.0,22.0,498.0,20
CDM,800232,SCREW BN SPN 4.5MM 13MM,415.0,415.0,22.0,498.0,20
CDM,800234,SCREW BN SPN  4MM 10MM,415.0,415.0,22.0,498.0,20
CDM,800236,SCREW BN SPN  4MM 12MM,415.0,415.0,22.0,498.0,20
CDM,800241,SCREW BN SPN  4MM 17MM,415.0,415.0,22.0,498.0,20
CDM,800242,SCREW BN SPN  4MM 18MM,415.0,415.0,22.0,498.0,20
CDM,800243,SCREW BN SPN  4MM 19MM,415.0,415.0,22.0,498.0,20
CDM,800244,SCREW BN SPN  4MM 20MM,415.0,415.0,22.0,498.0,20
CDM,800247,SCREW BN SPN  4.5MM 17MM,415.0,415.0,22.0,498.0,20
CDM,800262,BLADE SGTL SYS 6 90X25,1928.0,1928.0,102.18,2313.6,49
CDM,800275,STEM FEM HIP SZ2 99MM,4000.0,4000.0,212.0,4800.0,20
CDM,800276,STEM FEM HIP SZ4 103MM,4000.0,4000.0,212.0,4800.0,20
CDM,800277,STEM FEM HIP SZ5 105MM,4000.0,4000.0,212.0,4800.0,20
CDM,800296,NRSTM IMP 44MM 51MM,19010.0,19010.0,1007.53,22812.0,20
CDM,800298,SCREW BN 5MM 4.4MM 70MM,302.0,302.0,16.01,362.4,20
CDM,800308,SHEATH INTRO 7FR 65CM,2564.0,2564.0,135.89,3076.8,49
CDM,800338,BAR EXFX 10.5MM 400MM,2564.0,2564.0,135.89,3076.8,49
CDM,800344,KIT DRN PLEURAGUIDE THOR,2564.0,2564.0,135.89,3076.8,49
CDM,800359,CATH ANGIO 5FR 65CM,744.0,744.0,39.43,892.8,49
CDM,800367,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,800373,NAIL 130D 11.538 R,4344.8,4344.8,230.27,5213.76,20
CDM,800375,GUIDE CATH BLN 9FR,8730.0,8730.0,462.69,10476.0,49
CDM,800393,SCREW BN CORT T6 2X12MM,79.0,79.0,4.19,94.8,20
CDM,800399,PLUG BNCMNT 12MM,158.0,158.0,8.37,189.6,20
CDM,800420,CATH GD 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,800423,LEAD PCNG 45CM,1044.0,1044.0,55.33,1252.8,20
CDM,800432,GWIRE VASC .018IN 9.75IN,327.0,327.0,17.33,392.4,49
CDM,800435,GWRE LEAD ATTN GWR419488,2564.0,2564.0,135.89,3076.8,49
CDM,800439,INSERT FEM HIP 3 28MM,3000.0,3000.0,159.0,3600.0,20
CDM,800440,CATH PCNING 5FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,800466,PROSTH PENL PUMP PS 18CM,21520.0,21520.0,1140.56,25824.0,20
CDM,800487,PASTE GENEX 5 CC INJ,1400.0,1400.0,74.2,1680.0,20
CDM,800516,PARTICLES EMB 15-250UM,182.0,182.0,9.65,218.4,20
CDM,800523,KIT CATH BLND 30FR 12CM,2727.0,2727.0,144.53,3272.4,49
CDM,800524,SET DILATOR SHTH 24-30FR,2564.0,2564.0,135.89,3076.8,49
CDM,800543,ROD EX FIX 8X174MM,316.0,316.0,16.75,379.2,49
CDM,800557,GWIRE ORTH SPN.062IN30CM,942.0,942.0,49.93,1130.4,49
CDM,800560,LINER ACTB HIP 28X44MM,900.0,900.0,47.7,1080.0,20
CDM,800592,KIT PRSRMNTR VNTRC 4FX12,7690.0,7690.0,407.57,9228.0,49
CDM,800619,BLADE SURG ACL PRLL 10MM,1771.0,1771.0,93.86,2125.2,49
CDM,800621,ADAPTER Y TUBING,871.0,871.0,46.16,1045.2,49
CDM,800628,GWIRE VASC 180CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,800640,STEM HUM POR 100% MLRY,4192.0,4192.0,222.18,5030.4,20
CDM,800646,LEAD PCNG 1PS 46CM 5.9F,800.0,800.0,42.4,960.0,20
CDM,800647,LEAD PCNG 1PS 52CM 5.9F,800.0,800.0,42.4,960.0,20
CDM,800648,LEAD PCNG 59CM 5.9FR,800.0,800.0,42.4,960.0,20
CDM,800663,LEAD DEFIB 58CM,9500.0,9500.0,503.5,11400.0,20
CDM,800683,HIP STM 6088-0525-250L,8044.92,8044.92,426.38,9653.9,20
CDM,800685,BASEPLATE KN SZ SM-2,4001.0,4001.0,212.05,4801.2,20
CDM,800686,INSRT TIB KN 6485-0-041,5635.5,5635.5,298.68,6762.6,20
CDM,800690,STEM FEM KN 15MM 127MM,3694.0,3694.0,195.78,4432.8,20
CDM,800708,RING ANLPLS MTRL PHS32MM,3010.0,3010.0,159.53,3612.0,20
CDM,800736,TUBING IOS ACCURUS,2564.0,2564.0,135.89,3076.8,49
CDM,800743,BLADE ASSEMBLY STD DISP,3458.0,3458.0,183.27,4149.6,49
CDM,800758,DEVICE TRQ 0.018IN,127.0,127.0,6.73,152.4,49
CDM,800762,STEM HIP 150MM 12MM,4000.0,4000.0,212.0,4800.0,20
CDM,800763,STEM FEM HIP SZ11 145MM,4000.0,4000.0,212.0,4800.0,20
CDM,800764,STEM FEM HIP 12X150MM,4000.0,4000.0,212.0,4800.0,20
CDM,800765,STEM FEM HIP 155X13MM,4000.0,4000.0,212.0,4800.0,20
CDM,800766,STEM FEM HIP SZ14,3800.0,3800.0,201.4,4560.0,20
CDM,800767,STEM FEM HIP OFST 170X16,4000.0,4000.0,212.0,4800.0,20
CDM,800775,INSERT TIB 10MM 2 PROFIX,1590.0,1590.0,84.27,1908.0,20
CDM,800776,INSERT TIB PRFX 4 12 LT,1590.0,1590.0,84.27,1908.0,20
CDM,800778,SPIKE BN LNG FEM CT BLCK,250.0,250.0,13.25,300.0,49
CDM,800779,COMP FEM 3 PROFIX NONPOR,5584.5,5584.5,295.98,6701.4,20
CDM,800780,BASE PROFIX 2 65X45 LT,1920.0,1920.0,101.76,2304.0,20
CDM,800783,PLATE BN 2MMX56MM,1420.0,1420.0,75.26,1704.0,20
CDM,800837,SHELL ACTB 52MM,2630.0,2630.0,139.39,3156.0,20
CDM,800838,SHELL ACTB 54MM,2630.0,2630.0,139.39,3156.0,20
CDM,800839,SHELL ACTB 56MM,2630.0,2630.0,139.39,3156.0,20
CDM,800840,SHELL ACTB 58X60 3HL,2630.0,2630.0,139.39,3156.0,20
CDM,800843,STEM FEM 470-01-135,5600.0,5600.0,296.8,6720.0,20
CDM,800861,GWIRE CATH .027IN 130CM,5941.0,5941.0,314.87,7129.2,49
CDM,800864,SCREW BN LCK 4MM 30MM,269.0,269.0,14.26,322.8,20
CDM,800866,BIT DRILL 3.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,800867,HEAD HIP -2.5X36MM,1400.0,1400.0,74.2,1680.0,20
CDM,800869,SCREW BN 3.5X2.9MM 80MM,238.0,238.0,12.61,285.6,20
CDM,800873,CATH ANGIO 5FR 110CM,435.0,435.0,23.05,522.0,49
CDM,800879,CLAMP EXFX CLIP-ON LG,5941.0,5941.0,314.87,7129.2,49
CDM,800887,LIGATOR FLSH CLIP 4MM,323.0,323.0,17.12,387.6,20
CDM,800892,SCREW BN 6.5X65X32MM,440.0,440.0,23.32,528.0,20
CDM,800893,SCREW BN 6.5MM 70MM,450.0,450.0,23.85,540.0,20
CDM,800905,PLT BN 2.3X1 DVR STD LT,1190.0,1190.0,63.07,1428.0,20
CDM,800906,PLATE DVR VOLAR RIGHT,1190.0,1190.0,63.07,1428.0,20
CDM,800933,PEG FX BN 2.5MM 28MM,148.0,148.0,7.84,177.6,20
CDM,800952,SCREW BN 1.5MM 4MM,80.0,80.0,4.24,96.0,20
CDM,800981,CLAMP EXFX PIN 5HL,4984.0,4984.0,264.15,5980.8,49
CDM,800991,BASKET RTRV 3WR 1.9X120,2564.0,2564.0,135.89,3076.8,49
CDM,801094,SEALANT EVICEL FIBRN 5ML,5365.0,5365.0,284.35,6438.0,49
CDM,801096,PCR VCTRY DR 5810,6400.0,6400.0,339.2,7680.0,20
CDM,801101,ELCTRD ESURB BLU 11CM LP,413.0,413.0,21.89,495.6,49
CDM,801105,STENT URO 8.5FR 24CM,181.0,181.0,9.59,217.2,20
CDM,801114,DEVICE CLSR 6FR .035IN,420.0,420.0,22.26,504.0,20
CDM,801125,OCCLUDER CORNARY 1.00MM,2564.0,2564.0,135.89,3076.8,49
CDM,801127,OCCLUDER CORONARY 2.00MM,2564.0,2564.0,135.89,3076.8,49
CDM,801135,BAG TISS CLSR 3CM,4951.0,4951.0,262.4,5941.2,49
CDM,801148,DERMACLOSE RC TSS EXPND,700.0,700.0,37.1,840.0,20
CDM,801161,RETRCTR OPTH FLXB STRL,2564.0,2564.0,135.89,3076.8,49
CDM,801202,BIT DRL GMA STEP 430MM,4468.8,4468.8,236.85,5362.56,49
CDM,801205,CLAMP EX FIX HFMN2,28.0,28.0,1.48,33.6,49
CDM,801207,SHELL ACTB HIP SZG 58MM,1600.0,1600.0,84.8,1920.0,20
CDM,801228,ANCHOR SUT 2.4MM 1.8MM,580.0,580.0,30.74,696.0,20
CDM,801245,STEM EXTN GMRS KN 40MM,3940.0,3940.0,208.82,4728.0,20
CDM,801249,LINER ACTB HIP 10D 32MM,1100.0,1100.0,58.3,1320.0,20
CDM,801250,LINER HIP 10D +4X32X50MM,1100.0,1100.0,58.3,1320.0,20
CDM,801259,CUP 44MM BIPOLAR,2350.0,2350.0,124.55,2820.0,20
CDM,801263,LINER ACTB HIP10D36X54MM,1100.0,1100.0,58.3,1320.0,20
CDM,801264,LINER ACTB HIP+4 56X36MM,1100.0,1100.0,58.3,1320.0,20
CDM,801265,LINER ACTB HIP +4 10D,1100.0,1100.0,58.3,1320.0,20
CDM,801284,SNARE VASC 12F 13MM 94CM,5941.0,5941.0,314.87,7129.2,49
CDM,801334,SPONGE ABS GEL PDR 1GM,2564.0,2564.0,135.89,3076.8,49
CDM,801346,NAIL 8.0 TI PROX HUMERAL,3334.0,3334.0,176.7,4000.8,20
CDM,801381,KIT APL DLV SPRY,543.65,543.65,28.81,652.38,49
CDM,801386,PLATE STD OLCRN,1267.88,1267.88,67.2,1521.46,20
CDM,801394,BIT DRILL 25MM,4860.0,4860.0,257.58,5832.0,49
CDM,801397,SCREW CORT 2.3 LP 12,120.0,120.0,6.36,144.0,20
CDM,801410,PACEMKR SYS 2CHMBR XL ID,8100.0,8100.0,429.3,9720.0,20
CDM,801411,CAP END W POST 1MM,650.0,650.0,34.45,780.0,20
CDM,801415,REAMER STRAIGHT 4.5MM OS,3181.0,3181.0,168.59,3817.2,49
CDM,801416,REAMER SURG SM CONE,4130.0,4130.0,218.89,4956.0,49
CDM,801424,GWIRE ORTH 3MM 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,801438,BASEPLATE TIB KN SZ5,2000.0,2000.0,106.0,2400.0,20
CDM,801439,STENT URET 8.5F 22CM.038,181.0,181.0,9.59,217.2,20
CDM,801452,ILR RVEAL+ 9526US,6590.0,6590.0,349.27,7908.0,20
CDM,801463,CATH URET 3W 22FR 30CC,960.0,960.0,50.88,1152.0,49
CDM,801466,NAIL HUM CANN 7MM 280MM,3186.0,3186.0,168.86,3823.2,20
CDM,801470,NAIL HUM CANN 9MM 230MM,2094.0,2094.0,110.98,2512.8,20
CDM,801474,HEAD FEM HIP +0 12/14X22,700.0,700.0,37.1,840.0,20
CDM,801476,CMPNT FEM HIP 15MM 165MM,4000.0,4000.0,212.0,4800.0,20
CDM,801492,GWIRE SNSR ENDO .035X150,1347.0,1347.0,71.39,1616.4,49
CDM,801648,GRAFT BN PRTL DSC 5X90MM,5720.0,5720.0,303.16,6864.0,20
CDM,801656,IMPL BREAST 645CC,1520.0,1520.0,80.56,1824.0,20
CDM,801659,TACK ORTH FX PIN PLT,1892.0,1892.0,100.28,2270.4,49
CDM,801660,SCREW BN LCK 4MM 22MM,269.0,269.0,14.26,322.8,20
CDM,801661,SCREW BN LCK 24X4MM,269.0,269.0,14.26,322.8,20
CDM,801703,KWIRE FX 285MM 3MM,2564.0,2564.0,135.89,3076.8,49
CDM,801704,GWIRE BALL TIP 2.5X800MM,2564.0,2564.0,135.89,3076.8,49
CDM,801705,GWIRE ORTH S2 3X1000MM,2564.0,2564.0,135.89,3076.8,49
CDM,801707,GWIRE ORTH 2.2MM 800MM,2564.0,2564.0,135.89,3076.8,49
CDM,801709,BIT DRILL 3.5MM 230MM,2564.0,2564.0,135.89,3076.8,49
CDM,801712,BIT DRILL 340MM 4.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,801715,BIT DRILL 4.2X230MM,2564.0,2564.0,135.89,3076.8,49
CDM,801724,SCREW BN 4MM 34MM,381.0,381.0,20.19,457.2,20
CDM,801726,BIT DRL 25X4MM,2154.0,2154.0,114.16,2584.8,49
CDM,801737,SHELL ACTB HIP SZD 46MM,1600.0,1600.0,84.8,1920.0,20
CDM,801738,STEM ACTB HIP 50MM,1600.0,1600.0,84.8,1920.0,20
CDM,801740,GWIRE ORTH 3.2MM 300MM,1244.0,1244.0,65.93,1492.8,49
CDM,801757,SCREW BN LCK 4MM 26MM,389.0,389.0,20.62,466.8,20
CDM,801762,STEM FEM HIP SZ10 115MM,2800.0,2800.0,148.4,3360.0,20
CDM,801769,BASEPLATE TIB SZ2 LT,1800.0,1800.0,95.4,2160.0,20
CDM,801778,SCREW BN 4MM 3.3MM 28MM,269.0,269.0,14.26,322.8,20
CDM,801785,SYSTEM DRG 400ML,2564.0,2564.0,135.89,3076.8,49
CDM,801787,GRAFT CV 45CM 5MM,6978.0,6978.0,369.83,8373.6,20
CDM,801788,SCREW BN 4MM 3.3MM 32MM,269.0,269.0,14.26,322.8,20
CDM,801789,RETAINER VISCERA MED,1790.0,1790.0,94.87,2148.0,49
CDM,801793,SCREW BN LCK 4MM 34MM,269.0,269.0,14.26,322.8,20
CDM,801810,CATH DRN 10FR 5CM,2564.0,2564.0,135.89,3076.8,49
CDM,801826,SCREW BN LCK 4MM 36MM,269.0,269.0,14.26,322.8,20
CDM,801827,SCREW BN 4MM 3.3MM 38MM,269.0,269.0,14.26,322.8,20
CDM,801847,SCREW BN LCK 4MM 40MM,269.0,269.0,14.26,322.8,20
CDM,801858,IMPLANT BREAST 450CC,1800.0,1800.0,95.4,2160.0,20
CDM,801874,SCREW XIS POLY SS 5.5X45,2163.1,2163.1,114.64,2595.72,20
CDM,801877,ROD XIA SS 480MM,595.36,595.36,31.55,714.43,20
CDM,801880,SCREW BN 3.5MM 10MM,210.0,210.0,11.13,252.0,20
CDM,801881,SCREW BN 3.5MM 12MM,179.0,179.0,9.49,214.8,20
CDM,801882,SCREW BN 3.5MM 14MM,217.0,217.0,11.5,260.4,20
CDM,801883,SCREW BN 3.5MM 18MM,217.0,217.0,11.5,260.4,20
CDM,801884,SCREW BN 3.5MM 20MM,217.0,217.0,11.5,260.4,20
CDM,801885,SCREW BN 3.5MM 22MM,217.0,217.0,11.5,260.4,20
CDM,801886,SCREW BN 3.5MM 26MM,217.0,217.0,11.5,260.4,20
CDM,801887,SCREW BN 3.5MM 28MM,217.0,217.0,11.5,260.4,20
CDM,801888,SCREW BN 3.5MM 30MM,217.0,217.0,11.5,260.4,20
CDM,801889,SCREW BN 3.5MM 32MM,217.0,217.0,11.5,260.4,20
CDM,801890,SCREW BN 3.5MM 34MM,217.0,217.0,11.5,260.4,20
CDM,801891,SCREW BN LCK 3.5X36MM,217.0,217.0,11.5,260.4,20
CDM,801892,SCREW BN LCK 3.5X38MM,217.0,217.0,11.5,260.4,20
CDM,801893,SCREW BN 3.5MM 40MM,217.0,217.0,11.5,260.4,20
CDM,801895,SCREW BN 3.5X2.9X45MM,217.0,217.0,11.5,260.4,20
CDM,801896,SCREW BN 3.5MM 50MM,210.0,210.0,11.13,252.0,20
CDM,801897,SCREW BN 3.5MM 60MM,217.0,217.0,11.5,260.4,20
CDM,801898,PLATE BN 5H 3.5MM 72MM,508.0,508.0,26.92,609.6,20
CDM,801899,PLATE BN 6HL 3.5X85MM,520.0,520.0,27.56,624.0,20
CDM,801901,PLATE BN 111MM 3.5MM,592.0,592.0,31.38,710.4,20
CDM,801902,PLATE BN CRV 10HL 3.5MM,598.0,598.0,31.69,717.6,20
CDM,801903,PLATE BN 10H 3.5MM 137MM,614.0,614.0,32.54,736.8,20
CDM,801904,PLATE BN 14HL 3.5X189MM,1049.0,1049.0,55.6,1258.8,20
CDM,801910,PLATE BN T 3.5MM 3H 50MM,547.0,547.0,28.99,656.4,20
CDM,801911,PLATE BN 3.5MM 56MM,564.0,564.0,29.89,676.8,20
CDM,801912,PLATE BN T 3HL 3.5X67MM,621.0,621.0,32.91,745.2,20
CDM,801913,PLATE BN T 4H 3.5MM 78MM,724.0,724.0,38.37,868.8,20
CDM,801914,PLATE BN 3HL 3.5X87MM,907.0,907.0,48.07,1088.4,20
CDM,801915,PLATE BN 57X9X1MM,282.0,282.0,14.95,338.4,20
CDM,801916,PLATE BN 69X9X1MM,293.0,293.0,15.53,351.6,20
CDM,801917,PLATE BN 81X9X1MM,299.0,299.0,15.85,358.8,20
CDM,801918,PLATE BN 93X9X1MM,303.0,303.0,16.06,363.6,20
CDM,801922,PLATE BN 5HL 3.5MM 70MM,749.0,749.0,39.7,898.8,20
CDM,801923,PLATE BN 6HL 3.5MM 84MM,866.0,866.0,45.9,1039.2,20
CDM,801924,PLATE BN 3.5MM 98MM,909.0,909.0,48.18,1090.8,20
CDM,801925,PLATE BN 8HL 3.5MM 112MM,922.0,922.0,48.87,1106.4,20
CDM,801926,PLATE BN 10H 3.5MM 140MM,983.0,983.0,52.1,1179.6,20
CDM,801927,PLATE BN 3.5MM 168MM,1042.0,1042.0,55.23,1250.4,20
CDM,801929,STEM TIB LNG KN 100X10MM,1458.0,1458.0,77.27,1749.6,20
CDM,801931,STYLET LD WIRE CRD 140CM,5941.0,5941.0,314.87,7129.2,49
CDM,801937,PLATE SPN 58MM 10MM,700.0,700.0,37.1,840.0,20
CDM,801938,PLATE SPN 80MM,800.0,800.0,42.4,960.0,20
CDM,801939,SCREW BN LCK 4MM 42MM,269.0,269.0,14.26,322.8,20
CDM,801940,SCREW BN 4.0MM 44MM,356.0,356.0,18.87,427.2,20
CDM,801942,SCREW BN 4MM 46MM,269.0,269.0,14.26,322.8,20
CDM,801953,CTHDX IMG2 5F035SIM1 100,388.0,388.0,20.56,465.6,49
CDM,801970,PERFORATOR CRNL 14MM,4388.0,4388.0,232.56,5265.6,49
CDM,801977,SCREW BN LCK 4MM 50MM,389.0,389.0,20.62,466.8,20
CDM,802008,ROD SPN 5.5MM 65MM,360.0,360.0,19.08,432.0,20
CDM,802010,ICD VTLTY DS T125,35000.0,35000.0,1855.0,42000.0,20
CDM,802011,ICD VTLTY DS VR T135,30744.0,30744.0,1629.43,36892.8,20
CDM,802033,BLADE SAW 18X75MM,1792.0,1792.0,94.98,2150.4,49
CDM,802034,BLADE SAW .97X18X90MM,2063.0,2063.0,109.34,2475.6,49
CDM,802042,CANN PRFSN 21FR 7MM,2564.0,2564.0,135.89,3076.8,49
CDM,802049,BLADE SAW 90X18X1.19MM,2063.0,2063.0,109.34,2475.6,49
CDM,802051,BLDE SAW SGTL S6 90X1,2165.0,2165.0,114.75,2598.0,49
CDM,802056,BLADE SAGTL 90X25X1.37,1693.0,1693.0,89.73,2031.6,49
CDM,802064,SCREW BN 3.5MM 16MM,210.0,210.0,11.13,252.0,20
CDM,802065,PLATE BN 12HL 3.5X163MM,699.0,699.0,37.05,838.8,20
CDM,802073,BOLT EXFX 12MM,995.0,995.0,52.73,1194.0,49
CDM,802075,CUP ACTB HIP HH 54MM,3289.0,3289.0,174.32,3946.8,20
CDM,802090,PLATE BN 117X9X1MM,303.0,303.0,16.06,363.6,20
CDM,802091,PLATE BN TBLR 141X9X1MM,325.0,325.0,17.23,390.0,20
CDM,802098,CONN OFST SCOLI XIA,496.12,496.12,26.29,595.34,20
CDM,802099,SCREW XIA POLY SS 5.5X40,2163.1,2163.1,114.64,2595.72,20
CDM,802109,SCREW BN 3.5MM 24MM,217.0,217.0,11.5,260.4,20
CDM,802131,CMPNT MOD HD 38MM,3306.0,3306.0,175.22,3967.2,20
CDM,802152,HEAD FEM MOD 38MM,1600.0,1600.0,84.8,1920.0,20
CDM,802158,LEAD EZTRK 4513,5200.0,5200.0,275.6,6240.0,20
CDM,802161,CTHGD 7F 100CM M1 AL1,1394.0,1394.0,73.88,1672.8,49
CDM,802169,CTHGD 7F 100CM M1 HS,1394.0,1394.0,73.88,1672.8,49
CDM,802175,CTHGD CLS3.5 7FR 0.081IN,1394.0,1394.0,73.88,1672.8,49
CDM,802176,CTHGD 7F 100CM M1 CLS4,1394.0,1394.0,73.88,1672.8,49
CDM,802177,CATH GD 7FR 100CM,1394.0,1394.0,73.88,1672.8,49
CDM,802178,CTHGD 7F 100CM M1 JL4,1394.0,1394.0,73.88,1672.8,49
CDM,802180,CTHGD 7F 100CM M1 JR3.5,1583.0,1583.0,83.9,1899.6,49
CDM,802181,CTHGD 7F 100CM M1 JR4,1394.0,1394.0,73.88,1672.8,49
CDM,802186,CTHGD 8F 100CM M1 CLS3.5,1583.0,1583.0,83.9,1899.6,49
CDM,802187,CTHGD 8F 100CM M1 CLS4,1583.0,1583.0,83.9,1899.6,49
CDM,802190,CTHGD 8F 100CM M1 JL4,1960.0,1960.0,103.88,2352.0,49
CDM,802191,CTHGD 8F 100CM M1 JR4,1960.0,1960.0,103.88,2352.0,49
CDM,802301,SCREW BN 3MM 40MM 8MM,272.0,272.0,14.42,326.4,20
CDM,802302,ADAPTER INTRO SEAL 9FR,1477.0,1477.0,78.28,1772.4,49
CDM,802306,SCREW BN 5MM 4.4MM 30MM,254.0,254.0,13.46,304.8,20
CDM,802307,SCREW BN 5MM 4.4MM 44MM,254.0,254.0,13.46,304.8,20
CDM,802308,SCREW BN 5MM 70MM,254.0,254.0,13.46,304.8,20
CDM,802309,SCREW BN LCK 5MM 80MM,254.0,254.0,13.46,304.8,20
CDM,802310,SCREW BN LCK 5MM 85MM,254.0,254.0,13.46,304.8,20
CDM,802311,SCREW BN LCK 5X4.4X90MM,254.0,254.0,13.46,304.8,20
CDM,802312,PLATE BN 4HL 80MM,601.0,601.0,31.85,721.2,20
CDM,802313,PLATE BN 4.5/5MM 147MM,1392.0,1392.0,73.78,1670.4,20
CDM,802319,TUBING IRR STRL DISP,2564.0,2564.0,135.89,3076.8,49
CDM,802322,PACKING NSL INFL 5.5CM,1954.0,1954.0,103.56,2344.8,49
CDM,802347,BIT DRILL 4.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,802361,NAIL BN TIB 11.5MM 32CM,2398.0,2398.0,127.09,2877.6,20
CDM,802379,KIT PRSS MNTR 3W 84IN,1077.0,1077.0,57.08,1292.4,49
CDM,802380,FOOT RING LONG 180MM TRI,6052.83,6052.83,320.8,7263.4,49
CDM,802382,WAND BIP SLR 2.3MM 5IN,4519.0,4519.0,239.51,5422.8,49
CDM,802391,SCREW BNE SYNLOCK TI L48,364.0,364.0,19.29,436.8,20
CDM,802429,PROBE ESURG 220 APC,3380.0,3380.0,179.14,4056.0,49
CDM,802432,CATH BLNDIL 10MM 80CM,2564.0,2564.0,135.89,3076.8,49
CDM,802433,CATH BLNDIL 6MM 80CM,2564.0,2564.0,135.89,3076.8,49
CDM,802434,CATH BLNDIL 7MM 80CM,2564.0,2564.0,135.89,3076.8,49
CDM,802435,CATH BLNDIL 8MM 80CM,2564.0,2564.0,135.89,3076.8,49
CDM,802436,CATH BLNDIL 9MM 80CM,2564.0,2564.0,135.89,3076.8,49
CDM,802463,WEDGE TIB TIV SZ 5 H10,2774.0,2774.0,147.02,3328.8,20
CDM,802466,SCREW BN LOCK 3.5X14MM,170.0,170.0,9.01,204.0,20
CDM,802551,STAPLE BN CMPR 20X20 UC,790.0,790.0,41.87,948.0,20
CDM,802596,LINER ACTB HIP 50MM,1500.0,1500.0,79.5,1800.0,20
CDM,802607,PLATE BN 5H 2.7/3.5X99MM,1093.0,1093.0,57.93,1311.6,20
CDM,802608,COMP FEM PRFX OX SZ5 RT,5040.0,5040.0,267.12,6048.0,20
CDM,802610,PLATE BN 7H 2.7X3.5,1126.0,1126.0,59.68,1351.2,20
CDM,802616,INSERT CLAMP 90MM,1131.0,1131.0,59.94,1357.2,49
CDM,802617,LINER ACTB G,1200.0,1200.0,63.6,1440.0,20
CDM,802626,INLAY SPN DSC MED 10MM,1649.0,1649.0,87.4,1978.8,20
CDM,802632,GRAFT CV 30CM 30MM,1504.0,1504.0,79.71,1804.8,20
CDM,802645,STEM FEM HIP OFST 175X17,5370.0,5370.0,284.61,6444.0,20
CDM,802649,INSERT TIB6 12MM PREX LT,1210.0,1210.0,64.13,1452.0,20
CDM,802699,CMPNT PTLA POLY 29X10,1040.0,1040.0,55.12,1248.0,20
CDM,802702,CMPNT PTLA POLY 38X10,1040.0,1040.0,55.12,1248.0,20
CDM,802703,CMPNT FEM RT SZ4,3200.0,3200.0,169.6,3840.0,20
CDM,802754,SUPPORT W/STR SCRT XLRG,323.0,323.0,17.12,387.6,49
CDM,802802,STAPLE UNICLIP COMPRESSI,790.0,790.0,41.87,948.0,20
CDM,802821,INSERT TIB KN 16MM,1512.0,1512.0,80.14,1814.4,20
CDM,802834,CMPNT FEM KN SZ5,3000.0,3000.0,159.0,3600.0,20
CDM,802835,CMPNT FEM KN SZ6,3200.0,3200.0,169.6,3840.0,20
CDM,802836,CMPNT FEM KN RT SZ7,3200.0,3200.0,169.6,3840.0,20
CDM,802837,CMPNT KN LT SZ4,3200.0,3200.0,169.6,3840.0,20
CDM,802838,COMPNT FEM KN LT SZ5,3000.0,3000.0,159.0,3600.0,20
CDM,802844,COMPNT FEM KN LT SZ7,3200.0,3200.0,169.6,3840.0,20
CDM,802845,COMPONENT FEM KN RT SZ3,3200.0,3200.0,169.6,3840.0,20
CDM,802846,COMPNT KN RT SZ4,3000.0,3000.0,159.0,3600.0,20
CDM,802847,COMPNT FEM RT KN SZ5,3200.0,3200.0,169.6,3840.0,20
CDM,802849,CMPNT FEM KN RT SZ7,3200.0,3200.0,169.6,3840.0,20
CDM,802853,CMPNT FEM KN SZ4,3200.0,3200.0,169.6,3840.0,20
CDM,802854,COMPNT FEM KN LT SZ5,3200.0,3200.0,169.6,3840.0,20
CDM,802855,CMPNT FEM KN LT SZ6,3000.0,3000.0,159.0,3600.0,20
CDM,802856,COMP FEM KN LT SZ7,3200.0,3200.0,169.6,3840.0,20
CDM,802860,DETACHER COIL INSTNT,1711.0,1711.0,90.68,2053.2,49
CDM,802886,HEAD FEM HIP 5MM 36MM,600.0,600.0,31.8,720.0,20
CDM,802903,PIN EXFX HALF 5MM 45MM,2564.0,2564.0,135.89,3076.8,49
CDM,802928,SCREW SPN 4.2MM 14MM,150.0,150.0,7.95,180.0,20
CDM,802941,GFT ILC XCL 20X11.5,8200.0,8200.0,434.6,9840.0,20
CDM,802948,CLIP FLSH FLLPN 4MM,126.0,126.0,6.68,151.2,20
CDM,802949,BIT DRL SHRT 4MM STEP,537.6,537.6,28.49,645.12,49
CDM,802952,STEM FEM HIP 18MM 155MM,3917.0,3917.0,207.6,4700.4,20
CDM,802963,INSERT TIB CNFM 3 20 RT,1545.0,1545.0,81.89,1854.0,20
CDM,802966,ICD MXMO DR 7278,27040.0,27040.0,1433.12,32448.0,20
CDM,802967,ICD VTLTY AVT A155,38852.0,38852.0,2059.16,46622.4,20
CDM,802968,INSERT ORT SZ5 LFT 16M,1210.0,1210.0,64.13,1452.0,20
CDM,802996,BLADE IM FX HUM 42MM,706.0,706.0,37.42,847.2,20
CDM,802999,COMP FEM PRFX OX SZ3 RT,5040.0,5040.0,267.12,6048.0,20
CDM,803003,CMPNT PTLR RSRFC 9X26MM,500.0,500.0,26.5,600.0,20
CDM,803006,ICD ENTRST D154ATG,27040.0,27040.0,1433.12,32448.0,20
CDM,803009,PLATE BNE DRSL RADL RT,1390.0,1390.0,73.67,1668.0,20
CDM,803013,CRTD INSYN2 MRQS 7289,40050.0,40050.0,2122.65,48060.0,20
CDM,803016,STRUT EXFX XSH 91-121MM,13386.0,13386.0,709.46,16063.2,49
CDM,803062,COMPNT SHLDR STD 36MM,4052.0,4052.0,214.76,4862.4,20
CDM,803070,STENT BIL 10X40MM 80CM,1900.0,1900.0,100.7,2280.0,20
CDM,803081,CTHDX GLD 4F ST 120,2043.0,2043.0,108.28,2451.6,49
CDM,8031,TACROLIMUS IMM 1 MG PO,62.0,62.0,3.29,74.4,30
CDM,803106,DEVICE SLD MOTOR DISP,1477.0,1477.0,78.28,1772.4,49
CDM,803130,HEAD FEM HIP 3MM 32MM,1300.0,1300.0,68.9,1560.0,20
CDM,803145,KNEE ARTIC INS 3LFT 12,1590.0,1590.0,84.27,1908.0,20
CDM,803146,SCREW BN CPTR HEX 4.5X30,243.6,243.6,12.91,292.32,20
CDM,803147,SCREW BN CPTR HEX 4.5X40,243.6,243.6,12.91,292.32,20
CDM,803152,SNARE VASC 6F-20X120,4130.0,4130.0,218.89,4956.0,49
CDM,803165,SCREW BN CORT T6 2X20MM,79.0,79.0,4.19,94.8,20
CDM,803166,SCREW BN 2MM 22MM,79.0,79.0,4.19,94.8,20
CDM,803182,CATH NRON DLV MP 12X115,5941.0,5941.0,314.87,7129.2,49
CDM,803184,DEFIB CARD 30J 50X76MM,36480.0,36480.0,1933.44,43776.0,20
CDM,803189,SCREW BN 3.5MM 30MM,356.0,356.0,18.87,427.2,20
CDM,803197,SCREW BN 2.4MM 16MM,235.0,235.0,12.46,282.0,20
CDM,803198,SCREW BN 2.4MM 18MM,235.0,235.0,12.46,282.0,20
CDM,803199,SCREW BN 2.4MM 20MM SS,235.0,235.0,12.46,282.0,20
CDM,803201,SCREW BN 2.4MM 22MM SS,235.0,235.0,12.46,282.0,20
CDM,803204,SCREW BN 3.5MM 20MM,70.0,70.0,3.71,84.0,20
CDM,803205,BIT DRILL 2.6MM,2564.0,2564.0,135.89,3076.8,49
CDM,803206,PLATE BN 4HL 89MM,940.0,940.0,49.82,1128.0,20
CDM,803215,SCREW BN 2.4MM 10MM,254.0,254.0,13.46,304.8,20
CDM,803216,SCREW BN 2.4X12MM,227.0,227.0,12.03,272.4,20
CDM,803217,SCREW BN 2.4MM 14MM SS,235.0,235.0,12.46,282.0,20
CDM,803232,PLATE BN RADIUS 6HL,1878.0,1878.0,99.53,2253.6,20
CDM,803276,PLATE BN RT 4HL 4.5X82MM,2630.0,2630.0,139.39,3156.0,20
CDM,803277,KIT DIST BICEP 7MM 10MM,1700.0,1700.0,90.1,2040.0,20
CDM,803303,VOLAR PLT WIDE DISTAL RT,1390.0,1390.0,73.67,1668.0,20
CDM,803320,PLATE BN DIST VOLR 3.5X1,1390.0,1390.0,73.67,1668.0,20
CDM,803323,ROD SPN UNION 70MM,360.0,360.0,19.08,432.0,20
CDM,803334,SCREW BN 4.5MM 36MM,37.0,37.0,1.96,44.4,20
CDM,803340,HEAD FEM +6M OD38MM,2122.0,2122.0,112.47,2546.4,20
CDM,803341,HEAD FEM MOD+ 12MM,2598.0,2598.0,137.69,3117.6,20
CDM,803348,SCREW MNOAXL 7.5 X60MM,2163.1,2163.1,114.64,2595.72,20
CDM,803353,GWIRE ORTH 150X2MM,2035.0,2035.0,107.86,2442.0,49
CDM,803366,PLATE BN 10HL 4.5X188MM,1096.0,1096.0,58.09,1315.2,20
CDM,803373,RETRCTR WND SM 2.5-6CM,2337.0,2337.0,123.86,2804.4,49
CDM,803375,PROSTH PENL PUMP PS 15CM,20934.0,20934.0,1109.5,25120.8,20
CDM,803402,TUBING PRSS MNTR 24IN,122.0,122.0,6.47,146.4,49
CDM,803404,ANCHOR SUT 902554,330.0,330.0,17.49,396.0,20
CDM,803407,GRAFT BN LG SP 26X18MM,11470.0,11470.0,607.91,13764.0,20
CDM,803415,SHEATH GD 6FR 45CM,2564.0,2564.0,135.89,3076.8,49
CDM,803420,BIT DRILL 3.5X130MM,2564.0,2564.0,135.89,3076.8,49
CDM,803423,SCREW BN LCK 4MM 40MM,381.0,381.0,20.19,457.2,20
CDM,803424,GRAFT BN MED 5.6CC 1X2IN,10290.0,10290.0,545.37,12348.0,20
CDM,803435,NAIL IM 25X10 VRSNL,2998.58,2998.58,158.92,3598.3,20
CDM,803459,GRAFT BN SM 2.8CC 1X2IN,7390.0,7390.0,391.67,8868.0,20
CDM,803470,GRAFT BN OSTEO CELL,712.0,712.0,37.74,854.4,20
CDM,803472,NAIL LNG 125D 10X400MM,3960.0,3960.0,209.88,4752.0,20
CDM,803489,SHEATH INTRO 7FR 25CM,1131.0,1131.0,59.94,1357.2,49
CDM,803490,SCREW BN 6.5MM 50MM,110.0,110.0,5.83,132.0,20
CDM,803522,GRAFT BN 26MM 18MM INFS,11470.0,11470.0,607.91,13764.0,20
CDM,803538,NEEDLE TRNSPTL 18GA 71CM,2564.0,2564.0,135.89,3076.8,49
CDM,803556,SUTURE FBRTP 2MM 36IN,210.0,210.0,11.13,252.0,20
CDM,803586,ROD 5.5X45 PREBENT,612.74,612.74,32.48,735.29,20
CDM,803637,PARTICLES EMBL 500-700UM,516.0,516.0,27.35,619.2,20
CDM,803656,CMPNT FEM KN RT SZ5,8418.0,8418.0,446.15,10101.6,20
CDM,803660,AUG KN POST SZ5 5MM,1503.0,1503.0,79.66,1803.6,20
CDM,803721,LEAD PCNG 86CM,3482.0,3482.0,184.55,4178.4,20
CDM,803732,STENT CTD 9MM 40MM,2700.0,2700.0,143.1,3240.0,20
CDM,803733,STENT CTD 10MM 30MM,2700.0,2700.0,143.1,3240.0,20
CDM,803734,STENT CTD 10MM 40MM,2700.0,2700.0,143.1,3240.0,20
CDM,803736,COMPNT FEM KN 65MM,9454.0,9454.0,501.06,11344.8,20
CDM,803745,BIT DRILL STRL 11MM,942.0,942.0,49.93,1130.4,49
CDM,803756,SHEATH INTRO 6FR 65CM,2564.0,2564.0,135.89,3076.8,49
CDM,803757,SCREW BN CANN 6.5X16X65,450.0,450.0,23.85,540.0,20
CDM,803761,SCREW BN CANN 6.5X70MM,503.0,503.0,26.66,603.6,20
CDM,803768,CMPNT FEM KN LT SZC,16188.0,16188.0,857.96,19425.6,20
CDM,803803,CMPNT PTLR KN 10X32MM,1000.0,1000.0,53.0,1200.0,20
CDM,803852,KWIRE FX 100MM .8MM,965.0,965.0,51.15,1158.0,49
CDM,803859,STYLET PCNG LEAD 53CM,1094.0,1094.0,57.98,1312.8,49
CDM,803872,PEG FX L40 SHLDR THRD,190.0,190.0,10.07,228.0,20
CDM,803879,CATH GD 8FR 95CM,11139.0,11139.0,590.37,13366.8,49
CDM,803883,CATH SLITTER UNV 2,942.0,942.0,49.93,1130.4,49
CDM,803886,NAIL BN 130D 11.5MM 18CM,3059.0,3059.0,162.13,3670.8,20
CDM,803887,SCREW BN 100MM 4.5MM,1309.0,1309.0,69.38,1570.8,20
CDM,803890,PLATE MESH MED 69MM,1190.0,1190.0,63.07,1428.0,20
CDM,803891,PLATE BN CRV RT 5HL,966.0,966.0,51.2,1159.2,20
CDM,803892,PLATE BN STRAIGHT LONG,1032.0,1032.0,54.7,1238.4,20
CDM,803912,CUP ACTB DOME 56MM,3289.0,3289.0,174.32,3946.8,20
CDM,803913,SHELL HIP ACTB 52MM,2000.0,2000.0,106.0,2400.0,20
CDM,803914,CUP ACTB HIP PNCL 56MM,2000.0,2000.0,106.0,2400.0,20
CDM,803915,CATH SLITTER ADJ SHTH,942.0,942.0,49.93,1130.4,49
CDM,803945,SCREW BN 2MM 14MM,40.0,40.0,2.12,48.0,20
CDM,803954,MESH SURG LG CIR 3.2IN,1769.0,1769.0,93.76,2122.8,20
CDM,803974,FORCEP ESURG BYNT,2564.0,2564.0,135.89,3076.8,49
CDM,803975,RING RCKR EX FIX 180X155,5941.0,5941.0,314.87,7129.2,49
CDM,803980,GRAFT BN GRFTN DBM 10ML,1800.0,1800.0,95.4,2160.0,20
CDM,804012,RELOAD STPLR 2X45MM,223.0,223.0,11.82,267.6,20
CDM,804020,DEFIB CARD OGNS N118,28022.0,28022.0,1485.17,33626.4,20
CDM,804024,SCREW BN 5MM 28MM,472.0,472.0,25.02,566.4,20
CDM,804032,KIT TEST STIMULATOR LEAD,840.0,840.0,44.52,1008.0,20
CDM,804035,NAIL BN HUM 9MM 270MM,2230.0,2230.0,118.19,2676.0,20
CDM,804036,SCREW BN 4MM 38MM,240.0,240.0,12.72,288.0,20
CDM,804040,XLNK SCOLI XIA 23,2032.12,2032.12,107.7,2438.54,20
CDM,804046,SCREW BN 6.5X80MMX20MM,387.0,387.0,20.51,464.4,20
CDM,804053,SCREW BN SPN  6MM 30MM,314.0,314.0,16.64,376.8,20
CDM,804064,PLATE BN 3HL 3.5MM 90MM,2421.0,2421.0,128.31,2905.2,20
CDM,804071,BLADE IM FX HUM 38MM,706.0,706.0,37.42,847.2,20
CDM,804074,CABLE ORTH 1.7X750MM,844.0,844.0,44.73,1012.8,20
CDM,804089,BLN OCL HGLD 2.8X7X150,10321.0,10321.0,547.01,12385.2,49
CDM,804118,SCREW CANN 5.0MMX20.0MM,229.42,229.42,12.16,275.3,20
CDM,804156,PROSTH PENL PUMP PS 12CM,19264.0,19264.0,1020.99,23116.8,20
CDM,804160,DEVICE CLSR CLP INT 35MM,2400.0,2400.0,127.2,2880.0,20
CDM,804184,STENT BIL 6FR 8MM 37MM,1800.0,1800.0,95.4,2160.0,20
CDM,804253,SCREW BN 6.5X2.9MM 85MM,450.0,450.0,23.85,540.0,20
CDM,804254,SCREW BN 6.5X2.9MM 90MM,450.0,450.0,23.85,540.0,20
CDM,804255,SCREW BN 6.5X32X95MM,450.0,450.0,23.85,540.0,20
CDM,804257,SCREW BN 6.5X100X32MM,450.0,450.0,23.85,540.0,20
CDM,804269,GRAFT CV 6MM 40CM,4984.0,4984.0,264.15,5980.8,20
CDM,804270,GRAFT CV 6MM 45CM,6058.0,6058.0,321.07,7269.6,20
CDM,804361,CLIP LIGATING MD,63.0,63.0,3.34,75.6,20
CDM,804362,CLIP LIGATING MD LG,63.0,63.0,3.34,75.6,20
CDM,804379,KWIRE FX 100MM 1.2MM,965.0,965.0,51.15,1158.0,49
CDM,804396,SCREW TRAD. 5.0X30,243.6,243.6,12.91,292.32,20
CDM,804397,SCREW BN CPTR HEX 5X35,243.6,243.6,12.91,292.32,20
CDM,804398,SCREW BNE TI L40 TRGN,243.6,243.6,12.91,292.32,20
CDM,804399,SCREW BN 5X45MM,243.6,243.6,12.91,292.32,20
CDM,804401,SCREW BN CPTR HEX 5X50,243.6,243.6,12.91,292.32,20
CDM,804403,SCREW BN CPTR HEX 5X60,243.6,243.6,12.91,292.32,20
CDM,804404,SCREW TRGN LCK 5.0X65,243.6,243.6,12.91,292.32,20
CDM,804406,SCREW BN CPTR HEX 5X70,243.6,243.6,12.91,292.32,20
CDM,804407,SCREW BN CPTR HEX 5X75,243.6,243.6,12.91,292.32,20
CDM,804408,SCREW BN CPTR HEX 5X80,243.6,243.6,12.91,292.32,20
CDM,804440,KIT PIN REPLAE BSHING XS,1648.0,1648.0,87.34,1977.6,20
CDM,804462,COMPNT FEM LT KN SZ6,8320.0,8320.0,440.96,9984.0,20
CDM,804467,DRILL TRANSFIX 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,804503,GWIRE VASC .016IN 180CM,3235.0,3235.0,171.46,3882.0,49
CDM,804504,CLAMP BAR TO BAR EXFX,9754.0,9754.0,516.96,11704.8,49
CDM,804520,STENT CTD 5MM 20MM,2700.0,2700.0,143.1,3240.0,20
CDM,804522,STENT CTD 5MM 30MM,2700.0,2700.0,143.1,3240.0,20
CDM,804528,STENT CTD 5MM 40MM,2700.0,2700.0,143.1,3240.0,20
CDM,804541,STENT CTD 6MM 30MM,2700.0,2700.0,143.1,3240.0,20
CDM,804542,STENT CTD 6MM 40MM,2700.0,2700.0,143.1,3240.0,20
CDM,804546,STENT CTD 7MM 40MM,2700.0,2700.0,143.1,3240.0,20
CDM,804553,SHELL HIP INTRFT 62MM H,2220.0,2220.0,117.66,2664.0,20
CDM,804562,INS SUT HLD OCTOUS SYS,5135.0,5135.0,272.15,6162.0,49
CDM,804565,STENT CTD 8MM 30MM,2700.0,2700.0,143.1,3240.0,20
CDM,804566,FLTR VC SYS LD 40DL,1830.0,1830.0,96.99,2196.0,20
CDM,804567,STENT CTD 8MM 40MM,2700.0,2700.0,143.1,3240.0,20
CDM,804587,SHELL HIP INTRFT 52MM E,2968.0,2968.0,157.3,3561.6,20
CDM,804594,STENT CTD 9MM 30MM,2700.0,2700.0,143.1,3240.0,20
CDM,804596,KWIRE FX 450MM 3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,804667,CONNCTR DRN BLKE 19FR,671.0,671.0,35.56,805.2,49
CDM,804668,CONNCTR Y 2-WAY DRN BG,702.0,702.0,37.21,842.4,49
CDM,804669,CONN Y 3-WAY DRN BG,528.0,528.0,27.98,633.6,49
CDM,804685,BASEPLATE KN SZ3,1800.0,1800.0,95.4,2160.0,20
CDM,804686,PROS INS ART. SZ4,1590.0,1590.0,84.27,1908.0,20
CDM,804687,STEM FEM LEFT SZ4,2360.0,2360.0,125.08,2832.0,20
CDM,804703,GRAFT ST TIS 3IN 1IN,788.0,788.0,41.76,945.6,20
CDM,804726,CATH GD 6FR 100CM,1394.0,1394.0,73.88,1672.8,49
CDM,804729,CTHGD 6F 100CM M1 JR4,1394.0,1394.0,73.88,1672.8,49
CDM,804736,DRIL SURG CANN 3.2MM,942.0,942.0,49.93,1130.4,49
CDM,804761,BASEPLATE TIB KN LT SZ5,1800.0,1800.0,95.4,2160.0,20
CDM,804769,MNPLT CUP CERV STD 34MM,1448.25,1448.25,76.76,1737.9,49
CDM,804786,RELOAD STPLR 45MM,456.0,456.0,24.17,547.2,20
CDM,804791,HEAD FEM HIP +5MM 36MM,700.0,700.0,37.1,840.0,20
CDM,804804,CTHGD ATTN 6216,3225.6,3225.6,170.96,3870.72,49
CDM,804806,PACKING NASAL 7.5CM,2077.0,2077.0,110.08,2492.4,49
CDM,804808,IMPL BRST OD11.6 CM,1100.0,1100.0,58.3,1320.0,20
CDM,804809,IMPL BRST TEXTURED,1100.0,1100.0,58.3,1320.0,20
CDM,804813,STEM HIP 170MM 16MM,4000.0,4000.0,212.0,4800.0,20
CDM,804821,SUTURE FBRWR 38IN,48.0,48.0,2.54,57.6,20
CDM,804862,SHELL ACTB HIP 48MM,2000.0,2000.0,106.0,2400.0,20
CDM,804867,CERV COLLAR 3X22,134.0,134.0,7.1,160.8,49
CDM,804868,BINDER ABD 63-74X12IN 4,665.0,665.0,35.24,798.0,49
CDM,804869,IMMOBLZR KNEE LG,263.0,263.0,13.94,315.6,49
CDM,804870,IMMOB KNEE 12IN LG,263.0,263.0,35.24,315.6,24
CDM,804880,SCREW BN 2.7MM 32MM SS,247.0,247.0,13.09,296.4,20
CDM,804882,SCREW SPN 3.5MM 14MM,900.0,900.0,47.7,1080.0,20
CDM,804889,STYLET LEAD KIT 46CM,1042.74,1042.74,55.27,1251.29,49
CDM,804891,SCREW SPN 3.6MM 14MM,150.0,150.0,7.95,180.0,20
CDM,804908,SCREW BN SS 7MM 2MM,78.0,78.0,4.13,93.6,20
CDM,804910,SCREW BN 2MM 10MM,79.0,79.0,4.19,94.8,20
CDM,804912,SCREW BN 24MM 2MM,79.0,79.0,4.19,94.8,20
CDM,804914,SCREW BN 2MM 11MM,192.0,192.0,10.18,230.4,20
CDM,804924,PLATE BN 2.4MM 60MM,680.0,680.0,36.04,816.0,20
CDM,804926,PLATE BN Y-PLT 2.4X60MM,1402.0,1402.0,74.31,1682.4,20
CDM,804929,BIT DRILL 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,804945,SHEATH GD 7FR 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,804950,STEM ACTB HIP 54MM,1600.0,1600.0,84.8,1920.0,20
CDM,804951,SHELL ACTB HIP SZ5 56MM,1600.0,1600.0,84.8,1920.0,20
CDM,804955,HEAD FEM HIP -4MM 28MM,600.0,600.0,31.8,720.0,20
CDM,804963,PLATE BN MESH CALC SM,1190.0,1190.0,63.07,1428.0,20
CDM,804965,SHEATH GD 8FR 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,804969,HEAD FEM HIP +1.5 36MM,700.0,700.0,37.1,840.0,20
CDM,804973,SPACER FEM HIP MED 14MM,150.0,150.0,7.95,180.0,20
CDM,805013,CATH BLNDIL 4X20X135,2564.0,2564.0,135.89,3076.8,49
CDM,805014,CATH BLNDIL 4X30X135,2564.0,2564.0,135.89,3076.8,49
CDM,805015,CATH BLNDIL 4X40X135,2564.0,2564.0,135.89,3076.8,49
CDM,805024,CATH BLNDIL 5X20X135,2564.0,2564.0,135.89,3076.8,49
CDM,805025,CATH BLNDIL 5X30X135,2564.0,2564.0,135.89,3076.8,49
CDM,805033,CATH BLNDIL 6X20X135,2564.0,2564.0,135.89,3076.8,49
CDM,805034,CATH BLNDIL 6X40X 135,2564.0,2564.0,135.89,3076.8,49
CDM,805131,PUNCH ARTHSCP 4.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,805133,STEM FEM DIST 14X160MM,4000.0,4000.0,212.0,4800.0,20
CDM,805134,BASEPLATE TIB RT SZ7,1800.0,1800.0,95.4,2160.0,20
CDM,805143,NAIL TROCH 11MM 20CM,4160.0,4160.0,220.48,4992.0,20
CDM,805176,SCREW 34MM CORTICAL,40.0,40.0,2.12,48.0,20
CDM,805180,SCREW BN 3MM 40MM,577.0,577.0,30.58,692.4,20
CDM,805183,INSERT ARTC KN 5-6 11MM,5941.0,5941.0,314.87,7129.2,20
CDM,805187,HEAD FEM HIP -2MM,700.0,700.0,37.1,840.0,20
CDM,805188,INTRO SHTH 18FR 30CM,2564.0,2564.0,135.89,3076.8,49
CDM,805200,PIN EXFX AMK 1/8 X3IN,1011.0,1011.0,53.58,1213.2,49
CDM,805202,BIT DRL IMPL FX BUD 11MM,2745.0,2745.0,145.49,3294.0,49
CDM,805203,SCREW 80MM LAG,680.0,680.0,36.04,816.0,20
CDM,805206,INTRODUCER SHTH 6FR 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,805214,SCREW BN 4MM 28MM,365.0,365.0,19.34,438.0,20
CDM,805215,SCREW BN 4MM 3.3MM 34MM,304.0,304.0,16.11,364.8,20
CDM,805222,SCREW BN LCK 4MM 38MM,304.0,304.0,16.11,364.8,20
CDM,805224,HEAD HIP -3MM 26MM,600.0,600.0,31.8,720.0,20
CDM,805226,SCREW BN 4MM 3.3MM 48MM,304.0,304.0,16.11,364.8,20
CDM,805249,CMPNT FEM KN LT SZ5,8320.0,8320.0,440.96,9984.0,20
CDM,805375,SCREW BN 6.5MM 15MM,110.0,110.0,5.83,132.0,20
CDM,805376,SCREW BN SPRCL 6.5X20MM,110.0,110.0,5.83,132.0,20
CDM,805377,SHELL HIP INTRFT 58MM G,2968.0,2968.0,157.3,3561.6,20
CDM,805380,STEM HIP 155MM 13MM,4000.0,4000.0,212.0,4800.0,20
CDM,805385,CATH IV ANGIO 14GAX2,386.0,386.0,20.46,463.2,49
CDM,805387,CATH ANGION 16GA 5.25IN,433.0,433.0,22.95,519.6,49
CDM,805388,CATH ANGIO 14GGA 3.25IN,433.0,433.0,22.95,519.6,49
CDM,805389,CATH IV 14GA 5.25IN,2163.0,2163.0,114.64,2595.6,49
CDM,805390,CATH IV ANGIO 12GX3,1583.0,1583.0,83.9,1899.6,49
CDM,805393,HEAD FEM 0 HIP COCR 28MM,600.0,600.0,31.8,720.0,20
CDM,805396,CTHDX ST 5F PIG 65,2564.0,2564.0,135.89,3076.8,49
CDM,805403,ROD SPN XIA TI 70X8MM,477.94,477.94,25.33,573.53,20
CDM,805408,PLUG LD CPSR IS-1 CONN,160.0,160.0,8.48,192.0,20
CDM,805436,INTRO SHTH 16FR 42CM,2564.0,2564.0,135.89,3076.8,49
CDM,805439,LEAD SPRNT QTRO SCR 6947,9000.0,9000.0,477.0,10800.0,20
CDM,805449,CATH BLN 2X210MM 150CM,3733.0,3733.0,197.85,4479.6,49
CDM,805450,IMMOB KNEE 8 SM,219.0,219.0,11.61,262.8,49
CDM,805481,GW VASC 300X.014 SPRG CL,5187.0,5187.0,274.91,6224.4,49
CDM,805482,GWIRE VASC PORTER 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,805489,GWIRE KNIFE 5.5FR 200CM,2564.0,2564.0,135.89,3076.8,49
CDM,805490,CATH BLNDIL 4MM 2X180CM,2955.0,2955.0,156.62,3546.0,49
CDM,805491,CATH BLNDIL 4MM 4X180CM,2955.0,2955.0,156.62,3546.0,49
CDM,805492,CATH BLNDIL 6MM 4X180CM,2955.0,2955.0,156.62,3546.0,49
CDM,8055,CYCLOSP MOD 25 MG PO,56.0,56.0,2.97,67.2,30
CDM,8055,"Cyclosporine, oral, 25 mg ",56.0,56.0,0.61,0.61,1
CDM,805524,BUTTON GSTRM 18FR 3.5CM,2564.0,2564.0,135.89,3076.8,49
CDM,805535,TUBE GASTMY SIL OD 12FR,757.0,757.0,40.12,908.4,49
CDM,805537,TUBE GASTM 16FR,787.0,787.0,41.71,944.4,49
CDM,805553,GWIRE ORTH T2 3X800MM,2564.0,2564.0,135.89,3076.8,49
CDM,805554,STEM FEM HIP 155X13MM,4000.0,4000.0,212.0,4800.0,20
CDM,805564,SCREW BN 6.5MM 15MM,110.0,110.0,5.83,132.0,20
CDM,805569,SCREW BN 6.5MM 20MM,110.0,110.0,5.83,132.0,20
CDM,805580,SCREW BN 6.5MM 25MM,110.0,110.0,5.83,132.0,20
CDM,805581,SCREW BN 6.5MM 30MM,110.0,110.0,5.83,132.0,20
CDM,805582,SCREW BN 6.5MM 35MM,110.0,110.0,5.83,132.0,20
CDM,805600,HEAD FEM HIP +1.5X28MM,700.0,700.0,37.1,840.0,20
CDM,805601,HEAD HIP +5MM 12/14 28MM,700.0,700.0,37.1,840.0,20
CDM,805633,STEM FEM HI OFST 16X170,4000.0,4000.0,212.0,4800.0,20
CDM,805649,HEAD FEM HIP 0MM 22MM,600.0,600.0,31.8,720.0,20
CDM,805650,HEAD HIP +0X26MM,600.0,600.0,31.8,720.0,20
CDM,805653,HEAD FEM HIP +0MM 32MM,600.0,600.0,31.8,720.0,20
CDM,805656,HEAD HIP +4MM 26MM,600.0,600.0,31.8,720.0,20
CDM,805657,HEAD FEM HIP +4MM 28MM,600.0,600.0,31.8,720.0,20
CDM,805658,HEAD FEM HIP +4MM 32MM,600.0,600.0,31.8,720.0,20
CDM,805660,HEAD FEM HIP +8MM 28MM,600.0,600.0,31.8,720.0,20
CDM,805663,HEAD FEM HIP 12.0MM 28MM,600.0,600.0,31.8,720.0,20
CDM,805664,HEAD FEM HIP +12MM 32MM,600.0,600.0,31.8,720.0,20
CDM,805669,WIRE FXTN BOLT 5MM,2486.4,2486.4,131.78,2983.68,49
CDM,805673,KIT ASMBLY PROS PENL,560.0,560.0,29.68,672.0,20
CDM,805686,SCREW BN 2.4X11MM,203.0,203.0,10.76,243.6,20
CDM,805749,PLATE BN LT 102MM 3.5MM,2493.0,2493.0,132.13,2991.6,20
CDM,805772,STYLET LD 52CM .014IN KT,1094.0,1094.0,57.98,1312.8,49
CDM,805799,CRTD CNTK RNW3 RFHE H217,50200.0,50200.0,2660.6,60240.0,20
CDM,805828,IMPL BREAST 153-360,2300.0,2300.0,121.9,2760.0,20
CDM,805829,IMPL BREAST 153-450,2300.0,2300.0,121.9,2760.0,20
CDM,805892,KIT CRNTMY CRNL ACC DRG,5822.0,5822.0,308.57,6986.4,49
CDM,805925,NAIL BN TIB STD 11X345MM,1905.0,1905.0,100.97,2286.0,20
CDM,805959,CATH ANGIO 5FR 80CM,580.0,580.0,30.74,696.0,49
CDM,805966,HANDPIECE BRSTBIO 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,805967,GUID NDL DISP 9GA,278.0,278.0,14.73,333.6,49
CDM,805968,MARKER BX SITE 12GA 13CM,110.0,110.0,5.83,132.0,20
CDM,805972,NAIL BN 11.5MM 18CM,3059.0,3059.0,162.13,3670.8,20
CDM,805980,LEAD PCNG 6FR 65CM,794.0,794.0,42.08,952.8,20
CDM,805984,LINER ACTB HIP 36MM 56MM,1100.0,1100.0,58.3,1320.0,20
CDM,805986,KIT CAMINO ICP MNTR BLT,6753.0,6753.0,357.91,8103.6,49
CDM,806003,PLATE BN 7HL 3.5MM,1170.0,1170.0,62.01,1404.0,20
CDM,806011,PLATE BN 5H 91MM,1300.0,1300.0,68.9,1560.0,20
CDM,806044,SHUNT CAROTD XTRN 3X5MM,5941.0,5941.0,314.87,7129.2,49
CDM,806046,SCREW BN 6.5X75X32MM,503.0,503.0,26.66,603.6,20
CDM,806063,SCREW BN 3.5MM 12MM,228.0,228.0,12.08,273.6,20
CDM,806064,SCREW BN 3.5MM 14MM,228.0,228.0,12.08,273.6,20
CDM,806068,INSERT TIBIAL SZ 3,1590.0,1590.0,84.27,1908.0,20
CDM,806069,GWIRE VASC 260CM,640.0,640.0,33.92,768.0,49
CDM,806073,SUTURE FBRLNK SZ 2 26IN,110.0,110.0,5.83,132.0,20
CDM,806082,CATH THRMB 6FR 140CM,5305.0,5305.0,281.17,6366.0,49
CDM,806083,SPLINT NSL LG 69X43MM,2540.0,2540.0,134.62,3048.0,49
CDM,806084,SPLINT NSL SM/MD 65X35MM,2540.0,2540.0,134.62,3048.0,49
CDM,806086,CATH ANGIO 2.0MM 100CM,1432.0,1432.0,75.9,1718.4,49
CDM,806087,SHELL ACTB HIP 3H 52MM,1800.0,1800.0,95.4,2160.0,20
CDM,806088,LINER HIP 20D 52MM 36MM,1100.0,1100.0,58.3,1320.0,20
CDM,806090,NAIL LNG 125D 10X320MM,3266.0,3266.0,173.1,3919.2,20
CDM,806105,SHUNT SNDT XTRN DISP 3X4,5941.0,5941.0,314.87,7129.2,49
CDM,806143,CATH CHLGR 4.5FR 30IN,1394.0,1394.0,73.88,1672.8,49
CDM,806160,IMPLANT BREAST 475CC,1700.0,1700.0,90.1,2040.0,20
CDM,806179,PLATE BN CRV 5HL,966.0,966.0,51.2,1159.2,20
CDM,806186,CRTD CNTK RNW3 HE H177,44000.0,44000.0,2332.0,52800.0,20
CDM,806189,CRTD CNTK RNW3 HE H179,53800.0,53800.0,2851.4,64560.0,20
CDM,806191,CLAMP ESURE SYRINGE LT,20207.0,20207.0,1070.97,24248.4,49
CDM,806194,REAMER SURG 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,806230,WIRE PCNG TEMP 26MM 89MM,594.0,594.0,31.48,712.8,49
CDM,806266,SHELL ACTB HIP 50MM,2000.0,2000.0,106.0,2400.0,20
CDM,806271,GW X-WR 035 450,2564.0,2564.0,135.89,3076.8,49
CDM,806273,SHUNT CV TEMP 1.25MM,5941.0,5941.0,314.87,7129.2,49
CDM,806301,GWIRE VASC .035IN 260CM,490.0,490.0,25.97,588.0,49
CDM,806311,CLAMP EX FIX LG,5941.0,5941.0,314.87,7129.2,49
CDM,806318,SCREW CORTICAL 3.5 X 36M,49.0,49.0,2.6,58.8,20
CDM,806322,STAPLER MENISCAL,4990.0,4990.0,264.47,5988.0,49
CDM,806335,INSERT KN SZ5-6 9MM,1300.0,1300.0,68.9,1560.0,20
CDM,806360,NAIL LNG 125D 10X300MM,3266.0,3266.0,173.1,3919.2,20
CDM,806371,KIT THRMB 4FR 135CM,13166.0,13166.0,697.8,15799.2,49
CDM,806393,KIT INST ACL TRT BLD SAW,2947.0,2947.0,156.19,3536.4,49
CDM,806416,GRAFT VASC THIN 80CM 6MM,4914.0,4914.0,260.44,5896.8,20
CDM,806426,GWIRE ORTH 3MM 900MM,3959.0,3959.0,209.83,4750.8,49
CDM,806427,IMPLANT BREAST 250CC,1672.0,1672.0,88.62,2006.4,20
CDM,806449,SCREW BN 6.7MM 75MM,525.0,525.0,27.82,630.0,20
CDM,806451,GWIRE 2.4MM ARTHX,622.0,622.0,32.97,746.4,49
CDM,806455,SNARE POLY FLEX OVAL MED,337.0,337.0,17.86,404.4,49
CDM,806456,SNARE POLY FLEX OVAL SM,320.0,320.0,16.96,384.0,49
CDM,806465,MARKER SPOT ENDO 5ML,3244.0,3244.0,171.93,3892.8,49
CDM,806502,CATH DRN 8FR 9IN,470.0,470.0,24.91,564.0,49
CDM,806536,CATH ANGIO 5FR 100CM,497.0,497.0,26.34,596.4,49
CDM,806552,SCREW BN 85MM/90MM,1309.0,1309.0,69.38,1570.8,20
CDM,806555,BIT DRILL 4MM 200MM,2564.0,2564.0,135.89,3076.8,49
CDM,806557,BASEPLATE KN SZ4,1800.0,1800.0,95.4,2160.0,20
CDM,806558,COMP PTLR KN 9MM 29MM,500.0,500.0,26.5,600.0,20
CDM,806619,GRAFT CV 30CM 28MM,1504.0,1504.0,79.71,1804.8,20
CDM,806633,SUPPORT ATH ADLT SML,233.0,233.0,12.35,279.6,49
CDM,806650,SUPPORT SURGIBRA X-LGE,1699.0,1699.0,90.05,2038.8,49
CDM,806665,LINER ACTB 11-105902,1400.0,1400.0,74.2,1680.0,20
CDM,806681,PCR IDNTY DR 5370,8100.0,8100.0,429.3,9720.0,20
CDM,806697,TROCAR LAPSCP 5MM 150MM,644.0,644.0,34.13,772.8,49
CDM,806815,PLATE BS PRFX 4 LT 75X51,1920.0,1920.0,101.76,2304.0,20
CDM,806816,BASEPLATE TIB 80X55 5L,1920.0,1920.0,101.76,2304.0,20
CDM,806823,BASKET RET 2.5CM 3.2MM,3290.0,3290.0,174.37,3948.0,49
CDM,806874,CNTRLZR STM HIP DIST 8MM,110.0,110.0,5.83,132.0,20
CDM,806911,LINER POLY 22MM SZ50,716.0,716.0,37.95,859.2,20
CDM,806956,SCREW BN ACTB 25MM,110.0,110.0,5.83,132.0,20
CDM,806957,SHELL INTERFIT 64MM,2220.0,2220.0,117.66,2664.0,20
CDM,806964,STEM FEM HIP SZ13,4000.0,4000.0,212.0,4800.0,20
CDM,806967,ICD MRQS DR 7274,27040.0,27040.0,1433.12,32448.0,20
CDM,806974,STEM ACTB HIP 48MM,1600.0,1600.0,84.8,1920.0,20
CDM,806975,INSERT TIB KN 10MM,1512.0,1512.0,80.14,1814.4,20
CDM,806976,STEM FEM KN 13MM 127MM,3694.0,3694.0,195.78,4432.8,20
CDM,806980,PCR KPPA DR KDR921,8112.0,8112.0,429.94,9734.4,20
CDM,8070,MYCOPHENOLATE 250 MG PO,70.0,70.0,3.71,84.0,30
CDM,8070,"Mycophenolate mofetil, oral, 250 mg ",70.0,70.0,0.14,0.14,1
CDM,807020,BAG SPEC RETRVL 224ML,1338.0,1338.0,70.91,1605.6,49
CDM,807038,CATH ANGIO 5FR 65CM,497.0,497.0,26.34,596.4,49
CDM,807046,AUGMNT TIB LM/RL 10MM S8,1340.0,1340.0,71.02,1608.0,20
CDM,807059,PATCH CV PRCRD .08X8CM,498.0,498.0,26.39,597.6,20
CDM,807061,SCREW SURG L26MM OD4MM O,312.0,312.0,16.54,374.4,20
CDM,807062,SCREW COMPRESS STD 32MM,80.0,80.0,4.24,96.0,20
CDM,807063,SCREW CORT 4.5 36MM,50.0,50.0,2.65,60.0,20
CDM,807064,SCREW SURG L38MM OD4.5MM,78.0,78.0,4.13,93.6,20
CDM,807065,SCREW CORTICAL 4.5X40,40.0,40.0,2.12,48.0,20
CDM,807066,SCREW ODI LAG 12.7X85,1460.0,1460.0,77.38,1752.0,20
CDM,807068,SCREW ODI LAG 105M,700.0,700.0,37.1,840.0,20
CDM,807069,PLATE SIDE SHRT BARL 4HL,936.0,936.0,49.61,1123.2,20
CDM,807104,TRAY MYLOGRM W/DYE#2,5941.0,5941.0,314.87,7129.2,49
CDM,807133,PLUG CATH CAP STRL LF DI,12.0,12.0,0.64,14.4,49
CDM,807151,KIT FALOPE-RING BAND,312.0,312.0,16.54,374.4,20
CDM,807176,CMPNT PTLA KN 3PEG 32MM,500.0,500.0,26.5,600.0,20
CDM,807193,BIT SURG DRILL 3.0X120MM,2564.0,2564.0,135.89,3076.8,49
CDM,807210,NAIL IM HUM 11X150,2113.12,2113.12,112.0,2535.74,20
CDM,807215,KNEE TIBIAL 37X7.5MM,2028.0,2028.0,107.48,2433.6,20
CDM,807216,STEM FEM 34C,10190.0,10190.0,540.07,12228.0,20
CDM,807218,LINER ACTB 11-105904,2166.0,2166.0,114.8,2599.2,20
CDM,807233,WIRE GD 55X3.2 BALL T,584.64,584.64,30.99,701.57,49
CDM,807239,SCREW BIOABS 12X28 F-T,462.0,462.0,24.49,554.4,20
CDM,807246,CAP PROT TIP EXFX 4MM,1168.0,1168.0,61.9,1401.6,49
CDM,807250,SHELL ACT TD PSL W/PF52E,1600.0,1600.0,84.8,1920.0,20
CDM,807254,PCR IDNTY SR 5172,8100.0,8100.0,429.3,9720.0,20
CDM,807259,CANNULA ART PRFSN 29FX40,1534.0,1534.0,81.3,1840.8,49
CDM,807308,SCREW BN 6.5MM 35MM,110.0,110.0,5.83,132.0,20
CDM,807311,SHELL HIP INTRFT 56MM F,2220.0,2220.0,117.66,2664.0,20
CDM,807312,INSERT FEM SZ 6L,2360.0,2360.0,125.08,2832.0,20
CDM,807313,TIBIAL NON-POROUS SZ 2,1920.0,1920.0,101.76,2304.0,20
CDM,807314,PLATE BS PRFX 3 RT 70X48,1920.0,1920.0,101.76,2304.0,20
CDM,807315,LINER ACTB HIP E50-52X28,1118.4,1118.4,59.28,1342.08,20
CDM,807316,LINER ACTB HIP F54-56X28,915.0,915.0,48.49,1098.0,20
CDM,807326,INTRO SHTH 7FR 4CM,642.0,642.0,34.03,770.4,49
CDM,807327,CTH URET RTNR 5F,738.0,738.0,39.11,885.6,49
CDM,807330,ADAPTER CATH 14F 15CM,1677.0,1677.0,88.88,2012.4,49
CDM,807341,BASKET RET 2.0CM 3.2MM,3290.0,3290.0,174.37,3948.0,49
CDM,807356,PLATE BNE CERV FX 16,2603.32,2603.32,137.98,3123.98,20
CDM,807357,SCREW THEKEN 4.0X14,414.2,414.2,21.95,497.04,20
CDM,807358,SCREW TI FXANG 15X4.5MM,414.2,414.2,21.95,497.04,20
CDM,807376,SHELL ACTB HIP 60X61.8MM,1600.0,1600.0,84.8,1920.0,20
CDM,807384,GRAFT ITRGRD KNIT 18X40,870.0,870.0,46.11,1044.0,20
CDM,807385,SCREW BN SPRCL 6.5X30MM,110.0,110.0,5.83,132.0,20
CDM,807387,GRAFT ITRGRD KNIT 14X40,783.0,783.0,41.5,939.6,20
CDM,807402,KWIRE 1.6MM 6IN,917.0,917.0,48.6,1100.4,49
CDM,807418,STEM HIP 132D SZ2 124MM,2800.0,2800.0,148.4,3360.0,20
CDM,807419,STEM HIP 132D SZ4 137MM,2800.0,2800.0,148.4,3360.0,20
CDM,807437,SCREW BN 3.5MM 80MM,217.0,217.0,11.5,260.4,20
CDM,807450,PLUG VASC 6MM 6MM,2100.0,2100.0,111.3,2520.0,20
CDM,807454,KIT SRG SHLDR ASCP DISP,2564.0,2564.0,135.89,3076.8,49
CDM,807471,INSRT ACTB HIP641-00-32E,2876.64,2876.64,152.46,3451.97,20
CDM,807483,SHELL ACTB 54MM MLHL,2630.0,2630.0,139.39,3156.0,20
CDM,807495,ELECTRODE PACER BI TEMP,2564.0,2564.0,135.89,3076.8,49
CDM,807514,SCREW BN 5MM 10MM,441.0,441.0,23.37,529.2,20
CDM,807517,SCREW BN 5MM 12MM,441.0,441.0,23.37,529.2,20
CDM,807527,STEM FEM POST FNDTN 6 RT,3200.0,3200.0,169.6,3840.0,20
CDM,807542,PLATE BN LNG 4H 19MM,212.0,212.0,11.24,254.4,20
CDM,807553,PLATE BN 0.5MM 18.5MM,264.0,264.0,13.99,316.8,20
CDM,807581,OCCLUDER CV 12X4MM,14100.0,14100.0,747.3,16920.0,20
CDM,807582,OCCLUDER CV 14X4MM,14100.0,14100.0,747.3,16920.0,20
CDM,807587,HEAD FEM HIP 28MM +1.5MM,1300.0,1300.0,68.9,1560.0,20
CDM,807605,INSTR BX 18GA 20CM,1566.0,1566.0,83.0,1879.2,49
CDM,807650,HOLDER PLATE TEMP DISP,2073.0,2073.0,109.87,2487.6,49
CDM,807653,SCREW BN 3.5MM 30MM,172.0,172.0,9.12,206.4,20
CDM,807657,GWIRE ST ARTH .062IN,622.0,622.0,32.97,746.4,49
CDM,807668,BLADE CRES OFF 18.5X32X,2564.0,2564.0,135.89,3076.8,49
CDM,807669,DILATOR VASC 10FR 20CM,348.0,348.0,18.44,417.6,49
CDM,807698,ROD SPN 5.5MM 45MM,360.0,360.0,19.08,432.0,20
CDM,807727,SCREW BN TI 3MM 18MM,316.0,316.0,16.75,379.2,20
CDM,807730,SCREW BN 6.5MM 30MM,450.0,450.0,23.85,540.0,20
CDM,807733,SCREW BN 6.5X35X16MM,450.0,450.0,23.85,540.0,20
CDM,807734,SCREW BN 6.5X40X16MM,450.0,450.0,23.85,540.0,20
CDM,807741,SCREW BN 6.5X7.9X2.9X45,450.0,450.0,23.85,540.0,20
CDM,807746,SCREW BN 6.5X7.9X2.9X55,450.0,450.0,23.85,540.0,20
CDM,807752,SCREW BN 6.5X16X60MM,440.0,440.0,23.32,528.0,20
CDM,807753,SCREW BN 6.5X2.9MM 90MM,450.0,450.0,23.85,540.0,20
CDM,807764,SCREW BN 6.5MM 45MM 32MM,450.0,450.0,23.85,540.0,20
CDM,807765,SCREW BN 6.5MM 50MM 32MM,450.0,450.0,23.85,540.0,20
CDM,807766,SCREW BN 6.5MM 55MM,450.0,450.0,23.85,540.0,20
CDM,807767,SCREW BN 6.5MM 60MM,450.0,450.0,23.85,540.0,20
CDM,807768,SCREW BN 6.5X85X32MM,450.0,450.0,23.85,540.0,20
CDM,807770,SCREW BN 6.5X120X32MM,450.0,450.0,23.85,540.0,20
CDM,807773,SCREW BN 6.5MM 130MM,450.0,450.0,23.85,540.0,20
CDM,807774,SCREW BN 6.5MM 135MM,450.0,450.0,23.85,540.0,20
CDM,807775,SCREW BN 6.5X140X32MM,450.0,450.0,23.85,540.0,20
CDM,807776,SCREW BN CANN 6.5X145MM,450.0,450.0,23.85,540.0,20
CDM,807777,SCREW BN 6.5X32X150MM,450.0,450.0,23.85,540.0,20
CDM,807787,DEVICE LCK BX CAP,334.0,334.0,17.7,400.8,49
CDM,807792,SCREW BN LCK 3.5MM 65MM,217.0,217.0,11.5,260.4,20
CDM,807793,SCREW BN 3.5MM 70MM,217.0,217.0,11.5,260.4,20
CDM,807794,SCREW BN 3.5MM 75MM,217.0,217.0,11.5,260.4,20
CDM,807800,PIN BN PSTN 4.5MM,317.0,317.0,16.8,380.4,20
CDM,807804,ROD REAMING W/BALL TIP 2,2564.0,2564.0,135.89,3076.8,49
CDM,807810,CLAMP EXFX MULTI-PIN LG,5941.0,5941.0,314.87,7129.2,49
CDM,807912,NAIL BN FEM11.5MM 32CM,3443.0,3443.0,182.48,4131.6,20
CDM,808045,SCREW BN 6.5MM 125MM,450.0,450.0,23.85,540.0,20
CDM,808054,SCREW BN LCK 3.5MM 85MM,217.0,217.0,11.5,260.4,20
CDM,808056,SCREW BN CANC 4MM 12MM,180.0,180.0,9.54,216.0,20
CDM,808091,SCREW BN 2.7MM 36MM,66.0,66.0,3.5,79.2,20
CDM,808092,SCREW BN 2.7MM 40MM,66.0,66.0,3.5,79.2,20
CDM,808133,BLADE 19X10MM OSC SGTL,907.57,907.57,48.1,1089.08,49
CDM,808161,BIT DRILL 3.2MM 200MM,132.0,132.0,7.0,158.4,49
CDM,808167,PLATE BN 4.5X5MM,1052.0,1052.0,55.76,1262.4,20
CDM,808182,TROCAR ESCP L100X11 11LT,644.0,644.0,34.13,772.8,49
CDM,808190,TUBING PRSS MNTR 12IN,83.0,83.0,4.4,99.6,49
CDM,808196,TROCAR LAPSCP 12MM 100MM,662.0,662.0,35.09,794.4,49
CDM,8082,SIROLIMUS 1 MG PO,81.0,81.0,4.29,97.2,30
CDM,8082,"Sirolimus, oral, 1 mg ",81.0,81.0,1.23,1.23,1
CDM,808228,TROCAR LAPSCP 5MM 100MM,644.0,644.0,34.13,772.8,49
CDM,808248,STEM TIB PREFX 14MM,829.4,829.4,43.96,995.28,20
CDM,808249,PROS INS SZ4 RT 10,1590.0,1590.0,84.27,1908.0,20
CDM,808250,SCREW BN CPTR HEX 4.5X35,243.6,243.6,12.91,292.32,20
CDM,808251,SCREW BN CPTR HEX 4.5X45,243.6,243.6,12.91,292.32,20
CDM,808252,SCREW BN 6.5MM 85MM 22MM,382.0,382.0,20.25,458.4,20
CDM,808253,SCREW BN 6.5MM 90MM,374.0,374.0,19.82,448.8,20
CDM,808255,KIT SNARE 6FR 30MM 120CM,3406.0,3406.0,180.52,4087.2,49
CDM,808256,TROCAR LAPSCP 5MM 75MM,2564.0,2564.0,135.89,3076.8,49
CDM,808258,SLEEVE LAPSCP 11MM 100MM,451.0,451.0,23.9,541.2,49
CDM,808259,SLEEVE LAPSCP 12MM 100MM,75.0,75.0,3.98,90.0,49
CDM,808260,SLEEVE LAPSCP 5MM 100MM,451.0,451.0,23.9,541.2,49
CDM,808261,SCREW MNOAXL 5.5 X45MM,1837.64,1837.64,97.39,2205.17,20
CDM,808263,TROCAR LAPSCP 12MM 100MM,644.0,644.0,34.13,772.8,49
CDM,808266,STENT NPHURSTM 22CM,181.0,181.0,9.59,217.2,20
CDM,808267,STENT NPHURSTM 24CM,181.0,181.0,9.59,217.2,20
CDM,808268,STENT NPHURSTM 26CM,158.0,158.0,8.37,189.6,20
CDM,808269,STENT URET 10.2FR 28CM,181.0,181.0,9.59,217.2,20
CDM,808273,COMPONENT PTLR LG,1190.0,1190.0,63.07,1428.0,20
CDM,808276,LINER ACTB HIP 20X56X40,1100.0,1100.0,58.3,1320.0,20
CDM,808286,CLIP ANRSM PERM 5MM,766.0,766.0,40.6,919.2,20
CDM,808287,CLIP ANRSM PERM 7MM,766.0,766.0,40.6,919.2,20
CDM,808289,CLIP ANRSM PERM 15MM,737.0,737.0,39.06,884.4,20
CDM,808290,CLIP ANRSM PERM 17.5MM,766.0,766.0,40.6,919.2,20
CDM,808292,GWIRE VASC .01IN 200CM,3497.0,3497.0,185.34,4196.4,49
CDM,808314,PLATE BN MED 2MM 100MM,1517.0,1517.0,80.4,1820.4,20
CDM,808319,PLATE TRA 7 HL FIB LCK,461.0,461.0,24.43,553.2,20
CDM,808339,ANCH MITEK 2.0 HND,408.5,408.5,21.65,490.2,20
CDM,808393,GWIRE ORTH 100CM 3MM,2564.0,2564.0,135.89,3076.8,49
CDM,808396,BAR EX FX 350MM,3080.0,3080.0,163.24,3696.0,49
CDM,808400,CMPNT KN DIST STD 3CM,7728.0,7728.0,409.58,9273.6,20
CDM,808401,PLATE BN NAR 2MM 56MM,1420.0,1420.0,75.26,1704.0,20
CDM,808417,CLIP ANRSM PERM 7.8MM,816.0,816.0,43.25,979.2,20
CDM,808424,GENERATOR IPG MEDTR,17600.0,17600.0,932.8,21120.0,20
CDM,808425,PROGRAMMER PT INTERSTIM,3970.05,3970.05,210.41,4764.06,49
CDM,808434,CATH VASC STRT 6.0X150CM,7050.0,7050.0,373.65,8460.0,49
CDM,808444,STYLET LD 45CM .016IN,1500.0,1500.0,79.5,1800.0,49
CDM,808449,STENT NPHURET 8.5FR 26CM,181.0,181.0,9.59,217.2,20
CDM,808460,GWIRE VASC 205CM,5941.0,5941.0,314.87,7129.2,49
CDM,808463,PROBE LTHTRP 1.0MM 570MM,2564.0,2564.0,135.89,3076.8,49
CDM,808464,PROBE LTHTRP 2.0MM 425MM,2564.0,2564.0,135.89,3076.8,49
CDM,808468,SCREW BN XIA 0382-0645,1867.42,1867.42,98.97,2240.9,20
CDM,808469,SCREW BN XIA 0382-0750,1867.42,1867.42,98.97,2240.9,20
CDM,808470,SLEEVE FEM HIP V40,110.0,110.0,5.83,132.0,20
CDM,808471,HK PDCL SCOLI EIA LG,1510.22,1510.22,80.04,1812.26,20
CDM,808483,KIT CATH 27CM 16FR,4093.0,4093.0,216.93,4911.6,49
CDM,808556,REAMER SHFT STRL 8X448MM,2564.0,2564.0,135.89,3076.8,49
CDM,808557,REAMER CANN 8MM 240MM,3998.0,3998.0,211.89,4797.6,49
CDM,808571,PCR KPPA DR KDR921P,8112.0,8112.0,429.94,9734.4,20
CDM,808573,FORCEP MNPLR 240CM 2.2MM,716.0,716.0,37.95,859.2,49
CDM,808575,NEEDLE SCLRTX 23GA 2.3MM,954.0,954.0,50.56,1144.8,49
CDM,808586,TUBE SPLNT ACC BLN 132CM,2607.0,2607.0,138.17,3128.4,49
CDM,808591,GWIRE VASC .032IN 180CM,753.0,753.0,39.91,903.6,49
CDM,808598,SET INTRO 10FR 38.5CM,2564.0,2564.0,135.89,3076.8,49
CDM,808612,KIT ASSEMBLY TITAN,3024.0,3024.0,160.27,3628.8,49
CDM,808632,SHELL ACET GAP II 56 RT,4397.0,4397.0,233.04,5276.4,20
CDM,808633,SLEEVE MOD HEAD +4MM,468.0,468.0,24.8,561.6,20
CDM,808635,LINER HIP 10D 36X60MM,1100.0,1100.0,58.3,1320.0,20
CDM,808644,SHUNT CV TEMP 1MM,5941.0,5941.0,314.87,7129.2,49
CDM,808666,NEUROSTM IMPL IPG RESTR,27800.0,27800.0,1473.4,33360.0,20
CDM,808682,PLATE BN PROX 4.5X118MM,2664.0,2664.0,141.19,3196.8,20
CDM,808700,SPACER SPN RYTFC 26X14MM,6320.64,6320.64,334.99,7584.77,20
CDM,808707,GRAFT BN 1CHMBR 15CC FRZ,2720.0,2720.0,144.16,3264.0,20
CDM,808709,NAIL HUM CANN 7MM 230MM,2094.0,2094.0,110.98,2512.8,20
CDM,808711,VALVE AORTIC 25MM,8160.0,8160.0,432.48,9792.0,20
CDM,808712,RING CONNECTOR,840.0,840.0,44.52,1008.0,49
CDM,808713,BIT DRILL 4.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,808721,SCREW BN 4MM 22MM,70.0,70.0,3.71,84.0,20
CDM,808736,SCREW BN 105MM 4.5MM,1309.0,1309.0,69.38,1570.8,20
CDM,808849,BIT DRILL 2.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,808891,SHELL ACTB HIP PNCL 58MM,2000.0,2000.0,106.0,2400.0,20
CDM,808916,SCREW BN TEMP 48MM,1837.0,1837.0,97.36,2204.4,49
CDM,808923,GWIRE STF 035IN 145CM,813.0,813.0,43.09,975.6,49
CDM,808932,SYSTEM SYR VAC 10ML,1423.0,1423.0,75.42,1707.6,49
CDM,808934,ADAPTER INST URLK2 BALL,457.0,457.0,24.22,548.4,49
CDM,808951,CATH URET 2LUM 10FR,2051.0,2051.0,108.7,2461.2,49
CDM,808952,SET CATH NPHS 20FR 35CM,2286.0,2286.0,121.16,2743.2,49
CDM,808970,SET DILATION SHEATH 6FR,1206.0,1206.0,63.92,1447.2,49
CDM,808972,DILATOR URET 4CM 70CM,2564.0,2564.0,135.89,3076.8,49
CDM,808973,DILATOR URE 12F 70CM,2564.0,2564.0,135.89,3076.8,49
CDM,8090,TACROLIMUS 5 MG INJ,2134.0,2134.0,183.52,2560.8,29
CDM,8090,"Tacrolimus, parenteral, 5 mg ",2134.0,2134.0,252.16,252.16,1
CDM,809048,KIT FLD MGMT .118IN,453.0,453.0,24.01,543.6,49
CDM,809050,DEVICE INFLATION ENCORE,1481.0,1481.0,78.49,1777.2,49
CDM,809051,PIN FX KRSH ORTH,1131.0,1131.0,59.94,1357.2,49
CDM,809056,GRAFT BN OTHBLST 2 3ML,600.0,600.0,31.8,720.0,20
CDM,809057,GRAFT BN MTRX 8CC,1600.0,1600.0,84.8,1920.0,20
CDM,809058,GWIRE VASC .014IN 182CM,2416.0,2416.0,128.05,2899.2,49
CDM,809059,GWIRE STRT 300CM,2440.0,2440.0,129.32,2928.0,49
CDM,809100,PLATE BN 5H 3.5MM 114MM,2497.0,2497.0,132.34,2996.4,20
CDM,809106,CATH BLNDIL 12MM 40MM,2564.0,2564.0,135.89,3076.8,49
CDM,809108,CATH BLNDIL 14MM 40MM,2564.0,2564.0,135.89,3076.8,49
CDM,809113,ADAPTER CATH Y,788.0,788.0,41.76,945.6,49
CDM,809115,SHEATH INTRO 5FR 10CM,377.0,377.0,19.98,452.4,49
CDM,809116,INTROSHTH 8F .038IN 10CM,377.0,377.0,19.98,452.4,49
CDM,809117,SHEATH INTRO 9FR 10CM,377.0,377.0,19.98,452.4,49
CDM,809118,SHTH PNCLP 10F 10 035,395.0,395.0,20.93,474.0,49
CDM,809119,INTRO SHTH 11FR 10CM,377.0,377.0,19.98,452.4,49
CDM,809121,SHEATH INTRO 5FR 10CM,415.0,415.0,22.0,498.0,49
CDM,809128,SHEATH INTRO 5FR 25CM,791.0,791.0,41.92,949.2,49
CDM,809129,SHEATH INTRO 6F 25CM,791.0,791.0,41.92,949.2,49
CDM,809130,SHEATH INTRO 7FR 25CM,826.0,826.0,43.78,991.2,49
CDM,809131,SHEATH INTRO 9F 25CM,826.0,826.0,43.78,991.2,49
CDM,809132,SHEATH INTRO 10FR 25CM,791.0,791.0,41.92,949.2,49
CDM,809179,SYSTEM INTRO 4-6FR 60CM,2487.0,2487.0,131.81,2984.4,49
CDM,809197,STENT URET 8FR 22MM,240.0,240.0,12.72,288.0,20
CDM,809198,STENT URET 8FR 24MM,240.0,240.0,12.72,288.0,20
CDM,8092,INH METHACHOLINE 1 MG,290.0,290.0,15.37,348.0,30
CDM,8092,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",290.0,290.0,,,0
CDM,809202,CLIP XTRN SCALP TEMP,86.0,86.0,4.56,103.2,49
CDM,809208,CATHETER DRN 12FR 25CM,2261.0,2261.0,119.83,2713.2,49
CDM,809209,CATHETER DRN 14FR 25CM,2261.0,2261.0,119.83,2713.2,49
CDM,809224,CATH ANGIO 5FR 65CM,2043.0,2043.0,108.28,2451.6,49
CDM,809226,CATH ANGIO 5FR 65CM,2043.0,2043.0,108.28,2451.6,49
CDM,809227,CATH ANGIO 5FR 100CM,2043.0,2043.0,108.28,2451.6,49
CDM,809228,CATH ANGIO 5FR 65CM,2043.0,2043.0,108.28,2451.6,49
CDM,809231,CATH ANGIO 5FR 100CM,2043.0,2043.0,108.28,2451.6,49
CDM,809234,CATH ANGIO JB2 5FR 100CM,2043.0,2043.0,108.28,2451.6,49
CDM,809238,CATH ANGIO 4FR 65CM,2043.0,2043.0,108.28,2451.6,49
CDM,809243,CATH ANGIO C2 4FR 100CM,2043.0,2043.0,108.28,2451.6,49
CDM,809246,CATH ANGIO 4FR 100CM,2043.0,2043.0,108.28,2451.6,49
CDM,809248,CATH ANGIO 4FR 100CM,1801.0,1801.0,95.45,2161.2,49
CDM,809254,DEVICE FLOW CTRL 1050PI,165.0,165.0,8.74,198.0,49
CDM,809257,GWIRE VASC .035IN 150CM,1236.0,1236.0,65.51,1483.2,49
CDM,809259,GWIRE VASC .035IN 260CM,1855.0,1855.0,98.31,2226.0,49
CDM,809260,GWIRE VASC .035IN 150CM,1236.0,1236.0,65.51,1483.2,49
CDM,809261,GWIRE VASC .035IN 180CM,1659.0,1659.0,87.93,1990.8,49
CDM,809262,GWIRE VASC .035IN 260CM,1855.0,1855.0,98.31,2226.0,49
CDM,809273,GWIRE VASC .018IN 180CM,2099.0,2099.0,111.25,2518.8,49
CDM,809275,GWIRE VASC 3CM 180CM,2246.0,2246.0,119.04,2695.2,49
CDM,809278,GWIRE VASC 3CM 150CM,1887.0,1887.0,100.01,2264.4,49
CDM,809281,GWIRE VASC .035IN 180CM,1734.0,1734.0,91.9,2080.8,49
CDM,809283,GWIRE VAS STR .025 260CM,2083.0,2083.0,110.4,2499.6,49
CDM,809284,GWIRE VASC .035IN 150CM,1677.0,1677.0,88.88,2012.4,49
CDM,809285,GDWIRE VASC 7CM 180CM,1078.0,1078.0,57.13,1293.6,49
CDM,809286,GWIRE VASC .035IN 260CM,1078.0,1078.0,57.13,1293.6,49
CDM,809289,GWIRE VASC 0.038IN 180CM,1332.0,1332.0,70.6,1598.4,49
CDM,809290,GWIRE VASC .035IN 145CM,1078.0,1078.0,57.13,1293.6,49
CDM,809291,GWIRE VASC .035IN 180CM,1208.0,1208.0,64.02,1449.6,49
CDM,809292,GWIRE VASC .035IN 260CM,1264.0,1264.0,66.99,1516.8,49
CDM,809294,GWIRE VASC .035IN 75CM,1078.0,1078.0,57.13,1293.6,49
CDM,809296,GWIRE VASC .035IN 180CM,2074.0,2074.0,109.92,2488.8,49
CDM,809300,GWIRE VASC .018IN 260CM,2564.0,2564.0,135.89,3076.8,49
CDM,809303,GWIRE VASC 200CM 0.18IN,2564.0,2564.0,135.89,3076.8,49
CDM,809304,GWIRE VASC .018IN 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,809369,CATH BDL .035IN 5FR 4MM,974.4,974.4,51.64,1169.28,49
CDM,809373,CATH BDL .035IN 5FR 5MM,974.4,974.4,51.64,1169.28,49
CDM,809375,CATH BDL .035IN 5FR 6MM,974.4,974.4,51.64,1169.28,49
CDM,809376,CATH BDL .035IN 5FR 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,809390,WICK EAR 16X2X2MM STRL,52.0,52.0,2.76,62.4,49
CDM,809404,RETRACTOR ENDO 12MM 46CM,5941.0,5941.0,314.87,7129.2,49
CDM,809420,VALVE AORTIC 29MM,10340.0,10340.0,548.02,12408.0,20
CDM,809453,CATH GD 2.6FR 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,809456,GWIRE ENDO .035IN 260CM,2564.0,2564.0,135.89,3076.8,49
CDM,809466,ROD SPN GRY 75X5.5MM,360.0,360.0,19.08,432.0,20
CDM,809511,ICD VNTK PRZM VR HE 1852,28116.0,28116.0,1490.15,33739.2,20
CDM,809549,ADAPTER Y VNT CLR,259.0,259.0,13.73,310.8,49
CDM,809550,ADAPTER CONN PERF 1/4IN,2564.0,2564.0,135.89,3076.8,49
CDM,809555,CANNUAL PRFSN 16FR 6IN,578.0,578.0,30.63,693.6,49
CDM,809556,SUMP INTRCRD 20FR 12IN,437.0,437.0,23.16,524.4,49
CDM,809558,CATH VENT 16FR 16IN,771.0,771.0,40.86,925.2,49
CDM,809561,CANN PRFSN 9FR 5.5IN,675.0,675.0,35.77,810.0,49
CDM,809562,CANNULA PRFSN 14G 5.5IN,625.0,625.0,33.13,750.0,49
CDM,809565,CANNULA PRFSN 12FR 6IN,647.0,647.0,34.29,776.4,49
CDM,809589,CANNLA PRFSN VNS 24F14IN,943.0,943.0,49.98,1131.6,49
CDM,809607,CANN PRFSN 32/40FR 15IN,1015.0,1015.0,53.8,1218.0,49
CDM,809610,CANNULA PRFSN 15F 5.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,809631,CATH BLNDIL 5FR 6MM 80CM,974.4,974.4,51.64,1169.28,49
CDM,809656,BIT DRILL CANN AO 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,809716,INTRODUCER SHTH 6FR 23CM,867.0,867.0,45.95,1040.4,49
CDM,809717,SHTH BRTP 6F 35,867.0,867.0,45.95,1040.4,49
CDM,809737,ELECTROD SUBDERM NRV MNT,2564.0,2564.0,135.89,3076.8,49
CDM,809739,BASEPLATE KN RT SZ8,2000.0,2000.0,106.0,2400.0,20
CDM,809765,CATH MICRO 2FR 15CM,5941.0,5941.0,314.87,7129.2,49
CDM,809768,CATH VASC 2.3FR 150CM,7754.0,7754.0,410.96,9304.8,49
CDM,809787,SCREW BN 3.5MM 28MM,77.0,77.0,4.08,92.4,20
CDM,809807,HEAD HIP TPR NK+9X28MM,700.0,700.0,37.1,840.0,20
CDM,809815,SLEEVE FEM 13MM,214.2,214.2,11.35,257.04,20
CDM,809838,PASSER SUTURE 2.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,809861,MAX ILK PS FMRL 145152,4004.8,4004.8,212.25,4805.76,20
CDM,809864,SLEEVE FEM KN CMNT 20MM,2819.0,2819.0,149.41,3382.8,20
CDM,809872,STENT URET 4.8FR 10CM,183.0,183.0,9.7,219.6,20
CDM,809873,STENT URET 4.8FR 12CM,183.0,183.0,9.7,219.6,20
CDM,809874,STENT URET 4.8FR 14CM,183.0,183.0,9.7,219.6,20
CDM,809892,ROD SPN 5.5MM 85MM,360.0,360.0,19.08,432.0,20
CDM,810029,SCREW BN SPN 4MM 38MM,1005.0,1005.0,53.27,1206.0,20
CDM,810093,FEM CMPNT PRIM 70 L,3600.0,3600.0,190.8,4320.0,20
CDM,810094,CMPNT FEM ILK PRIM 65 LT,3600.0,3600.0,190.8,4320.0,20
CDM,810097,PRIM FEM CMPNT 60,5132.0,5132.0,272.0,6158.4,20
CDM,810098,CMPNT PRIM FEM 75,5132.0,5132.0,272.0,6158.4,20
CDM,810100,CMPNT FEM RT 65MM,3600.0,3600.0,190.8,4320.0,20
CDM,810101,CMPNT FEM ILK PRM 60 RT,5132.0,5132.0,272.0,6158.4,20
CDM,810103,VSN RNGLC SHL 52 SZ23,2630.0,2630.0,139.39,3156.0,20
CDM,810104,VSN RNGLC SHL 50 LNR 23,3836.0,3836.0,203.31,4603.2,20
CDM,810106,HEAD FEM HIP 28MM 58MM,900.0,900.0,47.7,1080.0,20
CDM,810107,CUP BIP ACTB HIP 55X28MM,900.0,900.0,47.7,1080.0,20
CDM,810109,HEAD FEM HIP CUP 28X53MM,900.0,900.0,47.7,1080.0,20
CDM,810112,CMPNT ACTB HIP 28X51MM,900.0,900.0,47.7,1080.0,20
CDM,810113,SHELL BIP HIP 50MM 28MM,900.0,900.0,47.7,1080.0,20
CDM,810116,CUP ACTB HIP 28X48MM,900.0,900.0,47.7,1080.0,20
CDM,810118,CUP ACTB HIP 28MM 47MM,900.0,900.0,47.7,1080.0,20
CDM,810119,CUP ACTB HIP 28MM 46MM,900.0,900.0,47.7,1080.0,20
CDM,810121,HEAD FEM HIP 28MM 45MM,900.0,900.0,47.7,1080.0,20
CDM,810122,COMPNT ACTB HIP 44X28MM,900.0,900.0,47.7,1080.0,20
CDM,810123,HEAD FEM HIP 28MM 43MM,900.0,900.0,47.7,1080.0,20
CDM,810124,SHELL ACTB HIP 42MM 28MM,900.0,900.0,47.7,1080.0,20
CDM,810125,HEAD FEM HIP 28MM 41MM,900.0,900.0,47.7,1080.0,20
CDM,810127,CMPNT ACTB +9NN HD MOD,1526.0,1526.0,80.88,1831.2,20
CDM,810128,CMPNT ACTB MOD HD +6MM,1798.0,1798.0,95.29,2157.6,20
CDM,810130,CMPNT ACTB -3MM MD HD,1798.0,1798.0,95.29,2157.6,20
CDM,810131,CMPNT ACTB MOD HD STD,1798.0,1798.0,95.29,2157.6,20
CDM,810133,CMPNT ACTB MOD HD -3MM,2076.0,2076.0,110.03,2491.2,20
CDM,810134,CMPNT ACTB MOD HD -6MM,1798.0,1798.0,95.29,2157.6,20
CDM,810170,BRNG PRIM TIB 18X71/7,2140.0,2140.0,113.42,2568.0,20
CDM,810178,BRNG MXM PRIM TIB 10M,1590.0,1590.0,84.27,1908.0,20
CDM,810191,LINER ACTB RNGLC 24 28MM,1244.8,1244.8,65.97,1493.76,20
CDM,810213,CLAMP INSERT SET 61MM,505.0,505.0,26.77,606.0,49
CDM,810309,PACKING WND 1IN 5YD,70.0,70.0,3.71,84.0,49
CDM,810311,GW CHC 300 ST XS 5PK,2564.0,2564.0,135.89,3076.8,49
CDM,810321,GWIRE VASC .0009IN 330CM,3390.0,3390.0,179.67,4068.0,49
CDM,810325,SHELL ACTB HIP 0D 60MM,2000.0,2000.0,106.0,2400.0,20
CDM,810370,CATH URET 12FR 2W 5CC,311.0,311.0,16.48,373.2,49
CDM,810371,CATH URET 14FR 2W 5CC,311.0,311.0,16.48,373.2,49
CDM,810374,CATH URET 14FR 5CC,19.0,19.0,1.01,22.8,49
CDM,810377,CATH URTH 2WY 20FR,226.0,226.0,11.98,271.2,49
CDM,810378,CATH URTH 2WY 22FR,19.0,19.0,1.01,22.8,49
CDM,810383,CATH FOLEY 2W 18FR 30CC,226.0,226.0,11.98,271.2,49
CDM,810399,TRAY URIMETER 4 MALE,227.0,227.0,12.03,272.4,49
CDM,810457,BLADE SAW 60X.64X6.2MM,1027.0,1027.0,54.43,1232.4,49
CDM,810459,BLADE SAW 11.2MM,938.0,938.0,49.71,1125.6,49
CDM,810460,SET PRESS MNTR INTRA-COM,2564.0,2564.0,135.89,3076.8,49
CDM,810461,CATHETER CV INDWL SLT,2564.0,2564.0,135.89,3076.8,49
CDM,810509,SCREW BN 4MM 3.4MM 16MM,250.0,250.0,13.25,300.0,20
CDM,810510,SCREW BN 4MM 18MM,250.0,250.0,13.25,300.0,20
CDM,810512,SCREW BN 4MM 3.4MM 22MM,250.0,250.0,13.25,300.0,20
CDM,810513,SCREW BN 4MM 24MM,250.0,250.0,13.25,300.0,20
CDM,810514,SCREW BN 4MM 30MM,250.0,250.0,13.25,300.0,20
CDM,810515,SCREW BN 4MM 32MM,250.0,250.0,13.25,300.0,20
CDM,810516,SCREW BN 4MM 34MM,250.0,250.0,13.25,300.0,20
CDM,810517,SCREW BN 4MM 36MM,250.0,250.0,13.25,300.0,20
CDM,810519,SCREW 4.0 LCK 40MM,250.0,250.0,13.25,300.0,20
CDM,810520,SCREW BN 4MM 3.4MM 42MM,250.0,250.0,13.25,300.0,20
CDM,810522,SCREW LOCK 4MM ST WSTARD,250.0,250.0,13.25,300.0,20
CDM,810523,SCREW BN 4MM 3.4MM 48MM,250.0,250.0,13.25,300.0,20
CDM,810524,SCREW LOCK 4MM ST WSTARD,250.0,250.0,13.25,300.0,20
CDM,810525,SCREW BN 4MM 3.4MM 52MM,250.0,250.0,13.25,300.0,20
CDM,810527,SCREW BN 4MM 3.4MM 56MM,250.0,250.0,13.25,300.0,20
CDM,810528,SCREW LOCK 4MM ST WSTARD,250.0,250.0,13.25,300.0,20
CDM,810529,SCREW BN 4MM 3.4MM 60MM,250.0,250.0,13.25,300.0,20
CDM,810530,SCREW LOCK 4MM ST WSTARD,250.0,250.0,13.25,300.0,20
CDM,810531,REAMER HEAD 12.5MM DISP,5364.0,5364.0,284.29,6436.8,49
CDM,810533,SCREW BN 4MM 26MM,250.0,250.0,13.25,300.0,20
CDM,810534,SCREW BN LCK 4MM 28MM,250.0,250.0,13.25,300.0,20
CDM,810547,SCREW BN CNDR 5X4.4X35MM,326.0,326.0,17.28,391.2,20
CDM,810553,SCREW BN 5MM 4.4MM 60MM,326.0,326.0,17.28,391.2,20
CDM,810558,SCREW BN 5MM 4.4MM 85MM,326.0,326.0,17.28,391.2,20
CDM,810560,SCREW BN 5MM 4.4MM 95MM,326.0,326.0,17.28,391.2,20
CDM,810646,CANNULA BTN 8MM 3CM,1572.0,1572.0,83.32,1886.4,49
CDM,810654,SCR XIA 03820630,1867.42,1867.42,98.97,2240.9,20
CDM,810658,SCREW BN XIA 0382-0650,1867.42,1867.42,98.97,2240.9,20
CDM,810659,SCRW SPN 6.5X55 03820655,1867.42,1867.42,98.97,2240.9,20
CDM,810660,SCREW BN XIA 0382-0735,1867.42,1867.42,98.97,2240.9,20
CDM,810661,SCRW XIA 7.5X40 03820740,1867.42,1867.42,98.97,2240.9,20
CDM,810667,CONNECTOR XIA AXIAL SS,885.08,885.08,46.91,1062.1,20
CDM,810668,HK LAMINER SCOLI XIA,1583.64,1583.64,83.93,1900.37,20
CDM,810672,SCREW MNOAXL 5.5X40MM,1837.64,1837.64,97.39,2205.17,20
CDM,810673,SCREW MNOAXL 7.5 X60MM,1837.64,1837.64,97.39,2205.17,20
CDM,810678,BURR HOLE 18MM,1008.0,1008.0,53.42,1209.6,49
CDM,810682,SCREW 1.9MMX4MM,69.6,69.6,3.69,83.52,20
CDM,810684,SCREW 1.9X4MM NEURO,70.0,70.0,3.71,84.0,20
CDM,810685,SCREW BN CRNL TI 1.9X5MM,70.0,70.0,3.71,84.0,20
CDM,810690,CLIP LIGATING SM,5.0,5.0,0.27,6.0,20
CDM,810692,CLIP LIGATING SM,16.0,16.0,0.85,19.2,20
CDM,810694,CLIP LIGATING MED,5.0,5.0,0.27,6.0,20
CDM,810695,CLIP LIGATING MED,386.0,386.0,20.46,463.2,20
CDM,810697,CLIP LIGATING LG,10.0,10.0,0.53,12.0,20
CDM,810700,DRESSING TRNS 10X18CM,262.0,262.0,13.89,314.4,49
CDM,810703,SCREWDRIVER 9MM W/BLD LG,2009.28,2009.28,106.49,2411.14,49
CDM,810725,STAY ELASTIC RETR 12MM,303.0,303.0,16.06,363.6,49
CDM,810743,SCREW SPN 5.5X35MM XIA,2163.1,2163.1,114.64,2595.72,20
CDM,810754,KIT NURSTMR ITREL PAIN C,390.0,390.0,20.67,468.0,20
CDM,810756,SCREW SPN 7.5X55MM XIA,2163.1,2163.1,114.64,2595.72,20
CDM,810777,HEAD HIP 28MM 39MM,900.0,900.0,47.7,1080.0,20
CDM,810779,HEAD FEM HIP 28MM 41MM,900.0,900.0,47.7,1080.0,20
CDM,810780,HEAD HIP 28MM 42MM,900.0,900.0,47.7,1080.0,20
CDM,810781,HEAD FEM HIP 28MM 43MM,900.0,900.0,47.7,1080.0,20
CDM,810782,HEAD FEM HIP 0D 28X44MM,900.0,900.0,47.7,1080.0,20
CDM,810783,HEAD FEM HIP 28X45MM,900.0,900.0,47.7,1080.0,20
CDM,810784,HEAD HIP 28MM 46MM,900.0,900.0,47.7,1080.0,20
CDM,810785,HEAD FEM HIP 28MM 47MM,900.0,900.0,47.7,1080.0,20
CDM,810787,HEAD FEM HIP 49MM 28MM,900.0,900.0,47.7,1080.0,20
CDM,810788,HEAD BIP HIP 28MM 50MM,900.0,900.0,47.7,1080.0,20
CDM,810789,HEAD FEM HIP 28MM 51MM,900.0,900.0,47.7,1080.0,20
CDM,810790,HEAD FEM HIP 28MM 52MM,900.0,900.0,47.7,1080.0,20
CDM,810793,HEAD FEM HIP 28X55MM,900.0,900.0,47.7,1080.0,20
CDM,810794,HEAD HIP 28MM 56MM,900.0,900.0,47.7,1080.0,20
CDM,810904,RING ACTB HIP 62MM 74MM,333.0,333.0,17.65,399.6,20
CDM,810938,MARKER BX SITE 12GA 13CM,110.0,110.0,5.83,132.0,20
CDM,810946,HEAD FEM HIP +1.5X28,700.0,700.0,37.1,840.0,20
CDM,810947,HEAD FEM HIP 28MM +5MM,700.0,700.0,37.1,840.0,20
CDM,810948,HEAD FEM HIP +8.5MM 28MM,700.0,700.0,37.1,840.0,20
CDM,810949,HEAD FEM HIP +12S 28MM,700.0,700.0,37.1,840.0,20
CDM,810952,HEAD HIP 12/14 +5 32MM,700.0,700.0,37.1,840.0,20
CDM,810954,HEAD FEM HIP +13 32MM,700.0,700.0,37.1,840.0,20
CDM,810957,HEAD HIP 12/14 22.225MM,700.0,700.0,37.1,840.0,20
CDM,810963,CNTRLZR STM HIP 10.5MM,110.0,110.0,5.83,132.0,20
CDM,811031,CATH EP MED/CR110CMX2MM,7014.0,7014.0,371.74,8416.8,49
CDM,811082,STEM CNTRLZR DIST 18MM,53.0,53.0,2.81,63.6,20
CDM,811511,CATH BLNDIL 3MM 30MM,2564.0,2564.0,135.89,3076.8,49
CDM,811514,CATH BLNDIL 3.5MM 30MM,2564.0,2564.0,135.89,3076.8,49
CDM,811538,ELECTRODE ESURG 105CM 3F,2460.0,2460.0,130.38,2952.0,49
CDM,811565,BIT DRILL 3.2MM 300MM,2054.0,2054.0,108.86,2464.8,49
CDM,811579,ICD MDT VIRTUOSO II DF-1,22850.0,22850.0,1211.05,27420.0,20
CDM,811580,DEFIB CARD CNCRTO 2 STD,32000.0,32000.0,1696.0,38400.0,20
CDM,811595,EXTRACTOR SURG NAIL,5941.0,5941.0,314.87,7129.2,49
CDM,811606,ELECTRODE ESURG 24/26FR,2564.0,2564.0,135.89,3076.8,49
CDM,811607,ELECTRODE MNPLR STRL,2564.0,2564.0,135.89,3076.8,49
CDM,811608,ELECTRODE RLBL 24F 3MM,2564.0,2564.0,135.89,3076.8,49
CDM,811609,ELECTRODE MNPLR 3MM,2564.0,2564.0,135.89,3076.8,49
CDM,811613,KNIFE EXCPC UTOME CLD,2564.0,2564.0,135.89,3076.8,49
CDM,811614,KNIFE ENDO HLF RND DISP,2564.0,2564.0,135.89,3076.8,49
CDM,811623,SCREW BN 95MM 90MM,1309.0,1309.0,69.38,1570.8,20
CDM,811644,CEMENT BN 40GM 20ML,102.0,102.0,5.41,122.4,20
CDM,811645,CEMENT BN PMMA FULL DOSE,102.0,102.0,5.41,122.4,20
CDM,811715,CANNULA BTN 8MM 4CM,1206.0,1206.0,63.92,1447.2,49
CDM,811733,SCREW 6.5X40MM,1413.2,1413.2,74.9,1695.84,20
CDM,811755,HEAD HEMI 46MM,5292.0,5292.0,280.48,6350.4,20
CDM,811775,LEAD SPRNT FDLS 694958,9000.0,9000.0,477.0,10800.0,20
CDM,811792,ROD SPN GRY 40MM 5.5MM,360.0,360.0,19.08,432.0,20
CDM,811794,SCREW BN 110MM 105MM,1387.0,1387.0,73.51,1664.4,20
CDM,811796,PORT IMPL INFSN 8FR,500.0,500.0,26.5,600.0,20
CDM,811799,KIT CATH EXP 5IN 6IN,1749.0,1749.0,92.7,2098.8,49
CDM,811802,SUTURE ENS EC11,675.0,675.0,35.77,810.0,49
CDM,811803,SUTURE GRN BRD 2-0 43IN,615.0,615.0,32.59,738.0,49
CDM,811806,PLEDGET CV 9.5X4.8X1.5MM,238.0,238.0,12.61,285.6,49
CDM,811808,MESH SURG 4.5CM 10CM,523.0,523.0,27.72,627.6,20
CDM,811812,STAPLER INT 100MM,2564.0,2564.0,135.89,3076.8,49
CDM,811821,PCR KPPA DR KDR403,8112.0,8112.0,429.94,9734.4,20
CDM,811834,TUBING IRR SYS PK,1087.0,1087.0,57.61,1304.4,49
CDM,811847,DRAIN WND ROUND 19FR,2564.0,2564.0,135.89,3076.8,49
CDM,811848,DRAIN WND ROUND 19FR,2540.0,2540.0,134.62,3048.0,49
CDM,811855,RING FULL CRC EXFX 130MM,2926.51,2926.51,155.11,3511.81,49
CDM,811870,SCREW BN CANN P-T7X75X16,492.0,492.0,26.08,590.4,20
CDM,811871,SCREW BN 7MM 80MM,492.0,492.0,26.08,590.4,20
CDM,811872,SCREW BN 7MM 85MM,492.0,492.0,26.08,590.4,20
CDM,811873,SCREW BN 7MM 90MM 16MM,382.0,382.0,20.25,458.4,20
CDM,811874,SCREW BN CNN P-T7X100X16,2564.0,2564.0,135.89,3076.8,20
CDM,811876,SCREW BN CANN P-T7X50X16,382.0,382.0,20.25,458.4,20
CDM,811877,SCREW BN 7MM 95MM,382.0,382.0,20.25,458.4,20
CDM,811878,PIN GD THRD 300X1.9 SCRW,1232.0,1232.0,65.3,1478.4,49
CDM,811879,PIN GD THRD 300X3.2 SCRW,1232.0,1232.0,65.3,1478.4,49
CDM,811883,WASHER BN 4MM 8MM,70.0,70.0,3.71,84.0,20
CDM,811886,NAIL LT HIP IM 10X34X130,3760.68,3760.68,199.32,4512.82,20
CDM,811894,SUTURE TGRTAPE SZ2 7IN,100.0,100.0,5.3,120.0,20
CDM,811896,TUBE TRACH 39MM 4.5MM 3M,776.0,776.0,41.13,931.2,49
CDM,811899,TUBE TRCH NEONATAL 4.0,776.0,776.0,41.13,931.2,49
CDM,811901,TUBE UNCUFF 41X5.9X4MM,776.0,776.0,41.13,931.2,49
CDM,811902,TUBE TRACH 42MM 6.5MM 4.,776.0,776.0,41.13,931.2,49
CDM,811903,TUBE TRACH 120D 44MM,776.0,776.0,41.13,931.2,49
CDM,811904,TUBE TRACH 5.5MM,776.0,776.0,41.13,931.2,49
CDM,811917,ROD GDE L950MM OD3.0MM W,2564.0,2564.0,135.89,3076.8,49
CDM,811922,CLAMP EX FIX 4MM,5941.0,5941.0,314.87,7129.2,49
CDM,811923,CAP PROTCT EX FIX 8MM,98.0,98.0,5.19,117.6,49
CDM,811924,ROD EX FIX 8MM 200MM,2564.0,2564.0,135.89,3076.8,49
CDM,811925,ROD CFBR EX FX 8X220MM,2564.0,2564.0,135.89,3076.8,49
CDM,811926,ROD CFBR EX FX 8X240MM,2564.0,2564.0,135.89,3076.8,49
CDM,811929,NAIL IM TI 10X340,3020.0,3020.0,160.06,3624.0,20
CDM,811947,CAP END TI STRL F/DIST F,380.0,380.0,20.14,456.0,20
CDM,811954,CUTTER SUT PUSHER,2564.0,2564.0,135.89,3076.8,49
CDM,811961,SHELL ACTB HIP 3HL 50MM,1800.0,1800.0,95.4,2160.0,20
CDM,811966,LINER ACTB HIP 32MM 50MM,1100.0,1100.0,58.3,1320.0,20
CDM,811967,LEAD SLT PCTP 4034,1140.0,1140.0,60.42,1368.0,20
CDM,811978,FORCEP BX 1 PRNH URO,3382.0,3382.0,179.25,4058.4,49
CDM,812009,STENT BIL 8FR 10X80MM,3300.0,3300.0,174.9,3960.0,20
CDM,812024,LNR R3 COCR 4456MM 1,1860.0,1860.0,98.58,2232.0,20
CDM,812025,LINER ACETAB R3 58x46MM,1860.0,1860.0,98.58,2232.0,20
CDM,812028,PROS PENL LKOUT VLV RSRV,2950.0,2950.0,156.35,3540.0,20
CDM,812029,PROSTHES PENL HYDRPHL 75,2950.0,2950.0,156.35,3540.0,20
CDM,812030,RSVR SCRT 100ML LKOUT,2480.0,2480.0,131.44,2976.0,20
CDM,812032,CYL & PMP SET 16,11070.0,11070.0,586.71,13284.0,20
CDM,812034,CYL & PMP SET 18,13728.0,13728.0,727.58,16473.6,20
CDM,812037,CYL & PMP SET 22,10270.0,10270.0,544.31,12324.0,20
CDM,812040,SET SCRT 20 CYL & PMP,10270.0,10270.0,544.31,12324.0,20
CDM,812045,BAG LEG DRAIN LRG 32OZ,69.0,69.0,3.66,82.8,49
CDM,812048,CATH BALLOON-DOUBLE 20FR,2564.0,2564.0,135.89,3076.8,49
CDM,812096,KIT CATH PRTNL 57CM,2564.0,2564.0,135.89,3076.8,49
CDM,812107,NAIL HUM CANN 9MM 240MM,2094.0,2094.0,110.98,2512.8,20
CDM,812135,BIT DRL GII 14.2 2.4,2070.0,2070.0,109.71,2484.0,49
CDM,812152,CANNULA PRFSN 14FR 18MM,2564.0,2564.0,135.89,3076.8,49
CDM,812155,CANNULA PRFSN 14FR 18MM,2564.0,2564.0,135.89,3076.8,49
CDM,812172,PLATE BN 3HL 77MM,1022.0,1022.0,54.17,1226.4,20
CDM,812173,PLATE BN 5HL 101X10X2MM,1022.0,1022.0,54.17,1226.4,20
CDM,812177,WAND SEALER W/LGT 11IN,5672.0,5672.0,300.62,6806.4,49
CDM,812189,SCREW BN 5MM 65MM,288.0,288.0,15.26,345.6,20
CDM,812190,SCREW BN 5MM 75MM,288.0,288.0,15.26,345.6,20
CDM,812191,SCREW BN 5MM 4.4MM 80MM,302.0,302.0,16.01,362.4,20
CDM,812192,SCREW BN 5MM 85MM,302.0,302.0,16.01,362.4,20
CDM,812193,SCREW BN 5MM 4.4MM 90MM,302.0,302.0,16.01,362.4,20
CDM,812211,CANNULA PRFSN 20FR 12IN,1544.0,1544.0,81.83,1852.8,49
CDM,812212,CANNULA PRFSN 22FR 12IN,1544.0,1544.0,81.83,1852.8,49
CDM,812222,PLUG VASC 7MM 10MM,1664.0,1664.0,88.19,1996.8,20
CDM,812223,SCREW BN CORT 3.5X18MM,170.0,170.0,9.01,204.0,20
CDM,812228,HEAD FEM HIP 12/14 28MM,1300.0,1300.0,68.9,1560.0,20
CDM,812230,HEAD FEM HIP 12/14 32MM,1300.0,1300.0,68.9,1560.0,20
CDM,812232,HEAD FEM HIP -3.5/36MM,1300.0,1300.0,68.9,1560.0,20
CDM,812237,HEAD FEM HIP 12/14MM,1300.0,1300.0,68.9,1560.0,20
CDM,812241,SCREW BN CRNL SD 1.9X4MM,85.0,85.0,4.5,102.0,20
CDM,812247,PLATE BN LRG 4HL,902.0,902.0,47.81,1082.4,20
CDM,812271,GWIRE VASC 300CM .014IN,2450.0,2450.0,129.85,2940.0,49
CDM,812282,SLEEVE HIP ADPTR 4MM,110.0,110.0,5.83,132.0,20
CDM,812287,BASEPLATE TIB SZ3,2000.0,2000.0,106.0,2400.0,20
CDM,812288,BASEPLATE TIB KN SZ6,2000.0,2000.0,106.0,2400.0,20
CDM,812323,SCREW CANN THRD 3.0 10,336.0,336.0,17.81,403.2,20
CDM,812331,NAIL BN IM 2.0MM 440MM,531.0,531.0,28.14,637.2,20
CDM,812332,NAIL BN 2.5MM 440MM,572.0,572.0,30.32,686.4,20
CDM,812333,NAIL BN 3MM 44MM,604.0,604.0,32.01,724.8,20
CDM,812334,NAIL BN 3.5MM 440MM,640.0,640.0,33.92,768.0,20
CDM,812335,NAIL BN 4MM 440MM,686.0,686.0,36.36,823.2,20
CDM,812344,INSERT ORTH 18MM XS UNV,6365.0,6365.0,337.35,7638.0,20
CDM,812345,PCMKR CRD VENTRC 2 58X52,13190.0,13190.0,699.07,15828.0,20
CDM,812351,RELOAD STPLR 3.5X45MM,233.0,233.0,12.35,279.6,20
CDM,812364,ANCHOR SUT 5.5MM 19.1MM,800.0,800.0,42.4,960.0,20
CDM,812370,SCREW BN 3.5MM 28MM,200.0,200.0,10.6,240.0,20
CDM,812375,DRVR HEX FEM SET SCR 2MM,2441.0,2441.0,129.37,2929.2,49
CDM,812380,FORCEPS BIP 33CM 5MM,3794.0,3794.0,201.08,4552.8,49
CDM,812384,KNIFE OPTH BLD 5MM,210.0,210.0,11.13,252.0,49
CDM,812389,CYSTOTOME EYE 25GA,126.0,126.0,6.68,151.2,49
CDM,812402,BANDAGE COMP 9X5IN,382.0,382.0,20.25,458.4,49
CDM,812425,ELECTRODE ESURG 6.5IN,177.0,177.0,9.38,212.4,49
CDM,812426,ELECTRODE ESURG 3IN,108.0,108.0,5.72,129.6,49
CDM,812443,ELECTRODE ESURG PNCL 10',153.0,153.0,8.11,183.6,49
CDM,812446,COAG SUC 8FR 6IN,337.0,337.0,17.86,404.4,49
CDM,812459,SET TUBING IRR HYDRO SUR,4088.0,4088.0,216.66,4905.6,49
CDM,812461,PLATE SPN ANCH MED,5120.0,5120.0,271.36,6144.0,20
CDM,812474,PATCH SURG MFL 6.4CM,1590.0,1590.0,84.27,1908.0,20
CDM,812478,LEAD PCNG 52CM,794.0,794.0,42.08,952.8,20
CDM,812479,LEAD ENDO PACING,794.0,794.0,42.08,952.8,20
CDM,812480,STEM FEM HIP SZ3 108MM,2800.0,2800.0,148.4,3360.0,20
CDM,812483,PARTICLES EMBL 700-900UM,516.0,516.0,27.35,619.2,20
CDM,812505,PROS PENILE INFL 18CM,13728.0,13728.0,727.58,16473.6,20
CDM,812529,BUSHNG KN FEM SM,410.0,410.0,21.73,492.0,20
CDM,812530,AXLE FEM KN GMRS SM,1358.0,1358.0,71.97,1629.6,20
CDM,812571,ROD SPN 70MM,360.0,360.0,19.08,432.0,20
CDM,812576,HEAD HIP +0MM 40MM,1400.0,1400.0,74.2,1680.0,20
CDM,812591,PLATE BN LT 4HL 86MM,1079.0,1079.0,57.19,1294.8,20
CDM,812629,PROSTH PENL PUMP PS 15CM,21520.0,21520.0,1140.56,25824.0,20
CDM,812639,RELOAD STPLR 45MM,188.0,188.0,9.96,225.6,20
CDM,812640,RELOAD STPLR 45MM,192.0,192.0,10.18,230.4,20
CDM,812691,PLATE BN CALC MED,1190.0,1190.0,63.07,1428.0,20
CDM,812704,KIT SPNL XLIF NRVSN DIL,5941.0,5941.0,314.87,7129.2,49
CDM,812725,MESH HRN LT 6.7X4.8IN,871.0,871.0,46.16,1045.2,20
CDM,812726,MESH HRN RT 6.7X4.8IN,832.0,832.0,44.1,998.4,20
CDM,812940,STEM FEM KN 17X100MM,1659.0,1659.0,87.93,1990.8,20
CDM,812951,NRSTM IMPL RESTORE ULT,30000.0,30000.0,1590.0,36000.0,20
CDM,812958,CATH URET 5FR 70CM,285.0,285.0,15.11,342.0,49
CDM,812960,CATH URET 5FR 70CM,300.0,300.0,15.9,360.0,49
CDM,812968,SHUNT CV TEMP 1.5MM,5502.0,5502.0,291.61,6602.4,49
CDM,812969,SHUNT CARDI TEMP 1.75MM,5502.0,5502.0,291.61,6602.4,49
CDM,812970,SHUNT CV TEMP 2MM,5502.0,5502.0,291.61,6602.4,49
CDM,812971,SHUNT FLOCOIL 2.0 LONG,5502.0,5502.0,291.61,6602.4,49
CDM,812972,SHUNT CV TEMP 2.25MM,5502.0,5502.0,291.61,6602.4,49
CDM,812973,SHNT CV TEMP 2.5MM,5502.0,5502.0,291.61,6602.4,49
CDM,812974,SHUNT CV TEMP 2.75MM,5502.0,5502.0,291.61,6602.4,49
CDM,812984,BASEPLATE KN TIB RT SZ6,1800.0,1800.0,95.4,2160.0,20
CDM,812985,CMPNT PTLR KN 13X26MM,500.0,500.0,26.5,600.0,20
CDM,812986,MESH SURG 5.5X12.8CM,523.0,523.0,27.72,627.6,20
CDM,813042,SCREW BN 3.5MM 26MM,120.0,120.0,6.36,144.0,20
CDM,813087,HUMERAL CUFF MED,923.0,923.0,123.68,1107.6,24
CDM,813100,GWIRE VASC .035IN 150CM,490.0,490.0,25.97,588.0,49
CDM,813106,GWIRE VASC .035IN 260CM,545.0,545.0,28.89,654.0,49
CDM,813116,STEM HUMERAL 12X200,4856.0,4856.0,257.37,5827.2,20
CDM,813124,PUNCH AOR BLT 4.5MM 8IN,1068.0,1068.0,56.6,1281.6,49
CDM,813164,LEAD PCNG 6.6FR 35CM,990.0,990.0,52.47,1188.0,20
CDM,813179,KIT CATH SFST RT HND,950.0,950.0,50.35,1140.0,49
CDM,813183,TUBING PRSS MNTR 24IN,222.0,222.0,11.77,266.4,49
CDM,813191,TUBING PRESSURE 84,47.0,47.0,2.49,56.4,49
CDM,813194,KIT PRSS MNTR STPCK 3W,444.0,444.0,23.53,532.8,49
CDM,813198,CATH EP L160 HALO ABLT,16982.0,16982.0,900.05,20378.4,49
CDM,813207,ROD EX FIX YLW 100MM,2564.0,2564.0,135.89,3076.8,49
CDM,813223,DEVICE FX 25 STRAP 5MM,954.0,954.0,50.56,1144.8,20
CDM,813225,LENS IOL +18.0 DIOP,2564.0,2564.0,264.09,3076.8,31
CDM,813273,KIT WND DRN 400CC 1/8IN,290.0,290.0,15.37,348.0,49
CDM,813275,KIT WND DRN RND12X3/15IN,290.0,290.0,15.37,348.0,49
CDM,813277,DRAIN SIL RND 7FR 3/32IN,394.0,394.0,20.88,472.8,49
CDM,813281,DRAIN INCS 3/16IN 49IN,255.0,255.0,13.52,306.0,49
CDM,813285,DRAIN WND 7IN 20IN,170.0,170.0,9.01,204.0,49
CDM,813286,DRAIN WND 10IN 20IN,165.0,165.0,8.74,198.0,49
CDM,813287,EVACUATR WND DRN 100CC,138.0,138.0,7.31,165.6,49
CDM,813291,DRAIN INC SIL 5/8IN 15IN,825.0,825.0,43.73,990.0,49
CDM,813310,TUBE-T WMOSS 14FR 18FR,282.0,282.0,14.95,338.4,49
CDM,813313,DRAIN INCS .25IN 18IN,67.0,67.0,3.55,80.4,49
CDM,813320,DRAIN INCS 1IN 18IN,159.0,159.0,8.43,190.8,49
CDM,813327,MESH PRFX XL 1.6IN 2IN,701.0,701.0,37.15,841.2,20
CDM,813333,SLING ORTH ARM 2XS,117.0,117.0,6.2,140.4,49
CDM,813337,GWIRE VASC 190CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,813358,PATCH CV CLOSURE 7X15CM,2289.0,2289.0,121.32,2746.8,20
CDM,813371,CATH EP J CRV 5X120 6FR,2564.0,2564.0,135.89,3076.8,49
CDM,813372,CATH EP J CRV 10X120 5FR,2564.0,2564.0,135.89,3076.8,49
CDM,813373,CATH EP J 2-5-2X120 5FR,2564.0,2564.0,135.89,3076.8,49
CDM,813375,CATH EP 7FR 95CM,5946.0,5946.0,315.14,7135.2,49
CDM,813378,INTRODUCE STD.038X12 5FR,356.0,356.0,18.87,427.2,49
CDM,813385,INTRO SHTH 14FR 12CM,904.0,904.0,47.91,1084.8,49
CDM,813386,INTRO SHTH 12FR 12CM,904.0,904.0,47.91,1084.8,49
CDM,813387,INTRO SHTH 7FR 12CM,415.0,415.0,22.0,498.0,49
CDM,813390,INTRO GUID 8FR 63CM,2564.0,2564.0,135.89,3076.8,49
CDM,813395,INTRO GUID 8.5FR 63CM,2564.0,2564.0,135.89,3076.8,49
CDM,813397,INTRO GUID 8.5FR 60CM,2564.0,2564.0,135.89,3076.8,49
CDM,813401,NEEDLE TRNSPTL 18GA 71CM,2564.0,2564.0,135.89,3076.8,49
CDM,813410,TOOL WRENCH TORQUE,615.0,615.0,32.59,738.0,49
CDM,813419,LEAD EXCEL SS+ IML49B52,1300.0,1300.0,68.9,1560.0,20
CDM,813425,LEAD PCNG 60CM,794.0,794.0,42.08,952.8,20
CDM,813495,GWIRE ORTHO 1.4X150MM,2035.0,2035.0,107.86,2442.0,49
CDM,813502,CATH ANGIO MUL 6FR 145CM,784.0,784.0,41.55,940.8,49
CDM,813505,CATH ATHR 1.25MM 135CM,7604.0,7604.0,403.01,9124.8,49
CDM,813506,CATH ATHR 1.5MM 135CM,7604.0,7604.0,403.01,9124.8,49
CDM,813507,CTH ATHER 1.75MM 135CM,7604.0,7604.0,403.01,9124.8,49
CDM,813508,CTH ATHER 2MM 135CM,7604.0,7604.0,403.01,9124.8,49
CDM,813527,SCREW BN 6.5 100 SS LCK,1430.0,1430.0,75.79,1716.0,20
CDM,813537,GWIRE VASC 9MM 145CM,358.0,358.0,18.97,429.6,49
CDM,813553,GWIRE VASC .014IN 300CM,2516.0,2516.0,133.35,3019.2,49
CDM,813554,GWIRE VASC .014IN 182CM,2516.0,2516.0,133.35,3019.2,49
CDM,813555,GWIRE VASC .014IN 182CM,2564.0,2564.0,135.89,3076.8,49
CDM,813561,TUBE NG 48IN 18FR STOM 1,41.0,41.0,2.17,49.2,49
CDM,813563,CONN TBG 1/8IN 1/4IN,26.0,26.0,1.38,31.2,49
CDM,813586,CTHDX TMP+ 4F BRNST 100,563.0,563.0,29.84,675.6,49
CDM,813587,CATH BERNSTEIN 4FRX65,563.0,563.0,29.84,675.6,49
CDM,813601,CATH ANGIO 5FR 100CM,563.0,563.0,29.84,675.6,49
CDM,813602,CATH ANGIO 5FR 100CM,744.0,744.0,39.43,892.8,49
CDM,813612,GWIRE VASC .035IN 260CM,505.0,505.0,26.77,606.0,49
CDM,813614,GWIRE VASC .035IN 150CM,461.0,461.0,24.43,553.2,49
CDM,813615,GWIRE VASC .035IN 150CM,461.0,461.0,24.43,553.2,49
CDM,813616,GWIRE VASC .025IN 150CM,461.0,461.0,24.43,553.2,49
CDM,813617,GW EMRLD 035 175 TRNRDL,466.0,466.0,24.7,559.2,49
CDM,813618,GWIRE VASC .035IN 150CM,466.0,466.0,24.7,559.2,49
CDM,813620,GWIRE VASC .035IN 260CM,556.0,556.0,29.47,667.2,49
CDM,813623,GW VASC EMRLD 150 .035,466.0,466.0,24.7,559.2,49
CDM,813638,SHEATH INTRO GW 4F 11CM,1479.0,1479.0,78.39,1774.8,49
CDM,813640,SHEATH INTRO 5F 23CM,697.0,697.0,36.94,836.4,49
CDM,813641,SHEATH INTRO GW 5F 11CM,217.0,217.0,11.5,260.4,49
CDM,813644,SHEATH INTRO 6F 23CM,697.0,697.0,36.94,836.4,49
CDM,813645,SHEATH INTRO GW 6F 11CM,296.0,296.0,15.69,355.2,49
CDM,813647,SHEATH INTRO GW 7F 11CM,1479.0,1479.0,78.39,1774.8,49
CDM,813652,SHEATH INTRO GW 9F 11CM,296.0,296.0,15.69,355.2,49
CDM,813653,SHEATH INTRO 10F 23CM,697.0,697.0,36.94,836.4,49
CDM,813654,SHEATH INTRO GW 10F 11CM,296.0,296.0,15.69,355.2,49
CDM,813658,SHEATH INTRO GW 11F 11CM,296.0,296.0,15.69,355.2,49
CDM,813671,CTHDX ST+CER 5F SIM2 100,2564.0,2564.0,135.89,3076.8,49
CDM,813703,CATH ANGIO 5FR 100CM,370.0,370.0,19.61,444.0,49
CDM,813704,CATH ANGIO 5FR 100CM,370.0,370.0,19.61,444.0,49
CDM,813705,CATH ANGIO 5FR 100CM,370.0,370.0,19.61,444.0,49
CDM,813706,CATH ANGIO 5FR 100CM,370.0,370.0,19.61,444.0,49
CDM,813707,CATH ANGIO 5FR 100CM,370.0,370.0,19.61,444.0,49
CDM,813712,CATH ANGIO 5FR 100CM,300.0,300.0,15.9,360.0,49
CDM,813715,CATH ANGIO 5F MPA 125CM,370.0,370.0,19.61,444.0,49
CDM,813716,CATH ANGIO 5FR 100CM,370.0,370.0,19.61,444.0,49
CDM,813720,CATH ANGIO 5FR 110CM,370.0,370.0,19.61,444.0,49
CDM,813721,CATH ANGIO 5FR 110CM,370.0,370.0,19.61,444.0,49
CDM,813722,CATH ANGIO 5FR 100CM,300.0,300.0,15.9,360.0,49
CDM,813725,CATH ANGIO 5FR 100CM,370.0,370.0,19.61,444.0,49
CDM,813729,CTHDX ANGIO 6F JL4.5 100,370.0,370.0,19.61,444.0,49
CDM,813730,CATH ANGIO 3.5FR 100CM,370.0,370.0,19.61,444.0,49
CDM,813732,CATH ANGIO 6F JL5,370.0,370.0,19.61,444.0,49
CDM,813733,CTHDX INFN 6F JR5 100,370.0,370.0,19.61,444.0,49
CDM,813734,CATH ANGIO 6FR 100CM,370.0,370.0,19.61,444.0,49
CDM,813738,CTHDX INFN 6F ARMOD 100,370.0,370.0,19.61,444.0,49
CDM,813742,CATH ANGIO 4.0FR 100CM,361.0,361.0,19.13,433.2,49
CDM,813744,CATH ANGIO 4.0FR 100CM,361.0,361.0,19.13,433.2,49
CDM,813745,CATHDX ANGI JR4 F4 100CM,361.0,361.0,19.13,433.2,49
CDM,813749,CATH ANGIO ARMOD 100CM,361.0,361.0,19.13,433.2,49
CDM,813752,CATH ANGO 4.0FR 100CM,369.0,369.0,19.56,442.8,49
CDM,813808,CATH GD 5FR 90CM,5941.0,5941.0,314.87,7129.2,49
CDM,813835,CTHGD VBT 7F 078 XB3 100,1432.0,1432.0,75.9,1718.4,49
CDM,813908,BIT DRILL 2.3MM 30MM,2412.0,2412.0,127.84,2894.4,49
CDM,813915,CATH ART 4LUM 7FR 110CM,2450.0,2450.0,129.85,2940.0,49
CDM,813916,CTHSG THRMD ART7F110 HEP,719.99,719.99,38.16,863.99,49
CDM,813922,SYST THERM INJ RTEMP10ML,559.0,559.0,29.63,670.8,49
CDM,813927,HEAD FEM HIP +0X32MM,1300.0,1300.0,68.9,1560.0,20
CDM,813941,RELOAD STPLR 45MM,191.0,191.0,10.12,229.2,20
CDM,813947,CATH GD 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,813948,CATH GD 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,813949,CATH GD 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,813954,CATH GD AL1 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,813955,CTHGD VB70 6F AL1.5,1538.0,1538.0,81.51,1845.6,49
CDM,813956,CATH GD 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,813959,CTHGD VBT 6X070XB3SH 100,1538.0,1538.0,81.51,1845.6,49
CDM,813960,CATH GD XB4.5 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,813963,CATH GD 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,813964,CATH GD XB3 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,813965,CATH GD 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,813967,CATH GD JR5 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,813969,CTHGD VBT 6X070AR2SH 100,1538.0,1538.0,81.51,1845.6,49
CDM,813972,CTHGD VBT 6X070 3DRC,1538.0,1538.0,81.51,1845.6,49
CDM,813976,CATH GD 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,813977,CATH GD MPA1 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,813978,CATH GD 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,813988,PATCH HERN 4.3CM,1329.0,1329.0,70.44,1594.8,20
CDM,814003,CATHGD VBT 6X070HSTK 100,1538.0,1538.0,81.51,1845.6,49
CDM,814006,CATHGD XBLADE4 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,814010,CATH GD 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,814011,CTHGD VBT 6X070JL4.5 100,1538.0,1538.0,81.51,1845.6,49
CDM,814012,CATH GD 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,814014,CATH GD JR4 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,814015,CATH GD XB3.5 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,814024,CATH GD AL2 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,814025,CTHGD VBT 6F 070 AL3 100,1538.0,1538.0,81.51,1845.6,49
CDM,814028,CTHGD VBT 6F 070 LCB 100,1538.0,1538.0,81.51,1845.6,49
CDM,814029,CTHGD VBT 6F 070 RCB 100,1538.0,1538.0,81.51,1845.6,49
CDM,814038,SHEATH GD 7FR 45CM,2564.0,2564.0,135.89,3076.8,49
CDM,814047,SUTURE GUT 3-0 18IN,6.0,6.0,0.32,7.2,49
CDM,814049,SUTURE BLK BRD 0 60IN,34.0,34.0,1.8,40.8,49
CDM,814051,SUTURE NONDL 2-0 2X60IN,35.0,35.0,1.85,42.0,49
CDM,814052,SUT NABS GRN/WH 2-0 30IN,1501.0,1501.0,79.55,1801.2,49
CDM,814054,SUTURE SH 3-0 8X18IN,224.0,224.0,11.87,268.8,49
CDM,814056,SUTURE NONDL 2-0 12X18IN,410.0,410.0,21.73,492.0,49
CDM,814058,SUTURE GUT 1 18IN,396.0,396.0,20.99,475.2,49
CDM,814062,SUTURE SS 7 18IN,190.0,190.0,10.07,228.0,49
CDM,814063,PLEDGET CV 7X3.5X1.5MM,79.0,79.0,4.19,94.8,49
CDM,814066,SUTURE GRN BRD 2-0 36IN,118.0,118.0,6.25,141.6,49
CDM,814067,SUTURE SS 4 18IN,2221.0,2221.0,117.71,2665.2,49
CDM,814071,SUTURE SS 2 18IN,176.0,176.0,9.33,211.2,49
CDM,814072,SUTURE SS 1 18IN,183.0,183.0,9.7,219.6,49
CDM,814074,SUTURE SS 0 18IN,2054.0,2054.0,108.86,2464.8,49
CDM,814075,SUTURE SS 2-0 18IN,183.0,183.0,9.7,219.6,49
CDM,814080,SUTURE SS 2-0 24IN,312.0,312.0,16.54,374.4,49
CDM,814084,WAX BN 2.5GM,141.0,141.0,7.47,169.2,49
CDM,814085,SUTURE SS 2-0 24IN,611.0,611.0,32.38,733.2,49
CDM,814088,SUTURE MO-7 0 8X18D,356.0,356.0,18.87,427.2,49
CDM,814090,SUTURE GRN BRD 5 30IN,494.0,494.0,26.18,592.8,49
CDM,814091,SUTURE BP-1 0 1X27IN,297.0,297.0,15.74,356.4,49
CDM,814093,SUTURE GUT 3-0 27IN,128.0,128.0,6.78,153.6,49
CDM,814094,SUTURE GRN BRD 2-0 30IN,2103.0,2103.0,111.46,2523.6,49
CDM,814096,SUTURE GUT 2-0 27IN,129.0,129.0,6.84,154.8,49
CDM,814103,SUTURE V-37 5 4X30IN,448.0,448.0,23.74,537.6,49
CDM,814105,SUTURE V-37 2 4X30IN,444.0,444.0,23.53,532.8,49
CDM,814107,SUTURE BLK BRD 4-0 30IN,2185.0,2185.0,115.81,2622.0,49
CDM,814109,SUTURE NONDL 3-0 10X30IN,53.0,53.0,2.81,63.6,49
CDM,814111,SUTURE NO NDL 0 10X30IN,54.0,54.0,2.86,64.8,49
CDM,814112,STAPLER INT 30MM,2562.0,2562.0,135.79,3074.4,49
CDM,814113,STAPLER INT 30MM,2542.0,2542.0,134.73,3050.4,49
CDM,814116,STAPLER INT 60MM,2564.0,2564.0,135.89,3076.8,49
CDM,814117,STAPLER INT 60MM,2564.0,2564.0,135.89,3076.8,49
CDM,814118,RELOAD STPLR 30MM,65.0,65.0,3.44,78.0,20
CDM,814119,RELOAD STPLR 30MM,65.0,65.0,3.44,78.0,20
CDM,814120,RELOAD STPLR 30MM,67.0,67.0,3.55,80.4,20
CDM,814125,RELOAD STPLR 60MM,70.0,70.0,3.71,84.0,20
CDM,814127,MESH VCRYL 12X12,1525.0,1525.0,80.83,1830.0,20
CDM,814128,SUTURE GUT 4-0 54IN,1292.0,1292.0,68.48,1550.4,49
CDM,814138,SUTURE POLY SZ 0 18IN,999.0,999.0,52.95,1198.8,49
CDM,814139,SUTURE POLY SZ 0 18IN,3821.0,3821.0,202.51,4585.2,49
CDM,814144,SUTURE NO NDL 0 1X54IN,83.0,83.0,4.4,99.6,49
CDM,814147,SUTURE UND BRD 4-0 18IN,251.0,251.0,13.3,301.2,49
CDM,814148,SUTURE UND BRD 3-0 18IN,216.0,216.0,11.45,259.2,49
CDM,814149,SUTURE UND BRD 2-0 18IN,220.0,220.0,11.66,264.0,49
CDM,814150,SUTURE GUT 4-0 54IN,740.0,740.0,39.22,888.0,49
CDM,814159,SUT CHRM SZ 4-0 1X27IN,88.0,88.0,4.66,105.6,49
CDM,814161,SUTURE SH 3-0 1X27IN,85.0,85.0,4.5,102.0,49
CDM,814164,SUT CHRM 0 SH ABS 27IN,87.0,87.0,4.61,104.4,49
CDM,814166,SUTURE TP-1 1 1X96IN,116.0,116.0,6.15,139.2,49
CDM,814169,SUT CHRM 4-0SH-1ABS 27IN,87.0,87.0,4.61,104.4,49
CDM,814171,SUTURE BLK BRD 4-0 18IN,54.0,54.0,2.86,64.8,49
CDM,814173,SUTURE NONDL 3-0 12X18IN,46.0,46.0,2.44,55.2,49
CDM,814175,SUTURE NONDL 2-0 12X18IN,41.0,41.0,2.17,49.2,49
CDM,814177,SUTURE BLK BRD 0 18IN,21.0,21.0,1.11,25.2,49
CDM,814178,SUTURE GRN BRD 0 18IN,26.0,26.0,1.38,31.2,49
CDM,814182,SUTURE NYLON 0 18IN,24.0,24.0,1.27,28.8,49
CDM,814183,SUTURE BLK BRD 1-0 18IN,22.0,22.0,1.17,26.4,49
CDM,814186,SUTURE GRN BRD 1 36IN,70.0,70.0,3.71,84.0,49
CDM,814190,SUTURE CT-1 0 8X18IN,303.0,303.0,16.06,363.6,49
CDM,814191,SUTURE BLK MONO 0 18IN,2564.0,2564.0,135.89,3076.8,49
CDM,814192,SUTURE UND BRD 1 27IN,51.0,51.0,2.7,61.2,49
CDM,814193,SUTURE RB-1 5-0 1X27IN,88.0,88.0,4.66,105.6,49
CDM,814194,SUTURE RB-1 4-0 1X27IN,89.0,89.0,4.72,106.8,49
CDM,814195,SUTURE GUT 3-0 27IN,89.0,89.0,4.72,106.8,49
CDM,814197,SUTURE GRN BRD 5 30IN,547.0,547.0,28.99,656.4,49
CDM,814202,SUTURE UND BRD 4-0 27IN,42.0,42.0,2.23,50.4,49
CDM,814203,SUTURE UND BRD 3-0 27IN,46.0,46.0,2.44,55.2,49
CDM,814206,SUTURE GUT 2-0 27IN,3.0,3.0,0.16,3.6,49
CDM,814207,SUTURE GUT 0 27IN,106.0,106.0,5.62,127.2,49
CDM,814211,SUTURE UND BRD 3-0 27IN,41.0,41.0,2.17,49.2,49
CDM,814212,SUTURE ABS 2-0 CT-1 L27,41.0,41.0,2.17,49.2,49
CDM,814215,SUTURE UND BRD 1 27IN,43.0,43.0,2.28,51.6,49
CDM,814216,SUTURE UND BRD 2-0 27IN,44.0,44.0,2.33,52.8,49
CDM,814217,SUTURE UND BRD 0 27IN,45.0,45.0,2.38,54.0,49
CDM,814218,SUTURE UND BRD 1 27IN,46.0,46.0,2.44,55.2,49
CDM,814219,SUTURE UNDYE 2-0 1X27IN,44.0,44.0,2.33,52.8,49
CDM,814220,SUTURE UNDYE 0 1X27IN,43.0,43.0,2.28,51.6,49
CDM,814225,SUTURE UND BRD 3-0 54IN,55.0,55.0,2.92,66.0,49
CDM,814226,SUTURE UND BRD 2-0 54IN,669.0,669.0,35.46,802.8,49
CDM,814227,SUTURE UND BRD 0 54IN,54.0,54.0,2.86,64.8,49
CDM,814228,SUTURE NO NDL 4-0 1X36IN,78.0,78.0,4.13,93.6,49
CDM,814230,SUTURE RB-1 5-0 1X27IN,66.0,66.0,3.5,79.2,49
CDM,814233,SUTURE BLK BRD 3-0 30IN,77.0,77.0,4.08,92.4,49
CDM,814235,SUTURE VIO BRD 4-0 27IN,43.0,43.0,2.28,51.6,49
CDM,814236,SUTURE NONDL 2-0 12X30IN,68.0,68.0,3.6,81.6,49
CDM,814239,SUTURE SILK 0 30IN,37.0,37.0,1.96,44.4,49
CDM,814242,SUTURE BLU MONO 1 30IN,36.0,36.0,1.91,43.2,49
CDM,814243,SUTURE VIO BRD 3-0 27IN,54.0,54.0,2.86,64.8,49
CDM,814245,SUTURE VIO BRD 4-0 27IN,43.0,43.0,2.28,51.6,49
CDM,814246,SUTURE VIO BRD 3-0 27IN,41.0,41.0,2.17,49.2,49
CDM,814247,SUTURE VIO MONO 3-0 27IN,63.0,63.0,3.34,75.6,49
CDM,814248,SUTURE VIO BRD 2-0 27IN,41.0,41.0,2.17,49.2,49
CDM,814249,SUTURE SH 2-0 1X27IN,62.0,62.0,3.29,74.4,49
CDM,814251,SUTURE GUT 3-0 27IN,84.0,84.0,4.45,100.8,49
CDM,814258,SUTURE VIO BRD 2-0 27IN,49.0,49.0,2.6,58.8,49
CDM,814262,SUTURE VIO BRD 2-0 27IN,42.0,42.0,2.23,50.4,49
CDM,814264,SUTURE CT-2 2-0 1X27IN,65.0,65.0,3.44,78.0,49
CDM,814265,SUTURE VIO BRD 0 27IN,42.0,42.0,2.23,50.4,49
CDM,814266,SUTURE CT-2 0 1X27IN,65.0,65.0,3.44,78.0,49
CDM,814268,SUTURE VIO MONO 3-0 27IN,2564.0,2564.0,135.89,3076.8,49
CDM,814270,SUTURE CT-1 2-0 1X27IN,61.0,61.0,3.23,73.2,49
CDM,814271,SUTURE VIO BRD 2-0 27IN,41.0,41.0,2.17,49.2,49
CDM,814272,SUTURE VIO BRD 0 27IN,42.0,42.0,2.23,50.4,49
CDM,814273,SUTURE VIO MONO 0 27IN,61.0,61.0,3.23,73.2,49
CDM,814275,SUTURE VIO BRD 3-0 36IN,50.0,50.0,2.65,60.0,49
CDM,814276,SUTURE CT-1 2-0 1X36IN,44.0,44.0,2.33,52.8,49
CDM,814277,SUTURE CT-1 0 1X36IN,44.0,44.0,2.33,52.8,49
CDM,814278,SUTURE CT-1 0 1X27IN,65.0,65.0,3.44,78.0,49
CDM,814286,SUTURE VIO BRD 1 27IN,49.0,49.0,2.6,58.8,49
CDM,814287,SUTURE VIO BRD 3-0 36IN,45.0,45.0,2.38,54.0,49
CDM,814293,SUTURE VIO BRD 0 27IN,45.0,45.0,2.38,54.0,49
CDM,814296,SUTURE VIO BRD 0 36IN,45.0,45.0,2.38,54.0,49
CDM,814297,SUTURE VIO MONO 0 36IN,65.0,65.0,3.44,78.0,49
CDM,814298,SUTURE CTX 1 1X36IN,45.0,45.0,2.38,54.0,49
CDM,814300,SUTURE VIO BRD 2-0 27IN,52.0,52.0,2.76,62.4,49
CDM,814301,SUTURE UR-5 0 1X27IN,52.0,52.0,2.76,62.4,49
CDM,814309,SUTURE UND BRD 4-0 27IN,42.0,42.0,2.23,50.4,49
CDM,814310,SUTURE SH 3-0 1X27IN,41.0,41.0,2.17,49.2,49
CDM,814312,SUTURE SH 2-0 1X27IN,41.0,41.0,2.17,49.2,49
CDM,814313,SUTURE UND BRD 0 27IN,48.0,48.0,2.54,57.6,49
CDM,814315,SUTURE BLK BRD 2-0 30IN,36.0,36.0,1.91,43.2,49
CDM,814317,SUTURE UND BRD 3-0 27IN,59.0,59.0,3.13,70.8,49
CDM,814318,SUTURE CLR MONO 3-0 27IN,103.0,103.0,5.46,123.6,49
CDM,814320,SUTURE CT-2 0 1X30IN,47.0,47.0,2.49,56.4,49
CDM,814322,SUTURE CT-1 1 1X30IN,47.0,47.0,2.49,56.4,49
CDM,814323,SUTURE UND BRD 4-0 27IN,105.0,105.0,5.57,126.0,49
CDM,814324,SUTURE ABS 27IN 19MM,104.0,104.0,5.51,124.8,49
CDM,814325,SUTURE PS-2 3-0 1X27IN,132.0,132.0,7.0,158.4,49
CDM,814329,SUTURE RB-1 4-0 1X27IN,70.0,70.0,3.71,84.0,49
CDM,814331,SUTURE PDS 3-0 Z305,42.55,42.55,2.26,51.06,49
CDM,814333,SUTURE UND BRD 3-0 27IN,59.0,59.0,3.13,70.8,49
CDM,814334,SUTURE BLK BRD 2-0 30IN,38.0,38.0,2.01,45.6,49
CDM,814335,SUTURE FS-1 2-0 1X27IN,59.0,59.0,3.13,70.8,49
CDM,814337,SUTURE V-34 1 1X30IN,72.0,72.0,3.82,86.4,49
CDM,814338,BOLSTER SUT RTNT 2.5,55.0,55.0,2.92,66.0,49
CDM,814340,SUTURE CTX SZ0 1X36IN,52.0,52.0,2.76,62.4,49
CDM,814341,SUTURE BLK MONO 2 20IN,1186.0,1186.0,62.86,1423.2,49
CDM,814344,SUTURE VIO BRD 4-0 18IN,129.0,129.0,6.84,154.8,49
CDM,814357,SUTURE UND BRD 7-0 18IN,133.0,133.0,7.05,159.6,49
CDM,814360,SUTURE BLK MONO 1 30IN,89.0,89.0,4.72,106.8,49
CDM,814361,SUTURE UND BRD 7-0 18IN,130.0,130.0,6.89,156.0,49
CDM,814364,SUTURE LR 2 1X30IN,89.0,89.0,4.72,106.8,49
CDM,814366,SUTURE VCL ABS 6-0 18IN,112.0,112.0,5.94,134.4,49
CDM,814367,SUTURE UND MONO 5-0 18IN,150.0,150.0,7.95,180.0,49
CDM,814368,SUTURE UND BRD 5-0 18IN,114.0,114.0,6.04,136.8,49
CDM,814369,SUTURE UND BRD 5-0 18IN,129.0,129.0,6.84,154.8,49
CDM,814370,SUTURE MTPS 4-018IN,113.0,113.0,5.99,135.6,49
CDM,814371,SUTURE PDS 4-0 18IN,139.0,139.0,7.37,166.8,49
CDM,814372,SUTURE UND BRD 4-0 18IN,127.0,127.0,6.73,152.4,49
CDM,814373,SUTURE UND BRD 5-0 18IN,104.0,104.0,5.51,124.8,49
CDM,814374,SUTURE UND BRD 5-0 18IN,117.0,117.0,6.2,140.4,49
CDM,814375,SUTURE CLR MONO 4-0 18IN,150.0,150.0,7.95,180.0,49
CDM,814376,SUTURE PS-2 4-0 1X18IN,103.0,103.0,5.46,123.6,49
CDM,814377,SUTURE PS-2 4-0 1X18IN,103.0,103.0,5.46,123.6,49
CDM,814379,SUTURE VIO MON 10-0 12IN,594.0,594.0,31.48,712.8,49
CDM,814384,SUTURE UND BRD 5-0 18IN,116.0,116.0,6.15,139.2,49
CDM,814385,SUTURE VIO BRD 3-0 18IN,289.0,289.0,15.32,346.8,49
CDM,814388,SUTURE VIO BRD 0 18IN,27.0,27.0,1.43,32.4,49
CDM,814390,SUTURE SH 2-0 8X18IN,282.0,282.0,14.95,338.4,49
CDM,814393,SUTURE PS-4 5-0 1X18IN,116.0,116.0,6.15,139.2,49
CDM,814399,SUTURE GRN BRD 2 30IN,67.0,67.0,3.55,80.4,49
CDM,814401,SUTURE GRN BRD 3-0 36IN,119.0,119.0,6.31,142.8,49
CDM,814402,SUTURE GRN BRD 2-0 36IN,118.0,118.0,6.25,141.6,49
CDM,814404,SUTURE GRN BRD 0 36IN,119.0,119.0,6.31,142.8,49
CDM,814412,SUTURE VIO BRD 6-0 18IN,399.0,399.0,21.15,478.8,49
CDM,814415,SUTURE VIO BRD 8-0 12IN,418.0,418.0,22.15,501.6,49
CDM,814420,SUTURE BLK BRD 0 30IN,98.0,98.0,5.19,117.6,49
CDM,814421,SUTURE STEEL CCS 7-0,416.0,416.0,22.05,499.2,49
CDM,814422,SUTURE GRN BRD 4-0 30IN,119.0,119.0,6.31,142.8,49
CDM,814424,SUTURE GRN BRD 3-0 36IN,120.0,120.0,6.36,144.0,49
CDM,814425,SUTURE GRN BRD 3-0 30IN,9.0,9.0,0.48,10.8,49
CDM,814426,SUTURE GRN BRD 2-0 30IN,116.0,116.0,6.15,139.2,49
CDM,814427,SUTURE UND BRD 0 27IN,52.0,52.0,2.76,62.4,49
CDM,814428,SUTURE UND BRD 1 27IN,52.0,52.0,2.76,62.4,49
CDM,814440,SUTURE VIO BRD 2-0 27IN,52.0,52.0,2.76,62.4,49
CDM,814441,SUTURE UR-6 SZ0 1X27IN,51.0,51.0,2.7,61.2,49
CDM,814446,SUTURE BLK BRD 4-0 30IN,1.0,1.0,0.05,1.2,49
CDM,814447,SUTURE BLK BRD 3-0 30IN,41.0,41.0,2.17,49.2,49
CDM,814448,SUTURE KS 2-0 1X30IN,41.0,41.0,2.17,49.2,49
CDM,814449,SUTURE SILK NABS 0 624H,41.0,41.0,2.17,49.2,49
CDM,814450,SUTURE ETHLN 4-0 626H,50.0,50.0,2.65,60.0,49
CDM,814452,SUTURE BLK MONO 2-0 30IN,1546.0,1546.0,81.94,1855.2,49
CDM,814455,SUTURE BLK BRD 4-0 18IN,556.0,556.0,29.47,667.2,49
CDM,814458,SUTURE WHT BRD 4-0 18IN,63.0,63.0,3.34,75.6,49
CDM,814460,SUTURE VCL 2-0 CT2,285.0,285.0,15.11,342.0,49
CDM,814462,SUTURE BLK BRD 2-0 18IN,98.0,98.0,5.19,117.6,49
CDM,814464,SUTURE VIO BRD 1 18IN,28.0,28.0,1.48,33.6,49
CDM,814465,SUTURE CT 0 8X18IN,377.0,377.0,19.98,452.4,49
CDM,814467,SUTURE GUT 4-0 27IN,71.0,71.0,3.76,85.2,49
CDM,814470,SUTURE GUT 3-0 27IN,71.0,71.0,3.76,85.2,49
CDM,814473,SUTURE P-3 5-0 1X18IN,101.0,101.0,5.35,121.2,49
CDM,814475,SUTURE P-3 4-0 1X18IN,101.0,101.0,5.35,121.2,49
CDM,814478,SUTURE TP-1 SZ2 4X27IN,441.0,441.0,23.37,529.2,49
CDM,814479,SUTURE VIO BRD 1 27IN,450.0,450.0,23.85,540.0,49
CDM,814481,SUTURE SS 5 18IN,2564.0,2564.0,135.89,3076.8,49
CDM,814484,SUTURE GUT 5-0 18IN,173.0,173.0,9.17,207.6,49
CDM,814488,SUTURE KS 4-0 1X27IN,61.0,61.0,3.23,73.2,49
CDM,814492,SUTURE FS 2-0 1X18IN,40.0,40.0,2.12,48.0,49
CDM,814493,SUTURE FS-1 3-0 1X30IN,45.0,45.0,2.38,54.0,49
CDM,814503,SUTURE BLK BRD 0 30IN,46.0,46.0,2.44,55.2,49
CDM,814505,SUTURE UND MONO 3-0 18IN,157.0,157.0,8.32,188.4,49
CDM,814513,SUTURE FS 2-0 1X18IN,43.0,43.0,2.28,51.6,49
CDM,814515,SUTURE PLN 5-0 18IN,150.0,150.0,7.95,180.0,49
CDM,814516,SUTURE P3 5-0 1X18IN,153.0,153.0,8.11,183.6,49
CDM,814518,SUTURE BLK MONO 6-0 18IN,106.0,106.0,5.62,127.2,49
CDM,814520,SUTURE BLK MONO 5-0 18IN,106.0,106.0,5.62,127.2,49
CDM,814522,SUTURE BLK MONO 4-0 18IN,104.0,104.0,5.51,124.8,49
CDM,814526,SUTURE P-1 6-0 1X18IN,86.0,86.0,4.56,103.2,49
CDM,814528,SUTURE P-3 5-0 1X18IN,76.0,76.0,4.03,91.2,49
CDM,814529,SUTURE P-3 5-0 1X18IN,86.0,86.0,4.56,103.2,49
CDM,814530,SUTURE P-3 4-0 1X18IN,85.0,85.0,4.5,102.0,49
CDM,814531,SUTURE P-3 4-0 1X18IN,96.0,96.0,5.09,115.2,49
CDM,814533,SUTURE BLU MONO 5-0 24IN,157.0,157.0,8.32,188.4,49
CDM,814536,SUTURE CT-1 SZ0 8X18IN,293.0,293.0,15.53,351.6,49
CDM,814538,SUTURE VIO BRD 0 27IN,73.0,73.0,3.87,87.6,49
CDM,814540,SUTURE SH 2-0 8X18IN,225.0,225.0,11.93,270.0,49
CDM,814541,SUTURE BLK BRD 4-0 18IN,224.0,224.0,11.87,268.8,49
CDM,814542,SUTURE SILK BRD 0 18IN,231.0,231.0,12.24,277.2,49
CDM,814544,SUTURE BLK BRD 2-0 18IN,232.0,232.0,12.3,278.4,49
CDM,814556,SUTURE GRN BRD 3-0 36IN,119.0,119.0,6.31,142.8,49
CDM,814557,SUTURE VCL CR 1 CTX 18IN,292.0,292.0,15.48,350.4,49
CDM,814561,SUTURE G-1 6-0 1X18IN,443.0,443.0,23.48,531.6,49
CDM,814565,SUTURE GUT 6-0 18IN,2564.0,2564.0,135.89,3076.8,49
CDM,814566,SUTURE BLK BRD 6-0 18IN,278.0,278.0,14.73,333.6,49
CDM,814567,SUTURE BLK BRD 4-0 18IN,2564.0,2564.0,135.89,3076.8,49
CDM,814577,SUTURE GUT 6-0 18IN,239.0,239.0,12.67,286.8,49
CDM,814578,SUTURE CT 2-0 1X27IN,74.0,74.0,3.92,88.8,49
CDM,814582,SUTURE GUT 3-0 27IN,89.0,89.0,4.72,106.8,49
CDM,814583,SUTURE CT-1 2-0 1X27IN,73.0,73.0,3.87,87.6,49
CDM,814584,SUTURE BLU MONO 0 18IN,441.0,441.0,23.37,529.2,49
CDM,814586,SUTURE CT-1 0 1X27IN,76.0,76.0,4.03,91.2,49
CDM,814588,SUTURE CT-1 1 1X27IN,78.0,78.0,4.13,93.6,49
CDM,814591,SUTURE BLU MONO 0 18IN,441.0,441.0,23.37,529.2,49
CDM,814592,SUTURE FS-2 4-0 1X27IN,78.0,78.0,4.13,93.6,49
CDM,814593,SUTURE BLU MONO 2-0 18IN,441.0,441.0,23.37,529.2,49
CDM,814596,SUTURE VIO BRD 5-0 18IN,1491.0,1491.0,79.02,1789.2,49
CDM,814602,SUTURE VIO BRD 3-0 18IN,124.0,124.0,6.57,148.8,49
CDM,814603,SUTURE BLK MON 10-0 12IN,481.0,481.0,25.49,577.2,49
CDM,814604,SUTUE BLK MONO 2 60IN,73.0,73.0,3.87,87.6,49
CDM,814605,SUTURE BLU MONO 2-0 18IN,451.0,451.0,23.9,541.2,49
CDM,814606,SUTURE BLU MONO 0 18IN,2564.0,2564.0,135.89,3076.8,49
CDM,814607,SUTURE BLK MONO 1 30IN,40.0,40.0,2.12,48.0,49
CDM,814608,SUTURE BLK BRD 4-0 30IN,35.0,35.0,1.85,42.0,49
CDM,814611,SUTURE SH 3-0 1X30IN,34.0,34.0,1.8,40.8,49
CDM,814612,SUTURE WHT BRD 5MM 12IN,956.0,956.0,50.67,1147.2,49
CDM,814613,SUTURE PC-1 6-0 1X18IN,130.0,130.0,6.89,156.0,49
CDM,814617,SUTURE SH 2-0 1X30IN,34.0,34.0,1.8,40.8,49
CDM,814619,SUTURE VIO BRD 5-0 18IN,114.0,114.0,6.04,136.8,49
CDM,814620,SUTURE GRN BRD 0 30IN,59.0,59.0,3.13,70.8,49
CDM,814621,SUTURE SH 0 1X30IN,35.0,35.0,1.85,42.0,49
CDM,814623,SUTURE VIO BRD 4-0 18IN,126.0,126.0,6.68,151.2,49
CDM,814628,SUTURE VCL 0 CT1 18IN,294.0,294.0,15.58,352.8,49
CDM,814629,SUTURE BLU MONO 0 18IN,443.0,443.0,23.48,531.6,49
CDM,814630,SUTURE CT-1 3-0 1X27IN,86.0,86.0,4.56,103.2,49
CDM,814631,SUTURE GUT 2-0 27IN,83.0,83.0,4.4,99.6,49
CDM,814633,SUTURE VIO BRD 6-0 18IN,132.0,132.0,7.0,158.4,49
CDM,814634,SUTURE BLU MONO 0 24IN,258.0,258.0,13.67,309.6,49
CDM,814640,SUTURE UND BRD 2 27IN,196.0,196.0,10.39,235.2,49
CDM,814641,SUTURE GUT 3-0 27IN,85.0,85.0,4.5,102.0,49
CDM,814642,SUTURE GUT 2-0 27IN,83.0,83.0,4.4,99.6,49
CDM,814644,SUTURE GUT 2-0 27IN,83.0,83.0,4.4,99.6,49
CDM,814645,SUTURE GUT 2-0 27IN,57.0,57.0,3.02,68.4,49
CDM,814647,SUTURE SH 3-0 8X18IN,295.0,295.0,15.63,354.0,49
CDM,814649,SUTURE GUT 0 27IN,88.0,88.0,4.66,105.6,49
CDM,814654,SUTURE UND BRD 2-0 27IN,45.0,45.0,2.38,54.0,49
CDM,814656,SUTURE BLK BRD 5-0 30IN,46.0,46.0,2.44,55.2,49
CDM,814659,SUTURE BLK BRD 4-0 30IN,2.0,2.0,0.11,2.4,49
CDM,814661,SUTURE GRN BRD 3-0 30IN,59.0,59.0,3.13,70.8,49
CDM,814662,SUTURE BLK BRD 3-0 30IN,44.0,44.0,2.33,52.8,49
CDM,814665,SUTURE GUT 3-0 27IN,95.0,95.0,5.04,114.0,49
CDM,814666,SUTURE UR6 2-0 1X27IN,66.0,66.0,3.5,79.2,49
CDM,814667,SUTURE UND BRD 2 54IN,2117.0,2117.0,112.2,2540.4,49
CDM,814673,SUTURE GUT 3-0 27IN,84.0,84.0,4.45,100.8,49
CDM,814674,SUTURE BLK BRD 3-0 30IN,54.0,54.0,2.86,64.8,49
CDM,814675,SUTURE GUT 2-0 27IN,84.0,84.0,4.45,100.8,49
CDM,814677,SUTURE CT-2 0 1X27IN,53.0,53.0,2.81,63.6,49
CDM,814685,SUTURE CTX 0 1-36IN,95.0,95.0,5.04,114.0,49
CDM,814686,SUTURE VIO BRD 3-0 18IN,218.0,218.0,11.55,261.6,49
CDM,814687,SUTURE CTX 1 1X36IN,95.0,95.0,5.04,114.0,49
CDM,814688,SUTURE VIO BRD 2-0 18IN,207.0,207.0,10.97,248.4,49
CDM,814692,SUTURE NDNDL SZ0 12X18IN,205.0,205.0,10.87,246.0,49
CDM,814693,SUTURE GUT 3-0 36IN,93.0,93.0,4.93,111.6,49
CDM,814694,SUTURE GUT 2-0 36IN,92.0,92.0,4.88,110.4,49
CDM,814695,SUTURE GUT 0 36IN,92.0,92.0,4.88,110.4,49
CDM,814696,SUTURE CT 1 1X36IN,93.0,93.0,4.93,111.6,49
CDM,814697,SUT CHRM 3-0CTI ABS 36IN,92.0,92.0,4.88,110.4,49
CDM,814699,SUTURE GUT 0 36IN,90.0,90.0,4.77,108.0,49
CDM,814700,SUT CHRM CT1 1 ABS 36IN,93.0,93.0,4.93,111.6,49
CDM,814703,SUTURE PS-1 4-0 1X27IN,129.0,129.0,6.84,154.8,49
CDM,814707,SUTURE UND BRD 2-0 27IN,126.0,126.0,6.68,151.2,49
CDM,814708,SUTURE CT-1 3-0 1X36IN,44.0,44.0,2.33,52.8,49
CDM,814709,SUTURE CT-1 2-0 1X36IN,44.0,44.0,2.33,52.8,49
CDM,814710,SUTURE CT-1 SZ0 1X36IN,43.0,43.0,2.28,51.6,49
CDM,814711,SUTURE CT-1 SZ1 1X36IN,45.0,45.0,2.38,54.0,49
CDM,814717,SUTURE VIO MONO 1 27IN,81.0,81.0,4.29,97.2,49
CDM,814721,SUTURE UND BRD 1 36IN,46.0,46.0,2.44,55.2,49
CDM,814722,SUTURE UND BRD 2-0 36IN,51.0,51.0,2.7,61.2,49
CDM,814725,SUTURE ABS 4-0 PS2 18IN,156.0,156.0,8.27,187.2,49
CDM,814727,SUTURE PS-2 3-0 1X27IN,5.0,5.0,0.27,6.0,49
CDM,814728,SUTURE PS-2 4-0 1X18IN,156.0,156.0,8.27,187.2,49
CDM,814729,SUTURE PS-2 3-0 1X27IN,149.0,149.0,7.9,178.8,49
CDM,814733,SUTURE ABS 4-0 P3N 18IN,150.0,150.0,7.95,180.0,49
CDM,814734,SUTURE NONABS 7-0 18IN,110.0,110.0,5.83,132.0,49
CDM,814735,SUTURE UND MONO 2-0 36IN,54.0,54.0,2.86,64.8,49
CDM,814738,SUTURE MNCRL 4-0 18IN,138.0,138.0,7.31,165.6,49
CDM,814739,SUTURE UND MONO 5-0 18IN,160.0,160.0,8.48,192.0,49
CDM,814740,SUTURE P-3 4-0 1X18IN,14.0,14.0,0.74,16.8,49
CDM,814741,SUTURE PS-1 3-0 1X27IN,138.0,138.0,7.31,165.6,49
CDM,814747,SUTURE PS-3 6-0 1X18IN,88.0,88.0,4.66,105.6,49
CDM,814748,SUTURE PS-2 5-0 1X18IN,83.0,83.0,4.4,99.6,49
CDM,814749,SUTURE PS-2 5-0 1X18IN,93.0,93.0,4.93,111.6,49
CDM,814750,SUTURE BLK MONO 4-0 18IN,84.0,84.0,4.45,100.8,49
CDM,814751,SUTURE PS-2 4-0 1X18IN,84.0,84.0,4.45,100.8,49
CDM,814752,SUTURE BLK MONO 5-0 18IN,83.0,83.0,4.4,99.6,49
CDM,814753,SUTURE NYLON 3-0 18IN,95.0,95.0,5.04,114.0,49
CDM,814754,SUTURE FSL 4-0 1X30IN,51.0,51.0,2.7,61.2,49
CDM,814758,SUTURE BLK MONO 2-0 30IN,43.0,43.0,2.28,51.6,49
CDM,814762,SUTURE PS-2 4-0 1X18IN,91.0,91.0,4.82,109.2,49
CDM,814763,SUTURE BLK BRD 3-0 18IN,90.0,90.0,4.77,108.0,49
CDM,814764,SUTURE BLK BRD 3-0 18IN,100.0,100.0,5.3,120.0,49
CDM,814766,SUTURE BLK MONO 7-0 18IN,109.0,109.0,5.78,130.8,49
CDM,814767,SUTURE BLK MONO 2-0 30IN,95.0,95.0,5.04,114.0,49
CDM,814768,SUTURE PS-3 6-0 1X18IN,86.0,86.0,4.56,103.2,49
CDM,814769,SUT NYLN 8-0 M-PT 2 12IN,314.0,314.0,16.64,376.8,49
CDM,814770,SUTURE BLK MONO 8-0 12IN,316.0,316.0,16.75,379.2,49
CDM,814772,SUTURE WHT BRD 6-0 18IN,294.0,294.0,15.58,352.8,49
CDM,814775,SUTURE WHT BRD 5-0 18IN,363.0,363.0,19.24,435.6,49
CDM,814780,SUTURE WHT BRD 4-0 18IN,288.0,288.0,15.26,345.6,49
CDM,814788,SUTURE PC-1 5-0 1X18IN,106.0,106.0,5.62,127.2,49
CDM,814790,SUTURE PC-1 6-0 1X18IN,1138.0,1138.0,60.31,1365.6,49
CDM,814791,SUTURE BLK MONO 4-0 18IN,104.0,104.0,5.51,124.8,49
CDM,814792,SUTURE UND MONO 5-0 18IN,149.0,149.0,7.9,178.8,49
CDM,814794,SUTURE PC-3 5-0 1-18IN,1124.0,1124.0,59.57,1348.8,49
CDM,814795,SUTURE P-3 5-0 1X18IN,138.0,138.0,7.31,165.6,49
CDM,814796,SUTURE PS-2 4-0 1X18IN,129.0,129.0,6.84,154.8,49
CDM,814797,SUTURE SH 3-0 1X27IN,48.0,48.0,2.54,57.6,49
CDM,814798,SUTURE UND MONO 2-0 27IN,54.0,54.0,2.86,64.8,49
CDM,814799,SUTURE GUT PC-1 6-0 18IN,183.0,183.0,9.7,219.6,49
CDM,814800,SUTURE PC-1 5-0 1X18IN,187.0,187.0,9.91,224.4,49
CDM,814801,SUTURE BLK MONO 3-0 18IN,104.0,104.0,5.51,124.8,49
CDM,814803,SUTURE BLK MONO 5-0 18IN,103.0,103.0,5.46,123.6,49
CDM,814804,SUTURE PC-5 5-0 1X18IN,106.0,106.0,5.62,127.2,49
CDM,814807,SUTURE BLK MONO 6-0 18IN,105.0,105.0,5.57,126.0,49
CDM,814808,SUTURE BLK MONO 5-0 18IN,103.0,103.0,5.46,123.6,49
CDM,814809,SUTURE BLK MONO 5-0 18IN,103.0,103.0,5.46,123.6,49
CDM,814811,SUTURE PC-5 5-0 1X18IN,102.0,102.0,5.41,122.4,49
CDM,814812,SUTURE BLK MONO 8-0 5IN,367.0,367.0,19.45,440.4,49
CDM,814813,SUTURE BLK MONO 9-0 5IN,367.0,367.0,19.45,440.4,49
CDM,814814,SUTURE BLK MON 10-0 10IN,399.0,399.0,21.15,478.8,49
CDM,814817,SUTURE BLK MONO 9-0 5IN,473.0,473.0,25.07,567.6,49
CDM,814820,SUTURE BLK MONO 8-0 5IN,474.0,474.0,25.12,568.8,49
CDM,814826,SUTURE BLK BRD 0 30IN,4.0,4.0,0.21,4.8,49
CDM,814829,SUTURE ETHLN 7731G,289.0,289.0,15.32,346.8,49
CDM,814832,SUTURE BLK MONO 7-0 24IN,1604.0,1604.0,85.01,1924.8,49
CDM,814834,SUTURE C-1 5-0 1X36IN,310.0,310.0,16.43,372.0,49
CDM,814835,SUTURE C-1 6-0 1X30IN,301.0,301.0,15.95,361.2,49
CDM,814836,SUTURE BLU MONO 2-0 30IN,75.0,75.0,3.98,90.0,49
CDM,814837,SUTURE BLU MONO 0 30IN,75.0,75.0,3.98,90.0,49
CDM,814839,SUTURE BLU MONO 0 30IN,96.0,96.0,5.09,115.2,49
CDM,814840,SUTURE BLU MONO 3-0 30IN,79.0,79.0,4.19,94.8,49
CDM,814842,SUTURE CT-1 0 1X30IN,74.0,74.0,3.92,88.8,49
CDM,814843,SUTURE CT-1 1 1X30IN,75.0,75.0,3.98,90.0,49
CDM,814847,SUTURE BLU MONO 0 30IN,70.0,70.0,3.71,84.0,49
CDM,814848,SUTURE BLU MONO 1 30IN,70.0,70.0,3.71,84.0,49
CDM,814849,SUTURE SH 4-0 1X36IN,158.0,158.0,8.37,189.6,49
CDM,814850,SUTURE SH 3-0 1X36IN,156.0,156.0,8.27,187.2,49
CDM,814851,SUTURE SH 2-0 1X36IN,156.0,156.0,8.27,187.2,49
CDM,814852,SUTURE BV-1 5-0 1X24IN,597.0,597.0,31.64,716.4,49
CDM,814853,SUTURE BLU MONO 5-0 18IN,289.0,289.0,15.32,346.8,49
CDM,814854,SUTURE RB-1 5-0 1X36IN,161.0,161.0,8.53,193.2,49
CDM,814855,SUTURE BLK MONO 4-0 36IN,649.0,649.0,34.4,778.8,49
CDM,814856,SUTURE RB-1 4-0 1X36IN,160.0,160.0,8.48,192.0,49
CDM,814857,SUTURE BLU MONO 3-0 36IN,159.0,159.0,8.43,190.8,49
CDM,814859,SUTURE BB 4-0 1X36IN,182.0,182.0,9.65,218.4,49
CDM,814863,SUTURE BLU MONO 6-0 18IN,159.0,159.0,8.43,190.8,49
CDM,814864,SUTURE BLU MONO 4-0 18IN,158.0,158.0,8.37,189.6,49
CDM,814865,SUTURE BLU MONO 4-0 30IN,60.0,60.0,3.18,72.0,49
CDM,814870,SUTURE PC-5 4-0 1X18IN,158.0,158.0,8.37,189.6,49
CDM,814871,SUTURE BLU MONO 5-0 18IN,159.0,159.0,8.43,190.8,49
CDM,814872,SUTURE BLU MONO 6-0 18IN,159.0,159.0,8.43,190.8,49
CDM,814877,SUTURE PS-1 3-0 1X18IN,136.0,136.0,7.21,163.2,49
CDM,814882,SUTURE BLU MONO 5-0 18IN,145.0,145.0,7.68,174.0,49
CDM,814884,SUTURE PS-2 4-0 1X18IN,123.0,123.0,6.52,147.6,49
CDM,814885,SUTURE BLU MONO 4-0 18IN,144.0,144.0,7.63,172.8,49
CDM,814888,SUTURE BLU MONO 2-0 18IN,78.0,78.0,4.13,93.6,49
CDM,814889,SUTURE PS-2 5-0 1X18IN,134.0,134.0,7.1,160.8,49
CDM,814890,SUTURE BLU MONO 3-0 18IN,136.0,136.0,7.21,163.2,49
CDM,814893,SUTURE BLU MONO 0 30IN,2564.0,2564.0,135.89,3076.8,49
CDM,814894,SUTURE P-3 6-0 1X18IN,150.0,150.0,7.95,180.0,49
CDM,814897,SUTURE MONO BLU 6-0 18IN,149.0,149.0,7.9,178.8,49
CDM,814898,SUTURE P-3 5-0 1X18IN,144.0,144.0,7.63,172.8,49
CDM,814900,SUTURE P-3 4-0 1X18IN,139.0,139.0,7.37,166.8,49
CDM,814901,SUTURE BLU MONO 7-0 18IN,368.0,368.0,19.5,441.6,49
CDM,814902,SUTURE BLK MONO 7-0 24IN,1480.0,1480.0,78.44,1776.0,49
CDM,814903,SUTURE BLU MONO 7-0 24IN,367.0,367.0,19.45,440.4,49
CDM,814906,SUTURE PRO 7-0 18IN,438.0,438.0,23.21,525.6,49
CDM,814908,SUTURE C-1 6-0 1X30IN,288.0,288.0,15.26,345.6,49
CDM,814909,SUTURE BLK MONO 6-0 30IN,1327.0,1327.0,70.33,1592.4,49
CDM,814911,SUTURE BV-1 6-0 1X30IN,363.0,363.0,19.24,435.6,49
CDM,814912,SUTURE BLU MONO 5-0 30IN,157.0,157.0,8.32,188.4,49
CDM,814913,SUTURE BLU MONO 6-0 30IN,164.0,164.0,8.69,196.8,49
CDM,814914,SUTURE BLU MONO 5-0 18IN,158.0,158.0,8.37,189.6,49
CDM,814915,SUTURE BLU MONO 6-0 18IN,160.0,160.0,8.48,192.0,49
CDM,814916,SUTURE BLK MONO 5-0 36IN,1165.0,1165.0,61.74,1398.0,49
CDM,814917,SUTURE C-1 5-0 1X36IN,291.0,291.0,15.42,349.2,49
CDM,814920,SUTURE BLU MONO 5-0 24IN,289.0,289.0,15.32,346.8,49
CDM,814921,SUTURE BLU MONO 6-0 24IN,288.0,288.0,15.26,345.6,49
CDM,814923,SUTURE BLU MONO 5-0 18IN,156.0,156.0,8.27,187.2,49
CDM,814924,SUTURE BLU MONO 4-0 18IN,159.0,159.0,8.43,190.8,49
CDM,814925,SUTURE BLU MONO 3-0 30IN,155.0,155.0,8.21,186.0,49
CDM,814926,SUTURE BLU MONO 6-0 18IN,364.0,364.0,19.29,436.8,49
CDM,814927,SUTURE BV-1 6-0 1X24IN,363.0,363.0,19.24,435.6,49
CDM,814928,SUTURE BLU MONO 6-0 24IN,473.0,473.0,25.07,567.6,49
CDM,814932,SUTURE BLU MONO 4-0 30IN,84.0,84.0,4.45,100.8,49
CDM,814933,SUTURE BLU MONO 3-0 30IN,83.0,83.0,4.4,99.6,49
CDM,814934,SUTURE BLU MONO 2-0 30IN,81.0,81.0,4.29,97.2,49
CDM,814935,SUTURE BLU MONO 0 30IN,2564.0,2564.0,135.89,3076.8,49
CDM,814936,SUTURE BLU MONO 3-0 36IN,170.0,170.0,9.01,204.0,49
CDM,814940,SUTURE BLU MONO 3-0 30IN,2564.0,2564.0,135.89,3076.8,49
CDM,814952,SUTURE PRO 4-0 30IN,476.0,476.0,25.23,571.2,49
CDM,814954,SUTURE BLK MONO 2-0 18IN,2564.0,2564.0,135.89,3076.8,49
CDM,814956,SUTURE CT-1 2-0 8X18IN,2564.0,2564.0,135.89,3076.8,49
CDM,814961,SUTURE TF 4-0 8X18IN,387.0,387.0,20.51,464.4,49
CDM,814962,SUTURE POLY 27IN,290.0,290.0,15.37,348.0,49
CDM,814965,SUTURE UND BRD 6-0 18IN,126.0,126.0,6.68,151.2,49
CDM,814967,SUTURE RB-1 4-0 1X18IN,380.0,380.0,20.14,456.0,49
CDM,814972,SUTURE VIO BRD 2-0 18IN,373.0,373.0,19.77,447.6,49
CDM,814975,SUTURE VIO BRD 2-0 18IN,512.0,512.0,27.14,614.4,49
CDM,814978,SUTURE VCL 3-0 CT1 18IN,292.0,292.0,15.48,350.4,49
CDM,814979,SUTURE VCL 2-0 CT1 18IN,286.0,286.0,15.16,343.2,49
CDM,814982,SUTURE STEEL 2X18IN,208.0,208.0,11.02,249.6,49
CDM,814983,SUTURE BLK MONO 6-0 24IN,1163.0,1163.0,61.64,1395.6,49
CDM,814986,SUTURE BLK MONO 8-0 24IN,1587.0,1587.0,84.11,1904.4,49
CDM,814988,SUTURE GRN BRD 2-0 30IN,2095.0,2095.0,111.03,2514.0,49
CDM,814989,SUTURE GRN BRD 2-0 30IN,1764.0,1764.0,93.49,2116.8,49
CDM,814990,SUTURE WHT BRD 4-0 18IN,108.0,108.0,5.72,129.6,49
CDM,814993,SUTURE UND BRD 5-0 18IN,162.0,162.0,8.59,194.4,49
CDM,814994,SUTURE PS-2 4-0 1X18IN,158.0,158.0,8.37,189.6,49
CDM,814995,SUTURE UND BRD 3-0 18IN,160.0,160.0,8.48,192.0,49
CDM,814996,SUTURE PC-1 5-0 1X18IN,177.0,177.0,9.38,212.4,49
CDM,814997,SUTURE UND BRD 3-0 36IN,881.0,881.0,46.69,1057.2,49
CDM,814998,SUTURE GRN BRD 1 30IN,6.0,6.0,0.32,7.2,49
CDM,815001,SUTURE UND MONO 5-0 27IN,2222.0,2222.0,117.77,2666.4,49
CDM,815002,SUTURE UND MONO 3-0 27IN,60.0,60.0,3.18,72.0,49
CDM,815003,SUTURE UND MONO 2-0 27IN,52.0,52.0,2.76,62.4,49
CDM,815004,SUTURE SZ4-0 27IN,132.0,132.0,7.0,158.4,49
CDM,815005,SUTURE UND MONO 4-0 27IN,156.0,156.0,8.27,187.2,49
CDM,815006,SUTURE CT-1 3-0 1X36IN,60.0,60.0,3.18,72.0,49
CDM,815019,SUTURE BLU MON 5-0 24IN,4.0,4.0,0.21,4.8,49
CDM,815022,SUTURE BLK MONO 8-0 12IN,360.0,360.0,19.08,432.0,49
CDM,815025,SUTURE CT-1 1 1X27IN,62.0,62.0,3.29,74.4,49
CDM,815026,SUTURE BLK MONO 3-0 30IN,96.0,96.0,5.09,115.2,49
CDM,815032,SUTURE BLK MONO 0 96IN,91.0,91.0,4.82,109.2,49
CDM,815033,SUTURE UND MONO 4-0 27IN,57.0,57.0,3.02,68.4,49
CDM,815034,SUTURE PS-2 3-0 1X18IN,129.0,129.0,6.84,154.8,49
CDM,815035,SUTURE UND MONO 3-0 27IN,85.0,85.0,4.5,102.0,49
CDM,815038,SUTURE UND BRD 4-0 18IN,161.0,161.0,8.53,193.2,49
CDM,815040,APPLIER CLP PRLD 9.375IN,71.0,71.0,3.76,85.2,20
CDM,815041,APPLIER CLP PRLD 9.375IN,70.0,70.0,3.71,84.0,20
CDM,815043,APPLIER CLP PRLD 13IN,70.0,70.0,3.71,84.0,20
CDM,815044,CLIP LIGATION SMALL,22.0,22.0,1.17,26.4,20
CDM,815045,CLIP LIGATION MEDIUM,24.0,24.0,1.27,28.8,20
CDM,815046,CLIP LIGATION MED/LG,31.0,31.0,1.64,37.2,20
CDM,815047,CLIP LIGATION LARGE,36.0,36.0,1.91,43.2,20
CDM,815049,RELOAD STPLR 75MM,107.0,107.0,5.67,128.4,20
CDM,815050,STAPLER CUTTER 75MM,2564.0,2564.0,135.89,3076.8,49
CDM,815053,RELOAD STPLR 75MM,109.0,109.0,5.78,130.8,20
CDM,815066,APPLIER CLP LOAD M/L,111.0,111.0,5.88,133.2,20
CDM,815068,SCISSORS LAPSCP MNPLR,1362.0,1362.0,72.19,1634.4,49
CDM,815069,APPLIER CLP LOAD LG,110.0,110.0,5.83,132.0,20
CDM,815073,NEEDLE INSFL 14GA 150MM,752.0,752.0,39.86,902.4,49
CDM,815074,NEEDLE INSFL 14GA 120MM,451.0,451.0,23.9,541.2,49
CDM,815076,RELOAD STPLR 55MM,72.0,72.0,3.82,86.4,20
CDM,815085,STAPLER INT CTR 55MM,2529.0,2529.0,134.04,3034.8,49
CDM,815087,TROC ENDO 18MM,3032.0,3032.0,160.7,3638.4,49
CDM,815093,STAPLER LNR CUT RLD 55MM,2564.0,2564.0,135.89,3076.8,49
CDM,815094,RELOAD STPLR 55MM,80.0,80.0,4.24,96.0,20
CDM,815105,CLIP SUTURE LAPRATY,2079.0,2079.0,110.19,2494.8,49
CDM,815107,SCISSORS MNPLR 33CM 5MM,1393.0,1393.0,73.83,1671.6,49
CDM,815108,DISSECTOR BLNT TIP 5MM,347.0,347.0,18.39,416.4,49
CDM,815149,NAIL BN TIB 10X35MM,2398.0,2398.0,127.09,2877.6,20
CDM,815157,SCREW BN 2.3MM 12MM,316.0,316.0,16.75,379.2,20
CDM,815165,CATH GD 6FR 100CM,5941.0,5941.0,314.87,7129.2,49
CDM,815169,STEM FEM 0 BPS TRLK OFST,4000.0,4000.0,212.0,4800.0,20
CDM,815172,SCREW BN 5MM 40MM,470.0,470.0,24.91,564.0,20
CDM,815174,PLATE BN LT 4.0HL,904.0,904.0,47.91,1084.8,20
CDM,815224,EXTRACTOR SKIN STAPLE,26.0,26.0,1.38,31.2,49
CDM,815236,PAP SMEAR KIT,60.0,60.0,3.18,72.0,49
CDM,815308,CATH DRAIN MLCT 14F,2252.0,2252.0,119.36,2702.4,49
CDM,815309,CATH NPHSTM 16FR,361.0,361.0,19.13,433.2,49
CDM,815310,CATH DRN MLCT 4-WNG 18FR,1196.0,1196.0,63.39,1435.2,49
CDM,815311,CATH MLCT 20FR 4-WING,361.0,361.0,19.13,433.2,49
CDM,815321,ADAPTER CATH URET 4-6FR,15.0,15.0,0.8,18.0,49
CDM,815343,CATH MLCT 4 WNG 22FR,375.0,375.0,19.88,450.0,49
CDM,815344,CATH MLCT 24FR 4-WING,375.0,375.0,19.88,450.0,49
CDM,815345,CATH MLCT 26FR 4-WING,375.0,375.0,19.88,450.0,49
CDM,815346,CATH NPHSTM 28FR,375.0,375.0,19.88,450.0,49
CDM,815354,CATH URET 20FR 2W 30CC,300.0,300.0,15.9,360.0,49
CDM,815355,CATH URET 24FR 2W 30CC,302.0,302.0,16.01,362.4,49
CDM,815358,CATH URET 18FR 2W 5CC,311.0,311.0,16.48,373.2,49
CDM,815359,CATH URET 20FR 2W 5CC,311.0,311.0,16.48,373.2,49
CDM,815360,CATH URET 22FR 2W 5CC,311.0,311.0,16.48,373.2,49
CDM,815365,CATH URET 16FR 2W 5CC,311.0,311.0,16.48,373.2,49
CDM,815371,CATH FOLEY 2W 22FR 5CC,207.0,207.0,10.97,248.4,49
CDM,815406,CATH FOLEY 3W 22FR 30CC,264.0,264.0,13.99,316.8,49
CDM,815407,CATH FOLEY 3W 24FR 30CC,264.0,264.0,13.99,316.8,49
CDM,815428,CATH URET 3W 24FR 30CC,964.0,964.0,51.09,1156.8,49
CDM,815429,CATH RED DBL BALL 22FR,2564.0,2564.0,135.89,3076.8,49
CDM,815455,SET URN BG 4000ML,146.0,146.0,7.74,175.2,49
CDM,8155,CYCLOPHOSPHAMIDE 25MG PO,97.0,97.0,5.14,116.4,30
CDM,815512,CATH JLCO PROTCTV+24X3/4,53.0,53.0,2.81,63.6,49
CDM,815513,CATH IV 18GA 1.25IN,53.0,53.0,2.81,63.6,49
CDM,815515,CATH JLCO PCTV++20X1 3,53.0,53.0,2.81,63.6,49
CDM,815518,CATHETER IV 22GA 1.00IN,56.0,56.0,2.97,67.2,49
CDM,815520,CATH IV PROTECT 20GA,51.0,51.0,2.7,61.2,49
CDM,815531,CATH DRN 12FR 16IN,205.0,205.0,10.87,246.0,49
CDM,815532,CATH THOR DRN 16FR 16IN,205.0,205.0,10.87,246.0,49
CDM,815536,CATH DRN THOR 32FR 23IN,188.0,188.0,9.96,225.6,49
CDM,815539,CATH DRN 16FR 16IN RT,251.0,251.0,13.3,301.2,49
CDM,815540,CATH DRN 20FR 22IN,251.0,251.0,13.3,301.2,49
CDM,815542,CATH DRN THOR 32FR 23IN,236.0,236.0,12.51,283.2,49
CDM,815557,DRAIN CHEST INF/PEDI,1221.0,1221.0,64.71,1465.2,49
CDM,815571,EPIDURAL SPIKE PUMP SET,304.0,304.0,16.11,364.8,49
CDM,8156,CYCLOPHOSPHAMIDE 50MG PO,144.0,144.0,7.63,172.8,30
CDM,815615,CANNULA INNR SIZE 4,89.0,89.0,4.72,106.8,49
CDM,815617,CANNULA INNR SIZE 8,89.0,89.0,4.72,106.8,49
CDM,815626,TUBE TRACH 8.9X13.8X81MM,1033.0,1033.0,54.75,1239.6,49
CDM,815628,TUBE TRACH SIZE 6,1074.0,1074.0,56.92,1288.8,49
CDM,815629,TUBE TRACH CFLS SZ8,1074.0,1074.0,56.92,1288.8,49
CDM,815635,TUBE TRACH CUFF FN SZ 4,1300.0,1300.0,68.9,1560.0,49
CDM,815636,TUBE TRACH SIZE 6,1103.0,1103.0,58.46,1323.6,49
CDM,815637,TUBE TRACH CUF SZ 8,1103.0,1103.0,58.46,1323.6,49
CDM,815644,TUBE TRACH SGL CUFF SZ 8,1519.0,1519.0,80.51,1822.8,49
CDM,815648,TUBE LARYNGECTOMY #10,1300.0,1300.0,68.9,1560.0,49
CDM,815651,TUBE TRACH CUFF FN SZ6,1426.0,1426.0,75.58,1711.2,49
CDM,815652,TUBE TRACH CUFF FEN SZ8,1426.0,1426.0,75.58,1711.2,49
CDM,815659,CST PLSTR BNDG 5YDX4IN,26.36,26.36,1.4,31.63,49
CDM,815674,CATH CV 4.2FR 71CM,2564.0,2564.0,135.89,3076.8,49
CDM,815675,CATH CV 2.7FR 52CM,2564.0,2564.0,135.89,3076.8,49
CDM,815676,SCREW BN 4MM 45MM,330.0,330.0,17.49,396.0,20
CDM,8157,DEXAMETHASONE 4 MG PO,32.0,32.0,1.7,38.4,30
CDM,815709,KIT ADPTR ACC BLV-BIS-10,5895.0,5895.0,312.44,7074.0,49
CDM,815710,RNG ANLPLS MTRL GFRM 26,6680.0,6680.0,354.04,8016.0,20
CDM,815711,RNG ANLPLS MTRL GFRM 30,6680.0,6680.0,354.04,8016.0,20
CDM,815717,HEAD HIP +4MM 28MM,1400.0,1400.0,74.2,1680.0,20
CDM,815719,HEAD FEM HIP +7.5MM 36MM,1400.0,1400.0,74.2,1680.0,20
CDM,8158,DEXAMETHASONE 0.5 MG PO,31.0,31.0,1.64,37.2,30
CDM,815804,TUBE GASTRO 18FR,2564.0,2564.0,135.89,3076.8,49
CDM,815806,TUBE GASTRO 22FR X 3,882.0,882.0,46.75,1058.4,49
CDM,815812,BLN ESPH NS 15,2476.0,2476.0,131.23,2971.2,49
CDM,815827,ERCP CANN ULTRA,1055.0,1055.0,55.91,1266.0,49
CDM,815833,SPLINT ORTH FNGR 18X1IN,24.0,24.0,1.27,28.8,49
CDM,815844,SPLINT FNGR 4.25X5/8IN,29.0,29.0,1.54,34.8,49
CDM,815845,SPLNT FNGR AL 5 1/4,36.0,36.0,1.91,43.2,49
CDM,815846,SPLNT FNGR AL BLB 6 1/,28.0,28.0,1.48,33.6,49
CDM,815860,IMOB ORTH 18.5X9.5IN,144.0,144.0,19.3,172.8,24
CDM,815863,IMOB ORTH LG 9X18IN,151.0,151.0,20.23,181.2,24
CDM,815866,SLING ORTH ARM SM,77.0,77.0,4.08,92.4,49
CDM,815867,SLING ORHT ARM LG,81.0,81.0,4.29,97.2,49
CDM,815868,SLING ORT SHLDR XL,77.0,77.0,10.32,92.4,24
CDM,815868,Slings ,77.0,77.0,10.65,33.49,33
CDM,8159,DEXAMETHASONE 0.75 MG PO,31.0,31.0,1.64,37.2,30
CDM,815933,MESH SURG 3X6IN,106.0,106.0,5.62,127.2,20
CDM,815934,MESH SURG 6X6IN,505.0,505.0,26.77,606.0,20
CDM,815936,MESH HRN PP 4X1.8,146.0,146.0,7.74,175.2,20
CDM,815939,MESH SURG PLG 1.9X1.6IN,608.0,608.0,32.22,729.6,20
CDM,815940,MESH SURG LG 13.7X5.9CM,265.0,265.0,14.04,318.0,20
CDM,815941,MESH SURG 1.3X1.55IN,592.0,592.0,31.38,710.4,20
CDM,815970,GRAFT VASC 80CM 6MM,931.5,931.5,49.37,1117.8,20
CDM,815978,GRAFT CV PTFE 4X4X1.65MM,491.0,491.0,26.02,589.2,20
CDM,815979,GRAFT CV 15.2X15.2CM,645.0,645.0,34.19,774.0,20
CDM,815980,GRAFT VASC 6X6IN 1.85MM,273.0,273.0,14.47,327.6,20
CDM,815984,SHUNT CRTD TEMP 17F 27.5,2246.0,2246.0,119.04,2695.2,49
CDM,8160,ETOPOSIDE 50 MG PO,411.0,411.0,21.78,493.2,30
CDM,8160,"Etoposide; oral, 50 mg ",411.0,411.0,84.23,84.23,1
CDM,816014,RING ANLPLS 26MM,3950.0,3950.0,209.35,4740.0,20
CDM,816015,RING ANNULPLSTY 28X5200,4148.0,4148.0,219.84,4977.6,20
CDM,816033,STAPLER INT 65MM,3812.0,3812.0,202.04,4574.4,49
CDM,816035,DEVICE SUT LAP 10MM 15IN,5896.0,5896.0,312.49,7075.2,49
CDM,816042,DEVICE ENDO SZ0 48IN,2564.0,2564.0,135.89,3076.8,49
CDM,816050,FORCEP GRASP 2.4FR 120CM,2564.0,2564.0,135.89,3076.8,49
CDM,816057,CANNULA PRFSN 14FR 6IN,4787.0,4787.0,253.71,5744.4,49
CDM,816058,CANNULA PRFSN 3MM,166.0,166.0,8.8,199.2,49
CDM,816059,CANN PRFSN VSL2.5IN 3MM,193.0,193.0,10.23,231.6,49
CDM,816098,HEMOSAT ABS 2X4IN,5941.0,5941.0,314.87,7129.2,49
CDM,816099,SRGCL FBRLR ABSOR 4X4,7418.0,7418.0,393.15,8901.6,49
CDM,816101,SURGICEL NU-KNIT 6X9,2564.0,2564.0,135.89,3076.8,49
CDM,816103,HEMOSTAT ABS 1X2IN,5707.0,5707.0,302.47,6848.4,49
CDM,816176,FORCEP BX 2.4MM 240CM,420.0,420.0,22.26,504.0,49
CDM,816182,WASHER SPIKED BNE L20MM,274.0,274.0,14.52,328.8,20
CDM,816198,INSERT CLMP VASC 33MM,349.0,349.0,18.5,418.8,49
CDM,816199,CLAMP VASC INSERT 61MM,339.0,339.0,17.97,406.8,49
CDM,816207,CATHETER THRMB 2FR 60CM,2508.0,2508.0,132.92,3009.6,49
CDM,816209,CATHETER THRMB 4FR 80CM,1281.0,1281.0,67.89,1537.2,49
CDM,816210,CATH THRMB 5F 80CM,1244.0,1244.0,65.93,1492.8,49
CDM,816224,CATH ERCP CHLGR 4FRX40CM,791.0,791.0,41.92,949.2,49
CDM,816251,RASP SURG 11X5MM,2564.0,2564.0,135.89,3076.8,49
CDM,816252,RASP SURG 14X7MM,2564.0,2564.0,135.89,3076.8,49
CDM,816258,NEEDLE TIP 3CM,2564.0,2564.0,135.89,3076.8,49
CDM,816269,CATH BLN 3X220MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,816403,CLIP LIGATING LG,63.0,63.0,3.34,75.6,20
CDM,816404,SUCT/IRR SURG DISP,1605.0,1605.0,85.06,1926.0,49
CDM,816410,ICD VNTK PRZM DR HE 1853,30600.0,30600.0,1621.8,36720.0,20
CDM,816437,GWIRE ORTH 2.8X350MM,1621.0,1621.0,85.91,1945.2,49
CDM,816438,ROD REAMER 2.5MM X 850MM,2564.0,2564.0,135.89,3076.8,49
CDM,816439,CLAMP EXFX 6 PSTN LG,5941.0,5941.0,314.87,7129.2,49
CDM,816440,ROD EX FIX ATTACHMENT,3172.0,3172.0,168.12,3806.4,49
CDM,816441,GRAFT CV 12X6MM 40CM,1129.0,1129.0,59.84,1354.8,20
CDM,816442,GRAFT CV 12X7MM 40CM,1129.0,1129.0,59.84,1354.8,20
CDM,816443,GRAFT CV 14X7MM 40CM,1163.0,1163.0,61.64,1395.6,20
CDM,816444,GRAFT CV 14X8MM 40CM,1075.0,1075.0,56.98,1290.0,20
CDM,816445,GRAFT CV 16X8MM 40CM,1129.0,1129.0,59.84,1354.8,20
CDM,816446,GRAFT CV 16X9MM 40CM,1129.0,1129.0,59.84,1354.8,20
CDM,816447,GFT CV HMSH MCVL18X9X40,1129.0,1129.0,59.84,1354.8,20
CDM,816465,GRAFT CV 14MM 60CM,792.0,792.0,41.98,950.4,20
CDM,816466,GRAFT CV 16MM 60CM,792.0,792.0,41.98,950.4,20
CDM,816467,GRAFT CV 18MM 60CM,792.0,792.0,41.98,950.4,20
CDM,816475,GRAFT CV 10MM 30CM,755.0,755.0,40.02,906.0,20
CDM,816495,CABLE ORTHO 1.7X750MM,850.0,850.0,45.05,1020.0,20
CDM,816511,SCREW BN PRPLR HD 2.7X22,414.0,414.0,21.94,496.8,20
CDM,816587,CLIP ANRSM TEMP  6.7 CRV,452.0,452.0,23.96,542.4,20
CDM,816627,PIN DSTRCT 14MM,2092.0,2092.0,110.88,2510.4,49
CDM,816629,PIN DSTRCT 12MM,942.0,942.0,49.93,1130.4,49
CDM,816650,CLIP ANRSM PERM 10MM,766.0,766.0,40.6,919.2,20
CDM,816651,CLIP ANRSM PERM 3MM,731.0,731.0,38.74,877.2,20
CDM,816652,CLIP ANRSM PERM 5MM,569.0,569.0,30.16,682.8,20
CDM,816653,CLIP ANRSM PERM 3MM,731.0,731.0,38.74,877.2,20
CDM,816654,CLIP ANRSM PERM 5MM,737.0,737.0,39.06,884.4,20
CDM,816656,CLIP ANRSM PERM 7MM,737.0,737.0,39.06,884.4,20
CDM,816660,CLIP ANRSM PERM 4MM,797.0,797.0,42.24,956.4,20
CDM,816661,CLIP ANRSM PERM 7MM,737.0,737.0,39.06,884.4,20
CDM,816662,CLIP ANRSM PERM 6.5MM,731.0,731.0,38.74,877.2,20
CDM,816663,CLIP ANRSM PERM 5.4MM,766.0,766.0,40.6,919.2,20
CDM,816664,CLIP ANRSM PERM 7.0MM,737.0,737.0,39.06,884.4,20
CDM,816665,CLIP ANRSM PERM 8.6MM,737.0,737.0,39.06,884.4,20
CDM,816666,CLIP ANRSM PERM 7.0MM,797.0,797.0,42.24,956.4,20
CDM,816667,CLIP ANRSM PERM 9MM,737.0,737.0,39.06,884.4,20
CDM,816668,CLIP ANRSM PERM 8.3MM,737.0,737.0,39.06,884.4,20
CDM,816669,CLIP ANRSM PERM 6.4MM,744.0,744.0,39.43,892.8,20
CDM,816671,CLIP ANRSM PERM 11MM,737.0,737.0,39.06,884.4,20
CDM,816673,CLIP ANRSM PERM 10.2MM,737.0,737.0,39.06,884.4,20
CDM,816675,CLIP ANRSM PERM 8MM,766.0,766.0,40.6,919.2,20
CDM,816676,CLIP ANRSM PERM 5MM,816.0,816.0,43.25,979.2,20
CDM,816681,CLIP ANRSM PERM 7.4MM,797.0,797.0,42.24,956.4,20
CDM,816682,CLIP ANRSM PERM 8.4MM,797.0,797.0,42.24,956.4,20
CDM,816685,PLATE BN 16HL 215X3.5MM,1125.0,1125.0,59.63,1350.0,20
CDM,816694,CATH URTH 20FR 14IN,29.0,29.0,1.54,34.8,49
CDM,816696,CATH URET 2W 20FR 30CC,496.0,496.0,26.29,595.2,49
CDM,816698,CATH URET 2W 24FR 30CC,754.0,754.0,39.96,904.8,49
CDM,816718,HEAD FEM HIP HMSPHR 42MM,5292.0,5292.0,280.48,6350.4,20
CDM,816727,SUTURE BLU MONO 5-0 18IN,159.0,159.0,8.43,190.8,49
CDM,816733,SUTURE VIOL MON 0 18IN,387.0,387.0,20.51,464.4,49
CDM,816734,SUTURE CTX 0 1X30IN,64.0,64.0,3.39,76.8,49
CDM,816735,SUTURE UND MONO 4-0 27IN,49.0,49.0,2.6,58.8,49
CDM,816737,SUTURE VIOL MON 3-0 27IN,60.0,60.0,3.18,72.0,49
CDM,816742,SUTURE VIO MONO 2-0 27IN,2.0,2.0,0.11,2.4,49
CDM,816743,RELOAD STPLR 60MM,69.0,69.0,3.66,82.8,20
CDM,816748,STAPLER IN 30MM,2564.0,2564.0,135.89,3076.8,49
CDM,816750,APPLIER CLP PRLD 11IN,71.0,71.0,3.76,85.2,20
CDM,816753,SUTURE VIO BRD 3-0 18IN,326.0,326.0,17.28,391.2,49
CDM,816760,SCREW 6.5 CANC BNE FUL T,57.0,57.0,3.02,68.4,20
CDM,8168,MELPHALAN 2 MG PO,70.0,70.0,3.71,84.0,30
CDM,8168,"Melphalan; oral, 2 mg ",70.0,70.0,,,0
CDM,816882,SCREW EXFX HIP 80X4X3MM,325.0,325.0,17.23,390.0,49
CDM,8169,METHOTREXATE 2.5 MG PO,117.0,117.0,6.2,140.4,30
CDM,8169,"Methotrexate; oral, 2.5 mg ",117.0,117.0,0.14,0.14,1
CDM,816902,LOCKING BOLT 459.30S,356.0,356.0,18.87,427.2,20
CDM,816959,PLT TIBHEAD 440.529,361.0,361.0,19.13,433.2,20
CDM,817421,ROD CFBR EXFIX ST 11X650,3516.0,3516.0,186.35,4219.2,49
CDM,817438,ROD EX FIX 11MM 250MM,2759.0,2759.0,146.23,3310.8,49
CDM,817439,ROD EX FIX 11MM 300MM,2759.0,2759.0,146.23,3310.8,49
CDM,817440,ROD EX FIX 11MM 400MM,2759.0,2759.0,146.23,3310.8,49
CDM,817441,ROD EX FIX 11MM 450MM,2963.0,2963.0,157.04,3555.6,49
CDM,817442,ROD EX FIX 11MM 500MM,2963.0,2963.0,157.04,3555.6,49
CDM,817443,ROD EX FIX 11MM 550MM,2963.0,2963.0,157.04,3555.6,49
CDM,817444,ROD EX FIX 11MM 400MM,3252.0,3252.0,172.36,3902.4,49
CDM,817445,ROD EX FIX 11MM 450MM,3252.0,3252.0,172.36,3902.4,49
CDM,817446,ROD EX FIX 11MM 500MM,3252.0,3252.0,172.36,3902.4,49
CDM,817536,SCREW EXFX 5X150X6MM,329.0,329.0,17.44,394.8,49
CDM,817537,SCREW EXFX 5X175X60MM,329.0,329.0,17.44,394.8,49
CDM,817538,SCREW EXFX HIP 200X5MM,2564.0,2564.0,135.89,3076.8,49
CDM,817539,SCREW EXFX HIP 250X5MM,329.0,329.0,17.44,394.8,49
CDM,817541,SCREW EXFX HP 6X200X80MM,2564.0,2564.0,135.89,3076.8,49
CDM,817542,PIN EXFX 6MM 225MM,2564.0,2564.0,135.89,3076.8,49
CDM,817561,SCREW EXFX XLNG 200X5MM,2216.0,2216.0,117.45,2659.2,49
CDM,817565,SCREW EXFX 160X6MM,172.0,172.0,9.12,206.4,49
CDM,817566,SCREW EXFX 190X6MM,2564.0,2564.0,135.89,3076.8,49
CDM,817573,SCREW EXFX HIP 80X4X3MM,2564.0,2564.0,135.89,3076.8,49
CDM,817579,SCREW EXFX HIP 150X4MM,291.0,291.0,15.42,349.2,49
CDM,817580,SCREW EXFX HIP 175X4MM,291.0,291.0,15.42,349.2,49
CDM,817582,GWIRE ORTH 1.1MM 150MM,882.0,882.0,46.75,1058.4,49
CDM,817583,GWIRE ORTH 1.1MM 150MM,831.0,831.0,44.04,997.2,49
CDM,817585,GWIRE ORTH 2MM 230MM,1263.0,1263.0,66.94,1515.6,49
CDM,817586,GWIRE ORTH 2.8MM 300MM,1507.0,1507.0,79.87,1808.4,49
CDM,817588,KWIRE FX 150MM 1.6MM,544.0,544.0,28.83,652.8,49
CDM,817589,GWIRE ORTH 150MM 1.6MM,1112.0,1112.0,58.94,1334.4,49
CDM,817592,KWIRE FX 150MM 2.5MM,598.0,598.0,31.69,717.6,49
CDM,817620,KWIRE FX 70MM .6MM,250.0,250.0,13.25,300.0,49
CDM,817621,KWIRE FX 70MM .8MM,250.0,250.0,13.25,300.0,49
CDM,817624,KWIRE FX 150MM 1.25MM,289.0,289.0,15.32,346.8,49
CDM,817625,KWIRE FX 285MM 1.25MM,357.0,357.0,18.92,428.4,49
CDM,817626,KWIRE FX 150MM 1.6MM,289.0,289.0,15.32,346.8,49
CDM,817627,KWIRE FX 285MM 1.6MM,357.0,357.0,18.92,428.4,49
CDM,817628,GRAFT VASC 45CM 4-7MM,2632.0,2632.0,139.5,3158.4,20
CDM,817629,KWIRE FX 285MM 2MM,360.0,360.0,19.08,432.0,49
CDM,817631,KWIRE FX 285MM 2.5MM,360.0,360.0,19.08,432.0,49
CDM,817702,SCREW BN 14MM 140MM,668.0,668.0,35.4,801.6,20
CDM,817751,PLATE PELVIC 3.5 X 5 X 5,667.0,667.0,35.35,800.4,20
CDM,817781,PLATE BN 3HL 2.7 34MM,209.0,209.0,11.08,250.8,20
CDM,817782,PLATE BN 3HL 2.7MM 34MM,209.0,209.0,11.08,250.8,20
CDM,817783,PLATE T BN 3HL 32MM,217.0,217.0,11.5,260.4,20
CDM,817786,PLATE BN 3HL 17MM,185.0,185.0,9.8,222.0,20
CDM,817787,PLATE BN 4HL 23MM,199.0,199.0,10.55,238.8,20
CDM,817788,PLATE BN 5HL 2.0MM 29MM,208.0,208.0,11.02,249.6,20
CDM,817795,PLATE BN 2HL 20MM,161.0,161.0,8.53,193.2,20
CDM,817796,PLATE BN RT 2HL 20MM,161.0,161.0,8.53,193.2,20
CDM,817797,PLATE T BN 2HL 18MM,109.0,109.0,5.78,130.8,20
CDM,817830,PLATE 1/3 TBLR 73MM 6HL,165.0,165.0,8.74,198.0,20
CDM,817832,PLATE 1/3 TBLR 97MM 8HL,171.0,171.0,9.06,205.2,20
CDM,817836,PLATE BN 60X1.2MM,1251.0,1251.0,66.3,1501.2,20
CDM,817841,PLATE BN 2.4MM 170MM,252.0,252.0,13.36,302.4,20
CDM,817842,PLATE BN QTR 4HL 31MM,231.0,231.0,12.24,277.2,20
CDM,817843,PLATE BN QTR 5HL 39MM,243.0,243.0,12.88,291.6,20
CDM,817844,PLATE BN QTR 6HL 47MM,261.0,261.0,13.83,313.2,20
CDM,817845,PLATE BN QTR 7HL 55MM,276.0,276.0,14.63,331.2,20
CDM,817846,PLATE BN QTR 8HL 63MM,285.0,285.0,15.11,342.0,20
CDM,817852,PLATE BN 13HL 240MM,1302.0,1302.0,69.01,1562.4,20
CDM,817854,PLATE BN LAB TIB 149MM,1104.0,1104.0,58.51,1324.8,20
CDM,817865,PLATE BN 6HL 116MM,452.0,452.0,23.96,542.4,20
CDM,817883,PLATE LCDCP 8H/4.5 142,248.0,248.0,13.14,297.6,20
CDM,817896,WASHER BN 7.0MM F/SM,44.0,44.0,2.33,52.8,20
CDM,817897,WASHER BN 13.0MM,49.0,49.0,2.6,58.8,20
CDM,8179,DOXORUBICIN 10 MG INJ,264.0,264.0,13.99,316.8,30
CDM,817901,PLATE BN 5HL 87MM,103.0,103.0,5.46,123.6,20
CDM,817909,PLATE 3.5 LC DCP,396.0,396.0,20.99,475.2,20
CDM,817925,SCREW BN 6.5MM 8MM 25MM,57.0,57.0,3.02,68.4,20
CDM,817926,SCREW BN 6.5MM 30MM,57.0,57.0,3.02,68.4,20
CDM,817927,SCREW BN 6.5MM 8MM 35MM,57.0,57.0,3.02,68.4,20
CDM,817928,SCREW BN 6.5MM 40MM,57.0,57.0,3.02,68.4,20
CDM,817929,SCREW BN 6.5MM 8MM,57.0,57.0,3.02,68.4,20
CDM,817930,SCREW BN 6.5MM 8MM,57.0,57.0,3.02,68.4,20
CDM,817931,SCREW BN 6.5MM 8MM,57.0,57.0,3.02,68.4,20
CDM,817933,WASHER BN THRD 3.0MM,240.0,240.0,12.72,288.0,20
CDM,817934,WASHER BN 4.5MM 10MM,52.0,52.0,2.76,62.4,20
CDM,817937,NUT BN 4.5MM,52.0,52.0,2.76,62.4,20
CDM,817939,WASHER BN 6.5MM 3.0MM,50.0,50.0,2.65,60.0,20
CDM,817940,SCREW BN 6.5X16X35MM,57.0,57.0,3.02,68.4,20
CDM,817941,SCREW BN 6.5X16X40MM,57.0,57.0,3.02,68.4,20
CDM,817942,SCREW BN 6.5X8X45MM,57.0,57.0,3.02,68.4,20
CDM,817943,SCREW BN 6.5X8X50MM,57.0,57.0,3.02,68.4,20
CDM,817944,SCREW BN 6.5X8X55MM,57.0,57.0,3.02,68.4,20
CDM,817946,SCREW BN 6.5X16X65MM,57.0,57.0,3.02,68.4,20
CDM,817947,SCREW BN 6.5X16X70MM,57.0,57.0,3.02,68.4,20
CDM,817948,SCREW BN 6.5MM 16MM,57.0,57.0,3.02,68.4,20
CDM,817949,SCREW BN 6.5MM 16MM 80MM,57.0,57.0,3.02,68.4,20
CDM,817950,SCREW BN 6.5X8X85MM,61.0,61.0,3.23,73.2,20
CDM,817952,SCREW BN 6.5X16X95MM,61.0,61.0,3.23,73.2,20
CDM,817953,SCREW BN 6.5X16X100MM,61.0,61.0,3.23,73.2,20
CDM,817954,SCREW BN 6.5X16X105MM,61.0,61.0,3.23,73.2,20
CDM,817955,SCREW BN 6.5X16X115MM,61.0,61.0,3.23,73.2,20
CDM,817956,SCREW BNE CANC 6.5X45,57.0,57.0,3.02,68.4,20
CDM,817957,SCREW BNE CANC 6.5X50,57.0,57.0,3.02,68.4,20
CDM,817958,SCREW BN 6.5X55MM,57.0,57.0,3.02,68.4,20
CDM,817959,SCREW BN 6.5X60MM,57.0,57.0,3.02,68.4,20
CDM,817960,SCREW BN 6.5X65MM,57.0,57.0,3.02,68.4,20
CDM,817961,SCREW BN 6.5MM 32MM,57.0,57.0,3.02,68.4,20
CDM,817962,SCREW BN 6.5MM 32MM,57.0,57.0,3.02,68.4,20
CDM,817963,SCREW BN 6.5MM 80MM,57.0,57.0,3.02,68.4,20
CDM,817964,SCREW BN 6.5MM 85MM,61.0,61.0,3.23,73.2,20
CDM,817965,SCREW BN 6.5MM 90MM,61.0,61.0,3.23,73.2,20
CDM,817966,SCREW BN 6.5X95MM,61.0,61.0,3.23,73.2,20
CDM,817967,SCREW BN 6.5MM 100MM,61.0,61.0,3.23,73.2,20
CDM,817968,SCREW BN 6.2X32X105MM,61.0,61.0,3.23,73.2,20
CDM,817969,SCREW BN 6.5X32X110MM,61.0,61.0,3.23,73.2,20
CDM,817971,SCREW BN 4.5MM 8MM 38MM,37.0,37.0,1.96,44.4,20
CDM,817972,SCREW BN CORT 4.5X40MM,37.0,37.0,1.96,44.4,20
CDM,817974,SCREW BN 4.5MM 8MM 42MM,37.0,37.0,1.96,44.4,20
CDM,817975,SCREW BN 4.5MM 44MM,37.0,37.0,1.96,44.4,20
CDM,817976,SCREW BN 4.5MM 8MM 46MM,37.0,37.0,1.96,44.4,20
CDM,817977,SCREW BN 4.5MM 48MM,37.0,37.0,1.96,44.4,20
CDM,817978,SCREW BN 4.5MM 8MM 50MM,37.0,37.0,1.96,44.4,20
CDM,817979,SCREW BN 4.5MM 52MM,37.0,37.0,1.96,44.4,20
CDM,817980,SCREW BN 4.5MM 8MM 54MM,37.0,37.0,1.96,44.4,20
CDM,817982,SCREW BN 4.5MM 58MM,37.0,37.0,1.96,44.4,20
CDM,817983,SCREW BN 4.5MM 8MM 60MM,42.0,42.0,2.23,50.4,20
CDM,817984,SCREW BN 4.5MM 62MM,37.0,37.0,1.96,44.4,20
CDM,817986,SCREW BN 4.5MM 66MM,37.0,37.0,1.96,44.4,20
CDM,817987,SCREW BN CORT 4.5MM 68MM,37.0,37.0,1.96,44.4,20
CDM,817988,SCREW BN 4.5MM 70MM,37.0,37.0,1.96,44.4,20
CDM,817989,SCREW BN 4.5MM 25MM,58.0,58.0,3.07,69.6,20
CDM,817990,SCREW BN 4.5MM 30MM,58.0,58.0,3.07,69.6,20
CDM,817991,SCREW BN 4.5MM 35MM,58.0,58.0,3.07,69.6,20
CDM,817992,SCREW BN 4.5MM 40MM,58.0,58.0,3.07,69.6,20
CDM,817993,SCREW BN 4.5MM 45MM,58.0,58.0,3.07,69.6,20
CDM,817995,SCREW BN 4.5MM 55MM,58.0,58.0,3.07,69.6,20
CDM,817996,SCREW BN 4.5MM 60MM,58.0,58.0,3.07,69.6,20
CDM,817997,SCREW BN 4.5MM 65MM,58.0,58.0,3.07,69.6,20
CDM,817998,SCREW BN 4.5MM 70MM,58.0,58.0,3.07,69.6,20
CDM,817999,SCREW BN CANC 6.5X30,57.0,57.0,3.02,68.4,20
CDM,818032,SCREW BN 4.5MM 14MM,37.0,37.0,1.96,44.4,20
CDM,818033,SCREW BN 4.5MM 16MM,37.0,37.0,1.96,44.4,20
CDM,818034,SCREW BN ST 4.5MM 18MM,37.0,37.0,1.96,44.4,20
CDM,818035,SCREW BN 4.5MM 20MM,37.0,37.0,1.96,44.4,20
CDM,818036,SCREW BN 4.5MM 22MM,37.0,37.0,1.96,44.4,20
CDM,818037,SCREW BN 4.5MM 8MM 24MM,37.0,37.0,1.96,44.4,20
CDM,818038,SCREW BN 4.5MM 8MM 26MM,37.0,37.0,1.96,44.4,20
CDM,818039,SCREW BN 4.5MM 8MM 28MM,37.0,37.0,1.96,44.4,20
CDM,818040,SCREW BN 4.5MM 8MM 30MM,37.0,37.0,1.96,44.4,20
CDM,818041,SCREW BN 4.5MM 8MM 32MM,37.0,37.0,1.96,44.4,20
CDM,818042,SCREW BN 4.5MM 8MM 34MM,37.0,37.0,1.96,44.4,20
CDM,818043,SCREW BN 4.5MM 8MM 36MM,37.0,37.0,1.96,44.4,20
CDM,8181,DOXORUBICIN 20 MG INJ,411.0,411.0,21.78,493.2,30
CDM,818104,SCREW BN 7.3MM 45MM,447.0,447.0,23.69,536.4,20
CDM,818105,SCREW BN 7.3MM 32MM,447.0,447.0,23.69,536.4,20
CDM,818106,SCREW BN 7.3MM 55MM,447.0,447.0,23.69,536.4,20
CDM,818107,SCREW BN 7.3MM 60MM,447.0,447.0,23.69,536.4,20
CDM,818108,SCREW BN 7.3MM 32MM 65MM,447.0,447.0,23.69,536.4,20
CDM,818109,SCREW BN 7.3MM 32MM 70MM,447.0,447.0,23.69,536.4,20
CDM,818110,SCREW BN 7.3MM 75MM 32MM,447.0,447.0,23.69,536.4,20
CDM,818111,SCREW BN 7.3X80MM,447.0,447.0,23.69,536.4,20
CDM,818112,SCREW BN 7.3X32X85MM,447.0,447.0,23.69,536.4,20
CDM,818113,SCREW BN 8.2X2.9MM 90MM,457.0,457.0,24.22,548.4,20
CDM,818114,SCREW BN 7.3MM 95MM,447.0,447.0,23.69,536.4,20
CDM,818115,SCREW BN 7.3MM 100MM,447.0,447.0,23.69,536.4,20
CDM,818116,SCREW BN 7.3MM 105MM,447.0,447.0,23.69,536.4,20
CDM,818117,SCREW BN 7.3MM 110MM,447.0,447.0,23.69,536.4,20
CDM,818118,SCREW BN 7.3X115X32MM,447.0,447.0,23.69,536.4,20
CDM,818119,SCREW BN 7.3MM 120MM,438.0,438.0,23.21,525.6,20
CDM,818120,SCREW BN 7.3X125X32MM,438.0,438.0,23.21,525.6,20
CDM,818121,SCREW BN 7.3X130X32MM,447.0,447.0,23.69,536.4,20
CDM,818122,SCREW BN 7.3X32X135MM,447.0,447.0,23.69,536.4,20
CDM,818123,SCREW BN 7.3MM 140MM,447.0,447.0,23.69,536.4,20
CDM,818125,SCREW BN 7.3X32X150MM,447.0,447.0,23.69,536.4,20
CDM,818164,SCREW BN 7.3MM 55MM,447.0,447.0,23.69,536.4,20
CDM,818165,SCREW BN 7.3MM 60MM,447.0,447.0,23.69,536.4,20
CDM,818166,SCREW BN 7.3MM 16MM 65MM,447.0,447.0,23.69,536.4,20
CDM,818167,SCREW BN CANN 7.3MM 70MM,447.0,447.0,23.69,536.4,20
CDM,818168,SCREW BN 7.3X75MM,447.0,447.0,23.69,536.4,20
CDM,818169,SCREW BN 7.3MM 80MM,447.0,447.0,23.69,536.4,20
CDM,818170,SCREW BN 7.3MM 85MM,447.0,447.0,23.69,536.4,20
CDM,818172,SCREW BN 7.3MM 95MM,447.0,447.0,23.69,536.4,20
CDM,818183,SCREW BN 7.3MM 150MM,447.0,447.0,23.69,536.4,20
CDM,818193,SCREW BN 7MM 32MM 90MM,523.0,523.0,27.72,627.6,20
CDM,818219,SCREW BN 7MM 100MM,523.0,523.0,27.72,627.6,20
CDM,818220,SCREW BN 7MM 16MM 105MM,523.0,523.0,27.72,627.6,20
CDM,818221,SCREW BN 7MM 8MM 110MM,523.0,523.0,27.72,627.6,20
CDM,818222,SCREW BN 7MM 16MM 115MM,523.0,523.0,27.72,627.6,20
CDM,818223,SCREW BN 7MM 16MM 120MM,523.0,523.0,27.72,627.6,20
CDM,818224,SCREW BN 7MM 16MM 125MM,523.0,523.0,27.72,627.6,20
CDM,818225,SCREW BN 7MM 16MM 130MM,523.0,523.0,27.72,627.6,20
CDM,818226,SCREW BN 7MM 140MM 16MM,539.0,539.0,28.57,646.8,20
CDM,818227,SCREW BN 7MM 150MM 16MM,539.0,539.0,28.57,646.8,20
CDM,818228,SCREW BN 7.3X30X16MM,447.0,447.0,23.69,536.4,20
CDM,818229,SCREW BN 7.3MM 35MM,447.0,447.0,23.69,536.4,20
CDM,818230,SCREW BN 7.3MM 40MM,447.0,447.0,23.69,536.4,20
CDM,818231,SCREW BN 7.3MM 16MM 45MM,447.0,447.0,23.69,536.4,20
CDM,818232,SCREW BN 7.3X50MM,447.0,447.0,23.69,536.4,20
CDM,818234,SCREW BN 4MM 12MM,341.0,341.0,18.07,409.2,20
CDM,818235,SCREW BN 4MM 14MM,341.0,341.0,18.07,409.2,20
CDM,818236,SCREW BN 4MM 16MM,341.0,341.0,18.07,409.2,20
CDM,818237,SCREW BN 4MM 18MM,341.0,341.0,18.07,409.2,20
CDM,818239,SCREW BN 4MM 5MM,334.0,334.0,17.7,400.8,20
CDM,818240,SCREW BN 4.0MM 24MM,341.0,341.0,18.07,409.2,20
CDM,818241,SCREW BN 4X26MM,341.0,341.0,18.07,409.2,20
CDM,818242,SCREW BN 4MM 1.35MM 28MM,334.0,334.0,17.7,400.8,20
CDM,818243,SCREW BN 4MM 30MM,336.0,336.0,17.81,403.2,20
CDM,818244,SCREW BN 4MM 1.35MM 32MM,334.0,334.0,17.7,400.8,20
CDM,818245,SCREW BN CANN 4MM 34MM,341.0,341.0,18.07,409.2,20
CDM,818246,SCREW BN 4MM 1.35MM 36MM,341.0,341.0,18.07,409.2,20
CDM,818247,SCREW BN 4MM 1.35MM 38MM,334.0,334.0,17.7,400.8,20
CDM,818248,SCREW BN 4MM 1.35MM 40MM,341.0,341.0,18.07,409.2,20
CDM,818249,SCREW BN 4MM 1.35MM 42MM,334.0,334.0,17.7,400.8,20
CDM,818250,SCREW BN 4MM 1.35MM 44MM,341.0,341.0,18.07,409.2,20
CDM,818251,SCREW BN 4MM 1.35MM 46MM,341.0,341.0,18.07,409.2,20
CDM,818252,SCREW BN 4MM 48MM,341.0,341.0,18.07,409.2,20
CDM,818253,SCREW BN 4MM 1.35MM 50MM,336.0,336.0,17.81,403.2,20
CDM,818254,SCREW BN 4MM 16MM,341.0,341.0,18.07,409.2,20
CDM,818255,SCREW BN 4MM 18MM,341.0,341.0,18.07,409.2,20
CDM,818257,SCREW BN 4MM 22MM,341.0,341.0,18.07,409.2,20
CDM,818258,SCREW BN 4.0MM 24MM,341.0,341.0,18.07,409.2,20
CDM,818259,SCREW BN CANN 4.0X26MM,341.0,341.0,18.07,409.2,20
CDM,818260,SCREW BN 4.0MM 28MM,352.0,352.0,18.66,422.4,20
CDM,818261,SCREW BN 4X5X30MM,341.0,341.0,18.07,409.2,20
CDM,818262,SCREW BN CANN 4MM 32MM,341.0,341.0,18.07,409.2,20
CDM,818263,SCREW BN 4X5X1.35X34MM,341.0,341.0,18.07,409.2,20
CDM,818264,SCREW BN 4X5X52MM,334.0,334.0,17.7,400.8,20
CDM,818265,SCREW BN 4.5X38MM,341.0,341.0,18.07,409.2,20
CDM,818266,SCREW BN 4.0MM 40MM,341.0,341.0,18.07,409.2,20
CDM,818267,SCREW BN 4.0MM 42MM,341.0,341.0,18.07,409.2,20
CDM,818268,SCREW BN 4MM 44MM,341.0,341.0,18.07,409.2,20
CDM,818269,SCREW BN 4MM 46MM,341.0,341.0,18.07,409.2,20
CDM,818270,SCREW BN CANN 4MM 48MM,352.0,352.0,18.66,422.4,20
CDM,818271,SCREW BN 4MM 5MM,341.0,341.0,18.07,409.2,20
CDM,818276,SCREW BN 4MM 26MM,30.0,30.0,1.59,36.0,20
CDM,818277,SCREW BN 4MM 28MM,30.0,30.0,1.59,36.0,20
CDM,818278,SCREW BN 4MM 6MM 30MM,30.0,30.0,1.59,36.0,20
CDM,818280,SCREW BN 4MM 6MM 35MM,30.0,30.0,1.59,36.0,20
CDM,818281,SCREW BN CANC 4MM 36MM,30.0,30.0,1.59,36.0,20
CDM,818282,SCREW BN 4MM 6MM 40MM,30.0,30.0,1.59,36.0,20
CDM,818283,SCREW BN 4MM 6MM 45MM,30.0,30.0,1.59,36.0,20
CDM,818284,SCREW BN 4MM 6MM 50MM,30.0,30.0,1.59,36.0,20
CDM,818285,SCREW BN 4MM 6MM 55MM,30.0,30.0,1.59,36.0,20
CDM,818286,SCREW BN CANC SM 4X60MM,30.0,30.0,1.59,36.0,20
CDM,818293,SCREW BN 4.0MM 10MM,29.0,29.0,1.54,34.8,20
CDM,818294,SCREW BN 4MM 12MM,29.0,29.0,1.54,34.8,20
CDM,818295,SCREW BN 4.0MM 14MM,29.0,29.0,1.54,34.8,20
CDM,818296,SCREW BN CANC 4MM 16MM,29.0,29.0,1.54,34.8,20
CDM,818297,SCREW BN CANC 4MM 18MM,29.0,29.0,1.54,34.8,20
CDM,818299,SCREW BN CANC 4MM 22MM,29.0,29.0,1.54,34.8,20
CDM,818300,SCREW BN CANC 4MM 24MM,29.0,29.0,1.54,34.8,20
CDM,818301,SCREW BN CANC 4MM 26MM,29.0,29.0,1.54,34.8,20
CDM,818302,SCREW BN CANC 4MM 28MM,28.0,28.0,1.48,33.6,20
CDM,818303,SCREW BN 4.0MM 30MM,29.0,29.0,1.54,34.8,20
CDM,818304,SCREW BN 4MM 6MM 35MM,29.0,29.0,1.54,34.8,20
CDM,818305,SCREW BN 4MM 6MM 40MM,29.0,29.0,1.54,34.8,20
CDM,818306,SCREW BN 4MM 6MM 45MM,29.0,29.0,1.54,34.8,20
CDM,818307,SCREW BN 4MM 6MM 50MM,29.0,29.0,1.54,34.8,20
CDM,818308,SCREW BN CANN 4MM 55MM,29.0,29.0,1.54,34.8,20
CDM,818354,SCREW BN 4MM 6MM 10MM,30.0,30.0,1.59,36.0,20
CDM,818355,SCREW BN 4MM 6MM 12MM,30.0,30.0,1.59,36.0,20
CDM,818356,SCREW BN 4MM 6MM 14MM,30.0,30.0,1.59,36.0,20
CDM,818357,SCREW BN 4MM 6MM 16MM,30.0,30.0,1.59,36.0,20
CDM,818358,SCREW BN 4MM 6MM 18MM,30.0,30.0,1.59,36.0,20
CDM,818359,SCREW BN 4MM 6MM 20MM,30.0,30.0,1.59,36.0,20
CDM,818360,SCREW BN 4MM 6MM 22MM,34.0,34.0,1.8,40.8,20
CDM,818361,SCREW BN 4MM 6MM 24MM,30.0,30.0,1.59,36.0,20
CDM,818362,SCREW BN 3.5MM 95MM,49.0,49.0,2.6,58.8,20
CDM,818367,SCREW BN 3.5MM 120MM,54.0,54.0,2.86,64.8,20
CDM,818370,SCREW BN 3.5MM 6MM 10MM,36.0,36.0,1.91,43.2,20
CDM,818371,SCREW BN 3.5MM 6MM 12MM,37.0,37.0,1.96,44.4,20
CDM,818372,SCREW BN 3.5MM 6MM 14MM,37.0,37.0,1.96,44.4,20
CDM,818373,SCREW BN S/T 3.5MM 16MM,37.0,37.0,1.96,44.4,20
CDM,818374,SCREW BN 3.5MM 6MM 18MM,37.0,37.0,1.96,44.4,20
CDM,818375,SCREW BN 3.5MM 20MM,37.0,37.0,1.96,44.4,20
CDM,818376,SCREW BN 3.5MM 6MM 22MM,37.0,37.0,1.96,44.4,20
CDM,818377,SCREW BN 3.5MM 6MM 24MM,37.0,37.0,1.96,44.4,20
CDM,818378,SCREW BN 3.5MM 6MM 26MM,37.0,37.0,1.96,44.4,20
CDM,818379,SCREW BN 3.5MM 6MM 28MM,37.0,37.0,1.96,44.4,20
CDM,818380,SCREW BN 3.5MM 6MM 30MM,37.0,37.0,1.96,44.4,20
CDM,818381,SCREW BN 3.5MM 6MM 32MM,37.0,37.0,1.96,44.4,20
CDM,818382,SCREW BN 3.5MM 34MM,37.0,37.0,1.96,44.4,20
CDM,818383,SCREW BN 3.5MM 6MM 36MM,37.0,37.0,1.96,44.4,20
CDM,818384,SCREW BN CORT 3.5MM 38MM,37.0,37.0,1.96,44.4,20
CDM,818385,SCREW BN 3.5MM 6MM 40MM,37.0,37.0,1.96,44.4,20
CDM,818386,SCREW BN 3.5MM 45MM,37.0,37.0,1.96,44.4,20
CDM,818387,SCREW BN 3.5MM 50MM,36.0,36.0,1.91,43.2,20
CDM,818388,SCREW BN 3.5MM 6MM 55MM,36.0,36.0,1.91,43.2,20
CDM,818389,SCREW BN 3.5MM 6MM 60MM,37.0,37.0,1.96,44.4,20
CDM,818406,SCREW CORT MF 1.5X6,32.0,32.0,1.7,38.4,20
CDM,818426,SCREW BN 3.5MM 16MM,35.0,35.0,1.85,42.0,20
CDM,818440,SCREW BN 3.5MM 40MM,54.0,54.0,2.86,64.8,20
CDM,818441,SCREW BN 3.5MM 45MM,54.0,54.0,2.86,64.8,20
CDM,818442,SCREW BN 3.5MM 60MM,54.0,54.0,2.86,64.8,20
CDM,818443,SCREW BN 3.5MM 55MM,49.0,49.0,2.6,58.8,20
CDM,818444,SCREW BN 3.5MM 60MM,49.0,49.0,2.6,58.8,20
CDM,818445,SCREW BN 3.5MM 65MM,47.0,47.0,2.49,56.4,20
CDM,818446,SCREW BN 3.5MM 70MM,47.0,47.0,2.49,56.4,20
CDM,818447,SCREW BN SLFTP 3.5X75MM,49.0,49.0,2.6,58.8,20
CDM,818448,SCREW BN 3.5MM 80MM,47.0,47.0,2.49,56.4,20
CDM,818449,SCREW BN 3.5MM 85MM,47.0,47.0,2.49,56.4,20
CDM,818452,SCREW BN 3X27MM,345.0,345.0,18.29,414.0,20
CDM,818453,SCREW BN CANN 3MM 28MM,345.0,345.0,18.29,414.0,20
CDM,818454,SCREW BN 3X29MM,345.0,345.0,18.29,414.0,20
CDM,818455,SCREW BN CANN 3MM 30MM,345.0,345.0,18.29,414.0,20
CDM,818456,SCREW BN 3.0MM 32MM 14MM,345.0,345.0,18.29,414.0,20
CDM,818457,SCREW BN 3X34MM,345.0,345.0,18.29,414.0,20
CDM,818458,SCREW BN 3X4X1.2X36X16MM,345.0,345.0,18.29,414.0,20
CDM,818459,SCREW BN 3X4X1.2X38X18MM,345.0,345.0,18.29,414.0,20
CDM,818460,SCREW BN 3X40MM,345.0,345.0,18.29,414.0,20
CDM,818461,SCREW BN 2.7MM 5MM 6MM,64.0,64.0,3.39,76.8,20
CDM,818462,SCREW BN 2.7MM 5MM 8MM,64.0,64.0,3.39,76.8,20
CDM,818463,SCREW BN 2.7MM 10MM,64.0,64.0,3.39,76.8,20
CDM,818464,SCREW BN 2.7MM 12MM,64.0,64.0,3.39,76.8,20
CDM,818465,SCREW BN S/T 2.7MM 14MM,64.0,64.0,3.39,76.8,20
CDM,818466,SCREW BN 2.7MM 5MM 16MM,64.0,64.0,3.39,76.8,20
CDM,818467,SCREW BN 2.7MM 18MM,64.0,64.0,3.39,76.8,20
CDM,818468,SCREW BN 2.7MM 5MM 20MM,64.0,64.0,3.39,76.8,20
CDM,818469,SCREW BN 2.7MM 5MM 22MM,64.0,64.0,3.39,76.8,20
CDM,818470,SCREW BN 2.7MM 24MM,64.0,64.0,3.39,76.8,20
CDM,818471,SCREW BN 2.7MM 5MM 26MM,64.0,64.0,3.39,76.8,20
CDM,818472,SCREW BN 2.7MM 5MM 28MM,64.0,64.0,3.39,76.8,20
CDM,818474,SCREW BN CORT 2.7MM 32MM,64.0,64.0,3.39,76.8,20
CDM,818475,SCREW BN 2.7MM 5MM 34MM,64.0,64.0,3.39,76.8,20
CDM,818476,SCREW BN 2.7MM 36MM,63.0,63.0,3.34,75.6,20
CDM,818477,SCREW BN 2.7MM 38MM,64.0,64.0,3.39,76.8,20
CDM,818478,SCREW BN 2.7MM 40MM,64.0,64.0,3.39,76.8,20
CDM,818479,SCREW BN 2.7MM 45MM,64.0,64.0,3.39,76.8,20
CDM,818480,SCREW BN 2.7MM 50MM,64.0,64.0,3.39,76.8,20
CDM,818481,SCREW BN 2.7MM 55MM,74.0,74.0,3.92,88.8,20
CDM,818490,SCREW CORT 3.5X26,35.0,35.0,1.85,42.0,20
CDM,818494,SCREW CORT 3.5 34,30.0,30.0,1.59,36.0,20
CDM,818506,SCREW BN 3X4X14MM,345.0,345.0,18.29,414.0,20
CDM,818507,SCREW BN 3X15MM,345.0,345.0,18.29,414.0,20
CDM,818508,SCREW CANN THRD 3.0X16,345.0,345.0,18.29,414.0,20
CDM,818509,SCREW BN 3X17MM,345.0,345.0,18.29,414.0,20
CDM,818510,SCREW BN 3X18MM,345.0,345.0,18.29,414.0,20
CDM,818511,SCREW BN 3X19MM,345.0,345.0,18.29,414.0,20
CDM,818512,SCREW CANN ST 3.0MMX20MM,345.0,345.0,18.29,414.0,20
CDM,818513,SCREW BN 3X21MM,345.0,345.0,18.29,414.0,20
CDM,818514,SCREW BN 3MM 22MM,345.0,345.0,18.29,414.0,20
CDM,818515,SCREW BN 3X23MM,345.0,345.0,18.29,414.0,20
CDM,818516,SCREW BN 3X24MM,345.0,345.0,18.29,414.0,20
CDM,818517,SCREW BN 3X25MM,345.0,345.0,18.29,414.0,20
CDM,818518,SCREW BN 3X26MM,345.0,345.0,18.29,414.0,20
CDM,818519,SCREW BN 3X27MM,345.0,345.0,18.29,414.0,20
CDM,818520,SCREW BN 3X28MM,345.0,345.0,18.29,414.0,20
CDM,818521,SCREW BN 3X29MM,345.0,345.0,18.29,414.0,20
CDM,818522,SCREW BN 3X30MM,345.0,345.0,18.29,414.0,20
CDM,818523,SCREW CANN THRD 3.0X32,345.0,345.0,18.29,414.0,20
CDM,818524,SCREW CANN THRD 3.0X34,345.0,345.0,18.29,414.0,20
CDM,818525,SCREW BN 3X36MM,345.0,345.0,18.29,414.0,20
CDM,818526,SCREW BN 3X38MM,345.0,345.0,18.29,414.0,20
CDM,818527,SCREW BN 3MM 40MM,345.0,345.0,18.29,414.0,20
CDM,818528,SCREW CANN THRD 3.0X14,345.0,345.0,18.29,414.0,20
CDM,818529,SCREW BN 3X15MM,345.0,345.0,18.29,414.0,20
CDM,818530,SCREW CANN THRD 3.0X16,336.0,336.0,17.81,403.2,20
CDM,818531,SCREW BN 3X17MM,345.0,345.0,18.29,414.0,20
CDM,818532,SCREW CANN L/T 3.0X18MM,345.0,345.0,18.29,414.0,20
CDM,818533,SCREW BN 3X19MM,345.0,345.0,18.29,414.0,20
CDM,818534,SCREW CANN THRD 3.0X20,345.0,345.0,18.29,414.0,20
CDM,818535,SCREW BN 3X21MM,345.0,345.0,18.29,414.0,20
CDM,818536,SCREW CANN THRD 3.0X22,345.0,345.0,18.29,414.0,20
CDM,818537,SCREW BN 3X23MM,345.0,345.0,18.29,414.0,20
CDM,818538,SCREW BN 3X24MM,345.0,345.0,18.29,414.0,20
CDM,818539,SCREW CANN THRD 3.0X25,345.0,345.0,18.29,414.0,20
CDM,818540,SCREW BN 3X26MM,345.0,345.0,18.29,414.0,20
CDM,818541,SCREW CORT MF 1.5X9,32.0,32.0,1.7,38.4,20
CDM,818550,SCREW BN 2MM 6MM,64.0,64.0,3.39,76.8,20
CDM,818551,SCREW BN CORT 2MM 8MM,64.0,64.0,3.39,76.8,20
CDM,818552,SCREW BN 2MM 10MM,64.0,64.0,3.39,76.8,20
CDM,818553,SCREW BN CORT 2MM 12MM,64.0,64.0,3.39,76.8,20
CDM,818554,SCREW BN CORT 2MM 14MM,64.0,64.0,3.39,76.8,20
CDM,818555,SCREW BN CORT 2MM 16MM,64.0,64.0,3.39,76.8,20
CDM,818556,SCREW BN CORT 2MM 18MM,64.0,64.0,3.39,76.8,20
CDM,818557,SCREW BN 2MM 20MM,64.0,64.0,3.39,76.8,20
CDM,818560,SCREW BN 2MM 26MM,64.0,64.0,3.39,76.8,20
CDM,818586,SCREW BN CRTX 1.5X6MM,64.0,64.0,3.39,76.8,20
CDM,818587,SCREW BN CRTX 1.5X7MM,64.0,64.0,3.39,76.8,20
CDM,818588,SCREW BN CRTX 1.5X8MM,64.0,64.0,3.39,76.8,20
CDM,818589,SCREW BN CRTX 1.5X9MM,64.0,64.0,3.39,76.8,20
CDM,818590,SCREW BN CRTX 1.5X10MM,64.0,64.0,3.39,76.8,20
CDM,818592,SCREW BN CRTX 1.5X11MM,64.0,64.0,3.39,76.8,20
CDM,818593,SCREW BN CRTX 1.5X12MM,64.0,64.0,3.39,76.8,20
CDM,818594,SCREW BN CRTX 1.5X14MM,64.0,64.0,3.39,76.8,20
CDM,818595,SCREW BN CRTX 1.5X16MM,64.0,64.0,3.39,76.8,20
CDM,818596,SCREW BN 1.5MM 18MM,64.0,64.0,3.39,76.8,20
CDM,818597,SCREW BN 1.5MM 20MM,64.0,64.0,3.39,76.8,20
CDM,818598,SCREW BN 1.5MM 22MM,64.0,64.0,3.39,76.8,20
CDM,818599,SCREW BNE L24MM OD1.5MM,64.0,64.0,3.39,76.8,20
CDM,818600,SCREW BN 2MM 6MM,32.0,32.0,1.7,38.4,20
CDM,818601,SCREW BN 2MM 8MM,32.0,32.0,1.7,38.4,20
CDM,818625,SYSTEM BNCMNT MIXER,2564.0,2564.0,135.89,3076.8,49
CDM,818626,KIT BNCMNT BIOPRP INST,2564.0,2564.0,135.89,3076.8,49
CDM,818649,BURR RND MED 3MM,569.0,569.0,30.16,682.8,49
CDM,818650,BURR MED ZIM 4MM,562.0,562.0,29.79,674.4,49
CDM,818651,BURR SURG 5MM 48MM,554.0,554.0,29.36,664.8,49
CDM,818652,BURR SURG 48MM 6.5MM,554.0,554.0,29.36,664.8,49
CDM,818655,BURR SURG OVL 4MM 7.7MM,480.0,480.0,25.44,576.0,49
CDM,818656,BUR OVL SOL MED 5.5,562.0,562.0,29.79,674.4,49
CDM,818665,MESH ULTRAPRO PLUG SMALL,339.0,339.0,17.97,406.8,20
CDM,818671,RASP SURG 3.2MM 18.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,818694,BLADE SAW 18.5X9MM,921.0,921.0,48.81,1105.2,49
CDM,818695,BLADE SAG SAW 13X.38X34.,926.0,926.0,49.08,1111.2,49
CDM,818697,BLADE SAG MICRO TPS 25MM,929.0,929.0,49.24,1114.8,49
CDM,818700,BLADE SAW SGTL 31X9X.38,926.0,926.0,49.08,1111.2,49
CDM,818704,BLDE SAW SGTL .38X11.5MM,912.0,912.0,48.34,1094.4,49
CDM,818705,BLADE SHRT MED.38X11.5X9,912.0,912.0,48.34,1094.4,49
CDM,818706,BLADE SAW 5.5MM,926.0,926.0,49.08,1111.2,49
CDM,818707,BLADE SAW SGTL25X5.5X.38,791.0,791.0,41.92,949.2,49
CDM,818709,BLADE SAW SAGITTAL NARW,704.0,704.0,37.31,844.8,49
CDM,818719,BLDE SGTL SAW STRYK,704.0,704.0,37.31,844.8,49
CDM,818732,BLADE SURG 60X30MM,818.0,818.0,43.35,981.6,49
CDM,818752,BURR SURG 9.5MM 4MM,1059.0,1059.0,56.13,1270.8,49
CDM,818753,BURR CRBD DMND 1.6MM,312.0,312.0,16.54,374.4,49
CDM,818754,BURR CUT TPR SIDE 2.1MM,359.0,359.0,19.03,430.8,49
CDM,818771,CATH EP 2-5-2MM SPC110CM,4912.0,4912.0,260.34,5894.4,49
CDM,818790,GW .014 FSN EXCH L,537.6,537.6,28.49,645.12,49
CDM,818810,SHEATH GD 6FR 45CM,2564.0,2564.0,135.89,3076.8,49
CDM,818817,PLATE BN 98X11X3.4MM,539.0,539.0,28.57,646.8,20
CDM,818819,PLATE BN 13H 3.5MM 176MM,806.0,806.0,42.72,967.2,20
CDM,818821,SCISSOR MINI TIP ENDOCUT,5144.0,5144.0,272.63,6172.8,49
CDM,818887,ROD ULNA 3.6X210MM,1750.88,1750.88,92.8,2101.06,20
CDM,818896,TOOL DSCT 8CM 1.1MM,2564.0,2564.0,135.89,3076.8,49
CDM,818901,BUR 2.3MM TPR 8CM,2450.0,2450.0,129.85,2940.0,49
CDM,818934,SCREW BN 3.5X2.9X55MM,210.0,210.0,11.13,252.0,20
CDM,818943,SCREW ASNIS 65MM,335.16,335.16,17.76,402.19,20
CDM,818958,SCREW SPN 4MM 14MM,900.0,900.0,47.7,1080.0,20
CDM,818961,TRAY THORA/PARA 8FR,40.0,40.0,2.12,48.0,49
CDM,818963,CATH ANGIO 5FR 65CM,435.0,435.0,23.05,522.0,49
CDM,818970,NEEDLE BX 11GA 4IN,531.0,531.0,28.14,637.2,49
CDM,818979,BIT DRILL 2.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,818981,SCREW BN 3.5MM 14MM,171.0,171.0,9.06,205.2,20
CDM,818982,SCREW BN 3.5MM 16MM,171.0,171.0,9.06,205.2,20
CDM,818993,STEM KN CMNT 15MM 100MM,1521.0,1521.0,80.61,1825.2,20
CDM,819073,KNEE FEM POR CR SZC RT,6400.0,6400.0,339.2,7680.0,20
CDM,819090,SRFC TIB ARTC H10MM YLW,1756.0,1756.0,93.07,2107.2,20
CDM,819091,SRFC KNEE ARTC YLW H12MM,1756.0,1756.0,93.07,2107.2,20
CDM,819095,SRFC ARTC CR GRN H10MM,1756.0,1756.0,93.07,2107.2,20
CDM,819096,SRFC ARTC CR GRN H12MM,2132.0,2132.0,113.0,2558.4,20
CDM,819103,PLATE TIV 7 STD 50X82,4282.0,4282.0,226.95,5138.4,20
CDM,819106,CMPNT PTLA SZ 26,1288.0,1288.0,68.26,1545.6,20
CDM,819137,STEM TIB STD 6 74X50,4498.0,4498.0,238.39,5397.6,20
CDM,819149,STEM FEM KN 11MM 100MM,1428.0,1428.0,75.68,1713.6,20
CDM,819189,WEDGE AUGMT KN SZC 10MM,1231.0,1231.0,65.24,1477.2,20
CDM,819396,SCREW BONE 4.5X50 SLFTAP,222.0,222.0,11.77,266.4,20
CDM,819397,SCREW BNE TIV 4.5X60,222.0,222.0,11.77,266.4,20
CDM,819398,SCREW BN CORT 6.5X15MM,110.0,110.0,5.83,132.0,20
CDM,819399,SCREW BN HIP 6.5MM 20MM,110.0,110.0,5.83,132.0,20
CDM,8194,DOXORUBICIN 50 MG INJ,593.0,593.0,31.43,711.6,30
CDM,819400,SCREW BN 6.5MM 25MM,110.0,110.0,5.83,132.0,20
CDM,819401,SCREW BN 6.5MM 30MM,110.0,110.0,5.83,132.0,20
CDM,819402,SCREW BN 6.5MM 35MM,110.0,110.0,5.83,132.0,20
CDM,819403,SCREW BN 6.5MM 40MM,110.0,110.0,5.83,132.0,20
CDM,819404,SCREW BN 6.5MM 50MM,210.0,210.0,11.13,252.0,20
CDM,819407,SCREW S-T BONE 6.5X80,222.0,222.0,11.77,266.4,20
CDM,819442,LNR 20D 50/52/54X28M HIP,2186.0,2186.0,115.86,2623.2,20
CDM,819445,LINER XLPE 20D 28X58,2186.0,2186.0,115.86,2623.2,20
CDM,819481,STEM FEM TAPER 12X125,5370.0,5370.0,284.61,6444.0,20
CDM,819489,STEM FEM HIP 13X170MM,6669.0,6669.0,353.46,8002.8,20
CDM,819502,PROS FEM HD SZ28 +7,1228.82,1228.82,65.13,1474.58,20
CDM,819507,PROS HD FEM +7 32,1228.82,1228.82,65.13,1474.58,20
CDM,819599,KWIRE FX .9MM 150MM,942.0,942.0,49.93,1130.4,49
CDM,819600,KWIRE FX 1.4MM 150MM,942.0,942.0,49.93,1130.4,49
CDM,819607,SCREW BN CORT 3.5X30MM,70.0,70.0,3.71,84.0,20
CDM,819608,GWIRE ORTH 1.35X150MM,754.0,754.0,39.96,904.8,49
CDM,819612,PLATE BN 3 HL 61MM,1650.0,1650.0,87.45,1980.0,20
CDM,819621,PACER W/DEFIB SECURA DR,22850.0,22850.0,1211.05,27420.0,20
CDM,819665,INSR GNS PS SZ 1-2 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,819675,HEAD FEMORAL 26MM MED,1590.0,1590.0,84.27,1908.0,20
CDM,819688,SCREW BN 3.5MM 35MM,179.0,179.0,9.49,214.8,20
CDM,819705,CEMENT BN PMMA 30%,180.0,180.0,9.54,216.0,20
CDM,819707,CEMENT BN HV-R MIXER,315.0,315.0,16.7,378.0,20
CDM,819708,CLAMP 7105-1054,223.0,223.0,11.82,267.6,49
CDM,819710,BAR EX FIX L250 JT,3080.0,3080.0,163.24,3696.0,49
CDM,819713,HEAD FEM HIP 12/14 -3 28,1300.0,1300.0,68.9,1560.0,20
CDM,819715,BIT DRL TWST 3.5X70,2564.0,2564.0,135.89,3076.8,49
CDM,819733,PATCH DURA CLGN 5X4IN,2358.0,2358.0,124.97,2829.6,20
CDM,819741,NEEDLE BRST 20GA 10CM,867.0,867.0,45.95,1040.4,49
CDM,819746,ELCTRD ESURG BLL TP 11CM,607.0,607.0,32.17,728.4,49
CDM,819747,ELCTRODE ESURG 10X10MM,607.0,607.0,32.17,728.4,49
CDM,819774,NEEDLE PERC 7CM 18G,132.0,132.0,7.0,158.4,49
CDM,819778,ADHSV SKNCL PRFLSYR 10ML,1960.0,1960.0,103.88,2352.0,20
CDM,819795,BLADE DRMTN 1.25-4.25,1101.0,1101.0,58.35,1321.2,49
CDM,819809,ELECTRODE EMG 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,819810,CTHCV PRTNL LAV 8FX9.25,1349.0,1349.0,71.5,1618.8,49
CDM,819851,GWIRE VASC .014IN 190CM,2564.0,2564.0,135.89,3076.8,49
CDM,819852,GWIRE VASC .014IN 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,819853,ELCTRD EMG NRVSN M5 15MM,5941.0,5941.0,314.87,7129.2,49
CDM,819854,MESH SURG 4IN 6IN,629.0,629.0,33.34,754.8,20
CDM,819908,HEAD FEM HIP MOD 40MM,1300.0,1300.0,68.9,1560.0,20
CDM,819920,SCREW EXFX 110X6-5X40MM,139.36,139.36,7.39,167.23,49
CDM,819927,SUTURE FBSWR 50IN,100.0,100.0,5.3,120.0,20
CDM,819948,SHEATH PLWY 8F 38,2564.0,2564.0,135.89,3076.8,49
CDM,819950,PATELLA 38MM,1040.0,1040.0,55.12,1248.0,20
CDM,819955,CMPNT FEM RT SZ8,2360.0,2360.0,125.08,2832.0,20
CDM,819964,BASEPLATE TIB KN SZ4,1800.0,1800.0,95.4,2160.0,20
CDM,819965,IMP URN CTRL 61-70CM,6843.0,6843.0,362.68,8211.6,20
CDM,819968,CUFF OCCL PNLE 4.5CM,4950.0,4950.0,262.35,5940.0,20
CDM,820008,NAIL 12MM 23.5CM TROCH I,2168.6,2168.6,114.94,2602.32,20
CDM,820021,SCREW BN 5MM 50MM,312.0,312.0,16.54,374.4,20
CDM,820039,BLADE BN FEM SPRL 36MM,706.0,706.0,37.42,847.2,20
CDM,820051,HEAD FEM HIP +10MM 28MM,600.0,600.0,31.8,720.0,20
CDM,820068,PIN HLF APX EXFX 150X5MM,2564.0,2564.0,135.89,3076.8,49
CDM,820070,PIN HALF SLFDRL 5X180MM,2564.0,2564.0,135.89,3076.8,49
CDM,820085,PIN HALF 5MM 250MM,2564.0,2564.0,135.89,3076.8,49
CDM,820149,HEAD HIP 26MM 43MM,800.0,800.0,42.4,960.0,20
CDM,820151,HEAD FEM HIP BIP 28X46MM,800.0,800.0,42.4,960.0,20
CDM,820160,LEAD PCNG 45CM,794.0,794.0,42.08,952.8,20
CDM,820161,SCREW BN 4MM 32MM,240.0,240.0,12.72,288.0,20
CDM,820171,SLING MALE IN VANCE,5260.0,5260.0,278.78,6312.0,20
CDM,820178,SCREW BN HIP 4.5MM 36MM,44.0,44.0,2.33,52.8,20
CDM,820179,SCREW BN HIP 4.5MM 38MM,44.0,44.0,2.33,52.8,20
CDM,820180,SCREW BN 4.5MM 8MM 40MM,44.0,44.0,2.33,52.8,20
CDM,820184,CATH GD 6FR 55CM,2564.0,2564.0,135.89,3076.8,49
CDM,820185,SCREW BN 3.5MM 42MM,210.0,210.0,11.13,252.0,20
CDM,820191,BIT DRILL 2.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,820212,GWIRE VASC 260CM .035IN,2148.0,2148.0,113.84,2577.6,49
CDM,820218,CATH TRNDCR TIP REG,3930.0,3930.0,208.29,4716.0,49
CDM,820276,SCREW BN 6.5MM 16MM,110.0,110.0,5.83,132.0,20
CDM,820277,SCREW BN 6.5MM 20MM,110.0,110.0,5.83,132.0,20
CDM,820278,SCREW BN 6.5MM 25MM,110.0,110.0,5.83,132.0,20
CDM,820518,STEM HIP CMNTLS 0-006,9017.64,9017.64,477.93,10821.17,20
CDM,820536,STEM HIP MRDN TMZF 3/13,8746.24,8746.24,463.55,10495.49,20
CDM,820582,SHEATH GD 7FR 45CM,2564.0,2564.0,135.89,3076.8,49
CDM,820598,XTEN STEM 17X155,1513.0,1513.0,80.19,1815.6,20
CDM,820627,COMP PTLR XS ASYM DRCN,965.0,965.0,51.15,1158.0,20
CDM,820673,BLOCK AUGMT SCRP 5 5MM,1538.84,1538.84,81.56,1846.61,20
CDM,820674,BLOCK AUGMT SCRP 5 15MM,1538.84,1538.84,81.56,1846.61,20
CDM,820680,HEAD BIP 42MM 26MM,800.0,800.0,42.4,960.0,20
CDM,820683,HEAD HIP 44MM 26MM,800.0,800.0,42.4,960.0,20
CDM,820684,CMPNT HIP 26MM 45M,800.0,800.0,42.4,960.0,20
CDM,820686,HEAD HIP 46MM 26MM,800.0,800.0,42.4,960.0,20
CDM,820688,HEAD BIP HIP 48MM 26MM,800.0,800.0,42.4,960.0,20
CDM,820689,HEAD BIP HIP 48MM 28MM,800.0,800.0,42.4,960.0,20
CDM,820693,HEAD HIP 52MM 26MM,800.0,800.0,42.4,960.0,20
CDM,820694,HEAD BIP HIP UNV 26X53MM,800.0,800.0,42.4,960.0,20
CDM,820704,BAG AMBU PEDS,389.0,389.0,20.62,466.8,49
CDM,820708,COLLAR CERV W/RPLCMT PD,1065.0,1065.0,56.45,1278.0,49
CDM,820727,SCREW BN 2.7X12,230.0,230.0,12.19,276.0,20
CDM,820742,CATH BLNDIL 2MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,820743,CATH BLNDIL 2.25MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,820744,CATH BLNDIL 2.5MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,820745,CATH BLNDIL 2.75MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,820746,CATH BLNDIL 3MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,820747,CATH BLNDIL 3.25MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,820748,CATH BLNDIL 3.5MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,820749,CATH BLNDIL 3.75MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,820750,CATH BLNDIL 4MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,820751,CATH BLNDIL 4.5MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,820752,CATH BLNDIL 5MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,820753,CATH BLNDIL 2MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,820754,CATH BLNDIL 2.25MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,820755,CATH BLNDIL 2.5MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,820757,CATH BLNDIL 2.75MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,820758,CATH BLNDIL 3MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,820759,CATH BLNDIL 3.25MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,820760,CATH BLNDIL 3.5MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,820761,CATH BLNDIL 3.75MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,820763,CATH BLNDIL 4MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,820769,CATH BLNDIL 4.5MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,820770,CATH BLNDIL 5MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,820788,STEM FEM HIP 23MM,5467.0,5467.0,289.75,6560.4,20
CDM,820793,SCREW BN 4.0MM 45MM,363.0,363.0,19.24,435.6,20
CDM,820794,CATH BLNDIL 2MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,820797,HEAD FEM HIP 36MM,600.0,600.0,31.8,720.0,20
CDM,820832,CATH BLNDIL 2.25MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,820847,CTHGD VBT 6F 070 IM 100,1538.0,1538.0,81.51,1845.6,49
CDM,820867,NAIL BN HUM 20X8,1957.0,1957.0,103.72,2348.4,20
CDM,820878,CATH BLNDIL 2.5MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,820880,CATH BLNDIL 2.75MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,820884,CATH BLNDIL 3MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,821021,SCREW BN NLCKG 3.5MM,70.0,70.0,3.71,84.0,20
CDM,821022,SCREW BN 3.5MM 10MM,171.0,171.0,9.06,205.2,20
CDM,821029,SYSTEM EMBL PLUG LQ 1GM,27951.0,27951.0,1481.4,33541.2,49
CDM,821038,SET IRR HIGH FLW,1665.0,1665.0,88.25,1998.0,49
CDM,821043,SCREW BN 4MM 50MM,363.0,363.0,19.24,435.6,20
CDM,821044,WASHER BN FIX 7MM,71.0,71.0,3.76,85.2,20
CDM,821062,PIN HALF 4MM 150MM,2564.0,2564.0,135.89,3076.8,49
CDM,821063,PIN EXFX 15CM 4X50MM,2564.0,2564.0,135.89,3076.8,49
CDM,821086,KWIRE FX 450MM 2MM,1563.0,1563.0,82.84,1875.6,49
CDM,821094,SCREW BN SPN 2.6MM 5MM,100.0,100.0,5.3,120.0,20
CDM,821138,COMPONENT FEM KN 65MM,9454.0,9454.0,501.06,11344.8,20
CDM,821142,CEMENT BN CA PHOS 15ML,7018.0,7018.0,371.95,8421.6,20
CDM,821146,STRUT EX FX FSTFX CIRC,4069.0,4069.0,215.66,4882.8,49
CDM,821147,STRUT FSTFX EXFX 116-152,13386.0,13386.0,709.46,16063.2,49
CDM,821148,STRUT FXTR SKL MED FA,7603.0,7603.0,402.96,9123.6,49
CDM,821151,SCRW CRTX 4.530MM R,55.0,55.0,2.92,66.0,20
CDM,821152,SCREW RCHRD 127032,55.0,55.0,2.92,66.0,20
CDM,821158,REAMER SURG 12.5MM,7196.0,7196.0,381.39,8635.2,49
CDM,821160,GUIDE ROD 3MM 100MM,2564.0,2564.0,135.89,3076.8,49
CDM,821163,WASHER NUT ORTH 5MM,471.0,471.0,24.96,565.2,20
CDM,821164,NAIL TIB TRGN 8.5X32 GRY,147.0,147.0,7.79,176.4,20
CDM,821172,CATH URET 3W 22FR 30CC,340.0,340.0,18.02,408.0,49
CDM,821212,CATH UMB 3.5FR 15IN,406.0,406.0,21.52,487.2,49
CDM,821216,CATH UMB 3.5FR 15IN,2405.0,2405.0,127.47,2886.0,49
CDM,821217,CATH UMB 5FR 15IN,2405.0,2405.0,127.47,2886.0,49
CDM,821301,NAIL TIB T2 9MM 31.5CM,1905.0,1905.0,100.97,2286.0,20
CDM,821316,SCREW BN 5MM 30MM,240.0,240.0,12.72,288.0,20
CDM,821317,SCREW BN LCK 5X35,240.0,240.0,12.72,288.0,20
CDM,821318,SCREW BN LCK 5X40,240.0,240.0,12.72,288.0,20
CDM,821319,SCREW BN 5MM 45MM,240.0,240.0,12.72,288.0,20
CDM,821320,SCREW BN 5X50MM,240.0,240.0,12.72,288.0,20
CDM,821322,SCREW BNE 5.0X60 LCK,240.0,240.0,12.72,288.0,20
CDM,821323,SCREW BN LCK 5X65,240.0,240.0,12.72,288.0,20
CDM,821324,SCREW BN 5X70MM,240.0,240.0,12.72,288.0,20
CDM,821325,SCREW BN 5X75MM,240.0,240.0,12.72,288.0,20
CDM,821603,SCREW CORT S/T 3.5X14MM,84.0,84.0,4.45,100.8,20
CDM,821604,SCREW CORT S/T 3.5X16MM,84.0,84.0,4.45,100.8,20
CDM,821606,SCREW CORT S/T 3.5X18MM,84.0,84.0,4.45,100.8,20
CDM,821607,SCREW CORT S/T 3.5X20MM,84.0,84.0,4.45,100.8,20
CDM,821608,SCREW CORT S/T 3.5X22MM,84.0,84.0,4.45,100.8,20
CDM,821609,SCREW CORT S/T 3.5X24MM,84.0,84.0,4.45,100.8,20
CDM,821610,SCREW CORT S/T 3.5X26MM,84.0,84.0,4.45,100.8,20
CDM,821611,SCREW BNE 3.5X28 CORT,84.0,84.0,4.45,100.8,20
CDM,821612,SCREW BN 3.5MM 30MM,84.0,84.0,4.45,100.8,20
CDM,821613,SCREW CORT S/T 3.5X32MM,84.0,84.0,4.45,100.8,20
CDM,821614,SCREW BN CORT 3.5X34MM,84.0,84.0,4.45,100.8,20
CDM,821615,SCREW BN CORT 3.5X36MM,84.0,84.0,4.45,100.8,20
CDM,821616,SCREW CORT S/T 3.5X38MM,84.0,84.0,4.45,100.8,20
CDM,821617,SCREW CORT S/T 3.5X40MM,84.0,84.0,4.45,100.8,20
CDM,821618,SCREW CORT S/T 3.5X42MM,84.0,84.0,4.45,100.8,20
CDM,821619,SCREW CORT S/T 3.5X44MM,50.0,50.0,2.65,60.0,20
CDM,821620,SCREW CORT S/T 3.5X46MM,84.0,84.0,4.45,100.8,20
CDM,821621,SCREW BN 3.5X48MM,84.0,84.0,4.45,100.8,20
CDM,821622,SCREW BN CORT 3.5X50MM,84.0,84.0,4.45,100.8,20
CDM,821623,SCREW CORT S/T 3.5X55MM,84.0,84.0,4.45,100.8,20
CDM,821624,SCREW CORT S/T 3.5X60MM,84.0,84.0,4.45,100.8,20
CDM,821625,SCREW BN 3.5MM 65MM,76.0,76.0,4.03,91.2,20
CDM,821626,SCREW CORT S/T 3.5X70MM,84.0,84.0,4.45,100.8,20
CDM,821628,SCREW CORT S/T 3.5X80MM,84.0,84.0,4.45,100.8,20
CDM,821632,SCREW BN 3.5MM 100MM,84.0,84.0,4.45,100.8,20
CDM,821637,SCREW BN 4.5MM 34MM,84.0,84.0,4.45,100.8,20
CDM,821639,SCREW BN 4.5MM 38MM,84.0,84.0,4.45,100.8,20
CDM,821740,KWIRE FX 150MM 1.6MM,226.0,226.0,11.98,271.2,49
CDM,821741,KWIRE TROC 2.0MM 150MM,574.0,574.0,30.42,688.8,49
CDM,821758,PLATE BN TBLR 4HL 51MM,82.0,82.0,4.35,98.4,20
CDM,821866,SCREW BN 6.5X85X20MM,387.0,387.0,20.51,464.4,20
CDM,821898,WASHER BN HIP SZ3 7MM,41.0,41.0,2.17,49.2,20
CDM,821921,DRILL SURG 4MM,6661.0,6661.0,353.03,7993.2,49
CDM,821925,SCREW BN 3.5MM 12MM,230.0,230.0,12.19,276.0,20
CDM,821926,SCREW BN 4MM 45MM,330.0,330.0,17.49,396.0,20
CDM,821927,BIT DRILL 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,821930,LEAD PCNG 45CM,794.0,794.0,42.08,952.8,20
CDM,821931,LEAD PCNG 6.2FR 52CM,794.0,794.0,42.08,952.8,20
CDM,821932,LEAD PCNG 6FR 58CM,794.0,794.0,42.08,952.8,20
CDM,821934,LEAD CRYSTLN ICF09B45,1300.0,1300.0,68.9,1560.0,20
CDM,821935,LEAD CRYSTLN ICF09B52,1300.0,1300.0,68.9,1560.0,20
CDM,822086,CATH BLNDIL 30FR 12CM,3018.0,3018.0,159.95,3621.6,49
CDM,822088,CATH BLNDIL 18FR 10CM,2787.0,2787.0,147.71,3344.4,49
CDM,822090,KIT CATH BLNDIL 15FR 4CM,2810.0,2810.0,148.93,3372.0,49
CDM,822091,BLN URE URMX 6-4X6X75,2957.0,2957.0,156.72,3548.4,49
CDM,822095,KIT CATH BLNDIL 15F 10CM,3044.0,3044.0,161.33,3652.8,49
CDM,822096,BLN URE URMX 6-10X6X75,2868.0,2868.0,152.0,3441.6,49
CDM,822104,BSKT RTRV 3FR 20MM 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,822106,BSKT RTR 2.4F 12MM 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,822125,BLADE SAW GIGLI 12IN,912.0,912.0,48.34,1094.4,49
CDM,822144,NAIL IM FEM 36X16,1391.94,1391.94,73.77,1670.33,20
CDM,822146,SCREW CORT MED 4.2X35,243.82,243.82,12.92,292.58,20
CDM,822147,SCREW MDN CORT 3.5X40,268.8,268.8,14.25,322.56,20
CDM,822148,SCREW MDN CORT 5.5X45,243.82,243.82,12.92,292.58,20
CDM,822149,SCREW CORT LG 5.5X50,243.82,243.82,12.92,292.58,20
CDM,822150,SCREW MDN CORT 5.5X60,243.82,243.82,12.92,292.58,20
CDM,822151,SCREW CORT LG 5.5X70,243.82,243.82,12.92,292.58,20
CDM,822154,NAIL TIBIA 11MMX20CM,1435.88,1435.88,76.1,1723.06,20
CDM,822155,NAIL TIBIA 12MMX20CM,1435.88,1435.88,76.1,1723.06,20
CDM,822163,BIT DRL 12.7CM 2.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,822201,CABLE FXTN 1.8MM 635CM,926.0,926.0,49.08,1111.2,20
CDM,822216,CATH FILI STR 4FR 13IN,1252.0,1252.0,66.36,1502.4,49
CDM,822225,PLATE FIB 9HL 149MM,1152.0,1152.0,61.06,1382.4,20
CDM,822285,STENT BIL DB 7FR 5CM,178.0,178.0,9.43,213.6,20
CDM,822286,STENT BIL DB 7FR 7CM,178.0,178.0,9.43,213.6,20
CDM,822287,STENT BIL DB 7FR 10CM,178.0,178.0,9.43,213.6,20
CDM,822291,STENT BIL DB 10FR 7CM,178.0,178.0,9.43,213.6,20
CDM,822292,STENT BIL DB 10FR 10CM,178.0,178.0,9.43,213.6,20
CDM,822306,SYRINGE INFL STRL DISP,1018.0,1018.0,53.95,1221.6,49
CDM,822316,GWIRE ENDO .025IN 450CM,2564.0,2564.0,135.89,3076.8,49
CDM,822317,GWIRE ENDO .035IN 450CM,2564.0,2564.0,135.89,3076.8,49
CDM,822337,DILATOR BLN 5.5X240CM,2564.0,2564.0,135.89,3076.8,49
CDM,822339,CATH HMST 2.8MM 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,822340,CATH HMST 2.8MM 210CM,2564.0,2564.0,135.89,3076.8,49
CDM,822349,SNARE POLY OVAL LG,517.0,517.0,27.4,620.4,49
CDM,822353,KIT PEG SIL 20FR,2564.0,2564.0,135.89,3076.8,49
CDM,822360,KIT DCMPRS 14FR 175CM,2564.0,2564.0,135.89,3076.8,49
CDM,822382,BIT DRL 2.9MM 70MM,2778.0,2778.0,147.23,3333.6,49
CDM,822385,KIT BIT DRL STNM 4/8IN,2564.0,2564.0,135.89,3076.8,49
CDM,822402,HEAD FEM HIP 36X+15.5MM,700.0,700.0,37.1,840.0,20
CDM,822410,PLATE BN STD 2MM 56MM,1638.0,1638.0,86.81,1965.6,20
CDM,822411,PLATE BN RT 2MM 76MM,1638.0,1638.0,86.81,1965.6,20
CDM,822412,PLATE BN 2MMX56MM,1420.0,1420.0,75.26,1704.0,20
CDM,822413,PLATE BN 2MMX76MM,1638.0,1638.0,86.81,1965.6,20
CDM,822415,SHELL HIP 58MM,1800.0,1800.0,95.4,2160.0,20
CDM,822427,DEVICE END ISFL TUBING,2564.0,2564.0,135.89,3076.8,49
CDM,822431,KIT PROSTH PENL ACC,1748.0,1748.0,92.64,2097.6,20
CDM,822441,DRSNG TRNS 5X4-3/8IN,123.0,123.0,6.52,147.6,49
CDM,822443,CONNECTOR MINI STRGHT,400.4,400.4,21.22,480.48,20
CDM,822451,CATH INFS 5FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,822452,CATH INFS 5FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,822453,CATH INFS 5FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,822454,CATH INFS 5FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,822455,CATH INFS 5FR 135CM,2564.0,2564.0,135.89,3076.8,49
CDM,822456,CATH INFS 5FR 135CM,2564.0,2564.0,135.89,3076.8,49
CDM,822457,CATH INFS 5FR 135CM,2564.0,2564.0,135.89,3076.8,49
CDM,822467,FORCEP ENDO 1MM 270CM,5941.0,5941.0,314.87,7129.2,49
CDM,822522,CATH INFS 5FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,822524,TUBE ET NIM EMG 8MM,4248.0,4248.0,225.14,5097.6,49
CDM,822527,CLIP SURG CLS STRL,2564.0,2564.0,135.89,3076.8,49
CDM,822531,SCREW BN SPN 4.2MM 14MM,300.0,300.0,15.9,360.0,20
CDM,822568,TOOL PCMKR WRNCH-SCREW,1206.0,1206.0,63.92,1447.2,49
CDM,822569,KIT PCKMR WRENCH,1206.0,1206.0,63.92,1447.2,49
CDM,822573,TOOL PCMKR PNCH ON LEAD,678.0,678.0,35.93,813.6,49
CDM,822574,KIT STYL BALL TIP 58CM,1206.0,1206.0,63.92,1447.2,49
CDM,822591,KIT CATH 2LUM 4FR 13CM,1206.0,1206.0,63.92,1447.2,49
CDM,822600,CANNULA PRFSN 22FR 24CM,3445.0,3445.0,182.59,4134.0,49
CDM,822603,SUTURE CV-5 THS-18 36IN,4427.0,4427.0,234.63,5312.4,49
CDM,822607,SUTURE CV-7 TTC-13 30IN,945.0,945.0,50.09,1134.0,49
CDM,822613,SCREW 5.5X40MM,1070.0,1070.0,56.71,1284.0,20
CDM,822634,BLADE SAGTL FULL 11/90MM,1642.0,1642.0,87.03,1970.4,49
CDM,822643,SEAL SIL 7FR,674.0,674.0,35.72,808.8,49
CDM,822652,BAG DRAIN BCKR 700 ML,1471.0,1471.0,77.96,1765.2,49
CDM,822666,GRAFT ST TIS AT FRZN,4400.0,4400.0,233.2,5280.0,20
CDM,822667,BARRIER ADH 5IN 6IN,5234.0,5234.0,277.4,6280.8,49
CDM,822686,CABLE SLV DLMLS HIP 2.0,412.0,412.0,21.84,494.4,20
CDM,822694,KIT ACCESSORY,3326.4,3326.4,176.3,3991.68,49
CDM,822695,PROS PENIL CVR 16CM,5900.0,5900.0,312.7,7080.0,20
CDM,822696,DEVICE EXFX 3-4 5MM,3104.0,3104.0,164.51,3724.8,49
CDM,822706,PIN SKULL DISP 1.285IN,793.0,793.0,42.03,951.6,49
CDM,822752,SPHERE ORBITAL 18MM,1056.0,1056.0,55.97,1267.2,20
CDM,822757,OCCLUDER CRNRY 1.25X12,2564.0,2564.0,135.89,3076.8,49
CDM,822765,CMPNT FEM 60 RT,9850.0,9850.0,522.05,11820.0,20
CDM,822775,NEUROSTM SYNRG SPN RCHRG,21888.0,21888.0,1160.06,26265.6,20
CDM,822822,FOLDER LENS ACRYPAK,179.0,179.0,9.49,214.8,49
CDM,822827,STEM HUM 6X15 SHLDER,6220.0,6220.0,329.66,7464.0,20
CDM,822828,HEAD FEM HIP -3 28MM,665.0,665.0,35.24,798.0,20
CDM,822831,BASEPLATE KN RT SZ5,1800.0,1800.0,95.4,2160.0,20
CDM,822833,FEM COMP SZ4 NON-POR,2360.0,2360.0,125.08,2832.0,20
CDM,822834,FEMORAL COMP NON-POR,2360.0,2360.0,125.08,2832.0,20
CDM,822835,BASEPLATE TIB SZ3,1920.0,1920.0,101.76,2304.0,20
CDM,822836,LINER ACETABULAR 28,915.0,915.0,48.49,1098.0,20
CDM,822852,SCREW BN 8MM 23MM,672.0,672.0,35.62,806.4,20
CDM,822853,SCREW BN 3.5MM 18MM,120.0,120.0,6.36,144.0,20
CDM,822868,PASSER SURG LNG 55CM,2564.0,2564.0,135.89,3076.8,49
CDM,822870,APPLIER INT W/CLIP DISP,164.0,164.0,8.69,196.8,20
CDM,822912,SPLINT ORTH FNGR 9X.5IN,24.0,24.0,1.27,28.8,49
CDM,822914,SPLINT FINGER 18 X 1/2,38.0,38.0,2.01,45.6,49
CDM,822996,BSKT RTRV 1.9FR 12CM,2649.0,2649.0,140.4,3178.8,49
CDM,823004,TRAY CATH 14/18GA 11IN,2564.0,2564.0,135.89,3076.8,49
CDM,823015,NDL SUT CIRC TPR 4.5,151.0,151.0,8.0,181.2,49
CDM,823039,SUTURE FIBERWIRE 38IN,80.0,80.0,4.24,96.0,20
CDM,823046,SCREW BN 4MM 50MM 17MM,294.0,294.0,15.58,352.8,20
CDM,823049,TROCAR LAP 12MM 100MM,644.0,644.0,34.13,772.8,49
CDM,823051,TROCAR LAPSCP 8MM 100MM,678.0,678.0,35.93,813.6,49
CDM,823052,SLEEVE LAPSCP 5MM 75MM,1735.0,1735.0,91.95,2082.0,49
CDM,823069,SCREW BN 4MM 55MM,381.0,381.0,20.19,457.2,20
CDM,823072,APPLIER INT CLIP MD/LG,128.0,128.0,6.78,153.6,20
CDM,823077,PLATE BN LT 4HL 3.5X76MM,2762.0,2762.0,146.39,3314.4,20
CDM,823085,SPONGE ABS 8X12.5CMX10MM,711.0,711.0,37.68,853.2,49
CDM,823089,STENT BIL 7X40MM 80CM,1900.0,1900.0,100.7,2280.0,20
CDM,823090,STENT BIL 7X60MM 80CM,1900.0,1900.0,100.7,2280.0,20
CDM,823092,STENT BIL 8X40MM 80CM,1900.0,1900.0,100.7,2280.0,20
CDM,823093,STENT BIL 8X60MM 80CM,1200.0,1200.0,63.6,1440.0,20
CDM,823098,STENT BIL 10X60MM 80CM,1700.0,1700.0,90.1,2040.0,20
CDM,823099,STENT BIL 12X40MM 80CM,1200.0,1200.0,63.6,1440.0,20
CDM,823109,SCREW BN 2.4MM 1.9MM,221.0,221.0,11.71,265.2,20
CDM,823110,SCREW BN 2.4MM 1.9MM,203.0,203.0,10.76,243.6,20
CDM,823112,SCREW BN 2.4MM 16MM,195.0,195.0,10.34,234.0,20
CDM,823116,SCREW BN ST 2.4MM 20MM,195.0,195.0,10.34,234.0,20
CDM,823123,NAIL ORT IM 30CMX11MM,2235.54,2235.54,118.48,2682.65,20
CDM,823158,RETRACTOR SG 32.5X18.3CM,2035.0,2035.0,107.86,2442.0,49
CDM,823159,RETRIEVR RNG NRYL RSN SM,2186.0,2186.0,115.86,2623.2,49
CDM,823160,RING RETR SM,2186.0,2186.0,115.86,2623.2,49
CDM,823161,STAY ELASTIC RETR 5MM,341.0,341.0,18.07,409.2,49
CDM,823208,SPONGE ABS HEMO 6X2CM,624.0,624.0,33.07,748.8,49
CDM,823209,SYSTEM LENS IRRIGATION,992.0,992.0,52.58,1190.4,49
CDM,823219,HEAD FEM HIP 12/14 32MM,1300.0,1300.0,68.9,1560.0,20
CDM,823221,HEAD FEM HIP +9X32MM,1300.0,1300.0,68.9,1560.0,20
CDM,823224,HEAD HIP +5 12/14 36MM,1300.0,1300.0,68.9,1560.0,20
CDM,823227,RETRCTR WND LG 9-14CM,2564.0,2564.0,135.89,3076.8,49
CDM,823229,RETRCTR WND MED 5-9CM,2337.0,2337.0,123.86,2804.4,49
CDM,823235,CABLE ORTH COCR 2X75MM,561.0,561.0,29.73,673.2,20
CDM,823241,TUBE GASTM 18FR,787.0,787.0,41.71,944.4,49
CDM,823242,TUBE GASTM 20FR,787.0,787.0,41.71,944.4,49
CDM,823252,TUBE JJNSTM 18FR,2564.0,2564.0,135.89,3076.8,49
CDM,823253,TUBE JJNSTM 20FR 51CM,2564.0,2564.0,135.89,3076.8,49
CDM,823254,TUBE JJNSTM 22FR 45CM,2564.0,2564.0,135.89,3076.8,49
CDM,823258,TUBE JJNSTM 14FR,2564.0,2564.0,135.89,3076.8,49
CDM,823261,ELCTRODE SURG LOOP 20X20,607.0,607.0,32.17,728.4,49
CDM,823262,ELCTRD LOOP 12X15,607.0,607.0,32.17,728.4,49
CDM,823263,ELCTRD LOOP 12X20,1131.0,1131.0,59.94,1357.2,49
CDM,823275,BANDAGE MTRX 6INX5YD,33.0,33.0,1.75,39.6,49
CDM,823278,INSERT CLAMP 60MM,1131.0,1131.0,59.94,1357.2,49
CDM,823279,BLADE OPTH 7.5MM 15.8MM,1507.0,1507.0,79.87,1808.4,49
CDM,823280,BLADE OPTH 8MM 15.8MM,1507.0,1507.0,79.87,1808.4,49
CDM,823281,BLADE OPTH 8.5MM 15.8MM,1696.0,1696.0,89.89,2035.2,49
CDM,823305,SET INTUB .016IN .025IN,2564.0,2564.0,135.89,3076.8,49
CDM,823314,DILATOR VASC 6FR 20CM,366.0,366.0,19.4,439.2,49
CDM,823317,CATH DRN BIL 8.5F 40,2564.0,2564.0,135.89,3076.8,49
CDM,823344,CONNECTOR PRFSN .5X3/8,87.0,87.0,4.61,104.4,49
CDM,823354,TUBE ESPH ADLT 20FR,5154.0,5154.0,273.16,6184.8,49
CDM,823375,PCR IDNTY ADX XL SR 5180,6400.0,6400.0,339.2,7680.0,20
CDM,823376,PCMKR CD  6MM 44X43MM ID,6400.0,6400.0,339.2,7680.0,20
CDM,823408,DRILL SURG 5MM,2054.0,2054.0,108.86,2464.8,49
CDM,823411,KIT SHNT CATH 14CM 120CM,1050.0,1050.0,55.65,1260.0,20
CDM,823415,MESH HRN EPTFE 4.3 OVL M,2567.0,2567.0,136.05,3080.4,20
CDM,823454,GFT VASC 20-80CM 3-6MM,15490.0,15490.0,820.97,18588.0,20
CDM,823487,PLATE BN ORBT CRV 8HL,204.0,204.0,10.81,244.8,20
CDM,823530,EXPNDR TIS SAL SYR 30ML,377.0,377.0,19.98,452.4,49
CDM,823576,SPHERE EYE RND 20MM,1056.0,1056.0,55.97,1267.2,20
CDM,823578,PIN EXFIX STABLCK WRIST,21232.0,21232.0,1125.3,25478.4,49
CDM,823583,GWIRE ORTH .045IN 6IN,528.0,528.0,27.98,633.6,49
CDM,823601,COMPNT TIB KN LCK BAR,110.0,110.0,5.83,132.0,20
CDM,823638,VALVE SPEAK 15MM 23MM,2564.0,2564.0,343.58,3076.8,24
CDM,823640,SCREW BN 2.7MM 18MM,230.0,230.0,12.19,276.0,20
CDM,823683,SCREW LCK STRDR 4X3.3X40,356.0,356.0,18.87,427.2,20
CDM,823686,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,823691,ELECTRODE ESURG 30D 33CM,3000.0,3000.0,159.0,3600.0,49
CDM,823705,CEMENT BN SYS SCLP CNCS,2564.0,2564.0,135.89,3076.8,49
CDM,823711,BG DRN W/GRVTY 600ML,358.0,358.0,18.97,429.6,49
CDM,823724,CLP QCK XTRNFX 10.5/5,9754.0,9754.0,516.96,11704.8,49
CDM,823729,CLAMP QC EXFX 10.5X10.5,4585.0,4585.0,243.0,5502.0,49
CDM,823731,POST ANG EX FIX 30D,5941.0,5941.0,314.87,7129.2,49
CDM,823732,CATH NRON DLVR MP 6X105,6956.0,6956.0,368.67,8347.2,49
CDM,823736,CLIP SCALP DISP,671.0,671.0,35.56,805.2,49
CDM,823748,SCREW BN 2.7MM 28MM SS,247.0,247.0,13.09,296.4,20
CDM,823789,CMPNT PTLA POLY 8X26MM,500.0,500.0,26.5,600.0,20
CDM,823791,CONN PLS 1/4X1/4,83.0,83.0,4.4,99.6,49
CDM,823794,CONN PLS 1/2X3/8,83.0,83.0,4.4,99.6,49
CDM,823803,CATH CHOLANGI RANFAC,752.0,752.0,39.86,902.4,49
CDM,823843,LEAD CAPSURE SP 4024,1300.0,1300.0,68.9,1560.0,20
CDM,823905,PIN FX EX FIX 5MM 120MM,2564.0,2564.0,135.89,3076.8,49
CDM,823906,PIN FX EX FIX 5MM 150MM,2564.0,2564.0,135.89,3076.8,49
CDM,823920,NEEDLE PRC BONE MARROW,2564.0,2564.0,135.89,3076.8,49
CDM,823923,LEAD NEURO EXT LPRFL 25,1046.0,1046.0,55.44,1255.2,20
CDM,823926,ICD MRQS VR 7230CX,26000.0,26000.0,1378.0,31200.0,20
CDM,823948,SCREW BN CANN 6.5X75MM,503.0,503.0,26.66,603.6,20
CDM,823949,SCREW BN 6.5MM 160MM,450.0,450.0,23.85,540.0,20
CDM,823960,CMPNT FEM HIP SZ15,4000.0,4000.0,212.0,4800.0,20
CDM,823971,BIT DRILL 2.2MM,940.8,940.8,49.86,1128.96,49
CDM,823982,CATH GD LD 7FR 60CM ATTN,3225.6,3225.6,170.96,3870.72,49
CDM,823990,SEALANT PLR PROGL 4ML,7578.0,7578.0,401.63,9093.6,49
CDM,823995,LEAD SPRNT QTRO 6944,9000.0,9000.0,477.0,10800.0,20
CDM,824010,PLATE BN 224X13.5X4.2MM,1096.0,1096.0,58.09,1315.2,20
CDM,824015,VALVE SPEAK 15MM 22MM,2564.0,2564.0,343.58,3076.8,24
CDM,824043,BAG XTRN DRN 700ML,1180.0,1180.0,62.54,1416.0,49
CDM,824052,SUTURE PS-2 4-0 1X18IN,126.0,126.0,6.68,151.2,49
CDM,824054,SUTURE CT-1 0 8X18IN,2564.0,2564.0,135.89,3076.8,49
CDM,824057,SUTURE PS-1 3-0 1X36IN,139.0,139.0,7.37,166.8,49
CDM,824072,STEM HIP POR SZ34D,10190.0,10190.0,540.07,12228.0,20
CDM,824109,INTRO CATH 14FR 30CM,2564.0,2564.0,135.89,3076.8,49
CDM,824131,SCREW BN 2.3MM 10MM,216.0,216.0,11.45,259.2,20
CDM,824133,GWIRE ORTH 1.4MM 150MM,2035.0,2035.0,107.86,2442.0,49
CDM,824135,BIT DRILL DIAM 4.8X12.7,1156.0,1156.0,61.27,1387.2,49
CDM,824204,PROBE SURG 1-1.5MM DISP,2564.0,2564.0,135.89,3076.8,49
CDM,824214,STEM HUM 12X115MM BIOMDL,10462.0,10462.0,554.49,12554.4,20
CDM,824218,GWRE LEAD ATTN 6216A47,2282.28,2282.28,120.96,2738.74,49
CDM,824226,FEMORAL PROFIX POR R SZ6,1816.0,1816.0,96.25,2179.2,20
CDM,824227,INSERT TIB PRFX 5 10 LT,1590.0,1590.0,84.27,1908.0,20
CDM,824228,PROS TIB BS SZ4 RT,1920.0,1920.0,101.76,2304.0,20
CDM,824229,PATELLA COMP DOME SMALL,1040.0,1040.0,55.12,1248.0,20
CDM,824231,LINER ACTB HIP G58-60X32,1802.0,1802.0,95.51,2162.4,20
CDM,824265,BASEPLATE TIB KN RT LNG,1800.0,1800.0,95.4,2160.0,20
CDM,824267,FEMORAL COMPONENT SZ 5,2360.0,2360.0,125.08,2832.0,20
CDM,824268,CATH BLNDIL 3.25MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,824275,BASEPLATE KN LT SZ6,1800.0,1800.0,95.4,2160.0,20
CDM,824276,STEM FEM HIP SZ11,4000.0,4000.0,212.0,4800.0,20
CDM,824281,PLATE BN 4.5X188MM,946.0,946.0,50.14,1135.2,20
CDM,824282,ELECTRD ESURG BLDE 4IN,194.0,194.0,10.28,232.8,49
CDM,824287,SPONE ABS PWD GEL 1GM,2564.0,2564.0,135.89,3076.8,49
CDM,824316,LINER ACTB 10DD 25 32MM,2166.0,2166.0,114.8,2599.2,20
CDM,824319,LNR ACETB 10DD 25 ID32M,2166.0,2166.0,114.8,2599.2,20
CDM,824326,CMPNT PTLA POLY 8X29MM,500.0,500.0,26.5,600.0,20
CDM,824330,PLATE 100DEG 7H 85MM,119.0,119.0,6.31,142.8,20
CDM,824343,SCREW CORT ST 4.5 64M,46.0,46.0,2.44,55.2,20
CDM,824352,CMPNT FEM LT SZ8,3200.0,3200.0,169.6,3840.0,20
CDM,824353,CMPNT FEM LT SZ10,3200.0,3200.0,169.6,3840.0,20
CDM,824354,CMPNT FEM RT SZ10,3200.0,3200.0,169.6,3840.0,20
CDM,824374,BASEPLT TIB 10 LT STM,2000.0,2000.0,106.0,2400.0,20
CDM,8244,AZACITIDINE 100 MG INJ,117.28,117.28,6.22,140.74,30
CDM,8244,"Injection, azacitidine, 1 mg ",117.28,117.28,0.4,0.4,1
CDM,824412,WRENCH SURG 5MM PIN DRVR,3662.0,3662.0,194.09,4394.4,49
CDM,824429,HEAD HUM SHLDR 21X45MM,3608.0,3608.0,191.22,4329.6,20
CDM,824455,STYLET PCNG LEAD,1206.0,1206.0,63.92,1447.2,49
CDM,824464,SCREW BN WCHT 6X35MM,314.0,314.0,16.64,376.8,20
CDM,824499,KIT CATH CV 5FR 3LUM 5CM,1059.0,1059.0,56.13,1270.8,49
CDM,824532,SCREW BN 5MM 30MM,473.0,473.0,25.07,567.6,20
CDM,824535,NAIL BN 125D 10X340MM,3022.0,3022.0,160.17,3626.4,20
CDM,824536,SCREW BN CANC 4MM 14MM,180.0,180.0,9.54,216.0,20
CDM,824537,SCREW BN CANC 4MM 16MM,181.0,181.0,9.59,217.2,20
CDM,824538,SCREW BN CANC 4MM 18MM,180.0,180.0,9.54,216.0,20
CDM,824554,SCREW BN CORT 3.5X22.5MM,150.0,150.0,7.95,180.0,20
CDM,824556,CATH CHLGM 4FR 50CM,2337.0,2337.0,123.86,2804.4,49
CDM,824557,SET PRSS MNTR 5FR 15CM,1282.0,1282.0,67.95,1538.4,49
CDM,824563,CATH PCNG 5FR 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,824585,CATH BLNDIL 3.5MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,824597,JOINT FLX HNG TOE SZ3S,1620.0,1620.0,85.86,1944.0,20
CDM,824621,PLEDGET CV SUT TFLN,60.0,60.0,3.18,72.0,20
CDM,824627,CATH BLNDIL 3.75MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,824675,CATH HMDIAL 11.5FX15CM,2564.0,2564.0,135.89,3076.8,49
CDM,824688,SCREW BN 2MM 12MM,40.0,40.0,2.12,48.0,20
CDM,824692,CATH BLNDIL 4MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,824693,CATH BLNDIL 4.5MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,824694,CATH BLNDIL 5MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,824695,CATH BLNDIL 2MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,824696,CATH BLNDIL 2.25MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,824698,CATH BLNDIL 2.5MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,824711,KIT INS PERC GW 18GA,2014.0,2014.0,106.74,2416.8,49
CDM,824712,KIT CATH GW 18GA .038IN,2043.0,2043.0,108.28,2451.6,49
CDM,824721,ELECTRODE LEEP LARGE 12,2564.0,2564.0,135.89,3076.8,49
CDM,824732,REAMER SURG 3.7MM DISP,2564.0,2564.0,135.89,3076.8,49
CDM,824746,STEM FEM HIP SZ2 12/14,2800.0,2800.0,148.4,3360.0,20
CDM,824782,CATH ANGIO 5FR 100CM,497.0,497.0,26.34,596.4,49
CDM,824788,VALVE MTRL OD33MM CRD,12800.0,12800.0,678.4,15360.0,20
CDM,824818,CTH MLKR CRICO 3.5M C,3288.0,3288.0,174.26,3945.6,49
CDM,824820,STYLET BLU STR 52CM,1094.0,1094.0,57.98,1312.8,49
CDM,824833,CLIP LIGATING SM,302.0,302.0,16.01,362.4,20
CDM,824853,DART FX 18MM,242.0,242.0,12.83,290.4,20
CDM,824867,SCREW MONOAXIAL6.5X60,1668.92,1668.92,88.45,2002.7,20
CDM,824868,SCREW MONOAXIAL 7.5X35,1668.92,1668.92,88.45,2002.7,20
CDM,824869,SCREW MONOAXIAl 7.5X40,1668.92,1668.92,88.45,2002.7,20
CDM,824870,SCREW MONOAXIAL 7.5X45,1668.92,1668.92,88.45,2002.7,20
CDM,824871,SCREW MONOAXIAL 7.5X50,1668.92,1668.92,88.45,2002.7,20
CDM,824872,SCREW MONOAXIAL 7.5X55,1668.92,1668.92,88.45,2002.7,20
CDM,824874,SCREW POLYAXIAL 5.5X30,1962.18,1962.18,104.0,2354.62,20
CDM,824875,SCREW POLYAXIAL 6.5X60,1962.18,1962.18,104.0,2354.62,20
CDM,824877,SCREW BN XIA 0380-1740,1962.18,1962.18,104.0,2354.62,20
CDM,824878,SCREW POLYAXIAL 7.5X45,1962.18,1962.18,104.0,2354.62,20
CDM,824880,SCREW POLYAXIAL 7.5X55,1962.18,1962.18,104.0,2354.62,20
CDM,824881,SCREW POLYAXIAL 7.5X60,1962.18,1962.18,104.0,2354.62,20
CDM,824882,ROD SPN TI XIA 70MM,464.38,464.38,24.61,557.26,20
CDM,824889,CATH EP 5FR 5X120CM,2564.0,2564.0,135.89,3076.8,49
CDM,824894,BASEPLATE TIB KN RT SZ3,1800.0,1800.0,95.4,2160.0,20
CDM,824895,COMPNT PTLR 13X23MM,500.0,500.0,26.5,600.0,20
CDM,824896,CMPNT PTLR KN 29MM,500.0,500.0,26.5,600.0,20
CDM,824901,INSERT TIBIAL RT SZ6 12M,1210.0,1210.0,64.13,1452.0,20
CDM,824902,BASEPLATE TIB RT SZ6,1920.0,1920.0,101.76,2304.0,20
CDM,824908,SNARE VASC 16F 20MM 94CM,9533.0,9533.0,505.25,11439.6,49
CDM,824913,GRAFT VASC THIN 80CM 6MM,5752.0,5752.0,304.86,6902.4,20
CDM,824914,GRAFT VASC THIN 80CM 8MM,5612.0,5612.0,297.44,6734.4,20
CDM,824948,CMPNT PTLA 35MM ENCR,500.0,500.0,26.5,600.0,20
CDM,824952,SCREW BN 5X37.5MM,240.0,240.0,12.72,288.0,20
CDM,824958,COMPNT TIB LT KN XS-XL,3883.0,3883.0,205.8,4659.6,20
CDM,824959,BUSHNG FEM KN ROT HNG,396.0,396.0,20.99,475.2,20
CDM,824960,AXLE FEM KN 648-1-120,1357.0,1357.0,71.92,1628.4,20
CDM,824961,INSERT BUMPER KN 0D,814.0,814.0,43.14,976.8,20
CDM,824962,SLEEVE KN TIBTRY ROT HNG,681.0,681.0,36.09,817.2,20
CDM,824964,BASEPLATE TIB S1 KN MRH,4001.0,4001.0,212.05,4801.2,20
CDM,824965,INSERT TIB KN 13XSM/SM,1512.0,1512.0,80.14,1814.4,20
CDM,824980,LIGATOR 6 BAND 122CM,2816.0,2816.0,149.25,3379.2,49
CDM,824996,SCREW BN 5X42.5MM,240.0,240.0,12.72,288.0,20
CDM,824997,SCREW BN 6.5MM 75MM,305.0,305.0,16.16,366.0,20
CDM,825018,TUBE JJNSTM 18FR 45CM,2586.0,2586.0,137.06,3103.2,49
CDM,825022,TUBING SX L6FT OD.5IN ID,777.0,777.0,41.18,932.4,49
CDM,825079,GWIRE VASC 145CM .014IN,4978.0,4978.0,263.83,5973.6,49
CDM,825089,GUIDE STENT DISP 270MM,2259.0,2259.0,119.73,2710.8,49
CDM,825090,HEAD FEM HIP +0X12/14X28,700.0,700.0,37.1,840.0,20
CDM,825092,COMP PTLR PRFX 12X26MM,500.0,500.0,26.5,600.0,20
CDM,825096,LEAD PCNG 52CM 1.7MM,698.0,698.0,36.99,837.6,20
CDM,825106,CANNULA PRFSN 5.5IN 7FR,965.0,965.0,51.15,1158.0,49
CDM,825110,SLEEVE TAPER HIP NK +0,286.0,286.0,15.16,343.2,20
CDM,825112,KIT CRTD SHNT 6IN,1175.0,1175.0,62.27,1410.0,49
CDM,825121,CTH URET PLLK OPEN-END,739.0,739.0,39.17,886.8,49
CDM,825122,SCREW BN 2.7MM 42MM,64.0,64.0,3.39,76.8,20
CDM,825123,SCREW BN 2.7MM 44MM,64.0,64.0,3.39,76.8,20
CDM,825125,SCREW BN SLFTAP 3.5X44MM,36.0,36.0,1.91,43.2,20
CDM,825126,SCREW BN CORT 3.5X6X46MM,36.0,36.0,1.91,43.2,20
CDM,825127,SCREW BN CORT 3.5X6X48MM,37.0,37.0,1.96,44.4,20
CDM,825134,CATH BLNDIL 2.75MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,825136,CATH BLNDIL 3MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,825171,CAP PROTCT EXFX 5.0MM,138.0,138.0,7.31,165.6,49
CDM,825172,CAP PROTCT 6.0MM,148.0,148.0,7.84,177.6,49
CDM,825185,HEAD FEM HIP 36MM,700.0,700.0,37.1,840.0,20
CDM,825213,VALVE SHNT INLN PRGN,7857.0,7857.0,416.42,9428.4,20
CDM,825218,GRAFT VASC THIN 80CM 8MM,4914.0,4914.0,260.44,5896.8,20
CDM,825273,ROD SPNL TI L80 DIAPAS,360.0,360.0,19.08,432.0,20
CDM,825294,STENT BIL 6FR 7MM 27MM,1300.0,1300.0,68.9,1560.0,20
CDM,825299,VOLAR PLATE DISTAL RT,1390.0,1390.0,73.67,1668.0,20
CDM,8253,BEVACIZUMAB 100 MG INJ,6040.0,6040.0,519.44,7248.0,29
CDM,825301,OCCLUDER CV 10X3MM,14100.0,14100.0,747.3,16920.0,20
CDM,825376,GWIRE ORTH HIP 300X3.2MM,1621.0,1621.0,85.91,1945.2,49
CDM,825377,GWIRE VASC 0.018IN 80CM,2564.0,2564.0,135.89,3076.8,49
CDM,825389,KWIRE FXTN .045X20MM,1540.0,1540.0,81.62,1848.0,49
CDM,825392,PLATE BN 8HL 4.5MM 152MM,943.0,943.0,49.98,1131.6,20
CDM,825427,BAG DRN ANRFLX CSF 700ML,1651.0,1651.0,87.5,1981.2,49
CDM,825444,SCREW BNE LAG 1PC 11X105,412.64,412.64,21.87,495.17,20
CDM,825449,CANN PRFSN 17IN 17FR,2817.0,2817.0,149.3,3380.4,49
CDM,825484,BAR EXFX 300MM,3080.0,3080.0,163.24,3696.0,49
CDM,825486,PIN HALF LNG JTX 30X5MM,2564.0,2564.0,135.89,3076.8,49
CDM,825488,CLAMP BAR TO BAR EXFX,901.6,901.6,47.78,1081.92,20
CDM,825530,HEAD FEM HIP 10MM 36MM,600.0,600.0,31.8,720.0,20
CDM,825532,KIT SYMP 2 FS-60,819.1,819.1,43.41,982.92,20
CDM,825567,HEAD METATARSAL MEDIUM,930.0,930.0,49.29,1116.0,20
CDM,825568,STEM FEM HIP SZ4 114MM,2800.0,2800.0,148.4,3360.0,20
CDM,825571,CATH BLNDIL 3.25MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,825574,BASEPLATE TIB 6 RT NPOR,3026.1,3026.1,160.38,3631.32,20
CDM,825577,COUPLER VASC ANSTM 2MM,4190.0,4190.0,222.07,5028.0,20
CDM,825581,PROBE NRV STIM 0.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,825586,HEAD FEM HIP +5MM 36MM,600.0,600.0,31.8,720.0,20
CDM,825595,KIT BIOTENODESIS AR1675S,1377.6,1377.6,73.01,1653.12,49
CDM,825605,GWIRE VASC .018IN 180CM,2564.0,2564.0,135.89,3076.8,49
CDM,825620,PLATE BN LCK 7HL 125MM,1152.0,1152.0,61.06,1382.4,20
CDM,825643,SCREW BN 5MM 14MM,441.0,441.0,23.37,529.2,20
CDM,825675,SCREW BN 4MM CANN,246.0,246.0,13.04,295.2,20
CDM,825677,SCREW BN 4MM 24MM,364.0,364.0,19.29,436.8,20
CDM,825680,SCREW BN 4X32MM,294.0,294.0,15.58,352.8,20
CDM,825682,SCREW BN 4MM 36MM,246.0,246.0,13.04,295.2,20
CDM,825683,SCREW BN 4MM 38MM,246.0,246.0,13.04,295.2,20
CDM,825684,SCREW BN CANN 4MM 40MM,288.0,288.0,15.26,345.6,20
CDM,825685,SCREW BN CANN 4MM 42MM,288.0,288.0,15.26,345.6,20
CDM,825686,SCREW BN 4MM 44MM,246.0,246.0,13.04,295.2,20
CDM,825687,SCREW BN 4MM 46MM,246.0,246.0,13.04,295.2,20
CDM,825688,SCREW BN 4MM 48MM,288.0,288.0,15.26,345.6,20
CDM,825689,SCREW BN 4MM 50MM,298.0,298.0,15.79,357.6,20
CDM,825690,SCREW BN 4MM 55MM,364.0,364.0,19.29,436.8,20
CDM,825691,SCREW BN 4MM 60MM,298.0,298.0,15.79,357.6,20
CDM,825725,GWIRE URO .035IN 150CM,1374.0,1374.0,72.82,1648.8,49
CDM,825727,PLATE HUM 6H 160MM 3.5MM,2946.0,2946.0,156.14,3535.2,20
CDM,825728,PLATE BN 8HL 3.5MM 196MM,2803.0,2803.0,148.56,3363.6,20
CDM,825734,PLATE ANT CSPN 26MM 1LVL,2604.0,2604.0,138.01,3124.8,20
CDM,825737,PLATE TIB BN 4.5MM 226MM,2755.0,2755.0,146.01,3306.0,20
CDM,825751,HIP INTRMEDLRY LAG SLEV,360.0,360.0,19.08,432.0,20
CDM,825752,GWIRE TROCHAR TPD 420MM,537.6,537.6,28.49,645.12,49
CDM,825753,GUIDE PIN LAG SCREW380MM,772.4,772.4,40.94,926.88,49
CDM,825754,HEAD FEM 32MM,1526.0,1526.0,80.88,1831.2,20
CDM,825772,NAIL BN LT 10X360MM,3885.0,3885.0,205.91,4662.0,20
CDM,825777,STAPLER INT CIRC 33MM,2840.0,2840.0,150.52,3408.0,49
CDM,825778,LIGATOR ENDO 7BAND 2.8MM,2564.0,2564.0,135.89,3076.8,49
CDM,825780,CMPNT KN HINGED ROTATE,399.0,399.0,21.15,478.8,20
CDM,825781,CMPNT KN FEM BSHNG STD,280.0,280.0,14.84,336.0,20
CDM,825800,DRAIN INCS 24FR BLAK SIL,2564.0,2564.0,135.89,3076.8,49
CDM,825826,CEMENT BN PMMA FULL DOSE,494.0,494.0,26.18,592.8,20
CDM,825831,CRTD MXMO2 D284TRK,32000.0,32000.0,1696.0,38400.0,20
CDM,825833,SCREW BN LCK 5X40MM,243.0,243.0,12.88,291.6,20
CDM,825837,LEAD ISOFLX S 1642T52,800.0,800.0,42.4,960.0,20
CDM,825838,LEAD PCNG IS-1 52CM 7FR,800.0,800.0,42.4,960.0,20
CDM,825839,LEAD PCNG 58CM 7FR,800.0,800.0,42.4,960.0,20
CDM,825845,PCR IDNTY ADX XL DR 5356,8100.0,8100.0,429.3,9720.0,20
CDM,825847,PIN BN KN CMPNTRESS,296.0,296.0,15.69,355.2,20
CDM,825877,BAR UNLAT JTX EXFX 200MM,2564.0,2564.0,135.89,3076.8,49
CDM,825878,PIN HALF EXFX LNG 5X40MM,2564.0,2564.0,135.89,3076.8,49
CDM,825879,PIN HF LNG JTX 40X5MM,2564.0,2564.0,135.89,3076.8,49
CDM,825889,NUT SPN LCK TI ST SCR,100.0,100.0,5.3,120.0,20
CDM,825901,CATH BLNDIL 3.5MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,825902,CATH BLNDIL 3.75MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,825903,CATH BLNDIL 4MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,825905,CATH BLNDIL 4.5MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,825906,PACEMKR ACT 2CHMB 52X46,6400.0,6400.0,339.2,7680.0,20
CDM,825910,BARRIER ADH ABS 3X4IN,3258.0,3258.0,172.67,3909.6,49
CDM,825934,PIN FX 2.4MM 229MM,1168.0,1168.0,61.9,1401.6,49
CDM,825941,CANNULA ARTHSCP 7CM NTCH,942.0,942.0,49.93,1130.4,49
CDM,825965,SHTH URT NVGTR 28X11-13F,2564.0,2564.0,135.89,3076.8,49
CDM,825972,GWIRE URO ANGLD .035X150,1347.0,1347.0,71.39,1616.4,49
CDM,825973,GWIRE 0.038IN 150CM,1374.0,1374.0,72.82,1648.8,49
CDM,825977,GWIRE URO .038IN 150CM,1347.0,1347.0,71.39,1616.4,49
CDM,825978,NDL URET 20X18G TRNSURTH,1011.0,1011.0,53.58,1213.2,49
CDM,825998,GWIRE ORTH 1.25MM 150MM,980.0,980.0,51.94,1176.0,49
CDM,826001,CUP ACTB HIP 42X32MM,1569.0,1569.0,83.16,1882.8,20
CDM,826005,PIN GD ITST THRD,2564.0,2564.0,135.89,3076.8,49
CDM,826006,SCREW BNE LAG 1PC 11X90,412.64,412.64,21.87,495.17,20
CDM,826009,STENT DUODENAL 22X120MM,4915.0,4915.0,260.5,5898.0,20
CDM,826028,IMPLNT FX TI TIB/FIB ZPL,1840.0,1840.0,97.52,2208.0,20
CDM,826034,LEAD ISOFLEX PM 1646T,3270.0,3270.0,173.31,3924.0,20
CDM,826038,CEMENT BN PMMA FULL DOSE,4948.0,4948.0,262.24,5937.6,20
CDM,826045,LINER RING-LOC ACET 28MM,1244.8,1244.8,65.97,1493.76,20
CDM,826048,ANCHOR SUT 3MM 2 BSUT,640.0,640.0,33.92,768.0,20
CDM,826055,SCREW BN 5MM 14MM,283.0,283.0,15.0,339.6,20
CDM,826056,SCREW BN 5MM 4.4MM 16MM,254.0,254.0,13.46,304.8,20
CDM,826057,SCREW BN LCK 5X18MM,283.0,283.0,15.0,339.6,20
CDM,826058,SCREW BN 5MM 4.4MM 20MM,283.0,283.0,15.0,339.6,20
CDM,826059,SCREW BN 5MM 22MM,254.0,254.0,13.46,304.8,20
CDM,826060,SCREW BN 5MM 4.4MM 24MM,243.0,243.0,12.88,291.6,20
CDM,826061,SCREW BN LCK 5X26MM,254.0,254.0,13.46,304.8,20
CDM,826062,SCREW BN LCK 5X28MM,254.0,254.0,13.46,304.8,20
CDM,826063,SCREW BN LCK 5X32MM,283.0,283.0,15.0,339.6,20
CDM,826065,SCREW BN LCK 5X34MM,254.0,254.0,13.46,304.8,20
CDM,826066,SCREW BN LCK 5X36MM,243.0,243.0,12.88,291.6,20
CDM,826067,SCREW BN 5MM 4.4MM 38MM,243.0,243.0,12.88,291.6,20
CDM,826068,SCREW BN 5MM 4.4MM 42MM,254.0,254.0,13.46,304.8,20
CDM,826069,SCREW BN LCK 5X46MM,254.0,254.0,13.46,304.8,20
CDM,826070,SCREW BN 5MM 48MM,283.0,283.0,15.0,339.6,20
CDM,826071,SCREW BN LCK 5MM 50MM,254.0,254.0,13.46,304.8,20
CDM,826072,SCREW BN LCK 5MM 55MM,243.0,243.0,12.88,291.6,20
CDM,826073,SCREW BN LCK 5X60MM,254.0,254.0,13.46,304.8,20
CDM,826074,SCREW BN LCK 5X65MM,254.0,254.0,13.46,304.8,20
CDM,826076,SCREW BN LCK 5MM 75MM,254.0,254.0,13.46,304.8,20
CDM,826077,CATH BLNDIL 5MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,826078,PLATE BN 5HL 4.5X98MM,642.0,642.0,34.03,770.4,20
CDM,826079,PLATE BN 6HL 4.5X116MM,680.0,680.0,36.04,816.0,20
CDM,826080,PLATE BN 7HL 4.5MM 134MM,787.0,787.0,41.71,944.4,20
CDM,826081,PLATE BN 170X13.5X4.2MM,871.0,871.0,46.16,1045.2,20
CDM,826082,PLATE BN LCP 11HL 4.5MM,1019.0,1019.0,54.01,1222.8,20
CDM,826083,PLATE BN 14HL 4.5X260MM,1229.0,1229.0,65.14,1474.8,20
CDM,826084,PLATE BN 4.5MM 296MM,1610.0,1610.0,85.33,1932.0,20
CDM,826085,PLATE BN 6HL 4.5X116MM,725.0,725.0,38.42,870.0,20
CDM,826087,PLATE BN 4.5MM 170MM,1019.0,1019.0,54.01,1222.8,20
CDM,826088,PLATE BN 11HL 4.5X206MM,1307.0,1307.0,69.27,1568.4,20
CDM,826089,PLATE BN 12HL 4.5X224MM,1239.0,1239.0,65.67,1486.8,20
CDM,826090,PLATE BN 14H 4.5MM 260MM,1546.0,1546.0,81.94,1855.2,20
CDM,826091,PLATE BN 16H 4.5MM 296MM,1882.0,1882.0,99.75,2258.4,20
CDM,826125,SCREW BN 3.5MM 16MM,230.0,230.0,12.19,276.0,20
CDM,826140,STAPLER SKN ABS STRL,1698.0,1698.0,89.99,2037.6,49
CDM,826144,DRILL SURG BN CORT 3.2MM,1158.6,1158.6,61.41,1390.32,49
CDM,826154,GRAFT CV 22MM 30CM,830.0,830.0,43.99,996.0,20
CDM,826156,GRAFT CV 24MM 30CM,830.0,830.0,43.99,996.0,20
CDM,826157,GRAFT CV 26MM 30CM,911.0,911.0,48.28,1093.2,20
CDM,826158,GRAFT CV 28MM 30CM,910.0,910.0,48.23,1092.0,20
CDM,826159,GRAFT CV 30MM 30CM,885.0,885.0,46.91,1062.0,20
CDM,826160,GRAFT CV 32MM 30CM,884.0,884.0,46.85,1060.8,20
CDM,826173,SCREW BN CORT 4.0X24MM,290.0,290.0,15.37,348.0,20
CDM,826174,RING ANLPLS 30MM,4148.0,4148.0,219.84,4977.6,20
CDM,826175,SCREW BN 5MM 42MM,402.0,402.0,21.31,482.4,20
CDM,826177,NAIL HUM 10 8.5X24,3371.0,3371.0,178.66,4045.2,20
CDM,826189,RING ANLPLS 32MM,4148.0,4148.0,219.84,4977.6,20
CDM,826190,RING ANLPLS 34MM,3950.0,3950.0,209.35,4740.0,20
CDM,826208,GWIRE VASC 190CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,826211,STAPLER INT 12MM,2853.0,2853.0,151.21,3423.6,49
CDM,826237,HEAD FEM HIP +0 28MM,1300.0,1300.0,68.9,1560.0,20
CDM,826238,GWIRE ORTH 1.25MM 150MM,923.0,923.0,48.92,1107.6,49
CDM,826242,HEAD FEM HIP +4 28MM,1550.0,1550.0,82.15,1860.0,20
CDM,826247,HEAD FEM 12/14 36MM,1300.0,1300.0,68.9,1560.0,20
CDM,826250,SYSTEM LAPSCP ACCESS,6218.0,6218.0,329.55,7461.6,49
CDM,826252,PLATE BN 7H 4.5MM 134MM,738.0,738.0,39.11,885.6,20
CDM,826264,TOOL DSCT 7.6CM 3MM,2564.0,2564.0,135.89,3076.8,49
CDM,826279,TUBING INFLTR 13FT,4912.0,4912.0,260.34,5894.4,49
CDM,826292,BAR EXFX CFBR JTX 150MM,2564.0,2564.0,135.89,3076.8,49
CDM,826295,CURETTE T-TIP,2564.0,2564.0,135.89,3076.8,49
CDM,826323,NAIL BN 125D 10MM 170MM,2470.0,2470.0,130.91,2964.0,20
CDM,826328,SCREW BN 6.5M 75MM,382.0,382.0,20.25,458.4,20
CDM,826329,SCREW BN 6.5MM 80MM 22MM,382.0,382.0,20.25,458.4,20
CDM,826350,DEFIB CRTD CNSLT CRT-D,32000.0,32000.0,1696.0,38400.0,20
CDM,826358,CANNULA THRD 5.75X7CM,1036.0,1036.0,54.91,1243.2,49
CDM,826363,COMPONENT FEM SZ D KN LT,7524.0,7524.0,398.77,9028.8,20
CDM,826383,HEAD FEM HIP +5MM 32MM,1300.0,1300.0,68.9,1560.0,20
CDM,826392,GWIRE VASC 180CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,826393,DEVICE INFL 20CC,2564.0,2564.0,135.89,3076.8,49
CDM,826411,EPOCH POR ST/CER HD/TM C,2735.0,2735.0,144.96,3282.0,20
CDM,826427,ICD MXMO VR 7232CX,27040.0,27040.0,1433.12,32448.0,20
CDM,826435,SCREW DRCO HD 6.5X60X16,998.0,998.0,52.89,1197.6,20
CDM,826436,INTRO MIC 5FR 40 GALT,1089.0,1089.0,57.72,1306.8,49
CDM,826463,STEM FEM HIP SZ12,4000.0,4000.0,212.0,4800.0,20
CDM,826466,SHEATH GD 8FR 45CM,2564.0,2564.0,135.89,3076.8,49
CDM,826472,CMPNT KN DPHSL SEG 5CM,9100.0,9100.0,482.3,10920.0,20
CDM,826477,COMP FEM PRFX OX SZ5 LT,5040.0,5040.0,267.12,6048.0,20
CDM,826480,DRAIN INC SIL 10FR 1/8IN,1059.0,1059.0,56.13,1270.8,49
CDM,826482,DRAIN WND RND 24FR,479.0,479.0,25.39,574.8,49
CDM,826486,ANCHOR SUT 2.9MM 15.5MM,800.0,800.0,42.4,960.0,20
CDM,826487,CMPNT HUM XS 4IN,8600.0,8600.0,455.8,10320.0,20
CDM,826495,DEVICE BN BX SZ2 10GA,2564.0,2564.0,135.89,3076.8,49
CDM,8265,BLEOMYCIN SULF 15 U INJ,2577.0,2577.0,136.58,3092.4,30
CDM,8265,"Injection, bleomycin sulfate, 15 units ",2577.0,2577.0,16.1,16.1,1
CDM,826510,DRILL SURG 1.8MM 50MM,2261.0,2261.0,119.83,2713.2,49
CDM,826529,PCR SMPHNY DR2550 DDDR,12600.0,12600.0,667.8,15120.0,20
CDM,826533,SCREW BN 10.5MM 75MM,776.0,776.0,41.13,931.2,20
CDM,826534,SCREW BN IM 10.5X90MM,776.0,776.0,41.13,931.2,20
CDM,826535,SCREW BN 10.5MM 100MM,776.0,776.0,41.13,931.2,20
CDM,826536,SCREW BN 10.5MM 105MM,776.0,776.0,41.13,931.2,20
CDM,826547,NAIL 130D 11X180MM,2324.0,2324.0,123.17,2788.8,20
CDM,826594,INTRO TUBE 15FR 70CM,1699.0,1699.0,90.05,2038.8,49
CDM,826596,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,826617,STEM FEM HIP SZ3 108MM,2800.0,2800.0,148.4,3360.0,20
CDM,826623,CATH SLITTER 4-6FR,678.0,678.0,35.93,813.6,49
CDM,826656,PRTCL EMB BL 300-500 2ML,516.0,516.0,27.35,619.2,20
CDM,826660,CTHGD ATTN 6226DEF,2234.4,2234.4,118.42,2681.28,49
CDM,826666,COMP FEM PRFX OX SZ6 LT,5040.0,5040.0,267.12,6048.0,20
CDM,826668,AGENT HMSTC KIT 2ML,2564.0,2564.0,135.89,3076.8,49
CDM,826672,HEAD HIP FEM 36MM +1.5MM,1300.0,1300.0,68.9,1560.0,20
CDM,826674,SCREW BN 6.5X7.9X2.9X80,440.0,440.0,23.32,528.0,20
CDM,826687,STEM FEM HIP 14MM 160MM,4000.0,4000.0,212.0,4800.0,20
CDM,826688,CATH DRN VNTR 1.4MM 14CM,281.0,281.0,14.89,337.2,20
CDM,826706,SCREW LNG 1.9X4 SLFDRL,90.0,90.0,4.77,108.0,20
CDM,826707,SCREW LNG 1.9X5 SLFDRL,88.0,88.0,4.66,105.6,20
CDM,826711,CATH DRN PRTNL 2.2X1MM,276.0,276.0,14.63,331.2,20
CDM,826725,INSERT HIP ACTB 28-52MM,1500.0,1500.0,79.5,1800.0,20
CDM,826726,SCREW BN 2.7MM 14MM,253.0,253.0,13.41,303.6,20
CDM,826727,SCREW BN NLCK 2.7X16MM,253.0,253.0,13.41,303.6,20
CDM,826728,SCREW BN 3.5MM 14MM,77.0,77.0,4.08,92.4,20
CDM,826729,SCREW BN 3.5MM 26MM,70.0,70.0,3.71,84.0,20
CDM,826730,SCREW BN 4MM 40MM,363.0,363.0,19.24,435.6,20
CDM,826731,PLATE BN 6HL 104MM,1450.0,1450.0,76.85,1740.0,20
CDM,826744,PROBE NRV STIM BALL 9IN,2564.0,2564.0,135.89,3076.8,49
CDM,826746,SCREW BN CANC 5MM 36MM,402.0,402.0,21.31,482.4,20
CDM,826747,SCREW BN CANC 5MM 40MM,402.0,402.0,21.31,482.4,20
CDM,826754,INTRODUCER KYPHX/1STEP,8401.0,8401.0,445.25,10081.2,49
CDM,826761,SUTURE W/NDL HC5 WHT#2,745.0,745.0,39.48,894.0,49
CDM,826789,GWIRE VASC 180CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,826798,ICD VTLTY2 VR T175,22850.0,22850.0,1211.05,27420.0,20
CDM,826822,BASEPLATE KN SZ4,2000.0,2000.0,106.0,2400.0,20
CDM,826825,STEM FEM HIP 19MM,5467.0,5467.0,289.75,6560.4,20
CDM,826826,BODY CONE FEM HIP+0X21MM,5466.0,5466.0,289.7,6559.2,20
CDM,826839,STEM FEM HIP 21MM 155MM,3917.0,3917.0,207.6,4700.4,20
CDM,826862,ROD INTPHAL SIL4.5X2.2MM,404.0,404.0,21.41,484.8,20
CDM,826867,CTH URET PLLK 5F,754.0,754.0,39.96,904.8,49
CDM,826884,STENT BIL 90X40MM 80CM,1650.0,1650.0,87.45,1980.0,20
CDM,826897,GW VASC STD L185 L3 OD,1344.0,1344.0,71.23,1612.8,49
CDM,826898,STEM FEM HIP 25MM +0MM,5467.0,5467.0,289.75,6560.4,20
CDM,826962,HEAD FEM HIP +8.5MM 36MM,1300.0,1300.0,68.9,1560.0,20
CDM,826967,CTHGD SLT ATTN 6218GRN,463.44,463.44,24.56,556.13,49
CDM,826977,STEM FEM TI HIP POR 470,5000.0,5000.0,265.0,6000.0,20
CDM,8270,BORTEZOMIB 3.5 MG INJ,2577.0,2577.0,136.58,3092.4,30
CDM,8270,"Injection, bortezomib, 0.1 mg ",2577.0,2577.0,2.18,2.18,1
CDM,827003,STEM FEM HIP SZ17,4000.0,4000.0,212.0,4800.0,20
CDM,827091,COMP HIP 46MM 28MM,900.0,900.0,47.7,1080.0,20
CDM,827126,SCREW BN 5MM 47.5MM,238.0,238.0,12.61,285.6,20
CDM,827127,SCREW BN 5X52.5MM,238.0,238.0,12.61,285.6,20
CDM,827149,LINER BIP HIP 51X28MM,900.0,900.0,47.7,1080.0,20
CDM,827168,CATH GD 6FR 100CM,1901.0,1901.0,100.75,2281.2,49
CDM,827202,KIT LD CAP 4FR 3.2MM,40.0,40.0,2.12,48.0,20
CDM,827228,LINER ACTB HIP 45X28MM,900.0,900.0,47.7,1080.0,20
CDM,827230,CMPNT FEM 154600,4440.0,4440.0,235.32,5328.0,20
CDM,827232,KNEE TIBIAL 38MX26M RT,4000.0,4000.0,212.0,4800.0,20
CDM,827238,SCREW BN 3.5MM 52MM,217.0,217.0,11.5,260.4,20
CDM,827251,STNT XTN AAA ZNTH 24X74,16916.0,16916.0,896.55,20299.2,20
CDM,827265,LINER ACTB HIP 58MM 36MM,1100.0,1100.0,58.3,1320.0,20
CDM,827266,GWIRE VASC .035IN 180CM,2495.0,2495.0,132.24,2994.0,49
CDM,827267,GWIRE VASC .018IN 108CM,2564.0,2564.0,135.89,3076.8,49
CDM,827282,SCREW NON-LCK 4.7X25,416.0,416.0,22.05,499.2,20
CDM,827295,DRAIN WND RND 28FR,791.0,791.0,41.92,949.2,49
CDM,827298,DRAIN WND RND 32FR,825.0,825.0,43.73,990.0,49
CDM,827305,SCREW BN 5MM 80MM,710.0,710.0,37.63,852.0,20
CDM,827308,STEM HUM TPR SZ 8,5400.0,5400.0,286.2,6480.0,20
CDM,827320,CATH EP 6FR 120CM,2564.0,2564.0,135.89,3076.8,49
CDM,827336,CATH VASC 45D 6.0X150CM,7269.0,7269.0,385.26,8722.8,49
CDM,827337,CATH VASC 90D 6.0X150CM,7269.0,7269.0,385.26,8722.8,49
CDM,827339,MICROCATH CRBRVASC 150CM,7269.0,7269.0,385.26,8722.8,49
CDM,827340,INS TIB 1 H9.5 FX,1590.0,1590.0,84.27,1908.0,20
CDM,827400,SUTURE UND BRD +3.0 27IN,44.0,44.0,2.33,52.8,49
CDM,827402,CMPNT KN LT SZ4,2740.0,2740.0,145.22,3288.0,20
CDM,827403,CMPNT KN FEM CMNT RT 5,2900.0,2900.0,153.7,3480.0,20
CDM,827409,BIT DRL TETH STRL 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,827410,FILTRWRE EMBL190CM110UOM,9154.0,9154.0,485.16,10984.8,49
CDM,827438,BIT DRILL 4.2MM 300MM,2564.0,2564.0,135.89,3076.8,49
CDM,827440,NAIL BN 11X180MM,2349.0,2349.0,124.5,2818.8,20
CDM,827442,SCREW BN IM 10.5X95MM,776.0,776.0,41.13,931.2,20
CDM,827444,CATH EP D MD2-5-2X110 4F,4912.0,4912.0,260.34,5894.4,49
CDM,827448,BIT DRILL PERIPH 2.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,827520,INSERT KN TIB STD 18MM,1516.0,1516.0,80.35,1819.2,20
CDM,827530,COMPONENT ANKL TLRFT11MM,2472.0,2472.0,131.02,2966.4,20
CDM,827534,BASKET RET 3.0CM 3.2MM,3290.0,3290.0,174.37,3948.0,49
CDM,827539,SCREW BN ST 2.4MM 14MM,203.0,203.0,10.76,243.6,20
CDM,827560,SCREW BN TI CANC 5X34MM,402.0,402.0,21.31,482.4,20
CDM,827597,SCREW BN LCK 2.7MM 12MM,205.0,205.0,10.87,246.0,20
CDM,827598,SCREW BN LCK 2.7MM 14MM,205.0,205.0,10.87,246.0,20
CDM,827599,SCREW BN LCK 2.7MM 18MM,205.0,205.0,10.87,246.0,20
CDM,827601,SCREW BN LCK 2.7MM 22MM,197.0,197.0,10.44,236.4,20
CDM,827616,TISSUE SYN CA SLF 10ML,2300.0,2300.0,121.9,2760.0,20
CDM,827617,SCREW BN LCK 2.7MM 16MM,205.0,205.0,10.87,246.0,20
CDM,827625,SHEATH INTRO 90CM 6F.038,2564.0,2564.0,135.89,3076.8,49
CDM,827634,COMP FEM PRFX OX SZ5 LT,5040.0,5040.0,267.12,6048.0,20
CDM,827668,INSERT TIB 8X9 KN PRIM,1100.0,1100.0,58.3,1320.0,20
CDM,827694,PLATE BN LT 1.5MM 60MM,1446.0,1446.0,76.64,1735.2,20
CDM,827699,GUIDE ROD ORTH 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,827712,LEAD NRSTM 3MM 60CM,6400.0,6400.0,339.2,7680.0,20
CDM,827722,SPACER TIB SM KN,4400.0,4400.0,233.2,5280.0,20
CDM,827725,CTHGD RPDO ADV 7712,799.68,799.68,42.38,959.62,49
CDM,827738,ANCHOR SCREW 902570,508.0,508.0,26.92,609.6,20
CDM,827744,PLATE BN 4.5MM T BRD LCP,2341.0,2341.0,124.07,2809.2,20
CDM,827778,SCREW BN 10.5MM 80MM,776.0,776.0,41.13,931.2,20
CDM,827780,CMPNT FEM KN LT SZ2,3300.0,3300.0,174.9,3960.0,20
CDM,827781,BASEPLATE KN TIB CMNT 2,2000.0,2000.0,106.0,2400.0,20
CDM,827788,CLAMP EXFX 8MM 11MM,5941.0,5941.0,314.87,7129.2,49
CDM,8278,CARBOPLATIN 50 MG INJ,747.0,747.0,39.59,896.4,30
CDM,827805,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,827812,STEM FEM HIP 140MM 10MM,4000.0,4000.0,212.0,4800.0,20
CDM,827820,SCREW BN LCK 5X32.5MM,240.0,240.0,12.72,288.0,20
CDM,827821,GWIRE ORTH 240X2MM,1108.0,1108.0,58.72,1329.6,49
CDM,827824,NAIL HUM CANN 7MM 250MM,3199.0,3199.0,169.55,3838.8,20
CDM,827833,CATH BLNDIL 2.5MM 30MM,2564.0,2564.0,135.89,3076.8,49
CDM,827836,INSERT ARTC KN 3-4 15MM,2630.0,2630.0,139.39,3156.0,20
CDM,827846,CEMENT BN KIT 5CC,1350.0,1350.0,71.55,1620.0,20
CDM,827869,SYSTEM KNEE 98000220020,36.0,36.0,1.91,43.2,20
CDM,827870,SCREW BN 2.4X24MM,98.0,98.0,5.19,117.6,20
CDM,827871,SCREW BN 2.4MM 26MM,94.0,94.0,4.98,112.8,20
CDM,827872,SCREW BN 2.4MM 4MM 28MM,94.0,94.0,4.98,112.8,20
CDM,827873,SCREW BN 2.7MM 5MM 12MM,71.0,71.0,3.76,85.2,20
CDM,827877,PLATE BN 6HL 107MM,2493.0,2493.0,132.13,2991.6,20
CDM,827878,PLATE BN 8HL 133MM,2522.0,2522.0,133.67,3026.4,20
CDM,827886,SCREW BN 2.4MM 10MM,98.0,98.0,5.19,117.6,20
CDM,827887,SCREW BN 2.4MM 12MM,98.0,98.0,5.19,117.6,20
CDM,827888,SCREW BN 2.4MM 4MM 14MM,98.0,98.0,5.19,117.6,20
CDM,827889,SCREW BN 2.4MM 4MM 16MM,98.0,98.0,5.19,117.6,20
CDM,827890,SCREW BN 2.4MM 4MM 18MM,98.0,98.0,5.19,117.6,20
CDM,827891,SCREW BN 2.4MM 4MM 20MM,98.0,98.0,5.19,117.6,20
CDM,827892,SCREW BN 2.4MM 4MM 30MM,94.0,94.0,4.98,112.8,20
CDM,827893,SCREW BN SLFTP 2.7X10MM,71.0,71.0,3.76,85.2,20
CDM,827894,SCREW BN 2.7X5MM 14MM,66.0,66.0,3.5,79.2,20
CDM,827895,SCREW BN 2.7MM 5MM 16MM,66.0,66.0,3.5,79.2,20
CDM,827896,SCREW BN 2.7MM 5MM 18MM,66.0,66.0,3.5,79.2,20
CDM,827897,SCREW BN SLFTP 2.7X24MM,71.0,71.0,3.76,85.2,20
CDM,827902,PLATE BN ULNAR 6HL,1878.0,1878.0,99.53,2253.6,20
CDM,827907,GWIRE ENDO .035IN 450CM,2564.0,2564.0,135.89,3076.8,49
CDM,827916,DEVICE TORQUE .010-.038,250.0,250.0,13.25,300.0,49
CDM,827920,BEARNG MNSCL 4MM SM,1752.0,1752.0,92.86,2102.4,20
CDM,827921,BEARNG TIB MNSCL MD 5MM,1490.0,1490.0,78.97,1788.0,20
CDM,827931,LEAD PCNG 40CM 7FR,800.0,800.0,42.4,960.0,20
CDM,827979,LEAD SPRNT FDLS 694965ID,9000.0,9000.0,477.0,10800.0,20
CDM,827994,GWIRE ORTH NSE 3MM 80CM,2564.0,2564.0,135.89,3076.8,49
CDM,827995,GW VASC ZNGRSUP180CM STR,2564.0,2564.0,135.89,3076.8,49
CDM,827997,PIN GD HUM 3.2X248MM,2564.0,2564.0,135.89,3076.8,49
CDM,827998,BIT DRILL 3.2MM,3044.0,3044.0,161.33,3652.8,49
CDM,827999,SCREW BN TI CORT 4X22MM,332.0,332.0,17.6,398.4,20
CDM,828106,SCREW BN TI CANC 5X30MM,402.0,402.0,21.31,482.4,20
CDM,828267,CMPNT TALAR 9 L15X9MM,3006.0,3006.0,159.32,3607.2,20
CDM,828268,CMPNT TALAR 10 L16X10MM,3006.0,3006.0,159.32,3607.2,20
CDM,828277,NAIL HUM CANN 9MM 250MM,3199.0,3199.0,169.55,3838.8,20
CDM,828300,CAP END TI HUM NAIL 0MM,347.0,347.0,18.39,416.4,20
CDM,828302,SCREW BN 10.5MM 85MM,776.0,776.0,41.13,931.2,20
CDM,828317,INSERT TIB KN STD 22MM,1516.0,1516.0,80.35,1819.2,20
CDM,828335,COMP FEM PRFX OX SZ4 LT,5040.0,5040.0,267.12,6048.0,20
CDM,828342,SUTURE W/ CLS LOOP 26IN,210.0,210.0,11.13,252.0,20
CDM,828343,BIT DRILL 4.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,828357,LENS IOL +16.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,828360,LENS IOL +17.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,828361,LENS IOL +18.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,828363,LENS IOL +19.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,828364,LENS IOL +19.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,828366,LENS IOL +20.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,828367,LENS IOL +21.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,828368,LENS IOL +21.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,828369,LENS IOL +22.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,828370,LENS IOL +22.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,828371,LENS IOL +23.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,828373,LENS IOL +23.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,828374,LENS IOL +24.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,828375,LENS IOL +24.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,828376,LENS IOL +25.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,828377,LENS IOL +25.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,828378,LENS IOL +26.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,828380,LENS IOL +27.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,828382,LENS IOL +28.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,828383,LENS IOL +28.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,828384,LENS IOL +29.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,828386,LENS IOL +30.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,828388,INSERT CLAMP ULTRA 66MM,1102.0,1102.0,58.41,1322.4,49
CDM,828394,CATH IAB LNR 7.5F 34MM,5941.0,5941.0,314.87,7129.2,49
CDM,828395,CATH IABP LNR 7.5F.025X6,5941.0,5941.0,314.87,7129.2,49
CDM,828403,SLNG URTHRAL LYNZ SYS,1795.0,1795.0,95.14,2154.0,20
CDM,828416,SUTURE TGRWR FX 50IN,100.0,100.0,5.3,120.0,20
CDM,828431,NEEDLE TRANBRNCH 20GA,2564.0,2564.0,135.89,3076.8,49
CDM,828437,DRILL BIT 3.5MM 200MM,2054.0,2054.0,108.86,2464.8,49
CDM,828472,POUCH OST 2.25IN L12IN,22.0,22.0,1.17,26.4,49
CDM,828519,BLADE SHVR 4MM 11CM,2564.0,2564.0,135.89,3076.8,49
CDM,828525,SYSTEM HIP 98000100116,15158.0,15158.0,803.37,18189.6,20
CDM,828556,BIO-SURETAK/ TGTL,670.0,670.0,35.51,804.0,20
CDM,828631,DISSECTOR SHAFT 27CM,14378.0,14378.0,762.03,17253.6,49
CDM,828638,SCISSORS CURVED W/MONOPO,932.0,932.0,49.4,1118.4,49
CDM,828653,ADAPTER INTRO SEAL 9FR,1504.0,1504.0,79.71,1804.8,49
CDM,828680,LEAD CPSR SNSE 407458,794.0,794.0,42.08,952.8,20
CDM,828683,BIT DRILL 1.4MM 150MM,2564.0,2564.0,135.89,3076.8,49
CDM,828698,DILATOR SURG DISP LRG,2564.0,2564.0,135.89,3076.8,49
CDM,828747,SCREW BN 2.3MM 18MM,316.0,316.0,16.75,379.2,20
CDM,828750,BIT DRL 2.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,828789,SCREW BN 2.3MM 14MM,316.0,316.0,16.75,379.2,20
CDM,828803,SCREW BN 3.5MM 16MM,228.0,228.0,12.08,273.6,20
CDM,828824,GWIRE VASE .014IN 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,828832,SYSTEM RETR SCROTAL,5665.0,5665.0,300.25,6798.0,49
CDM,828833,SCREW RADL LCK2.7X20MM,111.88,111.88,5.93,134.26,20
CDM,828835,CMPNT FEM KN LT SZ3,2740.0,2740.0,145.22,3288.0,20
CDM,828836,CMPNT KN RT SZ4,2900.0,2900.0,153.7,3480.0,20
CDM,828837,CMPNT KN CMNT LT SZ6,2740.0,2740.0,145.22,3288.0,20
CDM,828839,BASEPLATE TIB KN SZ7,2000.0,2000.0,106.0,2400.0,20
CDM,828854,NAIL HUM CANN 7MM 220MM,2094.0,2094.0,110.98,2512.8,20
CDM,828855,GWIRE FILTER 5.5MM 190CM,9326.0,9326.0,494.28,11191.2,49
CDM,828858,SHELL 3HOLE 66MM,2220.0,2220.0,117.66,2664.0,20
CDM,828864,LEAD ATTN OW 419378,3390.0,3390.0,179.67,4068.0,20
CDM,828865,LEAD ATTN OW 419388,3390.0,3390.0,179.67,4068.0,20
CDM,828867,HEAD FEM HIP 36MM,1300.0,1300.0,68.9,1560.0,20
CDM,828870,BURR SURG 3X3.8MM,2564.0,2564.0,135.89,3076.8,49
CDM,828876,CRTD INSYN MXMO 7303,36920.0,36920.0,1956.76,44304.0,20
CDM,828891,PUNCH SURG PUSHLCK,2564.0,2564.0,135.89,3076.8,49
CDM,828901,HEAD FEM HIP +8MM 36MM,1300.0,1300.0,68.9,1560.0,20
CDM,828905,HEAD FEM HIP -3MM 36MM,700.0,700.0,37.1,840.0,20
CDM,828908,SUTURE VIOL SZ2 36X36CM,627.0,627.0,33.23,752.4,49
CDM,828914,SYS VSVW 6 VSL HARVESTOR,5941.0,5941.0,314.87,7129.2,49
CDM,828927,IMPLANT BREAST 300CC,1510.0,1510.0,80.03,1812.0,20
CDM,828943,NAIL TROCH 10MM 20CM,4160.0,4160.0,220.48,4992.0,20
CDM,828954,SCREW BN CANC 5.0X32MM,351.0,351.0,18.6,421.2,20
CDM,828978,INSERT TIBIAL 9MX10,1100.0,1100.0,58.3,1320.0,20
CDM,828982,SCREW BN 2.3MM 18MM,216.0,216.0,11.45,259.2,20
CDM,828984,SCREW BN 3.5MM 14MM,55.0,55.0,2.92,66.0,20
CDM,829005,SUTURE W/NDL C7 BLUE#2,745.0,745.0,39.48,894.0,49
CDM,829008,INTRO SHTH 10FR 40CM,2336.0,2336.0,123.81,2803.2,49
CDM,829014,SYSTM EMBL 18 6% 1.5ML,20596.0,20596.0,1091.59,24715.2,49
CDM,829031,SCREW SPN 15X3.5MM,100.0,100.0,5.3,120.0,20
CDM,829050,KWIRE FX 150MM 1.6MM,942.0,942.0,49.93,1130.4,49
CDM,829054,ENDCAP FEM NAIL 0MM,259.0,259.0,13.73,310.8,20
CDM,829070,CMPNT KN FEM CMN LT SZ5,2740.0,2740.0,145.22,3288.0,20
CDM,829073,HEAD FEM HIP 12/14+12X36,1300.0,1300.0,68.9,1560.0,20
CDM,829157,LINER HIP 47MM 28MM,900.0,900.0,47.7,1080.0,20
CDM,829163,PROSTHESIS PENL 27 13MM,18412.0,18412.0,975.84,22094.4,20
CDM,829170,STENT URET 5FR 26CM,241.0,241.0,12.77,289.2,20
CDM,829171,STENT URET 6FR 20CM,269.0,269.0,14.26,322.8,20
CDM,829172,STENT URET 6FR 22CM,241.0,241.0,12.77,289.2,20
CDM,829173,STENT URET 6FR 24CM,248.0,248.0,13.14,297.6,20
CDM,829174,STENT URET 6FR 26CM,241.0,241.0,12.77,289.2,20
CDM,829175,STENT URET 6FR 28CM,241.0,241.0,12.77,289.2,20
CDM,829177,STENT URET 7FR 20CM,267.0,267.0,14.15,320.4,20
CDM,829178,STENT URET 7FR 22CM,241.0,241.0,12.77,289.2,20
CDM,829179,STENT URET 7FR 24CM,241.0,241.0,12.77,289.2,20
CDM,829180,STENT URET 7FR 26CM,248.0,248.0,13.14,297.6,20
CDM,829181,STENT URET 7FR 28CM,287.0,287.0,15.21,344.4,20
CDM,829191,KWIRE HUMERAL 2MM,328.27,328.27,17.4,393.92,49
CDM,829204,CMPNT FEM RT KN 3,2740.0,2740.0,145.22,3288.0,20
CDM,829212,CMPNT FEM KN RT SZ5,2740.0,2740.0,145.22,3288.0,20
CDM,829215,BLADE BN FEM FX 60MM,714.0,714.0,37.84,856.8,20
CDM,829217,SCREW BN 2.3MM 16MM,216.0,216.0,11.45,259.2,20
CDM,829218,SCREW BN 2.3MM 20MM,216.0,216.0,11.45,259.2,20
CDM,829219,SCREW BN 2.3MM 22MM,216.0,216.0,11.45,259.2,20
CDM,829257,SUTURE PASSER 25D LT,2564.0,2564.0,135.89,3076.8,49
CDM,829268,POST EX FIX 11MM,2564.0,2564.0,135.89,3076.8,49
CDM,829269,POST EXFIX BN 90D 11MM,2564.0,2564.0,135.89,3076.8,49
CDM,829281,COMP FEM HIP 28MM 48MM,900.0,900.0,47.7,1080.0,20
CDM,829286,CLAMP EX FIX LG,3526.0,3526.0,186.88,4231.2,49
CDM,829287,POST EXFIX FIXATOR LT,2564.0,2564.0,135.89,3076.8,49
CDM,829288,TROCAR LAPSCP 12MM 150MM,805.0,805.0,42.66,966.0,49
CDM,829299,HEAD FEM 497-38-000,1658.0,1658.0,87.87,1989.6,20
CDM,829315,LINER ACTB 10D 5.9X36MM,1500.0,1500.0,79.5,1800.0,20
CDM,829316,INSERT HIP 10D 36MM,1500.0,1500.0,79.5,1800.0,20
CDM,829320,CATH INFS .017IN 150CM,5941.0,5941.0,314.87,7129.2,49
CDM,829328,CMPNT FEM KN LT #2,2740.0,2740.0,145.22,3288.0,20
CDM,829329,CMPNT FEM KN CMNT SZ2,2740.0,2740.0,145.22,3288.0,20
CDM,829347,CMPNT FEM KN LT SZ1,3300.0,3300.0,174.9,3960.0,20
CDM,829348,CMPNT FEM KN RT SZ1,2900.0,2900.0,153.7,3480.0,20
CDM,829349,CMPNT FEM CMNT LT SZ8,3300.0,3300.0,174.9,3960.0,20
CDM,829351,RING ANLPLS MTRL ET 24MM,4330.0,4330.0,229.49,5196.0,20
CDM,829352,RING ANLPLS MTRL ET 26MM,5180.0,5180.0,274.54,6216.0,20
CDM,829353,RING ANLPLS MTRL ET 28MM,4330.0,4330.0,229.49,5196.0,20
CDM,829354,RING ANLPLS MTRL ET 30MM,4547.0,4547.0,240.99,5456.4,20
CDM,829355,RING ANLPLS MTRL ET 32MM,4547.0,4547.0,240.99,5456.4,20
CDM,829356,RING ANLPLS MTRL ET 34MM,4547.0,4547.0,240.99,5456.4,20
CDM,829363,SPHNTM GW 20MM 260CM,5032.0,5032.0,266.7,6038.4,49
CDM,829372,PLATE BN LT 1.5MM 60MM,1446.0,1446.0,76.64,1735.2,20
CDM,829375,NAIL BN 1.5MM 300MM,501.0,501.0,26.55,601.2,20
CDM,829376,BIT DRILL LNG 4.5M,2564.0,2564.0,135.89,3076.8,49
CDM,829382,STIMULATOR NRV LOCATOR,1959.0,1959.0,103.83,2350.8,49
CDM,829390,PACKING NSL 8X1.5X2CM,331.0,331.0,17.54,397.2,49
CDM,829411,SPLINT NSL 1.5X2.5X10CM,610.0,610.0,32.33,732.0,49
CDM,829413,NSL PCKNG 8CM STD WHT LF,490.0,490.0,25.97,588.0,49
CDM,829424,CATH URTH 2W 20FR 30CC,2564.0,2564.0,135.89,3076.8,49
CDM,829436,BSPLATETIB 1 KNEE 3,2000.0,2000.0,106.0,2400.0,20
CDM,829479,SPLNT NSL IMP TEMP,2564.0,2564.0,135.89,3076.8,49
CDM,829488,SPLINT NSL 2.38X1.53IN,549.0,549.0,29.1,658.8,49
CDM,829538,COMPNT FEM LT KN SZ4,2740.0,2740.0,145.22,3288.0,20
CDM,829545,CATH EP ABL 5FR 120CM,1372.0,1372.0,72.72,1646.4,49
CDM,829560,GW VASC L185 L3 OD.014,840.0,840.0,44.52,1008.0,49
CDM,829562,SCREW BN 5.0MM 14MM,168.0,168.0,8.9,201.6,20
CDM,829563,SCREW BN 5MM 22MM,168.0,168.0,8.9,201.6,20
CDM,829564,SCREW BN 5MM 26MM,168.0,168.0,8.9,201.6,20
CDM,829565,SCREW BN 5MM 34MM,168.0,168.0,8.9,201.6,20
CDM,829566,SCREW BN 5MM 38MM,168.0,168.0,8.9,201.6,20
CDM,829568,DEVICE CLSR VASC 6FR,420.0,420.0,22.26,504.0,20
CDM,829588,LINER ACTB HIP 52MM 28MM,900.0,900.0,47.7,1080.0,20
CDM,829591,SLEEVE LAPSCP 12MM 100MM,415.0,415.0,22.0,498.0,49
CDM,829597,CATH CV 2LUM PICC,2473.0,2473.0,131.07,2967.6,49
CDM,829621,SCREW SPN ST 5.5MM,100.0,100.0,5.3,120.0,20
CDM,829637,BIT DRILL 1.6MM 58MM,2564.0,2564.0,135.89,3076.8,49
CDM,829650,SCREW BN STRL LCK 5X30MM,269.0,269.0,14.26,322.8,20
CDM,829651,SCREW BN STRL LCK 5X32MM,269.0,269.0,14.26,322.8,20
CDM,829653,SCREW BN STRL LCK 5X36MM,269.0,269.0,14.26,322.8,20
CDM,829654,SCREW BN STRL LCK 5X38MM,269.0,269.0,14.26,322.8,20
CDM,829656,SCREW BN STRL LCK 5X42MM,269.0,269.0,14.26,322.8,20
CDM,829658,SCREW BN STRL LCK 5X46MM,269.0,269.0,14.26,322.8,20
CDM,829659,SCREW BN STRL LCK 5X48MM,269.0,269.0,14.26,322.8,20
CDM,829665,SCREW BN 5MM 4.3MM 60MM,269.0,269.0,14.26,322.8,20
CDM,829697,PIN EXFX 9INX3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,829718,STABILIZER SURG TISS,6754.0,6754.0,357.96,8104.8,49
CDM,829719,CATH BLN 4MM 100CM,5829.0,5829.0,308.94,6994.8,49
CDM,829723,SCREW SET IM HIP,226.38,226.38,12.0,271.66,20
CDM,829724,IMHS NAIL- 12X21X130D,1806.42,1806.42,95.74,2167.7,20
CDM,829741,KWIRE FX 150MM 1.6MM,1232.0,1232.0,65.3,1478.4,49
CDM,829742,KWIRE FX 150MM 2MM,1232.0,1232.0,65.3,1478.4,49
CDM,829760,NAIL FEM IMSC 5HL 11X25,1455.3,1455.3,77.13,1746.36,20
CDM,829763,PIN GD THRD 230X3.2 IMHS,2564.0,2564.0,135.89,3076.8,49
CDM,829766,BIT DRL 4.5MM TWST,2178.0,2178.0,115.43,2613.6,49
CDM,829770,CAP PROT EXFX BLK OD 5MM,56.0,56.0,2.97,67.2,49
CDM,829813,PIN FXTN DMD 1ND 3.5MM,70.0,70.0,3.71,84.0,20
CDM,829817,PIN FXTN DMD 1ND 3.9MM,81.0,81.0,4.29,97.2,20
CDM,829828,SLEEVE CNTRNG KN 2.5MM,110.0,110.0,5.83,132.0,20
CDM,829830,KWIRE FX 9IN .045IN,2564.0,2564.0,135.89,3076.8,49
CDM,829832,PIN GD ORTH 140MM 1.3MM,1232.0,1232.0,65.3,1478.4,49
CDM,829834,PIN GD ORTH 140MM 1.3MM,1232.0,1232.0,65.3,1478.4,49
CDM,829835,KWIRE FX 9IN .062IN,2564.0,2564.0,135.89,3076.8,49
CDM,829839,PIN FXTN DMD 1ND 1.9MM,190.0,190.0,10.07,228.0,20
CDM,829842,PIN STNM 9IN 3/32IN,897.0,897.0,47.54,1076.4,49
CDM,829853,PIN FXTN DMD 1ND 3.1MM,229.0,229.0,12.14,274.8,20
CDM,829873,KWIRE FX 9IN .035IN,2564.0,2564.0,135.89,3076.8,49
CDM,829908,SCREW RS-TYLR 5/6.4X65MM,188.66,188.66,10.0,226.39,20
CDM,829909,SCREW BNE 5X70,188.66,188.66,10.0,226.39,20
CDM,829910,SCREW RS-TYLR 5/6.4X75MM,188.66,188.66,10.0,226.39,20
CDM,829914,NAIL IM SUPRA 12X25CM,1455.3,1455.3,77.13,1746.36,20
CDM,829924,NAIL RUSS-TYLR 5X45MM,151.3,151.3,8.02,181.56,20
CDM,829947,SCREW CANN 4.0X26,359.0,359.0,19.03,430.8,20
CDM,829948,SCREW BN 4.0MM 28MM,359.0,359.0,19.03,430.8,20
CDM,829949,SCREW BN 4X6X30X14MM,359.0,359.0,19.03,430.8,20
CDM,829951,SCREW BN 4.0X6X32X14MM,359.0,359.0,19.03,430.8,20
CDM,829952,SCREW BN CANN 4MM 34MM,327.0,327.0,17.33,392.4,20
CDM,829953,SCREW BN 4MM 36MM,327.0,327.0,17.33,392.4,20
CDM,829954,SCREW BN 4MM 38MM,327.0,327.0,17.33,392.4,20
CDM,829955,SCREW BN 4X6X40X14MM,359.0,359.0,19.03,430.8,20
CDM,829956,SCREW BN 4MM 42MM,327.0,327.0,17.33,392.4,20
CDM,829957,SCREW BN CANN 4X44MM,359.0,359.0,19.03,430.8,20
CDM,829958,SCREW BN 4.0MM 46MM,359.0,359.0,19.03,430.8,20
CDM,829960,SCREW BN 4.0MM 50MM,359.0,359.0,19.03,430.8,20
CDM,829963,SCREW BN 4MM 56MM,359.0,359.0,19.03,430.8,20
CDM,829965,SCREW BN 4MM 60MM,359.0,359.0,19.03,430.8,20
CDM,829966,SCREW BN 4MM 65MM,359.0,359.0,19.03,430.8,20
CDM,829967,SCREW BN 4MM 70MM,359.0,359.0,19.03,430.8,20
CDM,829968,WASHER BN 6.5MM 12.7MM,95.0,95.0,5.04,114.0,20
CDM,829993,CHS SPLG SCREW 105,274.72,274.72,14.56,329.66,20
CDM,830004,PLATE HIP CHS 95D 10HL,873.72,873.72,46.31,1048.46,20
CDM,830005,SCREW LAB AMBI 55,311.04,311.04,16.49,373.25,20
CDM,830014,SCREW BN 12.7X9X85X21MM,586.0,586.0,31.06,703.2,20
CDM,830016,SCREW BN 12.7X9X90X21MM,665.0,665.0,35.24,798.0,20
CDM,830026,AMBI HIP SCREW CLIP,52.0,52.0,2.76,62.4,20
CDM,830028,SCREW BN 3.5MM 19MM,164.0,164.0,8.69,196.8,20
CDM,830029,SCREW BN 3.5X28.5MM HEX,164.0,164.0,8.69,196.8,20
CDM,830032,PLATE HIP CHS 130D 3HL,897.0,897.0,47.54,1076.4,20
CDM,830034,PLATE HIP CHS 130D 4HL,897.0,897.0,47.54,1076.4,20
CDM,830036,REAMER SURG 2.7MM 4MM,2686.0,2686.0,142.36,3223.2,49
CDM,830038,GD PIN IMHS 3.2 X353,996.2,996.2,52.8,1195.44,49
CDM,830048,ROD GD ORTH 900X3.2MM,639.74,639.74,33.91,767.69,49
CDM,830052,PIN GD ORTH 240X3.5MM,1011.07,1011.07,53.59,1213.28,49
CDM,830053,BIT DRL RSTYLR 254X3.5MM,793.9,793.9,42.08,952.68,49
CDM,830054,RETRIEVER SUT 10.1IN,2564.0,2564.0,135.89,3076.8,49
CDM,830057,ROD GUIDE BN 3.2X900MM,2564.0,2564.0,135.89,3076.8,49
CDM,830061,CATH HMDIAL 23CM 14.5FR,4418.0,4418.0,234.15,5301.6,49
CDM,830069,NUT EXFX ORTHO 10MM,795.0,795.0,42.13,954.0,49
CDM,830073,SLEEVE CNTRNG EX FIX 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,830074,CUBE EXFIX RNCH 1 HLE,2564.0,2564.0,135.89,3076.8,49
CDM,830080,ROD BN EXFIX 150MM,2564.0,2564.0,135.89,3076.8,49
CDM,830081,ROD BN EXFIX L200,1810.0,1810.0,95.93,2172.0,49
CDM,830089,WRENCH SURG 10MM,2197.0,2197.0,116.44,2636.4,49
CDM,830092,BIT DRL OD6 SHNK OD2.7,3116.0,3116.0,165.15,3739.2,49
CDM,830094,BIT DRL SHNK4.8MM X6MM,3116.0,3116.0,165.15,3739.2,49
CDM,830101,WIRE EXFIX 1.8MM 400MM,2054.0,2054.0,108.86,2464.8,49
CDM,830104,SPONGE DSC CLIP ILZ DRSG,154.0,154.0,8.16,184.8,49
CDM,830110,ROD EXFX THRD 120MM,2564.0,2564.0,135.89,3076.8,49
CDM,830111,RING HALF EXFX 160MM,9102.0,9102.0,482.41,10922.4,49
CDM,830112,RING HALF 180MM,2459.2,2459.2,130.34,2951.04,49
CDM,830116,POST SUPPORT EXFX 3H,2564.0,2564.0,135.89,3076.8,49
CDM,830118,POST F EX FIX 2 HOLE,316.0,316.0,16.75,379.2,49
CDM,830124,RING FT COMPOSITE 160MM,9703.0,9703.0,514.26,11643.6,49
CDM,830125,RING FT 180160MM,2621.6,2621.6,138.94,3145.92,49
CDM,830127,ROD GRAD TELES 100 MM LG,7492.0,7492.0,397.08,8990.4,49
CDM,830128,BOLT CONN EX FIX 8MM,12.0,12.0,0.64,14.4,49
CDM,830130,BOLT EXT FX CIRC,1643.0,1643.0,87.08,1971.6,49
CDM,830135,CLAMP EXFX 10HL 4-6MM,5941.0,5941.0,314.87,7129.2,49
CDM,830137,HEAD FEM HIP 0MM 28MM,1400.0,1400.0,74.2,1680.0,20
CDM,830163,OVERTUBE ENDO50CM 19.5MM,2816.0,2816.0,149.25,3379.2,49
CDM,830174,SCREW BN MINI 20MM,1056.0,1056.0,55.97,1267.2,20
CDM,830191,TUBE TRACH 6.0MM,1990.0,1990.0,105.47,2388.0,49
CDM,830192,TUBE TRACH 6.0MM,1990.0,1990.0,105.47,2388.0,49
CDM,830193,TUBE INNR CANN 6MM,160.0,160.0,8.48,192.0,49
CDM,830194,TUBE TRCH 95MM 6MM,1902.0,1902.0,100.81,2282.4,49
CDM,830195,TUBE TRCH CUF 100X12.3X7,1990.0,1990.0,105.47,2388.0,49
CDM,830198,SUTURE FIBERLOOP 20IN,1884.0,1884.0,99.85,2260.8,49
CDM,830203,CMPNT HUM ELB XS 3IN,7004.0,7004.0,371.21,8404.8,20
CDM,830209,CANNULA INR 7X100X12.3MM,160.0,160.0,8.48,192.0,49
CDM,830210,COMPNT FEM KN LT PS SZ3,2740.0,2740.0,145.22,3288.0,20
CDM,830211,COMPNT FEM RT KN SZ7,2740.0,2740.0,145.22,3288.0,20
CDM,830212,BIT DRIL 1X50 6 STP,2564.0,2564.0,135.89,3076.8,49
CDM,830214,TUBE TRACH 8MM,1990.0,1990.0,105.47,2388.0,49
CDM,830215,TUBE TRACH 8MM 105MM,1990.0,1990.0,105.47,2388.0,49
CDM,830216,CANNULA INR 8X13.3X105MM,160.0,160.0,8.48,192.0,49
CDM,830221,BIT DRL 1.5MM HEX DRVR T,2564.0,2564.0,135.89,3076.8,49
CDM,830257,STIMULATOR OSTEOGEN 20/S,17740.0,17740.0,940.22,21288.0,20
CDM,830258,HEAD FEM HIP 12/14 36MM,1300.0,1300.0,68.9,1560.0,20
CDM,830263,CMPNT FEM KN SZ6,2740.0,2740.0,145.22,3288.0,20
CDM,830265,PLATE BN 5HL 3.5MM 142MM,2752.0,2752.0,145.86,3302.4,20
CDM,830266,PLATE BN 6HL 3.5X160MM,2861.0,2861.0,151.63,3433.2,20
CDM,830267,PLATE BN 8HL 196X3.5MM,3334.0,3334.0,176.7,4000.8,20
CDM,830282,LEAD OCTAD 1X8 LZ 6 S,3800.0,3800.0,201.4,4560.0,20
CDM,830316,SYS DELV LD ACC CRD RHYT,537.6,537.6,28.49,645.12,49
CDM,830318,SYSTEM SEALANT 5ML,6330.0,6330.0,335.49,7596.0,20
CDM,830336,BIT DRL SURG LNG OD4,537.6,537.6,28.49,645.12,49
CDM,830342,CMPNT FEM KN LT SZ6,2740.0,2740.0,145.22,3288.0,20
CDM,830349,PCR ENRTHM DR P1501DR,7300.0,7300.0,386.9,8760.0,20
CDM,830366,PASSER SUTURE 45D CRV LT,2564.0,2564.0,135.89,3076.8,49
CDM,830375,SCREW BN 5.7MM 30MM,487.0,487.0,25.81,584.4,20
CDM,830386,TROCAR ESCP L150MM OD12M,806.0,806.0,42.72,967.2,49
CDM,830387,TROCAR LAPSCP 75MM 5MM,644.0,644.0,34.13,772.8,49
CDM,830391,GWIRE ORTH 460X3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,830406,DRILL SRG GMA 3 STP LAG,7986.0,7986.0,423.26,9583.2,49
CDM,830408,INSERT KN TIB #5 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,830415,SUT BIO SMJNT AR-8934BNF,844.0,844.0,44.73,1012.8,20
CDM,830422,INSERT BRNG KN TIB4 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,830439,INSERT TIB 5-6 EF 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,830456,HEAD FEMORAL 00642803202,2774.0,2774.0,147.02,3328.8,20
CDM,830463,CMPNT KN FEM CMNT RT 2,2740.0,2740.0,145.22,3288.0,20
CDM,830464,CMPNT KN RT SZ3,2740.0,2740.0,145.22,3288.0,20
CDM,830465,CMPNT FEM KN LT SZ5,2740.0,2740.0,145.22,3288.0,20
CDM,830466,CMPTN KN LT SZ7,2900.0,2900.0,153.7,3480.0,20
CDM,830489,KWIRE FX 350MM 2MM,205.0,205.0,10.87,246.0,49
CDM,830532,TUBE ET NIM EMG 7MM,4248.0,4248.0,225.14,5097.6,49
CDM,830533,PACKING NSL 4.5X1.5X2CM,394.0,394.0,20.88,472.8,49
CDM,830544,CANNULA ARTHSCP 7CM 7MM,1036.0,1036.0,54.91,1243.2,49
CDM,830601,INSERT TIB KN 2 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,830602,INSERT KN TIB 3 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,830660,HEAD HIP -4MM 32MM,1400.0,1400.0,74.2,1680.0,20
CDM,830661,BIT DRILL 3.2MM,2845.0,2845.0,150.78,3414.0,49
CDM,830673,SCREW BN 2.3MM 14MM,216.0,216.0,11.45,259.2,20
CDM,830674,SCREW BN 2.3MM 20MM,216.0,216.0,11.45,259.2,20
CDM,830692,SUTURE PASSER 90D STR,2564.0,2564.0,135.89,3076.8,49
CDM,830701,SCREW BN MXLFCL 1.7X4MM,122.0,122.0,6.47,146.4,20
CDM,830703,SCREW BN 2MM 8MM,319.0,319.0,16.91,382.8,20
CDM,830704,HEAD HUM SHLDR 32MM,1608.0,1608.0,85.22,1929.6,20
CDM,830739,GWIRE ORTHO .054X6IN,682.0,682.0,36.15,818.4,49
CDM,830749,KWIRE FX 152MM 2MM,2285.0,2285.0,121.11,2742.0,49
CDM,830763,SET XTN 2ML10 VLV MNFLD,444.0,444.0,23.53,532.8,49
CDM,830795,PLATE BN 4.5MM 230MM,2591.0,2591.0,137.32,3109.2,20
CDM,830805,REAMER HEAD 13.0MM DISP,5364.0,5364.0,284.29,6436.8,49
CDM,830820,GRAFT CV 30CM 32MM,1504.0,1504.0,79.71,1804.8,20
CDM,830852,CMPNT PTLR KN 8X27MM,760.0,760.0,40.28,912.0,20
CDM,830869,PROSTHESIS PENL TTN 11CM,18412.0,18412.0,975.84,22094.4,20
CDM,830875,HEAD HIP D +4X32MM,1400.0,1400.0,74.2,1680.0,20
CDM,830876,SYSTM EMBL 34 8% 1.5ML,20596.0,20596.0,1091.59,24715.2,49
CDM,830892,HEAD FEM HIP 32MM,1500.0,1500.0,79.5,1800.0,20
CDM,830914,BIT DRL OD2.8 DL,2110.0,2110.0,111.83,2532.0,49
CDM,830919,TRAY INTRO OSTEO,17876.0,17876.0,947.43,21451.2,49
CDM,830939,GWIRE VASC 035IN 260CM,1550.0,1550.0,82.15,1860.0,49
CDM,830991,STENT URET 6FR 24CM,263.0,263.0,13.94,315.6,20
CDM,8310,CETUXIMAB 100 MG INJ,5235.0,5235.0,450.21,6282.0,29
CDM,8310,"Injection, cetuximab, 10 mg ",5235.0,5235.0,78.05,78.05,1
CDM,831004,KIT MINTRDCR 5FR 5CM UNV,1396.0,1396.0,73.99,1675.2,49
CDM,831039,HEAD HUM SHLDR OFST 32MM,1608.0,1608.0,85.22,1929.6,20
CDM,831043,BIT DRILL DISP 4MM 280MM,3471.0,3471.0,183.96,4165.2,49
CDM,831049,INTRO SHTH 8.5FR 67CM,2564.0,2564.0,135.89,3076.8,49
CDM,831055,ROD SPN 5.5MM 100MM,360.0,360.0,19.08,432.0,20
CDM,831067,SCREW BN LCK 5X18MM,168.0,168.0,8.9,201.6,20
CDM,831068,SCREW BN 5MN 30MM,168.0,168.0,8.9,201.6,20
CDM,831073,NEEDLE PROC PED WRST,2564.0,2564.0,135.89,3076.8,49
CDM,831105,HEAD FEM HIP +8MM 36MM,1400.0,1400.0,74.2,1680.0,20
CDM,831110,SEALER BIP .137IN .226IN,4519.0,4519.0,239.51,5422.8,49
CDM,831130,ANCH SUT AR-1934BNF,510.0,510.0,27.03,612.0,20
CDM,831131,LINER ACTB RNGLC 28MM,2286.0,2286.0,121.16,2743.2,20
CDM,831164,BASEPLATE TIB KN UNV SZ3,2000.0,2000.0,106.0,2400.0,20
CDM,831171,ILLUMINATOR SURG 18MM,3635.0,3635.0,192.66,4362.0,49
CDM,831173,PCMKR CD  6MM 52X44MM,8948.0,8948.0,474.24,10737.6,20
CDM,831174,PCR VCTRY SR 5610,6400.0,6400.0,339.2,7680.0,20
CDM,831200,CATH ABL 7FR 115CM,5941.0,5941.0,314.87,7129.2,49
CDM,831265,KWIRE FX 3.2MM 400MM,2564.0,2564.0,135.89,3076.8,49
CDM,831278,STM HUMERAL FX 7L,5700.0,5700.0,302.1,6840.0,20
CDM,831306,VALVE SHUNT SM 30MM,8239.0,8239.0,436.67,9886.8,20
CDM,831347,CAP LOCKING SPNL,100.0,100.0,5.3,120.0,20
CDM,831348,GWIRE VASC .014 335CM,2564.0,2564.0,135.89,3076.8,49
CDM,831349,FORCEP NDL 2.4MM 240CM,304.0,304.0,16.11,364.8,49
CDM,831355,NAIL HUM IM T2 8X22MM,2335.0,2335.0,123.75,2802.0,20
CDM,831367,BASEPLATE TIB UNV SZ4,2000.0,2000.0,106.0,2400.0,20
CDM,831371,BASEPLATE TIB UNV SZ6,2400.0,2400.0,127.2,2880.0,20
CDM,831372,BASEPLATE TIB KN UNV SZ8,2000.0,2000.0,106.0,2400.0,20
CDM,831374,AUGMNT TIB KN SZ6 5MM,1368.0,1368.0,72.5,1641.6,20
CDM,831376,STEM CMNT 12X50MM,1522.0,1522.0,80.67,1826.4,20
CDM,831377,STEM KN CMNT 9X100MM,1831.0,1831.0,97.04,2197.2,20
CDM,831387,DEVICE CLSR 6FR .035IN,500.0,500.0,26.5,600.0,20
CDM,831389,DEVICE CLSR 8FR .038IN,500.0,500.0,26.5,600.0,20
CDM,831395,CMPNT KN CMNTLS RT SZ2,3340.0,3340.0,177.02,4008.0,20
CDM,831406,CMPNT FEM KN SZ3,3340.0,3340.0,177.02,4008.0,20
CDM,831414,COMPNT FEM LT KN SZ4,3340.0,3340.0,177.02,4008.0,20
CDM,831415,CMPNT KN SZ4,3340.0,3340.0,177.02,4008.0,20
CDM,831417,COMPNT FEM KN LT SZ5,3340.0,3340.0,177.02,4008.0,20
CDM,831419,CMPNT KNEE FEM RT SZ5,3340.0,3340.0,177.02,4008.0,20
CDM,831422,COMPONENT FEM KN LT CR 6,3340.0,3340.0,177.02,4008.0,20
CDM,831435,COMPNT FEM KN RT SZ8,3340.0,3340.0,177.02,4008.0,20
CDM,831456,CMPNT KN YOKE REINFC,1416.0,1416.0,75.05,1699.2,20
CDM,831511,CMPNT FEM HIP RT KN SZ4,2740.0,2740.0,145.22,3288.0,20
CDM,831522,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,831525,SCREW BN NS LCK 5X30MM,304.0,304.0,16.11,364.8,20
CDM,831528,SCREW BN NS LCK 5X32MM,304.0,304.0,16.11,364.8,20
CDM,831529,SCREW BN NS LCK 5X36MM,305.0,305.0,16.16,366.0,20
CDM,831530,SCREW BN NS LCK 5X42MM,304.0,304.0,16.11,364.8,20
CDM,831627,STENT VASC 6X100MM 120CM,1750.0,1750.0,92.75,2100.0,20
CDM,831628,STENT VASC 6X120MM 120CM,2000.0,2000.0,106.0,2400.0,20
CDM,831629,STENT VASC 6X150MM 120CM,2200.0,2200.0,116.6,2640.0,20
CDM,831634,STENT VASC 7X120MM 120CM,2000.0,2000.0,106.0,2400.0,20
CDM,831636,STENT VASC 7X150MM 120CM,2200.0,2200.0,116.6,2640.0,20
CDM,831638,STENT VASC 8X100MM 120CM,1750.0,1750.0,92.75,2100.0,20
CDM,831643,INTRO SHTH 5FR 11CM,347.0,347.0,18.39,416.4,49
CDM,831645,SHTH WGW 6F 035 11,347.0,347.0,18.39,416.4,49
CDM,831647,INTRO SHTH GW 7FR 11CM,347.0,347.0,18.39,416.4,49
CDM,831676,SRGFLO HMSTC MTRX,2564.0,2564.0,135.89,3076.8,49
CDM,831682,NAIL HD FX TRTHLN .075IN,90.0,90.0,4.77,108.0,20
CDM,831691,SHELL ACTB HIP 22X41,900.0,900.0,47.7,1080.0,20
CDM,831725,UNIT ESRG BIP SAL CRDBLT,20813.0,20813.0,1103.09,24975.6,49
CDM,831733,SCRW LP ST 3.530MM SN,32.0,32.0,1.7,38.4,20
CDM,831774,SUTURE UND MON +3-0 27IN,58.0,58.0,3.07,69.6,49
CDM,831775,SUTURE UND MON +3-0 27IN,161.0,161.0,8.53,193.2,49
CDM,831779,SUTURE PS-2 4-0 1X18IN,158.0,158.0,8.37,189.6,49
CDM,831781,SUTURE UND MON +3-0 27IN,161.0,161.0,8.53,193.2,49
CDM,831810,REAMER SURG 510MM,3235.0,3235.0,171.46,3882.0,49
CDM,831815,SHELL HIP 28MM 49MM,900.0,900.0,47.7,1080.0,20
CDM,831863,CMPNT PTLA 3PEG STD31X8,500.0,500.0,26.5,600.0,20
CDM,831872,SCREW GUIDE 33MM,1837.0,1837.0,97.36,2204.4,49
CDM,831880,BASEPLATE HUM RSP 30MM,2500.0,2500.0,132.5,3000.0,20
CDM,831891,BASEPLT TIB KN LT SZ4,1710.0,1710.0,90.63,2052.0,20
CDM,831898,CATH HMDIAL 14.5FR 23CM,3575.0,3575.0,189.47,4290.0,49
CDM,831906,TROCAR LAPSCP 12MM 100MM,644.0,644.0,34.13,772.8,49
CDM,831907,TROCAR LAPSCP 100MM 5MM,644.0,644.0,34.13,772.8,49
CDM,831911,HANDPIECE BX 12GA 12CM,2564.0,2564.0,135.89,3076.8,49
CDM,831930,TROCAR LAPSCP 11MM 100MM,644.0,644.0,34.13,772.8,49
CDM,831961,NEEDLE EZ-IO 15GA 2.5CM,2564.0,2564.0,135.89,3076.8,49
CDM,831965,PIN HEADLESS FLUTED1/8MM,4395.0,4395.0,232.94,5274.0,49
CDM,831975,SCREW BN CANC 5MM 38MM,402.0,402.0,21.31,482.4,20
CDM,831988,HEAD FEM HIP +2.5MM 36MM,1400.0,1400.0,74.2,1680.0,20
CDM,832016,INTRO STRBL 8.5FR 71CM,6948.0,6948.0,368.24,8337.6,49
CDM,832052,KIT DRN VAC BTL 1000ML,2201.0,2201.0,116.65,2641.2,49
CDM,832086,DEVICE WNDCLS 45CM SZ2,1227.0,1227.0,65.03,1472.4,49
CDM,832100,LEAD PCNG RIATA 7020-65,9500.0,9500.0,503.5,11400.0,20
CDM,832143,PIN FX STNM 2.5X100MM,948.0,948.0,50.24,1137.6,49
CDM,832156,LEAD PCNG 65X17CM 2COIL,10770.0,10770.0,570.81,12924.0,20
CDM,832168,HEAD HIP -5MM 36MM,1400.0,1400.0,74.2,1680.0,20
CDM,832169,HEAD FEM HIP 36MM,1400.0,1400.0,74.2,1680.0,20
CDM,832178,SCREW BN 4MM 52MM,341.0,341.0,18.07,409.2,20
CDM,832181,SCREW BN 4MM 54MM,341.0,341.0,18.07,409.2,20
CDM,832182,SCREW BN 4X5X56MM,341.0,341.0,18.07,409.2,20
CDM,832185,SCREW BN 4.0MM 58MM,341.0,341.0,18.07,409.2,20
CDM,832191,SCREW BN 4X5X1.35X64MM,341.0,341.0,18.07,409.2,20
CDM,832195,SCREW BN 4.0MM 68MM,334.0,334.0,17.7,400.8,20
CDM,832196,SCREW BN 4.0MM 72MM,334.0,334.0,17.7,400.8,20
CDM,832198,SCREW BN 4.0MM 52MM,341.0,341.0,18.07,409.2,20
CDM,8322,CISPLATIN 10MG INJ,353.0,353.0,18.71,423.6,30
CDM,832200,SCREW BN L-T 4X54MM,341.0,341.0,18.07,409.2,20
CDM,832201,SCREW BN 4X5X1.35X56MM,341.0,341.0,18.07,409.2,20
CDM,832205,SCREW BN 4MM 58MM,334.0,334.0,17.7,400.8,20
CDM,832233,PASSER LASSO RT 45D,2564.0,2564.0,135.89,3076.8,49
CDM,832245,RNG ANLPLS MTRL GFRM 28,6680.0,6680.0,354.04,8016.0,20
CDM,832286,SYS VSVM HEMOPRO DISP,7805.0,7805.0,413.67,9366.0,49
CDM,832290,DRILL SRG SS 125X2M TWST,1680.0,1680.0,89.04,2016.0,49
CDM,832327,BLN STRLG 6.5X20X80,1305.0,1305.0,69.17,1566.0,49
CDM,832348,INSERT TIB KN 0D 67X10MM,1500.0,1500.0,79.5,1800.0,20
CDM,832354,PIN DRILL 1.5MM 100MM,420.0,420.0,22.26,504.0,20
CDM,832380,PIN GUIDE 3.2MM 300MM,2564.0,2564.0,135.89,3076.8,49
CDM,832387,GRAFT CV 32MM 15CM,5850.0,5850.0,310.05,7020.0,20
CDM,832388,GRAFT CV 34MM 15CM,5500.0,5500.0,291.5,6600.0,20
CDM,832389,GRAFT CV 28MM 15CM,5500.0,5500.0,291.5,6600.0,20
CDM,832391,GRAFT CV 30MM 15CM,5500.0,5500.0,291.5,6600.0,20
CDM,832392,GRAFT CV 32MM 15CM,5680.0,5680.0,301.04,6816.0,20
CDM,832397,CLAMP ROD--ROD EXFX 5MM,3524.0,3524.0,186.77,4228.8,49
CDM,832398,CLAMP EXFX 3-4MM,3741.0,3741.0,198.27,4489.2,49
CDM,832399,POST EXFX 30D HFMN2,2063.0,2063.0,109.34,2475.6,49
CDM,832423,PUNCH CRKSCR DISP FT 5.5,2564.0,2564.0,135.89,3076.8,49
CDM,832445,BIT DRILL 5.5MM,3569.0,3569.0,189.16,4282.8,49
CDM,832447,BASEPLATE TIB KN RT SZ3,1710.0,1710.0,90.63,2052.0,20
CDM,832448,BASEPLT KN RT SZ4,1710.0,1710.0,90.63,2052.0,20
CDM,832451,TROCAR LAPSCP 100MM 12MM,1970.0,1970.0,104.41,2364.0,49
CDM,832453,CATH ULTSND 8FR 90CM,24148.0,24148.0,1279.84,28977.6,49
CDM,832456,ICD VRTOSO D154VWC,21250.0,21250.0,1126.25,25500.0,20
CDM,832457,CRTD CNCRTD C154DWK,32210.0,32210.0,1707.13,38652.0,20
CDM,832511,INSERT TIB KN 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,832542,LINER ACTB HIP10D36X52MM,1100.0,1100.0,58.3,1320.0,20
CDM,832545,PLATE BN T-PLATE 4HL,640.0,640.0,33.92,768.0,20
CDM,832562,STENT CLN 25X90MM 270CM,4916.0,4916.0,260.55,5899.2,20
CDM,832576,NEEDLE PASSIVE BIOPSY,6793.0,6793.0,360.03,8151.6,49
CDM,832599,SCREW BN 2MM 14MM,79.0,79.0,4.19,94.8,20
CDM,832600,PLATE BN 5HL 2.0MM 38MM,426.0,426.0,22.58,511.2,20
CDM,832623,MESH HRN LT 5.3X3.1IN,739.0,739.0,39.17,886.8,20
CDM,832634,BIT DRL 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,832640,BLADE SAW SGTL 25X100MM,1801.0,1801.0,95.45,2161.2,49
CDM,832642,SCREW SPN 3.6MM 14MM,150.0,150.0,7.95,180.0,20
CDM,832652,STENT URE 6FR 26CM,2684.0,2684.0,142.25,3220.8,20
CDM,832653,SCREW BN 5MM 36MM,500.0,500.0,26.5,600.0,20
CDM,832654,SCREW BN 5MM 46MM,500.0,500.0,26.5,600.0,20
CDM,832681,SCREW BN CORT 3.5X24MM,70.0,70.0,3.71,84.0,20
CDM,832682,PLATE BN 8HL 98MM,530.0,530.0,28.09,636.0,20
CDM,832687,NEEDLE PASSER SUTURE,2564.0,2564.0,135.89,3076.8,49
CDM,832692,MESH ULTRAPRO PLUG LG,346.0,346.0,18.34,415.2,20
CDM,832693,DEVICE BREAST BX 12GA,2564.0,2564.0,135.89,3076.8,49
CDM,832695,STENT URET 6F 24CM,2684.0,2684.0,142.25,3220.8,20
CDM,832710,LEAD PCNG 46CM,800.0,800.0,42.4,960.0,20
CDM,832711,LEAD PCNG 52CM,800.0,800.0,42.4,960.0,20
CDM,832712,LEAD PACING 6FR 58CM,800.0,800.0,42.4,960.0,20
CDM,832738,STENT BIL 7MM 40MM 130CM,1200.0,1200.0,63.6,1440.0,20
CDM,832744,SPLINT FNGR BALL3.25X5/8,19.0,19.0,1.01,22.8,49
CDM,832752,SLING ARM SMALL,47.0,47.0,2.49,56.4,49
CDM,832780,MESH ULTRAPRO PLUG MED,339.0,339.0,17.97,406.8,20
CDM,832781,DEVICE BRSTBIO 12GA,452.0,452.0,23.96,542.4,49
CDM,832785,PLATE BN 6HL 2.4MM 54MM,1880.0,1880.0,99.64,2256.0,20
CDM,832787,SHELL HIP R3 POR 56MM,1800.0,1800.0,95.4,2160.0,20
CDM,832788,LINER ACTB HIP 36MM 56MM,1100.0,1100.0,58.3,1320.0,20
CDM,832800,STENT DUODENAL 22MM 90MM,4916.0,4916.0,260.55,5899.2,20
CDM,832822,LEAD PCNG 58CM,800.0,800.0,42.4,960.0,20
CDM,832845,KIT INST ARTHSCP DISP,429.0,429.0,22.74,514.8,20
CDM,832848,KIT THRMB 5FR 135CM,13725.0,13725.0,727.42,16470.0,49
CDM,832855,CATH EP CBL 85461,2564.0,2564.0,135.89,3076.8,49
CDM,832856,SCREW BN LAG 85/80MM,1309.0,1309.0,69.38,1570.8,20
CDM,832865,FILTER EMBL 3MM 320CM,7391.0,7391.0,391.72,8869.2,49
CDM,832867,FILTER EMBL 4MM 320CM,7391.0,7391.0,391.72,8869.2,49
CDM,832869,FILTER EMBL 5MM 320CM,7391.0,7391.0,391.72,8869.2,49
CDM,832871,FILTER EMBL 6MM 320CM,7391.0,7391.0,391.72,8869.2,49
CDM,832889,SCREW SHLDR RVRS,720.0,720.0,38.16,864.0,20
CDM,832892,PUNCH AOR 4MM,1068.0,1068.0,56.6,1281.6,49
CDM,832893,BIT DRILL OD5 CANN,3569.0,3569.0,189.16,4282.8,49
CDM,832894,BASEPLT TIB KN LT SZ6,1710.0,1710.0,90.63,2052.0,20
CDM,832895,PLATE BIO ZIP 11MM,182.0,182.0,9.65,218.4,20
CDM,832897,PLATE BIO ZIP 18MM,226.0,226.0,11.98,271.2,20
CDM,832909,BIT DRILL 4.2MM 180MM,2564.0,2564.0,135.89,3076.8,49
CDM,832910,PACEMKR ACT 1CHMB 52X42,6400.0,6400.0,339.2,7680.0,20
CDM,832913,VALVE AORTIC 23MM,9990.0,9990.0,529.47,11988.0,20
CDM,832915,TROCAR LAP 15MM 100MM,1128.0,1128.0,59.78,1353.6,49
CDM,832920,CATH BLNDIL .014IN 4X30,2564.0,2564.0,135.89,3076.8,49
CDM,832963,POUCH SPEC RET 15MM,4923.0,4923.0,260.92,5907.6,49
CDM,832967,SUTURE FIBERWIRE 38IN,90.0,90.0,4.77,108.0,20
CDM,832969,PUMP CONTRL URN AB SYS,14407.0,14407.0,763.57,17288.4,20
CDM,832970,CUFF URTH SPHNCR AB 4CM,14962.0,14962.0,792.99,17954.4,20
CDM,832972,SOL IRR NS 3000ML,159.0,159.0,8.43,190.8,49
CDM,832980,TMPLT BRACHYGRID URO,3256.0,3256.0,172.57,3907.2,49
CDM,832983,SCREW BN 3.5X16MM,77.0,77.0,4.08,92.4,20
CDM,832984,SCREW BN 3.5MM 18MM,77.0,77.0,4.08,92.4,20
CDM,832985,SCREW BN 3.5MM 14MM,230.0,230.0,12.19,276.0,20
CDM,833039,PLATE BN 8HL 3.5X194MM,2574.0,2574.0,136.42,3088.8,20
CDM,833060,SCREW CORT AR-8931-19,480.0,480.0,25.44,576.0,20
CDM,833065,CANNULA PRFSN VEN 25FR,5082.0,5082.0,269.35,6098.4,49
CDM,833075,BLADE PLASMA 4.0MM,3428.0,3428.0,181.68,4113.6,49
CDM,833089,MESH HRN LT 6.2X4.1IN,780.0,780.0,41.34,936.0,20
CDM,833094,KIT ACCESSORY CONN,11585.0,11585.0,614.0,13902.0,49
CDM,833106,CAGE SPN 10D 27X30X14MM,4000.0,4000.0,212.0,4800.0,20
CDM,833119,NAIL TIB 10MM 38CM,2398.0,2398.0,127.09,2877.6,20
CDM,833120,NAIL TIB 11.5MM 34CM,2398.0,2398.0,127.09,2877.6,20
CDM,833121,NAIL BN TIB 11.5X35MM,1809.0,1809.0,95.88,2170.8,20
CDM,833123,GUIDE 7 DRL CMPR SCR SUR,1337.0,1337.0,70.86,1604.4,49
CDM,833143,STEM FEM PRSFT FNDTN 9MM,5600.0,5600.0,296.8,6720.0,20
CDM,833146,DRSG WND ANMC AG 10X4IN,2564.0,2564.0,135.89,3076.8,49
CDM,833168,STENT CLN 25X60MM 270CM,4916.0,4916.0,260.55,5899.2,20
CDM,833230,LINER ACTB HIP20D40X58MM,1100.0,1100.0,58.3,1320.0,20
CDM,833232,GRAFT BN MATRIX 10ML,7600.0,7600.0,402.8,9120.0,20
CDM,833234,BIT DRL 2.1MM,2564.0,2564.0,135.89,3076.8,49
CDM,833237,GRAFT BN OSTCEL CLLR 5ML,3000.0,3000.0,159.0,3600.0,20
CDM,833239,NAIL BN 125D 10MM 400MM,3120.0,3120.0,165.36,3744.0,20
CDM,833246,MESH PATCH VENTRL MED,843.0,843.0,44.68,1011.6,20
CDM,833247,MESH PATCH VNTRL PRC SM,705.0,705.0,37.37,846.0,20
CDM,833255,CUTTER SURG RETRO 10.0MM,2895.0,2895.0,153.44,3474.0,49
CDM,833264,SCREW BN 3MM 12MM,316.0,316.0,16.75,379.2,20
CDM,833265,SCREW BN CORT 3X14MM,316.0,316.0,16.75,379.2,20
CDM,833271,KIT SPN PDCL ACC,3680.0,3680.0,195.04,4416.0,49
CDM,833310,PORT IMPL INFSN 8FR,500.0,500.0,26.5,600.0,20
CDM,833316,CAGE SPN 6D 27X30X12MM,4000.0,4000.0,212.0,4800.0,20
CDM,833328,BIT DRILL 5MM,6109.0,6109.0,323.78,7330.8,49
CDM,833336,SUTURE FBSWR 7IN,100.0,100.0,5.3,120.0,20
CDM,833377,SCREW BN 5MM 32MM,470.0,470.0,24.91,564.0,20
CDM,833382,SCREW BN 4MM 30MM,330.0,330.0,17.49,396.0,20
CDM,833383,PLATE BN FIB LT DIST 4HL,1100.0,1100.0,58.3,1320.0,20
CDM,833402,FILTER VAC ASP ASMBLY,4841.0,4841.0,256.57,5809.2,49
CDM,833403,KIT STYLET LEAD 52CM,2212.0,2212.0,117.24,2654.4,49
CDM,833405,NAIL BN 130X170X10MM,2470.0,2470.0,130.91,2964.0,20
CDM,833410,INTRO SHTH 6FR 4CM,642.0,642.0,34.03,770.4,49
CDM,833422,NAIL BN 125D 10MM 300MM,3960.0,3960.0,209.88,4752.0,20
CDM,833426,NAIL LNG 125D 10X380MM,3266.0,3266.0,173.1,3919.2,20
CDM,833431,SCREW SPN 5.5MM 25MM,150.0,150.0,7.95,180.0,20
CDM,833455,SCREW BN 5MM 34MM,500.0,500.0,26.5,600.0,20
CDM,833458,SYSTEM EMB 5.0MM 190CM,11269.0,11269.0,597.26,13522.8,49
CDM,833460,SCREW BN HEADED 3MM 16MM,300.0,300.0,15.9,360.0,20
CDM,833461,KWIRE FX 150MM 1.1MM,942.0,942.0,49.93,1130.4,49
CDM,833464,PASTE GENEX 10 CC INJ,2380.0,2380.0,126.14,2856.0,20
CDM,833475,SHELL ACTB HIP 3H 54MM,1800.0,1800.0,95.4,2160.0,20
CDM,833476,LINER HIP 20D 36X54MM,1100.0,1100.0,58.3,1320.0,20
CDM,833488,LEAD ICD PCNG 8.6FR 65CM,6734.0,6734.0,356.9,8080.8,20
CDM,833493,WAND BIP SLR 4MM 12.75IN,5941.0,5941.0,314.87,7129.2,49
CDM,833499,SHELL ACTB HIP 48MM,1800.0,1800.0,95.4,2160.0,20
CDM,833500,LINER ACTB HIP 32MM 48MM,1100.0,1100.0,58.3,1320.0,20
CDM,833502,CUTTER BN 4.2MM 19CM,1734.0,1734.0,91.9,2080.8,49
CDM,833510,CUFF URTH SPHNCR AB 4.5C,14962.0,14962.0,792.99,17954.4,20
CDM,833513,CMPNT FEM HIP +4 SZ12/14,270.0,270.0,14.31,324.0,20
CDM,833518,DEFIB CARD 2.5V 500OHM,22360.0,22360.0,1185.08,26832.0,20
CDM,833525,DEFIB CRTD 14X40X73MM,31444.0,31444.0,1666.53,37732.8,20
CDM,833538,TRAY RVRS HUM +0,3400.0,3400.0,180.2,4080.0,20
CDM,833556,PCR ALTR 60 EL DR S606,7048.0,7048.0,373.54,8457.6,20
CDM,833563,AGENT BULK URTH 2.5ML,990.0,990.0,158.4,1188.0,19
CDM,833565,SYSTEM BNCMNT MIXER,1545.0,1545.0,81.89,1854.0,49
CDM,833567,DEVICE BN BIOP SZ3,2564.0,2564.0,135.89,3076.8,49
CDM,833569,SUTURE FBSWR 18IN,46.0,46.0,2.44,55.2,20
CDM,833572,SCREW BN GLND PLATE LT,200.0,200.0,10.6,240.0,20
CDM,833593,JOINT TOE SZ40,5676.0,5676.0,300.83,6811.2,20
CDM,833599,KWIRE FX 120MM 1.1MM,1846.0,1846.0,97.84,2215.2,49
CDM,833601,SCREW BN 3MM 16MM 4MM,329.0,329.0,17.44,394.8,20
CDM,833629,SYSTEM EMB 5.0MM 190CM,11269.0,11269.0,597.26,13522.8,49
CDM,833631,CATH BDL .035IN 5FR 5MM,974.4,974.4,51.64,1169.28,49
CDM,833655,CURRETTE SPNE TIP,5058.0,5058.0,268.07,6069.6,49
CDM,833672,DEVICE BX 9G 3.7X1 13CM,7178.0,7178.0,380.43,8613.6,49
CDM,833693,PLT 81MM SS 3.5MM SCR4HL,2580.0,2580.0,136.74,3096.0,20
CDM,833703,COMP FEM KN 67X5MM LT,2360.0,2360.0,125.08,2832.0,20
CDM,833727,STABILIZER SURG STD,8275.0,8275.0,438.57,9930.0,49
CDM,833755,INSERT KN LT 5 10MM PST,1590.0,1590.0,84.27,1908.0,20
CDM,833756,INSERT PRFX PS ART SZ3,1590.0,1590.0,84.27,1908.0,20
CDM,833757,FEM OXNM 5 PRFX RT,5040.0,5040.0,267.12,6048.0,20
CDM,833758,INSERT TIB CMNT PS 8 11M,1100.0,1100.0,58.3,1320.0,20
CDM,833760,SCREW BN 10MM 1.7MM,122.0,122.0,6.47,146.4,20
CDM,833761,DRILL TWIST 1MM 54MM,2564.0,2564.0,135.89,3076.8,49
CDM,833765,INSRT TIB 5 9MM RT DCM,2140.0,2140.0,113.42,2568.0,20
CDM,833775,PLATE MXLFCL 11 HL RECON,2492.0,2492.0,132.08,2990.4,20
CDM,833785,PLATE MDFC 24 HL STR MLB,1022.0,1022.0,54.17,1226.4,20
CDM,833792,KIT FASTENER ENDO 7.5MM,1000.0,1000.0,53.0,1200.0,20
CDM,833809,INSRT ARTC PS 10MM SZ4,1100.0,1100.0,58.3,1320.0,20
CDM,833810,COMP FEMORAL  71522164,2360.0,2360.0,125.08,2832.0,20
CDM,833812,KIT CATH VASC 8.5F 40CM,8199.0,8199.0,434.55,9838.8,49
CDM,833815,PLATE BN MXLFCL 16H,341.0,341.0,18.07,409.2,20
CDM,833822,RESERVOIR PENL 100MM,5348.0,5348.0,283.44,6417.6,20
CDM,833831,BLADE KNEW WIDE SAW,721.39,721.39,38.23,865.67,49
CDM,833833,BLADE SHVR 4.3MM 13CM,2749.0,2749.0,145.7,3298.8,49
CDM,833877,PLATE INDS CRVL SGL 19MM,2000.0,2000.0,106.0,2400.0,20
CDM,833897,CATH 4FR PICC 1LUM BRR,2564.0,2564.0,135.89,3076.8,49
CDM,833899,KIT CATH CV 9FR 16CM,2564.0,2564.0,135.89,3076.8,49
CDM,833904,GRFT BN FEM MD 15-20X2CM,904.0,904.0,47.91,1084.8,20
CDM,833912,HEMOSTAT ABS NWVN 4X4IN,2564.0,2564.0,135.89,3076.8,49
CDM,833913,COIL EMBL 035 L20CM OD8,2800.0,2800.0,148.4,3360.0,20
CDM,833914,COIL EMBL 35D 10MMX20CM,2800.0,2800.0,148.4,3360.0,20
CDM,833916,INSRT PRO P/S ARTS3 12MM,1590.0,1590.0,84.27,1908.0,20
CDM,833932,PLATE BN 7HL 2X46MM,1294.0,1294.0,68.58,1552.8,20
CDM,833937,MNPLT INJ ENDO 4.5MM,729.0,729.0,38.64,874.8,49
CDM,833947,HEAD FEM HIP 36MM,1300.0,1300.0,68.9,1560.0,20
CDM,833950,FIXATOR EXFIX SHRT 25MM,29145.0,29145.0,1544.68,34974.0,49
CDM,833958,BAG SPEC RETRVL 235ML,1538.0,1538.0,81.51,1845.6,49
CDM,833963,SCREW BN 4MM 20MM,70.0,70.0,3.71,84.0,20
CDM,833965,PLATE BN 5HL 91MM,1300.0,1300.0,68.9,1560.0,20
CDM,834029,CANNULA PRFSN,5228.0,5228.0,277.08,6273.6,49
CDM,834060,SCREW BN 4X50MM,347.0,347.0,18.39,416.4,20
CDM,834085,SYSTEM VESSEL HARVESTING,4811.0,4811.0,254.98,5773.2,49
CDM,834122,SCREW BN KIT 75MM/70MM,1309.0,1309.0,69.38,1570.8,20
CDM,834126,BLADE SHVR 12.5MM 4MM,1621.0,1621.0,85.91,1945.2,49
CDM,834147,SCREW BN 4MM 30MM,330.0,330.0,17.49,396.0,20
CDM,834151,CONE FEM HIP B SZ60MM,7553.0,7553.0,400.31,9063.6,20
CDM,834154,CATH URTH SFT RNDTIP 8FR,486.0,486.0,25.76,583.2,49
CDM,834162,IMOB ORTH MD 35X6IN SHD,389.0,389.0,20.62,466.8,49
CDM,834164,CATH EP 115CM 6FR,2564.0,2564.0,135.89,3076.8,49
CDM,834191,CATH CRD 10MM 6FR 110CM,2564.0,2564.0,135.89,3076.8,49
CDM,834195,GW VASC 5CM TIP .038IN,466.0,466.0,24.7,559.2,49
CDM,834197,GDWIRE VASC .035IN 150CM,466.0,466.0,24.7,559.2,49
CDM,834202,SUTURE BLK BRD 4-0 18IN,49.0,49.0,2.6,58.8,49
CDM,834203,SUTURE GUT 4-0 12IN,7.0,7.0,0.37,8.4,49
CDM,834204,SUTURE GRN BRD 4-0 36IN,138.0,138.0,7.31,165.6,49
CDM,834205,SUTURE UND MONO 5-0 18IN,157.0,157.0,8.32,188.4,49
CDM,834210,GRAFT BN POST ACH TNDN,2294.0,2294.0,121.58,2752.8,20
CDM,834212,SUTURE NO NDL 2-0 6X18IN,141.0,141.0,7.47,169.2,49
CDM,834213,SUTURE VIO MONO 0 18IN,141.0,141.0,7.47,169.2,49
CDM,834216,FILTER TRNSF STRL .22UM,189.0,189.0,10.02,226.8,49
CDM,834227,DEVICE INFLTN BSXCK 20ML,1550.0,1550.0,82.15,1860.0,49
CDM,834244,SCREW BN 4MM 38MM,330.0,330.0,17.49,396.0,20
CDM,834245,SCREW BN 4MM 42MM,330.0,330.0,17.49,396.0,20
CDM,834250,PLATE BN TUBE 7HL 85MM,510.0,510.0,27.03,612.0,20
CDM,834256,SCREW BN LCK 3MM 14MM,356.0,356.0,18.87,427.2,20
CDM,834261,INSTR BX 18GA 25CM,1727.0,1727.0,91.53,2072.4,49
CDM,834268,SCREW BN 3MM 18MM 5MM,328.0,328.0,17.38,393.6,20
CDM,834276,SCREW BN 10.5MM 90MM,1050.0,1050.0,55.65,1260.0,20
CDM,834289,GUIDE PIN 3.2MM 444MM,2564.0,2564.0,135.89,3076.8,49
CDM,834319,INTRO SHTH SHRT 5F4 GRY,2564.0,2564.0,135.89,3076.8,49
CDM,834355,PLATE MED PEEK-OPTMA LCK,5120.0,5120.0,271.36,6144.0,20
CDM,834360,SCOSSPRS LAPSCP MNPLR,932.0,932.0,49.4,1118.4,49
CDM,834373,STEM HUM SHLDR RT 10.5MM,5700.0,5700.0,302.1,6840.0,20
CDM,834376,LINER ACTB R3 20D XLPE,1500.0,1500.0,79.5,1800.0,20
CDM,834401,PACEMAKER DDDR CRD ACTDR,8100.0,8100.0,429.3,9720.0,20
CDM,834402,ANCHOR SUT 4.75MM 19.1MM,1060.0,1060.0,56.18,1272.0,20
CDM,834413,SCREW BN CORT 3.5MM 14MM,218.0,218.0,11.55,261.6,20
CDM,834415,BIT DRILL DISP 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,834416,TAP SRG QCK CNCT 3.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,834427,SCREW BN NLCK 3.5MM 20MM,180.0,180.0,9.54,216.0,20
CDM,834434,EQSTREAM SPLT-TP CTH 27,4419.0,4419.0,234.21,5302.8,49
CDM,834443,SCREW BN 3X14MM CPTR TI,806.0,806.0,42.72,967.2,20
CDM,834444,SCREW BN 3MM 16MM,806.0,806.0,42.72,967.2,20
CDM,834448,SCREW BN 3MM 30MM CPTR,591.0,591.0,31.32,709.2,20
CDM,834458,DRILL SURG 2.5X2MM,3048.0,3048.0,161.54,3657.6,49
CDM,834459,DRILL SURG CANN RLF,3352.0,3352.0,177.66,4022.4,49
CDM,834460,KWIRE FX 70MM .8MM,754.0,754.0,39.96,904.8,49
CDM,834471,SPHNTM 200CM 7MM 5FR ZMN,3432.0,3432.0,181.9,4118.4,49
CDM,834486,GRAFT ST TIS 4X24MM,1840.0,1840.0,97.52,2208.0,20
CDM,834509,SCREW BN 3.5MM 35MM,100.0,100.0,5.3,120.0,20
CDM,834510,PLATE BN 5H 79MM,2358.0,2358.0,124.97,2829.6,20
CDM,834515,STEM FEM HIP 14MM 190MM,3525.0,3525.0,186.82,4230.0,20
CDM,834516,CONE FEM HIP STD 70MM,7553.0,7553.0,400.31,9063.6,20
CDM,834517,STEM FEM HIP SM 100MM,1209.0,1209.0,64.08,1450.8,20
CDM,834518,BOLT ORTH 36MM,755.0,755.0,40.02,906.0,20
CDM,834532,SYSTEM BN CEMENT DEL,1675.0,1675.0,88.78,2010.0,20
CDM,834562,STENT AAA EXLDR 14X23,19990.0,19990.0,1059.47,23988.0,20
CDM,834594,ROD SPNL KRD1 120X5.5,360.0,360.0,19.08,432.0,20
CDM,834617,SHELL HIP ACTB 52MM,2852.0,2852.0,151.16,3422.4,20
CDM,834620,LINER ACTB FRDM 60 36MM,2877.0,2877.0,152.48,3452.4,20
CDM,834630,CAGE SPNL DRADO 10M 8D,5400.0,5400.0,286.2,6480.0,20
CDM,834778,KWIRE FX 2MM 2.5MM 100MM,754.0,754.0,39.96,904.8,49
CDM,834786,SUTURE BLU MON 0 18IN,453.0,453.0,24.01,543.6,49
CDM,834789,GDWR VASC 12GF 300CM PRT,2564.0,2564.0,135.89,3076.8,49
CDM,834797,DRILL SURG 4X3MM,3176.0,3176.0,168.33,3811.2,49
CDM,834798,KWIRE FX 120MM 1.1MM,754.0,754.0,39.96,904.8,49
CDM,834799,SCREW CAN 4.0X32MM,846.0,846.0,44.84,1015.2,20
CDM,834828,NAIL TROCH 11MM 33MM,4370.0,4370.0,231.61,5244.0,20
CDM,834855,BLADE SAW 70X12.5X1.2MM,1948.0,1948.0,103.24,2337.6,49
CDM,834858,CATH TRIPLE LUMEN 7F 20C,1000.0,1000.0,53.0,1200.0,49
CDM,834914,RING FIX 6 TAB EX 180M,4701.5,4701.5,249.18,5641.8,49
CDM,834947,SCREW BN CANN 4.0X24MM,846.0,846.0,44.84,1015.2,20
CDM,834952,SCREW BN CANN 2.0X06MM,566.0,566.0,30.0,679.2,20
CDM,834959,STENT ESPH 18.5FR 23MM,4433.0,4433.0,234.95,5319.6,20
CDM,835019,GWIRE ORTH 2.4MM,871.0,871.0,46.16,1045.2,49
CDM,835105,EXPANDER TISS 800ML,2490.0,2490.0,131.97,2988.0,20
CDM,835237,SCREW BN 6.5 90 CANN LCK,1430.0,1430.0,75.79,1716.0,20
CDM,835262,CATH ANGIO 5FR 65CM,565.0,565.0,29.95,678.0,49
CDM,835322,SCREW BN 7MM 135MM 16MM,539.0,539.0,28.57,646.8,20
CDM,835396,SCREW BN 3.0MM 16MM,77.0,77.0,4.08,92.4,20
CDM,835403,SCREW BN 4MM 18MM,70.0,70.0,3.71,84.0,20
CDM,835406,SCREW BN 6.5MM 55MM,450.0,450.0,23.85,540.0,20
CDM,835428,SCREW NON-LCK 4.7X35,416.0,416.0,22.05,499.2,20
CDM,835463,SCREW BN 2.7MM 36MM SS,247.0,247.0,13.09,296.4,20
CDM,835466,SCREW BN 2.7MM 24MM SS,247.0,247.0,13.09,296.4,20
CDM,835467,SCREW BN 2.7MM 26MM SS,247.0,247.0,13.09,296.4,20
CDM,835468,SCREW BN S/T LCK2.7X16MM,247.0,247.0,13.09,296.4,20
CDM,835473,SCREW BN 2.7MM 18MM SS,247.0,247.0,13.09,296.4,20
CDM,835694,HEAD FEM HIP 26X49MM,900.0,900.0,47.7,1080.0,20
CDM,835735,HEAD HIP BIP 42MM,900.0,900.0,47.7,1080.0,20
CDM,835887,LINER ACTB HIP 10D 62X36,1100.0,1100.0,58.3,1320.0,20
CDM,835918,HEAD HIP TPR NK+6X28MM,700.0,700.0,37.1,840.0,20
CDM,836177,PLATE BN 6H,480.0,480.0,25.44,576.0,20
CDM,836190,PLATE BN OPN WDG 5MM,2454.0,2454.0,130.06,2944.8,20
CDM,836226,SCREW BN 2.7MM 20MM SS,247.0,247.0,13.09,296.4,20
CDM,836241,SCREW BN 5MM 24MM PRLOC,1065.75,1065.75,56.48,1278.9,20
CDM,836249,SCREW BN 6.7X75MM,500.0,500.0,26.5,600.0,20
CDM,836286,ROD MTRX SPN 62-90MM,900.0,900.0,47.7,1080.0,20
CDM,836413,ROD SPNL GRY 110MM 5.5MM,360.0,360.0,19.08,432.0,20
CDM,836414,ROD SPN 5.5MM 60MM,360.0,360.0,19.08,432.0,20
CDM,836448,SCREW BN 5.0MM 38MM,470.0,470.0,24.91,564.0,20
CDM,836514,SCREW EXFX HIP 250X6MM,351.0,351.0,18.6,421.2,49
CDM,836532,SCREW BN 7MM 145MM 16MM,539.0,539.0,28.57,646.8,20
CDM,836537,SPACER SPNL 20X9X10MM,6000.0,6000.0,318.0,7200.0,20
CDM,836556,CLIP ANRSM PERM 5MM,2942.0,2942.0,155.93,3530.4,20
CDM,836557,CLIP ANRSM PERM 5MM,3012.0,3012.0,159.64,3614.4,20
CDM,836604,GUIDEWIRE VASC 200CM 20C,3144.0,3144.0,166.63,3772.8,49
CDM,836736,BIT DRILL 2.0/2.5MM,1364.0,1364.0,72.29,1636.8,49
CDM,836869,INSTRMNT CNTRLN ECTR SGL,2620.0,2620.0,138.86,3144.0,49
CDM,836870,KIT ARTH FX BLD HIP DISP,5941.0,5941.0,314.87,7129.2,49
CDM,837040,PLATE BN 8HL LG RT,3128.0,3128.0,165.78,3753.6,20
CDM,837054,LIGASURE ESURG SM,5941.0,5941.0,314.87,7129.2,49
CDM,837090,NAIL BN FEM 10MM 40CM,2398.0,2398.0,127.09,2877.6,20
CDM,837114,SCREW BN OD S/T 4.5X16MM,400.0,400.0,21.2,480.0,20
CDM,837140,FEMUR NPOROUS PS SZ 4LT,3200.0,3200.0,169.6,3840.0,20
CDM,837196,MESH HRN 4.5CM 10CM,896.0,896.0,47.49,1075.2,20
CDM,837242,CATH XTRN DRN 35X2.8X1.5,22072.68,22072.68,1169.85,26487.22,49
CDM,837257,COMPONENT FEM 2RT 3DKNEE,3200.0,3200.0,169.6,3840.0,20
CDM,837258,COMPONENT FEM 12LT 3DKNE,2360.0,2360.0,125.08,2832.0,20
CDM,837302,NAIL CANN RT TROCH 11X38,3623.3,3623.3,192.03,4347.96,20
CDM,837303,COMPONENT FEM 4 69X59,2360.0,2360.0,125.08,2832.0,20
CDM,837304,INSERT PRO ART S3 10MMR,1590.0,1590.0,84.27,1908.0,20
CDM,837305,INSERT PRO ART S2 10MMR,1590.0,1590.0,84.27,1908.0,20
CDM,837361,LOOP ORTHO ALGIMENT DISP,2178.0,2178.0,115.43,2613.6,49
CDM,837549,PROBE ESURG 2.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,837551,ROD SPNL 70MM OPS,547.96,547.96,29.04,657.55,20
CDM,837680,STEM HIP 235MM 16MM,4607.0,4607.0,244.17,5528.4,20
CDM,837824,COMPNT FEM NPOR RT SZ3,3200.0,3200.0,169.6,3840.0,20
CDM,837854,SCREW BN 10.5MM 95MM,1050.0,1050.0,55.65,1260.0,20
CDM,837914,ALLOGRAFT FEM LG,1060.0,1060.0,56.18,1272.0,20
CDM,837954,PIN HA 5X35 EXT FIX,2593.92,2593.92,137.48,3112.7,49
CDM,837979,PLATE FIX ILIZAROV 6H,420.0,420.0,22.26,504.0,20
CDM,837981,PLATE MOD EXT FIX 4H,360.0,360.0,19.08,432.0,20
CDM,837991,REAMER SURG 7MM,3481.0,3481.0,184.49,4177.2,49
CDM,837998,RESERVOIR ATF DISP 3L,2564.0,2564.0,135.89,3076.8,49
CDM,838025,SCREW BN 3MM 5MM 20MM,329.0,329.0,17.44,394.8,20
CDM,838033,SET HYSCP SEAL OFLW,2564.0,2564.0,135.89,3076.8,49
CDM,838063,SYSTEM RETREIVAL 10MM,1696.0,1696.0,89.89,2035.2,49
CDM,838132,LINER ACTB HIP 32MM 50MM,1100.0,1100.0,58.3,1320.0,20
CDM,838143,BLADE SAW PRCSN 105X19.5,3609.0,3609.0,191.28,4330.8,49
CDM,838148,CAP LCK KRD1,200.0,200.0,10.6,240.0,20
CDM,838158,SCREW BN NLCK 3.5MM 18MM,180.0,180.0,9.54,216.0,20
CDM,838159,SCREW BN LCK 3.5MM 22MM,300.0,300.0,15.9,360.0,20
CDM,838169,ADAPTER RESV SMPL PORT,452.0,452.0,23.96,542.4,49
CDM,838192,BLADE SHVR 13CM 4MM,3928.0,3928.0,208.18,4713.6,49
CDM,838225,CATH ANGIO 5FR 90CM,396.0,396.0,20.99,475.2,49
CDM,838274,DRSG WND ANMC 20X8IN,2243.0,2243.0,118.88,2691.6,49
CDM,838392,SNARE MED CRSNT 230CM,490.0,490.0,25.97,588.0,49
CDM,838432,TOOL DSCT 7CM 4MM,2564.0,2564.0,135.89,3076.8,49
CDM,838468,COMPNT FM NPOR FNDTN SZ6,3200.0,3200.0,169.6,3840.0,20
CDM,838473,STEM TIBIALSZ 1,1450.0,1450.0,76.85,1740.0,20
CDM,838475,STEM TIBIALSZ 1,1450.0,1450.0,76.85,1740.0,20
CDM,838476,BASEPLATE TIB 3DKNE 12LT,1920.0,1920.0,101.76,2304.0,20
CDM,838478,INSERT TIB 4 13MM KN PST,1100.0,1100.0,58.3,1320.0,20
CDM,838481,INSERT ACTB 2 CNSTRN PST,2500.0,2500.0,132.5,3000.0,20
CDM,838499,SCREW BN 7MM 80MM,382.0,382.0,20.25,458.4,20
CDM,838548,SHEATH INTRO 11F 25CM,791.0,791.0,41.92,949.2,49
CDM,838563,EXTENSION STM FEM 180X15,1560.0,1560.0,82.68,1872.0,20
CDM,838587,SCREW BN 3.7MM 28MM,1680.0,1680.0,89.04,2016.0,20
CDM,838591,PLATE BN 6HL 104MM,1450.0,1450.0,76.85,1740.0,20
CDM,838602,PLATE BN 6HL,3128.0,3128.0,165.78,3753.6,20
CDM,838606,PLATE 130D BRL 60MM2HL,872.0,872.0,46.22,1046.4,20
CDM,838623,SCREW BN 3MM 24MM,70.0,70.0,3.71,84.0,20
CDM,838637,SCREW BN 3MM 15MM 4MM,272.0,272.0,14.42,326.4,20
CDM,838649,ROD RM 2.5X115MM,2564.0,2564.0,135.89,3076.8,49
CDM,838659,DRILL MEASURING SLEEVE,2564.0,2564.0,135.89,3076.8,49
CDM,838667,SCREW BN NLCK 3.5MM 14MM,180.0,180.0,9.54,216.0,20
CDM,838684,SCREW BN LCK 3.5MM 12MM,356.0,356.0,18.87,427.2,20
CDM,838736,BIT DRILL 2.3MM 20MM,2412.0,2412.0,127.84,2894.4,49
CDM,838738,PLUG BNCMNT 10MM,158.0,158.0,8.37,189.6,20
CDM,838755,COIL EMB TRND 035X3-7X8,157.5,157.5,8.35,189.0,20
CDM,838765,NAIL BN 13X18X125,3059.0,3059.0,162.13,3670.8,20
CDM,838783,LEAD DEFIB 65CM,9500.0,9500.0,503.5,11400.0,20
CDM,838784,LEAD PCNG 58CM,9500.0,9500.0,503.5,11400.0,20
CDM,838785,LEAD PCNG 65CM,9500.0,9500.0,503.5,11400.0,20
CDM,838787,CTHGD CRV 8FX57 CS-EH,1585.92,1585.92,84.05,1903.1,49
CDM,838790,SNARE VASC 4FR 65CM,3406.0,3406.0,180.52,4087.2,49
CDM,838791,FEM NONPOR SZ 2LT,2360.0,2360.0,125.08,2832.0,20
CDM,838798,COMPNT SBTALR ANKL 14X8,4190.0,4190.0,222.07,5028.0,20
CDM,838811,BAG TISS CLSR 6CM,5941.0,5941.0,314.87,7129.2,49
CDM,838812,BAG TISS CLSR 4CM,5200.0,5200.0,275.6,6240.0,49
CDM,838816,BLADE BONE MILL MED 5MM,3494.0,3494.0,185.18,4192.8,49
CDM,838817,SCREW BN LOPRO 3.5X20MM,132.0,132.0,7.0,158.4,20
CDM,838828,NAIL HUM CANN 7MM 260MM,2094.0,2094.0,110.98,2512.8,20
CDM,838831,PROBE LTHTRP 555MM 2.4FR,5941.0,5941.0,314.87,7129.2,49
CDM,838844,COIL SPEC RTR 10MM 115CM,2605.0,2605.0,138.06,3126.0,49
CDM,838880,SCREW BN 3.5MM 16MM,132.0,132.0,7.0,158.4,20
CDM,838883,SET PEG SFTY PSH 20FR,621.6,621.6,32.94,745.92,49
CDM,838893,SCREW BN 3.5MM 14MM,132.0,132.0,7.0,158.4,20
CDM,838947,SPACER FEM KN RT SZ4,3200.0,3200.0,169.6,3840.0,20
CDM,838948,COMPONENT FEM KN SZ6,3200.0,3200.0,169.6,3840.0,20
CDM,838949,INSERT ARTC KN SZ5-6 13,1300.0,1300.0,68.9,1560.0,20
CDM,838950,SCREW BN 5MM 38MM,473.0,473.0,25.07,567.6,20
CDM,838963,CATH DRN W/MKR 8FR 35CM,2530.0,2530.0,134.09,3036.0,49
CDM,838969,PEG TRA THRD 2.5X16,114.92,114.92,6.09,137.9,20
CDM,838986,INSERT ARTC KN 3-4 13MM,2630.0,2630.0,139.39,3156.0,20
CDM,839023,BIT DRILL 4.3MM 152MM,2564.0,2564.0,135.89,3076.8,49
CDM,839028,SCREW BN SPN 4MM 15MM,150.0,150.0,7.95,180.0,20
CDM,839043,SLEEVE HEAD HIP 12/14 -4,271.0,271.0,14.36,325.2,20
CDM,839054,COMP FEM PRFX OX SZ6 RT,5040.0,5040.0,267.12,6048.0,20
CDM,839055,CATHETER GD 6FR 150CM,5305.0,5305.0,281.17,6366.0,49
CDM,839061,BASE TIB REVISION SZ 6,3750.0,3750.0,198.75,4500.0,20
CDM,839065,STEM FEM MOD 20X150MM,1450.0,1450.0,76.85,1740.0,20
CDM,839074,SCREW CAP 5X100 HEX FEM,243.6,243.6,12.91,292.32,20
CDM,839093,CLAMP BAR TO PIN EXFX,9754.0,9754.0,516.96,11704.8,49
CDM,839098,KWIRE FX 228MM 2MM,942.0,942.0,49.93,1130.4,49
CDM,839118,GWIRE VASC 195CM .014IN,2563.0,2563.0,135.84,3075.6,49
CDM,839126,NAIL BN TIB 10MM 37CM,3486.0,3486.0,184.76,4183.2,20
CDM,839146,PROSTHESIS PENILE 9.5MM,18412.0,18412.0,975.84,22094.4,20
CDM,839148,NEEDLE BX 20GA 9CM,2564.0,2564.0,135.89,3076.8,49
CDM,839151,CATH ANGIO 5FR 80CM,497.0,497.0,26.34,596.4,49
CDM,839154,CONTROLLER DETACH EMBL,2564.0,2564.0,135.89,3076.8,49
CDM,839182,CAP PROT TIP BLUE 5MM,1206.0,1206.0,63.92,1447.2,49
CDM,839214,SCRW LP ST 3.540MM SN,32.0,32.0,1.7,38.4,20
CDM,839216,INS CPTV HEX 2.5,2302.0,2302.0,122.01,2762.4,49
CDM,839224,NAIL TIB MT-NL IM 10X36,2398.0,2398.0,127.09,2877.6,20
CDM,839245,KIT HIP PREP KIT,8712.0,8712.0,461.74,10454.4,49
CDM,839275,NEEDLE BX 18GA 9CM,1060.0,1060.0,56.18,1272.0,49
CDM,839279,CANNULA VAC ASP 9MM,136.0,136.0,7.21,163.2,49
CDM,839288,SPACER FEM HIP SM 12MM,150.0,150.0,7.95,180.0,20
CDM,839294,STEM FEM HIP127D 2 124MM,2800.0,2800.0,148.4,3360.0,20
CDM,839296,STEM HIP 132D SZ3 131MM,2800.0,2800.0,148.4,3360.0,20
CDM,839297,STEM HIP 132D SZ5 145MM,2800.0,2800.0,148.4,3360.0,20
CDM,839298,GUIDE PIN ORTH 2.5MM,2073.0,2073.0,109.87,2487.6,49
CDM,839299,BIT DRILL 2.5MM 170MM,2564.0,2564.0,135.89,3076.8,49
CDM,839312,BOLT LKNG STM EXFX HIP,225.0,225.0,11.93,270.0,20
CDM,839313,STEM FEM BDY KYSTN 13.5,6890.0,6890.0,365.17,8268.0,20
CDM,839315,BASEPLATE TIB FNDTN 2 RT,3750.0,3750.0,198.75,4500.0,20
CDM,839318,PLATE BURH LRG 5X18.5MM,264.0,264.0,13.99,316.8,20
CDM,839330,CATH BLN WDG 6FR 110CM,2564.0,2564.0,135.89,3076.8,49
CDM,839338,GDPN ORTH OD2.5 REVE,2564.0,2564.0,135.89,3076.8,49
CDM,839339,BIT DRL OD2.5 RVRS,1128.96,1128.96,59.83,1354.75,49
CDM,839341,TM REVERSE BASE PLATE,3868.8,3868.8,205.05,4642.56,20
CDM,839342,ADAPTER BULESLF SEAL0-9F,376.0,376.0,19.93,451.2,49
CDM,839351,CATH SUC 8FR 24IN,2564.0,2564.0,135.89,3076.8,49
CDM,839353,INTRODUCER SHTH 4FR 10CM,866.0,866.0,45.9,1039.2,49
CDM,839355,PIN HALF EXFX 30MM 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,839356,CATHETER DRN 28FR 16IN A,4253.0,4253.0,225.41,5103.6,49
CDM,839368,CTHDX ST+ 6F 3DRC 100,313.0,313.0,16.59,375.6,49
CDM,839371,NEEDLE SCLRTX 23GA 2.3MM,954.0,954.0,50.56,1144.8,49
CDM,839379,PLATE MNI MNDB 4HL STR,192.0,192.0,10.18,230.4,20
CDM,839380,DRILL TWIST 1.6MM 7MM,2564.0,2564.0,135.89,3076.8,49
CDM,839386,SCREW BN 3.5MM 18MM,230.0,230.0,12.19,276.0,20
CDM,839409,SPACER SPN 14X5X11MM,3630.0,3630.0,192.39,4356.0,20
CDM,839410,RETRACTOR 6CN 22MM,2868.0,2868.0,152.0,3441.6,49
CDM,839435,CATH NPHSTM 10FR 25CM,2564.0,2564.0,135.89,3076.8,49
CDM,839439,CATH ANGIO 5FR 100CM,2043.0,2043.0,108.28,2451.6,49
CDM,839440,CATH ANGIO 4FR 100CM,2043.0,2043.0,108.28,2451.6,49
CDM,839447,GWIRE VASC .035IN 145CM,1078.0,1078.0,57.13,1293.6,49
CDM,839453,CATH BDL .035IN 5FR 5MM,974.4,974.4,51.64,1169.28,49
CDM,839477,PROBE SURG 6MM PRCR,6606.0,6606.0,350.12,7927.2,49
CDM,839483,STEM HUM SHLDR 10MM,2639.0,2639.0,139.87,3166.8,20
CDM,839484,COMPNT SHLDR HUM SZ1 RT,3400.0,3400.0,180.2,4080.0,20
CDM,839485,CUP HUM 38MM +3MM,1700.0,1700.0,90.1,2040.0,20
CDM,839486,PIN GD ORTH 150MM 1.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,839495,CANNULA NDL CMNT 10GA,1686.0,1686.0,89.36,2023.2,49
CDM,839501,STENT ESPH 18.5FR 23MM,4334.0,4334.0,229.7,5200.8,20
CDM,839507,REAMER SURG 10.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,839508,BIT DRILL DISP 4.0MM,2607.0,2607.0,138.17,3128.4,49
CDM,839509,CMPNT HMICAP 2.5MM 3.5MM,2860.0,2860.0,151.58,3432.0,20
CDM,839514,CATHETER EMB 5.5FR 40CM,2564.0,2564.0,135.89,3076.8,49
CDM,839531,SCREW BN 3MM 14MM,70.0,70.0,3.71,84.0,20
CDM,839546,INSERT TIB 3D LT 2X9 KN,1986.0,1986.0,105.26,2383.2,20
CDM,839548,GRAFT BONE AC GRAFTROPE,1390.0,1390.0,73.67,1668.0,20
CDM,839555,NAIL BN FEM 13MM 36CM,3684.0,3684.0,195.25,4420.8,20
CDM,839566,TUBE 20FR BLN REPL BLSTR,2564.0,2564.0,135.89,3076.8,49
CDM,839579,WASHER BN 12.7MM 6.5MM,78.0,78.0,4.13,93.6,20
CDM,839592,MESH SURG CIRCL 4.5IN,2157.0,2157.0,114.32,2588.4,20
CDM,839593,MESH SURG 4X6IN,1664.0,1664.0,88.19,1996.8,20
CDM,839594,MESH SURG 8X10IN,4821.0,4821.0,255.51,5785.2,20
CDM,839612,STEM HUM SHLDR 12MM,2639.0,2639.0,139.87,3166.8,20
CDM,839622,SCREW BN 4MM 35MM,330.0,330.0,17.49,396.0,20
CDM,839623,PLATE BN 10H 131MM,560.0,560.0,29.68,672.0,20
CDM,839627,KIT ARTHSCP FX ALL INSD,5941.0,5941.0,314.87,7129.2,49
CDM,839636,INSRT KN SZ3-4 9MM,1300.0,1300.0,68.9,1560.0,20
CDM,839637,INSERT TIB KN 3-4 11MM,1300.0,1300.0,68.9,1560.0,20
CDM,839638,INSERT TIB SZ7-8 9MM,1300.0,1300.0,68.9,1560.0,20
CDM,839662,CATH ANGIO 5FR 65CM,497.0,497.0,26.34,596.4,49
CDM,839688,SCREW BN 80MM 75MM,1309.0,1309.0,69.38,1570.8,20
CDM,839690,WASHER BN 6.5MM 8MM,56.0,56.0,2.97,67.2,20
CDM,839702,PLATE 1 LVL HELIX 22MM,1800.0,1800.0,95.4,2160.0,20
CDM,839722,PLATE BN CRV10HL.6X1.7MM,582.0,582.0,30.85,698.4,20
CDM,839727,STENT VASC 6X80MM 120CM,1550.0,1550.0,82.15,1860.0,20
CDM,839735,KIT INTRO 9.0FR 10CM,2564.0,2564.0,135.89,3076.8,49
CDM,839748,INTRO SHTH 5FR 12CM,415.0,415.0,22.0,498.0,49
CDM,839759,CATH ANGIO 6F IM 100CM,261.0,261.0,13.83,313.2,49
CDM,839765,CATH ANGIO FL4 6FR 100CM,261.0,261.0,13.83,313.2,49
CDM,839768,CATH ANGIO AL1 6FR 100CM,261.0,261.0,13.83,313.2,49
CDM,839789,GWIRE 0.025IN 260CM,505.0,505.0,26.77,606.0,49
CDM,839797,CATH ST AL3 6F/100CM SPR,313.0,313.0,16.59,375.6,49
CDM,839800,CTHDX ANGIO 6F JR3.5 100,370.0,370.0,19.61,444.0,49
CDM,839801,CATH ANGIO 6FR 100CM,370.0,370.0,19.61,444.0,49
CDM,839802,CTHDX ANGIO 6F JR4 100,370.0,370.0,19.61,444.0,49
CDM,839804,CATH ANGIO 6FR 100CM,370.0,370.0,19.61,444.0,49
CDM,839805,CATH ANGIO 6FR 100CM,370.0,370.0,19.61,444.0,49
CDM,839806,CTHDX ANGIO 6F AR2 100,370.0,370.0,19.61,444.0,49
CDM,839807,CATH ANGIO 6FR 100CM,370.0,370.0,19.61,444.0,49
CDM,839808,CATH INFINITI 534649T,370.0,370.0,19.61,444.0,49
CDM,839809,CATH ANGIO 6FR 110CM,1849.0,1849.0,98.0,2218.8,49
CDM,839810,CTHDX ST 6F PIG145 110,370.0,370.0,19.61,444.0,49
CDM,839811,CATH ANGIO 6FR 100CM,370.0,370.0,19.61,444.0,49
CDM,839812,CATH ANGIO 6FR 100CM,370.0,370.0,19.61,444.0,49
CDM,839813,CATH ANG AR1MD 4FR 100CM,361.0,361.0,19.13,433.2,49
CDM,839825,CATH GD XB3.5 6FR 100CM,2672.0,2672.0,141.62,3206.4,49
CDM,839829,CATH GD JL4 6FR 100CM,2672.0,2672.0,141.62,3206.4,49
CDM,839831,DEVICE CLSR CLP INT 40MM,2200.0,2200.0,116.6,2640.0,20
CDM,839834,SUTURE CRM #1 TP-1 GL30G,24.0,24.0,1.27,28.8,49
CDM,839837,SUTURE UND BRD 6-0 27IN,4.0,4.0,0.21,4.8,49
CDM,839838,SUTURE BLK BRD 4-0 18IN,69.0,69.0,3.66,82.8,49
CDM,839840,SUTURE VIO BRD 0 36IN,44.0,44.0,2.33,52.8,49
CDM,839844,SUTURE VIO MONO 0 60IN,135.0,135.0,7.16,162.0,49
CDM,839846,SUTURE PRO 3-0 24IN,152.0,152.0,8.06,182.4,49
CDM,839849,SUTURE UND BRD 1 18IN,2564.0,2564.0,135.89,3076.8,49
CDM,839850,SUTURE GUT 1 36IN,91.0,91.0,4.82,109.2,49
CDM,839852,SUTURE GUT 5-0 18IN,171.0,171.0,9.06,205.2,49
CDM,839855,SUTURE BLK MON 10-0 12IN,357.0,357.0,18.92,428.4,49
CDM,839856,SUTURE PC-1 4-0 1X18IN,104.0,104.0,5.51,124.8,49
CDM,839858,SUTURE PC-5 4-0 1-18IN,104.0,104.0,5.51,124.8,49
CDM,839860,SUTURE BLK MONO 10-0 5IN,413.0,413.0,21.89,495.6,49
CDM,839861,SUTURE BLU MONO 0 30IN,2.0,2.0,0.11,2.4,49
CDM,839862,SUTURE BLU MONO 4-0 18IN,158.0,158.0,8.37,189.6,49
CDM,839863,SUTURE FSL 3-0 1X30IN,233.0,233.0,12.35,279.6,49
CDM,839864,SURTURE PRLN PS3 18IN,130.0,130.0,6.89,156.0,49
CDM,839866,SUTURE BLK MONO 6-0 30IN,1163.0,1163.0,61.64,1395.6,49
CDM,839867,SUTURE BLU MONO 6-0 18IN,288.0,288.0,15.26,345.6,49
CDM,839868,SUTURE CT-1 SZ1 8X18IN,272.0,272.0,14.42,326.4,49
CDM,839870,SUTURE GRN BRD 2-0 30IN,440.0,440.0,23.32,528.0,49
CDM,839873,SUTURE BLK MONO 8-0 24IN,1672.0,1672.0,88.62,2006.4,49
CDM,839875,SUTURE UND MONO 4-0 18IN,158.0,158.0,8.37,189.6,49
CDM,839879,SUTURE BLK MONO 5-0 18IN,93.0,93.0,4.93,111.6,49
CDM,839881,SUTURE UND MONO 1 36IN,5.0,5.0,0.27,6.0,49
CDM,839891,NEEDLE BIOPSY LARGE,337.0,337.0,17.86,404.4,49
CDM,839902,CATH DRN THOR 8FR 8IN,208.0,208.0,11.02,249.6,49
CDM,839937,SNARE MED OVAL 230CM,490.0,490.0,25.97,588.0,49
CDM,839945,GFT VSC PTFE 4X4 3080,182.0,182.0,9.65,218.4,20
CDM,839955,CATH BLNDL 6X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,839958,MESH DYNMC 90X90X.6,3039.0,3039.0,161.07,3646.8,20
CDM,839961,GFT VSC HMSH MCVL 8X30,755.0,755.0,40.02,906.0,20
CDM,839971,SUTURE BLK MONO 3-0 30IN,96.0,96.0,5.09,115.2,49
CDM,839972,SUTURE GRN BRD 2-0 36IN,1162.0,1162.0,61.59,1394.4,49
CDM,839974,SUTURE VIO MONO 2-0 27IN,66.0,66.0,3.5,79.2,49
CDM,839978,SUTURE VIO MONO 0 27IN,204.0,204.0,10.81,244.8,49
CDM,839980,GWIRE ORTH 2MM 230MM,1300.0,1300.0,68.9,1560.0,49
CDM,839986,RETRACTOR ESCPC 5CM 22MM,2868.0,2868.0,152.0,3441.6,49
CDM,839987,CATH ANGIO 5FR 80CM,452.0,452.0,23.96,542.4,49
CDM,840013,DEFIB SECURA VR CHMBR,21250.0,21250.0,1126.25,25500.0,20
CDM,840025,SCREW CORT N/L 3.5X85MM,239.0,239.0,12.67,286.8,20
CDM,840031,CMPNT GLENOID PEG 42MM,2200.0,2200.0,116.6,2640.0,20
CDM,840032,STEM HUM M TPR SZ 10,5400.0,5400.0,286.2,6480.0,20
CDM,840033,HEAD HUM 503-46-022,2200.0,2200.0,116.6,2640.0,20
CDM,840053,CLAMP M/T TRIAX PIN 25MM,9843.0,9843.0,521.68,11811.6,49
CDM,840057,CATH GD 6FR 100CM,2672.0,2672.0,141.62,3206.4,49
CDM,840071,STEM FEM KN 80MM 12MM,1346.0,1346.0,71.34,1615.2,20
CDM,840078,COMP FEM 5 LT KN NONPOR,3200.0,3200.0,169.6,3840.0,20
CDM,840095,ROD SPNL TI 47-62MM,900.0,900.0,47.7,1080.0,20
CDM,840101,CATH UMB 5FR 15IN,406.0,406.0,21.52,487.2,49
CDM,840116,PLATE BN 8H 122.5MM,721.0,721.0,38.21,865.2,20
CDM,840117,PLATE BN 10H 118.5MM,824.0,824.0,43.67,988.8,20
CDM,840118,PLATE ACTB STRT 142.5 12,1060.0,1060.0,56.18,1272.0,20
CDM,840131,SCREW BN CANC 4MM 16MM,70.0,70.0,3.71,84.0,20
CDM,840134,PLATE SM FRAG 3.5MM 8HL,286.7,286.7,15.2,344.04,20
CDM,840142,SCREW MDN CORT 4.2X37.5,253.82,253.82,13.45,304.58,20
CDM,840152,SNARE POLY OVAL SM,264.0,264.0,13.99,316.8,49
CDM,840153,SNARE POLY OVAL XSM,717.0,717.0,38.0,860.4,49
CDM,840154,SNARE POLY FLEX OVAL SM,717.0,717.0,38.0,860.4,49
CDM,840155,SNARE POLY FLEX OVAL MED,717.0,717.0,38.0,860.4,49
CDM,840164,RMR SRFC GRT TOE MTRSL,3292.0,3292.0,174.48,3950.4,49
CDM,840167,ANCHOR SUT 4.75MM 19.1MM,1060.0,1060.0,56.18,1272.0,20
CDM,840177,SEAL ENDO INST GRN 7FR,144.0,144.0,7.63,172.8,49
CDM,840188,BIT DRILL 5X230MM,2564.0,2564.0,135.89,3076.8,49
CDM,840194,GW ESCP SAVORY 250CM,2564.0,2564.0,135.89,3076.8,49
CDM,840199,NAIL BN TIB 10MM 34CM,3486.0,3486.0,184.76,4183.2,20
CDM,840215,TUBE JJNSTM 24FR,2564.0,2564.0,135.89,3076.8,49
CDM,840216,TUBE JJNSTM 22FR 45CM,2586.0,2586.0,137.06,3103.2,49
CDM,840217,TUBING IRR STRL DISP,1050.0,1050.0,55.65,1260.0,49
CDM,840219,LINER ACTB HIP 48MM 32MM,1045.0,1045.0,55.38,1254.0,20
CDM,840223,DILATOR VASC 9FR 20CM,348.0,348.0,18.44,417.6,49
CDM,840226,NEEDLE CATH 5FR 7CM,546.0,546.0,28.94,655.2,49
CDM,840228,GDCATH LIVER 41CM 10FR,5941.0,5941.0,314.87,7129.2,49
CDM,840234,PIN SPN TEMP 14MM,942.0,942.0,49.93,1130.4,49
CDM,840238,BAG TISS CLSR 5CM LD,5462.0,5462.0,289.49,6554.4,49
CDM,840239,BAG TISS CLSR 7.5CM,5941.0,5941.0,314.87,7129.2,49
CDM,840253,BIT DRL 32X20MM,752.64,752.64,39.89,903.17,49
CDM,840261,CLAMP 4HL PIN JTX EXFX,5941.0,5941.0,314.87,7129.2,49
CDM,840288,CATH URTH SIL 5FR,501.0,501.0,26.55,601.2,49
CDM,840293,SHEATH GD 7FR 45CM,2564.0,2564.0,135.89,3076.8,49
CDM,840304,DRILL HND 10GA,1830.0,1830.0,96.99,2196.0,49
CDM,840307,SYSTEM ATF GFT DLV MA,1075.2,1075.2,56.99,1290.24,49
CDM,840320,RETRACTOR ESCPC 7CM 22MM,2868.0,2868.0,152.0,3441.6,49
CDM,840321,RETR ESCPC 8 22 DISP,2868.0,2868.0,152.0,3441.6,49
CDM,840322,RETRACTOR METRX 22MMX9CM,2868.0,2868.0,152.0,3441.6,49
CDM,840325,SYSTEM BNCMNT 60GM,5502.0,5502.0,291.61,6602.4,49
CDM,840364,SCREW BN CANC 4MM 20MM,138.0,138.0,7.31,165.6,20
CDM,840369,STENT BIL 8FR 10X60MM,3251.0,3251.0,172.3,3901.2,20
CDM,840371,NAIL TIB 11MM 315MM,1844.0,1844.0,97.73,2212.8,20
CDM,840386,HOOK RETR 14X16MM,565.0,565.0,29.95,678.0,49
CDM,840387,NAIL IM HUM 9X22MM,22.0,22.0,1.17,26.4,20
CDM,840401,SET INTRO SHTH PLWY 9F,2564.0,2564.0,135.89,3076.8,49
CDM,840469,COIL EMBL 15CM 6MM,2262.0,2262.0,119.89,2714.4,20
CDM,840486,SCREW BN HEADED 2MM 14MM,300.0,300.0,15.9,360.0,20
CDM,840505,KIT PEG SIL SFTY 20FR,2564.0,2564.0,135.89,3076.8,49
CDM,840514,SCREW LAPIDUS 3.5X24MM,430.0,430.0,22.79,516.0,20
CDM,840519,PLATE TIB SS 4H 105MM,1738.0,1738.0,92.11,2085.6,20
CDM,840532,RING ANLPLS 24MM,5388.0,5388.0,285.56,6465.6,20
CDM,840533,RING ANLPLS 36MM,4148.0,4148.0,219.84,4977.6,20
CDM,840536,INSERT TIB KN SZ3-4 11MM,1300.0,1300.0,68.9,1560.0,20
CDM,840556,DRAIN WND RND 19FR,479.0,479.0,25.39,574.8,49
CDM,840567,DRAIN WND RND HBLS 15FR,1059.0,1059.0,56.13,1270.8,49
CDM,840569,TUBING IRRIGTR ESPC W-TP,3492.0,3492.0,185.08,4190.4,49
CDM,840570,SCREW BN 5MM 40MM,540.0,540.0,28.62,648.0,20
CDM,840583,ADAPTER DBL MALE LL,49.0,49.0,2.6,58.8,49
CDM,840599,COMP FEM HIP 28MM 43MM,900.0,900.0,47.7,1080.0,20
CDM,840601,SCREW BN CANC 5MM 44MM,402.0,402.0,21.31,482.4,20
CDM,840615,STEM DIST CNCL 22X155,3917.0,3917.0,207.6,4700.4,20
CDM,840619,STEM FEM HIP 14MM 160MM,3800.0,3800.0,201.4,4560.0,20
CDM,840625,PIN HLF EXFX JTX 35X5MM,2564.0,2564.0,135.89,3076.8,49
CDM,840629,RETRACTOR DISP 5CM 26MM,2564.0,2564.0,135.89,3076.8,49
CDM,840630,RETRACTOR SURG 6X26 DISP,2725.0,2725.0,144.43,3270.0,49
CDM,840631,RETR METREX DISP26X9,2564.0,2564.0,135.89,3076.8,49
CDM,840639,LINER ACTB HIP 50MM 28MM,900.0,900.0,47.7,1080.0,20
CDM,840642,SCREW BN 6.7MM 65MM,525.0,525.0,27.82,630.0,20
CDM,840653,LIGATOR ESCPC NYL POLYLP,2487.0,2487.0,131.81,2984.4,49
CDM,840665,STEM FEM HIP SZ3 101MM,4000.0,4000.0,212.0,4800.0,20
CDM,840666,WASHER BN 12.7MM,165.0,165.0,8.74,198.0,20
CDM,840667,BIT DRILL CENTRAL 3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,840669,PINTRA3.0X8.0X16M SLFDRL,165.06,165.06,8.75,198.07,20
CDM,840673,RETRACTOR SURG 7CM 26MM,2564.0,2564.0,135.89,3076.8,49
CDM,840674,RETRACTOR 8CM 26MM MTRX,2564.0,2564.0,135.89,3076.8,49
CDM,840676,INSERT ARTC PRFX 3 10 LT,1590.0,1590.0,84.27,1908.0,20
CDM,840702,COMP FEM PRFX OX SZ4 RT,5040.0,5040.0,267.12,6048.0,20
CDM,840710,PROBE LTHTRP 3.8MM 403MM,5611.0,5611.0,297.38,6733.2,49
CDM,840713,COMP TOE JNT 14X8MM,3006.0,3006.0,159.32,3607.2,20
CDM,840788,SUTURE FIBERWIRE 18IN,44.0,44.0,2.33,52.8,20
CDM,840792,ELCTRD ES LOOP HOT,530.88,530.88,28.14,637.06,49
CDM,840800,PLATE BN MNDB 3X2HL,669.0,669.0,35.46,802.8,20
CDM,840801,PLATE BN CRV 3D 6X2HL,842.0,842.0,44.63,1010.4,20
CDM,840804,IMPLANT BREAST 450CC,1510.0,1510.0,80.03,1812.0,20
CDM,840811,PLATE BN MINI 4H W/BAR,221.0,221.0,11.71,265.2,20
CDM,840830,SCREW BN 5.5MM 75MM,310.0,310.0,16.43,372.0,20
CDM,840831,SCREW BN 5.5MM 80MM,310.0,310.0,16.43,372.0,20
CDM,840833,INSERT TIBIAL 9MM SZ 2,1100.0,1100.0,58.3,1320.0,20
CDM,840835,STEM FEM HIP 140MM 10MM,3400.0,3400.0,180.2,4080.0,20
CDM,840860,DRILL BIT 3-FLUTE 2.5MM,982.2,982.2,52.06,1178.64,49
CDM,840861,KWIRE FX 150MM 1.25MM,1232.0,1232.0,65.3,1478.4,49
CDM,840862,BIT DRL IMHS TWST 3.5MM,579.53,579.53,30.72,695.44,49
CDM,840866,SCREW BN 4MM 60MM,327.0,327.0,17.33,392.4,20
CDM,840873,CATH HMDIAL 32CM 14.5FR,4418.0,4418.0,234.15,5301.6,49
CDM,840875,RING COMP EX FIX 220X.5,2693.25,2693.25,142.74,3231.9,49
CDM,840882,BRACE ORTH 15-16IN,897.0,897.0,47.54,1076.4,49
CDM,840897,SCREW BN 4MM 32MM,304.0,304.0,16.11,364.8,20
CDM,840920,HEAD FEM HIP 40MM,1300.0,1300.0,68.9,1560.0,20
CDM,840921,INSERT HD HIP 3MM,110.0,110.0,5.83,132.0,20
CDM,840935,SCREW BN 1.7MM 4MM,149.0,149.0,7.9,178.8,20
CDM,840936,SCREW MXLFCL SD 1.7X5,149.0,149.0,7.9,178.8,20
CDM,840937,SCREW BN 1.9MM 5MM,137.0,137.0,7.26,164.4,20
CDM,840938,SCREW BN 2MM 5MM,127.0,127.0,6.73,152.4,20
CDM,840939,SCREW BN 2MM 8MM,122.0,122.0,6.47,146.4,20
CDM,840943,SCREW BN 2.3MM 6MM,140.0,140.0,7.42,168.0,20
CDM,840944,SCREW BN 2.3MM 10MM,140.0,140.0,7.42,168.0,20
CDM,840945,SCREW BN 2.3MM 10MM,220.0,220.0,11.66,264.0,20
CDM,840946,SCREW BN CP LCK 2.3X12MM,220.0,220.0,11.66,264.0,20
CDM,840949,PLATE BN 6HL MDFC .6MM,419.0,419.0,22.21,502.8,20
CDM,840952,PLATE BN MNDBL 4H 77MM,270.0,270.0,14.31,324.0,20
CDM,840956,BIT DRILL 1.4MM 54MM,2564.0,2564.0,135.89,3076.8,49
CDM,840957,BIT DRIL TWST 1.9MM 58MM,2564.0,2564.0,135.89,3076.8,49
CDM,840959,SCREW BN TI CORT 4X20MM,332.0,332.0,17.6,398.4,20
CDM,840963,SCREW BN 2.0MM 10MM,122.0,122.0,6.47,146.4,20
CDM,840964,SCREW BN 2.3MM 4MM,140.0,140.0,7.42,168.0,20
CDM,840971,REAMER RIA TUBE 520MM,5941.0,5941.0,314.87,7129.2,49
CDM,840975,RESTRICTOR BNCMNT 25MM,424.0,424.0,22.47,508.8,20
CDM,841035,PLATE BN 2HL 3.5MM 79MM,1721.0,1721.0,91.21,2065.2,20
CDM,841041,BASEPLT TIB 3D RT STM,2000.0,2000.0,106.0,2400.0,20
CDM,841048,SCREW BN NS LCK 5X40MM,304.0,304.0,16.11,364.8,20
CDM,841049,SCREW BN NS LCK 5X50MM,304.0,304.0,16.11,364.8,20
CDM,841083,PASSER SUTURE SMALL,2564.0,2564.0,135.89,3076.8,49
CDM,841085,GFT TIS ACHILES TNDN,2782.0,2782.0,147.45,3338.4,20
CDM,841092,SCREW BN SPN 4.2MM 16MM,300.0,300.0,15.9,360.0,20
CDM,841116,PIN EXFX SHORT 5X50MM,3868.0,3868.0,205.0,4641.6,49
CDM,841125,CAP NAIL BN 10MM,362.0,362.0,19.19,434.4,20
CDM,841126,NAIL BN TIB 32CM 10MM,2398.0,2398.0,127.09,2877.6,20
CDM,841128,SCREW BN 5MM 42MM,473.0,473.0,25.07,567.6,20
CDM,841133,KIT INTRO 8.5FR 10CM,2564.0,2564.0,135.89,3076.8,49
CDM,841135,PLATE BN FIB 8HL 137MM,1060.0,1060.0,56.18,1272.0,20
CDM,841137,FORCEPS BX DISP,778.0,778.0,41.23,933.6,49
CDM,841141,KIT BIOPSY GUIDE,10447.0,10447.0,553.69,12536.4,49
CDM,841143,SCREW BN 2.3MM 8MM,216.0,216.0,11.45,259.2,20
CDM,841145,INSERT HIP RSTR 28X54MM,1500.0,1500.0,79.5,1800.0,20
CDM,841147,NAIL BN RTRGD 10X32MM,2398.0,2398.0,127.09,2877.6,20
CDM,841160,STNT URET MTL 6X22,2684.0,2684.0,142.25,3220.8,20
CDM,841164,INSERT KN SZ5-6 11MM,1300.0,1300.0,68.9,1560.0,20
CDM,841168,INSERT TIB KN SZ3-4 13MM,1300.0,1300.0,68.9,1560.0,20
CDM,841175,CATH BLNDL 2X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,841177,CATH BLN 3X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,841179,CATH BLN 4X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,841194,SCREW BN 4.5MM 18MM,200.0,200.0,10.6,240.0,20
CDM,841200,SCREW BN 4MM 14MM,70.0,70.0,3.71,84.0,20
CDM,841237,SCREW BN 7MM 100MM,382.0,382.0,20.25,458.4,20
CDM,841249,SCREW BN 3.5MM 12MM,77.0,77.0,4.08,92.4,20
CDM,841268,NAIL BN 13MM 32CM,2398.0,2398.0,127.09,2877.6,20
CDM,841275,STEM ORT FEM SZ 11MM HIP,5000.0,5000.0,265.0,6000.0,20
CDM,841276,STEM FEM LAT OFST LNR 12,5000.0,5000.0,265.0,6000.0,20
CDM,841277,STEM FEM LAT LNR 13,5000.0,5000.0,265.0,6000.0,20
CDM,841289,COMPNT GLND 27MM,2200.0,2200.0,116.6,2640.0,20
CDM,841291,SCREW BN 4.5X36MM,200.0,200.0,10.6,240.0,20
CDM,841305,PCR ALTR SSIR S401,8100.0,8100.0,429.3,9720.0,20
CDM,841321,KWIRE FX 150MM 1.2MM,942.0,942.0,49.93,1130.4,49
CDM,841326,SCREW BN 3MM 18MM,70.0,70.0,3.71,84.0,20
CDM,841358,SCREW BN 6.5MM 95MM 22MM,374.0,374.0,19.82,448.8,20
CDM,841359,KWIRE FX 1.1MM 150MM,1232.0,1232.0,65.3,1478.4,49
CDM,841372,INSERT FEM HIP TYPE1 0MM,1880.0,1880.0,99.64,2256.0,20
CDM,841375,PLATE BN 8HL LT,3128.0,3128.0,165.78,3753.6,20
CDM,841376,SHELL ACTB HIP 60MM,1800.0,1800.0,95.4,2160.0,20
CDM,841383,DRILL CTRSINK 3.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,841420,MANIFOLD ANGIO 12ML,1036.0,1036.0,54.91,1243.2,49
CDM,841423,INTRO PEEL 15.5CM 20CM,2564.0,2564.0,135.89,3076.8,49
CDM,841435,PROBE ESURG 2.3MM 220CM,3323.0,3323.0,176.12,3987.6,49
CDM,841463,GWIRE VASC .014IN 200CM,5941.0,5941.0,314.87,7129.2,49
CDM,841464,GWIRE VASC 200CM,5941.0,5941.0,314.87,7129.2,49
CDM,841467,GWIRE NEUR 0.010IN 200CM,5941.0,5941.0,314.87,7129.2,49
CDM,841472,CATH ANGIO 6FR 110CM,2564.0,2564.0,135.89,3076.8,49
CDM,841476,CATH MCR 2.4-1.7FR 150CM,7269.0,7269.0,385.26,8722.8,49
CDM,841584,BLADE DBL SDE RECIPSTRKR,1230.05,1230.05,65.19,1476.06,49
CDM,841601,SCREW 3MM 40MM 16MM,577.0,577.0,30.58,692.4,20
CDM,841621,SCREW BN 6.5MM 75MM,55.0,55.0,2.92,66.0,20
CDM,841638,PLATE BN 6H 113MM,1060.0,1060.0,56.18,1272.0,20
CDM,841642,GWIRE ORTH .059IN 5IN,528.0,528.0,27.98,633.6,49
CDM,841645,SCREW BN 28.20.135,430.0,430.0,22.79,516.0,20
CDM,841659,PLATE BN RT 1.5MM 60MM,1446.0,1446.0,76.64,1735.2,20
CDM,841664,PLATE BN LCK 6HL 2MM,912.0,912.0,48.34,1094.4,20
CDM,841676,SCREW MXLFCL CP 2.3X8MM,140.0,140.0,7.42,168.0,20
CDM,841677,PLATE BN .6X1.2MM 8HL,468.0,468.0,24.8,561.6,20
CDM,841678,CAP NAIL BN 5MM,338.0,338.0,17.91,405.6,20
CDM,841679,SCREW BN 5MM 34MM,200.0,200.0,10.6,240.0,20
CDM,841685,SCREW BN 65MM 4.5MM,368.0,368.0,19.5,441.6,20
CDM,841689,PLATE BN 16HL 2.3MM LT,3146.0,3146.0,166.74,3775.2,20
CDM,841699,NAIL BN 8.5MM 34CM,3486.0,3486.0,184.76,4183.2,20
CDM,841738,SCREW BN NLCK 3.5MM 10MM,180.0,180.0,9.54,216.0,20
CDM,841739,SCREW BN NLCK 3.5MM 16MM,180.0,180.0,9.54,216.0,20
CDM,841742,SCREW BN NLCK 3.5MM 24MM,180.0,180.0,9.54,216.0,20
CDM,841747,SCREW BN LCK 3.5MM 26MM,300.0,300.0,15.9,360.0,20
CDM,841749,SCREW BN LCK 3.5MM 18MM,356.0,356.0,18.87,427.2,20
CDM,841750,SCREW BN LCK 3.5MM 10MM,356.0,356.0,18.87,427.2,20
CDM,841751,SCREW BN LCK 3.5MM 20MM,292.0,292.0,15.48,350.4,20
CDM,841759,ROD GUIDE BLL TIP 3X1000,66.62,66.62,3.53,79.94,49
CDM,841787,SCREW BN 2.7MM 30MM,247.0,247.0,13.09,296.4,20
CDM,841789,GWIRE 2.8X300MM,2564.0,2564.0,135.89,3076.8,49
CDM,841797,SCREW BN 2.7MM 22MM SS,247.0,247.0,13.09,296.4,20
CDM,841944,KIT CATH 8.5FR 16CM 3LUM,3406.0,3406.0,180.52,4087.2,49
CDM,841947,INSERT TIB KN SZ7-8 9MM,1300.0,1300.0,68.9,1560.0,20
CDM,841948,KIT CATH CV THRMB 8.5X20,3668.0,3668.0,194.4,4401.6,49
CDM,841953,SCREW SPN 5.5MM,100.0,100.0,5.3,120.0,20
CDM,841957,CATHETER CV 8.5FR 16CM P,3406.0,3406.0,180.52,4087.2,49
CDM,841970,KIT STYL 65CM,2224.0,2224.0,117.87,2668.8,49
CDM,842101,SCREW BN 2.7MM 10MM LCK,230.0,230.0,12.19,276.0,20
CDM,842114,STEM FEM HIP 140X10MM,3600.0,3600.0,190.8,4320.0,20
CDM,842127,SCREW BN LCK 3.5MM 16MM,356.0,356.0,18.87,427.2,20
CDM,842145,BUTTON GSTRM 20FR 4.0CM,2564.0,2564.0,135.89,3076.8,49
CDM,842236,SCREW BN 2.5MM 12MM,537.0,537.0,28.46,644.4,20
CDM,842237,SCREW BN CANN 2.5X14MM,537.0,537.0,28.46,644.4,20
CDM,842238,SCREW BN 2.5MM 16MM,537.0,537.0,28.46,644.4,20
CDM,842242,SCREW BN HDLS 3X14MM,586.0,586.0,31.06,703.2,20
CDM,842243,SCREW BN HEADLESS 3.0X16,587.0,587.0,31.11,704.4,20
CDM,842276,BLADE SHAVER SOFT PLUS,5464.0,5464.0,289.59,6556.8,49
CDM,842313,SCREW BN 4MM 46MM,330.0,330.0,17.49,396.0,20
CDM,842345,SCREW SPN 4.2X16MM,150.0,150.0,7.95,180.0,20
CDM,842347,SCREW SPN 12MM,150.0,150.0,7.95,180.0,20
CDM,842438,SET REV 8 LT FEM PST STB,5908.36,5908.36,313.14,7090.03,20
CDM,842439,SCREW BN 4MM 12MM,70.0,70.0,3.71,84.0,20
CDM,842448,STEM FEM LAT LNR 9,5000.0,5000.0,265.0,6000.0,20
CDM,842450,STEM FEM RVSN RT SZ8,7250.0,7250.0,384.25,8700.0,20
CDM,842513,SCREW BN 5MM 42MM,500.0,500.0,26.5,600.0,20
CDM,842536,SCREW BN NLCK 3.5X40,430.0,430.0,22.79,516.0,20
CDM,842544,SCREW BN 5MM 44MM,473.0,473.0,25.07,567.6,20
CDM,842554,SCREW CORT PRLOC 4.5X46,163.0,163.0,8.64,195.6,20
CDM,842590,SHEATH GD 7FR 45CM,2562.0,2562.0,135.79,3074.4,49
CDM,842620,ROD SPN KRD1 PRE110X5.5,400.0,400.0,21.2,480.0,20
CDM,842637,KI ANGIO STPCK 3W 54IN,1357.0,1357.0,71.92,1628.4,49
CDM,842668,INSERT TIB 5 13MM RT KN,2140.0,2140.0,113.42,2568.0,20
CDM,842806,GWIRE VASC .014IN 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,842820,CATH ANGIO 5F 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,842867,SET INTRO SHTH 7FR 24CM,2148.0,2148.0,113.84,2577.6,49
CDM,842874,KIT SNRE CATH 20MM 120CM,3406.0,3406.0,180.52,4087.2,49
CDM,842876,KIT SNARE EXTRACT 175CM,5941.0,5941.0,314.87,7129.2,49
CDM,842913,SHELL HIP 0D 54MMX28MM,900.0,900.0,47.7,1080.0,20
CDM,842914,CMPNT ACTB HIP 28X52MM,900.0,900.0,47.7,1080.0,20
CDM,842915,CUP ACTB HIP 28X49MM,900.0,900.0,47.7,1080.0,20
CDM,842919,WIRE EXFX 370MM 1.8MM,2054.0,2054.0,108.86,2464.8,49
CDM,842927,CAGE SPN 12X27X30MM,4000.0,4000.0,212.0,4800.0,20
CDM,842936,TISS TAK II AR1935B30,540.0,540.0,28.62,648.0,20
CDM,843016,PLATE BN SHRT 1MMX44MM,1056.0,1056.0,55.97,1267.2,20
CDM,843034,CMPNT HUM SHLDR LT SZ1,3400.0,3400.0,180.2,4080.0,20
CDM,843035,INSERT ARTC PRFX 3 12 RT,1590.0,1590.0,84.27,1908.0,20
CDM,843037,GDPIN GLND LG 300X1.5MM,2073.0,2073.0,109.87,2487.6,49
CDM,843044,HEAD FEM HIP DL MBL 28MM,1300.0,1300.0,68.9,1560.0,20
CDM,843052,INSERT FEM HIP TYP1 -6MM,110.0,110.0,5.83,132.0,20
CDM,843076,CONNECTOR ROD 38-44MM,1200.0,1200.0,63.6,1440.0,20
CDM,843082,PLATE BN SPN 8X24MM,2000.0,2000.0,106.0,2400.0,20
CDM,843091,SCREW BN 2.7MM 5MM,160.0,160.0,8.48,192.0,20
CDM,843099,SCREW BN MXLFCL 6X2MM,122.0,122.0,6.47,146.4,20
CDM,843107,SCREW BN 6.5 60 SS LK CA,1430.0,1430.0,75.79,1716.0,20
CDM,843127,COMP KN RT NPROS WOTPR 7,2360.0,2360.0,125.08,2832.0,20
CDM,843128,INSERT ARTC KN PST RT 10,1590.0,1590.0,84.27,1908.0,20
CDM,843130,PLATE BN STR MEDIUM,938.0,938.0,49.71,1125.6,20
CDM,843134,STEM FEM LAT OFST LNR 14,5000.0,5000.0,265.0,6000.0,20
CDM,843160,MESH SURG 8X6IN,4212.0,4212.0,223.24,5054.4,20
CDM,843191,CATH BLNDL 2X220MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,843285,CARTRIDGE HOLDER LENS,47.0,47.0,2.49,56.4,49
CDM,843362,PERFORATOR CRANI 14-11MM,2908.0,2908.0,154.12,3489.6,49
CDM,843363,GUARD PIN .045IN,289.0,289.0,15.32,346.8,49
CDM,843364,SHTH SFE 9F 6709,2261.0,2261.0,119.83,2713.2,49
CDM,843456,SUTURE LOOP X 3-0 18.7MM,606.0,606.0,32.12,727.2,49
CDM,843481,COUPLER ANSTM 2.5MM,3700.0,3700.0,196.1,4440.0,20
CDM,843482,COUPLER ANSTM 3MM,4190.0,4190.0,222.07,5028.0,20
CDM,843500,INSERT ARTC PST 3-4X18MM,1100.0,1100.0,58.3,1320.0,20
CDM,843501,COMPNT KN RT SZ3,3200.0,3200.0,169.6,3840.0,20
CDM,843503,PLATE FX C-SHAPE 4H,804.0,804.0,42.61,964.8,20
CDM,843507,MESH SURG REINF MTRX 5X5,6440.0,6440.0,341.32,7728.0,20
CDM,843508,NAIL LT HNDFT 11.5MM20CM,4505.0,4505.0,238.76,5406.0,20
CDM,843509,WIRE DRILL TIP 1.8X400MM,3628.0,3628.0,192.28,4353.6,49
CDM,843510,CONNECTOR PIN ANGLD TIB,1643.0,1643.0,87.08,1971.6,49
CDM,843512,DEVICE SPC RET TIS 6.5MM,6408.0,6408.0,339.62,7689.6,49
CDM,843513,DRILL SURG SHRT STEP 3.8,5941.0,5941.0,314.87,7129.2,49
CDM,843530,SET INTRO .038IN 15.5CM,2564.0,2564.0,135.89,3076.8,49
CDM,843531,SUTURE GUT 5-0 18IN,150.0,150.0,7.95,180.0,49
CDM,843532,SUTURE UND MONO 0 36IN,59.0,59.0,3.13,70.8,49
CDM,843584,SCREW BN SLF DRL 1.2X4MM,165.0,165.0,8.74,198.0,20
CDM,843585,DRILL TWIST 1MM 50MM,2564.0,2564.0,135.89,3076.8,49
CDM,843591,PLATE FX 6H W/BAR,987.0,987.0,52.31,1184.4,20
CDM,843595,LINER ACTB ALTRX 32X54,1100.0,1100.0,58.3,1320.0,20
CDM,843599,TUBING IRR LG,2081.0,2081.0,110.29,2497.2,49
CDM,843631,PLATE BN 6HL LT,3128.0,3128.0,165.78,3753.6,20
CDM,843638,CLSRE FMSTP CMPRSS GLD,2564.0,2564.0,135.89,3076.8,49
CDM,843639,SUTURE HOS-14 SZ5 1X30IN,424.0,424.0,22.47,508.8,49
CDM,843667,PIN HLF SS L17.5 JTX,222.6,222.6,11.8,267.12,20
CDM,843668,NAIL FEM T2 LCK TI 8X360,3036.14,3036.14,160.92,3643.37,20
CDM,843670,CEMENT BN LV+G SGL DS,330.0,330.0,17.49,396.0,20
CDM,843683,PROSTHESIS PNL 75ML,4478.0,4478.0,237.33,5373.6,20
CDM,843696,ROD SPNL 40X5.5MM KRD1,400.0,400.0,21.2,480.0,20
CDM,843703,SCREW BN 3MM 28MM 6MM,328.0,328.0,17.38,393.6,20
CDM,843707,SCREW BN 3MM 14MM 4MM,272.0,272.0,14.42,326.4,20
CDM,843747,SCREW BN 2.7MM 20MM,64.0,64.0,3.39,76.8,20
CDM,843754,SCREW BN 2.7MM 14MM SS,247.0,247.0,13.09,296.4,20
CDM,843758,PLATE SPN TROUGH SM,796.0,796.0,42.19,955.2,20
CDM,843771,NAIL BN 10MM 30CM,3486.0,3486.0,184.76,4183.2,20
CDM,843782,CATH URET 2W 18FR 5CC,116.0,116.0,6.15,139.2,49
CDM,843793,DEVICE SUT TROC CLS 10MM,846.0,846.0,44.84,1015.2,49
CDM,843795,STAPLER INT 35.5X5MM,5144.0,5144.0,272.63,6172.8,49
CDM,843813,SCREW BN 2.3MM 12MM,216.0,216.0,11.45,259.2,20
CDM,843842,SCREW BN 3.5MM 32MM,70.0,70.0,3.71,84.0,20
CDM,843843,SCREW BN 4MM 55MM,330.0,330.0,17.49,396.0,20
CDM,843859,SCREW BN 5MM 46MM,473.0,473.0,25.07,567.6,20
CDM,843876,BIT DRILL MDN 5.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,843878,SCREW ORT IM 85X4.5MM,268.8,268.8,14.25,322.56,20
CDM,843879,SCREW ORT IM 62.5X4.5M,268.8,268.8,14.25,322.56,20
CDM,843888,LEAD NRSTM RSTR SPN 75CM,3800.0,3800.0,201.4,4560.0,20
CDM,843890,ROD SPNL KRDI 75X5.5MM,360.0,360.0,19.08,432.0,20
CDM,843891,ROD SPNL KRDI 70X5.5MM,360.0,360.0,19.08,432.0,20
CDM,843921,SHELL ACTB HIP MLH 58MM,2852.0,2852.0,151.16,3422.4,20
CDM,843931,PORT IMPL INFSN 6FR,516.0,516.0,27.35,619.2,20
CDM,843934,HALF PIN 5X50MM,264.0,264.0,13.99,316.8,20
CDM,843936,INSERT TIB KN 1-2 9MM,1300.0,1300.0,68.9,1560.0,20
CDM,843961,SCREW BN 3.5MM 22MM,55.0,55.0,2.92,66.0,20
CDM,843965,NAIL BN FEM 10MM 38CM,2398.0,2398.0,127.09,2877.6,20
CDM,843966,SCREW BN 3.5MM 18MM,55.0,55.0,2.92,66.0,20
CDM,843982,SCREW BN SPNL 4.2X14MM,400.0,400.0,21.2,480.0,20
CDM,843991,ELECTRODE EMG NRVSN M5,5941.0,5941.0,314.87,7129.2,49
CDM,844009,HEAD FEM HIP HMSPHR 40MM,7580.0,7580.0,401.74,9096.0,20
CDM,844011,COMPONENT FEM 7 RT KN,5040.0,5040.0,267.12,6048.0,20
CDM,844012,BASEPLATE TIB PRFX 7 RT,1920.0,1920.0,101.76,2304.0,20
CDM,844013,SHELL ACTB 52MM,3261.7,3261.7,172.87,3914.04,20
CDM,844014,SHELL ACTB 56MM,2630.0,2630.0,139.39,3156.0,20
CDM,844015,INSERT TIB 2 14MM RT KN,1210.0,1210.0,64.13,1452.0,20
CDM,844016,INSERT TIB 3 12MM LT KN,1210.0,1210.0,64.13,1452.0,20
CDM,844017,INSERT TIB 3 14MM LT KN,1210.0,1210.0,64.13,1452.0,20
CDM,844018,COMPONENT FEM 3 RT KN,2360.0,2360.0,125.08,2832.0,20
CDM,844019,KIT CATH 3LUM 8.5FR 20CM,3778.0,3778.0,200.23,4533.6,49
CDM,844021,PROFIX PS INSR R SZ2 14M,1590.0,1590.0,84.27,1908.0,20
CDM,844022,PROFIX PS INSR L SZ2 10M,1590.0,1590.0,84.27,1908.0,20
CDM,844023,COMPONENT FEM 3 RT KN,5040.0,5040.0,267.12,6048.0,20
CDM,844024,PROFIX PS INSR R SZ2 12M,1590.0,1590.0,84.27,1908.0,20
CDM,844025,NONPOR PST R W/O TPR SZ4,2360.0,2360.0,125.08,2832.0,20
CDM,844048,KNEE NPRS PSTR OXNUM 6R,5040.0,5040.0,267.12,6048.0,20
CDM,844053,KIT THRMB 6FR 90CM,11246.0,11246.0,596.04,13495.2,49
CDM,844081,SUTURE FIBERLOOP 13IN,1979.0,1979.0,104.89,2374.8,49
CDM,844105,PLATE BN OBLIQ RIGHT,904.0,904.0,47.91,1084.8,20
CDM,844129,RESTRCTOR CMNT 14MM,144.0,144.0,7.63,172.8,20
CDM,844142,PLATE BN STR SHORT,898.0,898.0,47.59,1077.6,20
CDM,844159,GRAFT BN 14X11X5MM SPNE,1700.0,1700.0,90.1,2040.0,20
CDM,844161,SCREW BN LG CORT 4.5X40,37.0,37.0,1.96,44.4,20
CDM,844167,INSERT ARTC4 10MM LT KN,1590.0,1590.0,84.27,1908.0,20
CDM,844168,COMPONENT FEM 67X56MM RT,2360.0,2360.0,125.08,2832.0,20
CDM,844170,BLADE SHVR 13CM 5MM,1621.0,1621.0,85.91,1945.2,49
CDM,844173,DISSECTOR CLCUT 13CMX5MM,1139.29,1139.29,60.38,1367.15,49
CDM,844176,INTRO SHTH 6FR 10CM,395.0,395.0,20.93,474.0,49
CDM,844185,INTRO SHTH 7FR 1OCM,395.0,395.0,20.93,474.0,49
CDM,844189,DEVICE SHEATH STATLOCK,656.0,656.0,34.77,787.2,49
CDM,844208,CLIP LIGATING XL,63.0,63.0,3.34,75.6,20
CDM,844212,NAIL BN FEM 13MM 34CM,3684.0,3684.0,195.25,4420.8,20
CDM,844232,CATH ART LN 5FR 110CM,3340.0,3340.0,177.02,4008.0,49
CDM,844238,NAIL BN FEM 11.5MM 30CM,3186.0,3186.0,168.86,3823.2,20
CDM,844247,STEM FEM RT RSTR 8X12MM,11492.0,11492.0,609.08,13790.4,20
CDM,844251,REAMER SURG PHLNG SM,5614.0,5614.0,297.54,6736.8,49
CDM,844254,GUIDEPIN MTRSL BLNT ORTH,675.85,675.85,35.82,811.02,49
CDM,844268,CMPNT FEM HIP SZ15,3800.0,3800.0,201.4,4560.0,20
CDM,844270,GRAFT BN GRFTN FSN 5X2.5,4867.2,4867.2,257.96,5840.64,20
CDM,844283,NAIL BN TIB 10MM 330MM,2398.0,2398.0,127.09,2877.6,20
CDM,844293,ROD SPN CONT 5.5X55MM,360.0,360.0,19.08,432.0,20
CDM,844301,STEM FEM STD OFST LNR 14,5000.0,5000.0,265.0,6000.0,20
CDM,844302,BASEPLATE TIB PRFX5 RT,1920.0,1920.0,101.76,2304.0,20
CDM,844311,IMOB ORTH XS SHDR ELAS,186.0,186.0,9.86,223.2,49
CDM,844545,PLATE BN ORBT 4H 1.2MM,223.0,223.0,11.82,267.6,20
CDM,844548,FILLER BN 12X30X10MM,990.0,990.0,52.47,1188.0,20
CDM,844555,SCREW BN 4.5MM 42MM,200.0,200.0,10.6,240.0,20
CDM,844572,GRAFT TIB ANT TNDN FRZN,2294.0,2294.0,121.58,2752.8,20
CDM,844590,SCREW BN 4.5MM 24MM,200.0,200.0,10.6,240.0,20
CDM,844592,CUP HUM 38MM +6MM,1700.0,1700.0,90.1,2040.0,20
CDM,844601,LINER ACTB R3 50X38 COCR,1860.0,1860.0,98.58,2232.0,20
CDM,844603,HEAD FEM HIP HMSPHR 38MM,5292.0,5292.0,280.48,6350.4,20
CDM,844630,SCREW BN 4X42MM,363.0,363.0,19.24,435.6,20
CDM,844631,GWIRE ORTH SURG 1.35MM,565.0,565.0,29.95,678.0,49
CDM,844633,BIT DRILL CANN 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,844663,CUP HUM 38MM DLT +3MM,1700.0,1700.0,90.1,2040.0,20
CDM,844664,COMP FEM 6L KN PST NPOR,2360.0,2360.0,125.08,2832.0,20
CDM,844671,KIT BONE TAMP,12435.0,12435.0,659.05,14922.0,49
CDM,844673,SLEEVE LAPSCP 100MM BLDL,478.0,478.0,25.33,573.6,49
CDM,844687,ICD PROTECTA VR 334VRG,21250.0,21250.0,1126.25,25500.0,20
CDM,844705,LINER HIP 46MM,1630.0,1630.0,86.39,1956.0,20
CDM,844708,LINER ACTB MED 42MM ALPH,1630.0,1630.0,86.39,1956.0,20
CDM,844742,SUTURE BLK MONO 6-0 24IN,1483.0,1483.0,78.6,1779.6,49
CDM,844745,SUTURE BLK MONO 7-0 18IN,2210.0,2210.0,117.13,2652.0,49
CDM,844748,PIN GUIDE ORTH 2MM 229MM,1131.0,1131.0,59.94,1357.2,49
CDM,844755,PLUG BNCMNT 16/25MM CNRD,408.0,408.0,21.62,489.6,20
CDM,844764,WIRE FX 1.1MM 4IN KRSH S,2069.0,2069.0,109.66,2482.8,49
CDM,844765,KWIRE FX 4IN .062IN,2069.0,2069.0,109.66,2482.8,49
CDM,844767,INSERT TIB KN SZ1-2 13MM,1300.0,1300.0,68.9,1560.0,20
CDM,844791,PACNG 2REVO MRI SURESCAN,10100.0,10100.0,535.3,12120.0,20
CDM,844803,STEM FEM HIP 17MM 150MM,3525.0,3525.0,186.82,4230.0,20
CDM,844804,LINER ACTB HIP 54MM 36MM,1100.0,1100.0,58.3,1320.0,20
CDM,844806,ICD PROTECTA TRG D334TRG,32000.0,32000.0,1696.0,38400.0,20
CDM,844822,SCREW BN 2.4MM 4MM 22MM,98.0,98.0,5.19,117.6,20
CDM,844836,STENT URET 5FR 24CM,241.0,241.0,12.77,289.2,20
CDM,844842,STEM FEM PRIM STD 135MM,3800.0,3800.0,201.4,4560.0,20
CDM,844843,INSERT ARTC KN PST 12MM,1590.0,1590.0,84.27,1908.0,20
CDM,844847,TIB INS 3D SZ 5/11 RT DJ,2140.0,2140.0,113.42,2568.0,20
CDM,844856,HEAD FEM OPTN TYPE1 +6MM,110.0,110.0,5.83,132.0,20
CDM,844869,INSERT TIB 4 9MM KN PST,1100.0,1100.0,58.3,1320.0,20
CDM,844896,PROSTH RESRVOIR 125ML,4478.0,4478.0,237.33,5373.6,20
CDM,844915,CATH ABL 7FR 4X115CM,5941.0,5941.0,314.87,7129.2,49
CDM,844920,STEM FEM KN 127MM 11MM,3694.0,3694.0,195.78,4432.8,20
CDM,844921,COMPONENT FEM STD HIP,6622.0,6622.0,350.97,7946.4,20
CDM,844922,KWIRE FX 4IN .035IN,918.0,918.0,48.65,1101.6,49
CDM,844935,ICD PROTECTA DR D334DRG,22850.0,22850.0,1211.05,27420.0,20
CDM,844936,SCREW SPN 4MM 14MM,150.0,150.0,7.95,180.0,20
CDM,844939,HEAD FEM HIP 40MM,1300.0,1300.0,68.9,1560.0,20
CDM,844940,NAIL BN FEM 11.5MM 34CM,2398.0,2398.0,127.09,2877.6,20
CDM,844944,CUTTER SURG 10MM,4257.0,4257.0,225.62,5108.4,49
CDM,844960,CENTRALIZR STM HIP 8.5MM,110.0,110.0,5.83,132.0,20
CDM,844961,STEM FEM HIP CNTRL9.25MM,110.0,110.0,5.83,132.0,20
CDM,844963,STEM FEM HIP SZA 50MM,7553.0,7553.0,400.31,9063.6,20
CDM,845048,CLIP SURG 6MM,1131.0,1131.0,59.94,1357.2,49
CDM,845049,COMPONENT PTLR SM,1190.0,1190.0,63.07,1428.0,20
CDM,845050,TIBIAL RT KNEE CEMENTED,3190.0,3190.0,169.07,3828.0,20
CDM,845051,INSERT TIB FX 14.5MM,1590.0,1590.0,84.27,1908.0,20
CDM,845052,PROFIX KN PSTR NP WO TPR,2360.0,2360.0,125.08,2832.0,20
CDM,845053,COMPONENT FEM RT KN 10,4100.0,4100.0,217.3,4920.0,20
CDM,845054,INSERT TIB PST 10 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,845059,STENT BIL 10MM 60MM,4719.0,4719.0,250.11,5662.8,20
CDM,845060,STENT BIL 10MM 80MM,4719.0,4719.0,250.11,5662.8,20
CDM,845106,STENT DUODENAL 22MM 60MM,4990.0,4990.0,264.47,5988.0,20
CDM,845119,CATH BLNDIL 6MM 2X180CM,2955.0,2955.0,156.62,3546.0,49
CDM,845159,BUTTON GSTRM 18FR 2.0CM,2564.0,2564.0,135.89,3076.8,49
CDM,845163,TUBE FEED 10FR 50CM,2564.0,2564.0,135.89,3076.8,49
CDM,845218,CATH BLNDL 3X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,845255,STENT BIL 7FR 12CM,254.0,254.0,13.46,304.8,20
CDM,845260,IMPLANT BREAST 475CC,1672.0,1672.0,88.62,2006.4,20
CDM,845261,IMPLANT BREAST 425CC,1648.0,1648.0,87.34,1977.6,20
CDM,845267,CATH GD 7FR 65CM,2564.0,2564.0,135.89,3076.8,49
CDM,845282,CATH DRN SDPRT 14FR 29CM,3854.0,3854.0,204.26,4624.8,49
CDM,845304,SCREW BN LCK 2.9X10MM,492.0,492.0,26.08,590.4,20
CDM,845305,SCREW BN 2.9MM 12MM,492.0,492.0,26.08,590.4,20
CDM,845308,GWIRE ORTH 3.2MM 300MM,1244.0,1244.0,65.93,1492.8,49
CDM,845309,PLATE BN STRT.6MM 1.7MM,490.0,490.0,25.97,588.0,20
CDM,845327,SCREW BN SPNL FCT 5.5X50,2300.0,2300.0,121.9,2760.0,20
CDM,845337,PLATE MTRX L RIB6-7 17HL,3918.0,3918.0,207.65,4701.6,20
CDM,845338,PLATE BN LT RIBS 8-9 8HL,3918.0,3918.0,207.65,4701.6,20
CDM,845339,IMPLANT FX MATRIXRIB 3MM,1513.0,1513.0,80.19,1815.6,20
CDM,845355,GWIRE VASC 300CM .014IN,5941.0,5941.0,314.87,7129.2,49
CDM,845361,CTHGD EXCL1018 90D 150CM,7269.0,7269.0,385.26,8722.8,49
CDM,845379,COIL EMB 10CM 4MM TARGET,3956.0,3956.0,209.67,4747.2,20
CDM,845382,COIL EMBL 10CM 6MM,3956.0,3956.0,209.67,4747.2,20
CDM,845439,NAIL 130D 11.536 R,3326.9,3326.9,176.33,3992.28,20
CDM,845443,LINER ACTB HIP 36X52MM,1100.0,1100.0,58.3,1320.0,20
CDM,845453,RETRACTORRING XL,2564.0,2564.0,135.89,3076.8,49
CDM,845458,GRAFT ST TIS 8X6CM,4222.0,4222.0,223.77,5066.4,20
CDM,845460,PLATE MNDB 1.5X2/2.3 14H,1415.0,1415.0,75.0,1698.0,20
CDM,845461,PLATE BN 140D 1.5MM 6HL,1362.0,1362.0,72.19,1634.4,20
CDM,845468,SCREW BN 4MM 35MM,327.0,327.0,17.33,392.4,20
CDM,845495,PLATE BN STR 24HL,887.0,887.0,47.01,1064.4,20
CDM,845496,BIT DRIL .9X46 4 STP,2564.0,2564.0,135.89,3076.8,49
CDM,845497,PLATE BN CRNMXF 24HL,1082.0,1082.0,57.35,1298.4,20
CDM,845505,PLATE MNDB 6HL 2MM,483.0,483.0,25.6,579.6,20
CDM,845516,PATCH DURA CLGN 2X2IN,838.0,838.0,44.41,1005.6,20
CDM,845519,SCREW BN 3.5MM 45MM,84.0,84.0,4.45,100.8,20
CDM,845520,PLATE BN 8HL 94.5MM,960.0,960.0,50.88,1152.0,20
CDM,845551,KIT PRIRDCTS 8.3FR 41CM,2564.0,2564.0,135.89,3076.8,49
CDM,845563,PIN HDLSS 3.2MM 75MM,1178.0,1178.0,62.43,1413.6,49
CDM,845595,SUTURE CV-4 TT-17 36IN,967.0,967.0,51.25,1160.4,49
CDM,845597,SLEEVE SHLDR FRCTRD 11MM,682.0,682.0,36.15,818.4,20
CDM,845598,GWIRE URO .035IN 150CM,559.0,559.0,29.63,670.8,49
CDM,845599,HEAD HUM SHLDR 17X54MM,1958.0,1958.0,103.77,2349.6,20
CDM,845605,CUP 48MM BIPOLAR,2390.0,2390.0,126.67,2868.0,20
CDM,845607,DILATOR RENAL 8FR 35CM,1296.0,1296.0,68.69,1555.2,49
CDM,845621,BIT DRILL 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,845628,PROFIX OXIN PS FEM SZ6 L,5040.0,5040.0,267.12,6048.0,20
CDM,845631,FEMUR COMP EX-SM LT OR,5190.0,5190.0,275.07,6228.0,20
CDM,845632,BASEPLATE TIB SM POROUS,3190.0,3190.0,169.07,3828.0,20
CDM,845635,BASEPLATE TIB GNSIS2 LT,2000.0,2000.0,106.0,2400.0,20
CDM,845639,COMPNT FEM NPOR 4 RT PST,3200.0,3200.0,169.6,3840.0,20
CDM,845640,COMP FEMUR MED LT OR,5190.0,5190.0,275.07,6228.0,20
CDM,845641,FIBER OPTIC 550U SINGLE,2564.0,2564.0,135.89,3076.8,49
CDM,845647,BASEPLATE TIB FNDTN 4 RT,3750.0,3750.0,198.75,4500.0,20
CDM,845652,NAIL FEM 71770824,2932.0,2932.0,155.4,3518.4,20
CDM,845662,SYS SUTLASSO MCRO CRV SM,2564.0,2564.0,135.89,3076.8,49
CDM,845667,INSRT PSTR STBL ARTC 14M,1590.0,1590.0,84.27,1908.0,20
CDM,845668,KIT CATH DV 7FR 20CM,2564.0,2564.0,135.89,3076.8,49
CDM,845727,HEAD FEM HIP 36MM,1300.0,1300.0,68.9,1560.0,20
CDM,845730,SYSTEM PROX SEAL 3.8MM,5941.0,5941.0,314.87,7129.2,49
CDM,845742,PLATE CRV RECON 3.5X6X70,487.62,487.62,25.84,585.14,20
CDM,845750,NAIL BN 13MM 38CM,3684.0,3684.0,195.25,4420.8,20
CDM,845854,PLUG LD UNIPLR PORT PIN,80.0,80.0,4.24,96.0,20
CDM,845861,BURR OPTH 1.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,845883,DEVICE CLSR CLP INT 45MM,2200.0,2200.0,116.6,2640.0,20
CDM,845887,DEVICE CLSR CLP INT 50MM,2200.0,2200.0,116.6,2640.0,20
CDM,845945,PLATE BN LEFT SM 3D,2362.0,2362.0,125.19,2834.4,20
CDM,845949,GRAFT CV 15CM 34MM,5500.0,5500.0,291.5,6600.0,20
CDM,845990,CLAMP ANKL ARTC XTRNFX,1914.0,1914.0,101.44,2296.8,20
CDM,845994,GWIRE VASC 260CM 3MM,969.0,969.0,51.36,1162.8,49
CDM,845998,INTRO SHTH 4FR 11CM,347.0,347.0,18.39,416.4,49
CDM,846000,BIT DRL 12.7CM 3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,846001,BIT DRL 10CM 1.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,846002,LINER ACTB HIP 53MM 28MM,900.0,900.0,47.7,1080.0,20
CDM,846022,KIT GSTRM 12FR 1.2CM,2564.0,2564.0,135.89,3076.8,49
CDM,846028,VALVE FARREL 9.6ML,265.0,265.0,14.04,318.0,49
CDM,846040,STEM FEM BDY KSTN 16.5MM,6890.0,6890.0,365.17,8268.0,20
CDM,846058,SCREW BN 2.4MM 28MM,227.0,227.0,12.03,272.4,20
CDM,846059,ROD SPN CNTOR 5.5X125MM,360.0,360.0,19.08,432.0,20
CDM,846062,LINER ACTB HIP 48X32MM,1100.0,1100.0,58.3,1320.0,20
CDM,846067,STEM FEM KN 150MM 13MM,2417.0,2417.0,128.1,2900.4,20
CDM,846095,STEM FEM HIP 13X146MM,3600.0,3600.0,190.8,4320.0,20
CDM,846096,CMPNT PTLA 3PEG STD25X8,500.0,500.0,26.5,600.0,20
CDM,846102,INTRO SHEATH 8FR 4CM,642.0,642.0,34.03,770.4,49
CDM,846114,PLATE BN NAR RT,3058.0,3058.0,162.07,3669.6,20
CDM,846120,SCREW BN NLCK 3.5MM 22MM,180.0,180.0,9.54,216.0,20
CDM,846126,TUBING ANGIO 1200 72IN,222.0,222.0,11.77,266.4,49
CDM,846164,CMPNT FEM KN RS BUSHING,559.0,559.0,29.63,670.8,20
CDM,846165,CMPNT FEM KN RS AXLE,606.0,606.0,32.12,727.2,20
CDM,846193,COMPNT PTLR 34MM ARCM,500.0,500.0,26.5,600.0,20
CDM,846196,BLD OPTH BLK MCRSHRP 30D,288.0,288.0,15.26,345.6,49
CDM,846232,CATH ANGIO 5FR 100CM,1451.0,1451.0,76.9,1741.2,49
CDM,846234,GWIRE VASC 20CM,508.0,508.0,26.92,609.6,49
CDM,846235,RING CIRC FIX RINF 200MM,1350.0,1350.0,71.55,1620.0,20
CDM,846239,NAIL TIBIA 39CM 10MM,3486.0,3486.0,184.76,4183.2,20
CDM,846241,INS ACTB HIP 22.2X38MM,1500.0,1500.0,79.5,1800.0,20
CDM,846242,LINER ACTB HIP 38MM,1630.0,1630.0,86.39,1956.0,20
CDM,846244,SCREW BN LCK 3.5MM 50MM,364.0,364.0,19.29,436.8,20
CDM,846248,INSERT ARTC KN RT 14MM,1590.0,1590.0,84.27,1908.0,20
CDM,846249,COMPNT FEM KN NPOR RT 3,3200.0,3200.0,169.6,3840.0,20
CDM,846250,SHELL ACTB HMSPHR FMP 60,2600.0,2600.0,137.8,3120.0,20
CDM,846251,EXTN STEM PLSM MD 180X14,1560.0,1560.0,82.68,1872.0,20
CDM,846289,CUFF URTH SPHNCR AB 5CM,14962.0,14962.0,792.99,17954.4,20
CDM,846297,PLATE BN PLVC 10 HL,558.18,558.18,29.58,669.82,20
CDM,846306,NAIL BN FEM 10MM 36CM,2398.0,2398.0,127.09,2877.6,20
CDM,846325,CONNECTOR PEDFUSE 43-49,1200.0,1200.0,63.6,1440.0,20
CDM,846333,SCREW BN 2.7MM 5MM 22MM,71.0,71.0,3.76,85.2,20
CDM,846344,SCREW BN TI CANC 5X24MM,351.0,351.0,18.6,421.2,20
CDM,846345,COMP FEM HIP 22MM 42MM,900.0,900.0,47.7,1080.0,20
CDM,846347,SET SHTH URT 13-15F 36CM,2564.0,2564.0,135.89,3076.8,49
CDM,846348,CATH BLNDL PRPH 120X10CM,1243.2,1243.2,65.89,1491.84,49
CDM,846354,TIBIAL BASE PLT MED OR,3190.0,3190.0,169.07,3828.0,20
CDM,846355,GRAFT BN PTELA RTK PLUS,1190.0,1190.0,63.07,1428.0,20
CDM,846356,INSERT TIB KN CMT 8X9MM,1100.0,1100.0,58.3,1320.0,20
CDM,846363,CATH ATHRCM 2.1MM,19041.0,19041.0,1009.17,22849.2,49
CDM,846412,DRSG WND HDRCLD 4X4IN,81.0,81.0,4.29,97.2,49
CDM,846424,KIT INTRO 110CM 5FR 18GA,3589.0,3589.0,190.22,4306.8,49
CDM,846456,CEMENT MIXER 120GM,3262.0,3262.0,172.89,3914.4,49
CDM,846459,IMOB ORTH KN UNIV 16IN,293.0,293.0,39.26,351.6,24
CDM,846470,INSERT TIB KN SZ5-6 9MM,1300.0,1300.0,68.9,1560.0,20
CDM,846480,DRESSING PETRO 3INX16IN,23.0,23.0,1.22,27.6,49
CDM,846486,SIGMDSCP DISP 25CM 20MM,91.0,91.0,4.82,109.2,49
CDM,846487,HEMOSTAT ABS 1X2IN,6146.0,6146.0,325.74,7375.2,49
CDM,846519,STEM FEM ECHLN 190X17X15,11050.0,11050.0,585.65,13260.0,20
CDM,846525,NAIL 9/7.5MM 24CM HUM TR,2932.0,2932.0,155.4,3518.4,20
CDM,846526,NAIL IM HUM TRGN 7.5X22,3371.0,3371.0,178.66,4045.2,20
CDM,846554,SCREW BN 5MM 85MM,710.0,710.0,37.63,852.0,20
CDM,846564,GRAFT VN 6-15MM 10-30CM,12350.0,12350.0,654.55,14820.0,20
CDM,846583,SCREW BN ASNS 3 8X105MM,472.0,472.0,25.02,566.4,20
CDM,846601,PLATE BN 2.7MM 99MM,1093.0,1093.0,57.93,1311.6,20
CDM,846618,PLATE BN CLAV 8HL LT,3128.0,3128.0,165.78,3753.6,20
CDM,846633,NAIL HUM CANN 7MM 240MM,3199.0,3199.0,169.55,3838.8,20
CDM,846635,INSERT KN TIB STD 16MM,1516.0,1516.0,80.35,1819.2,20
CDM,846673,PLATE BN 8HL LG LT,3128.0,3128.0,165.78,3753.6,20
CDM,846678,CAGE SPNL 50X18X8MM,6300.0,6300.0,333.9,7560.0,20
CDM,846687,GRAFT SFT TIS LNGUS TNDN,2150.0,2150.0,113.95,2580.0,20
CDM,846688,PRO NP P/S FEM W/O TPR5L,2360.0,2360.0,125.08,2832.0,20
CDM,846689,INSERT ARTC KN LT 4 14MM,1590.0,1590.0,84.27,1908.0,20
CDM,846691,SHELL ACTB HIP CH FLR 60,2630.0,2630.0,139.39,3156.0,20
CDM,846692,PLATE BN PLVC RECON 9HL,492.66,492.66,26.11,591.19,20
CDM,846696,BLADE ENDO GSTRC,9556.0,9556.0,506.47,11467.2,49
CDM,846698,PLATE SPN 1LVL 23MM,1900.0,1900.0,100.7,2280.0,20
CDM,846699,LEAD PCNG SURESCAN 45CM,1850.0,1850.0,98.05,2220.0,20
CDM,846702,STENT VASC 7X27MM 80CM,1233.0,1233.0,65.35,1479.6,20
CDM,846703,STENT VASC 7X37MM 80CM,1370.0,1370.0,72.61,1644.0,20
CDM,846722,PLATE BN 4HL 79MM,1100.0,1100.0,58.3,1320.0,20
CDM,846727,SCREW CORTEX 2.4 X 8MM,94.0,94.0,4.98,112.8,20
CDM,846728,SCREW BN 3.5MM 48MM,210.0,210.0,11.13,252.0,20
CDM,846731,CATHETER IV 24GA .75IN R,53.0,53.0,2.81,63.6,49
CDM,846747,KIT DRN 8FR 6.44IN,2564.0,2564.0,135.89,3076.8,49
CDM,846752,DRESSING PETRO 18X3IN,17.0,17.0,0.9,20.4,49
CDM,846753,DRESSING PETRO 3X36IN,25.0,25.0,1.32,30.0,49
CDM,846783,SCREW SPN .25IN 32MM,100.0,100.0,5.3,120.0,20
CDM,846784,PIN HLF EXFX JTX 6X40MM,2054.0,2054.0,108.86,2464.8,49
CDM,846787,PLATE BN CERV 2LVL 39MM,2100.0,2100.0,111.3,2520.0,20
CDM,846826,RAIL MINI FXTR 57.5MM,7616.0,7616.0,403.65,9139.2,49
CDM,846837,NAIL BN TIB 10MM 28CM,3486.0,3486.0,184.76,4183.2,20
CDM,846843,KIT CATH CV 5FR 50CM,2564.0,2564.0,135.89,3076.8,49
CDM,846855,KIT PRSS MNTR 4FR 2.71MM,7564.0,7564.0,400.89,9076.8,49
CDM,846856,PAD REPLACE ADULT UNIV,654.0,654.0,34.66,784.8,49
CDM,846859,CATH CV L38 9.3FR ICY,6383.0,6383.0,338.3,7659.6,49
CDM,846861,COMPNT FEM POROUS RT SZ2,5190.0,5190.0,275.07,6228.0,20
CDM,846863,SCREW SCHANZ 6.0X190MM,471.24,471.24,24.98,565.49,20
CDM,846883,KIT BONE TAMP,20207.0,20207.0,1070.97,24248.4,49
CDM,846884,TRAY KYPHOPLASTY 20/3MM,20207.0,20207.0,1070.97,24248.4,49
CDM,846890,CUTTER SURG 9MM,4257.0,4257.0,225.62,5108.4,49
CDM,846966,CAGE COUGAR LS 18X12X55,6000.0,6000.0,318.0,7200.0,20
CDM,846971,ACTB LINER XLP 20D 62X40,6510.0,6510.0,345.03,7812.0,20
CDM,846982,PIN EXFX DISP .125IN,2564.0,2564.0,135.89,3076.8,49
CDM,846988,STEM FEM STD OFST LNR 15,5000.0,5000.0,265.0,6000.0,20
CDM,846994,CTHDX INFN 5F C3 65,744.0,744.0,39.43,892.8,49
CDM,846996,CANNULA BTN 10MM 2CM,1269.0,1269.0,67.26,1522.8,49
CDM,847002,"Osteogenesis stimulator, electrical, surgically implanted ",15530.0,15530.0,334.14,1050.63,33
CDM,847002,STIMULATOR BN MESH 20/M,15530.0,15530.0,2484.8,18636.0,19
CDM,847011,SCREW BN 2.0MM 7MM,116.0,116.0,6.15,139.2,20
CDM,847015,REAMER LOPRO 7.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,847036,PUSHER CANN KNT FSTFX 36,2564.0,2564.0,135.89,3076.8,49
CDM,847043,NAIL HUM 2MM 300MM,323.0,323.0,17.12,387.6,20
CDM,847044,NAIL BN 2.25MM 300MM,334.0,334.0,17.7,400.8,20
CDM,847047,NAIL HUM 3.5MM 450MM,376.0,376.0,19.93,451.2,20
CDM,847057,PLATE BN CRNL 11HL 2.5MM,4189.0,4189.0,222.02,5026.8,20
CDM,847073,KIT DRESSING FOAM AG MED,2225.0,2225.0,117.92,2670.0,49
CDM,847096,CATH SLITTER 4FR,3275.0,3275.0,173.57,3930.0,49
CDM,847100,CATH BLNDIL 2MM 100MM,2564.0,2564.0,135.89,3076.8,49
CDM,847101,CATH BLNDIL 2MM 150MM,2564.0,2564.0,135.89,3076.8,49
CDM,847102,CATH BLNDIL 2MM 220MM,2594.0,2594.0,137.48,3112.8,49
CDM,847103,CATH BLNDIL 3MM 220MM,2594.0,2594.0,137.48,3112.8,49
CDM,847110,CATH BLNDIL 2.5MM 150MM,2564.0,2564.0,135.89,3076.8,49
CDM,847111,CATH BLNDIL 2.5MM 220MM,2594.0,2594.0,137.48,3112.8,49
CDM,847113,CATH BLNDIL 3MM 100MM,2564.0,2564.0,135.89,3076.8,49
CDM,847114,CATH BLNDIL 3MM 150MM,2564.0,2564.0,135.89,3076.8,49
CDM,847147,SCREW BN 4MM 40MM,363.0,363.0,19.24,435.6,20
CDM,847153,PLATE BN 10HL,3128.0,3128.0,165.78,3753.6,20
CDM,847156,SCREW BN 5MM 54MM,473.0,473.0,25.07,567.6,20
CDM,847173,STABILIZER SURG OCTPS,12995.0,12995.0,688.74,15594.0,49
CDM,847178,SUTURE UND MON +4-0 27IN,2564.0,2564.0,135.89,3076.8,49
CDM,847194,STENT VASC 6X27MM 80CM,1233.0,1233.0,65.35,1479.6,20
CDM,847195,STENT VASC 6X37MM 80CM,1233.0,1233.0,65.35,1479.6,20
CDM,847198,STENT VASC 8X27MM 80CM,1370.0,1370.0,72.61,1644.0,20
CDM,847202,STENT VASC 7X80MM 120CM,1510.0,1510.0,80.03,1812.0,20
CDM,847203,STENT BILI 8X60MM 120CM,1750.0,1750.0,92.75,2100.0,20
CDM,847204,STENT VASC 8X80MM 120CM,1754.0,1754.0,92.96,2104.8,20
CDM,847216,CATH BLN 2.0X120MM 150CM,3262.0,3262.0,172.89,3914.4,49
CDM,847217,CATH BLN 3X120MM 150CM,3262.0,3262.0,172.89,3914.4,49
CDM,847229,STEM FEM KN 90X13MM,2221.0,2221.0,117.71,2665.2,20
CDM,847253,PASSER SUTURE STR,2564.0,2564.0,135.89,3076.8,49
CDM,847254,CATH BLDL 2X120MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,847257,STEM TIB KN 15X80MM,1346.0,1346.0,71.34,1615.2,20
CDM,847260,PLATE SPN 27.5MM,1900.0,1900.0,100.7,2280.0,20
CDM,847262,STEM FEM PORS 9MM SER470,5000.0,5000.0,265.0,6000.0,20
CDM,847268,SCREW SPN FCT FSE 5.5X50,2300.0,2300.0,121.9,2760.0,20
CDM,847272,GRAFT EVAS 127X38MM 22FR,24188.0,24188.0,1281.96,29025.6,20
CDM,847283,CATH GD .035IN 135CM,2564.0,2564.0,135.89,3076.8,49
CDM,847284,CATH GD .014IN 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,847301,STENT AAA EXLDR TRK16CM,19990.0,19990.0,1059.47,23988.0,20
CDM,847345,DRAIN WND RND 10FR,479.0,479.0,25.39,574.8,49
CDM,847348,CATH EP LG 2-5-2X110 6FR,3930.0,3930.0,208.29,4716.0,49
CDM,847350,CUP HUM SHLDR PE +6 38MM,1827.0,1827.0,96.83,2192.4,20
CDM,847351,CANNULA PRFSN 10FR 6IN,647.0,647.0,34.29,776.4,49
CDM,847368,OSTEOTOME FLAT SURG 6MM,6606.0,6606.0,350.12,7927.2,49
CDM,847373,PLATE BN CLAV 8HL RT,2890.0,2890.0,153.17,3468.0,20
CDM,847381,CATH DRN 10FR 25CM,2299.0,2299.0,121.85,2758.8,49
CDM,847384,STEM FEM HIP 100X16MM,1450.0,1450.0,76.85,1740.0,20
CDM,847385,PLATE BN ORBT POR 35X.8,1124.0,1124.0,59.57,1348.8,20
CDM,847387,HALF PIN 4X35MM,363.0,363.0,19.24,435.6,20
CDM,847388,INSERT TIB SZ2 RTK 12.0,1590.0,1590.0,84.27,1908.0,20
CDM,847391,INSERT TIB 2 CNSTRN PST,2500.0,2500.0,132.5,3000.0,20
CDM,847396,KNIF OPHTHALCRESENT ST,470.0,470.0,24.91,564.0,49
CDM,847410,PLATE SPN 25MM,1900.0,1900.0,100.7,2280.0,20
CDM,847423,SCREW BN CANC 5MM 54MM,402.0,402.0,21.31,482.4,20
CDM,847424,SCREW BN CANC 5MM 50MM,402.0,402.0,21.31,482.4,20
CDM,847434,SCREW BN CORT 4.0X26MM,290.0,290.0,15.37,348.0,20
CDM,847438,SCREW BN 4MM 34MM,363.0,363.0,19.24,435.6,20
CDM,847446,PLATE BN W BAR 4H 2.4MM,307.0,307.0,16.27,368.4,20
CDM,847455,SCREW BN CORT 3.5X40MM,70.0,70.0,3.71,84.0,20
CDM,847469,CATHETER ANGIO 5F 65MM,1074.0,1074.0,56.92,1288.8,49
CDM,847471,DILATOR SURG HDRPH.035IN,2564.0,2564.0,135.89,3076.8,49
CDM,847559,HEAD FEM SHRT NK 26MM,1590.0,1590.0,84.27,1908.0,20
CDM,847560,COMPNT FEM 8 RT NPOR STB,3200.0,3200.0,169.6,3840.0,20
CDM,847580,SUTURE VIO BRD 6-0 18IN,414.0,414.0,21.94,496.8,49
CDM,847608,PLATE BN LT 9HL 151MM,1180.0,1180.0,62.54,1416.0,20
CDM,847611,PLATE BN 6H 2.7/3.5X112,1110.0,1110.0,58.83,1332.0,20
CDM,847615,SCREW BN LCK 2.7MM 8MM,205.0,205.0,10.87,246.0,20
CDM,847652,SCREW BN 6.5 75 SS LK CA,1430.0,1430.0,75.79,1716.0,20
CDM,847661,PLATE BN LCK STRT 8HL,1572.0,1572.0,83.32,1886.4,20
CDM,847683,SCRW CA 16THD 7.5X70MM,492.0,492.0,26.08,590.4,20
CDM,847688,GWIRE VASC 108CM,2564.0,2564.0,135.89,3076.8,49
CDM,847707,MESH HRN RT 5.3X3.1IN,739.0,739.0,39.17,886.8,20
CDM,847708,MESH HRN RT 6.2X4.1IN,787.0,787.0,41.71,944.4,20
CDM,847740,DILATOR VSC 14F 038X20,348.0,348.0,18.44,417.6,49
CDM,847746,INTRODUCER SHTH 6FR 55CM,2525.0,2525.0,133.82,3030.0,49
CDM,847748,SHEATH GD 6FR 70CM,2564.0,2564.0,135.89,3076.8,49
CDM,847749,INTRODUCER SHTH 7FR 55CM,2525.0,2525.0,133.82,3030.0,49
CDM,847753,COMPNT FEM KN RT 65MM,9539.0,9539.0,505.57,11446.8,20
CDM,847754,BLADE STRL 15D 3MM,288.0,288.0,15.26,345.6,49
CDM,847758,PROBE CRYOFLX ABLN 10CM,22889.0,22889.0,1213.12,27466.8,49
CDM,847759,GW VASC 145CM .038IN STD,358.0,358.0,18.97,429.6,49
CDM,847760,CATH STRGT ART 5FR 65CM,497.0,497.0,26.34,596.4,49
CDM,847761,CUP HUM 38MM DLT XTND,1700.0,1700.0,90.1,2040.0,20
CDM,847763,SHNT INT CRNRY OD1.25,4113.0,4113.0,217.99,4935.6,49
CDM,847765,SHUNT CV 14MM 2MM,4113.0,4113.0,217.99,4935.6,49
CDM,847768,LNCT PHLEB PRFCT CUT,1018.0,1018.0,53.95,1221.6,49
CDM,847770,ANCHOR SUT 4.75X19.1MMM,3654.0,3654.0,193.66,4384.8,20
CDM,847800,DEVICE CLSR WND 4-0 70CM,949.0,949.0,50.3,1138.8,49
CDM,847805,DEFIB CARD THK15MM 51X69,32000.0,32000.0,1696.0,38400.0,20
CDM,847807,DEFIB CARD THK15MM 51X64,21250.0,21250.0,1126.25,25500.0,20
CDM,847813,GLIDSHEATH Z KIT 6F 10MM,2186.0,2186.0,115.86,2623.2,49
CDM,847816,BASEPLATE TIB PRFX 85X58,1920.0,1920.0,101.76,2304.0,20
CDM,847821,INSERT ARTC KN PRFX SZ6,1590.0,1590.0,84.27,1908.0,20
CDM,847822,COMPNT FEM 7 LT KN PRFX,5040.0,5040.0,267.12,6048.0,20
CDM,847824,SCREW BN 5MM 56MM,540.0,540.0,28.62,648.0,20
CDM,847826,SCREW CANN GOEZ 3X10MM,370.0,370.0,19.61,444.0,20
CDM,847833,CMPNT HUM SHLDR RT SZ3,5078.0,5078.0,269.13,6093.6,20
CDM,847844,SCREW BN GOEZ 2.5X16MM,370.0,370.0,19.61,444.0,20
CDM,847848,STIMULATOR BN OSTGN IMPL,17740.0,17740.0,940.22,21288.0,20
CDM,847861,PLATE BN 7HL 2.7MM 67MM,805.0,805.0,42.66,966.0,20
CDM,847898,TROCAR LAP 5MM 100MM,653.0,653.0,34.61,783.6,49
CDM,847919,DILATOR VASC 12FR 20CM,348.0,348.0,18.44,417.6,49
CDM,847931,STEM FEM RGH BLASTING FI,143.0,143.0,7.58,171.6,20
CDM,847946,NEEDLE BX 15CM 22GA,678.0,678.0,35.93,813.6,49
CDM,847950,SHEATH GD 5FR 55CM,2525.0,2525.0,133.82,3030.0,49
CDM,847951,GUIDEWIRE VASC 150CM,1151.0,1151.0,61.0,1381.2,49
CDM,847962,PLATE BN 10HL ORBT 1.2MM,441.0,441.0,23.37,529.2,20
CDM,847964,NAIL KNEE 10MM 67CM,14064.0,14064.0,745.39,16876.8,20
CDM,847966,SET INTRO SHTH 6FR 35CM,2564.0,2564.0,135.89,3076.8,49
CDM,847967,CATH ANGIO 5FR 100CM,363.0,363.0,19.24,435.6,49
CDM,847970,TIP IRR LAV DISP,323.0,323.0,17.12,387.6,49
CDM,847978,STENT BIL 7FR 15CM,255.0,255.0,13.52,306.0,20
CDM,847985,SPLINT FINGER KIT 3-1/4,20.0,20.0,1.06,24.0,49
CDM,848008,CATH URET 10FR 2LUM,1319.0,1319.0,69.91,1582.8,49
CDM,848049,KIT THRMB 6FR 120CM,12047.0,12047.0,638.49,14456.4,49
CDM,848066,BLN AVTR+ RX 4X2X142,2564.0,2564.0,135.89,3076.8,49
CDM,848067,BLN AVTR+ RX 5X2X142,2564.0,2564.0,135.89,3076.8,49
CDM,848099,INSERT ARTC KN PST SZ 5,1590.0,1590.0,84.27,1908.0,20
CDM,848100,SCREW CORT TIB PHNX 5X22,524.0,524.0,27.77,628.8,20
CDM,848105,STEM FEM HIP 16MM 152MM,3600.0,3600.0,190.8,4320.0,20
CDM,848106,STEM FEM HIP 132MM 6MM,3600.0,3600.0,190.8,4320.0,20
CDM,848108,STEM FEM HIP 5MM 130MM,3600.0,3600.0,190.8,4320.0,20
CDM,848138,SUTURE BLK BRD 3-0 18IN,289.0,289.0,15.32,346.8,49
CDM,848139,SUTURE BLK BRD 4-0 18IN,311.0,311.0,16.48,373.2,49
CDM,848142,KIT PEG FD 20FR SIL STD,5528.0,5528.0,292.98,6633.6,49
CDM,848154,SUT SRGLN BRAID 2-0 18IN,596.0,596.0,31.59,715.2,49
CDM,848180,DILATOR VASC 8FR 15CM,376.0,376.0,19.93,451.2,49
CDM,848183,STENT VASC 8-6MM 30MM,3860.0,3860.0,204.58,4632.0,20
CDM,848185,STENT VASC 8MM 30MM,3860.0,3860.0,204.58,4632.0,20
CDM,848200,CATHETER DRN 8.5FR 25CM,1982.0,1982.0,105.05,2378.4,49
CDM,848201,CATH CV2 LUM 9.5FR 47CM,2607.0,2607.0,138.17,3128.4,49
CDM,848205,CATH ANGIO 4FR 65CM,546.0,546.0,28.94,655.2,49
CDM,848221,KIT ACC INTRO 6FR 15CM,2165.0,2165.0,114.75,2598.0,49
CDM,848268,ANCHOR SUT 4.75MM 15.8MM,750.0,750.0,39.75,900.0,20
CDM,848269,PLATE BN HUM TIT 3H,2990.0,2990.0,158.47,3588.0,20
CDM,848270,SCREW BN 3.5MM 22MM,224.0,224.0,11.87,268.8,20
CDM,848271,SCREW BN 3.5MM 24MM,246.0,246.0,13.04,295.2,20
CDM,848272,SCREW BN 4MM 34MM,224.0,224.0,11.87,268.8,20
CDM,848273,SCREW BN 4MM 38MM,224.0,224.0,11.87,268.8,20
CDM,848274,SCREW BN 4MM 40MM,224.0,224.0,11.87,268.8,20
CDM,848275,SCREW BN 4MM 42MM,246.0,246.0,13.04,295.2,20
CDM,848280,GRAFT CV EXCLUDER 11.5CM,8200.0,8200.0,434.6,9840.0,20
CDM,848286,CATH BLN 2.5X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,848288,PLATE BN 8HL 194MM 3.5MM,2694.0,2694.0,142.78,3232.8,20
CDM,848290,SPACER HUMERAL 9MM,1200.0,1200.0,63.6,1440.0,20
CDM,848291,CUP HUM SHLDR +9 38MM,1827.0,1827.0,96.83,2192.4,20
CDM,848299,ANCHOR SUT 5.5MM 14.7MM,670.0,670.0,35.51,804.0,20
CDM,848326,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,848334,GUIDEWIRE VASC HYDRPHL,1076.0,1076.0,57.03,1291.2,49
CDM,848347,CATH BLN 2.5X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,848349,CATH BLDL 2X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,848350,INTRO SHTH 11FR 10CM,377.0,377.0,19.98,452.4,49
CDM,848354,SPACER SPN 0D 14X11X9MM,1700.0,1700.0,90.1,2040.0,20
CDM,848361,INSERT TIB SZ1 12MM,1590.0,1590.0,84.27,1908.0,20
CDM,848363,WIRE FX ORTH LIGATRE 6MM,722.0,722.0,38.27,866.4,49
CDM,848365,ROD SPNL MANTIS LMBR 45,2417.3,2417.3,128.12,2900.76,20
CDM,848367,ROD SPNL XIA COMPR 70X6,360.0,360.0,19.08,432.0,20
CDM,848372,ROD SPNL HEX 40X6,2417.3,2417.3,128.12,2900.76,20
CDM,848373,SHELL ACTB 56MM MLHL,2630.0,2630.0,139.39,3156.0,20
CDM,848392,BIPOLAR CORNM COCR 43X26,2390.0,2390.0,126.67,2868.0,20
CDM,848415,VALVE AORTIC 19MM,8160.0,8160.0,432.48,9792.0,20
CDM,848416,VALVE AORTIC 21MM,8160.0,8160.0,432.48,9792.0,20
CDM,848417,VALVE AORTIC 23MM,8160.0,8160.0,432.48,9792.0,20
CDM,848418,VALVE AORTIC 27/29MM,7200.0,7200.0,381.6,8640.0,20
CDM,848419,VALVE MITRAL 23/25MM,7060.0,7060.0,374.18,8472.0,20
CDM,848420,VALVE AORTIC 19MM,11340.0,11340.0,601.02,13608.0,20
CDM,848421,VALVE AORTIC 21MM,11340.0,11340.0,601.02,13608.0,20
CDM,848422,VALVE AORTIC 23MM,11340.0,11340.0,601.02,13608.0,20
CDM,848423,VALVE AORTIC 25MM,11340.0,11340.0,601.02,13608.0,20
CDM,848424,VALVE AORTIC 27/29MM,11340.0,11340.0,601.02,13608.0,20
CDM,848436,SCREW BN 2.7X18MM CORT,4790.0,4790.0,253.87,5748.0,20
CDM,848455,DRILL 2.0MM QUICK RELEAS,2564.0,2564.0,135.89,3076.8,49
CDM,848498,PLATE TIB BASE RTK+ SM,3190.0,3190.0,169.07,3828.0,20
CDM,848499,BIPOLAR CORNM COMP 12X26,2390.0,2390.0,126.67,2868.0,20
CDM,848503,CATH HMDIAL 16FR 28CM,4419.0,4419.0,234.21,5302.8,49
CDM,848506,CATH BLN 2.5X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,848516,SCREW BN 4X40MM 13.5MM,294.0,294.0,15.58,352.8,20
CDM,848519,TUBE PORTAL CANNULA ENDO,2564.0,2564.0,135.89,3076.8,49
CDM,848525,BLADE SPNL DISP 6.5MM,3275.0,3275.0,173.57,3930.0,49
CDM,848529,ROD SPN 75MM 5.5MM,360.0,360.0,19.08,432.0,20
CDM,848549,SET INTRO SHTH 6FR 11CM,1112.0,1112.0,58.94,1334.4,49
CDM,848560,SCREW BN 4MM 34MM,363.0,363.0,19.24,435.6,20
CDM,848565,COMPNT PTELA LG AGMNT 22,4249.7,4249.7,225.23,5099.64,20
CDM,848585,CATH TEMP SIM 2 4F 100CM,744.0,744.0,39.43,892.8,49
CDM,848601,INSERT TIB KN X3 2 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,848603,STEM FEM LAT OFFST 7 HIP,5000.0,5000.0,265.0,6000.0,20
CDM,848608,NAIL BN FEM 10X34MM,3684.0,3684.0,195.25,4420.8,20
CDM,848617,DEVICE INFLATION 20ML,1135.0,1135.0,60.16,1362.0,49
CDM,848619,CATH BLADDER,2564.0,2564.0,135.89,3076.8,49
CDM,848628,ROD SPN 120MM,360.0,360.0,19.08,432.0,20
CDM,848631,STEM FEM MOD BDY KSTN 15,1560.0,1560.0,82.68,1872.0,20
CDM,848633,PLATE BN .5X1.2MM 7HL,382.0,382.0,20.25,458.4,20
CDM,848634,PROBE PRCR SURG 10MM,5502.0,5502.0,291.61,6602.4,49
CDM,848637,GUIDEWIRE ORTH 1.45MM,942.0,942.0,49.93,1130.4,49
CDM,848638,STEM TIB KN 16MM 80MM,1345.0,1345.0,71.28,1614.0,20
CDM,848647,PLATE BN SM 12HL,1190.0,1190.0,63.07,1428.0,20
CDM,848655,SCREW BN 3.5MM 80MM,238.0,238.0,12.61,285.6,20
CDM,848658,SCREW BN 4.5MM 30MM,200.0,200.0,10.6,240.0,20
CDM,848670,INSERT TIB KN EZ3-4 9MM,1300.0,1300.0,68.9,1560.0,20
CDM,848671,SCRW CA 16THD 7.5X95MM,382.0,382.0,20.25,458.4,20
CDM,848674,DEVICE SUT 5MM 31CM,5344.0,5344.0,283.23,6412.8,49
CDM,848675,DEVICE UNIT SUT FASTNER,86.0,86.0,4.56,103.2,20
CDM,848730,STENT AAA EXLDR 14CM 26,19990.0,19990.0,1059.47,23988.0,20
CDM,848747,CATH BLNL 1.5X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,848748,CATH BLN 1.5X120MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,848752,KIT FLWMT CMPT FX INJ,1884.0,1884.0,99.85,2260.8,49
CDM,848753,CATH BLNDL 2.5X120X150,2564.0,2564.0,135.89,3076.8,49
CDM,848755,CATH BLDL 3X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,848756,CATH BLDL 2X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,848770,CATH BLDL 4X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,848771,CATH BLDL 5X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,848774,CATH BLDL 5X220MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,848779,CATH BLDL 6X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,848780,CATH BLDL 6X220MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,848781,CATH BLN 4X220MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,848790,GDPIN ORTH 2.4MM 508MM,904.0,904.0,47.91,1084.8,49
CDM,848796,HEAD FEM HIP RV LIMA 110,5200.0,5200.0,275.6,6240.0,20
CDM,848798,CATH URN DIL 5MM 4CM,2704.0,2704.0,143.31,3244.8,49
CDM,848799,COMPNT FEM PORS EXSM SZ1,5190.0,5190.0,275.07,6228.0,20
CDM,848800,INSERT TIB SZ1 RTK+17.0,1590.0,1590.0,84.27,1908.0,20
CDM,848805,SUTURE BLK BRD 5-0 18IN,98.0,98.0,5.19,117.6,49
CDM,848809,COMPNT FEM RIGHT KNEE,5190.0,5190.0,275.07,6228.0,20
CDM,848836,SCREW BN 3.7MM 60MM,332.0,332.0,17.6,398.4,20
CDM,848842,GRAFT CV 12MM 20CM,3742.0,3742.0,198.33,4490.4,20
CDM,848956,GFT SFT TIS L7CMX24,1590.0,1590.0,84.27,1908.0,20
CDM,848981,INSERT SCKT HUM STD 36MM,1350.0,1350.0,71.55,1620.0,20
CDM,848983,HEAD HUM SHLDR 36MM,1608.0,1608.0,85.22,1929.6,20
CDM,849000,PLATE BN DIST LCK LT 8H,1590.0,1590.0,84.27,1908.0,20
CDM,849007,BIT DRILL DIST ANKL 2.5M,2564.0,2564.0,135.89,3076.8,49
CDM,849009,CAGE SPNL 24.5X9.5X9MM W,4000.0,4000.0,212.0,4800.0,20
CDM,849028,SCREW BN 3.5MM 22MM,90.0,90.0,4.77,108.0,20
CDM,849029,SCREW BN 3.5MM 24MM,90.0,90.0,4.77,108.0,20
CDM,849033,PLATE SPN 1LVL 14MM,1900.0,1900.0,100.7,2280.0,20
CDM,849039,SCREW BN 4MM 14MM,150.0,150.0,7.95,180.0,20
CDM,849040,CAGE SPNL STD BNGL 7X7,1600.0,1600.0,84.8,1920.0,20
CDM,849041,PLATE SPN 3LVL 54MM,1900.0,1900.0,100.7,2280.0,20
CDM,849043,CAGE SPNL STD BNGL 7X8,1600.0,1600.0,84.8,1920.0,20
CDM,849103,SLING ORTH LG ARM,1953.0,1953.0,103.51,2343.6,49
CDM,849115,BRACE KN UNV QRLSE,2564.0,2564.0,135.89,3076.8,49
CDM,849116,BRACE PSTOP XL QRLSE,2564.0,2564.0,135.89,3076.8,49
CDM,849125,SCREW BN NLCK 3.5MM 26MM,180.0,180.0,9.54,216.0,20
CDM,849135,PLATE BN DBL Y 7H,353.0,353.0,18.71,423.6,20
CDM,849140,GRAFT BN CANC TSS 40ML,814.3,814.3,43.16,977.16,20
CDM,849144,SET DILATOR STIM,5240.0,5240.0,277.72,6288.0,49
CDM,849150,FILLER BN VOID 10CC,2380.0,2380.0,126.14,2856.0,20
CDM,849156,SUTURE VIO MONO 0 27IN,2.0,2.0,0.11,2.4,49
CDM,849157,BLADE SBRTOTH 13CM 5.5MM,1313.08,1313.08,69.59,1575.7,49
CDM,849159,CANNULA ARTHSCP 7MM 7CM,942.0,942.0,49.93,1130.4,49
CDM,849167,SCREW BN 5MM 75MM,870.0,870.0,46.11,1044.0,20
CDM,849175,SCREW BN CANC PLRS 5X40,264.0,264.0,13.99,316.8,20
CDM,849177,PIN FX DMD RND 9IN,2564.0,2564.0,135.89,3076.8,49
CDM,849179,TUBING ROT M LL F 20IN,162.0,162.0,8.59,194.4,49
CDM,849185,WIRE PCNG 20.3CM 1/2IN,485.0,485.0,25.7,582.0,49
CDM,849186,ELECTRODE ESURG URO 24FR,2564.0,2564.0,135.89,3076.8,49
CDM,849187,SCREW BN 4.5X7.9X76MM,218.0,218.0,11.55,261.6,20
CDM,849188,BUR OVAL 8 FLUTE 5MM,1274.46,1274.46,67.55,1529.35,49
CDM,849191,SCREW BN CANC LCK 4.0X32,460.0,460.0,24.38,552.0,20
CDM,849195,SUTURE POLY TCRN 2 36IN,461.0,461.0,24.43,553.2,49
CDM,849196,PIN BN DMD 1ND 3.5MM,387.0,387.0,20.51,464.4,20
CDM,849198,KWIRE FX 4IN .028IN,918.0,918.0,48.65,1101.6,49
CDM,849223,SCREW BN 4MM 42MM,363.0,363.0,19.24,435.6,20
CDM,849224,GWIRE ORTH 150MM .053IN,829.0,829.0,43.94,994.8,49
CDM,849226,PLATE BN 6HL 3.5MM 194MM,2694.0,2694.0,142.78,3232.8,20
CDM,849243,STEM FEM HIP 150X15MM,3525.0,3525.0,186.82,4230.0,20
CDM,849265,CONFORMER OCUL LARGE,117.0,117.0,6.2,140.4,20
CDM,849266,CONFORMER OCUL SMALL,117.0,117.0,6.2,140.4,20
CDM,849267,CONFORMER OCUL MED,117.0,117.0,6.2,140.4,20
CDM,849282,SCREW BN CANC LCK 4X42,460.0,460.0,24.38,552.0,20
CDM,849283,SCREW BN CANC PLCK 4X46,460.0,460.0,24.38,552.0,20
CDM,849284,SCREW BN CORT LCK 22.5,480.0,480.0,25.44,576.0,20
CDM,849286,CUTTER BN 13CM 4.0MM,1734.0,1734.0,91.9,2080.8,49
CDM,849287,PLATE 5X.6MM MDFC RT 5H,391.0,391.0,20.72,469.2,20
CDM,849291,INSERT TIB PST SZ4 11MM,2419.3,2419.3,128.22,2903.16,20
CDM,849295,GUIDE PIN ORTH 2.0X150MM,2564.0,2564.0,135.89,3076.8,49
CDM,849299,KIT SURG ACC DISP,6179.0,6179.0,327.49,7414.8,49
CDM,849312,BIT DRILL NEURO 2.4MM,2564.0,2564.0,135.89,3076.8,49
CDM,849357,ANCHOR SUT 2.2MM 2-0 3/8,570.0,570.0,30.21,684.0,20
CDM,849358,GRAFT SFT TIS SEMI TNDN,2150.0,2150.0,113.95,2580.0,20
CDM,849501,LEAD PACING UNIPLR 78CM,3390.0,3390.0,179.67,4068.0,20
CDM,849524,SCREW BN 6MM 2.3MM,156.0,156.0,8.27,187.2,20
CDM,849529,SCREW BN 3.5MM 70MM,238.0,238.0,12.61,285.6,20
CDM,849530,PLATE BN 3.5MM 131MM,1899.0,1899.0,100.65,2278.8,20
CDM,849534,SCREW BN 7X85X16MM,462.0,462.0,24.49,554.4,20
CDM,849539,PASTE GENEX DS 2.5 CC,1140.0,1140.0,60.42,1368.0,20
CDM,849540,KNIFE SURG BYNT 188MM,3283.0,3283.0,174.0,3939.6,49
CDM,849543,NOZZLE BN CEMENT SMALL,2564.0,2564.0,135.89,3076.8,49
CDM,849545,KIT CATH HMDIAL 15CM,4418.0,4418.0,234.15,5301.6,49
CDM,849548,PLATE BN 6H 92.5MM,1425.0,1425.0,75.53,1710.0,20
CDM,849566,COMPNT TIB 3F/3T KNEE,2000.0,2000.0,106.0,2400.0,20
CDM,849570,RING ANLPLS TRCSD 28MM,4700.0,4700.0,249.1,5640.0,20
CDM,849571,STEM FEM MOD BDY KSTN 20,6890.0,6890.0,365.17,8268.0,20
CDM,849574,STEM FEM 10MM,6990.0,6990.0,370.47,8388.0,20
CDM,849575,CUPBI-POLAR 46MM,2390.0,2390.0,126.67,2868.0,20
CDM,849580,STEM TIB KNEE 150X12MM,1450.0,1450.0,76.85,1740.0,20
CDM,849581,STEM EXT 205X14MM,1820.0,1820.0,96.46,2184.0,20
CDM,849584,CATH BLDL 6X100MM 130CM,3733.0,3733.0,197.85,4479.6,49
CDM,849588,SCREW CANC P/T LCK 4X40,510.0,510.0,27.03,612.0,20
CDM,849592,COMPNT FEM 6 LT KN PST S,3200.0,3200.0,169.6,3840.0,20
CDM,849602,NAIL BN 3.0MM 440MM,648.0,648.0,34.34,777.6,20
CDM,849669,STEM FEM 150X22M FNDTN,1000.0,1000.0,53.0,1200.0,20
CDM,849670,BASEPLATE TIB 8 ROT,3750.0,3750.0,198.75,4500.0,20
CDM,849681,GRAFT FF FLEXOR TENDON,1106.0,1106.0,58.62,1327.2,20
CDM,849723,SCREW BN 4MM 36MM,363.0,363.0,19.24,435.6,20
CDM,849726,ROD CONN SPN 38-47MM,900.0,900.0,47.7,1080.0,20
CDM,849736,MARKER BX SITE 12GA 13CM,121.0,121.0,6.41,145.2,20
CDM,849755,ROD SPN 5.5MM 80MM,360.0,360.0,19.08,432.0,20
CDM,849791,SLING TRAC MED 18.5X11.5,321.0,321.0,17.01,385.2,49
CDM,849792,SPLINT ORTH WRST 11.5 RT,343.0,343.0,18.18,411.6,49
CDM,849793,SPLINT ORTH FARM 11.5 LT,466.0,466.0,24.7,559.2,49
CDM,849802,GWIRE SPN DISP 24IN,942.0,942.0,49.93,1130.4,49
CDM,849804,PLATE 5X.6MM MDFC LT 5H,391.0,391.0,20.72,469.2,20
CDM,849807,CATH 5FR 5MM 135CM,974.4,974.4,51.64,1169.28,49
CDM,849811,SCREW BN 5X55MM,470.0,470.0,24.91,564.0,20
CDM,849812,STEM FEM EXT 205X17MM,1820.0,1820.0,96.46,2184.0,20
CDM,849875,SCREW BN 2MM 18MM,78.0,78.0,4.13,93.6,20
CDM,849887,SCREW BN 5MM 36MM,540.0,540.0,28.62,648.0,20
CDM,849891,CLAW FEM 40-50MM MLHD,28.0,28.0,1.48,33.6,20
CDM,849922,SCREW BN 4.2MM 30MM CORT,470.0,470.0,24.91,564.0,20
CDM,849923,SCREW BN 4.2MM 40MM AOS,630.0,630.0,33.39,756.0,20
CDM,849929,NAIL TROCH ES LT 10X30,4370.0,4370.0,231.61,5244.0,20
CDM,849972,INSERT TIB SZ10 CMNT PST,2140.0,2140.0,113.42,2568.0,20
CDM,849983,GRAFT SFT TISS TNDN,2839.0,2839.0,150.47,3406.8,20
CDM,849984,ROD SPN 40MM,360.0,360.0,19.08,432.0,20
CDM,849986,ROD SPN 5.5MM 45MM,360.0,360.0,19.08,432.0,20
CDM,849987,SCREW BN 6 45 VPR 2 SPNL,1200.0,1200.0,63.6,1440.0,20
CDM,850030,MARKER BX SITE 12GA 13CM,135.0,135.0,7.16,162.0,20
CDM,850044,BIT DRILL 3MM 3.8MM,2706.0,2706.0,143.42,3247.2,49
CDM,850071,COIL EMB 20CM 5MM,3956.0,3956.0,209.67,4747.2,20
CDM,850127,INSERT ARTC KN 5-6 11MM,2630.0,2630.0,139.39,3156.0,20
CDM,850129,PLATE PLVC 10HL 154.5MM,678.0,678.0,35.93,813.6,20
CDM,850130,SCREW BN 5.5X45MM SPNL,1000.0,1000.0,53.0,1200.0,20
CDM,850131,ROD SPNL PREBENT L25MM,1300.0,1300.0,68.9,1560.0,20
CDM,850132,NAIL BN 11.5MM 33CM,3486.0,3486.0,184.76,4183.2,20
CDM,850137,HOLDER PLT BB-TAK THRD,2564.0,2564.0,135.89,3076.8,49
CDM,850140,NAIL FEM COMP 9MMX44CM,4180.0,4180.0,221.54,5016.0,20
CDM,850146,METATARSAL FF LT #4,1311.98,1311.98,69.53,1574.38,20
CDM,850147,NAIL TIBIAL 8X27.0MM,3930.0,3930.0,208.29,4716.0,20
CDM,850149,RING ANLPLS TRCSD 26MM,4700.0,4700.0,249.1,5640.0,20
CDM,850150,PLATE BN 8HL 3.5MM 128MM,2641.0,2641.0,139.97,3169.2,20
CDM,850151,INSERT TIB SCORPIO-FLEX3,2281.0,2281.0,120.89,2737.2,20
CDM,850152,PLATE SS PRLC 97MM,973.0,973.0,51.57,1167.6,20
CDM,850153,SCREW BN 2.7 10 PRLK T15,54.0,54.0,2.86,64.8,20
CDM,850154,SCREW BN 2.7MM12MMPROLOC,54.0,54.0,2.86,64.8,20
CDM,850159,BIT DRILL 2.7MM 155MM,3569.0,3569.0,189.16,4282.8,49
CDM,850161,CAPSULE ENDO CAM 11X26MM,2564.0,2564.0,135.89,3076.8,49
CDM,850165,BRACE LMBR POS W/ LAT LG,2564.0,2564.0,343.58,3076.8,24
CDM,850167,BRACE LMBR POS W/ LAT SM,2564.0,2564.0,343.58,3076.8,24
CDM,850168,BRACE LMBR POS W/ LAT XL,2564.0,2564.0,343.58,3076.8,24
CDM,850170,BRACE WST POST WO SUP MD,1838.0,1838.0,97.41,2205.6,49
CDM,850171,BRACE LMBR POS WO LAT SM,1795.0,1795.0,240.53,2154.0,24
CDM,850172,BRACE LMBR POS WO LAT XL,1795.0,1795.0,240.53,2154.0,24
CDM,850180,STENT URET 4.8FR 16CM,183.0,183.0,9.7,219.6,20
CDM,850201,BIT DRILL CANN 4.5MM,2607.0,2607.0,138.17,3128.4,49
CDM,850221,TRACKER NVG INST DISP,2564.0,2564.0,135.89,3076.8,49
CDM,850222,DEVICE NAV SURG,2564.0,2564.0,135.89,3076.8,49
CDM,850237,DRILL TWIST 1.6MM 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,850249,GUIDE DRL 3.5X2.7MM,2708.16,2708.16,143.53,3249.79,49
CDM,850252,PLATE SCR 10HL 118X3.5MM,540.54,540.54,28.65,648.65,20
CDM,850254,SCREW BN 5.0MM 50MM,470.0,470.0,24.91,564.0,20
CDM,850261,COMPNT FEM PRFX RT SZ7,5040.0,5040.0,267.12,6048.0,20
CDM,850262,STENT AAA EXLDR C3 23X12,19990.0,19990.0,1059.47,23988.0,20
CDM,850265,NAIL BN 9MM 280MM,3296.0,3296.0,174.69,3955.2,20
CDM,850273,SCREW BN LCK 3MM 16MM,2564.0,2564.0,135.89,3076.8,20
CDM,850274,SCREW BN NLCK 3MM 26MM,125.0,125.0,6.63,150.0,20
CDM,850275,SCREW BN NLCK 3.5MM 12MM,180.0,180.0,9.54,216.0,20
CDM,850279,SCREW BN 3.5MM 20MM,230.0,230.0,12.19,276.0,20
CDM,850283,INSERT TIB KN 12MM,1270.0,1270.0,67.31,1524.0,20
CDM,850300,STEM FEM KN 150MM 15MM,2417.0,2417.0,128.1,2900.4,20
CDM,850301,STEM FEM HIP 17MM 154MM,3600.0,3600.0,190.8,4320.0,20
CDM,850306,CMPNT TIB KN RS 59 160X9,4597.0,4597.0,243.64,5516.4,20
CDM,850324,EXPANDER TISS 250CC,1150.0,1150.0,60.95,1380.0,20
CDM,850327,INSERT TIB KN SZ3-4 15MM,1300.0,1300.0,68.9,1560.0,20
CDM,850332,SCREW BN 4.5MM 38MM,376.0,376.0,19.93,451.2,20
CDM,850341,BLADE OPTH 6.5MM 15.8MM,1998.0,1998.0,105.89,2397.6,49
CDM,850346,FIBER OPTIC 365U SINGLE,2564.0,2564.0,135.89,3076.8,49
CDM,850354,STABILIZER TOOL SPATIAL,7513.0,7513.0,398.19,9015.6,49
CDM,850355,HALF PIN LONG 5X40,223.2,223.2,11.83,267.84,20
CDM,850357,STEM EXT KN 30MM,3777.0,3777.0,200.18,4532.4,20
CDM,850362,NAIL FEM MOD 10X38C,4420.0,4420.0,234.26,5304.0,20
CDM,850363,CATH ANGIO 5FR 110CM,1432.0,1432.0,75.9,1718.4,49
CDM,850386,STEM FEM HIP 7MM 134MM,3600.0,3600.0,190.8,4320.0,20
CDM,850387,STEM FEM HIP 142MM 11MM,3400.0,3400.0,180.2,4080.0,20
CDM,850391,STEM FEM LAT OFST LNR 10,5000.0,5000.0,265.0,6000.0,20
CDM,850392,GRAFT NRV 2-3MM 50MM,13478.0,13478.0,714.33,16173.6,20
CDM,850398,SCREW SPNL INDUS 4.2X16,400.0,400.0,21.2,480.0,20
CDM,850420,WRENCH T-HANDLE 8 X 5,5187.0,5187.0,274.91,6224.4,49
CDM,850429,STEM FEM CMNT ECH 300X12,9009.0,9009.0,477.48,10810.8,20
CDM,850443,INSERT SCKT HUM STD 32MM,1350.0,1350.0,71.55,1620.0,20
CDM,850449,STEM FEM OFST LNR SZ17,5000.0,5000.0,265.0,6000.0,20
CDM,850457,SCREW BN 6.5X100X22MM,382.0,382.0,20.25,458.4,20
CDM,850492,GWIRE VASC .014IN 180CM,2564.0,2564.0,135.89,3076.8,49
CDM,850499,SCREW BN LCK 3MM 18MM,300.0,300.0,15.9,360.0,20
CDM,850506,CATHETER UMB 72IN,2564.0,2564.0,135.89,3076.8,49
CDM,850510,CATH EP 3.3FR 165CM,5941.0,5941.0,314.87,7129.2,49
CDM,850511,CATH EP 3.3FR 165CM,5941.0,5941.0,314.87,7129.2,49
CDM,850522,SUTURE QUILL 0.5 CIR,594.0,594.0,31.48,712.8,49
CDM,850529,GWIRE ARTHSCOP .078IN,912.0,912.0,48.34,1094.4,49
CDM,850534,SCREW BN 2MM 40MM,78.0,78.0,4.13,93.6,20
CDM,850539,SUTURE CT-1 2-0 1X27IN,1821.0,1821.0,96.51,2185.2,49
CDM,850543,SUTURE SH 3-0 1X27IN,50.0,50.0,2.65,60.0,49
CDM,850544,SUTURE UND BRD +0 27IN,44.0,44.0,2.33,52.8,49
CDM,850545,SUTURE ANBCTRL +0 27IN,52.0,52.0,2.76,62.4,49
CDM,850546,SUTURE CT-1 2-0 1X36IN,54.0,54.0,2.86,64.8,49
CDM,850547,SUTURE UND BRD +2-0 27IN,54.0,54.0,2.86,64.8,49
CDM,850552,SUTURE ANBCTRL +0 27IN,57.0,57.0,3.02,68.4,49
CDM,850555,SUTURE UND BRD +0 27IN,55.0,55.0,2.92,66.0,49
CDM,850560,SUTURE UND BRD 5-0 18IN,176.0,176.0,9.33,211.2,49
CDM,850562,SUTURE UND BRD 0 18IN,157.0,157.0,8.32,188.4,49
CDM,850565,SUTURE UND BRD 2-0 18IN,269.0,269.0,14.26,322.8,49
CDM,850579,SUTURE VIO BRD +0 27IN,353.0,353.0,18.71,423.6,49
CDM,850580,SUTURE VIOL MON +1 96IN,142.0,142.0,7.53,170.4,49
CDM,850591,CATH BLNDIL 15FR 10CM,2704.0,2704.0,143.31,3244.8,49
CDM,850593,ROD EXFIX 9.5MM 175MM,4172.0,4172.0,221.12,5006.4,49
CDM,850594,A/O T-HANDLE CONN W/10MM,5761.96,5761.96,305.38,6914.35,49
CDM,850595,PLATE BN 8MM 2H CRNMXF,265.0,265.0,14.04,318.0,20
CDM,850626,SCREW BN 2.0MM 12MM,111.0,111.0,5.88,133.2,20
CDM,850636,HEAD HUM 15MM 48MM SHR,2685.0,2685.0,142.31,3222.0,20
CDM,850643,SCREW BN 2.7MM 10MM,247.0,247.0,13.09,296.4,20
CDM,850664,HEAD HUM 46MM 16MM,2420.0,2420.0,128.26,2904.0,20
CDM,850671,BURR SHAVER 5.5MM 13CM,1734.0,1734.0,91.9,2080.8,49
CDM,850683,STEM FEM HIP TPR 150X13,3525.0,3525.0,186.82,4230.0,20
CDM,850699,STAPLE BN 10X10X13MM,1690.0,1690.0,89.57,2028.0,20
CDM,850705,SUTURE UR-6 1 1X36IN,62.0,62.0,3.29,74.4,49
CDM,850711,DRILL HND NTRL 4.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,850714,SCREW BN 1.5MM 5MM,176.0,176.0,9.33,211.2,20
CDM,850728,BLN CATH RTRV 9-12MM,2564.0,2564.0,135.89,3076.8,49
CDM,850729,BLN CATH RTRV 12-15MM,2564.0,2564.0,135.89,3076.8,49
CDM,850741,SCREW CORTICAL 5.0X90,470.0,470.0,24.91,564.0,20
CDM,850754,DRILL SURG 1.9MM 110MM,4224.0,4224.0,223.87,5068.8,49
CDM,850755,TAP SURG BONE 2.3 SCR,460.62,460.62,24.41,552.74,20
CDM,850757,E-PLUS POLY 9 SIZE 12 L,2140.0,2140.0,113.42,2568.0,20
CDM,850767,NAIL BN ARTHRO 2.5MM,480.0,480.0,25.44,576.0,20
CDM,850775,STENT AAA EXLDR TRK14CM,19990.0,19990.0,1059.47,23988.0,20
CDM,850781,STENT BIL PGTL 7FR 7CM,103.0,103.0,5.46,123.6,20
CDM,850793,SCREW BN 5MM 44MM,500.0,500.0,26.5,600.0,20
CDM,850795,SET STENT URTH 6FR 75CM,317.0,317.0,16.8,380.4,20
CDM,850804,ROD SPN LRDTC 100MM,360.0,360.0,19.08,432.0,20
CDM,850805,PIN HLF JTX ORTH 225X5,222.6,222.6,11.8,267.12,20
CDM,850809,PLATE SS SCR SM 58X3.5,379.26,379.26,20.1,455.11,20
CDM,850829,SET GSTRM ANCH FASTENER,2564.0,2564.0,135.89,3076.8,49
CDM,850831,DILATOR SHTH TLSCP 22FR,2564.0,2564.0,135.89,3076.8,49
CDM,850832,CATH GD MPD CRV 6FR .070,5941.0,5941.0,314.87,7129.2,49
CDM,850836,PLATE BN CRNFCL 32 6X2HL,813.0,813.0,43.09,975.6,20
CDM,850863,COIL EMBL 6CM X 2.0MM,3956.0,3956.0,209.67,4747.2,20
CDM,850865,COIL EMB 15CM 4MM,3600.0,3600.0,190.8,4320.0,20
CDM,850866,COIL EMBL 15CM 5MM,3956.0,3956.0,209.67,4747.2,20
CDM,850880,PLATE 6X17 HOLE O DEG RT,4248.0,4248.0,225.14,5097.6,20
CDM,850881,SCREW BN 2.3MM 14MM,220.0,220.0,11.66,264.0,20
CDM,850921,MATRISTEM 500 MG,8157.0,8157.0,432.32,9788.4,30
CDM,850940,SCREW BN 2.7MM 10MM,205.0,205.0,10.87,246.0,20
CDM,850947,SUTURE UND MON +2-0 27IN,58.0,58.0,3.07,69.6,49
CDM,850957,GRAFT CV 10X32MM 50CM,2022.0,2022.0,107.17,2426.4,20
CDM,850979,WRENCH BX FIXATOR BN 8MM,1184.4,1184.4,62.77,1421.28,49
CDM,850980,HEAD HUM SHLDR 18X52,2685.0,2685.0,142.31,3222.0,20
CDM,850987,COUPLER ANSTM 1.5MM,4190.0,4190.0,222.07,5028.0,20
CDM,850989,NAIL MODULAR 13X40,4420.0,4420.0,234.26,5304.0,20
CDM,850990,INSERT TIB TNDN 1.20X22,3900.0,3900.0,206.7,4680.0,20
CDM,851002,PLATE BN 6H 90.5MM,918.0,918.0,48.65,1101.6,20
CDM,851010,SCREW BN 5MM 80MM,429.0,429.0,22.74,514.8,20
CDM,851011,PLATE BN 6HL 4.5MM 159MM,2895.0,2895.0,153.44,3474.0,20
CDM,851012,SCREW BN 5MM 3.5MM 85MM,429.0,429.0,22.74,514.8,20
CDM,851013,SCREW BN 5MM 70MM,429.0,429.0,22.74,514.8,20
CDM,851014,SCREW BN 5MM 3.5MM 65MM,409.0,409.0,21.68,490.8,20
CDM,851016,SCREW BN 5MM 40MM,429.0,429.0,22.74,514.8,20
CDM,851017,SCREW BN 5MM 35MM,429.0,429.0,22.74,514.8,20
CDM,851042,BIT DRILLL HALF PIN 6MM,6109.0,6109.0,323.78,7330.8,49
CDM,851052,CATH ABL 7FR 110CM,7018.0,7018.0,371.95,8421.6,49
CDM,851055,RETRCTR WND LG 9-14CM,2564.0,2564.0,135.89,3076.8,49
CDM,851056,RETRCTR WND XLG 11-17CM,2564.0,2564.0,135.89,3076.8,49
CDM,851058,TUBING PRSS MNTR 72IN,105.0,105.0,5.57,126.0,49
CDM,851059,INSERT KN TIB STD 20MM,1515.0,1515.0,80.3,1818.0,20
CDM,851069,BLADE SHAVER 5MM 13CM,2446.0,2446.0,129.64,2935.2,49
CDM,851082,TEMPLATE BENDING RECON 3,1628.0,1628.0,86.28,1953.6,49
CDM,851085,NAIL SHRT 12MMX20CMX135D,4160.0,4160.0,220.48,4992.0,20
CDM,851090,FORCEPS BIP 11.5IN,5708.0,5708.0,302.52,6849.6,49
CDM,851098,SCREW BN 5MM 65MM,473.0,473.0,25.07,567.6,20
CDM,851101,STENT AAA EXLDR 14CM,19990.0,19990.0,1059.47,23988.0,20
CDM,851119,SCREW CANC LCK P/T 4X48,460.0,460.0,24.38,552.0,20
CDM,851120,SCREW BN SPN 4MM 14MM,150.0,150.0,7.95,180.0,20
CDM,851123,DRILL SRG STEP CLBRT 4MM,1848.0,1848.0,97.94,2217.6,49
CDM,851124,NAIL FEM COMPNT 9MMX38CM,4420.0,4420.0,234.26,5304.0,20
CDM,851163,SCREW BN 5.0MM 32MM,316.0,316.0,16.75,379.2,20
CDM,851183,SNARE SM OVAL 230CM,490.0,490.0,25.97,588.0,49
CDM,851187,SCREW BN VAR 5X50MM,316.0,316.0,16.75,379.2,20
CDM,851188,SCREW BN 5MM 46MM,316.0,316.0,16.75,379.2,20
CDM,851189,SCREW BN 5MM 40MM,316.0,316.0,16.75,379.2,20
CDM,851190,SCREW BN 5MM 38MM,316.0,316.0,16.75,379.2,20
CDM,851191,SCREW BN ANGL 5.0X34MM,316.0,316.0,16.75,379.2,20
CDM,851192,PLATE BN 4.5MM 301MM,3683.0,3683.0,195.2,4419.6,20
CDM,851193,SCREW BN 5.0X10MM,582.0,582.0,30.85,698.4,20
CDM,851198,STNT PROM MR PLS 2.25X8,2800.0,2800.0,148.4,3360.0,20
CDM,851200,STNT PROM MR PLS 2.25X16,2800.0,2800.0,148.4,3360.0,20
CDM,851201,STNT PROM MR PLS 2.25X20,2800.0,2800.0,148.4,3360.0,20
CDM,851202,STNT PROM MR PLS 2.25X24,2800.0,2800.0,148.4,3360.0,20
CDM,851203,STNT PROM MR PLS 2.25X28,2800.0,2800.0,148.4,3360.0,20
CDM,851204,STNT PROM MR PLS 2.25X32,2800.0,2800.0,148.4,3360.0,20
CDM,851205,STNT PROM MR PLS 2.5X8,2800.0,2800.0,148.4,3360.0,20
CDM,851208,STNT PROM MR PLS 2.5X20,2800.0,2800.0,148.4,3360.0,20
CDM,851231,COMPNT FEM NPOR SZ5 FNDT,3200.0,3200.0,169.6,3840.0,20
CDM,851235,SET PRIM IV 15 GTT 103IN,182.0,182.0,9.65,218.4,49
CDM,851236,STNT PROM MR PLS 2.75X8,2800.0,2800.0,148.4,3360.0,20
CDM,851238,STNT PROM MR PLS 3.50X8,2800.0,2800.0,148.4,3360.0,20
CDM,851239,STNT PROM MR PLS 4.00X8,2800.0,2800.0,148.4,3360.0,20
CDM,851240,STNT PROM MR PLS 2.75X12,2800.0,2800.0,148.4,3360.0,20
CDM,851241,STNT PROM MR PLS 3.00X12,2800.0,2800.0,148.4,3360.0,20
CDM,851242,STNT PROM MR PLS 3.50X12,2800.0,2800.0,148.4,3360.0,20
CDM,851244,STNT PROM MR PLS 2.75X16,2800.0,2800.0,148.4,3360.0,20
CDM,851249,STNT PROM MR PLS 3.00X20,2800.0,2800.0,148.4,3360.0,20
CDM,851250,STNT PROM MR PLS 3.50X20,2800.0,2800.0,148.4,3360.0,20
CDM,851251,STNT PROM MR PLS 4.00X20,2800.0,2800.0,148.4,3360.0,20
CDM,851253,STNT PROM MR PLS 3.00X24,2800.0,2800.0,148.4,3360.0,20
CDM,851254,STNT PROM MR PLS 3.50X24,2800.0,2800.0,148.4,3360.0,20
CDM,851255,STNT PROM MR PLS 4.00X24,2800.0,2800.0,148.4,3360.0,20
CDM,851256,STNT PROM MR PLS 2.75X28,2800.0,2800.0,148.4,3360.0,20
CDM,851257,STNT PROM MR PLS 3.00X28,2800.0,2800.0,148.4,3360.0,20
CDM,851259,STNT PROM MR PLS 4.00X28,2800.0,2800.0,148.4,3360.0,20
CDM,851261,SCREW SPN VAR ANG 6.5X22,800.0,800.0,42.4,960.0,20
CDM,851262,STENT 6X26CM SILHOUETTE,288.0,288.0,15.26,345.6,20
CDM,851264,SCREW CSPN 4X16,450.0,450.0,23.85,540.0,20
CDM,851268,VEST HALO CERV SHORT,8142.0,8142.0,431.53,9770.4,49
CDM,851270,BRACE LMBR TLSO ATE PTE,2564.0,2564.0,343.58,3076.8,24
CDM,851270,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",2564.0,2564.0,1781.54,5601.75,33
CDM,851272,LENS IOL +15.5 DIOP C,2190.0,2190.0,116.07,2628.0,32
CDM,851274,SCREW BN 3.5X30MM,90.0,90.0,4.77,108.0,20
CDM,851275,SCREW 3.5X36MM SUTPLT TI,320.0,320.0,16.96,384.0,20
CDM,851276,SCREW BN 3.5MM 38MM,224.0,224.0,11.87,268.8,20
CDM,851277,SCREW BN 4MM 36MM,224.0,224.0,11.87,268.8,20
CDM,851278,SPACER T PEEK 26X11X12MM,5400.0,5400.0,286.2,6480.0,20
CDM,851279,PLATE BNE TI STRNL 12 HL,1754.0,1754.0,92.96,2104.8,20
CDM,851280,COMPNT GLND PRX SHLD 110,16856.0,16856.0,893.37,20227.2,20
CDM,851281,STEM HUM PRX SHLD 12.5,6502.0,6502.0,344.61,7802.4,20
CDM,851282,COMPNT ELBW RT 115X4,10574.0,10574.0,560.42,12688.8,20
CDM,851283,COMPNT DSTAL HUM STD RT,11906.0,11906.0,631.02,14287.2,20
CDM,851285,STAPES ROBRSN TITNM 4MM,399.0,399.0,21.15,478.8,20
CDM,851286,STENT URET DBL PGTL 6X22,128.0,128.0,6.78,153.6,20
CDM,851287,STEM HUM MNOBLCK 12MM,7400.0,7400.0,392.2,8880.0,20
CDM,851289,RESTRICTOR CMNT BSTP 12,402.0,402.0,21.31,482.4,20
CDM,851290,COMPNT FEM CR-FLX RT KNE,4000.0,4000.0,212.0,4800.0,20
CDM,851291,SCREW BNE L16MM OD2.7MM,81.0,81.0,4.29,97.2,20
CDM,851292,SCREW HDLS SHRT 2.4X26,300.0,300.0,15.9,360.0,20
CDM,851293,SCREW HDLS SHRT 2.4X28,300.0,300.0,15.9,360.0,20
CDM,851294,GRAFT BN ACCELL EVO3 DBM,1920.0,1920.0,101.76,2304.0,20
CDM,851296,SCREW BN CMPR 2MM 10MM,395.0,395.0,20.93,474.0,20
CDM,851297,SCREW PDCL SPN RDC5.5X35,1440.0,1440.0,76.32,1728.0,20
CDM,851298,SCREW PDCL SPN RDC5.5X40,1440.0,1440.0,76.32,1728.0,20
CDM,851302,STEM FEM HIP 8MM 136MM,3600.0,3600.0,190.8,4320.0,20
CDM,851303,PLATE TI OSTM RT KN 2MM,1138.0,1138.0,60.31,1365.6,20
CDM,851304,SCREW BN BIOCMPR 3-5X28,770.0,770.0,40.81,924.0,20
CDM,851305,SCREW BN CMPR TI 4X20,383.0,383.0,20.3,459.6,20
CDM,851306,STENT BIL C-H 8.5FRX7CM,120.0,120.0,6.36,144.0,20
CDM,851307,GRAFT EVAS AAA 74X26,16424.0,16424.0,870.47,19708.8,20
CDM,851309,GRAFT STENT EVAS 56X16MM,5992.0,5992.0,317.58,7190.4,20
CDM,851310,GRAFT AAA ILIAC LMB24X90,5992.0,5992.0,317.58,7190.4,20
CDM,851312,GRAFT VASC 4-7MM,300.0,300.0,15.9,360.0,20
CDM,851313,VEIN SAPHENOUS 30-39CM,13000.0,13000.0,689.0,15600.0,20
CDM,851314,"Cochlear device, includes all internal and external components ",40200.0,40200.0,22734.76,71485.6,33
CDM,851314,NUCLEUS FRDM W/CRV,40200.0,40200.0,6432.0,48240.0,19
CDM,851315,DRESSING NADH FOAM 4X4IN,68.0,68.0,3.6,81.6,49
CDM,851336,STEM FEM HIP 14MM 148MM,3600.0,3600.0,190.8,4320.0,20
CDM,851399,CATH ANGIO 5FR 65CM,1074.0,1074.0,56.92,1288.8,49
CDM,851413,SUTURE PS-2 3-0 1X27IN,156.0,156.0,8.27,187.2,49
CDM,851418,SCREW CANN LCK 5X75MM,409.0,409.0,21.68,490.8,20
CDM,851447,END CAP TROCH NAIL 10MM,462.0,462.0,24.49,554.4,20
CDM,851467,STEM FEM EXT DRP DN 45MM,1776.0,1776.0,94.13,2131.2,20
CDM,851469,SCREW BN LAG PERITRCH 95,1362.0,1362.0,72.19,1634.4,20
CDM,851470,FEM TROC OFSET XLG 8.5X4,11090.0,11090.0,587.77,13308.0,20
CDM,851471,COMPONENT PTLR 9MM 30MM,1376.0,1376.0,72.93,1651.2,20
CDM,851473,STEM REVELATION L 13.5MM,5600.0,5600.0,296.8,6720.0,20
CDM,851475,BASEPLATE TIB FNDTN 6 LT,3290.0,3290.0,174.37,3948.0,20
CDM,851476,INSERT TIB E+ 8 LT 15MM,2140.0,2140.0,113.42,2568.0,20
CDM,851477,SCREW LO PRF 6.5X45,189.0,189.0,10.02,226.8,20
CDM,851478,SPACER BRGD 12D 16X38X28,11000.0,11000.0,583.0,13200.0,20
CDM,851479,SCREW SPN P-AXL 4.5X25,400.0,400.0,21.2,480.0,20
CDM,851480,SCREW SPN BRGD 5.5X25MM,400.0,400.0,21.2,480.0,20
CDM,851481,CAGE SPN STALIF 36X17MM,12600.0,12600.0,667.8,15120.0,20
CDM,851487,PEG THRD 4.0X20.0,187.0,187.0,9.91,224.4,20
CDM,851489,SPACER SPNL OPL 32X10X9,5400.0,5400.0,286.2,6480.0,20
CDM,851490,SPACER SPN LMBR 32X11X10,5400.0,5400.0,286.2,6480.0,20
CDM,851491,SCREW MTRX PDCL 6X50MM,720.0,720.0,38.16,864.0,20
CDM,851493,DRILL BIT CLBRT 5MM STRL,2150.4,2150.4,113.97,2580.48,49
CDM,851494,BEND SZ TEMP CVD RECON,1192.2,1192.2,63.19,1430.64,49
CDM,851496,SCREW ACTB REFLC 60X6.5,221.0,221.0,11.71,265.2,20
CDM,851500,ROD SPN STRAIGHT 5.5X220,747.0,747.0,39.59,896.4,20
CDM,851502,HEAD HUM ECNTRC 18X48,2685.0,2685.0,142.31,3222.0,20
CDM,851506,STEM FEM KN 150X12MM,2417.0,2417.0,128.1,2900.4,20
CDM,851510,PLATE TACK ORTH,695.16,695.16,36.84,834.19,49
CDM,851515,INSERT TIB LT CNFRM SZ4,1590.0,1590.0,84.27,1908.0,20
CDM,851518,COMPNT FEM SZ5 LT KN PST,3200.0,3200.0,169.6,3840.0,20
CDM,851527,NAIL TROCH ES LT 10X33,4570.0,4570.0,242.21,5484.0,20
CDM,851529,CONNECTOR ROD 5.5-6.5MM,1440.0,1440.0,76.32,1728.0,20
CDM,851530,CONNECTOR ROD 6.5-6.5MM,1440.0,1440.0,76.32,1728.0,20
CDM,851531,ROD SPN REV CRV 5.5X65,360.0,360.0,19.08,432.0,20
CDM,851533,OCLDR AGA PDA 6,3328.0,3328.0,176.38,3993.6,20
CDM,851536,CATH GD CORSN 71CM,2564.0,2564.0,135.89,3076.8,49
CDM,851537,GWIRE VASC 195CM .014IN,2563.0,2563.0,135.84,3075.6,49
CDM,851538,CATH GD XLG 110CM 7FR,5941.0,5941.0,314.87,7129.2,49
CDM,851540,SPLINT FNGR PLN 2.25X5/8,19.0,19.0,1.01,22.8,49
CDM,851541,CATH THRMB 4F 80CM,1244.0,1244.0,65.93,1492.8,49
CDM,851546,HUMERAL CUFF LARGE,953.0,953.0,127.7,1143.6,24
CDM,851547,BRACE HUMERAL XLG,969.0,969.0,129.85,1162.8,24
CDM,851552,CATHETER ANGIO 80CM 6FR,313.0,313.0,16.59,375.6,49
CDM,851555,CYLINDER SET W/PUMP 18CM,13728.0,13728.0,727.58,16473.6,20
CDM,851557,SPLINT ORT WRST UNV 10IN,148.0,148.0,7.84,177.6,49
CDM,851563,SHELL ACTB HIP 48MM 3HL,2630.0,2630.0,139.39,3156.0,20
CDM,851564,CATHETER EMB 4FR 40CM,2564.0,2564.0,135.89,3076.8,49
CDM,851590,SCREW BN 2MM 16MM,122.0,122.0,6.47,146.4,20
CDM,851591,SCREW BN MXLFCL 2X14MM,111.0,111.0,5.88,133.2,20
CDM,851595,SCREW DRCO SHRT HD 4X16,610.0,610.0,32.33,732.0,20
CDM,851597,NAIL MODULAR 13MMX42CM,4420.0,4420.0,234.26,5304.0,20
CDM,851601,PIN FX TEMP 2.4MM,2564.0,2564.0,135.89,3076.8,49
CDM,851603,BIT DRILL DISP 6MM 3MM,942.0,942.0,49.93,1130.4,49
CDM,851613,SCREW BN 2.7MM 12MM,247.0,247.0,13.09,296.4,20
CDM,851616,ACTB CONTOUR RECON RNG62,696.0,696.0,36.89,835.2,20
CDM,851634,INSERT TIB RT SZ3 CNFRM,1590.0,1590.0,84.27,1908.0,20
CDM,851635,COMPNT FEM SZ4 RT KN CRU,5040.0,5040.0,267.12,6048.0,20
CDM,851636,COMPNT FEM SZ4 LT KN CRU,5040.0,5040.0,267.12,6048.0,20
CDM,851637,INSERT TIB SZ3 LT KN CNF,1590.0,1590.0,84.27,1908.0,20
CDM,851638,INSERT TIB SZ5 RT KN PRF,1590.0,1590.0,84.27,1908.0,20
CDM,851642,HEAD ORT MOD SLEEVE +8MM,468.0,468.0,24.8,561.6,20
CDM,851643,PLATE CURVED RECON 8X94,530.46,530.46,28.11,636.55,20
CDM,851644,SCREW BN CORT 55X3.5,28.98,28.98,1.54,34.78,20
CDM,851654,PLATE BN 18H1.5MM,3918.0,3918.0,207.65,4701.6,20
CDM,851656,NAIL 8MM 34.5CM TIB IM,4300.0,4300.0,227.9,5160.0,20
CDM,851657,SCREW CANN LOCKNG 30X4.0,460.0,460.0,24.38,552.0,20
CDM,851659,SCREW BN CANC LCK 4X38,480.0,480.0,25.44,576.0,20
CDM,851660,SCREW CANN P/T LCK 4X30,510.0,510.0,27.03,612.0,20
CDM,851664,SCREW BN 4MM 16MM,216.0,216.0,11.45,259.2,20
CDM,851670,KIT DIL VASC GW NDL 18GA,2564.0,2564.0,135.89,3076.8,49
CDM,851682,NAIL IM TI 135DD L170MM,2169.0,2169.0,114.96,2602.8,20
CDM,851684,INSERT TIB SZ4 CNDRL 18,2478.0,2478.0,131.33,2973.6,20
CDM,851685,STEM CMNTD EXT 14MMX50MM,2910.0,2910.0,154.23,3492.0,20
CDM,851686,SCREW CNCL LCK 16X2.4,136.0,136.0,7.21,163.2,20
CDM,851687,SCREW BN 2.4MM 14MM SS R,168.0,168.0,8.9,201.6,20
CDM,851689,SCREW BN CORT LCK 14X2.4,136.0,136.0,7.21,163.2,20
CDM,851690,SCREW BN 2.4MM 20MM SS C,136.0,136.0,7.21,163.2,20
CDM,851691,SCREW BN 2.4MM 12MM SS C,136.0,136.0,7.21,163.2,20
CDM,851692,SCREW BN 2.4MM 12MM SS R,168.0,168.0,8.9,201.6,20
CDM,851693,PLATE VOLR RADL WRST 6HL,1425.0,1425.0,75.53,1710.0,20
CDM,851694,SCREW BN 2.4MM 8MM SS RA,168.0,168.0,8.9,201.6,20
CDM,851695,SCREW SPN FCTFUSE 5.5X40,2300.0,2300.0,121.9,2760.0,20
CDM,851696,SCREW SPN FCTFUSE 5.5X50,2300.0,2300.0,121.9,2760.0,20
CDM,851697,SPACER SPNL 20X9X13,5400.0,5400.0,286.2,6480.0,20
CDM,851698,SCREW SPN XIA PA 4.5X40,1440.0,1440.0,76.32,1728.0,20
CDM,851699,FEMORAL A2 FITMORE HIP,4800.0,4800.0,254.4,5760.0,20
CDM,851700,CMPNT FEM HIP A4 FITMORE,4800.0,4800.0,254.4,5760.0,20
CDM,851705,PLATE LMBR SPN 32D 41MM,5600.0,5600.0,296.8,6720.0,20
CDM,851706,ROD SPNL CRV TI 60X5.5MM,360.0,360.0,19.08,432.0,20
CDM,851707,PLATE ATLNTS ATP 85,2300.0,2300.0,121.9,2760.0,20
CDM,851710,PLATE BN MTP FSN 39,2400.0,2400.0,127.2,2880.0,20
CDM,851715,SCREW BN MTFX1 POD 3X12,370.0,370.0,19.61,444.0,20
CDM,851716,SCREW BN ORTH LOCK 16MM,370.0,370.0,19.61,444.0,20
CDM,851717,SCREW BN 14MM ORTH LCK,270.0,270.0,14.31,324.0,20
CDM,851718,SCRW CANN 4.0 X 30,200.0,200.0,10.6,240.0,20
CDM,851719,SCREW BN TOE 3.0X12,270.0,270.0,14.31,324.0,20
CDM,851720,SCREW BN 2X14MM TRG,200.0,200.0,10.6,240.0,20
CDM,851721,TUNNELOC TIBL FX 8MM,1130.0,1130.0,59.89,1356.0,20
CDM,851722,KIT IMP SYNDSMS RPR,1760.0,1760.0,93.28,2112.0,20
CDM,851724,FILTER VC KIT 7FR 42MM,2100.0,2100.0,111.3,2520.0,20
CDM,851726,HEAD HUM 19X48MM 113890,5516.0,5516.0,292.35,6619.2,20
CDM,851727,CMPNT HUM POS SLV 12MM,682.0,682.0,36.15,818.4,20
CDM,851728,STEM FEM SZ20 STD OFST,4800.0,4800.0,254.4,5760.0,20
CDM,851729,HEAD UNIPLR HIP 56MM,700.0,700.0,37.1,840.0,20
CDM,851734,FCP SURG RDC PNT BRD,4599.0,4599.0,243.75,5518.8,49
CDM,851742,STEM EXT TIBL MOD 12X65,1678.0,1678.0,88.93,2013.6,20
CDM,851752,STEM HUM SHLDR 151X12,7350.0,7350.0,389.55,8820.0,20
CDM,851757,FILLER BN VOID 5CC 12CC,1820.0,1820.0,96.46,2184.0,20
CDM,851770,SCREW BN 2MM 12MM,207.0,207.0,10.97,248.4,20
CDM,851772,DRILL SURG 1.6MM 110MM,4103.0,4103.0,217.46,4923.6,49
CDM,851774,PLATE BN 6HL 100X12 LT,414.0,414.0,21.94,496.8,20
CDM,851775,SCREW BN MDFC 6X1.7 XPN,122.0,122.0,6.47,146.4,20
CDM,851808,CATH THOR DRN 36FR 20IN,211.0,211.0,11.18,253.2,49
CDM,851809,STENT URET 8FR 28MM,240.0,240.0,12.72,288.0,20
CDM,851810,STENT URET 8FR 8X20MM,240.0,240.0,12.72,288.0,20
CDM,851818,PLATE RECON 3X45X4.5,374.22,374.22,19.83,449.06,20
CDM,851824,PLATE BN ORTH NAR 2HL,162.54,162.54,8.61,195.05,20
CDM,851828,ROD EX FIX 9.5MM 200MM,4172.0,4172.0,221.12,5006.4,49
CDM,851831,SCREW CANC LCK 4X24,510.0,510.0,27.03,612.0,20
CDM,851832,SCREW CANC LCK 4X26,510.0,510.0,27.03,612.0,20
CDM,851836,PILLOW ABDCT SHLDR SM,1640.0,1640.0,86.92,1968.0,49
CDM,851837,MODULAR HEAD INS T12X40,4420.0,4420.0,234.26,5304.0,20
CDM,851841,EXTRNL PT RECHARGER SYS,7581.0,7581.0,401.79,9097.2,49
CDM,851842,KIT NDL INJ CEMENT 11GA,4867.0,4867.0,257.95,5840.4,49
CDM,851846,CEMENT BN PMMA MIXER,483.0,483.0,25.6,579.6,49
CDM,851850,SCREW HLX ANT CERV 4X15,150.0,150.0,7.95,180.0,20
CDM,851864,NEEDLE PROC 19GA 10CM,580.0,580.0,30.74,696.0,49
CDM,851865,CATH 19G 5FR 20CM,546.0,546.0,28.94,655.2,49
CDM,851891,NAIL BN RT 1.5MM 34CM,4345.0,4345.0,230.28,5214.0,20
CDM,851919,CAP END FEM LCK 8X3.5MM,342.0,342.0,18.13,410.4,20
CDM,851920,BIT DRILL 4.3MM 195MM,2564.0,2564.0,135.89,3076.8,49
CDM,851921,BIT DRILL 3.3MM 195MM,2564.0,2564.0,135.89,3076.8,49
CDM,851925,SCREW BN 5MM 80MM,285.0,285.0,15.11,342.0,20
CDM,851926,SCREW BN 3.5MM 65MM,285.0,285.0,15.11,342.0,20
CDM,851927,SCREW BN 3.5MM 40MM,285.0,285.0,15.11,342.0,20
CDM,851928,SCREW BN 5MM 30MM,285.0,285.0,15.11,342.0,20
CDM,851929,SCREW BN 3.5MM 34MM,285.0,285.0,15.11,342.0,20
CDM,851930,SCREW BN 3.5MM 42MM,285.0,285.0,15.11,342.0,20
CDM,851949,COMPNT HEAD HUM STNDRD,2200.0,2200.0,116.6,2640.0,20
CDM,851950,COMPNT HEAD HUM W/TAPER,2200.0,2200.0,116.6,2640.0,20
CDM,851965,DRILL BIT 3FLUTD QC 4.5,736.65,736.65,39.04,883.98,49
CDM,851970,SUTURE BLK MONO 7-0 18IN,1617.0,1617.0,85.7,1940.4,49
CDM,851971,SUTURE FIBERWIRE 38IN,750.0,750.0,39.75,900.0,20
CDM,851996,LEAD PCNG BIP TEMP,3432.0,3432.0,181.9,4118.4,49
CDM,852013,STEM FEM 150MM 15MM,3600.0,3600.0,190.8,4320.0,20
CDM,852028,SCREW BN 3.5MM 12MM,170.0,170.0,9.01,204.0,20
CDM,852029,SCREW CORT LCK 30X2.5,340.0,340.0,18.02,408.0,20
CDM,852032,SOLUTION IRR 0.9% 1.5L,130.0,130.0,6.89,156.0,49
CDM,852034,SCREW BN 3.5MM 14MM,170.0,170.0,9.01,204.0,20
CDM,852036,SCREW CORT LCK 30X2.5,510.0,510.0,27.03,612.0,20
CDM,852039,HAMMERLOCK STRA 0DEG LRG,1954.0,1954.0,103.56,2344.8,20
CDM,852041,HAMMERLOCK STRA 0DEG MED,1900.0,1900.0,100.7,2280.0,20
CDM,852042,HAMMERLOCK ANGL SM 10DEG,1954.0,1954.0,103.56,2344.8,20
CDM,852052,NAIL MOD IM 10X25,4420.0,4420.0,234.26,5304.0,20
CDM,852058,SCREW CANC LCK 4X36,480.0,480.0,25.44,576.0,20
CDM,852059,SCREW CANC LCK 4X28,460.0,460.0,24.38,552.0,20
CDM,852062,PLATE BN CMF DBL Y 7H,374.0,374.0,19.82,448.8,20
CDM,852065,DRILL TWIST 115X1.6X35MM,2564.0,2564.0,135.89,3076.8,49
CDM,852067,SCREW BN 2MM 8MM,210.0,210.0,11.13,252.0,20
CDM,852096,SUTURE BLK MONO 7-0 24IN,2564.0,2564.0,135.89,3076.8,49
CDM,852097,SUTURE UND MON +4-0 27IN,59.0,59.0,3.13,70.8,49
CDM,852108,SUTURE VIO BRD +2-0 27IN,63.0,63.0,3.34,75.6,49
CDM,852115,INSERT KN ARTC 3-4 11MM,2630.0,2630.0,139.39,3156.0,20
CDM,852122,SCREW CORT SHLDR LCK27.5,510.0,510.0,27.03,612.0,20
CDM,852123,SCREW CORT SHLDR 3.5X25,510.0,510.0,27.03,612.0,20
CDM,852124,PUTTY BIO DBM BONE 5ML,1000.0,1000.0,53.0,1200.0,20
CDM,852125,CAGE COUGAR LS 18X10X55,6305.0,6305.0,334.17,7566.0,20
CDM,852126,SUTURE ANBCTRL +1 36IN,1786.0,1786.0,94.66,2143.2,49
CDM,852136,STENT EPRSTH 28MM 10CM,29800.0,29800.0,1579.4,35760.0,20
CDM,852146,STENT EPRSTH 45MM 15CM,29800.0,29800.0,1579.4,35760.0,20
CDM,852181,SCREW BN 4MM 42MM,342.0,342.0,18.13,410.4,20
CDM,852194,PLATES MINI FRAGMENT,391.44,391.44,20.75,469.73,20
CDM,852195,INSERT TIB CNFRM RT SZ2,1590.0,1590.0,84.27,1908.0,20
CDM,852196,SUTURE GRN BRD 4-0 30IN,2175.0,2175.0,115.28,2610.0,49
CDM,852200,CEMENT BN PMMA 20GM,1475.0,1475.0,78.17,1770.0,20
CDM,852205,CANNULA BNCMNT 10GA,1599.0,1599.0,84.75,1918.8,49
CDM,852207,IMPACTOR FR HUMERAL HEAD,192.0,192.0,10.18,230.4,20
CDM,852213,PROWICK KN PSTOP DRSG C,80.0,80.0,4.24,96.0,20
CDM,852216,PLATE BN 18HL,988.0,988.0,52.36,1185.6,20
CDM,852221,GW STRQ 035 180 ANG,1789.0,1789.0,94.82,2146.8,49
CDM,852234,TUBING CNTRST INJ L72IN,2564.0,2564.0,135.89,3076.8,49
CDM,852236,CATH GD 2.6FR 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,852237,CATH GD 4FR 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,852238,CATH GD 4FR 135CM,2564.0,2564.0,135.89,3076.8,49
CDM,852246,ROD SPN FIX 75MM,360.0,360.0,19.08,432.0,20
CDM,852247,PLATE BN 8H 90DG .6MM,353.0,353.0,18.71,423.6,20
CDM,852249,PUTTY DBM BIO 10CC SRV,1700.0,1700.0,90.1,2040.0,20
CDM,852251,NAIL LCKNG SCRW AMS 7.5,470.0,470.0,24.91,564.0,20
CDM,852254,CANNULA ARTHSCP MTL 5MM,1008.0,1008.0,53.42,1209.6,49
CDM,852305,SCREW BN CANN 70,710.0,710.0,37.63,852.0,20
CDM,852307,ROD SPN 5.5MM 60MM,360.0,360.0,19.08,432.0,20
CDM,852310,PLATE BN 4 HL .55X1.7MM,209.0,209.0,11.08,250.8,20
CDM,852311,NAIL MOD HUM 40MM,290.0,290.0,15.37,348.0,20
CDM,852315,SET INTRO 24-26-28FR CGL,4764.0,4764.0,252.49,5716.8,49
CDM,852319,NAIL BN 10MM 33CM,4300.0,4300.0,227.9,5160.0,20
CDM,852320,NAIL FEM RTGRD GRN 10X36,4420.0,4420.0,234.26,5304.0,20
CDM,852374,GWIRE DISP 0.9MM,490.0,490.0,25.97,588.0,49
CDM,852411,NAIL HUM TRI 71770926,2932.0,2932.0,155.4,3518.4,20
CDM,852418,SCREW CANC PRLOC 4X32,71.4,71.4,3.78,85.68,20
CDM,852433,SCREW BN CANC LCK 4X44,480.0,480.0,25.44,576.0,20
CDM,852434,GUIDEWRE VASC ARCHR260CM,1068.48,1068.48,56.63,1282.18,49
CDM,852466,CEMENT BN ANBTC 40GM,102.0,102.0,5.41,122.4,20
CDM,852479,GAUGE WIRE SINGLE ST 3.5,1409.63,1409.63,74.71,1691.56,49
CDM,852484,EX FIX CNNECTR 30MM SHRT,3369.0,3369.0,178.56,4042.8,49
CDM,852512,SCREW CANC SS 6.5X60X32,64.0,64.0,3.39,76.8,20
CDM,852533,SCREW BN 2.7MM 40MM SS,247.0,247.0,13.09,296.4,20
CDM,852558,NAIL 11MM 36CM IM MOD,4420.0,4420.0,234.26,5304.0,20
CDM,852589,GRAFT CV 10X26MM 50CM,2022.0,2022.0,107.17,2426.4,20
CDM,852611,NAIL TROCH INTRTN 10X34,3326.9,3326.9,176.33,3992.28,20
CDM,852631,NAIL 9MM 34CM IM MOD,4420.0,4420.0,234.26,5304.0,20
CDM,852632,SCREW BN CANCL ARTH,710.0,710.0,37.63,852.0,20
CDM,852633,NAIL MODULAR AOS 11X42,4420.0,4420.0,234.26,5304.0,20
CDM,852644,INSERT ACTB 42MM 48MM,1500.0,1500.0,79.5,1800.0,20
CDM,852649,SCREW BN CORTEX 3.5X85,45.36,45.36,2.4,54.43,20
CDM,852653,STEM FEM HIP 12MM 144MM,3600.0,3600.0,190.8,4320.0,20
CDM,852686,INSERT TIB CNFRM SZ3 14M,1590.0,1590.0,84.27,1908.0,20
CDM,852701,NAIL BN HUM 8/7MM 20CM,2932.0,2932.0,155.4,3518.4,20
CDM,852706,LEAD PCNG 4.7FR 86CM,3482.0,3482.0,184.55,4178.4,20
CDM,852710,PLATE BN TIB 3.5MM 102MM,2493.0,2493.0,132.13,2991.6,20
CDM,852711,SCREW BN 3.5X70MM,238.0,238.0,12.61,285.6,20
CDM,852712,SCREW BN 3.5X2.9MM 75MM,238.0,238.0,12.61,285.6,20
CDM,852715,PROBE PIERCER 8MM,2688.0,2688.0,142.46,3225.6,49
CDM,852716,PROBE SCRAPER 8MM,2688.0,2688.0,142.46,3225.6,49
CDM,852717,PROBE HOE 8MM,2688.0,2688.0,142.46,3225.6,49
CDM,852718,REMOVER CEMENT OSCAR SUR,12241.0,12241.0,648.77,14689.2,49
CDM,852720,SCREWDRVR MNOAXL T-20,2564.0,2564.0,135.89,3076.8,49
CDM,852722,SCREW SPN 4MM 16MM,150.0,150.0,7.95,180.0,20
CDM,852728,NAIL MODULAR IM 12X38,4420.0,4420.0,234.26,5304.0,20
CDM,852732,BLDE XPLNT HIP TRNCT OST,5941.0,5941.0,314.87,7129.2,49
CDM,852734,PLATE BN CRVD UP 10HL,479.0,479.0,25.39,574.8,20
CDM,852735,LASER SURG DEVICE,11036.0,11036.0,584.91,13243.2,49
CDM,852736,NAIL INSERT RECON THRDED,970.0,970.0,51.41,1164.0,20
CDM,852737,SCREW COUNTERSNK 4.5X6.5,259.56,259.56,13.76,311.47,20
CDM,852738,SCREW DRVRSHFT SLFRT 178,2829.12,2829.12,149.94,3394.94,49
CDM,852741,PLATE BN MDFC 6H 12MM,395.0,395.0,20.93,474.0,20
CDM,852745,PLATE SPNL PRBNT 14MM,1900.0,1900.0,100.7,2280.0,20
CDM,852749,BIT DRL 4.3MM LNG,2564.0,2564.0,135.89,3076.8,49
CDM,852751,PLATE CMPR BRL CLSC 3HL,680.4,680.4,36.06,816.48,20
CDM,852784,PLATE BN 8HL 152MM,798.0,798.0,42.29,957.6,20
CDM,852785,NAIL BN 3.5MM 440MM,702.0,702.0,37.21,842.4,20
CDM,852788,HOOK CAUTERY TIP DVNCI,2564.0,2564.0,135.89,3076.8,49
CDM,852789,PORT 1 SITE DAVNCI 8.5FR,2564.0,2564.0,135.89,3076.8,49
CDM,852796,NAIL PROXIMAL IM HUM 7.0,3399.0,3399.0,180.15,4078.8,20
CDM,852797,SCREW BN 4MM 38MMM,472.0,472.0,25.02,566.4,20
CDM,852801,SCREW BN 3.5X18MM,530.0,530.0,28.09,636.0,20
CDM,852808,SCREW BN CANCELLOUS 75MM,710.0,710.0,37.63,852.0,20
CDM,852809,SCREW BN CANCELLOUS 90MM,710.0,710.0,37.63,852.0,20
CDM,852811,PLATE BN CLVL TITNM 9HL,2170.0,2170.0,115.01,2604.0,20
CDM,852812,SCREW BN CORT LCK AOS 18,370.0,370.0,19.61,444.0,20
CDM,852813,SCREW BN CORT LCK AOS 20,370.0,370.0,19.61,444.0,20
CDM,852814,SCREW BN CORT LCK AOS 22,370.0,370.0,19.61,444.0,20
CDM,852817,SCREW BN CANN ST 16,420.0,420.0,22.26,504.0,20
CDM,852818,DRILL BIT 95MM 2MM,1747.2,1747.2,92.6,2096.64,49
CDM,852820,PLATE BN SML PERI SPIDER,134.0,134.0,7.1,160.8,20
CDM,852821,PLATE BN LAT POST,1541.0,1541.0,81.67,1849.2,20
CDM,852822,PLATE LG BN RT DIST MDL,1450.0,1450.0,76.85,1740.0,20
CDM,852823,SCREW BN 3.5MM 44MM,91.0,91.0,4.82,109.2,20
CDM,852825,CEMENT BN VTSS BETA1.2CC,442.0,442.0,23.43,530.4,20
CDM,852827,HEAD FEM COCR +15.5X40MM,2000.0,2000.0,106.0,2400.0,20
CDM,852828,ROD SPN PDCL 200X5.5MM,360.0,360.0,19.08,432.0,20
CDM,852830,WASHER SPNL REVERE MED,902.0,902.0,47.81,1082.4,20
CDM,852831,SCREW BN 2.7MM 2.1MM20MM,197.0,197.0,10.44,236.4,20
CDM,852835,HD FEM C COCR 32 +7 HIP,4500.0,4500.0,238.5,5400.0,20
CDM,852836,LINER ACE,7200.0,7200.0,381.6,8640.0,20
CDM,852838,SCREW SPNL PEDFUSE 8X50,2300.0,2300.0,121.9,2760.0,20
CDM,852839,ROD SPN PRELRDTC 130X5.5,400.0,400.0,21.2,480.0,20
CDM,852840,SCREW SPNL WSHR SM 5X45,2300.0,2300.0,121.9,2760.0,20
CDM,852846,SCREW SPN 3.5X32 MTNR,1440.0,1440.0,76.32,1728.0,20
CDM,852848,SCREW SPN 3.5X34 MTNR,1440.0,1440.0,76.32,1728.0,20
CDM,852849,SCREW CERV 4.0X14MM,1440.0,1440.0,76.32,1728.0,20
CDM,852887,GUIDEWIRE ARTHSCP .045IN,754.0,754.0,39.96,904.8,49
CDM,852888,GWIRE ORTH SURG 1.1MM,565.0,565.0,29.95,678.0,49
CDM,852890,BIT DRL CNTRSNK 4MM,719.04,719.04,38.11,862.85,49
CDM,852891,SCREW CANC P/T LCK 4X34,460.0,460.0,24.38,552.0,20
CDM,852893,STEM HUM FNDTN REV 200X8,5400.0,5400.0,286.2,6480.0,20
CDM,852894,INSERT TIB CNFRM SZ3 LT,1590.0,1590.0,84.27,1908.0,20
CDM,852925,LEAD ICD DF4 PF SC 59CM,8440.0,8440.0,447.32,10128.0,20
CDM,852957,NAIL BN HUM 8/7MM 22CM,2932.0,2932.0,155.4,3518.4,20
CDM,852960,SCREW BN 5MM 25MM,409.0,409.0,21.68,490.8,20
CDM,852961,SCREW BN 5.0MM 30MM,429.0,429.0,22.74,514.8,20
CDM,852962,SCREW BN 5MM 60MM,409.0,409.0,21.68,490.8,20
CDM,852970,PLATE BN 14H 301MM 4.5MM,3683.0,3683.0,195.2,4419.6,20
CDM,852971,SCREW BN 32MM 4MM,294.0,294.0,15.58,352.8,20
CDM,852975,SCREW BN 2.3MM 14MM,140.0,140.0,7.42,168.0,20
CDM,852976,SCREW BN MXLFCL 2.7X14MM,145.0,145.0,7.68,174.0,20
CDM,852986,NAIL BN WRST RADL 70MM,800.0,800.0,42.4,960.0,20
CDM,852988,SCREW ST COCR 3MM 2MM,90.0,90.0,4.77,108.0,20
CDM,852990,SCREW BN 2.8MM 8MM,170.0,170.0,9.01,204.0,20
CDM,852991,SCREW BN 2.8MM 10MM,170.0,170.0,9.01,204.0,20
CDM,852992,KWIRE FX 1.5MM 127MM,377.0,377.0,19.98,452.4,49
CDM,852998,CATH ANGIO 4FR 65CM,497.0,497.0,26.34,596.4,49
CDM,853013,CATH ANGIO 4FR 100CM,497.0,497.0,26.34,596.4,49
CDM,853025,ROD SPNL KRDI 80X5.5,360.0,360.0,19.08,432.0,20
CDM,853046,NAIL 10MM 33CM TROCH LT,4160.0,4160.0,220.48,4992.0,20
CDM,853053,BIT DRILL 54MM 1.4MM 12M,2564.0,2564.0,135.89,3076.8,49
CDM,853060,STENT EPRSTH 37MM 20CM,29800.0,29800.0,1579.4,35760.0,20
CDM,853064,INSERT TIB KN SZ1-2 11MM,1300.0,1300.0,68.9,1560.0,20
CDM,853090,VNS LEAD 303-2.0,5334.0,5334.0,282.7,6400.8,20
CDM,853099,ANCHOR HEALIX KNTLS 4.75,1395.0,1395.0,73.94,1674.0,20
CDM,853101,EXPANDER TISSUE 600ML,2490.0,2490.0,131.97,2988.0,20
CDM,853106,INSERT KN PST SZ5-6 11MM,1300.0,1300.0,68.9,1560.0,20
CDM,853112,CMPNT KN DPHSL SEG 9CM,7727.0,7727.0,409.53,9272.4,20
CDM,853114,COMPNT FEM DPHSL KN 13,6972.0,6972.0,369.52,8366.4,20
CDM,853123,SCREW BN MAXTORQ 6X7,350.0,350.0,18.55,420.0,20
CDM,853126,TRAY HSG 5FR 30MM,1778.0,1778.0,94.23,2133.6,49
CDM,853128,CAGE SPN DRADO VERT25X10,5400.0,5400.0,286.2,6480.0,20
CDM,853129,SCREW SPN PEDFUSE 5.0X40,2200.0,2200.0,116.6,2640.0,20
CDM,853130,ROD SPNL KRD1 50X5.5,400.0,400.0,21.2,480.0,20
CDM,853131,INSERT TIB CMPLT MED 20,1500.0,1500.0,79.5,1800.0,20
CDM,853132,INSERT TIB CMPLT MED22.5,1500.0,1500.0,79.5,1800.0,20
CDM,853135,STEM FEM BOW 22X17X230,5412.0,5412.0,286.84,6494.4,20
CDM,853136,HEAD FEM SROM 36MM,1600.0,1600.0,84.8,1920.0,20
CDM,853141,SPACER SPN INTBDY MED 6,2200.0,2200.0,116.6,2640.0,20
CDM,853142,PLATE VAR ANG 2HL 27X2.7,1428.0,1428.0,75.68,1713.6,20
CDM,853143,SUTURE LARIAT SDPSS 30D,490.0,490.0,25.97,588.0,49
CDM,853153,MCTH INFS 3-2.4FR 130CM,3877.0,3877.0,205.48,4652.4,49
CDM,853163,CATH ULTSND 3.4FR 135CM,5941.0,5941.0,314.87,7129.2,49
CDM,853192,CANN PRFSN OD7MM CRNRY,2564.0,2564.0,135.89,3076.8,49
CDM,853194,KNIFE OPTH 3.0MM,539.0,539.0,28.57,646.8,49
CDM,853199,TOOL DSCT 80X1.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,853200,GUIDEPIN BALL PNT 100CM,1055.04,1055.04,55.92,1266.05,49
CDM,853215,SCREW BN 3.5MM 38MM,70.0,70.0,3.71,84.0,20
CDM,853222,KIT INTRO GW 4.5FR 7CM,1237.0,1237.0,65.56,1484.4,49
CDM,853248,SCREW BN CANC 3.0X10,278.0,278.0,14.73,333.6,20
CDM,853265,SCREW BN 2.7MM 30MM,64.0,64.0,3.39,76.8,20
CDM,853266,SCREW BN 2.7MM 32MM,66.0,66.0,3.5,79.2,20
CDM,853271,MODEL ANTM SKL ADLT,43007.0,43007.0,2279.37,51608.4,49
CDM,853272,PLATE PRECNTRD 16HL 4-5,3918.0,3918.0,207.65,4701.6,20
CDM,853277,SUTURE QCKDRW ANCHR 5MM,2992.5,2992.5,158.6,3591.0,49
CDM,853278,SUTURE DEVICE CONNECTOR,3360.0,3360.0,178.08,4032.0,49
CDM,853279,SUTURE RAPPEL LINE,2194.5,2194.5,116.31,2633.4,49
CDM,853287,SCREW BN 5MM 10MM,271.0,271.0,14.36,325.2,20
CDM,853293,SCREW BN CORT 3.5MM 18MM,218.0,218.0,11.55,261.6,20
CDM,853313,BIT DRILL CANN 5.0MM,2607.0,2607.0,138.17,3128.4,49
CDM,853316,PICK SURG 13CM 45D 1.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,853317,INTERBODY ELIFT 9X30X12,5400.0,5400.0,286.2,6480.0,20
CDM,853329,SET SPN SURG INST DISP,10142.0,10142.0,537.53,12170.4,49
CDM,853333,NAIL TIB 11.5MM 30CM,3486.0,3486.0,184.76,4183.2,20
CDM,853334,SUTURE BLK BRD 6-018IN,319.0,319.0,16.91,382.8,49
CDM,853337,PLATE SPN 2LVL 38MM,2090.0,2090.0,110.77,2508.0,20
CDM,853339,SCREW BN 3.5MM 44MM,210.0,210.0,11.13,252.0,20
CDM,853340,SCREW BN 3.5X2.9MM 46MM,210.0,210.0,11.13,252.0,20
CDM,853346,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,853348,ROD SPNL SLRA 50X4.75MM,275.0,275.0,14.57,330.0,20
CDM,853351,LINER HIP 48MM,1630.0,1630.0,86.39,1956.0,20
CDM,853372,INSERT ARTC KN PRFX SZ4,1590.0,1590.0,84.27,1908.0,20
CDM,853376,BLADE SHVR 13CM 4.0MM,2446.0,2446.0,129.64,2935.2,49
CDM,853378,CATH ANGIO CRV 6FR 4MM,1432.0,1432.0,75.9,1718.4,49
CDM,853380,GWIRE VASC .038IN 260CM,505.0,505.0,26.77,606.0,49
CDM,853382,HAMMERLOCK STRA 0DEG SM,1954.0,1954.0,103.56,2344.8,20
CDM,853383,HAMMERLOCK STRA 0DG PTIT,1954.0,1954.0,103.56,2344.8,20
CDM,853392,SET DRN 8FR 18CM,2564.0,2564.0,135.89,3076.8,49
CDM,853393,SET DRN CHST 10FR 20CM,2564.0,2564.0,135.89,3076.8,49
CDM,853399,STEM HUM SHLDR 183MM,4824.0,4824.0,255.67,5788.8,20
CDM,853400,CUP HUM SHLDR 42MM +9MM,1400.0,1400.0,74.2,1680.0,20
CDM,853406,STEM HUM 107MM 8MM,3900.0,3900.0,206.7,4680.0,20
CDM,853408,KNIFE SURG BYNT DISP,3283.0,3283.0,174.0,3939.6,49
CDM,853414,ROD SPNL PRLRDOTC 45X5.5,360.0,360.0,19.08,432.0,20
CDM,853415,GRAFT BN DBM PTTY 2ML,400.0,400.0,21.2,480.0,20
CDM,853428,PLATE BN 10HL 3.5X232MM,2906.0,2906.0,154.02,3487.2,20
CDM,853435,SCREW BN RADL HD SM 11MM,5733.64,5733.64,303.88,6880.37,20
CDM,853451,KNIFE OPTN 2.75MM,360.0,360.0,19.08,432.0,49
CDM,853466,DRSG WND ANMC 4X4IN,214.0,214.0,11.34,256.8,49
CDM,853467,KIT CV 8.5FR6CM3LUM ANMC,4454.0,4454.0,236.06,5344.8,49
CDM,853472,CATHETER DRN 5FR 10CM,521.0,521.0,27.61,625.2,49
CDM,853479,SCREW BN LCK 3MM 10MM,356.0,356.0,18.87,427.2,20
CDM,853484,CANNULA BTN 10MM 5CM,1206.0,1206.0,63.92,1447.2,49
CDM,853489,WIRE FX LCK 3.2X45,579.67,579.67,30.72,695.6,49
CDM,853496,LINER ACTB FMP 10X8,1800.0,1800.0,95.4,2160.0,20
CDM,853497,LINER ACTB FMP 10X8X32,1100.0,1100.0,58.3,1320.0,20
CDM,853498,RING ANLPLS TRCSD 30MM,4700.0,4700.0,249.1,5640.0,20
CDM,853499,RING ANLPLS TRCSD 32MM,4700.0,4700.0,249.1,5640.0,20
CDM,853545,SCREW BN T55MM 4.5MM,368.0,368.0,19.5,441.6,20
CDM,853550,SCREW BN 3MM 20MM,300.0,300.0,15.9,360.0,20
CDM,853557,SCREW BN 3.5MM 56MM,217.0,217.0,11.5,260.4,20
CDM,853558,SCREW BN 3.5MM 58MM,217.0,217.0,11.5,260.4,20
CDM,853563,PLATE SPN 40MM,1900.0,1900.0,100.7,2280.0,20
CDM,853570,PLATE CRNFCL 24HL,916.0,916.0,48.55,1099.2,20
CDM,853577,CMPNT FEM KN RT SZ4,3200.0,3200.0,169.6,3840.0,20
CDM,853578,INSERT ARTC TIB KN SZ1-2,1590.0,1590.0,84.27,1908.0,20
CDM,853605,PLATE BN 1/3 4HL 47MM,644.0,644.0,34.13,772.8,20
CDM,853608,PIN HLF SS 5X200MM,2564.0,2564.0,135.89,3076.8,49
CDM,853610,COMP FEM KN LT SZ3,3200.0,3200.0,169.6,3840.0,20
CDM,853623,BARRIER ADH ABS 6X5IN,4490.0,4490.0,237.97,5388.0,49
CDM,853642,STENT BIL INTR G25671,186.0,186.0,9.86,223.2,20
CDM,853663,JNT TOE MOV 30 HMSPHR,5676.0,5676.0,300.83,6811.2,20
CDM,853669,FIXATOR EX FIX WRST KIT,5506.2,5506.2,291.83,6607.44,49
CDM,853670,PLATE ANTLOCK W.HOLE AO,2170.0,2170.0,115.01,2604.0,20
CDM,853671,SCREW NON LCK AO 14MM,370.0,370.0,19.61,444.0,20
CDM,853672,SCREW NON LCK AO 16MM,370.0,370.0,19.61,444.0,20
CDM,853673,SCREW NON LCK AO 18MM,370.0,370.0,19.61,444.0,20
CDM,853674,SCREW NON LCK AO 22MM,370.0,370.0,19.61,444.0,20
CDM,853678,SHELL ACTB FLARED W/HO,1800.0,1800.0,95.4,2160.0,20
CDM,853681,PLATE BN 8HL 104MM,837.0,837.0,44.36,1004.4,20
CDM,853688,PLATE BN MNDB 4HL 1.6MM,622.0,622.0,32.97,746.4,20
CDM,853691,PLATE MNDB 4HL STRGHT,1700.0,1700.0,90.1,2040.0,20
CDM,853721,SCREW BN 3MM 19MM,328.0,328.0,17.38,393.6,20
CDM,853755,SCREW SYN CORT ST 3.5X30,49.0,49.0,2.6,58.8,20
CDM,853762,SCREW BN 0D 62MM 5MM,269.0,269.0,14.26,322.8,20
CDM,853763,DRILL BIT CNTRSNK 3MM,2564.0,2564.0,135.89,3076.8,49
CDM,853789,NAIL FEM LT 11.5MM 36CM,4086.0,4086.0,216.56,4903.2,20
CDM,853799,PLATE BN 16H,3918.0,3918.0,207.65,4701.6,20
CDM,853800,PLATE BN 17HL 1.5MM,3918.0,3918.0,207.65,4701.6,20
CDM,853801,IMPLANT FX 14MM SYS ST,526.0,526.0,27.88,631.2,20
CDM,853845,DEFIB CARD CARDIOSIGHT,22850.0,22850.0,1211.05,27420.0,20
CDM,853846,LEAD ICD DF4 8.6FR 55CM,6734.0,6734.0,356.9,8080.8,20
CDM,853872,CMPNT FEM KN SZ3,3200.0,3200.0,169.6,3840.0,20
CDM,853876,IMPLANT BREAST 170CC,1648.0,1648.0,87.34,1977.6,20
CDM,853903,SCREW BN SS 7X90X32MM,382.0,382.0,20.25,458.4,20
CDM,853904,SCREW BN SS 7X80X16MM,462.0,462.0,24.49,554.4,20
CDM,853905,SCREW BN SS 7X95X16MM,462.0,462.0,24.49,554.4,20
CDM,853907,SCREW BN 7MM 90MM,462.0,462.0,24.49,554.4,20
CDM,853914,DEFIB CARD THK15MM 51X66,22850.0,22850.0,1211.05,27420.0,20
CDM,853915,LEAD ICD 62CM,6734.0,6734.0,356.9,8080.8,20
CDM,853941,COVER BUR HL 14X.4MM,447.0,447.0,23.69,536.4,20
CDM,853942,PLATE BN UNV CRNIO 3,581.0,581.0,30.79,697.2,20
CDM,853950,PLATE BN RT 6HL,3128.0,3128.0,165.78,3753.6,20
CDM,853955,SUTURE CV-4 TH-26 36IN,1021.0,1021.0,54.11,1225.2,49
CDM,853956,SCREW BN SPNL 2X14,760.0,760.0,40.28,912.0,20
CDM,853967,PLATE SPN 14MM,796.0,796.0,42.19,955.2,20
CDM,853970,ROD BN EXFX 2 5X200,2564.0,2564.0,135.89,3076.8,49
CDM,853974,NAIL 8MM 39CM TIB IM,4300.0,4300.0,227.9,5160.0,20
CDM,853976,PACKING NSL HDRCLD 4.5CM,1765.0,1765.0,93.55,2118.0,49
CDM,853977,NAIL 10MM 39CM TROCH RT,4160.0,4160.0,220.48,4992.0,20
CDM,853980,IMPLANT ORBITAL 16MM,508.0,508.0,26.92,609.6,20
CDM,853984,NAIL FEM MOD 10X40 STR,4420.0,4420.0,234.26,5304.0,20
CDM,853987,SCREW CANC CERV CTK 4X10,1620.0,1620.0,85.86,1944.0,20
CDM,853988,DRILL GUIDE PERIP INST D,5053.0,5053.0,267.81,6063.6,49
CDM,854016,NAIL 9MM 32CM SP CNDL,3546.0,3546.0,187.94,4255.2,20
CDM,854018,SCREW BN SPN 4.5MM 15MM,150.0,150.0,7.95,180.0,20
CDM,854020,SUTURE PASSER TRANSOSSEO,2450.0,2450.0,129.85,2940.0,49
CDM,854022,PASSER KIT SUT UCL STRL,5941.0,5941.0,314.87,7129.2,49
CDM,854036,GWIRE VASC .035IN 260CM,3224.0,3224.0,170.87,3868.8,49
CDM,854040,TRAY CGL TRACH TUBE SZ8,5941.0,5941.0,314.87,7129.2,49
CDM,854044,GWIRE VASC .014IN 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,854046,CATH EP 5FR 10X110CM,2564.0,2564.0,135.89,3076.8,49
CDM,854072,STEM HUM 113MM 10MM,3900.0,3900.0,206.7,4680.0,20
CDM,854080,CANNULA PRFSN 9FR 5.5IN,502.0,502.0,26.61,602.4,49
CDM,854106,DEVICE ICD PRTCTA XT DF4,32000.0,32000.0,1696.0,38400.0,20
CDM,854107,LEAD ICD 72CM,5984.0,5984.0,317.15,7180.8,20
CDM,854120,NAIL FEM RT NLEX 11X40,3250.9,3250.9,172.3,3901.08,20
CDM,854121,PLATE BN 8HL RT,3128.0,3128.0,165.78,3753.6,20
CDM,854162,GRAFT VASC 20CM 6MM,5600.0,5600.0,296.8,6720.0,20
CDM,854163,PLT 6 HL DBL Y W/BAR N12,378.0,378.0,20.03,453.6,20
CDM,854227,PLATE BN 4 HL 2X31MM,426.0,426.0,22.58,511.2,20
CDM,854255,STEM FEM HIP 9MM 137MM,3600.0,3600.0,190.8,4320.0,20
CDM,854266,STEM FEM FNDTN POR 10.5,5000.0,5000.0,265.0,6000.0,20
CDM,854317,PLATE CRNMXF BN 12MM,272.0,272.0,14.42,326.4,20
CDM,854319,PLATE BN SM 4HL 0.4MM,382.0,382.0,20.25,458.4,20
CDM,854321,PLATE BN UNIV 4H 4MM,592.0,592.0,31.38,710.4,20
CDM,854324,PLATE BN 6HL 0.4MM,713.0,713.0,37.79,855.6,20
CDM,854325,PLATE BN 6HL 0.4MM,637.0,637.0,33.76,764.4,20
CDM,854326,PLATE BN 4H 0.4MM,543.0,543.0,28.78,651.6,20
CDM,854327,PLATE BN 8HL 0.4MM,292.0,292.0,15.48,350.4,20
CDM,854328,PLATE BN CRNMXF 0.6X12MM,223.0,223.0,11.82,267.6,20
CDM,854338,COVER CMF BUR H 10MM,465.0,465.0,24.64,558.0,20
CDM,854340,COVER BN BURR HL 20M,559.0,559.0,29.63,670.8,20
CDM,854341,COVER BUR 24MM,542.0,542.0,28.73,650.4,20
CDM,854342,COVER BUR HL 20MM,686.0,686.0,36.36,823.2,20
CDM,854354,STEM FEM OFST LNR SZ8,5000.0,5000.0,265.0,6000.0,20
CDM,854404,STEM FEM REV PRSFT 220X9,11628.2,11628.2,616.29,13953.84,20
CDM,854407,NAIL TROCH 11MM 42MM,4160.0,4160.0,220.48,4992.0,20
CDM,854410,GRAFT BN TRCRT ILUM15X14,1100.32,1100.32,58.32,1320.38,20
CDM,854414,DRSG HEMO 2X2IN,295.0,295.0,15.63,354.0,49
CDM,854421,CERV IBFD NTRL 15X13,2200.0,2200.0,116.6,2640.0,20
CDM,854456,NAIL BN CRPL 4.6X60MM,1000.0,1000.0,53.0,1200.0,20
CDM,854458,CONN BN NL ARTHDS 7MM,200.0,200.0,10.6,240.0,20
CDM,854463,SCREW BN 4X38MM,330.0,330.0,17.49,396.0,20
CDM,854464,SCREW BN 4MM 40MM,363.0,363.0,19.24,435.6,20
CDM,854465,SCREW BN 4MM 48MM,330.0,330.0,17.49,396.0,20
CDM,854468,SCREW BN 4X46MM,363.0,363.0,19.24,435.6,20
CDM,854476,LINER HIP COCR 40X22,900.0,900.0,47.7,1080.0,20
CDM,854529,STEM ELBOW 2MM 8MM,4050.0,4050.0,214.65,4860.0,20
CDM,854530,HEAD RADL ELB 22MM,2050.0,2050.0,108.65,2460.0,20
CDM,854538,PLATE BN MLBL 2X2HL,464.0,464.0,24.59,556.8,20
CDM,854543,STEM FEM SZ7 114MM,3864.0,3864.0,204.79,4636.8,20
CDM,854551,ANCHOR SUT PEEKOPTMA 5.5,880.0,880.0,46.64,1056.0,20
CDM,854557,TUBE TRACH XLT PROX CUFD,1990.0,1990.0,105.47,2388.0,49
CDM,854567,BAG SPEC RETRVL 1550ML,2564.0,2564.0,135.89,3076.8,49
CDM,854572,ENDPLATE SPNL 24-32X14MM,11160.0,11160.0,591.48,13392.0,20
CDM,854599,SCREW BN 2.4MM 13MM,98.0,98.0,5.19,117.6,20
CDM,854617,STENT CLN 25X120MM 270CM,4990.0,4990.0,264.47,5988.0,20
CDM,854631,EXTRACTOR STON 10F 38CM,2803.0,2803.0,148.56,3363.6,49
CDM,854649,NAIL FEM RTRO 11.5X36MM,2398.0,2398.0,127.09,2877.6,20
CDM,854655,SCREW BN 3.5MM 40MM,120.0,120.0,6.36,144.0,20
CDM,854658,SCREW BN LT 4X36MM,363.0,363.0,19.24,435.6,20
CDM,854681,TRAY CATH 4FR 18GA,2564.0,2564.0,135.89,3076.8,49
CDM,854698,SCREW BN 3MM 12MM,188.0,188.0,9.96,225.6,20
CDM,854707,LINER ACTB HIP 36X52MM,1100.0,1100.0,58.3,1320.0,20
CDM,854715,STEM FEM SZ5 108MM,3864.0,3864.0,204.79,4636.8,20
CDM,854728,CATH GD .018IN 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,854736,STEM FEM PRSFT POR HA 12,5000.0,5000.0,265.0,6000.0,20
CDM,854785,SCREW BN 3.5X2.9X65MM,238.0,238.0,12.61,285.6,20
CDM,854786,PLATE BN RT 4HL 3.5X76MM,2580.0,2580.0,136.74,3096.0,20
CDM,854817,SCREW BN SPN 3.5MM 32MM,1000.0,1000.0,53.0,1200.0,20
CDM,854821,SCREW BN 2.4MM 40MM,98.0,98.0,5.19,117.6,20
CDM,854822,SCREW BN 2.4MM 4MM 36MM,93.0,93.0,4.93,111.6,20
CDM,854825,COMPNT FEM NPOR SZ7 RT,3200.0,3200.0,169.6,3840.0,20
CDM,854829,DRESSING ABD OPN ABTHERA,28.0,28.0,1.48,33.6,49
CDM,854832,SCREW BN NLCK 3MM 20MM,2341.0,2341.0,124.07,2809.2,20
CDM,854846,SUTURE UND BRD +4-0 27IN,127.0,127.0,6.73,152.4,49
CDM,854853,CMPNT FEM KN LT XX-SM,18533.0,18533.0,982.25,22239.6,20
CDM,854856,PLATE BN 5HL 0.6MM,292.0,292.0,15.48,350.4,20
CDM,854865,SCREW BN NLCK 3MM 30MM,124.0,124.0,6.57,148.8,20
CDM,854879,BAG PRESS INFSR 3000ML,345.0,345.0,18.29,414.0,49
CDM,854903,NAIL FX RSH CNDRL13.97X3,158.0,158.0,8.37,189.6,20
CDM,854904,INSERT INTBDY FSN DV SZ6,2200.0,2200.0,116.6,2640.0,20
CDM,854906,SHELL ACTB W/HLS FLRD 50,1800.0,1800.0,95.4,2160.0,20
CDM,854910,BLADE SHVR 3.0MM 7.0CM,2564.0,2564.0,135.89,3076.8,49
CDM,854911,CATH URET 5FR 70CM,355.0,355.0,18.82,426.0,49
CDM,854917,SCREW BN LCK 3MM 26MM,245.0,245.0,12.98,294.0,20
CDM,854929,PLATE BN RT 1.5MM 60MM,1446.0,1446.0,76.64,1735.2,20
CDM,854938,SCREW BN CORT 2.7MM 26MM,66.0,66.0,3.5,79.2,20
CDM,854939,SCREW BN 2.7MM 28MM,64.0,64.0,3.39,76.8,20
CDM,854949,DEVICE UNIT SUT FASTNER,2187.0,2187.0,115.91,2624.4,20
CDM,854974,PLATE BN 10H LT 230MM,2725.0,2725.0,144.43,3270.0,20
CDM,854983,CANN PRFSN 12.5IN15F MNL,2564.0,2564.0,135.89,3076.8,49
CDM,854985,NAIL FEM NLEX CAN 10X36,2562.0,2562.0,135.79,3074.4,20
CDM,854987,SCREW BN 3.5MM 34MM,70.0,70.0,3.71,84.0,20
CDM,854995,PLATE BN STR LCK SS 10H,1700.0,1700.0,90.1,2040.0,20
CDM,855011,SCREW SPN 4MM 16MM,150.0,150.0,7.95,180.0,20
CDM,855028,BURR SRG MED L67MM OD1.6,848.0,848.0,44.94,1017.6,49
CDM,855029,SCREW BN 2MM 7MM,199.0,199.0,10.55,238.8,20
CDM,855036,SHELL ACETB W/HOLE PROUS,1800.0,1800.0,95.4,2160.0,20
CDM,855038,INSERT TIB CMPR MLD SZ6,1100.0,1100.0,58.3,1320.0,20
CDM,855041,PLATE BN CRNL 100D 5MM,360.0,360.0,19.08,432.0,20
CDM,855042,PLATE MDFC 6H L LT 8MM,384.0,384.0,20.35,460.8,20
CDM,855045,INSERT TIB SZ8 LT E-+,1100.0,1100.0,58.3,1320.0,20
CDM,855046,PLATE TIB RT DST MDL 4HL,2783.76,2783.76,147.54,3340.51,20
CDM,855058,SCREW BN NLCK 3MM 18MM,182.0,182.0,9.65,218.4,20
CDM,855063,NAIL BN 8MM 9.5MM 160MM,3268.0,3268.0,173.2,3921.6,20
CDM,855064,SCREW BN 4.5MM 34MM,432.0,432.0,22.9,518.4,20
CDM,855066,SCREW BN 4.5MM 28MM,432.0,432.0,22.9,518.4,20
CDM,855096,GWIRE VASC .035IN 180CM,1659.0,1659.0,87.93,1990.8,49
CDM,8551,DACTINOMYCIN 0.5 MG INJ,5581.0,5581.0,479.97,6697.2,29
CDM,8551,"Injection, dactinomycin, 0.5 mg ",5581.0,5581.0,327.54,327.54,1
CDM,855130,SUMP CARDIAC SUC 20FR,473.0,473.0,25.07,567.6,49
CDM,855137,CANNULA PRFSIN 28FR 14IN,1255.0,1255.0,66.52,1506.0,49
CDM,855138,CANNULA PRFSN 16IN 30FR,1255.0,1255.0,66.52,1506.0,49
CDM,855139,CANN PRFSN 16IN 32FR,1255.0,1255.0,66.52,1506.0,49
CDM,855172,CAP END TI HUM NAIL 0MM,263.0,263.0,13.94,315.6,20
CDM,855173,SCREW BN LCK 4MM 26MM,304.0,304.0,16.11,364.8,20
CDM,855182,CMPNT TIB KN RS 160X10,4653.0,4653.0,246.61,5583.6,20
CDM,855186,INSERT TIB KN SZ7-8 9MM,2630.0,2630.0,139.39,3156.0,20
CDM,855192,PLATE BN RT STD 4HL,916.0,916.0,48.55,1099.2,20
CDM,855193,PEG BN 2MM 14MM,156.0,156.0,8.27,187.2,20
CDM,855194,PEG FX 2MM 16MM,156.0,156.0,8.27,187.2,20
CDM,855195,PEG SMTH LCK 2.0X18MM,156.0,156.0,8.27,187.2,20
CDM,855196,PEG LCK SMOOTH 2X20MM,156.0,156.0,8.27,187.2,20
CDM,855197,PEG LCK SMTH 2X22MM,156.0,156.0,8.27,187.2,20
CDM,855199,PEG BN THRD 2.7X24MM,152.0,152.0,8.06,182.4,20
CDM,855200,SCREW BN POLY 3.5X12MM,156.0,156.0,8.27,187.2,20
CDM,855201,SCREW BN 3.5MM 11MM,156.0,156.0,8.27,187.2,20
CDM,855202,GUIDE SURG 1.5MM,754.0,754.0,39.96,904.8,49
CDM,855203,DRILL SURG DISP 2MM 40MM,942.0,942.0,49.93,1130.4,49
CDM,855204,DRILL SURG DISP 2.5X40MM,942.0,942.0,49.93,1130.4,49
CDM,855205,DRIVER SURG 2MM,897.0,897.0,47.54,1076.4,49
CDM,855206,DRIVER SURG QC UNIV T10,942.0,942.0,49.93,1130.4,49
CDM,855208,SCREW SLFDRL CAN 3X20X10,288.4,288.4,15.29,346.08,20
CDM,855209,SCREW SLFDRL CAN3X19X9.4,288.4,288.4,15.29,346.08,20
CDM,855232,FORCEP BX 2.2MM 240CM,749.0,749.0,39.7,898.8,49
CDM,855253,STEM FEM REV SYS 167X14,6732.7,6732.7,356.83,8079.24,20
CDM,855254,FEM RSTR MOD HIP BDY21MM,7910.5,7910.5,419.26,9492.6,20
CDM,855255,PLATE BN 100D 12MM,395.0,395.0,20.93,474.0,20
CDM,855256,ACTB SHELL FLRD W/HLS 58,1800.0,1800.0,95.4,2160.0,20
CDM,855262,SCREW BN LAG 8.5MM,1020.0,1020.0,54.06,1224.0,20
CDM,855282,COIL EMBL 50CM 20MM,2730.0,2730.0,144.69,3276.0,20
CDM,855299,PEG BN THRD LCK 2.3X14MM,168.0,168.0,8.9,201.6,20
CDM,8553,DACARBAZINE 100 MG INJ,220.0,220.0,11.66,264.0,30
CDM,8553,"Dacarbazine, 100 mg ",220.0,220.0,3.73,3.73,1
CDM,855300,PEG BN THRD LCK 2.3X18MM,168.0,168.0,8.9,201.6,20
CDM,855301,SCREW BN 3.5MM 10MM,156.0,156.0,8.27,187.2,20
CDM,855302,SCREW BN 3.5X11MM,156.0,156.0,8.27,187.2,20
CDM,855303,SCREW BN 3.5MM 10MM,156.0,156.0,8.27,187.2,20
CDM,855315,PUNCH BX DISP 4.0MM,70.0,70.0,3.71,84.0,49
CDM,855335,SCREW CANC AOS STD 40,504.0,504.0,26.71,604.8,20
CDM,855341,TRAY SURG 4X4IN,738.0,738.0,39.11,885.6,49
CDM,855362,PLATE SPN 2LVL 42MM,1900.0,1900.0,100.7,2280.0,20
CDM,855363,PLATE SPN 2LVL 44MM,1900.0,1900.0,100.7,2280.0,20
CDM,855370,BODY FEM HIP 20MM 75MM,4698.0,4698.0,248.99,5637.6,20
CDM,855384,SCREW BN 2.7MM 18MM,570.0,570.0,30.21,684.0,20
CDM,855385,SCREW BN 3.5MM 16MM,530.0,530.0,28.09,636.0,20
CDM,855386,SCREW BN 2.7MM 14MM,360.0,360.0,19.08,432.0,20
CDM,855394,KIT ENDO KNTLS STRL,1760.0,1760.0,93.28,2112.0,20
CDM,855400,STEM FEM SZ7 114MM,3864.0,3864.0,204.79,4636.8,20
CDM,855402,SCREW BN NLCK 3MM 34MM,124.0,124.0,6.57,148.8,20
CDM,855403,SCREW BN LCK 3MM 12MM,356.0,356.0,18.87,427.2,20
CDM,855404,SCREW BN LCK 3MM 22MM,300.0,300.0,15.9,360.0,20
CDM,855405,SCREW BN NLCK 3MM 22MM,180.0,180.0,9.54,216.0,20
CDM,855406,SCREW BN NLCK 3MM 24MM,124.0,124.0,6.57,148.8,20
CDM,855411,SCREW BN 3.5MM 12MM,55.0,55.0,2.92,66.0,20
CDM,855447,SCREW BN CANN 4X5X64MM,341.0,341.0,18.07,409.2,20
CDM,855451,PLATE SPN 2LV 34X16X2.5,1900.0,1900.0,100.7,2280.0,20
CDM,855452,CAGE SPN BNGL 7D 1MM,1600.0,1600.0,84.8,1920.0,20
CDM,855453,SCREW BN 4.0MM 12MM,150.0,150.0,7.95,180.0,20
CDM,855454,TUBE 18FR STR REPL GSTRM,1018.0,1018.0,53.95,1221.6,49
CDM,855462,STEM FEM FNDTN MTL 100,1450.0,1450.0,76.85,1740.0,20
CDM,855464,STEM FEM POR HAP 13.5,5000.0,5000.0,265.0,6000.0,20
CDM,855472,PLATE BN MINI ST 6HL,243.0,243.0,12.88,291.6,20
CDM,855474,STEM FEM RSTR MD SHLW 23,7910.5,7910.5,419.26,9492.6,20
CDM,855475,SCREW FEM TRGN HX 4.5X50,243.6,243.6,12.91,292.32,20
CDM,855478,CAGE SPNL CNCRD 31X11X11,4501.0,4501.0,238.55,5401.2,20
CDM,855480,ROD SPNL 110MM,360.0,360.0,19.08,432.0,20
CDM,855521,KIT CRANIAL ACCESS,5669.0,5669.0,300.46,6802.8,49
CDM,855571,SCREW BN CONDYLAR FSTN,315.0,315.0,16.7,378.0,20
CDM,855583,PLATE BN 4HL,916.0,916.0,48.55,1099.2,20
CDM,855604,NAIL IM HUM TRGN 8/7X26,3150.0,3150.0,166.95,3780.0,20
CDM,855621,NAIL RUSH 6.5X4,146.0,146.0,7.74,175.2,20
CDM,855622,KNE REV FNDTN 10 PST BLK,900.0,900.0,47.7,1080.0,20
CDM,855623,NAIL FX RUSH CMPLT 4.5X2,146.0,146.0,7.74,175.2,20
CDM,855629,PLATE BN 100D 8 LFT 5 HL,404.0,404.0,21.41,484.8,20
CDM,855632,SCREW HIP IMHS CANN ST,254.1,254.1,13.47,304.92,20
CDM,855636,SUT CLS LP WHT/BLK 26IN,110.0,110.0,5.83,132.0,20
CDM,855637,SCREW BN 4MM 26MM 9MM,294.0,294.0,15.58,352.8,20
CDM,855638,SCREW BN 4MM 44MM 15MM,294.0,294.0,15.58,352.8,20
CDM,855639,SCREW BN 4MM 42MM 14MM,294.0,294.0,15.58,352.8,20
CDM,855651,STEM FEM HIP SZ6 111MM,3864.0,3864.0,204.79,4636.8,20
CDM,855698,DRILL BIT 2.5MMX127MM,1131.0,1131.0,59.94,1357.2,49
CDM,855705,INSERT TIB KN 7-8MM 11MM,1300.0,1300.0,68.9,1560.0,20
CDM,855706,SCREW BN 5MM 32MM,294.0,294.0,15.58,352.8,20
CDM,855717,GRAFT BN DBM PTTY 1ML,200.0,200.0,10.6,240.0,20
CDM,855720,PLATE CLVCL CURV RT,2170.0,2170.0,115.01,2604.0,20
CDM,855721,SCREW BN 3.5MM 20MM,530.0,530.0,28.09,636.0,20
CDM,855724,SCREW AOS LOCK 20MM,360.0,360.0,19.08,432.0,20
CDM,855725,COMPNT FEM SZ3 NPOR LT,3200.0,3200.0,169.6,3840.0,20
CDM,855726,INSERT TIB PST FNDTN SZ2,1100.0,1100.0,58.3,1320.0,20
CDM,855729,NAIL MOD IM 10X30,4420.0,4420.0,234.26,5304.0,20
CDM,855741,FILLER BN VOID 20CC,3920.0,3920.0,207.76,4704.0,20
CDM,855771,PLATE LCP LT 4HL 76X3.5,2580.0,2580.0,136.74,3096.0,20
CDM,855799,STEM FEM SZ5 108MM,3864.0,3864.0,204.79,4636.8,20
CDM,855810,SCREW BN 3.5MM 18MM,236.0,236.0,12.51,283.2,20
CDM,855818,SCRW  4.0X 10 MM,240.0,240.0,12.72,288.0,20
CDM,855822,PLATE BN 4HL 60.5MM,1284.0,1284.0,68.05,1540.8,20
CDM,855827,PLATE BN 100D 5H 5MM,360.0,360.0,19.08,432.0,20
CDM,855833,SCREW BN 5MM 50MM,473.0,473.0,25.07,567.6,20
CDM,855851,ARENA-C INTBD FSN12X15X8,2200.0,2200.0,116.6,2640.0,20
CDM,855865,SCREW BN 4MM 50MM,304.0,304.0,16.11,364.8,20
CDM,855872,CMPNT FEM KN LT SZ3,3321.0,3321.0,176.01,3985.2,20
CDM,855874,SCRW BN 4MM 46MM,304.0,304.0,16.11,364.8,20
CDM,855882,SCREW BN 4MM 24MM 8MM,294.0,294.0,15.58,352.8,20
CDM,855883,SCREW BN 4MM 48MM,294.0,294.0,15.58,352.8,20
CDM,855892,K-WIRE FX 1.6MM 150MM,490.0,490.0,25.97,588.0,49
CDM,855901,PLATE BN 10HL LG RT,3128.0,3128.0,165.78,3753.6,20
CDM,855922,INSERT TIB PST STB SZ 2,1100.0,1100.0,58.3,1320.0,20
CDM,855924,HEAD FEM MOD BIOMR2 41MM,900.0,900.0,47.7,1080.0,20
CDM,855925,NAIL TIB IM 9X37.5MM,4300.0,4300.0,227.9,5160.0,20
CDM,855926,NAIL AOS MOD IM 8X37.5,4300.0,4300.0,227.9,5160.0,20
CDM,855934,ANCHOR SUTURE 3MM,680.0,680.0,36.04,816.0,20
CDM,855939,PLATE BN 6HL 112MM,1250.0,1250.0,66.25,1500.0,20
CDM,855960,GWIRE ORTH SURG 1.35MM,754.0,754.0,39.96,904.8,49
CDM,855962,SPHERE NAV REFL DISP,1220.0,1220.0,64.66,1464.0,49
CDM,856009,WIRE BYNT OLIVE 1.8X400,1396.08,1396.08,73.99,1675.3,49
CDM,856013,SCREW BN 2.4MM 32MM,93.0,93.0,4.93,111.6,20
CDM,856019,STENT URET 6FR 28CM,2380.0,2380.0,126.14,2856.0,20
CDM,856048,SUB BNGF FOAM 2.5CC,670.0,670.0,35.51,804.0,20
CDM,856050,BASEPLAT GLND 25MM,3000.0,3000.0,159.0,3600.0,20
CDM,856053,PIN HLF EXFX HAP 5X30,1881.6,1881.6,99.72,2257.92,49
CDM,856066,KIT MINTRDCR 5FR 45CM,839.0,839.0,44.47,1006.8,49
CDM,856081,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,856089,DEFIB CARD PROTECTA DR,22850.0,22850.0,1211.05,27420.0,20
CDM,856094,CMPNT FEM KN RT XS,6932.0,6932.0,367.4,8318.4,20
CDM,856095,CANISTER WND DRN 1L,2564.0,2564.0,135.89,3076.8,49
CDM,856096,CATH VASC 6FR 110CM,261.0,261.0,13.83,313.2,49
CDM,856101,PLATE BN 12HL 266MM,3452.0,3452.0,182.96,4142.4,20
CDM,856102,SCREW BN 5.0MM 36MM,316.0,316.0,16.75,379.2,20
CDM,856169,SUTURE FIBERLOOP 10IN,100.0,100.0,5.3,120.0,49
CDM,856176,DEFIB CARD THK15MM 37ML,21250.0,21250.0,1126.25,25500.0,20
CDM,856177,GRAFT BN SUB DBM LG 15ML,2700.0,2700.0,143.1,3240.0,20
CDM,856183,PLATE CRNMXF 16HL .4MM,560.0,560.0,29.68,672.0,20
CDM,856186,PLATE BN 2H 0.4MM 16MM,311.0,311.0,16.48,373.2,20
CDM,856200,PLATE BN CRN 55X55X.5MM,4748.0,4748.0,251.64,5697.6,20
CDM,856201,ANCHOR SUT RCUF REPR 6.5,940.0,940.0,49.82,1128.0,20
CDM,856223,DEVICE SUT 1 SYSTEM,9909.0,9909.0,525.18,11890.8,49
CDM,856224,SUTURE POLY 2-1,2437.0,2437.0,129.16,2924.4,49
CDM,856225,DEVICE SUT CINCH DISP,2564.0,2564.0,135.89,3076.8,49
CDM,856226,DEVICE SUT 2.8MM 165CM,2827.0,2827.0,149.83,3392.4,49
CDM,856248,INSERT TIB SZ2 9MMRT E-+,1100.0,1100.0,58.3,1320.0,20
CDM,856255,EXPANDER 15X15.5CM 750CC,2340.8,2340.8,124.06,2808.96,20
CDM,856280,PLATE SPN 40MM,1900.0,1900.0,100.7,2280.0,20
CDM,856284,PLATE BN STD 4HL,916.0,916.0,48.55,1099.2,20
CDM,856285,PEG BN FX THRD 2.3X20MM,168.0,168.0,8.9,201.6,20
CDM,856286,PEG BN HI CMPR 2.7X28,170.0,170.0,9.01,204.0,20
CDM,856287,SCREW BN 3.5MM 14MM,156.0,156.0,8.27,187.2,20
CDM,856288,SCREW BN 3.5MM 15MM,156.0,156.0,8.27,187.2,20
CDM,856289,SCREW BN 3.5MM 14MM,156.0,156.0,8.27,187.2,20
CDM,856290,SCREW BN 3.5MM 15MM,156.0,156.0,8.27,187.2,20
CDM,856292,SHELL CONTINUUM OD50MM,2387.28,2387.28,126.53,2864.74,20
CDM,856297,SUTURE FIBERWIRE 38IN,44.0,44.0,2.33,52.8,20
CDM,856306,DEVICE FX FSTFX 360D,941.0,941.0,49.87,1129.2,20
CDM,856308,DEVICE FSTFX MNSCL,1036.0,1036.0,54.91,1243.2,20
CDM,856344,INSERT TIB KN 9MM SZ1-2,1300.0,1300.0,68.9,1560.0,20
CDM,856348,SCREW BN 4.0MM 24MM,504.0,504.0,26.71,604.8,20
CDM,856349,SCREW BN 4MM 34MM,504.0,504.0,26.71,604.8,20
CDM,856351,SCREW BN 4.0MM 22MM,504.0,504.0,26.71,604.8,20
CDM,856352,DRILL OVER 3.0X4.0,1075.2,1075.2,56.99,1290.24,49
CDM,856356,GRAFT BN ALGRF CLWRD 13D,680.0,680.0,36.04,816.0,20
CDM,856357,COMPNT FEM FNDTN NPOR LT,3200.0,3200.0,169.6,3840.0,20
CDM,856369,PEG BN 2MM 19MM,156.0,156.0,8.27,187.2,20
CDM,856378,DRILL SURG 1.6MM 115MM,3765.0,3765.0,199.54,4518.0,49
CDM,856396,SCREW BN 2MM 4MM,122.0,122.0,6.47,146.4,20
CDM,856398,PEG HI-COMP LCK 2.7X22MM,170.0,170.0,9.01,204.0,20
CDM,856426,CATH BLNDIL 12MM 40MM,2564.0,2564.0,135.89,3076.8,49
CDM,856450,FASTENER LOOP 5YDX6IN,733.0,733.0,38.85,879.6,49
CDM,856454,SPLINT SHEET 18X24X1/8,2564.0,2564.0,135.89,3076.8,49
CDM,856466,STEM FEM SZ4 105MM,3864.0,3864.0,204.79,4636.8,20
CDM,856492,SCREW BN 8MM 12MM,630.0,630.0,33.39,756.0,20
CDM,856501,SCREW SPN 6MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,856502,GUIDEWIRE 100X1.6MM,313.79,313.79,16.63,376.55,49
CDM,856509,SCREW BN 2.7MM 34MM SS,247.0,247.0,13.09,296.4,20
CDM,856534,CONN SPN ROD 5.5 MM,700.0,700.0,37.1,840.0,20
CDM,856536,SCRWDRVR HEX 6.5IN 3.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,856539,GW VASC SHARP PIPELINE,1244.0,1244.0,65.93,1492.8,49
CDM,856543,NAIL FEM MOD 12X30,4420.0,4420.0,234.26,5304.0,20
CDM,856544,ROD SPN 140MM,360.0,360.0,19.08,432.0,20
CDM,856545,GWIRE VASC .014IN 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,856568,STENT GRAFT 16X16X124MM,8400.0,8400.0,445.2,10080.0,20
CDM,856587,SCREW BN 2.7MM 24MM,77.0,77.0,4.08,92.4,20
CDM,856598,KIT MINTRDCR GW 5FR 50CM,1237.0,1237.0,65.56,1484.4,49
CDM,856608,HEAD RADL SMTH MED 15MM,5733.64,5733.64,303.88,6880.37,20
CDM,856616,SCREW BN 3.5MM 12MM,156.0,156.0,8.27,187.2,20
CDM,856617,SCREW BN 3.5X13MM,156.0,156.0,8.27,187.2,20
CDM,856618,PLATE BN NAR LT 4H,916.0,916.0,48.55,1099.2,20
CDM,856625,STENT GRAFT 16X13X93MM,8230.0,8230.0,436.19,9876.0,20
CDM,856627,SCREW SPN CORT 7X50MM,1200.0,1200.0,63.6,1440.0,20
CDM,856628,ROD SPN 5.5MM 55MM,360.0,360.0,19.08,432.0,20
CDM,856632,PLATE BN HUM 8HL 194MM,2799.0,2799.0,148.35,3358.8,20
CDM,856638,DEFIB ELLIPSE VR ICD DF4,22360.0,22360.0,1185.08,26832.0,20
CDM,856639,DEFIB CARD 36J 51X70MM,22360.0,22360.0,1185.08,26832.0,20
CDM,856642,ROD SPN CNTOR 5.5X90MM,360.0,360.0,19.08,432.0,20
CDM,856661,DEFIB ICD ELLIPSE DR,22360.0,22360.0,1185.08,26832.0,20
CDM,856666,PLATE BN 57X10X3.4MM,1400.0,1400.0,74.2,1680.0,20
CDM,856688,ADHESIVE SKNCLS INDML TP,6.0,6.0,0.32,7.2,49
CDM,856695,SCREW CANC AOS LCKNG 52,504.0,504.0,26.71,604.8,20
CDM,856696,SCREW CANC AOS LCKNG 48,504.0,504.0,26.71,604.8,20
CDM,856697,SCREW CANC AOS LCKNG 46,504.0,504.0,26.71,604.8,20
CDM,856698,SCREW CANC AOS LCKNG 42,504.0,504.0,26.71,604.8,20
CDM,856699,SCREW CANC AOS LCKNG 34,504.0,504.0,26.71,604.8,20
CDM,8567,DOCETAXEL 80 MG INJ,710.0,710.0,37.63,852.0,30
CDM,8567,"Injection, docetaxel, 1 mg ",710.0,710.0,0.54,0.54,1
CDM,856701,SCREW CANC AOS LCKNG 38,504.0,504.0,26.71,604.8,20
CDM,856705,PLATE BN 1.7X8MM 6 HL RT,404.0,404.0,21.41,484.8,20
CDM,856708,ROD CFBR EXFX 9.5FR 600M,2284.8,2284.8,121.09,2741.76,49
CDM,856723,INTRODUCER SHTH 8FR 13CM,3026.0,3026.0,160.38,3631.2,49
CDM,856726,HEMI TOE IMPL SZ2 17X15,4250.0,4250.0,225.25,5100.0,20
CDM,856728,PLATE BN 4HL RT 116MM,1838.0,1838.0,97.41,2205.6,20
CDM,856731,CEMENT BN ENDRN SST 20GM,3.26,3.26,0.17,3.91,20
CDM,856742,SCREW BN 8MM 85MM 46MM,608.0,608.0,32.22,729.6,20
CDM,856777,CATH KIT ANTIMCRBL SPN,1167.0,1167.0,61.85,1400.4,20
CDM,856788,GRAFT BN OTHBLND DBM 5ML,1200.0,1200.0,63.6,1440.0,20
CDM,856810,JNTDEV TOE SPEED 11X10,1954.0,1954.0,103.56,2344.8,20
CDM,856851,ROD SPN 3.5MM 120MM,360.0,360.0,19.08,432.0,20
CDM,856876,SCREW BN 5MM 40MM,520.0,520.0,27.56,624.0,20
CDM,856879,BIT DRL 2.5MMX160MM,4126.0,4126.0,218.68,4951.2,49
CDM,856885,SCREW BN 2.4MM 4MM 38MM,98.0,98.0,5.19,117.6,20
CDM,856886,SCREW BN 2.7MM 46MM,66.0,66.0,3.5,79.2,20
CDM,856887,STYLET LD KIT ACC 17CM,1055.0,1055.0,55.91,1266.0,49
CDM,856896,DEVICE MSR .045IN LOPRO,3119.0,3119.0,165.31,3742.8,49
CDM,856899,PLATE BN 12H 2MM 81MM,719.0,719.0,38.11,862.8,20
CDM,856900,SCREW BN 2MM 8MM,78.0,78.0,4.13,93.6,20
CDM,856901,SCREW BN 2MM 6MM,78.0,78.0,4.13,93.6,20
CDM,856903,NAIL TROCH ANTGRD 13X36,2618.4,2618.4,138.78,3142.08,20
CDM,856904,NAIL TROCH ANTGRD 13X34,2618.4,2618.4,138.78,3142.08,20
CDM,856905,BURR RND CLRCUT FLUTED 8,1274.46,1274.46,67.55,1529.35,49
CDM,856907,PLATE BN 4.5MM 230MM,3381.0,3381.0,179.19,4057.2,20
CDM,856908,SCREW BN 5MM 3.5MM 50MM,409.0,409.0,21.68,490.8,20
CDM,856954,SCREW SPN 6MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,856969,TUBE GASTM 24FR,721.0,721.0,38.21,865.2,49
CDM,856993,SCREW BN 3MM 6MM 24MM,328.0,328.0,17.38,393.6,20
CDM,856994,KWIRE FX 1.2MM 100MM,965.0,965.0,51.15,1158.0,49
CDM,856995,BLADE SCREW DRIVER,2564.0,2564.0,135.89,3076.8,49
CDM,857019,NAIL BN 10MM 38CM,3684.0,3684.0,195.25,4420.8,20
CDM,857028,SCREW BN CORT LCK 10MM,360.0,360.0,19.08,432.0,20
CDM,857030,PLATE BN CLAV STR LT,2280.0,2280.0,120.84,2736.0,20
CDM,857033,K-WIRE FX 150MM 2MM,377.0,377.0,19.98,452.4,49
CDM,857038,SCREW PEDICLE RESET 6X50,2200.0,2200.0,116.6,2640.0,20
CDM,857041,PLATE BN MEDIUM,1066.0,1066.0,56.5,1279.2,20
CDM,857048,STENT AAA EXLDR 27X10,8200.0,8200.0,434.6,9840.0,20
CDM,857073,SCREW BN 10MM 3MM,220.0,220.0,11.66,264.0,20
CDM,857126,CEMENT BNPTTY ARTHKT 5ML,3080.0,3080.0,163.24,3696.0,20
CDM,857129,ANCHOR SUT 4.5MM 46MM,500.0,500.0,26.5,600.0,20
CDM,857130,WEDGE TIB KN8D XLG9D LG,3800.0,3800.0,201.4,4560.0,20
CDM,857133,BLADE SHAVER SOFT MINI,5941.0,5941.0,314.87,7129.2,49
CDM,857152,BUTTON GSTRM 12FR 1.5CM,2564.0,2564.0,135.89,3076.8,49
CDM,857162,SCREW SPN 6.5MM 40MM,900.0,900.0,47.7,1080.0,20
CDM,857163,SCREW SPN SET GRY,100.0,100.0,5.3,120.0,20
CDM,857166,CATH INFS 2.8FR 3.2FR,7578.0,7578.0,401.63,9093.6,49
CDM,857190,GRMNT BURN MSK1 DRB,2564.0,2564.0,135.89,3076.8,49
CDM,857192,GRMNT BURN MSK2 BGE,2564.0,2564.0,135.89,3076.8,49
CDM,857193,GRMNT BURN MSK2 DRB,2564.0,2564.0,135.89,3076.8,49
CDM,857196,GRMNT BURN FACE 18-21IN,2564.0,2564.0,135.89,3076.8,49
CDM,857197,GRMNT BURN FACE 21-23IN,2564.0,2564.0,135.89,3076.8,49
CDM,857198,GRMNT BURN FACE 23-25IN,2564.0,2564.0,135.89,3076.8,49
CDM,857199,GRMNT BURN FACE 25-27IN,2564.0,2564.0,135.89,3076.8,49
CDM,857200,STRAP BURN CHIN 18-21IN,2186.0,2186.0,115.86,2623.2,49
CDM,857201,STRAP BURN CHIN 21-23IN,2186.0,2186.0,115.86,2623.2,49
CDM,857202,STRAP BURN CHIN 23-25IN,2186.0,2186.0,115.86,2623.2,49
CDM,857203,STRAP BURN CHIN 25-27IN,2186.0,2186.0,115.86,2623.2,49
CDM,857204,GRMNT BURN LEG 12-18IN,2564.0,2564.0,135.89,3076.8,49
CDM,857205,GRMNT BURN LEG 18-21IN,2564.0,2564.0,135.89,3076.8,49
CDM,857206,GRMNT BURN LEG 22-26IN,2564.0,2564.0,135.89,3076.8,49
CDM,857207,GRMNT BURN LEG 26-30IN,2564.0,2564.0,135.89,3076.8,49
CDM,857208,GRMNT BURN LEG 31-34IN,2564.0,2564.0,135.89,3076.8,49
CDM,857209,GRMNT BURN LEG 35-38IN,2564.0,2564.0,135.89,3076.8,49
CDM,857210,GRMNT BURN LEG 44-47IN,2564.0,2564.0,135.89,3076.8,49
CDM,857211,GRMNT BURN LEG 48-52IN,2564.0,2564.0,135.89,3076.8,49
CDM,857212,STOCKNG BRN KNEE 4-5IN,2148.0,2148.0,113.84,2577.6,49
CDM,857213,STOCKNG BRN KNEE 5-6IN,2148.0,2148.0,113.84,2577.6,49
CDM,857214,STOCKNG BRN KNEE 6-7IN,2148.0,2148.0,113.84,2577.6,49
CDM,857215,STOCKNG BRN KNEE 7-8IN,2148.0,2148.0,113.84,2577.6,49
CDM,857216,STOCKNG BRN KNEE 8-9IN,2148.0,2148.0,113.84,2577.6,49
CDM,857217,STOCKNG BRN KNEE 9-10IN,2148.0,2148.0,113.84,2577.6,49
CDM,857218,VEST BRN SHRTSLV 14-17IN,2564.0,2564.0,135.89,3076.8,49
CDM,857219,VEST BRN SHRTSLV 17-20IN,2564.0,2564.0,135.89,3076.8,49
CDM,857220,VEST BRN SHRTSLV 19-22IN,2564.0,2564.0,135.89,3076.8,49
CDM,857221,VEST BRN SHRTSLV 21-25IN,2564.0,2564.0,135.89,3076.8,49
CDM,857222,VEST BRN SHRTSLV 24-28IN,2564.0,2564.0,135.89,3076.8,49
CDM,857223,VEST BRN SHRTSLV 26-32IN,2564.0,2564.0,135.89,3076.8,49
CDM,857224,VEST BRN SHRTSLV 30-36IN,2564.0,2564.0,135.89,3076.8,49
CDM,857225,VEST BRN SHRTSLV 34-41IN,2564.0,2564.0,135.89,3076.8,49
CDM,857226,VEST BRN SHRTSLV 38-45IN,2564.0,2564.0,135.89,3076.8,49
CDM,857227,GWIRE ORTH 150X1.25MM,305.0,305.0,16.16,366.0,49
CDM,857239,GRAFT VEIN SAPH 20-29CM,10000.0,10000.0,530.0,12000.0,20
CDM,857242,GRFT SAPH VEIN 60-69CM,18390.0,18390.0,974.67,22068.0,20
CDM,857248,MESH Y SURG 5CM 27CM,1660.0,1660.0,87.98,1992.0,20
CDM,857249,NAIL BN 8.5MM 28CM,3486.0,3486.0,184.76,4183.2,20
CDM,857251,RASP LAP STD SPDRFLX SRG,2593.5,2593.5,137.46,3112.2,49
CDM,857252,GRASPER LAPSCP SPDRFLX,965.5,965.5,51.17,1158.6,49
CDM,857253,DISSECTOR LAPSCP SPDRFLX,965.5,965.5,51.17,1158.6,49
CDM,857254,APPLIER CLIP SPDRFLX,965.5,965.5,51.17,1158.6,49
CDM,857255,SHEARS LAPSCP FLX SPDR,965.5,965.5,51.17,1158.6,49
CDM,857256,MONOPOLAR HOOK SPDRFLX,1448.25,1448.25,76.76,1737.9,49
CDM,857257,DRIVER NEEDLE SPDRFLX,2848.86,2848.86,150.99,3418.63,49
CDM,857258,PROBE SUCT/IRR SPDRFLX32,965.5,965.5,51.17,1158.6,49
CDM,857260,ACTB SHELL W/HOLS FLR 48,1800.0,1800.0,95.4,2160.0,20
CDM,857266,CONNECTOR SPN 33-39MM,700.0,700.0,37.1,840.0,20
CDM,857267,CAP LCK SPN T-CONN,100.0,100.0,5.3,120.0,20
CDM,857268,NUT LCK SPN HD TO HD,100.0,100.0,5.3,120.0,20
CDM,857289,SUTURE ABS NYL 3/8 4-0,606.0,606.0,32.12,727.2,49
CDM,857291,SUTURE ANBCTRL +3-0 27IN,57.0,57.0,3.02,68.4,49
CDM,857313,SCREW BN 3.5MM 2.5MM,170.0,170.0,9.01,204.0,20
CDM,857322,GWIRE VASC 300CM .018IN,2564.0,2564.0,135.89,3076.8,49
CDM,857335,INSERT TIB SZ3 RT E-+ 9M,1100.0,1100.0,58.3,1320.0,20
CDM,857337,SCRDRVR T-20 AXSOS BIT,2744.0,2744.0,145.43,3292.8,49
CDM,857355,GRFTN SUBSTITUTE SM 10ML,1800.0,1800.0,95.4,2160.0,20
CDM,857362,SCREW BN 4MM 60MM,504.0,504.0,26.71,604.8,20
CDM,857372,SCREW BN SPN 6.5MM 50MM,900.0,900.0,47.7,1080.0,20
CDM,857373,SCREW BN SPN 6.5MM 40MM,900.0,900.0,47.7,1080.0,20
CDM,857374,SCREW SET SPN 5.5MM,100.0,100.0,5.3,120.0,20
CDM,857388,SCREW BN 5MM 35MM,520.0,520.0,27.56,624.0,20
CDM,857396,SCREW BN 7.0MM 70MM,462.0,462.0,24.49,554.4,20
CDM,857397,SCREW BN 7.0MM 80MM,502.0,502.0,26.61,602.4,20
CDM,857403,STRUT EXFX CMPR DSTNCT,3997.98,3997.98,211.89,4797.58,49
CDM,857404,SCREW EXFX TRANSFXNG 4.0,1229.76,1229.76,65.18,1475.71,49
CDM,857405,SCREW CORT 6.5X200X40,432.0,432.0,22.9,518.4,20
CDM,857406,PAD EXFX BLK RCKR BTMSOL,1357.44,1357.44,71.94,1628.93,49
CDM,857419,INSERT TIB KN SZ3-4 13MM,1300.0,1300.0,68.9,1560.0,20
CDM,857426,STENT GRAFT 16X20X124MM,8400.0,8400.0,445.2,10080.0,20
CDM,857473,BIT DRILL CANN 3.0MM,942.0,942.0,49.93,1130.4,49
CDM,857475,TRAY CATH 5FR PICC 3LUM,3513.0,3513.0,186.19,4215.6,49
CDM,857482,SCREW BN 2.7MM 44MM,66.0,66.0,3.5,79.2,20
CDM,857483,SCREW BN CORT 2MM 16MM,79.0,79.0,4.19,94.8,20
CDM,857485,STAPLER SKIN WIDE,136.0,136.0,7.21,163.2,49
CDM,857488,GARMENT CMP 4 CIRC BRN,2564.0,2564.0,135.89,3076.8,49
CDM,857496,STEM HUM SHLDR190MM 12MM,4974.0,4974.0,263.62,5968.8,20
CDM,857497,SCREW BN 2.7MM 12MM,79.0,79.0,4.19,94.8,20
CDM,857518,SCREW BN 5MM 65MM,245.0,245.0,12.98,294.0,20
CDM,857519,SCREW BN 5MM 75MM,245.0,245.0,12.98,294.0,20
CDM,857534,CONNECTR OFFSET LAT 4.75,3508.0,3508.0,185.92,4209.6,20
CDM,857541,SCREW CANN FT SS 8X180,698.0,698.0,36.99,837.6,20
CDM,857542,SCREW CAN PT SS 8X180X46,698.0,698.0,36.99,837.6,20
CDM,857544,SCREW BN 6.5MM 90MM,309.0,309.0,16.38,370.8,20
CDM,857545,SCREW CAN PT 6.5X115X46,201.0,201.0,10.65,241.2,20
CDM,857546,PROSTHES PENL INFL 18CM,17598.0,17598.0,932.69,21117.6,20
CDM,857556,DRESSING CHANGE TEGADERM,89.0,89.0,4.72,106.8,49
CDM,857594,ROD SPN 5.5MM 500MM,360.0,360.0,19.08,432.0,20
CDM,857596,SCREW BN 7MM 10MM,725.0,725.0,38.42,870.0,20
CDM,857633,BIT DRILL 1.9MMX115MM 35,4379.0,4379.0,232.09,5254.8,49
CDM,857634,HEAD FEM MOD BIOMR2 40MM,900.0,900.0,47.7,1080.0,20
CDM,857637,SUTURE UND BRD 4-0 18IN,173.0,173.0,9.17,207.6,49
CDM,857638,CATH ABL 7FR 115CM,5941.0,5941.0,314.87,7129.2,49
CDM,857642,INTRO SHTH 8.5FR 63CM,2564.0,2564.0,135.89,3076.8,49
CDM,857653,INTRO GUID 8.5FR 60CM,2564.0,2564.0,135.89,3076.8,49
CDM,857655,INTR0 SHTH 8.5FR 71CM,6948.0,6948.0,368.24,8337.6,49
CDM,857656,NEEDLE TRNSPTL 18GA 89CM,2564.0,2564.0,135.89,3076.8,49
CDM,857680,SCREW SPN 5.5/6MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,857693,SCREW BN 2.7MM 8MM,145.0,145.0,7.68,174.0,20
CDM,857694,VALVE TRFCTA 15X24X19MM,12790.0,12790.0,677.87,15348.0,20
CDM,857695,COMPNT FEM PST NPOR SZ5,3200.0,3200.0,169.6,3840.0,20
CDM,857702,PLATE BN 4H 57MM,1538.0,1538.0,81.51,1845.6,20
CDM,857707,SCREW BN CANN LCKNG 3X12,278.0,278.0,14.73,333.6,20
CDM,857729,PLATE MLTFRGMNT NLCK 2.7,113.4,113.4,6.01,136.08,20
CDM,857778,ENDPLATE SPN 20X33MM,14161.0,14161.0,750.53,16993.2,20
CDM,857783,PEG BN THRD 2.7MM 10MM,152.0,152.0,8.06,182.4,20
CDM,857784,PEG BN THRD 2.7MM 12MM,152.0,152.0,8.06,182.4,20
CDM,857790,STENT GFT 16F 20X82MM,9700.0,9700.0,514.1,11640.0,20
CDM,857793,PLATE TIB LAT PRLOC 13HL,2096.0,2096.0,111.09,2515.2,20
CDM,857798,NAIL MODULAR 12MMX33CM,4420.0,4420.0,234.26,5304.0,20
CDM,857816,CONFORMER OCUL MD 24X21,116.0,116.0,6.15,139.2,20
CDM,857840,IMPLANT BREAST 150CC,1648.0,1648.0,87.34,1977.6,20
CDM,857871,STEM FEM NPOROUS SZ7 RT,3200.0,3200.0,169.6,3840.0,20
CDM,857872,STEM FEM PLSM SLT 217X17,5580.0,5580.0,295.74,6696.0,20
CDM,857873,STEM FEM 267MM 17MM BOW,5698.0,5698.0,301.99,6837.6,20
CDM,857882,SEALER TISS 5MM 25CM,3904.0,3904.0,206.91,4684.8,49
CDM,857909,PEG BN THRD LCK 2.3X22MM,168.0,168.0,8.9,201.6,20
CDM,857910,PEG BN 2.7MM 20MM,152.0,152.0,8.06,182.4,20
CDM,857911,SCREW BN N-LCK 3.5X13MM,156.0,156.0,8.27,187.2,20
CDM,857916,PLATE BN SS 7H,1500.0,1500.0,79.5,1800.0,20
CDM,857928,BIT DRILL 50X1.5X5.6MM,2564.0,2564.0,135.89,3076.8,49
CDM,857936,SCREW SPNL 5.5MM,1200.0,1200.0,63.6,1440.0,20
CDM,857937,ROD SPN 5.5MM 55MM,360.0,360.0,19.08,432.0,20
CDM,857942,PLATE BN 2MMX76MM,1638.0,1638.0,86.81,1965.6,20
CDM,857949,STENT TRACH T-TUBE 10X50,226.6,226.6,12.01,271.92,20
CDM,857952,STEM FEM LT OFST LNR SZ8,5000.0,5000.0,265.0,6000.0,20
CDM,857972,DRLL SURG LNG 4.8MM,4408.0,4408.0,233.62,5289.6,49
CDM,857975,DRL SURG PEG TIB STEP,1827.0,1827.0,96.83,2192.4,49
CDM,857976,DRL SURG 5/16IN KN FEM,1827.0,1827.0,96.83,2192.4,49
CDM,857978,TRAY TIB IBAL 4KN UNC RT,1993.0,1993.0,105.63,2391.6,20
CDM,857994,PEG BN 2.7MM 20MM,170.0,170.0,9.01,204.0,20
CDM,858003,HD HUMRL STND 42 X 20,2419.2,2419.2,128.22,2903.04,20
CDM,858005,CLIP HEMOSTATIC SF 2.6MM,21.0,21.0,1.11,25.2,20
CDM,858032,STEM FEM HIP SZ3 102MM,3864.0,3864.0,204.79,4636.8,20
CDM,858058,PLATE CALCAN LK 14HL SM,3400.0,3400.0,180.2,4080.0,20
CDM,858115,DISC INTVRTB SPN MED 6MM,7888.0,7888.0,418.06,9465.6,20
CDM,858125,SCREW BN CORT 3.5X32MM,169.0,169.0,8.96,202.8,20
CDM,858126,SCREW BN 3.5MM 34MM,169.0,169.0,8.96,202.8,20
CDM,858127,SCREW BN 3.5X36MM,169.0,169.0,8.96,202.8,20
CDM,858129,DRILL TWST 3.0X70MM L150,2564.0,2564.0,135.89,3076.8,49
CDM,858130,SCREW BN 3.5MM 30MM,263.0,263.0,13.94,315.6,20
CDM,858132,SCREW BN 3.5X34MM,263.0,263.0,13.94,315.6,20
CDM,858139,PLATE RECONSTR 11HL,660.68,660.68,35.02,792.82,20
CDM,858144,PLATE BN SS L76MM LCP,718.0,718.0,38.05,861.6,20
CDM,858148,BLADE SAW 11X1.23X77.5MM,1043.0,1043.0,55.28,1251.6,49
CDM,858151,SCREW SPN 5.5MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,858159,GRAFT VASC STD 80CM 8MM,6100.0,6100.0,323.3,7320.0,20
CDM,858174,BRACE LMBR POS W/LAT MED,2564.0,2564.0,343.58,3076.8,24
CDM,858176,COLLAR CERV PED SZ1,1350.0,1350.0,180.9,1620.0,24
CDM,858178,BRA MAM ADJ STRP SPDX 34,537.0,537.0,28.46,644.4,49
CDM,858179,BRA MAM ADJ STRP SPDX 36,537.0,537.0,28.46,644.4,49
CDM,858181,BRA MAM ADJ STRP SPDX 40,545.0,545.0,28.89,654.0,49
CDM,858186,PUTTY STBLST CB DBM 10CC,2590.0,2590.0,137.27,3108.0,20
CDM,858190,ROD EX FIX CONN 300X11MM,2646.0,2646.0,140.24,3175.2,49
CDM,858191,ROD EX FIX 11MM 150MM,2564.0,2564.0,135.89,3076.8,49
CDM,858192,COUPLING EX FIX 5/8/11MM,5941.0,5941.0,314.87,7129.2,49
CDM,858193,COUPLING EX FIX ROD,5941.0,5941.0,314.87,7129.2,49
CDM,858194,POST EX FX 11MM,2564.0,2564.0,135.89,3076.8,49
CDM,858195,POST EX FIX 90D 11MM,290.0,290.0,15.37,348.0,49
CDM,858203,ANCHOR SUT 2.7MM 2-0 3/8,570.0,570.0,30.21,684.0,20
CDM,858210,BLADE SAW 27MM 0.38MM,2178.0,2178.0,115.43,2613.6,49
CDM,858215,SCREW BN 3.5MM 28MM,261.0,261.0,13.83,313.2,20
CDM,858217,SCREW BN 3.5X50MM,261.0,261.0,13.83,313.2,20
CDM,858219,SCREW BN 3.5MM 65MM,261.0,261.0,13.83,313.2,20
CDM,858220,SCREW BN 3.5MM 70MM,261.0,261.0,13.83,313.2,20
CDM,858230,PLATE CALC XS 20X3.5MM,3770.0,3770.0,199.81,4524.0,20
CDM,858233,STEM FEM HIP 132D 111MM,3864.0,3864.0,204.79,4636.8,20
CDM,858241,SCREW BN SPN 6.5MM 45MM,900.0,900.0,47.7,1080.0,20
CDM,858243,PLATE BN STR 6HL,322.0,322.0,17.07,386.4,20
CDM,858256,DRESSING SCAR GEL10X18CM,406.0,406.0,21.52,487.2,49
CDM,858262,GW TFEHC 035 260 STR,622.0,622.0,32.97,746.4,49
CDM,858263,DILATOR VASC 7FR 20CM,366.0,366.0,19.4,439.2,49
CDM,858295,SCREW BN 2MM 14MM,280.0,280.0,14.84,336.0,20
CDM,858304,SUB BNGF FOAM 10CC,2312.0,2312.0,122.54,2774.4,20
CDM,858310,ROD EX FIX 11MM 250MM,2656.0,2656.0,140.77,3187.2,49
CDM,858314,REAMER HEAD 14.0MM DISP,5364.0,5364.0,284.29,6436.8,49
CDM,858316,CATH BLDL 5X120MM 150CM,3057.0,3057.0,162.02,3668.4,49
CDM,858318,CATH GD .035IN 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,858319,CATH GD .035IN 135CM,2564.0,2564.0,135.89,3076.8,49
CDM,858324,TRAY INCS DRN STD,74.0,74.0,3.92,88.8,49
CDM,858328,PLATE BN 10HL 2.7X94MM,718.0,718.0,38.05,861.6,20
CDM,858330,INSERT TIB 3 19MM LT E-+,2000.0,2000.0,106.0,2400.0,20
CDM,858331,COMPNT FEM NPOR SZ2 LT,7250.0,7250.0,384.25,8700.0,20
CDM,858332,BASEPLATE TIB FNDTN SZ2,3750.0,3750.0,198.75,4500.0,20
CDM,858333,CLAMP X-FX HFFMN 5HL PIN,5941.0,5941.0,314.87,7129.2,49
CDM,858334,SLEEVE CMPR FNGR 2XL,1836.0,1836.0,97.31,2203.2,49
CDM,858335,SLEEVE CMPR FNGR LG,1836.0,1836.0,97.31,2203.2,49
CDM,858336,SLEEVE CMPR FNGR MED,1721.0,1721.0,91.21,2065.2,49
CDM,858337,SLEEVE CMP FNGR SM,1807.0,1807.0,95.77,2168.4,49
CDM,858338,SLEEVE CMPR FNGR XL,1997.0,1997.0,105.84,2396.4,49
CDM,858340,SLEEVE CMPR FNGR 7-8.3CM,733.0,733.0,38.85,879.6,49
CDM,858341,SLEEVE CMPR FNGR MED,1435.0,1435.0,76.06,1722.0,49
CDM,858345,SCREW BN 2.7MM 38MM SS,247.0,247.0,13.09,296.4,20
CDM,858370,SHELL ACTB AGMT HIP 62MM,2049.6,2049.6,108.63,2459.52,20
CDM,858378,DRILL BN BIT DISP 4.7MM,5941.0,5941.0,314.87,7129.2,49
CDM,858391,SCREW BN 2.7MM 26MM,77.0,77.0,4.08,92.4,20
CDM,858394,PLATE BN LT 4H WIDE,916.0,916.0,48.55,1099.2,20
CDM,858401,ROD SPNL 50MM,360.0,360.0,19.08,432.0,20
CDM,858408,DRILL SPIRAL 3.2X260,1001.28,1001.28,53.07,1201.54,49
CDM,858409,DRILL SPIRAL 3.5X260,1001.28,1001.28,53.07,1201.54,49
CDM,858410,STEM FEM MOD NPORS 10MM,2400.0,2400.0,127.2,2880.0,20
CDM,858415,CATH BLDL 2X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,858418,CATH BLN 4X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,858419,CATH BLDL 5X130MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,858421,SCREW BN 3.5MM 28MM,236.0,236.0,12.51,283.2,20
CDM,858426,CATH BLN 2.5X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,858427,CATH BLN 4X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,858432,BLDE SHVR 4 TMCAT LNG HI,712.53,712.53,37.76,855.04,49
CDM,858445,GLV CMPR LG LNG VLCR,1656.0,1656.0,87.77,1987.2,49
CDM,858446,GLV CMPR MED LNG VLCR,1656.0,1656.0,87.77,1987.2,49
CDM,858447,GLV CMPR SM LNG VLCR,1656.0,1656.0,87.77,1987.2,49
CDM,858448,GLV CMPR LG REG VLCR,1656.0,1656.0,87.77,1987.2,49
CDM,858449,GLV CMPR MED REG VLCR,1656.0,1656.0,87.77,1987.2,49
CDM,858450,GLV CMPR FF 7.5-8.5 MD L,174.0,174.0,9.22,208.8,49
CDM,858451,GLOVE CMPR MEDIUM,679.0,679.0,35.99,814.8,49
CDM,858452,GLOVE CMPR SMALL,679.0,679.0,35.99,814.8,49
CDM,858472,KWIRE FX 1.6MM 150MM,1232.0,1232.0,65.3,1478.4,49
CDM,858477,SCREW BN MINI 20MM,1046.0,1046.0,55.44,1255.2,20
CDM,858486,HEAD FEM HIP 40MM +5MM,1300.0,1300.0,68.9,1560.0,20
CDM,858505,SET TUBING CASS OFLW,1225.0,1225.0,64.92,1470.0,49
CDM,858508,BLADE SAW 39X13X.51MM,926.0,926.0,49.08,1111.2,49
CDM,858530,PLATE ORBT LCTSRB 1.5,1626.0,1626.0,86.18,1951.2,20
CDM,858531,HEAT PACK W LORENZ,2564.0,2564.0,135.89,3076.8,49
CDM,858598,PLUG BNCMNT 8MM,158.0,158.0,8.37,189.6,20
CDM,858599,SPACER HUM 8MM STRL,2484.0,2484.0,131.65,2980.8,20
CDM,858601,STEM FEM HIP 150MM 14MM,3525.0,3525.0,186.82,4230.0,20
CDM,858605,PLATE 12HL STR LCK BN,1390.0,1390.0,73.67,1668.0,20
CDM,858607,SCREW BN 4MM 44MM,70.0,70.0,3.71,84.0,20
CDM,858615,DRILL BIT 2.8X40MM,1848.0,1848.0,97.94,2217.6,49
CDM,858623,INSERT TIB RT E-+ SZ3,1100.0,1100.0,58.3,1320.0,20
CDM,858632,INTRODUCER SHTH 7FR 13CM,3026.0,3026.0,160.38,3631.2,49
CDM,858633,INTRODUCER SHTH 9FR 13CM,2799.0,2799.0,148.35,3358.8,49
CDM,858642,CLAMP VASC 3CM 17MM,1394.0,1394.0,73.88,1672.8,49
CDM,858643,CLAMP DBL MED 30GF 1-2MM,2450.0,2450.0,129.85,2940.0,49
CDM,858646,COUPLER VASC ANSTM 3.5MM,790.0,790.0,41.87,948.0,20
CDM,858647,COUPLER VASC ANSTM 4MM,790.0,790.0,41.87,948.0,20
CDM,858650,SCREW BN 3.5MM 18MM,170.0,170.0,9.01,204.0,20
CDM,858657,PLATE MDL HUM SHRT 7HL,1645.0,1645.0,87.19,1974.0,20
CDM,858662,SCREW PERI LK 3.5X2.7X50,159.6,159.6,8.46,191.52,20
CDM,858664,COMPNT FEM FNDTN SZ2 RT,3200.0,3200.0,169.6,3840.0,20
CDM,858668,SCREW BN 2MM 34MM,78.0,78.0,4.13,93.6,20
CDM,858669,PLATE BN SS ORTH 2 HL SP,461.0,461.0,24.43,553.2,20
CDM,858686,SCREW BN 4MM 48MM,70.0,70.0,3.71,84.0,20
CDM,858700,ROD SPN LRDTC 90MM,360.0,360.0,19.08,432.0,20
CDM,858702,PROGRAMMERS STIM EXTRNL,3970.05,3970.05,210.41,4764.06,49
CDM,858712,CATH IT 4FR 114CM .5MM,1800.0,1800.0,95.4,2160.0,20
CDM,858716,ROD EXFX HFMN3 450X11MM,3119.0,3119.0,165.31,3742.8,49
CDM,858719,PLATE MDFC 6H L RT 8MM,422.0,422.0,22.37,506.4,20
CDM,858731,GRAFT STNT 30MM 157MM,33203.0,33203.0,1759.76,39843.6,20
CDM,858747,MODEL ANTM MNDB,25090.0,25090.0,1329.77,30108.0,49
CDM,858750,SCREW SPN 4MM 12MM,150.0,150.0,7.95,180.0,20
CDM,858752,PLATE BN RT 3HL NAR,900.0,900.0,47.7,1080.0,20
CDM,858753,PLATE BN NRW LT 3HL,900.0,900.0,47.7,1080.0,20
CDM,858754,PLATE BN RT 3HL,900.0,900.0,47.7,1080.0,20
CDM,858755,PLATE BN STD LT 3HL,900.0,900.0,47.7,1080.0,20
CDM,858756,PLATE BN RT 7H STD,948.0,948.0,50.24,1137.6,20
CDM,858757,PLATE BN W TI 4 HL,916.0,916.0,48.55,1099.2,20
CDM,858760,PEG FX LCK 2X21MM,156.0,156.0,8.27,187.2,20
CDM,858761,PEG LCK SMOOTH 2X23MM,156.0,156.0,8.27,187.2,20
CDM,858762,PEG FX 2MM 24MM,156.0,156.0,8.27,187.2,20
CDM,858763,PEG BN FX 2MM 26MM,156.0,156.0,8.27,187.2,20
CDM,858764,PEG BN LCK SMTH 2X28MM,156.0,156.0,8.27,187.2,20
CDM,858765,PEG LCK SMOOTH 2X30MM,156.0,156.0,8.27,187.2,20
CDM,858767,PEG BN THRD 2.3MM 10MM,168.0,168.0,8.9,201.6,20
CDM,858768,PEG BN THRD LCK 2.3X12MM,168.0,168.0,8.9,201.6,20
CDM,858769,PEG FX 2.3MM 16MM,168.0,168.0,8.9,201.6,20
CDM,858770,PEG THRD LCK 2.3X19MM,168.0,168.0,8.9,201.6,20
CDM,858771,PEG BN THRD LCK 2.3X21MM,168.0,168.0,8.9,201.6,20
CDM,858772,PEG BN LCK 2.3X23MM,168.0,168.0,8.9,201.6,20
CDM,858773,PEG BN LCK 2.3X24MM,168.0,168.0,8.9,201.6,20
CDM,858774,PEG BN LCK 2.3X26MM,168.0,168.0,8.9,201.6,20
CDM,858775,PEG BN LCK 2.3MM 28MM,168.0,168.0,8.9,201.6,20
CDM,858784,TIP ASP 360D 25KHZ LNG S,6208.0,6208.0,329.02,7449.6,49
CDM,858786,TIP ULTSNC ASP 3.12MM,5941.0,5941.0,314.87,7129.2,49
CDM,858790,SUTURE BLK MONO 6-0 18IN,107.0,107.0,5.67,128.4,49
CDM,858797,SUTURE PS-2 4-0 1X27IN,161.0,161.0,8.53,193.2,49
CDM,858802,SCREW SPN SET,100.0,100.0,5.3,120.0,20
CDM,858807,FORCEPS SURG BX BIGOPSY,5941.0,5941.0,314.87,7129.2,49
CDM,858821,HANDPIECE DISP 45D 14MM,6337.0,6337.0,335.86,7604.4,49
CDM,858828,NAIL FEM NLEX LT 11X36,2562.0,2562.0,135.79,3074.4,20
CDM,858829,E-LIFT INTRVTBRL 9X30X10,5400.0,5400.0,286.2,6480.0,20
CDM,858831,SCREW PEDFUSE RESET 6X45,2200.0,2200.0,116.6,2640.0,20
CDM,858832,VITOSS BNGF CLGN FOM 5ML,1576.0,1576.0,83.53,1891.2,20
CDM,858836,COMPNT FEM NPOR SZ7-L,3200.0,3200.0,169.6,3840.0,20
CDM,858838,SCREW BN LCK 3.5X35,590.0,590.0,31.27,708.0,20
CDM,858839,SCREW BN LCK 3.5X40,590.0,590.0,31.27,708.0,20
CDM,858842,CANN PRFSN 90D 12F 7.5IN,735.0,735.0,38.95,882.0,49
CDM,858843,CANN PRFSN 17F 10IN,1676.0,1676.0,88.83,2011.2,49
CDM,858880,PLATE BN 2H 2.7/3.5X73MM,1932.0,1932.0,102.4,2318.4,20
CDM,858881,SCREW BN 2.7MM 60MM,80.0,80.0,4.24,96.0,20
CDM,858882,SCREW BN 2.7MM 50M,237.0,237.0,12.56,284.4,20
CDM,858902,SYSTEM INTRA 2.9 MM,2430.0,2430.0,128.79,2916.0,20
CDM,858904,DRILL CANN 2.5 MM W/AO,1108.8,1108.8,58.77,1330.56,49
CDM,858910,KIT DRN 80CM LMBR,3100.0,3100.0,164.3,3720.0,49
CDM,858911,PEG BN THRD 2.7MM 14MM,152.0,152.0,8.06,182.4,20
CDM,858912,PEG BN THRD 2.7MM 16MM,152.0,152.0,8.06,182.4,20
CDM,858913,PEG BN N-LCK 2.7X18MM,152.0,152.0,8.06,182.4,20
CDM,858914,PEG BN FX 2.7MM 24MM,152.0,152.0,8.06,182.4,20
CDM,858915,PEG BN NLCKG 2.7MM 26MM,152.0,152.0,8.06,182.4,20
CDM,858916,PEG BN NONLCK 2.7X28MM,152.0,152.0,8.06,182.4,20
CDM,858917,PEG BN FX LCK 2.7X30MM,152.0,152.0,8.06,182.4,20
CDM,858925,CATH BLN 8MM 2CM 80CM,2564.0,2564.0,135.89,3076.8,49
CDM,858927,CATH BLN 10MM 80CM,2564.0,2564.0,135.89,3076.8,49
CDM,858928,CATH BLN 10MM 80MM 8CM,2564.0,2564.0,135.89,3076.8,49
CDM,858930,STENT BIL 8X100MM 80CM,1200.0,1200.0,63.6,1440.0,20
CDM,858931,STENT BIL 9X40MM 80CM,1900.0,1900.0,100.7,2280.0,20
CDM,858934,LEGS BRN CLSD PUBS SZ-0,2564.0,2564.0,135.89,3076.8,49
CDM,858935,LEGS BRN CLSD PUBS SZ-1,2564.0,2564.0,135.89,3076.8,49
CDM,858936,LEGS BRN CLSD PUBS SZ-2,2564.0,2564.0,135.89,3076.8,49
CDM,858937,LEGS BRN CLSD PUBS SZ-3,2564.0,2564.0,135.89,3076.8,49
CDM,858938,LEGS BRN CLSD PUBS SZ-4,2564.0,2564.0,135.89,3076.8,49
CDM,858939,LEGS BRN CLSD PUBS SZ-5,2564.0,2564.0,135.89,3076.8,49
CDM,858940,LEGS BRN CLSD PUBS SZ-6,2564.0,2564.0,135.89,3076.8,49
CDM,858941,LEGS BRN CLSD PUBS SZ-7,2564.0,2564.0,135.89,3076.8,49
CDM,858942,LEGS BRN CLSD PUBS SZ-8,2564.0,2564.0,135.89,3076.8,49
CDM,858954,SUTURE VIOL MON+2-0 27IN,2564.0,2564.0,135.89,3076.8,49
CDM,858957,SUTURE VCL+ 2-0 CT2 18IN,347.0,347.0,18.39,416.4,49
CDM,858972,PLATE BN 3.5MM 180MM,2979.0,2979.0,157.89,3574.8,20
CDM,858979,SUTURE VIOL MON 2-0 27IN,2564.0,2564.0,135.89,3076.8,49
CDM,858980,SUTURE CT-2 2-0 1X27IN,54.0,54.0,2.86,64.8,49
CDM,858986,INSERT TIB SZ7 RT E-+,1100.0,1100.0,58.3,1320.0,20
CDM,858989,IRRIGATOR ENDO DVNCI 8MM,2882.0,2882.0,152.75,3458.4,49
CDM,858996,COVER BN BURR HL 14M,523.0,523.0,27.72,627.6,20
CDM,859003,SCREW BN 4MM 24MM,304.0,304.0,16.11,364.8,20
CDM,859004,SCREW BN 4.5MM 38MM,432.0,432.0,22.9,518.4,20
CDM,859009,SUTURE SH 3-0 8X18IN,359.0,359.0,19.03,430.8,49
CDM,859024,PROSPENL PUMP 6FR 45CM,17598.0,17598.0,932.69,21117.6,20
CDM,859025,KWIRE TROC RND .9X100,772.4,772.4,40.94,926.88,49
CDM,859026,PLATE BN 2.7/3.5MM 111MM,2462.0,2462.0,130.49,2954.4,20
CDM,859027,SCREW BN 2.7MM 40MM,77.0,77.0,4.08,92.4,20
CDM,859028,SCREW BN 3.5X16MM,156.0,156.0,8.27,187.2,20
CDM,859029,SCREW BN 3.5MM 16MM,156.0,156.0,8.27,187.2,20
CDM,859030,SCREW BN 3.5MM 18MM,156.0,156.0,8.27,187.2,20
CDM,859031,CLAMP EX FIX LG,5577.0,5577.0,295.58,6692.4,49
CDM,859069,LEAD CRT PCNG 62CM,6794.0,6794.0,360.08,8152.8,20
CDM,859075,PROS TSTCLR SAL FIL LG,4822.0,4822.0,255.57,5786.4,20
CDM,859082,SCREW LCK HD 3.5X2.7X55,159.6,159.6,8.46,191.52,20
CDM,859113,PIN NVG FX 150MM,3980.0,3980.0,210.94,4776.0,49
CDM,859118,GWIRE VASC .032IN 260CM,969.0,969.0,51.36,1162.8,49
CDM,859119,DEVICE CLSR VASC 5FR,410.0,410.0,21.73,492.0,20
CDM,859120,DEVICE CLSR VASC 6/7FR,469.0,469.0,24.86,562.8,20
CDM,859128,CATH VASC 3.8F 153CM,11192.0,11192.0,593.18,13430.4,49
CDM,859135,INTRO SHTH 6F LNG 90CM,5941.0,5941.0,314.87,7129.2,49
CDM,859136,INTRODUCR SHTH 7CM 4FR,2261.0,2261.0,119.83,2713.2,49
CDM,859152,GUIDEWIRE 1.6MM,289.65,289.65,15.35,347.58,49
CDM,859184,SUTURE UND MON +2-0 36IN,66.0,66.0,3.5,79.2,49
CDM,859191,PIN FX 2.8MM,120.0,120.0,6.36,144.0,20
CDM,859203,IMPLANT BREAST 590CC,1672.0,1672.0,88.62,2006.4,20
CDM,859211,LEAD CRT PCNG 55CM,6734.0,6734.0,356.9,8080.8,20
CDM,859217,KWIRE FX 1.2MM 65MM,2564.0,2564.0,135.89,3076.8,49
CDM,859221,INSERT TIB SZ6 PRIM CMPR,1100.0,1100.0,58.3,1320.0,20
CDM,859230,PLATE BN 3.5MM 76MM,2762.0,2762.0,146.39,3314.4,20
CDM,859233,SCREW BN 4MM 56MM,504.0,504.0,26.71,604.8,20
CDM,859265,SUTURE ANBCTRL +4-0 27IN,141.0,141.0,7.47,169.2,49
CDM,859270,SUTURE UND BRD +4-0 27IN,52.0,52.0,2.76,62.4,49
CDM,859286,KIT BN CEMENT 8ML,3990.0,3990.0,211.47,4788.0,20
CDM,859289,WIRE PCNG TEMP 89MM,2564.0,2564.0,135.89,3076.8,49
CDM,859290,STEM FEM SZ4 105MM,3864.0,3864.0,204.79,4636.8,20
CDM,859292,ROD EXFX 8X100MM,2564.0,2564.0,135.89,3076.8,49
CDM,859322,PLATE BN 10HL LG LT,3128.0,3128.0,165.78,3753.6,20
CDM,859333,SUTURE UND BRD +3-0 18IN,263.0,263.0,13.94,315.6,49
CDM,859361,SCREW SPN 5MM 40MM,1450.0,1450.0,76.85,1740.0,20
CDM,859371,SCREW BN 2.5MM 90MM,429.0,429.0,22.74,514.8,20
CDM,859373,CAGE SPNL 24.5X9.5X10MM,3600.0,3600.0,190.8,4320.0,20
CDM,859393,PEG BN LCK 2.7MM 16MM,170.0,170.0,9.01,204.0,20
CDM,859402,STEM FEM RSTR MOD 167X15,4790.0,4790.0,253.87,5748.0,20
CDM,859404,BLADE SPIRAL 36MM,1009.0,1009.0,53.48,1210.8,20
CDM,859419,BALLOON ENDO LTX STRL,797.0,797.0,42.24,956.4,49
CDM,859442,SCREW BN 4MM 55MM,236.0,236.0,12.51,283.2,20
CDM,859443,SCREW BN CANN 4MM 60MM,236.0,236.0,12.51,283.2,20
CDM,859444,SCREW BN 4.0MM 44MM,236.0,236.0,12.51,283.2,20
CDM,859466,COMPNT FEM LFT RTK SM,5190.0,5190.0,275.07,6228.0,20
CDM,859467,INSERT TIBIAL RTK SZ3,1590.0,1590.0,84.27,1908.0,20
CDM,859475,DRAIN WND 19FR 2.5IN,1059.0,1059.0,56.13,1270.8,49
CDM,859488,STENT URET 4.8FR 18CM,183.0,183.0,9.7,219.6,20
CDM,859502,STEM FEM HIP 190MM 16MM,3525.0,3525.0,186.82,4230.0,20
CDM,859503,CONE FEM HIP BDY SZA 70,7553.0,7553.0,400.31,9063.6,20
CDM,859521,PLATE BN 218.5MM 14HL,993.0,993.0,52.63,1191.6,20
CDM,859525,PIN HALF EXFX THRD 50X6,2593.92,2593.92,137.48,3112.7,49
CDM,859531,DRESSING WND TRAUMA,22850.0,22850.0,1211.05,27420.0,49
CDM,859568,STENT GRAFT 16X13X124MM,8400.0,8400.0,445.2,10080.0,20
CDM,859573,ROD SPN 5.5X7.5MM,360.0,360.0,19.08,432.0,20
CDM,859579,STEM HIP PRSTLAC SZ1,7880.0,7880.0,417.64,9456.0,20
CDM,859586,NEEDLE BX BM 11GA 4IN,460.0,460.0,24.38,552.0,49
CDM,859592,COMPNT HEAD ULN 64.11X19,11050.0,11050.0,585.65,13260.0,20
CDM,859616,SCREW BN 2.7MM 36MM,79.0,79.0,4.19,94.8,20
CDM,859620,SCREW SPN 5.5MM 35MM,1000.0,1000.0,53.0,1200.0,20
CDM,859628,SCREW BN 4MM 38MM 13MM,294.0,294.0,15.58,352.8,20
CDM,859629,SCREW BN 4MM 34MM 11.5MM,294.0,294.0,15.58,352.8,20
CDM,859638,SCREW BN 4MM 44MM,330.0,330.0,17.49,396.0,20
CDM,8597,ETOPOSIDE 100 MG INJ,44.45,44.45,2.36,53.34,30
CDM,859701,COMPNT FEM PS CMNT SZ2-R,3200.0,3200.0,169.6,3840.0,20
CDM,859707,PLATE BN 4H 3.5MM 93MM,2572.0,2572.0,136.32,3086.4,20
CDM,859715,POSITIONER SURG HEART,5941.0,5941.0,314.87,7129.2,49
CDM,859767,TUBE INSUFF DVNC SMKEVAC,2564.0,2564.0,135.89,3076.8,49
CDM,859781,CATH BLNDIL 3.5MM0MM,2564.0,2564.0,135.89,3076.8,49
CDM,859782,CATH BLNDIL 4MM0MM,2564.0,2564.0,135.89,3076.8,49
CDM,859783,CATH BLNDIL 2MM 30MM,2564.0,2564.0,135.89,3076.8,49
CDM,859785,CATH BLNDIL 2.5MM 30MM,2564.0,2564.0,135.89,3076.8,49
CDM,859787,CATH BLNDIL 3MM 30MM,2564.0,2564.0,135.89,3076.8,49
CDM,859789,CATH BLNDIL 3.5MM 30MM,2564.0,2564.0,135.89,3076.8,49
CDM,859792,CATH BLNDIL 1.5MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,859794,CATH BLNDIL 15MM 1.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,859795,CATH BLNDIL 20MM 1.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,859796,CATH BLNDIL 1.5MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,8598,ETOPOSIDE 10 MG INJ,14.0,14.0,0.74,16.8,30
CDM,859806,CATH BLNDIL 1.5MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,859807,CATH BLNDIL 2MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,859809,CATH BLNDIL 2.5MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,859817,CATH BLNDIL 2MM 8MM LUM,2564.0,2564.0,135.89,3076.8,49
CDM,859819,CATH BLNDIL 2.5MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,859822,CATH BLNDIL 4MM 8MM LUM,2564.0,2564.0,135.89,3076.8,49
CDM,859824,CATH BLNDIL 2MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,859826,CATH BLNDIL 2.5MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,859828,CATH BLNDIL 3MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,859830,CATH BLNDIL 3.5MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,859832,CATH BLNDIL 4MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,859834,CATH BLNDIL 2MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,859836,CATH BLNDIL 2.5MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,859838,CATH BLNDIL 3MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,859840,CATH BLNDIL 3.5MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,859842,CATH BLNDIL 15MM 4.00MM,2564.0,2564.0,135.89,3076.8,49
CDM,859844,CATH BLNDIL 2MM0MM,2564.0,2564.0,135.89,3076.8,49
CDM,859846,CATH BLNDIL 2.5MM0MM,2564.0,2564.0,135.89,3076.8,49
CDM,859848,CATH BLNDIL 3MM0MM,2564.0,2564.0,135.89,3076.8,49
CDM,859869,STEM FEM HIP 13MM 146MM,3400.0,3400.0,180.2,4080.0,20
CDM,859877,SUTURE ABS SZ2-0 18IN,349.0,349.0,18.5,418.8,49
CDM,859878,SYSTEM PUMP 2ML/HR 100ML,2564.0,2564.0,135.89,3076.8,49
CDM,859884,SCREW BN 3MM 30MM,236.0,236.0,12.51,283.2,20
CDM,859890,INTRODUCER SHTH 7FR 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,859904,SCREW BN CORT 3.5MM 20MM,170.0,170.0,9.01,204.0,20
CDM,859918,PLATE BN 10HL 3.5X230MM,2853.0,2853.0,151.21,3423.6,20
CDM,859920,NAIL TIB IMPL 11X34.5,4300.0,4300.0,227.9,5160.0,20
CDM,859922,PLATE BN 2X.6X1.7MM 5HL,380.0,380.0,20.14,456.0,20
CDM,859923,COMPNT FEM REV PST SZ6,7250.0,7250.0,384.25,8700.0,20
CDM,859924,INSERT TIB CNSTRN SZ6,2500.0,2500.0,132.5,3000.0,20
CDM,859928,SCREW BN 3X36MM,300.0,300.0,15.9,360.0,20
CDM,859932,CATH GD .035IN 150CM CX,2564.0,2564.0,135.89,3076.8,49
CDM,859933,COMPONENT TIBTRY 2 RT MD,1993.0,1993.0,105.63,2391.6,20
CDM,859934,COMP FEM KN SZ2,3322.0,3322.0,176.07,3986.4,20
CDM,859987,STENT AAA EXLDR 28.5X12,19990.0,19990.0,1059.47,23988.0,20
CDM,860216,CATH BLNDIL 3MM 8MM LUM,2564.0,2564.0,135.89,3076.8,49
CDM,860218,CATH BLNDIL 3.5MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,860219,SCREW BN 3X12MM,70.0,70.0,3.71,84.0,20
CDM,860221,SCREW BN 3MM 20MM,77.0,77.0,4.08,92.4,20
CDM,860226,SUTURE FBRLP SZ2 20IN,100.0,100.0,5.3,120.0,20
CDM,860232,REMOVER CLIP 10CM,2564.0,2564.0,135.89,3076.8,49
CDM,860242,SYSTEM INTRA 2.4 MM,2430.0,2430.0,128.79,2916.0,20
CDM,860243,BIT DRL 2MM CANN IO FX,1108.8,1108.8,58.77,1330.56,49
CDM,860254,PLATE BN 2H 90MM,2022.0,2022.0,107.17,2426.4,20
CDM,860268,DRILL SURG SHRT 4.8MM,4408.0,4408.0,233.62,5289.6,49
CDM,860275,GRAFT BN DBM OTHBLND15ML,2700.0,2700.0,143.1,3240.0,20
CDM,860278,RING EXFX MED CLS CIRC,4788.0,4788.0,253.76,5745.6,49
CDM,860279,NUT EXFX 6MM,117.02,117.02,6.2,140.42,49
CDM,860280,WIRE EXFX BYNT 1.8X400,563.0,563.0,29.84,675.6,49
CDM,860281,POST EXFX 3 HL,1322.16,1322.16,70.07,1586.59,49
CDM,860282,WASHER EXFX SLT 4MM,290.04,290.04,15.37,348.05,49
CDM,860288,RING EXFX MED MTCH,5985.0,5985.0,317.2,7182.0,49
CDM,860289,PLATE EXFX FOOT MED,5985.0,5985.0,317.2,7182.0,49
CDM,860290,ROD EXFX CLMN 80MM,1411.2,1411.2,74.79,1693.44,49
CDM,860291,ROD EXFX THRDED ST 20MM,1256.12,1256.12,66.57,1507.34,49
CDM,860292,BOLT EXFX ST 10MM,142.12,142.12,7.53,170.54,49
CDM,860293,WASHER EXFX REG,117.02,117.02,6.2,140.42,49
CDM,860294,BOLT EXFX CANN SLT 25MM,661.65,661.65,35.07,793.98,49
CDM,860295,POST EXFX 1 HL,1268.4,1268.4,67.23,1522.08,49
CDM,860305,STEM FEMORAL MOD 10MM,1620.0,1620.0,85.86,1944.0,20
CDM,860312,SCREW BN 4.5MM 38MM,231.0,231.0,12.24,277.2,20
CDM,860314,SCREW BN 4.5MM 34MM,231.0,231.0,12.24,277.2,20
CDM,860327,SCREW BN CORT 3.5MM 26MM,170.0,170.0,9.01,204.0,20
CDM,860381,PLATE BN 5H 4MM,334.0,334.0,17.7,400.8,20
CDM,860418,SPACER SPNL INTFX 23X14,5336.0,5336.0,282.81,6403.2,20
CDM,860419,ANCHOR SUT SHRT 2.9MM SM,982.0,982.0,52.05,1178.4,20
CDM,860420,GRAFT FIB FRZ 60X14-18,1076.0,1076.0,57.03,1291.2,20
CDM,860421,SCREW PRLOC CANC 6.5X50,87.0,87.0,4.61,104.4,20
CDM,860422,SCREW PRLOC CANC 4.5X85,350.0,350.0,18.55,420.0,20
CDM,860424,SCREW PRLOC CORT 4.5X44,350.0,350.0,18.55,420.0,20
CDM,860425,SCREW BN 4.5MM 40MM LCK,350.0,350.0,18.55,420.0,20
CDM,860426,HEAD FEM LG +11 14/16 36,700.0,700.0,37.1,840.0,20
CDM,860431,INSERT TIB KN AOX 17.5MM,2300.0,2300.0,121.9,2760.0,20
CDM,860432,PLATE BN 4HL 116MM,2022.0,2022.0,107.17,2426.4,20
CDM,860438,PLATE BN DCP ANG 4HL,939.12,939.12,49.77,1126.94,20
CDM,860440,SUB BNGF CAPHS 10CC,3217.0,3217.0,170.5,3860.4,20
CDM,860441,CAGE SPN ROI-C 14X14X7,2200.0,2200.0,116.6,2640.0,20
CDM,860446,PLATE BN 8HS 3.5MM,760.0,760.0,40.28,912.0,20
CDM,860447,PLATE BN RT 12HL 266MM,3452.0,3452.0,182.96,4142.4,20
CDM,860449,SCREW BN 3.5MM 16MM,570.0,570.0,30.21,684.0,20
CDM,860450,CAP END HUMRL 2 MM,259.0,259.0,13.73,310.8,20
CDM,860451,K-WIRE FX .062IN 3IN,754.0,754.0,39.96,904.8,49
CDM,860452,PLATE BN DISTAL RT SHRT,1100.0,1100.0,58.3,1320.0,20
CDM,860453,STNT/GFT XCLDR AAA 12X23,8200.0,8200.0,434.6,9840.0,20
CDM,860456,ANCHOR SUT 2 CRSFT 4.5MM,798.0,798.0,42.29,957.6,20
CDM,860459,SCREW CANC LPR6.5X3.5X50,114.0,114.0,6.04,136.8,20
CDM,860460,WASHER SPIKED BNE L17MM,322.0,322.0,17.07,386.4,20
CDM,860463,SCREW ASCP ACL/PCL 25X10,410.0,410.0,21.73,492.0,20
CDM,860464,CMPNT GLND MEDIUM BETA,6340.0,6340.0,336.02,7608.0,20
CDM,860465,FILLER BONE VOID NRN 5ML,2770.0,2770.0,146.81,3324.0,20
CDM,860466,STEM ELB RADL 6.5MM,5532.0,5532.0,293.2,6638.4,20
CDM,860467,HEAD RADL KATLYST BIP 21,5532.0,5532.0,293.2,6638.4,20
CDM,860468,PIN FX 1.8MM 22MM,381.0,381.0,20.19,457.2,20
CDM,860469,PIN FX T8 BTRS 1.8X16MM,381.0,381.0,20.19,457.2,20
CDM,860470,SCREW SPN P-AX 7.5X55,1440.0,1440.0,76.32,1728.0,20
CDM,860473,TUBE TRCH 6.0X83X67MM,1624.0,1624.0,86.07,1948.8,49
CDM,860481,BIT DRILL 11MM,942.0,942.0,49.93,1130.4,49
CDM,860482,RETRACTOR METRX 22MMX3CM,2868.0,2868.0,152.0,3441.6,49
CDM,860483,RETRACTOR DISP 26X3CM,2653.0,2653.0,140.61,3183.6,49
CDM,860484,RETRACTOR DISTP 26X4CM,2653.0,2653.0,140.61,3183.6,49
CDM,860486,PLATE BN 2H 2.7/3.5X90MM,1838.0,1838.0,97.41,2205.6,20
CDM,860487,SCREW BN 2.7MM 54MM,79.0,79.0,4.19,94.8,20
CDM,860488,SCREW BN 2.7MM 46MM,247.0,247.0,13.09,296.4,20
CDM,860493,PLATE BN 2.7/3.5MM 90MM,2022.0,2022.0,107.17,2426.4,20
CDM,860494,SCREW BN 2.7MM 52MM,79.0,79.0,4.19,94.8,20
CDM,860495,SCREW BN 2.7MM 70MM,79.0,79.0,4.19,94.8,20
CDM,860529,SCREW BN 2.7MM 42MM,247.0,247.0,13.09,296.4,20
CDM,860539,PLATE RT 6HL 100D 12MM,414.0,414.0,21.94,496.8,20
CDM,860540,PLATE BN 6X2H .6MM,748.0,748.0,39.64,897.6,20
CDM,860541,PLATE BN RT 7HL 125MM,1268.0,1268.0,67.2,1521.6,20
CDM,860589,NAIL BN 11.5MM 39CM,3486.0,3486.0,184.76,4183.2,20
CDM,860617,INTRODCR SHTH .038OD11FR,1884.0,1884.0,99.85,2260.8,49
CDM,860618,SCREW BN MDFC 12X1.7MM,122.0,122.0,6.47,146.4,20
CDM,860642,GUARD PIN .045IN,1583.0,1583.0,83.9,1899.6,49
CDM,860643,GUARD PIN .054-.062IN,264.0,264.0,13.99,316.8,49
CDM,860644,GUARD PIN 5/64IN,264.0,264.0,13.99,316.8,49
CDM,860645,GUARD PIN 3/32IN,264.0,264.0,13.99,316.8,49
CDM,860649,COMPNT FEM PORUS RT,5190.0,5190.0,275.07,6228.0,20
CDM,860672,STEM RDL ELB 9X2X33MM,4050.0,4050.0,214.65,4860.0,20
CDM,860677,CATH THRMB 4/3FR 145CM,15412.0,15412.0,816.84,18494.4,49
CDM,860682,SCREW BN SPN 6.5MM 45MM,1370.0,1370.0,72.61,1644.0,20
CDM,860683,SCREW BN SPN 6.5MM 50MM,1370.0,1370.0,72.61,1644.0,20
CDM,860707,NAIL TIB 10.5X330MM,3560.0,3560.0,188.68,4272.0,20
CDM,860719,NAIL BN FEM 11.5MM 38CM,5280.0,5280.0,279.84,6336.0,20
CDM,860751,STENT ESPH 18.5FR 23MM,4433.0,4433.0,234.95,5319.6,20
CDM,860766,PLATE BN 2.7/3.5X116MM,1838.0,1838.0,97.41,2205.6,20
CDM,860771,PEG HI-COMP LCK 2.7X24MM,170.0,170.0,9.01,204.0,20
CDM,860798,SCREW BN 5X6.2X32MM,386.0,386.0,20.46,463.2,20
CDM,860805,PLATE BN 4H 58.5MM,832.0,832.0,44.1,998.4,20
CDM,860807,PLATE BN PLVC 4HL 58.5MM,620.0,620.0,32.86,744.0,20
CDM,860814,SCREW BN 2.7MM 22MM,96.0,96.0,5.09,115.2,20
CDM,860861,SCREW BN 2.7MM 50MM,66.0,66.0,3.5,79.2,20
CDM,860873,CMPNT PTLR KN3PEG 8X26MM,500.0,500.0,26.5,600.0,20
CDM,860875,PEG BN HI-CMPR 2.7X18MM,170.0,170.0,9.01,204.0,20
CDM,860936,COMPNT FEM NPOR RT SZ3,3200.0,3200.0,169.6,3840.0,20
CDM,860947,SLEEVE ADPT HIP 5.0MM,110.0,110.0,5.83,132.0,20
CDM,860949,SCREW BN 4.5 32 PRLK T25,994.0,994.0,52.68,1192.8,20
CDM,860951,SCREW 4.5X7.9X16MM PRLOC,994.0,994.0,52.68,1192.8,20
CDM,860952,SCREW BN 4.5MM 36MM,218.0,218.0,11.55,261.6,20
CDM,860953,SCREW BN 4.5MM 34MM,218.0,218.0,11.55,261.6,20
CDM,860961,CLIP HEMOSTATIC SPRFN,23.0,23.0,1.22,27.6,20
CDM,860968,BIT DRILL 1.5MM 4MM,305.0,305.0,16.16,366.0,49
CDM,860971,STEM HIP FEM 99MM,4000.0,4000.0,212.0,4800.0,20
CDM,860974,STEM FEM HIP10 132D123MM,4000.0,4000.0,212.0,4800.0,20
CDM,860975,STEM FEM 2 V40 117MM,3864.0,3864.0,204.79,4636.8,20
CDM,860977,STEM FEM HIP SZ3 102MM,3864.0,3864.0,204.79,4636.8,20
CDM,860978,STEM FEM SZ2 99MM,3864.0,3864.0,204.79,4636.8,20
CDM,860979,STEM FEM HIP SZ1 27X96MM,4000.0,4000.0,212.0,4800.0,20
CDM,860983,LINER ACTB HIP SZJ 58MM,1630.0,1630.0,86.39,1956.0,20
CDM,861004,PLATE BN 102MM SS 3.5MM,2612.0,2612.0,138.44,3134.4,20
CDM,861007,PLATE BN 2.7MM 97MM,792.0,792.0,41.98,950.4,20
CDM,861026,LIGHT FBROP NARROW/FLAT,3602.0,3602.0,190.91,4322.4,49
CDM,861028,GUIDE SURGICAL DRILL OD1,1938.0,1938.0,102.71,2325.6,49
CDM,861034,SUTURE FBRTP 7INX2MM,165.0,165.0,8.74,198.0,20
CDM,861035,CAGE SPNL 12X14X22MM,5274.0,5274.0,279.52,6328.8,20
CDM,861038,NAIL BN HUM 10/8.5MM,2932.0,2932.0,155.4,3518.4,20
CDM,861070,NAIL BN 8.5MM 255MM,3406.0,3406.0,180.52,4087.2,20
CDM,861071,SCREW BN 4.5MM 40MM,376.0,376.0,19.93,451.2,20
CDM,861105,SUTURE FBRWR 2 TPR 38IN,78.0,78.0,4.13,93.6,20
CDM,861161,NAIL BN TROCH 11.5M 20CM,3059.0,3059.0,162.13,3670.8,20
CDM,861178,PEG HI-COMP LCK 2.7X26MM,170.0,170.0,9.01,204.0,20
CDM,861179,PEG BN HI CMPR 2.7X30,198.0,198.0,10.49,237.6,20
CDM,861201,PLATE BN V-AX CRV 4HL,890.0,890.0,47.17,1068.0,20
CDM,861202,CAGE SPNL CGR 45X18X8MM,6305.0,6305.0,334.17,7566.0,20
CDM,861204,ROD SPN PRLSD 80MM,360.0,360.0,19.08,432.0,20
CDM,861207,ENDCAP SPNL 14X11X13MM,2200.0,2200.0,116.6,2640.0,20
CDM,861210,SCREW BN SPN 4MM 16MM,150.0,150.0,7.95,180.0,20
CDM,861211,STEM FEM HIP OFST 16MM,5000.0,5000.0,265.0,6000.0,20
CDM,861213,ROD SPNL ADJ 3.2/3.5X100,900.0,900.0,47.7,1080.0,20
CDM,861215,WIRE BALL FX 1.6MM15CM,2564.0,2564.0,135.89,3076.8,49
CDM,861216,SCREW BN 3.5MM 26MM,90.0,90.0,4.77,108.0,20
CDM,861218,SCREW BN 3.5MM 40MM,90.0,90.0,4.77,108.0,20
CDM,861219,SCREW BN 4MM 44MM,246.0,246.0,13.04,295.2,20
CDM,861221,SCREW BN 5MM 75MM,316.0,316.0,16.75,379.2,20
CDM,861222,SCREW BN 5MM 70MM,316.0,316.0,16.75,379.2,20
CDM,861223,PLATE BN 4.5MM 230MM,3381.0,3381.0,179.19,4057.2,20
CDM,861226,PLATE BN 5HL 3.5MM,1023.0,1023.0,54.22,1227.6,20
CDM,861227,PLATE BN 3.5MM,563.0,563.0,29.84,675.6,20
CDM,861243,SCREW BN 8MM 80MM 25MM,356.0,356.0,18.87,427.2,20
CDM,861252,PIN TEMP FIX SM 1.4MM,1131.0,1131.0,59.94,1357.2,49
CDM,861253,SCREW BN 5.0X30MM,316.0,316.0,16.75,379.2,20
CDM,861254,SCREW BN 3.5MM 80MM,261.0,261.0,13.83,313.2,20
CDM,861256,SCREW BN LCK 3.5MM 75MM,261.0,261.0,13.83,313.2,20
CDM,861257,SCREW BN 3.5MM 60MM,261.0,261.0,13.83,313.2,20
CDM,861264,SCREW BN ELB T8 2.7MM,77.0,77.0,4.08,92.4,20
CDM,861283,MATRISTEM 500 MG,8157.0,8157.0,432.32,9788.4,30
CDM,861299,CUP HUM SHLDR 38MM +9MM,1827.0,1827.0,96.83,2192.4,20
CDM,861300,PLATE BN 2.7MM 85MM,2216.0,2216.0,117.45,2659.2,20
CDM,861301,BLADE SHVR 7CM 3MM,1734.0,1734.0,91.9,2080.8,49
CDM,861304,SCREW BN 4MM 46MM,236.0,236.0,12.51,283.2,20
CDM,861305,SCREW BN 4MM 48MM,236.0,236.0,12.51,283.2,20
CDM,861330,PLATE BN LT STD 7HL,948.0,948.0,50.24,1137.6,20
CDM,861334,INTRO DR 8.5F 22.4MM,6948.0,6948.0,368.24,8337.6,49
CDM,861348,SCREW BN 5MM 85MM,302.0,302.0,16.01,362.4,20
CDM,861377,SCREW BN 6.5MM 90MM,326.0,326.0,17.28,391.2,20
CDM,861396,CATH DRN BIL 10.2FR 40CM,2564.0,2564.0,135.89,3076.8,49
CDM,861413,SPACER SPNL 14X11MM,1700.0,1700.0,90.1,2040.0,20
CDM,861433,PLATE BN 8HL 3.5MM,1149.0,1149.0,60.9,1378.8,20
CDM,861435,HOOK RETR XTRT CANN NL,4988.0,4988.0,264.36,5985.6,49
CDM,861455,CATH GD TIG4 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,861459,PLATE TIB KN SZ2 62X41MM,8037.0,8037.0,425.96,9644.4,20
CDM,861465,ROD EXFX 11X400MM,3039.0,3039.0,161.07,3646.8,49
CDM,861468,CANNULA ENDO 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,861472,SCREW BN NLCK 3MM 14MM,174.0,174.0,9.22,208.8,20
CDM,861474,BASEPLATE TIB KN 5D SZ E,1600.0,1600.0,84.8,1920.0,20
CDM,861477,SCREW GD 2.5MM 5MM,2120.0,2120.0,112.36,2544.0,49
CDM,861481,SCREW BN 4.0MM 68MM,341.0,341.0,18.07,409.2,20
CDM,861482,SCREW BN 4MM 5MM 72MM,341.0,341.0,18.07,409.2,20
CDM,861485,PLATE BN CLAV LFT THIRD,1100.0,1100.0,58.3,1320.0,20
CDM,861493,ROD SPN TRNCN 33-38MM,900.0,900.0,47.7,1080.0,20
CDM,861494,GWIRE VASC .035IN 260CM,2564.0,2564.0,135.89,3076.8,49
CDM,861495,GRAFT EVAS ZNTH 28X120,24188.0,24188.0,1281.96,29025.6,20
CDM,861508,STEM FEM BOW RSTR 267X18,5698.0,5698.0,301.99,6837.6,20
CDM,861510,ROD SPN PEDFUSE 5.5X45,360.0,360.0,19.08,432.0,20
CDM,861514,SCREW BN 4MM 32MM,330.0,330.0,17.49,396.0,20
CDM,861522,CATH VASC 6CM 150CM,7781.0,7781.0,412.39,9337.2,49
CDM,861539,STEM TIB RT KN D 5D,1600.0,1600.0,84.8,1920.0,20
CDM,861554,BASEPLATE TIB KN 5D SZG,1600.0,1600.0,84.8,1920.0,20
CDM,861556,PLATE BN 1.7MM 25MM,1742.0,1742.0,92.33,2090.4,20
CDM,861560,STENT BIL 8.5FR 60X10MM,4268.0,4268.0,226.2,5121.6,20
CDM,861561,SCREW BN 5MM 45MM,362.0,362.0,19.19,434.4,20
CDM,861567,STEM FEM FNDTN NPR SZ4,7250.0,7250.0,384.25,8700.0,20
CDM,861568,STEM FEM FNDTN MTL SZ10,1450.0,1450.0,76.85,1740.0,20
CDM,861571,INSERT TIB FDNTN STB SZ4,2500.0,2500.0,132.5,3000.0,20
CDM,861573,KIT ANCHOR BUTTON 10MM,2144.0,2144.0,113.63,2572.8,20
CDM,861575,BURR SHVR 4MM 13CM,1734.0,1734.0,91.9,2080.8,49
CDM,861576,BACKLUND SPIRAL BPSY KIT,1512.0,1512.0,80.14,1814.4,49
CDM,861580,SCREW CANC 6.5X65,57.0,57.0,3.02,68.4,20
CDM,861582,SCREW BN 6.5MM 8MM 70MM,57.0,57.0,3.02,68.4,20
CDM,861600,SCREW BN 5.0MM 55MM,362.0,362.0,19.19,434.4,20
CDM,861601,SCREW BN 5MM 42MM,362.0,362.0,19.19,434.4,20
CDM,861602,SCREW BN 5MM 30MM,362.0,362.0,19.19,434.4,20
CDM,861603,SCREW 4.5X3.9X42 MULTLC,376.0,376.0,19.93,451.2,20
CDM,861604,SCREW BN 4.5X3.9MM 36MM,376.0,376.0,19.93,451.2,20
CDM,861610,GWIRE ORTH 2.4MM,1543.0,1543.0,81.78,1851.6,49
CDM,861625,NAIL TROCH 10MM 20CM,4390.0,4390.0,232.67,5268.0,20
CDM,861639,GWIRE VASC 190CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,861640,COIL EMBL 10CM 6MM AXIUM,2390.0,2390.0,126.67,2868.0,20
CDM,861641,DEVICE BLWR/MSTR 16.5CM,3472.0,3472.0,184.02,4166.4,49
CDM,861668,BODY CALCAR +30 23MM,6345.0,6345.0,336.29,7614.0,20
CDM,861671,STYLET LD WIRE CRD 015IN,2564.0,2564.0,135.89,3076.8,49
CDM,861672,SUTURE VIOL MON 3-0 27IN,77.0,77.0,4.08,92.4,49
CDM,861680,FILTER TRNSF SALVAGD BLD,980.0,980.0,51.94,1176.0,49
CDM,861745,PLATE BN 8HL,2272.0,2272.0,120.42,2726.4,20
CDM,861783,CMPNT TIB KN 5D SZD,1600.0,1600.0,84.8,1920.0,20
CDM,861784,BASEPLATE TIB KN 5D,1600.0,1600.0,84.8,1920.0,20
CDM,861785,BASEPLATE TIB KN 5D SZ F,1600.0,1600.0,84.8,1920.0,20
CDM,861798,SCREW BN SPN 4MM 36MM,900.0,900.0,47.7,1080.0,20
CDM,861810,NAIL FEM INTERTN 1.5X10M,6110.0,6110.0,323.83,7332.0,20
CDM,861851,SUB BNGF FOAM 5CC,1743.0,1743.0,92.38,2091.6,20
CDM,861877,SUTURE CV-4 TH-18 36IN,2962.0,2962.0,156.99,3554.4,49
CDM,861878,KIT DRESSING AG LG,2564.0,2564.0,135.89,3076.8,49
CDM,861879,GRAFT DBM PTY STMBL 5ML,400.0,400.0,21.2,480.0,20
CDM,861880,SCREWDRVR AXSOS 4.5IN,3666.0,3666.0,194.3,4399.2,49
CDM,861907,BANDAGE CMPR 2INX5YD,9.0,9.0,0.48,10.8,49
CDM,861908,BANDAGE CMPR 3INX5YD,12.0,12.0,0.64,14.4,49
CDM,861909,BANDAGE CMPR 4INX5YD,14.0,14.0,0.74,16.8,49
CDM,861915,SUTURE NYL 4-0 FS2 12IN,2564.0,2564.0,135.89,3076.8,49
CDM,861923,SCREW BN 2.7X52MM,237.0,237.0,12.56,284.4,20
CDM,861924,SCREW BN 2.7MM 60MM,247.0,247.0,13.09,296.4,20
CDM,861925,DEVICE CLSR CLP INT 35MM,5700.0,5700.0,302.1,6840.0,20
CDM,861940,PLATE HUMERAL SUTURE 5H,3190.0,3190.0,169.07,3828.0,20
CDM,861941,SCREW BN 3.5MM 26MM,246.0,246.0,13.04,295.2,20
CDM,861943,SCREW BN 3.5MM 28MM,90.0,90.0,4.77,108.0,20
CDM,861944,SCREW BN 4MM 46MM,224.0,224.0,11.87,268.8,20
CDM,861945,SCREW BN 4MM 48MM,235.0,235.0,12.46,282.0,20
CDM,861954,DUAL RETROCUTTER 7MM,1485.12,1485.12,78.71,1782.14,49
CDM,861956,PLATE CRNFCL RECON 17HL,2483.0,2483.0,131.6,2979.6,20
CDM,861957,COMPNT TIB AOS 9X30,4300.0,4300.0,227.9,5160.0,20
CDM,861958,PLATE BN MXLFCL 1.5MM,1422.0,1422.0,75.37,1706.4,20
CDM,861960,STEM HUM FX 8X158MM,7786.0,7786.0,412.66,9343.2,20
CDM,861962,ROD INT FX USP ORT,2564.0,2564.0,135.89,3076.8,49
CDM,861973,CMPNT FEM KN SZ5,3000.0,3000.0,159.0,3600.0,20
CDM,861997,GRAFT PTTY STMBLST 10ML,1700.0,1700.0,90.1,2040.0,20
CDM,862008,CROSS CONCTR PDFSE 58-64,1200.0,1200.0,63.6,1440.0,20
CDM,862047,EXTENDER XTRT LD 70CM,4375.0,4375.0,231.88,5250.0,49
CDM,862053,INTRODCER CATH 16FR,2672.0,2672.0,141.62,3206.4,49
CDM,862055,BLOCK FEM DSTL XS MD HNG,931.0,931.0,49.34,1117.2,20
CDM,862057,SCREW BN 4MM 30MM,224.0,224.0,11.87,268.8,20
CDM,862062,GWIRE VASC .035IN 180CM,1664.0,1664.0,88.19,1996.8,49
CDM,862064,NAIL ANTE LT LME 8.5X38,2398.0,2398.0,127.09,2877.6,20
CDM,862078,SCREW BN 2.8MM 14MM,226.0,226.0,11.98,271.2,20
CDM,862079,SCREW BN 2.8MM 16MM,226.0,226.0,11.98,271.2,20
CDM,862108,SCREW 7X35MM XPDM CORT,1200.0,1200.0,63.6,1440.0,20
CDM,862115,BUTTON CANN 10MM 3CM,1327.0,1327.0,70.33,1592.4,49
CDM,862116,DEVICE WNDCLS 15CM SZ0,1569.0,1569.0,83.16,1882.8,49
CDM,862138,NAIL FEM ANTGRD THRD MED,970.0,970.0,51.41,1164.0,20
CDM,862140,COUPLNG EXFX PIN-ROD,5941.0,5941.0,314.87,7129.2,49
CDM,862144,BODY CONE HIP STD 60MM,7553.0,7553.0,400.31,9063.6,20
CDM,862148,LIGHT FBROP WIDE/FLAT,3602.0,3602.0,190.91,4322.4,49
CDM,862149,NAIL BN 130D 10MM 360MM,3885.0,3885.0,205.91,4662.0,20
CDM,862153,GRAFT BN DBM 5CM,2822.0,2822.0,149.57,3386.4,20
CDM,862166,SCREW BN 5MM 25MM,362.0,362.0,19.19,434.4,20
CDM,862167,SCREW BN LPRO 5X4.3X27MM,362.0,362.0,19.19,434.4,20
CDM,862168,SCREW BN 5MM 35MM,362.0,362.0,19.19,434.4,20
CDM,862169,SCREW BN 5MM 40MM,362.0,362.0,19.19,434.4,20
CDM,862175,GWIRE ORTH 2.4MM 8IN,1131.0,1131.0,59.94,1357.2,49
CDM,862236,CMPNT RAD ELB 24MM,2050.0,2050.0,108.65,2460.0,20
CDM,862237,STEM RADL ELBW 9X0X33MM,4050.0,4050.0,214.65,4860.0,20
CDM,862238,ROD SPNL VPR 2 LRDTC 85M,360.0,360.0,19.08,432.0,20
CDM,862248,GWIRE VASC 0.18IN 180CM,2564.0,2564.0,135.89,3076.8,49
CDM,862252,PLATE FEM NCB LT 5 HL,2457.0,2457.0,130.22,2948.4,20
CDM,862253,BIT DRILL QC 180X2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,862255,SCREW BN 3.5MM 36MM,386.0,386.0,20.46,463.2,20
CDM,862287,GWIRE VASC 180CM .009IN,2564.0,2564.0,135.89,3076.8,49
CDM,862303,INS HIP OPTN TYP 1 +3MM,110.0,110.0,5.83,132.0,20
CDM,862305,SLING GYN 7.75CM,2590.0,2590.0,137.27,3108.0,20
CDM,862311,INSERT TIB RT SZ-7 E-+,1100.0,1100.0,58.3,1320.0,20
CDM,862313,COMPNT FEM 8 STD LT CRU,1600.0,1600.0,84.8,1920.0,20
CDM,862317,IMPLANT BREAST 360CC,1672.0,1672.0,88.62,2006.4,20
CDM,862318,IMPLANT BREAST 385CC,1672.0,1672.0,88.62,2006.4,20
CDM,862334,BLADE SHAVER DENSE PLUS,5941.0,5941.0,314.87,7129.2,49
CDM,862345,SCREW BN 2.7MM 50MM,79.0,79.0,4.19,94.8,20
CDM,862346,SCREW BN 2.7MM 44MM,247.0,247.0,13.09,296.4,20
CDM,862347,SCREW BN MTPHSL 2.7X42MM,79.0,79.0,4.19,94.8,20
CDM,862356,PLATE BN 2.4MM 58MM,1196.0,1196.0,63.39,1435.2,20
CDM,862377,CANNULA BTN 10MM 4CM,1327.0,1327.0,70.33,1592.4,49
CDM,862391,TUBE JJNSTM 12FR,2564.0,2564.0,135.89,3076.8,49
CDM,862392,HEAD FEM HIP -3.5MM 40MM,1300.0,1300.0,68.9,1560.0,20
CDM,862404,GWIRE ORTH .062IN,829.0,829.0,43.94,994.8,49
CDM,862405,ALLOGRAFT BIOCARTLGE 1CC,1540.0,1540.0,81.62,1848.0,20
CDM,862406,STEM HUM UNV 3D 13MM,7350.0,7350.0,389.55,8820.0,20
CDM,862409,AGENT HMSTC MTRX 8ML,2564.0,2564.0,135.89,3076.8,49
CDM,862414,SUTURE UND MON +2-0 27IN,2294.0,2294.0,121.58,2752.8,49
CDM,862415,DRIVER PEG SURG 1.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,862423,SCREW BN 5MM 90MM,356.0,356.0,18.87,427.2,20
CDM,862425,PLATE BN MXLFCL 4HL,591.0,591.0,31.32,709.2,20
CDM,862429,SCREW BN 5MM 55MM,316.0,316.0,16.75,379.2,20
CDM,862430,SCREW BN 5MM 44MM,302.0,302.0,16.01,362.4,20
CDM,862433,PLATE CRNL LT 100D 2MM,350.0,350.0,18.55,420.0,20
CDM,862434,SYS IRRIGATOR DEV STRL,2538.0,2538.0,134.51,3045.6,49
CDM,862440,CATH BRNCHL THERMO 5MM,19430.0,19430.0,1029.79,23316.0,49
CDM,862457,PEG FX 2.7MM 23MM,170.0,170.0,9.01,204.0,20
CDM,862458,PEG HI-COMP LCK 2.7X19MM,170.0,170.0,9.01,204.0,20
CDM,862465,SCREW BN 5MM 75MM,362.0,362.0,19.19,434.4,20
CDM,862474,MESH CONTOURD ORBTL R-LG,3124.0,3124.0,165.57,3748.8,20
CDM,862475,PLATE ORBT FLR LT .4X1.5,3124.0,3124.0,165.57,3748.8,20
CDM,862476,SCREW CANC AOS 65MM,710.0,710.0,37.63,852.0,20
CDM,862480,PLATE BN 9HL,662.0,662.0,35.09,794.4,20
CDM,862481,SCREW BN 2MM 6MM,286.0,286.0,15.16,343.2,20
CDM,862496,SCREW BN 4.5MM 38MM,350.0,350.0,18.55,420.0,20
CDM,8625,FLUDARABINE PHOS 50MGINJ,3358.0,3358.0,177.97,4029.6,30
CDM,8625,"Injection, fludarabine phosphate, 50 mg ",3358.0,3358.0,211.2,211.2,1
CDM,862515,SCREW BN 8MM 74MM 24MM,1070.0,1070.0,56.71,1284.0,20
CDM,862516,SCREW BN 8MM 85MM,382.0,382.0,20.25,458.4,20
CDM,862521,SCREW CAN AOS LCKNG 36MM,4300.0,4300.0,227.9,5160.0,20
CDM,862522,PUTTY DBM 10CC,1700.0,1700.0,90.1,2040.0,20
CDM,862523,GRAFT BN DBM PUTTY 5CC,1000.0,1000.0,53.0,1200.0,20
CDM,862553,CONNECTOR NRV 3X10MM,2782.0,2782.0,147.45,3338.4,20
CDM,862554,PLATE PRECONTOUR SS CNTR,1100.0,1100.0,58.3,1320.0,20
CDM,862574,SCREW BN 4MM 50MM,363.0,363.0,19.24,435.6,20
CDM,8626,FLUOROURACIL 500 MG INJ,143.0,143.0,7.58,171.6,30
CDM,862613,PLATE BN RT 1.5MM 81MM,1668.0,1668.0,88.4,2001.6,20
CDM,862634,SCREW CANC LCP SS 4X46,33.18,33.18,1.76,39.82,20
CDM,862655,KWIRE FX 1.6X102MM,386.2,386.2,20.47,463.44,49
CDM,862661,SCREW BN 6.5MM 70MM,309.0,309.0,16.38,370.8,20
CDM,862678,GRAFT PUTTY BN 2.5ML,500.0,500.0,26.5,600.0,20
CDM,862682,POST EX FIX 11MM,246.0,246.0,13.04,295.2,49
CDM,8627,FLOXURIDINE 500 MG INJ,1135.0,1135.0,97.61,1362.0,29
CDM,8627,"Injection, floxuridine, 500 mg ",1135.0,1135.0,4123.44,4123.44,1
CDM,862711,COMPNT FEM KN RT SZ8,3000.0,3000.0,159.0,3600.0,20
CDM,862719,STEM RADL ELB 9MM 6MM,4050.0,4050.0,214.65,4860.0,20
CDM,862725,KIT NDL BN BX 10GA,2564.0,2564.0,135.89,3076.8,49
CDM,862731,SCREW BN 5X37MM,362.0,362.0,19.19,434.4,20
CDM,862739,SCREW BN 4MM 14MM,120.0,120.0,6.36,144.0,20
CDM,862740,STEM FEM RVLTN SHRT 8MM,5000.0,5000.0,265.0,6000.0,20
CDM,862741,SHEATH ESURG 13FR,4912.0,4912.0,260.34,5894.4,49
CDM,862748,SHEATH ESURG 11FR,4912.0,4912.0,260.34,5894.4,49
CDM,862749,SHEATH INTRO 15FR 65CM,8549.0,8549.0,453.1,10258.8,49
CDM,862792,KIT PEG PULL W/XYLO 24FR,2564.0,2564.0,135.89,3076.8,49
CDM,862809,DEVICE CLSR CLP INT 40MM,5700.0,5700.0,302.1,6840.0,20
CDM,862833,SCREW BN 3.5MM 32MM,90.0,90.0,4.77,108.0,20
CDM,862834,SCREW BN 3.5MM 34MM,129.0,129.0,6.84,154.8,20
CDM,862836,SCREW BN 3.5X32MM,224.0,224.0,11.87,268.8,20
CDM,862841,PLATE BN SHRT LT 1H 72MM,2216.0,2216.0,117.45,2659.2,20
CDM,862856,SCREW BN 5MM 60MM,316.0,316.0,16.75,379.2,20
CDM,862858,NAIL FEM 10MMX34CM,4420.0,4420.0,234.26,5304.0,20
CDM,862862,WASHER BN ORTH 6.5/8MM,58.0,58.0,3.07,69.6,20
CDM,862866,PLATE HUM DSTL/LAT 11HL,1621.5,1621.5,85.94,1945.8,20
CDM,862871,HEAD HUMRL FX 50X19MM,2500.0,2500.0,132.5,3000.0,20
CDM,862900,SCREW BN 3MM 22MM,231.0,231.0,12.24,277.2,20
CDM,862902,SHEATH NVGRT 12/14F 36CM,2564.0,2564.0,135.89,3076.8,49
CDM,862903,SET SHTH URT 11-14F 28CM,2564.0,2564.0,135.89,3076.8,49
CDM,862904,STENT GRAFT 16X16X93MM,8400.0,8400.0,445.2,10080.0,20
CDM,862908,STENT GRAFT 16X16X82MM,8230.0,8230.0,436.19,9876.0,20
CDM,862909,HEAD HUM GLND RSP 44MM,1400.0,1400.0,74.2,1680.0,20
CDM,862910,COIL EMBL 6CM 4MM,2390.0,2390.0,126.67,2868.0,20
CDM,862911,COIL EMBL 8CM 4MM,2390.0,2390.0,126.67,2868.0,20
CDM,862912,COIL EMBL 10CM 4MM,2390.0,2390.0,126.67,2868.0,20
CDM,862914,COIL EMBL 10CM 5MM,2390.0,2390.0,126.67,2868.0,20
CDM,862916,COIL EMBL 15CM 6MM,2390.0,2390.0,126.67,2868.0,20
CDM,862938,CATH MICRO 5FR 115CM,10181.0,10181.0,539.59,12217.2,49
CDM,862939,CATH MIC ORN .021 150CM,10321.0,10321.0,547.01,12385.2,49
CDM,862942,CATH ANGIO 6FR 105CM,7655.0,7655.0,405.71,9186.0,49
CDM,862964,SCREW BN 5MM 55MM,409.0,409.0,21.68,490.8,20
CDM,862969,SHEATH ESURG 9FR 11.2CM,4388.0,4388.0,232.56,5265.6,49
CDM,862972,SET SHTH DIL 9FR 13.6CM,9288.0,9288.0,492.26,11145.6,49
CDM,862973,PLATE HUM DST LT LCK 7HL,1463.0,1463.0,77.54,1755.6,20
CDM,862977,SCREW PERI LNG LCK3.5X44,159.6,159.6,8.46,191.52,20
CDM,862978,PLATE BN LCK 3.5MM 6H,1126.0,1126.0,59.68,1351.2,20
CDM,862996,INSERT TB FNDTN CMPR SZ4,1100.0,1100.0,58.3,1320.0,20
CDM,862997,INSERT TIB SZ3 LT E-+ 11,1100.0,1100.0,58.3,1320.0,20
CDM,862998,PLATE BN MESH LG 16HL,1190.0,1190.0,63.07,1428.0,20
CDM,863037,STEM FEM HIP 18MM 156MM,3600.0,3600.0,190.8,4320.0,20
CDM,863044,GWIRE VASC .014IN 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,863084,CLAMP EX FIX 5HL,5941.0,5941.0,314.87,7129.2,49
CDM,863094,ROD EXFX 11MM 350MM,2646.0,2646.0,140.24,3175.2,49
CDM,8631,GEMCITBIN NOS 200 MG INJ,1221.0,1221.0,64.71,1465.2,30
CDM,863100,ANCHOR SUT 4.75MM 15.8MM,800.0,800.0,42.4,960.0,20
CDM,863109,PROBE ARTHSCP PRCR 8MM,5502.0,5502.0,291.61,6602.4,49
CDM,863110,NAIL AOS IM 10X30X130,4160.0,4160.0,220.48,4992.0,20
CDM,863113,TRAY PROC CGL W/O TRACH,5737.0,5737.0,304.06,6884.4,49
CDM,863114,COMPNT TIB RTK SZ2 17MM,1590.0,1590.0,84.27,1908.0,20
CDM,863118,SCREW BN 2.7MM 18MM,79.0,79.0,4.19,94.8,20
CDM,863143,SUTURE CTX SZ1 1X14IN,679.0,679.0,35.99,814.8,49
CDM,863144,STENT EPRSTH 14X23X18,8200.0,8200.0,434.6,9840.0,20
CDM,863146,CATH OCL 65CM,5698.0,5698.0,301.99,6837.6,49
CDM,863157,SET PLEURAL DRN 1000ML,915.0,915.0,48.49,1098.0,49
CDM,863158,SCREW SPN 5MM 45MM,900.0,900.0,47.7,1080.0,20
CDM,863159,SCREW BN 3.5X22MM,230.0,230.0,12.19,276.0,20
CDM,863162,PLATE BN LCK 7H 97MM,1800.0,1800.0,95.4,2160.0,20
CDM,863166,PLATE CERV INVUE 2LVL 41,2100.0,2100.0,111.3,2520.0,20
CDM,863178,TUBE JJNSTM 16FR 45CM,2564.0,2564.0,135.89,3076.8,49
CDM,863182,SCREW BN 6.5MM 80MM 20MM,383.0,383.0,20.3,459.6,20
CDM,863233,SET SHTH DIL 11FR 40.6CM,11619.0,11619.0,615.81,13942.8,49
CDM,863234,SHEATH ESURG 11FR,4152.0,4152.0,220.06,4982.4,49
CDM,863235,SET SHTH DIL 11FR 13.6CM,12466.0,12466.0,660.7,14959.2,49
CDM,863236,NOVASURE CYL CARTRDGE,352.0,352.0,18.66,422.4,49
CDM,863237,SCREW BN SPN 5MM 40MM,1000.0,1000.0,53.0,1200.0,20
CDM,863261,GRAFT BN DBM + 10CC,1700.0,1700.0,90.1,2040.0,20
CDM,863272,SCREW BN 5MM 47.5MM,362.0,362.0,19.19,434.4,20
CDM,863295,STEM TIB KN LT 5D SZF,1600.0,1600.0,84.8,1920.0,20
CDM,8633,GEMCITABINE NOS 1 G INJ,6103.0,6103.0,323.46,7323.6,30
CDM,863300,COMPNT PTLR KN 32MM,500.0,500.0,26.5,600.0,20
CDM,863304,IMPLANT BREAST 130CC,1672.0,1672.0,88.62,2006.4,20
CDM,863307,CATH NVSTR THMCL SF BI3D,3600.0,3600.0,190.8,4320.0,49
CDM,863327,STENT GRAFT 16X10X124MM,8400.0,8400.0,445.2,10080.0,20
CDM,863355,PLATE BN 6HL 3.5MM 102MM,2612.0,2612.0,138.44,3134.4,20
CDM,863357,PLATE ULNA PROX ALPS RT,1281.36,1281.36,67.91,1537.63,20
CDM,863358,SLING ORTH XL ARM +15IN,1551.0,1551.0,82.2,1861.2,49
CDM,863379,HEAD HUM 50MM 18MM,1400.0,1400.0,74.2,1680.0,20
CDM,863383,CANNULA PRFSN 8.5IN 20FR,761.0,761.0,40.33,913.2,49
CDM,863397,TUNNLER SHTH 11GA 10IN,1040.0,1040.0,55.12,1248.0,49
CDM,863398,SCREW PDIC RESET 7X50,1440.0,1440.0,76.32,1728.0,20
CDM,863422,PLATE BN 3HL 40.5MM,642.0,642.0,34.03,770.4,20
CDM,863433,GRAFT TRICORTICAL BLCK 5,1196.0,1196.0,63.39,1435.2,20
CDM,863434,GRAFT TRICORTICAL BLCK10,1196.0,1196.0,63.39,1435.2,20
CDM,863435,KWIRE FX 0.9MM 152MM,377.0,377.0,19.98,452.4,49
CDM,863436,GRAFT EVAS 35X14.5M 16CM,20590.0,20590.0,1091.27,24708.0,20
CDM,863438,CANN PRFSN 28FR 12-15IN,1149.0,1149.0,60.9,1378.8,49
CDM,863439,CANNULA VNS 15IN 30FR,1149.0,1149.0,60.9,1378.8,49
CDM,863441,CANNULA PRFSN 32F 15IN,974.0,974.0,51.62,1168.8,49
CDM,863443,PLATE LNG 111MM 2.7/3.5,2216.0,2216.0,117.45,2659.2,20
CDM,863444,PLATE FOOT EXFX SM,5586.0,5586.0,296.06,6703.2,49
CDM,863452,STEM RADL ELBOW 10MMX2MM,4050.0,4050.0,214.65,4860.0,20
CDM,863453,SET SHTH DIL 13FR 40.6CM,15528.0,15528.0,822.98,18633.6,49
CDM,863458,GRAFT TISSE POST TIB TND,3900.0,3900.0,206.7,4680.0,20
CDM,863486,PEG BN LCK 2.7X12MM,170.0,170.0,9.01,204.0,20
CDM,863494,NAIL TIB TRGN 8.5X29,3014.1,3014.1,159.75,3616.92,20
CDM,863504,NAIL INTERTN R 10X32X125,3326.9,3326.9,176.33,3992.28,20
CDM,863515,SCREW BN 6.5MM 90MM 20MM,356.0,356.0,18.87,427.2,20
CDM,863516,SCREW BN 6.5MM 95MM 20MM,356.0,356.0,18.87,427.2,20
CDM,863517,SCREW BN 6.5MM 105MM,356.0,356.0,18.87,427.2,20
CDM,863518,SUTURE VIOL MON +0 27IN,74.0,74.0,3.92,88.8,49
CDM,863529,INSERT TIB FNDTN SZ8 19M,2418.78,2418.78,128.2,2902.54,20
CDM,863530,STEM TIB FNDTN XTN18X150,1450.0,1450.0,76.85,1740.0,20
CDM,863531,SPACER FEM POST BLK 10,1400.0,1400.0,74.2,1680.0,20
CDM,863532,COMPNT FM NPOR REV 10 RT,7250.0,7250.0,384.25,8700.0,20
CDM,863533,SPACER FEM BLCK RL/LM 10,1498.76,1498.76,79.43,1798.51,20
CDM,863534,SPACER FM DSTL BLK 10-RT,1450.0,1450.0,76.85,1740.0,20
CDM,863535,ROD EXFX COLUMN 100MM,1411.2,1411.2,74.79,1693.44,49
CDM,863563,CMPNT FEM KN UNCNDL SZ2,3321.0,3321.0,176.01,3985.2,20
CDM,863575,NAIL BN FEM 11.5MM 36CM,4345.0,4345.0,230.28,5214.0,20
CDM,863584,PLATE BN 116MM 2.7/3.5MM,2022.0,2022.0,107.17,2426.4,20
CDM,863587,SCREW BN 4MM 36MM,294.0,294.0,15.58,352.8,20
CDM,863589,SCREW BN 6.5MM 85MM 20MM,356.0,356.0,18.87,427.2,20
CDM,863591,GWIRE URO .025IN 150CM,1229.0,1229.0,65.14,1474.8,49
CDM,863592,GWIRE URO .035IN 150CM,1168.0,1168.0,61.9,1401.6,49
CDM,863595,GWIRE URO .035IN 150CM,1110.0,1110.0,58.83,1332.0,49
CDM,863614,CNTRSNK DRL CPLNG 3MM,2564.0,2564.0,135.89,3076.8,49
CDM,863635,ELECTRODE LP PNK 4X10MM,2564.0,2564.0,135.89,3076.8,49
CDM,863636,SCREW BN 6.5MM 80MM 20MM,356.0,356.0,18.87,427.2,20
CDM,863638,INSERT TIB CNSTRN SZ4,2500.0,2500.0,132.5,3000.0,20
CDM,863643,COMPT FEM KN LT SZ11,3000.0,3000.0,159.0,3600.0,20
CDM,863653,SCREW BN 6.5MM 90MM 20MM,383.0,383.0,20.3,459.6,20
CDM,863654,SCREW BN 6.5MM 85MM 20MM,387.0,387.0,20.51,464.4,20
CDM,863658,GRAFT EVAS 35X14.5M 14CM,21104.0,21104.0,1118.51,25324.8,20
CDM,863661,PLATE BN RT 5HL 99MM,1231.0,1231.0,65.24,1477.2,20
CDM,863698,SCREW SPN 5.5MM 45MM,1300.0,1300.0,68.9,1560.0,20
CDM,863704,ROD SPN 5.5MM 60MM,360.0,360.0,19.08,432.0,20
CDM,863705,GRAFT EVAS 18MM 9.5CM,8658.0,8658.0,458.87,10389.6,20
CDM,863706,GRAFT EVAS 16MM 11.5CM,8446.0,8446.0,447.64,10135.2,20
CDM,863709,SUTURE FIBERLOOP 60IN,1884.0,1884.0,99.85,2260.8,49
CDM,863710,DEVICE CLSR WND 14X14CM,485.0,485.0,25.7,582.0,49
CDM,863711,SQUARE NUT EXFX 4MM,604.8,604.8,32.05,725.76,49
CDM,863712,SEALER VESSEL SHEAR RBTC,5941.0,5941.0,314.87,7129.2,49
CDM,863715,GWIRE URO .035IN 150CM,1702.0,1702.0,90.21,2042.4,49
CDM,863716,SET SHTH URT 11-13F 36CM,2564.0,2564.0,135.89,3076.8,49
CDM,863750,BIOACTION GREAT TOE IMPL,3870.0,3870.0,205.11,4644.0,20
CDM,863771,SET SCREW SPN,100.0,100.0,5.3,120.0,20
CDM,863794,SCREW BN TI CORT 4X28MM,327.0,327.0,17.33,392.4,20
CDM,863798,PLATE BN 2.7-3.5MM 73MM,1798.0,1798.0,95.29,2157.6,20
CDM,8638,GOSERELIN IMP 3.6 MG,4127.0,4127.0,218.73,4952.4,30
CDM,8638,"Goserelin acetate implant, per 3.6 mg ",4127.0,4127.0,,,0
CDM,863802,GRAFT EVAS 23MM 10CM,8658.0,8658.0,458.87,10389.6,20
CDM,863803,GRAFT EVAS 23MM 14CM,8446.0,8446.0,447.64,10135.2,20
CDM,863807,PLATE SPN 38MM,1900.0,1900.0,100.7,2280.0,20
CDM,863818,CMPNT FEM KN RT SZ10,3000.0,3000.0,159.0,3600.0,20
CDM,863822,DEVICE CLSR WND 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,863844,COMPNT FEM RT KN PST SZ2,3200.0,3200.0,169.6,3840.0,20
CDM,863847,SPACER E-LFIT 24X8X8,5400.0,5400.0,286.2,6480.0,20
CDM,863848,SPACER E-LFIT 24X8X9,5400.0,5400.0,286.2,6480.0,20
CDM,863849,SCREW PDFSE CRTQD 5.5X40,1440.0,1440.0,76.32,1728.0,20
CDM,863850,SCREW PDFSE CRTQD 5.5X45,1440.0,1440.0,76.32,1728.0,20
CDM,863856,KINFE ARTHSCP BNA SMTH,2564.0,2564.0,135.89,3076.8,49
CDM,863872,CATHETER ABL 110CM 7FR,4027.0,4027.0,213.43,4832.4,49
CDM,863919,SCREW BN 5MM 32MM,362.0,362.0,19.19,434.4,20
CDM,863968,BASEPLATE NPOR GNS2 SZ4R,2000.0,2000.0,106.0,2400.0,20
CDM,863969,REAMER SURG 40MM 44MM,3999.0,3999.0,211.95,4798.8,49
CDM,863970,JOINT TOE BIOACTION SM,2730.0,2730.0,144.69,3276.0,20
CDM,863975,COIL EMBL 4CM X 3MM,3956.0,3956.0,209.67,4747.2,20
CDM,863980,INSRT SCKT SEMI +4 32MM,1350.0,1350.0,71.55,1620.0,20
CDM,864019,GRAFT EVAS 23MM 12CM,8658.0,8658.0,458.87,10389.6,20
CDM,864020,GRAFT EVAS 20MM 9.5CM,8658.0,8658.0,458.87,10389.6,20
CDM,864052,LENS IOL +8.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,864055,HEAD HUM SHLDR -4MM 36MM,1608.0,1608.0,85.22,1929.6,20
CDM,864056,STEM REV MNOBLCK SZ8 220,11295.0,11295.0,598.63,13554.0,20
CDM,864057,MONOBLOCK/ CONVERTER,11295.0,11295.0,598.63,13554.0,20
CDM,864058,PIN RUSH STD 5INX2MM,146.0,146.0,7.74,175.2,20
CDM,864060,PIN RUSH STD 7.5INX2MM,146.0,146.0,7.74,175.2,20
CDM,864066,PIN RUSH STD 10INX2MM,130.0,130.0,6.89,156.0,20
CDM,864080,PLATE BN 6HL 1.3X2.3MM,378.0,378.0,20.03,453.6,20
CDM,864099,STENT GRAFT 16X10X93MM,8230.0,8230.0,436.19,9876.0,20
CDM,864111,TNGNT IMPCTD WDG FZ12X20,4789.52,4789.52,253.84,5747.42,20
CDM,864112,MESH HRN 15X10CM,1014.0,1014.0,53.74,1216.8,20
CDM,864113,TISSUE WEDGE IMP 10X20,4789.52,4789.52,253.84,5747.42,20
CDM,864119,PLATE HUM RVS 15MM,3868.8,3868.8,205.05,4642.56,20
CDM,864121,PLATE OLCRN LCP LT 8HL,2014.32,2014.32,106.76,2417.18,20
CDM,864139,PLATE BN RT 1.5MM 81MM,1668.0,1668.0,88.4,2001.6,20
CDM,864140,PLATE BN LT 1.5MM 81MM,1668.0,1668.0,88.4,2001.6,20
CDM,864141,PLATE BN LT 1.5MM 81MM,1668.0,1668.0,88.4,2001.6,20
CDM,864142,PLATE BN LONG 1MM 57MM,1056.0,1056.0,55.97,1267.2,20
CDM,864143,PLATE BN RT 1MM 40MM,1056.0,1056.0,55.97,1267.2,20
CDM,864144,PLATE BN LT 1MM 40MM,1056.0,1056.0,55.97,1267.2,20
CDM,864145,PLATE BN RT 1MM 53MM,1056.0,1056.0,55.97,1267.2,20
CDM,864146,PLATE BN LT 1MM 53MM,1056.0,1056.0,55.97,1267.2,20
CDM,864225,BASEPLATE NPOR REV 10 RT,3750.0,3750.0,198.75,4500.0,20
CDM,864226,STEM FEM FNDTN 100X20,1450.0,1450.0,76.85,1740.0,20
CDM,864227,INSERT TB FNDTN REV SZ10,2500.0,2500.0,132.5,3000.0,20
CDM,864273,SCREW BN CRNMXF 4X1.7MM,175.0,175.0,9.28,210.0,20
CDM,864275,BIT DRIL AO SPEED 2X30MM,2564.0,2564.0,135.89,3076.8,49
CDM,864276,BIT DRILL SPEED GUIDE,5022.0,5022.0,266.17,6026.4,49
CDM,864280,AGENT FLOSEAL BVN 10ML,3153.0,3153.0,167.11,3783.6,49
CDM,864285,PEG BN 2.7MM 21MM,170.0,170.0,9.01,204.0,20
CDM,864287,NAIL ORTHO MOD 13X30CM,4420.0,4420.0,234.26,5304.0,20
CDM,864297,SCREW BN 8MM 2MM,286.0,286.0,15.16,343.2,20
CDM,864298,PLATE BN 104 SS 3.5 SCR8,709.0,709.0,37.58,850.8,20
CDM,864299,PLATE BN 3.5MM 91MM,684.0,684.0,36.25,820.8,20
CDM,864306,SCREW BN 3.5MM 28MM SS,62.0,62.0,3.29,74.4,20
CDM,864307,SCREW BN 3.5MM 30MM SS,62.0,62.0,3.29,74.4,20
CDM,864311,BLN AVTR+ RX 5X3X142,2564.0,2564.0,135.89,3076.8,49
CDM,864324,GRAFT STNT 32MM 100MM,33990.0,33990.0,1801.47,40788.0,20
CDM,864339,GRAFT BN TND 5X80MM,4340.0,4340.0,230.02,5208.0,20
CDM,864341,CANNULA RAP FEM VENOUS,2104.0,2104.0,111.51,2524.8,49
CDM,864367,NAIL FEM COMP 9X46,4420.0,4420.0,234.26,5304.0,20
CDM,864370,INSERT TB FNDTN CMPR SZ8,1100.0,1100.0,58.3,1320.0,20
CDM,864390,PLATE BN 2.7X3.5X73MM,1236.0,1236.0,65.51,1483.2,20
CDM,864406,SCREW BN 4MM 30MM,294.0,294.0,15.58,352.8,20
CDM,864421,SHEATH ESURG 9FR,4676.0,4676.0,247.83,5611.2,49
CDM,864422,COIL CMPR LD RTRVL,9715.0,9715.0,514.89,11658.0,49
CDM,864423,GRAFT VASC THIN 90CM 6MM,6144.0,6144.0,325.63,7372.8,20
CDM,864426,SPLINT NASAL SMALL,388.0,388.0,20.56,465.6,49
CDM,864427,SPLINT NSL LG 1/16IN,433.0,433.0,22.95,519.6,49
CDM,864432,SYSTEM RETRACTOR SCRTL,2563.0,2563.0,135.84,3075.6,49
CDM,864439,GRAFT STNT 36MM 200MM,34998.0,34998.0,1854.89,41997.6,20
CDM,864443,STEM FEM HIP 17X140MM,3928.0,3928.0,208.18,4713.6,20
CDM,864449,STEM FEM HIP 16X140MM,3928.0,3928.0,208.18,4713.6,20
CDM,864457,IMPLANT SZ1 INTRPHNGEAL,2460.0,2460.0,130.38,2952.0,20
CDM,864460,NAIL RT FEM 1.5MM 42CM,4345.0,4345.0,230.28,5214.0,20
CDM,864461,NAIL BN 11.5MM 38CM,4345.0,4345.0,230.28,5214.0,20
CDM,864476,CATH ULTSND 6FR 120CM,19819.0,19819.0,1050.41,23782.8,49
CDM,864503,DEV TREPHINE 20.5MM8IN,5941.0,5941.0,314.87,7129.2,49
CDM,864511,GRAFT CANC CB FRZDR 15ML,700.0,700.0,37.1,840.0,20
CDM,864512,NAIL BN MODULAR 130X30CM,4420.0,4420.0,234.26,5304.0,20
CDM,864522,DRESNG BRN NADH ANTISHEA,4602.0,4602.0,243.91,5522.4,49
CDM,864535,PIN EXFX 5MM 200MM,2564.0,2564.0,135.89,3076.8,49
CDM,864573,KIT DEVICE GUIDED 3CM,252979.0,252979.0,13407.89,303574.8,49
CDM,864583,CATH EP LG 5X110CM 7FR,5941.0,5941.0,314.87,7129.2,49
CDM,864601,STENT VASC 10-8MM 40MM,3860.0,3860.0,204.58,4632.0,20
CDM,864605,SHTH INTRO 5FR 018 40 10,861.0,861.0,45.63,1033.2,49
CDM,864608,INTRO SHTH 5FR 10-2031,349.0,349.0,18.5,418.8,49
CDM,864645,ENDPLATE SPN 25X30MM,801.0,801.0,42.45,961.2,20
CDM,864646,ENDPLATE SPN 25X30MM,801.0,801.0,42.45,961.2,20
CDM,864657,SCREW CORT STBLZ RH 3X24,358.0,358.0,18.97,429.6,20
CDM,864663,CATH ULTSND 9FR 90CM,16321.0,16321.0,865.01,19585.2,49
CDM,864673,PLATE BN CLAV 3RD/LT,1100.0,1100.0,58.3,1320.0,20
CDM,864677,SCREW BN COCR 2.5X18MM,242.0,242.0,12.83,290.4,20
CDM,864678,DRILL SURG DISP 2MM 40MM,942.0,942.0,49.93,1130.4,49
CDM,864683,SNARE LG OVAL 230CM,490.0,490.0,25.97,588.0,49
CDM,864714,STENT GRAFT ENDURANT II,40000.0,40000.0,2120.0,48000.0,20
CDM,864715,GRAFT EVAS 27MM 10CM,8658.0,8658.0,458.87,10389.6,20
CDM,864738,BLNDIL ENDO 7.5FR 240CM,2564.0,2564.0,135.89,3076.8,49
CDM,864745,SCREW BN 3.0X18MM,300.0,300.0,15.9,360.0,20
CDM,864778,GRAFT EVAS 31X14.5M 13CM,20590.0,20590.0,1091.27,24708.0,20
CDM,864779,GRAFT EVAS 20MM 11.5CM,8446.0,8446.0,447.64,10135.2,20
CDM,864785,INSERT TIB 13MM SZ3-LT,1100.0,1100.0,58.3,1320.0,20
CDM,864792,KIT INS 1.1MM STEP DRL,2564.0,2564.0,135.89,3076.8,49
CDM,864813,LEAD CRT PCNG 5.3FR 88CM,2646.0,2646.0,140.24,3175.2,20
CDM,864817,PLATE BN 112MM 2.7/3.5MM,2617.0,2617.0,138.7,3140.4,20
CDM,864848,CATH ANGIO 5FR 100CM,452.0,452.0,23.96,542.4,49
CDM,864850,INTRO SHTH 9FR 15.5CM,2072.0,2072.0,109.82,2486.4,49
CDM,864851,CATH ANGIO 5FR 65CM,435.0,435.0,23.05,522.0,49
CDM,864856,SCREW REARFT STD 3.5X22,430.0,430.0,22.79,516.0,20
CDM,864859,SYRINGE IMBIBE GRFT 10CC,2564.0,2564.0,135.89,3076.8,49
CDM,864860,SCREW BN 2.7MM 44MM,77.0,77.0,4.08,92.4,20
CDM,864863,STEM FEM LAT OFST LNR 17,5000.0,5000.0,265.0,6000.0,20
CDM,864878,SCREW BN 3.5X22MM,172.0,172.0,9.12,206.4,20
CDM,864879,SCREW BN CORT 3.5X24MM,172.0,172.0,9.12,206.4,20
CDM,864881,ANCHOR SUT 3.5MM PNLK SH,4600.0,4600.0,243.8,5520.0,20
CDM,864890,WIRE FX 2MM .079IN,1975.0,1975.0,104.67,2370.0,49
CDM,864933,COMPONENT FEM KN LT SZ7,3200.0,3200.0,169.6,3840.0,20
CDM,864952,SCREW BN 5MM 26MM,285.0,285.0,15.11,342.0,20
CDM,864961,PLATE DSTL MDL RT 4HL,1254.0,1254.0,66.46,1504.8,20
CDM,864962,SCREW CMPRS LCK 3.5X26,254.0,254.0,13.46,304.8,20
CDM,864963,SCREW CMPRS LCK 3.5X28,346.0,346.0,18.34,415.2,20
CDM,864969,SCREW CORT LCKG 3.5X45,254.0,254.0,13.46,304.8,20
CDM,864970,SCREW CORT LCKG 3.5X50,254.0,254.0,13.46,304.8,20
CDM,864971,DRILL TWIST 2.7X110,658.56,658.56,34.9,790.27,49
CDM,864972,DRILL TWIST 2.7X180,658.56,658.56,34.9,790.27,49
CDM,864973,DRILL TWIST 2.7X220,1041.6,1041.6,55.2,1249.92,49
CDM,864974,DRILL TWIST 2.7X150,799.68,799.68,42.38,959.62,49
CDM,864975,K-WIRE 1.6MM,328.27,328.27,17.4,393.92,49
CDM,864976,ROD EX FIX 200X11 CRBN,2581.0,2581.0,136.79,3097.2,49
CDM,864977,PLATE BN RT 4HL 86MM,1924.0,1924.0,101.97,2308.8,20
CDM,864983,KIT SPLINT DNTL SURG,10824.0,10824.0,573.67,12988.8,49
CDM,864992,NAIL CANN TNM 11.5X200,9230.0,9230.0,489.19,11076.0,20
CDM,864993,SCREW FULL THREAD 5X30,750.0,750.0,39.75,900.0,20
CDM,864994,SCREW FULL THREAD 5X35,750.0,750.0,39.75,900.0,20
CDM,864995,SCREW FULL THREAD 5X70,770.0,770.0,40.81,924.0,20
CDM,864996,SCREW FULL THREAD 5X75,770.0,770.0,40.81,924.0,20
CDM,864998,REAMER CONICAL 11.5MM,3439.38,3439.38,182.29,4127.26,49
CDM,864999,REAMER PANTA 11.5MM,3439.38,3439.38,182.29,4127.26,49
CDM,865000,REAMER PANTA 10.5MM,3439.38,3439.38,182.29,4127.26,49
CDM,865027,SCREW LAPIDUS STD 3.5X28,430.0,430.0,22.79,516.0,20
CDM,865036,SCREW BN ST 2.4MM 13MM,203.0,203.0,10.76,243.6,20
CDM,865037,PLATE BN .6X1.2MM 7HL,348.0,348.0,18.44,417.6,20
CDM,865038,MEDPOR NSL DRSM SM 53MM,778.0,778.0,41.23,933.6,20
CDM,865055,SCREW BN SPN 6.5MM 45MM,1700.0,1700.0,90.1,2040.0,20
CDM,865066,PLATE BN 2.7/3.5MM 90MM,1256.0,1256.0,66.57,1507.2,20
CDM,865073,SCREW SPN 5MM 30MM,1450.0,1450.0,76.85,1740.0,20
CDM,865077,SCREW CORT LOQTEQ 4.5X65,110.0,110.0,5.83,132.0,20
CDM,865078,SCREW CORT LOQTEQ 4.5X80,158.0,158.0,8.37,189.6,20
CDM,865080,SCREW CORT SM HD 4.5X80,110.0,110.0,5.83,132.0,20
CDM,865081,SCREW CORT LOQTEQ 4.5X60,111.0,111.0,5.88,133.2,20
CDM,865084,SCREW CORT LOQTEQ 4.5X45,110.0,110.0,5.83,132.0,20
CDM,865085,SCREW CORT LOQTEQ 4.5X34,110.0,110.0,5.83,132.0,20
CDM,865086,SCREW CORT LOQTEQ 4.5X36,110.0,110.0,5.83,132.0,20
CDM,865087,DRILL TWIST 3.8MM 180MM,2564.0,2564.0,135.89,3076.8,49
CDM,865088,PLATE TIB PROX LAT 6HL/R,3876.0,3876.0,205.43,4651.2,20
CDM,865092,DEVICE CLSR CLP INT 45MM,5400.0,5400.0,286.2,6480.0,20
CDM,865108,NEEDLE CYSTO 25G 35CM,1771.0,1771.0,93.86,2125.2,49
CDM,865109,CATH URTH 2W 22FR 30CC,542.0,542.0,28.73,650.4,49
CDM,865110,BLADE SHVR 13CM 4.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,865124,PLATE ANT CRV 2LVL 39M,2100.0,2100.0,111.3,2520.0,20
CDM,865125,STEM MONBLC OVL 30X36X44,17244.26,17244.26,913.95,20693.11,20
CDM,865126,COMPNT TIB HNG STD LNG,18980.84,18980.84,1005.98,22777.01,20
CDM,865127,COMPNT FEM KNEE RT STD,28549.98,28549.98,1513.15,34259.98,20
CDM,865135,SCREW TB CORT DSTL3.5X38,69.0,69.0,3.66,82.8,20
CDM,865136,DRILL BIT TWST 3.5X110,692.16,692.16,36.68,830.59,49
CDM,865137,DRILL BIT TWST 3.2X195,658.56,658.56,34.9,790.27,49
CDM,865152,SCREW BN 3.5MM 85MM,251.0,251.0,13.3,301.2,20
CDM,865154,PLATE BN 7H 127MM,2149.0,2149.0,113.9,2578.8,20
CDM,865155,SCREW BN T8 2.7X38MM,79.0,79.0,4.19,94.8,20
CDM,865156,GRAFT EVAS 18MM 11.5CM,8658.0,8658.0,458.87,10389.6,20
CDM,865171,ROD SPN 90MM 5.5MM,360.0,360.0,19.08,432.0,20
CDM,865185,GRAFT NRV 4-5MM 70MM,18754.0,18754.0,993.96,22504.8,20
CDM,865187,PROTECTOR NRV 5X40MM,5158.0,5158.0,273.37,6189.6,20
CDM,865202,TUBE SINGLE LUMEN FLTRD,543.0,543.0,28.78,651.6,49
CDM,865205,PORT ACC 12MM 100MM,5941.0,5941.0,314.87,7129.2,49
CDM,865206,PORT ACC 12MM 120MM,2564.0,2564.0,135.89,3076.8,49
CDM,865215,PORT ACC 8MM 120MM,5941.0,5941.0,314.87,7129.2,49
CDM,865231,CMPNT PTLA KN 29MM 8MM,500.0,500.0,26.5,600.0,20
CDM,865239,SCREW BN 3.5MM 2.5MM,170.0,170.0,9.01,204.0,20
CDM,865240,SCREW BN 3.5MM 16MM,170.0,170.0,9.01,204.0,20
CDM,865246,HEAD RAD ELB 20MM,2050.0,2050.0,108.65,2460.0,20
CDM,865258,WIRE FX 2.5MM 150MM,942.0,942.0,49.93,1130.4,49
CDM,865264,CAGE SPNL CNCRD 11X12X31,4365.0,4365.0,231.34,5238.0,20
CDM,865266,CAGE SPNL CNCRD 11X13X31,4500.0,4500.0,238.5,5400.0,20
CDM,865268,SCREW 4.5 SML HD L60,254.0,254.0,13.46,304.8,20
CDM,865269,SCREW CORT LQTEQ 14.5X65,254.0,254.0,13.46,304.8,20
CDM,865271,SCREW BN 4MM 34MM,330.0,330.0,17.49,396.0,20
CDM,865280,SCREW BN 2.7MM 14MM,79.0,79.0,4.19,94.8,20
CDM,8653,IRINOTECAN 100 MG INJ,1404.0,1404.0,74.41,1684.8,30
CDM,8653,"Injection, irinotecan, 20 mg ",1404.0,1404.0,1.48,1.48,1
CDM,865304,PLATE TIB PROX 4.5X113,3876.0,3876.0,205.43,4651.2,20
CDM,865305,SCREW CORT LOQTEQ 4.5X38,110.0,110.0,5.83,132.0,20
CDM,865308,SCREW CORT LOQTEQ 4.5X55,346.0,346.0,18.34,415.2,20
CDM,865309,SCREW CORT LOQTEQ 4.5X20,110.0,110.0,5.83,132.0,20
CDM,865310,SCREW CORT LOQTEQ 4.5X22,110.0,110.0,5.83,132.0,20
CDM,865311,SCREW CORT LOQTEQ 4.5X38,110.0,110.0,5.83,132.0,20
CDM,865313,SCREW CORT LOQTEQ 4.5X65,254.0,254.0,13.46,304.8,20
CDM,865314,SCREW CORT LOQTEQ 4.5X18,346.0,346.0,18.34,415.2,20
CDM,865315,PLATE FEM RT 7/9 HOLE,4004.0,4004.0,212.21,4804.8,20
CDM,865319,PLATE BN 16HL 4.5X339MM,3431.0,3431.0,181.84,4117.2,20
CDM,865321,SCREW BN VAR 5X12MM,432.0,432.0,22.9,518.4,20
CDM,865331,SCREW BN NS LCK 5X38MM,304.0,304.0,16.11,364.8,20
CDM,865338,BUTTON SUTURE 5MM 20MM,450.0,450.0,23.85,540.0,20
CDM,865344,SCREW BN 3MM 22MM,100.0,100.0,5.3,120.0,20
CDM,865346,SCREW BN 3MM 30MM,100.0,100.0,5.3,120.0,20
CDM,865361,KIT SUTURE REPAIR,10999.0,10999.0,582.95,13198.8,49
CDM,865376,STEM HUM 14MM CMNTLS,2200.0,2200.0,116.6,2640.0,20
CDM,865377,CMPNT TIB KN 13MM SZ1-2,1300.0,1300.0,68.9,1560.0,20
CDM,865382,DRESSING NADH 4X4IN,249.0,249.0,13.2,298.8,49
CDM,865391,SCREW BN 3.5MM 24MM SS,62.0,62.0,3.29,74.4,20
CDM,865411,PLATE SPN XPND 5X8-12MM,900.0,900.0,47.7,1080.0,20
CDM,865413,SCREW SPN 2MM 6MM,100.0,100.0,5.3,120.0,20
CDM,865422,ICD EVERA S DR DF4,22850.0,22850.0,1211.05,27420.0,20
CDM,865436,PLATE BN MINI 4HL 1.5MM,889.0,889.0,47.12,1066.8,20
CDM,865443,SHELL ACTB W/HOLE 60MM,1800.0,1800.0,95.4,2160.0,20
CDM,865452,HEAD RADL ELB 26MM,2050.0,2050.0,108.65,2460.0,20
CDM,865453,STEM RADL ELBOW 11MM,4050.0,4050.0,214.65,4860.0,20
CDM,865456,SCREW BN 4MM 38MM,504.0,504.0,26.71,604.8,20
CDM,865467,SHELL FLRD RIM W/HL 46MM,1800.0,1800.0,95.4,2160.0,20
CDM,865468,COMPNT FM MOVATION SZ6L,3200.0,3200.0,169.6,3840.0,20
CDM,865469,BASEPLTE MOVATION 6F/4T,2000.0,2000.0,106.0,2400.0,20
CDM,865470,INSERT MOVATION PS 6X9,1100.0,1100.0,58.3,1320.0,20
CDM,865474,SCREW BN 3.5MM 44MM,70.0,70.0,3.71,84.0,20
CDM,865477,SCREW BN 2.4MM 20MM,231.0,231.0,12.24,277.2,20
CDM,865478,BIT DRILL STRL 1.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,865480,SCREW LPRO TNM 5.5X60,858.0,858.0,45.47,1029.6,20
CDM,865481,SCREW LOW PROF 2.4X14MM,272.0,272.0,14.42,326.4,20
CDM,865487,COMPNT PSN 6-9 CD 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,865488,SCREW BN 7MM 80MM MAXTOR,420.0,420.0,22.26,504.0,20
CDM,865489,HEAD HUMERAL B/F OFFSET,2917.0,2917.0,154.6,3500.4,20
CDM,865490,PLATE BN 85X2.4MM 6X3HL,1880.0,1880.0,99.64,2256.0,20
CDM,865491,STENT PANC PGTL.035 5F 5,88.0,88.0,4.66,105.6,20
CDM,865493,SPHERE EYE 22MM,1056.0,1056.0,55.97,1267.2,20
CDM,865494,CONFORMER OCUL LG 22X25,116.0,116.0,6.15,139.2,20
CDM,865497,GRFT EVAS 145MM 32/16MM,19950.0,19950.0,1057.35,23940.0,20
CDM,865499,PLATE RAD DSTL VA-LCP 6H,1062.0,1062.0,56.29,1274.4,20
CDM,865500,KIT MINTRDCR 4FR 10CM,622.0,622.0,32.97,746.4,49
CDM,865503,PLATE BNE SS 88 RDS,1109.0,1109.0,58.78,1330.8,20
CDM,865504,PATCH DRGRD RSRB 10X16CM,694.0,694.0,36.78,832.8,20
CDM,865505,SCREW BN 3.5MM 30MM,261.0,261.0,13.83,313.2,20
CDM,865507,SCREW SPN 3.6MM 16MM,150.0,150.0,7.95,180.0,20
CDM,865508,STENT AAA EXLDR 16CM 26,19990.0,19990.0,1059.47,23988.0,20
CDM,865509,SCREW BN 6.5X20X70MM,328.0,328.0,17.38,393.6,20
CDM,865510,SCREW BN 6.5MM 50MM 20MM,477.0,477.0,25.28,572.4,20
CDM,865517,DRESSING WND CLEANSE MED,5941.0,5941.0,314.87,7129.2,49
CDM,865518,STEM FEM 140MM 10MM,4000.0,4000.0,212.0,4800.0,20
CDM,865522,SUTURE 2-0 GRN/WHT 6X36,1334.0,1334.0,70.7,1600.8,49
CDM,865525,PLATE BN MDFC 16H .8X1.7,695.0,695.0,36.84,834.0,20
CDM,865527,SUTURE GRN BRD 3-0 30IN,75.0,75.0,3.98,90.0,49
CDM,865528,SUTURE WHT BRD 5-0 18IN,114.0,114.0,6.04,136.8,49
CDM,865530,SYSTEM NEG PRSS TUBING,2564.0,2564.0,135.89,3076.8,49
CDM,865533,GUIDE AAA 16FR 28MM,13686.0,13686.0,725.36,16423.2,49
CDM,865534,APPLIER INT CLIP 86CM,9500.0,9500.0,503.5,11400.0,20
CDM,865535,SCREW BN 5.0MM 50MM,362.0,362.0,19.19,434.4,20
CDM,865552,NAIL 8.5X32 TIB META,2398.0,2398.0,127.09,2877.6,20
CDM,865554,SCREW BN 3.5MM 18MM,62.0,62.0,3.29,74.4,20
CDM,865559,PLATE BN MINI 6H 1.5MM,1260.0,1260.0,66.78,1512.0,20
CDM,865561,PLATE BN 2Y 6HL .4MM,571.0,571.0,30.26,685.2,20
CDM,865563,KIT DLV FILTER EMBL JUG,3550.0,3550.0,188.15,4260.0,20
CDM,865571,LENS IOL +6.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,865576,SCREW BN 4.5MM 30MM,362.0,362.0,19.19,434.4,20
CDM,865577,SCREW BN 4.5MM 27.5MM,362.0,362.0,19.19,434.4,20
CDM,865578,SCREW BN 4.5MM 25MM,416.0,416.0,22.05,499.2,20
CDM,865579,SCREW BN 4.5MM 40MM,389.0,389.0,20.62,466.8,20
CDM,865615,EXPNDR TISS 100ML SMTH,2000.0,2000.0,106.0,2400.0,20
CDM,865629,LEAD PCNG 53CM,87.0,87.0,4.61,104.4,20
CDM,865635,SCREW SPN 5.5MM 45MM,1000.0,1000.0,53.0,1200.0,20
CDM,865638,TRIAL INSTR UNV PAT 23MM,197.7,197.7,10.48,237.24,20
CDM,865640,PLATE BN CRVLCK 8HL .8MM,326.0,326.0,17.28,391.2,20
CDM,865648,SHEATH INTRO 16FR 28CM,2620.0,2620.0,138.86,3144.0,49
CDM,865652,SHEATH INTRO 14F 28CM,2620.0,2620.0,138.86,3144.0,49
CDM,865661,CMPNT FEM KN POST RT SZ8,3200.0,3200.0,169.6,3840.0,20
CDM,865662,INSERT ARTC KN 7-8 13MM,2768.0,2768.0,146.7,3321.6,20
CDM,865663,PLATE BN 4.5MM 159MM,3169.0,3169.0,167.96,3802.8,20
CDM,865664,GRAFT STNT 102MM 28-14MM,19950.0,19950.0,1057.35,23940.0,20
CDM,865665,BRACE ORTH 13.5-14.5IN,1468.0,1468.0,77.8,1761.6,49
CDM,865678,SCREW BN CANN 4X40MM,780.0,780.0,41.34,936.0,20
CDM,865679,WASHER SCRW HI TRQ 4.0MM,280.0,280.0,14.84,336.0,20
CDM,865680,SCREW BN CANN 4X42MM,780.0,780.0,41.34,936.0,20
CDM,865707,SCREW BN 5MM 28MM,386.0,386.0,20.46,463.2,20
CDM,865730,KIT NPHSTM 30F 10MM 15CM,3019.0,3019.0,160.01,3622.8,49
CDM,865747,PLT BN MLBL 5HL 100D 2MM,380.0,380.0,20.14,456.0,20
CDM,865763,SPACER LRDTC 12X14X7,2200.0,2200.0,116.6,2640.0,20
CDM,865782,PORT ACC 5MM 120MM,5941.0,5941.0,314.87,7129.2,49
CDM,865784,BLNDIL ENDO 7.5FR 240CM,2564.0,2564.0,135.89,3076.8,49
CDM,865785,BLNDIL ENDO 7.5FR 240CM,2564.0,2564.0,135.89,3076.8,49
CDM,865786,BLNDIL ENDO 7.5FR 240CM,2564.0,2564.0,135.89,3076.8,49
CDM,865787,BLNDIL ENDO 7.5FR 240CM,2564.0,2564.0,135.89,3076.8,49
CDM,865796,FIXATOR EXFIX 40MM,29145.0,29145.0,1544.68,34974.0,49
CDM,865838,FIBER LASER 200UM,5063.0,5063.0,268.34,6075.6,49
CDM,865846,GRAFT EVAS 31X14.5M 15CM,20590.0,20590.0,1091.27,24708.0,20
CDM,865869,SCREW BN 10.5MM 90MM,1790.0,1790.0,94.87,2148.0,20
CDM,865879,SCREW BN 2.7MM 46MM,79.0,79.0,4.19,94.8,20
CDM,865880,SCREW BN 3.5X24MM,261.0,261.0,13.83,313.2,20
CDM,865881,SCREW BN 3.5X26MM,261.0,261.0,13.83,313.2,20
CDM,865884,SCREW BN 3.5MM 46MM,251.0,251.0,13.3,301.2,20
CDM,865891,STEM FEM BW 150X14MM,2417.0,2417.0,128.1,2900.4,20
CDM,865929,SCREW CORT LOCK 4.5X50,158.0,158.0,8.37,189.6,20
CDM,865930,SCREW CORT LOCK 4.5X42,111.0,111.0,5.88,133.2,20
CDM,865931,SCREW CORT LOCK 4.5X85,111.0,111.0,5.88,133.2,20
CDM,865932,SCREW CORT LOCK 4.5X50,111.0,111.0,5.88,133.2,20
CDM,865933,SCREW CORT LOQTEQ 4.5X45,111.0,111.0,5.88,133.2,20
CDM,865934,SCREW CORT LOQTEQ 4.5X40,111.0,111.0,5.88,133.2,20
CDM,865936,SCREW CORT LOQTEQ 4.5X75,127.0,127.0,6.73,152.4,20
CDM,865937,SCREW CORT LOQTEQ 4.5X55,254.0,254.0,13.46,304.8,20
CDM,865938,DRILL TWIST QCK 3.8X195,658.56,658.56,34.9,790.27,49
CDM,865939,SCREW CORT LOCK 4.5X30,111.0,111.0,5.88,133.2,20
CDM,865944,SCREW BN 2.7X28MM,77.0,77.0,4.08,92.4,20
CDM,865956,PEG HEAD LCKNG 2.0X16,370.0,370.0,19.61,444.0,20
CDM,865962,SPACER SPN 3.5D 14X16MM,945.0,945.0,50.09,1134.0,20
CDM,865963,ENDPLATE SPN 0D 15X18,945.0,945.0,50.09,1134.0,20
CDM,865969,STEM ULNAR 5.0MM 2CM,5350.0,5350.0,283.55,6420.0,20
CDM,865984,SCREW CORT NLCK 4.5X40,111.0,111.0,5.88,133.2,20
CDM,865985,SCREW CORT NLCK 4.5X45,111.0,111.0,5.88,133.2,20
CDM,866000,PLATE BN MD VAR 4HL 88MM,1977.0,1977.0,104.78,2372.4,20
CDM,866036,LEAD PCNG 4.1FR 69CM,794.0,794.0,42.08,952.8,20
CDM,866037,LEAD PCNG 4.1FR 59CM,794.0,794.0,42.08,952.8,20
CDM,866042,STEM RADL ELBOW 8MM,4050.0,4050.0,214.65,4860.0,20
CDM,866047,DRILL CANN 2.0 MM ORTHO,1108.8,1108.8,58.77,1330.56,49
CDM,866054,PLATE BN 3.5MM 119MM,2488.0,2488.0,131.86,2985.6,20
CDM,866055,SCREW BN 3.5MM 65MM,238.0,238.0,12.61,285.6,20
CDM,866060,ICD DEFIB CARD 51X66MM,18856.0,18856.0,999.37,22627.2,20
CDM,866072,PLATE BN 4HL 86MM,1292.0,1292.0,68.48,1550.4,20
CDM,866074,PLATE BN 9HL 3.5MM LT,3146.0,3146.0,166.74,3775.2,20
CDM,866076,PLATE BN 4H .4X6MM,267.0,267.0,14.15,320.4,20
CDM,866099,PROS TSTCLR SAL FIL MED,3872.0,3872.0,205.22,4646.4,20
CDM,866109,MATRIX TISS 10X15CM,5166.0,5166.0,273.8,6199.2,20
CDM,866112,MATRIX TISS 15X10CM,7200.0,7200.0,381.6,8640.0,20
CDM,866129,MARISTEM 1 MG,3600.0,3600.0,190.8,4320.0,20
CDM,866152,SCREW BN 4X3.5X24MM,180.0,180.0,9.54,216.0,20
CDM,866154,BUTTON CBL HEX LCK 2.5MM,430.0,430.0,22.79,516.0,20
CDM,866156,PLATE BN RT 12HL 324MM,3308.0,3308.0,175.32,3969.6,20
CDM,866188,LEAD SPRNTQTRO 2CL 97CM,8380.0,8380.0,444.14,10056.0,20
CDM,866189,LEAD SPRNTQTRO 2CL 62CM,8380.0,8380.0,444.14,10056.0,20
CDM,866190,DEFIB-CARD MAXIMO2 CRT-D,32000.0,32000.0,1696.0,38400.0,20
CDM,866191,DEFIB-CARD SECURA VR ICD,21250.0,21250.0,1126.25,25500.0,20
CDM,866194,DEFIB-CARD MXMO2 DR 2CHM,22850.0,22850.0,1211.05,27420.0,20
CDM,866195,DEFIB-CARD MXMO2 DR 1CHM,21250.0,21250.0,1126.25,25500.0,20
CDM,866196,DEFIB-CARD PROTCTVR 1CHM,21250.0,21250.0,1126.25,25500.0,20
CDM,866197,DEFIB-CARD MXM2 VR 1CHM,21250.0,21250.0,1126.25,25500.0,20
CDM,866198,LEAD SPRNT QTRO RV 55CM,8380.0,8380.0,444.14,10056.0,20
CDM,866199,LEAD SPRNT QTRO RV 75CM,8380.0,8380.0,444.14,10056.0,20
CDM,866200,DEFIB-CARD CONSLTA 1DF4,32000.0,32000.0,1696.0,38400.0,20
CDM,866204,LEAD SPRNT QTRO SCR DF4,8380.0,8380.0,444.14,10056.0,20
CDM,866205,LEAD ATTAIN STRFIX 103CM,3390.0,3390.0,179.67,4068.0,20
CDM,866206,LEAD BIPLOR OTW 78-88CM,3390.0,3390.0,179.67,4068.0,20
CDM,866208,LEAD SPRNT QTRO 1CH 52CM,8380.0,8380.0,444.14,10056.0,20
CDM,866209,LEAD SPRNT QTRO 1CH 75CM,8380.0,8380.0,444.14,10056.0,20
CDM,866211,LEAD SPRNT QTRO 100CM,8380.0,8380.0,444.14,10056.0,20
CDM,866224,SCREW BN 3.5MM 16MM,44.0,44.0,2.33,52.8,20
CDM,866263,GWIRE VASC .014IN 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,866264,KIT ASMBL PROS PENILE,5941.0,5941.0,314.87,7129.2,49
CDM,866275,SHEATH ACC TPR 15FR 13FR,2564.0,2564.0,135.89,3076.8,49
CDM,866507,GRAFT SEMI TNDN IRRDTD,3000.0,3000.0,159.0,3600.0,20
CDM,866508,COMPNT ULNR DSCVR L 5X75,11770.0,11770.0,623.81,14124.0,20
CDM,866511,DEVICE CLSR WND 7X7CM,626.0,626.0,33.18,751.2,49
CDM,866519,BRACE ORTH UNV TROM ADV,2564.0,2564.0,135.89,3076.8,49
CDM,866521,MESH SURG HRN 6X4IN,4138.0,4138.0,219.31,4965.6,20
CDM,866539,DEVICE CLSR WND 30X30CM,1061.0,1061.0,56.23,1273.2,49
CDM,866605,CANNULA VASC 14.5IN,1611.0,1611.0,85.38,1933.2,49
CDM,866620,PLATE BN MINI 4HL 1.5MM,1066.0,1066.0,56.5,1279.2,20
CDM,866621,SYSTEM BNCMNT,2564.0,2564.0,135.89,3076.8,49
CDM,866624,NAIL TIBIAL 8MMX34.5CM,4300.0,4300.0,227.9,5160.0,20
CDM,866625,ROD EXFX THREADED 120MM,1256.12,1256.12,66.57,1507.34,49
CDM,866626,NUT EXFX 4MM,117.02,117.02,6.2,140.42,49
CDM,866627,POST EXFX 5HL,1419.6,1419.6,75.24,1703.52,49
CDM,866628,PIN-HALF EXFX 150X5X25,873.6,873.6,46.3,1048.32,49
CDM,866629,ROD EXFX THREADED 80MM,1256.12,1256.12,66.57,1507.34,49
CDM,866632,CAGE SPNL CNCRD 31X11X14,4365.0,4365.0,231.34,5238.0,20
CDM,866672,SCREW BN 7.3MM 100MM,448.0,448.0,23.74,537.6,20
CDM,866686,MESH SURG 12X10IN,20650.0,20650.0,1094.45,24780.0,20
CDM,866687,ANCHOR CROSSFIT BC 4.5MM,1038.0,1038.0,55.01,1245.6,20
CDM,866695,DEVICE FX TGHTRP BN TNDN,1500.0,1500.0,79.5,1800.0,20
CDM,866699,PIN EX FX TRANSFX 5X275,2564.0,2564.0,135.89,3076.8,49
CDM,866702,BAR EXFIX 11MM 350MM,3163.0,3163.0,167.64,3795.6,49
CDM,866703,BAR EXFX 11MM 400MM,3347.0,3347.0,177.39,4016.4,49
CDM,866728,SCREW BN 2.5MM 16MM,242.0,242.0,12.83,290.4,20
CDM,866732,SCREW BN 2.7MM 16MM,79.0,79.0,4.19,94.8,20
CDM,866735,LEAD NRSTM 5MM 60CM,4389.0,4389.0,232.62,5266.8,20
CDM,866736,CATH GD DRCT 10.06FR,5371.0,5371.0,284.66,6445.2,49
CDM,866744,PLATE BN 6HL 3.5MM 158MM,2540.0,2540.0,134.62,3048.0,20
CDM,866757,KIT ORT REP AC IMPL,2475.0,2475.0,131.18,2970.0,20
CDM,866758,PLATE BN SHRT DIST CLVCL,1100.0,1100.0,58.3,1320.0,20
CDM,866762,SCREW BN 8MM 12MM,690.0,690.0,36.57,828.0,20
CDM,866763,SHEATH NVGRT 12/14F 46CM,2564.0,2564.0,135.89,3076.8,49
CDM,866767,SCREW BN 4.5MM 56MM,37.0,37.0,1.96,44.4,20
CDM,866771,SCREW BN LCK 3.5MM 8MM,300.0,300.0,15.9,360.0,20
CDM,866772,PLATE BN 73MM 2.7/3.5MM,1798.0,1798.0,95.29,2157.6,20
CDM,866774,SHUNT CV FLOCOIL ART 1.5,5502.0,5502.0,291.61,6602.4,49
CDM,866776,BRACE TELESCP XL 26-32IN,2564.0,2564.0,135.89,3076.8,49
CDM,866777,NAIL FEM MOD 9X36MM,4300.0,4300.0,227.9,5160.0,20
CDM,866778,SCREW BN 4MM 65MM,274.0,274.0,14.52,328.8,20
CDM,866783,PLATE BN 6HL 3.5MM 119MM,2488.0,2488.0,131.86,2985.6,20
CDM,866786,DILATOR VASC 16FR 20CM,348.0,348.0,18.44,417.6,49
CDM,866804,STENT NSL IMPLANT 23MM,1800.0,1800.0,95.4,2160.0,20
CDM,866812,LEAD CRT PCNG 88CM,2978.0,2978.0,157.83,3573.6,20
CDM,866827,PIN EXFX HALF 5MM 40MM,2054.0,2054.0,108.86,2464.8,49
CDM,866831,SCREW BN 2.5MM 20MM,242.0,242.0,12.83,290.4,20
CDM,866832,PLATE HUM LCK DSTL/MDL7H,1673.0,1673.0,88.67,2007.6,20
CDM,866848,LEAD CRT PCNG 88CM,2646.0,2646.0,140.24,3175.2,20
CDM,866849,SCREW BN 6.5MM 95MM 20MM,383.0,383.0,20.3,459.6,20
CDM,866865,STENT GRAFT 16X10X156MM,8400.0,8400.0,445.2,10080.0,20
CDM,866875,GLV CMPR CLS SM 5.5-6.5,580.0,580.0,30.74,696.0,49
CDM,866876,GLV CMPR CLS MD 6.5-7.5,580.0,580.0,30.74,696.0,49
CDM,866877,GLV CMPR CLS LG 7.5-8.5,580.0,580.0,30.74,696.0,49
CDM,866887,BRACE HUM ORTH MD/RT,2564.0,2564.0,220.5,3076.8,48
CDM,866895,BOOT WALK AIR RCKR MED,1102.0,1102.0,147.67,1322.4,24
CDM,866897,BOOT WALK AIR RCKR XL,1102.0,1102.0,147.67,1322.4,24
CDM,866898,KIT KN MPFL 6MM 4.75MM,2974.0,2974.0,157.62,3568.8,20
CDM,866902,PLATE ORBT FLR 3D SM RT,2362.0,2362.0,125.19,2834.4,20
CDM,866903,SCREW BN 3.5MM 42MM,261.0,261.0,13.83,313.2,20
CDM,866916,INSERT TIB E-+ RT SZ5,1100.0,1100.0,58.3,1320.0,20
CDM,866917,STEM FEM OFST RDC SZ19,5000.0,5000.0,265.0,6000.0,20
CDM,866919,LINER ACTB FMP X-ALT 44M,1100.0,1100.0,58.3,1320.0,20
CDM,866922,SCREW BN 4MM 32MM,224.0,224.0,11.87,268.8,20
CDM,866932,SHEATH INTRO 12F 28CM,2564.0,2564.0,135.89,3076.8,49
CDM,866942,SCREW BN 8MM 75MM,356.0,356.0,18.87,427.2,20
CDM,866960,SUTURE VIOL MON+4-0 27IN,2564.0,2564.0,135.89,3076.8,49
CDM,866963,CURETTE PIPET CURET 3MM,194.0,194.0,10.28,232.8,49
CDM,866966,STENT BIL 10FR 7CM,104.0,104.0,5.51,124.8,20
CDM,866971,SCREW BN 5MM 70MM,362.0,362.0,19.19,434.4,20
CDM,866972,SCREW BN 5.0MM 67.5MM,362.0,362.0,19.19,434.4,20
CDM,866975,JOINT TOE 16X2-5.5X1.2MM,1882.0,1882.0,99.75,2258.4,20
CDM,866978,SCREW BN CANC 5MM 46MM,351.0,351.0,18.6,421.2,20
CDM,866979,SCREW BN 4MM 32MM,330.0,330.0,17.49,396.0,20
CDM,866999,COIL EMBL 30CM 9MM,5143.0,5143.0,272.58,6171.6,20
CDM,867030,ICD DUAL CHMBR 35MM,22360.0,22360.0,1185.08,26832.0,20
CDM,867036,CRT-D VOLUME 36MM,31444.0,31444.0,1666.53,37732.8,20
CDM,867055,SCREW BN S/T 3.5X14MM,62.0,62.0,3.29,74.4,20
CDM,867056,SCREW BN CRTX 3.5MM 58MM,62.0,62.0,3.29,74.4,20
CDM,867057,SCREW LCP PROX 3.5X10MM,250.88,250.88,13.3,301.06,20
CDM,867066,BUTTON SUTURE 3.5MM,190.0,190.0,10.07,228.0,20
CDM,867077,DRILL SURG 4MM,2564.0,2564.0,135.89,3076.8,49
CDM,867083,SUTURE UND MON +5-0 27IN,66.0,66.0,3.5,79.2,49
CDM,867084,SUTURE UND MONO 6-0 27IN,68.0,68.0,3.6,81.6,49
CDM,867085,SUTURE VIO MONO 3-0 27IN,85.0,85.0,4.5,102.0,49
CDM,867086,SUTURE VIO BRD 4-0 18IN,61.0,61.0,3.23,73.2,49
CDM,867087,SUTURE UND MON +2-0 27IN,69.0,69.0,3.66,82.8,49
CDM,867088,SUTURE UND MONO +5-0 18N,169.0,169.0,8.96,202.8,49
CDM,867089,SUTURE VIO MONO 4-0 27IN,78.0,78.0,4.13,93.6,49
CDM,867090,SUTURE UND MON +4-0 27IN,2.0,2.0,0.11,2.4,49
CDM,867091,SUTURE BLK BRD 5 60IN,53.0,53.0,2.81,63.6,49
CDM,867092,SUTURE BLK BRD 4-0 18IN,328.0,328.0,17.38,393.6,49
CDM,867093,SUTURE BLU MONO 4-0 30IN,87.0,87.0,4.61,104.4,49
CDM,867094,CATH DRN 10FR 9IN,2564.0,2564.0,135.89,3076.8,49
CDM,867097,CATH 5FR STRL FLX,1131.0,1131.0,59.94,1357.2,49
CDM,867108,SCREW BN 3MM 20MM,242.0,242.0,12.83,290.4,20
CDM,867114,NAIL BN TIB 8.5MM 30CM,3486.0,3486.0,184.76,4183.2,20
CDM,867120,PLATE BN LT 5HL 99MM,1231.0,1231.0,65.24,1477.2,20
CDM,867144,SCREW BN 3.5X36MM,251.0,251.0,13.3,301.2,20
CDM,867152,SCREW BN 5MM 16MM,364.0,364.0,19.29,436.8,20
CDM,867171,PLATE BN 14HL 4.5X301MM,3366.0,3366.0,178.4,4039.2,20
CDM,867192,STEM LNG OMNFT CMNT SZ9L,6593.0,6593.0,349.43,7911.6,20
CDM,867198,NAIL 7X255MM LT HUM MULT,2489.0,2489.0,131.92,2986.8,20
CDM,867200,SCREW BN 4.5MM 44MM,432.0,432.0,22.9,518.4,20
CDM,867218,GWIRE VASC .018IN 300CM,2681.0,2681.0,142.09,3217.2,49
CDM,867243,DEVICE CLSR WND 30X30CM,796.0,796.0,42.19,955.2,49
CDM,867265,MESH SURG HRN 4IN 6IN,2472.0,2472.0,131.02,2966.4,20
CDM,867297,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,867337,SCREW CANN RECON 4X40,780.0,780.0,41.34,936.0,20
CDM,867368,SCREW BN 2.3MM 12MM,156.0,156.0,8.27,187.2,20
CDM,867397,TISSUE SYN MDPR 70X17X2,874.0,874.0,46.32,1048.8,20
CDM,867424,NAIL TIB 10MM 315MM,1844.0,1844.0,97.73,2212.8,20
CDM,867426,HINGE F EXFX CIRC SS,2564.0,2564.0,135.89,3076.8,49
CDM,867428,SCREW TRBCULAR 6.5X85,710.0,710.0,37.63,852.0,20
CDM,867463,SCREW BN 3.5MM 54MM,62.0,62.0,3.29,74.4,20
CDM,867464,SCREW BN 2.7X58MM,264.0,264.0,13.99,316.8,20
CDM,867481,HEAD FEM HIP 3.5X28MM,1300.0,1300.0,68.9,1560.0,20
CDM,867490,SCREW BN 7MM 60MM,382.0,382.0,20.25,458.4,20
CDM,867494,SCREW BN 5MMX16MM,432.0,432.0,22.9,518.4,20
CDM,867495,SCREW BN 5MM 18MM,432.0,432.0,22.9,518.4,20
CDM,867513,STEM BOW PLSM RSTR15X217,5437.0,5437.0,288.16,6524.4,20
CDM,867551,SCREW PDCL SLFTP 6.25X40,1440.0,1440.0,76.32,1728.0,20
CDM,867562,STEM HUM UNV 13X204,5450.0,5450.0,288.85,6540.0,20
CDM,867600,CANNULA ART PERF 20FR,950.0,950.0,50.35,1140.0,49
CDM,867609,GRAFT BN WDG UNIV 14MM,3699.0,3699.0,196.05,4438.8,20
CDM,867618,PLATE BN 14HL 4.5X301MM,3366.0,3366.0,178.4,4039.2,20
CDM,867619,SCREW BN 5MM 14MM,432.0,432.0,22.9,518.4,20
CDM,867623,NAIL BN HUM 7X225MM,3406.0,3406.0,180.52,4087.2,20
CDM,867624,SCREW BN 4.5MM 40MM,488.0,488.0,25.86,585.6,20
CDM,867625,SCREW BN 4.5MM 42MM,432.0,432.0,22.9,518.4,20
CDM,867631,ADAPTER HEMI SHLDR,2488.0,2488.0,131.86,2985.6,20
CDM,867632,SCREW BN 4MM 55MM 18.5MM,294.0,294.0,15.58,352.8,20
CDM,867657,WIRE FX BLNT LGTURE 16CM,314.0,314.0,16.64,376.8,49
CDM,867662,KWIRE FX ORTH 3MM,942.0,942.0,49.93,1130.4,49
CDM,867663,DRILL SURG LNG,2803.0,2803.0,148.56,3363.6,49
CDM,867664,DRILL SURG SHRT,2803.0,2803.0,148.56,3363.6,49
CDM,867666,SCREW BN 5MM 70MM,556.0,556.0,29.47,667.2,20
CDM,867668,SCREW BN 5MM 25MM,556.0,556.0,29.47,667.2,20
CDM,867679,SCREW BN 5MM 28MM,316.0,316.0,16.75,379.2,20
CDM,867682,IMPLANT CUST CRANIAL LGE,28758.0,28758.0,1524.17,34509.6,20
CDM,867690,NEEDLE SUT 2 REG HLF CIR,162.0,162.0,8.59,194.4,49
CDM,867692,NEEDLE SUT .5 CIRC,99.0,99.0,5.25,118.8,49
CDM,867695,PLATE TIB LCP PRX RT16HL,3108.0,3108.0,164.72,3729.6,20
CDM,867696,NAIL TIB 11X27,4300.0,4300.0,227.9,5160.0,20
CDM,867700,SHEATH VASC 18FR 28CM,2620.0,2620.0,138.86,3144.0,49
CDM,867722,GRAFT SFT TIS BN FRZN,2146.0,2146.0,113.74,2575.2,20
CDM,867727,SCREW BN 4X34MM,236.0,236.0,12.51,283.2,20
CDM,867728,KIT MONOUSO LMBR FUSN,23142.0,23142.0,1226.53,27770.4,49
CDM,867736,SCRW BN 16MM 7.5X105MM,382.0,382.0,20.25,458.4,20
CDM,867751,CEMENT BN PMMA GNTA 40GM,308.0,308.0,16.32,369.6,20
CDM,867756,BOLT TIB RETAINING 10MM,110.0,110.0,5.83,132.0,20
CDM,867768,MESH SURG 4.5IN,2976.0,2976.0,157.73,3571.2,20
CDM,867781,INSRT PRFX CNF+ SZ6 14MM,1210.0,1210.0,64.13,1452.0,20
CDM,867782,INSRT PRFX CNF+ SZ6 16MM,1210.0,1210.0,64.13,1452.0,20
CDM,867783,INSRT PRFX CNF+ SZ1 12MM,1545.0,1545.0,81.89,1854.0,20
CDM,867784,INSRT PRFX CNF+ SZ1 14MM,1545.0,1545.0,81.89,1854.0,20
CDM,867785,INSRT PRFX CNF+ SZ1 16MM,1545.0,1545.0,81.89,1854.0,20
CDM,867789,INSRT PRFX CNF+ SZ2 18MM,1545.0,1545.0,81.89,1854.0,20
CDM,867790,INSRT PRFX CNF+ SZ2 20MM,1445.0,1445.0,76.58,1734.0,20
CDM,867791,INSRT PRFX CNF+ SZ3 10MM,1210.0,1210.0,64.13,1452.0,20
CDM,867792,INSRT PRFX CNF+ SZ3 20MM,1545.0,1545.0,81.89,1854.0,20
CDM,867793,INSRT PRFX CNF+ SZ4 16MM,1210.0,1210.0,64.13,1452.0,20
CDM,867794,INSRT PRFX CNF+ SZ4 18MM,1545.0,1545.0,81.89,1854.0,20
CDM,867796,INSRT PRFX CNF+ SZ5 12MM,1210.0,1210.0,64.13,1452.0,20
CDM,867797,INSRT PRFX CNF+ SZ1 10MM,1545.0,1545.0,81.89,1854.0,20
CDM,867798,INSRT PRFX CNF+ SZ6 20MM,1545.0,1545.0,81.89,1854.0,20
CDM,867799,INSERT FLEXCR SZ6 14MM,1250.0,1250.0,66.25,1500.0,20
CDM,867800,INSERT FLEXCR SZ6 12MM,1250.0,1250.0,66.25,1500.0,20
CDM,867801,INSERT FLEXCR SZ2 16MM,1250.0,1250.0,66.25,1500.0,20
CDM,867802,INSERT FLEXCR SZ4 16MM,1250.0,1250.0,66.25,1500.0,20
CDM,867804,INSERT FLEXCR SZ4 10MM,1250.0,1250.0,66.25,1500.0,20
CDM,867806,INSERT FLEXCR SZ5 10MM,1250.0,1250.0,66.25,1500.0,20
CDM,867807,INSERT FLEXCR SZ5 12MM,1250.0,1250.0,66.25,1500.0,20
CDM,867808,INSERT FLEXCR SZ5 14MM,1250.0,1250.0,66.25,1500.0,20
CDM,867809,INSERT FLEXCR SZ5 16MM,1250.0,1250.0,66.25,1500.0,20
CDM,867811,INSERT PR FLXCR SZ6 10MM,1250.0,1250.0,66.25,1500.0,20
CDM,867812,INSERT PR FLXCR SZ6 16MM,1250.0,1250.0,66.25,1500.0,20
CDM,867813,INSRT ARTC PRFX SZ1 10MM,1545.0,1545.0,81.89,1854.0,20
CDM,867815,INSRT ARTC PRFX SZ1 12MM,1545.0,1545.0,81.89,1854.0,20
CDM,867816,INSRT ARTC PRFX SZ1 14MM,1545.0,1545.0,81.89,1854.0,20
CDM,867817,INSRT ARTC PRFX SZ1 16MM,1545.0,1545.0,81.89,1854.0,20
CDM,867818,INSRT ARTC PRFX SZ1 18MM,1445.0,1445.0,76.58,1734.0,20
CDM,867819,INSRT ARTC PRFX SZ1 20MM,1545.0,1545.0,81.89,1854.0,20
CDM,867821,INSRT ARTC PRFX SZ2 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,867822,INSERT TIB FNDTN SZ2 11M,2500.0,2500.0,132.5,3000.0,20
CDM,867823,STEM FEM FNDTN 100MM,1450.0,1450.0,76.85,1740.0,20
CDM,867838,PROBE HOE OSCAR 6MM,2688.0,2688.0,142.46,3225.6,49
CDM,867879,CATH BLNDIL 3MM 120MM,2564.0,2564.0,135.89,3076.8,49
CDM,867943,SCREW BN 5MM 62.5MM,362.0,362.0,19.19,434.4,20
CDM,867945,SCREW BN TIB KN 5X60MM,362.0,362.0,19.19,434.4,20
CDM,867952,KIT SNARE RTRVL 20MM,4585.0,4585.0,243.0,5502.0,49
CDM,867956,CATH ANGIO CRD352931,744.0,744.0,39.43,892.8,49
CDM,867957,CEMENT BN 40GM 20ML,102.0,102.0,5.41,122.4,20
CDM,867959,SPACER ACF CRT-CANC 6X15,2504.16,2504.16,132.72,3004.99,20
CDM,867995,SCREW BN 3.5MM 16MM,170.0,170.0,9.01,204.0,20
CDM,867996,SCREW BN 3.5X34MM,172.0,172.0,9.12,206.4,20
CDM,868001,BASEPLT TIB KN LT SZ2,2000.0,2000.0,106.0,2400.0,20
CDM,868016,GRAFT BN 2.5X10CM,3984.0,3984.0,211.15,4780.8,20
CDM,868017,PLATE BN .6X1.2MM 2HL,418.0,418.0,22.15,501.6,20
CDM,868051,SCREW BN 3.5MM 16MM,62.0,62.0,3.29,74.4,20
CDM,868052,SCREW BN 3.5MM 20MM,63.0,63.0,3.34,75.6,20
CDM,868087,INSERT TIB E-+ SZ5-L 19M,1100.0,1100.0,58.3,1320.0,20
CDM,868093,PLATE HUM PERI LCKG 9HL,1617.0,1617.0,85.7,1940.4,20
CDM,868112,SCREW BN 10.5MM 100MM,1790.0,1790.0,94.87,2148.0,20
CDM,868146,SCREW BN SPN 4.2MM 20MM,150.0,150.0,7.95,180.0,20
CDM,868151,SCREW BN 2.4MM 16MM,170.0,170.0,9.01,204.0,20
CDM,868153,SCREW BN 2.4MM 12MM,40.0,40.0,2.12,48.0,20
CDM,868154,SCREW BN 2.4MM 16MM,40.0,40.0,2.12,48.0,20
CDM,868155,SCREW BN 2.4MM 12MM,170.0,170.0,9.01,204.0,20
CDM,868200,PLATE BN 4HL 3.5X87MM,2656.0,2656.0,140.77,3187.2,20
CDM,868233,GWIRE VASE 300CM .009IN,2564.0,2564.0,135.89,3076.8,49
CDM,868237,SCREW BN 3.5MM 32MM,540.0,540.0,28.62,648.0,20
CDM,868239,SCREW BN 10.5MM 85MM,1580.0,1580.0,83.74,1896.0,20
CDM,868245,SCREW BN 4.5MM 50MM,432.0,432.0,22.9,518.4,20
CDM,868302,INSERT TIB POLY SZ2 13MM,1100.0,1100.0,58.3,1320.0,20
CDM,868305,PIN RUSH FX CNDLR 12.7X3,158.0,158.0,8.37,189.6,20
CDM,868318,ROD SPN 5.5MM 500MM,360.0,360.0,19.08,432.0,20
CDM,868319,SCREW BN 2.5MM 22MM,242.0,242.0,12.83,290.4,20
CDM,868342,SCRW CMPRSN PLT 3.5X18MM,548.0,548.0,29.04,657.6,20
CDM,868345,SCREW LCK COMP 3.5X18MM,754.0,754.0,39.96,904.8,20
CDM,868352,SCREW BN 2.7MM 54MM SS,247.0,247.0,13.09,296.4,20
CDM,868356,SCREW BN 6.5X100X20MM,464.0,464.0,24.59,556.8,20
CDM,868359,SCREW BN MTRSL 2.7X48MM,77.0,77.0,4.08,92.4,20
CDM,868362,WASHER BN TI 13MM,160.0,160.0,8.48,192.0,20
CDM,868376,PLATE BN TIB LT 6H 119MM,2606.0,2606.0,138.12,3127.2,20
CDM,868387,SYSTEM LUB ARTHRCM 100ML,2564.0,2564.0,135.89,3076.8,49
CDM,868392,CAGE LMBR AVE-L 17X50X8,8000.0,8000.0,424.0,9600.0,20
CDM,868398,SCREW BN 5X55,770.0,770.0,40.81,924.0,20
CDM,868401,GRAFT DMB TREL-XPRES 10C,5970.0,5970.0,316.41,7164.0,20
CDM,868402,SCREW BN SPN 6.5MM 40MM,2200.0,2200.0,116.6,2640.0,20
CDM,868405,REAMER SRG PNTA 11MM,3439.38,3439.38,182.29,4127.26,49
CDM,868411,SCREW BN 4MM 36MM,236.0,236.0,12.51,283.2,20
CDM,868412,PLATE 2XL 8HL 10MMX3MM,3175.0,3175.0,168.28,3810.0,20
CDM,868413,GRAFT NRV 1-2MM 30MM,8940.0,8940.0,473.82,10728.0,20
CDM,868418,CONNCTR NRV TISS 10X6MM,1400.0,1400.0,74.2,1680.0,20
CDM,868422,SHELL ACTB M/H RAD 52MM,1800.0,1800.0,95.4,2160.0,20
CDM,868423,STEM FEMORAL TPRLC 133 M,5000.0,5000.0,265.0,6000.0,20
CDM,868424,SURFACE ARTIC 12MM PERSO,2000.0,2000.0,106.0,2400.0,20
CDM,868426,PSN ASF PS 11MM VE R 10-,2000.0,2000.0,106.0,2400.0,20
CDM,868427,INSERT ARTC PERSNA 12MM,2000.0,2000.0,106.0,2400.0,20
CDM,868433,SCREW 4.0X36 CANN ORTHO,410.0,410.0,21.73,492.0,20
CDM,868434,SCREW CANN BRNZ 4X22,410.0,410.0,21.73,492.0,20
CDM,868436,SCREW CANN NLCKG 2.7X20,340.0,340.0,18.02,408.0,20
CDM,868437,PLATE FEM LCP PRX HK 6HL,3234.0,3234.0,171.4,3880.8,20
CDM,868438,COVER SCRW SPNL LCKG 8MM,200.0,200.0,10.6,240.0,20
CDM,868439,COMPONENT GLND 52-44MM,3254.0,3254.0,172.46,3904.8,20
CDM,868440,HEAD HUM RSRFC SMR 54MM,9334.0,9334.0,494.7,11200.8,20
CDM,868441,STEM HM CMNTLS SMR 36X13,3200.0,3200.0,169.6,3840.0,20
CDM,868442,RING EXFX SML MTCH,5985.0,5985.0,317.2,7182.0,49
CDM,868443,RING EXFX SML CLS CIRC,4788.0,4788.0,253.76,5745.6,49
CDM,868444,BOLT EXFX CANN SLT 15MM,639.74,639.74,33.91,767.69,49
CDM,868445,GRAFT DBM TREL-XPRS 2.5C,1870.0,1870.0,99.11,2244.0,20
CDM,868450,HEAD HUM 42MM 16MM,2420.0,2420.0,128.26,2904.0,20
CDM,868473,CNTRSNK DRL 2-2.4 CANN,2564.0,2564.0,135.89,3076.8,49
CDM,868474,BLADE SHVR 4.3MM 13CM,4244.0,4244.0,224.93,5092.8,49
CDM,868475,SCREW SPNL SMTH 5X50,770.0,770.0,40.81,924.0,20
CDM,868477,SCREW SPN 6MM 30MM,1300.0,1300.0,68.9,1560.0,20
CDM,868482,COIL EMBL DTCH 10MM 40CM,5143.0,5143.0,272.58,6171.6,20
CDM,868493,COIL EMBL DTCH 9MM 30CM,5143.0,5143.0,272.58,6171.6,20
CDM,868494,COIL EMBL 40CM 10MM,5143.0,5143.0,272.58,6171.6,20
CDM,868495,COIL EMBL 45CM 12MM,5143.0,5143.0,272.58,6171.6,20
CDM,868496,COIL EMBL 50CM 16MM,6066.0,6066.0,321.5,7279.2,20
CDM,868497,COIL EMBL 50CM 18MM,6066.0,6066.0,321.5,7279.2,20
CDM,868498,COIL EMBL 50CM 20MM,6066.0,6066.0,321.5,7279.2,20
CDM,868504,GRAFT BN WDG 8X8MM,3360.0,3360.0,178.08,4032.0,20
CDM,868522,HEAD FEM HIP 12/14 28MM,1300.0,1300.0,68.9,1560.0,20
CDM,868523,TUBE ET NIM EMG 8MM,4139.0,4139.0,219.37,4966.8,49
CDM,868524,TUBE ET NIM EMG 7MM,4139.0,4139.0,219.37,4966.8,49
CDM,868525,TUBE ET NIM EMG 6MM,4139.0,4139.0,219.37,4966.8,49
CDM,868549,WRNCH ALN 5 EBI LP,2501.0,2501.0,132.55,3001.2,49
CDM,868552,PIN FX DIST FEM SMTH QRL,2564.0,2564.0,135.89,3076.8,49
CDM,868558,COMPNT PTLR KN DOME 35MM,700.0,700.0,37.1,840.0,20
CDM,868561,SCREW BN 10.5MM 95MM,1790.0,1790.0,94.87,2148.0,20
CDM,868594,CATH BLN 6X100MM 135CM,2564.0,2564.0,135.89,3076.8,49
CDM,868595,CATH GD VASC 9FR 45CM,3642.0,3642.0,193.03,4370.4,49
CDM,868596,CATHETER GD 9FR 57.5CM,3636.0,3636.0,192.71,4363.2,49
CDM,868597,CATH GD 9FR 50CM,5941.0,5941.0,314.87,7129.2,49
CDM,868624,CATHETER BLNOCC 2.8FR 4M,11433.0,11433.0,605.95,13719.6,49
CDM,868625,CATH OCL TRNSFM 4X15MM,11433.0,11433.0,605.95,13719.6,49
CDM,868628,CATH BLNOCC 7X10MM,11433.0,11433.0,605.95,13719.6,49
CDM,868630,CATH BLNDL 24MM 110CM,5941.0,5941.0,314.87,7129.2,49
CDM,868636,PLATE COMP 2HL 15MM,3968.0,3968.0,210.3,4761.6,20
CDM,868645,WASHER BN BTN 2.7MM 5MM,80.0,80.0,4.24,96.0,20
CDM,868649,PLATE BN MDFC 8H .8X1.7,489.0,489.0,25.92,586.8,20
CDM,868650,ROD EXFX THREADED 100MM,1256.12,1256.12,66.57,1507.34,49
CDM,868651,ROD EXFX THREADED 150MM,1256.12,1256.12,66.57,1507.34,49
CDM,868653,WIRE GLD .038 150 STRGHT,1076.0,1076.0,57.03,1291.2,49
CDM,868655,GLIDEWIRE .018 260CM ANG,2564.0,2564.0,135.89,3076.8,49
CDM,868656,GWIRE VASC.018IN 260X3CM,2564.0,2564.0,135.89,3076.8,49
CDM,868666,SCREW BN 5MM 72MM,362.0,362.0,19.19,434.4,20
CDM,868671,RING EXFX LRG OPEN CIRC,3355.59,3355.59,177.85,4026.71,49
CDM,868672,RING EXFX LRG CLOSE CIRC,4788.0,4788.0,253.76,5745.6,49
CDM,868675,CATH BLNDIL 20X4.5X110,5941.0,5941.0,314.87,7129.2,49
CDM,868680,PLATE CERV 18MM 1LVL,1900.0,1900.0,100.7,2280.0,20
CDM,868701,BIT DRIL 1X54 12 STP,2564.0,2564.0,135.89,3076.8,49
CDM,868704,TRAY TIB CMNT SZ5,2000.0,2000.0,106.0,2400.0,20
CDM,868706,TRAY TIB CMNT SZ8,2000.0,2000.0,106.0,2400.0,20
CDM,868707,COMP PTLR DOME 8MM 30,886.0,886.0,46.96,1063.2,20
CDM,868708,INSERT FEM SZ8-RT,3200.0,3200.0,169.6,3840.0,20
CDM,868709,BEARING FEM SZ8 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,868728,DRILL SURG REPR 2.4MM,3962.0,3962.0,209.99,4754.4,49
CDM,868729,CATH IU 24FR 54CM,5567.0,5567.0,295.05,6680.4,49
CDM,868751,COMPNT PLTR DOME 8X27MM,886.0,886.0,46.96,1063.2,20
CDM,868752,BEARING IBLNCE SZ8 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,868753,BEARING IBLNCE SZ8 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,868754,BEARING IBLNCE SZ8 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,868755,BEARING IBLNCE SZ4 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,868756,BEARING IBLNCE SZ4 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,868757,BEARING IBLNCE SZ4 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,868758,BEARING IBLNCE SZ6 15MM,1100.0,1100.0,58.3,1320.0,20
CDM,868759,BEARING IBLNCE SZ6 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,868760,BEARING IBLNCE SZ6 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,868761,BEARING IBLNCE SZ5 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,868762,BEARING IBNLCE SZ5 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,868763,BEARING IBLNCE SZ4 15MM,1100.0,1100.0,58.3,1320.0,20
CDM,868764,RETAINER CRUCIATE SZ1-L,3200.0,3200.0,169.6,3840.0,20
CDM,868766,RETAINER CRUCIATE SZ2-L,3200.0,3200.0,169.6,3840.0,20
CDM,868778,BEARING IBLNCE SZ5 15MM,1100.0,1100.0,58.3,1320.0,20
CDM,868783,BEARING IBLNCE SZ3 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,868784,TRAY TIB CEMENTED SZ3,2000.0,2000.0,106.0,2400.0,20
CDM,868788,SCREW BN 5.0MM 65MM,362.0,362.0,19.19,434.4,20
CDM,868791,PIN HF XTRN 4-5MM 200MM,2564.0,2564.0,135.89,3076.8,49
CDM,868793,SCREW BN 3.5MM 60MM,386.0,386.0,20.46,463.2,20
CDM,868795,SCREW BN 5MM 24MM,284.0,284.0,15.05,340.8,20
CDM,868800,SEALER TISS 35CM 5MM,5698.0,5698.0,301.99,6837.6,49
CDM,868804,SYSTEM COR STNT 3.5X16MM,4790.0,4790.0,253.87,5748.0,20
CDM,868813,STEM FXD NCK SZ3 STCKTTE,4000.0,4000.0,212.0,4800.0,20
CDM,868817,SHTH INTRO GS 6FR 10CM,2261.0,2261.0,119.83,2713.2,49
CDM,868818,TUBE GASTM 22FR,793.0,793.0,42.03,951.6,49
CDM,868825,INSERT FEM SZ8 LT,3200.0,3200.0,169.6,3840.0,20
CDM,868826,RETAINER CRUCIATE SZ10-L,3200.0,3200.0,169.6,3840.0,20
CDM,868827,RETAINER CRUCIATE SZ1-R,3200.0,3200.0,169.6,3840.0,20
CDM,868829,COMPNT FEM KN LT SZ4,2654.0,2654.0,140.66,3184.8,20
CDM,868830,COMPONENT FEM 4 RT,2654.0,2654.0,140.66,3184.8,20
CDM,868831,COMPNT FEM KN LT SZ5,2654.0,2654.0,140.66,3184.8,20
CDM,868834,COMPONENT FEM 6 KN RT,2654.0,2654.0,140.66,3184.8,20
CDM,868838,BEARING IBLNCE SZ7 15MM,1100.0,1100.0,58.3,1320.0,20
CDM,868839,BEARING IBLNCE SZ7 18MM,1100.0,1100.0,58.3,1320.0,20
CDM,868840,BEARING IBLNCE SZ8 15MM,1100.0,1100.0,58.3,1320.0,20
CDM,868841,BEARING IBLNCE SZ8 18MM,1100.0,1100.0,58.3,1320.0,20
CDM,868843,BEARING IBLNCE SZ4 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,868844,BEARING IBLNCE SZ6 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,868845,INSERT FEM IBLNCE SZ1-L,3200.0,3200.0,169.6,3840.0,20
CDM,868846,INSERT FEM IBLNCE SZ2-L,3200.0,3200.0,169.6,3840.0,20
CDM,868847,INSERT FEM IBLNCE SZ3-L,3200.0,3200.0,169.6,3840.0,20
CDM,868865,PLATE BN CRV 6HL,1084.0,1084.0,57.45,1300.8,20
CDM,868866,BEARING IBLNCE SZ5 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,868867,NAIL TIB 9MM 28.5CM,4300.0,4300.0,227.9,5160.0,20
CDM,868869,SCREW CANN 7X50,1020.0,1020.0,54.06,1224.0,20
CDM,868873,PLATE BN LT 4H 86MM,1216.0,1216.0,64.45,1459.2,20
CDM,868879,SCREW 3.5X45MM SUTPLT,90.0,90.0,4.77,108.0,20
CDM,868888,BEARING IBLNCE SZ3 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,868889,BEARING IBLNCE SZ6 18MM,1100.0,1100.0,58.3,1320.0,20
CDM,868890,BEARING IBLNCE SZ5 18MM,1100.0,1100.0,58.3,1320.0,20
CDM,868891,INSERT FEM ORTHO SZ10-L,3200.0,3200.0,169.6,3840.0,20
CDM,868892,INSERT FEM ORTHO SZ1-R,3200.0,3200.0,169.6,3840.0,20
CDM,868893,INSERT FEM ORTHO SZ2-R,3200.0,3200.0,169.6,3840.0,20
CDM,868895,INSERT FEM ORTHO SZ9-L,3200.0,3200.0,169.6,3840.0,20
CDM,868896,BEARNING IBLNCE SZ2 18MM,1100.0,1100.0,58.3,1320.0,20
CDM,868897,TRAY TIBIAL ORTHO SZ1,2000.0,2000.0,106.0,2400.0,20
CDM,868898,TRAY TIBIAL ORTHO SZ10,2000.0,2000.0,106.0,2400.0,20
CDM,868899,BEARING IBLNCE SZ2 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,868900,TRAY TIB IBLNCE SZ7,2000.0,2000.0,106.0,2400.0,20
CDM,868901,BEARING IBLNCE SZ2 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,868902,TRAY TIB ORTHO SZ6,2000.0,2000.0,106.0,2400.0,20
CDM,868903,COMPNT TIB IBLNCE SZ4,2000.0,2000.0,106.0,2400.0,20
CDM,868904,BEARING IBLNCE SZ3 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,868905,BEARING IBLNCE SZ3 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,868906,BEARING IBLNCE SZ2 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,868907,TRAY TIB ORTHO SZ2,2000.0,2000.0,106.0,2400.0,20
CDM,868910,NAIL LNG 125D 11X360MM,3266.0,3266.0,173.1,3919.2,20
CDM,868922,TRAY TIBIAL IBLNCE SZ9,2000.0,2000.0,106.0,2400.0,20
CDM,868923,INSERT FEM IBLNCE SZ9-R,3200.0,3200.0,169.6,3840.0,20
CDM,868925,BEARING IBLNCE SZ3 15MM,1100.0,1100.0,58.3,1320.0,20
CDM,868926,BEARING IBLNCE SZ2 15MM,1100.0,1100.0,58.3,1320.0,20
CDM,868927,BEARING IBLNCE T/K 2MM,1100.0,1100.0,58.3,1320.0,20
CDM,869001,COMPNT PTLR ALPLY 29MM,500.0,500.0,26.5,600.0,20
CDM,869055,TENDON TIB 7.5MM 230MM,3183.0,3183.0,168.7,3819.6,20
CDM,869067,PLATE LNG 111MM 2.7/3.5,2554.0,2554.0,135.36,3064.8,20
CDM,869072,INSERT KN ARTC 2-6 14MM,3548.0,3548.0,188.04,4257.6,20
CDM,869088,ROD EXFX CIRC 220X11MM,3366.0,3366.0,178.4,4039.2,49
CDM,869089,NAIL BN 125D 1.5MM 36CM,4086.0,4086.0,216.56,4903.2,20
CDM,869102,IMPLANT FX MATRIXRIB 4MM,1513.0,1513.0,80.19,1815.6,20
CDM,869103,FILLER BN VOID .75ML,480.0,480.0,25.44,576.0,20
CDM,869106,CATH GD 90D CRV 7.1FR,2856.0,2856.0,151.37,3427.2,49
CDM,869111,PLATE BN SHRT 3.5X75MM,2149.0,2149.0,113.9,2578.8,20
CDM,869113,CATH BALLN OTW 20X2.5,2564.0,2564.0,135.89,3076.8,49
CDM,869122,PLATE BN 2H 3.5MM,521.0,521.0,27.61,625.2,20
CDM,869143,SLEEVE LAPSCP 5MM 75M,386.0,386.0,20.46,463.2,49
CDM,869144,TROCAR LAPSCP 75X5 REPR,641.0,641.0,33.97,769.2,49
CDM,869152,INTEGRA FLOW INJ 3 ML,26264.0,26264.0,1391.99,31516.8,30
CDM,869153,MATRISTEM 200 MG,3584.0,3584.0,189.95,4300.8,30
CDM,869154,MATRISTEM 100 MG,1792.0,1792.0,94.98,2150.4,30
CDM,869155,MATRISTEM 60 MG,858.0,858.0,45.47,1029.6,30
CDM,869157,MATRISTEM 1000 MG,14931.0,14931.0,791.34,17917.2,30
CDM,869164,SCREW BN 3.5MM 36MM,120.0,120.0,6.36,144.0,20
CDM,869165,SCREW BN 4MM 48MM,330.0,330.0,17.49,396.0,20
CDM,869171,SCREW BN HUM 3.5MM 14MM,144.0,144.0,7.63,172.8,20
CDM,869175,SCREW BN 6.5MM 75MM 20MM,464.0,464.0,24.59,556.8,20
CDM,869177,CATH GD BALLOON 9F 920MM,8215.0,8215.0,435.39,9858.0,49
CDM,869179,CATH SUPP STR 5F 125CM,10181.0,10181.0,539.59,12217.2,49
CDM,869180,CATH ANGIO 6FR 115CM,7655.0,7655.0,405.71,9186.0,49
CDM,869184,SUTURE ANBCTRL +3-0 27IN,155.0,155.0,8.21,186.0,49
CDM,869185,SUTURE UND BRD 4-0 27IN,82.0,82.0,4.35,98.4,49
CDM,869186,SUTURE SH-1 4-0 1X27IN,57.0,57.0,3.02,68.4,49
CDM,869187,SUTURE ANBCTRL +4-0 27IN,1870.0,1870.0,99.11,2244.0,49
CDM,869200,HEAD HUM FX 53X19MM,2500.0,2500.0,132.5,3000.0,20
CDM,869216,PLATE BN 3 RIB LT 15HL,4184.0,4184.0,221.75,5020.8,20
CDM,869217,PLATE BN UNV 8HL,2670.0,2670.0,141.51,3204.0,20
CDM,869246,PROSTH PENL XTND REAR TP,834.0,834.0,44.2,1000.8,20
CDM,869249,INTRODUCER CATH 6FR 45CM,2562.0,2562.0,135.79,3074.4,49
CDM,869254,GRAFT NRV 2-3MM 15MM,4076.0,4076.0,216.03,4891.2,20
CDM,869259,KNIFE OPTN 2.4MM,932.0,932.0,49.4,1118.4,49
CDM,869331,SCREW BN 5MM 12MM,364.0,364.0,19.29,436.8,20
CDM,869343,SPACER ZERO-P VA LG 9MM,3802.4,3802.4,201.53,4562.88,20
CDM,869347,NAIL FEM LT 11.5MM 42CM,4086.0,4086.0,216.56,4903.2,20
CDM,869352,SCREW BN 2.9MM 8MM,526.0,526.0,27.88,631.2,20
CDM,869370,PLATE BN RT 15HL,4184.0,4184.0,221.75,5020.8,20
CDM,869371,SCREW BN 2.9MM 10MM,332.0,332.0,17.6,398.4,20
CDM,869374,CNNCTR WND DRN Y,57.0,57.0,3.02,68.4,49
CDM,869381,NAIL BN 9MM 18CM,2660.0,2660.0,140.98,3192.0,20
CDM,869388,PLATE BN 3.5MM 93MM,2756.0,2756.0,146.07,3307.2,20
CDM,869401,GWIRE VASC .035IN 180CM,603.0,603.0,31.96,723.6,49
CDM,869449,SUPPORT LMBR NEOPRN MED,588.0,588.0,31.16,705.6,49
CDM,869452,SUPPRT LMBR NPRN MED/LNG,863.0,863.0,45.74,1035.6,49
CDM,869453,SUPPORT LMBR BACK 2XL,1310.0,1310.0,175.54,1572.0,24
CDM,869454,SUPPORT SCRO-LMBR MSH XL,329.0,329.0,17.44,394.8,49
CDM,869458,BRACE EQLZR ARWLK STD SM,1102.0,1102.0,58.41,1322.4,49
CDM,869467,PLATE BN 6HL 2.7/3.5MM,2646.0,2646.0,140.24,3175.2,20
CDM,869488,SCREW SPN 3.5MM 12MM,1000.0,1000.0,53.0,1200.0,20
CDM,869498,SCREW BN 6.5X100MM,382.0,382.0,20.25,458.4,20
CDM,869505,PLATE BN RT 3HL 75MM,1977.0,1977.0,104.78,2372.4,20
CDM,869507,SCREW BN 2.7MM 32MM,96.0,96.0,5.09,115.2,20
CDM,869508,SCREW BN 2.7MM 30MM,77.0,77.0,4.08,92.4,20
CDM,869525,BEARING TIB SZ6 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,869529,SCREW BN 3.5MM 38MM,62.0,62.0,3.29,74.4,20
CDM,869530,SCREW BN 3.5X22MM,62.0,62.0,3.29,74.4,20
CDM,869532,GWIRE VASC .035IN 175CM,2564.0,2564.0,135.89,3076.8,49
CDM,869540,REAMER BN DISP 4.6MM,3589.0,3589.0,190.22,4306.8,49
CDM,869566,NAIL 9MM 37.5CM TIB IM,4300.0,4300.0,227.9,5160.0,20
CDM,869569,CATH GD 130D CRV 7.1FR,3024.0,3024.0,160.27,3628.8,49
CDM,869640,CATH ANGIO 5FR 125CM,407.0,407.0,21.57,488.4,49
CDM,869651,SCREW BN POLY 2.5X24MM,242.0,242.0,12.83,290.4,20
CDM,869664,CATH RFLX 5F 130X8CM,9743.0,9743.0,516.38,11691.6,49
CDM,869666,CATH DLV SYS 6FR 105CM,2564.0,2564.0,135.89,3076.8,49
CDM,869667,CATH DLV SYS 6FR 125CM,2564.0,2564.0,135.89,3076.8,49
CDM,869668,CATH GD 6FR 125CM,2564.0,2564.0,135.89,3076.8,49
CDM,869684,BASEPLATE TIB KN SZ6,2600.0,2600.0,137.8,3120.0,20
CDM,869688,STENT CRTD ACLNK RX 9X40,4100.0,4100.0,217.3,4920.0,20
CDM,869690,GRAFT BN DBM 5ML PTTY HM,1200.0,1200.0,63.6,1440.0,20
CDM,869691,CAGE SPN PLIF 12X22 5D W,2700.0,2700.0,143.1,3240.0,20
CDM,869692,ROD SPNL 200MM,360.0,360.0,19.08,432.0,20
CDM,869694,ROD SPAL L70 OD5.5 LORDO,360.0,360.0,19.08,432.0,20
CDM,869696,PLATE PREMIER CSTM 50MM,5164.0,5164.0,273.69,6196.8,20
CDM,869697,SCREW CANC LOPRO 4X36MM,80.0,80.0,4.24,96.0,20
CDM,869698,MESH GYN 24X3CM RESTOREL,2110.0,2110.0,111.83,2532.0,20
CDM,869699,IMPLANT SLSTC 5 TOE SM S,1433.0,1433.0,75.95,1719.6,20
CDM,869700,NAIL 4.0 TI ELASTIC STR,712.0,712.0,37.74,854.4,20
CDM,869702,ALLOGRAFT AMNIOMATRX LRG,13475.0,13475.0,714.17,16170.0,20
CDM,869713,GRAFT NRV 2-3MM 70MM,11896.0,11896.0,630.49,14275.2,20
CDM,869715,BEARING TIB SZ7 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,869722,CATH GD 7.1FR 65CM,2880.0,2880.0,152.64,3456.0,49
CDM,869727,CMPNT FEM KN SZ5,3000.0,3000.0,159.0,3600.0,20
CDM,869740,COMPNT ULN DSCVR R 5X75,11770.0,11770.0,623.81,14124.0,20
CDM,869746,COMPNT PTLR L+ 3 PEG,456.0,456.0,24.17,547.2,20
CDM,869747,ALLOGRAFT POST TIB TNDN,1858.0,1858.0,98.47,2229.6,20
CDM,869753,SCREW TNM CARBOFX 4X40,600.0,600.0,31.8,720.0,20
CDM,869754,SCRW CANC T20 PT 4.065,94.0,94.0,4.98,112.8,20
CDM,869782,NAIL BN TROCH 10MM 18CM,4345.0,4345.0,230.28,5214.0,20
CDM,869789,CATH BLN 3X210MM 170CM,3917.0,3917.0,207.6,4700.4,49
CDM,869790,STENT VASC 6X200MM 120CM,3500.0,3500.0,185.5,4200.0,20
CDM,869791,STENT VASC 7X200MM 120CM,4790.0,4790.0,253.87,5748.0,20
CDM,869818,NAIL BN 1.5X11.5MM 40CM,4345.0,4345.0,230.28,5214.0,20
CDM,869819,RETRACTOR SCROTAL DISP,5646.0,5646.0,299.24,6775.2,49
CDM,869820,PROSTHESIS PENILE TITAN,20390.0,20390.0,1080.67,24468.0,20
CDM,869858,PLATE BN 8HL RT,3128.0,3128.0,165.78,3753.6,20
CDM,869884,SCREW BN LCK 3MM 8MM,300.0,300.0,15.9,360.0,20
CDM,869888,DRILL BIT CORT 3.0MM,1814.4,1814.4,96.16,2177.28,49
CDM,869891,NAIL BN 10MM 36CM,4086.0,4086.0,216.56,4903.2,20
CDM,869893,LINEAR PORS W/P2 SZ14,4500.0,4500.0,238.5,5400.0,20
CDM,869899,SLNG IMOB SHDR UNV CHD,406.0,406.0,21.52,487.2,49
CDM,869902,CAGE INTRBDY 18X10X60,8000.0,8000.0,424.0,9600.0,20
CDM,869916,HEAD HUM 46MM 20MM,2500.0,2500.0,132.5,3000.0,20
CDM,869948,STEM FEM HIP 147MM,4000.0,4000.0,212.0,4800.0,20
CDM,869969,MESH CRNMXF 90X90X1MM,4601.0,4601.0,243.85,5521.2,20
CDM,869977,STAPLER EWRST GRN RLD 45,2564.0,2564.0,135.89,3076.8,49
CDM,869978,CATH 5FR ST PIG 110CM,2564.0,2564.0,135.89,3076.8,49
CDM,869982,SCREW BN 6.5MM 75MM 20MM,356.0,356.0,18.87,427.2,20
CDM,869986,PLATE TIB LCP DST 15HL-R,3113.04,3113.04,164.99,3735.65,20
CDM,869997,PLATE VA-LCP ST 6X5HL-R,2106.72,2106.72,111.66,2528.06,20
CDM,870014,SCREW BN 2.8MM 18MM,226.0,226.0,11.98,271.2,20
CDM,870028,BASEPLATE KN TIB TI SZ5,2600.0,2600.0,137.8,3120.0,20
CDM,870035,STEM FEM CMNTLS LAT HIP,4000.0,4000.0,212.0,4800.0,20
CDM,870064,SCREW BN 3.5MM 12MM,170.0,170.0,9.01,204.0,20
CDM,870066,SCRW 2.7X 16 MM THD WM,412.0,412.0,21.84,494.4,20
CDM,870079,PLATE BN 20H .5MM 1.7MM,989.0,989.0,52.42,1186.8,20
CDM,870082,BURR SURG 5MM,3201.0,3201.0,169.65,3841.2,49
CDM,870093,SLEEVE LAPSCP 5MM 100MM,386.0,386.0,20.46,463.2,49
CDM,870094,GRAFT BN 14X11X6MM,1700.0,1700.0,90.1,2040.0,20
CDM,870116,PLATE BN HUM MED. 88MM,2149.0,2149.0,113.9,2578.8,20
CDM,870118,RING HLF EXFX ILIZRV 150,2283.88,2283.88,121.05,2740.66,49
CDM,870135,RING ANLPLS MTRL 40MM,3950.0,3950.0,209.35,4740.0,20
CDM,870136,RING ANLPLS 38MM,3950.0,3950.0,209.35,4740.0,20
CDM,870139,COMPNT FEM KN RT SZ5,3200.0,3200.0,169.6,3840.0,20
CDM,870146,SCREW BN 6.5MM 65MM 20MM,328.0,328.0,17.38,393.6,20
CDM,870153,SCREW BN CNDRL 5X22MM,356.0,356.0,18.87,427.2,20
CDM,870154,STENT GFT EVAS ZN 22X113,13028.0,13028.0,690.48,15633.6,20
CDM,870155,STENT GFT EVAS ZN 30X16,4002.0,4002.0,212.11,4802.4,20
CDM,870156,IMPLANT CRANIAL MED,24085.0,24085.0,1276.51,28902.0,20
CDM,870157,SET SHTH DIL 9FR 40.6CM,15528.0,15528.0,822.98,18633.6,49
CDM,870158,PLATE BN 12HL 156MM,852.0,852.0,45.16,1022.4,20
CDM,870171,DISC INTVRTB 17MM 5MM,9800.0,9800.0,519.4,11760.0,20
CDM,870180,CATH BLNOCC 9FR 120CM,5941.0,5941.0,314.87,7129.2,49
CDM,870187,SCREW BN HUM 3.5MM 18MM,144.0,144.0,7.63,172.8,20
CDM,870221,NAIL BN TROCH 10MM 36CM,4344.0,4344.0,230.23,5212.8,20
CDM,870226,PLATE BN 6H 6.7MM,1464.0,1464.0,77.59,1756.8,20
CDM,870245,SCREW BN 4.75MM 25MM,110.0,110.0,5.83,132.0,20
CDM,870254,COIL EMBL 3CM X 1.5MM,3956.0,3956.0,209.67,4747.2,20
CDM,870268,GRAFT EVS ZNTH 38X152X22,24188.0,24188.0,1281.96,29025.6,20
CDM,870278,PLATE BN LG RT 1.2M,2511.0,2511.0,133.08,3013.2,20
CDM,870281,STENT BIL 8.5FR 40X10MM,4268.0,4268.0,226.2,5121.6,20
CDM,870293,GWIRE VASC .035IN 260CM,2274.0,2274.0,120.52,2728.8,49
CDM,870294,GWIRE WHLY J TIP 145CM,2564.0,2564.0,135.89,3076.8,49
CDM,870304,FILLER BN CERAMENT 5ML,2790.0,2790.0,147.87,3348.0,20
CDM,870309,CATH BLDL 4X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870310,CATH BLNDL 3X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870329,BEARING TIB SZ-7 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,870330,SCREW BN 5MM 57MM,362.0,362.0,19.19,434.4,20
CDM,870341,CONFORMER OCULSM 22X19,116.0,116.0,6.15,139.2,20
CDM,870342,SCREW SPN 7.5X50MM,2200.0,2200.0,116.6,2640.0,20
CDM,870343,REAMER CANN EXPRS 9MM,3024.0,3024.0,160.27,3628.8,49
CDM,870363,GWRE GLD 038 260,1649.0,1649.0,87.4,1978.8,49
CDM,870365,NAIL ORTH 10X30X130,4370.0,4370.0,231.61,5244.0,20
CDM,870371,CATH ABL 108 7FR 6MM MED,9715.0,9715.0,514.89,11658.0,49
CDM,870383,GRAFT EVAS 27MM 12CM,8658.0,8658.0,458.87,10389.6,20
CDM,870384,DEVICE WNDCLS 23CM SZ0,1569.0,1569.0,83.16,1882.8,49
CDM,870389,NEEDLE LOC 21GA 7CM,64.0,64.0,3.39,76.8,20
CDM,870390,NEEDLE LOC 21GA 5CM,1212.0,1212.0,64.24,1454.4,49
CDM,870414,PLATE SPN 2LVL 30MM,1900.0,1900.0,100.7,2280.0,20
CDM,870415,SCREW SPN 6MM 35MM,1300.0,1300.0,68.9,1560.0,20
CDM,870454,SET VNTRC 17.4X13.8IN,194300.0,194300.0,10297.9,233160.0,49
CDM,870467,BEARING TIB SZ7 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,870469,SCREW BN 4MM 24MM,224.0,224.0,11.87,268.8,20
CDM,870470,SCREW BN 4MM 28MM,224.0,224.0,11.87,268.8,20
CDM,870499,FORCEPS ENDO BX 155CM,778.0,778.0,41.23,933.6,49
CDM,8705,IFOSFAMIDE 1 G INJ,1452.0,1452.0,76.96,1742.4,30
CDM,8705,"Injection, ifosfamide, 1 gram ",1452.0,1452.0,23.94,23.94,1
CDM,870508,DRILL BIT TRCH 5MM,3326.4,3326.4,176.3,3991.68,49
CDM,870509,NAIL FEM GALILEO 9MX40CM,4420.0,4420.0,234.26,5304.0,20
CDM,870527,CATH BLDL 3.5X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870539,CATH BLNDL 5X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870540,CATH BLNDL 5X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870541,CATH BLNDL 5X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870542,CATH BLN 2.5X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870543,CATH BLNDL 2X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870545,CATH BLNDL 3X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870546,CATH BLNDL 3X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870547,CATH BLNDL 3X220MM 150CM,2932.0,2932.0,155.4,3518.4,49
CDM,870548,CATH BLNDL 3X60MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870550,CATH BLN 4X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870551,CATH BLN 4X60MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870552,CATH BLNDL 5X20MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870553,CATH BLN 4X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870590,NAIL BN 125D 10MM 38CM,4086.0,4086.0,216.56,4903.2,20
CDM,870591,CEMENT BN 20ML 40GM,102.0,102.0,5.41,122.4,20
CDM,870592,BEARING TIB IBAL SZ4 18M,1100.0,1100.0,58.3,1320.0,20
CDM,870594,GUIDE SFGRD CRPL TUNNEL,2896.74,2896.74,153.53,3476.09,49
CDM,870596,PLATE 317MM DIST FEM,2667.0,2667.0,141.35,3200.4,20
CDM,870598,SCREW BN 3.5MM 55MM,285.0,285.0,15.11,342.0,20
CDM,870628,NAIL TROCH 11MM 36CM,5790.0,5790.0,306.87,6948.0,20
CDM,870631,COIL EMBL 10MM 5MM,4498.0,4498.0,238.39,5397.6,20
CDM,870632,COIL EMBL 15CM 6MM,4498.0,4498.0,238.39,5397.6,20
CDM,870633,COIL EMBL 15CM 7MM,4498.0,4498.0,238.39,5397.6,20
CDM,870634,COIL EMBL DTCH 8MM 25CM,4498.0,4498.0,238.39,5397.6,20
CDM,870635,COIL EMBL DTCH 10MM 30CM,4498.0,4498.0,238.39,5397.6,20
CDM,870643,PROSTHESIS PENILE TITAN,20390.0,20390.0,1080.67,24468.0,20
CDM,870646,CATH BLN 2.5X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870647,CATH BLN 4X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870648,CATH BLN 4X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870649,CATH BLNDL 5X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870650,CATH BLNDL 5X60MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870652,CATH BLDL 2X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870653,CATH BLDL 3X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870655,CATH BLN 3.5X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870656,CATH BLN 2.5X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870658,CATH BLNDL 3X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870660,CATH BLNDL 2X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870663,CATH BLNDL 2X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870689,PLATE BN CRV 266MM 4.5MM,3154.0,3154.0,167.16,3784.8,20
CDM,870694,BODY MLD SHLW RSTR 21MM,6085.0,6085.0,322.5,7302.0,20
CDM,870695,STEM FEM PLSM BWD 12X217,5437.0,5437.0,288.16,6524.4,20
CDM,870696,BURR OVL CLRCT 5MMX13CM,1274.46,1274.46,67.55,1529.35,49
CDM,870698,DILATOR SURG HDRPH 16FR,3091.0,3091.0,163.82,3709.2,49
CDM,870731,NAIL FEM TRGN RT 10X38,3326.9,3326.9,176.33,3992.28,20
CDM,870737,CATH BLNDL 5X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870743,CATH BLNDL 3X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870745,CATH BLN 2.5X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870746,CATH BLNDL 2X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,870749,BASEPLATE TIB KN SZ4,2600.0,2600.0,137.8,3120.0,20
CDM,870761,SCREW BN 2.5X18MM,590.0,590.0,31.27,708.0,20
CDM,870763,GWIRE ORTH .034IN,829.0,829.0,43.94,994.8,49
CDM,870771,SCREW BIODRV MCR 2.3X26,760.0,760.0,40.28,912.0,20
CDM,870772,SCREW LOPRO NLCK 3.5X28,89.68,89.68,4.75,107.62,20
CDM,870775,PROSTHESIS PENL TTN 16MM,20390.0,20390.0,1080.67,24468.0,20
CDM,870777,INTRODUCER SHTH 8.5FR,5941.0,5941.0,314.87,7129.2,49
CDM,870812,PLATE BN 6HL 78X3.5MM,1535.0,1535.0,81.36,1842.0,20
CDM,870818,PATCH VASC 8X75MM,156.0,156.0,8.27,187.2,20
CDM,870822,GRAFT NRV 3-4MM 30MM,6316.0,6316.0,334.75,7579.2,20
CDM,870824,PLATE BN 10H 230MM 3.5MM,2853.0,2853.0,151.21,3423.6,20
CDM,870839,SCREW BN 4MM 32MM,236.0,236.0,12.51,283.2,20
CDM,870840,SCREW BN 4MM 38MM,236.0,236.0,12.51,283.2,20
CDM,870841,SCREW BN 4MM 30MM,236.0,236.0,12.51,283.2,20
CDM,870869,MONITOR ICM LINQ,9690.0,9690.0,513.57,11628.0,20
CDM,870878,BIT DRILL CANN ACL 3.0MM,3602.0,3602.0,190.91,4322.4,49
CDM,8709,"Injection, mesna, 200 mg ",277.0,277.0,1.29,1.29,1
CDM,8709,MESNA 200 MG INJ,277.0,277.0,14.68,332.4,30
CDM,870901,SYSTEM NEG PRSS 15.2CM,5538.0,5538.0,293.51,6645.6,49
CDM,870912,IMPLANT ARTHROERESIS 9MM,3288.0,3288.0,174.26,3945.6,20
CDM,870935,PLATE HK BN,794.0,794.0,42.08,952.8,20
CDM,870936,PLATE HK BN + SCREW,130.0,130.0,6.89,156.0,20
CDM,870964,GWIRE VASC .035 150CM,1367.0,1367.0,72.45,1640.4,49
CDM,870971,SCREW BN 3.5MM 26MM,330.0,330.0,17.49,396.0,20
CDM,870978,NAIL MODULAR 10MMX20CM,4420.0,4420.0,234.26,5304.0,20
CDM,870979,STEM RADL 10X0X35MM,4050.0,4050.0,214.65,4860.0,20
CDM,871003,STEM HIP LAT OFST SZ12,3800.0,3800.0,201.4,4560.0,20
CDM,871006,LINEAR STD PORS W/P2 SZ5,5000.0,5000.0,265.0,6000.0,20
CDM,871042,STENT BIL 8.5FR 60X10MM,4268.0,4268.0,226.2,5121.6,20
CDM,871043,STENT BIL 8.5FR 80X10MM,4200.0,4200.0,222.6,5040.0,20
CDM,871050,CANNULA PRFSN 20FR 24CM,3445.0,3445.0,182.59,4134.0,49
CDM,871051,CANNULA PRFSN 18FR 24CM,3445.0,3445.0,182.59,4134.0,49
CDM,871059,SCREW BN 4.5MM 34MM,376.0,376.0,19.93,451.2,20
CDM,871071,SCREW BN 3.5MM 18MM,156.0,156.0,8.27,187.2,20
CDM,871072,STEM HUM SHLDR 12X120MM,3900.0,3900.0,206.7,4680.0,20
CDM,871075,PLATE BN 6H 90.5MM,832.0,832.0,44.1,998.4,20
CDM,871076,STEM FEM ABG2 SZ4-RT,5000.0,5000.0,265.0,6000.0,20
CDM,871080,NAIL BN TROCH 10MM 34CM,4345.0,4345.0,230.28,5214.0,20
CDM,871102,DISC SPN MOBI-C 15X15X5,9800.0,9800.0,519.4,11760.0,20
CDM,871133,CMPNT KN DPHSL PROSTHES,197.0,197.0,10.44,236.4,20
CDM,871174,SCREW BN 4MM 26MM,224.0,224.0,11.87,268.8,20
CDM,871197,PUNCH DUAL SPKE TKA IBAL,1095.36,1095.36,58.05,1314.43,49
CDM,871198,NEEDLE ASP 22GA 1.65MM,2564.0,2564.0,135.89,3076.8,49
CDM,871220,CONNECTOR NRV 7X15MM,4280.0,4280.0,226.84,5136.0,20
CDM,871221,GRAFT NRV 2-3MM 30MM,8940.0,8940.0,473.82,10728.0,20
CDM,871230,INSERT TIB KN SZ1-2 15MM,1300.0,1300.0,68.9,1560.0,20
CDM,871234,SCREW BN 4X55MM,330.0,330.0,17.49,396.0,20
CDM,871243,COMPNT PTLA DOME 32MM,700.0,700.0,37.1,840.0,20
CDM,871244,LINER ACTB XALT 20D 34MM,1100.0,1100.0,58.3,1320.0,20
CDM,871245,PEG BN HI CMPR 2.7X14,170.0,170.0,9.01,204.0,20
CDM,871252,SCREW BN 3.5MM 90MM,251.0,251.0,13.3,301.2,20
CDM,871260,SCREW BN NLCK 3MM 8MM,180.0,180.0,9.54,216.0,20
CDM,871261,SCREW BN NLCK 3.5MM 8MM,180.0,180.0,9.54,216.0,20
CDM,871266,CATH GD 50CM 9FR 7.2FR,3235.0,3235.0,171.46,3882.0,49
CDM,871278,SCREW BN 4MM 36MM,472.0,472.0,25.02,566.4,20
CDM,871279,CONNECTOR PIN EX FX 85MM,6101.0,6101.0,323.35,7321.2,49
CDM,871280,ROD GRAD TELES 150 MM LG,10060.0,10060.0,533.18,12072.0,49
CDM,871281,CONNECTOR ROD 50MM LNG X,3369.0,3369.0,178.56,4042.8,49
CDM,871283,EXPANDER TISS 550ML STY,2260.0,2260.0,119.78,2712.0,20
CDM,871301,SCREW BN 6.5X100MM,356.0,356.0,18.87,427.2,20
CDM,871319,SCREW BN 3MM 10MM,70.0,70.0,3.71,84.0,20
CDM,871322,SCREW BN 4.75MM 30MM,110.0,110.0,5.83,132.0,20
CDM,871327,PLATE BN 8HL,3128.0,3128.0,165.78,3753.6,20
CDM,871344,SCREW BN 3.5MM 54MM,217.0,217.0,11.5,260.4,20
CDM,871346,SCREW BN 4.5MM 30MM,375.0,375.0,19.88,450.0,20
CDM,871350,STEM FEM EXT GMRS 200MM,4002.0,4002.0,212.11,4802.4,20
CDM,871367,SCREW BN NLCK 3MM 16MM,180.0,180.0,9.54,216.0,20
CDM,871377,NAIL FEM MOD 11MMX34CM,4420.0,4420.0,234.26,5304.0,20
CDM,871379,SCREW DRCO HD THRD2.7X36,412.0,412.0,21.84,494.4,20
CDM,871380,BEARING IBLNC SZ7 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,871422,RING EXFX FOOT LNG 180MM,13523.0,13523.0,716.72,16227.6,49
CDM,871425,BOLT EX FIX 1.5-2MM,2564.0,2564.0,135.89,3076.8,49
CDM,871428,STRUT EX FIX 60MM,2564.0,2564.0,135.89,3076.8,49
CDM,871429,BOLT EX FIX STRUT,633.0,633.0,33.55,759.6,49
CDM,871432,SHOE EXFX LNG LRG,11000.0,11000.0,583.0,13200.0,49
CDM,871439,RING EX FIX 180MM,10585.0,10585.0,561.0,12702.0,49
CDM,871440,WASHER BN UNIV 7MM,1447.0,1447.0,76.69,1736.4,49
CDM,871442,STEM FEM TKR FNDTN SZ7-L,3200.0,3200.0,169.6,3840.0,20
CDM,871443,NAIL FEM 130DEG 12X30CM,4370.0,4370.0,231.61,5244.0,20
CDM,871452,SCREW BN 3.5MM 38MM,120.0,120.0,6.36,144.0,20
CDM,871462,ANCHOR SUT 7.0MM 19.1MM,870.0,870.0,46.11,1044.0,20
CDM,871466,ROD SPN 200MM,530.0,530.0,28.09,636.0,20
CDM,871467,SCREW BN 3.6MM 32MM TI M,590.0,590.0,31.27,708.0,20
CDM,871468,SCREW BN NLCK 3MM 10MM,180.0,180.0,9.54,216.0,20
CDM,871469,SCREW BN NLCK 3MM 12MM,180.0,180.0,9.54,216.0,20
CDM,871497,LINER ACTB XALT FMP 44MM,1100.0,1100.0,58.3,1320.0,20
CDM,871500,DRILL CALIBRATED 2.5MM,3275.0,3275.0,173.57,3930.0,49
CDM,871511,BASEPLATE TIB KN LT SZ1,1800.0,1800.0,95.4,2160.0,20
CDM,871512,COMPONENT FEM 2 LT KN PS,2850.0,2850.0,151.05,3420.0,20
CDM,871513,SCREW BN 4MM 60MM,341.0,341.0,18.07,409.2,20
CDM,871527,PLATE BN STD 2.4MM,2644.0,2644.0,140.13,3172.8,20
CDM,871535,SCREW BN 2.4MM 12MM TI L,400.0,400.0,21.2,480.0,20
CDM,871551,STEM FEM HIP 139MM,3800.0,3800.0,201.4,4560.0,20
CDM,871557,HEAD FEM HIP +5 28MM,1400.0,1400.0,74.2,1680.0,20
CDM,871564,CABLE STRNL TPR BLN NDL,110.0,110.0,5.83,132.0,20
CDM,871571,CMPNT FEM LT KN SZ4,2500.0,2500.0,132.5,3000.0,20
CDM,871580,PLATE BN LT 7H 110MM,1734.0,1734.0,91.9,2080.8,20
CDM,871582,SHEATH GD 6FR 80CM,2564.0,2564.0,135.89,3076.8,49
CDM,871587,SCREW BN LCK 3.5MM 14MM,356.0,356.0,18.87,427.2,20
CDM,871599,PLATE BN RT 10HL 154MM,2670.0,2670.0,141.51,3204.0,20
CDM,871600,NAIL ARTHDS RT 10X660MM,11509.44,11509.44,610.0,13811.33,20
CDM,871605,SCREW SPN 3.6MM 16MM,150.0,150.0,7.95,180.0,20
CDM,871607,NEEDLE SUT REG .5 CIRC,169.0,169.0,8.96,202.8,49
CDM,871647,PLATE BN 6H 4.5MM 159MM,3169.0,3169.0,167.96,3802.8,20
CDM,871649,PLATE BN TI 3HL,1590.0,1590.0,84.27,1908.0,20
CDM,871650,SCREW BN 3.5MM 12MM,132.0,132.0,7.0,158.4,20
CDM,871651,BIT DRILL 2.5MM,2563.0,2563.0,135.84,3075.6,49
CDM,871661,PLATE BN 3D 3X2HL 1.5MM,1422.0,1422.0,75.37,1706.4,20
CDM,871662,SCREW BN 3.5MM 90MM,217.0,217.0,11.5,260.4,20
CDM,871663,SCREW BN 3.5X2.9X85MM,238.0,238.0,12.61,285.6,20
CDM,871664,NAIL ANTGRD TRGN 11.5X44,2618.4,2618.4,138.78,3142.08,20
CDM,871669,ROD SPN 5.5MM 65MM,360.0,360.0,19.08,432.0,20
CDM,871677,SCREW BN 1.5MM 10MM,216.0,216.0,11.45,259.2,20
CDM,871685,SCREW CANN CMPRS 4X34,842.0,842.0,44.63,1010.4,20
CDM,871687,SCREW MTRXRB LCK 2.9X6MM,526.0,526.0,27.88,631.2,20
CDM,871694,SCREW BN 2.4MM 22MM,231.0,231.0,12.24,277.2,20
CDM,871705,CATH MICRO2.8/2.3F 150CM,8364.0,8364.0,443.29,10036.8,49
CDM,871707,CATH VASC 5.4F 132CM,17798.0,17798.0,943.29,21357.6,49
CDM,871709,MICROCATH 2.95FR 160CM,8052.0,8052.0,426.76,9662.4,49
CDM,871731,SUTURE BLU MONO 7-0 24IN,2564.0,2564.0,135.89,3076.8,49
CDM,871734,CATH BLNDIL 26X4.5X110,5941.0,5941.0,314.87,7129.2,49
CDM,871741,SUTURE BLU MONO 6-0 24IN,2117.0,2117.0,112.2,2540.4,49
CDM,871743,INSR GNS SZ 3-4 11MM,1100.0,1100.0,58.3,1320.0,20
CDM,871755,BRACE ORTH 17-27IN,1774.0,1774.0,94.02,2128.8,25
CDM,871757,BRACE ORTH UNV TLSO,2564.0,2564.0,135.89,3076.8,25
CDM,871759,BRACE ORTH UNV 3,2994.0,2994.0,401.2,3592.8,24
CDM,871759,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",2994.0,2994.0,749.29,2356.0,33
CDM,871765,SUTURE BLK MONO 4-0 36IN,294.0,294.0,15.58,352.8,49
CDM,871769,CATHSND 5FR 40MHZ,5941.0,5941.0,314.87,7129.2,49
CDM,871775,PROSTHESIS PNLE 20CM,20390.0,20390.0,1080.67,24468.0,20
CDM,871850,INTRO SHTH NRN MP 4X80,5941.0,5941.0,314.87,7129.2,49
CDM,871851,CANNULA BTN 8MM 5CM,1266.0,1266.0,67.1,1519.2,49
CDM,871856,DRILL CANN OVERDRILL 3/4,3992.0,3992.0,211.58,4790.4,49
CDM,871864,GRAFT STNT 36-16MM 166MM,16700.0,16700.0,885.1,20040.0,20
CDM,871872,DISC INTVRTB 15X6X13MM,9800.0,9800.0,519.4,11760.0,20
CDM,871893,STEM FEM HIP SZ4 143MM,4000.0,4000.0,212.0,4800.0,20
CDM,871895,NAIL TROCH L 12.5X36X130,4160.0,4160.0,220.48,4992.0,20
CDM,871898,SCREW DARCO LNG 3.5X24,562.0,562.0,29.79,674.4,20
CDM,871902,PROBE ABLTR CLCUT 50D 3M,1176.0,1176.0,62.33,1411.2,49
CDM,871903,BRACE ORTH X-ACT LT ELB,2564.0,2564.0,135.89,3076.8,49
CDM,871906,SCREW BN CORT 2.7X14MM,90.0,90.0,4.77,108.0,20
CDM,871907,SCREW BN 2.7X16MM,90.0,90.0,4.77,108.0,20
CDM,871915,SCREW BN 1.5MM 8MM,210.0,210.0,11.13,252.0,20
CDM,871939,SCREW BN 3.5MM 16MM,170.0,170.0,9.01,204.0,20
CDM,871941,RING HLF EXFX SDKCK 160M,3360.0,3360.0,178.08,4032.0,49
CDM,871974,SCREW BN FEM 5MM 52.5MM,362.0,362.0,19.19,434.4,20
CDM,871982,DRESSING HMST IMPREG 4X4,678.0,678.0,35.93,813.6,49
CDM,871994,AUGMNT WEDGE ACTB 66X20,3000.0,3000.0,159.0,3600.0,20
CDM,871997,SPACER 26/32 15X12 DEG,10680.0,10680.0,566.04,12816.0,20
CDM,872020,TISSUE MCR THN 38X50X.25,835.12,835.12,44.26,1002.14,20
CDM,872022,SCREW BN 3MM 38MM,300.0,300.0,15.9,360.0,20
CDM,872030,SCREW BN 4.5MM 36MM,432.0,432.0,22.9,518.4,20
CDM,872043,PIN TRNFX EXFX 300X40,2564.0,2564.0,135.89,3076.8,49
CDM,872044,CANNULA PRFSN 17IN 21FR,2817.0,2817.0,149.3,3380.4,49
CDM,872080,SCREW BN NS LCK 5X48MM,304.0,304.0,16.11,364.8,20
CDM,872083,PLATE SPN 3LVL 69MM,1900.0,1900.0,100.7,2280.0,20
CDM,872097,CATH GD 9FR 45CM,3235.0,3235.0,171.46,3882.0,49
CDM,872098,DEVICE CLSR 5FR,400.0,400.0,21.2,480.0,20
CDM,872099,DEVICE CLSR 6FR-7FR,400.0,400.0,21.2,480.0,20
CDM,872102,COLLAR CERV ADJ ONE SZ,1026.0,1026.0,54.38,1231.2,49
CDM,872107,BRACE UNV WRST LT 2,179.0,179.0,9.49,214.8,49
CDM,872108,BRACE ORTH WRST RT 2 CLS,178.0,178.0,9.43,213.6,49
CDM,872122,CATH ULTSND 8.5FR 90CM,7383.0,7383.0,391.3,8859.6,49
CDM,872135,GWIRE ORTH .045IN CL,980.0,980.0,51.94,1176.0,49
CDM,872137,BIT DRL 2.7MM 3.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,872138,SCREW BN 3.5MM 34MM,590.0,590.0,31.27,708.0,20
CDM,872157,INSERT SCKT HUM STD 36MM,1350.0,1350.0,71.55,1620.0,20
CDM,872161,GRAFT BN LAP WDG 5D 5MM,3699.0,3699.0,196.05,4438.8,20
CDM,872169,NAIL INTERTN-R 10MMX40CM,3326.9,3326.9,176.33,3992.28,20
CDM,872172,SCREW BN 5.0MM 40MM,556.0,556.0,29.47,667.2,20
CDM,872174,SCREW DARCO 3.2X28,450.0,450.0,23.85,540.0,20
CDM,872175,PIN EXFX STEINMANN 2.5MM,675.85,675.85,35.82,811.02,49
CDM,872183,IMPLANT BREAST 750CC,600.0,600.0,31.8,720.0,20
CDM,872191,ROD FULL JOINT ANX 120MM,7000.0,7000.0,371.0,8400.0,20
CDM,872212,LINER ACTB TRB MTL 56X32,3000.0,3000.0,159.0,3600.0,20
CDM,872213,NAIL INTRTN RT36X1.5X125,3326.9,3326.9,176.33,3992.28,20
CDM,872223,SUTURE BLU MONO 4-0 36IN,3680.0,3680.0,195.04,4416.0,49
CDM,872242,DRILL BIT TWST STP 7X50,1310.4,1310.4,69.45,1572.48,49
CDM,872244,COMPNT FEM KN SZ7,3200.0,3200.0,169.6,3840.0,20
CDM,872270,SCREW TI6 DS-SERIES 2X40,550.0,550.0,29.15,660.0,20
CDM,872271,SCREW TI6 DS-SERIES 2X42,550.0,550.0,29.15,660.0,20
CDM,872272,BIT DRILL OVR 2.5X2MM,3343.0,3343.0,177.18,4011.6,49
CDM,872273,KWIRE DBL PNT .82X90MM,308.96,308.96,16.37,370.75,49
CDM,872275,CANN PRFSN 17IN 19FR,2817.0,2817.0,149.3,3380.4,49
CDM,872280,SCREW BN 2MM 6MM,135.0,135.0,7.16,162.0,20
CDM,872286,SCREW BN 3.5X75MM,238.0,238.0,12.61,285.6,20
CDM,872287,SCREW TNM T25 LCKG 5X32,392.0,392.0,20.78,470.4,20
CDM,872306,LEAD ICD DEFIB 58CM,9500.0,9500.0,503.5,11400.0,20
CDM,872307,DEV SURG SLV OUTR 14.5MM,2427.0,2427.0,128.63,2912.4,49
CDM,872319,BRACE ANKL SM TALL,791.0,791.0,105.99,949.2,24
CDM,872320,BRACE ANKL SM TALL,791.0,791.0,105.99,949.2,24
CDM,872321,BRACE ANKL WLK MED TALL,791.0,791.0,41.92,949.2,25
CDM,872322,BRACE ANKL WLK LG TALL,791.0,791.0,105.99,949.2,24
CDM,872323,BRACE ANKL XL TALL,791.0,791.0,105.99,949.2,24
CDM,872324,BRACE LUMBR PANEL SUPP,342.0,342.0,18.13,410.4,49
CDM,872326,SYSTEM COR STNT 3.5X19MM,4790.0,4790.0,253.87,5748.0,20
CDM,872333,NAIL 1.5 130D 1038 L,6540.0,6540.0,346.62,7848.0,20
CDM,872336,SCREW BN 3.5MM 38MM,170.0,170.0,9.01,204.0,20
CDM,872338,PIN HLF EXFX 150X5MM,3930.0,3930.0,208.29,4716.0,49
CDM,872339,PLATE BN MED 3.5/4.5MM,3130.0,3130.0,165.89,3756.0,20
CDM,872340,SCREW BN 3.5X32MM,120.0,120.0,6.36,144.0,20
CDM,872350,GRAFT BN CANC PLUG 10MM,719.0,719.0,38.11,862.8,20
CDM,872390,CATH ATHRCM 145CM 1.25MM,25130.0,25130.0,1331.89,30156.0,49
CDM,872422,ALLOGRFT PTY TRELXC300ML,3400.0,3400.0,180.2,4080.0,20
CDM,872429,ANCHOR SUT 6.25MM 19.1MM,820.0,820.0,43.46,984.0,20
CDM,872438,NUT EXFX LNG M8 15MM,904.0,904.0,47.91,1084.8,49
CDM,872440,ROD EX FIX 6X 200MM THRD,2148.0,2148.0,113.84,2577.6,49
CDM,872441,NUT BN ORTH SHRT,611.0,611.0,32.38,733.2,49
CDM,872442,NUT CON EXFX RNG M6 6MM,633.0,633.0,33.55,759.6,49
CDM,872465,BLADE SHVR 13CM 5.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,872471,STAPLE MEMOFIX 15X15X15,1900.0,1900.0,100.7,2280.0,20
CDM,872476,SCREW BN 6.5MM 65MM,356.0,356.0,18.87,427.2,20
CDM,872477,SCREW BN 6.5MM 70MM,356.0,356.0,18.87,427.2,20
CDM,872507,CMPNT KN TIB SZ2,2600.0,2600.0,137.8,3120.0,20
CDM,872546,SCREW BN 3.5MM 20MM,170.0,170.0,9.01,204.0,20
CDM,872548,SCREW BN 3.5MM 22MM,170.0,170.0,9.01,204.0,20
CDM,872549,SCREW BN 3.5MM 22MM,170.0,170.0,9.01,204.0,20
CDM,872550,SCREW BN 3.5MM 26MM,170.0,170.0,9.01,204.0,20
CDM,872552,SCREW BN 3.5MM 24MM,170.0,170.0,9.01,204.0,20
CDM,872581,NAIL BN 10MM 18CM,3059.0,3059.0,162.13,3670.8,20
CDM,872582,NAIL BN TROCH 10MM 36CM,4345.0,4345.0,230.28,5214.0,20
CDM,872592,ROD SPNL CRV TI 70X5.5MM,360.0,360.0,19.08,432.0,20
CDM,872597,GW VASC 145CM .035IN STR,2564.0,2564.0,135.89,3076.8,49
CDM,872600,SYSTEM COR STNT 2.8X19MM,4790.0,4790.0,253.87,5748.0,20
CDM,872601,SYSTEM COR STNT 4X16MM,4790.0,4790.0,253.87,5748.0,20
CDM,872602,SYSTEM COR STNT 4X19MM,4790.0,4790.0,253.87,5748.0,20
CDM,872606,BLN ULTR ENDOSC BFUC160F,857.0,857.0,45.42,1028.4,49
CDM,872616,CMPNT FEM KN RT SZ3,3322.0,3322.0,176.07,3986.4,20
CDM,872619,STRUT EXFX STC MED 40MM,2397.0,2397.0,127.04,2876.4,49
CDM,872625,STENT VASC 10-8MM 30MM,3860.0,3860.0,204.58,4632.0,20
CDM,872655,PLATE BN 4 HL 3.5MM 87MM,2863.0,2863.0,151.74,3435.6,20
CDM,872684,CATH GD MP1 6FR 55CM,1741.0,1741.0,92.27,2089.2,49
CDM,872685,CATH GD RDC 6FR 55CM,1741.0,1741.0,92.27,2089.2,49
CDM,872697,PLATE RT MXLFCL 4 HL PRB,548.0,548.0,29.04,657.6,20
CDM,872712,CATH BLN 4X120MM 170CM,3864.0,3864.0,204.79,4636.8,49
CDM,872756,KWIRE FX 2.3MM 230MM,942.0,942.0,49.93,1130.4,49
CDM,872763,SCREW BN 5.5MM 65MM,606.0,606.0,32.12,727.2,20
CDM,872773,GRAFT STNT 34MM 100MM,33990.0,33990.0,1801.47,40788.0,20
CDM,872774,PLATE BN RT 2HL 85MM,2462.0,2462.0,130.49,2954.4,20
CDM,872778,INSERT ARTC GNS2 3-4 13M,1100.0,1100.0,58.3,1320.0,20
CDM,872779,CATH BLNDIL 1.5MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,872789,GWIRE ORTH 12IN 1.5X.062,1696.0,1696.0,89.89,2035.2,49
CDM,872847,NAIL BN 7MM 9.5MM 225MM,3406.0,3406.0,180.52,4087.2,20
CDM,872850,CMPNT TIB KN 42X72X25MM,3300.0,3300.0,174.9,3960.0,20
CDM,872851,CMPNT FEM KN64X49.3X10.5,3300.0,3300.0,174.9,3960.0,20
CDM,872876,CABLE LEAD TRAIL MULTI,2564.0,2564.0,135.89,3076.8,49
CDM,872877,LEAD ICD DEFIB 65CM,9500.0,9500.0,503.5,11400.0,20
CDM,872878,SCREW BN 4.5MM 60MM,362.0,362.0,19.19,434.4,20
CDM,872879,NAIL TIB MT 8.5X37MM,3486.0,3486.0,184.76,4183.2,20
CDM,872880,SCREW BN 4.5MM 35MM,362.0,362.0,19.19,434.4,20
CDM,872883,SCREW BN 5X42MM,316.0,316.0,16.75,379.2,20
CDM,872897,SCREW BN 3.5MM 20MM,398.0,398.0,21.09,477.6,20
CDM,872898,SCRW PLATE NLCK 3.5X24MM,488.0,488.0,25.86,585.6,20
CDM,872907,GWIRE VASC 30MM 260CM,2564.0,2564.0,135.89,3076.8,49
CDM,872943,TENDON ACHLS BNBLK 160MM,3352.0,3352.0,177.66,4022.4,20
CDM,872945,NEEDLE BSCP 22GA SYR STR,2564.0,2564.0,135.89,3076.8,49
CDM,872946,NEEDLE ASP 21G 20-40MM,2564.0,2564.0,135.89,3076.8,49
CDM,872947,COMP PS FEM CMNT SZ4+/R,3200.0,3200.0,169.6,3840.0,20
CDM,872949,TISSUE CRNMXF 38X50X3.0M,2400.0,2400.0,127.2,2880.0,20
CDM,872955,OBTURATOR CANN FLX 2.5MM,386.2,386.2,20.47,463.44,49
CDM,872956,PLATE BN FRAG DBL STK,1498.0,1498.0,79.39,1797.6,20
CDM,872974,CATH DLV SYS 5FR 120CM,2564.0,2564.0,135.89,3076.8,49
CDM,872999,CONNECTOR NRV 3X15MM,4388.0,4388.0,232.56,5265.6,20
CDM,873000,CONNECTOR NRV 5X15MM,4388.0,4388.0,232.56,5265.6,20
CDM,873010,SCREW BN 4MM 50MM,236.0,236.0,12.51,283.2,20
CDM,873018,SCREW SPN 5.5MM 40MM,1000.0,1000.0,53.0,1200.0,20
CDM,873020,CATH BLNDIL 2MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,873021,PLATE SPN 12MM,1900.0,1900.0,100.7,2280.0,20
CDM,873044,PLATE Y BN ULNA ORTHO,1498.0,1498.0,79.39,1797.6,20
CDM,873046,BLOCK ILIAC TRICRT 7X15,1100.32,1100.32,58.32,1320.38,20
CDM,873047,BLOCK TRICORT 8MM,1196.0,1196.0,63.39,1435.2,20
CDM,873048,BLOCK TRICORT 6MM,1196.0,1196.0,63.39,1435.2,20
CDM,873051,PIN FX TROC TIP STAB MED,1432.0,1432.0,75.9,1718.4,49
CDM,873080,CNNCTR ROD 5.5 XPDM CLS,700.0,700.0,37.1,840.0,20
CDM,873083,BIT DRILL CLBRT 3.2X180,2564.0,2564.0,135.89,3076.8,49
CDM,873098,GWIRE VASC .016IN 180CM,3235.0,3235.0,171.46,3882.0,49
CDM,873099,RETRIEVER VASC 6FR 90CM,5941.0,5941.0,314.87,7129.2,49
CDM,873104,STENT COR OTW 3X8MM,900.0,900.0,47.7,1080.0,20
CDM,873105,STENT COR OTW 3.5X8MM,900.0,900.0,47.7,1080.0,20
CDM,873106,STENT COR OTW 4X8MM,900.0,900.0,47.7,1080.0,20
CDM,873107,STENT COR OTW 2.25X12MM,900.0,900.0,47.7,1080.0,20
CDM,873108,STENT COR OTW 2.5X12MM,1180.0,1180.0,62.54,1416.0,20
CDM,873110,STENT COR OTW 2.75X12MM,1180.0,1180.0,62.54,1416.0,20
CDM,873111,STENT COR OTW 3X12MM,1180.0,1180.0,62.54,1416.0,20
CDM,873112,STENT COR OTW 3.5X12MM,1180.0,1180.0,62.54,1416.0,20
CDM,873113,STENT COR OTW 4X12MM,1000.0,1000.0,53.0,1200.0,20
CDM,873114,STENT COR OTW 4.5X12MM,1000.0,1000.0,53.0,1200.0,20
CDM,873115,STENT COR OTW 2.25X16MM,900.0,900.0,47.7,1080.0,20
CDM,873116,STENT COR OTW 2.5X16MM,1180.0,1180.0,62.54,1416.0,20
CDM,873117,STENT COR OTW 2.75X16MM,1000.0,1000.0,53.0,1200.0,20
CDM,873119,STENT COR OTW 3X16MM,1180.0,1180.0,62.54,1416.0,20
CDM,873120,STENT COR OTW 3.5X16MM,1000.0,1000.0,53.0,1200.0,20
CDM,873121,STENT COR OTW 4X16MM,1000.0,1000.0,53.0,1200.0,20
CDM,873122,STENT COR OTW 4.5X16MM,1000.0,1000.0,53.0,1200.0,20
CDM,873123,STENT COR OTW 2.25X20MM,900.0,900.0,47.7,1080.0,20
CDM,873124,STENT COR OTW 2.5X20MM,1180.0,1180.0,62.54,1416.0,20
CDM,873125,STENT COR OTW 2.75X20MM,1180.0,1180.0,62.54,1416.0,20
CDM,873126,STENT COR OTW 3X20MM,1000.0,1000.0,53.0,1200.0,20
CDM,873127,STENT COR OTW 3.5X20MM,1000.0,1000.0,53.0,1200.0,20
CDM,873128,STENT COR OTW 4X20MM,1000.0,1000.0,53.0,1200.0,20
CDM,873129,STENT COR OTW 4.5X20MM,900.0,900.0,47.7,1080.0,20
CDM,873130,STENT COR OTW 2.25X24MM,900.0,900.0,47.7,1080.0,20
CDM,873131,STENT COR OTW 2.5X24MM,900.0,900.0,47.7,1080.0,20
CDM,873132,STENT COR OTW 2.75X24MM,900.0,900.0,47.7,1080.0,20
CDM,873133,STENT COR OTW 3X24MM,900.0,900.0,47.7,1080.0,20
CDM,873134,STENT COR OTW 3.5X24MM,1180.0,1180.0,62.54,1416.0,20
CDM,873135,STENT COR OTW 4X24MM,900.0,900.0,47.7,1080.0,20
CDM,873136,STENT COR OTW 4.5X24MM,1000.0,1000.0,53.0,1200.0,20
CDM,873137,STENT COR OTW 2.25X28MM,1000.0,1000.0,53.0,1200.0,20
CDM,873138,STENT COR OTW 2.5X28MM,1000.0,1000.0,53.0,1200.0,20
CDM,873140,STENT COR OTW 3X28MM,1000.0,1000.0,53.0,1200.0,20
CDM,873141,STENT COR OTW 3.5X28MM,1180.0,1180.0,62.54,1416.0,20
CDM,873142,STENT COR OTW 4X28MM,1180.0,1180.0,62.54,1416.0,20
CDM,873143,STENT COR OTW 4.5X28MM,900.0,900.0,47.7,1080.0,20
CDM,873147,STENT COR OTW 2.75X32MM,1180.0,1180.0,62.54,1416.0,20
CDM,873148,STENT COR OTW 3X32MM,1000.0,1000.0,53.0,1200.0,20
CDM,873149,STENT COR OTW 3.5X32MM,900.0,900.0,47.7,1080.0,20
CDM,873150,STENT COR OTW 4X32MM,1000.0,1000.0,53.0,1200.0,20
CDM,873151,STENT COR OTW 4.5X32MM,1180.0,1180.0,62.54,1416.0,20
CDM,873201,COMPNT FEM PS CMNT SZ5-L,3200.0,3200.0,169.6,3840.0,20
CDM,873203,INSERT PS SZ5 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,873242,NAIL LONG IMHS CP 130DEG,3572.8,3572.8,189.36,4287.36,20
CDM,873243,CONNECTOR NRV 2X15MM,4388.0,4388.0,232.56,5265.6,20
CDM,873251,SCREW BN SPN 5.5MM 40MM,2000.0,2000.0,106.0,2400.0,20
CDM,873259,STENT COR OTW 2.25X8MM,900.0,900.0,47.7,1080.0,20
CDM,873260,STENT COR OTW 2.5X8MM,900.0,900.0,47.7,1080.0,20
CDM,873283,PLATE BN 6HL 78X3.5MM,1686.0,1686.0,89.36,2023.2,20
CDM,873291,BEARING TKR FEM SZ3-RT,3200.0,3200.0,169.6,3840.0,20
CDM,873292,INSERT TIB PRIM SZ2 11MM,1100.0,1100.0,58.3,1320.0,20
CDM,873301,NAIL INTRTN LT 1.5X10X32,3326.9,3326.9,176.33,3992.28,20
CDM,873302,INSERT KNEE APEX PS 4X14,1100.0,1100.0,58.3,1320.0,20
CDM,873316,KWIRE FX 1.2MM 150MM,942.0,942.0,49.93,1130.4,49
CDM,873321,SCREW BN 3.5MM 10MM,556.0,556.0,29.47,667.2,20
CDM,873325,GRAFT EVAS 26X14.5M 16CM,20590.0,20590.0,1091.27,24708.0,20
CDM,873328,SUTURE GRN BRD 4-0 30IN,146.0,146.0,7.74,175.2,49
CDM,873343,INTRODUCER SHTH 4.1MM 40,2564.0,2564.0,135.89,3076.8,49
CDM,873344,INTRO SHTH 12FR 4.1MM 80,2564.0,2564.0,135.89,3076.8,49
CDM,873345,INTRO SHTH 5.3MM 70CM,2564.0,2564.0,135.89,3076.8,49
CDM,873346,INTRO CATH 12FR 30CM,2317.0,2317.0,122.8,2780.4,49
CDM,873364,SCREW BN CANN 4.0X44MM,363.0,363.0,19.24,435.6,20
CDM,873391,NAIL INTRN 10X32X130 RT,6110.0,6110.0,323.83,7332.0,20
CDM,873393,NAIL INTRN 10X42X130 RT,6110.0,6110.0,323.83,7332.0,20
CDM,873395,CMPNT FEM KN MDL RT SZ5,3322.0,3322.0,176.07,3986.4,20
CDM,873396,BEARING TB UKA SZ4 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,873399,STEM FEM PS CMNT SZ3-L,3200.0,3200.0,169.6,3840.0,20
CDM,873409,SUTURE GRN BRD 3-0 30IN,144.0,144.0,7.63,172.8,49
CDM,873423,SHTH INTRO 24FR 28CM,4257.0,4257.0,225.62,5108.4,49
CDM,873424,APLR HLX W/ANCH 114CM,46010.0,46010.0,2438.53,55212.0,49
CDM,873469,DISC INTVRTB 17X6X15MM,9800.0,9800.0,519.4,11760.0,20
CDM,873473,CUP HUM SHLDR 42MM +6MM,1700.0,1700.0,90.1,2040.0,20
CDM,873479,ROD EXFIX THRD 120MM,2148.0,2148.0,113.84,2577.6,49
CDM,873488,SCREW CANN DS 2X38,550.0,550.0,29.15,660.0,20
CDM,873499,NAIL INTRN TRGN LT 36CM,6540.0,6540.0,346.62,7848.0,20
CDM,873503,BEARING TKA PS SZ3 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,873530,PLATE BN 2.7MM 75MM,1367.0,1367.0,72.45,1640.4,20
CDM,873533,GWIRE VASC FLX 260CM,2564.0,2564.0,135.89,3076.8,49
CDM,873593,SCREW BN CMPR 2.5X30MM,590.0,590.0,31.27,708.0,20
CDM,873594,GWIRE ORTH .034IN,980.0,980.0,51.94,1176.0,49
CDM,873608,SCREW PLT NLCK 3.5X90MM,548.0,548.0,29.04,657.6,20
CDM,873622,BEARING TIB SZ3 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,873639,CATH BLNDIL 18MM 40MM,3432.0,3432.0,181.9,4118.4,49
CDM,873640,CABLE SPN SS W/NDLE 5P,197.0,197.0,10.44,236.4,20
CDM,873641,CAGE SPN CNCRD 31X11X10,4500.0,4500.0,238.5,5400.0,20
CDM,873656,TROCAR LAPSCP 12MM 100MM,2564.0,2564.0,135.89,3076.8,49
CDM,873657,BIT DRL AVTR 14MM,2564.0,2564.0,135.89,3076.8,49
CDM,873660,SCREW BN 4MM 18MM,216.0,216.0,11.45,259.2,20
CDM,873661,SCREW DRACO LNG 3.5X14,450.0,450.0,23.85,540.0,20
CDM,873662,SCREW DRACO LNG 3.5X20,450.0,450.0,23.85,540.0,20
CDM,873666,PEG FX LNG 10MM,3300.0,3300.0,174.9,3960.0,20
CDM,873682,BAR EXFX TRAC TRV KT 600,13132.69,13132.69,696.03,15759.23,49
CDM,873683,BAR EX FIX 600MM,2564.0,2564.0,135.89,3076.8,49
CDM,873727,CATH ANGIO WDG 5F 110CM,2564.0,2564.0,135.89,3076.8,49
CDM,873733,PIN HLF 150MM 4/5MM,2564.0,2564.0,135.89,3076.8,49
CDM,873747,GRAFT STNT 38MM 107MM,30510.0,30510.0,1617.03,36612.0,20
CDM,873757,SCREW BN SPN 5.5MM 35MM,1700.0,1700.0,90.1,2040.0,20
CDM,873759,BEARING TKA PS SZ3 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,873760,BEARING TKA PS SZ4 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,873796,PLATE BN SMALL,628.0,628.0,33.28,753.6,20
CDM,873803,CATH BLDL 5X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,873806,FILTER VENACAV 49MM 65CM,1860.0,1860.0,98.58,2232.0,20
CDM,873807,FILTER VENACAV 49MM 65CM,1860.0,1860.0,98.58,2232.0,20
CDM,873808,PLATE BN 8H 145M 3.5MM,2638.0,2638.0,139.81,3165.6,20
CDM,873812,BASEPLATE TIB MOD RT SZ5,1800.0,1800.0,95.4,2160.0,20
CDM,873813,GRAFT CV 10X28MM 50CM,2022.0,2022.0,107.17,2426.4,20
CDM,873817,GRAFT CNRSTN TRCORT15X10,1100.32,1100.32,58.32,1320.38,20
CDM,873822,SET INFUS 21GAX.75,144.0,144.0,7.63,172.8,49
CDM,873823,KIT SHUNT W/CATHETER,6700.0,6700.0,355.1,8040.0,20
CDM,873832,PLATE BN 8H 2.4X68MM,651.0,651.0,34.5,781.2,20
CDM,873856,KIT BONE TAMP,20207.0,20207.0,1070.97,24248.4,49
CDM,873874,DRILL SURG UNV 200X2.4MM,2564.0,2564.0,135.89,3076.8,49
CDM,873875,WASHER EXFX CNCL SLT,675.85,675.85,35.82,811.02,49
CDM,873877,BEARING IBLNCE SZ3 14MM,1100.0,1100.0,58.3,1320.0,20
CDM,873878,BEARING TIB SZ6 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,873879,CHISEL NOTCH IBLNCE TKA,2036.16,2036.16,107.92,2443.39,49
CDM,873880,GD PIN 3.2MMX343MM,2564.0,2564.0,135.89,3076.8,49
CDM,873904,WAND BIP SLR 9.5 11IN,5941.0,5941.0,314.87,7129.2,49
CDM,873928,BASEPLATE TIB KN LT SZ2,1800.0,1800.0,95.4,2160.0,20
CDM,873935,CATH INFS 1.5/2.7F 1.5CM,13951.0,13951.0,739.4,16741.2,49
CDM,873936,CATH VASC 2.7F 165CM,13951.0,13951.0,739.4,16741.2,49
CDM,873962,PLATFORM ACC 10MM 12MM,6218.0,6218.0,329.55,7461.6,49
CDM,873974,SCREW BN 3.5MM 26MM,386.0,386.0,20.46,463.2,20
CDM,873986,CATH ANG .038IN 5F 125CM,746.0,746.0,39.54,895.2,49
CDM,873988,GWIRE VASC .035IN 260CM,2083.0,2083.0,110.4,2499.6,49
CDM,873991,GWRE GLD 038 260 ANG,1855.0,1855.0,98.31,2226.0,49
CDM,873996,CATH VASC MCR 5F 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,874001,SUTURE BLU MONO 6-0 30IN,5941.0,5941.0,314.87,7129.2,49
CDM,874008,KIT CATH PCNG RT1X110 5F,2564.0,2564.0,135.89,3076.8,49
CDM,874013,BEARING TIB SZ2 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,874030,SPACER FEM MNBLK R/M L/L,1450.0,1450.0,76.85,1740.0,20
CDM,874040,PASSER SUT 90D CRV STR,2564.0,2564.0,135.89,3076.8,49
CDM,874041,PASSER SUT CRESCENT,2564.0,2564.0,135.89,3076.8,49
CDM,874045,SCREW BN 2.5MM 16MM,770.0,770.0,40.81,924.0,20
CDM,874049,ROD SPN 5.5MM 70MM,360.0,360.0,19.08,432.0,20
CDM,874075,CATH ATHRCM 1.50MM 145CM,25130.0,25130.0,1331.89,30156.0,49
CDM,874095,CATH BLNDL 14X40MM 80CM,3432.0,3432.0,181.9,4118.4,49
CDM,874097,CATH BLN 7FR 14MM 120CM,3432.0,3432.0,181.9,4118.4,49
CDM,874098,CATH ANGIO 16MM 4CM 80CM,3432.0,3432.0,181.9,4118.4,49
CDM,874099,CATH BLN .035IN 8FR 16MM,3432.0,3432.0,181.9,4118.4,49
CDM,874100,CATH BLN ANGIO 40MM 80CM,3432.0,3432.0,181.9,4118.4,49
CDM,874101,CATH BLN 9FR 20MM 80CM,4585.0,4585.0,243.0,5502.0,49
CDM,874102,CATH BLN 9FR 20MM,4585.0,4585.0,243.0,5502.0,49
CDM,874108,CATH GD 4FR 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,874116,ROD SPN 130MM,360.0,360.0,19.08,432.0,20
CDM,874120,PLATE CALC SM TNM 13HL,4358.0,4358.0,230.97,5229.6,20
CDM,874130,PLATE BN FX RT CNTRL 3RD,1100.0,1100.0,58.3,1320.0,20
CDM,874142,TUBE TRCH 70MM 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,874144,SYSTEM PSTN MRDNN VG,5043.0,5043.0,267.28,6051.6,49
CDM,874184,SCREW BN CORT 36X4.5MM,84.0,84.0,4.45,100.8,20
CDM,874185,SCREW BN CRTCL 4.5X40MM,84.0,84.0,4.45,100.8,20
CDM,874188,DEVICE CLSR WND 14X14CM,1016.0,1016.0,53.85,1219.2,49
CDM,874193,COMPNT FEM PS CMNT SZ5-R,3200.0,3200.0,169.6,3840.0,20
CDM,874195,SHEARS ESURG 9CM,4716.0,4716.0,249.95,5659.2,49
CDM,874199,PASSER SUT 45D CRV LT,2564.0,2564.0,135.89,3076.8,49
CDM,874209,IMPLANT INTRPHANGEAL S2,4807.0,4807.0,254.77,5768.4,20
CDM,874210,DRILL BIT AO SIZE 1.5,2564.0,2564.0,135.89,3076.8,49
CDM,874212,DISC INTVRTB 15X5X13MM,9800.0,9800.0,519.4,11760.0,20
CDM,874216,SCREW BN 4MM 28MM,255.0,255.0,13.52,306.0,20
CDM,874251,IMPLANT BREAST 510CC,1672.0,1672.0,88.62,2006.4,20
CDM,874259,PLUG VASC 8MM 13.5MM,2440.0,2440.0,129.32,2928.0,20
CDM,874273,BEARNG TKA IBLN SZ7 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,874274,BEARNG TKA IBLN SZ8 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,874289,STENT URET 5FR 20CM,241.0,241.0,12.77,289.2,20
CDM,874291,STENT URET 5FR 22CM,241.0,241.0,12.77,289.2,20
CDM,874292,FIBER LASER PL 550 2.6M,4589.0,4589.0,243.22,5506.8,49
CDM,874293,FIBER LASER PL 365 2.6M,3481.0,3481.0,184.49,4177.2,49
CDM,874294,FIBER LASER 910,5941.0,5941.0,314.87,7129.2,49
CDM,874305,STENT EPRSTH 5MM 10CM,7156.0,7156.0,379.27,8587.2,20
CDM,874307,STENT EPRSTH 6MM 5CM,6228.0,6228.0,330.08,7473.6,20
CDM,874308,STENT EPRSTH 6MM 10CM,7156.0,7156.0,379.27,8587.2,20
CDM,874309,STENT EPRSTH 6MM 15CM,8234.0,8234.0,436.4,9880.8,20
CDM,874310,STENT EPRSTH 7MM 5.0CM,6228.0,6228.0,330.08,7473.6,20
CDM,874311,STENT EPRSTH 7MM 10CM,7156.0,7156.0,379.27,8587.2,20
CDM,874312,STENT EPRSTH 7MM 15CM,8234.0,8234.0,436.4,9880.8,20
CDM,874313,STENT EPRSTH 8MM 5.0CM,6228.0,6228.0,330.08,7473.6,20
CDM,874314,STENT EPRSTH 8MM 10CM,7156.0,7156.0,379.27,8587.2,20
CDM,874324,CATH OPRTV CHOLANGOGRPHY,855.0,855.0,45.31,1026.0,49
CDM,874325,SYSTEM END FX BLU 4.75MM,1280.0,1280.0,67.84,1536.0,20
CDM,874373,HEAD FEM HIP 3.5MM 28MM,1300.0,1300.0,68.9,1560.0,20
CDM,874380,SCREW BN 6.5MM 25MM,110.0,110.0,5.83,132.0,20
CDM,874383,STEM OSS P/C 12.5X90,2587.0,2587.0,137.11,3104.4,20
CDM,874387,PLATE LT UPFCL 8HL 90X.6,342.0,342.0,18.13,410.4,20
CDM,874410,GRAFT NRV 3-4MM 50MM,9188.0,9188.0,486.96,11025.6,20
CDM,874411,CONNECTOR NRV 4X15MM,4280.0,4280.0,226.84,5136.0,20
CDM,874412,NAIL INTRTN LT 1.5X10X32,6110.0,6110.0,323.83,7332.0,20
CDM,874413,SCREW BN 3.5MM 85MM,238.0,238.0,12.61,285.6,20
CDM,874414,SCREW BN 4MM 45MM,327.0,327.0,17.33,392.4,20
CDM,874415,DEVICE CLSR WND 24X24CM,721.0,721.0,38.21,865.2,49
CDM,874422,TRAY CATH 8FR 400ML,378.0,378.0,20.03,453.6,49
CDM,874437,INSRT HUM SHLDR 36X+3MM,2900.0,2900.0,153.7,3480.0,20
CDM,874449,BIT DRILL 2.4MM,2564.0,2564.0,135.89,3076.8,49
CDM,874457,STENT URET 5FR 28CM,249.0,249.0,13.2,298.8,20
CDM,874461,NAIL BN 130D 1.5X3MM,4345.0,4345.0,230.28,5214.0,20
CDM,874468,STENT VNS 9FR 8MM 60MM,4500.0,4500.0,238.5,5400.0,20
CDM,874488,ENVELOPE MESH 2.9X3.3IN,1790.0,1790.0,94.87,2148.0,20
CDM,874505,BIT DRILL 2.3MM 120MM,942.0,942.0,49.93,1130.4,49
CDM,874513,NUT EXFX CNCT PST 2.5MM,1433.78,1433.78,75.99,1720.54,49
CDM,874519,BURR SURG 6MM 1.1MM,2564.0,2564.0,135.89,3076.8,49
CDM,874525,GWIRE ORTHO 3MM 900MM,2620.0,2620.0,138.86,3144.0,49
CDM,874527,RING EXFX OPEN 140MM,6483.0,6483.0,343.6,7779.6,49
CDM,874528,RING EXFX SGMNT 140MM,6102.0,6102.0,323.41,7322.4,49
CDM,874531,NAIL BN FEM 11.5MM 38CM,4345.0,4345.0,230.28,5214.0,20
CDM,874540,BEARING TIB SZ3 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,874557,CMPNT FEM KN SZ4,2500.0,2500.0,132.5,3000.0,20
CDM,874563,ALLOGRFT MEMB 4X8CM,10700.0,10700.0,567.1,12840.0,20
CDM,874565,KIT ARTHSCP FX 12X2.4MM,2489.0,2489.0,131.92,2986.8,20
CDM,874589,NAIL INTRTN 10MM 34CM LT,4345.0,4345.0,230.28,5214.0,20
CDM,874597,SCRW 3.5X28MM LCKNG PLAT,670.0,670.0,35.51,804.0,20
CDM,874616,BEARING TIB SZ5 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,874622,FILLER BN 10ML,5390.0,5390.0,285.67,6468.0,20
CDM,874624,SCREW BN 3.5MMX26MM,84.0,84.0,4.45,100.8,20
CDM,874625,SCREW BN 3.5MM 30M,63.0,63.0,3.34,75.6,20
CDM,874626,SCREW BN 4MM 22MM,200.0,200.0,10.6,240.0,20
CDM,874627,SCREW BN 4X24MM,200.0,200.0,10.6,240.0,20
CDM,874628,SCREW BN 4MM 26MM,298.0,298.0,15.79,357.6,20
CDM,874629,SCREW BN 4MM 28MM,200.0,200.0,10.6,240.0,20
CDM,874630,SCREW BN 4MMX55MM,200.0,200.0,10.6,240.0,20
CDM,874631,SCREW BN 4MM 60MM,298.0,298.0,15.79,357.6,20
CDM,874632,SCREW BN 4MMX65MM,298.0,298.0,15.79,357.6,20
CDM,874633,SCREW BN 4X70MM,298.0,298.0,15.79,357.6,20
CDM,874634,SCREW BN 4MM 60MM,68.0,68.0,3.6,81.6,20
CDM,874635,PLATE BN 4HL 121MM,2470.0,2470.0,130.91,2964.0,20
CDM,874658,SUTURE GUT 5-0 18IN,161.0,161.0,8.53,193.2,49
CDM,874663,PIN GUIDE 2.0 X 3.0 12MM,1131.0,1131.0,59.94,1357.2,49
CDM,874671,LIGATOR ENDO 9.5-13MM,2607.0,2607.0,138.17,3128.4,49
CDM,874689,NAIL BN RT 11.5MM 36CM,4345.0,4345.0,230.28,5214.0,20
CDM,874702,LUBRICANT MIXTURE 20CC,3675.0,3675.0,194.78,4410.0,49
CDM,874707,SCRW OSTEONG 4.022MM,586.0,586.0,31.06,703.2,20
CDM,874714,NAIL TIB 10.5X320MM,3925.0,3925.0,208.03,4710.0,20
CDM,874716,KWIRE FX 1.6X150,983.14,983.14,52.11,1179.77,49
CDM,874728,SCREW BN 2.4MM 18MM,231.0,231.0,12.24,277.2,20
CDM,874729,SCREW BN 2.4MM 14MM,280.0,280.0,14.84,336.0,20
CDM,874730,SCREW BN 2.4MM 18MM,280.0,280.0,14.84,336.0,20
CDM,874731,SCREW BN 2.4X20MM,280.0,280.0,14.84,336.0,20
CDM,874738,SCREW BN 2.5MM 13MM,590.0,590.0,31.27,708.0,20
CDM,874744,SCREW BN 2.8MM 14MM QFIX,590.0,590.0,31.27,708.0,20
CDM,874752,CANN PRFSN 9FR 5.5IN,560.0,560.0,29.68,672.0,49
CDM,874759,INSRT ACTB HIP X3 32H,3000.0,3000.0,159.0,3600.0,20
CDM,874760,GRAFT CANC FRZE-DR 15CC,377.6,377.6,20.01,453.12,20
CDM,874781,PLATE BN RT 5H 100D 2MM,350.0,350.0,18.55,420.0,20
CDM,874796,STNT VASC 8/6X40MM 135CM,2590.0,2590.0,137.27,3108.0,20
CDM,874805,SCREW BN 3.5MM 90MM,425.0,425.0,22.52,510.0,20
CDM,874858,KIT CATH 28GA 1.2FR 25CM,2473.0,2473.0,131.07,2967.6,49
CDM,874871,CMPNT KN PTLA DOME 41MM,700.0,700.0,37.1,840.0,20
CDM,874872,CMPNT FEM KN LT SZ5,2500.0,2500.0,132.5,3000.0,20
CDM,874875,STENT VNS 9FR 8MM 40MM,4500.0,4500.0,238.5,5400.0,20
CDM,874882,SYSTEM CATH ARTHRCM 135C,28091.0,28091.0,1488.82,33709.2,49
CDM,874883,GWIRE VASC ORBT 360,2564.0,2564.0,135.89,3076.8,49
CDM,874887,PLATE BN 2.7MM 88MM,2149.0,2149.0,113.9,2578.8,20
CDM,874888,NAIL ARTHDS RT 10X540,11509.44,11509.44,610.0,13811.33,20
CDM,874889,PLATE 122X122X5MM 6HL,8421.0,8421.0,446.31,10105.2,20
CDM,874891,BEARING TIB SZ5 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,874892,BEARING TIB SZ2 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,874902,SCREW TRA CANN 3.5X18,4344.0,4344.0,230.23,5212.8,20
CDM,874907,KIT INSTR BX 18GA 10CM,1836.0,1836.0,97.31,2203.2,49
CDM,874908,KIT BX 18GA 16CM,1836.0,1836.0,97.31,2203.2,49
CDM,874909,KIT INSTR BX 18GA 20CM,1836.0,1836.0,97.31,2203.2,49
CDM,874910,KIT BX 10CM 20GA 19GA,1836.0,1836.0,97.31,2203.2,49
CDM,874912,KIT BX 20GA 16CM,1836.0,1836.0,97.31,2203.2,49
CDM,874923,SCREW BN 3.5MM 10MM,170.0,170.0,9.01,204.0,20
CDM,874934,SCREW BN 3.5MM 52MM,62.0,62.0,3.29,74.4,20
CDM,874935,BEARING TIB SZ6 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,874937,CATH CV 5FR,2564.0,2564.0,135.89,3076.8,49
CDM,874958,CLAMP EXFX MNI-FXTR BRDG,2505.72,2505.72,132.8,3006.86,49
CDM,874959,KIT MNI-FIXATOR MEDIUM,9875.25,9875.25,523.39,11850.3,49
CDM,874966,STEM FEM 135D 12/14 SZ12,8883.0,8883.0,470.8,10659.6,20
CDM,874981,DEVICE CLSR CLP INT 50MM,5400.0,5400.0,286.2,6480.0,20
CDM,874986,BEARING TIB SZ6 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,875023,STNT VASC 8/6X30MM 135CM,2590.0,2590.0,137.27,3108.0,20
CDM,875033,NAIL BN FEM 11.5MM 32CM,4345.0,4345.0,230.28,5214.0,20
CDM,875046,INSERT PS TIB SZ2 16MM,1100.0,1100.0,58.3,1320.0,20
CDM,875105,SCREW VIPR PLOY 8X45 TI,1450.0,1450.0,76.85,1740.0,20
CDM,875111,ROD SPN 150MM 5.5MM,360.0,360.0,19.08,432.0,20
CDM,875144,GEL DRSG THERAHONEY .5OZ,126.0,126.0,6.68,151.2,49
CDM,875150,PARTICLE EMB S220GH,516.0,516.0,27.35,619.2,20
CDM,875154,GRAFT EVAS 14.5MM 14CM,20590.0,20590.0,1091.27,24708.0,20
CDM,875166,SCREW BN 4.5X42.5MM,362.0,362.0,19.19,434.4,20
CDM,875187,BOLT ACS LAT TROCH 32MM,756.0,756.0,40.07,907.2,20
CDM,875211,PLATE CLAV SS RT 3RD,1100.0,1100.0,58.3,1320.0,20
CDM,875226,BASEPLATE TIB KN RT SZ4,1800.0,1800.0,95.4,2160.0,20
CDM,875270,SCREW CANC 5X70MM,245.0,245.0,12.98,294.0,20
CDM,875288,SCREW SPN 4.5MM 30MM,1200.0,1200.0,63.6,1440.0,20
CDM,875289,SCREW SPN 4.5MM 45MM,1000.0,1000.0,53.0,1200.0,20
CDM,875334,SCREW BN 4MM 18MM,294.0,294.0,15.58,352.8,20
CDM,875335,SCREW BN 5MM 50MM,268.0,268.0,14.2,321.6,20
CDM,875351,SCREW SPN 4MM 26MM,900.0,900.0,47.7,1080.0,20
CDM,875365,SCREW SPN 4.5MM 35MM,1000.0,1000.0,53.0,1200.0,20
CDM,875366,SCREW BN SPN 4.5MM 40MM,1000.0,1000.0,53.0,1200.0,20
CDM,875385,GRAFT STNT 32MM 49MM,9150.0,9150.0,484.95,10980.0,20
CDM,875390,SCREW PDCL SLFTP 5.5X45,1440.0,1440.0,76.32,1728.0,20
CDM,875392,BODY FEM MOD RSTR 19MM,6085.0,6085.0,322.5,7302.0,20
CDM,875399,GUIDEWIRE BEAD TIP 2.6MM,2564.0,2564.0,135.89,3076.8,49
CDM,875458,NAIL BN TROCH 10MM 32CM,4345.0,4345.0,230.28,5214.0,20
CDM,875463,NAIL BN 10S 130X10MM40CM,4086.0,4086.0,216.56,4903.2,20
CDM,875467,CATH BLNDL 4X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,875468,CATH BLNDL 6X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,875476,CATH DRN 10.2FR 25CM,2564.0,2564.0,135.89,3076.8,49
CDM,875477,CATH DRN 12FR 25CM,2564.0,2564.0,135.89,3076.8,49
CDM,875504,SCREW NRMD NLCKG 3.5X24,232.5,232.5,12.32,279.0,20
CDM,875507,SCREW NRMD NLCKG 3.5X30,232.5,232.5,12.32,279.0,20
CDM,875512,GRAFT NRV 1-2MM 70MM,11896.0,11896.0,630.49,14275.2,20
CDM,875522,BEARING TKA IBLNCE SZ4,1100.0,1100.0,58.3,1320.0,20
CDM,875525,CATH DRN 10FR 25CM 8HL,1982.0,1982.0,105.05,2378.4,49
CDM,875530,SCREW BN 5MM 2MM,210.0,210.0,11.13,252.0,20
CDM,875537,BIT DRL 3MM STRL,2564.0,2564.0,135.89,3076.8,49
CDM,875542,SHELL ACTB HIP 54MM,2000.0,2000.0,106.0,2400.0,20
CDM,875557,SHEATH GD 5FR 70CM,2564.0,2564.0,135.89,3076.8,49
CDM,875559,INTRODUCER SHTH 7FR 70CM,2564.0,2564.0,135.89,3076.8,49
CDM,875560,CATH GD 2.3FR 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,875561,CATHETER ANGIO 2.3F 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,875562,CATH GD 2.3FR 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,875563,CATH SUPP 2.3FR 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,875564,CATH GD 4FR 135CM,2564.0,2564.0,135.89,3076.8,49
CDM,875613,PROTECTOR NRV 10X40MM,5818.0,5818.0,308.35,6981.6,20
CDM,875614,GRAFT NRV 3-4MM 70MM,18754.0,18754.0,993.96,22504.8,20
CDM,875630,SCREW BN 4MM 46MM 15.5MM,294.0,294.0,15.58,352.8,20
CDM,875634,KIT LGMNT REPR FX,2150.0,2150.0,113.95,2580.0,20
CDM,875674,CATH BLN 2X210MM 150CM,3917.0,3917.0,207.6,4700.4,49
CDM,875676,CATH BLN 4.0X210MM 150CM,3917.0,3917.0,207.6,4700.4,49
CDM,875680,SCREW BN LCK 2.4X10MM,170.0,170.0,9.01,204.0,20
CDM,875685,PLATE BN 4HL 1.3MM,2696.0,2696.0,142.89,3235.2,20
CDM,875686,COUNTERBORE HL 3 IN 1 OR,897.0,897.0,47.54,1076.4,49
CDM,875687,DRILL SURG 2.6MM 130MM,942.0,942.0,49.93,1130.4,49
CDM,875693,SYSTEM XTRN DRN CSF,2564.0,2564.0,135.89,3076.8,49
CDM,875694,FORCEP IRR SM BIP 7IN 1M,5732.0,5732.0,303.8,6878.4,49
CDM,875696,PLATE 90D 4M R 9H CRNMXF,833.0,833.0,44.15,999.6,20
CDM,875697,PLATE BN CMF LT 9HL 4MM,850.0,850.0,45.05,1020.0,20
CDM,875698,KIT CATH RTRV20MM .014IN,55923.0,55923.0,2963.92,67107.6,49
CDM,875727,STEM HUM SHLDR 8MM 122MM,5400.0,5400.0,286.2,6480.0,20
CDM,875745,SCREW BN 3.5MM 20MM,170.0,170.0,9.01,204.0,20
CDM,875746,NEOX CORD 1K 12 SQCM,10325.0,10325.0,547.23,12390.0,30
CDM,875752,SCREW BN 4.6X38MM,590.0,590.0,31.27,708.0,20
CDM,875774,SCREW SPN 4.5MM 25MM,1000.0,1000.0,53.0,1200.0,20
CDM,875790,BLADE CUT 1.5MM 98CM,23308.0,23308.0,1235.32,27969.6,49
CDM,875795,PLATE BN 8HL 2.7/3.5MM,3461.0,3461.0,183.43,4153.2,20
CDM,8758,IDARUBICIN 10 MG INJ,4589.0,4589.0,243.22,5506.8,30
CDM,8758,"Injection, idarubicin hydrochloride, 5 mg ",4589.0,4589.0,38.57,38.57,1
CDM,875800,PLATE-T SHAPE RT 6HL,3766.0,3766.0,199.6,4519.2,20
CDM,875803,SCREW BN LCK 2.2X8MM,636.0,636.0,33.71,763.2,20
CDM,875804,SCREW BN LAG 2.2X12MM,464.0,464.0,24.59,556.8,20
CDM,875833,KT INTRO SHTH 6FR 10CM,2261.0,2261.0,119.83,2713.2,49
CDM,875837,HOLDER PLATE THRD LARGE,2564.0,2564.0,135.89,3076.8,49
CDM,875874,CATH OCC BLN TRANS 7X7,11433.0,11433.0,605.95,13719.6,49
CDM,875876,CATH INFS MIC 150CM,7781.0,7781.0,412.39,9337.2,49
CDM,875877,MCTH CRBRVASC 150CMX18CM,7781.0,7781.0,412.39,9337.2,49
CDM,875884,GRAFT STNT 103MM 14-28MM,16700.0,16700.0,885.1,20040.0,20
CDM,875920,SCREW BN 7MM 85MM,382.0,382.0,20.25,458.4,20
CDM,875936,NAIL FEM LT 11.5MM 42CM,4345.0,4345.0,230.28,5214.0,20
CDM,875939,PLATE BN DIST ULNA,1654.0,1654.0,87.66,1984.8,20
CDM,875945,SCREW SPN 4.5MM 14MM,150.0,150.0,7.95,180.0,20
CDM,875955,DEVICE CLSR WND 2-0 30CM,755.0,755.0,40.02,906.0,49
CDM,875974,SCREW SPN CORT 8X50MM,1200.0,1200.0,63.6,1440.0,20
CDM,875979,SCREW SPN 8MM 55MM,1200.0,1200.0,63.6,1440.0,20
CDM,875980,DEVICE CLSR CLP INT 35MM,2400.0,2400.0,127.2,2880.0,20
CDM,875981,DEVICE CLSR CLP INT 40MM,2400.0,2400.0,127.2,2880.0,20
CDM,875992,PLATE MDFC 5H Y LCK 8MM,430.0,430.0,22.79,516.0,20
CDM,875994,SURFACE ARTC ROT 1-6-B,3735.0,3735.0,197.96,4482.0,20
CDM,875997,GRAFT BN 20MM,1582.0,1582.0,83.85,1898.4,20
CDM,875999,SPACER INTPOS 5MMX8CM,2590.0,2590.0,137.27,3108.0,20
CDM,876002,XNMTRX AB 5.9X7.9,17300.0,17300.0,916.9,20760.0,20
CDM,876003,SCREW BN 4.7MM 35MM ACTR,1066.0,1066.0,56.5,1279.2,20
CDM,876006,STEM HUM 14X129MM,3200.0,3200.0,169.6,3840.0,20
CDM,876009,SCREW BN CMPR 70/65MM,1309.0,1309.0,69.38,1570.8,20
CDM,876048,DRESSING FOM 9.1X8.7IN,320.0,320.0,16.96,384.0,49
CDM,876056,SCREW BN LCK 2.7X20MM 4F,714.0,714.0,37.84,856.8,20
CDM,876079,POST CMPRS DSTRC 2.7MM,1597.48,1597.48,84.67,1916.98,49
CDM,876081,SCREW BN 5.0MM 48MM,316.0,316.0,16.75,379.2,20
CDM,876085,TUBING PUMP SINGLE 3.5M,2564.0,2564.0,135.89,3076.8,49
CDM,876091,SCREW BN LCKNG 2.2X10MM,668.0,668.0,35.4,801.6,20
CDM,876095,SPACER SPN VBR 11X14X23,5007.6,5007.6,265.4,6009.12,20
CDM,876104,SCREW SPN 3.5MM 14MM,1000.0,1000.0,53.0,1200.0,20
CDM,876119,COIL EMBL 2CM 1MM,3956.0,3956.0,209.67,4747.2,20
CDM,876120,COIL EMBL 3CM 1MM,3956.0,3956.0,209.67,4747.2,20
CDM,876121,COIL EMBL 2CM 1.5MM,3956.0,3956.0,209.67,4747.2,20
CDM,876122,COIL EMBL 1.5MM 3CM,3956.0,3956.0,209.67,4747.2,20
CDM,876123,COIL EMBL 4CM 1.5MM,3956.0,3956.0,209.67,4747.2,20
CDM,876127,PLATE BN 16 HL 4.5MM,3755.0,3755.0,199.01,4506.0,20
CDM,876128,SCREW 10MM 2.3MM XDR LCK,144.0,144.0,7.63,172.8,20
CDM,876130,SCREW BN 4MM 20MM,294.0,294.0,15.58,352.8,20
CDM,876131,TUBE LARYNGECTOMY 6,1300.0,1300.0,68.9,1560.0,49
CDM,876132,BRA POSTOP VLCR 2XL,572.0,572.0,30.32,686.4,49
CDM,876133,BRA POSTOP VLCR 3XL,572.0,572.0,30.32,686.4,49
CDM,876149,CATH BLN .035 8X80X80,2564.0,2564.0,135.89,3076.8,49
CDM,876165,PLATE BN CRV 0.8MM,1094.0,1094.0,57.98,1312.8,20
CDM,876177,BIT DRILL TWST STRL 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,876182,SEALER TISS 45CM 5MM,5290.0,5290.0,280.37,6348.0,49
CDM,876184,NAIL BN 7MM 9.5MM 240MM,3406.0,3406.0,180.52,4087.2,20
CDM,876185,SCREW BN 6.5MM 95MM 40MM,326.0,326.0,17.28,391.2,20
CDM,876187,BEARING TIB SZ3 11MM,1100.0,1100.0,58.3,1320.0,20
CDM,876188,BEARING TIB SZ5 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,876190,COMPNT FEM KN RT SZ4,2500.0,2500.0,132.5,3000.0,20
CDM,876219,SCREW BN 4.5MM 38MM,994.0,994.0,52.68,1192.8,20
CDM,876228,BODY PROX HIP 20MM 85MM,4698.0,4698.0,248.99,5637.6,20
CDM,876229,STEM FEM HIP 18MM 140MM,3928.0,3928.0,208.18,4713.6,20
CDM,876241,SCREW BN 4MM 24MM,590.0,590.0,31.27,708.0,20
CDM,876251,PLATE CNTRL LT CLVCL 3RD,1100.0,1100.0,58.3,1320.0,20
CDM,876255,DEVICE BRST IMPLNT DLVRY,2564.0,2564.0,135.89,3076.8,49
CDM,876340,SCREW BN F-T 4.6X26MM,700.0,700.0,37.1,840.0,20
CDM,876342,SCREW BN 4MM 22MM,590.0,590.0,31.27,708.0,20
CDM,876365,SET BRUSHES PWRD 2 EA,2564.0,2564.0,135.89,3076.8,49
CDM,876371,COIL EMBL 60CM 12MM STD,2500.0,2500.0,132.5,3000.0,20
CDM,876373,CLAMP SURG 45IN,1673.0,1673.0,88.67,2007.6,49
CDM,876376,NAIL INTRTN TRGN R 10X40,6540.0,6540.0,346.62,7848.0,20
CDM,876383,KIT ENDO INST PSHLK 17GA,2882.0,2882.0,152.75,3458.4,49
CDM,876404,GRAFT VASC 6CM 40CM,2718.0,2718.0,144.05,3261.6,20
CDM,876407,PROTECTOR WND MED,3144.0,3144.0,166.63,3772.8,49
CDM,876409,BEARING TKA IBL SZ4 11MM,1100.0,1100.0,58.3,1320.0,20
CDM,876412,SCREW CORT LPRO 3.5X55,60.9,60.9,3.23,73.08,20
CDM,876413,SCREW CORT LPRO 3.5X45,60.9,60.9,3.23,73.08,20
CDM,876415,PLATE BN LCK 14HL 182MM,1491.0,1491.0,79.02,1789.2,20
CDM,876442,DRESSING ANMC 4X4IN,219.0,219.0,11.61,262.8,49
CDM,876444,SCREW DNFX CORT 20X120,354.0,354.0,18.76,424.8,20
CDM,876447,GRAFT CV 20MM 30CM,830.0,830.0,43.99,996.0,20
CDM,876451,DEVICE CLSR WND +1 45CM,874.0,874.0,46.32,1048.8,49
CDM,876452,DEVICE CLSR WND 0 45CM,3646.0,3646.0,193.24,4375.2,49
CDM,876453,DEVICE CLS WND +2-0 45CM,3646.0,3646.0,193.24,4375.2,49
CDM,876455,GWIRE ORTH .045IN,44.0,44.0,2.33,52.8,49
CDM,876463,BODY FEM MILLED DP 23MM,6085.0,6085.0,322.5,7302.0,20
CDM,876478,CMPNT FEM KN RT NAR SZ5,3000.0,3000.0,159.0,3600.0,20
CDM,876485,PLATE BN 6HL 147MM,2520.0,2520.0,133.56,3024.0,20
CDM,876486,SCREW BN 4MM 50MM,68.0,68.0,3.6,81.6,20
CDM,876487,SCREW BN 4MM 50MM,200.0,200.0,10.6,240.0,20
CDM,876488,SCREW BN 3.5X42MM,84.0,84.0,4.45,100.8,20
CDM,876489,SCREW BN 3.5MM 44MM,63.0,63.0,3.34,75.6,20
CDM,876490,SCREW BN 3.5MM 50M,84.0,84.0,4.45,100.8,20
CDM,876491,SCREW BN 3.5X65MM,58.0,58.0,3.07,69.6,20
CDM,876493,SCREW BN P-AX 5MM 30MM,84.0,84.0,4.45,100.8,20
CDM,876504,CMPNT FEM KN SZ5N,2500.0,2500.0,132.5,3000.0,20
CDM,876544,SCREW BN 6.5MM 100MM 40M,356.0,356.0,18.87,427.2,20
CDM,876545,KWIRE FX 150MM 3.2MM,1759.0,1759.0,93.23,2110.8,49
CDM,876555,GWIRE VASC HTORQ 18GA,2564.0,2564.0,135.89,3076.8,49
CDM,876581,COMPONENT FEM KN RT SZ6,3200.0,3200.0,169.6,3840.0,20
CDM,876593,BEARING TKA IBLN SZ5 11M,1100.0,1100.0,58.3,1320.0,20
CDM,876612,PLATE BN SPRPCTNL RGHT,4080.0,4080.0,216.24,4896.0,20
CDM,876622,GDPIN HEADLESS 65MM,2564.0,2564.0,135.89,3076.8,49
CDM,876623,GDPIN HEADLESS 46MM,2564.0,2564.0,135.89,3076.8,49
CDM,876627,SCREW BN 3.5MM 20MM,386.0,386.0,20.46,463.2,20
CDM,876647,PROSTH PENL PUMP PL 18CM,598.0,598.0,31.69,717.6,20
CDM,876653,SNARE MED OVL2.3MM 230CM,490.0,490.0,25.97,588.0,49
CDM,876685,SPACER SPN NVGT 26X8 4DG,5400.0,5400.0,286.2,6480.0,20
CDM,876691,PLATE BN 6HL 147MM,2520.0,2520.0,133.56,3024.0,20
CDM,876692,SCREW BN 3.5MM 34MM,84.0,84.0,4.45,100.8,20
CDM,876693,SCREW BN 3.5X38MM,84.0,84.0,4.45,100.8,20
CDM,876694,SCREW BN 4MM 36MM,250.0,250.0,13.25,300.0,20
CDM,876695,SCREW BN 4X75MM,298.0,298.0,15.79,357.6,20
CDM,876696,SCREW BN 4X80MM,200.0,200.0,10.6,240.0,20
CDM,876697,SCREW BN 4MM 85MM,200.0,200.0,10.6,240.0,20
CDM,876699,SCREW BN 2.4MM 10MM,70.0,70.0,3.71,84.0,20
CDM,876700,SCREW BN 2.4MM 9MM,70.0,70.0,3.71,84.0,20
CDM,876704,DRILL FOR 2.4MM,2564.0,2564.0,135.89,3076.8,49
CDM,876706,SCREW BN 2.4X3.8X12MM,73.0,73.0,3.87,87.6,20
CDM,876712,SCREW BN 2.4X3.8X13,73.0,73.0,3.87,87.6,20
CDM,876714,SCREW BN 2.4MM 16MM,224.0,224.0,11.87,268.8,20
CDM,876723,DRILL SURG 1.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,876724,DRILL SURG 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,876725,DRILL SURG 1.8MM DISP,2564.0,2564.0,135.89,3076.8,49
CDM,876730,CATH BLNDL 8X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,876731,CATH BLDL 4X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,876734,STAPLER INT VASC 35MM,3756.0,3756.0,199.07,4507.2,49
CDM,876735,RELOAD STPLR 35MM,286.0,286.0,15.16,343.2,20
CDM,876742,SCREW BN 4X20MM,304.0,304.0,16.11,364.8,20
CDM,876745,SCREW BN 4MM 34MM,342.0,342.0,18.13,410.4,20
CDM,876746,SCREW BN 4MM 40MM,342.0,342.0,18.13,410.4,20
CDM,876747,SCREW BN 4MM 44MM,326.0,326.0,17.28,391.2,20
CDM,876748,SCREW BN 4MM 50MM,171.0,171.0,9.06,205.2,20
CDM,876753,SPACER SPN NVGT 8X26 0DG,5400.0,5400.0,286.2,6480.0,20
CDM,876788,SCREW SPN 7.5MM 45MM,1000.0,1000.0,53.0,1200.0,20
CDM,876790,SCREW SPN 6.5MM 45MM,900.0,900.0,47.7,1080.0,20
CDM,876792,RELOAD STPLR 60MM,248.0,248.0,13.14,297.6,20
CDM,876793,RELOAD STPLR 60MM,282.0,282.0,14.95,338.4,20
CDM,876795,RELOAD STPLR 60MM,282.0,282.0,14.95,338.4,20
CDM,876796,RELOAD STPLR 60MM,282.0,282.0,14.95,338.4,20
CDM,876797,RELOAD STPLR 60MM,268.0,268.0,14.2,321.6,20
CDM,876798,STAPLER INT CTR 60MM,4531.0,4531.0,240.14,5437.2,49
CDM,876799,STAPLER INT LNG 60MM,4386.0,4386.0,232.46,5263.2,49
CDM,876802,STENT EPRSTH 7MM 25CM,13558.0,13558.0,718.57,16269.6,20
CDM,876807,CAGE LOOP 9X32.5 6DEG,5400.0,5400.0,286.2,6480.0,20
CDM,876808,ROD SPNL CURV 5.5X120MM,360.0,360.0,19.08,432.0,20
CDM,876820,SUT LBRLTP 1.5MM36IN BLK,2564.0,2564.0,135.89,3076.8,49
CDM,876823,SCREW BN SS 7X70X16MM,382.0,382.0,20.25,458.4,20
CDM,876829,BLD SHVR 13CM 3.5MM SJNT,445.0,445.0,23.59,534.0,49
CDM,876833,PROBE CRYOABLTN 10CM 3,17448.0,17448.0,924.74,20937.6,49
CDM,876839,GRAFT BN CANC 30CC,725.0,725.0,38.42,870.0,20
CDM,876840,BEARING TIB SZ4 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,876842,SCREW BN 4.5MM 32.5MM,362.0,362.0,19.19,434.4,20
CDM,876843,SCREW BN 4.5MM 37.5MM,432.0,432.0,22.9,518.4,20
CDM,876871,DEVICE CLSR WND 3-0 30CM,615.0,615.0,32.59,738.0,49
CDM,876875,CRYOPROBE CARTRG URTH,5985.0,5985.0,317.2,7182.0,49
CDM,876876,BRACE ORTH RT ELB UNV,2564.0,2564.0,135.89,3076.8,49
CDM,876886,CATH BLNDIL 4MM 40MM,9715.0,9715.0,514.89,11658.0,49
CDM,876887,CATH BLNDIL 4MM 80MM,9715.0,9715.0,514.89,11658.0,49
CDM,876888,CATH BLNDIL 4MM 120MM,9715.0,9715.0,514.89,11658.0,49
CDM,876889,CATH BLNDIL 5MM 40MM,9715.0,9715.0,514.89,11658.0,49
CDM,876890,CATH BLNDIL 5MM 80MM,9715.0,9715.0,514.89,11658.0,49
CDM,876891,CATH BLNDIL 5MM 120MM,9715.0,9715.0,514.89,11658.0,49
CDM,876892,CATH BLNDIL 6MM 40MM,9715.0,9715.0,514.89,11658.0,49
CDM,876893,CATH BLNDIL 6MM 60MM,9715.0,9715.0,514.89,11658.0,49
CDM,876894,CATH BLNDIL 6MM 80MM,9715.0,9715.0,514.89,11658.0,49
CDM,876895,CATH BLNDIL 6MM 120MM,9715.0,9715.0,514.89,11658.0,49
CDM,876896,CATH BLNDIL 7MM 40MM,9715.0,9715.0,514.89,11658.0,49
CDM,876897,CATH BLNDIL 7MM 60MM,9715.0,9715.0,514.89,11658.0,49
CDM,876902,ROD CONN SPN MED 3.5MM,700.0,700.0,37.1,840.0,20
CDM,876923,KIT INTL BRACE 4.75X15MM,2390.0,2390.0,126.67,2868.0,20
CDM,876924,SCREW BN 3.5MM 40MM,224.0,224.0,11.87,268.8,20
CDM,876925,COMPNT FEM CMNT LT SZ1,3200.0,3200.0,169.6,3840.0,20
CDM,876926,INSERT TIB KN SZ1 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,876943,SCREW TI 4MM X 42MM,304.0,304.0,16.11,364.8,20
CDM,876959,COMP PS INSRT SZ5 11MM,1100.0,1100.0,58.3,1320.0,20
CDM,876962,COMP PS INSRT SZ1 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,876986,PLATE BN FEM RT 9H 146MM,3008.0,3008.0,159.42,3609.6,20
CDM,876989,DRIVER SURG CONN SCREW,942.0,942.0,49.93,1130.4,49
CDM,876990,PLATE 100D 12M RT CRNMXF,569.0,569.0,30.16,682.8,20
CDM,876991,PLATE TIB TRA LCKG 6HL,7290.0,7290.0,386.37,8748.0,20
CDM,876996,KWIRE FX 2MM 150MM,1232.0,1232.0,65.3,1478.4,49
CDM,877003,BEARING TIB SZ7 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,877041,CABLE ORTH SONGR 402-522,197.28,197.28,10.46,236.74,20
CDM,877089,ADHESIVE SKNCLS 22CM,3749.0,3749.0,198.7,4498.8,49
CDM,877096,PLATE BN 2.7/3.5MM,3426.0,3426.0,181.58,4111.2,20
CDM,877106,PLATE TIB TRA LCK 6HL-L,7290.0,7290.0,386.37,8748.0,20
CDM,877107,CUP HUM SHLDR 42MM +6MM,1827.0,1827.0,96.83,2192.4,20
CDM,877182,SCREW SPN 8MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,877183,SCREW SPN CORT 8X45MM,1200.0,1200.0,63.6,1440.0,20
CDM,877212,CAP PRTC 11MM,758.0,758.0,40.17,909.6,49
CDM,877224,GRAFT BN CANC 20CC,541.0,541.0,28.67,649.2,20
CDM,877229,SCREW BN 4MM 48MM,342.0,342.0,18.13,410.4,20
CDM,877249,TRAY BX BSC NO NDL,474.0,474.0,25.12,568.8,49
CDM,877252,GRAFT CV 10X34MM 50CM,2022.0,2022.0,107.17,2426.4,20
CDM,877278,SCREW BN 4MM 28MM,294.0,294.0,15.58,352.8,20
CDM,877280,SCREW BN 4MM 42MM,434.0,434.0,23.0,520.8,20
CDM,877282,PLATE BN MED 10-12MM,2854.0,2854.0,151.26,3424.8,20
CDM,877303,RETR ESCPC DISP 22MM 4CM,2868.0,2868.0,152.0,3441.6,49
CDM,877328,BODY HUM SHLDR 12MM 135D,1500.0,1500.0,79.5,1800.0,20
CDM,877339,NAIL BN LT 8.5MM 255MM,3406.0,3406.0,180.52,4087.2,20
CDM,877346,CATH BLN 8X40MM 80CM,2564.0,2564.0,135.89,3076.8,49
CDM,877363,GRAFT ILIAC PLUG 20X30,3886.0,3886.0,205.96,4663.2,20
CDM,877377,DEVICE WNDCLS SZ0 6IN,1091.0,1091.0,57.82,1309.2,49
CDM,877378,CATH BLDL 5X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,877381,CATH GD IMA 6FR 55CM,1741.0,1741.0,92.27,2089.2,49
CDM,877390,CAGE SPN 17X14X8MM,1600.0,1600.0,84.8,1920.0,20
CDM,877405,GRAFT ILIAC PLUG 14X30,3886.0,3886.0,205.96,4663.2,20
CDM,877423,GRAFT EVAS 26X14.5M 12CM,21104.0,21104.0,1118.51,25324.8,20
CDM,877442,GCATH BENCHMARK 071IN 6F,6956.0,6956.0,368.67,8347.2,49
CDM,877445,PLATE BN 8HL,3128.0,3128.0,165.78,3753.6,20
CDM,877448,SCREW BN 3X24MM,300.0,300.0,15.9,360.0,20
CDM,877451,SCREW BN 4MM 22MM 8MM,294.0,294.0,15.58,352.8,20
CDM,877454,PLATE BN 2.7MM 142MM,2911.0,2911.0,154.28,3493.2,20
CDM,877455,NUT CMPR TROCH FX NAIL,880.59,880.59,46.67,1056.71,49
CDM,877494,ROD SPN 50MM 5.5MM,360.0,360.0,19.08,432.0,20
CDM,877569,CMPNT FEM KN 71MM 66MM,6932.0,6932.0,367.4,8318.4,20
CDM,877577,BIT DRL 4.5X200MM,2564.0,2564.0,135.89,3076.8,49
CDM,877600,SCREW BN 2.7X4.5X14MM,84.0,84.0,4.45,100.8,20
CDM,877602,SCREW BN LCK 2.7MM 16MM,260.0,260.0,13.78,312.0,20
CDM,877603,SCREW BN 2.7MM 18MM,260.0,260.0,13.78,312.0,20
CDM,877604,SCREW BN LCK T8 2.7X15MM,260.0,260.0,13.78,312.0,20
CDM,877605,DRILL SURG SHRT MINI 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,877654,INSERT TIB PS SZ4 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,877661,GRAFT EVAS 14.5MM 12CM,21104.0,21104.0,1118.51,25324.8,20
CDM,877686,GW VASC 175X.035 JTIP,2564.0,2564.0,135.89,3076.8,49
CDM,877699,SYSTEM ENDO DSCT,6412.0,6412.0,339.84,7694.4,49
CDM,877705,DRESSING WND AG 6X6IN,560.0,560.0,29.68,672.0,49
CDM,877717,GRAFT CV 10X30MM 50CM,2022.0,2022.0,107.17,2426.4,20
CDM,877735,DISTRACTOR SCREW 16MM,2564.0,2564.0,135.89,3076.8,49
CDM,877737,SCREWDRVR T10 AO ST BLDE,2564.0,2564.0,135.89,3076.8,49
CDM,877781,EXPANDER TISS 800ML 9200,2900.0,2900.0,153.7,3480.0,20
CDM,877798,SCREW BN 3.5MM 34MM,386.0,386.0,20.46,463.2,20
CDM,877806,TRNQT 4TB 1SNR 7.5IN,360.0,360.0,19.08,432.0,49
CDM,877809,SCREW BN 1.5MM 9MM,191.0,191.0,10.12,229.2,20
CDM,877826,SLEEVE NAIL INS 8-11MM,2564.0,2564.0,135.89,3076.8,49
CDM,877828,INSERT TIB 4 KNEE,4000.0,4000.0,212.0,4800.0,20
CDM,877832,TISSUE SYN TNDN 4MM 22CM,3388.0,3388.0,179.56,4065.6,20
CDM,877838,SCREW BN 2.4MM 16MM TI L,280.0,280.0,14.84,336.0,20
CDM,877841,CAGE ACCULIF 8-12X11X34,7600.0,7600.0,402.8,9120.0,20
CDM,877872,STEM FEM HIP 185MM 11MM,8882.0,8882.0,470.75,10658.4,20
CDM,877873,SCREW BN 3.5MM 32MM,170.0,170.0,9.01,204.0,20
CDM,877876,SCREW BN 3.5MM 40MM,170.0,170.0,9.01,204.0,20
CDM,877879,SCREW BN 3.5MM 36MM,170.0,170.0,9.01,204.0,20
CDM,877880,SCREW BN HEADED 4MM 48MM,300.0,300.0,15.9,360.0,20
CDM,877883,SCREW BN 5.5MM 50MM,1590.0,1590.0,84.27,1908.0,20
CDM,877884,GWIRE TROCH TIP 2X55MM,942.0,942.0,49.93,1130.4,49
CDM,877885,DRILL SURG CANN 3.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,877927,CATH ATHRCM 6.6CM 114CM,24443.0,24443.0,1295.48,29331.6,49
CDM,877937,SCREW PDCL SLFTP 6.25X30,1440.0,1440.0,76.32,1728.0,20
CDM,877938,SCREW PDCL SLFTP 6.25X35,1440.0,1440.0,76.32,1728.0,20
CDM,877939,CNNCTR ROD TANDM 5.5-6MM,1000.0,1000.0,53.0,1200.0,20
CDM,877940,CONNECT CRX MLTSPN 31-39,1000.0,1000.0,53.0,1200.0,20
CDM,877964,PLATE BN L RIGHT,640.0,640.0,33.92,768.0,20
CDM,877968,CMPNT FEM KN RT SZ7,2500.0,2500.0,132.5,3000.0,20
CDM,877973,COIL EMBL 3.5MM 8CM,3956.0,3956.0,209.67,4747.2,20
CDM,877982,CMPNT PTLR KN 9MM 29MM,860.0,860.0,45.58,1032.0,20
CDM,877983,COMPNT PTLR KN 10X35MM,860.0,860.0,45.58,1032.0,20
CDM,877993,GUIDE PIN 358X3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,878028,KIT CNNSTR FAT GRAFT SYS,5941.0,5941.0,314.87,7129.2,49
CDM,878029,CATH BLDL 12X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,878031,SCREW BN 3.5MM 38MM,90.0,90.0,4.77,108.0,20
CDM,878037,ROD EX FIX 6MM 250MM,2420.0,2420.0,128.26,2904.0,49
CDM,878049,WASHER RND 12.7X8MM,165.0,165.0,8.74,198.0,20
CDM,878054,SCREW BN 5.5MM 65MM,606.0,606.0,32.12,727.2,20
CDM,878056,SCREW BN 5.5MM 75MM,606.0,606.0,32.12,727.2,20
CDM,878063,SCREW BN 4MM 46MM,171.0,171.0,9.06,205.2,20
CDM,878070,ADHESIVE SKNCLS .4ML,357.0,357.0,18.92,428.4,49
CDM,878074,CAGE SPNL COGAR 55X18X12,8000.0,8000.0,424.0,9600.0,20
CDM,878079,TUBE T-SHP 4200-SRS SZ15,2564.0,2564.0,135.89,3076.8,49
CDM,878080,TUBE T-SHP 4200-SRS SZ13,2564.0,2564.0,135.89,3076.8,49
CDM,878081,INSERT ARTC KN 1-2 25MM,3190.0,3190.0,169.07,3828.0,20
CDM,878104,BIT DRILL CALI 4.3X320MM,2564.0,2564.0,135.89,3076.8,49
CDM,878115,PIN HLF EX FX 200X6X35MM,2564.0,2564.0,135.89,3076.8,49
CDM,878128,GRAFT ST TIS 230MM 4+MM,2367.0,2367.0,125.45,2840.4,20
CDM,878151,CATH ABL 8FR 115CM,13212.0,13212.0,700.24,15854.4,49
CDM,878160,INSERT TIB KN STAB 7 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,878165,SCREW BN NS LCK 5X34MM,304.0,304.0,16.11,364.8,20
CDM,878188,NAIL BN FEM 11.5MM 32CM,4086.0,4086.0,216.56,4903.2,20
CDM,878189,PLATE 100D 12M LT CRNMXF,745.0,745.0,39.48,894.0,20
CDM,878194,INSERT HUM SHLDR 36MM,1358.0,1358.0,71.97,1629.6,20
CDM,878206,MESH SURG SYMBOTEX 25X20,2858.36,2858.36,151.49,3430.03,20
CDM,878207,COMPONENT POLY PTRL10X35,500.0,500.0,26.5,600.0,20
CDM,878208,PLATE MTRX ADP 7 HL,718.0,718.0,38.05,861.6,20
CDM,878224,PLATE BN 1.3MM,775.0,775.0,41.08,930.0,20
CDM,878300,STENT EPRSTH 6MM 2.5CM,6228.0,6228.0,330.08,7473.6,20
CDM,878301,STENT EPRSTH 7MM 2.5CM,6228.0,6228.0,330.08,7473.6,20
CDM,878303,STENT EPRSTH 8MM 15CM,8234.0,8234.0,436.4,9880.8,20
CDM,878314,CATH HEMO 14.5F 23CM,4819.0,4819.0,255.41,5782.8,49
CDM,878325,SCREW SPN 6MM 55MM,1300.0,1300.0,68.9,1560.0,20
CDM,878326,SCREW BN 7MM 55MM TI COR,1200.0,1200.0,63.6,1440.0,20
CDM,878330,SCREW POLY PED 5.5X30MM,1440.0,1440.0,76.32,1728.0,20
CDM,878331,SCREW POLY PED 5.5X35MM,1440.0,1440.0,76.32,1728.0,20
CDM,878332,CONNCTOR SPN CRS 28-33MM,1000.0,1000.0,53.0,1200.0,20
CDM,878336,DRILL SHNK QCK-RLS 3X4,1001.28,1001.28,53.07,1201.54,49
CDM,878338,PIN THRD QCK-RLS 4.0MM,1075.2,1075.2,56.99,1290.24,49
CDM,878341,PLATE BN DRSL MTP 4D LT,500.0,500.0,26.5,600.0,20
CDM,878348,NAIL BN LT 1.5MM 40CM,4086.0,4086.0,216.56,4903.2,20
CDM,878355,ANCH SUT 4.5MM 40MM,500.0,500.0,26.5,600.0,20
CDM,878392,SCREW LP CORT NLCK 3.5X8,430.0,430.0,22.79,516.0,20
CDM,878393,SCREW LP CORT NLCK3.5X10,430.0,430.0,22.79,516.0,20
CDM,878402,INSERT TIB APX PS 11 SZ1,1100.0,1100.0,58.3,1320.0,20
CDM,878404,CMPNT HUM SHLDR LT SZ2,5078.0,5078.0,269.13,6093.6,20
CDM,878405,DEVICE CLSR CLP INT 45MM,2400.0,2400.0,127.2,2880.0,20
CDM,878406,DEVICE CLSR CLP INT 50MM,2400.0,2400.0,127.2,2880.0,20
CDM,878423,PACEMKR ACLD RT ATR L301,3150.0,3150.0,166.95,3780.0,20
CDM,878433,SCREW BN 2.7MM 11MM,279.0,279.0,14.79,334.8,20
CDM,878454,SCREW BN 10.35MM 90MM,1320.0,1320.0,69.96,1584.0,20
CDM,878457,FLXIGRFT TNDN 170-225MM,2120.0,2120.0,112.36,2544.0,20
CDM,878467,STEM FEM SZ10 135D 180MM,8882.0,8882.0,470.75,10658.4,20
CDM,878471,SCREW BN 3.5MM 24MM,386.0,386.0,20.46,463.2,20
CDM,878477,PLATE MSH ORB RSRB 40X40,1513.0,1513.0,80.19,1815.6,20
CDM,878478,NAIL BN TROCH 10MM 32CM,4345.0,4345.0,230.28,5214.0,20
CDM,878479,PLATE BN 11 HL 56MM,1516.0,1516.0,80.35,1819.2,20
CDM,878482,BIT DRL TRA 3.5MM SPEED,5022.0,5022.0,266.17,6026.4,49
CDM,878484,ELECTRDE BIP YLW 24 26FR,4527.0,4527.0,239.93,5432.4,49
CDM,878491,INSERT TB CNGRT SZ1 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,878501,STENT VNS 9FR 10MM 40MM,4500.0,4500.0,238.5,5400.0,20
CDM,878502,STENT VNS 10FR 13.5X60MM,4500.0,4500.0,238.5,5400.0,20
CDM,878504,PLATE BN CMPR,1100.0,1100.0,58.3,1320.0,20
CDM,878532,FILLER BN VOID 5CC,1300.0,1300.0,68.9,1560.0,20
CDM,878546,SCREW BN 2.7MM 18MM,90.0,90.0,4.77,108.0,20
CDM,878558,GWIRE RSN HC 035 260,270.34,270.34,14.33,324.41,49
CDM,878561,CATH BLDL 5X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,878562,CAGE AERO-AL12D 26X32X15,11100.0,11100.0,588.3,13320.0,20
CDM,878567,SCREW LCK MLT-DRCTL 30MM,302.3,302.3,16.02,362.76,20
CDM,878580,SCREW BN 3.5XL32MM,58.0,58.0,3.07,69.6,20
CDM,878581,PLATE BN 2HL 95MM,3020.0,3020.0,160.06,3624.0,20
CDM,878586,COMPNT FEM KN SZ4,3000.0,3000.0,159.0,3600.0,20
CDM,878591,CATH BLNDL 4FR 2.5MM 170,3235.0,3235.0,171.46,3882.0,49
CDM,878592,CATH BLNDIL 3.5MM 170CM,3262.0,3262.0,172.89,3914.4,49
CDM,878642,SCREW BIODRV TI P-T 4X48,530.0,530.0,28.09,636.0,20
CDM,878669,GRAFT BN FILLER VD 10CC,2300.0,2300.0,121.9,2760.0,20
CDM,878673,SCREW BN 2MM 14MM,148.0,148.0,7.84,177.6,20
CDM,878676,NEOX CORD 1K 24 SQCM,17850.0,17850.0,946.05,21420.0,30
CDM,878686,SCREW BN 6.5MM 50MM,900.0,900.0,47.7,1080.0,20
CDM,878730,PLATE BN CNTR 3HL,1590.0,1590.0,84.27,1908.0,20
CDM,878735,PENCIL ESURG 10FT 3/8IN,678.0,678.0,35.93,813.6,49
CDM,878786,INSERT HUM SHLDR +3X36MM,2000.0,2000.0,106.0,2400.0,20
CDM,878801,CATH CHLGM 4FR 50CM,2564.0,2564.0,135.89,3076.8,49
CDM,878820,CAGE SPN CNCRD 31X11X9,4500.0,4500.0,238.5,5400.0,20
CDM,878822,COLLAR CERV PED 5 37-48I,761.0,761.0,101.97,913.2,24
CDM,878826,COLLAR CERV 1 22-33IN,761.0,761.0,101.97,913.2,24
CDM,878827,COLLAR CERV 4 35-45IN,761.0,761.0,101.97,913.2,24
CDM,878829,BAG BLOOD ATS 600ML,912.0,912.0,48.34,1094.4,49
CDM,878836,CNTRSNK MNSTR HEAD 4.5MM,50.0,50.0,2.65,60.0,49
CDM,878838,KIT PRSS MNTR TRNDC 4FR,6773.0,6773.0,358.97,8127.6,49
CDM,878846,SCREW SET SPN PDCL CANN,100.0,100.0,5.3,120.0,20
CDM,878847,SCREW SPN 5.5MM 50MM,1000.0,1000.0,53.0,1200.0,20
CDM,878848,SCREW SPN 5.5MM 45MM,1000.0,1000.0,53.0,1200.0,20
CDM,878850,SCREW SPN 6.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,878854,SCREW SPN 5.5MM 40MM,1000.0,1000.0,53.0,1200.0,20
CDM,878882,SCREW HT X-DRV EMR 1.8X5,176.0,176.0,9.33,211.2,20
CDM,878886,SCREW BN 3.5X150MM,157.0,157.0,8.32,188.4,20
CDM,878893,PLATE VA-LCP NRW L 6HX4H,2034.48,2034.48,107.83,2441.38,20
CDM,878894,NAIL BN 11.5MM 40CM,4086.0,4086.0,216.56,4903.2,20
CDM,878899,DRILL FLL LNGTH 2.3MM,897.0,897.0,47.54,1076.4,49
CDM,878911,STENT VASC 30MM 100MM,33990.0,33990.0,1801.47,40788.0,20
CDM,878922,CATH EP 7FR 110CM,11658.0,11658.0,617.87,13989.6,49
CDM,878928,CANN PRFSN 17L 1MM 1.8IN,385.0,385.0,20.41,462.0,49
CDM,878932,STENT GRAFT 16X13X82MM,8230.0,8230.0,436.19,9876.0,20
CDM,878934,SCREW SPN LOCKING,252.0,252.0,13.36,302.4,20
CDM,878936,CAGE CAPRI 2-34X24X30MM,7195.0,7195.0,381.33,8634.0,20
CDM,878952,KIT ORTHOGNATHIC CRNMXF,21863.0,21863.0,1158.74,26235.6,49
CDM,878957,PLATE BN RT 5HL 121MM,2149.0,2149.0,113.9,2578.8,20
CDM,878961,PLATE BN 6HL 12MM,819.0,819.0,43.41,982.8,20
CDM,878963,PLATE BN 2.7MM 85MM,2216.0,2216.0,117.45,2659.2,20
CDM,878964,NAIL FEM RT 11.5MM 42CM,6540.0,6540.0,346.62,7848.0,20
CDM,878978,MESH PHASIX 3IN RND,2069.0,2069.0,109.66,2482.8,20
CDM,878979,EXTENSION FEM HIP 50MM,3940.0,3940.0,208.82,4728.0,20
CDM,878984,DILATOR VSC 8F 20CM,320.0,320.0,16.96,384.0,49
CDM,878987,CMPNT PTLR KN 10MM 32MM,860.0,860.0,45.58,1032.0,20
CDM,879019,MATRIX EXTRACELLULAR 1CC,1960.0,1960.0,103.88,2352.0,20
CDM,879042,CAGE ARDIS 13X11X26MM,5000.0,5000.0,265.0,6000.0,20
CDM,879051,BLADE OPTH 7MM 15.8MM,2564.0,2564.0,135.89,3076.8,49
CDM,879075,SUTURE BRD 30IN,3546.0,3546.0,187.94,4255.2,49
CDM,879077,SCREW 3.5X12 LOPRO LCK,170.0,170.0,9.01,204.0,20
CDM,879096,SCREW SPN 7.5MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,879130,RING EXFX 2/3 230MM,5592.38,5592.38,296.4,6710.86,49
CDM,879160,PLUG OCL 12X6.5X5MM,3200.0,3200.0,169.6,3840.0,20
CDM,879179,IMP BRST NTRL MH FPJ 140,2600.0,2600.0,137.8,3120.0,20
CDM,879201,CONN ROD SPN 5.5X5.5MM,700.0,700.0,37.1,840.0,20
CDM,879223,TRAY CATH WO/CATH,337.0,337.0,17.86,404.4,49
CDM,879224,TRAY CATH 16FR,870.0,870.0,46.11,1044.0,49
CDM,879256,PLUG OCL 12X5.3X3MM,3200.0,3200.0,169.6,3840.0,20
CDM,879286,KIT CATH 27CM 16FR STR,4093.0,4093.0,216.93,4911.6,49
CDM,879287,CATH URET 22FR 2W 30CC,302.0,302.0,16.01,362.4,49
CDM,879289,CATH BLNDL 8X60MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,879291,CATH BLNDL 7X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,879301,COIL EMBL 30CM 8MM,5143.0,5143.0,272.58,6171.6,20
CDM,879305,SCREW BN 6.5MM 75MM 40MM,356.0,356.0,18.87,427.2,20
CDM,879319,PLATE BN 105MM 2.7MM,1534.0,1534.0,81.3,1840.8,20
CDM,879342,BIT DRL GRY BI-DRV 4X125,820.71,820.71,43.5,984.85,49
CDM,879360,WIRE FX 150X1.25MM CANN,2564.0,2564.0,135.89,3076.8,49
CDM,879361,DRILL SRG AO CANN 2.4MM,2975.0,2975.0,157.68,3570.0,49
CDM,879373,SCREW BN F-T 4X50MM,473.0,473.0,25.07,567.6,20
CDM,879378,KWIRE FX 150MM 3.2MM,2403.0,2403.0,127.36,2883.6,49
CDM,879381,CAGE CPRI CRPCTMY8X24X30,16795.0,16795.0,890.13,20154.0,20
CDM,879386,TROCAR LAPSCP 100X12MM,644.0,644.0,34.13,772.8,49
CDM,879392,FLEXHD 128 SQCM,24094.0,24094.0,1276.98,28912.8,30
CDM,879396,HFMAN LRF RTCH WRNCH,5941.0,5941.0,314.87,7129.2,49
CDM,879400,BIT DRILL 2.7MM,3655.0,3655.0,193.72,4386.0,49
CDM,879404,SCREW BN 4MM 48MM TGR CS,955.5,955.5,50.64,1146.6,20
CDM,879420,PLATE 6X17 2MM,3272.0,3272.0,173.42,3926.4,20
CDM,879423,PIN TROC TP STB LNG.75IN,551.04,551.04,29.21,661.25,49
CDM,879424,PLATE ANTER BRIM 14HL LT,2164.0,2164.0,114.69,2596.8,20
CDM,879437,FILLER BN VOID 35X15MM,990.0,990.0,52.47,1188.0,20
CDM,879472,SCREW BN 4.5MM 28MM,42.0,42.0,2.23,50.4,20
CDM,879489,SCREW BN 5MM 85MM,416.0,416.0,22.05,499.2,20
CDM,879490,SCREW BN 5.0MM 80MM,362.0,362.0,19.19,434.4,20
CDM,879492,CURETTE ENDO 11G,5941.0,5941.0,314.87,7129.2,49
CDM,879495,CATH BLNDL URET 4CM 5MM,2792.0,2792.0,147.98,3350.4,49
CDM,879501,KIT AOR VLV 14FR 29MM,65000.0,65000.0,3445.0,78000.0,20
CDM,879511,SCREW BN 4MM 70MM 23.5MM,274.0,274.0,14.52,328.8,20
CDM,879515,GRAFT BN FRZN 10X72MM,4340.0,4340.0,230.02,5208.0,20
CDM,879516,FILLER BN CORT PWDR 15CC,294.0,294.0,15.58,352.8,20
CDM,879527,PLATE BN 6HL 117X3.5MM,2686.0,2686.0,142.36,3223.2,20
CDM,879528,BRACE HUM SHLDR 14-17IN,1719.0,1719.0,230.35,2062.8,24
CDM,879529,SHOULDER BRACE-MEDIUM,1727.0,1727.0,91.53,2072.4,49
CDM,879530,SHOULDER BRACE-LARGE,1727.0,1727.0,91.53,2072.4,49
CDM,879531,SHOULDER BRACE-SMALL,1727.0,1727.0,91.53,2072.4,49
CDM,879536,SCREW SPN 5MM 35MM,1450.0,1450.0,76.85,1740.0,20
CDM,879548,KWIRE FX 1.1MM 150MM,942.0,942.0,49.93,1130.4,49
CDM,879566,PLATE BN 6HL,3128.0,3128.0,165.78,3753.6,20
CDM,879585,PLATE BN TIB 2HL 95MM,2420.0,2420.0,128.26,2904.0,20
CDM,879586,KWIRE FX 234MM 2MM,50.0,50.0,2.65,60.0,49
CDM,879587,SCREW BN 3.5X48MM,74.0,74.0,3.92,88.8,20
CDM,879588,KIT BIOPSY BONE 11GA,2564.0,2564.0,135.89,3076.8,49
CDM,879600,CURETTE SPN 10G,5941.0,5941.0,314.87,7129.2,49
CDM,879601,IMPL GEL VOC CRD INJ 1ML,5941.0,5941.0,796.09,7129.2,24
CDM,879606,CMPNT PTLA KN DOME 38MM,700.0,700.0,37.1,840.0,20
CDM,879607,INSERT TIB KN SZ3 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,879611,SCREW P-AX PED ST 5.5X40,1440.0,1440.0,76.32,1728.0,20
CDM,879612,SCREW P-AX PED ST4.75X35,1440.0,1440.0,76.32,1728.0,20
CDM,879613,SCREW P-AX PED ST4.75X30,1440.0,1440.0,76.32,1728.0,20
CDM,879614,GUIDEWIRE ORT TI IM 2.5M,289.65,289.65,15.35,347.58,49
CDM,879615,SCREW SPN 6X36MM,150.0,150.0,7.95,180.0,20
CDM,879629,PLATE BN TIB 10HL 175MM,2520.0,2520.0,133.56,3024.0,20
CDM,879630,SCREW BN 4X42MM,200.0,200.0,10.6,240.0,20
CDM,879632,SCREW BN 3.5MM 20MM,58.0,58.0,3.07,69.6,20
CDM,879633,SCREW BN 3.5MM 22MM,74.0,74.0,3.92,88.8,20
CDM,879634,SCREW BN 3.5MM 24MM,84.0,84.0,4.45,100.8,20
CDM,879635,SCREW BN 3.5MM 40MM,84.0,84.0,4.45,100.8,20
CDM,879657,SCREW BN 4.5MM 45MM,362.0,362.0,19.19,434.4,20
CDM,879667,SCREW BN 2X12MM,640.0,640.0,33.92,768.0,20
CDM,879669,GRAFT ST TIS 3X2CM,1520.0,1520.0,80.56,1824.0,49
CDM,879700,SCREW BN LPRO 3.5MM 46MM,172.0,172.0,9.12,206.4,20
CDM,879712,CATH BLDL 5X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,879713,SCREW BN 3.5MM 85M,58.0,58.0,3.07,69.6,20
CDM,879734,STENT VASC 6X40MM 135CM,2590.0,2590.0,137.27,3108.0,20
CDM,879736,STENT VASC 6X30MM 135CM,2590.0,2590.0,137.27,3108.0,20
CDM,879742,SCREW BN 3.5MM 6MM 18MM,44.0,44.0,2.33,52.8,20
CDM,879746,NAIL BN TROCH 10MM 38CM,4086.0,4086.0,216.56,4903.2,20
CDM,879748,PIN HALF EXFX 5X180X50MM,4470.0,4470.0,236.91,5364.0,49
CDM,879750,CLAMP ROD TO ROD 9.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,879763,SCREW BN 4MM 28MM 9.5MM,236.0,236.0,12.51,283.2,20
CDM,879774,DILATOR SURG HDRPH 14FR,2564.0,2564.0,135.89,3076.8,49
CDM,879775,SCREW BN 2.5MM 14MM,242.0,242.0,12.83,290.4,20
CDM,879776,SCREW BN 3.5MM 8MM,156.0,156.0,8.27,187.2,20
CDM,879777,SCREW BN 3.5MM 9MM,156.0,156.0,8.27,187.2,20
CDM,879780,SCREW BN 2.7X4.5X10MM,244.0,244.0,12.93,292.8,20
CDM,879782,TROCAR OPTW BLDLS 5X75MM,2564.0,2564.0,135.89,3076.8,49
CDM,879783,SUTURE BLU MONO 7-0 18IN,780.0,780.0,41.34,936.0,49
CDM,879788,TRACKER PT NINVS DISP,2564.0,2564.0,135.89,3076.8,49
CDM,879800,SCREW BN 4MM 48MM,269.0,269.0,14.26,322.8,20
CDM,879811,CTHDX INF 5FMP JR4JL4PIG,975.0,975.0,51.67,1170.0,49
CDM,879817,CMPNT KN RT SZ3,2300.0,2300.0,121.9,2760.0,20
CDM,879818,BOLT ORTH 34MM,756.0,756.0,40.07,907.2,20
CDM,879821,PATCH CV 7X15CM ECM,11442.0,11442.0,606.43,13730.4,20
CDM,879837,SET SCREW SPNL LCK,83.0,83.0,4.4,99.6,20
CDM,879858,SYSTEM INTRO 7FR 19.5CM,392.0,392.0,20.78,470.4,49
CDM,879887,SCREW CAN LOPRO 3X12MM,710.0,710.0,37.63,852.0,20
CDM,879889,DEVICE CLSR WND +0 45CM,3646.0,3646.0,193.24,4375.2,49
CDM,879892,SCREW LCKNG 3.5X30MM,754.0,754.0,39.96,904.8,20
CDM,879902,SCREW BN 3.5MM 28MM,170.0,170.0,9.01,204.0,20
CDM,879903,SCREW BN 3.5MM 30MM,170.0,170.0,9.01,204.0,20
CDM,879906,SCREW BN 3.5MM 26MM,170.0,170.0,9.01,204.0,20
CDM,879915,PLATE BN 3D LEFT,1138.0,1138.0,60.31,1365.6,20
CDM,879916,PLATE BN CMPR LCK SZ2,902.0,902.0,47.81,1082.4,20
CDM,879926,SCREW BN 4MM 44MM,347.0,347.0,18.39,416.4,20
CDM,879939,GRAFT EVAS 27MM 14CM,8658.0,8658.0,458.87,10389.6,20
CDM,879957,SCREW LAG 85MM,1020.0,1020.0,54.06,1224.0,20
CDM,879959,CAGE AERO-AL 8D 26X32X11,15210.0,15210.0,806.13,18252.0,20
CDM,879981,SCREW BN 5MM 40MM,270.0,270.0,14.31,324.0,20
CDM,879989,SCREW SPN PDCL 5X35MM,1700.0,1700.0,90.1,2040.0,20
CDM,879999,NAIL TIB 10MM 31CM,2398.0,2398.0,127.09,2877.6,20
CDM,880040,PLATE BN SS CNTRL THRD,1100.0,1100.0,58.3,1320.0,20
CDM,880043,CATH BLDL 5X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,880058,CATH ANGIO STR 5FR 65CM,363.0,363.0,19.24,435.6,49
CDM,880065,SCREW BN 4MM 40MM,236.0,236.0,12.51,283.2,20
CDM,880066,SCREW BN 4MM 42MM,236.0,236.0,12.51,283.2,20
CDM,880086,SCREW BN 7MM 10MM,693.0,693.0,36.73,831.6,20
CDM,880088,INSERT TIB KN 5 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,880089,BASEPLATE TIB KN SZ5,2000.0,2000.0,106.0,2400.0,20
CDM,880090,COMP FEM KN RT SZ4,3000.0,3000.0,159.0,3600.0,20
CDM,880128,BRACHYTX NS YTTRIUM 90,32000.0,32000.0,5120.0,38400.0,19
CDM,880147,KIT BX BN MRW PROC PK,14728.0,14728.0,780.58,17673.6,49
CDM,880205,GUIDEWIRE HYDROPHILIC,5004.0,5004.0,265.21,6004.8,49
CDM,880220,KIT COMBO DEVICE/FASTNER,5941.0,5941.0,314.87,7129.2,49
CDM,880234,ROD SPN HXHD 5.5X40MM,360.0,360.0,19.08,432.0,20
CDM,880242,SCREW BN 1.5MM 14MM,191.0,191.0,10.12,229.2,20
CDM,880243,SCREW BN 1.5MM 13MM,191.0,191.0,10.12,229.2,20
CDM,880248,PLATE BN 4HL 3.5MM,635.0,635.0,33.66,762.0,20
CDM,880296,CATH BLDL 10X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,880302,SCREW BN 4X4MM 14MM,200.0,200.0,10.6,240.0,20
CDM,880303,SCREW BN 4MM 30MM,200.0,200.0,10.6,240.0,20
CDM,880304,SCREW BN 4MM 32MM,200.0,200.0,10.6,240.0,20
CDM,880305,SCREW BN 4MM 40MM,200.0,200.0,10.6,240.0,20
CDM,880306,PLATE BN 6HL 123MM,2516.0,2516.0,133.35,3019.2,20
CDM,880310,SCREW CORT SLFDRL 50X150,340.0,340.0,18.02,408.0,20
CDM,880314,DEVICE WNDCLS 23CM SZ3,1039.0,1039.0,55.07,1246.8,49
CDM,880343,INSERT KN TIB SZ3-4 18MM,2630.0,2630.0,139.39,3156.0,20
CDM,880362,CNTRSNK DRL 4.5MM CANN,3743.0,3743.0,198.38,4491.6,49
CDM,880367,NAIL BN FEM 13MM 30CM,1809.0,1809.0,95.88,2170.8,20
CDM,880370,FEMUR PROXML MUTARS 50MM,39000.0,39000.0,2067.0,46800.0,20
CDM,880457,NAIL BN LT 8.5MM 285MM,4032.0,4032.0,213.7,4838.4,20
CDM,880471,SCREW BN 4MM 40MM,347.0,347.0,18.39,416.4,20
CDM,880488,WIRE EX FIX FOOT 2MM,3366.0,3366.0,178.4,4039.2,49
CDM,880491,PLATE BN 8HL 122.5MM,750.0,750.0,39.75,900.0,20
CDM,880494,LINER TRL SEMICNSTRD 32M,450.54,450.54,23.88,540.65,20
CDM,880498,CMPNT FEM KN SZ6,3000.0,3000.0,159.0,3600.0,20
CDM,880511,BURR SRG HEURO 5.1MM 4MM,2564.0,2564.0,135.89,3076.8,49
CDM,880643,PROSTH PENL LCK-OUT 14CM,15690.0,15690.0,831.57,18828.0,20
CDM,880660,BIT DRILL HUMERAL 3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,880661,GUIDE DRILL HUM SHORT,4716.0,4716.0,249.95,5659.2,49
CDM,880662,NAIL BN FEM 1.5MM 34CM,4345.0,4345.0,230.28,5214.0,20
CDM,880698,ROD SPN SLHT HEX5.5X100,360.0,360.0,19.08,432.0,20
CDM,880703,FIBER LASER 750UM,10492.0,10492.0,556.08,12590.4,49
CDM,880705,KIT INTRO NTNL 5FR 40CM,827.0,827.0,43.83,992.4,49
CDM,880734,ROD SPN LRDTC 5.5MM 70MM,360.0,360.0,19.08,432.0,20
CDM,880737,CUFF URTH SPHNC AB 3.5CM,13622.0,13622.0,721.97,16346.4,20
CDM,880750,IMPL BN H2O SOL 2.5GM,153.0,153.0,8.11,183.6,20
CDM,880786,NEEDLE SCORPION KNEE ART,2564.0,2564.0,135.89,3076.8,49
CDM,880799,BIT DRILL BIT 4.0MM CALI,2564.0,2564.0,135.89,3076.8,49
CDM,880812,PLATE 118MM SS 2.7MM6H,1339.0,1339.0,70.97,1606.8,20
CDM,880814,BASEPLATE TIB KN SZ7,2000.0,2000.0,106.0,2400.0,20
CDM,880816,BASEPLATE TIB KN SZ7,2000.0,2000.0,106.0,2400.0,20
CDM,880818,INSERT TIB KN 7 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,880819,CMPNT FEM KN SZ5,3000.0,3000.0,159.0,3600.0,20
CDM,880820,COMP FEM KN LT SZ7,3000.0,3000.0,159.0,3600.0,20
CDM,880840,CATH THRMB 6FR 135CM,14028.0,14028.0,743.48,16833.6,49
CDM,880843,CATH THRMB 8FR 115CM,21839.0,21839.0,1157.47,26206.8,49
CDM,880844,SEPARATOR THRMB 175CM,7966.0,7966.0,422.2,9559.2,49
CDM,880882,CATH ATHRCM 145CM 1.25MM,25130.0,25130.0,1331.89,30156.0,49
CDM,880898,KNIFE LIGAMENT ANTEGRADE,5423.0,5423.0,287.42,6507.6,49
CDM,880899,BLADE CRPL TNL RLS DISP,5433.0,5433.0,287.95,6519.6,49
CDM,880914,NAIL BN 10MM 40CM,3486.0,3486.0,184.76,4183.2,20
CDM,880916,DEVICE INFL 40ATM 30CC,1319.0,1319.0,69.91,1582.8,49
CDM,880943,SCREW SPN 14MM 4.2MM,150.0,150.0,7.95,180.0,20
CDM,880956,SCREW BN CANC FT 6X85MM,79.04,79.04,4.19,94.85,20
CDM,880965,STENT VASC 8-6MM 40MM,3860.0,3860.0,204.58,4632.0,20
CDM,880966,CATH BLNDIL 6X30X135,2564.0,2564.0,135.89,3076.8,49
CDM,880999,PLATE BN 35X16X36MM,2362.0,2362.0,125.19,2834.4,20
CDM,881005,KWIRE FX 150MM 2MM,1080.0,1080.0,57.24,1296.0,49
CDM,881008,SCREW BN 5MM 26MM,302.0,302.0,16.01,362.4,20
CDM,881018,TISS SYN MDPR BLOCK38X63,2486.12,2486.12,131.76,2983.34,20
CDM,881021,NAIL INTRTN 10X400X130 L,7490.0,7490.0,396.97,8988.0,20
CDM,881022,ROD SPN TI 6X600MM,360.0,360.0,19.08,432.0,20
CDM,881023,SCREW PAX PDCL ST 5.5X50,1440.0,1440.0,76.32,1728.0,20
CDM,881024,NAIL IM HUM TRGN 10/8.5,3365.0,3365.0,178.34,4038.0,20
CDM,881026,NAIL FEM RT 10MM 40CM,4086.0,4086.0,216.56,4903.2,20
CDM,881030,DVC INTRBDY FSN 18X14X60,6305.0,6305.0,334.17,7566.0,20
CDM,881031,SCREW BN 2.5MM 12MM,242.0,242.0,12.83,290.4,20
CDM,881034,SCREW SPN 4MM 40MM,900.0,900.0,47.7,1080.0,20
CDM,881040,ROD SPN HEX 5.5MM 45MM,360.0,360.0,19.08,432.0,20
CDM,881050,BASEPLATE TIB KN SZ6-,2000.0,2000.0,106.0,2400.0,20
CDM,881100,GUIDEWIRE ORTH 1.4X150MM,2564.0,2564.0,135.89,3076.8,49
CDM,881103,SCREW BN 4MM 46MM,200.0,200.0,10.6,240.0,20
CDM,881105,ROD SPN TI STR 5.5X80,360.0,360.0,19.08,432.0,20
CDM,881106,BEARNG TIB TKA CR+ 4 10M,1100.0,1100.0,58.3,1320.0,20
CDM,881122,SET DLV CRDPLG 6FT,1884.0,1884.0,99.85,2260.8,49
CDM,881125,PLATE BN SCAP 9HL LT,5130.0,5130.0,271.89,6156.0,20
CDM,881126,PLATE BN SCAP 10HL LT,5528.0,5528.0,292.98,6633.6,20
CDM,881131,BEARING TIB CR+ SZ2 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,881136,SYSTEM CBL HIP 23X121MM,4746.0,4746.0,251.54,5695.2,20
CDM,881155,BEARING TIB CR+ SZ5 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,881157,PLATE CRNMXF 25X25X.25,1086.0,1086.0,57.56,1303.2,20
CDM,881166,DRILL SURG 1.8MM,2564.0,2564.0,135.89,3076.8,49
CDM,881167,WIRE FX 1.8MM SHORT,2564.0,2564.0,135.89,3076.8,49
CDM,881225,IMPLANT BREAST 360CC,1890.0,1890.0,100.17,2268.0,20
CDM,881241,COIL EMBL 1CM .02IN 2MM,1500.0,1500.0,79.5,1800.0,20
CDM,881242,COIL EMBL 2CM 2MM SOFT,1500.0,1500.0,79.5,1800.0,20
CDM,881243,COIL EMBL 4CM 2MM SOFT,1500.0,1500.0,79.5,1800.0,20
CDM,881244,COIL EMBL 5CM .02IN 3MM,1500.0,1500.0,79.5,1800.0,20
CDM,881245,COIL EMBL 12CM 3MM STD,1960.0,1960.0,103.88,2352.0,20
CDM,881246,COIL EMBL 20CM .02IN 3MM,1900.0,1900.0,100.7,2280.0,20
CDM,881247,COIL EMBL 10CM .02IN 4MM,1900.0,1900.0,100.7,2280.0,20
CDM,881248,COIL EMBL 20CM 4MM,1900.0,1900.0,100.7,2280.0,20
CDM,881250,COIL EMBL 35CM .02IN 4MM,2500.0,2500.0,132.5,3000.0,20
CDM,881251,COIL EMBL 12CM .02IN 5MM,1900.0,1900.0,100.7,2280.0,20
CDM,881253,COIL EMBL 30CM .02IN 5MM,2500.0,2500.0,132.5,3000.0,20
CDM,881254,COIL EMBL 20CM .02IN 6MM,1900.0,1900.0,100.7,2280.0,20
CDM,881256,COIL EMBL 25CM .02IN 7MM,1900.0,1900.0,100.7,2280.0,20
CDM,881257,COIL EMBL 5CM 3MM SOFT,1500.0,1500.0,79.5,1800.0,20
CDM,881258,COIL EMBL 15CM .02IN 3MM,1900.0,1900.0,100.7,2280.0,20
CDM,881259,COIL EMBL 6CM .02IN 4MM,1500.0,1500.0,79.5,1800.0,20
CDM,881261,COIL EMBL 30CM 6MM,2500.0,2500.0,132.5,3000.0,20
CDM,881263,COIL EMBL 15CM 4MM,1960.0,1960.0,103.88,2352.0,20
CDM,881269,SCREW BN 1.5MM 16MM,191.0,191.0,10.12,229.2,20
CDM,881284,SYSTEM DTCH STRL DISP,2709.0,2709.0,143.58,3250.8,49
CDM,881295,BEARNG TIB TKA CR+ 4 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,881296,BEARNG TIB TKA CR+ 5 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,881334,PLATE BN 4.5MM 266MM,3154.0,3154.0,167.16,3784.8,20
CDM,881369,DETACHER INSTANT COIL,1711.0,1711.0,90.68,2053.2,49
CDM,881370,CATH ANGIO 5FR 40CM,497.0,497.0,26.34,596.4,49
CDM,881379,SCREW BN 2MM 12MM,170.0,170.0,9.01,204.0,20
CDM,881396,CNCTR APX OP ILIAC T-15M,1000.0,1000.0,53.0,1200.0,20
CDM,881398,GRAFT NRV 4-5MM 30MM,6074.0,6074.0,321.92,7288.8,20
CDM,881399,CATH BLDL 6X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,881400,CATH BLDL 6X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,881401,CATH BLDL 6X200MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,881402,CATH BLDL 7X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,881406,INSERT TIB KN 3-4 11MM,1500.0,1500.0,79.5,1800.0,20
CDM,881418,PLATE BN 3.5MM 154MM,2670.0,2670.0,141.51,3204.0,20
CDM,881420,ROD SPN CRVD 400MM,360.0,360.0,19.08,432.0,20
CDM,881442,COMP PTLA KN 29MM 8MM,500.0,500.0,26.5,600.0,20
CDM,881461,NAIL HUMRL 8/7 16 CM,2932.0,2932.0,155.4,3518.4,20
CDM,881472,KWIRE SMOOTH 2MM 150MM,942.0,942.0,49.93,1130.4,49
CDM,881473,WEDGE SUBTALAR FOOT 10MM,4200.0,4200.0,222.6,5040.0,20
CDM,881539,SCREW BN 3.5MM 22MM,261.0,261.0,13.83,313.2,20
CDM,881552,IMP BRST NTRL MOD FP 195,2600.0,2600.0,137.8,3120.0,20
CDM,881554,ROD SPN TI LRDSD 5X40MM,360.0,360.0,19.08,432.0,20
CDM,881555,SPACER TRB MTL21.5X14X11,5007.6,5007.6,265.4,6009.12,20
CDM,881562,SCREW SPN 3.5MM 13MM,150.0,150.0,7.95,180.0,20
CDM,881569,PCMKR CRD 4.45X5.02X0.75,12374.0,12374.0,655.82,14848.8,20
CDM,881587,BASEPLT TIB NSB-0HL 6L,3200.0,3200.0,169.6,3840.0,20
CDM,881588,FEM FOUNDN PS TINBN COAT,4000.0,4000.0,212.0,4800.0,20
CDM,881589,BEARING TIB CR+ SZ8 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,881593,SHAFT SCRDRVR 180X3.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,881596,BUTTON HEX CBL RDY 2.5MM,137.2,137.2,7.27,164.64,20
CDM,881597,SHELL ACTB 56MM HIP 3 HL,176.0,176.0,9.33,211.2,20
CDM,881608,CATH BLNDIL 5MM 60MM,9715.0,9715.0,514.89,11658.0,49
CDM,881626,CATH BLNDIL 1.2X12MM,5240.0,5240.0,277.72,6288.0,49
CDM,881637,SCREW BN 4MM 70MM,58.0,58.0,3.07,69.6,20
CDM,881639,SCREW BN 4MM 34MM,298.0,298.0,15.79,357.6,20
CDM,881644,DRILL SURG 1.6MM 120MM,5445.0,5445.0,288.58,6534.0,49
CDM,881659,CATH BLNDIL 4MM 60MM,9715.0,9715.0,514.89,11658.0,49
CDM,881660,MESH SURG 6X4IN,7320.0,7320.0,387.96,8784.0,20
CDM,881670,INSERT APX KN PS SZ3 16M,1100.0,1100.0,58.3,1320.0,20
CDM,881690,DVC INTRBDY FSN 18X12X60,6305.0,6305.0,334.17,7566.0,20
CDM,881698,MESH SURG 8X6IN,10189.0,10189.0,540.02,12226.8,20
CDM,881699,MESH GYN RND 8CM,2801.0,2801.0,148.45,3361.2,20
CDM,881710,KIT CRYOSRGCL ABL PRCDR,11318.0,11318.0,599.85,13581.6,49
CDM,881717,CMNT BN UNITE AB PMMA 40,800.0,800.0,42.4,960.0,20
CDM,881754,PLATE BN 7HL 3.5X91MM,730.0,730.0,38.69,876.0,20
CDM,881755,PLATE BN 3.5MM 6HL,696.0,696.0,36.89,835.2,20
CDM,881768,BEARNG TIB TKA CR+4 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,881777,SCREW BN CANC F/T 4X65MM,58.0,58.0,3.07,69.6,20
CDM,881778,SCREW BN CANC 4X70MM,58.0,58.0,3.07,69.6,20
CDM,881840,TRAY BX BM 11GA 4IN,626.0,626.0,33.18,751.2,49
CDM,881853,TRAY BX BM 11GA 4IN,1001.0,1001.0,53.05,1201.2,49
CDM,881870,ROD FOREARM ULNA 3.6X230,3092.0,3092.0,163.88,3710.4,20
CDM,881882,CONN ROD SPN 27-33MM3.5M,700.0,700.0,37.1,840.0,20
CDM,881892,SET ADM IV .1IN 103IN,182.0,182.0,9.65,218.4,49
CDM,881908,NAIL BN RT 10MM 42CM,4345.0,4345.0,230.28,5214.0,20
CDM,881917,NAIL BN TROCH 10MM 36CM,4344.0,4344.0,230.23,5212.8,20
CDM,881919,SHEATH TNLR YLW 12IN 7MM,2564.0,2564.0,135.89,3076.8,49
CDM,881920,PLATE BN L LCK 6H 8MM,441.0,441.0,23.37,529.2,20
CDM,881921,SHEETING SIL 2X2X.020IN,31.0,31.0,1.64,37.2,20
CDM,881965,SCREW BN 4.5MM 30MM,42.0,42.0,2.23,50.4,20
CDM,881982,SCREW BN 1.5MM 4MM,133.0,133.0,7.05,159.6,20
CDM,881988,GWIRE ORTH 2MM 150MM,2261.0,2261.0,119.83,2713.2,49
CDM,881989,GDWR UNTHRDED 3.2X20MM,1922.0,1922.0,101.87,2306.4,49
CDM,881998,DVC INTRBDY FSN 18X12X60,8000.0,8000.0,424.0,9600.0,20
CDM,882000,TISS SYN MED MDPR50X26X4,883.94,883.94,46.85,1060.73,20
CDM,882003,PLATE CRNMXF ORBT LT SM,4500.0,4500.0,238.5,5400.0,20
CDM,882012,NAIL TIB T-N 8.5MM 36CM,3684.0,3684.0,195.25,4420.8,20
CDM,882013,PLATE BN RT 93MM 3.5MM,2572.0,2572.0,136.32,3086.4,20
CDM,882015,CMPNT TIB KN SZ7,2600.0,2600.0,137.8,3120.0,20
CDM,882021,HOLDER PLT LG TI BB TAK,2564.0,2564.0,135.89,3076.8,49
CDM,882031,SCREW BN 4MM 36MM,304.0,304.0,16.11,364.8,20
CDM,882034,SUB BNGF FOAM 5CC,1182.0,1182.0,62.65,1418.4,20
CDM,882036,SYS CRD MNTR IMPL,9000.0,9000.0,477.0,10800.0,20
CDM,882080,SCREW BN 1.7MM 4MM,133.0,133.0,7.05,159.6,20
CDM,882126,PACK PROBE AND CONN,5941.0,5941.0,314.87,7129.2,49
CDM,882127,KNIFE SURG DISP 193MM,2564.0,2564.0,135.89,3076.8,49
CDM,882130,INSERT TIB PST ST 6 7MM,1500.0,1500.0,79.5,1800.0,20
CDM,882131,CMPNT FEM KN 6 LT,2500.0,2500.0,132.5,3000.0,20
CDM,882143,STEM SHLDR SZ14 108MM,10914.0,10914.0,578.44,13096.8,20
CDM,882171,BLADE SHVR 4MM CRV,2564.0,2564.0,135.89,3076.8,49
CDM,882174,SCREW BN 2.5MM 10MM,242.0,242.0,12.83,290.4,20
CDM,882176,SCREW BN 4MM 26MM,180.0,180.0,9.54,216.0,20
CDM,882180,SCREW BN 3.5X60MM,63.0,63.0,3.34,75.6,20
CDM,882185,PLATE BN 8HL 149MM,2452.0,2452.0,129.96,2942.4,20
CDM,882186,SCREW BN 3.5MM 46MM,84.0,84.0,4.45,100.8,20
CDM,882188,PATCH VASC 2X9CM,738.0,738.0,39.11,885.6,20
CDM,8822,LEUPRO DEPOT 7.5 MG INJ,15654.0,15654.0,1346.24,18784.8,29
CDM,8822,"Leuprolide acetate (for depot suspension), 7.5 mg ",15654.0,15654.0,170.91,170.91,1
CDM,882239,CANNULA PRFSN 22FR 12IN,1065.0,1065.0,56.45,1278.0,49
CDM,882240,GFT HUM CRYO-L PRX W/CAP,7976.0,7976.0,422.73,9571.2,20
CDM,882261,ROD TI LRDSD 5.5X120,360.0,360.0,19.08,432.0,20
CDM,882264,BEARNG TIB TKA CR+5 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,882269,COMPONENT FEM KN CMNT 3,2500.0,2500.0,132.5,3000.0,20
CDM,882276,WIRE FT/ANKL EX FIX 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,882279,WEDGE TIB FULSTP 5-6 10M,2667.5,2667.5,141.38,3201.0,20
CDM,882285,SCREW BN 3.5MM 28MM,170.0,170.0,9.01,204.0,20
CDM,882322,ROD SPN TI LRDS 5.5X80MM,360.0,360.0,19.08,432.0,20
CDM,882323,ROD POSITION SNGLE USE,2085.0,2085.0,110.5,2502.0,49
CDM,882324,BEARNG TB IBAL CR+3 10M,1100.0,1100.0,58.3,1320.0,20
CDM,882348,SCREW P-AX PED STP5.5X55,1440.0,1440.0,76.32,1728.0,20
CDM,882351,PLATE OLECR 17H 154MM-R,2944.0,2944.0,156.03,3532.8,20
CDM,882363,BAR TO PIN EXFX CLAMP 3D,5941.0,5941.0,314.87,7129.2,49
CDM,882383,COMP FEM KN RT SZ5,2500.0,2500.0,132.5,3000.0,20
CDM,882384,COMP FEM KN RT SZ5,2500.0,2500.0,132.5,3000.0,20
CDM,882387,SCREW BN 3.5MM 38MM,170.0,170.0,9.01,204.0,20
CDM,882409,BURR SHAVER 5MM 19CM,1734.0,1734.0,91.9,2080.8,49
CDM,882437,VALVE SHUNT PRGM REG,7561.0,7561.0,400.73,9073.2,20
CDM,882439,SCREW BN 4X44MM,298.0,298.0,15.79,357.6,20
CDM,882440,STEM FEM HIP SZ12/14 135,8883.0,8883.0,470.8,10659.6,20
CDM,882488,PLATE 4-CRNR RT SM,3184.0,3184.0,168.75,3820.8,20
CDM,882494,SCREW BN 3.5MM 75MM,58.0,58.0,3.07,69.6,20
CDM,882495,SCREW BN 3.5MM 80M,58.0,58.0,3.07,69.6,20
CDM,882496,SCREW BN 3.5MM 90M,58.0,58.0,3.07,69.6,20
CDM,882499,STENT GRAFT 14-32X103MM,16400.0,16400.0,869.2,19680.0,20
CDM,882500,STENT GRAFT 16X20X156MM,12800.0,12800.0,678.4,15360.0,20
CDM,882625,CATH LTNX 6X150MMX130CM,14184.0,14184.0,751.75,17020.8,49
CDM,882626,CAGE INTBDY VBOSS 40X12,4564.02,4564.02,241.89,5476.82,20
CDM,882627,BIT DRL 5IN 2.8MM QRLSE,782.0,782.0,41.45,938.4,49
CDM,882628,PLATE CRNMXF 50X50X.25,3136.0,3136.0,166.21,3763.2,20
CDM,882634,CAGE AERO-AL 38X17X8D,15210.0,15210.0,806.13,18252.0,20
CDM,882643,SHTH TNLR SM 52CM 10.5IN,2564.0,2564.0,135.89,3076.8,49
CDM,882651,PLATE EXFX 10MM 60MM,2564.0,2564.0,135.89,3076.8,49
CDM,882652,BOLT EXFX HINGE MEDIUM,2564.0,2564.0,135.89,3076.8,49
CDM,882664,CATH URET 2W 20FR 5CC,116.0,116.0,6.15,139.2,49
CDM,882666,PLATE BN HUM 3H 86MM,2560.0,2560.0,135.68,3072.0,20
CDM,882667,SCREW BN 4MM 38MM,298.0,298.0,15.79,357.6,20
CDM,882668,SCREW BN 4.0MMX48MM,200.0,200.0,10.6,240.0,20
CDM,882674,BIT DRILL TI CANN OVR,2732.0,2732.0,144.8,3278.4,49
CDM,882675,KWIRE FX .8MM 70MM,572.0,572.0,30.32,686.4,49
CDM,882689,PATCH VASC TPR .8X8CM,422.0,422.0,22.37,506.4,20
CDM,882711,NAIL TIB IM MT-NL 8.5X24,3044.24,3044.24,161.34,3653.09,20
CDM,882719,GFT BN CANC SHEET 20X50,1810.0,1810.0,95.93,2172.0,20
CDM,882725,ROD RADIUS LT 3X190MM,3334.0,3334.0,176.7,4000.8,20
CDM,882726,CATH EP LG 2-5-2X110 4FR,4912.0,4912.0,260.34,5894.4,49
CDM,882767,SCREW BN 3.5MM 70MM,63.0,63.0,3.34,75.6,20
CDM,882775,PLATE BN 4HL 121MM,2470.0,2470.0,130.91,2964.0,20
CDM,882776,SCREW BN 3.5MM 36M,84.0,84.0,4.45,100.8,20
CDM,882780,KIT THRMB CATH 8FR 105CM,48847.0,48847.0,2588.89,58616.4,49
CDM,882786,CAGE SPN 10D 30X39X14MM,4300.0,4300.0,227.9,5160.0,20
CDM,882826,ARTHROFLEX 28 SQ CM,6196.0,6196.0,328.39,7435.2,20
CDM,882827,ARTHROFLEX 28 SQCM,4250.0,4250.0,225.25,5100.0,20
CDM,882864,BUTTON CBL 3.5MM,137.0,137.0,7.26,164.4,20
CDM,882896,SYSTEM CLSR FACIAL,2564.0,2564.0,135.89,3076.8,49
CDM,882909,CNCTR APX OP ILIAC T-80M,1000.0,1000.0,53.0,1200.0,20
CDM,882910,SCREW P-AX PED SFTP 7X35,1440.0,1440.0,76.32,1728.0,20
CDM,882911,SCREW P-AX PED ST 8.5X55,1440.0,1440.0,76.32,1728.0,20
CDM,882913,CNCTR APX OP ILIAC T-25M,1000.0,1000.0,53.0,1200.0,20
CDM,882917,PLATE BN 14HL 182MM,934.0,934.0,49.5,1120.8,20
CDM,882928,SCREW BN 6MM 45MM,696.0,696.0,36.89,835.2,20
CDM,882968,SYSTEM COR STNT4.5X16MM,4790.0,4790.0,253.87,5748.0,20
CDM,882969,SYSTEM COR STNT 4.5X19MM,4790.0,4790.0,253.87,5748.0,20
CDM,882992,BEARNG TIB TKA CR+6 14MM,1100.0,1100.0,58.3,1320.0,20
CDM,882993,BEARNG TIB TKA CR+6 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,883036,SCREW BN 2.7X4.3X28MM,330.0,330.0,17.49,396.0,20
CDM,883058,PLATE BN 3HL,1590.0,1590.0,84.27,1908.0,20
CDM,883065,GRFT SPN OPTIO-C 12X14X6,2200.0,2200.0,116.6,2640.0,20
CDM,883074,BEARING TIB CR+ SZ7 13MM,1100.0,1100.0,58.3,1320.0,20
CDM,883075,BEARING TIB CR+ SZ2 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,883104,SCREW BN 4MM 40MM,294.0,294.0,15.58,352.8,20
CDM,883123,SCREW BN HEADED 4MM 38MM,300.0,300.0,15.9,360.0,20
CDM,883126,PLATE BN ORTHO SLT RT,2846.0,2846.0,150.84,3415.2,20
CDM,883150,CAP END TI HUM NAIL 5MM,347.0,347.0,18.39,416.4,20
CDM,883159,PATCH DURA 2IN 2IN,802.0,802.0,42.51,962.4,20
CDM,883172,PATCH DURA 5IN 5IN,2358.0,2358.0,124.97,2829.6,20
CDM,883238,SUTURE GRN BRD 2-0 30IN,1388.0,1388.0,73.56,1665.6,49
CDM,883260,SCREW BN 4MM 90MM,200.0,200.0,10.6,240.0,20
CDM,883282,PLATE BN 3D RIGHT,1138.0,1138.0,60.31,1365.6,20
CDM,883329,PLATE BN DRSL SPAN LNG,2312.0,2312.0,122.54,2774.4,20
CDM,883332,SCREW BN 3MM 10MM,184.0,184.0,9.75,220.8,20
CDM,883333,SCREW BN 3MM 12MM,184.0,184.0,9.75,220.8,20
CDM,883334,SCREW BN CMPR 3X8MM,184.0,184.0,9.75,220.8,20
CDM,883337,DRILL SURG 40MM 2.3MM,942.0,942.0,49.93,1130.4,49
CDM,883350,INSERT TIB KN RT 4 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,883394,SCREW BN HDLSS 4.0X34MM,500.0,500.0,26.5,600.0,20
CDM,883397,SCREW BN CANN 4X40MM,435.0,435.0,23.05,522.0,20
CDM,883398,PLATE BN FIB LT 11HL,2000.0,2000.0,106.0,2400.0,20
CDM,883399,KWIRE FX 1.6MM 80MM,943.0,943.0,49.98,1131.6,49
CDM,883401,CATH GD MPD 6FR 105CM,5941.0,5941.0,314.87,7129.2,49
CDM,883413,NAIL BN 10MM 38CM,4086.0,4086.0,216.56,4903.2,20
CDM,883418,OCCLUDER CV 25MM,18200.0,18200.0,964.6,21840.0,20
CDM,883443,SCREW  4.5MMX90MM,70.72,70.72,3.75,84.86,20
CDM,883450,DRAIN CHEST INCS DISP,1173.0,1173.0,62.17,1407.6,49
CDM,883462,SCREW BN 4MM 46MM,434.0,434.0,23.0,520.8,20
CDM,883465,INSERT TIB KN SZ6 16MM,1100.0,1100.0,58.3,1320.0,20
CDM,883469,SCREW BN 4MM 38MM,434.0,434.0,23.0,520.8,20
CDM,883490,VALVE SHUNT PRGM REG,8486.0,8486.0,449.76,10183.2,20
CDM,883496,KIT BUTTON BN PEC FX LG,3300.0,3300.0,174.9,3960.0,20
CDM,883500,PLATE BN RECT 6HL,978.0,978.0,51.83,1173.6,20
CDM,883505,CMPNT FEM KN LT SZ7,2500.0,2500.0,132.5,3000.0,20
CDM,883515,SUTURE UND MONO +4-0 18N,169.0,169.0,8.96,202.8,49
CDM,883524,NAIL LNG 125D 11X380MM,3266.0,3266.0,173.1,3919.2,20
CDM,883527,DRILL BIT 1.7X120MM CANN,942.0,942.0,49.93,1130.4,49
CDM,883528,KWIRE FX 0.9MM 150MM,942.0,942.0,49.93,1130.4,49
CDM,883541,HEAD FEM CUP HIP 28 56M,900.0,900.0,47.7,1080.0,20
CDM,883558,CATH BLN 3X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,883564,KWIRE FX 1.4MM 60MM,942.0,942.0,49.93,1130.4,49
CDM,883565,SCREW BN 4MM 46MM,435.0,435.0,23.05,522.0,20
CDM,883568,COIL EMBL 6MM 20CM,1750.0,1750.0,92.75,2100.0,20
CDM,883578,KIT INTRO 5FR 21GA 10CM,2261.0,2261.0,119.83,2713.2,49
CDM,883585,CATH BLDL 10X80MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,883587,KIT GSTRM INTROL 18FR,2564.0,2564.0,135.89,3076.8,49
CDM,883598,PIN HALF BN 5MM 250MM,2564.0,2564.0,135.89,3076.8,49
CDM,883599,CEMENT BN 20ML 40.8GM,308.0,308.0,16.32,369.6,20
CDM,883610,SCREW BN 2.4MM 14MM,170.0,170.0,9.01,204.0,20
CDM,883612,SYSTEM NEG PRSS 13CM,5538.0,5538.0,293.51,6645.6,49
CDM,883624,PLATE BN TIB RT 9 HL,2000.0,2000.0,106.0,2400.0,20
CDM,883625,PLATE BN LT 9H,2000.0,2000.0,106.0,2400.0,20
CDM,883633,TUBE GASTM 20FR,722.0,722.0,38.27,866.4,49
CDM,883634,TUBE JJNSTM 12FR 45CM,2564.0,2564.0,135.89,3076.8,49
CDM,883641,STEM HIP 12/14 14X200MM,8882.0,8882.0,470.75,10658.4,20
CDM,883658,CAGE LMBR AERO 38X15X12D,11100.0,11100.0,588.3,13320.0,20
CDM,883677,ROD SPN CRVD 5.5X45MM,360.0,360.0,19.08,432.0,20
CDM,883679,SCREW BN 4MM 44MM,58.0,58.0,3.07,69.6,20
CDM,883681,CAGE SPNL 14X20X12MM,5274.0,5274.0,279.52,6328.8,20
CDM,883683,CATH GD 130D 4FR LD,2564.0,2564.0,135.89,3076.8,49
CDM,883687,PLATE TB LCP PRX MD16H-R,3042.48,3042.48,161.25,3650.98,20
CDM,883688,SCREW SPN 3.5MM 15MM,150.0,150.0,7.95,180.0,20
CDM,883702,SCREW BN SHT THRD 4X40MM,434.0,434.0,23.0,520.8,20
CDM,883712,CMPNT FEM KN SZ7,3200.0,3200.0,169.6,3840.0,20
CDM,883725,DRILL 2.2MM,4260.0,4260.0,225.78,5112.0,49
CDM,883726,SYSTEM INTRO 9FR 19.5CM,3026.0,3026.0,160.38,3631.2,49
CDM,883738,SCREW BN 1.5MM 5MM,159.0,159.0,8.43,190.8,20
CDM,883747,KIT HFJV CRCT 2CIR 2LFPT,1844.64,1844.64,97.77,2213.57,49
CDM,883752,SCREW BN 4MM 22MM,434.0,434.0,23.0,520.8,20
CDM,883759,CMPNT FEM KN LT SZ4,2500.0,2500.0,132.5,3000.0,20
CDM,883839,SCREW BN 5MM 58MM,473.0,473.0,25.07,567.6,20
CDM,883840,SCREW BN 4MM 26MM,58.0,58.0,3.07,69.6,20
CDM,883841,SCREW BN 4MM 32MM,58.0,58.0,3.07,69.6,20
CDM,883842,SCREW BN F/T 4MM 38MM,58.0,58.0,3.07,69.6,20
CDM,883843,INSERT TIB KN PST 4 8MM,1500.0,1500.0,79.5,1800.0,20
CDM,883857,SCREW BN 6.5MM 60MM 20MM,328.0,328.0,17.38,393.6,20
CDM,883858,SPACER SPNL 28X9MM ELEV,7200.0,7200.0,381.6,8640.0,20
CDM,883860,MANOMETER PRSS RBI2 ASRT,490.0,490.0,25.97,588.0,49
CDM,883916,SCREW BN 3MM 14MM,386.0,386.0,20.46,463.2,20
CDM,883918,SCREW BN 4MM 55MM,58.0,58.0,3.07,69.6,20
CDM,883941,BASEPLATE HUM SHLDR 30MM,2500.0,2500.0,132.5,3000.0,20
CDM,884013,CONNECTOR SPN 11MM,700.0,700.0,37.1,840.0,20
CDM,884022,CATH ANGIO .046IN 5FR,397.0,397.0,21.04,476.4,49
CDM,884046,SCREW BN 4.0MMX40MM,58.0,58.0,3.07,69.6,20
CDM,884051,STENT VNS 10F 12MM 60MM,4500.0,4500.0,238.5,5400.0,20
CDM,884075,SCREW BN SPN 7.5MM 40MM,1700.0,1700.0,90.1,2040.0,20
CDM,884076,SCREW BN SPN 6.5MM 45MM,1700.0,1700.0,90.1,2040.0,20
CDM,884079,CAGE LMBR AERO 38X13X12D,11100.0,11100.0,588.3,13320.0,20
CDM,884085,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",15.0,15.0,4.95,15.55,33
CDM,884085,POUCH OST 2.25IN 12IN,15.0,15.0,2.01,18.0,24
CDM,884098,PLATE BN HUM RT 3H 81MM,1580.0,1580.0,83.74,1896.0,20
CDM,884105,SCREW BN HDLSS 4X48MM,722.0,722.0,38.27,866.4,20
CDM,884109,SCREW BN 3.5MM 55MM,63.0,63.0,3.34,75.6,20
CDM,884110,INTRODCR SPLTBL 8FR 13CM,1308.0,1308.0,69.32,1569.6,49
CDM,884111,STENT BILI 5X14MM 80CM,1233.0,1233.0,65.35,1479.6,20
CDM,884113,STENT BILI 6X14MM 80CM,1233.0,1233.0,65.35,1479.6,20
CDM,884116,CATH DRN 8.5FR 25CM,2564.0,2564.0,135.89,3076.8,49
CDM,884123,SPACER SPNL 23MMX7MM ELE,6800.0,6800.0,360.4,8160.0,20
CDM,884124,SCREW BN SPN 6.5MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,884133,SCREW BN 8X90MM,1166.0,1166.0,61.8,1399.2,20
CDM,884166,SCREW BN 4MM 42MM,58.0,58.0,3.07,69.6,20
CDM,884167,SCREW BN 4MM 36MM,58.0,58.0,3.07,69.6,20
CDM,884185,STENT VASC 6X120MM 125CM,3990.0,3990.0,211.47,4788.0,20
CDM,884189,CANNULA ENDO IVAS 11GA,1599.0,1599.0,84.75,1918.8,49
CDM,884197,STENT PANC 7FR 7CM,167.0,167.0,8.85,200.4,20
CDM,884201,STENT PANC 5FR 3CM,148.0,148.0,7.84,177.6,20
CDM,884203,STENT PANC 4FR 3CM,148.0,148.0,7.84,177.6,20
CDM,884239,SUTURE GRN BRD 2-0 36IN,128.0,128.0,6.78,153.6,49
CDM,884241,CATH BLDL 5X300MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,884248,INSERT TIB KN SZ5 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,884256,ROD SPN CRV 5.5MM 50MM,360.0,360.0,19.08,432.0,20
CDM,884259,CATH BLDL 2X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,884260,CATH BLN 3X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,884261,CATH BLDL 4X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,884262,CATH BLNDL 4X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,884264,CATH BLDL 5X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,884265,CATH BLDL 5X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,884271,CATH BLNDL 9X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,884272,CATH BLNDL 9X80MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,884273,CATH BLNDL 10X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,884278,NAIL BN 130D 10MM 38CM,4086.0,4086.0,216.56,4903.2,20
CDM,884279,HANDLE DETACH SMART COIL,3118.0,3118.0,165.25,3741.6,49
CDM,884284,TRAY TIB KN SZ4,2114.0,2114.0,112.04,2536.8,20
CDM,884285,BEARING TIB CR+ SZ4 11MM,1100.0,1100.0,58.3,1320.0,20
CDM,884289,BEARNG TIB TKA CR+4 14MM,1100.0,1100.0,58.3,1320.0,20
CDM,884290,STEM TIB EXT IBAL 12X50,3286.0,3286.0,174.16,3943.2,20
CDM,884294,PLATE BN 2.7/3.5MM 172MM,3493.0,3493.0,185.13,4191.6,20
CDM,884298,CAGE SPN FSE PLIF8D 9X24,5000.0,5000.0,265.0,6000.0,20
CDM,884337,PLATE BN ANKL RT 11HL,2000.0,2000.0,106.0,2400.0,20
CDM,884338,DEVICE CLSR WND 1 45CM,3646.0,3646.0,193.24,4375.2,49
CDM,884358,ROD SPN 200MM,600.0,600.0,31.8,720.0,20
CDM,884367,SCREW BN CANN IMPL 2500,668.0,668.0,35.4,801.6,20
CDM,884371,SCREW LAG NONLCK 2.2X8MM,464.0,464.0,24.59,556.8,20
CDM,884391,ANCHOR SUT 4.75MM 19.1MM,850.0,850.0,45.05,1020.0,20
CDM,884399,SCREW BN SPN 7.5MM 45MM,1700.0,1700.0,90.1,2040.0,20
CDM,884416,KIT ATLGS BIOSEAL SLK BN,2564.0,2564.0,135.89,3076.8,49
CDM,884465,COIL EMBL SMART 9MMX20CM,3220.0,3220.0,170.66,3864.0,20
CDM,884466,COIL EMBL SMART 9MMX30CM,3220.0,3220.0,170.66,3864.0,20
CDM,884467,COIL EMBL SMART 10MMX45,3220.0,3220.0,170.66,3864.0,20
CDM,884468,COIL EMBL SMART 11MMX60,3220.0,3220.0,170.66,3864.0,20
CDM,884469,COIL EMBL SMART 12MMX60,3220.0,3220.0,170.66,3864.0,20
CDM,884470,COIL EMBL SMART 13MMX60,3220.0,3220.0,170.66,3864.0,20
CDM,884471,COIL EMBL SMART 14MMX60,3220.0,3220.0,170.66,3864.0,20
CDM,884472,COIL EMBL SMART 16MMX60,3220.0,3220.0,170.66,3864.0,20
CDM,884473,COIL EMBL SMART 18MMX60,3220.0,3220.0,170.66,3864.0,20
CDM,884511,INTRO SHTH 8FR 10CM,395.0,395.0,20.93,474.0,49
CDM,884516,SCREW BN 4.5MM 48MM,432.0,432.0,22.9,518.4,20
CDM,884522,JOINT TOE 10.25MM,3900.0,3900.0,206.7,4680.0,20
CDM,884523,BASEPLATE TIB KN SZ4-,2000.0,2000.0,106.0,2400.0,20
CDM,884539,PLATE BN 3H 86MM,2560.0,2560.0,135.68,3072.0,20
CDM,884540,COIL EMBL SMRT 2CM 1MM,2140.0,2140.0,113.42,2568.0,20
CDM,884541,COIL SMART HEL 1MMX3CM,2140.0,2140.0,113.42,2568.0,20
CDM,884567,LEAD NRSTM 2.8MM 65CM,10116.0,10116.0,536.15,12139.2,20
CDM,884581,SCREW BN 2.5MM 14MM,386.0,386.0,20.46,463.2,20
CDM,884589,LEAD PCNG 4.7FR 86CM,3482.0,3482.0,184.55,4178.4,20
CDM,884591,LEAD PCNG 4.7FR 86CM,3482.0,3482.0,184.55,4178.4,20
CDM,884595,PLATE BN 4HL 97MM,2891.0,2891.0,153.22,3469.2,20
CDM,884596,SCREW BN 4MM 48MM,58.0,58.0,3.07,69.6,20
CDM,884608,INSERT TIB KN SZ5 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,884614,SCREW BN 2.5MM 22MM,735.0,735.0,38.95,882.0,20
CDM,884657,STENT COR RX2.5X38MM,2200.0,2200.0,116.6,2640.0,20
CDM,884688,STENT COR RX 3X24MM,1350.0,1350.0,71.55,1620.0,20
CDM,884691,STENT COR RX2.5X28MM,2200.0,2200.0,116.6,2640.0,20
CDM,884698,STENT COR RX2.25X16MM,2200.0,2200.0,116.6,2640.0,20
CDM,884720,VALVE SHNT CYL PROGM,7857.0,7857.0,416.42,9428.4,20
CDM,884722,DRILL ASSEMBLY TRO 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,884753,CAGE AERO-AL12D 26X32X13,11100.0,11100.0,588.3,13320.0,20
CDM,884756,COMPNT FEM KN SZ6,2500.0,2500.0,132.5,3000.0,20
CDM,884769,CONTROLLER PT NEURO,5941.0,5941.0,314.87,7129.2,49
CDM,884770,KWIRE FX .9MM 152MM,377.0,377.0,19.98,452.4,49
CDM,884771,BIT DRILL ORT 1.9MM,2564.0,2564.0,135.89,3076.8,49
CDM,884772,DRIVER SURG 2.5MM,1884.0,1884.0,99.85,2260.8,49
CDM,884784,SCREW BN 2.5MM 16MM,4205.0,4205.0,222.87,5046.0,20
CDM,884790,CATH BLNOCC 4MM 11MM,11231.0,11231.0,595.24,13477.2,49
CDM,884791,CATH GD 2.1FR 156CM,6433.0,6433.0,340.95,7719.6,49
CDM,884793,CATH GD 5FR 125CM,10160.0,10160.0,538.48,12192.0,49
CDM,884814,SCREW BN 4MM 36MM,435.0,435.0,23.05,522.0,20
CDM,884818,WIRE FX 1.8MM LNG,2564.0,2564.0,135.89,3076.8,49
CDM,884824,CATH DLV SYS 135CM,5941.0,5941.0,314.87,7129.2,49
CDM,884827,INSERT TIB KN 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,884847,CUP HUM SHLDR 42MM +3MM,1700.0,1700.0,90.1,2040.0,20
CDM,884850,DRESSING WND OPEN ABD,5832.0,5832.0,309.1,6998.4,49
CDM,884852,PLATE BN HMSPHR 28H 2.8,19921.0,19921.0,1055.81,23905.2,20
CDM,884853,MODEL LF VSP BNDL RECON,52583.0,52583.0,2786.9,63099.6,49
CDM,884854,MODEL ANTM MXL,23734.0,23734.0,1257.9,28480.8,49
CDM,884860,CRT DEFIB DDE-DDDR 36J,33080.0,33080.0,1753.24,39696.0,20
CDM,884862,ROD SPNL LN 75MM 5.5MM,360.0,360.0,19.08,432.0,20
CDM,884870,KIT PRSS MNTR 4FR 1.35MM,5941.0,5941.0,314.87,7129.2,49
CDM,884892,SCREW BN OSTPN T7 3X16MM,280.0,280.0,14.84,336.0,20
CDM,884929,CATH BLDL 4X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,884930,CATH BLDL 6X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,884931,CATH BLDL 6X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,884950,CANN PRFSN 45D 12F 7.5IN,735.0,735.0,38.95,882.0,49
CDM,884953,INSERT TIB KN SZ6 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,884964,FILLER BN VD PROMDL 5CC,1400.0,1400.0,74.2,1680.0,20
CDM,884966,SPACER X-LOR 28X7MM,7200.0,7200.0,381.6,8640.0,20
CDM,884974,NAIL BN 11.5MM 40CM,6270.0,6270.0,332.31,7524.0,20
CDM,884975,PLATE SPN 3LVL 45M,1900.0,1900.0,100.7,2280.0,20
CDM,884978,COIL EMBL 4MM 13CM,1750.0,1750.0,92.75,2100.0,20
CDM,884979,COIL EMBL 5MM 16CM,1750.0,1750.0,92.75,2100.0,20
CDM,884984,DEVICE CLSR WND 16X16CM,964.0,964.0,51.09,1156.8,49
CDM,884991,PLATE BN 10HL 199MM,2622.0,2622.0,138.97,3146.4,20
CDM,884992,SCREW BN 3.5MM 95M,58.0,58.0,3.07,69.6,20
CDM,884995,SCREW BN 4MM 38MM 14MM,68.0,68.0,3.6,81.6,20
CDM,884996,SCREW BN 4MM 46MM,58.0,58.0,3.07,69.6,20
CDM,884997,SCREW BN 4MM 48MM,58.0,58.0,3.07,69.6,20
CDM,885005,SCREW BN 4.5MM 32MM,42.0,42.0,2.23,50.4,20
CDM,885042,GRAFT EVAS 10CM 12MM,21104.0,21104.0,1118.51,25324.8,20
CDM,885073,SUTURE BLK BRD 0 18IN,46.0,46.0,2.44,55.2,49
CDM,885078,BEARNG TIB IBAL CR+4 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,885094,CAGE SPNL 24X14X12MM,5274.0,5274.0,279.52,6328.8,20
CDM,885104,STENT VASC 6X100MM 123CM,3590.0,3590.0,190.27,4308.0,20
CDM,885110,INTRO SHTH 7FR 13CM,1333.0,1333.0,70.65,1599.6,49
CDM,885111,CATH ANGIO 4FR 65CM,497.0,497.0,26.34,596.4,49
CDM,885113,SCREW BN 2.5MM 26MM,242.0,242.0,12.83,290.4,20
CDM,885131,SCREW BN 8X80X16MM TMX,12533.96,12533.96,664.3,15040.75,20
CDM,885151,IMPLANT BN DEL SYS BICEP,2200.0,2200.0,116.6,2640.0,20
CDM,885163,SCREW BN 4.0MMX46MM,58.0,58.0,3.07,69.6,20
CDM,885169,K-WIRE  BN 1MM,405.51,405.51,21.49,486.61,49
CDM,885172,GRAFT EVAS 7CM 12MM,6334.0,6334.0,335.7,7600.8,20
CDM,885173,GRAFT EVAS 10CM 14.5MM,21104.0,21104.0,1118.51,25324.8,20
CDM,885193,SPACER ALGRF LMPLSTY 12M,1650.0,1650.0,87.45,1980.0,20
CDM,885196,SCREW P-AX GEMNS 3.5X22,290.0,290.0,15.37,348.0,20
CDM,885199,SCREW P-AX GEMNS 3.5X32,290.0,290.0,15.37,348.0,20
CDM,885211,SCREW BN 3.5MM 14MM,512.0,512.0,27.14,614.4,20
CDM,885212,SCREW BN 3.5MM 10MM,512.0,512.0,27.14,614.4,20
CDM,885231,PLATE BN 8HL 149MM,2452.0,2452.0,129.96,2942.4,20
CDM,885232,SCREW BN 4X4MM/L20MM,200.0,200.0,10.6,240.0,20
CDM,885236,CATH SUC 6F 24IN,328.0,328.0,17.38,393.6,49
CDM,885245,SCREW VIPR CORT 8X35MM,1200.0,1200.0,63.6,1440.0,20
CDM,885257,PLATE MED LOPRO TI PRIMT,2190.0,2190.0,116.07,2628.0,20
CDM,885259,PLATE CALC FRACT STD LT,2190.0,2190.0,116.07,2628.0,20
CDM,885263,ROD SPN R-LN 210X5.5MM,360.0,360.0,19.08,432.0,20
CDM,885267,CAGE PEEK 30X10X12MM,4500.0,4500.0,238.5,5400.0,20
CDM,885300,SCREW FEM BAR MTRS 10X85,4400.0,4400.0,233.2,5280.0,20
CDM,885301,COMP FEM EXT PC MTRS 40M,5000.0,5000.0,265.0,6000.0,20
CDM,885304,PUSHER DEL SYS PANC 4FR,1782.0,1782.0,94.45,2138.4,49
CDM,885309,STENT PANC 5FR 3CM,148.0,148.0,7.84,177.6,20
CDM,885311,SPACER SPN 5D 7X14X11.5,1620.0,1620.0,85.86,1944.0,20
CDM,885350,SEAL CANN 10MM,594.0,594.0,31.48,712.8,49
CDM,885394,ASSEMBLY ORTH BSPLT,10264.0,10264.0,543.99,12316.8,20
CDM,885395,PIN BN 2.5MM 40MM,576.0,576.0,30.53,691.2,20
CDM,885396,PIN AXIS BOOM 2.5X45MM,576.0,576.0,30.53,691.2,20
CDM,885397,DRILL BIT 2.7X70MM,1884.0,1884.0,99.85,2260.8,49
CDM,885398,DRESSING HDRGEL 4X4IN,93.0,93.0,4.93,111.6,49
CDM,885400,NEEDLE CATHETER COMBINAT,5941.0,5941.0,314.87,7129.2,49
CDM,885410,INSERT TIB KN SZ4 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,885414,MATRIX TISS 15X10CM,7036.0,7036.0,372.91,8443.2,20
CDM,885422,TUBE SA REDUCTION,2564.0,2564.0,135.89,3076.8,49
CDM,885453,NAIL BN 7MM 9.5MM 270MM,3406.0,3406.0,180.52,4087.2,20
CDM,885454,NAIL BN 7MM 9.5MM 255MM,3406.0,3406.0,180.52,4087.2,20
CDM,885460,KIT PMP RT HRT 22F 170CM,194300.0,194300.0,10297.9,233160.0,49
CDM,885468,IMPLANT CUST CRANIAL XL,34337.0,34337.0,1819.86,41204.4,20
CDM,885477,MNPLT SURG CUP 4.0CM,2564.0,2564.0,135.89,3076.8,49
CDM,885486,GWIRE VASC .014IN 300CM,5941.0,5941.0,314.87,7129.2,49
CDM,885533,ROD PERC MLT ANG 5.5X220,360.0,360.0,19.08,432.0,20
CDM,885549,MNPLT SURG CUP 3.5CM,2564.0,2564.0,135.89,3076.8,49
CDM,885594,INTRO SHTH 10FR 13CM,1310.0,1310.0,69.43,1572.0,49
CDM,885596,SPACER SPNL 23MMX9MM,7200.0,7200.0,381.6,8640.0,20
CDM,885598,BEARNG TIB TKA CR+2 13MM,1100.0,1100.0,58.3,1320.0,20
CDM,885609,NAIL BN 11MM 360MM,2453.0,2453.0,130.01,2943.6,20
CDM,885619,SCREW BN 3.5MM 36MM,540.0,540.0,28.62,648.0,20
CDM,885634,ANCHOR SUT 3.0MM 12.7MM,770.0,770.0,40.81,924.0,20
CDM,885637,ENVELOPE TISS 6.9X9.8CM,1900.0,1900.0,100.7,2280.0,20
CDM,885642,PLATE BN LT 5HL,640.0,640.0,33.92,768.0,20
CDM,885659,COIL EMBL 6CM 3MM,3240.0,3240.0,171.72,3888.0,20
CDM,885661,COIL EMBL 6CM 3.5MM,3240.0,3240.0,171.72,3888.0,20
CDM,885673,BLADE OPTH 180D MINI,335.0,335.0,17.75,402.0,49
CDM,885696,SHEATH INTRO 20FR 28CM,3275.0,3275.0,173.57,3930.0,49
CDM,885712,NAIL TIB 8.5MM 33CM,2398.0,2398.0,127.09,2877.6,20
CDM,885714,CAGE BODY XRL 24-29M 21M,8633.0,8633.0,457.55,10359.6,20
CDM,885715,PLATE CRNMXF ORBT RT SM,4410.0,4410.0,233.73,5292.0,20
CDM,885717,SCREW BN 3.5MM 26MM,430.0,430.0,22.79,516.0,20
CDM,885718,SCREW BN 3.5MM 28MM,452.0,452.0,23.96,542.4,20
CDM,885719,SCREW BN 4MM 16MM,550.0,550.0,29.15,660.0,20
CDM,885721,DRILL SURG 2.5MM,3013.0,3013.0,159.69,3615.6,49
CDM,885723,GUIDE PIN ORTH 1.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,885726,KIT PRP BRDGE LEAD EXTR,3799.0,3799.0,201.35,4558.8,49
CDM,885736,PLATE SPN MDL 1LV 14MM,1900.0,1900.0,100.7,2280.0,20
CDM,885744,SYSTEM CATH ARTHRCM 1.5M,25130.0,25130.0,1331.89,30156.0,49
CDM,885760,PLATE BN 8HL RT THRD,1100.0,1100.0,58.3,1320.0,20
CDM,885792,ILLUMINATOR SURG BLADE,2685.0,2685.0,142.31,3222.0,49
CDM,885797,DISTRACTION PIN - 14MM,942.0,942.0,49.93,1130.4,49
CDM,885805,BOLT EXFX WIRE 2MM,3222.0,3222.0,170.77,3866.4,49
CDM,885808,POST EX FIX WIRE SHORT,4283.0,4283.0,227.0,5139.6,49
CDM,885809,BOLT EX FIX 20MM,1734.0,1734.0,91.9,2080.8,49
CDM,885820,KIT BN BX IVAS 8G 15MM,12169.5,12169.5,644.98,14603.4,49
CDM,885824,SCRDRVR BLADE AO T7,2773.0,2773.0,146.97,3327.6,49
CDM,885843,SYSTEM DRUG DLV 600ML,4126.0,4126.0,218.68,4951.2,49
CDM,885853,COIL EMBL 24CM 7MM,1750.0,1750.0,92.75,2100.0,20
CDM,885854,COIL EMBL 8MM 28CM,1750.0,1750.0,92.75,2100.0,20
CDM,885888,KIT NRSTM PRCSN CHRG,6896.0,6896.0,365.49,8275.2,49
CDM,885927,SET EXTENSION 2C6671,146.0,146.0,7.74,175.2,49
CDM,885978,DRESSING PETRO 1X8IN,11.0,11.0,0.58,13.2,49
CDM,885986,SCREW BN 3.5MM 24MM,170.0,170.0,9.01,204.0,20
CDM,885988,BIT DRILL 107MM 1.5MM 20,2564.0,2564.0,135.89,3076.8,49
CDM,886011,PROSTHESIS PENL SCROTAL,17796.0,17796.0,943.19,21355.2,20
CDM,886012,PROSTH PENL OD PMP 22CM,17598.0,17598.0,932.69,21117.6,20
CDM,886016,ROD STRT THBOLT 5.5X250,360.0,360.0,19.08,432.0,20
CDM,886033,SOLUTION IRR 1.5% 3000CC,380.0,380.0,20.14,456.0,49
CDM,886034,SOL IRR STRL H2O 250CC,71.0,71.0,3.76,85.2,49
CDM,886036,SOLUTION IRR H2O 3000ML,298.0,298.0,15.79,357.6,49
CDM,886057,PIN EXFX HALF 3MM 35MM,2564.0,2564.0,135.89,3076.8,49
CDM,886059,PIN BN EXFX 5X160X35MM,2564.0,2564.0,135.89,3076.8,49
CDM,886060,CLAMP PIN EXFX 2-BAR 75,10854.0,10854.0,575.26,13024.8,49
CDM,886067,NAIL BN 11MM 380MM,4061.0,4061.0,215.23,4873.2,20
CDM,886084,DEVICE CMPR RADIAL 29CM,1244.0,1244.0,65.93,1492.8,49
CDM,886085,SCREW BN 3.5MM 9MM,156.0,156.0,8.27,187.2,20
CDM,886091,NAIL BN FEM 10MM 170MM,2898.0,2898.0,153.59,3477.6,20
CDM,8861,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",1934.0,1934.0,117.05,117.05,1
CDM,8861,MELPHALAN 50 MG INJ NOC,1934.0,1934.0,166.32,2320.8,29
CDM,886102,SOLUTION IRR LR 3L ARTHM,299.0,299.0,15.85,358.8,49
CDM,886107,SCREW SET SPN,100.0,100.0,5.3,120.0,20
CDM,886108,CATH VASC 0.060INX132CM,16438.0,16438.0,871.21,19725.6,49
CDM,886109,CATH GD VASC.058IN 115CM,12054.0,12054.0,638.86,14464.8,49
CDM,886129,COIL SMART STD 45CMX11MM,3220.0,3220.0,170.66,3864.0,20
CDM,886130,COIL EMBL STD 45CMX12MM,3220.0,3220.0,170.66,3864.0,20
CDM,886146,DEVICE THRMB 4X20X10MM,49741.0,49741.0,2636.27,59689.2,49
CDM,886168,ENVELOPE TISS 6.9X6.5CM,1850.0,1850.0,98.05,2220.0,20
CDM,886171,COIL EMBL 30CM,2500.0,2500.0,132.5,3000.0,20
CDM,886173,CATH DLV SYS 115CM 45TIP,5941.0,5941.0,314.87,7129.2,49
CDM,886211,SPACR CERV PK16X13X10X7D,1620.0,1620.0,85.86,1944.0,20
CDM,886212,SPACR CERV PK16X13X11X7D,1620.0,1620.0,85.86,1944.0,20
CDM,886216,SCREW P-AX BLCKBRD 4X14,1370.0,1370.0,72.61,1644.0,20
CDM,886217,SCREW P-AX BLCKBRD 4X16,1370.0,1370.0,72.61,1644.0,20
CDM,886229,SPACER STD 28X8MM,6800.0,6800.0,360.4,8160.0,20
CDM,886237,STEM RESTR SZ12 18MM,9126.0,9126.0,483.68,10951.2,20
CDM,886238,ROD THNDRBLT STR 5.5X190,360.0,360.0,19.08,432.0,20
CDM,886239,ROD THNDRBLT STR 5.5X210,360.0,360.0,19.08,432.0,20
CDM,886247,STENT VASC 6X80MM 125CM,3590.0,3590.0,190.27,4308.0,20
CDM,886271,GWIRE VASC 190CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,886273,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,886275,COIL EMBL 8CM 5MM,2390.0,2390.0,126.67,2868.0,20
CDM,886277,COIL EMBL 10CM 3.5MM,3240.0,3240.0,171.72,3888.0,20
CDM,886278,COIL EMBL SFT 6CM 2.5MM,12591.0,12591.0,667.32,15109.2,20
CDM,886280,COIL EMBL 4CM 2.5MM,12591.0,12591.0,667.32,15109.2,20
CDM,886288,SOLUTION IRR 0.9% 250ML,72.0,72.0,3.82,86.4,49
CDM,886289,SCREW P-AX STRMLN 3.5X18,1370.0,1370.0,72.61,1644.0,20
CDM,886299,CONNECTR ASSY OCCIP-CERV,1200.0,1200.0,63.6,1440.0,20
CDM,886303,INSERT TIB KN 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,886320,BEARNG TIB TKA CR+1 13MM,1100.0,1100.0,58.3,1320.0,20
CDM,886329,NAIL FEM RT 10X235MM,3332.0,3332.0,176.6,3998.4,20
CDM,886351,SCREW BN 2.5MM 28MM,590.0,590.0,31.27,708.0,20
CDM,886352,PLATE SPN 2LVL 28MM,1900.0,1900.0,100.7,2280.0,20
CDM,886363,SPACER SPN 8MM 23MM,7200.0,7200.0,381.6,8640.0,20
CDM,886364,SPACER SPNL 23X8MM,6800.0,6800.0,360.4,8160.0,20
CDM,886365,BURR ROUTER 2.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,886368,SUTURE UND BRD +4-0 18IN,277.0,277.0,14.68,332.4,49
CDM,886396,CLIP LGT 2.8MM 235CM,432.0,432.0,22.9,518.4,20
CDM,886410,SCREW BN 2.5MMX24MM,590.0,590.0,31.27,708.0,20
CDM,886411,BROACH SURG INSTRUMNT,5941.0,5941.0,314.87,7129.2,49
CDM,886419,NAIL BN FEM 10MM 400MM,3828.0,3828.0,202.88,4593.6,20
CDM,886421,EXPANDER TISS 700CC,2000.0,2000.0,106.0,2400.0,20
CDM,886422,EXPANDER BRST 550CC,2150.0,2150.0,113.95,2580.0,20
CDM,886435,SCREW SPN 5.5MM 25MM,150.0,150.0,7.95,180.0,20
CDM,886437,DRILL SLF CNT FRTY 1 STR,3680.0,3680.0,195.04,4416.0,49
CDM,886439,SCREW BN 4MM 32MM,434.0,434.0,23.0,520.8,20
CDM,886466,SCREW BN 1.4MM 4MM 44MM,657.0,657.0,34.82,788.4,20
CDM,886472,CATH BLDL 4X20MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,886482,TRAY TIB KN SZ3,2114.0,2114.0,112.04,2536.8,20
CDM,886493,NAIL FEM RT 10X400MM,2220.0,2220.0,117.66,2664.0,20
CDM,886497,ENVELOPE TISS 8.0X6.9CM,1850.0,1850.0,98.05,2220.0,20
CDM,886544,ENDCAP OBELISC BLU 32MM,3000.0,3000.0,159.0,3600.0,20
CDM,886546,ROD STRT THBOLT 5.5X170,360.0,360.0,19.08,432.0,20
CDM,886547,BEARNG TB IBAL CR+3 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,886549,SPACER SPNL 23MMX9MM ELE,7200.0,7200.0,381.6,8640.0,20
CDM,886558,PLATE BN 8HL 3.5X147MM,3055.0,3055.0,161.91,3666.0,20
CDM,886566,GWIRE URO .038IN 150CM,1374.0,1374.0,72.82,1648.8,49
CDM,886568,361 HCT P SKN NOS,2751.0,2751.0,145.8,3301.2,30
CDM,886569,NAIL BN 10MM 34CM,3052.0,3052.0,161.76,3662.4,20
CDM,886596,GRAFT VASC 45CM 4-7MM,3438.0,3438.0,182.21,4125.6,20
CDM,886597,PLATE BN 4H 99MM,2560.0,2560.0,135.68,3072.0,20
CDM,886618,CAGE PEEK  30X10X13MM,4500.0,4500.0,238.5,5400.0,20
CDM,886623,NAIL BN 10MM 235MM,3332.0,3332.0,176.6,3998.4,20
CDM,886659,PLATE BN FEM 9H 246MM,2457.0,2457.0,130.22,2948.4,20
CDM,886667,OBTURATOR BLDLSS 8MM,1187.0,1187.0,62.91,1424.4,49
CDM,886677,CNTRSNK SCREW HEAD 2.0MM,897.0,897.0,47.54,1076.4,49
CDM,886678,RELOAD STPLR 30 4.3MM,359.0,359.0,19.03,430.8,20
CDM,886680,RELOAD STPLR 30 2.5MM,359.0,359.0,19.03,430.8,20
CDM,886683,SHEAR DVNC XI 26.84CMX8M,5941.0,5941.0,314.87,7129.2,49
CDM,886689,NAIL BN 125D 11MM 320MM,3266.0,3266.0,173.1,3919.2,20
CDM,886701,COIL EMBL 4CM 2MM,12591.0,12591.0,667.32,15109.2,20
CDM,886702,COIL EMBL 3CM 2MM,3240.0,3240.0,171.72,3888.0,20
CDM,886703,COIL EMBL 2CM 2MM,3240.0,3240.0,171.72,3888.0,20
CDM,886704,COIL EMBL 4CM 3MM,12591.0,12591.0,667.32,15109.2,20
CDM,886707,CATH ANGIO 5FR 100CM,603.0,603.0,31.96,723.6,49
CDM,886709,CATH ANGIO 6FR 110CM,603.0,603.0,31.96,723.6,49
CDM,886710,SHEATH GD 8FR 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,886719,STEM FEM HIP 150MM 16MM,3525.0,3525.0,186.82,4230.0,20
CDM,886723,KIT CATH INTRO 6FR 10CM,2564.0,2564.0,135.89,3076.8,49
CDM,886724,CATH GLD ANG 5FR 100CM,2045.0,2045.0,108.39,2454.0,49
CDM,886725,SCREW BN 4.5MM 30MM,432.0,432.0,22.9,518.4,20
CDM,886745,PLATE BN 99MM 4HL,2560.0,2560.0,135.68,3072.0,20
CDM,886759,COMP FEM KN RT SZ6,3000.0,3000.0,159.0,3600.0,20
CDM,886763,SCREW SPN TULIP,450.0,450.0,23.85,540.0,20
CDM,886770,PIN FX 5MM 300MM,2564.0,2564.0,135.89,3076.8,49
CDM,886771,PLATE BN 1/3TBLR 107MM,585.0,585.0,31.0,702.0,20
CDM,886772,PLATE BN 5HL 59MM,506.0,506.0,26.82,607.2,20
CDM,886775,SCREW BN 2.7 X 14MM,172.0,172.0,9.12,206.4,20
CDM,886778,SCREW BN LCK 3.5MN 12MM,84.0,84.0,4.45,100.8,20
CDM,886779,SCREW BN T10 3.5/L16MM,84.0,84.0,4.45,100.8,20
CDM,886780,SCREW BN LCK 3.5MM 14MM,84.0,84.0,4.45,100.8,20
CDM,886782,SCREW BN T10 3.5X18MM,84.0,84.0,4.45,100.8,20
CDM,886783,SCREW BN T10 3.5X20MM,84.0,84.0,4.45,100.8,20
CDM,886785,SCREW BN 3.5X28MM,84.0,84.0,4.45,100.8,20
CDM,886788,PLATE 142MM 8HL,3132.0,3132.0,166.0,3758.4,20
CDM,886809,KIT PROBE 17GA 150MM,5941.0,5941.0,314.87,7129.2,49
CDM,886818,HEAD HUM SHLDR 18MM 48MM,2100.0,2100.0,111.3,2520.0,20
CDM,886829,INTRO SHTH FEM CRV 12FR,3655.0,3655.0,193.72,4386.0,49
CDM,886830,SOLUTION IRR H2O 500ML,72.0,72.0,3.82,86.4,49
CDM,886846,COMPNT FEM KN LT SZ5,2300.0,2300.0,121.9,2760.0,20
CDM,886869,SET INTRO 16FR 27IN,5941.0,5941.0,314.87,7129.2,49
CDM,886878,SCREW BN 2.7MM 12MM,172.0,172.0,9.12,206.4,20
CDM,886879,SCREW BN 2.7MM 10MM,415.0,415.0,22.0,498.0,20
CDM,886880,SCREW BN LCK 2.7X12MM,415.0,415.0,22.0,498.0,20
CDM,886881,SCREW BN 3.5MM 16MM,250.0,250.0,13.25,300.0,20
CDM,886882,SCREW BN 3.5MM 14MM,250.0,250.0,13.25,300.0,20
CDM,886883,SCREW BN LCK THRD 3.5X12,250.0,250.0,13.25,300.0,20
CDM,886905,PIN BN EXFX 5X160X55MM,2564.0,2564.0,135.89,3076.8,49
CDM,886933,CATH BLNOCC 4MM 10MM,9249.0,9249.0,490.2,11098.8,49
CDM,886939,PCMKR CRD 4.45X5.02X0.75,6112.0,6112.0,323.94,7334.4,20
CDM,886960,COMP FEM KN LT SZ2,2300.0,2300.0,121.9,2760.0,20
CDM,886967,SCREW BN 4MM 48MM,434.0,434.0,23.0,520.8,20
CDM,886982,SCREW BN HEADED 4MM 46MM,300.0,300.0,15.9,360.0,20
CDM,886983,SCREW BN HEADED 4MM 40MM,300.0,300.0,15.9,360.0,20
CDM,886987,KIT INTRO SHTH 7FR 10CM,2261.0,2261.0,119.83,2713.2,49
CDM,886990,PORT XI SGL SITE 8.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,887009,SCREW SPN LNG SHNK3.5X34,1370.0,1370.0,72.61,1644.0,20
CDM,887010,SCREW SPN LNG SHNK 4X32,1370.0,1370.0,72.61,1644.0,20
CDM,887011,SCREW SPN LNG SHNK 4X36,1370.0,1370.0,72.61,1644.0,20
CDM,887014,ROD SPNL 40MM 3.5MM,360.0,360.0,19.08,432.0,20
CDM,887022,CAP END NAIL HEX INT15MM,361.2,361.2,19.14,433.44,20
CDM,887037,ELECTRODE ESURG FINGER,5941.0,5941.0,314.87,7129.2,49
CDM,887040,CATH EP 7FR 115CM,5946.0,5946.0,315.14,7135.2,49
CDM,887048,GRAFT BN FIB SEG SHFT,2420.1,2420.1,128.27,2904.12,20
CDM,887085,BEARING TIB I-BAL+ 3 10M,1100.0,1100.0,58.3,1320.0,20
CDM,887131,SCREW BN 4MM 18MM,120.0,120.0,6.36,144.0,20
CDM,887161,SUTURE CTX 1 8X18IN,356.0,356.0,18.87,427.2,49
CDM,887165,STYLET 23CM VENTRI SHUNT,5836.0,5836.0,309.31,7003.2,49
CDM,887247,HEAD FEM HIP 28MM SZM,1300.0,1300.0,68.9,1560.0,20
CDM,887259,PLATE BN LFT MEDIUM,2454.0,2454.0,130.06,2944.8,20
CDM,887262,SCREW BN 3.5MM 16MM,251.0,251.0,13.3,301.2,20
CDM,887270,COMPNT TIB KN SZ5,2114.0,2114.0,112.04,2536.8,20
CDM,887292,DEVICE EMBL 16MM 4MM,27400.0,27400.0,1452.2,32880.0,20
CDM,887320,CMPNT FEM KN LT SZ4,2500.0,2500.0,132.5,3000.0,20
CDM,887341,CUP HUM SHLDR 42MM +6MM,1700.0,1700.0,90.1,2040.0,20
CDM,887346,LEAD PCNG 45CM,710.0,710.0,37.63,852.0,20
CDM,887347,LEAD PCNG 53CM,710.0,710.0,37.63,852.0,20
CDM,887348,GW VASC 260X.032 STD TIP,505.0,505.0,26.77,606.0,49
CDM,887357,NAIL BN FEM 12MM 360MM,3828.0,3828.0,202.88,4593.6,20
CDM,887362,CATH PRF20MMX3.5CM 110CM,9326.0,9326.0,494.28,11191.2,49
CDM,887367,PLATE BN 8HL 173MM,2570.0,2570.0,136.21,3084.0,20
CDM,887368,CATH BLNDIL 7F 12X80X4,3432.0,3432.0,181.9,4118.4,49
CDM,887379,SCREW BN 4.5MM 50MM,362.0,362.0,19.19,434.4,20
CDM,887380,SCREW BN 4.5MM 55MM,416.0,416.0,22.05,499.2,20
CDM,887381,SCREW BN 4.5MM 65MM,388.0,388.0,20.56,465.6,20
CDM,887384,CATH & ASPR TUBING 5MAX,21373.0,21373.0,1132.77,25647.6,49
CDM,887397,STENT BIL PGTL 10FR 10CM,102.0,102.0,5.41,122.4,20
CDM,887398,SCREW BN 3.5MM 22MM,144.0,144.0,7.63,172.8,20
CDM,887403,SCREW BN 3.5X18MM,250.0,250.0,13.25,300.0,20
CDM,887411,CATH IV 18GA 8CM,2564.0,2564.0,135.89,3076.8,49
CDM,887412,CATH IV 18GA 10CM,2564.0,2564.0,135.89,3076.8,49
CDM,887413,CATH ANGIO 4R 65CM,452.0,452.0,23.96,542.4,49
CDM,887414,CTHDX INFN 5F C2 65,744.0,744.0,39.43,892.8,49
CDM,887415,CMPNT FEM KN SZ8,2300.0,2300.0,121.9,2760.0,20
CDM,887416,INSERT TIB KN SZ8 7MM,1500.0,1500.0,79.5,1800.0,20
CDM,887435,FLEXHD 220 SQCM,25452.0,25452.0,1348.96,30542.4,30
CDM,887455,GWIRE ORTH 3.2MM 230MM,2450.0,2450.0,129.85,2940.0,49
CDM,887478,STEM SHLDR SZ12 108MM,11625.0,11625.0,616.13,13950.0,20
CDM,887493,STABILIZER SURG VAC,5941.0,5941.0,314.87,7129.2,49
CDM,887508,COIL EMBL SFT 30CMX10MM,4770.0,4770.0,252.81,5724.0,20
CDM,887512,COIL EMBL SFT 13CMX5MM,4464.0,4464.0,236.59,5356.8,20
CDM,887514,COIL EMBL SFT 15CMX6MM,4500.0,4500.0,238.5,5400.0,20
CDM,887515,COIL EMBL SFT 15CMX7MM,4500.0,4500.0,238.5,5400.0,20
CDM,887517,COIL EMBL SFT 9CMX5MM,4392.0,4392.0,232.78,5270.4,20
CDM,887518,COIL EMBL X-SFT 3CMX3MM,3646.0,3646.0,193.24,4375.2,20
CDM,887522,COIL CURVE X SOFT 2MMX2C,3276.0,3276.0,173.63,3931.2,20
CDM,887523,COIL EMBL 6CM 3MM CRV X,4032.0,4032.0,213.7,4838.4,20
CDM,887538,COIL EMBL 4MM 10CM,4968.0,4968.0,263.3,5961.6,20
CDM,887540,COIL EMBL 60CM 28MM,5220.0,5220.0,276.66,6264.0,20
CDM,887541,COIL EMBL 60CM 32MM,5220.0,5220.0,276.66,6264.0,20
CDM,887545,COIL EMBL STD 22MM 60CM,4680.0,4680.0,248.04,5616.0,20
CDM,887546,COIL EMBL STD 57CM24MM,4654.0,4654.0,246.66,5584.8,20
CDM,887550,COIL EMBL CRVD 2MM 3CM,3466.0,3466.0,183.7,4159.2,20
CDM,887552,COIL EMBL CMPLX 9X25,4320.0,4320.0,228.96,5184.0,20
CDM,887557,TRAY CATH PICC 5FR 3LUM,3571.0,3571.0,189.26,4285.2,49
CDM,887560,TRAY CATH MID 4FR 20CM,2564.0,2564.0,135.89,3076.8,49
CDM,887579,CATH BLDL 5X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,887582,BARRIER SKIN 1.75IN,115.0,115.0,15.41,138.0,24
CDM,887582,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",115.0,115.0,8.57,26.96,33
CDM,887585,CATH BLNDIL 6MM 150MM,12047.0,12047.0,638.49,14456.4,49
CDM,887586,CATH BLNDIL 5MM 150MM,12047.0,12047.0,638.49,14456.4,49
CDM,887587,CATH BLNDIL 4MM 150MM,12047.0,12047.0,638.49,14456.4,49
CDM,887595,SPACER SPN 10X36X9-13MM,6800.0,6800.0,360.4,8160.0,20
CDM,887597,PIN DRILL 3.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,887623,BEARING TIB I-BAL+ 2 8MM,1100.0,1100.0,58.3,1320.0,20
CDM,887624,ROD 80MM,300.0,300.0,15.9,360.0,20
CDM,887635,CATH PRF22MMX3.5CM 110CM,9326.0,9326.0,494.28,11191.2,49
CDM,887651,CMPNT FEM KN SZ7,2900.0,2900.0,153.7,3480.0,20
CDM,887652,BLADE SAW OSCIL SNG USE,4323.0,4323.0,229.12,5187.6,49
CDM,887659,CATH SUPP 135CM 12MM,3036.0,3036.0,160.91,3643.2,49
CDM,887661,CATH ANGIO 5FR 65CM,580.0,580.0,30.74,696.0,49
CDM,887665,CATH ANGIO 4FR 65CM,580.0,580.0,30.74,696.0,49
CDM,887666,CATH ANGIO 5FR 110CM,435.0,435.0,23.05,522.0,49
CDM,887667,STEM FEM HIP STD SZ1,4000.0,4000.0,212.0,4800.0,20
CDM,887679,SHEATH INTRO 8F 90CM,5941.0,5941.0,314.87,7129.2,49
CDM,887680,SHEATH INTRO 8F 80CM,5941.0,5941.0,314.87,7129.2,49
CDM,887686,PLATE BN TBLR 8HL 95MM,544.0,544.0,28.83,652.8,20
CDM,887688,SCREW BN 2.4MM 20MM,84.0,84.0,4.45,100.8,20
CDM,887689,SCREW BN 3.5MM 10MM,84.0,84.0,4.45,100.8,20
CDM,8877,OXALIPLATIN 100 MG INJ,1972.0,1972.0,104.52,2366.4,30
CDM,887723,CATH ABL REP 7FR 110CM,2564.0,2564.0,135.89,3076.8,49
CDM,887731,IPG NRSTM 5.55CM 4.95CM,31562.0,31562.0,1672.79,37874.4,20
CDM,887737,COMP FEM KN RT SZ8,2300.0,2300.0,121.9,2760.0,20
CDM,887738,INSERT TIB KN SZ8 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,887758,SCREW BN 2.7MM 66MM,79.0,79.0,4.19,94.8,20
CDM,887775,CANNULA ENDO 12X100MM,5144.0,5144.0,272.63,6172.8,49
CDM,887779,ROD STRT HEX CON 5.5X500,360.0,360.0,19.08,432.0,20
CDM,887781,SCREW PDCL W/O TLP7.5X40,980.0,980.0,51.94,1176.0,20
CDM,887782,SCREW PDCL W/O TLP4.5X40,980.0,980.0,51.94,1176.0,20
CDM,887783,SCREW PDCL W/O TLP4.5X35,980.0,980.0,51.94,1176.0,20
CDM,887784,SCREW PDCL W/O TLP5.5X40,980.0,980.0,51.94,1176.0,20
CDM,887786,SCREW PDCL W/O TLP7.5X50,980.0,980.0,51.94,1176.0,20
CDM,887788,SCREW PDCL W/O TLP7.5X90,980.0,980.0,51.94,1176.0,20
CDM,887820,NAIL BN RT 10MM 36CM,3052.0,3052.0,161.76,3662.4,20
CDM,887849,PLATE BN 5HL 4.0MM,430.0,430.0,22.79,516.0,20
CDM,887862,CATH ANGIO 5FR 80CM,497.0,497.0,26.34,596.4,49
CDM,887865,KIT DRSG 12X6IN PICO NEG,3602.0,3602.0,190.91,4322.4,49
CDM,887866,CATH BLN 2.5X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,887880,PLATE BN 10HL 49MM,1516.0,1516.0,80.35,1819.2,20
CDM,887882,SCREW BN 2.4X18MM,250.0,250.0,13.25,300.0,20
CDM,887884,SCREW BN 2.7X18MM,284.0,284.0,15.05,340.8,20
CDM,887930,NAIL BN 10MM 26CM,2398.0,2398.0,127.09,2877.6,20
CDM,887931,PIN EX FIX 6X250MM,2564.0,2564.0,135.89,3076.8,49
CDM,887933,BOOT WALK AIR RCKR SMALL,1102.0,1102.0,147.67,1322.4,24
CDM,887989,TROCAR 3.2MM,2284.8,2284.8,121.09,2741.76,49
CDM,887990,BEARNG TB I-BAL CR+3 11M,1100.0,1100.0,58.3,1320.0,20
CDM,887997,CMPNT DOME KN 29MM,700.0,700.0,37.1,840.0,20
CDM,888000,INSERT TIB KN SZ3 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,888218,COMP FEM KN RT SZ4,2850.0,2850.0,151.05,3420.0,20
CDM,888244,VALVE SHUNT REG,9530.0,9530.0,505.09,11436.0,20
CDM,888248,ROD SPN 5.5/6.0,360.0,360.0,19.08,432.0,20
CDM,888295,DRILL BIT CANN 2.1X120MM,942.0,942.0,49.93,1130.4,49
CDM,888308,DILATOR ARTH PROSTOP 11M,1680.0,1680.0,89.04,2016.0,49
CDM,888313,SIZER SURG PROSTOP 11MM,1344.0,1344.0,71.23,1612.8,49
CDM,888355,ROD STRT THBOLT 5.5X210,360.0,360.0,19.08,432.0,20
CDM,888411,ROD STRT THBOLT 5.5X230,360.0,360.0,19.08,432.0,20
CDM,888436,SCREW BN 2.7MM 14MM,84.0,84.0,4.45,100.8,20
CDM,888446,SCREW BN 2.7X20MM,250.0,250.0,13.25,300.0,20
CDM,888494,SCREW BN 5MM 90MM,418.0,418.0,22.15,501.6,20
CDM,888495,NAIL BN LT 10MM 42CM,4086.0,4086.0,216.56,4903.2,20
CDM,888527,ARTHROFLEX 28 SQ CM,9032.0,9032.0,478.7,10838.4,20
CDM,888575,SCREW BN 40X50MM,500.0,500.0,26.5,600.0,20
CDM,888595,SCRW BN 3.5X18MM,264.0,264.0,13.99,316.8,20
CDM,888596,SCREW BN 3.5X14MM,342.0,342.0,18.13,410.4,20
CDM,888598,SCREW BN 3.5MM 20MM,264.0,264.0,13.99,316.8,20
CDM,888617,DEVICE CLS WND +2-0 15CM,764.0,764.0,40.49,916.8,49
CDM,888618,DEVICE CLSR WND +0 15CM,844.0,844.0,44.73,1012.8,49
CDM,888625,COIL EMBL 3CM 1MM,12591.0,12591.0,667.32,15109.2,20
CDM,888626,COIL EMBL 2CM 1MM,12591.0,12591.0,667.32,15109.2,20
CDM,888627,COIL EMBL 3CM1.5MM,3240.0,3240.0,171.72,3888.0,20
CDM,888628,COIL EMBL 4CM 1MM,3240.0,3240.0,171.72,3888.0,20
CDM,888629,COIL EMBL 2CM 1.5MM,3240.0,3240.0,171.72,3888.0,20
CDM,888637,COIL EMBL 1.5MM 4CM,3240.0,3240.0,171.72,3888.0,20
CDM,888638,COIL EMBL 8CM 3MM,12591.0,12591.0,667.32,15109.2,20
CDM,888639,COIL EMBL 8CM 3.5MM AXIU,3240.0,3240.0,171.72,3888.0,20
CDM,888653,COIL EMBL 1CM 1MM,9653.0,9653.0,511.61,11583.6,20
CDM,888674,KIT INTRO 10CM 6FR 22GA,2564.0,2564.0,135.89,3076.8,49
CDM,888701,INSERT KN TIB SZ7 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,888717,SCREW BN 4MM 18MM,200.0,200.0,10.6,240.0,20
CDM,888718,PLATE BN 4HL 102MM,2998.0,2998.0,158.89,3597.6,20
CDM,888736,LEAD PCNG RT VNTRC 52CM,794.0,794.0,42.08,952.8,20
CDM,888744,PATCH FBRN SEALANT 2X4IN,6482.0,6482.0,343.55,7778.4,49
CDM,888747,COIL EMBL XL TRG 6CM 3MM,6066.0,6066.0,321.5,7279.2,20
CDM,888748,COIL EMBL 9CM 3MM,5143.0,5143.0,272.58,6171.6,20
CDM,888751,COIL EMBL 4MM 8CM,5143.0,5143.0,272.58,6171.6,20
CDM,888752,COIL EMBL 12CM 4MM,5143.0,5143.0,272.58,6171.6,20
CDM,888753,COIL EMBL 10CM 5MM XL TR,5143.0,5143.0,272.58,6171.6,20
CDM,888754,COIL EMBL 20CM 6MM,5143.0,5143.0,272.58,6171.6,20
CDM,888755,COIL EMBL 20CM 7MM,5143.0,5143.0,272.58,6171.6,20
CDM,888763,DISTRACTOR SURG DISP,942.0,942.0,49.93,1130.4,49
CDM,888772,HOUSING CRPCTMY CG 17X22,5994.0,5994.0,317.68,7192.8,20
CDM,888773,TOWER CRPCTM CG17X22 16M,13994.0,13994.0,741.68,16792.8,20
CDM,888774,STAPLE BN NTNL 18X14MM,3446.0,3446.0,182.64,4135.2,20
CDM,888807,K-WIRE FX 2.3MM 150MM,942.0,942.0,49.93,1130.4,49
CDM,888863,GWIRE VASC 18F 90CM,17013.0,17013.0,901.69,20415.6,49
CDM,888864,INTERBDY LIF C-+10X12X8,1620.0,1620.0,85.86,1944.0,20
CDM,888865,INTERBDY LIF C-+10X12X9,1620.0,1620.0,85.86,1944.0,20
CDM,888877,CATH THORACIC 20FR,1191.0,1191.0,63.12,1429.2,49
CDM,888878,CATH THORACIC 32FR,1191.0,1191.0,63.12,1429.2,49
CDM,888884,CATH BLN 5FR 6X130X60MM,10104.0,10104.0,535.51,12124.8,49
CDM,888885,CATH BLN 5FR 6X130X80MM,8938.0,8938.0,473.71,10725.6,49
CDM,888886,CATH BLN 6FR 4X130X100MM,8938.0,8938.0,473.71,10725.6,49
CDM,888894,CATH BLN 5FR 6X130X150MM,11269.0,11269.0,597.26,13522.8,49
CDM,888895,INTRO SHTH NRN MP 4X90,5941.0,5941.0,314.87,7129.2,49
CDM,888896,STOPCOCK IV 4W LG,39.0,39.0,2.07,46.8,49
CDM,888897,SCREW RETAIN REPLACE,168.0,168.0,8.9,201.6,20
CDM,888909,STENT BIL 8.5FR 80X10MM,4268.0,4268.0,226.2,5121.6,20
CDM,888956,ICD-S 12.7MM 83.1X69.1MM,36000.0,36000.0,1908.0,43200.0,20
CDM,889025,GWIRE VASC MIC.014 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,889029,SCREW CORT 3.5X12.5MM,200.0,200.0,10.6,240.0,20
CDM,889030,SCREW BN 3.5MM 24MM,264.0,264.0,13.99,316.8,20
CDM,889032,SCREW BN 2.7MM 12MM,138.0,138.0,7.31,165.6,20
CDM,889033,SCREW BN 2.7MM 22MM,138.0,138.0,7.31,165.6,20
CDM,889034,SCREW BN 2.7MM 22MM,250.0,250.0,13.25,300.0,20
CDM,889055,PLATE BN 2MM 76MM,1746.0,1746.0,92.54,2095.2,20
CDM,889057,SCREW BN FULL 2.7X16MM,250.0,250.0,13.25,300.0,20
CDM,889058,SCREW SPN 2.7MM 26MM,138.0,138.0,7.31,165.6,20
CDM,889059,SCREW BN 2.7MM 20MM,138.0,138.0,7.31,165.6,20
CDM,889060,SCREW BN 2.7MM 12MM,250.0,250.0,13.25,300.0,20
CDM,889081,IMPLANT BREAST 415CC,2650.0,2650.0,140.45,3180.0,20
CDM,889084,SCREW BN 3.5MM 12MM,264.0,264.0,13.99,316.8,20
CDM,889085,SCREW BN 3.5MM 14MM,264.0,264.0,13.99,316.8,20
CDM,889086,SCREW BN NLCK 3.5X16MM,264.0,264.0,13.99,316.8,20
CDM,889087,SCREW BN LCKNG 3.5X12MM,342.0,342.0,18.13,410.4,20
CDM,889088,SCREW BN 3.5MM 10MM,342.0,342.0,18.13,410.4,20
CDM,889137,INSRT ART GNS2 CR1-2 18M,1100.0,1100.0,58.3,1320.0,20
CDM,889138,SCREW BN LCK 3.5X16,274.0,274.0,14.52,328.8,20
CDM,889139,SCREW BN 3.5MM 18MM,274.0,274.0,14.52,328.8,20
CDM,889140,SCREW BN CORT 3.5X20,274.0,274.0,14.52,328.8,20
CDM,889142,CAGE SPNL 39X30X14MM,4300.0,4300.0,227.9,5160.0,20
CDM,889143,CAGE SPN 10D 30X39X16MM,4000.0,4000.0,212.0,4800.0,20
CDM,889155,BLADE SAW 32X6.4MM,477.0,477.0,25.28,572.4,49
CDM,889157,HEAD FEM COCR 28MM,2850.0,2850.0,151.05,3420.0,20
CDM,889158,PLATE BN LCK SZ10 13MM,10468.0,10468.0,554.8,12561.6,20
CDM,889171,SCREW BN 3.5MM 24MM,342.0,342.0,18.13,410.4,20
CDM,889181,STEM RADL ELB 7MM,4050.0,4050.0,214.65,4860.0,20
CDM,889195,IMPLANT BREAST 470CC,2650.0,2650.0,140.45,3180.0,20
CDM,889197,PASSER SUT 45D CRV RT,2564.0,2564.0,135.89,3076.8,49
CDM,889198,PROBE RF ABLAT 17GA 10MM,30352.0,30352.0,1608.66,36422.4,49
CDM,8892,"Injection, paclitaxel protein-bound particles, 1 mg ",1562.88,1562.88,5.84,5.84,1
CDM,8892,PACLITAX-PROTEIN100MGINJ,1562.88,1562.88,134.41,1875.46,29
CDM,889203,CLIP ANRSM PERM 9MM,797.0,797.0,42.24,956.4,20
CDM,889221,SCREW BN HEADED 4MM 42MM,300.0,300.0,15.9,360.0,20
CDM,889228,SCREW BN LCKNG 3.5X28MM,342.0,342.0,18.13,410.4,20
CDM,889250,CATH BLDL 5X200MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,889271,COIL EMBL 9MM 28CM,1750.0,1750.0,92.75,2100.0,20
CDM,889272,COIL EMBL 10MM 32CM,1750.0,1750.0,92.75,2100.0,20
CDM,889274,PLATE BN RT 4HL 108MM,2149.0,2149.0,113.9,2578.8,20
CDM,889276,SCREW BN 5MM 8MM,541.0,541.0,28.67,649.2,20
CDM,889296,SET XTN IV 3.9X33 2C5627,24.0,24.0,1.27,28.8,49
CDM,889297,CAGE OLIF 13X10.5X28X6D,4500.0,4500.0,238.5,5400.0,20
CDM,889299,BEARNG TIB I-BAL CR+3 9M,1100.0,1100.0,58.3,1320.0,20
CDM,889300,BEARNG TB I-BAL CR+3 11M,1100.0,1100.0,58.3,1320.0,20
CDM,889334,PLATE BN ORTHO SM RT,4196.0,4196.0,222.39,5035.2,20
CDM,889354,PIN HALF EXFX HEX 4X30MM,1482.1,1482.1,78.55,1778.52,49
CDM,889378,NAIL TIB 9MM 330MM,2230.0,2230.0,118.19,2676.0,20
CDM,889390,DEVICE CLS WND +3-0 45CM,778.0,778.0,41.23,933.6,49
CDM,889391,DEVICE CLSR WND +0 30CM,3399.0,3399.0,180.15,4078.8,49
CDM,889396,SCREW BN 7X35MM,993.0,993.0,52.63,1191.6,20
CDM,889399,SCREW BN 5MM 44MM,622.0,622.0,32.97,746.4,20
CDM,889409,SCREW BN 4MM 65MM,58.0,58.0,3.07,69.6,20
CDM,889412,SUTURE SUPRAMID 4-0 12IN,2564.0,2564.0,135.89,3076.8,49
CDM,889419,COMPNT FEM KN RT SZ3,2300.0,2300.0,121.9,2760.0,20
CDM,889432,PLATE BN HUM 4H 90MM,3926.0,3926.0,208.08,4711.2,20
CDM,889434,SCREW BN 3.5MM 26MM,187.0,187.0,9.91,224.4,20
CDM,889442,BEARNG TB I-BAL CR+3 13M,1100.0,1100.0,58.3,1320.0,20
CDM,889443,BEARNG TIB I-BAL CR+2 9M,1100.0,1100.0,58.3,1320.0,20
CDM,889444,STEM FEM HIP MED,3300.0,3300.0,174.9,3960.0,20
CDM,889453,GRAFT BN CORT CANC 5.0CC,2952.0,2952.0,156.46,3542.4,20
CDM,889461,SUTURETAPE 1.3MM WH/BL,74.0,74.0,3.92,88.8,49
CDM,889476,SCREW BN 3.5MM 30MM,264.0,264.0,13.99,316.8,20
CDM,889477,SCREW BN LCK 3.5X18MM,342.0,342.0,18.13,410.4,20
CDM,889479,SCREW OSTPNC SLVTN5.5X60,288.0,288.0,15.26,345.6,20
CDM,889482,SCREW FOOT SLVTN 5.5X60,540.0,540.0,28.62,648.0,20
CDM,889490,NAIL BN FEM RT 10MMX38CM,3052.0,3052.0,161.76,3662.4,20
CDM,889504,SCREW BN 4.2MM 28MM,352.0,352.0,18.66,422.4,20
CDM,889506,SCREW BN LCK 4.2X26MM,352.0,352.0,18.66,422.4,20
CDM,889517,CATH VASC MCR 6F 105CM,6956.0,6956.0,368.67,8347.2,49
CDM,889518,CATH VASC MCR 6F 95CM,6956.0,6956.0,368.67,8347.2,49
CDM,889524,CMPNT FEM KN RT SZ4,2300.0,2300.0,121.9,2760.0,20
CDM,889525,INSRT TIB KN SZ4 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,889527,INTRODUCER VASC 14F 45CM,2564.0,2564.0,135.89,3076.8,49
CDM,889528,CATH BLNDL 10X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,889529,CATH BLNDL 8MM 75X4CM,2564.0,2564.0,135.89,3076.8,49
CDM,889532,MNPLT SURG CUP 3.0CM,2564.0,2564.0,135.89,3076.8,49
CDM,889542,CATH PRF18MMX3.5CM 110CM,9326.0,9326.0,494.28,11191.2,49
CDM,889546,STENT VASC 7X80MM 125CM,3590.0,3590.0,190.27,4308.0,20
CDM,889547,CATH THORACIC 24FR,1413.0,1413.0,74.89,1695.6,49
CDM,889548,CATH THORACIC 28FR,1191.0,1191.0,63.12,1429.2,49
CDM,889551,SLEEVE SMIT GYN IMPLANT,4178.0,4178.0,221.43,5013.6,49
CDM,889556,CUTTING LOOP BIPLR 24 26,4527.0,4527.0,239.93,5432.4,49
CDM,889561,SCREW BN 4MM 38MM,722.0,722.0,38.27,866.4,20
CDM,889570,BOLT EXFX HINGE LNG 16MM,2564.0,2564.0,135.89,3076.8,49
CDM,889571,LENS IOL +7.0 DIOP,855.0,855.0,88.06,1026.0,31
CDM,889572,RING CIRC EXFIX .5X130M,6682.81,6682.81,354.19,8019.37,49
CDM,889612,SCREW BN 3.5MM 28MM,54.0,54.0,2.86,64.8,20
CDM,889617,WASHER BN 7MM 4MM,77.0,77.0,4.08,92.4,20
CDM,889642,IMPLANT BREAST 615CC,2400.0,2400.0,127.2,2880.0,20
CDM,889643,IMPLANT BREAST 545CC,2400.0,2400.0,127.2,2880.0,20
CDM,889644,IMPLANT BREAST 525CC,2650.0,2650.0,140.45,3180.0,20
CDM,889651,IMPLANT BREAST 485CC,2650.0,2650.0,140.45,3180.0,20
CDM,889653,IMPLANT BREAST 450CC,2650.0,2650.0,140.45,3180.0,20
CDM,889659,IMPLANT BREAST 345CC,2650.0,2650.0,140.45,3180.0,20
CDM,889672,RING RETRACT 14.1X14.1CM,2266.0,2266.0,120.1,2719.2,49
CDM,889684,SCREW BN 4.2MM 30MM,352.0,352.0,18.66,422.4,20
CDM,889686,DRL 2.8X140MM CANN,942.0,942.0,49.93,1130.4,49
CDM,889687,GRAFT ST TIS 6X4CM,13990.0,13990.0,741.47,16788.0,49
CDM,889698,KIT PRICRDC CATH 6F 60CM,2685.0,2685.0,142.31,3222.0,49
CDM,889699,CATH DLYS 16FR 42CM,3202.0,3202.0,169.71,3842.4,49
CDM,889708,GUIDE PIN ORTH 3.2X330MM,2564.0,2564.0,135.89,3076.8,49
CDM,889725,STENT VASC 6X60MM 125CM,2990.0,2990.0,158.47,3588.0,20
CDM,889726,STENT VASC 8X40MM 125CM,2280.0,2280.0,120.84,2736.0,20
CDM,889751,SCREW BN 4.2MM 18MM,352.0,352.0,18.66,422.4,20
CDM,889756,CATH ATHR 6F 36MM 145CM,22539.0,22539.0,1194.57,27046.8,49
CDM,889765,STEM HUM AQLS LNG 9X210,6000.0,6000.0,318.0,7200.0,20
CDM,889791,CANNULA ORTH 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,889798,DEVICE SUT PASS UP 70D,3886.0,3886.0,205.96,4663.2,49
CDM,889799,ANCHOR SUT 3.0MM 12.7MM,850.0,850.0,45.05,1020.0,20
CDM,889816,COMP FEM KN RT SZ6,2500.0,2500.0,132.5,3000.0,20
CDM,889879,CYTAL 150 SQCM,3772.0,3772.0,199.92,4526.4,30
CDM,889882,CYTAL 150 SQCM,12443.0,12443.0,659.48,14931.6,30
CDM,889884,SCREW BN 5MM 77.5MM,362.0,362.0,19.19,434.4,20
CDM,889908,SCREW P-AX NLCK 3.5X38,290.0,290.0,15.37,348.0,20
CDM,889910,INSERT TIB KN SZ4 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,889912,SCREW BN 3.5MM 18MM,58.0,58.0,3.07,69.6,20
CDM,889913,SCREW BN 4MM 16MM,298.0,298.0,15.79,357.6,20
CDM,889914,SCREW BN 4MM 34MM,58.0,58.0,3.07,69.6,20
CDM,889918,PLATE BN FT 33MM 3.5MM,1756.0,1756.0,93.07,2107.2,20
CDM,889919,SCREW BN FL THRD 3.5X26,264.0,264.0,13.99,316.8,20
CDM,889921,NAIL BN LT 10MM 40CM,4344.0,4344.0,230.23,5212.8,20
CDM,889929,SCREW BN 3MM 10MM,184.0,184.0,9.75,220.8,20
CDM,889930,PLATE BN DRSL SHRT,2312.0,2312.0,122.54,2774.4,20
CDM,889931,SCREW BN 3MM 12MM,184.0,184.0,9.75,220.8,20
CDM,889932,SCREW BN 3MM 14MM,184.0,184.0,9.75,220.8,20
CDM,889933,SCREW BN 2.5MM 24MM,642.0,642.0,34.03,770.4,20
CDM,889934,SCREW BN 2.5X30MM,642.0,642.0,34.03,770.4,20
CDM,889958,PLATE BN MF FUSION 4H,2634.0,2634.0,139.6,3160.8,20
CDM,889962,SCREW BN 3.5MM 24MM,84.0,84.0,4.45,100.8,20
CDM,889963,SCREW BN T10 3.5X20MM,264.0,264.0,13.99,316.8,20
CDM,889964,SCREW BN 3.5MM 24MM,264.0,264.0,13.99,316.8,20
CDM,889965,BEARING TIB CR+ SZ5 10MM,1100.0,1100.0,58.3,1320.0,20
CDM,889979,STENT BIL 8.5FR 10X60MM,18373.0,18373.0,973.77,22047.6,20
CDM,889994,STEM FEM KN 30MM 14MM,1428.0,1428.0,75.68,1713.6,20
CDM,890007,SCREW BN 3MM 14MM,456.0,456.0,24.17,547.2,20
CDM,890017,SCREW CAN HDLS S-T2.5X10,480.0,480.0,25.44,576.0,20
CDM,890018,CATH BLN 5FR 4X130X40MM,8938.0,8938.0,473.71,10725.6,49
CDM,890020,GRAFT BNDG CRNL PRKRA,8153.0,8153.0,432.11,9783.6,49
CDM,890029,PIN AXIS BOOM 2.5X55MM,576.0,576.0,30.53,691.2,20
CDM,890033,SUTURE BLK MONO 11-0 5IN,715.0,715.0,37.9,858.0,49
CDM,890034,EXPANDER TISS 300CC CRST,2000.0,2000.0,106.0,2400.0,20
CDM,890041,SCREW BN 4.0MM 12MM,284.0,284.0,15.05,340.8,20
CDM,890042,SCREW BN 4.0MM 16MM,284.0,284.0,15.05,340.8,20
CDM,890045,CATH MAPPING 20MM 165CM,5941.0,5941.0,314.87,7129.2,49
CDM,890047,IMPLANT BREAST 335CC,2190.0,2190.0,116.07,2628.0,20
CDM,890048,IMPLANT BREAST 385CC,2650.0,2650.0,140.45,3180.0,20
CDM,890051,IMPLANT BREAST 295CC,2190.0,2190.0,116.07,2628.0,20
CDM,890063,SCREW BN 3.5MM 14MM,58.0,58.0,3.07,69.6,20
CDM,890071,SET IMPL HIP LABRL RECN,3934.0,3934.0,208.5,4720.8,20
CDM,890077,PLATE BN 4HL 47MM,506.0,506.0,26.82,607.2,20
CDM,890089,CLIP LGT 2.8MM 235CM,478.0,478.0,25.33,573.6,20
CDM,890098,SCREW BN 4MM 40MM,1100.0,1100.0,58.3,1320.0,20
CDM,890118,SCREW P-AX THBOLT 5.5X30,1700.0,1700.0,90.1,2040.0,20
CDM,890150,SCREW BN 2.4MM 16MM,84.0,84.0,4.45,100.8,20
CDM,890152,SCREW BN 2.7MM 16MM,264.0,264.0,13.99,316.8,20
CDM,890155,SCREW BN 2.7MM 16MM,84.0,84.0,4.45,100.8,20
CDM,890174,PLATE BN 4HL 75MM,2420.0,2420.0,128.26,2904.0,20
CDM,890184,SCREW BN 4MM 1.4MM 34MM,657.0,657.0,34.82,788.4,20
CDM,890209,PLATE BN 15HL 195MM,981.0,981.0,51.99,1177.2,20
CDM,890211,SHELL ACTB HIP SZG 60MM,5945.0,5945.0,315.08,7134.0,20
CDM,890221,BIOVANCE 16 SQCM,15575.0,15575.0,825.48,18690.0,30
CDM,890251,EPIFX/EPICRD SURG105SQCM,7990.0,7990.0,423.47,9588.0,20
CDM,890252,EPIBURN SURG 6X6CM,2590.0,2590.0,137.27,3108.0,20
CDM,890266,CATH MAPPING 15MM 165CM,5941.0,5941.0,314.87,7129.2,49
CDM,890278,SCREW BN 2.4MM 22MM,280.0,280.0,14.84,336.0,20
CDM,890279,SCREW BN 2.2X20MM,242.0,242.0,12.83,290.4,20
CDM,890282,SCREW BN 4MM 26MM,120.0,120.0,6.36,144.0,20
CDM,890289,SCREW BN 3.5MM 30MM,590.0,590.0,31.27,708.0,20
CDM,890293,SUTURE VIO BRD +3-0 18IN,360.0,360.0,19.08,432.0,49
CDM,890309,ROD SPN 40MM,360.0,360.0,19.08,432.0,20
CDM,890311,SCREW SPN 6.5MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,890315,SCREW SPN SET,100.0,100.0,5.3,120.0,20
CDM,890349,STEM FEM HIOFST 17X154MM,3400.0,3400.0,180.2,4080.0,20
CDM,890359,PROBE RF ABLAT 17GA 7MM,30352.0,30352.0,1608.66,36422.4,49
CDM,890360,KIT SURG BN ACCESS 10GA,4951.0,4951.0,262.4,5941.2,49
CDM,890386,NAIL TIB 10MMX34CM,3052.0,3052.0,161.76,3662.4,20
CDM,890420,GUIDEWIRE VASC 260CM,1078.0,1078.0,57.13,1293.6,49
CDM,890424,EXPANDER TISS BRST 200CC,2000.0,2000.0,106.0,2400.0,20
CDM,890430,PLATE BN RAD HD,2452.0,2452.0,129.96,2942.4,20
CDM,890431,PEG BN FX 2.3MM 14MM,154.0,154.0,8.16,184.8,20
CDM,890432,PEG FX 2.3MM 16MM,154.0,154.0,8.16,184.8,20
CDM,890433,PEG FX 2.3MM 18MM,154.0,154.0,8.16,184.8,20
CDM,890454,SCREW SPN 5.5MM 50MM,1000.0,1000.0,53.0,1200.0,20
CDM,890465,GWIRE VASC .014IN 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,890467,SUTURE ANCH BTTN PLT 2HL,4700.0,4700.0,249.1,5640.0,20
CDM,890488,CATH ATHRCM 5.9CM 135CM,22539.0,22539.0,1194.57,27046.8,49
CDM,890497,SCREW BN 2.7MM 24MM,264.0,264.0,13.99,316.8,20
CDM,890498,SCREW BN 3.5MM 26MM,264.0,264.0,13.99,316.8,20
CDM,890499,SCREW BN LCKNG 3.5X26MM,342.0,342.0,18.13,410.4,20
CDM,890507,CATH BLDL 3X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,890508,CATH BLDL 3.5X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,890509,CATH BLD 3.5X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,890510,CATH BLN 4X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,890512,CATH BLNDL 6X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,890513,CATH BLDL 4X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,890514,CATH BLDL 4X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,890516,CATH BLDL 6X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,890517,CATH BLDL 10X60MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,890520,CANNLA ARTHSCP CSTM TRMT,2450.0,2450.0,129.85,2940.0,49
CDM,890523,SCREW BN 3.5MM 44MM,144.0,144.0,7.63,172.8,20
CDM,890528,STEM TIB EXT I-BAL 10X50,3286.0,3286.0,174.16,3943.2,20
CDM,890529,BEARING TIB CR SZ 4 13MM,1100.0,1100.0,58.3,1320.0,20
CDM,890530,PLATE FEM LCP 11H 260M-R,3279.36,3279.36,173.81,3935.23,20
CDM,890535,BROACH SURG SMRTOE 2 PRX,3196.0,3196.0,169.39,3835.2,49
CDM,890536,IMPLANT ANCHOR FIXATION,3990.0,3990.0,211.47,4788.0,20
CDM,890542,SCREW BN 2.4MM 14MM,138.0,138.0,7.31,165.6,20
CDM,890545,PLATE 99 SS 2.7/3.5M 5HL,1273.0,1273.0,67.47,1527.6,20
CDM,890550,SHELL ACTB 58MM HIP MLH,5945.0,5945.0,315.08,7134.0,20
CDM,890563,INTRODUCER SHTH 16F 45CM,2564.0,2564.0,135.89,3076.8,49
CDM,890573,DRIVER HEX W/ RATCH 2.5M,3194.0,3194.0,169.28,3832.8,49
CDM,890585,CATH GD INFS 2.8FR 15CM,9296.0,9296.0,492.69,11155.2,49
CDM,890593,GUIDEPIN ORTH 1.6X102MM,1131.0,1131.0,59.94,1357.2,49
CDM,890594,WIRE FX OLV .045X2.5IN,942.0,942.0,49.93,1130.4,49
CDM,890605,INTERFYL 1500 MG,14630.0,14630.0,775.39,17556.0,30
CDM,890609,SCREW BN 7.3MM 135MM,538.0,538.0,28.51,645.6,20
CDM,890622,COMP EXTEN PC MUTRS 60MM,5000.0,5000.0,265.0,6000.0,20
CDM,890623,STEM FEM CMNT MUTRS 13MM,13000.0,13000.0,689.0,15600.0,20
CDM,890624,HEAD FEM COCR 12/14 32MM,4500.0,4500.0,238.5,5400.0,20
CDM,890625,GRAFT ST TIS 12X8CM,5824.0,5824.0,308.67,6988.8,20
CDM,890653,SCREW BN 10MM 105MM,1215.0,1215.0,64.39,1458.0,20
CDM,890654,NAIL BN FEM RT 10X44MM,3052.0,3052.0,161.76,3662.4,20
CDM,890666,DRIVER UNV QC T20,1582.0,1582.0,83.85,1898.4,49
CDM,890671,PCMKR CRD 47X50X6MM,6400.0,6400.0,339.2,7680.0,20
CDM,890677,SCREW BN 9.5MM 100MM,1166.0,1166.0,61.8,1399.2,20
CDM,890678,SCREW BN SPN 4MM 42MM,1000.0,1000.0,53.0,1200.0,20
CDM,890679,BEARING TIB CR+ SZ3 8MM,1148.0,1148.0,60.84,1377.6,20
CDM,890683,INTRO SHEATH 24FR 33CM,5941.0,5941.0,314.87,7129.2,49
CDM,890699,ROD SPN STRT 5.5MM 110MM,360.0,360.0,19.08,432.0,20
CDM,890709,CATH BLN 3.0X100MM 150CM,3235.0,3235.0,171.46,3882.0,49
CDM,890840,ROD SPN STRT 5.5MM 70MM,360.0,360.0,19.08,432.0,20
CDM,890843,SCREW BN 4.5MM 40MM,1590.0,1590.0,84.27,1908.0,20
CDM,890941,STENT EPRSTH 40MM 20CM,29800.0,29800.0,1579.4,35760.0,20
CDM,890955,SCREW BN 2MM 12MM,342.0,342.0,18.13,410.4,20
CDM,890959,SCREW BN 2.0MM 12MM,264.0,264.0,13.99,316.8,20
CDM,890961,WIRE BN SMOOTH 1.3MM,942.0,942.0,49.93,1130.4,49
CDM,890963,FILLER BN 20CC 25X100MM,4200.0,4200.0,222.6,5040.0,20
CDM,890972,CAGE SPNL 36X27X12MM10DG,4000.0,4000.0,212.0,4800.0,20
CDM,890991,COIL EMBL 9CM 6MM,2296.0,2296.0,121.69,2755.2,20
CDM,890992,COIL EMBL DTCH 8MMX12CM,2296.0,2296.0,121.69,2755.2,20
CDM,890997,PCMKR CRD 47X50X6MM,6400.0,6400.0,339.2,7680.0,20
CDM,891007,SCREW BN 2.5MM 12MM,642.0,642.0,34.03,770.4,20
CDM,891008,KWIRE FX 1.4MM,377.0,377.0,19.98,452.4,49
CDM,891009,DRIVER SURG 3.5MM,1884.0,1884.0,99.85,2260.8,49
CDM,891010,DRILL QUICK CONNCT 2.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,891012,SCREW BN 3.5MM 20MM,642.0,642.0,34.03,770.4,20
CDM,891025,PLATE BN 125MM,2952.0,2952.0,156.46,3542.4,20
CDM,891030,SCREW BN 3.5MM 18MM,642.0,642.0,34.03,770.4,20
CDM,891031,SCREW BN 3.5MM 22MM,642.0,642.0,34.03,770.4,20
CDM,891045,BEARING TIB CR+ SZ6 11MM,1100.0,1100.0,58.3,1320.0,20
CDM,891046,BEARING TIB KN 11MM,1148.0,1148.0,60.84,1377.6,20
CDM,891053,INTRO SHEATH 10FR 33CM,5941.0,5941.0,314.87,7129.2,49
CDM,891054,GRAFT EVAS 28.5X12M 12CM,21104.0,21104.0,1118.51,25324.8,20
CDM,891063,DVCE TISS RMVL,7215.0,7215.0,382.39,8658.0,49
CDM,891169,SCREW BN 8MM 80MM,382.0,382.0,20.25,458.4,20
CDM,891203,SCRWDRVR ASNS 3HEX 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,891209,PLATE BN STR 6HL 79MM,710.0,710.0,37.63,852.0,20
CDM,891219,SEALER BIP 20CM 13MM,5941.0,5941.0,314.87,7129.2,49
CDM,891220,SCREW SPN 9.5MM 90MM,900.0,900.0,47.7,1080.0,20
CDM,891222,INTRO SHEATH 10FR 33CM,5502.0,5502.0,291.61,6602.4,49
CDM,891223,INTRO SHEATH 10FR 33CM,5502.0,5502.0,291.61,6602.4,49
CDM,891224,INTRO SHEATH 16FR 33CM,5502.0,5502.0,291.61,6602.4,49
CDM,891225,INTRO SHEATH 18FR 33CM,5941.0,5941.0,314.87,7129.2,49
CDM,891226,INTRO SHEATH 20FR 33CM,5941.0,5941.0,314.87,7129.2,49
CDM,891228,INTRO SHEATH 22FR 33CM,5941.0,5941.0,314.87,7129.2,49
CDM,891229,INTRO SHEATH 26FR 33CM,5941.0,5941.0,314.87,7129.2,49
CDM,891234,LNR RTNTV 650 40 +0 POLY,334.0,334.0,17.7,400.8,20
CDM,891262,PLATE BN CMPR 10HL 127MM,1068.0,1068.0,56.6,1281.6,20
CDM,891284,CATH BLN 5FR 4X130X150MM,11269.0,11269.0,597.26,13522.8,49
CDM,891286,CATH EP 10 3.5X110CM 7FR,5941.0,5941.0,314.87,7129.2,49
CDM,891287,INTRO GUID 10FR 63CM,3091.0,3091.0,163.82,3709.2,49
CDM,891297,CATH MICRO 2.1FR 167CM,8378.0,8378.0,444.03,10053.6,49
CDM,891324,KIT STENT PANC 5FR 7CM,329.0,329.0,17.44,394.8,20
CDM,891374,CAGE SPNL 12X14 6D -06,1600.0,1600.0,84.8,1920.0,20
CDM,891388,SCREW CPTR SD ST P-T7X70,1220.0,1220.0,64.66,1464.0,20
CDM,891390,DRILL SURG 2.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,891391,DRILL SURG 2.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,891405,COMPNT FEM KN LT SZ5N,2500.0,2500.0,132.5,3000.0,20
CDM,891409,INTRODUCER CATH 18F 85CM,2564.0,2564.0,135.89,3076.8,49
CDM,891411,SHEETING SIL 2X2X.010IN,31.0,31.0,1.64,37.2,20
CDM,891412,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,891424,PLATE 385MM SS 4.5/5 16H,3554.0,3554.0,188.36,4264.8,20
CDM,891427,SCREW BN 7MM 80MM,1424.0,1424.0,75.47,1708.8,20
CDM,891430,SCREW BN LCK 4.2X32MM,352.0,352.0,18.66,422.4,20
CDM,891434,BIODEFENCE 32 SQCM,30576.0,30576.0,1620.53,36691.2,30
CDM,891438,CMPNT TIB KN RS 160X10,4653.0,4653.0,246.61,5583.6,20
CDM,891448,PLATE BN ANKL 7HL 83MM,436.0,436.0,23.11,523.2,20
CDM,891449,SCREW BN NLCKG 2.7X10MM,84.0,84.0,4.45,100.8,20
CDM,891453,SHELL ACTB HIP SZF 56MM,5946.0,5946.0,315.14,7135.2,20
CDM,891454,LINER ACTB HIP F 44MM,1300.0,1300.0,68.9,1560.0,20
CDM,891455,DEVICE WNDCLS 2-0 23CM,1047.0,1047.0,55.49,1256.4,49
CDM,891482,BLADE ARTHSCP ENDOBLADE,6956.0,6956.0,368.67,8347.2,49
CDM,891485,CATH BLN 5F 5X40MM 130CM,8938.0,8938.0,473.71,10725.6,49
CDM,891486,CANNULA ARTHSCP 3CM 12MM,2261.0,2261.0,119.83,2713.2,49
CDM,891510,SCREW BN 2.5MM 12MM,590.0,590.0,31.27,708.0,20
CDM,891511,SCREW BN 4MM 36MM,434.0,434.0,23.0,520.8,20
CDM,891512,K-WIRE FX 1.1X150MM,434.48,434.48,23.03,521.38,49
CDM,891514,SCREW BN 3.5MM 22MM,342.0,342.0,18.13,410.4,20
CDM,891515,SCREW BN 3.5X16M,342.0,342.0,18.13,410.4,20
CDM,891516,SCREW BN 3.5MM 20MM,342.0,342.0,18.13,410.4,20
CDM,891517,SCREW BN 4.2MM 16MM,276.0,276.0,14.63,331.2,20
CDM,891530,NAIL BN TROCH 10MM 36CM,4086.0,4086.0,216.56,4903.2,20
CDM,891543,URTSCP FLX 9.5FR 2-50MM,11658.0,11658.0,617.87,13989.6,49
CDM,891570,SCREW BN SLF TP 3.5X18MM,96.0,96.0,5.09,115.2,20
CDM,891573,BIT DRILL 2.7MM L150,2564.0,2564.0,135.89,3076.8,49
CDM,891574,SCREW SV-T PED CRT6.5X45,1370.0,1370.0,72.61,1644.0,20
CDM,891585,IMPLANT BREAST 400CC,2650.0,2650.0,140.45,3180.0,20
CDM,891586,IMPLANT BREAST 420CC,2650.0,2650.0,140.45,3180.0,20
CDM,891609,BAR EXFX 11MM 300MM,2973.0,2973.0,157.57,3567.6,49
CDM,891628,SIDEPLT LCP DHHS 4H 130D,1189.44,1189.44,63.04,1427.33,20
CDM,891632,BEARING TIB KN SZ3 9MM,886.0,886.0,46.96,1063.2,20
CDM,891657,PIN HALF BN 5MM 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,891668,SCREW SPN 6.5MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,891670,ALLODERM 132 SQCM,39851.0,39851.0,2112.1,47821.2,30
CDM,891702,PIN BONE TIBIAL,2073.0,2073.0,109.87,2487.6,49
CDM,891717,PLATE BN VAR 103MM 8 HL,1042.0,1042.0,55.23,1250.4,20
CDM,891719,CATH ANGIO 4FR 35X150CM,2534.0,2534.0,134.3,3040.8,49
CDM,891730,SCREW BN 3.2 18 ZP SHRT,235.38,235.38,12.48,282.46,20
CDM,891756,SCREW BN 8MM 100MM 46MM,794.0,794.0,42.08,952.8,20
CDM,891759,PLATE BN 12H 3.5MM 266MM,3259.0,3259.0,172.73,3910.8,20
CDM,891762,INSERT TIB KN SZ7 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,891787,COMPNT FEM LT KN SZ8,2300.0,2300.0,121.9,2760.0,20
CDM,891790,PLATE BN SHRT 69MM,2148.0,2148.0,113.84,2577.6,20
CDM,891802,COIL EMBL 30CM 10MM,4790.0,4790.0,253.87,5748.0,20
CDM,891803,COIL EMBL 30CM 12MM,4790.0,4790.0,253.87,5748.0,20
CDM,891804,COIL EMBL 6CM 3MM,3800.0,3800.0,201.4,4560.0,20
CDM,891805,COIL PRIME FRAME 4X8,3800.0,3800.0,201.4,4560.0,20
CDM,891806,COIL EMBL 8CM 5MM,3800.0,3800.0,201.4,4560.0,20
CDM,891807,COIL EMBL 10CM 6MM AXIUM,3800.0,3800.0,201.4,4560.0,20
CDM,891808,COIL EMBL 15CM 6MM,3800.0,3800.0,201.4,4560.0,20
CDM,891809,COIL EMBL 15CM 7MM,3800.0,3800.0,201.4,4560.0,20
CDM,891810,COIL EMBL 15CM 8MM,4790.0,4790.0,253.87,5748.0,20
CDM,891811,COIL EMBL 20CM 8MM,4790.0,4790.0,253.87,5748.0,20
CDM,891812,COIL EMBL 30CM 9MM,4790.0,4790.0,253.87,5748.0,20
CDM,891813,COIL EMBL 6CM 3.5MM,3800.0,3800.0,201.4,4560.0,20
CDM,891814,GWIRE VASC .014IN 182CM,2516.0,2516.0,133.35,3019.2,49
CDM,891815,GWIRE VASC .014IN 300CM,2490.0,2490.0,131.97,2988.0,49
CDM,891816,CATH GD VASC 165CM,5941.0,5941.0,314.87,7129.2,49
CDM,891825,SCREW SPN 6MM,100.0,100.0,5.3,120.0,20
CDM,891841,CATH DLV SYS 150CM 2.95F,6762.0,6762.0,358.39,8114.4,49
CDM,891842,CATH DLV SYS 2.6-2.95FR,6762.0,6762.0,358.39,8114.4,49
CDM,891849,SCREW BN 3.5MM 32MM,144.0,144.0,7.63,172.8,20
CDM,891850,SCREW BN T10 3.5X22MM,250.0,250.0,13.25,300.0,20
CDM,891861,INSERT TIB KN SZ4 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,891913,ROD SPN CRV 5.5MM 80MM,360.0,360.0,19.08,432.0,20
CDM,891922,GUIDEWIRE 150STR .035STF,1507.0,1507.0,79.87,1808.4,49
CDM,891924,GUIDEWIRE VASC 150CM .03,1507.0,1507.0,79.87,1808.4,49
CDM,891926,CATH GD 4FR 135CM,2564.0,2564.0,135.89,3076.8,49
CDM,891927,PLATE BN 9H 25MM 2.7MM,1612.0,1612.0,85.44,1934.4,20
CDM,891948,PLATE BN 36X36MM .5MM,1798.0,1798.0,95.29,2157.6,20
CDM,891970,CATH BLNDL 6FR 7MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,891973,CATH BLNDIL 6MM 75X4CM,2564.0,2564.0,135.89,3076.8,49
CDM,891975,CATH BLN 5MM 40MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,892034,SCREW BN 3.5MM 26MM,642.0,642.0,34.03,770.4,20
CDM,892081,SCREW BN 4MM 2.2MM,1713.0,1713.0,90.79,2055.6,20
CDM,892085,PLATE BN 1X21H 1.7X.5MM,5115.0,5115.0,271.1,6138.0,20
CDM,892087,PLATE BN 2X21 HL .5MM,6226.0,6226.0,329.98,7471.2,20
CDM,892090,PLATE PART CSINK.75X2X21,7480.0,7480.0,396.44,8976.0,20
CDM,892104,BASEPLATE TIB KN SZ3,2600.0,2600.0,137.8,3120.0,20
CDM,892106,SCREW BN 2.4X18MM,242.0,242.0,12.83,290.4,20
CDM,892107,SCREW BN 2.4MM 24MM,220.0,220.0,11.66,264.0,20
CDM,892123,SCREW BN LCK 3X16MM,280.0,280.0,14.84,336.0,20
CDM,892133,STENT GRFT 14FR 10X82MM,9300.0,9300.0,492.9,11160.0,20
CDM,892136,PLATE BN FIB 5HL,1400.0,1400.0,74.2,1680.0,20
CDM,892152,SCREW LOPRO LCK 2.7X60,330.0,330.0,17.49,396.0,20
CDM,892155,BIT DRILL CALBRTD 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,892157,NAIL BN 130D 11MM 360MM,3960.0,3960.0,209.88,4752.0,20
CDM,892170,ALLODERM 132 SQCM,44282.0,44282.0,2346.95,53138.4,30
CDM,892180,PLATE TIB LOWBEND LT 14H,3010.56,3010.56,159.56,3612.67,20
CDM,892197,SCREW BN CANC 4X20MM,58.0,58.0,3.07,69.6,20
CDM,892199,SCREW BN 4MM 26MM LOPRO,70.0,70.0,3.71,84.0,20
CDM,892203,DEVICE WNDCLS 15CM SZ3,1039.0,1039.0,55.07,1246.8,49
CDM,892207,GWIRE VASC 200CM .014IN,5941.0,5941.0,314.87,7129.2,49
CDM,892224,CUP HUM SHLDR 42MM +9MM,1827.0,1827.0,96.83,2192.4,20
CDM,892225,361 HCT P SKN NOS,18508.0,18508.0,980.92,22209.6,30
CDM,892233,STENT PANC 24MM 146MM,8668.0,8668.0,459.4,10401.6,20
CDM,892306,VALVE AORTIC 19MM,24000.0,24000.0,1272.0,28800.0,20
CDM,892312,CATH CRV 4FR 65CM SHK1,397.0,397.0,21.04,476.4,49
CDM,892313,STENT EPRSTH 10X13X29MM,5864.0,5864.0,310.79,7036.8,20
CDM,892373,GRAFT STNT 32MM 157MM,32552.0,32552.0,1725.26,39062.4,20
CDM,892381,PLATE BN 8HL LG RT,3128.0,3128.0,165.78,3753.6,20
CDM,892384,CATH HMDIAL 24CM 16FR,3202.0,3202.0,169.71,3842.4,49
CDM,892385,CATH HMDIAL 16F 28CM,2564.0,2564.0,135.89,3076.8,49
CDM,892387,REAMER HEAD 15.5MM DISP,5364.0,5364.0,284.29,6436.8,49
CDM,892388,BEARING TIB CR+ SZ2 12MM,1100.0,1100.0,58.3,1320.0,20
CDM,892397,EXPANDER BRST 475CC,16088.0,16088.0,852.66,19305.6,20
CDM,892398,EXPNDR TISS BRST 500CC,16088.0,16088.0,852.66,19305.6,20
CDM,892413,LIGASURE CURV 18CM13.5MM,7336.0,7336.0,388.81,8803.2,49
CDM,892418,DEVICE RTRVL DAKOTA NTNL,2564.0,2564.0,135.89,3076.8,49
CDM,892426,STOPCOCK IV500 PI3W SWVL,40.0,40.0,2.12,48.0,49
CDM,892431,GFT EVAS ZNTH 34X190X18F,31930.0,31930.0,1692.29,38316.0,20
CDM,892432,GFT EVAS ZNTH 36X190X18F,31930.0,31930.0,1692.29,38316.0,20
CDM,892442,CATH BLDL 4X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,892445,INSERT TIB KN SZ5 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,892463,STEM FEM 190MM 15MM,3525.0,3525.0,186.82,4230.0,20
CDM,892499,NAIL 10MM 42CM RT INTRTN,4345.0,4345.0,230.28,5214.0,20
CDM,892514,KIT CATH VASC 4.3F 139CM,13601.0,13601.0,720.85,16321.2,49
CDM,892523,STENT BIL 10X40MM 80CM,1350.0,1350.0,71.55,1620.0,20
CDM,892529,CATH BLDL 7X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,892530,CATH BLDL 7X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,892531,CATH BLDL 2X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,892532,CATH BLDL 4X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,892533,CATH BLDL 5X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,892566,CONTROLLER PROGRAMER PT,5240.0,5240.0,277.72,6288.0,49
CDM,892568,WASHER ORT PERILC 10MM,20.0,20.0,1.06,24.0,20
CDM,892586,STAPLER INT CTR 45MM,3797.0,3797.0,201.24,4556.4,49
CDM,892590,SCREW CRTX SLFTP 4.5X100,153.3,153.3,8.12,183.96,20
CDM,892595,SCREW BN 2MM 10MM,40.0,40.0,2.12,48.0,20
CDM,892596,SCREW BN 2MM 18MM,40.0,40.0,2.12,48.0,20
CDM,892611,HANDLE COIL PERPH DTCH,2947.0,2947.0,156.19,3536.4,49
CDM,892612,NAIL BN KIT R1/5 11X300,3266.0,3266.0,173.1,3919.2,20
CDM,892622,PROBE ESURG APLO RF 90D,2564.0,2564.0,135.89,3076.8,49
CDM,892640,CATH BLN 5FR 4X130X60MM,8938.0,8938.0,473.71,10725.6,49
CDM,892641,CATH BLN 5FR 5X130X60MM,11269.0,11269.0,597.26,13522.8,49
CDM,892642,CATH DCB 7X60MM 130CM,11269.0,11269.0,597.26,13522.8,49
CDM,892643,CATH BLN 5F 80MM 130CM,8549.0,8549.0,453.1,10258.8,49
CDM,892644,CATH BLN 5F 5X80MM 130CM,10221.0,10221.0,541.71,12265.2,49
CDM,892645,CATH BLN 5FR 4X130X100MM,8938.0,8938.0,473.71,10725.6,49
CDM,892646,CATH BLN 5FR 5X130X100MM,8938.0,8938.0,473.71,10725.6,49
CDM,892647,CATH BLNDIL 5X150MM,11269.0,11269.0,597.26,13522.8,49
CDM,892648,BEARING KN 8MM,886.0,886.0,46.96,1063.2,20
CDM,892650,VALVE AORTIC 23MM,7200.0,7200.0,381.6,8640.0,20
CDM,892654,COIL EMBL 13MM 24CM,2296.0,2296.0,121.69,2755.2,20
CDM,892655,COIL EMBL 34CM 14MM,2548.0,2548.0,135.04,3057.6,20
CDM,892664,SCREW BN 4MM 34MM,886.0,886.0,46.96,1063.2,20
CDM,892665,SCREW BN 4MM 40MM,330.0,330.0,17.49,396.0,20
CDM,892666,SUTURE FIBERTAPE 17IN,2810.0,2810.0,148.93,3372.0,49
CDM,892667,RELOAD STPLR 45MM,255.0,255.0,13.52,306.0,20
CDM,892668,RELOAD STPLR 45MM,255.0,255.0,13.52,306.0,20
CDM,892669,RELOAD STPLR 45MM,255.0,255.0,13.52,306.0,20
CDM,892670,RELOAD STPLR 45MM,255.0,255.0,13.52,306.0,20
CDM,892671,RELOAD STPLR 45MM,248.0,248.0,13.14,297.6,20
CDM,892680,STRUT LNG QCK EXFX,12241.0,12241.0,648.77,14689.2,49
CDM,892706,SYSTEM FACIAL CLS 9.82IN,2564.0,2564.0,135.89,3076.8,49
CDM,892709,SCREW BN 3.5MM 6MM 42MM,37.0,37.0,1.96,44.4,20
CDM,892733,SCREW BN LCK 2.5X12MM,342.0,342.0,18.13,410.4,20
CDM,892734,SCREW BN 2.5MM 14MM,342.0,342.0,18.13,410.4,20
CDM,892735,SCREW BN NLCK 2.5X10MM,264.0,264.0,13.99,316.8,20
CDM,892739,KWIRE FX 0.9MM 150MM,845.0,845.0,44.78,1014.0,49
CDM,892748,BURR ROUTER TAPERED 3MM,2564.0,2564.0,135.89,3076.8,49
CDM,892749,PLATE BN 4HL 97MM,2316.0,2316.0,122.75,2779.2,20
CDM,892766,GWIRE ORTH 1.35MM,2318.0,2318.0,122.85,2781.6,49
CDM,892768,PLATE BN STR 7HL 91MM,710.0,710.0,37.63,852.0,20
CDM,892780,SCREW BN 2.5MM 14MM,264.0,264.0,13.99,316.8,20
CDM,892798,STEM HUM SURG NTRL,810.0,810.0,42.93,972.0,20
CDM,892817,SCREW BN 2.5MM 22MM,642.0,642.0,34.03,770.4,20
CDM,892818,SCREW BN 2.5MM 26MM,642.0,642.0,34.03,770.4,20
CDM,892819,PLATE BN 5H 112MM,2560.0,2560.0,135.68,3072.0,20
CDM,892820,GFT VSC BIOLN EX SUP6X8,5600.0,5600.0,296.8,6720.0,20
CDM,892826,PLATE BN 6HL 123MM,2384.0,2384.0,126.35,2860.8,20
CDM,892836,BEARING 14MM KN CRCTE,1148.0,1148.0,60.84,1377.6,20
CDM,892837,SCREW BN 2.5MM 12MM MINI,386.0,386.0,20.46,463.2,20
CDM,892838,SCREW BN 2.5MM 13MM,386.0,386.0,20.46,463.2,20
CDM,892842,SCREW BN 2.7MM 12MM,90.0,90.0,4.77,108.0,20
CDM,892850,LEAD PCNG 4.7FR 86CM,3482.0,3482.0,184.55,4178.4,20
CDM,892852,LEAD PCNG 5.3FR 7FR,794.0,794.0,42.08,952.8,20
CDM,892853,LEAD DEFB SPRNT DF4 62CM,6734.0,6734.0,356.9,8080.8,20
CDM,892858,PLATE BN 10HL 3.5X171MM,2940.0,2940.0,155.82,3528.0,20
CDM,892859,MCATH INFSN 2.6FR 150CM,6179.0,6179.0,327.49,7414.8,49
CDM,892861,CATH INFSN 19FR 135CM,5567.0,5567.0,295.05,6680.4,49
CDM,892880,DRILL BIT BN PLNR 8MM,897.0,897.0,47.54,1076.4,49
CDM,892883,KIT CATH ACC 7FR .035IN,4087.0,4087.0,216.61,4904.4,49
CDM,892902,GWIRE VASC .035IN 260CM,5941.0,5941.0,314.87,7129.2,49
CDM,892912,STENT EPRSTH 10X13X39MM,5864.0,5864.0,310.79,7036.8,20
CDM,892913,STENT EPRSTH 8X11X59MM,5720.0,5720.0,303.16,6864.0,20
CDM,892914,STENT EPRSTH 8X11X39MM,5720.0,5720.0,303.16,6864.0,20
CDM,892915,STENT EPRSTH 8X11X29MM,5720.0,5720.0,303.16,6864.0,20
CDM,892916,STENT EPRSTH 7X11X59MM,5720.0,5720.0,303.16,6864.0,20
CDM,892917,STENT EPRSTH 7X11X39MM,5720.0,5720.0,303.16,6864.0,20
CDM,892925,STEM FEM HIP 12MM 150MM,3525.0,3525.0,186.82,4230.0,20
CDM,892928,CATH GD 7FR 43CM,3039.0,3039.0,161.07,3646.8,49
CDM,892952,NAIL FEM LT TROCH 10X40,3384.0,3384.0,179.35,4060.8,20
CDM,892953,SET SCREW META-TAN 0MM,278.0,278.0,14.73,333.6,20
CDM,892956,SCREW BN 3.5MM 30MM,144.0,144.0,7.63,172.8,20
CDM,892959,CATHETER GD 100CM 6FR .0,5282.0,5282.0,279.95,6338.4,49
CDM,892961,CATH ANGIO 4FR 100CM,528.0,528.0,27.98,633.6,49
CDM,892972,SCREW BN 3.5MM 30MM,179.0,179.0,9.49,214.8,20
CDM,892975,SCREW BN 4MM 38MM,171.0,171.0,9.06,205.2,20
CDM,892976,SCREW BN 4MM 36MM,342.0,342.0,18.13,410.4,20
CDM,892985,SCREW BN 8MM 85MM,1215.0,1215.0,64.39,1458.0,20
CDM,892990,INSERT TIB KN SZ8 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,892991,COMPNT FEM LT KN SZ8,2500.0,2500.0,132.5,3000.0,20
CDM,893020,SCREW BN 5.5MM 40MM RELI,900.0,900.0,47.7,1080.0,20
CDM,893021,SCREW SPN 6.5MM 40MM,900.0,900.0,47.7,1080.0,20
CDM,893022,SCREW SPN 6.5MM 45MM,900.0,900.0,47.7,1080.0,20
CDM,893026,SHEATH INTRO 22FR 28CM,3275.0,3275.0,173.57,3930.0,49
CDM,893036,STENT VASC 8X27MM 135CM,1370.0,1370.0,72.61,1644.0,20
CDM,893037,TRAY CATH 3FR P PICC,3269.0,3269.0,173.26,3922.8,49
CDM,893054,SCREW BN 4MM 22MM,304.0,304.0,16.11,364.8,20
CDM,893057,PLATE BN LEFT ANT LONG,2190.0,2190.0,116.07,2628.0,20
CDM,893062,KIT IMP DR NRW SHRT56M-R,4300.0,4300.0,227.9,5160.0,20
CDM,893064,PROBE ESURG CLCUT 30D 3M,1249.92,1249.92,66.25,1499.9,49
CDM,893065,NAIL BN RT 10MM 40CM,3052.0,3052.0,161.76,3662.4,20
CDM,893066,SCREW BN CORTEX 4.5X14MM,84.0,84.0,4.45,100.8,20
CDM,893089,TROCAR LAPSCP 5MM 75MM,707.0,707.0,37.47,848.4,49
CDM,893120,STENT VASC 7X26MM 80CM,5400.0,5400.0,286.2,6480.0,20
CDM,893121,STENT VASC 8X37MM 80CM,4800.0,4800.0,254.4,5760.0,20
CDM,893122,STENT VASC 9X38MM 80CM,4800.0,4800.0,254.4,5760.0,20
CDM,893123,STENT VASC 10X38MM 80CM,4800.0,4800.0,254.4,5760.0,20
CDM,893124,PACEMAKER CARD 259,17500.0,17500.0,927.5,21000.0,20
CDM,893128,SCREW SPN 5.5MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,893129,SCREW SPN 5.5MM 45MM,1300.0,1300.0,68.9,1560.0,20
CDM,893136,GUIDEWIRE ORTH 1.4MM,942.0,942.0,49.93,1130.4,49
CDM,893137,SCREW BN 5MM 50MM,802.0,802.0,42.51,962.4,20
CDM,893174,PATCH VASC 10X16CM,1718.0,1718.0,91.05,2061.6,20
CDM,893175,NAIL BN 11.5MM 40CM,6270.0,6270.0,332.31,7524.0,20
CDM,893182,SCREW BN 2.5X20MM,642.0,642.0,34.03,770.4,20
CDM,893201,IMPLANT CRNL XL PEK CSTM,39030.0,39030.0,2068.59,46836.0,20
CDM,893205,BIT DRILL SS 11MM,1884.0,1884.0,99.85,2260.8,49
CDM,893211,GRAFT BN MTRX FRMBL MED,3680.0,3680.0,195.04,4416.0,20
CDM,893212,SCREW NONLCK HEX 2.7X60,234.0,234.0,12.4,280.8,20
CDM,893219,CONE TIB KN AUG SZD,5309.0,5309.0,281.38,6370.8,20
CDM,893231,ROD CONN EXFX 11X400,2564.0,2564.0,135.89,3076.8,49
CDM,893239,SCREW BN 4MM 48MM,434.0,434.0,23.0,520.8,20
CDM,893240,SCREW BN 4MM 42MM,434.0,434.0,23.0,520.8,20
CDM,893245,CAGE SPN DEVEX 28X8X5D,4365.0,4365.0,231.34,5238.0,20
CDM,893256,ANCHOR SUT 4.5MM 42MM,500.0,500.0,26.5,600.0,20
CDM,893259,COIL EMBL 6CM 3MM,3956.0,3956.0,209.67,4747.2,20
CDM,893263,CNTRSNK DRL 2.4MM,2564.0,2564.0,135.89,3076.8,49
CDM,893276,IRRIGATOR SUC 8MM,3645.0,3645.0,193.19,4374.0,49
CDM,893281,CATHETER ABL 8FR 115CM,14767.0,14767.0,782.65,17720.4,49
CDM,893282,CATHETER ABL 8FR 115CM,14767.0,14767.0,782.65,17720.4,49
CDM,893284,CRT-P CRD 59X46.5X11MM,15240.0,15240.0,807.72,18288.0,20
CDM,8933,"Injection, mitoxantrone hydrochloride, per 5 mg ",2060.0,2060.0,37.45,37.45,1
CDM,8933,MITOXANTRONE 5 MG INJ,2060.0,2060.0,177.16,2472.0,29
CDM,893312,SCREW BN 2.4MM 14MM,40.0,40.0,2.12,48.0,20
CDM,893327,STENT EPRSTH 6X8X19MM,5084.0,5084.0,269.45,6100.8,20
CDM,893336,STNT VASC 6X120MM 120CM,1980.0,1980.0,104.94,2376.0,20
CDM,893342,CMPNT FEM KN 9 RT,2900.0,2900.0,153.7,3480.0,20
CDM,893343,INSERT TIB KN SZ9 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,893348,CATH PRF24MMX3.5CM 110CM,9326.0,9326.0,494.28,11191.2,49
CDM,893350,CATHETER EP 2-5-2MM SPC,1372.0,1372.0,72.72,1646.4,49
CDM,893351,CATH SUPP 90MM 12CM,3036.0,3036.0,160.91,3643.2,49
CDM,893352,CATH SUPPORT 12MM 90CM,3036.0,3036.0,160.91,3643.2,49
CDM,893353,CATH SUPP 135CM 12MM,3036.0,3036.0,160.91,3643.2,49
CDM,893355,DEVICE CLSR WND 2-0 15CM,924.0,924.0,48.97,1108.8,49
CDM,893380,CLIP ANRSM PERM 7.5M,797.0,797.0,42.24,956.4,20
CDM,893382,CLIP ANRSM PERM 5MM,737.0,737.0,39.06,884.4,20
CDM,893383,CLIP ANRSM PERM 4.7MM,797.0,797.0,42.24,956.4,20
CDM,893384,CLIP ANRSM BSTR,745.0,745.0,39.48,894.0,20
CDM,893385,CLIP ANRSM PERM 9MM,3523.0,3523.0,186.72,4227.6,20
CDM,893400,INSERT TIB PST SZ5 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,893401,MESH SURG RECT 12X10IN,24584.0,24584.0,1302.95,29500.8,20
CDM,893410,CLIP ANRSM PERM 13MM,4205.0,4205.0,222.87,5046.0,20
CDM,893437,CATH ANGIO 5FR 65CM,435.0,435.0,23.05,522.0,49
CDM,893440,CAGE SPN 14D 27X30X14MM,4000.0,4000.0,212.0,4800.0,20
CDM,893443,DEVICE CLSR WND +1 45CM,3646.0,3646.0,193.24,4375.2,49
CDM,893464,INTRO VASC 18G 23CM 60CM,2186.0,2186.0,115.86,2623.2,49
CDM,893483,CANNULA PRFSN 33.02CM20F,1763.0,1763.0,93.44,2115.6,49
CDM,893497,SCREW SPN PDCL 5.5X35,1200.0,1200.0,63.6,1440.0,20
CDM,893498,ROD SPN CRV 35MM,360.0,360.0,19.08,432.0,20
CDM,893508,FLWR URTH 24 FR 13.35IN,1140.0,1140.0,60.42,1368.0,49
CDM,893522,GWIRE VASC 175CM .014IN,23316.0,23316.0,1235.75,27979.2,49
CDM,893524,DEVICE THRMB 4.5MM 26MM,38782.0,38782.0,2055.45,46538.4,49
CDM,893527,SCREW BN HDED 3.5MM 38MM,300.0,300.0,15.9,360.0,20
CDM,893536,CATH BLDL 5X250MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,893554,SCREW BN 9MM 95MM,1166.0,1166.0,61.8,1399.2,20
CDM,893557,CATH ANGIO 4FR 65CM,497.0,497.0,26.34,596.4,49
CDM,893558,ROD SPN 5.5MM 40MM,360.0,360.0,19.08,432.0,20
CDM,893561,STENT VASC 8X26MM 80CM,4800.0,4800.0,254.4,5760.0,20
CDM,893563,ROD SPN 6.0MM 500MM,600.0,600.0,31.8,720.0,20
CDM,893566,SCREW SPN 9.5MM 100MM,900.0,900.0,47.7,1080.0,20
CDM,893569,SCREW BN 2.7MM 8MM,236.0,236.0,12.51,283.2,20
CDM,893570,SCREW BN LCK 2.7X10MM,284.0,284.0,15.05,340.8,20
CDM,893576,CMPNT FEM KN SZ6,2500.0,2500.0,132.5,3000.0,20
CDM,893577,INSERT TIB KN POST 5 7MM,1500.0,1500.0,79.5,1800.0,20
CDM,893584,SPCR SPN 15D 10-14MM31MM,6800.0,6800.0,360.4,8160.0,20
CDM,893593,HEAD HUM 18MM 38MM,2500.0,2500.0,132.5,3000.0,20
CDM,893641,PLATE BN LCK 8H 1.1MM,950.0,950.0,50.35,1140.0,20
CDM,893643,SCREW BN N-LCK 2.0X12MM,264.0,264.0,13.99,316.8,20
CDM,893648,SCREW BN 2.5MM 10MM,342.0,342.0,18.13,410.4,20
CDM,893649,TRAY CATH 4FR P PICC,3360.0,3360.0,178.08,4032.0,49
CDM,893650,CATH GD 3-1.9FR 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,893651,STENT EPRSTH 7X11X19MM,5084.0,5084.0,269.45,6100.8,20
CDM,893660,SCREW EXFX 5X175MM,2564.0,2564.0,135.89,3076.8,49
CDM,893661,PIN EXFX 300MM 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,893662,CLAMP ORT COMBO EXFX LG,5941.0,5941.0,314.87,7129.2,49
CDM,893663,DRILL BIT QC 3.5X195MM,2564.0,2564.0,135.89,3076.8,49
CDM,893664,ROD EX FIX 200MM 11MM,2564.0,2564.0,135.89,3076.8,49
CDM,893665,ROD CARBON 400MM EX FIX,2882.0,2882.0,152.75,3458.4,49
CDM,893668,SCREW BN 85MM 6.5MM,326.0,326.0,17.28,391.2,20
CDM,893734,SCREW BN 2.4MM 16MM,250.0,250.0,13.25,300.0,20
CDM,893735,SCREW 2.4X14MM,1244.0,1244.0,65.93,1492.8,20
CDM,893749,SHEET SIL REINF 30.5X43,1035.0,1035.0,54.85,1242.0,20
CDM,893752,SCREW BN 2.5MM 12MM,264.0,264.0,13.99,316.8,20
CDM,893899,ALLODERM 77 SQCM,25830.0,25830.0,1368.99,30996.0,30
CDM,893927,CATH BLNDIL 2MM 4CM,5344.0,5344.0,283.23,6412.8,49
CDM,893928,CATHETHER BLN 2MM 90CM,5344.0,5344.0,283.23,6412.8,49
CDM,893932,CATH BLNDL 2MM 90X12CM,5344.0,5344.0,283.23,6412.8,49
CDM,893933,CATH BLNDIL 2.5MM 4CM,5344.0,5344.0,283.23,6412.8,49
CDM,893934,CATHETER BLN 2.5MM 90CM,5344.0,5344.0,283.23,6412.8,49
CDM,893936,CATH BLNDIL 3MM 4CM,5344.0,5344.0,283.23,6412.8,49
CDM,893937,CATH BLNDIL 3MM 8CM,5344.0,5344.0,283.23,6412.8,49
CDM,893938,CATH BLNDL 90X12CM 3MM,5344.0,5344.0,283.23,6412.8,49
CDM,893939,CATH EP 110CM 7FR,5001.0,5001.0,265.05,6001.2,49
CDM,893944,SCREW BN CORT ST 3.5X12,96.0,96.0,5.09,115.2,20
CDM,893959,MESH RCTNG 20X25CM,16553.0,16553.0,877.31,19863.6,20
CDM,893960,MESH SURG 35CM 30CM,34328.0,34328.0,1819.38,41193.6,20
CDM,893965,INSERT TIB KN 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,893966,INSRT ARTC KN 6-7 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,893967,INSERT TIB KN 8-11E-F 10,1500.0,1500.0,79.5,1800.0,20
CDM,893978,SCREW BN 3.5MM 10MM,264.0,264.0,13.99,316.8,20
CDM,893979,SCREW BN 4X44MM,434.0,434.0,23.0,520.8,20
CDM,894102,CYTAL 25 SQCM,7749.0,7749.0,410.7,9298.8,30
CDM,894145,SUTURE VIO BRD 9-0 12IN,434.0,434.0,23.0,520.8,49
CDM,894147,HEMOSTAT ABS 2X1IN,1651.0,1651.0,87.5,1981.2,49
CDM,894173,PLATE BN 89X9X1.5MM,3448.0,3448.0,182.74,4137.6,20
CDM,894200,INSRT ARTC KN RT 12MM,1500.0,1500.0,79.5,1800.0,20
CDM,894204,ALLODERM 320 SQCM,107352.0,107352.0,5689.66,128822.4,30
CDM,894206,SCREW BN 6.5X110X46MM,382.0,382.0,20.25,458.4,20
CDM,894207,SCREW BN 6.5X105X46MM,382.0,382.0,20.25,458.4,20
CDM,894220,CATH ANGIO 5FR 100CM,580.0,580.0,30.74,696.0,49
CDM,894249,PLATE BN 16HL 191MM,938.0,938.0,49.71,1125.6,20
CDM,894250,BRACE ORTH HIP X-ACT ROM,2863.0,2863.0,151.74,3435.6,49
CDM,894259,SCREW SPN 4MM 16MM,150.0,150.0,7.95,180.0,20
CDM,894260,SCREW SPN 4MM 18MM,150.0,150.0,7.95,180.0,20
CDM,894261,SCREW SPN TEMP FX DISP,942.0,942.0,49.93,1130.4,49
CDM,894262,CAGE SPNL 24-40MM 14MM,10806.0,10806.0,572.72,12967.2,20
CDM,894263,HEAD CASS DISP 14MM,942.0,942.0,49.93,1130.4,49
CDM,894265,IMP ARTHODESIS SEG 120MM,30600.0,30600.0,1621.8,36720.0,20
CDM,894266,COMP EXTEN PC MUTRS 80MM,5000.0,5000.0,265.0,6000.0,20
CDM,894267,STEM TIB CMNTD 13X120,5500.0,5500.0,291.5,6600.0,20
CDM,894269,STEM TIB CMNTD 15X120,5500.0,5500.0,291.5,6600.0,20
CDM,894270,SCREW CONN MUTARS 165MM,1200.0,1200.0,63.6,1440.0,20
CDM,894271,SCREW CONN MUTARS 125MM,1200.0,1200.0,63.6,1440.0,20
CDM,894272,PLATE BN 1/3 3HL 35MM,504.0,504.0,26.71,604.8,20
CDM,894273,GRAFT VASC THIN 80CM 7MM,4914.0,4914.0,260.44,5896.8,20
CDM,894287,PLATE ANKL RT 125X9X1.5,3676.0,3676.0,194.83,4411.2,20
CDM,894302,PIN FX AXIS IJS 50X2.5MM,576.0,576.0,30.53,691.2,20
CDM,894308,LINER ACTB HIP SZG 46MM,1300.0,1300.0,68.9,1560.0,20
CDM,894310,INSERT TIB KN BRNG 16MM,1270.0,1270.0,67.31,1524.0,20
CDM,894316,NEEDLE BX 21GA 15CM CHBA,678.0,678.0,35.93,813.6,49
CDM,894324,CATHETER IV 20GA 1.88IN,55.0,55.0,2.92,66.0,49
CDM,894332,BLN CERV DIL 18FR 40CM,2564.0,2564.0,135.89,3076.8,49
CDM,894348,VALVE PEEP 19MM 5-20CM,182.0,182.0,9.65,218.4,49
CDM,894367,SHEATH INTRO 5FR/10CM,2186.0,2186.0,115.86,2623.2,49
CDM,894375,SCREW BN 2MM 9MM,64.0,64.0,3.39,76.8,20
CDM,894376,LENS IOL +8.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,894377,STENT VASC 6X40MM 125CM,2350.0,2350.0,124.55,2820.0,20
CDM,894386,SCREW SPN 5MM 35MM,1000.0,1000.0,53.0,1200.0,20
CDM,894393,CMPNT TIB KN RS 63 160X9,4653.0,4653.0,246.61,5583.6,20
CDM,894394,SCREW BN 2.7MM 22MM,90.0,90.0,4.77,108.0,20
CDM,894400,CATH BLN 5FR 4X130X120MM,8938.0,8938.0,473.71,10725.6,49
CDM,894401,CATH BLN 5FR 5X130X120MM,8938.0,8938.0,473.71,10725.6,49
CDM,894402,CATH BLN 5FR 6X130X40MM,8938.0,8938.0,473.71,10725.6,49
CDM,894403,CATH DCB 7X40MM 130CM,8938.0,8938.0,473.71,10725.6,49
CDM,894412,SCREW BN 3.5MM 2.5MM,170.0,170.0,9.01,204.0,20
CDM,894416,PLATE LAT FIB 89MM,3448.0,3448.0,182.74,4137.6,20
CDM,894423,PLATE BN LT 5H,1400.0,1400.0,74.2,1680.0,20
CDM,894425,SCREW BN 3.5MM 10MM,120.0,120.0,6.36,144.0,20
CDM,894447,CUP CERV SMALL 32MM,1876.0,1876.0,99.43,2251.2,49
CDM,894449,CUP CERV MEDIUM 34MM,1971.0,1971.0,104.46,2365.2,49
CDM,894450,CUP CERV LARGE 37MM,1876.0,1876.0,99.43,2251.2,49
CDM,894451,NAIL BN FEM LT 10MM 38CM,3052.0,3052.0,161.76,3662.4,20
CDM,894452,SOL IRR .9% NACL 500CC,75.0,75.0,3.98,90.0,49
CDM,894461,SYRINGE INFL 13IN,1000.0,1000.0,53.0,1200.0,49
CDM,894473,KIT HEMOS MATRX THROMB,2564.0,2564.0,135.89,3076.8,49
CDM,894474,STENT EPRSTH 6X8X29MM,5864.0,5864.0,310.79,7036.8,20
CDM,894477,STENT EPRSTH 7X11X79MM,6664.0,6664.0,353.19,7996.8,20
CDM,894479,SCREW BN 3.5MM 30MM,342.0,342.0,18.13,410.4,20
CDM,894483,SCREW BN 4MM 36MM,500.0,500.0,26.5,600.0,20
CDM,894485,GRAFT EVAS 12MM 14CM,8446.0,8446.0,447.64,10135.2,20
CDM,894493,FORCEP BX 5MM 115MM,835.0,835.0,44.26,1002.0,49
CDM,894502,PLATE BN 10H 3.5MM 171MM,2667.0,2667.0,141.35,3200.4,20
CDM,894505,HEMOSTAT ABS PWD 3GM,2564.0,2564.0,135.89,3076.8,49
CDM,894516,PROBE RF ABLAT 17GA 15MM,30352.0,30352.0,1608.66,36422.4,49
CDM,894523,PLATE BN 7HL 91MM,710.0,710.0,37.63,852.0,20
CDM,894546,GFT TIB PRX FF 250-300-L,18764.0,18764.0,994.49,22516.8,20
CDM,894547,GFT TIB PRX FF 250-300-R,18764.0,18764.0,994.49,22516.8,20
CDM,894553,GRAFT FEM DISTAL RT,3785.0,3785.0,200.6,4542.0,20
CDM,894556,GFT BN CRT CHP FRZDR40ML,815.0,815.0,43.2,978.0,20
CDM,894557,GFT BN CRT CHP FRZDR20ML,429.0,429.0,22.74,514.8,20
CDM,894568,GRAFT DURAL PRCN 10X7CM,1760.0,1760.0,93.28,2112.0,20
CDM,894569,BUTTON RTRO BTB 12M/50M,400.0,400.0,21.2,480.0,20
CDM,894572,CLIP LGT 2.8MM 235CM,358.0,358.0,18.97,429.6,20
CDM,894617,SYST ENDOBLDE PLNTR FSCA,6956.0,6956.0,368.67,8347.2,49
CDM,894625,BIT DRILL 1.3MM 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,894630,INSERT ARTC KN RT 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,894637,COUPLING EX FIX ROD,5136.0,5136.0,272.21,6163.2,49
CDM,894643,SHEARS ESURG 9CM,14097.0,14097.0,747.14,16916.4,49
CDM,894647,PEG BN FX 2.3MM,154.0,154.0,8.16,184.8,20
CDM,894661,TRAY CATH MID 2LUM 5FR,2564.0,2564.0,135.89,3076.8,49
CDM,894672,CATH GD 7FR 65CM,2564.0,2564.0,135.89,3076.8,49
CDM,894676,K-WIRE 2.0MM 200MM,2564.0,2564.0,135.89,3076.8,49
CDM,894677,AUG FEM REV XPRT KN A LT,460.0,460.0,24.38,552.0,20
CDM,894685,CATH GD 5.4-7.0F 30CM,3039.0,3039.0,161.07,3646.8,49
CDM,894712,ALLODERM 320 SQCM,107352.0,107352.0,5689.66,128822.4,30
CDM,894713,STENT VASC 6X26MM 80CM,4800.0,4800.0,254.4,5760.0,20
CDM,894714,STENT VASC 7X37MM 80CM,4800.0,4800.0,254.4,5760.0,20
CDM,894716,STENT VASC 8X58MM 80CM,4800.0,4800.0,254.4,5760.0,20
CDM,894717,STENT VASC 9X58MM 80CM,4800.0,4800.0,254.4,5760.0,20
CDM,894729,DEV CATH BLLN INFL 30ML,2564.0,2564.0,135.89,3076.8,49
CDM,894756,SCREW BN 4.0MM 38MM,434.0,434.0,23.0,520.8,20
CDM,894761,PIN FX TEMP SPINE 120MM,87.5,87.5,4.64,105.0,49
CDM,894763,CATH BLNDIL 5MM 135X20CM,2564.0,2564.0,135.89,3076.8,49
CDM,894773,SCREW BN 1.5MM 18MM,191.0,191.0,10.12,229.2,20
CDM,894774,SCREW BN 3.5MM 30MM,170.0,170.0,9.01,204.0,20
CDM,894807,SCREW BN NLCK 2.7MM 18MM,264.0,264.0,13.99,316.8,20
CDM,894808,CATH BLNDIL 18X4.5X110,5941.0,5941.0,314.87,7129.2,49
CDM,894811,CATH BLN 22X4.5X110MM,5941.0,5941.0,314.87,7129.2,49
CDM,894818,BEARING 12MM KN CRCTE,1148.0,1148.0,60.84,1377.6,20
CDM,894841,SHEATH INTRO 8F 25CM,791.0,791.0,41.92,949.2,49
CDM,894843,CMPNT KN DPHSL SEG 3CM,7728.0,7728.0,409.58,9273.6,20
CDM,894844,CMPNT FEM KN RSS RT 7CM,9190.0,9190.0,487.07,11028.0,20
CDM,894845,INSERT TIB KN BRNG 14MM,1270.0,1270.0,67.31,1524.0,20
CDM,894849,SCREW SPN 6.5MM 35MM,900.0,900.0,47.7,1080.0,20
CDM,894850,SCREW SPN 7.5MM 35MM,1000.0,1000.0,53.0,1200.0,20
CDM,894858,DEVICE WNDCLS 15CM SZ3,1581.0,1581.0,83.79,1897.2,49
CDM,894881,GRAFT EVAS 12MM 12CM,8658.0,8658.0,458.87,10389.6,20
CDM,894909,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",14.0,14.0,3.74,11.77,33
CDM,894909,POUCH OST 4IN 12IN,14.0,14.0,1.88,16.8,24
CDM,894910,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",126.0,126.0,7.96,25.04,33
CDM,894910,POUCH UROS 4 1/3IN 12IN,126.0,126.0,16.88,151.2,24
CDM,894982,DRSG FM SLFADH 8.7X9.8IN,251.0,251.0,13.3,301.2,49
CDM,894989,SHELL HIP ACTB SZ1 66MM,5945.0,5945.0,315.08,7134.0,20
CDM,894990,LINER ACET HIP 54MM SZI,1300.0,1300.0,68.9,1560.0,20
CDM,894993,STENT BIL 8.5FR 10X40MM,4800.0,4800.0,254.4,5760.0,20
CDM,894995,OCCLUDER CV 30MM,18200.0,18200.0,964.6,21840.0,20
CDM,894996,PLATE BN 8HL 49MM,1516.0,1516.0,80.35,1819.2,20
CDM,894999,PIN TRA DISP 1.7MM,4585.0,4585.0,243.0,5502.0,49
CDM,895016,COIL EMBL 2MM 4CM,1750.0,1750.0,92.75,2100.0,20
CDM,895017,COIL EMBL 3MM 8CM,1750.0,1750.0,92.75,2100.0,20
CDM,895046,SCREW BN 2.4MM 12MM,100.0,100.0,5.3,120.0,20
CDM,895047,SYSTEM IMPLANT MULTI,7622.0,7622.0,403.97,9146.4,20
CDM,895058,PLATE BN 2MM 76MM,1746.0,1746.0,92.54,2095.2,20
CDM,895069,SPACER SPN 3-15D 45X18X7,8000.0,8000.0,424.0,9600.0,20
CDM,895070,SPACER SPN 6D 45X18X8-15,8000.0,8000.0,424.0,9600.0,20
CDM,895072,FORCEPS BIP BYNT 190MM,4990.0,4990.0,264.47,5988.0,49
CDM,895077,SCREW BN CANC 5MM 48MM,351.0,351.0,18.6,421.2,20
CDM,895079,ALLODERM 132 SQCM,39851.0,39851.0,2112.1,47821.2,30
CDM,895099,SCREW BN 4MM 65MM,327.0,327.0,17.33,392.4,20
CDM,895100,SCREW BN 4MM 50MM,327.0,327.0,17.33,392.4,20
CDM,895101,NEEDLE BIOPSY FINE 25GA,5097.0,5097.0,270.14,6116.4,49
CDM,895102,NEEDLE BIOPSY FINE 22GA,5097.0,5097.0,270.14,6116.4,49
CDM,895112,PROBE ESURG 90D,2564.0,2564.0,135.89,3076.8,49
CDM,895113,PROS PENILE PUMP INFL,10194.0,10194.0,540.28,12232.8,20
CDM,895127,SCREW BN 4MM 44MM,363.0,363.0,19.24,435.6,20
CDM,895129,PLATE T 2.4MM 2X6HL VLP,1890.0,1890.0,100.17,2268.0,20
CDM,895131,SCREW VLP TI 24X10MM LCK,400.0,400.0,21.2,480.0,20
CDM,895138,IMPLANT BREAST 250CC,2190.0,2190.0,116.07,2628.0,20
CDM,895142,CMPNT FEM KN LT CMNT 3,2500.0,2500.0,132.5,3000.0,20
CDM,895146,PLATE BN 1/3TUB 6HL 71MM,544.0,544.0,28.83,652.8,20
CDM,895159,STEM FEM HIP SZ7,3800.0,3800.0,201.4,4560.0,20
CDM,895163,DRESSING HMSTC 3INX4YD,1642.0,1642.0,87.03,1970.4,49
CDM,895164,COIL EMBL 30CM 5MM,3380.0,3380.0,179.14,4056.0,20
CDM,895165,KIT EMBL DTCH HANDLE,2947.0,2947.0,156.19,3536.4,49
CDM,895172,GLENOID HUM SHLDR E SZ42,1500.0,1500.0,79.5,1800.0,20
CDM,895197,SCREW BN 4MM 50MM 15MM,58.0,58.0,3.07,69.6,20
CDM,895211,SCREW BN CORT 2.0X12MM,148.0,148.0,7.84,177.6,20
CDM,895212,SCREW BN 2.7MM 13MM,84.0,84.0,4.45,100.8,20
CDM,895254,SCREW BN ST 2.5MM 15MM,386.0,386.0,20.46,463.2,20
CDM,895260,ALLODERM 320 SQ CM,17752.96,17752.96,940.91,21303.55,20
CDM,895262,ALLODERM 132 SQ CM,7320.0,7320.0,387.96,8784.0,20
CDM,895263,SCREW BN 2.5MM 20MM,386.0,386.0,20.46,463.2,20
CDM,895288,STEM HUM SZ16 108MM,11625.0,11625.0,616.13,13950.0,20
CDM,895300,SHELL ACTB HIP 4HL 60MM,2000.0,2000.0,106.0,2400.0,20
CDM,895303,ROD CARBON RT EXFX 300MM,2738.0,2738.0,145.11,3285.6,49
CDM,895304,ROD ATTACH LG M/P CLMP,5403.0,5403.0,286.36,6483.6,49
CDM,895305,LARGE MULTI-PIN CLAMP,5764.0,5764.0,305.49,6916.8,49
CDM,895306,PIN TRNFX EXFX 6.0X225MM,2564.0,2564.0,135.89,3076.8,49
CDM,895308,END CAP RT ANKL EX-FX,2073.0,2073.0,109.87,2487.6,49
CDM,895320,NAIL TIB 10.5X340MM,3560.0,3560.0,188.68,4272.0,20
CDM,895339,NAIL BN LFT 9.0MM 34CM,5880.0,5880.0,311.64,7056.0,20
CDM,895354,SCREW BN 2.5MM 18MM,264.0,264.0,13.99,316.8,20
CDM,895355,SCREW BN LCK 2.5X16MM,264.0,264.0,13.99,316.8,20
CDM,895358,WASHER BN FLAT 4.0,40.0,40.0,2.12,48.0,20
CDM,895359,SCREW BN 5.5MM 50MM,874.0,874.0,46.32,1048.8,20
CDM,895360,SCREW BN 3.5MM 32MM,264.0,264.0,13.99,316.8,20
CDM,895361,SCREW BN 3.5MM 36MM,264.0,264.0,13.99,316.8,20
CDM,895362,SCREW BN 3.5MM 36MM,342.0,342.0,18.13,410.4,20
CDM,895364,SCREW BN 3.5MM 32MM,342.0,342.0,18.13,410.4,20
CDM,895365,SCREW BN 4.2MM 38MM,276.0,276.0,14.63,331.2,20
CDM,895367,PLATE BN TBLR 9X100MM,1064.0,1064.0,56.39,1276.8,20
CDM,895369,PLATE BN 10HL 175MM,2520.0,2520.0,133.56,3024.0,20
CDM,895398,VALVE HMSTS 9FR,488.0,488.0,25.86,585.6,49
CDM,895401,SYSTEM BNCMNT MX DLV LG,3209.0,3209.0,170.08,3850.8,49
CDM,895404,SCREW BN 4MM 60MM,294.0,294.0,15.58,352.8,20
CDM,895416,INSERT ARTC KN 6-7 20MM,1500.0,1500.0,79.5,1800.0,20
CDM,895418,SCREW BN 2.4MM 14MM,100.0,100.0,5.3,120.0,20
CDM,895430,SCREW BN LCK 3.5X34MM,342.0,342.0,18.13,410.4,20
CDM,895431,PLATE CALC FX LT MED,1520.0,1520.0,80.56,1824.0,20
CDM,895449,STEM HUM RVSN RSP 10X220,11295.0,11295.0,598.63,13554.0,20
CDM,895458,PLATE BN LISFRANC RT SM,3184.0,3184.0,168.75,3820.8,20
CDM,895459,SCREW BN 2.7MM 20MM,264.0,264.0,13.99,316.8,20
CDM,895461,SCREW BN 3.5MM 28MM,264.0,264.0,13.99,316.8,20
CDM,895462,SCREW BN 3.5MM 34MM,264.0,264.0,13.99,316.8,20
CDM,895463,LEAD PCNG 45CM 5.3FR,794.0,794.0,42.08,952.8,20
CDM,895477,SCREW SPN 5.5MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,895503,GRAFT EVAS 14.5MM 12CM,8658.0,8658.0,458.87,10389.6,20
CDM,895510,CANNULA ART 14IN 21FR,2564.0,2564.0,135.89,3076.8,49
CDM,895511,CATH BLDL 8X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,895520,BLADE SURG DISP 6.25IN,181.0,181.0,9.59,217.2,49
CDM,895521,CATH DBC 8X60MM 75CM,11269.0,11269.0,597.26,13522.8,49
CDM,895527,PLATE BN DR RT 2MM 49MM,1516.0,1516.0,80.35,1819.2,20
CDM,895553,SCREW BN 3MM 22MM,300.0,300.0,15.9,360.0,20
CDM,895566,STENT VASC 7X58MM 80CM,4800.0,4800.0,254.4,5760.0,20
CDM,895584,SCREW BN 7.3MM 145MM,538.0,538.0,28.51,645.6,20
CDM,895585,GRAFT BN VIAFORM 5CC,1476.0,1476.0,78.23,1771.2,20
CDM,895616,KIT UNIVERSAL APEX SUT,880.0,880.0,46.64,1056.0,20
CDM,895627,CATH DRN 14FR 25CM9HL,1982.0,1982.0,105.05,2378.4,49
CDM,895632,CAGE SPNL 24-40MM 16MM,11311.0,11311.0,599.48,13573.2,20
CDM,895637,HEAD CASS DISP 16MM,942.0,942.0,49.93,1130.4,49
CDM,895651,LIGASURE DVDR BIP 37CM,5941.0,5941.0,314.87,7129.2,49
CDM,895652,GLDPATH EXCHNG CLAMP,2564.0,2564.0,135.89,3076.8,49
CDM,895683,CAGE SPN 10D 36X27X14MM,4000.0,4000.0,212.0,4800.0,20
CDM,895712,STEM FEM HIP SZ4 103MM,4000.0,4000.0,212.0,4800.0,20
CDM,895719,SPACER SPN 10MM 368-12MM,6800.0,6800.0,360.4,8160.0,20
CDM,895729,BIT DRILL CALIBRTD 3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,895777,VALVE HMSTC ROT .096IN,565.0,565.0,29.95,678.0,49
CDM,895785,BEARING TIB KN 8MM,1300.0,1300.0,68.9,1560.0,20
CDM,895786,PLATE 266MM 02.104.032S,3259.0,3259.0,172.73,3910.8,20
CDM,895810,INTRO SHTH 8.5F 94CM,5941.0,5941.0,314.87,7129.2,49
CDM,895819,PROBE ENDO 2.3MM 230CM,13601.0,13601.0,720.85,16321.2,49
CDM,895820,INSRT ARTC KN LT 12MM,1500.0,1500.0,79.5,1800.0,20
CDM,895821,INSERT TIB KN RT 12MM,1500.0,1500.0,79.5,1800.0,20
CDM,895822,INSRT TIB ARTC KN 12MM,1500.0,1500.0,79.5,1800.0,20
CDM,895823,INSERT TIB KN SZ6-7 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,895837,SCREW BN 6.5MM 75MM,370.0,370.0,19.61,444.0,20
CDM,895838,SCREW BN 80MM 40MM,464.0,464.0,24.59,556.8,20
CDM,895845,GRAFT EVAS 14.5MM 14CM,8658.0,8658.0,458.87,10389.6,20
CDM,895856,STENT VASC 8X80MM 125CM,3483.0,3483.0,184.6,4179.6,20
CDM,895861,STENT BIL 8.5FR 8X80MM,4728.0,4728.0,250.58,5673.6,20
CDM,895867,SEALER LIGASURE 5MM-44CM,7690.0,7690.0,407.57,9228.0,49
CDM,895873,ALLODERM 164 SQCM,55013.0,55013.0,2915.69,66015.6,30
CDM,895883,INSRT TIB KN 6-7/CD 13MM,1500.0,1500.0,79.5,1800.0,20
CDM,895886,SHEATH TNLR 20.5IN 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,895888,BIT DRL JCB CHCK 4.5X130,1164.0,1164.0,61.69,1396.8,49
CDM,895894,SCREW BN LCK 2.7MM 40MM,230.0,230.0,12.19,276.0,20
CDM,895895,SCREW EXFX 4X125MM,2564.0,2564.0,135.89,3076.8,49
CDM,895902,CANNULA PRFSN 24F 12-15,952.0,952.0,50.46,1142.4,49
CDM,895904,CANN PRFSN 3/8IN 28F VN,881.0,881.0,46.69,1057.2,49
CDM,895905,CANN PRFSN 30FR 12-15IN,881.0,881.0,46.69,1057.2,49
CDM,895922,BIT DRL 195MM 3.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,895926,STAPLE BN 16MM 18MM,2524.0,2524.0,133.77,3028.8,20
CDM,895929,CATH BLNDL 9X60MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,895935,CATH BLNDL 2X60MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,895936,CATH BLNDL 2X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,895937,CATH BLN 2.5X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,895941,SCREW SPN 4.5MM 40MM,1450.0,1450.0,76.85,1740.0,20
CDM,895942,SCREW BN SPN 4.5MM 35MM,1300.0,1300.0,68.9,1560.0,20
CDM,895944,DEVICE SPN BONE FILLER,3890.0,3890.0,206.17,4668.0,49
CDM,895955,COIL EMBL 2MM 2CM,1750.0,1750.0,92.75,2100.0,20
CDM,895956,KIT PLATE BN ANK FX,1962.0,1962.0,103.99,2354.4,20
CDM,895964,STEM HUM MED 116X10.5,6500.0,6500.0,344.5,7800.0,20
CDM,895967,PLATE BN 101MM,3524.0,3524.0,186.77,4228.8,20
CDM,896025,PLATE BN HUM 12H 196MM,2222.0,2222.0,117.77,2666.4,20
CDM,896030,PLATE SPN 2LVL 34MM,1900.0,1900.0,100.7,2280.0,20
CDM,896033,SCREW SPN 3.5MM 14MM,900.0,900.0,47.7,1080.0,20
CDM,896038,CAP SPN LCKNG THRD,100.0,100.0,5.3,120.0,20
CDM,896039,ROD SPN CRV 3.5MM 60MM,360.0,360.0,19.08,432.0,20
CDM,896043,SCREW SPN 5.5MM 30MM,150.0,150.0,7.95,180.0,20
CDM,896044,SCREW SPN SLFDRL 25MM,150.0,150.0,7.95,180.0,20
CDM,896048,STEM FEM HIP SZ2,4000.0,4000.0,212.0,4800.0,20
CDM,896066,SCREW BN SPN 4.5MM 30MM,1300.0,1300.0,68.9,1560.0,20
CDM,896090,GRAFT EVAS 12MM 10CM,8658.0,8658.0,458.87,10389.6,20
CDM,896109,SCREW BN 2.4MM 20MM,100.0,100.0,5.3,120.0,20
CDM,896142,KWIRE FX 127MM 1.5MM,377.0,377.0,19.98,452.4,49
CDM,896146,IPG NRSTM 57.1MM 47.2MM,33660.0,33660.0,1783.98,40392.0,20
CDM,896169,TAP CANNULATED 3MM,482.75,482.75,25.59,579.3,49
CDM,896172,SCREW BN NLCKG 4.2X55MM,276.0,276.0,14.63,331.2,20
CDM,896248,ROD SPN 3.5MM 70MM,360.0,360.0,19.08,432.0,20
CDM,896249,SCREW BN HEADED 4MM 44MM,300.0,300.0,15.9,360.0,20
CDM,896258,SCREW BN 2.4MM 10MM,100.0,100.0,5.3,120.0,20
CDM,896259,KIT SYNDSMS FXN #5 2.8MM,1872.0,1872.0,99.22,2246.4,20
CDM,896260,PLATE ORT STR 77X9X1.5MM,3372.0,3372.0,178.72,4046.4,20
CDM,896272,BLADE SAW.36IN THK.015IN,15281.0,15281.0,809.89,18337.2,49
CDM,896279,SET IRR TBNG CORD DISP,1669.0,1669.0,88.46,2002.8,49
CDM,896287,SCREW BN 2.4MM 16MM,100.0,100.0,5.3,120.0,20
CDM,896293,BEARING TIB CR+ SZ7 14MM,1100.0,1100.0,58.3,1320.0,20
CDM,896294,BEARING TIB CR+ SZ2 11MM,1100.0,1100.0,58.3,1320.0,20
CDM,896312,PLATE SPN 1LVL 16MM,1900.0,1900.0,100.7,2280.0,20
CDM,896316,PLATE BN 77MM,3372.0,3372.0,178.72,4046.4,20
CDM,896318,ELECTRODE ESURG 6.1CM,23316.0,23316.0,1235.75,27979.2,49
CDM,896322,BRACE SHLDR 2.0,2564.0,2564.0,135.89,3076.8,49
CDM,896326,SCREW EXFX 5X200MM,2564.0,2564.0,135.89,3076.8,49
CDM,896327,ROD EXFX CFBR 250X11MM,2564.0,2564.0,135.89,3076.8,49
CDM,896328,CATH ANGIO 5FR 100CM,452.0,452.0,23.96,542.4,49
CDM,896335,NEEDLE SUT T-5 26.5MM,716.0,716.0,37.95,859.2,49
CDM,896339,SCREW MEDL MAL 4X60MM,900.0,900.0,47.7,1080.0,20
CDM,896344,BLN AVTR+ RX 5X4X142,2564.0,2564.0,135.89,3076.8,49
CDM,896399,CAP END ORTHO 3/4MM,163.0,163.0,8.64,195.6,20
CDM,896412,PLATE BN 10HL 199MM,2622.0,2622.0,138.97,3146.4,20
CDM,896420,INSERT KN ARTC 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,896425,STENT VASC 7X37MM 135CM,4800.0,4800.0,254.4,5760.0,20
CDM,896463,CATH BLDL 6X120MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,896471,CATH URET 22FR 16IN,95.0,95.0,5.04,114.0,49
CDM,896487,PLATE BN ST 8H,1484.0,1484.0,78.65,1780.8,20
CDM,896489,PLATE STR 6 HL 5.5X1.3MM,1236.0,1236.0,65.51,1483.2,20
CDM,896492,SCREW BN 2.4MM 10MM,40.0,40.0,2.12,48.0,20
CDM,896494,BIT DRILL 1.6MM 2.4MM,2564.0,2564.0,135.89,3076.8,49
CDM,896512,SUTURE VIOL MON +5-0 7IN,2564.0,2564.0,135.89,3076.8,49
CDM,896515,SUTURE UND MONO +0 27IN,63.0,63.0,3.34,75.6,49
CDM,896517,SUTURE ANBCTRL +2-0 18IN,455.0,455.0,24.11,546.0,49
CDM,896518,SUTURE UND BRD +2-0 27IN,50.0,50.0,2.65,60.0,49
CDM,896528,SCREW BN 2.7MM 46MM,230.0,230.0,12.19,276.0,20
CDM,896530,PLATE BN RT 142X3.5/4MM,3760.0,3760.0,199.28,4512.0,20
CDM,896533,STEM FEM HIP STD SZ5,4000.0,4000.0,212.0,4800.0,20
CDM,896534,STEM FEM HIP ACT SZ6,4000.0,4000.0,212.0,4800.0,20
CDM,896541,SCREW RELINE 5.5X45MM 2C,1300.0,1300.0,68.9,1560.0,20
CDM,896544,SCREW BN 2.4MM 12MM,138.0,138.0,7.31,165.6,20
CDM,896550,SCREW BN 2.7MM 22MM,264.0,264.0,13.99,316.8,20
CDM,896551,SCREW BN 2.7MM 26MM,264.0,264.0,13.99,316.8,20
CDM,896573,SCREW BN 3.5MM 55MM,170.0,170.0,9.01,204.0,20
CDM,896592,SCREW BN 8MM 90MM 25MM,356.0,356.0,18.87,427.2,20
CDM,896596,GLENOID HUM PEG E SZ46,2000.0,2000.0,106.0,2400.0,20
CDM,896597,STEM HUM SURG 14MM,2800.0,2800.0,148.4,3360.0,20
CDM,896598,HEAD HUM SHLDR 50X18MM,1400.0,1400.0,74.2,1680.0,20
CDM,896601,SCREW SPN SET FORTRESS,100.0,100.0,5.3,120.0,20
CDM,896602,CONNECTOR SPN 13MM,700.0,700.0,37.1,840.0,20
CDM,896606,SCREW SPN SET,100.0,100.0,5.3,120.0,20
CDM,896607,GWIRE BLUNT 1.4X610MM,943.0,943.0,49.98,1131.6,49
CDM,896609,CANN PRFSN 32/40FR 15IN,1192.0,1192.0,63.18,1430.4,49
CDM,896635,KIT LEAD SURG NRSTM 50CM,2600.0,2600.0,137.8,3120.0,20
CDM,896643,GWIRE 2.4MM,1159.0,1159.0,61.43,1390.8,49
CDM,896655,SUTURE VIO BRD 8-0 12IN,525.0,525.0,27.82,630.0,49
CDM,896658,PLATE BN 3.5MM 65MM,629.0,629.0,33.34,754.8,20
CDM,896665,GRAFT EVAS 14.5MM 7CM,6070.0,6070.0,321.71,7284.0,20
CDM,896675,STEM REV CLCR CTPR8 205M,9126.0,9126.0,483.68,10951.2,20
CDM,896721,PROBE LASER CYBERWAND,2992.5,2992.5,158.6,3591.0,49
CDM,896735,STEM ELBOW 7MM 2MM,4050.0,4050.0,214.65,4860.0,20
CDM,896736,SYSTEM ANCHOR UCL 3.5MM,2358.0,2358.0,124.97,2829.6,20
CDM,896752,SCREW BN HEADED 3MM 24MM,300.0,300.0,15.9,360.0,20
CDM,896802,GUIDE PIN 3.2X355MM,2564.0,2564.0,135.89,3076.8,49
CDM,896874,SCREW BN 2.4MM 18MM,100.0,100.0,5.3,120.0,20
CDM,896881,STENT COR 2.25MM 34MM,1500.0,1500.0,79.5,1800.0,20
CDM,896883,STENT COR 2.5MM 12MM,1074.0,1074.0,56.92,1288.8,20
CDM,896884,STENT COR 2.5MM 18MM,1074.0,1074.0,56.92,1288.8,20
CDM,896887,STENT COR 2.5MM 30MM,1200.0,1200.0,63.6,1440.0,20
CDM,896891,STENT COR 2.75MM 12MM,1200.0,1200.0,63.6,1440.0,20
CDM,896892,STENT COR 2.75MM 15MM,1074.0,1074.0,56.92,1288.8,20
CDM,896893,STENT COR 2.75MM 18MM,1074.0,1074.0,56.92,1288.8,20
CDM,896895,STENT COR 2.75MM 26MM,1074.0,1074.0,56.92,1288.8,20
CDM,8969,PEMETREXED NOS 500MG INJ,500.49,500.49,43.04,600.59,29
CDM,896907,STENT COR 3MM 38MM,1200.0,1200.0,63.6,1440.0,20
CDM,896908,STENT COR 3.5MM 8MM,1074.0,1074.0,56.92,1288.8,20
CDM,896912,STENT COR 3.5MM 30MM,1200.0,1200.0,63.6,1440.0,20
CDM,896914,STENT COR 3.5MM 34MM,1200.0,1200.0,63.6,1440.0,20
CDM,896918,STENT COR 4MM 30MM,1074.0,1074.0,56.92,1288.8,20
CDM,896923,CATH DRN THOR 10FR 8IN,208.0,208.0,11.02,249.6,49
CDM,896945,KIT BN PREP HIP DISP,5941.0,5941.0,314.87,7129.2,49
CDM,896948,BIT DRILL 2.6MM,2231.0,2231.0,118.24,2677.2,49
CDM,896949,SCREW EXFX 250X5MM,2564.0,2564.0,135.89,3076.8,49
CDM,896951,DEVICE CLSR WND 2-0 30CM,815.0,815.0,43.2,978.0,49
CDM,896969,SCREW BN 3.5MM 55MM,84.0,84.0,4.45,100.8,20
CDM,896974,SCREW BN HEADED 4MM 36MM,300.0,300.0,15.9,360.0,20
CDM,896982,INSERT ARTC KN 4-5 12MM,1500.0,1500.0,79.5,1800.0,20
CDM,896993,STEM FEM HIP 4MM 128MM,3400.0,3400.0,180.2,4080.0,20
CDM,896997,SYSTEM BN IMPLANT REPAIR,2790.0,2790.0,147.87,3348.0,20
CDM,897009,SHELL ACTB HIP 54MM,5945.0,5945.0,315.08,7134.0,20
CDM,897011,COIL EMBL 10MM 19CM,2408.0,2408.0,127.62,2889.6,20
CDM,897056,PLATE BN SCAP 7HL LT,4610.0,4610.0,244.33,5532.0,20
CDM,897059,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",188.0,188.0,4.39,13.82,33
CDM,897059,TUBE COLOSTOMY,188.0,188.0,16.17,225.6,48
CDM,897060,FIBER LASER 242,4194.0,4194.0,222.28,5032.8,49
CDM,897084,ROD EXFX CFBR 450X11MM,2882.0,2882.0,152.75,3458.4,49
CDM,897107,SCREW BN 4X56MM,472.0,472.0,25.02,566.4,20
CDM,897109,BEARING TIB CR+ SZ5 8MM,1148.0,1148.0,60.84,1377.6,20
CDM,897110,BEARING TIB CR+ SZ2 14MM,1100.0,1100.0,58.3,1320.0,20
CDM,897122,GRAFT BN FRZN 10X69MM,4340.0,4340.0,230.02,5208.0,20
CDM,897123,GRAFT BN FRZN 10X68MM,4340.0,4340.0,230.02,5208.0,20
CDM,897125,CATH VASC .058INX132CM,17647.0,17647.0,935.29,21176.4,49
CDM,897128,PLATE BN STD 3HL,1590.0,1590.0,84.27,1908.0,20
CDM,897144,GWIRE ORTH 1.4MM 150MM,1622.0,1622.0,85.97,1946.4,49
CDM,897164,SCREW BN 6.5MM 60MM,356.0,356.0,18.87,427.2,20
CDM,897187,IMPLANT BREAST 650CC,2050.0,2050.0,108.65,2460.0,20
CDM,897202,SNARE POLY HEX SM,264.0,264.0,13.99,316.8,49
CDM,897205,DEVICE CLS WND +3-0 15CM,1089.0,1089.0,57.72,1306.8,49
CDM,897206,CATH BLD 3.5X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,897227,SHELL ACTB HIP 48MM,2000.0,2000.0,106.0,2400.0,20
CDM,897232,STENT PANC 21MM 146MM,8668.0,8668.0,459.4,10401.6,20
CDM,897239,GWIRE VASC 300CM .018IN,2564.0,2564.0,135.89,3076.8,49
CDM,897240,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,897245,SCREW BN 2.4MM 20MM,170.0,170.0,9.01,204.0,20
CDM,897247,COIL EMBL 20CM 6MM,3800.0,3800.0,201.4,4560.0,20
CDM,897265,SCREW BN 2.4MM 18MM,40.0,40.0,2.12,48.0,20
CDM,897266,SCREW BN 2.4MM 18MM,170.0,170.0,9.01,204.0,20
CDM,897273,SCREW LCK 2.4X3.8X10MM,388.0,388.0,20.56,465.6,20
CDM,897293,BEARING TIB CR+ SZ2 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,897295,INSERT ARTC KN 8-11 12MM,1500.0,1500.0,79.5,1800.0,20
CDM,897303,GWIRE ENDO .035IN 260CM,2564.0,2564.0,135.89,3076.8,49
CDM,897306,SCREW BN 2.7MM 30MM,138.0,138.0,7.31,165.6,20
CDM,897311,SCREW BN 2.4MM 28MM,231.0,231.0,12.24,277.2,20
CDM,897312,PLATE BN RT 6+7H 109MM,2935.0,2935.0,155.56,3522.0,20
CDM,897313,SET TUB IRR,1884.0,1884.0,99.85,2260.8,49
CDM,897348,IMPLANT BREAST 700CC,2050.0,2050.0,108.65,2460.0,20
CDM,897349,IMPLANT BREAST 645CC,2050.0,2050.0,108.65,2460.0,20
CDM,897351,IMPLANT BREAST 755CC,2050.0,2050.0,108.65,2460.0,20
CDM,897368,SCREW BN SPN 4.5MM 50MM,1000.0,1000.0,53.0,1200.0,20
CDM,897374,PLATE BN 42X6.5X1.3MM,2224.0,2224.0,117.87,2668.8,20
CDM,897389,SCREW BN 4.6MM 32MM,590.0,590.0,31.27,708.0,20
CDM,897390,SCREW BN 4.6MM 30MM,844.0,844.0,44.73,1012.8,20
CDM,897391,SCREW BN 4MM 34MM,590.0,590.0,31.27,708.0,20
CDM,897392,SCREW BN 4MM 36MM,590.0,590.0,31.27,708.0,20
CDM,897393,SCREW LOPRO TI 4.5X16MM,216.0,216.0,11.45,259.2,20
CDM,897418,INSERT ARTC KN LT 14MM,1500.0,1500.0,79.5,1800.0,20
CDM,897420,INTRCR SHTH 23FR 55.7CM,5941.0,5941.0,314.87,7129.2,49
CDM,897422,AGENT FLOSEAL BVN 5ML,2564.0,2564.0,135.89,3076.8,49
CDM,897425,KIT HRT IMPLANT LVAS,191850.0,191850.0,10168.05,230220.0,20
CDM,897426,KIT HRTMT 3 CONTROLLER,42746.0,42746.0,3676.16,51295.2,48
CDM,897426,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",42746.0,42746.0,17450.01,54868.58,33
CDM,897446,DEVICE CMPR RADIAL 24CM,1244.0,1244.0,65.93,1492.8,49
CDM,897450,GLENOID HUM PEG E SZ54,2290.0,2290.0,121.37,2748.0,20
CDM,897455,SCREW BN CANN 3X40MM,456.0,456.0,24.17,547.2,20
CDM,897458,VALVE AORTIC XL 25-27MM,15990.0,15990.0,847.47,19188.0,20
CDM,897460,STEM FEM HIP STDCLR SZ3,4000.0,4000.0,212.0,4800.0,20
CDM,897475,KIT ELECTRODE MAPPING,7578.0,7578.0,401.63,9093.6,49
CDM,897483,SCREW BN 1.5MM 5MM,112.0,112.0,5.94,134.4,20
CDM,897487,PLATE BN ANKL LT 13HL,2000.0,2000.0,106.0,2400.0,20
CDM,897493,SCREW BN 2.4MM 22MM,170.0,170.0,9.01,204.0,20
CDM,897498,BEARING TIB VE CR+1 11MM,1100.0,1100.0,58.3,1320.0,20
CDM,897501,INTRODUCER CATH 7FR 45CM,2562.0,2562.0,135.79,3074.4,49
CDM,897506,INSERT TIB KN SZ4-5 12MM,1500.0,1500.0,79.5,1800.0,20
CDM,897513,SUTURE PRLN 60 M0.5 USP7,1036.0,1036.0,54.91,1243.2,49
CDM,897515,SUTURE BLU MONO 7-0 30IN,528.0,528.0,27.98,633.6,49
CDM,897518,REAMER CUP CONE 16MM,2466.24,2466.24,130.71,2959.49,49
CDM,897519,SCREW BN 3.5MMX30MM,224.0,224.0,11.87,268.8,20
CDM,897520,CAN PRFSN 22FR VSN 20D,101036.0,101036.0,5354.91,121243.2,49
CDM,897522,SCREW BN L/T CANN 4X50MM,434.0,434.0,23.0,520.8,20
CDM,897527,PLATE REPLACE IR2001T,5120.0,5120.0,271.36,6144.0,20
CDM,897528,CAGE SPN 6D 36X27X12MM,4300.0,4300.0,227.9,5160.0,20
CDM,897532,SCREW BN 4.2MM 55MM,352.0,352.0,18.66,422.4,20
CDM,897534,PLATE BN FIB STR 4HL,1050.0,1050.0,55.65,1260.0,20
CDM,897550,ANCHOR SUT KNTLS SZ2,1400.0,1400.0,74.2,1680.0,20
CDM,897556,PLATE BN HK MDL MLS 2HL,2000.0,2000.0,106.0,2400.0,20
CDM,897562,HOLDER PLT BB-TAK THRD,819.84,819.84,43.45,983.81,49
CDM,897563,SET INST CLVCL PLT SYS,1982.4,1982.4,105.07,2378.88,49
CDM,897565,NUT EXFX 10MM,1244.0,1244.0,65.93,1492.8,49
CDM,897567,PLATE BN 6HL 127MM,3065.0,3065.0,162.44,3678.0,20
CDM,897572,BEARING TIB KN SZ1 9MM,1300.0,1300.0,68.9,1560.0,20
CDM,897577,INSRT ARTC KN RT 14MM,1500.0,1500.0,79.5,1800.0,20
CDM,897591,SCREW SPN 4MM 14MM,150.0,150.0,7.95,180.0,20
CDM,897594,STEM FEM HIP SZ5 105MM,4000.0,4000.0,212.0,4800.0,20
CDM,897595,CAP SPN LCK FOR CONN,100.0,100.0,5.3,120.0,20
CDM,897596,NUT SPN LCK FOR CONN,100.0,100.0,5.3,120.0,20
CDM,897610,KIT IMPLANT ANKLE,3289.0,3289.0,174.32,3946.8,20
CDM,897615,CAGE SPN 6D 14X12X9MM,1600.0,1600.0,84.8,1920.0,20
CDM,897616,PLATE SPN CRV 1LVL 14MM,1900.0,1900.0,100.7,2280.0,20
CDM,897618,SCREW SPN 4MM 14MM,150.0,150.0,7.95,180.0,20
CDM,897633,RETRIEVER ENDO 6X25MM,53825.0,53825.0,2852.72,64590.0,49
CDM,897634,CATH DRN 10.5FR 40CM,2553.0,2553.0,135.31,3063.6,49
CDM,897638,STEM PLSMA BOW 19X217,5437.0,5437.0,288.16,6524.4,20
CDM,897639,OSTEOTOME PVT HD 32MM,3024.0,3024.0,160.27,3628.8,49
CDM,897640,ALLODERM 320 SQCM,96614.0,96614.0,5120.54,115936.8,30
CDM,897668,LNR ACTB COC HIP G7D40MM,1300.0,1300.0,68.9,1560.0,20
CDM,897672,KIT IMPLANT ANKLE,2990.0,2990.0,158.47,3588.0,20
CDM,897688,DRILL BIT 03.2MMX230MM,2564.0,2564.0,135.89,3076.8,49
CDM,897691,ROD RIGHT EX-FX 150MM,2875.0,2875.0,152.38,3450.0,49
CDM,897692,ROD CARBON 350MM EX FIX,2738.0,2738.0,145.11,3285.6,49
CDM,897693,SCREW BN 10.35MM 85MM,1320.0,1320.0,69.96,1584.0,20
CDM,897698,CATH IV 14GA 1.75IN,56.0,56.0,2.97,67.2,49
CDM,897712,SCREW EXFX 4X125MM,2564.0,2564.0,135.89,3076.8,49
CDM,897716,SCREW BN LCKNG 3.5X40MM,342.0,342.0,18.13,410.4,20
CDM,897717,SCREW BN 3.5MM 38MM,342.0,342.0,18.13,410.4,20
CDM,897718,SCREW BN NLCK 3.5X46MM,264.0,264.0,13.99,316.8,20
CDM,897719,SCREW BN 3.5MM 44MM,264.0,264.0,13.99,316.8,20
CDM,897720,SCREW BN 2.5MM 38MM,386.0,386.0,20.46,463.2,20
CDM,897777,STENT COR 2.25MM 15MM,1200.0,1200.0,63.6,1440.0,20
CDM,897778,STENT COR 2.25MM 26MM,1200.0,1200.0,63.6,1440.0,20
CDM,897779,STENT COR 2.5MM 8MM,1074.0,1074.0,56.92,1288.8,20
CDM,897780,STENT COR 2.5MM 15MM,1074.0,1074.0,56.92,1288.8,20
CDM,897781,STENT COR 2.5MM 26MM,1074.0,1074.0,56.92,1288.8,20
CDM,897784,STENT COR 3.5MM 18MM,1200.0,1200.0,63.6,1440.0,20
CDM,897785,STENT COR 3.5MM 22MM,1200.0,1200.0,63.6,1440.0,20
CDM,897787,STENT COR 3.5MM 38MM,1200.0,1200.0,63.6,1440.0,20
CDM,897789,STENT COR 4MM 18MM,1500.0,1500.0,79.5,1800.0,20
CDM,897790,STENT COR 4MM 26MM,1850.0,1850.0,98.05,2220.0,20
CDM,897792,STENT COR 4.5MM 12MM,1650.0,1650.0,87.45,1980.0,20
CDM,897794,STENT COR 4.5MM 18MM,1178.0,1178.0,62.43,1413.6,20
CDM,897813,CATH BLDL 6X20MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,897814,CATH BLDL 7X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,897815,CATH BLDL 7X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,897816,SCREW BN 2.7MM 18MM,84.0,84.0,4.45,100.8,20
CDM,897831,CAP END ANKL 5MM 12MM,270.0,270.0,14.31,324.0,20
CDM,897842,SCREW BN HEADED 3MM 22MM,300.0,300.0,15.9,360.0,20
CDM,897851,CATH GD 8X95CM,9132.0,9132.0,484.0,10958.4,49
CDM,897858,SCREW BN 2.4MM 12MM,236.0,236.0,12.51,283.2,20
CDM,897876,AGENT FLOSEAL BVN 10ML,3084.0,3084.0,163.45,3700.8,49
CDM,897879,OBTURATOR BLDLSS 8MM,1187.0,1187.0,62.91,1424.4,49
CDM,897893,PLATE BN CRV 139MM 11HL,1238.0,1238.0,65.61,1485.6,20
CDM,897896,NAIL BN 40CM,4345.0,4345.0,230.28,5214.0,20
CDM,897906,DRSSING WD ANMC 10X4.5IN,1583.0,1583.0,83.9,1899.6,49
CDM,897914,SHELL ACTB HIP 3 H 50MM,2000.0,2000.0,106.0,2400.0,20
CDM,897920,KIT PROBE 17GA 50MM,5941.0,5941.0,314.87,7129.2,49
CDM,897921,PLATE BN 4H 2.4MM,752.0,752.0,39.86,902.4,20
CDM,897924,STENT VASC 6X26MM 135CM,4300.0,4300.0,227.9,5160.0,20
CDM,897927,STENT VASC 8X37MM 135CM,4800.0,4800.0,254.4,5760.0,20
CDM,897932,TIP CAUTRY SPATULA ESURG,2564.0,2564.0,135.89,3076.8,49
CDM,897948,INSERT TIB KN SZ4 7MM,1500.0,1500.0,79.5,1800.0,20
CDM,897949,BASEPLATE TIB KN SZ5,2100.0,2100.0,111.3,2520.0,20
CDM,897955,SHELL ACTB HIP SZF 54MM,2000.0,2000.0,106.0,2400.0,20
CDM,897956,PLATE BN ANKL 8HL,1100.0,1100.0,58.3,1320.0,20
CDM,897957,SCREW BN 4X16MM,120.0,120.0,6.36,144.0,20
CDM,897958,MESH SURG 4X3IN,2874.0,2874.0,152.32,3448.8,20
CDM,897959,SCREW BN 10.35MM 95MM,1320.0,1320.0,69.96,1584.0,20
CDM,897961,SET INTRO SHTH 8FR 65CM,5941.0,5941.0,314.87,7129.2,49
CDM,897997,PLATE FIB STR 8HL,1050.0,1050.0,55.65,1260.0,20
CDM,897998,SCREW BN NLCKG 4.2X46MM,276.0,276.0,14.63,331.2,20
CDM,898007,KIT DEVICE GUIDED 3CM,83160.0,83160.0,4407.48,99792.0,49
CDM,898017,BEARING TIB KN SZ4 8MM,886.0,886.0,46.96,1063.2,20
CDM,898020,DEVICE CLSR WND 0 23CM,3434.0,3434.0,182.0,4120.8,49
CDM,898022,CATH THORACIC 16FR,1138.0,1138.0,60.31,1365.6,49
CDM,898023,PLATE BN LT 2/4HL 40MM,660.0,660.0,34.98,792.0,20
CDM,898024,SCREW BN 2.4MM 8MM,100.0,100.0,5.3,120.0,20
CDM,898050,COIL EMBL SMART 6CM 2MM,2140.0,2140.0,113.42,2568.0,20
CDM,898067,STAPLE BN MEMFX 12X15X13,2712.0,2712.0,143.74,3254.4,20
CDM,898068,PLATE BN 12HL 151MM,1238.0,1238.0,65.61,1485.6,20
CDM,898069,PLATE BN 12HL 225MM,2672.0,2672.0,141.62,3206.4,20
CDM,898078,SCREW BN 4MM 22MM,236.0,236.0,12.51,283.2,20
CDM,898084,CATH BLN 9MM 40MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,898097,PLATE LAPDS STEP 1MM,4072.0,4072.0,215.82,4886.4,20
CDM,898115,CAGE SPN 6D16-25MM 14MM,10804.0,10804.0,572.61,12964.8,20
CDM,898133,STEM FEM HIP 18MM 150MM,3525.0,3525.0,186.82,4230.0,20
CDM,898137,PLATE BN LT 73X5.7X10MM,1854.0,1854.0,98.26,2224.8,20
CDM,898138,SCREW BN 3.5MM 8MM,218.0,218.0,11.55,261.6,20
CDM,898141,SCREW BN 3.5MM 14MM,218.0,218.0,11.55,261.6,20
CDM,898142,SCREW BN LCKNG 3X50MM,218.0,218.0,11.55,261.6,20
CDM,898143,SCREW BN 3.5MM 16MM,212.0,212.0,11.24,254.4,20
CDM,898144,SCREW BN 3.5MM 50MM TI,212.0,212.0,11.24,254.4,20
CDM,898145,SCREW BN 3.5MM 22MM,206.0,206.0,10.92,247.2,20
CDM,898146,SCREW BN 3.5MM 24MM,206.0,206.0,10.92,247.2,20
CDM,898147,KWIRE FX 2MM 152MM,377.0,377.0,19.98,452.4,49
CDM,898148,DRILL SURG 2.7MM 80MM,942.0,942.0,49.93,1130.4,49
CDM,898150,DRILL SURG 2.7MM 40MM,942.0,942.0,49.93,1130.4,49
CDM,898176,BASEPLATE TIB KN SZ6,2100.0,2100.0,111.3,2520.0,20
CDM,898188,NAIL BN 10MM 40CM,2398.0,2398.0,127.09,2877.6,20
CDM,898189,361 HCT P SKN NOS,5495.0,5495.0,291.24,6594.0,30
CDM,898212,CMPNT TIB KN 71X160X9MM,4654.0,4654.0,246.66,5584.8,20
CDM,898213,ANCHOR SUT BN #1,850.0,850.0,45.05,1020.0,20
CDM,898216,KIT SUT 1.35-1.6MM DRL,3962.0,3962.0,209.99,4754.4,49
CDM,898230,STEM HUM SZ8 175MM,15439.0,15439.0,818.27,18526.8,20
CDM,898259,PLATE BN 6H 29MM 3.5MM,1758.0,1758.0,93.17,2109.6,20
CDM,898263,INTRO SHTH 6FR 13CM,1308.0,1308.0,69.32,1569.6,49
CDM,898290,GLENOID HUM PEG E SZ50,2000.0,2000.0,106.0,2400.0,20
CDM,898295,STENT VASC 5FR 5X40MM,1200.0,1200.0,63.6,1440.0,20
CDM,898296,STENT VASC 5FR 5X60MM,1200.0,1200.0,63.6,1440.0,20
CDM,898298,STENT VASC 5FR 5X10MM,1200.0,1200.0,63.6,1440.0,20
CDM,898299,STENT VASC 5FR 5X160MM,1750.0,1750.0,92.75,2100.0,20
CDM,898302,STENT VASC 5FR 6X40MM,1200.0,1200.0,63.6,1440.0,20
CDM,898303,STENT VASC 5FR 6X60MM,1200.0,1200.0,63.6,1440.0,20
CDM,898304,STENT VASC 5FR 6X80MM,1700.0,1700.0,90.1,2040.0,20
CDM,898305,STENT VASC 5FR 6X10MM,1200.0,1200.0,63.6,1440.0,20
CDM,898306,STENT VASC 5FR 7X40MM,1200.0,1200.0,63.6,1440.0,20
CDM,898307,STENT VASC 5FR 7X60MM,1200.0,1200.0,63.6,1440.0,20
CDM,898308,STENT VASC 5FR 7X100MM,1200.0,1200.0,63.6,1440.0,20
CDM,898312,DEVICE CLS WND +3-0 15CM,3520.0,3520.0,186.56,4224.0,49
CDM,898318,INSERT TIB KN SZ4-5 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,898324,SCREW BN CORT 2.7MM 30MM,64.0,64.0,3.39,76.8,20
CDM,898331,OVER DRILL 2.5X100MM,897.0,897.0,47.54,1076.4,49
CDM,898339,CMPNT TIB KN BASE SZ4,2100.0,2100.0,111.3,2520.0,20
CDM,898340,BASEPLATE TIB KN SZ7,2100.0,2100.0,111.3,2520.0,20
CDM,898347,PCMKR 46.6X50.8X7.4MM,5662.0,5662.0,300.09,6794.4,20
CDM,898349,SHELL ACTB HIP SZE 52MM,2000.0,2000.0,106.0,2400.0,20
CDM,898351,NAIL BN FEM RT 9MM 38CM,3052.0,3052.0,161.76,3662.4,20
CDM,898361,STENT VASC 5FR 6X150MM,1750.0,1750.0,92.75,2100.0,20
CDM,898364,GRASPER LAPSCP 56.6CM 5M,31829.0,31829.0,1686.94,38194.8,49
CDM,898368,BLADE SHVR 13CM 4.0MM,1621.0,1621.0,85.91,1945.2,49
CDM,898386,SCREW BN T15 3.5X22MM,188.0,188.0,9.96,225.6,20
CDM,898387,SCREW BN 3.5MM 24MM,188.0,188.0,9.96,225.6,20
CDM,898389,SCREW BN 3.5MM 28MM,187.0,187.0,9.91,224.4,20
CDM,898408,CAGE SPN 25/28X10X9-13MM,6800.0,6800.0,360.4,8160.0,20
CDM,898438,KIT ANGIO LEFT HEART,946.0,946.0,50.14,1135.2,49
CDM,898464,COMP PTLR KN 7.5X26MM,500.0,500.0,26.5,600.0,20
CDM,898466,STAPLE BN 7MM 9MM,2990.0,2990.0,158.47,3588.0,20
CDM,898473,IMPLANT BREAST 605CC,2050.0,2050.0,108.65,2460.0,20
CDM,898506,SCREW CAN HD S-T 2.5X11,385.0,385.0,20.41,462.0,20
CDM,898511,PCMKR SNGL 7.4 50.8X42.6,5460.0,5460.0,289.38,6552.0,20
CDM,898513,PATCH VASC 8X14CM,1578.0,1578.0,83.63,1893.6,20
CDM,898514,BIT DRL QC CANN AO 1.9MM,2681.28,2681.28,142.11,3217.54,49
CDM,898516,SCREW CAN SLF-CMP 3.2X26,1498.0,1498.0,79.39,1797.6,20
CDM,898527,STENT EPRSTH 6CM 8-10MM,9796.0,9796.0,519.19,11755.2,20
CDM,898528,STENT EPRSTH 10MM 8CM,10090.0,10090.0,534.77,12108.0,20
CDM,898532,CATH URET 20FR 16IN,104.0,104.0,5.51,124.8,49
CDM,898542,SCREW BN 2.0X13MM,128.0,128.0,6.78,153.6,20
CDM,898543,CAGE SPN 21/24X10X8-11MM,6800.0,6800.0,360.4,8160.0,20
CDM,898546,FILLER BN VOID 18ML,9390.0,9390.0,497.67,11268.0,20
CDM,898561,ALLODERM 164 SQCM,55013.0,55013.0,2915.69,66015.6,30
CDM,898573,DEVICE CLSR WND +0 45CM,609.0,609.0,32.28,730.8,49
CDM,898575,DEVICE CLS WND +4-0 45CM,3888.0,3888.0,206.06,4665.6,49
CDM,898588,PLATE BN 14HL 175MM,1238.0,1238.0,65.61,1485.6,20
CDM,898604,CLIP ANRSM PERM 4MM,766.0,766.0,40.6,919.2,20
CDM,898607,CLIP ANRSM PERM 6.1MM,797.0,797.0,42.24,956.4,20
CDM,898612,BIT DRL 2.4MM 40MM,942.0,942.0,49.93,1130.4,49
CDM,898613,KWIRE FX 152MM 1.1MM,377.0,377.0,19.98,452.4,49
CDM,898615,PLATE LT PRT RADL HEAD,2452.0,2452.0,129.96,2942.4,20
CDM,898616,SCREW BN 8MM 95MM 25MM,356.0,356.0,18.87,427.2,20
CDM,898618,SCREW BN ELB 2.7MM 16MM,212.0,212.0,11.24,254.4,20
CDM,898619,SCREW BN 2.7MM 14MM,212.0,212.0,11.24,254.4,20
CDM,898620,SCREW BN 2.7MM 18MM,212.0,212.0,11.24,254.4,20
CDM,898621,SCREW BN 2.7MM 22MM,212.0,212.0,11.24,254.4,20
CDM,898625,PEG BN FX 2.3MM 20MM,154.0,154.0,8.16,184.8,20
CDM,898637,ICD ELECTRODE DEFIB 45CM,8000.0,8000.0,424.0,9600.0,20
CDM,898647,GWIRE VASC .014IN 190CM,2564.0,2564.0,135.89,3076.8,49
CDM,898655,INTRODUCER CATH 45CM 5FR,2562.0,2562.0,135.79,3074.4,49
CDM,898670,NAIL TRGN LT 8.5MM 34CM,3390.0,3390.0,179.67,4068.0,20
CDM,898683,SCREW BN 2.5X14MM,642.0,642.0,34.03,770.4,20
CDM,898690,STEM PLSMA BOW 20X217,5437.0,5437.0,288.16,6524.4,20
CDM,898716,BIT DRILL 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,898717,DRILL SURG XL PRFL 7MM,2620.0,2620.0,138.86,3144.0,49
CDM,898718,GWIRE ORTH 9.25IN 2.4MM,565.0,565.0,29.95,678.0,49
CDM,898719,361 HCT P SKN NOS,5495.0,5495.0,291.24,6594.0,30
CDM,898720,SCREW BN 8X85X25MM,356.0,356.0,18.87,427.2,20
CDM,898721,SUTURE BLK MONO 9-0 12IN,453.0,453.0,24.01,543.6,49
CDM,898724,SCREW BN 4MM 16MM,58.0,58.0,3.07,69.6,20
CDM,898735,ANCH SUT SWLCK PEEK,870.0,870.0,46.11,1044.0,20
CDM,898741,SCREW BN 4.0MM 42MMM,1706.0,1706.0,90.42,2047.2,20
CDM,898746,PLATE BN HOOK 4HL,2000.0,2000.0,106.0,2400.0,20
CDM,898754,MARKER FDCL 0.8MM 3.5MM,505.0,505.0,26.77,606.0,20
CDM,898762,IMPLANT BREAST 190CC,2050.0,2050.0,108.65,2460.0,20
CDM,898763,IMPLANT BREAST 215CC,2050.0,2050.0,108.65,2460.0,20
CDM,898772,SCREW BN 3.5MM 40MM,264.0,264.0,13.99,316.8,20
CDM,898788,SCREW NCB CONN TI6AL4V,280.0,280.0,14.84,336.0,20
CDM,898794,GUIDE DRL 4.3MM NCB STD,3663.0,3663.0,194.14,4395.6,49
CDM,898798,SCREW BN 7MM 80MM,1167.0,1167.0,61.85,1400.4,20
CDM,898802,SCREW BN 3.5MM 22MM,735.0,735.0,38.95,882.0,20
CDM,898808,ANCHOR SUT 3-0,850.0,850.0,45.05,1020.0,20
CDM,898811,KIT ORT SEC FIX ACL/PCL,1200.0,1200.0,63.6,1440.0,20
CDM,898814,SCREW BN 4MM 44MM,330.0,330.0,17.49,396.0,20
CDM,898819,SCREW BN T8 2.7MM 12MM,84.0,84.0,4.45,100.8,20
CDM,898839,CLIP ANRSM PERM 3MM,766.0,766.0,40.6,919.2,20
CDM,898840,CLIP ANRSM PERM 3MM,737.0,737.0,39.06,884.4,20
CDM,898843,STRAP CLAVICLE MEDIUM,225.0,225.0,30.15,270.0,24
CDM,898851,ICD DEFIB CARD 7.68CM,16896.0,16896.0,895.49,20275.2,20
CDM,898855,PLATE BN MED,2298.0,2298.0,121.79,2757.6,20
CDM,898863,PIN EXFX CANC 6MM,942.0,942.0,49.93,1130.4,49
CDM,898864,SCREW BN LCK 3.5MM 42MM,342.0,342.0,18.13,410.4,20
CDM,898865,SCREW BN LCK 3.5X50MM,342.0,342.0,18.13,410.4,20
CDM,898871,CAGE SPN 10MM 21/24MM,6800.0,6800.0,360.4,8160.0,20
CDM,898891,SCREW INSRTR CPLNG TFN,1588.0,1588.0,84.16,1905.6,20
CDM,898894,IMPLANT SPN PLVC 7X45MM,6150.0,6150.0,984.0,7380.0,19
CDM,898904,SCREW BN 4MM 30MM,434.0,434.0,23.0,520.8,20
CDM,898905,SCREW BN 7MM 46MM,792.0,792.0,41.98,950.4,20
CDM,898918,CATH BLNOCC 26FR 65CM,2564.0,2564.0,135.89,3076.8,49
CDM,898924,ANCHOR SUT 1.8MM,1330.0,1330.0,70.49,1596.0,20
CDM,898926,SCREW BN 4MM 46MM,434.0,434.0,23.0,520.8,20
CDM,898930,GDWIRE ORTH .062IN 5MM,622.0,622.0,32.97,746.4,49
CDM,898931,DRILL PROFILE 5MM LARGE,2620.0,2620.0,138.86,3144.0,49
CDM,898932,DRILL BIT 3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,898934,SCREW BN 5MM 50MM,950.0,950.0,50.35,1140.0,20
CDM,898935,LIGATOR 8.6-11.5MM 2.8MM,2672.0,2672.0,141.62,3206.4,49
CDM,898958,MESH HRN PLGLY 20X20IN,12960.0,12960.0,686.88,15552.0,20
CDM,898959,MARKER ENDO SPOT SYR PRE,4304.0,4304.0,228.11,5164.8,49
CDM,898966,CATH DBC 7X60MM 75CM,8938.0,8938.0,473.71,10725.6,49
CDM,898986,CATH DLV 6FR 125CM,2564.0,2564.0,135.89,3076.8,49
CDM,898996,CAP SPN LCKING,100.0,100.0,5.3,120.0,20
CDM,898997,SCREW SPN 10MM,450.0,450.0,23.85,540.0,20
CDM,899001,SUTURE FIBERTAPE 17IN,160.0,160.0,8.48,192.0,20
CDM,899006,SCREW BN 4.2MM 30MM,276.0,276.0,14.63,331.2,20
CDM,899008,SET SCREW BLK DMND,100.0,100.0,5.3,120.0,20
CDM,899010,ROD SPN CRV 5.5MM 50MM,360.0,360.0,19.08,432.0,20
CDM,899055,INTRO SHTH 8.5F 71CM,5941.0,5941.0,314.87,7129.2,49
CDM,899057,SLR/DVDR LAPSCP 37CM,5941.0,5941.0,314.87,7129.2,49
CDM,899067,STENT VASC 12X38MM 135CM,4800.0,4800.0,254.4,5760.0,20
CDM,899095,BEARING TIB CR+ SZ8 9MM,1100.0,1100.0,58.3,1320.0,20
CDM,899096,SCREW BN 3.5MM 16MM,58.0,58.0,3.07,69.6,20
CDM,899097,SCREW BN 4MM 36MM,886.0,886.0,46.96,1063.2,20
CDM,899113,GWIRE VASC 275X4.2X4.2CM,3374.0,3374.0,178.82,4048.8,49
CDM,899115,PLATE BN TBLR STR 6HL,988.0,988.0,52.36,1185.6,20
CDM,899127,SCREW BN 3.5MM 20MM,206.0,206.0,10.92,247.2,20
CDM,899128,SCREW BN 3.5MM 26MM,206.0,206.0,10.92,247.2,20
CDM,899138,SCREW BN LCK 3X12MM,280.0,280.0,14.84,336.0,20
CDM,899144,PIN FX 20MM 1.1MM,2564.0,2564.0,135.89,3076.8,49
CDM,899147,GWIRE ORTH 1.1MM 150MM,942.0,942.0,49.93,1130.4,49
CDM,899153,SCREW BN 3.5MM 16MM,259.0,259.0,13.73,310.8,20
CDM,899154,SCREW BN 3.5MM 20MM,390.0,390.0,20.67,468.0,20
CDM,899173,SCREW BN 2.7MM 28MM,264.0,264.0,13.99,316.8,20
CDM,899177,COIL EMBL 3MM 4CM,1750.0,1750.0,92.75,2100.0,20
CDM,899218,MESH 15/17MM DYNA MED,3039.0,3039.0,161.07,3646.8,20
CDM,899222,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,899235,ROD SPN CRV PERC 5.5X60,360.0,360.0,19.08,432.0,20
CDM,899278,PLATE BN HUM 10H 176MM,2952.0,2952.0,156.46,3542.4,20
CDM,899279,INSERT ARTC KN 4-5 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,899285,KIT ARTHSCP FX ARTHX SUT,2990.0,2990.0,158.47,3588.0,20
CDM,899287,SUTURE UND MONO +5-0 18N,162.0,162.0,8.59,194.4,49
CDM,899288,PLATE BN L 100D 4HL,752.0,752.0,39.86,902.4,20
CDM,899309,SCREW BN 6.5MM 90MM 40MM,356.0,356.0,18.87,427.2,20
CDM,899310,SCREW BN 6.5MM 95MM,356.0,356.0,18.87,427.2,20
CDM,899318,SCREW BN 4MM 50MM,170.0,170.0,9.01,204.0,20
CDM,899340,PLATE BN 9HL 115MM,1068.0,1068.0,56.6,1281.6,20
CDM,899357,BEARING TIB CR+ SZ7 11MM,1100.0,1100.0,58.3,1320.0,20
CDM,899358,SCREW BN LCK 3.5MM 14MM,274.0,274.0,14.52,328.8,20
CDM,899359,SCREW BN LCK 3.5X22,274.0,274.0,14.52,328.8,20
CDM,899360,DRILL BIT CANN 6.0MM,2607.0,2607.0,138.17,3128.4,49
CDM,899368,SCREW BN 2X22MM 5MM ASNS,3811.28,3811.28,202.0,4573.54,20
CDM,899372,NAIL FEM 11MM 400MM,2614.0,2614.0,138.54,3136.8,20
CDM,899374,CAGE SPNL 36X27X16MM,4000.0,4000.0,212.0,4800.0,20
CDM,899407,INSERT TIB KN SZ8 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,899414,SCREW BN 5MM 46MM,950.0,950.0,50.35,1140.0,20
CDM,899415,SCREW BN 4.5MM 26MM,84.0,84.0,4.45,100.8,20
CDM,899425,KIT BLADE SIZE 1,2564.0,2564.0,135.89,3076.8,49
CDM,899428,SCREW BN 3MM 30MM,456.0,456.0,24.17,547.2,20
CDM,899430,IMPLANT SPN PLVC 7X55MM,6150.0,6150.0,984.0,7380.0,19
CDM,899450,ELECTRODE BIP 24FR LOOP,2564.0,2564.0,135.89,3076.8,49
CDM,899472,SCREW BN 3.5MM 70MM,144.0,144.0,7.63,172.8,20
CDM,899501,VALVE AORTIC 29MM,14400.0,14400.0,763.2,17280.0,20
CDM,899510,CATH BLNDIL 2MM 6MM,5941.0,5941.0,314.87,7129.2,49
CDM,899511,CATH BLNDIL 2.5MM 6MM,5941.0,5941.0,314.87,7129.2,49
CDM,899512,CATH BLNDIL 3MM 6MM,5941.0,5941.0,314.87,7129.2,49
CDM,899513,CATH BLNDIL 3.5MM 6MM,5941.0,5941.0,314.87,7129.2,49
CDM,899514,CATH BLNDIL 2MM 10MM,5941.0,5941.0,314.87,7129.2,49
CDM,899515,CATH BLNDIL 2MM 15MM,5941.0,5941.0,314.87,7129.2,49
CDM,899516,CATH BLNDIL 10MM 2.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,899517,CATH BLNDIL 2.5MM 15MM,5941.0,5941.0,314.87,7129.2,49
CDM,899518,CATH BLNDIL 3MM 10MM,5941.0,5941.0,314.87,7129.2,49
CDM,899520,CATH BLNDIL 3MM 15MM,5941.0,5941.0,314.87,7129.2,49
CDM,899521,CATH BLNDIL 3.5MM 10MM,5941.0,5941.0,314.87,7129.2,49
CDM,899522,CATH BLNDIL 3.5MM 15MM,5941.0,5941.0,314.87,7129.2,49
CDM,899525,SCREW BN T8 2.7X4.5X13MM,260.0,260.0,13.78,312.0,20
CDM,899526,SCREW BN 2.7X4.5X11MM,244.0,244.0,12.93,292.8,20
CDM,899532,ROD RADIUS RT 3.6X210MM,3950.0,3950.0,209.35,4740.0,20
CDM,899533,SCREW CANC HEX TI 4X24,176.0,176.0,9.33,211.2,20
CDM,899566,SCREW BN CANN 5.5X55MM,6000.0,6000.0,318.0,7200.0,20
CDM,899574,SHELL ACTB HIP 56MM,2000.0,2000.0,106.0,2400.0,20
CDM,899595,PLATE LCP 8HL 145X3.5MM,2825.0,2825.0,149.72,3390.0,20
CDM,899601,TIP INSRTR KN DISP,2564.0,2564.0,135.89,3076.8,49
CDM,899602,IMP NASAL SHL LG38X2.5X9,1059.24,1059.24,56.14,1271.09,20
CDM,899603,SCREW BN 4.2MM 14MM,352.0,352.0,18.66,422.4,20
CDM,899606,SCREW BN 4MM 30M,435.0,435.0,23.05,522.0,20
CDM,899608,SCREW BN 4MM 42MM,435.0,435.0,23.05,522.0,20
CDM,899631,CMPNT FEM KN RT SZ3,2850.0,2850.0,151.05,3420.0,20
CDM,899636,DEVICE WNDCLS 23CM SZ3,1039.0,1039.0,55.07,1246.8,49
CDM,899644,PIN EXFX CANC 4MM,942.0,942.0,49.93,1130.4,49
CDM,899647,PCMKR 4.45X5.88X0.75CM,5440.0,5440.0,288.32,6528.0,20
CDM,899662,SENSOR HEMODYNAMIC SMALL,3078.0,3078.0,163.13,3693.6,49
CDM,899663,SENSOR HEMODYNAMIC MED,3078.0,3078.0,163.13,3693.6,49
CDM,899664,SENSOR HEMODYNAMIC LARGE,3078.0,3078.0,163.13,3693.6,49
CDM,899684,PLATE BN ANKL LG,3496.0,3496.0,185.29,4195.2,20
CDM,899694,SCREW BN 3.5MM 30MM,642.0,642.0,34.03,770.4,20
CDM,899702,PLATE TIB LCP 7H RT 180M,3071.04,3071.04,162.77,3685.25,20
CDM,899704,SCREW BN 2.5MMX20MM,735.0,735.0,38.95,882.0,20
CDM,899739,COMPONENT FEM KN RT SZ5,2700.0,2700.0,143.1,3240.0,20
CDM,899755,CATH EP 5FR 110CM,3930.0,3930.0,208.29,4716.0,49
CDM,899756,CATH EP 5FR 110CM,3930.0,3930.0,208.29,4716.0,49
CDM,899760,PLATE BN 4HL 2.4MM,752.0,752.0,39.86,902.4,20
CDM,899776,SCREW BN 4X44MM,590.0,590.0,31.27,708.0,20
CDM,899781,BLADE SAW 13X1.27X90MM,2327.0,2327.0,123.33,2792.4,49
CDM,899804,CONCORDE LIFT EXPANDABLE,7000.0,7000.0,371.0,8400.0,20
CDM,899810,NAIL KN 11.5M 38CM,2398.0,2398.0,127.09,2877.6,20
CDM,899815,VALVE AORTIC 23MM,24000.0,24000.0,1272.0,28800.0,20
CDM,899822,NAIL BN KN 10X320MM,2614.0,2614.0,138.54,3136.8,20
CDM,899823,CEMENT BN CA PHS HA 15CC,7078.0,7078.0,375.13,8493.6,20
CDM,899828,SCREW BN 4.6X18MM,200.0,200.0,10.6,240.0,20
CDM,899849,PLATE BN 4X162MM,1828.0,1828.0,96.88,2193.6,20
CDM,899862,SCREW BN 10.35MM 100MM,1320.0,1320.0,69.96,1584.0,20
CDM,899865,SCREW BN 3.5MM 48MM,120.0,120.0,6.36,144.0,20
CDM,899868,NAIL BN 10MM 36CM LT,3052.0,3052.0,161.76,3662.4,20
CDM,899870,TUBING INSFL 20L,302.0,302.0,16.01,362.4,49
CDM,899871,SCREW BN 4.2MM 18MM,276.0,276.0,14.63,331.2,20
CDM,899873,CATH STYL MLBL TIP SZ,644.0,644.0,34.13,772.8,49
CDM,899874,LENS IOL +15.5 DIOP,170.0,170.0,17.51,204.0,31
CDM,899875,LENS IOL +17.5 DIOP,170.0,170.0,17.51,204.0,31
CDM,899884,PLATE CALC FX RT MED,1520.0,1520.0,80.56,1824.0,20
CDM,899894,CATH BLNDIL 2.25MM 10MM,5941.0,5941.0,314.87,7129.2,49
CDM,899895,CATH BLNDIL 2.75MM 10MM,5941.0,5941.0,314.87,7129.2,49
CDM,899896,CATH BLNDIL 3.25MM 10MM,5941.0,5941.0,314.87,7129.2,49
CDM,899898,CATH BLNDIL 4MM 10MM,5941.0,5941.0,314.87,7129.2,49
CDM,899899,CATH BLNDIL 2.25MM 15MM,5941.0,5941.0,314.87,7129.2,49
CDM,899900,CATH BLNDIL 2.75MM 15MM,5941.0,5941.0,314.87,7129.2,49
CDM,899901,CATH BLNDIL 3.25MM 15MM,5941.0,5941.0,314.87,7129.2,49
CDM,899904,STENT EPRSTH 7CM 8-10MM,10090.0,10090.0,534.77,12108.0,20
CDM,899907,SCREW TIB AUGMNT 5MM,134.0,134.0,7.1,160.8,20
CDM,899910,DEVICE WNDCLS 45CM SZ3,1831.0,1831.0,97.04,2197.2,49
CDM,899927,INSERT KN SZ6-7 12MM,1500.0,1500.0,79.5,1800.0,20
CDM,899931,SHELL HM SHLDR 12X108MM,10914.0,10914.0,578.44,13096.8,20
CDM,899932,INSERT HUM SHLDR 32MM,1460.0,1460.0,77.38,1752.0,20
CDM,899944,ROD SPN CRV 5.5MM 55MM,360.0,360.0,19.08,432.0,20
CDM,899945,ROD SPN 5.5X85MM CRVD,360.0,360.0,19.08,432.0,20
CDM,899946,SCREW SPNL PED 6.5X50MM,1300.0,1300.0,68.9,1560.0,20
CDM,899947,CAGE CGR LS PRLL 18X8X60,6501.0,6501.0,344.55,7801.2,20
CDM,899950,INTERBODY SPN 16X13X7MM,1600.0,1600.0,84.8,1920.0,20
CDM,899951,SCREW SPN S/D VR 3.75X16,150.0,150.0,7.95,180.0,20
CDM,899952,PLATE SPN 17.5MM 32MM,1900.0,1900.0,100.7,2280.0,20
CDM,899954,PLATE BN PRBENT 6HL 6MM,414.0,414.0,21.94,496.8,20
CDM,899955,BIOVANCE 36 SQCM,29358.0,29358.0,1555.97,35229.6,30
CDM,899962,SCREW BN 4MM 40MM,590.0,590.0,31.27,708.0,20
CDM,899972,KIT DISP FX 1.8MM,5941.0,5941.0,314.87,7129.2,49
CDM,899976,PROSTHESIS PENL TTN 18CM,20390.0,20390.0,1080.67,24468.0,20
CDM,899977,VALVE MITRAL 27-29MM,7060.0,7060.0,374.18,8472.0,20
CDM,899982,PLATE BN CRNFCL 2MM,17940.0,17940.0,950.82,21528.0,20
CDM,899990,GRAFT EVAS 14.5MM 10CM,8658.0,8658.0,458.87,10389.6,20
CDM,899993,STYLET SURG .8MM ASNS,480.0,480.0,25.44,576.0,49
CDM,900060,CATH GD STR 6F 131CM,15513.0,15513.0,822.19,18615.6,49
CDM,900062,SCREW BN 3.5MM 90MM,238.0,238.0,12.61,285.6,20
CDM,900067,INSERT TIB KN 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,900068,INSRT TIB KN SZ6-7 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,900081,KIT INERBRAC LGMNT AUG,2990.0,2990.0,158.47,3588.0,20
CDM,900097,CAGE LRDTC CGR 18X8X55,6500.0,6500.0,344.5,7800.0,20
CDM,900108,COIL EMBL 30CM 3.25-4MM,3380.0,3380.0,179.14,4056.0,20
CDM,900110,CATH BLNDIL 2.25MM 6MM,5941.0,5941.0,314.87,7129.2,49
CDM,900111,CATH BLNDIL 3.25MM 6MM,5941.0,5941.0,314.87,7129.2,49
CDM,900114,CATH BLNDIL 4MM 6MM,5941.0,5941.0,314.87,7129.2,49
CDM,900116,STENT VASC 6X140MM 125CM,4790.0,4790.0,253.87,5748.0,20
CDM,900117,STENT VASC 7X140MM 125CM,4790.0,4790.0,253.87,5748.0,20
CDM,900126,TOOL TUNNELING 35CM,2564.0,2564.0,135.89,3076.8,49
CDM,900127,KIT LEAD SURG NRSTM 70CM,2600.0,2600.0,137.8,3120.0,20
CDM,900137,CMPNT ACTB HIP 60MM,7553.0,7553.0,400.31,9063.6,20
CDM,900145,SCREW BN 4.0MM 60MM,434.0,434.0,23.0,520.8,20
CDM,900147,SCREW CANN HDED S-T 4X14,434.5,434.5,23.03,521.4,20
CDM,900149,SCREW BN 4.0MM 55MM,435.0,435.0,23.05,522.0,20
CDM,900151,TAP CANNULATED 4MM,482.75,482.75,25.59,579.3,49
CDM,900153,PLATE BN XPLATE 8H,840.0,840.0,44.52,1008.0,20
CDM,900156,INTRO ACC VASC LNG 11F,600.0,600.0,31.8,720.0,49
CDM,900178,VALVE AORTIC 19MM,14400.0,14400.0,763.2,17280.0,20
CDM,900179,STEM FEM HIP COLR 97MM,4000.0,4000.0,212.0,4800.0,20
CDM,900199,SCREW BN 4MM 28MM,171.0,171.0,9.06,205.2,20
CDM,900214,MESH CRNFCL MED 15/17MM,3188.0,3188.0,168.96,3825.6,20
CDM,900217,CAGE LRDTC AC-T 15X8X12,3920.0,3920.0,207.76,4704.0,20
CDM,900219,VALVE AORTIC 21MM,14400.0,14400.0,763.2,17280.0,20
CDM,900232,DEV INFL 35ATM/BAR 30ML,1374.0,1374.0,72.82,1648.8,49
CDM,900240,SCREW BN 2.7MM 16MM,264.0,264.0,13.99,316.8,20
CDM,900246,SCREW BN 3X28MM,386.0,386.0,20.46,463.2,20
CDM,900247,DEVICE RET 2.4MM 230CM,2564.0,2564.0,135.89,3076.8,49
CDM,900253,OSTEOTOME 3INX10MM CRV F,5941.0,5941.0,314.87,7129.2,49
CDM,900264,ELECTRD ESURG MNPLR 24F,98.0,98.0,5.19,117.6,49
CDM,900278,SCREW BN HDED 3.5MM 26MM,300.0,300.0,15.9,360.0,20
CDM,900283,BEARNG TIB TKA CR+6 16MM,2000.0,2000.0,106.0,2400.0,20
CDM,900295,DRESSING NUSTAT FLX 4X48,2564.0,2564.0,135.89,3076.8,49
CDM,900298,DRILL LONG 3X80MM,2564.0,2564.0,135.89,3076.8,49
CDM,900299,DRILL SHORT 3X80MM KIT,2564.0,2564.0,135.89,3076.8,49
CDM,900302,ELECTRODE ESURG PNCL 15',223.0,223.0,11.82,267.6,49
CDM,900303,PERFORATOR CRANI 11X7MM,3484.0,3484.0,184.65,4180.8,49
CDM,900304,SUTURE BLU MONO 7-0 24IN,2564.0,2564.0,135.89,3076.8,49
CDM,900305,SUTURE BLU MONO 7-0 30IN,2564.0,2564.0,135.89,3076.8,49
CDM,900322,SCREW BN 4MM 42MM,1148.0,1148.0,60.84,1377.6,20
CDM,900325,SCREW BN 3.0MM 18MM,538.0,538.0,28.51,645.6,20
CDM,900354,CAGE SPN 6D 12X14X7MM,1600.0,1600.0,84.8,1920.0,20
CDM,900355,PROBE LTHTRP 1.9FR 375CM,5619.0,5619.0,297.81,6742.8,49
CDM,900365,ANCH SPN CERV 8MM 14X16,2500.0,2500.0,132.5,3000.0,20
CDM,900374,SCREW BN 6.5MM 80MM,356.0,356.0,18.87,427.2,20
CDM,900418,COIL EMBL 12MM 38CM,1750.0,1750.0,92.75,2100.0,20
CDM,900419,COIL EMBL 34CM 14MM,1750.0,1750.0,92.75,2100.0,20
CDM,900439,STEM HUM SHLDR SM108X6MM,10914.0,10914.0,578.44,13096.8,20
CDM,900443,IMPLANT BREAST 465CC,2050.0,2050.0,108.65,2460.0,20
CDM,900444,CEMENT BN PMMA 40GM,100.0,100.0,5.3,120.0,20
CDM,900456,SCREW BN 4.2MM 20MM,352.0,352.0,18.66,422.4,20
CDM,900457,SCREW BN LCK 4.2X24MM,352.0,352.0,18.66,422.4,20
CDM,900466,BEARING 12MM KN CRCTE,1148.0,1148.0,60.84,1377.6,20
CDM,900467,CAGE SPNL 12X14X8MM,1600.0,1600.0,84.8,1920.0,20
CDM,900469,SHELL HIP ACTB 52MM,5945.0,5945.0,315.08,7134.0,20
CDM,900471,VALVE AORTIC 25MM,24000.0,24000.0,1272.0,28800.0,20
CDM,900492,SCREW BN 3.5MM 38MM,264.0,264.0,13.99,316.8,20
CDM,900501,NAIL BN FEM RT 9MM 17CM,2898.0,2898.0,153.59,3477.6,20
CDM,900502,PLATE BN DST LCK RT 4HL,1320.0,1320.0,69.96,1584.0,20
CDM,900504,SEALER VESSEL EXTEND,5941.0,5941.0,314.87,7129.2,49
CDM,900507,PLT VA-LCP NRW6/4H 63M-R,2034.48,2034.48,107.83,2441.38,20
CDM,900510,SCREW BN 3.5MM 30MM,206.0,206.0,10.92,247.2,20
CDM,900526,STEM FEM HIP 12/14 SZ7,4000.0,4000.0,212.0,4800.0,20
CDM,900542,CATH MAP 13X13MM 105CM,15155.0,15155.0,803.22,18186.0,49
CDM,900544,BLADE SAW 1 PEG 37MM,2266.32,2266.32,120.11,2719.58,49
CDM,900546,FCP SURG ASNS MIC SCR,1514.0,1514.0,80.24,1816.8,49
CDM,900547,IMPLANT BREAST 605CC,2650.0,2650.0,140.45,3180.0,20
CDM,900549,IMPLANT BREAST 650CC,2650.0,2650.0,140.45,3180.0,20
CDM,900554,IMPLANT BREAST 595CC,2050.0,2050.0,108.65,2460.0,20
CDM,900565,CATH DRN 12FR 8HL 25CM,2222.0,2222.0,117.77,2666.4,49
CDM,900578,COIL EMBL 3.0MM 6CM,3956.0,3956.0,209.67,4747.2,20
CDM,900579,COIL EMBL 8CM 3MM,3956.0,3956.0,209.67,4747.2,20
CDM,900580,COIL EMBL 8CM 4MM,3956.0,3956.0,209.67,4747.2,20
CDM,900581,COIL EMBL 10CM 5MM,3956.0,3956.0,209.67,4747.2,20
CDM,900582,COIL EMBL 15CM 5MM,3956.0,3956.0,209.67,4747.2,20
CDM,900583,COIL EMBL 15CM 6MM,3956.0,3956.0,209.67,4747.2,20
CDM,900584,COIL EMBL 15CM 7MM,3956.0,3956.0,209.67,4747.2,20
CDM,900585,COIL EMBL 7.0MM 20CM,3956.0,3956.0,209.67,4747.2,20
CDM,900586,COIL EMBL 20CM 8MM,3956.0,3956.0,209.67,4747.2,20
CDM,900587,COIL EMBL 8CM 4MM,4498.0,4498.0,238.39,5397.6,20
CDM,900588,COIL EMBL 3CM 2MM,3956.0,3956.0,209.67,4747.2,20
CDM,900589,COIL EMBL 4CM 2MM,3956.0,3956.0,209.67,4747.2,20
CDM,900590,COIL EMBL 4CM 2.5MM,3956.0,3956.0,209.67,4747.2,20
CDM,900591,COIL EMBL 6CM 3MM,3956.0,3956.0,209.67,4747.2,20
CDM,900592,COIL EMBL 8CM 3MM,3956.0,3956.0,209.67,4747.2,20
CDM,900593,COIL EMBL 6CM 4MM,3956.0,3956.0,209.67,4747.2,20
CDM,900594,COIL EMBL 8CM 4MM,3956.0,3956.0,209.67,4747.2,20
CDM,900595,COIL EMBL 10CM 4MM,3956.0,3956.0,209.67,4747.2,20
CDM,900596,COIL EMBL 10CM 5MM,3956.0,3956.0,209.67,4747.2,20
CDM,900617,COIL EMBL 2.0MM 4CM,4498.0,4498.0,238.39,5397.6,20
CDM,900619,STENT COR XIENCE 33X2.25,1750.0,1750.0,92.75,2100.0,20
CDM,900632,STENT COR XIENCE 8X3MM,1550.0,1550.0,82.15,1860.0,20
CDM,900639,STENT COR XIENCE 38X3MM,1550.0,1550.0,82.15,1860.0,20
CDM,900685,STEM FEM HIP STD SZ6,4000.0,4000.0,212.0,4800.0,20
CDM,900698,GUIDE DIST 2.0MM,942.0,942.0,49.93,1130.4,49
CDM,900699,SCREW BN M/T 3.5X45MM,212.0,212.0,11.24,254.4,20
CDM,900701,STEM ELB 11X2MM 38MM,4050.0,4050.0,214.65,4860.0,20
CDM,900707,PLATE BN ULNA 73MM,1854.0,1854.0,98.26,2224.8,20
CDM,900708,SCREW BN LCK 3.5X12MM,218.0,218.0,11.55,261.6,20
CDM,900709,SCREW BN 3.5MM 16MM,218.0,218.0,11.55,261.6,20
CDM,900710,SCREW BN 3.5MM 22MM,218.0,218.0,11.55,261.6,20
CDM,900711,SCREW BN LCK 3.5X24MM,218.0,218.0,11.55,261.6,20
CDM,900712,SCREW BN 3.5MM 20MM,212.0,212.0,11.24,254.4,20
CDM,900713,SCREW BN 3.5MM 22MM,212.0,212.0,11.24,254.4,20
CDM,900740,CUP CERV XLARGE 40MM,1862.0,1862.0,98.69,2234.4,49
CDM,900764,SHELL ACTB HIP SZG 58MM,2000.0,2000.0,106.0,2400.0,20
CDM,900766,STEM FEM HIP STD SIZE3,4000.0,4000.0,212.0,4800.0,20
CDM,900771,SCREW BN 7MM 50MM,1390.0,1390.0,73.67,1668.0,20
CDM,900780,STEM HUM SHLDR 10X108MM,10914.0,10914.0,578.44,13096.8,20
CDM,900792,PLATE BN FIB LT DIST 6HL,1550.0,1550.0,82.15,1860.0,20
CDM,900794,KIT INST STEP DRL 1.1MM,2564.0,2564.0,135.89,3076.8,49
CDM,900795,NAIL BN FEM 12MM 200MM,2898.0,2898.0,153.59,3477.6,20
CDM,900814,ROD SPNL CURV 70MM,360.0,360.0,19.08,432.0,20
CDM,900819,SCREW BN 10.35MM 90MM,1320.0,1320.0,69.96,1584.0,20
CDM,900832,SCREW BN 2.7X16MM,100.0,100.0,5.3,120.0,20
CDM,900834,COIL EMBL 6CM 4MM,3800.0,3800.0,201.4,4560.0,20
CDM,900849,SCREW BN 3.5MM 14MM,259.0,259.0,13.73,310.8,20
CDM,900850,SCREW BN 3.5MM 16MM,390.0,390.0,20.67,468.0,20
CDM,900851,SCREW BN 3.5MM 14MM,390.0,390.0,20.67,468.0,20
CDM,900852,PLATE BN FIB RT SM,1892.0,1892.0,100.28,2270.4,20
CDM,900876,KIT FX 10GA 15MM,17068.0,17068.0,904.6,20481.6,49
CDM,900880,CLARIX CORD 1K 24 SQCM,17850.0,17850.0,946.05,21420.0,30
CDM,900881,CLARIX CORD 1K 2.25 SQCM,4095.0,4095.0,217.03,4914.0,30
CDM,900885,CLARIX CORD 1K 18 SQCM,14700.0,14700.0,779.1,17640.0,30
CDM,900893,STENT COR 2MM 8MM,1178.0,1178.0,62.43,1413.6,20
CDM,900894,STENT COR 2MM 12MM,1178.0,1178.0,62.43,1413.6,20
CDM,900895,STENT COR 2MM 15MM,1178.0,1178.0,62.43,1413.6,20
CDM,900897,STENT COR 2MM 26MM,1178.0,1178.0,62.43,1413.6,20
CDM,900900,DRILL SURG 3.5MM 70MM,1795.0,1795.0,95.14,2154.0,49
CDM,900921,BASEPLATE TIB KN SZ3,2100.0,2100.0,111.3,2520.0,20
CDM,900936,SCREW SPN 4.5X3.2X14MM,1200.0,1200.0,63.6,1440.0,20
CDM,900948,KWIRE FX 150MM 1.6MM,942.0,942.0,49.93,1130.4,49
CDM,900959,SCREW BN 4MM 28MM,347.0,347.0,18.39,416.4,20
CDM,900966,PROSTH PENL PS 10CM 18CM,20935.0,20935.0,1109.56,25122.0,20
CDM,900968,INSERT SCKT SHLDR 32MM,1460.0,1460.0,77.38,1752.0,20
CDM,900973,KIT DEVICE FASTENER ENDO,7276.0,7276.0,385.63,8731.2,20
CDM,900977,SNARE RND 2.8MM 240MM,2564.0,2564.0,135.89,3076.8,49
CDM,900988,SCREW BN 4.5MM 24MM,71.0,71.0,3.76,85.2,20
CDM,900992,SCREW BN 6.5MM 70MM,326.0,326.0,17.28,391.2,20
CDM,901012,LINER HIP HIP SZE 42MM,1300.0,1300.0,68.9,1560.0,20
CDM,901015,SCREW BN 3.5MM 20MM,218.0,218.0,11.55,261.6,20
CDM,901018,LENS IOL +20.5 DIOP,170.0,170.0,17.51,204.0,31
CDM,901019,DRILL SURG 3.5MM SWIVLCK,2564.0,2564.0,135.89,3076.8,49
CDM,901024,NAIL BN 10MM 42MM,3384.0,3384.0,179.35,4060.8,20
CDM,901029,PLATE BN TBLR 12H 143MM,678.0,678.0,35.93,813.6,20
CDM,901037,KIT BLN KYPHO 10GA 15MM,7612.0,7612.0,403.44,9134.4,49
CDM,901042,SCREW BN 2.7MM 18MM,172.0,172.0,9.12,206.4,20
CDM,901079,COIL EMBL 8CM 3.5MM AXIU,3800.0,3800.0,201.4,4560.0,20
CDM,901083,BASEPLATE TIB KN SZ8,2100.0,2100.0,111.3,2520.0,20
CDM,901085,CAPSULE ENDO 11.4X26.2MM,5941.0,5941.0,314.87,7129.2,49
CDM,901112,DRSG WND ANMC 17.5X8IN,261.0,261.0,13.83,313.2,49
CDM,901116,DRESSING PERM 4X3IN,151.0,151.0,8.0,181.2,49
CDM,901140,BURR SURG 5MM,2286.0,2286.0,121.16,2743.2,49
CDM,901163,PORT IMPL INFSN 8FR,550.0,550.0,29.15,660.0,20
CDM,901203,SCREW BN 3.5MM 18MM,212.0,212.0,11.24,254.4,20
CDM,901204,SCREW BN ELB 3.5MM 24MM,212.0,212.0,11.24,254.4,20
CDM,901205,SCREW BN 3.5MM 26MM,212.0,212.0,11.24,254.4,20
CDM,901206,SCREW BN 3.5MM 38MM,212.0,212.0,11.24,254.4,20
CDM,901220,KIT CSF DRN 5 BAGS,2732.0,2732.0,144.8,3278.4,49
CDM,901221,SHUNT DRN SYS CRANIA CSF,5078.0,5078.0,269.13,6093.6,49
CDM,901222,SYSTEM XTRN DRN CSF,3643.0,3643.0,193.08,4371.6,49
CDM,901223,SCREW BN CMP 3.5X28,212.0,212.0,11.24,254.4,20
CDM,901224,PLATE BN ULNA 108MM,2084.0,2084.0,110.45,2500.8,20
CDM,901226,SCREW BN 3.5MM 60MM,212.0,212.0,11.24,254.4,20
CDM,901227,SCREW BN 3.5MM 14MM,212.0,212.0,11.24,254.4,20
CDM,901228,SCREW BN 3.5MM 55MM,212.0,212.0,11.24,254.4,20
CDM,901229,SCREW BN 3.5MM 18MM,218.0,218.0,11.55,261.6,20
CDM,901235,IMPLANT BREAST 535CC,2050.0,2050.0,108.65,2460.0,20
CDM,901236,PLATE BN 12HL 225MM,2672.0,2672.0,141.62,3206.4,20
CDM,901265,CATH GD HS CRV 100CM 6FR,1394.0,1394.0,73.88,1672.8,49
CDM,901267,CATH DBC 5X40MM 75CM,8938.0,8938.0,473.71,10725.6,49
CDM,901268,CATH DBC 6X40MM 75CM,8938.0,8938.0,473.71,10725.6,49
CDM,901269,CATH DCB 10X60MM 75CM,11269.0,11269.0,597.26,13522.8,49
CDM,901270,CATH DCB 12X40MM 75CM,11269.0,11269.0,597.26,13522.8,49
CDM,901286,CATH BLDL 5X120MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,901287,CATH BLDL 6X250MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,901291,CATH BLNDIL 9X60MM 75CM,11269.0,11269.0,597.26,13522.8,49
CDM,901292,CATH DBC 8X40MM 75CM,11288.0,11288.0,598.26,13545.6,49
CDM,901302,CATH PRFSN 10FR 15IN,717.0,717.0,38.0,860.4,49
CDM,901313,GWIRE VASC T-J6CM 80CM,379.0,379.0,20.09,454.8,49
CDM,901318,SUT CHORD-X 2-0 ADJ 18MM,5941.0,5941.0,314.87,7129.2,49
CDM,901319,SUT CHORD-X 2-0 12 18MM,5941.0,5941.0,314.87,7129.2,49
CDM,901320,SUT CHORD-X 2-0 24 18MM,5941.0,5941.0,314.87,7129.2,49
CDM,901330,STENT VASC 5FR 6X120MM,1200.0,1200.0,63.6,1440.0,20
CDM,901331,STENT VASC 5FR 7X80MM,1200.0,1200.0,63.6,1440.0,20
CDM,901334,STENT VASC 5FR 7X120MM,1200.0,1200.0,63.6,1440.0,20
CDM,901343,PLATE SPN 30X16X2.5MM,1900.0,1900.0,100.7,2280.0,20
CDM,901344,SCREW SPN 4.5MM 12MM,150.0,150.0,7.95,180.0,20
CDM,901347,SCREW BN 5.5MM 70MM,606.0,606.0,32.12,727.2,20
CDM,901360,LINER ACTB HIP +4X62X36,1100.0,1100.0,58.3,1320.0,20
CDM,901374,SCREW BN HEADED 4MM 34MM,300.0,300.0,15.9,360.0,20
CDM,901375,DEVICE CLS WND +2-0 45CM,3399.0,3399.0,180.15,4078.8,49
CDM,901377,SCREW BN 4MM 40MM,327.0,327.0,17.33,392.4,20
CDM,901383,STENT EPRSTH 10X13X59MM,5864.0,5864.0,310.79,7036.8,20
CDM,901385,SCREW BN 4MM 60MM,58.0,58.0,3.07,69.6,20
CDM,901390,CAGE SPNL 25/28X10X7-10M,6800.0,6800.0,360.4,8160.0,20
CDM,901396,STEM HUM SHLDR 8X108MM,10914.0,10914.0,578.44,13096.8,20
CDM,901397,CLARIX CORD 1K 12 SQCM,10325.0,10325.0,547.23,12390.0,30
CDM,901401,SYSTM AC REPAIR KNTLS,13298.0,13298.0,704.79,15957.6,49
CDM,901410,SCREW SPN 5.5/6MM,100.0,100.0,5.3,120.0,20
CDM,901413,CEMENT BN CA PHOS HA 3CC,1586.0,1586.0,84.06,1903.2,20
CDM,901465,SCREW BN NLCK 3.5X50MM,264.0,264.0,13.99,316.8,20
CDM,901484,SCREW BN LCKNG 3.5X28MM,218.0,218.0,11.55,261.6,20
CDM,901498,CATH DBC 7X40MM 75CM,8938.0,8938.0,473.71,10725.6,49
CDM,901499,CATH DBC 9X40MM 75CM,11269.0,11269.0,597.26,13522.8,49
CDM,901500,CATH DCB 10X40MM 75CM,11288.0,11288.0,598.26,13545.6,49
CDM,901512,CATH BLNDIL 2.75MM 6MM,5941.0,5941.0,314.87,7129.2,49
CDM,901516,SCREW SPN 3.5MM 10MM,1000.0,1000.0,53.0,1200.0,20
CDM,901522,INSERT KN TIB SZ3 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,901532,SCREW SPN 7.5MM 45MM,1300.0,1300.0,68.9,1560.0,20
CDM,901548,INSERT TIB KN SZ6-7 11MM,1500.0,1500.0,79.5,1800.0,20
CDM,901549,ROD SPN 5.5MM 50MM,360.0,360.0,19.08,432.0,20
CDM,901562,IMPLANT BREAST 415CC,2050.0,2050.0,108.65,2460.0,20
CDM,901563,IMPLANT BREAST 450CC,2050.0,2050.0,108.65,2460.0,20
CDM,901579,PLATE BN FIB LT 4H,1200.0,1200.0,63.6,1440.0,20
CDM,901582,BIT DRLL 3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,901583,GWIRE ORTH .062IN 5MM,1131.0,1131.0,59.94,1357.2,49
CDM,901596,ROD SPN STRT 5.5MM 130MM,360.0,360.0,19.08,432.0,20
CDM,901606,SCREW BN 7.0MM 40MM,1489.0,1489.0,78.92,1786.8,20
CDM,901618,HEAD CASS DISP 12MM,942.0,942.0,49.93,1130.4,49
CDM,901619,CAGE SPN 6D 6X12X14MM,1600.0,1600.0,84.8,1920.0,20
CDM,901624,CLIP HMSTS 11MM 235CM,178.0,178.0,9.43,213.6,20
CDM,901625,CLIP HMSTC 2.8MM,178.0,178.0,9.43,213.6,20
CDM,901655,PCMKR 2CH W HOME MNTR,4868.0,4868.0,258.0,5841.6,20
CDM,901656,LEAD PCNG 60CM,710.0,710.0,37.63,852.0,20
CDM,901674,STENT BILIARY 10MM 10CM,4600.0,4600.0,243.8,5520.0,20
CDM,901699,SUTURE FBRLNK 1.3MM,187.0,187.0,9.91,224.4,20
CDM,901727,BASEPLATE TIB KN RT SZ6,1710.0,1710.0,90.63,2052.0,20
CDM,901731,INSERT HUM SHLDR 36MM,1460.0,1460.0,77.38,1752.0,20
CDM,901752,COIL EMBL 4MM 7CM,2296.0,2296.0,121.69,2755.2,20
CDM,901770,COMPONENT FEM KN LT SZ6,2850.0,2850.0,151.05,3420.0,20
CDM,901779,BLADE HLCL 105MM,1200.0,1200.0,63.6,1440.0,20
CDM,901781,SUTURE TAPE W/B 1.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,901794,KIT DRESSING AG LG,5941.0,5941.0,314.87,7129.2,49
CDM,901797,FLOSEAL VHSD FSP NDFR5ML,2564.0,2564.0,135.89,3076.8,49
CDM,901799,PLATE BN LNG 70X3.5MM,2160.0,2160.0,114.48,2592.0,20
CDM,901907,SUTURE CHORD-X 2-0 .5 CI,5941.0,5941.0,314.87,7129.2,49
CDM,901908,SUTURE CHORD-X 2-0 .5 CI,5941.0,5941.0,314.87,7129.2,49
CDM,901920,INTERBODY CERV 16X13X8MM,1600.0,1600.0,84.8,1920.0,20
CDM,901921,CATH GD 115CM 6FR SOFIA,15513.0,15513.0,822.19,18615.6,49
CDM,901923,VALVE HMSTS BORE LG,385.0,385.0,20.41,462.0,49
CDM,901926,SHEATH GD 6FR 119CM,3576.0,3576.0,189.53,4291.2,49
CDM,901953,KIT PEG TUBE PULL 24F,2564.0,2564.0,135.89,3076.8,49
CDM,901996,STAPLE BN 18MM 18MM,6558.0,6558.0,347.57,7869.6,20
CDM,902307,SCREW BN 6.5MM 20MM,110.0,110.0,5.83,132.0,20
CDM,902308,SCREW BN 6.5MM 25MM,110.0,110.0,5.83,132.0,20
CDM,9024,"Injection, vinblastine sulfate, 1 mg ",21.0,21.0,5.0,5.0,1
CDM,9024,VINBLASTINE 1 MG INJ,21.0,21.0,1.11,25.2,30
CDM,902429,CATH IV SFTY 24GAX3/4,56.0,56.0,2.97,67.2,49
CDM,902470,CMPNT FEM NAR KN RT SZ4,3000.0,3000.0,159.0,3600.0,20
CDM,902490,SHELL ACTB HIP 5 SCR56MM,2000.0,2000.0,106.0,2400.0,20
CDM,902629,IMPLANT JT TOE SZ30,1000.0,1000.0,53.0,1200.0,20
CDM,902874,SHEATH INTRO 8FR 25CM,791.0,791.0,41.92,949.2,49
CDM,902962,361 HCT P SKN NOS,13.0,13.0,0.69,15.6,30
CDM,902977,INTRBDY SPN CERV LG 7MM,1600.0,1600.0,84.8,1920.0,20
CDM,903025,BLN 10-37MMX4.0CMX90CM,5941.0,5941.0,314.87,7129.2,49
CDM,903076,PLATE BN FIB LAT LT MED,1892.0,1892.0,100.28,2270.4,20
CDM,903077,SCREW CANN HD 4X40MM,354.0,354.0,18.76,424.8,20
CDM,903082,SCREW BN 3.5MM 12MM,259.0,259.0,13.73,310.8,20
CDM,903092,GWIRE ORTH 150X1.4MM,942.0,942.0,49.93,1130.4,49
CDM,903113,SHELL HIP ACTB 3H 46MM,2000.0,2000.0,106.0,2400.0,20
CDM,903142,LINER ACTB HIP C 38MM,1300.0,1300.0,68.9,1560.0,20
CDM,903181,DEVICE WNDCLS 23CM SZ3,1569.0,1569.0,83.16,1882.8,49
CDM,903187,DEVICE WNDCLS 15CM SZ3,1039.0,1039.0,55.07,1246.8,49
CDM,903219,CEMENT BN HVIS PMMA 40GM,118.0,118.0,6.25,141.6,20
CDM,903243,SCREW BN INTFR 9X30MM,590.0,590.0,31.27,708.0,20
CDM,903251,SCREW BN CANC UNITE 4X10,259.0,259.0,13.73,310.8,20
CDM,903252,SCREW BN 3.5MM 10MM,40.0,40.0,2.12,48.0,20
CDM,903253,SCREW BN 3.5MM 20MM,259.0,259.0,13.73,310.8,20
CDM,903254,SCREW BN 3.5MM 22MM,259.0,259.0,13.73,310.8,20
CDM,903255,SCREW BN NONLCK 3.5X24MM,259.0,259.0,13.73,310.8,20
CDM,903256,SCREW BN 3.5MM 12MM,390.0,390.0,20.67,468.0,20
CDM,903259,DRILL BIT SLD CORE 3.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,903265,SCREW SPN 5MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,903273,CAGE SPN 7X14X16MM,2500.0,2500.0,132.5,3000.0,20
CDM,903280,STAPLE BN 15MM 15MM,4590.0,4590.0,243.27,5508.0,20
CDM,903282,SCREW SPN SET STD M6,100.0,100.0,5.3,120.0,20
CDM,903284,SCREW SPN 3.5MM 14MM,1000.0,1000.0,53.0,1200.0,20
CDM,903288,VALVE AORTIC 21MM,24000.0,24000.0,1272.0,28800.0,20
CDM,903289,SCREW BN 3.5MM 42MM,144.0,144.0,7.63,172.8,20
CDM,903290,SCREW SPN CANN 6.5X45MM,750.0,750.0,39.75,900.0,20
CDM,903291,ROD SPNL CRV 55MM 5.5MM,360.0,360.0,19.08,432.0,20
CDM,903296,PEG BN THRD LCK 2.3X17MM,168.0,168.0,8.9,201.6,20
CDM,903301,SCREW SPN 5.5MM 45MM,1300.0,1300.0,68.9,1560.0,20
CDM,903322,VALVE AORTIC 25MM,14400.0,14400.0,763.2,17280.0,20
CDM,903336,IMPLANT BREAST 790CC,2050.0,2050.0,108.65,2460.0,20
CDM,903355,SCREW BN 4MM 30MM,886.0,886.0,46.96,1063.2,20
CDM,903356,SCREW BN CANN 4X32MM,886.0,886.0,46.96,1063.2,20
CDM,903363,SCREW BN 10MM 30MM,590.0,590.0,31.27,708.0,20
CDM,903392,SCREW BN 3.5MM 26MM,390.0,390.0,20.67,468.0,20
CDM,903396,STEM TIB EXT IBAL 14X100,2670.0,2670.0,141.51,3204.0,20
CDM,903398,CAGE SPN 6D 27X36X10MM,4300.0,4300.0,227.9,5160.0,20
CDM,903435,SYSTEM NEG PRSS 125MMHG,12944.0,12944.0,686.03,15532.8,49
CDM,903437,SHELL ACTB HIP 5H 52MM,2000.0,2000.0,106.0,2400.0,20
CDM,903448,PLATE BN 12HL 2.4MM,960.0,960.0,50.88,1152.0,20
CDM,903458,STEM FEM HIP STD #2 94MM,3800.0,3800.0,201.4,4560.0,20
CDM,903480,CATH INFS .017IN 150CM,10881.0,10881.0,576.69,13057.2,49
CDM,903482,CEMENT BN HA INJ 5CC,2544.0,2544.0,134.83,3052.8,20
CDM,903484,CEMENT BN CA PHS HA 10CC,4890.0,4890.0,259.17,5868.0,20
CDM,903493,HEAD FEM HIP SZ3 36MM,1300.0,1300.0,68.9,1560.0,20
CDM,903497,SCREW BN 5MM 55MM,880.0,880.0,46.64,1056.0,20
CDM,903516,APPLIER CLP PRLD MD 8CM,1498.0,1498.0,79.39,1797.6,20
CDM,903518,APPLIER CLP PRLD XL 8CM,1498.0,1498.0,79.39,1797.6,20
CDM,903528,CATHETER GD LF 40CM 8.4,5711.0,5711.0,302.68,6853.2,49
CDM,903532,PROBE SONICVAC WIDE HATC,5941.0,5941.0,314.87,7129.2,49
CDM,903553,SCREW BN 5.5MM 70MM,606.0,606.0,32.12,727.2,20
CDM,903556,SHELL ACTB HIP 5H 54MM,2000.0,2000.0,106.0,2400.0,20
CDM,903582,SCREW BN 6.5MM 30MM,110.0,110.0,5.83,132.0,20
CDM,903584,SCREW BN 4.5MM 38MM,450.0,450.0,23.85,540.0,20
CDM,903586,SCREW BN THRD 4.5X40MM,450.0,450.0,23.85,540.0,20
CDM,903587,SCREW BN 4.5MM 42MM,450.0,450.0,23.85,540.0,20
CDM,903592,SCREW BN 4.5MM 24MM,300.0,300.0,15.9,360.0,20
CDM,903596,SCREW BN 4.5MM 28MM THOR,450.0,450.0,23.85,540.0,20
CDM,903597,KWIRE 2.0MM 210MM,1413.0,1413.0,74.89,1695.6,49
CDM,903600,DRILL SPEEDGD DIA 2X70MM,2564.0,2564.0,135.89,3076.8,49
CDM,903605,BLADE BN HLCL 80MM,1385.0,1385.0,73.41,1662.0,20
CDM,903619,GRAFT EVAS 10CM 10MM,21104.0,21104.0,1118.51,25324.8,20
CDM,903645,CRT-P CRD 11X46.5X59MM,12818.0,12818.0,679.35,15381.6,20
CDM,903648,CATH THRMB 140CM .044IN,13990.0,13990.0,741.47,16788.0,49
CDM,903659,VALVE AORTIC 23MM,14400.0,14400.0,763.2,17280.0,20
CDM,903663,STENT VASC 6MM 40MM,3990.0,3990.0,211.47,4788.0,20
CDM,903664,STENT VASC 6MM 60MM,4590.0,4590.0,243.27,5508.0,20
CDM,903665,STENT VASC 6MM 80MM,5190.0,5190.0,275.07,6228.0,20
CDM,903666,STENT VASC 6MM 100MM,5190.0,5190.0,275.07,6228.0,20
CDM,903667,STENT VASC 6MM 120MM,5790.0,5790.0,306.87,6948.0,20
CDM,903668,STENT VASC 7MM 40MM,3990.0,3990.0,211.47,4788.0,20
CDM,903669,STENT VASC 7MM 60MM,4590.0,4590.0,243.27,5508.0,20
CDM,903670,STENT VASC 7MM 80MM,5190.0,5190.0,275.07,6228.0,20
CDM,903672,STENT VASC 6MM 100MM,5190.0,5190.0,275.07,6228.0,20
CDM,903673,STENT VASC 7MM 120MM,5790.0,5790.0,306.87,6948.0,20
CDM,903674,SCREW BN HEADED 3MM 20MM,300.0,300.0,15.9,360.0,20
CDM,903677,DRESSING WND ANMC 2X5IN,603.0,603.0,31.96,723.6,49
CDM,903692,VALVE AORTIC 27MM,24000.0,24000.0,1272.0,28800.0,20
CDM,903697,COIL EMBL 10CM 5MM,3800.0,3800.0,201.4,4560.0,20
CDM,903703,SCREW BN SPN STD,100.0,100.0,5.3,120.0,20
CDM,903705,SCREW SPN 3.5MM 12MM,900.0,900.0,47.7,1080.0,20
CDM,903721,TUBE TRACH 50MM 7.1MM,776.0,776.0,41.13,931.2,49
CDM,903722,TUBE TRACH 52MM 7.7MM,776.0,776.0,41.13,931.2,49
CDM,903723,TUBE TRACH 54MM 8.3MM,776.0,776.0,41.13,931.2,49
CDM,903724,TUBE TRACH UNCF 56X6.5MM,776.0,776.0,41.13,931.2,49
CDM,903726,TUBE TRACH 120D 36MM,776.0,776.0,41.13,931.2,49
CDM,903738,APPLIER CLP PRLD LG 8CM,1498.0,1498.0,79.39,1797.6,20
CDM,903746,DEVICE ENDO DLV 180CM,2564.0,2564.0,135.89,3076.8,49
CDM,903750,KIT CATH VSC 1.65MM138CM,21373.0,21373.0,1132.77,25647.6,49
CDM,903761,CATH BLNDIL 6MM 200MM,14339.0,14339.0,759.97,17206.8,49
CDM,903762,CATH BLNDIL 6MM 250MM,15777.0,15777.0,836.18,18932.4,49
CDM,903774,SHELL ACTB HIP 5H 58MM,2000.0,2000.0,106.0,2400.0,20
CDM,903775,SCREW BN 6.5MM 35MM,110.0,110.0,5.83,132.0,20
CDM,903776,SCREW BN 6.5MM 30MM,110.0,110.0,5.83,132.0,20
CDM,903787,PROSTH PENL PS 14CM 24CM,20935.0,20935.0,1109.56,25122.0,20
CDM,903805,SCREW BN 3.5MM 28MM,224.0,224.0,11.87,268.8,20
CDM,903806,PROBE VASC 8CM 2MM 1.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,903821,HEMOSTAT HMSPRY 7F/220CM,14767.0,14767.0,782.65,17720.4,49
CDM,903838,TUBE TRCH 44MM 7.1MM 5MM,987.0,987.0,52.31,1184.4,49
CDM,903848,STEM FEM HIP 12/14 SZ8,3800.0,3800.0,201.4,4560.0,20
CDM,903864,HEAD FEM HIP 0MM 28MM,1300.0,1300.0,68.9,1560.0,20
CDM,903874,SCREW SPN 7.5MM 35MM,1300.0,1300.0,68.9,1560.0,20
CDM,903885,GRAFIX PL PRIME 12 SQCM,8566.0,8566.0,454.0,10279.2,30
CDM,903896,PLATE BN CMPR 8H 110MM,1828.0,1828.0,96.88,2193.6,20
CDM,903901,PLATE BN STD LT 5HL,1670.0,1670.0,88.51,2004.0,20
CDM,903902,SCREW BN 4MM 70MM,359.0,359.0,19.03,430.8,20
CDM,903903,PLATE BN 6HL 3.5X70MM,614.0,614.0,32.54,736.8,20
CDM,903904,SCREW BN CORT 3.5X14MM,70.0,70.0,3.71,84.0,20
CDM,903905,SCREW BN 3.5MM 12MM,70.0,70.0,3.71,84.0,20
CDM,903906,SCREW BN CORT 3.5X10MM,64.0,64.0,3.39,76.8,20
CDM,903907,SCREW BN 4.7MM 12MM,158.0,158.0,8.37,189.6,20
CDM,903908,DRILL SURG SM SHRT 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,903909,SCREW BN 3.5MM 50MM,144.0,144.0,7.63,172.8,20
CDM,903929,PLATE SPN 3.75MM 18MM,150.0,150.0,7.95,180.0,20
CDM,903937,SUT PASSOR GUIDE 10/12MM,584.0,584.0,30.95,700.8,49
CDM,903966,GWIRE VASC ANG TIP 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,903970,PLATE BN 82MM 3.5MM,636.0,636.0,33.71,763.2,20
CDM,903987,BIT DRILL 2.6MM 4MM,2564.0,2564.0,135.89,3076.8,49
CDM,903988,KWIRE FX 1.2MM 4MM,980.0,980.0,51.94,1176.0,49
CDM,904006,SCREW BN 3.5MM 13MM,70.0,70.0,3.71,84.0,20
CDM,904010,SCREW BN 3.5MM 15MM,70.0,70.0,3.71,84.0,20
CDM,904011,SCREW BN 3.5MM 16MM,70.0,70.0,3.71,84.0,20
CDM,904022,DRILL SURG 3.5IN JLTCH S,2564.0,2564.0,135.89,3076.8,49
CDM,904057,SCREW BN 4MM 55MM,58.0,58.0,3.07,69.6,20
CDM,904092,IMPLANT BREAST 465CC,2050.0,2050.0,108.65,2460.0,20
CDM,904095,IMPLANT BREAST 440CC,2050.0,2050.0,108.65,2460.0,20
CDM,904096,IMPLANT BREAST 405CC,2050.0,2050.0,108.65,2460.0,20
CDM,904137,INSERT TIB KN SZ3-4 9MM,1300.0,1300.0,68.9,1560.0,20
CDM,904176,KIT CATH 18GA 8CM PWRGLD,2564.0,2564.0,135.89,3076.8,49
CDM,904181,SHELL ACTB HIP 3H 48MM,2000.0,2000.0,106.0,2400.0,20
CDM,904187,STENT EPRSTH 11X16X59MM,5864.0,5864.0,310.79,7036.8,20
CDM,904231,INTRBDY SPN CERV LG 8MM,1600.0,1600.0,84.8,1920.0,20
CDM,904249,SCREW BN 2.4MM 28MM,73.0,73.0,3.87,87.6,20
CDM,904264,DRSG WND ANMC 13.75X4IN,1207.0,1207.0,63.97,1448.4,49
CDM,904268,PLATE BN 118MM,1120.0,1120.0,59.36,1344.0,20
CDM,904283,SHELL ACTB HIP 62MM,5945.0,5945.0,315.08,7134.0,20
CDM,904295,CATH UMB DUAL LUM 5FR,4388.0,4388.0,232.56,5265.6,49
CDM,904299,CATH BLNDIL 4MM 220MM,14573.0,14573.0,772.37,17487.6,49
CDM,904300,CATH BLNDL 5F 5X220MM,14573.0,14573.0,772.37,17487.6,49
CDM,904304,CATH ANGIO 5F 65CM,2564.0,2564.0,135.89,3076.8,49
CDM,904305,CATH BLNDL 6X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,904327,SCREW BN 6.5MM 20MM,110.0,110.0,5.83,132.0,20
CDM,904348,TAPE SUTURE 1.3MM 20IN,140.0,140.0,7.42,168.0,20
CDM,904349,SUTURE TGRLP 1.3MM 20IN,140.0,140.0,7.42,168.0,20
CDM,904362,HEAD FEM HIP TAPER 12/14,1300.0,1300.0,68.9,1560.0,20
CDM,904363,STENT GRFT 14-23X103MM,15448.0,15448.0,818.74,18537.6,20
CDM,904364,IMPLANT BREAST 325CC,2050.0,2050.0,108.65,2460.0,20
CDM,904368,DEVICE CLSR WND +1 30CM,3326.0,3326.0,176.28,3991.2,49
CDM,904412,BLADE BN SAW STD,2661.0,2661.0,141.03,3193.2,49
CDM,904418,BLADE BN SGTL SAW NAR,2661.0,2661.0,141.03,3193.2,49
CDM,904425,SCREW BN 3.5MM 28MM,570.0,570.0,30.21,684.0,20
CDM,904433,SCREW BN 3.5MMX28MM,390.0,390.0,20.67,468.0,20
CDM,904438,SCREW BN 4MM 50MM,570.0,570.0,30.21,684.0,20
CDM,904451,LEAD ICD ENDO 65CM,6178.0,6178.0,327.43,7413.6,20
CDM,904459,DEVICE LVAD OUTFLOW GRFT,9600.0,9600.0,508.8,11520.0,20
CDM,904466,SCREW BN 6.5MM 15MM,110.0,110.0,5.83,132.0,20
CDM,904477,ANCHOR SUT DX,930.0,930.0,49.29,1116.0,20
CDM,904482,TUBE INJ CEMNT 5.0-5.8MM,2564.0,2564.0,135.89,3076.8,49
CDM,904488,BASKET RETR 15MM 286CM,5941.0,5941.0,314.87,7129.2,49
CDM,904489,GUIDE PIN 3.2X330MM,2564.0,2564.0,135.89,3076.8,49
CDM,904497,SCREW SPN 3.5MM 12MM,1000.0,1000.0,53.0,1200.0,20
CDM,904498,SCREW SPN 3.5MM 26MM,1000.0,1000.0,53.0,1200.0,20
CDM,904499,SCREW BN SPN 3.5MM 28MM,1000.0,1000.0,53.0,1200.0,20
CDM,904501,ROD SPN 3.5MM 80MM,360.0,360.0,19.08,432.0,20
CDM,904502,SCREW BN 40MM,338.0,338.0,17.91,405.6,20
CDM,904503,PEG BN LCK 3.2MM 34MM,309.0,309.0,16.38,370.8,20
CDM,904507,PEG BN LCK 3.2MM 38MM,338.0,338.0,17.91,405.6,20
CDM,904508,PEG LOCKING 3.2X32MM,440.0,440.0,23.32,528.0,20
CDM,904518,PUSHER CEMENT 5-5.8MM,2279.0,2279.0,120.79,2734.8,49
CDM,904523,BAG SPEC RETRVL 125ML,2564.0,2564.0,135.89,3076.8,49
CDM,904534,GD WIRE 22GA 7FR 18CM,2149.0,2149.0,113.9,2578.8,49
CDM,904540,PLATE BN 1.7MM 30MM,1760.0,1760.0,93.28,2112.0,20
CDM,904589,CRT-P CRD 59X46.5X11,12818.0,12818.0,679.35,15381.6,20
CDM,904608,SHEARS ESURG 23CM 5MM,3702.0,3702.0,196.21,4442.4,49
CDM,904611,PLATE BN 70MM 3.5MM,2160.0,2160.0,114.48,2592.0,20
CDM,904613,CANNULA BTN 12MM 5CM PSP,2261.0,2261.0,119.83,2713.2,49
CDM,904626,SCREW 2.0X20MM,148.0,148.0,7.84,177.6,20
CDM,904630,IMPLANT BREAST 700CC,2190.0,2190.0,116.07,2628.0,20
CDM,904633,SET TUBING SMKEVC HIFLOW,3679.0,3679.0,194.99,4414.8,49
CDM,904647,CONN ROD SPN XPDM 20MM,700.0,700.0,37.1,840.0,20
CDM,904651,LEAD CRT-D 1.6MM 87CM,2126.0,2126.0,112.68,2551.2,20
CDM,904654,INS TIB KN SZ8-11 11MM,1500.0,1500.0,79.5,1800.0,20
CDM,904661,PLATE SPN 3LVL 42MM,1900.0,1900.0,100.7,2280.0,20
CDM,904664,STAPLE BN 10MM 9MM,2990.0,2990.0,158.47,3588.0,20
CDM,904666,GWIRE ORTH .09IN 7MM,1131.0,1131.0,59.94,1357.2,49
CDM,904681,KIT BLN FX KYPH 11G 15MM,17068.0,17068.0,904.6,20481.6,49
CDM,904682,SCREW BN 4.5MM 30MM,300.0,300.0,15.9,360.0,20
CDM,904683,SCREW BN 2.8MM 24MM LCK,450.0,450.0,23.85,540.0,20
CDM,904702,CAGE SPN 14D 27X36X16MM,4000.0,4000.0,212.0,4800.0,20
CDM,904707,INSERT SHLDR SM +4 32MM,1460.0,1460.0,77.38,1752.0,20
CDM,904717,KIT SURG KN TRK STRL,2564.0,2564.0,135.89,3076.8,49
CDM,904718,PIN BN TEMP 4MM 170MM,2564.0,2564.0,135.89,3076.8,49
CDM,904719,TRAY TIB KN DISP,1700.0,1700.0,90.1,2040.0,49
CDM,904722,BURR CUT STRL DISP 6MM,2467.0,2467.0,130.75,2960.4,49
CDM,904723,CORD SILCNE RETRCT 10PK,264.0,264.0,13.99,316.8,49
CDM,904730,PROGRAMMER NRSTM VRF 4,3236.0,3236.0,171.51,3883.2,49
CDM,904736,SCREW BN STD 4X48MM,735.0,735.0,38.95,882.0,20
CDM,904739,SCREW BN 4MM 14MM,270.0,270.0,14.31,324.0,20
CDM,904745,SCREW BN 3.5MM 10MM,390.0,390.0,20.67,468.0,20
CDM,904746,PIN FX 15MM 1.1MM,2564.0,2564.0,135.89,3076.8,49
CDM,904755,CEMENT BN HVIS PMMA 40GM,338.0,338.0,17.91,405.6,20
CDM,904762,SCREW BN 75MM,1320.0,1320.0,69.96,1584.0,20
CDM,904766,BLADE SAW 1.28X19.5X105,3532.0,3532.0,187.2,4238.4,49
CDM,904768,DEVICE TISS RMVL DISP,7332.0,7332.0,388.6,8798.4,49
CDM,904770,INSERT TIB KN PST 7 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,904796,PIN BN TEMP 4MM 140MM,2564.0,2564.0,135.89,3076.8,49
CDM,904797,TRAY FEM TIBIAL DISP,2564.0,2564.0,135.89,3076.8,49
CDM,904798,TUBE IRRIG RIO SYSTEM,2564.0,2564.0,135.89,3076.8,49
CDM,904800,SCREW SPN 6.5MM 45MM,1300.0,1300.0,68.9,1560.0,20
CDM,904809,SCREW BN 2.5MM 18MM,642.0,642.0,34.03,770.4,20
CDM,904820,CATH CV 3FR 45CM,2870.0,2870.0,152.11,3444.0,49
CDM,904830,CAGE SPN 6D 8X14X17MM,1600.0,1600.0,84.8,1920.0,20
CDM,904840,CATH BLNDIL 6X220MM,14573.0,14573.0,772.37,17487.6,49
CDM,904862,PLATE LAT TIB LT 113MM,3600.0,3600.0,190.8,4320.0,20
CDM,904863,SCREW BN 3.5MM 38MM,170.0,170.0,9.01,204.0,20
CDM,904865,HRVSTR BN 6-10MM 5MM,13019.0,13019.0,690.01,15622.8,49
CDM,904880,KWIRE FX 1.6MM 200MM,942.0,942.0,49.93,1130.4,49
CDM,904883,PLATE SPN 4LVL 68MM,1900.0,1900.0,100.7,2280.0,20
CDM,904888,PLATE LAT RIB RT 101MM,3524.0,3524.0,186.77,4228.8,20
CDM,904903,PLATE CMF BLU 1.7MM 20HL,989.0,989.0,52.42,1186.8,20
CDM,904920,CONNECTOR ROD SPN 10MM,700.0,700.0,37.1,840.0,20
CDM,904928,INSERT SHLDR E+ 4MM 32MM,1460.0,1460.0,77.38,1752.0,20
CDM,904939,ALLODERM 240 SQCM,70343.0,70343.0,3728.18,84411.6,30
CDM,904947,CRT-D CRD 5.37X8.08X0.99,28682.0,28682.0,1520.15,34418.4,20
CDM,904966,ALLGFT BN WDG 18X18X6.5M,360.0,360.0,19.08,432.0,20
CDM,904972,GRAFT VEIN SAPH 80-89CM,22658.0,22658.0,1200.87,27189.6,20
CDM,904988,NAIL FEMORAL LEFT 11X440,907.2,907.2,48.08,1088.64,20
CDM,904992,CONCORDE LIFT EXPANDABLE,7000.0,7000.0,371.0,8400.0,20
CDM,904999,DEVICE EMBL16X3.75MM PIP,27400.0,27400.0,1452.2,32880.0,20
CDM,905013,COIL EMBL 15CM 5MM,3800.0,3800.0,201.4,4560.0,20
CDM,905087,HEAD FEM HIP 12/14 28MM,1300.0,1300.0,68.9,1560.0,20
CDM,905092,DRESSING WND NADH 6X5IN,136.0,136.0,7.21,163.2,49
CDM,905113,INSERT TIB KN SZ3 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,905164,ROD SPNL TI 400MM 5.5MM,600.0,600.0,31.8,720.0,20
CDM,905179,CABLE MODULAR LVAD DVC,38471.0,38471.0,2038.96,46165.2,25
CDM,905199,SCREW BN 2.7MM 18MM,250.0,250.0,13.25,300.0,20
CDM,905230,STEM FEM HIP 12/14 SZ2,4000.0,4000.0,212.0,4800.0,20
CDM,905246,KIT FREELINK REMOT CNTRL,3879.0,3879.0,205.59,4654.8,49
CDM,905249,CAGE SPNL 23X9X7MM 6D LM,4000.0,4000.0,212.0,4800.0,20
CDM,905265,GWIRE VASC 180CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,905271,GRAFT BN ALGRF INJ 3.0CC,6080.0,6080.0,322.24,7296.0,20
CDM,905286,PCMAKR .75CM 4.45X5.88CM,6112.0,6112.0,323.94,7334.4,20
CDM,905289,STENT EPRSTH 11X16X79MM,6664.0,6664.0,353.19,7996.8,20
CDM,905299,DRAIN INCS 19FR 15FR JP,722.0,722.0,38.27,866.4,49
CDM,905310,ROD FIXED CURV PERC 30MM,360.0,360.0,19.08,432.0,20
CDM,905311,PLATE 4 HL BN LT HUM,2400.0,2400.0,127.2,2880.0,20
CDM,905312,SCREW 4.5MM 32MM DTS PEG,450.0,450.0,23.85,540.0,20
CDM,905321,SLEEVE TIB KN PRCT 29MM,4625.0,4625.0,245.13,5550.0,20
CDM,905322,BASPLATE TIB KN SZ5,6286.0,6286.0,333.16,7543.2,20
CDM,905365,SCREW BN 2.4X16MM,220.0,220.0,11.66,264.0,20
CDM,905366,SCREW BN CORT 22MMX2.4MM,220.0,220.0,11.66,264.0,20
CDM,905372,PLATE LCK 1/3 TBLR 10H,560.0,560.0,29.68,672.0,20
CDM,905384,RASP SURG DISP 10MM,3327.0,3327.0,176.33,3992.4,49
CDM,905386,RASP SURG DIST 10MM,3327.0,3327.0,176.33,3992.4,49
CDM,905434,KIT CASE SPN INSTR 5.8MM,29133.0,29133.0,1544.05,34959.6,49
CDM,905444,PLATE BN 8H,1690.0,1690.0,89.57,2028.0,20
CDM,905445,PLATE BN LCK 6HL,528.0,528.0,27.98,633.6,20
CDM,905449,CATHETER ASPIRATN 132CM,18886.0,18886.0,1000.96,22663.2,49
CDM,905465,RASP CUT HLCDL 2.1MM,2564.0,2564.0,135.89,3076.8,49
CDM,905487,BASEPLT TIB KN RM/LL SZ3,2000.0,2000.0,106.0,2400.0,20
CDM,905507,SCREW BN 2.4MM 8MM,40.0,40.0,2.12,48.0,20
CDM,905551,PROSTH PENL PS 12CM 21CM,20935.0,20935.0,1109.56,25122.0,20
CDM,905576,KIT CASE SPN INSTR 5.0MM,32987.0,32987.0,1748.31,39584.4,49
CDM,905591,NAIL BN 9MM 40CM,2191.0,2191.0,116.12,2629.2,20
CDM,905595,STENT GRAFT 16X28X93MM,8230.0,8230.0,436.19,9876.0,20
CDM,905596,IMPLANT NAIL SYSTEM KIT,1540.0,1540.0,81.62,1848.0,20
CDM,905601,PIN BN TEMP 4MM 100MM,2564.0,2564.0,135.89,3076.8,49
CDM,905602,KIT SURG HIP TRK STRL,2564.0,2564.0,135.89,3076.8,49
CDM,905605,CHECKPOINT IMP 3.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,905615,CAGE SPNL 16-25MM 12MM,10811.0,10811.0,572.98,12973.2,20
CDM,905627,SCREW SPNL 5.5X45MM,1200.0,1200.0,63.6,1440.0,20
CDM,905635,DRILL SURG 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,905637,PIN FX 25MM 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,905638,SCREW BN 3.5MM 60MM,289.0,289.0,15.32,346.8,20
CDM,905640,SCREW BN 3.5MM 26MM,289.0,289.0,15.32,346.8,20
CDM,905641,SCREW BN 3.5MM 55MM,289.0,289.0,15.32,346.8,20
CDM,905642,SCREW BN 3.5MM 65MM,289.0,289.0,15.32,346.8,20
CDM,905643,SCREW BN 3.5MM 48MM,312.0,312.0,16.54,374.4,20
CDM,905644,SCREW BN 3.5MM 24MM,312.0,312.0,16.54,374.4,20
CDM,905645,SCREW BN 3.5MM 28MM,289.0,289.0,15.32,346.8,20
CDM,905646,SCREW BN CRTX 3.5X24MM,74.0,74.0,3.92,88.8,20
CDM,905648,SCREW BN 4.7MM 65MM,180.0,180.0,9.54,216.0,20
CDM,905649,PLATE BN 11MM,4335.0,4335.0,229.75,5202.0,20
CDM,905675,PURAPLYAM 54 SQCM,35910.0,35910.0,1903.23,43092.0,30
CDM,905692,ADPTR CLMN TIM 25CM LEAD,1500.0,1500.0,79.5,1800.0,20
CDM,905696,GUIDE DRL PF PIN 2.7X18,6724.15,6724.15,356.38,8068.98,49
CDM,905697,SCREW MLTHRD LCK 3.5X40,228.0,228.0,12.08,273.6,20
CDM,905698,SHEATH ACC TPR 15FR 13FR,2564.0,2564.0,135.89,3076.8,49
CDM,905753,CMPNT FEM HIP 19MM +20MM,5467.0,5467.0,289.75,6560.4,20
CDM,905755,RING EX FIX TAB UNV 1/8,5941.0,5941.0,314.87,7129.2,49
CDM,905758,PIN EX FIX 5MM 180MM,2564.0,2564.0,135.89,3076.8,49
CDM,905763,PLATE BN MTRSL RT STNDRD,2160.0,2160.0,114.48,2592.0,20
CDM,905770,PIN TEMP FX MNI 1.1X10MM,2564.0,2564.0,135.89,3076.8,49
CDM,905785,PLATE BN 8HL 173MM,2570.0,2570.0,136.21,3084.0,20
CDM,905790,CATH BLNDIL 6MM 150MM,12768.0,12768.0,676.7,15321.6,49
CDM,905796,IMPLANT BREAST 370CC,2050.0,2050.0,108.65,2460.0,20
CDM,905797,IMPLANT BREAST 525CC,2050.0,2050.0,108.65,2460.0,20
CDM,905799,IMPLANT BREAST 560CC,2050.0,2050.0,108.65,2460.0,20
CDM,905801,STEM FEM HIP 205MM 44MM,2800.0,2800.0,148.4,3360.0,20
CDM,905812,IMPL BRST 15X15.5CM605ML,2190.0,2190.0,116.07,2628.0,20
CDM,905813,SCREW BN CANN 8X80X16MM,1020.0,1020.0,54.06,1224.0,20
CDM,905833,RETRIEVER ENDO 3MM 20MM,53227.0,53227.0,2821.03,63872.4,49
CDM,905848,SCREW BN 4MM 38MM,330.0,330.0,17.49,396.0,20
CDM,905858,PLATE BN 18H 375MM 4.5MM,3654.0,3654.0,193.66,4384.8,20
CDM,905862,SCREW SPN 6.5MM 40MM,550.0,550.0,29.15,660.0,20
CDM,905863,SCREW SPN P-AX MIS 30MM,450.0,450.0,23.85,540.0,20
CDM,905876,GUARD PIN .035IN,1734.0,1734.0,91.9,2080.8,49
CDM,905877,GUARD PIN .028IN,264.0,264.0,13.99,316.8,49
CDM,905890,GRAFT SKN 50SQ CM,2450.0,2450.0,129.85,2940.0,49
CDM,905899,PRIMATRIX 120 SQCM,29988.0,29988.0,1589.36,35985.6,30
CDM,905901,SCREW SPN 8MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,905902,CATH BLNDIL 5MM 150MM,12768.0,12768.0,676.7,15321.6,49
CDM,905905,CATH BLN 3X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,905907,BEARING 14MM KN CRCTE,1148.0,1148.0,60.84,1377.6,20
CDM,905973,KIT RSC DISP CHILD,1036.0,1036.0,54.91,1243.2,49
CDM,905976,CURETTE EAR RING 5 3/4IN,27.0,27.0,1.43,32.4,49
CDM,905980,SPLINT HND FNC POS L SM,643.0,643.0,34.08,771.6,49
CDM,905981,SPLINT HND FNC POS R MD,643.0,643.0,34.08,771.6,49
CDM,906009,SPLINT ORTH LG REG RT HN,563.0,563.0,29.84,675.6,49
CDM,906025,DEVICE PAP 22MM PRSS PRT,580.0,580.0,30.74,696.0,49
CDM,906061,EXTRACTOR RMVR EAR/NOSE,2564.0,2564.0,135.89,3076.8,49
CDM,906069,SCREW BN 3.5MM 26MM,590.0,590.0,31.27,708.0,20
CDM,906071,KIT CYRABL 1.5MM 175MM,14728.0,14728.0,780.58,17673.6,49
CDM,906075,KIT CATH CVC 2L 4F 8CM,2564.0,2564.0,135.89,3076.8,49
CDM,906131,INJECTOR DRG DLV JTP CO2,155.0,155.0,8.21,186.0,49
CDM,906210,CATH IV 22GA .75IN,93.0,93.0,4.93,111.6,49
CDM,906211,CATH IV 20GA 1IN,93.0,93.0,4.93,111.6,49
CDM,906287,SET XTN CADD 1.8ML 60IN,98.0,98.0,5.19,117.6,49
CDM,906302,NEEDLE STBLZR KIT 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,906310,GWRE SPRG 032 60 STR,452.0,452.0,23.96,542.4,49
CDM,906389,DILATOR VSC .38 L20 18F,348.0,348.0,18.44,417.6,49
CDM,906401,PLATE BN CALC LG,1190.0,1190.0,63.07,1428.0,20
CDM,906406,PLATE BN RCT 6HL SZ1,890.0,890.0,47.17,1068.0,20
CDM,906453,DEVICE VASC CLMP 86MM,2564.0,2564.0,135.89,3076.8,49
CDM,906456,PLATE SPN 3LVL 51MM,1900.0,1900.0,100.7,2280.0,20
CDM,906461,KIT INSTR BX 20GA 20CM,1836.0,1836.0,97.31,2203.2,49
CDM,906466,PLATE BN 11-12D 172MM,2872.0,2872.0,152.22,3446.4,20
CDM,906479,DETECTOR CO2 18MM 15MM,295.0,295.0,15.63,354.0,49
CDM,906480,CATH PICC NEONATE 1.4FR,1902.0,1902.0,100.81,2282.4,49
CDM,906481,INTRODUCER SHTH PL 1.4FR,1734.0,1734.0,91.9,2080.8,49
CDM,906495,CATHETER POLY PICC 1.4FR,2564.0,2564.0,135.89,3076.8,49
CDM,906496,COIL EMBL 8MM 60CM,3380.0,3380.0,179.14,4056.0,20
CDM,906507,CATH BLDL 8X20MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,906508,CATH BLDL 9X20MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,906509,CATH BLDL 9X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,906558,PLATE BN CMPR 4HL 55MM,534.0,534.0,28.3,640.8,20
CDM,906559,PLATE BN 5HL 67MM,710.0,710.0,37.63,852.0,20
CDM,906587,KIT CATH CV 9FR 11.5CM,2564.0,2564.0,135.89,3076.8,49
CDM,906594,CATH ANGIO 5FR C1 65CM,744.0,744.0,39.43,892.8,49
CDM,906603,CATH PULMONARY 8FR 110CM,3022.0,3022.0,160.17,3626.4,49
CDM,906615,SUTURE PC-5 3-0 1X18IN,156.0,156.0,8.27,187.2,49
CDM,906633,CATHETER IV 14GA 1.25IN,224.0,224.0,11.87,268.8,49
CDM,906634,PLEUR EVC REPL BG,903.0,903.0,47.86,1083.6,49
CDM,906642,SET EXT IV 4ML 30IN,28.0,28.0,1.48,33.6,49
CDM,906695,CANNULA PRFSN 4MM 2IN,166.0,166.0,8.8,199.2,49
CDM,9067,ALBUMIN INF 5% 250ML,303.98,303.98,26.14,364.78,29
CDM,9067,"Infusion, albumin (human), 5%, 250 ml ",303.98,303.98,51.49,51.49,1
CDM,906723,URETH FILI OLIVE 5FR,2564.0,2564.0,135.89,3076.8,49
CDM,906740,CATH IV 20GA 1.00IN,178.0,178.0,9.43,213.6,49
CDM,906742,MARKER BX SITE 12GA 13CM,106.0,106.0,5.62,127.2,20
CDM,906819,KIT CATH CV 7FR 20CM,2564.0,2564.0,135.89,3076.8,49
CDM,906831,CATH BLNDIL 5FR 4X135CM,2564.0,2564.0,135.89,3076.8,49
CDM,906869,CATH FILI OLIVE 6FR 12IN,1252.0,1252.0,66.36,1502.4,49
CDM,906891,VESSEL OCCLUDER 2.25MM,2564.0,2564.0,135.89,3076.8,49
CDM,906892,ADAPTER TBG VALVE 0.25ML,48.0,48.0,2.54,57.6,49
CDM,906918,SIZER VASC GRFT 24-38MM,2564.0,2564.0,135.89,3076.8,49
CDM,906950,INSERTER LEN 0.3 TPR,440.0,440.0,23.32,528.0,49
CDM,906957,SUTURE ANTIBACT +0 27IN,367.0,367.0,19.45,440.4,49
CDM,906979,CANNULA PRFSN 23FR 50CM,3073.0,3073.0,162.87,3687.6,49
CDM,906985,DILATOR VASC 20FR 20CM,584.0,584.0,30.95,700.8,49
CDM,906986,DILATOR VASC 22FR 20CM,584.0,584.0,30.95,700.8,49
CDM,907005,CATH URET 2W 6FR 1.5CC,732.0,732.0,38.8,878.4,49
CDM,907021,DEVICE CLS WND +2-0 45CM,874.0,874.0,46.32,1048.8,49
CDM,907028,SUTURE UND BRD +5-0 27IN,52.0,52.0,2.76,62.4,49
CDM,907046,DRAIN WND INCS 10MM,2564.0,2564.0,135.89,3076.8,49
CDM,907050,SET FD PUMP,54.0,54.0,2.86,64.8,49
CDM,907062,KIT DRESSING FOAM MED,1354.0,1354.0,71.76,1624.8,49
CDM,907078,PLATE BN MDSHFT 8H 97MM,1924.0,1924.0,101.97,2308.8,20
CDM,907082,CATH DRN BIL 14FR 40CM,2564.0,2564.0,135.89,3076.8,49
CDM,907099,GWIRE VASC 275X2.9X3.2CM,3374.0,3374.0,178.82,4048.8,49
CDM,907101,SPECULUM ER-SPEC LG LED,156.0,156.0,8.27,187.2,49
CDM,907134,INTRO NDL 28GA 20MM,1064.0,1064.0,56.39,1276.8,49
CDM,907151,OCCLUDER CORONARY 1.75MM,2564.0,2564.0,135.89,3076.8,49
CDM,907156,SCREW BN 6.5X100X40MM,326.0,326.0,17.28,391.2,20
CDM,907189,CATH DLV SYS 135CM 45D,5941.0,5941.0,314.87,7129.2,49
CDM,907191,WICK EAR 24X9MM,176.0,176.0,9.33,211.2,49
CDM,907193,DRN CHST THRX 1 CLT SYS,6793.0,6793.0,360.03,8151.6,49
CDM,907204,COIL EMBL 60CM,2500.0,2500.0,132.5,3000.0,20
CDM,907223,PLATE BN 2X2HL 0.6MM,425.0,425.0,22.52,510.0,20
CDM,907224,PLATE BN 6X2HL 1.7MM,767.0,767.0,40.65,920.4,20
CDM,907226,PLATE BN SMALL,754.0,754.0,39.96,904.8,20
CDM,907232,COIL EMBL 45CM,2500.0,2500.0,132.5,3000.0,20
CDM,907235,CATH PICC 1LUM 1.9F 30CM,1046.0,1046.0,55.44,1255.2,49
CDM,907236,KIT INTRO 10CM 6FR 21GA,2186.0,2186.0,115.86,2623.2,49
CDM,907238,DEVICE CLS WND +3-0 45CM,778.0,778.0,41.23,933.6,49
CDM,907239,DRSG WND PAD 5GM,151.0,151.0,8.0,181.2,49
CDM,907241,OVERTUBE ENDO 25CM,2564.0,2564.0,135.89,3076.8,49
CDM,907298,RSC MNL INFANT,782.0,782.0,41.45,938.4,49
CDM,907310,SET TRANSFER SAL 120IN,107.0,107.0,5.67,128.4,49
CDM,907401,PROSTH PENL PS 10CM 18CM,21521.0,21521.0,1140.61,25825.2,20
CDM,907404,SHEATH STPLR DISP 45MM,791.0,791.0,41.92,949.2,49
CDM,907443,SCREW BN 2.7X44MM,129.0,129.0,6.84,154.8,20
CDM,907444,SCREW BN 2.7MM 48MM,129.0,129.0,6.84,154.8,20
CDM,907456,CATH BLNDIL 5MM 200MM,14339.0,14339.0,759.97,17206.8,49
CDM,907457,FINGER SPLINTS 1/2 X 9,15.0,15.0,0.8,18.0,49
CDM,907459,RETRIEIVER ENDO 4X30MM,53227.0,53227.0,2821.03,63872.4,49
CDM,907474,CAGE SPN 8D 10X20X55MM,6000.0,6000.0,318.0,7200.0,20
CDM,907475,CAGE SPN LLIF LG SM 10MM,6000.0,6000.0,318.0,7200.0,20
CDM,907481,RETRIEVER 20MM 4MM ENDO,53227.0,53227.0,2821.03,63872.4,49
CDM,907485,NAIL BN FEM 11.5X380MM,3052.0,3052.0,161.76,3662.4,20
CDM,907486,SCREW BN 2.5MM 11MM,590.0,590.0,31.27,708.0,20
CDM,907516,STAPLER INT 12MM,5941.0,5941.0,314.87,7129.2,49
CDM,907517,RELOAD STPLR 60 2.5MM,483.0,483.0,25.6,579.6,20
CDM,907518,RELOAD STPLR BLUE 3.5MM,483.0,483.0,25.6,579.6,20
CDM,907519,RELOAD STPLR 60 4.3MM,3163.0,3163.0,167.64,3795.6,20
CDM,907529,NAIL BN FEM RT 9MM 36CM,6650.0,6650.0,352.45,7980.0,20
CDM,907537,SCREW BN 5.5MM 50MM,874.0,874.0,46.32,1048.8,20
CDM,907539,PLATE BN LAPDS RT STD,2854.0,2854.0,151.26,3424.8,20
CDM,907540,SCREW BN 4MM 50MM,434.0,434.0,23.0,520.8,20
CDM,907552,WIRE FX 1.8X385MM,2054.0,2054.0,108.86,2464.8,49
CDM,907555,ANCHOR SUT 2.5MM 8MM,935.0,935.0,49.55,1122.0,20
CDM,907564,BRACE ORTH 16.5-17.5IN,1256.0,1256.0,66.57,1507.2,49
CDM,907578,DEVICE CLSR CLP INT 45MM,3650.0,3650.0,193.45,4380.0,20
CDM,907579,SUTURE TGRTAPE CRLGE 2MM,900.0,900.0,47.7,1080.0,20
CDM,907583,NAIL BN 10MM 40CM,4344.0,4344.0,230.23,5212.8,20
CDM,907593,SCREW SPN 3.5MM 24MM,1000.0,1000.0,53.0,1200.0,20
CDM,907613,PLATE BN HUM 5H 112MM,2560.0,2560.0,135.68,3072.0,20
CDM,907630,VALVE AORTIC 27MM,14400.0,14400.0,763.2,17280.0,20
CDM,907633,SCREW BN HDED 3.5MM 30MM,300.0,300.0,15.9,360.0,20
CDM,907646,PLATE BN 80MM 12HL,1456.0,1456.0,77.17,1747.2,20
CDM,907662,HEAD FEM 32MM BIOLOX,1700.0,1700.0,90.1,2040.0,20
CDM,907664,SCREW BN 6.5X85X22MM TI,382.0,382.0,20.25,458.4,20
CDM,907666,SCREW BN 4.5MM 46MM,432.0,432.0,22.9,518.4,20
CDM,907667,PLATE BN 6H,2000.0,2000.0,106.0,2400.0,20
CDM,907678,SCREW BN 4MM 14MM,58.0,58.0,3.07,69.6,20
CDM,907679,SCREW BN 4MM 18MM,58.0,58.0,3.07,69.6,20
CDM,907680,SCREW BN 4MM 22MM,58.0,58.0,3.07,69.6,20
CDM,907681,SCREW BN 4MM 24MM,58.0,58.0,3.07,69.6,20
CDM,907682,SCREW BN 4MM 28MM,58.0,58.0,3.07,69.6,20
CDM,907683,SCREW BN F/T 4MM 30MM,58.0,58.0,3.07,69.6,20
CDM,907684,SCREW BN 4MM 14MM,58.0,58.0,3.07,69.6,20
CDM,907685,SCREW BN 4MM 16MM,58.0,58.0,3.07,69.6,20
CDM,907686,SCREW BN 4MM 18MM,58.0,58.0,3.07,69.6,20
CDM,907687,SCREW BN 4MM 20MM,58.0,58.0,3.07,69.6,20
CDM,907688,SCREW BN 4MM 22MM,58.0,58.0,3.07,69.6,20
CDM,907689,SCREW BN 4MM 24MM,58.0,58.0,3.07,69.6,20
CDM,907690,SCREW BN 4MM 26MM,58.0,58.0,3.07,69.6,20
CDM,907691,SCREW BN 4MM 28MM 14MM,58.0,58.0,3.07,69.6,20
CDM,907692,SCREW BN 4MM 30MM,58.0,58.0,3.07,69.6,20
CDM,907693,SCREW BN 4MM 32MM 14MM,58.0,58.0,3.07,69.6,20
CDM,907694,SCREW BN 4MM 34MM,58.0,58.0,3.07,69.6,20
CDM,907695,SCREW BN P/T 4MM 36MM,58.0,58.0,3.07,69.6,20
CDM,907696,SCREW BN CANC 4X40MM,58.0,58.0,3.07,69.6,20
CDM,907697,SCREW BN 4MM 42MM,58.0,58.0,3.07,69.6,20
CDM,907698,SCREW BN 4MM 44MM,58.0,58.0,3.07,69.6,20
CDM,907702,SCREW BN 6MM 25MM,79.0,79.0,4.19,94.8,20
CDM,907722,PLATE BN 1/3 2HL 23MM,468.0,468.0,24.8,561.6,20
CDM,907723,PLATE BN 1/3TBLR 167MM,938.0,938.0,49.71,1125.6,20
CDM,907724,PLATE BN 8HL 151MM,2952.0,2952.0,156.46,3542.4,20
CDM,907725,PLATE BN HUM 12H 202MM,3084.0,3084.0,163.45,3700.8,20
CDM,907726,PLATE BN HUM RT 125MM 6H,2952.0,2952.0,156.46,3542.4,20
CDM,907727,PLATE BN HUM RT 8H 151MM,2952.0,2952.0,156.46,3542.4,20
CDM,907728,PLATE BN RT 10H 176MM,2952.0,2952.0,156.46,3542.4,20
CDM,907729,PLATE BN 12H 202MM,3084.0,3084.0,163.45,3700.8,20
CDM,907730,PLATE BN 4H 58MM,1658.0,1658.0,87.87,1989.6,20
CDM,907731,PLATE BN LCK 71MM 5HL,1772.0,1772.0,93.92,2126.4,20
CDM,907732,PLATE BN 4X84MM 6HL,1772.0,1772.0,93.92,2126.4,20
CDM,907733,PLATE COMP 4MM L97MM 7 H,1772.0,1772.0,93.92,2126.4,20
CDM,907735,PLATE BN 10H 136MM,1828.0,1828.0,96.88,2193.6,20
CDM,907737,PLATE BN LCK 14HL 188MM,1880.0,1880.0,99.64,2256.0,20
CDM,907740,PLATE BN LCK 6H 115MM,2774.0,2774.0,147.02,3328.8,20
CDM,907757,SCREW BN LCK 2.4X10MM,236.0,236.0,12.51,283.2,20
CDM,907784,SCREW BN 4MM 95MM,200.0,200.0,10.6,240.0,20
CDM,907786,SCREW BN CORT 5X20MM LCK,314.08,314.08,16.65,376.9,20
CDM,907788,SCREW PERI 5.0MMX20MM,928.8,928.8,49.23,1114.56,20
CDM,907790,SCREW BN CORT 4.5X20MM,71.0,71.0,3.76,85.2,20
CDM,907793,PLATE BN XSHRT LT 49MM,1516.0,1516.0,80.35,1819.2,20
CDM,907824,SCREW BN 4.2MM 40MM,276.0,276.0,14.63,331.2,20
CDM,907834,CAGE SPN LLIF XL SM 8MM,6300.0,6300.0,333.9,7560.0,20
CDM,907835,BASEPLATE TIB KN RT SZH,1800.0,1800.0,95.4,2160.0,20
CDM,907837,SCREW BN 3.5MM 26MM,218.0,218.0,11.55,261.6,20
CDM,907841,SHELL ACTB HIP 3H 46MM,2000.0,2000.0,106.0,2400.0,20
CDM,907896,CMPNT FEM KN LT SZ6,2300.0,2300.0,121.9,2760.0,20
CDM,907904,KWIRE FX 2.3MM 300MM,942.0,942.0,49.93,1130.4,49
CDM,907913,KWIRE FX 1.4MM 230MM,942.0,942.0,49.93,1130.4,49
CDM,907929,BASEPLATE TIB KN RT SZ2,2000.0,2000.0,106.0,2400.0,20
CDM,907930,CMPNT FEM KN RM/LL SZ3,2740.0,2740.0,145.22,3288.0,20
CDM,907934,SCREW BN HEAD 3MM 18MM,315.0,315.0,16.7,378.0,20
CDM,907943,SCREW BN 2MM 15MM,148.0,148.0,7.84,177.6,20
CDM,907944,SCREW BN 2.4MM 14MM,73.0,73.0,3.87,87.6,20
CDM,907946,SCREW BN LCK 3.5X40MM,218.0,218.0,11.55,261.6,20
CDM,907947,PLATE BN LAT RT XS,1892.0,1892.0,100.28,2270.4,20
CDM,907988,SIZER STAPLE ORTH,2564.0,2564.0,135.89,3076.8,49
CDM,908049,STEM FEM HIP SZ4,4000.0,4000.0,212.0,4800.0,20
CDM,908060,LINER ACTB HIP 50MM,1300.0,1300.0,68.9,1560.0,20
CDM,908074,BRACE ORTH UNV LMBR BRTH,2564.0,2564.0,343.58,3076.8,24
CDM,908076,BRACE ORTH 17-27IN,1812.0,1812.0,242.81,2174.4,24
CDM,908076,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",1812.0,1812.0,903.56,2841.11,33
CDM,908077,RELOAD STPLR 6ROW 4.6MM,483.0,483.0,25.6,579.6,20
CDM,908083,CAGE SPN 25/28X10X8-11MM,6800.0,6800.0,360.4,8160.0,20
CDM,908095,STRUT EX FIX 131-191MM,16321.0,16321.0,865.01,19585.2,49
CDM,908097,SCREW SPN 7MM 45MM,1300.0,1300.0,68.9,1560.0,20
CDM,908099,PLATE BN FIB LAT LT XS,1892.0,1892.0,100.28,2270.4,20
CDM,908101,SCREW BN 3.5MM 18MM,390.0,390.0,20.67,468.0,20
CDM,908113,SCREW BN 3.5MM 30MM,218.0,218.0,11.55,261.6,20
CDM,908141,ARCH BAR BAND 1/8IN,167.0,167.0,8.85,200.4,49
CDM,908172,CATH EP 6FR 110CM,3930.0,3930.0,208.29,4716.0,49
CDM,908181,CATH URET 16FR 2W 30CC,302.0,302.0,16.01,362.4,49
CDM,908190,CATH FOLY 3W LUB 26F 30,1758.0,1758.0,93.17,2109.6,49
CDM,908191,CATH MIDLNE 18G 10CM PWR,2901.0,2901.0,153.75,3481.2,49
CDM,908242,CATH URTH ULTRMR10F 12IN,37.0,37.0,1.96,44.4,49
CDM,908252,CNTRSNK DRL LG LG FRAG,2564.0,2564.0,135.89,3076.8,49
CDM,908270,DRILL SURG 180MM AO 4.2M,2564.0,2564.0,135.89,3076.8,49
CDM,908295,MARKER BX SITE 12GA 13CM,110.0,110.0,5.83,132.0,20
CDM,908296,MARKER BX SITE 12GA 13CM,110.0,110.0,5.83,132.0,20
CDM,908331,KIT PRS MNTR 10IN,1116.0,1116.0,59.15,1339.2,49
CDM,908335,MARKER MRI BUCKLE,110.0,110.0,5.83,132.0,20
CDM,908336,MARKER MRI INFINITY,110.0,110.0,5.83,132.0,20
CDM,908576,HANDPIECE ELECSURG FTSWT,286.0,286.0,15.16,343.2,49
CDM,908582,KIT MNTR 2LUM O2,10313.0,10313.0,546.59,12375.6,49
CDM,908588,BAG HPINFL PED .5L,185.0,185.0,9.8,222.0,49
CDM,908616,VALVE PEEP 2WAY,938.0,938.0,49.71,1125.6,49
CDM,908618,SET TRMA FX STRK PLT T2,2564.0,2564.0,135.89,3076.8,49
CDM,908630,SCREW BN 3.5MM 28MM,74.0,74.0,3.92,88.8,20
CDM,908631,SCREW BN 3.5MM 36MM,78.0,78.0,4.13,93.6,20
CDM,908632,SCREW BN 4.7MM 30MM,148.0,148.0,7.84,177.6,20
CDM,908633,SCREW BN 3.5MM 30MM,289.0,289.0,15.32,346.8,20
CDM,908634,SCREW BN 3.5MM 70MM,289.0,289.0,15.32,346.8,20
CDM,908635,DRILL SURG SM SHRT 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,908636,DRILL SURG 3.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,908640,DRILL SURG 1.7MM,2816.0,2816.0,149.25,3379.2,49
CDM,908647,SCREW BN 3.5X28MM,390.0,390.0,20.67,468.0,20
CDM,908648,SCREW BN 3.5MM 36MM,259.0,259.0,13.73,310.8,20
CDM,908649,SCREW BN 3.5MM 30MM,259.0,259.0,13.73,310.8,20
CDM,908650,SCREW BN 3.5MM 30MM,390.0,390.0,20.67,468.0,20
CDM,908651,SCREW BN 4MM 32MM,354.0,354.0,18.76,424.8,20
CDM,908652,SCREW BN 2.7MM 14MM,40.0,40.0,2.12,48.0,20
CDM,908654,DRSSING WD ANMC 10X1.5IN,886.0,886.0,46.96,1063.2,49
CDM,908655,COUNTERSINK CANHD3X3.5MM,2904.0,2904.0,153.91,3484.8,49
CDM,908657,GRAFT VASC 70CM 8MM,7704.0,7704.0,408.31,9244.8,20
CDM,908663,BIT DRL AO QC CLR 2.5MM,2868.0,2868.0,152.0,3441.6,49
CDM,908674,SCREW BN CANN 4X38MM,354.0,354.0,18.76,424.8,20
CDM,908676,SCREW BN 3.5MM 18MM,259.0,259.0,13.73,310.8,20
CDM,908683,SPLINT HND FNC POS R SM,1130.0,1130.0,59.89,1356.0,49
CDM,908684,SPLINT HND FNC POS L MD,643.0,643.0,34.08,771.6,49
CDM,908687,ORTHOSIS FOOT WOMENS LT,868.0,868.0,46.0,1041.6,49
CDM,908696,BRACE ORTH FR ELAS STRP,2564.0,2564.0,135.89,3076.8,49
CDM,908698,SPLINT FINGER LG 3.5IN,50.0,50.0,2.65,60.0,49
CDM,9087,ALBUMIN INF 25% 50 ML,525.0,525.0,27.82,630.0,30
CDM,908746,SPLINT BURN MEDIUM RIGHT,816.0,816.0,43.25,979.2,49
CDM,908766,BRACE WLK XL AIR EQLZR,1077.0,1077.0,57.08,1292.4,49
CDM,908789,SCRDRVR HEX 7.8IN 2.5MM,2901.0,2901.0,153.75,3481.2,49
CDM,908802,BT CAST SANDLE XXXS,152.0,152.0,8.06,182.4,49
CDM,908803,BT CAST SANDLE XXS,154.0,154.0,8.16,184.8,49
CDM,908817,BASEPLATE TIB CMNT RT S7,4280.0,4280.0,226.84,5136.0,20
CDM,908819,TENSIONER SUT DISP,2564.0,2564.0,135.89,3076.8,49
CDM,908822,SCREW SPN 7MM 60MM,1200.0,1200.0,63.6,1440.0,20
CDM,908826,GUIDEWIRE VASC 260CM,2148.0,2148.0,113.84,2577.6,49
CDM,908829,SCREW BN 4.2MM 28MM,276.0,276.0,14.63,331.2,20
CDM,908830,KWIRE FX 1.6MM 200MM,942.0,942.0,49.93,1130.4,49
CDM,908832,PLATE BN 7H 103MM,2760.0,2760.0,146.28,3312.0,20
CDM,908857,CATH EXT DRA VNTRC,4866.0,4866.0,257.9,5839.2,49
CDM,908869,GRAFT STNT 42MM 157MM,36990.0,36990.0,1960.47,44388.0,20
CDM,908894,BASEPLATE GLND SHLDR SM,2700.0,2700.0,143.1,3240.0,20
CDM,908938,KIT INJ ORAL NDL 1CC,5941.0,5941.0,796.09,7129.2,24
CDM,908939,KIT CASE SPN INSTR 4.2MM,29133.0,29133.0,1544.05,34959.6,49
CDM,908942,SCREW BN 2.7 4.5MM 22MM,84.0,84.0,4.45,100.8,20
CDM,908943,SCREW BN 4MM 14MM,180.0,180.0,9.54,216.0,20
CDM,908944,DRILL SURG SM SHRT 2.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,908952,SCREW BN 3.5MM 11MM,61.0,61.0,3.23,73.2,20
CDM,908953,SCREW BN 3.5MM 12MM,289.0,289.0,15.32,346.8,20
CDM,908954,SCREW BN LCK 3.5X13MM,289.0,289.0,15.32,346.8,20
CDM,908955,PLATE BN 2.7/3.5MM 81MM,1838.0,1838.0,97.41,2205.6,20
CDM,908960,PLATE BN LCK RT 6H,1550.0,1550.0,82.15,1860.0,20
CDM,908961,PLATE BN 5HL,494.0,494.0,26.18,592.8,20
CDM,908995,ANCH SPN CERV 6MM 14X16,2500.0,2500.0,132.5,3000.0,20
CDM,909009,SPACER HUM SHLDR SM 8MM,2484.0,2484.0,131.65,2980.8,20
CDM,909037,SCREW BN 3.5MM 34MM,300.0,300.0,15.9,360.0,20
CDM,909066,PLATE SPN CANN 2LVL 30MM,1900.0,1900.0,100.7,2280.0,20
CDM,909069,INSERT ARTC KN 6-7 11MM,1500.0,1500.0,79.5,1800.0,20
CDM,909085,PLATE BN 5HL,1520.0,1520.0,80.56,1824.0,20
CDM,909090,TUBING IRRIGATION SURG,2564.0,2564.0,135.89,3076.8,49
CDM,909101,SCREW BN 8MM 55MM XPDM,1200.0,1200.0,63.6,1440.0,20
CDM,909113,PIN EXFX TEMP 10X1.6MM,2564.0,2564.0,135.89,3076.8,49
CDM,909114,CATH ABL 8GA 115CM,22539.0,22539.0,1194.57,27046.8,49
CDM,909172,PLATE BN RT SM 1.1MM,1520.0,1520.0,80.56,1824.0,20
CDM,909173,SCREW BN ANKL 4X18MM,259.0,259.0,13.73,310.8,20
CDM,909181,KWIRE BLNT NITINOL,2564.0,2564.0,135.89,3076.8,49
CDM,909184,DEVICE CLSR 6FR-12FR,470.0,470.0,24.91,564.0,20
CDM,909189,CATH BLNDIL 5MM 220MM,14767.0,14767.0,782.65,17720.4,49
CDM,909190,CATH BLNDIL 6MM 220MM,14573.0,14573.0,772.37,17487.6,49
CDM,909192,CATH BLNDIL 5MM 40MM,9623.0,9623.0,510.02,11547.6,49
CDM,909193,CATH BLNDIL 5MM 60MM,9623.0,9623.0,510.02,11547.6,49
CDM,909194,CATH BLNDIL 5MM 100MM,9164.0,9164.0,485.69,10996.8,49
CDM,909195,CATH BLNDIL 6MM 40MM,8938.0,8938.0,473.71,10725.6,49
CDM,909196,CATH BLNDIL 6MM 60MM,9623.0,9623.0,510.02,11547.6,49
CDM,909197,CATH BLNDIL 6MM 100MM,9623.0,9623.0,510.02,11547.6,49
CDM,909198,CATH BLNDIL 7MM 40MM,8938.0,8938.0,473.71,10725.6,49
CDM,909201,CATH BLNDIL 7MM 60MM,8938.0,8938.0,473.71,10725.6,49
CDM,909203,CATH BLNDIL 4MM 40MM,13212.0,13212.0,700.24,15854.4,49
CDM,909204,CATH BLNDIL 4MM 60MM,8938.0,8938.0,473.71,10725.6,49
CDM,909205,CATH BLNDIL 4MM 100MM,12583.0,12583.0,666.9,15099.6,49
CDM,909206,CATH BLNDIL 4MM 150MM,11269.0,11269.0,597.26,13522.8,49
CDM,909208,CANNULA FEM VNS 25F 60CM,4454.0,4454.0,236.06,5344.8,49
CDM,909216,SEALER TISS CURVED 37CM,5910.0,5910.0,313.23,7092.0,49
CDM,909223,SCREW BN 3.5MM 46MM,312.0,312.0,16.54,374.4,20
CDM,909226,SCREW BN 3.5MM 44MM,312.0,312.0,16.54,374.4,20
CDM,909227,SCREW BN 3.5MM 26MM,74.0,74.0,3.92,88.8,20
CDM,909236,GWIRE ENDO .025IN 260CM,2564.0,2564.0,135.89,3076.8,49
CDM,909242,PLATE BN RT 22MM 186MM,3256.0,3256.0,172.57,3907.2,20
CDM,909243,GWIRE VASC 200CM .01IN,5941.0,5941.0,314.87,7129.2,49
CDM,909309,SET PROC CGL W/O TRACH T,4585.0,4585.0,243.0,5502.0,49
CDM,909423,SET TUBING XTN 108IN,738.0,738.0,39.11,885.6,49
CDM,909444,PLATE SPN 1LV 26MM,1900.0,1900.0,100.7,2280.0,20
CDM,909445,PROBE ARTHSCP 360D,2564.0,2564.0,135.89,3076.8,49
CDM,909446,IMPLANT BREAST 545CC,2190.0,2190.0,116.07,2628.0,20
CDM,909475,EXPANDER TISS EXTRN 26CM,7764.0,7764.0,411.49,9316.8,49
CDM,909506,STEM RADL 9MMX4MM 33MM,4050.0,4050.0,214.65,4860.0,20
CDM,909510,LEAD ICD SC DF4 64CM,7512.0,7512.0,398.14,9014.4,20
CDM,909533,DRESSING NPWT 15X30CM,2895.0,2895.0,153.44,3474.0,49
CDM,909544,PROSTH PENL PUMP PS 16CM,21781.0,21781.0,1154.39,26137.2,20
CDM,909547,SCREW BN 4.2MM 10MM,276.0,276.0,14.63,331.2,20
CDM,909562,PLATE BN PRECONTOUR,1100.0,1100.0,58.3,1320.0,20
CDM,909582,COMPNT FEM KN RT SZ5,2850.0,2850.0,151.05,3420.0,20
CDM,909589,CATH BLNDIL 7MM 100MM,8938.0,8938.0,473.71,10725.6,49
CDM,909595,SCREW BN 5.5MM 70MM,310.0,310.0,16.43,372.0,20
CDM,909598,KIT PRSS MNTR 4FR 12FR,7668.0,7668.0,406.4,9201.6,49
CDM,909615,SCREW BN 1.7MM 4MM,155.0,155.0,8.21,186.0,20
CDM,909616,SCREW BN 1.7MM 3MM,155.0,155.0,8.21,186.0,20
CDM,909617,SCREW BN 1.4MM 5MM,163.0,163.0,8.64,195.6,20
CDM,909619,SCREW BN 1.2MM 4MM,174.0,174.0,9.22,208.8,20
CDM,909625,NDL SUT CIRC PNT 5.5,124.0,124.0,6.57,148.8,49
CDM,909643,BOOT WLK LG 10.5-12.5,1102.0,1102.0,58.41,1322.4,49
CDM,909706,PIN SET BN MOD GLND,5240.0,5240.0,277.72,6288.0,49
CDM,910010,SCRW BN 1.7MM 5MM SLFDRL,171.0,171.0,9.06,205.2,20
CDM,910022,PLATE BN 5H 74.5MM,620.0,620.0,32.86,744.0,20
CDM,910032,SCREW BN 3.5MM 26MM,82.0,82.0,4.35,98.4,20
CDM,910069,SCREW BN 2.7MM 20MM,90.0,90.0,4.77,108.0,20
CDM,910075,SCREW BN 2.4MM 14MM,220.0,220.0,11.66,264.0,20
CDM,910080,SCREW BN HDED 3.5MM 20MM,300.0,300.0,15.9,360.0,20
CDM,910082,SCREW BN HDED 3.5MM 22MM,300.0,300.0,15.9,360.0,20
CDM,910083,SCREW BN 3.0MM 20MM,370.0,370.0,19.61,444.0,20
CDM,910084,PLATE BN FEM NK 1HL,1736.0,1736.0,92.01,2083.2,20
CDM,910087,SCREW BN LCK ST 5X44MM,467.0,467.0,24.75,560.4,20
CDM,910115,SCREW BN NLCK 3.5X32MM,206.0,206.0,10.92,247.2,20
CDM,910127,GWIRE ORTH 2MM 800MM,5043.0,5043.0,267.28,6051.6,49
CDM,910129,FILLER BN VD SYN 20/50CC,3136.0,3136.0,166.21,3763.2,20
CDM,910156,SCREW BN LCK 3.5X46MM,342.0,342.0,18.13,410.4,20
CDM,910196,PLATE SPN LVL 3 55MM,1900.0,1900.0,100.7,2280.0,20
CDM,910220,SHEATH GD 5FR 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,910221,SCREW BN 4MM 24MM,434.0,434.0,23.0,520.8,20
CDM,910223,INSERT KN TIB SZ4 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,910224,COMP PTLR TRI X3 8X27MM,760.0,760.0,40.28,912.0,20
CDM,910231,DETECTOR CO2 DISP PED,322.0,322.0,17.07,386.4,49
CDM,910232,DETECTOR CO2 30MM,327.0,327.0,17.33,392.4,49
CDM,910242,GWIRE VASC 210CM,2564.0,2564.0,135.89,3076.8,49
CDM,910265,PEG BN THD NLCK 2.7X24MM,212.0,212.0,11.24,254.4,20
CDM,910270,SCREW BN CMPR 3.5X12MM,212.0,212.0,11.24,254.4,20
CDM,910275,PIN SET UNIVERS II ECLIP,3602.0,3602.0,190.91,4322.4,49
CDM,910299,INSERT TIB KN SZ5 8MM,1500.0,1500.0,79.5,1800.0,20
CDM,910306,COMP HUM RVRS FRAC LT,4000.0,4000.0,212.0,4800.0,20
CDM,910308,GRAFT VASC 90CM 8MM,9108.0,9108.0,482.72,10929.6,20
CDM,910314,PROBE STIM NEUROMONITOR,2564.0,2564.0,135.89,3076.8,49
CDM,910315,KIT BLOCK CUT GUIDE,2620.0,2620.0,138.86,3144.0,49
CDM,910316,BIT DRILL 2.4MM,5941.0,5941.0,314.87,7129.2,49
CDM,910319,SCREW BN SPN 3.5MM 10MM,1000.0,1000.0,53.0,1200.0,20
CDM,910347,PLATE 1/3 TBLR TI LCK 7H,510.0,510.0,27.03,612.0,20
CDM,910357,KIT PROBE 3.9MMX440MM,5941.0,5941.0,314.87,7129.2,49
CDM,910359,KIT PROBE 3.9MMX350MM,5941.0,5941.0,314.87,7129.2,49
CDM,910383,SCREW BN 4.0MM 28MM,590.0,590.0,31.27,708.0,20
CDM,910404,INTRODUCER SHTH 7F 10CM,735.0,735.0,38.95,882.0,49
CDM,910427,PERFORATOR 11X14MM 3MM,2564.0,2564.0,135.89,3076.8,49
CDM,910428,ALLODERM 327 SQCM,118482.0,118482.0,6279.55,142178.4,30
CDM,910430,PLATE BN FT MINI 5HL,1404.0,1404.0,74.41,1684.8,20
CDM,910444,PIN DRILL 3.9MM 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,910477,SCREW BN SLFDRL 1.7X6MM,171.0,171.0,9.06,205.2,20
CDM,910478,SCREW BN 1.9MM 5MM,169.0,169.0,8.96,202.8,20
CDM,910483,DEVICE CELL HARVEST,50889.0,50889.0,2697.12,61066.8,49
CDM,910499,SCREW BN NLCKG 2.5X26MM,256.0,256.0,13.57,307.2,20
CDM,910514,SCREW BN 3.5MM 32MM,70.0,70.0,3.71,84.0,20
CDM,910525,CAGE SPN 6D 8X9X28MM,4000.0,4000.0,212.0,4800.0,20
CDM,910526,CAGE SPN 6D 9X10X28MM,4000.0,4000.0,212.0,4800.0,20
CDM,910530,PLATE SPN 2LVL 38MM,1900.0,1900.0,100.7,2280.0,20
CDM,910531,SCREW SPN 4MM 12MM,150.0,150.0,7.95,180.0,20
CDM,910532,SCREW SPN 4MM 14MM,150.0,150.0,7.95,180.0,20
CDM,910538,STEM FEM HIP SZ10,3800.0,3800.0,201.4,4560.0,20
CDM,910548,RSC MNL PEDIATRIC,215.0,215.0,11.39,258.0,49
CDM,910565,GRAFT CV 14MM 20CM,3742.0,3742.0,198.33,4490.4,20
CDM,910566,GRAFT CV 14MM 20CM,3742.0,3742.0,198.33,4490.4,20
CDM,910568,GRAFT CV 12MM 20CM,3742.0,3742.0,198.33,4490.4,20
CDM,910570,SCREW BN 6.5MM 15MM,110.0,110.0,5.83,132.0,20
CDM,910585,SYSTEM DELIVERY ICD,7772.0,7772.0,411.92,9326.4,49
CDM,910586,LINER ACTB HIP 56MM 40MM,1100.0,1100.0,58.3,1320.0,20
CDM,910587,PLATE BN ULNA RT 108MM,2084.0,2084.0,110.45,2500.8,20
CDM,910618,MESH SURG 5CM 10CM,9416.0,9416.0,499.05,11299.2,20
CDM,910628,CAGE SPN LLIF 2XL 10MM,6300.0,6300.0,333.9,7560.0,20
CDM,910632,CAGE SPN 10X21/24 12D,7200.0,7200.0,381.6,8640.0,20
CDM,910648,PLATE BN TI LOCK 4HL,473.0,473.0,25.07,567.6,20
CDM,910649,PLATE BN 1/3 TBL LCK 12H,660.0,660.0,34.98,792.0,20
CDM,910666,CAGE SPN 28X10X11MM 6D,4000.0,4000.0,212.0,4800.0,20
CDM,910672,NAIL BN 8.5MM 270MM,3406.0,3406.0,180.52,4087.2,20
CDM,910673,CAGE SPNL 12-17MM 14MM,10800.0,10800.0,572.4,12960.0,20
CDM,910684,DEVICE CLSR WND 0 23CM,3646.0,3646.0,193.24,4375.2,49
CDM,910685,SCREW BN 4.0MM 26MM,434.0,434.0,23.0,520.8,20
CDM,910689,SCREW BN CORT 3.5X14MM,132.0,132.0,7.0,158.4,20
CDM,910690,SCREW BN 3.5MM 16MM,170.0,170.0,9.01,204.0,20
CDM,910691,SCREW BN 3.5MM 12MM LOPR,170.0,170.0,9.01,204.0,20
CDM,910714,CANNULA PORTAL SKID MENI,1696.0,1696.0,89.89,2035.2,49
CDM,910721,NAIL BN FIB LT 3X130MM,6589.0,6589.0,349.22,7906.8,20
CDM,910726,COIL EMBL SFT 5MMX15CM,6066.0,6066.0,321.5,7279.2,20
CDM,910728,COIL EMBL DTCH 6MMX20CM,3979.0,3979.0,210.89,4774.8,20
CDM,910765,SCREW BN 3.5MM 32MM,218.0,218.0,11.55,261.6,20
CDM,910780,NAIL BN TIB 11.5X36CM,3486.0,3486.0,184.76,4183.2,20
CDM,910781,CAGE SPN 7X17X14MM 6D,1600.0,1600.0,84.8,1920.0,20
CDM,910784,INSERT KN BRNG SZ4 12MM,1900.0,1900.0,100.7,2280.0,20
CDM,910785,CRT-P MR 15MM,13190.0,13190.0,699.07,15828.0,20
CDM,910790,BOLT BN FEM NK SYS 90MM,858.0,858.0,45.47,1029.6,20
CDM,910791,SCREW BN FEM STRL 90MM,579.0,579.0,30.69,694.8,20
CDM,910792,SCREW BN SLFTP 5X38MM,467.0,467.0,24.75,560.4,20
CDM,910793,GRAFT STENT 14-25X103MM,16700.0,16700.0,885.1,20040.0,20
CDM,910805,SCREW BN RDS RT,190.0,190.0,10.07,228.0,20
CDM,910849,SCREW BN 3.5MM 40MM,212.0,212.0,11.24,254.4,20
CDM,910851,BRACE ORTH XS 8IN 5-6IN,162.0,162.0,21.71,194.4,24
CDM,910853,BRACE ORT XS8IN 5-6IN,162.0,162.0,21.71,194.4,24
CDM,910855,STENT EPRSTH 11X16X39MM,5864.0,5864.0,310.79,7036.8,20
CDM,910868,PLATE BN TUB 8H,530.0,530.0,28.09,636.0,20
CDM,910870,STAPLER INT CRV 29MM,4586.0,4586.0,243.06,5503.2,49
CDM,910880,COIL EMBL 15CM,1900.0,1900.0,100.7,2280.0,20
CDM,910888,DEVICE CLS WND +3-0 45CM,738.0,738.0,39.11,885.6,49
CDM,910897,SCREW P-AX LCK 2.4X12MM,322.0,322.0,17.07,386.4,20
CDM,910898,PIN FIX MINI 1.1 X10MM,2564.0,2564.0,135.89,3076.8,49
CDM,910901,INSERT TIB KN BRNG 10MM,1900.0,1900.0,100.7,2280.0,20
CDM,910918,SYSTEM PRESS 20CM 10CM,5941.0,5941.0,314.87,7129.2,49
CDM,910955,PLATE BN ANKL 2HL 3.5MM,1700.0,1700.0,90.1,2040.0,20
CDM,910960,FIBER LASER 200UM,5674.0,5674.0,300.72,6808.8,49
CDM,910961,FIBER LASER 365UM,4458.0,4458.0,236.27,5349.6,49
CDM,910962,FIBER LASER 550UM,5941.0,5941.0,314.87,7129.2,49
CDM,910970,SCREW BN CMPR 7MM 60MM,1390.0,1390.0,73.67,1668.0,20
CDM,910972,SCREW BN 7MM 65MM,1390.0,1390.0,73.67,1668.0,20
CDM,910974,SCREW BN NLCK 4.2X32MM,276.0,276.0,14.63,331.2,20
CDM,910980,SCREW BN LCK 3.5X34MM,218.0,218.0,11.55,261.6,20
CDM,911015,STENT VASC 8FR 8MM 60MM,4500.0,4500.0,238.5,5400.0,20
CDM,911025,SCREW BN HD 3.5X20MM,321.0,321.0,17.01,385.2,20
CDM,911026,SHUNT CV LNG 1.25 20.25,2564.0,2564.0,135.89,3076.8,49
CDM,911043,KIT BN PLT/SCR 3.9X2.7MM,9120.0,9120.0,483.36,10944.0,20
CDM,911044,BLADE SAW 11MM 40MM,1884.0,1884.0,99.85,2260.8,49
CDM,911051,SCREW BN SLFTP 3.5X18,70.0,70.0,3.71,84.0,20
CDM,911052,SCREW BN 4.7MM 18MM,148.0,148.0,7.84,177.6,20
CDM,911053,SCREW BN 3.5MM 22MM,74.0,74.0,3.92,88.8,20
CDM,911054,SCREW BN SLFTP 3.5X20,70.0,70.0,3.71,84.0,20
CDM,911055,PIN FX PRVSNL 2.5X40MM,2728.0,2728.0,144.58,3273.6,49
CDM,911061,SHELL HIP 13HL SZG 60MM,4253.0,4253.0,225.41,5103.6,20
CDM,911062,KIT INTVN TRANSCAROTID,26021.0,26021.0,1379.11,31225.2,49
CDM,911063,STENTCAROTID SYS 7X40MM,4900.0,4900.0,259.7,5880.0,20
CDM,911064,STENT CAROTID SYS 9X30MM,4900.0,4900.0,259.7,5880.0,20
CDM,911065,STENT CAROTID SYS 9X40MM,4900.0,4900.0,259.7,5880.0,20
CDM,911066,STENT CAROTID SYS 8X30MM,4900.0,4900.0,259.7,5880.0,20
CDM,911067,STENT CAROTID SYS 8X40MM,4900.0,4900.0,259.7,5880.0,20
CDM,911069,KIT MINTRDCR 7CM 21GA ND,2564.0,2564.0,135.89,3076.8,49
CDM,911070,GWIRE VASC 95CM,2564.0,2564.0,135.89,3076.8,49
CDM,911071,CATH ABLAT BI-D FJ CURVE,22539.0,22539.0,1194.57,27046.8,49
CDM,911083,CATH CHLGM DLV ACC,19041.0,19041.0,1009.17,22849.2,49
CDM,911084,SCREW BN SLF DRL 1.2X3MM,192.0,192.0,10.18,230.4,20
CDM,911108,ROD EXFIX CRBN 11X100MM,2564.0,2564.0,135.89,3076.8,49
CDM,911142,SCREW BN 2.7MM 34MM,230.0,230.0,12.19,276.0,20
CDM,911152,PLATE BN TIB DSTL 3HL,1990.0,1990.0,105.47,2388.0,20
CDM,911164,INSERT TIB KN SZ4 10MM,1900.0,1900.0,100.7,2280.0,20
CDM,911174,COLLAR CERV SM 3 1/2IN,134.0,134.0,17.96,160.8,24
CDM,911174,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",134.0,134.0,33.53,105.44,33
CDM,911180,DRESSING HEMOST 12X12IN,2564.0,2564.0,135.89,3076.8,49
CDM,911181,SLEEVE DRL 2.5MM NUBBIN,1615.0,1615.0,85.59,1938.0,49
CDM,911183,SCREW BN NLCK 3.5X12MM,120.0,120.0,6.36,144.0,20
CDM,911184,SCREW BN LCK 3.5X10MM,170.0,170.0,9.01,204.0,20
CDM,911187,INTERBODY SPN 7X12X14MM,1600.0,1600.0,84.8,1920.0,20
CDM,911192,SCREW BN CORT T4 1.5X4MM,79.0,79.0,4.19,94.8,20
CDM,911200,NAIL BN FIB RT 3X180MM,5990.0,5990.0,317.47,7188.0,20
CDM,911216,DRILL COUNTERSINK 3.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,911220,CANNULA ARTHSCP 7MM 7CM,1206.0,1206.0,63.92,1447.2,49
CDM,911242,NAIL FEM RT 10MM 42CM,3384.0,3384.0,179.35,4060.8,20
CDM,911259,IMPLANT FX18.9X19.6X15.3,6962.0,6962.0,368.99,8354.4,20
CDM,911269,PLATE BN 4H LT 3.5X75MM,2655.0,2655.0,140.72,3186.0,20
CDM,911270,SCREW BN SLFTP 3.5X65MM,98.0,98.0,5.19,117.6,20
CDM,911271,SCREW BN 3.5MM 42MM,93.0,93.0,4.93,111.6,20
CDM,911272,SCREW BN 3.5MM 34MM,78.0,78.0,4.13,93.6,20
CDM,911274,SCREW BN 3.5MM 75MM,289.0,289.0,15.32,346.8,20
CDM,911277,SCREW SPN P-AX 9X40MM,1300.0,1300.0,68.9,1560.0,20
CDM,911278,SCREW SPN P-AX 9X45MM,1200.0,1200.0,63.6,1440.0,20
CDM,911287,DRESSING FLEX 6X60IN,2564.0,2564.0,135.89,3076.8,49
CDM,911310,SCREW BN 6.5MM 40MM,110.0,110.0,5.83,132.0,20
CDM,911311,DEVICE CLSR CLP INT 50MM,3700.0,3700.0,196.1,4440.0,20
CDM,911314,NAIL BN 130D 10MM 20CM,3059.0,3059.0,162.13,3670.8,20
CDM,911330,CMPNT SHLDR GLND MED,1190.0,1190.0,63.07,1428.0,20
CDM,911332,DEVICE CLSR CLP INT 40MM,3700.0,3700.0,196.1,4440.0,20
CDM,911335,PLATE BN STRAIGHT 5 HOLE,1113.0,1113.0,58.99,1335.6,20
CDM,911347,INSERT TIB KN SZ3 10MM,1900.0,1900.0,100.7,2280.0,20
CDM,911365,FIBER LSR 40W 2MR 320UM,6917.0,6917.0,366.6,8300.4,49
CDM,911371,CATH BLNOCC 2.8FR 3X15MM,11433.0,11433.0,605.95,13719.6,49
CDM,911372,CATH OCC BLN TRANS 3X10,11433.0,11433.0,605.95,13719.6,49
CDM,911381,GRAFT DRMS PTCH 16X20CM,15042.0,15042.0,797.23,18050.4,20
CDM,911392,INSERT TIB KN SZ4 14MM,1900.0,1900.0,100.7,2280.0,20
CDM,9114,ALBUMIN INF 25% 100 ML,572.21,572.21,30.33,686.65,30
CDM,911401,INSERT BRNG KN TIB6 10MM,1900.0,1900.0,100.7,2280.0,20
CDM,911403,SCREW BN 30MM,1540.0,1540.0,81.62,1848.0,20
CDM,911404,BASEPLATE SHLDR 24MM,2700.0,2700.0,143.1,3240.0,20
CDM,911405,SCREW BN 5.5X28MM,240.0,240.0,12.72,288.0,20
CDM,911406,SCREW BN RVRS 5.5X24MM,240.0,240.0,12.72,288.0,20
CDM,911407,CMPNT GLND SHLDR 24X33MM,4600.0,4600.0,243.8,5520.0,20
CDM,911408,INSERT HUM SHLDR 36 +3MM,2030.0,2030.0,107.59,2436.0,20
CDM,911410,STEM HUM SHLDR 5MM,4970.0,4970.0,263.41,5964.0,20
CDM,911413,SCREW BN 4MM 55MM,594.0,594.0,31.48,712.8,20
CDM,911415,CUBE PIN EXFX 4HL 5MM,3196.0,3196.0,169.39,3835.2,49
CDM,911424,POST BN LG 30D 4.6X20MM,2436.0,2436.0,129.11,2923.2,20
CDM,911425,SCREW BN SLD TPR 3X24MM,780.0,780.0,41.34,936.0,20
CDM,911438,SCREW BN HD CAN 4.0X34MM,434.0,434.0,23.0,520.8,20
CDM,911440,SCREW BN NLCK 3.5X48MM,264.0,264.0,13.99,316.8,20
CDM,911452,SHEATH GD 8FR 65CM,2564.0,2564.0,135.89,3076.8,49
CDM,911458,SCREW BN 2.0MM 12MM,456.0,456.0,24.17,547.2,20
CDM,911461,PLATE SPN 40MM,1900.0,1900.0,100.7,2280.0,20
CDM,911464,SCREW BN SPN CERV 4X16MM,150.0,150.0,7.95,180.0,20
CDM,911476,BRACKET EXFX L,4375.0,4375.0,231.88,5250.0,49
CDM,911496,PEG BN LCK SMTH 2X17MM,156.0,156.0,8.27,187.2,20
CDM,911507,ROD SPN CURVED 5.5X55MM,360.0,360.0,19.08,432.0,20
CDM,911512,SCREW PROX FEM REVISION,31800.12,31800.12,1685.41,38160.14,20
CDM,911518,PIN GUIDE 220MM 2.5MM,897.0,897.0,47.54,1076.4,49
CDM,911519,BIT DRILL 3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,911520,BASEPLATE SHLDR STD 25MM,1540.0,1540.0,81.62,1848.0,20
CDM,911523,SCREW BN 5MM 22MM,150.0,150.0,7.95,180.0,20
CDM,911526,SCREW BN 5MM 30MM,70.0,70.0,3.71,84.0,20
CDM,911532,CATH BLNDIL 130CM 6X80MM,8938.0,8938.0,473.71,10725.6,49
CDM,911533,CATH BLNDIL 4MM 80MM,8938.0,8938.0,473.71,10725.6,49
CDM,911534,CATH BLNDIL 5MM 80MM,8938.0,8938.0,473.71,10725.6,49
CDM,911536,STENT VASC 5FR 5X80MM,1200.0,1200.0,63.6,1440.0,20
CDM,911537,STENT VASC 5FR 5X120MM,1200.0,1200.0,63.6,1440.0,20
CDM,911551,SUTURE VIOL BRD+4-0 27IN,51.0,51.0,2.7,61.2,49
CDM,911554,SUTURE VIO MONO 4-0 36IN,9384.0,9384.0,497.35,11260.8,49
CDM,911556,SCREW BN LCK 4MM 30MM,304.0,304.0,16.11,364.8,20
CDM,911562,ANCHOR SPN CAGE LONG,200.0,200.0,10.6,240.0,20
CDM,911572,CAGE SPN LLIF 2XL 12MM,6300.0,6300.0,333.9,7560.0,20
CDM,911573,CAGE SPN LLIF XL 12MM,6000.0,6000.0,318.0,7200.0,20
CDM,911576,CONNECTOR ROD SPN 10MM,700.0,700.0,37.1,840.0,20
CDM,911601,CATH GD 2.6FR 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,911616,SHEATH VASC STRBL7F 90CM,5941.0,5941.0,314.87,7129.2,49
CDM,911627,PLATE SPN 2LVL 42MM,1900.0,1900.0,100.7,2280.0,20
CDM,911633,SCREW SPN 6.5MM 40MM,1450.0,1450.0,76.85,1740.0,20
CDM,911634,ROD SPN 5.5MM 45MM,360.0,360.0,19.08,432.0,20
CDM,911635,ROD SPN 5.5MM 40MM,360.0,360.0,19.08,432.0,20
CDM,911638,CMPNT TIB KN SZ4 9MM,2000.0,2000.0,106.0,2400.0,20
CDM,911639,STEM HUM SM SZ6 175MM,15439.0,15439.0,818.27,18526.8,20
CDM,911656,INSERT HUM SHLDR 32MM,1460.0,1460.0,77.38,1752.0,20
CDM,911657,SCREW BN 3.5X12MM,900.0,900.0,47.7,1080.0,20
CDM,911658,SCREW SET SPN,100.0,100.0,5.3,120.0,20
CDM,911661,BIT DRILL 2.3MM,942.0,942.0,49.93,1130.4,49
CDM,911662,ROD SPN 3.5MM 75MM,360.0,360.0,19.08,432.0,20
CDM,911666,CATH BLNDL 6X20 135CM,2564.0,2564.0,135.89,3076.8,49
CDM,911673,COIL EMBL DTCH 3MM 6CM,4498.0,4498.0,238.39,5397.6,20
CDM,911675,CATH ANGIO 5FR 65CM,396.0,396.0,20.99,475.2,49
CDM,911678,CATH UTLSND 14IN 150CM,5941.0,5941.0,314.87,7129.2,49
CDM,911685,EXTENDER ARTHDS 120MM,30600.0,30600.0,1621.8,36720.0,20
CDM,911689,KIT NEG PRSS WND 15X30CM,3543.0,3543.0,187.78,4251.6,49
CDM,911707,SHELL ACTB HIP 13H 56MM,4253.0,4253.0,225.41,5103.6,20
CDM,911708,GWIRE ORTH 2MM 150MM,2564.0,2564.0,135.89,3076.8,49
CDM,911714,BURR SURG ORTH 2MM 8MM,4506.0,4506.0,238.82,5407.2,49
CDM,911721,SCREW BN CORT 3.5X16MM,120.0,120.0,6.36,144.0,20
CDM,911723,SCREW BN CORT LP 3.5X11,126.0,126.0,6.68,151.2,20
CDM,911730,SCREW BN 5MM 26MM,150.0,150.0,7.95,180.0,20
CDM,911731,SCREW BN GLND 5.0X34MM,150.0,150.0,7.95,180.0,20
CDM,911732,SCREW BN 18MM 5MM,150.0,150.0,7.95,180.0,20
CDM,911735,STEM HUM SHLDR 74MM,2940.0,2940.0,155.82,3528.0,20
CDM,911738,PROBE 2.3BALL 1.9X130MM,2564.0,2564.0,135.89,3076.8,49
CDM,911750,CONN ROD SPN LG 56MM,700.0,700.0,37.1,840.0,20
CDM,911753,SCREW ST SPN FLAT CONN,100.0,100.0,5.3,120.0,20
CDM,911787,GUIDE SLEEVE DRL 2.7MM,6795.0,6795.0,360.13,8154.0,49
CDM,911793,CAGE SPN 6D 14X5X12MM,1600.0,1600.0,84.8,1920.0,20
CDM,911813,STENT INTRCR 3.0MM 15MM,14355.0,14355.0,760.82,17226.0,20
CDM,911814,STENT INTRCR 3.0MM 21MM,14065.0,14065.0,745.45,16878.0,20
CDM,911815,STENT INTRCR 4.0MM 21MM,15426.0,15426.0,817.58,18511.2,20
CDM,911828,SCREW BN 6.5MM 45MM,110.0,110.0,5.83,132.0,20
CDM,911829,STEM FEM HIP 12/14MM,3800.0,3800.0,201.4,4560.0,20
CDM,911854,BOLT ORTH 28MM,756.0,756.0,40.07,907.2,20
CDM,911855,BUTTON TROCH 25MM,741.0,741.0,39.27,889.2,20
CDM,911858,SCREW BN 3.5MM 16MM,170.0,170.0,9.01,204.0,20
CDM,911865,SCREW BN CANN 4X24MM,613.52,613.52,32.52,736.22,20
CDM,911866,SCREW BN CANN 4X28MM,613.52,613.52,32.52,736.22,20
CDM,911869,SCREW BN ELBW 3.5X45MM,218.0,218.0,11.55,261.6,20
CDM,911870,SCREW BN 3.5MM 28MM,206.0,206.0,10.92,247.2,20
CDM,911871,DRESSING NASAL SINUS 8CM,4070.0,4070.0,215.71,4884.0,49
CDM,911901,NAIL BN FIB RT 3MM 13MM,5990.0,5990.0,317.47,7188.0,20
CDM,911903,REAMER SURG CANN 4MM,2564.0,2564.0,135.89,3076.8,49
CDM,911910,CLAMP EXFX LG CMBN NS,3824.0,3824.0,202.67,4588.8,49
CDM,911921,SCREW SPN 3.5MM 10MM,900.0,900.0,47.7,1080.0,20
CDM,911923,ROD SPNL 35MM 3.5MM,360.0,360.0,19.08,432.0,20
CDM,911928,SCREW BN CERV 4X14MM,150.0,150.0,7.95,180.0,20
CDM,911930,ROD SPN 5.5MM 45MM,360.0,360.0,19.08,432.0,20
CDM,911935,SHELL ACTB HIP 9HL 48MM,4253.0,4253.0,225.41,5103.6,20
CDM,911940,GLENOSPHERE SHLDR 36MM,2400.0,2400.0,127.2,2880.0,20
CDM,911942,STAPLE BN 12MM 15MM,3790.0,3790.0,200.87,4548.0,20
CDM,911946,CATH GD 8.4FR 45CM,4074.0,4074.0,215.92,4888.8,49
CDM,911950,IMP SPN POSTER SI FUSION,14400.0,14400.0,763.2,17280.0,20
CDM,911957,BIT DRILL SURG 3.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,911974,DRIVER HEX 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,911975,INSTRMNT 1ST MET TRNSLTR,2564.0,2564.0,135.89,3076.8,49
CDM,911976,HANDLE INSTR CANN DISP,2564.0,2564.0,135.89,3076.8,49
CDM,911978,BURR SURG 2MM 20MM,4506.0,4506.0,238.82,5407.2,49
CDM,911979,BIT DRILL CANN 2.2X60MM,3000.0,3000.0,159.0,3600.0,49
CDM,911980,BIT DRILL 60MM 4MM,3000.0,3000.0,159.0,3600.0,49
CDM,911981,GAUGE SURG DEPTH DISP D,2564.0,2564.0,135.89,3076.8,49
CDM,911982,DRIVER HEX 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,911991,KWIRE BLNT 1.4MM 150MM,1196.0,1196.0,63.39,1435.2,49
CDM,911993,KWIRE TROCAR .9MM 150MM,1196.0,1196.0,63.39,1435.2,49
CDM,912006,SCREW BN 1.2MM 5MM,171.0,171.0,9.06,205.2,20
CDM,912007,SCREW BN 1.4MM 3MM,163.0,163.0,8.64,195.6,20
CDM,912018,STEM KN RV CMNT 14X30MM,1200.0,1200.0,63.6,1440.0,20
CDM,912029,DEVICE WNDCLS 23CM SZ3,1039.0,1039.0,55.07,1246.8,49
CDM,912039,SHELL ACTB HIP 13H 58MM,4253.0,4253.0,225.41,5103.6,20
CDM,912043,SLEEVE TIB KN PRCT 37MM,4625.0,4625.0,245.13,5550.0,20
CDM,912044,STEM FEM 18MM 60MM,2097.0,2097.0,111.14,2516.4,20
CDM,912045,BASEPLATE TIB KN SZ6,6286.0,6286.0,333.16,7543.2,20
CDM,912046,STEM FEM KN 14MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,912053,SCREW BN 11MM 30MM,590.0,590.0,31.27,708.0,20
CDM,912061,STAPLER INT CRV 25MM,4585.0,4585.0,243.0,5502.0,49
CDM,912062,STAPLER INT 5.2X1.5-2.2,4558.0,4558.0,241.57,5469.6,49
CDM,912064,GRAFT NRV 4-5MM 50MM,9188.0,9188.0,486.96,11025.6,20
CDM,912067,BURR SURG 3.1X13MM,5122.0,5122.0,271.47,6146.4,49
CDM,912068,SCREW BN 3.5X32MM,78.0,78.0,4.13,93.6,20
CDM,912071,SCREW BN LCK 3.5X32MM,289.0,289.0,15.32,346.8,20
CDM,912072,INTRODUCER TUBE 10F 70CM,184.0,184.0,9.75,220.8,49
CDM,912079,PLATE BN TIB 6H RT 91MM,4290.0,4290.0,227.37,5148.0,20
CDM,912099,INSERT TIB KN BRG 3 10MM,1900.0,1900.0,100.7,2280.0,20
CDM,912106,ROD SPN 3.5MM 45MM,360.0,360.0,19.08,432.0,20
CDM,912160,CAP PIN EXFX ANKL/FT 5MM,2495.0,2495.0,132.24,2994.0,49
CDM,912167,CMPNT FEM KN RS LT 8.5CM,9567.0,9567.0,507.05,11480.4,20
CDM,912180,BOOT WALK PEDS SM-MED,1487.0,1487.0,78.81,1784.4,49
CDM,912181,BOOT WALK PEDS LARGE,1487.0,1487.0,78.81,1784.4,49
CDM,912182,BOOT WALK PEDS XLARGE,1487.0,1487.0,78.81,1784.4,49
CDM,912201,SHELL ACTB HIP 64MM,2000.0,2000.0,106.0,2400.0,20
CDM,912217,CMPNT TIB KN SZ2,2100.0,2100.0,111.3,2520.0,20
CDM,912222,PIN SPN FX TEMPORARY,942.0,942.0,49.93,1130.4,49
CDM,912243,ROD SPN 3.5MM 65MM,360.0,360.0,19.08,432.0,20
CDM,912262,PLATE MDFC 2X6 HL 3D MLB,868.0,868.0,46.0,1041.6,20
CDM,912265,PLATE BN 6HL 5.5X1.3MM,2472.0,2472.0,131.02,2966.4,20
CDM,912282,INSERT TIB KN SZ1 10MM,1900.0,1900.0,100.7,2280.0,20
CDM,912292,GWIRE ORTH 150MM 1.4MM,2506.0,2506.0,132.82,3007.2,49
CDM,912293,HEAD HUM SHLDR 25X45MM,5000.0,5000.0,265.0,6000.0,20
CDM,912325,SCREW BN 3.5MM 40MM,386.0,386.0,20.46,463.2,20
CDM,912328,SCREW BN HEADED 2MM 20MM,300.0,300.0,15.9,360.0,20
CDM,912333,TISSEEL 4 ML TOPICAL,2564.0,2564.0,135.89,3076.8,30
CDM,912341,VALVE MITRAL 31-33MM,8160.0,8160.0,432.48,9792.0,20
CDM,912368,PACK PRFSN CSTM TL7M72R1,641.0,641.0,33.97,769.2,49
CDM,912370,HOOK STAY RETR ELAS 5MM,843.0,843.0,44.68,1011.6,49
CDM,912377,INSERT TIB KN SZ2 14MM,1900.0,1900.0,100.7,2280.0,20
CDM,912386,SCREW BN 6.5MM 45MM,110.0,110.0,5.83,132.0,20
CDM,912393,PLATE BN 4HL 3.5X87MM,2602.0,2602.0,137.91,3122.4,20
CDM,912396,STENT VNS 14X100MM 80CM,10104.0,10104.0,535.51,12124.8,20
CDM,912406,SCREW BN 3.5MM 14MM,642.0,642.0,34.03,770.4,20
CDM,912407,SCREW BN 3.5X16MM REDUCT,642.0,642.0,34.03,770.4,20
CDM,912409,SUTURE FBRTP TNDN KIT,5941.0,5941.0,314.87,7129.2,49
CDM,912414,SCREW BN 3.5MM 24MM,390.0,390.0,20.67,468.0,20
CDM,912420,NAIL BN IM RT 40CM 130D,4344.0,4344.0,230.23,5212.8,20
CDM,912424,PROSTHESIS PENL TTN 24CM,10194.0,10194.0,540.28,12232.8,20
CDM,912426,SCREW BN CANN HD 5.5X85,606.0,606.0,32.12,727.2,20
CDM,912432,SCREW CORT LP 3.5X13MM,132.0,132.0,7.0,158.4,20
CDM,912439,EXPANDER BRST SMTH 550CC,3100.0,3100.0,164.3,3720.0,20
CDM,912440,SCREW BN HEADED 3X16MM,315.0,315.0,16.7,378.0,20
CDM,912441,PLATE BN LAT RT MEDIUM,1892.0,1892.0,100.28,2270.4,20
CDM,912446,PLATE BN LAT LT SMALL,1892.0,1892.0,100.28,2270.4,20
CDM,912449,SCREW BN HEADED 4X42MM,354.0,354.0,18.76,424.8,20
CDM,912450,SCREW BN HEADED 4X46MM,354.0,354.0,18.76,424.8,20
CDM,912472,LEAD CRT PACING 88CM,3378.0,3378.0,179.03,4053.6,20
CDM,912476,PLATE SPN 1LVL 20MM,1900.0,1900.0,100.7,2280.0,20
CDM,912492,SCREW BN LCK LP 3X20MM,280.0,280.0,14.84,336.0,20
CDM,912499,DRSG WND TRNS 2.5X2IN,8.0,8.0,0.42,9.6,49
CDM,912502,ALLODERM SELECT 200 SQCM,11096.0,11096.0,588.09,13315.2,20
CDM,912518,GRASPER ENDO 220CM,5941.0,5941.0,314.87,7129.2,49
CDM,912526,ROD SPN LRDTC TI 6X45MM,360.0,360.0,19.08,432.0,20
CDM,912529,NEEDLE CRYOSURG 90D,14728.0,14728.0,780.58,17673.6,49
CDM,912540,RULER EX FX 345MM 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,912541,CLIP EX FIX TRNSPT STRUT,837.0,837.0,44.36,1004.4,49
CDM,912542,CAP END EX FIX 9.5X7MM,837.0,837.0,44.36,1004.4,49
CDM,912545,KIT CATH MIDLINE 3FR,2564.0,2564.0,135.89,3076.8,49
CDM,912547,KIT CATH MIDLINE 4FR,2564.0,2564.0,135.89,3076.8,49
CDM,912555,GWIRE ORTH 0.9X150MM,1097.0,1097.0,58.14,1316.4,49
CDM,912562,TIP ULTSNC IQ 12CM,6671.0,6671.0,353.56,8005.2,49
CDM,912586,PACKING NSL 1.5X2X4.5CM,363.0,363.0,19.24,435.6,49
CDM,912591,KIT MRKR DLVRY GW 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,912596,DRESSING HEMO GZE 2X2IN,332.0,332.0,17.6,398.4,49
CDM,912618,CATHETER IV 18GA 1.88IN,55.0,55.0,2.92,66.0,49
CDM,912619,CATHETER IV 20GA 1.88IN,55.0,55.0,2.92,66.0,49
CDM,912622,ELECTRODE ESURG 6.5IN,93.0,93.0,4.93,111.6,49
CDM,912623,LINE MNTR 2 PT,1350.0,1350.0,71.55,1620.0,49
CDM,912648,CTHGD LNCH 6F JL3,312.0,312.0,16.54,374.4,49
CDM,912651,BURR SURG 2MM 13MM,4585.0,4585.0,243.0,5502.0,49
CDM,912655,INSERT TIB KN SZ4 10MM,1900.0,1900.0,100.7,2280.0,20
CDM,912656,STENT PANC 29MM 146MM,9841.0,9841.0,521.57,11809.2,20
CDM,912664,BASEPLATE KN TIB SZ9,2100.0,2100.0,111.3,2520.0,20
CDM,912678,SCREW BN 2.7MM 34MM,260.0,260.0,13.78,312.0,20
CDM,912680,SCREW BN 2.7MM 32MM,260.0,260.0,13.78,312.0,20
CDM,912681,SCREW BN CRTX ST2.7X20MM,84.0,84.0,4.45,100.8,20
CDM,912684,SCREW BN LCK ST 3.5X36MM,289.0,289.0,15.32,346.8,20
CDM,912685,SCREW BN 3.5MM 50MM,289.0,289.0,15.32,346.8,20
CDM,912690,BIT DRILL LCK 4.2MM 360M,2564.0,2564.0,135.89,3076.8,49
CDM,912691,BIT DRL 185MM 4.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,912692,NAIL BN FEM LT 10X380MM,3212.0,3212.0,170.24,3854.4,20
CDM,912693,SCREW BN 5MM 50MM,324.0,324.0,17.17,388.8,20
CDM,912694,GRAFT NRV 1-2MM 50MM,13478.0,13478.0,714.33,16173.6,20
CDM,912698,SCREW BN LCK 5MM 40MM,240.0,240.0,12.72,288.0,20
CDM,912699,SCREW BN LCK 5MM 35MM,324.0,324.0,17.17,388.8,20
CDM,912711,PLATE BN LT SM,1520.0,1520.0,80.56,1824.0,20
CDM,912725,CAGE SPN 55X18X10MM,7600.0,7600.0,402.8,9120.0,20
CDM,912727,SCREW BN SLFTP 1.2X8MM,155.0,155.0,8.21,186.0,20
CDM,912733,REAMER TRA FMLE MTP 17,897.0,897.0,47.54,1076.4,49
CDM,912736,SCREW SPN P-AX 5.5X8X55,1200.0,1200.0,63.6,1440.0,20
CDM,912737,SCREW SPN P-AX 5.5X9X60,1300.0,1300.0,68.9,1560.0,20
CDM,912767,PLATE SPN 1LVL 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,912788,PLATE BN 42X7.5X2.7MM,2860.0,2860.0,151.58,3432.0,20
CDM,912827,CANNULA ARTHSCP 6MM 7CM,1206.0,1206.0,63.92,1447.2,49
CDM,912829,COIL EMBL STD 20CM 7MM,2860.0,2860.0,151.58,3432.0,20
CDM,912833,CATH THRMB 16MM 105CM,37267.0,37267.0,1975.15,44720.4,49
CDM,912834,SHEATH CLOTREM 13FR,9326.0,9326.0,494.28,11191.2,49
CDM,912859,SCREW BN LCK 2.4X16MM,322.0,322.0,17.07,386.4,20
CDM,912860,SCREW BN LCK 2.4X18MM,322.0,322.0,17.07,386.4,20
CDM,912865,SCREW BN 4.0MM 20MM,236.0,236.0,12.51,283.2,20
CDM,912867,CRT-D HF-T DF4,19074.0,19074.0,1010.92,22888.8,20
CDM,912870,SUTURE BLU MONO 5-0 30IN,86.0,86.0,4.56,103.2,49
CDM,912871,SUTURE UND MONO 5-0 18IN,156.0,156.0,8.27,187.2,49
CDM,912872,SUTURE VIO MONO 6-0 30IN,361.0,361.0,19.13,433.2,49
CDM,912873,SUTURE VIO MONO 6-0 30IN,470.0,470.0,24.91,564.0,49
CDM,912874,SUTURE VIO MONO 7-0 30IN,13.0,13.0,0.69,15.6,49
CDM,912875,SUTURE VIO MONO 7-0 24IN,490.0,490.0,25.97,588.0,49
CDM,912899,PLATE BN DSTL RT 3H 64M,2461.0,2461.0,130.43,2953.2,20
CDM,912905,INSERT HUM SHLDR +4 36MM,1460.0,1460.0,77.38,1752.0,20
CDM,912909,TISSUE EXPNDR SMTH 400CC,3100.0,3100.0,164.3,3720.0,20
CDM,912914,PLATE BN TPR LOPRO RT,2190.0,2190.0,116.07,2628.0,20
CDM,912971,SET FD KNRG PUMP 1000ML,152.0,152.0,8.06,182.4,49
CDM,912985,BIT DRILL 4.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,913005,HOOK RETR 6.25IN,321.0,321.0,17.01,385.2,49
CDM,913033,CMPNT FEM KN RT SZ4,8365.0,8365.0,443.35,10038.0,20
CDM,913034,BASEPLATE TIB KN REV SZ3,6286.0,6286.0,333.16,7543.2,20
CDM,913035,SLEEVE KN FEM 30MM,4097.0,4097.0,217.14,4916.4,20
CDM,913038,SPACER SPN 12X12X21MM,9648.0,9648.0,511.34,11577.6,20
CDM,913061,CAGE SPN XL 10X18X50MM,7600.0,7600.0,402.8,9120.0,20
CDM,913062,DRAIN INCS 19FX40CM 15F,2054.0,2054.0,108.86,2464.8,49
CDM,913088,KIT FLD MGMT HYSCP,3228.0,3228.0,171.08,3873.6,49
CDM,913114,CMPNT SHLDR 38MM +4MM,2600.0,2600.0,137.8,3120.0,20
CDM,913119,WASHER ORTH RND 12.7MM,186.0,186.0,9.86,223.2,20
CDM,913121,PIN HLF 200MM 6MM ORTH H,2564.0,2564.0,135.89,3076.8,49
CDM,913135,BAG SPEC RETRVL 1550ML,2564.0,2564.0,135.89,3076.8,49
CDM,913138,CATHETER DUAL LUMEN 28FR,19041.0,19041.0,1009.17,22849.2,49
CDM,913139,CATH CV DUAL LUMEN 32FR,19041.0,19041.0,1009.17,22849.2,49
CDM,913168,INTRO CATH GW 8.7FR 45CM,3119.0,3119.0,165.31,3742.8,49
CDM,913169,KIT CARDIAC CATHETER,2564.0,2564.0,135.89,3076.8,49
CDM,913170,DRILL DISP 6MM-12MM,5436.0,5436.0,288.11,6523.2,49
CDM,913174,CMPNT SHLDR 2MM,2278.0,2278.0,120.73,2733.6,20
CDM,913176,PASSER SUT 25D CRV RT,2564.0,2564.0,135.89,3076.8,49
CDM,913183,SCREW BN 5MM 42.5MM,324.0,324.0,17.17,388.8,20
CDM,913184,SCREW BN 5MM 37.5MM,240.0,240.0,12.72,288.0,20
CDM,913187,SHEATH SZ 9F TIP 80CM,5941.0,5941.0,314.87,7129.2,49
CDM,913188,SCREW BN 7.0MM 75MM,462.0,462.0,24.49,554.4,20
CDM,913190,SLING 22.5X17IN ARM ELVT,479.0,479.0,25.39,574.8,49
CDM,913194,SCREW BN CANN P-T 8X65MM,1008.0,1008.0,53.42,1209.6,20
CDM,913220,SCREW SPN 5.5MM,450.0,450.0,23.85,540.0,20
CDM,913236,PIN HALF 50MM 5MM FRCTN,6319.0,6319.0,334.91,7582.8,49
CDM,913256,OVERTUB ENDO 19.5MM 25CM,2564.0,2564.0,135.89,3076.8,49
CDM,913260,INSERT TIB KN SZ3 12MM,1900.0,1900.0,100.7,2280.0,20
CDM,913288,SCREW BN SPN 4MM 32MM,1005.0,1005.0,53.27,1206.0,20
CDM,913290,PLATE BN 2.7/3.5MM 97MM,2760.0,2760.0,146.28,3312.0,20
CDM,913291,SCREW BN 3.5MM 50MM,87.0,87.0,4.61,104.4,20
CDM,913292,SCREW BN 3.5MM 30MM,74.0,74.0,3.92,88.8,20
CDM,913293,PLATE BN 14HL 251MM,2724.0,2724.0,144.37,3268.8,20
CDM,913309,SY BULB CATH TIP 60CC,9.39,9.39,0.5,11.27,49
CDM,913318,COIL EMBL 7-3MM .035IN,169.0,169.0,8.96,202.8,20
CDM,913329,BANDAGE ELASTIC 5YDX2IN,22.0,22.0,1.17,26.4,49
CDM,913332,PACK PHACO 45D 0.9MM,5941.0,5941.0,314.87,7129.2,49
CDM,913374,BIT DRILL QC 2.5X180MM,2564.0,2564.0,135.89,3076.8,49
CDM,913396,CMPNT FEM KN SZ5,3600.0,3600.0,190.8,4320.0,20
CDM,913406,KIT ANCH MNSCL REPR ROOT,2790.0,2790.0,147.87,3348.0,20
CDM,913408,SCREW SPN P-AX 8X80MM,1300.0,1300.0,68.9,1560.0,20
CDM,913422,NAIL BN 11MM 420MM,4061.0,4061.0,215.23,4873.2,20
CDM,913424,DRL SCLED 3.2 AO FITTING,2815.0,2815.0,149.19,3378.0,49
CDM,913425,OVERDRILL  4.5MM,3096.0,3096.0,164.09,3715.2,49
CDM,913427,SCREW BN 2.7X24MM,90.0,90.0,4.77,108.0,20
CDM,913439,INSERT SCKT SHLDR 36MM,1534.0,1534.0,81.3,1840.8,20
CDM,913440,HEAD HUM 25MM 40MM SHLDR,5000.0,5000.0,265.0,6000.0,20
CDM,913441,SCREW BN HD 3.5X22MM,321.0,321.0,17.01,385.2,20
CDM,913443,STENT GRAFT 25X25X96MM,36990.0,36990.0,1960.47,44388.0,20
CDM,913446,PLATE BN FLX FIB UNV 7HL,1890.0,1890.0,100.17,2268.0,20
CDM,913469,SCREW BN SM 2.7X4.3X36MM,260.0,260.0,13.78,312.0,20
CDM,913470,SCREW BN 2.7MM 40MM,260.0,260.0,13.78,312.0,20
CDM,913471,SCREW BN 4.0MM 40MM,180.0,180.0,9.54,216.0,20
CDM,913473,SCREW BN LCK 3.5X40MM,289.0,289.0,15.32,346.8,20
CDM,913568,CATH GD CRBRVASC 6/150CM,1871.0,1871.0,99.16,2245.2,49
CDM,913570,TIP ULTSNC SURG ASP 12CM,7376.0,7376.0,390.93,8851.2,49
CDM,913581,PLATE BN TPR RT LNG,2190.0,2190.0,116.07,2628.0,20
CDM,913583,KIT TNDNS GFT SZ W/FL ST,3864.0,3864.0,204.79,4636.8,49
CDM,913613,CAGE SPNL 24-40MM 12MM,10800.0,10800.0,572.4,12960.0,20
CDM,913622,PROBE STIM MNPLR,2564.0,2564.0,135.89,3076.8,49
CDM,913623,PROBE STIM TPR BALL TIP,2564.0,2564.0,135.89,3076.8,49
CDM,913624,GUIDEWIRE ORTH 1.4MM,942.0,942.0,49.93,1130.4,49
CDM,913627,INSERT TIB KN BRG 3 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,913631,INSERT TIB KN SZ5 10MM,1900.0,1900.0,100.7,2280.0,20
CDM,913632,BIT DRL 130MM 4.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,913633,NAIL TIB 9MM 300MM,2614.0,2614.0,138.54,3136.8,20
CDM,913634,SCREW BN 5MM 32.5MM,324.0,324.0,17.17,388.8,20
CDM,913636,SCREW BN 5MM 25MM,240.0,240.0,12.72,288.0,20
CDM,913650,WRENCH ESURG BLU TRQ,2564.0,2564.0,135.89,3076.8,49
CDM,913661,SCREW BN 3.5MM 38MM,289.0,289.0,15.32,346.8,20
CDM,913665,SCREW BN 3.5MM 18MM,312.0,312.0,16.54,374.4,20
CDM,913666,INSERT TIB KN SZ6 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,913667,SCREW BN 4.7MM 14MM,158.0,158.0,8.37,189.6,20
CDM,913669,WASHER EVOS ORTH 3.5 MM,80.0,80.0,4.24,96.0,20
CDM,913670,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,913686,SCREW BN 4.7MM 22MM,158.0,158.0,8.37,189.6,20
CDM,913691,SCREW S/T LCK 3.5X15MM,312.0,312.0,16.54,374.4,20
CDM,913692,SCREW BN 3.5X20MM,289.0,289.0,15.32,346.8,20
CDM,913693,SCREW BN LCK 2.7X17MM,260.0,260.0,13.78,312.0,20
CDM,913700,GWIRE VASC 300CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,913709,POST BN PIP 45D 4MM 20MM,2436.0,2436.0,129.11,2923.2,20
CDM,913710,SCREW BN LAG 3MM 20MM,780.0,780.0,41.34,936.0,20
CDM,913711,SCREW BN LAG 3MM 22MM,780.0,780.0,41.34,936.0,20
CDM,913718,TISSEEL 10 ML TOPICAL,4829.0,4829.0,255.94,5794.8,30
CDM,913730,PLATE BN 3.5MM 82MM,221.0,221.0,11.71,265.2,20
CDM,913731,SCREW BN ST 3.5X110MM,127.0,127.0,6.73,152.4,20
CDM,913733,SCREW BN F-T 4X50MM,192.0,192.0,10.18,230.4,20
CDM,913735,SCREW LCKG ST 2.7X44MM,260.0,260.0,13.78,312.0,20
CDM,913739,SCREW BN LCKG 5X55MM,240.0,240.0,12.72,288.0,20
CDM,913752,COIL EMBL 50CM 6MM,3380.0,3380.0,179.14,4056.0,20
CDM,913763,MANIFOLD ANGIO 2PRT 1/2,133.0,133.0,7.05,159.6,49
CDM,913764,SCREW BN HEADED 4X34MM,354.0,354.0,18.76,424.8,20
CDM,913773,ROD SPN 3.5MM 55MM,360.0,360.0,19.08,432.0,20
CDM,913774,FILLER BN VOID 5CC CANC,1640.0,1640.0,86.92,1968.0,20
CDM,913784,STEM HUM SHLDR 10MM 48MM,10914.0,10914.0,578.44,13096.8,20
CDM,913788,PLATE FIB RT 11HL 147MM,2021.0,2021.0,107.11,2425.2,20
CDM,913789,SCREW BN 2.7MM 12MM,244.0,244.0,12.93,292.8,20
CDM,913790,SCREW BN 4MM 12MM,180.0,180.0,9.54,216.0,20
CDM,913791,PIN FX PRVSNL 2MM 25MM,3017.0,3017.0,159.9,3620.4,49
CDM,913798,PLATE BN RAD 8H 98MM,2860.0,2860.0,151.58,3432.0,20
CDM,913799,PLATE BN 7HL 3.5MM 90MM,713.0,713.0,37.79,855.6,20
CDM,913800,BIT DRILL QC 2.5 85/110M,2054.0,2054.0,108.86,2464.8,49
CDM,913803,BIT DRILL 2.1MM 80MM,1858.0,1858.0,98.47,2229.6,49
CDM,913813,SCREW BN 2.7X4.3X42MM,244.0,244.0,12.93,292.8,20
CDM,913817,SCREW BN 3.5X22MM,390.0,390.0,20.67,468.0,20
CDM,913818,SCREW BN LCKG 3.5X32MM,390.0,390.0,20.67,468.0,20
CDM,913819,SCREW BN 3.5X34MM,390.0,390.0,20.67,468.0,20
CDM,913820,SCREW BN LCKG 3.5X36MM,322.0,322.0,17.07,386.4,20
CDM,913821,SCREW ANKL FT 3.5X26MM,259.0,259.0,13.73,310.8,20
CDM,913843,PIN FX INSTR THRD HIP,2564.0,2564.0,135.89,3076.8,49
CDM,913852,SCREW BN LP TI 4X12MM,126.0,126.0,6.68,151.2,20
CDM,913866,PASSER SUT 25D CRV LT,2564.0,2564.0,135.89,3076.8,49
CDM,913868,PLATE BN 4HL 3.5MM 75MM,2655.0,2655.0,140.72,3186.0,20
CDM,913869,PLATE BN 70X11.2X2MM,2655.0,2655.0,140.72,3186.0,20
CDM,913870,SCREW BN 4.7MM 60MM EVOS,148.0,148.0,7.84,177.6,20
CDM,913871,SCREW BN 3.5MM 38MM,78.0,78.0,4.13,93.6,20
CDM,913872,SCREW BN 3.5MM 44MM,93.0,93.0,4.93,111.6,20
CDM,913873,PIN FX 14MM 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,913881,STAPLER ROBTC 45MM,5941.0,5941.0,314.87,7129.2,49
CDM,913882,RELOAD STPLR 45MM,420.0,420.0,22.26,504.0,20
CDM,913898,ROD SPN TMPLT 200MM,942.0,942.0,49.93,1130.4,49
CDM,913902,SCREW BN CANN 5.5X60MM,606.0,606.0,32.12,727.2,20
CDM,913903,RING TAB HALF 180MM,7857.0,7857.0,416.42,9428.4,49
CDM,913904,RING EXFX FT TAB 180MM,9762.0,9762.0,517.39,11714.4,49
CDM,913913,TOOL TUNNELING 50CM,2564.0,2564.0,135.89,3076.8,49
CDM,913924,SCREW BN 1.7MM 8MM,153.0,153.0,8.11,183.6,20
CDM,913930,SCREW BN 4.7MM 32MM,148.0,148.0,7.84,177.6,20
CDM,913931,SCREW BN 3.5X34MM,289.0,289.0,15.32,346.8,20
CDM,913932,SCREW BN 3.5MM 42MM,289.0,289.0,15.32,346.8,20
CDM,913933,SCREW BN 3.5MM 19MM,61.0,61.0,3.23,73.2,20
CDM,913955,VALVE HMSTS BORE SM,607.0,607.0,32.17,728.4,49
CDM,913971,CATH URET 2W 8FR 3CC,118.0,118.0,6.25,141.6,49
CDM,913977,COIL EMBL 20CM 9MM,4790.0,4790.0,253.87,5748.0,20
CDM,913980,NEOX 100 16 SQCM,8750.0,8750.0,463.75,10500.0,30
CDM,914039,TUBE ET NIM EMG 5MM,4139.0,4139.0,219.37,4966.8,49
CDM,914044,INSERT TIB KN SZ4 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,914045,IPG NRSTM 5.3X4.8CM,29562.0,29562.0,1566.79,35474.4,20
CDM,914047,APPLICATOR HEMOSTAT PWD,2564.0,2564.0,135.89,3076.8,49
CDM,914058,STENT INTRCR 4.0MM 24MM,14065.0,14065.0,745.45,16878.0,20
CDM,914061,SCREW BN 5X55MM,950.0,950.0,50.35,1140.0,20
CDM,914070,PLATE BN 7HL 1.1MM,950.0,950.0,50.35,1140.0,20
CDM,914083,SCREW BN 2.7MM 4.5MM,84.0,84.0,4.45,100.8,20
CDM,914086,CATH ULTSND 3.0MM 40MM,21373.0,21373.0,1132.77,25647.6,49
CDM,914090,BEARING HUM SHLDR 36MM,2500.0,2500.0,132.5,3000.0,20
CDM,914092,BEARING HUM SHLDR 36MM,2900.0,2900.0,153.7,3480.0,20
CDM,914101,BIODDRYFLEX 16 SQCM,9792.0,9792.0,518.98,11750.4,30
CDM,914105,INSERT TIB KN SZ3 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,914113,STEM HUM SM SH 12X48MM,10914.0,10914.0,578.44,13096.8,20
CDM,914133,NEEDLE MED SUT PSS,2564.0,2564.0,135.89,3076.8,49
CDM,914135,SCREW SPN P-AX 8X70MM,1300.0,1300.0,68.9,1560.0,20
CDM,914137,SPACER SPN 9X12X25 10D,4000.0,4000.0,212.0,4800.0,20
CDM,914150,ALLODERM 320 SQCM,60312.0,60312.0,3196.54,72374.4,30
CDM,914174,SCREW SPNL CORT 7X60MM,1300.0,1300.0,68.9,1560.0,20
CDM,914186,BLADE OSTME 25MM,2564.0,2564.0,135.89,3076.8,49
CDM,914187,SCREW BN 2.3MM 7MM,1408.0,1408.0,74.62,1689.6,20
CDM,914191,EXPANDER TISS 133S-SX-13,3100.0,3100.0,164.3,3720.0,20
CDM,914195,BRACE SLING SHD 3 SMALL,1468.0,1468.0,77.8,1761.6,49
CDM,914205,KIT IPG TEMPLATE DISP,2564.0,2564.0,135.89,3076.8,49
CDM,914216,TRAY CATH 16FR TEMP FOLY,991.0,991.0,52.52,1189.2,49
CDM,914254,SCREW BN LCKG 5X65MM,324.0,324.0,17.17,388.8,20
CDM,914292,PLATE BN 5H 3.5MM 78MM,2473.0,2473.0,131.07,2967.6,20
CDM,914295,SCREW BN 4.7MM 38MM,148.0,148.0,7.84,177.6,20
CDM,914296,SCREW BN 4.7MM 48MM,148.0,148.0,7.84,177.6,20
CDM,914297,SCREW BN 3.5MM 40MM,78.0,78.0,4.13,93.6,20
CDM,914302,SCREW SPN 4MM 16MM,150.0,150.0,7.95,180.0,20
CDM,914306,CONN ROD SPN 5.5-6.0MM,700.0,700.0,37.1,840.0,20
CDM,914307,SCREW SPN 6.5MM 40MM,1300.0,1300.0,68.9,1560.0,20
CDM,914308,SCREW SPN 6.5MM 45MM,1300.0,1300.0,68.9,1560.0,20
CDM,914315,KNIFE HNDPC APEX 11CM,7026.0,7026.0,372.38,8431.2,49
CDM,914320,STEM HUM SM SH 8X48MM,10914.0,10914.0,578.44,13096.8,20
CDM,914321,CMPNT FEM KN RSS LT 7CM,9190.0,9190.0,487.07,11028.0,20
CDM,914322,SCREW BN 4.7MM 42MM,148.0,148.0,7.84,177.6,20
CDM,914328,INSERT TIB KN SZ3 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,914330,GRAFT TNDN LAT CONNECT,2445.0,2445.0,129.59,2934.0,20
CDM,914331,DVC REVASC 4X40MM 200CM,49741.0,49741.0,2636.27,59689.2,49
CDM,914332,DVC REVASC 6X20MM 200CM,49741.0,49741.0,2636.27,59689.2,49
CDM,914333,DVC REVASC 6X40MM 200CM,49741.0,49741.0,2636.27,59689.2,49
CDM,914334,CATH VASC .071 132CM,17487.0,17487.0,926.81,20984.4,49
CDM,914335,CATHETER INFS MIC 21,8798.0,8798.0,466.29,10557.6,49
CDM,914353,PRIMATRIX 250 SQCM,35000.0,35000.0,1855.0,42000.0,30
CDM,914355,TISSUE EXPANDR SMTH 13-T,3100.0,3100.0,164.3,3720.0,20
CDM,914360,NAIL BN TIB IM 9X375MM,2614.0,2614.0,138.54,3136.8,20
CDM,914361,SCREW BN 5MM 75MM,324.0,324.0,17.17,388.8,20
CDM,914362,SCREW BN LCKNG 5X80MM,240.0,240.0,12.72,288.0,20
CDM,914364,COIL EMBL FRM 18MM 50CM,4790.0,4790.0,253.87,5748.0,20
CDM,914365,COIL EMBL 50CM 22MM,4790.0,4790.0,253.87,5748.0,20
CDM,914370,STENT GRAFT 37X37X97MM,36990.0,36990.0,1960.47,44388.0,20
CDM,914372,SCREW BN LCKG 3.5X40MM,390.0,390.0,20.67,468.0,20
CDM,914373,SCREW BN NLCK 3.5X38MM,259.0,259.0,13.73,310.8,20
CDM,914374,SCREW BN 4MM 34MM MDLN U,354.0,354.0,18.76,424.8,20
CDM,914377,RELOAD STPLR 45MM,420.0,420.0,22.26,504.0,20
CDM,914378,RELOAD STPLR 45MM,420.0,420.0,22.26,504.0,20
CDM,914379,RELOAD STPLR 45MM,5040.0,5040.0,267.12,6048.0,20
CDM,914407,GARMENT CMP BRN 3 CIRC,2564.0,2564.0,135.89,3076.8,49
CDM,914408,GARMENT CMP SLV ELAS BRN,2299.0,2299.0,121.85,2758.8,49
CDM,914409,GARMENT CMP SLV ELAS BRN,2564.0,2564.0,135.89,3076.8,49
CDM,914410,GARMENT CMP SLV ELAS BRN,1809.0,1809.0,95.88,2170.8,49
CDM,914411,IMMOBILIZER ARM/ELEV MD,360.0,360.0,19.08,432.0,49
CDM,914434,SET TUBING INSFL FLTR,358.0,358.0,18.97,429.6,49
CDM,914464,NEEDLE IO 15GA 45MM,2564.0,2564.0,135.89,3076.8,49
CDM,914472,NAIL BN RT 10MM 16CM,2180.0,2180.0,115.54,2616.0,20
CDM,914473,INSERT TIB KN BRNG 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,914474,SUT MONO SZ +3-0 24IN,778.0,778.0,41.23,933.6,49
CDM,914476,PROS PENL 16CM-25CM 11MM,22665.0,22665.0,1201.24,27198.0,20
CDM,914487,STENT INTRCR 3.0MM 24MM,14065.0,14065.0,745.45,16878.0,20
CDM,914488,STENT VASC 4.5MM 21MM,15426.0,15426.0,817.58,18511.2,20
CDM,914489,STENT INTRCR 4.5MM 30MM,14065.0,14065.0,745.45,16878.0,20
CDM,914494,PLT BN LT 3H 2.7/3.5X80,3060.0,3060.0,162.18,3672.0,20
CDM,914496,SCREW BN 3.5MM 14MM,289.0,289.0,15.32,346.8,20
CDM,914497,SCREW BN 3.5MM 16MM,289.0,289.0,15.32,346.8,20
CDM,914500,SCREW BN 2.7MM 32MM,84.0,84.0,4.45,100.8,20
CDM,914521,SUTURE VIO MONO 4-0 36IN,271.0,271.0,14.36,325.2,49
CDM,914526,PIN ORTH FX 120MM,942.0,942.0,49.93,1130.4,49
CDM,914535,SCREW BN SPN 3MM 10MM,1000.0,1000.0,53.0,1200.0,20
CDM,914542,KIT STENT PANC 4FR 5CM,329.0,329.0,17.44,394.8,20
CDM,914543,KIT STENT PANC 4FR 3CM,329.0,329.0,17.44,394.8,20
CDM,914546,SCREW BN CANN HDLS 7X76,1424.0,1424.0,75.47,1708.8,20
CDM,914567,EXPANDER TISS 100ML,2000.0,2000.0,106.0,2400.0,20
CDM,914576,BLADE ARTHSCP DTCH 4MM,2564.0,2564.0,135.89,3076.8,49
CDM,914577,KIT SURG DRL SPEAR OBTR,2564.0,2564.0,135.89,3076.8,49
CDM,914590,DRILL SURG LNG QC 1.8MM,2564.0,2564.0,135.89,3076.8,49
CDM,914592,SCREW BN 2.4MM 28MM,73.0,73.0,3.87,87.6,20
CDM,914594,SCREW BN 2.4MM 32MM,156.0,156.0,8.27,187.2,20
CDM,914595,SCREW BN 2.4MM 34MM,127.0,127.0,6.73,152.4,20
CDM,914596,SCREW BN 2.4MM 40MM,70.0,70.0,3.71,84.0,20
CDM,914598,SCREW BN T8 S/T 2.7X26MM,260.0,260.0,13.78,312.0,20
CDM,914599,SCREW BN 3.5MM 70MM,98.0,98.0,5.19,117.6,20
CDM,914602,PIN FX 2.5MM 14MM,2564.0,2564.0,135.89,3076.8,49
CDM,914603,INSERT TIB KN 3 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,914629,STENT GRAFT 34X34X100MM,36990.0,36990.0,1960.47,44388.0,20
CDM,914630,STENT GRAFT 40X40X100MM,36990.0,36990.0,1960.47,44388.0,20
CDM,914631,SHEATH INTRO 18FR 64CM,5240.0,5240.0,277.72,6288.0,49
CDM,914637,NAIL BN LT INTERTRO 42CM,4086.0,4086.0,216.56,4903.2,20
CDM,914638,CMPNT FEM NAR KN LT SZ7,3600.0,3600.0,190.8,4320.0,20
CDM,914642,INSERT TIB KN BRNG 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,914643,CMPNT FEM KN SZ8,3640.0,3640.0,192.92,4368.0,20
CDM,914647,SCREW BN SLFTP 3.5X22MM,312.0,312.0,16.54,374.4,20
CDM,914652,PLATE BN 3.5/2.7 186MM,4995.0,4995.0,264.74,5994.0,20
CDM,914654,SCREW BN 2.7MM 44MM,77.0,77.0,4.08,92.4,20
CDM,914655,SCREW BN 2.7X4.5X46MM,77.0,77.0,4.08,92.4,20
CDM,914656,SCREW BN 4.7X46MM,148.0,148.0,7.84,177.6,20
CDM,914684,NAIL BN 125D 10MM 24CM,4345.0,4345.0,230.28,5214.0,20
CDM,914687,SCREW PLT NLCK 2X12MM,259.0,259.0,13.73,310.8,20
CDM,914688,SCREW PLT NLCK 2X14MM,259.0,259.0,13.73,310.8,20
CDM,914689,SCREW SPN 5.5MM 40MM,1300.0,1300.0,68.9,1560.0,20
CDM,914699,SCREW BN HEADED 3X22MM,315.0,315.0,16.7,378.0,20
CDM,914700,SCREW BN LCK 2X10MM,322.0,322.0,17.07,386.4,20
CDM,914701,SCREW BN LCK 2X14MM,322.0,322.0,17.07,386.4,20
CDM,914702,SCREW ANKL NLCK 2X10MM,259.0,259.0,13.73,310.8,20
CDM,914703,SCREW BN 2.7X20MM,322.0,322.0,17.07,386.4,20
CDM,914704,SCREW P-AX LCK 2.7X22MM,322.0,322.0,17.07,386.4,20
CDM,914705,SCREW P-AX LCK 2.7X24MM,322.0,322.0,17.07,386.4,20
CDM,914706,PLATE BN STR 5HL,1404.0,1404.0,74.41,1684.8,20
CDM,914707,PLATE METATARSAL LG,2160.0,2160.0,114.48,2592.0,20
CDM,914709,SCREW P-AX LCK 2.7X14MM,322.0,322.0,17.07,386.4,20
CDM,914710,SCREW P-AX LCK 2.7X16MM,322.0,322.0,17.07,386.4,20
CDM,914711,SCREW BN 2.7X18MM,320.0,320.0,16.96,384.0,20
CDM,914734,ANCHOR SPN CAGE MED,400.0,400.0,21.2,480.0,20
CDM,914735,PLATE BN STRT 8HL,900.0,900.0,47.7,1080.0,20
CDM,914736,SCREW BN 5MM 42MM,467.0,467.0,24.75,560.4,20
CDM,914737,ICD DX DF4,13536.0,13536.0,717.41,16243.2,20
CDM,914739,LEAD ICD DX 65/15,6178.0,6178.0,327.43,7413.6,20
CDM,914740,PROBE ARTHSCP 90D,2564.0,2564.0,135.89,3076.8,49
CDM,914751,STEM HUM SHLDR SZ6 48MM,10914.0,10914.0,578.44,13096.8,20
CDM,914752,NAIL BN TIB 10MM 360MM,2706.0,2706.0,143.42,3247.2,20
CDM,914753,SCREW BN 2.7X4.3X14MM,244.0,244.0,12.93,292.8,20
CDM,914765,PLATE BN STR LCK 12HL,1390.0,1390.0,73.67,1668.0,20
CDM,914776,HANDLE COIL EMBL DTCH,2947.0,2947.0,156.19,3536.4,49
CDM,914843,RSC MNL PED MOD BRSL BLU,857.0,857.0,45.42,1028.4,49
CDM,914844,TRAY CATH URINE 16FR,309.0,309.0,16.38,370.8,49
CDM,914913,SCREW SPN 6MM 26MM,150.0,150.0,7.95,180.0,20
CDM,914924,CAGE SP 45X18X10MM CLYDE,6000.0,6000.0,318.0,7200.0,20
CDM,914934,INSERT TIB KN SZ7 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,914943,GRAFT VASC THIN 90CM 8MM,6144.0,6144.0,325.63,7372.8,20
CDM,914951,SCREW BN 2.4MM 22MM,74.0,74.0,3.92,88.8,20
CDM,914952,INSERT TIB KN SZ5 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,914957,SCREW BN 6.5MM 85MM,356.0,356.0,18.87,427.2,20
CDM,914960,SCREW BN TAN TROCH LAG,1400.0,1400.0,74.2,1680.0,20
CDM,914965,SCREW BN SLFTP 2.4X23MM,70.0,70.0,3.71,84.0,20
CDM,914966,INSERT TIB KN 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,914974,SCREW SPN 3.5X14MM,1000.0,1000.0,53.0,1200.0,20
CDM,914977,SCREW BN 3.5MM 80MM,108.0,108.0,5.72,129.6,20
CDM,914978,SCREW BN 3.5MM 75MM,108.0,108.0,5.72,129.6,20
CDM,914979,SCREW BN 3.5MM 55MM,93.0,93.0,4.93,111.6,20
CDM,914984,SCREW SPN TI T27 8X100MM,1300.0,1300.0,68.9,1560.0,20
CDM,914989,BRA POST OP W 32 40MM,547.0,547.0,28.99,656.4,49
CDM,914990,BRA POSTOP NYL SPNDX 34,547.0,547.0,28.99,656.4,49
CDM,914991,BRA POSTOP NYL SPNDX 36,547.0,547.0,28.99,656.4,49
CDM,914992,BRA POSTOP NYL SPNDX 38,547.0,547.0,28.99,656.4,49
CDM,914993,BRA POST OP BEIGE SZ40,547.0,547.0,28.99,656.4,49
CDM,914994,BRA POST OP BEIGE SZ42,547.0,547.0,28.99,656.4,49
CDM,914995,BRA POST OP BEIGE SZ44,547.0,547.0,28.99,656.4,49
CDM,914996,BRA POST OP BEIGE SZ46,547.0,547.0,28.99,656.4,49
CDM,914998,INSERT TIB KN 22MM,3043.0,3043.0,161.28,3651.6,20
CDM,915002,NAIL TIB 10.5X310MM,3560.0,3560.0,188.68,4272.0,20
CDM,915006,PLATE ORTHO 3HL,2000.0,2000.0,106.0,2400.0,20
CDM,915017,STEM HUM SHLDR SZ12 48MM,10914.0,10914.0,578.44,13096.8,20
CDM,915063,CMPNT PTLR KN 10X35MM,760.0,760.0,40.28,912.0,20
CDM,915064,COMPNT PTLR KN 9MM 29MM,760.0,760.0,40.28,912.0,20
CDM,915065,INSERT KN BRNG 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,915066,PROBE CRYO TIP 11IN 8MM,19041.0,19041.0,1009.17,22849.2,49
CDM,915068,SCREW BN 5MM 52.5MM,324.0,324.0,17.17,388.8,20
CDM,915086,SCREW BN 3.5MM 42MM,264.0,264.0,13.99,316.8,20
CDM,915098,PULSE GEN IMP,38000.0,38000.0,2014.0,45600.0,20
CDM,915117,COIL EMBL 14MM 34CM,1656.0,1656.0,87.77,1987.2,20
CDM,915118,SCREW BN FEM SYS 110MM,579.0,579.0,30.69,694.8,20
CDM,915123,NAIL BN TIB 9MM 330MM,2614.0,2614.0,138.54,3136.8,20
CDM,915124,SCREW BN 5MM 70MM,240.0,240.0,12.72,288.0,20
CDM,915138,CMPNT PTLR KN 10MM 32MM,760.0,760.0,40.28,912.0,20
CDM,915143,INSERT TIB KN SZ2 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,915144,SCREW BN 4.7MM 36MM,148.0,148.0,7.84,177.6,20
CDM,915145,SCREW STRNL SPN 2.7X10MM,134.0,134.0,7.1,160.8,20
CDM,915147,SCREW BN STRNL 2.7X12,134.0,134.0,7.1,160.8,20
CDM,915189,PIN PED SKULL TI WING,1036.0,1036.0,54.91,1243.2,49
CDM,915194,CATH MAP 15-25MM 117CM,12241.0,12241.0,648.77,14689.2,49
CDM,915199,PLATE BN STRNL CBL 4H,1289.0,1289.0,68.32,1546.8,20
CDM,915227,CMPNT FEM NAR KN RT SZ9,3600.0,3600.0,190.8,4320.0,20
CDM,915234,KIT DISP INST CRV SUT,3864.0,3864.0,204.79,4636.8,49
CDM,915235,ANCHOR SUT KNTLS #2,950.0,950.0,50.35,1140.0,20
CDM,915236,PROBE ARTHSCP 50D 50MM,3746.0,3746.0,198.54,4495.2,49
CDM,915241,CATH 10.5F 23MM 95CM,33420.0,33420.0,1771.26,40104.0,49
CDM,915273,KIT INTERNAL BRACE W CC,2990.0,2990.0,158.47,3588.0,20
CDM,915281,PLATE BN 10HL 3.5X116MM,1002.0,1002.0,53.11,1202.4,20
CDM,915302,SCREW SPN P-AX 3.5X14MM,900.0,900.0,47.7,1080.0,20
CDM,915304,SCREW SPN SET,100.0,100.0,5.3,120.0,20
CDM,915324,CATH THRMB 115CM,15738.0,15738.0,834.11,18885.6,49
CDM,915330,VALVE HEART TRNSCTH 23MM,65000.0,65000.0,3445.0,78000.0,20
CDM,915332,VALVE HEART TRNSCTH 26MM,65000.0,65000.0,3445.0,78000.0,20
CDM,915340,SCREW BN 3.5MM 46MM,455.0,455.0,24.11,546.0,20
CDM,915356,PLATE SPN ANT 1LVL 24MM,1900.0,1900.0,100.7,2280.0,20
CDM,915359,SCREW BN 3.0MM 36MM,922.0,922.0,48.87,1106.4,20
CDM,915360,SCREW BN 3MM 34MM,922.0,922.0,48.87,1106.4,20
CDM,915378,SYSTEM ANCHOR LIGMNT RPR,2990.0,2990.0,158.47,3588.0,20
CDM,915380,TIP ULTSNC KNIFE 11CM,7026.0,7026.0,372.38,8431.2,49
CDM,915384,SCREW SPN 6.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,915390,INSERT KN TIB SZ6 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,915404,NAIL BN 10MM 315MM,2706.0,2706.0,143.42,3247.2,20
CDM,915407,SCREW BN 1.2MM 6MM,155.0,155.0,8.21,186.0,20
CDM,915409,SCREW BN 5MM 60MM,950.0,950.0,50.35,1140.0,20
CDM,915415,WIRE BN HUM BL NSE,5941.0,5941.0,314.87,7129.2,49
CDM,915424,FILLER BN VOID MED CA SL,1904.0,1904.0,100.91,2284.8,20
CDM,915428,ANCHOR BICEPS TENODESIS,1250.0,1250.0,66.25,1500.0,20
CDM,915429,SCREW BN 5MM 40MM,240.0,240.0,12.72,288.0,20
CDM,915430,SCREW BN 5MM 47.5MM,324.0,324.0,17.17,388.8,20
CDM,915438,CATH INFS 30CM .040IN,9715.0,9715.0,514.89,11658.0,49
CDM,915440,ROD PERCUTANEOUS FXD 200,360.0,360.0,19.08,432.0,20
CDM,915442,PLATE BN LT 4H 70MM,2655.0,2655.0,140.72,3186.0,20
CDM,915443,SCREW BN 3.5MM 60MM,93.0,93.0,4.93,111.6,20
CDM,915445,SCREW BN 4MM 4.5MM 10MM,192.0,192.0,10.18,230.4,20
CDM,915446,SCREW BN 4MM 16MM,192.0,192.0,10.18,230.4,20
CDM,915447,SCREW BN 2.7MM 16MM,84.0,84.0,4.45,100.8,20
CDM,915448,SCREW BN 2.7X4.5X26MM,84.0,84.0,4.45,100.8,20
CDM,915474,STEM HUM SHLDR RVRS SZ7,4970.0,4970.0,263.41,5964.0,20
CDM,915475,CUP HUM SHLDR UNIV 39MM,1100.0,1100.0,58.3,1320.0,20
CDM,915476,SCREW BN GLND 5.5X16MM,160.0,160.0,8.48,192.0,20
CDM,915597,BIT DRILL 4.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,915654,SPLNT SM RT H/WRST PRFRM,816.0,816.0,43.25,979.2,49
CDM,915657,TUBE TRACH IC 6.0MM,1372.0,1372.0,72.72,1646.4,49
CDM,915660,APPLICATOR SKNCLS 27CM,5941.0,5941.0,314.87,7129.2,49
CDM,915664,SPLNT SM LT H/WRST PRFRM,816.0,816.0,43.25,979.2,49
CDM,915665,BRACE ORTH LNG UNV RT,2538.0,2538.0,134.51,3045.6,49
CDM,915666,BRACE ORTH ARM LNG,2538.0,2538.0,134.51,3045.6,49
CDM,915667,SPLINT BURN 9X12IN SILON,2564.0,2564.0,135.89,3076.8,49
CDM,915695,SCREW SPN WSHR 10X40MM,4800.0,4800.0,254.4,5760.0,20
CDM,915720,CATH CRYO 10.5FR 28MM,33420.0,33420.0,1771.26,40104.0,49
CDM,915723,GWIRE ORTH PERC 3.2MM,2031.0,2031.0,107.64,2437.2,49
CDM,915728,SCREW BN 5.5MM 65MM,310.0,310.0,16.43,372.0,20
CDM,915733,SCREW BN 3.5MM 54MM,455.0,455.0,24.11,546.0,20
CDM,915734,SCREW BN 3.5MM 42MM,455.0,455.0,24.11,546.0,20
CDM,915737,SCREW BN 2.5MM 36MM,700.0,700.0,37.1,840.0,20
CDM,915741,SCREW BN 2.7X4.5X30MM,84.0,84.0,4.45,100.8,20
CDM,915743,KWIRE 4.0MM 1.4X127MM,1553.0,1553.0,82.31,1863.6,49
CDM,915746,PLATE BN 3.5MM 9MM,2571.0,2571.0,136.26,3085.2,20
CDM,915747,SCREW BN 4.7MM 40MM,148.0,148.0,7.84,177.6,20
CDM,915748,SCREW BN 4.7MM 65MM,169.0,169.0,8.96,202.8,20
CDM,915767,NAIL FEM 13MM 420MM,2614.0,2614.0,138.54,3136.8,20
CDM,915768,SCREW BN LCK 5X45MM,240.0,240.0,12.72,288.0,20
CDM,915778,CAGE SPN 10D 9X17X14MM,1600.0,1600.0,84.8,1920.0,20
CDM,915794,PLATE BN 2.7/3.5MM 74MM,2473.0,2473.0,131.07,2967.6,20
CDM,915796,SCREW BN 4.7MM 16MM,148.0,148.0,7.84,177.6,20
CDM,915801,BOLT ORTH 30MM,756.0,756.0,40.07,907.2,20
CDM,915809,PLATE BN 8HL SM LT,3128.0,3128.0,165.78,3753.6,20
CDM,915811,TISSUE EXPANDER SMOOTH,3100.0,3100.0,164.3,3720.0,20
CDM,915812,COIL EMBOLIZATION 15CM,1960.0,1960.0,103.88,2352.0,20
CDM,915813,COIL EMBOLIZATION 3X20,3380.0,3380.0,179.14,4056.0,20
CDM,915814,COIL EMBOLIZATION 4X30,3380.0,3380.0,179.14,4056.0,20
CDM,915815,COIL EMBOLIZATION 5X30,3380.0,3380.0,179.14,4056.0,20
CDM,915816,COIL EMBOLIZATION 6X50,3380.0,3380.0,179.14,4056.0,20
CDM,915822,SCREW SPN 3.5MM 16MM,900.0,900.0,47.7,1080.0,20
CDM,915825,IMPLANT BREAST 160CC,2050.0,2050.0,108.65,2460.0,20
CDM,915844,EXPANDER TISS RECT 250CC,2000.0,2000.0,106.0,2400.0,20
CDM,915845,EXPANDER TISS 400CC,2000.0,2000.0,106.0,2400.0,20
CDM,915858,SPLINTORTH FNGR 18X1.5,37.0,37.0,1.96,44.4,49
CDM,915860,BRACE ORTH LG WRST RT,2564.0,2564.0,135.89,3076.8,49
CDM,915863,SPLINT 3/4X18IN FOAM,43.0,43.0,2.28,51.6,49
CDM,915865,SHOE POST OP PEDIATRIC,164.0,164.0,8.69,196.8,49
CDM,915887,SCREW BN 4.7MM 26MM,158.0,158.0,8.37,189.6,20
CDM,915889,SCREW BN 2MM 13MM,148.0,148.0,7.84,177.6,20
CDM,915890,SCREW BN GLND 6.5X40MM,600.0,600.0,31.8,720.0,20
CDM,915891,SCREW BN 4.7MM 34MM,148.0,148.0,7.84,177.6,20
CDM,915893,SCREW BN 4.7MM 44MM,158.0,158.0,8.37,189.6,20
CDM,915894,PLATE BN 162X11.4X3.4MM,4958.0,4958.0,262.77,5949.6,20
CDM,915895,SCREW BN 2.7MM 8MM,244.0,244.0,12.93,292.8,20
CDM,915896,SCREW BN 2.7X4.5X22MM,260.0,260.0,13.78,312.0,20
CDM,915897,SCREW BN LCK ST 2.7X24MM,260.0,260.0,13.78,312.0,20
CDM,915898,SCREW BN 4MM 4.5MM 36MM,180.0,180.0,9.54,216.0,20
CDM,915918,SCREW BN 3.5MM 38MM,156.0,156.0,8.27,187.2,20
CDM,915919,SLEEVE DRL GD MSR 3.2MM,4217.0,4217.0,223.5,5060.4,49
CDM,915936,COIL EMBL DTCH 20CM 7MM,5143.0,5143.0,272.58,6171.6,20
CDM,915942,NEEDLE BIOPSY FINE 19GA,5941.0,5941.0,314.87,7129.2,49
CDM,915944,INSERT TIB KN BRN 6 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,915959,PLATE BN 1H 3.5MM 69MM,1703.0,1703.0,90.26,2043.6,20
CDM,915960,SCREW BN 12MM,3790.0,3790.0,200.87,4548.0,20
CDM,915969,NEEDLE ASP 8GA 15CM,2564.0,2564.0,135.89,3076.8,49
CDM,915981,GDWIRE VASC W/FLX TP.014,2564.0,2564.0,135.89,3076.8,49
CDM,915995,INSERT TIB KN SZ5 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,916046,DRESSING WND AG 3OZ,844.0,844.0,44.73,1012.8,49
CDM,916072,SCREW BN 3.5MM 30MM,212.0,212.0,11.24,254.4,20
CDM,916073,NAIL TI HUM 9/7.5X20,3371.0,3371.0,178.66,4045.2,20
CDM,916074,NAIL BN LNG LT 13X300MM,3266.0,3266.0,173.1,3919.2,20
CDM,916101,EXPANDER TISS 40CC,3100.0,3100.0,164.3,3720.0,20
CDM,916107,ANCHOR SUTURE 2-0,990.0,990.0,52.47,1188.0,20
CDM,916109,CAGE SPNL 20MM,14725.0,14725.0,780.42,17670.0,20
CDM,916113,COIL EMBL 10CM 4.5MM,3956.0,3956.0,209.67,4747.2,20
CDM,916114,COIL EMBL 3CM 2MM,3956.0,3956.0,209.67,4747.2,20
CDM,916115,COIL EMBL 2.5MM 4CM,3956.0,3956.0,209.67,4747.2,20
CDM,916116,COIL EMBL 4CM 3MM,3956.0,3956.0,209.67,4747.2,20
CDM,916117,COIL EMBL 6CM 3.5MM,3956.0,3956.0,209.67,4747.2,20
CDM,916118,COIL EMBL 4.0MM 6CM,3956.0,3956.0,209.67,4747.2,20
CDM,916119,COIL EMBL 10CM 4MM,3956.0,3956.0,209.67,4747.2,20
CDM,916121,COIL EMBL 6MM 20CM,3956.0,3956.0,209.67,4747.2,20
CDM,916132,PLATE BN 8H 3.5MM 94MM,664.0,664.0,35.19,796.8,20
CDM,916135,SCREW BN 2.7MM 17MM,84.0,84.0,4.45,100.8,20
CDM,916136,CAGE SPN 8D 12MM,6000.0,6000.0,318.0,7200.0,20
CDM,916137,SCREW BN 2.7X24MM,84.0,84.0,4.45,100.8,20
CDM,916138,PLATE BN 14H 3.5MM 162MM,1710.0,1710.0,90.63,2052.0,20
CDM,916140,STENT 20FR 31X31MM 10CM,35200.0,35200.0,1865.6,42240.0,20
CDM,916141,IMOB SHLDR ADJ STRP MED,187.0,187.0,25.06,224.4,24
CDM,916142,IMOB SHDR ADJ STRP XL,199.0,199.0,26.67,238.8,24
CDM,916144,CMPNT FEM NAR KN LT SZ7,3800.0,3800.0,201.4,4560.0,20
CDM,916145,SCREW SPN 6.5MM 50MM,1300.0,1300.0,68.9,1560.0,20
CDM,916147,NAIL BN 125D 13MM 40CM,4086.0,4086.0,216.56,4903.2,20
CDM,916163,EXPANDER TISS 450CC,3100.0,3100.0,164.3,3720.0,20
CDM,916164,PLATE BN FT ANKL 5HL,1220.0,1220.0,64.66,1464.0,20
CDM,916167,PLATE BN 4H 29X10X3.5MM,1906.0,1906.0,101.02,2287.2,20
CDM,916168,PLATE BN 4H 27X8X3.5MM,1906.0,1906.0,101.02,2287.2,20
CDM,916169,PLATE BN 4H 25X6X3.5MM,1855.0,1855.0,98.31,2226.0,20
CDM,916173,CMPNT FEM KN SZ8,3600.0,3600.0,190.8,4320.0,20
CDM,916176,PLATE BN 4H 31X12X3.5MM,1906.0,1906.0,101.02,2287.2,20
CDM,916180,ROD EX FIX THRD 350MM,2764.0,2764.0,146.49,3316.8,49
CDM,916182,FILLER BN VOID SM CA SLF,1120.0,1120.0,59.36,1344.0,20
CDM,916183,NAIL IM TIB METAL,3486.0,3486.0,184.76,4183.2,20
CDM,916184,ROD SPN 3.5MM 25MM,360.0,360.0,19.08,432.0,20
CDM,916203,SCREW BN 1.7X10MM,138.0,138.0,7.31,165.6,20
CDM,916204,SCREW BN SLFTP 1.7X12MM,138.0,138.0,7.31,165.6,20
CDM,916213,MESH HERNIA PLTFORM 4.5,4598.0,4598.0,243.69,5517.6,20
CDM,916223,GARMENT CMPR FNGR CHLD,166.0,166.0,8.8,199.2,49
CDM,916238,SUTURE TP WHPBLK 1.3MM,2450.0,2450.0,129.85,2940.0,49
CDM,916249,PLATE BN SKYLN 24 ANT,1900.0,1900.0,100.7,2280.0,20
CDM,916250,PLATE CALC FRAC SM LFT,1520.0,1520.0,80.56,1824.0,20
CDM,916251,SCREW BN CMP 3.5X32,212.0,212.0,11.24,254.4,20
CDM,916252,SCREW BN CMP 3.5X34,212.0,212.0,11.24,254.4,20
CDM,916270,PEG BN FX 2.7MM 20MM,212.0,212.0,11.24,254.4,20
CDM,916279,STENT VASC 5X80MM 125CM,3590.0,3590.0,190.27,4308.0,20
CDM,916280,CAGE SPN 10.5X12X28 6D,4000.0,4000.0,212.0,4800.0,20
CDM,916283,KIT INFS NDL/STBLZ 25MM,5941.0,5941.0,314.87,7129.2,49
CDM,916309,NAIL FEM 10MM 42CM,3684.0,3684.0,195.25,4420.8,20
CDM,916324,DEVICE CLSR CLP INT 35MM,3650.0,3650.0,193.45,4380.0,20
CDM,916326,STEM FEM HIP 17MM 190MM,3525.0,3525.0,186.82,4230.0,20
CDM,916336,SCREW BN 3.5MM 10MM,218.0,218.0,11.55,261.6,20
CDM,916337,SCREW BN 5MM 48MM,950.0,950.0,50.35,1140.0,20
CDM,916340,SCREW BN CMP R3.5X36,212.0,212.0,11.24,254.4,20
CDM,916342,DISC CERV 6X15X14MM,9800.0,9800.0,519.4,11760.0,20
CDM,916344,DISC CERV 6X15X15MM,9800.0,9800.0,519.4,11760.0,20
CDM,916345,PLATE TIB RT 6H 91MM,2571.0,2571.0,136.26,3085.2,20
CDM,916346,SCREW BN 4.7MM 50MM,148.0,148.0,7.84,177.6,20
CDM,916347,SCREW BN 4.7MM 75MM,169.0,169.0,8.96,202.8,20
CDM,916348,SCREW CMPR FT 2.5 38MM,700.0,700.0,37.1,840.0,20
CDM,916352,PEG BN LCK 3.2MM 46MM,294.0,294.0,15.58,352.8,20
CDM,916366,GLENOSPHERE SHLDR 2MM,2600.0,2600.0,137.8,3120.0,20
CDM,916371,CATH GD ANGL.035IN 135CM,2564.0,2564.0,135.89,3076.8,49
CDM,916377,INSERT TIB KN SZ4 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,916381,SUTURE VIOL BRD 6-0 8IN,407.0,407.0,21.57,488.4,49
CDM,916407,SCREW SPN 10MM 50MM,4800.0,4800.0,254.4,5760.0,20
CDM,916409,SCREW SPN 10MM 35MM,4800.0,4800.0,254.4,5760.0,20
CDM,916423,SCREW SPN 8.5MM 70MM,1000.0,1000.0,53.0,1200.0,20
CDM,916425,ALLOGRAFT CRYO MSH 300CM,5556.0,5556.0,294.47,6667.2,20
CDM,916429,MESH HRN RSRB 20X20CM,6000.0,6000.0,318.0,7200.0,20
CDM,916442,CMPNT FEM KN RT SZ5,2300.0,2300.0,121.9,2760.0,20
CDM,916451,PLATE BN 4H 5.5MM 1.3MM,2224.0,2224.0,117.87,2668.8,20
CDM,916457,CONN CHST DRN LG .25IN,134.0,134.0,7.1,160.8,49
CDM,916467,DISC CERV 6X15X12.5MM,9800.0,9800.0,519.4,11760.0,20
CDM,916470,COMPNT FEM KN RT SZ8,3800.0,3800.0,201.4,4560.0,20
CDM,916487,PEG FX LCK NS 3.2X44MM,338.0,338.0,17.91,405.6,20
CDM,916488,PEG FX NS LCK 3.2 X 36MM,440.0,440.0,23.32,528.0,20
CDM,916489,PEG FX LCK NS 3.2X50MM,309.0,309.0,16.38,370.8,20
CDM,916492,CAGE SPN-S SM PRLL 9MM,4000.0,4000.0,212.0,4800.0,20
CDM,916495,STENT CARTID SYS 10X30MM,4900.0,4900.0,259.7,5880.0,20
CDM,916497,STENT CARTID SYS 10X40MM,4900.0,4900.0,259.7,5880.0,20
CDM,916500,SCREW SPN 9MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,916509,ANCHOR SUT 5.5MM 22MM,850.0,850.0,45.05,1020.0,20
CDM,916516,SLR/DVDR BIP 18CM 13.5MM,18420.0,18420.0,976.26,22104.0,49
CDM,916518,NAIL BN 110MM 330MM,2614.0,2614.0,138.54,3136.8,20
CDM,916541,PLATE BN LT 7HL 103MM,1973.0,1973.0,104.57,2367.6,20
CDM,916543,SCREW BN 4.7X24MM,148.0,148.0,7.84,177.6,20
CDM,916546,KIT BLN KYPH 11GA 15MM,7612.0,7612.0,403.44,9134.4,49
CDM,916551,PLATE BN FEM NK SYS 2 HL,1736.0,1736.0,92.01,2083.2,20
CDM,916565,COMPNT FEM KN 6 RT,8200.0,8200.0,434.6,9840.0,20
CDM,916566,INSERT TIB6 KN 6MM,3752.0,3752.0,198.86,4502.4,20
CDM,916571,CLAMP EXFX TUBE-TUBE LG,5395.0,5395.0,285.94,6474.0,49
CDM,916578,KIT CHARGER,1500.0,1500.0,79.5,1800.0,49
CDM,916579,KIT PATIENT REMOTE,5941.0,5941.0,314.87,7129.2,49
CDM,916586,PLATE SPN CERV 1LV 18MM,1900.0,1900.0,100.7,2280.0,20
CDM,916587,BSPLTE GLND SHLDR 25MM,1750.0,1750.0,92.75,2100.0,20
CDM,916602,SEALANT FIBRN PREFL 4ML,2564.0,2564.0,135.89,3076.8,49
CDM,916603,SEALANT FIBRN PREFL 10ML,5787.0,5787.0,306.71,6944.4,49
CDM,916605,SYSTEM ANCHR PTLA 4.75MM,1450.0,1450.0,76.85,1740.0,20
CDM,916607,ROD SPN 5.5MM 65MM,360.0,360.0,19.08,432.0,20
CDM,916613,INSERT TIB KN SZ7 7MM,1500.0,1500.0,79.5,1800.0,20
CDM,916623,PLATE SPN CERV 85MM L4,1900.0,1900.0,100.7,2280.0,20
CDM,916624,SCREW SPN VAR 4.5X14MM,150.0,150.0,7.95,180.0,20
CDM,916631,CATH BLNDIL 5MM 250MM,15777.0,15777.0,836.18,18932.4,49
CDM,916658,STEM HUM SHLDR SZ14 48MM,10914.0,10914.0,578.44,13096.8,20
CDM,916661,INSERT TIB KN SZ2 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,916665,COMPNT FEM NAR KN LT 3,2900.0,2900.0,153.7,3480.0,20
CDM,916670,PLATE CRNMXF ORBT RT LG,4410.0,4410.0,233.73,5292.0,20
CDM,916679,SCREW BN 5MM 38MM,150.0,150.0,7.95,180.0,20
CDM,916682,SCREW BN 4.5MM 50MM,1680.0,1680.0,89.04,2016.0,20
CDM,916705,PLATE BN 9HL 125MM,2063.0,2063.0,109.34,2475.6,20
CDM,916724,MESH ELLIPSE 8X10IN,18267.0,18267.0,968.15,21920.4,20
CDM,916725,DEV CMPR PRCLUD 24CM30ML,905.0,905.0,47.97,1086.0,49
CDM,916736,SCREW BN LCK 5MM 60MM,240.0,240.0,12.72,288.0,20
CDM,916767,NAIL BN 3.0X180MM,5990.0,5990.0,317.47,7188.0,20
CDM,916773,BIT DRILL DISP 2.5X45MM,2564.0,2564.0,135.89,3076.8,49
CDM,916774,PLATE BN 8HL RT 3.5X113,4036.0,4036.0,213.91,4843.2,20
CDM,916775,SCREW BN 4.7MM 75MM,169.0,169.0,8.96,202.8,20
CDM,916784,KIT ARTHSCP DISP 1.8MM,2564.0,2564.0,135.89,3076.8,49
CDM,916803,VALVE MITRAL 25MM,7060.0,7060.0,374.18,8472.0,20
CDM,916824,KTI HMDIAL 13FR 20CM,2564.0,2564.0,135.89,3076.8,49
CDM,916897,ELECTRODE ESURG 3MM 11CM,565.0,565.0,29.95,678.0,49
CDM,916995,SCREW BN 3.5MM 10MM,289.0,289.0,15.32,346.8,20
CDM,916996,SCREW BN 2.7X4.5X34MM,77.0,77.0,4.08,92.4,20
CDM,916999,SCREW BN 2.7MM 38MM,77.0,77.0,4.08,92.4,20
CDM,917010,ROD SPN 200MM 5.5MM,360.0,360.0,19.08,432.0,20
CDM,917012,CAGE SPN 10X17X14MM 10D,1600.0,1600.0,84.8,1920.0,20
CDM,917014,BOOT ANKL SHRT SM STRAP,791.0,791.0,41.92,949.2,49
CDM,917015,BOOT ANKL SHRT MED STRAP,791.0,791.0,41.92,949.2,49
CDM,917016,BOOT ANKL SHRT LG STRAP,791.0,791.0,41.92,949.2,49
CDM,917017,BOOT ANKL SHRT XL STRAP,791.0,791.0,41.92,949.2,49
CDM,917028,DEVICE CLOSURE ABD KIT,2564.0,2564.0,135.89,3076.8,49
CDM,917042,NAIL BN 10MM 345MM,2706.0,2706.0,143.42,3247.2,20
CDM,917043,SCREW BN 5MM 50MM,240.0,240.0,12.72,288.0,20
CDM,917046,SCREW BN 5MM 55MM,240.0,240.0,12.72,288.0,20
CDM,917047,SCREW BN LK 5X45MM,240.0,240.0,12.72,288.0,20
CDM,917049,TEMPLATE ROD 120MM,942.0,942.0,49.93,1130.4,49
CDM,917053,KIT EXPN SPN IMP 5.0MM,9711.0,9711.0,514.68,11653.2,20
CDM,917063,ANCHOR BN 4.75X19.1MM,1450.0,1450.0,76.85,1740.0,20
CDM,917065,PLATE BN 11MM 81X10X2MM,1708.0,1708.0,90.52,2049.6,20
CDM,917068,SYSTEM WND IRR 0.05% 450,2468.0,2468.0,130.8,2961.6,49
CDM,917070,INSERT ARTC KN RT 13MM,1500.0,1500.0,79.5,1800.0,20
CDM,917095,SCREW SPN P-AX 5.5X6X60,1300.0,1300.0,68.9,1560.0,20
CDM,917097,SCRW BN L60 OD6 EXPEDIUM,1200.0,1200.0,63.6,1440.0,20
CDM,917104,NAIL BN 3.8X130MM,6290.0,6290.0,333.37,7548.0,20
CDM,917106,ROD CONN EXFX 11X200MM,2564.0,2564.0,135.89,3076.8,49
CDM,917108,CLAMP EXFX 6PSTN MLPN,5941.0,5941.0,314.87,7129.2,49
CDM,917109,ROD CONN EXFX 11X300MM,2564.0,2564.0,135.89,3076.8,49
CDM,917117,SCREW BN SLFRET 4X18MM,168.0,168.0,8.9,201.6,20
CDM,917139,IMPLANT FUTURA LMP SZ20,1000.0,1000.0,53.0,1200.0,20
CDM,917143,PLATE BN FIB STR 6HL,1050.0,1050.0,55.65,1260.0,20
CDM,917147,SCREW SPN 3.5MM 20MM,1000.0,1000.0,53.0,1200.0,20
CDM,917151,GRAFT CV 38MM 30CM,843.0,843.0,44.68,1011.6,20
CDM,917162,ROD SPN 75MM 4MM,360.0,360.0,19.08,432.0,20
CDM,917163,SCREW SPN 4X12MM,1000.0,1000.0,53.0,1200.0,20
CDM,917167,COIL EMBL 25CM .02IN 8MM,1900.0,1900.0,100.7,2280.0,20
CDM,917168,COIL EMBL POD J-SFT 5CM,1900.0,1900.0,100.7,2280.0,20
CDM,917170,COIL EMBL 3MM 20CM,3380.0,3380.0,179.14,4056.0,20
CDM,917171,COIL EMBL 60CM 8-10MM,3380.0,3380.0,179.14,4056.0,20
CDM,917172,COIL EMBL 60CM 10-12MM,3380.0,3380.0,179.14,4056.0,20
CDM,917173,COIL EMBL 60CM 12X14MM,3380.0,3380.0,179.14,4056.0,20
CDM,917174,DILATOR VASC 24FR 20CM,654.0,654.0,34.66,784.8,49
CDM,917179,SHEATH SZ 12F TIP 80CM,6746.0,6746.0,357.54,8095.2,49
CDM,917185,SCREW BN P/T 8X95X22MM,1160.0,1160.0,61.48,1392.0,20
CDM,917196,INSERT TIB KN SZ5 13MM,1900.0,1900.0,100.7,2280.0,20
CDM,917202,ROD SPN 4MM 120MM,360.0,360.0,19.08,432.0,20
CDM,917203,CONN SPN 3.5-4/3.5-4MM,700.0,700.0,37.1,840.0,20
CDM,917205,CAP NERVE PROT 4X15MM,3358.0,3358.0,177.97,4029.6,20
CDM,917206,SCREW SPN -4PLY 5X34MM,1000.0,1000.0,53.0,1200.0,20
CDM,917208,CMPNT FEM NAR KN RT SZ4,3600.0,3600.0,190.8,4320.0,20
CDM,917212,SCREW BN 5MM 70MM,240.0,240.0,12.72,288.0,20
CDM,917236,DRESSING WND OPEN ABD,5941.0,5941.0,314.87,7129.2,49
CDM,917246,SCREW BN 2.7MM 6MM,260.0,260.0,13.78,312.0,20
CDM,917247,SCREW BN 2.7MM 9MM,244.0,244.0,12.93,292.8,20
CDM,917251,PROSTH PENL PS 12CM 21CM,21521.0,21521.0,1140.61,25825.2,20
CDM,917254,GWIRE W INST KIT 4.5MM,4585.0,4585.0,243.0,5502.0,49
CDM,917255,SCREW BN 4.5MM 40MM,2700.0,2700.0,143.1,3240.0,20
CDM,917275,SCREW BN 4MM 18MM,284.0,284.0,15.05,340.8,20
CDM,917277,CRT-D CRD 5.37X8.18X0.99,25958.0,25958.0,1375.77,31149.6,20
CDM,917285,DRILL SURG CANN FULL 9MM,2564.0,2564.0,135.89,3076.8,49
CDM,917290,STEM HUM SHLDR 70MM,4400.0,4400.0,233.2,5280.0,20
CDM,917296,SNARE POLYP MED HX 230CM,490.0,490.0,25.97,588.0,49
CDM,917298,DEVICE COLLECTOR TISSUE,5547.0,5547.0,293.99,6656.4,49
CDM,917299,SCREW SPN 4.5MM 24MM,900.0,900.0,47.7,1080.0,20
CDM,917301,SCREW SPN 4.5MM 30MM,900.0,900.0,47.7,1080.0,20
CDM,917320,ROD EX FIX 11MM 250MM,2564.0,2564.0,135.89,3076.8,49
CDM,917339,MESH CRYO SKIN 200CM,660.0,660.0,34.98,792.0,20
CDM,917341,MESH CRYO SKIN 200CM,660.0,660.0,34.98,792.0,20
CDM,917342,MESH CRYO SKIN 250CM,825.0,825.0,43.73,990.0,20
CDM,917343,MESH CRYO SKIN 300CM,990.0,990.0,52.47,1188.0,20
CDM,917344,MESH CRYO SKIN 350CM,1155.0,1155.0,61.22,1386.0,20
CDM,917345,MESH CRYO SKIN 250CM,825.0,825.0,43.73,990.0,20
CDM,917346,MESH CRYO SKIN 300CM,990.0,990.0,52.47,1188.0,20
CDM,917347,MESH CRYO SKIN 350CM,1155.0,1155.0,61.22,1386.0,20
CDM,917350,MESH CRYO SKIN 350CM,1155.0,1155.0,61.22,1386.0,20
CDM,917351,ALLOGRAFT DERMAL 4X8CM,200.0,200.0,10.6,240.0,20
CDM,917353,361 HCT P SKN NOS,26209.0,26209.0,1389.08,31450.8,30
CDM,917357,SHEATH GD 5FR 90CM,2564.0,2564.0,135.89,3076.8,49
CDM,917360,INSERT TIB KN SZ6-7 11MM,1500.0,1500.0,79.5,1800.0,20
CDM,917364,SCREW BN 4.5MM 20MM,42.0,42.0,2.23,50.4,20
CDM,917365,SCREW BN 3.5MM 60MM,132.0,132.0,7.0,158.4,20
CDM,917377,PLATE SPN 2LVL 37MM,1900.0,1900.0,100.7,2280.0,20
CDM,917385,ROD SPN 3.5MM 90MM,360.0,360.0,19.08,432.0,20
CDM,917392,NAIL BN FIB 3.8MM 130MM,5990.0,5990.0,317.47,7188.0,20
CDM,917393,SUTURE TGRLNK 0.9MM,190.0,190.0,10.07,228.0,20
CDM,917394,GWIRE W/INST KIT 3.6MM,4585.0,4585.0,243.0,5502.0,49
CDM,917395,SCREW BN 4.5X50MM,2700.0,2700.0,143.1,3240.0,20
CDM,917398,SCREW BN 3.6X45MM,2700.0,2700.0,143.1,3240.0,20
CDM,917400,GRAFT TNDN 12.5X95MM,4339.0,4339.0,229.97,5206.8,20
CDM,917410,SCREW BN S/TP 5MM 55MM,348.0,348.0,18.44,417.6,20
CDM,917411,SCREW BN 5.0MM 80MM,348.0,348.0,18.44,417.6,20
CDM,917416,IMPLANT BREAST 520CC,2650.0,2650.0,140.45,3180.0,20
CDM,917417,SCREW SPN 4MM 34MM,1000.0,1000.0,53.0,1200.0,20
CDM,917424,PLATE BN HUM 4H 83MM,3671.0,3671.0,194.56,4405.2,20
CDM,917425,SCREW BN 52MM,309.0,309.0,16.38,370.8,20
CDM,917426,SCREW BN 3.5MM 38MM,455.0,455.0,24.11,546.0,20
CDM,917427,SCREW BN 3.5MM 60MM,455.0,455.0,24.11,546.0,20
CDM,917429,NAIL BN TIB 11MM 345MM,2706.0,2706.0,143.42,3247.2,20
CDM,917464,GLOVE CMPR 23-32 LG,368.0,368.0,19.5,441.6,49
CDM,917467,PACEMAKER 23F 105CM,22500.0,22500.0,1192.5,27000.0,20
CDM,917469,PUSHER CUTTER SUT KNOT,3170.0,3170.0,168.01,3804.0,49
CDM,917492,ROD SPN 4.0X075MM,360.0,360.0,19.08,432.0,20
CDM,917509,STENT VNS 18X100MM 80CM,3000.0,3000.0,159.0,3600.0,20
CDM,917517,SCREW FT ANKL 4X50MM,354.0,354.0,18.76,424.8,20
CDM,917521,SCREW BN 2.7X4.5X48MM,84.0,84.0,4.45,100.8,20
CDM,917529,CNTRSNK DRL 4MM 4.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,917532,PLATE BN RT LRG,1892.0,1892.0,100.28,2270.4,20
CDM,917541,GRAFT EVAS 34X34X10CM,35904.0,35904.0,1902.91,43084.8,20
CDM,917543,CATH MALECOT 10FR,2252.0,2252.0,119.36,2702.4,49
CDM,917545,ROD SPNL TI L75 OD5.5 M-,360.0,360.0,19.08,432.0,20
CDM,917554,CUTTER ORTH 19CM 4.2MM,1734.0,1734.0,91.9,2080.8,49
CDM,917555,SCREW BN 3.5MM 8MM,156.0,156.0,8.27,187.2,20
CDM,917556,CAGE SPN LLIF 2XL 14MM,6300.0,6300.0,333.9,7560.0,20
CDM,917559,BIT DRIL 2.3MM 14MM,942.0,942.0,49.93,1130.4,49
CDM,917563,TAP CMPR PROX SCREW DISP,5941.0,5941.0,314.87,7129.2,49
CDM,917567,TAP CMPR PROX SCREW DISP,5941.0,5941.0,314.87,7129.2,49
CDM,917568,ROD SCREW EXT DISP,5941.0,5941.0,314.87,7129.2,49
CDM,917569,GUIDE PIN ORTH 300MM,2564.0,2564.0,135.89,3076.8,49
CDM,917570,PLATE BN LCK RT 2HL 85MM,5090.0,5090.0,269.77,6108.0,20
CDM,917571,SCREW BN 7.5MM 85MM,1422.0,1422.0,75.37,1706.4,20
CDM,917572,SCREW BN 7.5MM 90MM,1172.0,1172.0,62.12,1406.4,20
CDM,917573,SCREW BN 8.5MM 95MM 20MM,1422.0,1422.0,75.37,1706.4,20
CDM,917574,SCREW BN 4.5MM 44MM,864.0,864.0,45.79,1036.8,20
CDM,917591,FIBER LASER 600UM,8712.0,8712.0,461.74,10454.4,49
CDM,917592,PLATE BN 10H 3.5MM 134MM,4081.0,4081.0,216.29,4897.2,20
CDM,917593,KIT IPH HYPOTHER,38083.0,38083.0,2018.4,45699.6,49
CDM,917594,PLATE HUM SZ2 LT 122MM,1200.0,1200.0,63.6,1440.0,20
CDM,917605,PLATE BN CMPR 8H 67MM,645.0,645.0,34.19,774.0,20
CDM,917607,SCREW BN 3.5MM 36MM,218.0,218.0,11.55,261.6,20
CDM,917611,KIT IMPL ACL FIXATION,1050.0,1050.0,55.65,1260.0,20
CDM,917619,SCREW BN 5MM 30MM,240.0,240.0,12.72,288.0,20
CDM,917624,ALLODERM RTU 240 SQ CM,12928.0,12928.0,685.18,15513.6,20
CDM,917625,ALLODRM RST LPRF 327SQCM,23302.0,23302.0,1235.01,27962.4,20
CDM,917626,ALLODERM SLCTRST 400SQCM,23302.0,23302.0,1235.01,27962.4,20
CDM,917627,PLATE BN TBLR 1/3 3.5X46,199.0,199.0,10.55,238.8,20
CDM,917628,PLATE BN NRW RT 160MM,3520.0,3520.0,186.56,4224.0,20
CDM,917641,SCREW BN 4MM 12MM,270.0,270.0,14.31,324.0,20
CDM,917643,EXPANDER TISS 480-575CC,3400.0,3400.0,180.2,4080.0,20
CDM,917644,SCREW BN 3.5MM 24MM,650.0,650.0,34.45,780.0,20
CDM,917647,SCREW BN 4MM 20MM,270.0,270.0,14.31,324.0,20
CDM,917649,SCREW BN 4.5X45MM,2700.0,2700.0,143.1,3240.0,20
CDM,917650,SCREW SPN 8MM 90MM,1200.0,1200.0,63.6,1440.0,20
CDM,917656,CATH BLDL 8X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,917659,ROD SPN PCUT 4X80MM,360.0,360.0,19.08,432.0,20
CDM,917660,SCREW SPN 5MM 28MM,1000.0,1000.0,53.0,1200.0,20
CDM,917663,SCREW BN 3.5MM 17MM,61.0,61.0,3.23,73.2,20
CDM,917667,PLATE SPN 2LVL 48MM,1900.0,1900.0,100.7,2280.0,20
CDM,917675,SCREW BN CMPR 3X14MM,184.0,184.0,9.75,220.8,20
CDM,917680,DRESSING WND 12X12IN,155.0,155.0,8.21,186.0,49
CDM,917681,SCREW BN 2.3MM 13MM,147.0,147.0,7.79,176.4,20
CDM,917685,SCREW 3.5X16MM LCK CORT,464.0,464.0,24.59,556.8,20
CDM,917689,CATHETER PICC 1.9FR POLY,1747.0,1747.0,92.59,2096.4,49
CDM,917707,SCREW SPN 3.5MM 32MM,1000.0,1000.0,53.0,1200.0,20
CDM,917728,MESH SURG CNTR 10X18.5CM,6064.0,6064.0,321.39,7276.8,20
CDM,917733,SYSTM DLV LD 23/26/29MM,5109.0,5109.0,270.78,6130.8,49
CDM,917770,SCREW BN 3.5MM 54MM,259.0,259.0,13.73,310.8,20
CDM,917777,SCREW BN 1.9MM 3MM,153.0,153.0,8.11,183.6,20
CDM,917781,STENT EPRSTH 37X37X15CM,35200.0,35200.0,1865.6,42240.0,20
CDM,917782,STENT EPRSTH 37X37X20CM,35904.0,35904.0,1902.91,43084.8,20
CDM,917783,CATH BLNDIL 5MM 300MM,19391.0,19391.0,1027.72,23269.2,49
CDM,917784,CATH BLNDIL 6MM 300MM,19391.0,19391.0,1027.72,23269.2,49
CDM,917786,PEG BN FX 2.3MM 12MM,154.0,154.0,8.16,184.8,20
CDM,917787,PEG BN FX 2.3MM 30MM,154.0,154.0,8.16,184.8,20
CDM,917791,PLATE BN PRECONTR 24HL,5722.0,5722.0,303.27,6866.4,20
CDM,917792,SCREW BN 2.4MM 8MM,354.0,354.0,18.76,424.8,20
CDM,917793,PLATE BN 2MM,2486.0,2486.0,131.76,2983.2,20
CDM,917795,SCREW SPN 3.5MM 30MM,1000.0,1000.0,53.0,1200.0,20
CDM,917800,MESH PERM HERNIA 25X30CM,12350.0,12350.0,654.55,14820.0,20
CDM,917809,NAIL BN TIB 10MM 375MM,2706.0,2706.0,143.42,3247.2,20
CDM,917818,SCREW BN 3.5MM 80MM,312.0,312.0,16.54,374.4,20
CDM,917819,SCREW BN T8 2.7X50MM,77.0,77.0,4.08,92.4,20
CDM,917834,GRAFT CV 30MM 20CM,6966.0,6966.0,369.2,8359.2,20
CDM,917839,PLATE BN LOPRO 3H 11MM,1763.0,1763.0,93.44,2115.6,20
CDM,917855,SCREW 4.5MM CRTCL OCCPTL,150.0,150.0,7.95,180.0,20
CDM,917863,CAGE SPN SPN LGE 3D,6300.0,6300.0,333.9,7560.0,20
CDM,917868,NAIL BN FEM 10MM 42CM,4345.0,4345.0,230.28,5214.0,20
CDM,917898,FORCEPS BX 1.2MM 286CM,5941.0,5941.0,314.87,7129.2,49
CDM,917913,PLATE 5TH MTRSL 1.3X5.5,2224.0,2224.0,117.87,2668.8,20
CDM,917915,PLATE SPN 90MM,1900.0,1900.0,100.7,2280.0,20
CDM,917917,INSERT TIB KN RT 11MM,1500.0,1500.0,79.5,1800.0,20
CDM,917920,SUTURE VIO BRD 1 27IN,80.0,80.0,4.24,96.0,49
CDM,917921,BRACE WRST FOAM RT SMALL,309.0,309.0,16.38,370.8,49
CDM,917953,BRACE WRIST RT MEDIUM,305.0,305.0,16.16,366.0,49
CDM,917954,BRACE WRIST RT LARGE,305.0,305.0,16.16,366.0,49
CDM,917955,BRACE WRIST LT SMALL,305.0,305.0,16.16,366.0,49
CDM,917957,BRACE WRST LT LG 8X8-9IN,350.0,350.0,18.55,420.0,49
CDM,917959,CATH BLDL 5X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,917960,BRACE WRIST LT MEDIUM,305.0,305.0,16.16,366.0,49
CDM,917962,CATH BLDL 6X300MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,917968,CATH BLDL 8X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,917972,PLATE BN 3.5MM 86MM 8H,3230.0,3230.0,171.19,3876.0,20
CDM,917973,ROD SPNL 3.5MM 50MM,360.0,360.0,19.08,432.0,20
CDM,917974,PLATE BN 125X10X2MM,1917.0,1917.0,101.6,2300.4,20
CDM,917975,PLATE BN 3.5MM 63MM,1703.0,1703.0,90.26,2043.6,20
CDM,917976,SCREW BN 2.7MM 9MM,84.0,84.0,4.45,100.8,20
CDM,917977,SCREW BN 8MM 75MM 46MM,382.0,382.0,20.25,458.4,20
CDM,917992,MESH GYN 25CM 30CM,33250.0,33250.0,1762.25,39900.0,20
CDM,917998,BRACE WRIST LT LARGE,305.0,305.0,16.16,366.0,49
CDM,918001,STENT GRAFT 16X13X156MM,8400.0,8400.0,445.2,10080.0,20
CDM,918003,SCREW BN 2.4MM 36MM,135.0,135.0,7.16,162.0,20
CDM,918005,KIT JOINT PREP INST ORTH,2564.0,2564.0,135.89,3076.8,49
CDM,918009,STENT GRAFT 10CM 21X21MM,35200.0,35200.0,1865.6,42240.0,20
CDM,918010,STENT THOR 20F 26X21X10,35200.0,35200.0,1865.6,42240.0,20
CDM,918011,STNT THORAC 26X26MM 10CM,35200.0,35200.0,1865.6,42240.0,20
CDM,918020,STENT EPRSTH 34X34X20CM,35904.0,35904.0,1902.91,43084.8,20
CDM,918024,STENT THOR 31X26MM 10CM,35200.0,35200.0,1865.6,42240.0,20
CDM,918029,GRAFT EVAS 40X40X10CM,35200.0,35200.0,1865.6,42240.0,20
CDM,918031,STENT EPRSTH 40X40X20CM,35904.0,35904.0,1902.91,43084.8,20
CDM,918036,MESH CRNL 90X90X.6MM,11340.0,11340.0,601.02,13608.0,20
CDM,918037,MESH HRN PLGLY 12X10CM,3888.0,3888.0,206.06,4665.6,20
CDM,918057,PLATE SPN SZ2,3000.0,3000.0,159.0,3600.0,20
CDM,918062,SCREW SPN VAR 4.2X12MM,150.0,150.0,7.95,180.0,20
CDM,918063,CATH BLNDIL 7MM 100MM,8938.0,8938.0,473.71,10725.6,49
CDM,918064,CATH BLNDIL 7MM 150MM,11269.0,11269.0,597.26,13522.8,49
CDM,918065,CATH BLNDIL 7MM 220MM,14573.0,14573.0,772.37,17487.6,49
CDM,918066,INSERT TIB KN SZ6 12MM,1900.0,1900.0,100.7,2280.0,20
CDM,918078,IMPLANT MTCRPL 3.6X40MM,2700.0,2700.0,143.1,3240.0,20
CDM,918083,CAGE SPN MED 13MM,4500.0,4500.0,238.5,5400.0,20
CDM,918092,COMPNT FEM KN RT SZ6,3800.0,3800.0,201.4,4560.0,20
CDM,918099,INSRT ARTC KN LT 16MM,1500.0,1500.0,79.5,1800.0,20
CDM,918120,STENT VASC 5X60MM 125CM,2990.0,2990.0,158.47,3588.0,20
CDM,918122,ROD SPN STR 5.5X40MM,360.0,360.0,19.08,432.0,20
CDM,918125,SCREW BN 2X12MM,603.0,603.0,31.96,723.6,20
CDM,918126,SCREW BN 2.0MM 12MM,278.0,278.0,14.73,333.6,20
CDM,918128,CNTRSNK DRILL 2.5MM 2MM,2629.0,2629.0,139.34,3154.8,49
CDM,918135,SCREW BN T8 2.7X4.5X10,84.0,84.0,4.45,100.8,20
CDM,918150,CMPNT PAT KN 27MM 8MM,886.0,886.0,46.96,1063.2,20
CDM,918151,DOME PTLR 8MM 32MM,886.0,886.0,46.96,1063.2,20
CDM,918157,KIT CUFF MINI APICAL,5941.0,5941.0,314.87,7129.2,49
CDM,918164,SCREW SPN 4MM 10MM,1000.0,1000.0,53.0,1200.0,20
CDM,918176,PLATE BN 3.5MM 117MM,2894.0,2894.0,153.38,3472.8,20
CDM,918177,DEVICE CLSE WND 2-0 23CM,823.0,823.0,43.62,987.6,49
CDM,918180,BIT DRILL DISP 2.5MM 80M,2564.0,2564.0,135.89,3076.8,49
CDM,918181,BIT DRILL DISP 3.5X15MM,2564.0,2564.0,135.89,3076.8,49
CDM,918194,BIT DRILL DISP 2.5X45MM,2564.0,2564.0,135.89,3076.8,49
CDM,918212,SCREW BN FT 3.5X42MM,700.0,700.0,37.1,840.0,20
CDM,918221,CAGE SPN 8X11X26IN 20D,6800.0,6800.0,360.4,8160.0,20
CDM,918232,PLATE SPN 4LVL 89MM,1900.0,1900.0,100.7,2280.0,20
CDM,918236,ROD SPN STR 3.5X240MM,360.0,360.0,19.08,432.0,20
CDM,918237,SCREW SPN P-AX 5.5X38MM,900.0,900.0,47.7,1080.0,20
CDM,918238,SCREW SPN P-AX 5X38MM,1200.0,1200.0,63.6,1440.0,20
CDM,918239,DISC CERV 7X17X14MM,9800.0,9800.0,519.4,11760.0,20
CDM,918241,PLATE FEMORAL LOCKING,2602.0,2602.0,137.91,3122.4,20
CDM,918242,SCREW BN 4.5MM 32MM,231.0,231.0,12.24,277.2,20
CDM,918259,SCREW BN 3.5MM 46MM,390.0,390.0,20.67,468.0,20
CDM,918260,SCREW BN LCK 3.5X50MM,322.0,322.0,17.07,386.4,20
CDM,918261,PLATE BN STRT 9HL,1388.0,1388.0,73.56,1665.6,20
CDM,918262,PLATE BN TIB FIB STRT12H,1388.0,1388.0,73.56,1665.6,20
CDM,918268,GDWIRE GSTR/URO SPRNG TP,1696.0,1696.0,89.89,2035.2,49
CDM,918269,PIN FX STRL 3.2X140MM,2564.0,2564.0,135.89,3076.8,49
CDM,918271,SCREW SPN 4MM 28MM,1000.0,1000.0,53.0,1200.0,20
CDM,918272,SCREW SPN 4MM 30MM,1000.0,1000.0,53.0,1200.0,20
CDM,918273,ROD SPN STR 3.5MM 240MM,360.0,360.0,19.08,432.0,20
CDM,918281,NEEDLE FSTL 16GA 1IN,43.0,43.0,2.28,51.6,49
CDM,918287,STENT VNS 16X100MM 80CM,2600.0,2600.0,137.8,3120.0,20
CDM,918288,SCREW BN 8MM 70MM 46MM,1008.0,1008.0,53.42,1209.6,20
CDM,918304,CATH NROVASC 6MM 150CM,7269.0,7269.0,385.26,8722.8,49
CDM,918325,SCREW BN 3.6MM 36MM,314.0,314.0,16.64,376.8,20
CDM,918326,SCREW POLYAXIAL LOCKING,322.0,322.0,17.07,386.4,20
CDM,918329,GWIRE PERI .014 300CM,4625.0,4625.0,245.13,5550.0,49
CDM,918330,CATH SUPP .018IN 150CM,3036.0,3036.0,160.91,3643.2,49
CDM,918348,SCREW BN CAN HD 3X12MM,315.0,315.0,16.7,378.0,20
CDM,918350,SCREW BN 3MM 24MM,315.0,315.0,16.7,378.0,20
CDM,918351,CONN ROD SPN 5.5MM 1IN,800.0,800.0,42.4,960.0,20
CDM,918352,SCREW BN 3.5MM 40MM,1000.0,1000.0,53.0,1200.0,20
CDM,918353,SCREW BN CMPRS 2.5 40MM,770.0,770.0,40.81,924.0,20
CDM,918354,SCREW BN 2.5MM 50MM,700.0,700.0,37.1,840.0,20
CDM,918359,SHTH INTRO SPLT 9FR 13CM,1310.0,1310.0,69.43,1572.0,49
CDM,918361,TISSUE XPNDR BRST SMTH,2700.0,2700.0,143.1,3240.0,20
CDM,918362,CATH BLNDIL 135CM 17CM,2564.0,2564.0,135.89,3076.8,49
CDM,918379,INSERT KN BRNG TIB6 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,918393,SCREW BN HUM 3.5MM 12MM,144.0,144.0,7.63,172.8,20
CDM,918398,PLATE SPN 4LVL 81MM,1900.0,1900.0,100.7,2280.0,20
CDM,918399,SCREW SPN 4MM 16MM,150.0,150.0,7.95,180.0,20
CDM,918400,SCREW SPN 4MM 14MM,150.0,150.0,7.95,180.0,20
CDM,918401,CAGE SPN 13X16X7MM,1600.0,1600.0,84.8,1920.0,20
CDM,918407,BIODEFENCE G3 36 SQCM,37100.0,37100.0,1966.3,44520.0,30
CDM,918426,SEALER INSTRMNT 8MM,5941.0,5941.0,314.87,7129.2,49
CDM,918432,CUTTER SURG 10MM,4257.0,4257.0,225.62,5108.4,49
CDM,918443,SCREW BN LPRO 3.5MM 44MM,132.0,132.0,7.0,158.4,20
CDM,918446,ANCHOR KNTLS 4.75MM,1060.0,1060.0,56.18,1272.0,20
CDM,918447,ANCHOR KNTLS 4.75MM,5300.0,5300.0,280.9,6360.0,20
CDM,918451,BIT DRILL 5MM 215MM,5758.0,5758.0,305.17,6909.6,49
CDM,918453,GWIRE BN DISP 1.6X220MM,2564.0,2564.0,135.89,3076.8,49
CDM,918455,SCREW BN 5.5MM 50MM,1329.0,1329.0,70.44,1594.8,20
CDM,918460,STENT VNS 16X60MM 80CM,2600.0,2600.0,137.8,3120.0,20
CDM,918509,LINER HIP ACTB F 36MM,1500.0,1500.0,79.5,1800.0,20
CDM,918547,PLATE SPN 2LVL 46MM,1900.0,1900.0,100.7,2280.0,20
CDM,918550,STEM HUM SHLDR SZ16 48MM,12785.0,12785.0,677.61,15342.0,20
CDM,918562,STENT VNS 18X60MM 80CM,3000.0,3000.0,159.0,3600.0,20
CDM,918592,SCREW BN 4.5X35MM,2340.0,2340.0,124.02,2808.0,20
CDM,918596,KIT BN HARVEST 520MM,19725.0,19725.0,1045.42,23670.0,49
CDM,918597,REAMER HEAD STRL 12.0MM,5941.0,5941.0,314.87,7129.2,49
CDM,918598,REAMER HEAD STRL 12.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,918599,REAMER HEAD STRL 13.0MM,5941.0,5941.0,314.87,7129.2,49
CDM,918605,EXPANDER BRST 250CC,3100.0,3100.0,164.3,3720.0,20
CDM,918626,SPLINT WRST/FORARM RT SM,403.0,403.0,21.36,483.6,49
CDM,918627,KIT BNCMNT CANN 13GA,5895.0,5895.0,312.44,7074.0,49
CDM,918628,COMPONENT FEM KN LT SZ8,8365.0,8365.0,443.35,10038.0,20
CDM,918629,CMPNT KN TIB BASE SZ8,6286.0,6286.0,333.16,7543.2,20
CDM,918639,TEMPLATE KIT ROD MLTILVL,942.0,942.0,49.93,1130.4,49
CDM,918640,CMPNT FEM KN RT SZ7,3800.0,3800.0,201.4,4560.0,20
CDM,918655,SCREW BN CANC 5MM 56MM,402.0,402.0,21.31,482.4,20
CDM,918657,NAIL BN 8/7MM 28CM,3371.0,3371.0,178.66,4045.2,20
CDM,918658,BIT DRILL DISP 2MM 60MM,2564.0,2564.0,135.89,3076.8,49
CDM,918661,SYSTEM DLV 1 CATH 1 CLIP,58000.0,58000.0,3074.0,69600.0,20
CDM,918665,BIT DRILL SCL 150MM 2.7D,2564.0,2564.0,135.89,3076.8,49
CDM,918670,SCREW BN 5MM 38MM,342.0,342.0,18.13,410.4,20
CDM,918682,SCREW SPN LCK SET,100.0,100.0,5.3,120.0,20
CDM,918688,K-WIRE SPN BLNT TP 1.6MM,942.0,942.0,49.93,1130.4,49
CDM,918691,MESH HRN PP 16CMX20CM,9216.0,9216.0,488.45,11059.2,20
CDM,918695,SCREW CANN P/T 8X90X22MM,1230.0,1230.0,65.19,1476.0,20
CDM,918700,SCREW BN 2.3MM 9MM,147.0,147.0,7.79,176.4,20
CDM,918717,INSRT ARTC KN LT 11MM,1500.0,1500.0,79.5,1800.0,20
CDM,918721,BRACE WRST W/SPCA RT SM,305.0,305.0,16.16,366.0,49
CDM,918722,BRACE WRST W/SPCA RT MED,305.0,305.0,16.16,366.0,49
CDM,918723,BRACE WRST W/SPCA RT LRG,305.0,305.0,16.16,366.0,49
CDM,918724,BRACE WRST W/SPCA LT SM,305.0,305.0,16.16,366.0,49
CDM,918725,BRACE WRST W/SPCA LT MED,305.0,305.0,16.16,366.0,49
CDM,918727,BRACE WRST W/SPCA LT LRG,305.0,305.0,16.16,366.0,49
CDM,918732,SHOE POST OP SQ TOE LG,188.0,188.0,9.96,225.6,49
CDM,918733,SHOE POST OP SQ TOE MED,188.0,188.0,9.96,225.6,49
CDM,918737,MESH HRN PP 25X40IN,25650.0,25650.0,1359.45,30780.0,20
CDM,918738,MESH HRN PLGLY 10X6CM,1728.0,1728.0,91.58,2073.6,20
CDM,918750,CLARIX 100 16 SQCM,8750.0,8750.0,463.75,10500.0,30
CDM,918758,INSERT KN TIB SZ6 10MM,1900.0,1900.0,100.7,2280.0,20
CDM,918769,ROD SPN CNTOR 375X5.5MM,360.0,360.0,19.08,432.0,20
CDM,918770,ROD SPN 5.5MM 500MM,360.0,360.0,19.08,432.0,20
CDM,918771,PLATE 117MM 3.5/4MM SCR,3720.0,3720.0,197.16,4464.0,20
CDM,918783,BIT DRILL DISP 2.7X125MM,2564.0,2564.0,135.89,3076.8,49
CDM,918791,STENT SLFEXP 18X90X75CM,2110.0,2110.0,111.83,2532.0,20
CDM,918810,BIT DRILL DISP 2MM 30MM,2564.0,2564.0,135.89,3076.8,49
CDM,918811,LINER ACTB HIP SZC 28X38,1500.0,1500.0,79.5,1800.0,20
CDM,918816,GLOVE CMPR LG 7.5-8.5IN,679.0,679.0,35.99,814.8,49
CDM,918828,MESH HRN OPEN PSTN 6X8,11621.0,11621.0,615.91,13945.2,20
CDM,918831,SCREW SPN 4.5MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,918847,HEAD FEM HIP 12/14 22MM,1300.0,1300.0,68.9,1560.0,20
CDM,918855,MESH HRN REINF 4X8CM,480.0,480.0,25.44,576.0,20
CDM,918857,MESH HRN PP 12X10CM,3888.0,3888.0,206.06,4665.6,20
CDM,918858,MESH SURG 22X18CM,11405.0,11405.0,604.47,13686.0,20
CDM,918859,MESH HRN PP 20X20IN,12960.0,12960.0,686.88,15552.0,20
CDM,918860,MESH HRN PP 25X30IN S,19950.0,19950.0,1057.35,23940.0,20
CDM,918870,PLATE SPN 2LVL 44MM,1900.0,1900.0,100.7,2280.0,20
CDM,918872,AUG FEM KN REV SZ6 4MM,1540.0,1540.0,81.62,1848.0,20
CDM,918873,SLEEVE FEM KN 35MM,4097.0,4097.0,217.14,4916.4,20
CDM,918874,SCREW BN 2.4MM 44MM,135.0,135.0,7.16,162.0,20
CDM,918876,BIT DRILL SNGL USE 1.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,918906,STENT VNS 16X80MM 80CM,2600.0,2600.0,137.8,3120.0,20
CDM,918907,IMPLANT BREAST 590CC,1750.0,1750.0,92.75,2100.0,20
CDM,918914,CATH INFS 0.027IN 135CM,10881.0,10881.0,576.69,13057.2,49
CDM,918915,ROD SPN CNTOR 3.5X85MM,360.0,360.0,19.08,432.0,20
CDM,918925,STEM FEM 14MM 60MM,2097.0,2097.0,111.14,2516.4,20
CDM,918938,SCREW BN 2.7MM 38MM,99.0,99.0,5.25,118.8,20
CDM,918940,BUTTON FX CLVCL,700.0,700.0,37.1,840.0,20
CDM,918950,NAIL BN TIB IM 9MM 315MM,2614.0,2614.0,138.54,3136.8,20
CDM,918959,STABILIZER SURG SUV,8275.0,8275.0,438.57,9930.0,49
CDM,919032,NAIL FEM 13MM 32CM,4784.0,4784.0,253.55,5740.8,20
CDM,919033,SCREW BN 6.5MM 90MM,767.0,767.0,40.65,920.4,20
CDM,919034,SCREW BN 6.5MM 50MM,384.0,384.0,20.35,460.8,20
CDM,919035,SCREW BN 6.5MM 45MM,767.0,767.0,40.65,920.4,20
CDM,919036,SCREW BN 6.5MM 90MM,767.0,767.0,40.65,920.4,20
CDM,919037,SCREW BN 6.5MM 85MM,767.0,767.0,40.65,920.4,20
CDM,919038,SCREW BN 6.5MM 75MM,767.0,767.0,40.65,920.4,20
CDM,919054,CATH BLDL 2X20MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,919057,BEARING SZE 28X42MM,1500.0,1500.0,79.5,1800.0,20
CDM,919059,SCREW BN 2.8MM 5MM,170.0,170.0,9.01,204.0,20
CDM,919061,STENT GRAFT 22X22X100MM,36990.0,36990.0,1960.47,44388.0,20
CDM,919067,SYSTEM ACC 14FR 75CM,7049.0,7049.0,373.6,8458.8,49
CDM,919068,SYSTEM ACC 14FR 75CM,7049.0,7049.0,373.6,8458.8,49
CDM,919069,SYSTEM ACC 14FR 75CM,7049.0,7049.0,373.6,8458.8,49
CDM,919072,DEVICE CLSR 24MM,34000.0,34000.0,1802.0,40800.0,20
CDM,919073,DEVICE CLSR 27MM,34000.0,34000.0,1802.0,40800.0,20
CDM,919076,PLATE BN HUM LT 151MM,4125.0,4125.0,218.63,4950.0,20
CDM,919077,LINER ACTB HIP 28X40MM,1500.0,1500.0,79.5,1800.0,20
CDM,919085,CAGE SPN 8D 13X26X32MM,4000.0,4000.0,212.0,4800.0,20
CDM,919087,IMPLANT BREAST 415CC,2600.0,2600.0,137.8,3120.0,20
CDM,919099,PLATE BN NRW LT 120MM,3136.0,3136.0,166.21,3763.2,20
CDM,919102,SCREW BN MINI 2.5X22MM,386.0,386.0,20.46,463.2,20
CDM,919108,GRAFT DBM TUBE 3/4FILLED,480.0,480.0,25.44,576.0,20
CDM,919123,CAGE SPN-S MD 12MM,4500.0,4500.0,238.5,5400.0,20
CDM,919124,KIT PEEK IMPLANT,2990.0,2990.0,158.47,3588.0,20
CDM,919130,LINER ACTB HIP SZD 36MM,1500.0,1500.0,79.5,1800.0,20
CDM,919133,SCREW SPN 5.5MM 40MM,1300.0,1300.0,68.9,1560.0,20
CDM,919144,EXPANDER TISS 310-370CC,3400.0,3400.0,180.2,4080.0,20
CDM,919155,FILLER DBM GEL 5CC,1600.0,1600.0,84.8,1920.0,20
CDM,919156,PLATE BN RT 120MM,3136.0,3136.0,166.21,3763.2,20
CDM,919162,ICD DEFIB CARD 7.36CM,18498.0,18498.0,980.39,22197.6,20
CDM,919194,SPACER SPN SM 12D,6800.0,6800.0,360.4,8160.0,20
CDM,919195,HEAD HUM SHLDR 18MM 50MM,2500.0,2500.0,132.5,3000.0,20
CDM,919200,MESH HRN PP 20X10CM,6480.0,6480.0,343.44,7776.0,20
CDM,919206,PLATE SPN L1 26MM,1900.0,1900.0,100.7,2280.0,20
CDM,919213,BIT DRIL 2.3MM 12MM,943.0,943.0,49.98,1131.6,49
CDM,919214,ROD SPNL 300MM 5.5MM,360.0,360.0,19.08,432.0,20
CDM,919215,SCREW BN CANN 4X55MM,330.0,330.0,17.49,396.0,20
CDM,919238,INSERT TIB KN SZ2 13MM,3043.0,3043.0,161.28,3651.6,20
CDM,919242,INSERT TIB KN BRNG 11MM,1900.0,1900.0,100.7,2280.0,20
CDM,919269,DEVICE CLSR WND +1 15CM,925.0,925.0,49.02,1110.0,49
CDM,919271,DEVICE CLSR WND +1 30CM,874.0,874.0,46.32,1048.8,49
CDM,919276,MESH HRN PP 10X6IN,1944.0,1944.0,103.03,2332.8,20
CDM,919277,AUGMENT FEM KN 4MM 7,1540.0,1540.0,81.62,1848.0,20
CDM,919278,AUGMENT FEM KN 8MM 7,1540.0,1540.0,81.62,1848.0,20
CDM,919279,AUGMENT FEM KN 4MM 7,1540.0,1540.0,81.62,1848.0,20
CDM,919280,STEM FEM KN 110MM 20MM,2097.0,2097.0,111.14,2516.4,20
CDM,919281,INSERT TIB KN SZ7 6MM,3752.0,3752.0,198.86,4502.4,20
CDM,919284,LEAD NRSTM 0.170IN 28CM,6059.0,6059.0,321.13,7270.8,20
CDM,919286,KIT LEAD PERC EXT 4.32MM,370.0,370.0,19.61,444.0,20
CDM,919294,REAMER LONG CANN 3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,919295,ROD SPN CNTR OCT 55X4MM,360.0,360.0,19.08,432.0,20
CDM,919298,K-WIRE TROC 1.2X150MM,733.0,733.0,38.85,879.6,49
CDM,919304,BASEPLATE KN CMNT TIB 7,6286.0,6286.0,333.16,7543.2,20
CDM,919305,SLEEVE FEM 40MM,4096.0,4096.0,217.09,4915.2,20
CDM,919312,ANCHOR SHRT 2.9X12.5MM,1551.0,1551.0,82.2,1861.2,20
CDM,919320,SCREW BN QFX 4X24MM,330.0,330.0,17.49,396.0,20
CDM,919323,SCREW BN 5MM 42MM,378.0,378.0,20.03,453.6,20
CDM,919327,SCREW BN CORT 2.0X16MM,148.0,148.0,7.84,177.6,20
CDM,919332,SCREW SPN P-AX 3.5X32MM,1000.0,1000.0,53.0,1200.0,20
CDM,919333,SCREW SPN 3.5X26MM,900.0,900.0,47.7,1080.0,20
CDM,919334,SCREW SPN P-AX 3.5X32MM,1000.0,1000.0,53.0,1200.0,20
CDM,919335,ROD SPN 4.0X30MM,360.0,360.0,19.08,432.0,20
CDM,919342,COLLAR MIAMI JR PED 0,1483.0,1483.0,198.72,1779.6,24
CDM,919346,KIT NRSTM LD PNE 30.5CM,84.0,84.0,4.45,100.8,20
CDM,919347,KIT NRSTM LD LF45 30.5CM,168.0,168.0,8.9,201.6,20
CDM,919354,PLATE SPN CERV LV3 60MM,1900.0,1900.0,100.7,2280.0,20
CDM,919357,PLATE BN LAP LOPRO LONG,1300.0,1300.0,68.9,1560.0,20
CDM,919362,KIT NRSTM PT PROGRAMMER,11347.0,11347.0,601.39,13616.4,49
CDM,919368,SCREW BN 4.5MM 38MM,192.0,192.0,10.18,230.4,20
CDM,919370,SLR/DVDR LAPSCP 37CM 5MM,5174.0,5174.0,274.22,6208.8,49
CDM,919383,MESH PERM CIRC 12X12CM,3869.0,3869.0,205.06,4642.8,20
CDM,919386,BURR CATH ARTHRM 1.25MM,14961.0,14961.0,792.93,17953.2,49
CDM,919387,BURR CATH ARTHRM 1.50MM,14961.0,14961.0,792.93,17953.2,49
CDM,919389,BURR CATH ARTHRM 1.75MM,14961.0,14961.0,792.93,17953.2,49
CDM,919390,BURR CATH ARTHRM 2.00MM,16282.0,16282.0,862.95,19538.4,49
CDM,919406,DEVICE EUS FNB 22GA,6140.0,6140.0,325.42,7368.0,49
CDM,919408,GDWIRE ENDO.035IN 450CM,4323.0,4323.0,229.12,5187.6,49
CDM,919414,ALLOGRAFT BN HARV 6MM,5941.0,5941.0,314.87,7129.2,49
CDM,919415,ROD SPN 4MM 70MM,360.0,360.0,19.08,432.0,20
CDM,919416,PLATE BN HUM RT 4HL 83MM,5620.0,5620.0,297.86,6744.0,20
CDM,919417,ALLOGRAFT BN HARV 10MM,5941.0,5941.0,314.87,7129.2,49
CDM,919426,PEG BN LCK 3.2MM 54MM,338.0,338.0,17.91,405.6,20
CDM,919433,STENT VASC 5X140MM 125CM,4790.0,4790.0,253.87,5748.0,20
CDM,919442,DEVICE WNDCLS SZ0 9IN,2155.0,2155.0,114.22,2586.0,49
CDM,919456,DRILL SURG CLBRT HUM 3.3,5941.0,5941.0,314.87,7129.2,49
CDM,919457,SHELL ACTB HIP 13H 66MM,4253.0,4253.0,225.41,5103.6,20
CDM,919464,PLATE BN P-AX LOCKING,3028.0,3028.0,160.48,3633.6,20
CDM,919470,INSERT TIB KN SZ4 12MM,1900.0,1900.0,100.7,2280.0,20
CDM,919472,KIT TOOL ELEVATOR,2261.0,2261.0,119.83,2713.2,49
CDM,919492,SLING ARM ONE SIZE,409.0,409.0,21.68,490.8,49
CDM,919493,PLATE 66MM 4 HL OBLNG HL,3640.0,3640.0,192.92,4368.0,20
CDM,919504,SCREW SPN 5.5MM 45MM,1300.0,1300.0,68.9,1560.0,20
CDM,919506,MESH PORCINE 16CM 20CM,10560.0,10560.0,559.68,12672.0,20
CDM,919507,NAIL BN GT RT 11X420MM,2614.0,2614.0,138.54,3136.8,20
CDM,919517,SUTURE TGRLNK 1.7MM,209.0,209.0,11.08,250.8,20
CDM,919520,SCREW BN CANN 5X65MM,472.0,472.0,25.02,566.4,20
CDM,919521,SCREW BN CANN 5X80MM,472.0,472.0,25.02,566.4,20
CDM,919522,SCREW BN 5.0MM 38MM,348.0,348.0,18.44,417.6,20
CDM,919523,SCREW BN 5.0MM 75MM,348.0,348.0,18.44,417.6,20
CDM,919524,ROD SPN CNTOR 3.5X115MM,360.0,360.0,19.08,432.0,20
CDM,919529,SCREW BN CANN 4X9X22MM,677.0,677.0,35.88,812.4,20
CDM,919530,SCREW BN CANN 4.0MM 50MM,677.0,677.0,35.88,812.4,20
CDM,919532,STENT SLFEXP 16X60X75CM,1650.0,1650.0,87.45,1980.0,20
CDM,919535,BIT DRILL MINI AO 2.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,919550,CAGE SPN EXPBL 10MM 28MM,6800.0,6800.0,360.4,8160.0,20
CDM,919571,CONNCTR SPN LAT OFST 4.0,700.0,700.0,37.1,840.0,20
CDM,919572,CONNECTOR SPN LNG 4MM,700.0,700.0,37.1,840.0,20
CDM,919573,ROD SPN 4.0MM 65MM,360.0,360.0,19.08,432.0,20
CDM,919575,SCREW SPN 3.5MM 26MM,1000.0,1000.0,53.0,1200.0,20
CDM,919581,SCREW CANN P/T 8X85X22MM,1230.0,1230.0,65.19,1476.0,20
CDM,919587,SCREW BN CANN 4.5X40MM,2015.0,2015.0,106.8,2418.0,20
CDM,919594,SCREW BN CANN 4.5X44MM,2015.0,2015.0,106.8,2418.0,20
CDM,919595,K-WIRE 1 TROC 1.8X200MM,2257.0,2257.0,119.62,2708.4,49
CDM,919596,DRILL SURG 3.3MM 175MM,5941.0,5941.0,314.87,7129.2,49
CDM,919603,SCREW BN 3MM 20MM,922.0,922.0,48.87,1106.4,20
CDM,919616,INSRT ARTC KN RT 11MM,1500.0,1500.0,79.5,1800.0,20
CDM,919619,DRESSING HMS IMPREG12X12,3483.0,3483.0,184.6,4179.6,49
CDM,919626,BIT DRILL CALB,2564.0,2564.0,135.89,3076.8,49
CDM,919627,PIN BN FIX SM,2564.0,2564.0,135.89,3076.8,49
CDM,919630,SCREW BN 1.6MM 10MM,280.0,280.0,14.84,336.0,20
CDM,919635,NAIL FIB TI LT 140MM,3596.0,3596.0,190.59,4315.2,20
CDM,919636,GWIRE FIB 1.5X250MM,2564.0,2564.0,135.89,3076.8,49
CDM,919638,SCREW BN LAG 1.4X4X48MM,730.0,730.0,38.69,876.0,20
CDM,919639,SCREW BN TI 2.7X22MM,260.0,260.0,13.78,312.0,20
CDM,919640,SCREW BN TI 3.5X50MM,260.0,260.0,13.78,312.0,20
CDM,919641,BIT DRILL 2X230MM,2725.0,2725.0,144.43,3270.0,49
CDM,919642,BIT DRILL 2.5X245MM,2725.0,2725.0,144.43,3270.0,49
CDM,919654,PLT HUM EAD 16H 195 MM,4200.0,4200.0,222.6,5040.0,20
CDM,919695,INSERT TIB KN SZ5 12MM,1900.0,1900.0,100.7,2280.0,20
CDM,919699,NAIL BN 11.5MM 37CM,4448.0,4448.0,235.74,5337.6,20
CDM,919700,BIT DRILL 1.8MM,3350.0,3350.0,177.55,4020.0,49
CDM,919702,TIP IMPLANT INSERTER 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,919703,CMPNT FEM KN PS RT SZ7,4100.0,4100.0,217.3,4920.0,20
CDM,919704,INSERT TIB KN SZ7 12MM,1900.0,1900.0,100.7,2280.0,20
CDM,919739,DISC CERV 7X15X12.5MM,9800.0,9800.0,519.4,11760.0,20
CDM,919743,SCREW BN 5.0MM 60MM,348.0,348.0,18.44,417.6,20
CDM,919744,SCREW BN CANN 5X50MM,472.0,472.0,25.02,566.4,20
CDM,919745,SCREW BN CANN 5X85MM,472.0,472.0,25.02,566.4,20
CDM,919746,BLADE IM FX HUM 52MM,1093.0,1093.0,57.93,1311.6,20
CDM,919750,SCREW BN SPN 7.5MM 70MM,1450.0,1450.0,76.85,1740.0,20
CDM,919751,NEEDLE BX 18GX25C DISP,2564.0,2564.0,135.89,3076.8,49
CDM,919759,ROD SPNL CURV 5.5X120MM,1560.0,1560.0,82.68,1872.0,20
CDM,919790,SET ENDO 11.5-14MM 220CM,1398.0,1398.0,74.09,1677.6,49
CDM,919798,SET ENDO 8.5-11MM 165CM,5941.0,5941.0,314.87,7129.2,49
CDM,919811,BURR FLUT DRUM 6X7.9MM,2564.0,2564.0,135.89,3076.8,49
CDM,919812,BLADE CUTTER METAL MICRO,2564.0,2564.0,135.89,3076.8,49
CDM,919816,NAIL BN FEM 10MM 28CM,3684.0,3684.0,195.25,4420.8,20
CDM,919825,SUTURE PASSER SWIFT STIT,3144.0,3144.0,166.63,3772.8,49
CDM,919833,SCREW BN 4.7MM 55MM,148.0,148.0,7.84,177.6,20
CDM,919835,DRESSING WND AG 4X10IN,2564.0,2564.0,135.89,3076.8,49
CDM,919848,SUTURE FBRLNK 1.7MM,209.0,209.0,11.08,250.8,20
CDM,919858,COLLAR CERV MED 5.25IN,680.0,680.0,91.12,816.0,24
CDM,919859,COLLAR CERV LG 5.25IN,680.0,680.0,91.12,816.0,24
CDM,919860,IMOB ORTH KNEE 24IN,383.0,383.0,51.32,459.6,24
CDM,919862,CANNULA ART 23FR 76.2CM,4663.0,4663.0,247.14,5595.6,49
CDM,919868,REAMER HEAD STRL 11.0MM,5941.0,5941.0,314.87,7129.2,49
CDM,919869,REAMER HEAD STRL 13.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,919896,ROD SPN 3.5MM 100MM,360.0,360.0,19.08,432.0,20
CDM,919898,SCREW SPN P-AX 5.5X40MM,900.0,900.0,47.7,1080.0,20
CDM,919899,SCREW SPN 5.5MMX45MM,900.0,900.0,47.7,1080.0,20
CDM,919900,GDWIRE ORTH .062IN 1.6MM,754.0,754.0,39.96,904.8,49
CDM,919903,CATH THRMB 12FR 115CM,51995.0,51995.0,2755.74,62394.0,49
CDM,919907,LNR ACTB HIP SZF 28X44MM,1500.0,1500.0,79.5,1800.0,20
CDM,919909,CATH THRMB 150CM,13795.0,13795.0,731.13,16554.0,49
CDM,919916,MESH HRN 2LYR 20X20.5CM,14364.0,14364.0,761.29,17236.8,20
CDM,919919,DRILL SURG 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,919920,PLATE BN 4HL 2.8/3.5MM,3690.0,3690.0,195.57,4428.0,20
CDM,919925,ANCHOR SUT KNTLS 4.75MM,920.0,920.0,48.76,1104.0,20
CDM,919946,MANIFOLD DRN PRTNL,189.0,189.0,10.02,226.8,49
CDM,919957,PLATE CERV 2L 40MM,1900.0,1900.0,100.7,2280.0,20
CDM,919959,STEM FEM KN 14MM +75MM,2898.0,2898.0,153.59,3477.6,20
CDM,919963,WEDGE TIB KN CONE SZ1,9225.0,9225.0,488.93,11070.0,20
CDM,919967,CATH THRMB 12FR 100MM,51995.0,51995.0,2755.74,62394.0,49
CDM,919968,MESH SURG OVL 8X12CM,4034.0,4034.0,213.8,4840.8,20
CDM,920029,CATH ANGIO 5FR,261.0,261.0,13.83,313.2,49
CDM,920037,COIL EMBL 16MM 39CM,1750.0,1750.0,92.75,2100.0,20
CDM,920042,CATH URET 18FR 5CC,367.0,367.0,19.45,440.4,49
CDM,920073,HEAD FEM HIP OMM 28MM,1300.0,1300.0,68.9,1560.0,20
CDM,920075,CAGE SPN 7D 12X14X8MM,1600.0,1600.0,84.8,1920.0,20
CDM,920076,CAGE SPN 7D 12X14X9MM,1600.0,1600.0,84.8,1920.0,20
CDM,920097,CATH MICRO .021IN 162CM,6532.0,6532.0,346.2,7838.4,49
CDM,920098,RETRIEVER 3MM 25MM 32MM,50693.0,50693.0,2686.73,60831.6,49
CDM,920099,RETRIEVER 4MM 21MM 28MM,50693.0,50693.0,2686.73,60831.6,49
CDM,920100,RETRIEVER 4MM 35MM 41MM,50693.0,50693.0,2686.73,60831.6,49
CDM,920101,RETRIEVER 6MM 30MM 37MM,50693.0,50693.0,2686.73,60831.6,49
CDM,920118,EXPANDER TISS 400CC CRST,1150.0,1150.0,60.95,1380.0,20
CDM,920120,COIL EMBL 40CM 8MM,2500.0,2500.0,132.5,3000.0,20
CDM,920122,COIL EMBL STD 35CM 10MM,2500.0,2500.0,132.5,3000.0,20
CDM,920128,COIL EMBL 60CM .02IN14MM,2500.0,2500.0,132.5,3000.0,20
CDM,920133,SUTURE TAPE WH/BL 1.7MM,2073.0,2073.0,109.87,2487.6,49
CDM,920148,SHEATH INTRO 20FR 65CM,6031.0,6031.0,319.64,7237.2,49
CDM,920149,CMPNT TIB KN LT SZD,4590.0,4590.0,243.27,5508.0,20
CDM,920153,SCREW TEMP 3.5X27MM,2564.0,2564.0,135.89,3076.8,49
CDM,920154,SCREW TEMP 3.5X48MM,2564.0,2564.0,135.89,3076.8,49
CDM,920155,GUIDEWIRE TROCAR 1.6MM,754.0,754.0,39.96,904.8,49
CDM,920160,BIT DRILL 1.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,920161,ANCHOR SUT 5.5MM,2328.0,2328.0,123.38,2793.6,20
CDM,920174,KWIRE FX 1.15MM 3MM,980.0,980.0,51.94,1176.0,49
CDM,920175,BIT DRILL 2.1MM,2564.0,2564.0,135.89,3076.8,49
CDM,920176,SCREW BN 3MM 30MM,748.0,748.0,39.64,897.6,20
CDM,920185,BRIDGE BN SHRT 23MM,8394.0,8394.0,444.88,10072.8,20
CDM,920186,CAP LOCKING X-DRIVE,650.0,650.0,34.45,780.0,20
CDM,920187,WASHER BN 9.5MM,430.0,430.0,22.79,516.0,20
CDM,920190,BIT DRILL 4MM,3969.0,3969.0,210.36,4762.8,49
CDM,920191,STENT EPRSTH 5CM 10MM,5822.0,5822.0,308.57,6986.4,20
CDM,920222,PIN FX 280MM 6MM,787.0,787.0,41.71,944.4,20
CDM,920223,CLAMP EX FIX 4MM SHRT,10356.0,10356.0,548.87,12427.2,49
CDM,920233,CATH GD 7.62FR 65CM,2564.0,2564.0,135.89,3076.8,49
CDM,920252,MESH HRN 10CM 15CM,6061.0,6061.0,321.23,7273.2,20
CDM,920260,CMPNT FEM KN SZ7,8365.0,8365.0,443.35,10038.0,20
CDM,920270,LEAD NRSTM 28X33X41CM,5770.0,5770.0,305.81,6924.0,20
CDM,920271,XTN NRSTM PERC 2.16MM,370.0,370.0,19.61,444.0,20
CDM,920282,RASP DISTAL 8MM,3327.0,3327.0,176.33,3992.4,49
CDM,920294,KIT INST RCUF DISP,2810.0,2810.0,148.93,3372.0,49
CDM,920299,SCREW BN 2.7MM 19MM,260.0,260.0,13.78,312.0,20
CDM,920300,SCREW BN 2.7X4.3X30MM,260.0,260.0,13.78,312.0,20
CDM,920301,NAIL BN FEM RT 12X400MM,3212.0,3212.0,170.24,3854.4,20
CDM,920328,STAPLE BN 10MM 13MM,3790.0,3790.0,200.87,4548.0,20
CDM,920331,SET TUBING INSFL 10FT,217.0,217.0,11.5,260.4,49
CDM,920332,BLADE SAW 22.5X.38MM PRC,1727.0,1727.0,91.53,2072.4,49
CDM,920333,BLADE RECIP 27X64MM,1992.0,1992.0,105.58,2390.4,49
CDM,920342,NAIL BN RT 1.5MM 13MM,4086.0,4086.0,216.56,4903.2,20
CDM,920343,DEVICE CLSR WND 0 30CM,3646.0,3646.0,193.24,4375.2,49
CDM,920348,CMPNT FEM KN RT SZ4,3340.0,3340.0,177.02,4008.0,20
CDM,920354,MESH HRN RSRB 10X20CM,6891.0,6891.0,365.22,8269.2,20
CDM,920355,RESERVOIR X ATF,603.0,603.0,31.96,723.6,49
CDM,920362,SCREW SPN LOCKING,100.0,100.0,5.3,120.0,20
CDM,920363,SCREW SPN 3.5MM 12MM,900.0,900.0,47.7,1080.0,20
CDM,920374,IPG NRSTM 17MM 47MM,19010.0,19010.0,1007.53,22812.0,20
CDM,920375,CHARGER NEUROSTIM,7772.0,7772.0,411.92,9326.4,49
CDM,920378,CAGE SPNL C 30-45X20MM,15500.0,15500.0,821.5,18600.0,20
CDM,920388,SCREW BN 5MM 35MM,240.0,240.0,12.72,288.0,20
CDM,920389,STENT VNS 14X100MM 120CM,2600.0,2600.0,137.8,3120.0,20
CDM,920393,STENT VNS 16X80MM 120CM,2600.0,2600.0,137.8,3120.0,20
CDM,920394,STENT VNS 16X100MM 120CM,2600.0,2600.0,137.8,3120.0,20
CDM,920395,STENT VNS 16X120MM 120CM,2600.0,2600.0,137.8,3120.0,20
CDM,920396,STENT VNS 16X140MM 120CM,3000.0,3000.0,159.0,3600.0,20
CDM,920398,STENT VNS 18X60MM 120CM,3000.0,3000.0,159.0,3600.0,20
CDM,920399,STENT VNS 18X80MM 120CM,3000.0,3000.0,159.0,3600.0,20
CDM,920400,STENT VNS 18X100MM 120CM,3000.0,3000.0,159.0,3600.0,20
CDM,920401,STENT VNS 18X120MM 120CM,3000.0,3000.0,159.0,3600.0,20
CDM,920402,STENT VNS 18X140MM 120CM,3000.0,3000.0,159.0,3600.0,20
CDM,920404,STENT VNS 20X80MM 120CM,3000.0,3000.0,159.0,3600.0,20
CDM,920405,STENT 10F 20X100MM 120CM,3000.0,3000.0,159.0,3600.0,20
CDM,920406,STENT VNS 20X120MM 120CM,3000.0,3000.0,159.0,3600.0,20
CDM,920415,SPHNTM GW .025IN 260CM,5032.0,5032.0,266.7,6038.4,49
CDM,920419,SPHNTM GW .025IN 450CM,5109.0,5109.0,270.78,6130.8,49
CDM,920420,GWIRE ENDO .025IN 450CM,2564.0,2564.0,135.89,3076.8,49
CDM,920421,SCREW BN 2.4MM 38MM,135.0,135.0,7.16,162.0,20
CDM,920422,SCREW BN CORT 2.4X42MM,135.0,135.0,7.16,162.0,20
CDM,920423,CANNULA BUTTON 12MM 4CM,2261.0,2261.0,119.83,2713.2,49
CDM,920425,CAGE SPNL 7D 12X14X25MM,11831.0,11831.0,627.04,14197.2,20
CDM,920435,SCREW BN 3.5MM 34MM,206.0,206.0,10.92,247.2,20
CDM,920444,SCREW BN SS 4X6X18X7MM,359.0,359.0,19.03,430.8,20
CDM,920480,INSERT TIB KN SZ2 13MM,1900.0,1900.0,100.7,2280.0,20
CDM,920485,SUTURE ANBCTRL +0 18IN,356.0,356.0,18.87,427.2,49
CDM,920500,STENT VNS 14X80MM 80CM,2600.0,2600.0,137.8,3120.0,20
CDM,920502,CAGE INTERBODY 10X28MM,6800.0,6800.0,360.4,8160.0,20
CDM,920505,SCREW SPN 7.5MM 45MM,1300.0,1300.0,68.9,1560.0,20
CDM,920527,PLATE BN RT 4HL,5390.0,5390.0,285.67,6468.0,20
CDM,920538,INTEGRA MESH 125 SQCM,25564.0,25564.0,1354.89,30676.8,30
CDM,920540,SCREW BN 4.0MMX32MM,570.0,570.0,30.21,684.0,20
CDM,920541,SCREW BN 4.0MMX38MM,570.0,570.0,30.21,684.0,20
CDM,920544,SCREW BN CORT 3.5X24MM,570.0,570.0,30.21,684.0,20
CDM,920553,SCREW BN CORT 3.5X14MM,172.0,172.0,9.12,206.4,20
CDM,920569,SCREW BN SPNL 4MM 18MM,150.0,150.0,7.95,180.0,20
CDM,920579,REAMER SURG PHLNG 16MM,5895.0,5895.0,312.44,7074.0,49
CDM,920585,SCREW SPN 6.5MM 45MM,450.0,450.0,23.85,540.0,20
CDM,920586,SCREW SPN 6.5MM 45MM,450.0,450.0,23.85,540.0,20
CDM,920587,SCREW SPNL 7.5X35MM,450.0,450.0,23.85,540.0,20
CDM,920588,SCREW SPN 7.5MM 40MM,450.0,450.0,23.85,540.0,20
CDM,920589,SCREW SPN 7.5MM 45MM,450.0,450.0,23.85,540.0,20
CDM,920590,SCREW SET SPN NS,100.0,100.0,5.3,120.0,20
CDM,920601,INTEGRA MESH 25 SQCM,15328.0,15328.0,812.38,18393.6,30
CDM,920606,SCREW BN 4.5X55MM,2700.0,2700.0,143.1,3240.0,20
CDM,920612,BURR SURG RND DMD 4.5MM,2042.0,2042.0,108.23,2450.4,49
CDM,920623,SCREW BN CORT 3.5X12MM,172.0,172.0,9.12,206.4,20
CDM,920635,MARKER SPN EXTRNL DISP,7772.0,7772.0,411.92,9326.4,49
CDM,920643,KIT STENT PANC 5FR 3CM,329.0,329.0,17.44,394.8,20
CDM,920644,STENT PANC 5FR 11CM,150.0,150.0,7.95,180.0,20
CDM,920645,PUSHER DEL SYS PAN 4/5FR,2564.0,2564.0,135.89,3076.8,49
CDM,920656,STENT BIL PGTL 7FR 3CM,103.0,103.0,5.46,123.6,20
CDM,920658,ALGRFT DBM PUTTY 5.0CC,1600.0,1600.0,84.8,1920.0,20
CDM,920670,PLATE BN 3H 73MM,3549.0,3549.0,188.1,4258.8,20
CDM,920671,SCREW BN 3.5MM 48MM,455.0,455.0,24.11,546.0,20
CDM,920672,PEG BN LCK 3.2MM 48MM,309.0,309.0,16.38,370.8,20
CDM,920698,PACK INSTRUMENT ORTHO ST,3668.0,3668.0,194.4,4401.6,49
CDM,920703,CATH IV 18GA 1.25IN GRN,53.0,53.0,2.81,63.6,49
CDM,920709,NAIL BN 130D 13MM 36CM,4086.0,4086.0,216.56,4903.2,20
CDM,920712,PLATE 11MM SPC STD 134X1,4052.0,4052.0,214.76,4862.4,20
CDM,920713,SCREW BN 3.5MM 8MM,60.0,60.0,3.18,72.0,20
CDM,920714,PLATE SPNL BN 34MM 1LVL,1900.0,1900.0,100.7,2280.0,20
CDM,920715,SCREW SPN 4MM 16MM,150.0,150.0,7.95,180.0,20
CDM,920716,SCREW SPN 4MM 14MM,150.0,150.0,7.95,180.0,20
CDM,920717,CAGE SPN 7D 12X14X16MM,11831.0,11831.0,627.04,14197.2,20
CDM,920765,ANCH SPN CERV 9MM 14X16,2500.0,2500.0,132.5,3000.0,20
CDM,920772,WEDGE TIB KN CONE SZXS,9225.0,9225.0,488.93,11070.0,20
CDM,920773,WEDGE FEM KN 10MM SZCD,1550.0,1550.0,82.15,1860.0,20
CDM,920774,LINER ACTB HIP SZE 36MM,1500.0,1500.0,79.5,1800.0,20
CDM,920776,WEDGE KN 10MM SZCD,1550.0,1550.0,82.15,1860.0,20
CDM,920785,MESH PORCINE 10CM 10CM,3300.0,3300.0,174.9,3960.0,20
CDM,920786,MESH PORCINE 20CM 25CM,16500.0,16500.0,874.5,19800.0,20
CDM,920788,ROD SPN 6MM 90MM,360.0,360.0,19.08,432.0,20
CDM,920789,ROD SPN CNTOR SZ6 95MM,360.0,360.0,19.08,432.0,20
CDM,920802,SCREW SPN 3.5MM 28MM,1000.0,1000.0,53.0,1200.0,20
CDM,920803,SCREW SPN 3.5MM 30MM,1000.0,1000.0,53.0,1200.0,20
CDM,920804,SCREW SPN 3.5MM 32MM,1000.0,1000.0,53.0,1200.0,20
CDM,920805,SCREW SPN 4X32MM,900.0,900.0,47.7,1080.0,20
CDM,920806,SCREW SPN 4.0MM 34MM,900.0,900.0,47.7,1080.0,20
CDM,920807,CONNECTOR SPN 3.5X10MM,700.0,700.0,37.1,840.0,20
CDM,920808,SCREW BN ANKL 4X45MM,614.0,614.0,32.54,736.8,20
CDM,920816,CATH BER 6FR 80CM 105CM,6956.0,6956.0,368.67,8347.2,49
CDM,920821,SCREW BN 5.5MM 52MM,382.0,382.0,20.25,458.4,20
CDM,920835,WEDGE KN SZ5 5MM,1550.0,1550.0,82.15,1860.0,20
CDM,920842,CATH GD SUPP 150CM,3036.0,3036.0,160.91,3643.2,49
CDM,920843,CATH GD 135CM 40-60MM,3036.0,3036.0,160.91,3643.2,49
CDM,920848,GRAFT CV 7MM 45CM,4198.0,4198.0,222.49,5037.6,20
CDM,920858,K-WIRE LG OLV 1.6X65MM,2564.0,2564.0,135.89,3076.8,49
CDM,920859,PLATE BN ANT CP RT,5070.0,5070.0,268.71,6084.0,20
CDM,920860,SCREW BN CANN 16MM,780.0,780.0,41.34,936.0,20
CDM,920861,SCREW BN CORT 4MM 28MM,121.0,121.0,6.41,145.2,20
CDM,920862,SCREW BN CORT 4MMX40MM,121.0,121.0,6.41,145.2,20
CDM,920863,SCREW BN CRTX 4X32MM,121.0,121.0,6.41,145.2,20
CDM,920864,SCREW BN CRTX 4X30MM,121.0,121.0,6.41,145.2,20
CDM,920866,PLATE SM 9HL 77MM,4538.0,4538.0,240.51,5445.6,20
CDM,920872,PLATE SPN L60 RFLX HBRD,1900.0,1900.0,100.7,2280.0,20
CDM,920889,PLATE 24MM 1 LVL OZARK B,1900.0,1900.0,100.7,2280.0,20
CDM,920892,LASER FIBER 320UM,9505.0,9505.0,503.76,11406.0,49
CDM,920896,PLATE BN 8HL 3.5MM,1846.0,1846.0,97.84,2215.2,20
CDM,920901,SEALANT DURA MATER,1596.0,1596.0,84.59,1915.2,20
CDM,920912,DRILL SURG 2.8MM,4192.0,4192.0,222.18,5030.4,49
CDM,920919,DRILL SURG CLBRT 3.5MM,4057.0,4057.0,215.02,4868.4,49
CDM,920935,IMPLANT BREAST 355CC,1750.0,1750.0,92.75,2100.0,20
CDM,920956,ANCHOR SPN MIS 25MM,150.0,150.0,7.95,180.0,20
CDM,920966,ROD SPN HINGED,700.0,700.0,37.1,840.0,20
CDM,920967,DRILL SURG CANN 7.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,920968,CAGE SPNL CERV H30MM,5274.0,5274.0,279.52,6328.8,20
CDM,920992,SCREW BN 2.4X3.8X18MM,70.0,70.0,3.71,84.0,20
CDM,920995,SLEEVE TIB KN PRCT 45MM,4624.0,4624.0,245.07,5548.8,20
CDM,921006,HEAD FEM HIP BIP 28X47MM,800.0,800.0,42.4,960.0,20
CDM,921018,ALLODERM 164 SQ CM,15718.0,15718.0,833.05,18861.6,20
CDM,921024,SCREW BN 5MM 40MM,950.0,950.0,50.35,1140.0,20
CDM,921027,BUTTON KNOTLESS DIS CLAV,1970.0,1970.0,104.41,2364.0,20
CDM,921028,SCREW SPN 5.5MMX50MM,900.0,900.0,47.7,1080.0,20
CDM,921029,ROD SPN 6MM 85MM,360.0,360.0,19.08,432.0,20
CDM,921030,SUTURE MXBRD#2 MO-6-NDL,2564.0,2564.0,135.89,3076.8,49
CDM,921031,CONNECTORS TRNSVRS 5.5/6,700.0,700.0,37.1,840.0,20
CDM,921034,DEVICE TISS REM XL,7332.0,7332.0,388.6,8798.4,49
CDM,921035,RASP SURG 18.3MM 3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,921037,PATCH DURA 7IN 5IN,2927.0,2927.0,155.13,3512.4,20
CDM,921052,EXTRACTOR KATZ EAR/NOSE,1317.0,1317.0,69.8,1580.4,49
CDM,921061,MESH SURG COLLAG 35X35CM,40425.0,40425.0,2142.53,48510.0,20
CDM,921064,STEM KN 14X110MM,1500.0,1500.0,79.5,1800.0,20
CDM,921069,SCREW BN 5.0MM 32MM,348.0,348.0,18.44,417.6,20
CDM,921070,SCREW BN 5.0MM 36MM,348.0,348.0,18.44,417.6,20
CDM,921078,VALVE AORTIC 29MM,28000.0,28000.0,1484.0,33600.0,20
CDM,921085,ROD SPNL 4-5.5MM 300MM,360.0,360.0,19.08,432.0,20
CDM,921096,STENT GRFT 124X23X13MM,16700.0,16700.0,885.1,20040.0,20
CDM,921097,LINER HIP DUAL 38/50MM,2000.0,2000.0,106.0,2400.0,20
CDM,921133,INTEGRA MESH 250 SQCM,41976.0,41976.0,2224.73,50371.2,30
CDM,921134,INTEGRA MESH 500 SQCM,67735.0,67735.0,3589.95,81282.0,30
CDM,921146,SCREW BN 5.5MM 50MM,1328.0,1328.0,70.38,1593.6,20
CDM,921148,PLATE MIDSHAFT RAD 81MM,1828.0,1828.0,96.88,2193.6,20
CDM,921153,SCREW BN 2.7MM 36MM,84.0,84.0,4.45,100.8,20
CDM,921175,GUIDEWIRE PRESSURE,5941.0,5941.0,314.87,7129.2,49
CDM,921176,INSERT SHLDR LT 155D SZ1,4000.0,4000.0,212.0,4800.0,20
CDM,921188,DRILL SURG 2.7MM 50MM,942.0,942.0,49.93,1130.4,49
CDM,921189,SPLINT FNGR FOAM LG,36.0,36.0,1.91,43.2,49
CDM,921190,SPLINT FNGR FOAM SM,36.0,36.0,1.91,43.2,49
CDM,921195,SOLUTION IRR H2O 1000CC,123.0,123.0,6.52,147.6,49
CDM,921220,CATH THRMB 115CM .074IN,17487.0,17487.0,926.81,20984.4,49
CDM,921249,AUGMENT FEM KN LT 4MM,1540.0,1540.0,81.62,1848.0,20
CDM,921251,INS TIB KN SZ8-11 11MM,1500.0,1500.0,79.5,1800.0,20
CDM,921252,ARM SLING POUCH 2X-SMALL,47.0,47.0,2.49,56.4,49
CDM,921278,EXPANDER TISS 360-430CC,3400.0,3400.0,180.2,4080.0,20
CDM,921288,FIBER LASER CO2,5941.0,5941.0,314.87,7129.2,49
CDM,921293,PLATE BN 117MM 3.5MM,3172.0,3172.0,168.12,3806.4,20
CDM,921296,SCISSOR FLX ENDO 2.6MM,4214.0,4214.0,223.34,5056.8,49
CDM,921298,SCREW BN 5.0MM 20MM,348.0,348.0,18.44,417.6,20
CDM,921326,SCREW BN CRTX 2X10MM,69.0,69.0,3.66,82.8,20
CDM,921333,SCREW BN 6.5MM 70MM,767.0,767.0,40.65,920.4,20
CDM,921341,CATH IV 20GA .041-.044IN,55.0,55.0,2.92,66.0,49
CDM,921348,COIL EMBL 1MMX2CM,1580.0,1580.0,83.74,1896.0,20
CDM,921354,WEDGE FEM KN SZ7 5MM,1550.0,1550.0,82.15,1860.0,20
CDM,921356,COIL EMBL 1MMX5CM,1580.0,1580.0,83.74,1896.0,20
CDM,921357,COIL EMBL 2MMX2CM,1580.0,1580.0,83.74,1896.0,20
CDM,921359,COIL EMBL 2MMX4CM,1580.0,1580.0,83.74,1896.0,20
CDM,921360,COIL EMBL 2MMX10CM,1960.0,1960.0,103.88,2352.0,20
CDM,921361,COIL EMBL 3MMX4CM,1580.0,1580.0,83.74,1896.0,20
CDM,921362,COIL EMBL 3MMX10CM,1960.0,1960.0,103.88,2352.0,20
CDM,921363,COIL EMBL 3MMX15CM,1960.0,1960.0,103.88,2352.0,20
CDM,921364,COIL EMBL 4MMX6CM,1580.0,1580.0,83.74,1896.0,20
CDM,921365,COIL EMBL 4MMX15CM,1960.0,1960.0,103.88,2352.0,20
CDM,921366,COIL EMBL 4MMX30CM,2560.0,2560.0,135.68,3072.0,20
CDM,921376,SCREW BN 3.5MM 36MM,700.0,700.0,37.1,840.0,20
CDM,921382,PACKING COIL LP 10CM,1960.0,1960.0,103.88,2352.0,20
CDM,921383,PACKING COIL LP 15CM,1960.0,1960.0,103.88,2352.0,20
CDM,921384,PACKING COIL LP 30CM,2560.0,2560.0,135.68,3072.0,20
CDM,921385,HANDLE LP DETACHMENT,2947.0,2947.0,156.19,3536.4,49
CDM,921391,BLADE SHVR 7CM 3.5M STD,2564.0,2564.0,135.89,3076.8,49
CDM,921400,SCREW BN 6.5MM 80MM,767.0,767.0,40.65,920.4,20
CDM,921401,SCREW BN 6.5MM 60MM,384.0,384.0,20.35,460.8,20
CDM,921403,SCREW BN 6.5MM 35MM,767.0,767.0,40.65,920.4,20
CDM,921404,NUT FIXATION WASHER,757.0,757.0,40.12,908.4,20
CDM,921405,WASHER FIXATION SCREW,757.0,757.0,40.12,908.4,20
CDM,921406,NAIL BN 12MMX32CM,4784.0,4784.0,253.55,5740.8,20
CDM,921413,GUIDES CUTTING/MARK VSP,10098.0,10098.0,535.19,12117.6,49
CDM,921414,PLATE BN 4HL,20083.0,20083.0,1064.4,24099.6,20
CDM,921422,DEVICE CLSR WND 1 70CM,815.0,815.0,43.2,978.0,49
CDM,921444,FIBER LASER CO2,9505.0,9505.0,503.76,11406.0,49
CDM,921450,STEM FEM HIP PRSFT SZ8,4000.0,4000.0,212.0,4800.0,20
CDM,921455,PLATE BN MDSHFT ULN 97MM,1866.0,1866.0,98.9,2239.2,20
CDM,921456,SCREW BN 3.5MM 28MM,650.0,650.0,34.45,780.0,20
CDM,921457,SCREW BN LAG 4X20MM,730.0,730.0,38.69,876.0,20
CDM,921458,DOME PTLA KN 8MM 30MM,886.0,886.0,46.96,1063.2,20
CDM,921459,AUGMNT TIB 5MM 4 LT MDL,2000.0,2000.0,106.0,2400.0,20
CDM,921463,KIT VSP RECON PLAN PREP,18402.0,18402.0,975.31,22082.4,49
CDM,921468,CATHETER THRMB 130CM 4.3,8840.0,8840.0,468.52,10608.0,49
CDM,921475,LINER ACTB HIP 28X50MM,1500.0,1500.0,79.5,1800.0,20
CDM,921477,INSERT TIB SZ6 8MM,1500.0,1500.0,79.5,1800.0,20
CDM,921479,STEM ULNAR 2CM 6MM,5350.0,5350.0,283.55,6420.0,20
CDM,921480,SCREW BN LCK 3.5MM 12MM,274.0,274.0,14.52,328.8,20
CDM,921485,CONN SPN TRNSV 5.5/6.0MM,700.0,700.0,37.1,840.0,20
CDM,921486,TEMPLATE ROD 500MM,942.0,942.0,49.93,1130.4,49
CDM,921495,SUTURE LASSO CRV 90D,2564.0,2564.0,135.89,3076.8,49
CDM,921499,CMPNT FEM KN LT SZ5,3600.0,3600.0,190.8,4320.0,20
CDM,9215,FOSPHEN PE 100 MG INJ,352.0,352.0,18.66,422.4,30
CDM,921500,INSRT ARTC KN LT 11MM,1500.0,1500.0,79.5,1800.0,20
CDM,921504,CMPNT FEM NAR KN RT SZ5,3600.0,3600.0,190.8,4320.0,20
CDM,921524,SCREW BN 6.5MM 55MM,767.0,767.0,40.65,920.4,20
CDM,921525,SCREW BN 6.5MM 50MM,384.0,384.0,20.35,460.8,20
CDM,921526,NAIL BN FEM 11MM 34CM,4784.0,4784.0,253.55,5740.8,20
CDM,921531,SCREW BN 3.5MM 24MM,452.0,452.0,23.96,542.4,20
CDM,921532,SCREW BN 3.5MM 36MM,430.0,430.0,22.79,516.0,20
CDM,921534,SCREW BN 3.5MM 38MM,452.0,452.0,23.96,542.4,20
CDM,921541,SCREW BN 4MM 50MM,550.0,550.0,29.15,660.0,20
CDM,921542,SCREW BN 3.5MM 40MM,590.0,590.0,31.27,708.0,20
CDM,921543,SCREW BN VAR 3.5X44MM,590.0,590.0,31.27,708.0,20
CDM,921552,STEM FEM 16MM 60MM,1500.0,1500.0,79.5,1800.0,20
CDM,921555,SCREW CANN P-AX 6.5X45MM,1000.0,1000.0,53.0,1200.0,20
CDM,921564,GRAFT QDRCP 9-11X60-75MM,4940.0,4940.0,261.82,5928.0,20
CDM,921566,PLATE MESH MED 12MM,2934.0,2934.0,155.5,3520.8,20
CDM,921577,SCREW BN FT 4MM 34MM,192.0,192.0,10.18,230.4,20
CDM,921578,SCREW BN 4MM 44MM,343.0,343.0,18.18,411.6,20
CDM,921583,MOLD FOR BN GRF SUBS,2564.0,2564.0,135.89,3076.8,49
CDM,921596,PLATE FIB DSTL 2.8/3.5MM,3441.0,3441.0,182.37,4129.2,20
CDM,921604,STEM EXT KN 175MM,2000.0,2000.0,106.0,2400.0,20
CDM,921606,CAGE SPN D 13MM,14725.0,14725.0,780.42,17670.0,20
CDM,921626,ROD EX FIX THRD 400MM,1688.0,1688.0,89.46,2025.6,49
CDM,921643,CATH THRMB STD TIP 132CM,21373.0,21373.0,1132.77,25647.6,49
CDM,921653,KIT ART CATH FEMORAL 18G,1881.0,1881.0,99.69,2257.2,49
CDM,921661,SCREW BN 8.0MM 150MM,382.0,382.0,20.25,458.4,20
CDM,921662,PIN HA EXFX 655200,2564.0,2564.0,135.89,3076.8,49
CDM,921663,PIN HLF 200MM 6MM HAP 60,2564.0,2564.0,135.89,3076.8,49
CDM,921666,SCREW BN CANN 5X70MM,472.0,472.0,25.02,566.4,20
CDM,921667,SCREW BN S/TP 5MM 70MM,348.0,348.0,18.44,417.6,20
CDM,921668,CATH ANGIO 5FR 70CM,2564.0,2564.0,135.89,3076.8,49
CDM,921669,SCREW BN 5.0MM 40MM,348.0,348.0,18.44,417.6,20
CDM,921675,INSERT TIB KN SZ4 13MM,1900.0,1900.0,100.7,2280.0,20
CDM,921686,CATH INTVN 2.8F 150CM,5941.0,5941.0,314.87,7129.2,49
CDM,921687,STENT OPTH .64X300MM,127.0,127.0,6.73,152.4,20
CDM,921695,CATH BLNDIL 3MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,921718,TISSUE EXPANDR SMTH 14-T,3100.0,3100.0,164.3,3720.0,20
CDM,921745,SCREW EX FIX 170MM 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,921765,NAIL BN FEM LT 130D 12MM,5990.0,5990.0,317.47,7188.0,20
CDM,921768,REAMER CANN LNG 4.0MM,2947.0,2947.0,156.19,3536.4,49
CDM,921771,SCREW BN 5.0MM 26MM,348.0,348.0,18.44,417.6,20
CDM,921772,SCREW BN 5.0MM 65MM,348.0,348.0,18.44,417.6,20
CDM,921775,INSERT BRNG KN TIB3 13MM,1900.0,1900.0,100.7,2280.0,20
CDM,9218,FOSPHEN PE 500 MG INJ,608.0,608.0,32.22,729.6,30
CDM,921800,MICROCATH COX 2.4FR 130C,5941.0,5941.0,314.87,7129.2,49
CDM,921807,SUTURETAPE 1.3MM 40IN,1884.0,1884.0,99.85,2260.8,49
CDM,921859,NAIL CANN 2MM 12MM,1450.0,1450.0,76.85,1740.0,20
CDM,921860,SCREW BN 4MM 50MM,1520.0,1520.0,80.56,1824.0,20
CDM,921861,NAIL CANN 2MM 16MM,2340.0,2340.0,124.02,2808.0,20
CDM,921862,KIT INSTRUMENT DISP 2MM,9093.0,9093.0,481.93,10911.6,49
CDM,921864,SET GSTRM 20FR 4.47MM,2564.0,2564.0,135.89,3076.8,49
CDM,921867,BLADE BN SPRL HUM 42MM,1009.0,1009.0,53.48,1210.8,20
CDM,921900,SCREW BN 5.0MM 30MM,348.0,348.0,18.44,417.6,20
CDM,921908,STRIPPER VEIN DISP,5245.0,5245.0,277.99,6294.0,49
CDM,921909,CAGE SPNL CNTRPC 13MM,14725.0,14725.0,780.42,17670.0,20
CDM,921920,SCREW SPN 3.5MM 18MM,900.0,900.0,47.7,1080.0,20
CDM,921934,SET CATH VNTRCLR 1.9MM,2564.0,2564.0,135.89,3076.8,49
CDM,921941,IMPLANT FIBERWIRE 2-0,990.0,990.0,52.47,1188.0,20
CDM,921946,NAIL BN 10MM 300MM,2706.0,2706.0,143.42,3247.2,20
CDM,921947,SCREW BN 5MM 32MM,240.0,240.0,12.72,288.0,20
CDM,921948,SCREW BN 5MM 37MM,240.0,240.0,12.72,288.0,20
CDM,921959,NAIL BN 11MM 360MM,2706.0,2706.0,143.42,3247.2,20
CDM,921960,INSTRUMENT BN HARV DISP,13018.0,13018.0,689.95,15621.6,49
CDM,921962,SCREW 8X60MM XPDM P AX,900.0,900.0,47.7,1080.0,20
CDM,921963,EXP TI POLY SCREW 8MMX65,900.0,900.0,47.7,1080.0,20
CDM,921964,SCREW SPNL 5.5X6X45MM,1300.0,1300.0,68.9,1560.0,20
CDM,921965,SCREW SPN VPR 7X40MM,1300.0,1300.0,68.9,1560.0,20
CDM,921967,SCREW CANN HDLS 7X60MM,574.0,574.0,30.42,688.8,20
CDM,921968,SCREW CANN HDLS 7X50MM,1474.0,1474.0,78.12,1768.8,20
CDM,921985,SCREW BN 3.5X38MM,390.0,390.0,20.67,468.0,20
CDM,921986,SCREW BN 3.5X42MM,390.0,390.0,20.67,468.0,20
CDM,921987,NEEDLE SUT C-13 RVRS CUT,716.0,716.0,37.95,859.2,49
CDM,921988,STENT VASC 5FR 5X170MM,1900.0,1900.0,100.7,2280.0,20
CDM,921998,NEOX CORD RT 18 SQCM,14700.0,14700.0,779.1,17640.0,30
CDM,922015,NAIL BN CANN 2MM 26MM,2700.0,2700.0,143.1,3240.0,20
CDM,922017,NAIL CANN 2MM 24MM,2340.0,2340.0,124.02,2808.0,20
CDM,922034,STEM SHLDR SZ2 21MM,6100.0,6100.0,323.3,7320.0,20
CDM,922036,PIN GUIDE 3.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,922063,BIT DRILL SHAFT SPAL 5 D,1884.0,1884.0,99.85,2260.8,49
CDM,922069,IMPLANT BREAST 175CC,2190.0,2190.0,116.07,2628.0,20
CDM,922093,CRT DEFIB CARD DF4,30102.0,30102.0,1595.41,36122.4,20
CDM,922114,SCREW BN 3.5MM 42MM,70.0,70.0,3.71,84.0,20
CDM,922134,PLATE SPN 3LVL 51MM,1900.0,1900.0,100.7,2280.0,20
CDM,922139,SCREW SPN 4.5MM 16MM,150.0,150.0,7.95,180.0,20
CDM,922150,GUIDEWIRE ORTH 1.6MM,1152.0,1152.0,61.06,1382.4,49
CDM,922198,CANN PRFSN 31.8CM 21FR,4755.0,4755.0,252.01,5706.0,49
CDM,922201,SCREW LAG LT 10.5X95MM,1790.0,1790.0,94.87,2148.0,20
CDM,922218,DEVICE BX MN MARROWSTIM,16865.0,16865.0,893.85,20238.0,49
CDM,922219,INTRBDY SPN CERV LG 9MM,1600.0,1600.0,84.8,1920.0,20
CDM,922225,TOOL DSCT 14CM 4MM,2564.0,2564.0,135.89,3076.8,49
CDM,922226,BUR DMD BALL 14CM 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,922228,SUTURE CT-1 0 1X36IN,53.0,53.0,2.81,63.6,49
CDM,922229,TOOL DSCT 9CM 25.4MM,2564.0,2564.0,135.89,3076.8,49
CDM,922235,INSERT TIB KN BRG 2 10MM,1900.0,1900.0,100.7,2280.0,20
CDM,922236,NAIL TIB 10.5X350MM,3560.0,3560.0,188.68,4272.0,20
CDM,922237,PLATE BN ELB 151MM,2208.0,2208.0,117.02,2649.6,20
CDM,922248,LINER HIP 28D 46MM SZG,1500.0,1500.0,79.5,1800.0,20
CDM,922251,PLATE FOOT 2HL 5X15.5MM,3098.0,3098.0,164.19,3717.6,20
CDM,922252,SCREW FT NLCK 2.2X10MM,360.0,360.0,19.08,432.0,20
CDM,922253,DRILL BIT AO SIZE 2.7MM,2919.0,2919.0,154.71,3502.8,49
CDM,922257,PROBE SURG LNG MNPLR STM,2564.0,2564.0,135.89,3076.8,49
CDM,922265,CAP NERVE PROT 2X15MM,4082.0,4082.0,216.35,4898.4,20
CDM,922274,ROD SPN 100MM 3.5MM,360.0,360.0,19.08,432.0,20
CDM,922276,GWIRE VASC 215CM,5941.0,5941.0,314.87,7129.2,49
CDM,922277,GUIDEWIRE 300CM,5941.0,5941.0,314.87,7129.2,49
CDM,922286,DISC CERV 7X17X16MM,9800.0,9800.0,519.4,11760.0,20
CDM,922295,STENT EPRSTH 5CM 11MM,5938.0,5938.0,314.71,7125.6,20
CDM,922296,STENT EPRSTH 5CM 13MM,5822.0,5822.0,308.57,6986.4,20
CDM,922316,BRACE ORTH KN 17-27IN,1943.0,1943.0,102.98,2331.6,49
CDM,922324,STEM HUM SHRT SZ14 57MM,3900.0,3900.0,206.7,4680.0,20
CDM,922362,SEALER/DVDR LAP 5MM 37CM,4192.0,4192.0,222.18,5030.4,49
CDM,922371,BOOT AIR WALKER SHORT XL,791.0,791.0,41.92,949.2,49
CDM,922374,BOOT AIR WALKER SHORT S,791.0,791.0,41.92,949.2,49
CDM,922376,BOOT AIR WALKER XL,791.0,791.0,41.92,949.2,49
CDM,922377,BOOT AIR WALKER L,791.0,791.0,41.92,949.2,49
CDM,922379,BOOT AIR WALKER M,791.0,791.0,41.92,949.2,49
CDM,922381,BOOT AIR WALKER S,791.0,791.0,41.92,949.2,49
CDM,922382,SCREW BN 2.4MM 8MM,170.0,170.0,9.01,204.0,20
CDM,922413,SCREW SPN 4MM 24MM,900.0,900.0,47.7,1080.0,20
CDM,922435,PLATE CLVCL THIRD LEFT,1100.0,1100.0,58.3,1320.0,20
CDM,922436,NAIL TIB 10.5X300MM,3560.0,3560.0,188.68,4272.0,20
CDM,922442,SCREW SPN 4.5MM 14MM,150.0,150.0,7.95,180.0,20
CDM,922444,PLATE SPN 4LVL 68MM,1900.0,1900.0,100.7,2280.0,20
CDM,922457,NAIL CANN 2MM 20MM,2700.0,2700.0,143.1,3240.0,20
CDM,922464,VALVE AORTIC 25MM,28000.0,28000.0,1484.0,33600.0,20
CDM,922482,CATH BLNDIL 5MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,922483,SCREW SPN 9.0MM 70MM,1300.0,1300.0,68.9,1560.0,20
CDM,922484,SCREW BN 9X90,1300.0,1300.0,68.9,1560.0,20
CDM,922493,GUIDEWIRE DBL TIP 1.1MM,2564.0,2564.0,135.89,3076.8,49
CDM,922502,STEM HUM SHRT SZ10 44MM,3900.0,3900.0,206.7,4680.0,20
CDM,922510,SCREW BN CMPR F-T 7X75MM,1390.0,1390.0,73.67,1668.0,20
CDM,922514,NAIL BN FEM 9MM 380MM,2614.0,2614.0,138.54,3136.8,20
CDM,922530,PLATE BN STRT 8H,2320.0,2320.0,122.96,2784.0,20
CDM,922531,PLATE BN TI 16H,4314.0,4314.0,228.64,5176.8,20
CDM,922532,SCREW BN 2.4MM 10MM,354.0,354.0,18.76,424.8,20
CDM,922546,PLATE BN 12HL 151MM,4125.0,4125.0,218.63,4950.0,20
CDM,922547,PLATE BN PROX HUM 3H RT,3000.0,3000.0,159.0,3600.0,20
CDM,922559,KIT CATH CV 5.5FR 13CM,2564.0,2564.0,135.89,3076.8,49
CDM,922587,PLATE BN TIB MDL 17HL,2000.0,2000.0,106.0,2400.0,20
CDM,922590,INSERT SHLDR RT 155D SZ1,4000.0,4000.0,212.0,4800.0,20
CDM,922593,361 HCT P SKN NOS,6247.0,6247.0,331.09,7496.4,30
CDM,922598,361 HCT P SKN NOS,17111.0,17111.0,906.88,20533.2,30
CDM,922613,INSERT TIB KN SZ6 13MM,1900.0,1900.0,100.7,2280.0,20
CDM,922615,INSERT TIB KN SZ1 22MM,1900.0,1900.0,100.7,2280.0,20
CDM,922622,PLATE BN 6H 2.4MM,1590.0,1590.0,84.27,1908.0,20
CDM,922637,SCREW BN 4.5MM 24MM,450.0,450.0,23.85,540.0,20
CDM,922646,INSERT SHLDR +4 44MM,1534.0,1534.0,81.3,1840.8,20
CDM,922674,SCREW SPNL 10X45MM,4800.0,4800.0,254.4,5760.0,20
CDM,922676,PLATE T BN 3X5H 2.4X41MM,1244.0,1244.0,65.93,1492.8,20
CDM,922701,NAIL BN 10MM 340MM,2614.0,2614.0,138.54,3136.8,20
CDM,922708,SYSTEM IMPLANT SCREW,3990.0,3990.0,211.47,4788.0,20
CDM,922710,CATH SIM 6FR 90CM 125CM,6956.0,6956.0,368.67,8347.2,49
CDM,922722,SHEARS LAPSCP 5MM 36CM,5941.0,5941.0,314.87,7129.2,49
CDM,922735,STENT VASC 6X80MM 120CM,1512.0,1512.0,80.14,1814.4,20
CDM,922737,CMPNT TIB KN SZC,4590.0,4590.0,243.27,5508.0,20
CDM,922750,SCREW SPN 3.5MM 36MM,1000.0,1000.0,53.0,1200.0,20
CDM,922751,SCREW BN CORT 2.4X12MM,220.0,220.0,11.66,264.0,20
CDM,922780,ROD SPN 4MM 240MM,360.0,360.0,19.08,432.0,20
CDM,922781,SCREW SPN 3.5MM 30MM,1000.0,1000.0,53.0,1200.0,20
CDM,922792,PLATE BN 7H 3.5MM 81MM,900.0,900.0,47.7,1080.0,20
CDM,922796,SCREW BN LCK S/T 2.4X9MM,400.0,400.0,21.2,480.0,20
CDM,922798,CONN SPN ROD 6MM 5.5MM,700.0,700.0,37.1,840.0,20
CDM,922799,CONNECTR SPN 5.5X50-58MM,700.0,700.0,37.1,840.0,20
CDM,922801,SPACER SPN 7D 10X28MM,6800.0,6800.0,360.4,8160.0,20
CDM,922802,IMPLANT SPNL FX 4MM,1015.0,1015.0,53.8,1218.0,20
CDM,922807,CMPNT FEM KN SZ5,3600.0,3600.0,190.8,4320.0,20
CDM,922824,POST SHLDR GLND SHRT 7MM,140.0,140.0,7.42,168.0,20
CDM,922829,SCREW BN SPN 6.5MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,922832,SCREW BN 4MM 48MM,922.0,922.0,48.87,1106.4,20
CDM,922836,CMPNT FEM KN 7 LT,8365.0,8365.0,443.35,10038.0,20
CDM,922852,SCREW SPNL P-AX 5X32MM,1000.0,1000.0,53.0,1200.0,20
CDM,922856,SCREW SPN 5.0MM 30MM,1000.0,1000.0,53.0,1200.0,20
CDM,922858,SCREW SPN 5.0X26MM,1000.0,1000.0,53.0,1200.0,20
CDM,922859,ROD SPN 4MM 90MM,360.0,360.0,19.08,432.0,20
CDM,922864,PLT CH 60MM 2SL 130 DEG,894.0,894.0,47.38,1072.8,20
CDM,922865,KIT TRAY TRACH 8.5,5941.0,5941.0,314.87,7129.2,49
CDM,922866,ROD SPN 350X5.5MM DENALI,360.0,360.0,19.08,432.0,20
CDM,922868,FILLER BN VOID 10CC,2300.0,2300.0,121.9,2760.0,20
CDM,922880,CMPNT FEM NP PS SZ2 LT,3200.0,3200.0,169.6,3840.0,20
CDM,922881,SCREW BN HDLS 4.5X26MM,789.0,789.0,41.82,946.8,20
CDM,922891,SCREW SPN 3.5MM 12MM,1000.0,1000.0,53.0,1200.0,20
CDM,922892,SCREW SPN 3.5MM 10MM,1000.0,1000.0,53.0,1200.0,20
CDM,922904,SCREW BN 5MM 26MM,276.0,276.0,14.63,331.2,20
CDM,922905,CAGE SPNL 16X14X8MM,2134.0,2134.0,113.1,2560.8,20
CDM,922947,SCREW BN LCK 4.0X44MM,570.0,570.0,30.21,684.0,20
CDM,922948,SCREW BN 4.0MMX36MM,570.0,570.0,30.21,684.0,20
CDM,922952,BURR ORTHO 3MM 20MM,4480.0,4480.0,237.44,5376.0,49
CDM,922957,BIT DRILL 1.9MM,3095.0,3095.0,164.03,3714.0,49
CDM,922962,IMPLANT URO MATERIAL 1ML,504.0,504.0,80.64,604.8,19
CDM,922967,CATH BLN 4FR 2.5MM 10CM,2564.0,2564.0,135.89,3076.8,49
CDM,923019,SCREW BN LCK 5X57.5MM,324.0,324.0,17.17,388.8,20
CDM,923022,SCREW BN CORT 3X18MM,250.0,250.0,13.25,300.0,20
CDM,923024,PIN BN BB-TAK MTP,1884.0,1884.0,99.85,2260.8,49
CDM,923025,PIN FIXATION THRD DISP,2564.0,2564.0,135.89,3076.8,49
CDM,923027,BURR RND 8FLUT 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,923028,SYSTEM PLT/SCR 3.6X2.7MM,7600.0,7600.0,402.8,9120.0,20
CDM,923036,PROBE NANOSCOPE ARTICULA,2564.0,2564.0,135.89,3076.8,49
CDM,923068,ANCHOR BN 24D 2-0,990.0,990.0,52.47,1188.0,20
CDM,923072,HEAD FEM HIP 12/14 3MM,2628.0,2628.0,139.28,3153.6,20
CDM,923082,SCREW BN 2.7MM 40M,77.0,77.0,4.08,92.4,20
CDM,923102,ROD SPN LG 5.5X60MM,360.0,360.0,19.08,432.0,20
CDM,923106,PIN FX 3.2MM 110MM,2564.0,2564.0,135.89,3076.8,49
CDM,923118,SUTURE VIOL MON +0 27IN,79.0,79.0,4.19,94.8,49
CDM,923132,PLATE BN MDSHFT 112MM,1886.0,1886.0,99.96,2263.2,20
CDM,923143,STAPLER INT CIR 23MM,706.0,706.0,37.42,847.2,20
CDM,923150,KIT BNGF DLV SYS,8142.0,8142.0,431.53,9770.4,49
CDM,923157,PLATE BN 7HL 2.7/3.5,3450.0,3450.0,182.85,4140.0,20
CDM,923158,PLT HUM MD 2.7/3.5 80 3H,3060.0,3060.0,162.18,3672.0,20
CDM,923159,PLATE BN 2.7/3.5MM 61MM,3390.0,3390.0,179.67,4068.0,20
CDM,923160,SCREW BN 3.5MM 19MM,312.0,312.0,16.54,374.4,20
CDM,923161,SCREW BN 2.7X4.3X38MM,260.0,260.0,13.78,312.0,20
CDM,923162,SCREW BN 2.7MM 8MM,84.0,84.0,4.45,100.8,20
CDM,923163,WASHER BN LCKNG LT,5090.0,5090.0,269.77,6108.0,20
CDM,923164,SCREW BN 7.5MM 80MM,1422.0,1422.0,75.37,1706.4,20
CDM,923165,SCREW BN SPN 4MM 34MM,2406.0,2406.0,127.52,2887.2,20
CDM,923168,SCREW BN 3.5MM 30MM,390.0,390.0,20.67,468.0,20
CDM,923169,SCREW BN 3.5MM 30MM,390.0,390.0,20.67,468.0,20
CDM,923176,SCREW BN 4.0MMX40MM,570.0,570.0,30.21,684.0,20
CDM,923185,NAIL BN CANN 2MM 28MM,2340.0,2340.0,124.02,2808.0,20
CDM,923229,GUIDE NEEDLE 1.5X5.3IN,884.0,884.0,46.85,1060.8,49
CDM,923232,SCREW BN CANN 5.0X75MM,472.0,472.0,25.02,566.4,20
CDM,923244,PLATE BN LT 4H 70MM,2841.0,2841.0,150.57,3409.2,20
CDM,923247,STAPLE BN 22X15MM,5240.0,5240.0,277.72,6288.0,20
CDM,923259,CANNULA VNS 17FR 31.8CM,4755.0,4755.0,252.01,5706.0,49
CDM,923274,NAIL BN FEM GT 9X340MM,2614.0,2614.0,138.54,3136.8,20
CDM,923286,NAIL IM CANN 2X30MM,2700.0,2700.0,143.1,3240.0,20
CDM,923287,SCRW CANN 16THD 5.5X65MM,563.0,563.0,29.84,675.6,20
CDM,923288,HEAD FEM TYP1 +3MM 28MM,1300.0,1300.0,68.9,1560.0,20
CDM,923290,CUP HUM SHLDR REV 36MM,3570.0,3570.0,189.21,4284.0,20
CDM,923292,SCREW BN 5.5MM 32MM,84.0,84.0,4.45,100.8,20
CDM,923293,CMPNT GLND SHLDR 36MM,4600.0,4600.0,243.8,5520.0,20
CDM,923294,SPACER SPN 12D 10X28X16,6800.0,6800.0,360.4,8160.0,20
CDM,923295,SCREW BN 3.6X50MM,2700.0,2700.0,143.1,3240.0,20
CDM,923314,ROD SPN CONTOURED,360.0,360.0,19.08,432.0,20
CDM,923320,KIT EX FIX CLAMP STRL,20697.0,20697.0,1096.94,24836.4,49
CDM,923321,KIT EX FIX CLAMP STRL,29705.0,29705.0,1574.37,35646.0,49
CDM,923330,CMPNT FEM KN SZ6,3600.0,3600.0,190.8,4320.0,20
CDM,923367,SCREW BN S/TP 5MM 46MM,348.0,348.0,18.44,417.6,20
CDM,923399,NANOSCISSOR TIP STRT SHA,3471.0,3471.0,183.96,4165.2,49
CDM,923401,SCREW BN LCK 5X60MM,240.0,240.0,12.72,288.0,20
CDM,923413,INTRO SHEATH 16FR 65CM,6155.0,6155.0,326.21,7386.0,49
CDM,923424,BIT DRILL AO CPLNG,942.0,942.0,49.93,1130.4,49
CDM,923428,SCREW SPN 8.5MM 90MM,1000.0,1000.0,53.0,1200.0,20
CDM,923429,SCREW BN 6MM 1.7MM,138.0,138.0,7.31,165.6,20
CDM,923435,CANNULA INNR 6.5MM,104.0,104.0,5.51,124.8,49
CDM,923436,CANNULA INNR 8.5MM,104.0,104.0,5.51,124.8,49
CDM,923449,IMPLANT BREAST 255CC,2050.0,2050.0,108.65,2460.0,20
CDM,923454,SYSTEM IMPLANT FIBER,2030.0,2030.0,107.59,2436.0,20
CDM,923455,SCISSORS TIP STR SHAFT,3471.0,3471.0,183.96,4165.2,49
CDM,923458,STEM HUM SZ12 49MM,3900.0,3900.0,206.7,4680.0,20
CDM,923459,TOOL DSCT MTCH 14CM 3MM,2564.0,2564.0,135.89,3076.8,49
CDM,923461,EXPAND BRST 300CC,4140.0,4140.0,219.42,4968.0,20
CDM,923462,TOOL DSCT 15CM 2.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,923463,SCREW BN 8MM 135MM 22MM,1226.0,1226.0,64.98,1471.2,20
CDM,923464,SCREW BN 4.7MM 70MM,169.0,169.0,8.96,202.8,20
CDM,923480,PEG FX BN 2.3MM 24MM,154.0,154.0,8.16,184.8,20
CDM,923483,CATH EMBL 175CM,5941.0,5941.0,314.87,7129.2,49
CDM,923545,STENT COR 2.25X8MM,1350.0,1350.0,71.55,1620.0,20
CDM,923546,STENT COR 2.50X8MM,1350.0,1350.0,71.55,1620.0,20
CDM,923547,STENT COR 2.75X8MM,1350.0,1350.0,71.55,1620.0,20
CDM,923548,STENT COR 3.00X8MM,1350.0,1350.0,71.55,1620.0,20
CDM,923549,STENT COR 3.50X8MM,1350.0,1350.0,71.55,1620.0,20
CDM,923550,STENT COR 4.00X8MM,1350.0,1350.0,71.55,1620.0,20
CDM,923551,STENT COR 2.25X12MM,1350.0,1350.0,71.55,1620.0,20
CDM,923552,STENT COR 2.50X12MM,1350.0,1350.0,71.55,1620.0,20
CDM,923553,STENT COR 2.75X12MM,1350.0,1350.0,71.55,1620.0,20
CDM,923554,STENT COR 3.00X12MM,1350.0,1350.0,71.55,1620.0,20
CDM,923555,STENT COR 3.50X12MM,1350.0,1350.0,71.55,1620.0,20
CDM,923556,STENT COR 4.00X12MM,1350.0,1350.0,71.55,1620.0,20
CDM,923557,STENT COR 4.50X12MM,1350.0,1350.0,71.55,1620.0,20
CDM,923558,STENT COR 5.00X12MM,1350.0,1350.0,71.55,1620.0,20
CDM,923559,STENT COR 2.25X16MM,1350.0,1350.0,71.55,1620.0,20
CDM,923560,STENT COR 2.50X16MM,1350.0,1350.0,71.55,1620.0,20
CDM,923561,STENT COR 2.75X16MM,1350.0,1350.0,71.55,1620.0,20
CDM,923562,STENT COR 3.00X16MM,1350.0,1350.0,71.55,1620.0,20
CDM,923563,STENT COR 3.50X16MM,1350.0,1350.0,71.55,1620.0,20
CDM,923564,STENT COR 4.00X16MM,1350.0,1350.0,71.55,1620.0,20
CDM,923568,STENT COR 4.50X16MM,1350.0,1350.0,71.55,1620.0,20
CDM,923569,STENT COR 5.00X16MM,1350.0,1350.0,71.55,1620.0,20
CDM,923570,STENT COR 2.25X20MM,1350.0,1350.0,71.55,1620.0,20
CDM,923571,STENT COR 2.50X20MM,1350.0,1350.0,71.55,1620.0,20
CDM,923572,STENT COR 2.75X20MM,1350.0,1350.0,71.55,1620.0,20
CDM,923573,STENT COR 3.00X20MM,1350.0,1350.0,71.55,1620.0,20
CDM,923574,STENT COR 3.50X20MM,1350.0,1350.0,71.55,1620.0,20
CDM,923575,STENT COR 4.00X20MM,1350.0,1350.0,71.55,1620.0,20
CDM,923576,SCREW BN MTCRPL 3.6X55MM,2340.0,2340.0,124.02,2808.0,20
CDM,923580,SCREW BN 5MM 65MM,240.0,240.0,12.72,288.0,20
CDM,923581,SCREW BN LCK 5MM 47MM,240.0,240.0,12.72,288.0,20
CDM,923594,STENT COR 4.50X20MM,1350.0,1350.0,71.55,1620.0,20
CDM,923596,STENT COR 5.00X20MM,1350.0,1350.0,71.55,1620.0,20
CDM,923598,STENT COR 2.25X24MM,1350.0,1350.0,71.55,1620.0,20
CDM,923600,STENT COR 2.50X24MM,1350.0,1350.0,71.55,1620.0,20
CDM,923601,STENT COR 2.75X24MM,1350.0,1350.0,71.55,1620.0,20
CDM,923602,STENT COR 3.00X24MM,1350.0,1350.0,71.55,1620.0,20
CDM,923603,STENT COR 3.50X24MM,1350.0,1350.0,71.55,1620.0,20
CDM,923604,STENT COR 4.00X24MM,1350.0,1350.0,71.55,1620.0,20
CDM,923605,STENT COR 4.50X24MM,1350.0,1350.0,71.55,1620.0,20
CDM,923606,STENT COR 5.00X24MM,1350.0,1350.0,71.55,1620.0,20
CDM,923607,STENT COR 2.25X28MM,1350.0,1350.0,71.55,1620.0,20
CDM,923608,STENT COR 2.50X28MM,1350.0,1350.0,71.55,1620.0,20
CDM,923609,STENT COR 2.75X28MM,1350.0,1350.0,71.55,1620.0,20
CDM,923610,STENT COR 3.00X28MM,1350.0,1350.0,71.55,1620.0,20
CDM,923611,STENT COR 3.50X28MM,1350.0,1350.0,71.55,1620.0,20
CDM,923613,NANOGRASPER TIP 70MM,3471.0,3471.0,183.96,4165.2,49
CDM,923614,STEM HUM SHLDR 12 175MM,15439.0,15439.0,818.27,18526.8,20
CDM,923617,STENT COR 4.00X28MM,1350.0,1350.0,71.55,1620.0,20
CDM,923618,STENT COR 4.50X28MM,1350.0,1350.0,71.55,1620.0,20
CDM,923620,STENT COR 5.00X28MM,1350.0,1350.0,71.55,1620.0,20
CDM,923621,SCREW BN SPN 3MM 8MM,1000.0,1000.0,53.0,1200.0,20
CDM,923643,STENT COR 2.25X32MM,1350.0,1350.0,71.55,1620.0,20
CDM,923645,SET BLADE SHAPER,3275.0,3275.0,173.57,3930.0,49
CDM,923648,STENT COR 2.50X32MM,1350.0,1350.0,71.55,1620.0,20
CDM,923649,STENT COR 2.75X32MM,1350.0,1350.0,71.55,1620.0,20
CDM,923650,STENT COR 3.00X32MM,1350.0,1350.0,71.55,1620.0,20
CDM,923651,STENT COR 3.50X32MM,1350.0,1350.0,71.55,1620.0,20
CDM,923653,STENT COR 4.00X32MM,1350.0,1350.0,71.55,1620.0,20
CDM,923654,STENT COR 4.50X32MM,1350.0,1350.0,71.55,1620.0,20
CDM,923655,PLATE BN 55MM 2.7MM,3560.0,3560.0,188.68,4272.0,20
CDM,923658,BIT DRL FLX MED 3.2X38MM,2564.0,2564.0,135.89,3076.8,49
CDM,923660,SHELL ACTB HIP GRP7 60MM,1800.0,1800.0,95.4,2160.0,20
CDM,923662,LINER ACTB HIP SZ7 40MM,1100.0,1100.0,58.3,1320.0,20
CDM,923663,STEM FEM HIP PRSFT SZ11,4000.0,4000.0,212.0,4800.0,20
CDM,923689,IMPLANT BREAST 330CC,2050.0,2050.0,108.65,2460.0,20
CDM,923690,IMPLANT BREAST 310CC,2050.0,2050.0,108.65,2460.0,20
CDM,923727,IMPLANT BREAST 470CC,2050.0,2050.0,108.65,2460.0,20
CDM,923761,CLIP LIGA 17MM 235CM,438.0,438.0,23.21,525.6,20
CDM,923763,SCREW BN CORT 2X10MM,220.0,220.0,11.66,264.0,20
CDM,923777,SCREW SPN 4MM 35MM,1000.0,1000.0,53.0,1200.0,20
CDM,923779,SCREW SPN 4.5MM 40MM,900.0,900.0,47.7,1080.0,20
CDM,923780,SCREW SPN 4.5X45MM,900.0,900.0,47.7,1080.0,20
CDM,923783,TUBING SET IRRIGATION,1225.0,1225.0,64.92,1470.0,49
CDM,923788,STAPLE BN ISTR 15X15MM,4990.0,4990.0,264.47,5988.0,20
CDM,923793,ELECTRDE SURG BIP DISP,3275.0,3275.0,173.57,3930.0,49
CDM,923797,BASEPLATE TIB KN SZ4,6286.0,6286.0,333.16,7543.2,20
CDM,923799,CMPNT FEM KN 4 LT,8365.0,8365.0,443.35,10038.0,20
CDM,923801,INSERT TIB KN SZ4 14MM,3752.0,3752.0,198.86,4502.4,20
CDM,923813,SYSTEM BN IMPL ANCH,5000.0,5000.0,265.0,6000.0,20
CDM,923826,HARVESTER GRAFT 10MM,5567.0,5567.0,295.05,6680.4,49
CDM,923828,CONN ROD SPN 5.5X6X47MM,700.0,700.0,37.1,840.0,20
CDM,923829,STENT BIL 10X40MM 135CM,1200.0,1200.0,63.6,1440.0,20
CDM,923830,SCREW SPNL CORT 8X60MM,1200.0,1200.0,63.6,1440.0,20
CDM,923831,STEM HUM 16X61MM,3900.0,3900.0,206.7,4680.0,20
CDM,923833,LINER ACTB HIP G7 C 32MM,1500.0,1500.0,79.5,1800.0,20
CDM,923836,INSERT TIB KN8-11EF 14MM,1500.0,1500.0,79.5,1800.0,20
CDM,923840,PLT B LP 3.570 4HL RT,4238.0,4238.0,224.61,5085.6,20
CDM,923841,RETRACTOR KIT DISP,7749.0,7749.0,410.7,9298.8,49
CDM,923854,VALVE AORTIC 27MM,28000.0,28000.0,1484.0,33600.0,20
CDM,923865,BOOT WLK MID CALF LG,857.0,857.0,45.42,1028.4,49
CDM,923866,STEM FEM HIP 70MM,7553.0,7553.0,400.31,9063.6,20
CDM,923873,CATH THRMB 7FR 130CM,42668.0,42668.0,2261.4,51201.6,49
CDM,923874,IMPLANT MESH SURG SMALL,6696.0,6696.0,354.89,8035.2,20
CDM,923875,CMPNT SHLDR GLND 39X24MM,1260.0,1260.0,66.78,1512.0,20
CDM,923877,SCREW BN 5.5MM 36MM,84.0,84.0,4.45,100.8,20
CDM,923878,BASEPLATE SHLDR 24MM,2700.0,2700.0,143.1,3240.0,20
CDM,923879,SCREW BN MOD GLND 35MM,1200.0,1200.0,63.6,1440.0,20
CDM,923893,EXPANDER BREAST 375CC,4140.0,4140.0,219.42,4968.0,20
CDM,923900,SCREW BN 3.0MM 16MM,590.0,590.0,31.27,708.0,20
CDM,923917,SCREW SPN 5.5MM 30MM,1000.0,1000.0,53.0,1200.0,20
CDM,923919,STENT 7F 14X140MM 80CM,2998.0,2998.0,158.89,3597.6,20
CDM,923920,CATH MAP 8FR 110CM,11891.0,11891.0,630.22,14269.2,49
CDM,923923,STEM FEM SZ10 132MM,3864.0,3864.0,204.79,4636.8,20
CDM,923924,PLATE BN 16HL 3.5X200MM,4673.0,4673.0,247.67,5607.6,20
CDM,923925,PLATE BN TRA 3.5X170MM,3713.0,3713.0,196.79,4455.6,20
CDM,923926,SCREW BN 4.7MM 80MM,169.0,169.0,8.96,202.8,20
CDM,923930,KIT IMPL SPN SI JNT FSN,14400.0,14400.0,763.2,17280.0,20
CDM,923938,NAIL 13MM 330CM TIB NLEX,1844.0,1844.0,97.73,2212.8,20
CDM,923939,PLATE BN 1.6MM 16HL,1402.0,1402.0,74.31,1682.4,20
CDM,923945,CATH THMB 2F 0.67MM 60CM,2261.0,2261.0,119.83,2713.2,49
CDM,923966,GRAFT ENDO AAA 23X12MM,24270.0,24270.0,1286.31,29124.0,20
CDM,923967,SCREW BN LCK 5.5MM 20MM,240.0,240.0,12.72,288.0,20
CDM,923969,STEM HUM SHLDR RVRS SZ6,4970.0,4970.0,263.41,5964.0,20
CDM,923970,SCREW SPN 5.5MM 35MM,900.0,900.0,47.7,1080.0,20
CDM,923971,CATH DLV SYS 150CM 45TIP,5941.0,5941.0,314.87,7129.2,49
CDM,923972,BIT DRL CANN SM 5.0MM,5941.0,5941.0,314.87,7129.2,49
CDM,923984,STENT 7F 14X100MM 120CM,2998.0,2998.0,158.89,3597.6,20
CDM,923986,STENT 7F 14X60MM 120CM,2798.0,2798.0,148.29,3357.6,20
CDM,923987,STENT 7F 16X100MM 120CM,2998.0,2998.0,158.89,3597.6,20
CDM,923992,STENT 7F 16X60MM 120CM,2798.0,2798.0,148.29,3357.6,20
CDM,924001,SCREW BN 6.5MM 25MM,110.0,110.0,5.83,132.0,20
CDM,924003,STENT 7F 12X100MM 80CM,2998.0,2998.0,158.89,3597.6,20
CDM,924008,STENT 7F 16X100MM 80CM,2998.0,2998.0,158.89,3597.6,20
CDM,924011,STENT 7F 16X140MM 80CM,2998.0,2998.0,158.89,3597.6,20
CDM,924012,STENT 7F 16X60MM 80CM,2698.0,2698.0,142.99,3237.6,20
CDM,924022,STAPLE LN REFRCMNT 60MM,410.0,410.0,21.73,492.0,20
CDM,924062,PLATE HUM DSTL LT 250MM,3902.0,3902.0,206.81,4682.4,20
CDM,924081,SCREW CORT LCK 3.5X22MM,310.0,310.0,16.43,372.0,20
CDM,924114,SCREW BN CMPR F-T 7X80MM,1390.0,1390.0,73.67,1668.0,20
CDM,924120,SCREW BN 5X70MM,950.0,950.0,50.35,1140.0,20
CDM,924137,SCREW BN 1.6MM 8MM,220.0,220.0,11.66,264.0,20
CDM,924138,SCREW BN 1.6MM 10MM,220.0,220.0,11.66,264.0,20
CDM,924149,KWIRE 0.9MM 127MM,904.0,904.0,47.91,1084.8,49
CDM,924150,DRILL BIT CANN 2.1MM,3550.0,3550.0,188.15,4260.0,49
CDM,924154,SCREW ARTHRO 2.5X40MM,642.0,642.0,34.03,770.4,20
CDM,924163,CATH URTH INTRMT 18FR,40.0,40.0,2.12,48.0,49
CDM,924207,ICD CHAMBER 1,22360.0,22360.0,1185.08,26832.0,20
CDM,924208,DEFIB ICD 69X51X12MM,22360.0,22360.0,1185.08,26832.0,20
CDM,924209,CRT DEFIB CARD 71X51X12,31444.0,31444.0,1666.53,37732.8,20
CDM,924211,PROBE NEURO MONITOR STER,2564.0,2564.0,135.89,3076.8,49
CDM,924217,INSERT ACTB HIP SZE 36MM,1500.0,1500.0,79.5,1800.0,20
CDM,924237,SYSTEM MECH THRMB,69948.0,69948.0,3707.24,83937.6,49
CDM,924249,PLATE BN LT 2.7/3.5X102,3405.0,3405.0,180.47,4086.0,20
CDM,924251,SCREW BN 2.7MM 42MM,77.0,77.0,4.08,92.4,20
CDM,924258,TUBE FD CONN GSTRM 18FR,787.0,787.0,41.71,944.4,49
CDM,924259,TUBE FD CONN GSTRM 20FR,787.0,787.0,41.71,944.4,49
CDM,924262,361 HCT P SKN NOS,13.0,13.0,0.69,15.6,30
CDM,924273,PLATE BN LT 4HL,1353.0,1353.0,71.71,1623.6,20
CDM,924291,SCREW SPN 4.5MM 35MM,900.0,900.0,47.7,1080.0,20
CDM,924295,CATH BLNDIL 7MM 80MM,9164.0,9164.0,485.69,10996.8,49
CDM,924296,CATH DCB 7X80MM 130CM,8938.0,8938.0,473.71,10725.6,49
CDM,924298,GWIRE BN DISP 1.1X150MM,2564.0,2564.0,135.89,3076.8,49
CDM,924299,NAIL BN FEM 9MM 340MM,3212.0,3212.0,170.24,3854.4,20
CDM,924301,SCREW BN HDLS 6.5X55MM,1329.0,1329.0,70.44,1594.8,20
CDM,924302,PIN INSTR KIT 2.8MM,5240.0,5240.0,277.72,6288.0,49
CDM,924303,SCREW BN MED 35MM,1638.0,1638.0,86.81,1965.6,20
CDM,924308,GWIRE ENDO 210CM,1884.0,1884.0,99.85,2260.8,49
CDM,924322,SCREW SPN 6.5X45MM,1200.0,1200.0,63.6,1440.0,20
CDM,924323,SCREW SPN FEN 6.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,924324,SCREW SPN 6.5X40MM,1300.0,1300.0,68.9,1560.0,20
CDM,924342,CATHETER PERPH IMG 8FR,6839.0,6839.0,362.47,8206.8,49
CDM,924346,TAP SURG DISP 4.75MM,2564.0,2564.0,135.89,3076.8,49
CDM,924357,INSERT FEM HIP 0D 36MM,1500.0,1500.0,79.5,1800.0,20
CDM,924360,SCREW SPN 4.5MM 36MM,1000.0,1000.0,53.0,1200.0,20
CDM,924373,SET SCREW BN 2.0X12MM,100.0,100.0,5.3,120.0,20
CDM,924381,ALLOGRAFT CRYO MSH 350CM,5556.0,5556.0,294.47,6667.2,20
CDM,924382,CATH ATHRCM 2.4/3.4MM,19041.0,19041.0,1009.17,22849.2,49
CDM,924386,STENT EPRSTH 10MM 120CM,7532.0,7532.0,399.2,9038.4,20
CDM,924397,SCREW BN 5MM 90MM,324.0,324.0,17.17,388.8,20
CDM,924400,NAIL BN 9MM 270MM,2614.0,2614.0,138.54,3136.8,20
CDM,924406,NAIL BN FEM RT 10X380MM,3212.0,3212.0,170.24,3854.4,20
CDM,924407,NAIL BN FEM 10MM 360MM,2614.0,2614.0,138.54,3136.8,20
CDM,924411,NAIL FEM 11MM 340MM,2614.0,2614.0,138.54,3136.8,20
CDM,924425,NAIL BN RT 13.0MM 440MM,2614.0,2614.0,138.54,3136.8,20
CDM,924427,NAIL BN FEM 11.0MM 360MM,2614.0,2614.0,138.54,3136.8,20
CDM,924434,NAIL BN LT 9MM 400MM,2614.0,2614.0,138.54,3136.8,20
CDM,924438,SCREW BN 5MM 27.5MM,240.0,240.0,12.72,288.0,20
CDM,924449,NAIL BN FEM 13MM 440MM,2614.0,2614.0,138.54,3136.8,20
CDM,924456,NAIL BN FEM GT 9X320MM,3212.0,3212.0,170.24,3854.4,20
CDM,924458,SCREW BN LCK 5X80MM,240.0,240.0,12.72,288.0,20
CDM,924470,NAIL FEM 11X400MM,3212.0,3212.0,170.24,3854.4,20
CDM,924482,NAIL BN 10X340MM,2614.0,2614.0,138.54,3136.8,20
CDM,924484,NAIL 9MM 380MM FEM GT LT,2614.0,2614.0,138.54,3136.8,20
CDM,924502,SEPARATOR THRMB 190CM,12396.0,12396.0,656.99,14875.2,49
CDM,924516,CATH BLN ERREBOAPLUS BP,34383.0,34383.0,1822.3,41259.6,49
CDM,924523,NAIL BN FEM 9X36MM,3052.0,3052.0,161.76,3662.4,20
CDM,924524,PLATE MDFC RECON 4 PLT,25114.0,25114.0,1331.04,30136.8,20
CDM,924563,CANNULA PRFSN 24F 12IN,1278.0,1278.0,67.73,1533.6,49
CDM,924585,IMPLANT MESH SURG MEDIUM,6696.0,6696.0,354.89,8035.2,20
CDM,924589,KWIRE FX 2.0MM 200MM,942.0,942.0,49.93,1130.4,49
CDM,924601,SUT TAPE DKBL 1.3MM 40IN,1884.0,1884.0,99.85,2260.8,49
CDM,924639,ANCHOR IMPL SYS 4.75MM,1600.0,1600.0,84.8,1920.0,20
CDM,924647,GRAFT CV 32MM 20CM,6966.0,6966.0,369.2,8359.2,20
CDM,924648,PLATE MEDL TIB LEFT 8HL,3696.0,3696.0,195.89,4435.2,20
CDM,924649,ALLOGRAFT VEIN 70-79CM,18780.0,18780.0,995.34,22536.0,20
CDM,924658,SCREW BN 3.6MM 25MM,2340.0,2340.0,124.02,2808.0,20
CDM,924678,CMPNT STEM KN EXT 100MM,1824.0,1824.0,96.67,2188.8,20
CDM,924679,STEM TIB KN MED,3700.0,3700.0,196.1,4440.0,20
CDM,924685,SYSTEM ANCHR 4.75MM,4300.0,4300.0,227.9,5160.0,20
CDM,924686,INSERT ARTC KN 6-7 13MM,1500.0,1500.0,79.5,1800.0,20
CDM,924694,VEIN GRAFT SAPH 40-49CM,13790.0,13790.0,730.87,16548.0,20
CDM,924706,K-WIRE DBL 0.9MMX127MM,904.0,904.0,47.91,1084.8,49
CDM,924708,DRILL BIT CANN 2.9MM,3550.0,3550.0,188.15,4260.0,49
CDM,924712,SCREW BN GLND 25MM,1200.0,1200.0,63.6,1440.0,20
CDM,924713,STEM HUM SHLDR SZ10,4970.0,4970.0,263.41,5964.0,20
CDM,924723,SCREW BN LCK 2.7X50MM,244.0,244.0,12.93,292.8,20
CDM,924729,EXPANDER BREAST 475CC,3750.0,3750.0,198.75,4500.0,20
CDM,924730,EXPANDER BREAST 500CC,4140.0,4140.0,219.42,4968.0,20
CDM,924733,SCREW BN CANC 4.0X34MM,599.0,599.0,31.75,718.8,20
CDM,924737,GUIDES CRNMXLF CSTM BNDL,66214.0,66214.0,3509.34,79456.8,49
CDM,924771,INSERT ACETB HIP E 36MM,1500.0,1500.0,79.5,1800.0,20
CDM,924786,PLATE BN LT 4HL,5390.0,5390.0,285.67,6468.0,20
CDM,924789,PLATE BN TIB 3.5MM 91MM,3990.0,3990.0,211.47,4788.0,20
CDM,924793,INSERT POLY HIP SZG 36MM,1500.0,1500.0,79.5,1800.0,20
CDM,924811,TENDON POSTER TIBIALIS,2294.0,2294.0,121.58,2752.8,20
CDM,924824,SCREW ARTHDS 3.5X46MM,642.0,642.0,34.03,770.4,20
CDM,924825,DRIVER REDUCT 3.5MM,3759.0,3759.0,199.23,4510.8,49
CDM,924830,GRAFT STNT 16FR 146MM,8400.0,8400.0,445.2,10080.0,20
CDM,924839,CMPNT FEM KN SZ5,8365.0,8365.0,443.35,10038.0,20
CDM,924842,AUGMENT FEM KN 8MM 5,1540.0,1540.0,81.62,1848.0,20
CDM,924866,PLATE BN 2H 1.5MM,8789.0,8789.0,465.82,10546.8,20
CDM,924871,SPACER SPNL 15X17.5X8MM,4100.0,4100.0,217.3,4920.0,20
CDM,924873,STEM FEM BW 150X11MM,2417.0,2417.0,128.1,2900.4,20
CDM,924874,CMPNT TIB KN RS 67 160X9,4654.0,4654.0,246.66,5584.8,20
CDM,924880,SCREW BN 3MM 18MM,184.0,184.0,9.75,220.8,20
CDM,924881,SCREW SPN 3MM 16MM,184.0,184.0,9.75,220.8,20
CDM,924889,PLATE BN 8H LCK BN FIB,1690.0,1690.0,89.57,2028.0,20
CDM,924904,INSERT ARTC KN 11MM,1500.0,1500.0,79.5,1800.0,20
CDM,924909,SCREW SPN 4MM 12MM,900.0,900.0,47.7,1080.0,20
CDM,924918,SPACER SPNL 15X17.5X7 6D,4100.0,4100.0,217.3,4920.0,20
CDM,924925,CURETTE STRGHT 8MM,136.0,136.0,7.21,163.2,49
CDM,924926,CURETTE STRGHT 7MM,147.0,147.0,7.79,176.4,49
CDM,924927,CURETTE CRVD 7MM,147.0,147.0,7.79,176.4,49
CDM,924932,IMPLANT BREAST 430CC,2050.0,2050.0,108.65,2460.0,20
CDM,924941,SCREW BN 3.5X20MM,310.0,310.0,16.43,372.0,20
CDM,924944,SUTURE CT-2 1 8X18IN,2564.0,2564.0,135.89,3076.8,49
CDM,924945,NAIL CANN 2MM 22MM,2350.0,2350.0,124.55,2820.0,20
CDM,924964,IMPLANT BREAST 400CC,2050.0,2050.0,108.65,2460.0,20
CDM,924966,PLATE ULNA MDSHFT 142MM,1956.0,1956.0,103.67,2347.2,20
CDM,924974,ANCH SUT 5.5MM 22MM,790.0,790.0,41.87,948.0,20
CDM,924976,INTERBODY SPN 10X18MM,6800.0,6800.0,360.4,8160.0,20
CDM,924984,CATH CORN 3.5MM 12MM,36528.0,36528.0,1935.98,43833.6,49
CDM,925003,BOOT AIR WALKER SHORT L,791.0,791.0,41.92,949.2,49
CDM,925011,STENT COR 2.25X38MM,1350.0,1350.0,71.55,1620.0,20
CDM,925015,STENT COR 2.50X38MM,1350.0,1350.0,71.55,1620.0,20
CDM,925016,STENT COR 2.50X48MM,1600.0,1600.0,84.8,1920.0,20
CDM,925017,STENT COR 2.75X38MM,1350.0,1350.0,71.55,1620.0,20
CDM,925018,STENT COR 2.75X48MM,1600.0,1600.0,84.8,1920.0,20
CDM,925020,STENT COR 3.00X38MM,1350.0,1350.0,71.55,1620.0,20
CDM,925021,STENT COR 3.00X48MM,1600.0,1600.0,84.8,1920.0,20
CDM,925022,STENT COR 3.50X38MM,1350.0,1350.0,71.55,1620.0,20
CDM,925023,STENT COR 3.50X48MM,1600.0,1600.0,84.8,1920.0,20
CDM,925024,STENT COR 4.00X38MM,1350.0,1350.0,71.55,1620.0,20
CDM,925025,STENT COR 4.00X48MM,1600.0,1600.0,84.8,1920.0,20
CDM,925028,STENT COR 5.00X32MM,1350.0,1350.0,71.55,1620.0,20
CDM,925037,BAG RSC STD INFANT,215.0,215.0,11.39,258.0,49
CDM,925057,DRILL BIT CANN 2.7MM,5836.0,5836.0,309.31,7003.2,49
CDM,925058,GWIRE BN DISP 1.4X150MM,2564.0,2564.0,135.89,3076.8,49
CDM,925068,REAMER HEAD STRL 14.0MM,5941.0,5941.0,314.87,7129.2,49
CDM,925070,SCREW SPN 5.5MM 45MM,1300.0,1300.0,68.9,1560.0,20
CDM,925071,BIT DRILL CANN 3X215MM,5722.0,5722.0,303.27,6866.4,49
CDM,925072,DRESSING NADH 10X8IN,174.0,174.0,9.22,208.8,49
CDM,925075,PLATE BN RT 3.5MM 103MM,1653.0,1653.0,87.61,1983.6,20
CDM,925076,INSERT HIP PLY10D F 36MM,1500.0,1500.0,79.5,1800.0,20
CDM,925108,SCREW SPNL P-AX 5.5X32MM,1000.0,1000.0,53.0,1200.0,20
CDM,925110,SCREW SPN PLY 5.5X34MM,1000.0,1000.0,53.0,1200.0,20
CDM,925111,TRAY INTRO TRACH 6.5-9MM,5567.0,5567.0,295.05,6680.4,49
CDM,925124,CMPNT MOD PST SHLDR 25MM,1938.0,1938.0,102.71,2325.6,20
CDM,925125,REAMER SURG ANG DISP SM,3864.0,3864.0,204.79,4636.8,49
CDM,925126,CURETTE CRVD 9MM,133.0,133.0,7.05,159.6,49
CDM,925129,SCREW BN N-LCK 4.5X32MM,84.0,84.0,4.45,100.8,20
CDM,925130,SCREW BN 4.5MM 36MM,240.0,240.0,12.72,288.0,20
CDM,925139,SCREW BN 1.5MM 24MM,79.0,79.0,4.19,94.8,20
CDM,925143,DEVICE CRYOTHERAPY,12136.0,12136.0,643.21,14563.2,49
CDM,925148,SCREW SPN 4MM 12MM,150.0,150.0,7.95,180.0,20
CDM,925153,INSERT TIB KN SZ6-7 13MM,1500.0,1500.0,79.5,1800.0,20
CDM,925154,SPACER SPN 6D 12X15X8MM,4100.0,4100.0,217.3,4920.0,20
CDM,925209,GRAFT ENDO AAA 36X14MM,24270.0,24270.0,1286.31,29124.0,20
CDM,925210,GRAFT ENDO AAA 32X14MM,24270.0,24270.0,1286.31,29124.0,20
CDM,925213,SCREW BN 5MM 24MM,348.0,348.0,18.44,417.6,20
CDM,925214,SCREW BN 5.0MM 34MM,348.0,348.0,18.44,417.6,20
CDM,925216,SHELL ACTB HIP 56MM,4706.0,4706.0,249.42,5647.2,20
CDM,925222,SCREW BN CORT 3MM 16MM,250.0,250.0,13.25,300.0,20
CDM,925249,GRAFT STENT 102X14X23MM,19950.0,19950.0,1057.35,23940.0,20
CDM,925262,KIT CATH MALE EXT 2000ML,413.0,413.0,21.89,495.6,49
CDM,925281,CMPNT GLND SHLDR 45MM,1400.0,1400.0,74.2,1680.0,20
CDM,925283,HEAD HUM SHLDR 17MM 45MM,1400.0,1400.0,74.2,1680.0,20
CDM,925285,SIZER SCREW CAGE,2564.0,2564.0,135.89,3076.8,49
CDM,925286,SCREW BN CORT 2X12MM,220.0,220.0,11.66,264.0,20
CDM,925288,IMPLANT BREAST 630CC,2050.0,2050.0,108.65,2460.0,20
CDM,925301,PLATE BN ULNA LF 112MM,1886.0,1886.0,99.96,2263.2,20
CDM,925353,STEM FEM 37.5MM 125MM,2800.0,2800.0,148.4,3360.0,20
CDM,925361,STENT COR 2.25MM 8MM,1540.0,1540.0,81.62,1848.0,20
CDM,925362,STENT COR RX 2.25X12MM,1540.0,1540.0,81.62,1848.0,20
CDM,925363,STENT COR 2.25MM 15MM,1540.0,1540.0,81.62,1848.0,20
CDM,925364,STENT COR 2.25MM 18MM,1540.0,1540.0,81.62,1848.0,20
CDM,925365,STENT COR 2.25MM 23MM,1540.0,1540.0,81.62,1848.0,20
CDM,925368,STENT COR 2.25MM 28MM,1540.0,1540.0,81.62,1848.0,20
CDM,925369,STENT COR 2.25MM 33MM,1540.0,1540.0,81.62,1848.0,20
CDM,925370,STENT COR 2.25MM 38MM,1540.0,1540.0,81.62,1848.0,20
CDM,925371,STENT COR 2.5MM 8MM,1540.0,1540.0,81.62,1848.0,20
CDM,925372,STENT COR 2.5MM 12MM,1540.0,1540.0,81.62,1848.0,20
CDM,925373,STENT COR 2.5MM 15MM,1540.0,1540.0,81.62,1848.0,20
CDM,925374,STENT COR 2.5MM 18MM,1540.0,1540.0,81.62,1848.0,20
CDM,925375,STENT COR 2.5MM 23MM,1540.0,1540.0,81.62,1848.0,20
CDM,925376,STENT COR 2.5MM 28MM,1540.0,1540.0,81.62,1848.0,20
CDM,925377,STENT COR 2.5MM 33MM,1540.0,1540.0,81.62,1848.0,20
CDM,925378,STENT COR 2.5MM 38MM,1540.0,1540.0,81.62,1848.0,20
CDM,925379,STENT COR 2.75MM 8MM,1540.0,1540.0,81.62,1848.0,20
CDM,925380,STENT COR 2.75MM 12MM,1540.0,1540.0,81.62,1848.0,20
CDM,925381,STENT COR 2.75MM 15MM,1540.0,1540.0,81.62,1848.0,20
CDM,925382,STENT COR 2.75MM 18MM,1540.0,1540.0,81.62,1848.0,20
CDM,925383,STENT COR 2.75MM 23MM,1540.0,1540.0,81.62,1848.0,20
CDM,925384,STENT COR 2.75MM 28MM,1540.0,1540.0,81.62,1848.0,20
CDM,925385,STENT COR 2.75MM 33MM,1540.0,1540.0,81.62,1848.0,20
CDM,925386,STENT COR 2.75MM 38MM,1540.0,1540.0,81.62,1848.0,20
CDM,925387,STENT COR 3MM 8MM,1540.0,1540.0,81.62,1848.0,20
CDM,925388,STENT COR 3MM 12MM,1540.0,1540.0,81.62,1848.0,20
CDM,925389,STENT COR 3MM 15MM,1540.0,1540.0,81.62,1848.0,20
CDM,925390,STENT COR 3MM 18MM,1540.0,1540.0,81.62,1848.0,20
CDM,925391,STENT COR RX 3X23MM,1540.0,1540.0,81.62,1848.0,20
CDM,925392,STENT COR 3MM 28MM,1540.0,1540.0,81.62,1848.0,20
CDM,925393,STENT COR 3MM 33MM,1540.0,1540.0,81.62,1848.0,20
CDM,925394,STENT COR 3MM 38MM,1540.0,1540.0,81.62,1848.0,20
CDM,925395,STENT COR 3.25MM 8MM,1540.0,1540.0,81.62,1848.0,20
CDM,925396,STENT COR 3.25MM 12MM,1540.0,1540.0,81.62,1848.0,20
CDM,925397,STENT COR 3.25MM 15MM,1540.0,1540.0,81.62,1848.0,20
CDM,925398,STENT COR 3.25MM 18MM,1540.0,1540.0,81.62,1848.0,20
CDM,925399,STENT COR 3.25MM 23MM,1540.0,1540.0,81.62,1848.0,20
CDM,925400,STENT COR RX 3.25X28MM,1540.0,1540.0,81.62,1848.0,20
CDM,925401,STENT COR 3.25MM 33MM,1540.0,1540.0,81.62,1848.0,20
CDM,925402,STENT COR 3.25MM 38MM,1540.0,1540.0,81.62,1848.0,20
CDM,925403,STENT COR 3.5MM 8MM,1540.0,1540.0,81.62,1848.0,20
CDM,925404,STENT COR RX 3.5X12MM,1540.0,1540.0,81.62,1848.0,20
CDM,925405,STENT COR 3.5MM 15MM,1540.0,1540.0,81.62,1848.0,20
CDM,925406,STENT COR 3.5MM 18MM,1540.0,1540.0,81.62,1848.0,20
CDM,925407,STENT COR RX 3.5X23MM,1540.0,1540.0,81.62,1848.0,20
CDM,925408,STENT COR RX 3.5X28MM,1540.0,1540.0,81.62,1848.0,20
CDM,925409,STENT COR RX 3.5X33MM,1540.0,1540.0,81.62,1848.0,20
CDM,925410,STENT COR 3.5MM 38MM,1540.0,1540.0,81.62,1848.0,20
CDM,925411,STENT COR 4MM 8MM,1540.0,1540.0,81.62,1848.0,20
CDM,925412,STENT COR 4MM 12MM,1540.0,1540.0,81.62,1848.0,20
CDM,925413,STENT COR 4MM 15MM,1540.0,1540.0,81.62,1848.0,20
CDM,925414,STENT COR 4MM 18MM,1540.0,1540.0,81.62,1848.0,20
CDM,925415,STENT COR 4MM 23MM,1540.0,1540.0,81.62,1848.0,20
CDM,925416,STENT COR 4MM 28MM,1540.0,1540.0,81.62,1848.0,20
CDM,925417,STENT COR 4MM 33MM,1540.0,1540.0,81.62,1848.0,20
CDM,925418,STENT COR 4MM 38MM,1540.0,1540.0,81.62,1848.0,20
CDM,925421,GRAFT STNT 32MM 150MM,32552.0,32552.0,1725.26,39062.4,20
CDM,925427,IMPLANT MNSCS REV CRV,990.0,990.0,52.47,1188.0,20
CDM,925432,BOOT AIR WALKER XS,791.0,791.0,41.92,949.2,49
CDM,925460,SCREW BN MINI 3.5X48MM,700.0,700.0,37.1,840.0,20
CDM,925461,GWIRE TROC TP 1.35MM,754.0,754.0,39.96,904.8,49
CDM,925473,HARVESTER BONE,7733.0,7733.0,409.85,9279.6,49
CDM,925474,PLATE BN RT 5HL 3.5X81MM,1577.0,1577.0,83.58,1892.4,20
CDM,925475,SCREW 4MM ROD 4.5X38MM,1000.0,1000.0,53.0,1200.0,20
CDM,925476,WASHER LCK RT,5400.0,5400.0,286.2,6480.0,20
CDM,925477,PIN HLF 200MM 6MM HA 80M,2564.0,2564.0,135.89,3076.8,49
CDM,925478,SCREW BN SS 95 46 OD8.0,1070.0,1070.0,56.71,1284.0,20
CDM,925487,BIT DRILL OC 3.2MM,5941.0,5941.0,314.87,7129.2,49
CDM,925488,BIT DRILL 3.2MM,942.0,942.0,49.93,1130.4,49
CDM,925491,PLATE SPN SM,3000.0,3000.0,159.0,3600.0,20
CDM,925493,BUR ACORN 14CM 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,925494,TOOL BALL FLUTE 14CM 4MM,2564.0,2564.0,135.89,3076.8,49
CDM,925495,TOOL DSCT BALL 14CM 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,925496,TOOL DSCT BALL 14CM 4MM,2564.0,2564.0,135.89,3076.8,49
CDM,925497,BUR BN BALL DMD 14CM 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,925498,TOOL DSCT CYL 14CM 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,925499,BUR CYL 14CM 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,925500,TOOL DSCT BALL 14CM 3MM,2564.0,2564.0,135.89,3076.8,49
CDM,925501,TOOL DSCT TPR 7CM 1.1MM,2564.0,2564.0,135.89,3076.8,49
CDM,925502,BURR TAPER 7CM 1.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,925503,TOOL DSCT 9CM 9MM,2564.0,2564.0,135.89,3076.8,49
CDM,925505,TOOL DSCT TPR 7CM 2.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,925506,TOOL DSCT 9CM 3MM,2564.0,2564.0,135.89,3076.8,49
CDM,925507,BUR BALL 12CM 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,925509,TOOL DSCT MTCH 12CM 2.5M,2564.0,2564.0,135.89,3076.8,49
CDM,925515,SCREW BN 3MM 14MM,250.0,250.0,13.25,300.0,20
CDM,925516,SCREW BN 4.5MM 52.5MM,432.0,432.0,22.9,518.4,20
CDM,925532,NAIL BN 125D 11MM 200MM,2470.0,2470.0,130.91,2964.0,20
CDM,925545,SCREW SPN 3.5MM 16MM,1000.0,1000.0,53.0,1200.0,20
CDM,925551,DEVICE CLSR CLP INT 45MM,7600.0,7600.0,402.8,9120.0,20
CDM,925553,KIT NRSTM TRQ WRNCH,2564.0,2564.0,135.89,3076.8,49
CDM,925558,PLATE BN HOOK LT SMALL,2396.0,2396.0,126.99,2875.2,20
CDM,925559,PLATE BN FLEX 5 HL,1892.0,1892.0,100.28,2270.4,20
CDM,925565,SCREW BN 3.5MM 130MM,149.0,149.0,7.9,178.8,20
CDM,925578,PLATE BN PRBNT 12H,3044.0,3044.0,161.33,3652.8,20
CDM,925579,SHEATH WIRE 45F 230CM,7539.0,7539.0,399.57,9046.8,49
CDM,925590,DRILL SURG CNTRSNK 5.6MM,1884.0,1884.0,99.85,2260.8,49
CDM,925602,CATHETER IV 16GA 1.16IN,55.0,55.0,2.92,66.0,49
CDM,925605,BURR SHVR OVAL 3.0MM,547.0,547.0,28.99,656.4,49
CDM,925611,CATH THROM REPFUSN,21373.0,21373.0,1132.77,25647.6,49
CDM,925612,CATH BLNDIL 4X40MM,8860.0,8860.0,469.58,10632.0,49
CDM,925622,DEVICE TISSUE REMOVAL,5941.0,5941.0,314.87,7129.2,49
CDM,925623,SYS HPINFL BAG PED .5L,211.0,211.0,11.18,253.2,49
CDM,925626,STEM FEM HIP SZ10 115MM,3800.0,3800.0,201.4,4560.0,20
CDM,925628,CATH BLNDL DCB 5X150X150,11192.0,11192.0,593.18,13430.4,49
CDM,925629,SCREW SPN 4.0X26MM,900.0,900.0,47.7,1080.0,20
CDM,925630,CATH BLNDIL 5X200MM,14300.0,14300.0,757.9,17160.0,49
CDM,925633,CATH BLNDL DCB 6X60X135,8860.0,8860.0,469.58,10632.0,49
CDM,925634,CATH BLNDIL 6X80MM,8860.0,8860.0,469.58,10632.0,49
CDM,925636,CATH BLNDIL 6X120MM,9637.0,9637.0,510.76,11564.4,49
CDM,925640,CATH BLNDL DCB 6X200X150,14300.0,14300.0,757.9,17160.0,49
CDM,925650,BAR EXFX CRV 500MM,5941.0,5941.0,314.87,7129.2,49
CDM,925658,VACCURETTE CURVED 8MM,136.0,136.0,7.21,163.2,49
CDM,925662,NEEDLE 20GA 15IN PP TIP,867.0,867.0,45.95,1040.4,49
CDM,925671,CURETTE CRVD 12MM,136.0,136.0,7.21,163.2,49
CDM,925679,PLATE BN MDSHFT RDS 97MM,1866.0,1866.0,98.9,2239.2,20
CDM,925695,ROD SPN CRV 3.5MM 50MM,360.0,360.0,19.08,432.0,20
CDM,925703,COMPONENT FEM KN RT SZ6,3254.0,3254.0,172.46,3904.8,20
CDM,925704,BASEPLATE TIB ATTUNE 7 K,2546.0,2546.0,134.94,3055.2,20
CDM,925705,INSERT TIB KN SZ7 9MM,1900.0,1900.0,100.7,2280.0,20
CDM,925724,PLATE SPN 1LVL 28MM,1900.0,1900.0,100.7,2280.0,20
CDM,925738,GRAFT ENDO AAA 28.5X12MM,24270.0,24270.0,1286.31,29124.0,20
CDM,925752,PLATE HUM LAT LT 100MM,2814.0,2814.0,149.14,3376.8,20
CDM,925753,SCREW BN CMPR LCK CAP,412.0,412.0,21.84,494.4,20
CDM,925754,WASHER ORTH BRNZ DIST,1357.0,1357.0,71.92,1628.4,49
CDM,925761,IMPLANT BREAST 500CC,2050.0,2050.0,108.65,2460.0,20
CDM,925763,SHEATH GD STR 75CM 6FR,3275.0,3275.0,173.57,3930.0,49
CDM,925765,PLT RECON 3.5154 14HL,1352.0,1352.0,71.66,1622.4,20
CDM,925772,CATH IV 16GA 1.16IN,55.0,55.0,2.92,66.0,49
CDM,925780,SCREW BN 3.5X28MM,590.0,590.0,31.27,708.0,20
CDM,925781,SCREW BN TI 3.5X26MM,590.0,590.0,31.27,708.0,20
CDM,925787,PROS PENL 9.5MM,22665.0,22665.0,1201.24,27198.0,20
CDM,925793,TUBE ET NIM EMG 9MM,4114.0,4114.0,218.04,4936.8,49
CDM,925794,CURETTE CRVD 11MM,136.0,136.0,7.21,163.2,49
CDM,925797,ANCH IMPL SYS 7X10MM,1438.0,1438.0,76.21,1725.6,20
CDM,925803,PLATE BN 3.5X108MM 10H,1909.0,1909.0,101.18,2290.8,20
CDM,925807,ALLOGRAFT MATRIX 6X6CM,10065.0,10065.0,533.45,12078.0,49
CDM,925812,SCREW SPNL CMPR 3.5X45MM,378.0,378.0,20.03,453.6,20
CDM,925831,ANCHOR SUT #2 5.5X19.1MM,920.0,920.0,48.76,1104.0,20
CDM,925839,SCREW SPN 6.5MM 30MM,900.0,900.0,47.7,1080.0,20
CDM,925843,SCREW SPN PLY AXL HEAD,450.0,450.0,23.85,540.0,20
CDM,925845,LINER HIP 50/43 50MM,2200.0,2200.0,116.6,2640.0,20
CDM,925852,SCREW SPN S/T 3.5X17MM,150.0,150.0,7.95,180.0,20
CDM,925854,COIL EMBL 3D 5MM 15CM,1000.0,1000.0,53.0,1200.0,20
CDM,925855,COIL EMBL 3D 2MM 4CM,1000.0,1000.0,53.0,1200.0,20
CDM,925856,COIL EMBL 3D 2MM 6CM,1000.0,1000.0,53.0,1200.0,20
CDM,925857,COIL EMBL 3D 2CM 2MM,1000.0,1000.0,53.0,1200.0,20
CDM,925863,IMPLANT BREAST 545CC,2050.0,2050.0,108.65,2460.0,20
CDM,925871,ANCHOR SUT W/NDL .9MM,1155.0,1155.0,61.22,1386.0,20
CDM,925876,SCREW BN 2.4MM 22MM,649.0,649.0,34.4,778.8,20
CDM,925877,SCREW BN TI 2.4X26MM,649.0,649.0,34.4,778.8,20
CDM,925880,SCREW BN TI 2.4X16MM,649.0,649.0,34.4,778.8,20
CDM,925882,SCREW BN 4MM 60MM,700.0,700.0,37.1,840.0,20
CDM,925885,SCREW BN 3.5MM 14MM,590.0,590.0,31.27,708.0,20
CDM,925905,SCREW SPN S/D 3.5X15MM,150.0,150.0,7.95,180.0,20
CDM,925906,PLATE BN SYS WPST 23MM,7678.0,7678.0,406.93,9213.6,20
CDM,925917,GUIDE PIN ORTH 1.5X150MM,2564.0,2564.0,135.89,3076.8,49
CDM,925918,BIT DRILL 2.5X95MM,2947.0,2947.0,156.19,3536.4,49
CDM,925919,BIT DRILL LONG 2.5X130MM,3370.0,3370.0,178.61,4044.0,49
CDM,925922,SCREW BN LCK 4X50MM,570.0,570.0,30.21,684.0,20
CDM,925925,CONTROLLER HNDPC DTCH,2564.0,2564.0,135.89,3076.8,49
CDM,925926,COIL EMBL 4MM 10CM,2900.0,2900.0,153.7,3480.0,20
CDM,925927,COIL EMBL 3MM 8CM,2900.0,2900.0,153.7,3480.0,20
CDM,925928,PLATE BN 6HL 2.4MM,1670.0,1670.0,88.51,2004.0,20
CDM,925929,SCREW BN 2.4MM 20MM,649.0,649.0,34.4,778.8,20
CDM,925930,SCREW BN 2.4MM 18MM,620.0,620.0,32.86,744.0,20
CDM,925933,SCREW BN 2.4MM 16MM,220.0,220.0,11.66,264.0,20
CDM,925951,MESH HRN PP 10X6IN,1020.0,1020.0,54.06,1224.0,20
CDM,925952,ANCHOR IMPL SYS 2.9MM,1800.0,1800.0,95.4,2160.0,20
CDM,925958,NAIL BN 10MM 44CM,3384.0,3384.0,179.35,4060.8,20
CDM,925959,TAP 4MM 250MM,2564.0,2564.0,135.89,3076.8,49
CDM,925964,ROD SPN 3.5MM 200MM,600.0,600.0,31.8,720.0,20
CDM,925974,KIT CATH PERI 8.3FR,2564.0,2564.0,135.89,3076.8,49
CDM,925982,PLATE BN 127MM,1904.0,1904.0,100.91,2284.8,20
CDM,926026,DEVICE TISSUE REMOVAL,15802.0,15802.0,837.51,18962.4,49
CDM,926031,SET XTN 3.9ML 9IN,93.0,93.0,4.93,111.6,49
CDM,926034,SCREW BN CANN 3.5X38MM,386.0,386.0,20.46,463.2,20
CDM,926035,SCREW BN 8X75MM XPDM TI,1000.0,1000.0,53.0,1200.0,20
CDM,926044,CATH CORN 2.5MM 12MM,36528.0,36528.0,1935.98,43833.6,49
CDM,926045,CATH CORN 3.0MM 12MM,36528.0,36528.0,1935.98,43833.6,49
CDM,926051,SCREW BN HDED 4MM 24MM,300.0,300.0,15.9,360.0,20
CDM,926055,SCREW BN ST 1.2MM 12MM,155.0,155.0,8.21,186.0,20
CDM,926060,ELECTRODE ESURG 9FT,472.0,472.0,25.02,566.4,49
CDM,926062,SCREW SPN 7.5MM 50MM,1300.0,1300.0,68.9,1560.0,20
CDM,926063,SCREW SPN 7.5X55MM,1300.0,1300.0,68.9,1560.0,20
CDM,926064,SCREW BN SPN 7.5MM 40MM,1300.0,1300.0,68.9,1560.0,20
CDM,926075,SCREW BN 2.4MM 14MM,220.0,220.0,11.66,264.0,20
CDM,926091,HEAD SPN SCRW XTN,450.0,450.0,23.85,540.0,20
CDM,926092,SCREW SPN 5.5MM 45MM,450.0,450.0,23.85,540.0,20
CDM,926093,SCREW SPN 6.5MM 40MM,450.0,450.0,23.85,540.0,20
CDM,926095,ROD SPN CRVD 3.5MM 70MM,360.0,360.0,19.08,432.0,20
CDM,926105,ROD SPN 5.5X500,580.0,580.0,30.74,696.0,20
CDM,926106,PLATE SPN CERV LV3 48MM,1900.0,1900.0,100.7,2280.0,20
CDM,926140,CAGE SPN 50X22X12MM,12596.0,12596.0,667.59,15115.2,20
CDM,926143,SCREW SPN P-AX 5.5X40MM,1300.0,1300.0,68.9,1560.0,20
CDM,926144,SCREW SPN 7.5MM 80MM,900.0,900.0,47.7,1080.0,20
CDM,926146,CONN SPN ROD OFST 25MM,700.0,700.0,37.1,840.0,20
CDM,926155,REAMER HEAD STRL 14.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,926171,STAPLER INT CIR 29MM,3443.0,3443.0,182.48,4131.6,49
CDM,926177,CAGE SPN 0D 26-36MM,15116.0,15116.0,801.15,18139.2,20
CDM,926180,CAGE SPN 55X18X16MM,5396.0,5396.0,285.99,6475.2,20
CDM,926182,SET FILTER LEUK REDCTION,5941.0,5941.0,314.87,7129.2,49
CDM,926184,SCREW BN HD 2MM 24MM,300.0,300.0,15.9,360.0,20
CDM,926187,PLATE SPNL 2LVL 46MM,1900.0,1900.0,100.7,2280.0,20
CDM,926188,FIBER LASER 242,4374.0,4374.0,231.82,5248.8,49
CDM,926191,FIBER LASER 365,3418.0,3418.0,181.15,4101.6,49
CDM,926192,FIBER LASER 910,5941.0,5941.0,314.87,7129.2,49
CDM,926193,FIBER LASER TRACTIP,4972.0,4972.0,263.52,5966.4,49
CDM,926197,SCREW BN 6.5MM 35MM MRNR,450.0,450.0,23.85,540.0,20
CDM,926199,ROD SPN STR 6MM 250MM,360.0,360.0,19.08,432.0,20
CDM,926212,ROD SPNL STRT 6X450MM,360.0,360.0,19.08,432.0,20
CDM,926213,CATH THRMB 5FR 120CM,2564.0,2564.0,135.89,3076.8,49
CDM,926218,PEG BN LCK 3.2MM 56MM,309.0,309.0,16.38,370.8,20
CDM,926221,SCREW BN LCK 3.5X18MM,590.0,590.0,31.27,708.0,20
CDM,926228,STEM HUM SHLDR REV SM,13724.0,13724.0,727.37,16468.8,20
CDM,926235,SYSTEM IMPLANT RT,2110.0,2110.0,111.83,2532.0,20
CDM,926253,SUTURE POLYPRPLN 2-0,2437.0,2437.0,129.16,2924.4,49
CDM,926254,SCISSORS ENDO235CM 2.6MM,4781.0,4781.0,253.39,5737.2,49
CDM,926279,SCREW SPN ST NS 6MM,100.0,100.0,5.3,120.0,20
CDM,926300,CATH BLNDIL 16MM 60MM,3432.0,3432.0,181.9,4118.4,49
CDM,926330,SCREW BN 4.0MM 46MM,614.0,614.0,32.54,736.8,20
CDM,926331,SCREW BN CANN 4X38MM,614.0,614.0,32.54,736.8,20
CDM,926332,SCREW CANN 4.0MM 44MM,614.0,614.0,32.54,736.8,20
CDM,926337,SCREW BN 4MM 20MM,92.0,92.0,4.88,110.4,20
CDM,926344,SCREW BN 2.7MM 12MM,590.0,590.0,31.27,708.0,20
CDM,926345,SCREW BN 2.7MM 14MM,649.0,649.0,34.4,778.8,20
CDM,926346,SCREW BN CMPR 2.7MM 10MM,649.0,649.0,34.4,778.8,20
CDM,926348,CANN PRFSN PED .25X9X14,1978.0,1978.0,104.83,2373.6,49
CDM,926354,CANNULA PRFSN 12FR 9IN,1978.0,1978.0,104.83,2373.6,49
CDM,926355,SCREW BN 3.5MM 48MM,87.0,87.0,4.61,104.4,20
CDM,926356,WASHER BN DBL 3.5MM,278.0,278.0,14.73,333.6,20
CDM,926373,GWIRE VASC 190CM .014IN,2564.0,2564.0,135.89,3076.8,49
CDM,926391,CANNULA ART 25FR 76.2CM,4663.0,4663.0,247.14,5595.6,49
CDM,926409,CAGE SPNL 5X22.5MM,150.0,150.0,7.95,180.0,20
CDM,926415,CANNULA ART 25FR 3/8IN,3982.0,3982.0,211.05,4778.4,49
CDM,926416,CANNULA ART 23FR 31.8CM,4020.0,4020.0,213.06,4824.0,49
CDM,926419,SYS CRD MNTR IMPL,9290.0,9290.0,492.37,11148.0,20
CDM,926467,SHEATH INTRO .88IN 80CM,5895.0,5895.0,312.44,7074.0,49
CDM,926468,GWIRE VASC .007MM 220CM,5941.0,5941.0,314.87,7129.2,49
CDM,926470,IMPLANT FEM 12-14 +3MM,2628.0,2628.0,139.28,3153.6,20
CDM,926492,CATH ABL 7FR 110CM,7018.0,7018.0,371.95,8421.6,49
CDM,926530,CURETTE CRVD 10MM,133.0,133.0,7.05,159.6,49
CDM,926531,CURETTE STRGHT 10MM,136.0,136.0,7.21,163.2,49
CDM,926546,TUBE TRACH CUFLS 4,2196.0,2196.0,116.39,2635.2,49
CDM,926548,SHEATH INTRO .88IN 90CM,5941.0,5941.0,314.87,7129.2,49
CDM,926549,SHEATH INTRO .88IN 100CM,5895.0,5895.0,312.44,7074.0,49
CDM,926552,SHEATH INTRO.088IN 105CM,5941.0,5941.0,314.87,7129.2,49
CDM,926553,KIT INSERT FEM 23F,5286.0,5286.0,280.16,6343.2,49
CDM,926557,CANNULA VNS 19FR 69.9CM,5286.0,5286.0,280.16,6343.2,49
CDM,926559,CATH UMB 2LUM 3.5FR,1301.0,1301.0,68.95,1561.2,49
CDM,926561,STEM SHLDR SZ6,5970.0,5970.0,316.41,7164.0,20
CDM,926562,SCREW BN PERPH 4.5X24MM,240.0,240.0,12.72,288.0,20
CDM,926563,SYSTEM IMPLANT SUT/DRILL,2270.0,2270.0,120.31,2724.0,20
CDM,926567,GRAFT SPREADER GUIDE,5158.0,5158.0,273.37,6189.6,49
CDM,926578,PROTECTOR GLENOID,264.0,264.0,13.99,316.8,20
CDM,926583,LINER ACTB HIP SZB 32MM,1500.0,1500.0,79.5,1800.0,20
CDM,926585,SCREW BN 3.5MM 24MM,590.0,590.0,31.27,708.0,20
CDM,926586,SCREW BN TI 3.5X34MM,590.0,590.0,31.27,708.0,20
CDM,926588,SCREW BN 3.5X36MM,590.0,590.0,31.27,708.0,20
CDM,926592,INSERT ARTC KN 4-5 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,926605,INSERT KIT PERC FT 1.8MM,3095.0,3095.0,164.03,3714.0,49
CDM,926614,DRILL KIT INST DISP 13MM,1884.0,1884.0,99.85,2260.8,49
CDM,926615,SCREW SPN 3.5MM 15MM,150.0,150.0,7.95,180.0,20
CDM,926616,PLATE SPNL 1LVL 24MM,1900.0,1900.0,100.7,2280.0,20
CDM,926620,GUIDE DRILL 2 PIECE RSP,2564.0,2564.0,135.89,3076.8,49
CDM,926621,HEAD FEM HIP 12/14 36MM,2628.0,2628.0,139.28,3153.6,20
CDM,926626,MONITOR CARDIAC INSERT,9100.0,9100.0,482.3,10920.0,20
CDM,926653,SCREW BN 2.4MM 30MM HPS,558.0,558.0,29.57,669.6,20
CDM,926657,CATH THROM REP 132CM,21373.0,21373.0,1132.77,25647.6,49
CDM,926658,KIT CATH THRMB 68 132CM,21373.0,21373.0,1132.77,25647.6,49
CDM,926664,NAIL BN TIB 9MM 360MM,2614.0,2614.0,138.54,3136.8,20
CDM,926679,DRESSING FOM 6X4IN,2564.0,2564.0,135.89,3076.8,49
CDM,926683,CAGE SPN 5MM 17.5MM,150.0,150.0,7.95,180.0,20
CDM,926695,DILATOR TWO STERILE,2564.0,2564.0,135.89,3076.8,49
CDM,926696,DEVICE EMBL 4MM 12MM,28770.0,28770.0,1524.81,34524.0,20
CDM,926697,CATH BLNOCC 6MM 9CM,11464.0,11464.0,607.59,13756.8,49
CDM,926698,CATH BLNOCC 6MM 12CM,11464.0,11464.0,607.59,13756.8,49
CDM,926700,CATH BLNOCC 6MM 15CM,11464.0,11464.0,607.59,13756.8,49
CDM,926701,CATH BLNOCC 6MM 20CM,11464.0,11464.0,607.59,13756.8,49
CDM,926702,CATH BLNOCC 6MM 7CM,13601.0,13601.0,720.85,16321.2,49
CDM,926708,DRESSING FOM 12X4IN,1070.0,1070.0,56.71,1284.0,49
CDM,926723,LENS IOL +6.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,926724,DRSG WND 3.5X10IN,962.0,962.0,50.99,1154.4,49
CDM,926734,ANCHOR IMP SYS 4.75MM,1722.0,1722.0,91.27,2066.4,20
CDM,926744,CAGE SPN 13X16 22-28MM,15116.0,15116.0,801.15,18139.2,20
CDM,926745,PEG CORT NLCK 2.7X26MM,212.0,212.0,11.24,254.4,20
CDM,926786,GWIRE VASC .008MM 220CM,5941.0,5941.0,314.87,7129.2,49
CDM,926787,GWIRE VASC .008MM 220CM,5941.0,5941.0,314.87,7129.2,49
CDM,926788,GWIRE VASC .012MM 200CM,5371.0,5371.0,284.66,6445.2,49
CDM,926789,GWIRE VASC .012MM 200CM,5633.0,5633.0,298.55,6759.6,49
CDM,926793,GWIRE VASC .007MM 220CM,5941.0,5941.0,314.87,7129.2,49
CDM,926794,GWIRE VASC 215CM,5941.0,5941.0,314.87,7129.2,49
CDM,926800,GWIRE VASC 0.035X150CM,200.0,200.0,10.6,240.0,49
CDM,926802,GWIRE VASC 0.035X260CM,362.0,362.0,19.19,434.4,49
CDM,926814,CAGE SPNL 5MM 15MM,150.0,150.0,7.95,180.0,20
CDM,926821,STEM HUM SM SZ6 220MM,13868.0,13868.0,735.0,16641.6,20
CDM,926822,GWIRE VASC .014IN 200CM,5541.0,5541.0,293.67,6649.2,49
CDM,926823,GWIRE VASC .10IN 310CM,5941.0,5941.0,314.87,7129.2,49
CDM,926824,GWIRE VASC .012IN 310CM,5941.0,5941.0,314.87,7129.2,49
CDM,926833,SPACER SPN 12X15X7MM 6D,4100.0,4100.0,217.3,4920.0,20
CDM,926839,CATH ANGIO 4FR 150CM,2043.0,2043.0,108.28,2451.6,49
CDM,926863,CATH UMB 2.5FR,584.0,584.0,30.95,700.8,49
CDM,926866,DRILL SURG 2.9MM 100MM,4126.0,4126.0,218.68,4951.2,49
CDM,926869,CAGE SPN 17X22X23-25MM,5396.0,5396.0,285.99,6475.2,20
CDM,926870,CAGE SPN 17X22X2MM,12596.0,12596.0,667.59,15115.2,20
CDM,926871,PLATE SPN BTRS 24MM,900.0,900.0,47.7,1080.0,20
CDM,926873,ROD SPN 500MM 5.5MM,360.0,360.0,19.08,432.0,20
CDM,926877,STAPLER CUTTER ENDO 40MM,3756.0,3756.0,199.07,4507.2,49
CDM,926878,STAPLER CUTTER CRVD 40MM,3756.0,3756.0,199.07,4507.2,49
CDM,926879,RELOAD STPLR 1.5X40MM,320.0,320.0,16.96,384.0,20
CDM,926880,RELOAD STPLR 2X40MM,320.0,320.0,16.96,384.0,20
CDM,926895,URETEROSCOPE STNDRD SNGL,11658.0,11658.0,617.87,13989.6,49
CDM,926898,DRILL TIP GWIRE 3X320MM,2947.0,2947.0,156.19,3536.4,49
CDM,926899,DRILL TROCAR TP 3.8X250,4552.0,4552.0,241.26,5462.4,49
CDM,926900,DRILL TROCAR TP 4.6X300,4552.0,4552.0,241.26,5462.4,49
CDM,926901,DRILL STEP 4.5MM 3.2MM,5567.0,5567.0,295.05,6680.4,49
CDM,926902,REAMER CUT HEAD 11MM,3812.0,3812.0,202.04,4574.4,49
CDM,926903,REAMER CUT HEAD 10MM,3812.0,3812.0,202.04,4574.4,49
CDM,926904,REAMER CUT HEAD 10.5MM,3562.0,3562.0,188.79,4274.4,49
CDM,926908,NAIL BN SCREW 7.2MM 75MM,1783.0,1783.0,94.5,2139.6,20
CDM,926909,NAIL BN CALC 7.2X80MM,1783.0,1783.0,94.5,2139.6,20
CDM,926914,PLATE BN HUM RT 196MM,3812.0,3812.0,202.04,4574.4,20
CDM,926917,PEG LOCKING 3.2X42MM,294.0,294.0,15.58,352.8,20
CDM,926922,STENT URET 6FR 24CM,387.0,387.0,20.51,464.4,20
CDM,926924,STENT URET 6FR 26CM,387.0,387.0,20.51,464.4,20
CDM,926949,CONN ROD SPN 10MM 3.5MM,700.0,700.0,37.1,840.0,20
CDM,926951,SYS IMPL SWVL 3.9X17.9MM,3990.0,3990.0,211.47,4788.0,20
CDM,926954,SCREW BN 6.5X80X22MM CAN,382.0,382.0,20.25,458.4,20
CDM,926977,INSERT TIB KN 12MM,1900.0,1900.0,100.7,2280.0,20
CDM,926988,SET TUBE INSUFFL W/FLTR,5941.0,5941.0,314.87,7129.2,49
CDM,926990,TIP CAP OBT STD 8MM,5941.0,5941.0,314.87,7129.2,49
CDM,926997,IMPLANT BREAST 440CC,1750.0,1750.0,92.75,2100.0,20
CDM,927021,BIT DRILL 3MM,3864.0,3864.0,204.79,4636.8,49
CDM,927024,INSERT HUM SHLDR +0 36MM,1680.0,1680.0,89.04,2016.0,20
CDM,927026,NEEDLE SPRG EYE 60MM,989.0,989.0,52.42,1186.8,49
CDM,927027,POST MOD SHLDR 35MM,2900.0,2900.0,153.7,3480.0,20
CDM,927028,BASEPLATE SHLDR 24MM,6400.0,6400.0,339.2,7680.0,20
CDM,927045,SCREW BN 3.5X22MM,590.0,590.0,31.27,708.0,20
CDM,927048,CAGE SPN 9X17X14MM 7D,1600.0,1600.0,84.8,1920.0,20
CDM,927063,RSC MNL ADULT SMALL,282.0,282.0,14.95,338.4,49
CDM,927082,GRAFT ENDO AAA 26X12MM,24270.0,24270.0,1286.31,29124.0,20
CDM,927085,SCREW BN 5.0MM 42MM,348.0,348.0,18.44,417.6,20
CDM,927086,CATH BER 6FR 100CM 125CM,6956.0,6956.0,368.67,8347.2,49
CDM,927103,SCREW BN 5MM 65MM,950.0,950.0,50.35,1140.0,20
CDM,927104,NAIL BN 10MM 20CM,3059.0,3059.0,162.13,3670.8,20
CDM,927119,DRILL BIT 3.2MM 50MM,3144.0,3144.0,166.63,3772.8,49
CDM,927125,COIL EMBL 6MM 20CM,4590.0,4590.0,243.27,5508.0,20
CDM,927126,COIL EMBL 3MM 10CM,4590.0,4590.0,243.27,5508.0,20
CDM,927129,COIL EMBL 3MM 10CM,2900.0,2900.0,153.7,3480.0,20
CDM,927131,COIL EMBL 2MM 8CM,2900.0,2900.0,153.7,3480.0,20
CDM,927133,SCREW BN 4MM 36MM,788.0,788.0,41.76,945.6,20
CDM,927149,PUNCH ARTHSCP STR 70MM,3645.0,3645.0,193.19,4374.0,49
CDM,927151,VALVE AORTIC 23MM,28000.0,28000.0,1484.0,33600.0,20
CDM,927162,PIN HLF 200MM 6MM ORTH H,2564.0,2564.0,135.89,3076.8,49
CDM,927163,IMPLANT BREAST 280CC,2050.0,2050.0,108.65,2460.0,20
CDM,927185,SCREW ARTHDS 3.5X44MM,642.0,642.0,34.03,770.4,20
CDM,927205,SCREW LCK 2.4MM 24MM,590.0,590.0,31.27,708.0,20
CDM,927214,NAIL BN TIB 10MMX41CM,3486.0,3486.0,184.76,4183.2,20
CDM,927223,KIT LEAD NRSTM SURG 90CM,2600.0,2600.0,137.8,3120.0,20
CDM,927239,PACK PLATE / SCREW 2.7MM,4100.0,4100.0,217.3,4920.0,20
CDM,927251,SCREW BN 2X12MM AND 28MM,956.0,956.0,50.67,1147.2,20
CDM,927258,KIT BN ANCHOR STD 4.75MM,2990.0,2990.0,158.47,3588.0,20
CDM,927274,SET INST 17 & 10 & 0,5371.0,5371.0,284.66,6445.2,49
CDM,927290,GRAFT ENDO AAA 28.5X12MM,23678.0,23678.0,1254.93,28413.6,20
CDM,927309,BASEPLATE SHLDR MOD 30MM,1540.0,1540.0,81.62,1848.0,20
CDM,927326,GWIRE SLCT-14 STR 215CM,5941.0,5941.0,314.87,7129.2,49
CDM,927327,PLATE BN 3.5MM 128MM,2522.0,2522.0,133.67,3026.4,20
CDM,927346,PROTECTOR WND M/L 17CM,3406.0,3406.0,180.52,4087.2,49
CDM,927354,GUIDE NDL 16-18GA 17CM,664.0,664.0,35.19,796.8,49
CDM,927364,SCREW BN 4.5MM 20MM,240.0,240.0,12.72,288.0,20
CDM,927365,SCREW BN 4.5MM 28MM,84.0,84.0,4.45,100.8,20
CDM,927369,CERCLAGE TAPE W/O NEEDLE,950.0,950.0,50.35,1140.0,20
CDM,927400,CATH ANGHK2MOD 5F80 .035,391.0,391.0,20.72,469.2,49
CDM,927417,BIT DRILL 3.2MM,5941.0,5941.0,314.87,7129.2,49
CDM,927418,CAGE SPNL FUSION 7MM,6800.0,6800.0,360.4,8160.0,20
CDM,927425,KIT BONE FLAP DISP,737.0,737.0,39.06,884.4,49
CDM,927430,IMPLANT BREAST 350CC,2050.0,2050.0,108.65,2460.0,20
CDM,927435,BIT DRILL DISP 2MM 60MM,2564.0,2564.0,135.89,3076.8,49
CDM,927466,SCREW BN 3.0MM 10MM,590.0,590.0,31.27,708.0,20
CDM,927467,SCREW BN 3.0X14MM,649.0,649.0,34.4,778.8,20
CDM,927470,SCREW BN 3.0X16MM,649.0,649.0,34.4,778.8,20
CDM,927471,SCREW BN TI 3MM 18MM,590.0,590.0,31.27,708.0,20
CDM,927473,SCREW BN VAL 3.0MM 20MM,590.0,590.0,31.27,708.0,20
CDM,927494,KIT MYRINGOTOMY SNG USE,2564.0,2564.0,135.89,3076.8,49
CDM,927514,GWIRE VASC .014IN 300CM,5941.0,5941.0,314.87,7129.2,49
CDM,927515,GWIRE VASC 300CM,5941.0,5941.0,314.87,7129.2,49
CDM,927516,GWIRE VASC SFT 215CM,5941.0,5941.0,314.87,7129.2,49
CDM,927517,GWIRE VASC SFT 300CM,6744.0,6744.0,357.43,8092.8,49
CDM,927528,NANOSCISOR TIP DISP 70MM,3818.0,3818.0,202.35,4581.6,49
CDM,927534,SCREW SPNL P-AX 5.5X36MM,1000.0,1000.0,53.0,1200.0,20
CDM,927536,KIT ART LIN 152CM,791.0,791.0,41.92,949.2,49
CDM,927537,SCREW SPN 7MM 50MM,1300.0,1300.0,68.9,1560.0,20
CDM,927549,SCREW SPN 6MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,927550,CATH GD 8.7FR 45CM,2657.0,2657.0,140.82,3188.4,49
CDM,927553,CANNULA IVAS BVL 11GA,1446.0,1446.0,76.64,1735.2,49
CDM,927557,SCREW SPN 6MM 55MM,1300.0,1300.0,68.9,1560.0,20
CDM,927561,INSERT HIP C 0D 32MM,1500.0,1500.0,79.5,1800.0,20
CDM,927580,SCREW BN 2.4MM 10MM,242.0,242.0,12.83,290.4,20
CDM,927588,CMPNT TIB KN BS SZ2,6286.0,6286.0,333.16,7543.2,20
CDM,927593,INSERT TIB KN SZ4 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,927614,PEG BN FX 2.7MM 12MM,212.0,212.0,11.24,254.4,20
CDM,927615,PEG BN FX 2.7MM 10MM,212.0,212.0,11.24,254.4,20
CDM,927626,SCREW BN TI 3MM 22MM,590.0,590.0,31.27,708.0,20
CDM,927632,SCREW BN 3.5MM 44MM,700.0,700.0,37.1,840.0,20
CDM,927633,PSSR SUTLSO 90D STR CRV,2564.0,2564.0,135.89,3076.8,49
CDM,927641,KIT TISS XPNDR FILL,597.0,597.0,31.64,716.4,49
CDM,927663,TENDON TIB ANTERIOR FF,2294.0,2294.0,121.58,2752.8,20
CDM,927695,HARVESTER BN GRAFT 8MM,5941.0,5941.0,314.87,7129.2,49
CDM,927698,CATH THRMB .088IN 110CM,23277.0,23277.0,1233.68,27932.4,49
CDM,927699,CATH THRMB 137CM .071IN,19313.0,19313.0,1023.59,23175.6,49
CDM,927700,CATH THRMB 137CM .055IN,18886.0,18886.0,1000.96,22663.2,49
CDM,927701,CATH THRMB 144CM .045IN,19313.0,19313.0,1023.59,23175.6,49
CDM,927702,CATH THRMB 158CM .035IN,13096.0,13096.0,694.09,15715.2,49
CDM,927703,SCREW BN 5.0MM 12MM,488.0,488.0,25.86,585.6,20
CDM,927705,CATH VASC 95CM .088IN,9288.0,9288.0,492.26,11145.6,49
CDM,927726,SCREW BN 2.5MM 38MM,700.0,700.0,37.1,840.0,20
CDM,927728,PLATE BN LCK MED 3HL,1850.0,1850.0,98.05,2220.0,20
CDM,927733,ICD DEFB DLCHMBR MRI IS1,19884.0,19884.0,1053.85,23860.8,20
CDM,927758,CAGE 13X16MM 32-46MM,15116.0,15116.0,801.15,18139.2,20
CDM,927761,SCREW SPN 3.5MM 22MM,900.0,900.0,47.7,1080.0,20
CDM,927765,OASIS BURN MTX 70 SQCM,6120.0,6120.0,324.36,7344.0,30
CDM,927797,BIT DRILL DISP 2.7MM 45M,2564.0,2564.0,135.89,3076.8,49
CDM,927801,ANCHOR BN SYSTEM 10MM,4350.0,4350.0,230.55,5220.0,20
CDM,927803,GEN PLS CARD MOD SYS,46000.0,46000.0,2438.0,55200.0,20
CDM,927804,SUTURE CT-1 3-0 1X36IN,54.0,54.0,2.86,64.8,49
CDM,927805,SUTURE ANBCTRL 3-0 27IN,127.0,127.0,6.73,152.4,49
CDM,927821,CONN ROD SPN 5.5X20MM,700.0,700.0,37.1,840.0,20
CDM,927824,ROD SPN 5.5MM 200MM,360.0,360.0,19.08,432.0,20
CDM,927827,DRSG WND 3.5X12IN,1061.0,1061.0,56.23,1273.2,49
CDM,927830,SCREW BN 4MM 42MM,922.0,922.0,48.87,1106.4,20
CDM,927854,GWIRE VASC STD 215CM,5941.0,5941.0,314.87,7129.2,49
CDM,927862,IMPLANT TOE PIP SZ1,1516.0,1516.0,80.35,1819.2,20
CDM,927887,GLNSPHR SHLDR D42MM +4MM,2600.0,2600.0,137.8,3120.0,20
CDM,927903,BIT DRILL 2.8MM,3013.0,3013.0,159.69,3615.6,49
CDM,927906,SCREW BN 3.5MM 30MM,590.0,590.0,31.27,708.0,20
CDM,927907,SCREW BN 3.5MM 32MM LCK,590.0,590.0,31.27,708.0,20
CDM,927908,SCREW BN VAR 3.5MM 55MM,590.0,590.0,31.27,708.0,20
CDM,927909,SCREW BN VAR 3.5MM 50MM,590.0,590.0,31.27,708.0,20
CDM,927914,SCREW BN 3.5MM 46MM,590.0,590.0,31.27,708.0,20
CDM,927920,SCREW BN LCK 3.5X48MM,590.0,590.0,31.27,708.0,20
CDM,927928,GUIDES ORTHOGNATHC NYLON,13879.0,13879.0,735.59,16654.8,49
CDM,927929,DRILL SURG 4.3MM,3497.0,3497.0,185.34,4196.4,49
CDM,927935,SCREW BN 2.0MM 9MM,84.0,84.0,4.45,100.8,20
CDM,927940,SUTURE 2-0 V-5 10X30IN,2152.0,2152.0,114.06,2582.4,49
CDM,927949,SCREW BN HDED 3.5MM 46MM,300.0,300.0,15.9,360.0,20
CDM,927959,COIL EMBL 3MM 6CM,2900.0,2900.0,153.7,3480.0,20
CDM,927960,COIL EMBL 2.5MM 5CM,3830.0,3830.0,202.99,4596.0,20
CDM,927961,COIL EMBL 5MM 17CM,4590.0,4590.0,243.27,5508.0,20
CDM,927962,COIL EMBL 7MM 20CM,4590.0,4590.0,243.27,5508.0,20
CDM,927963,STENT DVTR FLW 4.0X25MM,26730.0,26730.0,1416.69,32076.0,20
CDM,927988,SCREW SPN 7.5MM 40MM,550.0,550.0,29.15,660.0,20
CDM,927989,REAMER HEAD STRL 10.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,927990,REAMER HEAD STRL 11.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,927991,REAMER HEAD STRL 15.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,928000,PLT FEMNG 4.5342 15HL LT,10300.0,10300.0,545.9,12360.0,20
CDM,928001,SCREW 4.5X14 CORT T25 ST,994.0,994.0,52.68,1192.8,20
CDM,928020,STENT BIL 8X100MM 80CM,1300.0,1300.0,68.9,1560.0,20
CDM,928023,STENT BIL 10X120MM 80CM,1300.0,1300.0,68.9,1560.0,20
CDM,928025,STENT VASC 6FR 10X80MM,1190.0,1190.0,63.07,1428.0,20
CDM,928043,SCREW SPN 4.5MM 30MM,900.0,900.0,47.7,1080.0,20
CDM,928046,ROD SPN 5.5MM 150MM,360.0,360.0,19.08,432.0,20
CDM,928066,DRESSING FOM 10X4IN,818.0,818.0,43.35,981.6,49
CDM,928067,DRESSING FOM 12X4IN,956.0,956.0,50.67,1147.2,49
CDM,928095,PLATE BN LAT LCK 3HL,1943.0,1943.0,102.98,2331.6,20
CDM,928097,SCREW BN ARTHDS 3.5X40MM,642.0,642.0,34.03,770.4,20
CDM,928098,SCREW BN ARTHDS 3.5X36MM,642.0,642.0,34.03,770.4,20
CDM,928099,INSERT TIB KN 3 11MM,3043.0,3043.0,161.28,3651.6,20
CDM,928120,SCREW PRLOC T25 4.5X74MM,294.0,294.0,15.58,352.8,20
CDM,928135,TRAY CATH LBRCTH 18FR 2L,366.0,366.0,19.4,439.2,49
CDM,928146,PEG BN CORT 2.7X32MM,212.0,212.0,11.24,254.4,20
CDM,928157,OCCLUDER CV 9F 30MM,19990.0,19990.0,1059.47,23988.0,20
CDM,928160,OCCLUDER PFO RT35/LT25MM,19990.0,19990.0,1059.47,23988.0,20
CDM,928163,KIT OCLR SHTH 9F 80CM,5941.0,5941.0,314.87,7129.2,49
CDM,928166,STENT DVTR FLW 4.0X15MM,26730.0,26730.0,1416.69,32076.0,20
CDM,928169,GWIRE VASC .014IN 215CM,5941.0,5941.0,314.87,7129.2,49
CDM,928174,CAGE SPN LORDOTC 10X28MM,6800.0,6800.0,360.4,8160.0,20
CDM,928179,STENT EVAS 16MM 146MM,8400.0,8400.0,445.2,10080.0,20
CDM,928182,GUIDEWIRE VASC 300CM,5941.0,5941.0,314.87,7129.2,49
CDM,928201,SCREW SPN 6.5MM 55MM,1200.0,1200.0,63.6,1440.0,20
CDM,928203,ROD SPN SHRT TI 5.5MM,600.0,600.0,31.8,720.0,20
CDM,928211,CAGE SPN ALF 15D 8X34X24,8520.0,8520.0,451.56,10224.0,20
CDM,928243,SCREW SPN PLVC 11.5X50MM,5440.0,5440.0,288.32,6528.0,20
CDM,928244,SCREW SPN PLVC 11.5X45MM,5440.0,5440.0,288.32,6528.0,20
CDM,928270,SPHERE ORBTL 19MM,1204.0,1204.0,63.81,1444.8,20
CDM,928286,HOOK TI 5.5MM W5.5MM,700.0,700.0,37.1,840.0,20
CDM,928287,ROD CONN SPN 5.5MM 50MM,700.0,700.0,37.1,840.0,20
CDM,928314,ANCHOR IMPL SYSTM 3.9MM,1600.0,1600.0,84.8,1920.0,20
CDM,928324,PRBE US TRIPLNE TRANSRCT,2564.0,2564.0,135.89,3076.8,49
CDM,928332,SCREW BN 2.4X20MM,280.0,280.0,14.84,336.0,20
CDM,928338,DRILL SURG DISP 2.5X50MM,2564.0,2564.0,135.89,3076.8,49
CDM,928340,STEM FEM HIP LAT SZ9,4000.0,4000.0,212.0,4800.0,20
CDM,928341,SCREW SPN 3.5MM 26MM,900.0,900.0,47.7,1080.0,20
CDM,928350,DRILL ARTHRO FLX 1.8MM,2564.0,2564.0,135.89,3076.8,49
CDM,928354,INSERT TIB 3-8MM,1800.0,1800.0,95.4,2160.0,20
CDM,928387,SCRW CAN32 THD 7.0X145MM,442.0,442.0,23.43,530.4,20
CDM,928399,SCREW BN 4MM 38MM,222.0,222.0,11.77,266.4,20
CDM,928400,SCREW BN 2.4X3.8X17MM,73.0,73.0,3.87,87.6,20
CDM,928424,CANNULA ART 21FR 31.8CM,3982.0,3982.0,211.05,4778.4,49
CDM,928436,PLATE BN FX LF,2200.0,2200.0,116.6,2640.0,20
CDM,928437,PLATE CUBOID UNIVERSAL,2160.0,2160.0,114.48,2592.0,20
CDM,928438,PUTTY SYN BN SM 3.75G,1455.0,1455.0,77.11,1746.0,20
CDM,928439,PUTTY SYN BN MED 7.5G,2716.0,2716.0,143.95,3259.2,20
CDM,928440,STEM FEM HIP LG 100MM,1209.0,1209.0,64.08,1450.8,20
CDM,928445,SCREW BN 2MM 34MM,2700.0,2700.0,143.1,3240.0,20
CDM,928455,CAGE SPN 45X18X8MM,5396.0,5396.0,285.99,6475.2,20
CDM,928456,SCREW SPN 7.5MM 40MM,1000.0,1000.0,53.0,1200.0,20
CDM,928467,SCREW BN 3.5MM X 14MM,590.0,590.0,31.27,708.0,20
CDM,928468,SCREW BN 3.5MM 18MM,649.0,649.0,34.4,778.8,20
CDM,928469,SCREW CMPRSN 3.5X20MM,590.0,590.0,31.27,708.0,20
CDM,928509,CMPNT FEM KN RT SZ10,3600.0,3600.0,190.8,4320.0,20
CDM,928515,CAGE SPN 10D 10X34X24MM,8520.0,8520.0,451.56,10224.0,20
CDM,928528,SCREW BN 3.5MM 44MM,386.0,386.0,20.46,463.2,20
CDM,928529,SCREW SPNL 4MM 25MM,1100.0,1100.0,58.3,1320.0,20
CDM,928530,SCREW SPN P-AX 4MM 30MM,1100.0,1100.0,58.3,1320.0,20
CDM,928531,SCREW SPNL 4MM 40MM,1100.0,1100.0,58.3,1320.0,20
CDM,928532,SCREW BN 5MM 40MM MESA,1100.0,1100.0,58.3,1320.0,20
CDM,928544,PACK INST ORTHO STRL,3669.0,3669.0,194.46,4402.8,49
CDM,928546,STENT DVTR FLW 4.5X17MM,26730.0,26730.0,1416.69,32076.0,20
CDM,928547,BLADE EXCISION RING 2IN,4519.0,4519.0,239.51,5422.8,49
CDM,928548,BLADE EXCISION RING 4IN,4454.0,4454.0,236.06,5344.8,49
CDM,928550,DRILL BIT KIT 2.0MM,4606.0,4606.0,244.12,5527.2,49
CDM,928561,INSTRUMENT ROBOTIC DISP,5941.0,5941.0,314.87,7129.2,49
CDM,928564,SCREW BN 3.5MM X 12MM,590.0,590.0,31.27,708.0,20
CDM,928566,PLATE BN 6HL RT 36X3.5MM,1906.0,1906.0,101.02,2287.2,20
CDM,928582,SCREW BN 5MM 35MM MESA,1100.0,1100.0,58.3,1320.0,20
CDM,928593,SCREW BN LCK 20MM,110.0,110.0,5.83,132.0,20
CDM,928601,CMPNT FEM KN LT SZ6,8365.0,8365.0,443.35,10038.0,20
CDM,928604,RSC MNL BAG O2 INF,303.0,303.0,16.06,363.6,49
CDM,928605,SCREW BN 4MM 46MM,922.0,922.0,48.87,1106.4,20
CDM,928623,PLATE BN CLVCL RT 2.7MM,1888.0,1888.0,100.06,2265.6,20
CDM,928640,KIT SURFACE ELECTRODE,41775.0,41775.0,2214.07,50130.0,49
CDM,928641,DEV ADV KIT ENDO 3PK,8829.0,8829.0,467.94,10594.8,49
CDM,928649,NAIL TROCH 10MM 36CM,5790.0,5790.0,306.87,6948.0,20
CDM,928663,SCREW BN N-LCK 4.5X40MM,84.0,84.0,4.45,100.8,20
CDM,928672,RETRACTOR 60X135MM,2947.0,2947.0,156.19,3536.4,49
CDM,928673,RETRACTOR 90X60MM,2948.0,2948.0,156.24,3537.6,49
CDM,928696,LINER ACTB HIP 28MM 52MM,1500.0,1500.0,79.5,1800.0,20
CDM,928705,OASIS BURN MTX 140 SQCM,12239.0,12239.0,648.67,14686.8,30
CDM,928707,OASIS BURN MTX 600 SQCM,48825.0,48825.0,2587.72,58590.0,30
CDM,928708,SCREW BN SPN 3.5MM 24MM,1000.0,1000.0,53.0,1200.0,20
CDM,928729,INTRO CATH 26GA 1.9CM,5542.0,5542.0,293.73,6650.4,49
CDM,928738,STENT REVAS 5MMX27MM,47798.0,47798.0,2533.29,57357.6,49
CDM,928739,STENT REVAS 5MMX37MM,47798.0,47798.0,2533.29,57357.6,49
CDM,928748,SCREW SPN 6MM 35MM,1300.0,1300.0,68.9,1560.0,20
CDM,928749,SCREW SPN 7MM 35MM,1300.0,1300.0,68.9,1560.0,20
CDM,928751,CATH ULTSND 2.5MM 40MM,21373.0,21373.0,1132.77,25647.6,49
CDM,928752,CATH ULTSND 3MM 40MM,21373.0,21373.0,1132.77,25647.6,49
CDM,928759,LINER ACTB HIP SZF 40MM,1500.0,1500.0,79.5,1800.0,20
CDM,928769,LINER ACTB HIP 46/60MM,2000.0,2000.0,106.0,2400.0,20
CDM,928770,INSERT ACTB HIP 28/46MM,1100.0,1100.0,58.3,1320.0,20
CDM,928774,IMPLANT BREAST 130CC,2050.0,2050.0,108.65,2460.0,20
CDM,928785,DRIVER SURG DISP,942.0,942.0,49.93,1130.4,49
CDM,928786,SCREW SPN 5.5MM 35MM,1300.0,1300.0,68.9,1560.0,20
CDM,928800,PLATE ADJ BN SPNE OCT,3000.0,3000.0,159.0,3600.0,20
CDM,928801,BIODDRYFLEX 32 SQCM,26208.0,26208.0,1389.02,31449.6,30
CDM,928802,PLATE BN 7HL 2.0X103MM,1973.0,1973.0,104.57,2367.6,20
CDM,928811,SCREW BN HDED 3.5MM 48MM,300.0,300.0,15.9,360.0,20
CDM,928814,KIT TUBE ENTRL SYS 12IN,760.0,760.0,40.28,912.0,49
CDM,928815,BAG AMBU ADLT-S 300MM,307.0,307.0,16.27,368.4,49
CDM,928822,COIL EMBL PK 45CM,2560.0,2560.0,135.68,3072.0,20
CDM,928823,COIL EMBL PK 60CM,2560.0,2560.0,135.68,3072.0,20
CDM,928888,COIL EMBL 3MM 4CM,2900.0,2900.0,153.7,3480.0,20
CDM,928901,KIT KN CNN OPN TIP GDPIN,6606.0,6606.0,350.12,7927.2,49
CDM,928910,GWIRE ORTH 2TP .86MM,2564.0,2564.0,135.89,3076.8,49
CDM,928927,BLADE SHVR 4.2MM 19CM,799.0,799.0,42.35,958.8,49
CDM,928943,PLATE BN 3.5MM 118MM,773.0,773.0,40.97,927.6,20
CDM,928961,HEAD BIP HIP 52MM 28MM,800.0,800.0,42.4,960.0,20
CDM,928962,BASEPLATE TIB CMNT RT S8,4280.0,4280.0,226.84,5136.0,20
CDM,928964,LINER ACTB HIP SZ1 54X28,1500.0,1500.0,79.5,1800.0,20
CDM,928973,PLATE BN SZ2,19714.0,19714.0,1044.84,23656.8,20
CDM,928975,SCREW BN SLFTP 1.7X6MM,178.0,178.0,9.43,213.6,20
CDM,928977,VSP ORTHOG GUIDES TI,21299.0,21299.0,1128.85,25558.8,49
CDM,928982,CHARGER POWER UNIVERSAL,1.0,1.0,0.05,1.2,49
CDM,928994,KIT PROC OPEN TIP KN,6995.0,6995.0,370.74,8394.0,49
CDM,928995,KIT ARTHRO DISP,10568.0,10568.0,560.1,12681.6,49
CDM,928996,ICM 45.1X8.0X4.2MM,8880.0,8880.0,470.64,10656.0,20
CDM,929002,CATH URTH 10FR,581.0,581.0,30.79,697.2,49
CDM,929013,KIT PREP SPN 5.0MM,9711.0,9711.0,514.68,11653.2,49
CDM,929029,TEMPLATE SPN PLAN DISP,10784.0,10784.0,571.55,12940.8,49
CDM,929030,ROD SPN 5.5MM,2775.0,2775.0,147.07,3330.0,20
CDM,929031,SCREW SPN 8.5MM 70MM,1300.0,1300.0,68.9,1560.0,20
CDM,929032,PLATE HUM DIST LT 70MM,2686.0,2686.0,142.36,3223.2,20
CDM,929045,PLATE BN 2X41MM 6HL,1066.0,1066.0,56.5,1279.2,20
CDM,929056,CUTTER ARTHSCP 10.5MM,3733.0,3733.0,197.85,4479.6,49
CDM,929058,CAGE SPN 7D 8X15X12MM,1600.0,1600.0,84.8,1920.0,20
CDM,929060,PLATE SPN 1.6V 1LVL 20MM,1900.0,1900.0,100.7,2280.0,20
CDM,929061,SCREW SPN 3.5MM 13MM,150.0,150.0,7.95,180.0,20
CDM,929062,DRILL KIT INST DISP 11MM,1884.0,1884.0,99.85,2260.8,49
CDM,929085,SHEATH GD 63CM 10FR .038,2035.0,2035.0,107.86,2442.0,49
CDM,929098,SCREW BN CMPR TROCHLEAR,580.0,580.0,30.74,696.0,20
CDM,929099,SCREW BN CMPR MALE 60MM,316.0,316.0,16.75,379.2,20
CDM,929100,SCREW BN 2.7MM 16MM,308.0,308.0,16.32,369.6,20
CDM,929101,SCREW BN LCK 2.7X18MM,308.0,308.0,16.32,369.6,20
CDM,929102,DRILL BIT DISP 3.7X80MM,3733.0,3733.0,197.85,4479.6,49
CDM,929103,DRILL BIT DISP 4.0X20MM,4126.0,4126.0,218.68,4951.2,49
CDM,929104,DRILL BIT DISP 2.0X80MM,2564.0,2564.0,135.89,3076.8,49
CDM,929111,NAIL 9MM 360MM LT FEM NL,2904.0,2904.0,153.91,3484.8,20
CDM,929116,SCREW BN 2.7MM 55MM,244.0,244.0,12.93,292.8,20
CDM,929125,CATH BLN 8MM 60MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,929149,CATH BLNDIL 3MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,929210,SCREW BN 1.9MM 7MM,153.0,153.0,8.11,183.6,20
CDM,929215,SCREW BN 4.0MM 38MM,922.0,922.0,48.87,1106.4,20
CDM,929221,SCREW BN 8MM 80MM 40MM,1168.0,1168.0,61.9,1401.6,20
CDM,929262,INSRT ACTB HIP 40MM SZE,1500.0,1500.0,79.5,1800.0,20
CDM,929269,SCREW BNE TIV HIP 6.5X20,110.0,110.0,5.83,132.0,20
CDM,929273,DEVICE REVSC 6.5X45MM,47798.0,47798.0,2533.29,57357.6,49
CDM,929277,IMPLANT BREAST 700CC,2050.0,2050.0,108.65,2460.0,20
CDM,929318,ANCHOR BN FBRTK HIP 1.8,950.0,950.0,50.35,1140.0,20
CDM,929319,STEM HUM SHLDR SZ11,3324.0,3324.0,176.17,3988.8,20
CDM,929334,KWIRE FX 4IN .045IN,754.0,754.0,39.96,904.8,49
CDM,929352,STENT VASC BM 4X20MM,29403.0,29403.0,1558.36,35283.6,20
CDM,929364,CONNECTOR DRN 1/4X3/8IN,169.0,169.0,8.96,202.8,49
CDM,929370,SCREW SPN 4.5MM 10MM,150.0,150.0,7.95,180.0,20
CDM,929372,CAP END AAN 10MM,270.0,270.0,14.31,324.0,20
CDM,929373,BIT DRILL CANN 5.2 MM,3209.0,3209.0,170.08,3850.8,49
CDM,929374,ROD SPN 70MM 3.5MM 2 CRV,360.0,360.0,19.08,432.0,20
CDM,929377,CMPNT FEM KN LT 7CM,9982.0,9982.0,529.05,11978.4,20
CDM,929429,SCREW BN 2MM 38MM,2700.0,2700.0,143.1,3240.0,20
CDM,929430,NAIL BN MICRO 2MM 36MM,2700.0,2700.0,143.1,3240.0,20
CDM,929435,INSERT ACETB HIP F 36MM,1500.0,1500.0,79.5,1800.0,20
CDM,929442,STENT DVTR FLW 5.0X20MM,26730.0,26730.0,1416.69,32076.0,20
CDM,929446,STENT DVTR FLW 4.5X20MM,26730.0,26730.0,1416.69,32076.0,20
CDM,929476,SUTURE CERCLAGE,950.0,950.0,50.35,1140.0,20
CDM,929485,KIT TES TRIAL STIM,771.0,771.0,40.86,925.2,20
CDM,929487,SCREW SPN FIX 5.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,929504,CATH GLIDECATH 4FR 125CM,2043.0,2043.0,108.28,2451.6,49
CDM,929505,PEG THRD NLCK 2.7X28MM,212.0,212.0,11.24,254.4,20
CDM,929509,INSERT ARTC KN 6-9 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,929517,CATH BLNDIL 7X100MM,137.0,137.0,7.26,164.4,49
CDM,929534,SCREW BN 1.7MM 5MM,138.0,138.0,7.31,165.6,20
CDM,929535,EXPAND BRST 225CC,4140.0,4140.0,219.42,4968.0,20
CDM,929589,COMP FEM KN RT SZ-5N,2500.0,2500.0,132.5,3000.0,20
CDM,929590,SCREW BN 6.5X75MM,1422.0,1422.0,75.37,1706.4,20
CDM,929591,SCREW CANN P/T 6.5X70X22,1422.0,1422.0,75.37,1706.4,20
CDM,929596,COIL EMBL 4MM 13CM,4590.0,4590.0,243.27,5508.0,20
CDM,929601,COIL EMBL 2MM 6CM,2900.0,2900.0,153.7,3480.0,20
CDM,929602,PLATE MIDSHAFT ULNA 81MM,1828.0,1828.0,96.88,2193.6,20
CDM,929603,COIL EMBL 2MM 4CM,2900.0,2900.0,153.7,3480.0,20
CDM,929606,NDL BX LVR 19GA 60CM,5941.0,5941.0,314.87,7129.2,49
CDM,929608,DEVICE SUT SPRL 3-0 16CM,1068.0,1068.0,56.6,1281.6,49
CDM,929624,SCREW BN 2.4MM 12MM,354.0,354.0,18.76,424.8,20
CDM,929635,COIL EMBL 10CM 3MM,3956.0,3956.0,209.67,4747.2,20
CDM,929642,BOLT BN LCK 40MM,755.0,755.0,40.02,906.0,20
CDM,929650,SCREW BN 2.4MM 14MM,354.0,354.0,18.76,424.8,20
CDM,929651,SCREW BN 2.4MM 16MM,354.0,354.0,18.76,424.8,20
CDM,929665,STENT EPRSTH 5X8X19MM,5186.0,5186.0,274.86,6223.2,20
CDM,929676,IMPLANT BREAST 495CC,2650.0,2650.0,140.45,3180.0,20
CDM,929680,SCREW BN CANN 5X90MM,472.0,472.0,25.02,566.4,20
CDM,929685,KNIFE SURGICAL 193MM,2564.0,2564.0,135.89,3076.8,49
CDM,929692,CRTD XT MRI QUAD DF4,30102.0,30102.0,1595.41,36122.4,20
CDM,929696,PACKING NASAL LPRO 5.5CM,5941.0,5941.0,314.87,7129.2,49
CDM,929705,PLATE BN 250MM,3902.0,3902.0,206.81,4682.4,20
CDM,929706,SCREW BN CANN 5.5X55MM,1329.0,1329.0,70.44,1594.8,20
CDM,929714,DEVICE CLSR WND +1 60CM,3646.0,3646.0,193.24,4375.2,49
CDM,929716,BEARNG TRUNON SHLDR 49MM,1400.0,1400.0,74.2,1680.0,20
CDM,929724,MESH HRN PP 20X20IN,6000.0,6000.0,318.0,7200.0,20
CDM,929725,ADAPTER HD FEM HIP 3.5MM,383.0,383.0,20.3,459.6,20
CDM,929744,ROD SPN 4.0MM 95MM,360.0,360.0,19.08,432.0,20
CDM,929747,RSC MNL ADULT SMALL,238.0,238.0,12.61,285.6,49
CDM,929767,DRESSING NADH 1.6X2IN,44.0,44.0,2.33,52.8,49
CDM,929768,IMPLANT URO DEVICE,2000.0,2000.0,106.0,2400.0,20
CDM,929778,SCREW BN 3.5MM 150MM,161.0,161.0,8.53,193.2,20
CDM,929779,SCREW BN 4MM 32MM,192.0,192.0,10.18,230.4,20
CDM,929780,SCREW BN 2.3X7MM,352.0,352.0,18.66,422.4,20
CDM,929781,PLATE BN 2.3MM 1.5MM,2810.0,2810.0,148.93,3372.0,20
CDM,929782,SCREWDRIVER SURG 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,929793,KIT IMPLANT URO DEVICE,2000.0,2000.0,106.0,2400.0,20
CDM,929795,SHANK SPNL 7.5MM 50MM,750.0,750.0,39.75,900.0,20
CDM,929803,GRAFT STNT 22MM 112MM,30510.0,30510.0,1617.03,36612.0,20
CDM,929807,SHEATH GD 6FR 105CM,3576.0,3576.0,189.53,4291.2,49
CDM,929814,STEM FEM KN 14X80MM,1200.0,1200.0,63.6,1440.0,20
CDM,929816,INSERT TIB KN SZ4 12MM,3752.0,3752.0,198.86,4502.4,20
CDM,929841,CATCHER STONE ACCESSORY,2564.0,2564.0,135.89,3076.8,49
CDM,929871,NAIL BN FEM 11X320MM,2614.0,2614.0,138.54,3136.8,20
CDM,929877,CATH RTVR THRMB 12F 80CM,37267.0,37267.0,1975.15,44720.4,49
CDM,929878,SHEATH CLOTREM 16FR,9326.0,9326.0,494.28,11191.2,49
CDM,929879,SCREW BN LCK 4.5X26MM,342.0,342.0,18.13,410.4,20
CDM,929880,DRILL BIT CNTRSNK 6.5MM,4021.0,4021.0,213.11,4825.2,49
CDM,929882,BIT DRILL 3.5MM X 50MM,3144.0,3144.0,166.63,3772.8,49
CDM,929883,NAIL TIB 13MM 34 M,3486.0,3486.0,184.76,4183.2,20
CDM,929885,ROD SPNL 130MM,360.0,360.0,19.08,432.0,20
CDM,929886,SCREW BN 3.5MM 48MM,230.0,230.0,12.19,276.0,20
CDM,929897,COIL EMBL 4MM 6CM,2900.0,2900.0,153.7,3480.0,20
CDM,929913,SCREW BN 2MM 14MM,492.0,492.0,26.08,590.4,20
CDM,929914,SCREW BN LCK 2.0X12MM,492.0,492.0,26.08,590.4,20
CDM,929916,SCREW BN LCK 2.0X13MM,492.0,492.0,26.08,590.4,20
CDM,929920,PLATE LG LOPRO TI PRIMTR,2190.0,2190.0,116.07,2628.0,20
CDM,929952,SCREW BN CMPR MALE 45MM,316.0,316.0,16.75,379.2,20
CDM,929953,SCREW BN CMPR MALE 50MM,316.0,316.0,16.75,379.2,20
CDM,929954,SCREW BN LCK 2.7X14MM,308.0,308.0,16.32,369.6,20
CDM,929955,SCREW BN LCK 2.7X38MM,308.0,308.0,16.32,369.6,20
CDM,929956,SCREW BN LCK 3.5X38MM,310.0,310.0,16.43,372.0,20
CDM,929958,COMPNT FEM KN LT SZ4,2500.0,2500.0,132.5,3000.0,20
CDM,929964,CAGE SPNL13X16MM 58-74MM,15116.0,15116.0,801.15,18139.2,20
CDM,929967,ROD SPN 3.5X105MM,360.0,360.0,19.08,432.0,20
CDM,929991,HD FEM PCA 36 MM -3MM,600.0,600.0,31.8,720.0,20
CDM,929992,IMPLANT BREAST 175CC,1100.0,1100.0,58.3,1320.0,20
CDM,929993,IMPLANT BREAST 650CC,1100.0,1100.0,58.3,1320.0,20
CDM,929994,CATHETER GD 5FR 59CM,2657.0,2657.0,140.82,3188.4,49
CDM,929996,COIL EMBL 60CM 20MM,4680.0,4680.0,248.04,5616.0,20
CDM,929997,COIL EMBL 7CM,1960.0,1960.0,103.88,2352.0,20
CDM,930002,COIL EMBL 10CM,1960.0,1960.0,103.88,2352.0,20
CDM,930004,COIL EMBL 25CM,2560.0,2560.0,135.68,3072.0,20
CDM,930009,COIL EMBL 35CM,2560.0,2560.0,135.68,3072.0,20
CDM,930012,COIL EMBL 40CM,2560.0,2560.0,135.68,3072.0,20
CDM,930013,COIL EMBL 50CM,2560.0,2560.0,135.68,3072.0,20
CDM,930014,COIL EMBL 60CM,2560.0,2560.0,135.68,3072.0,20
CDM,930023,COIL EMBL 4.5MM 10CM,4590.0,4590.0,243.27,5508.0,20
CDM,930024,PLATE BN HUM 172MM,1764.0,1764.0,93.49,2116.8,20
CDM,930046,KIT NRSTM PT PROGRAMMER,11914.0,11914.0,631.44,14296.8,49
CDM,930048,IPG NRSTM 44MM 51MM,20911.0,20911.0,1108.28,25093.2,20
CDM,930058,HEAD FEM OPTN TYPE1 -3MM,1300.0,1300.0,68.9,1560.0,20
CDM,930062,SCREW BN 5MM 75MM,950.0,950.0,50.35,1140.0,20
CDM,930063,SCREW BN 5MM 38MM,950.0,950.0,50.35,1140.0,20
CDM,930064,STENT DVTR FLW 3.25X12MM,29403.0,29403.0,1558.36,35283.6,20
CDM,930086,INSERT TIB KN SZ7 8MM,3752.0,3752.0,198.86,4502.4,20
CDM,930091,PLATE BN 4.5MM 142MM,308.0,308.0,16.32,369.6,20
CDM,930112,SCREW BN HDLS 6.5X45MM,1329.0,1329.0,70.44,1594.8,20
CDM,930116,STEM HIP SZ3 101X36MM,3864.0,3864.0,204.79,4636.8,20
CDM,930133,PLATE BN LCK 5H HOOK MED,1920.0,1920.0,101.76,2304.0,20
CDM,930134,SCREW BN HUM 3.5MM 10MM,144.0,144.0,7.63,172.8,20
CDM,930135,STEM FEM HIP SZ6 107MM,3864.0,3864.0,204.79,4636.8,20
CDM,930145,NAIL FEM LT/RT 10MM 12CM,13000.0,13000.0,689.0,15600.0,20
CDM,930155,STEM FEM HIP 44MM 56MM,2800.0,2800.0,148.4,3360.0,20
CDM,930156,SCREW BN 4.0MM 34MM,614.0,614.0,32.54,736.8,20
CDM,930157,CAGE SPN 7D 7X17X17MM,1600.0,1600.0,84.8,1920.0,20
CDM,930160,BLADE SHVR 13CMX3.5MM,1621.0,1621.0,85.91,1945.2,49
CDM,930172,CONTERSNK 3.5/4.0MM,5404.0,5404.0,286.41,6484.8,49
CDM,930173,SCREW BN CANN 4MM 34MM,789.0,789.0,41.82,946.8,20
CDM,930175,SCREW BN CANN 3.5MM 34MM,789.0,789.0,41.82,946.8,20
CDM,930177,SCREW BN 6.5MM 65MM,1329.0,1329.0,70.44,1594.8,20
CDM,930178,PLATE BN TIB RT 10 HL,3560.0,3560.0,188.68,4272.0,20
CDM,930179,PLATE BN FIB RT 5 HL,1595.0,1595.0,84.53,1914.0,20
CDM,930180,PLATE 5MM 31X5X1.2MM,2560.0,2560.0,135.68,3072.0,20
CDM,930181,PLATE BN 8 HL 2MM,2560.0,2560.0,135.68,3072.0,20
CDM,930182,SCREW BN CORT 2X18MM,148.0,148.0,7.84,177.6,20
CDM,930193,PLATE SPN MED 42MM,3000.0,3000.0,159.0,3600.0,20
CDM,930194,SCREW SPN 5.25MM 8MM,150.0,150.0,7.95,180.0,20
CDM,930197,ROD SPN 115D 3.5MM 125MM,360.0,360.0,19.08,432.0,20
CDM,930205,SCREW BN CMPR 3.5X60MM,700.0,700.0,37.1,840.0,20
CDM,930207,GWIRE BN BVLD 1.6X4MM,1847.0,1847.0,97.89,2216.4,49
CDM,930208,BIT DRILL CANN DSP 3.6MM,2564.0,2564.0,135.89,3076.8,49
CDM,930211,SCREW BN BVLD 4X42MM,1590.0,1590.0,84.27,1908.0,20
CDM,930212,BIT DRILL CANN 2.9MM,2564.0,2564.0,135.89,3076.8,49
CDM,930213,GUIDEWIRE BN 1.4MM 3.5MM,1847.0,1847.0,97.89,2216.4,49
CDM,930235,GWIRE VASC .038IN 260CM,437.0,437.0,23.16,524.4,49
CDM,930237,PLATE BN STD 2MM,3328.0,3328.0,176.38,3993.6,20
CDM,930238,INSERT ARTC KN 6-7 11MM,1500.0,1500.0,79.5,1800.0,20
CDM,930240,CAGE SPNL 10X25MM,6800.0,6800.0,360.4,8160.0,20
CDM,930250,DRESSING NADH 6X4IN,90.0,90.0,4.77,108.0,49
CDM,930263,MARKER BX SITE STOPLIGHT,110.0,110.0,5.83,132.0,20
CDM,930322,GRAFT BN 4.1-5X1-2CM,1569.0,1569.0,83.16,1882.8,20
CDM,930332,NAIL BN 10MM 360MM,2614.0,2614.0,138.54,3136.8,20
CDM,930335,SCREW SPN 10MM 40MM,1300.0,1300.0,68.9,1560.0,20
CDM,930336,SCREW SPN 10MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,930339,SCREW SPNL CMPR 3.5X75MM,378.0,378.0,20.03,453.6,20
CDM,930340,SCREW BN LCK 3.5X65MM,218.0,218.0,11.55,261.6,20
CDM,930341,COIL EMBL SMRT 8CM 2.5MM,2140.0,2140.0,113.42,2568.0,20
CDM,930343,NAIL BN FEM 11.5MM 22CM,3684.0,3684.0,195.25,4420.8,20
CDM,930349,SCREW BN 6.5X90MM22MM,382.0,382.0,20.25,458.4,20
CDM,930353,PLT B I PA 78MM 5HL LT,2655.0,2655.0,140.72,3186.0,20
CDM,930354,ROD SPN MED 5.5MM,600.0,600.0,31.8,720.0,20
CDM,930382,CRTD XT QUAD MRI DF1,25248.0,25248.0,1338.14,30297.6,20
CDM,930383,CRTD XT MRI IS1 DF4,26752.0,26752.0,1417.86,32102.4,20
CDM,930384,CRTD XT MRI IS1 DF1,30102.0,30102.0,1595.41,36122.4,20
CDM,930385,ICD DEFIB 68X51X13MM,19884.0,19884.0,1053.85,23860.8,20
CDM,930386,ICD MRI IS1 DF1,16774.0,16774.0,889.02,20128.8,20
CDM,930387,ICD XT MRI DF4,18874.0,18874.0,1000.32,22648.8,20
CDM,930401,SCREW BN 10MM 2MM,250.0,250.0,13.25,300.0,20
CDM,930415,COIL EMBL 3MM 8CM,2290.0,2290.0,121.37,2748.0,20
CDM,930417,COIL EMBL 2MM 10CM,2900.0,2900.0,153.7,3480.0,20
CDM,930419,COIL EMBL 13MM 43CM,3022.0,3022.0,160.17,3626.4,20
CDM,930420,COIL EMBL 11MM 37CM,3022.0,3022.0,160.17,3626.4,20
CDM,930421,COIL EMBL 9MM 30CM,4590.0,4590.0,243.27,5508.0,20
CDM,930422,COIL EMBL 8MM 30CM,4590.0,4590.0,243.27,5508.0,20
CDM,930423,COIL EMBL 5MM 13CM,2900.0,2900.0,153.7,3480.0,20
CDM,930424,COIL EMBL 5MM 10CM,2900.0,2900.0,153.7,3480.0,20
CDM,930426,COIL EMBL 4MM 10CM,2290.0,2290.0,121.37,2748.0,20
CDM,930433,IMPLANT BREAST 170CC,2050.0,2050.0,108.65,2460.0,20
CDM,930437,COIL EMBL 2MM 8CM,2140.0,2140.0,113.42,2568.0,20
CDM,930445,STENT GRFT 36MMX4.5CM,8498.0,8498.0,450.39,10197.6,20
CDM,930446,STENT GRAFT 28MM 4.5CM,8498.0,8498.0,450.39,10197.6,20
CDM,930450,REAMER HEAD STRL 10MM,5941.0,5941.0,314.87,7129.2,49
CDM,930451,INSERT SHD RT 155D SZ2,4000.0,4000.0,212.0,4800.0,20
CDM,930457,MESH HRN PLGLY 20X10CM,6120.0,6120.0,324.36,7344.0,20
CDM,930486,PLATE BN SIZE 20,10468.0,10468.0,554.8,12561.6,20
CDM,930487,STEM ULNAR 3CM 6MM,5350.0,5350.0,283.55,6420.0,20
CDM,930533,SCREW BN 2.0MM 9MM,250.0,250.0,13.25,300.0,20
CDM,930537,CATH BLN 3.5X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,930543,IMPL TOE MTP SZ2 13.5MM,2236.0,2236.0,118.51,2683.2,20
CDM,930580,STEM SHLDR SZ10,4341.0,4341.0,230.07,5209.2,20
CDM,930584,LINER ACTB HIP 42/54MM,2000.0,2000.0,106.0,2400.0,20
CDM,930585,INSERT XLPE HIP 28/42MM,1100.0,1100.0,58.3,1320.0,20
CDM,930609,PADDING CAST ST 4INX4YD,50.0,50.0,2.65,60.0,49
CDM,930654,SET INST RMR TRIALS DISP,3118.0,3118.0,165.25,3741.6,49
CDM,930655,PLATE BN 14HL 237MM,3526.0,3526.0,186.88,4231.2,20
CDM,930695,SCREW BN 3MM 28MM,590.0,590.0,31.27,708.0,20
CDM,930699,MESH HERNIA 25CM 30CM,22460.0,22460.0,1190.38,26952.0,20
CDM,930700,KIT DISP SFT ANCHORS,3602.0,3602.0,190.91,4322.4,49
CDM,930701,ANCHOR SUT W NDL #2,1190.0,1190.0,63.07,1428.0,20
CDM,930708,STEM FEM KN 80MM 16MM,1200.0,1200.0,63.6,1440.0,20
CDM,930733,BIT DRILL CLBRT 2MM 95MM,3275.0,3275.0,173.57,3930.0,49
CDM,930748,NAIL BN FEM 11.5MM 26CM,3684.0,3684.0,195.25,4420.8,20
CDM,930750,STEM HUM REV SZ10 175MM,15439.0,15439.0,818.27,18526.8,20
CDM,930768,PLATE SPN 2LVL 54MM,1900.0,1900.0,100.7,2280.0,20
CDM,930769,CAGE EXP SCRW HT SET SML,100.0,100.0,5.3,120.0,20
CDM,930772,NAIL BN RT 8.5MM 30CM,3390.0,3390.0,179.67,4068.0,20
CDM,930790,GWIRE FLPY 330X2.2CM,2564.0,2564.0,135.89,3076.8,49
CDM,930795,SPACER SPN 12X15X6MM 6D,4100.0,4100.0,217.3,4920.0,20
CDM,930805,PATCH TIS 2MMX26CMX34CM,8756.0,8756.0,464.07,10507.2,20
CDM,930815,PLATE FIB LCK LT 5HL,1450.0,1450.0,76.85,1740.0,20
CDM,930830,CAGE SPN 12X14MM 32-46MM,15116.0,15116.0,801.15,18139.2,20
CDM,930855,SCREW BN 2.7MM 38MM,599.0,599.0,31.75,718.8,20
CDM,930858,SCREW BN 2.7MM 32MM,599.0,599.0,31.75,718.8,20
CDM,930863,STENT BILIARY 6MM 10CM,4600.0,4600.0,243.8,5520.0,20
CDM,930868,PATELLA KN ORTH STRL MED,5990.0,5990.0,317.47,7188.0,20
CDM,930877,CATH GLIDE XP 5FR 135CM,2045.0,2045.0,108.39,2454.0,49
CDM,930895,SCREW BN 7MM 75MM,790.0,790.0,41.87,948.0,20
CDM,930898,SUTURE ANBCTRL +1 36IN,55.0,55.0,2.92,66.0,49
CDM,930913,COIL EMBL 6CM 2MM,3956.0,3956.0,209.67,4747.2,20
CDM,930916,COIL EMBL DTCH 3MM 4CM,3956.0,3956.0,209.67,4747.2,20
CDM,930917,SCREW BN 4.5MM 50MM,1590.0,1590.0,84.27,1908.0,20
CDM,930921,ROD SPN LRDTC 140X5.5MM,360.0,360.0,19.08,432.0,20
CDM,930924,IMPLANT BREAST 590CC,2500.0,2500.0,132.5,3000.0,20
CDM,930926,STEM FEM HIP SZ7 109MM,3864.0,3864.0,204.79,4636.8,20
CDM,930927,IMPLANT BREAST 210CC,2500.0,2500.0,132.5,3000.0,20
CDM,930929,COIL EMBL 30CM 10MM,3956.0,3956.0,209.67,4747.2,20
CDM,930930,COIL EMBL DTCH 3MM 10CM,3956.0,3956.0,209.67,4747.2,20
CDM,930931,COIL EMBL 15CM 4MM,3956.0,3956.0,209.67,4747.2,20
CDM,930935,NAIL FEM 10MM 22CM,3684.0,3684.0,195.25,4420.8,20
CDM,930941,COIL EMBL 30CM 6MM,3956.0,3956.0,209.67,4747.2,20
CDM,930942,COIL EMBL 30CM 7MM,3956.0,3956.0,209.67,4747.2,20
CDM,930943,COIL EMBL 30CM 8MM,3956.0,3956.0,209.67,4747.2,20
CDM,930944,COIL EMBL 9.0MM 20CM,4498.0,4498.0,238.39,5397.6,20
CDM,930945,COIL EMBL 30CM 9MM,3956.0,3956.0,209.67,4747.2,20
CDM,930946,VALVE MITRAL 25MM,14400.0,14400.0,763.2,17280.0,20
CDM,930960,NAIL 130D 11.542 R,4345.0,4345.0,230.28,5214.0,20
CDM,930978,SCREW BN 4MM 50MM,1590.0,1590.0,84.27,1908.0,20
CDM,930997,BASEPLATE TIB KN SZ6,2100.0,2100.0,111.3,2520.0,20
CDM,930999,CMPNT FEM KN SZ5,3254.0,3254.0,172.46,3904.8,20
CDM,931000,SCREW BN 5MM 28MM,351.0,351.0,18.6,421.2,20
CDM,931007,VALVE MITRAL 19MM 27MM,8800.0,8800.0,466.4,10560.0,20
CDM,931008,INSERT TIB KN SZ4 7MM,1500.0,1500.0,79.5,1800.0,20
CDM,931012,VALVE AORTA 29MM,8800.0,8800.0,466.4,10560.0,20
CDM,931013,VALVE MITRAL 25MM,8800.0,8800.0,466.4,10560.0,20
CDM,931014,VALVE MITRAL 27MM,8800.0,8800.0,466.4,10560.0,20
CDM,931015,VALVE MITRAL 29MM,8800.0,8800.0,466.4,10560.0,20
CDM,931016,VALVE MITRAL 31MM,8800.0,8800.0,466.4,10560.0,20
CDM,931017,VALVE MITRAL 33MM,8800.0,8800.0,466.4,10560.0,20
CDM,931024,HANDLE SIZER INSTR DISP,1809.0,1809.0,95.88,2170.8,49
CDM,931026,PIN HUMERAL 3.5MM 130MM,2073.0,2073.0,109.87,2487.6,49
CDM,931027,GUIDE PIN 3MM 100MM,1458.0,1458.0,77.27,1749.6,49
CDM,931034,CATH GD 5FR 115CM,11627.0,11627.0,616.23,13952.4,49
CDM,931048,CUP HUM SHLDR LT +2 36MM,3570.0,3570.0,189.21,4284.0,20
CDM,931063,SCREW BN SS 95 46 OD6.5,374.0,374.0,19.82,448.8,20
CDM,931065,STYLET LD .01IN BALL TIP,1055.0,1055.0,55.91,1266.0,49
CDM,931066,PLATE BN 18HL 2.7MM,3390.0,3390.0,179.67,4068.0,20
CDM,931070,SCREW BN SUP 2.7X93,3130.0,3130.0,165.89,3756.0,20
CDM,931071,PLATE BN 8HL 3.5X93MM,942.0,942.0,49.93,1130.4,20
CDM,931087,SCREW BN 3.5MM 10MM,590.0,590.0,31.27,708.0,20
CDM,931088,SCREW BN LCK 3.5MM 12MM,590.0,590.0,31.27,708.0,20
CDM,931102,COIL EMBL 2MM 4CM,2400.0,2400.0,127.2,2880.0,20
CDM,931115,SCREW BN 3MM 24MM,922.0,922.0,48.87,1106.4,20
CDM,931116,SYSTEM ACC FX CRV SGL,7772.0,7772.0,411.92,9326.4,49
CDM,931117,SYSTEM ACC FX CRV DBL,7772.0,7772.0,411.92,9326.4,49
CDM,931118,LINER ACTB HIP 36X48MM,2000.0,2000.0,106.0,2400.0,20
CDM,931121,INSERT ACTB HIP 22X36MM,1100.0,1100.0,58.3,1320.0,20
CDM,931136,SCREW BN CANN 3MM 26MM,315.0,315.0,16.7,378.0,20
CDM,931141,KIT DRLBT LCRT .045IN2MM,5066.0,5066.0,268.5,6079.2,49
CDM,931145,SCREW 5.5X80X32MM ORTH,563.0,563.0,29.84,675.6,20
CDM,931146,SCRW CANN 32THD 5.5X60CC,563.0,563.0,29.84,675.6,20
CDM,931148,MESH HRN 9X9CM,2061.0,2061.0,109.23,2473.2,20
CDM,931166,PLATE FIB LCK DSTL LT 8H,1750.0,1750.0,92.75,2100.0,20
CDM,931167,KIT PROC CLSD TIP KNEE,5941.0,5941.0,314.87,7129.2,49
CDM,931171,PLATE BN BRDGE 6HL 2.4MM,1590.0,1590.0,84.27,1908.0,20
CDM,931201,HANDPIECE PROBE JET DISP,26269.0,26269.0,1392.26,31522.8,49
CDM,931202,REAMER SURG 16MM MTRSL,5895.0,5895.0,312.44,7074.0,49
CDM,931214,SCREW SPN 6.5MM 45MM,750.0,750.0,39.75,900.0,20
CDM,931217,CMPNT FEM KN LT STD SZ6,3600.0,3600.0,190.8,4320.0,20
CDM,931219,KIT CATH 7.0FR 20CM,2564.0,2564.0,135.89,3076.8,49
CDM,931224,SCREW BN HD 4MM 46MM,353.0,353.0,18.71,423.6,20
CDM,931225,DRILL BIT CANN 2.6MM,3345.0,3345.0,177.28,4014.0,49
CDM,931239,CAGE SPN 0D 13X16X0-24MM,15116.0,15116.0,801.15,18139.2,20
CDM,931240,GRAFT BN CASULFATE 10CC,4390.0,4390.0,232.67,5268.0,20
CDM,931241,ROD ATCH LG EXFX,3344.0,3344.0,177.23,4012.8,49
CDM,931242,CLAMP EXFX LG 4 PSTN MLP,5596.0,5596.0,296.59,6715.2,49
CDM,931243,CLAMP EXFIX LG OPN ADJ,4331.0,4331.0,229.54,5197.2,49
CDM,931247,ROD EX FIX 11MM 150MM,2564.0,2564.0,135.89,3076.8,49
CDM,931248,ROD EX FIX 11MM 350MM,2564.0,2564.0,135.89,3076.8,49
CDM,931249,ROD EX FIX 11MM 400MM,2564.0,2564.0,135.89,3076.8,49
CDM,931251,GWIRE BN 1.6 MM 150MM,1847.0,1847.0,97.89,2216.4,49
CDM,931252,SCREW BN FT 4MM 48MM,1590.0,1590.0,84.27,1908.0,20
CDM,931258,BLADE OSTME LNG FLT DISP,2564.0,2564.0,135.89,3076.8,49
CDM,931276,NAIL CANN 2MM 18MM,2340.0,2340.0,124.02,2808.0,20
CDM,931280,SHELL ACTB HIP 13H 64MM,4253.0,4253.0,225.41,5103.6,20
CDM,931281,NEEDLE BX 23GA,3275.0,3275.0,173.57,3930.0,49
CDM,931282,NEEDLE BX 21GA,9156.0,9156.0,485.27,10987.2,49
CDM,931283,NEEDLE BX 19GA,9156.0,9156.0,485.27,10987.2,49
CDM,931286,ANCHOR BN KNTLS 4.75MM,970.0,970.0,51.41,1164.0,20
CDM,931295,KIT ANCHOR BN FIX 2.6,987.0,987.0,52.31,1184.4,20
CDM,931296,STENT VASC 5X100MM 125CM,3590.0,3590.0,190.27,4308.0,20
CDM,931297,FORCEP GRASP 2.8MM,2564.0,2564.0,135.89,3076.8,49
CDM,931298,FORCEPS ENDO DISP ROTBL,2564.0,2564.0,135.89,3076.8,49
CDM,931306,INSERT ACTB HIP 10D 32MM,1500.0,1500.0,79.5,1800.0,20
CDM,931308,CABLE CERCLAGE SS 2.0MM,1140.0,1140.0,60.42,1368.0,20
CDM,931311,DRIVER REDUCT 2.5MM,3759.0,3759.0,199.23,4510.8,49
CDM,931313,GUIDEWIRE TROCAR 1.1MM,754.0,754.0,39.96,904.8,49
CDM,931318,LIGHT SURG INTERNAL,3275.0,3275.0,173.57,3930.0,49
CDM,931319,PROBE MONOPLR 11IN,2564.0,2564.0,135.89,3076.8,49
CDM,931320,CAGE SPN 8D 10X18X50MM,6000.0,6000.0,318.0,7200.0,20
CDM,931323,TAP BN SWIVEL 5.2X4.75MM,2564.0,2564.0,135.89,3076.8,49
CDM,931324,IMPLANT BREAST 390CC,2500.0,2500.0,132.5,3000.0,20
CDM,931339,SCREW BN HD 4MM 40MM,353.0,353.0,18.71,423.6,20
CDM,931345,MESH HRN PP 12CM 18CM,5803.0,5803.0,307.56,6963.6,20
CDM,931350,NDL CRYALB 1.5MM 175MM,14728.0,14728.0,780.58,17673.6,49
CDM,931364,STEM HIP SZ2 99X32.5MM,3864.0,3864.0,204.79,4636.8,20
CDM,931374,VALVE MITRAL 27MM,14400.0,14400.0,763.2,17280.0,20
CDM,931386,SCREW SPNL 6.5MM 40MM,1300.0,1300.0,68.9,1560.0,20
CDM,931387,SCREW SPNL 6.5MM 45MM,1300.0,1300.0,68.9,1560.0,20
CDM,931398,ANCHOR SUT 5.5MM 19.1MM,1244.0,1244.0,65.93,1492.8,20
CDM,931402,BIT DRILL CANN 5MM,2564.0,2564.0,135.89,3076.8,49
CDM,931413,KIT ANCHOR BN MNSCL REPR,3400.0,3400.0,180.2,4080.0,20
CDM,931429,CAGE SPNL12X14X36MM,15116.0,15116.0,801.15,18139.2,20
CDM,931451,COIL EMBL 4MM 12CM,2900.0,2900.0,153.7,3480.0,20
CDM,931453,BAG SPEC RETRVL 4000ML,2987.0,2987.0,158.31,3584.4,49
CDM,931454,FORCEPS FLX 160CM 1.8MM,1010.0,1010.0,53.53,1212.0,49
CDM,931461,SCREW BN 3.5MM 20MM,590.0,590.0,31.27,708.0,20
CDM,931473,SCREW BN N-LCK 3.5X30MM,168.0,168.0,8.9,201.6,20
CDM,931477,ANCHOR SUT IMPL,3190.0,3190.0,169.07,3828.0,20
CDM,931495,SCREW BN HD 4MM 30MM,353.0,353.0,18.71,423.6,20
CDM,931496,SCREW BN 4.0MM 36MM,353.0,353.0,18.71,423.6,20
CDM,931499,PLATE BN MID RAD 157MM,1976.0,1976.0,104.73,2371.2,20
CDM,931500,SCREW BN BVL 4MM 40MM,1590.0,1590.0,84.27,1908.0,20
CDM,931509,DEVICE CLSR FEM 6FR,400.0,400.0,21.2,480.0,20
CDM,931556,SCREW BN BVL 4MM 34MM,1590.0,1590.0,84.27,1908.0,20
CDM,931562,CAGE SPNL 0D 10X28X12MM,4000.0,4000.0,212.0,4800.0,20
CDM,931570,CATH MICRO 1.9FR 165CM,5941.0,5941.0,314.87,7129.2,49
CDM,931575,STEM HIP SZ2 99MM 36MM,3864.0,3864.0,204.79,4636.8,20
CDM,931577,INSERT TIB KN SZ5 6MM,3752.0,3752.0,198.86,4502.4,20
CDM,931580,361 HCT P SKN NOS,5495.0,5495.0,291.24,6594.0,30
CDM,931581,CATH IV 18GA 8CM,7253.0,7253.0,384.41,8703.6,49
CDM,931591,COIL EMBL 15CM 4MM,3956.0,3956.0,209.67,4747.2,20
CDM,931592,COIL EMBL 4CM 2MM,3956.0,3956.0,209.67,4747.2,20
CDM,931593,COIL EMBL 30CM 12MM,4498.0,4498.0,238.39,5397.6,20
CDM,931594,COIL EMBL 30CM 14MM,4498.0,4498.0,238.39,5397.6,20
CDM,931595,COIL EMBL 50CM 14MM,6066.0,6066.0,321.5,7279.2,20
CDM,931596,COIL EMBL 10MM 40CM,3979.0,3979.0,210.89,4774.8,20
CDM,931597,COIL EMBL 7MM 20CM,3979.0,3979.0,210.89,4774.8,20
CDM,931598,COIL EMBL 8MM 30CM,3979.0,3979.0,210.89,4774.8,20
CDM,931599,COIL EMBL 9MM 30CM,3979.0,3979.0,210.89,4774.8,20
CDM,931606,VALVE MITRAL 29MM,14400.0,14400.0,763.2,17280.0,20
CDM,931613,PLATE BN 8HL 3.5MM 117MM,3413.0,3413.0,180.89,4095.6,20
CDM,931614,INTERBODY 0-20D 12X28X14,15116.0,15116.0,801.15,18139.2,20
CDM,931615,IMPLANT BREAST 530CC,2300.0,2300.0,121.9,2760.0,20
CDM,931661,SCREW BN 2.7MM 16MM,649.0,649.0,34.4,778.8,20
CDM,931662,SCREW BN 3.5MM X 10MM,590.0,590.0,31.27,708.0,20
CDM,931663,SCREW BN COMP 3.5X16MM,590.0,590.0,31.27,708.0,20
CDM,931668,SCREW BN 3.5MM 85MM,307.0,307.0,16.27,368.4,20
CDM,931673,ENDPLATE SPN SUP 3D,8391.0,8391.0,444.72,10069.2,20
CDM,931674,ENDPLATE SPN INF 3D,8391.0,8391.0,444.72,10069.2,20
CDM,931675,AUGMENT FEM KN 4MM 4,1500.0,1500.0,79.5,1800.0,20
CDM,931685,IMPLANT BREAST 775CC,2500.0,2500.0,132.5,3000.0,20
CDM,931688,NAIL BN 10MM 32MM,3384.0,3384.0,179.35,4060.8,20
CDM,931697,CATHETER UMBIL PU L42CM,1041.0,1041.0,55.17,1249.2,49
CDM,931723,KIT HMDIAL 13FR 24CM,2564.0,2564.0,135.89,3076.8,49
CDM,931733,SHEATH WIRE 8.5FR 63CM,7306.0,7306.0,387.22,8767.2,49
CDM,931743,SCREW BN 3.5MM 34MM,1590.0,1590.0,84.27,1908.0,20
CDM,931744,DILATOR ESOPHAGEAL 14MM,2387.0,2387.0,126.51,2864.4,49
CDM,931745,DILATOR ESOPHAGEAL 16MM,2387.0,2387.0,126.51,2864.4,49
CDM,931746,DILATOR ESOPHAGEAL 18MM,2387.0,2387.0,126.51,2864.4,49
CDM,931750,PLATE BN 11MM 111X10.9X2,2760.0,2760.0,146.28,3312.0,20
CDM,931751,SCREW BN 4.7MM 28MM,158.0,158.0,8.37,189.6,20
CDM,931752,SCREW BN 4.7MM 38MM,158.0,158.0,8.37,189.6,20
CDM,931758,CMPNT HUM ELB 4MM 100MM,6935.0,6935.0,367.56,8322.0,20
CDM,931759,CMPNT ELB +BRNG 4X75MM,7640.0,7640.0,404.92,9168.0,20
CDM,931760,CMPNT HUM ELB CONDYL,3072.0,3072.0,162.82,3686.4,20
CDM,931761,KIT BRNG ULNA ELBOW E+,3484.0,3484.0,184.65,4180.8,20
CDM,931765,CATH DIAG ENDO 120D 65CM,21373.0,21373.0,1132.77,25647.6,49
CDM,931766,BIT DRILL PROX 2.8MM,3864.0,3864.0,204.79,4636.8,49
CDM,931768,PLATE BN TIB ANT 13HL,3750.0,3750.0,198.75,4500.0,20
CDM,931781,SCREW BN 4.0MM 48MM,353.0,353.0,18.71,423.6,20
CDM,931808,SPACER SPN 7D 12X14X7MM,3800.0,3800.0,201.4,4560.0,20
CDM,931819,CATH MICRO 2.4F 17 154CM,9443.0,9443.0,500.48,11331.6,49
CDM,931822,PLATE BN RAD 127MM,1904.0,1904.0,100.91,2284.8,20
CDM,931823,SCREW BN 4.5MM 34MM,900.0,900.0,47.7,1080.0,20
CDM,931832,GUIDEWIRE PACK 01.7MM,942.0,942.0,49.93,1130.4,49
CDM,931833,CAGE SPN 8D 22X55X12MM,6000.0,6000.0,318.0,7200.0,20
CDM,931835,DISC CERV 7X15X15MM,9800.0,9800.0,519.4,11760.0,20
CDM,931841,PLATE BN DIST FIB LT 6HL,1600.0,1600.0,84.8,1920.0,20
CDM,931848,SCREW SPN 4.5MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,931861,CMPNT STEM SHLDR REV SZ9,2800.0,2800.0,148.4,3360.0,20
CDM,931880,IMPLANT BREAST 685CC,2500.0,2500.0,132.5,3000.0,20
CDM,931885,SCREW BN MALE 70MM,316.0,316.0,16.75,379.2,20
CDM,931899,COIL EMBL 2MM 2CM,2900.0,2900.0,153.7,3480.0,20
CDM,931900,SHANK SPN 6.5X40MM,750.0,750.0,39.75,900.0,20
CDM,931914,FORCEPS BIP DISP,2564.0,2564.0,135.89,3076.8,49
CDM,931917,REAMER HEAD STRL 15.0MM,5941.0,5941.0,314.87,7129.2,49
CDM,931925,K-WIRE TROC 2MM 150MM,289.0,289.0,15.32,346.8,49
CDM,931936,BIT DRILL DIST ANKL 2.8M,3864.0,3864.0,204.79,4636.8,49
CDM,931937,GWIRE ORTH 1.5MM 230MM,2564.0,2564.0,135.89,3076.8,49
CDM,931942,SCREW BN 3.5MM 34MM,450.0,450.0,23.85,540.0,20
CDM,931944,SCREW BN 36MM 3.5MM,450.0,450.0,23.85,540.0,20
CDM,931945,SCREW BN 3.5MM 42MM,450.0,450.0,23.85,540.0,20
CDM,931978,SCREW SPNL S/T 3.5X12MM,150.0,150.0,7.95,180.0,20
CDM,931979,OVERDRILL CANN 7X20MM,4552.0,4552.0,241.26,5462.4,49
CDM,931987,ROD GUIDE BN 3X550MM,3537.0,3537.0,187.46,4244.4,49
CDM,931989,NAIL BN FEM 10MM 380MM,2614.0,2614.0,138.54,3136.8,20
CDM,931991,NAIL BN 5MM 28MM,693.0,693.0,36.73,831.6,20
CDM,931995,REAMER CUT HEAD 9MM,3562.0,3562.0,188.79,4274.4,49
CDM,931996,REAMER CUT HEAD 9.5MM,3562.0,3562.0,188.79,4274.4,49
CDM,932002,COIL EMBL 1MM 2CM,2290.0,2290.0,121.37,2748.0,20
CDM,932005,COIL EMBL 20MM 65CM,3022.0,3022.0,160.17,3626.4,20
CDM,932006,COIL EMBL 22MM 65CM,3022.0,3022.0,160.17,3626.4,20
CDM,932007,COIL EMBL 1MM 1CM,3830.0,3830.0,202.99,4596.0,20
CDM,932008,COIL EMBL 1MM 2CM,3830.0,3830.0,202.99,4596.0,20
CDM,932009,COIL EMBL 1MM 3CM,3830.0,3830.0,202.99,4596.0,20
CDM,932010,COIL EMBL 1.5MM 3CM,3830.0,3830.0,202.99,4596.0,20
CDM,932011,COIL EMBL 3MM 15CM,3830.0,3830.0,202.99,4596.0,20
CDM,932012,COIL EMBL 20CM 4MM,3830.0,3830.0,202.99,4596.0,20
CDM,932013,COIL EMBL 5MM 20CM,3830.0,3830.0,202.99,4596.0,20
CDM,932030,COIL EMBL 24MM 65CM,3022.0,3022.0,160.17,3626.4,20
CDM,932031,COIL EMBL 6MM 20CM,3830.0,3830.0,202.99,4596.0,20
CDM,932032,COIL EMBL 7MM 20CM,3830.0,3830.0,202.99,4596.0,20
CDM,932033,COIL EMBL 8MM 30CM,3830.0,3830.0,202.99,4596.0,20
CDM,932034,SPHR GLND SHLDR 36X24MM,1260.0,1260.0,66.78,1512.0,20
CDM,932044,COIL EMBL 20CM 7MM,4230.0,4230.0,224.19,5076.0,20
CDM,932045,COIL EMBL CRV X-SFT 4X2,3654.0,3654.0,193.66,4384.8,20
CDM,932060,COIL EMBL 1MM 1CM,4590.0,4590.0,243.27,5508.0,20
CDM,932061,COIL EMBL 1MM 2CM,4590.0,4590.0,243.27,5508.0,20
CDM,932062,COIL EMBL 2MM 4CM,4590.0,4590.0,243.27,5508.0,20
CDM,932065,COIL EMBL 2MM 6CM,4590.0,4590.0,243.27,5508.0,20
CDM,932066,COIL EMBL 2.5MM 4CM,4590.0,4590.0,243.27,5508.0,20
CDM,932067,COIL EMBL 3MM 7CM,4590.0,4590.0,243.27,5508.0,20
CDM,932068,COIL EMBL 3.5CM 5CM,4590.0,4590.0,243.27,5508.0,20
CDM,932069,COIL EMBL 3.5MM 8CM,4590.0,4590.0,243.27,5508.0,20
CDM,932070,COIL EMBL 4MM 4CM,4590.0,4590.0,243.27,5508.0,20
CDM,932071,COIL EMBL 4MM 7CM,4590.0,4590.0,243.27,5508.0,20
CDM,932072,COIL EMBL 4MM 10CM,4590.0,4590.0,243.27,5508.0,20
CDM,932073,COIL EMBL 5MM 10CM,4590.0,4590.0,243.27,5508.0,20
CDM,932074,COIL EMBL 6MM 11CM,4590.0,4590.0,243.27,5508.0,20
CDM,932075,COIL EMBL 6MM 15CM,4590.0,4590.0,243.27,5508.0,20
CDM,932076,COIL EMBL 7MM 15CM,4590.0,4590.0,243.27,5508.0,20
CDM,932077,COIL EMBL 8MM 20CM,4590.0,4590.0,243.27,5508.0,20
CDM,932078,COIL EMBL 10MM 40CM,4590.0,4590.0,243.27,5508.0,20
CDM,932080,COIL EMBL 1.5MM 3CM,2290.0,2290.0,121.37,2748.0,20
CDM,932081,COIL EMBL 1.5MM 4CM,2290.0,2290.0,121.37,2748.0,20
CDM,932082,COIL EMBL 2CM 2MM,2290.0,2290.0,121.37,2748.0,20
CDM,932083,COIL EMBL 2MM 3CM,2290.0,2290.0,121.37,2748.0,20
CDM,932084,COIL EMBL 2MM 8CM,2290.0,2290.0,121.37,2748.0,20
CDM,932085,COIL EMBL 2.5MM 4CM,2290.0,2290.0,121.37,2748.0,20
CDM,932090,SCREW SPN 4.5MM 6MM,150.0,150.0,7.95,180.0,20
CDM,932091,SCREW SPN 4.5MM 8MM,150.0,150.0,7.95,180.0,20
CDM,932092,SCREW SPN OCPTL 5.25X6MM,150.0,150.0,7.95,180.0,20
CDM,932094,CAGE SPN 55X22X10MM,6000.0,6000.0,318.0,7200.0,20
CDM,932100,CONNECT OFFST EVRST 50MM,700.0,700.0,37.1,840.0,20
CDM,932101,SCREW BN 3MM 4.3MM 16MM,772.0,772.0,40.92,926.4,20
CDM,932112,PUTTY BN DBM 10CC,1700.0,1700.0,90.1,2040.0,20
CDM,932119,STEM HIP SZ5 38.5X105MM,3864.0,3864.0,204.79,4636.8,20
CDM,932138,COIL EMBL 1.5MM 3CM,4590.0,4590.0,243.27,5508.0,20
CDM,932139,COIL EMBL 2CM 2MM,4590.0,4590.0,243.27,5508.0,20
CDM,932140,COIL EMBL 2MM 3CM,4590.0,4590.0,243.27,5508.0,20
CDM,932149,COIL EMBL 3MM 4CM,2290.0,2290.0,121.37,2748.0,20
CDM,932150,COIL EMBL 3MM 6CM,2290.0,2290.0,121.37,2748.0,20
CDM,932151,COIL EMBL 1MM 1CM,2900.0,2900.0,153.7,3480.0,20
CDM,932153,COIL EMBL 1MM 2CM,2900.0,2900.0,153.7,3480.0,20
CDM,932154,COIL EMBL 1MM 3CM,2900.0,2900.0,153.7,3480.0,20
CDM,932155,COIL EMBL 1MM 4CM,2900.0,2900.0,153.7,3480.0,20
CDM,932156,COIL EMBL 1.5MM 3CM,2900.0,2900.0,153.7,3480.0,20
CDM,932157,COIL EMBL 1.5MM 4CM,2900.0,2900.0,153.7,3480.0,20
CDM,932158,COIL EMBL 2MM 3CM,2900.0,2900.0,153.7,3480.0,20
CDM,932159,COIL EMBL 2.5MM 10CM,2900.0,2900.0,153.7,3480.0,20
CDM,932160,COIL EMBL 2.5MM 6CM,2900.0,2900.0,153.7,3480.0,20
CDM,932161,COIL EMBL 2.5MM 8CM,2900.0,2900.0,153.7,3480.0,20
CDM,932165,NAIL BN 10MM 345MM,3259.0,3259.0,172.73,3910.8,20
CDM,932173,PLATE BN 11HL 43MM 2.7MM,1710.0,1710.0,90.63,2052.0,20
CDM,932187,CATH SUPP 135CM 2.3FR,2564.0,2564.0,135.89,3076.8,49
CDM,932205,ANCHOR BN SHDR 1.8,968.0,968.0,51.3,1161.6,20
CDM,932214,SUTURE VIOL MON +0 36IN,80.0,80.0,4.24,96.0,49
CDM,932215,SUTURE VIOL MON +1 36IN,85.0,85.0,4.5,102.0,49
CDM,932244,DRESSING PETRO 3YDX4IN,160.0,160.0,8.48,192.0,49
CDM,932245,KIT ART 22GA 3/8IN,712.0,712.0,37.74,854.4,49
CDM,932286,BANDAGE ADH 14X3.6IN,780.0,780.0,41.34,936.0,49
CDM,932324,SET INFS 20GA 1.5IN,433.0,433.0,22.95,519.6,49
CDM,932325,DRESSING MPTL AG 7.5X10,378.0,378.0,20.03,453.6,49
CDM,932342,SET XTN 5ML 32IN IV M LL,17.0,17.0,0.9,20.4,49
CDM,932380,CATH URET 2W 22FR 5CC,116.0,116.0,6.15,139.2,49
CDM,932381,CATH URET 2W 12FR 5CC,116.0,116.0,6.15,139.2,49
CDM,932454,BAG DRN 600ML 36CM,396.0,396.0,20.99,475.2,49
CDM,932464,SUTURE ANBCTRL +2-0 27IN,72.0,72.0,3.82,86.4,49
CDM,932481,FORCEPS SURG 3.5IN,265.0,265.0,14.04,318.0,49
CDM,932484,CANISTER WND DRN 500ML,927.0,927.0,49.13,1112.4,49
CDM,932550,VALVE PEEP 5-20CM 30MM,47.0,47.0,2.49,56.4,49
CDM,932579,SET XTN FD 1.2CM 12FR,2564.0,2564.0,135.89,3076.8,49
CDM,932625,TUBE GSTRM LP 20FR 3.0CM,2564.0,2564.0,135.89,3076.8,49
CDM,932677,TUBE NG 12FR 2 LUM 48IN,84.0,84.0,4.45,100.8,49
CDM,932678,TUBE NG 14FR 48IN,101.0,101.0,5.35,121.2,49
CDM,932682,TUBE NG 12FR 48IN,286.0,286.0,15.16,343.2,49
CDM,932710,TUBE FD CONN 14FR,787.0,787.0,41.71,944.4,49
CDM,932727,TUBE FD CONN GSTRM 22FR,787.0,787.0,41.71,944.4,49
CDM,932741,TRAY CATH BASIC 18G 10CM,2475.0,2475.0,131.18,2970.0,49
CDM,932746,KIT PEG GSTRM 18FR,2564.0,2564.0,135.89,3076.8,49
CDM,932750,KIT PEG GSTRM 20FR,2564.0,2564.0,135.89,3076.8,49
CDM,932756,KIT CATH PICC 4FR 55CM,3135.0,3135.0,166.16,3762.0,49
CDM,932774,KIT JJN TUBE 22FR 45CM,2586.0,2586.0,137.06,3103.2,49
CDM,932775,KIT FD TUBE 18FR 45CM,2586.0,2586.0,137.06,3103.2,49
CDM,932819,PLATE TIB LT 4HL 76MM,2814.0,2814.0,149.14,3376.8,20
CDM,932820,SCREW BN LCP 3.5X65MM,233.0,233.0,12.35,279.6,20
CDM,932821,SCREW BN 3.5MM 70MM,253.0,253.0,13.41,303.6,20
CDM,932822,SCREW BN LCK 3.5MM 70MM,590.0,590.0,31.27,708.0,20
CDM,932823,SCREW BN 3.5X65MM,590.0,590.0,31.27,708.0,20
CDM,932824,SCREW BN 3.5MM 38MM,450.0,450.0,23.85,540.0,20
CDM,932825,SCREW BN 40MM 3.5MM,450.0,450.0,23.85,540.0,20
CDM,932826,SCREW BN NLCK 3.5MM 80MM,450.0,450.0,23.85,540.0,20
CDM,932827,SCREW BN FA LCK 4X36MM,590.0,590.0,31.27,708.0,20
CDM,932828,SCREW BN FA LCK 4X40MM,590.0,590.0,31.27,708.0,20
CDM,932829,PLATE TIB LT 2H,4790.0,4790.0,253.87,5748.0,20
CDM,932835,CAGE SPNL 6D 12X15WX7,3800.0,3800.0,201.4,4560.0,20
CDM,932836,SCREW BN SLF TAP3.5X14MM,150.0,150.0,7.95,180.0,20
CDM,932862,SCREW BN 3.5MM 46MM,87.0,87.0,4.61,104.4,20
CDM,932864,IMPLANT BREAST 440CC,2500.0,2500.0,132.5,3000.0,20
CDM,932871,STENT URET 8FR 22CM,387.0,387.0,20.51,464.4,20
CDM,932873,SCREW BN 3MM 16MM,184.0,184.0,9.75,220.8,20
CDM,932879,NAIL FEM RT 13MM 42CM,4345.0,4345.0,230.28,5214.0,20
CDM,932880,SCREW BN 6.5MM 95MM,382.0,382.0,20.25,458.4,20
CDM,932882,IMPLANT BREAST 320CC,2500.0,2500.0,132.5,3000.0,20
CDM,932885,STENT URET 8FR 20CM,387.0,387.0,20.51,464.4,20
CDM,932886,STENT URET 8FR 24CM,387.0,387.0,20.51,464.4,20
CDM,932887,STENT URET 8FR 26CM,387.0,387.0,20.51,464.4,20
CDM,932888,STENT URET 8FR 28CM,387.0,387.0,20.51,464.4,20
CDM,932894,COIL EMBL 3.5MM 8CM,2900.0,2900.0,153.7,3480.0,20
CDM,932895,COIL EMBL 10MM 34CM,3022.0,3022.0,160.17,3626.4,20
CDM,932896,COIL EMBL 12MM 40CM,3022.0,3022.0,160.17,3626.4,20
CDM,932897,COIL EMBL 14MM 47CM,3022.0,3022.0,160.17,3626.4,20
CDM,932898,COIL EMBL 15MM 50CM,3022.0,3022.0,160.17,3626.4,20
CDM,932899,COIL EMBL 16MM 55CM,3022.0,3022.0,160.17,3626.4,20
CDM,932906,CMPNT FEM NAR KN LT SZ8,3600.0,3600.0,190.8,4320.0,20
CDM,932916,DRESSING WND FSTL STRIP,2564.0,2564.0,135.89,3076.8,49
CDM,932921,STEM FEM HIP SZ7 41MM,3864.0,3864.0,204.79,4636.8,20
CDM,932926,IMPLANT BREAST 480CC,2500.0,2500.0,132.5,3000.0,20
CDM,932927,STAPLE BN 18WX15L,5240.0,5240.0,277.72,6288.0,20
CDM,932942,PROBE SURG MNPLR 2.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,932945,SUT SPRL SZ 3-0 30X30CM,796.0,796.0,42.19,955.2,49
CDM,932949,LINER DUAL HIP 44MM 56MM,2000.0,2000.0,106.0,2400.0,20
CDM,932951,INSERT HIP 28X44MM,1100.0,1100.0,58.3,1320.0,20
CDM,932953,SCREW SPN 3.5MM 18MM,1000.0,1000.0,53.0,1200.0,20
CDM,932954,SCREW SPN PAX 4D 5.5X22,1000.0,1000.0,53.0,1200.0,20
CDM,932955,SCREW SPN P-AX 5.5X28MM,1000.0,1000.0,53.0,1200.0,20
CDM,932958,SCREW BN 4MM 22MM,180.0,180.0,9.54,216.0,20
CDM,932977,SCREW BN 3MM 6MM,184.0,184.0,9.75,220.8,20
CDM,932979,PLATE BN 5H 3.5MM 87MM,1720.0,1720.0,91.16,2064.0,20
CDM,932981,ANCHOR SUT KNTLS #2,1060.0,1060.0,56.18,1272.0,20
CDM,932982,ANCHOR SUT KNTLS SZ2,1060.0,1060.0,56.18,1272.0,20
CDM,933006,CATH BLN 3X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,933017,SCREW SPN PLVC 10.5X100,6300.0,6300.0,333.9,7560.0,20
CDM,933018,SCREW SPN PLVC 10.5X70MM,6300.0,6300.0,333.9,7560.0,20
CDM,933023,CMPNT FEM KN ES RT 7CM,9982.0,9982.0,529.05,11978.4,20
CDM,933027,STENT DVTR FLW 4.5X15MM,26730.0,26730.0,1416.69,32076.0,20
CDM,933057,ROD SPN 5.5MM 70MM,360.0,360.0,19.08,432.0,20
CDM,933058,ROD SPN 5.5MM 75MM,360.0,360.0,19.08,432.0,20
CDM,933061,CATH ANGIO 4FR 135CM,2043.0,2043.0,108.28,2451.6,49
CDM,933063,ROD SPN 5.5MM 50MM,360.0,360.0,19.08,432.0,20
CDM,933071,SCREW BN 4.0MM 44MM,353.0,353.0,18.71,423.6,20
CDM,933076,COMPNT FEM KN STD SZ+7,13725.0,13725.0,727.42,16470.0,20
CDM,933079,CATH ACCESS GLD 125CM,2045.0,2045.0,108.39,2454.0,49
CDM,933083,WEDGE KN SZMED,9225.0,9225.0,488.93,11070.0,20
CDM,933086,SCREW BN 6.5X65X22MM,1422.0,1422.0,75.37,1706.4,20
CDM,933089,BIT DRILL 3.2MM 165MM,2564.0,2564.0,135.89,3076.8,49
CDM,933092,REAMER CUT HEAD 8.5MM,3562.0,3562.0,188.79,4274.4,49
CDM,933098,NAIL BN THRD PEG 5X30MM,693.0,693.0,36.73,831.6,20
CDM,933110,NEEDLE BIOPSY BRAIN,5941.0,5941.0,314.87,7129.2,49
CDM,933111,DRILL CRANIAL 2.4MM,3602.0,3602.0,190.91,4322.4,49
CDM,933113,DRILL CRANIAL 6MM,3602.0,3602.0,190.91,4322.4,49
CDM,933114,BIT DRL 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,933115,BIT DRL HGHSPD 3.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,933116,BIT DRL HGHSPD 4.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,933135,INSRT ARTC KN RT 12MM,1500.0,1500.0,79.5,1800.0,20
CDM,933137,CURRETTE SAFE FLXLP 4MM,29.0,29.0,1.54,34.8,49
CDM,933149,CURETTE EAR WHT 6IN,24.0,24.0,1.27,28.8,49
CDM,933168,CLIP LIGA 2.8MM 235CM,518.0,518.0,27.45,621.6,20
CDM,933170,NAIL BN 8.5MMX31CM,2398.0,2398.0,127.09,2877.6,20
CDM,933183,BIT DRILL 3.7MM,3102.0,3102.0,164.41,3722.4,49
CDM,933184,SCREW BN LCK 4.5MM 24MM,238.0,238.0,12.61,285.6,20
CDM,933185,SCREW BN CRTX 4.5X28MM,71.0,71.0,3.76,85.2,20
CDM,933186,BIT DRILL 2.5MM,3499.0,3499.0,185.45,4198.8,49
CDM,933187,SCREW BN LCK 4.5X18MM,238.0,238.0,12.61,285.6,20
CDM,933188,K-WIRE TROC 2MM 255MM,1290.0,1290.0,68.37,1548.0,49
CDM,933189,CABLE SADDLE 4.5MM,1628.0,1628.0,86.28,1953.6,20
CDM,933190,PLATE BN 3.5MM,814.0,814.0,43.14,976.8,20
CDM,933200,IMPLANT BREAST 370CC,2300.0,2300.0,121.9,2760.0,20
CDM,933205,MATRIDERM 155.4 SQCM,26406.0,26406.0,1399.52,31687.2,30
CDM,933227,BIT DRILL 2.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,933228,SCREW BN CRTX 4.5X26MM,71.0,71.0,3.76,85.2,20
CDM,933229,SCREW BN LCK 4.5MM 8MM,798.0,798.0,42.29,957.6,20
CDM,933238,DEV SPEC RET RTHNT 230CM,2564.0,2564.0,135.89,3076.8,49
CDM,933243,K-WIRE 1.4MM 165MM,1922.0,1922.0,101.87,2306.4,49
CDM,933252,STEM KN 130MM 16MM,1200.0,1200.0,63.6,1440.0,20
CDM,933253,INSERT TIB KN SZ8 8MM,3752.0,3752.0,198.86,4502.4,20
CDM,933279,SCREW BN BVLD 4X46MM,1590.0,1590.0,84.27,1908.0,20
CDM,933281,IMPLANT ANCHOR SYSTEM,1578.0,1578.0,83.63,1893.6,20
CDM,933292,TENSIONER CERCLAGE DISP,3602.0,3602.0,190.91,4322.4,49
CDM,933299,CAGE SPN 7D 8X16X14MM,3800.0,3800.0,201.4,4560.0,20
CDM,933309,COMPNT FEM KN RT SZ4,2500.0,2500.0,132.5,3000.0,20
CDM,933312,CATH BLN 3.5X60MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,933324,SET HAND PIECE ENT DISP,2564.0,2564.0,135.89,3076.8,49
CDM,933333,VALVE MITRAL 31MM,14400.0,14400.0,763.2,17280.0,20
CDM,933337,CATH IAB 7.5FR 30ML,6295.0,6295.0,333.63,7554.0,49
CDM,933338,CATH IAB 7.5FR 40ML,6295.0,6295.0,333.63,7554.0,49
CDM,933344,SYSTEM FX BRIDGE REPAIR,7772.0,7772.0,411.92,9326.4,49
CDM,933375,IMPLANT BREAST 480CC,2300.0,2300.0,121.9,2760.0,20
CDM,933387,SCRW CAN 6.5X120MM 46PT,300.0,300.0,15.9,360.0,20
CDM,933389,SCREW BN 3.5MM 52MM,700.0,700.0,37.1,840.0,20
CDM,933402,IMPLANT BREAST 520CC,2500.0,2500.0,132.5,3000.0,20
CDM,933409,GWIRE GI .035 IN 180CM,2564.0,2564.0,135.89,3076.8,49
CDM,933423,CAGE SPNL 15D 14X25X33MM,8670.0,8670.0,459.51,10404.0,20
CDM,933424,SCREW SPN 5X17.5MM,150.0,150.0,7.95,180.0,20
CDM,933425,SCREW SPN 5X20MM,150.0,150.0,7.95,180.0,20
CDM,933427,COMPNT TIB SZ6 RM/LL,3600.0,3600.0,190.8,4320.0,20
CDM,933428,VALVE MITRAL SIZE 33,14400.0,14400.0,763.2,17280.0,20
CDM,933439,SCREW BN 3.0MM 12MM,590.0,590.0,31.27,708.0,20
CDM,933442,BASEPLATE SHLDR 24MM,1540.0,1540.0,81.62,1848.0,20
CDM,933450,SPACER SPN 9X15X18MM,3800.0,3800.0,201.4,4560.0,20
CDM,933451,SCREW BN 3.5MM 11MM,312.0,312.0,16.54,374.4,20
CDM,933453,SCREW BN 5X48MM XL25,408.0,408.0,21.62,489.6,20
CDM,933468,INSERT SHLDR SM +4 36MM,1460.0,1460.0,77.38,1752.0,20
CDM,933484,SCREW BN 4.5MM 20MM,71.0,71.0,3.76,85.2,20
CDM,933486,SCREW BN CRTX 4.5X24MM,71.0,71.0,3.76,85.2,20
CDM,933488,SCREW BN LCK 4.5X20MM,238.0,238.0,12.61,285.6,20
CDM,933490,SCREW BN 4.5MM 55MM,71.0,71.0,3.76,85.2,20
CDM,933491,SCREW BN LCK 4.5MM 22MM,238.0,238.0,12.61,285.6,20
CDM,933498,INST PASSR SUT DISP LG,2947.0,2947.0,156.19,3536.4,49
CDM,933512,T-PLATE BN 5HL 2MM,1590.0,1590.0,84.27,1908.0,20
CDM,933513,BIT DRL CAL 2.8MM 95MM,2947.0,2947.0,156.19,3536.4,49
CDM,933515,STEM HIP 36MM 101MM,3864.0,3864.0,204.79,4636.8,20
CDM,933518,INSERT SM SKCT +4MM 44MM,1350.0,1350.0,71.55,1620.0,20
CDM,933519,INSERT RVRS NEU SM 40MM,1350.0,1350.0,71.55,1620.0,20
CDM,933520,INSERT SEM CNSTRN 44MM,1350.0,1350.0,71.55,1620.0,20
CDM,933534,INSRT TIB KN 14MM SZ4-5,1500.0,1500.0,79.5,1800.0,20
CDM,933551,LINER ACTB HIP SZG 40MM,1500.0,1500.0,79.5,1800.0,20
CDM,933552,SCREW BN 2.7X18MM,590.0,590.0,31.27,708.0,20
CDM,933553,SCREW BN 2.7X20MM,590.0,590.0,31.27,708.0,20
CDM,933557,SCREW CMPRSN 2.7X26MM,620.0,620.0,32.86,744.0,20
CDM,933613,SUTURE BLU MONO 7-0 30IN,1792.0,1792.0,94.98,2150.4,49
CDM,933614,ROD EX FIX 11MM 300MM,2380.0,2380.0,126.14,2856.0,49
CDM,933625,IMPLANT BREAST 340CC,2500.0,2500.0,132.5,3000.0,20
CDM,933635,COMPNT FEM KN RT SZ3N,2500.0,2500.0,132.5,3000.0,20
CDM,933665,WEDGE FEM KN SZ7 15MM,1550.0,1550.0,82.15,1860.0,20
CDM,933670,PLATE BN TIB LT 2HL,4790.0,4790.0,253.87,5748.0,20
CDM,933671,SCREW BN 26MM 3.5MM,450.0,450.0,23.85,540.0,20
CDM,933672,SCREW BN 30MM 3.5MM,450.0,450.0,23.85,540.0,20
CDM,933674,PASSER STR TROCH,3242.0,3242.0,171.83,3890.4,49
CDM,933684,INSERT ARTC KN 4-5 16MM,1500.0,1500.0,79.5,1800.0,20
CDM,933690,SCREW BN 28MM 3.5MM,450.0,450.0,23.85,540.0,20
CDM,933691,SCREW BN 32MM 3.5MM,450.0,450.0,23.85,540.0,20
CDM,933692,SCREW BN 3.5MM 70MM,450.0,450.0,23.85,540.0,20
CDM,933693,SCREW BN 3.5X75MM,590.0,590.0,31.27,708.0,20
CDM,933694,SCREW BN ANG LC 3.5X60MM,590.0,590.0,31.27,708.0,20
CDM,933704,CATH DLV 5.4/7FR 43CM,2698.0,2698.0,142.99,3237.6,49
CDM,933717,INST PASSR SUT DISP MD,3242.0,3242.0,171.83,3890.4,49
CDM,933733,STENT VASC 5X120MM 125CM,3990.0,3990.0,211.47,4788.0,20
CDM,933737,STEM KN MED,3700.0,3700.0,196.1,4440.0,20
CDM,933741,PLATE HUMERAL 196MM,3812.0,3812.0,202.04,4574.4,20
CDM,933748,CLAMP EX FX 5.0MM PIN,5941.0,5941.0,314.87,7129.2,49
CDM,933749,CLAMP EXFIX SMALL,5941.0,5941.0,314.87,7129.2,49
CDM,933750,POST EX FX STR SMOOTH,2820.0,2820.0,149.46,3384.0,49
CDM,933753,CLAMP EX FIX 3-PIN SM,5941.0,5941.0,314.87,7129.2,49
CDM,933787,ANCHOR SUT KNTLS 1.7MM,1060.0,1060.0,56.18,1272.0,20
CDM,933789,PLATE 2X2 BLUE BOX,338.0,338.0,17.91,405.6,20
CDM,933794,VALVE TAVR SZ 23MM,60000.0,60000.0,3180.0,72000.0,20
CDM,933795,VALVE TAVR SZ 26MM,60000.0,60000.0,3180.0,72000.0,20
CDM,933796,VALVE TAVR SZ 29MM,60000.0,60000.0,3180.0,72000.0,20
CDM,933797,VALVE TAVR SIZE 34MM,60000.0,60000.0,3180.0,72000.0,20
CDM,933798,SYSTEM DLVR TAVR 23-29,16399.0,16399.0,869.15,19678.8,49
CDM,933800,SYSTEM DELIVERY TAVR 34M,16399.0,16399.0,869.15,19678.8,49
CDM,933803,CATH ULTSND IVL 6.5X60MM,26813.0,26813.0,1421.09,32175.6,49
CDM,933814,LINER HIP DUAL 40/52MM,2000.0,2000.0,106.0,2400.0,20
CDM,933822,TRANSDUCER PRESSURE,3301.0,3301.0,174.95,3961.2,49
CDM,933823,CATH ULTSND IVL 8X60MM,26813.0,26813.0,1421.09,32175.6,49
CDM,933832,STEM FEM HIP CMNT SZ2,2800.0,2800.0,148.4,3360.0,20
CDM,933840,STENT COR 2.00MMX08MM,1178.0,1178.0,62.43,1413.6,20
CDM,933842,STENT COR 2.00MMX12MM,1178.0,1178.0,62.43,1413.6,20
CDM,933843,STENT COR 2.0MMX15MM,1178.0,1178.0,62.43,1413.6,20
CDM,933845,STENT COR 2.00MM X22 MM,1178.0,1178.0,62.43,1413.6,20
CDM,933847,STENT COR 2.00MMX30MM,1178.0,1178.0,62.43,1413.6,20
CDM,933848,STENT COR 2.25MMX08MM,1074.0,1074.0,56.92,1288.8,20
CDM,933849,STENT COR 2.25MMX12MM,1074.0,1074.0,56.92,1288.8,20
CDM,933850,STENT COR 2.25MMX15MM,1074.0,1074.0,56.92,1288.8,20
CDM,933851,STENT COR 2.25MMX18MM,1074.0,1074.0,56.92,1288.8,20
CDM,933852,STENT COR 2.25MMX22MM,1074.0,1074.0,56.92,1288.8,20
CDM,933853,STENT COR 2.25MMX26MM,600.0,600.0,31.8,720.0,20
CDM,933854,STENT COR 2.25MMX30MM,1074.0,1074.0,56.92,1288.8,20
CDM,933856,STENT COR 2.25MMX38MM,1074.0,1074.0,56.92,1288.8,20
CDM,933857,STENT COR 2.50MMX08MM,1074.0,1074.0,56.92,1288.8,20
CDM,933858,STENT COR 2.50MMX12MM,1074.0,1074.0,56.92,1288.8,20
CDM,933859,STENT COR 2.50MMX15MM,1074.0,1074.0,56.92,1288.8,20
CDM,933860,STENT COR 2.50MMX18MM,1074.0,1074.0,56.92,1288.8,20
CDM,933861,STENT COR 2.50MMX22MM,1074.0,1074.0,56.92,1288.8,20
CDM,933862,STENT COR 2.50MMX26MM,1074.0,1074.0,56.92,1288.8,20
CDM,933882,STENT COR 2.50MMX30MM,1074.0,1074.0,56.92,1288.8,20
CDM,933883,INS TIB KN SZ7 24MM,3752.0,3752.0,198.86,4502.4,20
CDM,933884,STENT COR 2.50MMX34MM,1074.0,1074.0,56.92,1288.8,20
CDM,933885,STENT COR 2.50MMX38MM,1074.0,1074.0,56.92,1288.8,20
CDM,933886,STENT COR 2.75MMX08MM,1074.0,1074.0,56.92,1288.8,20
CDM,933887,STENT COR 2.75MMX12MM,1074.0,1074.0,56.92,1288.8,20
CDM,933889,STENT COR 2.75MMX15MM,1074.0,1074.0,56.92,1288.8,20
CDM,933890,STENT COR 2.75MMX18MM,1074.0,1074.0,56.92,1288.8,20
CDM,933892,STENT COR 2.75MMX22MM,1074.0,1074.0,56.92,1288.8,20
CDM,933895,STENT COR 2.75MMX30MM,1074.0,1074.0,56.92,1288.8,20
CDM,933896,STENT COR 2.75MMX34MM,1074.0,1074.0,56.92,1288.8,20
CDM,933897,STENT COR 2.75MM 38MM,1074.0,1074.0,56.92,1288.8,20
CDM,933898,STENT COR 3.00MMX08MM,1074.0,1074.0,56.92,1288.8,20
CDM,933899,STENT COR 3.00MMX12MM,1074.0,1074.0,56.92,1288.8,20
CDM,933900,STENT COR 3.00MMX15MM,1074.0,1074.0,56.92,1288.8,20
CDM,933901,STENT COR 3.00MMX18MM,1074.0,1074.0,56.92,1288.8,20
CDM,933902,STENT COR 3.00MMX22MM,1074.0,1074.0,56.92,1288.8,20
CDM,933903,STENT COR 3.00MMX26MM,1074.0,1074.0,56.92,1288.8,20
CDM,933904,STENT COR 3.00MMX30MM,1074.0,1074.0,56.92,1288.8,20
CDM,933905,STENT COR 3.00MMX34MM,1074.0,1074.0,56.92,1288.8,20
CDM,933906,STENT COR 3.00MMX38MM,1074.0,1074.0,56.92,1288.8,20
CDM,933908,STENT COR 3.50MMX12MM,1074.0,1074.0,56.92,1288.8,20
CDM,933917,STENT COR 3.50MMX15MM,1074.0,1074.0,56.92,1288.8,20
CDM,933919,STENT COR 3.50MMX18MM,550.0,550.0,29.15,660.0,20
CDM,933920,STENT COR 3.50MMX22MM,550.0,550.0,29.15,660.0,20
CDM,933921,STENT COR 3.50MMX26MM,1074.0,1074.0,56.92,1288.8,20
CDM,933922,STENT COR 3.50MMX30MM,550.0,550.0,29.15,660.0,20
CDM,933923,STENT COR 3.50MMX34MM,550.0,550.0,29.15,660.0,20
CDM,933924,STENT COR 3.50MMX38MM,550.0,550.0,29.15,660.0,20
CDM,933925,STENT COR 4.00MMX08MM,1074.0,1074.0,56.92,1288.8,20
CDM,933928,STENT COR 4.00MMX12MM,1074.0,1074.0,56.92,1288.8,20
CDM,933930,STENT COR 4.00MMX15MM,1074.0,1074.0,56.92,1288.8,20
CDM,933934,STENT COR 4.00MMX22MM,1074.0,1074.0,56.92,1288.8,20
CDM,933936,STENT COR 4.00MMX30MM,550.0,550.0,29.15,660.0,20
CDM,933937,STENT COR 4.00MMX34MM,1074.0,1074.0,56.92,1288.8,20
CDM,933939,STENT COR 4.50MMX12MM,550.0,550.0,29.15,660.0,20
CDM,933940,STENT COR 4.50MMX15MM,1178.0,1178.0,62.43,1413.6,20
CDM,933941,STENT COR 4.50MMX18MM,550.0,550.0,29.15,660.0,20
CDM,933956,SCREW SPN 4 SHFT 3.5X28,900.0,900.0,47.7,1080.0,20
CDM,933957,SPACER SPN 26X34X13MM,8670.0,8670.0,459.51,10404.0,20
CDM,933962,KIT PERCUTANEOUS 3.9MM,4257.0,4257.0,225.62,5108.4,49
CDM,933965,PLATE BN STRT LCK 6HL,950.0,950.0,50.35,1140.0,20
CDM,933968,IMPLANT SYNDSMS SUT BTTN,2850.0,2850.0,151.05,3420.0,20
CDM,933970,SCREW BN TI 2.4X28MM,620.0,620.0,32.86,744.0,20
CDM,933986,PLATE BN 2.7/3.5MM 107MM,2571.0,2571.0,136.26,3085.2,20
CDM,933991,SCREW BN CORT 2.0X14MM,220.0,220.0,11.66,264.0,20
CDM,933996,PIN EX FX 3MM 25MM 100MM,2957.0,2957.0,156.72,3548.4,49
CDM,933999,CMPNT TIB KN SZG,4590.0,4590.0,243.27,5508.0,20
CDM,934006,SCREW SPN PLVC 10.5X80MM,6300.0,6300.0,333.9,7560.0,20
CDM,934008,SCREW SPN PLVC 10.5X90MM,6300.0,6300.0,333.9,7560.0,20
CDM,934024,SCALPEL INSTRMNT,4585.0,4585.0,243.0,5502.0,49
CDM,934095,NEEDLE BX 25CM 18GA,2109.0,2109.0,111.78,2530.8,49
CDM,934109,SCREW BN 2.7MM 10MM,354.0,354.0,18.76,424.8,20
CDM,934129,ANCHOR BN SHDR 1.8MM,880.0,880.0,46.64,1056.0,20
CDM,934131,BASEPLATE TIB KN SYS 4,2100.0,2100.0,111.3,2520.0,20
CDM,934132,INSERT TIB KN 14MM,1500.0,1500.0,79.5,1800.0,20
CDM,934142,BIT DRILL LONG 3.7MM,3924.0,3924.0,207.97,4708.8,49
CDM,934146,NAIL FT ANKL 10X150MM,7898.0,7898.0,418.59,9477.6,20
CDM,934149,STENT DVTR FLW 4.5X12MM,26730.0,26730.0,1416.69,32076.0,20
CDM,934150,SCREW BN ANKL 5X65MM,1674.0,1674.0,88.72,2008.8,20
CDM,934151,SYSTEM LOAD TAVR 34MM,5109.0,5109.0,270.78,6130.8,49
CDM,934152,SYSTEM LOAD TAVR 23-29MM,5109.0,5109.0,270.78,6130.8,49
CDM,934153,CATH SET 6F 135MM,20091.0,20091.0,1064.82,24109.2,49
CDM,934154,SCREW BN 5MM 70MM,1674.0,1674.0,88.72,2008.8,20
CDM,934155,SCREW BN 5MM 28MM,645.0,645.0,34.19,774.0,20
CDM,934156,SCREW BN ANKL 5X24MM,645.0,645.0,34.19,774.0,20
CDM,934157,SCREW BN 5MM 30MM,645.0,645.0,34.19,774.0,20
CDM,934158,GWIRE ORTH 3.2MM 600MM,2564.0,2564.0,135.89,3076.8,49
CDM,934159,DRILL SURG 4.1MM,4323.0,4323.0,229.12,5187.6,49
CDM,934160,DRILL SURG 4.1MM,5714.0,5714.0,302.84,6856.8,49
CDM,934165,BASEPLATE SHLDR SM 24MM,2110.0,2110.0,111.83,2532.0,20
CDM,934166,STEM SHORT MED 36X74MM,4000.0,4000.0,212.0,4800.0,20
CDM,934167,LINER HUM REV 36+4MM,1400.0,1400.0,74.2,1680.0,20
CDM,934169,STEM SHLDR SHRT 40X78MM,4000.0,4000.0,212.0,4800.0,20
CDM,934174,DRILL BIT 3.2MM 250MM,2564.0,2564.0,135.89,3076.8,49
CDM,934175,CMPNT HUM SHLDR 36+0MM,2000.0,2000.0,106.0,2400.0,20
CDM,934176,GLENSPHR SHLDR 36+4MM,1800.0,1800.0,95.4,2160.0,20
CDM,934177,FILLER BN VOID 10CC,3920.0,3920.0,207.76,4704.0,20
CDM,934179,PIN BN PRVSNL 3.5X40MM,2801.0,2801.0,148.45,3361.2,49
CDM,934185,PLATE HUM MDSHRT 136MM,1790.0,1790.0,94.87,2148.0,20
CDM,934188,IMPLANT BREAST 430CC,2500.0,2500.0,132.5,3000.0,20
CDM,934191,STEM FEM HIP STD SZ9,3800.0,3800.0,201.4,4560.0,20
CDM,934197,CAGE SPN 12X14MM 18-21MM,15116.0,15116.0,801.15,18139.2,20
CDM,934226,PLATE BN ULNA LT 151MM,2208.0,2208.0,117.02,2649.6,20
CDM,934227,SCREW BN 2.7MM 14MM,354.0,354.0,18.76,424.8,20
CDM,934237,SCREW BN NLCK 3.5X34MM,259.0,259.0,13.73,310.8,20
CDM,934238,SCREW BN 3.5MM 40MM,259.0,259.0,13.73,310.8,20
CDM,934259,CLAMP EXFX 5-6MM 11MM,5895.0,5895.0,312.44,7074.0,49
CDM,934260,CLAMP MLTI-PIN EXFX 45MM,4585.0,4585.0,243.0,5502.0,49
CDM,934261,POST EXFIX 30DEG,4376.0,4376.0,231.93,5251.2,49
CDM,934262,BAR EXFIX 11MMX500MM,3668.0,3668.0,194.4,4401.6,49
CDM,934263,PIN HALF EXFX 5X35X160MM,2564.0,2564.0,135.89,3076.8,49
CDM,934264,BAR EXFIX 11MM 150MM,3668.0,3668.0,194.4,4401.6,49
CDM,934265,DRILL MEDIUM 4MM,5600.0,5600.0,296.8,6720.0,49
CDM,934266,PIN EXFX 5MM 275MM,2800.0,2800.0,148.4,3360.0,49
CDM,934267,PIN HLF EXFX 5X65X200MM,2564.0,2564.0,135.89,3076.8,49
CDM,934269,BAR EXFIX 11MMX400MM,3668.0,3668.0,194.4,4401.6,49
CDM,934270,ATTACHMENT SWVL EXFX,6120.0,6120.0,324.36,7344.0,49
CDM,934271,CLAMP MLTI-PIN EXFX 75MM,4585.0,4585.0,243.0,5502.0,49
CDM,934272,PIN HLF EXFX 5X55X160MM,2564.0,2564.0,135.89,3076.8,49
CDM,934279,FORCEPS BX DISP 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,934281,SCREW SPN 6.5MM 35MM,1200.0,1200.0,63.6,1440.0,20
CDM,934284,DEVICE CLS WND +3-0 23CM,813.0,813.0,43.09,975.6,49
CDM,934288,SCREW BN CANN 5X40MM,472.0,472.0,25.02,566.4,20
CDM,934289,CATH ULTSND IVL 7X60MM,26813.0,26813.0,1421.09,32175.6,49
CDM,934290,CATH ULTSND IVL 6X60MM,26813.0,26813.0,1421.09,32175.6,49
CDM,934293,PLATE DIST FIB SS 4HOLE,1600.0,1600.0,84.8,1920.0,20
CDM,934295,TRAY PNEUMO 14FR 25CM,2699.0,2699.0,143.05,3238.8,49
CDM,934301,CATH ULTSND IVL 5.5X60MM,26813.0,26813.0,1421.09,32175.6,49
CDM,934303,CATH ULTSND IVL 5X60MM,26813.0,26813.0,1421.09,32175.6,49
CDM,934305,CATH ULTSND IVL 4.0X60MM,26813.0,26813.0,1421.09,32175.6,49
CDM,934323,PLATE BN 4H 31MM 3.5MM,1808.0,1808.0,95.82,2169.6,20
CDM,934334,GRFT BN VG FIB SEG 80MM,1000.0,1000.0,53.0,1200.0,20
CDM,934335,GRAFT BN FIB SEG FRZDR,954.0,954.0,50.56,1144.8,20
CDM,934345,SHEATH GD 8FR 70CM,1959.0,1959.0,103.83,2350.8,49
CDM,934373,LINER ACTB HIP 44/58MM,2000.0,2000.0,106.0,2400.0,20
CDM,934383,NAIL BN LT 13MM 38CM,4086.0,4086.0,216.56,4903.2,20
CDM,934396,IMPL DNTL 4.8MM 4MM,613.0,613.0,32.49,735.6,20
CDM,934397,IMPL DNTL CLSR CAP 3.5MM,85.0,85.0,4.5,102.0,20
CDM,934398,DRILL TAP DISP 4.8MM,910.0,910.0,48.23,1092.0,49
CDM,934399,DRILL SET LNG DISP 4.8MM,2286.0,2286.0,121.16,2743.2,49
CDM,934411,SUTURE FBSNR #2 26IN,2564.0,2564.0,135.89,3076.8,49
CDM,934412,SUTURE POLY SZ2 26IN,5941.0,5941.0,314.87,7129.2,49
CDM,934413,SPACER SPN 24X30X13MM 8D,8670.0,8670.0,459.51,10404.0,20
CDM,934433,CATH BLN ANGIO 6.0X150MM,12047.0,12047.0,638.49,14456.4,49
CDM,934441,CATH BLN ANGIO 4.0X100MM,9715.0,9715.0,514.89,11658.0,49
CDM,934451,CATH BLN ANGIO 6.0X40MM,9715.0,9715.0,514.89,11658.0,49
CDM,934523,NAIL FEM 10MM18 CM,2398.0,2398.0,127.09,2877.6,20
CDM,934524,SUTURE VIO BRD +3-0 27IN,59.0,59.0,3.13,70.8,49
CDM,934546,SCREW BN 3.5X28MM,259.0,259.0,13.73,310.8,20
CDM,934547,SCREW BN 4MM 38MM,353.0,353.0,18.71,423.6,20
CDM,934548,SCREW BN 40MM 42MM,353.0,353.0,18.71,423.6,20
CDM,934550,ROD SPN 3.5-5.5X300MM,360.0,360.0,19.08,432.0,20
CDM,934551,CONN ROD SPN 5.5MM 6MM,700.0,700.0,37.1,840.0,20
CDM,934578,TAP FOR 4.5MM ANCHOR,3078.0,3078.0,163.13,3693.6,49
CDM,934579,NAIL BN 10MM 330MM,3259.0,3259.0,172.73,3910.8,20
CDM,934581,CLAMP EXFX 11MM 5-6MM,4585.0,4585.0,243.0,5502.0,49
CDM,934582,BAR EXFIX 11MM 200MM,3668.0,3668.0,194.4,4401.6,49
CDM,934584,BAR EXFX 11MM 250MM,3668.0,3668.0,194.4,4401.6,49
CDM,934586,BAR EXFIX BENT 11X190MM,7383.0,7383.0,391.3,8859.6,49
CDM,934587,BAR EXFIX CURV 11X380MM,7383.0,7383.0,391.3,8859.6,49
CDM,934590,PIN HALF EXFX 4X100X20MM,2564.0,2564.0,135.89,3076.8,49
CDM,934593,DRILL SHORT 3.2MM,5600.0,5600.0,296.8,6720.0,49
CDM,934602,COIL EMBL SFT 20CMX7MM,4590.0,4590.0,243.27,5508.0,20
CDM,934603,PIN GUIDE 1.4MM 461MM,942.0,942.0,49.93,1130.4,49
CDM,934611,SCREW BN 7.5MM 95MM,1172.0,1172.0,62.12,1406.4,20
CDM,934612,SCREW BN 8.5MM 100MM,1340.0,1340.0,71.02,1608.0,20
CDM,934613,DEVICE CLSR 6FR-12FR,510.0,510.0,27.03,612.0,20
CDM,934622,COUNTERSINK 3.0/3.5MM,3602.0,3602.0,190.91,4322.4,49
CDM,934623,DRIVER CANN 10 STAR,3752.0,3752.0,198.86,4502.4,49
CDM,934634,SCREW BN 4.7MM 80MM,169.0,169.0,8.96,202.8,20
CDM,934637,ELECTRODE ESURG LNG 15CM,14573.0,14573.0,772.37,17487.6,49
CDM,934638,PLATE BN FIB RT 4HL,1230.0,1230.0,65.19,1476.0,20
CDM,934639,PLATE BN DIST FIB RT 6HL,1600.0,1600.0,84.8,1920.0,20
CDM,934671,SCREW BN HD 4MM 32MM,353.0,353.0,18.71,423.6,20
CDM,934679,PLATE BN FIBULA 9 HL,1724.0,1724.0,91.37,2068.8,20
CDM,934680,PLATE BN TIB 10HL,1724.0,1724.0,91.37,2068.8,20
CDM,934682,HIP HEAD FEM +0 12/14 22,1300.0,1300.0,68.9,1560.0,20
CDM,934683,SCREW BN CMPR 3.5X45MM,642.0,642.0,34.03,770.4,20
CDM,934692,PLATE BN HUMERUS RT 8HL,4168.0,4168.0,220.9,5001.6,20
CDM,934693,CAP SPN LCK 3.5MM,324.0,324.0,17.17,388.8,20
CDM,934694,SCREW BN 3.5MM 24MM,230.0,230.0,12.19,276.0,20
CDM,934695,SCREW BN 3.5MM 28MM,230.0,230.0,12.19,276.0,20
CDM,934696,SCREW BN 3.5MM 30MM,266.0,266.0,14.1,319.2,20
CDM,934697,SCREW BN 3.5MM 39MM,266.0,266.0,14.1,319.2,20
CDM,934698,SCREW BN 3.5MM 45MM,266.0,266.0,14.1,319.2,20
CDM,934699,BIT DRL DISP 2.0X125MM,3119.0,3119.0,165.31,3742.8,49
CDM,934700,DRILL SURG 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,934701,DRILL SURG 2.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,934702,WIRE FX 1.6X150MM,603.0,603.0,31.96,723.6,49
CDM,934718,SCREW SPNL LCK 2.4X8MM,322.0,322.0,17.07,386.4,20
CDM,934719,PLATE BN 5TH MTRSL LT,2200.0,2200.0,116.6,2640.0,20
CDM,934720,SCREW SPNL LCK 2.4X12MM,322.0,322.0,17.07,386.4,20
CDM,934721,SCREW SPNL LCK 2.7X8MM,390.0,390.0,20.67,468.0,20
CDM,934722,SCREW SPNL LCK 2.7X10MM,390.0,390.0,20.67,468.0,20
CDM,934723,SCREW SPNL LCK 2.7X12MM,390.0,390.0,20.67,468.0,20
CDM,934726,SCREW BN CANN 3.5X16MM,320.0,320.0,16.96,384.0,20
CDM,934752,FILLER BN VOID 5CC,2540.0,2540.0,134.62,3048.0,20
CDM,934759,SET INTRO 7CM 21GA,1149.0,1149.0,60.9,1378.8,49
CDM,934760,PIN GLEN SH 3.5MM 230MM,2564.0,2564.0,135.89,3076.8,49
CDM,934768,CANNULA AOR 12GA 9FR,464.0,464.0,24.59,556.8,49
CDM,934781,SCREW BN 7X75MM SURESHOT,1167.0,1167.0,61.85,1400.4,20
CDM,934791,SCREW BN LCK 3.5X44MM,308.0,308.0,16.32,369.6,20
CDM,934792,SCREW BN LCK 3.5X16MM,326.0,326.0,17.28,391.2,20
CDM,934793,SCREW BN 3.5MM 22MM,326.0,326.0,17.28,391.2,20
CDM,934794,SCREW BN LCK 3.5X20MM,326.0,326.0,17.28,391.2,20
CDM,934795,SCREW BN LCK 3.5X32MM,326.0,326.0,17.28,391.2,20
CDM,934796,KWIRE 1.5MM 127MM,1470.0,1470.0,77.91,1764.0,49
CDM,934797,KWIRE 2.0MM 152MM,1696.0,1696.0,89.89,2035.2,49
CDM,934802,INTRODUCER SHTH 8FR 80CM,2564.0,2564.0,135.89,3076.8,49
CDM,934803,PLATE BN MDL RT 75MM,2814.0,2814.0,149.14,3376.8,20
CDM,934815,SPACER SPN 15D15X26X34MM,8670.0,8670.0,459.51,10404.0,20
CDM,934817,PLATE SPNL 3L 1.9H 56MM,1900.0,1900.0,100.7,2280.0,20
CDM,934819,SCREW SPN S/T FX 4X15MM,150.0,150.0,7.95,180.0,20
CDM,934820,VALVE AORTIC SM,18000.0,18000.0,954.0,21600.0,20
CDM,934821,VALVE AORTIC MD,18000.0,18000.0,954.0,21600.0,20
CDM,934822,VALVE AORTIC LG,15990.0,15990.0,847.47,19188.0,20
CDM,934823,VALVE AORTIC XLG,15990.0,15990.0,847.47,19188.0,20
CDM,934842,PLATE SPN INTERBODY 7MM,1100.0,1100.0,58.3,1320.0,20
CDM,934847,SCREW BN LCK 3.5X48MM,390.0,390.0,20.67,468.0,20
CDM,934848,SCREW BN 3.5MM 32MM,259.0,259.0,13.73,310.8,20
CDM,934849,SCREW BN 3.5MM 46MM,259.0,259.0,13.73,310.8,20
CDM,934857,SCREW BN 5MM 48MM,348.0,348.0,18.44,417.6,20
CDM,934860,STAPLE BN 25MM 20MM,4800.0,4800.0,254.4,5760.0,20
CDM,934861,PIN STPL LOC DISP 3MM,2261.0,2261.0,119.83,2713.2,49
CDM,934871,OSTEOTOME THIN 1.5MM,4585.0,4585.0,243.0,5502.0,49
CDM,934877,PIN FX ELB STAB 2.5X70MM,576.0,576.0,30.53,691.2,20
CDM,934879,STEM ELB RADL 11X8MM,4050.0,4050.0,214.65,4860.0,20
CDM,934891,ROD EXFX LG 11MM 100MM,2564.0,2564.0,135.89,3076.8,49
CDM,934896,SCREW BN 3.5MM 22MM,272.0,272.0,14.42,326.4,20
CDM,934897,SCREW BN 3.5MM 24MM,272.0,272.0,14.42,326.4,20
CDM,934898,SCREW BN LCK 4.5MM 26MM,290.0,290.0,15.37,348.0,20
CDM,934899,SCREW BN LCK 4.5MM 24MM,290.0,290.0,15.37,348.0,20
CDM,934900,SCREW BN 4.5MM 22MM,290.0,290.0,15.37,348.0,20
CDM,934907,GWIRE VASC .014IN 200CM,5941.0,5941.0,314.87,7129.2,49
CDM,934908,GWIRE VASC .014IN 200CM,5941.0,5941.0,314.87,7129.2,49
CDM,934909,GWIRE VASC .018IN 200CM,5941.0,5941.0,314.87,7129.2,49
CDM,934912,GWIRE VASC .018IN 200CM,5941.0,5941.0,314.87,7129.2,49
CDM,934913,GWIRE VASC .024IN 200CM,5941.0,5941.0,314.87,7129.2,49
CDM,934914,GWIRE VASC .024IN 200CM,5941.0,5941.0,314.87,7129.2,49
CDM,934928,ANCHOR SPN 10MM,11000.0,11000.0,583.0,13200.0,20
CDM,934929,ROD SPN 5.5MM 95MM,360.0,360.0,19.08,432.0,20
CDM,934931,CONNECTOR SPN LAT 35MM,700.0,700.0,37.1,840.0,20
CDM,934935,GRAFT BN COSTAL FRZN 3.5,1191.0,1191.0,63.12,1429.2,20
CDM,934940,ANCHOR SYS SOFT TISSUE,90.0,90.0,4.77,108.0,20
CDM,934942,KNIFE VNTRCLR ASST DISP,5941.0,5941.0,314.87,7129.2,49
CDM,934943,TOOL DSCT BYPASS DISP,5829.0,5829.0,308.94,6994.8,49
CDM,934944,CUFF APICAL LVAS,11658.0,11658.0,617.87,13989.6,49
CDM,934945,PUNCH SKN BIOPSY,1884.0,1884.0,99.85,2260.8,49
CDM,934946,ADAPTER TUNNEL CARD,5941.0,5941.0,314.87,7129.2,49
CDM,934947,SET THRD PROT VNTRC ASST,5941.0,5941.0,314.87,7129.2,49
CDM,934964,MESH PERM CIRC 15X15CM,5408.0,5408.0,286.62,6489.6,20
CDM,934978,SCREW BN 3.5MM 44MM,390.0,390.0,20.67,468.0,20
CDM,934992,IMPLANT BREAST 405CC,2500.0,2500.0,132.5,3000.0,20
CDM,934995,IMPLANT BREAST 545CC,2500.0,2500.0,132.5,3000.0,20
CDM,934996,IMPLANT BREAST 585CC,2500.0,2500.0,132.5,3000.0,20
CDM,934997,IMPLANT BREAST 635CC,2600.0,2600.0,137.8,3120.0,20
CDM,934998,IMPLANT BREAST 740CC,2500.0,2500.0,132.5,3000.0,20
CDM,935002,IMPLANT BREAST 150CC,2050.0,2050.0,108.65,2460.0,20
CDM,935003,IMPLANT BREAST 185CC,2050.0,2050.0,108.65,2460.0,20
CDM,935004,IMPLANT BREAST 210CC,2050.0,2050.0,108.65,2460.0,20
CDM,935005,IMPLANT BREAST 230CC,2050.0,2050.0,108.65,2460.0,20
CDM,935006,IMPLANT BREAST 235CC,2500.0,2500.0,132.5,3000.0,20
CDM,935007,IMPLANT BREAST 265CC,2500.0,2500.0,132.5,3000.0,20
CDM,935008,IMPLANT BREAST 290CC,2500.0,2500.0,132.5,3000.0,20
CDM,935009,IMPLANT BREAST 450CC,2500.0,2500.0,132.5,3000.0,20
CDM,935018,PLATE TIB MDL 6HL RT,7700.0,7700.0,408.1,9240.0,20
CDM,935027,INSERT HUM SHLDR +3X39MM,980.0,980.0,51.94,1176.0,20
CDM,935028,SCREW BN 5.0MM 16MM,488.0,488.0,25.86,585.6,20
CDM,935041,NAIL HUM 7MM 25CM,5190.0,5190.0,275.07,6228.0,20
CDM,935061,SYS VAC UTERINE BLEED,11269.0,11269.0,597.26,13522.8,49
CDM,935063,SPACER SPN 55X18X7MM,8000.0,8000.0,424.0,9600.0,20
CDM,935064,SCREW SPN CREO 6.5X50MM,750.0,750.0,39.75,900.0,20
CDM,935066,SCREW BN 4MM 55MM,327.0,327.0,17.33,392.4,20
CDM,935068,CAGE SPN 6D 14X16X8MM,3800.0,3800.0,201.4,4560.0,20
CDM,935072,SCREW BN 1.2X4MM SLF TAP,171.0,171.0,9.06,205.2,20
CDM,935073,SCREW BN 1.2MM 3MM,171.0,171.0,9.06,205.2,20
CDM,935082,BAR EXFX 11MM 350MM,3668.0,3668.0,194.4,4401.6,49
CDM,935083,SCREW NLCKG 3.5MM 75MM,450.0,450.0,23.85,540.0,20
CDM,935089,DILATOR ESOPHAGEAL 7MM,2387.0,2387.0,126.51,2864.4,49
CDM,935090,DILATOR ESOPHAGEAL 9MM,2387.0,2387.0,126.51,2864.4,49
CDM,935091,DILATOR ESOPHAGEAL 11MM,2387.0,2387.0,126.51,2864.4,49
CDM,935092,DILATOR ESOPHAGEAL 12MM,2387.0,2387.0,126.51,2864.4,49
CDM,935093,DILATOR ESOPHAGEAL 20MM,2387.0,2387.0,126.51,2864.4,49
CDM,935096,SCREW SPN 6.5MM 35MM,1300.0,1300.0,68.9,1560.0,20
CDM,935142,SCREW CMP MLT-THD 2.7X30,270.0,270.0,14.31,324.0,20
CDM,935143,SCREW CMPR 2.7MM 18MM,270.0,270.0,14.31,324.0,20
CDM,935144,PLATE BN HUM MDL 135MM,3326.0,3326.0,176.28,3991.2,20
CDM,935145,SCREW BN 3.5MM 48MM,270.0,270.0,14.31,324.0,20
CDM,935146,SCREW BN 3.5MM 18MM,272.0,272.0,14.42,326.4,20
CDM,935147,PLATE BN HUM LAT 145MM,3454.0,3454.0,183.06,4144.8,20
CDM,935148,SCREW BN 3.5MM 18MM,326.0,326.0,17.28,391.2,20
CDM,935149,SCREW BN 3.5MM 26MM,326.0,326.0,17.28,391.2,20
CDM,935150,SCREW SPNL LCK 3X10MM,464.0,464.0,24.59,556.8,20
CDM,935152,SCREW BN LCK 3.5X14MM,326.0,326.0,17.28,391.2,20
CDM,935153,SCREW BN 3.5MM 20MM,272.0,272.0,14.42,326.4,20
CDM,935164,PIN FX 2MM 40MM,2564.0,2564.0,135.89,3076.8,49
CDM,935166,PLATE BN 12H 132MM,1550.0,1550.0,82.15,1860.0,20
CDM,935179,SCREW BN 4MM 50MM,2299.0,2299.0,121.85,2758.8,20
CDM,935190,CAGE SPNL 39-65MM 14MM,10808.0,10808.0,572.82,12969.6,20
CDM,935191,STEM FEM CONE 12/14 SZ0,2800.0,2800.0,148.4,3360.0,20
CDM,935211,NEEDLE FSTL 15GA 1IN,15.0,15.0,0.8,18.0,49
CDM,935231,SCREW SPNL LCK 2MM 10MM,390.0,390.0,20.67,468.0,20
CDM,935238,PASSER CERCLAGE DISP SM,2947.0,2947.0,156.19,3536.4,49
CDM,935265,SCREW BN 4MM 50MM,530.0,530.0,28.09,636.0,20
CDM,935267,INSERT HUM SHLDR 36MM,1460.0,1460.0,77.38,1752.0,20
CDM,935269,CATH VASC DEL 95CM,6956.0,6956.0,368.67,8347.2,49
CDM,935348,SYSTEM IMPL GRAFT ANCHR,4350.0,4350.0,230.55,5220.0,20
CDM,935354,SYSTEM IMPL GRAFT ANCHR,3910.0,3910.0,207.23,4692.0,20
CDM,935360,SCREW BN 4.5MM 14MM,238.0,238.0,12.61,285.6,20
CDM,935363,SCREW BN 3.5X32MM,590.0,590.0,31.27,708.0,20
CDM,935371,CONNECTOR IV TBG R-F,39.0,39.0,2.07,46.8,49
CDM,935374,PIN FX TEMP 2.5MM 40MM,5941.0,5941.0,314.87,7129.2,49
CDM,935377,SCREW BN 3.5MM 6MM,56.0,56.0,2.97,67.2,20
CDM,935391,CMPNT FEM KN LT SZ3,8365.0,8365.0,443.35,10038.0,20
CDM,935425,PLT 1/3 TBLR 22MM 3.5MM,199.0,199.0,10.55,238.8,20
CDM,935426,SCREW BN 8.0MM 145MM,382.0,382.0,20.25,458.4,20
CDM,935437,SCREW BN 2.4MM 8MM,238.0,238.0,12.61,285.6,20
CDM,935479,CATH DLVRY ACC SYS 105CM,6956.0,6956.0,368.67,8347.2,49
CDM,935481,CATH DLVRY ACC SYS 115CM,6956.0,6956.0,368.67,8347.2,49
CDM,935487,BAR EXFX 11MM 300MM,3668.0,3668.0,194.4,4401.6,49
CDM,935488,PIN BN PRVSNL 3.5X60MM,2801.0,2801.0,148.45,3361.2,49
CDM,935489,SCREW BN 6.7MM 65MM,514.0,514.0,27.24,616.8,20
CDM,935490,SCREW BN 4.5X60MM,238.0,238.0,12.61,285.6,20
CDM,935493,SCREW BN 4.5MM 58MM,238.0,238.0,12.61,285.6,20
CDM,935495,SCREW BN 4.5MM 34MM,238.0,238.0,12.61,285.6,20
CDM,935498,SCREW BN 4.5MM 28MM,238.0,238.0,12.61,285.6,20
CDM,935499,SCREW BN 4.5MM 30MM,238.0,238.0,12.61,285.6,20
CDM,935501,SCREW BN 4.5MM 26MM,238.0,238.0,12.61,285.6,20
CDM,935502,SCREW BN 4.5MM 32MM,238.0,238.0,12.61,285.6,20
CDM,935503,SCREW BN 4.5MM 36MM,238.0,238.0,12.61,285.6,20
CDM,935504,SCREW BN 4.5MM 34MM,71.0,71.0,3.76,85.2,20
CDM,935505,SCREW BN 4.5MM 38MM,83.0,83.0,4.4,99.6,20
CDM,935506,LINER ACTB HIP 28/38MM,1100.0,1100.0,58.3,1320.0,20
CDM,935529,STENT CRN 4MM 12MM,29403.0,29403.0,1558.36,35283.6,20
CDM,935530,SYSTEM IMP 5MM 15MM,29403.0,29403.0,1558.36,35283.6,20
CDM,935531,STENT DVTR FLW 5.0X40MM,31977.0,31977.0,1694.78,38372.4,20
CDM,935542,DEVICE LCK BX CAP OLMPS,603.0,603.0,31.96,723.6,49
CDM,935547,SHEATH PEEL COIL 3.5,33420.0,33420.0,1771.26,40104.0,49
CDM,935548,RETRVR REVAC .021IN 32MM,50518.0,50518.0,2677.45,60621.6,49
CDM,935549,MCATH RTR 23MM,50518.0,50518.0,2677.45,60621.6,49
CDM,935630,SCREW SPNL 5.5MM 65MM,1200.0,1200.0,63.6,1440.0,20
CDM,935661,SCREW SPN OCT SET,100.0,100.0,5.3,120.0,20
CDM,935670,SPACER SPN 8D 15X26X34MM,8670.0,8670.0,459.51,10404.0,20
CDM,935671,SCREW SPN 5.5MM 50MM,550.0,550.0,29.15,660.0,20
CDM,935672,SCREW BN 6.5MM 55MM,900.0,900.0,47.7,1080.0,20
CDM,935673,PLATE BN 18HL 134MM,1068.0,1068.0,56.6,1281.6,20
CDM,935682,PLATE BN 2.7-3.5X97MM,2571.0,2571.0,136.26,3085.2,20
CDM,935683,SCREW BN 4.7MM 20MM,148.0,148.0,7.84,177.6,20
CDM,935694,PIN TEMP 3.2.9X450MM,2790.0,2790.0,147.87,3348.0,49
CDM,935695,SCREW BN 10.5MM 100MM,766.0,766.0,40.6,919.2,20
CDM,935727,INTRO SHTH 5FR 80X23CM,1903.0,1903.0,100.86,2283.6,49
CDM,935728,INTRO SHTH 6F 21G 80CM,1903.0,1903.0,100.86,2283.6,49
CDM,935729,INTRO SHTH 7FR 80X23CM,1903.0,1903.0,100.86,2283.6,49
CDM,935746,SCREW SPN 6.5MM 35MM,550.0,550.0,29.15,660.0,20
CDM,935751,BURR SURG RND DMB 4MM,2564.0,2564.0,135.89,3076.8,49
CDM,935762,SCREW BN 10.5MM 90MM,766.0,766.0,40.6,919.2,20
CDM,935777,CAGE SPNL 24-40MM 12MM,10809.0,10809.0,572.88,12970.8,20
CDM,935824,BURR SURG 2MM 19.5MM,4585.0,4585.0,243.0,5502.0,49
CDM,935825,BURR SURG 2.9MM 13MM,4585.0,4585.0,243.0,5502.0,49
CDM,935840,SCREW SPN 5.5MM 30MM,900.0,900.0,47.7,1080.0,20
CDM,935883,CATH BLNDIL 5.0X35MM,4441.0,4441.0,235.37,5329.2,49
CDM,935888,SCREW BN 10.5MM 105MM,766.0,766.0,40.6,919.2,20
CDM,935910,SCREW SPN CANN 5.5X45MM,750.0,750.0,39.75,900.0,20
CDM,935916,SCREW BN 3MM 26MM,382.0,382.0,20.25,458.4,20
CDM,935918,PIN FX 1.8MM 30MM,2564.0,2564.0,135.89,3076.8,49
CDM,935921,DRL TWST 19X1.5X8MM,2773.0,2773.0,146.97,3327.6,49
CDM,935922,DRILL BIT 1.5 X 5 MM,3238.0,3238.0,171.61,3885.6,49
CDM,935932,BURR SURG 3.1MM 20MM,5043.0,5043.0,267.28,6051.6,49
CDM,935935,INSERT HIP ACTB 28X40MM,1100.0,1100.0,58.3,1320.0,20
CDM,935936,PLATE BN 5H 2.4MM,1862.0,1862.0,98.69,2234.4,20
CDM,935944,PUTTY BN GRAFT LG 11CC,3024.0,3024.0,160.27,3628.8,20
CDM,935978,BOLT LCK ACS LAT 24MM,756.0,756.0,40.07,907.2,20
CDM,935980,CAGE SPNL 8D 12X55MM,6300.0,6300.0,333.9,7560.0,20
CDM,935997,SCREW BN 3.5X40MM,590.0,590.0,31.27,708.0,20
CDM,935998,SCREW BN 3.5MM 38MM,590.0,590.0,31.27,708.0,20
CDM,936000,LINER HUM SHLDR 33+3MM,980.0,980.0,51.94,1176.0,20
CDM,936008,COIL EMBL CMPLX 12X35,4456.0,4456.0,236.17,5347.2,20
CDM,936009,COIL EMBL 48CM 13MM,4572.0,4572.0,242.32,5486.4,20
CDM,936010,COIL EMBL STD 57CM15MM,4654.0,4654.0,246.66,5584.8,20
CDM,936014,NAIL 4MM 450MM UPPR LWR,420.0,420.0,22.26,504.0,20
CDM,936018,CATH OCC BLN 8F 90CM,6324.0,6324.0,335.17,7588.8,49
CDM,936019,KIT CATH OCC BLN 8F,3095.0,3095.0,164.03,3714.0,49
CDM,936020,NAIL 13MM 30CM TIB MT-NL,2398.0,2398.0,127.09,2877.6,20
CDM,936021,CAGE SPNL LORD 10MM 28MM,6800.0,6800.0,360.4,8160.0,20
CDM,936044,GUIDE PIN 1.4X508MM,942.0,942.0,49.93,1130.4,49
CDM,936047,PLATE BN RADL CLMN RT,1568.0,1568.0,83.1,1881.6,20
CDM,936048,DRILL SURG CANN 5.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,936074,ROD SPN 5.5MM 6MM,700.0,700.0,37.1,840.0,20
CDM,936075,CONN ROD SPN 3.5MM 4MM,700.0,700.0,37.1,840.0,20
CDM,936076,PLATE BN TIB LT DP LOC,3750.0,3750.0,198.75,4500.0,20
CDM,936077,PLATE T LITE 2X5H,1790.0,1790.0,94.87,2148.0,20
CDM,936079,SCREW BN 3.5MM 40MM,430.0,430.0,22.79,516.0,20
CDM,936082,SCREW BN 3.5MM 44MM,430.0,430.0,22.79,516.0,20
CDM,936083,SCREW BN 3.5MM 30MM,473.0,473.0,25.07,567.6,20
CDM,936084,PLATE BN SMTB 7HL,1900.0,1900.0,100.7,2280.0,20
CDM,936085,CANNULATED DRILL 2.5,2564.0,2564.0,135.89,3076.8,49
CDM,936086,SCREW BN 3.5MM 38MM,540.0,540.0,28.62,648.0,20
CDM,936095,BIT DRILL CANN 3.6MM,2682.0,2682.0,142.15,3218.4,49
CDM,936096,MATRIX BN GENTAMACIN 5ML,8244.0,8244.0,436.93,9892.8,20
CDM,936097,SCOPE NEEDLE 125MM,5941.0,5941.0,314.87,7129.2,49
CDM,936099,SCREW BN CORT 4.5X30MM,71.0,71.0,3.76,85.2,20
CDM,936104,SCREW BN CAN HD3.5X38MM,320.0,320.0,16.96,384.0,20
CDM,936105,COUNTER SINK 2.3MM,3431.0,3431.0,181.84,4117.2,49
CDM,936120,SCREW SPN P-AX 7.5X45MM,1200.0,1200.0,63.6,1440.0,20
CDM,936131,CMPNT FEM KN RT SZ4.5,3000.0,3000.0,159.0,3600.0,20
CDM,936132,TRAY TIB KN SZ 4.5F/3.5T,2000.0,2000.0,106.0,2400.0,20
CDM,936133,INSERT KN TIB SZ4.5 11MM,1100.0,1100.0,58.3,1320.0,20
CDM,936134,PLATE BN METATASAL 7HL,1404.0,1404.0,74.41,1684.8,20
CDM,936135,SCREW BN NLCK 2.7X10MM,259.0,259.0,13.73,310.8,20
CDM,936137,SCREW BN NLCK 2.4X10MM,259.0,259.0,13.73,310.8,20
CDM,936138,SCREW BN NLCK 2.4X12MM,259.0,259.0,13.73,310.8,20
CDM,936139,SCREW SPNL LCK 2.7X14MM,259.0,259.0,13.73,310.8,20
CDM,936145,SCREW BN 10.5MM 85MM,766.0,766.0,40.6,919.2,20
CDM,936186,ELTROD DEFIB 15.2X10.8CM,449.0,449.0,23.8,538.8,49
CDM,936202,ROD SPN 5.5MM 95MM,360.0,360.0,19.08,432.0,20
CDM,936208,SCREW BN SPN 7.5MM 55MM,900.0,900.0,47.7,1080.0,20
CDM,936232,SCREW SPN 9MM 100MM,1200.0,1200.0,63.6,1440.0,20
CDM,936234,LINER REV SHLDR 36+0MM,1400.0,1400.0,74.2,1680.0,20
CDM,936236,CMPNT HUM SHLDR 40+0MM,2000.0,2000.0,106.0,2400.0,20
CDM,936241,CLAMP VASC DISP INST 6MM,528.0,528.0,27.98,633.6,49
CDM,936242,PACK PHACO 0.9MM,2564.0,2564.0,135.89,3076.8,49
CDM,936244,SLING FINGER 4IN,54.0,54.0,2.86,64.8,49
CDM,936245,SPNL SCREW 8MM 70MM,900.0,900.0,47.7,1080.0,20
CDM,936249,GWIRE STRL NITINOL,3091.0,3091.0,163.82,3709.2,49
CDM,936268,BIT DRILL CANN 2.2MM,2564.0,2564.0,135.89,3076.8,49
CDM,936290,PAD DEFIB 6X4.25IN,463.0,463.0,24.54,555.6,49
CDM,936305,SCREW BN 4.5MM 47.5MM,362.0,362.0,19.19,434.4,20
CDM,936311,SCREW BONE 3.5MM X 50MM,540.0,540.0,28.62,648.0,20
CDM,936352,EXPANDER TISSUE SMOOTH,3100.0,3100.0,164.3,3720.0,20
CDM,936360,ROD SPN STRT 5.5X80MM,360.0,360.0,19.08,432.0,20
CDM,936373,SCREW BN 6.0MM 35MM,150.0,150.0,7.95,180.0,20
CDM,936382,CUP HUM REV SHLDR 33MM,3570.0,3570.0,189.21,4284.0,20
CDM,936384,GWIRE SUPP .014IN 300CM,5941.0,5941.0,314.87,7129.2,49
CDM,936392,PLATE BN 7HL 66X2.7MM,2082.0,2082.0,110.35,2498.4,20
CDM,936396,SCREW BN 3.5MM 48MM,259.0,259.0,13.73,310.8,20
CDM,936397,CATH THROM REP 132CM,18575.0,18575.0,984.48,22290.0,49
CDM,936411,SCREW BN 3.5MM 50MM,450.0,450.0,23.85,540.0,20
CDM,936414,HEAD FEM HIP +6MM,2628.0,2628.0,139.28,3153.6,20
CDM,936421,PLATE BN 3.5X171MM,2425.0,2425.0,128.53,2910.0,20
CDM,936422,GLNSPHR HEAD SHLDR +3X36,1260.0,1260.0,66.78,1512.0,20
CDM,936427,BLADES REMOVAL STEM,13535.0,13535.0,717.36,16242.0,49
CDM,936459,SCREW BN 3.5MM 38MM,590.0,590.0,31.27,708.0,20
CDM,936460,SCREW BN 3.5MM 36MM VAR,590.0,590.0,31.27,708.0,20
CDM,936462,SYSTM EUST TUBE DILATION,17285.0,17285.0,916.11,20742.0,49
CDM,936514,SCREW BN 5MM 22MM,645.0,645.0,34.19,774.0,20
CDM,936518,PLATE BN VLP CAL LT,2398.0,2398.0,127.09,2877.6,20
CDM,936521,SCREW BN ORTH 3.5X16MM,272.0,272.0,14.42,326.4,20
CDM,936522,SCREW BN 3.5MM 14MM,272.0,272.0,14.42,326.4,20
CDM,936523,SCREW BN CMPRSN 4.5X16MM,290.0,290.0,15.37,348.0,20
CDM,936524,SCREW BN 4.5MM 20MM,290.0,290.0,15.37,348.0,20
CDM,936525,SCREW BN 4.5MM 20MM,342.0,342.0,18.13,410.4,20
CDM,936526,NAIL BN 125D 10MM 170MM,2470.0,2470.0,130.91,2964.0,20
CDM,936527,SCREW BN 10.5MM 95MM,766.0,766.0,40.6,919.2,20
CDM,936533,SCREW BN CANN 4X18MM,434.0,434.0,23.0,520.8,20
CDM,936542,CMPNT SHLDR 28+0MM,2000.0,2000.0,106.0,2400.0,20
CDM,936544,STEM SHLDR SHRT 32X70MM,4000.0,4000.0,212.0,4800.0,20
CDM,936545,SHELL SHLDR REV SM 32+0,2000.0,2000.0,106.0,2400.0,20
CDM,936546,STEM SHLDR XS 28X66MM,4000.0,4000.0,212.0,4800.0,20
CDM,936553,SPACER SPN 6D 14X16X6MM,1600.0,1600.0,84.8,1920.0,20
CDM,936555,SCREW BN 3.5X30MM,590.0,590.0,31.27,708.0,20
CDM,936560,SCREW BN 95MM,1216.0,1216.0,64.45,1459.2,20
CDM,936571,SPACER SPNL 8D 39X17MM,8670.0,8670.0,459.51,10404.0,20
CDM,936612,CATH BLNDIL 5.0X25MM,4441.0,4441.0,235.37,5329.2,49
CDM,936613,CATH BLNDIL 6.0X25MM,4441.0,4441.0,235.37,5329.2,49
CDM,936620,SCREW BN RESC 2.7MM 8MM,354.0,354.0,18.76,424.8,20
CDM,936636,STENT VASC 6X150MM 130CM,6790.0,6790.0,359.87,8148.0,20
CDM,936639,CUP SHLDR SUT 33MM,3570.0,3570.0,189.21,4284.0,20
CDM,936650,DRILL SURG 4.1MM,4401.0,4401.0,233.25,5281.2,49
CDM,936651,TRAY CMNT TIB KN SZ2,3600.0,3600.0,190.8,4320.0,20
CDM,936652,PLATE HUM LT 142MM,3646.0,3646.0,193.24,4375.2,20
CDM,936653,SCREW BN LCK 4.5MM 16MM,342.0,342.0,18.13,410.4,20
CDM,936654,SCREW BN 4.2X55MM 17MM,2600.0,2600.0,137.8,3120.0,20
CDM,936660,NAIL BN TROCH 12MM 200MM,2470.0,2470.0,130.91,2964.0,20
CDM,936705,KIT NEEDLE NANO 125MM,2564.0,2564.0,135.89,3076.8,49
CDM,936707,INTRO SHEATH 18FR 65CM,6155.0,6155.0,326.21,7386.0,49
CDM,936708,NEEDLE BRST BIOPSY 9GA,2796.0,2796.0,148.19,3355.2,49
CDM,936715,CATH IVL 8MM 30MM,26813.0,26813.0,1421.09,32175.6,49
CDM,936726,COIL EMBL 30CM 8MM,4410.0,4410.0,233.73,5292.0,20
CDM,936727,COIL EMBL SFT 12CMX4MM,4446.0,4446.0,235.64,5335.2,20
CDM,936730,SCREW BN 4.5MM 28MM,290.0,290.0,15.37,348.0,20
CDM,936748,K-WIRE 2 TROC 1.4X16MM,1847.0,1847.0,97.89,2216.4,49
CDM,936749,SCREW BN CMPR 4.5X30MM,290.0,290.0,15.37,348.0,20
CDM,936762,SCREW TOP LOADING,700.0,700.0,37.1,840.0,20
CDM,936763,SCREW SPN 3.5MM 120MM,360.0,360.0,19.08,432.0,20
CDM,936768,CAGE SPNL 23-31X20MM,11340.0,11340.0,601.02,13608.0,20
CDM,936783,CONNECTOR FD TRNS,192.0,192.0,10.18,230.4,49
CDM,936792,BURR STR DISP 2X8MM,4814.0,4814.0,255.14,5776.8,49
CDM,936801,CATH THRMB 100CM 135CM,75000.0,75000.0,3975.0,90000.0,49
CDM,936802,CATH THRMB 115CM 135CM,75000.0,75000.0,3975.0,90000.0,49
CDM,936804,CATH THRMB 100CM 135CM,75000.0,75000.0,3975.0,90000.0,49
CDM,936820,GWIRE VASC .014IN 200CM,5941.0,5941.0,314.87,7129.2,49
CDM,936823,SPACER SPN 8D 17X29X39MM,8670.0,8670.0,459.51,10404.0,20
CDM,936825,CLIP IRR STRL,2564.0,2564.0,135.89,3076.8,49
CDM,936831,SCREW SPNL 4MM 30MM,900.0,900.0,47.7,1080.0,20
CDM,936852,DRILL BIT SURG 2.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,936859,SCREW SPN POLY 4.0X14MM,900.0,900.0,47.7,1080.0,20
CDM,936864,SCREW BN 5.0MM 14MM,488.0,488.0,25.86,585.6,20
CDM,936867,PLATE TIB RT 5 HOLE,4790.0,4790.0,253.87,5748.0,20
CDM,936888,MESH HRN PLGLY 10X16CM,900.0,900.0,47.7,1080.0,20
CDM,936922,CAGE SPN 0-20D 20-24MM,15116.0,15116.0,801.15,18139.2,20
CDM,936937,PLATE SPN 2LVL 1.6V 42MM,1900.0,1900.0,100.7,2280.0,20
CDM,936959,MATRIDERM 155.4 SQCM,70938.0,70938.0,3759.71,85125.6,30
CDM,936962,SCREW SPN 6.2X50MM,1200.0,1200.0,63.6,1440.0,20
CDM,936963,SCREW SPN 6.2X45MM,1200.0,1200.0,63.6,1440.0,20
CDM,936964,ROD SPN CRV 5.5X75MM,360.0,360.0,19.08,432.0,20
CDM,936965,SCREW SET SPN LCK,100.0,100.0,5.3,120.0,20
CDM,936973,DEVICE GRASPER FULL ROTN,2564.0,2564.0,135.89,3076.8,49
CDM,936989,SCREW SPNL 5.5-6X40MM,1200.0,1200.0,63.6,1440.0,20
CDM,936990,CAGE SPNL 6D 10X15X13MM,1600.0,1600.0,84.8,1920.0,20
CDM,936991,NAIL BN 10MM 200MM,14000.0,14000.0,742.0,16800.0,20
CDM,937011,SCREW BN LCK 2X12MM,390.0,390.0,20.67,468.0,20
CDM,937024,GLNSPHR HEAD SHLDR 36MM,1260.0,1260.0,66.78,1512.0,20
CDM,937035,PLATE TIB RT 8HL 161MM,5244.0,5244.0,277.93,6292.8,20
CDM,937037,SCREW BN F-T 6.7X70MM,514.0,514.0,27.24,616.8,20
CDM,937038,SCREW BN CANN 5.7X44MM,628.0,628.0,33.28,753.6,20
CDM,937039,SCREW BN CANN 5.7X55MM,628.0,628.0,33.28,753.6,20
CDM,937040,SCREW BN LCK 5.7X65MM,628.0,628.0,33.28,753.6,20
CDM,937041,SCREW BN LCK 5.7X70MM,628.0,628.0,33.28,753.6,20
CDM,937043,SCREW BN CRTX 4.5X32MM,71.0,71.0,3.76,85.2,20
CDM,937049,ENDPLATE SPN 15D 20X35MM,4185.0,4185.0,221.81,5022.0,20
CDM,937050,PLATE SPN LCK 5.5X58MM,5000.0,5000.0,265.0,6000.0,20
CDM,937060,SCREW CMPRSN 2.7X44MM,590.0,590.0,31.27,708.0,20
CDM,937061,SCREW BN 2.7MM 42MM,590.0,590.0,31.27,708.0,20
CDM,937062,SCREW SS 2.7MM X 40MM,590.0,590.0,31.27,708.0,20
CDM,937063,SCREW CMPRSN 2.7X46MM,620.0,620.0,32.86,744.0,20
CDM,937064,SCREW CMPRSN 3.5X34MM,590.0,590.0,31.27,708.0,20
CDM,937065,SCREW BN 3.5MM X 30MM,590.0,590.0,31.27,708.0,20
CDM,937066,SCREW BN 3.5MM X 28MM,590.0,590.0,31.27,708.0,20
CDM,937067,STEM FEM HIP EXT SZ6,3800.0,3800.0,201.4,4560.0,20
CDM,937068,PLATE BN 3-5HL,1670.0,1670.0,88.51,2004.0,20
CDM,937069,SCREW BN 3.5MM 42MM,590.0,590.0,31.27,708.0,20
CDM,937070,PLATE BN TIB RT 8HL,4790.0,4790.0,253.87,5748.0,20
CDM,937071,SCREW BN LCK 3.5MM 80MM,590.0,590.0,31.27,708.0,20
CDM,937073,SCREW BN 3.5MM 22MM,590.0,590.0,31.27,708.0,20
CDM,937088,CNTRSNK DRILL 3MM,3050.0,3050.0,161.65,3660.0,49
CDM,937090,PLATE BN RT LAT TIB 3H,4790.0,4790.0,253.87,5748.0,20
CDM,937092,BLADE SHVR ORTH 2.9MM,3181.0,3181.0,168.59,3817.2,49
CDM,937093,COIL EMBL 18MM 60CM,3022.0,3022.0,160.17,3626.4,20
CDM,937098,CATH BLNDIL 3.5MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,937100,GWIRE VASC 180CM,1168.0,1168.0,61.9,1401.6,49
CDM,937103,STENT VASC 8X100MM 80CM,1575.0,1575.0,83.47,1890.0,20
CDM,937120,ROD SPN 5.5MM 90MM,360.0,360.0,19.08,432.0,20
CDM,937122,ROD SPN 5.5MM 10CM,360.0,360.0,19.08,432.0,20
CDM,937127,KERECIS OMEGA3 126 SQCM,13720.0,13720.0,727.16,16464.0,30
CDM,937128,KERECIS OMEGA3 252 SQCM,26950.0,26950.0,1428.35,32340.0,30
CDM,937129,KERECIS OMEGA3 540 SQCM,56700.0,56700.0,3005.1,68040.0,30
CDM,937133,SCREW BN 4.5MM 18MM,290.0,290.0,15.37,348.0,20
CDM,937141,KIT IMPL ANCH SYS 8X12MM,1378.0,1378.0,73.03,1653.6,20
CDM,937143,SCREW BN LCK 4.5X18MM,342.0,342.0,18.13,410.4,20
CDM,937176,K-WIRE TROC 2MM 350MM,2564.0,2564.0,135.89,3076.8,49
CDM,937177,DRILL BIT 3.7MM,5081.0,5081.0,269.29,6097.2,49
CDM,937182,SCREW BN 4.5X10MM,798.0,798.0,42.29,957.6,20
CDM,937184,SCREW BN CRTX 4.5X42MM,71.0,71.0,3.76,85.2,20
CDM,937187,SCREW BN 7MM 95MM,382.0,382.0,20.25,458.4,20
CDM,937190,SCREW BN 4.5MM 40MM,238.0,238.0,12.61,285.6,20
CDM,937192,CAGE SPN 6D 14X16X7MM,3800.0,3800.0,201.4,4560.0,20
CDM,937193,CAGE SPN 6D 14X16X6MM,3800.0,3800.0,201.4,4560.0,20
CDM,937194,SCREW METAGLENE COLLET,300.0,300.0,15.9,360.0,20
CDM,937195,SCREW SHLDR 6MM 25MM,200.0,200.0,10.6,240.0,20
CDM,937197,PIN GUIDE 2.5MM,2564.0,2564.0,135.89,3076.8,49
CDM,937201,SCREW BN NLCKG 44X3.5MM,450.0,450.0,23.85,540.0,20
CDM,937202,SCREW BN 3.5MM 65MM,450.0,450.0,23.85,540.0,20
CDM,937218,SCREW BN LCK 7MM 85MM,684.0,684.0,36.25,820.8,20
CDM,937219,SCREW BN F-T 6.7X85MM,570.0,570.0,30.21,684.0,20
CDM,937230,BASEPLATE SHLDR 10MM,2500.0,2500.0,132.5,3000.0,20
CDM,937239,ANCH BN 3.5MM 19.5MM,990.0,990.0,52.47,1188.0,20
CDM,937248,SCREW BN 3.5MM 38MM,1670.0,1670.0,88.51,2004.0,20
CDM,937258,SCREW BN 3MM 8MM,184.0,184.0,9.75,220.8,20
CDM,937280,ROD SPN 5.5MM 500MM,360.0,360.0,19.08,432.0,20
CDM,937282,ANCHOR SUTURE 4.75MM,990.0,990.0,52.47,1188.0,20
CDM,937306,PLATE BN FEM 9HL 197MM,5928.0,5928.0,314.18,7113.6,20
CDM,937308,SCREW BN CRTX 4.5X90MM,80.0,80.0,4.24,96.0,20
CDM,937309,SCREW BN LCK 4.5X16MM,238.0,238.0,12.61,285.6,20
CDM,937312,SCREW SPNL 6.2X45MM,1200.0,1200.0,63.6,1440.0,20
CDM,937316,SCREW BN 3.5MM 42MM,259.0,259.0,13.73,310.8,20
CDM,937317,SCREW BN 3.5MM 44MM,40.0,40.0,2.12,48.0,20
CDM,937318,COIL EMBL 35CM 12MM,4860.0,4860.0,257.58,5832.0,20
CDM,937340,SCREW SPN POLY 4X12MM,900.0,900.0,47.7,1080.0,20
CDM,937341,STENT VNS 16X120MM 80CM,2600.0,2600.0,137.8,3120.0,20
CDM,937342,STENT VNS 18X80MM 80CM,3000.0,3000.0,159.0,3600.0,20
CDM,937345,ANCHOR BN LIG 4.75MM,1990.0,1990.0,105.47,2388.0,20
CDM,937353,CATHETER THRMB 3FR 80CM,1281.0,1281.0,67.89,1537.2,49
CDM,937371,CMPNT KN DPHSL SEG LG3CM,7727.0,7727.0,409.53,9272.4,20
CDM,937398,MESH SURG 50MM 70MM,4960.0,4960.0,262.88,5952.0,20
CDM,937399,KIT PROBE DUAL 15MM,31275.0,31275.0,1657.58,37530.0,49
CDM,937405,PLATE BN TIB RT 2HL,4790.0,4790.0,253.87,5748.0,20
CDM,937406,SHELL ACTB HIP G3 48MM,1800.0,1800.0,95.4,2160.0,20
CDM,937408,HEAD FEM HIP 32MM,1300.0,1300.0,68.9,1560.0,20
CDM,937415,PLATE BN RT 13HL 270MM,6383.0,6383.0,338.3,7659.6,20
CDM,937416,SCREW BN LCK 5.7X75MM,628.0,628.0,33.28,753.6,20
CDM,937417,SCREW BN F-T 6.7X75MM,514.0,514.0,27.24,616.8,20
CDM,937418,MESH HRN CIR 11CM,4557.0,4557.0,241.52,5468.4,20
CDM,937419,SCREW BN 6MM 15MM,200.0,200.0,10.6,240.0,20
CDM,937423,COIL EMBL 1.5MM 3CM,3956.0,3956.0,209.67,4747.2,20
CDM,937424,COIL EMBL 2MM 6CM,3956.0,3956.0,209.67,4747.2,20
CDM,937425,COIL EMBL 2.5MM 6CM,3956.0,3956.0,209.67,4747.2,20
CDM,937426,COIL EMBL 3MM 10CM,3956.0,3956.0,209.67,4747.2,20
CDM,937427,COIL EMBL 3MM 6CM,3956.0,3956.0,209.67,4747.2,20
CDM,937428,COIL EMBL 2.5MM 4.5CM,3956.0,3956.0,209.67,4747.2,20
CDM,937429,DEVICE CLS WND +3-0 23CM,823.0,823.0,43.62,987.6,49
CDM,937461,PLATE TIB KN RT 2HL,4790.0,4790.0,253.87,5748.0,20
CDM,937462,BIT DRILL ANKLE 2.8MM,3013.0,3013.0,159.69,3615.6,49
CDM,937465,SCREW BN 3.5MM 24MM,620.0,620.0,32.86,744.0,20
CDM,937468,SCREW BN 3.5MM 34MM,452.0,452.0,23.96,542.4,20
CDM,937473,ROD SPNL 5.5MM 85MM,360.0,360.0,19.08,432.0,20
CDM,937474,SCREW SPN 6.5MM 55MM,550.0,550.0,29.15,660.0,20
CDM,937486,COIL EMBL 2.5MM 3.5CM,3956.0,3956.0,209.67,4747.2,20
CDM,937487,COIL EMBL 2MM 2.5CM,3956.0,3956.0,209.67,4747.2,20
CDM,937494,CMPNT ULN LT 4X115MM,8403.0,8403.0,445.36,10083.6,20
CDM,937499,CABLE FXTN 1.8MM 91CM,1069.0,1069.0,56.66,1282.8,20
CDM,937502,ELECTRODE ESRG BLD 6.5IN,117.0,117.0,6.2,140.4,49
CDM,937505,SHEATH RTVR CLOT 20FR,29145.0,29145.0,1544.68,34974.0,49
CDM,937515,BIT DRL 1.7MM,2620.0,2620.0,138.86,3144.0,49
CDM,937520,COUNTERSINK CANN 3.0MM,3268.0,3268.0,173.2,3921.6,49
CDM,937541,BANDAGE ELAS 4IN 5YD,15.0,15.0,0.8,18.0,49
CDM,937550,SUTURE PCL SIZE 3,460.0,460.0,24.38,552.0,49
CDM,937556,PIN GUIDE SMTH 2.5X200MM,1131.0,1131.0,59.94,1357.2,49
CDM,937625,COIL EMBL 2MM 4.5CM,3956.0,3956.0,209.67,4747.2,20
CDM,937630,GEN PLS CARD SMART MINI,52000.0,52000.0,2756.0,62400.0,20
CDM,937631,COMP ELB E+ LT 5X115MM,8403.0,8403.0,445.36,10083.6,20
CDM,937637,SCREW SPN 4.5MM 16MM,150.0,150.0,7.95,180.0,20
CDM,937638,EXPANDER TISS 750-900CC,3400.0,3400.0,180.2,4080.0,20
CDM,937639,SCREW BN 2.7MM 38MM,590.0,590.0,31.27,708.0,20
CDM,937640,SCREW BN CMPR 4.5X36MM,290.0,290.0,15.37,348.0,20
CDM,937641,IMPLANT PULSE 8.5X15.5IN,38000.0,38000.0,2014.0,45600.0,20
CDM,937650,ROD REAMING 3X950MM,2564.0,2564.0,135.89,3076.8,49
CDM,937652,SPACER SPN 26X12X8MM,6800.0,6800.0,360.4,8160.0,20
CDM,937663,ROD SPN STRT 5.5X120MM,360.0,360.0,19.08,432.0,20
CDM,937665,SUB BNGF CAPHS 10CC,5542.0,5542.0,293.73,6650.4,20
CDM,937666,SCREW BN 10.35MM 80MM,1216.0,1216.0,64.45,1459.2,20
CDM,937703,510K SKN SUB NOS,32928.0,32928.0,1745.18,39513.6,30
CDM,937704,510K SKN SUB NOS,32928.0,32928.0,1745.18,39513.6,30
CDM,937713,MESH ABDOMINAL 2-4 X6 EL,7880.0,7880.0,417.64,9456.0,20
CDM,937714,MESH SURG 20CM 15CM,11203.0,11203.0,593.76,13443.6,20
CDM,937718,CLARIX CORD 1K 6.25 SQCM,7700.0,7700.0,408.1,9240.0,30
CDM,937721,BIT DRILL TWIST 2.2X70,2564.0,2564.0,135.89,3076.8,49
CDM,937739,CATH BLN ANG 5.5MM 25MM,4441.0,4441.0,235.37,5329.2,49
CDM,937744,CATH BLNDIL 6.0MM 35MM,4441.0,4441.0,235.37,5329.2,49
CDM,937754,PIN EX FIX 45MM 200MM,2564.0,2564.0,135.89,3076.8,49
CDM,937755,PIN HALF EXFX 6X200MM,2054.0,2054.0,108.86,2464.8,49
CDM,937756,PIN HALF EXFX 6X20MM,2054.0,2054.0,108.86,2464.8,49
CDM,937757,SCREW BN 5.7MM 34MM,627.0,627.0,33.23,752.4,20
CDM,937758,PLATE BN CMF 12H 94MM,1816.0,1816.0,96.25,2179.2,20
CDM,937759,SCREW BN 4.5MM 36MM,71.0,71.0,3.76,85.2,20
CDM,937760,SCREW BN 2X15MM,110.0,110.0,5.83,132.0,20
CDM,937761,SCREW BN 13X2MM,110.0,110.0,5.83,132.0,20
CDM,937762,SCREW BN 2MM 17MM,233.0,233.0,12.35,279.6,20
CDM,937763,PLATE BN 4H 1.5MM 28MM,834.0,834.0,44.2,1000.8,20
CDM,937764,SCREW BN 2MM 5MM,110.0,110.0,5.83,132.0,20
CDM,937765,SCREW BN 2.3X7MM,136.0,136.0,7.21,163.2,20
CDM,937766,PLATE BN 24H 1.5X108MM,710.0,710.0,37.63,852.0,20
CDM,937767,BIT DRILL 50 1.1 7 STP,2564.0,2564.0,135.89,3076.8,49
CDM,937771,SCREW SS 2.7MMX 32MM,590.0,590.0,31.27,708.0,20
CDM,937776,SCREW SPN 3.5X14MM,900.0,900.0,47.7,1080.0,20
CDM,937778,CAGE CERV INTRBD SM 6MM,1600.0,1600.0,84.8,1920.0,20
CDM,937779,SCREW SPN 3.75X14MM,150.0,150.0,7.95,180.0,20
CDM,937840,COIL EMBL 3.5MM 6CM,3956.0,3956.0,209.67,4747.2,20
CDM,937848,CEMENT W GENTAMACIN 10ML,14874.0,14874.0,788.32,17848.8,20
CDM,937873,INSERT HUM SHLDR 36,2030.0,2030.0,107.59,2436.0,20
CDM,937879,SCREW BN CMPRSN 2.7X2MM,590.0,590.0,31.27,708.0,20
CDM,937883,PLATE BN FEM L 14H 297MM,11150.0,11150.0,590.95,13380.0,20
CDM,937884,DRILL SURG 2.4X180MM,2564.0,2564.0,135.89,3076.8,49
CDM,937885,PLATE BN TIB RT 6HL,2000.0,2000.0,106.0,2400.0,20
CDM,937888,SPACER SPN 50X22X7-14MM,8000.0,8000.0,424.0,9600.0,20
CDM,937891,ROD SPN 5.5MM 100MM,360.0,360.0,19.08,432.0,20
CDM,937895,EXTRACTOR TIP 2.5MM-3.5M,4978.0,4978.0,263.83,5973.6,49
CDM,937896,EXTRACTOR TIP 3.5MM-4.5M,4781.0,4781.0,253.39,5737.2,49
CDM,937897,EXTRACTOR TIP 4.5MM-5.5M,4978.0,4978.0,263.83,5973.6,49
CDM,937900,EXTRCTR STRPD SCR 02MM,4978.0,4978.0,263.83,5973.6,49
CDM,937901,SPACER SPN 30X12X8-15MM,6800.0,6800.0,360.4,8160.0,20
CDM,937902,EXTRACTOR TIP 2.5MM-3.5M,4978.0,4978.0,263.83,5973.6,49
CDM,937903,EXTRACTOR TIP 3.5MM-4.5M,4978.0,4978.0,263.83,5973.6,49
CDM,937905,EXTRACTOR TIP 4.5MM-5.5M,4781.0,4781.0,253.39,5737.2,49
CDM,937908,DRILL BIT CARBIDE 2MM,3668.0,3668.0,194.4,4401.6,49
CDM,937909,DRILL BIT 3MM,3471.0,3471.0,183.96,4165.2,49
CDM,937918,CATH ART 7.5FR 110CM,2564.0,2564.0,135.89,3076.8,49
CDM,937919,BRACE WRIST UNIV LT 10IN,258.0,258.0,34.57,309.6,24
CDM,937921,BRACE WRIST UNIV RT 10IN,258.0,258.0,34.57,309.6,24
CDM,937922,BRACE WRIST UNIV LFT 8IN,178.0,178.0,23.85,213.6,24
CDM,937923,BRACE WRIST UNIV RT 8IN,178.0,178.0,23.85,213.6,24
CDM,937929,PLATE BN SHRT 27X3.5MM,1658.0,1658.0,87.87,1989.6,20
CDM,937932,CATH ABL CRV D-F 115CM,29534.0,29534.0,1565.3,35440.8,49
CDM,937945,IMPLANT BREAST 520CC,2650.0,2650.0,140.45,3180.0,20
CDM,937949,ELECTRODE SURG 15MM 20MM,318.0,318.0,16.85,381.6,49
CDM,937967,SCREW SPN LCK 4.5X26MM,342.0,342.0,18.13,410.4,20
CDM,937984,COIL EMBL 1.5MM 2CM,3956.0,3956.0,209.67,4747.2,20
CDM,938003,ROD SPN CRV 5.5X55MM,360.0,360.0,19.08,432.0,20
CDM,938004,CMPNT FEM KN ES LT 8.5CM,10617.0,10617.0,562.7,12740.4,20
CDM,938027,SPACER SPN 29X39 13MM 8,8670.0,8670.0,459.51,10404.0,20
CDM,938029,ROD SPN 5.5MM 60MM,360.0,360.0,19.08,432.0,20
CDM,938045,SCREW BN 5.7MM 50MM,628.0,628.0,33.28,753.6,20
CDM,938046,SCREW BN 5.7MM 60MM,628.0,628.0,33.28,753.6,20
CDM,938047,TRAY CMNT TIB KN SZ4,3600.0,3600.0,190.8,4320.0,20
CDM,938048,BEARING TIB KN SZ4 9MM,886.0,886.0,46.96,1063.2,20
CDM,938049,GUIDE TIB CUT LT DISP,5941.0,5941.0,314.87,7129.2,49
CDM,938059,SCREW SPN 6MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,938065,CATH ANGIO 5FR 110CM,678.0,678.0,35.93,813.6,49
CDM,938067,CATH ANGIO 5FR 65CM,678.0,678.0,35.93,813.6,49
CDM,938077,INSERT HUM SHLDR 33+3MM,980.0,980.0,51.94,1176.0,20
CDM,938084,COIL EMBL 2MM 3.5CM,3956.0,3956.0,209.67,4747.2,20
CDM,938085,COIL EMBL 3MM 4.5CM,3956.0,3956.0,209.67,4747.2,20
CDM,938086,COIL EMBL 3MM 8CM,3956.0,3956.0,209.67,4747.2,20
CDM,938087,COIL EMBL 3.5MM 10CM,3956.0,3956.0,209.67,4747.2,20
CDM,938088,COIL EMBL 4MM 6CM,3956.0,3956.0,209.67,4747.2,20
CDM,938089,COIL EMBL 4MM 8CM,3956.0,3956.0,209.67,4747.2,20
CDM,938090,COIL EMBL 4MM 10CM,3956.0,3956.0,209.67,4747.2,20
CDM,938101,COIL EMBL 4.5MM 10CM,3956.0,3956.0,209.67,4747.2,20
CDM,938112,CATH BLN .035IN 7FR 12MM,3432.0,3432.0,181.9,4118.4,49
CDM,938115,DRILL BIT LONG 4.5MM,5600.0,5600.0,296.8,6720.0,49
CDM,938116,NAIL FEM LT 11.5MM 32CM,3434.0,3434.0,182.0,4120.8,20
CDM,938119,SCREW BN 3.5MM 26MM,272.0,272.0,14.42,326.4,20
CDM,938162,SCREW BN TI 3MM 30MM,590.0,590.0,31.27,708.0,20
CDM,938221,SCREW DENTAL IMPL 0.50IN,3000.0,3000.0,159.0,3600.0,20
CDM,938222,PLATE BN HUM LT 70MM,2686.0,2686.0,142.36,3223.2,20
CDM,938223,PLATE BN HUM LT 75MM,2814.0,2814.0,149.14,3376.8,20
CDM,938224,SCREW BN 3.5MM 25MM,378.0,378.0,20.03,453.6,20
CDM,938225,SCREW BN CMPRSN 3.5X35MM,378.0,378.0,20.03,453.6,20
CDM,938226,SCREW BN HUM 3.5MM 40MM,378.0,378.0,20.03,453.6,20
CDM,938227,KWIRE TROC 1.5MM 229MM,1960.0,1960.0,103.88,2352.0,49
CDM,938233,INSERT TIB KN SZ4 8MM,3752.0,3752.0,198.86,4502.4,20
CDM,938235,CATH THRMB REP 6IN,37927.0,37927.0,2010.13,45512.4,49
CDM,938237,ROD SPN CRV 5.5/65MM,360.0,360.0,19.08,432.0,20
CDM,938247,STEM SHLDR 36MMX115MM,4000.0,4000.0,212.0,4800.0,20
CDM,938258,GRAFT BN CANC 15CC,418.0,418.0,22.15,501.6,20
CDM,938259,CHIPS BN CORT/CANC 30CC,584.0,584.0,30.95,700.8,20
CDM,938261,ROD SPN 3.5MM 220MM,600.0,600.0,31.8,720.0,20
CDM,938262,PLATE SPN SM 32MM,3000.0,3000.0,159.0,3600.0,20
CDM,938280,ROD SPN 4MM 60MM,360.0,360.0,19.08,432.0,20
CDM,938282,ROD SPN 4MM 50MM,360.0,360.0,19.08,432.0,20
CDM,938283,SPACER SPN 26X12X10MM,6800.0,6800.0,360.4,8160.0,20
CDM,938299,SPACER SPN 26X34MM 13MM,8670.0,8670.0,459.51,10404.0,20
CDM,938317,CATH GD .46IN 125CM,10422.0,10422.0,552.37,12506.4,49
CDM,938322,SCREW BN 4MM 26MM,500.0,500.0,26.5,600.0,20
CDM,938323,PLATE BN SINUS TIA MD LT,1520.0,1520.0,80.56,1824.0,20
CDM,938324,PLATE BN CALC FX RT,1520.0,1520.0,80.56,1824.0,20
CDM,938325,SCREW BN 4MM 30MM,500.0,500.0,26.5,600.0,20
CDM,938326,SCREW BN 4.5MM 12MM,798.0,798.0,42.29,957.6,20
CDM,938327,PLATE BN 12HL 3.5X295MM,12355.0,12355.0,654.82,14826.0,20
CDM,938328,BAR EXFX 11MM 100MM,3668.0,3668.0,194.4,4401.6,49
CDM,938329,SCREW BN 3.5MM 70MM,212.0,212.0,11.24,254.4,20
CDM,938331,DEVICE CLSR CLP INT 40MM,7600.0,7600.0,402.8,9120.0,20
CDM,938333,KWIRE FX 1.6MM 127MM,47.0,47.0,2.49,56.4,49
CDM,938366,SCREW SPN 7.5MM 55MM,550.0,550.0,29.15,660.0,20
CDM,938385,COMP FEM KN RT SZ7,3600.0,3600.0,190.8,4320.0,20
CDM,938386,COMP TIB KN RT 0D SZE,2200.0,2200.0,116.6,2640.0,20
CDM,938391,ANCHOR BN TNDN 5.5MM,990.0,990.0,52.47,1188.0,20
CDM,938404,KIT DPHRM PCNG SYSTEM,283678.0,283678.0,15034.93,340413.6,49
CDM,938406,SCREW BN 20MM,200.0,200.0,10.6,240.0,20
CDM,938408,BRONCHOSCOPE DISP 3.8MM,3399.0,3399.0,180.15,4078.8,49
CDM,938409,BRNCHOSCP DISP 2.8MM,4061.0,4061.0,215.23,4873.2,49
CDM,938410,BRNCHOSCP DISP 5.8MM,3399.0,3399.0,180.15,4078.8,49
CDM,938411,BRNCHOSCP DISP 5.8MM,3799.0,3799.0,201.35,4558.8,49
CDM,938416,DRILL BIT 2.5MM,5416.0,5416.0,287.05,6499.2,49
CDM,938417,PLATE BN 16H 3.5X4.5MM,11455.0,11455.0,607.12,13746.0,20
CDM,938418,SCREW BN 4.5MM 38MM,238.0,238.0,12.61,285.6,20
CDM,938423,SCREW SPN 3.5MM 16MM,150.0,150.0,7.95,180.0,20
CDM,938424,SCREW SPNL S/T 4.0X14MM,150.0,150.0,7.95,180.0,20
CDM,938429,CAGE SPN 7D 10X17X14MM,1600.0,1600.0,84.8,1920.0,20
CDM,938443,STENT ILIOFEM 16X60MM,2850.0,2850.0,151.05,3420.0,20
CDM,938489,GUIDEWIRE VASC STANDARD,10298.0,10298.0,545.79,12357.6,49
CDM,938506,INSERT SHLDR 33 +3MM,2030.0,2030.0,107.59,2436.0,20
CDM,938510,CATH THRMB 7FR 130CM,61710.0,61710.0,3270.63,74052.0,49
CDM,938540,CATH BLNDIL 2.25MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,938542,CATH BLNDIL 2.75MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,938543,CATH BLNDIL 4.5MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,938544,CATH BLNDIL 4.5MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,938545,CATH BLNDIL 2MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,938547,ROD SPN 5.5MM 190MM,360.0,360.0,19.08,432.0,20
CDM,938550,PIN GUIDE 3.2MM 450MM,2736.0,2736.0,145.01,3283.2,49
CDM,938561,CATHETER THRMB 5FR 80CM,1281.0,1281.0,67.89,1537.2,49
CDM,938580,MESH HRN 30CM 35CM,38624.0,38624.0,2047.07,46348.8,20
CDM,938589,VALVE AORTIC 21MM,28000.0,28000.0,1484.0,33600.0,20
CDM,938607,ROD SPN STRT 5.5MM 140MM,360.0,360.0,19.08,432.0,20
CDM,938608,KIT IMPL GEL18G 20CM,6900.0,6900.0,365.7,8280.0,20
CDM,938609,ROD SPNL 500MM 5.5MM,360.0,360.0,19.08,432.0,20
CDM,938637,COMP FEM KN SZ10,3600.0,3600.0,190.8,4320.0,20
CDM,938638,CMPNT TIB KN 0D SZG,2200.0,2200.0,116.6,2640.0,20
CDM,938640,GWIRE ORTH 510MM 1.6MM,942.0,942.0,49.93,1130.4,49
CDM,938657,PLATE TIB PROX 3.5X159MM,2670.0,2670.0,141.51,3204.0,20
CDM,938658,SCREW BN SPN 6.5MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,938659,SCREW BN SPN 6.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,938660,ROD SPN CRV 5.5MM 60MM,360.0,360.0,19.08,432.0,20
CDM,938661,CAGE SPN 6D 14X16X8MM,1600.0,1600.0,84.8,1920.0,20
CDM,938662,CAGE SPN 6D 14X16X7MM,1600.0,1600.0,84.8,1920.0,20
CDM,938665,PLATE BN TIBIA,4790.0,4790.0,253.87,5748.0,20
CDM,938666,PLATE BN TIB LEFT 3 HOLE,4790.0,4790.0,253.87,5748.0,20
CDM,938667,GUIDE ROD 3MM 600MM,3924.0,3924.0,207.97,4708.8,49
CDM,938668,PLATE BN 96X10.9X1.5MM,1692.0,1692.0,89.68,2030.4,20
CDM,938670,DEVICE CLSE WND 2-0 10CM,1039.0,1039.0,55.07,1246.8,49
CDM,938672,NAIL BN LT 11.5MM 16CM,2180.0,2180.0,115.54,2616.0,20
CDM,938673,SCREW BN 4.5X46MM,238.0,238.0,12.61,285.6,20
CDM,938682,CAGE SPNL 12-17MM 16MM,11311.0,11311.0,599.48,13573.2,20
CDM,938684,SHELL HIP 13H J 72MM,4253.0,4253.0,225.41,5103.6,20
CDM,938690,PLATE BN R 11H 4.5X209MM,5474.0,5474.0,290.12,6568.8,20
CDM,938691,SCREW BN 6.7MM 60MM,514.0,514.0,27.24,616.8,20
CDM,938692,SCREW BN 6.7MM 55MM,514.0,514.0,27.24,616.8,20
CDM,938721,CANNULA TIB OVAL SM 70MM,8549.0,8549.0,453.1,10258.8,49
CDM,938731,CATH BLNOCC 2MM 10MM,20176.0,20176.0,1069.33,24211.2,49
CDM,938743,CATH BLNDL 2X150MM 150CM,5941.0,5941.0,314.87,7129.2,49
CDM,938756,COMP FEM KN R SZ8,3600.0,3600.0,190.8,4320.0,20
CDM,938786,INSERT HUM SHLDR 33+6MM,1344.0,1344.0,71.23,1612.8,20
CDM,938806,MESH HERNIA 10IN 12IN,27839.0,27839.0,1475.47,33406.8,20
CDM,938812,SCREW BN 3.5MM 40MM,642.0,642.0,34.03,770.4,20
CDM,938813,SCREW BN 3.5MM 35MM,642.0,642.0,34.03,770.4,20
CDM,938814,SCREW BN 3MM 18MM,184.0,184.0,9.75,220.8,20
CDM,938825,SCREW BN 4.5MM 44MM,238.0,238.0,12.61,285.6,20
CDM,938830,PLATE SPN 3LVL 1.9H 62MM,1900.0,1900.0,100.7,2280.0,20
CDM,938833,SCREW BN 3MM 14MM,563.0,563.0,29.84,675.6,20
CDM,938877,COMP FEM KN LT SZ9,3600.0,3600.0,190.8,4320.0,20
CDM,938878,COMP TIB KN 0D SZF,2200.0,2200.0,116.6,2640.0,20
CDM,938881,SET INFS 20GA .75IN,433.0,433.0,22.95,519.6,49
CDM,938883,CATHETER ULTSND 9FR,11066.0,11066.0,586.5,13279.2,49
CDM,938887,SCREW BN 3.5MM 20MM,300.0,300.0,15.9,360.0,20
CDM,938896,CAGE SPN 10D 33X12X25MM,8710.0,8710.0,461.63,10452.0,20
CDM,938921,SCREW BN SPN 6.5MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,938923,ROD SPN 5.5MM 40MM,360.0,360.0,19.08,432.0,20
CDM,938933,DRILL SURG LG TRGT 4.5MM,5416.0,5416.0,287.05,6499.2,49
CDM,938934,NAIL BN ANK 10MM 150MM,7897.0,7897.0,418.54,9476.4,20
CDM,938935,SCREW BN 5.0MM 38MM,644.0,644.0,34.13,772.8,20
CDM,938939,PLATE BN HUM RT 70MM,2686.0,2686.0,142.36,3223.2,20
CDM,938960,COMP FEM KN R SZ9,3600.0,3600.0,190.8,4320.0,20
CDM,938961,CMPNT TIB KN 0DG SZG,2200.0,2200.0,116.6,2640.0,20
CDM,938965,SCREW BN 3.5MM 55MM,473.0,473.0,25.07,567.6,20
CDM,938966,SCREW BN LCK 3.5MM 85MM,620.0,620.0,32.86,744.0,20
CDM,938967,SCREW BN 3.5MM 48MM,450.0,450.0,23.85,540.0,20
CDM,938973,DEVICE CLSR CLP INT 50MM,7600.0,7600.0,402.8,9120.0,20
CDM,938978,CATH BLNDIL 2MM 1MM,2564.0,2564.0,135.89,3076.8,49
CDM,938980,CATH BLNDIL 2MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,938983,CATH BLNDIL 2.25MM 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,938989,CATH BLNDIL 2.5MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,938990,CATH BLNDIL 2.5MM 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,938991,CATH BLNDIL 2.5MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,938992,CATH BLNDIL 2.50X20MM,2564.0,2564.0,135.89,3076.8,49
CDM,939000,CATH BLNDIL 2.75MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,939001,CATH BLNDIL 2.75MM 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,939002,CATH BLNDIL 2.75MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,939005,CATH BLNDIL 3MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,939006,CATH BLNDIL 3MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,939007,CATH BLNDIL 3MM 30MM,2564.0,2564.0,135.89,3076.8,49
CDM,939009,CATH BLNDIL 3.25MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,939010,CATH BLNDIL 3.25MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,939011,CATH BLNDIL 3.25MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,939012,CATH BLNDIL 3.25MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,939015,CATH BLNDIL 3.5MM 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,939020,COMPNT FEM KN SZ8,3600.0,3600.0,190.8,4320.0,20
CDM,939021,COMPNT TIB KN 0D SZE,2200.0,2200.0,116.6,2640.0,20
CDM,939022,CATH BLNDIL 3.5MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,939039,DRILL SPN 17MM,3275.0,3275.0,173.57,3930.0,49
CDM,939042,PIN GUIDE SMTH 2.0X200MM,1307.0,1307.0,69.27,1568.4,49
CDM,939043,BIT DRILL CANN 3.2MM,4088.0,4088.0,216.66,4905.6,49
CDM,939044,SCREW BN 4.5MM 46MM,1680.0,1680.0,89.04,2016.0,20
CDM,939054,PLATE BN LT 13H 270MM,6383.0,6383.0,338.3,7659.6,20
CDM,939056,SCREW BN 4.5MM 40MM,71.0,71.0,3.76,85.2,20
CDM,939060,SCREW BN 5.7MM 42MM,627.0,627.0,33.23,752.4,20
CDM,939063,SCREW BN 5MM 80MM,1958.0,1958.0,103.77,2349.6,20
CDM,939064,SCREW BN 5MM 75MM,1958.0,1958.0,103.77,2349.6,20
CDM,939084,INSERT TIB KN 9MM SZ1,1900.0,1900.0,100.7,2280.0,20
CDM,939085,INSERT TIB KN SZ2 13MM,1900.0,1900.0,100.7,2280.0,20
CDM,939122,SHELL ACTB HIP 13H 70MM,4253.0,4253.0,225.41,5103.6,20
CDM,939135,PLATE TIB LAT PROX RT 8H,4790.0,4790.0,253.87,5748.0,20
CDM,939136,SCREW BN 3.5MM 28MM,590.0,590.0,31.27,708.0,20
CDM,939137,SCREW BN 3.5MM 26MM,590.0,590.0,31.27,708.0,20
CDM,939138,361 HCT P SKN NOS,9842.0,9842.0,521.63,11810.4,30
CDM,939140,SCREW BN 3.5MM 60MM,450.0,450.0,23.85,540.0,20
CDM,939146,PLATE BN SHRT 67X3.5MM,2160.0,2160.0,114.48,2592.0,20
CDM,939147,PLATE BN LCK 2.7MM 14MM,1318.0,1318.0,69.85,1581.6,20
CDM,939148,PLATE BN LT 6H 3.5X33MM,1808.0,1808.0,95.82,2169.6,20
CDM,939160,BLADE CRPL TNL RLS DISP,5433.0,5433.0,287.95,6519.6,49
CDM,939168,CAGE SPN 15D 11X26X32MM,4000.0,4000.0,212.0,4800.0,20
CDM,939170,OSTEOTOME HOOKED 1 PC,4585.0,4585.0,243.0,5502.0,49
CDM,939174,SYS IMPL TNDN REPR 3.9MM,5590.0,5590.0,296.27,6708.0,20
CDM,939177,PLATE BN 67MM 3.5MM,2160.0,2160.0,114.48,2592.0,20
CDM,939178,PLATE BN 11H 43MM 2.7MM,1710.0,1710.0,90.63,2052.0,20
CDM,939179,PLATE BN 6H 36MM 3.5MM,1850.0,1850.0,98.05,2220.0,20
CDM,939184,SCREW SPN 9.5MM 90MM,1200.0,1200.0,63.6,1440.0,20
CDM,939195,ROD SPN CURV 5.5MM 45MM,360.0,360.0,19.08,432.0,20
CDM,939196,INTERBODY SPN 6D 26X9X10,4000.0,4000.0,212.0,4800.0,20
CDM,939197,SYS AUTOPLX W/O NDLS,5941.0,5941.0,314.87,7129.2,49
CDM,939198,PLUG EMBL LIQUID 1GM,7193.0,7193.0,381.23,8631.6,20
CDM,939205,KIT ANCHOR SUTURE,3500.0,3500.0,185.5,4200.0,20
CDM,939214,PLATE BN MTRSL STRT 7H,1200.0,1200.0,63.6,1440.0,20
CDM,939223,SUTURE NDL HD W/MGELDR,5548.0,5548.0,294.04,6657.6,49
CDM,939229,SCREW SPN 7.5MM 35MM,550.0,550.0,29.15,660.0,20
CDM,939269,KIT PROBE DUAL 20MM,31275.0,31275.0,1657.58,37530.0,49
CDM,939276,NAIL ENDCAP SHDR 5MM,549.0,549.0,29.1,658.8,20
CDM,939277,DRILL BIT 2.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,939283,VALVE TAVR 23MM,65000.0,65000.0,3445.0,78000.0,20
CDM,939288,DRILL SURG 2.7X110MM,2564.0,2564.0,135.89,3076.8,49
CDM,939289,KWIRE FX 2.3MM 230MM,942.0,942.0,49.93,1130.4,49
CDM,939291,SCREW BN 7MM 80MM,1424.0,1424.0,75.47,1708.8,20
CDM,939292,SCREW BN 7MM 78MM,792.0,792.0,41.98,950.4,20
CDM,939293,SCREW SPN 4.5MM 12MM,150.0,150.0,7.95,180.0,20
CDM,939295,LINER ACTB 10DEG 36D,3000.0,3000.0,159.0,3600.0,20
CDM,939305,SUTURE 2-0 6IN 15CM,834.0,834.0,44.2,1000.8,49
CDM,939306,KIT PROC SCREW INSTRMNT,5941.0,5941.0,314.87,7129.2,49
CDM,939307,INSTR COMP SCREW 4.0MM,5941.0,5941.0,314.87,7129.2,49
CDM,939308,SCREW BN 3.5MM 26MM,2430.0,2430.0,128.79,2916.0,20
CDM,939309,SCREW BN 4MM 40MM,2430.0,2430.0,128.79,2916.0,20
CDM,939328,DRILL BIT DSP 2MM 190MM,2564.0,2564.0,135.89,3076.8,49
CDM,939335,CAGE EXP SCRW HT SET SML,100.0,100.0,5.3,120.0,20
CDM,939336,SCREW SPN 4.5MM 26MM,900.0,900.0,47.7,1080.0,20
CDM,939351,SUTURE W/NDL 1.7MM,1884.0,1884.0,99.85,2260.8,49
CDM,939366,SCREW SPN 4MM 26MM,900.0,900.0,47.7,1080.0,20
CDM,939369,OSTEOTOME SQUARE,4585.0,4585.0,243.0,5502.0,49
CDM,939392,COMP TIB KN RT 0D SZF,2200.0,2200.0,116.6,2640.0,20
CDM,939398,PROBE ARTHSCP 90D 90MM,3386.0,3386.0,179.46,4063.2,49
CDM,939401,PROBE CRYOSPHERE 18IN 8M,19819.0,19819.0,1050.41,23782.8,49
CDM,939408,PIN FX HD THRED,1583.0,1583.0,83.9,1899.6,49
CDM,939418,NAIL BN FEM 10MM 340MM,2614.0,2614.0,138.54,3136.8,20
CDM,939420,FILLER BN VOID 5CC,4436.0,4436.0,235.11,5323.2,20
CDM,939426,SCREW BN 3.5MM 34MM,590.0,590.0,31.27,708.0,20
CDM,939427,CATH THRMB 16MM 115CM,42746.0,42746.0,2265.54,51295.2,49
CDM,939428,CMPNT FEM KN RT SZ10,3600.0,3600.0,190.8,4320.0,20
CDM,939429,COMP TIB KN 0D SZH,2200.0,2200.0,116.6,2640.0,20
CDM,939430,VALVE AOR 15MM 19MM,8800.0,8800.0,466.4,10560.0,20
CDM,939436,SCREW BN 4.5MM 66MM,238.0,238.0,12.61,285.6,20
CDM,939451,DEVICE CLSE WND 1 36CM,3257.0,3257.0,172.62,3908.4,49
CDM,939453,DEVICE WND CLSR 6IN,842.0,842.0,44.63,1010.4,49
CDM,939463,CATH IVL 2.5X12MM,36528.0,36528.0,1935.98,43833.6,49
CDM,939464,CATH IVL 3.0X12MM,36528.0,36528.0,1935.98,43833.6,49
CDM,939465,CATH IVL 3.5X12MM,36528.0,36528.0,1935.98,43833.6,49
CDM,939466,CATH IVL 4.0X12MM,36528.0,36528.0,1935.98,43833.6,49
CDM,939472,SCREW BN SZ2.5 50MM,700.0,700.0,37.1,840.0,20
CDM,939487,GWIRE ORTHO 0.7X150MM,2563.0,2563.0,135.84,3075.6,49
CDM,939489,SCREW BN 3.5X38MM,590.0,590.0,31.27,708.0,20
CDM,939490,SCREW CMPRSN 3.5X36MM,590.0,590.0,31.27,708.0,20
CDM,939491,PLATE BN LT 18H 365MM,11765.0,11765.0,623.54,14118.0,20
CDM,939492,PLATE BN LT 16H 329MM,11765.0,11765.0,623.54,14118.0,20
CDM,939493,SCREW BN 6.7MM 36MM,513.0,513.0,27.19,615.6,20
CDM,939494,SCREW BN 4.5MM 46MM,71.0,71.0,3.76,85.2,20
CDM,939509,NAIL TIB 8.5MM 35CM,2398.0,2398.0,127.09,2877.6,20
CDM,939548,COMP TIB KN RT 0D SZD,2200.0,2200.0,116.6,2640.0,20
CDM,939555,BASEPLATE KN TIB SZ9,2546.0,2546.0,134.94,3055.2,20
CDM,939567,IMPLANT HAMMERTOE SMALL,2014.0,2014.0,106.74,2416.8,20
CDM,939568,IMPLANT HAMMERTOE MED,2014.0,2014.0,106.74,2416.8,20
CDM,939573,SUTURE W/ NDL SZ2-0 45CM,407.0,407.0,21.57,488.4,49
CDM,939574,BIT DRL NANO AT3,5941.0,5941.0,314.87,7129.2,49
CDM,939594,PLATE BN COMP 28X13X11MM,6524.0,6524.0,345.77,7828.8,20
CDM,939595,BURR SURG STRT 2.2X12MM,5043.0,5043.0,267.28,6051.6,49
CDM,939610,SCREW BN COMP 3.5X26MM,590.0,590.0,31.27,708.0,20
CDM,939611,SCREW CMPRSN 3.5X32MM,590.0,590.0,31.27,708.0,20
CDM,939634,STEM FEM HIP SZ16 240MM,8724.0,8724.0,462.37,10468.8,20
CDM,939637,CATHETER EMBL 4FR 40CM,1281.0,1281.0,67.89,1537.2,49
CDM,939640,BRACE HIP,2763.0,2763.0,146.44,3315.6,49
CDM,939642,VALVE AOR 21MM,8800.0,8800.0,466.4,10560.0,20
CDM,939687,SCREW BN 2.0MMX14MM,1450.0,1450.0,76.85,1740.0,20
CDM,939699,INTRO CATH 18FR 40CM,2564.0,2564.0,135.89,3076.8,49
CDM,939702,SCREW SPNL S/T 4.0X12MM,150.0,150.0,7.95,180.0,20
CDM,939703,PIN GUIDE ORTH 3.5MM 30C,1658.0,1658.0,87.87,1989.6,49
CDM,939705,SCREW SPN 5.5MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,939707,MESH HRN 20X20.5CM,11172.0,11172.0,592.12,13406.4,20
CDM,939712,TUBE ESOPHGL TEMP MGMT,6023.0,6023.0,319.22,7227.6,49
CDM,939714,FORCEPS SURG 7.25IN,207.0,207.0,10.97,248.4,49
CDM,939715,GLV BRN OPNTP 3.25-3.5,2564.0,2564.0,135.89,3076.8,49
CDM,939716,WRIST GLVE CMPR 3-3.25IN,2564.0,2564.0,135.89,3076.8,49
CDM,939717,GLV BRN OPNTP 4.5-5.25,2564.0,2564.0,135.89,3076.8,49
CDM,939718,GLV BRN OPNTP 4-4.5,2564.0,2564.0,135.89,3076.8,49
CDM,939719,GLV BRN OPNTP 5.25-5.75,2564.0,2564.0,135.89,3076.8,49
CDM,939721,TUBE FD 8FR 55IN,2026.0,2026.0,107.38,2431.2,49
CDM,939726,PLATE BN RT 20H405MM,12685.0,12685.0,672.3,15222.0,20
CDM,939727,SCREW BN 5.7MM 80MM,684.0,684.0,36.25,820.8,20
CDM,939728,SCREW BN 6.7MM 80MM,570.0,570.0,30.21,684.0,20
CDM,939729,PLATE SPN 1LVL 18MM,1900.0,1900.0,100.7,2280.0,20
CDM,939730,SCREW SPN 4MM 12MM,150.0,150.0,7.95,180.0,20
CDM,939737,KIT DELIV FT-ANKL DISP,5941.0,5941.0,314.87,7129.2,49
CDM,939740,PLATE BN SM RT 1.5MM,3294.0,3294.0,174.58,3952.8,20
CDM,939747,GDWRE ARTHSCP 1.1MM 18IN,1847.0,1847.0,97.89,2216.4,49
CDM,939751,SUTURE PASSER,3864.0,3864.0,204.79,4636.8,49
CDM,939756,PLATE BN 10H3.5X 183MM,1838.0,1838.0,97.41,2205.6,20
CDM,939772,SPACER SPN 12X12X6MM,1600.0,1600.0,84.8,1920.0,20
CDM,939793,SUTURE W/NDL 1.3X26.5MM,2288.0,2288.0,121.26,2745.6,49
CDM,939799,SCREW BN CANN 5.0X35MM,472.0,472.0,25.02,566.4,20
CDM,939800,GAUZE MCROGRFT WCORK 1:6,2564.0,2564.0,135.89,3076.8,49
CDM,939815,K-WIRE 2 TROC .9MM 152MM,1922.0,1922.0,101.87,2306.4,49
CDM,939816,CAGE SPN 5D 48-64MM,15116.0,15116.0,801.15,18139.2,20
CDM,939817,PLATE SPN LVL3 75MM,1900.0,1900.0,100.7,2280.0,20
CDM,939819,DRILL GUIDEPIN 3.5X311MM,2564.0,2564.0,135.89,3076.8,49
CDM,939830,SCREW BN SLF LCK 20X25MM,130.0,130.0,6.89,156.0,20
CDM,939831,STEM SHLDR XS 28MM 102MM,4000.0,4000.0,212.0,4800.0,20
CDM,939832,SCREW BN 2.7MM 36MM,620.0,620.0,32.86,744.0,20
CDM,939833,SCREW SPN 4.5MM 24MM,900.0,900.0,47.7,1080.0,20
CDM,939834,COMPNT TIB KN 0DG SZC,2200.0,2200.0,116.6,2640.0,20
CDM,939835,COMP FEM KN SZ4,3600.0,3600.0,190.8,4320.0,20
CDM,939840,SCREW BN 2.5MM 24MM,788.0,788.0,41.76,945.6,20
CDM,939843,SCREW HDLS CMP 2.5X26MM,788.0,788.0,41.76,945.6,20
CDM,939847,SCREW BN 3.5MM 36MM,206.0,206.0,10.92,247.2,20
CDM,939858,SCREW SPN 5.5MM 45MM,650.0,650.0,34.45,780.0,20
CDM,939884,SCREW BN CANN 5.0X30MM,472.0,472.0,25.02,566.4,20
CDM,939961,SYSTEM IMPLANT CERCLAGE,3512.0,3512.0,186.14,4214.4,20
CDM,939980,REAMER HEAD STRL 16.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,939981,LINER ACTB HIP SZE 36MM,3000.0,3000.0,159.0,3600.0,20
CDM,939983,ROD EXFX LRG 11MM 550MM,3516.0,3516.0,186.35,4219.2,49
CDM,939985,NAIL BN FEM 10MM 44CM,4086.0,4086.0,216.56,4903.2,20
CDM,939998,KIT DRILL GUIDE DISP,3209.0,3209.0,170.08,3850.8,49
CDM,939999,ANCHOR DBL LD KNTLS KN,1050.0,1050.0,55.65,1260.0,20
CDM,940000,NAIL BN 42CM 9MM,3052.0,3052.0,161.76,3662.4,20
CDM,940012,SUTURE TAPE 2 NDL 1.3MM,2073.0,2073.0,109.87,2487.6,49
CDM,940014,SCREW SPNL 6.2MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,940015,IMPLANT KN ANCHR SYSTM,990.0,990.0,52.47,1188.0,20
CDM,940025,ANCHOR KN DBL LOADED,850.0,850.0,45.05,1020.0,20
CDM,940026,ROD SPN CRV 5.5/95MM,360.0,360.0,19.08,432.0,20
CDM,940049,COIL SOFT SFT 10CMX3MM,4410.0,4410.0,233.73,5292.0,20
CDM,940050,COIL EMBL SFT 8CMX4MM,4374.0,4374.0,231.82,5248.8,20
CDM,940051,COIL EMBL 11MM 35CM,4860.0,4860.0,257.58,5832.0,20
CDM,940057,MARKER SITE 18GA 100CM,152.0,152.0,8.06,182.4,20
CDM,940062,PIN BN HLF 6X250X95M,2564.0,2564.0,135.89,3076.8,49
CDM,940067,SCREW BN 3.5MM 46MM,450.0,450.0,23.85,540.0,20
CDM,940079,MESH HERNIA 8X10IN,18810.0,18810.0,996.93,22572.0,20
CDM,940081,ROD SPN 5.5MM 35MM,360.0,360.0,19.08,432.0,20
CDM,940082,SCREW BN SPN 5.5MM 35MM,1200.0,1200.0,63.6,1440.0,20
CDM,940084,PROBE MLT STG ADJSTBL,2646.0,2646.0,140.24,3175.2,49
CDM,940089,IMPLANT BREAST 240CC,2650.0,2650.0,140.45,3180.0,20
CDM,940090,PLATE BN HUM LT 165MM,3070.0,3070.0,162.71,3684.0,20
CDM,940091,SCREW BN 3.5MM 20MM,378.0,378.0,20.03,453.6,20
CDM,940092,SCREW BN 2.7X22MM,270.0,270.0,14.31,324.0,20
CDM,940093,SCREW BN 2.7MM 12MM,308.0,308.0,16.32,369.6,20
CDM,940126,SCREW BN LCK 2.7MM 20MM,308.0,308.0,16.32,369.6,20
CDM,940127,SCREW BN 2.7MM 24MM,308.0,308.0,16.32,369.6,20
CDM,940128,SCREW BN 3.5X28MM,272.0,272.0,14.42,326.4,20
CDM,940129,SCREW BN 3.5MM 44MM,270.0,270.0,14.31,324.0,20
CDM,940130,NEEDLE SUTURE ORTH,2564.0,2564.0,135.89,3076.8,49
CDM,940131,SCREW BN 6MM 60MM,1590.0,1590.0,84.27,1908.0,20
CDM,940133,BSCP FLX DSP REG 5.0MM,3275.0,3275.0,173.57,3930.0,49
CDM,940134,SUTURE TP 1.3MM,2288.0,2288.0,121.26,2745.6,49
CDM,940140,SCREW BN 3.5MM 20MM,2732.0,2732.0,144.8,3278.4,20
CDM,940166,GUIDEWIRE ORTH 1.1X150MM,1884.0,1884.0,99.85,2260.8,49
CDM,940169,PLATE BN REAR FOOT 18MM,3584.0,3584.0,189.95,4300.8,20
CDM,940174,INSERT TIB SZ3-4 12MM,1235.0,1235.0,65.45,1482.0,20
CDM,940179,COMP FEM KN R SZ11,3600.0,3600.0,190.8,4320.0,20
CDM,940184,CLSR STERNAL 2MM 36IN,350.0,350.0,18.55,420.0,20
CDM,940185,PLATE BN L 9H 4.5X197MM,5928.0,5928.0,314.18,7113.6,20
CDM,940186,PLATE BN 5HL 3.5MM 114MM,3173.0,3173.0,168.17,3807.6,20
CDM,940199,SCREW BN 4.5MM 30MM,660.0,660.0,34.98,792.0,20
CDM,940200,SCREW BN 4.5MM 40MM,660.0,660.0,34.98,792.0,20
CDM,940202,DRILL SURG CANN 3.7MM,4991.0,4991.0,264.52,5989.2,49
CDM,940203,SCREW BN 6.5MM 70MM,741.0,741.0,39.27,889.2,20
CDM,940204,SCREW BN 6.5MM 65MM,741.0,741.0,39.27,889.2,20
CDM,940205,CABLE POST BN FX 3.5MM,1542.0,1542.0,81.73,1850.4,20
CDM,940209,SCREW BN 6.5MM 75MM,741.0,741.0,39.27,889.2,20
CDM,940210,SCREW BN 6.5MM 60MM,741.0,741.0,39.27,889.2,20
CDM,940216,MESH PERM CIRC 15X25CM,9012.0,9012.0,477.64,10814.4,20
CDM,940219,COMP FEM KN LT SZ9,3600.0,3600.0,190.8,4320.0,20
CDM,940220,BIT DRILL ORTH MINI,5941.0,5941.0,314.87,7129.2,49
CDM,940221,BIT DRILL ORTH MINI,5004.0,5004.0,265.21,6004.8,49
CDM,940239,COMP FEM KN LT SZ7,3600.0,3600.0,190.8,4320.0,20
CDM,940260,CATH INFS .029IN .024IN,9715.0,9715.0,514.89,11658.0,49
CDM,940311,SCREW BN 7MM 65MM 32MM,382.0,382.0,20.25,458.4,20
CDM,940335,KIT DISP SHRT 2.9 ANCHOR,2564.0,2564.0,135.89,3076.8,49
CDM,940344,SCREW BN 4.5MM 50MM,660.0,660.0,34.98,792.0,20
CDM,940345,DRIVER SURG 4.5MM,2842.0,2842.0,150.63,3410.4,49
CDM,940375,VALVE AOR 25MM,8800.0,8800.0,466.4,10560.0,20
CDM,940376,VALVE HEART 23MM,8800.0,8800.0,466.4,10560.0,20
CDM,940377,INTRODUCER SHTH 7FR 10CM,2564.0,2564.0,135.89,3076.8,49
CDM,940379,SCREW BN 7MM 60MM 32MM,382.0,382.0,20.25,458.4,20
CDM,940380,SHELL ACTB HIP 3H 50MM,2000.0,2000.0,106.0,2400.0,20
CDM,940382,LINER ACTB HIP 50MM 36MM,1100.0,1100.0,58.3,1320.0,20
CDM,940383,SHANK SPN 7.5MM 40MM,750.0,750.0,39.75,900.0,20
CDM,940391,SCREW BN 4MM 50MM,974.0,974.0,51.62,1168.8,20
CDM,940395,SHEATH CATH SNGL USE,4634.0,4634.0,245.6,5560.8,49
CDM,940400,COMP FEM KN SZ8,3600.0,3600.0,190.8,4320.0,20
CDM,940464,CMPNT FEM KN LT SZ8,3054.0,3054.0,161.86,3664.8,20
CDM,940465,INSERT TIB KN LT SZ8 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,940486,CATH BLNDL 7X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,940487,CATH BLNDIL 7X60MM,2564.0,2564.0,135.89,3076.8,49
CDM,940491,SCREW BN 5.5MM 75MM,382.0,382.0,20.25,458.4,20
CDM,940492,WEDGE ACHILLES MEDIUM,330.0,330.0,17.49,396.0,49
CDM,940493,WEDGE ACHILLES LARGE,330.0,330.0,17.49,396.0,49
CDM,940495,SCREW BN 3.5MM 30MM,320.0,320.0,16.96,384.0,20
CDM,940496,SCREW BN 3.0X22MM,314.0,314.0,16.64,376.8,20
CDM,940497,SCREW BN 3.0X26MM,314.0,314.0,16.64,376.8,20
CDM,940498,BIT DRILL CANN AO QC 2.0,2691.0,2691.0,142.62,3229.2,49
CDM,940499,CATH BLNDL 7X220MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,940509,SCREW SPN 5.5MM 45MM,900.0,900.0,47.7,1080.0,20
CDM,940510,ANCH HYBRD KN,1050.0,1050.0,55.65,1260.0,20
CDM,940521,ANCHOR SUT ACH 3.9MM,6390.0,6390.0,338.67,7668.0,20
CDM,940612,CATH BLN 3.5X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,940629,CATHETER EMBL 3FR 40CM,1331.0,1331.0,70.54,1597.2,49
CDM,940634,CATH ANGIO 5FR 100CM,397.0,397.0,21.04,476.4,49
CDM,940638,KNIFE OPTH 1.2MM,423.0,423.0,22.42,507.6,49
CDM,940642,BIT DRILL DISP 7.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,940649,CMPNT ELB 2.5MM 53MM,7639.0,7639.0,404.87,9166.8,20
CDM,940650,CMPNT ELB 3.5MM 84MM,7424.0,7424.0,393.47,8908.8,20
CDM,940651,CMPNT HUM HEX XS,2934.0,2934.0,155.5,3520.8,20
CDM,940655,SCREW BN 8MM 140MM 46MM,382.0,382.0,20.25,458.4,20
CDM,940658,SCREW BN 2.4MM 26MM,73.0,73.0,3.87,87.6,20
CDM,940659,SCREW BN 2.4MM 40MM,73.0,73.0,3.87,87.6,20
CDM,940660,SCREW BN 2.4MM 36MM,73.0,73.0,3.87,87.6,20
CDM,940661,SCREW BN 2.4MM 7MM,238.0,238.0,12.61,285.6,20
CDM,940696,SCREW BN 3.5MM 22MM,590.0,590.0,31.27,708.0,20
CDM,940731,INSTRUMENT PCK ORTH DISP,2564.0,2564.0,135.89,3076.8,49
CDM,940755,HEAD HUM 20MM 54MM SHLDR,2200.0,2200.0,116.6,2640.0,20
CDM,940757,NAIL BN FEM 13MM 24CM,2398.0,2398.0,127.09,2877.6,20
CDM,940761,CMPNT HUM ELB 150X4MM,7628.0,7628.0,404.28,9153.6,20
CDM,940772,SCREW BN 1.5MM 7MM,111.0,111.0,5.88,133.2,20
CDM,940780,IMPLANT DEVICE FX,1710.0,1710.0,90.63,2052.0,20
CDM,940786,SCREW BN 2.0MM 24MM,2732.0,2732.0,144.8,3278.4,20
CDM,940799,COMP FEM KN LT SZ8,3600.0,3600.0,190.8,4320.0,20
CDM,940807,PLATE BN LT 13H 167MM,4102.0,4102.0,217.41,4922.4,20
CDM,940843,LINER ACTB HIP 48X36MM,1100.0,1100.0,58.3,1320.0,20
CDM,940844,SHELL ACTB HIP 3H 48MM,2000.0,2000.0,106.0,2400.0,20
CDM,940859,PACK SCREWDRIVER 4MM,2564.0,2564.0,135.89,3076.8,49
CDM,940862,KIT W/MILL-BLADES FINE,15947.0,15947.0,845.19,19136.4,49
CDM,940866,PLATE BN 10H 3.5MM 110MM,1049.0,1049.0,55.6,1258.8,20
CDM,940867,PLATE BN RT 6H 4.5X143MM,5698.0,5698.0,301.99,6837.6,20
CDM,940868,SYSTEM ANCHOR SUTURE,5190.0,5190.0,275.07,6228.0,20
CDM,940903,SCREW BN 3.5MM 22MM,320.0,320.0,16.96,384.0,20
CDM,940914,CATH BLNDIL 3.75MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,940915,CATH BLNDIL 4MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,940917,CATH BLNDIL 4.5MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,940918,CATH BLNDIL 5MM 8MM,2564.0,2564.0,135.89,3076.8,49
CDM,940919,CATH BLNDIL 3.75MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,940920,CATH BLNDIL 4MM 12MM,2564.0,2564.0,135.89,3076.8,49
CDM,940921,CATH BLNDIL 3.75MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,940922,CATH BLNDIL 4MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,940923,CATH BLNDIL 5MM 15MM,2564.0,2564.0,135.89,3076.8,49
CDM,940924,CATH BLNDIL 3.5MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,940925,CATH BLNDIL 3.75MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,940926,CATH BLNDIL 4MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,940928,CATH BLNDIL 4.5MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,940929,CATH BLNDIL 5MM 20MM,2564.0,2564.0,135.89,3076.8,49
CDM,940935,COIL EMBL CRV X-SFT 8X4,4410.0,4410.0,233.73,5292.0,20
CDM,940940,ROD SPN CRV 5.5MM 70MM,360.0,360.0,19.08,432.0,20
CDM,940941,SCREW BN SPN 7.5MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,940946,KIT KNIFE AND GUIDE,2564.0,2564.0,135.89,3076.8,49
CDM,940947,CAGE SPN 55L 18WX10H 8D,6000.0,6000.0,318.0,7200.0,20
CDM,940965,CATH BLNDIL 3.5MM 30MM,2564.0,2564.0,135.89,3076.8,49
CDM,940969,CATH BLNDIL 3.75MM 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,940971,CATH BLNDIL 4MM 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,940977,CATH BLNDIL 5MM 6MM,2564.0,2564.0,135.89,3076.8,49
CDM,940986,CATH BALLOON 8FR 95CM,13601.0,13601.0,720.85,16321.2,49
CDM,941011,KIT ANCHOR BN KNTLS,1980.0,1980.0,104.94,2376.0,20
CDM,941012,ANCHOR BN ACHILLES 3.9MM,6051.0,6051.0,320.7,7261.2,20
CDM,941024,SCREW BN 8MM 70MM 25MM,356.0,356.0,18.87,427.2,20
CDM,941047,PLATE MXCRNFCL 6,20539.0,20539.0,1088.57,24646.8,20
CDM,941048,IMPLANT BREAST 130CC,2050.0,2050.0,108.65,2460.0,20
CDM,941052,NAIL BN FEM 13MM 44CM,2398.0,2398.0,127.09,2877.6,20
CDM,941074,SCREW BN 6.7MM 100MM,500.0,500.0,26.5,600.0,20
CDM,941077,BSCP DISP SLIM 3.8/1.2,4147.0,4147.0,219.79,4976.4,49
CDM,941091,SCREW BN 2.3MM 8MM,135.0,135.0,7.16,162.0,20
CDM,941095,PROTECTOR NERVE HA,7472.0,7472.0,396.02,8966.4,20
CDM,941121,BEARING HIP SZE 28X42MM,1500.0,1500.0,79.5,1800.0,20
CDM,941123,PLATE BN 4.5MM 161MM,5243.0,5243.0,277.88,6291.6,20
CDM,941126,PIN 3.5MM 14MM,2801.0,2801.0,148.45,3361.2,49
CDM,941130,PLATE BN LT 10HOLE,1785.0,1785.0,94.61,2142.0,20
CDM,941138,SPACER SPN 7D 18X15X9MM,3800.0,3800.0,201.4,4560.0,20
CDM,941145,INSERT TIB KN SZ5-6 9MM,1235.0,1235.0,65.45,1482.0,20
CDM,941148,MESH HRN PP 12X10IN,1920.0,1920.0,101.76,2304.0,20
CDM,941154,SCREW BN 4MM 30MM,974.0,974.0,51.62,1168.8,20
CDM,941162,PROTECTOR NRV HA+4CM 8CM,10172.0,10172.0,539.12,12206.4,20
CDM,941192,BASEPLATE TIB KN 0DG SZH,2200.0,2200.0,116.6,2640.0,20
CDM,941198,IMPLANT KNTLS BTN SYS,1925.0,1925.0,102.03,2310.0,20
CDM,941211,SCREW BN 3.5MM 26MM,320.0,320.0,16.96,384.0,20
CDM,941214,SCREW SPN 3.5MM 18MM,150.0,150.0,7.95,180.0,20
CDM,941216,DRILL SRG TWST FLX 1.8MM,2564.0,2564.0,135.89,3076.8,49
CDM,941217,SCREW BN CORT 2X20MM,231.0,231.0,12.24,277.2,20
CDM,941225,INTRBDY SPN 33X12X25MM,8670.0,8670.0,459.51,10404.0,20
CDM,941229,SCREW SPN 5.0X25.0MM,150.0,150.0,7.95,180.0,20
CDM,941236,INSERT TIB SZ5-6 11MM,1235.0,1235.0,65.45,1482.0,20
CDM,941241,SCREW BN 3.5MM 24MM,326.0,326.0,17.28,391.2,20
CDM,941242,SCREW BN 3.5MM 34MM,326.0,326.0,17.28,391.2,20
CDM,941250,SCREW BN 4.5MM 45MM,660.0,660.0,34.98,792.0,20
CDM,941251,PLATE BN SINUS LT SML,3000.0,3000.0,159.0,3600.0,20
CDM,941255,BASEPLATE TIB KN LT SZD,2200.0,2200.0,116.6,2640.0,20
CDM,941260,COMPNT FEM KN SZ6,3600.0,3600.0,190.8,4320.0,20
CDM,941264,SCREW BN HDLSS 2.3X40MM,1700.0,1700.0,90.1,2040.0,20
CDM,941278,IMPLANT BN ANCHOR SYS,990.0,990.0,52.47,1188.0,20
CDM,941288,SCREW BN 4.5MM 42MM,238.0,238.0,12.61,285.6,20
CDM,941289,PLATE BN 4.5MM 233MM,6158.0,6158.0,326.37,7389.6,20
CDM,941292,PLATE SPN 2LVL 1.9H 44MM,1900.0,1900.0,100.7,2280.0,20
CDM,941330,LINER HUM SHLDR 36+0MM,1400.0,1400.0,74.2,1680.0,20
CDM,941355,PLATE BN HUM 5H 100MM,2814.0,2814.0,149.14,3376.8,20
CDM,941356,SCREW BN CMPR MALE 55MM,316.0,316.0,16.75,379.2,20
CDM,941357,PLATE BN 138X3.5MM 10HL,3248.0,3248.0,172.14,3897.6,20
CDM,941378,TRAY CATH PVC UMB 3.5-5F,2014.0,2014.0,106.74,2416.8,49
CDM,941383,SCREW BN HDLS 3.5X12MM,642.0,642.0,34.03,770.4,20
CDM,941389,K-WIRE CALIBRATED 1.35MM,1583.0,1583.0,83.9,1899.6,49
CDM,941408,SCREW BN 7MM 90MM 36MM,830.0,830.0,43.99,996.0,20
CDM,941412,CATH VASC US 3FR 135CM,5941.0,5941.0,314.87,7129.2,49
CDM,941429,SCREW CMPRSN 3.5X24MM,590.0,590.0,31.27,708.0,20
CDM,941434,SCREW BN 3MM 12MM,300.0,300.0,15.9,360.0,20
CDM,941436,SCREW BN 3.5MM 50MM,452.0,452.0,23.96,542.4,20
CDM,941437,SCREW BN 3.5MM 55MM,452.0,452.0,23.96,542.4,20
CDM,941448,SCREW BN 3.0MM 14MM,314.0,314.0,16.64,376.8,20
CDM,941454,PIN BN 5.5X150MM,2564.0,2564.0,135.89,3076.8,49
CDM,941455,PLATE BN SINUS RT SM,3000.0,3000.0,159.0,3600.0,20
CDM,941456,BIT DRILL 3.6MM,3345.0,3345.0,177.28,4014.0,49
CDM,941457,SCREW BN 5.5MM 70MM,530.0,530.0,28.09,636.0,20
CDM,941471,SYSTEM VAR VEIN CLOSURE,18731.0,18731.0,992.74,22477.2,49
CDM,941474,SCREW BN HD 3.5MM 18MM,300.0,300.0,15.9,360.0,20
CDM,941475,SCREW BN 3.5MM 28MM,320.0,320.0,16.96,384.0,20
CDM,941476,PLATE BN LT 14HL 257MM,5698.0,5698.0,301.99,6837.6,20
CDM,941487,STENT ENDO 6FR 135CM,5720.0,5720.0,303.16,6864.0,20
CDM,941488,STENT ENDO 6FR 135CM,5864.0,5864.0,310.79,7036.8,20
CDM,941490,STENT ENDO 7FR 135CM,5864.0,5864.0,310.79,7036.8,20
CDM,941491,STENT ENDO 7FR 135CM,5864.0,5864.0,310.79,7036.8,20
CDM,941492,STENT ENDO 7FR 135CM,5864.0,5864.0,310.79,7036.8,20
CDM,941500,BIT DRILL 1.6MM 19MM,2564.0,2564.0,135.89,3076.8,49
CDM,941507,HEMOSTAT ABS 2X14IN,5941.0,5941.0,314.87,7129.2,49
CDM,941509,HEMOSTAT ABS 2IN 3IN,4346.0,4346.0,230.34,5215.2,49
CDM,941514,CATH ATHRCM STRL 1.75MM,2525.0,2525.0,133.82,3030.0,49
CDM,941528,ANCH SUT 6.5X32MM,500.0,500.0,26.5,600.0,20
CDM,941529,ANCH SUT 6.5X28MM,500.0,500.0,26.5,600.0,20
CDM,941530,TEMPLATE TIB KN HNG PIN,2564.0,2564.0,135.89,3076.8,49
CDM,941542,SCREW BN 5.5MM 40MM,1590.0,1590.0,84.27,1908.0,20
CDM,941552,SLITTLER CATH DISP,1319.0,1319.0,69.91,1582.8,49
CDM,941558,SCREW BN 5.5MM 75MM,530.0,530.0,28.09,636.0,20
CDM,941559,SCREW BN 5.5MM 65MM,580.0,580.0,30.74,696.0,20
CDM,941567,DILATOR ESOPHAGEAL 5MM,2387.0,2387.0,126.51,2864.4,49
CDM,941568,DILATOR ESOPHAGEAL 6MM,2387.0,2387.0,126.51,2864.4,49
CDM,941569,DILATOR ESOPHAGEAL 8MM,2387.0,2387.0,126.51,2864.4,49
CDM,941570,DILATOR ESOPHAGEAL 10MM,2387.0,2387.0,126.51,2864.4,49
CDM,941571,DILATOR ESOPHAGEAL 13MM,2387.0,2387.0,126.51,2864.4,49
CDM,941572,DILATOR ESOPHAGEAL 15MM,2387.0,2387.0,126.51,2864.4,49
CDM,941573,DILATOR ESOPHAGEAL 17MM,2387.0,2387.0,126.51,2864.4,49
CDM,941574,DILATOR ESOPHAGEAL 19MM,2387.0,2387.0,126.51,2864.4,49
CDM,941589,NAIL BN 130D 170MM 10MM,2470.0,2470.0,130.91,2964.0,20
CDM,941594,NAIL BN 125D 12X400MM,3266.0,3266.0,173.1,3919.2,20
CDM,941640,MESH SURG PERF CNTOR MED,13146.0,13146.0,696.74,15775.2,20
CDM,941641,MESH SURG PERF CNTOR SM,7668.0,7668.0,406.4,9201.6,20
CDM,941663,SCREW BN STNLS 2.0X40MM,2700.0,2700.0,143.1,3240.0,20
CDM,941670,SCREW BN 3.5MM 38MM,852.0,852.0,45.16,1022.4,20
CDM,941674,SPACER SPN 26X34MM 11MM,8670.0,8670.0,459.51,10404.0,20
CDM,941675,SPACER SPN 8D 11X24X30MM,8670.0,8670.0,459.51,10404.0,20
CDM,941678,PEG FX N-LCK 2.7MM 30MM,212.0,212.0,11.24,254.4,20
CDM,941680,SCREW BN 4MM 24MM,180.0,180.0,9.54,216.0,20
CDM,941693,ROD SPN TI 4.0X085MM,360.0,360.0,19.08,432.0,20
CDM,941694,KIT BLN 8G 15MM,7611.0,7611.0,403.38,9133.2,49
CDM,941758,PLATE BN 5TH MTRSL RT,2200.0,2200.0,116.6,2640.0,20
CDM,941770,INSERT ARTC KN 3-5 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,941781,ROD SPN CRV 5.5MM 50MM,360.0,360.0,19.08,432.0,20
CDM,941825,SCREW BN CMPR 4.5MM 35MM,660.0,660.0,34.98,792.0,20
CDM,941831,IMPLANT FX CURVED,1100.0,1100.0,58.3,1320.0,20
CDM,941833,PLATE BN FEM 3.5MM 4.5MM,11460.0,11460.0,607.38,13752.0,20
CDM,941834,SCREW BN 5.7MM 25MM,627.0,627.0,33.23,752.4,20
CDM,941835,SCREW BN 5.7MM 30MM,627.0,627.0,33.23,752.4,20
CDM,941847,CAGE SPN 55X18X10MM,6000.0,6000.0,318.0,7200.0,20
CDM,941857,CAGE SPNL 55X18X10MM,6000.0,6000.0,318.0,7200.0,20
CDM,941861,PLATE SPNE THORLMBR 67MM,3000.0,3000.0,159.0,3600.0,20
CDM,941862,PLATE SPN 70MM,3000.0,3000.0,159.0,3600.0,20
CDM,941863,PIN FX SPNE TEMP THRD,942.0,942.0,49.93,1130.4,49
CDM,941864,PIN FX SPNE TEMP SMTH,942.0,942.0,49.93,1130.4,49
CDM,941867,CAP NERVE PROT 3X15MM,4082.0,4082.0,216.35,4898.4,20
CDM,941897,COMP FEM KN LT SZ7,3600.0,3600.0,190.8,4320.0,20
CDM,941923,PLATE BN LT 5H 3.5X81MM,1570.0,1570.0,83.21,1884.0,20
CDM,941924,PLATE BN 3.5X117MM 8HL,2557.0,2557.0,135.52,3068.4,20
CDM,941925,CMPNT ELB RT 4X115MM,8403.0,8403.0,445.36,10083.6,20
CDM,941936,DEVICE CLSR 20MM,34000.0,34000.0,1802.0,40800.0,20
CDM,941937,DEVICE CLSR 24MM,34000.0,34000.0,1802.0,40800.0,20
CDM,941938,DEVICE CLSR 27MM,34000.0,34000.0,1802.0,40800.0,20
CDM,941941,DEVICE CLSR 31MM,34000.0,34000.0,1802.0,40800.0,20
CDM,941942,DEVICE CLSR 35MM,34000.0,34000.0,1802.0,40800.0,20
CDM,941943,DEVICE CLSR 40MM,34000.0,34000.0,1802.0,40800.0,20
CDM,941952,SCREW BN 3.5MM 17MM,642.0,642.0,34.03,770.4,20
CDM,941953,SCREW BN 3.5MM 15MM,642.0,642.0,34.03,770.4,20
CDM,941954,SCREW BN SPN 5.5MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,941961,STENT GRAFT 16X10X199MM,8230.0,8230.0,436.19,9876.0,20
CDM,941963,PLATE BN ORT VAR 11MM,2461.0,2461.0,130.43,2953.2,20
CDM,941964,CMPNT HUM ELB 5MM 100MM,7628.0,7628.0,404.28,9153.6,20
CDM,941979,SCREW BN 3.5MM 24MM,320.0,320.0,16.96,384.0,20
CDM,942001,SCREW SPN 4MM 16MM,150.0,150.0,7.95,180.0,20
CDM,942003,CAGE SPN 7D 12X14X7MM,1600.0,1600.0,84.8,1920.0,20
CDM,942014,SCREW SPN FXD STP 3.5X15,150.0,150.0,7.95,180.0,20
CDM,942027,STENT EPRSTH 24F 34MM,64000.0,64000.0,3392.0,76800.0,20
CDM,942028,STENT EPRSTH 8X12MM 6CM,15600.0,15600.0,826.8,18720.0,20
CDM,942037,SCREW BN 3MM 20MM,328.0,328.0,17.38,393.6,20
CDM,942038,GWIRE VASC 260CM .038IN,416.0,416.0,22.05,499.2,49
CDM,942039,HEAD HUM NTRL 46MM 18MM,2420.0,2420.0,128.26,2904.0,20
CDM,942040,CMPTN SHLDR SZ1 18MM,6100.0,6100.0,323.3,7320.0,20
CDM,942048,GLNSPHR HUM SHLDR 36+8MM,1800.0,1800.0,95.4,2160.0,20
CDM,942050,PROTECTOR NRV HA+2CM 4CM,6560.0,6560.0,347.68,7872.0,20
CDM,942057,GLND SHLDR +0X38MM,2600.0,2600.0,137.8,3120.0,20
CDM,942058,SCREW BN 2.0MM 10MM,40.0,40.0,2.12,48.0,20
CDM,942059,SCREW BN 2MM 12MM,40.0,40.0,2.12,48.0,20
CDM,942060,NAIL FEM LT 11.5MM 42CM,3052.0,3052.0,161.76,3662.4,20
CDM,942061,SCREW BN 6.5MM 55MM,741.0,741.0,39.27,889.2,20
CDM,942062,SCREW BN 6.5MM 60MM,684.0,684.0,36.25,820.8,20
CDM,942063,SCREW BN 4.5X54MM,238.0,238.0,12.61,285.6,20
CDM,942082,PLATE BN TBLR 1/3 3.5X22,416.0,416.0,22.05,499.2,20
CDM,942084,PLATE BN 16H 367MM,12600.0,12600.0,667.8,15120.0,20
CDM,942085,SCREW BN 4.5MM 14MM,798.0,798.0,42.29,957.6,20
CDM,942086,SCREW BN 4MM 56MM,519.0,519.0,27.51,622.8,20
CDM,942088,NAIL BN LT 9X160MM,5009.0,5009.0,265.48,6010.8,20
CDM,942089,HEAD HUM 42X18MM,2200.0,2200.0,116.6,2640.0,20
CDM,942090,PLATE BN 3H LT 64MM,2461.0,2461.0,130.43,2953.2,20
CDM,942102,SCREW BN SPN 5.5MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,942103,PLATE BN CRNMXF 7 PLATES,21748.0,21748.0,1152.64,26097.6,20
CDM,942104,GUIDES BN CUT/DRILL,21299.0,21299.0,1128.85,25558.8,49
CDM,942105,PLATE BN 8MM,488.0,488.0,25.86,585.6,20
CDM,942141,TIB BASE ATTUNE RP SZ4,2546.0,2546.0,134.94,3055.2,20
CDM,942142,ANCHOR IMPL SYS 8X12MM,1438.0,1438.0,76.21,1725.6,20
CDM,942152,SCREW SPNL 6.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,942153,SCREW SPN LCKNG,100.0,100.0,5.3,120.0,20
CDM,942154,ROS SPNL 5.5X80MM YLW,360.0,360.0,19.08,432.0,20
CDM,942155,ROD SPN CRV YLW 5.5X70MM,360.0,360.0,19.08,432.0,20
CDM,942168,COMP FEM KN SZ5,3600.0,3600.0,190.8,4320.0,20
CDM,942169,COMP TIB KN RT 0D SZC,2200.0,2200.0,116.6,2640.0,20
CDM,942172,CONN SPN PRLL 5.5MM 6MM,700.0,700.0,37.1,840.0,20
CDM,942192,SCREW SPN 6.5MM 50MM,450.0,450.0,23.85,540.0,20
CDM,942219,CLAMP PIN 5 HOLE 11MM,5941.0,5941.0,314.87,7129.2,49
CDM,942220,CAGE SPN 0D 45X18X18MM,6000.0,6000.0,318.0,7200.0,20
CDM,942221,INTBDY SPN 8D 18X45X10MM,6000.0,6000.0,318.0,7200.0,20
CDM,942222,SCREW BN 65MM 120MM 46MM,382.0,382.0,20.25,458.4,20
CDM,942223,KWIRE FX 2MM 350MM,2564.0,2564.0,135.89,3076.8,49
CDM,942224,K-WIRE 2.0MM 255MM,1881.0,1881.0,99.69,2257.2,49
CDM,942226,DRILL BIT 3.7MM,5941.0,5941.0,314.87,7129.2,49
CDM,942227,PLATE BN RT 19HL 378MM,7068.0,7068.0,374.6,8481.6,20
CDM,942228,SCREW BN 4.5MM 100MM,83.0,83.0,4.4,99.6,20
CDM,942229,SCREW BN 6.5MM 80MM,798.0,798.0,42.29,957.6,20
CDM,942230,SCREW BN 6.5MM 90MM,798.0,798.0,42.29,957.6,20
CDM,942244,PIN BN 3.5MM,4281.0,4281.0,226.89,5137.2,49
CDM,942251,ICD DR MRI IS1 DF1,17670.0,17670.0,936.51,21204.0,20
CDM,942265,CATH GD 8FR 95CM,13873.0,13873.0,735.27,16647.6,49
CDM,942266,CATH BLN GD 87X95,13873.0,13873.0,735.27,16647.6,49
CDM,942289,PLATE BN 100MM,2814.0,2814.0,149.14,3376.8,20
CDM,942290,PLATE BN DIST 5H 105MM,3070.0,3070.0,162.71,3684.0,20
CDM,942291,SCREW BN 3.5X42MM,270.0,270.0,14.31,324.0,20
CDM,942299,STENT ENDO 6X29MM 135CM,5864.0,5864.0,310.79,7036.8,20
CDM,942300,CAGE SPN 6D 9X12X24MM,2000.0,2000.0,106.0,2400.0,20
CDM,942301,CAGE SPN 10.5X12X28MM,4000.0,4000.0,212.0,4800.0,20
CDM,942302,SCREW SPNL 5.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,942303,SCREW SPN 6.5X40MM,1200.0,1200.0,63.6,1440.0,20
CDM,942323,PLATE BN TIB RT 19HL,3938.0,3938.0,208.71,4725.6,20
CDM,942335,SCREW SPN 3.5MM 18MM,900.0,900.0,47.7,1080.0,20
CDM,942336,ANCHOR BN 3.9MM,5790.0,5790.0,306.87,6948.0,20
CDM,942337,SCREW SPN 8.5MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,942339,ROD SPN CRV 5.5MM 120MM,360.0,360.0,19.08,432.0,20
CDM,942341,ROD SPN STR 5.5MM 500MM,360.0,360.0,19.08,432.0,20
CDM,942343,CAGE SPN 12D 10X11X28MM,4000.0,4000.0,212.0,4800.0,20
CDM,942345,NAIL BN TIB 13MM 40CM,2398.0,2398.0,127.09,2877.6,20
CDM,942347,SCREW BN LCK 6.5MM 50MM,741.0,741.0,39.27,889.2,20
CDM,942348,SCREW BN 4.5MM 44MM,74.0,74.0,3.92,88.8,20
CDM,942354,PLATE BN 63X10.9X1.5MM,1578.0,1578.0,83.63,1893.6,20
CDM,942362,IMPLANT MOD SHLDR RT SZ1,3400.0,3400.0,180.2,4080.0,20
CDM,942377,WAND BIP 3.48MM 5IN,3739.0,3739.0,198.17,4486.8,49
CDM,942379,COMP FEM KN SZ7,3600.0,3600.0,190.8,4320.0,20
CDM,942387,PLATE BN HUM 172MM,1892.0,1892.0,100.28,2270.4,20
CDM,942388,SCREW BN 4.5MM 22MM,342.0,342.0,18.13,410.4,20
CDM,942389,SCREW BN CMPRSN 4.5X32MM,342.0,342.0,18.13,410.4,20
CDM,942390,SCREW BN LCK 4.5MM 34MM,342.0,342.0,18.13,410.4,20
CDM,942391,SCREW SPN LCK 4.5X24MM,342.0,342.0,18.13,410.4,20
CDM,942392,SCREW BN 4.5MM 40MM,290.0,290.0,15.37,348.0,20
CDM,942428,TRAY PROC EXCH TRNSF,2564.0,2564.0,135.89,3076.8,49
CDM,942432,MARKER FDCL 1.2MM 3MM,66.0,66.0,3.5,79.2,20
CDM,942433,PLATE BN ULN EXT 1HL,580.0,580.0,30.74,696.0,20
CDM,942435,COMPNT FEM KN RT SZ6,3600.0,3600.0,190.8,4320.0,20
CDM,942453,SCREW SPN 6.5NN 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,942454,ROD SPN YLW 5.5X60MM,360.0,360.0,19.08,432.0,20
CDM,942455,PLATE BN 15H 4.5MM 306MM,6613.0,6613.0,350.49,7935.6,20
CDM,942458,SCREW SPN 5.5MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,942459,SYS IMPL ANCH W/BC SWVLK,6105.0,6105.0,323.56,7326.0,20
CDM,942461,HEAD GLND SHLDR 33MM,2030.0,2030.0,107.59,2436.0,20
CDM,942467,CAGE SPN 6D 8.5X10X24MM,2000.0,2000.0,106.0,2400.0,20
CDM,942468,CAGE SPNL 28X10.5X7MM,4000.0,4000.0,212.0,4800.0,20
CDM,942478,PLATE BN ULN RT 3SLOT,1856.0,1856.0,98.37,2227.2,20
CDM,942514,CATH VASC MICRO,6995.0,6995.0,370.74,8394.0,49
CDM,942515,CATHETER MICRO 45DG,6995.0,6995.0,370.74,8394.0,49
CDM,942516,STENT GRFT 23MMX4.5CM,8498.0,8498.0,450.39,10197.6,20
CDM,942524,SHEATH STR LNG 6FR 90CM,5941.0,5941.0,314.87,7129.2,49
CDM,942525,DEVICE WIRE THRMB 5X40MM,49702.0,49702.0,2634.21,59642.4,49
CDM,942536,PIN BN 3.5MM 40MM,11736.0,11736.0,622.01,14083.2,49
CDM,942538,PLATE ULNAR PROXIMAL,2962.0,2962.0,156.99,3554.4,20
CDM,942539,K-WIRE SINGLE 1.6X127MM,377.0,377.0,19.98,452.4,49
CDM,942540,DRILL SURG DISP 3.5X40MM,3144.0,3144.0,166.63,3772.8,49
CDM,942541,DRILL SURG FULL THK CLBT,2564.0,2564.0,135.89,3076.8,49
CDM,942556,PLATE BN HUM 136MM,1662.0,1662.0,88.09,1994.4,20
CDM,942560,CAGE SPNL 39-65MM 14MM,10800.0,10800.0,572.4,12960.0,20
CDM,942561,CAGE SPN 6D 9X11X24MM,2000.0,2000.0,106.0,2400.0,20
CDM,942562,ROD SPN 5.5X45MM,360.0,360.0,19.08,432.0,20
CDM,942579,BRUSH PWR DBRD DISP LG,6964.0,6964.0,369.09,8356.8,49
CDM,942592,SCREW BN SPN 7.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,942621,SCREW BN LCK 2.4X14MM,390.0,390.0,20.67,468.0,20
CDM,942676,SCREW BN 5.5MM 80MM,874.0,874.0,46.32,1048.8,20
CDM,942677,SCREW BN 5.5MM 80MM,874.0,874.0,46.32,1048.8,20
CDM,942679,SCREW BN 4.0MM 50MM,353.0,353.0,18.71,423.6,20
CDM,942681,SCREW SPN 7.5MMX45MM,1200.0,1200.0,63.6,1440.0,20
CDM,942693,GUIDEWIRE ORTH 2.0MM,942.0,942.0,49.93,1130.4,49
CDM,942713,CAGE SPN 6D 26X9X11,4000.0,4000.0,212.0,4800.0,20
CDM,942721,SCREW BN 3.5MM 22MM,2732.0,2732.0,144.8,3278.4,20
CDM,942748,NAIL BN 8.5MM 28CM,2932.0,2932.0,155.4,3518.4,20
CDM,942749,CAP END TI HUM NAIL 10MM,228.0,228.0,12.08,273.6,20
CDM,942776,KWIRE SNGTRC 1.4MM 165MM,2299.0,2299.0,121.85,2758.8,49
CDM,942778,ROD SPN CRV 5.5X40MM,360.0,360.0,19.08,432.0,20
CDM,942798,STAPLE BN 28X17X14MM,6524.0,6524.0,345.77,7828.8,20
CDM,942803,GWIRE DBL 0.9X150MM,1097.0,1097.0,58.14,1316.4,49
CDM,942871,CATHSND 6FR 40MHZ,5941.0,5941.0,314.87,7129.2,49
CDM,942880,SCREW BN 2.5MM 22MM,530.0,530.0,28.09,636.0,20
CDM,942895,SYS NEG PRS 10X20CM,3707.0,3707.0,196.47,4448.4,49
CDM,942896,KIT SPCLTY DRS 10X30CM,3707.0,3707.0,196.47,4448.4,49
CDM,942897,DRESSING WND 10CM 40CM,3707.0,3707.0,196.47,4448.4,49
CDM,942898,ROD SPN 5.5MM 110MM,360.0,360.0,19.08,432.0,20
CDM,942912,CMPNT FEM KN LT SZ5,3600.0,3600.0,190.8,4320.0,20
CDM,942914,ANCHOR PEEK FIX 4.75MM,1550.0,1550.0,82.15,1860.0,20
CDM,942955,CAGE BN STRL 2.5-5CM,27000.0,27000.0,1431.0,32400.0,20
CDM,943004,SCREW SPN 4.5MM 35MM,1200.0,1200.0,63.6,1440.0,20
CDM,943005,SCREW POLY 4.5X30MM,1200.0,1200.0,63.6,1440.0,20
CDM,943006,SCREW SPN 5.5MM 35MM,1200.0,1200.0,63.6,1440.0,20
CDM,943013,PLATE BN 48MM 2.7MM,1296.0,1296.0,68.69,1555.2,20
CDM,943019,TAP CANN SNGL-USE 4.5MM,942.0,942.0,49.93,1130.4,49
CDM,943020,TAP BN CANN 5.5MM,942.0,942.0,49.93,1130.4,49
CDM,943021,COIL EMBL 6MM 2MM,31341.0,31341.0,1661.07,37609.2,20
CDM,943023,CONTROLLER WEB DTCHMNT,2564.0,2564.0,135.89,3076.8,49
CDM,943024,PLATE BN 2.7-3.5X120MM,2557.0,2557.0,135.52,3068.4,20
CDM,943025,PLATE BN 9HL 130MM,4477.0,4477.0,237.28,5372.4,20
CDM,943027,GWIRE VASC .018 180CM,4261.0,4261.0,225.83,5113.2,49
CDM,943029,CATH GD 95CM 6FR,3576.0,3576.0,189.53,4291.2,49
CDM,943039,ROD SPNL CRV 5.5X80MM,360.0,360.0,19.08,432.0,20
CDM,943042,STENT VASC 7MM 150MM,6790.0,6790.0,359.87,8148.0,20
CDM,943050,SCREW BN 4.5MM 36MM,1680.0,1680.0,89.04,2016.0,20
CDM,943051,PLATE BN FIB LT 10HL,1953.0,1953.0,103.51,2343.6,20
CDM,943090,NO COST IMPLANT,1.0,1.0,0.05,1.2,20
CDM,943111,SUTURE CT-1 3-0 8X18IN,2564.0,2564.0,135.89,3076.8,49
CDM,943120,PLATE BN 12H 3.5MM 266MM,3114.0,3114.0,165.04,3736.8,20
CDM,943122,SPACER SPN 8D 29X39 15MM,8670.0,8670.0,459.51,10404.0,20
CDM,943123,SET TUBING INSFL SMKEVC,5941.0,5941.0,314.87,7129.2,49
CDM,943127,KIT GUIDE CUT HUM STRL,5941.0,5941.0,314.87,7129.2,49
CDM,943128,BASEPLATE SHLDR STANDARD,2400.0,2400.0,127.2,2880.0,20
CDM,943130,SCREW BN 4.5MM 28MM,100.0,100.0,5.3,120.0,20
CDM,943131,SCREW BN 4.5MM 20MM,100.0,100.0,5.3,120.0,20
CDM,943132,SCREW BN PERI 4.5X16MM,100.0,100.0,5.3,120.0,20
CDM,943133,SCREW BN 4.5MM 24MM,100.0,100.0,5.3,120.0,20
CDM,943134,GLENOSPHERE LATERAL 32MM,2500.0,2500.0,132.5,3000.0,20
CDM,943136,GLENOSPHERE SCREW LCK,100.0,100.0,5.3,120.0,20
CDM,943137,STEM HUM LNG 36MM,5400.0,5400.0,286.2,6480.0,20
CDM,943139,SUTURE VIO BRD +2-0 18IN,566.0,566.0,30.0,679.2,49
CDM,943155,TAP CANN DISP 4.5MM,4585.0,4585.0,243.0,5502.0,49
CDM,943160,NAIL BN FEM 9X400MM,2614.0,2614.0,138.54,3136.8,20
CDM,943164,ALLODERM 327 SQCM,115031.0,115031.0,6096.64,138037.2,30
CDM,943173,SCREW BN 3.5MM 28MM,326.0,326.0,17.28,391.2,20
CDM,943174,SCREW BN LCK 3.5MM 48MM,308.0,308.0,16.32,369.6,20
CDM,943175,SCREW BN 3.5MM 36MM,326.0,326.0,17.28,391.2,20
CDM,943181,SCREW BN 3MM 18MM,464.0,464.0,24.59,556.8,20
CDM,943183,SCREW BN POLY 3X40MM,382.0,382.0,20.25,458.4,20
CDM,943187,SCREW BN LCK 3X46MM,464.0,464.0,24.59,556.8,20
CDM,943188,SCREW SPN POLY 7.5X40MM,1200.0,1200.0,63.6,1440.0,20
CDM,943189,INSRT ARTC KN 13MM,1500.0,1500.0,79.5,1800.0,20
CDM,943192,MYRIAD MATRIX 100 SQCM,6854.0,6854.0,363.26,8224.8,49
CDM,943206,BASEPLATE SHLDR 24MM,1540.0,1540.0,81.62,1848.0,20
CDM,943207,COMPNT FEM KN SZ5,3600.0,3600.0,190.8,4320.0,20
CDM,943254,INSERT TIB KN SZ8 12MM,1500.0,1500.0,79.5,1800.0,20
CDM,943256,SCREW SPNL LCK 2.7X12MM,259.0,259.0,13.73,310.8,20
CDM,943674,COIL EMBL 35CM 13MM,4860.0,4860.0,257.58,5832.0,20
CDM,943756,COMP FEM KN R SZ6,3600.0,3600.0,190.8,4320.0,20
CDM,943758,SCREW BN 2.5MM 12MM,530.0,530.0,28.09,636.0,20
CDM,943761,SHEARS LAPSCP 5MM 36CM,19097.0,19097.0,1012.14,22916.4,49
CDM,943775,PLATE BN MED RT 6H,2690.0,2690.0,142.57,3228.0,20
CDM,943815,PLATE BN LCK 13HL 169MM,1362.0,1362.0,72.19,1634.4,20
CDM,943870,PLATE BN HUM 208MM,1880.0,1880.0,99.64,2256.0,20
CDM,943878,BLADE SAW 52MM,8938.0,8938.0,473.71,10725.6,49
CDM,943912,SCREW BN CNTR 6.5X30MM,190.0,190.0,10.07,228.0,20
CDM,943915,STEM HUM SHORT 36MM,5400.0,5400.0,286.2,6480.0,20
CDM,943916,SPACER HUM SHLDR +8MM,1100.0,1100.0,58.3,1320.0,20
CDM,943917,SCREW BN LOCKING,300.0,300.0,15.9,360.0,20
CDM,943919,CATH DLV NEURO 115CM,12357.0,12357.0,654.92,14828.4,49
CDM,943920,CATH DLV NEURO 125CM,12357.0,12357.0,654.92,14828.4,49
CDM,943921,CATH DLV NEURO 115CM,12357.0,12357.0,654.92,14828.4,49
CDM,943924,COIL EMBZ .017 4.5MM 2MM,31341.0,31341.0,1661.07,37609.2,20
CDM,943969,CAGE SPN 7D 12X14X6MM,1600.0,1600.0,84.8,1920.0,20
CDM,943975,CATH MICRO 160CM .021,6995.0,6995.0,370.74,8394.0,49
CDM,943976,STENT DVTR FLW 5X17MM,26730.0,26730.0,1416.69,32076.0,20
CDM,943989,MESH HRN PP 20X16CM,4800.0,4800.0,254.4,5760.0,20
CDM,944006,ANCHOR SPN 8MM,10000.0,10000.0,530.0,12000.0,20
CDM,944011,STENT GRAFT 16X24X146MM,8230.0,8230.0,436.19,9876.0,20
CDM,944012,SCREW BN 3.0X20MM,530.0,530.0,28.09,636.0,20
CDM,944013,PLATE BN T 10HL LT 137MM,3173.0,3173.0,168.17,3807.6,20
CDM,944038,SCREW BN 2.4MM 26MM,221.0,221.0,11.71,265.2,20
CDM,944040,REAMER 8.5 MM,5941.0,5941.0,314.87,7129.2,49
CDM,944041,GWIRE ORTH 3X370MM,3242.0,3242.0,171.83,3890.4,49
CDM,944042,GWIRE ORTH 3X600MM,5174.0,5174.0,274.22,6208.8,49
CDM,944044,SCREW BN 5MM 70MM,1190.0,1190.0,63.07,1428.0,20
CDM,944045,SCREW BN LPRO 5.0X24MM,830.0,830.0,43.99,996.0,20
CDM,944047,SCREW BN 5MM 40MM,869.0,869.0,46.06,1042.8,20
CDM,944048,SCREW BN LOPRO 5.0X35MM,830.0,830.0,43.99,996.0,20
CDM,944049,BIT DRILL 4.2MM,5567.0,5567.0,295.05,6680.4,49
CDM,944062,GWIRE ORTH 1.6MM 510MM,942.0,942.0,49.93,1130.4,49
CDM,944071,GLENOSPHERE LATERAL 36MM,2500.0,2500.0,132.5,3000.0,20
CDM,944072,INSERT POLY SHLDR 36MM,1800.0,1800.0,95.4,2160.0,20
CDM,944080,HEAD HIP FEM 0D M 40MM,1300.0,1300.0,68.9,1560.0,20
CDM,944092,PLATE BN CLVCL LT MED,2170.0,2170.0,115.01,2604.0,20
CDM,944095,SHEATH TNLR SRG 12IN 9MM,4506.0,4506.0,238.82,5407.2,49
CDM,944101,PUTTY BN MTRX 10CC,3200.0,3200.0,169.6,3840.0,20
CDM,944111,STENT DVTR FLW 4X17MM,26730.0,26730.0,1416.69,32076.0,20
CDM,944120,CAGE SPN 0D 50X18X12MM,6000.0,6000.0,318.0,7200.0,20
CDM,944121,PLATE SPN 18MM 2HL,2000.0,2000.0,106.0,2400.0,20
CDM,944123,SCREW SPN 5MM 40MM,150.0,150.0,7.95,180.0,20
CDM,944125,SCREW SPN 5MM 28MM,150.0,150.0,7.95,180.0,20
CDM,944129,PLATE BN 6HL 3X56MM,1280.0,1280.0,67.84,1536.0,20
CDM,944130,PLATE BN 12H 1.0M,570.0,570.0,30.21,684.0,20
CDM,944131,PLATE BN LG STR .1MM,339.0,339.0,17.97,406.8,20
CDM,944135,CATH THROMB 5FX125CM,17837.0,17837.0,945.36,21404.4,49
CDM,944152,INSTRUMENT BN DISP THRD,2564.0,2564.0,135.89,3076.8,49
CDM,944155,SCREW SPN 4MM 18MM,150.0,150.0,7.95,180.0,20
CDM,944165,HEAD HUM SHLDR 49MM 20MM,1400.0,1400.0,74.2,1680.0,20
CDM,944169,NAIL BN 11MM 210MM,9450.0,9450.0,500.85,11340.0,20
CDM,944170,NAIL BN ANKL 11MM 240MM,9450.0,9450.0,500.85,11340.0,20
CDM,944171,SCREW BN 5X70MM,966.0,966.0,51.2,1159.2,20
CDM,944172,SCREW BN P/T 5X65MM,966.0,966.0,51.2,1159.2,20
CDM,944173,SCREW BN 5MM 20MM,644.0,644.0,34.13,772.8,20
CDM,944182,ENDCAP NAIL STANDARD,990.0,990.0,52.47,1188.0,20
CDM,944190,SCREW BN 2.7MM 24MM,252.0,252.0,13.36,302.4,20
CDM,944200,SCREW BN SPNE MOD NS,100.0,100.0,5.3,120.0,20
CDM,944226,DRESSING HYDRO 1OZ,45.0,45.0,2.38,54.0,49
CDM,944228,INSERT POLY SZ+0 36MM,1600.0,1600.0,84.8,1920.0,20
CDM,944247,DRILL BIT 3.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,944261,INSERT POLY SIZE +0 32MM,1600.0,1600.0,84.8,1920.0,20
CDM,944262,ANCHOR BN IMPLNTS 1.5,1100.0,1100.0,58.3,1320.0,20
CDM,944263,CAGE SPN 10D 25X10X33MM,8670.0,8670.0,459.51,10404.0,20
CDM,944264,COAGULATOR SUC 8FR 6IN,249.0,249.0,13.2,298.8,49
CDM,944265,PLATE META HOOK RT 5HL,2200.0,2200.0,116.6,2640.0,20
CDM,944269,ROD SPN CRV 5.5X45MM,360.0,360.0,19.08,432.0,20
CDM,944276,CATH ANGIO 5FR 80CM,580.0,580.0,30.74,696.0,49
CDM,944282,ROD SPN CRV 5.5MM 40MM,360.0,360.0,19.08,432.0,20
CDM,944302,NEEDLE PERCUTANEOUS ACCE,1426.0,1426.0,75.58,1711.2,49
CDM,944304,SCREW BN 4MM 50MM,255.0,255.0,13.52,306.0,20
CDM,944305,SCREW BN 4MM 32MM,255.0,255.0,13.52,306.0,20
CDM,944308,COIL EMBL PK 3CM,2760.0,2760.0,146.28,3312.0,20
CDM,944309,COIL EMBL PK 6CM,2760.0,2760.0,146.28,3312.0,20
CDM,944311,COIL EMBL PK 15CM,3360.0,3360.0,178.08,4032.0,20
CDM,944312,COIL EMBL PK 30CM,3840.0,3840.0,203.52,4608.0,20
CDM,944313,COIL EMBL 45CM,3840.0,3840.0,203.52,4608.0,20
CDM,944314,COIL EMBL PK 60CM,3840.0,3840.0,203.52,4608.0,20
CDM,944316,SCREW BN 4MM 70MM,255.0,255.0,13.52,306.0,20
CDM,944322,ANCHOR SUT 3.5MM,935.0,935.0,49.55,1122.0,20
CDM,944338,RELOAD STPLR BLU 80MM,161.0,161.0,8.53,193.2,20
CDM,944342,SCREW BN 4.5MM 70MM,238.0,238.0,12.61,285.6,20
CDM,944362,SCREW SPN ST 3.5X17MM,150.0,150.0,7.95,180.0,20
CDM,944369,TRAY TIB CMNT SZ1 RM/LL,3600.0,3600.0,190.8,4320.0,20
CDM,944387,PLATE BN LT 5D,3990.0,3990.0,211.47,4788.0,20
CDM,944393,SCREW BN 5.5MM 65MM,874.0,874.0,46.32,1048.8,20
CDM,944394,STAPLE BN 15MM 15MM 15MM,2932.0,2932.0,155.4,3518.4,20
CDM,944400,PLATE BN RT 3HL 59MM,1628.0,1628.0,86.28,1953.6,20
CDM,944417,COIL EMBL 4MM 8CM,3390.0,3390.0,179.67,4068.0,20
CDM,944418,COIL EMBL 3MMX6CM,3390.0,3390.0,179.67,4068.0,20
CDM,944420,SCREW BN 3.5MM 42MM,590.0,590.0,31.27,708.0,20
CDM,944423,MATRIX BN 5ML,8244.0,8244.0,436.93,9892.8,20
CDM,944424,MATRIX BN 10ML,14874.0,14874.0,788.32,17848.8,20
CDM,944433,CANNULA ORTH 450MM,7733.0,7733.0,409.85,9279.6,49
CDM,944434,INSERT TIB KN SZ3 22MM,3752.0,3752.0,198.86,4502.4,20
CDM,944435,INTERBODY SPN 50X18X8MM,6000.0,6000.0,318.0,7200.0,20
CDM,944436,BEARING TIB KN SZ2 10MM,884.0,884.0,46.85,1060.8,20
CDM,944447,PLATE BN MDSHFT 188MM,2032.0,2032.0,107.7,2438.4,20
CDM,944453,SPACER SPN 12X30X10-17,6800.0,6800.0,360.4,8160.0,20
CDM,944458,CATH UMB 5FR 34CM,675.0,675.0,35.77,810.0,49
CDM,944459,BAR EX FIX 11X600MM,4978.0,4978.0,263.83,5973.6,49
CDM,944462,KIT PRSTHS PENL ASSMBLY,5941.0,5941.0,314.87,7129.2,49
CDM,944475,CAGE SPN 28X8X9MM,4000.0,4000.0,212.0,4800.0,20
CDM,944476,CAGE SPN 15D 13X38X30MM,4000.0,4000.0,212.0,4800.0,20
CDM,944477,ROD SPN 6MM 500MM,360.0,360.0,19.08,432.0,20
CDM,944478,SCREW SPN SHNK 6.5X35MM,750.0,750.0,39.75,900.0,20
CDM,944479,SHANK SPN 5.5MM 30MM,750.0,750.0,39.75,900.0,20
CDM,944480,SHANK SPN 5.5MM 35MM,750.0,750.0,39.75,900.0,20
CDM,944481,SCREW SPN 5.5MM 35MM,900.0,900.0,47.7,1080.0,20
CDM,944482,SCREW SPN 2S 6.5X35MM,900.0,900.0,47.7,1080.0,20
CDM,944491,SHANK SPN 6.5MM 30MM,750.0,750.0,39.75,900.0,20
CDM,944492,SCREW SPN 6.5MM 30MM,900.0,900.0,47.7,1080.0,20
CDM,944495,BEARING TIB E SZ1 10MM,886.0,886.0,46.96,1063.2,20
CDM,944498,STEM HUM SHORT 41MM,5400.0,5400.0,286.2,6480.0,20
CDM,944499,SCREW BN PERI 4.5X32MM,100.0,100.0,5.3,120.0,20
CDM,944510,PLATE BN 15HL 3.5X195MM,981.0,981.0,51.99,1177.2,20
CDM,944521,STENT BILIARY 4MM 10CM,4600.0,4600.0,243.8,5520.0,20
CDM,944526,ANCHOR IMPL SYS 4.75MM,1670.0,1670.0,88.51,2004.0,20
CDM,944527,PLATE BN RT LAT 70MM,2686.0,2686.0,142.36,3223.2,20
CDM,944528,SCREW BN 3.5MM 44MM,272.0,272.0,14.42,326.4,20
CDM,944529,SCREW BN FT 4MM 30MM,180.0,180.0,9.54,216.0,20
CDM,944530,SCREW BN 4MM 4.5MM,180.0,180.0,9.54,216.0,20
CDM,944531,SCREW BN 4MM 26MM,180.0,180.0,9.54,216.0,20
CDM,944532,PLATE BN Y 7MM 66MM,2082.0,2082.0,110.35,2498.4,20
CDM,944533,KIT SUTURE LG,12466.0,12466.0,660.7,14959.2,49
CDM,944561,SUTURE ANBCTRL +4-0 18IN,138.0,138.0,7.31,165.6,49
CDM,944593,SCREW BN CMPR 4.5X26MM,660.0,660.0,34.98,792.0,20
CDM,944595,PLATE BN RT 6H 3.5X98MM,1845.0,1845.0,97.78,2214.0,20
CDM,944596,CAGE SPN 10D 10X36X31MM,8670.0,8670.0,459.51,10404.0,20
CDM,944607,SCREW BN 2MM 8MM,368.0,368.0,19.5,441.6,20
CDM,944608,PLATE BN ULN LT 5 SLOT,2118.0,2118.0,112.25,2541.6,20
CDM,944609,SCREW SPN 5.5MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,944620,ROD SPNL TI 5.5X100MM,360.0,360.0,19.08,432.0,20
CDM,944621,CAGE SPN 6D 28X10.5X8MM,4000.0,4000.0,212.0,4800.0,20
CDM,944628,BURR SURG 7.5MM,3201.0,3201.0,169.65,3841.2,49
CDM,944630,CUTTER ENDO LINEAR 60MM,1432.0,1432.0,75.9,1718.4,49
CDM,944631,CUTTER ENDO LINEAR 80MM,2149.0,2149.0,113.9,2578.8,49
CDM,944642,STENT BILIARY 8MM 10CM,4600.0,4600.0,243.8,5520.0,20
CDM,944643,KIT LO PRFL COMP SHTH 7F,194300.0,194300.0,10297.9,233160.0,49
CDM,944654,BLADE BN MILL MED,5941.0,5941.0,314.87,7129.2,49
CDM,944672,BIT DRL SHRT DISP 3.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,944675,CUTTER ENDO LINEAR 60MM,109.0,109.0,5.78,130.8,20
CDM,944676,CUTTER ENDO LINEAR 60MM,109.0,109.0,5.78,130.8,20
CDM,944677,CUTTER ENDO LINEAR 80MM,161.0,161.0,8.53,193.2,20
CDM,944690,INSERT HIP F 0D 40MM,1500.0,1500.0,79.5,1800.0,20
CDM,944691,SCREW SPN 5.5MM 45MM,900.0,900.0,47.7,1080.0,20
CDM,944696,BASEPLATE TIB KN SZ3,2546.0,2546.0,134.94,3055.2,20
CDM,944699,REAMER ORTH DISP SMALL,4087.0,4087.0,216.61,4904.4,49
CDM,944708,KIT BONE TAMP,22995.0,22995.0,1218.73,27594.0,49
CDM,944725,SUTURE 5-0 BLUE RB-1,159.0,159.0,8.43,190.8,49
CDM,944726,PLATE BN HUM LT 3H,3593.0,3593.0,190.43,4311.6,20
CDM,944727,SCREW BN 3.5MM 26MM,230.0,230.0,12.19,276.0,20
CDM,944728,SCREW BN CORT 3.5MM 32MM,230.0,230.0,12.19,276.0,20
CDM,944729,SCREW BN INJ 3.5X39MM,717.0,717.0,38.0,860.4,20
CDM,944730,SCREW BN INJ 3.5X42MM,717.0,717.0,38.0,860.4,20
CDM,944731,PLATE BN TIB 20HL 370MM,3100.0,3100.0,164.3,3720.0,20
CDM,944733,POST BN MED 30D 4MM 20MM,2436.0,2436.0,129.11,2923.2,20
CDM,944734,SCREW BN 45D 4X16MM,2436.0,2436.0,129.11,2923.2,20
CDM,944735,SCREW BN CANN 3X20MM,780.0,780.0,41.34,936.0,20
CDM,944737,STEM FEM HIP SZ15 190MM,8364.0,8364.0,443.29,10036.8,20
CDM,944738,COIL EMBL 2.5MM 4CM,3390.0,3390.0,179.67,4068.0,20
CDM,944739,COIL EMBL 3MMX6CM,3390.0,3390.0,179.67,4068.0,20
CDM,944744,SCREW BN INJ 3.5X45MM,717.0,717.0,38.0,860.4,20
CDM,944745,SCREW BN INJ 3.5X48MM,717.0,717.0,38.0,860.4,20
CDM,944750,CATH BLNDIL 2MM 12MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944754,SCREW PERI 4.5X36MM,100.0,100.0,5.3,120.0,20
CDM,944773,COIL EMBL 1MM 2CM,3390.0,3390.0,179.67,4068.0,20
CDM,944774,COIL EMBL 1MM 3CM,3390.0,3390.0,179.67,4068.0,20
CDM,944775,COIL EMBL 1.5MM 2CM,3390.0,3390.0,179.67,4068.0,20
CDM,944776,COIL EMBL 1.5MM 3CM,3390.0,3390.0,179.67,4068.0,20
CDM,944777,COIL EMBL 1.5MM 4CM,3390.0,3390.0,179.67,4068.0,20
CDM,944778,COIL EMBL 2MM 3CM,3390.0,3390.0,179.67,4068.0,20
CDM,944779,COIL EMBL 2MM 4CM,3390.0,3390.0,179.67,4068.0,20
CDM,944780,COIL EMBL 2MMX4CM,3390.0,3390.0,179.67,4068.0,20
CDM,944781,COIL EMBL 2.5MM 6CM,3390.0,3390.0,179.67,4068.0,20
CDM,944782,COIL EMBL 3MM 4CM,3390.0,3390.0,179.67,4068.0,20
CDM,944783,COIL EMBL 3MMX8CM,3390.0,3390.0,179.67,4068.0,20
CDM,944784,COIL EMBL 3MMX10CM,3390.0,3390.0,179.67,4068.0,20
CDM,944785,COIL EMBL 4MM 6CM,3390.0,3390.0,179.67,4068.0,20
CDM,944786,COIL EMBL 4MM 10CM,3390.0,3390.0,179.67,4068.0,20
CDM,944787,COIL EMBL 5MM 10CM,3390.0,3390.0,179.67,4068.0,20
CDM,944788,COIL EMBL 2.5MM 5CM,3390.0,3390.0,179.67,4068.0,20
CDM,944789,COIL EMBL 3.0MM 4CM,3390.0,3390.0,179.67,4068.0,20
CDM,944790,COIL EMBL 3MM 6CM,3390.0,3390.0,179.67,4068.0,20
CDM,944791,COIL EMBL 3.5MM 6CM,3390.0,3390.0,179.67,4068.0,20
CDM,944792,COIL EMBL 4MM 7CM,3390.0,3390.0,179.67,4068.0,20
CDM,944793,COIL EMBL 4MM 13CM,3390.0,3390.0,179.67,4068.0,20
CDM,944794,COIL EMBL 5MM 8CM,3390.0,3390.0,179.67,4068.0,20
CDM,944795,COIL EMBL 5MM 10CM,3390.0,3390.0,179.67,4068.0,20
CDM,944796,COIL EMBL 5MM 17CM,3390.0,3390.0,179.67,4068.0,20
CDM,944797,COIL EMBL 6.0X11CM,3390.0,3390.0,179.67,4068.0,20
CDM,944798,COIL EMBL 6.0X20CM,3390.0,3390.0,179.67,4068.0,20
CDM,944799,COIL EMBL 7MM 13CM,3390.0,3390.0,179.67,4068.0,20
CDM,944800,COIL EMBL 7MM 24CM,3390.0,3390.0,179.67,4068.0,20
CDM,944801,COIL EMBL 8.0X16CM,3390.0,3390.0,179.67,4068.0,20
CDM,944802,COIL EMBL 8MM 27CM,3390.0,3390.0,179.67,4068.0,20
CDM,944803,COIL EMBL 9MM 30CM,3390.0,3390.0,179.67,4068.0,20
CDM,944804,COIL EMBL 10MM 27CM,3390.0,3390.0,179.67,4068.0,20
CDM,944805,COIL EMBL 2MMX4CM,3390.0,3390.0,179.67,4068.0,20
CDM,944806,COIL EMBL 2MMX6CM,3390.0,3390.0,179.67,4068.0,20
CDM,944807,COIL EMBL 3MMX8CM,3390.0,3390.0,179.67,4068.0,20
CDM,944808,COIL EMBL 4MMX6CM,3390.0,3390.0,179.67,4068.0,20
CDM,944809,COIL EMBL 4MMX10CM,3390.0,3390.0,179.67,4068.0,20
CDM,944810,COIL EMBL 4MMX15CM,3390.0,3390.0,179.67,4068.0,20
CDM,944811,COIL EMBL 5MMX10CM,3390.0,3390.0,179.67,4068.0,20
CDM,944812,COIL EMBL 5MMX15CM,3390.0,3390.0,179.67,4068.0,20
CDM,944813,COIL EMBL 5MMX20CM,3390.0,3390.0,179.67,4068.0,20
CDM,944814,COIL EMBL 6MMX10CM,3390.0,3390.0,179.67,4068.0,20
CDM,944815,COIL EMBL 6MMX15CM,3390.0,3390.0,179.67,4068.0,20
CDM,944816,COIL EMBL 6MMX20CM,3390.0,3390.0,179.67,4068.0,20
CDM,944817,COIL EMBL 7MMX15CM,3390.0,3390.0,179.67,4068.0,20
CDM,944818,COIL EMBL 7MM 20CM,3390.0,3390.0,179.67,4068.0,20
CDM,944819,COIL EMBL 7MM 30CM,3390.0,3390.0,179.67,4068.0,20
CDM,944820,COIL EMBL 8MM 20CM,3390.0,3390.0,179.67,4068.0,20
CDM,944821,COIL EMBL 8MM 30CM,3390.0,3390.0,179.67,4068.0,20
CDM,944822,COIL EMBL 9MM 30CM,3390.0,3390.0,179.67,4068.0,20
CDM,944823,COIL EMBL 10MM 30CM,3390.0,3390.0,179.67,4068.0,20
CDM,944824,COIL EMBL 4MM 8CM,2590.0,2590.0,137.27,3108.0,20
CDM,944825,COIL EMBL 5MM 10CM,2590.0,2590.0,137.27,3108.0,20
CDM,944826,COIL EMBL 1MM 1CM,3590.0,3590.0,190.27,4308.0,20
CDM,944827,COIL EMBL 1MM 2CM,3590.0,3590.0,190.27,4308.0,20
CDM,944828,COIL EMBL 1MM 3CM,3590.0,3590.0,190.27,4308.0,20
CDM,944829,COIL EMBL 1MM 4CM,3590.0,3590.0,190.27,4308.0,20
CDM,944830,COIL EMBL SYSTEM,3590.0,3590.0,190.27,4308.0,20
CDM,944831,COIL EMBL 1.5MM 2CM,3590.0,3590.0,190.27,4308.0,20
CDM,944832,COIL EMBL 1.5MM 3CM,3590.0,3590.0,190.27,4308.0,20
CDM,944833,COIL EMBL 1.5MM 4CM,3590.0,3590.0,190.27,4308.0,20
CDM,944834,COIL EMBL 1.5MM 2CM,3590.0,3590.0,190.27,4308.0,20
CDM,944835,COIL EMBL 2MM 2CM,3590.0,3590.0,190.27,4308.0,20
CDM,944836,COIL EMBL 2MM 3CM,3590.0,3590.0,190.27,4308.0,20
CDM,944837,COIL EMBL 2.0MM 4CM,3590.0,3590.0,190.27,4308.0,20
CDM,944838,COIL EMBL 2MM 6CM,3590.0,3590.0,190.27,4308.0,20
CDM,944839,COIL EMBL 2.5MM 4CM,3590.0,3590.0,190.27,4308.0,20
CDM,944840,COIL EMBL 2.5MM 6CM,3590.0,3590.0,190.27,4308.0,20
CDM,944841,COIL EMBL 3MM 6CM,3590.0,3590.0,190.27,4308.0,20
CDM,944842,COIL EMBL 3MM 8CM,3590.0,3590.0,190.27,4308.0,20
CDM,944843,COIL EMBL 10CM 4.0MM,3590.0,3590.0,190.27,4308.0,20
CDM,944844,COIL EMBL 5MM 10CM,3590.0,3590.0,190.27,4308.0,20
CDM,944845,COIL EMBL 6MM 16CM,3790.0,3790.0,200.87,4548.0,20
CDM,944846,COIL EMBL 7MM 19CM,3790.0,3790.0,200.87,4548.0,20
CDM,944847,COIL EMBL 8MM 27CM,3790.0,3790.0,200.87,4548.0,20
CDM,944848,COIL EMBL 9MM 30CM,3790.0,3790.0,200.87,4548.0,20
CDM,944849,COIL EMBL 10MM 34CM,3790.0,3790.0,200.87,4548.0,20
CDM,944850,COIL EMBL 11MM 37CM,3790.0,3790.0,200.87,4548.0,20
CDM,944851,COIL EMBL 12MM 40CM,3790.0,3790.0,200.87,4548.0,20
CDM,944852,COIL EMBL 13MM 43CM,3790.0,3790.0,200.87,4548.0,20
CDM,944853,COIL EMBL 14MM 47CM,3790.0,3790.0,200.87,4548.0,20
CDM,944854,COIL EMBL 15MM 50CM,3790.0,3790.0,200.87,4548.0,20
CDM,944855,COIL EMBL 16MM 50CM,3790.0,3790.0,200.87,4548.0,20
CDM,944856,COIL EMBL 18MM 50CM,3790.0,3790.0,200.87,4548.0,20
CDM,944857,COIL EMBL 20MM 50CM,3790.0,3790.0,200.87,4548.0,20
CDM,944858,COIL EMBL 22MM 50CM,3790.0,3790.0,200.87,4548.0,20
CDM,944859,COIL EMBL 25CM 50CM,3790.0,3790.0,200.87,4548.0,20
CDM,944860,COIL EMBL 25MM 60CM,3790.0,3790.0,200.87,4548.0,20
CDM,944861,CATH THRMB ASP 5F 115CM,12396.0,12396.0,656.99,14875.2,49
CDM,944862,CATH THRMB 5FR 131CM,17837.0,17837.0,945.36,21404.4,49
CDM,944863,CATH THRMB ASP 6F 115CM,12396.0,12396.0,656.99,14875.2,49
CDM,944864,CATH THRMB ASP 6F 125CM,17837.0,17837.0,945.36,21404.4,49
CDM,944865,CATH THROMB 6FX131CM,17837.0,17837.0,945.36,21404.4,49
CDM,944866,DEVICE WIRE THROMB 3MM,49702.0,49702.0,2634.21,59642.4,49
CDM,944867,DEVICE WIRE THROMB 4MM,49702.0,49702.0,2634.21,59642.4,49
CDM,944868,DEVICE WIRE THRMB 4X20MM,49702.0,49702.0,2634.21,59642.4,49
CDM,944869,DEVICE WIRE THRMB 6X30MM,49702.0,49702.0,2634.21,59642.4,49
CDM,944870,SHEATH 6FR STR LNG 80CM,5941.0,5941.0,314.87,7129.2,49
CDM,944871,SHEATH 6FR MULTI 100CM,5941.0,5941.0,314.87,7129.2,49
CDM,944872,CATH ANGIO 90DG,6995.0,6995.0,370.74,8394.0,49
CDM,944878,CAGE SPN 50LX18WX12H 8D,6000.0,6000.0,318.0,7200.0,20
CDM,944889,PLATE SPN CERV 3LVL 51MM,1900.0,1900.0,100.7,2280.0,20
CDM,944890,DRILL BIT 1.8MM,2564.0,2564.0,135.89,3076.8,49
CDM,944900,IMPL SPN KIT 2LVL CSTM,64000.0,64000.0,3392.0,76800.0,20
CDM,944902,WAX BN NATURAL 2.5G,136.0,136.0,7.21,163.2,49
CDM,944903,PLATE BN STD RT 3HL,2728.0,2728.0,144.58,3273.6,20
CDM,944904,SCREW BN 2MM 20MM,180.0,180.0,9.54,216.0,20
CDM,944905,SCREW BN 2MM 22MM,180.0,180.0,9.54,216.0,20
CDM,944906,SCREW CORT 2.7X14MM,180.0,180.0,9.54,216.0,20
CDM,944907,SCREW CORT 2.7X16MM,180.0,180.0,9.54,216.0,20
CDM,944908,SCREW BN CORT 2.7MM,180.0,180.0,9.54,216.0,20
CDM,944909,CAP SCREW LCK 2.0T,324.0,324.0,17.17,388.8,20
CDM,944910,BIT DRILL 2.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,944911,BIT DRILLL DISP 1.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,944912,KWIRE 1.3X100MM,603.0,603.0,31.96,723.6,49
CDM,944913,SCREW BN P/T 5MM 55MM,966.0,966.0,51.2,1159.2,20
CDM,944914,SCREW BN 5MM 18MM,644.0,644.0,34.13,772.8,20
CDM,944915,SCREW BN 5MM 26MM,644.0,644.0,34.13,772.8,20
CDM,944916,CATH BLNDIL 2MM 15MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944917,CATH BLNDIL 2MM 20MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944918,CATH BLNDIL 2MM 30MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944919,CATH BLNDIL 2.25MM 12MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944920,CATH BLNDIL 2.25MM 15MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944921,CATH BLNDIL 2.25MM 20MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944922,CATH BLNDIL 2.25MM 30MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944923,INSERT TIB KN SZ3 14MM,3752.0,3752.0,198.86,4502.4,20
CDM,944924,CATH BLNDIL 2.50MM 12MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944925,SCREW BN CORT 2.0MM,180.0,180.0,9.54,216.0,20
CDM,944926,SCREW BN CORT 2MM 16MM,180.0,180.0,9.54,216.0,20
CDM,944939,SCREW SPN 4.5MM 10MM,150.0,150.0,7.95,180.0,20
CDM,944940,PLUG BNCMNT 6MM,158.0,158.0,8.37,189.6,20
CDM,944944,CATH BLNDIL 2.50MM 15MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944945,CATH DCB 2.5MM 20MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944946,CATH BLNDIL 2.50MM 30MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944947,CATH BLNDIL 2.75MM 12MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944948,CATH BLNDIL 2.75MM 15MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944949,CATH BLNDIL 2.75MM 20MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944950,CATH BLNDIL 2.75MM 30MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944951,CATH BLNDIL 3MM 12MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944952,CATH BLNDIL 3MM 15MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944953,CATH DCB 3MM 20MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944954,CATH BLNDIL 3MM 30MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944955,CATH BLNDIL 3.50MM 12MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944956,CATH BLNDIL 3.50MM 15MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944957,CATH BLNDIL 3.50MM 20MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944958,CATH BLNDIL 3.50MM 30MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944959,CATH BLNDIL 4MM 12MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944960,CATH BLNDIL 4MM 15MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944961,CATH BLNDIL 4MM 20MM,43912.0,43912.0,3776.43,52694.4,48
CDM,944967,CAGE SPN 50X18X8MM,6000.0,6000.0,318.0,7200.0,20
CDM,944968,STENT EPRSTH 8X40MM 15CM,64000.0,64000.0,3392.0,76800.0,20
CDM,944971,COIL EMBL 6MMX11CM,3390.0,3390.0,179.67,4068.0,20
CDM,944972,COIL EMBL 4.5MM 8CM,3390.0,3390.0,179.67,4068.0,20
CDM,944973,COIL EMBL 5MM 8CM,3390.0,3390.0,179.67,4068.0,20
CDM,944974,COIL EMBL 3.5MM 8CM,3390.0,3390.0,179.67,4068.0,20
CDM,944983,COMP FEM KN SZ26,3600.0,3600.0,190.8,4320.0,20
CDM,944996,SCREW BN CORT 2.7X13MM,180.0,180.0,9.54,216.0,20
CDM,944997,SCREW BN CORT 2X28MM,180.0,180.0,9.54,216.0,20
CDM,944998,BIT DRILL ORTH 1.8MM,2564.0,2564.0,135.89,3076.8,49
CDM,945001,PLATE BN HUM 13H LT,4601.0,4601.0,243.85,5521.2,20
CDM,945002,SCREW BN 3.5MM 20MM,230.0,230.0,12.19,276.0,20
CDM,945004,SCREW BN 3.5MM 22MM,230.0,230.0,12.19,276.0,20
CDM,945005,SCREW BN 3.5MM 42MM,266.0,266.0,14.1,319.2,20
CDM,945021,PEG BN FX 1.8MM 16MM,250.0,250.0,13.25,300.0,20
CDM,945022,PEG BN FX 1.8MM 20MM,250.0,250.0,13.25,300.0,20
CDM,945028,PLATE BN 5HL 105MM,3070.0,3070.0,162.71,3684.0,20
CDM,945029,SCREW BN 3.5MM 32MM,272.0,272.0,14.42,326.4,20
CDM,945030,SCREW BN 3MM 16MM,464.0,464.0,24.59,556.8,20
CDM,945031,SCREW BN SHLDR 6X25MM,150.0,150.0,7.95,180.0,20
CDM,945032,STEM SHLDR SM 32X109MM,4000.0,4000.0,212.0,4800.0,20
CDM,945045,KIT LGMNT AUGMT REPR,2990.0,2990.0,158.47,3588.0,20
CDM,945075,INSERT HIP ELEV E 32MM,1500.0,1500.0,79.5,1800.0,20
CDM,945078,INSERT TIB KN RT H 8MM,1500.0,1500.0,79.5,1800.0,20
CDM,945085,SEALER BIP 2.3,3821.0,3821.0,202.51,4585.2,49
CDM,945090,PLATE BN TIB DIST 12HL,8100.0,8100.0,429.3,9720.0,20
CDM,945091,SCREW BN CANN 3.5X34MM,320.0,320.0,16.96,384.0,20
CDM,945125,SCREW BN 3.5MM 36MM,267.0,267.0,14.15,320.4,20
CDM,945126,SCREW CORT 2.7X20MM,180.0,180.0,9.54,216.0,20
CDM,945127,PLATE BN DIST RDS LT 3HL,2728.0,2728.0,144.58,3273.6,20
CDM,945148,GUIDEPIN 3.2MM 343MM,2564.0,2564.0,135.89,3076.8,49
CDM,945155,SCREW BN HEADED 2MM 24MM,300.0,300.0,15.9,360.0,20
CDM,945171,PIN HLF 75MM 2MM 15MM,2682.0,2682.0,142.15,3218.4,49
CDM,945180,SCREW BN 4.5MM 50MM,71.0,71.0,3.76,85.2,20
CDM,945181,SCREW BN 4.5MM 50MM,238.0,238.0,12.61,285.6,20
CDM,945186,COIL EMBL 3.5MM 8CM,3956.0,3956.0,209.67,4747.2,20
CDM,945192,SCREW BN 3.5MM 46MM,308.0,308.0,16.32,369.6,20
CDM,945194,SCREW BN 2.5MM 28MM,642.0,642.0,34.03,770.4,20
CDM,945223,SCREW SPNL 7.2X40MM,1200.0,1200.0,63.6,1440.0,20
CDM,945228,SCREW BN 7MM 80MM 36MM,869.0,869.0,46.06,1042.8,20
CDM,945234,PLATE BN FEMUR 5H 115MM,4192.0,4192.0,222.18,5030.4,20
CDM,945236,SCREW BN 4.7MM 85MM,169.0,169.0,8.96,202.8,20
CDM,945242,TRAY TIB KN RM/LL SZ4,3600.0,3600.0,190.8,4320.0,20
CDM,945243,PLATE BN HUM LT 8HL,4169.0,4169.0,220.96,5002.8,20
CDM,945244,SCREW CORT 2.7X12MM,180.0,180.0,9.54,216.0,20
CDM,945246,DRILL CNTRSNK LNG 3.5MM,3327.0,3327.0,176.33,3992.4,49
CDM,945252,SYSTEM COMP 2LAYER LITE,466.0,466.0,24.7,559.2,49
CDM,945257,SCREW CORT 2.0X18MM,180.0,180.0,9.54,216.0,20
CDM,945266,BIT DIRL SHRT 2.4MM,5600.0,5600.0,296.8,6720.0,49
CDM,945267,PIN EXFX 3MM 15MM 100MM,2564.0,2564.0,135.89,3076.8,49
CDM,945279,PLATE BN 7H 3.5MM 103MM,1653.0,1653.0,87.61,1983.6,20
CDM,945280,PUTTY BN 2.5ML,875.0,875.0,46.38,1050.0,20
CDM,945284,CONN PRFSN 10IN,198.0,198.0,10.49,237.6,49
CDM,945285,CANNULA CRDPLG 9FR 31CM,1063.0,1063.0,56.34,1275.6,49
CDM,945303,BASEPLATE TIBIAL SIZE 6,2546.0,2546.0,134.94,3055.2,20
CDM,945314,SCREW HGHTOP 6.0X40MM,900.0,900.0,47.7,1080.0,20
CDM,945315,SCREW SPN 6MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,945316,SCREW SPN 6MM 30MM,1200.0,1200.0,63.6,1440.0,20
CDM,945317,SCREW HGHTOP 5.0X40MM,900.0,900.0,47.7,1080.0,20
CDM,945318,ROD SPN 6.0MM 500MM,360.0,360.0,19.08,432.0,20
CDM,945321,PLATE METATARSAL 7HL,1404.0,1404.0,74.41,1684.8,20
CDM,945329,PLATE BN HUM 3H,3593.0,3593.0,190.43,4311.6,20
CDM,945336,SCREW SPN 5MM 30MM,900.0,900.0,47.7,1080.0,20
CDM,945337,SCREW SPN 5MM 35MM,900.0,900.0,47.7,1080.0,20
CDM,945338,SCREW SPN 6MM 35MM,900.0,900.0,47.7,1080.0,20
CDM,945339,SCREW SPN 5MM 30MM,1200.0,1200.0,63.6,1440.0,20
CDM,945357,SYSTEM STRT SPEC 17CM,4716.0,4716.0,249.95,5659.2,49
CDM,945365,COMP HUM ELB LT 4X1050MM,6935.0,6935.0,367.56,8322.0,20
CDM,945366,CMPNT ULNA 4MM 75MM,7639.0,7639.0,404.87,9166.8,20
CDM,945369,DEVICE CLSE WND 2-0 36CM,3257.0,3257.0,172.62,3908.4,49
CDM,945382,CATH ANGIO 5FR 100CM,497.0,497.0,26.34,596.4,49
CDM,945384,PLT B T 3.5104 7HL RT,3094.0,3094.0,163.98,3712.8,20
CDM,945387,BASEPLATE SHLDR 10D 24MM,6400.0,6400.0,339.2,7680.0,20
CDM,945388,SCREW BN 4.5MM 48MM,84.0,84.0,4.45,100.8,20
CDM,945389,STEM HUM UNIV REV 180MM,2800.0,2800.0,148.4,3360.0,20
CDM,945390,SPACER SHLDR HUM 33 +9MM,980.0,980.0,51.94,1176.0,20
CDM,945391,SCREW SPN P-AX 8.5X45MM,1200.0,1200.0,63.6,1440.0,20
CDM,945392,SCREW SPN 8.5X50MM,1200.0,1200.0,63.6,1440.0,20
CDM,945393,ROD SPN CRVD 5.5MM 90MM,360.0,360.0,19.08,432.0,20
CDM,945394,SCREW SPNL 7.2X45MM,1200.0,1200.0,63.6,1440.0,20
CDM,945395,SCREW P-SPN 7.2X50MM,1200.0,1200.0,63.6,1440.0,20
CDM,945413,CAGE SPN 12D 28X9X10MM,4000.0,4000.0,212.0,4800.0,20
CDM,945415,SCREW BN 3.5MM 30MM,272.0,272.0,14.42,326.4,20
CDM,945427,PLATE BN L 5H 3.5X115MM,4192.0,4192.0,222.18,5030.4,20
CDM,945443,CMPNT FEM KN RT SZ4,3600.0,3600.0,190.8,4320.0,20
CDM,945444,CAP NERVE 6MM 20MM,4782.0,4782.0,253.45,5738.4,20
CDM,945445,CAP NERVE 5MM 20MM,4782.0,4782.0,253.45,5738.4,20
CDM,945446,CAGE SPN 6D 11X15X13MM,1600.0,1600.0,84.8,1920.0,20
CDM,945447,TRAY CMNT TIB KN SZ2,3600.0,3600.0,190.8,4320.0,20
CDM,945448,PLATE BN BROAD 2.7T 8HL,2153.0,2153.0,114.11,2583.6,20
CDM,945450,SCREW BN CORT 3.5MM 14MM,230.0,230.0,12.19,276.0,20
CDM,945451,SCREW BN CORT 3.5MM 16MM,230.0,230.0,12.19,276.0,20
CDM,945452,SCREW CORT 3.5X18MM,230.0,230.0,12.19,276.0,20
CDM,945453,SCREW BN 3.5MM 35MM,230.0,230.0,12.19,276.0,20
CDM,945454,SCREW BN 2.7MM 20MM,223.0,223.0,11.82,267.6,20
CDM,945455,SCREW BN 2.7MM 22MM,223.0,223.0,11.82,267.6,20
CDM,945456,DRILL SURG DISP 2.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,945457,PROSTH PENL LCK-OUT 16CM,17598.0,17598.0,932.69,21117.6,20
CDM,945463,KIT CAROTID EMBLC PRTCT,29013.0,29013.0,1537.69,34815.6,49
CDM,945473,VALVE TAVR 29MM,63000.0,63000.0,3339.0,75600.0,20
CDM,945474,VALVE TAVR 23MM,58000.0,58000.0,3074.0,69600.0,20
CDM,945475,VALVE TAVR 26MM,63000.0,63000.0,3339.0,75600.0,20
CDM,945476,VALVE TAVR 34MM,63000.0,63000.0,3339.0,75600.0,20
CDM,945477,SCREW BN 3.5MM 12MM,230.0,230.0,12.19,276.0,20
CDM,945479,SCREW BN 3.0MM 20MM,314.0,314.0,16.64,376.8,20
CDM,945480,PLATE BN FIX RT 6 SLOT,3800.0,3800.0,201.4,4560.0,20
CDM,945484,SCREW SPN 5.5MM 40MM,550.0,550.0,29.15,660.0,20
CDM,945485,SCREW SPN 6.5MM 45MM,750.0,750.0,39.75,900.0,20
CDM,945491,SCREW BN CORT 3.5MM 10MM,230.0,230.0,12.19,276.0,20
CDM,945493,PUTTY BN SYR SMALL 6CC,1680.0,1680.0,89.04,2016.0,20
CDM,945494,ROD SPN 4UP L 6.0MM,2775.0,2775.0,147.07,3330.0,20
CDM,945496,ELECTRODE URO 24/26FR,5941.0,5941.0,314.87,7129.2,49
CDM,945515,ROD SPN CRV 5.5X75MM,360.0,360.0,19.08,432.0,20
CDM,945575,SCREW BN 2.7MM 16MM,640.0,640.0,33.92,768.0,20
CDM,945576,SCREW SPN 5.5MM 40MM,450.0,450.0,23.85,540.0,20
CDM,945577,SCREW SPN POINTLOCK SET,100.0,100.0,5.3,120.0,20
CDM,945580,ANCHOR SUT 4.5MM 44MM,500.0,500.0,26.5,600.0,20
CDM,945593,TAP BN 4.5MM,942.0,942.0,49.93,1130.4,49
CDM,945605,SYSTEM PCNG LEADLESS,24440.0,24440.0,1295.32,29328.0,20
CDM,945606,SYSTEM PCNG LDLESS CPSL,18820.0,18820.0,997.46,22584.0,20
CDM,945622,PLATE SPN 1LVL 1.9H 26MM,1900.0,1900.0,100.7,2280.0,20
CDM,945623,CMPNT FEM KN LT SZ1,4815.0,4815.0,255.19,5778.0,20
CDM,945628,VALVE PULM 27MM,49990.0,49990.0,2649.47,59988.0,20
CDM,945701,SCREW BN 3.5MM 12MM,272.0,272.0,14.42,326.4,20
CDM,945703,PLATE BN 7HL 127MM,1267.0,1267.0,67.15,1520.4,20
CDM,945706,SCREW BN 3.5MM 30MM,326.0,326.0,17.28,391.2,20
CDM,945714,MICROMATRIX FLEX 750 MG,18095.0,18095.0,959.03,21714.0,30
CDM,945737,VALVE AOR W/ CNDT 24MM,30268.0,30268.0,1604.2,36321.6,20
CDM,945740,CONN SHNT STR 14MM,83.0,83.0,4.4,99.6,20
CDM,945757,CLIP APPLIER LGT 38CM,5240.0,5240.0,277.72,6288.0,49
CDM,945769,PEG BN LCK 3.2MM 58MM,309.0,309.0,16.38,370.8,20
CDM,945770,CAP NERVE PROT 7.0X20MM,4782.0,4782.0,253.45,5738.4,20
CDM,945773,PLATE BN TIB 6HL 129MM,5018.0,5018.0,265.95,6021.6,20
CDM,945775,LINER ACTB HIP SZJ 36MM,1500.0,1500.0,79.5,1800.0,20
CDM,945776,CAGE SPN 6D 10.5X13X28MM,4000.0,4000.0,212.0,4800.0,20
CDM,945786,CLIP APPLIER LGT 38CM,5240.0,5240.0,277.72,6288.0,49
CDM,945796,FIBER LASER XPS,10492.0,10492.0,556.08,12590.4,49
CDM,945804,KIT HANDPIECE AO CONN,9445.0,9445.0,500.58,11334.0,49
CDM,945810,STENT CAROTID 6X30MM,4900.0,4900.0,259.7,5880.0,20
CDM,945811,STENT CAROTID SYS 6X40MM,4900.0,4900.0,259.7,5880.0,20
CDM,945812,STENT CAROTID SYS 7X30MM,4900.0,4900.0,259.7,5880.0,20
CDM,945813,STENT CAROTID SYS 7X40MM,4900.0,4900.0,259.7,5880.0,20
CDM,945816,STENT CAROTID SYS 8X40MM,4900.0,4900.0,259.7,5880.0,20
CDM,945817,PLATE BN RT 5SLT,2030.0,2030.0,107.59,2436.0,20
CDM,945818,SCREW BN 3.5X55MM,218.0,218.0,11.55,261.6,20
CDM,945837,IMPLANT KNTLS AC OPN RPR,3490.0,3490.0,184.97,4188.0,20
CDM,945858,SCREW BN 3.5MM 30MM,266.0,266.0,14.1,319.2,20
CDM,945861,KIT SURG SPN ACCESS DISP,2564.0,2564.0,135.89,3076.8,49
CDM,945862,ELECTRODE ESURG BIP 35CM,7772.0,7772.0,411.92,9326.4,49
CDM,945867,PLATE TIB TIBLA ST 5HL,883.0,883.0,46.8,1059.6,20
CDM,945875,WASHER BN FLAT 3MM,40.0,40.0,2.12,48.0,20
CDM,945885,SCREW BN 5MM 65MM,1190.0,1190.0,63.07,1428.0,20
CDM,945886,SCREW BN 5MM 28MM,790.0,790.0,41.87,948.0,20
CDM,945887,DRILL SURG 4.2MM,5567.0,5567.0,295.05,6680.4,49
CDM,945888,SCREW BN 5MM 55MM,1250.0,1250.0,66.25,1500.0,20
CDM,945889,SCREW BN 5MM 26MM,869.0,869.0,46.06,1042.8,20
CDM,945893,SCREW BN 2.7MM 30MM,223.0,223.0,11.82,267.6,20
CDM,945894,SCREW BN 3.5MM 40MM,230.0,230.0,12.19,276.0,20
CDM,945895,SCREW BN 4.5MM 28MM,342.0,342.0,18.13,410.4,20
CDM,945903,PLATE BN 3.5/4.5X297MM,11145.0,11145.0,590.68,13374.0,20
CDM,945915,BASEPLATE TIB KN SZ7,2546.0,2546.0,134.94,3055.2,20
CDM,945921,KIT FOOT JNT PREP,5941.0,5941.0,314.87,7129.2,49
CDM,945925,NAIL BN 9MM 38CM,3052.0,3052.0,161.76,3662.4,20
CDM,945927,GRAFT CV 28MM 14MM 8MM,6016.0,6016.0,318.85,7219.2,20
CDM,945928,GRAFT CV 30MM 14MM 8MM,6016.0,6016.0,318.85,7219.2,20
CDM,945945,GRAFT CV 8/10/14MM 32MM,6016.0,6016.0,318.85,7219.2,20
CDM,945949,CONN SHNT VNTRC 10.4MM,137.0,137.0,7.26,164.4,20
CDM,945950,MESH SURG STF 4.5IN,4044.0,4044.0,214.33,4852.8,20
CDM,945952,SUTURE VIOL MON+2-0 27IN,2564.0,2564.0,135.89,3076.8,49
CDM,945958,SUPPORTER ATHLETIC XL,317.0,317.0,16.8,380.4,49
CDM,945962,K-WIRE TROC 1.4X203MM,1357.0,1357.0,71.92,1628.4,49
CDM,945980,PLATE BN ULN LT 2 SLOT,1770.0,1770.0,93.81,2124.0,20
CDM,945981,SCREW BN 3.5MM 33MM,266.0,266.0,14.1,319.2,20
CDM,945982,PLATE HUM RT PROX 5H,3593.0,3593.0,190.43,4311.6,20
CDM,945989,SCREW HDLS 3.0X30MM,530.0,530.0,28.09,636.0,20
CDM,945990,SCREW BN 3.5X40MM,320.0,320.0,16.96,384.0,20
CDM,945991,SCREW BN 3.0MM 34MM,530.0,530.0,28.09,636.0,20
CDM,945992,SCREW BN CANN 6.5X90MM,382.0,382.0,20.25,458.4,20
CDM,945993,BLADE SAW 64X35X.89MM,1426.0,1426.0,75.58,1711.2,49
CDM,946019,SCREW BN 3MM 46MM,385.0,385.0,20.41,462.0,20
CDM,946020,SCREW BN 3MM 48MM,220.0,220.0,11.66,264.0,20
CDM,946021,SCREW BN CORT 3X46MM,220.0,220.0,11.66,264.0,20
CDM,946022,SCREW BN 3MM 40MM,220.0,220.0,11.66,264.0,20
CDM,946023,CATH THRMB 100CM,75000.0,75000.0,3975.0,90000.0,49
CDM,946024,CATH THRMB 115CM 135CM,75000.0,75000.0,3975.0,90000.0,49
CDM,946026,BIT DRILL CANN 2.6MM,2947.0,2947.0,156.19,3536.4,49
CDM,946027,BIT DRILL CANN 3.7MM,2947.0,2947.0,156.19,3536.4,49
CDM,946028,SCREW BN 3.7MM 40MM,1680.0,1680.0,89.04,2016.0,20
CDM,946062,STENT EPRSTH 15CM 8MM,64000.0,64000.0,3392.0,76800.0,20
CDM,946080,PROBE PEDICLE BALL 2.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,946083,PLATE DISTAL FIB RT 8H,1750.0,1750.0,92.75,2100.0,20
CDM,946084,STEM REV SHLDR UNV SZ15,2800.0,2800.0,148.4,3360.0,20
CDM,946086,CAGE SPN 6D 14DX16WX9H,1600.0,1600.0,84.8,1920.0,20
CDM,946087,SCREW BN SPN 4.2MM 19MM,150.0,150.0,7.95,180.0,20
CDM,946101,SCREW BN ELB 28MM,2050.0,2050.0,108.65,2460.0,20
CDM,946102,SOL INTOCC .55ML,123.0,123.0,6.52,147.6,20
CDM,946105,PEG KN 9MM 32MM,1000.0,1000.0,53.0,1200.0,20
CDM,946119,SCREW BN 4.0MM 44MM,2430.0,2430.0,128.79,2916.0,20
CDM,946152,SCREW BN 4.5X40MM,1680.0,1680.0,89.04,2016.0,20
CDM,946155,CMPNT PTLLA KN 29MM 9MM,1000.0,1000.0,53.0,1200.0,20
CDM,946176,SCREW BN SPN 9.5MM 80MM,1200.0,1200.0,63.6,1440.0,20
CDM,946180,COIL EMB 3MM 8MM,28405.0,28405.0,1505.46,34086.0,20
CDM,946181,CATH MICRO 027IN 154CM,9443.0,9443.0,500.48,11331.6,49
CDM,946182,CAGE SPN L2/L3 MINUS,52000.0,52000.0,2756.0,62400.0,20
CDM,946183,BALLOON KPHPK KIT,22995.0,22995.0,1218.73,27594.0,49
CDM,946203,STEM SHLDR SZ9 130MM,13000.0,13000.0,689.0,15600.0,20
CDM,946213,PROBE NIM SPN 2.33MM,2035.0,2035.0,107.86,2442.0,49
CDM,946214,PROBE NERVE STIMULATOR,2564.0,2564.0,135.89,3076.8,49
CDM,946215,PROBE BIP DISP .75X100MM,2564.0,2564.0,135.89,3076.8,49
CDM,946217,MESH SURG 10CM 17CM,1120.0,1120.0,59.36,1344.0,20
CDM,946222,LINER HIP 28MM 38MM,1500.0,1500.0,79.5,1800.0,20
CDM,946224,AMNIOEXCEL 100 SQCM,35617.0,35617.0,1887.7,42740.4,30
CDM,946229,LINER ACTB HIP56-58X40MM,1100.0,1100.0,58.3,1320.0,20
CDM,946232,INTBDY DVC 55X18X12MM 8D,6000.0,6000.0,318.0,7200.0,20
CDM,946244,CATH BLNDL 2X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,946245,TOOL SUTURE DISP,2073.0,2073.0,109.87,2487.6,49
CDM,946262,PLATE BN 20HL 2.0MM,2972.0,2972.0,157.52,3566.4,20
CDM,946268,GRAFT MATRIX BN SUB 10MM,3500.0,3500.0,185.5,4200.0,20
CDM,946272,CATH BLN 4X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,946273,PLATE BN LT SZMED,4538.0,4538.0,240.51,5445.6,20
CDM,946278,STENT APS 14X60MM 80CM,2600.0,2600.0,137.8,3120.0,20
CDM,946290,STENT GRAFT 15X6MM,15600.0,15600.0,826.8,18720.0,20
CDM,946295,SCREW BN 2.7X24MM,223.0,223.0,11.82,267.6,20
CDM,946299,DEVICE CLSR FEM 5FR,400.0,400.0,21.2,480.0,20
CDM,946300,DEVICE CLSR FEM 7FR,2000.0,2000.0,106.0,2400.0,20
CDM,946302,SCREW BN 7.2MM 75MM,2062.0,2062.0,109.29,2474.4,20
CDM,946303,SCREW BN F-T 5X50MM,2062.0,2062.0,109.29,2474.4,20
CDM,946305,GUIDEPIN 3MM 1.2X150MM,1696.0,1696.0,89.89,2035.2,49
CDM,946306,COUNTERSINK CANN 3MM,3602.0,3602.0,190.91,4322.4,49
CDM,946307,BIT DRILL 2.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,946309,PLATE PROX HUM RT 13H,4600.0,4600.0,243.8,5520.0,20
CDM,946315,PUTTY BN SYR SMALL 1CC,340.0,340.0,18.02,408.0,20
CDM,946316,PUTTY BN SYR SMALL 3CC,840.0,840.0,44.52,1008.0,20
CDM,946322,NAIL BN 8.5MM 225MM,3406.0,3406.0,180.52,4087.2,20
CDM,946340,LINER HIP J 28MM 58MM,1500.0,1500.0,79.5,1800.0,20
CDM,946349,SCREW SPN 6.5MM 55MM,450.0,450.0,23.85,540.0,20
CDM,946351,CAGE SPN 8D 9X28X10-14MM,6800.0,6800.0,360.4,8160.0,20
CDM,946357,NAIL BN 10MM 46CM,4086.0,4086.0,216.56,4903.2,20
CDM,946358,PIN BN 5MM 200MM 45MM,2564.0,2564.0,135.89,3076.8,49
CDM,946359,BIT DRILL 4MM,5600.0,5600.0,296.8,6720.0,49
CDM,946360,KIT STAPLE BN 25X20X20MM,11392.0,11392.0,603.78,13670.4,49
CDM,946379,NAIL BN FEM 13MM 22CM,2398.0,2398.0,127.09,2877.6,20
CDM,946380,SCREW SPNL 5.5MM 30MM,900.0,900.0,47.7,1080.0,20
CDM,946399,NAIL BN FEM 10MM 44CM,2398.0,2398.0,127.09,2877.6,20
CDM,946400,HEAD FEM HIP 36MM,1300.0,1300.0,68.9,1560.0,20
CDM,946402,INTERBODY SPN 6D 26X9X9,4000.0,4000.0,212.0,4800.0,20
CDM,946412,SET IRR CYSTO 80IN,163.0,163.0,8.64,195.6,49
CDM,946418,GWIRE VASC .035IN 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,946442,STENT VNS 18X160MM 120CM,3000.0,3000.0,159.0,3600.0,20
CDM,946443,STENT VNS 20X140MM 120CM,3000.0,3000.0,159.0,3600.0,20
CDM,946469,BIT DRILL DENSE BN,5004.0,5004.0,265.21,6004.8,49
CDM,946475,SCREW BN 3.5MM 18MM,456.0,456.0,24.17,547.2,20
CDM,946477,SCREW BN 2.5MM 30MM,242.0,242.0,12.83,290.4,20
CDM,946479,KIT CURVED KNTLSS 1.9MM,4971.0,4971.0,263.46,5965.2,49
CDM,946483,BLADE SURG 6X80MM,6607.0,6607.0,350.17,7928.4,49
CDM,946484,BLADE FLT SMTH 90MM 10MM,6606.0,6606.0,350.12,7927.2,49
CDM,946489,CATH IVL 2.5MM 80MM,36528.0,36528.0,1935.98,43833.6,49
CDM,946490,CATH BLN PRPF 80MM 150CM,36528.0,36528.0,1935.98,43833.6,49
CDM,946491,CATH IVL 4MM 80MM,36528.0,36528.0,1935.98,43833.6,49
CDM,946492,CATH IVL 5MM 80MM,36528.0,36528.0,1935.98,43833.6,49
CDM,946500,ROD SPN 5.5MM 500MM,360.0,360.0,19.08,432.0,20
CDM,946502,HEAD FEM HIP 36MM,1300.0,1300.0,68.9,1560.0,20
CDM,946550,SCREW BN 2.7MM 11MM,180.0,180.0,9.54,216.0,20
CDM,946551,CAP LCKNG 2.7T,324.0,324.0,17.17,388.8,20
CDM,946554,STEM FEM HIP SZ15 240MM,9183.0,9183.0,486.7,11019.6,20
CDM,946555,PLATE DIST TIB ANT 10 HL,8100.0,8100.0,429.3,9720.0,20
CDM,946562,PLATE BN METATARSAL 4HL,1404.0,1404.0,74.41,1684.8,20
CDM,946563,SCREW SPNL LCK 2.7X14MM,390.0,390.0,20.67,468.0,20
CDM,946564,SCREW BN 2.7MM 16MM,390.0,390.0,20.67,468.0,20
CDM,946565,SCREW BN 2.7MM 18MM,390.0,390.0,20.67,468.0,20
CDM,946576,ROD SPNL 500MM 6MM,360.0,360.0,19.08,432.0,20
CDM,946579,GWIRE VASC .018IN 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,946583,SCREW BN 2.7MM 8MM,259.0,259.0,13.73,310.8,20
CDM,946587,DRILL CNTRSNK 4.5MM,4087.0,4087.0,216.61,4904.4,49
CDM,946593,CANNULA PRFSN 8.5IN 20FR,945.0,945.0,50.09,1134.0,49
CDM,946595,PLATE BN 6H 4.5X129MM,5018.0,5018.0,265.95,6021.6,20
CDM,946596,SCREW BN 6.7MM 50MM,513.0,513.0,27.19,615.6,20
CDM,946597,STAPLE BN 20X20X20MM,2932.0,2932.0,155.4,3518.4,20
CDM,946598,STAPLE BN 18MM 18MM 18MM,2932.0,2932.0,155.4,3518.4,20
CDM,946603,PLATE BN RT 15HL 306MM,6613.0,6613.0,350.49,7935.6,20
CDM,946604,SCREW BN 4.5MM 52MM,238.0,238.0,12.61,285.6,20
CDM,946605,CAGE SPNL 8D 50X18X103,6000.0,6000.0,318.0,7200.0,20
CDM,946608,CATH IVL 3.5MM 80MM,36528.0,36528.0,1935.98,43833.6,49
CDM,946609,CATH IVL 60MM 80MM,36528.0,36528.0,1935.98,43833.6,49
CDM,946613,SCREW BN NLCK 3.5MM 85MM,450.0,450.0,23.85,540.0,20
CDM,946614,SUTURE 1.7MM 8IN 30IN,2564.0,2564.0,135.89,3076.8,49
CDM,946616,PLATE BN DIST RDS LT 3HL,2728.0,2728.0,144.58,3273.6,20
CDM,946617,SCREW BN 3.5MM 39MM,410.0,410.0,21.73,492.0,20
CDM,946618,INSERT TIB KN SZ8 20MM,1500.0,1500.0,79.5,1800.0,20
CDM,946619,SCREW BN 6.5MM 95MM,382.0,382.0,20.25,458.4,20
CDM,946620,SCREW BN 6.5MM 85MM,382.0,382.0,20.25,458.4,20
CDM,946672,COMP HUM ELB RT 4X150MM,6935.0,6935.0,367.56,8322.0,20
CDM,946673,COMPONENT ELB RT 3X115MM,8403.0,8403.0,445.36,10083.6,20
CDM,946674,NAIL BN TIB 11MM 42CM,2398.0,2398.0,127.09,2877.6,20
CDM,946675,PLATE BN DIST HUM 3HL,4313.0,4313.0,228.59,5175.6,20
CDM,946676,SCREW CORT 2.7X32MM,180.0,180.0,9.54,216.0,20
CDM,946677,SCREW CORT 2.7X48MM,180.0,180.0,9.54,216.0,20
CDM,946678,SCREW CORT 2.7X60MM,180.0,180.0,9.54,216.0,20
CDM,946679,SHELL ACTB HIP 3H 54MM,2000.0,2000.0,106.0,2400.0,20
CDM,946680,LINER ACTB HIP 36MM 54MM,1100.0,1100.0,58.3,1320.0,20
CDM,946681,HEAD FEM HIP 36MM,1300.0,1300.0,68.9,1560.0,20
CDM,946693,SPACER SPN 6D 14X12X8MM,4100.0,4100.0,217.3,4920.0,20
CDM,946706,SPACER SPN 0D 14X12X10MM,4100.0,4100.0,217.3,4920.0,20
CDM,946707,SPACER SPN 0D 14X12X10MM,4100.0,4100.0,217.3,4920.0,20
CDM,946726,SHEATH INSTRUMENT SP RBT,6922.0,6922.0,366.87,8306.4,49
CDM,946727,SHEATH INSTRUMENT CAMERA,5941.0,5941.0,314.87,7129.2,49
CDM,946728,PORT LPSCRP GD 100X25,2564.0,2564.0,135.89,3076.8,49
CDM,946729,KIT ACCESS PORT SM,5941.0,5941.0,314.87,7129.2,49
CDM,946730,KIT ACCESS PORT LARGE,5941.0,5941.0,314.87,7129.2,49
CDM,946733,IMPLANT BREAST 330CC,2650.0,2650.0,140.45,3180.0,20
CDM,946748,IMPLANT SPN 9.5MM 70MM,6300.0,6300.0,1008.0,7560.0,19
CDM,946749,PLATE BN HUM 5 H,3593.0,3593.0,190.43,4311.6,20
CDM,946750,SCREW BN 3.5MM 48MM,266.0,266.0,14.1,319.2,20
CDM,946772,PLATE ANT DSTL TIB 13HL,2000.0,2000.0,106.0,2400.0,20
CDM,946773,SCREW BN 3.5MM 28MM,264.0,264.0,13.99,316.8,20
CDM,946774,SCREW BN 3.5MM 30MM,264.0,264.0,13.99,316.8,20
CDM,946776,INTERBODY SPN 14X12X9MM,4100.0,4100.0,217.3,4920.0,20
CDM,946782,STENT VNS 20X40MM 80CM,3000.0,3000.0,159.0,3600.0,20
CDM,946786,STEM SHLDR PRFT SZ10,5650.0,5650.0,299.45,6780.0,20
CDM,946787,SCREW BN SHLDR LCK,704.0,704.0,37.31,844.8,20
CDM,946788,BODY SHLDR PROX LT SM,7800.0,7800.0,413.4,9360.0,20
CDM,946790,CUP ACTB HIP LINER 62MM,1800.0,1800.0,95.4,2160.0,20
CDM,946791,NAIL BN 11.5MM 210MM,25000.0,25000.0,1325.0,30000.0,20
CDM,946792,SCREW BN 5MM 75MM,1190.0,1190.0,63.07,1428.0,20
CDM,946793,SCREW BN 5MM 32MM,790.0,790.0,41.87,948.0,20
CDM,946794,SCREW BN 5MM 30MM,790.0,790.0,41.87,948.0,20
CDM,946836,CATHETER ABL LOOP,52717.0,52717.0,2794.0,63260.4,49
CDM,946837,SHEATH STEER 10FR 10CM,9326.0,9326.0,494.28,11191.2,49
CDM,946838,SHEATH STRBL 10FR 20MM,9326.0,9326.0,494.28,11191.2,49
CDM,946848,CONE FEM KN MED,6200.0,6200.0,328.6,7440.0,20
CDM,946851,SCREW SPN PLVC 11.5X80MM,6150.0,6150.0,325.95,7380.0,20
CDM,946852,AUGMENT GLND SMALL 15L,4384.0,4384.0,232.35,5260.8,20
CDM,946853,REAMER ORTHO ANGLED SM,2755.0,2755.0,146.01,3306.0,49
CDM,946854,INSERT TIB KN SZ3 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,946877,SHELL ACTB HIP 3HL 58MM,2000.0,2000.0,106.0,2400.0,20
CDM,946879,HEAD FEM HIP +1.5 40MM,1300.0,1300.0,68.9,1560.0,20
CDM,946890,COIL EMBL PACKING 10CM,3360.0,3360.0,178.08,4032.0,20
CDM,946898,STEM SHLDR PRFT SZ11,5650.0,5650.0,299.45,6780.0,20
CDM,946903,SCREW BN HDLSS 2.3X45MM,1700.0,1700.0,90.1,2040.0,20
CDM,946904,SCREW CANN 3MM 40MM,530.0,530.0,28.09,636.0,20
CDM,946907,BURR CRSE 3.5MM,5895.0,5895.0,312.44,7074.0,49
CDM,946915,SUTURE ANBCTRL +3-0 27IN,72.0,72.0,3.82,86.4,49
CDM,946918,SCREW BN 7MM 130MM,382.0,382.0,20.25,458.4,20
CDM,946919,TISSUE SYN CRANI XL,38014.0,38014.0,2014.74,45616.8,20
CDM,946929,PLATE BN ULNA 4SLOT,1944.0,1944.0,103.03,2332.8,20
CDM,946942,PLATE BN 128MM 2.7MM,3480.0,3480.0,184.44,4176.0,20
CDM,946947,CATH GD 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,946948,CATH GD 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
CDM,946949,CATH GD 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,946950,CATH GD 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,946951,CATH GD 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,946952,CATH GD 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,946954,CATH GD 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,946955,CATH GD 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,946959,CATH GD 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,946960,CATH GD 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,946961,CATH GD 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,946962,CATH GD 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,946963,CATH GD 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,946966,CATH GD 7FR 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,946967,ANCHOR SUT 2.6MM,1650.0,1650.0,87.45,1980.0,20
CDM,947023,CMPNT HUM ELB RT 5X150MM,7628.0,7628.0,404.28,9153.6,20
CDM,947032,IMPLANT HMRTOE 2.9X19MM,2994.0,2994.0,158.68,3592.8,20
CDM,947033,PIN BN 2.5X16MM,2994.0,2994.0,158.68,3592.8,20
CDM,947034,BURR SURG 2.2MM 12MM,4519.0,4519.0,239.51,5422.8,49
CDM,947035,BURR SURG 2.2MM 20MM,4519.0,4519.0,239.51,5422.8,49
CDM,947036,BIT DRILL 2.9MM,2564.0,2564.0,135.89,3076.8,49
CDM,947037,SCREW BN 35MM 32MM,2430.0,2430.0,128.79,2916.0,20
CDM,947038,PLATE BN ULNA LT 3 SLOT,1856.0,1856.0,98.37,2227.2,20
CDM,947039,SCREW BN 4MM 20MM,434.0,434.0,23.0,520.8,20
CDM,947040,SCREW BN 4MM 24MM,314.0,314.0,16.64,376.8,20
CDM,947041,GUIDEPIN ORTH 1.4X200MM,1696.0,1696.0,89.89,2035.2,49
CDM,947042,BURR ORTH 2MM 13MM,4519.0,4519.0,239.51,5422.8,49
CDM,947065,SCREW BN 3.5MM 46MM,1570.0,1570.0,83.21,1884.0,20
CDM,947066,SCREW BN 3.5MM 34MM,1570.0,1570.0,83.21,1884.0,20
CDM,947067,SCREW BN 3MM 20MM,1570.0,1570.0,83.21,1884.0,20
CDM,947072,SCREW SPNL 7.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,947081,SCREW BN 3.5MM 62MM,1570.0,1570.0,83.21,1884.0,20
CDM,947082,SCREW BN 3.5MM 62MM,1570.0,1570.0,83.21,1884.0,20
CDM,947083,SCREW BN 3MM 24MM,1570.0,1570.0,83.21,1884.0,20
CDM,947084,NAIL BN 11.5MM 42CM,3052.0,3052.0,161.76,3662.4,20
CDM,947085,SUTURE BV1758 8-0 1X30IN,878.0,878.0,46.53,1053.6,49
CDM,947087,NEEDLE AOR ASP 16GA 14MM,2698.0,2698.0,142.99,3237.6,49
CDM,947104,SCREW BN 2.7X26MM,223.0,223.0,11.82,267.6,20
CDM,947105,SCREW BN CMPR 2.7MM 28MM,223.0,223.0,11.82,267.6,20
CDM,947106,PLATE BN OLCRN RT 2HL,2873.0,2873.0,152.27,3447.6,20
CDM,947108,SCREW BN 2.7MM 10MM,230.0,230.0,12.19,276.0,20
CDM,947109,SCREW CORT 2.7X22MM,230.0,230.0,12.19,276.0,20
CDM,947110,SCREW BN 2.7MM 26MM,180.0,180.0,9.54,216.0,20
CDM,947111,SCREW BN 2.7MM 44MM,230.0,230.0,12.19,276.0,20
CDM,947112,SCREW SPN 3.5MM 24MM,900.0,900.0,47.7,1080.0,20
CDM,947115,SCREW BN COMP 2.7X24MM,590.0,590.0,31.27,708.0,20
CDM,947120,IMPL SPN 3LVL CSTM KIT,76000.0,76000.0,4028.0,91200.0,20
CDM,947131,SCREW BN 6.5MM 8000,382.0,382.0,20.25,458.4,20
CDM,947138,STAPLER DISP 8MM 30MM,5941.0,5941.0,314.87,7129.2,49
CDM,947139,RELOAD STPLR 3.5MM,420.0,420.0,22.26,504.0,20
CDM,947140,RELOAD STPLR 2.5MM,420.0,420.0,22.26,504.0,20
CDM,947147,SCREW BN 3.5X95MM,238.0,238.0,12.61,285.6,20
CDM,947151,PLATE BN 130X12.2X2MM,2703.0,2703.0,143.26,3243.6,20
CDM,947155,INS TIB KN SZ5 8MM,3080.0,3080.0,163.24,3696.0,20
CDM,947165,MESH CRNL 90X90X.6MM,2956.0,2956.0,156.67,3547.2,20
CDM,947166,INSERT TIB KN SZ7 18MM,1500.0,1500.0,79.5,1800.0,20
CDM,947190,PLATE BN 93X10X2MM,2424.0,2424.0,128.47,2908.8,20
CDM,947191,ROD SPN YLW 5.5X35MM,360.0,360.0,19.08,432.0,20
CDM,947209,SCREW SPN 7.5MM 45MM,900.0,900.0,47.7,1080.0,20
CDM,947222,GWIRE ORT 1000MM,5941.0,5941.0,314.87,7129.2,49
CDM,947230,CAGE SPN 13D28X13X10.5MM,4000.0,4000.0,212.0,4800.0,20
CDM,947231,SCREW SPN P-AX 6.5X55MM,1200.0,1200.0,63.6,1440.0,20
CDM,947232,ROD SPN CRV 5.5X50MM,360.0,360.0,19.08,432.0,20
CDM,947233,COMP SHLDR GLND 38X+8MM,2600.0,2600.0,137.8,3120.0,20
CDM,947234,SCREW BN 3MM 16MM,2436.0,2436.0,129.11,2923.2,20
CDM,947236,RASP PROX SURG 8MM,3327.0,3327.0,176.33,3992.4,49
CDM,947244,SCREW BN 2.5MM 20MM,242.0,242.0,12.83,290.4,20
CDM,947247,SCREW BN 2.7MM 28MM,180.0,180.0,9.54,216.0,20
CDM,947275,PLATE BN RT 4H 71MM,2461.0,2461.0,130.43,2953.2,20
CDM,947277,PLATE BN VERTICAL 4HL,2790.0,2790.0,147.87,3348.0,20
CDM,947285,SCREW BN 6.5MM 110MM,382.0,382.0,20.25,458.4,20
CDM,947313,SCREW CMPR MLTI THRD 2.7,270.0,270.0,14.31,324.0,20
CDM,947327,INSERT KN TIB SZ5 12MM,1572.0,1572.0,83.32,1886.4,20
CDM,947329,INSERT KN TIB SZ2 8MM,1900.0,1900.0,100.7,2280.0,20
CDM,947331,SCREW BN 4MM 32MM,530.0,530.0,28.09,636.0,20
CDM,947332,SCREW BN 4MM 42MM,530.0,530.0,28.09,636.0,20
CDM,947333,DRILL BIT 3.6MM,2564.0,2564.0,135.89,3076.8,49
CDM,947334,PLATE BN 10HL 3.5MM,2440.0,2440.0,129.32,2928.0,20
CDM,947346,SCREW BN 3.5MM 18MM,2938.0,2938.0,155.71,3525.6,20
CDM,947348,INSERT TIB KN SZ5 11MM,3522.0,3522.0,186.67,4226.4,20
CDM,947349,CONNECTOR SPN 5.5-6.0MM,700.0,700.0,37.1,840.0,20
CDM,947364,PLATE BN LFT 4H,7700.0,7700.0,408.1,9240.0,20
CDM,947396,SLEEVE SURG DISP 8-11MM,2564.0,2564.0,135.89,3076.8,49
CDM,947411,CMPNT FEM HIP SZ5,3400.0,3400.0,180.2,4080.0,20
CDM,947417,CATH INS 6FR 143CM,4912.0,4912.0,260.34,5894.4,49
CDM,947418,CATH ANGIO 6FR 137CM,4912.0,4912.0,260.34,5894.4,49
CDM,947419,CATH ANGIO 6F 140CM,4912.0,4912.0,260.34,5894.4,49
CDM,947430,PLATE BN 12H 3.5X139MM,1029.0,1029.0,54.54,1234.8,20
CDM,947432,SCREW BN 2.7MM 32MM,84.0,84.0,4.45,100.8,20
CDM,947433,SCREW BN 2.7MM 38MM,84.0,84.0,4.45,100.8,20
CDM,947434,PLATE BN LCK 9HL 159MM,1108.0,1108.0,58.72,1329.6,20
CDM,947436,SCREW BN 3.5MM 30MM,1570.0,1570.0,83.21,1884.0,20
CDM,947437,SCREW BN 3.5MM 50MM,1570.0,1570.0,83.21,1884.0,20
CDM,947438,SCREW BN 3MM 26MM,1570.0,1570.0,83.21,1884.0,20
CDM,947446,RELOAD STPLR 8MM 30MM,420.0,420.0,22.26,504.0,20
CDM,947469,IMPL SPN KIT 1LVL CSTM,52000.0,52000.0,2756.0,62400.0,20
CDM,947472,SCREW BN SPN 7.5MM 40MM,900.0,900.0,47.7,1080.0,20
CDM,947473,SPACER SPN 10D35X12X11MM,4000.0,4000.0,212.0,4800.0,20
CDM,947474,SCREW BN HD 4MM 22MM,353.0,353.0,18.71,423.6,20
CDM,947475,SCREW BN 6.5MM 60MM,382.0,382.0,20.25,458.4,20
CDM,947476,KWIRE 100MM 1.6MM,754.0,754.0,39.96,904.8,49
CDM,947477,SCREW BN 4MM 34MM,612.0,612.0,32.44,734.4,20
CDM,947478,SCREW BN 4MM 24MM,612.0,612.0,32.44,734.4,20
CDM,947479,SCREW BN 4MM 16MM,612.0,612.0,32.44,734.4,20
CDM,947480,PLATE BN RECON 9HL 54MM,3811.0,3811.0,201.98,4573.2,20
CDM,947481,SCREW BN 4MM 20MM,612.0,612.0,32.44,734.4,20
CDM,947482,PUTTY BN MTRX 20CC,6200.0,6200.0,328.6,7440.0,20
CDM,947483,NAIL BN 12.5X300MM,25000.0,25000.0,1325.0,30000.0,20
CDM,947484,SCREW BN 4.5MM 14MM,71.0,71.0,3.76,85.2,20
CDM,947492,SCREW BN 4.2MM 55MM 14MM,2600.0,2600.0,137.8,3120.0,20
CDM,947493,SCREW BN 4.0MM 28MM,300.0,300.0,15.9,360.0,20
CDM,947494,SCREW BN 4MM 24MM,300.0,300.0,15.9,360.0,20
CDM,947502,INSERT TIB KN R SZ5 12MM,1500.0,1500.0,79.5,1800.0,20
CDM,947507,SCREW BN 4.2MM 47MM 17MM,2600.0,2600.0,137.8,3120.0,20
CDM,947530,TISSUE EXPANDER 350CC,3100.0,3100.0,164.3,3720.0,20
CDM,947545,CATHETER RENAL 6FR,124352.0,124352.0,10694.27,149222.4,48
CDM,947557,PLATE BN 11HL 4.5X209MM,5473.0,5473.0,290.07,6567.6,20
CDM,947558,SCREW BN 4.5MM 48MM,71.0,71.0,3.76,85.2,20
CDM,947561,CLIP SURG LGT LG,5043.0,5043.0,267.28,6051.6,49
CDM,947573,SCREW BN 6.5MM 85MM,798.0,798.0,42.29,957.6,20
CDM,947586,PLATE BN LT 3.5MM 221MM,4410.0,4410.0,233.73,5292.0,20
CDM,947593,SCREW SPN 8.0MM 70MM,1200.0,1200.0,63.6,1440.0,20
CDM,947594,AXLE/BUSHING KN HNGE STD,3404.0,3404.0,180.41,4084.8,20
CDM,947595,BEARING TIB KN SZ5-6,6824.0,6824.0,361.67,8188.8,20
CDM,947596,BUMPER KN HNG 0D,1305.0,1305.0,69.17,1566.0,20
CDM,947597,BASEPLATE TIB KN SZ5,6212.0,6212.0,329.24,7454.4,20
CDM,947602,SCREW BN 3.5MM 50MM,1600.0,1600.0,84.8,1920.0,20
CDM,947604,SCREWDRIVER SNGL USE,3445.0,3445.0,182.59,4134.0,49
CDM,947605,KWIRE BN .9MM 203MM,1545.0,1545.0,81.89,1854.0,49
CDM,947607,CMPNT FEM KN SZ6,3054.0,3054.0,161.86,3664.8,20
CDM,947608,BASEPLATE KN TIB SZ4,2546.0,2546.0,134.94,3055.2,20
CDM,947609,INSERT KN TIB RT SZ6 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,947623,CATH URTH 10FR 12IN,16.0,16.0,0.85,19.2,49
CDM,947624,SHELL ACTB HIP 3HL 56MM,2000.0,2000.0,106.0,2400.0,20
CDM,947652,BRONCHOSCOPE DISP 5.0MM,10080.0,10080.0,534.24,12096.0,49
CDM,947658,HANDPIECE H2O JET KNIFE,26269.0,26269.0,1392.26,31522.8,49
CDM,947663,INSERT ARTC KN S4-5 13MM,1500.0,1500.0,79.5,1800.0,20
CDM,947664,LENS IOL +24.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,947665,ICD DEFIB CARD DEVICE,40000.0,40000.0,2120.0,48000.0,20
CDM,947672,PLATE BN DIST FIB 10HL,2415.0,2415.0,128.0,2898.0,20
CDM,947673,SHEATH INTRO 9FR,2564.0,2564.0,135.89,3076.8,49
CDM,947674,TOOL TUNNELING ZONE 1,5941.0,5941.0,314.87,7129.2,49
CDM,947675,LEAD ICD 63CM,10780.0,10780.0,571.34,12936.0,20
CDM,947676,TOOL TUNNELING ZONE 2,5941.0,5941.0,314.87,7129.2,49
CDM,947680,GUIDE PIN ORTH 3.2X350MM,5941.0,5941.0,314.87,7129.2,49
CDM,947681,SCREW BN 6.5MM 75MM,684.0,684.0,36.25,820.8,20
CDM,947682,SCREW BN 5.7MM 46MM,627.0,627.0,33.23,752.4,20
CDM,947684,KWIRE ORTH 1.2MM 150MM,942.0,942.0,49.93,1130.4,49
CDM,947685,MESH HRN LQD ANCH 40,900.0,900.0,47.7,1080.0,20
CDM,947686,INSERT SHLDR 36MM +4,2180.0,2180.0,115.54,2616.0,20
CDM,947687,PIN DISP SHORT,1884.0,1884.0,99.85,2260.8,49
CDM,947692,SCREW BN 6.5MM 30MM,1400.0,1400.0,74.2,1680.0,20
CDM,947731,NAIL BN 13MM 150MM,7897.0,7897.0,418.54,9476.4,20
CDM,947732,SCREW BN 8MM 85MM 46MM,382.0,382.0,20.25,458.4,20
CDM,947746,GRAFT BN SUB 10ML,3500.0,3500.0,185.5,4200.0,20
CDM,947774,SCREW BN 4.5MM 18MM,71.0,71.0,3.76,85.2,20
CDM,947775,PLATE BN 4.5/3.5MM 367MM,12600.0,12600.0,667.8,15120.0,20
CDM,947783,PLATE BN LT 11HL 196MM,5588.0,5588.0,296.16,6705.6,20
CDM,947787,SCREW BN 6.5MM 45MM,741.0,741.0,39.27,889.2,20
CDM,947788,CATH VASC GD 115CM,23277.0,23277.0,1233.68,27932.4,49
CDM,947789,PIN GUIDE STARTING,2564.0,2564.0,135.89,3076.8,49
CDM,947797,SCREW BN 4.2X5X17MM,2600.0,2600.0,137.8,3120.0,20
CDM,947801,SLING SURG MESH MALE,14808.0,14808.0,784.82,17769.6,20
CDM,947808,PUTTY BN VOID 5CC,1678.0,1678.0,88.93,2013.6,20
CDM,947810,MESH HRN 3LY 11.5X22CM,6404.0,6404.0,339.41,7684.8,20
CDM,947811,SHELL ACTB HIP 52MM,4309.0,4309.0,228.38,5170.8,20
CDM,947812,INSERT TIB KN SZ6 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,947815,CATH PCNG TRQ 5FR,3340.0,3340.0,177.02,4008.0,49
CDM,947816,SIZER BREAST 280CC,3013.0,3013.0,159.69,3615.6,49
CDM,947817,SIZER BREAST 345CC,3013.0,3013.0,159.69,3615.6,49
CDM,947818,SIZER BREAST 360CC,3013.0,3013.0,159.69,3615.6,49
CDM,947836,CATH MICRO STRT 2F 130CM,5941.0,5941.0,314.87,7129.2,49
CDM,947838,TAP BN CANN 4.75MM,3864.0,3864.0,204.79,4636.8,49
CDM,947839,INSERT TIB BRNG RS 20MM,1270.0,1270.0,67.31,1524.0,20
CDM,947840,PLATE BN RT 6HL,3161.0,3161.0,167.53,3793.2,20
CDM,947841,SCREW CORT 2.7X30MM,180.0,180.0,9.54,216.0,20
CDM,947842,SCREW BN 2.7MM 18MM,224.0,224.0,11.87,268.8,20
CDM,947844,INTRO SHEATH 12FR 33CM,5397.0,5397.0,286.04,6476.4,49
CDM,947848,NAIL BN FEM 9MM 32CM,3052.0,3052.0,161.76,3662.4,20
CDM,947854,CABLE INSTRUMENT DISP,5941.0,5941.0,314.87,7129.2,49
CDM,947855,NAIL BN 11.5MM 180MM,25000.0,25000.0,1325.0,30000.0,20
CDM,947861,SCREW BN 2.3MM 35MM,1700.0,1700.0,90.1,2040.0,20
CDM,947864,STEM SHLDR PRFT SZ13,5650.0,5650.0,299.45,6780.0,20
CDM,947866,PLATE BN CMPR 12HL 201MM,2227.0,2227.0,118.03,2672.4,20
CDM,947868,PLATE BN 18H 403MM 3.5MM,12720.0,12720.0,674.16,15264.0,20
CDM,947870,HEAD HUM SHLDR 43MM 16MM,9800.0,9800.0,519.4,11760.0,20
CDM,947872,SCREW SPN 6.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
CDM,947873,SCREW SPN CANN 6.5X45MM,1200.0,1200.0,63.6,1440.0,20
CDM,947874,SCREW SPN 7.5MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,947875,SCREW SPN 5.5MM 30MM,450.0,450.0,23.85,540.0,20
CDM,947876,SCREW SPN 6.5MM 30MM,450.0,450.0,23.85,540.0,20
CDM,947880,SCREW SPN 5.5MM 30MM,900.0,900.0,47.7,1080.0,20
CDM,947881,SCREW SPN 6.5MM 30MM,900.0,900.0,47.7,1080.0,20
CDM,947882,SCREW SPN 6.5MM 35MM,900.0,900.0,47.7,1080.0,20
CDM,947883,ROD SPNL 6.0MMX450MM,360.0,360.0,19.08,432.0,20
CDM,947888,KIT SUTURE REPAIR,9016.0,9016.0,477.85,10819.2,49
CDM,947891,LINER ACTB HIP52MM 40MM,1100.0,1100.0,58.3,1320.0,20
CDM,947892,INSERT TIB KN LT SZ4 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,947893,INSERT TIB KN LT SZ4 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,947894,INSERT TIB KN LT 4 7MM,1500.0,1500.0,79.5,1800.0,20
CDM,947895,CMPNT FEM KN LT SZ5,3054.0,3054.0,161.86,3664.8,20
CDM,947896,INSERT TIB KN LT SZ5 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,947897,BASEPLATE TIB KN SZ5,2546.0,2546.0,134.94,3055.2,20
CDM,947905,GRAFT BN 5ML,1750.0,1750.0,92.75,2100.0,20
CDM,947906,COMP HUM ELB 150MM 4MM,7628.0,7628.0,404.28,9153.6,20
CDM,947907,SCREW BN 2MM 26MM,180.0,180.0,9.54,216.0,20
CDM,947908,SCREW BN 2.7MM 15MM,180.0,180.0,9.54,216.0,20
CDM,947911,SCREW BN 5MM 38MM,495.0,495.0,26.23,594.0,20
CDM,947956,RING INSRT SHLDR +4 32MM,2180.0,2180.0,115.54,2616.0,20
CDM,947961,SCREW BN 4.2MM 57MM,2600.0,2600.0,137.8,3120.0,20
CDM,947964,PLATE BN 7HL 106.5MM,918.0,918.0,48.65,1101.6,20
CDM,947975,SCREW SPN 5.5MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,947976,ROD SPN 5.5MM 150MM,360.0,360.0,19.08,432.0,20
CDM,947977,SCREW SPN CAN 5.5MM 40MM,1200.0,1200.0,63.6,1440.0,20
CDM,947978,SCREW CANN POLY 6.5X50MM,1200.0,1200.0,63.6,1440.0,20
CDM,948002,INSERT SHLDR +0 32MM,2850.0,2850.0,151.05,3420.0,20
CDM,948005,PLATE BN ULN RT 5 SLOT,2118.0,2118.0,112.25,2541.6,20
CDM,948006,SCREW BN 3.5MM 46MM,270.0,270.0,14.31,324.0,20
CDM,948014,PLATE BN 12H 162MM,4573.0,4573.0,242.37,5487.6,20
CDM,948017,CMPNT PTLR KN 35X9.5MM,1000.0,1000.0,53.0,1200.0,20
CDM,948018,INSERT SHLDR 36MM +0,2180.0,2180.0,115.54,2616.0,20
CDM,948020,STEM SHLDR PRFT SZ9,5650.0,5650.0,299.45,6780.0,20
CDM,948021,BODY SHLDR PROX LT MED,7800.0,7800.0,413.4,9360.0,20
CDM,948022,GRAFT BN PUTTY 10CC,1700.0,1700.0,90.1,2040.0,20
CDM,948037,SCREW BN 2MM 6MM,369.0,369.0,19.56,442.8,20
CDM,948071,NAIL BN RT 9MM 40CM,3052.0,3052.0,161.76,3662.4,20
CDM,948072,LINER HIP 56-58MM 36MM,1100.0,1100.0,58.3,1320.0,20
CDM,948083,SCREW SPN 7.5MM 45MM,1200.0,1200.0,63.6,1440.0,20
CDM,948099,PLT B T 3.5104 7HL LT,3094.0,3094.0,163.98,3712.8,20
CDM,948100,SCREW BN 20MM,1540.0,1540.0,81.62,1848.0,20
CDM,948103,RING INSRT SHLDR +0 32MM,2850.0,2850.0,151.05,3420.0,20
CDM,948106,LENS IOL +18.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948107,LENS IOL +20.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948112,INSERT SHLDR +4 32MM,2180.0,2180.0,115.54,2616.0,20
CDM,948116,INSERT TIB KN SZ2 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,948139,LENS IOL +09.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948140,LENS IOL +09.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948141,LENS IOL +10.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948142,LENS IOL +10.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948143,LENS IOL +11.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948144,LENS IOL +11.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948145,LENS IOL +12.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948146,LENS IOL +12.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948147,LENS IOL +13.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948148,LENS IOL +13.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948149,LENS IOL +14.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948150,LENS IOL +14.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948151,LENS IOL +15.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948152,LENS IOL +15.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948153,PLATE BN 14HL 331MM,12480.0,12480.0,661.44,14976.0,20
CDM,948154,DEVICE CLS WND +3-0 70CM,778.0,778.0,41.23,933.6,49
CDM,948155,CATH BLN 3X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,948156,CATH BLNDIL 7F 40 75X9X8,2564.0,2564.0,135.89,3076.8,49
CDM,948157,CATH BLNDIL 10X80MM 75CM,2564.0,2564.0,135.89,3076.8,49
CDM,948159,BIT DRILL SHRT 2.9MM,2682.0,2682.0,142.15,3218.4,49
CDM,948161,SCREW BN 4.5MM 52MM,71.0,71.0,3.76,85.2,20
CDM,948165,INSERT SHLDR 32MM +0,2180.0,2180.0,115.54,2616.0,20
CDM,948178,INSERT SHLDR SZ3/4 8MM,3610.0,3610.0,191.33,4332.0,20
CDM,948182,SCREW BN 4.5MM 50MM,1292.0,1292.0,68.48,1550.4,20
CDM,948183,DRILL SURG 3.2MM 180MM,942.0,942.0,49.93,1130.4,49
CDM,948185,SCREW BN 2.5MM 30MM,456.0,456.0,24.17,547.2,20
CDM,948186,SCREW BN 2.5MM 28MM,456.0,456.0,24.17,547.2,20
CDM,948187,SET CUTTER 220CM,5941.0,5941.0,314.87,7129.2,49
CDM,948188,SCREW BN 8.5MM 80MM VRST,900.0,900.0,47.7,1080.0,20
CDM,948194,SCREW BN 3.5MM 32MM,1570.0,1570.0,83.21,1884.0,20
CDM,948195,SCREW BN 3MM 16MM,1570.0,1570.0,83.21,1884.0,20
CDM,948197,CMPNT ELB RT 5MM 115MM,8403.0,8403.0,445.36,10083.6,20
CDM,948233,CATH GD VASC 152CM,17060.0,17060.0,904.18,20472.0,49
CDM,948234,CATH GD VASC 152CM,17060.0,17060.0,904.18,20472.0,49
CDM,948235,CATH GD VASC 152CM,17060.0,17060.0,904.18,20472.0,49
CDM,948258,SCREW SPN 7.5MM 50MM,450.0,450.0,23.85,540.0,20
CDM,948259,SCREW SPNL 8.50MM 56MM,450.0,450.0,23.85,540.0,20
CDM,948260,CAGE SPN PD 9X28X7-11MM,6800.0,6800.0,360.4,8160.0,20
CDM,948270,STEM HUM SHLDR 4/33,6162.0,6162.0,326.59,7394.4,20
CDM,948271,COMP CONE KN XL,6200.0,6200.0,328.6,7440.0,20
CDM,948272,STEM FEM KN 13X120MM,1072.0,1072.0,56.82,1286.4,20
CDM,948273,INSERT TIB MED 14MM,7995.0,7995.0,423.74,9594.0,20
CDM,948288,COIL EMBL 6MM 20CM,3310.0,3310.0,175.43,3972.0,20
CDM,948289,COIL EMBL 6MM 15CM,3310.0,3310.0,175.43,3972.0,20
CDM,948290,COIL EMBL 6MM 10CM,3310.0,3310.0,175.43,3972.0,20
CDM,948291,COIL EMBL 3MM 8CM,3310.0,3310.0,175.43,3972.0,20
CDM,948292,COIL EMBL 2MM 6CM,3310.0,3310.0,175.43,3972.0,20
CDM,948293,COIL EMBL 3MM 6CM,3310.0,3310.0,175.43,3972.0,20
CDM,948294,COIL EMBL 2MM 4CM,3310.0,3310.0,175.43,3972.0,20
CDM,948295,COIL EMBL 2MM 3CM,3310.0,3310.0,175.43,3972.0,20
CDM,948296,COIL EMBL 2MM 2MM,3310.0,3310.0,175.43,3972.0,20
CDM,948297,COIL EMBL 2.5MM 5.5CM,3310.0,3310.0,175.43,3972.0,20
CDM,948298,COIL EMBL 1.5MM 4CM,3310.0,3310.0,175.43,3972.0,20
CDM,948299,COIL EMBL 1.5MM 3CM,3310.0,3310.0,175.43,3972.0,20
CDM,948300,COIL EMBL 1.5MM 2.5CM,3310.0,3310.0,175.43,3972.0,20
CDM,948301,COIL EMBL 1.5MM 2CM,3310.0,3310.0,175.43,3972.0,20
CDM,948302,COIL EMBL 1MM 4CM,3310.0,3310.0,175.43,3972.0,20
CDM,948303,COIL EMBL 1MM 3CM,3310.0,3310.0,175.43,3972.0,20
CDM,948304,COIL EMBL 1MM 2.5CM,3310.0,3310.0,175.43,3972.0,20
CDM,948305,COIL EMBL 1MM 2CM,3310.0,3310.0,175.43,3972.0,20
CDM,948306,COIL EMBL 1MM 1.5CM,3310.0,3310.0,175.43,3972.0,20
CDM,948307,COIL EMBL 1MM 1CM,3310.0,3310.0,175.43,3972.0,20
CDM,948308,COIL EMBL XL 12MM 40CM,3973.0,3973.0,210.57,4767.6,20
CDM,948309,COIL EMBL XL 11MM 37CM,3973.0,3973.0,210.57,4767.6,20
CDM,948310,COIL EMBL XL 10MM 34CM,3973.0,3973.0,210.57,4767.6,20
CDM,948311,COIL EMBL XL 9MM 33CM,3973.0,3973.0,210.57,4767.6,20
CDM,948312,COIL EMBL XL 9MM 15.3CM,3973.0,3973.0,210.57,4767.6,20
CDM,948313,COIL EMBL XL 8MM 30CM,3973.0,3973.0,210.57,4767.6,20
CDM,948314,COIL EMBL XL 8MM 13.6CM,3973.0,3973.0,210.57,4767.6,20
CDM,948315,COIL EMBL XL 7MM 14.3CM,3973.0,3973.0,210.57,4767.6,20
CDM,948316,COIL EMBL XL 6MM 12.2CM,3973.0,3973.0,210.57,4767.6,20
CDM,948317,COIL EMBL XL 5MM 10CM,3973.0,3973.0,210.57,4767.6,20
CDM,948318,COIL EMBL 6MM 26CM,3310.0,3310.0,175.43,3972.0,20
CDM,948319,COIL EMBL 6MM 11.9CM,3310.0,3310.0,175.43,3972.0,20
CDM,948320,COIL EMBL 5MM 17CM,3310.0,3310.0,175.43,3972.0,20
CDM,948321,COIL EMBL 5MM 9.7CM,3310.0,3310.0,175.43,3972.0,20
CDM,948322,COIL EMBL 4MM 11.5CM,3310.0,3310.0,175.43,3972.0,20
CDM,948323,COIL EMBL 4MM 7.5CM,3310.0,3310.0,175.43,3972.0,20
CDM,948324,HANDLE MECH COIL,2714.0,2714.0,143.84,3256.8,49
CDM,948325,COIL EMBL 2MM 8CM,2832.0,2832.0,150.1,3398.4,20
CDM,948326,COIL EMBL 2MM 6CM,2832.0,2832.0,150.1,3398.4,20
CDM,948327,COIL EMBL 2MM 4CM,2832.0,2832.0,150.1,3398.4,20
CDM,948328,COIL EMBL 3.5MM 7.5CM,3310.0,3310.0,175.43,3972.0,20
CDM,948329,COIL EMBL 3.5MM 9CM,3310.0,3310.0,175.43,3972.0,20
CDM,948330,COIL EMBL 3.5MM 5CM,3310.0,3310.0,175.43,3972.0,20
CDM,948331,COIL EMBL 2.5MM 3.5CM,3310.0,3310.0,175.43,3972.0,20
CDM,948332,COIL EMBL 2.5MM 5CM,3310.0,3310.0,175.43,3972.0,20
CDM,948333,COIL EMBL 6MM 20CM,3310.0,3310.0,175.43,3972.0,20
CDM,948334,COIL EMBL 6MM 10CM,3310.0,3310.0,175.43,3972.0,20
CDM,948335,COIL EMBL 5MM 15CM,3310.0,3310.0,175.43,3972.0,20
CDM,948336,COIL EMBL 5MM 10CM,3310.0,3310.0,175.43,3972.0,20
CDM,948337,COIL EMBL 4MM 10CM,3310.0,3310.0,175.43,3972.0,20
CDM,948338,COIL EMBL 4MM 8CM,3310.0,3310.0,175.43,3972.0,20
CDM,948339,COIL EMBL 4MM 6CM,3310.0,3310.0,175.43,3972.0,20
CDM,948340,COIL EMBL 3MM 8CM,3310.0,3310.0,175.43,3972.0,20
CDM,948341,COIL EMBL 3MM 6CM,3310.0,3310.0,175.43,3972.0,20
CDM,948342,COIL EMBL 3MM 4CM,3310.0,3310.0,175.43,3972.0,20
CDM,948343,COIL EMBL 2MM 2CM,3310.0,3310.0,175.43,3972.0,20
CDM,948344,COIL EMBL 8MM 35CM,3475.0,3475.0,184.18,4170.0,20
CDM,948345,COIL EMBL 7MM 33CM,3475.0,3475.0,184.18,4170.0,20
CDM,948346,COIL EMBL 6MM 25CM,3475.0,3475.0,184.18,4170.0,20
CDM,948347,COIL EMBL 5MM 20CM,3475.0,3475.0,184.18,4170.0,20
CDM,948348,COIL EMBL 4MM 15CM,3475.0,3475.0,184.18,4170.0,20
CDM,948349,COIL EMBL 3MM 12CM,3475.0,3475.0,184.18,4170.0,20
CDM,948350,COIL EMBL 12MM 30CM,3310.0,3310.0,175.43,3972.0,20
CDM,948351,COIL EMBL 10MM 30CM,3310.0,3310.0,175.43,3972.0,20
CDM,948352,COIL EMBL 9MM 25CM,3310.0,3310.0,175.43,3972.0,20
CDM,948353,COIL EMBL 8MM 24CM,3310.0,3310.0,175.43,3972.0,20
CDM,948354,COIL EMBL 8MM 15CM,3310.0,3310.0,175.43,3972.0,20
CDM,948355,COIL EMBL 7MM 21CM,3310.0,3310.0,175.43,3972.0,20
CDM,948356,COIL EMBL 7MM 15CM,3310.0,3310.0,175.43,3972.0,20
CDM,948360,SET CATH ACCESS 66.9CM,8161.0,8161.0,432.53,9793.2,49
CDM,948368,SCREW BN 6.5MM 35MM,1400.0,1400.0,74.2,1680.0,20
CDM,948370,SCREW BN 6.5MM 50MM,382.0,382.0,20.25,458.4,20
CDM,948371,SCREW BN 6.5X55MM,382.0,382.0,20.25,458.4,20
CDM,948373,SCREW BN 2X4MM,163.0,163.0,8.64,195.6,20
CDM,948374,SCREW BN 2.0X10MM,168.0,168.0,8.9,201.6,20
CDM,948375,SCREW BN 2MM 12MM,168.0,168.0,8.9,201.6,20
CDM,948376,BIT DRL 2.0X165MM,2564.0,2564.0,135.89,3076.8,49
CDM,948381,INSERT SHLDR SZ1/2 36MM,1680.0,1680.0,89.04,2016.0,20
CDM,948390,SUTURE ANBCTRL +2 27IN,239.0,239.0,12.67,286.8,49
CDM,948403,INST SUT PASSER OFST RT,3242.0,3242.0,171.83,3890.4,49
CDM,948405,CMPNT FEM HIP SZ5,3400.0,3400.0,180.2,4080.0,20
CDM,948414,LENS IOL +23.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948422,SCREW BN 2MM 5MM,163.0,163.0,8.64,195.6,20
CDM,948429,PLATE BN 8HL,1724.0,1724.0,91.37,2068.8,20
CDM,948435,NAIL BN 125D 10X240MM,3266.0,3266.0,173.1,3919.2,20
CDM,948439,SYSTEM KNOTLES AC REPAIR,3750.0,3750.0,198.75,4500.0,20
CDM,948444,LENS IOL +16.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948445,LENS IOL +16.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948446,LENS IOL +17.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948447,LENS IOL +17.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948448,LENS IOL +18.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948449,LENS IOL +19.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948450,LENS IOL +19.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948451,LENS IOL +20.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948452,LENS IOL +21.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948453,LENS IOL +21.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948454,LENS IOL +22.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948455,LENS IOL +22.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948456,LENS IOL +23.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948457,LENS IOL +24.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948458,LENS IOL +25.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948459,LENS IOL +25.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948460,LENS IOL +26.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948461,LENS IOL +26.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948462,LENS IOL +27.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,948471,SUTURE ANBCTRL +2-0 27IN,1989.0,1989.0,105.42,2386.8,49
CDM,948472,SUTURE C-1 5-0 1X36IN,3647.0,3647.0,193.29,4376.4,49
CDM,948475,LENS IOL +27.5 DIOP,268.0,268.0,27.6,321.6,31
CDM,948477,SCREW SPN 3.5MM 22MM,900.0,900.0,47.7,1080.0,20
CDM,948478,SCREW SPN 3.5MM 24MM,900.0,900.0,47.7,1080.0,20
CDM,948480,SCREW BN 1.7X3MM,202.0,202.0,10.71,242.4,20
CDM,948496,BASEPLATE SHLDR SM 24MM,2110.0,2110.0,111.83,2532.0,20
CDM,948501,ROD SPN CRV 5.5X80MM,360.0,360.0,19.08,432.0,20
CDM,948504,PLUG DCAN FEN TUBE 15MM,127.0,127.0,6.73,152.4,49
CDM,948505,PEG KIT STD 24FR,2564.0,2564.0,135.89,3076.8,49
CDM,948506,GLOVE CMPR BRN SZ1,2564.0,2564.0,135.89,3076.8,49
CDM,948509,PLATE SPN 2LVL 32MM,1900.0,1900.0,100.7,2280.0,20
CDM,948510,SCREW SPN S/T 4.3MM,150.0,150.0,7.95,180.0,20
CDM,948511,PIN FIX TEMP,942.0,942.0,49.93,1130.4,49
CDM,948512,INTERBODY SPN 20X15X8MM,1600.0,1600.0,84.8,1920.0,20
CDM,948516,SUTURE GRN BRD 2-0 36IN,2762.0,2762.0,146.39,3314.4,49
CDM,948519,SCREW BN 3.5MM 45MM,1600.0,1600.0,84.8,1920.0,20
CDM,948543,BSCP DISP LARGE 5.8/2.8,3799.0,3799.0,201.35,4558.8,49
CDM,948545,SCREW BN 3.5MM 52MM,1570.0,1570.0,83.21,1884.0,20
CDM,948550,CMPNT DISC LFT 3MM 115MM,8403.0,8403.0,445.36,10083.6,20
CDM,948560,SCREW BN 3MM 6MM,184.0,184.0,9.75,220.8,20
CDM,948566,BODY PROX SHLDR RT SM,7800.0,7800.0,413.4,9360.0,20
CDM,948567,STEM SHLDR PRFT SZ12,5650.0,5650.0,299.45,6780.0,20
CDM,948570,ROD SPN CRV LG 5.5X85MM,360.0,360.0,19.08,432.0,20
CDM,948575,STENT VASC 8X40MM 80CM,1512.0,1512.0,80.14,1814.4,20
CDM,948576,SHEATH WIRE 8.5FR 63CM,7306.0,7306.0,387.22,8767.2,49
CDM,948580,SHEATH WIRE 45D 63CM,7539.0,7539.0,399.57,9046.8,49
CDM,948593,PUTTY BN 5ML,1750.0,1750.0,92.75,2100.0,20
CDM,948619,KIT NAIL BN 4.5MM 70MM,4290.0,4290.0,227.37,5148.0,20
CDM,948620,SCREW BN 4.0MM 46MM,2430.0,2430.0,128.79,2916.0,20
CDM,948621,PLATE BN 121MM 2.4MM,1512.0,1512.0,80.14,1814.4,20
CDM,948622,SCREW BN 2.4MM 6MM,238.0,238.0,12.61,285.6,20
CDM,948623,SCREW BN 2.4MM 7MM,238.0,238.0,12.61,285.6,20
CDM,948624,SCREW BN 2.4MM 6MM,73.0,73.0,3.87,87.6,20
CDM,948626,INSERT HUM SHLDR 36MM,840.0,840.0,44.52,1008.0,20
CDM,948640,TEMPLATE MNDBL CUST,57536.0,57536.0,3049.41,69043.2,49
CDM,948641,SCREW BN 3MM 30MM,314.0,314.0,16.64,376.8,20
CDM,948642,GRAFT STNT 24MM 152MM,33203.0,33203.0,1759.76,39843.6,20
CDM,948661,SCREW BN 6.5MM 70MM,356.0,356.0,18.87,427.2,20
CDM,948662,SCREW BN 6.5MM 65MM 40MM,356.0,356.0,18.87,427.2,20
CDM,948685,TAP CORT A-O STYLE 3.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,948707,SCREW BN 5MM 34MM,585.0,585.0,31.0,702.0,20
CDM,948715,BODY PROX SHLDR RT MED,7800.0,7800.0,413.4,9360.0,20
CDM,948716,ADAPTER STEM SHLDR +0,1100.0,1100.0,58.3,1320.0,20
CDM,948717,HEAD HUM SHLDR 51MM,2000.0,2000.0,106.0,2400.0,20
CDM,948730,SCREW BN 5MM 38MM,585.0,585.0,31.0,702.0,20
CDM,948835,PROBE CRYO 11IN,21762.0,21762.0,1153.39,26114.4,49
CDM,949021,SCREW BN 7MM 30MM,382.0,382.0,20.25,458.4,20
CDM,949022,PLATE BN 137MM 3.5MM,3173.0,3173.0,168.17,3807.6,20
CDM,949023,PLATE BN ORT 3.5MM 16H,4315.0,4315.0,228.69,5178.0,20
CDM,949026,CMPNT FEM HIP SZ 5,3400.0,3400.0,180.2,4080.0,20
CDM,949034,INTERBODY SPN 6D 26X9X12,4000.0,4000.0,212.0,4800.0,20
CDM,949040,SCREW BN CMPR MALE 65MM,316.0,316.0,16.75,379.2,20
CDM,949042,DEVICE CLSR FEM 5FR,400.0,400.0,21.2,480.0,20
CDM,949043,DEVICE CLSR FEM 6FR,400.0,400.0,21.2,480.0,20
CDM,949044,DEVICE CLSR FEM 7FR,400.0,400.0,21.2,480.0,20
CDM,949048,CONN W/2 SCRWS 12MM,700.0,700.0,37.1,840.0,20
CDM,949049,ROD SPN CRV 5.5X85MM,360.0,360.0,19.08,432.0,20
CDM,949060,SCREW BN 2.3MM 30MM,1700.0,1700.0,90.1,2040.0,20
CDM,949068,SCREW BN 4.0MM 42MM,974.0,974.0,51.62,1168.8,20
CDM,949069,SCREW BN CANN 4X44MM,974.0,974.0,51.62,1168.8,20
CDM,949082,CAGE SPN 15D 11X23X26MM,4000.0,4000.0,212.0,4800.0,20
CDM,949087,INST ARM HK RBTC DISP,5941.0,5941.0,314.87,7129.2,49
CDM,949116,INST ARM SCSR RBTC DISP,5941.0,5941.0,314.87,7129.2,49
CDM,949117,GRAFT STNT 22MM 152MM,33203.0,33203.0,1759.76,39843.6,20
CDM,949124,PLATE BN LT 6HL,3160.0,3160.0,167.48,3792.0,20
CDM,949125,SCREW CORT 2.7X24MM,180.0,180.0,9.54,216.0,20
CDM,949140,CAGE SPN 6D 16X18X8MM,3800.0,3800.0,201.4,4560.0,20
CDM,949147,STENT VNS 18X40MM 80CM,3000.0,3000.0,159.0,3600.0,20
CDM,949148,STENT VNS 16X160MM 80CM,3000.0,3000.0,159.0,3600.0,20
CDM,949149,STENT VNS 20X60MM 80CM,3000.0,3000.0,159.0,3600.0,20
CDM,949150,STENT VNS 16X140MM 80CM,3000.0,3000.0,159.0,3600.0,20
CDM,949155,DRESSING BURN 20X40CM,1016.0,1016.0,53.85,1219.2,49
CDM,949156,SCREW SPN 7.5MM 55MM,450.0,450.0,23.85,540.0,20
CDM,949165,CMPNT FEM HIP SZ 3,3400.0,3400.0,180.2,4080.0,20
CDM,949166,CEMENT BN CA SULF 10CC,2400.0,2400.0,127.2,2880.0,20
CDM,949174,INSERT BRNG KN SZ4 12MM,1500.0,1500.0,79.5,1800.0,20
CDM,949175,CATH BLNDIL 4MM 30MM,43912.0,43912.0,3776.43,52694.4,48
CDM,949212,WASHER BN 21.7MM,273.0,273.0,14.47,327.6,20
CDM,949213,CATH BLNDL 2X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,949220,CMPNT FEM HIP SZ1,3400.0,3400.0,180.2,4080.0,20
CDM,949263,SCREW BN 3.5MM 42MM,308.0,308.0,16.32,369.6,20
CDM,949292,ROD SPN STR 5.5X200MM,360.0,360.0,19.08,432.0,20
CDM,949301,CASULE ENDO CAMERA,1131.0,1131.0,59.94,1357.2,49
CDM,949304,STEM HUM SHLDR 32X165MM,6602.0,6602.0,349.91,7922.4,20
CDM,949305,DEVICE BX 18GA 25CM,599.0,599.0,31.75,718.8,49
CDM,949322,SUTURE UND BRD +1 27IN,56.0,56.0,2.97,67.2,49
CDM,949338,BURR SURG 4.3MM 13MM,5043.0,5043.0,267.28,6051.6,49
CDM,949343,PLATE BN CL 22D,1100.0,1100.0,58.3,1320.0,20
CDM,949363,SCREW BN 2.0MM 6MM,163.0,163.0,8.64,195.6,20
CDM,949364,SCREW BN INJ 3.5X30MM,359.0,359.0,19.03,430.8,20
CDM,949365,STEM SHLDR PRFT SZ14,5650.0,5650.0,299.45,6780.0,20
CDM,949387,SCREW BN 3.5MM 54MM,1570.0,1570.0,83.21,1884.0,20
CDM,949388,SCREW BN 3MM 22MM,1570.0,1570.0,83.21,1884.0,20
CDM,949389,SCR CANN HEAD 5.5X40MM,350.0,350.0,18.55,420.0,20
CDM,949422,SUTURE UND BRD +5-0 18IN,159.0,159.0,8.43,190.8,49
CDM,949423,KIT MANIFOLD IV 3 PORT,188.0,188.0,9.96,225.6,49
CDM,949424,SUTURE VIOL +0 60IN,165.0,165.0,8.74,198.0,49
CDM,949425,SCREW BN 3.5MM 40MM,1570.0,1570.0,83.21,1884.0,20
CDM,949426,SCREW BN 3.5MM 36MM,300.0,300.0,15.9,360.0,20
CDM,949427,ROD SPN 6MM,2775.0,2775.0,147.07,3330.0,20
CDM,949430,SCREW BN 2.0MM 8MM,168.0,168.0,8.9,201.6,20
CDM,949434,SCREW BN 3.5MM 51MM,266.0,266.0,14.1,319.2,20
CDM,949446,INTRO SHEATH 10FR 33CM,6155.0,6155.0,326.21,7386.0,49
CDM,949461,ROD SPN CRV LG 5.5X50MM,360.0,360.0,19.08,432.0,20
CDM,949492,PLATE BN ULNA RT 4SLOT,1944.0,1944.0,103.03,2332.8,20
CDM,949499,BASEPLATE HUM SHLDR 24MM,2260.0,2260.0,119.78,2712.0,20
CDM,949505,SCREW SPN 5.5MM 35MM,450.0,450.0,23.85,540.0,20
CDM,949535,SCREW BN 3.5MM 36MM,1570.0,1570.0,83.21,1884.0,20
CDM,949536,SCREW BN 3.0MM 20MM,1570.0,1570.0,83.21,1884.0,20
CDM,949543,SOLUTION IRR NACL 2000ML,221.0,221.0,11.71,265.2,49
CDM,949549,PLATE BN LT 5,2030.0,2030.0,107.59,2436.0,20
CDM,949550,DRILL CRANIAL 11X7X3MM,2564.0,2564.0,135.89,3076.8,49
CDM,949572,SCREW BN 3.5X34MM,272.0,272.0,14.42,326.4,20
CDM,949574,SCREW BN 2.7MM 16MM,255.0,255.0,13.52,306.0,20
CDM,949583,SCREW BN 2.7MM 14MM,255.0,255.0,13.52,306.0,20
CDM,949586,CMPNT FEM HIP SZ6,3400.0,3400.0,180.2,4080.0,20
CDM,949613,ROD SPN STR 5.5MM 70MM,360.0,360.0,19.08,432.0,20
CDM,949640,SCREW BN 2.3X6MM,186.0,186.0,9.86,223.2,20
CDM,949641,SCREW SPN 7.5MM 60MM,450.0,450.0,23.85,540.0,20
CDM,949642,ROD SPN 5.5 MM 25CM,360.0,360.0,19.08,432.0,20
CDM,949643,PIN HLF EXFX 5X85X250MM,2564.0,2564.0,135.89,3076.8,49
CDM,949648,SCREW BN 3.5MM 38MM,1570.0,1570.0,83.21,1884.0,20
CDM,949655,SCREW SPN FNSTRD 30MM,450.0,450.0,23.85,540.0,20
CDM,949656,KIT BN BX MRW ASP,2564.0,2564.0,135.89,3076.8,49
CDM,949657,KIT CANNULATE ORTH,2620.0,2620.0,138.86,3144.0,49
CDM,949658,SCREW SPN FEN 6.5MM 40MM,750.0,750.0,39.75,900.0,20
CDM,949659,SCREW SPN 6.5X35MM MOD,750.0,750.0,39.75,900.0,20
CDM,949660,CMPNT FEM HIP SZ4,3400.0,3400.0,180.2,4080.0,20
CDM,949688,PLATE BN RT 7HL 12MM,3128.0,3128.0,165.78,3753.6,20
CDM,949750,SCREW BN 4MM 55MM,347.0,347.0,18.39,416.4,20
CDM,949751,ROD SPN STRT 90MM 5.5MM,360.0,360.0,19.08,432.0,20
CDM,949752,SUTURE CV-5 PH-17 36IN,1247.0,1247.0,66.09,1496.4,49
CDM,949753,TEMPLATE ROD SPN 240MM,5614.0,5614.0,297.54,6736.8,49
CDM,949754,SCREW SPN 3.5MM 16MM,900.0,900.0,47.7,1080.0,20
CDM,949839,SCREW BN 2X8MM,388.0,388.0,20.56,465.6,20
CDM,949841,SCREW BN 2.0MM 8MM,270.0,270.0,14.31,324.0,20
CDM,949844,PLATE BN MINI 16HL 1MM,782.0,782.0,41.45,938.4,20
CDM,949856,PLATE BN 99MM 2.7/3.5MM,1231.0,1231.0,65.24,1477.2,20
CDM,949880,CMPNT ELB LT 5MM 150MM,7628.0,7628.0,404.28,9153.6,20
CDM,949950,SCREW BN 2.3MM 4MM,186.0,186.0,9.86,223.2,20
CDM,949965,SCREW BN CANN 6.5X145MM,382.0,382.0,20.25,458.4,20
CDM,950079,SCREW BN CORT 2.7MM 36MM,230.0,230.0,12.19,276.0,20
CDM,950080,SCREW BN CORT 2.7MM 46MM,230.0,230.0,12.19,276.0,20
CDM,9501,PERFLUTRN LPDMCS 1ML INJ,1977.0,1977.0,104.78,2372.4,30
CDM,950137,SCREW BN 4.5MM 80MM,238.0,238.0,12.61,285.6,20
CDM,950155,SCREW BN 2.3X8MM,191.0,191.0,10.12,229.2,20
CDM,950159,SCREW SPN 6.2X55MM,1200.0,1200.0,63.6,1440.0,20
CDM,950171,COIL EMBL PK 20CM,3840.0,3840.0,203.52,4608.0,20
CDM,950172,COIL EMBL PK 25CM,3840.0,3840.0,203.52,4608.0,20
CDM,950199,SCREW FEN 6.5X50MM MOD,750.0,750.0,39.75,900.0,20
CDM,9502,GASTROGRAFN PO 367 30ML,81.0,81.0,4.29,97.2,29
CDM,950280,LINER ACTB HIP 54MM 40MM,1100.0,1100.0,58.3,1320.0,20
CDM,950283,CATH THRMB SCTN 7FR,32642.0,32642.0,1730.03,39170.4,49
CDM,950284,CATH THRMB SCTN 7FR,34974.0,34974.0,1853.62,41968.8,49
CDM,950308,KWIRE SMOOTH 1.7X230MM,981.0,981.0,51.99,1177.2,49
CDM,950309,DRILL CANN 3.0MM,2564.0,2564.0,135.89,3076.8,49
CDM,950310,BURR BN 2.2X20X72MM,3695.0,3695.0,195.84,4434.0,49
CDM,950313,SCREW BN CANN 4MM 42MM,1300.0,1300.0,68.9,1560.0,20
CDM,950319,KWIRE 1.1X120MM,603.0,603.0,31.96,723.6,49
CDM,950352,SCREW BN 5MM 40MM,495.0,495.0,26.23,594.0,20
CDM,950354,SCREW BN 5MM 44MM,495.0,495.0,26.23,594.0,20
CDM,950376,SPCR SPN 6D 8-15X20X50MM,15000.0,15000.0,795.0,18000.0,20
CDM,950384,SET CUTTER SZ14,5941.0,5941.0,314.87,7129.2,49
CDM,950402,SCREW BN 5MM 34MM,495.0,495.0,26.23,594.0,20
CDM,950413,SUTURE VIOL BRD +1 18IN,370.0,370.0,19.61,444.0,49
CDM,950424,BASEPLATE ULNA BN PROX,10264.0,10264.0,543.99,12316.8,20
CDM,950425,SCREW BN SET 4-40,240.0,240.0,12.72,288.0,20
CDM,950427,SCREW BN 5MM 36MM,585.0,585.0,31.0,702.0,20
CDM,950430,SCREW SPN 7.5MM 45MM,750.0,750.0,39.75,900.0,20
CDM,950433,ROD SPN PRCNTRD 5.5X65MM,360.0,360.0,19.08,432.0,20
CDM,950434,INTERBODY SPN 9X32X14MM,4000.0,4000.0,212.0,4800.0,20
CDM,950435,INTBDY SPN 8D 9X32X10MM,4000.0,4000.0,212.0,4800.0,20
CDM,950437,ROD SPN STR 6X450MM,360.0,360.0,19.08,432.0,20
CDM,950445,TRAY TIB KN LM/RL SZ3,3600.0,3600.0,190.8,4320.0,20
CDM,950446,PIN FX THRD SHRT HD,1583.0,1583.0,83.9,1899.6,49
CDM,950481,ADHESIVE SKNCLS 1ML,478.0,478.0,25.33,573.6,49
CDM,950484,STEM ELB RADL -2MM 11MM,4050.0,4050.0,214.65,4860.0,20
CDM,950487,GRMNT BURN MSK4 BGE,2564.0,2564.0,135.89,3076.8,49
CDM,950490,PLATE BN 9HL 138.5MM,682.0,682.0,36.15,818.4,20
CDM,950509,BLADE SAW 62MM,8938.0,8938.0,473.71,10725.6,49
CDM,950533,BURR BN 2.0X13X72,3695.0,3695.0,195.84,4434.0,49
CDM,950565,SCREW BN 5.0MM 22MM,348.0,348.0,18.44,417.6,20
CDM,950568,PLATE BN FIB 11HL,1724.0,1724.0,91.37,2068.8,20
CDM,950583,CATH VASC 4FR 120CM,23316.0,23316.0,1235.75,27979.2,49
CDM,950630,PLATE SM 3MM FSN BN,2990.0,2990.0,158.47,3588.0,20
CDM,950639,GUIDE SURG 2.0MM,3013.0,3013.0,159.69,3615.6,49
CDM,950642,PIN EXFX 4MM 35MM 100MM,2564.0,2564.0,135.89,3076.8,49
CDM,950643,SCREW SPNL POLY 5.2X40MM,1200.0,1200.0,63.6,1440.0,20
CDM,950644,ROD SPN STR 5.5X300MM,360.0,360.0,19.08,432.0,20
CDM,950683,GWIRE 1.6MM 230MM,1753.0,1753.0,92.91,2103.6,49
CDM,950690,BIT DRILL 2MM,2564.0,2564.0,135.89,3076.8,49
CDM,950691,REAMER 2.6MM,4061.0,4061.0,215.23,4873.2,49
CDM,950692,REAMER 3.9MM,4585.0,4585.0,243.0,5502.0,49
CDM,950693,REAMER 4.5MM,4585.0,4585.0,243.0,5502.0,49
CDM,950694,REAMER PROX 3.3MM,4061.0,4061.0,215.23,4873.2,49
CDM,950695,NAIL BN RT 3.4MM 180MM,7490.0,7490.0,396.97,8988.0,20
CDM,950696,PEG BN 2.7MM 16MM,630.0,630.0,33.39,756.0,20
CDM,950697,PEG BN 2.7MM 18MM,630.0,630.0,33.39,756.0,20
CDM,950698,REAMER 6.8MM,5279.0,5279.0,279.79,6334.8,49
CDM,950700,SPACER SPN 6D 14X12X9MM,1600.0,1600.0,84.8,1920.0,20
CDM,950701,PLATE SPN 1LVL 16MM,1900.0,1900.0,100.7,2280.0,20
CDM,950702,SCREW SPN 4MM 16MM,150.0,150.0,7.95,180.0,20
CDM,950703,SCREW SPN DFRMTY NS LF,450.0,450.0,23.85,540.0,20
CDM,950704,HEAD SPN XTN SCREW,450.0,450.0,23.85,540.0,20
CDM,950705,SHELL ACTB HIP 3HL 44MM,2000.0,2000.0,106.0,2400.0,20
CDM,950706,LINER ACTB HIP 44MM 32MM,1100.0,1100.0,58.3,1320.0,20
CDM,950714,DEVICE SYS CLSR CLP 50MM,4500.0,4500.0,238.5,5400.0,20
CDM,950720,INSERT TIB KN RT SZ4 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,950722,INTBDY SPN 6D 18X50X8-15,8000.0,8000.0,424.0,9600.0,20
CDM,950723,SCREW SPNL 6.5MM 55MM,750.0,750.0,39.75,900.0,20
CDM,950724,SCREW SPN 7.5MM 35MM,750.0,750.0,39.75,900.0,20
CDM,950726,CAP END TI HUM NAIL 15MM,263.0,263.0,13.94,315.6,20
CDM,950728,ROD SPNL CNTR 3.5MM 90MM,360.0,360.0,19.08,432.0,20
CDM,950753,KIT PLS LAV W/SPRAY,3668.0,3668.0,194.4,4401.6,49
CDM,950762,CATH BLN 3.5X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,950767,CATH BLN 3.5X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,950768,CATH BLN 10X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,950769,CATH BLDL 12X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,950770,CATH BLNDL 4X100MM 150CM,5941.0,5941.0,314.87,7129.2,49
CDM,950771,CATH BLN 3X100MM 150CM,5941.0,5941.0,314.87,7129.2,49
CDM,950772,CATH BLN 3X150MM 150CM,5941.0,5941.0,314.87,7129.2,49
CDM,950773,CATH BLNDL 2X100MM 150CM,5941.0,5941.0,314.87,7129.2,49
CDM,950774,CATH BLNDL 4X150MM 150CM,5941.0,5941.0,314.87,7129.2,49
CDM,950775,CATH BLNDL 2X200MM 150CM,5941.0,5941.0,314.87,7129.2,49
CDM,950795,PLATE SPN 52MM,1900.0,1900.0,100.7,2280.0,20
CDM,9508,LOCM 200-299 IC 50ML,113.0,113.0,5.99,135.6,29
CDM,9508,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",113.0,113.0,0.42,0.42,1
CDM,950824,DRILL GPS 5.0/4.0MM,5941.0,5941.0,314.87,7129.2,49
CDM,950835,PLATE BN ORT ROT 1.6MM,1590.0,1590.0,84.27,1908.0,20
CDM,950836,SCREW BN 1.6MM 12MM,220.0,220.0,11.66,264.0,20
CDM,950869,STENT GRAFT 24F 45X37X15,35904.0,35904.0,1902.91,43084.8,20
CDM,950883,GWIRE VASC .035IN 260CM,295.0,295.0,15.63,354.0,49
CDM,950906,NEEDLE ACC BVL TIP 11G,3275.0,3275.0,173.57,3930.0,49
CDM,950907,SHELL ACTB HIP 3H 52MM,2000.0,2000.0,106.0,2400.0,20
CDM,950913,NAIL BN 9.3MMX280MM,3539.0,3539.0,187.57,4246.8,20
CDM,950914,NAIL BN 10MM 28CM,3539.0,3539.0,187.57,4246.8,20
CDM,950918,PLATE BN HUM LT 2SLOT,3836.0,3836.0,203.31,4603.2,20
CDM,950920,PEG BN LCK 6MM 52MM,264.0,264.0,13.99,316.8,20
CDM,950922,PEG BN LCK 3.5MM 42MM,264.0,264.0,13.99,316.8,20
CDM,950923,PEG BN LCK 3.5MM 54MM,264.0,264.0,13.99,316.8,20
CDM,950924,SCREW BN 3.7MM 38MM,264.0,264.0,13.99,316.8,20
CDM,950925,SCREW BN 3.7MM 44MM,264.0,264.0,13.99,316.8,20
CDM,950926,PIN ORTH 2.4MM 229MM,2073.0,2073.0,109.87,2487.6,49
CDM,950927,PEG BN LCK 3.5MM 50MM,264.0,264.0,13.99,316.8,20
CDM,950929,DEVICE CELL HARVEST,53433.0,53433.0,2831.95,64119.6,49
CDM,950960,CATH VASC SET 132X156CM,49508.0,49508.0,2623.92,59409.6,49
CDM,950961,NAIL HUM CANN 7MM 290MM,3296.0,3296.0,174.69,3955.2,20
CDM,950962,CAP END TI HUM NAIL 10MM,263.0,263.0,13.94,315.6,20
CDM,950967,BASEPLATE SHLD LRG 29MM,2260.0,2260.0,119.78,2712.0,20
CDM,950978,SCREW BN 2.0MM 10MM,263.0,263.0,13.94,315.6,20
CDM,951001,SCREW BN 5MM 32MM,495.0,495.0,26.23,594.0,20
CDM,951031,SYSTEM SHEATH 90CM,5941.0,5941.0,314.87,7129.2,49
CDM,951032,SYSTEM CATH DLVRY .70IN,33148.0,33148.0,1756.84,39777.6,49
CDM,951033,CATH DLVRY .70IN,33148.0,33148.0,1756.84,39777.6,49
CDM,951034,SYSTEM CATH DLVRY,36373.0,36373.0,1927.77,43647.6,49
CDM,951037,CATH THRMB .054IN 167CM,33148.0,33148.0,1756.84,39777.6,49
CDM,951046,DEVICE SYS CLSR CLP 45MM,4500.0,4500.0,238.5,5400.0,20
CDM,951054,PLATE BN LT 3HL 132MM,11985.0,11985.0,635.21,14382.0,20
CDM,951055,SPACER SPN 29X39X17MM,8670.0,8670.0,459.51,10404.0,20
CDM,951056,LINER ACTB HIP 52MM 36MM,1100.0,1100.0,58.3,1320.0,20
CDM,951059,BIT DRILL 27X1.5X16MM CR,2773.0,2773.0,146.97,3327.6,49
CDM,951060,PLATES 5 CRANIO FACIAL,19332.0,19332.0,1024.6,23198.4,20
CDM,951065,NAIL BN 10.5X180MM,25000.0,25000.0,1325.0,30000.0,20
CDM,951066,SCREW BN LOPRO 5.0X22MM,830.0,830.0,43.99,996.0,20
CDM,951067,SCREW BN 5.0MM 20MM,830.0,830.0,43.99,996.0,20
CDM,951097,PLATE BN 2H 3.5MM 79MM,1637.0,1637.0,86.76,1964.4,20
CDM,951113,BURR WEDGE 2.9MM 13MM,5043.0,5043.0,267.28,6051.6,49
CDM,951114,SCREW BN 3.5MM 10MM,326.0,326.0,17.28,391.2,20
CDM,951115,KIT STBLZTN INST DISP,12047.0,12047.0,638.49,14456.4,49
CDM,951120,SCREW BN 4.5MM 28MM,660.0,660.0,34.98,792.0,20
CDM,951131,KIT CATH 12F 100CM,74611.0,74611.0,3954.38,89533.2,49
CDM,951136,BIT DRILL 2.8MM,2842.0,2842.0,150.63,3410.4,49
CDM,951137,REAMER SURG 6.5MM,4585.0,4585.0,243.0,5502.0,49
CDM,951138,NAIL BN LT 2.8MM 180MM,7490.0,7490.0,396.97,8988.0,20
CDM,951139,DRIVER SURG HEX 2MM,3668.0,3668.0,194.4,4401.6,49
CDM,951140,PEG BN 2.7MM 24MM,630.0,630.0,33.39,756.0,20
CDM,951141,PEG BN 2.7MM 20MM,630.0,630.0,33.39,756.0,20
CDM,951142,WASHER BN 2.7X3.5X4.2MM,260.0,260.0,13.78,312.0,20
CDM,951143,PLATE BN CLAV 3.5MM 10H,1720.0,1720.0,91.16,2064.0,20
CDM,951146,SCREW BN 2MM 14MM,263.0,263.0,13.94,315.6,20
CDM,951147,SCREW BN 2X16MM,263.0,263.0,13.94,315.6,20
CDM,951148,SCREW BN 2X16MM,163.0,163.0,8.64,195.6,20
CDM,951153,BURR SURG 2.0 X 8MM,4519.0,4519.0,239.51,5422.8,49
CDM,951181,PLATE BN DIST RT 5H,7300.0,7300.0,386.9,8760.0,20
CDM,951182,SCREW BN 3MM 50MM,386.0,386.0,20.46,463.2,20
CDM,951284,MESH SURG 10.5X20MM,5359.0,5359.0,284.03,6430.8,20
CDM,951285,CAGE SPNL 8D 55X18X14MM,6000.0,6000.0,318.0,7200.0,20
CDM,951320,SCREW BN 3.5MM 44MM,1570.0,1570.0,83.21,1884.0,20
CDM,951341,SCREW BN DSCVR HXALBLR,548.0,548.0,29.04,657.6,20
CDM,951342,SCREW SPN 4.2X16 PRTX,150.0,150.0,7.95,180.0,20
CDM,951343,SPACER SPN 7D 15X18X9MM,1600.0,1600.0,84.8,1920.0,20
CDM,951344,SCREW SPN 4.6MM 16MM,150.0,150.0,7.95,180.0,20
CDM,951355,BIT DRILL 6MM 70MM,3589.0,3589.0,190.22,4306.8,49
CDM,951356,BIT DRILL 3.5MM 70MM,3589.0,3589.0,190.22,4306.8,49
CDM,951363,DRIVER ORTH SURG T10,2564.0,2564.0,135.89,3076.8,49
CDM,951367,SCREW BN 2.3MM 12MM,186.0,186.0,9.86,223.2,20
CDM,951368,SCREW SPNL 3.5MM 14MM,900.0,900.0,47.7,1080.0,20
CDM,951369,SHUNT VLV IL SM 828810PL,7561.0,7561.0,400.73,9073.2,20
CDM,951385,IMPLANT CUSTOM COMPLEXIT,28710.0,28710.0,1521.63,34452.0,20
CDM,951386,CUTTING GUIDES CSTM,20984.0,20984.0,1112.15,25180.8,49
CDM,951390,SCREW SPN P-AX 3.5X16MM,900.0,900.0,47.7,1080.0,20
CDM,951391,SCREW SPNL 3.5MM 12MM,900.0,900.0,47.7,1080.0,20
CDM,951392,NAIL BN FEM RT 240MM,3266.0,3266.0,173.1,3919.2,20
CDM,951394,SCREW SPN 5.5MM 35MM,900.0,900.0,47.7,1080.0,20
CDM,9514,LOCM 300-399 IC 150ML,135.0,135.0,7.16,162.0,29
CDM,951402,SCRW CAN32 THD 7.0X140MM,382.0,382.0,20.25,458.4,20
CDM,951418,HEAD FEM HIP +8.5 40MM,1300.0,1300.0,68.9,1560.0,20
CDM,951423,ROD SPN PRBNT 3.5X40MM,360.0,360.0,19.08,432.0,20
CDM,951426,CATH GD NRVSC 150CM,5600.0,5600.0,296.8,6720.0,49
CDM,951453,BIT DRILL 3MM 70MM,3589.0,3589.0,190.22,4306.8,49
CDM,951454,SCREW SPN 4.5MM 25MM,900.0,900.0,47.7,1080.0,20
CDM,951456,SCREW SPN 4.5MM 30MM,900.0,900.0,47.7,1080.0,20
CDM,951458,STENT VASC  4.0MM 12MM,27781.0,27781.0,1472.39,33337.2,20
CDM,951461,CATH VASC 122CM 165CM,34197.0,34197.0,1812.44,41036.4,49
CDM,951486,CATH VASC 4.2FR 135CM,2564.0,2564.0,135.89,3076.8,49
CDM,951487,CATH ANGIO 4FR 100CM,497.0,497.0,26.34,596.4,49
CDM,951496,SCREW BN 3.5M 40MM,590.0,590.0,31.27,708.0,20
CDM,951497,PLATE BN HUM RT 7HL,4168.0,4168.0,220.9,5001.6,20
CDM,951498,LINER ACTB HIP FACE 56MM,2877.0,2877.0,152.48,3452.4,20
CDM,951499,STEM FEM HIP 18MM 225MM,7815.0,7815.0,414.19,9378.0,20
CDM,951500,CAGE SPN 12X14X23MM,11831.0,11831.0,627.04,14197.2,20
CDM,951501,BLADE SAW 56MM,8938.0,8938.0,473.71,10725.6,49
CDM,951503,NAIL BN FEM 11.5MM 20CM,2398.0,2398.0,127.09,2877.6,20
CDM,951504,SCREW BN 5.5X70X16MM,382.0,382.0,20.25,458.4,20
CDM,951533,NAIL BN 11MM 44CM,3726.0,3726.0,197.48,4471.2,20
CDM,951534,CAGE SPN 7D 26X11X15MM,4000.0,4000.0,212.0,4800.0,20
CDM,951557,ROD SPNL 65MM 5.5MM CREO,360.0,360.0,19.08,432.0,20
CDM,951562,SCREW BN 2.0X14MM,163.0,163.0,8.64,195.6,20
CDM,951573,SCREW BN 22MM,224.0,224.0,11.87,268.8,20
CDM,951574,SCREW BN 14MM,224.0,224.0,11.87,268.8,20
CDM,951606,SCREW BN LT 3.4X270MM,7490.0,7490.0,396.97,8988.0,20
CDM,951607,BIT DRILL QUICK CONNECT,2842.0,2842.0,150.63,3410.4,49
CDM,951620,STENT VASC 4.25MM 15MM,27781.0,27781.0,1472.39,33337.2,20
CDM,951627,SPACER SPNL 14X12X6MM,1600.0,1600.0,84.8,1920.0,20
CDM,951628,PLATE SPN 3LVL 54MM,1900.0,1900.0,100.7,2280.0,20
CDM,951644,INTBDY SPN 7D 16X14X7MM,1600.0,1600.0,84.8,1920.0,20
CDM,951645,CAGE SPN 7D 8X17X14MM,1600.0,1600.0,84.8,1920.0,20
CDM,951677,CATH DLVRY SYS 8FR 90CM,6762.0,6762.0,358.39,8114.4,49
CDM,951723,SCREW BN HDLSS 2.3X50MM,1700.0,1700.0,90.1,2040.0,20
CDM,951724,SCREW BN 4MM 20MM,434.0,434.0,23.0,520.8,20
CDM,951725,KIT CATH THRMB SHTH,54404.0,54404.0,2883.41,65284.8,49
CDM,951731,ROD SPNL 5.5MM 160MM,360.0,360.0,19.08,432.0,20
CDM,951747,URETEROSCOPE FLEX DISP,11658.0,11658.0,617.87,13989.6,49
CDM,951750,KWIRE 1.1MM 229MM,1847.0,1847.0,97.89,2216.4,49
CDM,951760,PLATE BN 18H 3.5/4.5X403,12720.0,12720.0,674.16,15264.0,20
CDM,951768,DEVICE SYS CLSR 35MM,4500.0,4500.0,238.5,5400.0,20
CDM,951782,DRILL BIT 2.5MM,2947.0,2947.0,156.19,3536.4,49
CDM,951790,NAIL BN RT 9MM 34CM,3052.0,3052.0,161.76,3662.4,20
CDM,951804,NAIL BN RT LG 10MM 250MM,5892.0,5892.0,312.28,7070.4,20
CDM,951805,SHELL ACTB PLVS HIP 46MM,3000.0,3000.0,159.0,3600.0,20
CDM,951806,LINER ACTB HIP 46MM 32MM,1100.0,1100.0,58.3,1320.0,20
CDM,951807,SPACER SPN 18X12MM,801.0,801.0,42.45,961.2,20
CDM,951808,ENDPLATE SPN LWR 12MM,801.0,801.0,42.45,961.2,20
CDM,951809,SCREW SPN 4.2MM 16MM,150.0,150.0,7.95,180.0,20
CDM,951811,SUBSTITUTE BNGF GEL 10CC,2750.0,2750.0,145.75,3300.0,20
CDM,951825,DEVICE CLS WND +4-0 23CM,829.0,829.0,43.94,994.8,49
CDM,951826,SUTURE 3-0 6IN 15CM,834.0,834.0,44.2,1000.8,49
CDM,951920,ROD SPN CRV 3.5MM 40MM,360.0,360.0,19.08,432.0,20
CDM,951921,SPACER SPN 7D 18X10X15MM,1600.0,1600.0,84.8,1920.0,20
CDM,951922,SCREW SPN 4.6MM 16MM,150.0,150.0,7.95,180.0,20
CDM,951923,PLATE SPN 1LVL 22MM,1900.0,1900.0,100.7,2280.0,20
CDM,951930,CATH VASC GD 17FR 13CM,34275.0,34275.0,1816.58,41130.0,49
CDM,951931,ANCHOR SUT KNTLS 2.6MM,1089.0,1089.0,57.72,1306.8,20
CDM,951932,PROBE ESURG 320MM,5941.0,5941.0,314.87,7129.2,49
CDM,951933,TIP DIAMOND ABRASOR BIG,5941.0,5941.0,314.87,7129.2,49
CDM,951934,BLADE DMD ABRASOR BLTP 2,5941.0,5941.0,314.87,7129.2,49
CDM,951935,PROBE ESURG 275MM,5941.0,5941.0,314.87,7129.2,49
CDM,951936,CATH THRMBS 137CM,19313.0,19313.0,1023.59,23175.6,49
CDM,951937,TUBE ESOPHGL TEMP MGMT,6023.0,6023.0,319.22,7227.6,49
CDM,951960,FORCEP SURG 5.5IN,2227.0,2227.0,118.03,2672.4,49
CDM,951961,SET CATH ART 22GA 8CM,799.0,799.0,42.35,958.8,49
CDM,951962,SET CATH ART 22GA 5CM,1681.0,1681.0,89.09,2017.2,49
CDM,951988,CATH GD NRVSC 150CM,5600.0,5600.0,296.8,6720.0,49
CDM,951989,CATH GD NRVSC 140CM,5600.0,5600.0,296.8,6720.0,49
CDM,951999,SUTURE BLU MONO 5-0 36IN,412.0,412.0,21.84,494.4,49
CDM,952029,MANIFOLD ANGIO 3 PORT,131.0,131.0,6.94,157.2,49
CDM,952030,STENT GFT 18F 70MM 23MM,14950.0,14950.0,792.35,17940.0,20
CDM,952031,CAGE INTBDY 6D 26X9X13MM,4000.0,4000.0,212.0,4800.0,20
CDM,952032,PLATE BN STR RT 4HL,2476.0,2476.0,131.23,2971.2,20
CDM,952033,PLATE BN SLNT LT 4HL,2476.0,2476.0,131.23,2971.2,20
CDM,952044,STEM SHLDR PRFT SZ15,5650.0,5650.0,299.45,6780.0,20
CDM,952050,SCREW BN 4.5MM 58MM,71.0,71.0,3.76,85.2,20
CDM,952051,NAIL BN 10.5MM 300MM,25000.0,25000.0,1325.0,30000.0,20
CDM,952052,ENDCAP BN NAIL HNDFT 2MM,1040.0,1040.0,55.12,1248.0,20
CDM,952053,SCREW SPN IL 8.2X80MM,1000.0,1000.0,53.0,1200.0,20
CDM,952070,SCREW BN 3.5MM 28MM,1570.0,1570.0,83.21,1884.0,20
CDM,952082,IMPLANT BN 4.2X52.5MM,2600.0,2600.0,137.8,3120.0,20
CDM,952092,TUBE TRACH 6.5MM,1372.0,1372.0,72.72,1646.4,49
CDM,952114,SCREW BN STNLS 2.0X42MM,2340.0,2340.0,124.02,2808.0,20
CDM,952116,PLATE SPN LAT 1HL 10MM,1000.0,1000.0,53.0,1200.0,20
CDM,952117,PLATE SPN LCK 1HL 10MM,50.0,50.0,2.65,60.0,20
CDM,952118,SCREW SPN TOP/SIDE 8MM,700.0,700.0,37.1,840.0,20
CDM,952119,FORCEP ESURG 190MM,5941.0,5941.0,314.87,7129.2,49
CDM,952120,KIT DILATOR 15X12X7MM,5941.0,5941.0,314.87,7129.2,49
CDM,952121,ROD SPNL 6.0MMX250MM,360.0,360.0,19.08,432.0,20
CDM,952122,SCREW SPNL 5.5MM 40MM,150.0,150.0,7.95,180.0,20
CDM,952123,IMPLANT SPN 18X10X50MM,6000.0,6000.0,318.0,7200.0,20
CDM,952124,CAGE SPN 10D 18X12X50MM,6000.0,6000.0,318.0,7200.0,20
CDM,952125,PLATE SPN LATE 1H 12MM,2000.0,2000.0,106.0,2400.0,20
CDM,952126,PLATE SPN 1HL 12MM,100.0,100.0,5.3,120.0,20
CDM,952127,INTRBD SPN 7D 10X15X18MM,1600.0,1600.0,84.8,1920.0,20
CDM,952128,PLATE SPN CERV 1LVL 12MM,1900.0,1900.0,100.7,2280.0,20
CDM,952164,DRESSING ADH 3-3/5X10IN,701.0,701.0,37.15,841.2,49
CDM,952166,SCREW BN CMPR 4MM 48MM,788.0,788.0,41.76,945.6,20
CDM,952167,SCREW BN 4.0MM 42MM,788.0,788.0,41.76,945.6,20
CDM,952168,SCREW HDLS CMPRS LT 32MM,788.0,788.0,41.76,945.6,20
CDM,952169,ROD SPN 6MM 160MM,360.0,360.0,19.08,432.0,20
CDM,952170,ROD SPNL STR 6X170MM,360.0,360.0,19.08,432.0,20
CDM,952212,CATH VASC GD 17FR 65CM,5941.0,5941.0,314.87,7129.2,49
CDM,952218,STEM FEM KN 9MM 50MM,1521.0,1521.0,80.61,1825.2,20
CDM,952248,TRAY TIB KN LM/RL SZ1,3960.0,3960.0,209.88,4752.0,20
CDM,952249,TAP BN DISP 3.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,952250,PLATE HUMERUS 3H,4025.0,4025.0,213.32,4830.0,20
CDM,952251,SCREW CORT 2.7X40MM,230.0,230.0,12.19,276.0,20
CDM,952265,SCREW BN 2.7X42MM,230.0,230.0,12.19,276.0,20
CDM,952290,PLATE BN PRBNT 60MM,7100.0,7100.0,376.3,8520.0,20
CDM,952291,PLATE BN ANCHOR 2PK,7100.0,7100.0,376.3,8520.0,20
CDM,952292,DRILL BIT 2.7MM,5941.0,5941.0,314.87,7129.2,49
CDM,952293,WASHER BN 2MM 9MM,820.0,820.0,43.46,984.0,20
CDM,952344,HEAD FM HIP 12/14X-2X40,1300.0,1300.0,68.9,1560.0,20
CDM,952361,SCREW BN 2.7MM 16MM,40.0,40.0,2.12,48.0,20
CDM,952362,SCREW BN NON 2.7MM 20MM,40.0,40.0,2.12,48.0,20
CDM,952363,PLATE BN METATARSAL 9HL,1200.0,1200.0,63.6,1440.0,20
CDM,952364,PLATE BN 94MM,7380.0,7380.0,391.14,8856.0,20
CDM,952365,PLATE BN PRBNT 94MM,7800.0,7800.0,413.4,9360.0,20
CDM,952366,ANCHOR SUT GRAY 2PK,6860.0,6860.0,363.58,8232.0,20
CDM,952367,ANCHOR SUT BLU 1PK,3570.0,3570.0,189.21,4284.0,20
CDM,952368,BIT DRILL 2.7MM 12MM,5941.0,5941.0,314.87,7129.2,49
CDM,952391,KWIRE 1.1MM 152MM,1545.0,1545.0,81.89,1854.0,49
CDM,952392,SCREW BN 3MM 34MM,382.0,382.0,20.25,458.4,20
CDM,952393,SCREW BN 3MM 36MM,382.0,382.0,20.25,458.4,20
CDM,952415,LINER ACTB HIP 43/22MM,1100.0,1100.0,58.3,1320.0,20
CDM,952434,SYSTEM NEG PRSS PLS 90CM,3872.0,3872.0,205.22,4646.4,49
CDM,952435,LASER FIBER HI PWR 3M,5064.0,5064.0,268.39,6076.8,49
CDM,952436,PLATE BN RT 10HL 154MM,2549.0,2549.0,135.1,3058.8,20
CDM,952437,PLATE BN LFT 8HL 128MM,2522.0,2522.0,133.67,3026.4,20
CDM,952448,SCREW BN 6.5MM 115MM,76.0,76.0,4.03,91.2,20
CDM,952449,SCREW BN 6.5MM 120MM,76.0,76.0,4.03,91.2,20
CDM,952450,DEVICE CLSR VENUS 6/12FR,4700.0,4700.0,249.1,5640.0,20
CDM,952451,SCREW BN 2MM 11MM,64.0,64.0,3.39,76.8,20
CDM,952452,SCREW BNE 316L SS L7MM O,64.0,64.0,3.39,76.8,20
CDM,952453,SCREW BN 6.5MM 100MM,61.0,61.0,3.23,73.2,20
CDM,952454,SCREW BN 6.5MM 105MM,61.0,61.0,3.23,73.2,20
CDM,952455,SCREW BN 6.5MM 110MM,61.0,61.0,3.23,73.2,20
CDM,952456,SCREW BN CANC 6.5X115X16,76.0,76.0,4.03,91.2,20
CDM,952457,SCREW CANC 6.5X120X16,76.0,76.0,4.03,91.2,20
CDM,952458,SCREW BN 6.5MM 8MM 75MM,57.0,57.0,3.02,68.4,20
CDM,952459,SCREW CANC 6.5X80,57.0,57.0,3.02,68.4,20
CDM,952460,SCREW CANC 6.5X85,61.0,61.0,3.23,73.2,20
CDM,952461,SCREW CANC 6.5X90,61.0,61.0,3.23,73.2,20
CDM,952462,SCREW BN CANC 6.5X95MM,61.0,61.0,3.23,73.2,20
CDM,952490,SCREW BN 3.7MM 50MM,211.0,211.0,11.18,253.2,20
CDM,952491,SCREW BN 3.7MM 40MM,264.0,264.0,13.99,316.8,20
CDM,952492,PEG BN LCK 6MM 46MM,264.0,264.0,13.99,316.8,20
CDM,952494,PEG BN LCK 6MM 50MM,211.0,211.0,11.18,253.2,20
CDM,952495,PEG BN LCK 3.5MM 56MM,211.0,211.0,11.18,253.2,20
CDM,952496,PEG BN LCK 3.5MM 52MM,264.0,264.0,13.99,316.8,20
CDM,952497,PEG BN LCK 3.5MM 44MM,264.0,264.0,13.99,316.8,20
CDM,952498,SCREW BN 3.7MM 36MM,264.0,264.0,13.99,316.8,20
CDM,952499,PEG BN LCK 3.5MM 46MM,264.0,264.0,13.99,316.8,20
CDM,952515,COIL EMBL ENDO 10MM,28405.0,28405.0,1505.46,34086.0,20
CDM,952518,COIL EMB NEURO 7X4MM,31341.0,31341.0,1661.07,37609.2,20
CDM,952525,COIL EMB NEURO 6X3MM,31341.0,31341.0,1661.07,37609.2,20
CDM,952547,PLATE BN NRW LT 4HL,2728.0,2728.0,144.58,3273.6,20
CDM,952568,PUNCH SURG 15D 130MM,3818.0,3818.0,202.35,4581.6,49
CDM,952577,SCREW SPN PLVC 9.5X90MM,5850.0,5850.0,310.05,7020.0,20
CDM,952597,KIT CATH 12F 115CM,74611.0,74611.0,3954.38,89533.2,49
CDM,952650,SCREW BN 4MM 55MM,180.0,180.0,9.54,216.0,20
CDM,952651,SCREW BN 6.5X70X32MM,530.0,530.0,28.09,636.0,20
CDM,952652,PLATE BN Y 7HL 2.7X69MM,1832.0,1832.0,97.1,2198.4,20
CDM,952665,BIT DRILL 2.7MM 8MM,5941.0,5941.0,314.87,7129.2,49
CDM,952666,BIT DRL 200MM 3.5MM,942.0,942.0,49.93,1130.4,49
CDM,952688,DEVICE SLD MOTOR DISP,12427.0,12427.0,658.63,14912.4,49
CDM,952705,SNARE SM OVL 230CM,490.0,490.0,25.97,588.0,49
CDM,952706,SNARE PLYPCTMY XS 230CM,490.0,490.0,25.97,588.0,49
CDM,952707,FIBER LASER 230UM,5941.0,5941.0,314.87,7129.2,49
CDM,952713,NEEDLE BX CHBA 21GA 15CM,399.0,399.0,21.15,478.8,49
CDM,952714,CAGE SPN 15D 11X23X26MM,4000.0,4000.0,212.0,4800.0,20
CDM,952715,ROD SPN CRVD 3.5MM 35MM,360.0,360.0,19.08,432.0,20
CDM,952716,ROD SPN CRV 3.5MM 30MM,360.0,360.0,19.08,432.0,20
CDM,952717,PLATE BN 18H 3.5-4.5X365,11765.0,11765.0,623.54,14118.0,20
CDM,952718,PLATE BN NRW 12HL 2.7MM,2153.0,2153.0,114.11,2583.6,20
CDM,952719,SCREW BN 3.5MM 45MM,230.0,230.0,12.19,276.0,20
CDM,952720,NAIL BN LT 11.5MM 25CM,4505.0,4505.0,238.76,5406.0,20
CDM,952721,SET SHTH INTRO 24FR 33CM,5941.0,5941.0,314.87,7129.2,49
CDM,952722,SCRAPER BN 8MM 90MM,6606.0,6606.0,350.12,7927.2,49
CDM,952723,SCRAPER BN 6MM 180MM,6606.0,6606.0,350.12,7927.2,49
CDM,952724,CATH MIC VASC 3CM 160CM,13990.0,13990.0,741.47,16788.0,49
CDM,952749,PLATE SPN 1LVL 28MM,1900.0,1900.0,100.7,2280.0,20
CDM,952750,SPACER SPN 11X15X18MM,1600.0,1600.0,84.8,1920.0,20
CDM,952751,MESH HRN PLGY 25CMX40CM,14450.0,14450.0,765.85,17340.0,20
CDM,952755,PUTTY BN 2.5CC,1089.0,1089.0,57.72,1306.8,20
CDM,952756,SCREW BN 5.0MM 18MM,488.0,488.0,25.86,585.6,20
CDM,952757,PLATE SPN 3LVL 1.9X68MM,1900.0,1900.0,100.7,2280.0,20
CDM,952770,STAPLER STD 60MM,5438.0,5438.0,288.21,6525.6,49
CDM,952771,CATH ANGIO CRV 5FR 65CM,1741.0,1741.0,92.27,2089.2,49
CDM,952776,RELOAD STPLR BLUE 60MM,322.0,322.0,17.07,386.4,20
CDM,952777,RELOAD STPLR 60MM,322.0,322.0,17.07,386.4,20
CDM,952778,RELOAD STAPLER WHT 60MM,306.0,306.0,16.22,367.2,20
CDM,952782,SNARE PLYPCTMY XS 230CM,490.0,490.0,25.97,588.0,49
CDM,952804,SUTURE BLU MONO 5-0 36IN,880.0,880.0,46.64,1056.0,49
CDM,952805,SUTURE BLU MONO 5-0 30IN,849.0,849.0,45.0,1018.8,49
CDM,952807,STENT VASC 5.25MM 40MM,28640.0,28640.0,1517.92,34368.0,20
CDM,952826,CANNULA ARTHSCP 5CM 8MM,1662.0,1662.0,88.09,1994.4,49
CDM,952827,SCREW SPN 7.5MM 50MM,550.0,550.0,29.15,660.0,20
CDM,952828,SCREW SPN 7.5MM 55MM,550.0,550.0,29.15,660.0,20
CDM,952829,SCREW BN 2.7MM 5MM,208.0,208.0,11.02,249.6,20
CDM,952830,PLATE BN 2.7/3.5MM 89MM,1651.0,1651.0,87.5,1981.2,20
CDM,952861,PLATE BN 60MM,6720.0,6720.0,356.16,8064.0,20
CDM,952862,ANCHOR SUT GRAY 1PK,3430.0,3430.0,181.79,4116.0,20
CDM,952880,SCREW BN 2.7MM 14MM,558.0,558.0,29.57,669.6,20
CDM,952881,NAIL BN FIB 2.7MM 10MM,558.0,558.0,29.57,669.6,20
CDM,952882,PEG BN THRD 2.7MM 12MM,558.0,558.0,29.57,669.6,20
CDM,952883,NAIL BN LT 2.8MM 130MM,6634.0,6634.0,351.6,7960.8,20
CDM,952884,SCREW BN INJ 3.5X33MM,717.0,717.0,38.0,860.4,20
CDM,952885,CMPNT FEM LT KN SZ3,2300.0,2300.0,121.9,2760.0,20
CDM,952886,INSERT TIB KN LT SZ3 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,952887,PLATE BN 2HL 3.5MM 105MM,1654.0,1654.0,87.66,1984.8,20
CDM,952888,CMPNT FEM KN SZ6,3054.0,3054.0,161.86,3664.8,20
CDM,952889,INSERT TIB KN 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,952936,CATH VASC 6X 150CM,59378.0,59378.0,3147.03,71253.6,49
CDM,952963,SCREW BN 3.5X16MM,715.0,715.0,37.9,858.0,20
CDM,952964,HEMOSTAT SURG 3ML,5941.0,5941.0,314.87,7129.2,49
CDM,952978,SCREW BN CANN 4X34MM,1300.0,1300.0,68.9,1560.0,20
CDM,952989,PLATE BN SCAP 6HL RT,4320.0,4320.0,228.96,5184.0,20
CDM,952990,PLATE BN TIB LARGE,3294.0,3294.0,174.58,3952.8,20
CDM,953016,COMP FEM KN LT SZ5,3600.0,3600.0,190.8,4320.0,20
CDM,953027,SCREW BN 3MM 18MM,1570.0,1570.0,83.21,1884.0,20
CDM,953079,SCREW BN 7MM 130MM,382.0,382.0,20.25,458.4,20
CDM,953080,SCREW BN 7MM 115MM,382.0,382.0,20.25,458.4,20
CDM,953083,SPACER SPN 7D 10X15X18MM,3800.0,3800.0,201.4,4560.0,20
CDM,953086,SCREW BN 5.5MM 75MM,2062.0,2062.0,109.29,2474.4,20
CDM,953117,SPACER SPN 16X34X17MM,8670.0,8670.0,459.51,10404.0,20
CDM,953131,ROD SPN 5.5MM 130MM,360.0,360.0,19.08,432.0,20
CDM,953158,NAIL BN FIB 2.8X130MM,10700.0,10700.0,567.1,12840.0,20
CDM,953191,GWIRE VASC 200CM 0.024IN,13990.0,13990.0,741.47,16788.0,49
CDM,953223,INSERT TIB SZ3-4 11MM,1235.0,1235.0,65.45,1482.0,20
CDM,953224,INSERT TIB KN SZ3-4 10MM,1235.0,1235.0,65.45,1482.0,20
CDM,953225,SUTURE ETHBND 2-0 10X82,1027.0,1027.0,54.43,1232.4,49
CDM,953229,SCREW BN 2.0MMX44MM,2340.0,2340.0,124.02,2808.0,20
CDM,953237,SCREW BN 2MM 22MM,456.0,456.0,24.17,547.2,20
CDM,953238,CATH VASC 2.5FR 150CM,2564.0,2564.0,135.89,3076.8,49
CDM,953253,STEM SHLDR PRFT SZ8,5650.0,5650.0,299.45,6780.0,20
CDM,953254,SCREW SPN 6.5MM 40MM,900.0,900.0,47.7,1080.0,20
CDM,953255,SCREW SPN 6.5MM 45MM,900.0,900.0,47.7,1080.0,20
CDM,953256,ROD SPN 6MM 450MM,360.0,360.0,19.08,432.0,20
CDM,953257,SCREW SPN 4.0MM 20MM,900.0,900.0,47.7,1080.0,20
CDM,953258,SCREW SPN POLY 4X30MM,900.0,900.0,47.7,1080.0,20
CDM,953259,ROD SPN 70D 3.5X170MM,360.0,360.0,19.08,432.0,20
CDM,953261,CATH VASC 150CM 2.2FR,2564.0,2564.0,135.89,3076.8,49
CDM,953273,PLATE SPN 1LVL 30MM,1900.0,1900.0,100.7,2280.0,20
CDM,953285,INSERT SHLDR +4 32MM,2180.0,2180.0,115.54,2616.0,20
CDM,953383,SCREW SPN TOP LOAD 20MM,700.0,700.0,37.1,840.0,20
CDM,953416,DRESSNG WND ANMC LARGE,1696.0,1696.0,89.89,2035.2,49
CDM,953418,SCREW BN 2.4MM 18MM,255.0,255.0,13.52,306.0,20
CDM,953421,SCREW BN 2.4MM 16MM,255.0,255.0,13.52,306.0,20
CDM,953424,SCREW BN 2.4MM 12MM,255.0,255.0,13.52,306.0,20
CDM,953433,PIN BN 2.4MM 50MM,735.0,735.0,38.95,882.0,20
CDM,953434,PIN BN 2.4MM 10-50MM,735.0,735.0,38.95,882.0,20
CDM,953435,SCREW SPN TOP LOAD 10MM,700.0,700.0,37.1,840.0,20
CDM,953436,SCREW BN 5.5MM 58MM,382.0,382.0,20.25,458.4,20
CDM,953437,ROD SPN STR 6MM 150MM,360.0,360.0,19.08,432.0,20
CDM,953438,ROD SPN 6X160MM,360.0,360.0,19.08,432.0,20
CDM,953439,ROD SPN PRECNTRD 6X45MM,360.0,360.0,19.08,432.0,20
CDM,953440,ROD SPN PRCNTRD 6X40MM,360.0,360.0,19.08,432.0,20
CDM,953441,CAGE SPN 8D 10-14X9X32MM,6800.0,6800.0,360.4,8160.0,20
CDM,953442,PLATE BN 7HL 106.5MM,682.0,682.0,36.15,818.4,20
CDM,953443,BASEPLATE SHLDR 24MM,2260.0,2260.0,119.78,2712.0,20
CDM,953444,NAIL SCREW HDLS 7.2X55MM,2003.0,2003.0,106.16,2403.6,20
CDM,953455,PLATE OBLQ RT 8HL 1.1MM,950.0,950.0,50.35,1140.0,20
CDM,953461,SUTURE 2-0 9IN 23CM,813.0,813.0,43.09,975.6,49
CDM,953462,SUTURE 3-0 9IN 23CM,813.0,813.0,43.09,975.6,49
CDM,953466,COMPNT TIB RT KN SZE 0D,1600.0,1600.0,84.8,1920.0,20
CDM,953468,PLATE HUM 5 H,4312.0,4312.0,228.54,5174.4,20
CDM,953469,PLATE BN HUM RT 3HL,4168.0,4168.0,220.9,5001.6,20
CDM,953470,SCREW BN 2.7MM 58MM,180.0,180.0,9.54,216.0,20
CDM,953476,INTRO SHTH 7FR 13CM,699.0,699.0,37.05,838.8,49
CDM,953482,SCREW SPN 6.50MM 50MM,550.0,550.0,29.15,660.0,20
CDM,953537,PLATE BN 2.4MM 69MM,1728.0,1728.0,91.58,2073.6,20
CDM,953566,CANNULA ARTHSCP 4CM 8MM,1662.0,1662.0,88.09,1994.4,49
CDM,953571,PROBE PEDICLE STERILE,4912.0,4912.0,260.34,5894.4,49
CDM,953572,GWIRE ORTH 320X1.4MM,1884.0,1884.0,99.85,2260.8,49
CDM,953573,SHIM BLUNT INTRADE,3930.0,3930.0,208.29,4716.0,49
CDM,953574,CAGE SPN 10DG 18X8X50MM,6000.0,6000.0,318.0,7200.0,20
CDM,953575,BLADE IM FX HUM 48MM,1009.0,1009.0,53.48,1210.8,20
CDM,953578,SUTURE ENDO DISP,2827.0,2827.0,149.83,3392.4,49
CDM,953582,IMPLANT SPN 9.5MM 100MM,5850.0,5850.0,936.0,7020.0,19
CDM,953617,CATH ANGIO STR 5FR 90CM,435.0,435.0,23.05,522.0,49
CDM,953648,SCREW SPN SLFDRL 4.5X14,150.0,150.0,7.95,180.0,20
CDM,953649,SCREW S/D S-T 4.5X16MM,150.0,150.0,7.95,180.0,20
CDM,953650,PLATE SPN 1LVL 18MM,1900.0,1900.0,100.7,2280.0,20
CDM,953651,SPACER SPN 6D 16X14X10MM,1600.0,1600.0,84.8,1920.0,20
CDM,953652,PUTTY BNGF 10CC,2300.0,2300.0,121.9,2760.0,20
CDM,953655,SCREW BN 2.0MM 6MM,170.0,170.0,9.01,204.0,20
CDM,953656,SCREW BN 2.0MM 8.0MM,170.0,170.0,9.01,204.0,20
CDM,953658,SCREW BN 3.5MM 36MM,310.0,310.0,16.43,372.0,20
CDM,953659,SCREW BN 3.5MM 38MM,310.0,310.0,16.43,372.0,20
CDM,953660,SCREW BN 3.5MM 40MM,310.0,310.0,16.43,372.0,20
CDM,953661,SCREW BN 3.5MM 42MM,310.0,310.0,16.43,372.0,20
CDM,953662,SCREW BN 3.5MM 12MM,326.0,326.0,17.28,391.2,20
CDM,953678,SYSTEM DLV CATH 1 CLIP,225388.0,225388.0,11945.56,270465.6,49
CDM,953698,STENT VASC 3.75X12MM,27781.0,27781.0,1472.39,33337.2,20
CDM,953706,SCREW BN 2MM 12MM,170.0,170.0,9.01,204.0,20
CDM,953707,SCREW BN 2.0X10MM,170.0,170.0,9.01,204.0,20
CDM,953712,INSERT TIB KN 13MM SZ5-6,1235.0,1235.0,65.45,1482.0,20
CDM,953715,SCREW BN 26MM,224.0,224.0,11.87,268.8,20
CDM,953728,GAUZE MEEK MICROGRFT 1:4,2564.0,2564.0,135.89,3076.8,49
CDM,953729,BLADE DERMATOME,3412.0,3412.0,180.84,4094.4,49
CDM,953730,SUTURE UND MON +4-0 18IN,158.0,158.0,8.37,189.6,49
CDM,953731,NAIL BN FEM 11.5MM 24CM,2398.0,2398.0,127.09,2877.6,20
CDM,953732,ENDCAP NAIL 1MM,980.0,980.0,51.94,1176.0,20
CDM,953733,ENDCAP BN NL 5MM,980.0,980.0,51.94,1176.0,20
CDM,953734,NAIL BN LT 3.4MM 180MM,10700.0,10700.0,567.1,12840.0,20
CDM,953780,INSERT TIB KN RT SZ8 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,953782,BASEPLATE KN TIB SZ8,2546.0,2546.0,134.94,3055.2,20
CDM,953826,SUB BNGF 50X25X4MM,3430.0,3430.0,181.79,4116.0,20
CDM,953828,CLIP LIGATION 40MM,4500.0,4500.0,238.5,5400.0,20
CDM,953831,ROD EX FIX 500MM 11MM,3438.0,3438.0,182.21,4125.6,49
CDM,953833,PIN SKL RADIOLUCENTT,5941.0,5941.0,314.87,7129.2,49
CDM,953835,ROD SPNL CRV 6X130MM,360.0,360.0,19.08,432.0,20
CDM,953837,STAPLE BN 15X18MM,4800.0,4800.0,254.4,5760.0,20
CDM,953838,DISC BN ANKL 4MM,2800.0,2800.0,148.4,3360.0,20
CDM,953841,SCREW BN 3.5X18MM,683.0,683.0,36.2,819.6,20
CDM,953902,PLATE BN 6H 70X10X3.6MM,1128.0,1128.0,59.78,1353.6,20
CDM,953903,PUTTY BNGFT 5CC,1300.0,1300.0,68.9,1560.0,20
CDM,953904,SCREW BN 2.7MM 42MM,308.0,308.0,16.32,369.6,20
CDM,953952,INST BX 18GA 20CM,1696.0,1696.0,89.89,2035.2,49
CDM,953972,SCREW BN 3X2.1X20X4.1MM,748.0,748.0,39.64,897.6,20
CDM,953977,INSERT TIB KN SZ5-6 18MM,1235.0,1235.0,65.45,1482.0,20
CDM,953985,SUTURE ENDO DISP,9909.0,9909.0,525.18,11890.8,49
CDM,953997,NAIL BN FIB 3.4X130MM,6634.0,6634.0,351.6,7960.8,20
CDM,953998,ROD SPN 5.5X60MM,360.0,360.0,19.08,432.0,20
CDM,954031,STAPLE BN 15X10X10MM,2340.0,2340.0,124.02,2808.0,20
CDM,954032,PLATE HUM R 142MM,3646.0,3646.0,193.24,4375.2,20
CDM,954033,SCREW SPN 7.5MM 45MM,650.0,650.0,34.45,780.0,20
CDM,954034,PIN SNAP OFF 2.4X40MM,4814.0,4814.0,255.14,5776.8,49
CDM,954035,PLATE BN MED 4H,2720.0,2720.0,144.16,3264.0,20
CDM,954042,SCREW BN 3MM 32MM,748.0,748.0,39.64,897.6,20
CDM,954043,SCREW BN 6.5MM 140MM,382.0,382.0,20.25,458.4,20
CDM,954073,CMPNT FEM HIP SZ5,3400.0,3400.0,180.2,4080.0,20
CDM,954074,CMPNT FEM HIP SZ4,3400.0,3400.0,180.2,4080.0,20
CDM,954077,SCREW BN 3.5MM 34MM,264.0,264.0,13.99,316.8,20
CDM,954078,SCREW BN 3.5MM 48MM,264.0,264.0,13.99,316.8,20
CDM,954079,SCREW BN 3.7MM 34MM,264.0,264.0,13.99,316.8,20
CDM,954090,PLATE BN HUM LAT LT 9HL,3454.0,3454.0,183.06,4144.8,20
CDM,954091,SCREW BN 3.5MM 42MM,272.0,272.0,14.42,326.4,20
CDM,954100,PLATE BN RADIAL LEFT,1526.0,1526.0,80.88,1831.2,20
CDM,954102,ROD SPN CNTOR 500X5.5MM,600.0,600.0,31.8,720.0,20
CDM,954114,PLATE BN 2.7MM 84MM,1997.0,1997.0,105.84,2396.4,20
CDM,954163,SCREW BN 3.5MM 24MM,2732.0,2732.0,144.8,3278.4,20
CDM,954176,PLATE BN 9HL 3.5MM 241MM,12230.0,12230.0,648.19,14676.0,20
CDM,954177,PLATE BN 2.7/3.5MM 120MM,4514.0,4514.0,239.24,5416.8,20
CDM,954178,SCREW BN 3.5X42MM,456.0,456.0,24.17,547.2,20
CDM,954179,SCREW BN HDLS 3.5X48MM,456.0,456.0,24.17,547.2,20
CDM,954182,GDWR ORTH 1.6X400MM,1752.0,1752.0,92.86,2102.4,49
CDM,954184,MESH HRN 12X12CM,3461.0,3461.0,183.43,4153.2,20
CDM,954185,TAP CORT DISP 3.5MM,6488.0,6488.0,343.86,7785.6,49
CDM,954186,SCREW BN 2MM 12MM,180.0,180.0,9.54,216.0,20
CDM,954187,SCREW BN 3.5MM 54MM,410.0,410.0,21.73,492.0,20
CDM,954197,CATH ANGIO AL1 6FR 100CM,261.0,261.0,13.83,313.2,49
CDM,954219,MESH SURG 9X9IN,1947.0,1947.0,103.19,2336.4,20
CDM,954220,PLATE BN SM P/L RT,2144.0,2144.0,113.63,2572.8,20
CDM,954224,SCREW SPN P-AX 5.2X50MM,1000.0,1000.0,53.0,1200.0,20
CDM,954262,SCREW SPN P-AX 3.5X20MM,900.0,900.0,47.7,1080.0,20
CDM,954263,SCREW SPN 4.5MM 6MM,150.0,150.0,7.95,180.0,20
CDM,954264,PLATE SPN OCPTL 25-35MM,3000.0,3000.0,159.0,3600.0,20
CDM,954265,ROD SPN ARTC 5.5MM 125MM,360.0,360.0,19.08,432.0,20
CDM,954279,BIT DRILL 3.2MM,942.0,942.0,49.93,1130.4,49
CDM,954285,NUT EX FIX SMALL,2564.0,2564.0,135.89,3076.8,49
CDM,954287,PIN EX FX 3MM 25MM 140MM,2957.0,2957.0,156.72,3548.4,49
CDM,954288,ROD EX FX 5MM 200MM,2564.0,2564.0,135.89,3076.8,49
CDM,954289,ROD EX FX 5MM 250MM,2564.0,2564.0,135.89,3076.8,49
CDM,954344,REAMER CANN DISP 3.3MM,5220.0,5220.0,276.66,6264.0,49
CDM,954345,REAMER CANN DISP 3.9MM,5220.0,5220.0,276.66,6264.0,49
CDM,954346,GWIRE 1.6MM 400MM,2842.0,2842.0,150.63,3410.4,49
CDM,954354,RELOAD STPLR 45MM,525.0,525.0,27.82,630.0,20
CDM,954366,T-PLATE BN 6H 2MM,1670.0,1670.0,88.51,2004.0,20
CDM,954381,MESH SURG 15CM 8CM,4715.0,4715.0,249.9,5658.0,20
CDM,954383,INSERT KN LT SZ5-6 10MM,1235.0,1235.0,65.45,1482.0,20
CDM,954384,TAP SURG 3.5MM,5941.0,5941.0,314.87,7129.2,49
CDM,954385,PLATE BN 11H 233MM,6158.0,6158.0,326.37,7389.6,20
CDM,954419,MESH SURG 10X17CM,1120.0,1120.0,59.36,1344.0,20
CDM,954420,SCREW SPN 7.2MM 55MM,1000.0,1000.0,53.0,1200.0,20
CDM,954421,SCOPE SNGL USE DISP,5941.0,5941.0,314.87,7129.2,49
CDM,954422,PLATE BN NAR RT 4HL,2728.0,2728.0,144.58,3273.6,20
CDM,954424,BIT DRILL FLUT 4.0X280MM,4057.0,4057.0,215.02,4868.4,49
CDM,954458,MESH SURG 12X18CM,5192.0,5192.0,275.18,6230.4,20
CDM,954461,SCREW BN 3.5MM 36MM,342.0,342.0,18.13,410.4,20
CDM,954462,SCREW BN 3.5MM 36MM,264.0,264.0,13.99,316.8,20
CDM,954463,SCREW BN 3.5MM 24MM,264.0,264.0,13.99,316.8,20
CDM,954464,SCREW BN 3.5X26MM,264.0,264.0,13.99,316.8,20
CDM,954491,SCREW HDLS S-T 2MM 36MM,456.0,456.0,24.17,547.2,20
CDM,954492,SCREW BN 2MM 44MM,456.0,456.0,24.17,547.2,20
CDM,954493,SCREW BN 8MM 22MM,382.0,382.0,20.25,458.4,20
CDM,954494,MESH SURG 15X15CM,5408.0,5408.0,286.62,6489.6,20
CDM,954495,MESH SURG 16X20CM,9216.0,9216.0,488.45,11059.2,20
CDM,954508,SCREW BN 5MM 26MM,585.0,585.0,31.0,702.0,20
CDM,954513,SCREW BN 2.7MM 20MM,255.0,255.0,13.52,306.0,20
CDM,954514,SCREW BN 2.7MM 18MM,255.0,255.0,13.52,306.0,20
CDM,954537,NAIL BN FIB LT 4X130MM,6634.0,6634.0,351.6,7960.8,20
CDM,954539,NAIL 13MM 38CM TIB MT-NL,2398.0,2398.0,127.09,2877.6,20
CDM,954541,CATH BLNDL 7X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
CDM,954558,MESH SURG 20X20CM,11520.0,11520.0,610.56,13824.0,20
CDM,954567,SPACER SPN 29X39X17MM,8670.0,8670.0,459.51,10404.0,20
CDM,954611,PLATE BN TIB LT 23HL,3938.0,3938.0,208.71,4725.6,20
CDM,954612,SCREW BN 3.5MM 46MM,452.0,452.0,23.96,542.4,20
CDM,954613,TAP CORTICAL 3MM,4057.0,4057.0,215.02,4868.4,49
CDM,954614,SCREW BN 4MM 28MM,578.0,578.0,30.63,693.6,20
CDM,954615,SCREW BN 4.0MM 32MM,578.0,578.0,30.63,693.6,20
CDM,954616,SCREW SPN 4X12MM,150.0,150.0,7.95,180.0,20
CDM,954618,LENS IOL +29.0 DIOP,268.0,268.0,27.6,321.6,31
CDM,954619,PROBE CRYO 17IN,22539.0,22539.0,1194.57,27046.8,49
CDM,954620,CATH ANGIO 4FR 100CM,497.0,497.0,26.34,596.4,49
CDM,954636,SCREW BN 2.4MM 16MM,515.0,515.0,27.3,618.0,20
CDM,954638,ELECTRODE ESURG BLDE 4IN,135.0,135.0,7.16,162.0,49
CDM,954639,BLADE ELECTRODE 2.75,112.0,112.0,5.94,134.4,49
CDM,954665,CATHETER MICRO DELV133CM,9443.0,9443.0,500.48,11331.6,49
CDM,954676,KIT HMSTC MTRX THRMB,2564.0,2564.0,135.89,3076.8,49
CDM,954681,SCREW SPN 4.5MM 40MM,900.0,900.0,47.7,1080.0,20
CDM,954682,SCREW SPN 7.5MM 50MM,650.0,650.0,34.45,780.0,20
CDM,954683,SPACER SPN 10D 18X50MM,8000.0,8000.0,424.0,9600.0,20
CDM,954687,SCREW BN 3.5X14MM,715.0,715.0,37.9,858.0,20
CDM,954689,REAMER CANN 4.5MM,5220.0,5220.0,276.66,6264.0,49
CDM,954690,COMPONENT FEM KN 6,3054.0,3054.0,161.86,3664.8,20
CDM,954691,SUTURE GUT 3-0 27IN,88.0,88.0,4.66,105.6,49
CDM,954716,PLATE BN HUM LFT 6HL,3718.0,3718.0,197.05,4461.6,20
CDM,954717,SCREW BN 4MM 54MM,304.0,304.0,16.11,364.8,20
CDM,954718,SCREW SPN 6.50MM 55MM,550.0,550.0,29.15,660.0,20
CDM,954719,ROD SPN PRECNTRD 6X65MM,360.0,360.0,19.08,432.0,20
CDM,954720,GRAFT CV 8MM 30CM,7878.0,7878.0,417.53,9453.6,20
CDM,954725,CMPNT PTLLA KN 38MM 10MM,1000.0,1000.0,53.0,1200.0,20
CDM,954759,INTERBODY SPN 11X36X11MM,4000.0,4000.0,212.0,4800.0,20
CDM,954760,INTERBODY SPN 11X36X10MM,4000.0,4000.0,212.0,4800.0,20
CDM,954840,SCREW BN 2.3MM 10MM,186.0,186.0,9.86,223.2,20
CDM,954845,PLATE TIB DIST 19HL LT,2000.0,2000.0,106.0,2400.0,20
CDM,954846,SCREW BN 3.5MM 32MM,264.0,264.0,13.99,316.8,20
CDM,954847,SCREW BN 3.5MM 34MM,264.0,264.0,13.99,316.8,20
CDM,954864,SCREW BN 3.5X26MM,683.0,683.0,36.2,819.6,20
CDM,954894,STEM RADIAL ELB 9MM 2MM,4050.0,4050.0,214.65,4860.0,20
CDM,954895,SCREW BN 8MM 110X22MM,382.0,382.0,20.25,458.4,20
CDM,954896,SCREW BN 8MM 105MM 22MM,382.0,382.0,20.25,458.4,20
CDM,954897,SCREW BN 2.7MM 12MM,270.0,270.0,14.31,324.0,20
CDM,954898,NAIL FEM LT 9MM 40CM,3052.0,3052.0,161.76,3662.4,20
CDM,954899,SCREW CREO 5.5X50MM MOD,650.0,650.0,34.45,780.0,20
CDM,954909,LINER ACTB HIP SZ52,2877.0,2877.0,152.48,3452.4,20
CDM,954929,PENCIL CAUT ESURG DISP,156.0,156.0,8.27,187.2,49
CDM,954933,SPACER SPN 7D 18X8X15MM,3800.0,3800.0,201.4,4560.0,20
CDM,954938,CATH VASC GD 17FR,5941.0,5941.0,314.87,7129.2,49
CDM,954943,TOOL FIXATION DISP,5764.0,5764.0,305.49,6916.8,49
CDM,954971,NAIL BN FEM 10MM 24CM,2398.0,2398.0,127.09,2877.6,20
CDM,954972,SCREW BN 5.7MM 40MM,628.0,628.0,33.28,753.6,20
CDM,954978,NAIL IM TRIG 11.5MMX32CM,6535.0,6535.0,346.36,7842.0,20
CDM,954981,INSERT TIB KN SZ5 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,955030,SCREW SPN 7.5MM 50MM,650.0,650.0,34.45,780.0,20
CDM,955031,INTERBODY SPN 11X36X14MM,4000.0,4000.0,212.0,4800.0,20
CDM,955032,ROD SPN MRNR 45MM 6MM,360.0,360.0,19.08,432.0,20
CDM,955068,STENT BIL RX 10MM 80MM,5233.0,5233.0,277.35,6279.6,20
CDM,955069,STENT BIL RX 10MM 60MM,5233.0,5233.0,277.35,6279.6,20
CDM,955071,STEM KN 130MM 14MM,1200.0,1200.0,63.6,1440.0,20
CDM,955072,INSERT TIB KN L SZ8 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,955085,LINER ACTB HIP SZI 40MM,1100.0,1100.0,58.3,1320.0,20
CDM,955090,DEVICE ANSTM ASST 4MM,5941.0,5941.0,314.87,7129.2,49
CDM,955129,CATH VASC 135CM 4.2FR,2564.0,2564.0,135.89,3076.8,49
CDM,955145,CATH BLNDIL 18FR 108CM,5941.0,5941.0,314.87,7129.2,49
CDM,955170,NAIL BN FEM 3.4X130MM,6634.0,6634.0,351.6,7960.8,20
CDM,955187,ROD SPN CNTOR 4MM 50MM,360.0,360.0,19.08,432.0,20
CDM,955191,SCREW BN 2.3MM 20MM,1700.0,1700.0,90.1,2040.0,20
CDM,955192,BOLT FEM TI 110MM,858.0,858.0,45.47,1029.6,20
CDM,955197,SCREW BN HDED 3.5MM 24MM,300.0,300.0,15.9,360.0,20
CDM,955231,SCREW BN 5.5X65X32MM,382.0,382.0,20.25,458.4,20
CDM,955242,SCREW BN 3.5X12MM,715.0,715.0,37.9,858.0,20
CDM,955243,SCREW BN 3.5MM 10MM,715.0,715.0,37.9,858.0,20
CDM,955288,PACK SURG VASC ACCESS,5941.0,5941.0,314.87,7129.2,49
CDM,955290,PLATE SPN 2LVL 44MM,1900.0,1900.0,100.7,2280.0,20
CDM,955291,NAIL BN RT 2.8X180MM,6634.0,6634.0,351.6,7960.8,20
CDM,955292,INSERT KN TIB LT SZ5 7MM,1500.0,1500.0,79.5,1800.0,20
CDM,955295,SCREW BN LOPRO 3MM 60MM,243.0,243.0,12.88,291.6,20
CDM,955296,INSERT TIB KN RT 11MM,1500.0,1500.0,79.5,1800.0,20
CDM,955311,PLATE BN 16HL 232X3.5MM,2794.0,2794.0,148.08,3352.8,20
CDM,955323,GRAFT BN STRIP 9CC,2142.0,2142.0,113.53,2570.4,20
CDM,955330,PEG FX N-LCK 2.7MM 40MM,212.0,212.0,11.24,254.4,20
CDM,955331,SCREW BN 90MM,1216.0,1216.0,64.45,1459.2,20
CDM,955335,INSERT TIB KN RT SZ3-4,2000.0,2000.0,106.0,2400.0,20
CDM,955342,PLATE BN 1.1MM,2274.0,2274.0,120.52,2728.8,20
CDM,955366,DRESSING HMSTC 3INX48IN,2545.0,2545.0,134.88,3054.0,49
CDM,955367,SCREW BN 6.5MM 105MM 40M,356.0,356.0,18.87,427.2,20
CDM,955420,SCREW BN 2.7MM 16MM,515.0,515.0,27.3,618.0,20
CDM,955421,SCREW BN 2.7MM 14MM,515.0,515.0,27.3,618.0,20
CDM,955461,CATH ANGIO 5F 100CM,2564.0,2564.0,135.89,3076.8,49
CDM,955462,CATH ANGI 5 CRV 5F 125CM,2337.0,2337.0,123.86,2804.4,49
CDM,955520,COMPONENT FEM KN SZ7,3054.0,3054.0,161.86,3664.8,20
CDM,955521,INSERT TIB KN R SZ7 10MM,1500.0,1500.0,79.5,1800.0,20
CDM,955529,STENT VASC 3.25MM 15MM,27781.0,27781.0,1472.39,33337.2,20
CDM,955530,STENT VASC 3.25MM 20MM,27781.0,27781.0,1472.39,33337.2,20
CDM,955531,STENT VASC 4X17MM,27781.0,27781.0,1472.39,33337.2,20
CDM,955532,STENT VASC 4.5X15MM,27781.0,27781.0,1472.39,33337.2,20
CDM,955533,STENT VASC 4.5MM 25MM,27781.0,27781.0,1472.39,33337.2,20
CDM,955534,STENT VASC 5.0MM 17MM,27781.0,27781.0,1472.39,33337.2,20
CDM,955536,STENT VASC 5X20MM,27781.0,27781.0,1472.39,33337.2,20
CDM,955537,STENT VASC 5.25X20MM,27781.0,27781.0,1472.39,33337.2,20
CDM,955598,SPACER SPN 45X18X10MM,8000.0,8000.0,424.0,9600.0,20
CDM,955613,PLATE MIDSHAFT RAD 142MM,1956.0,1956.0,103.67,2347.2,20
CDM,955657,CMPNT KN FEM LT SZ3,3054.0,3054.0,161.86,3664.8,20
CDM,955658,INSERT TIB KN RT SZ8 8MM,1500.0,1500.0,79.5,1800.0,20
CDM,955659,ROD SPN 6MM 150MM,360.0,360.0,19.08,432.0,20
CDM,955660,SCREW BN 10.35MM 105MM,1216.0,1216.0,64.45,1459.2,20
CDM,955709,BARREL ATCH 5X15X180MM,6995.0,6995.0,370.74,8394.0,49
CDM,955749,SCREW BN 2.4MM 19MM,255.0,255.0,13.52,306.0,20
CDM,955752,SCREW BN 8MM 80MM,382.0,382.0,20.25,458.4,20
CDM,955753,SCREW BN 8MM 90MM,382.0,382.0,20.25,458.4,20
CDM,955755,BARREL ATCH 2.4X28X90MM,5941.0,5941.0,314.87,7129.2,49
CDM,955756,BARREL ATCH 2.4X28X140MM,5941.0,5941.0,314.87,7129.2,49
CDM,955757,BARREL ATTACH 24X3X22MM,5941.0,5941.0,314.87,7129.2,49
CDM,955758,BARREL ATCH 3X22X140MM,6995.0,6995.0,370.74,8394.0,49
CDM,955759,BARREL ATCH 5X22X140MM,6995.0,6995.0,370.74,8394.0,49
CDM,955760,BARREL ATCH 5X22X90MM,5941.0,5941.0,314.87,7129.2,49
CDM,955761,BARREL ATCH 3.5X30X260MM,6995.0,6995.0,370.74,8394.0,49
CDM,955762,BARREL ATCH 5X25X180MM,6995.0,6995.0,370.74,8394.0,49
CDM,955773,ROD SPN CRV 5.5X80MM,360.0,360.0,19.08,432.0,20
CDM,955774,SCREW BN 2MM 14MM,456.0,456.0,24.17,547.2,20
CDM,955895,SCREW BN 3.7MM 30MM,264.0,264.0,13.99,316.8,20
CDM,955939,PROSTHESIS PNLE 24CM,19180.0,19180.0,1016.54,23016.0,20
CDM,955940,PLATE BN 3H LT 2.4MM,1670.0,1670.0,88.51,2004.0,20
CDM,955941,SCREW BN 3.5MM 40MM,715.0,715.0,37.9,858.0,20
CDM,955942,SCREW BN 3.5MM 36MM,715.0,715.0,37.9,858.0,20
CDM,955943,SCREW BN 3.5MM 22MM,683.0,683.0,36.2,819.6,20
CDM,955944,SCREW BN 3.5MM 42MM,715.0,715.0,37.9,858.0,20
CDM,955945,SCREW BN 3.5MM 44MM,683.0,683.0,36.2,819.6,20
CDM,955946,PLATE BN HUM 5HL,5489.0,5489.0,290.92,6586.8,20
CDM,955947,ROD SPNL 60MM 6MM,360.0,360.0,19.08,432.0,20
CDM,955948,SCREW SPN TOP/SIDE 10MM,700.0,700.0,37.1,840.0,20
CDM,955949,ROD SPN 6MM 40MM,360.0,360.0,19.08,432.0,20
CDM,955950,CAGE SPN 10D 23X10X50MM,6000.0,6000.0,318.0,7200.0,20
CDM,955951,KNIFE RETRACTABLE,5941.0,5941.0,314.87,7129.2,49
CDM,955953,SPACER SPN 55X22X10MM,8000.0,8000.0,424.0,9600.0,20
CDM,955954,PLATE BN HUM RT 2SLOT,3836.0,3836.0,203.31,4603.2,20
CDM,955955,PLATE BN HUM TI RT,2280.0,2280.0,120.84,2736.0,20
CDM,955956,SCREW BN HUM PLT,260.0,260.0,13.78,312.0,20
CDM,955957,PEG BN LCK 6MM 48MM,264.0,264.0,13.99,316.8,20
CDM,955996,ROD SPN CRVD 5.5X50MM,360.0,360.0,19.08,432.0,20
CDM,955997,INSERT TIB KN RT SZ7 8MM,1500.0,1500.0,79.5,1800.0,20
CDM,956047,STENT VASC OTW 2.5X38MM,5000.0,5000.0,265.0,6000.0,20
CDM,956057,SCREW SPN ST 5.2X45MM,1000.0,1000.0,53.0,1200.0,20
CDM,956115,SPACER SPN 40X18X8-15MM,8000.0,8000.0,424.0,9600.0,20
CDM,956116,SCREW BN HDED 3.5MM 42MM,300.0,300.0,15.9,360.0,20
CDM,956117,PLATE BN 11HL 130.5MM,868.0,868.0,46.0,1041.6,20
CDM,956118,SCREW SPN 7.2MM 60MM,1000.0,1000.0,53.0,1200.0,20
CDM,956119,SCREW SPN 6.2MM 60MM,1000.0,1000.0,53.0,1200.0,20
CDM,956179,SCREW BN T8 2.4X38MM,255.0,255.0,13.52,306.0,20
CDM,956199,PLATE BN STD RT 3H 2.4MM,7875.0,7875.0,417.38,9450.0,20
CDM,956207,HANDLE PROBE NERVE STM,1047.0,1047.0,55.49,1256.4,49
CDM,956253,SYSTEM SCFLD 3.5MM 38MM,5000.0,5000.0,265.0,6000.0,20
CDM,956254,STENT VASC OTW 3.0X38MM,5000.0,5000.0,265.0,6000.0,20
CDM,956255,STENT VASC OTW 3.75X38MM,5000.0,5000.0,265.0,6000.0,20
CDM,956263,SCREW BN 5.0MM 45MM,429.0,429.0,22.74,514.8,20
CDM,956280,BIT DRILL 2.5MM,3605.0,3605.0,191.06,4326.0,49
CDM,956281,SCREW BN 3.5MM 34MM,715.0,715.0,37.9,858.0,20
CDM,956282,SCREW BN 3.5MM 24MM,715.0,715.0,37.9,858.0,20
CDM,956283,SCREW BN 3.5MM 38MM,715.0,715.0,37.9,858.0,20
CDM,956284,PLATE BN LAT 10HL,5709.0,5709.0,302.58,6850.8,20
CDM,956285,PLATE HUM SHLDR 7HL,5709.0,5709.0,302.58,6850.8,20
CDM,956286,SCREW BN 3.5MM 26MM,683.0,683.0,36.2,819.6,20
CDM,956287,PLATE BN CENTRAL LEFT,1526.0,1526.0,80.88,1831.2,20
CDM,956288,SCREW BN 26MM 3.5MM,2000.0,2000.0,106.0,2400.0,20
CDM,956303,ROD SPN CRV 75MM 6MM,360.0,360.0,19.08,432.0,20
CDM,956304,CAGE SPN 6D 7X8X24MM,2000.0,2000.0,106.0,2400.0,20
CDM,956364,SPACER SPN 9-16X12X30MM,6800.0,6800.0,360.4,8160.0,20
CDM,956399,SCREW BN 2.7MM 26MM,599.0,599.0,31.75,718.8,20
CDM,956400,SCREW BN VAR 2.7MM 28MM,599.0,599.0,31.75,718.8,20
CDM,956401,SCREW BN 2.7MM 34MM,599.0,599.0,31.75,718.8,20
CDM,956402,SCREW BN 3.5MM 10MM,620.0,620.0,32.86,744.0,20
CDM,956403,PLATE BN 14HL 257MM,5698.0,5698.0,301.99,6837.6,20
CDM,956423,LEAD DEFIB 4.7FR 74CM,9000.0,9000.0,477.0,10800.0,20
CDM,956452,SCREW BN 3.7MM 44MM,264.0,264.0,13.99,316.8,20
CDM,956458,LANTERN SURG DISP,7734.0,7734.0,409.9,9280.8,49
CDM,956487,PLATE TRPEZE 2X2HLS,870.0,870.0,46.11,1044.0,20
CDM,956488,PLATE CHIN MINI 4H 4MM,691.0,691.0,36.62,829.2,20
CDM,956489,PLATE BN CRNMXF 3D 2X2HL,388.0,388.0,20.56,465.6,20
CDM,956490,INSERT TIB KN L 7-9 18MM,4500.0,4500.0,238.5,5400.0,20
CDM,956491,COMPNT LT KN SZ6,11444.0,11444.0,606.53,13732.8,20
CDM,956492,SCREW BN 2.3MM 10MM,196.0,196.0,10.39,235.2,20
CDM,956493,SCREW BN 2.3X6MM,196.0,196.0,10.39,235.2,20
CDM,956494,SCREW BN 6MM 44MM,264.0,264.0,13.99,316.8,20
CDM,956495,SCREW BN 3.5MM 40MM,264.0,264.0,13.99,316.8,20
CDM,956496,PEG LCK 3.5X36MM,264.0,264.0,13.99,316.8,20
CDM,956497,SCREW BN 3.7MM 34MM,264.0,264.0,13.99,316.8,20
CDM,956498,SCREW BN 3.5MM 32MM,310.0,310.0,16.43,372.0,20
CDM,956499,PLATE BN 3.5MM 32MM,264.0,264.0,13.99,316.8,20
CDM,956500,BARREL ATCH 22X140MM,6995.0,6995.0,370.74,8394.0,49
CDM,956550,LOOP CUTTER DISP 230CM,2620.0,2620.0,138.86,3144.0,49
CDM,956554,SCREW SPNL 3.5MM 10MM,900.0,900.0,47.7,1080.0,20
CDM,956555,SCREW SPN 5.2MM 55MM,1000.0,1000.0,53.0,1200.0,20
CDM,956556,SCREW SPN P-AX 4.0X12MM,900.0,900.0,47.7,1080.0,20
CDM,956588,SUTURE ANBCTRL +0 27IN,80.0,80.0,4.24,96.0,49
CDM,956589,SPACER SPN 45X8-15MM 6D,14000.0,14000.0,742.0,16800.0,20
CDM,956590,SPCR SPN 6D 8-15X20X55MM,14000.0,14000.0,742.0,16800.0,20
CDM,956591,SCREW SPN 5.5MM 45MM,150.0,150.0,7.95,180.0,20
CDM,956592,SCREW BN 2.7MM 34MM,255.0,255.0,13.52,306.0,20
CDM,956593,PLATE BN 2.7MM 140MM,3196.0,3196.0,169.39,3835.2,20
CDM,956594,SCREW BN 2.7MM 32MM,255.0,255.0,13.52,306.0,20
CDM,956595,SCREW BN 2.7MM 30MM,255.0,255.0,13.52,306.0,20
CDM,956596,SCREW BN 2.7MM 22MM,515.0,515.0,27.3,618.0,20
CDM,956597,SCREW BN 2.7X19MM,255.0,255.0,13.52,306.0,20
CDM,956598,SCREW BN 2.7MM 32MM,515.0,515.0,27.3,618.0,20
CDM,956599,SCREW BN 2.7MM 28MM,515.0,515.0,27.3,618.0,20
CDM,956600,SCREW BN 2.7MM 26MM,515.0,515.0,27.3,618.0,20
CDM,956601,PEG BN LCK 6MM 54MM,264.0,264.0,13.99,316.8,20
CDM,956602,PLATE BN PROX HUM,1560.0,1560.0,82.68,1872.0,20
CDM,956603,SCREW BN 3.7MM 40MM,264.0,264.0,13.99,316.8,20
CDM,956604,SCREW BN LCK 3.7X38MM,264.0,264.0,13.99,316.8,20
CDM,956605,SCREW BN 3.7MM 54MM,264.0,264.0,13.99,316.8,20
CDM,956606,SCREW BN 3.7MM 46MM,264.0,264.0,13.99,316.8,20
CDM,956607,BRUSH SPN 6MM 250MM,6995.0,6995.0,370.74,8394.0,49
CDM,956660,BARREL ATCH 2.9X30X140MM,6995.0,6995.0,370.74,8394.0,49
CDM,956733,KIT VASC GW NDL 5FR 45CM,1149.0,1149.0,60.9,1378.8,49
CDM,956734,INSERT TIB KN LT SZ5 8MM,1500.0,1500.0,79.5,1800.0,20
CDM,956735,SCREW BN 2.4MM 30MM,255.0,255.0,13.52,306.0,20
CDM,956736,BIT DRILL LNG 3.7MM,2564.0,2564.0,135.89,3076.8,49
CDM,956737,INSERT TIB KN SZ3-4 13MM,2000.0,2000.0,106.0,2400.0,20
CDM,956752,COMP TIB KN SZ4,3600.0,3600.0,190.8,4320.0,20
CDM,956786,PLATE BN 9H 106.5MM,786.0,786.0,41.66,943.2,20
CDM,956787,MESH HRN L-PRO 15X25CM,9012.0,9012.0,477.64,10814.4,20
CDM,956867,GWIRE VASC .035IN 300CM,2564.0,2564.0,135.89,3076.8,49
CDM,956868,CELLESTA DUO 24 SQCM,12075.0,12075.0,639.98,14490.0,30
CDM,956943,GUIDE ROD 3MM 900MM,2564.0,2564.0,135.89,3076.8,49
CDM,956944,DRILL BIT SHRT 4.3MM,2564.0,2564.0,135.89,3076.8,49
CDM,956945,DRILL LNG 4.3MM,2664.0,2664.0,141.19,3196.8,49
CDM,956946,SCREW BN 5MM 30MM,429.0,429.0,22.74,514.8,20
CDM,956948,SCREW BN 5X32.5MM,429.0,429.0,22.74,514.8,20
CDM,956949,SCREW BN 5X42MM,501.0,501.0,26.55,601.2,20
CDM,956950,SCREW BN 5MM 47.5MM,501.0,501.0,26.55,601.2,20
CDM,956953,PIN GUIDE 3.2MM 360MM,2564.0,2564.0,135.89,3076.8,49
CDM,956991,INSERT TIB KN SZ3-4 9MM,2000.0,2000.0,106.0,2400.0,20
CDM,957057,SCREW BN 34MM,224.0,224.0,11.87,268.8,20
CDM,957059,SCREW BN 4.5MM 35MM,272.0,272.0,14.42,326.4,20
CDM,957107,ROD SPN UNV 120X3.5MM,360.0,360.0,19.08,432.0,20
CDM,957108,SCREW SPN 4.5MM 34MM,900.0,900.0,47.7,1080.0,20
CDM,957109,PLATE BN LT SZ6,2204.0,2204.0,116.81,2644.8,20
CDM,957110,ANCHOR BN TNDN 3.9MM,5775.0,5775.0,306.07,6930.0,20
CDM,957111,PLATE BN HK RADL LT,794.0,794.0,42.08,952.8,20
CDM,957144,CATHSND 6FR 1.18MM 135CM,5941.0,5941.0,314.87,7129.2,49
CDM,957166,CAGE SPN 6D 22X9X8MM,4000.0,4000.0,212.0,4800.0,20
CDM,957207,IMPLNT BN TLR 10MM,4275.0,4275.0,226.57,5130.0,20
CDM,957252,ROD SPN CRV 5.5MM 55MM,360.0,360.0,19.08,432.0,20
CDM,957283,SCREW BN 3.5MM 32MM,715.0,715.0,37.9,858.0,20
CDM,957284,SCREW BN 3.5MM 30MM,683.0,683.0,36.2,819.6,20
CDM,957285,INSERT TIB KN RT SZ6 7MM,1500.0,1500.0,79.5,1800.0,20
CDM,957286,SCREW BN 10.35MM 75MM,1216.0,1216.0,64.45,1459.2,20
CDM,957298,SCREW BN 2.7X8MM,213.0,213.0,11.29,255.6,20
CDM,957302,SCREW SPN 7.5MM 30MM,450.0,450.0,23.85,540.0,20
CDM,957324,DRILL BIT 3.2MM 450MM,1997.0,1997.0,105.84,2396.4,49
CDM,957325,SCREW BN 6.5MM 135MM,466.0,466.0,24.7,559.2,20
CDM,957355,INTBDY SPN 8D 9X28X8MM,4000.0,4000.0,212.0,4800.0,20
CDM,957356,SCREW SPN 6.5MM 35MM,900.0,900.0,47.7,1080.0,20
CDM,957357,SCREW SPN 6.5MM 30MM,900.0,900.0,47.7,1080.0,20
CDM,957413,INSERT KN TIB RT SZ4 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,957423,PLATE CRANI MESH 12MM,2211.0,2211.0,117.18,2653.2,20
CDM,957424,ROD SPN CVR 5.5X125MM,360.0,360.0,19.08,432.0,20
CDM,957425,STEM HD SHLDR LOW 18X48,9800.0,9800.0,519.4,11760.0,20
CDM,957437,SCREW BN 3.5MM 48MM,715.0,715.0,37.9,858.0,20
CDM,957438,SCREW BN 3.5MM 46MM,715.0,715.0,37.9,858.0,20
CDM,957454,SCREW BN 30MM,224.0,224.0,11.87,268.8,20
CDM,957455,SCREW BN 3.5X28MM,683.0,683.0,36.2,819.6,20
CDM,957456,SCREW BN 3.5MM 40MM,683.0,683.0,36.2,819.6,20
CDM,957457,SCREW BN 3MM 50MM,620.0,620.0,32.86,744.0,20
CDM,957483,SCREW SPN 4.0MM 22MM,900.0,900.0,47.7,1080.0,20
CDM,957491,HEAD HUM STD 26MM 54MM,2420.0,2420.0,128.26,2904.0,20
CDM,957492,SCREW BN 3.5MM 28MM,2430.0,2430.0,128.79,2916.0,20
CDM,957493,SCREW BN 3.5MM 50MM,310.0,310.0,16.43,372.0,20
CDM,957494,SCREW BN 3.5MM 44MM,310.0,310.0,16.43,372.0,20
CDM,957495,PLATE BN HUM LT 1 SLT,3706.0,3706.0,196.42,4447.2,20
CDM,957496,SCREW BN 3.7MM 42MM,264.0,264.0,13.99,316.8,20
CDM,957497,SCREW BN 3.7MM 42MM,264.0,264.0,13.99,316.8,20
CDM,957516,CAGE SPN 14X12X7X6MM,4100.0,4100.0,217.3,4920.0,20
CDM,957517,HEAD HUM SHLDR 46MM 17MM,9800.0,9800.0,519.4,11760.0,20
CDM,957567,CMPNT FEM KN SZ7,3054.0,3054.0,161.86,3664.8,20
CDM,957568,INSERT TIB KN SZ7 8MM,1500.0,1500.0,79.5,1800.0,20
CDM,957569,CMPNT FEM HIP SZ 3,3400.0,3400.0,180.2,4080.0,20
CDM,957587,ROD SPN CRV 5.5/115MM,360.0,360.0,19.08,432.0,20
CDM,957629,STEM FEM KN LPS 16X125MM,8100.0,8100.0,429.3,9720.0,20
CDM,957630,SCREW BN 8MM 80MM,382.0,382.0,20.25,458.4,20
CDM,957631,SCREW BN 8MM 120MM,382.0,382.0,20.25,458.4,20
CDM,957632,SCREW SPN POLY 4X32MM,900.0,900.0,47.7,1080.0,20
CDM,957633,SCREW SPNL 3.5MM 20MM,900.0,900.0,47.7,1080.0,20
CDM,957634,SCREW SPN 3.5MM 32MM,900.0,900.0,47.7,1080.0,20
CDM,957635,INSERT TIB KN XXS 16MM,7995.0,7995.0,423.74,9594.0,20
CDM,957636,INSERT TIB KN SZ5 8MM,1500.0,1500.0,79.5,1800.0,20
CDM,957637,INSERT TIB KN LT SZ7 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,957638,INSERT TIB KN SZ3/4 10MM,2000.0,2000.0,106.0,2400.0,20
CDM,957669,PLATE BN SM 2.7MM,4910.0,4910.0,260.23,5892.0,20
CDM,957697,ROD SPN CNTRD 4X60MM,360.0,360.0,19.08,432.0,20
CDM,957698,BIT DRILL ORTH 6MM,5761.0,5761.0,305.33,6913.2,49
CDM,957699,BIT DRILL ORTH 7.6MM,5941.0,5941.0,314.87,7129.2,49
CDM,957700,BIT DRILL ORTH 10.5MM,6196.0,6196.0,328.39,7435.2,49
CDM,957701,SCREW BN 5X25MM,429.0,429.0,22.74,514.8,20
CDM,957702,NAIL BN FEM 10MM 17.2CM,2721.0,2721.0,144.21,3265.2,20
CDM,957703,SCREW BN KIT 85MM/80MM,1237.0,1237.0,65.56,1484.4,20
CDM,957711,SCREW BN 5MM 40MM,429.0,429.0,22.74,514.8,20
CDM,957712,SCREW BN 5.0MM 37.5MM,429.0,429.0,22.74,514.8,20
CDM,957713,NAIL BN FEM RT 13MM 34CM,3656.0,3656.0,193.77,4387.2,20
CDM,957714,SCREW BN KIT 75MM/80MM,1237.0,1237.0,65.56,1484.4,20
CDM,957766,BLADE BN COARSE DISP,1620.0,1620.0,85.86,1944.0,49
CDM,957767,INSERT KN TIB RT SZ3 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,957773,SCREW BN 2MM 12MM,270.0,270.0,14.31,324.0,20
CDM,957839,CATH BLNDIL 7X20MM,2564.0,2564.0,135.89,3076.8,49
CDM,957852,SCREW BN 2MM 15MM,282.0,282.0,14.95,338.4,20
CDM,957853,SCREW BN 2MM 12MM,282.0,282.0,14.95,338.4,20
CDM,957854,SCREW BN 2.7MM 13MM,255.0,255.0,13.52,306.0,20
CDM,957855,SCREW BN 2.7MM 12MM,255.0,255.0,13.52,306.0,20
CDM,957856,SCREW BN 2.7MM 22MM,255.0,255.0,13.52,306.0,20
CDM,957857,STENT VNS 16X160MM 120CM,3000.0,3000.0,159.0,3600.0,20
CDM,957874,SCREW SPN 4.5MM 24MM,900.0,900.0,47.7,1080.0,20
CDM,957875,CONN ROD SPN T 27-33MM,700.0,700.0,37.1,840.0,20
CDM,957876,INS TIB KN SZ6 10MM,3080.0,3080.0,163.24,3696.0,20
CDM,957877,COMPONENT FEM KN LT SZ5N,3054.0,3054.0,161.86,3664.8,20
CDM,957878,PLATE SPN 2LVL 48MM,1900.0,1900.0,100.7,2280.0,20
CDM,957879,INSERT TIB KN LT SZ7 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,957880,SCREW BN 5MM 35MM,429.0,429.0,22.74,514.8,20
CDM,957881,SCREW BN 5.0MM 42MM,429.0,429.0,22.74,514.8,20
CDM,957882,SCREW BN 5MM 32.5MM,501.0,501.0,26.55,601.2,20
CDM,957883,SCREW BN 5MM 55MM,429.0,429.0,22.74,514.8,20
CDM,957927,ROD SPN 6MM 150MM,360.0,360.0,19.08,432.0,20
CDM,957928,PENCIL ESURG CAUT DISP,206.0,206.0,10.92,247.2,49
CDM,957929,NAIL BN TIB LT 11MM 38CM,2928.0,2928.0,155.18,3513.6,20
CDM,957942,SCREW BN 2.7MM 26MM,255.0,255.0,13.52,306.0,20
CDM,957952,SCREW SPN 4.0MM 16MM,150.0,150.0,7.95,180.0,20
CDM,957953,WASHER BN 13MM,361.0,361.0,19.13,433.2,20
CDM,957954,NAIL BN 10MM 30CM,2928.0,2928.0,155.18,3513.6,20
CDM,957955,SCREW BN 5MM 37.5MM,501.0,501.0,26.55,601.2,20
CDM,958012,SCREW BN 3.5X20MM,683.0,683.0,36.2,819.6,20
CDM,958013,SCREW BN 3.5MM 20MM,683.0,683.0,36.2,819.6,20
CDM,958014,SCREW BN 3.5MM 28MM,683.0,683.0,36.2,819.6,20
CDM,958015,PLATE BN 12HL,5709.0,5709.0,302.58,6850.8,20
CDM,958016,SCREW BN 5MM 40MM,501.0,501.0,26.55,601.2,20
CDM,958017,NAIL BN LT 10MM 37CM,2928.0,2928.0,155.18,3513.6,20
CDM,958018,SCREW BN 5MM 62.5MM,429.0,429.0,22.74,514.8,20
CDM,958019,SCREW BN 5X65MM,429.0,429.0,22.74,514.8,20
CDM,958020,SCREW BN 5X35MM,501.0,501.0,26.55,601.2,20
CDM,958021,SCREW BN 5MM 70MM,501.0,501.0,26.55,601.2,20
CDM,958036,SCREW SPN 4.5MM 30MM,900.0,900.0,47.7,1080.0,20
CDM,958037,NAIL BN 10MMX30CM,2928.0,2928.0,155.18,3513.6,20
CDM,958038,SCREW BN 5MM 27.5MM,429.0,429.0,22.74,514.8,20
CDM,958039,NAIL BN 11.5MM 17.2CM,2721.0,2721.0,144.21,3265.2,20
CDM,958040,SCREW BN KIT 90MM/85MM,1237.0,1237.0,65.56,1484.4,20
CDM,958092,INSERT TIB KN 12MM SZ8,1500.0,1500.0,79.5,1800.0,20
CDM,958093,SCREW BN 3.5MM 16MM,268.0,268.0,14.2,321.6,20
CDM,958094,SCREW BN 3.5MM 4MM,268.0,268.0,14.2,321.6,20
CDM,958095,SCREW BN 3.5MM 12MM,268.0,268.0,14.2,321.6,20
CDM,958096,PLATE BN 7H 3.5MM 98MM,1650.0,1650.0,87.45,1980.0,20
CDM,958097,SCREW BN 3.5MM 14MM,524.0,524.0,27.77,628.8,20
CDM,958271,INSRT ARTC KN 4-5 13MM,1500.0,1500.0,79.5,1800.0,20
CDM,958272,SCREW BN 5.5MM 50MM,1986.0,1986.0,105.26,2383.2,20
CDM,958299,SCREW BN 5.0MM 27.5MM,501.0,501.0,26.55,601.2,20
CDM,958312,NAIL BN RT 10MM 35CM,2928.0,2928.0,155.18,3513.6,20
CDM,958313,SCREW BN 5X47.5MM,429.0,429.0,22.74,514.8,20
CDM,958315,NAIL BN 125D 13MM 36CM,3656.0,3656.0,193.77,4387.2,20
CDM,958330,SCREW BN 6.5MM 115MM,358.0,358.0,18.97,429.6,20
CDM,958334,SCREW BN 6.5MM 90MM,358.0,358.0,18.97,429.6,20
CDM,958337,SCREW BN 6.5MM 85MM,358.0,358.0,18.97,429.6,20
CDM,958343,SCREW BN 6.5MM 70MM,358.0,358.0,18.97,429.6,20
CDM,958345,SCREW BN CANN 6.5X65MM,358.0,358.0,18.97,429.6,20
CDM,958346,SCREW BN 6.5MM 60MM,358.0,358.0,18.97,429.6,20
CDM,958349,SCREW BN 6.5MM 50MM,358.0,358.0,18.97,429.6,20
CDM,958355,SCREW BN 6.5MM 60MM,326.0,326.0,17.28,391.2,20
CDM,958358,SCREW BN 6.5MM 50MM,358.0,358.0,18.97,429.6,20
CDM,958362,SCREW BN 6.5MM 45MM,358.0,358.0,18.97,429.6,20
CDM,958365,SCREW BN 6.5MM 40MM,358.0,358.0,18.97,429.6,20
CDM,958378,SCREW BN 6.5MM 65MM,326.0,326.0,17.28,391.2,20
CDM,958387,GWIRE VASC 0.018IN 300CM,3930.0,3930.0,208.29,4716.0,49
CDM,958388,GWIRE VASC 0.014IN 300CM,3930.0,3930.0,208.29,4716.0,49
CDM,958390,SCREW BN 5.5MM 48MM,1328.0,1328.0,70.38,1593.6,20
CDM,958391,SCREW BN TI 5.5MM 65MM,1328.0,1328.0,70.38,1593.6,20
CDM,958392,SCREW BN 5.5MM 70MM,1328.0,1328.0,70.38,1593.6,20
CDM,958393,SCREW BN TI 5.5MM 48MM,1328.0,1328.0,70.38,1593.6,20
CDM,958394,SCREW BN TI 5.5MM 42MM,1328.0,1328.0,70.38,1593.6,20
CDM,958582,INSERT TIB KN 8MM,1500.0,1500.0,79.5,1800.0,20
CDM,958584,SCREW BN 6.5MM 80MM,597.0,597.0,31.64,716.4,20
CDM,958585,GRAFT AMNIO TISS 10X5CM,12000.0,12000.0,636.0,14400.0,20
CDM,958818,LINER ACTB HIP +5X40MM,2400.0,2400.0,127.2,2880.0,20
CDM,958823,KIT HISTOTRIPSY,53238.0,53238.0,2821.61,63885.6,49
CDM,958824,ROD SPN PRCNTR 6X70MM,360.0,360.0,19.08,432.0,20
CDM,958897,INSERT TIB KN SZ3-4 9MM,2000.0,2000.0,106.0,2400.0,20
CDM,958947,SHAVER ARTH DISP 2.6MM,2564.0,2564.0,135.89,3076.8,49
CDM,958948,SCREW BN 3.5MM 10MM,629.0,629.0,33.34,754.8,20
CDM,958949,PLATE BN HUM 3HL,5489.0,5489.0,290.92,6586.8,20
CDM,958967,SCREW SPN SLFTP 3.5X13MM,150.0,150.0,7.95,180.0,20
CDM,958968,INSERT TIB KN LT SZ8 5MM,1500.0,1500.0,79.5,1800.0,20
CDM,958969,SCREW BN 4.2MM 60MM,2600.0,2600.0,137.8,3120.0,20
CDM,958978,PUTTY BONE 15CC,6750.0,6750.0,357.75,8100.0,20
CDM,959007,SCREW BN 6.7MM 90MM,466.0,466.0,24.7,559.2,20
CDM,959009,SCREW BN CRNMXF 2X5MM,174.0,174.0,9.22,208.8,20
CDM,959010,NAIL BN TIB LT 11MM 34CM,2928.0,2928.0,155.18,3513.6,20
CDM,959011,SCREW BN 5MM 70MM,429.0,429.0,22.74,514.8,20
CDM,959012,NAIL BN L 10MM 35CM,2928.0,2928.0,155.18,3513.6,20
CDM,959013,NAIL BN L 11MM 36CM,2928.0,2928.0,155.18,3513.6,20
CDM,959014,PLATE BN CRNMXF 6H 8MM,840.0,840.0,44.52,1008.0,20
CDM,959036,NAIL BN LT 9MM 35CM,2928.0,2928.0,155.18,3513.6,20
CDM,959037,SCREW SPN FEN 8.5X80MM,650.0,650.0,34.45,780.0,20
CDM,959038,ROD SPNL CRV 85MM 6MM,360.0,360.0,19.08,432.0,20
CDM,959046,SCREW BN 2.7MM 15MM,515.0,515.0,27.3,618.0,20
CDM,959047,SPACER SPN 12X26 6-16MM,11000.0,11000.0,583.0,13200.0,20
CDM,959048,SPACER SPN 12X26 6-12M,11000.0,11000.0,583.0,13200.0,20
CDM,959049,SCREW BN 3.5MM 58MM,715.0,715.0,37.9,858.0,20
CDM,959051,SUTURE BRD VIOL 7-0 18IN,412.0,412.0,21.84,494.4,49
CDM,959053,SET ATF BX/55 DISP,2564.0,2564.0,135.89,3076.8,49
CDM,959061,NAIL BN LT 10MM 34CM,3656.0,3656.0,193.77,4387.2,20
CDM,959066,NAIL BN RT 10MM 34CM,3656.0,3656.0,193.77,4387.2,20
CDM,959077,SUTURE ANBCTRL +4-0 18IN,150.0,150.0,7.95,180.0,49
CDM,959078,SUTURE UND BRD,52.0,52.0,2.76,62.4,49
CDM,959097,ROD SPN 100MM 6MM,360.0,360.0,19.08,432.0,20
CDM,959098,NAIL BN L 9MM 38CM,2928.0,2928.0,155.18,3513.6,20
CDM,959099,SCREW BN KIT 75MM/70MM,1237.0,1237.0,65.56,1484.4,20
CDM,959100,SCREW BN KIT 75MM/70MM,3656.0,3656.0,193.77,4387.2,20
CDM,959101,PLATE BN LT 8HL,3844.0,3844.0,203.73,4612.8,20
CDM,959102,SCREW BN 2.4MM 15MM,515.0,515.0,27.3,618.0,20
CDM,959103,SCREW BN 2.4MM 14MM,515.0,515.0,27.3,618.0,20
CDM,959129,SHTH DRL SURG SPN 3.5X30,6995.0,6995.0,370.74,8394.0,49
CDM,959130,NAIL BN RT 11.5MM 34CM,3656.0,3656.0,193.77,4387.2,20
CDM,959150,INSERT KN TIB LT SZ5 6MM,1500.0,1500.0,79.5,1800.0,20
CDM,959151,CMPNT RVRS SHLDR +3MM,1100.0,1100.0,58.3,1320.0,20
CDM,959152,HEAD HUM SHLDR 57MM,2000.0,2000.0,106.0,2400.0,20
CDM,959184,CATH FILLIFORM ST TIP 4F,429.0,429.0,22.74,514.8,49
CDM,959185,PLATE BN 3.5MM 154MM,2549.0,2549.0,135.1,3058.8,20
CDM,959186,SCREW BN 2.9X10MM TI ST,331.0,331.0,17.54,397.2,20
CDM,959187,SCREW BN 2.9MMX12MM MTRX,332.0,332.0,17.6,398.4,20
CDM,959188,IMPLANT FX 5MM MTRXRB LG,1513.0,1513.0,80.19,1815.6,20
CDM,959189,SCREW BN 4.0MM 10MM,284.0,284.0,15.05,340.8,20
CDM,959190,SCREW BN 4.0MM 14MM,284.0,284.0,15.05,340.8,20
CDM,959191,SCREW BN 4MM 20MM,284.0,284.0,15.05,340.8,20
CDM,959192,SCREW BN 4.0MM 22MM,284.0,284.0,15.05,340.8,20
CDM,959193,SCREW BN 4.0MM 24MM,284.0,284.0,15.05,340.8,20
CDM,959194,SCREW BN 4MM 26MM,284.0,284.0,15.05,340.8,20
CDM,959195,SCREW BN 4.0MM 28MM,284.0,284.0,15.05,340.8,20
CDM,959196,SCREW BN 4.0MM 30MM,284.0,284.0,15.05,340.8,20
CDM,959197,SCREW BN 4.0MM 32MM,284.0,284.0,15.05,340.8,20
CDM,959198,SCREW BN 4.0MM 34MM,284.0,284.0,15.05,340.8,20
CDM,959199,SCREW BN 4.0MM 38MM,284.0,284.0,15.05,340.8,20
CDM,959200,SCREW BN 4.0MM 46MM,284.0,284.0,15.05,340.8,20
CDM,959201,SCREW BN 4.0MM 48MM,284.0,284.0,15.05,340.8,20
CDM,959202,SCREW BN 4MM 40MM,284.0,284.0,15.05,340.8,20
CDM,959203,SCREW BN 4MM 42MM,284.0,284.0,15.05,340.8,20
CDM,959204,SCREW BN 4.0MM 44MM,284.0,284.0,15.05,340.8,20
CDM,959205,PLATE BN LT 160MM,3520.0,3520.0,186.56,4224.0,20
CDM,959206,CAGE SPN 15D 9X32X10MM,4000.0,4000.0,212.0,4800.0,20
CDM,959207,SCREW BN 8MM 80MM,398.0,398.0,21.09,477.6,20
CDM,959208,SCREW BN 8MM 70MM,398.0,398.0,21.09,477.6,20
CDM,959209,SCREW BN 8MM 75MM,398.0,398.0,21.09,477.6,20
CDM,959210,SCREW BN 8.0MM 65MM,284.0,284.0,15.05,340.8,20
CDM,959240,PLATE BN 2HL 28.5X3.5MM,642.0,642.0,34.03,770.4,20
CDM,959241,SCREW BN 4.0MM 14MM,236.0,236.0,12.51,283.2,20
CDM,959242,SCREW BN 4MM 26MM 9MM,236.0,236.0,12.51,283.2,20
CDM,959243,SCREW BN 4MM 24MM,236.0,236.0,12.51,283.2,20
CDM,959244,SCREW BN 4MM 70MM,236.0,236.0,12.51,283.2,20
CDM,959245,SCREW BN 4MM 65MM,236.0,236.0,12.51,283.2,20
CDM,959246,SCREW BN 4.0MM 36MM,284.0,284.0,15.05,340.8,20
CDM,959247,SCREW BN 8MM 65MM 25MM,356.0,356.0,18.87,427.2,20
CDM,959248,SCREW BN 8MM 60MM 25MM,356.0,356.0,18.87,427.2,20
CDM,959249,SCREW BN 8MM 55MM 25MM,356.0,356.0,18.87,427.2,20
CDM,959250,SCREW BN 8MM 50MM 25MM,356.0,356.0,18.87,427.2,20
CDM,959251,SCREW BN 8MM 45MM 25MM,356.0,356.0,18.87,427.2,20
CDM,959252,SCREW BN 8MM 40MM 25MM,356.0,356.0,18.87,427.2,20
CDM,959253,SCREW BN 8MM 125MM,356.0,356.0,18.87,427.2,20
CDM,959254,SCREW BN 8MM 125MM 25MM,356.0,356.0,18.87,427.2,20
CDM,959255,SCREW BN 8MM 115MM 25MM,356.0,356.0,18.87,427.2,20
CDM,959256,SCREW BN 8MM 110MM 25MM,356.0,356.0,18.87,427.2,20
CDM,959257,SCREW BN 8MM 105MM 25MM,356.0,356.0,18.87,427.2,20
CDM,959258,SCREW BN 8X100X25MM,356.0,356.0,18.87,427.2,20
CDM,959259,SCREW BN 6.5MM 60MM 40MM,356.0,356.0,18.87,427.2,20
CDM,959260,SCREW BN 8.0MM 95MM,398.0,398.0,21.09,477.6,20
CDM,959261,SCREW BN 8MM 90M,398.0,398.0,21.09,477.6,20
CDM,959262,SCREW BN 8.0MM 85MM,398.0,398.0,21.09,477.6,20
CDM,959263,SCREW BN 8.0MM 60MM,398.0,398.0,21.09,477.6,20
CDM,959264,SCREW BN 8.0MM 55MM,398.0,398.0,21.09,477.6,20
CDM,959265,SCREW BN 8.0MM 50MM,398.0,398.0,21.09,477.6,20
CDM,959266,SCREW BN 8.0MM 45MM,398.0,398.0,21.09,477.6,20
CDM,959267,SCREW BN 8.0MM 40MM,398.0,398.0,21.09,477.6,20
CDM,959268,SCREW BN CANN 4X50MM,284.0,284.0,15.05,340.8,20
CDM,959283,INSERT SHLDR SZ 3/4 39MM,3960.0,3960.0,209.88,4752.0,20
CDM,959284,STEM HUM SHLD SZ16,16560.0,16560.0,877.68,19872.0,20
CDM,959285,STEM HUM SHLD LARGE,22080.0,22080.0,1170.24,26496.0,20
CDM,959286,SPACER HUM SHLDR 20MM,9200.0,9200.0,487.6,11040.0,20
CDM,9701,PENICILLI G NA 5MMU VL,1253.0,1253.0,66.41,1503.6,48
CDM,9746,CEFTRIAXONE 500MG INJ,119.0,119.0,6.31,142.8,30
CDM,9757,FLUMAZENIL 0.1 MG INJ,1476.0,1476.0,78.23,1771.2,30
CDM,9785,ETHACRYNATE 50MG INJ,59019.0,59019.0,3128.01,70822.8,30
CDM,9803,TIMOLOL OPHTHAL,458.0,458.0,24.27,549.6,30
CDM,9805,TIMOLOL OPHTHAL,507.0,507.0,26.87,608.4,30
CDM,981435,COIL EMBL STD 60CM16MM,4680.0,4680.0,248.04,5616.0,20
CDM,9835,INDOMETHACIN 1MG INJ,5796.0,5796.0,307.19,6955.2,30
CDM,9836,ENALAPRI 1.25 MG/1ML VL,367.0,367.0,19.45,440.4,48
CDM,9837,ENALAPRI 2.5MG/2ML VL,154.0,154.0,8.16,184.8,48
CDM,9921,PROMETHAZINE 25 MG SUPP,92.0,92.0,4.88,110.4,48
CDM,9965,NICARDIPIN 25MG/10ML AMP,3532.0,3532.0,187.2,4238.4,48
CDM,9969,BACITRACIN 50MU VL,2647.0,2647.0,140.29,3176.4,48
CPT,0001U,"Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported ",,,712.8,2196.0,47
CPT,0001U,"Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported Trauma",,,1728.0,1728.0,6
CPT,0002M,"Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algo",,,498.37,1535.37,41
CPT,0002U,"Oncology (colorectal), quantitative assessment of three urine metabolites (ascorbic acid, succinic acid and carnitine) by liquid chromatography with tandem mass spectrometry (LCMS/MS) using multiple r",,,24.75,76.25,52
CPT,0003M,"Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algo",,,498.37,1535.37,41
CPT,0003U,"Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1, CA 125 II, follicle stimulating hormone, human epididymis protein 4, transferrin), utilizing serum, algorithm reported as a ",,,940.5,2897.5,52
CPT,0004M,"Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a risk score ",,,78.21,240.95,35
CPT,0004M,"Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a risk score Trauma",,,189.6,189.6,6
CPT,0005U,"Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score ",,,752.4,2318.0,46
CPT,0005U,"Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score Trauma",,,1824.0,1824.0,6
CPT,0006M,"Oncology (hepatic), mRNA expression levels of 161 genes, utilizing fresh hepatocellular carcinoma tumor tissue, with alpha-fetoprotein level, algorithm reported as a risk classifier ",,,148.5,457.5,35
CPT,0006M,"Oncology (hepatic), mRNA expression levels of 161 genes, utilizing fresh hepatocellular carcinoma tumor tissue, with alpha-fetoprotein level, algorithm reported as a risk classifier Trauma",,,360.0,360.0,6
CPT,0007M,"Oncology (gastrointestinal neuroendocrine tumors), real-time PCR expression analysis of 51 genes, utilizing whole peripheral blood, algorithm reported as a nomogram of tumor disease index ",,,371.25,1143.75,35
CPT,0007M,"Oncology (gastrointestinal neuroendocrine tumors), real-time PCR expression analysis of 51 genes, utilizing whole peripheral blood, algorithm reported as a nomogram of tumor disease index Trauma",,,900.0,900.0,6
CPT,0007U,"Drug test(s), presumptive, with definitive confirmation of positive results, any number of drug classes, urine, includes specimen verification including DNA authentication in comparison to buccal DNA,",,,113.29,349.01,52
CPT,0008U,"Helicobacter pylori detection and antibiotic resistance, DNA, 16S and 23S rRNA, gyrA, pbp1, rdxA and rpoB, next generation sequencing, formalin-fixed paraffin embedded or fresh tissue, predictive, rep",,,591.93,1823.63,52
CPT,0009U,"Oncology (breast cancer), ERBB2 (HER2) copy number by FISH, tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting, reported as ERBB2 gene ",,,105.93,326.35,52
CPT,0010U,"Infectious disease (bacterial), strain typing by whole genome sequencing, phylogenetic-based report of strain relatedness, per submitted isolate ",,,422.99,1303.14,46
CPT,0010U,"Infectious disease (bacterial), strain typing by whole genome sequencing, phylogenetic-based report of strain relatedness, per submitted isolate Trauma",,,1025.42,1025.42,6
CPT,0011M,"Oncology, prostate cancer, mRNA expression assay of 12 genes (10 content and 2 housekeeping), RT-PCR test utilizing blood plasma and urine, algorithms to predict high-grade prostate cancer risk ",,,752.4,2318.0,46
CPT,0011M,"Oncology, prostate cancer, mRNA expression assay of 12 genes (10 content and 2 housekeeping), RT-PCR test utilizing blood plasma and urine, algorithms to predict high-grade prostate cancer risk Trauma",,,1824.0,1824.0,6
CPT,0011U,"Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, using oral fluid, reported as a comparison to an estimated steady-state range, per date of service including all drug compounds a",,,113.29,349.01,53
CPT,0012M,"Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 ºCDK1», IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score fo",,,752.4,2318.0,52
CPT,0013M,"Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 ºCDK1», IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score fo",,,752.4,2318.0,52
CPT,0015M,"Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing 24-hour urine specimen and clinical parameters, prognostic algorithm reported as a clinical risk and integrated clinical ster",,,1292.32,3981.38,52
CPT,0016M,"Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, b",,,3454.73,10643.37,52
CPT,0016U,"Oncology (hematolymphoid neoplasia), RNA, BCR/ABL1 major and minor breakpoint fusion transcripts, quantitative PCR amplification, blood or bone marrow, report of fusion not detected or detected with q",,,162.32,500.08,52
CPT,0017M,"Oncology (diffuse large B-cell lymphoma ºDLBCL»), mRNA, gene expression profiling by fluorescent probe hybridization of 20 genes, formalin-fixed paraffin-embedded tissue, algorithm reported as cell of",,,2485.11,7656.14,53
CPT,0017U,"Oncology (hematolymphoid neoplasia), JAK2 mutation, DNA, PCR amplification of exons 12-14 and sequence analysis, blood or bone marrow, report of JAK2 mutation not detected or detected ",,,90.74,279.56,46
CPT,0017U,"Oncology (hematolymphoid neoplasia), JAK2 mutation, DNA, PCR amplification of exons 12-14 and sequence analysis, blood or bone marrow, report of JAK2 mutation not detected or detected Trauma",,,219.98,219.98,6
CPT,0018M,"Transplantation medicine (allograft rejection, renal), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection ",,,634.32,1954.23,52
CPT,0018U,"Oncology (thyroid), microRNA profiling by RT-PCR of 10 miRNA sequences, utilizing fine needle aspirate, algorithm reported as a positive or negative result for moderate to high risk of malignancy ",,,2972.07,9156.37,46
CPT,0018U,"Oncology (thyroid), microRNA profiling by RT-PCR of 10 miRNA sequences, utilizing fine needle aspirate, algorithm reported as a positive or negative result for moderate to high risk of malignancy Trau",,,7205.02,7205.02,6
CPT,0019M,"Cardiovascular disease, plasma, analysis of protein biomarkers by aptamer-based microarray and algorithm reported as 4-year likelihood of coronary event in high-risk populations ",,,705.28,2172.82,46
CPT,0019M,"Cardiovascular disease, plasma, analysis of protein biomarkers by aptamer-based microarray and algorithm reported as 4-year likelihood of coronary event in high-risk populations Trauma",,,1709.76,1709.76,6
CPT,0019T,EXTRACORP SHOCK WV TX MS NOS ,,,1423.0,3251.0,28
CPT,0019U,"Oncology, RNA, gene expression by whole transcriptome sequencing, formalin-fixed paraffin embedded tissue or fresh frozen tissue, predictive algorithm reported as potential targets for therapeutic age",,,3638.25,11208.75,52
CPT,0020M,"Oncology (central nervous system), analysis of 30,000 DNA methylation loci by methylation array, utilizing DNA extracted from tumor tissue, diagnostic algorithm reported as probability of matching a r",,,2475.0,7625.0,52
CPT,0021U,"Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm ",,,752.4,2318.0,52
CPT,0022U,"Targeted genomic sequence analysis panel, cholangiocarcinoma and non-small cell lung neoplasia, DNA and RNA analysis, 1-23 genes, interrogation for sequence variants and rearrangements, reported as pr",,,1930.5,5947.5,53
CPT,0023U,"Oncology (acute myelogenous leukemia), DNA, genotyping of internal tandem duplication, p.D835, p.I836, using mononuclear cells, reported as detection or nondetection of FLT3 mutation and indication fo",,,246.02,757.96,53
CPT,0024U,"Glycosylated acute phase proteins (GlycA), nuclear magnetic resonance spectroscopy, quantitative ",,,33.85,104.28,46
CPT,0024U,"Glycosylated acute phase proteins (GlycA), nuclear magnetic resonance spectroscopy, quantitative Trauma",,,82.06,82.06,6
CPT,0025U,"Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative ",,,85.77,349.01,46
CPT,0025U,"Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative Trauma",,,274.63,274.63,6
CPT,0026U,"Oncology (thyroid), DNA and mRNA of 112 genes, next-generation sequencing, fine needle aspirate of thyroid nodule, algorithmic analysis reported as a categorical result (""Positive, high probability of",,,3564.0,10980.0,52
CPT,0027U,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15 ",,,120.69,371.83,46
CPT,0027U,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15 Trauma",,,292.58,292.58,6
CPT,0029U,"Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis (ie, CYP1A2, CYP2C19, CYP2C9, CYP2D6, CYP3A4, CYP3A5, CYP4F2, SLCO1B1, VKORC1 and rs12777823) ",,,742.27,1046.6,12
CPT,0030U,"Drug metabolism (warfarin drug response), targeted sequence analysis (ie, CYP2C9, CYP4F2, VKORC1, rs12777823) ",,,132.79,409.1,46
CPT,0030U,"Drug metabolism (warfarin drug response), targeted sequence analysis (ie, CYP2C9, CYP4F2, VKORC1, rs12777823) Trauma",,,321.91,321.91,6
CPT,0031U,"CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F, *1K, *6, *7) ",,,174.81,246.48,12
CPT,0032U,"COMT (catechol-O-methyltransferase) (eg, drug metabolism) gene analysis, c.472G>A (rs4680) variant ",,,173.06,533.17,46
CPT,0032U,"COMT (catechol-O-methyltransferase) (eg, drug metabolism) gene analysis, c.472G>A (rs4680) variant Trauma",,,419.54,419.54,6
CPT,0034U,"TPMT (thiopurine S-methyltransferase), NUDT15 (nudix hydroxylase 15) (eg, thiopurine metabolism), gene analysis, common variants (ie, TPMT *2, *3A, *3B, *3C, *4, *5, *6, *8, *12; NUDT15 *3, *4, *5) ",,,461.51,1421.82,46
CPT,0034U,"TPMT (thiopurine S-methyltransferase), NUDT15 (nudix hydroxylase 15) (eg, thiopurine metabolism), gene analysis, common variants (ie, TPMT *2, *3A, *3B, *3C, *4, *5, *6, *8, *12; NUDT15 *3, *4, *5) Tr",,,1118.81,1118.81,6
CPT,0035U,"Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative ",,,535.58,1650.02,46
CPT,0035U,"Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative Trauma",,,1298.38,1298.38,6
CPT,0036U,"Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence analyses ",,,4732.2,14579.0,46
CPT,0036U,"Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence analyses Trauma",,,11472.0,11472.0,6
CPT,0037U,"Targeted genomic sequence analysis, solid organ neoplasm, DNA analysis of 324 genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instabiit",,,3465.0,10675.0,53
CPT,0038U,"Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative ",,,29.3,90.28,47
CPT,0038U,"Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative Trauma",,,71.04,71.04,6
CPT,0039U,"Deoxyribonucleic acid (DNA) antibody, double stranded, high avidity ",,,13.6,41.91,46
CPT,0039U,"Deoxyribonucleic acid (DNA) antibody, double stranded, high avidity Trauma",,,32.98,32.98,6
CPT,0040U,"BCR/ABL1 (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative ",,,405.8,1250.19,47
CPT,0040U,"BCR/ABL1 (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative Trauma",,,983.76,983.76,6
CPT,0041U,"Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM ",,,17.04,52.49,46
CPT,0041U,"Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM Trauma",,,41.3,41.3,6
CPT,0042T,CT CEREBRAL PERF ANAL,16182.0,16182.0,857.65,19418.4,32
CPT,0042T,"Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and m",16182.0,16182.0,809.0,1539.0,5
CPT,0042U,"Borrelia burgdoferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG ",,,17.04,52.49,46
CPT,0042U,"Borrelia burgdoferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG Trauma",,,41.3,41.3,6
CPT,0043U,"Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM ",,,14.71,45.32,46
CPT,0043U,"Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM Trauma",,,35.66,35.66,6
CPT,0044U,"Tick-borne replapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG ",,,14.71,45.32,46
CPT,0044U,"Tick-borne replapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG Trauma",,,35.66,35.66,6
CPT,0045U,"Oncology (breast ductal carcinoma in situ), mRNA, gene expression progiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm",,,3834.27,11812.65,52
CPT,0046U,"FLT3 (fms-related tyrosine kinase 3) (eg, acute lyeloid leukemia) internal tandem duplication (ITD) variants, quantitative ",,,403.36,1242.66,46
CPT,0046U,"FLT3 (fms-related tyrosine kinase 3) (eg, acute lyeloid leukemia) internal tandem duplication (ITD) variants, quantitative Trauma",,,977.83,977.83,6
CPT,0047U,"Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm report as a risk scor",,,3834.27,11812.65,52
CPT,0048U,"Oncology (solid organ neoplasia), DNA, targeted sequencing of protein-coding exons of 468 cancer-associated genes, including interrogation for somatic mutations and microsatellite instability, matched",,,2890.4,8904.78,53
CPT,0049U,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative ",,,403.36,1242.66,46
CPT,0049U,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Trauma",,,977.83,977.83,6
CPT,0050U,"Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for sequence variants, copy number variants or rearrangements ",,,2887.43,8895.63,46
CPT,0050U,"Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for sequence variants, copy number variants or rearrangements Trauma",,,6999.84,6999.84,6
CPT,0051U,"Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, urine, 31 drug panel, reported as quantitative results, detected or not-detected, per date of service ",,,193.71,753.11,46
CPT,0051U,"Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, urine, 31 drug panel, reported as quantitative results, detected or not-detected, per date of service Trauma",,,592.61,592.61,6
CPT,0052U,"Lipoprotein, blood, high resolution fractionation and quantitation of lipoproteins, including all five major lipoprotein classes and subclasses of HDL, LDL, and VLDL by vertical auto profile ultracent",,,33.52,103.27,52
CPT,0054T,"Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure) ",,,1423.0,3251.0,36
CPT,0054U,"Prescription drug monitoring, 14 or more classes of drugs and substances, definitive tandem mass spectrometry with chromatography, capillary blood, quantitative report with therapeutic and toxic range",,,148.96,606.16,52
CPT,0055T,"Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure) ",,,1423.0,3251.0,36
CPT,0055U,"Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma ",,,3207.6,9882.0,46
CPT,0055U,"Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma Trauma",,,7776.0,7776.0,6
CPT,0058U,"Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative ",,,319.73,985.03,46
CPT,0058U,"Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative Trauma",,,775.1,775.1,6
CPT,0059U,"Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1), serum, reported as positive or negative ",,,319.73,985.03,46
CPT,0059U,"Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1), serum, reported as positive or negative Trauma",,,775.1,775.1,6
CPT,0060U,"Twin zygosity, genomic targeted sequence analysis of cromosome 2, using circulating cell-free fetal DNA in maternal blood ",,,751.46,2315.1,46
CPT,0060U,"Twin zygosity, genomic targeted sequence analysis of cromosome 2, using circulating cell-free fetal DNA in maternal blood Trauma",,,1821.72,1821.72,6
CPT,0061U,"Transcutaneous measurement of five biomarkers, using spatial frequency domain imaging (SFDI) and multi-spectral analysis ",,,24.85,76.56,46
CPT,0061U,"Transcutaneous measurement of five biomarkers, using spatial frequency domain imaging (SFDI) and multi-spectral analysis Trauma",,,60.24,60.24,6
CPT,0062U,"Autoimmune (systemic lupus erythematosus), IgG and IgM analysis of 80 biomarkers, utilizing serum, algorithm reported with a risk score ",,,376.91,1161.2,46
CPT,0062U,"Autoimmune (systemic lupus erythematosus), IgG and IgM analysis of 80 biomarkers, utilizing serum, algorithm reported with a risk score Trauma",,,913.73,913.73,6
CPT,0063U,"Neurology (autism), 32 amines by LC-MS/MS, using plasma, algorithm reported as metabolic signature associated with autism spectrum disorder ",,,742.5,2287.5,46
CPT,0063U,"Neurology (autism), 32 amines by LC-MS/MS, using plasma, algorithm reported as metabolic signature associated with autism spectrum disorder Trauma",,,1800.0,1800.0,6
CPT,0064U,"Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative ",,,31.02,95.56,47
CPT,0064U,"Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Trauma",,,75.19,75.19,6
CPT,0065U,"Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) ",,,17.91,55.17,47
CPT,0065U,"Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) Trauma",,,43.42,43.42,6
CPT,0066U,"Placental alpha-micro globulin-1 (PAMG-1), immunoassay with direct optical observation, cervico-vaginal fluid, each specimen ",,,,,0
CPT,0067U,"Oncology (breast), immunohistochemistry, protein expression profiling of 4 biomarkers (matrix metalloproteinase-1 [MMP-1], carcinoembryonic antigen-related cell adhesion molecule 6 [CEACAM6], hyaluron",,,1878.03,5785.85,52
CPT,0068U,"Candida species panel (C. albicans, C. glabrata, C. parapsilosis, C. kruseii, C. tropicalis, and C. auris), amplified probe technique with qualitative report of the presence or absence of each species",,,141.2,435.02,53
CPT,0069U,"Oncology (colorectal), microRNA, RT-PCR expression profiling of miR-31-3p, formalin-fixed paraffin-embedded tissue, algorithm reported as an expression score ",,,376.2,1159.0,46
CPT,0069U,"Oncology (colorectal), microRNA, RT-PCR expression profiling of miR-31-3p, formalin-fixed paraffin-embedded tissue, algorithm reported as an expression score Trauma",,,912.0,912.0,6
CPT,0070U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, common and select rare variants (ie, *2, *3, *4, *4N, *5, *6, *7, *8, *9, *10, *11, *12, *13, *14A, ",,,669.61,2062.93,52
CPT,0071T,"Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of tissue ",,,5360.0,8727.0,36
CPT,0071U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, full gene sequence (List separately in addition to code for primary procedure) ",,,594.0,1830.0,46
CPT,0071U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, full gene sequence (List separately in addition to code for primary procedure) Trauma",,,1440.0,1440.0,6
CPT,0072T,"Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue ",,,5360.0,8727.0,36
CPT,0072U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, CYP2D6-2D7 hybrid gene) (List separately in addition to code for pri",,,446.4,1375.28,52
CPT,0073U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, CYP2D7-2D6 hybrid gene) (List separately in addition to code for pri",,,446.4,1375.28,52
CPT,0074U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, nonduplicated gene when duplication/multiplication is trans) (List s",,,446.4,1375.28,52
CPT,0075T,"Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel ",,,8577.0,8577.0,8
CPT,0075U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, 5? gene duplication/multiplication) (List separately in addition to ",,,446.4,1375.28,52
CPT,0076T,"Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; each additional vessel (List separately in addition to cod",,,8577.0,8577.0,8
CPT,0076U,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism) gene analysis, targeted sequence analysis (ie, 3? gene duplication/multiplication) (List separately in addition to ",,,446.4,1375.28,52
CPT,0077U,"Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype ",,,43.0,132.46,47
CPT,0077U,"Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype Trauma",,,104.23,104.23,6
CPT,0078U,"Pain management (opioid-use disorder) genotyping panel, 16 common variants (ie, ABCB1, COMT, DAT1, DBH, DOR, DRD1, DRD2, DRD4, GABA, GAL, HTR2A, HTTLPR, MTHFR, MUOR, OPRK1, OPRM1), buccal swab or othe",,,,,0
CPT,0079U,"Comparative Deoxyribonucleic Acid (DNA) analysis using multiple selected Single-Nucleotide Polymorphisms (SNPs), urine and buccal DNA, for specimen identity verification ",,,,,0
CPT,0080U,"Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1 protein M130, with five clinical risk factors (age, smoking status, nodule diamet",,,3484.8,10736.0,52
CPT,0082U,"Drug test(s), definitive, 90 or more drugs or substances, definitive chromatography with mass spectrometry, and presumptive, any number of drug classes, by instrument chemistry analyzer (utilizing imm",,,244.45,753.11,52
CPT,0083U,"Oncology, response to chemotherapy drugs using motility contrast tomography, fresh or frozen tissue, reported as likelihood of sensitivity or resistance to drugs or drug combinations ",,,165.68,510.42,46
CPT,0083U,"Oncology, response to chemotherapy drugs using motility contrast tomography, fresh or frozen tissue, reported as likelihood of sensitivity or resistance to drugs or drug combinations Trauma",,,401.64,401.64,6
CPT,0084U,"Red blood cell antigen typing, DNA, genotyping of 10 blood groups with phenotype pdediction of 37 red blood cell antigens ",,,712.8,2196.0,47
CPT,0084U,"Red blood cell antigen typing, DNA, genotyping of 10 blood groups with phenotype pdediction of 37 red blood cell antigens Trauma",,,1728.0,1728.0,6
CPT,0086U,"Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism targets, reported as positive or negative with phenotypic minimum inhibitory conc",,,198.0,610.0,53
CPT,0087U,"Cardiology (heart transplant), mRNA gene expression progiling by microarray of 1283 genes, transplant biopsy tissue, allograft rejection and injury algorithm reported as a probability score ",,,3127.83,9636.23,46
CPT,0087U,"Cardiology (heart transplant), mRNA gene expression progiling by microarray of 1283 genes, transplant biopsy tissue, allograft rejection and injury algorithm reported as a probability score Trauma",,,7582.61,7582.61,6
CPT,0088U,"Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing transplant biopsy tissue, algorithm reported as a probability score for rejection ",,,3127.83,9636.23,46
CPT,0088U,"Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing transplant biopsy tissue, algorithm reported as a probability score for rejection T",,,7582.61,7582.61,6
CPT,0089U,"Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive patch(es) ",,,752.4,2318.0,46
CPT,0089U,"Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive patch(es) Trauma",,,1824.0,1824.0,6
CPT,0090U,"Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a categori",,,1755.0,5947.5,52
CPT,0091U,"Oncology (colorectal) screening, cell enumeration of circulating tumor cells, utilizing whole blood, algorithm, for the presence of adenoma or cancer, reported as a positive or negative result ",,,,,0
CPT,0092U,"Oncology (lung), three protein biomarkers, immunoassay using Q4 magnetic nanosensor technology, plasma, algorithm reported as risk score for likelihood of malignancy ",,,2463.12,7588.4,46
CPT,0092U,"Oncology (lung), three protein biomarkers, immunoassay using Q4 magnetic nanosensor technology, plasma, algorithm reported as risk score for likelihood of malignancy Trauma",,,5971.2,5971.2,6
CPT,0093U,"Prescription drug monitoring, evaluation of 65 common drug by LCMS/MS, urine, each drug reported detected or not detected ",,,61.52,189.53,46
CPT,0093U,"Prescription drug monitoring, evaluation of 65 common drug by LCMS/MS, urine, each drug reported detected or not detected Trauma",,,149.14,149.14,6
CPT,0094U,"Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence analysis ",,,7506.38,23125.71,46
CPT,0094U,"Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence analysis Trauma",,,18197.28,18197.28,6
CPT,0095U,"Inflammation (eosinophilic esophagitis), ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major basic protein (PRG2 [proteoglycan 2, pro eosinophil major basic protein]), specim",,,764.26,2354.54,52
CPT,0096U,"Human papillomavirus (HPV), high-risk types (ie, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68), male urine ",,,34.74,107.02,46
CPT,0096U,"Human papillomavirus (HPV), high-risk types (ie, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68), male urine Trauma",,,84.22,84.22,6
CPT,0100T,"Placement of a subconjunctival retinal prosthesis receiver and pulse generator, and implantation of intraocular retinal electrode array, with vitrectomy ",,,10737.0,83613.0,36
CPT,0101T,"Extracorporeal shock wave involving musculoskeletal system, not otherwise specified ",,,7583.0,10719.0,36
CPT,0101U,"Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel utilizing a combination A of NGS, San",,,1169.97,5319.05,52
CPT,0102T,"Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral humeral epicondyle ",,,7360.0,16454.0,39
CPT,0102U,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of NGS, San",,,1117.97,3977.05,52
CPT,0103U,"Hereditary ovarian cancer (eg, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA, and array CGH, with MRNA analyti",,,1117.97,5319.05,52
CPT,0105U,"Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor receptor 1A, receptor superfamily 2 (TNFR1, TNFR2), and kidney injury molecule-1 (KI",,,940.5,2897.5,52
CPT,0106U,"Gastric emptying, serial collection of 7 timed breath specimens, non-radioisotope carbon-13 (13C) spirulina substrate, analysis of each specimen by gas isotope ratio mass spectrometry, reported as rat",,,865.75,2667.19,53
CPT,0107U,"Clostridium difficile toxin(s) antigen detection by immunoassay technique, stool, qualitative, multiple-step method ",,,15.84,48.8,46
CPT,0107U,"Clostridium difficile toxin(s) antigen detection by immunoassay technique, stool, qualitative, multiple-step method Trauma",,,38.4,38.4,6
CPT,0108U,"Gastroenterology (Barrett's esophagus), whole slide-digital imaging, including morphometric analysis, computer-assisted quantitative immunolabeling of 9 protein biomarkers (p16, AMACR, p53, CD68, COX-",,,2513.25,15097.5,52
CPT,0109U,"Infectious disease (Aspergillus species), real-time PCR for detection of DNA from 4 species (A. fumigatus, A. terreus, A. niger, and A. flavus), blood, lavage fluid, or tissue, qualitative reporting o",,,141.2,435.02,52
CPT,0110U,"Prescription drug monitoring, one or more oral oncology drug(s) and substances, definitive tandem mass spectrometry  with chromatography, serum or plasma from capillary blood or venous blood, quantita",,,26.84,82.69,52
CPT,0111U,"Oncology (colon cancer), targeted KRAS (codons 12, 13, and 61) and NRAS (codons 12, 13, and 61) gene analysis, utilizing formalin-fixed paraffin-embedded tissue ",,,675.47,2080.98,47
CPT,0111U,"Oncology (colon cancer), targeted KRAS (codons 12, 13, and 61) and NRAS (codons 12, 13, and 61) gene analysis, utilizing formalin-fixed paraffin-embedded tissue Trauma",,,1637.5,1637.5,6
CPT,0112U,"Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance gene ",,,352.57,1086.2,46
CPT,0112U,"Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance gene Trauma",,,854.71,854.71,6
CPT,0113U,"Oncology (prostate), measurement of PCA3 and TMPRSS2-ERG in urine and PSA in serum following prostatic massage, by RNA amplification and fluorescence-based detection, algorithm reported as risk score ",,,752.4,2318.0,52
CPT,0114U,"Gastroenterology (Barrett's esophagus), VIM and CCNA1 methylation analysis, esophageal cells, algorithm reported as likelihood for Barrett's esophagus ",,,1918.63,5910.93,46
CPT,0114U,"Gastroenterology (Barrett's esophagus), VIM and CCNA1 methylation analysis, esophageal cells, algorithm reported as likelihood for Barrett's esophagus Trauma",,,4651.22,4651.22,6
CPT,0115U,"Respiratory infectious agent detection by nucleic acid (DNA and RNA), 18 viral types and subtypes and 2 bacterial targets, amplified probe technique, including multiplex reverse transcription for RNA ",,,272.6,839.82,52
CPT,0116U,"Prescription drug monitoring, enzyme immunoassay of 35 or more drugs confirmed with LC-MS/MS, oral fluid, algorithm results reported as a patient-compliance measurement with risk of drug to drug inter",,,244.45,753.11,52
CPT,0117U,"Pain management, analysis of 11 endogenous analytes (methymalonic acid, xanthurenic acid, homocysteine, proglutamic acid, vanilmandelate, 5-hydroxyindoleacetic acidm, hydroxymethyglutarate, ethylmalon",,,832.24,2563.98,52
CPT,0118U,"Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donoe-derived cell-free DNA in the total cell-f",,,2725.72,8397.41,52
CPT,0119U,"Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score for major cardiovascular events ",,,82.92,255.47,46
CPT,0119U,"Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score for major cardiovascular events Trauma",,,201.02,201.02,6
CPT,0120U,"Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58 genes (45 content and 13 housekeeping genes), formalin-fixed paraffin-embedded tissu",,,2485.11,7656.14,52
CPT,0121U,"Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood ",,,504.11,1553.06,46
CPT,0121U,"Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood Trauma",,,1222.08,1222.08,6
CPT,0122U,"Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood ",,,520.97,1605.0,46
CPT,0122U,"Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood Trauma",,,1262.95,1262.95,6
CPT,0123U,"Mechanical fragility, RBC, shear stress and spectral analysis profiling ",,,354.05,1090.77,46
CPT,0123U,"Mechanical fragility, RBC, shear stress and spectral analysis profiling Trauma",,,858.31,858.31,6
CPT,0129U,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis and eletion/duplication analysis panel (A",,,1117.97,3977.05,52
CPT,0130U,"Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), targeted mRNA sequence analysis panel (APC, CDH1, CHEK2, MLH1, MSH2, ",,,579.05,1783.94,52
CPT,0133U,"Hereditary prostate cancer-related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in addition to code for primary procedure) ",,,683.39,2105.38,46
CPT,0133U,"Hereditary prostate cancer-related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in addition to code for primary procedure) Trauma",,,1656.7,1656.7,6
CPT,0134U,"Hereditary pan cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal cancer), targeted mRNA sequence analysis panel (18 genes) (List separately in addi",,,740.91,2282.59,52
CPT,0136U,"ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to code for primary procedure) ",,,403.36,1242.66,46
CPT,0136U,"ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to code for primary procedure) Trauma",,,977.83,977.83,6
CPT,0137U,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) mRNA sequence analysis (List separately in additional to code for primary procedure) ",,,280.05,862.78,46
CPT,0137U,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) mRNA sequence analysis (List separately in additional to code for primary procedure) Trauma",,,678.91,678.91,6
CPT,0138U,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) mRNA sequence analysis (List separately in addition to code for primary procedure)",,,463.65,1428.41,52
CPT,0140U,"Infectious disease (fungi), fungal pathogen identification, DNA (15 fungal targets), blood culture, amplified probe technique, each target reported as detected or not detected ",,,155.18,478.09,47
CPT,0140U,"Infectious disease (fungi), fungal pathogen identification, DNA (15 fungal targets), blood culture, amplified probe technique, each target reported as detected or not detected Trauma",,,376.2,376.2,6
CPT,0141U,"Infectious disease (bacteria and fungi), gram-positive organism identification and drug resistance element detection, DNA (20 gram-positive bacterial targets, 4 resistance genes, 1 pan gram-negative b",,,155.18,478.09,53
CPT,0142U,"Infectious disease (bacteria and fungi), gram-negative bacterial identification and drug resistance element detection, DNA (21 gram-negative bacterial targets, 6 resistance genes, 1 pan gram-positive ",,,155.18,478.09,53
CPT,0152U,"Infectious disease (bacteria, fungi, parasites, and DNA viruses), DNA, PCR and next-generation sequencing, plasma, detection of >1,000 potential microbial organisms for significant positive pathogens ",,,2104.94,6484.91,52
CPT,0153U,"Oncology (breast), mRNA, gene expression profiling by next-generation sequencing of 101 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a triple negative breast cancer ",,,3127.83,9636.23,52
CPT,0154U,FGFR3 (fibroblast growth factor receptor 3) gene analysis ,,,477.32,1470.53,47
CPT,0154U,FGFR3 (fibroblast growth factor receptor 3) gene analysis Trauma,,,1157.14,1157.14,6
CPT,0155U,"PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha) (eg, breast cancer) gene analysis ",,,272.08,838.23,47
CPT,0155U,"PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha) (eg, breast cancer) gene analysis Trauma",,,659.59,659.59,6
CPT,0156U,"Copy number (eg, intellectual disability, dysmorphology), sequence analysis ",,,1722.6,5307.0,46
CPT,0156U,"Copy number (eg, intellectual disability, dysmorphology), sequence analysis Trauma",,,4176.0,4176.0,6
CPT,0157U,"APC (APC regulator of WNT signaling pathway) (eg, familial adenomatosis polyposis [FAP]) mRNA sequence analysis ",,,280.05,862.78,46
CPT,0157U,"APC (APC regulator of WNT signaling pathway) (eg, familial adenomatosis polyposis [FAP]) mRNA sequence analysis Trauma",,,678.91,678.91,6
CPT,0158U,"MLH1 (mutL homolog 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) ",,,280.05,862.78,46
CPT,0158U,"MLH1 (mutL homolog 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) Trauma",,,678.91,678.91,6
CPT,0159U,"MSH2 (mutS homolog 2) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) ",,,280.05,862.78,46
CPT,0159U,"MSH2 (mutS homolog 2) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) Trauma",,,678.91,678.91,6
CPT,0160U,"MSH6 (mutS homolog 6) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) ",,,280.05,862.78,46
CPT,0160U,"MSH6 (mutS homolog 6) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) Trauma",,,678.91,678.91,6
CPT,0161U,"PMS2 (PMS1 homolog 2, mismatch repair system component) (eg, hereditary nonpolyposis colorectal cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedur",,,280.05,862.78,52
CPT,0162U,"Hereditary colon cancer (Lynch syndrome), targeted mRNA sequence analysis panel (MLH1, MSH2, MSH6, PMS2) (List separately in addition to code for primary procedure) ",,,481.67,1483.95,46
CPT,0162U,"Hereditary colon cancer (Lynch syndrome), targeted mRNA sequence analysis panel (MLH1, MSH2, MSH6, PMS2) (List separately in addition to code for primary procedure) Trauma",,,1167.7,1167.7,6
CPT,0163U,"Oncology (colorectal) screening, biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins(teratocarcinoma derived growth factor-1 [TDGF-1, Cropto-1], carcinoembryonic antige",,,386.84,1191.79,52
CPT,0164T,"Removal of total disc arthroplasty, (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure) ",,,2143.0,2143.0,8
CPT,0164U,"Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results ",,,110.9,341.66,46
CPT,0164U,"Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results Trauma",,,268.85,268.85,6
CPT,0165T,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure) ",,,2143.0,2143.0,8
CPT,0165U,"Peanut allergen-specific IgE and quantitative assessment of 64 epitopes using enzyme-linked immunosorbent assay (ELISA), blood, individual epitope results and interpretation ",,,459.12,1414.47,46
CPT,0165U,"Peanut allergen-specific IgE and quantitative assessment of 64 epitopes using enzyme-linked immunosorbent assay (ELISA), blood, individual epitope results and interpretation Trauma",,,1113.02,1113.02,6
CPT,0166U,"Liver disease, 10 biochemical assays (a2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin, GGT, ALT, AST, triglycerides, cholesterol, fasting glucose) and biometric and demographic data, utili",,,498.37,1535.37,52
CPT,0167U,"Gonadotropin, chorionic (hCG), immunoassay with direct optical observation, blood ",,,,,0
CPT,0169U,"NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants ",,,461.51,1421.82,46
CPT,0169U,"NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants Trauma",,,1118.81,1118.81,6
CPT,0170U,"Neurology (autism spectrum disorder [ASD]), RNA, next-generation sequencing, saliva, algorithmic analysis, and results reported as predictive probability of ASD diagnosis ",,,1755.0,5947.5,46
CPT,0170U,"Neurology (autism spectrum disorder [ASD]), RNA, next-generation sequencing, saliva, algorithmic analysis, and results reported as predictive probability of ASD diagnosis Trauma",,,4680.0,4680.0,6
CPT,0171T,LUMBAR SPINE PROCES DISTRACT ,,,10737.0,13315.0,28
CPT,0171U,"Targeted genomic sequence analysis panel, acute myeloid leukemia, myelodysplastic syndrome, and myeloproliferative neoplasms, DNA analysis, 23 genes, interrogation for sequence variants, rearrangement",,,1503.87,4633.13,52
CPT,0172T,LUMBAR SPINE PROCESS ADDL ,,,1423.0,3251.0,28
CPT,0172U,"Oncology (solid tumor as indicated by the label), somatic mutation analyis of BRCA1, BRCA2 and analysis of homologous recombination deficiency pathways, DNA, formalin-fixed paraffin-embedded tissue, a",,,2999.7,9241.5,53
CPT,0173U,"Psychiatry (ie, depression, anxiety), genomic analysis panel, includes variant analysis of 14 genes ",,,461.51,1421.82,46
CPT,0173U,"Psychiatry (ie, depression, anxiety), genomic analysis panel, includes variant analysis of 14 genes Trauma",,,1118.81,1118.81,6
CPT,0174U,"Oncology (solid tumor), mass spectrometric 30 protein targets, formalin-fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or uncertain benefit of 39 che",,,1292.32,3981.38,52
CPT,0175U,"Psychiatry (eg, depression, anxiety), genomic analysis panel, variant analysis of 15 genes ",,,1322.73,4075.07,46
CPT,0175U,"Psychiatry (eg, depression, anxiety), genomic analysis panel, variant analysis of 15 genes Trauma",,,3206.62,3206.62,6
CPT,0176U,"Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie, ELISA) ",,,63.55,195.78,46
CPT,0176U,"Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie, ELISA) Trauma",,,154.06,154.06,6
CPT,0177U,"Oncology (breast cancer), DNA, PIK3CA gene analysis of 11 gene variants utilizing plasma, reported as PIK3CA gene mutation status ",,,272.08,838.23,47
CPT,0177U,"Oncology (breast cancer), DNA, PIK3CA gene analysis of 11 gene variants utilizing plasma, reported as PIK3CA gene mutation status Trauma",,,659.59,659.59,6
CPT,0178U,"Peanut allergen-specific quantitative assessment of multiple epitopes using enzyme-linked immunosorbent assay (ELISA), blood, report of minimum eliciting exposure for a clinical reaction ",,,455.26,1402.57,46
CPT,0178U,"Peanut allergen-specific quantitative assessment of multiple epitopes using enzyme-linked immunosorbent assay (ELISA), blood, report of minimum eliciting exposure for a clinical reaction Trauma",,,1103.66,1103.66,6
CPT,0179U,"Oncology (non-small cell lung cancer), cell-free DNA, targeted sesquence analysis of 23 gene (single nucleotide variations, insertions and deletions, fusions without prior knowledge of partner/breakpo",,,1923.78,5926.79,52
CPT,0180U,"Red cell antigen (ABO blood group) genotyping (ABO), gene analysis Sanger/chain termination/conventional sequencing, ABO gene, including subtyping, 7 exons ",,,272.08,838.23,46
CPT,0180U,"Red cell antigen (ABO blood group) genotyping (ABO), gene analysis Sanger/chain termination/conventional sequencing, ABO gene, including subtyping, 7 exons Trauma",,,659.59,659.59,6
CPT,0181U,"Red cell antigen (colton blood group) genotyping (CO), gene analysis, AQP1 (aquaporin 1) exon 1 ",,,183.35,564.86,46
CPT,0181U,"Red cell antigen (colton blood group) genotyping (CO), gene analysis, AQP1 (aquaporin 1) exon 1 Trauma",,,444.48,444.48,6
CPT,0182U,"Red cell antigen (cromlton blood group) genotyping (CROM), gene analysis, CD55 (CD55 molecule) exons 1-10 ",,,298.34,919.12,46
CPT,0182U,"Red cell antigen (cromlton blood group) genotyping (CROM), gene analysis, CD55 (CD55 molecule) exons 1-10 Trauma",,,723.24,723.24,6
CPT,0183U,"Red cell antigen (Diego blood group) genotyping (DI), gene analysis, SLC4A1 (solute carrier family 4 member 1) exon 19 ",,,183.35,564.86,46
CPT,0183U,"Red cell antigen (Diego blood group) genotyping (DI), gene analysis, SLC4A1 (solute carrier family 4 member 1) exon 19 Trauma",,,444.48,444.48,6
CPT,0184T,"Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie, full thickness) ",,,7583.0,10719.0,36
CPT,0184U,"Red cell antigen (Dombrock blood group) genotyping (DO), gene analysis ART4 (ADP-ribosyltransferase 4) exon 2 ",,,183.35,564.86,46
CPT,0184U,"Red cell antigen (Dombrock blood group) genotyping (DO), gene analysis ART4 (ADP-ribosyltransferase 4) exon 2 Trauma",,,444.48,444.48,6
CPT,0185U,"Red cell antigen (H blood group) genotyping (FUT1), gene analysis, FUT1 (fucosyltransferase) exon 4 ",,,183.35,564.86,46
CPT,0185U,"Red cell antigen (H blood group) genotyping (FUT1), gene analysis, FUT1 (fucosyltransferase) exon 4 Trauma",,,444.48,444.48,6
CPT,0186U,"Red cell antigen (H blood group) genotyping (FUT2), gene analysis, FUT2 (fycosyltransferase 2) exon 2 ",,,183.35,564.86,46
CPT,0186U,"Red cell antigen (H blood group) genotyping (FUT2), gene analysis, FUT2 (fycosyltransferase 2) exon 2 Trauma",,,444.48,444.48,6
CPT,0187U,"Red cell antigen (Duffy blood group) genotyping (FY), gene analysis, ACKR1 (atypical chemokine receptor 1) exons 1-2 ",,,272.08,838.23,46
CPT,0187U,"Red cell antigen (Duffy blood group) genotyping (FY), gene analysis, ACKR1 (atypical chemokine receptor 1) exons 1-2 Trauma",,,659.59,659.59,6
CPT,0188U,"Red cell antigen (Gerbich blood group) genotyping (GE), gene analysis, GYPC (glycophorin C) exons 1-4 ",,,272.08,838.23,46
CPT,0188U,"Red cell antigen (Gerbich blood group) genotyping (GE), gene analysis, GYPC (glycophorin C) exons 1-4 Trauma",,,659.59,659.59,6
CPT,0189U,"Red cell antigen (MNS blood group) genotyping (GYPA), gene analysis, GYPA (flycophorin A) introns 1, 5, exon 2 ",,,272.08,838.23,46
CPT,0189U,"Red cell antigen (MNS blood group) genotyping (GYPA), gene analysis, GYPA (flycophorin A) introns 1, 5, exon 2 Trauma",,,659.59,659.59,6
CPT,0190T,PLACEMENT OF INTRAOCULAR RADIATION SOURCE APPLICATOR (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE) ,,,1423.0,3251.0,28
CPT,0190U,"Red cell antigen (MNS blood group) genotyping (GYPB), gene analysis, GYPB (glycophorin B) introns 1, 5, pseudoexon 3 ",,,272.08,838.23,46
CPT,0190U,"Red cell antigen (MNS blood group) genotyping (GYPB), gene analysis, GYPB (glycophorin B) introns 1, 5, pseudoexon 3 Trauma",,,659.59,659.59,6
CPT,0191T,"INSERTION OF ANTERIOR SEGMENT AQUEOUS DRAINAGE DEVICE, WITHOUT EXTRAOCULAR RESERVOIR, INTERNAL APPROACH, INTO THE TRABECULAR MESHWORK; INITIAL INSERTION ",,,10737.0,13315.0,28
CPT,0191U,"Red cell antigen (Indian blood group) genotyping (IN), gene analysis CD44 (CD44 molecule) exons 2, 3, 6 ",,,272.08,838.23,46
CPT,0191U,"Red cell antigen (Indian blood group) genotyping (IN), gene analysis CD44 (CD44 molecule) exons 2, 3, 6 Trauma",,,659.59,659.59,6
CPT,0192U,"Red cell antigen (Kidd blood group) genotyping (JK), gene analysis, SLC14A1 (solute carrier family 14 member 1) gene promoter, exon 9 ",,,272.08,838.23,46
CPT,0192U,"Red cell antigen (Kidd blood group) genotyping (JK), gene analysis, SLC14A1 (solute carrier family 14 member 1) gene promoter, exon 9 Trauma",,,659.59,659.59,6
CPT,0193U,"Red cell antigen (JR blood group) genotyping (JR), gene analysis, ABCG2 (ATP binding cassette subfamily G member 2) exons 2-26 ",,,280.05,862.78,46
CPT,0193U,"Red cell antigen (JR blood group) genotyping (JR), gene analysis, ABCG2 (ATP binding cassette subfamily G member 2) exons 2-26 Trauma",,,678.91,678.91,6
CPT,0194U,"Red cell antigen (Kell blood group) genotyping (KEL), gene analysis, KEL (Kell metallo-endopeptidase) exon 8 ",,,183.35,564.86,46
CPT,0194U,"Red cell antigen (Kell blood group) genotyping (KEL), gene analysis, KEL (Kell metallo-endopeptidase) exon 8 Trauma",,,444.48,444.48,6
CPT,0195U,"KLF1 (Kruppel-like factor 1), targeted sequencing (ie, exon 13) ",,,371.5,1144.51,46
CPT,0195U,"KLF1 (Kruppel-like factor 1), targeted sequencing (ie, exon 13) Trauma",,,900.6,900.6,6
CPT,0196U,"Red cell antigen (Lutheran blood group) genotyping (LU), gene analysis, BCAM (basal cell adhesion molecule) exon 3 ",,,183.35,564.86,46
CPT,0196U,"Red cell antigen (Lutheran blood group) genotyping (LU), gene analysis, BCAM (basal cell adhesion molecule) exon 3 Trauma",,,444.48,444.48,6
CPT,0197U,"Red cell antigen (Landsteiner-Wiener blood group) genotyping (LW), gene analysis, ICAM4 (intercellular adhesion molecule 4) exon 1 ",,,183.35,564.86,46
CPT,0197U,"Red cell antigen (Landsteiner-Wiener blood group) genotyping (LW), gene analysis, ICAM4 (intercellular adhesion molecule 4) exon 1 Trauma",,,444.48,444.48,6
CPT,0198U,"Red cell antigen (RH blood group) genotyping (RHD and RHCE), gene analysis Sanger/chain termination/conventional sequencing, RHD (Rh blood group D antigen) exons 1-10 and RHCE (Rhblood group CcEe anti",,,280.05,862.78,52
CPT,0199U,"Red cell antigen (Scianna blood group) genotyping (SC), gene analysis, ERMAP (erythroblast membrane associated protein) exons 4, 12 ",,,272.08,838.23,46
CPT,0199U,"Red cell antigen (Scianna blood group) genotyping (SC), gene analysis, ERMAP (erythroblast membrane associated protein) exons 4, 12 Trauma",,,659.59,659.59,6
CPT,0200T,"Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles, includes imaging guidance and bone biopsy, w",,,7583.0,10719.0,36
CPT,0200U,"Red cell antigen (Kx blood group) genotyping (XK), gene analysis, XK (X-linked Kx blood group) exons 1-3 ",,,272.08,838.23,46
CPT,0200U,"Red cell antigen (Kx blood group) genotyping (XK), gene analysis, XK (X-linked Kx blood group) exons 1-3 Trauma",,,659.59,659.59,6
CPT,0201T,"Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when",,,7583.0,10719.0,36
CPT,0201U,"Red cell antigen (Yt blood group) genotyping (YT), gene analysis, ACHE (acetylcholinesterase (Cartwright blood group)) exon 2 ",,,183.35,564.86,46
CPT,0201U,"Red cell antigen (Yt blood group) genotyping (YT), gene analysis, ACHE (acetylcholinesterase (Cartwright blood group)) exon 2 Trauma",,,444.48,444.48,6
CPT,0202T,"Posterior vertebral joint(s) arthroplasty (eg, facet jointºs» replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, i",,,15007.0,15007.0,8
CPT,0202U,"Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qua",,,412.61,1271.18,53
CPT,0203U,Azutoimmun IBD mRNA gen Xprsn PRFL 17 Gen Whl Bld ,,,752.4,2318.0,46
CPT,0203U,Azutoimmun IBD mRNA gen Xprsn PRFL 17 Gen Whl Bld Trauma,,,1824.0,1824.0,6
CPT,0204U,Onc Thyr mRNA Gene Xprsn Alys 593 Genes FNA ,,,,,0
CPT,0205T,"INTRAVASCULAR CATHETER-BASED CORONARY VESSEL OR GRAFT SPECTROSCOPY (EG, INFRARED) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEUTIC INTERVENTION INCLUDING IMAGING SUPERVISION, INTERPRETATION, AND REPORT",,,1423.0,3251.0,28
CPT,0205U,Oph Age-related Mac Degeneration Alys 3 Gen Vrnt ,,,46.53,143.35,46
CPT,0205U,Oph Age-related Mac Degeneration Alys 3 Gen Vrnt Trauma,,,112.8,112.8,6
CPT,0206U,Neurology Alzheimer Disease Cell Aggregation ,,,2193.25,6756.97,46
CPT,0206U,Neurology Alzheimer Disease Cell Aggregation Trauma,,,5316.96,5316.96,6
CPT,0207T,"Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral ",,,1423.0,3251.0,36
CPT,0207U,Neurology Alzheimer Disease Quantitative Imaging ,,,506.09,1559.16,46
CPT,0207U,Neurology Alzheimer Disease Quantitative Imaging Trauma,,,1226.88,1226.88,6
CPT,0209U,Cytog Const Alys Interrog Gen Reg F/Copy Number ,,,779.28,2400.81,46
CPT,0209U,Cytog Const Alys Interrog Gen Reg F/Copy Number Trauma,,,1889.16,1889.16,6
CPT,0210U,Syphilis Tst Non-Treponemal Antibody IA Quan Rpr ,,,18.44,56.82,47
CPT,0210U,Syphilis Tst Non-Treponemal Antibody IA Quan Rpr Trauma,,,44.71,44.71,6
CPT,0211U,Onc Pan-Tumor DNA & RNA Next-Generation Sequencing ,,,8370.45,25787.75,47
CPT,0211U,Onc Pan-Tumor DNA & RNA Next-Generation Sequencing Trauma,,,20292.0,20292.0,6
CPT,0212U,Rare DS Whl Gen & Mitochdrl DNA Seq Alys Proband ,,,5420.45,16699.36,46
CPT,0212U,Rare DS Whl Gen & Mitochdrl DNA Seq Alys Proband Trauma,,,13140.48,13140.48,6
CPT,0213T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; single level ",,,1982.0,4009.0,36
CPT,0213U,Rare DS Whl Gen & Mitochdrl DNA Seq Alys Ea Cmprtr ,,,2682.85,8265.35,46
CPT,0213U,Rare DS Whl Gen & Mitochdrl DNA Seq Alys Ea Cmprtr Trauma,,,6503.88,6503.88,6
CPT,0214T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; second level (List separatel",,,1423.0,3251.0,36
CPT,0214U,Rare DS Whl Xom & Mitochdrl DNA Seq Alys Proband ,,,5172.35,15935.03,46
CPT,0214U,Rare DS Whl Xom & Mitochdrl DNA Seq Alys Proband Trauma,,,12539.04,12539.04,6
CPT,0215T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; third and any additional lev",,,1423.0,2143.0,28
CPT,0215U,Rare DS Whl Xom & Mitochdrl DNA Seq Alys Ea Cmprtr ,,,2548.9,7852.68,46
CPT,0215U,Rare DS Whl Xom & Mitochdrl DNA Seq Alys Ea Cmprtr Trauma,,,6179.16,6179.16,6
CPT,0216T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; single level ",,,1982.0,4009.0,36
CPT,0216U,Neuro Inh Ataxia Genomic DNA Seq Alys 12 Bld/Slv ,,,1521.65,4687.91,46
CPT,0216U,Neuro Inh Ataxia Genomic DNA Seq Alys 12 Bld/Slv Trauma,,,3688.85,3688.85,6
CPT,0217T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; second level (List separately in",,,1423.0,3251.0,36
CPT,0217U,Neuro Inh Ataxia Genomic DNA Seq Alys 51 Bld/Slv ,,,2176.37,6704.97,46
CPT,0217U,Neuro Inh Ataxia Genomic DNA Seq Alys 51 Bld/Slv Trauma,,,5276.04,5276.04,6
CPT,0218T,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; third and any additional level(s",,,1423.0,3251.0,36
CPT,0218U,Neuro Muscular Dystrophy Dmd Seq Alys Bld/Saliva ,,,2256.21,6950.95,46
CPT,0218U,Neuro Muscular Dystrophy Dmd Seq Alys Bld/Saliva Trauma,,,5469.6,5469.6,6
CPT,0219T,"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervical ",,,15007.0,15007.0,8
CPT,0219U,Nfct Agent HIV Trgt Viral Next-Gnrj Seq Alys Alg ,,,717.75,2211.25,47
CPT,0219U,Nfct Agent HIV Trgt Viral Next-Gnrj Seq Alys Alg Trauma,,,1740.0,1740.0,6
CPT,0220T,"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; thoracic ",,,15007.0,15007.0,8
CPT,0220U,Onc Brst CA Image Alys w/ AI Assmt 12 Features ,,,699.19,2154.06,46
CPT,0220U,Onc Brst CA Image Alys w/ AI Assmt 12 Features Trauma,,,1695.0,1695.0,6
CPT,0221T,"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbar ",,,7583.0,10719.0,36
CPT,0221U,Abo Gnotyp Gene Alys Next-Generation Seq Abo Gen ,,,272.08,838.23,46
CPT,0221U,Abo Gnotyp Gene Alys Next-Generation Seq Abo Gen Trauma,,,659.59,659.59,6
CPT,0222T,"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; each additional vertebral segment (List ",,,1423.0,3251.0,36
CPT,0222U,RHD & RHCE Gnotyp Next-Genrj Seq RH Prox Promoter ,,,280.05,862.78,46
CPT,0222U,RHD & RHCE Gnotyp Next-Genrj Seq RH Prox Promoter Trauma,,,678.91,678.91,6
CPT,0223U,"Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qua",,,412.61,1271.18,53
CPT,0224U,"Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease (COVID-19)), includes titer(s), when performed ",,,42.22,156.86,47
CPT,0224U,"Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease (COVID-19)), includes titer(s), when performed Trauma",,,123.43,123.43,6
CPT,0225U,"Infectious disease (bacterial or viral RTI) pathogen-specific DNA & RN A,21 targets,incl severe acute respiratory syndrome coronavirus 2(SARS- CoV-2), amplified probe technique,including multiple ",,,412.61,1271.18,47
CPT,0225U,"Infectious disease (bacterial or viral RTI) pathogen-specific DNA & RN A,21 targets,incl severe acute respiratory syndrome coronavirus 2(SARS- CoV-2), amplified probe technique,including multiple Trau",,,1000.27,1000.27,6
CPT,0226U,"Surrogate viral neutralization test (sVNT), severe acute respiratory s yndrome coronavirus 2 (SARS-CoV-2) (Corornavirus disease (COVID-19)), ( ELISA, plasma, serum ",,,41.86,128.95,47
CPT,0226U,"Surrogate viral neutralization test (sVNT), severe acute respiratory s yndrome coronavirus 2 (SARS-CoV-2) (Corornavirus disease (COVID-19)), ( ELISA, plasma, serum Trauma",,,101.47,101.47,6
CPT,0227U,"Drug Assay, presumptive, 30 or more drugs or metabolites, urine, liquid chromatography with tandem mass spectrometry using multiple reaction monitoring w drug or metabolite description, incl simple va",,,61.52,189.53,52
CPT,0228T,"INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH ULTRASOUND GUIDANCE, CERVICAL OR THORACIC; SINGLE LEVEL ",,,1982.0,3689.0,28
CPT,0228U,"Oncology (prostate), multianalyte molecular progile by photometric detection of macromolecules absorbed on nanosponge array slides w machine learning, utilizing first morning voided urine, algorithm r",,,171.3,527.74,52
CPT,0229T,"INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH ULTRASOUND GUIDANCE, CERVICAL OR THORACIC; EACH ADDITIONAL LEVEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE",,,1423.0,3251.0,28
CPT,0229U,"BCAT1 or IKZF1 (eg, colorectal cancer) promoter methylation analysis ",,,192.0,1171.2,46
CPT,0229U,"BCAT1 or IKZF1 (eg, colorectal cancer) promoter methylation analysis Trauma",,,921.6,921.6,6
CPT,0230T,"INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH ULTRASOUND GUIDANCE, LUMBAR OR SACRAL; SINGLE LEVEL ",,,1982.0,3689.0,28
CPT,0230U,"AR (androgen receptor), full sequence analyis, including small sequence changes in exonic and intronic regions, deletions, duplications, short tandem repeat (STR) expansions, mobile element insertions",,,298.34,919.12,52
CPT,0231T,"INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH ULTRASOUND GUIDANCE, LUMBAR OR SACRAL; EACH ADDITIONAL LEVEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,1423.0,3251.0,28
CPT,0231U,"CACNA1A, full gene analysis, including small sequence changes in exonic and intronic regions, deletions duplications, Short Tandem Requests (STR) gene expansions, mobile element insertions, and varian",,,837.81,2581.12,52
CPT,0232T,"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed ",,,1423.0,3251.0,36
CPT,0232U,"CSTB (cystatin B), full gene analysis, including small sequence changes in exonic and intronic regions, deletions, duplications, Short Tandem Requests (STR) expansions, mobile element insertions, and ",,,272.08,838.23,52
CPT,0233U,"FXN (frataxin), gene analysis, including small sequence changes in exonic and intronic regions, deletions, duplications, short tandem requests (STR) expansions, mobile element insertions, and variants",,,272.08,838.23,52
CPT,0234T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; renal artery ",,,4963.0,22212.0,119
CPT,0234T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; renal artery Complex Surgery",,,11754.0,11754.0,22
CPT,0234U,"MECP2 (methyl CpG binding protein 2) full gene analysis, including small sequence changes in exonic and intronic regions, deletions, duplications, mobile element insertions, and variants in non-unique",,,522.59,1610.0,52
CPT,0235T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; visceral artery (except renal), each vessel ",,,4963.0,22212.0,91
CPT,0235T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; visceral artery (except renal), each vessel Complex Surgery",,,11754.0,11754.0,22
CPT,0235U,"PTEN (Phosphatase and tensin monolog) full gene analysis, including small sequence changes in exonic and intronic regions, deletions, duplications, mobile element insertions and variants in non-unique",,,594.0,1830.0,52
CPT,0236T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; abdominal aorta ",,,4963.0,22212.0,119
CPT,0236T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; abdominal aorta Complex Surgery",,,11754.0,11754.0,22
CPT,0236U,"SMN1 (survival of motor neuton 1, telomeric) and SMN2 (survival of motor neuron 2, centromeric) full gene analysis, including small sequence changes in exonic and intronic regions, duplications and de",,,596.67,1838.24,52
CPT,0237T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; brachiocephalic trunk and branches, each vessel ",,,4963.0,22212.0,119
CPT,0237T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; brachiocephalic trunk and branches, each vessel Complex Surgery",,,11754.0,11754.0,22
CPT,0237U,"Cardiac ion channelopathies, genomic sequence analysis panel including ANK2, CASQ2, CAV3, KCNE1, KCNE2, KCNH2, KCNJ2, KCNQ1, RYR2, and SCN5A, including small sequence changes in exonic and intronic re",,,579.05,1783.94,52
CPT,0238T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; iliac artery, each vessel ",,,4963.0,22212.0,119
CPT,0238T,"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; iliac artery, each vessel Complex Surgery",,,11754.0,11754.0,22
CPT,0238U,"Oncology (Lynch syndrome), genomic DNA sequence analysis of MLH1, MSH2, MSH6, PMS2, and EPCAM, including small sequence changes in exonic and intronic regions, deletions, duplications, mobile element ",,,579.05,1783.94,52
CPT,0239U,"Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free DNA, analysis of 311 or more genes, interrogation for sequence variants, including substitutions, insertions, deletions, selec",,,3465.0,10675.0,53
CPT,0240U,"Inf dis, pathogen spec DNA/RNA, 21 targets, SARS-CoV-2, ampol probe tec, incl multplx rev tx to RNA targ, ea analyte rep as det or not det ",,,,,0
CPT,0241U,"Inf dis, pathogen-spec RNA, 4 targ SARS-CoV-2, Influ A, B, RSV, Upper  resp spec, ea pathogen rep as det or not det ",,,,,0
CPT,0242U,"Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 55-74 genes, interrogation for sequence variants, gene copy number amplifications, and gene rearra",,,4950.0,15250.0,53
CPT,0243U,"Obstetrics (preeclampsia), biochemical assay of placental-growth factor, time-resolved fluorescence immunoassay, maternal serum, predictive algorithm reported as a risk score for preeclampsia ",,,63.77,196.45,46
CPT,0243U,"Obstetrics (preeclampsia), biochemical assay of placental-growth factor, time-resolved fluorescence immunoassay, maternal serum, predictive algorithm reported as a risk score for preeclampsia Trauma",,,154.58,154.58,6
CPT,0244U,"Oncology (solid organ), DNA, comprehensive genomic profiling, 257 genes, interrogation for single-nucleotide variants, insertions/deletions, copy number alterations, gene rearrangements, tumor-mutatio",,,3465.0,10675.0,52
CPT,0245U,"Oncology (thyroid), mutation analysis of 10 genes and 37 RNA fusions and expression of 4 mRNA markers using next-generation sequencing, fine needle aspirate, report includes associated risk of maligna",,,1253.41,3861.51,52
CPT,0246U,"Red blood cell antigen typing, DNA, genotyping of at least 16 blood groups with phenotype prediction of at least 51 red blood cell antigens ",,,712.8,2196.0,46
CPT,0246U,"Red blood cell antigen typing, DNA, genotyping of at least 16 blood groups with phenotype prediction of at least 51 red blood cell antigens Trauma",,,1728.0,1728.0,6
CPT,0247U,"Obstetrics (preterm birth), insulin-like growth factor-binding protein 4 (IBP4), sex hormone-binding globulin (SHBG), quantitative measurement by LC-MS/MS, utilizing maternal serum, combined with clin",,,742.5,2287.5,52
CPT,0248U,"Oncology, spheroid cell culture in 3D microenvironment, 12 drug panel, response prediction for each drug ",,,3003.52,9253.27,46
CPT,0248U,"Oncology, spheroid cell culture in 3D microenvironment, 12 drug panel, response prediction for each drug Trauma",,,7281.26,7281.26,6
CPT,0249T,"LIGATION, HEMORRHOIDAL VASCULAR BUNDLE(S), INCLUDING ULTRASOUND GUIDANCE ",,,7583.0,9539.0,28
CPT,0249U,"Oncology (breast), semiquantitative analysis of 32 phosphoproteins and protein analytes, incl laser capture microdissection, w algorithmic analysis and interpretative report ",,,2196.94,6768.35,46
CPT,0249U,"Oncology (breast), semiquantitative analysis of 32 phosphoproteins and protein analytes, incl laser capture microdissection, w algorithmic analysis and interpretative report Trauma",,,5325.91,5325.91,6
CPT,0250U,"Oncology (Solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic alterations, microsatellite instability and tumor-mutation burden ",,,2890.4,8904.78,47
CPT,0250U,"Oncology (Solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic alterations, microsatellite instability and tumor-mutation burden Trauma",,,7007.04,7007.04,6
CPT,0251U,"Hepcidin-25, enzyme-linked immunosorbent assay (ELISA), serum or plasma ",,,17.1,52.67,46
CPT,0251U,"Hepcidin-25, enzyme-linked immunosorbent assay (ELISA), serum or plasma Trauma",,,41.45,41.45,6
CPT,0252U,"Fetal aneuploidy short tandem-repeat comparative analysis, fetal DNA from products of conception, reported as normal, monosomy, trisomy, or partial deletion/duplications, mosaicism, and segmental ane ",,,751.46,2315.1,52
CPT,0253T,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space ",,,10737.0,13315.0,36
CPT,0253U,"Reproductive medicine, RNA gene expression profile 238 genes by next-generation sequencing, endometrial tissue, predictive algorithm reported as endometrial window of implantation ",,,3127.83,9636.23,46
CPT,0253U,"Reproductive medicine, RNA gene expression profile 238 genes by next-generation sequencing, endometrial tissue, predictive algorithm reported as endometrial window of implantation Trauma",,,7582.61,7582.61,6
CPT,0254U,"Reproductive medicine, analysis of 24 chromosomes using embryonic DNA genomic sequence analysis for aneuploidy, and a mitochondrial DNA score in euploid embryos, results reported as normal, monosomy, ",,,751.46,2315.1,52
CPT,0255U,"Andrology (infertility), sperm-capacitation assessment of ganglioside GM1 distribution patterns, fluorescence microscopy, fresh or frozen specimen, reported as percentage of capacitated sperm and prob",,,31.28,96.38,52
CPT,0256U,"Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, tandem mass spectrometry (MS/MS), urine, with algorithmic analysis and interpretive report ",,,158.35,487.85,46
CPT,0256U,"Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, tandem mass spectrometry (MS/MS), urine, with algorithmic analysis and interpretive report Trauma",,,383.88,383.88,6
CPT,0257U,"Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD), leukocyte enzyme activity, whole blood ",,,705.35,2173.03,46
CPT,0257U,"Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD), leukocyte enzyme activity, whole blood Trauma",,,1709.93,1709.93,6
CPT,0258U,"Autoimmune (psoriasis), mRNA, next-generation sequencing, gene expression profiling of 50- 100 genes, skin-surface collection using adhesive patch, algorithm reported as likelihood of response to psor",,,3638.25,11208.75,52
CPT,0259U,"Nephrology (chronic kidney disease), nuclear magnetic resonance spectroscopy measurement of myo-inositol, valine, and creatinine, algorithmically combined with cystatin C and demographic data to deter",,,52.18,160.77,52
CPT,0260U,"Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping ",,,1250.89,3853.77,46
CPT,0260U,"Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping Trauma",,,3032.47,3032.47,6
CPT,0261U,"Oncology (colorectal cancer), image analysis with artificial intelligence assessment of 4 histologic and immunohistochemical features (CD3 and CD8 within tumor-stroma border and tumor core), tissue, r",,,2488.12,7665.41,52
CPT,0262U,"Oncology (solid tumor), gene expression profiling by real-time RT-PCR of 7 gene pathways (ER, AR, PI3K, MAPK, HH, TGFB, Notch), formalin-fixed paraffin-embedded (FFPE), algorithm reported as gene path",,,3168.0,9760.0,52
CPT,0263T,"Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure including unilater",,,7583.0,12863.0,36
CPT,0263U,"Neurology (autism spectrum disorder [ASD]), quantitative measurements of 16 central carbon metabolites , liquid chromatography tandem mass spectrometry (LC-MS/MS), plasma, algorithmic analysis with re",,,742.5,2287.5,52
CPT,0264T,"Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; complete procedure excluding bone mar",,,7583.0,12863.0,36
CPT,0264U,"Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping ",,,1250.89,3853.77,46
CPT,0264U,"Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping Trauma",,,3032.47,3032.47,6
CPT,0265T,"Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg, including ultrasound guidance, if performed; unilateral or bilateral bone marrow h",,,7583.0,12863.0,36
CPT,0265U,"Rare constitutional and other heritable disorders, whole genome and mitochondrial DNA sequence analysis, blood, frozen and formalin-fixed paraffin-embedded (FFPE) tissue, saliva, buccal swabs or cell ",,,5421.04,16701.19,52
CPT,0266U,"Unexplained constitutional or other heritable disorders or syndromes, tissue-specific gene expression by whole-transcriptome and next-generation sequencing, blood, formalin-fixed paraffin-embedded (FF",,,3168.0,9760.0,52
CPT,0267T,"Implantation or replacement of carotid sinus baroreflex activation device; lead only, unilateral (includes intra-operative interrogation, programming, and repositioning, when performed) ",,,5360.0,8727.0,28
CPT,0267U,"Rare constitutional and other heritable disorders, identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping and whole g",,,6671.94,20554.96,52
CPT,0268T,"Implantation or replacement of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed) ",,,14839.0,16423.0,28
CPT,0268U,"Hematology (atypical hemolytic uremic syndrome [aHUS]), genomic sequence analysis of 15 genes, blood, buccal swab, or amniotic fluid ",,,602.09,1854.92,46
CPT,0268U,"Hematology (atypical hemolytic uremic syndrome [aHUS]), genomic sequence analysis of 15 genes, blood, buccal swab, or amniotic fluid Trauma",,,1459.61,1459.61,6
CPT,0269T,"Revision or removal of carotid sinus baroreflex activation device; total system (includes generator placement, unilateral or bilateral lead placement, intra-operative interrogation, programming, and r",,,7583.0,9539.0,28
CPT,0269U,"Hematology (autosomal dominant congenital thrombocytopenia), genomic sequence analysis of 14 genes, blood, buccal swab, or amniotic fluid ",,,602.09,1854.92,46
CPT,0269U,"Hematology (autosomal dominant congenital thrombocytopenia), genomic sequence analysis of 14 genes, blood, buccal swab, or amniotic fluid Trauma",,,1459.61,1459.61,6
CPT,0270T,"Revision or removal of carotid sinus baroreflex activation device; lead only, unilateral (includes intra-operative interrogation, programming, and repositioning, when performed) ",,,5360.0,8727.0,28
CPT,0270U,"Hematology (congenital coagulation disorders), genomic sequence analysis of 20 genes, blood, buccal swab, or amniotic fluid ",,,602.09,1854.92,46
CPT,0270U,"Hematology (congenital coagulation disorders), genomic sequence analysis of 20 genes, blood, buccal swab, or amniotic fluid Trauma",,,1459.61,1459.61,6
CPT,0271T,"Revision or removal of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation, programming, and repositioning, when performed) ",,,5360.0,8727.0,28
CPT,0271U,"Hematology (congenital neutropenia), genomic sequence analysis of 23 genes, blood, buccal swab, or amniotic fluid ",,,602.09,1854.92,46
CPT,0271U,"Hematology (congenital neutropenia), genomic sequence analysis of 23 genes, blood, buccal swab, or amniotic fluid Trauma",,,1459.61,1459.61,6
CPT,0272U,"Hematology (genetic bleeding disorders), genomic sequence analysis of 51 genes, blood, buccal swab, or amniotic fluid, comprehensive ",,,602.09,1854.92,46
CPT,0272U,"Hematology (genetic bleeding disorders), genomic sequence analysis of 51 genes, blood, buccal swab, or amniotic fluid, comprehensive Trauma",,,1459.61,1459.61,6
CPT,0273U,"Hematology (genetic hyperfibrinolysis, delayed bleeding), genomic sequence analysis of 8 genes (F13A1, F13B, FGA, FGB, FGG, SERPINA1, SERPINE1, SERPINF2, PLAU), blood, buccal swab, or amniotic fluid ",,,602.09,1854.92,46
CPT,0273U,"Hematology (genetic hyperfibrinolysis, delayed bleeding), genomic sequence analysis of 8 genes (F13A1, F13B, FGA, FGB, FGG, SERPINA1, SERPINE1, SERPINF2, PLAU), blood, buccal swab, or amniotic fluid T",,,1459.61,1459.61,6
CPT,0274T,"Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, unde",,,10737.0,15007.0,36
CPT,0274U,"Hematology (genetic platelet disorders), genomic sequence analysis of 43 genes, blood, buccal swab, or amniotic fluid ",,,602.09,1854.92,46
CPT,0274U,"Hematology (genetic platelet disorders), genomic sequence analysis of 43 genes, blood, buccal swab, or amniotic fluid Trauma",,,1459.61,1459.61,6
CPT,0275T,"Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, unde",,,10737.0,13315.0,28
CPT,0275U,"Hematology (heparin-induced thrombocytopenia), platelet antibody reactivity by flow cytometry, serum ",,,18.19,56.03,46
CPT,0275U,"Hematology (heparin-induced thrombocytopenia), platelet antibody reactivity by flow cytometry, serum Trauma",,,44.09,44.09,6
CPT,0276U,"Hematology (inherited thrombocytopenia), geonomic sequence analysis of 42 genes, blood, buccal swab, or amniotic fluid ",,,2424.07,7468.11,46
CPT,0276U,"Hematology (inherited thrombocytopenia), geonomic sequence analysis of 42 genes, blood, buccal swab, or amniotic fluid Trauma",,,5876.54,5876.54,6
CPT,0277U,"Hematology (genetic platelet function disorder), genomic sequence analysis of 31 genes, blood, buccal swab, or amniotic fluid ",,,602.09,1854.92,46
CPT,0277U,"Hematology (genetic platelet function disorder), genomic sequence analysis of 31 genes, blood, buccal swab, or amniotic fluid Trauma",,,1459.61,1459.61,6
CPT,0278T,"Transcutaneous electrical modulation pain reprocessing (eg, scrambler therapy), each treatment session (includes placement of electrodes) ",,,1423.0,3251.0,36
CPT,0278U,"Hematology (genetic thrombosis), genomic sequence analysis of 12 genes, blood, buccal swab, or amniotic fluid ",,,602.09,1854.92,46
CPT,0278U,"Hematology (genetic thrombosis), genomic sequence analysis of 12 genes, blood, buccal swab, or amniotic fluid Trauma",,,1459.61,1459.61,6
CPT,0279U,"Hematology (von Willebrand disease [VWD]), von Willebrand factor (VWF) and collagen III binding by enzyme-linked immunosorbent assays (ELISA), plasma, report of collagen III binding ",,,11.41,35.17,46
CPT,0279U,"Hematology (von Willebrand disease [VWD]), von Willebrand factor (VWF) and collagen III binding by enzyme-linked immunosorbent assays (ELISA), plasma, report of collagen III binding Trauma",,,27.67,27.67,6
CPT,0280U,"Hematology (von Willebrand disease [VWD]), von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA), plasma, report of collagen IV binding ",,,17.1,52.67,46
CPT,0280U,"Hematology (von Willebrand disease [VWD]), von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA), plasma, report of collagen IV binding Trauma",,,41.45,41.45,6
CPT,0281U,"Hematology (von Willebrand disease [VWD]), von Willebrand propeptide, enzyme-linked immunosorbent assays (ELISA), plasma, diagnostic report of von Willebrand factor (VWF) propeptide antigen level ",,,17.1,52.67,46
CPT,0281U,"Hematology (von Willebrand disease [VWD]), von Willebrand propeptide, enzyme-linked immunosorbent assays (ELISA), plasma, diagnostic report of von Willebrand factor (VWF) propeptide antigen level Trau",,,41.45,41.45,6
CPT,0282T,PERIPH FIELD STIMUL TRIAL ,,,10737.0,13315.0,28
CPT,0282U,"Red blood cell antigen typing, DNA, genotyping of 12 blood group system genes to predict 44 red blood cell antigen phenotypes ",,,712.8,2196.0,46
CPT,0282U,"Red blood cell antigen typing, DNA, genotyping of 12 blood group system genes to predict 44 red blood cell antigen phenotypes Trauma",,,1728.0,1728.0,6
CPT,0283T,PERIPH FIELD STIMUL PERM ,,,15124.0,17129.0,28
CPT,0283U,"von Willebrand factor (VWF), type 2B, platelet-binding evaluation, radioimmunoassay, plasma ",,,18.22,56.12,46
CPT,0283U,"von Willebrand factor (VWF), type 2B, platelet-binding evaluation, radioimmunoassay, plasma Trauma",,,44.16,44.16,6
CPT,0284T,PERIPH FIELD STIMUL REVISE ,,,5360.0,8727.0,28
CPT,0284U,"von Willebrand factor (VWF), type 2N, factor VIII and VWF binding evaluation, enzyme-linked immunosorbent assays (ELISA), plasma ",,,17.1,52.67,46
CPT,0284U,"von Willebrand factor (VWF), type 2N, factor VIII and VWF binding evaluation, enzyme-linked immunosorbent assays (ELISA), plasma Trauma",,,41.45,41.45,6
CPT,0285U,"Oncology, disease progression and response monitoring to radiation, chemotherapy, or other systemic cancer treatments, cell-free DNA, quantitative branced chain DNA amplification, plasma, reporting ",,,438.88,1352.1,46
CPT,0285U,"Oncology, disease progression and response monitoring to radiation, chemotherapy, or other systemic cancer treatments, cell-free DNA, quantitative branced chain DNA amplification, plasma, reporting Tr",,,1063.94,1063.94,6
CPT,0286U,"CEP72 (centrosomal protein, 72-Kda) NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) gene analysis, conmmon variants ",,,132.79,409.1,46
CPT,0286U,"CEP72 (centrosomal protein, 72-Kda) NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) gene analysis, conmmon variants Trauma",,,321.91,321.91,6
CPT,0287U,"Oncology (thyroid), DNA and mRNA, next generation sequencing analysis of 112 genes, fine needle aspirate or formalin-fixed paraffin-embedded (FFPE) tissue, algorithmic prediction of cancer recurrence,",,,3564.0,10980.0,52
CPT,0288T,ANOSCOPY W/RF DELIVERY ,,,7583.0,9539.0,28
CPT,0288U,"Oncology (lung), mRNA, quantitative PCR analysis of 11 genes (BAG1,BRCA1,CDC6, CDK2AP1, ERBB3, FUT3, IL11, LCK, RND3, SH3BGR, WNT3A) and 3 reference genes (ESD, TBP, YAP1), formalin-fixed paraffin emb",,,3834.27,11812.65,52
CPT,0289T,LASER INC FOR PKP/LKP DONOR ,,,1423.0,3251.0,28
CPT,0289U,"Neurology (Alzheimer Disease), mRNA, gene expression profiling by RNA sequencing of 24 genes, whole blood, algorithm reported as predictive risk score ",,,752.4,2318.0,46
CPT,0289U,"Neurology (Alzheimer Disease), mRNA, gene expression profiling by RNA sequencing of 24 genes, whole blood, algorithm reported as predictive risk score Trauma",,,1824.0,1824.0,6
CPT,0290T,"CORNEAL INCISIONS IN THE RECIPIENT CORNEA CREATED USING A LASER, IN PREPARATION FOR PENETRATING OR LAMELLAR KERATOPLASTY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ",,,1423.0,3251.0,28
CPT,0290U,"Pain management, mRNA, gene expression profiling by RNA sequencing of 36 genes, whole blood, algorithm reported as predictive risk score ",,,752.4,2318.0,46
CPT,0290U,"Pain management, mRNA, gene expression profiling by RNA sequencing of 36 genes, whole blood, algorithm reported as predictive risk score Trauma",,,1824.0,1824.0,6
CPT,0291T,IV OCT FOR PROC INIT VESSEL ,,,1423.0,3251.0,28
CPT,0291U,"Psychiatry (mood disorders), mRNA, gene expression profiling by RNA sequencing of 144 genes, whole blood, algorithm reported as predictive risk score ",,,1737.45,5352.75,46
CPT,0291U,"Psychiatry (mood disorders), mRNA, gene expression profiling by RNA sequencing of 144 genes, whole blood, algorithm reported as predictive risk score Trauma",,,4212.0,4212.0,6
CPT,0292T,IV OCT FOR PROC ADDL VESSEL ,,,1423.0,3251.0,28
CPT,0292U,"Psychiatry (stress disorders), mRNA, gene expression profiling by RNA sequencing of 72 genes, whole blood, algorithm reported as predictive risk score ",,,1737.45,5352.75,46
CPT,0292U,"Psychiatry (stress disorders), mRNA, gene expression profiling by RNA sequencing of 72 genes, whole blood, algorithm reported as predictive risk score Trauma",,,4212.0,4212.0,6
CPT,0293U,"Psychiatry (suicidial ideation), mRNA, gene expression profiling by RNA sequencing of 54 genes, whole blood, algorithm reported as predictive risk score ",,,752.4,2318.0,46
CPT,0293U,"Psychiatry (suicidial ideation), mRNA, gene expression profiling by RNA sequencing of 54 genes, whole blood, algorithm reported as predictive risk score Trauma",,,1824.0,1824.0,6
CPT,0294T,HInsertion of left atrial hemodynamic monitor; pressure sensor lead at time of insertion of pacing cardioverter-defibrillator pulse generator including radiological supervision and interpretation and ,,,18639.0,36200.0,3
CPT,0294U,"Longevity and mortality risk, mRNA, gene expression profiling by RNA sequencing of 18 genes, whole blood, algorithm reported as predictive risk score ",,,752.4,2318.0,46
CPT,0294U,"Longevity and mortality risk, mRNA, gene expression profiling by RNA sequencing of 18 genes, whole blood, algorithm reported as predictive risk score Trauma",,,1824.0,1824.0,6
CPT,0295U,"Oncology (breast ductal carcinoma in situ), protein expression profiling by immunohistochemistry of 7 proteins (COX2, FOXA1, HER2, Ki-67, p16, PR, SIAH2), with 4 clinicpathologic factors, utilizing fo",,,1897.0,16576.75,52
CPT,0296U,"Oncology (oral and/or oropharyngeal cancer), gene expression profiling by RNA sequencing at least 20 molecular features, saliva, algorithm reported as positive or negative for signature associated wit",,,1755.0,5947.5,52
CPT,0297U,"Oncology (pan tumor) whole genome sequencing of paired malignant and normal DNA specimens, fresh or formalin-fixed paraffin-embedded (FFPE) tissue, blood or bone marrow, comparative sequence analyses ",,,2890.4,8904.78,52
CPT,0298U,"Oncology (pan tumor) whole genome sequencing of paired malignant and normal DNA specimens, fresh or formalin-fixed paraffin-embedded (FFPE) tissue, blood or bone marrow, comparative sequence analyses ",,,2890.4,8904.78,52
CPT,0299T,"HExtracorporeal shock wave for integumentary wound healing, high energy, including topical application and dressing care; initial wound ",,,1423.0,3251.0,28
CPT,0299U,"Oncology (pan tumor), whole genome optical genome mapping of paired malignant and normal DNA specimens, fresh frozen tissue, blood, or bone marrow, comparative structural variant identification ",,,1844.59,5682.82,46
CPT,0299U,"Oncology (pan tumor), whole genome optical genome mapping of paired malignant and normal DNA specimens, fresh frozen tissue, blood, or bone marrow, comparative structural variant identification Trauma",,,4471.73,4471.73,6
CPT,0300T,"HExtracorporeal shock wave for integumentary wound healing, high energy, including topical application and dressing care; each additional wound (List separately in addition to code for primary proced ",,,1423.0,3251.0,28
CPT,0300U,"Oncology (pan tumor), whole genome sequencing and optical genome mapping of paired malignant and normal DNA specimens, comparative sequecne analyses and variant identification ",,,4141.3,12758.55,46
CPT,0300U,"Oncology (pan tumor), whole genome sequencing and optical genome mapping of paired malignant and normal DNA specimens, comparative sequecne analyses and variant identification Trauma",,,10039.51,10039.51,6
CPT,0301T,"HDestruction/reduction of malignant breast tumor with externally applied focused microwave, including interstitial placement of disposable catheter with combined temperature monitoring probe and micr ",,,5360.0,8727.0,28
CPT,0301U,"Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital PCR (ddPCR); ",,,260.09,801.3,46
CPT,0301U,"Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital PCR (ddPCR); Trauma",,,630.53,630.53,6
CPT,0302T,HInsertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation when performed and intra-operative interrogation and programming when ,,,9935.0,22212.0,31
CPT,0302U,"Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital PCR (ddPCR); following liquid enrichment ",,,357.76,1102.18,46
CPT,0302U,"Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital PCR (ddPCR); following liquid enrichment Trauma",,,867.29,867.29,6
CPT,0303T,HInsertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation when performed and intra-operative interrogation and programming when ,,,9935.0,22212.0,31
CPT,0303U,"Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood with algorithmic analysis and result reported as an RBC adhesion index; h",,,2179.6,6714.94,52
CPT,0304T,HInsertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation when performed and intra-operative interrogation and programming when ,,,9935.0,22212.0,31
CPT,0304U,"Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood with algorithmic analysis and result reported as an RBC adhesion index; n",,,2055.04,6331.19,52
CPT,0305U,"Hematology, red blood cell (RBC) functionality and deformity as a function of shear stress, whole blood, reported as a maximum elongation index ",,,655.95,2020.87,46
CPT,0305U,"Hematology, red blood cell (RBC) functionality and deformity as a function of shear stress, whole blood, reported as a maximum elongation index Trauma",,,1590.19,1590.19,6
CPT,0306U,"Oncology (minimal residual disease [MRD]), next-generation targeted sequencing analysis, cell-free DNA, initial (baseline) assessment to determine a patient specific panel for future comparisons to ev",,,3839.67,11829.27,52
CPT,0307T,HRemoval of intracardiac ischemia monitoring device ,,,7583.0,22212.0,31
CPT,0307U,"Oncology (minimal residual disease [MRD]), next-generation targeted sequencing analysis of a patient-specific panel, cell-free DNA, subsequent assessment with comparison to previously analyzed patient",,,786.55,2423.19,52
CPT,0308T,Insertion of ocular telescope prosthesis including removal of crystalline lens or intraocular lens prosthesis ,,,9935.0,30016.0,39
CPT,0308T,Insertion of ocular telescope prosthesis including removal of crystalline lens or intraocular lens prosthesis Complex Surgery,,,11754.0,11754.0,22
CPT,0308U,"Cardiology (Coronary Artery Disease), analysis of 3 proteins with 3 clinical parameters, plasma, algorithm reported as a risk score for obstructive CAD ",,,386.84,1191.79,46
CPT,0308U,"Cardiology (Coronary Artery Disease), analysis of 3 proteins with 3 clinical parameters, plasma, algorithm reported as a risk score for obstructive CAD Trauma",,,937.8,937.8,6
CPT,0309T,"HArthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft, when performed, lumbar, L4-L5 int ",,,9935.0,22212.0,3
CPT,0309U,"Cardiology (cardiovascular disease), analysis of 4 proteins (NT-proBNP, osteopontin, tissue inhibitor of metalloproteinase-1 [TIMP-1], and kidney injury molecule-1 [KIM-1]), plasma, algorithm reported",,,386.84,1191.79,52
CPT,0310U,"Pediatrics (vasculitis, Kawasaki disease [KD]), analysis of 3 biomarkers (NTproBNP, C-reactive protein, and T-uptake), plasma, algorithm reported as a risk score for KD ",,,386.84,1191.79,46
CPT,0310U,"Pediatrics (vasculitis, Kawasaki disease [KD]), analysis of 3 biomarkers (NTproBNP, C-reactive protein, and T-uptake), plasma, algorithm reported as a risk score for KD Trauma",,,937.8,937.8,6
CPT,0311U,"Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)??based antimicrobial susceptibility for each organisms identifi",,,8.0,24.64,53
CPT,0312T,"VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); LAPAROSCOPIC IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY, ANTERIOR AND POSTERIOR VAGAL TRUNKS ADJACENT TO ESOPHAGOGASTRIC JUNCTION (EGJ), WITH IMPLAN",,,9935.0,22212.0,3
CPT,0312U,"Autoimmune diseases (eg, systemic lupus erythematosus [SLE]), analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorbent immunoassay (ELISA), fl",,,832.24,2563.98,52
CPT,0313T,"VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); LAPAROSCOPIC REVISION OR REPLACEMENT OF VAGAL TRUNK NEUROSTIMULATOR ELECTRODE ARRAY, INCLUDING CONNECTION TO EXISTING PULSE GENERATOR ",,,5360.0,22212.0,31
CPT,0313U,"Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression, pancreatic cyst fluid, algorithm reported as a categorical result (ie, ",,,3564.0,10980.0,52
CPT,0314T,VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); LAPAROSCOPIC REMOVAL OF VAGAL TRUNK NEUROSTIMULATOR ELECTRODE ARRAY AND PULSE GENERATOR ,,,5360.0,22212.0,31
CPT,0314U,"Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 35 genes (32 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm reported as a c",,,1930.5,5947.5,52
CPT,0315T,VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); REMOVAL OF PULSE GENERATOR ,,,5360.0,22212.0,23
CPT,0315U,"Oncology (cutaneous squamous cell carcinoma), mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm ",,,8415.0,25925.0,52
CPT,0316T,VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); REPLACEMENT OF PULSE GENERATOR ,,,9935.0,22212.0,31
CPT,0316U,"Borrelia burgdorferi (Lyme disease), OspA protein evaluation, urine ",,,18.47,56.91,46
CPT,0316U,"Borrelia burgdorferi (Lyme disease), OspA protein evaluation, urine Trauma",,,44.78,44.78,6
CPT,0317T,"VAGUS NERVE BLOCKING THERAPY (MORBID OBESITY); NEUROSTIMULATOR PULSE GENERATOR ELECTRONIC ANALYSIS, INCLUDES REPROGRAMMING WHEN PERFORMED ",,,1423.0,22212.0,31
CPT,0317U,"Oncology (lung cancer), four-probe FISH (3q29, 3p22.1, 10q22.3, 10cen) assay, whole blood, predictive algorithmgenerated evaluation reported as decreased or increased risk for lung cancer ",,,2009.7,6191.5,46
CPT,0317U,"Oncology (lung cancer), four-probe FISH (3q29, 3p22.1, 10q22.3, 10cen) assay, whole blood, predictive algorithmgenerated evaluation reported as decreased or increased risk for lung cancer Trauma",,,4872.0,4872.0,6
CPT,0318U,"Pediatrics (congenital epigenetic disorders), whole genome methylation analysis by microarray for 50 or more genes, blood ",,,1752.78,5399.96,46
CPT,0318U,"Pediatrics (congenital epigenetic disorders), whole genome methylation analysis by microarray for 50 or more genes, blood Trauma",,,4249.15,4249.15,6
CPT,0319U,"""Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using pretransplant peripheral blood, algorithm reported as a risk scorefor early acute rejection"" ",,,2623.5,8082.5,46
CPT,0319U,"""Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using pretransplant peripheral blood, algorithm reported as a risk scorefor early acute rejection"" Trauma",,,6360.0,6360.0,6
CPT,0320U,"Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using posttransplant peripheral blood, algorithm reported as a risk score for acute cellular rejection ",,,2623.5,8082.5,46
CPT,0320U,"Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using posttransplant peripheral blood, algorithm reported as a risk score for acute cellular rejection Trauma",,,6360.0,6360.0,6
CPT,0321U,"Infectious agent detection by nucleic acid (DNA or RNA), genitourinary pathogens, identification of 20 bacterial and fungal organisms and identification of 16 associated antibiotic-resistance genes, m",,,628.49,1936.26,52
CPT,0322U,"Neurology (autism spectrum disorder [ASD]), quantitative measurements of 14 acyl carnitines and microbiome-derived metabolites, liquid chromatography with tandem mass spectrometry (LC-MS/MS), plasma, ",,,742.5,2287.5,52
CPT,0323U,"Infectious agent detection by nucleic acid (DNA/RNA), central nervous system pathogen, metagenomic next-generation sequencing , cerebrospinal fluid (CSF), identification of pathogenic bacteria, viruse",,,2104.94,6484.91,52
CPT,0326U,"Target genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 83 or more genes, iterrogation for sequence variants, gene copy number amplifications, gene rearrang",,,4950.0,15250.0,53
CPT,0327U,"Fetal aneuploidy (trisomy 13, 18, and 21), DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy, includes sex reporting, if performed ",,,787.05,2424.75,46
CPT,0327U,"Fetal aneuploidy (trisomy 13, 18, and 21), DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy, includes sex reporting, if performed Tr",,,1908.0,1908.0,6
CPT,0328U,"Drug assay, definitive, 120 or more drugs and metabolites, urine, quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS), includes specimen validity and algorithmic analysis descr",,,113.29,349.01,52
CPT,0329U,"Oncology (neoplasia), exome and transcriptome sequence analysis for sequence variants, gene copy number amplifications and deletions, gene rearrangements, microsatellite instability and tumor mutation",,,3403.6,10485.84,52
CPT,0330U,"Infectious agent detection by nucleic acid (DNA/RNA), vaginal pathogen panel, identification of 27 organisms, amplified probe technique, vaginal swab ",,,412.61,1271.18,46
CPT,0330U,"Infectious agent detection by nucleic acid (DNA/RNA), vaginal pathogen panel, identification of 27 organisms, amplified probe technique, vaginal swab Trauma",,,1000.27,1000.27,6
CPT,0331U,"Oncology (hematolymphoid neoplasia), optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow, report of clinically significant alterations ",,,1844.59,5682.82,46
CPT,0331U,"Oncology (hematolymphoid neoplasia), optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow, report of clinically significant alterations Tr",,,4471.73,4471.73,6
CPT,0332U,"Oncology (pan-tumor), genetic profiling of 8 DNA-regulatory markers by qPCR, whole blood, reported as a high or low probability of responding to immune checkpoint-inhibitor therapy ",,,1130.64,3483.28,46
CPT,0332U,"Oncology (pan-tumor), genetic profiling of 8 DNA-regulatory markers by qPCR, whole blood, reported as a high or low probability of responding to immune checkpoint-inhibitor therapy Trauma",,,2740.94,2740.94,6
CPT,0333U,"Oncology (liver), surveillance for HCC in high-rish patients, analysis of methylation patterns on circulating cfDNA plus measurement of serum of APF/APF-L3 and oncoprotein DCP, algorithm reported as n",,,655.7,2020.08,52
CPT,0334U,"Oncology (solid organ), target geonomic sequence analysis, FFPE tumor tissue, DNA analysis, 84 or more genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements,",,,2919.6,10675.0,52
CPT,0335T,Insertion of sinus tarsi implant ,,,5360.0,8727.0,36
CPT,0335U,"Rare diseases, whole genome sequence analysis, incl small sequence changes, copy number variants, deletions, duplications, mobile element insertions, UPD, inversions, aneuploidy, mitochondrial genome ",,,5172.35,15935.03,52
CPT,0336T,LAP ABLAT UTERINE FIBROIDS ,,,12760.0,14379.0,28
CPT,0336U,"Rare diseases, whole genome sequence analysis, incl small sequence changes, copy number variants, deletions, duplications, mobile element insertions, UPD, inversions, aneuploidy, mitochondrial genome ",,,2548.9,7852.68,52
CPT,0337U,"Oncology (Plasma cell disorders and myeloma), circulating plasma cell immunologic selection, id, morphological characterization, and enumeration of plasma cells based on differential CD138, CD38, CD19",,,2410.65,7426.75,52
CPT,0338T,"Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural r",,,7583.0,10719.0,36
CPT,0338U,"Oncology (Solid Tumor), circulating tumor cell selection, id, morphological characterization, detection and enumeration based on differential EpCAM, cytokeratins 8, 18 and 19, and CD45 protein biomark",,,2410.65,7426.75,53
CPT,0339T,"Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural r",,,7583.0,10719.0,36
CPT,0339U,"Oncology (prostate), mRNA expression profiling of HOXC6 and DLX1, reverse transcription polymerase chain reaction (RT-PCR), first void urine following digital rectal examination, algorithn reporteed a",,,752.4,2318.0,52
CPT,0340T,"HAblation, pulmonary tumor(s), including pleura or chest wall when involved by tumor extension, percutaneous, cryoablation, unilateral, includes imaging guidance ",,,10737.0,13315.0,28
CPT,0340U,"Oncology (pan-cancer), analysis of MRD from plasma, with assays personalized to each patient based on prior next generation sequencing of the patient's tumor and germline DNA, reported as absence or p",,,3554.1,10949.5,52
CPT,0341U,"Fetal aneuploidy DNA sequencing comparative analysis, fetal DNA from products of conception, reported as normal (euploidy), monosomy, trisomy, or partial deletion/duplication, mosaicism and segmental ",,,1881.2,5795.61,52
CPT,0342T,Therapeutic apheresis with selective HDL delipidation and plasma reinfusion ,,,7583.0,12863.0,36
CPT,0342U,"Oncology (pancreatic cancer), multiplex immonoassay of C5, C4, Cystatin C, factor B, osteoprotegerin, gelsolin, IGFBP3, CA125 and multiplex electrochemiluminescent immunoassay for CA19-9, serum, diagn",,,888.03,2735.85,52
CPT,0343U,"Oncology (prostate), exosome-based analysis of 442 small noncoding RNAs by quantitative reverse transcription polymerase chain reaction, urine, reported as molecular evidence of no-, low-, intermediat",,,752.4,2318.0,53
CPT,0344U,"Hepatology (nonalcoholic fatty liver disease), semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectometry, serum, reported as at-risk for nonalcoholic steato",,,784.25,2416.12,52
CPT,0345T,Transcatheter mitral valve repair percutaneous approach via the coronary sinus ,,,8577.0,8577.0,8
CPT,0345U,"Psychiatry (eg, depression, anxiety, ADHD), genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6 ",,,1322.73,4075.07,46
CPT,0345U,"Psychiatry (eg, depression, anxiety, ADHD), genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6 Trauma",,,3206.62,3206.62,6
CPT,0346U,"Beta amyloid, AB40 and AB42 by liquid chromatography with tandem mass spectromety, ratio, plasma ",,,,,0
CPT,0347T,Placement of interstitial device(s) in bone for radiostereometric analysis (RSA) ,,,1423.0,3251.0,36
CPT,0347U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes ",,,1322.73,4075.07,46
CPT,0347U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes Trauma",,,3206.62,3206.62,6
CPT,0348T,"Radiologic examination, radiostereometric analysis (RSA); spine, (includes cervical, thoracic and lumbosacral, when performed) ",,,185.25,185.25,8
CPT,0348U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 25 gene report, with variant analysis and reported phenotypes ",,,734.85,2263.92,46
CPT,0348U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 25 gene report, with variant analysis and reported phenotypes Trauma",,,1781.45,1781.45,6
CPT,0349T,"Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist, when performed) ",,,185.25,185.25,8
CPT,0349U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis, including reported phenotypes and impacted gene-drug interactions ",,,734.85,2263.92,52
CPT,0350T,"Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee, and ankle, when performed) ",,,137.53,137.53,8
CPT,0350U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis and reported phenotypes ",,,1322.73,4075.07,46
CPT,0350U,"Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis and reported phenotypes Trauma",,,3206.62,3206.62,6
CPT,0351T,"Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; real-time intraoperative ",,,,,0
CPT,0351U,"Infectious disease (bacterial or viral), biochemical assays, tumor necrosis factor related apoptosis-inducing ligand interferon gamma induced protein-10, and C-reactive protein, serum, algorithm repor",,,257.89,794.52,53
CPT,0352T,"Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; interpretation and report, real-time or referred ",,,1651.41,1651.41,8
CPT,0352U,"Infectious disease (bact vaginosis and vaginitis), multiplex amplified probe technique, for detection of bacterial vaginosis-assoc bacteria, algorithm reported as detected or not detected and separate",,,,,0
CPT,0353T,"Optical coherence tomography of breast, surgical cavity; real-time intraoperative ",,,,,0
CPT,0353U,"Infectious agent detection by nucleic acid, Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technque, urine, vaginal, pharyngeal or rectal, each pathogen reported as detecte",,,,,0
CPT,0354T,"Optical coherence tomography of breast, surgical cavity; interpretation and report, real-time or referred ",,,1651.41,1651.41,8
CPT,0354U,"Human papilloma virus, high-risk types (ie, 16, 18, 31, 33, 45, 52 and 58) qualitative mRNA expression of E6/E7 by quantitative polymerase chain reaction ",,,,,0
CPT,0355T,"GASTROINTESTINAL TRACT IMAGING, INTRALUMINAL (EG, CAPSULE ENDOSCOPY), COLON, WITH INTERPRETATION AND REPORT ",,,2820.0,5414.0,28
CPT,0355U,"Apol1 (apolipoprotein l1) (eg, chronic kidney disease), risk variants ",,,135.63,417.85,46
CPT,0355U,"Apol1 (apolipoprotein l1) (eg, chronic kidney disease), risk variants Trauma",,,328.8,328.8,6
CPT,0356T,"INSERTION OF DRUG-ELUTING IMPLANT (INCLUDING PUNCTAL DILATION AND IMPLANT REMOVAL WHEN PERFORMED) INTO LACRIMAL CANALICULUS, EACH ",,,1423.0,3251.0,28
CPT,0356U,"Oncology evaluation of 17 DNA biomarkers using droplet digital PCR, cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence ",,,1782.0,5490.0,46
CPT,0356U,"Oncology evaluation of 17 DNA biomarkers using droplet digital PCR, cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence Trauma",,,4320.0,4320.0,6
CPT,0358U,"Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely positive, or negative ",,,257.89,794.52,46
CPT,0358U,"Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely positive, or negative Trauma",,,625.2,625.2,6
CPT,0359U,"Oncology (prostate cancer), analysis of all prostate-specific antigen (psa) structural isoforms by phase separation and immunoassay, plasma, algorithm reports risk of cancer ",,,752.4,2318.0,46
CPT,0359U,"Oncology (prostate cancer), analysis of all prostate-specific antigen (psa) structural isoforms by phase separation and immunoassay, plasma, algorithm reports risk of cancer Trauma",,,1824.0,1824.0,6
CPT,0360U,"Oncology (lung), enzyme-linked immunosorbent assay of 7 autoantibodies, plasma, algorithm reported as a categorical result for risk of malignancy ",,,832.24,2563.98,46
CPT,0360U,"Oncology (lung), enzyme-linked immunosorbent assay of 7 autoantibodies, plasma, algorithm reported as a categorical result for risk of malignancy Trauma",,,2017.56,2017.56,6
CPT,0362U,"Oncology (papillary thyroid cancer), gene-expression profiling via targeted hybrid capture-enrichment rna sequencing of 82 content genes and 10 housekeeping genes, formalin-fixed paraffin embedded (ff",,,3564.0,10980.0,52
CPT,0363U,"Oncology (urothelial), mrna, gene expression profiling by real-time quantitative pcr of 5 genes (mdk, hoxa13, cdc2 ºcdk1», igfbp5, and cxcr2), utilizing urine, algorithm incorporates age, sex, smoking",,,752.4,2318.0,52
CPT,0364U,"Oncology (hematolymphoid neoplasm), genomic seq anal using multiplex (PCR) & next gen seq w altorithm, quantification of dominatnt clonal sequ, reported as presence or absence of minimal residual dise",,,1987.18,6122.11,53
CPT,0365U,"Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of bladder cancer ",,,888.03,2735.85,46
CPT,0365U,"Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of bladder cancer Trauma",,,2152.8,2152.8,6
CPT,0366U,"Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of recurrent bladder cancer ",,,888.03,2735.85,46
CPT,0366U,"Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of recurrent bladder cancer Trauma",,,2152.8,2152.8,6
CPT,0367U,"Oncology (Bladder), analysis of 10 protein biomarkers by immunoassays, urine, diagnostic algorithm reported as a risk score for probability of rapid recurrence of recurrent or persistent cancer follow",,,893.16,2751.65,52
CPT,0368U,"Oncology (colorectal cancer), eval for mutations of APC, BRAF, CTNNB1, KRAS, NRAS, IPK3CA, SMAD4, and TP53, and methylation markers, multiplex quantitative polymerase chain reaction (qPCR), circulatin",,,412.61,1271.18,52
CPT,0369U,"Infection agent detection by nucleic acid, gastrointestinal pathogens, 31 bacterial, viral, and parasitic organisms and identification of 21 associated antibiotic-resistance genes, multiplex amplified",,,,,0
CPT,0370U,"Infectious agent detection by nucleic acid, surgical wound patogens, 34 microorganisms and identification of 21 associated antibiotic-resistance genes, multiplex amplified probe technique, wound swab ",,,,,0
CPT,0371U,"Infectious agent detection by nucleic a3cid, genitourinary pathogen, semiquantitative identification, DNA from 16 bacterial organisms and 1 fungal organism, multiplex amplified probe technique via qua",,,412.61,1271.18,52
CPT,0372U,"Infectious disease (genitourinary pathogens), antibiotic-resistance gene detection, multiplex amplified probe technique, urine, reported as an antimicrobial stewardship risk score ",,,412.61,1271.18,46
CPT,0372U,"Infectious disease (genitourinary pathogens), antibiotic-resistance gene detection, multiplex amplified probe technique, urine, reported as an antimicrobial stewardship risk score Trauma",,,1000.27,1000.27,6
CPT,0373U,"Infectious agent detection by nucleic acid, respiratory tract infection, 17 bacteria, 8 fungus, 13 virus, and 16 antibiotic-resistance genes, multiples amplified probe technique, upper or lower respir",,,,,0
CPT,0374U,"Infectious agent detection by nucleic acid, genitourinary pathogens, identification 21 bacterial and fungal organisms and identification of 21 associated antibiotic-resistance genes, multiplex amplifi",,,,,0
CPT,0375U,"Oncology (ovarian), biochemical assays of 7 proteins (follicle stimulating hormone, human epididymis protein 4, apolipoprotein A-1, transferrin, beta-2 macroglobulin, prea0lbumin, and cancer antigen 1",,,888.03,2735.85,53
CPT,0376T,"INSERTION OF ANTERIOR SEGMENT AQUEOUS DRAINAGE DEVICE, WITHOUT EXTRAOCULAR RESERVOIR, INTERNAL APPROACH, INTO THE TRABECULAR MESHWORK; EACH ADDITIONAL DEVICE INSERTION (LIST SEPARATELY IN ADDITION TO ",,,1423.0,3251.0,28
CPT,0376U,"Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic algorithm determining the risk of distant metastases, and prostate cancer-specific morta",,,699.19,2154.06,52
CPT,0377T,ANOSCOPY WITH DIRECTED SUBMUCOSAL INJECTION OF BULKING AGENT FOR FECAL INCONTINENCE ,,,7583.0,9539.0,28
CPT,0377U,"Cardiovascular disease, quantification of advanced serum or plasma lipoprotein profile, by nuclear magnetic resonance spectrometry with report of a lipoprotein profile (incl 23 variables) ",,,47.1,145.12,47
CPT,0377U,"Cardiovascular disease, quantification of advanced serum or plasma lipoprotein profile, by nuclear magnetic resonance spectrometry with report of a lipoprotein profile (incl 23 variables) Trauma",,,114.19,114.19,6
CPT,0378U,"RFC1 repeat expansion variant analysis by traditional and repeat-primed PCR, blood, saliva, or buccal swab ",,,135.63,417.85,46
CPT,0378U,"RFC1 repeat expansion variant analysis by traditional and repeat-primed PCR, blood, saliva, or buccal swab Trauma",,,328.8,328.8,6
CPT,0379U,"Targeted genomic sequence analysis panel, solid organ neoplasm, DNA (523 genes) and RNA (55 genes) by next-gen seq, interrogation for sequence variants, gene copy number amplifications, gene rearrange",,,3255.62,10029.96,52
CPT,0380U,"Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis, 20 gene variants and CYP2D6 deletion or duplication anaylsis with reported genotype and phenotype ",,,,,0
CPT,0381U,"Maple syrup urine disease monitoring by patient-collected blood card sample, quantitative measurement of allo-isoleucine, leucine, isoleucine, and valine, liquid chromatography with tandem mass spectr",,,43.68,134.57,52
CPT,0382U,"Hyperphenylalaninemia monitoring by patient-collected blood card sample, quantitative measurement of phenylalanine and tyrosine, liquid chromatography with tandem mass spectrometry ",,,51.12,157.5,46
CPT,0382U,"Hyperphenylalaninemia monitoring by patient-collected blood card sample, quantitative measurement of phenylalanine and tyrosine, liquid chromatography with tandem mass spectrometry Trauma",,,123.94,123.94,6
CPT,0383U,"Tyrosinemia typr I monitoring by patient-collected blood card sample, quantitative measurement of tyrosine, phenylalanine, methionine, succinylacetone, nitisinone, liquid chromatography with tandem ma",,,51.53,158.75,52
CPT,0384U,"Nephrology (chronic kidney disease), carboxymethyllysine, methylglyoxal hydroimidazolone, and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry and HbA1c and estimated glomeru",,,742.5,2287.5,52
CPT,0385U,"Nephrology (chronic kidney disease), apolipoprotein A4, CD5 antigen-like, and insulin-like growth factor binding protein 3 by enzyme-linked immunoassay, plasma, algorithm, combining results with HDL, ",,,386.84,1191.79,52
CPT,0387T,"TRANSCATHETER INSERTION OR REPLACEMENT OF PERMANENT LEADLESS PACEMAKER, VENTRICULAR ",,,14839.0,16423.0,28
CPT,0387U,"Oncology, autophagy and beclin 1 revulator 1 and loricrin by immunohistochemistry, formalinfixed paraffin-embedded tissue, report for risk of progression ",,,939.01,2892.92,46
CPT,0387U,"Oncology, autophagy and beclin 1 revulator 1 and loricrin by immunohistochemistry, formalinfixed paraffin-embedded tissue, report for risk of progression Trauma",,,2276.4,2276.4,6
CPT,0388T,"TRANSCATHETER REMOVAL OF PERMANENT LEADLESS PACEMAKER, VENTRICULAR ",,,7583.0,8392.0,20
CPT,0388U,"Oncology, next-generation sequencing with ident of single nucleotide variants, copy number variants, insertions and deletions, and scructural variants in 37 cancer related genes, plasma, with report f",,,3465.0,10675.0,52
CPT,0389U,"Pediatric febrile illness (Kawasaki disease) interferon alphainducible protein 27 and mast cell-expressed membraine protein 1, RNA, using reverse transcription polymerase chain reaction, blood, report",,,69.5,214.11,52
CPT,0390U,"Obstetrics (preeclampsia), kinase insert domain receptor, Endoglin, and retinol-binding protein 4, by immunoassay, serum, algorithm reported as a risk score ",,,63.77,196.45,46
CPT,0390U,"Obstetrics (preeclampsia), kinase insert domain receptor, Endoglin, and retinol-binding protein 4, by immunoassay, serum, algorithm reported as a risk score Trauma",,,154.58,154.58,6
CPT,0391U,"Oncology, DNA and RNA by nex-gen sequencing, utilizing FFPE tissue, 437 genes, interpretive report for single nucleotide variants, splicesite variants, inserts/deletions, copy number alterations, gene",,,3564.0,10980.0,52
CPT,0392T,Lap es sph augment dev place ,,,12760.0,14379.0,28
CPT,0392U,"Drug metabolism (ADHD), gene-drug interactions, variant analysis of 16 genes, including deletion/duplication analysis of CYP2D6, reported as impact of gene-drug interaction for each drug ",,,1322.73,4075.07,46
CPT,0392U,"Drug metabolism (ADHD), gene-drug interactions, variant analysis of 16 genes, including deletion/duplication analysis of CYP2D6, reported as impact of gene-drug interaction for each drug Trauma",,,3206.62,3206.62,6
CPT,0393T,Es sph augmnt device removal ,,,10737.0,13315.0,28
CPT,0393U,"Neurology, cerebrospinal fluid, detection of misfolded a-synuclein protein by see amplification assay, qualitative ",,,535.58,1650.02,47
CPT,0393U,"Neurology, cerebrospinal fluid, detection of misfolded a-synuclein protein by see amplification assay, qualitative Trauma",,,1298.38,1298.38,6
CPT,0394U,"Perfluroalkyl substances, 16 PFAS compounds by liquid chromatography with tandem mass spectrometry, plasma or serum, quantitative ",,,196.75,606.16,46
CPT,0394U,"Perfluroalkyl substances, 16 PFAS compounds by liquid chromatography with tandem mass spectrometry, plasma or serum, quantitative Trauma",,,476.98,476.98,6
CPT,0395U,"Oncology (lung), multi-omics, plasma, algorithm reported as malignancy risk for lung nodules in early-stage disease ",,,789.48,2432.22,46
CPT,0395U,"Oncology (lung), multi-omics, plasma, algorithm reported as malignancy risk for lung nodules in early-stage disease Trauma",,,1913.88,1913.88,6
CPT,0396T,INTRA-OPERATIVE USE OF KINETIC BALANCE SENSOR FOR IMPLANT STABILITY DURING KNEE REPLACEMENT ARTHROPLASTY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) ,,,1423.0,3251.0,28
CPT,0396U,"Obstetrics (pre-impl genetic testing), evaluation of 300000 DNA single-nucleotide polymorphisms by mircoarray, embryonic tissue, algorithm reported as a probability for single-gene germline conditions",,,,,0
CPT,0397T,"Endoscopic retrograde cholangiopancreatography (ERCP), with optical endomicroscopy (List separately in addition to code for primary procedure) ",,,1423.0,2143.0,28
CPT,0398U,"Gastroenterology (Barret esophagus), P16, RUNX3,HPP1, & FBN1 DNA methylation analysis using PCR, FFPE tissue, algorithm reported as risk score for progression to high-grade dysplasia or cancer ",,,1737.45,5352.75,47
CPT,0398U,"Gastroenterology (Barret esophagus), P16, RUNX3,HPP1, & FBN1 DNA methylation analysis using PCR, FFPE tissue, algorithm reported as risk score for progression to high-grade dysplasia or cancer Trauma",,,4212.0,4212.0,6
CPT,0399U,"Neurology (cerebral folate deficiency), serum, detection of anti-human folate receptor IgGbinding antibody and blocking antibodies by enzyme-linked immunoassay, qualitative and blocking autoantibodies",,,297.0,915.0,52
CPT,0400U,"Obstetrics (exp carrier screen), 145 genes by nextgeneration sequencing, fragment analysis and multiplex ligationdependent probe amplification, DNA, reported as carrier positive or negative ",,,1442.31,4443.48,46
CPT,0400U,"Obstetrics (exp carrier screen), 145 genes by nextgeneration sequencing, fragment analysis and multiplex ligationdependent probe amplification, DNA, reported as carrier positive or negative Trauma",,,3496.51,3496.51,6
CPT,0401U,"Cardiology (CAD), 9 genes (12 variants), targeted variant genotyping, blood, saliva, or buccal swab, algorithm reported as a genetic risk score for a coronary event ",,,484.78,1493.52,46
CPT,0401U,"Cardiology (CAD), 9 genes (12 variants), targeted variant genotyping, blood, saliva, or buccal swab, algorithm reported as a genetic risk score for a coronary event Trauma",,,1175.23,1175.23,6
CPT,0402T,"Collagen cross-linking of cornea, including removal of the corneal epithelium, when performed, and intraoperative pachymetry, when performed ",,,1982.0,7493.0,36
CPT,0402U,"Infectious agent, Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, multiples amplified probe technique, vaginal, endocervical, or male urine, each pathogen r",,,141.2,435.02,53
CPT,0403U,"Oncology (Prostate), mRNA, gene expression peofiling of 18 genes, first-catch, algorithm reported as percentage of likelihood of detecting clinical significant prostate cancer ",,,752.4,2318.0,46
CPT,0403U,"Oncology (Prostate), mRNA, gene expression peofiling of 18 genes, first-catch, algorithm reported as percentage of likelihood of detecting clinical significant prostate cancer Trauma",,,1824.0,1824.0,6
CPT,0404T,"TRANSCERVICAL UTERINE FIBROID(S) ABLATION WITH ULTRASOUND GUIDANCE, RADIOFREQUENCY ",,,10737.0,13315.0,28
CPT,0404U,"Oncology (breast), semiquantitative measurement of thymidine kinase activity by immunoassay, serum, results as risk of disease progression ",,,319.73,985.03,47
CPT,0404U,"Oncology (breast), semiquantitative measurement of thymidine kinase activity by immunoassay, serum, results as risk of disease progression Trauma",,,775.1,775.1,6
CPT,0405U,"Oncology (pancreatic), 59 methylation haplotype block markers, next-generation sequencing, plasma, reported as cancer signal detected or not detected ",,,1752.78,5399.96,46
CPT,0405U,"Oncology (pancreatic), 59 methylation haplotype block markers, next-generation sequencing, plasma, reported as cancer signal detected or not detected Trauma",,,4249.15,4249.15,6
CPT,0406T,"NASAL ENDOSCOPY, SURGICAL, ETHMOID SINUS, PLACEMENT OF DRUG ELUTING IMPLANT; ",,,1423.0,3251.0,28
CPT,0406U,"Oncology (lung), flow cytometry, sputum, 5 markers (meso-tetra porphyrin (TCPP), CD206, CD66b, CD3, CD19), algorithm reported as likelihood of lung cancer ",,,752.4,2318.0,46
CPT,0406U,"Oncology (lung), flow cytometry, sputum, 5 markers (meso-tetra porphyrin (TCPP), CD206, CD66b, CD3, CD19), algorithm reported as likelihood of lung cancer Trauma",,,1824.0,1824.0,6
CPT,0407T,"NASAL ENDOSCOPY, SURGICAL, ETHMOID SINUS, PLACEMENT OF DRUG ELUTING IMPLANT; WITH BIOPSY, POLYPECTOMY OR DEBRIDEMENT ",,,1423.0,3251.0,28
CPT,0407U,"Nephrology (diabetic chronic kidney disease), multiplex electrochiluminescent immunoassay of soluble tumor necrosis factor receptor 1, 2, and kidney injury molecule 1 combined with clinical data, plas",,,940.5,2897.5,53
CPT,0408T,"Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator",,,7117.0,83613.0,101
CPT,0408U,"Infectious agent antigen detection by bulk acoustic  wave biosensor immumoassay, severe acute reporatory syndrome conronavirus 2 (COVID-19) ",,,13.99,43.1,46
CPT,0408U,"Infectious agent antigen detection by bulk acoustic  wave biosensor immumoassay, severe acute reporatory syndrome conronavirus 2 (COVID-19) Trauma",,,33.91,33.91,6
CPT,0409T,"Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator",,,15124.0,83613.0,36
CPT,0409U,"Oncology (solid tumor), DNA (80 genes) & RNA (36 genes), by next-generation sequencing from plasma, including single nucleotide variants, insertions, deletions, copy number alterations, microsatellite",,,2890.4,8904.78,52
CPT,0410T,"Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; atrial electrod",,,7117.0,19295.0,93
CPT,0410U,"Oncology (pancreatic), DNA, whole genome sequencing with 5-hydrosymethylcytosine enrichment, whole blood or plasma, algorithm reported as cancer detected or not detected ",,,1148.4,3538.0,46
CPT,0410U,"Oncology (pancreatic), DNA, whole genome sequencing with 5-hydrosymethylcytosine enrichment, whole blood or plasma, algorithm reported as cancer detected or not detected Trauma",,,2784.0,2784.0,6
CPT,0411T,"Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; ventricular ele",,,7117.0,19295.0,101
CPT,0411U,"Psychiatry (eg depression, anxiety, ADHD) genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6 ",,,1322.73,4075.07,46
CPT,0411U,"Psychiatry (eg depression, anxiety, ADHD) genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6 Trauma",,,3206.62,3206.62,6
CPT,0412T,Removal of permanent cardiac contractility modulation system; pulse generator only ,,,7583.0,10719.0,36
CPT,0412U,"Beta amyloid, AB42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry and  ApoE isoform-specific peotyotyping, plasma combined with age ",,,742.5,2287.5,47
CPT,0412U,"Beta amyloid, AB42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry and  ApoE isoform-specific peotyotyping, plasma combined with age Trauma",,,1800.0,1800.0,6
CPT,0413T,Removal of permanent cardiac contractility modulation system; transvenous electrode (atrial or ventricular) ,,,7117.0,10719.0,37
CPT,0413T,Removal of permanent cardiac contractility modulation system; transvenous electrode (atrial or ventricular) Cardiac Cath,,,9333.0,12038.0,64
CPT,0413T,Removal of permanent cardiac contractility modulation system; transvenous electrode (atrial or ventricular) Cardiac Cath and Injections,,,,,0
CPT,0413U,"Oncology (hematolymphoid neoplasm), optical genome mapping for ocpy number alterations, aneuploidy, and balanced/complex structural rearrangements, DNA from blood or bone marrow, report of clinically ",,,1250.89,3853.77,52
CPT,0414T,Removal and replacement of permanent cardiac contractility modulation system pulse generator only ,,,15124.0,83613.0,36
CPT,0414U,"Oncology (lung), augmentative algorithmic analysis of digitized whole slide imaging for 8 genes (ALK, BRAF, EGFR, ERBB2, MET, NTRK1-3, RET, ROSI), and KRAS G12C and PL-L1, if performed, formalin-fixed",,,699.19,2154.06,52
CPT,0415T,Repositioning of previously implanted cardiac contractility modulation transvenous electrode (atrial or ventricular lead) ,,,1982.0,7117.0,29
CPT,0415T,Repositioning of previously implanted cardiac contractility modulation transvenous electrode (atrial or ventricular lead) Cardiac Cath,,,9333.0,12038.0,64
CPT,0415T,Repositioning of previously implanted cardiac contractility modulation transvenous electrode (atrial or ventricular lead) Cardiac Cath and Injections,,,,,0
CPT,0415U,"Cardiovascular disease , IL-16, FAS, FASLigand, HGF, CTACK, EOTAXIN, and MCP-3 by immunoassay combined with age, sex, family history, and personal history of diabetes, blood, algorithm reported as a 5",,,386.84,1191.79,52
CPT,0416T,Relocation of skin pocket for implanted cardiac contractility modulation pulse generator ,,,2820.0,5568.0,36
CPT,0416U,"Infectious agent detection by nucleic acid (DNA), genitourinary pathogens, identification of 20 bacterial and fungal organisms, incl identification of 20 associated antibiotic-resistance genes, if per",,,,,0
CPT,0417U,"Rare diseases (constitutional/heritable disorders), whole mitochordrial genome sequence with heteroplasmy detection and deletion analysis, nuclear-encoded mitochrondrial gene analysis of 335 nuclear g",,,2814.1,8669.72,52
CPT,0418U,"Oncology (breast), augmentative algorithmic analysis of digitized whole slide imaging of 8 histologic and immunohistochemical features, reported as a recurrence score ",,,699.19,2154.06,46
CPT,0418U,"Oncology (breast), augmentative algorithmic analysis of digitized whole slide imaging of 8 histologic and immunohistochemical features, reported as a recurrence score Trauma",,,1695.0,1695.0,6
CPT,0419T,"Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater than 50 neurofibromas ",,,1423.0,3251.0,36
CPT,0419U,"Neuropsychiatry (eg, depression, anxiety), genomic sequence analysis panel, variant analysis of 13 genes, saliva or buccal swab, report of each gene phenotype ",,,1322.73,4075.07,46
CPT,0419U,"Neuropsychiatry (eg, depression, anxiety), genomic sequence analysis panel, variant analysis of 13 genes, saliva or buccal swab, report of each gene phenotype Trauma",,,3206.62,3206.62,6
CPT,0420T,"Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities, extensive, greater than 100 neurofibromas ",,,1423.0,3251.0,36
CPT,0420U,"Oncology (urothelial), mRNA expression profiling by real-time quantitative PCR of MDK HOXA13, CDC2, IGFBP5, and CXCR2 in combination with droplet digital PCR analysis of 6 single-nucleotide polymorphi",,,1315.04,4051.38,52
CPT,0421U,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 8 RNA markers and fecal hemoglobin, algorithm reported as a positive or negative for colorectal cancer risk ",,,503.78,1552.05,46
CPT,0421U,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 8 RNA markers and fecal hemoglobin, algorithm reported as a positive or negative for colorectal cancer risk T",,,1221.29,1221.29,6
CPT,0422T,"Tactile breast imaging by computer-aided tactile sensors, unilateral or bilateral ",,,137.53,137.53,8
CPT,0422U,"Oncology (pan-solid tumor), analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA, biomarker comparison to a previous baseline pre-treatment cell-free circulating D",,,1923.78,5926.79,52
CPT,0423U,"Psychiatry (eg, depression, anxiety), geonomic analysis panel, including variant analysis of 26 genes, buccal swab, report including metabolizer status and risk of drug toxicity by condition ",,,416.78,587.66,12
CPT,0424T,"INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; COMPLETE SYSTEM (TRANSVENOUS PLACEMENT OF RIGHT OR LEFT STIMULATION LEAD, SENSING LEAD, IMPLANTABLE PULSE GENER",,,15124.0,17129.0,28
CPT,0424U,"Oncology (prostate), exosome-based analysis of 53 small noncoding RNAs by quantitative reverse transcription polymerase chain reaction, urine, reported as no molecular evidence, low-, moderate- or ele",,,752.4,2318.0,52
CPT,0425T,INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; SENSING LEAD ONLY ,,,10737.0,13315.0,28
CPT,0425U,"Genome, rapid sequence analysis, each comparator genome ",,,4053.45,12487.89,46
CPT,0425U,"Genome, rapid sequence analysis, each comparator genome Trauma",,,9826.54,9826.54,6
CPT,0426T,INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; STIMULATION LEAD ONLY ,,,14839.0,16423.0,28
CPT,0426U,"Genome, ultra-rapid sequence analysis ",,,7506.38,23125.71,46
CPT,0426U,"Genome, ultra-rapid sequence analysis Trauma",,,18197.28,18197.28,6
CPT,0427T,INSERTION OR REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; PULSE GENERATOR ONLY ,,,14839.0,16423.0,28
CPT,0427U,"Monocyte distribution width, whole blood ",,,4.44,13.66,47
CPT,0427U,"Monocyte distribution width, whole blood Trauma",,,10.75,10.75,6
CPT,0428T,REMOVAL OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; PULSE GENERATOR ONLY ,,,7583.0,9539.0,28
CPT,0428U,"Oncology (breast), targeted hybrid-capture genomic sequence analysis panel, circulating tumor DNA analysis of 56 or more genes, interrogation for sequence variants, gene copy number amplifications, ge",,,,,0
CPT,0429T,REMOVAL OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; SENSING LEAD ONLY ,,,7583.0,9539.0,28
CPT,0429U,"Human papillomavirus (HPV), oropharyngeal swab, 14 high-risk types ",,,34.74,107.02,46
CPT,0429U,"Human papillomavirus (HPV), oropharyngeal swab, 14 high-risk types Trauma",,,84.22,84.22,6
CPT,0430T,REMOVAL OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; STIMULATION LEAD ONLY ,,,7583.0,9539.0,28
CPT,0430U,"Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase and reducing substances, feces, quantitative ",,,60.92,187.7,46
CPT,0430U,"Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase and reducing substances, feces, quantitative Trauma",,,147.7,147.7,6
CPT,0431T,"REMOVAL AND REPLACEMENT OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA, PULSE GENERATOR ONLY ",,,14839.0,16423.0,20
CPT,0431U,"Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative ",,,36.2,111.54,46
CPT,0431U,"Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative Trauma",,,87.77,87.77,6
CPT,0432T,REPOSITIONING OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; STIMULATION LEAD ONLY ,,,7583.0,9539.0,28
CPT,0432U,"Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative ",,,36.2,111.54,46
CPT,0432U,"Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative Trauma",,,87.77,87.77,6
CPT,0433T,REPOSITIONING OF NEUROSTIMULATOR SYSTEM FOR TREATMENT OF CENTRAL SLEEP APNEA; SENSING LEAD ONLY ,,,7583.0,9539.0,28
CPT,0433U,"Oncology (prostate), 5 DNA regulatory markers by quantitative PCR, whole blood, algorithm, including prostate-specific antigen, reported as likelihood of cancer ",,,752.4,2318.0,46
CPT,0433U,"Oncology (prostate), 5 DNA regulatory markers by quantitative PCR, whole blood, algorithm, including prostate-specific antigen, reported as likelihood of cancer Trauma",,,1824.0,1824.0,6
CPT,0434U,"Drug metabolism (adverse drug reactions and drug response), genomic analysis panel, variant analysis of 25 genes with reported phenotypes ",,,412.61,1271.18,46
CPT,0434U,"Drug metabolism (adverse drug reactions and drug response), genomic analysis panel, variant analysis of 25 genes with reported phenotypes Trauma",,,1000.27,1000.27,6
CPT,0435U,"Oncology, chemotherapeutic drug cytotoxicity assay of cancer stem cells, from culturedCSCs and primary tumor cells, categorical drug response reported based on cytotoxicity percentage observed, minimu",,,3003.52,9253.27,52
CPT,0436U,"Oncology (lung), plasma analysis of 388 proteins, using aptamer-based proteomics technology, predictive algorithm reported as clinical benefit from immune checkpoint inhibitor therapy ",,,1489.2,4587.93,46
CPT,0436U,"Oncology (lung), plasma analysis of 388 proteins, using aptamer-based proteomics technology, predictive algorithm reported as clinical benefit from immune checkpoint inhibitor therapy Trauma",,,3610.18,3610.18,6
CPT,0437T,"Implantation of non-biologic or synthetic implant (eg, polypropylene) for fascial reinforcement of the abdominal wall (List separately in addition to code for primary procedure) ",,,1423.0,3251.0,36
CPT,0437U,"Psychiatry (anxiety disorders), mRNA, gene expression profiling by RNA sequencing of 15 biomarkers, whole blood, algorithm reported as predictive risk score ",,,752.4,2318.0,46
CPT,0437U,"Psychiatry (anxiety disorders), mRNA, gene expression profiling by RNA sequencing of 15 biomarkers, whole blood, algorithm reported as predictive risk score Trauma",,,1824.0,1824.0,6
CPT,0438T,"HTransperineal placement of biodegradable material, peri-prostatic (via needle), single or multiple, includes image guidance ",,,7583.0,9539.0,28
CPT,0438U,"Drug metabolism (adverse drug reactions and drug response), buccal specimen, gene-drug interactions, variant analysis of 33 genes, including deletion/duplication analysis of CYP2D6, including reported",,,412.61,1271.18,52
CPT,0439U,"Cardiology (Coronary Heart Disease), DNA, analysis of 5 single-nucleotide polymorphisms and 3 DNA methylation markers, qPCR and digital PCR, whole blood, algorighm reported as a 4-tiered risk score fo",,,845.46,2604.7,52
CPT,0440T,"Ablation, percutaneous, cryoablation, includes imaging guidance; upper extremity distal/peripheral nerve ",,,10737.0,13315.0,36
CPT,0440U,"Cardiology (Coronary Heart Disease), DNA, analysis of 10 single-necleotide polymorphisms (SNPs) and 6 DNA methylation markers, qPCD and digital PCR, whole blood, algorithm reported as detected for CHD",,,845.46,2604.7,52
CPT,0441T,"Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve ",,,10737.0,13315.0,36
CPT,0441U,"Infectious disease (bacterial, fungal or viral infection), semiquantitative biomechanical assessment, whole blood with algorighmic analysis and result reported as an Index ",,,439.64,1354.44,47
CPT,0441U,"Infectious disease (bacterial, fungal or viral infection), semiquantitative biomechanical assessment, whole blood with algorighmic analysis and result reported as an Index Trauma",,,1065.79,1065.79,6
CPT,0442T,"Ablation, percutaneous, cryoablation, includes imaging guidance; nerve plexus or other truncal nerve (eg, brachial plexus, pudendal nerve) ",,,10737.0,13315.0,36
CPT,0442U,"Infectious disease (respiratory infection), Myxovirus resistance protein A and C-reactive protein, fingerstick whole blood specimen, each biomarker reported as present or absent ",,,40.97,126.21,47
CPT,0442U,"Infectious disease (respiratory infection), Myxovirus resistance protein A and C-reactive protein, fingerstick whole blood specimen, each biomarker reported as present or absent Trauma",,,99.31,99.31,6
CPT,0443T,"Real-time spectral analysis of prostate tissue by fluorescence spectroscopy, including imaging guidance (List separately in addition to code for primary procedure) ",,,1423.0,3251.0,36
CPT,0443U,"Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid ",,,115.07,354.5,47
CPT,0443U,"Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid Trauma",,,278.95,278.95,6
CPT,0444T,"Initial placement of a drug-eluting ocular insert under one or more eyelids, including fitting, training, and insertion, unilateral or bilateral ",,,1423.0,3251.0,36
CPT,0444U,"Oncology (solid organ neoplasia), targeted genomic sequence analysis panel of 361 genes, interrogation for gene fusions, translocations, or other rearrangements, using DNA from formalin-fixed paraffin",,,2890.4,8904.78,52
CPT,0445T,"Subsequent placement of a drug-eluting ocular insert under one or more eyelids, including re-training, and removal of existing insert, unilateral or bilateral ",,,1423.0,3251.0,36
CPT,0445U,"B-amyloid and phosphotau, electrochemiluminescent immunoassay, cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology ",,,257.89,794.52,47
CPT,0445U,"B-amyloid and phosphotau, electrochemiluminescent immunoassay, cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology Trauma",,,625.2,625.2,6
CPT,0446T,"Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation and patient training ",,,1423.0,3251.0,36
CPT,0446U,"Autoimmune diseases (systemic lupus erythematosus), analysis of 10 cytokine soluble mediator biomarkers by immunoassay, plasma, individual components reported with an algorithmic risk score for curren",,,832.24,2563.98,52
CPT,0447T,Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision ,,,1423.0,3251.0,36
CPT,0447U,"Autoimmune diseases, analysis of 11 cytokine soluble mediator biomarkers by immunoassay, plasma, individual components reported with an algorithmic prognostic risk score for developing a clinical flar",,,832.24,2563.98,52
CPT,0448T,"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor, including system activation ",,,1423.0,3251.0,36
CPT,0448U,"Oncology (lung and colon cancer), DNA, qualitative, next-generation sequencing detection of single-nucleotide variants and deletions in EFGR and KRAS genes, formalin-fixed paraffin-embedded solid tumo",,,,,0
CPT,0449T,"Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device ",,,10737.0,13315.0,36
CPT,0449U,"Carrier screening for severe inherited conditions (CF, spinal musc atrophy, beta hemoglobinopathies), regardless of race or self-identified ancestry, genomic sequence analysis panel, must include anal",,,1806.63,5565.88,53
CPT,0450T,"Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; each additional device (List separately in addition to code for primary procedur",,,1423.0,3251.0,36
CPT,0450U,"Oncology (Multiple myloma),liquid chromatography with tandem mass spectrometry (LCMS/MS),monoclonal paraprotein sequencing analysis,serum,results reported as baseline presence or absence of detectable",,,,,0
CPT,0451U,"Oncology (multiple myeloma), LCMC/MS,peptide ion quantification, serun, results compared with baseline to determine monoclonal paraprotein abundance ",,,,,0
CPT,0452U,"Oncology (bladder),methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTR-qMSP),urine reported as likelihood of bladder cancer ",,,190.08,585.6,46
CPT,0452U,"Oncology (bladder),methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTR-qMSP),urine reported as likelihood of bladder cancer Trauma",,,460.8,460.8,6
CPT,0453U,"Oncology (colorectal cancer),cellfree DNA (cfDNA),methylationbased quantitative PCR assay (SEPTIN9,IKZF1,BCATI,Septin9-2,VAV3,BCAN),plasma,reported as presence or absence of circulating tumor DNA ",,,190.08,585.6,46
CPT,0453U,"Oncology (colorectal cancer),cellfree DNA (cfDNA),methylationbased quantitative PCR assay (SEPTIN9,IKZF1,BCATI,Septin9-2,VAV3,BCAN),plasma,reported as presence or absence of circulating tumor DNA Trau",,,460.8,460.8,6
CPT,0454U,"Rare diseases (constitutional/heritable disorders),identification of copy number variations,inversions,insertions,translocations,and other structural variants by optical genome mapping ",,,1250.89,3853.77,46
CPT,0454U,"Rare diseases (constitutional/heritable disorders),identification of copy number variations,inversions,insertions,translocations,and other structural variants by optical genome mapping Trauma",,,3032.47,3032.47,6
CPT,0455U,"Infectious agents (Sexually transmitted infection),Chlamydia tracomatic, Neisseria gonorrhoeae,and Trichomonas vaginalis,multiples amplified probe technique,vaginal,endocervical,gynecological specimen",,,141.2,435.02,53
CPT,0456U,"Autoimmune (Rheumatoid arthritis),next-gen sequencing (NGS),gene expression testing of 19 genes,whole blood,with analysis of anticyclic citrullinated peptides (CCP) levels,combined with sex,patient gl",,,,,0
CPT,0457U,"Perfluoroalkyl substances (PFAS) (eg perfluorooctanoic acid, perflurooctaine sulfonic acid),9 PFAS compounds by LC-MS/MS,plasma or serum, quantitative ",,,196.75,606.16,46
CPT,0457U,"Perfluoroalkyl substances (PFAS) (eg perfluorooctanoic acid, perflurooctaine sulfonic acid),9 PFAS compounds by LC-MS/MS,plasma or serum, quantitative Trauma",,,476.98,476.98,6
CPT,0458U,"Oncology (breast cancer),S100A8 and S100A9,by enzymelinked immunosorbent assay (ELISA),terafluid with age, algorithm reported as a risk score ",,,257.89,794.52,46
CPT,0458U,"Oncology (breast cancer),S100A8 and S100A9,by enzymelinked immunosorbent assay (ELISA),terafluid with age, algorithm reported as a risk score Trauma",,,625.2,625.2,6
CPT,0459U,"B-amyloid (Abeta42) and total tau (tTau), electrochemiluminescent immunoassay (ECLIA), cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology ",,,257.89,794.52,47
CPT,0459U,"B-amyloid (Abeta42) and total tau (tTau), electrochemiluminescent immunoassay (ECLIA), cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology Trauma",,,625.2,625.2,6
CPT,0460U,"Oncology, whole blood or buccal,DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes, with variant analysis and reported phenotypes ",,,907.91,2797.09,46
CPT,0460U,"Oncology, whole blood or buccal,DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes, with variant analysis and reported phenotypes Trauma",,,2200.99,2200.99,6
CPT,0461U,"Oncology,parmacogenomic analysis of single-necleotide polymorphism (SNP)genotyping by real time PCR of 24 genes,whole blood or buccal swab,with variant analysis, incl impacted gene-drug interactions ",,,907.91,2797.09,46
CPT,0461U,"Oncology,parmacogenomic analysis of single-necleotide polymorphism (SNP)genotyping by real time PCR of 24 genes,whole blood or buccal swab,with variant analysis, incl impacted gene-drug interactions T",,,2200.99,2200.99,6
CPT,0462U,"Melatonin levels test,sleep study,7 or 9 sample melatonin profile (cortisol optional),enzyme-linked immunosorbent assay (ELISA),saliva screening/preliminary ",,,17.1,52.67,46
CPT,0462U,"Melatonin levels test,sleep study,7 or 9 sample melatonin profile (cortisol optional),enzyme-linked immunosorbent assay (ELISA),saliva screening/preliminary Trauma",,,41.45,41.45,6
CPT,0463U,"Oncology (cervix),mRNA gene expression profiling of 14 biomarkers (E6&E7 of the highest-risk human papillomavirus (HPV) types 16,18,31,33,42,52,58),by real time nucleic acid sequence-based amplifica ",,,752.4,2318.0,46
CPT,0463U,"Oncology (cervix),mRNA gene expression profiling of 14 biomarkers (E6&E7 of the highest-risk human papillomavirus (HPV) types 16,18,31,33,42,52,58),by real time nucleic acid sequence-based amplifica T",,,1824.0,1824.0,6
CPT,0464U,"Oncology (colorectal) screening,quantitative real-time target and signal amplification,methylated DNA markers,incl LASS4,LRRC4 and PPP24RC,a reference marker ZDHHC1,and a protein marker (fecal hemoglo",,,586.0,1805.36,53
CPT,0465U,"Oncology (urothelial carcinoma),DNA,quantitative methylationspecific PCR of 2 genes (ONECUT2,VIM),algorithmic analysis reported as positive or negative ",,,1918.63,5910.93,47
CPT,0465U,"Oncology (urothelial carcinoma),DNA,quantitative methylationspecific PCR of 2 genes (ONECUT2,VIM),algorithmic analysis reported as positive or negative Trauma",,,4651.22,4651.22,6
CPT,0466U,"Cardiology (Coronary artery disease (CAD)),DNA,genomewide association studies (564856 single-nucleotide polymorphisms (SNPs),targeted variant genotyping),patient lifestyle & clinical data,buccal swab,",,,341.98,1053.56,52
CPT,0467U,"Oncology (bladder),DNA,nextgeneration sequencing (NGS) of 60 genes and whole genome aneuploidy,urine,altorighms reported as minimal residual disease (MRD) status positive or negative and quantitative ",,,1503.87,4633.13,52
CPT,0468U,"Hepatology (nonalcoholic steatohepatitis(NASH)),miR-34a5p,alpha 2-macroglobulin, YKL40, HbA1c, serum and whole blood, algorithm reported as a single score for NASH activity & fibrosis ",,,249.18,767.68,46
CPT,0468U,"Hepatology (nonalcoholic steatohepatitis(NASH)),miR-34a5p,alpha 2-macroglobulin, YKL40, HbA1c, serum and whole blood, algorithm reported as a single score for NASH activity & fibrosis Trauma",,,604.08,604.08,6
CPT,0469T,"Retinal polarization scan, ocular screening with on-site automated results, bilateral ",,,,,0
CPT,0469U,"Rare diseases (constitutional/heritble disorders),whole genome seq analysis for chromosonal abnormalities, copy number variants,duplications,deletions,inversions,unbalanced translocations,regions of ",,,1185.96,3653.72,46
CPT,0469U,"Rare diseases (constitutional/heritble disorders),whole genome seq analysis for chromosonal abnormalities, copy number variants,duplications,deletions,inversions,unbalanced translocations,regions of T",,,2875.06,2875.06,6
CPT,0470U,"Oncology (oropharyngeal),detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets,cell-free HPV 15 and 18 DNA from plasma ",,,591.93,1823.63,46
CPT,0470U,"Oncology (oropharyngeal),detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets,cell-free HPV 15 and 18 DNA from plasma Trauma",,,1434.98,1434.98,6
CPT,0471U,"Oncology (colorectal cancer),qualitative real-time PCR of 35 variants of KRAS & NRAS genes (exons 2,3,4),formalinfixed paraffine-embedded (FFPE),predictive,identification of detected mutations ",,,752.4,2318.0,47
CPT,0471U,"Oncology (colorectal cancer),qualitative real-time PCR of 35 variants of KRAS & NRAS genes (exons 2,3,4),formalinfixed paraffine-embedded (FFPE),predictive,identification of detected mutations Trauma",,,1824.0,1824.0,6
CPT,0472U,"Carbonic anhydrase VI (CA VI),paraotid specific/secretory protein (PSP) and salivary protein (SP1 IgG,IgM,IgA antibodies, enzyme-linked immunosorbent assay (ELISA), semiqualitative,blood,reported as ",,,27.62,85.09,46
CPT,0472U,"Carbonic anhydrase VI (CA VI),paraotid specific/secretory protein (PSP) and salivary protein (SP1 IgG,IgM,IgA antibodies, enzyme-linked immunosorbent assay (ELISA), semiqualitative,blood,reported as T",,,66.96,66.96,6
CPT,0473U,"Oncology (solid tumor),nextgeneration sequencing (NGS) of DNA from formalin-fixed paraffinembedded (FFPE) tissue with comparative sequence analysis from a matched normal specimen (blood or saliva), 68",,,4455.0,13725.0,53
CPT,0474T,"Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space ",,,12863.0,12863.0,8
CPT,0474U,"Hereditary pan-cancer (eg, Hereditary sarcomas, hereditary endocrine tumors, hereditary cutaneous melanoma),genomic sequence analysis panel of 88 genes with 20 duplications/deletions using nextgen ",,,1290.91,3977.05,46
CPT,0474U,"Hereditary pan-cancer (eg, Hereditary sarcomas, hereditary endocrine tumors, hereditary cutaneous melanoma),genomic sequence analysis panel of 88 genes with 20 duplications/deletions using nextgen Tra",,,3129.48,3129.48,6
CPT,0475U,"Hereditary prostate cancer-related disorders,genomic sequence analysis panel using next-generation sequencing (NGS),Sanger sequencing, multiplex ligation-dependent probe amplification (MLPA),and array",,,1290.91,3977.05,52
CPT,0476U,"Drug metabolism, psychiatry (eg major depressive disorder, general anxiety disorder, ADHD, schizophrenia), whole blood, buccal swab, and pharmacogenomic genotyping of 14 genes and CYP2D6 copy number v",,,412.61,1271.18,52
CPT,0477U,"Drug metabolism, psychiatry (ev major depressive disorder, general anxiety disorder, ADHD, schizophrenia), whole blood buccal swab, and pharmacogenomic genotyping of 14 genes and CYP2D6 copy number va",,,412.61,1271.18,52
CPT,0478U,"Oncology (non-small cell lung cancer), DNA and RNA, digital PCR analysis of 9 genes (EGFR, KRAS, BRAF, ALK, ROS1, RET, NTRK 1/2/3, ERBB2, and Met) in formalin-fixed paraffin-embedded (FFPE) tissue, in",,,547.46,1686.62,52
CPT,0479T,"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof, or 1% of body surface area of infants and children ",,,4009.0,4009.0,8
CPT,0479U,"Tau, phosphorylated, pTau217 ",,,17.1,52.67,46
CPT,0479U,"Tau, phosphorylated, pTau217 Trauma",,,41.45,41.45,6
CPT,0480T,"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part ther",,,2143.0,2143.0,8
CPT,0480U,"Infectious disease (bacteria, viruses, fungi, and parasites), cerebrospinal fluid, metagenomic next-generation sequencing (DNA and RNA), bioinformatic analysis, with positive pathogen identification ",,,2104.94,6484.91,46
CPT,0480U,"Infectious disease (bacteria, viruses, fungi, and parasites), cerebrospinal fluid, metagenomic next-generation sequencing (DNA and RNA), bioinformatic analysis, with positive pathogen identification T",,,5102.88,5102.88,6
CPT,0481T,"Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image guidance, harvesting and preparation, when performed ",,,2143.0,2143.0,8
CPT,0481U,"IDH1, IDH2, and TERT promoter (eg, central nervous system tumors), next-generatin sequencing (single-nucleotide variants (SNV), deletions, and insertions) ",,,667.5,2056.43,46
CPT,0481U,"IDH1, IDH2, and TERT promoter (eg, central nervous system tumors), next-generatin sequencing (single-nucleotide variants (SNV), deletions, and insertions) Trauma",,,1618.18,1618.18,6
CPT,0482U,"Obstetrics (preeclampsia), biochemical assay of suoluble fms-like tyrosine kinasi 1 and placental growth factor, serum, ratio reported for sFIt-1/PIGF, with risk of progression for preeclampsia with s",,,127.53,392.9,52
CPT,0483T,"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed ",,,8577.0,8577.0,8
CPT,0483U,"Infectios disease (Neisseria gonorrhoeae), sensitivity, ciprofloxacin resistance (gyrA S91F point mutation), oral, rectal, or vaginal swab, algorithm reported as probability of fluoroquinolone resista",,,34.74,107.02,52
CPT,0484T,"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical) ",,,8577.0,8577.0,8
CPT,0484U,"Infectious disease (Mycoplasma genitalium), macrolide sensitivity (23S rRNA point mutation), oral, rectal or vaginal sway, algorithm reported as probability of macrolide resistance ",,,34.74,107.02,46
CPT,0484U,"Infectious disease (Mycoplasma genitalium), macrolide sensitivity (23S rRNA point mutation), oral, rectal or vaginal sway, algorithm reported as probability of macrolide resistance Trauma",,,84.22,84.22,6
CPT,0485U,"Oncology (solid tumor), cell-free DNA and RNA by next-generation sequencing, interpretative report for germline mutations, clonal hematopoiesis of indeterminate potential, and tumor-derived single-nuc",,,3612.99,11130.91,52
CPT,0486U,"Oncology (pan-solid tumor), next-generation sequencing analysis of tumor methylation markers present in cell-free circulating tumor DNA, algorithm reported as quantitative measurement of methylation a",,,1627.81,5014.96,52
CPT,0487U,"Oncology (solid tumor), cell-free circulating DNA, targeted, genomic sequence analysis panel of 84 genes, interrogation for sequence variants, aneuploidy-corrected gene copy number amplifications and ",,,2890.4,8904.78,52
CPT,0488U,"Obstetrics (fetal antigen noninvasive prenatal test), cell-free DNA sequence analysis for detection of fetal presence or absence of 1 or more of the Rh, C, c, D, E, Duffy, or Kell antigen in alloimmun",,,751.46,2315.1,52
CPT,0489T,"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; adipose tissue harvesting, isolation and preparation of harvested cells including incubation with cell dissociation e",,,8577.0,8577.0,8
CPT,0489U,"Obstetrics (single gene noninvasive prenatal test), cell-free DNA sequence analysis of 1 or more targets to identify paternally inherited pathogenic variants, and relative mutation-dosage analysis bas",,,1142.08,3518.54,52
CPT,0490T,Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands ,,,8577.0,8577.0,8
CPT,0490U,"Oncology (cutaneous or uveal melanoma), circulating tumor cell selection, morphological characterization and enumeration based on differential CD146, high molecular-weight melanoma- associated antigen",,,2410.65,7426.75,52
CPT,0491U,"Oncology (solid tumor), circulating tumor cell selection, morphological characterization and enumeration based on differential epithelial cell adhesion molecule, cytokeratins 8, 18 & 19, CD45 protein ",,,2410.65,7426.75,53
CPT,0492U,"Oncology (solid tumor), circulating tumor cell selection, morphological characterization and enumeration based on differential epithelial cell adhesion molecule (EpCAM), cytokeratins 8, 18 & 19, CD45 ",,,2410.65,7426.75,53
CPT,0493U,"Transplantation medicine, quantification of donor-derived cell-free DNA (cfDNA) using next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA ",,,2725.72,8397.41,46
CPT,0493U,"Transplantation medicine, quantification of donor-derived cell-free DNA (cfDNA) using next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA Trauma",,,6607.8,6607.8,6
CPT,0494T,"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion system, and cold preservatio",,,8577.0,8577.0,8
CPT,0494U,"Red blood cell antigen (fetal RhD gene analysis), next-generation sequencing of circulating cell-free DNA (cfDNA) of blood in pregnant individuals known to be RhD negative, reported as positive or neg",,,751.46,2315.1,52
CPT,0495T,"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional, including physiological and laboratory assessment (eg, pu",,,8577.0,8577.0,8
CPT,0495U,"Oncology (prostate), analysis of circulating plasma proteins (tPSA, fPSA, KLK2, PSP94 and GDF15), germline polygenic risk score (60 variants), clinical information (age, family history of prostate can",,,752.4,2318.0,52
CPT,0496T,"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional, including physiological and laboratory assessment (eg, pu",,,8577.0,8577.0,8
CPT,0496U,"Oncology (colorectal), cell-free DNA, 8 genes for mutations, 7 genes for methylation by real-time RT-PCR, and 4 proteins by enzyme-linked immunosorbent assay, blood, reported positive or negative for ",,,481.0,1481.87,52
CPT,0497U,"Oncology (prostate), mRNA gene-expression profiling by real-time RT-PCR of 6 genes (FOXM1, MCM3, MTUS1, TTC21B, ALAS1, PPP2CA), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm repo",,,3834.27,11812.65,52
CPT,0498U,"Oncology (colorectal), next-generation seequencing for mutation detection in 43 genes and methylation pattern in 45 genes, blood and formalin-fixed paraffin-embedded (FFPE) tissue, report of variants ",,,1331.86,4103.2,52
CPT,0499U,"Oncology (colorectal and lung), DNA from formalin-fixed paraffin-embedded (FFPE) tissue, next-generation sequencing of 8 genes (NRAS, EGFR, CTNNB1, PIK3CA, APC, BRAF, KRAS and TP53), mutation detectio",,,591.93,1823.63,52
CPT,0500T,"Infectious agent detection by nucleic acid (DNA or RNA), Human Papillomavirus (HPV) for five or more separately reported high-risk HPV types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) (i",,,,,0
CPT,0500U,"Autoinflammatory disease (VEXAS syndrome), DNA, UBA1 gene mutations, targeted variant analysis (M41T, M41V, M41L, c. 118-2A>C, c.118-1G>C, c.118-9_118-2del, S56F, S621C) ",,,173.65,534.97,46
CPT,0500U,"Autoinflammatory disease (VEXAS syndrome), DNA, UBA1 gene mutations, targeted variant analysis (M41T, M41V, M41L, c. 118-2A>C, c.118-1G>C, c.118-9_118-2del, S56F, S621C) Trauma",,,420.96,420.96,6
CPT,0501U,"Oncology (colorectal), blood, quantitative measurement of cell-free DNA (cfDNA) ",,,190.08,585.6,46
CPT,0501U,"Oncology (colorectal), blood, quantitative measurement of cell-free DNA (cfDNA) Trauma",,,460.8,460.8,6
CPT,0502U,"Human papillomavirus (HPC), E6/E7 markers for high-risk types (16,18,31,33,35,39,45,51,52,56,58,59,66 and 68), cervical cells, branched-chain capture hybridization, reported as negative or positive fo",,,34.74,107.02,52
CPT,0503U,"Neurology (Lazheimer disease), beta amyloid (AB40,AB42,AB42/40 ratio) and tau-protein (ptau217, np-tau217, ptau217/np-tau217 ratio), blood, immunoprecipitation with quantitation by liquid chomatograph",,,742.5,2287.5,52
CPT,0504U,"Infectious disease (urinary tract infection), identification of 17 pathologic organisms, urine, real-time PCR, reported as positive or negative for each organism ",,,412.61,1271.18,47
CPT,0504U,"Infectious disease (urinary tract infection), identification of 17 pathologic organisms, urine, real-time PCR, reported as positive or negative for each organism Trauma",,,1000.27,1000.27,6
CPT,0505T,"Endovenous femoral-popliteal arterial revascularization, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultraso",,,19295.0,19295.0,8
CPT,0505U,"Infectious disease (vaginal infection), identification of 32 pathogenic organisms, swab, real-time PCR, reported as positive or negative for each organism ",,,672.97,2073.3,46
CPT,0505U,"Infectious disease (vaginal infection), identification of 32 pathogenic organisms, swab, real-time PCR, reported as positive or negative for each organism Trauma",,,1631.45,1631.45,6
CPT,0506U,"Gastroenterology (Barrett's esophagus), esophageal cells, DNA methylation analysis by next-generation sequencing of at least 89 differentially methylated genomic regions, algorithm reported as likelih",,,1918.63,5910.93,52
CPT,0507U,"Oncology (ovarian), DNA, whole-genome sequencing with 5-hydroxymethylcytosine (5hmC) enrichment, using whole blood or plasma, algorithm reported as cancer detected or not detected ",,,1148.4,3538.0,46
CPT,0507U,"Oncology (ovarian), DNA, whole-genome sequencing with 5-hydroxymethylcytosine (5hmC) enrichment, using whole blood or plasma, algorithm reported as cancer detected or not detected Trauma",,,2784.0,2784.0,6
CPT,0510T,Removal of sinus tarsi implant ,,,10719.0,10719.0,8
CPT,0510U,"Oncology (pancreatic cancer), augumentative algorithmic analysis of 16 genes from previously sequenced RNA whole-transcriptome data, reported as probability of predicted molecular subtype ",,,469.17,1445.43,46
CPT,0510U,"Oncology (pancreatic cancer), augumentative algorithmic analysis of 16 genes from previously sequenced RNA whole-transcriptome data, reported as probability of predicted molecular subtype Trauma",,,1137.38,1137.38,6
CPT,0511T,Removal and reinsertion of sinus tarsi implant ,,,7493.0,7493.0,8
CPT,0511U,"Oncology (solid tumor), tumor cell culture in 3D microenvironment, 36 or more drug panel, reported as tumor-response prediction for each drug ",,,3003.52,9253.27,46
CPT,0511U,"Oncology (solid tumor), tumor cell culture in 3D microenvironment, 36 or more drug panel, reported as tumor-response prediction for each drug Trauma",,,7281.26,7281.26,6
CPT,0512T,"Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; initial wound ",,,2143.0,2143.0,8
CPT,0512U,"Oncology (prostate), augmentative algorithmic analysis of digitized whole-slide imaging of histologic features for microsatellite instability (MSI) status, formalin-fixed paraffin-embedded (FFPE) tiss",,,699.19,2154.06,52
CPT,0513T,"Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; each additional wound (List separately in addition to code for primary procedure) ",,,2143.0,2143.0,8
CPT,0513U,"Oncology (prostate), augmentative algorighmic analysis of digitized whole-slide imaging of histologic features for microsatellite instability (MSI) and homologous recombination deficience (HRD) status",,,699.19,2154.06,52
CPT,0514U,"Gastroenterology (irritable bowel disease (IBD), immunoassay for quantitative determination of adalimumab (ADL) levels in venous serum in patients undergoing adalimumab therapy, results reported as a ",,,38.18,117.64,52
CPT,0515T,"Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; complete system (inclu",,,83613.0,83613.0,8
CPT,0515U,"Gastoenterology (irritable bowel disease (IBD)), immunoassay for quantitative determination of infliximab (IFX) levels in venous serum in patients undergoing infliximab therapy, results reported as a ",,,38.18,117.64,52
CPT,0516T,"Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; electrode only ",,,19295.0,19295.0,8
CPT,0516U,"Drug metabolism, whole blood, pharmacogenomic genotyping of 40 genes and CYP2D6 copy number variant analysis, reported as metabolizer status ",,,412.61,1271.18,46
CPT,0516U,"Drug metabolism, whole blood, pharmacogenomic genotyping of 40 genes and CYP2D6 copy number variant analysis, reported as metabolizer status Trauma",,,1000.27,1000.27,6
CPT,0517T,"Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; both components of pul",,,19295.0,19295.0,8
CPT,0517U,"Therapeutic drug monitoring, 80 or more psychoactive drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therapeutic minimally and maximally effective dose of prescribed and non-prescr",,,244.45,753.11,52
CPT,0518T,Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; battery component only ,,,10719.0,10719.0,8
CPT,0518U,"Therapeutic drug monitoring, 90 or more pain and mental health drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therpeutic minimally effective range of prescribed and non-prescribed",,,244.45,753.11,52
CPT,0519T,"Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; both components (battery and transmitter) ",,,10719.0,10719.0,8
CPT,0519U,"Therapeutic drug monitoring, medications specific to pain, depression, and anxiety, LC-MS/MS, plasma, 110 or more drugs or substances, qualitative and quantitative therpeutic minimally effective range",,,244.45,753.11,52
CPT,0520T,"Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only ",,,83613.0,83613.0,8
CPT,0520U,"Therapeutic drug monitoring, 200 or more drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therpeutic minimally effective range of prescribed and non-prescribed medications ",,,244.45,753.11,46
CPT,0520U,"Therapeutic drug monitoring, 200 or more drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therpeutic minimally effective range of prescribed and non-prescribed medications Trauma",,,592.61,592.61,6
CPT,0523T,"Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree, derived from coronary angiogram data, for real-time review and interp",,,2143.0,2143.0,8
CPT,0524T,"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or percutaneous, including all vascular access, catheter manipulation, diagnostic imaging, ima",,,10719.0,10719.0,8
CPT,0525T,"Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; complete system ",,,19295.0,19295.0,8
CPT,0526T,"Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; electrode only ",,,19295.0,19295.0,8
CPT,0527T,"Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; implantable moni",,,19295.0,19295.0,8
CPT,0530T,"Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; complete system (electrode and implantable monitor) ",,,10719.0,10719.0,8
CPT,0531T,"Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; electrode only ",,,10719.0,10719.0,8
CPT,0532T,"Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; implantable monitor only ",,,10719.0,10719.0,8
CPT,0532U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome and mitochondrial DNA sequencing for single-nucleotide variants, insertions/deletions, copy number variations ",,,4980.89,15345.16,46
CPT,0532U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome and mitochondrial DNA sequencing for single-nucleotide variants, insertions/deletions, copy number variations Trauma",,,12074.88,12074.88,6
CPT,0533U,"Drug metabolism (adverse drug reactions and drug response), genotyping of 16 genes (ie, ABCG2, CYP2B6, CYP2C9, CYP2C19, CYP2C, CYP2D6, CYP3A5, CYP4F2, DPYD, G6PD, GGCX, NUDT15, SLCO1B1, TPMT, ",,,412.61,1271.18,46
CPT,0533U,"Drug metabolism (adverse drug reactions and drug response), genotyping of 16 genes (ie, ABCG2, CYP2B6, CYP2C9, CYP2C19, CYP2C, CYP2D6, CYP3A5, CYP4F2, DPYD, G6PD, GGCX, NUDT15, SLCO1B1, TPMT, Trauma",,,1000.27,1000.27,6
CPT,0535U,"Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), by liquid chromatography with tandem mass spectrometry (LC-MS/MS), plasma or serum, quantitative ",,,61.52,189.53,46
CPT,0535U,"Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), by liquid chromatography with tandem mass spectrometry (LC-MS/MS), plasma or serum, quantitative Trauma",,,149.14,149.14,6
CPT,0536U,"Red blood cell antigen (fetal RhD), PCR analysis of exon 4 of RHD gene and housekeeping control gene GAPDH from whole blood in pregnant individuals at 10+ weeks gestation ",,,190.08,585.6,46
CPT,0536U,"Red blood cell antigen (fetal RhD), PCR analysis of exon 4 of RHD gene and housekeeping control gene GAPDH from whole blood in pregnant individuals at 10+ weeks gestation Trauma",,,460.8,460.8,6
CPT,0537U,"Oncology (colorectal cancer), analysis of cell-free DNA for epigenomic patterns, nextgeneration sequencing, >2500 differentially methylated regions (DMRs), plasma, algorithm reported as pos or neg ",,,1480.05,4559.75,46
CPT,0537U,"Oncology (colorectal cancer), analysis of cell-free DNA for epigenomic patterns, nextgeneration sequencing, >2500 differentially methylated regions (DMRs), plasma, algorithm reported as pos or neg Tra",,,3588.0,3588.0,6
CPT,0538U,"Oncology (solid tumor), nextgeneration targeted sequencing analysis, formalin-fixed paraffinembedded (FFPE) tumor tissue, DNA analysis of 600 genes, interrogation for singlenucleotide variants, inse ",,,2959.65,9118.13,52
CPT,0539U,"Oncology (solid tumor), cell-free circulating tumor DNA (ctDNA), 152 genes, next-generation sequencing, interrogation for single-nucleotide variants, insertions/deletions, gene rearrangements ",,,3255.62,10029.96,46
CPT,0539U,"Oncology (solid tumor), cell-free circulating tumor DNA (ctDNA), 152 genes, next-generation sequencing, interrogation for single-nucleotide variants, insertions/deletions, gene rearrangements Trauma",,,7892.42,7892.42,6
CPT,0540U,"Transplantation medicine, quantification of donorderived cell-free DNA using next-generation sequencing analysis of plasma, reported as percentage of donor-derived cell-free DNA to determine ",,,2725.72,8397.41,46
CPT,0540U,"Transplantation medicine, quantification of donorderived cell-free DNA using next-generation sequencing analysis of plasma, reported as percentage of donor-derived cell-free DNA to determine Trauma",,,6607.8,6607.8,6
CPT,0541T,"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia, by signal acquisition using minimum 36 channel grid, generation of magnetic-field time-series images, quantitative an",,,,,0
CPT,0542T,"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia, by signal acquisition using minimum 36 channel grid, generation of magnetic-field time-series images, quantitative an",,,,,0
CPT,0543T,"Transapical mitral valve repair, including transthoracic echocardiography, when performed, with placement of artificial chordae tendineae ",,,7117.0,8577.0,9
CPT,0543T,"Transapical mitral valve repair, including transthoracic echocardiography, when performed, with placement of artificial chordae tendineae Cardiac Cath",,,9333.0,12038.0,64
CPT,0543T,"Transapical mitral valve repair, including transthoracic echocardiography, when performed, with placement of artificial chordae tendineae Cardiac Cath and Injections",,,,,0
CPT,0543U,"Oncology (solid tumor), next-generation sequencing of DNA from formalin-fixed paraffinembedded (FFPE) tissue of 517 genes, interrogation for single-nucleotide variants, multinucleotide variants ",,,2959.65,9118.13,47
CPT,0543U,"Oncology (solid tumor), next-generation sequencing of DNA from formalin-fixed paraffinembedded (FFPE) tissue of 517 genes, interrogation for single-nucleotide variants, multinucleotide variants Trau",,,7174.92,7174.92,6
CPT,0544T,"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture ",,,7117.0,8577.0,9
CPT,0544T,"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture Cardiac Cath",,,9333.0,12038.0,64
CPT,0544T,"Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture Cardiac Cath and Injections",,,,,0
CPT,0545T,"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach ",,,7117.0,8577.0,9
CPT,0545T,"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach Cardiac Cath",,,9333.0,12038.0,64
CPT,0545T,"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach Cardiac Cath and Injections",,,,,0
CPT,0545U,"Acetylcholine receptor (AChR), antibody identification by immunofluorescence, using live cells, reported as positive or negative ",,,37.35,115.08,47
CPT,0545U,"Acetylcholine receptor (AChR), antibody identification by immunofluorescence, using live cells, reported as positive or negative Trauma",,,90.55,90.55,6
CPT,0546T,"Radiofrequency spectroscopy, real time, intraoperative margin assessment, at the time of partial mastectomy, with report ",,,,,0
CPT,0546U,"Low-density lipoprotein receptor-related protein 4 (LRP4), antibody identification by immunofluorescence, using live cells, reported as positive or negative ",,,37.35,115.08,46
CPT,0546U,"Low-density lipoprotein receptor-related protein 4 (LRP4), antibody identification by immunofluorescence, using live cells, reported as positive or negative Trauma",,,90.55,90.55,6
CPT,0547T,"Bone-material quality testing by microindentation(s) of the tibia(s), with results reported as a score ",,,447.25,447.25,8
CPT,0547U,"Neurofilament light chain (NfL), chemiluminescent enzyme immunoassay, plasma, quantitative ",,,115.07,354.5,46
CPT,0547U,"Neurofilament light chain (NfL), chemiluminescent enzyme immunoassay, plasma, quantitative Trauma",,,278.95,278.95,6
CPT,0548U,"Glial fibrillary acidic protein (GFAP), chemiluminescent enzyme immunoassay, using plasma ",,,115.07,354.5,46
CPT,0548U,"Glial fibrillary acidic protein (GFAP), chemiluminescent enzyme immunoassay, using plasma Trauma",,,278.95,278.95,6
CPT,0549U,"Oncology (urothelial), DNA, quantitative methylated real-time PCR of TRNA-Cys, SIM2, and NKX1-1, using urine, diagnostic algorithm reported as a probability index for bladder cancer ",,,752.4,2318.0,46
CPT,0549U,"Oncology (urothelial), DNA, quantitative methylated real-time PCR of TRNA-Cys, SIM2, and NKX1-1, using urine, diagnostic algorithm reported as a probability index for bladder cancer Trauma",,,1824.0,1824.0,6
CPT,0553U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural rearrangements, aneuploidy, and ",,,751.46,2315.1,46
CPT,0553U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural rearrangements, aneuploidy, and T",,,1821.72,1821.72,6
CPT,0554T,"Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; retrieval and transmission of the scan data, a",,,64.65,64.65,8
CPT,0554U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from trophectoderm biopsy for aneuploidy, ploidy, a mitochondrial DNA score ",,,751.46,2315.1,46
CPT,0554U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from trophectoderm biopsy for aneuploidy, ploidy, a mitochondrial DNA score T",,,1821.72,1821.72,6
CPT,0555T,Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; retrieval and transmission of the scan data ,,,41.94,41.94,8
CPT,0555U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural arrangements ",,,751.46,2315.1,46
CPT,0555U,"Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural arrangements Trauma",,,1821.72,1821.72,6
CPT,0556T,Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; assessment of bone strength and fracture risk ,,,391.22,391.22,8
CPT,0556U,"Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific DNA and RNA by real-time PCR, 12 targets, nasopharyngeal or oropharyngeal swab, including multiplex reverse ",,,141.2,435.02,46
CPT,0556U,"Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific DNA and RNA by real-time PCR, 12 targets, nasopharyngeal or oropharyngeal swab, including multiplex reverse Traum",,,342.31,342.31,6
CPT,0557T,Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; interpretation and report ,,,16.01,16.01,8
CPT,0557U,"Infectious disease (bacterial vaginosis and vaginitis), realtime amplification of DNA markers for Atopobium vaginae, Gardnerella vaginalis, Megasphaera types 1 and 2, bacterial vaginosis associated ",,,260.36,802.12,46
CPT,0557U,"Infectious disease (bacterial vaginosis and vaginitis), realtime amplification of DNA markers for Atopobium vaginae, Gardnerella vaginalis, Megasphaera types 1 and 2, bacterial vaginosis associated Tr",,,631.18,631.18,6
CPT,0558T,Computed tomography scan taken for the purpose of biomechanical computed tomography analysis ,,,137.53,1539.0,9
CPT,0558U,"Oncology (colorectal), quantitative enzyme-linked immunosorbent assay (ELISA) for secreted colorectal cancer protein marker (BF7 antigen), using serum, result reported as indicative of response ",,,20.6,63.47,46
CPT,0558U,"Oncology (colorectal), quantitative enzyme-linked immunosorbent assay (ELISA) for secreted colorectal cancer protein marker (BF7 antigen), using serum, result reported as indicative of response Trauma",,,49.94,49.94,6
CPT,0559T,Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure ,,,94.62,94.62,8
CPT,0559U,"Oncology (breast), quantitative enzyme-linked immunosorbent assay (ELISA) for secreted breast cancer protein marker (BF9 antigen), serum, result reported as indicative of response ",,,20.6,63.47,46
CPT,0559U,"Oncology (breast), quantitative enzyme-linked immunosorbent assay (ELISA) for secreted breast cancer protein marker (BF9 antigen), serum, result reported as indicative of response Trauma",,,49.94,49.94,6
CPT,0560T,Anatomic model 3D-printed from image data set(s); each additional individually prepared and processed component of an anatomic structure (List separately in addition to code for primary procedure) ,,,,,0
CPT,0560U,"Oncology (minimal residual disease ºMRD»), genomic sequence analysis, cell-free DNA, whole blood and tumor tissue, baseline assessment for design and construction of a personalized variant panel to ",,,3839.67,11829.27,46
CPT,0560U,"Oncology (minimal residual disease ºMRD»), genomic sequence analysis, cell-free DNA, whole blood and tumor tissue, baseline assessment for design and construction of a personalized variant panel to Tr",,,9308.28,9308.28,6
CPT,0561T,Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide ,,,94.62,94.62,8
CPT,0561U,"Oncology (minimal residual disease ºMRD»), genomic sequence analysis, cell-free DNA, whole blood, subsequent assessment with comparison to initial assessment to evaluate for MRD ",,,786.55,2423.19,46
CPT,0561U,"Oncology (minimal residual disease ºMRD»), genomic sequence analysis, cell-free DNA, whole blood, subsequent assessment with comparison to initial assessment to evaluate for MRD Trauma",,,1906.78,1906.78,6
CPT,0562T,Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure) ,,,,,0
CPT,0562U,"Oncology (solid tumor), targeted genomic sequence analysis, 33 genes, detection of single-nucleotide variants (SNVs), insertions and deletions, copy-number amplifications, and translocations in human ",,,591.93,1823.63,53
CPT,0563T,"Evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilateral ",,,2143.0,2143.0,8
CPT,0563U,"Infectious disease (bacterial and/or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 11 viral targets and 4 bacterial targets, qualitative RT-PCR, upper respi ",,,412.61,1271.18,47
CPT,0563U,"Infectious disease (bacterial and/or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 11 viral targets and 4 bacterial targets, qualitative RT-PCR, upper respi Trauma",,,1000.27,1000.27,6
CPT,0564T,"Oncology, chemotherapeutic drug cytotoxicity assay of cancer stem cells (CSCs), from cultured CSCs and primary tumor cells, categorical drug response reported based on percent of cytotoxicity observed",,,,,0
CPT,0564U,"Infectious disease (bacterial and/or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 10 viral targets and 4 bacterial targets, qualitative RT-PCR, upper respiratory sp",,,412.61,1271.18,53
CPT,0565T,Autologous cellular implant derived from adipose tissue for the treatment of osteoarthritis of the knees; tissue harvesting and cellular implant creation ,,,2143.0,2143.0,8
CPT,0565U,"Oncology (hepatocellular carcinoma), next-generation sequencing methylation pattern assay to detect 6626 epigenetic alterations, cellfree DNA, plasma, algorithm reported as ",,,1148.4,3538.0,46
CPT,0565U,"Oncology (hepatocellular carcinoma), next-generation sequencing methylation pattern assay to detect 6626 epigenetic alterations, cellfree DNA, plasma, algorithm reported as Trauma",,,2784.0,2784.0,6
CPT,0566T,"Autologous cellular implant derived from adipose tissue for the treatment of osteoarthritis of the knees; injection of cellular implant into knee joint including ultrasound guidance, unilateral ",,,2143.0,2143.0,8
CPT,0566U,"Oncology (lung), qPCRbased analysis of 13 differentially methylated regions (CCDC181, HOXA7, LRRC8A, MARCHF11, MIR129-2, NCOR2, PANTR1, PRKCB, SLC9A3, TBR1_2, TRAP1, VWC2, ZNF781), pleural fluid, ",,,412.61,1271.18,46
CPT,0566U,"Oncology (lung), qPCRbased analysis of 13 differentially methylated regions (CCDC181, HOXA7, LRRC8A, MARCHF11, MIR129-2, NCOR2, PANTR1, PRKCB, SLC9A3, TBR1_2, TRAP1, VWC2, ZNF781), pleural fluid, Trau",,,1000.27,1000.27,6
CPT,0567U,"Rare diseases (constitutional/heritable disorders), whole-genome sequence analysis combination of short and long reads, for single-nucleotide variants, insertions/deletions and characterized intronic ",,,4980.89,15345.16,52
CPT,0568U,"Neurology (dementia), beta amyloid (A?40, A?42, A?42/40 ratio), tau-protein phosphorylated at residue (eg, pTau217), neurofilament light chain (NfL), and glial fibrillary acidic protein (GFAP), ",,,888.03,2735.85,47
CPT,0568U,"Neurology (dementia), beta amyloid (A?40, A?42, A?42/40 ratio), tau-protein phosphorylated at residue (eg, pTau217), neurofilament light chain (NfL), and glial fibrillary acidic protein (GFAP), Trauma",,,2152.8,2152.8,6
CPT,0569T,"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis ",,,7117.0,8577.0,9
CPT,0569T,"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis Cardiac Cath",,,9333.0,12038.0,64
CPT,0569T,"Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis Cardiac Cath and Injections",,,,,0
CPT,0570T,"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure) ",,,7117.0,8577.0,9
CPT,0570T,"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure) Cardiac Cath",,,9333.0,12038.0,64
CPT,0570T,"Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure) Cardiac Cath and Injections",,,,,0
CPT,0570U,"Neurology (traumatic brain injury), analysis of glial fibrillary acidic protein (GFAP) and ubiquitin carboxylterminal hydrolase L1 (UCHL1), immunoassay, whole blood or plasma, individual components ",,,257.89,794.52,47
CPT,0570U,"Neurology (traumatic brain injury), analysis of glial fibrillary acidic protein (GFAP) and ubiquitin carboxylterminal hydrolase L1 (UCHL1), immunoassay, whole blood or plasma, individual components Tr",,,625.2,625.2,6
CPT,0571T,"Insertion or replacement of implantable cardioverter-defibrillator system with substernal electrode(s), including all imaging guidance and electrophysiological evaluation (includes defibrillation thre",,,83613.0,83613.0,8
CPT,0571U,"Oncology (solid tumor), DNA (80 genes) and RNA (10 genes), by next-generation sequencing, plasma, including single-nucleotide variants, insertions/deletions, copy-number alterations, microsatellite in",,,2890.4,8904.78,52
CPT,0572T,Insertion of substernal implantable defibrillator electrode ,,,19295.0,19295.0,8
CPT,0573T,Removal of substernal implantable defibrillator electrode ,,,10719.0,10719.0,8
CPT,0574T,Repositioning of previously implanted substernal implantable defibrillator-pacing electrode ,,,10719.0,10719.0,8
CPT,0575U,"Transplantation medicine (liver allograft rejection), miRNA gene expression profiling by RT-PCR of 4 genes (miR-122, miR-885, miR-23a housekeeping, spike-in control), ",,,376.2,1159.0,47
CPT,0575U,"Transplantation medicine (liver allograft rejection), miRNA gene expression profiling by RT-PCR of 4 genes (miR-122, miR-885, miR-23a housekeeping, spike-in control), Trauma",,,912.0,912.0,6
CPT,0576U,"Transplantation medicine (liver allograft rejection), quantitative donor-derived cell-free DNA (cfDNA) by whole genome nextgeneration sequencing, ",,,3207.6,9882.0,46
CPT,0576U,"Transplantation medicine (liver allograft rejection), quantitative donor-derived cell-free DNA (cfDNA) by whole genome nextgeneration sequencing, Trauma",,,7776.0,7776.0,6
CPT,0577U,"Oncology (ovarian), serum, analysis of 39 glycoproteins by liquid chromatography with tandem mass spectrometry (LC-MS/MS) in multiple reaction ",,,246.92,348.16,12
CPT,0578U,"Oncology (cutaneous melanoma), RNA, gene expression profiling by realtime qPCR of 10 genes (8 content and 2 housekeeping), utilizing formalin-fixed ",,,3834.27,11812.65,46
CPT,0578U,"Oncology (cutaneous melanoma), RNA, gene expression profiling by realtime qPCR of 10 genes (8 content and 2 housekeeping), utilizing formalin-fixed Trauma",,,9295.2,9295.2,6
CPT,0579U,"Nephrology (diabetic chronic kidney disease), enzymelinked immunosorbent assay (ELISA) of apolipoprotein A4 (APOA4), CD5 antigen-like (CD5L) combined ",,,386.84,1191.79,46
CPT,0579U,"Nephrology (diabetic chronic kidney disease), enzymelinked immunosorbent assay (ELISA) of apolipoprotein A4 (APOA4), CD5 antigen-like (CD5L) combined Trauma",,,937.8,937.8,6
CPT,0580T,Removal of substernal implantable defibrillator pulse generator only ,,,10719.0,10719.0,8
CPT,0580U,"Borrelia burgdorferi, antibody detection of 24 recombinant protein groups, by immunoassay, IgG ",,,17.04,52.49,47
CPT,0580U,"Borrelia burgdorferi, antibody detection of 24 recombinant protein groups, by immunoassay, IgG Trauma",,,41.3,41.3,6
CPT,0581T,"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral ",,,7493.0,7493.0,8
CPT,0581U,"Transplantation medicine, antibody to non-human leukocyte antigens (nonHLA), blood specimen, flow cytometry, single-antigen bead technology, 39 targets ",,,322.54,993.69,46
CPT,0581U,"Transplantation medicine, antibody to non-human leukocyte antigens (nonHLA), blood specimen, flow cytometry, single-antigen bead technology, 39 targets Trauma",,,781.92,781.92,6
CPT,0582T,"Transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy, including intraoperative imaging and needle guidance ",,,19295.0,19295.0,8
CPT,0582U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome DNA sequencing for singlenucleotide variants, insertions/deletions, copy number variations, blood, ",,,7506.38,23125.71,46
CPT,0582U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome DNA sequencing for singlenucleotide variants, insertions/deletions, copy number variations, blood, Trauma",,,18197.28,18197.28,6
CPT,0583T,"Tympanostomy (requiring insertion of ventilating tube), using an automated tube delivery system, iontophoresis local anesthesia ",,,5568.0,5568.0,8
CPT,0583U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome comparator DNA sequencing for single-nucleotide variants, insertions/deletions, copy number variations ",,,3753.19,11562.85,46
CPT,0583U,"Rare diseases (constitutional disease/hereditary disorders), rapid whole genome comparator DNA sequencing for single-nucleotide variants, insertions/deletions, copy number variations Trauma",,,9098.64,9098.64,6
CPT,0584T,"Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; percutaneous ",,,8577.0,8577.0,8
CPT,0584U,"Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quakinginduced conformational conversion, qualitative ",,,535.58,1650.02,46
CPT,0584U,"Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quakinginduced conformational conversion, qualitative Trauma",,,1298.38,1298.38,6
CPT,0585T,"Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; laparoscopic ",,,8577.0,8577.0,8
CPT,0585U,"Targeted genomic sequence analysis panel, solid organ neoplasm, circulating cell-free DNA (cfDNA) analysis from plasma of 521 genes, interrogation for sequence variants, ",,,2890.4,8904.78,46
CPT,0585U,"Targeted genomic sequence analysis panel, solid organ neoplasm, circulating cell-free DNA (cfDNA) analysis from plasma of 521 genes, interrogation for sequence variants, Trauma",,,7007.04,7007.04,6
CPT,0586T,"Islet cell transplant, includes portal vein catheterization and infusion, including all imaging, including guidance, and radiological supervision and interpretation, when performed; open ",,,8577.0,8577.0,8
CPT,0586U,"Oncology, mRNA, gene expression profiling of 216 genes (204 targeted and 12 housekeeping genes), RNA expression analysis, formalinfixed paraffin-embedded ",,,2890.4,8904.78,46
CPT,0586U,"Oncology, mRNA, gene expression profiling of 216 genes (204 targeted and 12 housekeeping genes), RNA expression analysis, formalinfixed paraffin-embedded Trauma",,,7007.04,7007.04,6
CPT,0587T,"Percutaneous implantation or replacement of integrated single device neurostimulation system for bladder dysfunction including electrode array and receiver or pulse generator, including analysis, prog",,,4009.0,4009.0,8
CPT,0587U,"Therapeutic drug monitoring, 60-150 drugs and metabolites, urine, saliva, quantitative liquid chromatography with tandem mass spectrometry (LCMS/MS), ",,,113.29,349.01,46
CPT,0587U,"Therapeutic drug monitoring, 60-150 drugs and metabolites, urine, saliva, quantitative liquid chromatography with tandem mass spectrometry (LCMS/MS), Trauma",,,274.63,274.63,6
CPT,0588T,"Revision or removal of percutaneously placed integrated single device neurostimulation system for bladder dysfunction including electrode array and receiver or pulse generator, including analysis, pro",,,10719.0,10719.0,8
CPT,0588U,"Infectious disease (bacterial or viral), 32 genes (29 informative and 3 housekeeping), immune response mRNA, gene expression profiling by splitwell multiplex infection ",,,752.4,2318.0,47
CPT,0588U,"Infectious disease (bacterial or viral), 32 genes (29 informative and 3 housekeeping), immune response mRNA, gene expression profiling by splitwell multiplex infection Trauma",,,1824.0,1824.0,6
CPT,0589U,"Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 24 PFAS compounds by high-performance liquid chromatography ",,,196.75,606.16,46
CPT,0589U,"Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), 24 PFAS compounds by high-performance liquid chromatography Trauma",,,476.98,476.98,6
CPT,0591U,"Oncology (prostate cancer), biochemical analysis of 3 proteins (total PSA, free PSA, and HE4), plasma, serum, prognostic algorithm incorporating 3 proteins and digital ",,,752.4,2318.0,46
CPT,0591U,"Oncology (prostate cancer), biochemical analysis of 3 proteins (total PSA, free PSA, and HE4), plasma, serum, prognostic algorithm incorporating 3 proteins and digital Trauma",,,1824.0,1824.0,6
CPT,0592U,"Oncology (hematolymphoid neoplasms), DNA, targeted genomic sequence of 417 genes, interrogation for gene fusions, translocations, rearrangements ",,,2890.4,8904.78,46
CPT,0592U,"Oncology (hematolymphoid neoplasms), DNA, targeted genomic sequence of 417 genes, interrogation for gene fusions, translocations, rearrangements Trauma",,,7007.04,7007.04,6
CPT,0593U,"Infectious disease (genitourinary pathogens), DNA, 46 targets (28 pathogens, 18 resistance genes), RT-PCR amplified probe technique, urine, each ",,,628.49,1936.26,46
CPT,0593U,"Infectious disease (genitourinary pathogens), DNA, 46 targets (28 pathogens, 18 resistance genes), RT-PCR amplified probe technique, urine, each Trauma",,,1523.62,1523.62,6
CPT,0594T,"Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including intraoperative imaging, initial and subsequent alignment assessments, computations of adjust",,,15007.0,15007.0,8
CPT,0595U,"Infectious disease (tropical fever pathogens), vectorborne and zoonotic pathogens, including 2 viruses (Chikungunya virus and Dengue virus serotypes 1, 2, 3, and 4), ",,,260.36,802.12,47
CPT,0595U,"Infectious disease (tropical fever pathogens), vectorborne and zoonotic pathogens, including 2 viruses (Chikungunya virus and Dengue virus serotypes 1, 2, 3, and 4), Trauma",,,631.18,631.18,6
CPT,0596T,"Temporary female intraurethral valve-pump (ie, voiding prosthesis); initial insertion, including urethral measurement ",,,4009.0,4009.0,8
CPT,0597T,"Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement ",,,4009.0,4009.0,8
CPT,0598T,"Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and measure wound size, per session; first anatomic site (eg, lower extremity, right leg)",,,449.57,449.57,8
CPT,0598U,"Gastroenterology (irritable bowel syndrome), IgG antibodies to 18 food items by microarray-based immunoassay, whole blood or serum, report as elevated ",,,297.0,915.0,46
CPT,0598U,"Gastroenterology (irritable bowel syndrome), IgG antibodies to 18 food items by microarray-based immunoassay, whole blood or serum, report as elevated Trauma",,,720.0,720.0,6
CPT,0599U,"Oncology (pancreatic cancer), multiplex immunoassay of ICAM1, TIMP1, CTSD, THBS1, and CA 19-9, serum, diagnostic algorithm reported as positive or negative ",,,888.03,2735.85,46
CPT,0599U,"Oncology (pancreatic cancer), multiplex immunoassay of ICAM1, TIMP1, CTSD, THBS1, and CA 19-9, serum, diagnostic algorithm reported as positive or negative Trauma",,,2152.8,2152.8,6
CPT,0600T,"Ablation, irreversible electroporation; 1 or more tumors per organ, other than liver or prostate, including imaging guidance, when performed, percutaneous ",,,15007.0,15007.0,8
CPT,0601T,"Ablation, irreversible electroporation; 1 or more tumors per organ, including fluoroscopic and ultrasound guidance, when performed, open ",,,15007.0,15007.0,8
CPT,0602T,"Glomerular filtration rate (GFR) measurement(s), transdermal, including sensor placement and administration of a single dose of fluorescent pyrazine agent ",,,342.26,342.26,4
CPT,0603T,"Glomerular filtration rate (GFR) monitoring, transdermal, including sensor placement and administration of more than one dose of fluorescent pyrazine agent, each 24 hours ",,,863.67,863.67,4
CPT,0604T,"Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; initial device provision, set-up and pa",,,201.86,201.86,8
CPT,0605T,"Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; remote surveillance center technical su",,,63.16,63.16,8
CPT,0606T,"Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; review, interpretation and report by th",,,49.23,49.23,8
CPT,0607T,"Remote monitoring of an external continuous pulmonary fluid monitoring system, including measurement of radiofrequency-derived pulmonary fluid levels, heart rate, respiration rate, activity, posture, ",,,,,0
CPT,0608T,"Remote monitoring of an external continuous pulmonary fluid monitoring system, including measurement of radiofrequency-derived pulmonary fluid levels, heart rate, respiration rate, activity, posture, ",,,,,0
CPT,0609T,"Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar); acquisition of single voxel data, per disc, on biomarkers (ie, lactic acid, carbohyd",,,391.22,2118.0,9
CPT,0610T,"Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar); transmission of biomarker data for software analysis ",,,1116.0,2118.0,5
CPT,0611T,"Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar); postprocessing for algorithmic analysis of biomarker data for determination of relat",,,391.22,2118.0,9
CPT,0612T,"Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar); interpretation and report ",,,48.04,2118.0,9
CPT,0613T,"Percutaneous transcatheter implantation of interatrial septal shunt device, including right and left heart catheterization, intracardiac echocardiography, and imaging guidance by the proceduralist, wh",,,7117.0,12038.0,73
CPT,0614T,Removal and replacement of substernal implantable defibrillator pulse generator ,,,83613.0,83613.0,8
CPT,0615T,"Automated analysis of binocular eye movements without spatial calibration, including disconjugacy, saccades, and pupillary dynamics for the assessment of concussion, with interpretation and report ",,,,,0
CPT,0620T,"Endovascular venous arterialization, tibial or peroneal vein, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ul",,,19295.0,19295.0,8
CPT,0621T,Trabeculostomy ab interno by laser; ,,,12863.0,12863.0,8
CPT,0622T,Trabeculostomy ab interno by laser; with use of ophthalmic endoscope ,,,8577.0,8577.0,8
CPT,0623T,"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and",,,,,0
CPT,0624T,"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and",,,,,0
CPT,0625T,"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; computerized analysi",,,,,0
CPT,0626T,"Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computeriz",,,,,0
CPT,0627T,"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; first level ",,,15007.0,15007.0,8
CPT,0628T,"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; each additional level (List separ",,,2143.0,2143.0,8
CPT,0629T,"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; first level ",,,15007.0,15007.0,8
CPT,0630T,"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; each additional level (List separately in a",,,2143.0,2143.0,8
CPT,0632T,"Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart catheterization, pulmonary artery angiography, and all imaging guidance ",,,7117.0,19295.0,9
CPT,0632T,"Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart catheterization, pulmonary artery angiography, and all imaging guidance Cardiac Cath",,,9333.0,12038.0,64
CPT,0632T,"Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart catheterization, pulmonary artery angiography, and all imaging guidance Cardiac Cath ",,,,,0
CPT,0633T,"Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material ",,,185.25,1539.0,8
CPT,0634T,"Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) ",,,303.54,1539.0,8
CPT,0635T,"Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast material(s) ",,,303.54,1539.0,8
CPT,0636T,"Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) ",,,391.22,1539.0,8
CPT,0637T,"Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) ",,,625.8,1539.0,8
CPT,0638T,"Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast material(s) ",,,625.8,1539.0,8
CPT,0639T,"Wireless skin sensor thermal anisotropy measurement(s) and assessment of flow in cerebrospinal fluid shunt, including ultrasound guidance, when performed ",,,142.95,142.95,8
CPT,0640T,"Noncontact near-infrared spectroscopy (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation), other than for screening for peripheral arterial disease, image acquisit",,,,,0
CPT,0643T,"Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed, arterial approach ",,,7117.0,8577.0,9
CPT,0643T,"Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed, arterial approach Cardiac Cath",,,9333.0,12038.0,64
CPT,0643T,"Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed, arterial approach Cardiac Cath and Injections",,,,,0
CPT,0644T,"Transcatheter removal or debulking of intracardiac mass (eg, vegetations, thrombus) via suction (eg, vacuum, aspiration) device, percutaneous approach, with intraoperative reinfusion of aspirated bloo",,,7117.0,15007.0,73
CPT,0645T,"Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart catheterization, venous angiography, coronary sinus angiography, imaging guidance, and ",,,19295.0,19295.0,8
CPT,0646T,"Transcatheter tricuspid valve implantation (TTVI)/replacement with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertion, and selective right ve",,,7117.0,12038.0,73
CPT,0647T,"Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation and report ",,,5568.0,5568.0,8
CPT,0648T,"Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep",,,391.22,2118.0,12
CPT,0649T,"Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep",,,1462.0,2118.0,4
CPT,0650T,"Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the implantable device to test the function of the device and select optimal permanen",,,,,0
CPT,0651T,"Magnetically controlled capsule endoscopy, esophagus through stomach, including intraprocedural positioning of capsule, with interpretation and report ",,,5568.0,5568.0,8
CPT,0652T,"Esophagogastroduodenoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,5568.0,5568.0,8
CPT,0653T,"Esophagogastroduodenoscopy, flexible, transnasal; with biopsy, single or multiple ",,,5568.0,5568.0,8
CPT,0654T,"Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter ",,,5568.0,5568.0,8
CPT,0655T,"Transperineal focal laser ablation of malignant prostate tissue, including transrectal imaging guidance, with MR-fused images or other enhanced ultrasound imaging ",,,7493.0,7493.0,8
CPT,0656T,Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments ,,,19295.0,19295.0,8
CPT,0657T,Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments ,,,19295.0,19295.0,8
CPT,0658T,Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score ,,,94.62,94.62,8
CPT,0659T,"Transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction, including catheter placement, imaging guid",,,8577.0,8577.0,8
CPT,0660T,"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system, internal approach ",,,12863.0,12863.0,8
CPT,0661T,Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant ,,,12863.0,12863.0,8
CPT,0664T,"Donor hysterectomy (including cold preservation); open, from cadaver donor ",,,8577.0,8577.0,8
CPT,0665T,"Donor hysterectomy (including cold preservation); open, from living donor ",,,8577.0,8577.0,8
CPT,0666T,"Donor hysterectomy (including cold preservation); laparoscopic or robotic, from living donor ",,,8577.0,8577.0,8
CPT,0667T,Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor ,,,8577.0,8577.0,8
CPT,0668T,"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation, including dissection and removal of surrounding soft tissues and preparation of uterine vein(s) an",,,8577.0,8577.0,8
CPT,0669T,"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis, each ",,,8577.0,8577.0,8
CPT,0670T,"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis, each ",,,8577.0,8577.0,8
CPT,0671T,"Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without external reservoir, and without concomitant cataract removal, one or more ",,,7493.0,7493.0,8
CPT,0672T,"Endovaginal cryogen-cooled, monopolar radiofrequency remodeling of the tissues surrounding the female bladder neck and proximal urethra for urinary incontinence ",,,8577.0,8577.0,8
CPT,0673T,"Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance ",,,5568.0,5568.0,8
CPT,0674T,"Laparoscopic insertion of new or replacement of permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including an implantable pulse generator and d",,,30016.0,30016.0,8
CPT,0675T,"Laparoscopic insertion of new or replacement of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to",,,19295.0,19295.0,8
CPT,0676T,"Laparoscopic insertion of new or replacement of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to",,,2143.0,2143.0,8
CPT,0677T,"Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse",,,15007.0,15007.0,8
CPT,0678T,"Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse",,,2143.0,2143.0,8
CPT,0679T,"Laparoscopic removal of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function ",,,15007.0,15007.0,8
CPT,0680T,"Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, with connection to existing lead(s) ",,,19295.0,19295.0,8
CPT,0681T,"Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, with connection to existing dual leads ",,,10719.0,10719.0,8
CPT,0682T,"Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function ",,,10719.0,10719.0,8
CPT,0686T,"Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image guidance ",,,21250.85,24657.0,9
CPT,0689T,"Quantitative ultrasound tissue characterization (non-elastographic), including interpretation and report, obtained without diagnostic ultrasound examination of the same anatomy (eg, organ, gland, tiss",,,140.44,140.44,1
CPT,0690T,"Quantitative ultrasound tissue characterization (non-elastographic), including interpretation and report, obtained with diagnostic ultrasound examination of the same anatomy (eg, organ, gland, tissue,",,,,,0
CPT,0691T,"Automated analysis of an existing computed tomography study for vertebral fracture(s), including assessment of bone density when performed, data preparation, interpretation, and report ",,,14.4,14.4,8
CPT,0693T,Comprehensive full body computer-based markerless 3D kinematic and kinetic motion analysis and report ,,,595.85,595.85,8
CPT,0694T,"3-dimensional volumetric imaging and reconstruction of breast or axillary lymph node tissue, each excised specimen, 3-dimensional automatic specimen reorientation, interpretation and report, real-time",,,,,0
CPT,0697T,"Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep",,,399.5,399.5,8
CPT,0698T,"Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep",,,,,0
CPT,0699T,"Injection, posterior chamber of eye, medication ",,,7493.0,7493.0,8
CPT,0700T,Molecular fluorescent imaging of suspicious nevus; first lesion ,,,60.49,60.49,8
CPT,0701T,Molecular fluorescent imaging of suspicious nevus; each additional lesion (List separately in addition to code for primary procedure) ,,,17.87,17.87,8
CPT,0707T,"Injection(s), bone-substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion, bone bruise, stress injury, microtrabecular fracture), including imaging guidance a",,,10719.0,10719.0,8
CPT,0708T,Intradermal cancer immunotherapy; preparation and initial injection ,,,8577.0,8577.0,8
CPT,0709T,Intradermal cancer immunotherapy; each additional injection (List separately in addition to code for primary procedure) ,,,8577.0,8577.0,8
CPT,0710T,"Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; including data preparation and transmission, quantification of the structu",,,,,0
CPT,0711T,Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; data preparation and transmission ,,,,,0
CPT,0712T,Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; quantification of the structure and composition of the vessel wall and ass,,,,,0
CPT,0713T,"Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; data review, interpretation and report ",,,,,0
CPT,0714T,"Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume less than 50 mL ",,,7493.0,7493.0,8
CPT,0716T,Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score ,,,2143.0,2143.0,8
CPT,0717T,"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting, isolation and preparation of harvested cells, including incubation with ",,,10719.0,10719.0,8
CPT,0718T,"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance, unilateral ",,,10719.0,10719.0,8
CPT,0719T,"Posterior vertebral joint replacement, including bilateral facetectomy, laminectomy, and radical discectomy, including imaging guidance, lumbar spine, single segment ",,,8577.0,8577.0,8
CPT,0721T,"Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained without concurrent CT examination of any structure contained in previously acquired diagnos",,,1105.85,1105.85,4
CPT,0722T,"Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained with concurrent CT examination of any structure contained in the concurrently acquired diag",,,,,0
CPT,0723T,"Quantitative magnetic resonance cholangiopancreatography (QMRCP), including data preparation and transmission, interpretation and report, obtained without diagnostic magnetic resonance imaging (MRI) e",,,1615.85,1615.85,8
CPT,0724T,"Quantitative magnetic resonance cholangiopancreatography (QMRCP), including data preparation and transmission, interpretation and report, obtained with diagnostic magnetic resonance imaging (MRI) exam",,,,,0
CPT,0725T,"Vestibular device implantation, unilateral ",,,8577.0,8577.0,8
CPT,0726T,"Removal of implanted vestibular device, unilateral ",,,8577.0,8577.0,8
CPT,0727T,"Removal and replacement of implanted vestibular device, unilateral ",,,8577.0,8577.0,8
CPT,0730T,"Trabeculotomy by laser, including optical coherence tomography (OCT) guidance ",,,12863.0,12863.0,8
CPT,0732T,"Immunotherapy administration with electroporation, intramuscular ",,,8577.0,8577.0,8
CPT,0735T,"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately in addition to code for pr",,,2143.0,2143.0,8
CPT,0736T,"Colonic lavage, 35 or more liters of water, gravity-fed, with induced defecation, including insertion of rectal catheter ",,,2143.0,2143.0,8
CPT,0737T,Xenograft implantation into the articular surface ,,,15007.0,15007.0,8
CPT,0738T,"Treatment planning for magnetic field induction ablation of malignant prostate tissue, using data from previously performed magnetic resonance imaging (MRI) examination ",,,,,0
CPT,0739T,"Ablation of malignant prostate tissue by magnetic field induction, including all intraprocedural, transperineal needle/catheter placement for nanoparticle installation and intraprocedural temperature ",,,8577.0,8577.0,8
CPT,0742T,"Absolute quantitation of myocardial blood flow (AQMBF), single-photon emission computed tomography (SPECT), with exercise or pharmacologic stress, and at rest, when performed (List separately in addit",,,,,0
CPT,0743T,"Bone strength and fracture risk using finite element analysis of functional data and bone mineral density (BMD), with concurrent vertebral fracture assessment, utilizing data from a computed tomograph",,,410.92,410.92,8
CPT,0744T,"Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, polyester, ePTFE, bovine peri",,,15007.0,15007.0,8
CPT,0745T,"Cardiac focal ablation utilizing radiation therapy for arrhythmia; noninvasive arrhythmia localization and mapping of arrhythmia site (nidus), derived from anatomical image data (eg, CT, MRI, or myoca",,,8577.0,8577.0,8
CPT,0746T,Cardiac focal ablation utilizing radiation therapy for arrhythmia; conversion of arrhythmia localization and mapping of arrhythmia site (nidus) into a multidimensional radiation treatment plan ,,,8577.0,8577.0,8
CPT,0747T,"Cardiac focal ablation utilizing radiation therapy for arrhythmia; delivery of radiation therapy, arrhythmia ",,,8577.0,8577.0,8
CPT,0748T,"Injections of stem cell product into perianal perifistular soft tissue, including fistula preparation (eg, removal of setons, fistula curettage, closure of internal openings) ",,,8577.0,8577.0,8
CPT,0749T,"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digital X ray, retrieval and t",,,,,0
CPT,0750T,"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digital X ray, retrieval and t",,,,,0
CPT,0751T,"Digitization of glass microscope slides for level II, surgical pathology, gross and microscopic examination (List separately in addition to code for primary procedure) ",,,,,0
CPT,0752T,"Digitization of glass microscope slides for level III, surgical pathology, gross and microscopic examination (List separately in addition to code for primary procedure) ",,,,,0
CPT,0753T,"Digitization of glass microscope slides for level IV, surgical pathology, gross and microscopic examination (List separately in addition to code for primary procedure) ",,,,,0
CPT,0754T,"Digitization of glass microscope slides for level V, surgical pathology, gross and microscopic examination (List separately in addition to code for primary procedure) ",,,,,0
CPT,0755T,"Digitization of glass microscope slides for level VI, surgical pathology, gross and microscopic examination (List separately in addition to code for primary procedure) ",,,,,0
CPT,0756T,"Digitization of glass microscope slides for special stain, including interpretation and report, group I, for microorganisms (eg, acid fast, methenamine silver) (List separately in addition to code for",,,,,0
CPT,0757T,"Digitization of glass microscope slides for special stain, including interpretation and report, group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituen",,,,,0
CPT,0758T,"Digitization of glass microscope slides for special stain, including interpretation and report, histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ",,,,,0
CPT,0759T,"Digitization of glass microscope slides for special stain, including interpretation and report, group III, for enzyme constituents (List separately in addition to code for primary procedure) ",,,,,0
CPT,0760T,"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry, per specimen, initial single antibody stain procedure (List separately in addition to code for primary procedur",,,,,0
CPT,0761T,"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry, per specimen, each additional single antibody stain procedure (List separately in addition to code for primary ",,,,,0
CPT,0762T,"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry, per specimen, each multiplex antibody stain procedure (List separately in addition to code for primary procedur",,,,,0
CPT,0763T,"Digitization of glass microscope slides for morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, ",,,,,0
CPT,0778T,"Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion, posture, gait, and muscle function ",,,247.23,247.23,8
CPT,0780T,Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract ,,,2143.0,2143.0,8
CPT,0781T,"Bronchoscopy, rigid or flexible, with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves, including fluoroscopic guidance when performed; ",,,8577.0,8577.0,8
CPT,0782T,"Bronchoscopy, rigid or flexible, with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves, including fluoroscopic guidance when performed; ",,,8577.0,8577.0,8
CPT,0784T,"Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging guidance, when performed ",,,19295.0,19295.0,8
CPT,0785T,"Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator ",,,10719.0,10719.0,8
CPT,0786T,"Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging guidance, when performed ",,,19295.0,19295.0,8
CPT,0787T,"Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator ",,,10719.0,10719.0,8
CPT,0790T,"Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed ",,,19295.0,19295.0,8
CPT,0791T,"Motor-cognitive, semi-immersive virtual reality-facilitated gait training, each 15 minutes (List separately in addition to code for primary procedure) ",,,,,0
CPT,0793T,"Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries, including right heart catheterization, pulmonary artery angiography, and all imaging guidance ",,,19295.0,19295.0,8
CPT,0794T,"Patient-specific, assistive, rules-based algorithm for ranking pharmaco-oncologic treatment options based on the patient's tumor-specific cancer marker information obtained from prior molecular pathol",,,2143.0,2143.0,8
CPT,0795T,"Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venograp",,,19295.0,19295.0,8
CPT,0796T,"Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venograp",,,19295.0,19295.0,8
CPT,0797T,"Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venograp",,,19295.0,19295.0,8
CPT,0798T,"Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography",,,10719.0,10719.0,8
CPT,0799T,"Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography",,,10719.0,10719.0,8
CPT,0800T,"Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography",,,10719.0,10719.0,8
CPT,0801T,"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, fe",,,19295.0,19295.0,8
CPT,0802T,"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, fe",,,19295.0,19295.0,8
CPT,0803T,"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, fe",,,19295.0,19295.0,8
CPT,0805T,"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie, caval valve implantation ºCAVI»); percutaneous femoral vein approach ",,,8577.0,8577.0,8
CPT,0806T,"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie, caval valve implantation ºCAVI»); open femoral vein approach ",,,8577.0,8577.0,8
CPT,0807T,"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with previously acquired computed tomography (CT) images, ",,,247.23,247.23,8
CPT,0808T,Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with computed tomography (CT) images taken for the purpose,,,476.1,476.1,8
CPT,0810T,"Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies ",,,12863.0,12863.0,8
CPT,0813T,"Esophagogastroduodenoscopy, flexible, transoral, with volume adjustment of intragastric bariatric balloon ",,,5568.0,5568.0,8
CPT,0814T,"Percutaneous injection of calcium-based biodegradable osteoconductive material, proximal femur, including imaging guidance, unilateral ",,,8577.0,8577.0,8
CPT,0815T,"Ultrasound-based radiofrequency echographic multi-spectrometry (REMS), bone-density study and fracture-risk assessment, 1 or more sites, hips, pelvis, or spine ",,,,,0
CPT,0816T,"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, program",,,19295.0,19295.0,8
CPT,0817T,"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, program",,,19295.0,19295.0,8
CPT,0818T,"Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and imaging, when performed, posterior tibial nerve; subcutaneous ",,,10719.0,10719.0,8
CPT,0819T,"Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and imaging, when performed, posterior tibial nerve; subfascial ",,,10719.0,10719.0,8
CPT,0823T,"Transcatheter insertion of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculogr",,,19295.0,19295.0,8
CPT,0824T,"Transcatheter removal of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculograp",,,10719.0,10719.0,8
CPT,0825T,"Transcatheter removal and replacement of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or righ",,,19295.0,19295.0,8
CPT,0827T,"Digitization of glass microscope slides for cytopathology, fluids, washings, or brushings, except cervical or vaginal; smears with interpretation (List separately in addition to code for primary proce",,,,,0
CPT,0828T,"Digitization of glass microscope slides for cytopathology, fluids, washings, or brushings, except cervical or vaginal; simple filter method with interpretation (List separately in addition to code for",,,,,0
CPT,0829T,"Digitization of glass microscope slides for cytopathology, concentration technique, smears, and interpretation (eg, Saccomanno technique) (List separately in addition to code for primary procedure) ",,,,,0
CPT,0830T,"Digitization of glass microscope slides for cytopathology, selective-cellular enhancement technique with interpretation (eg, liquid-based slide preparation method), except cervical or vaginal (List se",,,,,0
CPT,0831T,"Digitization of glass microscope slides for cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician (List separately in addition to code for primary procedure)",,,,,0
CPT,0832T,"Digitization of glass microscope slides for cytopathology, smears, any other source; screening and interpretation (List separately in addition to code for primary procedure) ",,,,,0
CPT,0833T,"Digitization of glass microscope slides for cytopathology, smears, any other source; preparation, screening and interpretation (List separately in addition to code for primary procedure) ",,,,,0
CPT,0834T,"Digitization of glass microscope slides for cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains (List separately in addition to code for primary proc",,,,,0
CPT,0835T,"Digitization of glass microscope slides for cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site (",,,,,0
CPT,0836T,"Digitization of glass microscope slides for cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation e",,,,,0
CPT,0837T,"Digitization of glass microscope slides for cytopathology, evaluation of fine needle aspirate; interpretation and report (List separately in addition to code for primary procedure) ",,,,,0
CPT,0838T,Digitization of glass microscope slides for consultation and report on referred slides prepared elsewhere (List separately in addition to code for primary procedure) ,,,,,0
CPT,0839T,Digitization of glass microscope slides for consultation and report on referred material requiring preparation of slides (List separately in addition to code for primary procedure) ,,,,,0
CPT,0840T,"Digitization of glass microscope slides for consultation, comprehensive, with review of records and specimens, with report on referred material (List separately in addition to code for primary procedu",,,,,0
CPT,0841T,"Digitization of glass microscope slides for pathology consultation during surgery; first tissue block, with frozen section(s), single specimen (List separately in addition to code for primary procedur",,,,,0
CPT,0842T,Digitization of glass microscope slides for pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,,,0
CPT,0843T,"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg, touch preparation, squash preparation), initial site (List separately in addition to code ",,,,,0
CPT,0844T,"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg, touch preparation, squash preparation), each additional site (List separately in addition ",,,,,0
CPT,0845T,"Digitization of glass microscope slides for immunofluorescence, per specimen; initial single antibody stain procedure (List separately in addition to code for primary procedure) ",,,,,0
CPT,0846T,"Digitization of glass microscope slides for immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,,,0
CPT,0847T,"Digitization of glass microscope slides for examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) (List separately ",,,,,0
CPT,0848T,"Digitization of glass microscope slides for in situ hybridization (eg, FISH), per specimen; initial single probe stain procedure (List separately in addition to code for primary procedure) ",,,,,0
CPT,0849T,"Digitization of glass microscope slides for in situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,,,0
CPT,0850T,"Digitization of glass microscope slides for in situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure (List separately in addition to code for primary procedure) ",,,,,0
CPT,0851T,"Digitization of glass microscope slides for morphometric analysis, in situ hybridization (quantitative or semiquantitative), manual, per specimen; initial single probe stain procedure (List separately",,,,,0
CPT,0852T,"Digitization of glass microscope slides for morphometric analysis, in situ hybridization (quantitative or semiquantitative), manual, per specimen; each additional single probe stain procedure (List se",,,,,0
CPT,0853T,"Digitization of glass microscope slides for morphometric analysis, in situ hybridization (quantitative or semiquantitative), manual, per specimen; each multiplex probe stain procedure (List separately",,,,,0
CPT,0854T,"Digitization of glass microscope slides for blood smear, peripheral, interpretation by physician with written report (List separately in addition to code for primary procedure) ",,,,,0
CPT,0855T,"Digitization of glass microscope slides for bone marrow, smear interpretation (List separately in addition to code for primary procedure) ",,,,,0
CPT,0856T,"Digitization of glass microscope slides for electron microscopy, diagnostic (List separately in addition to code for primary procedure) ",,,,,0
CPT,0857T,"Opto-acoustic imaging, breast, unilateral, including axilla when performed, real-time with image documentation, augmentative analysis and report (List separately in addition to code for primary proced",,,178.08,178.08,1
CPT,0861T,Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both components (battery and transmitter) ,,,10719.0,10719.0,8
CPT,0862T,"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only ",,,5568.0,5568.0,8
CPT,0863T,"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; transmitter component only ",,,5568.0,5568.0,8
CPT,0865T,"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies), including lesion identification, characterization, and quantification, wi",,,396.9,396.9,8
CPT,0866T,"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies), including lesion detection, characterization, and quantification, with br",,,396.9,396.9,8
CPT,0867T,"Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume greater or equal to 50 mL ",,,7493.0,7493.0,8
CPT,0869T,"Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including intraoperative imaging guidance, when performed ",,,10719.0,10719.0,8
CPT,0870T,"Implantation of subcutaneous peritoneal ascites pump system, percutaneous, including pump-pocket creation, insertion of tunneled indwelling bladder and peritoneal catheters with pump connections, incl",,,83613.0,83613.0,8
CPT,0871T,"Replacement of a subcutaneous peritoneal ascites pump, including reconnection between pump and indwelling bladder and peritoneal catheters, including initial programming and imaging, when performed ",,,83613.0,83613.0,8
CPT,0872T,"Replacement of indwelling bladder and peritoneal catheters, including tunneling of catheter(s) and connection with previously implanted peritoneal ascites pump, including imaging and programming, when",,,10719.0,10719.0,8
CPT,0873T,"Revision of a subcutaneously implanted peritoneal ascites pump system, any component (ascites pump, associated peritoneal catheter, associated bladder catheter), including imaging and programming, whe",,,10719.0,10719.0,8
CPT,0874T,"Removal of a peritoneal ascites pump system, including implanted peritoneal ascites pump and indwelling bladder and peritoneal catheters ",,,10719.0,10719.0,8
CPT,0877T,Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained without concurrent CT examination o,,,,,0
CPT,0878T,Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained with concurrent CT examination of t,,,,,0
CPT,0879T,Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data preparation and transmissi,,,,,0
CPT,0880T,Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; physician or other qualified health care pro,,,,,0
CPT,0882T,"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minutes; initial nerve (List s",,,2143.0,2143.0,8
CPT,0883T,"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration, including lead placement and removal, upper extremity, minimum of 10 minutes; each additional nerve",,,2143.0,2143.0,8
CPT,0884T,"Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for esophageal s",,,7493.0,7493.0,8
CPT,0885T,"Colonoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for colonic stricture, includ",,,7493.0,7493.0,8
CPT,0886T,"Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for colonic stricture, incl",,,7493.0,7493.0,8
CPT,0888T,"Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging guidance ",,,24657.0,29750.85,16
CPT,0889T,"Personalized target development for accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation derived from a structural and resting-state functional MRI, including d",,,,,0
CPT,0890T,"Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including target assessment, initial motor threshold determination, neuronavigation, delivery and manageme",,,,,0
CPT,0891T,"Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including neuronavigation, delivery and management, subsequent treatment day ",,,,,0
CPT,0892T,"Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including neuronavigation, delivery and management, subsequent motor threshold redetermination with delive",,,,,0
CPT,0894T,Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion ,,,8577.0,8577.0,8
CPT,0899T,"Noninvasive determination of absolute quantitation of myocardial blood flow (AQMBF), derived from augmentative algorithmic analysis of the dataset acquired via contrast cardiac magnetic resonance (CMR",,,,,0
CPT,0900T,"Noninvasive estimate of absolute quantitation of myocardial blood flow (AQMBF), derived from assistive algorithmic analysis of the dataset acquired via contrast cardiac magnetic resonance (CMR), pharm",,,,,0
CPT,0901T,"Placement of bone marrow sampling port, including imaging guidance when performed ",,,8577.0,8577.0,8
CPT,0908T,"Open implantation of integrated neurostimulation system, vagus nerve, including analysis and programming, when performed ",,,30016.0,30016.0,8
CPT,0909T,"Replacement of integrated neurostimulation system, vagus nerve, including analysis and programming, when performed ",,,30016.0,30016.0,8
CPT,0910T,"Removal of integrated neurostimulation system, vagus nerve ",,,10719.0,10719.0,8
CPT,0913T,"Percutaneous transcatheter therapeutic drug delivery by intracoronary drug-delivery balloon (eg, drug-coated, drug-eluting), including mechanical dilation by nondrug-delivery balloon angioplasty, endo",,,15007.0,15007.0,8
CPT,0914T,"Percutaneous transcatheter therapeutic drug delivery by intracoronary drug-delivery balloon (eg, drug-coated, drug-eluting) performed on a separate target lesion from the target lesion treated with ba",,,2143.0,2143.0,8
CPT,0915T,"Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; pulse",,,83613.0,83613.0,8
CPT,0916T,"Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; pulse",,,83613.0,83613.0,8
CPT,0917T,"Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; singl",,,19295.0,19295.0,8
CPT,0918T,"Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; dual ",,,19295.0,19295.0,8
CPT,0919T,Removal of a permanent cardiac contractility modulation-defibrillation system component(s); pulse generator only ,,,10719.0,10719.0,8
CPT,0920T,Removal of a permanent cardiac contractility modulation-defibrillation system component(s); single transvenous pacing lead only ,,,10719.0,10719.0,8
CPT,0921T,Removal of a permanent cardiac contractility modulation-defibrillation system component(s); single transvenous defibrillation lead only ,,,10719.0,10719.0,8
CPT,0922T,Removal of a permanent cardiac contractility modulation-defibrillation system component(s); dual (pacing and defibrillation) transvenous leads only ,,,10719.0,10719.0,8
CPT,0923T,Removal and replacement of permanent cardiac contractility modulation-defibrillation pulse generator only ,,,83613.0,83613.0,8
CPT,0924T,"Repositioning of previously implanted cardiac contractility modulation-defibrillation transvenous electrode(s)/lead(s), including fluoroscopic guidance and programming of sensing and therapeutic param",,,4009.0,4009.0,8
CPT,0925T,Relocation of skin pocket for implanted cardiac contractility modulation-defibrillation pulse generator ,,,5568.0,5568.0,8
CPT,0930T,"Electrophysiologic evaluation of cardiac contractility modulation-defibrillator leads, including defibrillation-threshold evaluation (induction of arrhythmia, evaluation of sensing and therapy for arr",,,5568.0,5568.0,8
CPT,0931T,"Electrophysiologic evaluation of cardiac contractility modulation-defibrillator leads, including defibrillation-threshold evaluation (induction of arrhythmia, evaluation of sensing and therapy for arr",,,5568.0,5568.0,8
CPT,0933T,"Transcatheter implantation of wireless left atrial pressure sensor for long-term left atrial pressure monitoring, including sensor calibration and deployment, right heart catheterization, transseptal ",,,12863.0,12863.0,8
CPT,0935T,"Cystourethroscopy with renal pelvic sympathetic denervation, radiofrequency ablation, retrograde ureteral approach, including insertion of guide wire, selective placement of ureteral sheath(s) and mul",,,8577.0,8577.0,8
CPT,0941T,"Cystourethroscopy, flexible; with insertion and expansion of prostatic urethral scaffold using integrated cystoscopic visualization ",,,8577.0,8577.0,8
CPT,0942T,"Cystourethroscopy, flexible; with removal and replacement of prostatic urethral scaffold ",,,8577.0,8577.0,8
CPT,0943T,"Cystourethroscopy, flexible; with removal of prostatic urethral scaffold ",,,8577.0,8577.0,8
CPT,0944T,3D contour simulation of target liver lesion(s) and margin(s) for image-guided percutaneous microwave ablation ,,,410.92,410.92,8
CPT,0945T,"Intraoperative assessment for abnormal (tumor) tissue, in-vivo, following partial mastectomy (eg, lumpectomy) using computer-aided fluorescence imaging (List separately in addition to code for primary",,,8577.0,8577.0,8
CPT,0946T,"Orthopedic implant movement analysis using paired computed tomography (CT) examination of the target structure, including data acquisition, data preparation and transmission, interpretation and report",,,180.78,180.78,8
CPT,0950T,"Ablation of benign prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,7493.0,7493.0,8
CPT,0951T,"Totally implantable active middle ear hearing implant; initial placement, including mastoidectomy, placement of and attachment to sound processor ",,,8577.0,8577.0,8
CPT,0952T,"Totally implantable active middle ear hearing implant; revision or replacement, with mastoidectomy and replacement of sound processor ",,,8577.0,8577.0,8
CPT,0953T,"Totally implantable active middle ear hearing implant; revision or replacement, without mastoidectomy and replacement of sound processor ",,,8577.0,8577.0,8
CPT,0954T,"Totally implantable active middle ear hearing implant; replacement of sound processor only, with attachment to existing transducers ",,,8577.0,8577.0,8
CPT,0955T,"Totally implantable active middle ear hearing implant; removal, including removal of sound processor and all implant components ",,,8577.0,8577.0,8
CPT,0956T,"Partial craniectomy, channel creation, and tunneling of electrode for sub-scalp implantation of an electrode array, receiver, and telemetry unit for continuous bilateral electroencephalography monitor",,,83613.0,83613.0,8
CPT,0957T,"Revision of sub-scalp implanted electrode array, receiver, and telemetry unit for electrode, when required, including imaging guidance ",,,5568.0,5568.0,8
CPT,0958T,"Removal of sub-scalp implanted electrode array, receiver, and telemetry unit for continuous bilateral electroencephalography monitoring system, including imaging guidance ",,,10719.0,10719.0,8
CPT,0960T,"Replacement of sub-scalp implanted electrode array, receiver, and telemetry unit with tunneling of electrode for continuous bilateral electroencephalography monitoring system, including imaging guidan",,,83613.0,83613.0,8
CPT,0967T,"Transanal insertion of endoluminal temporary colorectal anastomosis protection device, including vacuum anchoring component and flexible sheath connected to external vacuum source and monitoring syste",,,5568.0,5568.0,8
CPT,0968T,"Insertion or replacement of epicranial neurostimulator system, including electrode array and pulse generator, with connection to electrode array ",,,8577.0,8577.0,8
CPT,0969T,Removal of epicranial neurostimulator system ,,,8577.0,8577.0,8
CPT,0970T,"Ablation, benign breast tumor (eg, fibroadenoma), percutaneous, laser, including imaging guidance when performed, each tumor ",,,7493.0,7493.0,8
CPT,0971T,"Ablation, malignant breast tumor(s), percutaneous, laser, including imaging guidance when performed, unilateral ",,,7493.0,7493.0,8
CPT,0973T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, trunk, arms, legs;",,,2143.0,2143.0,8
CPT,0974T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, trunk, arms, legs;",,,2143.0,2143.0,8
CPT,0975T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, scalp, neck, hands",,,2143.0,2143.0,8
CPT,0976T,"Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (ie, general anesthesia, moderate sedation), including patient monitoring, scalp, neck, hands",,,2143.0,2143.0,8
CPT,0988T,"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, program",,,8577.0,8577.0,8
CPT,0989T,"Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and imaging, when performed, posterior tibial nerve; subcutaneous and subfascial ",,,10719.0,10719.0,8
CPT,0990T,"Transcervical instillation of biodegradable hydrogel materials, intrauterine ",,,8577.0,8577.0,8
CPT,0991T,"Cystourethroscopy, with low-energy lithotripsy and acoustically actuated microspheres, including imaging ",,,7493.0,7493.0,8
CPT,0994T,"Endovascular delivery of aortic wall stabilization drug therapy through a sheath positioned within an abdominal aortic aneurysm, with aortic roadmapping, balloon occlusion, imaging guidance, and radio",,,8577.0,8577.0,8
CPT,0995T,"Endovascular delivery of aortic wall stabilization drug therapy through a sheath positioned within an abdominal aortic aneurysm, with aortic roadmapping, balloon occlusion, imaging guidance, and radio",,,8577.0,8577.0,8
CPT,0996T,"Insertion and scleral fixation of a capsular bag prosthesis containing an intraocular lens prosthesis, with vitrectomy, including removal of crystalline lens or dislocated intraocular lens prosthesis,",,,7493.0,7493.0,8
CPT,0999T,"Autologous muscle cell therapy, harvesting of muscle progenitor cells, including ultrasound guidance, when performed ",,,8577.0,8577.0,8
CPT,10004,"Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,2143.0,9710.0,52
CPT,10004,"Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately in addition to code for primary procedure) SCHEDULED",,,491.0,501.33,3
CPT,10004,"Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately in addition to code for primary procedure) UNSCHEDULED",,,1486.6,1517.89,3
CPT,10005,"Fine needle aspiration biopsy, including ultrasound guidance; first lesion ",,,2625.0,9710.0,59
CPT,10005,"Fine needle aspiration biopsy, including ultrasound guidance; first lesion SCHEDULED",,,491.0,501.33,3
CPT,10005,"Fine needle aspiration biopsy, including ultrasound guidance; first lesion UNSCHEDULED",,,1486.6,1517.89,3
CPT,10006,"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,2143.0,9710.0,52
CPT,10006,"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure) SCHEDULED",,,491.0,501.33,3
CPT,10006,"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure) UNSCHEDULED",,,1486.6,1517.89,3
CPT,10007,"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion ",,,2625.0,9710.0,59
CPT,10007,"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion SCHEDULED",,,491.0,501.33,3
CPT,10007,"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion UNSCHEDULED",,,1486.6,1517.89,3
CPT,10008,"Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,2143.0,9710.0,52
CPT,10008,"Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure) SCHEDULED",,,491.0,501.33,3
CPT,10008,"Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure) UNSCHEDULED",,,1486.6,1517.89,3
CPT,10009,"Fine needle aspiration biopsy, including CT guidance; first lesion ",,,2625.0,9710.0,59
CPT,10009,"Fine needle aspiration biopsy, including CT guidance; first lesion SCHEDULED",,,491.0,501.33,3
CPT,10009,"Fine needle aspiration biopsy, including CT guidance; first lesion UNSCHEDULED",,,1486.6,1517.89,3
CPT,1000T,"Autologous muscle cell therapy, administration of muscle progenitor cells into the urethral sphincter, including cystoscopy and post-void residual ultrasound, when performed ",,,8577.0,8577.0,8
CPT,10010,"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,70
CPT,10010,"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,10010,"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure) SCHEDULED",,,491.0,501.33,3
CPT,10010,"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure) UNSCHEDULED",,,1486.6,1517.89,3
CPT,10011,"Fine needle aspiration biopsy, including MR guidance; first lesion ",,,1950.0,9710.0,77
CPT,10011,"Fine needle aspiration biopsy, including MR guidance; first lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,10011,"Fine needle aspiration biopsy, including MR guidance; first lesion SCHEDULED",,,491.0,501.33,3
CPT,10011,"Fine needle aspiration biopsy, including MR guidance; first lesion UNSCHEDULED",,,1486.6,1517.89,3
CPT,10012,"Fine needle aspiration biopsy, including MR guidance; each additional lesion (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,70
CPT,10012,"Fine needle aspiration biopsy, including MR guidance; each additional lesion (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,10012,"Fine needle aspiration biopsy, including MR guidance; each additional lesion (List separately in addition to code for primary procedure) SCHEDULED",,,491.0,501.33,3
CPT,10012,"Fine needle aspiration biopsy, including MR guidance; each additional lesion (List separately in addition to code for primary procedure) UNSCHEDULED",,,1486.6,1517.89,3
CPT,1001T,"Autologous muscle cell therapy, injection of muscle progenitor cells into the external anal sphincter, including ultrasound guidance, when performed ",,,8577.0,8577.0,8
CPT,10021,"Fine needle aspiration biopsy, without imaging guidance; first lesion ",,,1423.0,9710.0,106
CPT,10021,"Fine needle aspiration biopsy, without imaging guidance; first lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,10021,"Fine needle aspiration biopsy, without imaging guidance; first lesion SCHEDULED",,,491.0,501.33,3
CPT,10021,"Fine needle aspiration biopsy, without imaging guidance; first lesion UNSCHEDULED",,,395.73,404.06,3
CPT,10022,FINE NEEDLE ASPIRATION; WITH IMAGING GUIDANCE ,,,1982.0,3689.0,28
CPT,10030,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous ",,,1950.0,9710.0,106
CPT,10030,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,10030,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous SCHEDULED",,,1523.24,1555.31,3
CPT,10030,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous UNSCHEDULED",,,1345.79,1374.12,3
CPT,10035,"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion ",,,1950.0,9710.0,106
CPT,10035,"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,10035,"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion SCHEDULED",,,460.64,470.33,3
CPT,10035,"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion UNSCHEDULED",,,1345.79,1374.12,3
CPT,10036,"Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in additi",,,1345.79,9710.0,109
CPT,1003T,"Arthroplasty, first carpometacarpal joint, with distal trapezial and proximal first metacarpal prosthetic replacement (eg, first carpometacarpal total joint) ",,,15007.0,15007.0,8
CPT,10040,"Extraction (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules) ",,,1423.0,9710.0,106
CPT,10040,"Extraction (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules) Other Surgical Services",,,2850.0,2850.0,4
CPT,10040,"Extraction (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules) SCHEDULED",,,2828.72,2888.27,3
CPT,10040,"Extraction (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules) UNSCHEDULED",,,1345.79,1374.12,3
CPT,10060,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single ",,,1423.0,9710.0,106
CPT,10060,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single Other Surgical Services",,,2850.0,2850.0,4
CPT,10060,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single SCHEDULED",,,509.84,520.57,3
CPT,10060,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single UNSCHEDULED",,,384.21,392.3,3
CPT,10061,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple ",,,1423.0,9710.0,106
CPT,10061,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,10061,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple SCHEDULED",,,750.62,766.43,3
CPT,10061,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple UNSCHEDULED",,,529.73,540.88,3
CPT,10080,Incision and drainage of pilonidal cyst; simple ,,,1423.0,9710.0,106
CPT,10080,Incision and drainage of pilonidal cyst; simple Other Surgical Services,,,2850.0,2850.0,4
CPT,10080,Incision and drainage of pilonidal cyst; simple SCHEDULED,,,2828.72,2888.27,3
CPT,10080,Incision and drainage of pilonidal cyst; simple UNSCHEDULED,,,1345.79,1374.12,3
CPT,10081,Incision and drainage of pilonidal cyst; complicated ,,,1950.0,9710.0,106
CPT,10081,Incision and drainage of pilonidal cyst; complicated Other Surgical Services,,,2850.0,2850.0,4
CPT,10081,Incision and drainage of pilonidal cyst; complicated SCHEDULED,,,2828.72,2888.27,3
CPT,10081,Incision and drainage of pilonidal cyst; complicated UNSCHEDULED,,,1345.79,1374.12,3
CPT,10120,"Incision and removal of foreign body, subcutaneous tissues; simple ",,,1423.0,9710.0,106
CPT,10120,"Incision and removal of foreign body, subcutaneous tissues; simple Other Surgical Services",,,2850.0,2850.0,4
CPT,10120,"Incision and removal of foreign body, subcutaneous tissues; simple SCHEDULED",,,2828.72,2888.27,3
CPT,10120,"Incision and removal of foreign body, subcutaneous tissues; simple UNSCHEDULED",,,445.98,455.37,3
CPT,10121,"Incision and removal of foreign body, subcutaneous tissues; complicated ",,,1950.0,9710.0,106
CPT,10121,"Incision and removal of foreign body, subcutaneous tissues; complicated Other Surgical Services",,,2850.0,2850.0,4
CPT,10121,"Incision and removal of foreign body, subcutaneous tissues; complicated SCHEDULED",,,4820.97,4922.47,3
CPT,10121,"Incision and removal of foreign body, subcutaneous tissues; complicated UNSCHEDULED",,,1878.14,1917.68,3
CPT,1012T,"Motorized ab interno trephination of sclera (sclerostomy), or trabecular meshwork (trabeculostomy), 1 or more, including injection of antifibrotic agents, when performed ",,,12863.0,12863.0,8
CPT,1013T,"Laparoscopy, surgical, implantation or replacement of lower esophageal sphincter neurostimulator electrode array and neurostimulator pulse generator or receiver, requiring pocket creation and connecti",,,19295.0,19295.0,8
CPT,10140,"Incision and drainage of hematoma, seroma or fluid collection ",,,1950.0,9710.0,106
CPT,10140,"Incision and drainage of hematoma, seroma or fluid collection Other Surgical Services",,,2850.0,2850.0,4
CPT,10140,"Incision and drainage of hematoma, seroma or fluid collection SCHEDULED",,,4558.2,4654.17,3
CPT,10140,"Incision and drainage of hematoma, seroma or fluid collection UNSCHEDULED",,,755.86,771.77,3
CPT,1014T,"Laparoscopic revision or removal, lower esophageal sphincter neurostimulator electrodes ",,,19295.0,19295.0,8
CPT,1015T,"Revision or removal, lower esophageal sphincter neurostimulator pulse generator or receiver ",,,10719.0,10719.0,8
CPT,10160,"Puncture aspiration of abscess, hematoma, bulla, or cyst ",,,1423.0,9710.0,106
CPT,10160,"Puncture aspiration of abscess, hematoma, bulla, or cyst Other Surgical Services",,,2850.0,2850.0,4
CPT,10160,"Puncture aspiration of abscess, hematoma, bulla, or cyst SCHEDULED",,,604.06,616.77,3
CPT,10160,"Puncture aspiration of abscess, hematoma, bulla, or cyst UNSCHEDULED",,,522.4,533.4,3
CPT,10180,"Incision and drainage, complex, postoperative wound infection ",,,1950.0,14792.0,106
CPT,10180,"Incision and drainage, complex, postoperative wound infection Other Surgical Services",,,2850.0,2850.0,4
CPT,10180,"Incision and drainage, complex, postoperative wound infection SCHEDULED",,,3487.22,3560.64,3
CPT,10180,"Incision and drainage, complex, postoperative wound infection UNSCHEDULED",,,740.15,755.74,3
CPT,1019T,"Lymphovenous bypass, including robotic assistance, when performed, per extremity ",,,12863.0,12863.0,8
CPT,1020T,"Raman spectroscopy of 1 or more skin lesions, with probability score for malignant risk derived by algorithmic analysis of data from each lesion ",,,102.46,102.46,8
CPT,1021T,Active thoracic irrigation (separate procedure) ,,,4009.0,4009.0,8
CPT,1022T,"Percutaneous tissue displacement, any method, including imaging guidance; intra-abdominal/pelvic structures (List separately in addition to code for primary procedure) ",,,2143.0,2143.0,8
CPT,1023T,"Percutaneous tissue displacement, any method, including imaging guidance; intrathoracic structures (List separately in addition to code for primary procedure) ",,,2143.0,2143.0,8
CPT,1024T,"Percutaneous tissue displacement, any method, including imaging guidance; soft tissue (List separately in addition to code for primary procedure) ",,,2143.0,2143.0,8
CPT,1026T,"Transvaginal laser photobiomodulation therapy of pelvis, provided by a physician or other qualified health care professional ",,,8577.0,8577.0,8
CPT,1027T,"Percutaneous insertion or replacement of neurostimulation catheter via left subclavian or left jugular vein into the superior vena cava, with verification of capture of phrenic nerves, mapping and ",,,8577.0,8577.0,8
CPT,1038T,"Autologous muscle cell therapy, injection(s) of muscle progenitor cells into the tongue, including esophagoscopy, when performed ",,,8577.0,8577.0,8
CPT,1040T,"Bronchoscopy, flexible, with bronchial cryotherapy, 1 lung, including trachea, when performed ",,,8577.0,8577.0,8
CPT,1042T,Implantation of absorbable urologic scaffold for prostatic urethra restoration of reconstructed bladder neck and urethral anastomosis (List separately in addition to code for primary procedure) ,,,8577.0,8577.0,8
CPT,1044T,"Harvest of full-thickness skin for autologous heterogeneous skin construct graft, including direct closure of donor site; first 5 sq cm or less ",,,8577.0,8577.0,8
CPT,1045T,"Harvest of full-thickness skin for autologous heterogeneous skin construct graft, including direct closure of donor site; each additional 5 sq cm, or part thereof (List separately in addition ",,,8577.0,8577.0,8
CPT,1046T,"Autologous heterogeneous skin construct graft application, trunk, arms, legs; first 50 sq cm or less, or 0.5% of body area of infants and children ",,,8577.0,8577.0,8
CPT,1047T,"Autologous heterogeneous skin construct graft application, trunk, arms, legs; each additional 50 sq cm, or each additional 0.5% of body area of infants and children, or part thereof (List separately ",,,8577.0,8577.0,8
CPT,1048T,"Autologous heterogeneous skin construct graft application, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 50 sq cm or less, or 0.5% of ",,,8577.0,8577.0,8
CPT,1049T,"Autologous heterogeneous skin construct graft application, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 50 sq cm, or each additional",,,8577.0,8577.0,8
CPT,1050T,"Insertion, subcutaneous heart failure decompensation monitor, containing sensors that measure, at a minimum, heart rate, impedance, respiration rate, physical activity, heart sounds ",,,8577.0,8577.0,8
CPT,1051T,Removal of subcutaneous heart failure decompensation monitor ,,,8577.0,8577.0,8
CPT,11000,Debridement of extensive eczematous or infected skin; up to 10% of body surface ,,,1423.0,9710.0,106
CPT,11000,Debridement of extensive eczematous or infected skin; up to 10% of body surface Other Surgical Services,,,2850.0,2850.0,4
CPT,11000,Debridement of extensive eczematous or infected skin; up to 10% of body surface SCHEDULED,,,706.66,721.53,3
CPT,11000,Debridement of extensive eczematous or infected skin; up to 10% of body surface UNSCHEDULED,,,421.9,430.79,3
CPT,11001,"Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,11001,"Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,11001,"Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure) SCHEDULED",,,2828.72,2888.27,3
CPT,11001,"Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure) UNSCHEDULED",,,1345.79,1374.12,3
CPT,11004,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum ",,,1950.0,31992.0,78
CPT,11004,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum Other Surgical Services",,,2850.0,2850.0,4
CPT,11004,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum SCHEDULED",,,2828.72,2888.27,3
CPT,11004,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum UNSCHEDULED",,,1345.79,1374.12,3
CPT,11005,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure ",,,1950.0,31992.0,78
CPT,11005,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure Other Surgical Services",,,2850.0,2850.0,4
CPT,11005,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure SCHEDULED",,,10455.39,10675.5,3
CPT,11005,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure UNSCHEDULED",,,1705.4,1741.31,3
CPT,11006,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure ",,,1950.0,31992.0,78
CPT,11006,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure Other Surgical Servi",,,2850.0,2850.0,4
CPT,11006,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure SCHEDULED",,,2828.72,2888.27,3
CPT,11006,"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure UNSCHEDULED",,,1345.79,1374.12,3
CPT,11008,"Removal of prosthetic material or mesh, abdominal wall for infection (eg, for chronic or recurrent mesh infection or necrotizing soft tissue infection) (List separately in addition to code for primary",,,1345.79,31992.0,116
CPT,11010,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues ",,,1950.0,9710.0,106
CPT,11010,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues Other Surgical Services",,,2850.0,2850.0,4
CPT,11010,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues SCHEDULED",,,2912.47,2973.79,3
CPT,11010,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues UNSCHEDULED",,,3666.24,3743.42,3
CPT,11011,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle ",,,1950.0,9710.0,106
CPT,11011,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle Other Su",,,2850.0,2850.0,4
CPT,11011,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle SCHEDULE",,,7245.59,7398.13,3
CPT,11011,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle UNSCHEDU",,,4501.67,4596.44,3
CPT,11012,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone ",,,1950.0,18507.0,106
CPT,11012,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone Ot",,,2850.0,2850.0,4
CPT,11012,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone SC",,,2482.2,2534.45,3
CPT,11012,"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone UN",,,2262.35,2309.98,3
CPT,11040,"DEBRIDE SKIN, PARTIAL SCHEDULED",,,2828.72,2888.27,3
CPT,11040,"DEBRIDE SKIN, PARTIAL UNSCHEDULED",,,1345.79,1374.12,3
CPT,11041,"DEBRIDE SKIN, FULL SCHEDULED",,,2828.72,2888.27,3
CPT,11041,"DEBRIDE SKIN, FULL UNSCHEDULED",,,1345.79,1374.12,3
CPT,11042,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less ",,,1423.0,9710.0,106
CPT,11042,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11042,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less SCHEDULED",,,641.75,655.26,3
CPT,11042,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less UNSCHEDULED",,,986.18,1006.94,3
CPT,11043,"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less ",,,1423.0,9710.0,106
CPT,11043,"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11043,"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less SCHEDULED",,,978.85,999.46,3
CPT,11043,"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less UNSCHEDULED",,,3820.14,3900.56,3
CPT,11044,"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less ",,,1950.0,9710.0,106
CPT,11044,"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11044,"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less SCHEDULED",,,2261.3,2308.91,3
CPT,11044,"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less UNSCHEDULED",,,3818.04,3898.42,3
CPT,11045,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,11045,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) Other Surgical Ser",,,2850.0,2850.0,4
CPT,11045,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) SCHEDULED",,,421.9,430.79,3
CPT,11045,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) UNSCHEDULED",,,5224.03,5334.01,3
CPT,11046,"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary proced",,,1115.99,9710.0,109
CPT,11047,"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary proc",,,1345.79,9710.0,109
CPT,11055,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion ",,,1423.0,9710.0,106
CPT,11055,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,11055,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion SCHEDULED",,,2828.72,2888.27,3
CPT,11055,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion UNSCHEDULED",,,1345.79,1374.12,3
CPT,11056,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions ",,,1423.0,9710.0,106
CPT,11056,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions Other Surgical Services",,,2850.0,2850.0,4
CPT,11056,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions SCHEDULED",,,2828.72,2888.27,3
CPT,11056,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions UNSCHEDULED",,,1345.79,1374.12,3
CPT,11057,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions ",,,1423.0,9710.0,106
CPT,11057,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Other Surgical Services",,,2850.0,2850.0,4
CPT,11057,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions SCHEDULED",,,2828.72,2888.27,3
CPT,11057,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions UNSCHEDULED",,,316.16,322.82,3
CPT,11100,"BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS MEMBRANE (INCLUDING SIMPLE CLOSURE), UNLESS OTHERWISE LISTED; SINGLE LESION ",,,1423.0,3251.0,28
CPT,11100,"BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS MEMBRANE (INCLUDING SIMPLE CLOSURE), UNLESS OTHERWISE LISTED; SINGLE LESION SCHEDULED",,,2828.72,2888.27,3
CPT,11100,"BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS MEMBRANE (INCLUDING SIMPLE CLOSURE), UNLESS OTHERWISE LISTED; SINGLE LESION UNSCHEDULED",,,1345.79,1374.12,3
CPT,11101,"BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS MEMBRANE (INCLUDING SIMPLE CLOSURE), UNLESS OTHERWISE LISTED; EACH SEPARATE/ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCED ",,,1345.79,3251.0,34
CPT,11102,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion ",,,1950.0,9710.0,78
CPT,11102,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,11102,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion SCHEDULED",,,2828.72,2888.27,3
CPT,11102,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion UNSCHEDULED",,,1345.79,1374.12,3
CPT,11103,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,11103,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,11103,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure) SCHEDULED",,,2828.72,2888.27,3
CPT,11103,"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure) UNSCHEDULED",,,1345.79,1374.12,3
CPT,11104,"Punch biopsy of skin (including simple closure, when performed); single lesion ",,,1950.0,9710.0,78
CPT,11104,"Punch biopsy of skin (including simple closure, when performed); single lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,11104,"Punch biopsy of skin (including simple closure, when performed); single lesion SCHEDULED",,,2828.72,2888.27,3
CPT,11104,"Punch biopsy of skin (including simple closure, when performed); single lesion UNSCHEDULED",,,1345.79,1374.12,3
CPT,11105,"Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,11105,"Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,11105,"Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure) SCHEDULED",,,2828.72,2888.27,3
CPT,11105,"Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure) UNSCHEDULED",,,1345.79,1374.12,3
CPT,11106,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion ",,,1950.0,9710.0,78
CPT,11106,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,11106,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion SCHEDULED",,,673.16,687.33,3
CPT,11106,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion UNSCHEDULED",,,1345.79,1374.12,3
CPT,11107,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,11107,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,11107,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure) SCHEDULED",,,2828.72,2888.27,3
CPT,11107,"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure) UNSCHEDULED",,,1345.79,1374.12,3
CPT,11200,"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions ",,,1423.0,9710.0,106
CPT,11200,"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions Other Surgical Services",,,2850.0,2850.0,4
CPT,11200,"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions SCHEDULED",,,2828.72,2888.27,3
CPT,11200,"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions UNSCHEDULED",,,1345.79,1374.12,3
CPT,11201,"Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,11201,"Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,11201,"Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure) SCHEDULED",,,2828.72,2888.27,3
CPT,11201,"Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure) UNSCHEDULED",,,1345.79,1374.12,3
CPT,11300,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less ",,,1423.0,9710.0,106
CPT,11300,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11300,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less SCHEDULED",,,980.94,1001.59,3
CPT,11300,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less UNSCHEDULED",,,1345.79,1374.12,3
CPT,11301,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm ",,,1423.0,9710.0,106
CPT,11301,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11301,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11301,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11302,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm ",,,1423.0,9710.0,106
CPT,11302,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11302,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11302,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11303,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm ",,,1423.0,9710.0,106
CPT,11303,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11303,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11303,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11305,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less ",,,1423.0,9710.0,106
CPT,11305,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11305,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less SCHEDULED",,,281.62,287.55,3
CPT,11305,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less UNSCHEDULED",,,1345.79,1374.12,3
CPT,11306,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm ",,,1423.0,9710.0,106
CPT,11306,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11306,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11306,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11307,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm ",,,1423.0,9710.0,106
CPT,11307,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11307,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11307,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11308,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm ",,,1423.0,9710.0,106
CPT,11308,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11308,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11308,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11310,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less ",,,1423.0,9710.0,106
CPT,11310,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11310,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less SCHEDULED",,,2828.72,2888.27,3
CPT,11310,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less UNSCHEDULED",,,1345.79,1374.12,3
CPT,11311,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm ",,,1423.0,9710.0,106
CPT,11311,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11311,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11311,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11312,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm ",,,1423.0,9710.0,106
CPT,11312,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11312,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11312,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11313,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm ",,,1423.0,9710.0,106
CPT,11313,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11313,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11313,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11400,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less ",,,1950.0,9710.0,106
CPT,11400,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11400,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less SCHEDULED",,,7265.49,7418.44,3
CPT,11400,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less UNSCHEDULED",,,1345.79,1374.12,3
CPT,11401,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm ",,,1950.0,9710.0,106
CPT,11401,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11401,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm SCHEDULED",,,11771.35,12019.16,3
CPT,11401,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11402,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm ",,,1950.0,9710.0,106
CPT,11402,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11402,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm SCHEDULED",,,1650.96,1685.71,3
CPT,11402,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11403,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm ",,,1950.0,9710.0,106
CPT,11403,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11403,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm SCHEDULED",,,4381.28,4473.51,3
CPT,11403,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11404,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm ",,,1950.0,9710.0,106
CPT,11404,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11404,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm SCHEDULED",,,8045.43,8214.8,3
CPT,11404,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11406,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm ",,,1950.0,9710.0,106
CPT,11406,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11406,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm SCHEDULED",,,4565.53,4661.65,3
CPT,11406,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11420,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less ",,,1950.0,9710.0,106
CPT,11420,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11420,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less SCHEDULED",,,3970.9,4054.49,3
CPT,11420,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less UNSCHEDULED",,,1345.79,1374.12,3
CPT,11421,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm ",,,1950.0,9710.0,106
CPT,11421,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11421,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm SCHEDULED",,,2124.16,2168.88,3
CPT,11421,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11422,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm ",,,1950.0,9710.0,106
CPT,11422,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11422,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm SCHEDULED",,,5117.25,5224.98,3
CPT,11422,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11423,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm ",,,1950.0,9710.0,106
CPT,11423,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11423,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm SCHEDULED",,,2082.29,2126.12,3
CPT,11423,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11424,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm ",,,1950.0,9710.0,106
CPT,11424,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11424,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm SCHEDULED",,,4654.52,4752.51,3
CPT,11424,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11426,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm ",,,1950.0,18507.0,106
CPT,11426,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11426,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm SCHEDULED",,,7692.63,7854.57,3
CPT,11426,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11440,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less ",,,1950.0,9710.0,106
CPT,11440,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11440,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less SCHEDULED",,,2828.72,2888.27,3
CPT,11440,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less UNSCHEDULED",,,1345.79,1374.12,3
CPT,11441,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm ",,,1950.0,9710.0,106
CPT,11441,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11441,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11441,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11442,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm ",,,1950.0,9710.0,106
CPT,11442,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11442,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm SCHEDULED",,,8930.06,9118.06,3
CPT,11442,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11443,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm ",,,1950.0,9710.0,106
CPT,11443,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11443,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm SCHEDULED",,,2082.29,2126.12,3
CPT,11443,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11444,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm ",,,1950.0,9710.0,106
CPT,11444,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11444,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11444,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11446,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm ",,,1950.0,18507.0,106
CPT,11446,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11446,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm SCHEDULED",,,8205.61,8378.36,3
CPT,11446,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11450,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair ",,,1950.0,18507.0,106
CPT,11450,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair Other Surgical Services",,,2850.0,2850.0,4
CPT,11450,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair SCHEDULED",,,2828.72,2888.27,3
CPT,11450,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair UNSCHEDULED",,,1345.79,1374.12,3
CPT,11451,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair ",,,1950.0,18507.0,106
CPT,11451,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Other Surgical Services",,,2850.0,2850.0,4
CPT,11451,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair SCHEDULED",,,2828.72,2888.27,3
CPT,11451,"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair UNSCHEDULED",,,1345.79,1374.12,3
CPT,11462,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair ",,,1950.0,18507.0,106
CPT,11462,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Other Surgical Services",,,2850.0,2850.0,4
CPT,11462,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair SCHEDULED",,,2828.72,2888.27,3
CPT,11462,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair UNSCHEDULED",,,1345.79,1374.12,3
CPT,11463,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair ",,,1950.0,18507.0,106
CPT,11463,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair Other Surgical Services",,,2850.0,2850.0,4
CPT,11463,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair SCHEDULED",,,2828.72,2888.27,3
CPT,11463,"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair UNSCHEDULED",,,1345.79,1374.12,3
CPT,11470,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair ",,,1950.0,18507.0,106
CPT,11470,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair Other Surgical Services",,,2850.0,2850.0,4
CPT,11470,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair SCHEDULED",,,2828.72,2888.27,3
CPT,11470,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair UNSCHEDULED",,,1345.79,1374.12,3
CPT,11471,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair ",,,1950.0,18507.0,106
CPT,11471,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair Other Surgical Services",,,2850.0,2850.0,4
CPT,11471,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair SCHEDULED",,,2828.72,2888.27,3
CPT,11471,"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair UNSCHEDULED",,,1345.79,1374.12,3
CPT,11600,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less ",,,1950.0,9710.0,106
CPT,11600,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11600,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less SCHEDULED",,,2828.72,2888.27,3
CPT,11600,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less UNSCHEDULED",,,1345.79,1374.12,3
CPT,11601,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm ",,,1950.0,9710.0,106
CPT,11601,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11601,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11601,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11602,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm ",,,1950.0,9710.0,106
CPT,11602,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11602,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm SCHEDULED",,,3462.09,3534.98,3
CPT,11602,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11603,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm ",,,1950.0,9710.0,106
CPT,11603,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11603,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11603,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11604,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm ",,,1950.0,9710.0,106
CPT,11604,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11604,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11604,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11606,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm ",,,1950.0,9710.0,106
CPT,11606,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11606,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm SCHEDULED",,,14250.4,14550.41,3
CPT,11606,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11620,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less ",,,1950.0,9710.0,106
CPT,11620,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11620,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less SCHEDULED",,,2828.72,2888.27,3
CPT,11620,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less UNSCHEDULED",,,1345.79,1374.12,3
CPT,11621,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm ",,,1950.0,9710.0,106
CPT,11621,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11621,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11621,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11622,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm ",,,1950.0,9710.0,106
CPT,11622,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11622,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11622,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11623,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm ",,,1950.0,9710.0,106
CPT,11623,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11623,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11623,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11624,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm ",,,1950.0,9710.0,106
CPT,11624,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11624,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11624,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11626,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm ",,,1950.0,18507.0,106
CPT,11626,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11626,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11626,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11640,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less ",,,1950.0,9710.0,106
CPT,11640,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11640,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less SCHEDULED",,,2828.72,2888.27,3
CPT,11640,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less UNSCHEDULED",,,1345.79,1374.12,3
CPT,11641,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm ",,,1950.0,9710.0,106
CPT,11641,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11641,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11641,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11642,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm ",,,1950.0,9710.0,106
CPT,11642,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11642,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11642,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11643,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm ",,,1950.0,9710.0,106
CPT,11643,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11643,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11643,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11644,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm ",,,1950.0,9710.0,106
CPT,11644,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11644,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11644,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11646,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm ",,,1950.0,18507.0,106
CPT,11646,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11646,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm SCHEDULED",,,2828.72,2888.27,3
CPT,11646,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm UNSCHEDULED",,,1345.79,1374.12,3
CPT,11719,"Trimming of nondystrophic nails, any number ",,,1423.0,9710.0,106
CPT,11719,"Trimming of nondystrophic nails, any number Other Surgical Services",,,2850.0,2850.0,4
CPT,11719,"Trimming of nondystrophic nails, any number SCHEDULED",,,2421.48,2472.46,3
CPT,11719,"Trimming of nondystrophic nails, any number UNSCHEDULED",,,184.25,188.13,3
CPT,11720,Debridement of nail(s) by any method(s); 1 to 5 ,,,1423.0,9710.0,106
CPT,11720,Debridement of nail(s) by any method(s); 1 to 5 Other Surgical Services,,,2850.0,2850.0,4
CPT,11720,Debridement of nail(s) by any method(s); 1 to 5 SCHEDULED,,,429.23,438.27,3
CPT,11720,Debridement of nail(s) by any method(s); 1 to 5 UNSCHEDULED,,,179.02,182.79,3
CPT,11721,Debridement of nail(s) by any method(s); 6 or more ,,,1423.0,9710.0,106
CPT,11721,Debridement of nail(s) by any method(s); 6 or more Other Surgical Services,,,2850.0,2850.0,4
CPT,11721,Debridement of nail(s) by any method(s); 6 or more SCHEDULED,,,2421.48,2472.46,3
CPT,11721,Debridement of nail(s) by any method(s); 6 or more UNSCHEDULED,,,520.31,531.26,3
CPT,11730,"Avulsion of nail plate, partial or complete, simple; single ",,,1423.0,9710.0,106
CPT,11730,"Avulsion of nail plate, partial or complete, simple; single Other Surgical Services",,,2850.0,2850.0,4
CPT,11730,"Avulsion of nail plate, partial or complete, simple; single SCHEDULED",,,1113.9,1137.35,3
CPT,11730,"Avulsion of nail plate, partial or complete, simple; single UNSCHEDULED",,,501.47,512.02,3
CPT,11732,"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,11732,"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,11732,"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure) SCHEDULED",,,5391.53,5505.04,3
CPT,11732,"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure) UNSCHEDULED",,,1222.78,1248.53,3
CPT,11740,Evacuation of subungual hematoma ,,,1423.0,9710.0,106
CPT,11740,Evacuation of subungual hematoma Other Surgical Services,,,2850.0,2850.0,4
CPT,11740,Evacuation of subungual hematoma SCHEDULED,,,169.59,173.16,3
CPT,11740,Evacuation of subungual hematoma UNSCHEDULED,,,313.02,319.62,3
CPT,11750,"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal ",,,1950.0,9710.0,106
CPT,11750,"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal Other Surgical Services",,,2850.0,2850.0,4
CPT,11750,"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal SCHEDULED",,,4246.22,4335.62,3
CPT,11750,"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal UNSCHEDULED",,,875.21,893.63,3
CPT,11752,REMOVE NAIL BED/TIP ,,,5360.0,8727.0,28
CPT,11752,REMOVE NAIL BED/TIP SCHEDULED,,,2421.48,2472.46,3
CPT,11752,REMOVE NAIL BED/TIP UNSCHEDULED,,,520.31,531.26,3
CPT,11755,"Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure) ",,,1950.0,9710.0,106
CPT,11755,"Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,11755,"Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure) SCHEDULED",,,2421.48,2472.46,3
CPT,11755,"Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure) UNSCHEDULED",,,520.31,531.26,3
CPT,11760,Repair of nail bed ,,,1423.0,9710.0,106
CPT,11760,Repair of nail bed Other Surgical Services,,,2850.0,2850.0,4
CPT,11760,Repair of nail bed SCHEDULED,,,2421.48,2472.46,3
CPT,11760,Repair of nail bed UNSCHEDULED,,,547.53,559.06,3
CPT,11762,Reconstruction of nail bed with graft ,,,1950.0,9710.0,106
CPT,11762,Reconstruction of nail bed with graft Other Surgical Services,,,2850.0,2850.0,4
CPT,11762,Reconstruction of nail bed with graft SCHEDULED,,,5212.52,5322.25,3
CPT,11762,Reconstruction of nail bed with graft UNSCHEDULED,,,2106.36,2150.7,3
CPT,11765,"Wedge excision of skin of nail fold (eg, for ingrown toenail) ",,,1423.0,9710.0,106
CPT,11765,"Wedge excision of skin of nail fold (eg, for ingrown toenail) Other Surgical Services",,,2850.0,2850.0,4
CPT,11765,"Wedge excision of skin of nail fold (eg, for ingrown toenail) SCHEDULED",,,2421.48,2472.46,3
CPT,11765,"Wedge excision of skin of nail fold (eg, for ingrown toenail) UNSCHEDULED",,,520.31,531.26,3
CPT,11770,Excision of pilonidal cyst or sinus; simple ,,,1950.0,18507.0,106
CPT,11770,Excision of pilonidal cyst or sinus; simple Other Surgical Services,,,2850.0,2850.0,4
CPT,11771,Excision of pilonidal cyst or sinus; extensive ,,,1950.0,18507.0,106
CPT,11771,Excision of pilonidal cyst or sinus; extensive Other Surgical Services,,,2850.0,2850.0,4
CPT,11772,Excision of pilonidal cyst or sinus; complicated ,,,1950.0,18507.0,106
CPT,11772,Excision of pilonidal cyst or sinus; complicated Other Surgical Services,,,2850.0,2850.0,4
CPT,11900,"Injection, intralesional; up to and including 7 lesions ",,,1423.0,9710.0,106
CPT,11900,"Injection, intralesional; up to and including 7 lesions Other Surgical Services",,,2850.0,2850.0,4
CPT,11900,"Injection, intralesional; up to and including 7 lesions SCHEDULED",,,6705.39,6846.56,3
CPT,11900,"Injection, intralesional; up to and including 7 lesions UNSCHEDULED",,,686.76,701.22,3
CPT,11901,"Injection, intralesional; more than 7 lesions ",,,1423.0,9710.0,106
CPT,11901,"Injection, intralesional; more than 7 lesions Other Surgical Services",,,2850.0,2850.0,4
CPT,11901,"Injection, intralesional; more than 7 lesions SCHEDULED",,,6705.39,6846.56,3
CPT,11901,"Injection, intralesional; more than 7 lesions UNSCHEDULED",,,686.76,701.22,3
CPT,11920,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less ",,,1950.0,9710.0,106
CPT,11920,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11920,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less SCHEDULED",,,6705.39,6846.56,3
CPT,11920,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less UNSCHEDULED",,,686.76,701.22,3
CPT,11921,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm ",,,1950.0,9710.0,106
CPT,11921,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm Other Surgical Services",,,2850.0,2850.0,4
CPT,11921,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm SCHEDULED",,,6705.39,6846.56,3
CPT,11921,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm UNSCHEDULED",,,686.76,701.22,3
CPT,11922,"Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; each additional 20.0 sq cm, or part thereof (List separately in addition",,,686.76,9710.0,109
CPT,11950,"Subcutaneous injection of filling material (eg, collagen); 1 cc or less ",,,1844.0,9710.0,106
CPT,11950,"Subcutaneous injection of filling material (eg, collagen); 1 cc or less Other Surgical Services",,,2850.0,2850.0,4
CPT,11950,"Subcutaneous injection of filling material (eg, collagen); 1 cc or less SCHEDULED",,,6705.39,6846.56,3
CPT,11950,"Subcutaneous injection of filling material (eg, collagen); 1 cc or less UNSCHEDULED",,,686.76,701.22,3
CPT,11951,"Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc ",,,1950.0,9710.0,106
CPT,11951,"Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc Other Surgical Services",,,2850.0,2850.0,4
CPT,11951,"Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc SCHEDULED",,,6705.39,6846.56,3
CPT,11951,"Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc UNSCHEDULED",,,686.76,701.22,3
CPT,11952,"Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc ",,,1950.0,9710.0,106
CPT,11952,"Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Other Surgical Services",,,2850.0,2850.0,4
CPT,11952,"Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc SCHEDULED",,,6705.39,6846.56,3
CPT,11952,"Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc UNSCHEDULED",,,686.76,701.22,3
CPT,11954,"Subcutaneous injection of filling material (eg, collagen); over 10.0 cc ",,,1423.0,9710.0,106
CPT,11954,"Subcutaneous injection of filling material (eg, collagen); over 10.0 cc Other Surgical Services",,,2850.0,2850.0,4
CPT,11954,"Subcutaneous injection of filling material (eg, collagen); over 10.0 cc SCHEDULED",,,6705.39,6846.56,3
CPT,11954,"Subcutaneous injection of filling material (eg, collagen); over 10.0 cc UNSCHEDULED",,,686.76,701.22,3
CPT,11960,"Insertion of tissue expander(s) for other than breast, including subsequent expansion ",,,1950.0,18507.0,106
CPT,11960,"Insertion of tissue expander(s) for other than breast, including subsequent expansion Other Surgical Services",,,2850.0,2850.0,4
CPT,11960,"Insertion of tissue expander(s) for other than breast, including subsequent expansion SCHEDULED",,,11033.28,11265.56,3
CPT,11960,"Insertion of tissue expander(s) for other than breast, including subsequent expansion UNSCHEDULED",,,686.76,701.22,3
CPT,11970,Replacement of tissue expander with permanent implant ,,,1950.0,18507.0,106
CPT,11970,Replacement of tissue expander with permanent implant Other Surgical Services,,,2850.0,2850.0,4
CPT,11970,Replacement of tissue expander with permanent implant SCHEDULED,,,6705.39,6846.56,3
CPT,11970,Replacement of tissue expander with permanent implant UNSCHEDULED,,,686.76,701.22,3
CPT,11971,Removal of tissue expander without insertion of implant ,,,1950.0,18507.0,106
CPT,11971,Removal of tissue expander without insertion of implant Other Surgical Services,,,2850.0,2850.0,4
CPT,11971,Removal of tissue expander without insertion of implant SCHEDULED,,,7673.78,7835.33,3
CPT,11971,Removal of tissue expander without insertion of implant UNSCHEDULED,,,686.76,701.22,3
CPT,11975,INSERT CONTRACEPTIVE CAP SCHEDULED,,,6705.39,6846.56,3
CPT,11975,INSERT CONTRACEPTIVE CAP UNSCHEDULED,,,686.76,701.22,3
CPT,11976,"Removal, implantable contraceptive capsules ",,,1950.0,9710.0,106
CPT,11976,"Removal, implantable contraceptive capsules Other Surgical Services",,,2850.0,2850.0,4
CPT,11976,"Removal, implantable contraceptive capsules SCHEDULED",,,6705.39,6846.56,3
CPT,11976,"Removal, implantable contraceptive capsules UNSCHEDULED",,,686.76,701.22,3
CPT,11977,REMOVAL/REINSERT CONTRA CAP SCHEDULED,,,6705.39,6846.56,3
CPT,11977,REMOVAL/REINSERT CONTRA CAP UNSCHEDULED,,,686.76,701.22,3
CPT,11980,Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin) ,,,1423.0,9710.0,106
CPT,11980,Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin) Other Surgical Services,,,2850.0,2850.0,4
CPT,11980,Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin) SCHEDULED,,,6705.39,6846.56,3
CPT,11980,Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin) UNSCHEDULED,,,686.76,701.22,3
CPT,11981,"Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable) ",,,1423.0,9710.0,106
CPT,11981,"Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable) Other Surgical Services",,,2850.0,2850.0,4
CPT,11981,"Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable) SCHEDULED",,,3063.23,3127.72,3
CPT,11981,"Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable) UNSCHEDULED",,,686.76,701.22,3
CPT,11982,"Removal, non-biodegradable drug delivery implant ",,,1423.0,9710.0,106
CPT,11982,"Removal, non-biodegradable drug delivery implant Other Surgical Services",,,2850.0,2850.0,4
CPT,11982,"Removal, non-biodegradable drug delivery implant SCHEDULED",,,6705.39,6846.56,3
CPT,11982,"Removal, non-biodegradable drug delivery implant UNSCHEDULED",,,686.76,701.22,3
CPT,11983,"Removal with reinsertion, non-biodegradable drug delivery implant ",,,1423.0,9710.0,106
CPT,11983,"Removal with reinsertion, non-biodegradable drug delivery implant Other Surgical Services",,,2850.0,2850.0,4
CPT,11983,"Removal with reinsertion, non-biodegradable drug delivery implant SCHEDULED",,,3904.94,3987.15,3
CPT,11983,"Removal with reinsertion, non-biodegradable drug delivery implant UNSCHEDULED",,,686.76,701.22,3
CPT,12001,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less ",,,1423.0,9710.0,106
CPT,12001,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,12001,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less SCHEDULED",,,264.87,270.45,3
CPT,12001,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less UNSCHEDULED",,,347.57,354.88,3
CPT,12002,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm ",,,1423.0,9710.0,106
CPT,12002,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12002,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm SCHEDULED",,,459.59,469.27,3
CPT,12002,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm UNSCHEDULED",,,359.09,366.65,3
CPT,12004,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm ",,,1423.0,9710.0,106
CPT,12004,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12004,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm SCHEDULED",,,253.35,258.68,3
CPT,12004,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm UNSCHEDULED",,,338.15,345.27,3
CPT,12005,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm ",,,1423.0,9710.0,106
CPT,12005,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12005,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm SCHEDULED",,,519.26,530.19,3
CPT,12005,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm UNSCHEDULED",,,565.33,577.23,3
CPT,12006,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm ",,,1423.0,9710.0,106
CPT,12006,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12006,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm SCHEDULED",,,2104.27,2148.57,3
CPT,12006,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm UNSCHEDULED",,,755.86,771.77,3
CPT,12007,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm ",,,1423.0,9710.0,106
CPT,12007,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12007,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm SCHEDULED",,,2892.59,2953.49,3
CPT,12007,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm UNSCHEDULED",,,457.49,467.12,3
CPT,12011,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less ",,,1423.0,9710.0,106
CPT,12011,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,12011,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less SCHEDULED",,,215.66,220.2,3
CPT,12011,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less UNSCHEDULED",,,337.1,344.19,3
CPT,12013,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm ",,,1423.0,9710.0,106
CPT,12013,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12013,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm SCHEDULED",,,253.35,258.68,3
CPT,12013,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm UNSCHEDULED",,,360.14,367.72,3
CPT,12014,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm ",,,1423.0,9710.0,106
CPT,12014,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12014,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm SCHEDULED",,,253.35,258.68,3
CPT,12014,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm UNSCHEDULED",,,320.35,327.09,3
CPT,12015,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm ",,,1423.0,9710.0,106
CPT,12015,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12015,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm SCHEDULED",,,253.35,258.68,3
CPT,12015,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm UNSCHEDULED",,,550.67,562.26,3
CPT,12016,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm ",,,1423.0,9710.0,106
CPT,12016,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12016,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm SCHEDULED",,,2892.59,2953.49,3
CPT,12016,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm UNSCHEDULED",,,552.77,564.4,3
CPT,12017,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm ",,,1423.0,9710.0,106
CPT,12017,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12017,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm SCHEDULED",,,2892.59,2953.49,3
CPT,12017,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm UNSCHEDULED",,,291.04,297.17,3
CPT,12018,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm ",,,1423.0,9710.0,106
CPT,12018,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12018,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm SCHEDULED",,,2892.59,2953.49,3
CPT,12018,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm UNSCHEDULED",,,916.04,935.32,3
CPT,12020,Treatment of superficial wound dehiscence; simple closure ,,,1950.0,9710.0,106
CPT,12020,Treatment of superficial wound dehiscence; simple closure Other Surgical Services,,,2850.0,2850.0,4
CPT,12020,Treatment of superficial wound dehiscence; simple closure SCHEDULED,,,5774.7,5896.27,3
CPT,12020,Treatment of superficial wound dehiscence; simple closure UNSCHEDULED,,,1121.23,1144.83,3
CPT,12021,Treatment of superficial wound dehiscence; with packing ,,,1423.0,9710.0,106
CPT,12021,Treatment of superficial wound dehiscence; with packing Other Surgical Services,,,2850.0,2850.0,4
CPT,12021,Treatment of superficial wound dehiscence; with packing SCHEDULED,,,2892.59,2953.49,3
CPT,12021,Treatment of superficial wound dehiscence; with packing UNSCHEDULED,,,916.04,935.32,3
CPT,12031,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less ",,,1423.0,9710.0,106
CPT,12031,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,12031,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less SCHEDULED",,,253.35,258.68,3
CPT,12031,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less UNSCHEDULED",,,394.68,402.99,3
CPT,12032,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm ",,,1423.0,9710.0,106
CPT,12032,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12032,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm SCHEDULED",,,253.35,258.68,3
CPT,12032,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm UNSCHEDULED",,,394.68,402.99,3
CPT,12034,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm ",,,1423.0,9710.0,106
CPT,12034,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12034,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm SCHEDULED",,,253.35,258.68,3
CPT,12034,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm UNSCHEDULED",,,399.91,408.33,3
CPT,12035,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm ",,,1950.0,9710.0,106
CPT,12035,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12035,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm SCHEDULED",,,5201.0,5310.5,3
CPT,12035,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm UNSCHEDULED",,,916.04,935.32,3
CPT,12036,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm ",,,1950.0,9710.0,106
CPT,12036,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12036,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm SCHEDULED",,,16365.14,16709.67,3
CPT,12036,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm UNSCHEDULED",,,1509.63,1541.41,3
CPT,12037,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm ",,,1950.0,9710.0,106
CPT,12037,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12037,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm SCHEDULED",,,18135.45,18517.25,3
CPT,12037,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm UNSCHEDULED",,,7966.91,8134.63,3
CPT,12041,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less ",,,1423.0,9710.0,106
CPT,12041,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,12041,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less SCHEDULED",,,240.79,245.86,3
CPT,12041,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less UNSCHEDULED",,,452.26,461.78,3
CPT,12042,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm ",,,1423.0,9710.0,106
CPT,12042,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12042,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm SCHEDULED",,,253.35,258.68,3
CPT,12042,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm UNSCHEDULED",,,421.9,430.79,3
CPT,12044,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm ",,,1423.0,9710.0,106
CPT,12044,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12044,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm SCHEDULED",,,5661.64,5780.83,3
CPT,12044,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm UNSCHEDULED",,,903.48,922.5,3
CPT,12045,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm ",,,1423.0,9710.0,106
CPT,12045,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12045,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm SCHEDULED",,,2892.59,2953.49,3
CPT,12045,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm UNSCHEDULED",,,826.01,843.4,3
CPT,12046,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm ",,,1423.0,9710.0,106
CPT,12046,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12046,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm SCHEDULED",,,2892.59,2953.49,3
CPT,12046,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm UNSCHEDULED",,,1072.03,1094.6,3
CPT,12047,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm ",,,1950.0,9710.0,106
CPT,12047,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12047,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm SCHEDULED",,,2892.59,2953.49,3
CPT,12047,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm UNSCHEDULED",,,916.04,935.32,3
CPT,12051,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less ",,,1423.0,9710.0,106
CPT,12051,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,12051,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less SCHEDULED",,,253.35,258.68,3
CPT,12051,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less UNSCHEDULED",,,442.84,452.17,3
CPT,12052,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm ",,,1423.0,9710.0,106
CPT,12052,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12052,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm SCHEDULED",,,945.35,965.26,3
CPT,12052,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm UNSCHEDULED",,,416.67,425.44,3
CPT,12053,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm ",,,1423.0,9710.0,106
CPT,12053,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12053,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm SCHEDULED",,,889.87,908.6,3
CPT,12053,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm UNSCHEDULED",,,746.44,762.16,3
CPT,12054,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm ",,,1423.0,9710.0,106
CPT,12054,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12054,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm SCHEDULED",,,2892.59,2953.49,3
CPT,12054,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm UNSCHEDULED",,,804.02,820.95,3
CPT,12055,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm ",,,1423.0,9710.0,106
CPT,12055,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12055,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm SCHEDULED",,,2829.77,2889.35,3
CPT,12055,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm UNSCHEDULED",,,796.69,813.46,3
CPT,12056,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm ",,,1423.0,9710.0,106
CPT,12056,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12056,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm SCHEDULED",,,2892.59,2953.49,3
CPT,12056,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm UNSCHEDULED",,,916.04,935.32,3
CPT,12057,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm ",,,1423.0,9710.0,106
CPT,12057,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,12057,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm SCHEDULED",,,2892.59,2953.49,3
CPT,12057,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm UNSCHEDULED",,,4962.31,5066.78,3
CPT,13100,"Repair, complex, trunk; 1.1 cm to 2.5 cm ",,,1950.0,9710.0,106
CPT,13100,"Repair, complex, trunk; 1.1 cm to 2.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,13100,"Repair, complex, trunk; 1.1 cm to 2.5 cm SCHEDULED",,,5960.01,6085.48,3
CPT,13100,"Repair, complex, trunk; 1.1 cm to 2.5 cm UNSCHEDULED",,,916.04,935.32,3
CPT,13101,"Repair, complex, trunk; 2.6 cm to 7.5 cm ",,,1950.0,9710.0,106
CPT,13101,"Repair, complex, trunk; 2.6 cm to 7.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,13101,"Repair, complex, trunk; 2.6 cm to 7.5 cm SCHEDULED",,,2380.65,2430.77,3
CPT,13101,"Repair, complex, trunk; 2.6 cm to 7.5 cm UNSCHEDULED",,,1401.8,1431.31,3
CPT,13102,"Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,13102,"Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,13102,"Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure) SCHEDULED",,,2734.5,2792.07,3
CPT,13102,"Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure) UNSCHEDULED",,,2093.8,2137.88,3
CPT,13120,"Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm ",,,1423.0,9710.0,106
CPT,13120,"Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,13120,"Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm SCHEDULED",,,2892.59,2953.49,3
CPT,13120,"Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm UNSCHEDULED",,,931.74,951.36,3
CPT,13121,"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm ",,,1950.0,9710.0,106
CPT,13121,"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,13121,"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm SCHEDULED",,,3637.98,3714.57,3
CPT,13121,"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm UNSCHEDULED",,,742.25,757.88,3
CPT,13122,"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,13122,"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,13122,"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure) SCHEDULED",,,1932.58,1973.26,3
CPT,13122,"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure) UNSCHEDULED",,,454.36,463.92,3
CPT,13131,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm ",,,1423.0,9710.0,106
CPT,13131,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,13131,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm SCHEDULED",,,2116.83,2161.39,3
CPT,13131,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm UNSCHEDULED",,,908.71,927.84,3
CPT,13132,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm ",,,1950.0,9710.0,106
CPT,13132,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,13132,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm SCHEDULED",,,2934.46,2996.24,3
CPT,13132,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm UNSCHEDULED",,,989.32,1010.15,3
CPT,13133,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,13133,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure) Other Surgical Ser",,,2850.0,2850.0,4
CPT,13133,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure) SCHEDULED",,,2907.24,2968.44,3
CPT,13133,"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure) UNSCHEDULED",,,476.34,486.37,3
CPT,13150,CMPLX RPR E/N/E/L 1.0 CM/< SCHEDULED,,,2892.59,2953.49,3
CPT,13150,CMPLX RPR E/N/E/L 1.0 CM/< UNSCHEDULED,,,916.04,935.32,3
CPT,13151,"Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm ",,,1950.0,9710.0,106
CPT,13151,"Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,13151,"Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm SCHEDULED",,,945.35,965.26,3
CPT,13151,"Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm UNSCHEDULED",,,1245.81,1272.04,3
CPT,13152,"Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm ",,,1950.0,9710.0,106
CPT,13152,"Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,13152,"Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm SCHEDULED",,,1359.92,1388.56,3
CPT,13152,"Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm UNSCHEDULED",,,1260.47,1287.01,3
CPT,13153,"Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,13153,"Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,13153,"Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure) SCHEDULED",,,1257.33,1283.8,3
CPT,13153,"Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure) UNSCHEDULED",,,1733.66,1770.16,3
CPT,13160,"Secondary closure of surgical wound or dehiscence, extensive or complicated ",,,1950.0,18507.0,106
CPT,13160,"Secondary closure of surgical wound or dehiscence, extensive or complicated Other Surgical Services",,,2850.0,2850.0,4
CPT,13160,"Secondary closure of surgical wound or dehiscence, extensive or complicated SCHEDULED",,,4501.67,4596.44,3
CPT,13160,"Secondary closure of surgical wound or dehiscence, extensive or complicated UNSCHEDULED",,,916.04,935.32,3
CPT,13300,Comp unusual REP >7.5 cm SCHEDULED,,,2892.59,2953.49,3
CPT,13300,Comp unusual REP >7.5 cm UNSCHEDULED,,,916.04,935.32,3
CPT,14000,"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less ",,,1950.0,9710.0,106
CPT,14000,"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,14000,"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less SCHEDULED",,,3735.34,3813.98,3
CPT,14000,"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less UNSCHEDULED",,,916.04,935.32,3
CPT,14001,"Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm ",,,1950.0,9710.0,106
CPT,14001,"Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Other Surgical Services",,,2850.0,2850.0,4
CPT,14001,"Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm SCHEDULED",,,6757.74,6900.01,3
CPT,14001,"Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm UNSCHEDULED",,,916.04,935.32,3
CPT,14020,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less ",,,1950.0,9710.0,106
CPT,14020,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,14020,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less SCHEDULED",,,6332.7,6466.02,3
CPT,14020,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less UNSCHEDULED",,,3096.73,3161.93,3
CPT,14021,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm ",,,1950.0,9710.0,106
CPT,14021,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Other Surgical Services",,,2850.0,2850.0,4
CPT,14021,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm SCHEDULED",,,3874.57,3956.14,3
CPT,14021,"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm UNSCHEDULED",,,814.49,831.64,3
CPT,14040,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less ",,,1950.0,9710.0,106
CPT,14040,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,14040,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less SCHEDULED",,,2752.3,2810.25,3
CPT,14040,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less UNSCHEDULED",,,902.42,921.42,3
CPT,14041,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm ",,,1950.0,9710.0,106
CPT,14041,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm Other Surgical Services",,,2850.0,2850.0,4
CPT,14041,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm SCHEDULED",,,4936.13,5040.05,3
CPT,14041,"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm UNSCHEDULED",,,1400.76,1430.25,3
CPT,14060,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less ",,,1950.0,9710.0,106
CPT,14060,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,14060,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less SCHEDULED",,,5999.78,6126.09,3
CPT,14060,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less UNSCHEDULED",,,3767.79,3847.12,3
CPT,14061,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm ",,,1950.0,9710.0,106
CPT,14061,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm Other Surgical Services",,,2850.0,2850.0,4
CPT,14061,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm SCHEDULED",,,2086.48,2130.4,3
CPT,14061,"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm UNSCHEDULED",,,1036.43,1058.25,3
CPT,14300,SKIN TISSUE REARRANGEMENT SCHEDULED,,,2892.59,2953.49,3
CPT,14300,SKIN TISSUE REARRANGEMENT UNSCHEDULED,,,916.04,935.32,3
CPT,14301,"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm ",,,1950.0,18507.0,106
CPT,14301,"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Other Surgical Services",,,2850.0,2850.0,4
CPT,14301,"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm SCHEDULED",,,3721.73,3800.08,3
CPT,14301,"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm UNSCHEDULED",,,3941.58,4024.56,3
CPT,14302,"Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,14302,"Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,14302,"Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure) SCHEDULED",,,3031.82,3095.65,3
CPT,14302,"Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure) UNSCHEDULED",,,6121.22,6250.09,3
CPT,14350,"Filleted finger or toe flap, including preparation of recipient site ",,,1950.0,9710.0,106
CPT,14350,"Filleted finger or toe flap, including preparation of recipient site Other Surgical Services",,,2850.0,2850.0,4
CPT,14350,"Filleted finger or toe flap, including preparation of recipient site SCHEDULED",,,6916.86,7062.48,3
CPT,14350,"Filleted finger or toe flap, including preparation of recipient site UNSCHEDULED",,,916.04,935.32,3
CPT,15000,"WOUND PREP, 1ST 100 SQ CM SCHEDULED",,,2892.59,2953.49,3
CPT,15000,"WOUND PREP, 1ST 100 SQ CM UNSCHEDULED",,,916.04,935.32,3
CPT,15001,"WOUND PREP, ADDL 100 SQ CM SCHEDULED",,,2892.59,2953.49,3
CPT,15001,"WOUND PREP, ADDL 100 SQ CM UNSCHEDULED",,,916.04,935.32,3
CPT,15002,"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; firs",,,1892.8,9710.0,107
CPT,15003,"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; each",,,737.02,9710.0,100
CPT,15004,"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, m",,,1967.13,9710.0,107
CPT,15005,"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, m",,,1364.11,9710.0,100
CPT,15011,Harvest of skin for skin cell suspension autograft; first 25 sq cm or less ,,,1950.0,9710.0,78
CPT,15011,Harvest of skin for skin cell suspension autograft; first 25 sq cm or less Other Surgical Services,,,2850.0,2850.0,4
CPT,15012,Harvest of skin for skin cell suspension autograft; each additional 25 sq cm or part thereof (List separately in addition to code for primary procedure) ,,,1950.0,9710.0,71
CPT,15012,Harvest of skin for skin cell suspension autograft; each additional 25 sq cm or part thereof (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,15013,"Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; first 25 sq cm or less of harvested skin ",,,1950.0,15007.0,71
CPT,15013,"Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; first 25 sq cm or less of harvested skin Other Surgical S",,,2850.0,2850.0,4
CPT,15014,"Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; each additional 25 sq cm of harvested skin or part thereo",,,1950.0,9710.0,75
CPT,15015,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; first 480 sq cm or less ",,,1950.0,9710.0,78
CPT,15015,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; first 480 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,15016,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; each additional 480 sq cm or part thereof (List separately in addi",,,1950.0,9710.0,75
CPT,15017,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multi",,,1950.0,9710.0,82
CPT,15018,"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multi",,,1950.0,9710.0,75
CPT,15040,"Harvest of skin for tissue cultured skin autograft, 100 sq cm or less ",,,1950.0,9710.0,106
CPT,15040,"Harvest of skin for tissue cultured skin autograft, 100 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,15040,"Harvest of skin for tissue cultured skin autograft, 100 sq cm or less SCHEDULED",,,2892.59,2953.49,3
CPT,15040,"Harvest of skin for tissue cultured skin autograft, 100 sq cm or less UNSCHEDULED",,,916.04,935.32,3
CPT,15050,"Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter ",,,1950.0,9710.0,106
CPT,15050,"Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter Other Surgical Services",,,2850.0,2850.0,4
CPT,15050,"Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter SCHEDULED",,,2313.65,2362.36,3
CPT,15050,"Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter UNSCHEDULED",,,324.54,331.37,3
CPT,15100,"Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050) ",,,1950.0,9710.0,106
CPT,15100,"Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050) Other Surgical Services",,,2850.0,2850.0,4
CPT,15100,"Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050) SCHEDULED",,,4333.12,4424.34,3
CPT,15100,"Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050) UNSCHEDULED",,,916.04,935.32,3
CPT,15101,"Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary pr",,,916.04,9710.0,109
CPT,15110,"Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children ",,,1950.0,9710.0,106
CPT,15110,"Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Other Surgical Services",,,2850.0,2850.0,4
CPT,15110,"Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children SCHEDULED",,,1588.14,1621.58,3
CPT,15110,"Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children UNSCHEDULED",,,916.04,935.32,3
CPT,15111,"Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedur",,,916.04,9710.0,109
CPT,15115,"Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children ",,,1950.0,9710.0,106
CPT,15115,"Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children Other Surgical",,,2850.0,2850.0,4
CPT,15115,"Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children SCHEDULED",,,2466.49,2518.42,3
CPT,15115,"Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children UNSCHEDULED",,,916.04,935.32,3
CPT,15116,"Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and child",,,916.04,9710.0,109
CPT,15120,"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except ",,,1730.53,18507.0,116
CPT,15121,"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and",,,916.04,9710.0,109
CPT,15130,"Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children ",,,1950.0,9710.0,106
CPT,15130,"Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Other Surgical Services",,,2850.0,2850.0,4
CPT,15130,"Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children SCHEDULED",,,14525.74,14831.54,3
CPT,15130,"Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children UNSCHEDULED",,,916.04,935.32,3
CPT,15131,"Dermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure) ",,,916.04,9710.0,109
CPT,15135,"Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children ",,,1950.0,18507.0,106
CPT,15135,"Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children Other Surgical Se",,,2850.0,2850.0,4
CPT,15135,"Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children SCHEDULED",,,10286.84,10503.4,3
CPT,15135,"Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children UNSCHEDULED",,,916.04,935.32,3
CPT,15136,"Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children",,,916.04,9710.0,109
CPT,15150,"Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less ",,,1950.0,9710.0,106
CPT,15150,"Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,15150,"Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less SCHEDULED",,,2892.59,2953.49,3
CPT,15150,"Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less UNSCHEDULED",,,916.04,935.32,3
CPT,15151,"Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,15151,"Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,15151,"Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure) SCHEDULED",,,2892.59,2953.49,3
CPT,15151,"Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure) UNSCHEDULED",,,916.04,935.32,3
CPT,15152,"Tissue cultured skin autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for prima",,,916.04,9710.0,109
CPT,15155,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less ",,,1950.0,18507.0,106
CPT,15155,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,15155,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less SCHEDULED",,,6758.78,6901.07,3
CPT,15155,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less UNSCHEDULED",,,916.04,935.32,3
CPT,15156,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; additional 1 sq cm to 75 sq cm (List separately in addition to code for",,,916.04,9710.0,109
CPT,15157,"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infant",,,916.04,9710.0,109
CPT,15170,ACELL GRAFT TRUNK/ARMS/LEGS SCHEDULED,,,2892.59,2953.49,3
CPT,15170,ACELL GRAFT TRUNK/ARMS/LEGS UNSCHEDULED,,,916.04,935.32,3
CPT,15171,ACELL GRAFT T/ARM/LEG ADD-ON SCHEDULED,,,2892.59,2953.49,3
CPT,15171,ACELL GRAFT T/ARM/LEG ADD-ON UNSCHEDULED,,,916.04,935.32,3
CPT,15175,ACELLULAR GRAFT F/N/HF/G SCHEDULED,,,2892.59,2953.49,3
CPT,15175,ACELLULAR GRAFT F/N/HF/G UNSCHEDULED,,,916.04,935.32,3
CPT,15176,ACELL GRAFT F/N/HF/G ADD-ON SCHEDULED,,,2892.59,2953.49,3
CPT,15176,ACELL GRAFT F/N/HF/G ADD-ON UNSCHEDULED,,,916.04,935.32,3
CPT,15200,"Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less ",,,1950.0,9710.0,106
CPT,15200,"Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,15200,"Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less SCHEDULED",,,9500.62,9700.63,3
CPT,15200,"Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less UNSCHEDULED",,,916.04,935.32,3
CPT,15201,"Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,15201,"Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,15201,"Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) SCHEDULED",,,9500.62,9700.63,3
CPT,15201,"Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) UNSCHEDULED",,,916.04,935.32,3
CPT,15220,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less ",,,1950.0,9710.0,106
CPT,15220,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,15220,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less SCHEDULED",,,6280.35,6412.57,3
CPT,15220,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less UNSCHEDULED",,,4488.06,4582.54,3
CPT,15221,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,15221,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) Othe",,,2850.0,2850.0,4
CPT,15221,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) SCHE",,,6532.66,6670.19,3
CPT,15221,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) UNSC",,,916.04,935.32,3
CPT,15240,"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less ",,,1950.0,9710.0,106
CPT,15240,"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,15240,"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less SCHEDULED",,,4097.57,4183.83,3
CPT,15240,"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less UNSCHEDULED",,,2047.73,2090.84,3
CPT,15241,"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separat",,,916.04,9710.0,109
CPT,15260,"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less ",,,1950.0,9710.0,106
CPT,15260,"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,15260,"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less SCHEDULED",,,14496.42,14801.61,3
CPT,15260,"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less UNSCHEDULED",,,886.72,905.39,3
CPT,15261,"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedu",,,916.04,9710.0,109
CPT,15271,"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1950.0,9710.0,106
CPT,15271,"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area Other Surgical Services",,,2850.0,2850.0,4
CPT,15271,"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area SCHEDULED",,,1096.1,1119.18,3
CPT,15271,"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area UNSCHEDULED",,,3863.06,3944.39,3
CPT,15272,"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code f",,,1107.62,9710.0,109
CPT,15273,"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children ",,,1950.0,9710.0,106
CPT,15273,"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children O",,,2850.0,2850.0,4
CPT,15273,"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children S",,,1887.56,1927.3,3
CPT,15273,"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children U",,,1340.03,1368.24,3
CPT,15274,"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additiona",,,737.02,9710.0,109
CPT,15275,"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or les",,,1850.92,9710.0,116
CPT,15276,"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq",,,1235.34,9710.0,109
CPT,15277,"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; fi",,,1836.26,9710.0,116
CPT,15278,"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; ea",,,1388.19,9710.0,109
CPT,15300,APPLY SKINALLOGRFT T/ARM/LG SCHEDULED,,,2892.59,2953.49,3
CPT,15300,APPLY SKINALLOGRFT T/ARM/LG UNSCHEDULED,,,916.04,935.32,3
CPT,15301,APPLY SKNALLOGRFT T/A/L ADDL SCHEDULED,,,2892.59,2953.49,3
CPT,15301,APPLY SKNALLOGRFT T/A/L ADDL UNSCHEDULED,,,916.04,935.32,3
CPT,15320,APPLY SKIN ALLOGRFT F/N/HF/G SCHEDULED,,,2892.59,2953.49,3
CPT,15320,APPLY SKIN ALLOGRFT F/N/HF/G UNSCHEDULED,,,916.04,935.32,3
CPT,15321,APLY SKNALLOGRFT F/N/HFG ADD SCHEDULED,,,2892.59,2953.49,3
CPT,15321,APLY SKNALLOGRFT F/N/HFG ADD UNSCHEDULED,,,916.04,935.32,3
CPT,15330,APLY ACELL ALOGRFT T/ARM/LEG SCHEDULED,,,2892.59,2953.49,3
CPT,15330,APLY ACELL ALOGRFT T/ARM/LEG UNSCHEDULED,,,916.04,935.32,3
CPT,15331,APLY ACELL GRFT T/A/L ADD-ON SCHEDULED,,,2892.59,2953.49,3
CPT,15331,APLY ACELL GRFT T/A/L ADD-ON UNSCHEDULED,,,916.04,935.32,3
CPT,15335,APPLY ACELL GRAFT F/N/HF/G SCHEDULED,,,2892.59,2953.49,3
CPT,15335,APPLY ACELL GRAFT F/N/HF/G UNSCHEDULED,,,916.04,935.32,3
CPT,15336,APLY ACELL GRFT F/N/HF/G ADD SCHEDULED,,,2892.59,2953.49,3
CPT,15336,APLY ACELL GRFT F/N/HF/G ADD UNSCHEDULED,,,916.04,935.32,3
CPT,15340,APPLY CULT SKIN SUBSTITUTE SCHEDULED,,,2892.59,2953.49,3
CPT,15340,APPLY CULT SKIN SUBSTITUTE UNSCHEDULED,,,916.04,935.32,3
CPT,15341,APPLY CULT SKIN SUB ADD-ON SCHEDULED,,,2892.59,2953.49,3
CPT,15341,APPLY CULT SKIN SUB ADD-ON UNSCHEDULED,,,916.04,935.32,3
CPT,15342,"CULTURED SKIN GRAFT, 25 CM SCHEDULED",,,2892.59,2953.49,3
CPT,15342,"CULTURED SKIN GRAFT, 25 CM UNSCHEDULED",,,916.04,935.32,3
CPT,15343,CULTURE SKN GRAFT ADDL 25 CM SCHEDULED,,,2892.59,2953.49,3
CPT,15343,CULTURE SKN GRAFT ADDL 25 CM UNSCHEDULED,,,916.04,935.32,3
CPT,15350,SKIN HOMOGRAFT SCHEDULED,,,2892.59,2953.49,3
CPT,15350,SKIN HOMOGRAFT UNSCHEDULED,,,916.04,935.32,3
CPT,15351,SKIN HOMOGRAFT ADD-ON SCHEDULED,,,2892.59,2953.49,3
CPT,15351,SKIN HOMOGRAFT ADD-ON UNSCHEDULED,,,916.04,935.32,3
CPT,15360,APPLY CULT DERM SUB T/A/L SCHEDULED,,,2892.59,2953.49,3
CPT,15360,APPLY CULT DERM SUB T/A/L UNSCHEDULED,,,916.04,935.32,3
CPT,15361,APLY CULT DERM SUB T/A/L ADD SCHEDULED,,,2892.59,2953.49,3
CPT,15361,APLY CULT DERM SUB T/A/L ADD UNSCHEDULED,,,916.04,935.32,3
CPT,15365,APPLY CULT DERM SUB F/N/HF/G SCHEDULED,,,2892.59,2953.49,3
CPT,15365,APPLY CULT DERM SUB F/N/HF/G UNSCHEDULED,,,916.04,935.32,3
CPT,15366,APPLY CULT DERM F/HF/G ADD SCHEDULED,,,2892.59,2953.49,3
CPT,15366,APPLY CULT DERM F/HF/G ADD UNSCHEDULED,,,916.04,935.32,3
CPT,15400,APPLY SKIN XENOGRAFT T/A/L SCHEDULED,,,2892.59,2953.49,3
CPT,15400,APPLY SKIN XENOGRAFT T/A/L UNSCHEDULED,,,916.04,935.32,3
CPT,15401,APPLY SKN XENOGRFT T/A/L ADD SCHEDULED,,,2892.59,2953.49,3
CPT,15401,APPLY SKN XENOGRFT T/A/L ADD UNSCHEDULED,,,916.04,935.32,3
CPT,15420,APPLY SKIN XGRAFT F/N/HF/G SCHEDULED,,,2892.59,2953.49,3
CPT,15420,APPLY SKIN XGRAFT F/N/HF/G UNSCHEDULED,,,916.04,935.32,3
CPT,15421,APPLY SKN XGRFT F/N/HF/G ADD SCHEDULED,,,2892.59,2953.49,3
CPT,15421,APPLY SKN XGRFT F/N/HF/G ADD UNSCHEDULED,,,916.04,935.32,3
CPT,15430,APPLY ACELLULAR XENOGRAFT SCHEDULED,,,2892.59,2953.49,3
CPT,15430,APPLY ACELLULAR XENOGRAFT UNSCHEDULED,,,916.04,935.32,3
CPT,15431,APPLY ACELLULAR XGRAFT ADD SCHEDULED,,,2892.59,2953.49,3
CPT,15431,APPLY ACELLULAR XGRAFT ADD UNSCHEDULED,,,916.04,935.32,3
CPT,15570,"Formation of direct or tubed pedicle, with or without transfer; trunk ",,,1950.0,9710.0,106
CPT,15570,"Formation of direct or tubed pedicle, with or without transfer; trunk Other Surgical Services",,,2850.0,2850.0,4
CPT,15570,"Formation of direct or tubed pedicle, with or without transfer; trunk SCHEDULED",,,23305.04,23795.67,3
CPT,15570,"Formation of direct or tubed pedicle, with or without transfer; trunk UNSCHEDULED",,,916.04,935.32,3
CPT,15572,"Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs ",,,1950.0,18507.0,106
CPT,15572,"Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Other Surgical Services",,,2850.0,2850.0,4
CPT,15572,"Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs SCHEDULED",,,2892.59,2953.49,3
CPT,15572,"Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs UNSCHEDULED",,,916.04,935.32,3
CPT,15574,"Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet ",,,1950.0,9710.0,106
CPT,15574,"Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet Other Surgical Services",,,2850.0,2850.0,4
CPT,15574,"Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet SCHEDULED",,,3542.71,3617.29,3
CPT,15574,"Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet UNSCHEDULED",,,4230.52,4319.58,3
CPT,15576,"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral ",,,1950.0,9710.0,106
CPT,15576,"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral Other Surgical Services",,,2850.0,2850.0,4
CPT,15576,"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral SCHEDULED",,,2830.82,2890.42,3
CPT,15576,"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral UNSCHEDULED",,,916.04,935.32,3
CPT,15580,Cross finger flap SCHEDULED,,,2892.59,2953.49,3
CPT,15580,Cross finger flap UNSCHEDULED,,,916.04,935.32,3
CPT,15600,Delay of flap or sectioning of flap (division and inset); at trunk ,,,1950.0,18507.0,106
CPT,15600,Delay of flap or sectioning of flap (division and inset); at trunk Other Surgical Services,,,2850.0,2850.0,4
CPT,15600,Delay of flap or sectioning of flap (division and inset); at trunk SCHEDULED,,,4541.46,4637.07,3
CPT,15600,Delay of flap or sectioning of flap (division and inset); at trunk UNSCHEDULED,,,916.04,935.32,3
CPT,15610,"Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs ",,,1950.0,9710.0,106
CPT,15610,"Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs Other Surgical Services",,,2850.0,2850.0,4
CPT,15610,"Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs SCHEDULED",,,2846.52,2906.45,3
CPT,15610,"Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs UNSCHEDULED",,,916.04,935.32,3
CPT,15620,"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet ",,,1950.0,9710.0,106
CPT,15620,"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet Other Surgical Services",,,2850.0,2850.0,4
CPT,15620,"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet SCHEDULED",,,5154.94,5263.46,3
CPT,15620,"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet UNSCHEDULED",,,4373.95,4466.04,3
CPT,15625,Section cross fing flap SCHEDULED,,,2892.59,2953.49,3
CPT,15625,Section cross fing flap UNSCHEDULED,,,916.04,935.32,3
CPT,15630,"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips ",,,1950.0,9710.0,106
CPT,15630,"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips Other Surgical Services",,,2850.0,2850.0,4
CPT,15630,"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips SCHEDULED",,,3930.06,4012.8,3
CPT,15630,"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips UNSCHEDULED",,,916.04,935.32,3
CPT,15650,"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location ",,,1950.0,9710.0,106
CPT,15650,"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Other Surgical Services",,,2850.0,2850.0,4
CPT,15650,"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location SCHEDULED",,,2892.59,2953.49,3
CPT,15650,"Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location UNSCHEDULED",,,916.04,935.32,3
CPT,15730,"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) ",,,1950.0,18507.0,78
CPT,15730,"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,15730,"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) SCHEDULED",,,2892.59,2953.49,3
CPT,15730,"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) UNSCHEDULED",,,916.04,935.32,3
CPT,15731,"Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) ",,,1950.0,18507.0,106
CPT,15731,"Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) Other Surgical Services",,,2850.0,2850.0,4
CPT,15731,"Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) SCHEDULED",,,10122.48,10335.58,3
CPT,15731,"Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) UNSCHEDULED",,,916.04,935.32,3
CPT,15732,"HMuscle, myocutaneous, or fasciocutaneous flap; head and neck (eg, temporalis, masseter muscle, sternocleidomastoid, levator scapulae) ",,,2820.0,5414.0,28
CPT,15732,"HMuscle, myocutaneous, or fasciocutaneous flap; head and neck (eg, temporalis, masseter muscle, sternocleidomastoid, levator scapulae) SCHEDULED",,,2892.59,2953.49,3
CPT,15732,"HMuscle, myocutaneous, or fasciocutaneous flap; head and neck (eg, temporalis, masseter muscle, sternocleidomastoid, levator scapulae) UNSCHEDULED",,,916.04,935.32,3
CPT,15733,"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae) ",,,1950.0,18507.0,78
CPT,15733,"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae) Other Surgical Ser",,,2850.0,2850.0,4
CPT,15733,"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae) SCHEDULED",,,2892.59,2953.49,3
CPT,15733,"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae) UNSCHEDULED",,,916.04,935.32,3
CPT,15734,"Muscle, myocutaneous, or fasciocutaneous flap; trunk ",,,1950.0,18507.0,106
CPT,15734,"Muscle, myocutaneous, or fasciocutaneous flap; trunk Other Surgical Services",,,2850.0,2850.0,4
CPT,15734,"Muscle, myocutaneous, or fasciocutaneous flap; trunk SCHEDULED",,,7906.18,8072.63,3
CPT,15734,"Muscle, myocutaneous, or fasciocutaneous flap; trunk UNSCHEDULED",,,916.04,935.32,3
CPT,15736,"Muscle, myocutaneous, or fasciocutaneous flap; upper extremity ",,,1950.0,9710.0,106
CPT,15736,"Muscle, myocutaneous, or fasciocutaneous flap; upper extremity Other Surgical Services",,,2850.0,2850.0,4
CPT,15736,"Muscle, myocutaneous, or fasciocutaneous flap; upper extremity SCHEDULED",,,4855.53,4957.75,3
CPT,15736,"Muscle, myocutaneous, or fasciocutaneous flap; upper extremity UNSCHEDULED",,,2144.05,2189.19,3
CPT,15738,"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity ",,,1950.0,18507.0,106
CPT,15738,"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Other Surgical Services",,,2850.0,2850.0,4
CPT,15738,"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity SCHEDULED",,,2528.26,2581.49,3
CPT,15738,"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity UNSCHEDULED",,,916.04,935.32,3
CPT,15740,Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel ,,,1950.0,9710.0,106
CPT,15740,Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel Other Surgical Services,,,2850.0,2850.0,4
CPT,15740,Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel SCHEDULED,,,3464.19,3537.12,3
CPT,15740,Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel UNSCHEDULED,,,2931.32,2993.03,3
CPT,15750,Flap; neurovascular pedicle ,,,1950.0,18507.0,106
CPT,15750,Flap; neurovascular pedicle Other Surgical Services,,,2850.0,2850.0,4
CPT,15750,Flap; neurovascular pedicle SCHEDULED,,,2892.59,2953.49,3
CPT,15750,Flap; neurovascular pedicle UNSCHEDULED,,,1255.23,1281.66,3
CPT,15756,Free muscle or myocutaneous flap with microvascular anastomosis ,,,1950.0,31992.0,106
CPT,15756,Free muscle or myocutaneous flap with microvascular anastomosis Other Surgical Services,,,2850.0,2850.0,4
CPT,15756,Free muscle or myocutaneous flap with microvascular anastomosis SCHEDULED,,,2892.59,2953.49,3
CPT,15756,Free muscle or myocutaneous flap with microvascular anastomosis UNSCHEDULED,,,916.04,935.32,3
CPT,15757,Free skin flap with microvascular anastomosis ,,,1950.0,31992.0,106
CPT,15757,Free skin flap with microvascular anastomosis Other Surgical Services,,,2850.0,2850.0,4
CPT,15757,Free skin flap with microvascular anastomosis SCHEDULED,,,3420.22,3492.22,3
CPT,15757,Free skin flap with microvascular anastomosis UNSCHEDULED,,,916.04,935.32,3
CPT,15758,Free fascial flap with microvascular anastomosis ,,,1950.0,31992.0,106
CPT,15758,Free fascial flap with microvascular anastomosis Other Surgical Services,,,2850.0,2850.0,4
CPT,15758,Free fascial flap with microvascular anastomosis SCHEDULED,,,2892.59,2953.49,3
CPT,15758,Free fascial flap with microvascular anastomosis UNSCHEDULED,,,916.04,935.32,3
CPT,15760,"Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area ",,,1950.0,9710.0,106
CPT,15760,"Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area Other Surgical Services",,,2850.0,2850.0,4
CPT,15760,"Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area SCHEDULED",,,1154.73,1179.04,3
CPT,15760,"Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area UNSCHEDULED",,,6211.26,6342.02,3
CPT,15769,"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) ",,,1950.0,18507.0,78
CPT,15769,"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) Other Surgical Services",,,2850.0,2850.0,4
CPT,15769,"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) SCHEDULED",,,2892.59,2953.49,3
CPT,15769,"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) UNSCHEDULED",,,916.04,935.32,3
CPT,15770,Graft; derma-fat-fascia ,,,1950.0,18507.0,106
CPT,15770,Graft; derma-fat-fascia Other Surgical Services,,,2850.0,2850.0,4
CPT,15770,Graft; derma-fat-fascia SCHEDULED,,,5195.77,5305.15,3
CPT,15770,Graft; derma-fat-fascia UNSCHEDULED,,,916.04,935.32,3
CPT,15771,"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate ",,,1950.0,22212.0,78
CPT,15771,"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate Other Surgical Services",,,2850.0,2850.0,4
CPT,15771,"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate SCHEDULED",,,2892.59,2953.49,3
CPT,15771,"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate UNSCHEDULED",,,916.04,935.32,3
CPT,15772,"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof (List separately in addition to code for pri",,,916.04,22212.0,81
CPT,15773,"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate ",,,1950.0,9710.0,78
CPT,15773,"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate Other Surgical Services",,,2850.0,2850.0,4
CPT,15773,"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate SCHEDULED",,,2892.59,2953.49,3
CPT,15773,"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate UNSCHEDULED",,,916.04,935.32,3
CPT,15774,"Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; each additional 25 cc injectate, or part thereof (List separat",,,916.04,9710.0,81
CPT,15775,Punch graft for hair transplant; 1 to 15 punch grafts ,,,1423.0,9710.0,106
CPT,15775,Punch graft for hair transplant; 1 to 15 punch grafts Other Surgical Services,,,2850.0,2850.0,4
CPT,15775,Punch graft for hair transplant; 1 to 15 punch grafts SCHEDULED,,,2892.59,2953.49,3
CPT,15775,Punch graft for hair transplant; 1 to 15 punch grafts UNSCHEDULED,,,916.04,935.32,3
CPT,15776,Punch graft for hair transplant; more than 15 punch grafts ,,,1423.0,9710.0,106
CPT,15776,Punch graft for hair transplant; more than 15 punch grafts Other Surgical Services,,,2850.0,2850.0,4
CPT,15776,Punch graft for hair transplant; more than 15 punch grafts SCHEDULED,,,2892.59,2953.49,3
CPT,15776,Punch graft for hair transplant; more than 15 punch grafts UNSCHEDULED,,,916.04,935.32,3
CPT,15777,"Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,15777,"Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,15777,"Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure) SCHEDULED",,,7067.62,7216.41,3
CPT,15777,"Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure) UNSCHEDULED",,,7838.14,8003.15,3
CPT,15778,"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma ",,,1950.0,31992.0,78
CPT,15778,"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma Other Surgical Services",,,2850.0,2850.0,4
CPT,15778,"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma SCHEDULED",,,2892.59,2953.49,3
CPT,15778,"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma UNSCHEDULED",,,916.04,935.32,3
CPT,15780,"Dermabrasion; total face (eg, for acne scarring, fine wrinkling, rhytids, general keratosis) ",,,1950.0,18507.0,106
CPT,15780,"Dermabrasion; total face (eg, for acne scarring, fine wrinkling, rhytids, general keratosis) Other Surgical Services",,,2850.0,2850.0,4
CPT,15780,"Dermabrasion; total face (eg, for acne scarring, fine wrinkling, rhytids, general keratosis) SCHEDULED",,,2892.59,2953.49,3
CPT,15780,"Dermabrasion; total face (eg, for acne scarring, fine wrinkling, rhytids, general keratosis) UNSCHEDULED",,,916.04,935.32,3
CPT,15781,"Dermabrasion; segmental, face ",,,1950.0,9710.0,106
CPT,15781,"Dermabrasion; segmental, face Other Surgical Services",,,2850.0,2850.0,4
CPT,15781,"Dermabrasion; segmental, face SCHEDULED",,,2892.59,2953.49,3
CPT,15781,"Dermabrasion; segmental, face UNSCHEDULED",,,916.04,935.32,3
CPT,15782,"Dermabrasion; regional, other than face ",,,1950.0,18507.0,106
CPT,15782,"Dermabrasion; regional, other than face Other Surgical Services",,,2850.0,2850.0,4
CPT,15782,"Dermabrasion; regional, other than face SCHEDULED",,,2892.59,2953.49,3
CPT,15782,"Dermabrasion; regional, other than face UNSCHEDULED",,,916.04,935.32,3
CPT,15783,"Dermabrasion; superficial, any site (eg, tattoo removal) ",,,1423.0,9710.0,106
CPT,15783,"Dermabrasion; superficial, any site (eg, tattoo removal) Other Surgical Services",,,2850.0,2850.0,4
CPT,15783,"Dermabrasion; superficial, any site (eg, tattoo removal) SCHEDULED",,,9422.1,9620.46,3
CPT,15783,"Dermabrasion; superficial, any site (eg, tattoo removal) UNSCHEDULED",,,916.04,935.32,3
CPT,15786,"Abrasion; single lesion (eg, keratosis, scar) ",,,1423.0,9710.0,106
CPT,15786,"Abrasion; single lesion (eg, keratosis, scar) Other Surgical Services",,,2850.0,2850.0,4
CPT,15786,"Abrasion; single lesion (eg, keratosis, scar) SCHEDULED",,,2892.59,2953.49,3
CPT,15786,"Abrasion; single lesion (eg, keratosis, scar) UNSCHEDULED",,,916.04,935.32,3
CPT,15787,Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,15787,Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,15787,Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure) SCHEDULED,,,2892.59,2953.49,3
CPT,15787,Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure) UNSCHEDULED,,,916.04,935.32,3
CPT,15788,"Chemical peel, facial; epidermal ",,,1423.0,9710.0,106
CPT,15788,"Chemical peel, facial; epidermal Other Surgical Services",,,2850.0,2850.0,4
CPT,15788,"Chemical peel, facial; epidermal SCHEDULED",,,2892.59,2953.49,3
CPT,15788,"Chemical peel, facial; epidermal UNSCHEDULED",,,916.04,935.32,3
CPT,15789,"Chemical peel, facial; dermal ",,,1423.0,9710.0,106
CPT,15789,"Chemical peel, facial; dermal Other Surgical Services",,,2850.0,2850.0,4
CPT,15789,"Chemical peel, facial; dermal SCHEDULED",,,2892.59,2953.49,3
CPT,15789,"Chemical peel, facial; dermal UNSCHEDULED",,,916.04,935.32,3
CPT,15792,"Chemical peel, nonfacial; epidermal ",,,1423.0,9710.0,106
CPT,15792,"Chemical peel, nonfacial; epidermal Other Surgical Services",,,2850.0,2850.0,4
CPT,15792,"Chemical peel, nonfacial; epidermal SCHEDULED",,,2892.59,2953.49,3
CPT,15792,"Chemical peel, nonfacial; epidermal UNSCHEDULED",,,916.04,935.32,3
CPT,15793,"Chemical peel, nonfacial; dermal ",,,1423.0,9710.0,106
CPT,15793,"Chemical peel, nonfacial; dermal Other Surgical Services",,,2850.0,2850.0,4
CPT,15793,"Chemical peel, nonfacial; dermal SCHEDULED",,,2892.59,2953.49,3
CPT,15793,"Chemical peel, nonfacial; dermal UNSCHEDULED",,,916.04,935.32,3
CPT,15810,SALABRASION SCHEDULED,,,2892.59,2953.49,3
CPT,15810,SALABRASION UNSCHEDULED,,,916.04,935.32,3
CPT,15811,SALABRASION SCHEDULED,,,2892.59,2953.49,3
CPT,15811,SALABRASION UNSCHEDULED,,,916.04,935.32,3
CPT,15819,Cervicoplasty ,,,2820.0,5414.0,28
CPT,15819,Cervicoplasty SCHEDULED,,,2892.59,2953.49,3
CPT,15819,Cervicoplasty UNSCHEDULED,,,916.04,935.32,3
CPT,15820,"Blepharoplasty, lower eyelid; ",,,1950.0,9710.0,106
CPT,15820,"Blepharoplasty, lower eyelid; Other Surgical Services",,,2850.0,2850.0,4
CPT,15820,"Blepharoplasty, lower eyelid; SCHEDULED",,,16282.44,16625.23,3
CPT,15820,"Blepharoplasty, lower eyelid; UNSCHEDULED",,,916.04,935.32,3
CPT,15821,"Blepharoplasty, lower eyelid; with extensive herniated fat pad ",,,1950.0,9710.0,106
CPT,15821,"Blepharoplasty, lower eyelid; with extensive herniated fat pad Other Surgical Services",,,2850.0,2850.0,4
CPT,15821,"Blepharoplasty, lower eyelid; with extensive herniated fat pad SCHEDULED",,,2892.59,2953.49,3
CPT,15821,"Blepharoplasty, lower eyelid; with extensive herniated fat pad UNSCHEDULED",,,916.04,935.32,3
CPT,15822,"Blepharoplasty, upper eyelid; ",,,1950.0,9710.0,106
CPT,15822,"Blepharoplasty, upper eyelid; Other Surgical Services",,,2850.0,2850.0,4
CPT,15822,"Blepharoplasty, upper eyelid; SCHEDULED",,,2892.59,2953.49,3
CPT,15822,"Blepharoplasty, upper eyelid; UNSCHEDULED",,,916.04,935.32,3
CPT,15823,"Blepharoplasty, upper eyelid; with excessive skin weighting down lid ",,,1950.0,9710.0,106
CPT,15823,"Blepharoplasty, upper eyelid; with excessive skin weighting down lid Other Surgical Services",,,2850.0,2850.0,4
CPT,15823,"Blepharoplasty, upper eyelid; with excessive skin weighting down lid SCHEDULED",,,2892.59,2953.49,3
CPT,15823,"Blepharoplasty, upper eyelid; with excessive skin weighting down lid UNSCHEDULED",,,916.04,935.32,3
CPT,15824,Rhytidectomy; forehead ,,,1950.0,9710.0,106
CPT,15824,Rhytidectomy; forehead Other Surgical Services,,,2850.0,2850.0,4
CPT,15824,Rhytidectomy; forehead SCHEDULED,,,2892.59,2953.49,3
CPT,15824,Rhytidectomy; forehead UNSCHEDULED,,,916.04,935.32,3
CPT,15825,"Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap) ",,,1950.0,18507.0,106
CPT,15825,"Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap) Other Surgical Services",,,2850.0,2850.0,4
CPT,15825,"Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap) SCHEDULED",,,2892.59,2953.49,3
CPT,15825,"Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap) UNSCHEDULED",,,916.04,935.32,3
CPT,15826,Rhytidectomy; glabellar frown lines ,,,1950.0,18507.0,106
CPT,15826,Rhytidectomy; glabellar frown lines Other Surgical Services,,,2850.0,2850.0,4
CPT,15826,Rhytidectomy; glabellar frown lines SCHEDULED,,,2892.59,2953.49,3
CPT,15826,Rhytidectomy; glabellar frown lines UNSCHEDULED,,,916.04,935.32,3
CPT,15828,"Rhytidectomy; cheek, chin, and neck ",,,1950.0,18507.0,106
CPT,15828,"Rhytidectomy; cheek, chin, and neck Other Surgical Services",,,2850.0,2850.0,4
CPT,15828,"Rhytidectomy; cheek, chin, and neck SCHEDULED",,,2892.59,2953.49,3
CPT,15828,"Rhytidectomy; cheek, chin, and neck UNSCHEDULED",,,916.04,935.32,3
CPT,15829,Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap ,,,1950.0,18507.0,106
CPT,15829,Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap Other Surgical Services,,,2850.0,2850.0,4
CPT,15829,Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap SCHEDULED,,,2892.59,2953.49,3
CPT,15829,Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap UNSCHEDULED,,,916.04,935.32,3
CPT,15830,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy ",,,1950.0,18507.0,106
CPT,15830,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,15830,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy SCHEDULED",,,2892.59,2953.49,3
CPT,15830,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy UNSCHEDULED",,,916.04,935.32,3
CPT,15831,EXCISE EXCESSIVE SKIN TISSUE SCHEDULED,,,2892.59,2953.49,3
CPT,15831,EXCISE EXCESSIVE SKIN TISSUE UNSCHEDULED,,,916.04,935.32,3
CPT,15832,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh ",,,1950.0,18507.0,106
CPT,15832,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Other Surgical Services",,,2850.0,2850.0,4
CPT,15832,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh SCHEDULED",,,2892.59,2953.49,3
CPT,15832,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh UNSCHEDULED",,,916.04,935.32,3
CPT,15833,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg ",,,1950.0,18507.0,106
CPT,15833,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Other Surgical Services",,,2850.0,2850.0,4
CPT,15833,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg SCHEDULED",,,2892.59,2953.49,3
CPT,15833,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg UNSCHEDULED",,,916.04,935.32,3
CPT,15834,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip ",,,1950.0,18507.0,106
CPT,15834,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Other Surgical Services",,,2850.0,2850.0,4
CPT,15834,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip SCHEDULED",,,2892.59,2953.49,3
CPT,15834,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip UNSCHEDULED",,,916.04,935.32,3
CPT,15835,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock ",,,1950.0,18507.0,106
CPT,15835,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock Other Surgical Services",,,2850.0,2850.0,4
CPT,15835,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock SCHEDULED",,,2892.59,2953.49,3
CPT,15835,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock UNSCHEDULED",,,916.04,935.32,3
CPT,15836,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm ",,,1950.0,18507.0,106
CPT,15836,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm Other Surgical Services",,,2850.0,2850.0,4
CPT,15836,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm SCHEDULED",,,2892.59,2953.49,3
CPT,15836,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm UNSCHEDULED",,,916.04,935.32,3
CPT,15837,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand ",,,1950.0,18507.0,106
CPT,15837,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Other Surgical Services",,,2850.0,2850.0,4
CPT,15837,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand SCHEDULED",,,2892.59,2953.49,3
CPT,15837,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand UNSCHEDULED",,,916.04,935.32,3
CPT,15838,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad ",,,1950.0,18507.0,106
CPT,15838,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Other Surgical Services",,,2850.0,2850.0,4
CPT,15838,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad SCHEDULED",,,2892.59,2953.49,3
CPT,15838,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad UNSCHEDULED",,,916.04,935.32,3
CPT,15839,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area ",,,1950.0,18507.0,106
CPT,15839,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area Other Surgical Services",,,2850.0,2850.0,4
CPT,15839,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area SCHEDULED",,,2892.59,2953.49,3
CPT,15839,"Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area UNSCHEDULED",,,916.04,935.32,3
CPT,15840,Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) ,,,1950.0,18507.0,106
CPT,15840,Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Other Surgical Services,,,2850.0,2850.0,4
CPT,15840,Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) SCHEDULED,,,2892.59,2953.49,3
CPT,15840,Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) UNSCHEDULED,,,916.04,935.32,3
CPT,15841,Graft for facial nerve paralysis; free muscle graft (including obtaining graft) ,,,1950.0,18507.0,106
CPT,15841,Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,15841,Graft for facial nerve paralysis; free muscle graft (including obtaining graft) SCHEDULED,,,2892.59,2953.49,3
CPT,15841,Graft for facial nerve paralysis; free muscle graft (including obtaining graft) UNSCHEDULED,,,916.04,935.32,3
CPT,15842,Graft for facial nerve paralysis; free muscle flap by microsurgical technique ,,,1950.0,9710.0,106
CPT,15842,Graft for facial nerve paralysis; free muscle flap by microsurgical technique Other Surgical Services,,,2850.0,2850.0,4
CPT,15842,Graft for facial nerve paralysis; free muscle flap by microsurgical technique SCHEDULED,,,2892.59,2953.49,3
CPT,15842,Graft for facial nerve paralysis; free muscle flap by microsurgical technique UNSCHEDULED,,,916.04,935.32,3
CPT,15845,Graft for facial nerve paralysis; regional muscle transfer ,,,1950.0,18507.0,106
CPT,15845,Graft for facial nerve paralysis; regional muscle transfer Other Surgical Services,,,2850.0,2850.0,4
CPT,15845,Graft for facial nerve paralysis; regional muscle transfer SCHEDULED,,,2892.59,2953.49,3
CPT,15845,Graft for facial nerve paralysis; regional muscle transfer UNSCHEDULED,,,916.04,935.32,3
CPT,15847,"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for pr",,,916.04,9710.0,109
CPT,15850,"REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LOCAL), SAME SURGEON ",,,2820.0,5414.0,28
CPT,15850,"REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LOCAL), SAME SURGEON SCHEDULED",,,2892.59,2953.49,3
CPT,15850,"REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LOCAL), SAME SURGEON UNSCHEDULED",,,916.04,935.32,3
CPT,15851,"Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) ",,,1950.0,9710.0,106
CPT,15851,"Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Other Surgical Services",,,2850.0,2850.0,4
CPT,15851,"Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) SCHEDULED",,,2892.59,2953.49,3
CPT,15851,"Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) UNSCHEDULED",,,916.04,935.32,3
CPT,15852,Dressing change (for other than burns) under anesthesia (other than local) ,,,1423.0,9710.0,106
CPT,15852,Dressing change (for other than burns) under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,4
CPT,15852,Dressing change (for other than burns) under anesthesia (other than local) SCHEDULED,,,2501.05,2553.7,3
CPT,15852,Dressing change (for other than burns) under anesthesia (other than local) UNSCHEDULED,,,916.04,935.32,3
CPT,15853,Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code) ,,,1950.0,9710.0,71
CPT,15853,Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code) Other Surgical Services,,,2850.0,2850.0,4
CPT,15853,Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code) SCHEDULED,,,2892.59,2953.49,3
CPT,15853,Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code) UNSCHEDULED,,,916.04,935.32,3
CPT,15854,Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code) ,,,1950.0,9710.0,71
CPT,15854,Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code) Other Surgical Services,,,2850.0,2850.0,4
CPT,15854,Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code) SCHEDULED,,,2892.59,2953.49,3
CPT,15854,Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code) UNSCHEDULED,,,916.04,935.32,3
CPT,15860,"Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft ",,,1423.0,9710.0,106
CPT,15860,"Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft Other Surgical Services",,,2850.0,2850.0,4
CPT,15860,"Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft SCHEDULED",,,2892.59,2953.49,3
CPT,15860,"Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft UNSCHEDULED",,,916.04,935.32,3
CPT,15876,Suction assisted lipectomy; head and neck ,,,1950.0,18507.0,106
CPT,15876,Suction assisted lipectomy; head and neck Other Surgical Services,,,2850.0,2850.0,4
CPT,15876,Suction assisted lipectomy; head and neck SCHEDULED,,,2892.59,2953.49,3
CPT,15876,Suction assisted lipectomy; head and neck UNSCHEDULED,,,916.04,935.32,3
CPT,15877,Suction assisted lipectomy; trunk ,,,1950.0,18507.0,106
CPT,15877,Suction assisted lipectomy; trunk Other Surgical Services,,,2850.0,2850.0,4
CPT,15877,Suction assisted lipectomy; trunk SCHEDULED,,,2892.59,2953.49,3
CPT,15877,Suction assisted lipectomy; trunk UNSCHEDULED,,,916.04,935.32,3
CPT,15878,Suction assisted lipectomy; upper extremity ,,,1950.0,9710.0,106
CPT,15878,Suction assisted lipectomy; upper extremity Other Surgical Services,,,2850.0,2850.0,4
CPT,15878,Suction assisted lipectomy; upper extremity SCHEDULED,,,2892.59,2953.49,3
CPT,15878,Suction assisted lipectomy; upper extremity UNSCHEDULED,,,916.04,935.32,3
CPT,15879,Suction assisted lipectomy; lower extremity ,,,1950.0,18507.0,106
CPT,15879,Suction assisted lipectomy; lower extremity Other Surgical Services,,,2850.0,2850.0,4
CPT,15879,Suction assisted lipectomy; lower extremity SCHEDULED,,,2892.59,2953.49,3
CPT,15879,Suction assisted lipectomy; lower extremity UNSCHEDULED,,,916.04,935.32,3
CPT,15920,"Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture ",,,1950.0,14792.0,106
CPT,15920,"Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Other Surgical Services",,,2850.0,2850.0,4
CPT,15920,"Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture SCHEDULED",,,2892.59,2953.49,3
CPT,15920,"Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture UNSCHEDULED",,,916.04,935.32,3
CPT,15922,"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure ",,,1950.0,18507.0,106
CPT,15922,"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Other Surgical Services",,,2850.0,2850.0,4
CPT,15922,"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure SCHEDULED",,,2892.59,2953.49,3
CPT,15922,"Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure UNSCHEDULED",,,916.04,935.32,3
CPT,15931,"Excision, sacral pressure ulcer, with primary suture; ",,,1950.0,14792.0,106
CPT,15931,"Excision, sacral pressure ulcer, with primary suture; Other Surgical Services",,,2850.0,2850.0,4
CPT,15931,"Excision, sacral pressure ulcer, with primary suture; SCHEDULED",,,2892.59,2953.49,3
CPT,15931,"Excision, sacral pressure ulcer, with primary suture; UNSCHEDULED",,,916.04,935.32,3
CPT,15933,"Excision, sacral pressure ulcer, with primary suture; with ostectomy ",,,1950.0,14792.0,106
CPT,15933,"Excision, sacral pressure ulcer, with primary suture; with ostectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,15933,"Excision, sacral pressure ulcer, with primary suture; with ostectomy SCHEDULED",,,2892.59,2953.49,3
CPT,15933,"Excision, sacral pressure ulcer, with primary suture; with ostectomy UNSCHEDULED",,,916.04,935.32,3
CPT,15934,"Excision, sacral pressure ulcer, with skin flap closure; ",,,1950.0,18507.0,106
CPT,15934,"Excision, sacral pressure ulcer, with skin flap closure; Other Surgical Services",,,2850.0,2850.0,4
CPT,15934,"Excision, sacral pressure ulcer, with skin flap closure; SCHEDULED",,,2892.59,2953.49,3
CPT,15934,"Excision, sacral pressure ulcer, with skin flap closure; UNSCHEDULED",,,916.04,935.32,3
CPT,15935,"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy ",,,1950.0,18507.0,106
CPT,15935,"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,15935,"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy SCHEDULED",,,2892.59,2953.49,3
CPT,15935,"Excision, sacral pressure ulcer, with skin flap closure; with ostectomy UNSCHEDULED",,,916.04,935.32,3
CPT,15936,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; ",,,1950.0,9710.0,106
CPT,15936,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Other Surgical Services",,,2850.0,2850.0,4
CPT,15936,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; SCHEDULED",,,2892.59,2953.49,3
CPT,15936,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; UNSCHEDULED",,,916.04,935.32,3
CPT,15937,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy ",,,1950.0,9710.0,106
CPT,15937,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,15937,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy SCHEDULED",,,2892.59,2953.49,3
CPT,15937,"Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy UNSCHEDULED",,,916.04,935.32,3
CPT,15940,"Excision, ischial pressure ulcer, with primary suture; ",,,1950.0,14792.0,106
CPT,15940,"Excision, ischial pressure ulcer, with primary suture; Other Surgical Services",,,2850.0,2850.0,4
CPT,15940,"Excision, ischial pressure ulcer, with primary suture; SCHEDULED",,,2892.59,2953.49,3
CPT,15940,"Excision, ischial pressure ulcer, with primary suture; UNSCHEDULED",,,916.04,935.32,3
CPT,15941,"Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) ",,,1950.0,14792.0,106
CPT,15941,"Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,15941,"Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) SCHEDULED",,,2892.59,2953.49,3
CPT,15941,"Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) UNSCHEDULED",,,916.04,935.32,3
CPT,15944,"Excision, ischial pressure ulcer, with skin flap closure; ",,,1950.0,18507.0,106
CPT,15944,"Excision, ischial pressure ulcer, with skin flap closure; Other Surgical Services",,,2850.0,2850.0,4
CPT,15944,"Excision, ischial pressure ulcer, with skin flap closure; SCHEDULED",,,2892.59,2953.49,3
CPT,15944,"Excision, ischial pressure ulcer, with skin flap closure; UNSCHEDULED",,,916.04,935.32,3
CPT,15945,"Excision, ischial pressure ulcer, with skin flap closure; with ostectomy ",,,1950.0,9710.0,106
CPT,15945,"Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,15945,"Excision, ischial pressure ulcer, with skin flap closure; with ostectomy SCHEDULED",,,2892.59,2953.49,3
CPT,15945,"Excision, ischial pressure ulcer, with skin flap closure; with ostectomy UNSCHEDULED",,,916.04,935.32,3
CPT,15946,"Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure ",,,1950.0,9710.0,106
CPT,15946,"Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure Other Surgical Services",,,2850.0,2850.0,4
CPT,15946,"Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure SCHEDULED",,,1903.27,1943.34,3
CPT,15946,"Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure UNSCHEDULED",,,916.04,935.32,3
CPT,15950,"Excision, trochanteric pressure ulcer, with primary suture; ",,,1950.0,9710.0,106
CPT,15950,"Excision, trochanteric pressure ulcer, with primary suture; Other Surgical Services",,,2850.0,2850.0,4
CPT,15950,"Excision, trochanteric pressure ulcer, with primary suture; SCHEDULED",,,2892.59,2953.49,3
CPT,15950,"Excision, trochanteric pressure ulcer, with primary suture; UNSCHEDULED",,,916.04,935.32,3
CPT,15951,"Excision, trochanteric pressure ulcer, with primary suture; with ostectomy ",,,1950.0,14792.0,106
CPT,15951,"Excision, trochanteric pressure ulcer, with primary suture; with ostectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,15951,"Excision, trochanteric pressure ulcer, with primary suture; with ostectomy SCHEDULED",,,2892.59,2953.49,3
CPT,15951,"Excision, trochanteric pressure ulcer, with primary suture; with ostectomy UNSCHEDULED",,,916.04,935.32,3
CPT,15952,"Excision, trochanteric pressure ulcer, with skin flap closure; ",,,1950.0,9710.0,106
CPT,15952,"Excision, trochanteric pressure ulcer, with skin flap closure; Other Surgical Services",,,2850.0,2850.0,4
CPT,15952,"Excision, trochanteric pressure ulcer, with skin flap closure; SCHEDULED",,,2892.59,2953.49,3
CPT,15952,"Excision, trochanteric pressure ulcer, with skin flap closure; UNSCHEDULED",,,916.04,935.32,3
CPT,15953,"Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy ",,,1950.0,18507.0,106
CPT,15953,"Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,15953,"Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy SCHEDULED",,,2892.59,2953.49,3
CPT,15953,"Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy UNSCHEDULED",,,916.04,935.32,3
CPT,15956,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; ",,,1950.0,9710.0,106
CPT,15956,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Other Surgical Services",,,2850.0,2850.0,4
CPT,15956,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; SCHEDULED",,,2892.59,2953.49,3
CPT,15956,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; UNSCHEDULED",,,916.04,935.32,3
CPT,15958,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy ",,,1950.0,18507.0,106
CPT,15958,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,15958,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy SCHEDULED",,,2892.59,2953.49,3
CPT,15958,"Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy UNSCHEDULED",,,916.04,935.32,3
CPT,15999,"Unlisted procedure, excision pressure ulcer ",,,1950.0,9710.0,106
CPT,15999,"Unlisted procedure, excision pressure ulcer Other Surgical Services",,,2850.0,2850.0,4
CPT,15999,"Unlisted procedure, excision pressure ulcer SCHEDULED",,,2892.59,2953.49,3
CPT,15999,"Unlisted procedure, excision pressure ulcer UNSCHEDULED",,,916.04,935.32,3
CPT,16000,"Initial treatment, first degree burn, when no more than local treatment is required ",,,1423.0,9710.0,106
CPT,16000,"Initial treatment, first degree burn, when no more than local treatment is required Other Surgical Services",,,2850.0,2850.0,4
CPT,16000,"Initial treatment, first degree burn, when no more than local treatment is required SCHEDULED",,,2892.59,2953.49,3
CPT,16000,"Initial treatment, first degree burn, when no more than local treatment is required UNSCHEDULED",,,916.04,935.32,3
CPT,16010,TREATMENT OF BURN(S) SCHEDULED,,,2892.59,2953.49,3
CPT,16010,TREATMENT OF BURN(S) UNSCHEDULED,,,916.04,935.32,3
CPT,16015,TREATMENT OF BURN(S) SCHEDULED,,,2892.59,2953.49,3
CPT,16015,TREATMENT OF BURN(S) UNSCHEDULED,,,916.04,935.32,3
CPT,16020,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area) ",,,1423.0,9710.0,106
CPT,16020,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area) Other Surgical Services",,,2850.0,2850.0,4
CPT,16020,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area) SCHEDULED",,,265.91,271.51,3
CPT,16020,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area) UNSCHEDULED",,,298.37,304.65,3
CPT,16025,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area) ",,,1423.0,9710.0,106
CPT,16025,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area) Other Surgical Services",,,2850.0,2850.0,4
CPT,16025,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area) SCHEDULED",,,462.73,472.47,3
CPT,16025,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area) UNSCHEDULED",,,378.97,386.95,3
CPT,16030,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area) ",,,1423.0,9710.0,106
CPT,16030,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area) Other Surgical Services",,,2850.0,2850.0,4
CPT,16030,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area) SCHEDULED",,,420.85,429.71,3
CPT,16030,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area) UNSCHEDULED",,,360.14,367.72,3
CPT,16035,Escharotomy; initial incision ,,,1423.0,9710.0,106
CPT,16035,Escharotomy; initial incision Other Surgical Services,,,2850.0,2850.0,4
CPT,16035,Escharotomy; initial incision SCHEDULED,,,4050.46,4135.73,3
CPT,16035,Escharotomy; initial incision UNSCHEDULED,,,484.72,494.92,3
CPT,16036,Escharotomy; each additional incision (List separately in addition to code for primary procedure) ,,,1950.0,31992.0,106
CPT,16036,Escharotomy; each additional incision (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,16036,Escharotomy; each additional incision (List separately in addition to code for primary procedure) SCHEDULED,,,2892.59,2953.49,3
CPT,16036,Escharotomy; each additional incision (List separately in addition to code for primary procedure) UNSCHEDULED,,,916.04,935.32,3
CPT,17000,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion ",,,1423.0,9710.0,106
CPT,17000,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,17000,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion SCHEDULED",,,1292.92,1320.14,3
CPT,17000,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion UNSCHEDULED",,,537.06,548.37,3
CPT,17003,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); second through 14 lesions, each (List separately in addi",,,537.06,9710.0,109
CPT,17004,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions ",,,1423.0,9710.0,106
CPT,17004,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions Other Surgical Services",,,2850.0,2850.0,4
CPT,17004,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions SCHEDULED",,,1292.92,1320.14,3
CPT,17004,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions UNSCHEDULED",,,537.06,548.37,3
CPT,17106,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm ",,,1423.0,9710.0,106
CPT,17106,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Other Surgical Services",,,2850.0,2850.0,4
CPT,17106,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm SCHEDULED",,,284.75,290.75,3
CPT,17106,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm UNSCHEDULED",,,537.06,548.37,3
CPT,17107,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm ",,,1423.0,9710.0,106
CPT,17107,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm Other Surgical Services",,,2850.0,2850.0,4
CPT,17107,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm SCHEDULED",,,928.6,948.15,3
CPT,17107,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm UNSCHEDULED",,,537.06,548.37,3
CPT,17108,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm ",,,1423.0,9710.0,106
CPT,17108,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm Other Surgical Services",,,2850.0,2850.0,4
CPT,17108,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm SCHEDULED",,,1436.34,1466.58,3
CPT,17108,"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm UNSCHEDULED",,,537.06,548.37,3
CPT,17110,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions ",,,1423.0,9710.0,106
CPT,17110,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions O",,,2850.0,2850.0,4
CPT,17110,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions S",,,6663.52,6803.8,3
CPT,17110,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions U",,,537.06,548.37,3
CPT,17111,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions",,,537.06,9710.0,116
CPT,17250,"Chemical cauterization of granulation tissue (ie, proud flesh) ",,,1423.0,9710.0,106
CPT,17250,"Chemical cauterization of granulation tissue (ie, proud flesh) Other Surgical Services",,,2850.0,2850.0,4
CPT,17250,"Chemical cauterization of granulation tissue (ie, proud flesh) SCHEDULED",,,143.42,146.44,3
CPT,17250,"Chemical cauterization of granulation tissue (ie, proud flesh) UNSCHEDULED",,,375.84,383.75,3
CPT,17260,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.5 cm or less ",,,1423.0,9710.0,106
CPT,17260,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,17260,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.5 cm or less SCHEDULED",,,1292.92,1320.14,3
CPT,17260,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.5 cm or less UNSCHEDULED",,,537.06,548.37,3
CPT,17261,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0 cm ",,,1423.0,9710.0,106
CPT,17261,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,17261,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0 cm SCHEDULED",,,1292.92,1320.14,3
CPT,17261,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0 cm UNSCHEDULED",,,537.06,548.37,3
CPT,17262,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm ",,,1423.0,9710.0,106
CPT,17262,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,17262,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm SCHEDULED",,,1292.92,1320.14,3
CPT,17262,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm UNSCHEDULED",,,537.06,548.37,3
CPT,17263,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm ",,,1423.0,9710.0,106
CPT,17263,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,17263,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm SCHEDULED",,,1292.92,1320.14,3
CPT,17263,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm UNSCHEDULED",,,537.06,548.37,3
CPT,17264,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm ",,,1423.0,9710.0,106
CPT,17264,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,17264,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm SCHEDULED",,,1292.92,1320.14,3
CPT,17264,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm UNSCHEDULED",,,537.06,548.37,3
CPT,17266,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm ",,,1423.0,9710.0,106
CPT,17266,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,17266,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm SCHEDULED",,,1292.92,1320.14,3
CPT,17266,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm UNSCHEDULED",,,537.06,548.37,3
CPT,17270,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less ",,,1423.0,9710.0,106
CPT,17270,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less Other Surgical S",,,2850.0,2850.0,4
CPT,17270,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less SCHEDULED",,,1292.92,1320.14,3
CPT,17270,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less UNSCHEDULED",,,537.06,548.37,3
CPT,17271,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm ",,,1423.0,9710.0,106
CPT,17271,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm Other Surgical Se",,,2850.0,2850.0,4
CPT,17271,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm SCHEDULED",,,1292.92,1320.14,3
CPT,17271,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm UNSCHEDULED",,,537.06,548.37,3
CPT,17272,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm ",,,1423.0,9710.0,106
CPT,17272,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm Other Surgical Se",,,2850.0,2850.0,4
CPT,17272,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm SCHEDULED",,,1292.92,1320.14,3
CPT,17272,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm UNSCHEDULED",,,537.06,548.37,3
CPT,17273,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 2.1 to 3.0 cm ",,,1423.0,9710.0,106
CPT,17273,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 2.1 to 3.0 cm Other Surgical Se",,,2850.0,2850.0,4
CPT,17273,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 2.1 to 3.0 cm SCHEDULED",,,1292.92,1320.14,3
CPT,17273,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 2.1 to 3.0 cm UNSCHEDULED",,,537.06,548.37,3
CPT,17274,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm ",,,1423.0,9710.0,106
CPT,17274,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm Other Surgical Se",,,2850.0,2850.0,4
CPT,17274,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm SCHEDULED",,,1292.92,1320.14,3
CPT,17274,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm UNSCHEDULED",,,537.06,548.37,3
CPT,17276,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm ",,,1423.0,9710.0,106
CPT,17276,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm Other Surgical Serv",,,2850.0,2850.0,4
CPT,17276,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm SCHEDULED",,,1292.92,1320.14,3
CPT,17276,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm UNSCHEDULED",,,537.06,548.37,3
CPT,17280,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less ",,,1423.0,9710.0,106
CPT,17280,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less Oth",,,2850.0,2850.0,4
CPT,17280,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less SCH",,,1292.92,1320.14,3
CPT,17280,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less UNS",,,537.06,548.37,3
CPT,17281,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm ",,,1423.0,9710.0,106
CPT,17281,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm Othe",,,2850.0,2850.0,4
CPT,17281,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm SCHE",,,1292.92,1320.14,3
CPT,17281,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm UNSC",,,537.06,548.37,3
CPT,17282,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm ",,,1423.0,9710.0,106
CPT,17282,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm Othe",,,2850.0,2850.0,4
CPT,17282,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm SCHE",,,1292.92,1320.14,3
CPT,17282,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm UNSC",,,537.06,548.37,3
CPT,17283,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm ",,,1423.0,9710.0,106
CPT,17283,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm Othe",,,2850.0,2850.0,4
CPT,17283,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm SCHE",,,1292.92,1320.14,3
CPT,17283,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm UNSC",,,537.06,548.37,3
CPT,17284,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 3.1 to 4.0 cm ",,,1423.0,9710.0,106
CPT,17284,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 3.1 to 4.0 cm Othe",,,2850.0,2850.0,4
CPT,17284,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 3.1 to 4.0 cm SCHE",,,1292.92,1320.14,3
CPT,17284,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 3.1 to 4.0 cm UNSC",,,537.06,548.37,3
CPT,17286,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm ",,,1423.0,9710.0,106
CPT,17286,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm Other ",,,2850.0,2850.0,4
CPT,17286,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm SCHEDU",,,1292.92,1320.14,3
CPT,17286,"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm UNSCHE",,,537.06,548.37,3
CPT,17304,"1 STAGE MOHS, UP TO 5 SPEC SCHEDULED",,,1292.92,1320.14,3
CPT,17304,"1 STAGE MOHS, UP TO 5 SPEC UNSCHEDULED",,,537.06,548.37,3
CPT,17305,"2 STAGE MOHS, UP TO 5 SPEC SCHEDULED",,,1292.92,1320.14,3
CPT,17305,"2 STAGE MOHS, UP TO 5 SPEC UNSCHEDULED",,,537.06,548.37,3
CPT,17306,"3 STAGE MOHS, UP TO 5 SPEC SCHEDULED",,,1292.92,1320.14,3
CPT,17306,"3 STAGE MOHS, UP TO 5 SPEC UNSCHEDULED",,,537.06,548.37,3
CPT,17307,MOHS ADDL STAGE UP TO 5 SPEC SCHEDULED,,,1292.92,1320.14,3
CPT,17307,MOHS ADDL STAGE UP TO 5 SPEC UNSCHEDULED,,,537.06,548.37,3
CPT,17310,MOHS ANY STAGE > 5 SPEC EACH SCHEDULED,,,1292.92,1320.14,3
CPT,17310,MOHS ANY STAGE > 5 SPEC EACH UNSCHEDULED,,,537.06,548.37,3
CPT,17311,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,537.06,9710.0,116
CPT,17312,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,537.06,9710.0,109
CPT,17313,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,537.06,9710.0,116
CPT,17314,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,537.06,9710.0,109
CPT,17315,"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and h",,,537.06,9710.0,109
CPT,17340,"Cryotherapy (CO2 slush, liquid N2) for acne ",,,1423.0,9710.0,106
CPT,17340,"Cryotherapy (CO2 slush, liquid N2) for acne Other Surgical Services",,,2850.0,2850.0,4
CPT,17340,"Cryotherapy (CO2 slush, liquid N2) for acne SCHEDULED",,,1292.92,1320.14,3
CPT,17340,"Cryotherapy (CO2 slush, liquid N2) for acne UNSCHEDULED",,,537.06,548.37,3
CPT,17360,"Chemical exfoliation for acne (eg, acne paste, acid) ",,,1423.0,9710.0,106
CPT,17360,"Chemical exfoliation for acne (eg, acne paste, acid) Other Surgical Services",,,2850.0,2850.0,4
CPT,17360,"Chemical exfoliation for acne (eg, acne paste, acid) SCHEDULED",,,1292.92,1320.14,3
CPT,17360,"Chemical exfoliation for acne (eg, acne paste, acid) UNSCHEDULED",,,537.06,548.37,3
CPT,17380,"Electrolysis epilation, each 30 minutes ",,,1423.0,9710.0,106
CPT,17380,"Electrolysis epilation, each 30 minutes Other Surgical Services",,,2850.0,2850.0,4
CPT,17380,"Electrolysis epilation, each 30 minutes SCHEDULED",,,1292.92,1320.14,3
CPT,17380,"Electrolysis epilation, each 30 minutes UNSCHEDULED",,,537.06,548.37,3
CPT,17999,"Unlisted procedure, skin, mucous membrane and subcutaneous tissue ",,,1423.0,9710.0,106
CPT,17999,"Unlisted procedure, skin, mucous membrane and subcutaneous tissue Other Surgical Services",,,2850.0,2850.0,4
CPT,17999,"Unlisted procedure, skin, mucous membrane and subcutaneous tissue SCHEDULED",,,5118.3,5226.05,3
CPT,17999,"Unlisted procedure, skin, mucous membrane and subcutaneous tissue UNSCHEDULED",,,2775.33,2833.76,3
CPT,19000,Puncture aspiration of cyst of breast; ,,,1950.0,9710.0,106
CPT,19000,Puncture aspiration of cyst of breast; Other Surgical Services,,,2850.0,2850.0,4
CPT,19000,Puncture aspiration of cyst of breast; SCHEDULED,,,4476.54,4570.79,3
CPT,19001,Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,19001,Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,19001,Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure) SCHEDULED,,,4476.54,4570.79,3
CPT,19020,"Mastotomy with exploration or drainage of abscess, deep ",,,1950.0,9710.0,106
CPT,19020,"Mastotomy with exploration or drainage of abscess, deep Other Surgical Services",,,2850.0,2850.0,4
CPT,19020,"Mastotomy with exploration or drainage of abscess, deep SCHEDULED",,,4476.54,4570.79,3
CPT,19030,Injection procedure only for mammary ductogram or galactogram ,,,1423.0,9710.0,99
CPT,19030,Injection procedure only for mammary ductogram or galactogram Other Surgical Services,,,2850.0,2850.0,4
CPT,19030,Injection procedure only for mammary ductogram or galactogram SCHEDULED,,,4476.54,4570.79,3
CPT,19081,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including s",,,1950.0,9710.0,113
CPT,19082,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, i",,,1423.0,9710.0,106
CPT,19083,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including u",,,485.76,9710.0,113
CPT,19084,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, i",,,1423.0,9710.0,106
CPT,19085,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including m",,,1950.0,9710.0,113
CPT,19086,"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, i",,,1423.0,9710.0,106
CPT,19100,"Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) ",,,1950.0,9710.0,106
CPT,19100,"Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,19100,"Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) SCHEDULED",,,4476.54,4570.79,3
CPT,19101,"Biopsy of breast; open, incisional ",,,1950.0,18507.0,106
CPT,19101,"Biopsy of breast; open, incisional Other Surgical Services",,,2850.0,2850.0,4
CPT,19101,"Biopsy of breast; open, incisional SCHEDULED",,,4476.54,4570.79,3
CPT,19102,BX BREAST PERCUT W/IMAGE SCHEDULED,,,4476.54,4570.79,3
CPT,19103,BX BREAST PERCUT W/DEVICE SCHEDULED,,,4476.54,4570.79,3
CPT,19105,"Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma ",,,1950.0,18507.0,106
CPT,19105,"Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma Other Surgical Services",,,2850.0,2850.0,4
CPT,19105,"Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma SCHEDULED",,,4476.54,4570.79,3
CPT,19110,"Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct ",,,1950.0,18507.0,106
CPT,19110,"Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct Other Surgical Services",,,2850.0,2850.0,4
CPT,19110,"Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct SCHEDULED",,,4476.54,4570.79,3
CPT,19112,Excision of lactiferous duct fistula ,,,1950.0,18507.0,106
CPT,19112,Excision of lactiferous duct fistula Other Surgical Services,,,2850.0,2850.0,4
CPT,19112,Excision of lactiferous duct fistula SCHEDULED,,,4476.54,4570.79,3
CPT,19120,"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions ",,,2350.0,22212.0,165
CPT,19120,"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions Complex Surger",,,11754.0,11754.0,22
CPT,19120,"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions High Cost Surg",,,3950.0,3950.0,1
CPT,19120,"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions Other Surgical",,,4150.0,4150.0,1
CPT,19120,"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions SCHEDULED",,,4476.54,4570.79,3
CPT,19125,"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion ",,,2350.0,22212.0,165
CPT,19125,"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Complex Surgery",,,11754.0,11754.0,22
CPT,19125,"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion High Cost Surgery",,,3950.0,3950.0,1
CPT,19125,"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Other Surgical Services",,,4150.0,4150.0,1
CPT,19125,"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion SCHEDULED",,,77.47,79.1,3
CPT,19126,"Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker (List separately in addi",,,1423.0,9710.0,98
CPT,19140,REMOVAL OF BREAST TISSUE SCHEDULED,,,4476.54,4570.79,3
CPT,19160,PARTIAL MASTECTOMY SCHEDULED,,,4476.54,4570.79,3
CPT,19162,P-MASTECTOMY W/LN REMOVAL SCHEDULED,,,4476.54,4570.79,3
CPT,19180,REMOVAL OF BREAST SCHEDULED,,,4476.54,4570.79,3
CPT,19182,REMOVAL OF BREAST SCHEDULED,,,4476.54,4570.79,3
CPT,19200,REMOVAL OF BREAST SCHEDULED,,,4476.54,4570.79,3
CPT,19220,REMOVAL OF BREAST SCHEDULED,,,4476.54,4570.79,3
CPT,19240,REMOVAL OF BREAST SCHEDULED,,,4476.54,4570.79,3
CPT,19260,EXCISION OF CHEST WALL TUMOR INCLUDING RIBS ,,,2820.0,5414.0,28
CPT,19260,EXCISION OF CHEST WALL TUMOR INCLUDING RIBS SCHEDULED,,,4476.54,4570.79,3
CPT,19271,"EXCISION OF CHEST WALL TUMOR INVOLVING RIBS, WITH PLASTIC RECONSTRUCTION; WITHOUT MEDIASTINAL LYMPHADENECTOMY SCHEDULED",,,4476.54,4570.79,3
CPT,19272,"EXCISION OF CHEST WALL TUMOR INVOLVING RIBS, WITH PLASTIC RECONSTRUCTION; WITH MEDIASTINAL LYMPHADENECTOMY SCHEDULED",,,4476.54,4570.79,3
CPT,19281,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance ",,,1423.0,9710.0,106
CPT,19281,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,19281,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance SCHEDULED",,,4476.54,4570.79,3
CPT,19282,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including mammographic guidance (List separately in additi",,,1423.0,9710.0,106
CPT,19283,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance ",,,1423.0,9710.0,106
CPT,19283,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,19283,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance SCHEDULED",,,4476.54,4570.79,3
CPT,19284,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including stereotactic guidance (List separately in additi",,,1423.0,9710.0,106
CPT,19285,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance ",,,1423.0,9710.0,106
CPT,19285,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,19285,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance SCHEDULED",,,4476.54,4570.79,3
CPT,19286,"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including ultrasound guidance (List separately in addition",,,1423.0,9710.0,106
CPT,19287,"Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance ",,,1423.0,9710.0,106
CPT,19287,"Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,19287,"Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance SCHEDULED",,,4476.54,4570.79,3
CPT,19288,"Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including magnetic resonance guidance (List separately in a",,,1423.0,9710.0,106
CPT,19290,PLACE NEEDLE WIRE BREAST SCHEDULED,,,4476.54,4570.79,3
CPT,19291,PLACE NEEDLE WIRE BREAST SCHEDULED,,,4476.54,4570.79,3
CPT,19294,"Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately in addition to code for pr",,,1950.0,9710.0,78
CPT,19295,PLACE BREAST CLIP PERCUT SCHEDULED,,,4476.54,4570.79,3
CPT,19296,"Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; o",,,1950.0,53068.0,113
CPT,19297,"Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; c",,,1950.0,53068.0,106
CPT,19298,Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the time of or subsequent to) pa,,,1950.0,53068.0,113
CPT,19300,Mastectomy for gynecomastia ,,,2350.0,22212.0,99
CPT,19300,Mastectomy for gynecomastia Other Surgical Services,,,4150.0,4150.0,1
CPT,19300,Mastectomy for gynecomastia SCHEDULED,,,4476.54,4570.79,3
CPT,19301,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); ",,,2350.0,22212.0,99
CPT,19301,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); Other Surgical Services",,,4150.0,4150.0,1
CPT,19301,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); SCHEDULED",,,4476.54,4570.79,3
CPT,19302,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy ",,,2350.0,22212.0,99
CPT,19302,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,19302,"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy SCHEDULED",,,4476.54,4570.79,3
CPT,19303,"Mastectomy, simple, complete ",,,2350.0,22212.0,99
CPT,19303,"Mastectomy, simple, complete Other Surgical Services",,,4150.0,4150.0,1
CPT,19303,"Mastectomy, simple, complete SCHEDULED",,,4476.54,4570.79,3
CPT,19304,"MASTECTOMY, SUBCUTANEOUS ",,,7583.0,22212.0,31
CPT,19304,"MASTECTOMY, SUBCUTANEOUS SCHEDULED",,,4476.54,4570.79,3
CPT,19305,"Mastectomy, radical, including pectoral muscles, axillary lymph nodes ",,,2350.0,31992.0,71
CPT,19305,"Mastectomy, radical, including pectoral muscles, axillary lymph nodes Other Surgical Services",,,4150.0,4150.0,1
CPT,19305,"Mastectomy, radical, including pectoral muscles, axillary lymph nodes SCHEDULED",,,4476.54,4570.79,3
CPT,19306,"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation) ",,,2350.0,31992.0,71
CPT,19306,"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation) Other Surgical Services",,,4150.0,4150.0,1
CPT,19306,"Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation) SCHEDULED",,,4476.54,4570.79,3
CPT,19307,"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle ",,,2350.0,22212.0,99
CPT,19307,"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle Other Surgical Services",,,4150.0,4150.0,1
CPT,19307,"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle SCHEDULED",,,4476.54,4570.79,3
CPT,19316,Mastopexy ,,,2350.0,22212.0,98
CPT,19316,Mastopexy High Cost Surgery,,,3950.0,3950.0,1
CPT,19316,Mastopexy Other Surgical Services,,,4150.0,4150.0,1
CPT,19316,Mastopexy SCHEDULED,,,4476.54,4570.79,3
CPT,19318,Breast reduction ,,,2350.0,22212.0,163
CPT,19318,Breast reduction Complex Surgery,,,11754.0,11754.0,22
CPT,19318,Breast reduction High Cost Surgery,,,3950.0,3950.0,1
CPT,19318,Breast reduction Other Surgical Services,,,4150.0,4150.0,1
CPT,19318,Breast reduction SCHEDULED,,,4476.54,4570.79,3
CPT,19324,"MAMMAPLASTY, AUGMENTATION; WITHOUT PROSTHETIC IMPLANT ",,,10737.0,13315.0,28
CPT,19324,"MAMMAPLASTY, AUGMENTATION; WITHOUT PROSTHETIC IMPLANT SCHEDULED",,,4476.54,4570.79,3
CPT,19325,Breast augmentation with implant ,,,2350.0,22212.0,163
CPT,19325,Breast augmentation with implant Complex Surgery,,,11754.0,11754.0,22
CPT,19325,Breast augmentation with implant High Cost Surgery,,,3950.0,3950.0,1
CPT,19325,Breast augmentation with implant Other Surgical Services,,,4150.0,4150.0,1
CPT,19325,Breast augmentation with implant SCHEDULED,,,4476.54,4570.79,3
CPT,19328,Removal of intact breast implant ,,,2350.0,22212.0,163
CPT,19328,Removal of intact breast implant Complex Surgery,,,11754.0,11754.0,22
CPT,19328,Removal of intact breast implant High Cost Surgery,,,3950.0,3950.0,1
CPT,19328,Removal of intact breast implant Other Surgical Services,,,4150.0,4150.0,1
CPT,19328,Removal of intact breast implant SCHEDULED,,,4476.54,4570.79,3
CPT,19330,"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) ",,,2350.0,22212.0,163
CPT,19330,"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Complex Surgery",,,11754.0,11754.0,22
CPT,19330,"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) High Cost Surgery",,,3950.0,3950.0,1
CPT,19330,"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Other Surgical Services",,,4150.0,4150.0,1
CPT,19330,"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) SCHEDULED",,,4793.76,4894.68,3
CPT,19340,"Insertion of breast implant on same day of mastectomy (ie, immediate) ",,,2350.0,22212.0,163
CPT,19340,"Insertion of breast implant on same day of mastectomy (ie, immediate) Complex Surgery",,,11754.0,11754.0,22
CPT,19340,"Insertion of breast implant on same day of mastectomy (ie, immediate) High Cost Surgery",,,3950.0,3950.0,1
CPT,19340,"Insertion of breast implant on same day of mastectomy (ie, immediate) Other Surgical Services",,,4150.0,4150.0,1
CPT,19340,"Insertion of breast implant on same day of mastectomy (ie, immediate) SCHEDULED",,,6490.78,6627.43,3
CPT,19342,Insertion or replacement of breast implant on separate day from mastectomy ,,,2350.0,22212.0,163
CPT,19342,Insertion or replacement of breast implant on separate day from mastectomy Complex Surgery,,,11754.0,11754.0,22
CPT,19342,Insertion or replacement of breast implant on separate day from mastectomy High Cost Surgery,,,3950.0,3950.0,1
CPT,19342,Insertion or replacement of breast implant on separate day from mastectomy Other Surgical Services,,,4150.0,4150.0,1
CPT,19342,Insertion or replacement of breast implant on separate day from mastectomy SCHEDULED,,,44162.43,45092.17,3
CPT,19350,Nipple/areola reconstruction ,,,2350.0,18507.0,98
CPT,19350,Nipple/areola reconstruction High Cost Surgery,,,3950.0,3950.0,1
CPT,19350,Nipple/areola reconstruction Other Surgical Services,,,4150.0,4150.0,1
CPT,19350,Nipple/areola reconstruction SCHEDULED,,,4476.54,4570.79,3
CPT,19355,Correction of inverted nipples ,,,2350.0,18507.0,98
CPT,19355,Correction of inverted nipples High Cost Surgery,,,3950.0,3950.0,1
CPT,19355,Correction of inverted nipples Other Surgical Services,,,4150.0,4150.0,1
CPT,19355,Correction of inverted nipples SCHEDULED,,,4476.54,4570.79,3
CPT,19357,"Tissue expander placement in breast reconstruction, including subsequent expansion(s) ",,,2350.0,22212.0,163
CPT,19357,"Tissue expander placement in breast reconstruction, including subsequent expansion(s) Complex Surgery",,,11754.0,11754.0,22
CPT,19357,"Tissue expander placement in breast reconstruction, including subsequent expansion(s) High Cost Surgery",,,3950.0,3950.0,1
CPT,19357,"Tissue expander placement in breast reconstruction, including subsequent expansion(s) Other Surgical Services",,,4150.0,4150.0,1
CPT,19357,"Tissue expander placement in breast reconstruction, including subsequent expansion(s) SCHEDULED",,,4476.54,4570.79,3
CPT,19361,Breast reconstruction; with latissimus dorsi flap ,,,2350.0,31992.0,135
CPT,19361,Breast reconstruction; with latissimus dorsi flap Complex Surgery,,,11754.0,11754.0,22
CPT,19361,Breast reconstruction; with latissimus dorsi flap High Cost Surgery,,,3950.0,3950.0,1
CPT,19361,Breast reconstruction; with latissimus dorsi flap Other Surgical Services,,,4150.0,4150.0,1
CPT,19361,Breast reconstruction; with latissimus dorsi flap SCHEDULED,,,4476.54,4570.79,3
CPT,19364,"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap) ",,,2350.0,31992.0,98
CPT,19364,"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap) High Cost Surgery",,,3950.0,3950.0,1
CPT,19364,"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap) Other Surgical Services",,,4150.0,4150.0,1
CPT,19364,"Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap) SCHEDULED",,,4476.54,4570.79,3
CPT,19366,BREAST RECONSTRUCTION WITH OTHER TECHNIQUE ,,,7583.0,9539.0,28
CPT,19366,BREAST RECONSTRUCTION WITH OTHER TECHNIQUE SCHEDULED,,,4476.54,4570.79,3
CPT,19367,Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap ,,,2350.0,31992.0,98
CPT,19367,Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap High Cost Surgery,,,3950.0,3950.0,1
CPT,19367,Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap Other Surgical Services,,,4150.0,4150.0,1
CPT,19367,Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap SCHEDULED,,,4476.54,4570.79,3
CPT,19368,"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging) ",,,2350.0,31992.0,98
CPT,19368,"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging) High Cost Surgery",,,3950.0,3950.0,1
CPT,19368,"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging) Other Surgical Services",,,4150.0,4150.0,1
CPT,19368,"Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging) SCHEDULED",,,4476.54,4570.79,3
CPT,19369,Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap ,,,2350.0,31992.0,98
CPT,19369,Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap High Cost Surgery,,,3950.0,3950.0,1
CPT,19369,Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap Other Surgical Services,,,4150.0,4150.0,1
CPT,19369,Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap SCHEDULED,,,4476.54,4570.79,3
CPT,19370,"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy ",,,2350.0,18507.0,98
CPT,19370,"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy High Cost Surgery",,,3950.0,3950.0,1
CPT,19370,"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,19370,"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy SCHEDULED",,,3386.72,3458.02,3
CPT,19371,"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents ",,,2350.0,18507.0,98
CPT,19371,"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents High Cost Surgery",,,3950.0,3950.0,1
CPT,19371,"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Other Surgical Services",,,4150.0,4150.0,1
CPT,19371,"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents SCHEDULED",,,4204.35,4292.86,3
CPT,19380,"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue exc",,,2350.0,22212.0,103
CPT,19396,Preparation of moulage for custom breast implant ,,,2350.0,18507.0,98
CPT,19396,Preparation of moulage for custom breast implant High Cost Surgery,,,3950.0,3950.0,1
CPT,19396,Preparation of moulage for custom breast implant Other Surgical Services,,,4150.0,4150.0,1
CPT,19396,Preparation of moulage for custom breast implant SCHEDULED,,,4476.54,4570.79,3
CPT,19499,"Unlisted procedure, breast ",,,2350.0,18507.0,99
CPT,19499,"Unlisted procedure, breast Other Surgical Services",,,4150.0,4150.0,1
CPT,19499,"Unlisted procedure, breast SCHEDULED",,,4476.54,4570.79,3
CPT,20005,"INCISION AND DRAINAGE OF SOFT TISSUE ABSCESS, SUBFASCIAL (IE, INVOLVES THE SOFT TISSUE BELOW THE DEEP FASCIA) ",,,1982.0,3689.0,28
CPT,20100,Exploration of penetrating wound (separate procedure); neck ,,,1950.0,9710.0,106
CPT,20100,Exploration of penetrating wound (separate procedure); neck Other Surgical Services,,,2850.0,2850.0,4
CPT,20100,Exploration of penetrating wound (separate procedure); neck SCHEDULED,,,5533.91,5650.41,3
CPT,20100,Exploration of penetrating wound (separate procedure); neck UNSCHEDULED,,,10142.37,10355.89,3
CPT,20101,Exploration of penetrating wound (separate procedure); chest ,,,1950.0,9710.0,106
CPT,20101,Exploration of penetrating wound (separate procedure); chest Other Surgical Services,,,2850.0,2850.0,4
CPT,20101,Exploration of penetrating wound (separate procedure); chest SCHEDULED,,,3357.4,3428.09,3
CPT,20101,Exploration of penetrating wound (separate procedure); chest UNSCHEDULED,,,1034.34,1056.12,3
CPT,20102,Exploration of penetrating wound (separate procedure); abdomen/flank/back ,,,1950.0,9710.0,106
CPT,20102,Exploration of penetrating wound (separate procedure); abdomen/flank/back Other Surgical Services,,,2850.0,2850.0,4
CPT,20102,Exploration of penetrating wound (separate procedure); abdomen/flank/back SCHEDULED,,,10167.49,10381.54,3
CPT,20102,Exploration of penetrating wound (separate procedure); abdomen/flank/back UNSCHEDULED,,,1034.34,1056.12,3
CPT,20103,Exploration of penetrating wound (separate procedure); extremity ,,,1950.0,9710.0,106
CPT,20103,Exploration of penetrating wound (separate procedure); extremity Other Surgical Services,,,2850.0,2850.0,4
CPT,20103,Exploration of penetrating wound (separate procedure); extremity SCHEDULED,,,3706.03,3784.05,3
CPT,20103,Exploration of penetrating wound (separate procedure); extremity UNSCHEDULED,,,1006.07,1027.25,3
CPT,20150,"Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision ",,,1950.0,18507.0,106
CPT,20150,"Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Other Surgical Services",,,2850.0,2850.0,4
CPT,20150,"Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision SCHEDULED",,,5533.91,5650.41,3
CPT,20150,"Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision UNSCHEDULED",,,1034.34,1056.12,3
CPT,20200,"Biopsy, muscle; superficial ",,,1950.0,9710.0,106
CPT,20200,"Biopsy, muscle; superficial Other Surgical Services",,,2850.0,2850.0,4
CPT,20200,"Biopsy, muscle; superficial SCHEDULED",,,16712.71,17064.56,3
CPT,20200,"Biopsy, muscle; superficial UNSCHEDULED",,,1034.34,1056.12,3
CPT,20205,"Biopsy, muscle; deep ",,,1950.0,14792.0,106
CPT,20205,"Biopsy, muscle; deep Other Surgical Services",,,2850.0,2850.0,4
CPT,20205,"Biopsy, muscle; deep SCHEDULED",,,8897.6,9084.92,3
CPT,20205,"Biopsy, muscle; deep UNSCHEDULED",,,1034.34,1056.12,3
CPT,20206,"Biopsy, muscle, percutaneous needle ",,,1950.0,9710.0,106
CPT,20206,"Biopsy, muscle, percutaneous needle Other Surgical Services",,,2850.0,2850.0,4
CPT,20206,"Biopsy, muscle, percutaneous needle SCHEDULED",,,1224.87,1250.66,3
CPT,20206,"Biopsy, muscle, percutaneous needle UNSCHEDULED",,,1034.34,1056.12,3
CPT,20220,"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) ",,,1950.0,9710.0,106
CPT,20220,"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Other Surgical Services",,,2850.0,2850.0,4
CPT,20220,"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) SCHEDULED",,,2510.47,2563.32,3
CPT,20220,"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20225,"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) ",,,1950.0,9710.0,106
CPT,20225,"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) Other Surgical Services",,,2850.0,2850.0,4
CPT,20225,"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) SCHEDULED",,,2553.39,2607.15,3
CPT,20225,"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20240,"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx) ",,,1950.0,14792.0,106
CPT,20240,"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx) Other Surgical Services",,,2850.0,2850.0,4
CPT,20240,"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx) SCHEDULED",,,5635.47,5754.11,3
CPT,20240,"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx) UNSCHEDULED",,,3056.95,3121.3,3
CPT,20245,"Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) ",,,1950.0,14792.0,106
CPT,20245,"Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Other Surgical Services",,,2850.0,2850.0,4
CPT,20245,"Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) SCHEDULED",,,7424.61,7580.92,3
CPT,20245,"Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20250,"Biopsy, vertebral body, open; thoracic ",,,1950.0,18507.0,106
CPT,20250,"Biopsy, vertebral body, open; thoracic Other Surgical Services",,,2850.0,2850.0,4
CPT,20250,"Biopsy, vertebral body, open; thoracic SCHEDULED",,,5533.91,5650.41,3
CPT,20250,"Biopsy, vertebral body, open; thoracic UNSCHEDULED",,,1034.34,1056.12,3
CPT,20251,"Biopsy, vertebral body, open; lumbar or cervical ",,,1950.0,18507.0,106
CPT,20251,"Biopsy, vertebral body, open; lumbar or cervical Other Surgical Services",,,2850.0,2850.0,4
CPT,20251,"Biopsy, vertebral body, open; lumbar or cervical SCHEDULED",,,5533.91,5650.41,3
CPT,20251,"Biopsy, vertebral body, open; lumbar or cervical UNSCHEDULED",,,1034.34,1056.12,3
CPT,20500,Injection of sinus tract; therapeutic (separate procedure) ,,,1950.0,9710.0,106
CPT,20500,Injection of sinus tract; therapeutic (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,20500,Injection of sinus tract; therapeutic (separate procedure) SCHEDULED,,,5533.91,5650.41,3
CPT,20500,Injection of sinus tract; therapeutic (separate procedure) UNSCHEDULED,,,1034.34,1056.12,3
CPT,20501,Injection of sinus tract; diagnostic (sinogram) ,,,1423.0,9710.0,99
CPT,20501,Injection of sinus tract; diagnostic (sinogram) Other Surgical Services,,,2850.0,2850.0,4
CPT,20501,Injection of sinus tract; diagnostic (sinogram) SCHEDULED,,,5533.91,5650.41,3
CPT,20501,Injection of sinus tract; diagnostic (sinogram) UNSCHEDULED,,,478.43,488.5,3
CPT,20520,Removal of foreign body in muscle or tendon sheath; simple ,,,1950.0,9710.0,106
CPT,20520,Removal of foreign body in muscle or tendon sheath; simple Other Surgical Services,,,2850.0,2850.0,4
CPT,20520,Removal of foreign body in muscle or tendon sheath; simple SCHEDULED,,,3377.3,3448.4,3
CPT,20520,Removal of foreign body in muscle or tendon sheath; simple UNSCHEDULED,,,2429.85,2481.01,3
CPT,20525,Removal of foreign body in muscle or tendon sheath; deep or complicated ,,,1950.0,14792.0,106
CPT,20525,Removal of foreign body in muscle or tendon sheath; deep or complicated Other Surgical Services,,,2850.0,2850.0,4
CPT,20525,Removal of foreign body in muscle or tendon sheath; deep or complicated SCHEDULED,,,6046.89,6174.2,3
CPT,20525,Removal of foreign body in muscle or tendon sheath; deep or complicated UNSCHEDULED,,,5505.65,5621.56,3
CPT,20526,"Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel ",,,1423.0,9710.0,106
CPT,20526,"Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel Other Surgical Services",,,2850.0,2850.0,4
CPT,20526,"Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel SCHEDULED",,,5533.91,5650.41,3
CPT,20526,"Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel UNSCHEDULED",,,675.25,689.47,3
CPT,20527,"Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture) ",,,1423.0,9710.0,106
CPT,20527,"Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture) Other Surgical Services",,,2850.0,2850.0,4
CPT,20527,"Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture) SCHEDULED",,,5533.91,5650.41,3
CPT,20527,"Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20550,"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) ",,,1423.0,6802.0,103
CPT,20550,"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) Other Surgical Services",,,2850.0,2850.0,4
CPT,20550,"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) SCHEDULED",,,5533.91,5650.41,3
CPT,20550,"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) UNSCHEDULED",,,686.76,701.22,3
CPT,20551,Injection(s); single tendon origin/insertion ,,,1423.0,9710.0,106
CPT,20551,Injection(s); single tendon origin/insertion Other Surgical Services,,,2850.0,2850.0,4
CPT,20551,Injection(s); single tendon origin/insertion SCHEDULED,,,5533.91,5650.41,3
CPT,20551,Injection(s); single tendon origin/insertion UNSCHEDULED,,,3752.09,3831.08,3
CPT,20552,"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) ",,,1423.0,9710.0,106
CPT,20552,"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,20552,"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) SCHEDULED",,,5533.91,5650.41,3
CPT,20552,"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) UNSCHEDULED",,,686.76,701.22,3
CPT,20553,"Injection(s); single or multiple trigger point(s), 3 or more muscles ",,,1423.0,9710.0,106
CPT,20553,"Injection(s); single or multiple trigger point(s), 3 or more muscles Other Surgical Services",,,2850.0,2850.0,4
CPT,20553,"Injection(s); single or multiple trigger point(s), 3 or more muscles SCHEDULED",,,5533.91,5650.41,3
CPT,20553,"Injection(s); single or multiple trigger point(s), 3 or more muscles UNSCHEDULED",,,938.02,957.77,3
CPT,20555,Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure) ,,,1950.0,18507.0,106
CPT,20555,Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,20555,Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure) SCHEDULED,,,5533.91,5650.41,3
CPT,20555,Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure) UNSCHEDULED,,,1034.34,1056.12,3
CPT,20560,Needle insertion(s) without injection(s); 1 or 2 muscle(s) ,,,1479.0,9710.0,78
CPT,20560,Needle insertion(s) without injection(s); 1 or 2 muscle(s) Other Surgical Services,,,2850.0,2850.0,4
CPT,20560,Needle insertion(s) without injection(s); 1 or 2 muscle(s) SCHEDULED,,,5533.91,5650.41,3
CPT,20560,Needle insertion(s) without injection(s); 1 or 2 muscle(s) UNSCHEDULED,,,1034.34,1056.12,3
CPT,20561,Needle insertion(s) without injection(s); 3 or more muscles ,,,1479.0,9710.0,78
CPT,20561,Needle insertion(s) without injection(s); 3 or more muscles Other Surgical Services,,,2850.0,2850.0,4
CPT,20561,Needle insertion(s) without injection(s); 3 or more muscles SCHEDULED,,,5533.91,5650.41,3
CPT,20561,Needle insertion(s) without injection(s); 3 or more muscles UNSCHEDULED,,,1034.34,1056.12,3
CPT,20600,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance ",,,1423.0,22212.0,106
CPT,20600,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,20600,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance SCHEDULED",,,5533.91,5650.41,3
CPT,20600,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance UNSCHEDULED",,,982.0,1002.67,3
CPT,20604,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting ",,,1423.0,22212.0,106
CPT,20604,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting Other Surgical Services",,,2850.0,2850.0,4
CPT,20604,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting SCHEDULED",,,5533.91,5650.41,3
CPT,20604,"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting UNSCHEDULED",,,620.82,633.89,3
CPT,20605,"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance ",,,1423.0,22212.0,106
CPT,20605,"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance Other Surgical ",,,2850.0,2850.0,4
CPT,20605,"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance SCHEDULED",,,5533.91,5650.41,3
CPT,20605,"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance UNSCHEDULED",,,637.56,650.99,3
CPT,20606,"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent re",,,934.89,22212.0,116
CPT,20610,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance ",,,1423.0,22212.0,106
CPT,20610,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,20610,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance SCHEDULED",,,5533.91,5650.41,3
CPT,20610,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance UNSCHEDULED",,,1062.6,1084.97,3
CPT,20611,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting ",,,1423.0,22212.0,106
CPT,20611,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting Other Surgical Services",,,2850.0,2850.0,4
CPT,20611,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting SCHEDULED",,,5533.91,5650.41,3
CPT,20611,"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting UNSCHEDULED",,,635.46,648.84,3
CPT,20612,Aspiration and/or injection of ganglion cyst(s) any location ,,,1423.0,9710.0,106
CPT,20612,Aspiration and/or injection of ganglion cyst(s) any location Other Surgical Services,,,2850.0,2850.0,4
CPT,20612,Aspiration and/or injection of ganglion cyst(s) any location SCHEDULED,,,5533.91,5650.41,3
CPT,20612,Aspiration and/or injection of ganglion cyst(s) any location UNSCHEDULED,,,402.01,410.47,3
CPT,20615,Aspiration and injection for treatment of bone cyst ,,,1950.0,9710.0,106
CPT,20615,Aspiration and injection for treatment of bone cyst Other Surgical Services,,,2850.0,2850.0,4
CPT,20615,Aspiration and injection for treatment of bone cyst SCHEDULED,,,5533.91,5650.41,3
CPT,20615,Aspiration and injection for treatment of bone cyst UNSCHEDULED,,,1034.34,1056.12,3
CPT,20650,"Insertion of wire or pin with application of skeletal traction, including removal (separate procedure) ",,,1950.0,18507.0,106
CPT,20650,"Insertion of wire or pin with application of skeletal traction, including removal (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,20650,"Insertion of wire or pin with application of skeletal traction, including removal (separate procedure) SCHEDULED",,,5533.91,5650.41,3
CPT,20650,"Insertion of wire or pin with application of skeletal traction, including removal (separate procedure) UNSCHEDULED",,,12840.23,13110.55,3
CPT,20660,"Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) ",,,1950.0,9710.0,106
CPT,20660,"Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,20660,"Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) SCHEDULED",,,5533.91,5650.41,3
CPT,20660,"Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20661,"Application of halo, including removal; cranial ",,,1950.0,9710.0,106
CPT,20661,"Application of halo, including removal; cranial Other Surgical Services",,,2850.0,2850.0,4
CPT,20661,"Application of halo, including removal; cranial SCHEDULED",,,5533.91,5650.41,3
CPT,20661,"Application of halo, including removal; cranial UNSCHEDULED",,,1034.34,1056.12,3
CPT,20662,"Application of halo, including removal; pelvic ",,,1950.0,9710.0,106
CPT,20662,"Application of halo, including removal; pelvic Other Surgical Services",,,2850.0,2850.0,4
CPT,20662,"Application of halo, including removal; pelvic SCHEDULED",,,5533.91,5650.41,3
CPT,20662,"Application of halo, including removal; pelvic UNSCHEDULED",,,1034.34,1056.12,3
CPT,20663,"Application of halo, including removal; femoral ",,,1950.0,18507.0,106
CPT,20663,"Application of halo, including removal; femoral Other Surgical Services",,,2850.0,2850.0,4
CPT,20663,"Application of halo, including removal; femoral SCHEDULED",,,5533.91,5650.41,3
CPT,20663,"Application of halo, including removal; femoral UNSCHEDULED",,,1034.34,1056.12,3
CPT,20664,"Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta) ",,,1950.0,9710.0,106
CPT,20664,"Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta) Other Surgical Services",,,2850.0,2850.0,4
CPT,20664,"Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta) SCHEDULED",,,5533.91,5650.41,3
CPT,20664,"Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20665,Removal of tongs or halo applied by another individual ,,,1423.0,9710.0,106
CPT,20665,Removal of tongs or halo applied by another individual Other Surgical Services,,,2850.0,2850.0,4
CPT,20665,Removal of tongs or halo applied by another individual SCHEDULED,,,5533.91,5650.41,3
CPT,20665,Removal of tongs or halo applied by another individual UNSCHEDULED,,,1034.34,1056.12,3
CPT,20670,"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure) ",,,1950.0,9710.0,106
CPT,20670,"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,20670,"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure) SCHEDULED",,,4841.91,4943.85,3
CPT,20670,"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20680,"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate) ",,,1950.0,14792.0,106
CPT,20680,"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate) Other Surgical Services",,,2850.0,2850.0,4
CPT,20680,"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate) SCHEDULED",,,3891.32,3973.25,3
CPT,20680,"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate) UNSCHEDULED",,,5933.83,6058.76,3
CPT,20690,"Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system ",,,1950.0,18507.0,106
CPT,20690,"Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system Other Surgical Services",,,2850.0,2850.0,4
CPT,20690,"Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system SCHEDULED",,,7863.26,8028.81,3
CPT,20690,"Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system UNSCHEDULED",,,4576.0,4672.33,3
CPT,20692,"Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type) ",,,1950.0,18507.0,106
CPT,20692,"Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type) Other Surgical Services",,,2850.0,2850.0,4
CPT,20692,"Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type) SCHEDULED",,,5838.56,5961.47,3
CPT,20692,"Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type) UNSCHEDULED",,,4625.21,4722.58,3
CPT,20693,"Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs» or barºs») ",,,1950.0,18507.0,106
CPT,20693,"Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs» or barºs») Other Surgical Services",,,2850.0,2850.0,4
CPT,20693,"Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs» or barºs») SCHEDULED",,,7060.3,7208.93,3
CPT,20693,"Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs» or barºs») UNSCHEDULED",,,1034.34,1056.12,3
CPT,20694,"Removal, under anesthesia, of external fixation system ",,,1950.0,9710.0,106
CPT,20694,"Removal, under anesthesia, of external fixation system Other Surgical Services",,,2850.0,2850.0,4
CPT,20694,"Removal, under anesthesia, of external fixation system SCHEDULED",,,4864.94,4967.36,3
CPT,20694,"Removal, under anesthesia, of external fixation system UNSCHEDULED",,,6464.61,6600.7,3
CPT,20696,"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequ",,,1034.34,18507.0,116
CPT,20697,"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, remov",,,1034.34,9710.0,116
CPT,20700,"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,20700,"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,20700,"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure) SCHEDULED",,,5533.91,5650.41,3
CPT,20700,"Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20701,"Removal of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,20701,"Removal of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,20701,"Removal of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure) SCHEDULED",,,5533.91,5650.41,3
CPT,20701,"Removal of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20702,"Manual preparation and insertion of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,20702,"Manual preparation and insertion of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,20702,"Manual preparation and insertion of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure) SCHEDULED",,,5533.91,5650.41,3
CPT,20702,"Manual preparation and insertion of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20703,"Removal of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,20703,"Removal of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,20703,"Removal of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure) SCHEDULED",,,5533.91,5650.41,3
CPT,20703,"Removal of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20704,"Manual preparation and insertion of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,20704,"Manual preparation and insertion of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,20704,"Manual preparation and insertion of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure) SCHEDULED",,,5533.91,5650.41,3
CPT,20704,"Manual preparation and insertion of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20705,"Removal of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,20705,"Removal of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,20705,"Removal of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure) SCHEDULED",,,5533.91,5650.41,3
CPT,20705,"Removal of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20802,"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation ",,,1950.0,19295.0,78
CPT,20802,"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation Other Surgical Services",,,2850.0,2850.0,4
CPT,20802,"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation SCHEDULED",,,5533.91,5650.41,3
CPT,20802,"Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation UNSCHEDULED",,,1034.34,1056.12,3
CPT,20805,"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation ",,,1950.0,19295.0,78
CPT,20805,"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation Other Surgical Services",,,2850.0,2850.0,4
CPT,20805,"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation SCHEDULED",,,5533.91,5650.41,3
CPT,20805,"Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation UNSCHEDULED",,,1034.34,1056.12,3
CPT,20808,"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation ",,,1950.0,19295.0,78
CPT,20808,"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation Other Surgical Services",,,2850.0,2850.0,4
CPT,20808,"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation SCHEDULED",,,5533.91,5650.41,3
CPT,20808,"Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation UNSCHEDULED",,,1034.34,1056.12,3
CPT,20816,"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation ",,,1950.0,15007.0,78
CPT,20816,"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation Other Surgical Services",,,2850.0,2850.0,4
CPT,20816,"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation SCHEDULED",,,7568.04,7727.37,3
CPT,20816,"Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation UNSCHEDULED",,,1034.34,1056.12,3
CPT,20822,"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation ",,,1950.0,9710.0,106
CPT,20822,"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation Other Surgical Services",,,2850.0,2850.0,4
CPT,20822,"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation SCHEDULED",,,1813.23,1851.4,3
CPT,20822,"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation UNSCHEDULED",,,1604.9,1638.69,3
CPT,20824,"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation ",,,1950.0,15007.0,78
CPT,20824,"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation Other Surgical Services",,,2850.0,2850.0,4
CPT,20824,"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation SCHEDULED",,,5533.91,5650.41,3
CPT,20824,"Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation UNSCHEDULED",,,1034.34,1056.12,3
CPT,20827,"Replantation, thumb (includes distal tip to MP joint), complete amputation ",,,1950.0,15007.0,78
CPT,20827,"Replantation, thumb (includes distal tip to MP joint), complete amputation Other Surgical Services",,,2850.0,2850.0,4
CPT,20827,"Replantation, thumb (includes distal tip to MP joint), complete amputation SCHEDULED",,,16525.32,16873.22,3
CPT,20827,"Replantation, thumb (includes distal tip to MP joint), complete amputation UNSCHEDULED",,,1034.34,1056.12,3
CPT,20838,"Replantation, foot, complete amputation ",,,1950.0,19295.0,78
CPT,20838,"Replantation, foot, complete amputation Other Surgical Services",,,2850.0,2850.0,4
CPT,20838,"Replantation, foot, complete amputation SCHEDULED",,,5533.91,5650.41,3
CPT,20838,"Replantation, foot, complete amputation UNSCHEDULED",,,1034.34,1056.12,3
CPT,20900,"Bone graft, any donor area; minor or small (eg, dowel or button) ",,,1950.0,18507.0,106
CPT,20900,"Bone graft, any donor area; minor or small (eg, dowel or button) Other Surgical Services",,,2850.0,2850.0,4
CPT,20900,"Bone graft, any donor area; minor or small (eg, dowel or button) SCHEDULED",,,5533.91,5650.41,3
CPT,20900,"Bone graft, any donor area; minor or small (eg, dowel or button) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20902,"Bone graft, any donor area; major or large ",,,1950.0,18507.0,106
CPT,20902,"Bone graft, any donor area; major or large Other Surgical Services",,,2850.0,2850.0,4
CPT,20902,"Bone graft, any donor area; major or large SCHEDULED",,,6370.39,6504.5,3
CPT,20902,"Bone graft, any donor area; major or large UNSCHEDULED",,,1034.34,1056.12,3
CPT,20910,Cartilage graft; costochondral ,,,1950.0,9710.0,106
CPT,20910,Cartilage graft; costochondral Other Surgical Services,,,2850.0,2850.0,4
CPT,20910,Cartilage graft; costochondral SCHEDULED,,,626.05,639.23,3
CPT,20910,Cartilage graft; costochondral UNSCHEDULED,,,1034.34,1056.12,3
CPT,20912,Cartilage graft; nasal septum ,,,1950.0,18507.0,106
CPT,20912,Cartilage graft; nasal septum Other Surgical Services,,,2850.0,2850.0,4
CPT,20912,Cartilage graft; nasal septum SCHEDULED,,,6239.52,6370.88,3
CPT,20912,Cartilage graft; nasal septum UNSCHEDULED,,,1034.34,1056.12,3
CPT,20920,Fascia lata graft; by stripper ,,,1950.0,9710.0,106
CPT,20920,Fascia lata graft; by stripper Other Surgical Services,,,2850.0,2850.0,4
CPT,20920,Fascia lata graft; by stripper SCHEDULED,,,5533.91,5650.41,3
CPT,20920,Fascia lata graft; by stripper UNSCHEDULED,,,1034.34,1056.12,3
CPT,20922,"Fascia lata graft; by incision and area exposure, complex or sheet ",,,1950.0,9710.0,106
CPT,20922,"Fascia lata graft; by incision and area exposure, complex or sheet Other Surgical Services",,,2850.0,2850.0,4
CPT,20922,"Fascia lata graft; by incision and area exposure, complex or sheet SCHEDULED",,,5533.91,5650.41,3
CPT,20922,"Fascia lata graft; by incision and area exposure, complex or sheet UNSCHEDULED",,,1034.34,1056.12,3
CPT,20924,"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) ",,,1950.0,18507.0,106
CPT,20924,"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Other Surgical Services",,,2850.0,2850.0,4
CPT,20924,"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) SCHEDULED",,,15386.29,15710.21,3
CPT,20924,"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20926,"TISSUE GRAFTS, OTHER (EG, PARATENON, FAT, DERMIS) ",,,7583.0,9539.0,28
CPT,20926,"TISSUE GRAFTS, OTHER (EG, PARATENON, FAT, DERMIS) SCHEDULED",,,5533.91,5650.41,3
CPT,20926,"TISSUE GRAFTS, OTHER (EG, PARATENON, FAT, DERMIS) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20930,"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,20930,"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,20930,"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure) SCHEDULED",,,4746.65,4846.58,3
CPT,20930,"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20931,"Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,20931,"Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,20931,"Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure) SCHEDULED",,,4851.34,4953.47,3
CPT,20931,"Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20932,"Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for prima",,,1034.34,9710.0,81
CPT,20933,"Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition to code for primary proce",,,1034.34,9710.0,81
CPT,20934,"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,20934,"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for primary procedure) Other Surg",,,2850.0,2850.0,4
CPT,20934,"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for primary procedure) SCHEDULED",,,5533.91,5650.41,3
CPT,20934,"Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for primary procedure) UNSCHEDULE",,,1034.34,1056.12,3
CPT,20936,"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary p",,,1034.34,10719.0,109
CPT,20937,Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure) ,,,1950.0,10719.0,99
CPT,20937,Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure) Other Surgical Serv,,,2850.0,2850.0,4
CPT,20937,Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure) SCHEDULED,,,4760.25,4860.47,3
CPT,20937,Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure) UNSCHEDULED,,,1034.34,1056.12,3
CPT,20938,"Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary pro",,,1034.34,10719.0,109
CPT,20939,"Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,20939,"Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,20939,"Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure) SCHEDULED",,,8440.1,8617.79,3
CPT,20939,"Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20950,"Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome ",,,1423.0,9710.0,106
CPT,20950,"Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome Other Surgical Services",,,2850.0,2850.0,4
CPT,20950,"Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome SCHEDULED",,,5533.91,5650.41,3
CPT,20950,"Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome UNSCHEDULED",,,639.65,653.12,3
CPT,20955,Bone graft with microvascular anastomosis; fibula ,,,1950.0,18507.0,106
CPT,20955,Bone graft with microvascular anastomosis; fibula Other Surgical Services,,,2850.0,2850.0,4
CPT,20955,Bone graft with microvascular anastomosis; fibula SCHEDULED,,,5533.91,5650.41,3
CPT,20955,Bone graft with microvascular anastomosis; fibula UNSCHEDULED,,,1034.34,1056.12,3
CPT,20956,Bone graft with microvascular anastomosis; iliac crest ,,,1950.0,18507.0,78
CPT,20956,Bone graft with microvascular anastomosis; iliac crest Other Surgical Services,,,2850.0,2850.0,4
CPT,20956,Bone graft with microvascular anastomosis; iliac crest SCHEDULED,,,8581.44,8762.1,3
CPT,20956,Bone graft with microvascular anastomosis; iliac crest UNSCHEDULED,,,1034.34,1056.12,3
CPT,20957,Bone graft with microvascular anastomosis; metatarsal ,,,1950.0,18507.0,78
CPT,20957,Bone graft with microvascular anastomosis; metatarsal Other Surgical Services,,,2850.0,2850.0,4
CPT,20957,Bone graft with microvascular anastomosis; metatarsal SCHEDULED,,,5533.91,5650.41,3
CPT,20957,Bone graft with microvascular anastomosis; metatarsal UNSCHEDULED,,,1034.34,1056.12,3
CPT,20962,"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal ",,,1950.0,18507.0,106
CPT,20962,"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Other Surgical Services",,,2850.0,2850.0,4
CPT,20962,"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal SCHEDULED",,,5533.91,5650.41,3
CPT,20962,"Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal UNSCHEDULED",,,1034.34,1056.12,3
CPT,20969,"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe ",,,1950.0,18507.0,106
CPT,20969,"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Other Surgical Services",,,2850.0,2850.0,4
CPT,20969,"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe SCHEDULED",,,5533.91,5650.41,3
CPT,20969,"Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe UNSCHEDULED",,,1034.34,1056.12,3
CPT,20970,Free osteocutaneous flap with microvascular anastomosis; iliac crest ,,,1950.0,18507.0,106
CPT,20970,Free osteocutaneous flap with microvascular anastomosis; iliac crest Other Surgical Services,,,2850.0,2850.0,4
CPT,20970,Free osteocutaneous flap with microvascular anastomosis; iliac crest SCHEDULED,,,5533.91,5650.41,3
CPT,20970,Free osteocutaneous flap with microvascular anastomosis; iliac crest UNSCHEDULED,,,1034.34,1056.12,3
CPT,20972,Free osteocutaneous flap with microvascular anastomosis; metatarsal ,,,1950.0,18507.0,106
CPT,20972,Free osteocutaneous flap with microvascular anastomosis; metatarsal Other Surgical Services,,,2850.0,2850.0,4
CPT,20972,Free osteocutaneous flap with microvascular anastomosis; metatarsal SCHEDULED,,,5533.91,5650.41,3
CPT,20972,Free osteocutaneous flap with microvascular anastomosis; metatarsal UNSCHEDULED,,,1034.34,1056.12,3
CPT,20973,Free osteocutaneous flap with microvascular anastomosis; great toe with web space ,,,1950.0,18507.0,106
CPT,20973,Free osteocutaneous flap with microvascular anastomosis; great toe with web space Other Surgical Services,,,2850.0,2850.0,4
CPT,20973,Free osteocutaneous flap with microvascular anastomosis; great toe with web space SCHEDULED,,,5533.91,5650.41,3
CPT,20973,Free osteocutaneous flap with microvascular anastomosis; great toe with web space UNSCHEDULED,,,1034.34,1056.12,3
CPT,20974,Electrical stimulation to aid bone healing; noninvasive (nonoperative) ,,,103.03,9710.0,132
CPT,20974,Electrical stimulation to aid bone healing; noninvasive (nonoperative) Other Surgical Services,,,2850.0,2850.0,4
CPT,20974,Electrical stimulation to aid bone healing; noninvasive (nonoperative) SCHEDULED,,,5533.91,5650.41,3
CPT,20974,Electrical stimulation to aid bone healing; noninvasive (nonoperative) Trauma,,,254.95,254.95,6
CPT,20974,Electrical stimulation to aid bone healing; noninvasive (nonoperative) UNSCHEDULED,,,1034.34,1056.12,3
CPT,20975,Electrical stimulation to aid bone healing; invasive (operative) ,,,1423.0,9710.0,99
CPT,20975,Electrical stimulation to aid bone healing; invasive (operative) Other Surgical Services,,,2850.0,2850.0,4
CPT,20975,Electrical stimulation to aid bone healing; invasive (operative) SCHEDULED,,,5533.91,5650.41,3
CPT,20975,Electrical stimulation to aid bone healing; invasive (operative) UNSCHEDULED,,,1034.34,1056.12,3
CPT,20979,"Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) ",,,1423.0,9710.0,106
CPT,20979,"Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Other Surgical Services",,,2850.0,2850.0,4
CPT,20979,"Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) SCHEDULED",,,5533.91,5650.41,3
CPT,20979,"Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20982,"Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when p",,,1034.34,18507.0,116
CPT,20983,"Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when p",,,1034.34,18507.0,116
CPT,20985,"Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,20985,"Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,20985,"Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure) SCHEDULED",,,5533.91,5650.41,3
CPT,20985,"Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure) UNSCHEDULED",,,1034.34,1056.12,3
CPT,20986,CPTR-ASST DIR MS PX IO IMG SCHEDULED,,,5533.91,5650.41,3
CPT,20986,CPTR-ASST DIR MS PX IO IMG UNSCHEDULED,,,1034.34,1056.12,3
CPT,20987,CPTR-ASST DIR MS PX  PRE IMG SCHEDULED,,,5533.91,5650.41,3
CPT,20987,CPTR-ASST DIR MS PX  PRE IMG UNSCHEDULED,,,1034.34,1056.12,3
CPT,20999,"Unlisted procedure, musculoskeletal system, general ",,,1844.0,9710.0,106
CPT,20999,"Unlisted procedure, musculoskeletal system, general Other Surgical Services",,,2850.0,2850.0,4
CPT,20999,"Unlisted procedure, musculoskeletal system, general SCHEDULED",,,4376.04,4468.17,3
CPT,20999,"Unlisted procedure, musculoskeletal system, general UNSCHEDULED",,,2993.09,3056.1,3
CPT,21010,"Arthrotomy, temporomandibular joint ",,,1950.0,18507.0,106
CPT,21010,"Arthrotomy, temporomandibular joint Other Surgical Services",,,2850.0,2850.0,4
CPT,21010,"Arthrotomy, temporomandibular joint SCHEDULED",,,7345.05,7499.68,3
CPT,21010,"Arthrotomy, temporomandibular joint UNSCHEDULED",,,5806.11,5928.34,3
CPT,21011,"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm ",,,1950.0,9710.0,106
CPT,21011,"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,21011,"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm SCHEDULED",,,7345.05,7499.68,3
CPT,21011,"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm UNSCHEDULED",,,317.21,323.89,3
CPT,21012,"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater ",,,1950.0,9710.0,106
CPT,21012,"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,21012,"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater SCHEDULED",,,7345.05,7499.68,3
CPT,21012,"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater UNSCHEDULED",,,5693.05,5812.9,3
CPT,21013,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm ",,,1950.0,9710.0,106
CPT,21013,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,21013,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm SCHEDULED",,,7345.05,7499.68,3
CPT,21013,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm UNSCHEDULED",,,5693.05,5812.9,3
CPT,21014,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater ",,,1950.0,14792.0,106
CPT,21014,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,21014,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater SCHEDULED",,,7345.05,7499.68,3
CPT,21014,"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater UNSCHEDULED",,,5693.05,5812.9,3
CPT,21015,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm ",,,1950.0,14792.0,106
CPT,21015,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,21015,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm SCHEDULED",,,7345.05,7499.68,3
CPT,21015,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm UNSCHEDULED",,,5693.05,5812.9,3
CPT,21016,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater ",,,1950.0,14792.0,106
CPT,21016,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,21016,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater SCHEDULED",,,7345.05,7499.68,3
CPT,21016,"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater UNSCHEDULED",,,5693.05,5812.9,3
CPT,21025,"Excision of bone (eg, for osteomyelitis or bone abscess); mandible ",,,1950.0,18507.0,106
CPT,21025,"Excision of bone (eg, for osteomyelitis or bone abscess); mandible Other Surgical Services",,,2850.0,2850.0,4
CPT,21025,"Excision of bone (eg, for osteomyelitis or bone abscess); mandible SCHEDULED",,,7345.05,7499.68,3
CPT,21025,"Excision of bone (eg, for osteomyelitis or bone abscess); mandible UNSCHEDULED",,,5693.05,5812.9,3
CPT,21026,"Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s) ",,,1950.0,18507.0,106
CPT,21026,"Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,21026,"Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s) SCHEDULED",,,7468.59,7625.82,3
CPT,21026,"Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21029,"Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) ",,,1950.0,18507.0,106
CPT,21029,"Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) Other Surgical Services",,,2850.0,2850.0,4
CPT,21029,"Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) SCHEDULED",,,7345.05,7499.68,3
CPT,21029,"Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21030,Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage ,,,1950.0,18507.0,106
CPT,21030,Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Other Surgical Services,,,2850.0,2850.0,4
CPT,21030,Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage SCHEDULED,,,7345.05,7499.68,3
CPT,21030,Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage UNSCHEDULED,,,5693.05,5812.9,3
CPT,21031,Excision of torus mandibularis ,,,1950.0,18507.0,106
CPT,21031,Excision of torus mandibularis Other Surgical Services,,,2850.0,2850.0,4
CPT,21031,Excision of torus mandibularis SCHEDULED,,,7345.05,7499.68,3
CPT,21031,Excision of torus mandibularis UNSCHEDULED,,,186.35,190.28,3
CPT,21032,Excision of maxillary torus palatinus ,,,1950.0,18507.0,106
CPT,21032,Excision of maxillary torus palatinus Other Surgical Services,,,2850.0,2850.0,4
CPT,21032,Excision of maxillary torus palatinus SCHEDULED,,,7345.05,7499.68,3
CPT,21032,Excision of maxillary torus palatinus UNSCHEDULED,,,5693.05,5812.9,3
CPT,21034,Excision of malignant tumor of maxilla or zygoma ,,,1950.0,18507.0,106
CPT,21034,Excision of malignant tumor of maxilla or zygoma Other Surgical Services,,,2850.0,2850.0,4
CPT,21034,Excision of malignant tumor of maxilla or zygoma SCHEDULED,,,7345.05,7499.68,3
CPT,21034,Excision of malignant tumor of maxilla or zygoma UNSCHEDULED,,,5693.05,5812.9,3
CPT,21040,"Excision of benign tumor or cyst of mandible, by enucleation and/or curettage ",,,1950.0,18507.0,106
CPT,21040,"Excision of benign tumor or cyst of mandible, by enucleation and/or curettage Other Surgical Services",,,2850.0,2850.0,4
CPT,21040,"Excision of benign tumor or cyst of mandible, by enucleation and/or curettage SCHEDULED",,,7345.05,7499.68,3
CPT,21040,"Excision of benign tumor or cyst of mandible, by enucleation and/or curettage UNSCHEDULED",,,5693.05,5812.9,3
CPT,21041,Removal of jaw bone lesion SCHEDULED,,,7345.05,7499.68,3
CPT,21041,Removal of jaw bone lesion UNSCHEDULED,,,5693.05,5812.9,3
CPT,21044,Excision of malignant tumor of mandible; ,,,1950.0,18507.0,106
CPT,21044,Excision of malignant tumor of mandible; Other Surgical Services,,,2850.0,2850.0,4
CPT,21044,Excision of malignant tumor of mandible; SCHEDULED,,,7345.05,7499.68,3
CPT,21044,Excision of malignant tumor of mandible; UNSCHEDULED,,,5693.05,5812.9,3
CPT,21045,Excision of malignant tumor of mandible; radical resection ,,,1950.0,18507.0,78
CPT,21045,Excision of malignant tumor of mandible; radical resection Other Surgical Services,,,2850.0,2850.0,4
CPT,21045,Excision of malignant tumor of mandible; radical resection SCHEDULED,,,7345.05,7499.68,3
CPT,21045,Excision of malignant tumor of mandible; radical resection UNSCHEDULED,,,5693.05,5812.9,3
CPT,21046,"Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») ",,,1950.0,18507.0,106
CPT,21046,"Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») Other Surgical Services",,,2850.0,2850.0,4
CPT,21046,"Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») SCHEDULED",,,7345.05,7499.68,3
CPT,21046,"Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») UNSCHEDULED",,,5693.05,5812.9,3
CPT,21047,"Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesionºs») ",,,1950.0,18507.0,106
CPT,21047,"Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesionºs») Other Surgical Services",,,2850.0,2850.0,4
CPT,21047,"Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesionºs») SCHEDULED",,,7345.05,7499.68,3
CPT,21047,"Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesionºs») UNSCHEDULED",,,5693.05,5812.9,3
CPT,21048,"Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») ",,,1950.0,18507.0,106
CPT,21048,"Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») Other Surgical Services",,,2850.0,2850.0,4
CPT,21048,"Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») SCHEDULED",,,7345.05,7499.68,3
CPT,21048,"Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesionºs») UNSCHEDULED",,,5693.05,5812.9,3
CPT,21049,"Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesionºs») ",,,1950.0,18507.0,106
CPT,21049,"Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesionºs») Other Surgical Services",,,2850.0,2850.0,4
CPT,21049,"Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesionºs») SCHEDULED",,,7345.05,7499.68,3
CPT,21049,"Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesionºs») UNSCHEDULED",,,5693.05,5812.9,3
CPT,21050,"Condylectomy, temporomandibular joint (separate procedure) ",,,1950.0,18507.0,106
CPT,21050,"Condylectomy, temporomandibular joint (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,21050,"Condylectomy, temporomandibular joint (separate procedure) SCHEDULED",,,7345.05,7499.68,3
CPT,21050,"Condylectomy, temporomandibular joint (separate procedure) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21060,"Meniscectomy, partial or complete, temporomandibular joint (separate procedure) ",,,1950.0,18507.0,106
CPT,21060,"Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,21060,"Meniscectomy, partial or complete, temporomandibular joint (separate procedure) SCHEDULED",,,7345.05,7499.68,3
CPT,21060,"Meniscectomy, partial or complete, temporomandibular joint (separate procedure) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21070,Coronoidectomy (separate procedure) ,,,1950.0,18507.0,106
CPT,21070,Coronoidectomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,21070,Coronoidectomy (separate procedure) SCHEDULED,,,7345.05,7499.68,3
CPT,21070,Coronoidectomy (separate procedure) UNSCHEDULED,,,5693.05,5812.9,3
CPT,21073,"Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care) ",,,1950.0,9710.0,106
CPT,21073,"Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care) Other Surgical Services",,,2850.0,2850.0,4
CPT,21073,"Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care) SCHEDULED",,,7345.05,7499.68,3
CPT,21073,"Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21076,Impression and custom preparation; surgical obturator prosthesis ,,,1950.0,9710.0,106
CPT,21076,Impression and custom preparation; surgical obturator prosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,21076,Impression and custom preparation; surgical obturator prosthesis SCHEDULED,,,7345.05,7499.68,3
CPT,21076,Impression and custom preparation; surgical obturator prosthesis UNSCHEDULED,,,5693.05,5812.9,3
CPT,21077,Impression and custom preparation; orbital prosthesis ,,,1950.0,18507.0,106
CPT,21077,Impression and custom preparation; orbital prosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,21077,Impression and custom preparation; orbital prosthesis SCHEDULED,,,7345.05,7499.68,3
CPT,21077,Impression and custom preparation; orbital prosthesis UNSCHEDULED,,,5693.05,5812.9,3
CPT,21079,Impression and custom preparation; interim obturator prosthesis ,,,1950.0,18507.0,106
CPT,21079,Impression and custom preparation; interim obturator prosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,21079,Impression and custom preparation; interim obturator prosthesis SCHEDULED,,,7345.05,7499.68,3
CPT,21079,Impression and custom preparation; interim obturator prosthesis UNSCHEDULED,,,5693.05,5812.9,3
CPT,21080,Impression and custom preparation; definitive obturator prosthesis ,,,1950.0,18507.0,106
CPT,21080,Impression and custom preparation; definitive obturator prosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,21080,Impression and custom preparation; definitive obturator prosthesis SCHEDULED,,,7345.05,7499.68,3
CPT,21080,Impression and custom preparation; definitive obturator prosthesis UNSCHEDULED,,,5693.05,5812.9,3
CPT,21081,Impression and custom preparation; mandibular resection prosthesis ,,,1950.0,18507.0,106
CPT,21081,Impression and custom preparation; mandibular resection prosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,21081,Impression and custom preparation; mandibular resection prosthesis SCHEDULED,,,7345.05,7499.68,3
CPT,21081,Impression and custom preparation; mandibular resection prosthesis UNSCHEDULED,,,5693.05,5812.9,3
CPT,21082,Impression and custom preparation; palatal augmentation prosthesis ,,,1950.0,18507.0,106
CPT,21082,Impression and custom preparation; palatal augmentation prosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,21082,Impression and custom preparation; palatal augmentation prosthesis SCHEDULED,,,7345.05,7499.68,3
CPT,21082,Impression and custom preparation; palatal augmentation prosthesis UNSCHEDULED,,,5693.05,5812.9,3
CPT,21083,Impression and custom preparation; palatal lift prosthesis ,,,1950.0,18507.0,106
CPT,21083,Impression and custom preparation; palatal lift prosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,21083,Impression and custom preparation; palatal lift prosthesis SCHEDULED,,,7345.05,7499.68,3
CPT,21083,Impression and custom preparation; palatal lift prosthesis UNSCHEDULED,,,5693.05,5812.9,3
CPT,21084,Impression and custom preparation; speech aid prosthesis ,,,1950.0,18507.0,106
CPT,21084,Impression and custom preparation; speech aid prosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,21084,Impression and custom preparation; speech aid prosthesis SCHEDULED,,,7345.05,7499.68,3
CPT,21084,Impression and custom preparation; speech aid prosthesis UNSCHEDULED,,,5693.05,5812.9,3
CPT,21085,Impression and custom preparation; oral surgical splint ,,,1844.0,9710.0,106
CPT,21085,Impression and custom preparation; oral surgical splint Other Surgical Services,,,2850.0,2850.0,4
CPT,21085,Impression and custom preparation; oral surgical splint SCHEDULED,,,7345.05,7499.68,3
CPT,21085,Impression and custom preparation; oral surgical splint UNSCHEDULED,,,9998.94,10209.44,3
CPT,21086,Impression and custom preparation; auricular prosthesis ,,,1950.0,18507.0,106
CPT,21086,Impression and custom preparation; auricular prosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,21086,Impression and custom preparation; auricular prosthesis SCHEDULED,,,7345.05,7499.68,3
CPT,21086,Impression and custom preparation; auricular prosthesis UNSCHEDULED,,,5693.05,5812.9,3
CPT,21087,Impression and custom preparation; nasal prosthesis ,,,1950.0,18507.0,106
CPT,21087,Impression and custom preparation; nasal prosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,21087,Impression and custom preparation; nasal prosthesis SCHEDULED,,,7345.05,7499.68,3
CPT,21087,Impression and custom preparation; nasal prosthesis UNSCHEDULED,,,5693.05,5812.9,3
CPT,21088,Impression and custom preparation; facial prosthesis ,,,1950.0,18507.0,106
CPT,21088,Impression and custom preparation; facial prosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,21088,Impression and custom preparation; facial prosthesis SCHEDULED,,,7345.05,7499.68,3
CPT,21088,Impression and custom preparation; facial prosthesis UNSCHEDULED,,,5693.05,5812.9,3
CPT,21089,Unlisted maxillofacial prosthetic procedure ,,,1423.0,9710.0,106
CPT,21089,Unlisted maxillofacial prosthetic procedure Other Surgical Services,,,2850.0,2850.0,4
CPT,21089,Unlisted maxillofacial prosthetic procedure SCHEDULED,,,7345.05,7499.68,3
CPT,21089,Unlisted maxillofacial prosthetic procedure UNSCHEDULED,,,5693.05,5812.9,3
CPT,21100,"Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure) ",,,1950.0,18507.0,106
CPT,21100,"Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,21100,"Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure) SCHEDULED",,,7345.05,7499.68,3
CPT,21100,"Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21110,"Application of interdental fixation device for conditions other than fracture or dislocation, includes removal ",,,1950.0,9710.0,106
CPT,21110,"Application of interdental fixation device for conditions other than fracture or dislocation, includes removal Other Surgical Services",,,2850.0,2850.0,4
CPT,21110,"Application of interdental fixation device for conditions other than fracture or dislocation, includes removal SCHEDULED",,,7345.05,7499.68,3
CPT,21110,"Application of interdental fixation device for conditions other than fracture or dislocation, includes removal UNSCHEDULED",,,5693.05,5812.9,3
CPT,21116,Injection procedure for temporomandibular joint arthrography ,,,1423.0,9710.0,99
CPT,21116,Injection procedure for temporomandibular joint arthrography Other Surgical Services,,,2850.0,2850.0,4
CPT,21116,Injection procedure for temporomandibular joint arthrography SCHEDULED,,,7345.05,7499.68,3
CPT,21116,Injection procedure for temporomandibular joint arthrography UNSCHEDULED,,,5693.05,5812.9,3
CPT,21120,"Genioplasty; augmentation (autograft, allograft, prosthetic material) ",,,1950.0,18507.0,106
CPT,21120,"Genioplasty; augmentation (autograft, allograft, prosthetic material) Other Surgical Services",,,2850.0,2850.0,4
CPT,21120,"Genioplasty; augmentation (autograft, allograft, prosthetic material) SCHEDULED",,,7345.05,7499.68,3
CPT,21120,"Genioplasty; augmentation (autograft, allograft, prosthetic material) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21121,"Genioplasty; sliding osteotomy, single piece ",,,1950.0,18507.0,106
CPT,21121,"Genioplasty; sliding osteotomy, single piece Other Surgical Services",,,2850.0,2850.0,4
CPT,21121,"Genioplasty; sliding osteotomy, single piece SCHEDULED",,,7345.05,7499.68,3
CPT,21121,"Genioplasty; sliding osteotomy, single piece UNSCHEDULED",,,5693.05,5812.9,3
CPT,21122,"Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin) ",,,1950.0,18507.0,106
CPT,21122,"Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin) Other Surgical Services",,,2850.0,2850.0,4
CPT,21122,"Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin) SCHEDULED",,,7345.05,7499.68,3
CPT,21122,"Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21123,"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) ",,,1950.0,18507.0,106
CPT,21123,"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Other Surgical Services",,,2850.0,2850.0,4
CPT,21123,"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) SCHEDULED",,,7345.05,7499.68,3
CPT,21123,"Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21125,"Augmentation, mandibular body or angle; prosthetic material ",,,1950.0,18507.0,106
CPT,21125,"Augmentation, mandibular body or angle; prosthetic material Other Surgical Services",,,2850.0,2850.0,4
CPT,21125,"Augmentation, mandibular body or angle; prosthetic material SCHEDULED",,,7345.05,7499.68,3
CPT,21125,"Augmentation, mandibular body or angle; prosthetic material UNSCHEDULED",,,5693.05,5812.9,3
CPT,21127,"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft) ",,,1950.0,18507.0,106
CPT,21127,"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft) Other Surgical Services",,,2850.0,2850.0,4
CPT,21127,"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft) SCHEDULED",,,7345.05,7499.68,3
CPT,21127,"Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21137,Reduction forehead; contouring only ,,,1950.0,18507.0,106
CPT,21137,Reduction forehead; contouring only Other Surgical Services,,,2850.0,2850.0,4
CPT,21137,Reduction forehead; contouring only SCHEDULED,,,7345.05,7499.68,3
CPT,21137,Reduction forehead; contouring only UNSCHEDULED,,,5693.05,5812.9,3
CPT,21138,Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft) ,,,1950.0,18507.0,106
CPT,21138,Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft) Other Surgical Services,,,2850.0,2850.0,4
CPT,21138,Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft) SCHEDULED,,,7345.05,7499.68,3
CPT,21138,Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft) UNSCHEDULED,,,5693.05,5812.9,3
CPT,21139,Reduction forehead; contouring and setback of anterior frontal sinus wall ,,,1950.0,18507.0,106
CPT,21139,Reduction forehead; contouring and setback of anterior frontal sinus wall Other Surgical Services,,,2850.0,2850.0,4
CPT,21139,Reduction forehead; contouring and setback of anterior frontal sinus wall SCHEDULED,,,7345.05,7499.68,3
CPT,21139,Reduction forehead; contouring and setback of anterior frontal sinus wall UNSCHEDULED,,,5693.05,5812.9,3
CPT,21141,"Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without bone graft ",,,1950.0,18507.0,78
CPT,21141,"Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without bone graft Other Surgical Services",,,2850.0,2850.0,4
CPT,21141,"Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without bone graft SCHEDULED",,,7345.05,7499.68,3
CPT,21141,"Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without bone graft UNSCHEDULED",,,5693.05,5812.9,3
CPT,21142,"Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft ",,,1950.0,18507.0,78
CPT,21142,"Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft Other Surgical Services",,,2850.0,2850.0,4
CPT,21142,"Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft SCHEDULED",,,7345.05,7499.68,3
CPT,21142,"Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft UNSCHEDULED",,,5693.05,5812.9,3
CPT,21143,"Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft ",,,1950.0,18507.0,78
CPT,21143,"Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft Other Surgical Services",,,2850.0,2850.0,4
CPT,21143,"Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft SCHEDULED",,,7345.05,7499.68,3
CPT,21143,"Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft UNSCHEDULED",,,5693.05,5812.9,3
CPT,21145,"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts) ",,,1950.0,18507.0,78
CPT,21145,"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts) Other Surgical Services",,,2850.0,2850.0,4
CPT,21145,"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts) SCHEDULED",,,7345.05,7499.68,3
CPT,21145,"Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21146,"Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft) ",,,1950.0,18507.0,78
CPT,21146,"Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft) Other Surgical Services",,,2850.0,2850.0,4
CPT,21146,"Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft) SCHEDULED",,,7345.05,7499.68,3
CPT,21146,"Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21147,"Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted bilateral alveolar cleft or multiple osteoto",,,1950.0,18507.0,88
CPT,21150,"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) ",,,1950.0,18507.0,106
CPT,21150,"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) Other Surgical Services",,,2850.0,2850.0,4
CPT,21150,"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) SCHEDULED",,,7345.05,7499.68,3
CPT,21150,"Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21151,"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) ",,,1950.0,18507.0,78
CPT,21151,"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) Other Surgical Services",,,2850.0,2850.0,4
CPT,21151,"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) SCHEDULED",,,7345.05,7499.68,3
CPT,21151,"Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21154,"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I ",,,1950.0,18507.0,78
CPT,21154,"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I Other Surgical Services",,,2850.0,2850.0,4
CPT,21154,"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I SCHEDULED",,,7345.05,7499.68,3
CPT,21154,"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I UNSCHEDULED",,,5693.05,5812.9,3
CPT,21155,"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I ",,,1950.0,18507.0,78
CPT,21155,"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I Other Surgical Services",,,2850.0,2850.0,4
CPT,21155,"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I SCHEDULED",,,7345.05,7499.68,3
CPT,21155,"Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I UNSCHEDULED",,,5693.05,5812.9,3
CPT,21159,"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I ",,,1950.0,18507.0,78
CPT,21159,"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I Other Surgical Services",,,2850.0,2850.0,4
CPT,21159,"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I SCHEDULED",,,7345.05,7499.68,3
CPT,21159,"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I UNSCHEDULED",,,5693.05,5812.9,3
CPT,21160,"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I ",,,1950.0,18507.0,78
CPT,21160,"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I Other Surgical Services",,,2850.0,2850.0,4
CPT,21160,"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I SCHEDULED",,,7345.05,7499.68,3
CPT,21160,"Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I UNSCHEDULED",,,5693.05,5812.9,3
CPT,21172,"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts) ",,,1950.0,18507.0,106
CPT,21172,"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts) Other Surgical Services",,,2850.0,2850.0,4
CPT,21172,"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts) SCHEDULED",,,7345.05,7499.68,3
CPT,21172,"Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts) UNSCHEDULED",,,6783.91,6926.73,3
CPT,21175,"Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining au",,,1950.0,18507.0,116
CPT,21179,"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material) ",,,1950.0,18507.0,78
CPT,21179,"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material) Other Surgical Services",,,2850.0,2850.0,4
CPT,21179,"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material) SCHEDULED",,,7345.05,7499.68,3
CPT,21179,"Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21180,"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts) ",,,1950.0,18507.0,78
CPT,21180,"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts) Other Surgical Services",,,2850.0,2850.0,4
CPT,21180,"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts) SCHEDULED",,,7345.05,7499.68,3
CPT,21180,"Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21181,"Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial ",,,1950.0,18507.0,106
CPT,21181,"Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial Other Surgical Services",,,2850.0,2850.0,4
CPT,21181,"Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial SCHEDULED",,,7345.05,7499.68,3
CPT,21181,"Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial UNSCHEDULED",,,5693.05,5812.9,3
CPT,21182,"Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (inclu",,,1950.0,18507.0,88
CPT,21183,"Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (inclu",,,1950.0,18507.0,88
CPT,21184,"Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (inclu",,,1950.0,18507.0,88
CPT,21188,"Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) ",,,1950.0,18507.0,78
CPT,21188,"Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) Other Surgical Services",,,2850.0,2850.0,4
CPT,21188,"Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) SCHEDULED",,,7345.05,7499.68,3
CPT,21188,"Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21193,"Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft ",,,1950.0,18507.0,106
CPT,21193,"Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Other Surgical Services",,,2850.0,2850.0,4
CPT,21193,"Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft SCHEDULED",,,7345.05,7499.68,3
CPT,21193,"Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft UNSCHEDULED",,,5693.05,5812.9,3
CPT,21194,"Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft) ",,,1950.0,18507.0,78
CPT,21194,"Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,21194,"Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft) SCHEDULED",,,7345.05,7499.68,3
CPT,21194,"Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21195,"Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation ",,,1950.0,18507.0,106
CPT,21195,"Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,21195,"Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation SCHEDULED",,,7345.05,7499.68,3
CPT,21195,"Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation UNSCHEDULED",,,5693.05,5812.9,3
CPT,21196,"Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation ",,,1950.0,18507.0,106
CPT,21196,"Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,21196,"Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation SCHEDULED",,,7345.05,7499.68,3
CPT,21196,"Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation UNSCHEDULED",,,5693.05,5812.9,3
CPT,21198,"Osteotomy, mandible, segmental; ",,,1950.0,18507.0,106
CPT,21198,"Osteotomy, mandible, segmental; Other Surgical Services",,,2850.0,2850.0,4
CPT,21198,"Osteotomy, mandible, segmental; SCHEDULED",,,7345.05,7499.68,3
CPT,21198,"Osteotomy, mandible, segmental; UNSCHEDULED",,,5693.05,5812.9,3
CPT,21199,"Osteotomy, mandible, segmental; with genioglossus advancement ",,,1950.0,18507.0,106
CPT,21199,"Osteotomy, mandible, segmental; with genioglossus advancement Other Surgical Services",,,2850.0,2850.0,4
CPT,21199,"Osteotomy, mandible, segmental; with genioglossus advancement SCHEDULED",,,7345.05,7499.68,3
CPT,21199,"Osteotomy, mandible, segmental; with genioglossus advancement UNSCHEDULED",,,5693.05,5812.9,3
CPT,21206,"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) ",,,1950.0,18507.0,106
CPT,21206,"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) Other Surgical Services",,,2850.0,2850.0,4
CPT,21206,"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) SCHEDULED",,,7345.05,7499.68,3
CPT,21206,"Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21208,"Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) ",,,1950.0,18507.0,106
CPT,21208,"Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Other Surgical Services",,,2850.0,2850.0,4
CPT,21208,"Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) SCHEDULED",,,7345.05,7499.68,3
CPT,21208,"Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21209,"Osteoplasty, facial bones; reduction ",,,1950.0,18507.0,106
CPT,21209,"Osteoplasty, facial bones; reduction Other Surgical Services",,,2850.0,2850.0,4
CPT,21209,"Osteoplasty, facial bones; reduction SCHEDULED",,,7345.05,7499.68,3
CPT,21209,"Osteoplasty, facial bones; reduction UNSCHEDULED",,,5693.05,5812.9,3
CPT,21210,"Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,21210,"Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,21210,"Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) SCHEDULED",,,6213.35,6344.16,3
CPT,21210,"Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21215,"Graft, bone; mandible (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,21215,"Graft, bone; mandible (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,21215,"Graft, bone; mandible (includes obtaining graft) SCHEDULED",,,4473.41,4567.58,3
CPT,21215,"Graft, bone; mandible (includes obtaining graft) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21230,"Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,21230,"Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,21230,"Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft) SCHEDULED",,,23663.08,24161.25,3
CPT,21230,"Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21235,"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,21235,"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,21235,"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) SCHEDULED",,,7667.5,7828.92,3
CPT,21235,"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21240,"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,21240,"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,21240,"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) SCHEDULED",,,17493.7,17861.99,3
CPT,21240,"Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21242,"Arthroplasty, temporomandibular joint, with allograft ",,,1950.0,18507.0,106
CPT,21242,"Arthroplasty, temporomandibular joint, with allograft Other Surgical Services",,,2850.0,2850.0,4
CPT,21242,"Arthroplasty, temporomandibular joint, with allograft SCHEDULED",,,7345.05,7499.68,3
CPT,21242,"Arthroplasty, temporomandibular joint, with allograft UNSCHEDULED",,,5693.05,5812.9,3
CPT,21243,"Arthroplasty, temporomandibular joint, with prosthetic joint replacement ",,,1950.0,18507.0,106
CPT,21243,"Arthroplasty, temporomandibular joint, with prosthetic joint replacement Other Surgical Services",,,2850.0,2850.0,4
CPT,21243,"Arthroplasty, temporomandibular joint, with prosthetic joint replacement SCHEDULED",,,7345.05,7499.68,3
CPT,21243,"Arthroplasty, temporomandibular joint, with prosthetic joint replacement UNSCHEDULED",,,5693.05,5812.9,3
CPT,21244,"Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) ",,,1950.0,18507.0,106
CPT,21244,"Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Other Surgical Services",,,2850.0,2850.0,4
CPT,21244,"Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) SCHEDULED",,,7345.05,7499.68,3
CPT,21244,"Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21245,"Reconstruction of mandible or maxilla, subperiosteal implant; partial ",,,1950.0,18507.0,106
CPT,21245,"Reconstruction of mandible or maxilla, subperiosteal implant; partial Other Surgical Services",,,2850.0,2850.0,4
CPT,21245,"Reconstruction of mandible or maxilla, subperiosteal implant; partial SCHEDULED",,,7345.05,7499.68,3
CPT,21245,"Reconstruction of mandible or maxilla, subperiosteal implant; partial UNSCHEDULED",,,5693.05,5812.9,3
CPT,21246,"Reconstruction of mandible or maxilla, subperiosteal implant; complete ",,,1950.0,18507.0,106
CPT,21246,"Reconstruction of mandible or maxilla, subperiosteal implant; complete Other Surgical Services",,,2850.0,2850.0,4
CPT,21246,"Reconstruction of mandible or maxilla, subperiosteal implant; complete SCHEDULED",,,7345.05,7499.68,3
CPT,21246,"Reconstruction of mandible or maxilla, subperiosteal implant; complete UNSCHEDULED",,,5693.05,5812.9,3
CPT,21247,"Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia) ",,,1950.0,18507.0,78
CPT,21247,"Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia) Other Surgical Services",,,2850.0,2850.0,4
CPT,21247,"Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia) SCHEDULED",,,7345.05,7499.68,3
CPT,21247,"Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21248,"Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial ",,,1950.0,18507.0,106
CPT,21248,"Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial Other Surgical Services",,,2850.0,2850.0,4
CPT,21248,"Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial SCHEDULED",,,5815.53,5937.96,3
CPT,21248,"Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial UNSCHEDULED",,,5693.05,5812.9,3
CPT,21249,"Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete ",,,1950.0,18507.0,106
CPT,21249,"Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete Other Surgical Services",,,2850.0,2850.0,4
CPT,21249,"Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete SCHEDULED",,,2244.56,2291.81,3
CPT,21249,"Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete UNSCHEDULED",,,5693.05,5812.9,3
CPT,21255,Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) ,,,1950.0,18507.0,78
CPT,21255,Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) Other Surgical Services,,,2850.0,2850.0,4
CPT,21255,Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) SCHEDULED,,,7345.05,7499.68,3
CPT,21255,Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) UNSCHEDULED,,,5693.05,5812.9,3
CPT,21256,"Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia) ",,,1950.0,18507.0,106
CPT,21256,"Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia) Other Surgical Services",,,2850.0,2850.0,4
CPT,21256,"Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia) SCHEDULED",,,13645.3,13932.57,3
CPT,21256,"Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21260,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach ",,,1950.0,18507.0,106
CPT,21260,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Other Surgical Services",,,2850.0,2850.0,4
CPT,21260,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach SCHEDULED",,,7345.05,7499.68,3
CPT,21260,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach UNSCHEDULED",,,5693.05,5812.9,3
CPT,21261,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach ",,,1950.0,18507.0,106
CPT,21261,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach Other Surgical Services",,,2850.0,2850.0,4
CPT,21261,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach SCHEDULED",,,7345.05,7499.68,3
CPT,21261,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach UNSCHEDULED",,,5693.05,5812.9,3
CPT,21263,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement ",,,1950.0,18507.0,106
CPT,21263,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement Other Surgical Services",,,2850.0,2850.0,4
CPT,21263,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement SCHEDULED",,,7345.05,7499.68,3
CPT,21263,"Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement UNSCHEDULED",,,5693.05,5812.9,3
CPT,21267,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach ",,,1950.0,18507.0,106
CPT,21267,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Other Surgical Services",,,2850.0,2850.0,4
CPT,21267,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach SCHEDULED",,,7345.05,7499.68,3
CPT,21267,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach UNSCHEDULED",,,5693.05,5812.9,3
CPT,21268,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach ",,,1950.0,18507.0,78
CPT,21268,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach Other Surgical Services",,,2850.0,2850.0,4
CPT,21268,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach SCHEDULED",,,7345.05,7499.68,3
CPT,21268,"Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach UNSCHEDULED",,,5693.05,5812.9,3
CPT,21270,"Malar augmentation, prosthetic material ",,,1950.0,18507.0,106
CPT,21270,"Malar augmentation, prosthetic material Other Surgical Services",,,2850.0,2850.0,4
CPT,21270,"Malar augmentation, prosthetic material SCHEDULED",,,7345.05,7499.68,3
CPT,21270,"Malar augmentation, prosthetic material UNSCHEDULED",,,5693.05,5812.9,3
CPT,21275,Secondary revision of orbitocraniofacial reconstruction ,,,1950.0,18507.0,106
CPT,21275,Secondary revision of orbitocraniofacial reconstruction Other Surgical Services,,,2850.0,2850.0,4
CPT,21275,Secondary revision of orbitocraniofacial reconstruction SCHEDULED,,,14458.73,14763.13,3
CPT,21275,Secondary revision of orbitocraniofacial reconstruction UNSCHEDULED,,,5693.05,5812.9,3
CPT,21280,Medial canthopexy (separate procedure) ,,,1950.0,18507.0,106
CPT,21280,Medial canthopexy (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,21280,Medial canthopexy (separate procedure) SCHEDULED,,,7345.05,7499.68,3
CPT,21280,Medial canthopexy (separate procedure) UNSCHEDULED,,,5693.05,5812.9,3
CPT,21282,Lateral canthopexy ,,,1950.0,18507.0,106
CPT,21282,Lateral canthopexy Other Surgical Services,,,2850.0,2850.0,4
CPT,21282,Lateral canthopexy SCHEDULED,,,5116.2,5223.91,3
CPT,21282,Lateral canthopexy UNSCHEDULED,,,5693.05,5812.9,3
CPT,21295,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach ",,,1950.0,9710.0,106
CPT,21295,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Other Surgical Services",,,2850.0,2850.0,4
CPT,21295,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach SCHEDULED",,,7345.05,7499.68,3
CPT,21295,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach UNSCHEDULED",,,5693.05,5812.9,3
CPT,21296,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach ",,,1950.0,18507.0,106
CPT,21296,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Other Surgical Services",,,2850.0,2850.0,4
CPT,21296,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach SCHEDULED",,,7345.05,7499.68,3
CPT,21296,"Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach UNSCHEDULED",,,5693.05,5812.9,3
CPT,21299,Unlisted craniofacial and maxillofacial procedure ,,,1423.0,9710.0,106
CPT,21299,Unlisted craniofacial and maxillofacial procedure Other Surgical Services,,,2850.0,2850.0,4
CPT,21299,Unlisted craniofacial and maxillofacial procedure SCHEDULED,,,9184.46,9377.81,3
CPT,21299,Unlisted craniofacial and maxillofacial procedure UNSCHEDULED,,,5693.05,5812.9,3
CPT,21300,TREATMENT OF SKULL FRACTURE SCHEDULED,,,7345.05,7499.68,3
CPT,21300,TREATMENT OF SKULL FRACTURE UNSCHEDULED,,,5693.05,5812.9,3
CPT,21310,CLOSED TREATMENT OF NASAL BONE FRACTURE WITHOUT MANIPULATION ,,,1423.0,3251.0,28
CPT,21310,CLOSED TREATMENT OF NASAL BONE FRACTURE WITHOUT MANIPULATION SCHEDULED,,,7345.05,7499.68,3
CPT,21310,CLOSED TREATMENT OF NASAL BONE FRACTURE WITHOUT MANIPULATION UNSCHEDULED,,,329.77,336.72,3
CPT,21315,Closed treatment of nasal bone fracture with manipulation; without stabilization ,,,1950.0,9710.0,106
CPT,21315,Closed treatment of nasal bone fracture with manipulation; without stabilization Other Surgical Services,,,2850.0,2850.0,4
CPT,21315,Closed treatment of nasal bone fracture with manipulation; without stabilization SCHEDULED,,,7345.05,7499.68,3
CPT,21315,Closed treatment of nasal bone fracture with manipulation; without stabilization UNSCHEDULED,,,3875.62,3957.21,3
CPT,21320,Closed treatment of nasal bone fracture with manipulation; with stabilization ,,,1950.0,18507.0,106
CPT,21320,Closed treatment of nasal bone fracture with manipulation; with stabilization Other Surgical Services,,,2850.0,2850.0,4
CPT,21320,Closed treatment of nasal bone fracture with manipulation; with stabilization SCHEDULED,,,4878.55,4981.26,3
CPT,21320,Closed treatment of nasal bone fracture with manipulation; with stabilization UNSCHEDULED,,,5079.55,5186.49,3
CPT,21325,Open treatment of nasal fracture; uncomplicated ,,,1950.0,18507.0,106
CPT,21325,Open treatment of nasal fracture; uncomplicated Other Surgical Services,,,2850.0,2850.0,4
CPT,21325,Open treatment of nasal fracture; uncomplicated SCHEDULED,,,9276.58,9471.88,3
CPT,21325,Open treatment of nasal fracture; uncomplicated UNSCHEDULED,,,5693.05,5812.9,3
CPT,21330,"Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation ",,,1950.0,18507.0,106
CPT,21330,"Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,21330,"Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation SCHEDULED",,,9215.86,9409.88,3
CPT,21330,"Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation UNSCHEDULED",,,324.54,331.37,3
CPT,21335,Open treatment of nasal fracture; with concomitant open treatment of fractured septum ,,,1950.0,18507.0,106
CPT,21335,Open treatment of nasal fracture; with concomitant open treatment of fractured septum Other Surgical Services,,,2850.0,2850.0,4
CPT,21335,Open treatment of nasal fracture; with concomitant open treatment of fractured septum SCHEDULED,,,3695.56,3773.36,3
CPT,21335,Open treatment of nasal fracture; with concomitant open treatment of fractured septum UNSCHEDULED,,,5693.05,5812.9,3
CPT,21336,"Open treatment of nasal septal fracture, with or without stabilization ",,,1950.0,18507.0,106
CPT,21336,"Open treatment of nasal septal fracture, with or without stabilization Other Surgical Services",,,2850.0,2850.0,4
CPT,21336,"Open treatment of nasal septal fracture, with or without stabilization SCHEDULED",,,6882.32,7027.21,3
CPT,21336,"Open treatment of nasal septal fracture, with or without stabilization UNSCHEDULED",,,5693.05,5812.9,3
CPT,21337,"Closed treatment of nasal septal fracture, with or without stabilization ",,,1950.0,18507.0,106
CPT,21337,"Closed treatment of nasal septal fracture, with or without stabilization Other Surgical Services",,,2850.0,2850.0,4
CPT,21337,"Closed treatment of nasal septal fracture, with or without stabilization SCHEDULED",,,3791.87,3871.7,3
CPT,21337,"Closed treatment of nasal septal fracture, with or without stabilization UNSCHEDULED",,,4395.94,4488.48,3
CPT,21338,Open treatment of nasoethmoid fracture; without external fixation ,,,1950.0,18507.0,106
CPT,21338,Open treatment of nasoethmoid fracture; without external fixation Other Surgical Services,,,2850.0,2850.0,4
CPT,21338,Open treatment of nasoethmoid fracture; without external fixation SCHEDULED,,,7345.05,7499.68,3
CPT,21338,Open treatment of nasoethmoid fracture; without external fixation UNSCHEDULED,,,5693.05,5812.9,3
CPT,21339,Open treatment of nasoethmoid fracture; with external fixation ,,,1950.0,18507.0,106
CPT,21339,Open treatment of nasoethmoid fracture; with external fixation Other Surgical Services,,,2850.0,2850.0,4
CPT,21339,Open treatment of nasoethmoid fracture; with external fixation SCHEDULED,,,7345.05,7499.68,3
CPT,21339,Open treatment of nasoethmoid fracture; with external fixation UNSCHEDULED,,,5693.05,5812.9,3
CPT,21340,"Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus ",,,1950.0,18507.0,106
CPT,21340,"Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus Other Surgical Services",,,2850.0,2850.0,4
CPT,21340,"Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus SCHEDULED",,,7345.05,7499.68,3
CPT,21340,"Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus UNSCHEDULED",,,5693.05,5812.9,3
CPT,21343,Open treatment of depressed frontal sinus fracture ,,,1950.0,18507.0,106
CPT,21343,Open treatment of depressed frontal sinus fracture Other Surgical Services,,,2850.0,2850.0,4
CPT,21343,Open treatment of depressed frontal sinus fracture SCHEDULED,,,11431.1,11671.76,3
CPT,21343,Open treatment of depressed frontal sinus fracture UNSCHEDULED,,,5693.05,5812.9,3
CPT,21344,"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches ",,,1950.0,18507.0,78
CPT,21344,"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches Other Surgical Services",,,2850.0,2850.0,4
CPT,21344,"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches SCHEDULED",,,7345.05,7499.68,3
CPT,21344,"Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches UNSCHEDULED",,,5693.05,5812.9,3
CPT,21345,"Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint ",,,1950.0,9710.0,106
CPT,21345,"Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint Other Surgical Services",,,2850.0,2850.0,4
CPT,21345,"Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint SCHEDULED",,,7345.05,7499.68,3
CPT,21345,"Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint UNSCHEDULED",,,5693.05,5812.9,3
CPT,21346,Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation ,,,1950.0,18507.0,106
CPT,21346,Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Other Surgical Services,,,2850.0,2850.0,4
CPT,21346,Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation SCHEDULED,,,6724.24,6865.81,3
CPT,21346,Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation UNSCHEDULED,,,6783.91,6926.73,3
CPT,21347,Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches ,,,1950.0,18507.0,78
CPT,21347,Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches Other Surgical Services,,,2850.0,2850.0,4
CPT,21347,Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches SCHEDULED,,,7345.05,7499.68,3
CPT,21347,Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches UNSCHEDULED,,,5693.05,5812.9,3
CPT,21348,Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft) ,,,1950.0,18507.0,78
CPT,21348,Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,21348,Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft) SCHEDULED,,,7345.05,7499.68,3
CPT,21348,Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft) UNSCHEDULED,,,5693.05,5812.9,3
CPT,21355,"Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation ",,,1950.0,18507.0,106
CPT,21355,"Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,21355,"Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation SCHEDULED",,,4050.46,4135.73,3
CPT,21355,"Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation UNSCHEDULED",,,5693.05,5812.9,3
CPT,21356,"Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) ",,,1950.0,18507.0,106
CPT,21356,"Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Other Surgical Services",,,2850.0,2850.0,4
CPT,21356,"Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) SCHEDULED",,,4648.24,4746.09,3
CPT,21356,"Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21360,"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod ",,,1950.0,18507.0,106
CPT,21360,"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Other Surgical Services",,,2850.0,2850.0,4
CPT,21360,"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod SCHEDULED",,,8004.6,8173.11,3
CPT,21360,"Open treatment of depressed malar fracture, including zygomatic arch and malar tripod UNSCHEDULED",,,5693.05,5812.9,3
CPT,21365,"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with internal fixation and multiple surgical ap",,,1950.0,21947.47,116
CPT,21366,"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,21366,"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft) O",,,2850.0,2850.0,4
CPT,21366,"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft) S",,,7345.05,7499.68,3
CPT,21366,"Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft) U",,,5693.05,5812.9,3
CPT,21385,Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) ,,,1950.0,18507.0,106
CPT,21385,Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Other Surgical Services,,,2850.0,2850.0,4
CPT,21385,Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) SCHEDULED,,,4950.79,5055.02,3
CPT,21385,Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) UNSCHEDULED,,,5693.05,5812.9,3
CPT,21386,Open treatment of orbital floor blowout fracture; periorbital approach ,,,1950.0,18507.0,106
CPT,21386,Open treatment of orbital floor blowout fracture; periorbital approach Other Surgical Services,,,2850.0,2850.0,4
CPT,21386,Open treatment of orbital floor blowout fracture; periorbital approach SCHEDULED,,,2520.94,2574.01,3
CPT,21386,Open treatment of orbital floor blowout fracture; periorbital approach UNSCHEDULED,,,6783.91,6926.73,3
CPT,21387,Open treatment of orbital floor blowout fracture; combined approach ,,,1950.0,18507.0,106
CPT,21387,Open treatment of orbital floor blowout fracture; combined approach Other Surgical Services,,,2850.0,2850.0,4
CPT,21387,Open treatment of orbital floor blowout fracture; combined approach SCHEDULED,,,8043.34,8212.67,3
CPT,21387,Open treatment of orbital floor blowout fracture; combined approach UNSCHEDULED,,,5693.05,5812.9,3
CPT,21390,"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant ",,,1950.0,18507.0,106
CPT,21390,"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Other Surgical Services",,,2850.0,2850.0,4
CPT,21390,"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant SCHEDULED",,,6270.93,6402.95,3
CPT,21390,"Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant UNSCHEDULED",,,5693.05,5812.9,3
CPT,21395,Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) ,,,1950.0,18507.0,106
CPT,21395,Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,21395,Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) SCHEDULED,,,7345.05,7499.68,3
CPT,21395,Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) UNSCHEDULED,,,5693.05,5812.9,3
CPT,21400,"Closed treatment of fracture of orbit, except blowout; without manipulation ",,,1950.0,9710.0,106
CPT,21400,"Closed treatment of fracture of orbit, except blowout; without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,21400,"Closed treatment of fracture of orbit, except blowout; without manipulation SCHEDULED",,,7345.05,7499.68,3
CPT,21400,"Closed treatment of fracture of orbit, except blowout; without manipulation UNSCHEDULED",,,5693.05,5812.9,3
CPT,21401,"Closed treatment of fracture of orbit, except blowout; with manipulation ",,,1950.0,9710.0,106
CPT,21401,"Closed treatment of fracture of orbit, except blowout; with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,21401,"Closed treatment of fracture of orbit, except blowout; with manipulation SCHEDULED",,,7345.05,7499.68,3
CPT,21401,"Closed treatment of fracture of orbit, except blowout; with manipulation UNSCHEDULED",,,5693.05,5812.9,3
CPT,21406,"Open treatment of fracture of orbit, except blowout; without implant ",,,1950.0,18507.0,106
CPT,21406,"Open treatment of fracture of orbit, except blowout; without implant Other Surgical Services",,,2850.0,2850.0,4
CPT,21406,"Open treatment of fracture of orbit, except blowout; without implant SCHEDULED",,,7345.05,7499.68,3
CPT,21406,"Open treatment of fracture of orbit, except blowout; without implant UNSCHEDULED",,,5693.05,5812.9,3
CPT,21407,"Open treatment of fracture of orbit, except blowout; with implant ",,,1950.0,18507.0,106
CPT,21407,"Open treatment of fracture of orbit, except blowout; with implant Other Surgical Services",,,2850.0,2850.0,4
CPT,21407,"Open treatment of fracture of orbit, except blowout; with implant SCHEDULED",,,20567.4,21000.39,3
CPT,21407,"Open treatment of fracture of orbit, except blowout; with implant UNSCHEDULED",,,5693.05,5812.9,3
CPT,21408,"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,21408,"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,21408,"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) SCHEDULED",,,7345.05,7499.68,3
CPT,21408,"Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21421,"Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint ",,,1950.0,18507.0,106
CPT,21421,"Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint Other Surgical Services",,,2850.0,2850.0,4
CPT,21421,"Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint SCHEDULED",,,7345.05,7499.68,3
CPT,21421,"Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint UNSCHEDULED",,,5693.05,5812.9,3
CPT,21422,Open treatment of palatal or maxillary fracture (LeFort I type); ,,,1950.0,18507.0,106
CPT,21422,Open treatment of palatal or maxillary fracture (LeFort I type); Other Surgical Services,,,2850.0,2850.0,4
CPT,21422,Open treatment of palatal or maxillary fracture (LeFort I type); SCHEDULED,,,2898.87,2959.9,3
CPT,21422,Open treatment of palatal or maxillary fracture (LeFort I type); UNSCHEDULED,,,5693.05,5812.9,3
CPT,21423,"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches ",,,1950.0,18507.0,106
CPT,21423,"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches Other Surgical Services",,,2850.0,2850.0,4
CPT,21423,"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches SCHEDULED",,,7345.05,7499.68,3
CPT,21423,"Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches UNSCHEDULED",,,5693.05,5812.9,3
CPT,21431,Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint ,,,1950.0,18507.0,78
CPT,21431,Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint Other Surgical Services,,,2850.0,2850.0,4
CPT,21431,Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint SCHEDULED,,,7345.05,7499.68,3
CPT,21431,Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint UNSCHEDULED,,,5693.05,5812.9,3
CPT,21432,Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation ,,,1950.0,18507.0,78
CPT,21432,Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation Other Surgical Services,,,2850.0,2850.0,4
CPT,21432,Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation SCHEDULED,,,7345.05,7499.68,3
CPT,21432,Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation UNSCHEDULED,,,5693.05,5812.9,3
CPT,21433,"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches ",,,1950.0,18507.0,78
CPT,21433,"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches Other Surgical Services",,,2850.0,2850.0,4
CPT,21433,"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches SCHEDULED",,,7345.05,7499.68,3
CPT,21433,"Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches UNSCHEDULED",,,5693.05,5812.9,3
CPT,21435,"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation) ",,,1950.0,18507.0,78
CPT,21435,"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation) Other Surgi",,,2850.0,2850.0,4
CPT,21435,"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation) SCHEDULED",,,7345.05,7499.68,3
CPT,21435,"Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21436,"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft) ",,,1950.0,18507.0,78
CPT,21436,"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,21436,"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft) SCHEDULED",,,7345.05,7499.68,3
CPT,21436,"Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft) UNSCHEDULED",,,5693.05,5812.9,3
CPT,21440,Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) ,,,1950.0,18507.0,106
CPT,21440,Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,21440,Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) SCHEDULED,,,7345.05,7499.68,3
CPT,21440,Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) UNSCHEDULED,,,5693.05,5812.9,3
CPT,21445,Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) ,,,1950.0,18507.0,106
CPT,21445,Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,21445,Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) SCHEDULED,,,3563.65,3638.67,3
CPT,21445,Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) UNSCHEDULED,,,5693.05,5812.9,3
CPT,21450,Closed treatment of mandibular fracture; without manipulation ,,,1423.0,9710.0,106
CPT,21450,Closed treatment of mandibular fracture; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,21450,Closed treatment of mandibular fracture; without manipulation SCHEDULED,,,7345.05,7499.68,3
CPT,21450,Closed treatment of mandibular fracture; without manipulation UNSCHEDULED,,,5693.05,5812.9,3
CPT,21451,Closed treatment of mandibular fracture; with manipulation ,,,1950.0,9710.0,106
CPT,21451,Closed treatment of mandibular fracture; with manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,21451,Closed treatment of mandibular fracture; with manipulation SCHEDULED,,,7345.05,7499.68,3
CPT,21451,Closed treatment of mandibular fracture; with manipulation UNSCHEDULED,,,5693.05,5812.9,3
CPT,21452,"Percutaneous treatment of mandibular fracture, with external fixation ",,,1950.0,18507.0,106
CPT,21452,"Percutaneous treatment of mandibular fracture, with external fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,21452,"Percutaneous treatment of mandibular fracture, with external fixation SCHEDULED",,,7345.05,7499.68,3
CPT,21452,"Percutaneous treatment of mandibular fracture, with external fixation UNSCHEDULED",,,5693.05,5812.9,3
CPT,21453,Closed treatment of mandibular fracture with interdental fixation ,,,1950.0,18507.0,106
CPT,21453,Closed treatment of mandibular fracture with interdental fixation Other Surgical Services,,,2850.0,2850.0,4
CPT,21453,Closed treatment of mandibular fracture with interdental fixation SCHEDULED,,,8267.37,8441.42,3
CPT,21453,Closed treatment of mandibular fracture with interdental fixation UNSCHEDULED,,,5693.05,5812.9,3
CPT,21454,Open treatment of mandibular fracture with external fixation ,,,1950.0,18507.0,106
CPT,21454,Open treatment of mandibular fracture with external fixation Other Surgical Services,,,2850.0,2850.0,4
CPT,21454,Open treatment of mandibular fracture with external fixation SCHEDULED,,,7345.05,7499.68,3
CPT,21454,Open treatment of mandibular fracture with external fixation UNSCHEDULED,,,5693.05,5812.9,3
CPT,21461,Open treatment of mandibular fracture; without interdental fixation ,,,1950.0,18507.0,106
CPT,21461,Open treatment of mandibular fracture; without interdental fixation Other Surgical Services,,,2850.0,2850.0,4
CPT,21461,Open treatment of mandibular fracture; without interdental fixation SCHEDULED,,,14929.84,15244.15,3
CPT,21461,Open treatment of mandibular fracture; without interdental fixation UNSCHEDULED,,,8101.96,8272.53,3
CPT,21462,Open treatment of mandibular fracture; with interdental fixation ,,,1950.0,18507.0,106
CPT,21462,Open treatment of mandibular fracture; with interdental fixation Other Surgical Services,,,2850.0,2850.0,4
CPT,21462,Open treatment of mandibular fracture; with interdental fixation SCHEDULED,,,9568.67,9770.11,3
CPT,21462,Open treatment of mandibular fracture; with interdental fixation UNSCHEDULED,,,21991.18,22454.15,3
CPT,21465,Open treatment of mandibular condylar fracture ,,,1950.0,18507.0,106
CPT,21465,Open treatment of mandibular condylar fracture Other Surgical Services,,,2850.0,2850.0,4
CPT,21465,Open treatment of mandibular condylar fracture SCHEDULED,,,7345.05,7499.68,3
CPT,21465,Open treatment of mandibular condylar fracture UNSCHEDULED,,,5693.05,5812.9,3
CPT,21470,"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints ",,,1950.0,18507.0,106
CPT,21470,"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints Other Surgical Services",,,2850.0,2850.0,4
CPT,21470,"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints SCHEDULED",,,19451.4,19860.91,3
CPT,21470,"Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints UNSCHEDULED",,,27142.97,27714.4,3
CPT,21480,Closed treatment of temporomandibular dislocation; initial or subsequent ,,,1423.0,9710.0,106
CPT,21480,Closed treatment of temporomandibular dislocation; initial or subsequent Other Surgical Services,,,2850.0,2850.0,4
CPT,21480,Closed treatment of temporomandibular dislocation; initial or subsequent SCHEDULED,,,7345.05,7499.68,3
CPT,21480,Closed treatment of temporomandibular dislocation; initial or subsequent UNSCHEDULED,,,516.13,526.99,3
CPT,21485,"Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent ",,,1950.0,9710.0,106
CPT,21485,"Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent Other Surgical Services",,,2850.0,2850.0,4
CPT,21485,"Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent SCHEDULED",,,7345.05,7499.68,3
CPT,21485,"Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent UNSCHEDULED",,,5693.05,5812.9,3
CPT,21490,Open treatment of temporomandibular dislocation ,,,1950.0,18507.0,106
CPT,21490,Open treatment of temporomandibular dislocation Other Surgical Services,,,2850.0,2850.0,4
CPT,21490,Open treatment of temporomandibular dislocation SCHEDULED,,,7345.05,7499.68,3
CPT,21490,Open treatment of temporomandibular dislocation UNSCHEDULED,,,5693.05,5812.9,3
CPT,21493,TREAT HYOID BONE FRACTURE SCHEDULED,,,7345.05,7499.68,3
CPT,21493,TREAT HYOID BONE FRACTURE UNSCHEDULED,,,5693.05,5812.9,3
CPT,21494,TREAT HYOID BONE FRACTURE SCHEDULED,,,7345.05,7499.68,3
CPT,21494,TREAT HYOID BONE FRACTURE UNSCHEDULED,,,5693.05,5812.9,3
CPT,21495,TREAT HYOID BONE FRACTURE ,,,2820.0,5414.0,28
CPT,21495,TREAT HYOID BONE FRACTURE SCHEDULED,,,7345.05,7499.68,3
CPT,21495,TREAT HYOID BONE FRACTURE UNSCHEDULED,,,5693.05,5812.9,3
CPT,21497,"Interdental wiring, for condition other than fracture ",,,1950.0,9710.0,106
CPT,21497,"Interdental wiring, for condition other than fracture Other Surgical Services",,,2850.0,2850.0,4
CPT,21497,"Interdental wiring, for condition other than fracture SCHEDULED",,,7345.05,7499.68,3
CPT,21497,"Interdental wiring, for condition other than fracture UNSCHEDULED",,,5693.05,5812.9,3
CPT,21499,"Unlisted musculoskeletal procedure, head ",,,1423.0,9710.0,106
CPT,21499,"Unlisted musculoskeletal procedure, head Other Surgical Services",,,2850.0,2850.0,4
CPT,21499,"Unlisted musculoskeletal procedure, head SCHEDULED",,,6654.09,6794.18,3
CPT,21499,"Unlisted musculoskeletal procedure, head UNSCHEDULED",,,5693.05,5812.9,3
CPT,21501,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; ",,,1950.0,14792.0,106
CPT,21501,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; Other Surgical Services",,,2850.0,2850.0,4
CPT,21501,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; SCHEDULED",,,4077.68,4163.52,3
CPT,21501,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; UNSCHEDULED",,,554.86,566.54,3
CPT,21502,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy ",,,1950.0,18507.0,106
CPT,21502,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,21502,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy SCHEDULED",,,5629.18,5747.69,3
CPT,21502,"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy UNSCHEDULED",,,6022.3,6149.08,3
CPT,21510,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax ",,,1950.0,18507.0,106
CPT,21510,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax Other Surgical Services",,,2850.0,2850.0,4
CPT,21510,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax SCHEDULED",,,5629.18,5747.69,3
CPT,21510,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax UNSCHEDULED",,,6022.3,6149.08,3
CPT,21550,"Biopsy, soft tissue of neck or thorax ",,,1950.0,9710.0,106
CPT,21550,"Biopsy, soft tissue of neck or thorax Other Surgical Services",,,2850.0,2850.0,4
CPT,21550,"Biopsy, soft tissue of neck or thorax SCHEDULED",,,5629.18,5747.69,3
CPT,21550,"Biopsy, soft tissue of neck or thorax UNSCHEDULED",,,6022.3,6149.08,3
CPT,21552,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater ",,,1950.0,14792.0,106
CPT,21552,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,21552,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater SCHEDULED",,,5629.18,5747.69,3
CPT,21552,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater UNSCHEDULED",,,11489.73,11731.62,3
CPT,21554,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater ",,,1950.0,14792.0,106
CPT,21554,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,21554,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater SCHEDULED",,,5629.18,5747.69,3
CPT,21554,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater UNSCHEDULED",,,6022.3,6149.08,3
CPT,21555,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm ",,,1950.0,9710.0,106
CPT,21555,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,21555,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm SCHEDULED",,,5574.74,5692.11,3
CPT,21555,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm UNSCHEDULED",,,6022.3,6149.08,3
CPT,21556,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm ",,,1950.0,14792.0,106
CPT,21556,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,21556,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm SCHEDULED",,,5629.18,5747.69,3
CPT,21556,"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm UNSCHEDULED",,,6022.3,6149.08,3
CPT,21557,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm ",,,1950.0,14792.0,106
CPT,21557,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,21557,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm SCHEDULED",,,5629.18,5747.69,3
CPT,21557,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm UNSCHEDULED",,,6022.3,6149.08,3
CPT,21558,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater ",,,1950.0,14792.0,106
CPT,21558,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,21558,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater SCHEDULED",,,5629.18,5747.69,3
CPT,21558,"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater UNSCHEDULED",,,6022.3,6149.08,3
CPT,21600,"Excision of rib, partial ",,,1950.0,18507.0,106
CPT,21600,"Excision of rib, partial Other Surgical Services",,,2850.0,2850.0,4
CPT,21600,"Excision of rib, partial SCHEDULED",,,12966.9,13239.89,3
CPT,21600,"Excision of rib, partial UNSCHEDULED",,,6022.3,6149.08,3
CPT,21601,Excision of chest wall tumor including rib(s) ,,,1950.0,14792.0,78
CPT,21601,Excision of chest wall tumor including rib(s) Other Surgical Services,,,2850.0,2850.0,4
CPT,21601,Excision of chest wall tumor including rib(s) SCHEDULED,,,5629.18,5747.69,3
CPT,21601,Excision of chest wall tumor including rib(s) UNSCHEDULED,,,6022.3,6149.08,3
CPT,21602,"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy ",,,1950.0,18507.0,78
CPT,21602,"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,21602,"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy SCHEDULED",,,5629.18,5747.69,3
CPT,21602,"Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy UNSCHEDULED",,,6022.3,6149.08,3
CPT,21603,"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy ",,,1950.0,18507.0,78
CPT,21603,"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,21603,"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy SCHEDULED",,,5629.18,5747.69,3
CPT,21603,"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy UNSCHEDULED",,,6022.3,6149.08,3
CPT,21610,Costotransversectomy (separate procedure) ,,,1950.0,18507.0,106
CPT,21610,Costotransversectomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,21610,Costotransversectomy (separate procedure) SCHEDULED,,,5629.18,5747.69,3
CPT,21610,Costotransversectomy (separate procedure) UNSCHEDULED,,,6022.3,6149.08,3
CPT,21615,Excision first and/or cervical rib; ,,,1950.0,18507.0,78
CPT,21615,Excision first and/or cervical rib; Other Surgical Services,,,2850.0,2850.0,4
CPT,21615,Excision first and/or cervical rib; SCHEDULED,,,5683.62,5803.28,3
CPT,21615,Excision first and/or cervical rib; UNSCHEDULED,,,6022.3,6149.08,3
CPT,21616,Excision first and/or cervical rib; with sympathectomy ,,,1950.0,18507.0,78
CPT,21616,Excision first and/or cervical rib; with sympathectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,21616,Excision first and/or cervical rib; with sympathectomy SCHEDULED,,,5629.18,5747.69,3
CPT,21616,Excision first and/or cervical rib; with sympathectomy UNSCHEDULED,,,6022.3,6149.08,3
CPT,21620,"Ostectomy of sternum, partial ",,,1950.0,18507.0,106
CPT,21620,"Ostectomy of sternum, partial Other Surgical Services",,,2850.0,2850.0,4
CPT,21620,"Ostectomy of sternum, partial SCHEDULED",,,5629.18,5747.69,3
CPT,21620,"Ostectomy of sternum, partial UNSCHEDULED",,,6022.3,6149.08,3
CPT,21627,Sternal debridement ,,,1950.0,18507.0,78
CPT,21627,Sternal debridement Other Surgical Services,,,2850.0,2850.0,4
CPT,21627,Sternal debridement SCHEDULED,,,5629.18,5747.69,3
CPT,21627,Sternal debridement UNSCHEDULED,,,6022.3,6149.08,3
CPT,21630,Radical resection of sternum ,,,1950.0,18507.0,78
CPT,21630,Radical resection of sternum Other Surgical Services,,,2850.0,2850.0,4
CPT,21630,Radical resection of sternum SCHEDULED,,,5629.18,5747.69,3
CPT,21630,Radical resection of sternum UNSCHEDULED,,,6022.3,6149.08,3
CPT,21632,Radical resection of sternum; with mediastinal lymphadenectomy SCHEDULED,,,5629.18,5747.69,3
CPT,21632,Radical resection of sternum; with mediastinal lymphadenectomy UNSCHEDULED,,,6022.3,6149.08,3
CPT,21685,Hyoid myotomy and suspension ,,,1950.0,18507.0,106
CPT,21685,Hyoid myotomy and suspension Other Surgical Services,,,2850.0,2850.0,4
CPT,21685,Hyoid myotomy and suspension SCHEDULED,,,5629.18,5747.69,3
CPT,21685,Hyoid myotomy and suspension UNSCHEDULED,,,6022.3,6149.08,3
CPT,21700,Division of scalenus anticus; without resection of cervical rib ,,,1950.0,18507.0,106
CPT,21700,Division of scalenus anticus; without resection of cervical rib Other Surgical Services,,,2850.0,2850.0,4
CPT,21700,Division of scalenus anticus; without resection of cervical rib SCHEDULED,,,5629.18,5747.69,3
CPT,21700,Division of scalenus anticus; without resection of cervical rib UNSCHEDULED,,,6022.3,6149.08,3
CPT,21705,Division of scalenus anticus; with resection of cervical rib ,,,1950.0,18507.0,78
CPT,21705,Division of scalenus anticus; with resection of cervical rib Other Surgical Services,,,2850.0,2850.0,4
CPT,21705,Division of scalenus anticus; with resection of cervical rib SCHEDULED,,,5629.18,5747.69,3
CPT,21705,Division of scalenus anticus; with resection of cervical rib UNSCHEDULED,,,6022.3,6149.08,3
CPT,21720,"Division of sternocleidomastoid for torticollis, open operation; without cast application ",,,1950.0,18507.0,106
CPT,21720,"Division of sternocleidomastoid for torticollis, open operation; without cast application Other Surgical Services",,,2850.0,2850.0,4
CPT,21720,"Division of sternocleidomastoid for torticollis, open operation; without cast application SCHEDULED",,,5629.18,5747.69,3
CPT,21720,"Division of sternocleidomastoid for torticollis, open operation; without cast application UNSCHEDULED",,,6022.3,6149.08,3
CPT,21725,"Division of sternocleidomastoid for torticollis, open operation; with cast application ",,,1423.0,9710.0,106
CPT,21725,"Division of sternocleidomastoid for torticollis, open operation; with cast application Other Surgical Services",,,2850.0,2850.0,4
CPT,21725,"Division of sternocleidomastoid for torticollis, open operation; with cast application SCHEDULED",,,5629.18,5747.69,3
CPT,21725,"Division of sternocleidomastoid for torticollis, open operation; with cast application UNSCHEDULED",,,6022.3,6149.08,3
CPT,21740,Reconstructive repair of pectus excavatum or carinatum; open ,,,1950.0,18507.0,78
CPT,21740,Reconstructive repair of pectus excavatum or carinatum; open Other Surgical Services,,,2850.0,2850.0,4
CPT,21740,Reconstructive repair of pectus excavatum or carinatum; open SCHEDULED,,,5629.18,5747.69,3
CPT,21740,Reconstructive repair of pectus excavatum or carinatum; open UNSCHEDULED,,,6022.3,6149.08,3
CPT,21742,"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy ",,,1950.0,18507.0,106
CPT,21742,"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy Other Surgical Services",,,2850.0,2850.0,4
CPT,21742,"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy SCHEDULED",,,5629.18,5747.69,3
CPT,21742,"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy UNSCHEDULED",,,6022.3,6149.08,3
CPT,21743,"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy ",,,1950.0,18507.0,106
CPT,21743,"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy Other Surgical Services",,,2850.0,2850.0,4
CPT,21743,"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy SCHEDULED",,,5629.18,5747.69,3
CPT,21743,"Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy UNSCHEDULED",,,6022.3,6149.08,3
CPT,21750,Closure of median sternotomy separation with or without debridement (separate procedure) ,,,1950.0,18507.0,78
CPT,21750,Closure of median sternotomy separation with or without debridement (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,21750,Closure of median sternotomy separation with or without debridement (separate procedure) SCHEDULED,,,5629.18,5747.69,3
CPT,21750,Closure of median sternotomy separation with or without debridement (separate procedure) UNSCHEDULED,,,6022.3,6149.08,3
CPT,21800,TREATMENT OF RIB FRACTURE SCHEDULED,,,5629.18,5747.69,3
CPT,21800,TREATMENT OF RIB FRACTURE UNSCHEDULED,,,6022.3,6149.08,3
CPT,21805,TREATMENT OF RIB FRACTURE SCHEDULED,,,5629.18,5747.69,3
CPT,21805,TREATMENT OF RIB FRACTURE UNSCHEDULED,,,6022.3,6149.08,3
CPT,21810,TREATMENT OF RIB FRACTURE(S) SCHEDULED,,,5629.18,5747.69,3
CPT,21810,TREATMENT OF RIB FRACTURE(S) UNSCHEDULED,,,6022.3,6149.08,3
CPT,21811,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs ",,,1950.0,18507.0,106
CPT,21811,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs Other Surgical Services",,,2850.0,2850.0,4
CPT,21811,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs SCHEDULED",,,5629.18,5747.69,3
CPT,21811,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs UNSCHEDULED",,,6022.3,6149.08,3
CPT,21812,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs ",,,1950.0,18507.0,106
CPT,21812,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs Other Surgical Services",,,2850.0,2850.0,4
CPT,21812,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs SCHEDULED",,,5629.18,5747.69,3
CPT,21812,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs UNSCHEDULED",,,6022.3,6149.08,3
CPT,21813,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs ",,,1950.0,9710.0,106
CPT,21813,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs Other Surgical Services",,,2850.0,2850.0,4
CPT,21813,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs SCHEDULED",,,5629.18,5747.69,3
CPT,21813,"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs UNSCHEDULED",,,6022.3,6149.08,3
CPT,21820,Closed treatment of sternum fracture ,,,1423.0,9710.0,106
CPT,21820,Closed treatment of sternum fracture Other Surgical Services,,,2850.0,2850.0,4
CPT,21820,Closed treatment of sternum fracture SCHEDULED,,,5629.18,5747.69,3
CPT,21820,Closed treatment of sternum fracture UNSCHEDULED,,,6022.3,6149.08,3
CPT,21825,Open treatment of sternum fracture with or without skeletal fixation ,,,1950.0,18507.0,78
CPT,21825,Open treatment of sternum fracture with or without skeletal fixation Other Surgical Services,,,2850.0,2850.0,4
CPT,21825,Open treatment of sternum fracture with or without skeletal fixation SCHEDULED,,,5629.18,5747.69,3
CPT,21825,Open treatment of sternum fracture with or without skeletal fixation UNSCHEDULED,,,6022.3,6149.08,3
CPT,21899,"Unlisted procedure, neck or thorax ",,,1423.0,9710.0,106
CPT,21899,"Unlisted procedure, neck or thorax Other Surgical Services",,,2850.0,2850.0,4
CPT,21899,"Unlisted procedure, neck or thorax SCHEDULED",,,5629.18,5747.69,3
CPT,21899,"Unlisted procedure, neck or thorax UNSCHEDULED",,,6022.3,6149.08,3
CPT,21920,"Biopsy, soft tissue of back or flank; superficial ",,,1950.0,9710.0,106
CPT,21920,"Biopsy, soft tissue of back or flank; superficial Other Surgical Services",,,2850.0,2850.0,4
CPT,21925,"Biopsy, soft tissue of back or flank; deep ",,,1950.0,9710.0,106
CPT,21925,"Biopsy, soft tissue of back or flank; deep Other Surgical Services",,,2850.0,2850.0,4
CPT,21930,"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm ",,,1950.0,9710.0,106
CPT,21930,"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,21931,"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater ",,,1950.0,9710.0,106
CPT,21931,"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,21932,"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm ",,,1950.0,14792.0,106
CPT,21932,"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,21933,"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater ",,,1950.0,14792.0,106
CPT,21933,"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,21935,"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm ",,,1950.0,14792.0,106
CPT,21935,"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,21936,"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater ",,,1950.0,14792.0,106
CPT,21936,"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,22010,"Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic ",,,1950.0,18507.0,78
CPT,22010,"Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic Other Surgical Services",,,2850.0,2850.0,4
CPT,22010,"Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic SCHEDULED",,,7286.42,7439.82,3
CPT,22010,"Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic UNSCHEDULED",,,9025.32,9215.33,3
CPT,22015,"Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral ",,,1950.0,18507.0,78
CPT,22015,"Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Other Surgical Services",,,2850.0,2850.0,4
CPT,22015,"Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral SCHEDULED",,,6169.39,6299.27,3
CPT,22015,"Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral UNSCHEDULED",,,9025.32,9215.33,3
CPT,22100,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical ",,,1950.0,18507.0,106
CPT,22100,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical Other Surgical Services",,,2850.0,2850.0,4
CPT,22100,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical SCHEDULED",,,1145.31,1169.42,3
CPT,22100,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical UNSCHEDULED",,,9025.32,9215.33,3
CPT,22101,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic ",,,1950.0,18507.0,106
CPT,22101,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic Other Surgical Services",,,2850.0,2850.0,4
CPT,22101,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic SCHEDULED",,,6169.39,6299.27,3
CPT,22101,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic UNSCHEDULED",,,9025.32,9215.33,3
CPT,22102,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar ",,,1950.0,18507.0,106
CPT,22102,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar Other Surgical Services",,,2850.0,2850.0,4
CPT,22102,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar SCHEDULED",,,6169.39,6299.27,3
CPT,22102,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar UNSCHEDULED",,,9025.32,9215.33,3
CPT,22103,"Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; each additional segment (List separately in addition to co",,,1423.0,9710.0,109
CPT,22110,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical ",,,1950.0,18507.0,78
CPT,22110,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical Other Surgical Services",,,2850.0,2850.0,4
CPT,22110,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical SCHEDULED",,,6169.39,6299.27,3
CPT,22110,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical UNSCHEDULED",,,9025.32,9215.33,3
CPT,22112,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic ",,,1950.0,18507.0,78
CPT,22112,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic Other Surgical Services",,,2850.0,2850.0,4
CPT,22112,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic SCHEDULED",,,6169.39,6299.27,3
CPT,22112,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic UNSCHEDULED",,,9025.32,9215.33,3
CPT,22114,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar ",,,1950.0,18507.0,78
CPT,22114,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar Other Surgical Services",,,2850.0,2850.0,4
CPT,22114,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar SCHEDULED",,,6169.39,6299.27,3
CPT,22114,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar UNSCHEDULED",,,9025.32,9215.33,3
CPT,22116,"Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; each additional vertebral segment (List separately in ad",,,1950.0,9710.0,81
CPT,22206,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic ",,,1950.0,18507.0,78
CPT,22206,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic Other Surgical Services",,,2850.0,2850.0,4
CPT,22206,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic SCHEDULED",,,6169.39,6299.27,3
CPT,22206,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic UNSCHEDULED",,,9025.32,9215.33,3
CPT,22207,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar ",,,1950.0,18507.0,78
CPT,22207,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar Other Surgical Services",,,2850.0,2850.0,4
CPT,22207,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar SCHEDULED",,,6169.39,6299.27,3
CPT,22207,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar UNSCHEDULED",,,9025.32,9215.33,3
CPT,22208,"Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); each additional vertebral segment (List separately in addition to cod",,,1950.0,9710.0,81
CPT,22210,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical ",,,1950.0,18507.0,78
CPT,22210,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical Other Surgical Services",,,2850.0,2850.0,4
CPT,22210,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical SCHEDULED",,,3503.97,3577.74,3
CPT,22210,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical UNSCHEDULED",,,9025.32,9215.33,3
CPT,22212,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic ",,,1950.0,18507.0,78
CPT,22212,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Other Surgical Services",,,2850.0,2850.0,4
CPT,22212,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic SCHEDULED",,,6169.39,6299.27,3
CPT,22212,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic UNSCHEDULED",,,9025.32,9215.33,3
CPT,22214,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar ",,,1950.0,18507.0,78
CPT,22214,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Other Surgical Services",,,2850.0,2850.0,4
CPT,22214,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar SCHEDULED",,,6546.27,6684.09,3
CPT,22214,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar UNSCHEDULED",,,9025.32,9215.33,3
CPT,22216,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (List separately in addition to primary procedure) ",,,1950.0,9710.0,71
CPT,22216,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (List separately in addition to primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,22216,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (List separately in addition to primary procedure) SCHEDULED",,,6543.13,6680.88,3
CPT,22216,"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (List separately in addition to primary procedure) UNSCHEDULED",,,9025.32,9215.33,3
CPT,22220,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical ",,,1950.0,18507.0,78
CPT,22220,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Other Surgical Services",,,2850.0,2850.0,4
CPT,22220,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical SCHEDULED",,,6169.39,6299.27,3
CPT,22220,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical UNSCHEDULED",,,9025.32,9215.33,3
CPT,22222,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic ",,,1950.0,18507.0,78
CPT,22222,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Other Surgical Services",,,2850.0,2850.0,4
CPT,22222,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic SCHEDULED",,,6169.39,6299.27,3
CPT,22222,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic UNSCHEDULED",,,9025.32,9215.33,3
CPT,22224,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar ",,,1950.0,18507.0,78
CPT,22224,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Other Surgical Services",,,2850.0,2850.0,4
CPT,22224,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar SCHEDULED",,,6169.39,6299.27,3
CPT,22224,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar UNSCHEDULED",,,9025.32,9215.33,3
CPT,22226,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,22226,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure) Other Surgical Serv",,,2850.0,2850.0,4
CPT,22226,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure) SCHEDULED",,,6169.39,6299.27,3
CPT,22226,"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure) UNSCHEDULED",,,9025.32,9215.33,3
CPT,22305,CLOSED TX SPINE PROCESS FX ,,,1423.0,3251.0,28
CPT,22305,CLOSED TX SPINE PROCESS FX SCHEDULED,,,6169.39,6299.27,3
CPT,22305,CLOSED TX SPINE PROCESS FX UNSCHEDULED,,,9025.32,9215.33,3
CPT,22310,"Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing ",,,1423.0,9710.0,106
CPT,22310,"Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing Other Surgical Services",,,2850.0,2850.0,4
CPT,22310,"Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing SCHEDULED",,,6169.39,6299.27,3
CPT,22310,"Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing UNSCHEDULED",,,9025.32,9215.33,3
CPT,22315,"Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction ",,,1950.0,18507.0,106
CPT,22315,"Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction Other Surgical Services",,,2850.0,2850.0,4
CPT,22315,"Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction SCHEDULED",,,6169.39,6299.27,3
CPT,22315,"Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction UNSCHEDULED",,,9025.32,9215.33,3
CPT,22318,"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting ",,,1950.0,18507.0,106
CPT,22318,"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting Other Surgical S",,,2850.0,2850.0,4
CPT,22318,"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting SCHEDULED",,,6169.39,6299.27,3
CPT,22318,"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting UNSCHEDULED",,,9025.32,9215.33,3
CPT,22319,"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting ",,,1950.0,18507.0,106
CPT,22319,"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting Other Surgical Serv",,,2850.0,2850.0,4
CPT,22319,"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting SCHEDULED",,,6169.39,6299.27,3
CPT,22319,"Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting UNSCHEDULED",,,9025.32,9215.33,3
CPT,22325,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar ",,,2350.0,18507.0,99
CPT,22325,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar Other Surgical Services",,,4150.0,4150.0,1
CPT,22325,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar SCHEDULED",,,6169.39,6299.27,3
CPT,22325,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar UNSCHEDULED",,,9025.32,9215.33,3
CPT,22326,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical ",,,2350.0,18507.0,99
CPT,22326,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical Other Surgical Services",,,4150.0,4150.0,1
CPT,22326,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical SCHEDULED",,,6169.39,6299.27,3
CPT,22326,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical UNSCHEDULED",,,9025.32,9215.33,3
CPT,22327,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic ",,,2350.0,18507.0,98
CPT,22327,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic High Cost Surgery",,,3950.0,3950.0,1
CPT,22327,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic Other Surgical Services",,,4150.0,4150.0,1
CPT,22327,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic SCHEDULED",,,8958.32,9146.92,3
CPT,22327,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic UNSCHEDULED",,,9025.32,9215.33,3
CPT,22328,"Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment",,,2143.0,9710.0,99
CPT,22505,"Manipulation of spine requiring anesthesia, any region ",,,2350.0,9710.0,98
CPT,22505,"Manipulation of spine requiring anesthesia, any region High Cost Surgery",,,3950.0,3950.0,1
CPT,22505,"Manipulation of spine requiring anesthesia, any region Other Surgical Services",,,4150.0,4150.0,1
CPT,22505,"Manipulation of spine requiring anesthesia, any region SCHEDULED",,,6169.39,6299.27,3
CPT,22505,"Manipulation of spine requiring anesthesia, any region UNSCHEDULED",,,9025.32,9215.33,3
CPT,22510,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic ",,,2350.0,22212.0,163
CPT,22510,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic High Cost Surgery",,,3950.0,3950.0,1
CPT,22510,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic Other Surgical Services",,,4150.0,4150.0,1
CPT,22510,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic SCHEDULED",,,6362.01,6495.94,3
CPT,22510,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic UNSCHEDULED",,,9025.32,9215.33,3
CPT,22511,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral ",,,2350.0,22212.0,163
CPT,22511,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral High Cost Surgery",,,3950.0,3950.0,1
CPT,22511,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral Other Surgical Services",,,4150.0,4150.0,1
CPT,22511,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral SCHEDULED",,,4617.87,4715.09,3
CPT,22511,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral UNSCHEDULED",,,9025.32,9215.33,3
CPT,22512,"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacra",,,1423.0,22212.0,164
CPT,22513,"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or b",,,2350.0,22212.0,171
CPT,22514,"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or b",,,2350.0,22212.0,171
CPT,22515,"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or b",,,1423.0,22212.0,99
CPT,22520,PERCUT VERTEBROPLASTY THOR SCHEDULED,,,6169.39,6299.27,3
CPT,22520,PERCUT VERTEBROPLASTY THOR UNSCHEDULED,,,9025.32,9215.33,3
CPT,22521,PERCUT VERTEBROPLASTY LUMB SCHEDULED,,,6169.39,6299.27,3
CPT,22521,PERCUT VERTEBROPLASTY LUMB UNSCHEDULED,,,9025.32,9215.33,3
CPT,22522,PERCUT VERTEBROPLASTY ADDL SCHEDULED,,,6169.39,6299.27,3
CPT,22522,PERCUT VERTEBROPLASTY ADDL UNSCHEDULED,,,9025.32,9215.33,3
CPT,22523,PERCUT KYPHOPLASTY THOR SCHEDULED,,,6169.39,6299.27,3
CPT,22523,PERCUT KYPHOPLASTY THOR UNSCHEDULED,,,9025.32,9215.33,3
CPT,22524,PERCUT KYPHOPLASTY LUMBAR SCHEDULED,,,6169.39,6299.27,3
CPT,22524,PERCUT KYPHOPLASTY LUMBAR UNSCHEDULED,,,9025.32,9215.33,3
CPT,22525,PERCUT KYPHOPLASTY ADD-ON SCHEDULED,,,6169.39,6299.27,3
CPT,22525,PERCUT KYPHOPLASTY ADD-ON UNSCHEDULED,,,9025.32,9215.33,3
CPT,22526,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level ",,,2350.0,10719.0,91
CPT,22526,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level High Cost Surgery",,,3950.0,3950.0,1
CPT,22526,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level Other Surgical Services",,,4150.0,4150.0,1
CPT,22526,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level SCHEDULED",,,5204.14,5313.7,3
CPT,22526,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level UNSCHEDULED",,,9025.32,9215.33,3
CPT,22527,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; 1 or more additional levels (List separately in addition to code for primary procedure) ",,,2350.0,10719.0,91
CPT,22527,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; 1 or more additional levels (List separately in addition to code for primary procedure) H",,,3950.0,3950.0,1
CPT,22527,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; 1 or more additional levels (List separately in addition to code for primary procedure) O",,,4150.0,4150.0,1
CPT,22527,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; 1 or more additional levels (List separately in addition to code for primary procedure) S",,,6397.6,6532.29,3
CPT,22527,"Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; 1 or more additional levels (List separately in addition to code for primary procedure) U",,,9025.32,9215.33,3
CPT,22532,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic ",,,2350.0,61438.0,76
CPT,22532,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic High Cost Surgery",,,3950.0,3950.0,1
CPT,22532,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic Other Surgical Services",,,4150.0,4150.0,1
CPT,22532,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic SCHEDULED",,,6169.39,6299.27,3
CPT,22532,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic UNSCHEDULED",,,9025.32,9215.33,3
CPT,22532,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic with cervical/without cervical",,,19500.0,19500.0,2
CPT,22533,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar ",,,2350.0,61438.0,76
CPT,22533,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar High Cost Surgery",,,3950.0,3950.0,1
CPT,22533,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar Other Surgical Services",,,4150.0,4150.0,1
CPT,22533,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar SCHEDULED",,,6169.39,6299.27,3
CPT,22533,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar UNSCHEDULED",,,9025.32,9215.33,3
CPT,22533,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar with cervical/without cervical",,,19500.0,19500.0,2
CPT,22534,"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (List separately ",,,2143.0,22212.0,73
CPT,22548,"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process ",,,2350.0,46807.0,86
CPT,22548,"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process Complex Surgery",,,11754.0,11754.0,22
CPT,22548,"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process High Cost Surgery",,,3950.0,3950.0,1
CPT,22548,"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process Other Surgical Services",,,4150.0,4150.0,1
CPT,22548,"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process SCHEDULED",,,6169.39,6299.27,3
CPT,22548,"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process UNSCHEDULED",,,9025.32,9215.33,3
CPT,22548,"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process with cervical/without cervical",,,19500.0,19500.0,2
CPT,22551,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 ",,,2350.0,46807.0,86
CPT,22551,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 High Cost Surgery",,,3950.0,3950.0,1
CPT,22551,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 Other Surgical Services",,,4150.0,4150.0,1
CPT,22551,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 SCHEDULED",,,4201.21,4289.66,3
CPT,22551,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 UNSCHEDULED",,,9025.32,9215.33,3
CPT,22551,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 with cervical/without cervical",,,19500.0,19500.0,2
CPT,22552,"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List ",,,2350.0,46807.0,89
CPT,22554,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 ",,,2350.0,46807.0,86
CPT,22554,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 Complex Surgery",,,11754.0,11754.0,22
CPT,22554,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 High Cost Surgery",,,3950.0,3950.0,1
CPT,22554,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 Other Surgical Services",,,4150.0,4150.0,1
CPT,22554,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 SCHEDULED",,,4200.16,4288.58,3
CPT,22554,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 UNSCHEDULED",,,9025.32,9215.33,3
CPT,22554,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 with cervical/without cervical",,,19500.0,19500.0,2
CPT,22556,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic ",,,2350.0,61438.0,76
CPT,22556,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic Complex Surgery",,,11754.0,11754.0,22
CPT,22556,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic High Cost Surgery",,,3950.0,3950.0,1
CPT,22556,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic Other Surgical Services",,,4150.0,4150.0,1
CPT,22556,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic SCHEDULED",,,6169.39,6299.27,3
CPT,22556,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic UNSCHEDULED",,,9025.32,9215.33,3
CPT,22556,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic with cervical/without cervical",,,19500.0,19500.0,2
CPT,22558,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar ",,,2350.0,61438.0,76
CPT,22558,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar Complex Surgery",,,11754.0,11754.0,22
CPT,22558,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar High Cost Surgery",,,3950.0,3950.0,1
CPT,22558,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar Other Surgical Services",,,4150.0,4150.0,1
CPT,22558,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar SCHEDULED",,,8345.88,8521.59,3
CPT,22558,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar UNSCHEDULED",,,9025.32,9215.33,3
CPT,22558,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar with cervical/without cervical",,,19500.0,19500.0,2
CPT,22585,"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primar",,,2350.0,22212.0,101
CPT,22586,"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace ",,,2350.0,61438.0,76
CPT,22586,"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace Com",,,11754.0,11754.0,22
CPT,22586,"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace Hig",,,3950.0,3950.0,1
CPT,22586,"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace Oth",,,4150.0,4150.0,1
CPT,22586,"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace SCH",,,6169.39,6299.27,3
CPT,22586,"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace UNS",,,9025.32,9215.33,3
CPT,22586,"Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace wit",,,19500.0,19500.0,2
CPT,22590,"Arthrodesis, posterior technique, craniocervical (occiput-C2) ",,,2350.0,46807.0,76
CPT,22590,"Arthrodesis, posterior technique, craniocervical (occiput-C2) Complex Surgery",,,11754.0,11754.0,22
CPT,22590,"Arthrodesis, posterior technique, craniocervical (occiput-C2) High Cost Surgery",,,3950.0,3950.0,1
CPT,22590,"Arthrodesis, posterior technique, craniocervical (occiput-C2) Other Surgical Services",,,4150.0,4150.0,1
CPT,22590,"Arthrodesis, posterior technique, craniocervical (occiput-C2) SCHEDULED",,,6169.39,6299.27,3
CPT,22590,"Arthrodesis, posterior technique, craniocervical (occiput-C2) UNSCHEDULED",,,9025.32,9215.33,3
CPT,22590,"Arthrodesis, posterior technique, craniocervical (occiput-C2) with cervical/without cervical",,,19500.0,19500.0,1
CPT,22595,"Arthrodesis, posterior technique, atlas-axis (C1-C2) ",,,2350.0,46807.0,76
CPT,22595,"Arthrodesis, posterior technique, atlas-axis (C1-C2) Complex Surgery",,,11754.0,11754.0,22
CPT,22595,"Arthrodesis, posterior technique, atlas-axis (C1-C2) High Cost Surgery",,,3950.0,3950.0,1
CPT,22595,"Arthrodesis, posterior technique, atlas-axis (C1-C2) Other Surgical Services",,,4150.0,4150.0,1
CPT,22595,"Arthrodesis, posterior technique, atlas-axis (C1-C2) SCHEDULED",,,6169.39,6299.27,3
CPT,22595,"Arthrodesis, posterior technique, atlas-axis (C1-C2) UNSCHEDULED",,,9025.32,9215.33,3
CPT,22595,"Arthrodesis, posterior technique, atlas-axis (C1-C2) with cervical/without cervical",,,19500.0,19500.0,1
CPT,22600,"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment ",,,2350.0,46807.0,76
CPT,22600,"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Complex Surgery",,,11754.0,11754.0,22
CPT,22600,"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment High Cost Surgery",,,3950.0,3950.0,1
CPT,22600,"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Other Surgical Services",,,4150.0,4150.0,1
CPT,22600,"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment SCHEDULED",,,2995.18,3058.24,3
CPT,22600,"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment UNSCHEDULED",,,9025.32,9215.33,3
CPT,22600,"Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment with cervical/without cervical",,,19500.0,19500.0,1
CPT,22610,"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed) ",,,2350.0,61438.0,76
CPT,22610,"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed) Complex Surgery",,,11754.0,11754.0,22
CPT,22610,"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed) High Cost Surgery",,,3950.0,3950.0,1
CPT,22610,"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed) Other Surgical Services",,,4150.0,4150.0,1
CPT,22610,"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed) SCHEDULED",,,6169.39,6299.27,3
CPT,22610,"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed) UNSCHEDULED",,,9025.32,9215.33,3
CPT,22610,"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed) with cervical/without cervical",,,19500.0,19500.0,2
CPT,22612,"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) ",,,2350.0,61438.0,86
CPT,22612,"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) High Cost Surgery",,,3950.0,3950.0,1
CPT,22612,"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) Other Surgical Services",,,4150.0,4150.0,1
CPT,22612,"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) SCHEDULED",,,7135.67,7285.89,3
CPT,22612,"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) UNSCHEDULED",,,9025.32,9215.33,3
CPT,22612,"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) with cervical/without cervical",,,19500.0,19500.0,2
CPT,22614,"Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure) ",,,1423.0,22212.0,91
CPT,22614,"Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,22614,"Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,22614,"Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure) SCHEDULED",,,3145.93,3212.16,3
CPT,22614,"Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure) UNSCHEDULED",,,9025.32,9215.33,3
CPT,22614,"Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure) with cervical/without cervical",,,19500.0,19500.0,2
CPT,22630,"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; ",,,2350.0,61438.0,76
CPT,22630,"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; High Cost Surgery",,,3950.0,3950.0,1
CPT,22630,"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; Other Surgical Services",,,4150.0,4150.0,1
CPT,22630,"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; SCHEDULED",,,5605.1,5723.11,3
CPT,22630,"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; UNSCHEDULED",,,9025.32,9215.33,3
CPT,22630,"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; with cervical/without cervical",,,19500.0,19500.0,2
CPT,22632,"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace (List se",,,2143.0,22212.0,73
CPT,22633,"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), ",,,2350.0,92156.0,86
CPT,22634,"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), ",,,2143.0,92156.0,81
CPT,22800,"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments ",,,2350.0,112636.0,76
CPT,22800,"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments High Cost Surgery",,,3950.0,3950.0,1
CPT,22800,"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Other Surgical Services",,,4150.0,4150.0,1
CPT,22800,"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments SCHEDULED",,,3623.32,3699.6,3
CPT,22800,"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments UNSCHEDULED",,,9025.32,9215.33,3
CPT,22800,"Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments anterior & Posterior combined/extensive",,,33750.0,33750.0,2
CPT,22802,"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments ",,,2350.0,112636.0,76
CPT,22802,"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments High Cost Surgery",,,3950.0,3950.0,1
CPT,22802,"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Other Surgical Services",,,4150.0,4150.0,1
CPT,22802,"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments SCHEDULED",,,6169.39,6299.27,3
CPT,22802,"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments UNSCHEDULED",,,9025.32,9215.33,3
CPT,22802,"Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments anterior & Posterior combined/extensive",,,33750.0,33750.0,2
CPT,22804,"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments ",,,2350.0,112636.0,76
CPT,22804,"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments High Cost Surgery",,,3950.0,3950.0,1
CPT,22804,"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Other Surgical Services",,,4150.0,4150.0,1
CPT,22804,"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments SCHEDULED",,,6169.39,6299.27,3
CPT,22804,"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments UNSCHEDULED",,,9025.32,9215.33,3
CPT,22804,"Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments anterior & Posterior combined/extensive",,,33750.0,33750.0,2
CPT,22808,"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments ",,,2350.0,112636.0,76
CPT,22808,"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments High Cost Surgery",,,3950.0,3950.0,1
CPT,22808,"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Other Surgical Services",,,4150.0,4150.0,1
CPT,22808,"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments SCHEDULED",,,6169.39,6299.27,3
CPT,22808,"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments UNSCHEDULED",,,9025.32,9215.33,3
CPT,22808,"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments anterior & Posterior combined/extensive",,,33750.0,33750.0,2
CPT,22810,"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments ",,,2350.0,112636.0,76
CPT,22810,"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments High Cost Surgery",,,3950.0,3950.0,1
CPT,22810,"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Other Surgical Services",,,4150.0,4150.0,1
CPT,22810,"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments SCHEDULED",,,6169.39,6299.27,3
CPT,22810,"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments UNSCHEDULED",,,9025.32,9215.33,3
CPT,22810,"Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments anterior & Posterior combined/extensive",,,33750.0,33750.0,2
CPT,22812,"Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments ",,,2350.0,112636.0,76
CPT,22812,"Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments High Cost Surgery",,,3950.0,3950.0,1
CPT,22812,"Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Other Surgical Services",,,4150.0,4150.0,1
CPT,22812,"Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments SCHEDULED",,,6169.39,6299.27,3
CPT,22812,"Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments UNSCHEDULED",,,9025.32,9215.33,3
CPT,22812,"Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments anterior & Posterior combined/extensive",,,33750.0,33750.0,2
CPT,22818,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments ",,,2350.0,19295.0,70
CPT,22818,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments High Cost Surgery",,,3950.0,3950.0,1
CPT,22818,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments Other Surgical Services",,,4150.0,4150.0,1
CPT,22818,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments SCHEDULED",,,6169.39,6299.27,3
CPT,22818,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments UNSCHEDULED",,,9025.32,9215.33,3
CPT,22819,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments ",,,2350.0,19295.0,70
CPT,22819,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments High Cost Surgery",,,3950.0,3950.0,1
CPT,22819,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments Other Surgical Services",,,4150.0,4150.0,1
CPT,22819,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments SCHEDULED",,,6169.39,6299.27,3
CPT,22819,"Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments UNSCHEDULED",,,9025.32,9215.33,3
CPT,22830,Exploration of spinal fusion ,,,2350.0,22212.0,70
CPT,22830,Exploration of spinal fusion High Cost Surgery,,,3950.0,3950.0,1
CPT,22830,Exploration of spinal fusion Other Surgical Services,,,4150.0,4150.0,1
CPT,22830,Exploration of spinal fusion SCHEDULED,,,2265.49,2313.19,3
CPT,22830,Exploration of spinal fusion UNSCHEDULED,,,9025.32,9215.33,3
CPT,22836,"Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; up to 7 vertebral segments ",,,2350.0,19295.0,70
CPT,22836,"Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; up to 7 vertebral segments High Cost Surgery",,,3950.0,3950.0,1
CPT,22836,"Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; up to 7 vertebral segments Other Surgical Services",,,4150.0,4150.0,1
CPT,22836,"Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; up to 7 vertebral segments UNSCHEDULED",,,9025.32,9215.33,3
CPT,22837,"Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; 8 or more vertebral segments ",,,2350.0,19295.0,70
CPT,22837,"Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; 8 or more vertebral segments High Cost Surgery",,,3950.0,3950.0,1
CPT,22837,"Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; 8 or more vertebral segments Other Surgical Services",,,4150.0,4150.0,1
CPT,22837,"Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; 8 or more vertebral segments UNSCHEDULED",,,9025.32,9215.33,3
CPT,22838,"Revision (eg, augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering, including thoracoscopy, when performed ",,,2350.0,19295.0,70
CPT,22838,"Revision (eg, augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering, including thoracoscopy, when performed High Cost Surgery",,,3950.0,3950.0,1
CPT,22838,"Revision (eg, augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering, including thoracoscopy, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,22838,"Revision (eg, augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering, including thoracoscopy, when performed UNSCHEDULED",,,9025.32,9215.33,3
CPT,22840,"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) ",,,2143.0,22212.0,71
CPT,22841,Internal spinal fixation by wiring of spinous processes (List separately in addition to code for primary procedure) ,,,2350.0,22924.0,128
CPT,22841,Internal spinal fixation by wiring of spinous processes (List separately in addition to code for primary procedure) Complex Surgery,,,11754.0,11754.0,22
CPT,22841,Internal spinal fixation by wiring of spinous processes (List separately in addition to code for primary procedure) High Cost Surgery,,,3950.0,3950.0,1
CPT,22841,Internal spinal fixation by wiring of spinous processes (List separately in addition to code for primary procedure) Other Surgical Services,,,4150.0,4150.0,1
CPT,22841,Internal spinal fixation by wiring of spinous processes (List separately in addition to code for primary procedure) SCHEDULED,,,6169.39,6299.27,3
CPT,22841,Internal spinal fixation by wiring of spinous processes (List separately in addition to code for primary procedure) UNSCHEDULED,,,9025.32,9215.33,3
CPT,22842,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure) ",,,2350.0,22924.0,128
CPT,22842,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure) Co",,,11754.0,11754.0,22
CPT,22842,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure) Hi",,,3950.0,3950.0,1
CPT,22842,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure) Ot",,,4150.0,4150.0,1
CPT,22842,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure) SC",,,6546.27,6684.09,3
CPT,22842,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure) UN",,,9025.32,9215.33,3
CPT,22843,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure) ",,,2350.0,22924.0,128
CPT,22843,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure) C",,,11754.0,11754.0,22
CPT,22843,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure) H",,,3950.0,3950.0,1
CPT,22843,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure) O",,,4150.0,4150.0,1
CPT,22843,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure) S",,,6169.39,6299.27,3
CPT,22843,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure) U",,,9025.32,9215.33,3
CPT,22844,"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments (List separately in addition to code for primary procedure",,,2350.0,22924.0,158
CPT,22845,Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure) ,,,2350.0,22924.0,156
CPT,22845,Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure) Complex Surgery,,,11754.0,11754.0,22
CPT,22845,Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure) High Cost Surgery,,,3950.0,3950.0,1
CPT,22845,Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure) Other Surgical Services,,,4150.0,4150.0,1
CPT,22845,Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure) SCHEDULED,,,3009.84,3073.2,3
CPT,22845,Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure) UNSCHEDULED,,,9025.32,9215.33,3
CPT,22846,Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure) ,,,2350.0,22924.0,156
CPT,22846,Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure) Complex Surgery,,,11754.0,11754.0,22
CPT,22846,Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure) High Cost Surgery,,,3950.0,3950.0,1
CPT,22846,Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure) Other Surgical Services,,,4150.0,4150.0,1
CPT,22846,Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure) SCHEDULED,,,3082.08,3146.96,3
CPT,22846,Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure) UNSCHEDULED,,,9025.32,9215.33,3
CPT,22847,Anterior instrumentation; 8 or more vertebral segments (List separately in addition to code for primary procedure) ,,,2350.0,22924.0,156
CPT,22847,Anterior instrumentation; 8 or more vertebral segments (List separately in addition to code for primary procedure) Complex Surgery,,,11754.0,11754.0,22
CPT,22847,Anterior instrumentation; 8 or more vertebral segments (List separately in addition to code for primary procedure) High Cost Surgery,,,3950.0,3950.0,1
CPT,22847,Anterior instrumentation; 8 or more vertebral segments (List separately in addition to code for primary procedure) Other Surgical Services,,,4150.0,4150.0,1
CPT,22847,Anterior instrumentation; 8 or more vertebral segments (List separately in addition to code for primary procedure) SCHEDULED,,,6169.39,6299.27,3
CPT,22847,Anterior instrumentation; 8 or more vertebral segments (List separately in addition to code for primary procedure) UNSCHEDULED,,,9025.32,9215.33,3
CPT,22848,Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure) ,,,2350.0,22924.0,128
CPT,22848,Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure) Complex Surgery,,,11754.0,11754.0,22
CPT,22848,Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure) High Cost Surgery,,,3950.0,3950.0,1
CPT,22848,Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure) Other Surgical Services,,,4150.0,4150.0,1
CPT,22848,Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure) SCHEDULED,,,6169.39,6299.27,3
CPT,22848,Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure) UNSCHEDULED,,,9025.32,9215.33,3
CPT,22849,Reinsertion of spinal fixation device ,,,2350.0,22924.0,135
CPT,22849,Reinsertion of spinal fixation device Complex Surgery,,,11754.0,11754.0,22
CPT,22849,Reinsertion of spinal fixation device High Cost Surgery,,,3950.0,3950.0,1
CPT,22849,Reinsertion of spinal fixation device Other Surgical Services,,,4150.0,4150.0,1
CPT,22849,Reinsertion of spinal fixation device SCHEDULED,,,15693.03,16023.41,3
CPT,22849,Reinsertion of spinal fixation device UNSCHEDULED,,,9025.32,9215.33,3
CPT,22850,"Removal of posterior nonsegmental instrumentation (eg, Harrington rod) ",,,2350.0,18507.0,70
CPT,22850,"Removal of posterior nonsegmental instrumentation (eg, Harrington rod) High Cost Surgery",,,3950.0,3950.0,1
CPT,22850,"Removal of posterior nonsegmental instrumentation (eg, Harrington rod) Other Surgical Services",,,4150.0,4150.0,1
CPT,22850,"Removal of posterior nonsegmental instrumentation (eg, Harrington rod) SCHEDULED",,,15350.7,15673.87,3
CPT,22850,"Removal of posterior nonsegmental instrumentation (eg, Harrington rod) UNSCHEDULED",,,9025.32,9215.33,3
CPT,22851,APPLY SPINE PROSTH DEVICE ,,,1423.0,3251.0,28
CPT,22851,APPLY SPINE PROSTH DEVICE SCHEDULED,,,6169.39,6299.27,3
CPT,22851,APPLY SPINE PROSTH DEVICE UNSCHEDULED,,,9025.32,9215.33,3
CPT,22852,Removal of posterior segmental instrumentation ,,,2350.0,18507.0,70
CPT,22852,Removal of posterior segmental instrumentation High Cost Surgery,,,3950.0,3950.0,1
CPT,22852,Removal of posterior segmental instrumentation Other Surgical Services,,,4150.0,4150.0,1
CPT,22852,Removal of posterior segmental instrumentation SCHEDULED,,,9404.31,9602.29,3
CPT,22852,Removal of posterior segmental instrumentation UNSCHEDULED,,,9025.32,9215.33,3
CPT,22853,"Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc spac",,,1423.0,9710.0,99
CPT,22854,"Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to vertebral corpectom",,,1423.0,9710.0,99
CPT,22855,Removal of anterior instrumentation ,,,2350.0,18507.0,70
CPT,22855,Removal of anterior instrumentation High Cost Surgery,,,3950.0,3950.0,1
CPT,22855,Removal of anterior instrumentation Other Surgical Services,,,4150.0,4150.0,1
CPT,22855,Removal of anterior instrumentation SCHEDULED,,,6293.96,6426.46,3
CPT,22855,Removal of anterior instrumentation UNSCHEDULED,,,9025.32,9215.33,3
CPT,22856,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection)",,,2350.0,22212.0,106
CPT,22857,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar ",,,2350.0,22924.0,70
CPT,22857,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar High Cost Surgery",,,3950.0,3950.0,1
CPT,22857,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar Other Surgical Services",,,4150.0,4150.0,1
CPT,22857,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar SCHEDULED",,,26016.51,26564.23,3
CPT,22857,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar UNSCHEDULED",,,9025.32,9215.33,3
CPT,22858,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection)",,,2143.0,22212.0,71
CPT,22859,"Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh, methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arthrodesis, each contiguous ",,,1423.0,9710.0,99
CPT,22860,"Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (List separately in addition to code ",,,2143.0,9710.0,71
CPT,22861,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical ",,,2350.0,22212.0,70
CPT,22861,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical High Cost Surgery",,,3950.0,3950.0,1
CPT,22861,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Other Surgical Services",,,4150.0,4150.0,1
CPT,22861,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical SCHEDULED",,,10367.45,10585.72,3
CPT,22861,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical UNSCHEDULED",,,9025.32,9215.33,3
CPT,22862,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar ",,,2350.0,22212.0,70
CPT,22862,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar High Cost Surgery",,,3950.0,3950.0,1
CPT,22862,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar Other Surgical Services",,,4150.0,4150.0,1
CPT,22862,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar SCHEDULED",,,6169.39,6299.27,3
CPT,22862,"Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar UNSCHEDULED",,,9025.32,9215.33,3
CPT,22864,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical ",,,2350.0,22212.0,70
CPT,22864,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical High Cost Surgery",,,3950.0,3950.0,1
CPT,22864,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Other Surgical Services",,,4150.0,4150.0,1
CPT,22864,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical SCHEDULED",,,1646.78,1681.45,3
CPT,22864,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical UNSCHEDULED",,,9025.32,9215.33,3
CPT,22865,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar ",,,2350.0,22212.0,70
CPT,22865,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar High Cost Surgery",,,3950.0,3950.0,1
CPT,22865,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar Other Surgical Services",,,4150.0,4150.0,1
CPT,22865,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar SCHEDULED",,,6169.39,6299.27,3
CPT,22865,"Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar UNSCHEDULED",,,9025.32,9215.33,3
CPT,22867,"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level ",,,2350.0,22212.0,98
CPT,22867,"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level High Cost Surger",,,3950.0,3950.0,1
CPT,22867,"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level Other Surgical S",,,4150.0,4150.0,1
CPT,22867,"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level SCHEDULED",,,18016.1,18395.39,3
CPT,22867,"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level UNSCHEDULED",,,9025.32,9215.33,3
CPT,22868,"Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately",,,1423.0,22212.0,99
CPT,22869,"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level ",,,2350.0,22212.0,98
CPT,22869,"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level High Cost Surgery",,,3950.0,3950.0,1
CPT,22869,"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level Other Surgical Serv",,,4150.0,4150.0,1
CPT,22869,"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level SCHEDULED",,,6169.39,6299.27,3
CPT,22869,"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level UNSCHEDULED",,,9025.32,9215.33,3
CPT,22870,"Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; second level (List separately in",,,1423.0,22212.0,99
CPT,22899,"Unlisted procedure, spine ",,,1844.0,22212.0,98
CPT,22899,"Unlisted procedure, spine High Cost Surgery",,,3950.0,3950.0,1
CPT,22899,"Unlisted procedure, spine Other Surgical Services",,,4150.0,4150.0,1
CPT,22899,"Unlisted procedure, spine SCHEDULED",,,12665.4,12932.04,3
CPT,22899,"Unlisted procedure, spine UNSCHEDULED",,,9025.32,9215.33,3
CPT,22900,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm ",,,1950.0,14792.0,106
CPT,22900,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,22900,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm SCHEDULED",,,8671.48,8854.03,3
CPT,22901,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater ",,,1950.0,14792.0,106
CPT,22901,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,22901,"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater SCHEDULED",,,6460.42,6596.43,3
CPT,22902,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm ",,,1950.0,9710.0,106
CPT,22902,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,22902,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm SCHEDULED",,,7565.94,7725.23,3
CPT,22903,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater ",,,1950.0,14792.0,106
CPT,22903,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,22903,"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater SCHEDULED",,,10088.97,10301.37,3
CPT,22904,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm ",,,1950.0,14792.0,106
CPT,22904,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,22904,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm SCHEDULED",,,7565.94,7725.23,3
CPT,22905,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater ",,,1950.0,14792.0,106
CPT,22905,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,22905,"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater SCHEDULED",,,7565.94,7725.23,3
CPT,22999,"Unlisted procedure, abdomen, musculoskeletal system ",,,1844.0,9710.0,106
CPT,22999,"Unlisted procedure, abdomen, musculoskeletal system Other Surgical Services",,,2850.0,2850.0,4
CPT,22999,"Unlisted procedure, abdomen, musculoskeletal system SCHEDULED",,,4743.5,4843.37,3
CPT,23000,"Removal of subdeltoid calcareous deposits, open ",,,1950.0,14792.0,106
CPT,23000,"Removal of subdeltoid calcareous deposits, open Other Surgical Services",,,2850.0,2850.0,4
CPT,23000,"Removal of subdeltoid calcareous deposits, open SCHEDULED",,,7576.41,7735.91,3
CPT,23000,"Removal of subdeltoid calcareous deposits, open UNSCHEDULED",,,986.18,1006.94,3
CPT,23020,"Capsular contracture release (eg, Sever type procedure) ",,,1950.0,18507.0,106
CPT,23020,"Capsular contracture release (eg, Sever type procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,23020,"Capsular contracture release (eg, Sever type procedure) SCHEDULED",,,9915.19,10123.93,3
CPT,23020,"Capsular contracture release (eg, Sever type procedure) UNSCHEDULED",,,986.18,1006.94,3
CPT,23030,"Incision and drainage, shoulder area; deep abscess or hematoma ",,,1950.0,14792.0,106
CPT,23030,"Incision and drainage, shoulder area; deep abscess or hematoma Other Surgical Services",,,2850.0,2850.0,4
CPT,23030,"Incision and drainage, shoulder area; deep abscess or hematoma SCHEDULED",,,8858.86,9045.37,3
CPT,23030,"Incision and drainage, shoulder area; deep abscess or hematoma UNSCHEDULED",,,521.36,532.34,3
CPT,23031,"Incision and drainage, shoulder area; infected bursa ",,,1950.0,14792.0,106
CPT,23031,"Incision and drainage, shoulder area; infected bursa Other Surgical Services",,,2850.0,2850.0,4
CPT,23031,"Incision and drainage, shoulder area; infected bursa SCHEDULED",,,7780.56,7944.36,3
CPT,23031,"Incision and drainage, shoulder area; infected bursa UNSCHEDULED",,,986.18,1006.94,3
CPT,23035,"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area ",,,1950.0,9710.0,106
CPT,23035,"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Other Surgical Services",,,2850.0,2850.0,4
CPT,23035,"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area SCHEDULED",,,7780.56,7944.36,3
CPT,23035,"Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area UNSCHEDULED",,,986.18,1006.94,3
CPT,23040,"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body ",,,1950.0,18507.0,106
CPT,23040,"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,23040,"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body SCHEDULED",,,7780.56,7944.36,3
CPT,23040,"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body UNSCHEDULED",,,986.18,1006.94,3
CPT,23044,"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body ",,,1950.0,18507.0,106
CPT,23044,"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,23044,"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body SCHEDULED",,,7780.56,7944.36,3
CPT,23044,"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body UNSCHEDULED",,,986.18,1006.94,3
CPT,23065,"Biopsy, soft tissue of shoulder area; superficial ",,,1950.0,9710.0,106
CPT,23065,"Biopsy, soft tissue of shoulder area; superficial Other Surgical Services",,,2850.0,2850.0,4
CPT,23065,"Biopsy, soft tissue of shoulder area; superficial SCHEDULED",,,5392.58,5506.11,3
CPT,23065,"Biopsy, soft tissue of shoulder area; superficial UNSCHEDULED",,,986.18,1006.94,3
CPT,23066,"Biopsy, soft tissue of shoulder area; deep ",,,1950.0,14792.0,106
CPT,23066,"Biopsy, soft tissue of shoulder area; deep Other Surgical Services",,,2850.0,2850.0,4
CPT,23066,"Biopsy, soft tissue of shoulder area; deep SCHEDULED",,,7780.56,7944.36,3
CPT,23066,"Biopsy, soft tissue of shoulder area; deep UNSCHEDULED",,,986.18,1006.94,3
CPT,23071,"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater ",,,1950.0,9710.0,106
CPT,23071,"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,23071,"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater SCHEDULED",,,3101.97,3167.27,3
CPT,23071,"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater UNSCHEDULED",,,986.18,1006.94,3
CPT,23073,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater ",,,1950.0,14792.0,106
CPT,23073,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,23073,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater SCHEDULED",,,7780.56,7944.36,3
CPT,23073,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater UNSCHEDULED",,,986.18,1006.94,3
CPT,23075,"Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm ",,,1950.0,9710.0,106
CPT,23075,"Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,23075,"Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm SCHEDULED",,,7780.56,7944.36,3
CPT,23075,"Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm UNSCHEDULED",,,986.18,1006.94,3
CPT,23076,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm ",,,1950.0,14792.0,106
CPT,23076,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,23076,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm SCHEDULED",,,5654.3,5773.34,3
CPT,23076,"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm UNSCHEDULED",,,986.18,1006.94,3
CPT,23077,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm ",,,1950.0,14792.0,106
CPT,23077,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,23077,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm SCHEDULED",,,7780.56,7944.36,3
CPT,23077,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm UNSCHEDULED",,,986.18,1006.94,3
CPT,23078,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater ",,,1950.0,14792.0,106
CPT,23078,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,23078,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater SCHEDULED",,,7780.56,7944.36,3
CPT,23078,"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater UNSCHEDULED",,,986.18,1006.94,3
CPT,23100,"Arthrotomy, glenohumeral joint, including biopsy ",,,1950.0,18507.0,106
CPT,23100,"Arthrotomy, glenohumeral joint, including biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,23100,"Arthrotomy, glenohumeral joint, including biopsy SCHEDULED",,,7780.56,7944.36,3
CPT,23100,"Arthrotomy, glenohumeral joint, including biopsy UNSCHEDULED",,,986.18,1006.94,3
CPT,23101,"Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage ",,,1950.0,18507.0,106
CPT,23101,"Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage Other Surgical Services",,,2850.0,2850.0,4
CPT,23101,"Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage SCHEDULED",,,7780.56,7944.36,3
CPT,23101,"Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage UNSCHEDULED",,,986.18,1006.94,3
CPT,23105,"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy ",,,1950.0,18507.0,106
CPT,23105,"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,23105,"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy SCHEDULED",,,13862.0,14153.83,3
CPT,23105,"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy UNSCHEDULED",,,986.18,1006.94,3
CPT,23106,"Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy ",,,1950.0,18507.0,106
CPT,23106,"Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,23106,"Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy SCHEDULED",,,9920.42,10129.27,3
CPT,23106,"Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy UNSCHEDULED",,,986.18,1006.94,3
CPT,23107,"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body ",,,1950.0,18507.0,106
CPT,23107,"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,23107,"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body SCHEDULED",,,7780.56,7944.36,3
CPT,23107,"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body UNSCHEDULED",,,986.18,1006.94,3
CPT,23120,Claviculectomy; partial ,,,1950.0,18507.0,106
CPT,23120,Claviculectomy; partial Other Surgical Services,,,2850.0,2850.0,4
CPT,23120,Claviculectomy; partial SCHEDULED,,,3542.71,3617.29,3
CPT,23120,Claviculectomy; partial UNSCHEDULED,,,986.18,1006.94,3
CPT,23125,Claviculectomy; total ,,,1950.0,18507.0,106
CPT,23125,Claviculectomy; total Other Surgical Services,,,2850.0,2850.0,4
CPT,23125,Claviculectomy; total SCHEDULED,,,5025.12,5130.91,3
CPT,23125,Claviculectomy; total UNSCHEDULED,,,375.84,383.75,3
CPT,23130,"Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release ",,,1950.0,18507.0,106
CPT,23130,"Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Other Surgical Services",,,2850.0,2850.0,4
CPT,23130,"Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release SCHEDULED",,,3613.89,3689.98,3
CPT,23130,"Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release UNSCHEDULED",,,986.18,1006.94,3
CPT,23140,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; ,,,1950.0,18507.0,106
CPT,23140,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; Other Surgical Services,,,2850.0,2850.0,4
CPT,23140,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; SCHEDULED,,,2456.03,2507.73,3
CPT,23140,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; UNSCHEDULED,,,986.18,1006.94,3
CPT,23145,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft) ,,,1950.0,18507.0,106
CPT,23145,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,23145,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft) SCHEDULED,,,7780.56,7944.36,3
CPT,23145,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft) UNSCHEDULED,,,986.18,1006.94,3
CPT,23146,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft ,,,1950.0,18507.0,106
CPT,23146,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Other Surgical Services,,,2850.0,2850.0,4
CPT,23146,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft SCHEDULED,,,7780.56,7944.36,3
CPT,23146,Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft UNSCHEDULED,,,986.18,1006.94,3
CPT,23150,Excision or curettage of bone cyst or benign tumor of proximal humerus; ,,,1950.0,18507.0,106
CPT,23150,Excision or curettage of bone cyst or benign tumor of proximal humerus; Other Surgical Services,,,2850.0,2850.0,4
CPT,23150,Excision or curettage of bone cyst or benign tumor of proximal humerus; SCHEDULED,,,2395.31,2445.74,3
CPT,23150,Excision or curettage of bone cyst or benign tumor of proximal humerus; UNSCHEDULED,,,986.18,1006.94,3
CPT,23155,Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) ,,,1950.0,18507.0,106
CPT,23155,Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,23155,Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) SCHEDULED,,,7780.56,7944.36,3
CPT,23155,Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) UNSCHEDULED,,,986.18,1006.94,3
CPT,23156,Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft ,,,1950.0,18507.0,106
CPT,23156,Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Other Surgical Services,,,2850.0,2850.0,4
CPT,23156,Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft SCHEDULED,,,6323.28,6456.4,3
CPT,23156,Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft UNSCHEDULED,,,986.18,1006.94,3
CPT,23170,"Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle ",,,1950.0,18507.0,106
CPT,23170,"Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Other Surgical Services",,,2850.0,2850.0,4
CPT,23170,"Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle SCHEDULED",,,7780.56,7944.36,3
CPT,23170,"Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle UNSCHEDULED",,,986.18,1006.94,3
CPT,23172,"Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula ",,,1950.0,18507.0,106
CPT,23172,"Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Other Surgical Services",,,2850.0,2850.0,4
CPT,23172,"Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula SCHEDULED",,,7780.56,7944.36,3
CPT,23172,"Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula UNSCHEDULED",,,986.18,1006.94,3
CPT,23174,"Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck ",,,1950.0,18507.0,106
CPT,23174,"Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck Other Surgical Services",,,2850.0,2850.0,4
CPT,23174,"Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck SCHEDULED",,,7780.56,7944.36,3
CPT,23174,"Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck UNSCHEDULED",,,986.18,1006.94,3
CPT,23180,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle ",,,1950.0,18507.0,106
CPT,23180,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle Other Surgical Services",,,2850.0,2850.0,4
CPT,23180,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle SCHEDULED",,,7780.56,7944.36,3
CPT,23180,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle UNSCHEDULED",,,986.18,1006.94,3
CPT,23182,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula ",,,1950.0,18507.0,106
CPT,23182,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Other Surgical Services",,,2850.0,2850.0,4
CPT,23182,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula SCHEDULED",,,7780.56,7944.36,3
CPT,23182,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula UNSCHEDULED",,,986.18,1006.94,3
CPT,23184,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus ",,,1950.0,18507.0,106
CPT,23184,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Other Surgical Services",,,2850.0,2850.0,4
CPT,23184,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus SCHEDULED",,,7780.56,7944.36,3
CPT,23184,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus UNSCHEDULED",,,986.18,1006.94,3
CPT,23190,"Ostectomy of scapula, partial (eg, superior medial angle) ",,,1950.0,18507.0,106
CPT,23190,"Ostectomy of scapula, partial (eg, superior medial angle) Other Surgical Services",,,2850.0,2850.0,4
CPT,23190,"Ostectomy of scapula, partial (eg, superior medial angle) SCHEDULED",,,7780.56,7944.36,3
CPT,23190,"Ostectomy of scapula, partial (eg, superior medial angle) UNSCHEDULED",,,986.18,1006.94,3
CPT,23195,"Resection, humeral head ",,,1950.0,18507.0,106
CPT,23195,"Resection, humeral head Other Surgical Services",,,2850.0,2850.0,4
CPT,23195,"Resection, humeral head SCHEDULED",,,7780.56,7944.36,3
CPT,23195,"Resection, humeral head UNSCHEDULED",,,986.18,1006.94,3
CPT,23200,Radical resection of tumor; clavicle ,,,1950.0,18507.0,78
CPT,23200,Radical resection of tumor; clavicle Other Surgical Services,,,2850.0,2850.0,4
CPT,23200,Radical resection of tumor; clavicle SCHEDULED,,,7545.0,7703.85,3
CPT,23200,Radical resection of tumor; clavicle UNSCHEDULED,,,986.18,1006.94,3
CPT,23210,Radical resection of tumor; scapula ,,,1950.0,18507.0,78
CPT,23210,Radical resection of tumor; scapula Other Surgical Services,,,2850.0,2850.0,4
CPT,23210,Radical resection of tumor; scapula SCHEDULED,,,7780.56,7944.36,3
CPT,23210,Radical resection of tumor; scapula UNSCHEDULED,,,986.18,1006.94,3
CPT,23220,"Radical resection of tumor, proximal humerus ",,,1950.0,18507.0,78
CPT,23220,"Radical resection of tumor, proximal humerus Other Surgical Services",,,2850.0,2850.0,4
CPT,23220,"Radical resection of tumor, proximal humerus SCHEDULED",,,7780.56,7944.36,3
CPT,23220,"Radical resection of tumor, proximal humerus UNSCHEDULED",,,986.18,1006.94,3
CPT,23221,PARTIAL REMOVAL OF HUMERUS SCHEDULED,,,7780.56,7944.36,3
CPT,23221,PARTIAL REMOVAL OF HUMERUS UNSCHEDULED,,,986.18,1006.94,3
CPT,23222,PARTIAL REMOVAL OF HUMERUS SCHEDULED,,,7780.56,7944.36,3
CPT,23222,PARTIAL REMOVAL OF HUMERUS UNSCHEDULED,,,986.18,1006.94,3
CPT,23330,"Removal of foreign body, shoulder; subcutaneous ",,,1950.0,9710.0,106
CPT,23330,"Removal of foreign body, shoulder; subcutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,23330,"Removal of foreign body, shoulder; subcutaneous SCHEDULED",,,5676.29,5795.79,3
CPT,23330,"Removal of foreign body, shoulder; subcutaneous UNSCHEDULED",,,986.18,1006.94,3
CPT,23331,REMOVE SHOULDER FOREIGN BODY SCHEDULED,,,7780.56,7944.36,3
CPT,23331,REMOVE SHOULDER FOREIGN BODY UNSCHEDULED,,,986.18,1006.94,3
CPT,23332,REMOVE SHOULDER FOREIGN BODY SCHEDULED,,,7780.56,7944.36,3
CPT,23332,REMOVE SHOULDER FOREIGN BODY UNSCHEDULED,,,986.18,1006.94,3
CPT,23333,"Removal of foreign body, shoulder; deep (subfascial or intramuscular) ",,,1950.0,14792.0,106
CPT,23333,"Removal of foreign body, shoulder; deep (subfascial or intramuscular) Other Surgical Services",,,2850.0,2850.0,4
CPT,23333,"Removal of foreign body, shoulder; deep (subfascial or intramuscular) SCHEDULED",,,5465.86,5580.93,3
CPT,23333,"Removal of foreign body, shoulder; deep (subfascial or intramuscular) UNSCHEDULED",,,13312.38,13592.64,3
CPT,23334,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component ",,,1950.0,18507.0,106
CPT,23334,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component Other Surgical Services",,,2850.0,2850.0,4
CPT,23334,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component SCHEDULED",,,7780.56,7944.36,3
CPT,23334,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component UNSCHEDULED",,,986.18,1006.94,3
CPT,23335,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder) ",,,1950.0,18507.0,78
CPT,23335,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder) Other Surgical Services",,,2850.0,2850.0,4
CPT,23335,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder) SCHEDULED",,,7780.56,7944.36,3
CPT,23335,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder) UNSCHEDULED",,,986.18,1006.94,3
CPT,23350,Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography ,,,1423.0,6802.0,96
CPT,23350,Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography Other Surgical Services,,,2850.0,2850.0,4
CPT,23350,Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography SCHEDULED,,,7780.56,7944.36,3
CPT,23350,Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography UNSCHEDULED,,,406.2,414.75,3
CPT,23395,"Muscle transfer, any type, shoulder or upper arm; single ",,,1950.0,18507.0,106
CPT,23395,"Muscle transfer, any type, shoulder or upper arm; single Other Surgical Services",,,2850.0,2850.0,4
CPT,23395,"Muscle transfer, any type, shoulder or upper arm; single SCHEDULED",,,34003.31,34719.17,3
CPT,23395,"Muscle transfer, any type, shoulder or upper arm; single UNSCHEDULED",,,986.18,1006.94,3
CPT,23397,"Muscle transfer, any type, shoulder or upper arm; multiple ",,,1950.0,18507.0,106
CPT,23397,"Muscle transfer, any type, shoulder or upper arm; multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,23397,"Muscle transfer, any type, shoulder or upper arm; multiple SCHEDULED",,,7780.56,7944.36,3
CPT,23397,"Muscle transfer, any type, shoulder or upper arm; multiple UNSCHEDULED",,,986.18,1006.94,3
CPT,23400,"Scapulopexy (eg, Sprengels deformity or for paralysis) ",,,1950.0,18507.0,106
CPT,23400,"Scapulopexy (eg, Sprengels deformity or for paralysis) Other Surgical Services",,,2850.0,2850.0,4
CPT,23400,"Scapulopexy (eg, Sprengels deformity or for paralysis) SCHEDULED",,,7780.56,7944.36,3
CPT,23400,"Scapulopexy (eg, Sprengels deformity or for paralysis) UNSCHEDULED",,,986.18,1006.94,3
CPT,23405,"Tenotomy, shoulder area; single tendon ",,,1950.0,18507.0,106
CPT,23405,"Tenotomy, shoulder area; single tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,23405,"Tenotomy, shoulder area; single tendon SCHEDULED",,,5583.12,5700.66,3
CPT,23405,"Tenotomy, shoulder area; single tendon UNSCHEDULED",,,986.18,1006.94,3
CPT,23406,"Tenotomy, shoulder area; multiple tendons through same incision ",,,1950.0,18507.0,106
CPT,23406,"Tenotomy, shoulder area; multiple tendons through same incision Other Surgical Services",,,2850.0,2850.0,4
CPT,23406,"Tenotomy, shoulder area; multiple tendons through same incision SCHEDULED",,,3554.23,3629.05,3
CPT,23406,"Tenotomy, shoulder area; multiple tendons through same incision UNSCHEDULED",,,986.18,1006.94,3
CPT,23410,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute ",,,2350.0,18507.0,98
CPT,23410,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute High Cost Surgery",,,3950.0,3950.0,1
CPT,23410,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Other Surgical Services",,,4150.0,4150.0,1
CPT,23410,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute SCHEDULED",,,5844.85,5967.9,3
CPT,23410,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute UNSCHEDULED",,,12050.86,12304.57,3
CPT,23412,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic ",,,2350.0,18507.0,98
CPT,23412,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic High Cost Surgery",,,3950.0,3950.0,1
CPT,23412,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Other Surgical Services",,,4150.0,4150.0,1
CPT,23412,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic SCHEDULED",,,4771.77,4872.23,3
CPT,23412,"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic UNSCHEDULED",,,986.18,1006.94,3
CPT,23415,"Coracoacromial ligament release, with or without acromioplasty ",,,2350.0,18507.0,98
CPT,23415,"Coracoacromial ligament release, with or without acromioplasty High Cost Surgery",,,3950.0,3950.0,1
CPT,23415,"Coracoacromial ligament release, with or without acromioplasty Other Surgical Services",,,4150.0,4150.0,1
CPT,23415,"Coracoacromial ligament release, with or without acromioplasty SCHEDULED",,,3123.95,3189.72,3
CPT,23415,"Coracoacromial ligament release, with or without acromioplasty UNSCHEDULED",,,986.18,1006.94,3
CPT,23420,"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) ",,,2350.0,18507.0,98
CPT,23420,"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) High Cost Surgery",,,3950.0,3950.0,1
CPT,23420,"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Other Surgical Services",,,4150.0,4150.0,1
CPT,23420,"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) SCHEDULED",,,5307.78,5419.53,3
CPT,23420,"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) UNSCHEDULED",,,986.18,1006.94,3
CPT,23430,Tenodesis of long tendon of biceps ,,,2350.0,18507.0,98
CPT,23430,Tenodesis of long tendon of biceps High Cost Surgery,,,3950.0,3950.0,1
CPT,23430,Tenodesis of long tendon of biceps Other Surgical Services,,,4150.0,4150.0,1
CPT,23430,Tenodesis of long tendon of biceps SCHEDULED,,,3619.13,3695.32,3
CPT,23430,Tenodesis of long tendon of biceps UNSCHEDULED,,,986.18,1006.94,3
CPT,23440,Resection or transplantation of long tendon of biceps ,,,2350.0,18507.0,98
CPT,23440,Resection or transplantation of long tendon of biceps High Cost Surgery,,,3950.0,3950.0,1
CPT,23440,Resection or transplantation of long tendon of biceps Other Surgical Services,,,4150.0,4150.0,1
CPT,23440,Resection or transplantation of long tendon of biceps SCHEDULED,,,7391.11,7546.72,3
CPT,23440,Resection or transplantation of long tendon of biceps UNSCHEDULED,,,986.18,1006.94,3
CPT,23450,"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation ",,,2350.0,18507.0,98
CPT,23450,"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation High Cost Surgery",,,3950.0,3950.0,1
CPT,23450,"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Other Surgical Services",,,4150.0,4150.0,1
CPT,23450,"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation SCHEDULED",,,7780.56,7944.36,3
CPT,23450,"Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation UNSCHEDULED",,,986.18,1006.94,3
CPT,23455,"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) ",,,2350.0,18507.0,98
CPT,23455,"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,23455,"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,23455,"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) SCHEDULED",,,11087.72,11321.14,3
CPT,23455,"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) UNSCHEDULED",,,986.18,1006.94,3
CPT,23460,"Capsulorrhaphy, anterior, any type; with bone block ",,,2350.0,18507.0,98
CPT,23460,"Capsulorrhaphy, anterior, any type; with bone block High Cost Surgery",,,3950.0,3950.0,1
CPT,23460,"Capsulorrhaphy, anterior, any type; with bone block Other Surgical Services",,,4150.0,4150.0,1
CPT,23460,"Capsulorrhaphy, anterior, any type; with bone block SCHEDULED",,,13193.03,13470.78,3
CPT,23460,"Capsulorrhaphy, anterior, any type; with bone block UNSCHEDULED",,,986.18,1006.94,3
CPT,23462,"Capsulorrhaphy, anterior, any type; with coracoid process transfer ",,,2350.0,18507.0,98
CPT,23462,"Capsulorrhaphy, anterior, any type; with coracoid process transfer High Cost Surgery",,,3950.0,3950.0,1
CPT,23462,"Capsulorrhaphy, anterior, any type; with coracoid process transfer Other Surgical Services",,,4150.0,4150.0,1
CPT,23462,"Capsulorrhaphy, anterior, any type; with coracoid process transfer SCHEDULED",,,27890.46,28477.63,3
CPT,23462,"Capsulorrhaphy, anterior, any type; with coracoid process transfer UNSCHEDULED",,,986.18,1006.94,3
CPT,23465,"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block ",,,2350.0,18507.0,98
CPT,23465,"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block High Cost Surgery",,,3950.0,3950.0,1
CPT,23465,"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Other Surgical Services",,,4150.0,4150.0,1
CPT,23465,"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block SCHEDULED",,,7780.56,7944.36,3
CPT,23465,"Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block UNSCHEDULED",,,986.18,1006.94,3
CPT,23466,"Capsulorrhaphy, glenohumeral joint, any type multidirectional instability ",,,2350.0,18507.0,98
CPT,23466,"Capsulorrhaphy, glenohumeral joint, any type multidirectional instability High Cost Surgery",,,3950.0,3950.0,1
CPT,23466,"Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Other Surgical Services",,,4150.0,4150.0,1
CPT,23466,"Capsulorrhaphy, glenohumeral joint, any type multidirectional instability SCHEDULED",,,10473.19,10693.68,3
CPT,23466,"Capsulorrhaphy, glenohumeral joint, any type multidirectional instability UNSCHEDULED",,,986.18,1006.94,3
CPT,23470,"Arthroplasty, glenohumeral joint; hemiarthroplasty ",,,2350.0,44577.0,86
CPT,23470,"Arthroplasty, glenohumeral joint; hemiarthroplasty Other Surgical Services",,,4150.0,4150.0,1
CPT,23470,"Arthroplasty, glenohumeral joint; hemiarthroplasty SCHEDULED",,,12134.62,12390.08,3
CPT,23470,"Arthroplasty, glenohumeral joint; hemiarthroplasty UNSCHEDULED",,,986.18,1006.94,3
CPT,23472,"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) ",,,2350.0,44577.0,91
CPT,23472,"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) Other Surgical Services",,,4150.0,4150.0,1
CPT,23472,"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) SCHEDULED",,,14972.76,15287.98,3
CPT,23472,"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder)) UNSCHEDULED",,,986.18,1006.94,3
CPT,23473,"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component ",,,2350.0,44577.0,94
CPT,23473,"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component Complex Surgery",,,11754.0,11754.0,22
CPT,23473,"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component Other Surgical Services",,,4150.0,4150.0,1
CPT,23473,"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component SCHEDULED",,,13853.63,14145.29,3
CPT,23473,"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component UNSCHEDULED",,,986.18,1006.94,3
CPT,23474,"Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component ",,,2350.0,41379.0,83
CPT,23474,"Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component Complex Surgery",,,11754.0,11754.0,22
CPT,23474,"Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component Other Surgical Services",,,4150.0,4150.0,1
CPT,23474,"Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component SCHEDULED",,,21742.02,22199.75,3
CPT,23474,"Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component UNSCHEDULED",,,986.18,1006.94,3
CPT,23480,"Osteotomy, clavicle, with or without internal fixation; ",,,2350.0,18507.0,102
CPT,23480,"Osteotomy, clavicle, with or without internal fixation; Other Surgical Services",,,4150.0,4150.0,1
CPT,23480,"Osteotomy, clavicle, with or without internal fixation; SCHEDULED",,,25922.29,26468.02,3
CPT,23480,"Osteotomy, clavicle, with or without internal fixation; UNSCHEDULED",,,986.18,1006.94,3
CPT,23485,"Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation) ",,,2350.0,18507.0,102
CPT,23485,"Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation) Other Surgical Services",,,4150.0,4150.0,1
CPT,23485,"Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation) SCHEDULED",,,18646.33,19038.89,3
CPT,23485,"Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation) UNSCHEDULED",,,986.18,1006.94,3
CPT,23490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle ",,,2350.0,18507.0,102
CPT,23490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle Other Surgical Services",,,4150.0,4150.0,1
CPT,23490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle SCHEDULED",,,7780.56,7944.36,3
CPT,23490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle UNSCHEDULED",,,986.18,1006.94,3
CPT,23491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus ",,,2350.0,18507.0,102
CPT,23491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus Other Surgical Services",,,4150.0,4150.0,1
CPT,23491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus SCHEDULED",,,7780.56,7944.36,3
CPT,23491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus UNSCHEDULED",,,986.18,1006.94,3
CPT,23500,Closed treatment of clavicular fracture; without manipulation ,,,1423.0,9710.0,106
CPT,23500,Closed treatment of clavicular fracture; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,23500,Closed treatment of clavicular fracture; without manipulation SCHEDULED,,,7780.56,7944.36,3
CPT,23500,Closed treatment of clavicular fracture; without manipulation UNSCHEDULED,,,524.5,535.54,3
CPT,23505,Closed treatment of clavicular fracture; with manipulation ,,,1950.0,9710.0,106
CPT,23505,Closed treatment of clavicular fracture; with manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,23505,Closed treatment of clavicular fracture; with manipulation SCHEDULED,,,7780.56,7944.36,3
CPT,23505,Closed treatment of clavicular fracture; with manipulation UNSCHEDULED,,,380.03,388.03,3
CPT,23515,"Open treatment of clavicular fracture, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,23515,"Open treatment of clavicular fracture, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,23515,"Open treatment of clavicular fracture, includes internal fixation, when performed SCHEDULED",,,14138.38,14436.03,3
CPT,23515,"Open treatment of clavicular fracture, includes internal fixation, when performed UNSCHEDULED",,,22237.2,22705.35,3
CPT,23520,Closed treatment of sternoclavicular dislocation; without manipulation ,,,1950.0,9710.0,106
CPT,23520,Closed treatment of sternoclavicular dislocation; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,23520,Closed treatment of sternoclavicular dislocation; without manipulation SCHEDULED,,,7780.56,7944.36,3
CPT,23520,Closed treatment of sternoclavicular dislocation; without manipulation UNSCHEDULED,,,986.18,1006.94,3
CPT,23525,Closed treatment of sternoclavicular dislocation; with manipulation ,,,1423.0,9710.0,106
CPT,23525,Closed treatment of sternoclavicular dislocation; with manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,23525,Closed treatment of sternoclavicular dislocation; with manipulation SCHEDULED,,,7780.56,7944.36,3
CPT,23525,Closed treatment of sternoclavicular dislocation; with manipulation UNSCHEDULED,,,986.18,1006.94,3
CPT,23530,"Open treatment of sternoclavicular dislocation, acute or chronic; ",,,1950.0,18507.0,106
CPT,23530,"Open treatment of sternoclavicular dislocation, acute or chronic; Other Surgical Services",,,2850.0,2850.0,4
CPT,23530,"Open treatment of sternoclavicular dislocation, acute or chronic; SCHEDULED",,,7780.56,7944.36,3
CPT,23530,"Open treatment of sternoclavicular dislocation, acute or chronic; UNSCHEDULED",,,986.18,1006.94,3
CPT,23532,"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,23532,"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,23532,"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) SCHEDULED",,,7780.56,7944.36,3
CPT,23532,"Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) UNSCHEDULED",,,986.18,1006.94,3
CPT,23540,Closed treatment of acromioclavicular dislocation; without manipulation ,,,1423.0,9710.0,106
CPT,23540,Closed treatment of acromioclavicular dislocation; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,23540,Closed treatment of acromioclavicular dislocation; without manipulation SCHEDULED,,,7780.56,7944.36,3
CPT,23540,Closed treatment of acromioclavicular dislocation; without manipulation UNSCHEDULED,,,792.5,809.18,3
CPT,23545,Closed treatment of acromioclavicular dislocation; with manipulation ,,,1423.0,9710.0,106
CPT,23545,Closed treatment of acromioclavicular dislocation; with manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,23545,Closed treatment of acromioclavicular dislocation; with manipulation SCHEDULED,,,7780.56,7944.36,3
CPT,23545,Closed treatment of acromioclavicular dislocation; with manipulation UNSCHEDULED,,,985.13,1005.87,3
CPT,23550,"Open treatment of acromioclavicular dislocation, acute or chronic; ",,,1950.0,18507.0,106
CPT,23550,"Open treatment of acromioclavicular dislocation, acute or chronic; Other Surgical Services",,,2850.0,2850.0,4
CPT,23550,"Open treatment of acromioclavicular dislocation, acute or chronic; SCHEDULED",,,13009.82,13283.71,3
CPT,23550,"Open treatment of acromioclavicular dislocation, acute or chronic; UNSCHEDULED",,,10878.34,11107.35,3
CPT,23552,"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,23552,"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,23552,"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) SCHEDULED",,,17497.89,17866.27,3
CPT,23552,"Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) UNSCHEDULED",,,986.18,1006.94,3
CPT,23570,Closed treatment of scapular fracture; without manipulation ,,,1423.0,9710.0,106
CPT,23570,Closed treatment of scapular fracture; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,23570,Closed treatment of scapular fracture; without manipulation SCHEDULED,,,7780.56,7944.36,3
CPT,23570,Closed treatment of scapular fracture; without manipulation UNSCHEDULED,,,2323.07,2371.98,3
CPT,23575,"Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement) ",,,1423.0,9710.0,106
CPT,23575,"Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement) Other Surgical Services",,,2850.0,2850.0,4
CPT,23575,"Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement) SCHEDULED",,,7780.56,7944.36,3
CPT,23575,"Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement) UNSCHEDULED",,,987.23,1008.01,3
CPT,23585,"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,23585,"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,23585,"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed SCHEDULED",,,14686.96,14996.16,3
CPT,23585,"Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed UNSCHEDULED",,,986.18,1006.94,3
CPT,23600,Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation ,,,1423.0,9710.0,106
CPT,23600,Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,23600,Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation SCHEDULED,,,7780.56,7944.36,3
CPT,23600,Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation UNSCHEDULED,,,432.37,441.48,3
CPT,23605,"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction ",,,1950.0,9710.0,106
CPT,23605,"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction Other Surgical Services",,,2850.0,2850.0,4
CPT,23605,"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction SCHEDULED",,,7780.56,7944.36,3
CPT,23605,"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction UNSCHEDULED",,,2709.38,2766.42,3
CPT,23615,"Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; ",,,1950.0,18507.0,106
CPT,23615,"Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; Other Surgical Services",,,2850.0,2850.0,4
CPT,23615,"Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; SCHEDULED",,,15043.95,15360.67,3
CPT,23615,"Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; UNSCHEDULED",,,21344.2,21793.55,3
CPT,23616,"Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; with proximal humeral prostheti",,,986.18,18507.0,116
CPT,23620,Closed treatment of greater humeral tuberosity fracture; without manipulation ,,,1423.0,9710.0,106
CPT,23620,Closed treatment of greater humeral tuberosity fracture; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,23620,Closed treatment of greater humeral tuberosity fracture; without manipulation SCHEDULED,,,7780.56,7944.36,3
CPT,23620,Closed treatment of greater humeral tuberosity fracture; without manipulation UNSCHEDULED,,,746.44,762.16,3
CPT,23625,Closed treatment of greater humeral tuberosity fracture; with manipulation ,,,1950.0,9710.0,106
CPT,23625,Closed treatment of greater humeral tuberosity fracture; with manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,23625,Closed treatment of greater humeral tuberosity fracture; with manipulation SCHEDULED,,,7780.56,7944.36,3
CPT,23625,Closed treatment of greater humeral tuberosity fracture; with manipulation UNSCHEDULED,,,1505.45,1537.14,3
CPT,23630,"Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,23630,"Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,23630,"Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed SCHEDULED",,,5554.85,5671.79,3
CPT,23630,"Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed UNSCHEDULED",,,986.18,1006.94,3
CPT,23650,"Closed treatment of shoulder dislocation, with manipulation; without anesthesia ",,,1423.0,9710.0,106
CPT,23650,"Closed treatment of shoulder dislocation, with manipulation; without anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,23650,"Closed treatment of shoulder dislocation, with manipulation; without anesthesia SCHEDULED",,,7780.56,7944.36,3
CPT,23650,"Closed treatment of shoulder dislocation, with manipulation; without anesthesia UNSCHEDULED",,,527.64,538.75,3
CPT,23655,"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia ",,,1950.0,9710.0,106
CPT,23655,"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,23655,"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia SCHEDULED",,,7780.56,7944.36,3
CPT,23655,"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia UNSCHEDULED",,,1211.26,1236.76,3
CPT,23660,Open treatment of acute shoulder dislocation ,,,1950.0,18507.0,106
CPT,23660,Open treatment of acute shoulder dislocation Other Surgical Services,,,2850.0,2850.0,4
CPT,23660,Open treatment of acute shoulder dislocation SCHEDULED,,,7780.56,7944.36,3
CPT,23660,Open treatment of acute shoulder dislocation UNSCHEDULED,,,242.88,247.99,3
CPT,23665,"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation ",,,1950.0,9710.0,106
CPT,23665,"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,23665,"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation SCHEDULED",,,7780.56,7944.36,3
CPT,23665,"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation UNSCHEDULED",,,1260.47,1287.01,3
CPT,23670,"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,23670,"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,23670,"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed SCHEDULED",,,15810.28,16143.13,3
CPT,23670,"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed UNSCHEDULED",,,986.18,1006.94,3
CPT,23675,"Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation ",,,1423.0,9710.0,106
CPT,23675,"Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,23675,"Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation SCHEDULED",,,7780.56,7944.36,3
CPT,23675,"Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation UNSCHEDULED",,,821.82,839.12,3
CPT,23680,"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,23680,"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,23680,"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed SCHEDULED",,,10488.89,10709.71,3
CPT,23680,"Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed UNSCHEDULED",,,34403.22,35127.5,3
CPT,23700,"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) ",,,1950.0,9710.0,106
CPT,23700,"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Other Surgical Services",,,2850.0,2850.0,4
CPT,23700,"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) SCHEDULED",,,2464.4,2516.29,3
CPT,23700,"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) UNSCHEDULED",,,986.18,1006.94,3
CPT,23800,"Arthrodesis, glenohumeral joint; ",,,1950.0,18507.0,106
CPT,23800,"Arthrodesis, glenohumeral joint; Other Surgical Services",,,2850.0,2850.0,4
CPT,23800,"Arthrodesis, glenohumeral joint; SCHEDULED",,,7780.56,7944.36,3
CPT,23800,"Arthrodesis, glenohumeral joint; UNSCHEDULED",,,986.18,1006.94,3
CPT,23802,"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,23802,"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,23802,"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft) SCHEDULED",,,7780.56,7944.36,3
CPT,23802,"Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft) UNSCHEDULED",,,986.18,1006.94,3
CPT,23900,Interthoracoscapular amputation (forequarter) ,,,1950.0,18507.0,78
CPT,23900,Interthoracoscapular amputation (forequarter) Other Surgical Services,,,2850.0,2850.0,4
CPT,23900,Interthoracoscapular amputation (forequarter) SCHEDULED,,,7780.56,7944.36,3
CPT,23900,Interthoracoscapular amputation (forequarter) UNSCHEDULED,,,986.18,1006.94,3
CPT,23920,Disarticulation of shoulder; ,,,1950.0,18507.0,78
CPT,23920,Disarticulation of shoulder; Other Surgical Services,,,2850.0,2850.0,4
CPT,23920,Disarticulation of shoulder; SCHEDULED,,,7780.56,7944.36,3
CPT,23920,Disarticulation of shoulder; UNSCHEDULED,,,986.18,1006.94,3
CPT,23921,Disarticulation of shoulder; secondary closure or scar revision ,,,1950.0,9710.0,106
CPT,23921,Disarticulation of shoulder; secondary closure or scar revision Other Surgical Services,,,2850.0,2850.0,4
CPT,23921,Disarticulation of shoulder; secondary closure or scar revision SCHEDULED,,,7780.56,7944.36,3
CPT,23921,Disarticulation of shoulder; secondary closure or scar revision UNSCHEDULED,,,986.18,1006.94,3
CPT,23929,"Unlisted procedure, shoulder ",,,1423.0,9710.0,106
CPT,23929,"Unlisted procedure, shoulder Other Surgical Services",,,2850.0,2850.0,4
CPT,23929,"Unlisted procedure, shoulder SCHEDULED",,,7780.56,7944.36,3
CPT,23929,"Unlisted procedure, shoulder UNSCHEDULED",,,986.18,1006.94,3
CPT,23930,"Incision and drainage, upper arm or elbow area; deep abscess or hematoma ",,,1950.0,14792.0,106
CPT,23930,"Incision and drainage, upper arm or elbow area; deep abscess or hematoma Other Surgical Services",,,2850.0,2850.0,4
CPT,23930,"Incision and drainage, upper arm or elbow area; deep abscess or hematoma SCHEDULED",,,13425.45,13708.09,3
CPT,23930,"Incision and drainage, upper arm or elbow area; deep abscess or hematoma UNSCHEDULED",,,4467.12,4561.16,3
CPT,23931,"Incision and drainage, upper arm or elbow area; bursa ",,,1950.0,9710.0,106
CPT,23931,"Incision and drainage, upper arm or elbow area; bursa Other Surgical Services",,,2850.0,2850.0,4
CPT,23931,"Incision and drainage, upper arm or elbow area; bursa SCHEDULED",,,7985.76,8153.88,3
CPT,23931,"Incision and drainage, upper arm or elbow area; bursa UNSCHEDULED",,,4467.12,4561.16,3
CPT,23935,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow ",,,1950.0,18507.0,106
CPT,23935,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Other Surgical Services",,,2850.0,2850.0,4
CPT,23935,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow SCHEDULED",,,7985.76,8153.88,3
CPT,23935,"Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow UNSCHEDULED",,,4467.12,4561.16,3
CPT,24000,"Arthrotomy, elbow, including exploration, drainage, or removal of foreign body ",,,1950.0,18507.0,106
CPT,24000,"Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,24000,"Arthrotomy, elbow, including exploration, drainage, or removal of foreign body SCHEDULED",,,7985.76,8153.88,3
CPT,24000,"Arthrotomy, elbow, including exploration, drainage, or removal of foreign body UNSCHEDULED",,,4031.61,4116.49,3
CPT,24006,"Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) ",,,1950.0,18507.0,106
CPT,24006,"Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,24006,"Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) SCHEDULED",,,8789.77,8974.82,3
CPT,24006,"Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24065,"Biopsy, soft tissue of upper arm or elbow area; superficial ",,,1950.0,9710.0,106
CPT,24065,"Biopsy, soft tissue of upper arm or elbow area; superficial Other Surgical Services",,,2850.0,2850.0,4
CPT,24065,"Biopsy, soft tissue of upper arm or elbow area; superficial SCHEDULED",,,7985.76,8153.88,3
CPT,24065,"Biopsy, soft tissue of upper arm or elbow area; superficial UNSCHEDULED",,,4467.12,4561.16,3
CPT,24066,"Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) ",,,1950.0,14792.0,106
CPT,24066,"Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) Other Surgical Services",,,2850.0,2850.0,4
CPT,24066,"Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) SCHEDULED",,,7985.76,8153.88,3
CPT,24066,"Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24071,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater ",,,1950.0,14792.0,106
CPT,24071,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,24071,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater SCHEDULED",,,7985.76,8153.88,3
CPT,24071,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater UNSCHEDULED",,,4467.12,4561.16,3
CPT,24073,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater ",,,1950.0,14792.0,106
CPT,24073,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,24073,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater SCHEDULED",,,7985.76,8153.88,3
CPT,24073,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater UNSCHEDULED",,,4467.12,4561.16,3
CPT,24075,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm ",,,1950.0,9710.0,106
CPT,24075,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,24075,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm SCHEDULED",,,7985.76,8153.88,3
CPT,24075,"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm UNSCHEDULED",,,4467.12,4561.16,3
CPT,24076,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm ",,,1950.0,14792.0,106
CPT,24076,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,24076,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm SCHEDULED",,,3599.25,3675.02,3
CPT,24076,"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm UNSCHEDULED",,,4467.12,4561.16,3
CPT,24077,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm ",,,1950.0,14792.0,106
CPT,24077,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,24077,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm SCHEDULED",,,7985.76,8153.88,3
CPT,24077,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm UNSCHEDULED",,,4467.12,4561.16,3
CPT,24079,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater ",,,1950.0,14792.0,106
CPT,24079,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,24079,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater SCHEDULED",,,7985.76,8153.88,3
CPT,24079,"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater UNSCHEDULED",,,4467.12,4561.16,3
CPT,24100,"Arthrotomy, elbow; with synovial biopsy only ",,,1950.0,18507.0,106
CPT,24100,"Arthrotomy, elbow; with synovial biopsy only Other Surgical Services",,,2850.0,2850.0,4
CPT,24100,"Arthrotomy, elbow; with synovial biopsy only SCHEDULED",,,7985.76,8153.88,3
CPT,24100,"Arthrotomy, elbow; with synovial biopsy only UNSCHEDULED",,,4467.12,4561.16,3
CPT,24101,"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body ",,,1950.0,18507.0,106
CPT,24101,"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,24101,"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body SCHEDULED",,,7457.07,7614.06,3
CPT,24101,"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body UNSCHEDULED",,,4467.12,4561.16,3
CPT,24102,"Arthrotomy, elbow; with synovectomy ",,,1950.0,18507.0,106
CPT,24102,"Arthrotomy, elbow; with synovectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,24102,"Arthrotomy, elbow; with synovectomy SCHEDULED",,,12501.03,12764.21,3
CPT,24102,"Arthrotomy, elbow; with synovectomy UNSCHEDULED",,,4467.12,4561.16,3
CPT,24105,"Excision, olecranon bursa ",,,1950.0,18507.0,106
CPT,24105,"Excision, olecranon bursa Other Surgical Services",,,2850.0,2850.0,4
CPT,24105,"Excision, olecranon bursa SCHEDULED",,,5752.72,5873.83,3
CPT,24105,"Excision, olecranon bursa UNSCHEDULED",,,4467.12,4561.16,3
CPT,24110,"Excision or curettage of bone cyst or benign tumor, humerus; ",,,1950.0,18507.0,106
CPT,24110,"Excision or curettage of bone cyst or benign tumor, humerus; Other Surgical Services",,,2850.0,2850.0,4
CPT,24110,"Excision or curettage of bone cyst or benign tumor, humerus; SCHEDULED",,,9600.07,9802.18,3
CPT,24110,"Excision or curettage of bone cyst or benign tumor, humerus; UNSCHEDULED",,,4467.12,4561.16,3
CPT,24115,"Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,24115,"Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,24115,"Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) SCHEDULED",,,7985.76,8153.88,3
CPT,24115,"Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24116,"Excision or curettage of bone cyst or benign tumor, humerus; with allograft ",,,1950.0,18507.0,106
CPT,24116,"Excision or curettage of bone cyst or benign tumor, humerus; with allograft Other Surgical Services",,,2850.0,2850.0,4
CPT,24116,"Excision or curettage of bone cyst or benign tumor, humerus; with allograft SCHEDULED",,,7985.76,8153.88,3
CPT,24116,"Excision or curettage of bone cyst or benign tumor, humerus; with allograft UNSCHEDULED",,,4467.12,4561.16,3
CPT,24120,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; ,,,1950.0,18507.0,106
CPT,24120,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; Other Surgical Services,,,2850.0,2850.0,4
CPT,24120,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; SCHEDULED,,,9229.47,9423.77,3
CPT,24120,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; UNSCHEDULED,,,4467.12,4561.16,3
CPT,24125,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft) ,,,1950.0,18507.0,106
CPT,24125,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,24125,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft) SCHEDULED,,,7985.76,8153.88,3
CPT,24125,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft) UNSCHEDULED,,,4467.12,4561.16,3
CPT,24126,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft ,,,1950.0,18507.0,106
CPT,24126,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft Other Surgical Services,,,2850.0,2850.0,4
CPT,24126,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft SCHEDULED,,,7985.76,8153.88,3
CPT,24126,Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft UNSCHEDULED,,,4467.12,4561.16,3
CPT,24130,"Excision, radial head ",,,1950.0,18507.0,106
CPT,24130,"Excision, radial head Other Surgical Services",,,2850.0,2850.0,4
CPT,24130,"Excision, radial head SCHEDULED",,,6825.79,6969.49,3
CPT,24130,"Excision, radial head UNSCHEDULED",,,4467.12,4561.16,3
CPT,24134,"Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus ",,,1950.0,18507.0,106
CPT,24134,"Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Other Surgical Services",,,2850.0,2850.0,4
CPT,24134,"Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus SCHEDULED",,,8648.44,8830.51,3
CPT,24134,"Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus UNSCHEDULED",,,4467.12,4561.16,3
CPT,24136,"Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck ",,,1950.0,18507.0,106
CPT,24136,"Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Other Surgical Services",,,2850.0,2850.0,4
CPT,24136,"Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck SCHEDULED",,,7985.76,8153.88,3
CPT,24136,"Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck UNSCHEDULED",,,4467.12,4561.16,3
CPT,24138,"Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process ",,,1950.0,18507.0,106
CPT,24138,"Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process Other Surgical Services",,,2850.0,2850.0,4
CPT,24138,"Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process SCHEDULED",,,4686.97,4785.64,3
CPT,24138,"Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process UNSCHEDULED",,,4467.12,4561.16,3
CPT,24140,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus ",,,1950.0,18507.0,106
CPT,24140,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Other Surgical Services",,,2850.0,2850.0,4
CPT,24140,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus SCHEDULED",,,6143.21,6272.54,3
CPT,24140,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus UNSCHEDULED",,,4467.12,4561.16,3
CPT,24145,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck ",,,1950.0,18507.0,106
CPT,24145,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck Other Surgical Services",,,2850.0,2850.0,4
CPT,24145,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck SCHEDULED",,,7985.76,8153.88,3
CPT,24145,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck UNSCHEDULED",,,4467.12,4561.16,3
CPT,24147,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process ",,,1950.0,18507.0,106
CPT,24147,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Other Surgical Services",,,2850.0,2850.0,4
CPT,24147,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process SCHEDULED",,,1219.64,1245.32,3
CPT,24147,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process UNSCHEDULED",,,4467.12,4561.16,3
CPT,24149,"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) ",,,1950.0,18507.0,106
CPT,24149,"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,24149,"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) SCHEDULED",,,11266.73,11503.93,3
CPT,24149,"Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24150,"Radical resection of tumor, shaft or distal humerus ",,,1950.0,18507.0,106
CPT,24150,"Radical resection of tumor, shaft or distal humerus Other Surgical Services",,,2850.0,2850.0,4
CPT,24150,"Radical resection of tumor, shaft or distal humerus SCHEDULED",,,7985.76,8153.88,3
CPT,24150,"Radical resection of tumor, shaft or distal humerus UNSCHEDULED",,,4467.12,4561.16,3
CPT,24151,EXTENSIVE HUMERUS SURGERY SCHEDULED,,,7985.76,8153.88,3
CPT,24151,EXTENSIVE HUMERUS SURGERY UNSCHEDULED,,,4467.12,4561.16,3
CPT,24152,"Radical resection of tumor, radial head or neck ",,,1950.0,18507.0,106
CPT,24152,"Radical resection of tumor, radial head or neck Other Surgical Services",,,2850.0,2850.0,4
CPT,24152,"Radical resection of tumor, radial head or neck SCHEDULED",,,7802.55,7966.81,3
CPT,24152,"Radical resection of tumor, radial head or neck UNSCHEDULED",,,4467.12,4561.16,3
CPT,24153,EXTENSIVE RADIUS SURGERY SCHEDULED,,,7985.76,8153.88,3
CPT,24153,EXTENSIVE RADIUS SURGERY UNSCHEDULED,,,4467.12,4561.16,3
CPT,24155,Resection of elbow joint (arthrectomy) ,,,1950.0,18507.0,98
CPT,24155,Resection of elbow joint (arthrectomy) Other Surgical Services,,,2850.0,2850.0,4
CPT,24155,Resection of elbow joint (arthrectomy) SCHEDULED,,,7985.76,8153.88,3
CPT,24155,Resection of elbow joint (arthrectomy) UNSCHEDULED,,,4467.12,4561.16,3
CPT,24160,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components ",,,1950.0,18507.0,106
CPT,24160,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components Other Surgical Services",,,2850.0,2850.0,4
CPT,24160,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components SCHEDULED",,,7985.76,8153.88,3
CPT,24160,"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components UNSCHEDULED",,,4467.12,4561.16,3
CPT,24164,"Removal of prosthesis, includes debridement and synovectomy when performed; radial head ",,,1950.0,18507.0,106
CPT,24164,"Removal of prosthesis, includes debridement and synovectomy when performed; radial head Other Surgical Services",,,2850.0,2850.0,4
CPT,24164,"Removal of prosthesis, includes debridement and synovectomy when performed; radial head SCHEDULED",,,6350.49,6484.19,3
CPT,24164,"Removal of prosthesis, includes debridement and synovectomy when performed; radial head UNSCHEDULED",,,4467.12,4561.16,3
CPT,24200,"Removal of foreign body, upper arm or elbow area; subcutaneous ",,,1950.0,9710.0,106
CPT,24200,"Removal of foreign body, upper arm or elbow area; subcutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,24200,"Removal of foreign body, upper arm or elbow area; subcutaneous SCHEDULED",,,949.53,969.52,3
CPT,24200,"Removal of foreign body, upper arm or elbow area; subcutaneous UNSCHEDULED",,,10140.27,10353.75,3
CPT,24201,"Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular) ",,,1950.0,14792.0,106
CPT,24201,"Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular) Other Surgical Services",,,2850.0,2850.0,4
CPT,24201,"Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular) SCHEDULED",,,3463.15,3536.06,3
CPT,24201,"Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular) UNSCHEDULED",,,10878.34,11107.35,3
CPT,24220,Injection procedure for elbow arthrography ,,,1423.0,9710.0,99
CPT,24220,Injection procedure for elbow arthrography Other Surgical Services,,,2850.0,2850.0,4
CPT,24220,Injection procedure for elbow arthrography SCHEDULED,,,7985.76,8153.88,3
CPT,24220,Injection procedure for elbow arthrography UNSCHEDULED,,,347.57,354.88,3
CPT,24300,"Manipulation, elbow, under anesthesia ",,,1950.0,9710.0,106
CPT,24300,"Manipulation, elbow, under anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,24300,"Manipulation, elbow, under anesthesia SCHEDULED",,,4105.94,4192.38,3
CPT,24300,"Manipulation, elbow, under anesthesia UNSCHEDULED",,,4467.12,4561.16,3
CPT,24301,"Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) ",,,1950.0,18507.0,106
CPT,24301,"Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) Other Surgical Services",,,2850.0,2850.0,4
CPT,24301,"Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) SCHEDULED",,,7985.76,8153.88,3
CPT,24301,"Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24305,"Tendon lengthening, upper arm or elbow, each tendon ",,,1950.0,18507.0,106
CPT,24305,"Tendon lengthening, upper arm or elbow, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,24305,"Tendon lengthening, upper arm or elbow, each tendon SCHEDULED",,,2237.22,2284.32,3
CPT,24305,"Tendon lengthening, upper arm or elbow, each tendon UNSCHEDULED",,,9653.46,9856.69,3
CPT,24310,"Tenotomy, open, elbow to shoulder, each tendon ",,,1950.0,18507.0,106
CPT,24310,"Tenotomy, open, elbow to shoulder, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,24310,"Tenotomy, open, elbow to shoulder, each tendon SCHEDULED",,,7985.76,8153.88,3
CPT,24310,"Tenotomy, open, elbow to shoulder, each tendon UNSCHEDULED",,,4467.12,4561.16,3
CPT,24320,"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure) ",,,1950.0,18507.0,106
CPT,24320,"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,24320,"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure) SCHEDULED",,,7985.76,8153.88,3
CPT,24320,"Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24330,"Flexor-plasty, elbow (eg, Steindler type advancement); ",,,1950.0,18507.0,106
CPT,24330,"Flexor-plasty, elbow (eg, Steindler type advancement); Other Surgical Services",,,2850.0,2850.0,4
CPT,24330,"Flexor-plasty, elbow (eg, Steindler type advancement); SCHEDULED",,,7985.76,8153.88,3
CPT,24330,"Flexor-plasty, elbow (eg, Steindler type advancement); UNSCHEDULED",,,4467.12,4561.16,3
CPT,24331,"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement ",,,1950.0,18507.0,106
CPT,24331,"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Other Surgical Services",,,2850.0,2850.0,4
CPT,24331,"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement SCHEDULED",,,7985.76,8153.88,3
CPT,24331,"Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement UNSCHEDULED",,,4467.12,4561.16,3
CPT,24332,"Tenolysis, triceps ",,,1950.0,18507.0,106
CPT,24332,"Tenolysis, triceps Other Surgical Services",,,2850.0,2850.0,4
CPT,24332,"Tenolysis, triceps SCHEDULED",,,8318.67,8493.8,3
CPT,24332,"Tenolysis, triceps UNSCHEDULED",,,4467.12,4561.16,3
CPT,24340,Tenodesis of biceps tendon at elbow (separate procedure) ,,,1950.0,18507.0,106
CPT,24340,Tenodesis of biceps tendon at elbow (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,24340,Tenodesis of biceps tendon at elbow (separate procedure) SCHEDULED,,,6708.54,6849.77,3
CPT,24340,Tenodesis of biceps tendon at elbow (separate procedure) UNSCHEDULED,,,4467.12,4561.16,3
CPT,24341,"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) ",,,1950.0,18507.0,106
CPT,24341,"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Other Surgical Services",,,2850.0,2850.0,4
CPT,24341,"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) SCHEDULED",,,6098.19,6226.58,3
CPT,24341,"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) UNSCHEDULED",,,7536.64,7695.3,3
CPT,24342,"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft ",,,1950.0,18507.0,106
CPT,24342,"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Other Surgical Services",,,2850.0,2850.0,4
CPT,24342,"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft SCHEDULED",,,8752.08,8936.34,3
CPT,24342,"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft UNSCHEDULED",,,18102.99,18484.11,3
CPT,24343,"Repair lateral collateral ligament, elbow, with local tissue ",,,1950.0,18507.0,106
CPT,24343,"Repair lateral collateral ligament, elbow, with local tissue Other Surgical Services",,,2850.0,2850.0,4
CPT,24343,"Repair lateral collateral ligament, elbow, with local tissue SCHEDULED",,,6013.4,6139.99,3
CPT,24343,"Repair lateral collateral ligament, elbow, with local tissue UNSCHEDULED",,,4880.64,4983.39,3
CPT,24344,"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) ",,,1950.0,18507.0,106
CPT,24344,"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,24344,"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) SCHEDULED",,,14331.02,14632.72,3
CPT,24344,"Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24345,"Repair medial collateral ligament, elbow, with local tissue ",,,1950.0,18507.0,106
CPT,24345,"Repair medial collateral ligament, elbow, with local tissue Other Surgical Services",,,2850.0,2850.0,4
CPT,24345,"Repair medial collateral ligament, elbow, with local tissue SCHEDULED",,,8963.55,9152.26,3
CPT,24345,"Repair medial collateral ligament, elbow, with local tissue UNSCHEDULED",,,3462.09,3534.98,3
CPT,24346,"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) ",,,1950.0,18507.0,106
CPT,24346,"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,24346,"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) SCHEDULED",,,7916.65,8083.32,3
CPT,24346,"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24350,REPAIR OF TENNIS ELBOW SCHEDULED,,,7985.76,8153.88,3
CPT,24350,REPAIR OF TENNIS ELBOW UNSCHEDULED,,,4467.12,4561.16,3
CPT,24351,REPAIR OF TENNIS ELBOW SCHEDULED,,,7985.76,8153.88,3
CPT,24351,REPAIR OF TENNIS ELBOW UNSCHEDULED,,,4467.12,4561.16,3
CPT,24352,REPAIR OF TENNIS ELBOW SCHEDULED,,,7985.76,8153.88,3
CPT,24352,REPAIR OF TENNIS ELBOW UNSCHEDULED,,,4467.12,4561.16,3
CPT,24354,REPAIR OF TENNIS ELBOW SCHEDULED,,,7985.76,8153.88,3
CPT,24354,REPAIR OF TENNIS ELBOW UNSCHEDULED,,,4467.12,4561.16,3
CPT,24356,REVISION OF TENNIS ELBOW SCHEDULED,,,7985.76,8153.88,3
CPT,24356,REVISION OF TENNIS ELBOW UNSCHEDULED,,,4467.12,4561.16,3
CPT,24357,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous ",,,1950.0,18507.0,106
CPT,24357,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,24357,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous SCHEDULED",,,5074.32,5181.15,3
CPT,24357,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous UNSCHEDULED",,,4467.12,4561.16,3
CPT,24358,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open ",,,1950.0,18507.0,106
CPT,24358,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open Other Surgical Services",,,2850.0,2850.0,4
CPT,24358,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open SCHEDULED",,,6438.43,6573.98,3
CPT,24358,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open UNSCHEDULED",,,4467.12,4561.16,3
CPT,24359,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment ",,,1950.0,18507.0,106
CPT,24359,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment Other Surgical Services",,,2850.0,2850.0,4
CPT,24359,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment SCHEDULED",,,5147.6,5255.97,3
CPT,24359,"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment UNSCHEDULED",,,4467.12,4561.16,3
CPT,24360,"Arthroplasty, elbow; with membrane (eg, fascial) ",,,1950.0,18507.0,108
CPT,24360,"Arthroplasty, elbow; with membrane (eg, fascial) Other Surgical Services",,,2850.0,2850.0,4
CPT,24360,"Arthroplasty, elbow; with membrane (eg, fascial) SCHEDULED",,,7985.76,8153.88,3
CPT,24360,"Arthroplasty, elbow; with membrane (eg, fascial) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24361,"Arthroplasty, elbow; with distal humeral prosthetic replacement ",,,1950.0,23803.26,108
CPT,24361,"Arthroplasty, elbow; with distal humeral prosthetic replacement Other Surgical Services",,,2850.0,2850.0,4
CPT,24361,"Arthroplasty, elbow; with distal humeral prosthetic replacement SCHEDULED",,,7985.76,8153.88,3
CPT,24361,"Arthroplasty, elbow; with distal humeral prosthetic replacement UNSCHEDULED",,,4467.12,4561.16,3
CPT,24362,"Arthroplasty, elbow; with implant and fascia lata ligament reconstruction ",,,1950.0,18507.0,108
CPT,24362,"Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Other Surgical Services",,,2850.0,2850.0,4
CPT,24362,"Arthroplasty, elbow; with implant and fascia lata ligament reconstruction SCHEDULED",,,7985.76,8153.88,3
CPT,24362,"Arthroplasty, elbow; with implant and fascia lata ligament reconstruction UNSCHEDULED",,,4467.12,4561.16,3
CPT,24363,"Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) ",,,1950.0,23803.26,108
CPT,24363,"Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) Other Surgical Services",,,2850.0,2850.0,4
CPT,24363,"Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) SCHEDULED",,,7985.76,8153.88,3
CPT,24363,"Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) UNSCHEDULED",,,15330.81,15653.56,3
CPT,24365,"Arthroplasty, radial head; ",,,1950.0,18507.0,106
CPT,24365,"Arthroplasty, radial head; Other Surgical Services",,,2850.0,2850.0,4
CPT,24365,"Arthroplasty, radial head; SCHEDULED",,,14765.48,15076.33,3
CPT,24365,"Arthroplasty, radial head; UNSCHEDULED",,,4467.12,4561.16,3
CPT,24366,"Arthroplasty, radial head; with implant ",,,1950.0,19295.0,106
CPT,24366,"Arthroplasty, radial head; with implant Other Surgical Services",,,2850.0,2850.0,4
CPT,24366,"Arthroplasty, radial head; with implant SCHEDULED",,,13029.72,13304.03,3
CPT,24366,"Arthroplasty, radial head; with implant UNSCHEDULED",,,21467.73,21919.68,3
CPT,24370,"Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component ",,,1950.0,22212.0,108
CPT,24370,"Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component Complex Surgery",,,11754.0,11754.0,22
CPT,24370,"Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component Other Surgical Services",,,2850.0,2850.0,4
CPT,24370,"Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component SCHEDULED",,,10598.82,10821.95,3
CPT,24370,"Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component UNSCHEDULED",,,4467.12,4561.16,3
CPT,24371,"Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component ",,,1950.0,23803.26,108
CPT,24371,"Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component Complex Surgery",,,11754.0,11754.0,22
CPT,24371,"Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component Other Surgical Services",,,2850.0,2850.0,4
CPT,24371,"Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component SCHEDULED",,,7985.76,8153.88,3
CPT,24371,"Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component UNSCHEDULED",,,4467.12,4561.16,3
CPT,24400,"Osteotomy, humerus, with or without internal fixation ",,,1950.0,18507.0,106
CPT,24400,"Osteotomy, humerus, with or without internal fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,24400,"Osteotomy, humerus, with or without internal fixation SCHEDULED",,,7985.76,8153.88,3
CPT,24400,"Osteotomy, humerus, with or without internal fixation UNSCHEDULED",,,4467.12,4561.16,3
CPT,24410,"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) ",,,1950.0,18507.0,106
CPT,24410,"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,24410,"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) SCHEDULED",,,7985.76,8153.88,3
CPT,24410,"Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24420,"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) ",,,1950.0,18507.0,106
CPT,24420,"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) Other Surgical Services",,,2850.0,2850.0,4
CPT,24420,"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) SCHEDULED",,,3126.04,3191.85,3
CPT,24420,"Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24430,"Repair of nonunion or malunion, humerus; without graft (eg, compression technique) ",,,1950.0,18507.0,106
CPT,24430,"Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Other Surgical Services",,,2850.0,2850.0,4
CPT,24430,"Repair of nonunion or malunion, humerus; without graft (eg, compression technique) SCHEDULED",,,23365.76,23857.67,3
CPT,24430,"Repair of nonunion or malunion, humerus; without graft (eg, compression technique) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24435,"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,24435,"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,24435,"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) SCHEDULED",,,16456.22,16802.67,3
CPT,24435,"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24470,"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus) ",,,1950.0,18507.0,106
CPT,24470,"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus) Other Surgical Services",,,2850.0,2850.0,4
CPT,24470,"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus) SCHEDULED",,,7985.76,8153.88,3
CPT,24470,"Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24495,"Decompression fasciotomy, forearm, with brachial artery exploration ",,,1950.0,18507.0,106
CPT,24495,"Decompression fasciotomy, forearm, with brachial artery exploration Other Surgical Services",,,2850.0,2850.0,4
CPT,24495,"Decompression fasciotomy, forearm, with brachial artery exploration SCHEDULED",,,7985.76,8153.88,3
CPT,24495,"Decompression fasciotomy, forearm, with brachial artery exploration UNSCHEDULED",,,4467.12,4561.16,3
CPT,24498,"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft ",,,1950.0,18507.0,106
CPT,24498,"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft Other Surgical Services",,,2850.0,2850.0,4
CPT,24498,"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft SCHEDULED",,,7985.76,8153.88,3
CPT,24498,"Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft UNSCHEDULED",,,4467.12,4561.16,3
CPT,24500,Closed treatment of humeral shaft fracture; without manipulation ,,,1423.0,9710.0,106
CPT,24500,Closed treatment of humeral shaft fracture; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,24500,Closed treatment of humeral shaft fracture; without manipulation SCHEDULED,,,7985.76,8153.88,3
CPT,24500,Closed treatment of humeral shaft fracture; without manipulation UNSCHEDULED,,,1270.94,1297.7,3
CPT,24505,"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction ",,,1423.0,9710.0,106
CPT,24505,"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction Other Surgical Services",,,2850.0,2850.0,4
CPT,24505,"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction SCHEDULED",,,7985.76,8153.88,3
CPT,24505,"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction UNSCHEDULED",,,1167.29,1191.87,3
CPT,24515,"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage ",,,1950.0,18507.0,106
CPT,24515,"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage Other Surgical Services",,,2850.0,2850.0,4
CPT,24515,"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage SCHEDULED",,,14148.85,14446.72,3
CPT,24515,"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage UNSCHEDULED",,,20328.71,20756.68,3
CPT,24516,"Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws ",,,1950.0,18507.0,106
CPT,24516,"Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws Other Surgical Services",,,2850.0,2850.0,4
CPT,24516,"Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws SCHEDULED",,,16016.52,16353.72,3
CPT,24516,"Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws UNSCHEDULED",,,14773.85,15084.88,3
CPT,24530,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation ",,,1423.0,9710.0,106
CPT,24530,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,24530,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation SCHEDULED",,,7985.76,8153.88,3
CPT,24530,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation UNSCHEDULED",,,4467.12,4561.16,3
CPT,24535,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction ",,,1423.0,9710.0,106
CPT,24535,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction Other Surgical Services",,,2850.0,2850.0,4
CPT,24535,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction SCHEDULED",,,7985.76,8153.88,3
CPT,24535,"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction UNSCHEDULED",,,4467.12,4561.16,3
CPT,24538,"Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension ",,,1950.0,18507.0,106
CPT,24538,"Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension Other Surgical Services",,,2850.0,2850.0,4
CPT,24538,"Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension SCHEDULED",,,7985.76,8153.88,3
CPT,24538,"Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension UNSCHEDULED",,,4467.12,4561.16,3
CPT,24545,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without intercondylar extension ",,,1950.0,18507.0,106
CPT,24545,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without intercondylar extension Other Surgical Services",,,2850.0,2850.0,4
CPT,24545,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without intercondylar extension SCHEDULED",,,17197.42,17559.47,3
CPT,24545,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without intercondylar extension UNSCHEDULED",,,33494.52,34199.67,3
CPT,24546,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with intercondylar extension ",,,1950.0,18507.0,106
CPT,24546,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with intercondylar extension Other Surgical Services",,,2850.0,2850.0,4
CPT,24546,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with intercondylar extension SCHEDULED",,,24635.65,25154.29,3
CPT,24546,"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with intercondylar extension UNSCHEDULED",,,9090.24,9281.61,3
CPT,24560,"Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation ",,,1423.0,9710.0,98
CPT,24560,"Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,24560,"Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation SCHEDULED",,,7985.76,8153.88,3
CPT,24560,"Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation UNSCHEDULED",,,706.66,721.53,3
CPT,24565,"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation ",,,1423.0,9710.0,106
CPT,24565,"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,24565,"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation SCHEDULED",,,7985.76,8153.88,3
CPT,24565,"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation UNSCHEDULED",,,3265.28,3334.03,3
CPT,24566,"Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation ",,,1950.0,9710.0,106
CPT,24566,"Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,24566,"Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation SCHEDULED",,,7985.76,8153.88,3
CPT,24566,"Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation UNSCHEDULED",,,4467.12,4561.16,3
CPT,24575,"Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,24575,"Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,24575,"Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed SCHEDULED",,,15202.03,15522.08,3
CPT,24575,"Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed UNSCHEDULED",,,4467.12,4561.16,3
CPT,24576,"Closed treatment of humeral condylar fracture, medial or lateral; without manipulation ",,,1423.0,9710.0,106
CPT,24576,"Closed treatment of humeral condylar fracture, medial or lateral; without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,24576,"Closed treatment of humeral condylar fracture, medial or lateral; without manipulation SCHEDULED",,,7985.76,8153.88,3
CPT,24576,"Closed treatment of humeral condylar fracture, medial or lateral; without manipulation UNSCHEDULED",,,372.69,380.54,3
CPT,24577,"Closed treatment of humeral condylar fracture, medial or lateral; with manipulation ",,,1423.0,9710.0,106
CPT,24577,"Closed treatment of humeral condylar fracture, medial or lateral; with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,24577,"Closed treatment of humeral condylar fracture, medial or lateral; with manipulation SCHEDULED",,,7985.76,8153.88,3
CPT,24577,"Closed treatment of humeral condylar fracture, medial or lateral; with manipulation UNSCHEDULED",,,1289.78,1316.93,3
CPT,24579,"Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,24579,"Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,24579,"Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed SCHEDULED",,,11738.89,11986.03,3
CPT,24579,"Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed UNSCHEDULED",,,5785.17,5906.96,3
CPT,24582,"Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation ",,,1950.0,18507.0,106
CPT,24582,"Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,24582,"Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation SCHEDULED",,,7985.76,8153.88,3
CPT,24582,"Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation UNSCHEDULED",,,4467.12,4561.16,3
CPT,24586,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); ,,,1950.0,18507.0,106
CPT,24586,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); Other Surgical Services,,,2850.0,2850.0,4
CPT,24586,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); SCHEDULED,,,11913.72,12164.54,3
CPT,24586,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); UNSCHEDULED,,,10500.41,10721.47,3
CPT,24587,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty ,,,1950.0,18507.0,106
CPT,24587,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty Other Surgical Services,,,2850.0,2850.0,4
CPT,24587,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty SCHEDULED,,,4964.4,5068.91,3
CPT,24587,Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty UNSCHEDULED,,,4467.12,4561.16,3
CPT,24600,Treatment of closed elbow dislocation; without anesthesia ,,,1423.0,9710.0,106
CPT,24600,Treatment of closed elbow dislocation; without anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,24600,Treatment of closed elbow dislocation; without anesthesia SCHEDULED,,,7985.76,8153.88,3
CPT,24600,Treatment of closed elbow dislocation; without anesthesia UNSCHEDULED,,,549.62,561.19,3
CPT,24605,Treatment of closed elbow dislocation; requiring anesthesia ,,,1950.0,9710.0,106
CPT,24605,Treatment of closed elbow dislocation; requiring anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,24605,Treatment of closed elbow dislocation; requiring anesthesia SCHEDULED,,,4492.25,4586.82,3
CPT,24605,Treatment of closed elbow dislocation; requiring anesthesia UNSCHEDULED,,,1554.65,1587.38,3
CPT,24615,Open treatment of acute or chronic elbow dislocation ,,,1950.0,18507.0,106
CPT,24615,Open treatment of acute or chronic elbow dislocation Other Surgical Services,,,2850.0,2850.0,4
CPT,24615,Open treatment of acute or chronic elbow dislocation SCHEDULED,,,8868.29,9054.99,3
CPT,24615,Open treatment of acute or chronic elbow dislocation UNSCHEDULED,,,4467.12,4561.16,3
CPT,24620,"Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation ",,,1950.0,9710.0,106
CPT,24620,"Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,24620,"Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation SCHEDULED",,,7985.76,8153.88,3
CPT,24620,"Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation UNSCHEDULED",,,1064.69,1087.11,3
CPT,24635,"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,24635,"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,24635,"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), includes internal fixation, when performed SCHEDULED",,,7671.69,7833.2,3
CPT,24635,"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), includes internal fixation, when performed UNSCHEDULED",,,5250.2,5360.73,3
CPT,24640,"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation ",,,1423.0,9710.0,106
CPT,24640,"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,24640,"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation SCHEDULED",,,7985.76,8153.88,3
CPT,24640,"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation UNSCHEDULED",,,431.32,440.4,3
CPT,24650,Closed treatment of radial head or neck fracture; without manipulation ,,,1423.0,9710.0,106
CPT,24650,Closed treatment of radial head or neck fracture; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,24650,Closed treatment of radial head or neck fracture; without manipulation SCHEDULED,,,7985.76,8153.88,3
CPT,24650,Closed treatment of radial head or neck fracture; without manipulation UNSCHEDULED,,,452.26,461.78,3
CPT,24655,Closed treatment of radial head or neck fracture; with manipulation ,,,1423.0,9710.0,106
CPT,24655,Closed treatment of radial head or neck fracture; with manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,24655,Closed treatment of radial head or neck fracture; with manipulation SCHEDULED,,,5776.8,5898.41,3
CPT,24655,Closed treatment of radial head or neck fracture; with manipulation UNSCHEDULED,,,1755.65,1792.61,3
CPT,24665,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; ",,,1950.0,18507.0,106
CPT,24665,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; Other Surgical Services",,,2850.0,2850.0,4
CPT,24665,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; SCHEDULED",,,10234.49,10449.96,3
CPT,24665,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; UNSCHEDULED",,,9364.52,9561.67,3
CPT,24666,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement ",,,1950.0,18507.0,106
CPT,24666,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement Other Surgical Services",,,2850.0,2850.0,4
CPT,24666,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement SCHEDULED",,,10760.04,10986.57,3
CPT,24666,"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement UNSCHEDULED",,,6453.09,6588.95,3
CPT,24670,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); without manipulation ",,,1423.0,9710.0,106
CPT,24670,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,24670,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); without manipulation SCHEDULED",,,7985.76,8153.88,3
CPT,24670,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); without manipulation UNSCHEDULED",,,4467.12,4561.16,3
CPT,24675,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); with manipulation ",,,1423.0,9710.0,106
CPT,24675,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,24675,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); with manipulation SCHEDULED",,,7985.76,8153.88,3
CPT,24675,"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»); with manipulation UNSCHEDULED",,,1313.86,1341.52,3
CPT,24685,"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,24685,"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,24685,"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation, when performed SCHEDULED",,,12069.71,12323.81,3
CPT,24685,"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation, when performed UNSCHEDULED",,,10322.43,10539.75,3
CPT,24800,"Arthrodesis, elbow joint; local ",,,1950.0,18507.0,106
CPT,24800,"Arthrodesis, elbow joint; local Other Surgical Services",,,2850.0,2850.0,4
CPT,24800,"Arthrodesis, elbow joint; local SCHEDULED",,,7985.76,8153.88,3
CPT,24800,"Arthrodesis, elbow joint; local UNSCHEDULED",,,4467.12,4561.16,3
CPT,24802,"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,24802,"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,24802,"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) SCHEDULED",,,7985.76,8153.88,3
CPT,24802,"Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24900,"Amputation, arm through humerus; with primary closure ",,,1950.0,18507.0,78
CPT,24900,"Amputation, arm through humerus; with primary closure Other Surgical Services",,,2850.0,2850.0,4
CPT,24900,"Amputation, arm through humerus; with primary closure SCHEDULED",,,7985.76,8153.88,3
CPT,24900,"Amputation, arm through humerus; with primary closure UNSCHEDULED",,,4467.12,4561.16,3
CPT,24920,"Amputation, arm through humerus; open, circular (guillotine) ",,,1950.0,18507.0,78
CPT,24920,"Amputation, arm through humerus; open, circular (guillotine) Other Surgical Services",,,2850.0,2850.0,4
CPT,24920,"Amputation, arm through humerus; open, circular (guillotine) SCHEDULED",,,7985.76,8153.88,3
CPT,24920,"Amputation, arm through humerus; open, circular (guillotine) UNSCHEDULED",,,4467.12,4561.16,3
CPT,24925,"Amputation, arm through humerus; secondary closure or scar revision ",,,1950.0,18507.0,106
CPT,24925,"Amputation, arm through humerus; secondary closure or scar revision Other Surgical Services",,,2850.0,2850.0,4
CPT,24925,"Amputation, arm through humerus; secondary closure or scar revision SCHEDULED",,,7985.76,8153.88,3
CPT,24925,"Amputation, arm through humerus; secondary closure or scar revision UNSCHEDULED",,,4467.12,4561.16,3
CPT,24930,"Amputation, arm through humerus; re-amputation ",,,1950.0,18507.0,78
CPT,24930,"Amputation, arm through humerus; re-amputation Other Surgical Services",,,2850.0,2850.0,4
CPT,24930,"Amputation, arm through humerus; re-amputation SCHEDULED",,,7985.76,8153.88,3
CPT,24930,"Amputation, arm through humerus; re-amputation UNSCHEDULED",,,4467.12,4561.16,3
CPT,24931,"Amputation, arm through humerus; with implant ",,,1950.0,18507.0,78
CPT,24931,"Amputation, arm through humerus; with implant Other Surgical Services",,,2850.0,2850.0,4
CPT,24931,"Amputation, arm through humerus; with implant SCHEDULED",,,7985.76,8153.88,3
CPT,24931,"Amputation, arm through humerus; with implant UNSCHEDULED",,,4467.12,4561.16,3
CPT,24935,"Stump elongation, upper extremity ",,,1950.0,18507.0,106
CPT,24935,"Stump elongation, upper extremity Other Surgical Services",,,2850.0,2850.0,4
CPT,24935,"Stump elongation, upper extremity SCHEDULED",,,1099.24,1122.39,3
CPT,24935,"Stump elongation, upper extremity UNSCHEDULED",,,4467.12,4561.16,3
CPT,24940,"Cineplasty, upper extremity, complete procedure ",,,1950.0,18507.0,78
CPT,24940,"Cineplasty, upper extremity, complete procedure Other Surgical Services",,,2850.0,2850.0,4
CPT,24940,"Cineplasty, upper extremity, complete procedure SCHEDULED",,,7985.76,8153.88,3
CPT,24940,"Cineplasty, upper extremity, complete procedure UNSCHEDULED",,,4467.12,4561.16,3
CPT,24999,"Unlisted procedure, humerus or elbow ",,,1423.0,9710.0,106
CPT,24999,"Unlisted procedure, humerus or elbow Other Surgical Services",,,2850.0,2850.0,4
CPT,24999,"Unlisted procedure, humerus or elbow SCHEDULED",,,1219.64,1245.32,3
CPT,24999,"Unlisted procedure, humerus or elbow UNSCHEDULED",,,2251.88,2299.29,3
CPT,25000,"Incision, extensor tendon sheath, wrist (eg, de Quervains disease) ",,,1950.0,9710.0,106
CPT,25000,"Incision, extensor tendon sheath, wrist (eg, de Quervains disease) Other Surgical Services",,,2850.0,2850.0,4
CPT,25000,"Incision, extensor tendon sheath, wrist (eg, de Quervains disease) SCHEDULED",,,2992.04,3055.03,3
CPT,25000,"Incision, extensor tendon sheath, wrist (eg, de Quervains disease) UNSCHEDULED",,,3734.29,3812.91,3
CPT,25001,"Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) ",,,1950.0,18507.0,106
CPT,25001,"Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Other Surgical Services",,,2850.0,2850.0,4
CPT,25001,"Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) SCHEDULED",,,3355.31,3425.95,3
CPT,25001,"Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25020,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve ",,,1950.0,10719.0,106
CPT,25020,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,25020,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve SCHEDULED",,,3771.98,3851.39,3
CPT,25020,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve UNSCHEDULED",,,2865.36,2925.68,3
CPT,25023,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve ",,,1950.0,18507.0,106
CPT,25023,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,25023,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve SCHEDULED",,,6557.78,6695.84,3
CPT,25023,"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve UNSCHEDULED",,,4326.84,4417.93,3
CPT,25024,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve ",,,1950.0,18507.0,106
CPT,25024,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,25024,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve SCHEDULED",,,6557.78,6695.84,3
CPT,25024,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve UNSCHEDULED",,,4292.29,4382.65,3
CPT,25025,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve ",,,1950.0,9710.0,106
CPT,25025,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,25025,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve SCHEDULED",,,6557.78,6695.84,3
CPT,25025,"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve UNSCHEDULED",,,4383.37,4475.65,3
CPT,25028,"Incision and drainage, forearm and/or wrist; deep abscess or hematoma ",,,1950.0,18507.0,106
CPT,25028,"Incision and drainage, forearm and/or wrist; deep abscess or hematoma Other Surgical Services",,,2850.0,2850.0,4
CPT,25028,"Incision and drainage, forearm and/or wrist; deep abscess or hematoma SCHEDULED",,,4428.39,4521.62,3
CPT,25028,"Incision and drainage, forearm and/or wrist; deep abscess or hematoma UNSCHEDULED",,,765.28,781.39,3
CPT,25031,"Incision and drainage, forearm and/or wrist; bursa ",,,1950.0,9710.0,106
CPT,25031,"Incision and drainage, forearm and/or wrist; bursa Other Surgical Services",,,2850.0,2850.0,4
CPT,25031,"Incision and drainage, forearm and/or wrist; bursa SCHEDULED",,,6565.11,6703.32,3
CPT,25031,"Incision and drainage, forearm and/or wrist; bursa UNSCHEDULED",,,4292.29,4382.65,3
CPT,25035,"Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) ",,,1950.0,18507.0,106
CPT,25035,"Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) Other Surgical Services",,,2850.0,2850.0,4
CPT,25035,"Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) SCHEDULED",,,6557.78,6695.84,3
CPT,25035,"Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25040,"Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body ",,,1950.0,18507.0,106
CPT,25040,"Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,25040,"Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body SCHEDULED",,,3400.34,3471.92,3
CPT,25040,"Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body UNSCHEDULED",,,6286.63,6418.98,3
CPT,25065,"Biopsy, soft tissue of forearm and/or wrist; superficial ",,,1950.0,9710.0,106
CPT,25065,"Biopsy, soft tissue of forearm and/or wrist; superficial Other Surgical Services",,,2850.0,2850.0,4
CPT,25065,"Biopsy, soft tissue of forearm and/or wrist; superficial SCHEDULED",,,6557.78,6695.84,3
CPT,25065,"Biopsy, soft tissue of forearm and/or wrist; superficial UNSCHEDULED",,,4292.29,4382.65,3
CPT,25066,"Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) ",,,1950.0,14792.0,106
CPT,25066,"Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) Other Surgical Services",,,2850.0,2850.0,4
CPT,25066,"Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) SCHEDULED",,,6557.78,6695.84,3
CPT,25066,"Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25071,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater ",,,1950.0,9710.0,106
CPT,25071,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,25071,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater SCHEDULED",,,3724.87,3803.29,3
CPT,25071,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater UNSCHEDULED",,,4292.29,4382.65,3
CPT,25073,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater ",,,1950.0,14792.0,106
CPT,25073,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,25073,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater SCHEDULED",,,5123.53,5231.39,3
CPT,25073,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater UNSCHEDULED",,,4292.29,4382.65,3
CPT,25075,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm ",,,1950.0,9710.0,106
CPT,25075,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,25075,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm SCHEDULED",,,6557.78,6695.84,3
CPT,25075,"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm UNSCHEDULED",,,4292.29,4382.65,3
CPT,25076,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm ",,,1950.0,9710.0,106
CPT,25076,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,25076,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm SCHEDULED",,,18010.87,18390.05,3
CPT,25076,"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm UNSCHEDULED",,,4292.29,4382.65,3
CPT,25077,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm ",,,1950.0,14792.0,106
CPT,25077,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,25077,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm SCHEDULED",,,6557.78,6695.84,3
CPT,25077,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm UNSCHEDULED",,,4292.29,4382.65,3
CPT,25078,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater ",,,1950.0,14792.0,106
CPT,25078,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,25078,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater SCHEDULED",,,6557.78,6695.84,3
CPT,25078,"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater UNSCHEDULED",,,4292.29,4382.65,3
CPT,25085,"Capsulotomy, wrist (eg, contracture) ",,,1950.0,18507.0,106
CPT,25085,"Capsulotomy, wrist (eg, contracture) Other Surgical Services",,,2850.0,2850.0,4
CPT,25085,"Capsulotomy, wrist (eg, contracture) SCHEDULED",,,2743.92,2801.69,3
CPT,25085,"Capsulotomy, wrist (eg, contracture) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25100,"Arthrotomy, wrist joint; with biopsy ",,,1950.0,18507.0,106
CPT,25100,"Arthrotomy, wrist joint; with biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,25100,"Arthrotomy, wrist joint; with biopsy SCHEDULED",,,6557.78,6695.84,3
CPT,25100,"Arthrotomy, wrist joint; with biopsy UNSCHEDULED",,,4292.29,4382.65,3
CPT,25101,"Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body ",,,1950.0,18507.0,106
CPT,25101,"Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,25101,"Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body SCHEDULED",,,2466.49,2518.42,3
CPT,25101,"Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body UNSCHEDULED",,,4292.29,4382.65,3
CPT,25105,"Arthrotomy, wrist joint; with synovectomy ",,,1950.0,18507.0,106
CPT,25105,"Arthrotomy, wrist joint; with synovectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,25105,"Arthrotomy, wrist joint; with synovectomy SCHEDULED",,,3632.74,3709.22,3
CPT,25105,"Arthrotomy, wrist joint; with synovectomy UNSCHEDULED",,,4292.29,4382.65,3
CPT,25107,"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex ",,,1950.0,18507.0,106
CPT,25107,"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Other Surgical Services",,,2850.0,2850.0,4
CPT,25107,"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex SCHEDULED",,,4986.39,5091.37,3
CPT,25107,"Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex UNSCHEDULED",,,4292.29,4382.65,3
CPT,25109,"Excision of tendon, forearm and/or wrist, flexor or extensor, each ",,,1950.0,18507.0,106
CPT,25109,"Excision of tendon, forearm and/or wrist, flexor or extensor, each Other Surgical Services",,,2850.0,2850.0,4
CPT,25109,"Excision of tendon, forearm and/or wrist, flexor or extensor, each SCHEDULED",,,9587.51,9789.36,3
CPT,25109,"Excision of tendon, forearm and/or wrist, flexor or extensor, each UNSCHEDULED",,,4292.29,4382.65,3
CPT,25110,"Excision, lesion of tendon sheath, forearm and/or wrist ",,,1950.0,9710.0,106
CPT,25110,"Excision, lesion of tendon sheath, forearm and/or wrist Other Surgical Services",,,2850.0,2850.0,4
CPT,25110,"Excision, lesion of tendon sheath, forearm and/or wrist SCHEDULED",,,6557.78,6695.84,3
CPT,25110,"Excision, lesion of tendon sheath, forearm and/or wrist UNSCHEDULED",,,4292.29,4382.65,3
CPT,25111,"Excision of ganglion, wrist (dorsal or volar); primary ",,,1950.0,9710.0,106
CPT,25111,"Excision of ganglion, wrist (dorsal or volar); primary Other Surgical Services",,,2850.0,2850.0,4
CPT,25111,"Excision of ganglion, wrist (dorsal or volar); primary SCHEDULED",,,4047.31,4132.52,3
CPT,25111,"Excision of ganglion, wrist (dorsal or volar); primary UNSCHEDULED",,,3734.29,3812.91,3
CPT,25112,"Excision of ganglion, wrist (dorsal or volar); recurrent ",,,1950.0,9710.0,106
CPT,25112,"Excision of ganglion, wrist (dorsal or volar); recurrent Other Surgical Services",,,2850.0,2850.0,4
CPT,25112,"Excision of ganglion, wrist (dorsal or volar); recurrent SCHEDULED",,,5621.85,5740.21,3
CPT,25112,"Excision of ganglion, wrist (dorsal or volar); recurrent UNSCHEDULED",,,4292.29,4382.65,3
CPT,25115,"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors ",,,1950.0,9710.0,106
CPT,25115,"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors Other Surgical Services",,,2850.0,2850.0,4
CPT,25115,"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors SCHEDULED",,,2943.88,3005.86,3
CPT,25115,"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors UNSCHEDULED",,,4292.29,4382.65,3
CPT,25116,"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal r",,,1950.0,18507.0,116
CPT,25118,"Synovectomy, extensor tendon sheath, wrist, single compartment; ",,,1950.0,9710.0,106
CPT,25118,"Synovectomy, extensor tendon sheath, wrist, single compartment; Other Surgical Services",,,2850.0,2850.0,4
CPT,25118,"Synovectomy, extensor tendon sheath, wrist, single compartment; SCHEDULED",,,7702.04,7864.19,3
CPT,25118,"Synovectomy, extensor tendon sheath, wrist, single compartment; UNSCHEDULED",,,4292.29,4382.65,3
CPT,25119,"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna ",,,1950.0,18507.0,106
CPT,25119,"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Other Surgical Services",,,2850.0,2850.0,4
CPT,25119,"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna SCHEDULED",,,6557.78,6695.84,3
CPT,25119,"Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna UNSCHEDULED",,,4292.29,4382.65,3
CPT,25120,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); ,,,1950.0,18507.0,106
CPT,25120,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); Other Surgical Services,,,2850.0,2850.0,4
CPT,25120,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); SCHEDULED,,,7079.13,7228.17,3
CPT,25120,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); UNSCHEDULED,,,4292.29,4382.65,3
CPT,25125,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft) ,,,1950.0,9710.0,106
CPT,25125,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,25125,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft) SCHEDULED,,,6557.78,6695.84,3
CPT,25125,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft) UNSCHEDULED,,,4292.29,4382.65,3
CPT,25126,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft ,,,1950.0,18507.0,106
CPT,25126,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft Other Surgical Services,,,2850.0,2850.0,4
CPT,25126,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft SCHEDULED,,,6557.78,6695.84,3
CPT,25126,Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft UNSCHEDULED,,,4292.29,4382.65,3
CPT,25130,Excision or curettage of bone cyst or benign tumor of carpal bones; ,,,1950.0,18507.0,106
CPT,25130,Excision or curettage of bone cyst or benign tumor of carpal bones; Other Surgical Services,,,2850.0,2850.0,4
CPT,25130,Excision or curettage of bone cyst or benign tumor of carpal bones; SCHEDULED,,,6113.9,6242.61,3
CPT,25130,Excision or curettage of bone cyst or benign tumor of carpal bones; UNSCHEDULED,,,4292.29,4382.65,3
CPT,25135,Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) ,,,1950.0,18507.0,106
CPT,25135,Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,25135,Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) SCHEDULED,,,8063.22,8232.97,3
CPT,25135,Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) UNSCHEDULED,,,4292.29,4382.65,3
CPT,25136,Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft ,,,1950.0,18507.0,106
CPT,25136,Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft Other Surgical Services,,,2850.0,2850.0,4
CPT,25136,Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft SCHEDULED,,,6557.78,6695.84,3
CPT,25136,Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft UNSCHEDULED,,,4292.29,4382.65,3
CPT,25145,"Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist ",,,1950.0,18507.0,106
CPT,25145,"Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Other Surgical Services",,,2850.0,2850.0,4
CPT,25145,"Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist SCHEDULED",,,4650.33,4748.23,3
CPT,25145,"Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist UNSCHEDULED",,,4292.29,4382.65,3
CPT,25150,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna ",,,1950.0,18507.0,106
CPT,25150,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Other Surgical Services",,,2850.0,2850.0,4
CPT,25150,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna SCHEDULED",,,4002.3,4086.56,3
CPT,25150,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna UNSCHEDULED",,,4292.29,4382.65,3
CPT,25151,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius ",,,1950.0,18507.0,106
CPT,25151,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Other Surgical Services",,,2850.0,2850.0,4
CPT,25151,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius SCHEDULED",,,6557.78,6695.84,3
CPT,25151,"Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius UNSCHEDULED",,,4292.29,4382.65,3
CPT,25170,"Radical resection of tumor, radius or ulna ",,,1950.0,18507.0,106
CPT,25170,"Radical resection of tumor, radius or ulna Other Surgical Services",,,2850.0,2850.0,4
CPT,25170,"Radical resection of tumor, radius or ulna SCHEDULED",,,6557.78,6695.84,3
CPT,25170,"Radical resection of tumor, radius or ulna UNSCHEDULED",,,4292.29,4382.65,3
CPT,25210,Carpectomy; 1 bone ,,,1950.0,18507.0,106
CPT,25210,Carpectomy; 1 bone Other Surgical Services,,,2850.0,2850.0,4
CPT,25210,Carpectomy; 1 bone SCHEDULED,,,9191.78,9385.29,3
CPT,25210,Carpectomy; 1 bone UNSCHEDULED,,,4292.29,4382.65,3
CPT,25215,Carpectomy; all bones of proximal row ,,,1950.0,18507.0,106
CPT,25215,Carpectomy; all bones of proximal row Other Surgical Services,,,2850.0,2850.0,4
CPT,25215,Carpectomy; all bones of proximal row SCHEDULED,,,6549.4,6687.29,3
CPT,25215,Carpectomy; all bones of proximal row UNSCHEDULED,,,4292.29,4382.65,3
CPT,25230,Radial styloidectomy (separate procedure) ,,,1950.0,18507.0,106
CPT,25230,Radial styloidectomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,25230,Radial styloidectomy (separate procedure) SCHEDULED,,,8729.06,8912.83,3
CPT,25230,Radial styloidectomy (separate procedure) UNSCHEDULED,,,4292.29,4382.65,3
CPT,25240,"Excision distal ulna partial or complete (eg, Darrach type or matched resection) ",,,1950.0,18507.0,106
CPT,25240,"Excision distal ulna partial or complete (eg, Darrach type or matched resection) Other Surgical Services",,,2850.0,2850.0,4
CPT,25240,"Excision distal ulna partial or complete (eg, Darrach type or matched resection) SCHEDULED",,,6820.55,6964.14,3
CPT,25240,"Excision distal ulna partial or complete (eg, Darrach type or matched resection) UNSCHEDULED",,,6962.93,7109.52,3
CPT,25246,Injection procedure for wrist arthrography ,,,1423.0,9710.0,99
CPT,25246,Injection procedure for wrist arthrography Other Surgical Services,,,2850.0,2850.0,4
CPT,25246,Injection procedure for wrist arthrography SCHEDULED,,,6557.78,6695.84,3
CPT,25246,Injection procedure for wrist arthrography UNSCHEDULED,,,430.27,439.33,3
CPT,25248,"Exploration with removal of deep foreign body, forearm or wrist ",,,1950.0,9710.0,106
CPT,25248,"Exploration with removal of deep foreign body, forearm or wrist Other Surgical Services",,,2850.0,2850.0,4
CPT,25248,"Exploration with removal of deep foreign body, forearm or wrist SCHEDULED",,,5358.04,5470.84,3
CPT,25248,"Exploration with removal of deep foreign body, forearm or wrist UNSCHEDULED",,,5956.86,6082.27,3
CPT,25250,Removal of wrist prosthesis; (separate procedure) ,,,1950.0,9710.0,106
CPT,25250,Removal of wrist prosthesis; (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,25250,Removal of wrist prosthesis; (separate procedure) SCHEDULED,,,6557.78,6695.84,3
CPT,25250,Removal of wrist prosthesis; (separate procedure) UNSCHEDULED,,,4292.29,4382.65,3
CPT,25251,"Removal of wrist prosthesis; complicated, including total wrist ",,,1950.0,18507.0,106
CPT,25251,"Removal of wrist prosthesis; complicated, including total wrist Other Surgical Services",,,2850.0,2850.0,4
CPT,25251,"Removal of wrist prosthesis; complicated, including total wrist SCHEDULED",,,6557.78,6695.84,3
CPT,25251,"Removal of wrist prosthesis; complicated, including total wrist UNSCHEDULED",,,4292.29,4382.65,3
CPT,25259,"Manipulation, wrist, under anesthesia ",,,1950.0,9710.0,106
CPT,25259,"Manipulation, wrist, under anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,25259,"Manipulation, wrist, under anesthesia SCHEDULED",,,2970.05,3032.58,3
CPT,25259,"Manipulation, wrist, under anesthesia UNSCHEDULED",,,4292.29,4382.65,3
CPT,25260,"Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle ",,,1950.0,18507.0,106
CPT,25260,"Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle Other Surgical Services",,,2850.0,2850.0,4
CPT,25260,"Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle SCHEDULED",,,5753.76,5874.89,3
CPT,25260,"Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle UNSCHEDULED",,,2228.85,2275.78,3
CPT,25263,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle ",,,1950.0,18507.0,106
CPT,25263,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Other Surgical Services",,,2850.0,2850.0,4
CPT,25263,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle SCHEDULED",,,3427.55,3499.71,3
CPT,25263,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle UNSCHEDULED",,,775.75,792.08,3
CPT,25265,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle ",,,1950.0,18507.0,106
CPT,25265,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle Other Surgical Services",,,2850.0,2850.0,4
CPT,25265,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle SCHEDULED",,,4172.94,4260.79,3
CPT,25265,"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle UNSCHEDULED",,,4292.29,4382.65,3
CPT,25270,"Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle ",,,1950.0,18507.0,106
CPT,25270,"Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle Other Surgical Services",,,2850.0,2850.0,4
CPT,25270,"Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle SCHEDULED",,,2135.68,2180.64,3
CPT,25270,"Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle UNSCHEDULED",,,4273.44,4363.41,3
CPT,25272,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle ",,,1950.0,18507.0,106
CPT,25272,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Other Surgical Services",,,2850.0,2850.0,4
CPT,25272,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle SCHEDULED",,,9171.89,9364.98,3
CPT,25272,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle UNSCHEDULED",,,4292.29,4382.65,3
CPT,25274,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle ",,,1950.0,18507.0,106
CPT,25274,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle Other Surgical Services",,,2850.0,2850.0,4
CPT,25274,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle SCHEDULED",,,5104.68,5212.15,3
CPT,25274,"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle UNSCHEDULED",,,4292.29,4382.65,3
CPT,25275,"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation) ",,,1950.0,18507.0,106
CPT,25275,"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation) Other Surgical Services",,,2850.0,2850.0,4
CPT,25275,"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation) SCHEDULED",,,5757.95,5879.17,3
CPT,25275,"Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation) UNSCHEDULED",,,24334.15,24846.44,3
CPT,25280,"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon ",,,1950.0,18507.0,106
CPT,25280,"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,25280,"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon SCHEDULED",,,5522.4,5638.66,3
CPT,25280,"Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon UNSCHEDULED",,,4292.29,4382.65,3
CPT,25290,"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon ",,,1950.0,18507.0,106
CPT,25290,"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,25290,"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon SCHEDULED",,,7998.32,8166.7,3
CPT,25290,"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon UNSCHEDULED",,,9346.73,9543.5,3
CPT,25295,"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon ",,,1950.0,18507.0,106
CPT,25295,"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,25295,"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon SCHEDULED",,,6557.78,6695.84,3
CPT,25295,"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon UNSCHEDULED",,,4292.29,4382.65,3
CPT,25300,Tenodesis at wrist; flexors of fingers ,,,1950.0,18507.0,106
CPT,25300,Tenodesis at wrist; flexors of fingers Other Surgical Services,,,2850.0,2850.0,4
CPT,25300,Tenodesis at wrist; flexors of fingers SCHEDULED,,,6557.78,6695.84,3
CPT,25300,Tenodesis at wrist; flexors of fingers UNSCHEDULED,,,4292.29,4382.65,3
CPT,25301,Tenodesis at wrist; extensors of fingers ,,,1950.0,18507.0,106
CPT,25301,Tenodesis at wrist; extensors of fingers Other Surgical Services,,,2850.0,2850.0,4
CPT,25301,Tenodesis at wrist; extensors of fingers SCHEDULED,,,2917.71,2979.13,3
CPT,25301,Tenodesis at wrist; extensors of fingers UNSCHEDULED,,,4292.29,4382.65,3
CPT,25310,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon ",,,1950.0,18507.0,106
CPT,25310,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,25310,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon SCHEDULED",,,4281.82,4371.96,3
CPT,25310,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon UNSCHEDULED",,,787.26,803.84,3
CPT,25312,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon ",,,1950.0,18507.0,106
CPT,25312,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,25312,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon SCHEDULED",,,8471.51,8649.86,3
CPT,25312,"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon UNSCHEDULED",,,787.26,803.84,3
CPT,25315,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; ",,,1950.0,18507.0,106
CPT,25315,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; Other Surgical Services",,,2850.0,2850.0,4
CPT,25315,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; SCHEDULED",,,6557.78,6695.84,3
CPT,25315,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; UNSCHEDULED",,,4292.29,4382.65,3
CPT,25316,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer ",,,1950.0,18507.0,106
CPT,25316,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer Other Surgical Services",,,2850.0,2850.0,4
CPT,25316,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer SCHEDULED",,,6557.78,6695.84,3
CPT,25316,"Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer UNSCHEDULED",,,4292.29,4382.65,3
CPT,25320,"Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability ",,,1950.0,18507.0,106
CPT,25320,"Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability Other Surgical",,,2850.0,2850.0,4
CPT,25320,"Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability SCHEDULED",,,9976.96,10187.0,3
CPT,25320,"Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability UNSCHEDULED",,,20008.35,20429.58,3
CPT,25332,"Arthroplasty, wrist, with or without interposition, with or without external or internal fixation ",,,1950.0,18507.0,106
CPT,25332,"Arthroplasty, wrist, with or without interposition, with or without external or internal fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,25332,"Arthroplasty, wrist, with or without interposition, with or without external or internal fixation SCHEDULED",,,5428.18,5542.45,3
CPT,25332,"Arthroplasty, wrist, with or without interposition, with or without external or internal fixation UNSCHEDULED",,,15755.84,16087.55,3
CPT,25335,"Centralization of wrist on ulna (eg, radial club hand) ",,,1950.0,18507.0,106
CPT,25335,"Centralization of wrist on ulna (eg, radial club hand) Other Surgical Services",,,2850.0,2850.0,4
CPT,25335,"Centralization of wrist on ulna (eg, radial club hand) SCHEDULED",,,6557.78,6695.84,3
CPT,25335,"Centralization of wrist on ulna (eg, radial club hand) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25337,"Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue stabilization (eg, tendon transfer, tendon graft or weave, or tenodesis) with or without o",,,1950.0,18507.0,116
CPT,25350,"Osteotomy, radius; distal third ",,,1950.0,18507.0,106
CPT,25350,"Osteotomy, radius; distal third Other Surgical Services",,,2850.0,2850.0,4
CPT,25350,"Osteotomy, radius; distal third SCHEDULED",,,10034.54,10245.79,3
CPT,25350,"Osteotomy, radius; distal third UNSCHEDULED",,,4292.29,4382.65,3
CPT,25355,"Osteotomy, radius; middle or proximal third ",,,1950.0,18507.0,106
CPT,25355,"Osteotomy, radius; middle or proximal third Other Surgical Services",,,2850.0,2850.0,4
CPT,25355,"Osteotomy, radius; middle or proximal third SCHEDULED",,,6557.78,6695.84,3
CPT,25355,"Osteotomy, radius; middle or proximal third UNSCHEDULED",,,4292.29,4382.65,3
CPT,25360,Osteotomy; ulna ,,,1950.0,18507.0,106
CPT,25360,Osteotomy; ulna Other Surgical Services,,,2850.0,2850.0,4
CPT,25360,Osteotomy; ulna SCHEDULED,,,9972.77,10182.72,3
CPT,25360,Osteotomy; ulna UNSCHEDULED,,,4292.29,4382.65,3
CPT,25365,Osteotomy; radius AND ulna ,,,1950.0,18507.0,106
CPT,25365,Osteotomy; radius AND ulna Other Surgical Services,,,2850.0,2850.0,4
CPT,25365,Osteotomy; radius AND ulna SCHEDULED,,,6557.78,6695.84,3
CPT,25365,Osteotomy; radius AND ulna UNSCHEDULED,,,4292.29,4382.65,3
CPT,25370,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna ",,,1950.0,18507.0,106
CPT,25370,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Other Surgical Services",,,2850.0,2850.0,4
CPT,25370,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna SCHEDULED",,,6557.78,6695.84,3
CPT,25370,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna UNSCHEDULED",,,4292.29,4382.65,3
CPT,25375,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna ",,,1950.0,18507.0,106
CPT,25375,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Other Surgical Services",,,2850.0,2850.0,4
CPT,25375,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna SCHEDULED",,,6557.78,6695.84,3
CPT,25375,"Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna UNSCHEDULED",,,4292.29,4382.65,3
CPT,25390,"Osteoplasty, radius OR ulna; shortening ",,,1950.0,18507.0,106
CPT,25390,"Osteoplasty, radius OR ulna; shortening Other Surgical Services",,,2850.0,2850.0,4
CPT,25390,"Osteoplasty, radius OR ulna; shortening SCHEDULED",,,8440.1,8617.79,3
CPT,25390,"Osteoplasty, radius OR ulna; shortening UNSCHEDULED",,,4292.29,4382.65,3
CPT,25391,"Osteoplasty, radius OR ulna; lengthening with autograft ",,,1950.0,18507.0,106
CPT,25391,"Osteoplasty, radius OR ulna; lengthening with autograft Other Surgical Services",,,2850.0,2850.0,4
CPT,25391,"Osteoplasty, radius OR ulna; lengthening with autograft SCHEDULED",,,6687.6,6828.39,3
CPT,25391,"Osteoplasty, radius OR ulna; lengthening with autograft UNSCHEDULED",,,4292.29,4382.65,3
CPT,25392,"Osteoplasty, radius AND ulna; shortening (excluding 64876) ",,,1950.0,18507.0,106
CPT,25392,"Osteoplasty, radius AND ulna; shortening (excluding 64876) Other Surgical Services",,,2850.0,2850.0,4
CPT,25392,"Osteoplasty, radius AND ulna; shortening (excluding 64876) SCHEDULED",,,6557.78,6695.84,3
CPT,25392,"Osteoplasty, radius AND ulna; shortening (excluding 64876) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25393,"Osteoplasty, radius AND ulna; lengthening with autograft ",,,1950.0,18507.0,106
CPT,25393,"Osteoplasty, radius AND ulna; lengthening with autograft Other Surgical Services",,,2850.0,2850.0,4
CPT,25393,"Osteoplasty, radius AND ulna; lengthening with autograft SCHEDULED",,,6557.78,6695.84,3
CPT,25393,"Osteoplasty, radius AND ulna; lengthening with autograft UNSCHEDULED",,,4292.29,4382.65,3
CPT,25394,"Osteoplasty, carpal bone, shortening ",,,1950.0,18507.0,106
CPT,25394,"Osteoplasty, carpal bone, shortening Other Surgical Services",,,2850.0,2850.0,4
CPT,25394,"Osteoplasty, carpal bone, shortening SCHEDULED",,,6557.78,6695.84,3
CPT,25394,"Osteoplasty, carpal bone, shortening UNSCHEDULED",,,4292.29,4382.65,3
CPT,25400,"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) ",,,1950.0,18507.0,106
CPT,25400,"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Other Surgical Services",,,2850.0,2850.0,4
CPT,25400,"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) SCHEDULED",,,15128.75,15447.25,3
CPT,25400,"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) UNSCHEDULED",,,9653.46,9856.69,3
CPT,25405,"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,25405,"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,25405,"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) SCHEDULED",,,14526.78,14832.61,3
CPT,25405,"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25415,"Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) ",,,1950.0,18507.0,106
CPT,25415,"Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) Other Surgical Services",,,2850.0,2850.0,4
CPT,25415,"Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) SCHEDULED",,,6557.78,6695.84,3
CPT,25415,"Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25420,"Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,25420,"Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,25420,"Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) SCHEDULED",,,6557.78,6695.84,3
CPT,25420,"Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25425,Repair of defect with autograft; radius OR ulna ,,,1950.0,18507.0,106
CPT,25425,Repair of defect with autograft; radius OR ulna Other Surgical Services,,,2850.0,2850.0,4
CPT,25425,Repair of defect with autograft; radius OR ulna SCHEDULED,,,9433.61,9632.22,3
CPT,25425,Repair of defect with autograft; radius OR ulna UNSCHEDULED,,,4292.29,4382.65,3
CPT,25426,Repair of defect with autograft; radius AND ulna ,,,1950.0,18507.0,106
CPT,25426,Repair of defect with autograft; radius AND ulna Other Surgical Services,,,2850.0,2850.0,4
CPT,25426,Repair of defect with autograft; radius AND ulna SCHEDULED,,,6557.78,6695.84,3
CPT,25426,Repair of defect with autograft; radius AND ulna UNSCHEDULED,,,4292.29,4382.65,3
CPT,25430,"Insertion of vascular pedicle into carpal bone (eg, Hori procedure) ",,,1950.0,18507.0,106
CPT,25430,"Insertion of vascular pedicle into carpal bone (eg, Hori procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,25430,"Insertion of vascular pedicle into carpal bone (eg, Hori procedure) SCHEDULED",,,6557.78,6695.84,3
CPT,25430,"Insertion of vascular pedicle into carpal bone (eg, Hori procedure) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25431,"Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone ",,,1950.0,18507.0,106
CPT,25431,"Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone Other Surgical Services",,,2850.0,2850.0,4
CPT,25431,"Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone SCHEDULED",,,3521.77,3595.92,3
CPT,25431,"Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone UNSCHEDULED",,,4292.29,4382.65,3
CPT,25440,"Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation) ",,,1950.0,18507.0,106
CPT,25440,"Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation) Other Surgical Services",,,2850.0,2850.0,4
CPT,25440,"Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation) SCHEDULED",,,11798.56,12046.95,3
CPT,25440,"Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25441,Arthroplasty with prosthetic replacement; distal radius ,,,1950.0,19295.0,106
CPT,25441,Arthroplasty with prosthetic replacement; distal radius Other Surgical Services,,,2850.0,2850.0,4
CPT,25441,Arthroplasty with prosthetic replacement; distal radius SCHEDULED,,,6557.78,6695.84,3
CPT,25441,Arthroplasty with prosthetic replacement; distal radius UNSCHEDULED,,,4292.29,4382.65,3
CPT,25442,Arthroplasty with prosthetic replacement; distal ulna ,,,1950.0,19295.0,106
CPT,25442,Arthroplasty with prosthetic replacement; distal ulna Other Surgical Services,,,2850.0,2850.0,4
CPT,25442,Arthroplasty with prosthetic replacement; distal ulna SCHEDULED,,,6557.78,6695.84,3
CPT,25442,Arthroplasty with prosthetic replacement; distal ulna UNSCHEDULED,,,4292.29,4382.65,3
CPT,25443,Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) ,,,1950.0,18507.0,106
CPT,25443,Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Other Surgical Services,,,2850.0,2850.0,4
CPT,25443,Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) SCHEDULED,,,6557.78,6695.84,3
CPT,25443,Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) UNSCHEDULED,,,4292.29,4382.65,3
CPT,25444,Arthroplasty with prosthetic replacement; lunate ,,,1950.0,18507.0,106
CPT,25444,Arthroplasty with prosthetic replacement; lunate Other Surgical Services,,,2850.0,2850.0,4
CPT,25444,Arthroplasty with prosthetic replacement; lunate SCHEDULED,,,6557.78,6695.84,3
CPT,25444,Arthroplasty with prosthetic replacement; lunate UNSCHEDULED,,,4292.29,4382.65,3
CPT,25445,Arthroplasty with prosthetic replacement; trapezium ,,,1950.0,18507.0,106
CPT,25445,Arthroplasty with prosthetic replacement; trapezium Other Surgical Services,,,2850.0,2850.0,4
CPT,25445,Arthroplasty with prosthetic replacement; trapezium SCHEDULED,,,6557.78,6695.84,3
CPT,25445,Arthroplasty with prosthetic replacement; trapezium UNSCHEDULED,,,4292.29,4382.65,3
CPT,25446,Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) ,,,1950.0,19295.0,106
CPT,25446,Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Other Surgical Services,,,2850.0,2850.0,4
CPT,25446,Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) SCHEDULED,,,11344.21,11583.03,3
CPT,25446,Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) UNSCHEDULED,,,4292.29,4382.65,3
CPT,25447,"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon) ",,,1950.0,18507.0,106
CPT,25447,"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon) Other Surgical Services",,,2850.0,2850.0,4
CPT,25447,"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon) SCHEDULED",,,8451.63,8629.56,3
CPT,25447,"Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon) UNSCHEDULED",,,3842.12,3923.01,3
CPT,25448,"Arthroplasty, intercarpal or carpometacarpal joints; suspension, including transfer or transplant of tendon, with interposition, when performed ",,,1950.0,18507.0,78
CPT,25448,"Arthroplasty, intercarpal or carpometacarpal joints; suspension, including transfer or transplant of tendon, with interposition, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,25449,"Revision of arthroplasty, including removal of implant, wrist joint ",,,1950.0,18507.0,106
CPT,25449,"Revision of arthroplasty, including removal of implant, wrist joint Other Surgical Services",,,2850.0,2850.0,4
CPT,25449,"Revision of arthroplasty, including removal of implant, wrist joint SCHEDULED",,,6557.78,6695.84,3
CPT,25449,"Revision of arthroplasty, including removal of implant, wrist joint UNSCHEDULED",,,4292.29,4382.65,3
CPT,25450,Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna ,,,1950.0,18507.0,106
CPT,25450,Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna Other Surgical Services,,,2850.0,2850.0,4
CPT,25450,Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna SCHEDULED,,,6557.78,6695.84,3
CPT,25450,Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna UNSCHEDULED,,,4292.29,4382.65,3
CPT,25455,Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna ,,,1950.0,18507.0,106
CPT,25455,Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Other Surgical Services,,,2850.0,2850.0,4
CPT,25455,Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna SCHEDULED,,,6557.78,6695.84,3
CPT,25455,Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna UNSCHEDULED,,,4292.29,4382.65,3
CPT,25490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius ",,,1950.0,18507.0,106
CPT,25490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius Other Surgical Services",,,2850.0,2850.0,4
CPT,25490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius SCHEDULED",,,6557.78,6695.84,3
CPT,25490,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius UNSCHEDULED",,,4292.29,4382.65,3
CPT,25491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna ",,,1950.0,18507.0,106
CPT,25491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna Other Surgical Services",,,2850.0,2850.0,4
CPT,25491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna SCHEDULED",,,6557.78,6695.84,3
CPT,25491,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna UNSCHEDULED",,,4292.29,4382.65,3
CPT,25492,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna ",,,1950.0,18507.0,106
CPT,25492,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna Other Surgical Services",,,2850.0,2850.0,4
CPT,25492,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna SCHEDULED",,,6557.78,6695.84,3
CPT,25492,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna UNSCHEDULED",,,4292.29,4382.65,3
CPT,25500,Closed treatment of radial shaft fracture; without manipulation ,,,1423.0,9710.0,102
CPT,25500,Closed treatment of radial shaft fracture; without manipulation Other Surgical Services,,,4150.0,4150.0,1
CPT,25500,Closed treatment of radial shaft fracture; without manipulation SCHEDULED,,,6557.78,6695.84,3
CPT,25500,Closed treatment of radial shaft fracture; without manipulation UNSCHEDULED,,,855.31,873.32,3
CPT,25505,Closed treatment of radial shaft fracture; with manipulation ,,,1982.0,9710.0,102
CPT,25505,Closed treatment of radial shaft fracture; with manipulation Other Surgical Services,,,4150.0,4150.0,1
CPT,25505,Closed treatment of radial shaft fracture; with manipulation SCHEDULED,,,6557.78,6695.84,3
CPT,25505,Closed treatment of radial shaft fracture; with manipulation UNSCHEDULED,,,1456.24,1486.89,3
CPT,25515,"Open treatment of radial shaft fracture, includes internal fixation, when performed ",,,2350.0,18507.0,102
CPT,25515,"Open treatment of radial shaft fracture, includes internal fixation, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,25515,"Open treatment of radial shaft fracture, includes internal fixation, when performed SCHEDULED",,,10393.63,10612.44,3
CPT,25515,"Open treatment of radial shaft fracture, includes internal fixation, when performed UNSCHEDULED",,,8525.96,8705.45,3
CPT,25520,Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation) ,,,1423.0,9710.0,94
CPT,25520,Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation) Other Surgical Services,,,4150.0,4150.0,1
CPT,25520,Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation) SCHEDULED,,,6557.78,6695.84,3
CPT,25520,Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation) UNSCHEDULED,,,677.34,691.6,3
CPT,25525,"Open treatment of radial shaft fracture, includes internal fixation, when performed, and closed treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes percutaneous",,,2350.0,26620.88,109
CPT,25526,"Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal fixat",,,2350.0,18507.0,109
CPT,25530,Closed treatment of ulnar shaft fracture; without manipulation ,,,1423.0,9710.0,102
CPT,25530,Closed treatment of ulnar shaft fracture; without manipulation Other Surgical Services,,,4150.0,4150.0,1
CPT,25530,Closed treatment of ulnar shaft fracture; without manipulation SCHEDULED,,,6557.78,6695.84,3
CPT,25530,Closed treatment of ulnar shaft fracture; without manipulation UNSCHEDULED,,,4292.29,4382.65,3
CPT,25535,Closed treatment of ulnar shaft fracture; with manipulation ,,,1423.0,9710.0,102
CPT,25535,Closed treatment of ulnar shaft fracture; with manipulation Other Surgical Services,,,4150.0,4150.0,1
CPT,25535,Closed treatment of ulnar shaft fracture; with manipulation SCHEDULED,,,6557.78,6695.84,3
CPT,25535,Closed treatment of ulnar shaft fracture; with manipulation UNSCHEDULED,,,699.33,714.06,3
CPT,25545,"Open treatment of ulnar shaft fracture, includes internal fixation, when performed ",,,2350.0,18507.0,102
CPT,25545,"Open treatment of ulnar shaft fracture, includes internal fixation, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,25545,"Open treatment of ulnar shaft fracture, includes internal fixation, when performed SCHEDULED",,,15551.7,15879.1,3
CPT,25545,"Open treatment of ulnar shaft fracture, includes internal fixation, when performed UNSCHEDULED",,,26749.34,27312.48,3
CPT,25560,Closed treatment of radial and ulnar shaft fractures; without manipulation ,,,1423.0,9710.0,102
CPT,25560,Closed treatment of radial and ulnar shaft fractures; without manipulation Other Surgical Services,,,4150.0,4150.0,1
CPT,25560,Closed treatment of radial and ulnar shaft fractures; without manipulation SCHEDULED,,,6557.78,6695.84,3
CPT,25560,Closed treatment of radial and ulnar shaft fractures; without manipulation UNSCHEDULED,,,516.13,526.99,3
CPT,25565,Closed treatment of radial and ulnar shaft fractures; with manipulation ,,,1423.0,9710.0,102
CPT,25565,Closed treatment of radial and ulnar shaft fractures; with manipulation Other Surgical Services,,,4150.0,4150.0,1
CPT,25565,Closed treatment of radial and ulnar shaft fractures; with manipulation SCHEDULED,,,6557.78,6695.84,3
CPT,25565,Closed treatment of radial and ulnar shaft fractures; with manipulation UNSCHEDULED,,,2748.11,2805.97,3
CPT,25574,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna ",,,2350.0,18507.0,102
CPT,25574,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Other Surgical Services",,,4150.0,4150.0,1
CPT,25574,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna SCHEDULED",,,734.92,750.39,3
CPT,25574,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna UNSCHEDULED",,,22781.59,23261.2,3
CPT,25575,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna ",,,2350.0,18507.0,102
CPT,25575,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Other Surgical Services",,,4150.0,4150.0,1
CPT,25575,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna SCHEDULED",,,9848.18,10055.51,3
CPT,25575,"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna UNSCHEDULED",,,18036.0,18415.7,3
CPT,25600,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation ",,,1423.0,9710.0,102
CPT,25600,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation Other Surgi",,,4150.0,4150.0,1
CPT,25600,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation SCHEDULED",,,6557.78,6695.84,3
CPT,25600,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation UNSCHEDULED",,,516.13,526.99,3
CPT,25605,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation ",,,1982.0,9710.0,102
CPT,25605,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation Other Surgical",,,4150.0,4150.0,1
CPT,25605,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation SCHEDULED",,,6557.78,6695.84,3
CPT,25605,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation UNSCHEDULED",,,680.48,694.81,3
CPT,25606,Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation ,,,2350.0,18507.0,102
CPT,25606,Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation Other Surgical Services,,,4150.0,4150.0,1
CPT,25606,Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation SCHEDULED,,,5143.42,5251.71,3
CPT,25606,Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation UNSCHEDULED,,,4676.5,4774.95,3
CPT,25607,"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation ",,,2350.0,18507.0,102
CPT,25607,"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation Other Surgical Services",,,4150.0,4150.0,1
CPT,25607,"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation SCHEDULED",,,6888.6,7033.63,3
CPT,25607,"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation UNSCHEDULED",,,16267.78,16610.26,3
CPT,25608,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments ,,,2350.0,18507.0,102
CPT,25608,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments Other Surgical Services,,,4150.0,4150.0,1
CPT,25608,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments SCHEDULED,,,6098.19,6226.58,3
CPT,25608,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments UNSCHEDULED,,,9488.06,9687.81,3
CPT,25609,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments ,,,2350.0,18507.0,102
CPT,25609,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments Other Surgical Services,,,4150.0,4150.0,1
CPT,25609,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments SCHEDULED,,,7726.12,7888.78,3
CPT,25609,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments UNSCHEDULED,,,7813.02,7977.5,3
CPT,25611,TREAT FRACTURE RADIUS/ULNA SCHEDULED,,,6557.78,6695.84,3
CPT,25611,TREAT FRACTURE RADIUS/ULNA UNSCHEDULED,,,4292.29,4382.65,3
CPT,25620,TREAT FRACTURE RADIUS/ULNA SCHEDULED,,,6557.78,6695.84,3
CPT,25620,TREAT FRACTURE RADIUS/ULNA UNSCHEDULED,,,4292.29,4382.65,3
CPT,25622,Closed treatment of carpal scaphoid (navicular) fracture; without manipulation ,,,1423.0,9710.0,102
CPT,25622,Closed treatment of carpal scaphoid (navicular) fracture; without manipulation Other Surgical Services,,,4150.0,4150.0,1
CPT,25622,Closed treatment of carpal scaphoid (navicular) fracture; without manipulation SCHEDULED,,,6557.78,6695.84,3
CPT,25622,Closed treatment of carpal scaphoid (navicular) fracture; without manipulation UNSCHEDULED,,,8551.08,8731.11,3
CPT,25624,Closed treatment of carpal scaphoid (navicular) fracture; with manipulation ,,,1982.0,9710.0,102
CPT,25624,Closed treatment of carpal scaphoid (navicular) fracture; with manipulation Other Surgical Services,,,4150.0,4150.0,1
CPT,25624,Closed treatment of carpal scaphoid (navicular) fracture; with manipulation SCHEDULED,,,6557.78,6695.84,3
CPT,25624,Closed treatment of carpal scaphoid (navicular) fracture; with manipulation UNSCHEDULED,,,1789.15,1826.82,3
CPT,25628,"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed ",,,2350.0,18507.0,102
CPT,25628,"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,25628,"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed SCHEDULED",,,8026.58,8195.56,3
CPT,25628,"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed UNSCHEDULED",,,15837.51,16170.93,3
CPT,25630,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); without manipulation, each bone ",,,1423.0,9710.0,102
CPT,25630,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); without manipulation, each bone Other Surgical Services",,,4150.0,4150.0,1
CPT,25630,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); without manipulation, each bone SCHEDULED",,,6557.78,6695.84,3
CPT,25630,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); without manipulation, each bone UNSCHEDULED",,,447.02,456.43,3
CPT,25635,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); with manipulation, each bone ",,,1423.0,9710.0,102
CPT,25635,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); with manipulation, each bone Other Surgical Services",,,4150.0,4150.0,1
CPT,25635,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); with manipulation, each bone SCHEDULED",,,6557.78,6695.84,3
CPT,25635,"Closed treatment of carpal bone fracture (excluding carpal scaphoid ºnavicular»); with manipulation, each bone UNSCHEDULED",,,1707.49,1743.44,3
CPT,25645,"Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone ",,,2350.0,18507.0,102
CPT,25645,"Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone Other Surgical Services",,,4150.0,4150.0,1
CPT,25645,"Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone SCHEDULED",,,10862.63,11091.32,3
CPT,25645,"Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone UNSCHEDULED",,,5240.78,5351.11,3
CPT,25650,Closed treatment of ulnar styloid fracture ,,,1423.0,9710.0,102
CPT,25650,Closed treatment of ulnar styloid fracture Other Surgical Services,,,4150.0,4150.0,1
CPT,25650,Closed treatment of ulnar styloid fracture SCHEDULED,,,6257.32,6389.05,3
CPT,25650,Closed treatment of ulnar styloid fracture UNSCHEDULED,,,573.7,585.78,3
CPT,25651,Percutaneous skeletal fixation of ulnar styloid fracture ,,,2350.0,18507.0,102
CPT,25651,Percutaneous skeletal fixation of ulnar styloid fracture Other Surgical Services,,,4150.0,4150.0,1
CPT,25651,Percutaneous skeletal fixation of ulnar styloid fracture SCHEDULED,,,4986.39,5091.37,3
CPT,25651,Percutaneous skeletal fixation of ulnar styloid fracture UNSCHEDULED,,,4962.31,5066.78,3
CPT,25652,Open treatment of ulnar styloid fracture ,,,2350.0,18507.0,102
CPT,25652,Open treatment of ulnar styloid fracture Other Surgical Services,,,4150.0,4150.0,1
CPT,25652,Open treatment of ulnar styloid fracture SCHEDULED,,,5550.66,5667.52,3
CPT,25652,Open treatment of ulnar styloid fracture UNSCHEDULED,,,4625.21,4722.58,3
CPT,25660,"Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation ",,,1423.0,9710.0,102
CPT,25660,"Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation Other Surgical Services",,,4150.0,4150.0,1
CPT,25660,"Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation SCHEDULED",,,10815.52,11043.22,3
CPT,25660,"Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation UNSCHEDULED",,,2210.0,2256.53,3
CPT,25670,"Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones ",,,2350.0,18507.0,102
CPT,25670,"Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Other Surgical Services",,,4150.0,4150.0,1
CPT,25670,"Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones SCHEDULED",,,7734.5,7897.33,3
CPT,25670,"Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones UNSCHEDULED",,,7567.0,7726.3,3
CPT,25671,Percutaneous skeletal fixation of distal radioulnar dislocation ,,,2350.0,18507.0,102
CPT,25671,Percutaneous skeletal fixation of distal radioulnar dislocation Other Surgical Services,,,4150.0,4150.0,1
CPT,25671,Percutaneous skeletal fixation of distal radioulnar dislocation SCHEDULED,,,5955.82,6081.2,3
CPT,25671,Percutaneous skeletal fixation of distal radioulnar dislocation UNSCHEDULED,,,4292.29,4382.65,3
CPT,25675,Closed treatment of distal radioulnar dislocation with manipulation ,,,1423.0,9710.0,102
CPT,25675,Closed treatment of distal radioulnar dislocation with manipulation Other Surgical Services,,,4150.0,4150.0,1
CPT,25675,Closed treatment of distal radioulnar dislocation with manipulation SCHEDULED,,,6557.78,6695.84,3
CPT,25675,Closed treatment of distal radioulnar dislocation with manipulation UNSCHEDULED,,,529.73,540.88,3
CPT,25676,"Open treatment of distal radioulnar dislocation, acute or chronic ",,,2350.0,18507.0,102
CPT,25676,"Open treatment of distal radioulnar dislocation, acute or chronic Other Surgical Services",,,4150.0,4150.0,1
CPT,25676,"Open treatment of distal radioulnar dislocation, acute or chronic SCHEDULED",,,5683.62,5803.28,3
CPT,25676,"Open treatment of distal radioulnar dislocation, acute or chronic UNSCHEDULED",,,4292.29,4382.65,3
CPT,25680,"Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation ",,,1423.0,9710.0,102
CPT,25680,"Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation Other Surgical Services",,,4150.0,4150.0,1
CPT,25680,"Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation SCHEDULED",,,6557.78,6695.84,3
CPT,25680,"Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation UNSCHEDULED",,,531.83,543.03,3
CPT,25685,Open treatment of trans-scaphoperilunar type of fracture dislocation ,,,2350.0,18507.0,102
CPT,25685,Open treatment of trans-scaphoperilunar type of fracture dislocation Other Surgical Services,,,4150.0,4150.0,1
CPT,25685,Open treatment of trans-scaphoperilunar type of fracture dislocation SCHEDULED,,,8497.68,8676.58,3
CPT,25685,Open treatment of trans-scaphoperilunar type of fracture dislocation UNSCHEDULED,,,21759.82,22217.92,3
CPT,25690,"Closed treatment of lunate dislocation, with manipulation ",,,2350.0,9710.0,102
CPT,25690,"Closed treatment of lunate dislocation, with manipulation Other Surgical Services",,,4150.0,4150.0,1
CPT,25690,"Closed treatment of lunate dislocation, with manipulation SCHEDULED",,,6557.78,6695.84,3
CPT,25690,"Closed treatment of lunate dislocation, with manipulation UNSCHEDULED",,,2931.32,2993.03,3
CPT,25695,Open treatment of lunate dislocation ,,,2350.0,18507.0,102
CPT,25695,Open treatment of lunate dislocation Other Surgical Services,,,4150.0,4150.0,1
CPT,25695,Open treatment of lunate dislocation SCHEDULED,,,12260.24,12518.35,3
CPT,25695,Open treatment of lunate dislocation UNSCHEDULED,,,9958.11,10167.75,3
CPT,25800,"Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints) ",,,1950.0,18507.0,106
CPT,25800,"Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints) Other Surgical Services",,,2850.0,2850.0,4
CPT,25800,"Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints) SCHEDULED",,,12760.67,13029.31,3
CPT,25800,"Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25805,"Arthrodesis, wrist; with sliding graft ",,,1950.0,18507.0,106
CPT,25805,"Arthrodesis, wrist; with sliding graft Other Surgical Services",,,2850.0,2850.0,4
CPT,25805,"Arthrodesis, wrist; with sliding graft SCHEDULED",,,6557.78,6695.84,3
CPT,25805,"Arthrodesis, wrist; with sliding graft UNSCHEDULED",,,4292.29,4382.65,3
CPT,25810,"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,25810,"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,25810,"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) SCHEDULED",,,8985.55,9174.72,3
CPT,25810,"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25820,"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) ",,,1950.0,18507.0,106
CPT,25820,"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) Other Surgical Services",,,2850.0,2850.0,4
CPT,25820,"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) SCHEDULED",,,8222.35,8395.46,3
CPT,25820,"Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25825,"Arthrodesis, wrist; with autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,25825,"Arthrodesis, wrist; with autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,25825,"Arthrodesis, wrist; with autograft (includes obtaining graft) SCHEDULED",,,12641.32,12907.45,3
CPT,25825,"Arthrodesis, wrist; with autograft (includes obtaining graft) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25830,"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure) ",,,1950.0,18507.0,106
CPT,25830,"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,25830,"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure) SCHEDULED",,,3658.92,3735.95,3
CPT,25830,"Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25900,"Amputation, forearm, through radius and ulna; ",,,1950.0,18507.0,78
CPT,25900,"Amputation, forearm, through radius and ulna; Other Surgical Services",,,2850.0,2850.0,4
CPT,25900,"Amputation, forearm, through radius and ulna; SCHEDULED",,,6557.78,6695.84,3
CPT,25900,"Amputation, forearm, through radius and ulna; UNSCHEDULED",,,4292.29,4382.65,3
CPT,25905,"Amputation, forearm, through radius and ulna; open, circular (guillotine) ",,,1950.0,18507.0,78
CPT,25905,"Amputation, forearm, through radius and ulna; open, circular (guillotine) Other Surgical Services",,,2850.0,2850.0,4
CPT,25905,"Amputation, forearm, through radius and ulna; open, circular (guillotine) SCHEDULED",,,6557.78,6695.84,3
CPT,25905,"Amputation, forearm, through radius and ulna; open, circular (guillotine) UNSCHEDULED",,,4292.29,4382.65,3
CPT,25907,"Amputation, forearm, through radius and ulna; secondary closure or scar revision ",,,1950.0,18507.0,106
CPT,25907,"Amputation, forearm, through radius and ulna; secondary closure or scar revision Other Surgical Services",,,2850.0,2850.0,4
CPT,25907,"Amputation, forearm, through radius and ulna; secondary closure or scar revision SCHEDULED",,,2224.66,2271.5,3
CPT,25907,"Amputation, forearm, through radius and ulna; secondary closure or scar revision UNSCHEDULED",,,4292.29,4382.65,3
CPT,25909,"Amputation, forearm, through radius and ulna; re-amputation ",,,1950.0,18507.0,106
CPT,25909,"Amputation, forearm, through radius and ulna; re-amputation Other Surgical Services",,,2850.0,2850.0,4
CPT,25909,"Amputation, forearm, through radius and ulna; re-amputation SCHEDULED",,,14849.23,15161.85,3
CPT,25909,"Amputation, forearm, through radius and ulna; re-amputation UNSCHEDULED",,,4292.29,4382.65,3
CPT,25915,Krukenberg procedure ,,,1950.0,18507.0,78
CPT,25915,Krukenberg procedure Other Surgical Services,,,2850.0,2850.0,4
CPT,25915,Krukenberg procedure SCHEDULED,,,6557.78,6695.84,3
CPT,25915,Krukenberg procedure UNSCHEDULED,,,4292.29,4382.65,3
CPT,25920,Disarticulation through wrist; ,,,1950.0,18507.0,78
CPT,25920,Disarticulation through wrist; Other Surgical Services,,,2850.0,2850.0,4
CPT,25920,Disarticulation through wrist; SCHEDULED,,,6557.78,6695.84,3
CPT,25920,Disarticulation through wrist; UNSCHEDULED,,,4292.29,4382.65,3
CPT,25922,Disarticulation through wrist; secondary closure or scar revision ,,,1950.0,9710.0,106
CPT,25922,Disarticulation through wrist; secondary closure or scar revision Other Surgical Services,,,2850.0,2850.0,4
CPT,25922,Disarticulation through wrist; secondary closure or scar revision SCHEDULED,,,6557.78,6695.84,3
CPT,25922,Disarticulation through wrist; secondary closure or scar revision UNSCHEDULED,,,4292.29,4382.65,3
CPT,25924,Disarticulation through wrist; re-amputation ,,,1950.0,18507.0,78
CPT,25924,Disarticulation through wrist; re-amputation Other Surgical Services,,,2850.0,2850.0,4
CPT,25924,Disarticulation through wrist; re-amputation SCHEDULED,,,6557.78,6695.84,3
CPT,25924,Disarticulation through wrist; re-amputation UNSCHEDULED,,,4292.29,4382.65,3
CPT,25927,Transmetacarpal amputation; ,,,1950.0,18507.0,78
CPT,25927,Transmetacarpal amputation; Other Surgical Services,,,2850.0,2850.0,4
CPT,25927,Transmetacarpal amputation; SCHEDULED,,,6557.78,6695.84,3
CPT,25927,Transmetacarpal amputation; UNSCHEDULED,,,4292.29,4382.65,3
CPT,25929,Transmetacarpal amputation; secondary closure or scar revision ,,,1950.0,9710.0,106
CPT,25929,Transmetacarpal amputation; secondary closure or scar revision Other Surgical Services,,,2850.0,2850.0,4
CPT,25929,Transmetacarpal amputation; secondary closure or scar revision SCHEDULED,,,6557.78,6695.84,3
CPT,25929,Transmetacarpal amputation; secondary closure or scar revision UNSCHEDULED,,,4292.29,4382.65,3
CPT,25931,Transmetacarpal amputation; re-amputation ,,,1950.0,18507.0,106
CPT,25931,Transmetacarpal amputation; re-amputation Other Surgical Services,,,2850.0,2850.0,4
CPT,25931,Transmetacarpal amputation; re-amputation SCHEDULED,,,11577.67,11821.41,3
CPT,25931,Transmetacarpal amputation; re-amputation UNSCHEDULED,,,4292.29,4382.65,3
CPT,25999,"Unlisted procedure, forearm or wrist ",,,1423.0,9710.0,106
CPT,25999,"Unlisted procedure, forearm or wrist Other Surgical Services",,,2850.0,2850.0,4
CPT,25999,"Unlisted procedure, forearm or wrist SCHEDULED",,,48876.62,49905.6,3
CPT,25999,"Unlisted procedure, forearm or wrist UNSCHEDULED",,,7936.55,8103.63,3
CPT,26010,Drainage of finger abscess; simple ,,,1423.0,9710.0,106
CPT,26010,Drainage of finger abscess; simple Other Surgical Services,,,2850.0,2850.0,4
CPT,26010,Drainage of finger abscess; simple SCHEDULED,,,1309.67,1337.24,3
CPT,26010,Drainage of finger abscess; simple UNSCHEDULED,,,473.19,483.16,3
CPT,26011,"Drainage of finger abscess; complicated (eg, felon) ",,,1950.0,9710.0,106
CPT,26011,"Drainage of finger abscess; complicated (eg, felon) Other Surgical Services",,,2850.0,2850.0,4
CPT,26011,"Drainage of finger abscess; complicated (eg, felon) SCHEDULED",,,1355.74,1384.28,3
CPT,26011,"Drainage of finger abscess; complicated (eg, felon) UNSCHEDULED",,,1547.32,1579.9,3
CPT,26020,"Drainage of tendon sheath, digit and/or palm, each ",,,1950.0,18507.0,106
CPT,26020,"Drainage of tendon sheath, digit and/or palm, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26020,"Drainage of tendon sheath, digit and/or palm, each SCHEDULED",,,2083.33,2127.19,3
CPT,26020,"Drainage of tendon sheath, digit and/or palm, each UNSCHEDULED",,,4491.2,4585.75,3
CPT,26025,"Drainage of palmar bursa; single, bursa ",,,1950.0,18507.0,106
CPT,26025,"Drainage of palmar bursa; single, bursa Other Surgical Services",,,2850.0,2850.0,4
CPT,26025,"Drainage of palmar bursa; single, bursa SCHEDULED",,,4959.16,5063.56,3
CPT,26025,"Drainage of palmar bursa; single, bursa UNSCHEDULED",,,3266.33,3335.09,3
CPT,26030,Drainage of palmar bursa; multiple bursa ,,,1950.0,18507.0,106
CPT,26030,Drainage of palmar bursa; multiple bursa Other Surgical Services,,,2850.0,2850.0,4
CPT,26030,Drainage of palmar bursa; multiple bursa SCHEDULED,,,4959.16,5063.56,3
CPT,26030,Drainage of palmar bursa; multiple bursa UNSCHEDULED,,,3266.33,3335.09,3
CPT,26034,"Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess) ",,,1950.0,9710.0,106
CPT,26034,"Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess) Other Surgical Services",,,2850.0,2850.0,4
CPT,26034,"Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess) SCHEDULED",,,2875.83,2936.37,3
CPT,26034,"Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26035,"Decompression fingers and/or hand, injection injury (eg, grease gun) ",,,1950.0,18507.0,106
CPT,26035,"Decompression fingers and/or hand, injection injury (eg, grease gun) Other Surgical Services",,,2850.0,2850.0,4
CPT,26035,"Decompression fingers and/or hand, injection injury (eg, grease gun) SCHEDULED",,,11012.34,11244.18,3
CPT,26035,"Decompression fingers and/or hand, injection injury (eg, grease gun) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26037,"Decompressive fasciotomy, hand (excludes 26035) ",,,1950.0,18507.0,106
CPT,26037,"Decompressive fasciotomy, hand (excludes 26035) Other Surgical Services",,,2850.0,2850.0,4
CPT,26037,"Decompressive fasciotomy, hand (excludes 26035) SCHEDULED",,,588.35,600.74,3
CPT,26037,"Decompressive fasciotomy, hand (excludes 26035) UNSCHEDULED",,,4566.57,4662.71,3
CPT,26040,"Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous ",,,1950.0,9710.0,106
CPT,26040,"Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,26040,"Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous SCHEDULED",,,2639.23,2694.8,3
CPT,26040,"Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous UNSCHEDULED",,,3266.33,3335.09,3
CPT,26045,"Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial ",,,1950.0,18507.0,106
CPT,26045,"Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Other Surgical Services",,,2850.0,2850.0,4
CPT,26045,"Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial SCHEDULED",,,4959.16,5063.56,3
CPT,26045,"Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial UNSCHEDULED",,,3266.33,3335.09,3
CPT,26055,"Tendon sheath incision (eg, for trigger finger) ",,,1950.0,9710.0,106
CPT,26055,"Tendon sheath incision (eg, for trigger finger) Other Surgical Services",,,2850.0,2850.0,4
CPT,26055,"Tendon sheath incision (eg, for trigger finger) SCHEDULED",,,2243.51,2290.74,3
CPT,26055,"Tendon sheath incision (eg, for trigger finger) UNSCHEDULED",,,6313.85,6446.78,3
CPT,26060,"Tenotomy, percutaneous, single, each digit ",,,1950.0,9710.0,106
CPT,26060,"Tenotomy, percutaneous, single, each digit Other Surgical Services",,,2850.0,2850.0,4
CPT,26060,"Tenotomy, percutaneous, single, each digit SCHEDULED",,,4959.16,5063.56,3
CPT,26060,"Tenotomy, percutaneous, single, each digit UNSCHEDULED",,,3266.33,3335.09,3
CPT,26070,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint ",,,1950.0,9710.0,106
CPT,26070,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26070,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint SCHEDULED",,,3664.15,3741.29,3
CPT,26070,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint UNSCHEDULED",,,3043.33,3107.4,3
CPT,26075,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each ",,,1950.0,18507.0,106
CPT,26075,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26075,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each SCHEDULED",,,5671.05,5790.44,3
CPT,26075,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each UNSCHEDULED",,,3266.33,3335.09,3
CPT,26080,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each ",,,1950.0,9710.0,106
CPT,26080,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26080,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each SCHEDULED",,,4671.26,4769.61,3
CPT,26080,"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each UNSCHEDULED",,,5801.92,5924.06,3
CPT,26100,"Arthrotomy with biopsy; carpometacarpal joint, each ",,,1950.0,18507.0,106
CPT,26100,"Arthrotomy with biopsy; carpometacarpal joint, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26100,"Arthrotomy with biopsy; carpometacarpal joint, each SCHEDULED",,,4959.16,5063.56,3
CPT,26100,"Arthrotomy with biopsy; carpometacarpal joint, each UNSCHEDULED",,,3266.33,3335.09,3
CPT,26105,"Arthrotomy with biopsy; metacarpophalangeal joint, each ",,,1950.0,18507.0,106
CPT,26105,"Arthrotomy with biopsy; metacarpophalangeal joint, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26105,"Arthrotomy with biopsy; metacarpophalangeal joint, each SCHEDULED",,,4959.16,5063.56,3
CPT,26105,"Arthrotomy with biopsy; metacarpophalangeal joint, each UNSCHEDULED",,,3266.33,3335.09,3
CPT,26110,"Arthrotomy with biopsy; interphalangeal joint, each ",,,1950.0,9710.0,106
CPT,26110,"Arthrotomy with biopsy; interphalangeal joint, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26110,"Arthrotomy with biopsy; interphalangeal joint, each SCHEDULED",,,5234.5,5344.7,3
CPT,26110,"Arthrotomy with biopsy; interphalangeal joint, each UNSCHEDULED",,,3266.33,3335.09,3
CPT,26111,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater ",,,1950.0,9710.0,106
CPT,26111,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,26111,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater SCHEDULED",,,4959.16,5063.56,3
CPT,26111,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater UNSCHEDULED",,,13177.33,13454.74,3
CPT,26113,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater ",,,1950.0,9710.0,106
CPT,26113,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,26113,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater SCHEDULED",,,9971.72,10181.65,3
CPT,26113,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater UNSCHEDULED",,,3266.33,3335.09,3
CPT,26115,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm ",,,1950.0,9710.0,106
CPT,26115,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,26115,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm SCHEDULED",,,6448.9,6584.67,3
CPT,26115,"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm UNSCHEDULED",,,3266.33,3335.09,3
CPT,26116,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm ",,,1950.0,9710.0,106
CPT,26116,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,26116,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm SCHEDULED",,,5335.0,5447.32,3
CPT,26116,"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm UNSCHEDULED",,,3266.33,3335.09,3
CPT,26117,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm ",,,1950.0,14792.0,106
CPT,26117,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,26117,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm SCHEDULED",,,4959.16,5063.56,3
CPT,26117,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm UNSCHEDULED",,,3266.33,3335.09,3
CPT,26118,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater ",,,1950.0,14792.0,106
CPT,26118,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,26118,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater SCHEDULED",,,4959.16,5063.56,3
CPT,26118,"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater UNSCHEDULED",,,3266.33,3335.09,3
CPT,26121,"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,26121,"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,26121,"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) SCHEDULED",,,4959.16,5063.56,3
CPT,26121,"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26123,"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graf",,,1950.0,18507.0,116
CPT,26125,"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graf",,,1423.0,9710.0,109
CPT,26130,"Synovectomy, carpometacarpal joint ",,,1950.0,18507.0,106
CPT,26130,"Synovectomy, carpometacarpal joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26130,"Synovectomy, carpometacarpal joint SCHEDULED",,,3699.75,3777.64,3
CPT,26130,"Synovectomy, carpometacarpal joint UNSCHEDULED",,,3266.33,3335.09,3
CPT,26135,"Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit ",,,1950.0,18507.0,106
CPT,26135,"Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Other Surgical Services",,,2850.0,2850.0,4
CPT,26135,"Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit SCHEDULED",,,2916.66,2978.06,3
CPT,26135,"Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit UNSCHEDULED",,,2721.94,2779.24,3
CPT,26140,"Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint ",,,1950.0,9710.0,106
CPT,26140,"Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26140,"Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint SCHEDULED",,,2777.43,2835.9,3
CPT,26140,"Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint UNSCHEDULED",,,3266.33,3335.09,3
CPT,26145,"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon ",,,1950.0,9710.0,106
CPT,26145,"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26145,"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon SCHEDULED",,,3157.45,3223.92,3
CPT,26145,"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon UNSCHEDULED",,,5897.19,6021.34,3
CPT,26160,"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger ",,,1950.0,9710.0,106
CPT,26160,"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger Other Surgical Services",,,2850.0,2850.0,4
CPT,26160,"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger SCHEDULED",,,5350.7,5463.35,3
CPT,26160,"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger UNSCHEDULED",,,3266.33,3335.09,3
CPT,26170,"Excision of tendon, palm, flexor or extensor, single, each tendon ",,,1950.0,9710.0,106
CPT,26170,"Excision of tendon, palm, flexor or extensor, single, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26170,"Excision of tendon, palm, flexor or extensor, single, each tendon SCHEDULED",,,4959.16,5063.56,3
CPT,26170,"Excision of tendon, palm, flexor or extensor, single, each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26180,"Excision of tendon, finger, flexor or extensor, each tendon ",,,1950.0,9710.0,106
CPT,26180,"Excision of tendon, finger, flexor or extensor, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26180,"Excision of tendon, finger, flexor or extensor, each tendon SCHEDULED",,,6550.45,6688.35,3
CPT,26180,"Excision of tendon, finger, flexor or extensor, each tendon UNSCHEDULED",,,1289.78,1316.93,3
CPT,26185,"Sesamoidectomy, thumb or finger (separate procedure) ",,,1950.0,9710.0,106
CPT,26185,"Sesamoidectomy, thumb or finger (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,26185,"Sesamoidectomy, thumb or finger (separate procedure) SCHEDULED",,,4959.16,5063.56,3
CPT,26185,"Sesamoidectomy, thumb or finger (separate procedure) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26200,Excision or curettage of bone cyst or benign tumor of metacarpal; ,,,1950.0,9710.0,106
CPT,26200,Excision or curettage of bone cyst or benign tumor of metacarpal; Other Surgical Services,,,2850.0,2850.0,4
CPT,26200,Excision or curettage of bone cyst or benign tumor of metacarpal; SCHEDULED,,,4959.16,5063.56,3
CPT,26200,Excision or curettage of bone cyst or benign tumor of metacarpal; UNSCHEDULED,,,3266.33,3335.09,3
CPT,26205,Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) ,,,1950.0,18507.0,106
CPT,26205,Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,26205,Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) SCHEDULED,,,4959.16,5063.56,3
CPT,26205,Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) UNSCHEDULED,,,3266.33,3335.09,3
CPT,26210,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; ",,,1950.0,9710.0,106
CPT,26210,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Other Surgical Services",,,2850.0,2850.0,4
CPT,26210,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; SCHEDULED",,,4715.24,4814.51,3
CPT,26210,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; UNSCHEDULED",,,3266.33,3335.09,3
CPT,26215,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,26215,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,26215,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft) SCHEDULED",,,2777.43,2835.9,3
CPT,26215,"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26230,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal ",,,1950.0,18507.0,106
CPT,26230,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal Other Surgical Services",,,2850.0,2850.0,4
CPT,26230,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal SCHEDULED",,,4959.16,5063.56,3
CPT,26230,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal UNSCHEDULED",,,4548.78,4644.54,3
CPT,26235,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger ",,,1950.0,9710.0,106
CPT,26235,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger Other Surgical Services",,,2850.0,2850.0,4
CPT,26235,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger SCHEDULED",,,1622.69,1656.86,3
CPT,26235,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger UNSCHEDULED",,,4879.6,4982.33,3
CPT,26236,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger ",,,1950.0,9710.0,106
CPT,26236,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger Other Surgical Services",,,2850.0,2850.0,4
CPT,26236,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger SCHEDULED",,,4617.87,4715.09,3
CPT,26236,"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger UNSCHEDULED",,,5740.16,5861.0,3
CPT,26250,"Radical resection of tumor, metacarpal ",,,1950.0,18507.0,106
CPT,26250,"Radical resection of tumor, metacarpal Other Surgical Services",,,2850.0,2850.0,4
CPT,26250,"Radical resection of tumor, metacarpal SCHEDULED",,,4959.16,5063.56,3
CPT,26250,"Radical resection of tumor, metacarpal UNSCHEDULED",,,3266.33,3335.09,3
CPT,26255,EXTENSIVE HAND SURGERY SCHEDULED,,,4959.16,5063.56,3
CPT,26255,EXTENSIVE HAND SURGERY UNSCHEDULED,,,3266.33,3335.09,3
CPT,26260,"Radical resection of tumor, proximal or middle phalanx of finger ",,,1950.0,18507.0,106
CPT,26260,"Radical resection of tumor, proximal or middle phalanx of finger Other Surgical Services",,,2850.0,2850.0,4
CPT,26260,"Radical resection of tumor, proximal or middle phalanx of finger SCHEDULED",,,4959.16,5063.56,3
CPT,26260,"Radical resection of tumor, proximal or middle phalanx of finger UNSCHEDULED",,,3266.33,3335.09,3
CPT,26261,EXTENSIVE FINGER SURGERY SCHEDULED,,,4959.16,5063.56,3
CPT,26261,EXTENSIVE FINGER SURGERY UNSCHEDULED,,,3266.33,3335.09,3
CPT,26262,"Radical resection of tumor, distal phalanx of finger ",,,1950.0,9710.0,106
CPT,26262,"Radical resection of tumor, distal phalanx of finger Other Surgical Services",,,2850.0,2850.0,4
CPT,26262,"Radical resection of tumor, distal phalanx of finger SCHEDULED",,,4959.16,5063.56,3
CPT,26262,"Radical resection of tumor, distal phalanx of finger UNSCHEDULED",,,3266.33,3335.09,3
CPT,26320,Removal of implant from finger or hand ,,,1950.0,9710.0,106
CPT,26320,Removal of implant from finger or hand Other Surgical Services,,,2850.0,2850.0,4
CPT,26320,Removal of implant from finger or hand SCHEDULED,,,3355.31,3425.95,3
CPT,26320,Removal of implant from finger or hand UNSCHEDULED,,,3266.33,3335.09,3
CPT,26340,"Manipulation, finger joint, under anesthesia, each joint ",,,1423.0,9710.0,106
CPT,26340,"Manipulation, finger joint, under anesthesia, each joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26340,"Manipulation, finger joint, under anesthesia, each joint SCHEDULED",,,4959.16,5063.56,3
CPT,26340,"Manipulation, finger joint, under anesthesia, each joint UNSCHEDULED",,,3266.33,3335.09,3
CPT,26341,"Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord ",,,1423.0,9710.0,106
CPT,26341,"Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord Other Surgical Services",,,2850.0,2850.0,4
CPT,26341,"Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord SCHEDULED",,,4959.16,5063.56,3
CPT,26341,"Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord UNSCHEDULED",,,3266.33,3335.09,3
CPT,26350,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon ",,,1950.0,18507.0,106
CPT,26350,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26350,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon SCHEDULED",,,5036.63,5142.67,3
CPT,26350,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon UNSCHEDULED",,,2587.93,2642.42,3
CPT,26352,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with free graft (includes obtaining graft), each tendon ",,,1950.0,18507.0,106
CPT,26352,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with free graft (includes obtaining graft), each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26352,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with free graft (includes obtaining graft), each tendon SCHEDULED",,,12637.13,12903.17,3
CPT,26352,"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with free graft (includes obtaining graft), each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26356,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon ",,,1950.0,18507.0,106
CPT,26356,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26356,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon SCHEDULED",,,4284.97,4375.18,3
CPT,26356,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon UNSCHEDULED",,,2110.55,2154.98,3
CPT,26357,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without free graft, each tendon ",,,1950.0,18507.0,106
CPT,26357,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without free graft, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26357,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without free graft, each tendon SCHEDULED",,,3185.72,3252.79,3
CPT,26357,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without free graft, each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26358,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon ",,,1950.0,18507.0,106
CPT,26358,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26358,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon SCHEDULED",,,9989.52,10199.82,3
CPT,26358,"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26370,"Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon ",,,1950.0,18507.0,106
CPT,26370,"Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26370,"Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon SCHEDULED",,,4545.64,4641.33,3
CPT,26370,"Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon UNSCHEDULED",,,2902.0,2963.1,3
CPT,26372,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon ",,,1950.0,18507.0,106
CPT,26372,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26372,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon SCHEDULED",,,10966.28,11197.15,3
CPT,26372,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon UNSCHEDULED",,,190.53,194.54,3
CPT,26373,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon ",,,1950.0,18507.0,106
CPT,26373,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26373,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon SCHEDULED",,,4932.99,5036.84,3
CPT,26373,"Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26390,"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod ",,,1950.0,18507.0,106
CPT,26390,"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Other Surgical Services",,,2850.0,2850.0,4
CPT,26390,"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod SCHEDULED",,,8576.2,8756.75,3
CPT,26390,"Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod UNSCHEDULED",,,3266.33,3335.09,3
CPT,26392,"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod ",,,1950.0,18507.0,106
CPT,26392,"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod Other Surgical Services",,,2850.0,2850.0,4
CPT,26392,"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod SCHEDULED",,,15143.41,15462.22,3
CPT,26392,"Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod UNSCHEDULED",,,3266.33,3335.09,3
CPT,26410,"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon ",,,1950.0,9710.0,106
CPT,26410,"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26410,"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon SCHEDULED",,,4984.29,5089.22,3
CPT,26410,"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon UNSCHEDULED",,,2680.06,2736.49,3
CPT,26412,"Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon ",,,1950.0,18507.0,106
CPT,26412,"Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26412,"Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon SCHEDULED",,,6150.54,6280.02,3
CPT,26412,"Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26415,"Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod ",,,1950.0,18507.0,106
CPT,26415,"Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Other Surgical Services",,,2850.0,2850.0,4
CPT,26415,"Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod SCHEDULED",,,5181.11,5290.19,3
CPT,26415,"Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod UNSCHEDULED",,,36.64,37.41,3
CPT,26416,"Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod ",,,1950.0,18507.0,106
CPT,26416,"Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod Other Surgical Services",,,2850.0,2850.0,4
CPT,26416,"Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod SCHEDULED",,,4959.16,5063.56,3
CPT,26416,"Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod UNSCHEDULED",,,3266.33,3335.09,3
CPT,26418,"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon ",,,1950.0,9710.0,106
CPT,26418,"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26418,"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon SCHEDULED",,,2616.2,2671.28,3
CPT,26418,"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon UNSCHEDULED",,,2596.31,2650.97,3
CPT,26420,"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon ",,,1950.0,18507.0,106
CPT,26420,"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26420,"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon SCHEDULED",,,6541.03,6678.74,3
CPT,26420,"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon UNSCHEDULED",,,3290.41,3359.68,3
CPT,26426,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger ",,,1950.0,18507.0,106
CPT,26426,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger Other Surgical Services",,,2850.0,2850.0,4
CPT,26426,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger SCHEDULED",,,6372.48,6506.63,3
CPT,26426,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger UNSCHEDULED",,,4223.2,4312.11,3
CPT,26428,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger ",,,1950.0,18507.0,106
CPT,26428,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger Other Surgical Services",,,2850.0,2850.0,4
CPT,26428,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger SCHEDULED",,,4959.16,5063.56,3
CPT,26428,"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger UNSCHEDULED",,,3266.33,3335.09,3
CPT,26432,"Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) ",,,1950.0,9710.0,106
CPT,26432,"Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) Other Surgical Services",,,2850.0,2850.0,4
CPT,26432,"Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) SCHEDULED",,,5801.92,5924.06,3
CPT,26432,"Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26433,"Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger) ",,,1950.0,18507.0,106
CPT,26433,"Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger) Other Surgical Services",,,2850.0,2850.0,4
CPT,26433,"Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger) SCHEDULED",,,4351.96,4443.58,3
CPT,26433,"Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger) UNSCHEDULED",,,4787.48,4888.27,3
CPT,26434,"Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,26434,"Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,26434,"Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) SCHEDULED",,,7056.11,7204.66,3
CPT,26434,"Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26437,"Realignment of extensor tendon, hand, each tendon ",,,1950.0,18507.0,106
CPT,26437,"Realignment of extensor tendon, hand, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26437,"Realignment of extensor tendon, hand, each tendon SCHEDULED",,,3204.56,3272.02,3
CPT,26437,"Realignment of extensor tendon, hand, each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26440,"Tenolysis, flexor tendon; palm OR finger, each tendon ",,,1950.0,9710.0,106
CPT,26440,"Tenolysis, flexor tendon; palm OR finger, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26440,"Tenolysis, flexor tendon; palm OR finger, each tendon SCHEDULED",,,2943.88,3005.86,3
CPT,26440,"Tenolysis, flexor tendon; palm OR finger, each tendon UNSCHEDULED",,,11789.14,12037.33,3
CPT,26442,"Tenolysis, flexor tendon; palm AND finger, each tendon ",,,1950.0,18507.0,106
CPT,26442,"Tenolysis, flexor tendon; palm AND finger, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26442,"Tenolysis, flexor tendon; palm AND finger, each tendon SCHEDULED",,,2089.61,2133.6,3
CPT,26442,"Tenolysis, flexor tendon; palm AND finger, each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26445,"Tenolysis, extensor tendon, hand OR finger, each tendon ",,,1950.0,18507.0,106
CPT,26445,"Tenolysis, extensor tendon, hand OR finger, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26445,"Tenolysis, extensor tendon, hand OR finger, each tendon SCHEDULED",,,2394.26,2444.66,3
CPT,26445,"Tenolysis, extensor tendon, hand OR finger, each tendon UNSCHEDULED",,,1107.62,1130.94,3
CPT,26449,"Tenolysis, complex, extensor tendon, finger, including forearm, each tendon ",,,1950.0,18507.0,106
CPT,26449,"Tenolysis, complex, extensor tendon, finger, including forearm, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26449,"Tenolysis, complex, extensor tendon, finger, including forearm, each tendon SCHEDULED",,,3403.47,3475.12,3
CPT,26449,"Tenolysis, complex, extensor tendon, finger, including forearm, each tendon UNSCHEDULED",,,1265.7,1292.35,3
CPT,26450,"Tenotomy, flexor, palm, open, each tendon ",,,1950.0,18507.0,106
CPT,26450,"Tenotomy, flexor, palm, open, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26450,"Tenotomy, flexor, palm, open, each tendon SCHEDULED",,,4959.16,5063.56,3
CPT,26450,"Tenotomy, flexor, palm, open, each tendon UNSCHEDULED",,,2396.36,2446.81,3
CPT,26455,"Tenotomy, flexor, finger, open, each tendon ",,,1950.0,9710.0,106
CPT,26455,"Tenotomy, flexor, finger, open, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26455,"Tenotomy, flexor, finger, open, each tendon SCHEDULED",,,2600.5,2655.25,3
CPT,26455,"Tenotomy, flexor, finger, open, each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26460,"Tenotomy, extensor, hand or finger, open, each tendon ",,,1950.0,9710.0,106
CPT,26460,"Tenotomy, extensor, hand or finger, open, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26460,"Tenotomy, extensor, hand or finger, open, each tendon SCHEDULED",,,2684.25,2740.76,3
CPT,26460,"Tenotomy, extensor, hand or finger, open, each tendon UNSCHEDULED",,,1764.03,1801.16,3
CPT,26471,"Tenodesis; of proximal interphalangeal joint, each joint ",,,1950.0,18507.0,106
CPT,26471,"Tenodesis; of proximal interphalangeal joint, each joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26471,"Tenodesis; of proximal interphalangeal joint, each joint SCHEDULED",,,3685.09,3762.67,3
CPT,26471,"Tenodesis; of proximal interphalangeal joint, each joint UNSCHEDULED",,,3266.33,3335.09,3
CPT,26474,"Tenodesis; of distal joint, each joint ",,,1950.0,9710.0,106
CPT,26474,"Tenodesis; of distal joint, each joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26474,"Tenodesis; of distal joint, each joint SCHEDULED",,,4959.16,5063.56,3
CPT,26474,"Tenodesis; of distal joint, each joint UNSCHEDULED",,,3266.33,3335.09,3
CPT,26476,"Lengthening of tendon, extensor, hand or finger, each tendon ",,,1950.0,18507.0,106
CPT,26476,"Lengthening of tendon, extensor, hand or finger, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26476,"Lengthening of tendon, extensor, hand or finger, each tendon SCHEDULED",,,4959.16,5063.56,3
CPT,26476,"Lengthening of tendon, extensor, hand or finger, each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26477,"Shortening of tendon, extensor, hand or finger, each tendon ",,,1950.0,18507.0,106
CPT,26477,"Shortening of tendon, extensor, hand or finger, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26477,"Shortening of tendon, extensor, hand or finger, each tendon SCHEDULED",,,10940.1,11170.42,3
CPT,26477,"Shortening of tendon, extensor, hand or finger, each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26478,"Lengthening of tendon, flexor, hand or finger, each tendon ",,,1950.0,18507.0,106
CPT,26478,"Lengthening of tendon, flexor, hand or finger, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26478,"Lengthening of tendon, flexor, hand or finger, each tendon SCHEDULED",,,3824.33,3904.84,3
CPT,26478,"Lengthening of tendon, flexor, hand or finger, each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26479,"Shortening of tendon, flexor, hand or finger, each tendon ",,,1950.0,18507.0,106
CPT,26479,"Shortening of tendon, flexor, hand or finger, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26479,"Shortening of tendon, flexor, hand or finger, each tendon SCHEDULED",,,4959.16,5063.56,3
CPT,26479,"Shortening of tendon, flexor, hand or finger, each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26480,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon ",,,1950.0,18507.0,106
CPT,26480,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26480,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon SCHEDULED",,,2647.61,2703.35,3
CPT,26480,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon UNSCHEDULED",,,3842.12,3923.01,3
CPT,26483,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon ",,,1950.0,18507.0,106
CPT,26483,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26483,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon SCHEDULED",,,5291.03,5402.42,3
CPT,26483,"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26485,"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon ",,,1950.0,18507.0,106
CPT,26485,"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26485,"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon SCHEDULED",,,6729.48,6871.15,3
CPT,26485,"Transfer or transplant of tendon, palmar; without free tendon graft, each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26489,"Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon ",,,1950.0,18507.0,106
CPT,26489,"Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26489,"Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon SCHEDULED",,,4959.16,5063.56,3
CPT,26489,"Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26490,"Opponensplasty; superficialis tendon transfer type, each tendon ",,,1950.0,18507.0,106
CPT,26490,"Opponensplasty; superficialis tendon transfer type, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26490,"Opponensplasty; superficialis tendon transfer type, each tendon SCHEDULED",,,3596.1,3671.81,3
CPT,26490,"Opponensplasty; superficialis tendon transfer type, each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26492,"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon ",,,1950.0,18507.0,106
CPT,26492,"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26492,"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon SCHEDULED",,,4315.32,4406.17,3
CPT,26492,"Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon UNSCHEDULED",,,5771.56,5893.07,3
CPT,26494,Opponensplasty; hypothenar muscle transfer ,,,1950.0,18507.0,106
CPT,26494,Opponensplasty; hypothenar muscle transfer Other Surgical Services,,,2850.0,2850.0,4
CPT,26494,Opponensplasty; hypothenar muscle transfer SCHEDULED,,,4959.16,5063.56,3
CPT,26494,Opponensplasty; hypothenar muscle transfer UNSCHEDULED,,,3266.33,3335.09,3
CPT,26496,Opponensplasty; other methods ,,,1950.0,18507.0,106
CPT,26496,Opponensplasty; other methods Other Surgical Services,,,2850.0,2850.0,4
CPT,26496,Opponensplasty; other methods SCHEDULED,,,4959.16,5063.56,3
CPT,26496,Opponensplasty; other methods UNSCHEDULED,,,3266.33,3335.09,3
CPT,26497,Transfer of tendon to restore intrinsic function; ring and small finger ,,,1950.0,18507.0,106
CPT,26497,Transfer of tendon to restore intrinsic function; ring and small finger Other Surgical Services,,,2850.0,2850.0,4
CPT,26497,Transfer of tendon to restore intrinsic function; ring and small finger SCHEDULED,,,7570.13,7729.5,3
CPT,26497,Transfer of tendon to restore intrinsic function; ring and small finger UNSCHEDULED,,,3266.33,3335.09,3
CPT,26498,Transfer of tendon to restore intrinsic function; all 4 fingers ,,,1950.0,18507.0,106
CPT,26498,Transfer of tendon to restore intrinsic function; all 4 fingers Other Surgical Services,,,2850.0,2850.0,4
CPT,26498,Transfer of tendon to restore intrinsic function; all 4 fingers SCHEDULED,,,4536.22,4631.72,3
CPT,26498,Transfer of tendon to restore intrinsic function; all 4 fingers UNSCHEDULED,,,5600.91,5718.83,3
CPT,26499,"Correction claw finger, other methods ",,,1950.0,18507.0,106
CPT,26499,"Correction claw finger, other methods Other Surgical Services",,,2850.0,2850.0,4
CPT,26499,"Correction claw finger, other methods SCHEDULED",,,3464.19,3537.12,3
CPT,26499,"Correction claw finger, other methods UNSCHEDULED",,,3266.33,3335.09,3
CPT,26500,"Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) ",,,1950.0,18507.0,106
CPT,26500,"Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,26500,"Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) SCHEDULED",,,3602.38,3678.22,3
CPT,26500,"Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) UNSCHEDULED",,,7022.61,7170.45,3
CPT,26502,"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure) ",,,1950.0,18507.0,106
CPT,26502,"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,26502,"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure) SCHEDULED",,,5042.91,5149.08,3
CPT,26502,"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure) UNSCHEDULED",,,3651.59,3728.47,3
CPT,26504,HAND TENDON RECONSTRUCTION SCHEDULED,,,4959.16,5063.56,3
CPT,26504,HAND TENDON RECONSTRUCTION UNSCHEDULED,,,3266.33,3335.09,3
CPT,26508,"Release of thenar muscle(s) (eg, thumb contracture) ",,,1950.0,18507.0,106
CPT,26508,"Release of thenar muscle(s) (eg, thumb contracture) Other Surgical Services",,,2850.0,2850.0,4
CPT,26508,"Release of thenar muscle(s) (eg, thumb contracture) SCHEDULED",,,2875.83,2936.37,3
CPT,26508,"Release of thenar muscle(s) (eg, thumb contracture) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26510,"Cross intrinsic transfer, each tendon ",,,1950.0,18507.0,106
CPT,26510,"Cross intrinsic transfer, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,26510,"Cross intrinsic transfer, each tendon SCHEDULED",,,4959.16,5063.56,3
CPT,26510,"Cross intrinsic transfer, each tendon UNSCHEDULED",,,3266.33,3335.09,3
CPT,26516,"Capsulodesis, metacarpophalangeal joint; single digit ",,,1950.0,18507.0,106
CPT,26516,"Capsulodesis, metacarpophalangeal joint; single digit Other Surgical Services",,,2850.0,2850.0,4
CPT,26516,"Capsulodesis, metacarpophalangeal joint; single digit SCHEDULED",,,6399.7,6534.43,3
CPT,26516,"Capsulodesis, metacarpophalangeal joint; single digit UNSCHEDULED",,,3966.71,4050.22,3
CPT,26517,"Capsulodesis, metacarpophalangeal joint; 2 digits ",,,1950.0,18507.0,106
CPT,26517,"Capsulodesis, metacarpophalangeal joint; 2 digits Other Surgical Services",,,2850.0,2850.0,4
CPT,26517,"Capsulodesis, metacarpophalangeal joint; 2 digits SCHEDULED",,,4959.16,5063.56,3
CPT,26517,"Capsulodesis, metacarpophalangeal joint; 2 digits UNSCHEDULED",,,3266.33,3335.09,3
CPT,26518,"Capsulodesis, metacarpophalangeal joint; 3 or 4 digits ",,,1950.0,18507.0,106
CPT,26518,"Capsulodesis, metacarpophalangeal joint; 3 or 4 digits Other Surgical Services",,,2850.0,2850.0,4
CPT,26518,"Capsulodesis, metacarpophalangeal joint; 3 or 4 digits SCHEDULED",,,4959.16,5063.56,3
CPT,26518,"Capsulodesis, metacarpophalangeal joint; 3 or 4 digits UNSCHEDULED",,,3266.33,3335.09,3
CPT,26520,"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint ",,,1950.0,18507.0,106
CPT,26520,"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26520,"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint SCHEDULED",,,2563.86,2617.84,3
CPT,26520,"Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint UNSCHEDULED",,,3266.33,3335.09,3
CPT,26525,"Capsulectomy or capsulotomy; interphalangeal joint, each joint ",,,1950.0,9710.0,106
CPT,26525,"Capsulectomy or capsulotomy; interphalangeal joint, each joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26525,"Capsulectomy or capsulotomy; interphalangeal joint, each joint SCHEDULED",,,2317.84,2366.64,3
CPT,26525,"Capsulectomy or capsulotomy; interphalangeal joint, each joint UNSCHEDULED",,,3266.33,3335.09,3
CPT,26530,"Arthroplasty, metacarpophalangeal joint; each joint ",,,1950.0,18507.0,106
CPT,26530,"Arthroplasty, metacarpophalangeal joint; each joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26530,"Arthroplasty, metacarpophalangeal joint; each joint SCHEDULED",,,4214.82,4303.55,3
CPT,26530,"Arthroplasty, metacarpophalangeal joint; each joint UNSCHEDULED",,,3270.52,3339.37,3
CPT,26531,"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint ",,,1950.0,18507.0,106
CPT,26531,"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26531,"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint SCHEDULED",,,5406.19,5520.01,3
CPT,26531,"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint UNSCHEDULED",,,3266.33,3335.09,3
CPT,26535,"Arthroplasty, interphalangeal joint; each joint ",,,1950.0,18507.0,106
CPT,26535,"Arthroplasty, interphalangeal joint; each joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26535,"Arthroplasty, interphalangeal joint; each joint SCHEDULED",,,6189.27,6319.57,3
CPT,26535,"Arthroplasty, interphalangeal joint; each joint UNSCHEDULED",,,5840.66,5963.62,3
CPT,26536,"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint ",,,1950.0,18507.0,106
CPT,26536,"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26536,"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint SCHEDULED",,,11498.11,11740.17,3
CPT,26536,"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint UNSCHEDULED",,,3266.33,3335.09,3
CPT,26540,"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint ",,,1950.0,18507.0,106
CPT,26540,"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26540,"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint SCHEDULED",,,6185.09,6315.3,3
CPT,26540,"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint UNSCHEDULED",,,2107.41,2151.78,3
CPT,26541,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,26541,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,26541,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft) SCHEDULED",,,8876.67,9063.54,3
CPT,26541,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26542,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement) ",,,1950.0,18507.0,106
CPT,26542,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement) Other Surgical Services",,,2850.0,2850.0,4
CPT,26542,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement) SCHEDULED",,,7204.76,7356.44,3
CPT,26542,"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26545,"Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint ",,,1950.0,18507.0,106
CPT,26545,"Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26545,"Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint SCHEDULED",,,1184.04,1208.97,3
CPT,26545,"Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint UNSCHEDULED",,,2976.34,3039.0,3
CPT,26546,"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation) ",,,1950.0,18507.0,106
CPT,26546,"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation) Other Surgical Services",,,2850.0,2850.0,4
CPT,26546,"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation) SCHEDULED",,,7174.41,7325.45,3
CPT,26546,"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation) UNSCHEDULED",,,7411.01,7567.03,3
CPT,26548,"Repair and reconstruction, finger, volar plate, interphalangeal joint ",,,1950.0,18507.0,106
CPT,26548,"Repair and reconstruction, finger, volar plate, interphalangeal joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26548,"Repair and reconstruction, finger, volar plate, interphalangeal joint SCHEDULED",,,5247.06,5357.52,3
CPT,26548,"Repair and reconstruction, finger, volar plate, interphalangeal joint UNSCHEDULED",,,2575.37,2629.59,3
CPT,26550,Pollicization of a digit ,,,1950.0,18507.0,106
CPT,26550,Pollicization of a digit Other Surgical Services,,,2850.0,2850.0,4
CPT,26550,Pollicization of a digit SCHEDULED,,,4959.16,5063.56,3
CPT,26550,Pollicization of a digit UNSCHEDULED,,,3266.33,3335.09,3
CPT,26551,"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft ",,,1950.0,18507.0,106
CPT,26551,"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft Other Surgical Services",,,2850.0,2850.0,4
CPT,26551,"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft SCHEDULED",,,4959.16,5063.56,3
CPT,26551,"Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft UNSCHEDULED",,,3266.33,3335.09,3
CPT,26553,"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single ",,,1950.0,18507.0,106
CPT,26553,"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single Other Surgical Services",,,2850.0,2850.0,4
CPT,26553,"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single SCHEDULED",,,4959.16,5063.56,3
CPT,26553,"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single UNSCHEDULED",,,3266.33,3335.09,3
CPT,26554,"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double ",,,1950.0,18507.0,106
CPT,26554,"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double Other Surgical Services",,,2850.0,2850.0,4
CPT,26554,"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double SCHEDULED",,,4959.16,5063.56,3
CPT,26554,"Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double UNSCHEDULED",,,3266.33,3335.09,3
CPT,26555,"Transfer, finger to another position without microvascular anastomosis ",,,1950.0,18507.0,106
CPT,26555,"Transfer, finger to another position without microvascular anastomosis Other Surgical Services",,,2850.0,2850.0,4
CPT,26555,"Transfer, finger to another position without microvascular anastomosis SCHEDULED",,,15480.51,15806.41,3
CPT,26555,"Transfer, finger to another position without microvascular anastomosis UNSCHEDULED",,,3266.33,3335.09,3
CPT,26556,"Transfer, free toe joint, with microvascular anastomosis ",,,1950.0,18507.0,78
CPT,26556,"Transfer, free toe joint, with microvascular anastomosis Other Surgical Services",,,2850.0,2850.0,4
CPT,26556,"Transfer, free toe joint, with microvascular anastomosis SCHEDULED",,,4959.16,5063.56,3
CPT,26556,"Transfer, free toe joint, with microvascular anastomosis UNSCHEDULED",,,3266.33,3335.09,3
CPT,26560,Repair of syndactyly (web finger) each web space; with skin flaps ,,,1950.0,9710.0,106
CPT,26560,Repair of syndactyly (web finger) each web space; with skin flaps Other Surgical Services,,,2850.0,2850.0,4
CPT,26560,Repair of syndactyly (web finger) each web space; with skin flaps SCHEDULED,,,14495.38,14800.54,3
CPT,26560,Repair of syndactyly (web finger) each web space; with skin flaps UNSCHEDULED,,,3266.33,3335.09,3
CPT,26561,Repair of syndactyly (web finger) each web space; with skin flaps and grafts ,,,1950.0,18507.0,106
CPT,26561,Repair of syndactyly (web finger) each web space; with skin flaps and grafts Other Surgical Services,,,2850.0,2850.0,4
CPT,26561,Repair of syndactyly (web finger) each web space; with skin flaps and grafts SCHEDULED,,,4959.16,5063.56,3
CPT,26561,Repair of syndactyly (web finger) each web space; with skin flaps and grafts UNSCHEDULED,,,3266.33,3335.09,3
CPT,26562,"Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails) ",,,1950.0,18507.0,106
CPT,26562,"Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails) Other Surgical Services",,,2850.0,2850.0,4
CPT,26562,"Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails) SCHEDULED",,,4959.16,5063.56,3
CPT,26562,"Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26565,"Osteotomy; metacarpal, each ",,,1950.0,18507.0,106
CPT,26565,"Osteotomy; metacarpal, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26565,"Osteotomy; metacarpal, each SCHEDULED",,,2843.38,2903.24,3
CPT,26565,"Osteotomy; metacarpal, each UNSCHEDULED",,,3266.33,3335.09,3
CPT,26567,"Osteotomy; phalanx of finger, each ",,,1950.0,18507.0,106
CPT,26567,"Osteotomy; phalanx of finger, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26567,"Osteotomy; phalanx of finger, each SCHEDULED",,,7821.39,7986.05,3
CPT,26567,"Osteotomy; phalanx of finger, each UNSCHEDULED",,,3266.33,3335.09,3
CPT,26568,"Osteoplasty, lengthening, metacarpal or phalanx ",,,1950.0,18507.0,106
CPT,26568,"Osteoplasty, lengthening, metacarpal or phalanx Other Surgical Services",,,2850.0,2850.0,4
CPT,26568,"Osteoplasty, lengthening, metacarpal or phalanx SCHEDULED",,,4191.79,4280.04,3
CPT,26568,"Osteoplasty, lengthening, metacarpal or phalanx UNSCHEDULED",,,7933.41,8100.43,3
CPT,26580,Repair cleft hand ,,,1950.0,18507.0,106
CPT,26580,Repair cleft hand Other Surgical Services,,,2850.0,2850.0,4
CPT,26580,Repair cleft hand SCHEDULED,,,4959.16,5063.56,3
CPT,26580,Repair cleft hand UNSCHEDULED,,,3266.33,3335.09,3
CPT,26585,REPAIR FINGER DEFORMITY SCHEDULED,,,4959.16,5063.56,3
CPT,26585,REPAIR FINGER DEFORMITY UNSCHEDULED,,,3266.33,3335.09,3
CPT,26587,"Reconstruction of polydactylous digit, soft tissue and bone ",,,1950.0,18507.0,106
CPT,26587,"Reconstruction of polydactylous digit, soft tissue and bone Other Surgical Services",,,2850.0,2850.0,4
CPT,26587,"Reconstruction of polydactylous digit, soft tissue and bone SCHEDULED",,,4959.16,5063.56,3
CPT,26587,"Reconstruction of polydactylous digit, soft tissue and bone UNSCHEDULED",,,4694.3,4793.13,3
CPT,26590,"Repair macrodactylia, each digit ",,,1950.0,9710.0,106
CPT,26590,"Repair macrodactylia, each digit Other Surgical Services",,,2850.0,2850.0,4
CPT,26590,"Repair macrodactylia, each digit SCHEDULED",,,4959.16,5063.56,3
CPT,26590,"Repair macrodactylia, each digit UNSCHEDULED",,,3266.33,3335.09,3
CPT,26591,"Repair, intrinsic muscles of hand, each muscle ",,,1950.0,18507.0,106
CPT,26591,"Repair, intrinsic muscles of hand, each muscle Other Surgical Services",,,2850.0,2850.0,4
CPT,26591,"Repair, intrinsic muscles of hand, each muscle SCHEDULED",,,4213.77,4302.48,3
CPT,26591,"Repair, intrinsic muscles of hand, each muscle UNSCHEDULED",,,2721.94,2779.24,3
CPT,26593,"Release, intrinsic muscles of hand, each muscle ",,,1950.0,18507.0,106
CPT,26593,"Release, intrinsic muscles of hand, each muscle Other Surgical Services",,,2850.0,2850.0,4
CPT,26593,"Release, intrinsic muscles of hand, each muscle SCHEDULED",,,3157.45,3223.92,3
CPT,26593,"Release, intrinsic muscles of hand, each muscle UNSCHEDULED",,,3266.33,3335.09,3
CPT,26596,"Excision of constricting ring of finger, with multiple Z-plasties ",,,1950.0,18507.0,106
CPT,26596,"Excision of constricting ring of finger, with multiple Z-plasties Other Surgical Services",,,2850.0,2850.0,4
CPT,26596,"Excision of constricting ring of finger, with multiple Z-plasties SCHEDULED",,,4959.16,5063.56,3
CPT,26596,"Excision of constricting ring of finger, with multiple Z-plasties UNSCHEDULED",,,3266.33,3335.09,3
CPT,26597,RELEASE OF SCAR CONTRACTURE SCHEDULED,,,4959.16,5063.56,3
CPT,26597,RELEASE OF SCAR CONTRACTURE UNSCHEDULED,,,3266.33,3335.09,3
CPT,26600,"Closed treatment of metacarpal fracture, single; without manipulation, each bone ",,,1423.0,9710.0,106
CPT,26600,"Closed treatment of metacarpal fracture, single; without manipulation, each bone Other Surgical Services",,,2850.0,2850.0,4
CPT,26600,"Closed treatment of metacarpal fracture, single; without manipulation, each bone SCHEDULED",,,4959.16,5063.56,3
CPT,26600,"Closed treatment of metacarpal fracture, single; without manipulation, each bone UNSCHEDULED",,,444.93,454.3,3
CPT,26605,"Closed treatment of metacarpal fracture, single; with manipulation, each bone ",,,1423.0,9710.0,106
CPT,26605,"Closed treatment of metacarpal fracture, single; with manipulation, each bone Other Surgical Services",,,2850.0,2850.0,4
CPT,26605,"Closed treatment of metacarpal fracture, single; with manipulation, each bone SCHEDULED",,,6640.49,6780.29,3
CPT,26605,"Closed treatment of metacarpal fracture, single; with manipulation, each bone UNSCHEDULED",,,802.97,819.87,3
CPT,26607,"Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone ",,,1950.0,18507.0,106
CPT,26607,"Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Other Surgical Services",,,2850.0,2850.0,4
CPT,26607,"Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone SCHEDULED",,,4414.77,4507.72,3
CPT,26607,"Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone UNSCHEDULED",,,3266.33,3335.09,3
CPT,26608,"Percutaneous skeletal fixation of metacarpal fracture, each bone ",,,1950.0,18507.0,106
CPT,26608,"Percutaneous skeletal fixation of metacarpal fracture, each bone Other Surgical Services",,,2850.0,2850.0,4
CPT,26608,"Percutaneous skeletal fixation of metacarpal fracture, each bone SCHEDULED",,,5097.36,5204.67,3
CPT,26608,"Percutaneous skeletal fixation of metacarpal fracture, each bone UNSCHEDULED",,,1017.58,1039.01,3
CPT,26615,"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone ",,,1950.0,18507.0,106
CPT,26615,"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone Other Surgical Services",,,2850.0,2850.0,4
CPT,26615,"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone SCHEDULED",,,5764.23,5885.58,3
CPT,26615,"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone UNSCHEDULED",,,4979.05,5083.88,3
CPT,26641,"Closed treatment of carpometacarpal dislocation, thumb, with manipulation ",,,1423.0,9710.0,106
CPT,26641,"Closed treatment of carpometacarpal dislocation, thumb, with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,26641,"Closed treatment of carpometacarpal dislocation, thumb, with manipulation SCHEDULED",,,4959.16,5063.56,3
CPT,26641,"Closed treatment of carpometacarpal dislocation, thumb, with manipulation UNSCHEDULED",,,549.62,561.19,3
CPT,26645,"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation ",,,1423.0,9710.0,106
CPT,26645,"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,26645,"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation SCHEDULED",,,4959.16,5063.56,3
CPT,26645,"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation UNSCHEDULED",,,2938.64,3000.51,3
CPT,26650,"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation ",,,1950.0,18507.0,106
CPT,26650,"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,26650,"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation SCHEDULED",,,1697.02,1732.75,3
CPT,26650,"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation UNSCHEDULED",,,3266.33,3335.09,3
CPT,26665,"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,26665,"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,26665,"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed SCHEDULED",,,5637.56,5756.24,3
CPT,26665,"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed UNSCHEDULED",,,8157.44,8329.18,3
CPT,26670,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia ",,,1423.0,9710.0,106
CPT,26670,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,26670,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia SCHEDULED",,,4959.16,5063.56,3
CPT,26670,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia UNSCHEDULED",,,249.17,254.41,3
CPT,26675,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia ",,,1423.0,9710.0,106
CPT,26675,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,26675,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia SCHEDULED",,,4959.16,5063.56,3
CPT,26675,"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia UNSCHEDULED",,,3266.33,3335.09,3
CPT,26676,"Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint ",,,1950.0,18507.0,106
CPT,26676,"Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26676,"Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint SCHEDULED",,,3789.78,3869.56,3
CPT,26676,"Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint UNSCHEDULED",,,7115.78,7265.58,3
CPT,26685,"Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint ",,,1950.0,18507.0,106
CPT,26685,"Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint Other Surgical Services",,,2850.0,2850.0,4
CPT,26685,"Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint SCHEDULED",,,5303.59,5415.25,3
CPT,26685,"Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint UNSCHEDULED",,,12114.72,12369.77,3
CPT,26686,"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction ",,,1950.0,18507.0,106
CPT,26686,"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction Other Surgical Services",,,2850.0,2850.0,4
CPT,26686,"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction SCHEDULED",,,4959.16,5063.56,3
CPT,26686,"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction UNSCHEDULED",,,3266.33,3335.09,3
CPT,26700,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia ",,,1423.0,9710.0,106
CPT,26700,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,26700,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia SCHEDULED",,,4959.16,5063.56,3
CPT,26700,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia UNSCHEDULED",,,516.13,526.99,3
CPT,26705,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia ",,,1423.0,9710.0,106
CPT,26705,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,26705,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia SCHEDULED",,,4959.16,5063.56,3
CPT,26705,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia UNSCHEDULED",,,1557.79,1590.59,3
CPT,26706,"Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation ",,,1950.0,18507.0,106
CPT,26706,"Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,26706,"Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation SCHEDULED",,,3471.52,3544.6,3
CPT,26706,"Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation UNSCHEDULED",,,2107.41,2151.78,3
CPT,26715,"Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,26715,"Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,26715,"Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed SCHEDULED",,,3204.56,3272.02,3
CPT,26715,"Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed UNSCHEDULED",,,9046.26,9236.71,3
CPT,26720,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each ",,,1423.0,9710.0,106
CPT,26720,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26720,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each SCHEDULED",,,4959.16,5063.56,3
CPT,26720,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each UNSCHEDULED",,,364.32,372.0,3
CPT,26725,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each ",,,1423.0,9710.0,106
CPT,26725,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26725,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each SCHEDULED",,,4959.16,5063.56,3
CPT,26725,"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each UNSCHEDULED",,,549.62,561.19,3
CPT,26727,"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each ",,,1950.0,18507.0,106
CPT,26727,"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26727,"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each SCHEDULED",,,6046.89,6174.2,3
CPT,26727,"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each UNSCHEDULED",,,4305.9,4396.55,3
CPT,26735,"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each ",,,1950.0,18507.0,106
CPT,26735,"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26735,"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each SCHEDULED",,,5423.99,5538.18,3
CPT,26735,"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each UNSCHEDULED",,,5376.88,5490.07,3
CPT,26740,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each ",,,1423.0,9710.0,106
CPT,26740,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26740,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each SCHEDULED",,,4959.16,5063.56,3
CPT,26740,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each UNSCHEDULED",,,121.44,124.0,3
CPT,26742,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each ",,,1423.0,9710.0,106
CPT,26742,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26742,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each SCHEDULED",,,4959.16,5063.56,3
CPT,26742,"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each UNSCHEDULED",,,900.33,919.29,3
CPT,26746,"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each ",,,1950.0,18507.0,106
CPT,26746,"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26746,"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each SCHEDULED",,,6786.0,6928.87,3
CPT,26746,"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each UNSCHEDULED",,,3290.41,3359.68,3
CPT,26750,"Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each ",,,1423.0,9710.0,106
CPT,26750,"Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26750,"Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each SCHEDULED",,,4959.16,5063.56,3
CPT,26750,"Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each UNSCHEDULED",,,415.62,424.37,3
CPT,26755,"Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each ",,,1423.0,9710.0,106
CPT,26755,"Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26755,"Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each SCHEDULED",,,4959.16,5063.56,3
CPT,26755,"Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each UNSCHEDULED",,,746.44,762.16,3
CPT,26756,"Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each ",,,1950.0,18507.0,106
CPT,26756,"Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26756,"Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each SCHEDULED",,,4819.93,4921.4,3
CPT,26756,"Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each UNSCHEDULED",,,5574.74,5692.11,3
CPT,26765,"Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each ",,,1950.0,18507.0,106
CPT,26765,"Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each Other Surgical Services",,,2850.0,2850.0,4
CPT,26765,"Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each SCHEDULED",,,3467.33,3540.33,3
CPT,26765,"Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each UNSCHEDULED",,,1758.79,1795.82,3
CPT,26770,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia ",,,1423.0,9710.0,106
CPT,26770,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,26770,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia SCHEDULED",,,4959.16,5063.56,3
CPT,26770,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia UNSCHEDULED",,,480.53,490.65,3
CPT,26775,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia ",,,1423.0,9710.0,106
CPT,26775,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,26775,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia SCHEDULED",,,4959.16,5063.56,3
CPT,26775,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia UNSCHEDULED",,,1058.41,1080.7,3
CPT,26776,"Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation ",,,1950.0,18507.0,106
CPT,26776,"Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,26776,"Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation SCHEDULED",,,5346.51,5459.07,3
CPT,26776,"Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation UNSCHEDULED",,,2002.72,2044.89,3
CPT,26785,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single ",,,1950.0,18507.0,106
CPT,26785,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single Other Surgical Services",,,2850.0,2850.0,4
CPT,26785,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single SCHEDULED",,,9075.58,9266.64,3
CPT,26785,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single UNSCHEDULED",,,6709.58,6850.84,3
CPT,26820,"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,26820,"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,26820,"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) SCHEDULED",,,4959.16,5063.56,3
CPT,26820,"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26841,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; ",,,1950.0,18507.0,106
CPT,26841,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; Other Surgical Services",,,2850.0,2850.0,4
CPT,26841,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; SCHEDULED",,,4959.16,5063.56,3
CPT,26841,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; UNSCHEDULED",,,3266.33,3335.09,3
CPT,26842,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,26842,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,26842,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft) SCHEDULED",,,4959.16,5063.56,3
CPT,26842,"Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26843,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; ",,,1950.0,18507.0,106
CPT,26843,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; Other Surgical Services",,,2850.0,2850.0,4
CPT,26843,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; SCHEDULED",,,3355.31,3425.95,3
CPT,26843,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; UNSCHEDULED",,,3266.33,3335.09,3
CPT,26844,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,26844,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,26844,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) SCHEDULED",,,8880.86,9067.82,3
CPT,26844,"Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26850,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; ",,,1950.0,18507.0,106
CPT,26850,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Other Surgical Services",,,2850.0,2850.0,4
CPT,26850,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; SCHEDULED",,,5952.67,6077.99,3
CPT,26850,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; UNSCHEDULED",,,3914.36,3996.77,3
CPT,26852,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,26852,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,26852,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) SCHEDULED",,,11855.1,12104.68,3
CPT,26852,"Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26860,"Arthrodesis, interphalangeal joint, with or without internal fixation; ",,,1950.0,18507.0,106
CPT,26860,"Arthrodesis, interphalangeal joint, with or without internal fixation; Other Surgical Services",,,2850.0,2850.0,4
CPT,26860,"Arthrodesis, interphalangeal joint, with or without internal fixation; SCHEDULED",,,7564.9,7724.16,3
CPT,26860,"Arthrodesis, interphalangeal joint, with or without internal fixation; UNSCHEDULED",,,4183.41,4271.48,3
CPT,26861,"Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,26861,"Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,26861,"Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint (List separately in addition to code for primary procedure) SCHEDULED",,,2710.43,2767.49,3
CPT,26861,"Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint (List separately in addition to code for primary procedure) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26862,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,26862,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,26862,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) SCHEDULED",,,9628.34,9831.04,3
CPT,26862,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) UNSCHEDULED",,,3266.33,3335.09,3
CPT,26863,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft), each additional joint (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,26863,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft), each additional joint (List separately in addition to code for primary procedure) Othe",,,2850.0,2850.0,4
CPT,26863,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft), each additional joint (List separately in addition to code for primary procedure) SCHE",,,4959.16,5063.56,3
CPT,26863,"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft), each additional joint (List separately in addition to code for primary procedure) UNSC",,,3266.33,3335.09,3
CPT,26910,"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer ",,,1950.0,18507.0,106
CPT,26910,"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer Other Surgical Services",,,2850.0,2850.0,4
CPT,26910,"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer SCHEDULED",,,7928.18,8095.09,3
CPT,26910,"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer UNSCHEDULED",,,5788.31,5910.17,3
CPT,26951,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure ",,,1950.0,18507.0,106
CPT,26951,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure Other Surgical Services",,,2850.0,2850.0,4
CPT,26951,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure SCHEDULED",,,5725.5,5846.03,3
CPT,26951,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure UNSCHEDULED",,,4917.29,5020.81,3
CPT,26952,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood) ",,,1950.0,18507.0,106
CPT,26952,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood) Other Surgical Services",,,2850.0,2850.0,4
CPT,26952,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood) SCHEDULED",,,6092.96,6221.23,3
CPT,26952,"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood) UNSCHEDULED",,,6293.96,6426.46,3
CPT,26989,"Unlisted procedure, hands or fingers ",,,1423.0,9710.0,106
CPT,26989,"Unlisted procedure, hands or fingers Other Surgical Services",,,2850.0,2850.0,4
CPT,26989,"Unlisted procedure, hands or fingers SCHEDULED",,,4959.16,5063.56,3
CPT,26989,"Unlisted procedure, hands or fingers UNSCHEDULED",,,3266.33,3335.09,3
CPT,26990,"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma ",,,1950.0,18507.0,106
CPT,26990,"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Other Surgical Services",,,2850.0,2850.0,4
CPT,26990,"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma SCHEDULED",,,10847.97,11076.35,3
CPT,26990,"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma UNSCHEDULED",,,1153.16,1177.43,3
CPT,26991,"Incision and drainage, pelvis or hip joint area; infected bursa ",,,1950.0,9710.0,106
CPT,26991,"Incision and drainage, pelvis or hip joint area; infected bursa Other Surgical Services",,,2850.0,2850.0,4
CPT,26991,"Incision and drainage, pelvis or hip joint area; infected bursa SCHEDULED",,,10847.97,11076.35,3
CPT,26991,"Incision and drainage, pelvis or hip joint area; infected bursa UNSCHEDULED",,,1153.16,1177.43,3
CPT,26992,"Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) ",,,1950.0,18507.0,106
CPT,26992,"Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Other Surgical Services",,,2850.0,2850.0,4
CPT,26992,"Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) SCHEDULED",,,10847.97,11076.35,3
CPT,26992,"Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) UNSCHEDULED",,,1153.16,1177.43,3
CPT,27000,"Tenotomy, adductor of hip, percutaneous (separate procedure) ",,,1950.0,9710.0,106
CPT,27000,"Tenotomy, adductor of hip, percutaneous (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,27000,"Tenotomy, adductor of hip, percutaneous (separate procedure) SCHEDULED",,,10847.97,11076.35,3
CPT,27000,"Tenotomy, adductor of hip, percutaneous (separate procedure) UNSCHEDULED",,,1153.16,1177.43,3
CPT,27001,"Tenotomy, adductor of hip, open ",,,1950.0,18507.0,106
CPT,27001,"Tenotomy, adductor of hip, open Other Surgical Services",,,2850.0,2850.0,4
CPT,27001,"Tenotomy, adductor of hip, open SCHEDULED",,,10847.97,11076.35,3
CPT,27001,"Tenotomy, adductor of hip, open UNSCHEDULED",,,1153.16,1177.43,3
CPT,27003,"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy ",,,1950.0,18507.0,106
CPT,27003,"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,27003,"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy SCHEDULED",,,10847.97,11076.35,3
CPT,27003,"Tenotomy, adductor, subcutaneous, open, with obturator neurectomy UNSCHEDULED",,,1153.16,1177.43,3
CPT,27005,"Tenotomy, hip flexor(s), open (separate procedure) ",,,1950.0,18507.0,78
CPT,27005,"Tenotomy, hip flexor(s), open (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,27005,"Tenotomy, hip flexor(s), open (separate procedure) SCHEDULED",,,5941.16,6066.23,3
CPT,27005,"Tenotomy, hip flexor(s), open (separate procedure) UNSCHEDULED",,,1153.16,1177.43,3
CPT,27006,"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) ",,,1950.0,18507.0,106
CPT,27006,"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,27006,"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) SCHEDULED",,,3810.72,3890.94,3
CPT,27006,"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) UNSCHEDULED",,,1153.16,1177.43,3
CPT,27025,"Fasciotomy, hip or thigh, any type ",,,1950.0,18507.0,78
CPT,27025,"Fasciotomy, hip or thigh, any type Other Surgical Services",,,2850.0,2850.0,4
CPT,27025,"Fasciotomy, hip or thigh, any type SCHEDULED",,,1597.57,1631.2,3
CPT,27025,"Fasciotomy, hip or thigh, any type UNSCHEDULED",,,1153.16,1177.43,3
CPT,27027,"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle), unilateral ",,,1950.0,18507.0,106
CPT,27027,"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle), unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,27027,"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle), unilateral SCHEDULED",,,10847.97,11076.35,3
CPT,27027,"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle), unilateral UNSCHEDULED",,,1153.16,1177.43,3
CPT,27030,"Arthrotomy, hip, with drainage (eg, infection) ",,,1950.0,18507.0,106
CPT,27030,"Arthrotomy, hip, with drainage (eg, infection) Other Surgical Services",,,2850.0,2850.0,4
CPT,27030,"Arthrotomy, hip, with drainage (eg, infection) SCHEDULED",,,10847.97,11076.35,3
CPT,27030,"Arthrotomy, hip, with drainage (eg, infection) UNSCHEDULED",,,1153.16,1177.43,3
CPT,27033,"Arthrotomy, hip, including exploration or removal of loose or foreign body ",,,1950.0,18507.0,106
CPT,27033,"Arthrotomy, hip, including exploration or removal of loose or foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,27033,"Arthrotomy, hip, including exploration or removal of loose or foreign body SCHEDULED",,,10847.97,11076.35,3
CPT,27033,"Arthrotomy, hip, including exploration or removal of loose or foreign body UNSCHEDULED",,,1153.16,1177.43,3
CPT,27035,"Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves ",,,1950.0,18507.0,106
CPT,27035,"Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves Other Surgical Services",,,2850.0,2850.0,4
CPT,27035,"Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves SCHEDULED",,,10847.97,11076.35,3
CPT,27035,"Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves UNSCHEDULED",,,1153.16,1177.43,3
CPT,27036,"Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie, gluteus medius, gluteus minimus, tensor fascia latae, rectus femoris, sartorius,",,,1153.16,18507.0,116
CPT,27040,"Biopsy, soft tissue of pelvis and hip area; superficial ",,,1950.0,9710.0,106
CPT,27040,"Biopsy, soft tissue of pelvis and hip area; superficial Other Surgical Services",,,2850.0,2850.0,4
CPT,27040,"Biopsy, soft tissue of pelvis and hip area; superficial SCHEDULED",,,10847.97,11076.35,3
CPT,27040,"Biopsy, soft tissue of pelvis and hip area; superficial UNSCHEDULED",,,1153.16,1177.43,3
CPT,27041,"Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular ",,,1950.0,9710.0,106
CPT,27041,"Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Other Surgical Services",,,2850.0,2850.0,4
CPT,27041,"Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular SCHEDULED",,,10847.97,11076.35,3
CPT,27041,"Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular UNSCHEDULED",,,1153.16,1177.43,3
CPT,27043,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater ",,,1950.0,14792.0,106
CPT,27043,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,27043,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater SCHEDULED",,,10847.97,11076.35,3
CPT,27043,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater UNSCHEDULED",,,1153.16,1177.43,3
CPT,27045,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater ",,,1950.0,14792.0,106
CPT,27045,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,27045,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater SCHEDULED",,,19140.48,19543.43,3
CPT,27045,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater UNSCHEDULED",,,1153.16,1177.43,3
CPT,27047,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm ",,,1950.0,14792.0,106
CPT,27047,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,27047,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm SCHEDULED",,,906.61,925.7,3
CPT,27047,"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm UNSCHEDULED",,,1153.16,1177.43,3
CPT,27048,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm ",,,1950.0,14792.0,106
CPT,27048,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,27048,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm SCHEDULED",,,10847.97,11076.35,3
CPT,27048,"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm UNSCHEDULED",,,1153.16,1177.43,3
CPT,27049,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm ",,,1950.0,14792.0,106
CPT,27049,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,27049,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm SCHEDULED",,,10847.97,11076.35,3
CPT,27049,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm UNSCHEDULED",,,1153.16,1177.43,3
CPT,27050,"Arthrotomy, with biopsy; sacroiliac joint ",,,1950.0,9710.0,106
CPT,27050,"Arthrotomy, with biopsy; sacroiliac joint Other Surgical Services",,,2850.0,2850.0,4
CPT,27050,"Arthrotomy, with biopsy; sacroiliac joint SCHEDULED",,,10847.97,11076.35,3
CPT,27050,"Arthrotomy, with biopsy; sacroiliac joint UNSCHEDULED",,,1153.16,1177.43,3
CPT,27052,"Arthrotomy, with biopsy; hip joint ",,,1950.0,9710.0,106
CPT,27052,"Arthrotomy, with biopsy; hip joint Other Surgical Services",,,2850.0,2850.0,4
CPT,27052,"Arthrotomy, with biopsy; hip joint SCHEDULED",,,10847.97,11076.35,3
CPT,27052,"Arthrotomy, with biopsy; hip joint UNSCHEDULED",,,1153.16,1177.43,3
CPT,27054,"Arthrotomy with synovectomy, hip joint ",,,1950.0,18507.0,78
CPT,27054,"Arthrotomy with synovectomy, hip joint Other Surgical Services",,,2850.0,2850.0,4
CPT,27054,"Arthrotomy with synovectomy, hip joint SCHEDULED",,,10847.97,11076.35,3
CPT,27054,"Arthrotomy with synovectomy, hip joint UNSCHEDULED",,,1153.16,1177.43,3
CPT,27057,"Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle) with debridement of nonviable muscle, unilater",,,1153.16,11076.35,116
CPT,27059,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater ",,,1950.0,14792.0,106
CPT,27059,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,27059,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater SCHEDULED",,,10847.97,11076.35,3
CPT,27059,"Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater UNSCHEDULED",,,1153.16,1177.43,3
CPT,27060,Excision; ischial bursa ,,,1950.0,18507.0,106
CPT,27060,Excision; ischial bursa Other Surgical Services,,,2850.0,2850.0,4
CPT,27060,Excision; ischial bursa SCHEDULED,,,28222.33,28816.49,3
CPT,27060,Excision; ischial bursa UNSCHEDULED,,,1153.16,1177.43,3
CPT,27062,Excision; trochanteric bursa or calcification ,,,1950.0,18507.0,106
CPT,27062,Excision; trochanteric bursa or calcification Other Surgical Services,,,2850.0,2850.0,4
CPT,27062,Excision; trochanteric bursa or calcification SCHEDULED,,,7800.45,7964.67,3
CPT,27062,Excision; trochanteric bursa or calcification UNSCHEDULED,,,1153.16,1177.43,3
CPT,27065,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial, includes autograft, when performed ",,,1950.0,18507.0,106
CPT,27065,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial, includes autograft, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27065,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial, includes autograft, when performed SCHEDULED",,,10847.97,11076.35,3
CPT,27065,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial, includes autograft, when performed UNSCHEDULED",,,1153.16,1177.43,3
CPT,27066,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed ",,,1950.0,18507.0,106
CPT,27066,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27066,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed SCHEDULED",,,10847.97,11076.35,3
CPT,27066,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed UNSCHEDULED",,,1153.16,1177.43,3
CPT,27067,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision ",,,1950.0,18507.0,106
CPT,27067,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision Other Surgical Services",,,2850.0,2850.0,4
CPT,27067,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision SCHEDULED",,,10847.97,11076.35,3
CPT,27067,"Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision UNSCHEDULED",,,1153.16,1177.43,3
CPT,27070,"Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial ",,,1950.0,18507.0,78
CPT,27070,"Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial Other Surgical Services",,,2850.0,2850.0,4
CPT,27070,"Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial SCHEDULED",,,10847.97,11076.35,3
CPT,27070,"Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial UNSCHEDULED",,,1153.16,1177.43,3
CPT,27071,"Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); deep (subfascial or intramuscular) ",,,1950.0,18507.0,106
CPT,27071,"Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); deep (subfascial or intramuscular) Other Surgical ",,,2850.0,2850.0,4
CPT,27071,"Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); deep (subfascial or intramuscular) SCHEDULED",,,10847.97,11076.35,3
CPT,27071,"Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); deep (subfascial or intramuscular) UNSCHEDULED",,,1153.16,1177.43,3
CPT,27075,"Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis ",,,1950.0,18507.0,78
CPT,27075,"Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Other Surgical Services",,,2850.0,2850.0,4
CPT,27075,"Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis SCHEDULED",,,10847.97,11076.35,3
CPT,27075,"Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis UNSCHEDULED",,,1153.16,1177.43,3
CPT,27076,"Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum ",,,1950.0,18507.0,78
CPT,27076,"Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum Other Surgical Services",,,2850.0,2850.0,4
CPT,27076,"Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum SCHEDULED",,,10847.97,11076.35,3
CPT,27076,"Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum UNSCHEDULED",,,1153.16,1177.43,3
CPT,27077,"Radical resection of tumor; innominate bone, total ",,,1950.0,18507.0,78
CPT,27077,"Radical resection of tumor; innominate bone, total Other Surgical Services",,,2850.0,2850.0,4
CPT,27077,"Radical resection of tumor; innominate bone, total SCHEDULED",,,10847.97,11076.35,3
CPT,27077,"Radical resection of tumor; innominate bone, total UNSCHEDULED",,,1153.16,1177.43,3
CPT,27078,Radical resection of tumor; ischial tuberosity and greater trochanter of femur ,,,1950.0,18507.0,78
CPT,27078,Radical resection of tumor; ischial tuberosity and greater trochanter of femur Other Surgical Services,,,2850.0,2850.0,4
CPT,27078,Radical resection of tumor; ischial tuberosity and greater trochanter of femur SCHEDULED,,,10847.97,11076.35,3
CPT,27078,Radical resection of tumor; ischial tuberosity and greater trochanter of femur UNSCHEDULED,,,1153.16,1177.43,3
CPT,27079,EXTENSIVE HIP SURGERY SCHEDULED,,,10847.97,11076.35,3
CPT,27079,EXTENSIVE HIP SURGERY UNSCHEDULED,,,1153.16,1177.43,3
CPT,27080,"Coccygectomy, primary ",,,1950.0,18507.0,106
CPT,27080,"Coccygectomy, primary Other Surgical Services",,,2850.0,2850.0,4
CPT,27080,"Coccygectomy, primary SCHEDULED",,,7606.77,7766.92,3
CPT,27080,"Coccygectomy, primary UNSCHEDULED",,,1153.16,1177.43,3
CPT,27086,"Removal of foreign body, pelvis or hip; subcutaneous tissue ",,,1950.0,14792.0,106
CPT,27086,"Removal of foreign body, pelvis or hip; subcutaneous tissue Other Surgical Services",,,2850.0,2850.0,4
CPT,27086,"Removal of foreign body, pelvis or hip; subcutaneous tissue SCHEDULED",,,10847.97,11076.35,3
CPT,27086,"Removal of foreign body, pelvis or hip; subcutaneous tissue UNSCHEDULED",,,1153.16,1177.43,3
CPT,27087,"Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) ",,,1950.0,18507.0,106
CPT,27087,"Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Other Surgical Services",,,2850.0,2850.0,4
CPT,27087,"Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) SCHEDULED",,,10847.97,11076.35,3
CPT,27087,"Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) UNSCHEDULED",,,1153.16,1177.43,3
CPT,27090,Removal of hip prosthesis; (separate procedure) ,,,1950.0,18507.0,78
CPT,27090,Removal of hip prosthesis; (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,27090,Removal of hip prosthesis; (separate procedure) SCHEDULED,,,13703.92,13992.42,3
CPT,27090,Removal of hip prosthesis; (separate procedure) UNSCHEDULED,,,1153.16,1177.43,3
CPT,27091,"Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer ",,,1950.0,18507.0,78
CPT,27091,"Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer Other Surgical Services",,,2850.0,2850.0,4
CPT,27091,"Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer SCHEDULED",,,10847.97,11076.35,3
CPT,27091,"Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer UNSCHEDULED",,,1153.16,1177.43,3
CPT,27093,Injection procedure for hip arthrography; without anesthesia ,,,1423.0,9710.0,99
CPT,27093,Injection procedure for hip arthrography; without anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,27093,Injection procedure for hip arthrography; without anesthesia SCHEDULED,,,10847.97,11076.35,3
CPT,27093,Injection procedure for hip arthrography; without anesthesia UNSCHEDULED,,,598.82,611.43,3
CPT,27095,Injection procedure for hip arthrography; with anesthesia ,,,1423.0,9710.0,99
CPT,27095,Injection procedure for hip arthrography; with anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,27095,Injection procedure for hip arthrography; with anesthesia SCHEDULED,,,10847.97,11076.35,3
CPT,27095,Injection procedure for hip arthrography; with anesthesia UNSCHEDULED,,,610.35,623.2,3
CPT,27096,"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed ",,,1423.0,9710.0,99
CPT,27096,"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27096,"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed SCHEDULED",,,10847.97,11076.35,3
CPT,27096,"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed UNSCHEDULED",,,1390.29,1419.56,3
CPT,27097,"Release or recession, hamstring, proximal ",,,1950.0,18507.0,106
CPT,27097,"Release or recession, hamstring, proximal Other Surgical Services",,,2850.0,2850.0,4
CPT,27097,"Release or recession, hamstring, proximal SCHEDULED",,,10847.97,11076.35,3
CPT,27097,"Release or recession, hamstring, proximal UNSCHEDULED",,,1153.16,1177.43,3
CPT,27098,"Transfer, adductor to ischium ",,,1950.0,18507.0,106
CPT,27098,"Transfer, adductor to ischium Other Surgical Services",,,2850.0,2850.0,4
CPT,27098,"Transfer, adductor to ischium SCHEDULED",,,10847.97,11076.35,3
CPT,27098,"Transfer, adductor to ischium UNSCHEDULED",,,1153.16,1177.43,3
CPT,27100,Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) ,,,1950.0,18507.0,106
CPT,27100,Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,27100,Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) SCHEDULED,,,10847.97,11076.35,3
CPT,27100,Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) UNSCHEDULED,,,1153.16,1177.43,3
CPT,27105,Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) ,,,1950.0,18507.0,106
CPT,27105,Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,27105,Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) SCHEDULED,,,10847.97,11076.35,3
CPT,27105,Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) UNSCHEDULED,,,1153.16,1177.43,3
CPT,27110,Transfer iliopsoas; to greater trochanter of femur ,,,1950.0,18507.0,106
CPT,27110,Transfer iliopsoas; to greater trochanter of femur Other Surgical Services,,,2850.0,2850.0,4
CPT,27110,Transfer iliopsoas; to greater trochanter of femur SCHEDULED,,,440.74,450.02,3
CPT,27110,Transfer iliopsoas; to greater trochanter of femur UNSCHEDULED,,,1153.16,1177.43,3
CPT,27111,Transfer iliopsoas; to femoral neck ,,,1950.0,18507.0,106
CPT,27111,Transfer iliopsoas; to femoral neck Other Surgical Services,,,2850.0,2850.0,4
CPT,27111,Transfer iliopsoas; to femoral neck SCHEDULED,,,10847.97,11076.35,3
CPT,27111,Transfer iliopsoas; to femoral neck UNSCHEDULED,,,1153.16,1177.43,3
CPT,27120,"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type) ",,,1950.0,18507.0,78
CPT,27120,"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type) Other Surgical Services",,,2850.0,2850.0,4
CPT,27120,"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type) SCHEDULED",,,10847.97,11076.35,3
CPT,27120,"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type) UNSCHEDULED",,,1153.16,1177.43,3
CPT,27122,"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure) ",,,1950.0,18507.0,78
CPT,27122,"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,27122,"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure) SCHEDULED",,,10847.97,11076.35,3
CPT,27122,"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure) UNSCHEDULED",,,1153.16,1177.43,3
CPT,27125,"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) ",,,1950.0,41379.0,80
CPT,27125,"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) Other Surgical Services",,,2850.0,2850.0,4
CPT,27125,"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) SCHEDULED",,,10847.97,11076.35,3
CPT,27125,"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) UNSCHEDULED",,,376.88,384.82,3
CPT,27130,"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft ",,,1950.0,44577.0,100
CPT,27130,"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft Other Surgical Services",,,2850.0,2850.0,4
CPT,27130,"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft SCHEDULED",,,10847.97,11076.35,3
CPT,27130,"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft UNSCHEDULED",,,1153.16,1177.43,3
CPT,27132,"Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft ",,,1950.0,44577.0,97
CPT,27132,"Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Other Surgical Services",,,2850.0,2850.0,4
CPT,27132,"Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft SCHEDULED",,,10847.97,11076.35,3
CPT,27132,"Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft UNSCHEDULED",,,1153.16,1177.43,3
CPT,27134,"Revision of total hip arthroplasty; both components, with or without autograft or allograft ",,,1950.0,44577.0,97
CPT,27134,"Revision of total hip arthroplasty; both components, with or without autograft or allograft Other Surgical Services",,,2850.0,2850.0,4
CPT,27134,"Revision of total hip arthroplasty; both components, with or without autograft or allograft SCHEDULED",,,10847.97,11076.35,3
CPT,27134,"Revision of total hip arthroplasty; both components, with or without autograft or allograft UNSCHEDULED",,,1153.16,1177.43,3
CPT,27137,"Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft ",,,1950.0,44577.0,97
CPT,27137,"Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Other Surgical Services",,,2850.0,2850.0,4
CPT,27137,"Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft SCHEDULED",,,10847.97,11076.35,3
CPT,27137,"Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft UNSCHEDULED",,,1153.16,1177.43,3
CPT,27138,"Revision of total hip arthroplasty; femoral component only, with or without allograft ",,,1950.0,44577.0,97
CPT,27138,"Revision of total hip arthroplasty; femoral component only, with or without allograft Other Surgical Services",,,2850.0,2850.0,4
CPT,27138,"Revision of total hip arthroplasty; femoral component only, with or without allograft SCHEDULED",,,10847.97,11076.35,3
CPT,27138,"Revision of total hip arthroplasty; femoral component only, with or without allograft UNSCHEDULED",,,1153.16,1177.43,3
CPT,27140,Osteotomy and transfer of greater trochanter of femur (separate procedure) ,,,1950.0,18507.0,78
CPT,27140,Osteotomy and transfer of greater trochanter of femur (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,27140,Osteotomy and transfer of greater trochanter of femur (separate procedure) SCHEDULED,,,10847.97,11076.35,3
CPT,27140,Osteotomy and transfer of greater trochanter of femur (separate procedure) UNSCHEDULED,,,1153.16,1177.43,3
CPT,27146,"Osteotomy, iliac, acetabular or innominate bone; ",,,1950.0,18507.0,78
CPT,27146,"Osteotomy, iliac, acetabular or innominate bone; Other Surgical Services",,,2850.0,2850.0,4
CPT,27146,"Osteotomy, iliac, acetabular or innominate bone; SCHEDULED",,,10847.97,11076.35,3
CPT,27146,"Osteotomy, iliac, acetabular or innominate bone; UNSCHEDULED",,,1153.16,1177.43,3
CPT,27147,"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip ",,,1950.0,18507.0,78
CPT,27147,"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip Other Surgical Services",,,2850.0,2850.0,4
CPT,27147,"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip SCHEDULED",,,10847.97,11076.35,3
CPT,27147,"Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip UNSCHEDULED",,,1153.16,1177.43,3
CPT,27151,"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy ",,,1950.0,18507.0,78
CPT,27151,"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,27151,"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy SCHEDULED",,,10847.97,11076.35,3
CPT,27151,"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy UNSCHEDULED",,,1153.16,1177.43,3
CPT,27156,"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip ",,,1950.0,18507.0,78
CPT,27156,"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip Other Surgical Services",,,2850.0,2850.0,4
CPT,27156,"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip SCHEDULED",,,10847.97,11076.35,3
CPT,27156,"Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip UNSCHEDULED",,,1153.16,1177.43,3
CPT,27158,"Osteotomy, pelvis, bilateral (eg, congenital malformation) ",,,1950.0,18507.0,78
CPT,27158,"Osteotomy, pelvis, bilateral (eg, congenital malformation) Other Surgical Services",,,2850.0,2850.0,4
CPT,27158,"Osteotomy, pelvis, bilateral (eg, congenital malformation) SCHEDULED",,,10847.97,11076.35,3
CPT,27158,"Osteotomy, pelvis, bilateral (eg, congenital malformation) UNSCHEDULED",,,1153.16,1177.43,3
CPT,27161,"Osteotomy, femoral neck (separate procedure) ",,,1950.0,18507.0,78
CPT,27161,"Osteotomy, femoral neck (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,27161,"Osteotomy, femoral neck (separate procedure) SCHEDULED",,,10847.97,11076.35,3
CPT,27161,"Osteotomy, femoral neck (separate procedure) UNSCHEDULED",,,1153.16,1177.43,3
CPT,27165,"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast ",,,1950.0,18507.0,78
CPT,27165,"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Other Surgical Services",,,2850.0,2850.0,4
CPT,27165,"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast SCHEDULED",,,10847.97,11076.35,3
CPT,27165,"Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast UNSCHEDULED",,,1153.16,1177.43,3
CPT,27170,"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) ",,,1950.0,18507.0,78
CPT,27170,"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,27170,"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) SCHEDULED",,,10847.97,11076.35,3
CPT,27170,"Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) UNSCHEDULED",,,1153.16,1177.43,3
CPT,27175,"Treatment of slipped femoral epiphysis; by traction, without reduction ",,,1950.0,18507.0,78
CPT,27175,"Treatment of slipped femoral epiphysis; by traction, without reduction Other Surgical Services",,,2850.0,2850.0,4
CPT,27175,"Treatment of slipped femoral epiphysis; by traction, without reduction SCHEDULED",,,10847.97,11076.35,3
CPT,27175,"Treatment of slipped femoral epiphysis; by traction, without reduction UNSCHEDULED",,,1153.16,1177.43,3
CPT,27176,"Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ ",,,1950.0,18507.0,106
CPT,27176,"Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ Other Surgical Services",,,2850.0,2850.0,4
CPT,27176,"Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ SCHEDULED",,,10847.97,11076.35,3
CPT,27176,"Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ UNSCHEDULED",,,1153.16,1177.43,3
CPT,27177,Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) ,,,1950.0,18507.0,78
CPT,27177,Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,27177,Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) SCHEDULED,,,10847.97,11076.35,3
CPT,27177,Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) UNSCHEDULED,,,1153.16,1177.43,3
CPT,27178,Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning ,,,1950.0,18507.0,106
CPT,27178,Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Other Surgical Services,,,2850.0,2850.0,4
CPT,27178,Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning SCHEDULED,,,10847.97,11076.35,3
CPT,27178,Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning UNSCHEDULED,,,1153.16,1177.43,3
CPT,27179,Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) ,,,1950.0,18507.0,106
CPT,27179,Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,27179,Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) SCHEDULED,,,10847.97,11076.35,3
CPT,27179,Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) UNSCHEDULED,,,1153.16,1177.43,3
CPT,27181,Open treatment of slipped femoral epiphysis; osteotomy and internal fixation ,,,1950.0,18507.0,78
CPT,27181,Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Other Surgical Services,,,2850.0,2850.0,4
CPT,27181,Open treatment of slipped femoral epiphysis; osteotomy and internal fixation SCHEDULED,,,10847.97,11076.35,3
CPT,27181,Open treatment of slipped femoral epiphysis; osteotomy and internal fixation UNSCHEDULED,,,1153.16,1177.43,3
CPT,27185,"Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur ",,,1950.0,18507.0,78
CPT,27185,"Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Other Surgical Services",,,2850.0,2850.0,4
CPT,27185,"Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur SCHEDULED",,,10847.97,11076.35,3
CPT,27185,"Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur UNSCHEDULED",,,1153.16,1177.43,3
CPT,27187,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur ",,,1950.0,18507.0,78
CPT,27187,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur Other Surgical Services",,,2850.0,2850.0,4
CPT,27187,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur SCHEDULED",,,10847.97,11076.35,3
CPT,27187,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur UNSCHEDULED",,,1153.16,1177.43,3
CPT,27193,TREAT PELVIC RING FRACTURE ,,,1423.0,3251.0,28
CPT,27193,TREAT PELVIC RING FRACTURE SCHEDULED,,,10847.97,11076.35,3
CPT,27193,TREAT PELVIC RING FRACTURE UNSCHEDULED,,,1153.16,1177.43,3
CPT,27194,TREAT PELVIC RING FRACTURE ,,,1982.0,3689.0,28
CPT,27194,TREAT PELVIC RING FRACTURE SCHEDULED,,,10847.97,11076.35,3
CPT,27194,TREAT PELVIC RING FRACTURE UNSCHEDULED,,,1153.16,1177.43,3
CPT,27197,"Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or d",,,1153.16,11076.35,116
CPT,27198,"Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or d",,,1153.16,11076.35,116
CPT,27200,Closed treatment of coccygeal fracture ,,,1423.0,9710.0,106
CPT,27200,Closed treatment of coccygeal fracture Other Surgical Services,,,2850.0,2850.0,4
CPT,27200,Closed treatment of coccygeal fracture SCHEDULED,,,10847.97,11076.35,3
CPT,27200,Closed treatment of coccygeal fracture UNSCHEDULED,,,1153.16,1177.43,3
CPT,27202,Open treatment of coccygeal fracture ,,,1950.0,18507.0,106
CPT,27202,Open treatment of coccygeal fracture Other Surgical Services,,,2850.0,2850.0,4
CPT,27202,Open treatment of coccygeal fracture SCHEDULED,,,10847.97,11076.35,3
CPT,27202,Open treatment of coccygeal fracture UNSCHEDULED,,,1153.16,1177.43,3
CPT,27215,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral, for pelvic bone fracture patterns that do not disrupt the pelvic ring, includes internal fixation, when pe",,,1153.16,21315.73,109
CPT,27216,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or",,,1153.16,11076.35,109
CPT,27217,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes pubic symphysis ",,,1153.16,14512.99,109
CPT,27218,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes ipsilateral il",,,1153.16,11076.35,109
CPT,27220,Closed treatment of acetabulum (hip socket) fracture(s); without manipulation ,,,1423.0,9710.0,106
CPT,27220,Closed treatment of acetabulum (hip socket) fracture(s); without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,27220,Closed treatment of acetabulum (hip socket) fracture(s); without manipulation SCHEDULED,,,10847.97,11076.35,3
CPT,27220,Closed treatment of acetabulum (hip socket) fracture(s); without manipulation UNSCHEDULED,,,1153.16,1177.43,3
CPT,27222,"Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction ",,,1844.0,9710.0,78
CPT,27222,"Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction Other Surgical Services",,,2850.0,2850.0,4
CPT,27222,"Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction SCHEDULED",,,10847.97,11076.35,3
CPT,27222,"Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction UNSCHEDULED",,,1153.16,1177.43,3
CPT,27226,"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation ",,,1950.0,18507.0,106
CPT,27226,"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,27226,"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation SCHEDULED",,,10847.97,11076.35,3
CPT,27226,"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation UNSCHEDULED",,,1153.16,1177.43,3
CPT,27227,"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation ",,,1950.0,18507.0,106
CPT,27227,"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,27227,"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation SCHEDULED",,,10847.97,11076.35,3
CPT,27227,"Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation UNSCHEDULED",,,1153.16,1177.43,3
CPT,27228,"Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column fracture with complete articular detachment, or single column or transverse",,,1153.16,18507.0,116
CPT,27230,"Closed treatment of femoral fracture, proximal end, neck; without manipulation ",,,1423.0,9710.0,106
CPT,27230,"Closed treatment of femoral fracture, proximal end, neck; without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27230,"Closed treatment of femoral fracture, proximal end, neck; without manipulation SCHEDULED",,,10847.97,11076.35,3
CPT,27230,"Closed treatment of femoral fracture, proximal end, neck; without manipulation UNSCHEDULED",,,1153.16,1177.43,3
CPT,27232,"Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction ",,,1950.0,9710.0,78
CPT,27232,"Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction Other Surgical Services",,,2850.0,2850.0,4
CPT,27232,"Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction SCHEDULED",,,10847.97,11076.35,3
CPT,27232,"Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction UNSCHEDULED",,,1153.16,1177.43,3
CPT,27235,"Percutaneous skeletal fixation of femoral fracture, proximal end, neck ",,,1950.0,18507.0,106
CPT,27235,"Percutaneous skeletal fixation of femoral fracture, proximal end, neck Other Surgical Services",,,2850.0,2850.0,4
CPT,27235,"Percutaneous skeletal fixation of femoral fracture, proximal end, neck SCHEDULED",,,12189.06,12445.67,3
CPT,27235,"Percutaneous skeletal fixation of femoral fracture, proximal end, neck UNSCHEDULED",,,2860.13,2920.34,3
CPT,27236,"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement ",,,1950.0,18507.0,78
CPT,27236,"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement Other Surgical Services",,,2850.0,2850.0,4
CPT,27236,"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement SCHEDULED",,,10004.17,10214.79,3
CPT,27236,"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement UNSCHEDULED",,,12877.92,13149.03,3
CPT,27238,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation ",,,1423.0,9710.0,106
CPT,27238,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27238,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation SCHEDULED",,,10847.97,11076.35,3
CPT,27238,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation UNSCHEDULED",,,1153.16,1177.43,3
CPT,27240,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction ",,,1950.0,9710.0,78
CPT,27240,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction Other Surgical Services",,,2850.0,2850.0,4
CPT,27240,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction SCHEDULED",,,10847.97,11076.35,3
CPT,27240,"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction UNSCHEDULED",,,1153.16,1177.43,3
CPT,27244,"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage ",,,1950.0,18507.0,78
CPT,27244,"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage Other Surgical Services",,,2850.0,2850.0,4
CPT,27244,"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage SCHEDULED",,,10847.97,11076.35,3
CPT,27244,"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage UNSCHEDULED",,,1153.16,1177.43,3
CPT,27245,"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage ",,,1950.0,18507.0,106
CPT,27245,"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage Other Surgical Services",,,2850.0,2850.0,4
CPT,27245,"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage SCHEDULED",,,12445.55,12707.56,3
CPT,27245,"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage UNSCHEDULED",,,22982.6,23466.44,3
CPT,27246,"Closed treatment of greater trochanteric fracture, without manipulation ",,,1423.0,9710.0,106
CPT,27246,"Closed treatment of greater trochanteric fracture, without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27246,"Closed treatment of greater trochanteric fracture, without manipulation SCHEDULED",,,10847.97,11076.35,3
CPT,27246,"Closed treatment of greater trochanteric fracture, without manipulation UNSCHEDULED",,,1153.16,1177.43,3
CPT,27248,"Open treatment of greater trochanteric fracture, includes internal fixation, when performed ",,,1950.0,18507.0,78
CPT,27248,"Open treatment of greater trochanteric fracture, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27248,"Open treatment of greater trochanteric fracture, includes internal fixation, when performed SCHEDULED",,,14770.71,15081.68,3
CPT,27248,"Open treatment of greater trochanteric fracture, includes internal fixation, when performed UNSCHEDULED",,,1153.16,1177.43,3
CPT,27250,"Closed treatment of hip dislocation, traumatic; without anesthesia ",,,1423.0,9710.0,106
CPT,27250,"Closed treatment of hip dislocation, traumatic; without anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,27250,"Closed treatment of hip dislocation, traumatic; without anesthesia SCHEDULED",,,10847.97,11076.35,3
CPT,27250,"Closed treatment of hip dislocation, traumatic; without anesthesia UNSCHEDULED",,,680.48,694.81,3
CPT,27252,"Closed treatment of hip dislocation, traumatic; requiring anesthesia ",,,1950.0,9710.0,106
CPT,27252,"Closed treatment of hip dislocation, traumatic; requiring anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,27252,"Closed treatment of hip dislocation, traumatic; requiring anesthesia SCHEDULED",,,10847.97,11076.35,3
CPT,27252,"Closed treatment of hip dislocation, traumatic; requiring anesthesia UNSCHEDULED",,,1462.52,1493.31,3
CPT,27253,"Open treatment of hip dislocation, traumatic, without internal fixation ",,,1950.0,18507.0,78
CPT,27253,"Open treatment of hip dislocation, traumatic, without internal fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,27253,"Open treatment of hip dislocation, traumatic, without internal fixation SCHEDULED",,,10847.97,11076.35,3
CPT,27253,"Open treatment of hip dislocation, traumatic, without internal fixation UNSCHEDULED",,,1153.16,1177.43,3
CPT,27254,"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation ",,,1950.0,18507.0,78
CPT,27254,"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,27254,"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation SCHEDULED",,,10847.97,11076.35,3
CPT,27254,"Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation UNSCHEDULED",,,1153.16,1177.43,3
CPT,27256,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation ",,,1423.0,9710.0,106
CPT,27256,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27256,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation SCHEDULED",,,10847.97,11076.35,3
CPT,27256,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation UNSCHEDULED",,,1153.16,1177.43,3
CPT,27257,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia ",,,1950.0,9710.0,106
CPT,27257,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,27257,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia SCHEDULED",,,10847.97,11076.35,3
CPT,27257,"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia UNSCHEDULED",,,713.98,729.01,3
CPT,27258,"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); ",,,1950.0,18507.0,78
CPT,27258,"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); Other Surgical Services",,,2850.0,2850.0,4
CPT,27258,"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); SCHEDULED",,,10847.97,11076.35,3
CPT,27258,"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); UNSCHEDULED",,,1153.16,1177.43,3
CPT,27259,"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); with femoral shaft shortening ",,,1153.16,18507.0,88
CPT,27265,Closed treatment of post hip arthroplasty dislocation; without anesthesia ,,,1423.0,9710.0,106
CPT,27265,Closed treatment of post hip arthroplasty dislocation; without anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,27265,Closed treatment of post hip arthroplasty dislocation; without anesthesia SCHEDULED,,,10847.97,11076.35,3
CPT,27265,Closed treatment of post hip arthroplasty dislocation; without anesthesia UNSCHEDULED,,,928.6,948.15,3
CPT,27266,Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia ,,,1950.0,9710.0,106
CPT,27266,Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,27266,Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia SCHEDULED,,,10847.97,11076.35,3
CPT,27266,Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia UNSCHEDULED,,,1377.72,1406.72,3
CPT,27267,"Closed treatment of femoral fracture, proximal end, head; without manipulation ",,,1950.0,18507.0,106
CPT,27267,"Closed treatment of femoral fracture, proximal end, head; without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27267,"Closed treatment of femoral fracture, proximal end, head; without manipulation SCHEDULED",,,10847.97,11076.35,3
CPT,27267,"Closed treatment of femoral fracture, proximal end, head; without manipulation UNSCHEDULED",,,1153.16,1177.43,3
CPT,27268,"Closed treatment of femoral fracture, proximal end, head; with manipulation ",,,1950.0,10719.0,78
CPT,27268,"Closed treatment of femoral fracture, proximal end, head; with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27268,"Closed treatment of femoral fracture, proximal end, head; with manipulation SCHEDULED",,,10847.97,11076.35,3
CPT,27268,"Closed treatment of femoral fracture, proximal end, head; with manipulation UNSCHEDULED",,,1153.16,1177.43,3
CPT,27269,"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed ",,,1950.0,18507.0,78
CPT,27269,"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27269,"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed SCHEDULED",,,10847.97,11076.35,3
CPT,27269,"Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed UNSCHEDULED",,,1153.16,1177.43,3
CPT,27275,"Manipulation, hip joint, requiring general anesthesia ",,,1950.0,9710.0,106
CPT,27275,"Manipulation, hip joint, requiring general anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,27275,"Manipulation, hip joint, requiring general anesthesia SCHEDULED",,,5115.15,5222.84,3
CPT,27275,"Manipulation, hip joint, requiring general anesthesia UNSCHEDULED",,,1153.16,1177.43,3
CPT,27278,"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft when performed, unilateral; placement of intra-articular device(s), without cortic",,,1153.16,19295.0,85
CPT,27279,"Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft when performed, unilateral; placement of transarticular device(s) and/or intra-art",,,1153.16,19295.0,116
CPT,27280,"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed ",,,1950.0,19295.0,78
CPT,27280,"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27280,"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed SCHEDULED",,,17752.28,18126.01,3
CPT,27280,"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed UNSCHEDULED",,,1153.16,1177.43,3
CPT,27282,"Arthrodesis, symphysis pubis (including obtaining graft) ",,,1950.0,18507.0,78
CPT,27282,"Arthrodesis, symphysis pubis (including obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,27282,"Arthrodesis, symphysis pubis (including obtaining graft) SCHEDULED",,,10847.97,11076.35,3
CPT,27282,"Arthrodesis, symphysis pubis (including obtaining graft) UNSCHEDULED",,,1153.16,1177.43,3
CPT,27284,"Arthrodesis, hip joint (including obtaining graft); ",,,1950.0,19295.0,78
CPT,27284,"Arthrodesis, hip joint (including obtaining graft); Other Surgical Services",,,2850.0,2850.0,4
CPT,27284,"Arthrodesis, hip joint (including obtaining graft); SCHEDULED",,,10847.97,11076.35,3
CPT,27284,"Arthrodesis, hip joint (including obtaining graft); UNSCHEDULED",,,1153.16,1177.43,3
CPT,27286,"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy ",,,1950.0,19295.0,78
CPT,27286,"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,27286,"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy SCHEDULED",,,10847.97,11076.35,3
CPT,27286,"Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy UNSCHEDULED",,,1153.16,1177.43,3
CPT,27290,Interpelviabdominal amputation (hindquarter amputation) ,,,1950.0,19295.0,78
CPT,27290,Interpelviabdominal amputation (hindquarter amputation) Other Surgical Services,,,2850.0,2850.0,4
CPT,27290,Interpelviabdominal amputation (hindquarter amputation) SCHEDULED,,,10847.97,11076.35,3
CPT,27290,Interpelviabdominal amputation (hindquarter amputation) UNSCHEDULED,,,1153.16,1177.43,3
CPT,27295,Disarticulation of hip ,,,1950.0,19295.0,78
CPT,27295,Disarticulation of hip Other Surgical Services,,,2850.0,2850.0,4
CPT,27295,Disarticulation of hip SCHEDULED,,,10847.97,11076.35,3
CPT,27295,Disarticulation of hip UNSCHEDULED,,,1153.16,1177.43,3
CPT,27299,"Unlisted procedure, pelvis or hip joint ",,,1423.0,9710.0,106
CPT,27299,"Unlisted procedure, pelvis or hip joint Other Surgical Services",,,2850.0,2850.0,4
CPT,27299,"Unlisted procedure, pelvis or hip joint SCHEDULED",,,11690.73,11936.85,3
CPT,27299,"Unlisted procedure, pelvis or hip joint UNSCHEDULED",,,1153.16,1177.43,3
CPT,27301,"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region ",,,1950.0,14792.0,106
CPT,27301,"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region Other Surgical Services",,,2850.0,2850.0,4
CPT,27301,"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region SCHEDULED",,,7313.64,7467.61,3
CPT,27301,"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region UNSCHEDULED",,,6378.77,6513.06,3
CPT,27303,"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) ",,,1950.0,18507.0,106
CPT,27303,"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Other Surgical Services",,,2850.0,2850.0,4
CPT,27303,"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) SCHEDULED",,,8206.65,8379.42,3
CPT,27303,"Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27305,"Fasciotomy, iliotibial (tenotomy), open ",,,1950.0,18507.0,106
CPT,27305,"Fasciotomy, iliotibial (tenotomy), open Other Surgical Services",,,2850.0,2850.0,4
CPT,27305,"Fasciotomy, iliotibial (tenotomy), open SCHEDULED",,,4276.59,4366.62,3
CPT,27305,"Fasciotomy, iliotibial (tenotomy), open UNSCHEDULED",,,6378.77,6513.06,3
CPT,27306,"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) ",,,1950.0,18507.0,106
CPT,27306,"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,27306,"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) SCHEDULED",,,4225.29,4314.24,3
CPT,27306,"Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27307,"Tenotomy, percutaneous, adductor or hamstring; multiple tendons ",,,1950.0,18507.0,106
CPT,27307,"Tenotomy, percutaneous, adductor or hamstring; multiple tendons Other Surgical Services",,,2850.0,2850.0,4
CPT,27307,"Tenotomy, percutaneous, adductor or hamstring; multiple tendons SCHEDULED",,,8206.65,8379.42,3
CPT,27307,"Tenotomy, percutaneous, adductor or hamstring; multiple tendons UNSCHEDULED",,,6378.77,6513.06,3
CPT,27310,"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection) ",,,1950.0,18507.0,106
CPT,27310,"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection) Other Surgical Services",,,2850.0,2850.0,4
CPT,27310,"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection) SCHEDULED",,,6662.47,6802.74,3
CPT,27310,"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27315,"PARTIAL REMOVAL, THIGH NERVE SCHEDULED",,,8206.65,8379.42,3
CPT,27315,"PARTIAL REMOVAL, THIGH NERVE UNSCHEDULED",,,6378.77,6513.06,3
CPT,27320,"PARTIAL REMOVAL, THIGH NERVE SCHEDULED",,,8206.65,8379.42,3
CPT,27320,"PARTIAL REMOVAL, THIGH NERVE UNSCHEDULED",,,6378.77,6513.06,3
CPT,27323,"Biopsy, soft tissue of thigh or knee area; superficial ",,,1950.0,9710.0,106
CPT,27323,"Biopsy, soft tissue of thigh or knee area; superficial Other Surgical Services",,,2850.0,2850.0,4
CPT,27323,"Biopsy, soft tissue of thigh or knee area; superficial SCHEDULED",,,8206.65,8379.42,3
CPT,27323,"Biopsy, soft tissue of thigh or knee area; superficial UNSCHEDULED",,,6378.77,6513.06,3
CPT,27324,"Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) ",,,1950.0,14792.0,106
CPT,27324,"Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) Other Surgical Services",,,2850.0,2850.0,4
CPT,27324,"Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) SCHEDULED",,,8206.65,8379.42,3
CPT,27324,"Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27325,"Neurectomy, hamstring muscle ",,,1950.0,9710.0,106
CPT,27325,"Neurectomy, hamstring muscle Other Surgical Services",,,2850.0,2850.0,4
CPT,27325,"Neurectomy, hamstring muscle SCHEDULED",,,8206.65,8379.42,3
CPT,27325,"Neurectomy, hamstring muscle UNSCHEDULED",,,6378.77,6513.06,3
CPT,27326,"Neurectomy, popliteal (gastrocnemius) ",,,1950.0,9710.0,106
CPT,27326,"Neurectomy, popliteal (gastrocnemius) Other Surgical Services",,,2850.0,2850.0,4
CPT,27326,"Neurectomy, popliteal (gastrocnemius) SCHEDULED",,,8206.65,8379.42,3
CPT,27326,"Neurectomy, popliteal (gastrocnemius) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27327,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm ",,,1950.0,9710.0,106
CPT,27327,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,27327,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm SCHEDULED",,,3324.95,3394.95,3
CPT,27327,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm UNSCHEDULED",,,6378.77,6513.06,3
CPT,27328,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm ",,,1950.0,14792.0,106
CPT,27328,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,27328,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm SCHEDULED",,,1817.42,1855.68,3
CPT,27328,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm UNSCHEDULED",,,6378.77,6513.06,3
CPT,27329,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm ",,,1950.0,14792.0,106
CPT,27329,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,27329,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm SCHEDULED",,,8206.65,8379.42,3
CPT,27329,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm UNSCHEDULED",,,6378.77,6513.06,3
CPT,27330,"Arthrotomy, knee; with synovial biopsy only ",,,1950.0,18507.0,106
CPT,27330,"Arthrotomy, knee; with synovial biopsy only Other Surgical Services",,,2850.0,2850.0,4
CPT,27330,"Arthrotomy, knee; with synovial biopsy only SCHEDULED",,,8206.65,8379.42,3
CPT,27330,"Arthrotomy, knee; with synovial biopsy only UNSCHEDULED",,,6378.77,6513.06,3
CPT,27331,"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies ",,,1950.0,18507.0,106
CPT,27331,"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Other Surgical Services",,,2850.0,2850.0,4
CPT,27331,"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies SCHEDULED",,,3148.02,3214.3,3
CPT,27331,"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies UNSCHEDULED",,,6378.77,6513.06,3
CPT,27332,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral ",,,1950.0,22212.0,168
CPT,27332,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral Complex Surgery",,,11754.0,11754.0,22
CPT,27332,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral Other Surgical Services",,,2850.0,2850.0,4
CPT,27332,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral SCHEDULED",,,2468.59,2520.56,3
CPT,27332,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral UNSCHEDULED",,,6378.77,6513.06,3
CPT,27333,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral ",,,1950.0,22212.0,168
CPT,27333,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Complex Surgery",,,11754.0,11754.0,22
CPT,27333,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Other Surgical Services",,,2850.0,2850.0,4
CPT,27333,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral SCHEDULED",,,28911.19,29519.85,3
CPT,27333,"Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral UNSCHEDULED",,,6378.77,6513.06,3
CPT,27334,"Arthrotomy, with synovectomy, knee; anterior OR posterior ",,,1950.0,18507.0,106
CPT,27334,"Arthrotomy, with synovectomy, knee; anterior OR posterior Other Surgical Services",,,2850.0,2850.0,4
CPT,27334,"Arthrotomy, with synovectomy, knee; anterior OR posterior SCHEDULED",,,9055.68,9246.33,3
CPT,27334,"Arthrotomy, with synovectomy, knee; anterior OR posterior UNSCHEDULED",,,6378.77,6513.06,3
CPT,27335,"Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area ",,,1950.0,18507.0,106
CPT,27335,"Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Other Surgical Services",,,2850.0,2850.0,4
CPT,27335,"Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area SCHEDULED",,,8206.65,8379.42,3
CPT,27335,"Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area UNSCHEDULED",,,6378.77,6513.06,3
CPT,27337,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater ",,,1950.0,14792.0,106
CPT,27337,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,27337,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater SCHEDULED",,,7931.31,8098.29,3
CPT,27337,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater UNSCHEDULED",,,6378.77,6513.06,3
CPT,27339,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater ",,,1950.0,14792.0,106
CPT,27339,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,27339,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater SCHEDULED",,,2962.73,3025.1,3
CPT,27339,"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater UNSCHEDULED",,,6378.77,6513.06,3
CPT,27340,"Excision, prepatellar bursa ",,,1950.0,18507.0,106
CPT,27340,"Excision, prepatellar bursa Other Surgical Services",,,2850.0,2850.0,4
CPT,27340,"Excision, prepatellar bursa SCHEDULED",,,4377.09,4469.24,3
CPT,27340,"Excision, prepatellar bursa UNSCHEDULED",,,6378.77,6513.06,3
CPT,27345,"Excision of synovial cyst of popliteal space (eg, Baker's cyst) ",,,1950.0,18507.0,106
CPT,27345,"Excision of synovial cyst of popliteal space (eg, Baker's cyst) Other Surgical Services",,,2850.0,2850.0,4
CPT,27345,"Excision of synovial cyst of popliteal space (eg, Baker's cyst) SCHEDULED",,,14600.07,14907.44,3
CPT,27345,"Excision of synovial cyst of popliteal space (eg, Baker's cyst) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27347,"Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee ",,,1950.0,18507.0,106
CPT,27347,"Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Other Surgical Services",,,2850.0,2850.0,4
CPT,27347,"Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee SCHEDULED",,,8206.65,8379.42,3
CPT,27347,"Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee UNSCHEDULED",,,6378.77,6513.06,3
CPT,27350,Patellectomy or hemipatellectomy ,,,1950.0,18507.0,106
CPT,27350,Patellectomy or hemipatellectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,27350,Patellectomy or hemipatellectomy SCHEDULED,,,4574.95,4671.27,3
CPT,27350,Patellectomy or hemipatellectomy UNSCHEDULED,,,21857.18,22317.33,3
CPT,27355,Excision or curettage of bone cyst or benign tumor of femur; ,,,1950.0,18507.0,106
CPT,27355,Excision or curettage of bone cyst or benign tumor of femur; Other Surgical Services,,,2850.0,2850.0,4
CPT,27355,Excision or curettage of bone cyst or benign tumor of femur; SCHEDULED,,,22715.64,23193.86,3
CPT,27355,Excision or curettage of bone cyst or benign tumor of femur; UNSCHEDULED,,,6378.77,6513.06,3
CPT,27356,Excision or curettage of bone cyst or benign tumor of femur; with allograft ,,,1950.0,18507.0,106
CPT,27356,Excision or curettage of bone cyst or benign tumor of femur; with allograft Other Surgical Services,,,2850.0,2850.0,4
CPT,27356,Excision or curettage of bone cyst or benign tumor of femur; with allograft SCHEDULED,,,8206.65,8379.42,3
CPT,27356,Excision or curettage of bone cyst or benign tumor of femur; with allograft UNSCHEDULED,,,6378.77,6513.06,3
CPT,27357,Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) ,,,1950.0,18507.0,106
CPT,27357,Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,27357,Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) SCHEDULED,,,8206.65,8379.42,3
CPT,27357,Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) UNSCHEDULED,,,6378.77,6513.06,3
CPT,27358,Excision or curettage of bone cyst or benign tumor of femur; with internal fixation (List in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,27358,Excision or curettage of bone cyst or benign tumor of femur; with internal fixation (List in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,27358,Excision or curettage of bone cyst or benign tumor of femur; with internal fixation (List in addition to code for primary procedure) SCHEDULED,,,8206.65,8379.42,3
CPT,27358,Excision or curettage of bone cyst or benign tumor of femur; with internal fixation (List in addition to code for primary procedure) UNSCHEDULED,,,6378.77,6513.06,3
CPT,27360,"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess) ",,,1950.0,18507.0,106
CPT,27360,"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess) Other Surgical Services",,,2850.0,2850.0,4
CPT,27360,"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess) SCHEDULED",,,3777.22,3856.74,3
CPT,27360,"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27364,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater ",,,1950.0,14792.0,106
CPT,27364,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,27364,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater SCHEDULED",,,8206.65,8379.42,3
CPT,27364,"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater UNSCHEDULED",,,6378.77,6513.06,3
CPT,27365,"Radical resection of tumor, femur or knee ",,,1950.0,18507.0,78
CPT,27365,"Radical resection of tumor, femur or knee Other Surgical Services",,,2850.0,2850.0,4
CPT,27365,"Radical resection of tumor, femur or knee SCHEDULED",,,8206.65,8379.42,3
CPT,27365,"Radical resection of tumor, femur or knee UNSCHEDULED",,,6378.77,6513.06,3
CPT,27369,Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography ,,,1950.0,9710.0,71
CPT,27369,Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography Other Surgical Services,,,2850.0,2850.0,4
CPT,27369,Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography SCHEDULED,,,8206.65,8379.42,3
CPT,27369,Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography UNSCHEDULED,,,260.68,266.17,3
CPT,27370,INJECTION OF CONTRAST FOR KNEE ARTHROGRAPHY ,,,1423.0,3251.0,28
CPT,27370,INJECTION OF CONTRAST FOR KNEE ARTHROGRAPHY SCHEDULED,,,8206.65,8379.42,3
CPT,27370,INJECTION OF CONTRAST FOR KNEE ARTHROGRAPHY UNSCHEDULED,,,6378.77,6513.06,3
CPT,27372,"Removal of foreign body, deep, thigh region or knee area ",,,1950.0,14792.0,106
CPT,27372,"Removal of foreign body, deep, thigh region or knee area Other Surgical Services",,,2850.0,2850.0,4
CPT,27372,"Removal of foreign body, deep, thigh region or knee area SCHEDULED",,,7492.66,7650.4,3
CPT,27372,"Removal of foreign body, deep, thigh region or knee area UNSCHEDULED",,,1829.98,1868.51,3
CPT,27380,Suture of infrapatellar tendon; primary ,,,1950.0,18507.0,106
CPT,27380,Suture of infrapatellar tendon; primary Other Surgical Services,,,2850.0,2850.0,4
CPT,27380,Suture of infrapatellar tendon; primary SCHEDULED,,,10697.23,10922.43,3
CPT,27380,Suture of infrapatellar tendon; primary UNSCHEDULED,,,11737.84,11984.95,3
CPT,27381,"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft ",,,1950.0,18507.0,106
CPT,27381,"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Other Surgical Services",,,2850.0,2850.0,4
CPT,27381,"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft SCHEDULED",,,8206.65,8379.42,3
CPT,27381,"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft UNSCHEDULED",,,6378.77,6513.06,3
CPT,27385,Suture of quadriceps or hamstring muscle rupture; primary ,,,1950.0,18507.0,106
CPT,27385,Suture of quadriceps or hamstring muscle rupture; primary Other Surgical Services,,,2850.0,2850.0,4
CPT,27385,Suture of quadriceps or hamstring muscle rupture; primary SCHEDULED,,,11475.07,11716.65,3
CPT,27385,Suture of quadriceps or hamstring muscle rupture; primary UNSCHEDULED,,,10678.38,10903.19,3
CPT,27386,"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft ",,,1950.0,18507.0,106
CPT,27386,"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Other Surgical Services",,,2850.0,2850.0,4
CPT,27386,"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft SCHEDULED",,,22959.56,23442.92,3
CPT,27386,"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft UNSCHEDULED",,,6378.77,6513.06,3
CPT,27390,"Tenotomy, open, hamstring, knee to hip; single tendon ",,,1950.0,18507.0,106
CPT,27390,"Tenotomy, open, hamstring, knee to hip; single tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,27390,"Tenotomy, open, hamstring, knee to hip; single tendon SCHEDULED",,,8206.65,8379.42,3
CPT,27390,"Tenotomy, open, hamstring, knee to hip; single tendon UNSCHEDULED",,,6378.77,6513.06,3
CPT,27391,"Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg ",,,1950.0,18507.0,106
CPT,27391,"Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Other Surgical Services",,,2850.0,2850.0,4
CPT,27391,"Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg SCHEDULED",,,8206.65,8379.42,3
CPT,27391,"Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg UNSCHEDULED",,,6378.77,6513.06,3
CPT,27392,"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral ",,,1950.0,18507.0,106
CPT,27392,"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,27392,"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral SCHEDULED",,,8206.65,8379.42,3
CPT,27392,"Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral UNSCHEDULED",,,6378.77,6513.06,3
CPT,27393,Lengthening of hamstring tendon; single tendon ,,,1950.0,18507.0,106
CPT,27393,Lengthening of hamstring tendon; single tendon Other Surgical Services,,,2850.0,2850.0,4
CPT,27393,Lengthening of hamstring tendon; single tendon SCHEDULED,,,8206.65,8379.42,3
CPT,27393,Lengthening of hamstring tendon; single tendon UNSCHEDULED,,,6378.77,6513.06,3
CPT,27394,"Lengthening of hamstring tendon; multiple tendons, 1 leg ",,,1950.0,18507.0,106
CPT,27394,"Lengthening of hamstring tendon; multiple tendons, 1 leg Other Surgical Services",,,2850.0,2850.0,4
CPT,27394,"Lengthening of hamstring tendon; multiple tendons, 1 leg SCHEDULED",,,2334.59,2383.74,3
CPT,27394,"Lengthening of hamstring tendon; multiple tendons, 1 leg UNSCHEDULED",,,6378.77,6513.06,3
CPT,27395,"Lengthening of hamstring tendon; multiple tendons, bilateral ",,,1950.0,18507.0,106
CPT,27395,"Lengthening of hamstring tendon; multiple tendons, bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,27395,"Lengthening of hamstring tendon; multiple tendons, bilateral SCHEDULED",,,8206.65,8379.42,3
CPT,27395,"Lengthening of hamstring tendon; multiple tendons, bilateral UNSCHEDULED",,,12520.92,12784.52,3
CPT,27396,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon ",,,1950.0,18507.0,106
CPT,27396,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,27396,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon SCHEDULED",,,8206.65,8379.42,3
CPT,27396,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon UNSCHEDULED",,,6378.77,6513.06,3
CPT,27397,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons ",,,1950.0,18507.0,106
CPT,27397,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Other Surgical Services",,,2850.0,2850.0,4
CPT,27397,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons SCHEDULED",,,8206.65,8379.42,3
CPT,27397,"Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons UNSCHEDULED",,,6378.77,6513.06,3
CPT,27400,"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) ",,,1950.0,18507.0,106
CPT,27400,"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,27400,"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) SCHEDULED",,,8206.65,8379.42,3
CPT,27400,"Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27403,"Arthrotomy with meniscus repair, knee ",,,1950.0,18507.0,106
CPT,27403,"Arthrotomy with meniscus repair, knee Other Surgical Services",,,2850.0,2850.0,4
CPT,27403,"Arthrotomy with meniscus repair, knee SCHEDULED",,,8206.65,8379.42,3
CPT,27403,"Arthrotomy with meniscus repair, knee UNSCHEDULED",,,6378.77,6513.06,3
CPT,27405,"Repair, primary, torn ligament and/or capsule, knee; collateral ",,,1950.0,18507.0,103
CPT,27405,"Repair, primary, torn ligament and/or capsule, knee; collateral Other Surgical Services",,,2850.0,2850.0,4
CPT,27405,"Repair, primary, torn ligament and/or capsule, knee; collateral SCHEDULED",,,7068.66,7217.48,3
CPT,27405,"Repair, primary, torn ligament and/or capsule, knee; collateral UNSCHEDULED",,,6378.77,6513.06,3
CPT,27407,"Repair, primary, torn ligament and/or capsule, knee; cruciate ",,,2350.0,18507.0,98
CPT,27407,"Repair, primary, torn ligament and/or capsule, knee; cruciate High Cost Surgery",,,3950.0,3950.0,1
CPT,27407,"Repair, primary, torn ligament and/or capsule, knee; cruciate Other Surgical Services",,,4150.0,4150.0,1
CPT,27407,"Repair, primary, torn ligament and/or capsule, knee; cruciate SCHEDULED",,,14854.47,15167.19,3
CPT,27407,"Repair, primary, torn ligament and/or capsule, knee; cruciate UNSCHEDULED",,,6378.77,6513.06,3
CPT,27409,"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments ",,,2350.0,18507.0,98
CPT,27409,"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments High Cost Surgery",,,3950.0,3950.0,1
CPT,27409,"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Other Surgical Services",,,4150.0,4150.0,1
CPT,27409,"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments SCHEDULED",,,8385.67,8562.21,3
CPT,27409,"Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments UNSCHEDULED",,,6378.77,6513.06,3
CPT,27412,"Autologous chondrocyte implantation, knee ",,,2350.0,18507.0,98
CPT,27412,"Autologous chondrocyte implantation, knee High Cost Surgery",,,3950.0,3950.0,1
CPT,27412,"Autologous chondrocyte implantation, knee Other Surgical Services",,,4150.0,4150.0,1
CPT,27412,"Autologous chondrocyte implantation, knee SCHEDULED",,,7488.48,7646.13,3
CPT,27412,"Autologous chondrocyte implantation, knee UNSCHEDULED",,,6378.77,6513.06,3
CPT,27415,"Osteochondral allograft, knee, open ",,,2350.0,18507.0,98
CPT,27415,"Osteochondral allograft, knee, open High Cost Surgery",,,3950.0,3950.0,1
CPT,27415,"Osteochondral allograft, knee, open Other Surgical Services",,,4150.0,4150.0,1
CPT,27415,"Osteochondral allograft, knee, open SCHEDULED",,,10268.0,10484.17,3
CPT,27415,"Osteochondral allograft, knee, open UNSCHEDULED",,,6378.77,6513.06,3
CPT,27416,"Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograftºs») ",,,2350.0,18507.0,98
CPT,27416,"Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograftºs») High Cost Surgery",,,3950.0,3950.0,1
CPT,27416,"Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograftºs») Other Surgical Services",,,4150.0,4150.0,1
CPT,27416,"Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograftºs») SCHEDULED",,,8206.65,8379.42,3
CPT,27416,"Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograftºs») UNSCHEDULED",,,6378.77,6513.06,3
CPT,27418,"Anterior tibial tubercleplasty (eg, Maquet type procedure) ",,,2350.0,18507.0,98
CPT,27418,"Anterior tibial tubercleplasty (eg, Maquet type procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,27418,"Anterior tibial tubercleplasty (eg, Maquet type procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,27418,"Anterior tibial tubercleplasty (eg, Maquet type procedure) SCHEDULED",,,7342.96,7497.55,3
CPT,27418,"Anterior tibial tubercleplasty (eg, Maquet type procedure) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27420,"Reconstruction of dislocating patella; (eg, Hauser type procedure) ",,,2350.0,18507.0,98
CPT,27420,"Reconstruction of dislocating patella; (eg, Hauser type procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,27420,"Reconstruction of dislocating patella; (eg, Hauser type procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,27420,"Reconstruction of dislocating patella; (eg, Hauser type procedure) SCHEDULED",,,19355.09,19762.57,3
CPT,27420,"Reconstruction of dislocating patella; (eg, Hauser type procedure) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27422,"Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure) ",,,2350.0,18507.0,98
CPT,27422,"Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,27422,"Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,27422,"Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure) SCHEDULED",,,5325.58,5437.69,3
CPT,27422,"Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27424,Reconstruction of dislocating patella; with patellectomy ,,,2350.0,18507.0,98
CPT,27424,Reconstruction of dislocating patella; with patellectomy High Cost Surgery,,,3950.0,3950.0,1
CPT,27424,Reconstruction of dislocating patella; with patellectomy Other Surgical Services,,,4150.0,4150.0,1
CPT,27424,Reconstruction of dislocating patella; with patellectomy SCHEDULED,,,8206.65,8379.42,3
CPT,27424,Reconstruction of dislocating patella; with patellectomy UNSCHEDULED,,,6378.77,6513.06,3
CPT,27425,"Lateral retinacular release, open ",,,2350.0,18507.0,98
CPT,27425,"Lateral retinacular release, open High Cost Surgery",,,3950.0,3950.0,1
CPT,27425,"Lateral retinacular release, open Other Surgical Services",,,4150.0,4150.0,1
CPT,27425,"Lateral retinacular release, open SCHEDULED",,,8072.64,8242.59,3
CPT,27425,"Lateral retinacular release, open UNSCHEDULED",,,6378.77,6513.06,3
CPT,27427,"Ligamentous reconstruction (augmentation), knee; extra-articular ",,,2350.0,18507.0,98
CPT,27427,"Ligamentous reconstruction (augmentation), knee; extra-articular High Cost Surgery",,,3950.0,3950.0,1
CPT,27427,"Ligamentous reconstruction (augmentation), knee; extra-articular Other Surgical Services",,,4150.0,4150.0,1
CPT,27427,"Ligamentous reconstruction (augmentation), knee; extra-articular SCHEDULED",,,7583.75,7743.4,3
CPT,27427,"Ligamentous reconstruction (augmentation), knee; extra-articular UNSCHEDULED",,,6378.77,6513.06,3
CPT,27428,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) ",,,2350.0,18507.0,98
CPT,27428,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) High Cost Surgery",,,3950.0,3950.0,1
CPT,27428,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) Other Surgical Services",,,4150.0,4150.0,1
CPT,27428,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) SCHEDULED",,,19869.12,20287.41,3
CPT,27428,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27429,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular ",,,2350.0,18507.0,98
CPT,27429,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular High Cost Surgery",,,3950.0,3950.0,1
CPT,27429,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Other Surgical Services",,,4150.0,4150.0,1
CPT,27429,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular SCHEDULED",,,10213.55,10428.58,3
CPT,27429,"Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular UNSCHEDULED",,,33792.89,34504.32,3
CPT,27430,"Quadricepsplasty (eg, Bennett or Thompson type) ",,,1950.0,18507.0,106
CPT,27430,"Quadricepsplasty (eg, Bennett or Thompson type) Other Surgical Services",,,2850.0,2850.0,4
CPT,27430,"Quadricepsplasty (eg, Bennett or Thompson type) SCHEDULED",,,10114.1,10327.03,3
CPT,27430,"Quadricepsplasty (eg, Bennett or Thompson type) UNSCHEDULED",,,4122.7,4209.49,3
CPT,27435,"Capsulotomy, posterior capsular release, knee ",,,1950.0,18507.0,106
CPT,27435,"Capsulotomy, posterior capsular release, knee Other Surgical Services",,,2850.0,2850.0,4
CPT,27435,"Capsulotomy, posterior capsular release, knee SCHEDULED",,,1395.52,1424.9,3
CPT,27435,"Capsulotomy, posterior capsular release, knee UNSCHEDULED",,,6378.77,6513.06,3
CPT,27437,"Arthroplasty, patella; without prosthesis ",,,1950.0,44577.0,136
CPT,27437,"Arthroplasty, patella; without prosthesis Other Surgical Services",,,2850.0,2850.0,4
CPT,27437,"Arthroplasty, patella; without prosthesis SCHEDULED",,,8206.65,8379.42,3
CPT,27437,"Arthroplasty, patella; without prosthesis UNSCHEDULED",,,6378.77,6513.06,3
CPT,27438,"Arthroplasty, patella; with prosthesis ",,,1950.0,44577.0,138
CPT,27438,"Arthroplasty, patella; with prosthesis Other Surgical Services",,,2850.0,2850.0,4
CPT,27438,"Arthroplasty, patella; with prosthesis SCHEDULED",,,17402.62,17768.99,3
CPT,27438,"Arthroplasty, patella; with prosthesis UNSCHEDULED",,,6378.77,6513.06,3
CPT,27440,"Arthroplasty, knee, tibial plateau; ",,,1950.0,44577.0,138
CPT,27440,"Arthroplasty, knee, tibial plateau; Other Surgical Services",,,2850.0,2850.0,4
CPT,27440,"Arthroplasty, knee, tibial plateau; SCHEDULED",,,8206.65,8379.42,3
CPT,27440,"Arthroplasty, knee, tibial plateau; UNSCHEDULED",,,6378.77,6513.06,3
CPT,27441,"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy ",,,1950.0,41379.0,129
CPT,27441,"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,27441,"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy SCHEDULED",,,12451.83,12713.97,3
CPT,27441,"Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy UNSCHEDULED",,,6378.77,6513.06,3
CPT,27442,"Arthroplasty, femoral condyles or tibial plateau(s), knee; ",,,1950.0,41379.0,129
CPT,27442,"Arthroplasty, femoral condyles or tibial plateau(s), knee; Other Surgical Services",,,2850.0,2850.0,4
CPT,27442,"Arthroplasty, femoral condyles or tibial plateau(s), knee; SCHEDULED",,,21261.49,21709.1,3
CPT,27442,"Arthroplasty, femoral condyles or tibial plateau(s), knee; UNSCHEDULED",,,6378.77,6513.06,3
CPT,27443,"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy ",,,1950.0,41379.0,129
CPT,27443,"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,27443,"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy SCHEDULED",,,8206.65,8379.42,3
CPT,27443,"Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy UNSCHEDULED",,,6378.77,6513.06,3
CPT,27445,"Arthroplasty, knee, hinge prosthesis (eg, Walldius type) ",,,10600.0,41379.0,33
CPT,27445,"Arthroplasty, knee, hinge prosthesis (eg, Walldius type) SCHEDULED",,,9080.81,9271.99,3
CPT,27445,"Arthroplasty, knee, hinge prosthesis (eg, Walldius type) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27446,"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment ",,,1950.0,44577.0,116
CPT,27446,"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Other Surgical Services",,,2850.0,2850.0,4
CPT,27446,"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment SCHEDULED",,,17937.59,18315.22,3
CPT,27446,"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment UNSCHEDULED",,,6378.77,6513.06,3
CPT,27447,"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) ",,,1950.0,44577.0,121
CPT,27447,"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) Other Surgical Services",,,2850.0,2850.0,4
CPT,27447,"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) SCHEDULED",,,22322.0,22791.93,3
CPT,27447,"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27448,"Osteotomy, femur, shaft or supracondylar; without fixation ",,,1950.0,18507.0,78
CPT,27448,"Osteotomy, femur, shaft or supracondylar; without fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,27448,"Osteotomy, femur, shaft or supracondylar; without fixation SCHEDULED",,,8206.65,8379.42,3
CPT,27448,"Osteotomy, femur, shaft or supracondylar; without fixation UNSCHEDULED",,,6378.77,6513.06,3
CPT,27450,"Osteotomy, femur, shaft or supracondylar; with fixation ",,,1950.0,18507.0,78
CPT,27450,"Osteotomy, femur, shaft or supracondylar; with fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,27450,"Osteotomy, femur, shaft or supracondylar; with fixation SCHEDULED",,,8206.65,8379.42,3
CPT,27450,"Osteotomy, femur, shaft or supracondylar; with fixation UNSCHEDULED",,,6378.77,6513.06,3
CPT,27454,"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) ",,,1950.0,18507.0,78
CPT,27454,"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,27454,"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) SCHEDULED",,,8206.65,8379.42,3
CPT,27454,"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27455,"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu valgus ºknock-knee»); before epiphyseal closure ",,,1950.0,18507.0,78
CPT,27455,"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu valgus ºknock-knee»); before epiphyseal closure Other Surgical Services",,,2850.0,2850.0,4
CPT,27455,"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu valgus ºknock-knee»); before epiphyseal closure SCHEDULED",,,8206.65,8379.42,3
CPT,27455,"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu valgus ºknock-knee»); before epiphyseal closure UNSCHEDULED",,,6378.77,6513.06,3
CPT,27457,"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu valgus ºknock-knee»); after epiphyseal closure ",,,1950.0,18507.0,106
CPT,27457,"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu valgus ºknock-knee»); after epiphyseal closure Other Surgical Services",,,2850.0,2850.0,4
CPT,27457,"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu valgus ºknock-knee»); after epiphyseal closure SCHEDULED",,,8206.65,8379.42,3
CPT,27457,"Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu valgus ºknock-knee»); after epiphyseal closure UNSCHEDULED",,,6378.77,6513.06,3
CPT,27458,"Osteotomy(ies), femur, unilateral, with insertion of an externally controlled intramedullary lengthening device, including iliotibial band release when performed, imaging, alignment assessments, compu",,,1950.0,18507.0,79
CPT,27465,"Osteoplasty, femur; shortening (excluding 64876) ",,,1950.0,18507.0,78
CPT,27465,"Osteoplasty, femur; shortening (excluding 64876) Other Surgical Services",,,2850.0,2850.0,4
CPT,27465,"Osteoplasty, femur; shortening (excluding 64876) SCHEDULED",,,8206.65,8379.42,3
CPT,27465,"Osteoplasty, femur; shortening (excluding 64876) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27466,"Osteoplasty, femur; lengthening ",,,1950.0,18507.0,78
CPT,27466,"Osteoplasty, femur; lengthening Other Surgical Services",,,2850.0,2850.0,4
CPT,27466,"Osteoplasty, femur; lengthening SCHEDULED",,,8206.65,8379.42,3
CPT,27466,"Osteoplasty, femur; lengthening UNSCHEDULED",,,6378.77,6513.06,3
CPT,27468,"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer SCHEDULED",,,8206.65,8379.42,3
CPT,27468,"Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer UNSCHEDULED",,,6378.77,6513.06,3
CPT,27470,"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) ",,,1950.0,18507.0,78
CPT,27470,"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Other Surgical Services",,,2850.0,2850.0,4
CPT,27470,"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) SCHEDULED",,,17387.96,17754.03,3
CPT,27470,"Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27472,"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft) ",,,1950.0,18507.0,78
CPT,27472,"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,27472,"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft) SCHEDULED",,,6295.01,6427.54,3
CPT,27472,"Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27475,"Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur ",,,1950.0,18507.0,106
CPT,27475,"Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur Other Surgical Services",,,2850.0,2850.0,4
CPT,27475,"Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur SCHEDULED",,,8206.65,8379.42,3
CPT,27475,"Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur UNSCHEDULED",,,6378.77,6513.06,3
CPT,27477,"Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal ",,,1950.0,18507.0,78
CPT,27477,"Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal Other Surgical Services",,,2850.0,2850.0,4
CPT,27477,"Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal SCHEDULED",,,8206.65,8379.42,3
CPT,27477,"Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal UNSCHEDULED",,,6378.77,6513.06,3
CPT,27479,"Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula ",,,1950.0,18507.0,106
CPT,27479,"Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula Other Surgical Services",,,2850.0,2850.0,4
CPT,27479,"Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula SCHEDULED",,,8206.65,8379.42,3
CPT,27479,"Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula UNSCHEDULED",,,6378.77,6513.06,3
CPT,27485,"Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) ",,,1950.0,18507.0,79
CPT,27485,"Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) Other Surgical Services",,,2850.0,2850.0,4
CPT,27485,"Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) SCHEDULED",,,8206.65,8379.42,3
CPT,27485,"Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27486,"Revision of total knee arthroplasty, with or without allograft; 1 component ",,,1950.0,44577.0,96
CPT,27486,"Revision of total knee arthroplasty, with or without allograft; 1 component Other Surgical Services",,,2850.0,2850.0,4
CPT,27486,"Revision of total knee arthroplasty, with or without allograft; 1 component SCHEDULED",,,28727.98,29332.78,3
CPT,27486,"Revision of total knee arthroplasty, with or without allograft; 1 component UNSCHEDULED",,,6378.77,6513.06,3
CPT,27487,"Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component ",,,1950.0,44577.0,97
CPT,27487,"Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Other Surgical Services",,,2850.0,2850.0,4
CPT,27487,"Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component SCHEDULED",,,8206.65,8379.42,3
CPT,27487,"Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component UNSCHEDULED",,,6378.77,6513.06,3
CPT,27488,"Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee ",,,1950.0,18507.0,78
CPT,27488,"Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee Other Surgical Services",,,2850.0,2850.0,4
CPT,27488,"Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee SCHEDULED",,,8206.65,8379.42,3
CPT,27488,"Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee UNSCHEDULED",,,6378.77,6513.06,3
CPT,27495,"Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur ",,,1950.0,18507.0,78
CPT,27495,"Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Other Surgical Services",,,2850.0,2850.0,4
CPT,27495,"Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur SCHEDULED",,,8206.65,8379.42,3
CPT,27495,"Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur UNSCHEDULED",,,6378.77,6513.06,3
CPT,27496,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); ",,,1950.0,18507.0,106
CPT,27496,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Other Surgical Services",,,2850.0,2850.0,4
CPT,27496,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); SCHEDULED",,,8206.65,8379.42,3
CPT,27496,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); UNSCHEDULED",,,6378.77,6513.06,3
CPT,27497,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve ",,,1950.0,18507.0,106
CPT,27497,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,27497,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve SCHEDULED",,,8206.65,8379.42,3
CPT,27497,"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve UNSCHEDULED",,,6378.77,6513.06,3
CPT,27498,"Decompression fasciotomy, thigh and/or knee, multiple compartments; ",,,1950.0,10719.0,106
CPT,27498,"Decompression fasciotomy, thigh and/or knee, multiple compartments; Other Surgical Services",,,2850.0,2850.0,4
CPT,27498,"Decompression fasciotomy, thigh and/or knee, multiple compartments; SCHEDULED",,,8206.65,8379.42,3
CPT,27498,"Decompression fasciotomy, thigh and/or knee, multiple compartments; UNSCHEDULED",,,6378.77,6513.06,3
CPT,27499,"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve ",,,1950.0,18507.0,106
CPT,27499,"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,27499,"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve SCHEDULED",,,8206.65,8379.42,3
CPT,27499,"Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve UNSCHEDULED",,,6378.77,6513.06,3
CPT,27500,"Closed treatment of femoral shaft fracture, without manipulation ",,,1423.0,9710.0,106
CPT,27500,"Closed treatment of femoral shaft fracture, without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27500,"Closed treatment of femoral shaft fracture, without manipulation SCHEDULED",,,8206.65,8379.42,3
CPT,27500,"Closed treatment of femoral shaft fracture, without manipulation UNSCHEDULED",,,6378.77,6513.06,3
CPT,27501,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation ",,,1423.0,9710.0,106
CPT,27501,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27501,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation SCHEDULED",,,8206.65,8379.42,3
CPT,27501,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation UNSCHEDULED",,,6378.77,6513.06,3
CPT,27502,"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction ",,,1950.0,9710.0,106
CPT,27502,"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Other Surgical Services",,,2850.0,2850.0,4
CPT,27502,"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction SCHEDULED",,,8206.65,8379.42,3
CPT,27502,"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction UNSCHEDULED",,,6378.77,6513.06,3
CPT,27503,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin or skeletal traction ",,,1423.0,9710.0,106
CPT,27503,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin or skeletal traction Other Surgical Services",,,2850.0,2850.0,4
CPT,27503,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin or skeletal traction SCHEDULED",,,8206.65,8379.42,3
CPT,27503,"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin or skeletal traction UNSCHEDULED",,,6378.77,6513.06,3
CPT,27506,"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws ",,,1950.0,18507.0,78
CPT,27506,"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws Other Surgical Services",,,2850.0,2850.0,4
CPT,27506,"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws SCHEDULED",,,20909.74,21349.94,3
CPT,27506,"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws UNSCHEDULED",,,13936.33,14229.73,3
CPT,27507,"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage ",,,1950.0,18507.0,106
CPT,27507,"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Other Surgical Services",,,2850.0,2850.0,4
CPT,27507,"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage SCHEDULED",,,8206.65,8379.42,3
CPT,27507,"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage UNSCHEDULED",,,6378.77,6513.06,3
CPT,27508,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation ",,,1423.0,9710.0,106
CPT,27508,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27508,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation SCHEDULED",,,8206.65,8379.42,3
CPT,27508,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation UNSCHEDULED",,,6378.77,6513.06,3
CPT,27509,"Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or transcondylar, with or without intercondylar extension, or distal femoral epiphyseal sepa",,,1950.0,18507.0,116
CPT,27510,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation ",,,1423.0,9710.0,106
CPT,27510,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27510,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation SCHEDULED",,,8206.65,8379.42,3
CPT,27510,"Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation UNSCHEDULED",,,6378.77,6513.06,3
CPT,27511,"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,27511,"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27511,"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed SCHEDULED",,,8206.65,8379.42,3
CPT,27511,"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed UNSCHEDULED",,,6378.77,6513.06,3
CPT,27513,"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,27513,"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27513,"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed SCHEDULED",,,8206.65,8379.42,3
CPT,27513,"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed UNSCHEDULED",,,6378.77,6513.06,3
CPT,27514,"Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed ",,,1950.0,18507.0,78
CPT,27514,"Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27514,"Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed SCHEDULED",,,7315.74,7469.76,3
CPT,27514,"Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed UNSCHEDULED",,,6378.77,6513.06,3
CPT,27516,Closed treatment of distal femoral epiphyseal separation; without manipulation ,,,1423.0,9710.0,106
CPT,27516,Closed treatment of distal femoral epiphyseal separation; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,27516,Closed treatment of distal femoral epiphyseal separation; without manipulation SCHEDULED,,,8206.65,8379.42,3
CPT,27516,Closed treatment of distal femoral epiphyseal separation; without manipulation UNSCHEDULED,,,6378.77,6513.06,3
CPT,27517,"Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction ",,,1423.0,9710.0,106
CPT,27517,"Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction Other Surgical Services",,,2850.0,2850.0,4
CPT,27517,"Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction SCHEDULED",,,8206.65,8379.42,3
CPT,27517,"Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction UNSCHEDULED",,,6378.77,6513.06,3
CPT,27519,"Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed ",,,1950.0,18507.0,78
CPT,27519,"Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27519,"Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed SCHEDULED",,,8206.65,8379.42,3
CPT,27519,"Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed UNSCHEDULED",,,6378.77,6513.06,3
CPT,27520,"Closed treatment of patellar fracture, without manipulation ",,,1423.0,9710.0,106
CPT,27520,"Closed treatment of patellar fracture, without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27520,"Closed treatment of patellar fracture, without manipulation SCHEDULED",,,8206.65,8379.42,3
CPT,27520,"Closed treatment of patellar fracture, without manipulation UNSCHEDULED",,,447.02,456.43,3
CPT,27524,"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair ",,,1950.0,18507.0,106
CPT,27524,"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair Other Surgical Services",,,2850.0,2850.0,4
CPT,27524,"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair SCHEDULED",,,9674.4,9878.07,3
CPT,27524,"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair UNSCHEDULED",,,11720.05,11966.78,3
CPT,27530,"Closed treatment of tibial fracture, proximal (plateau); without manipulation ",,,1423.0,9710.0,106
CPT,27530,"Closed treatment of tibial fracture, proximal (plateau); without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27530,"Closed treatment of tibial fracture, proximal (plateau); without manipulation SCHEDULED",,,9329.97,9526.39,3
CPT,27530,"Closed treatment of tibial fracture, proximal (plateau); without manipulation UNSCHEDULED",,,619.76,632.81,3
CPT,27532,"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction ",,,1950.0,18507.0,106
CPT,27532,"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction Other Surgical Services",,,2850.0,2850.0,4
CPT,27532,"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction SCHEDULED",,,5306.74,5418.46,3
CPT,27532,"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction UNSCHEDULED",,,6378.77,6513.06,3
CPT,27535,"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,27535,"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27535,"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed SCHEDULED",,,13651.58,13938.98,3
CPT,27535,"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed UNSCHEDULED",,,20444.91,20875.33,3
CPT,27536,"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation ",,,1950.0,18507.0,106
CPT,27536,"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,27536,"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation SCHEDULED",,,13478.84,13762.6,3
CPT,27536,"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation UNSCHEDULED",,,20499.35,20930.91,3
CPT,27538,"Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation ",,,1423.0,9710.0,106
CPT,27538,"Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27538,"Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation SCHEDULED",,,8206.65,8379.42,3
CPT,27538,"Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation UNSCHEDULED",,,6378.77,6513.06,3
CPT,27540,"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,27540,"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27540,"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed SCHEDULED",,,8206.65,8379.42,3
CPT,27540,"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed UNSCHEDULED",,,6378.77,6513.06,3
CPT,27550,Closed treatment of knee dislocation; without anesthesia ,,,1423.0,9710.0,106
CPT,27550,Closed treatment of knee dislocation; without anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,27550,Closed treatment of knee dislocation; without anesthesia SCHEDULED,,,8206.65,8379.42,3
CPT,27550,Closed treatment of knee dislocation; without anesthesia UNSCHEDULED,,,741.21,756.81,3
CPT,27552,Closed treatment of knee dislocation; requiring anesthesia ,,,1950.0,9710.0,106
CPT,27552,Closed treatment of knee dislocation; requiring anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,27552,Closed treatment of knee dislocation; requiring anesthesia SCHEDULED,,,8206.65,8379.42,3
CPT,27552,Closed treatment of knee dislocation; requiring anesthesia UNSCHEDULED,,,3268.42,3337.23,3
CPT,27556,"Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or augmentation/reconstruction ",,,1950.0,18507.0,106
CPT,27556,"Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or augmentation/reconstruction Other Surgical Services",,,2850.0,2850.0,4
CPT,27556,"Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or augmentation/reconstruction SCHEDULED",,,8206.65,8379.42,3
CPT,27556,"Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or augmentation/reconstruction UNSCHEDULED",,,6378.77,6513.06,3
CPT,27557,"Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair ",,,1950.0,18507.0,106
CPT,27557,"Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Other Surgical Services",,,2850.0,2850.0,4
CPT,27557,"Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair SCHEDULED",,,8206.65,8379.42,3
CPT,27557,"Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair UNSCHEDULED",,,6378.77,6513.06,3
CPT,27558,"Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with augmentation/reconstruction ",,,1950.0,18507.0,106
CPT,27558,"Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with augmentation/reconstruction Other Surgical Services",,,2850.0,2850.0,4
CPT,27558,"Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with augmentation/reconstruction SCHEDULED",,,8206.65,8379.42,3
CPT,27558,"Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with augmentation/reconstruction UNSCHEDULED",,,6378.77,6513.06,3
CPT,27560,Closed treatment of patellar dislocation; without anesthesia ,,,1423.0,9710.0,106
CPT,27560,Closed treatment of patellar dislocation; without anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,27560,Closed treatment of patellar dislocation; without anesthesia SCHEDULED,,,8206.65,8379.42,3
CPT,27560,Closed treatment of patellar dislocation; without anesthesia UNSCHEDULED,,,697.23,711.91,3
CPT,27562,Closed treatment of patellar dislocation; requiring anesthesia ,,,1844.0,9710.0,106
CPT,27562,Closed treatment of patellar dislocation; requiring anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,27562,Closed treatment of patellar dislocation; requiring anesthesia SCHEDULED,,,8206.65,8379.42,3
CPT,27562,Closed treatment of patellar dislocation; requiring anesthesia UNSCHEDULED,,,1076.22,1098.87,3
CPT,27566,"Open treatment of patellar dislocation, with or without partial or total patellectomy ",,,1950.0,18507.0,106
CPT,27566,"Open treatment of patellar dislocation, with or without partial or total patellectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,27566,"Open treatment of patellar dislocation, with or without partial or total patellectomy SCHEDULED",,,2862.23,2922.48,3
CPT,27566,"Open treatment of patellar dislocation, with or without partial or total patellectomy UNSCHEDULED",,,6378.77,6513.06,3
CPT,27570,Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) ,,,1950.0,9710.0,106
CPT,27570,Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Other Surgical Services,,,2850.0,2850.0,4
CPT,27570,Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) SCHEDULED,,,8206.65,8379.42,3
CPT,27570,Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) UNSCHEDULED,,,6378.77,6513.06,3
CPT,27580,"Arthrodesis, knee, any technique ",,,1950.0,18507.0,78
CPT,27580,"Arthrodesis, knee, any technique Other Surgical Services",,,2850.0,2850.0,4
CPT,27580,"Arthrodesis, knee, any technique SCHEDULED",,,8206.65,8379.42,3
CPT,27580,"Arthrodesis, knee, any technique UNSCHEDULED",,,233.46,238.38,3
CPT,27590,"Amputation, thigh, through femur, any level; ",,,1950.0,19295.0,78
CPT,27590,"Amputation, thigh, through femur, any level; Other Surgical Services",,,2850.0,2850.0,4
CPT,27590,"Amputation, thigh, through femur, any level; SCHEDULED",,,8206.65,8379.42,3
CPT,27590,"Amputation, thigh, through femur, any level; UNSCHEDULED",,,6378.77,6513.06,3
CPT,27591,"Amputation, thigh, through femur, any level; immediate fitting technique including first cast ",,,1950.0,19295.0,78
CPT,27591,"Amputation, thigh, through femur, any level; immediate fitting technique including first cast Other Surgical Services",,,2850.0,2850.0,4
CPT,27591,"Amputation, thigh, through femur, any level; immediate fitting technique including first cast SCHEDULED",,,8206.65,8379.42,3
CPT,27591,"Amputation, thigh, through femur, any level; immediate fitting technique including first cast UNSCHEDULED",,,6378.77,6513.06,3
CPT,27592,"Amputation, thigh, through femur, any level; open, circular (guillotine) ",,,1950.0,19295.0,78
CPT,27592,"Amputation, thigh, through femur, any level; open, circular (guillotine) Other Surgical Services",,,2850.0,2850.0,4
CPT,27592,"Amputation, thigh, through femur, any level; open, circular (guillotine) SCHEDULED",,,8206.65,8379.42,3
CPT,27592,"Amputation, thigh, through femur, any level; open, circular (guillotine) UNSCHEDULED",,,6378.77,6513.06,3
CPT,27594,"Amputation, thigh, through femur, any level; secondary closure or scar revision ",,,1950.0,18507.0,106
CPT,27594,"Amputation, thigh, through femur, any level; secondary closure or scar revision Other Surgical Services",,,2850.0,2850.0,4
CPT,27594,"Amputation, thigh, through femur, any level; secondary closure or scar revision SCHEDULED",,,8206.65,8379.42,3
CPT,27594,"Amputation, thigh, through femur, any level; secondary closure or scar revision UNSCHEDULED",,,6378.77,6513.06,3
CPT,27596,"Amputation, thigh, through femur, any level; re-amputation ",,,1950.0,18507.0,78
CPT,27596,"Amputation, thigh, through femur, any level; re-amputation Other Surgical Services",,,2850.0,2850.0,4
CPT,27596,"Amputation, thigh, through femur, any level; re-amputation SCHEDULED",,,9646.14,9849.22,3
CPT,27596,"Amputation, thigh, through femur, any level; re-amputation UNSCHEDULED",,,6378.77,6513.06,3
CPT,27598,Disarticulation at knee ,,,1950.0,18507.0,78
CPT,27598,Disarticulation at knee Other Surgical Services,,,2850.0,2850.0,4
CPT,27598,Disarticulation at knee SCHEDULED,,,8206.65,8379.42,3
CPT,27598,Disarticulation at knee UNSCHEDULED,,,6378.77,6513.06,3
CPT,27599,"Unlisted procedure, femur or knee ",,,1423.0,9710.0,106
CPT,27599,"Unlisted procedure, femur or knee Other Surgical Services",,,2850.0,2850.0,4
CPT,27599,"Unlisted procedure, femur or knee SCHEDULED",,,4661.85,4759.99,3
CPT,27599,"Unlisted procedure, femur or knee UNSCHEDULED",,,12877.92,13149.03,3
CPT,27600,"Decompression fasciotomy, leg; anterior and/or lateral compartments only ",,,1950.0,18507.0,106
CPT,27600,"Decompression fasciotomy, leg; anterior and/or lateral compartments only Other Surgical Services",,,2850.0,2850.0,4
CPT,27600,"Decompression fasciotomy, leg; anterior and/or lateral compartments only SCHEDULED",,,9366.61,9563.8,3
CPT,27600,"Decompression fasciotomy, leg; anterior and/or lateral compartments only UNSCHEDULED",,,3371.02,3441.99,3
CPT,27601,"Decompression fasciotomy, leg; posterior compartment(s) only ",,,1950.0,18507.0,106
CPT,27601,"Decompression fasciotomy, leg; posterior compartment(s) only Other Surgical Services",,,2850.0,2850.0,4
CPT,27601,"Decompression fasciotomy, leg; posterior compartment(s) only SCHEDULED",,,5266.95,5377.84,3
CPT,27601,"Decompression fasciotomy, leg; posterior compartment(s) only UNSCHEDULED",,,3371.02,3441.99,3
CPT,27602,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s) ",,,1950.0,18507.0,106
CPT,27602,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,27602,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s) SCHEDULED",,,4467.12,4561.16,3
CPT,27602,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27603,"Incision and drainage, leg or ankle; deep abscess or hematoma ",,,1950.0,14792.0,106
CPT,27603,"Incision and drainage, leg or ankle; deep abscess or hematoma Other Surgical Services",,,2850.0,2850.0,4
CPT,27603,"Incision and drainage, leg or ankle; deep abscess or hematoma SCHEDULED",,,4785.38,4886.12,3
CPT,27603,"Incision and drainage, leg or ankle; deep abscess or hematoma UNSCHEDULED",,,3371.02,3441.99,3
CPT,27604,"Incision and drainage, leg or ankle; infected bursa ",,,1950.0,18507.0,106
CPT,27604,"Incision and drainage, leg or ankle; infected bursa Other Surgical Services",,,2850.0,2850.0,4
CPT,27604,"Incision and drainage, leg or ankle; infected bursa SCHEDULED",,,6846.73,6990.87,3
CPT,27604,"Incision and drainage, leg or ankle; infected bursa UNSCHEDULED",,,3371.02,3441.99,3
CPT,27605,"Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia ",,,1950.0,9710.0,106
CPT,27605,"Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,27605,"Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia SCHEDULED",,,6846.73,6990.87,3
CPT,27605,"Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia UNSCHEDULED",,,3371.02,3441.99,3
CPT,27606,"Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia ",,,1950.0,18507.0,106
CPT,27606,"Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,27606,"Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia SCHEDULED",,,6828.93,6972.7,3
CPT,27606,"Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia UNSCHEDULED",,,273.24,278.99,3
CPT,27607,"Incision (eg, osteomyelitis or bone abscess), leg or ankle ",,,1950.0,18507.0,106
CPT,27607,"Incision (eg, osteomyelitis or bone abscess), leg or ankle Other Surgical Services",,,2850.0,2850.0,4
CPT,27607,"Incision (eg, osteomyelitis or bone abscess), leg or ankle SCHEDULED",,,6846.73,6990.87,3
CPT,27607,"Incision (eg, osteomyelitis or bone abscess), leg or ankle UNSCHEDULED",,,3371.02,3441.99,3
CPT,27610,"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body ",,,1950.0,18507.0,106
CPT,27610,"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,27610,"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body SCHEDULED",,,4705.82,4804.89,3
CPT,27610,"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body UNSCHEDULED",,,3371.02,3441.99,3
CPT,27612,"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening ",,,1950.0,18507.0,106
CPT,27612,"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Other Surgical Services",,,2850.0,2850.0,4
CPT,27612,"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening SCHEDULED",,,8703.93,8887.17,3
CPT,27612,"Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening UNSCHEDULED",,,3371.02,3441.99,3
CPT,27613,"Biopsy, soft tissue of leg or ankle area; superficial ",,,1950.0,9710.0,106
CPT,27613,"Biopsy, soft tissue of leg or ankle area; superficial Other Surgical Services",,,2850.0,2850.0,4
CPT,27613,"Biopsy, soft tissue of leg or ankle area; superficial SCHEDULED",,,11707.49,11953.96,3
CPT,27613,"Biopsy, soft tissue of leg or ankle area; superficial UNSCHEDULED",,,3371.02,3441.99,3
CPT,27614,"Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) ",,,1950.0,14792.0,106
CPT,27614,"Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) Other Surgical Services",,,2850.0,2850.0,4
CPT,27614,"Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) SCHEDULED",,,9267.15,9462.25,3
CPT,27614,"Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27615,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm ",,,1950.0,14792.0,106
CPT,27615,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,27615,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm SCHEDULED",,,6846.73,6990.87,3
CPT,27615,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm UNSCHEDULED",,,3371.02,3441.99,3
CPT,27616,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater ",,,1950.0,14792.0,106
CPT,27616,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,27616,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater SCHEDULED",,,6846.73,6990.87,3
CPT,27616,"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater UNSCHEDULED",,,3371.02,3441.99,3
CPT,27618,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm ",,,1950.0,9710.0,106
CPT,27618,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,27618,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm SCHEDULED",,,2048.78,2091.91,3
CPT,27618,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm UNSCHEDULED",,,3371.02,3441.99,3
CPT,27619,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm ",,,1950.0,14792.0,106
CPT,27619,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,27619,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm SCHEDULED",,,4508.99,4603.92,3
CPT,27619,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm UNSCHEDULED",,,3371.02,3441.99,3
CPT,27620,"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body ",,,1950.0,18507.0,106
CPT,27620,"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,27620,"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body SCHEDULED",,,4099.66,4185.97,3
CPT,27620,"Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body UNSCHEDULED",,,3371.02,3441.99,3
CPT,27625,"Arthrotomy, with synovectomy, ankle; ",,,1950.0,18507.0,106
CPT,27625,"Arthrotomy, with synovectomy, ankle; Other Surgical Services",,,2850.0,2850.0,4
CPT,27625,"Arthrotomy, with synovectomy, ankle; SCHEDULED",,,3168.96,3235.68,3
CPT,27625,"Arthrotomy, with synovectomy, ankle; UNSCHEDULED",,,3371.02,3441.99,3
CPT,27626,"Arthrotomy, with synovectomy, ankle; including tenosynovectomy ",,,1950.0,18507.0,106
CPT,27626,"Arthrotomy, with synovectomy, ankle; including tenosynovectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,27626,"Arthrotomy, with synovectomy, ankle; including tenosynovectomy SCHEDULED",,,6560.92,6699.04,3
CPT,27626,"Arthrotomy, with synovectomy, ankle; including tenosynovectomy UNSCHEDULED",,,3371.02,3441.99,3
CPT,27630,"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle ",,,1950.0,18507.0,106
CPT,27630,"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Other Surgical Services",,,2850.0,2850.0,4
CPT,27630,"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle SCHEDULED",,,9282.86,9478.29,3
CPT,27630,"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle UNSCHEDULED",,,3371.02,3441.99,3
CPT,27632,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater ",,,1950.0,14792.0,106
CPT,27632,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,27632,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater SCHEDULED",,,6846.73,6990.87,3
CPT,27632,"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater UNSCHEDULED",,,3371.02,3441.99,3
CPT,27634,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater ",,,1950.0,14792.0,106
CPT,27634,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,27634,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater SCHEDULED",,,6747.27,6889.32,3
CPT,27634,"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater UNSCHEDULED",,,3371.02,3441.99,3
CPT,27635,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; ",,,1950.0,18507.0,106
CPT,27635,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; Other Surgical Services",,,2850.0,2850.0,4
CPT,27635,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; SCHEDULED",,,3697.65,3775.49,3
CPT,27635,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; UNSCHEDULED",,,3371.02,3441.99,3
CPT,27637,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,27637,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,27637,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) SCHEDULED",,,6846.73,6990.87,3
CPT,27637,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27638,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft ",,,1950.0,18507.0,106
CPT,27638,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Other Surgical Services",,,2850.0,2850.0,4
CPT,27638,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft SCHEDULED",,,6846.73,6990.87,3
CPT,27638,"Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft UNSCHEDULED",,,3371.02,3441.99,3
CPT,27640,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia ",,,1950.0,18507.0,106
CPT,27640,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia Other Surgical Services",,,2850.0,2850.0,4
CPT,27640,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia SCHEDULED",,,3791.87,3871.7,3
CPT,27640,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia UNSCHEDULED",,,820.77,838.05,3
CPT,27641,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula ",,,1950.0,18507.0,106
CPT,27641,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Other Surgical Services",,,2850.0,2850.0,4
CPT,27641,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula SCHEDULED",,,3704.98,3782.98,3
CPT,27641,"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula UNSCHEDULED",,,3371.02,3441.99,3
CPT,27645,Radical resection of tumor; tibia ,,,1950.0,18507.0,78
CPT,27645,Radical resection of tumor; tibia Other Surgical Services,,,2850.0,2850.0,4
CPT,27645,Radical resection of tumor; tibia SCHEDULED,,,6846.73,6990.87,3
CPT,27645,Radical resection of tumor; tibia UNSCHEDULED,,,3371.02,3441.99,3
CPT,27646,Radical resection of tumor; fibula ,,,1950.0,18507.0,78
CPT,27646,Radical resection of tumor; fibula Other Surgical Services,,,2850.0,2850.0,4
CPT,27646,Radical resection of tumor; fibula SCHEDULED,,,6846.73,6990.87,3
CPT,27646,Radical resection of tumor; fibula UNSCHEDULED,,,3371.02,3441.99,3
CPT,27647,Radical resection of tumor; talus or calcaneus ,,,1950.0,18507.0,106
CPT,27647,Radical resection of tumor; talus or calcaneus Other Surgical Services,,,2850.0,2850.0,4
CPT,27647,Radical resection of tumor; talus or calcaneus SCHEDULED,,,8830.6,9016.51,3
CPT,27647,Radical resection of tumor; talus or calcaneus UNSCHEDULED,,,3371.02,3441.99,3
CPT,27648,Injection procedure for ankle arthrography ,,,1423.0,9710.0,99
CPT,27648,Injection procedure for ankle arthrography Other Surgical Services,,,2850.0,2850.0,4
CPT,27648,Injection procedure for ankle arthrography SCHEDULED,,,6846.73,6990.87,3
CPT,27648,Injection procedure for ankle arthrography UNSCHEDULED,,,209.38,213.79,3
CPT,27650,"Repair, primary, open or percutaneous, ruptured Achilles tendon; ",,,1950.0,18507.0,106
CPT,27650,"Repair, primary, open or percutaneous, ruptured Achilles tendon; Other Surgical Services",,,2850.0,2850.0,4
CPT,27650,"Repair, primary, open or percutaneous, ruptured Achilles tendon; SCHEDULED",,,9678.59,9882.35,3
CPT,27650,"Repair, primary, open or percutaneous, ruptured Achilles tendon; UNSCHEDULED",,,13993.91,14288.52,3
CPT,27652,"Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,27652,"Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,27652,"Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft) SCHEDULED",,,9506.9,9707.04,3
CPT,27652,"Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27654,"Repair, secondary, Achilles tendon, with or without graft ",,,1950.0,18507.0,106
CPT,27654,"Repair, secondary, Achilles tendon, with or without graft Other Surgical Services",,,2850.0,2850.0,4
CPT,27654,"Repair, secondary, Achilles tendon, with or without graft SCHEDULED",,,8355.31,8531.21,3
CPT,27654,"Repair, secondary, Achilles tendon, with or without graft UNSCHEDULED",,,3371.02,3441.99,3
CPT,27656,"Repair, fascial defect of leg ",,,1950.0,18507.0,106
CPT,27656,"Repair, fascial defect of leg Other Surgical Services",,,2850.0,2850.0,4
CPT,27656,"Repair, fascial defect of leg SCHEDULED",,,6846.73,6990.87,3
CPT,27656,"Repair, fascial defect of leg UNSCHEDULED",,,1270.94,1297.7,3
CPT,27658,"Repair, flexor tendon, leg; primary, without graft, each tendon ",,,1950.0,18507.0,106
CPT,27658,"Repair, flexor tendon, leg; primary, without graft, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,27658,"Repair, flexor tendon, leg; primary, without graft, each tendon SCHEDULED",,,7143.0,7293.38,3
CPT,27658,"Repair, flexor tendon, leg; primary, without graft, each tendon UNSCHEDULED",,,11214.39,11450.48,3
CPT,27659,"Repair, flexor tendon, leg; secondary, with or without graft, each tendon ",,,1950.0,18507.0,106
CPT,27659,"Repair, flexor tendon, leg; secondary, with or without graft, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,27659,"Repair, flexor tendon, leg; secondary, with or without graft, each tendon SCHEDULED",,,4448.28,4541.93,3
CPT,27659,"Repair, flexor tendon, leg; secondary, with or without graft, each tendon UNSCHEDULED",,,3371.02,3441.99,3
CPT,27664,"Repair, extensor tendon, leg; primary, without graft, each tendon ",,,1950.0,18507.0,106
CPT,27664,"Repair, extensor tendon, leg; primary, without graft, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,27664,"Repair, extensor tendon, leg; primary, without graft, each tendon SCHEDULED",,,5126.67,5234.6,3
CPT,27664,"Repair, extensor tendon, leg; primary, without graft, each tendon UNSCHEDULED",,,12362.84,12623.11,3
CPT,27665,"Repair, extensor tendon, leg; secondary, with or without graft, each tendon ",,,1950.0,18507.0,106
CPT,27665,"Repair, extensor tendon, leg; secondary, with or without graft, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,27665,"Repair, extensor tendon, leg; secondary, with or without graft, each tendon SCHEDULED",,,17778.45,18152.74,3
CPT,27665,"Repair, extensor tendon, leg; secondary, with or without graft, each tendon UNSCHEDULED",,,3371.02,3441.99,3
CPT,27675,"Repair, dislocating peroneal tendons; without fibular osteotomy ",,,1950.0,18507.0,106
CPT,27675,"Repair, dislocating peroneal tendons; without fibular osteotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,27675,"Repair, dislocating peroneal tendons; without fibular osteotomy SCHEDULED",,,12719.83,12987.62,3
CPT,27675,"Repair, dislocating peroneal tendons; without fibular osteotomy UNSCHEDULED",,,17687.38,18059.74,3
CPT,27676,"Repair, dislocating peroneal tendons; with fibular osteotomy ",,,1950.0,18507.0,106
CPT,27676,"Repair, dislocating peroneal tendons; with fibular osteotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,27676,"Repair, dislocating peroneal tendons; with fibular osteotomy SCHEDULED",,,5387.35,5500.76,3
CPT,27676,"Repair, dislocating peroneal tendons; with fibular osteotomy UNSCHEDULED",,,3371.02,3441.99,3
CPT,27680,"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon ",,,1950.0,18507.0,106
CPT,27680,"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,27680,"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon SCHEDULED",,,5712.93,5833.2,3
CPT,27680,"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon UNSCHEDULED",,,3371.02,3441.99,3
CPT,27681,"Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») ",,,1950.0,18507.0,106
CPT,27681,"Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Other Surgical Services",,,2850.0,2850.0,4
CPT,27681,"Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») SCHEDULED",,,4080.82,4166.73,3
CPT,27681,"Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») UNSCHEDULED",,,3371.02,3441.99,3
CPT,27685,"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) ",,,1950.0,18507.0,106
CPT,27685,"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,27685,"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) SCHEDULED",,,6395.51,6530.16,3
CPT,27685,"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27686,"Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each ",,,1950.0,18507.0,106
CPT,27686,"Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical Services",,,2850.0,2850.0,4
CPT,27686,"Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each SCHEDULED",,,3168.96,3235.68,3
CPT,27686,"Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each UNSCHEDULED",,,3371.02,3441.99,3
CPT,27687,"Gastrocnemius recession (eg, Strayer procedure) ",,,1950.0,18507.0,106
CPT,27687,"Gastrocnemius recession (eg, Strayer procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,27687,"Gastrocnemius recession (eg, Strayer procedure) SCHEDULED",,,5352.8,5465.49,3
CPT,27687,"Gastrocnemius recession (eg, Strayer procedure) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27690,"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot) ",,,1950.0,18507.0,106
CPT,27690,"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot) Other Surgical Services",,,2850.0,2850.0,4
CPT,27690,"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot) SCHEDULED",,,4071.4,4157.11,3
CPT,27690,"Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27691,"Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longu",,,1950.0,18507.0,116
CPT,27692,Transfer or transplant of single tendon (with muscle redirection or rerouting); each additional tendon (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,27692,Transfer or transplant of single tendon (with muscle redirection or rerouting); each additional tendon (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,27692,Transfer or transplant of single tendon (with muscle redirection or rerouting); each additional tendon (List separately in addition to code for primary procedure) SCHEDULED,,,5170.64,5279.5,3
CPT,27692,Transfer or transplant of single tendon (with muscle redirection or rerouting); each additional tendon (List separately in addition to code for primary procedure) UNSCHEDULED,,,3371.02,3441.99,3
CPT,27695,"Repair, primary, disrupted ligament, ankle; collateral ",,,1950.0,18507.0,106
CPT,27695,"Repair, primary, disrupted ligament, ankle; collateral Other Surgical Services",,,2850.0,2850.0,4
CPT,27695,"Repair, primary, disrupted ligament, ankle; collateral SCHEDULED",,,5039.78,5145.88,3
CPT,27695,"Repair, primary, disrupted ligament, ankle; collateral UNSCHEDULED",,,5996.65,6122.89,3
CPT,27696,"Repair, primary, disrupted ligament, ankle; both collateral ligaments ",,,1950.0,18507.0,106
CPT,27696,"Repair, primary, disrupted ligament, ankle; both collateral ligaments Other Surgical Services",,,2850.0,2850.0,4
CPT,27696,"Repair, primary, disrupted ligament, ankle; both collateral ligaments SCHEDULED",,,7877.92,8043.77,3
CPT,27696,"Repair, primary, disrupted ligament, ankle; both collateral ligaments UNSCHEDULED",,,3371.02,3441.99,3
CPT,27698,"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) ",,,1950.0,18507.0,106
CPT,27698,"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,27698,"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) SCHEDULED",,,5929.64,6054.48,3
CPT,27698,"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27700,"Arthroplasty, ankle; ",,,1950.0,18507.0,106
CPT,27700,"Arthroplasty, ankle; Other Surgical Services",,,2850.0,2850.0,4
CPT,27700,"Arthroplasty, ankle; SCHEDULED",,,8992.87,9182.19,3
CPT,27700,"Arthroplasty, ankle; UNSCHEDULED",,,3371.02,3441.99,3
CPT,27702,"Arthroplasty, ankle; with implant (total ankle) ",,,1950.0,41379.0,85
CPT,27702,"Arthroplasty, ankle; with implant (total ankle) Other Surgical Services",,,2850.0,2850.0,4
CPT,27702,"Arthroplasty, ankle; with implant (total ankle) SCHEDULED",,,8346.94,8522.66,3
CPT,27702,"Arthroplasty, ankle; with implant (total ankle) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27703,"Arthroplasty, ankle; revision, total ankle ",,,1950.0,41379.0,83
CPT,27703,"Arthroplasty, ankle; revision, total ankle Other Surgical Services",,,2850.0,2850.0,4
CPT,27703,"Arthroplasty, ankle; revision, total ankle SCHEDULED",,,6846.73,6990.87,3
CPT,27703,"Arthroplasty, ankle; revision, total ankle UNSCHEDULED",,,3371.02,3441.99,3
CPT,27704,Removal of ankle implant ,,,1950.0,18507.0,106
CPT,27704,Removal of ankle implant Other Surgical Services,,,2850.0,2850.0,4
CPT,27704,Removal of ankle implant SCHEDULED,,,6846.73,6990.87,3
CPT,27704,Removal of ankle implant UNSCHEDULED,,,3371.02,3441.99,3
CPT,27705,Osteotomy; tibia ,,,1950.0,18507.0,106
CPT,27705,Osteotomy; tibia Other Surgical Services,,,2850.0,2850.0,4
CPT,27705,Osteotomy; tibia SCHEDULED,,,6846.73,6990.87,3
CPT,27705,Osteotomy; tibia UNSCHEDULED,,,3371.02,3441.99,3
CPT,27707,Osteotomy; fibula ,,,1950.0,18507.0,106
CPT,27707,Osteotomy; fibula Other Surgical Services,,,2850.0,2850.0,4
CPT,27707,Osteotomy; fibula SCHEDULED,,,5490.99,5606.59,3
CPT,27707,Osteotomy; fibula UNSCHEDULED,,,3371.02,3441.99,3
CPT,27709,Osteotomy; tibia and fibula ,,,1950.0,18507.0,106
CPT,27709,Osteotomy; tibia and fibula Other Surgical Services,,,2850.0,2850.0,4
CPT,27709,Osteotomy; tibia and fibula SCHEDULED,,,8257.95,8431.8,3
CPT,27709,Osteotomy; tibia and fibula UNSCHEDULED,,,3371.02,3441.99,3
CPT,27712,"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) ",,,1950.0,18507.0,78
CPT,27712,"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,27712,"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) SCHEDULED",,,6846.73,6990.87,3
CPT,27712,"Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27713,"Osteotomy(ies), tibia, including fibula when performed, unilateral, with insertion of an externally controlled intramedullary lengthening device, including imaging, alignment assessments, computations",,,1950.0,18507.0,79
CPT,27715,"Osteoplasty, tibia and fibula, lengthening or shortening ",,,1950.0,18507.0,106
CPT,27715,"Osteoplasty, tibia and fibula, lengthening or shortening Other Surgical Services",,,2850.0,2850.0,4
CPT,27715,"Osteoplasty, tibia and fibula, lengthening or shortening SCHEDULED",,,6846.73,6990.87,3
CPT,27715,"Osteoplasty, tibia and fibula, lengthening or shortening UNSCHEDULED",,,3371.02,3441.99,3
CPT,27720,"Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) ",,,1950.0,18507.0,106
CPT,27720,"Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) Other Surgical Services",,,2850.0,2850.0,4
CPT,27720,"Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) SCHEDULED",,,8951.0,9139.44,3
CPT,27720,"Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27722,"Repair of nonunion or malunion, tibia; with sliding graft ",,,1950.0,18507.0,106
CPT,27722,"Repair of nonunion or malunion, tibia; with sliding graft Other Surgical Services",,,2850.0,2850.0,4
CPT,27722,"Repair of nonunion or malunion, tibia; with sliding graft SCHEDULED",,,6864.52,7009.04,3
CPT,27722,"Repair of nonunion or malunion, tibia; with sliding graft UNSCHEDULED",,,3371.02,3441.99,3
CPT,27724,"Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) ",,,1950.0,18507.0,78
CPT,27724,"Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,27724,"Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) SCHEDULED",,,9851.33,10058.73,3
CPT,27724,"Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27725,"Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method ",,,1950.0,18507.0,78
CPT,27725,"Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method Other Surgical Services",,,2850.0,2850.0,4
CPT,27725,"Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method SCHEDULED",,,6846.73,6990.87,3
CPT,27725,"Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method UNSCHEDULED",,,3371.02,3441.99,3
CPT,27726,Repair of fibula nonunion and/or malunion with internal fixation ,,,1950.0,18507.0,106
CPT,27726,Repair of fibula nonunion and/or malunion with internal fixation Other Surgical Services,,,2850.0,2850.0,4
CPT,27726,Repair of fibula nonunion and/or malunion with internal fixation SCHEDULED,,,7365.99,7521.06,3
CPT,27726,Repair of fibula nonunion and/or malunion with internal fixation UNSCHEDULED,,,3371.02,3441.99,3
CPT,27727,"Repair of congenital pseudarthrosis, tibia ",,,1950.0,18507.0,78
CPT,27727,"Repair of congenital pseudarthrosis, tibia Other Surgical Services",,,2850.0,2850.0,4
CPT,27727,"Repair of congenital pseudarthrosis, tibia SCHEDULED",,,6846.73,6990.87,3
CPT,27727,"Repair of congenital pseudarthrosis, tibia UNSCHEDULED",,,3371.02,3441.99,3
CPT,27730,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia ",,,1950.0,18507.0,106
CPT,27730,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia Other Surgical Services",,,2850.0,2850.0,4
CPT,27730,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia SCHEDULED",,,6846.73,6990.87,3
CPT,27730,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia UNSCHEDULED",,,3371.02,3441.99,3
CPT,27732,"Arrest, epiphyseal (epiphysiodesis), open; distal fibula ",,,1950.0,18507.0,106
CPT,27732,"Arrest, epiphyseal (epiphysiodesis), open; distal fibula Other Surgical Services",,,2850.0,2850.0,4
CPT,27732,"Arrest, epiphyseal (epiphysiodesis), open; distal fibula SCHEDULED",,,6846.73,6990.87,3
CPT,27732,"Arrest, epiphyseal (epiphysiodesis), open; distal fibula UNSCHEDULED",,,3371.02,3441.99,3
CPT,27734,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula ",,,1950.0,18507.0,106
CPT,27734,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula Other Surgical Services",,,2850.0,2850.0,4
CPT,27734,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula SCHEDULED",,,6846.73,6990.87,3
CPT,27734,"Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula UNSCHEDULED",,,3371.02,3441.99,3
CPT,27740,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; ",,,1950.0,18507.0,106
CPT,27740,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Other Surgical Services",,,2850.0,2850.0,4
CPT,27740,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; SCHEDULED",,,6846.73,6990.87,3
CPT,27740,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; UNSCHEDULED",,,3371.02,3441.99,3
CPT,27742,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur ",,,1950.0,18507.0,106
CPT,27742,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur Other Surgical Services",,,2850.0,2850.0,4
CPT,27742,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur SCHEDULED",,,6846.73,6990.87,3
CPT,27742,"Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur UNSCHEDULED",,,3371.02,3441.99,3
CPT,27745,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia ",,,1950.0,18507.0,106
CPT,27745,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia Other Surgical Services",,,2850.0,2850.0,4
CPT,27745,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia SCHEDULED",,,6846.73,6990.87,3
CPT,27745,"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia UNSCHEDULED",,,3371.02,3441.99,3
CPT,27750,Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation ,,,1423.0,9710.0,106
CPT,27750,Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,27750,Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation SCHEDULED,,,6846.73,6990.87,3
CPT,27750,Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation UNSCHEDULED,,,3371.02,3441.99,3
CPT,27752,"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction ",,,1950.0,9710.0,106
CPT,27752,"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction Other Surgical Services",,,2850.0,2850.0,4
CPT,27752,"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction SCHEDULED",,,6846.73,6990.87,3
CPT,27752,"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction UNSCHEDULED",,,935.93,955.63,3
CPT,27756,"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) ",,,1950.0,18507.0,106
CPT,27756,"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) Other Surgical Services",,,2850.0,2850.0,4
CPT,27756,"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) SCHEDULED",,,6846.73,6990.87,3
CPT,27756,"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27758,"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage ",,,1950.0,18507.0,106
CPT,27758,"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage Other Surgical Services",,,2850.0,2850.0,4
CPT,27758,"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage SCHEDULED",,,9250.41,9445.15,3
CPT,27758,"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage UNSCHEDULED",,,10717.11,10942.73,3
CPT,27759,"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage ",,,1950.0,18507.0,106
CPT,27759,"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage Other Surgical Services",,,2850.0,2850.0,4
CPT,27759,"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage SCHEDULED",,,8663.1,8845.48,3
CPT,27759,"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage UNSCHEDULED",,,8294.59,8469.22,3
CPT,27760,Closed treatment of medial malleolus fracture; without manipulation ,,,1423.0,9710.0,106
CPT,27760,Closed treatment of medial malleolus fracture; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,27760,Closed treatment of medial malleolus fracture; without manipulation SCHEDULED,,,6846.73,6990.87,3
CPT,27760,Closed treatment of medial malleolus fracture; without manipulation UNSCHEDULED,,,523.45,534.47,3
CPT,27762,"Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction ",,,1950.0,9710.0,106
CPT,27762,"Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Other Surgical Services",,,2850.0,2850.0,4
CPT,27762,"Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction SCHEDULED",,,6846.73,6990.87,3
CPT,27762,"Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction UNSCHEDULED",,,1238.49,1264.56,3
CPT,27766,"Open treatment of medial malleolus fracture, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,27766,"Open treatment of medial malleolus fracture, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27766,"Open treatment of medial malleolus fracture, includes internal fixation, when performed SCHEDULED",,,7102.17,7251.69,3
CPT,27766,"Open treatment of medial malleolus fracture, includes internal fixation, when performed UNSCHEDULED",,,11590.23,11834.23,3
CPT,27767,Closed treatment of posterior malleolus fracture; without manipulation ,,,1423.0,9710.0,106
CPT,27767,Closed treatment of posterior malleolus fracture; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,27767,Closed treatment of posterior malleolus fracture; without manipulation SCHEDULED,,,6846.73,6990.87,3
CPT,27767,Closed treatment of posterior malleolus fracture; without manipulation UNSCHEDULED,,,987.23,1008.01,3
CPT,27768,Closed treatment of posterior malleolus fracture; with manipulation ,,,1423.0,9710.0,106
CPT,27768,Closed treatment of posterior malleolus fracture; with manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,27768,Closed treatment of posterior malleolus fracture; with manipulation SCHEDULED,,,6846.73,6990.87,3
CPT,27768,Closed treatment of posterior malleolus fracture; with manipulation UNSCHEDULED,,,2637.14,2692.66,3
CPT,27769,"Open treatment of posterior malleolus fracture, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,27769,"Open treatment of posterior malleolus fracture, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27769,"Open treatment of posterior malleolus fracture, includes internal fixation, when performed SCHEDULED",,,10192.62,10407.2,3
CPT,27769,"Open treatment of posterior malleolus fracture, includes internal fixation, when performed UNSCHEDULED",,,3371.02,3441.99,3
CPT,27780,Closed treatment of proximal fibula or shaft fracture; without manipulation ,,,1423.0,9710.0,106
CPT,27780,Closed treatment of proximal fibula or shaft fracture; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,27780,Closed treatment of proximal fibula or shaft fracture; without manipulation SCHEDULED,,,6846.73,6990.87,3
CPT,27780,Closed treatment of proximal fibula or shaft fracture; without manipulation UNSCHEDULED,,,447.02,456.43,3
CPT,27781,Closed treatment of proximal fibula or shaft fracture; with manipulation ,,,1950.0,9710.0,106
CPT,27781,Closed treatment of proximal fibula or shaft fracture; with manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,27781,Closed treatment of proximal fibula or shaft fracture; with manipulation SCHEDULED,,,6846.73,6990.87,3
CPT,27781,Closed treatment of proximal fibula or shaft fracture; with manipulation UNSCHEDULED,,,2492.67,2545.14,3
CPT,27784,"Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,27784,"Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27784,"Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed SCHEDULED",,,9558.2,9759.42,3
CPT,27784,"Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed UNSCHEDULED",,,13804.42,14095.04,3
CPT,27786,Closed treatment of distal fibular fracture (lateral malleolus); without manipulation ,,,1423.0,9710.0,106
CPT,27786,Closed treatment of distal fibular fracture (lateral malleolus); without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,27786,Closed treatment of distal fibular fracture (lateral malleolus); without manipulation SCHEDULED,,,6846.73,6990.87,3
CPT,27786,Closed treatment of distal fibular fracture (lateral malleolus); without manipulation UNSCHEDULED,,,447.02,456.43,3
CPT,27788,Closed treatment of distal fibular fracture (lateral malleolus); with manipulation ,,,1423.0,9710.0,106
CPT,27788,Closed treatment of distal fibular fracture (lateral malleolus); with manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,27788,Closed treatment of distal fibular fracture (lateral malleolus); with manipulation SCHEDULED,,,6846.73,6990.87,3
CPT,27788,Closed treatment of distal fibular fracture (lateral malleolus); with manipulation UNSCHEDULED,,,956.87,977.01,3
CPT,27792,"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,27792,"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27792,"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed SCHEDULED",,,8535.38,8715.07,3
CPT,27792,"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed UNSCHEDULED",,,8846.3,9032.54,3
CPT,27808,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation ",,,1423.0,9710.0,106
CPT,27808,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27808,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation SCHEDULED",,,6846.73,6990.87,3
CPT,27808,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation UNSCHEDULED",,,3371.02,3441.99,3
CPT,27810,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation ",,,1950.0,9710.0,106
CPT,27810,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27810,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation SCHEDULED",,,6846.73,6990.87,3
CPT,27810,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation UNSCHEDULED",,,1087.73,1110.63,3
CPT,27814,"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,27814,"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed Other Su",,,2850.0,2850.0,4
CPT,27814,"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed SCHEDULE",,,11447.85,11688.86,3
CPT,27814,"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed UNSCHEDU",,,13057.99,13332.89,3
CPT,27816,Closed treatment of trimalleolar ankle fracture; without manipulation ,,,1423.0,9710.0,106
CPT,27816,Closed treatment of trimalleolar ankle fracture; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,27816,Closed treatment of trimalleolar ankle fracture; without manipulation SCHEDULED,,,6846.73,6990.87,3
CPT,27816,Closed treatment of trimalleolar ankle fracture; without manipulation UNSCHEDULED,,,806.11,823.08,3
CPT,27818,Closed treatment of trimalleolar ankle fracture; with manipulation ,,,1950.0,9710.0,106
CPT,27818,Closed treatment of trimalleolar ankle fracture; with manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,27818,Closed treatment of trimalleolar ankle fracture; with manipulation SCHEDULED,,,6846.73,6990.87,3
CPT,27818,Closed treatment of trimalleolar ankle fracture; with manipulation UNSCHEDULED,,,1563.03,1595.93,3
CPT,27822,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip ",,,1950.0,18507.0,106
CPT,27822,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip Other Surgical Services",,,2850.0,2850.0,4
CPT,27822,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip SCHEDULED",,,10650.12,10874.33,3
CPT,27822,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip UNSCHEDULED",,,16292.91,16635.92,3
CPT,27823,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip ",,,1950.0,18507.0,106
CPT,27823,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip Other Surgical Services",,,2850.0,2850.0,4
CPT,27823,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip SCHEDULED",,,8311.34,8486.32,3
CPT,27823,"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip UNSCHEDULED",,,21280.33,21728.34,3
CPT,27824,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation ",,,1423.0,9710.0,106
CPT,27824,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,27824,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation SCHEDULED",,,6846.73,6990.87,3
CPT,27824,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation UNSCHEDULED",,,3371.02,3441.99,3
CPT,27825,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation ",,,1950.0,9710.0,106
CPT,27825,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation Other S",,,2850.0,2850.0,4
CPT,27825,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation SCHEDUL",,,2537.69,2591.11,3
CPT,27825,"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation UNSCHED",,,3748.95,3827.87,3
CPT,27826,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only ",,,1950.0,18507.0,106
CPT,27826,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only Other Surgical Services",,,2850.0,2850.0,4
CPT,27826,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only SCHEDULED",,,26844.61,27409.76,3
CPT,27826,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only UNSCHEDULED",,,3371.02,3441.99,3
CPT,27827,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only ",,,1950.0,18507.0,106
CPT,27827,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only Other Surgical Services",,,2850.0,2850.0,4
CPT,27827,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only SCHEDULED",,,9329.97,9526.39,3
CPT,27827,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only UNSCHEDULED",,,19289.13,19695.22,3
CPT,27828,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula ",,,1950.0,18507.0,106
CPT,27828,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula Other Surgical Se",,,2850.0,2850.0,4
CPT,27828,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula SCHEDULED",,,12903.04,13174.69,3
CPT,27828,"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula UNSCHEDULED",,,15677.33,16007.38,3
CPT,27829,"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,27829,"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,27829,"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed SCHEDULED",,,5953.72,6079.06,3
CPT,27829,"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed UNSCHEDULED",,,8846.3,9032.54,3
CPT,27830,Closed treatment of proximal tibiofibular joint dislocation; without anesthesia ,,,1423.0,9710.0,106
CPT,27830,Closed treatment of proximal tibiofibular joint dislocation; without anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,27830,Closed treatment of proximal tibiofibular joint dislocation; without anesthesia SCHEDULED,,,6846.73,6990.87,3
CPT,27830,Closed treatment of proximal tibiofibular joint dislocation; without anesthesia UNSCHEDULED,,,713.98,729.01,3
CPT,27831,Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia ,,,1950.0,18507.0,106
CPT,27831,Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,27831,Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia SCHEDULED,,,6846.73,6990.87,3
CPT,27831,Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia UNSCHEDULED,,,3371.02,3441.99,3
CPT,27832,"Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision of proximal fibula ",,,1950.0,18507.0,106
CPT,27832,"Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision of proximal fibula Other Surgical Services",,,2850.0,2850.0,4
CPT,27832,"Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision of proximal fibula SCHEDULED",,,5610.34,5728.45,3
CPT,27832,"Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision of proximal fibula UNSCHEDULED",,,3371.02,3441.99,3
CPT,27840,Closed treatment of ankle dislocation; without anesthesia ,,,1423.0,9710.0,106
CPT,27840,Closed treatment of ankle dislocation; without anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,27840,Closed treatment of ankle dislocation; without anesthesia SCHEDULED,,,6846.73,6990.87,3
CPT,27840,Closed treatment of ankle dislocation; without anesthesia UNSCHEDULED,,,549.62,561.19,3
CPT,27842,"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation ",,,1950.0,9710.0,106
CPT,27842,"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,27842,"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation SCHEDULED",,,6846.73,6990.87,3
CPT,27842,"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation UNSCHEDULED",,,2673.78,2730.07,3
CPT,27846,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation ",,,1950.0,18507.0,106
CPT,27846,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,27846,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation SCHEDULED",,,2407.87,2458.56,3
CPT,27846,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation UNSCHEDULED",,,2993.09,3056.1,3
CPT,27848,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation ",,,1950.0,18507.0,106
CPT,27848,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation Other Surgical Services",,,2850.0,2850.0,4
CPT,27848,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation SCHEDULED",,,2538.73,2592.18,3
CPT,27848,"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation UNSCHEDULED",,,4417.92,4510.93,3
CPT,27860,Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) ,,,1950.0,18507.0,106
CPT,27860,Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Other Surgical Services,,,2850.0,2850.0,4
CPT,27860,Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) SCHEDULED,,,6846.73,6990.87,3
CPT,27860,Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) UNSCHEDULED,,,5740.16,5861.0,3
CPT,27870,"Arthrodesis, ankle, open ",,,1950.0,18507.0,106
CPT,27870,"Arthrodesis, ankle, open Other Surgical Services",,,2850.0,2850.0,4
CPT,27870,"Arthrodesis, ankle, open SCHEDULED",,,10107.82,10320.62,3
CPT,27870,"Arthrodesis, ankle, open UNSCHEDULED",,,3371.02,3441.99,3
CPT,27871,"Arthrodesis, tibiofibular joint, proximal or distal ",,,1950.0,18507.0,106
CPT,27871,"Arthrodesis, tibiofibular joint, proximal or distal Other Surgical Services",,,2850.0,2850.0,4
CPT,27871,"Arthrodesis, tibiofibular joint, proximal or distal SCHEDULED",,,5583.12,5700.66,3
CPT,27871,"Arthrodesis, tibiofibular joint, proximal or distal UNSCHEDULED",,,3371.02,3441.99,3
CPT,27880,"Amputation, leg, through tibia and fibula; ",,,1950.0,19295.0,78
CPT,27880,"Amputation, leg, through tibia and fibula; Other Surgical Services",,,2850.0,2850.0,4
CPT,27880,"Amputation, leg, through tibia and fibula; SCHEDULED",,,19568.65,19980.62,3
CPT,27880,"Amputation, leg, through tibia and fibula; UNSCHEDULED",,,3371.02,3441.99,3
CPT,27881,"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast ",,,1950.0,18507.0,78
CPT,27881,"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Other Surgical Services",,,2850.0,2850.0,4
CPT,27881,"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast SCHEDULED",,,6846.73,6990.87,3
CPT,27881,"Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast UNSCHEDULED",,,3371.02,3441.99,3
CPT,27882,"Amputation, leg, through tibia and fibula; open, circular (guillotine) ",,,1950.0,18507.0,78
CPT,27882,"Amputation, leg, through tibia and fibula; open, circular (guillotine) Other Surgical Services",,,2850.0,2850.0,4
CPT,27882,"Amputation, leg, through tibia and fibula; open, circular (guillotine) SCHEDULED",,,6846.73,6990.87,3
CPT,27882,"Amputation, leg, through tibia and fibula; open, circular (guillotine) UNSCHEDULED",,,3371.02,3441.99,3
CPT,27884,"Amputation, leg, through tibia and fibula; secondary closure or scar revision ",,,1950.0,18507.0,106
CPT,27884,"Amputation, leg, through tibia and fibula; secondary closure or scar revision Other Surgical Services",,,2850.0,2850.0,4
CPT,27884,"Amputation, leg, through tibia and fibula; secondary closure or scar revision SCHEDULED",,,16873.94,17229.18,3
CPT,27884,"Amputation, leg, through tibia and fibula; secondary closure or scar revision UNSCHEDULED",,,3371.02,3441.99,3
CPT,27886,"Amputation, leg, through tibia and fibula; re-amputation ",,,1950.0,18507.0,78
CPT,27886,"Amputation, leg, through tibia and fibula; re-amputation Other Surgical Services",,,2850.0,2850.0,4
CPT,27886,"Amputation, leg, through tibia and fibula; re-amputation SCHEDULED",,,5134.0,5242.08,3
CPT,27886,"Amputation, leg, through tibia and fibula; re-amputation UNSCHEDULED",,,3371.02,3441.99,3
CPT,27888,"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves ",,,1950.0,18507.0,78
CPT,27888,"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves Other Surgical Services",,,2850.0,2850.0,4
CPT,27888,"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves SCHEDULED",,,6846.73,6990.87,3
CPT,27888,"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves UNSCHEDULED",,,3371.02,3441.99,3
CPT,27889,Ankle disarticulation ,,,1950.0,18507.0,106
CPT,27889,Ankle disarticulation Other Surgical Services,,,2850.0,2850.0,4
CPT,27889,Ankle disarticulation SCHEDULED,,,6846.73,6990.87,3
CPT,27889,Ankle disarticulation UNSCHEDULED,,,3371.02,3441.99,3
CPT,27892,"Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve ",,,1950.0,18507.0,106
CPT,27892,"Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,27892,"Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve SCHEDULED",,,26844.61,27409.76,3
CPT,27892,"Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve UNSCHEDULED",,,3371.02,3441.99,3
CPT,27893,"Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve ",,,1950.0,18507.0,106
CPT,27893,"Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,27893,"Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve SCHEDULED",,,6846.73,6990.87,3
CPT,27893,"Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve UNSCHEDULED",,,6224.87,6355.92,3
CPT,27894,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve ",,,1950.0,18507.0,106
CPT,27894,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,27894,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve SCHEDULED",,,6846.73,6990.87,3
CPT,27894,"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve UNSCHEDULED",,,3371.02,3441.99,3
CPT,27899,"Unlisted procedure, leg or ankle ",,,1423.0,9710.0,106
CPT,27899,"Unlisted procedure, leg or ankle Other Surgical Services",,,2850.0,2850.0,4
CPT,27899,"Unlisted procedure, leg or ankle SCHEDULED",,,5664.77,5784.03,3
CPT,27899,"Unlisted procedure, leg or ankle UNSCHEDULED",,,3371.02,3441.99,3
CPT,28001,"Incision and drainage, bursa, foot ",,,1950.0,9710.0,106
CPT,28001,"Incision and drainage, bursa, foot Other Surgical Services",,,2850.0,2850.0,4
CPT,28001,"Incision and drainage, bursa, foot SCHEDULED",,,6024.91,6151.75,3
CPT,28001,"Incision and drainage, bursa, foot UNSCHEDULED",,,2464.4,2516.29,3
CPT,28002,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space ",,,1950.0,9710.0,106
CPT,28002,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Other Surgical Services",,,2850.0,2850.0,4
CPT,28002,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space SCHEDULED",,,4414.77,4507.72,3
CPT,28002,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space UNSCHEDULED",,,2464.4,2516.29,3
CPT,28003,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas ",,,1950.0,18507.0,106
CPT,28003,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas Other Surgical Services",,,2850.0,2850.0,4
CPT,28003,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas SCHEDULED",,,4414.77,4507.72,3
CPT,28003,"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas UNSCHEDULED",,,2464.4,2516.29,3
CPT,28005,"Incision, bone cortex (eg, osteomyelitis or bone abscess), foot ",,,1950.0,18507.0,106
CPT,28005,"Incision, bone cortex (eg, osteomyelitis or bone abscess), foot Other Surgical Services",,,2850.0,2850.0,4
CPT,28005,"Incision, bone cortex (eg, osteomyelitis or bone abscess), foot SCHEDULED",,,4764.44,4864.74,3
CPT,28005,"Incision, bone cortex (eg, osteomyelitis or bone abscess), foot UNSCHEDULED",,,2464.4,2516.29,3
CPT,28008,"Fasciotomy, foot and/or toe ",,,2350.0,18507.0,98
CPT,28008,"Fasciotomy, foot and/or toe High Cost Surgery",,,3950.0,3950.0,1
CPT,28008,"Fasciotomy, foot and/or toe Other Surgical Services",,,4150.0,4150.0,1
CPT,28008,"Fasciotomy, foot and/or toe SCHEDULED",,,4307.99,4398.69,3
CPT,28008,"Fasciotomy, foot and/or toe UNSCHEDULED",,,2464.4,2516.29,3
CPT,28010,"Tenotomy, percutaneous, toe; single tendon ",,,1950.0,9710.0,106
CPT,28010,"Tenotomy, percutaneous, toe; single tendon Other Surgical Services",,,2850.0,2850.0,4
CPT,28010,"Tenotomy, percutaneous, toe; single tendon SCHEDULED",,,6024.91,6151.75,3
CPT,28010,"Tenotomy, percutaneous, toe; single tendon UNSCHEDULED",,,2464.4,2516.29,3
CPT,28011,"Tenotomy, percutaneous, toe; multiple tendons ",,,1950.0,9710.0,106
CPT,28011,"Tenotomy, percutaneous, toe; multiple tendons Other Surgical Services",,,2850.0,2850.0,4
CPT,28011,"Tenotomy, percutaneous, toe; multiple tendons SCHEDULED",,,6024.91,6151.75,3
CPT,28011,"Tenotomy, percutaneous, toe; multiple tendons UNSCHEDULED",,,2464.4,2516.29,3
CPT,28020,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint ",,,1950.0,18507.0,106
CPT,28020,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint Other Surgical Services",,,2850.0,2850.0,4
CPT,28020,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint SCHEDULED",,,4710.0,4809.16,3
CPT,28020,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint UNSCHEDULED",,,2464.4,2516.29,3
CPT,28022,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint ",,,1950.0,18507.0,106
CPT,28022,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint Other Surgical Services",,,2850.0,2850.0,4
CPT,28022,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint SCHEDULED",,,2959.58,3021.89,3
CPT,28022,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint UNSCHEDULED",,,2043.54,2086.57,3
CPT,28024,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint ",,,1950.0,9710.0,106
CPT,28024,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint Other Surgical Services",,,2850.0,2850.0,4
CPT,28024,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint SCHEDULED",,,6024.91,6151.75,3
CPT,28024,"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint UNSCHEDULED",,,2464.4,2516.29,3
CPT,28030,REMOVAL OF FOOT NERVE SCHEDULED,,,6024.91,6151.75,3
CPT,28030,REMOVAL OF FOOT NERVE UNSCHEDULED,,,2464.4,2516.29,3
CPT,28035,"Release, tarsal tunnel (posterior tibial nerve decompression) ",,,1950.0,9710.0,106
CPT,28035,"Release, tarsal tunnel (posterior tibial nerve decompression) Other Surgical Services",,,2850.0,2850.0,4
CPT,28035,"Release, tarsal tunnel (posterior tibial nerve decompression) SCHEDULED",,,4942.41,5046.46,3
CPT,28035,"Release, tarsal tunnel (posterior tibial nerve decompression) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28039,"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater ",,,1950.0,14792.0,106
CPT,28039,"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,28039,"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater SCHEDULED",,,7607.82,7767.98,3
CPT,28039,"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater UNSCHEDULED",,,2464.4,2516.29,3
CPT,28041,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater ",,,1950.0,14792.0,106
CPT,28041,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,28041,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater SCHEDULED",,,8888.18,9075.3,3
CPT,28041,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater UNSCHEDULED",,,2464.4,2516.29,3
CPT,28043,"Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm ",,,1950.0,9710.0,106
CPT,28043,"Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,28043,"Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm SCHEDULED",,,3407.66,3479.4,3
CPT,28043,"Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm UNSCHEDULED",,,2464.4,2516.29,3
CPT,28045,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm ",,,1950.0,14792.0,106
CPT,28045,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,28045,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm SCHEDULED",,,5746.44,5867.41,3
CPT,28045,"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm UNSCHEDULED",,,2464.4,2516.29,3
CPT,28046,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm ",,,1950.0,14792.0,106
CPT,28046,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,28046,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm SCHEDULED",,,6024.91,6151.75,3
CPT,28046,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm UNSCHEDULED",,,2464.4,2516.29,3
CPT,28047,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater ",,,1950.0,14792.0,106
CPT,28047,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Other Surgical Services",,,2850.0,2850.0,4
CPT,28047,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater SCHEDULED",,,6024.91,6151.75,3
CPT,28047,"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater UNSCHEDULED",,,2464.4,2516.29,3
CPT,28050,Arthrotomy with biopsy; intertarsal or tarsometatarsal joint ,,,1950.0,18507.0,106
CPT,28050,Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Other Surgical Services,,,2850.0,2850.0,4
CPT,28050,Arthrotomy with biopsy; intertarsal or tarsometatarsal joint SCHEDULED,,,6024.91,6151.75,3
CPT,28050,Arthrotomy with biopsy; intertarsal or tarsometatarsal joint UNSCHEDULED,,,2464.4,2516.29,3
CPT,28052,Arthrotomy with biopsy; metatarsophalangeal joint ,,,1950.0,18507.0,106
CPT,28052,Arthrotomy with biopsy; metatarsophalangeal joint Other Surgical Services,,,2850.0,2850.0,4
CPT,28052,Arthrotomy with biopsy; metatarsophalangeal joint SCHEDULED,,,6024.91,6151.75,3
CPT,28052,Arthrotomy with biopsy; metatarsophalangeal joint UNSCHEDULED,,,2464.4,2516.29,3
CPT,28054,Arthrotomy with biopsy; interphalangeal joint ,,,1950.0,18507.0,106
CPT,28054,Arthrotomy with biopsy; interphalangeal joint Other Surgical Services,,,2850.0,2850.0,4
CPT,28054,Arthrotomy with biopsy; interphalangeal joint SCHEDULED,,,9191.78,9385.29,3
CPT,28054,Arthrotomy with biopsy; interphalangeal joint UNSCHEDULED,,,2464.4,2516.29,3
CPT,28055,"Neurectomy, intrinsic musculature of foot ",,,1950.0,9710.0,106
CPT,28055,"Neurectomy, intrinsic musculature of foot Other Surgical Services",,,2850.0,2850.0,4
CPT,28055,"Neurectomy, intrinsic musculature of foot SCHEDULED",,,1404.94,1434.51,3
CPT,28055,"Neurectomy, intrinsic musculature of foot UNSCHEDULED",,,2464.4,2516.29,3
CPT,28060,"Fasciectomy, plantar fascia; partial (separate procedure) ",,,1950.0,18507.0,106
CPT,28060,"Fasciectomy, plantar fascia; partial (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,28060,"Fasciectomy, plantar fascia; partial (separate procedure) SCHEDULED",,,5557.99,5675.0,3
CPT,28060,"Fasciectomy, plantar fascia; partial (separate procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28062,"Fasciectomy, plantar fascia; radical (separate procedure) ",,,1950.0,18507.0,106
CPT,28062,"Fasciectomy, plantar fascia; radical (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,28062,"Fasciectomy, plantar fascia; radical (separate procedure) SCHEDULED",,,6024.91,6151.75,3
CPT,28062,"Fasciectomy, plantar fascia; radical (separate procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28070,"Synovectomy; intertarsal or tarsometatarsal joint, each ",,,1950.0,18507.0,106
CPT,28070,"Synovectomy; intertarsal or tarsometatarsal joint, each Other Surgical Services",,,2850.0,2850.0,4
CPT,28070,"Synovectomy; intertarsal or tarsometatarsal joint, each SCHEDULED",,,6024.91,6151.75,3
CPT,28070,"Synovectomy; intertarsal or tarsometatarsal joint, each UNSCHEDULED",,,2464.4,2516.29,3
CPT,28072,"Synovectomy; metatarsophalangeal joint, each ",,,1950.0,18507.0,106
CPT,28072,"Synovectomy; metatarsophalangeal joint, each Other Surgical Services",,,2850.0,2850.0,4
CPT,28072,"Synovectomy; metatarsophalangeal joint, each SCHEDULED",,,6024.91,6151.75,3
CPT,28072,"Synovectomy; metatarsophalangeal joint, each UNSCHEDULED",,,2464.4,2516.29,3
CPT,28080,"Excision, interdigital (Morton) neuroma, single, each ",,,1950.0,9710.0,106
CPT,28080,"Excision, interdigital (Morton) neuroma, single, each Other Surgical Services",,,2850.0,2850.0,4
CPT,28080,"Excision, interdigital (Morton) neuroma, single, each SCHEDULED",,,5429.22,5543.52,3
CPT,28080,"Excision, interdigital (Morton) neuroma, single, each UNSCHEDULED",,,2464.4,2516.29,3
CPT,28086,"Synovectomy, tendon sheath, foot; flexor ",,,1950.0,18507.0,106
CPT,28086,"Synovectomy, tendon sheath, foot; flexor Other Surgical Services",,,2850.0,2850.0,4
CPT,28086,"Synovectomy, tendon sheath, foot; flexor SCHEDULED",,,6024.91,6151.75,3
CPT,28086,"Synovectomy, tendon sheath, foot; flexor UNSCHEDULED",,,2464.4,2516.29,3
CPT,28088,"Synovectomy, tendon sheath, foot; extensor ",,,1950.0,18507.0,106
CPT,28088,"Synovectomy, tendon sheath, foot; extensor Other Surgical Services",,,2850.0,2850.0,4
CPT,28088,"Synovectomy, tendon sheath, foot; extensor SCHEDULED",,,6024.91,6151.75,3
CPT,28088,"Synovectomy, tendon sheath, foot; extensor UNSCHEDULED",,,2464.4,2516.29,3
CPT,28090,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot ",,,1950.0,9710.0,106
CPT,28090,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot Other Surgical Services",,,2850.0,2850.0,4
CPT,28090,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot SCHEDULED",,,2297.95,2346.32,3
CPT,28090,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot UNSCHEDULED",,,2464.4,2516.29,3
CPT,28092,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each ",,,1950.0,9710.0,106
CPT,28092,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each Other Surgical Services",,,2850.0,2850.0,4
CPT,28092,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each SCHEDULED",,,6024.91,6151.75,3
CPT,28092,"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each UNSCHEDULED",,,2464.4,2516.29,3
CPT,28100,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; ",,,1950.0,18507.0,106
CPT,28100,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Other Surgical Services",,,2850.0,2850.0,4
CPT,28100,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; SCHEDULED",,,6024.91,6151.75,3
CPT,28100,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; UNSCHEDULED",,,2464.4,2516.29,3
CPT,28102,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,28102,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,28102,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft) SCHEDULED",,,6024.91,6151.75,3
CPT,28102,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28103,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft ",,,1950.0,18507.0,106
CPT,28103,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Other Surgical Services",,,2850.0,2850.0,4
CPT,28103,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft SCHEDULED",,,6024.91,6151.75,3
CPT,28103,"Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft UNSCHEDULED",,,2464.4,2516.29,3
CPT,28104,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; ",,,1950.0,18507.0,106
CPT,28104,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Other Surgical Services",,,2850.0,2850.0,4
CPT,28104,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; SCHEDULED",,,9101.75,9293.37,3
CPT,28104,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; UNSCHEDULED",,,2464.4,2516.29,3
CPT,28106,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,28106,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,28106,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft) SCHEDULED",,,6024.91,6151.75,3
CPT,28106,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28107,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft ",,,1950.0,18507.0,106
CPT,28107,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft Other Surgical Services",,,2850.0,2850.0,4
CPT,28107,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft SCHEDULED",,,6024.91,6151.75,3
CPT,28107,"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft UNSCHEDULED",,,2464.4,2516.29,3
CPT,28108,"Excision or curettage of bone cyst or benign tumor, phalanges of foot ",,,1950.0,9710.0,106
CPT,28108,"Excision or curettage of bone cyst or benign tumor, phalanges of foot Other Surgical Services",,,2850.0,2850.0,4
CPT,28108,"Excision or curettage of bone cyst or benign tumor, phalanges of foot SCHEDULED",,,6024.91,6151.75,3
CPT,28108,"Excision or curettage of bone cyst or benign tumor, phalanges of foot UNSCHEDULED",,,2464.4,2516.29,3
CPT,28110,"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) ",,,1950.0,18507.0,106
CPT,28110,"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,28110,"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) SCHEDULED",,,6024.91,6151.75,3
CPT,28110,"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28111,"Ostectomy, complete excision; first metatarsal head ",,,1950.0,18507.0,106
CPT,28111,"Ostectomy, complete excision; first metatarsal head Other Surgical Services",,,2850.0,2850.0,4
CPT,28111,"Ostectomy, complete excision; first metatarsal head SCHEDULED",,,6024.91,6151.75,3
CPT,28111,"Ostectomy, complete excision; first metatarsal head UNSCHEDULED",,,2464.4,2516.29,3
CPT,28112,"Ostectomy, complete excision; other metatarsal head (second, third or fourth) ",,,1950.0,18507.0,106
CPT,28112,"Ostectomy, complete excision; other metatarsal head (second, third or fourth) Other Surgical Services",,,2850.0,2850.0,4
CPT,28112,"Ostectomy, complete excision; other metatarsal head (second, third or fourth) SCHEDULED",,,4503.76,4598.58,3
CPT,28112,"Ostectomy, complete excision; other metatarsal head (second, third or fourth) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28113,"Ostectomy, complete excision; fifth metatarsal head ",,,1950.0,18507.0,106
CPT,28113,"Ostectomy, complete excision; fifth metatarsal head Other Surgical Services",,,2850.0,2850.0,4
CPT,28113,"Ostectomy, complete excision; fifth metatarsal head SCHEDULED",,,5277.42,5388.52,3
CPT,28113,"Ostectomy, complete excision; fifth metatarsal head UNSCHEDULED",,,2464.4,2516.29,3
CPT,28114,"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure) ",,,1950.0,18507.0,106
CPT,28114,"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,28114,"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure) SCHEDULED",,,6024.91,6151.75,3
CPT,28114,"Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28116,"Ostectomy, excision of tarsal coalition ",,,1950.0,18507.0,106
CPT,28116,"Ostectomy, excision of tarsal coalition Other Surgical Services",,,2850.0,2850.0,4
CPT,28116,"Ostectomy, excision of tarsal coalition SCHEDULED",,,6024.91,6151.75,3
CPT,28116,"Ostectomy, excision of tarsal coalition UNSCHEDULED",,,2464.4,2516.29,3
CPT,28118,"Ostectomy, calcaneus; ",,,1950.0,18507.0,106
CPT,28118,"Ostectomy, calcaneus; Other Surgical Services",,,2850.0,2850.0,4
CPT,28118,"Ostectomy, calcaneus; SCHEDULED",,,6892.79,7037.9,3
CPT,28118,"Ostectomy, calcaneus; UNSCHEDULED",,,2464.4,2516.29,3
CPT,28119,"Ostectomy, calcaneus; for spur, with or without plantar fascial release ",,,1950.0,18507.0,106
CPT,28119,"Ostectomy, calcaneus; for spur, with or without plantar fascial release Other Surgical Services",,,2850.0,2850.0,4
CPT,28119,"Ostectomy, calcaneus; for spur, with or without plantar fascial release SCHEDULED",,,7655.98,7817.16,3
CPT,28119,"Ostectomy, calcaneus; for spur, with or without plantar fascial release UNSCHEDULED",,,566.37,578.29,3
CPT,28120,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus ",,,1950.0,18507.0,106
CPT,28120,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus Other Surgical Services",,,2850.0,2850.0,4
CPT,28120,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus SCHEDULED",,,5321.4,5433.43,3
CPT,28120,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus UNSCHEDULED",,,2464.4,2516.29,3
CPT,28122,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus ",,,1950.0,18507.0,106
CPT,28122,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus Other Surgical Services",,,2850.0,2850.0,4
CPT,28122,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus SCHEDULED",,,1548.37,1580.96,3
CPT,28122,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus UNSCHEDULED",,,2464.4,2516.29,3
CPT,28124,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe ",,,1950.0,18507.0,106
CPT,28124,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe Other Surgical Services",,,2850.0,2850.0,4
CPT,28124,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe SCHEDULED",,,8654.72,8836.92,3
CPT,28124,"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe UNSCHEDULED",,,5755.86,5877.04,3
CPT,28126,"Resection, partial or complete, phalangeal base, each toe ",,,1950.0,18507.0,106
CPT,28126,"Resection, partial or complete, phalangeal base, each toe Other Surgical Services",,,2850.0,2850.0,4
CPT,28126,"Resection, partial or complete, phalangeal base, each toe SCHEDULED",,,6024.91,6151.75,3
CPT,28126,"Resection, partial or complete, phalangeal base, each toe UNSCHEDULED",,,181.12,184.93,3
CPT,28130,Talectomy (astragalectomy) ,,,1950.0,18507.0,106
CPT,28130,Talectomy (astragalectomy) Other Surgical Services,,,2850.0,2850.0,4
CPT,28130,Talectomy (astragalectomy) SCHEDULED,,,6024.91,6151.75,3
CPT,28130,Talectomy (astragalectomy) UNSCHEDULED,,,2464.4,2516.29,3
CPT,28140,Metatarsectomy ,,,1950.0,18507.0,106
CPT,28140,Metatarsectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,28140,Metatarsectomy SCHEDULED,,,6024.91,6151.75,3
CPT,28140,Metatarsectomy UNSCHEDULED,,,2464.4,2516.29,3
CPT,28150,"Phalangectomy, toe, each toe ",,,1950.0,18507.0,106
CPT,28150,"Phalangectomy, toe, each toe Other Surgical Services",,,2850.0,2850.0,4
CPT,28150,"Phalangectomy, toe, each toe SCHEDULED",,,6024.91,6151.75,3
CPT,28150,"Phalangectomy, toe, each toe UNSCHEDULED",,,2464.4,2516.29,3
CPT,28153,"Resection, condyle(s), distal end of phalanx, each toe ",,,1950.0,18507.0,106
CPT,28153,"Resection, condyle(s), distal end of phalanx, each toe Other Surgical Services",,,2850.0,2850.0,4
CPT,28153,"Resection, condyle(s), distal end of phalanx, each toe SCHEDULED",,,6024.91,6151.75,3
CPT,28153,"Resection, condyle(s), distal end of phalanx, each toe UNSCHEDULED",,,6343.17,6476.71,3
CPT,28160,"Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each ",,,1950.0,18507.0,106
CPT,28160,"Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Other Surgical Services",,,2850.0,2850.0,4
CPT,28160,"Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each SCHEDULED",,,6277.21,6409.36,3
CPT,28160,"Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each UNSCHEDULED",,,1453.1,1483.69,3
CPT,28171,Radical resection of tumor; tarsal (except talus or calcaneus) ,,,1950.0,18507.0,106
CPT,28171,Radical resection of tumor; tarsal (except talus or calcaneus) Other Surgical Services,,,2850.0,2850.0,4
CPT,28171,Radical resection of tumor; tarsal (except talus or calcaneus) SCHEDULED,,,6024.91,6151.75,3
CPT,28171,Radical resection of tumor; tarsal (except talus or calcaneus) UNSCHEDULED,,,2464.4,2516.29,3
CPT,28173,Radical resection of tumor; metatarsal ,,,1950.0,18507.0,106
CPT,28173,Radical resection of tumor; metatarsal Other Surgical Services,,,2850.0,2850.0,4
CPT,28173,Radical resection of tumor; metatarsal SCHEDULED,,,6024.91,6151.75,3
CPT,28173,Radical resection of tumor; metatarsal UNSCHEDULED,,,2464.4,2516.29,3
CPT,28175,Radical resection of tumor; phalanx of toe ,,,1950.0,9710.0,106
CPT,28175,Radical resection of tumor; phalanx of toe Other Surgical Services,,,2850.0,2850.0,4
CPT,28175,Radical resection of tumor; phalanx of toe SCHEDULED,,,6024.91,6151.75,3
CPT,28175,Radical resection of tumor; phalanx of toe UNSCHEDULED,,,2464.4,2516.29,3
CPT,28190,"Removal of foreign body, foot; subcutaneous ",,,1950.0,9710.0,106
CPT,28190,"Removal of foreign body, foot; subcutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,28190,"Removal of foreign body, foot; subcutaneous SCHEDULED",,,4784.33,4885.06,3
CPT,28190,"Removal of foreign body, foot; subcutaneous UNSCHEDULED",,,1391.33,1420.62,3
CPT,28192,"Removal of foreign body, foot; deep ",,,1950.0,9710.0,106
CPT,28192,"Removal of foreign body, foot; deep Other Surgical Services",,,2850.0,2850.0,4
CPT,28192,"Removal of foreign body, foot; deep SCHEDULED",,,9650.33,9853.49,3
CPT,28192,"Removal of foreign body, foot; deep UNSCHEDULED",,,4772.82,4873.3,3
CPT,28193,"Removal of foreign body, foot; complicated ",,,1950.0,9710.0,106
CPT,28193,"Removal of foreign body, foot; complicated Other Surgical Services",,,2850.0,2850.0,4
CPT,28193,"Removal of foreign body, foot; complicated SCHEDULED",,,7234.08,7386.38,3
CPT,28193,"Removal of foreign body, foot; complicated UNSCHEDULED",,,2464.4,2516.29,3
CPT,28200,"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon ",,,2350.0,18507.0,98
CPT,28200,"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon High Cost Surgery",,,3950.0,3950.0,1
CPT,28200,"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Other Surgical Services",,,4150.0,4150.0,1
CPT,28200,"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon SCHEDULED",,,5110.96,5218.56,3
CPT,28200,"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon UNSCHEDULED",,,3429.64,3501.85,3
CPT,28202,"Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) ",,,2350.0,18507.0,98
CPT,28202,"Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) High Cost Surgery",,,3950.0,3950.0,1
CPT,28202,"Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Other Surgical Services",,,4150.0,4150.0,1
CPT,28202,"Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) SCHEDULED",,,5327.68,5439.84,3
CPT,28202,"Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28208,"Repair, tendon, extensor, foot; primary or secondary, each tendon ",,,2350.0,18507.0,98
CPT,28208,"Repair, tendon, extensor, foot; primary or secondary, each tendon High Cost Surgery",,,3950.0,3950.0,1
CPT,28208,"Repair, tendon, extensor, foot; primary or secondary, each tendon Other Surgical Services",,,4150.0,4150.0,1
CPT,28208,"Repair, tendon, extensor, foot; primary or secondary, each tendon SCHEDULED",,,11963.98,12215.85,3
CPT,28208,"Repair, tendon, extensor, foot; primary or secondary, each tendon UNSCHEDULED",,,4465.03,4559.03,3
CPT,28210,"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) ",,,2350.0,18507.0,98
CPT,28210,"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) High Cost Surgery",,,3950.0,3950.0,1
CPT,28210,"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) Other Surgical Services",,,4150.0,4150.0,1
CPT,28210,"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) SCHEDULED",,,12112.63,12367.64,3
CPT,28210,"Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28220,"Tenolysis, flexor, foot; single tendon ",,,2350.0,9710.0,98
CPT,28220,"Tenolysis, flexor, foot; single tendon High Cost Surgery",,,3950.0,3950.0,1
CPT,28220,"Tenolysis, flexor, foot; single tendon Other Surgical Services",,,4150.0,4150.0,1
CPT,28220,"Tenolysis, flexor, foot; single tendon SCHEDULED",,,6024.91,6151.75,3
CPT,28220,"Tenolysis, flexor, foot; single tendon UNSCHEDULED",,,11248.94,11485.76,3
CPT,28222,"Tenolysis, flexor, foot; multiple tendons ",,,2350.0,18507.0,98
CPT,28222,"Tenolysis, flexor, foot; multiple tendons High Cost Surgery",,,3950.0,3950.0,1
CPT,28222,"Tenolysis, flexor, foot; multiple tendons Other Surgical Services",,,4150.0,4150.0,1
CPT,28222,"Tenolysis, flexor, foot; multiple tendons SCHEDULED",,,6024.91,6151.75,3
CPT,28222,"Tenolysis, flexor, foot; multiple tendons UNSCHEDULED",,,2464.4,2516.29,3
CPT,28225,"Tenolysis, extensor, foot; single tendon ",,,2350.0,18507.0,98
CPT,28225,"Tenolysis, extensor, foot; single tendon High Cost Surgery",,,3950.0,3950.0,1
CPT,28225,"Tenolysis, extensor, foot; single tendon Other Surgical Services",,,4150.0,4150.0,1
CPT,28225,"Tenolysis, extensor, foot; single tendon SCHEDULED",,,13053.8,13328.61,3
CPT,28225,"Tenolysis, extensor, foot; single tendon UNSCHEDULED",,,2464.4,2516.29,3
CPT,28226,"Tenolysis, extensor, foot; multiple tendons ",,,2350.0,18507.0,98
CPT,28226,"Tenolysis, extensor, foot; multiple tendons High Cost Surgery",,,3950.0,3950.0,1
CPT,28226,"Tenolysis, extensor, foot; multiple tendons Other Surgical Services",,,4150.0,4150.0,1
CPT,28226,"Tenolysis, extensor, foot; multiple tendons SCHEDULED",,,766.33,782.46,3
CPT,28226,"Tenolysis, extensor, foot; multiple tendons UNSCHEDULED",,,2464.4,2516.29,3
CPT,28230,"Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure) ",,,2350.0,9710.0,98
CPT,28230,"Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28230,"Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28230,"Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure) SCHEDULED",,,13787.67,14077.94,3
CPT,28230,"Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28232,"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) ",,,2350.0,9710.0,98
CPT,28232,"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28232,"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28232,"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) SCHEDULED",,,2161.85,2207.36,3
CPT,28232,"Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28234,"Tenotomy, open, extensor, foot or toe, each tendon ",,,2350.0,9710.0,98
CPT,28234,"Tenotomy, open, extensor, foot or toe, each tendon High Cost Surgery",,,3950.0,3950.0,1
CPT,28234,"Tenotomy, open, extensor, foot or toe, each tendon Other Surgical Services",,,4150.0,4150.0,1
CPT,28234,"Tenotomy, open, extensor, foot or toe, each tendon SCHEDULED",,,6024.91,6151.75,3
CPT,28234,"Tenotomy, open, extensor, foot or toe, each tendon UNSCHEDULED",,,1453.1,1483.69,3
CPT,28238,"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure) ",,,2350.0,18507.0,98
CPT,28238,"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28238,"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28238,"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure) SCHEDULED",,,9200.16,9393.85,3
CPT,28238,"Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28240,"Tenotomy, lengthening, or release, abductor hallucis muscle ",,,2350.0,18507.0,98
CPT,28240,"Tenotomy, lengthening, or release, abductor hallucis muscle High Cost Surgery",,,3950.0,3950.0,1
CPT,28240,"Tenotomy, lengthening, or release, abductor hallucis muscle Other Surgical Services",,,4150.0,4150.0,1
CPT,28240,"Tenotomy, lengthening, or release, abductor hallucis muscle SCHEDULED",,,6024.91,6151.75,3
CPT,28240,"Tenotomy, lengthening, or release, abductor hallucis muscle UNSCHEDULED",,,2464.4,2516.29,3
CPT,28250,"Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) ",,,2350.0,18507.0,98
CPT,28250,"Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28250,"Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28250,"Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) SCHEDULED",,,6024.91,6151.75,3
CPT,28250,"Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28260,"Capsulotomy, midfoot; medial release only (separate procedure) ",,,2350.0,18507.0,98
CPT,28260,"Capsulotomy, midfoot; medial release only (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28260,"Capsulotomy, midfoot; medial release only (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28260,"Capsulotomy, midfoot; medial release only (separate procedure) SCHEDULED",,,6024.91,6151.75,3
CPT,28260,"Capsulotomy, midfoot; medial release only (separate procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28261,"Capsulotomy, midfoot; with tendon lengthening ",,,2350.0,9710.0,98
CPT,28261,"Capsulotomy, midfoot; with tendon lengthening High Cost Surgery",,,3950.0,3950.0,1
CPT,28261,"Capsulotomy, midfoot; with tendon lengthening Other Surgical Services",,,4150.0,4150.0,1
CPT,28261,"Capsulotomy, midfoot; with tendon lengthening SCHEDULED",,,6024.91,6151.75,3
CPT,28261,"Capsulotomy, midfoot; with tendon lengthening UNSCHEDULED",,,2464.4,2516.29,3
CPT,28262,"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity) ",,,2350.0,18507.0,98
CPT,28262,"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity) High Cost Surgery",,,3950.0,3950.0,1
CPT,28262,"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity) Other Surgical Services",,,4150.0,4150.0,1
CPT,28262,"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity) SCHEDULED",,,6024.91,6151.75,3
CPT,28262,"Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28264,"Capsulotomy, midtarsal (eg, Heyman type procedure) ",,,2350.0,13315.0,98
CPT,28264,"Capsulotomy, midtarsal (eg, Heyman type procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28264,"Capsulotomy, midtarsal (eg, Heyman type procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28264,"Capsulotomy, midtarsal (eg, Heyman type procedure) SCHEDULED",,,6024.91,6151.75,3
CPT,28264,"Capsulotomy, midtarsal (eg, Heyman type procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28270,"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) ",,,2350.0,18507.0,98
CPT,28270,"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28270,"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28270,"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) SCHEDULED",,,3503.97,3577.74,3
CPT,28270,"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28272,"Capsulotomy; interphalangeal joint, each joint (separate procedure) ",,,2350.0,9710.0,98
CPT,28272,"Capsulotomy; interphalangeal joint, each joint (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28272,"Capsulotomy; interphalangeal joint, each joint (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28272,"Capsulotomy; interphalangeal joint, each joint (separate procedure) SCHEDULED",,,6024.91,6151.75,3
CPT,28272,"Capsulotomy; interphalangeal joint, each joint (separate procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28280,"Syndactylization, toes (eg, webbing or Kelikian type procedure) ",,,2350.0,18507.0,98
CPT,28280,"Syndactylization, toes (eg, webbing or Kelikian type procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28280,"Syndactylization, toes (eg, webbing or Kelikian type procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28280,"Syndactylization, toes (eg, webbing or Kelikian type procedure) SCHEDULED",,,6024.91,6151.75,3
CPT,28280,"Syndactylization, toes (eg, webbing or Kelikian type procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28285,"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) ",,,2350.0,18507.0,98
CPT,28285,"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) High Cost Surgery",,,3950.0,3950.0,1
CPT,28285,"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) Other Surgical Services",,,4150.0,4150.0,1
CPT,28285,"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) SCHEDULED",,,4710.0,4809.16,3
CPT,28285,"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28286,"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) ",,,2350.0,18507.0,98
CPT,28286,"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28286,"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28286,"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) SCHEDULED",,,6024.91,6151.75,3
CPT,28286,"Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28288,"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head ",,,2350.0,18507.0,98
CPT,28288,"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head High Cost Surgery",,,3950.0,3950.0,1
CPT,28288,"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Other Surgical Services",,,4150.0,4150.0,1
CPT,28288,"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head SCHEDULED",,,13111.38,13387.41,3
CPT,28288,"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head UNSCHEDULED",,,2464.4,2516.29,3
CPT,28289,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant ",,,2350.0,18507.0,98
CPT,28289,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant High Cost Surgery",,,3950.0,3950.0,1
CPT,28289,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant Other Surgical Services",,,4150.0,4150.0,1
CPT,28289,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant SCHEDULED",,,3761.52,3840.71,3
CPT,28289,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant UNSCHEDULED",,,2464.4,2516.29,3
CPT,28290,CORRECTION OF BUNION ,,,7583.0,9539.0,28
CPT,28290,CORRECTION OF BUNION SCHEDULED,,,6024.91,6151.75,3
CPT,28290,CORRECTION OF BUNION UNSCHEDULED,,,2464.4,2516.29,3
CPT,28291,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant ",,,2350.0,18507.0,98
CPT,28291,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant High Cost Surgery",,,3950.0,3950.0,1
CPT,28291,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant Other Surgical Services",,,4150.0,4150.0,1
CPT,28291,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant SCHEDULED",,,9828.3,10035.21,3
CPT,28291,"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant UNSCHEDULED",,,2464.4,2516.29,3
CPT,28292,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method ",,,2350.0,18507.0,98
CPT,28292,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method High Cost Surgery",,,3950.0,3950.0,1
CPT,28292,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method Other Surgical Services",,,4150.0,4150.0,1
CPT,28292,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method SCHEDULED",,,6024.91,6151.75,3
CPT,28292,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method UNSCHEDULED",,,2464.4,2516.29,3
CPT,28293,CORRECTION OF BUNION ,,,7583.0,9539.0,28
CPT,28293,CORRECTION OF BUNION SCHEDULED,,,6024.91,6151.75,3
CPT,28293,CORRECTION OF BUNION UNSCHEDULED,,,2464.4,2516.29,3
CPT,28294,CORRECTION OF BUNION ,,,7583.0,9539.0,28
CPT,28294,CORRECTION OF BUNION SCHEDULED,,,6024.91,6151.75,3
CPT,28294,CORRECTION OF BUNION UNSCHEDULED,,,2464.4,2516.29,3
CPT,28295,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method ",,,2350.0,18507.0,98
CPT,28295,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method High Cost Surgery",,,3950.0,3950.0,1
CPT,28295,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method Other Surgical Services",,,4150.0,4150.0,1
CPT,28295,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method SCHEDULED",,,6024.91,6151.75,3
CPT,28295,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy, any method UNSCHEDULED",,,2464.4,2516.29,3
CPT,28296,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method ",,,2350.0,18507.0,98
CPT,28296,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method High Cost Surgery",,,3950.0,3950.0,1
CPT,28296,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method Other Surgical Services",,,4150.0,4150.0,1
CPT,28296,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method SCHEDULED",,,6024.91,6151.75,3
CPT,28296,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method UNSCHEDULED",,,2464.4,2516.29,3
CPT,28297,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method ",,,2350.0,18507.0,98
CPT,28297,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method High Cost Surgery",,,3950.0,3950.0,1
CPT,28297,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method Other Surgical Services",,,4150.0,4150.0,1
CPT,28297,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method SCHEDULED",,,3400.34,3471.92,3
CPT,28297,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method UNSCHEDULED",,,2464.4,2516.29,3
CPT,28298,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method ",,,2350.0,18507.0,98
CPT,28298,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method High Cost Surgery",,,3950.0,3950.0,1
CPT,28298,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method Other Surgical Services",,,4150.0,4150.0,1
CPT,28298,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method SCHEDULED",,,3073.7,3138.41,3
CPT,28298,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any method UNSCHEDULED",,,2464.4,2516.29,3
CPT,28299,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method ",,,2350.0,18507.0,98
CPT,28299,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method High Cost Surgery",,,3950.0,3950.0,1
CPT,28299,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Other Surgical Services",,,4150.0,4150.0,1
CPT,28299,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method SCHEDULED",,,6024.91,6151.75,3
CPT,28299,"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method UNSCHEDULED",,,2464.4,2516.29,3
CPT,28300,"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation ",,,2350.0,18507.0,98
CPT,28300,"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation High Cost Surgery",,,3950.0,3950.0,1
CPT,28300,"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Other Surgical Services",,,4150.0,4150.0,1
CPT,28300,"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation SCHEDULED",,,5965.24,6090.82,3
CPT,28300,"Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation UNSCHEDULED",,,2464.4,2516.29,3
CPT,28302,Osteotomy; talus ,,,2350.0,18507.0,98
CPT,28302,Osteotomy; talus High Cost Surgery,,,3950.0,3950.0,1
CPT,28302,Osteotomy; talus Other Surgical Services,,,4150.0,4150.0,1
CPT,28302,Osteotomy; talus SCHEDULED,,,6024.91,6151.75,3
CPT,28302,Osteotomy; talus UNSCHEDULED,,,2464.4,2516.29,3
CPT,28304,"Osteotomy, tarsal bones, other than calcaneus or talus; ",,,2350.0,18507.0,98
CPT,28304,"Osteotomy, tarsal bones, other than calcaneus or talus; High Cost Surgery",,,3950.0,3950.0,1
CPT,28304,"Osteotomy, tarsal bones, other than calcaneus or talus; Other Surgical Services",,,4150.0,4150.0,1
CPT,28304,"Osteotomy, tarsal bones, other than calcaneus or talus; SCHEDULED",,,3587.72,3663.25,3
CPT,28304,"Osteotomy, tarsal bones, other than calcaneus or talus; UNSCHEDULED",,,2464.4,2516.29,3
CPT,28305,"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type) ",,,2350.0,18507.0,98
CPT,28305,"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type) High Cost Surgery",,,3950.0,3950.0,1
CPT,28305,"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type) Other Surgical Services",,,4150.0,4150.0,1
CPT,28305,"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type) SCHEDULED",,,6024.91,6151.75,3
CPT,28305,"Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28306,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal ",,,2350.0,18507.0,98
CPT,28306,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal High Cost Surgery",,,3950.0,3950.0,1
CPT,28306,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal Other Surgical Services",,,4150.0,4150.0,1
CPT,28306,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal SCHEDULED",,,8186.76,8359.11,3
CPT,28306,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal UNSCHEDULED",,,2464.4,2516.29,3
CPT,28307,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe) ",,,2350.0,18507.0,98
CPT,28307,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe) High Cost Surgery",,,3950.0,3950.0,1
CPT,28307,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe) Other Surgical Services",,,4150.0,4150.0,1
CPT,28307,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe) SCHEDULED",,,6024.91,6151.75,3
CPT,28307,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28308,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each ",,,2350.0,18507.0,98
CPT,28308,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each High Cost Surgery",,,3950.0,3950.0,1
CPT,28308,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each Other Surgical Services",,,4150.0,4150.0,1
CPT,28308,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each SCHEDULED",,,7821.39,7986.05,3
CPT,28308,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each UNSCHEDULED",,,2464.4,2516.29,3
CPT,28309,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure) ",,,2350.0,18507.0,98
CPT,28309,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28309,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28309,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure) SCHEDULED",,,10187.38,10401.85,3
CPT,28309,"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28310,"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) ",,,2350.0,18507.0,98
CPT,28310,"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28310,"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28310,"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) SCHEDULED",,,6024.91,6151.75,3
CPT,28310,"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28312,"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe ",,,2350.0,18507.0,98
CPT,28312,"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe High Cost Surgery",,,3950.0,3950.0,1
CPT,28312,"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe Other Surgical Services",,,4150.0,4150.0,1
CPT,28312,"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe SCHEDULED",,,3716.49,3794.74,3
CPT,28312,"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe UNSCHEDULED",,,2464.4,2516.29,3
CPT,28313,"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes) ",,,2350.0,18507.0,98
CPT,28313,"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes) High Cost Surgery",,,3950.0,3950.0,1
CPT,28313,"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes) Other Surgical Services",,,4150.0,4150.0,1
CPT,28313,"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes) SCHEDULED",,,3469.43,3542.47,3
CPT,28313,"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28315,"Sesamoidectomy, first toe (separate procedure) ",,,2350.0,18507.0,98
CPT,28315,"Sesamoidectomy, first toe (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28315,"Sesamoidectomy, first toe (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28315,"Sesamoidectomy, first toe (separate procedure) SCHEDULED",,,6371.43,6505.57,3
CPT,28315,"Sesamoidectomy, first toe (separate procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28320,"Repair, nonunion or malunion; tarsal bones ",,,2350.0,18507.0,98
CPT,28320,"Repair, nonunion or malunion; tarsal bones High Cost Surgery",,,3950.0,3950.0,1
CPT,28320,"Repair, nonunion or malunion; tarsal bones Other Surgical Services",,,4150.0,4150.0,1
CPT,28320,"Repair, nonunion or malunion; tarsal bones SCHEDULED",,,4749.78,4849.78,3
CPT,28320,"Repair, nonunion or malunion; tarsal bones UNSCHEDULED",,,2464.4,2516.29,3
CPT,28322,"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) ",,,2350.0,18507.0,98
CPT,28322,"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) High Cost Surgery",,,3950.0,3950.0,1
CPT,28322,"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Other Surgical Services",,,4150.0,4150.0,1
CPT,28322,"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) SCHEDULED",,,9287.05,9482.56,3
CPT,28322,"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28340,"Reconstruction, toe, macrodactyly; soft tissue resection ",,,2350.0,18507.0,98
CPT,28340,"Reconstruction, toe, macrodactyly; soft tissue resection High Cost Surgery",,,3950.0,3950.0,1
CPT,28340,"Reconstruction, toe, macrodactyly; soft tissue resection Other Surgical Services",,,4150.0,4150.0,1
CPT,28340,"Reconstruction, toe, macrodactyly; soft tissue resection SCHEDULED",,,6024.91,6151.75,3
CPT,28340,"Reconstruction, toe, macrodactyly; soft tissue resection UNSCHEDULED",,,2464.4,2516.29,3
CPT,28341,"Reconstruction, toe, macrodactyly; requiring bone resection ",,,2350.0,18507.0,98
CPT,28341,"Reconstruction, toe, macrodactyly; requiring bone resection High Cost Surgery",,,3950.0,3950.0,1
CPT,28341,"Reconstruction, toe, macrodactyly; requiring bone resection Other Surgical Services",,,4150.0,4150.0,1
CPT,28341,"Reconstruction, toe, macrodactyly; requiring bone resection SCHEDULED",,,6024.91,6151.75,3
CPT,28341,"Reconstruction, toe, macrodactyly; requiring bone resection UNSCHEDULED",,,2464.4,2516.29,3
CPT,28344,"Reconstruction, toe(s); polydactyly ",,,2350.0,18507.0,98
CPT,28344,"Reconstruction, toe(s); polydactyly High Cost Surgery",,,3950.0,3950.0,1
CPT,28344,"Reconstruction, toe(s); polydactyly Other Surgical Services",,,4150.0,4150.0,1
CPT,28344,"Reconstruction, toe(s); polydactyly SCHEDULED",,,6024.91,6151.75,3
CPT,28344,"Reconstruction, toe(s); polydactyly UNSCHEDULED",,,2464.4,2516.29,3
CPT,28345,"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web ",,,2350.0,9710.0,98
CPT,28345,"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web High Cost Surgery",,,3950.0,3950.0,1
CPT,28345,"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web Other Surgical Services",,,4150.0,4150.0,1
CPT,28345,"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web SCHEDULED",,,6024.91,6151.75,3
CPT,28345,"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web UNSCHEDULED",,,2464.4,2516.29,3
CPT,28360,"Reconstruction, cleft foot ",,,2350.0,18507.0,98
CPT,28360,"Reconstruction, cleft foot High Cost Surgery",,,3950.0,3950.0,1
CPT,28360,"Reconstruction, cleft foot Other Surgical Services",,,4150.0,4150.0,1
CPT,28360,"Reconstruction, cleft foot SCHEDULED",,,6024.91,6151.75,3
CPT,28360,"Reconstruction, cleft foot UNSCHEDULED",,,2464.4,2516.29,3
CPT,28400,Closed treatment of calcaneal fracture; without manipulation ,,,1423.0,9710.0,106
CPT,28400,Closed treatment of calcaneal fracture; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,28400,Closed treatment of calcaneal fracture; without manipulation SCHEDULED,,,6024.91,6151.75,3
CPT,28400,Closed treatment of calcaneal fracture; without manipulation UNSCHEDULED,,,680.48,694.81,3
CPT,28405,Closed treatment of calcaneal fracture; with manipulation ,,,1844.0,9710.0,106
CPT,28405,Closed treatment of calcaneal fracture; with manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,28405,Closed treatment of calcaneal fracture; with manipulation SCHEDULED,,,6024.91,6151.75,3
CPT,28405,Closed treatment of calcaneal fracture; with manipulation UNSCHEDULED,,,2692.62,2749.31,3
CPT,28406,"Percutaneous skeletal fixation of calcaneal fracture, with manipulation ",,,1950.0,18507.0,106
CPT,28406,"Percutaneous skeletal fixation of calcaneal fracture, with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,28406,"Percutaneous skeletal fixation of calcaneal fracture, with manipulation SCHEDULED",,,6024.91,6151.75,3
CPT,28406,"Percutaneous skeletal fixation of calcaneal fracture, with manipulation UNSCHEDULED",,,16902.2,17258.04,3
CPT,28415,"Open treatment of calcaneal fracture, includes internal fixation, when performed; ",,,1950.0,18507.0,106
CPT,28415,"Open treatment of calcaneal fracture, includes internal fixation, when performed; Other Surgical Services",,,2850.0,2850.0,4
CPT,28415,"Open treatment of calcaneal fracture, includes internal fixation, when performed; SCHEDULED",,,15043.95,15360.67,3
CPT,28415,"Open treatment of calcaneal fracture, includes internal fixation, when performed; UNSCHEDULED",,,17691.56,18064.02,3
CPT,28420,"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,28420,"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,28420,"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) SCHEDULED",,,23484.06,23978.46,3
CPT,28420,"Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) UNSCHEDULED",,,13211.88,13490.02,3
CPT,28430,Closed treatment of talus fracture; without manipulation ,,,1423.0,9710.0,106
CPT,28430,Closed treatment of talus fracture; without manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,28430,Closed treatment of talus fracture; without manipulation SCHEDULED,,,6024.91,6151.75,3
CPT,28430,Closed treatment of talus fracture; without manipulation UNSCHEDULED,,,2464.4,2516.29,3
CPT,28435,Closed treatment of talus fracture; with manipulation ,,,1950.0,9710.0,106
CPT,28435,Closed treatment of talus fracture; with manipulation Other Surgical Services,,,2850.0,2850.0,4
CPT,28435,Closed treatment of talus fracture; with manipulation SCHEDULED,,,6024.91,6151.75,3
CPT,28435,Closed treatment of talus fracture; with manipulation UNSCHEDULED,,,934.89,954.57,3
CPT,28436,"Percutaneous skeletal fixation of talus fracture, with manipulation ",,,1950.0,18507.0,106
CPT,28436,"Percutaneous skeletal fixation of talus fracture, with manipulation Other Surgical Services",,,2850.0,2850.0,4
CPT,28436,"Percutaneous skeletal fixation of talus fracture, with manipulation SCHEDULED",,,6024.91,6151.75,3
CPT,28436,"Percutaneous skeletal fixation of talus fracture, with manipulation UNSCHEDULED",,,2464.4,2516.29,3
CPT,28445,"Open treatment of talus fracture, includes internal fixation, when performed ",,,1950.0,18507.0,106
CPT,28445,"Open treatment of talus fracture, includes internal fixation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,28445,"Open treatment of talus fracture, includes internal fixation, when performed SCHEDULED",,,9164.56,9357.5,3
CPT,28445,"Open treatment of talus fracture, includes internal fixation, when performed UNSCHEDULED",,,21100.27,21544.49,3
CPT,28446,"Open osteochondral autograft, talus (includes obtaining graftºs») ",,,1950.0,18507.0,106
CPT,28446,"Open osteochondral autograft, talus (includes obtaining graftºs») Other Surgical Services",,,2850.0,2850.0,4
CPT,28446,"Open osteochondral autograft, talus (includes obtaining graftºs») SCHEDULED",,,7543.96,7702.78,3
CPT,28446,"Open osteochondral autograft, talus (includes obtaining graftºs») UNSCHEDULED",,,2464.4,2516.29,3
CPT,28450,"Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each ",,,1423.0,9710.0,106
CPT,28450,"Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each Other Surgical Services",,,2850.0,2850.0,4
CPT,28450,"Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each SCHEDULED",,,6024.91,6151.75,3
CPT,28450,"Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each UNSCHEDULED",,,447.02,456.43,3
CPT,28455,"Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each ",,,1423.0,9710.0,106
CPT,28455,"Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each Other Surgical Services",,,2850.0,2850.0,4
CPT,28455,"Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each SCHEDULED",,,2279.1,2327.08,3
CPT,28455,"Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each UNSCHEDULED",,,1209.17,1234.63,3
CPT,28456,"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each ",,,1950.0,18507.0,106
CPT,28456,"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each Other Surgical Services",,,2850.0,2850.0,4
CPT,28456,"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each SCHEDULED",,,6024.91,6151.75,3
CPT,28456,"Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each UNSCHEDULED",,,2464.4,2516.29,3
CPT,28465,"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each ",,,2350.0,18507.0,98
CPT,28465,"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each High Cost Surgery",,,3950.0,3950.0,1
CPT,28465,"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each Other Surgical Services",,,4150.0,4150.0,1
CPT,28465,"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each SCHEDULED",,,7555.47,7714.54,3
CPT,28465,"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each UNSCHEDULED",,,17524.06,17892.99,3
CPT,28470,"Closed treatment of metatarsal fracture; without manipulation, each ",,,1423.0,9710.0,101
CPT,28470,"Closed treatment of metatarsal fracture; without manipulation, each High Cost Surgery",,,3950.0,3950.0,1
CPT,28470,"Closed treatment of metatarsal fracture; without manipulation, each Other Surgical Services",,,4150.0,4150.0,1
CPT,28470,"Closed treatment of metatarsal fracture; without manipulation, each SCHEDULED",,,6024.91,6151.75,3
CPT,28470,"Closed treatment of metatarsal fracture; without manipulation, each UNSCHEDULED",,,414.57,423.3,3
CPT,28475,"Closed treatment of metatarsal fracture; with manipulation, each ",,,1423.0,9710.0,98
CPT,28475,"Closed treatment of metatarsal fracture; with manipulation, each High Cost Surgery",,,3950.0,3950.0,1
CPT,28475,"Closed treatment of metatarsal fracture; with manipulation, each Other Surgical Services",,,4150.0,4150.0,1
CPT,28475,"Closed treatment of metatarsal fracture; with manipulation, each SCHEDULED",,,6024.91,6151.75,3
CPT,28475,"Closed treatment of metatarsal fracture; with manipulation, each UNSCHEDULED",,,210.42,214.85,3
CPT,28476,"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each ",,,2350.0,18507.0,98
CPT,28476,"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each High Cost Surgery",,,3950.0,3950.0,1
CPT,28476,"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Other Surgical Services",,,4150.0,4150.0,1
CPT,28476,"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each SCHEDULED",,,2277.01,2324.94,3
CPT,28476,"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each UNSCHEDULED",,,4264.03,4353.8,3
CPT,28485,"Open treatment of metatarsal fracture, includes internal fixation, when performed, each ",,,2350.0,18507.0,98
CPT,28485,"Open treatment of metatarsal fracture, includes internal fixation, when performed, each High Cost Surgery",,,3950.0,3950.0,1
CPT,28485,"Open treatment of metatarsal fracture, includes internal fixation, when performed, each Other Surgical Services",,,4150.0,4150.0,1
CPT,28485,"Open treatment of metatarsal fracture, includes internal fixation, when performed, each SCHEDULED",,,5877.3,6001.03,3
CPT,28485,"Open treatment of metatarsal fracture, includes internal fixation, when performed, each UNSCHEDULED",,,7198.48,7350.03,3
CPT,28490,"Closed treatment of fracture great toe, phalanx or phalanges; without manipulation ",,,1423.0,9710.0,98
CPT,28490,"Closed treatment of fracture great toe, phalanx or phalanges; without manipulation High Cost Surgery",,,3950.0,3950.0,1
CPT,28490,"Closed treatment of fracture great toe, phalanx or phalanges; without manipulation Other Surgical Services",,,4150.0,4150.0,1
CPT,28490,"Closed treatment of fracture great toe, phalanx or phalanges; without manipulation SCHEDULED",,,6024.91,6151.75,3
CPT,28490,"Closed treatment of fracture great toe, phalanx or phalanges; without manipulation UNSCHEDULED",,,447.02,456.43,3
CPT,28495,"Closed treatment of fracture great toe, phalanx or phalanges; with manipulation ",,,1423.0,9710.0,98
CPT,28495,"Closed treatment of fracture great toe, phalanx or phalanges; with manipulation High Cost Surgery",,,3950.0,3950.0,1
CPT,28495,"Closed treatment of fracture great toe, phalanx or phalanges; with manipulation Other Surgical Services",,,4150.0,4150.0,1
CPT,28495,"Closed treatment of fracture great toe, phalanx or phalanges; with manipulation SCHEDULED",,,6024.91,6151.75,3
CPT,28495,"Closed treatment of fracture great toe, phalanx or phalanges; with manipulation UNSCHEDULED",,,743.3,758.95,3
CPT,28496,"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation ",,,2350.0,18507.0,98
CPT,28496,"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation High Cost Surgery",,,3950.0,3950.0,1
CPT,28496,"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Other Surgical Services",,,4150.0,4150.0,1
CPT,28496,"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation SCHEDULED",,,4538.31,4633.85,3
CPT,28496,"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation UNSCHEDULED",,,7564.9,7724.16,3
CPT,28505,"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed ",,,2350.0,18507.0,98
CPT,28505,"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed High Cost Surgery",,,3950.0,3950.0,1
CPT,28505,"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,28505,"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed SCHEDULED",,,5972.56,6098.3,3
CPT,28505,"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed UNSCHEDULED",,,6204.97,6335.6,3
CPT,28510,"Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each ",,,1423.0,9710.0,98
CPT,28510,"Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each High Cost Surgery",,,3950.0,3950.0,1
CPT,28510,"Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each Other Surgical Services",,,4150.0,4150.0,1
CPT,28510,"Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each SCHEDULED",,,6024.91,6151.75,3
CPT,28510,"Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each UNSCHEDULED",,,382.12,390.16,3
CPT,28515,"Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each ",,,1423.0,9710.0,98
CPT,28515,"Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each High Cost Surgery",,,3950.0,3950.0,1
CPT,28515,"Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each Other Surgical Services",,,4150.0,4150.0,1
CPT,28515,"Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each SCHEDULED",,,6024.91,6151.75,3
CPT,28515,"Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each UNSCHEDULED",,,567.42,579.36,3
CPT,28525,"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each ",,,2350.0,18507.0,98
CPT,28525,"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each High Cost Surgery",,,3950.0,3950.0,1
CPT,28525,"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each Other Surgical Services",,,4150.0,4150.0,1
CPT,28525,"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each SCHEDULED",,,4791.66,4892.53,3
CPT,28525,"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each UNSCHEDULED",,,5522.4,5638.66,3
CPT,28530,Closed treatment of sesamoid fracture ,,,1423.0,9710.0,98
CPT,28530,Closed treatment of sesamoid fracture High Cost Surgery,,,3950.0,3950.0,1
CPT,28530,Closed treatment of sesamoid fracture Other Surgical Services,,,4150.0,4150.0,1
CPT,28530,Closed treatment of sesamoid fracture SCHEDULED,,,6024.91,6151.75,3
CPT,28530,Closed treatment of sesamoid fracture UNSCHEDULED,,,2464.4,2516.29,3
CPT,28531,"Open treatment of sesamoid fracture, with or without internal fixation ",,,2350.0,18507.0,98
CPT,28531,"Open treatment of sesamoid fracture, with or without internal fixation High Cost Surgery",,,3950.0,3950.0,1
CPT,28531,"Open treatment of sesamoid fracture, with or without internal fixation Other Surgical Services",,,4150.0,4150.0,1
CPT,28531,"Open treatment of sesamoid fracture, with or without internal fixation SCHEDULED",,,6024.91,6151.75,3
CPT,28531,"Open treatment of sesamoid fracture, with or without internal fixation UNSCHEDULED",,,2464.4,2516.29,3
CPT,28540,"Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia ",,,1423.0,9710.0,98
CPT,28540,"Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia High Cost Surgery",,,3950.0,3950.0,1
CPT,28540,"Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia Other Surgical Services",,,4150.0,4150.0,1
CPT,28540,"Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia SCHEDULED",,,6024.91,6151.75,3
CPT,28540,"Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia UNSCHEDULED",,,2464.4,2516.29,3
CPT,28545,"Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia ",,,2350.0,18507.0,98
CPT,28545,"Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia High Cost Surgery",,,3950.0,3950.0,1
CPT,28545,"Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia Other Surgical Services",,,4150.0,4150.0,1
CPT,28545,"Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia SCHEDULED",,,6024.91,6151.75,3
CPT,28545,"Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia UNSCHEDULED",,,2464.4,2516.29,3
CPT,28546,"Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation ",,,2350.0,9710.0,98
CPT,28546,"Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation High Cost Surgery",,,3950.0,3950.0,1
CPT,28546,"Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Other Surgical Services",,,4150.0,4150.0,1
CPT,28546,"Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation SCHEDULED",,,6024.91,6151.75,3
CPT,28546,"Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation UNSCHEDULED",,,3939.49,4022.43,3
CPT,28555,"Open treatment of tarsal bone dislocation, includes internal fixation, when performed ",,,2350.0,18507.0,98
CPT,28555,"Open treatment of tarsal bone dislocation, includes internal fixation, when performed High Cost Surgery",,,3950.0,3950.0,1
CPT,28555,"Open treatment of tarsal bone dislocation, includes internal fixation, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,28555,"Open treatment of tarsal bone dislocation, includes internal fixation, when performed SCHEDULED",,,12746.01,13014.34,3
CPT,28555,"Open treatment of tarsal bone dislocation, includes internal fixation, when performed UNSCHEDULED",,,2464.4,2516.29,3
CPT,28570,Closed treatment of talotarsal joint dislocation; without anesthesia ,,,1423.0,9710.0,98
CPT,28570,Closed treatment of talotarsal joint dislocation; without anesthesia High Cost Surgery,,,3950.0,3950.0,1
CPT,28570,Closed treatment of talotarsal joint dislocation; without anesthesia Other Surgical Services,,,4150.0,4150.0,1
CPT,28570,Closed treatment of talotarsal joint dislocation; without anesthesia SCHEDULED,,,6024.91,6151.75,3
CPT,28570,Closed treatment of talotarsal joint dislocation; without anesthesia UNSCHEDULED,,,2464.4,2516.29,3
CPT,28575,Closed treatment of talotarsal joint dislocation; requiring anesthesia ,,,2350.0,18507.0,98
CPT,28575,Closed treatment of talotarsal joint dislocation; requiring anesthesia High Cost Surgery,,,3950.0,3950.0,1
CPT,28575,Closed treatment of talotarsal joint dislocation; requiring anesthesia Other Surgical Services,,,4150.0,4150.0,1
CPT,28575,Closed treatment of talotarsal joint dislocation; requiring anesthesia SCHEDULED,,,6024.91,6151.75,3
CPT,28575,Closed treatment of talotarsal joint dislocation; requiring anesthesia UNSCHEDULED,,,2360.76,2410.46,3
CPT,28576,"Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation ",,,2350.0,18507.0,98
CPT,28576,"Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation High Cost Surgery",,,3950.0,3950.0,1
CPT,28576,"Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation Other Surgical Services",,,4150.0,4150.0,1
CPT,28576,"Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation SCHEDULED",,,6024.91,6151.75,3
CPT,28576,"Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation UNSCHEDULED",,,2464.4,2516.29,3
CPT,28585,"Open treatment of talotarsal joint dislocation, includes internal fixation, when performed ",,,2350.0,18507.0,98
CPT,28585,"Open treatment of talotarsal joint dislocation, includes internal fixation, when performed High Cost Surgery",,,3950.0,3950.0,1
CPT,28585,"Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,28585,"Open treatment of talotarsal joint dislocation, includes internal fixation, when performed SCHEDULED",,,6024.91,6151.75,3
CPT,28585,"Open treatment of talotarsal joint dislocation, includes internal fixation, when performed UNSCHEDULED",,,2464.4,2516.29,3
CPT,28600,Closed treatment of tarsometatarsal joint dislocation; without anesthesia ,,,1423.0,9710.0,98
CPT,28600,Closed treatment of tarsometatarsal joint dislocation; without anesthesia High Cost Surgery,,,3950.0,3950.0,1
CPT,28600,Closed treatment of tarsometatarsal joint dislocation; without anesthesia Other Surgical Services,,,4150.0,4150.0,1
CPT,28600,Closed treatment of tarsometatarsal joint dislocation; without anesthesia SCHEDULED,,,6024.91,6151.75,3
CPT,28600,Closed treatment of tarsometatarsal joint dislocation; without anesthesia UNSCHEDULED,,,460.64,470.33,3
CPT,28605,Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia ,,,1423.0,9710.0,98
CPT,28605,Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia High Cost Surgery,,,3950.0,3950.0,1
CPT,28605,Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia Other Surgical Services,,,4150.0,4150.0,1
CPT,28605,Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia SCHEDULED,,,6024.91,6151.75,3
CPT,28605,Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia UNSCHEDULED,,,2464.4,2516.29,3
CPT,28606,"Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation ",,,2350.0,18507.0,98
CPT,28606,"Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation High Cost Surgery",,,3950.0,3950.0,1
CPT,28606,"Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Other Surgical Services",,,4150.0,4150.0,1
CPT,28606,"Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation SCHEDULED",,,10171.68,10385.82,3
CPT,28606,"Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation UNSCHEDULED",,,3939.49,4022.43,3
CPT,28615,"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed ",,,2350.0,18507.0,98
CPT,28615,"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed High Cost Surgery",,,3950.0,3950.0,1
CPT,28615,"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,28615,"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed SCHEDULED",,,6006.06,6132.5,3
CPT,28615,"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed UNSCHEDULED",,,2464.4,2516.29,3
CPT,28630,Closed treatment of metatarsophalangeal joint dislocation; without anesthesia ,,,1423.0,9710.0,98
CPT,28630,Closed treatment of metatarsophalangeal joint dislocation; without anesthesia High Cost Surgery,,,3950.0,3950.0,1
CPT,28630,Closed treatment of metatarsophalangeal joint dislocation; without anesthesia Other Surgical Services,,,4150.0,4150.0,1
CPT,28630,Closed treatment of metatarsophalangeal joint dislocation; without anesthesia SCHEDULED,,,6024.91,6151.75,3
CPT,28630,Closed treatment of metatarsophalangeal joint dislocation; without anesthesia UNSCHEDULED,,,780.99,797.43,3
CPT,28635,Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia ,,,2350.0,9710.0,98
CPT,28635,Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia High Cost Surgery,,,3950.0,3950.0,1
CPT,28635,Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia Other Surgical Services,,,4150.0,4150.0,1
CPT,28635,Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia SCHEDULED,,,6024.91,6151.75,3
CPT,28635,Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia UNSCHEDULED,,,7897.82,8064.09,3
CPT,28636,"Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation ",,,2350.0,18507.0,98
CPT,28636,"Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation High Cost Surgery",,,3950.0,3950.0,1
CPT,28636,"Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Other Surgical Services",,,4150.0,4150.0,1
CPT,28636,"Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation SCHEDULED",,,12256.05,12514.08,3
CPT,28636,"Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation UNSCHEDULED",,,2464.4,2516.29,3
CPT,28645,"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed ",,,2350.0,18507.0,98
CPT,28645,"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed High Cost Surgery",,,3950.0,3950.0,1
CPT,28645,"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,28645,"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed SCHEDULED",,,6128.55,6257.58,3
CPT,28645,"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed UNSCHEDULED",,,2464.4,2516.29,3
CPT,28660,Closed treatment of interphalangeal joint dislocation; without anesthesia ,,,1423.0,9710.0,98
CPT,28660,Closed treatment of interphalangeal joint dislocation; without anesthesia High Cost Surgery,,,3950.0,3950.0,1
CPT,28660,Closed treatment of interphalangeal joint dislocation; without anesthesia Other Surgical Services,,,4150.0,4150.0,1
CPT,28660,Closed treatment of interphalangeal joint dislocation; without anesthesia SCHEDULED,,,6024.91,6151.75,3
CPT,28660,Closed treatment of interphalangeal joint dislocation; without anesthesia UNSCHEDULED,,,525.54,536.6,3
CPT,28665,Closed treatment of interphalangeal joint dislocation; requiring anesthesia ,,,1423.0,9710.0,98
CPT,28665,Closed treatment of interphalangeal joint dislocation; requiring anesthesia High Cost Surgery,,,3950.0,3950.0,1
CPT,28665,Closed treatment of interphalangeal joint dislocation; requiring anesthesia Other Surgical Services,,,4150.0,4150.0,1
CPT,28665,Closed treatment of interphalangeal joint dislocation; requiring anesthesia SCHEDULED,,,6024.91,6151.75,3
CPT,28665,Closed treatment of interphalangeal joint dislocation; requiring anesthesia UNSCHEDULED,,,499.37,509.88,3
CPT,28666,"Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation ",,,2350.0,18507.0,98
CPT,28666,"Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation High Cost Surgery",,,3950.0,3950.0,1
CPT,28666,"Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation Other Surgical Services",,,4150.0,4150.0,1
CPT,28666,"Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation SCHEDULED",,,6024.91,6151.75,3
CPT,28666,"Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation UNSCHEDULED",,,2464.4,2516.29,3
CPT,28675,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed ",,,2350.0,18507.0,98
CPT,28675,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed High Cost Surgery",,,3950.0,3950.0,1
CPT,28675,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,28675,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed SCHEDULED",,,6024.91,6151.75,3
CPT,28675,"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed UNSCHEDULED",,,2464.4,2516.29,3
CPT,28705,Arthrodesis; pantalar ,,,2350.0,18507.0,98
CPT,28705,Arthrodesis; pantalar High Cost Surgery,,,3950.0,3950.0,1
CPT,28705,Arthrodesis; pantalar Other Surgical Services,,,4150.0,4150.0,1
CPT,28705,Arthrodesis; pantalar SCHEDULED,,,10325.58,10542.96,3
CPT,28705,Arthrodesis; pantalar UNSCHEDULED,,,2464.4,2516.29,3
CPT,28715,Arthrodesis; triple ,,,2350.0,18507.0,98
CPT,28715,Arthrodesis; triple High Cost Surgery,,,3950.0,3950.0,1
CPT,28715,Arthrodesis; triple Other Surgical Services,,,4150.0,4150.0,1
CPT,28715,Arthrodesis; triple SCHEDULED,,,18102.99,18484.11,3
CPT,28715,Arthrodesis; triple UNSCHEDULED,,,2464.4,2516.29,3
CPT,28725,Arthrodesis; subtalar ,,,2350.0,18507.0,98
CPT,28725,Arthrodesis; subtalar High Cost Surgery,,,3950.0,3950.0,1
CPT,28725,Arthrodesis; subtalar Other Surgical Services,,,4150.0,4150.0,1
CPT,28725,Arthrodesis; subtalar SCHEDULED,,,6555.68,6693.7,3
CPT,28725,Arthrodesis; subtalar UNSCHEDULED,,,2464.4,2516.29,3
CPT,28730,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; ",,,2350.0,18507.0,98
CPT,28730,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; High Cost Surgery",,,3950.0,3950.0,1
CPT,28730,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; Other Surgical Services",,,4150.0,4150.0,1
CPT,28730,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; SCHEDULED",,,8295.64,8470.28,3
CPT,28730,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; UNSCHEDULED",,,2464.4,2516.29,3
CPT,28735,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) ",,,2350.0,18507.0,98
CPT,28735,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) High Cost Surgery",,,3950.0,3950.0,1
CPT,28735,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) Other Surgical Services",,,4150.0,4150.0,1
CPT,28735,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) SCHEDULED",,,16879.17,17234.52,3
CPT,28735,"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28737,"Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure) ",,,2350.0,18507.0,98
CPT,28737,"Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,28737,"Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,28737,"Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure) SCHEDULED",,,23177.32,23665.26,3
CPT,28737,"Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28740,"Arthrodesis, midtarsal or tarsometatarsal, single joint ",,,2350.0,18507.0,98
CPT,28740,"Arthrodesis, midtarsal or tarsometatarsal, single joint High Cost Surgery",,,3950.0,3950.0,1
CPT,28740,"Arthrodesis, midtarsal or tarsometatarsal, single joint Other Surgical Services",,,4150.0,4150.0,1
CPT,28740,"Arthrodesis, midtarsal or tarsometatarsal, single joint SCHEDULED",,,5141.32,5249.56,3
CPT,28740,"Arthrodesis, midtarsal or tarsometatarsal, single joint UNSCHEDULED",,,2464.4,2516.29,3
CPT,28750,"Arthrodesis, great toe; metatarsophalangeal joint ",,,2350.0,18507.0,98
CPT,28750,"Arthrodesis, great toe; metatarsophalangeal joint High Cost Surgery",,,3950.0,3950.0,1
CPT,28750,"Arthrodesis, great toe; metatarsophalangeal joint Other Surgical Services",,,4150.0,4150.0,1
CPT,28750,"Arthrodesis, great toe; metatarsophalangeal joint SCHEDULED",,,10278.47,10494.86,3
CPT,28750,"Arthrodesis, great toe; metatarsophalangeal joint UNSCHEDULED",,,2464.4,2516.29,3
CPT,28755,"Arthrodesis, great toe; interphalangeal joint ",,,1950.0,18507.0,103
CPT,28755,"Arthrodesis, great toe; interphalangeal joint Other Surgical Services",,,2850.0,2850.0,4
CPT,28755,"Arthrodesis, great toe; interphalangeal joint SCHEDULED",,,17328.28,17693.09,3
CPT,28755,"Arthrodesis, great toe; interphalangeal joint UNSCHEDULED",,,2464.4,2516.29,3
CPT,28760,"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure) ",,,1950.0,18507.0,103
CPT,28760,"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,28760,"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure) SCHEDULED",,,6024.91,6151.75,3
CPT,28760,"Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28800,"Amputation, foot; midtarsal (eg, Chopart type procedure) ",,,1950.0,18507.0,78
CPT,28800,"Amputation, foot; midtarsal (eg, Chopart type procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,28800,"Amputation, foot; midtarsal (eg, Chopart type procedure) SCHEDULED",,,6024.91,6151.75,3
CPT,28800,"Amputation, foot; midtarsal (eg, Chopart type procedure) UNSCHEDULED",,,2464.4,2516.29,3
CPT,28805,"Amputation, foot; transmetatarsal ",,,1950.0,18507.0,106
CPT,28805,"Amputation, foot; transmetatarsal Other Surgical Services",,,2850.0,2850.0,4
CPT,28805,"Amputation, foot; transmetatarsal SCHEDULED",,,6791.24,6934.21,3
CPT,28805,"Amputation, foot; transmetatarsal UNSCHEDULED",,,2464.4,2516.29,3
CPT,28810,"Amputation, metatarsal, with toe, single ",,,1950.0,18507.0,106
CPT,28810,"Amputation, metatarsal, with toe, single Other Surgical Services",,,2850.0,2850.0,4
CPT,28810,"Amputation, metatarsal, with toe, single SCHEDULED",,,6146.35,6275.74,3
CPT,28810,"Amputation, metatarsal, with toe, single UNSCHEDULED",,,2464.4,2516.29,3
CPT,28820,"Amputation, toe; metatarsophalangeal joint ",,,1950.0,18507.0,106
CPT,28820,"Amputation, toe; metatarsophalangeal joint Other Surgical Services",,,2850.0,2850.0,4
CPT,28820,"Amputation, toe; metatarsophalangeal joint SCHEDULED",,,5098.4,5205.74,3
CPT,28820,"Amputation, toe; metatarsophalangeal joint UNSCHEDULED",,,21130.63,21575.49,3
CPT,28825,"Amputation, toe; interphalangeal joint ",,,1950.0,18507.0,106
CPT,28825,"Amputation, toe; interphalangeal joint Other Surgical Services",,,2850.0,2850.0,4
CPT,28825,"Amputation, toe; interphalangeal joint SCHEDULED",,,6571.39,6709.73,3
CPT,28825,"Amputation, toe; interphalangeal joint UNSCHEDULED",,,1566.16,1599.13,3
CPT,28890,"Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring anesthesia other than local, including ultrasound guidance, involving the planta",,,1950.0,16454.0,116
CPT,28899,"Unlisted procedure, foot or toes ",,,1423.0,9710.0,106
CPT,28899,"Unlisted procedure, foot or toes Other Surgical Services",,,2850.0,2850.0,4
CPT,28899,"Unlisted procedure, foot or toes SCHEDULED",,,4755.02,4855.12,3
CPT,28899,"Unlisted procedure, foot or toes UNSCHEDULED",,,6204.97,6335.6,3
CPT,29000,Application of halo type body cast (see 20661-20663 for insertion) ,,,1423.0,9710.0,106
CPT,29000,Application of halo type body cast (see 20661-20663 for insertion) Other Surgical Services,,,2850.0,2850.0,4
CPT,29000,Application of halo type body cast (see 20661-20663 for insertion) UNSCHEDULED,,,896.14,915.01,3
CPT,29010,"Application of Risser jacket, localizer, body; only ",,,1423.0,9710.0,106
CPT,29010,"Application of Risser jacket, localizer, body; only Other Surgical Services",,,2850.0,2850.0,4
CPT,29010,"Application of Risser jacket, localizer, body; only UNSCHEDULED",,,896.14,915.01,3
CPT,29015,"Application of Risser jacket, localizer, body; including head ",,,1423.0,9710.0,106
CPT,29015,"Application of Risser jacket, localizer, body; including head Other Surgical Services",,,2850.0,2850.0,4
CPT,29015,"Application of Risser jacket, localizer, body; including head UNSCHEDULED",,,896.14,915.01,3
CPT,29020,APPLICATION OF BODY CAST UNSCHEDULED,,,896.14,915.01,3
CPT,29025,APPLICATION OF BODY CAST UNSCHEDULED,,,896.14,915.01,3
CPT,29035,"Application of body cast, shoulder to hips; ",,,1423.0,9710.0,106
CPT,29035,"Application of body cast, shoulder to hips; Other Surgical Services",,,2850.0,2850.0,4
CPT,29035,"Application of body cast, shoulder to hips; UNSCHEDULED",,,896.14,915.01,3
CPT,29040,"Application of body cast, shoulder to hips; including head, Minerva type ",,,1423.0,9710.0,106
CPT,29040,"Application of body cast, shoulder to hips; including head, Minerva type Other Surgical Services",,,2850.0,2850.0,4
CPT,29040,"Application of body cast, shoulder to hips; including head, Minerva type UNSCHEDULED",,,896.14,915.01,3
CPT,29044,"Application of body cast, shoulder to hips; including 1 thigh ",,,1423.0,9710.0,106
CPT,29044,"Application of body cast, shoulder to hips; including 1 thigh Other Surgical Services",,,2850.0,2850.0,4
CPT,29044,"Application of body cast, shoulder to hips; including 1 thigh UNSCHEDULED",,,896.14,915.01,3
CPT,29046,"Application of body cast, shoulder to hips; including both thighs ",,,1423.0,9710.0,106
CPT,29046,"Application of body cast, shoulder to hips; including both thighs Other Surgical Services",,,2850.0,2850.0,4
CPT,29046,"Application of body cast, shoulder to hips; including both thighs UNSCHEDULED",,,896.14,915.01,3
CPT,29049,"Application, cast; figure-of-eight ",,,1423.0,9710.0,106
CPT,29049,"Application, cast; figure-of-eight Other Surgical Services",,,2850.0,2850.0,4
CPT,29049,"Application, cast; figure-of-eight UNSCHEDULED",,,896.14,915.01,3
CPT,29055,"Application, cast; shoulder spica ",,,1423.0,9710.0,106
CPT,29055,"Application, cast; shoulder spica Other Surgical Services",,,2850.0,2850.0,4
CPT,29055,"Application, cast; shoulder spica UNSCHEDULED",,,896.14,915.01,3
CPT,29058,"Application, cast; plaster Velpeau ",,,1423.0,9710.0,106
CPT,29058,"Application, cast; plaster Velpeau Other Surgical Services",,,2850.0,2850.0,4
CPT,29058,"Application, cast; plaster Velpeau UNSCHEDULED",,,896.14,915.01,3
CPT,29065,"Application, cast; shoulder to hand (long arm) ",,,1423.0,6802.0,103
CPT,29065,"Application, cast; shoulder to hand (long arm) Other Surgical Services",,,2850.0,2850.0,4
CPT,29065,"Application, cast; shoulder to hand (long arm) UNSCHEDULED",,,896.14,915.01,3
CPT,29075,"Application, cast; elbow to finger (short arm) ",,,1423.0,6802.0,103
CPT,29075,"Application, cast; elbow to finger (short arm) Other Surgical Services",,,2850.0,2850.0,4
CPT,29075,"Application, cast; elbow to finger (short arm) UNSCHEDULED",,,896.14,915.01,3
CPT,29085,"Application, cast; hand and lower forearm (gauntlet) ",,,1423.0,9710.0,106
CPT,29085,"Application, cast; hand and lower forearm (gauntlet) Other Surgical Services",,,2850.0,2850.0,4
CPT,29085,"Application, cast; hand and lower forearm (gauntlet) UNSCHEDULED",,,896.14,915.01,3
CPT,29086,"Application, cast; finger (eg, contracture) ",,,1423.0,9710.0,106
CPT,29086,"Application, cast; finger (eg, contracture) Other Surgical Services",,,2850.0,2850.0,4
CPT,29086,"Application, cast; finger (eg, contracture) UNSCHEDULED",,,896.14,915.01,3
CPT,29105,APP LONG ARM SPLINT OT,880.0,880.0,75.68,1056.0,28
CPT,29105,Application of long arm splint (shoulder to hand) ,880.0,880.0,1423.0,9710.0,106
CPT,29105,Application of long arm splint (shoulder to hand) Other Surgical Services,,,2850.0,2850.0,4
CPT,29105,Application of long arm splint (shoulder to hand) UNSCHEDULED,880.0,880.0,896.14,915.01,3
CPT,29125,APP SH ARM SPL STATIC OT,880.0,880.0,75.68,1056.0,28
CPT,29125,Application of short arm splint (forearm to hand); static ,880.0,880.0,1423.0,9710.0,106
CPT,29125,Application of short arm splint (forearm to hand); static Other Surgical Services,,,2850.0,2850.0,4
CPT,29125,Application of short arm splint (forearm to hand); static UNSCHEDULED,880.0,880.0,896.14,915.01,3
CPT,29126,APP SHT ARM SPL DYNAM OT,880.0,880.0,75.68,1056.0,28
CPT,29126,Application of short arm splint (forearm to hand); dynamic ,880.0,880.0,1423.0,9710.0,106
CPT,29126,Application of short arm splint (forearm to hand); dynamic Other Surgical Services,,,2850.0,2850.0,4
CPT,29126,Application of short arm splint (forearm to hand); dynamic UNSCHEDULED,880.0,880.0,896.14,915.01,3
CPT,29130,APP FNGR SPL STATIC OT,880.0,880.0,75.68,1056.0,28
CPT,29130,Application of finger splint; static ,880.0,880.0,1423.0,9710.0,106
CPT,29130,Application of finger splint; static Other Surgical Services,,,2850.0,2850.0,4
CPT,29130,Application of finger splint; static UNSCHEDULED,880.0,880.0,896.14,915.01,3
CPT,29131,APP FNGR SPL DYNAMIC OT,880.0,880.0,75.68,1056.0,28
CPT,29131,Application of finger splint; dynamic ,880.0,880.0,1423.0,9710.0,106
CPT,29131,Application of finger splint; dynamic Other Surgical Services,,,2850.0,2850.0,4
CPT,29131,Application of finger splint; dynamic UNSCHEDULED,880.0,880.0,896.14,915.01,3
CPT,29200,Strapping; thorax ,,,1423.0,9710.0,106
CPT,29200,Strapping; thorax Other Surgical Services,,,2850.0,2850.0,4
CPT,29200,Strapping; thorax UNSCHEDULED,,,896.14,915.01,3
CPT,29220,STRAPPING OF LOW BACK UNSCHEDULED,,,896.14,915.01,3
CPT,29240,"Strapping; shoulder (eg, Velpeau) ",,,1423.0,9710.0,106
CPT,29240,"Strapping; shoulder (eg, Velpeau) Other Surgical Services",,,2850.0,2850.0,4
CPT,29240,"Strapping; shoulder (eg, Velpeau) UNSCHEDULED",,,896.14,915.01,3
CPT,29260,Strapping; elbow or wrist ,,,1423.0,9710.0,106
CPT,29260,Strapping; elbow or wrist Other Surgical Services,,,2850.0,2850.0,4
CPT,29260,Strapping; elbow or wrist UNSCHEDULED,,,896.14,915.01,3
CPT,29280,STRAPPING HAND OR FNG OT,880.0,880.0,75.68,1056.0,28
CPT,29280,Strapping; hand or finger ,880.0,880.0,1423.0,9710.0,106
CPT,29280,Strapping; hand or finger Other Surgical Services,,,2850.0,2850.0,4
CPT,29280,Strapping; hand or finger UNSCHEDULED,880.0,880.0,896.14,915.01,3
CPT,29305,Application of hip spica cast; 1 leg ,,,1423.0,9710.0,106
CPT,29305,Application of hip spica cast; 1 leg Other Surgical Services,,,2850.0,2850.0,4
CPT,29305,Application of hip spica cast; 1 leg UNSCHEDULED,,,896.14,915.01,3
CPT,29325,Application of hip spica cast; 1 and one-half spica or both legs ,,,1423.0,6802.0,103
CPT,29325,Application of hip spica cast; 1 and one-half spica or both legs Other Surgical Services,,,2850.0,2850.0,4
CPT,29325,Application of hip spica cast; 1 and one-half spica or both legs UNSCHEDULED,,,896.14,915.01,3
CPT,29345,Application of long leg cast (thigh to toes); ,,,1423.0,9710.0,106
CPT,29345,Application of long leg cast (thigh to toes); Other Surgical Services,,,2850.0,2850.0,4
CPT,29345,Application of long leg cast (thigh to toes); UNSCHEDULED,,,896.14,915.01,3
CPT,29355,Application of long leg cast (thigh to toes); walker or ambulatory type ,,,1423.0,9710.0,106
CPT,29355,Application of long leg cast (thigh to toes); walker or ambulatory type Other Surgical Services,,,2850.0,2850.0,4
CPT,29355,Application of long leg cast (thigh to toes); walker or ambulatory type UNSCHEDULED,,,896.14,915.01,3
CPT,29358,Application of long leg cast brace ,,,1423.0,9710.0,106
CPT,29358,Application of long leg cast brace Other Surgical Services,,,2850.0,2850.0,4
CPT,29358,Application of long leg cast brace UNSCHEDULED,,,896.14,915.01,3
CPT,29365,Application of cylinder cast (thigh to ankle) ,,,1423.0,9710.0,106
CPT,29365,Application of cylinder cast (thigh to ankle) Other Surgical Services,,,2850.0,2850.0,4
CPT,29365,Application of cylinder cast (thigh to ankle) UNSCHEDULED,,,896.14,915.01,3
CPT,29405,Application of short leg cast (below knee to toes); ,,,1423.0,6802.0,103
CPT,29405,Application of short leg cast (below knee to toes); Other Surgical Services,,,2850.0,2850.0,4
CPT,29405,Application of short leg cast (below knee to toes); UNSCHEDULED,,,896.14,915.01,3
CPT,29425,Application of short leg cast (below knee to toes); walking or ambulatory type ,,,1423.0,9710.0,106
CPT,29425,Application of short leg cast (below knee to toes); walking or ambulatory type Other Surgical Services,,,2850.0,2850.0,4
CPT,29425,Application of short leg cast (below knee to toes); walking or ambulatory type UNSCHEDULED,,,896.14,915.01,3
CPT,29435,Application of patellar tendon bearing (PTB) cast ,,,1423.0,9710.0,106
CPT,29435,Application of patellar tendon bearing (PTB) cast Other Surgical Services,,,2850.0,2850.0,4
CPT,29435,Application of patellar tendon bearing (PTB) cast UNSCHEDULED,,,896.14,915.01,3
CPT,29440,Adding walker to previously applied cast ,,,1423.0,9710.0,106
CPT,29440,Adding walker to previously applied cast Other Surgical Services,,,2850.0,2850.0,4
CPT,29440,Adding walker to previously applied cast UNSCHEDULED,,,896.14,915.01,3
CPT,29445,Application of rigid total contact leg cast ,,,1423.0,9710.0,106
CPT,29445,Application of rigid total contact leg cast Other Surgical Services,,,2850.0,2850.0,4
CPT,29445,Application of rigid total contact leg cast UNSCHEDULED,,,896.14,915.01,3
CPT,29450,"Application of clubfoot cast with molding or manipulation, long or short leg ",,,1423.0,9710.0,106
CPT,29450,"Application of clubfoot cast with molding or manipulation, long or short leg Other Surgical Services",,,2850.0,2850.0,4
CPT,29450,"Application of clubfoot cast with molding or manipulation, long or short leg UNSCHEDULED",,,896.14,915.01,3
CPT,29505,Application of long leg splint (thigh to ankle or toes) ,,,1423.0,9710.0,106
CPT,29505,Application of long leg splint (thigh to ankle or toes) Other Surgical Services,,,2850.0,2850.0,4
CPT,29505,Application of long leg splint (thigh to ankle or toes) UNSCHEDULED,,,896.14,915.01,3
CPT,29515,Application of short leg splint (calf to foot) ,,,1423.0,9710.0,106
CPT,29515,Application of short leg splint (calf to foot) Other Surgical Services,,,2850.0,2850.0,4
CPT,29515,Application of short leg splint (calf to foot) UNSCHEDULED,,,896.14,915.01,3
CPT,29520,Strapping; hip ,,,1423.0,9710.0,106
CPT,29520,Strapping; hip Other Surgical Services,,,2850.0,2850.0,4
CPT,29520,Strapping; hip UNSCHEDULED,,,896.14,915.01,3
CPT,29530,Strapping; knee ,,,1423.0,9710.0,106
CPT,29530,Strapping; knee Other Surgical Services,,,2850.0,2850.0,4
CPT,29530,Strapping; knee UNSCHEDULED,,,896.14,915.01,3
CPT,29540,Strapping; ankle and/or foot ,,,1423.0,9710.0,106
CPT,29540,Strapping; ankle and/or foot Other Surgical Services,,,2850.0,2850.0,4
CPT,29540,Strapping; ankle and/or foot UNSCHEDULED,,,896.14,915.01,3
CPT,29550,Strapping; toes ,,,1423.0,9710.0,106
CPT,29550,Strapping; toes Other Surgical Services,,,2850.0,2850.0,4
CPT,29550,Strapping; toes UNSCHEDULED,,,896.14,915.01,3
CPT,29580,Strapping; Unna boot ,,,1423.0,6802.0,103
CPT,29580,Strapping; Unna boot Other Surgical Services,,,2850.0,2850.0,4
CPT,29580,Strapping; Unna boot UNSCHEDULED,,,896.14,915.01,3
CPT,29580,UNNA BOOT BI,710.5,710.5,53.84,954.0,46
CPT,29580,UNNA BOOT LT PT,928.0,928.0,79.81,1113.6,31
CPT,29580,UNNA BOOT LT PTCQ,928.0,928.0,79.81,1113.6,31
CPT,29580,UNNA BOOT PT,928.0,928.0,79.81,1113.6,31
CPT,29580,UNNA BOOT PTCQ,928.0,928.0,79.81,1113.6,31
CPT,29580,UNNA BOOT RT PT,928.0,928.0,79.81,1113.6,31
CPT,29580,UNNA BOOT RT PTCQ,928.0,928.0,79.81,1113.6,31
CPT,29581,APPLY VEN WND COMP BK BI,603.0,603.0,53.84,751.2,46
CPT,29581,"Application of multi-layer compression system; leg (below knee), including ankle and foot ",,,1423.0,9710.0,106
CPT,29581,"Application of multi-layer compression system; leg (below knee), including ankle and foot Other Surgical Services",,,2850.0,2850.0,4
CPT,29581,"Application of multi-layer compression system; leg (below knee), including ankle and foot UNSCHEDULED",,,896.14,915.01,3
CPT,29582,"HApplication of multi-layer compression system; thigh and leg, including ankle and foot, when performed ",,,1423.0,3251.0,28
CPT,29582,"HApplication of multi-layer compression system; thigh and leg, including ankle and foot, when performed UNSCHEDULED",,,896.14,915.01,3
CPT,29583,HApplication of multi-layer compression system; upper arm and forearm ,,,1423.0,3251.0,28
CPT,29583,HApplication of multi-layer compression system; upper arm and forearm UNSCHEDULED,,,896.14,915.01,3
CPT,29584,"Application of multi-layer compression system; upper arm, forearm, hand, and fingers ",,,1423.0,9710.0,106
CPT,29584,"Application of multi-layer compression system; upper arm, forearm, hand, and fingers Other Surgical Services",,,2850.0,2850.0,4
CPT,29584,"Application of multi-layer compression system; upper arm, forearm, hand, and fingers UNSCHEDULED",,,1534.75,1567.06,3
CPT,29590,APPLICATION OF FOOT SPLINT UNSCHEDULED,,,896.14,915.01,3
CPT,29700,"Removal or bivalving; gauntlet, boot or body cast ",,,1423.0,9710.0,106
CPT,29700,"Removal or bivalving; gauntlet, boot or body cast Other Surgical Services",,,2850.0,2850.0,4
CPT,29700,"Removal or bivalving; gauntlet, boot or body cast UNSCHEDULED",,,896.14,915.01,3
CPT,29705,Removal or bivalving; full arm or full leg cast ,,,1423.0,9710.0,106
CPT,29705,Removal or bivalving; full arm or full leg cast Other Surgical Services,,,2850.0,2850.0,4
CPT,29705,Removal or bivalving; full arm or full leg cast UNSCHEDULED,,,896.14,915.01,3
CPT,29710,"Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc. ",,,1423.0,9710.0,106
CPT,29710,"Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc. Other Surgical Services",,,2850.0,2850.0,4
CPT,29710,"Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc. UNSCHEDULED",,,896.14,915.01,3
CPT,29715,REMOVAL/REVISION OF CAST UNSCHEDULED,,,896.14,915.01,3
CPT,29720,"Repair of spica, body cast or jacket ",,,1423.0,9710.0,106
CPT,29720,"Repair of spica, body cast or jacket Other Surgical Services",,,2850.0,2850.0,4
CPT,29720,"Repair of spica, body cast or jacket UNSCHEDULED",,,896.14,915.01,3
CPT,29730,Windowing of cast ,,,1423.0,9710.0,106
CPT,29730,Windowing of cast Other Surgical Services,,,2850.0,2850.0,4
CPT,29730,Windowing of cast UNSCHEDULED,,,896.14,915.01,3
CPT,29740,Wedging of cast (except clubfoot casts) ,,,1423.0,9710.0,106
CPT,29740,Wedging of cast (except clubfoot casts) Other Surgical Services,,,2850.0,2850.0,4
CPT,29740,Wedging of cast (except clubfoot casts) UNSCHEDULED,,,896.14,915.01,3
CPT,29750,Wedging of clubfoot cast ,,,1423.0,9710.0,106
CPT,29750,Wedging of clubfoot cast Other Surgical Services,,,2850.0,2850.0,4
CPT,29750,Wedging of clubfoot cast UNSCHEDULED,,,896.14,915.01,3
CPT,29799,"Unlisted procedure, casting or strapping ",,,1423.0,9710.0,106
CPT,29799,"Unlisted procedure, casting or strapping Other Surgical Services",,,2850.0,2850.0,4
CPT,29799,"Unlisted procedure, casting or strapping UNSCHEDULED",,,256.49,261.89,3
CPT,29800,"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) ",,,2350.0,22212.0,163
CPT,29800,"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,29800,"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,29800,"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,29800,"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) SCHEDULED",,,5335.0,5447.32,3
CPT,29800,"Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29804,"Arthroscopy, temporomandibular joint, surgical ",,,2350.0,22212.0,163
CPT,29804,"Arthroscopy, temporomandibular joint, surgical Complex Surgery",,,11754.0,11754.0,22
CPT,29804,"Arthroscopy, temporomandibular joint, surgical High Cost Surgery",,,3950.0,3950.0,1
CPT,29804,"Arthroscopy, temporomandibular joint, surgical Other Surgical Services",,,4150.0,4150.0,1
CPT,29804,"Arthroscopy, temporomandibular joint, surgical SCHEDULED",,,8152.21,8323.83,3
CPT,29804,"Arthroscopy, temporomandibular joint, surgical UNSCHEDULED",,,6829.98,6973.77,3
CPT,29805,"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) ",,,2350.0,22212.0,163
CPT,29805,"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,29805,"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,29805,"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,29805,"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) SCHEDULED",,,6631.07,6770.67,3
CPT,29805,"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29806,"Arthroscopy, shoulder, surgical; capsulorrhaphy ",,,2350.0,22212.0,163
CPT,29806,"Arthroscopy, shoulder, surgical; capsulorrhaphy Complex Surgery",,,11754.0,11754.0,22
CPT,29806,"Arthroscopy, shoulder, surgical; capsulorrhaphy High Cost Surgery",,,3950.0,3950.0,1
CPT,29806,"Arthroscopy, shoulder, surgical; capsulorrhaphy Other Surgical Services",,,4150.0,4150.0,1
CPT,29806,"Arthroscopy, shoulder, surgical; capsulorrhaphy SCHEDULED",,,4971.73,5076.4,3
CPT,29806,"Arthroscopy, shoulder, surgical; capsulorrhaphy UNSCHEDULED",,,18561.54,18952.31,3
CPT,29807,"Arthroscopy, shoulder, surgical; repair of SLAP lesion ",,,2350.0,22212.0,163
CPT,29807,"Arthroscopy, shoulder, surgical; repair of SLAP lesion Complex Surgery",,,11754.0,11754.0,22
CPT,29807,"Arthroscopy, shoulder, surgical; repair of SLAP lesion High Cost Surgery",,,3950.0,3950.0,1
CPT,29807,"Arthroscopy, shoulder, surgical; repair of SLAP lesion Other Surgical Services",,,4150.0,4150.0,1
CPT,29807,"Arthroscopy, shoulder, surgical; repair of SLAP lesion SCHEDULED",,,4237.85,4327.07,3
CPT,29807,"Arthroscopy, shoulder, surgical; repair of SLAP lesion UNSCHEDULED",,,6829.98,6973.77,3
CPT,29815,SHOULDER ARTHROSCOPY ,,,9935.0,22212.0,3
CPT,29815,SHOULDER ARTHROSCOPY SCHEDULED,,,5335.0,5447.32,3
CPT,29815,SHOULDER ARTHROSCOPY UNSCHEDULED,,,6829.98,6973.77,3
CPT,29819,"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body ",,,2350.0,22212.0,163
CPT,29819,"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Complex Surgery",,,11754.0,11754.0,22
CPT,29819,"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body High Cost Surgery",,,3950.0,3950.0,1
CPT,29819,"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Other Surgical Services",,,4150.0,4150.0,1
CPT,29819,"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body SCHEDULED",,,5099.45,5206.8,3
CPT,29819,"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body UNSCHEDULED",,,6829.98,6973.77,3
CPT,29820,"Arthroscopy, shoulder, surgical; synovectomy, partial ",,,2350.0,22212.0,166
CPT,29820,"Arthroscopy, shoulder, surgical; synovectomy, partial Complex Surgery",,,11754.0,11754.0,22
CPT,29820,"Arthroscopy, shoulder, surgical; synovectomy, partial High Cost Surgery",,,3950.0,3950.0,1
CPT,29820,"Arthroscopy, shoulder, surgical; synovectomy, partial Other Surgical Services",,,4150.0,4150.0,1
CPT,29820,"Arthroscopy, shoulder, surgical; synovectomy, partial SCHEDULED",,,4873.32,4975.92,3
CPT,29820,"Arthroscopy, shoulder, surgical; synovectomy, partial UNSCHEDULED",,,6829.98,6973.77,3
CPT,29821,"Arthroscopy, shoulder, surgical; synovectomy, complete ",,,2350.0,22212.0,166
CPT,29821,"Arthroscopy, shoulder, surgical; synovectomy, complete Complex Surgery",,,11754.0,11754.0,22
CPT,29821,"Arthroscopy, shoulder, surgical; synovectomy, complete High Cost Surgery",,,3950.0,3950.0,1
CPT,29821,"Arthroscopy, shoulder, surgical; synovectomy, complete Other Surgical Services",,,4150.0,4150.0,1
CPT,29821,"Arthroscopy, shoulder, surgical; synovectomy, complete SCHEDULED",,,4515.28,4610.34,3
CPT,29821,"Arthroscopy, shoulder, surgical; synovectomy, complete UNSCHEDULED",,,6829.98,6973.77,3
CPT,29822,"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps ancho",,,2350.0,22212.0,196
CPT,29823,"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps ",,,2350.0,22212.0,196
CPT,29824,"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) ",,,2350.0,22212.0,163
CPT,29824,"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,29824,"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,29824,"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,29824,"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) SCHEDULED",,,3045.43,3109.55,3
CPT,29824,"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29825,"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation ",,,2350.0,22212.0,163
CPT,29825,"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Complex Surgery",,,11754.0,11754.0,22
CPT,29825,"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation High Cost Surgery",,,3950.0,3950.0,1
CPT,29825,"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Other Surgical Services",,,4150.0,4150.0,1
CPT,29825,"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation SCHEDULED",,,7203.72,7355.37,3
CPT,29825,"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation UNSCHEDULED",,,6829.98,6973.77,3
CPT,29826,"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for",,,1423.0,22212.0,186
CPT,29827,"Arthroscopy, shoulder, surgical; with rotator cuff repair ",,,2350.0,22212.0,163
CPT,29827,"Arthroscopy, shoulder, surgical; with rotator cuff repair Complex Surgery",,,11754.0,11754.0,22
CPT,29827,"Arthroscopy, shoulder, surgical; with rotator cuff repair High Cost Surgery",,,3950.0,3950.0,1
CPT,29827,"Arthroscopy, shoulder, surgical; with rotator cuff repair Other Surgical Services",,,4150.0,4150.0,1
CPT,29827,"Arthroscopy, shoulder, surgical; with rotator cuff repair SCHEDULED",,,4099.66,4185.97,3
CPT,29827,"Arthroscopy, shoulder, surgical; with rotator cuff repair UNSCHEDULED",,,11858.23,12107.88,3
CPT,29828,"Arthroscopy, shoulder, surgical; biceps tenodesis ",,,2350.0,22212.0,163
CPT,29828,"Arthroscopy, shoulder, surgical; biceps tenodesis Complex Surgery",,,11754.0,11754.0,22
CPT,29828,"Arthroscopy, shoulder, surgical; biceps tenodesis High Cost Surgery",,,3950.0,3950.0,1
CPT,29828,"Arthroscopy, shoulder, surgical; biceps tenodesis Other Surgical Services",,,4150.0,4150.0,1
CPT,29828,"Arthroscopy, shoulder, surgical; biceps tenodesis SCHEDULED",,,3385.68,3456.95,3
CPT,29828,"Arthroscopy, shoulder, surgical; biceps tenodesis UNSCHEDULED",,,6829.98,6973.77,3
CPT,29830,"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) ",,,2350.0,22212.0,163
CPT,29830,"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,29830,"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,29830,"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,29830,"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) SCHEDULED",,,5335.0,5447.32,3
CPT,29830,"Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29834,"Arthroscopy, elbow, surgical; with removal of loose body or foreign body ",,,2350.0,22212.0,163
CPT,29834,"Arthroscopy, elbow, surgical; with removal of loose body or foreign body Complex Surgery",,,11754.0,11754.0,22
CPT,29834,"Arthroscopy, elbow, surgical; with removal of loose body or foreign body High Cost Surgery",,,3950.0,3950.0,1
CPT,29834,"Arthroscopy, elbow, surgical; with removal of loose body or foreign body Other Surgical Services",,,4150.0,4150.0,1
CPT,29834,"Arthroscopy, elbow, surgical; with removal of loose body or foreign body SCHEDULED",,,5739.1,5859.93,3
CPT,29834,"Arthroscopy, elbow, surgical; with removal of loose body or foreign body UNSCHEDULED",,,6829.98,6973.77,3
CPT,29835,"Arthroscopy, elbow, surgical; synovectomy, partial ",,,2350.0,22212.0,163
CPT,29835,"Arthroscopy, elbow, surgical; synovectomy, partial Complex Surgery",,,11754.0,11754.0,22
CPT,29835,"Arthroscopy, elbow, surgical; synovectomy, partial High Cost Surgery",,,3950.0,3950.0,1
CPT,29835,"Arthroscopy, elbow, surgical; synovectomy, partial Other Surgical Services",,,4150.0,4150.0,1
CPT,29835,"Arthroscopy, elbow, surgical; synovectomy, partial SCHEDULED",,,6107.62,6236.2,3
CPT,29835,"Arthroscopy, elbow, surgical; synovectomy, partial UNSCHEDULED",,,6829.98,6973.77,3
CPT,29836,"Arthroscopy, elbow, surgical; synovectomy, complete ",,,2350.0,22212.0,163
CPT,29836,"Arthroscopy, elbow, surgical; synovectomy, complete Complex Surgery",,,11754.0,11754.0,22
CPT,29836,"Arthroscopy, elbow, surgical; synovectomy, complete High Cost Surgery",,,3950.0,3950.0,1
CPT,29836,"Arthroscopy, elbow, surgical; synovectomy, complete Other Surgical Services",,,4150.0,4150.0,1
CPT,29836,"Arthroscopy, elbow, surgical; synovectomy, complete SCHEDULED",,,8171.05,8343.08,3
CPT,29836,"Arthroscopy, elbow, surgical; synovectomy, complete UNSCHEDULED",,,6829.98,6973.77,3
CPT,29837,"Arthroscopy, elbow, surgical; debridement, limited ",,,2350.0,22212.0,163
CPT,29837,"Arthroscopy, elbow, surgical; debridement, limited Complex Surgery",,,11754.0,11754.0,22
CPT,29837,"Arthroscopy, elbow, surgical; debridement, limited High Cost Surgery",,,3950.0,3950.0,1
CPT,29837,"Arthroscopy, elbow, surgical; debridement, limited Other Surgical Services",,,4150.0,4150.0,1
CPT,29837,"Arthroscopy, elbow, surgical; debridement, limited SCHEDULED",,,3951.0,4034.18,3
CPT,29837,"Arthroscopy, elbow, surgical; debridement, limited UNSCHEDULED",,,6829.98,6973.77,3
CPT,29838,"Arthroscopy, elbow, surgical; debridement, extensive ",,,2350.0,22212.0,163
CPT,29838,"Arthroscopy, elbow, surgical; debridement, extensive Complex Surgery",,,11754.0,11754.0,22
CPT,29838,"Arthroscopy, elbow, surgical; debridement, extensive High Cost Surgery",,,3950.0,3950.0,1
CPT,29838,"Arthroscopy, elbow, surgical; debridement, extensive Other Surgical Services",,,4150.0,4150.0,1
CPT,29838,"Arthroscopy, elbow, surgical; debridement, extensive SCHEDULED",,,3126.04,3191.85,3
CPT,29838,"Arthroscopy, elbow, surgical; debridement, extensive UNSCHEDULED",,,6829.98,6973.77,3
CPT,29840,"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) ",,,2350.0,22212.0,163
CPT,29840,"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,29840,"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,29840,"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,29840,"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) SCHEDULED",,,3795.01,3874.91,3
CPT,29840,"Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29843,"Arthroscopy, wrist, surgical; for infection, lavage and drainage ",,,2350.0,22212.0,163
CPT,29843,"Arthroscopy, wrist, surgical; for infection, lavage and drainage Complex Surgery",,,11754.0,11754.0,22
CPT,29843,"Arthroscopy, wrist, surgical; for infection, lavage and drainage High Cost Surgery",,,3950.0,3950.0,1
CPT,29843,"Arthroscopy, wrist, surgical; for infection, lavage and drainage Other Surgical Services",,,4150.0,4150.0,1
CPT,29843,"Arthroscopy, wrist, surgical; for infection, lavage and drainage SCHEDULED",,,5335.0,5447.32,3
CPT,29843,"Arthroscopy, wrist, surgical; for infection, lavage and drainage UNSCHEDULED",,,6829.98,6973.77,3
CPT,29844,"Arthroscopy, wrist, surgical; synovectomy, partial ",,,2350.0,22212.0,163
CPT,29844,"Arthroscopy, wrist, surgical; synovectomy, partial Complex Surgery",,,11754.0,11754.0,22
CPT,29844,"Arthroscopy, wrist, surgical; synovectomy, partial High Cost Surgery",,,3950.0,3950.0,1
CPT,29844,"Arthroscopy, wrist, surgical; synovectomy, partial Other Surgical Services",,,4150.0,4150.0,1
CPT,29844,"Arthroscopy, wrist, surgical; synovectomy, partial SCHEDULED",,,9950.78,10160.27,3
CPT,29844,"Arthroscopy, wrist, surgical; synovectomy, partial UNSCHEDULED",,,6829.98,6973.77,3
CPT,29845,"Arthroscopy, wrist, surgical; synovectomy, complete ",,,2350.0,22212.0,163
CPT,29845,"Arthroscopy, wrist, surgical; synovectomy, complete Complex Surgery",,,11754.0,11754.0,22
CPT,29845,"Arthroscopy, wrist, surgical; synovectomy, complete High Cost Surgery",,,3950.0,3950.0,1
CPT,29845,"Arthroscopy, wrist, surgical; synovectomy, complete Other Surgical Services",,,4150.0,4150.0,1
CPT,29845,"Arthroscopy, wrist, surgical; synovectomy, complete SCHEDULED",,,6486.59,6623.15,3
CPT,29845,"Arthroscopy, wrist, surgical; synovectomy, complete UNSCHEDULED",,,6829.98,6973.77,3
CPT,29846,"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement ",,,2350.0,22212.0,163
CPT,29846,"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Complex Surgery",,,11754.0,11754.0,22
CPT,29846,"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement High Cost Surgery",,,3950.0,3950.0,1
CPT,29846,"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Other Surgical Services",,,4150.0,4150.0,1
CPT,29846,"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement SCHEDULED",,,4841.91,4943.85,3
CPT,29846,"Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement UNSCHEDULED",,,6829.98,6973.77,3
CPT,29847,"Arthroscopy, wrist, surgical; internal fixation for fracture or instability ",,,2350.0,22212.0,163
CPT,29847,"Arthroscopy, wrist, surgical; internal fixation for fracture or instability Complex Surgery",,,11754.0,11754.0,22
CPT,29847,"Arthroscopy, wrist, surgical; internal fixation for fracture or instability High Cost Surgery",,,3950.0,3950.0,1
CPT,29847,"Arthroscopy, wrist, surgical; internal fixation for fracture or instability Other Surgical Services",,,4150.0,4150.0,1
CPT,29847,"Arthroscopy, wrist, surgical; internal fixation for fracture or instability SCHEDULED",,,5335.0,5447.32,3
CPT,29847,"Arthroscopy, wrist, surgical; internal fixation for fracture or instability UNSCHEDULED",,,6829.98,6973.77,3
CPT,29848,"Endoscopy, wrist, surgical, with release of transverse carpal ligament ",,,2350.0,22212.0,163
CPT,29848,"Endoscopy, wrist, surgical, with release of transverse carpal ligament Complex Surgery",,,11754.0,11754.0,22
CPT,29848,"Endoscopy, wrist, surgical, with release of transverse carpal ligament High Cost Surgery",,,3950.0,3950.0,1
CPT,29848,"Endoscopy, wrist, surgical, with release of transverse carpal ligament Other Surgical Services",,,4150.0,4150.0,1
CPT,29848,"Endoscopy, wrist, surgical, with release of transverse carpal ligament SCHEDULED",,,2579.56,2633.87,3
CPT,29848,"Endoscopy, wrist, surgical, with release of transverse carpal ligament UNSCHEDULED",,,5201.0,5310.5,3
CPT,29850,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) ",,,2350.0,22212.0,163
CPT,29850,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) Complex",,,11754.0,11754.0,22
CPT,29850,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) High Co",,,3950.0,3950.0,1
CPT,29850,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) Other S",,,4150.0,4150.0,1
CPT,29850,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) SCHEDUL",,,13672.51,13960.36,3
CPT,29850,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) UNSCHED",,,6829.98,6973.77,3
CPT,29851,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) ",,,2350.0,22212.0,155
CPT,29851,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) Complex Su",,,11754.0,11754.0,22
CPT,29851,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) High Cost ",,,3950.0,3950.0,1
CPT,29851,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) Other Surg",,,4150.0,4150.0,1
CPT,29851,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) SCHEDULED",,,7762.76,7926.19,3
CPT,29851,"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) UNSCHEDULE",,,6829.98,6973.77,3
CPT,29855,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) ",,,2350.0,22212.0,163
CPT,29855,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) Complex Surgery",,,11754.0,11754.0,22
CPT,29855,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) High Cost Surgery",,,3950.0,3950.0,1
CPT,29855,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) Other Surgical Services",,,4150.0,4150.0,1
CPT,29855,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) SCHEDULED",,,6519.04,6656.29,3
CPT,29855,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29856,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) ",,,2350.0,22212.0,163
CPT,29856,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) Complex Surgery",,,11754.0,11754.0,22
CPT,29856,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) High Cost Surgery",,,3950.0,3950.0,1
CPT,29856,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) Other Surgical Services",,,4150.0,4150.0,1
CPT,29856,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) SCHEDULED",,,3930.06,4012.8,3
CPT,29856,"Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29860,"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) ",,,2350.0,22212.0,163
CPT,29860,"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,29860,"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,29860,"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,29860,"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) SCHEDULED",,,5335.0,5447.32,3
CPT,29860,"Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29861,"Arthroscopy, hip, surgical; with removal of loose body or foreign body ",,,2350.0,22212.0,163
CPT,29861,"Arthroscopy, hip, surgical; with removal of loose body or foreign body Complex Surgery",,,11754.0,11754.0,22
CPT,29861,"Arthroscopy, hip, surgical; with removal of loose body or foreign body High Cost Surgery",,,3950.0,3950.0,1
CPT,29861,"Arthroscopy, hip, surgical; with removal of loose body or foreign body Other Surgical Services",,,4150.0,4150.0,1
CPT,29861,"Arthroscopy, hip, surgical; with removal of loose body or foreign body SCHEDULED",,,4763.4,4863.68,3
CPT,29861,"Arthroscopy, hip, surgical; with removal of loose body or foreign body UNSCHEDULED",,,6829.98,6973.77,3
CPT,29862,"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum ",,,2350.0,22212.0,163
CPT,29862,"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum Complex Surgery",,,11754.0,11754.0,22
CPT,29862,"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum High Cost Surgery",,,3950.0,3950.0,1
CPT,29862,"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum Other Surgical Services",,,4150.0,4150.0,1
CPT,29862,"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum SCHEDULED",,,12246.64,12504.46,3
CPT,29862,"Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum UNSCHEDULED",,,6829.98,6973.77,3
CPT,29863,"Arthroscopy, hip, surgical; with synovectomy ",,,2350.0,22212.0,163
CPT,29863,"Arthroscopy, hip, surgical; with synovectomy Complex Surgery",,,11754.0,11754.0,22
CPT,29863,"Arthroscopy, hip, surgical; with synovectomy High Cost Surgery",,,3950.0,3950.0,1
CPT,29863,"Arthroscopy, hip, surgical; with synovectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,29863,"Arthroscopy, hip, surgical; with synovectomy SCHEDULED",,,11291.86,11529.58,3
CPT,29863,"Arthroscopy, hip, surgical; with synovectomy UNSCHEDULED",,,6829.98,6973.77,3
CPT,29866,"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs») ",,,2350.0,22212.0,163
CPT,29866,"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs») Complex Surgery",,,11754.0,11754.0,22
CPT,29866,"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs») High Cost Surgery",,,3950.0,3950.0,1
CPT,29866,"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs») Other Surgical Services",,,4150.0,4150.0,1
CPT,29866,"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs») SCHEDULED",,,10033.49,10244.72,3
CPT,29866,"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs») UNSCHEDULED",,,6829.98,6973.77,3
CPT,29867,"Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) ",,,2350.0,22212.0,163
CPT,29867,"Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Complex Surgery",,,11754.0,11754.0,22
CPT,29867,"Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) High Cost Surgery",,,3950.0,3950.0,1
CPT,29867,"Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Other Surgical Services",,,4150.0,4150.0,1
CPT,29867,"Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) SCHEDULED",,,4971.73,5076.4,3
CPT,29867,"Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29868,"Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral ",,,2350.0,22212.0,163
CPT,29868,"Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral Complex Surgery",,,11754.0,11754.0,22
CPT,29868,"Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral High Cost Surgery",,,3950.0,3950.0,1
CPT,29868,"Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral Other Surgical Services",,,4150.0,4150.0,1
CPT,29868,"Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral SCHEDULED",,,7017.37,7165.11,3
CPT,29868,"Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral UNSCHEDULED",,,6829.98,6973.77,3
CPT,29870,"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) ",,,2350.0,22212.0,163
CPT,29870,"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,29870,"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,29870,"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,29870,"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) SCHEDULED",,,4647.19,4745.03,3
CPT,29870,"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29871,"Arthroscopy, knee, surgical; for infection, lavage and drainage ",,,2350.0,22212.0,163
CPT,29871,"Arthroscopy, knee, surgical; for infection, lavage and drainage Complex Surgery",,,11754.0,11754.0,22
CPT,29871,"Arthroscopy, knee, surgical; for infection, lavage and drainage High Cost Surgery",,,3950.0,3950.0,1
CPT,29871,"Arthroscopy, knee, surgical; for infection, lavage and drainage Other Surgical Services",,,4150.0,4150.0,1
CPT,29871,"Arthroscopy, knee, surgical; for infection, lavage and drainage SCHEDULED",,,5335.0,5447.32,3
CPT,29871,"Arthroscopy, knee, surgical; for infection, lavage and drainage UNSCHEDULED",,,6829.98,6973.77,3
CPT,29873,"Arthroscopy, knee, surgical; with lateral release ",,,2350.0,22212.0,166
CPT,29873,"Arthroscopy, knee, surgical; with lateral release Complex Surgery",,,11754.0,11754.0,22
CPT,29873,"Arthroscopy, knee, surgical; with lateral release High Cost Surgery",,,3950.0,3950.0,1
CPT,29873,"Arthroscopy, knee, surgical; with lateral release Other Surgical Services",,,4150.0,4150.0,1
CPT,29873,"Arthroscopy, knee, surgical; with lateral release SCHEDULED",,,3327.05,3397.1,3
CPT,29873,"Arthroscopy, knee, surgical; with lateral release UNSCHEDULED",,,6829.98,6973.77,3
CPT,29874,"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) ",,,2350.0,22212.0,163
CPT,29874,"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) Complex Surgery",,,11754.0,11754.0,22
CPT,29874,"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) High Cost Surgery",,,3950.0,3950.0,1
CPT,29874,"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) Other Surgical Services",,,4150.0,4150.0,1
CPT,29874,"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) SCHEDULED",,,5251.25,5361.8,3
CPT,29874,"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) UNSCHEDULED",,,13598.19,13884.46,3
CPT,29875,"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) ",,,2350.0,22212.0,166
CPT,29875,"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,29875,"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,29875,"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,29875,"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) SCHEDULED",,,3300.88,3370.37,3
CPT,29875,"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) UNSCHEDULED",,,5490.99,5606.59,3
CPT,29876,"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral) ",,,2350.0,22212.0,163
CPT,29876,"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral) Complex Surgery",,,11754.0,11754.0,22
CPT,29876,"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral) High Cost Surgery",,,3950.0,3950.0,1
CPT,29876,"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral) Other Surgical Services",,,4150.0,4150.0,1
CPT,29876,"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral) SCHEDULED",,,3100.91,3166.2,3
CPT,29876,"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29877,"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) ",,,2350.0,22212.0,166
CPT,29877,"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Complex Surgery",,,11754.0,11754.0,22
CPT,29877,"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) High Cost Surgery",,,3950.0,3950.0,1
CPT,29877,"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Other Surgical Services",,,4150.0,4150.0,1
CPT,29877,"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) SCHEDULED",,,3870.39,3951.87,3
CPT,29877,"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) UNSCHEDULED",,,20683.6,21119.04,3
CPT,29879,"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture ",,,2350.0,22212.0,166
CPT,29879,"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture Complex Surgery",,,11754.0,11754.0,22
CPT,29879,"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture High Cost Surgery",,,3950.0,3950.0,1
CPT,29879,"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture Other Surgical Services",,,4150.0,4150.0,1
CPT,29879,"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture SCHEDULED",,,2323.07,2371.98,3
CPT,29879,"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture UNSCHEDULED",,,6378.77,6513.06,3
CPT,29880,"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s",,,2350.0,22212.0,196
CPT,29881,"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s)",,,2350.0,22212.0,196
CPT,29882,"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) ",,,2350.0,22212.0,166
CPT,29882,"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Complex Surgery",,,11754.0,11754.0,22
CPT,29882,"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) High Cost Surgery",,,3950.0,3950.0,1
CPT,29882,"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Other Surgical Services",,,4150.0,4150.0,1
CPT,29882,"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) SCHEDULED",,,5833.32,5956.13,3
CPT,29882,"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29883,"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) ",,,2350.0,22212.0,163
CPT,29883,"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Complex Surgery",,,11754.0,11754.0,22
CPT,29883,"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) High Cost Surgery",,,3950.0,3950.0,1
CPT,29883,"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Other Surgical Services",,,4150.0,4150.0,1
CPT,29883,"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) SCHEDULED",,,7068.66,7217.48,3
CPT,29883,"Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29884,"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) ",,,2350.0,22212.0,163
CPT,29884,"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,29884,"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,29884,"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,29884,"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) SCHEDULED",,,6979.68,7126.62,3
CPT,29884,"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29885,"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion) ",,,2350.0,22212.0,163
CPT,29885,"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion) Complex Surgery",,,11754.0,11754.0,22
CPT,29885,"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion) High Cost Surgery",,,3950.0,3950.0,1
CPT,29885,"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion) Other Surgical Services",,,4150.0,4150.0,1
CPT,29885,"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion) SCHEDULED",,,5335.0,5447.32,3
CPT,29885,"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29886,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion ",,,2350.0,22212.0,163
CPT,29886,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Complex Surgery",,,11754.0,11754.0,22
CPT,29886,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion High Cost Surgery",,,3950.0,3950.0,1
CPT,29886,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Other Surgical Services",,,4150.0,4150.0,1
CPT,29886,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion SCHEDULED",,,8483.03,8661.62,3
CPT,29886,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion UNSCHEDULED",,,6829.98,6973.77,3
CPT,29887,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation ",,,2350.0,22212.0,163
CPT,29887,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Complex Surgery",,,11754.0,11754.0,22
CPT,29887,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation High Cost Surgery",,,3950.0,3950.0,1
CPT,29887,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Other Surgical Services",,,4150.0,4150.0,1
CPT,29887,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation SCHEDULED",,,5335.0,5447.32,3
CPT,29887,"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation UNSCHEDULED",,,6829.98,6973.77,3
CPT,29888,Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction ,,,2350.0,22212.0,163
CPT,29888,Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Complex Surgery,,,11754.0,11754.0,22
CPT,29888,Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction High Cost Surgery,,,3950.0,3950.0,1
CPT,29888,Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Other Surgical Services,,,4150.0,4150.0,1
CPT,29888,Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction SCHEDULED,,,6155.77,6285.37,3
CPT,29888,Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction UNSCHEDULED,,,6829.98,6973.77,3
CPT,29889,Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction ,,,2350.0,22212.0,163
CPT,29889,Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Complex Surgery,,,11754.0,11754.0,22
CPT,29889,Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction High Cost Surgery,,,3950.0,3950.0,1
CPT,29889,Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Other Surgical Services,,,4150.0,4150.0,1
CPT,29889,Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction SCHEDULED,,,9740.36,9945.42,3
CPT,29889,Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction UNSCHEDULED,,,6829.98,6973.77,3
CPT,29891,"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect ",,,2350.0,22212.0,163
CPT,29891,"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect Complex Surgery",,,11754.0,11754.0,22
CPT,29891,"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect High Cost Surgery",,,3950.0,3950.0,1
CPT,29891,"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect Other Surgical Services",,,4150.0,4150.0,1
CPT,29891,"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect SCHEDULED",,,5049.2,5155.5,3
CPT,29891,"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect UNSCHEDULED",,,6829.98,6973.77,3
CPT,29892,"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy) ",,,2350.0,22212.0,163
CPT,29892,"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy) Complex Surgery",,,11754.0,11754.0,22
CPT,29892,"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy) High Cost Surgery",,,3950.0,3950.0,1
CPT,29892,"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy) Other Surgical Servic",,,4150.0,4150.0,1
CPT,29892,"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy) SCHEDULED",,,9991.62,10201.97,3
CPT,29892,"Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29893,Endoscopic plantar fasciotomy ,,,2350.0,22212.0,163
CPT,29893,Endoscopic plantar fasciotomy Complex Surgery,,,11754.0,11754.0,22
CPT,29893,Endoscopic plantar fasciotomy High Cost Surgery,,,3950.0,3950.0,1
CPT,29893,Endoscopic plantar fasciotomy Other Surgical Services,,,4150.0,4150.0,1
CPT,29893,Endoscopic plantar fasciotomy SCHEDULED,,,10626.03,10849.74,3
CPT,29893,Endoscopic plantar fasciotomy UNSCHEDULED,,,6829.98,6973.77,3
CPT,29894,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body ",,,2350.0,22212.0,163
CPT,29894,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Complex Surgery",,,11754.0,11754.0,22
CPT,29894,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body High Cost Surgery",,,3950.0,3950.0,1
CPT,29894,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Other Surgical Services",,,4150.0,4150.0,1
CPT,29894,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body SCHEDULED",,,6023.86,6150.68,3
CPT,29894,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body UNSCHEDULED",,,6829.98,6973.77,3
CPT,29895,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial ",,,2350.0,22212.0,163
CPT,29895,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Complex Surgery",,,11754.0,11754.0,22
CPT,29895,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial High Cost Surgery",,,3950.0,3950.0,1
CPT,29895,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Other Surgical Services",,,4150.0,4150.0,1
CPT,29895,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial SCHEDULED",,,6490.78,6627.43,3
CPT,29895,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial UNSCHEDULED",,,6829.98,6973.77,3
CPT,29897,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited ",,,2350.0,22212.0,163
CPT,29897,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Complex Surgery",,,11754.0,11754.0,22
CPT,29897,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited High Cost Surgery",,,3950.0,3950.0,1
CPT,29897,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Other Surgical Services",,,4150.0,4150.0,1
CPT,29897,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited SCHEDULED",,,4816.78,4918.19,3
CPT,29897,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited UNSCHEDULED",,,6829.98,6973.77,3
CPT,29898,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive ",,,2350.0,22212.0,163
CPT,29898,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Complex Surgery",,,11754.0,11754.0,22
CPT,29898,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive High Cost Surgery",,,3950.0,3950.0,1
CPT,29898,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Other Surgical Services",,,4150.0,4150.0,1
CPT,29898,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive SCHEDULED",,,6320.13,6453.19,3
CPT,29898,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive UNSCHEDULED",,,6829.98,6973.77,3
CPT,29899,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis ",,,2350.0,22212.0,163
CPT,29899,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Complex Surgery",,,11754.0,11754.0,22
CPT,29899,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis High Cost Surgery",,,3950.0,3950.0,1
CPT,29899,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Other Surgical Services",,,4150.0,4150.0,1
CPT,29899,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis SCHEDULED",,,11452.04,11693.14,3
CPT,29899,"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis UNSCHEDULED",,,6829.98,6973.77,3
CPT,29900,"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy ",,,2350.0,22212.0,163
CPT,29900,"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Complex Surgery",,,11754.0,11754.0,22
CPT,29900,"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy High Cost Surgery",,,3950.0,3950.0,1
CPT,29900,"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Other Surgical Services",,,4150.0,4150.0,1
CPT,29900,"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy SCHEDULED",,,6486.59,6623.15,3
CPT,29900,"Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy UNSCHEDULED",,,6829.98,6973.77,3
CPT,29901,"Arthroscopy, metacarpophalangeal joint, surgical; with debridement ",,,2350.0,22212.0,163
CPT,29901,"Arthroscopy, metacarpophalangeal joint, surgical; with debridement Complex Surgery",,,11754.0,11754.0,22
CPT,29901,"Arthroscopy, metacarpophalangeal joint, surgical; with debridement High Cost Surgery",,,3950.0,3950.0,1
CPT,29901,"Arthroscopy, metacarpophalangeal joint, surgical; with debridement Other Surgical Services",,,4150.0,4150.0,1
CPT,29901,"Arthroscopy, metacarpophalangeal joint, surgical; with debridement SCHEDULED",,,5335.0,5447.32,3
CPT,29901,"Arthroscopy, metacarpophalangeal joint, surgical; with debridement UNSCHEDULED",,,6829.98,6973.77,3
CPT,29902,"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener lesion) ",,,2350.0,22212.0,163
CPT,29902,"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener lesion) Complex Surgery",,,11754.0,11754.0,22
CPT,29902,"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener lesion) High Cost Surgery",,,3950.0,3950.0,1
CPT,29902,"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener lesion) Other Surgical Services",,,4150.0,4150.0,1
CPT,29902,"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener lesion) SCHEDULED",,,5335.0,5447.32,3
CPT,29902,"Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener lesion) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29904,"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body ",,,2350.0,22212.0,163
CPT,29904,"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Complex Surgery",,,11754.0,11754.0,22
CPT,29904,"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body High Cost Surgery",,,3950.0,3950.0,1
CPT,29904,"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Other Surgical Services",,,4150.0,4150.0,1
CPT,29904,"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body SCHEDULED",,,5335.0,5447.32,3
CPT,29904,"Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body UNSCHEDULED",,,6829.98,6973.77,3
CPT,29905,"Arthroscopy, subtalar joint, surgical; with synovectomy ",,,2350.0,22212.0,163
CPT,29905,"Arthroscopy, subtalar joint, surgical; with synovectomy Complex Surgery",,,11754.0,11754.0,22
CPT,29905,"Arthroscopy, subtalar joint, surgical; with synovectomy High Cost Surgery",,,3950.0,3950.0,1
CPT,29905,"Arthroscopy, subtalar joint, surgical; with synovectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,29905,"Arthroscopy, subtalar joint, surgical; with synovectomy SCHEDULED",,,1634.21,1668.61,3
CPT,29905,"Arthroscopy, subtalar joint, surgical; with synovectomy UNSCHEDULED",,,6829.98,6973.77,3
CPT,29906,"Arthroscopy, subtalar joint, surgical; with debridement ",,,2350.0,22212.0,163
CPT,29906,"Arthroscopy, subtalar joint, surgical; with debridement Complex Surgery",,,11754.0,11754.0,22
CPT,29906,"Arthroscopy, subtalar joint, surgical; with debridement High Cost Surgery",,,3950.0,3950.0,1
CPT,29906,"Arthroscopy, subtalar joint, surgical; with debridement Other Surgical Services",,,4150.0,4150.0,1
CPT,29906,"Arthroscopy, subtalar joint, surgical; with debridement SCHEDULED",,,10297.31,10514.09,3
CPT,29906,"Arthroscopy, subtalar joint, surgical; with debridement UNSCHEDULED",,,6829.98,6973.77,3
CPT,29907,"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis ",,,2350.0,22212.0,163
CPT,29907,"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Complex Surgery",,,11754.0,11754.0,22
CPT,29907,"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis High Cost Surgery",,,3950.0,3950.0,1
CPT,29907,"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Other Surgical Services",,,4150.0,4150.0,1
CPT,29907,"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis SCHEDULED",,,5335.0,5447.32,3
CPT,29907,"Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis UNSCHEDULED",,,6829.98,6973.77,3
CPT,29909,ARTHROSCOPY OF JOINT ,,,9935.0,22212.0,3
CPT,29909,ARTHROSCOPY OF JOINT SCHEDULED,,,5335.0,5447.32,3
CPT,29909,ARTHROSCOPY OF JOINT UNSCHEDULED,,,6829.98,6973.77,3
CPT,29914,"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) ",,,2350.0,22212.0,163
CPT,29914,"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Complex Surgery",,,11754.0,11754.0,22
CPT,29914,"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) High Cost Surgery",,,3950.0,3950.0,1
CPT,29914,"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Other Surgical Services",,,4150.0,4150.0,1
CPT,29914,"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) SCHEDULED",,,7912.47,8079.05,3
CPT,29914,"Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29915,"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) ",,,2350.0,22212.0,163
CPT,29915,"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) High Cost Surgery",,,3950.0,3950.0,1
CPT,29915,"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) Other Surgical Services",,,4150.0,4150.0,1
CPT,29915,"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) SCHEDULED",,,8999.15,9188.61,3
CPT,29915,"Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) UNSCHEDULED",,,6829.98,6973.77,3
CPT,29916,"Arthroscopy, hip, surgical; with labral repair ",,,2350.0,22212.0,163
CPT,29916,"Arthroscopy, hip, surgical; with labral repair Complex Surgery",,,11754.0,11754.0,22
CPT,29916,"Arthroscopy, hip, surgical; with labral repair High Cost Surgery",,,3950.0,3950.0,1
CPT,29916,"Arthroscopy, hip, surgical; with labral repair Other Surgical Services",,,4150.0,4150.0,1
CPT,29916,"Arthroscopy, hip, surgical; with labral repair SCHEDULED",,,9160.38,9353.23,3
CPT,29916,"Arthroscopy, hip, surgical; with labral repair UNSCHEDULED",,,6829.98,6973.77,3
CPT,29999,"Unlisted procedure, arthroscopy ",,,1844.0,22212.0,163
CPT,29999,"Unlisted procedure, arthroscopy Complex Surgery",,,11754.0,11754.0,22
CPT,29999,"Unlisted procedure, arthroscopy High Cost Surgery",,,3950.0,3950.0,1
CPT,29999,"Unlisted procedure, arthroscopy Other Surgical Services",,,4150.0,4150.0,1
CPT,29999,"Unlisted procedure, arthroscopy SCHEDULED",,,5057.57,5164.05,3
CPT,29999,"Unlisted procedure, arthroscopy UNSCHEDULED",,,126.67,129.34,3
CPT,30000,"Drainage abscess or hematoma, nasal, internal approach ",,,1423.0,9710.0,106
CPT,30000,"Drainage abscess or hematoma, nasal, internal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,30000,"Drainage abscess or hematoma, nasal, internal approach SCHEDULED",,,5102.59,5210.02,3
CPT,30000,"Drainage abscess or hematoma, nasal, internal approach UNSCHEDULED",,,587.31,599.67,3
CPT,30020,"Drainage abscess or hematoma, nasal septum ",,,1423.0,9710.0,106
CPT,30020,"Drainage abscess or hematoma, nasal septum Other Surgical Services",,,2850.0,2850.0,4
CPT,30020,"Drainage abscess or hematoma, nasal septum SCHEDULED",,,5102.59,5210.02,3
CPT,30020,"Drainage abscess or hematoma, nasal septum UNSCHEDULED",,,587.31,599.67,3
CPT,30100,"Biopsy, intranasal ",,,1950.0,9710.0,106
CPT,30100,"Biopsy, intranasal Other Surgical Services",,,2850.0,2850.0,4
CPT,30100,"Biopsy, intranasal SCHEDULED",,,5102.59,5210.02,3
CPT,30100,"Biopsy, intranasal UNSCHEDULED",,,587.31,599.67,3
CPT,30110,"Excision, nasal polyp(s), simple ",,,1950.0,9710.0,106
CPT,30110,"Excision, nasal polyp(s), simple Other Surgical Services",,,2850.0,2850.0,4
CPT,30110,"Excision, nasal polyp(s), simple SCHEDULED",,,5102.59,5210.02,3
CPT,30110,"Excision, nasal polyp(s), simple UNSCHEDULED",,,587.31,599.67,3
CPT,30115,"Excision, nasal polyp(s), extensive ",,,1950.0,18507.0,106
CPT,30115,"Excision, nasal polyp(s), extensive Other Surgical Services",,,2850.0,2850.0,4
CPT,30115,"Excision, nasal polyp(s), extensive SCHEDULED",,,5102.59,5210.02,3
CPT,30115,"Excision, nasal polyp(s), extensive UNSCHEDULED",,,587.31,599.67,3
CPT,30117,"Excision or destruction (eg, laser), intranasal lesion; internal approach ",,,1950.0,18507.0,106
CPT,30117,"Excision or destruction (eg, laser), intranasal lesion; internal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,30117,"Excision or destruction (eg, laser), intranasal lesion; internal approach SCHEDULED",,,5102.59,5210.02,3
CPT,30117,"Excision or destruction (eg, laser), intranasal lesion; internal approach UNSCHEDULED",,,587.31,599.67,3
CPT,30118,"Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy) ",,,1950.0,18507.0,106
CPT,30118,"Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,30118,"Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy) SCHEDULED",,,5102.59,5210.02,3
CPT,30118,"Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy) UNSCHEDULED",,,587.31,599.67,3
CPT,30120,Excision or surgical planing of skin of nose for rhinophyma ,,,1950.0,18507.0,106
CPT,30120,Excision or surgical planing of skin of nose for rhinophyma Other Surgical Services,,,2850.0,2850.0,4
CPT,30120,Excision or surgical planing of skin of nose for rhinophyma SCHEDULED,,,5102.59,5210.02,3
CPT,30120,Excision or surgical planing of skin of nose for rhinophyma UNSCHEDULED,,,587.31,599.67,3
CPT,30124,"Excision dermoid cyst, nose; simple, skin, subcutaneous ",,,1950.0,9710.0,106
CPT,30124,"Excision dermoid cyst, nose; simple, skin, subcutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,30124,"Excision dermoid cyst, nose; simple, skin, subcutaneous SCHEDULED",,,5102.59,5210.02,3
CPT,30124,"Excision dermoid cyst, nose; simple, skin, subcutaneous UNSCHEDULED",,,587.31,599.67,3
CPT,30125,"Excision dermoid cyst, nose; complex, under bone or cartilage ",,,1950.0,18507.0,106
CPT,30125,"Excision dermoid cyst, nose; complex, under bone or cartilage Other Surgical Services",,,2850.0,2850.0,4
CPT,30125,"Excision dermoid cyst, nose; complex, under bone or cartilage SCHEDULED",,,5102.59,5210.02,3
CPT,30125,"Excision dermoid cyst, nose; complex, under bone or cartilage UNSCHEDULED",,,587.31,599.67,3
CPT,30130,"Excision inferior turbinate, partial or complete, any method ",,,2350.0,18507.0,102
CPT,30130,"Excision inferior turbinate, partial or complete, any method Other Surgical Services",,,4150.0,4150.0,1
CPT,30130,"Excision inferior turbinate, partial or complete, any method SCHEDULED",,,5191.58,5300.88,3
CPT,30130,"Excision inferior turbinate, partial or complete, any method UNSCHEDULED",,,587.31,599.67,3
CPT,30140,"Submucous resection inferior turbinate, partial or complete, any method ",,,2350.0,18507.0,102
CPT,30140,"Submucous resection inferior turbinate, partial or complete, any method Other Surgical Services",,,4150.0,4150.0,1
CPT,30140,"Submucous resection inferior turbinate, partial or complete, any method SCHEDULED",,,4678.6,4777.09,3
CPT,30140,"Submucous resection inferior turbinate, partial or complete, any method UNSCHEDULED",,,587.31,599.67,3
CPT,30150,Rhinectomy; partial ,,,1950.0,18507.0,106
CPT,30150,Rhinectomy; partial Other Surgical Services,,,2850.0,2850.0,4
CPT,30150,Rhinectomy; partial SCHEDULED,,,5102.59,5210.02,3
CPT,30150,Rhinectomy; partial UNSCHEDULED,,,587.31,599.67,3
CPT,30160,Rhinectomy; total ,,,1950.0,18507.0,106
CPT,30160,Rhinectomy; total Other Surgical Services,,,2850.0,2850.0,4
CPT,30160,Rhinectomy; total SCHEDULED,,,5102.59,5210.02,3
CPT,30160,Rhinectomy; total UNSCHEDULED,,,587.31,599.67,3
CPT,30200,"Injection into turbinate(s), therapeutic ",,,1950.0,9710.0,106
CPT,30200,"Injection into turbinate(s), therapeutic Other Surgical Services",,,2850.0,2850.0,4
CPT,30200,"Injection into turbinate(s), therapeutic SCHEDULED",,,5102.59,5210.02,3
CPT,30200,"Injection into turbinate(s), therapeutic UNSCHEDULED",,,587.31,599.67,3
CPT,30210,Displacement therapy (Proetz type) ,,,1950.0,9710.0,106
CPT,30210,Displacement therapy (Proetz type) Other Surgical Services,,,2850.0,2850.0,4
CPT,30210,Displacement therapy (Proetz type) SCHEDULED,,,5102.59,5210.02,3
CPT,30210,Displacement therapy (Proetz type) UNSCHEDULED,,,587.31,599.67,3
CPT,30220,"Insertion, nasal septal prosthesis (button) ",,,1950.0,9710.0,106
CPT,30220,"Insertion, nasal septal prosthesis (button) Other Surgical Services",,,2850.0,2850.0,4
CPT,30220,"Insertion, nasal septal prosthesis (button) SCHEDULED",,,5102.59,5210.02,3
CPT,30220,"Insertion, nasal septal prosthesis (button) UNSCHEDULED",,,587.31,599.67,3
CPT,30300,"Removal foreign body, intranasal; office type procedure ",,,1423.0,9710.0,106
CPT,30300,"Removal foreign body, intranasal; office type procedure Other Surgical Services",,,2850.0,2850.0,4
CPT,30300,"Removal foreign body, intranasal; office type procedure SCHEDULED",,,5102.59,5210.02,3
CPT,30300,"Removal foreign body, intranasal; office type procedure UNSCHEDULED",,,587.31,599.67,3
CPT,30310,"Removal foreign body, intranasal; requiring general anesthesia ",,,1950.0,18507.0,106
CPT,30310,"Removal foreign body, intranasal; requiring general anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,30310,"Removal foreign body, intranasal; requiring general anesthesia SCHEDULED",,,12169.17,12425.36,3
CPT,30310,"Removal foreign body, intranasal; requiring general anesthesia UNSCHEDULED",,,587.31,599.67,3
CPT,30320,"Removal foreign body, intranasal; by lateral rhinotomy ",,,1950.0,9710.0,106
CPT,30320,"Removal foreign body, intranasal; by lateral rhinotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,30320,"Removal foreign body, intranasal; by lateral rhinotomy SCHEDULED",,,5102.59,5210.02,3
CPT,30320,"Removal foreign body, intranasal; by lateral rhinotomy UNSCHEDULED",,,587.31,599.67,3
CPT,30400,"Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip ",,,1950.0,18507.0,103
CPT,30400,"Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Other Surgical Services",,,2850.0,2850.0,4
CPT,30400,"Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip SCHEDULED",,,5102.59,5210.02,3
CPT,30400,"Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip UNSCHEDULED",,,587.31,599.67,3
CPT,30410,"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip ",,,1950.0,18507.0,103
CPT,30410,"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip Other Surgical Services",,,2850.0,2850.0,4
CPT,30410,"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip SCHEDULED",,,16302.32,16645.53,3
CPT,30410,"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip UNSCHEDULED",,,587.31,599.67,3
CPT,30420,"Rhinoplasty, primary; including major septal repair ",,,2350.0,18507.0,98
CPT,30420,"Rhinoplasty, primary; including major septal repair High Cost Surgery",,,3950.0,3950.0,1
CPT,30420,"Rhinoplasty, primary; including major septal repair Other Surgical Services",,,4150.0,4150.0,1
CPT,30420,"Rhinoplasty, primary; including major septal repair SCHEDULED",,,7935.5,8102.57,3
CPT,30420,"Rhinoplasty, primary; including major septal repair UNSCHEDULED",,,9250.41,9445.15,3
CPT,30430,"Rhinoplasty, secondary; minor revision (small amount of nasal tip work) ",,,2350.0,18507.0,98
CPT,30430,"Rhinoplasty, secondary; minor revision (small amount of nasal tip work) High Cost Surgery",,,3950.0,3950.0,1
CPT,30430,"Rhinoplasty, secondary; minor revision (small amount of nasal tip work) Other Surgical Services",,,4150.0,4150.0,1
CPT,30430,"Rhinoplasty, secondary; minor revision (small amount of nasal tip work) SCHEDULED",,,5102.59,5210.02,3
CPT,30430,"Rhinoplasty, secondary; minor revision (small amount of nasal tip work) UNSCHEDULED",,,587.31,599.67,3
CPT,30435,"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies) ",,,2350.0,18507.0,98
CPT,30435,"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies) High Cost Surgery",,,3950.0,3950.0,1
CPT,30435,"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies) Other Surgical Services",,,4150.0,4150.0,1
CPT,30435,"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies) SCHEDULED",,,10593.58,10816.61,3
CPT,30435,"Rhinoplasty, secondary; intermediate revision (bony work with osteotomies) UNSCHEDULED",,,587.31,599.67,3
CPT,30450,"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) ",,,2350.0,18507.0,98
CPT,30450,"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) High Cost Surgery",,,3950.0,3950.0,1
CPT,30450,"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) Other Surgical Services",,,4150.0,4150.0,1
CPT,30450,"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) SCHEDULED",,,5102.59,5210.02,3
CPT,30450,"Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) UNSCHEDULED",,,587.31,599.67,3
CPT,30460,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only ",,,2350.0,18507.0,98
CPT,30460,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only High Cost Surgery",,,3950.0,3950.0,1
CPT,30460,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only Other Surgical Services",,,4150.0,4150.0,1
CPT,30460,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only SCHEDULED",,,5102.59,5210.02,3
CPT,30460,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only UNSCHEDULED",,,587.31,599.67,3
CPT,30462,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies ",,,2350.0,18507.0,98
CPT,30462,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies High Cost Surgery",,,3950.0,3950.0,1
CPT,30462,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies Other Surgical Services",,,4150.0,4150.0,1
CPT,30462,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies SCHEDULED",,,5102.59,5210.02,3
CPT,30462,"Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies UNSCHEDULED",,,587.31,599.67,3
CPT,30465,"Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction) ",,,2350.0,18507.0,98
CPT,30465,"Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction) High Cost Surgery",,,3950.0,3950.0,1
CPT,30465,"Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction) Other Surgical Services",,,4150.0,4150.0,1
CPT,30465,"Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction) SCHEDULED",,,6401.79,6536.57,3
CPT,30465,"Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction) UNSCHEDULED",,,587.31,599.67,3
CPT,30468,Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) ,,,2350.0,18507.0,70
CPT,30468,Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) High Cost Surgery,,,3950.0,3950.0,1
CPT,30468,Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Other Surgical Services,,,4150.0,4150.0,1
CPT,30468,Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) SCHEDULED,,,5102.59,5210.02,3
CPT,30468,Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) UNSCHEDULED,,,587.31,599.67,3
CPT,30469,"Repair of nasal valve collapse with low energy, temperature-controlled (ie, radiofrequency) subcutaneous/submucosal remodeling ",,,2350.0,18507.0,70
CPT,30469,"Repair of nasal valve collapse with low energy, temperature-controlled (ie, radiofrequency) subcutaneous/submucosal remodeling High Cost Surgery",,,3950.0,3950.0,1
CPT,30469,"Repair of nasal valve collapse with low energy, temperature-controlled (ie, radiofrequency) subcutaneous/submucosal remodeling Other Surgical Services",,,4150.0,4150.0,1
CPT,30469,"Repair of nasal valve collapse with low energy, temperature-controlled (ie, radiofrequency) subcutaneous/submucosal remodeling SCHEDULED",,,5102.59,5210.02,3
CPT,30469,"Repair of nasal valve collapse with low energy, temperature-controlled (ie, radiofrequency) subcutaneous/submucosal remodeling UNSCHEDULED",,,587.31,599.67,3
CPT,30520,"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft ",,,2350.0,18507.0,98
CPT,30520,"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft High Cost Surgery",,,3950.0,3950.0,1
CPT,30520,"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Other Surgical Services",,,4150.0,4150.0,1
CPT,30520,"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft SCHEDULED",,,4678.6,4777.09,3
CPT,30520,"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft UNSCHEDULED",,,587.31,599.67,3
CPT,30540,Repair choanal atresia; intranasal ,,,2350.0,18507.0,98
CPT,30540,Repair choanal atresia; intranasal High Cost Surgery,,,3950.0,3950.0,1
CPT,30540,Repair choanal atresia; intranasal Other Surgical Services,,,4150.0,4150.0,1
CPT,30540,Repair choanal atresia; intranasal SCHEDULED,,,5102.59,5210.02,3
CPT,30540,Repair choanal atresia; intranasal UNSCHEDULED,,,587.31,599.67,3
CPT,30545,Repair choanal atresia; transpalatine ,,,2350.0,18507.0,98
CPT,30545,Repair choanal atresia; transpalatine High Cost Surgery,,,3950.0,3950.0,1
CPT,30545,Repair choanal atresia; transpalatine Other Surgical Services,,,4150.0,4150.0,1
CPT,30545,Repair choanal atresia; transpalatine SCHEDULED,,,5102.59,5210.02,3
CPT,30545,Repair choanal atresia; transpalatine UNSCHEDULED,,,587.31,599.67,3
CPT,30560,Lysis intranasal synechia ,,,1423.0,9710.0,98
CPT,30560,Lysis intranasal synechia High Cost Surgery,,,3950.0,3950.0,1
CPT,30560,Lysis intranasal synechia Other Surgical Services,,,4150.0,4150.0,1
CPT,30560,Lysis intranasal synechia SCHEDULED,,,5102.59,5210.02,3
CPT,30560,Lysis intranasal synechia UNSCHEDULED,,,587.31,599.67,3
CPT,30580,Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) ,,,2350.0,18507.0,98
CPT,30580,Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) High Cost Surgery,,,3950.0,3950.0,1
CPT,30580,Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) Other Surgical Services,,,4150.0,4150.0,1
CPT,30580,Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) SCHEDULED,,,5102.59,5210.02,3
CPT,30580,Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) UNSCHEDULED,,,587.31,599.67,3
CPT,30600,Repair fistula; oronasal ,,,2350.0,18507.0,98
CPT,30600,Repair fistula; oronasal High Cost Surgery,,,3950.0,3950.0,1
CPT,30600,Repair fistula; oronasal Other Surgical Services,,,4150.0,4150.0,1
CPT,30600,Repair fistula; oronasal SCHEDULED,,,5102.59,5210.02,3
CPT,30600,Repair fistula; oronasal UNSCHEDULED,,,587.31,599.67,3
CPT,30620,Septal or other intranasal dermatoplasty (does not include obtaining graft) ,,,2350.0,18507.0,98
CPT,30620,Septal or other intranasal dermatoplasty (does not include obtaining graft) High Cost Surgery,,,3950.0,3950.0,1
CPT,30620,Septal or other intranasal dermatoplasty (does not include obtaining graft) Other Surgical Services,,,4150.0,4150.0,1
CPT,30620,Septal or other intranasal dermatoplasty (does not include obtaining graft) SCHEDULED,,,5102.59,5210.02,3
CPT,30620,Septal or other intranasal dermatoplasty (does not include obtaining graft) UNSCHEDULED,,,587.31,599.67,3
CPT,30630,Repair nasal septal perforations ,,,2350.0,18507.0,98
CPT,30630,Repair nasal septal perforations High Cost Surgery,,,3950.0,3950.0,1
CPT,30630,Repair nasal septal perforations Other Surgical Services,,,4150.0,4150.0,1
CPT,30630,Repair nasal septal perforations SCHEDULED,,,5102.59,5210.02,3
CPT,30630,Repair nasal septal perforations UNSCHEDULED,,,3937.39,4020.28,3
CPT,30801,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial ",,,1950.0,9710.0,106
CPT,30801,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial Other Surgical Services",,,2850.0,2850.0,4
CPT,30801,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial SCHEDULED",,,5102.59,5210.02,3
CPT,30801,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial UNSCHEDULED",,,587.31,599.67,3
CPT,30802,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal) ",,,1950.0,9710.0,106
CPT,30802,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal) Other Surgical ",,,2850.0,2850.0,4
CPT,30802,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal) SCHEDULED",,,5102.59,5210.02,3
CPT,30802,"Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal) UNSCHEDULED",,,587.31,599.67,3
CPT,30901,"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method ",,,1423.0,9710.0,106
CPT,30901,"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method Other Surgical Services",,,2850.0,2850.0,4
CPT,30901,"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method SCHEDULED",,,252.3,257.61,3
CPT,30901,"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method UNSCHEDULED",,,438.65,447.89,3
CPT,30903,"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method ",,,1423.0,9710.0,106
CPT,30903,"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method Other Surgical Services",,,2850.0,2850.0,4
CPT,30903,"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method SCHEDULED",,,5102.59,5210.02,3
CPT,30903,"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method UNSCHEDULED",,,587.31,599.67,3
CPT,30905,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial ",,,1423.0,9710.0,106
CPT,30905,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial Other Surgical Services",,,2850.0,2850.0,4
CPT,30905,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial SCHEDULED",,,5102.59,5210.02,3
CPT,30905,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial UNSCHEDULED",,,196.82,200.96,3
CPT,30906,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent ",,,1423.0,9710.0,106
CPT,30906,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent Other Surgical Services",,,2850.0,2850.0,4
CPT,30906,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent SCHEDULED",,,298.37,304.65,3
CPT,30906,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent UNSCHEDULED",,,587.31,599.67,3
CPT,30915,Ligation arteries; ethmoidal ,,,1950.0,14792.0,106
CPT,30915,Ligation arteries; ethmoidal Other Surgical Services,,,2850.0,2850.0,4
CPT,30915,Ligation arteries; ethmoidal SCHEDULED,,,5102.59,5210.02,3
CPT,30915,Ligation arteries; ethmoidal UNSCHEDULED,,,587.31,599.67,3
CPT,30920,"Ligation arteries; internal maxillary artery, transantral ",,,1950.0,14792.0,106
CPT,30920,"Ligation arteries; internal maxillary artery, transantral Other Surgical Services",,,2850.0,2850.0,4
CPT,30920,"Ligation arteries; internal maxillary artery, transantral SCHEDULED",,,5102.59,5210.02,3
CPT,30920,"Ligation arteries; internal maxillary artery, transantral UNSCHEDULED",,,587.31,599.67,3
CPT,30930,"Fracture nasal inferior turbinate(s), therapeutic ",,,1950.0,18507.0,106
CPT,30930,"Fracture nasal inferior turbinate(s), therapeutic Other Surgical Services",,,2850.0,2850.0,4
CPT,30930,"Fracture nasal inferior turbinate(s), therapeutic SCHEDULED",,,3626.46,3702.81,3
CPT,30930,"Fracture nasal inferior turbinate(s), therapeutic UNSCHEDULED",,,587.31,599.67,3
CPT,30999,"Unlisted procedure, nose ",,,1423.0,9710.0,106
CPT,30999,"Unlisted procedure, nose Other Surgical Services",,,2850.0,2850.0,4
CPT,30999,"Unlisted procedure, nose SCHEDULED",,,3851.55,3932.63,3
CPT,30999,"Unlisted procedure, nose UNSCHEDULED",,,587.31,599.67,3
CPT,31000,Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) ,,,1423.0,9710.0,106
CPT,31000,Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) Other Surgical Services,,,2850.0,2850.0,4
CPT,31000,Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) SCHEDULED,,,4524.7,4619.95,3
CPT,31000,Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) UNSCHEDULED,,,486.81,497.06,3
CPT,31002,Lavage by cannulation; sphenoid sinus ,,,1950.0,9710.0,106
CPT,31002,Lavage by cannulation; sphenoid sinus Other Surgical Services,,,2850.0,2850.0,4
CPT,31002,Lavage by cannulation; sphenoid sinus SCHEDULED,,,4524.7,4619.95,3
CPT,31002,Lavage by cannulation; sphenoid sinus UNSCHEDULED,,,486.81,497.06,3
CPT,31020,"Sinusotomy, maxillary (antrotomy); intranasal ",,,2350.0,18507.0,98
CPT,31020,"Sinusotomy, maxillary (antrotomy); intranasal High Cost Surgery",,,3950.0,3950.0,1
CPT,31020,"Sinusotomy, maxillary (antrotomy); intranasal Other Surgical Services",,,4150.0,4150.0,1
CPT,31020,"Sinusotomy, maxillary (antrotomy); intranasal SCHEDULED",,,2816.16,2875.45,3
CPT,31020,"Sinusotomy, maxillary (antrotomy); intranasal UNSCHEDULED",,,486.81,497.06,3
CPT,31030,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps ",,,2350.0,18507.0,98
CPT,31030,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps High Cost Surgery",,,3950.0,3950.0,1
CPT,31030,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Other Surgical Services",,,4150.0,4150.0,1
CPT,31030,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps SCHEDULED",,,4524.7,4619.95,3
CPT,31030,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps UNSCHEDULED",,,486.81,497.06,3
CPT,31032,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps ",,,2350.0,18507.0,98
CPT,31032,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps High Cost Surgery",,,3950.0,3950.0,1
CPT,31032,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Other Surgical Services",,,4150.0,4150.0,1
CPT,31032,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps SCHEDULED",,,4524.7,4619.95,3
CPT,31032,"Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps UNSCHEDULED",,,486.81,497.06,3
CPT,31040,"Pterygomaxillary fossa surgery, any approach ",,,2350.0,18507.0,98
CPT,31040,"Pterygomaxillary fossa surgery, any approach High Cost Surgery",,,3950.0,3950.0,1
CPT,31040,"Pterygomaxillary fossa surgery, any approach Other Surgical Services",,,4150.0,4150.0,1
CPT,31040,"Pterygomaxillary fossa surgery, any approach SCHEDULED",,,5918.13,6042.72,3
CPT,31040,"Pterygomaxillary fossa surgery, any approach UNSCHEDULED",,,486.81,497.06,3
CPT,31050,"Sinusotomy, sphenoid, with or without biopsy; ",,,2350.0,18507.0,98
CPT,31050,"Sinusotomy, sphenoid, with or without biopsy; High Cost Surgery",,,3950.0,3950.0,1
CPT,31050,"Sinusotomy, sphenoid, with or without biopsy; Other Surgical Services",,,4150.0,4150.0,1
CPT,31050,"Sinusotomy, sphenoid, with or without biopsy; SCHEDULED",,,4524.7,4619.95,3
CPT,31050,"Sinusotomy, sphenoid, with or without biopsy; UNSCHEDULED",,,486.81,497.06,3
CPT,31051,"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) ",,,2350.0,18507.0,98
CPT,31051,"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) High Cost Surgery",,,3950.0,3950.0,1
CPT,31051,"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Other Surgical Services",,,4150.0,4150.0,1
CPT,31051,"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) SCHEDULED",,,4524.7,4619.95,3
CPT,31051,"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) UNSCHEDULED",,,486.81,497.06,3
CPT,31070,"Sinusotomy frontal; external, simple (trephine operation) ",,,2350.0,18507.0,98
CPT,31070,"Sinusotomy frontal; external, simple (trephine operation) High Cost Surgery",,,3950.0,3950.0,1
CPT,31070,"Sinusotomy frontal; external, simple (trephine operation) Other Surgical Services",,,4150.0,4150.0,1
CPT,31070,"Sinusotomy frontal; external, simple (trephine operation) SCHEDULED",,,4524.7,4619.95,3
CPT,31070,"Sinusotomy frontal; external, simple (trephine operation) UNSCHEDULED",,,486.81,497.06,3
CPT,31075,"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) ",,,2350.0,18507.0,98
CPT,31075,"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) High Cost Surgery",,,3950.0,3950.0,1
CPT,31075,"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Other Surgical Services",,,4150.0,4150.0,1
CPT,31075,"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) SCHEDULED",,,4524.7,4619.95,3
CPT,31075,"Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) UNSCHEDULED",,,486.81,497.06,3
CPT,31080,"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) ",,,2350.0,18507.0,98
CPT,31080,"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) High Cost Surgery",,,3950.0,3950.0,1
CPT,31080,"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Other Surgical Services",,,4150.0,4150.0,1
CPT,31080,"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) SCHEDULED",,,4524.7,4619.95,3
CPT,31080,"Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) UNSCHEDULED",,,486.81,497.06,3
CPT,31081,"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) ",,,2350.0,18507.0,98
CPT,31081,"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) High Cost Surgery",,,3950.0,3950.0,1
CPT,31081,"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Other Surgical Services",,,4150.0,4150.0,1
CPT,31081,"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) SCHEDULED",,,4524.7,4619.95,3
CPT,31081,"Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) UNSCHEDULED",,,486.81,497.06,3
CPT,31084,"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision ",,,2350.0,18507.0,98
CPT,31084,"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision High Cost Surgery",,,3950.0,3950.0,1
CPT,31084,"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Other Surgical Services",,,4150.0,4150.0,1
CPT,31084,"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision SCHEDULED",,,4524.7,4619.95,3
CPT,31084,"Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision UNSCHEDULED",,,486.81,497.06,3
CPT,31085,"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision ",,,2350.0,18507.0,98
CPT,31085,"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision High Cost Surgery",,,3950.0,3950.0,1
CPT,31085,"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Other Surgical Services",,,4150.0,4150.0,1
CPT,31085,"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision SCHEDULED",,,4524.7,4619.95,3
CPT,31085,"Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision UNSCHEDULED",,,486.81,497.06,3
CPT,31086,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision ",,,2350.0,18507.0,98
CPT,31086,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision High Cost Surgery",,,3950.0,3950.0,1
CPT,31086,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Other Surgical Services",,,4150.0,4150.0,1
CPT,31086,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision SCHEDULED",,,4524.7,4619.95,3
CPT,31086,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision UNSCHEDULED",,,486.81,497.06,3
CPT,31087,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision ",,,2350.0,18507.0,98
CPT,31087,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision High Cost Surgery",,,3950.0,3950.0,1
CPT,31087,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Other Surgical Services",,,4150.0,4150.0,1
CPT,31087,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision SCHEDULED",,,4524.7,4619.95,3
CPT,31087,"Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision UNSCHEDULED",,,486.81,497.06,3
CPT,31090,"Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) ",,,2350.0,18507.0,98
CPT,31090,"Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) High Cost Surgery",,,3950.0,3950.0,1
CPT,31090,"Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Other Surgical Services",,,4150.0,4150.0,1
CPT,31090,"Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) SCHEDULED",,,4524.7,4619.95,3
CPT,31090,"Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) UNSCHEDULED",,,486.81,497.06,3
CPT,3111F,"CT or MRI of the brain performed in the hospital within 24 hours of arrival or performed in an outpatient imaging center, to confirm initial diagnosis of stroke, TIA or intracranial hemorrhage (STR) ",,,879.0,2469.0,36
CPT,3112F,"CT or MRI of the brain performed greater than 24 hours after arrival to the hospital or performed in an outpatient imaging center for purpose other than confirmation of initial diagnosis of stroke, TI",,,879.0,2469.0,36
CPT,31200,"Ethmoidectomy; intranasal, anterior ",,,2350.0,18507.0,98
CPT,31200,"Ethmoidectomy; intranasal, anterior High Cost Surgery",,,3950.0,3950.0,1
CPT,31200,"Ethmoidectomy; intranasal, anterior Other Surgical Services",,,4150.0,4150.0,1
CPT,31200,"Ethmoidectomy; intranasal, anterior SCHEDULED",,,2202.68,2249.05,3
CPT,31200,"Ethmoidectomy; intranasal, anterior UNSCHEDULED",,,486.81,497.06,3
CPT,31201,"Ethmoidectomy; intranasal, total ",,,2350.0,9710.0,98
CPT,31201,"Ethmoidectomy; intranasal, total High Cost Surgery",,,3950.0,3950.0,1
CPT,31201,"Ethmoidectomy; intranasal, total Other Surgical Services",,,4150.0,4150.0,1
CPT,31201,"Ethmoidectomy; intranasal, total SCHEDULED",,,4524.7,4619.95,3
CPT,31201,"Ethmoidectomy; intranasal, total UNSCHEDULED",,,486.81,497.06,3
CPT,31205,"Ethmoidectomy; extranasal, total ",,,2350.0,18507.0,98
CPT,31205,"Ethmoidectomy; extranasal, total High Cost Surgery",,,3950.0,3950.0,1
CPT,31205,"Ethmoidectomy; extranasal, total Other Surgical Services",,,4150.0,4150.0,1
CPT,31205,"Ethmoidectomy; extranasal, total SCHEDULED",,,4524.7,4619.95,3
CPT,31205,"Ethmoidectomy; extranasal, total UNSCHEDULED",,,486.81,497.06,3
CPT,31225,Maxillectomy; without orbital exenteration ,,,2350.0,31992.0,70
CPT,31225,Maxillectomy; without orbital exenteration High Cost Surgery,,,3950.0,3950.0,1
CPT,31225,Maxillectomy; without orbital exenteration Other Surgical Services,,,4150.0,4150.0,1
CPT,31225,Maxillectomy; without orbital exenteration SCHEDULED,,,4524.7,4619.95,3
CPT,31225,Maxillectomy; without orbital exenteration UNSCHEDULED,,,486.81,497.06,3
CPT,31230,Maxillectomy; with orbital exenteration (en bloc) ,,,2350.0,31992.0,70
CPT,31230,Maxillectomy; with orbital exenteration (en bloc) High Cost Surgery,,,3950.0,3950.0,1
CPT,31230,Maxillectomy; with orbital exenteration (en bloc) Other Surgical Services,,,4150.0,4150.0,1
CPT,31230,Maxillectomy; with orbital exenteration (en bloc) SCHEDULED,,,4524.7,4619.95,3
CPT,31230,Maxillectomy; with orbital exenteration (en bloc) UNSCHEDULED,,,486.81,497.06,3
CPT,31231,"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) ",,,1423.0,9710.0,98
CPT,31231,"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,31231,"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,31231,"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) SCHEDULED",,,4524.7,4619.95,3
CPT,31231,"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) UNSCHEDULED",,,486.81,497.06,3
CPT,31233,"Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) ",,,1982.0,9710.0,98
CPT,31233,"Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) High Cost Surgery",,,3950.0,3950.0,1
CPT,31233,"Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Other Surgical Services",,,4150.0,4150.0,1
CPT,31233,"Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) SCHEDULED",,,4524.7,4619.95,3
CPT,31233,"Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) UNSCHEDULED",,,486.81,497.06,3
CPT,31235,"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium) ",,,2350.0,9710.0,98
CPT,31235,"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium) High Cost Surgery",,,3950.0,3950.0,1
CPT,31235,"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium) Other Surgical Services",,,4150.0,4150.0,1
CPT,31235,"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium) SCHEDULED",,,4524.7,4619.95,3
CPT,31235,"Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium) UNSCHEDULED",,,486.81,497.06,3
CPT,31237,"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) ",,,2350.0,22212.0,101
CPT,31237,"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,31237,"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,31237,"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) SCHEDULED",,,2933.41,2995.17,3
CPT,31237,"Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) UNSCHEDULED",,,486.81,497.06,3
CPT,31238,"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage ",,,2350.0,22212.0,98
CPT,31238,"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage High Cost Surgery",,,3950.0,3950.0,1
CPT,31238,"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Other Surgical Services",,,4150.0,4150.0,1
CPT,31238,"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage SCHEDULED",,,4524.7,4619.95,3
CPT,31238,"Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage UNSCHEDULED",,,486.81,497.06,3
CPT,31239,"Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy ",,,2350.0,22212.0,98
CPT,31239,"Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy High Cost Surgery",,,3950.0,3950.0,1
CPT,31239,"Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Other Surgical Services",,,4150.0,4150.0,1
CPT,31239,"Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy SCHEDULED",,,4524.7,4619.95,3
CPT,31239,"Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy UNSCHEDULED",,,486.81,497.06,3
CPT,31240,"Nasal/sinus endoscopy, surgical; with concha bullosa resection ",,,2350.0,22212.0,98
CPT,31240,"Nasal/sinus endoscopy, surgical; with concha bullosa resection High Cost Surgery",,,3950.0,3950.0,1
CPT,31240,"Nasal/sinus endoscopy, surgical; with concha bullosa resection Other Surgical Services",,,4150.0,4150.0,1
CPT,31240,"Nasal/sinus endoscopy, surgical; with concha bullosa resection SCHEDULED",,,3938.43,4021.35,3
CPT,31240,"Nasal/sinus endoscopy, surgical; with concha bullosa resection UNSCHEDULED",,,486.81,497.06,3
CPT,31241,"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery ",,,2350.0,9710.0,70
CPT,31241,"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery High Cost Surgery",,,3950.0,3950.0,1
CPT,31241,"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery Other Surgical Services",,,4150.0,4150.0,1
CPT,31241,"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery SCHEDULED",,,4524.7,4619.95,3
CPT,31241,"Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery UNSCHEDULED",,,486.81,497.06,3
CPT,31242,"Nasal/sinus endoscopy, surgical; with destruction by radiofrequency ablation, posterior nasal nerve ",,,2350.0,18507.0,70
CPT,31242,"Nasal/sinus endoscopy, surgical; with destruction by radiofrequency ablation, posterior nasal nerve High Cost Surgery",,,3950.0,3950.0,1
CPT,31242,"Nasal/sinus endoscopy, surgical; with destruction by radiofrequency ablation, posterior nasal nerve Other Surgical Services",,,4150.0,4150.0,1
CPT,31242,"Nasal/sinus endoscopy, surgical; with destruction by radiofrequency ablation, posterior nasal nerve UNSCHEDULED",,,486.81,497.06,3
CPT,31243,"Nasal/sinus endoscopy, surgical; with destruction by cryoablation, posterior nasal nerve ",,,2350.0,18507.0,70
CPT,31243,"Nasal/sinus endoscopy, surgical; with destruction by cryoablation, posterior nasal nerve High Cost Surgery",,,3950.0,3950.0,1
CPT,31243,"Nasal/sinus endoscopy, surgical; with destruction by cryoablation, posterior nasal nerve Other Surgical Services",,,4150.0,4150.0,1
CPT,31243,"Nasal/sinus endoscopy, surgical; with destruction by cryoablation, posterior nasal nerve UNSCHEDULED",,,486.81,497.06,3
CPT,31253,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed ",,,2350.0,18507.0,70
CPT,31253,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed High Cost Surgery",,,3950.0,3950.0,1
CPT,31253,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed Other Surgical Servic",,,4150.0,4150.0,1
CPT,31253,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed SCHEDULED",,,4524.7,4619.95,3
CPT,31253,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed UNSCHEDULED",,,486.81,497.06,3
CPT,31254,"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior) ",,,2350.0,22212.0,163
CPT,31254,"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior) Complex Surgery",,,11754.0,11754.0,22
CPT,31254,"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior) High Cost Surgery",,,3950.0,3950.0,1
CPT,31254,"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior) Other Surgical Services",,,4150.0,4150.0,1
CPT,31254,"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior) SCHEDULED",,,6393.41,6528.01,3
CPT,31254,"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior) UNSCHEDULED",,,486.81,497.06,3
CPT,31255,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) ",,,2350.0,22212.0,163
CPT,31255,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) Complex Surgery",,,11754.0,11754.0,22
CPT,31255,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) High Cost Surgery",,,3950.0,3950.0,1
CPT,31255,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) Other Surgical Services",,,4150.0,4150.0,1
CPT,31255,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) SCHEDULED",,,3131.28,3197.2,3
CPT,31255,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) UNSCHEDULED",,,486.81,497.06,3
CPT,31256,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; ",,,2350.0,22212.0,163
CPT,31256,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Complex Surgery",,,11754.0,11754.0,22
CPT,31256,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; High Cost Surgery",,,3950.0,3950.0,1
CPT,31256,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Other Surgical Services",,,4150.0,4150.0,1
CPT,31256,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; SCHEDULED",,,4960.22,5064.64,3
CPT,31256,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; UNSCHEDULED",,,486.81,497.06,3
CPT,31257,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy ",,,2350.0,22212.0,135
CPT,31257,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Complex Surgery",,,11754.0,11754.0,22
CPT,31257,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy High Cost Surgery",,,3950.0,3950.0,1
CPT,31257,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Other Surgical Services",,,4150.0,4150.0,1
CPT,31257,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy SCHEDULED",,,4524.7,4619.95,3
CPT,31257,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy UNSCHEDULED",,,486.81,497.06,3
CPT,31259,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus ",,,2350.0,22212.0,135
CPT,31259,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus Complex Surgery",,,11754.0,11754.0,22
CPT,31259,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus High Cost Surgery",,,3950.0,3950.0,1
CPT,31259,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus Other Surgical Services",,,4150.0,4150.0,1
CPT,31259,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus SCHEDULED",,,4524.7,4619.95,3
CPT,31259,"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus UNSCHEDULED",,,486.81,497.06,3
CPT,31267,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus ",,,2350.0,22212.0,163
CPT,31267,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Complex Surgery",,,11754.0,11754.0,22
CPT,31267,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus High Cost Surgery",,,3950.0,3950.0,1
CPT,31267,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Other Surgical Services",,,4150.0,4150.0,1
CPT,31267,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus SCHEDULED",,,3273.65,3342.57,3
CPT,31267,"Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus UNSCHEDULED",,,486.81,497.06,3
CPT,31276,"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed ",,,2350.0,22212.0,163
CPT,31276,"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed Complex Surgery",,,11754.0,11754.0,22
CPT,31276,"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed High Cost Surgery",,,3950.0,3950.0,1
CPT,31276,"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,31276,"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed SCHEDULED",,,3131.28,3197.2,3
CPT,31276,"Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed UNSCHEDULED",,,486.81,497.06,3
CPT,31287,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; ",,,2350.0,22212.0,98
CPT,31287,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; High Cost Surgery",,,3950.0,3950.0,1
CPT,31287,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; Other Surgical Services",,,4150.0,4150.0,1
CPT,31287,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; SCHEDULED",,,6393.41,6528.01,3
CPT,31287,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; UNSCHEDULED",,,486.81,497.06,3
CPT,31288,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus ",,,2350.0,22212.0,98
CPT,31288,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus High Cost Surgery",,,3950.0,3950.0,1
CPT,31288,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus Other Surgical Services",,,4150.0,4150.0,1
CPT,31288,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus SCHEDULED",,,4524.7,4619.95,3
CPT,31288,"Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus UNSCHEDULED",,,486.81,497.06,3
CPT,31290,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region ",,,2350.0,31992.0,70
CPT,31290,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region High Cost Surgery",,,3950.0,3950.0,1
CPT,31290,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region Other Surgical Services",,,4150.0,4150.0,1
CPT,31290,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region SCHEDULED",,,4524.7,4619.95,3
CPT,31290,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region UNSCHEDULED",,,486.81,497.06,3
CPT,31291,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region ",,,2350.0,31992.0,70
CPT,31291,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region High Cost Surgery",,,3950.0,3950.0,1
CPT,31291,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region Other Surgical Services",,,4150.0,4150.0,1
CPT,31291,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region SCHEDULED",,,4524.7,4619.95,3
CPT,31291,"Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region UNSCHEDULED",,,486.81,497.06,3
CPT,31292,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall ",,,2350.0,22212.0,98
CPT,31292,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall High Cost Surgery",,,3950.0,3950.0,1
CPT,31292,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Other Surgical Services",,,4150.0,4150.0,1
CPT,31292,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall SCHEDULED",,,4524.7,4619.95,3
CPT,31292,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall UNSCHEDULED",,,486.81,497.06,3
CPT,31293,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall ",,,2350.0,22212.0,98
CPT,31293,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall High Cost Surgery",,,3950.0,3950.0,1
CPT,31293,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall Other Surgical Services",,,4150.0,4150.0,1
CPT,31293,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall SCHEDULED",,,4524.7,4619.95,3
CPT,31293,"Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall UNSCHEDULED",,,486.81,497.06,3
CPT,31294,"Nasal/sinus endoscopy, surgical, with optic nerve decompression ",,,2350.0,22212.0,98
CPT,31294,"Nasal/sinus endoscopy, surgical, with optic nerve decompression High Cost Surgery",,,3950.0,3950.0,1
CPT,31294,"Nasal/sinus endoscopy, surgical, with optic nerve decompression Other Surgical Services",,,4150.0,4150.0,1
CPT,31294,"Nasal/sinus endoscopy, surgical, with optic nerve decompression SCHEDULED",,,4524.7,4619.95,3
CPT,31294,"Nasal/sinus endoscopy, surgical, with optic nerve decompression UNSCHEDULED",,,486.81,497.06,3
CPT,31295,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa ",,,2350.0,22212.0,98
CPT,31295,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa High Cost Surgery",,,3950.0,3950.0,1
CPT,31295,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa Other Surgical Services",,,4150.0,4150.0,1
CPT,31295,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa SCHEDULED",,,5191.58,5300.88,3
CPT,31295,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa UNSCHEDULED",,,486.81,497.06,3
CPT,31296,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium ",,,2350.0,22212.0,98
CPT,31296,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium High Cost Surgery",,,3950.0,3950.0,1
CPT,31296,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium Other Surgical Services",,,4150.0,4150.0,1
CPT,31296,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium SCHEDULED",,,5507.74,5623.69,3
CPT,31296,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium UNSCHEDULED",,,486.81,497.06,3
CPT,31297,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium ",,,2350.0,22212.0,98
CPT,31297,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium High Cost Surgery",,,3950.0,3950.0,1
CPT,31297,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium Other Surgical Services",,,4150.0,4150.0,1
CPT,31297,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium SCHEDULED",,,5507.74,5623.69,3
CPT,31297,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium UNSCHEDULED",,,486.81,497.06,3
CPT,31298,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia ",,,2350.0,22212.0,70
CPT,31298,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia High Cost Surgery",,,3950.0,3950.0,1
CPT,31298,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia Other Surgical Services",,,4150.0,4150.0,1
CPT,31298,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia SCHEDULED",,,4524.7,4619.95,3
CPT,31298,"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia UNSCHEDULED",,,486.81,497.06,3
CPT,31299,"Unlisted procedure, accessory sinuses ",,,1423.0,22212.0,98
CPT,31299,"Unlisted procedure, accessory sinuses High Cost Surgery",,,3950.0,3950.0,1
CPT,31299,"Unlisted procedure, accessory sinuses Other Surgical Services",,,4150.0,4150.0,1
CPT,31299,"Unlisted procedure, accessory sinuses SCHEDULED",,,4524.7,4619.95,3
CPT,31299,"Unlisted procedure, accessory sinuses UNSCHEDULED",,,486.81,497.06,3
CPT,31300,"Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy ",,,1950.0,18507.0,106
CPT,31300,"Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,31300,"Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy SCHEDULED",,,4351.96,4443.58,3
CPT,31300,"Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy UNSCHEDULED",,,2747.07,2804.9,3
CPT,31320,"HLaryngotomy (thyrotomy, laryngofissure); diagnostic ",,,10737.0,13315.0,28
CPT,31320,"HLaryngotomy (thyrotomy, laryngofissure); diagnostic SCHEDULED",,,4085.0,4171.0,3
CPT,31320,"HLaryngotomy (thyrotomy, laryngofissure); diagnostic UNSCHEDULED",,,2747.07,2804.9,3
CPT,31360,"Laryngectomy; total, without radical neck dissection ",,,1950.0,31992.0,78
CPT,31360,"Laryngectomy; total, without radical neck dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,31360,"Laryngectomy; total, without radical neck dissection SCHEDULED",,,4085.0,4171.0,3
CPT,31360,"Laryngectomy; total, without radical neck dissection UNSCHEDULED",,,2747.07,2804.9,3
CPT,31365,"Laryngectomy; total, with radical neck dissection ",,,1950.0,31992.0,78
CPT,31365,"Laryngectomy; total, with radical neck dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,31365,"Laryngectomy; total, with radical neck dissection SCHEDULED",,,4085.0,4171.0,3
CPT,31365,"Laryngectomy; total, with radical neck dissection UNSCHEDULED",,,2747.07,2804.9,3
CPT,31367,"Laryngectomy; subtotal supraglottic, without radical neck dissection ",,,1950.0,31992.0,78
CPT,31367,"Laryngectomy; subtotal supraglottic, without radical neck dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,31367,"Laryngectomy; subtotal supraglottic, without radical neck dissection SCHEDULED",,,4085.0,4171.0,3
CPT,31367,"Laryngectomy; subtotal supraglottic, without radical neck dissection UNSCHEDULED",,,2747.07,2804.9,3
CPT,31368,"Laryngectomy; subtotal supraglottic, with radical neck dissection ",,,1950.0,31992.0,78
CPT,31368,"Laryngectomy; subtotal supraglottic, with radical neck dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,31368,"Laryngectomy; subtotal supraglottic, with radical neck dissection SCHEDULED",,,4085.0,4171.0,3
CPT,31368,"Laryngectomy; subtotal supraglottic, with radical neck dissection UNSCHEDULED",,,2747.07,2804.9,3
CPT,31370,Partial laryngectomy (hemilaryngectomy); horizontal ,,,1950.0,31992.0,78
CPT,31370,Partial laryngectomy (hemilaryngectomy); horizontal Other Surgical Services,,,2850.0,2850.0,4
CPT,31370,Partial laryngectomy (hemilaryngectomy); horizontal SCHEDULED,,,4085.0,4171.0,3
CPT,31370,Partial laryngectomy (hemilaryngectomy); horizontal UNSCHEDULED,,,2747.07,2804.9,3
CPT,31375,Partial laryngectomy (hemilaryngectomy); laterovertical ,,,1950.0,31992.0,78
CPT,31375,Partial laryngectomy (hemilaryngectomy); laterovertical Other Surgical Services,,,2850.0,2850.0,4
CPT,31375,Partial laryngectomy (hemilaryngectomy); laterovertical SCHEDULED,,,4085.0,4171.0,3
CPT,31375,Partial laryngectomy (hemilaryngectomy); laterovertical UNSCHEDULED,,,2747.07,2804.9,3
CPT,31380,Partial laryngectomy (hemilaryngectomy); anterovertical ,,,1950.0,31992.0,78
CPT,31380,Partial laryngectomy (hemilaryngectomy); anterovertical Other Surgical Services,,,2850.0,2850.0,4
CPT,31380,Partial laryngectomy (hemilaryngectomy); anterovertical SCHEDULED,,,4085.0,4171.0,3
CPT,31380,Partial laryngectomy (hemilaryngectomy); anterovertical UNSCHEDULED,,,2747.07,2804.9,3
CPT,31382,Partial laryngectomy (hemilaryngectomy); antero-latero-vertical ,,,1950.0,31992.0,78
CPT,31382,Partial laryngectomy (hemilaryngectomy); antero-latero-vertical Other Surgical Services,,,2850.0,2850.0,4
CPT,31382,Partial laryngectomy (hemilaryngectomy); antero-latero-vertical SCHEDULED,,,4085.0,4171.0,3
CPT,31382,Partial laryngectomy (hemilaryngectomy); antero-latero-vertical UNSCHEDULED,,,2747.07,2804.9,3
CPT,31390,"Pharyngolaryngectomy, with radical neck dissection; without reconstruction ",,,1950.0,31992.0,78
CPT,31390,"Pharyngolaryngectomy, with radical neck dissection; without reconstruction Other Surgical Services",,,2850.0,2850.0,4
CPT,31390,"Pharyngolaryngectomy, with radical neck dissection; without reconstruction SCHEDULED",,,4085.0,4171.0,3
CPT,31390,"Pharyngolaryngectomy, with radical neck dissection; without reconstruction UNSCHEDULED",,,2747.07,2804.9,3
CPT,31395,"Pharyngolaryngectomy, with radical neck dissection; with reconstruction ",,,1950.0,31992.0,78
CPT,31395,"Pharyngolaryngectomy, with radical neck dissection; with reconstruction Other Surgical Services",,,2850.0,2850.0,4
CPT,31395,"Pharyngolaryngectomy, with radical neck dissection; with reconstruction SCHEDULED",,,4085.0,4171.0,3
CPT,31395,"Pharyngolaryngectomy, with radical neck dissection; with reconstruction UNSCHEDULED",,,2747.07,2804.9,3
CPT,31400,"Arytenoidectomy or arytenoidopexy, external approach ",,,1950.0,18507.0,106
CPT,31400,"Arytenoidectomy or arytenoidopexy, external approach Other Surgical Services",,,2850.0,2850.0,4
CPT,31400,"Arytenoidectomy or arytenoidopexy, external approach SCHEDULED",,,4085.0,4171.0,3
CPT,31400,"Arytenoidectomy or arytenoidopexy, external approach UNSCHEDULED",,,2747.07,2804.9,3
CPT,31420,Epiglottidectomy ,,,1950.0,18507.0,106
CPT,31420,Epiglottidectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,31420,Epiglottidectomy SCHEDULED,,,4085.0,4171.0,3
CPT,31420,Epiglottidectomy UNSCHEDULED,,,2747.07,2804.9,3
CPT,31500,"Intubation, endotracheal, emergency procedure ",,,1423.0,9710.0,106
CPT,31500,"Intubation, endotracheal, emergency procedure Other Surgical Services",,,2850.0,2850.0,4
CPT,31500,"Intubation, endotracheal, emergency procedure SCHEDULED",,,4085.0,4171.0,3
CPT,31500,"Intubation, endotracheal, emergency procedure UNSCHEDULED",,,2747.07,2804.9,3
CPT,31502,Tracheotomy tube change prior to establishment of fistula tract ,,,1423.0,9710.0,106
CPT,31502,Tracheotomy tube change prior to establishment of fistula tract Other Surgical Services,,,2850.0,2850.0,4
CPT,31502,Tracheotomy tube change prior to establishment of fistula tract SCHEDULED,,,1989.11,2030.99,3
CPT,31502,Tracheotomy tube change prior to establishment of fistula tract UNSCHEDULED,,,2747.07,2804.9,3
CPT,31505,"Laryngoscopy, indirect; diagnostic (separate procedure) ",,,1423.0,9710.0,106
CPT,31505,"Laryngoscopy, indirect; diagnostic (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,31505,"Laryngoscopy, indirect; diagnostic (separate procedure) SCHEDULED",,,4085.0,4171.0,3
CPT,31505,"Laryngoscopy, indirect; diagnostic (separate procedure) UNSCHEDULED",,,2216.28,2262.94,3
CPT,31510,"Laryngoscopy, indirect; with biopsy ",,,1950.0,18507.0,106
CPT,31510,"Laryngoscopy, indirect; with biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,31510,"Laryngoscopy, indirect; with biopsy SCHEDULED",,,4085.0,4171.0,3
CPT,31510,"Laryngoscopy, indirect; with biopsy UNSCHEDULED",,,2747.07,2804.9,3
CPT,31511,"Laryngoscopy, indirect; with removal of foreign body ",,,1423.0,9710.0,106
CPT,31511,"Laryngoscopy, indirect; with removal of foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,31511,"Laryngoscopy, indirect; with removal of foreign body SCHEDULED",,,4085.0,4171.0,3
CPT,31511,"Laryngoscopy, indirect; with removal of foreign body UNSCHEDULED",,,2747.07,2804.9,3
CPT,31512,"Laryngoscopy, indirect; with removal of lesion ",,,1950.0,18507.0,106
CPT,31512,"Laryngoscopy, indirect; with removal of lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,31512,"Laryngoscopy, indirect; with removal of lesion SCHEDULED",,,4085.0,4171.0,3
CPT,31512,"Laryngoscopy, indirect; with removal of lesion UNSCHEDULED",,,2747.07,2804.9,3
CPT,31513,"Laryngoscopy, indirect; with vocal cord injection ",,,1950.0,9710.0,106
CPT,31513,"Laryngoscopy, indirect; with vocal cord injection Other Surgical Services",,,2850.0,2850.0,4
CPT,31513,"Laryngoscopy, indirect; with vocal cord injection SCHEDULED",,,4085.0,4171.0,3
CPT,31513,"Laryngoscopy, indirect; with vocal cord injection UNSCHEDULED",,,2747.07,2804.9,3
CPT,31515,"Laryngoscopy direct, with or without tracheoscopy; for aspiration ",,,1950.0,9710.0,106
CPT,31515,"Laryngoscopy direct, with or without tracheoscopy; for aspiration Other Surgical Services",,,2850.0,2850.0,4
CPT,31515,"Laryngoscopy direct, with or without tracheoscopy; for aspiration SCHEDULED",,,4085.0,4171.0,3
CPT,31515,"Laryngoscopy direct, with or without tracheoscopy; for aspiration UNSCHEDULED",,,2747.07,2804.9,3
CPT,31520,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn ",,,1950.0,9710.0,106
CPT,31520,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Other Surgical Services",,,2850.0,2850.0,4
CPT,31520,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn SCHEDULED",,,4085.0,4171.0,3
CPT,31520,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn UNSCHEDULED",,,2747.07,2804.9,3
CPT,31525,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn ",,,1950.0,9710.0,106
CPT,31525,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn Other Surgical Services",,,2850.0,2850.0,4
CPT,31525,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn SCHEDULED",,,3372.06,3443.05,3
CPT,31525,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn UNSCHEDULED",,,3277.84,3346.85,3
CPT,31526,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope ",,,1950.0,9710.0,106
CPT,31526,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Other Surgical Services",,,2850.0,2850.0,4
CPT,31526,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope SCHEDULED",,,3146.98,3213.23,3
CPT,31526,"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope UNSCHEDULED",,,4789.57,4890.4,3
CPT,31527,"Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator ",,,1950.0,18507.0,106
CPT,31527,"Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Other Surgical Services",,,2850.0,2850.0,4
CPT,31527,"Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator SCHEDULED",,,4085.0,4171.0,3
CPT,31527,"Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator UNSCHEDULED",,,2747.07,2804.9,3
CPT,31528,"Laryngoscopy direct, with or without tracheoscopy; with dilation, initial ",,,1950.0,18507.0,106
CPT,31528,"Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Other Surgical Services",,,2850.0,2850.0,4
CPT,31528,"Laryngoscopy direct, with or without tracheoscopy; with dilation, initial SCHEDULED",,,3678.81,3756.26,3
CPT,31528,"Laryngoscopy direct, with or without tracheoscopy; with dilation, initial UNSCHEDULED",,,7905.14,8071.56,3
CPT,31529,"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent ",,,1950.0,18507.0,106
CPT,31529,"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Other Surgical Services",,,2850.0,2850.0,4
CPT,31529,"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent SCHEDULED",,,4085.0,4171.0,3
CPT,31529,"Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent UNSCHEDULED",,,2747.07,2804.9,3
CPT,31530,"Laryngoscopy, direct, operative, with foreign body removal; ",,,1950.0,9710.0,106
CPT,31530,"Laryngoscopy, direct, operative, with foreign body removal; Other Surgical Services",,,2850.0,2850.0,4
CPT,31530,"Laryngoscopy, direct, operative, with foreign body removal; SCHEDULED",,,4085.0,4171.0,3
CPT,31530,"Laryngoscopy, direct, operative, with foreign body removal; UNSCHEDULED",,,2747.07,2804.9,3
CPT,31531,"Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope ",,,1950.0,18507.0,106
CPT,31531,"Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope Other Surgical Services",,,2850.0,2850.0,4
CPT,31531,"Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope SCHEDULED",,,4085.0,4171.0,3
CPT,31531,"Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope UNSCHEDULED",,,2747.07,2804.9,3
CPT,31535,"Laryngoscopy, direct, operative, with biopsy; ",,,1950.0,18507.0,106
CPT,31535,"Laryngoscopy, direct, operative, with biopsy; Other Surgical Services",,,2850.0,2850.0,4
CPT,31535,"Laryngoscopy, direct, operative, with biopsy; SCHEDULED",,,3817.0,3897.35,3
CPT,31535,"Laryngoscopy, direct, operative, with biopsy; UNSCHEDULED",,,2747.07,2804.9,3
CPT,31536,"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope ",,,1950.0,18507.0,106
CPT,31536,"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope Other Surgical Services",,,2850.0,2850.0,4
CPT,31536,"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope SCHEDULED",,,2919.81,2981.28,3
CPT,31536,"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope UNSCHEDULED",,,2747.07,2804.9,3
CPT,31540,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; ",,,1950.0,18507.0,106
CPT,31540,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; Other Surgical Services",,,2850.0,2850.0,4
CPT,31540,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; SCHEDULED",,,4085.0,4171.0,3
CPT,31540,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; UNSCHEDULED",,,2747.07,2804.9,3
CPT,31541,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope ",,,1950.0,18507.0,106
CPT,31541,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope Other Surgical Services",,,2850.0,2850.0,4
CPT,31541,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope SCHEDULED",,,5816.57,5939.03,3
CPT,31541,"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope UNSCHEDULED",,,2747.07,2804.9,3
CPT,31545,"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s) ",,,1950.0,18507.0,106
CPT,31545,"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s) Other Surgical Serv",,,2850.0,2850.0,4
CPT,31545,"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s) SCHEDULED",,,4085.0,4171.0,3
CPT,31545,"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s) UNSCHEDULED",,,2747.07,2804.9,3
CPT,31546,"Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with graft(s) (includes obtaining autograft) ",,,1950.0,18507.0,116
CPT,31551,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age ",,,1950.0,18507.0,106
CPT,31551,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age Other Surgical Services",,,2850.0,2850.0,4
CPT,31551,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age SCHEDULED",,,4085.0,4171.0,3
CPT,31551,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age UNSCHEDULED",,,2747.07,2804.9,3
CPT,31552,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older ",,,1950.0,18507.0,106
CPT,31552,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older Other Surgical Services",,,2850.0,2850.0,4
CPT,31552,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older SCHEDULED",,,4085.0,4171.0,3
CPT,31552,"Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older UNSCHEDULED",,,2747.07,2804.9,3
CPT,31553,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age ",,,1950.0,18507.0,106
CPT,31553,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age Other Surgical Services",,,2850.0,2850.0,4
CPT,31553,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age SCHEDULED",,,4085.0,4171.0,3
CPT,31553,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age UNSCHEDULED",,,2747.07,2804.9,3
CPT,31554,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older ",,,1950.0,18507.0,106
CPT,31554,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older Other Surgical Services",,,2850.0,2850.0,4
CPT,31554,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older SCHEDULED",,,4085.0,4171.0,3
CPT,31554,"Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older UNSCHEDULED",,,2747.07,2804.9,3
CPT,31560,"Laryngoscopy, direct, operative, with arytenoidectomy; ",,,1950.0,18507.0,106
CPT,31560,"Laryngoscopy, direct, operative, with arytenoidectomy; Other Surgical Services",,,2850.0,2850.0,4
CPT,31560,"Laryngoscopy, direct, operative, with arytenoidectomy; SCHEDULED",,,4085.0,4171.0,3
CPT,31560,"Laryngoscopy, direct, operative, with arytenoidectomy; UNSCHEDULED",,,2747.07,2804.9,3
CPT,31561,"Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope ",,,1950.0,18507.0,106
CPT,31561,"Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope Other Surgical Services",,,2850.0,2850.0,4
CPT,31561,"Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope SCHEDULED",,,4085.0,4171.0,3
CPT,31561,"Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope UNSCHEDULED",,,2747.07,2804.9,3
CPT,31570,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; ",,,1950.0,18507.0,106
CPT,31570,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; Other Surgical Services",,,2850.0,2850.0,4
CPT,31570,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; SCHEDULED",,,10708.74,10934.19,3
CPT,31570,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; UNSCHEDULED",,,2747.07,2804.9,3
CPT,31571,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope ",,,1950.0,18507.0,106
CPT,31571,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope Other Surgical Services",,,2850.0,2850.0,4
CPT,31571,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope SCHEDULED",,,8208.74,8381.56,3
CPT,31571,"Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope UNSCHEDULED",,,2747.07,2804.9,3
CPT,31572,"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral ",,,1950.0,18507.0,106
CPT,31572,"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,31572,"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral SCHEDULED",,,4085.0,4171.0,3
CPT,31572,"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral UNSCHEDULED",,,2747.07,2804.9,3
CPT,31573,"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral ",,,1950.0,9710.0,106
CPT,31573,"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,31573,"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral SCHEDULED",,,3389.87,3461.23,3
CPT,31573,"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral UNSCHEDULED",,,2747.07,2804.9,3
CPT,31574,"Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral ",,,1950.0,9710.0,106
CPT,31574,"Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,31574,"Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral SCHEDULED",,,4085.0,4171.0,3
CPT,31574,"Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral UNSCHEDULED",,,2747.07,2804.9,3
CPT,31575,"Laryngoscopy, flexible; diagnostic ",,,1423.0,9710.0,106
CPT,31575,"Laryngoscopy, flexible; diagnostic Other Surgical Services",,,2850.0,2850.0,4
CPT,31575,"Laryngoscopy, flexible; diagnostic SCHEDULED",,,4085.0,4171.0,3
CPT,31575,"Laryngoscopy, flexible; diagnostic UNSCHEDULED",,,517.17,528.06,3
CPT,31576,"Laryngoscopy, flexible; with biopsy(ies) ",,,1950.0,9710.0,106
CPT,31576,"Laryngoscopy, flexible; with biopsy(ies) Other Surgical Services",,,2850.0,2850.0,4
CPT,31576,"Laryngoscopy, flexible; with biopsy(ies) SCHEDULED",,,4085.0,4171.0,3
CPT,31576,"Laryngoscopy, flexible; with biopsy(ies) UNSCHEDULED",,,2747.07,2804.9,3
CPT,31577,"Laryngoscopy, flexible; with removal of foreign body(s) ",,,1950.0,9710.0,106
CPT,31577,"Laryngoscopy, flexible; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,31577,"Laryngoscopy, flexible; with removal of foreign body(s) SCHEDULED",,,4085.0,4171.0,3
CPT,31577,"Laryngoscopy, flexible; with removal of foreign body(s) UNSCHEDULED",,,2747.07,2804.9,3
CPT,31578,"Laryngoscopy, flexible; with removal of lesion(s), non-laser ",,,1950.0,18507.0,106
CPT,31578,"Laryngoscopy, flexible; with removal of lesion(s), non-laser Other Surgical Services",,,2850.0,2850.0,4
CPT,31578,"Laryngoscopy, flexible; with removal of lesion(s), non-laser SCHEDULED",,,4085.0,4171.0,3
CPT,31578,"Laryngoscopy, flexible; with removal of lesion(s), non-laser UNSCHEDULED",,,2747.07,2804.9,3
CPT,31579,"Laryngoscopy, flexible or rigid telescopic, with stroboscopy ",,,1950.0,9710.0,106
CPT,31579,"Laryngoscopy, flexible or rigid telescopic, with stroboscopy Other Surgical Services",,,2850.0,2850.0,4
CPT,31579,"Laryngoscopy, flexible or rigid telescopic, with stroboscopy SCHEDULED",,,4085.0,4171.0,3
CPT,31579,"Laryngoscopy, flexible or rigid telescopic, with stroboscopy UNSCHEDULED",,,1257.33,1283.8,3
CPT,31580,"Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion ",,,1950.0,18507.0,106
CPT,31580,"Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Other Surgical Services",,,2850.0,2850.0,4
CPT,31580,"Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion SCHEDULED",,,4085.0,4171.0,3
CPT,31580,"Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion UNSCHEDULED",,,2747.07,2804.9,3
CPT,31582,REVISION OF LARYNX ,,,10737.0,13315.0,28
CPT,31582,REVISION OF LARYNX SCHEDULED,,,4085.0,4171.0,3
CPT,31582,REVISION OF LARYNX UNSCHEDULED,,,2747.07,2804.9,3
CPT,31584,"Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed ",,,1950.0,18507.0,106
CPT,31584,"Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Other Surgical Services",,,2850.0,2850.0,4
CPT,31584,"Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed SCHEDULED",,,4085.0,4171.0,3
CPT,31584,"Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed UNSCHEDULED",,,2747.07,2804.9,3
CPT,31585,TREAT LARYNX FRACTURE SCHEDULED,,,4085.0,4171.0,3
CPT,31585,TREAT LARYNX FRACTURE UNSCHEDULED,,,2747.07,2804.9,3
CPT,31586,TREAT LARYNX FRACTURE SCHEDULED,,,4085.0,4171.0,3
CPT,31586,TREAT LARYNX FRACTURE UNSCHEDULED,,,2747.07,2804.9,3
CPT,31587,"Laryngoplasty, cricoid split, without graft placement ",,,1950.0,18507.0,78
CPT,31587,"Laryngoplasty, cricoid split, without graft placement Other Surgical Services",,,2850.0,2850.0,4
CPT,31587,"Laryngoplasty, cricoid split, without graft placement SCHEDULED",,,4085.0,4171.0,3
CPT,31587,"Laryngoplasty, cricoid split, without graft placement UNSCHEDULED",,,2747.07,2804.9,3
CPT,31588,REVISION OF LARYNX ,,,10737.0,13315.0,28
CPT,31588,REVISION OF LARYNX SCHEDULED,,,4085.0,4171.0,3
CPT,31588,REVISION OF LARYNX UNSCHEDULED,,,2747.07,2804.9,3
CPT,31590,Laryngeal reinnervation by neuromuscular pedicle ,,,1950.0,18507.0,98
CPT,31590,Laryngeal reinnervation by neuromuscular pedicle Other Surgical Services,,,2850.0,2850.0,4
CPT,31590,Laryngeal reinnervation by neuromuscular pedicle SCHEDULED,,,6975.5,7122.35,3
CPT,31590,Laryngeal reinnervation by neuromuscular pedicle UNSCHEDULED,,,2747.07,2804.9,3
CPT,31591,"Laryngoplasty, medialization, unilateral ",,,1950.0,18507.0,106
CPT,31591,"Laryngoplasty, medialization, unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,31591,"Laryngoplasty, medialization, unilateral SCHEDULED",,,8208.74,8381.56,3
CPT,31591,"Laryngoplasty, medialization, unilateral UNSCHEDULED",,,2747.07,2804.9,3
CPT,31592,Cricotracheal resection ,,,1950.0,18507.0,106
CPT,31592,Cricotracheal resection Other Surgical Services,,,2850.0,2850.0,4
CPT,31592,Cricotracheal resection SCHEDULED,,,4085.0,4171.0,3
CPT,31592,Cricotracheal resection UNSCHEDULED,,,2747.07,2804.9,3
CPT,31595,"SECTION RECURRENT LARYNGEAL NERVE, THERAPEUTIC (SEPARATE PROCEDURE), UNILATERAL ",,,10737.0,13315.0,28
CPT,31595,"SECTION RECURRENT LARYNGEAL NERVE, THERAPEUTIC (SEPARATE PROCEDURE), UNILATERAL SCHEDULED",,,4085.0,4171.0,3
CPT,31595,"SECTION RECURRENT LARYNGEAL NERVE, THERAPEUTIC (SEPARATE PROCEDURE), UNILATERAL UNSCHEDULED",,,2747.07,2804.9,3
CPT,31599,"Unlisted procedure, larynx ",,,1423.0,9710.0,106
CPT,31599,"Unlisted procedure, larynx Other Surgical Services",,,2850.0,2850.0,4
CPT,31599,"Unlisted procedure, larynx SCHEDULED",,,9932.99,10142.11,3
CPT,31599,"Unlisted procedure, larynx UNSCHEDULED",,,2747.07,2804.9,3
CPT,31600,"Tracheostomy, planned (separate procedure); ",,,1950.0,18507.0,106
CPT,31600,"Tracheostomy, planned (separate procedure); Other Surgical Services",,,2850.0,2850.0,4
CPT,31600,"Tracheostomy, planned (separate procedure); SCHEDULED",,,3535.91,3610.35,3
CPT,31600,"Tracheostomy, planned (separate procedure); UNSCHEDULED",,,2764.86,2823.07,3
CPT,31601,"Tracheostomy, planned (separate procedure); younger than 2 years ",,,1950.0,18507.0,106
CPT,31601,"Tracheostomy, planned (separate procedure); younger than 2 years Other Surgical Services",,,2850.0,2850.0,4
CPT,31601,"Tracheostomy, planned (separate procedure); younger than 2 years SCHEDULED",,,3535.91,3610.35,3
CPT,31601,"Tracheostomy, planned (separate procedure); younger than 2 years UNSCHEDULED",,,2764.86,2823.07,3
CPT,31603,"Tracheostomy, emergency procedure; transtracheal ",,,1950.0,9710.0,106
CPT,31603,"Tracheostomy, emergency procedure; transtracheal Other Surgical Services",,,2850.0,2850.0,4
CPT,31603,"Tracheostomy, emergency procedure; transtracheal SCHEDULED",,,3535.91,3610.35,3
CPT,31603,"Tracheostomy, emergency procedure; transtracheal UNSCHEDULED",,,2764.86,2823.07,3
CPT,31605,"Tracheostomy, emergency procedure; cricothyroid membrane ",,,1844.0,9710.0,106
CPT,31605,"Tracheostomy, emergency procedure; cricothyroid membrane Other Surgical Services",,,2850.0,2850.0,4
CPT,31605,"Tracheostomy, emergency procedure; cricothyroid membrane SCHEDULED",,,3535.91,3610.35,3
CPT,31605,"Tracheostomy, emergency procedure; cricothyroid membrane UNSCHEDULED",,,2764.86,2823.07,3
CPT,31610,"Tracheostomy, fenestration procedure with skin flaps ",,,1950.0,18507.0,106
CPT,31610,"Tracheostomy, fenestration procedure with skin flaps Other Surgical Services",,,2850.0,2850.0,4
CPT,31610,"Tracheostomy, fenestration procedure with skin flaps SCHEDULED",,,3535.91,3610.35,3
CPT,31610,"Tracheostomy, fenestration procedure with skin flaps UNSCHEDULED",,,2764.86,2823.07,3
CPT,31611,"Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice button, Blom-Singer prosthesis) ",,,1950.0,18507.0,106
CPT,31611,"Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice button, Blom-Singer prosthesis) Other Surgical Services",,,2850.0,2850.0,4
CPT,31611,"Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice button, Blom-Singer prosthesis) SCHEDULED",,,3535.91,3610.35,3
CPT,31611,"Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice button, Blom-Singer prosthesis) UNSCHEDULED",,,2764.86,2823.07,3
CPT,31612,"Tracheal puncture, percutaneous with transtracheal aspiration and/or injection ",,,1950.0,18507.0,106
CPT,31612,"Tracheal puncture, percutaneous with transtracheal aspiration and/or injection Other Surgical Services",,,2850.0,2850.0,4
CPT,31612,"Tracheal puncture, percutaneous with transtracheal aspiration and/or injection SCHEDULED",,,3535.91,3610.35,3
CPT,31612,"Tracheal puncture, percutaneous with transtracheal aspiration and/or injection UNSCHEDULED",,,2764.86,2823.07,3
CPT,31613,"Tracheostoma revision; simple, without flap rotation ",,,1950.0,18507.0,106
CPT,31613,"Tracheostoma revision; simple, without flap rotation Other Surgical Services",,,2850.0,2850.0,4
CPT,31613,"Tracheostoma revision; simple, without flap rotation SCHEDULED",,,3535.91,3610.35,3
CPT,31613,"Tracheostoma revision; simple, without flap rotation UNSCHEDULED",,,2764.86,2823.07,3
CPT,31614,"Tracheostoma revision; complex, with flap rotation ",,,1950.0,18507.0,106
CPT,31614,"Tracheostoma revision; complex, with flap rotation Other Surgical Services",,,2850.0,2850.0,4
CPT,31614,"Tracheostoma revision; complex, with flap rotation SCHEDULED",,,3535.91,3610.35,3
CPT,31614,"Tracheostoma revision; complex, with flap rotation UNSCHEDULED",,,2764.86,2823.07,3
CPT,31615,Tracheobronchoscopy through established tracheostomy incision ,,,1950.0,9710.0,106
CPT,31615,Tracheobronchoscopy through established tracheostomy incision Other Surgical Services,,,2850.0,2850.0,4
CPT,31615,Tracheobronchoscopy through established tracheostomy incision SCHEDULED,,,1650.96,1685.71,3
CPT,31615,Tracheobronchoscopy through established tracheostomy incision UNSCHEDULED,,,2764.86,2823.07,3
CPT,31620,ENDOBRONCHIAL US ADD-ON SCHEDULED,,,3535.91,3610.35,3
CPT,31620,ENDOBRONCHIAL US ADD-ON UNSCHEDULED,,,2764.86,2823.07,3
CPT,31622,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure) ",,,1950.0,9710.0,106
CPT,31622,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,31622,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure) SCHEDULED",,,3445.35,3517.88,3
CPT,31622,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure) UNSCHEDULED",,,1743.09,1779.79,3
CPT,31623,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings ",,,1950.0,9710.0,106
CPT,31623,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings Other Surgical Services",,,2850.0,2850.0,4
CPT,31623,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings SCHEDULED",,,3568.88,3644.02,3
CPT,31623,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings UNSCHEDULED",,,2764.86,2823.07,3
CPT,31624,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage ",,,1950.0,9710.0,106
CPT,31624,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage Other Surgical Services",,,2850.0,2850.0,4
CPT,31624,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage SCHEDULED",,,6090.87,6219.1,3
CPT,31624,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage UNSCHEDULED",,,2764.86,2823.07,3
CPT,31625,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites ",,,1950.0,9710.0,106
CPT,31625,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites Other Surgical Services",,,2850.0,2850.0,4
CPT,31625,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites SCHEDULED",,,3502.93,3576.67,3
CPT,31625,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites UNSCHEDULED",,,2764.86,2823.07,3
CPT,31626,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of fiducial markers, single or multiple ",,,1950.0,18507.0,106
CPT,31626,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of fiducial markers, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,31626,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of fiducial markers, single or multiple SCHEDULED",,,3502.93,3576.67,3
CPT,31626,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of fiducial markers, single or multiple UNSCHEDULED",,,2764.86,2823.07,3
CPT,31627,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with computer-assisted, image-guided navigation (List separately in addition to code for primary procedureºs») ",,,1423.0,9710.0,99
CPT,31627,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with computer-assisted, image-guided navigation (List separately in addition to code for primary procedureºs») Other S",,,2850.0,2850.0,4
CPT,31627,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with computer-assisted, image-guided navigation (List separately in addition to code for primary procedureºs») SCHEDUL",,,3502.93,3576.67,3
CPT,31627,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with computer-assisted, image-guided navigation (List separately in addition to code for primary procedureºs») UNSCHED",,,2764.86,2823.07,3
CPT,31628,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe ",,,1950.0,18507.0,106
CPT,31628,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe Other Surgical Services",,,2850.0,2850.0,4
CPT,31628,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe SCHEDULED",,,2467.54,2519.49,3
CPT,31628,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe UNSCHEDULED",,,2764.86,2823.07,3
CPT,31629,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i) ",,,1950.0,18507.0,106
CPT,31629,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i) Other Surgical Services",,,2850.0,2850.0,4
CPT,31629,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i) SCHEDULED",,,3535.91,3610.35,3
CPT,31629,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i) UNSCHEDULED",,,2764.86,2823.07,3
CPT,31630,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed reduction of fracture ",,,1950.0,18507.0,106
CPT,31630,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed reduction of fracture Other Surgical Services",,,2850.0,2850.0,4
CPT,31630,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed reduction of fracture SCHEDULED",,,4773.86,4874.37,3
CPT,31630,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed reduction of fracture UNSCHEDULED",,,2764.86,2823.07,3
CPT,31631,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required) ",,,1950.0,18507.0,106
CPT,31631,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required) Other Surgical Services",,,2850.0,2850.0,4
CPT,31631,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required) SCHEDULED",,,3535.91,3610.35,3
CPT,31631,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required) UNSCHEDULED",,,2764.86,2823.07,3
CPT,31632,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), each additional lobe (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,31632,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), each additional lobe (List separately in addition to code for primary procedure) O",,,2850.0,2850.0,4
CPT,31632,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), each additional lobe (List separately in addition to code for primary procedure) S",,,3535.91,3610.35,3
CPT,31632,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), each additional lobe (List separately in addition to code for primary procedure) U",,,2764.86,2823.07,3
CPT,31633,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), each additional lobe (List separately in addition to code for primary",,,1423.0,9710.0,109
CPT,31634,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessment of air leak, with administration of occlusive substance (eg, fibrin glue), if ",,,1816.37,18507.0,116
CPT,31635,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign body ",,,1950.0,9710.0,106
CPT,31635,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,31635,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign body SCHEDULED",,,4065.12,4150.7,3
CPT,31635,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign body UNSCHEDULED",,,2764.86,2823.07,3
CPT,31636,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required), initial bronchus ",,,1950.0,18507.0,106
CPT,31636,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required), initial bronchus Other Surgic",,,2850.0,2850.0,4
CPT,31636,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required), initial bronchus SCHEDULED",,,3535.91,3610.35,3
CPT,31636,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required), initial bronchus UNSCHEDULED",,,2764.86,2823.07,3
CPT,31637,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; each additional major bronchus stented (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,31637,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; each additional major bronchus stented (List separately in addition to code for primary procedure) Other Surgical Serv",,,2850.0,2850.0,4
CPT,31637,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; each additional major bronchus stented (List separately in addition to code for primary procedure) SCHEDULED",,,3535.91,3610.35,3
CPT,31637,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; each additional major bronchus stented (List separately in addition to code for primary procedure) UNSCHEDULED",,,2764.86,2823.07,3
CPT,31638,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or bronchial stent inserted at previous session (includes tracheal/bronchial dilation as req",,,1950.0,18507.0,116
CPT,31640,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with excision of tumor ",,,1950.0,18507.0,106
CPT,31640,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with excision of tumor Other Surgical Services",,,2850.0,2850.0,4
CPT,31640,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with excision of tumor SCHEDULED",,,11002.92,11234.56,3
CPT,31640,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with excision of tumor UNSCHEDULED",,,2764.86,2823.07,3
CPT,31641,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy) ",,,1950.0,18507.0,106
CPT,31641,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy) Oth",,,2850.0,2850.0,4
CPT,31641,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy) SCH",,,5775.74,5897.34,3
CPT,31641,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy) UNS",,,2764.86,2823.07,3
CPT,31643,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for intracavitary radioelement application ",,,1950.0,53068.0,106
CPT,31643,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for intracavitary radioelement application Other Surgical Services",,,2850.0,2850.0,4
CPT,31643,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for intracavitary radioelement application SCHEDULED",,,3535.91,3610.35,3
CPT,31643,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for intracavitary radioelement application UNSCHEDULED",,,2764.86,2823.07,3
CPT,31645,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial ",,,1950.0,9710.0,106
CPT,31645,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial Other Surgical Services",,,2850.0,2850.0,4
CPT,31645,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial SCHEDULED",,,2657.04,2712.97,3
CPT,31645,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial UNSCHEDULED",,,2764.86,2823.07,3
CPT,31646,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay ",,,1950.0,9710.0,106
CPT,31646,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay Other Surgical Services",,,2850.0,2850.0,4
CPT,31646,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay SCHEDULED",,,3535.91,3610.35,3
CPT,31646,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay UNSCHEDULED",,,2764.86,2823.07,3
CPT,31647,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), in",,,1950.0,22212.0,138
CPT,31648,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), initial lobe ",,,1950.0,22212.0,106
CPT,31648,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), initial lobe Complex Surgery",,,11754.0,11754.0,22
CPT,31648,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), initial lobe Other Surgical Services",,,2850.0,2850.0,4
CPT,31648,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), initial lobe SCHEDULED",,,3535.91,3610.35,3
CPT,31648,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), initial lobe UNSCHEDULED",,,2764.86,2823.07,3
CPT,31649,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), each additional lobe (List separately in addition to code for primary procedure) ",,,1950.0,22212.0,106
CPT,31649,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), each additional lobe (List separately in addition to code for primary procedure) C",,,11754.0,11754.0,22
CPT,31649,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), each additional lobe (List separately in addition to code for primary procedure) O",,,2850.0,2850.0,4
CPT,31649,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), each additional lobe (List separately in addition to code for primary procedure) S",,,3535.91,3610.35,3
CPT,31649,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), each additional lobe (List separately in addition to code for primary procedure) U",,,2764.86,2823.07,3
CPT,31651,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), ea",,,1423.0,22212.0,131
CPT,31652,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspirationºs»/biopsyºies",,,1950.0,18507.0,116
CPT,31653,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspirationºs»/biopsyºies",,,1950.0,18507.0,116
CPT,31654,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) fo",,,1423.0,9710.0,109
CPT,31656,BRONCHOSCOPY INJ FOR X-RAY SCHEDULED,,,3535.91,3610.35,3
CPT,31656,BRONCHOSCOPY INJ FOR X-RAY UNSCHEDULED,,,2764.86,2823.07,3
CPT,31660,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe ",,,1950.0,22212.0,106
CPT,31660,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe Complex Surgery",,,11754.0,11754.0,22
CPT,31660,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe Other Surgical Services",,,2850.0,2850.0,4
CPT,31660,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe SCHEDULED",,,3535.91,3610.35,3
CPT,31660,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe UNSCHEDULED",,,2764.86,2823.07,3
CPT,31661,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes ",,,1950.0,22212.0,106
CPT,31661,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes Complex Surgery",,,11754.0,11754.0,22
CPT,31661,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes Other Surgical Services",,,2850.0,2850.0,4
CPT,31661,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes SCHEDULED",,,3535.91,3610.35,3
CPT,31661,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes UNSCHEDULED",,,2764.86,2823.07,3
CPT,31700,INSERTION OF AIRWAY CATHETER ,,,9935.0,22212.0,3
CPT,31700,INSERTION OF AIRWAY CATHETER SCHEDULED,,,3535.91,3610.35,3
CPT,31700,INSERTION OF AIRWAY CATHETER UNSCHEDULED,,,2764.86,2823.07,3
CPT,31708,INSTILL AIRWAY CONTRAST DYE ,,,9935.0,22212.0,3
CPT,31708,INSTILL AIRWAY CONTRAST DYE SCHEDULED,,,3535.91,3610.35,3
CPT,31708,INSTILL AIRWAY CONTRAST DYE UNSCHEDULED,,,2764.86,2823.07,3
CPT,31710,INSERTION OF AIRWAY CATHETER ,,,9935.0,22212.0,3
CPT,31710,INSERTION OF AIRWAY CATHETER SCHEDULED,,,3535.91,3610.35,3
CPT,31710,INSERTION OF AIRWAY CATHETER UNSCHEDULED,,,2764.86,2823.07,3
CPT,31715,INJECTION FOR BRONCHUS X-RAY ,,,9935.0,22212.0,3
CPT,31715,INJECTION FOR BRONCHUS X-RAY SCHEDULED,,,3535.91,3610.35,3
CPT,31715,INJECTION FOR BRONCHUS X-RAY UNSCHEDULED,,,2764.86,2823.07,3
CPT,31717,Catheterization with bronchial brush biopsy ,,,1950.0,22212.0,106
CPT,31717,Catheterization with bronchial brush biopsy Other Surgical Services,,,2850.0,2850.0,4
CPT,31717,Catheterization with bronchial brush biopsy SCHEDULED,,,3535.91,3610.35,3
CPT,31717,Catheterization with bronchial brush biopsy UNSCHEDULED,,,2764.86,2823.07,3
CPT,31720,Catheter aspiration (separate procedure); nasotracheal ,,,1423.0,22212.0,105
CPT,31720,Catheter aspiration (separate procedure); nasotracheal Other Surgical Services,,,2850.0,2850.0,4
CPT,31720,Catheter aspiration (separate procedure); nasotracheal SCHEDULED,,,3535.91,3610.35,3
CPT,31720,Catheter aspiration (separate procedure); nasotracheal UNSCHEDULED,,,2764.86,2823.07,3
CPT,31725,"Catheter aspiration (separate procedure); tracheobronchial with fiberscope, bedside ",,,1950.0,31992.0,77
CPT,31725,"Catheter aspiration (separate procedure); tracheobronchial with fiberscope, bedside Other Surgical Services",,,2850.0,2850.0,4
CPT,31725,"Catheter aspiration (separate procedure); tracheobronchial with fiberscope, bedside SCHEDULED",,,3535.91,3610.35,3
CPT,31725,"Catheter aspiration (separate procedure); tracheobronchial with fiberscope, bedside UNSCHEDULED",,,2764.86,2823.07,3
CPT,31730,Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy ,,,1950.0,22212.0,106
CPT,31730,Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Other Surgical Services,,,2850.0,2850.0,4
CPT,31730,Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy SCHEDULED,,,3535.91,3610.35,3
CPT,31730,Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy UNSCHEDULED,,,2764.86,2823.07,3
CPT,31750,Tracheoplasty; cervical ,,,1950.0,22212.0,106
CPT,31750,Tracheoplasty; cervical Other Surgical Services,,,2850.0,2850.0,4
CPT,31750,Tracheoplasty; cervical SCHEDULED,,,3535.91,3610.35,3
CPT,31750,Tracheoplasty; cervical UNSCHEDULED,,,2764.86,2823.07,3
CPT,31755,"Tracheoplasty; tracheopharyngeal fistulization, each stage ",,,1950.0,22212.0,106
CPT,31755,"Tracheoplasty; tracheopharyngeal fistulization, each stage Other Surgical Services",,,2850.0,2850.0,4
CPT,31755,"Tracheoplasty; tracheopharyngeal fistulization, each stage SCHEDULED",,,3535.91,3610.35,3
CPT,31755,"Tracheoplasty; tracheopharyngeal fistulization, each stage UNSCHEDULED",,,2764.86,2823.07,3
CPT,31760,Tracheoplasty; intrathoracic ,,,1950.0,31992.0,78
CPT,31760,Tracheoplasty; intrathoracic Other Surgical Services,,,2850.0,2850.0,4
CPT,31760,Tracheoplasty; intrathoracic SCHEDULED,,,3535.91,3610.35,3
CPT,31760,Tracheoplasty; intrathoracic UNSCHEDULED,,,2764.86,2823.07,3
CPT,31766,Carinal reconstruction ,,,1950.0,31992.0,78
CPT,31766,Carinal reconstruction Other Surgical Services,,,2850.0,2850.0,4
CPT,31766,Carinal reconstruction SCHEDULED,,,3535.91,3610.35,3
CPT,31766,Carinal reconstruction UNSCHEDULED,,,2764.86,2823.07,3
CPT,31770,Bronchoplasty; graft repair ,,,1950.0,31992.0,78
CPT,31770,Bronchoplasty; graft repair Other Surgical Services,,,2850.0,2850.0,4
CPT,31770,Bronchoplasty; graft repair SCHEDULED,,,3535.91,3610.35,3
CPT,31770,Bronchoplasty; graft repair UNSCHEDULED,,,2764.86,2823.07,3
CPT,31775,Bronchoplasty; excision stenosis and anastomosis ,,,1950.0,31992.0,78
CPT,31775,Bronchoplasty; excision stenosis and anastomosis Other Surgical Services,,,2850.0,2850.0,4
CPT,31775,Bronchoplasty; excision stenosis and anastomosis SCHEDULED,,,3535.91,3610.35,3
CPT,31775,Bronchoplasty; excision stenosis and anastomosis UNSCHEDULED,,,2764.86,2823.07,3
CPT,31780,Excision tracheal stenosis and anastomosis; cervical ,,,1950.0,31992.0,78
CPT,31780,Excision tracheal stenosis and anastomosis; cervical Other Surgical Services,,,2850.0,2850.0,4
CPT,31780,Excision tracheal stenosis and anastomosis; cervical SCHEDULED,,,3535.91,3610.35,3
CPT,31780,Excision tracheal stenosis and anastomosis; cervical UNSCHEDULED,,,2764.86,2823.07,3
CPT,31781,Excision tracheal stenosis and anastomosis; cervicothoracic ,,,1950.0,31992.0,78
CPT,31781,Excision tracheal stenosis and anastomosis; cervicothoracic Other Surgical Services,,,2850.0,2850.0,4
CPT,31781,Excision tracheal stenosis and anastomosis; cervicothoracic SCHEDULED,,,3535.91,3610.35,3
CPT,31781,Excision tracheal stenosis and anastomosis; cervicothoracic UNSCHEDULED,,,2764.86,2823.07,3
CPT,31785,Excision of tracheal tumor or carcinoma; cervical ,,,1950.0,22212.0,106
CPT,31785,Excision of tracheal tumor or carcinoma; cervical Other Surgical Services,,,2850.0,2850.0,4
CPT,31785,Excision of tracheal tumor or carcinoma; cervical SCHEDULED,,,3535.91,3610.35,3
CPT,31785,Excision of tracheal tumor or carcinoma; cervical UNSCHEDULED,,,2764.86,2823.07,3
CPT,31786,Excision of tracheal tumor or carcinoma; thoracic ,,,1950.0,31992.0,78
CPT,31786,Excision of tracheal tumor or carcinoma; thoracic Other Surgical Services,,,2850.0,2850.0,4
CPT,31786,Excision of tracheal tumor or carcinoma; thoracic SCHEDULED,,,3535.91,3610.35,3
CPT,31786,Excision of tracheal tumor or carcinoma; thoracic UNSCHEDULED,,,2764.86,2823.07,3
CPT,31800,Suture of tracheal wound or injury; cervical ,,,1950.0,31992.0,106
CPT,31800,Suture of tracheal wound or injury; cervical Other Surgical Services,,,2850.0,2850.0,4
CPT,31800,Suture of tracheal wound or injury; cervical SCHEDULED,,,3535.91,3610.35,3
CPT,31800,Suture of tracheal wound or injury; cervical UNSCHEDULED,,,2764.86,2823.07,3
CPT,31805,Suture of tracheal wound or injury; intrathoracic ,,,1950.0,31992.0,78
CPT,31805,Suture of tracheal wound or injury; intrathoracic Other Surgical Services,,,2850.0,2850.0,4
CPT,31805,Suture of tracheal wound or injury; intrathoracic SCHEDULED,,,3535.91,3610.35,3
CPT,31805,Suture of tracheal wound or injury; intrathoracic UNSCHEDULED,,,2764.86,2823.07,3
CPT,31820,Surgical closure tracheostomy or fistula; without plastic repair ,,,1950.0,22212.0,106
CPT,31820,Surgical closure tracheostomy or fistula; without plastic repair Other Surgical Services,,,2850.0,2850.0,4
CPT,31820,Surgical closure tracheostomy or fistula; without plastic repair SCHEDULED,,,8096.73,8267.18,3
CPT,31820,Surgical closure tracheostomy or fistula; without plastic repair UNSCHEDULED,,,2764.86,2823.07,3
CPT,31825,Surgical closure tracheostomy or fistula; with plastic repair ,,,1950.0,22212.0,106
CPT,31825,Surgical closure tracheostomy or fistula; with plastic repair Other Surgical Services,,,2850.0,2850.0,4
CPT,31825,Surgical closure tracheostomy or fistula; with plastic repair SCHEDULED,,,3535.91,3610.35,3
CPT,31825,Surgical closure tracheostomy or fistula; with plastic repair UNSCHEDULED,,,2764.86,2823.07,3
CPT,31830,Revision of tracheostomy scar ,,,1950.0,22212.0,106
CPT,31830,Revision of tracheostomy scar Other Surgical Services,,,2850.0,2850.0,4
CPT,31830,Revision of tracheostomy scar SCHEDULED,,,12280.14,12538.67,3
CPT,31830,Revision of tracheostomy scar UNSCHEDULED,,,2764.86,2823.07,3
CPT,31899,"Unlisted procedure, trachea, bronchi ",,,1844.0,22212.0,106
CPT,31899,"Unlisted procedure, trachea, bronchi Other Surgical Services",,,2850.0,2850.0,4
CPT,31899,"Unlisted procedure, trachea, bronchi SCHEDULED",,,3535.91,3610.35,3
CPT,31899,"Unlisted procedure, trachea, bronchi UNSCHEDULED",,,2764.86,2823.07,3
CPT,32000,DRAINAGE OF CHEST ,,,9935.0,22212.0,3
CPT,32001,Total lung lavage ,,,9935.0,22212.0,3
CPT,32002,TREATMENT OF COLLAPSED LUNG ,,,9935.0,22212.0,3
CPT,32005,TREAT LUNG LINING CHEMICALLY ,,,9935.0,22212.0,3
CPT,32019,INSERT PLEURAL CATHETER ,,,9935.0,22212.0,3
CPT,32020,INSERTION OF CHEST TUBE ,,,9935.0,22212.0,3
CPT,32035,Thoracostomy; with rib resection for empyema ,,,1950.0,31992.0,78
CPT,32035,Thoracostomy; with rib resection for empyema Other Surgical Services,,,2850.0,2850.0,4
CPT,32035,Thoracostomy; with rib resection for empyema SCHEDULED,,,2649.7,2705.49,3
CPT,32035,Thoracostomy; with rib resection for empyema UNSCHEDULED,,,1746.23,1783.0,3
CPT,32036,Thoracostomy; with open flap drainage for empyema ,,,1950.0,31992.0,78
CPT,32036,Thoracostomy; with open flap drainage for empyema Other Surgical Services,,,2850.0,2850.0,4
CPT,32036,Thoracostomy; with open flap drainage for empyema SCHEDULED,,,2649.7,2705.49,3
CPT,32036,Thoracostomy; with open flap drainage for empyema UNSCHEDULED,,,1746.23,1783.0,3
CPT,32095,BIOPSY THROUGH CHEST WALL ,,,9935.0,22212.0,3
CPT,32095,BIOPSY THROUGH CHEST WALL SCHEDULED,,,2649.7,2705.49,3
CPT,32095,BIOPSY THROUGH CHEST WALL UNSCHEDULED,,,1746.23,1783.0,3
CPT,32096,"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral ",,,1950.0,31992.0,106
CPT,32096,"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,32096,"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral SCHEDULED",,,2649.7,2705.49,3
CPT,32096,"Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral UNSCHEDULED",,,1746.23,1783.0,3
CPT,32097,"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral ",,,1950.0,31992.0,106
CPT,32097,"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,32097,"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral SCHEDULED",,,2649.7,2705.49,3
CPT,32097,"Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral UNSCHEDULED",,,1746.23,1783.0,3
CPT,32098,"Thoracotomy, with biopsy(ies) of pleura ",,,1950.0,31992.0,106
CPT,32098,"Thoracotomy, with biopsy(ies) of pleura Other Surgical Services",,,2850.0,2850.0,4
CPT,32098,"Thoracotomy, with biopsy(ies) of pleura SCHEDULED",,,2649.7,2705.49,3
CPT,32098,"Thoracotomy, with biopsy(ies) of pleura UNSCHEDULED",,,1746.23,1783.0,3
CPT,32100,Thoracotomy; with exploration ,,,1950.0,31992.0,78
CPT,32100,Thoracotomy; with exploration Other Surgical Services,,,2850.0,2850.0,4
CPT,32100,Thoracotomy; with exploration SCHEDULED,,,2649.7,2705.49,3
CPT,32100,Thoracotomy; with exploration UNSCHEDULED,,,1746.23,1783.0,3
CPT,32110,Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear ,,,1950.0,31992.0,78
CPT,32110,Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear Other Surgical Services,,,2850.0,2850.0,4
CPT,32110,Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear SCHEDULED,,,2649.7,2705.49,3
CPT,32110,Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear UNSCHEDULED,,,1746.23,1783.0,3
CPT,32120,Thoracotomy; for postoperative complications ,,,1950.0,31992.0,78
CPT,32120,Thoracotomy; for postoperative complications Other Surgical Services,,,2850.0,2850.0,4
CPT,32120,Thoracotomy; for postoperative complications SCHEDULED,,,2649.7,2705.49,3
CPT,32120,Thoracotomy; for postoperative complications UNSCHEDULED,,,1746.23,1783.0,3
CPT,32124,Thoracotomy; with open intrapleural pneumonolysis ,,,1950.0,31992.0,78
CPT,32124,Thoracotomy; with open intrapleural pneumonolysis Other Surgical Services,,,2850.0,2850.0,4
CPT,32124,Thoracotomy; with open intrapleural pneumonolysis SCHEDULED,,,2649.7,2705.49,3
CPT,32124,Thoracotomy; with open intrapleural pneumonolysis UNSCHEDULED,,,1746.23,1783.0,3
CPT,32140,"Thoracotomy; with cyst(s) removal, includes pleural procedure when performed ",,,1950.0,31992.0,78
CPT,32140,"Thoracotomy; with cyst(s) removal, includes pleural procedure when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,32140,"Thoracotomy; with cyst(s) removal, includes pleural procedure when performed SCHEDULED",,,2649.7,2705.49,3
CPT,32140,"Thoracotomy; with cyst(s) removal, includes pleural procedure when performed UNSCHEDULED",,,1746.23,1783.0,3
CPT,32141,"Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed ",,,1950.0,31992.0,78
CPT,32141,"Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,32141,"Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed SCHEDULED",,,2649.7,2705.49,3
CPT,32141,"Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed UNSCHEDULED",,,1746.23,1783.0,3
CPT,32150,Thoracotomy; with removal of intrapleural foreign body or fibrin deposit ,,,1950.0,31992.0,78
CPT,32150,Thoracotomy; with removal of intrapleural foreign body or fibrin deposit Other Surgical Services,,,2850.0,2850.0,4
CPT,32150,Thoracotomy; with removal of intrapleural foreign body or fibrin deposit SCHEDULED,,,2649.7,2705.49,3
CPT,32150,Thoracotomy; with removal of intrapleural foreign body or fibrin deposit UNSCHEDULED,,,1746.23,1783.0,3
CPT,32151,Thoracotomy; with removal of intrapulmonary foreign body ,,,1950.0,31992.0,78
CPT,32151,Thoracotomy; with removal of intrapulmonary foreign body Other Surgical Services,,,2850.0,2850.0,4
CPT,32151,Thoracotomy; with removal of intrapulmonary foreign body SCHEDULED,,,2649.7,2705.49,3
CPT,32151,Thoracotomy; with removal of intrapulmonary foreign body UNSCHEDULED,,,1746.23,1783.0,3
CPT,32160,Thoracotomy; with cardiac massage ,,,1950.0,31992.0,78
CPT,32160,Thoracotomy; with cardiac massage Other Surgical Services,,,2850.0,2850.0,4
CPT,32160,Thoracotomy; with cardiac massage SCHEDULED,,,2649.7,2705.49,3
CPT,32160,Thoracotomy; with cardiac massage UNSCHEDULED,,,1726.34,1762.68,3
CPT,32200,"Pneumonostomy, with open drainage of abscess or cyst ",,,1950.0,31992.0,78
CPT,32200,"Pneumonostomy, with open drainage of abscess or cyst Other Surgical Services",,,2850.0,2850.0,4
CPT,32200,"Pneumonostomy, with open drainage of abscess or cyst SCHEDULED",,,2649.7,2705.49,3
CPT,32200,"Pneumonostomy, with open drainage of abscess or cyst UNSCHEDULED",,,1746.23,1783.0,3
CPT,32201,DRAIN PERCUT LUNG LESION ,,,9935.0,22212.0,3
CPT,32201,DRAIN PERCUT LUNG LESION SCHEDULED,,,2649.7,2705.49,3
CPT,32201,DRAIN PERCUT LUNG LESION UNSCHEDULED,,,1746.23,1783.0,3
CPT,32215,Pleural scarification for repeat pneumothorax ,,,1950.0,31992.0,78
CPT,32215,Pleural scarification for repeat pneumothorax Other Surgical Services,,,2850.0,2850.0,4
CPT,32215,Pleural scarification for repeat pneumothorax SCHEDULED,,,2649.7,2705.49,3
CPT,32215,Pleural scarification for repeat pneumothorax UNSCHEDULED,,,1746.23,1783.0,3
CPT,32220,"Decortication, pulmonary (separate procedure); total ",,,1950.0,31992.0,106
CPT,32220,"Decortication, pulmonary (separate procedure); total Other Surgical Services",,,2850.0,2850.0,4
CPT,32220,"Decortication, pulmonary (separate procedure); total SCHEDULED",,,2649.7,2705.49,3
CPT,32220,"Decortication, pulmonary (separate procedure); total UNSCHEDULED",,,1746.23,1783.0,3
CPT,32225,"Decortication, pulmonary (separate procedure); partial ",,,1950.0,31992.0,106
CPT,32225,"Decortication, pulmonary (separate procedure); partial Other Surgical Services",,,2850.0,2850.0,4
CPT,32225,"Decortication, pulmonary (separate procedure); partial SCHEDULED",,,2649.7,2705.49,3
CPT,32225,"Decortication, pulmonary (separate procedure); partial UNSCHEDULED",,,1746.23,1783.0,3
CPT,32310,"Pleurectomy, parietal (separate procedure) ",,,1950.0,31992.0,106
CPT,32310,"Pleurectomy, parietal (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,32310,"Pleurectomy, parietal (separate procedure) SCHEDULED",,,2649.7,2705.49,3
CPT,32310,"Pleurectomy, parietal (separate procedure) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32320,Decortication and parietal pleurectomy ,,,1950.0,31992.0,106
CPT,32320,Decortication and parietal pleurectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,32320,Decortication and parietal pleurectomy SCHEDULED,,,2649.7,2705.49,3
CPT,32320,Decortication and parietal pleurectomy UNSCHEDULED,,,1746.23,1783.0,3
CPT,32400,"Biopsy, pleura, percutaneous needle ",,,1950.0,22212.0,106
CPT,32400,"Biopsy, pleura, percutaneous needle Other Surgical Services",,,2850.0,2850.0,4
CPT,32400,"Biopsy, pleura, percutaneous needle SCHEDULED",,,2649.7,2705.49,3
CPT,32400,"Biopsy, pleura, percutaneous needle UNSCHEDULED",,,1746.23,1783.0,3
CPT,32402,OPEN BIOPSY CHEST LINING ,,,9935.0,22212.0,3
CPT,32402,OPEN BIOPSY CHEST LINING SCHEDULED,,,2649.7,2705.49,3
CPT,32402,OPEN BIOPSY CHEST LINING UNSCHEDULED,,,1746.23,1783.0,3
CPT,32405,"BIOPSY, LUNG OR MEDIASTINUM, PERCUTANEOUS NEEDLE ",,,2820.0,22212.0,31
CPT,32405,"BIOPSY, LUNG OR MEDIASTINUM, PERCUTANEOUS NEEDLE SCHEDULED",,,3399.28,3470.84,3
CPT,32405,"BIOPSY, LUNG OR MEDIASTINUM, PERCUTANEOUS NEEDLE UNSCHEDULED",,,1746.23,1783.0,3
CPT,32408,"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed ",,,1950.0,22212.0,78
CPT,32408,"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,32408,"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed SCHEDULED",,,2649.7,2705.49,3
CPT,32408,"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed UNSCHEDULED",,,1746.23,1783.0,3
CPT,32420,PUNCTURE/CLEAR LUNG ,,,9935.0,22212.0,3
CPT,32420,PUNCTURE/CLEAR LUNG SCHEDULED,,,2649.7,2705.49,3
CPT,32420,PUNCTURE/CLEAR LUNG UNSCHEDULED,,,1746.23,1783.0,3
CPT,32421,THORACENTESIS FOR ASPIRATION ,,,9935.0,22212.0,3
CPT,32421,THORACENTESIS FOR ASPIRATION SCHEDULED,,,2649.7,2705.49,3
CPT,32421,THORACENTESIS FOR ASPIRATION UNSCHEDULED,,,1746.23,1783.0,3
CPT,32422,THORACENTESIS W/TUBE INSERT ,,,9935.0,22212.0,3
CPT,32422,THORACENTESIS W/TUBE INSERT SCHEDULED,,,2649.7,2705.49,3
CPT,32422,THORACENTESIS W/TUBE INSERT UNSCHEDULED,,,1746.23,1783.0,3
CPT,32440,"Removal of lung, pneumonectomy; ",,,1950.0,31992.0,78
CPT,32440,"Removal of lung, pneumonectomy; Other Surgical Services",,,2850.0,2850.0,4
CPT,32440,"Removal of lung, pneumonectomy; SCHEDULED",,,2649.7,2705.49,3
CPT,32440,"Removal of lung, pneumonectomy; UNSCHEDULED",,,1746.23,1783.0,3
CPT,32442,"Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy) ",,,1950.0,31992.0,78
CPT,32442,"Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,32442,"Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy) SCHEDULED",,,2649.7,2705.49,3
CPT,32442,"Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32445,"Removal of lung, pneumonectomy; extrapleural ",,,1950.0,31992.0,78
CPT,32445,"Removal of lung, pneumonectomy; extrapleural Other Surgical Services",,,2850.0,2850.0,4
CPT,32445,"Removal of lung, pneumonectomy; extrapleural SCHEDULED",,,2649.7,2705.49,3
CPT,32445,"Removal of lung, pneumonectomy; extrapleural UNSCHEDULED",,,1746.23,1783.0,3
CPT,32480,"Removal of lung, other than pneumonectomy; single lobe (lobectomy) ",,,1950.0,31992.0,78
CPT,32480,"Removal of lung, other than pneumonectomy; single lobe (lobectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,32480,"Removal of lung, other than pneumonectomy; single lobe (lobectomy) SCHEDULED",,,2649.7,2705.49,3
CPT,32480,"Removal of lung, other than pneumonectomy; single lobe (lobectomy) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32482,"Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy) ",,,1950.0,31992.0,78
CPT,32482,"Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,32482,"Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy) SCHEDULED",,,2649.7,2705.49,3
CPT,32482,"Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32484,"Removal of lung, other than pneumonectomy; single segment (segmentectomy) ",,,1950.0,31992.0,78
CPT,32484,"Removal of lung, other than pneumonectomy; single segment (segmentectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,32484,"Removal of lung, other than pneumonectomy; single segment (segmentectomy) SCHEDULED",,,2649.7,2705.49,3
CPT,32484,"Removal of lung, other than pneumonectomy; single segment (segmentectomy) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32486,"Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy) ",,,1950.0,31992.0,78
CPT,32486,"Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,32486,"Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy) SCHEDULED",,,2649.7,2705.49,3
CPT,32486,"Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32488,"Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy) ",,,1950.0,31992.0,78
CPT,32488,"Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,32488,"Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy) SCHEDULED",,,2649.7,2705.49,3
CPT,32488,"Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32491,"Removal of lung, other than pneumonectomy; with resection-plication of emphysematous lung(s) (bullous or non-bullous) for lung volume reduction, sternal split or transthoracic approach, includes any p",,,1746.23,31992.0,88
CPT,32500,PARTIAL REMOVAL OF LUNG ,,,9935.0,22212.0,3
CPT,32500,PARTIAL REMOVAL OF LUNG SCHEDULED,,,2649.7,2705.49,3
CPT,32500,PARTIAL REMOVAL OF LUNG UNSCHEDULED,,,1746.23,1783.0,3
CPT,32501,Resection and repair of portion of bronchus (bronchoplasty) when performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure) ,,,1950.0,31992.0,78
CPT,32501,Resection and repair of portion of bronchus (bronchoplasty) when performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,32501,Resection and repair of portion of bronchus (bronchoplasty) when performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure) SCHEDULED,,,2649.7,2705.49,3
CPT,32501,Resection and repair of portion of bronchus (bronchoplasty) when performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure) UNSCHEDULED,,,1746.23,1783.0,3
CPT,32503,"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; without chest wall reconstruction(s) ",,,1950.0,31992.0,78
CPT,32503,"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; without chest wall reconstruction(s) Other Surgical ",,,2850.0,2850.0,4
CPT,32503,"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; without chest wall reconstruction(s) SCHEDULED",,,2649.7,2705.49,3
CPT,32503,"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; without chest wall reconstruction(s) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32504,"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; with chest wall reconstruction ",,,1950.0,31992.0,78
CPT,32504,"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; with chest wall reconstruction Other Surgical Servic",,,2850.0,2850.0,4
CPT,32504,"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; with chest wall reconstruction SCHEDULED",,,2649.7,2705.49,3
CPT,32504,"Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; with chest wall reconstruction UNSCHEDULED",,,1746.23,1783.0,3
CPT,32505,"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial ",,,1950.0,31992.0,78
CPT,32505,"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial Other Surgical Services",,,2850.0,2850.0,4
CPT,32505,"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial SCHEDULED",,,2649.7,2705.49,3
CPT,32505,"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial UNSCHEDULED",,,1746.23,1783.0,3
CPT,32506,"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,32506,"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,32506,"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) SCHEDULED",,,2649.7,2705.49,3
CPT,32506,"Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32507,Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) ,,,1950.0,31992.0,78
CPT,32507,Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,32507,Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) SCHEDULED,,,2649.7,2705.49,3
CPT,32507,Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) UNSCHEDULED,,,1746.23,1783.0,3
CPT,32520,REMOVE LUNG & REVISE CHEST ,,,9935.0,22212.0,3
CPT,32520,REMOVE LUNG & REVISE CHEST SCHEDULED,,,2649.7,2705.49,3
CPT,32520,REMOVE LUNG & REVISE CHEST UNSCHEDULED,,,1746.23,1783.0,3
CPT,32522,REMOVE LUNG & REVISE CHEST ,,,9935.0,22212.0,3
CPT,32522,REMOVE LUNG & REVISE CHEST SCHEDULED,,,2649.7,2705.49,3
CPT,32522,REMOVE LUNG & REVISE CHEST UNSCHEDULED,,,1746.23,1783.0,3
CPT,32525,REMOVE LUNG & REVISE CHEST ,,,9935.0,22212.0,3
CPT,32525,REMOVE LUNG & REVISE CHEST SCHEDULED,,,2649.7,2705.49,3
CPT,32525,REMOVE LUNG & REVISE CHEST UNSCHEDULED,,,1746.23,1783.0,3
CPT,32540,Extrapleural enucleation of empyema (empyemectomy) ,,,1950.0,31992.0,78
CPT,32540,Extrapleural enucleation of empyema (empyemectomy) Other Surgical Services,,,2850.0,2850.0,4
CPT,32540,Extrapleural enucleation of empyema (empyemectomy) SCHEDULED,,,2649.7,2705.49,3
CPT,32540,Extrapleural enucleation of empyema (empyemectomy) UNSCHEDULED,,,1746.23,1783.0,3
CPT,32550,Insertion of indwelling tunneled pleural catheter with cuff ,,,1950.0,22212.0,106
CPT,32550,Insertion of indwelling tunneled pleural catheter with cuff Other Surgical Services,,,2850.0,2850.0,4
CPT,32550,Insertion of indwelling tunneled pleural catheter with cuff SCHEDULED,,,2649.7,2705.49,3
CPT,32550,Insertion of indwelling tunneled pleural catheter with cuff UNSCHEDULED,,,1959.79,2001.05,3
CPT,32551,"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure) ",,,1950.0,22212.0,106
CPT,32551,"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,32551,"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure) SCHEDULED",,,2649.7,2705.49,3
CPT,32551,"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure) UNSCHEDULED",,,952.68,972.74,3
CPT,32552,Removal of indwelling tunneled pleural catheter with cuff ,,,1950.0,22212.0,106
CPT,32552,Removal of indwelling tunneled pleural catheter with cuff Other Surgical Services,,,2850.0,2850.0,4
CPT,32552,Removal of indwelling tunneled pleural catheter with cuff SCHEDULED,,,2649.7,2705.49,3
CPT,32552,Removal of indwelling tunneled pleural catheter with cuff UNSCHEDULED,,,1746.23,1783.0,3
CPT,32553,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple ",,,1950.0,22212.0,106
CPT,32553,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,32553,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple SCHEDULED",,,2649.7,2705.49,3
CPT,32553,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple UNSCHEDULED",,,1746.23,1783.0,3
CPT,32554,"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance ",,,1950.0,22212.0,106
CPT,32554,"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,32554,"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance SCHEDULED",,,2649.7,2705.49,3
CPT,32554,"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance UNSCHEDULED",,,1766.12,1803.3,3
CPT,32555,"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance ",,,1950.0,22212.0,106
CPT,32555,"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,32555,"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance SCHEDULED",,,1900.12,1940.13,3
CPT,32555,"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance UNSCHEDULED",,,1088.78,1111.7,3
CPT,32556,"Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance ",,,1950.0,22212.0,106
CPT,32556,"Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,32556,"Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance SCHEDULED",,,2649.7,2705.49,3
CPT,32556,"Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance UNSCHEDULED",,,4267.16,4357.0,3
CPT,32557,"Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance ",,,1950.0,22212.0,106
CPT,32557,"Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,32557,"Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance SCHEDULED",,,2649.7,2705.49,3
CPT,32557,"Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance UNSCHEDULED",,,1746.23,1783.0,3
CPT,32560,"Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax) ",,,1950.0,22212.0,106
CPT,32560,"Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax) Other Surgical Services",,,2850.0,2850.0,4
CPT,32560,"Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax) SCHEDULED",,,2649.7,2705.49,3
CPT,32560,"Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32561,"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day ",,,1950.0,22212.0,106
CPT,32561,"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day Other Surgical Services",,,2850.0,2850.0,4
CPT,32561,"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day SCHEDULED",,,2649.7,2705.49,3
CPT,32561,"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day UNSCHEDULED",,,1746.23,1783.0,3
CPT,32562,"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day ",,,1950.0,22212.0,106
CPT,32562,"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day Other Surgical Services",,,2850.0,2850.0,4
CPT,32562,"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day SCHEDULED",,,2649.7,2705.49,3
CPT,32562,"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day UNSCHEDULED",,,1746.23,1783.0,3
CPT,32601,"Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy ",,,1950.0,22212.0,106
CPT,32601,"Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,32601,"Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy SCHEDULED",,,2649.7,2705.49,3
CPT,32601,"Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy UNSCHEDULED",,,1746.23,1783.0,3
CPT,32602,THORACOSCOPY DIAGNOSTIC ,,,9935.0,22212.0,3
CPT,32602,THORACOSCOPY DIAGNOSTIC SCHEDULED,,,2649.7,2705.49,3
CPT,32602,THORACOSCOPY DIAGNOSTIC UNSCHEDULED,,,1746.23,1783.0,3
CPT,32603,THORACOSCOPY DIAGNOSTIC ,,,9935.0,22212.0,3
CPT,32603,THORACOSCOPY DIAGNOSTIC SCHEDULED,,,2649.7,2705.49,3
CPT,32603,THORACOSCOPY DIAGNOSTIC UNSCHEDULED,,,1746.23,1783.0,3
CPT,32604,"Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy ",,,1950.0,22212.0,106
CPT,32604,"Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,32604,"Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy SCHEDULED",,,2649.7,2705.49,3
CPT,32604,"Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy UNSCHEDULED",,,1746.23,1783.0,3
CPT,32605,THORACOSCOPY DIAGNOSTIC ,,,9935.0,22212.0,3
CPT,32605,THORACOSCOPY DIAGNOSTIC SCHEDULED,,,2649.7,2705.49,3
CPT,32605,THORACOSCOPY DIAGNOSTIC UNSCHEDULED,,,1746.23,1783.0,3
CPT,32606,"Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy ",,,1950.0,22212.0,106
CPT,32606,"Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,32606,"Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy SCHEDULED",,,2649.7,2705.49,3
CPT,32606,"Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy UNSCHEDULED",,,1746.23,1783.0,3
CPT,32607,"Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral ",,,1950.0,22212.0,106
CPT,32607,"Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,32607,"Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral SCHEDULED",,,2649.7,2705.49,3
CPT,32607,"Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral UNSCHEDULED",,,1746.23,1783.0,3
CPT,32608,"Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral ",,,1950.0,22212.0,106
CPT,32608,"Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,32608,"Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral SCHEDULED",,,2649.7,2705.49,3
CPT,32608,"Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral UNSCHEDULED",,,1746.23,1783.0,3
CPT,32609,Thoracoscopy; with biopsy(ies) of pleura ,,,1950.0,22212.0,106
CPT,32609,Thoracoscopy; with biopsy(ies) of pleura Other Surgical Services,,,2850.0,2850.0,4
CPT,32609,Thoracoscopy; with biopsy(ies) of pleura SCHEDULED,,,2649.7,2705.49,3
CPT,32609,Thoracoscopy; with biopsy(ies) of pleura UNSCHEDULED,,,1746.23,1783.0,3
CPT,32650,"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical) ",,,1950.0,31992.0,106
CPT,32650,"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical) Other Surgical Services",,,2850.0,2850.0,4
CPT,32650,"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical) SCHEDULED",,,2649.7,2705.49,3
CPT,32650,"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32651,"Thoracoscopy, surgical; with partial pulmonary decortication ",,,1950.0,31992.0,106
CPT,32651,"Thoracoscopy, surgical; with partial pulmonary decortication Other Surgical Services",,,2850.0,2850.0,4
CPT,32651,"Thoracoscopy, surgical; with partial pulmonary decortication SCHEDULED",,,2649.7,2705.49,3
CPT,32651,"Thoracoscopy, surgical; with partial pulmonary decortication UNSCHEDULED",,,1746.23,1783.0,3
CPT,32652,"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis ",,,1950.0,31992.0,106
CPT,32652,"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis Other Surgical Services",,,2850.0,2850.0,4
CPT,32652,"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis SCHEDULED",,,2649.7,2705.49,3
CPT,32652,"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis UNSCHEDULED",,,1746.23,1783.0,3
CPT,32653,"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit ",,,1950.0,31992.0,106
CPT,32653,"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit Other Surgical Services",,,2850.0,2850.0,4
CPT,32653,"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit SCHEDULED",,,2649.7,2705.49,3
CPT,32653,"Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit UNSCHEDULED",,,1746.23,1783.0,3
CPT,32654,"Thoracoscopy, surgical; with control of traumatic hemorrhage ",,,1950.0,31992.0,78
CPT,32654,"Thoracoscopy, surgical; with control of traumatic hemorrhage Other Surgical Services",,,2850.0,2850.0,4
CPT,32654,"Thoracoscopy, surgical; with control of traumatic hemorrhage SCHEDULED",,,2649.7,2705.49,3
CPT,32654,"Thoracoscopy, surgical; with control of traumatic hemorrhage UNSCHEDULED",,,1746.23,1783.0,3
CPT,32655,"Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed ",,,1950.0,31992.0,106
CPT,32655,"Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,32655,"Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed SCHEDULED",,,2649.7,2705.49,3
CPT,32655,"Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed UNSCHEDULED",,,1746.23,1783.0,3
CPT,32656,"Thoracoscopy, surgical; with parietal pleurectomy ",,,1950.0,31992.0,106
CPT,32656,"Thoracoscopy, surgical; with parietal pleurectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,32656,"Thoracoscopy, surgical; with parietal pleurectomy SCHEDULED",,,2649.7,2705.49,3
CPT,32656,"Thoracoscopy, surgical; with parietal pleurectomy UNSCHEDULED",,,1746.23,1783.0,3
CPT,32657,THORACOSCOPY SURGICAL ,,,9935.0,22212.0,3
CPT,32657,THORACOSCOPY SURGICAL SCHEDULED,,,2649.7,2705.49,3
CPT,32657,THORACOSCOPY SURGICAL UNSCHEDULED,,,1746.23,1783.0,3
CPT,32658,"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac ",,,1950.0,31992.0,78
CPT,32658,"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac Other Surgical Services",,,2850.0,2850.0,4
CPT,32658,"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac SCHEDULED",,,2649.7,2705.49,3
CPT,32658,"Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac UNSCHEDULED",,,1746.23,1783.0,3
CPT,32659,"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage ",,,1950.0,31992.0,78
CPT,32659,"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage Other Surgical Services",,,2850.0,2850.0,4
CPT,32659,"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage SCHEDULED",,,2649.7,2705.49,3
CPT,32659,"Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage UNSCHEDULED",,,1746.23,1783.0,3
CPT,32660,THORACOSCOPY SURGICAL ,,,9935.0,22212.0,3
CPT,32660,THORACOSCOPY SURGICAL SCHEDULED,,,2649.7,2705.49,3
CPT,32660,THORACOSCOPY SURGICAL UNSCHEDULED,,,1746.23,1783.0,3
CPT,32661,"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass ",,,1950.0,31992.0,78
CPT,32661,"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass Other Surgical Services",,,2850.0,2850.0,4
CPT,32661,"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass SCHEDULED",,,2649.7,2705.49,3
CPT,32661,"Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass UNSCHEDULED",,,1746.23,1783.0,3
CPT,32662,"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass ",,,1950.0,31992.0,78
CPT,32662,"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass Other Surgical Services",,,2850.0,2850.0,4
CPT,32662,"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass SCHEDULED",,,2649.7,2705.49,3
CPT,32662,"Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass UNSCHEDULED",,,1746.23,1783.0,3
CPT,32663,"Thoracoscopy, surgical; with lobectomy (single lobe) ",,,1950.0,31992.0,78
CPT,32663,"Thoracoscopy, surgical; with lobectomy (single lobe) Other Surgical Services",,,2850.0,2850.0,4
CPT,32663,"Thoracoscopy, surgical; with lobectomy (single lobe) SCHEDULED",,,2649.7,2705.49,3
CPT,32663,"Thoracoscopy, surgical; with lobectomy (single lobe) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32664,"Thoracoscopy, surgical; with thoracic sympathectomy ",,,1950.0,31992.0,106
CPT,32664,"Thoracoscopy, surgical; with thoracic sympathectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,32664,"Thoracoscopy, surgical; with thoracic sympathectomy SCHEDULED",,,2649.7,2705.49,3
CPT,32664,"Thoracoscopy, surgical; with thoracic sympathectomy UNSCHEDULED",,,1746.23,1783.0,3
CPT,32665,"Thoracoscopy, surgical; with esophagomyotomy (Heller type) ",,,1950.0,31992.0,78
CPT,32665,"Thoracoscopy, surgical; with esophagomyotomy (Heller type) Other Surgical Services",,,2850.0,2850.0,4
CPT,32665,"Thoracoscopy, surgical; with esophagomyotomy (Heller type) SCHEDULED",,,2649.7,2705.49,3
CPT,32665,"Thoracoscopy, surgical; with esophagomyotomy (Heller type) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32666,"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral ",,,1950.0,31992.0,78
CPT,32666,"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,32666,"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral SCHEDULED",,,2649.7,2705.49,3
CPT,32666,"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral UNSCHEDULED",,,1746.23,1783.0,3
CPT,32667,"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,32667,"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) Other Surgical Service",,,2850.0,2850.0,4
CPT,32667,"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) SCHEDULED",,,2649.7,2705.49,3
CPT,32667,"Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32668,"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,32668,"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,32668,"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) SCHEDULED",,,2649.7,2705.49,3
CPT,32668,"Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32669,"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy) ",,,1950.0,31992.0,78
CPT,32669,"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,32669,"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy) SCHEDULED",,,2649.7,2705.49,3
CPT,32669,"Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32670,"Thoracoscopy, surgical; with removal of two lobes (bilobectomy) ",,,1950.0,31992.0,78
CPT,32670,"Thoracoscopy, surgical; with removal of two lobes (bilobectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,32670,"Thoracoscopy, surgical; with removal of two lobes (bilobectomy) SCHEDULED",,,2649.7,2705.49,3
CPT,32670,"Thoracoscopy, surgical; with removal of two lobes (bilobectomy) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32671,"Thoracoscopy, surgical; with removal of lung (pneumonectomy) ",,,1950.0,31992.0,78
CPT,32671,"Thoracoscopy, surgical; with removal of lung (pneumonectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,32671,"Thoracoscopy, surgical; with removal of lung (pneumonectomy) SCHEDULED",,,2649.7,2705.49,3
CPT,32671,"Thoracoscopy, surgical; with removal of lung (pneumonectomy) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32672,"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reduction (LVRS), unilateral includes any pleural procedure, when performed ",,,1950.0,31992.0,78
CPT,32672,"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reduction (LVRS), unilateral includes any pleural procedure, when performed Other Surgi",,,2850.0,2850.0,4
CPT,32672,"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reduction (LVRS), unilateral includes any pleural procedure, when performed SCHEDULED",,,2649.7,2705.49,3
CPT,32672,"Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reduction (LVRS), unilateral includes any pleural procedure, when performed UNSCHEDULED",,,1746.23,1783.0,3
CPT,32673,"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral ",,,1950.0,31992.0,78
CPT,32673,"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,32673,"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral SCHEDULED",,,2649.7,2705.49,3
CPT,32673,"Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral UNSCHEDULED",,,1746.23,1783.0,3
CPT,32674,"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,32674,"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,32674,"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) SCHEDULED",,,2649.7,2705.49,3
CPT,32674,"Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32701,"Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT), (photon or particle beam), entire course of treatment ",,,1950.0,34553.0,40
CPT,32701,"Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT), (photon or particle beam), entire course of treatment Other Surgical Services",,,2850.0,2850.0,4
CPT,32701,"Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT), (photon or particle beam), entire course of treatment SCHEDULED",,,2649.7,2705.49,3
CPT,32701,"Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT), (photon or particle beam), entire course of treatment UNSCHEDULED",,,1746.23,1783.0,3
CPT,32800,Repair lung hernia through chest wall ,,,1950.0,31992.0,78
CPT,32800,Repair lung hernia through chest wall Other Surgical Services,,,2850.0,2850.0,4
CPT,32800,Repair lung hernia through chest wall SCHEDULED,,,2649.7,2705.49,3
CPT,32800,Repair lung hernia through chest wall UNSCHEDULED,,,1746.23,1783.0,3
CPT,32810,Closure of chest wall following open flap drainage for empyema (Clagett type procedure) ,,,1950.0,31992.0,78
CPT,32810,Closure of chest wall following open flap drainage for empyema (Clagett type procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,32810,Closure of chest wall following open flap drainage for empyema (Clagett type procedure) SCHEDULED,,,2649.7,2705.49,3
CPT,32810,Closure of chest wall following open flap drainage for empyema (Clagett type procedure) UNSCHEDULED,,,1746.23,1783.0,3
CPT,32815,Open closure of major bronchial fistula ,,,1950.0,31992.0,78
CPT,32815,Open closure of major bronchial fistula Other Surgical Services,,,2850.0,2850.0,4
CPT,32815,Open closure of major bronchial fistula SCHEDULED,,,2649.7,2705.49,3
CPT,32815,Open closure of major bronchial fistula UNSCHEDULED,,,1746.23,1783.0,3
CPT,32820,"Major reconstruction, chest wall (posttraumatic) ",,,1950.0,31992.0,78
CPT,32820,"Major reconstruction, chest wall (posttraumatic) Other Surgical Services",,,2850.0,2850.0,4
CPT,32820,"Major reconstruction, chest wall (posttraumatic) SCHEDULED",,,2649.7,2705.49,3
CPT,32820,"Major reconstruction, chest wall (posttraumatic) UNSCHEDULED",,,1746.23,1783.0,3
CPT,32850,"Donor pneumonectomy(s) (including cold preservation), from cadaver donor ",,,1950.0,31992.0,78
CPT,32850,"Donor pneumonectomy(s) (including cold preservation), from cadaver donor Other Surgical Services",,,2850.0,2850.0,4
CPT,32850,"Donor pneumonectomy(s) (including cold preservation), from cadaver donor SCHEDULED",,,2649.7,2705.49,3
CPT,32850,"Donor pneumonectomy(s) (including cold preservation), from cadaver donor UNSCHEDULED",,,1746.23,1783.0,3
CPT,32851,"Lung transplant, single; without cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,32851,"Lung transplant, single; without cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,32851,"Lung transplant, single; without cardiopulmonary bypass SCHEDULED",,,2649.7,2705.49,3
CPT,32851,"Lung transplant, single; without cardiopulmonary bypass UNSCHEDULED",,,1746.23,1783.0,3
CPT,32852,"Lung transplant, single; with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,32852,"Lung transplant, single; with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,32852,"Lung transplant, single; with cardiopulmonary bypass SCHEDULED",,,2649.7,2705.49,3
CPT,32852,"Lung transplant, single; with cardiopulmonary bypass UNSCHEDULED",,,1746.23,1783.0,3
CPT,32853,"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,32853,"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,32853,"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass SCHEDULED",,,2649.7,2705.49,3
CPT,32853,"Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass UNSCHEDULED",,,1746.23,1783.0,3
CPT,32854,"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,32854,"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,32854,"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass SCHEDULED",,,2649.7,2705.49,3
CPT,32854,"Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass UNSCHEDULED",,,1746.23,1783.0,3
CPT,32855,"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare pulmonary venous/atrial cuff, pulmon",,,1746.23,31992.0,88
CPT,32856,"Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare pulmonary venous/atrial cuff, pulmon",,,1746.23,31992.0,88
CPT,32900,"Resection of ribs, extrapleural, all stages ",,,1950.0,31992.0,78
CPT,32900,"Resection of ribs, extrapleural, all stages Other Surgical Services",,,2850.0,2850.0,4
CPT,32900,"Resection of ribs, extrapleural, all stages SCHEDULED",,,2649.7,2705.49,3
CPT,32900,"Resection of ribs, extrapleural, all stages UNSCHEDULED",,,1746.23,1783.0,3
CPT,32905,"Thoracoplasty, Schede type or extrapleural (all stages); ",,,1950.0,31992.0,78
CPT,32905,"Thoracoplasty, Schede type or extrapleural (all stages); Other Surgical Services",,,2850.0,2850.0,4
CPT,32905,"Thoracoplasty, Schede type or extrapleural (all stages); SCHEDULED",,,2649.7,2705.49,3
CPT,32905,"Thoracoplasty, Schede type or extrapleural (all stages); UNSCHEDULED",,,1746.23,1783.0,3
CPT,32906,"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula ",,,1950.0,31992.0,78
CPT,32906,"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula Other Surgical Services",,,2850.0,2850.0,4
CPT,32906,"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula SCHEDULED",,,2649.7,2705.49,3
CPT,32906,"Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula UNSCHEDULED",,,1746.23,1783.0,3
CPT,32940,"Pneumonolysis, extraperiosteal, including filling or packing procedures ",,,1950.0,31992.0,78
CPT,32940,"Pneumonolysis, extraperiosteal, including filling or packing procedures Other Surgical Services",,,2850.0,2850.0,4
CPT,32940,"Pneumonolysis, extraperiosteal, including filling or packing procedures SCHEDULED",,,2649.7,2705.49,3
CPT,32940,"Pneumonolysis, extraperiosteal, including filling or packing procedures UNSCHEDULED",,,1746.23,1783.0,3
CPT,32960,"Pneumothorax, therapeutic, intrapleural injection of air ",,,1950.0,22212.0,106
CPT,32960,"Pneumothorax, therapeutic, intrapleural injection of air Other Surgical Services",,,2850.0,2850.0,4
CPT,32960,"Pneumothorax, therapeutic, intrapleural injection of air SCHEDULED",,,2649.7,2705.49,3
CPT,32960,"Pneumothorax, therapeutic, intrapleural injection of air UNSCHEDULED",,,1746.23,1783.0,3
CPT,32994,"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, ",,,1746.23,22212.0,88
CPT,32997,Total lung lavage (unilateral) ,,,1950.0,31992.0,106
CPT,32997,Total lung lavage (unilateral) Other Surgical Services,,,2850.0,2850.0,4
CPT,32997,Total lung lavage (unilateral) SCHEDULED,,,2649.7,2705.49,3
CPT,32997,Total lung lavage (unilateral) UNSCHEDULED,,,1746.23,1783.0,3
CPT,32998,"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, including imaging guidance when performed, ",,,1746.23,22212.0,116
CPT,32999,"Unlisted procedure, lungs and pleura ",,,1950.0,22212.0,106
CPT,32999,"Unlisted procedure, lungs and pleura Other Surgical Services",,,2850.0,2850.0,4
CPT,32999,"Unlisted procedure, lungs and pleura SCHEDULED",,,2649.7,2705.49,3
CPT,32999,"Unlisted procedure, lungs and pleura UNSCHEDULED",,,1746.23,1783.0,3
CPT,33010,PERICARDIOCENTESIS; INITIAL ,,,1982.0,22212.0,31
CPT,33011,PERICARDIOCENTESIS; SUBSEQUENT ,,,1982.0,22212.0,31
CPT,33015,TUBE PERICARDIOSTOMY ,,,9935.0,22212.0,3
CPT,33016,"Pericardiocentesis, including imaging guidance, when performed ",,,1950.0,22212.0,78
CPT,33016,"Pericardiocentesis, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,33016,"Pericardiocentesis, including imaging guidance, when performed SCHEDULED",,,10349.65,10567.54,3
CPT,33016,"Pericardiocentesis, including imaging guidance, when performed UNSCHEDULED",,,542.3,553.71,3
CPT,33017,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly ",,,1950.0,31992.0,79
CPT,33017,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly Cardiac",,,9333.0,12038.0,64
CPT,33017,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly Other S",,,2850.0,2850.0,4
CPT,33017,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly SCHEDUL",,,10349.65,10567.54,3
CPT,33017,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly UNSCHED",,,542.3,553.71,3
CPT,33018,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; birth through 5 years of age or any age with congenital card",,,542.3,31992.0,153
CPT,33019,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including CT guidance ",,,1950.0,31992.0,79
CPT,33019,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including CT guidance Cardiac Cath",,,9333.0,12038.0,64
CPT,33019,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including CT guidance Cardiac Cath and Injections",,,,,0
CPT,33019,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including CT guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,33019,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including CT guidance SCHEDULED",,,10349.65,10567.54,3
CPT,33019,"Pericardial drainage with insertion of indwelling catheter, percutaneous, including CT guidance UNSCHEDULED",,,542.3,553.71,3
CPT,33020,Pericardiotomy for removal of clot or foreign body (primary procedure) ,,,1950.0,31992.0,78
CPT,33020,Pericardiotomy for removal of clot or foreign body (primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,33020,Pericardiotomy for removal of clot or foreign body (primary procedure) SCHEDULED,,,10349.65,10567.54,3
CPT,33020,Pericardiotomy for removal of clot or foreign body (primary procedure) UNSCHEDULED,,,542.3,553.71,3
CPT,33025,Creation of pericardial window or partial resection for drainage ,,,1950.0,31992.0,78
CPT,33025,Creation of pericardial window or partial resection for drainage Other Surgical Services,,,2850.0,2850.0,4
CPT,33025,Creation of pericardial window or partial resection for drainage SCHEDULED,,,10349.65,10567.54,3
CPT,33025,Creation of pericardial window or partial resection for drainage UNSCHEDULED,,,542.3,553.71,3
CPT,33030,"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33030,"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33030,"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33030,"Pericardiectomy, subtotal or complete; without cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33031,"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33031,"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33031,"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33031,"Pericardiectomy, subtotal or complete; with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33050,Resection of pericardial cyst or tumor ,,,1950.0,31992.0,78
CPT,33050,Resection of pericardial cyst or tumor Other Surgical Services,,,2850.0,2850.0,4
CPT,33050,Resection of pericardial cyst or tumor SCHEDULED,,,10349.65,10567.54,3
CPT,33050,Resection of pericardial cyst or tumor UNSCHEDULED,,,542.3,553.71,3
CPT,33120,"Excision of intracardiac tumor, resection with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33120,"Excision of intracardiac tumor, resection with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33120,"Excision of intracardiac tumor, resection with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33120,"Excision of intracardiac tumor, resection with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33130,Resection of external cardiac tumor ,,,1950.0,31992.0,78
CPT,33130,Resection of external cardiac tumor Other Surgical Services,,,2850.0,2850.0,4
CPT,33130,Resection of external cardiac tumor SCHEDULED,,,10349.65,10567.54,3
CPT,33130,Resection of external cardiac tumor UNSCHEDULED,,,542.3,553.71,3
CPT,33140,"Transmyocardial laser revascularization, by thoracotomy; (separate procedure) ",,,1950.0,31992.0,78
CPT,33140,"Transmyocardial laser revascularization, by thoracotomy; (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33140,"Transmyocardial laser revascularization, by thoracotomy; (separate procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33140,"Transmyocardial laser revascularization, by thoracotomy; (separate procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33141,"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,33141,"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33141,"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33141,"Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,3319F,"1 of the following diagnostic imaging studies ordered: chest x-ray, CT, Ultrasound, MRI, PET, or nuclear medicine scans (ML) ",,,1075.0,2469.0,24
CPT,33200,INSERTION OF HEART PACEMAKER ,,,9935.0,22212.0,3
CPT,33200,INSERTION OF HEART PACEMAKER SCHEDULED,,,10349.65,10567.54,3
CPT,33200,INSERTION OF HEART PACEMAKER UNSCHEDULED,,,542.3,553.71,3
CPT,33201,INSERTION OF HEART PACEMAKER ,,,9935.0,22212.0,3
CPT,33201,INSERTION OF HEART PACEMAKER SCHEDULED,,,10349.65,10567.54,3
CPT,33201,INSERTION OF HEART PACEMAKER UNSCHEDULED,,,542.3,553.71,3
CPT,33202,"Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach) ",,,2350.0,36200.0,70
CPT,33202,"Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach) Other Surgical Services",,,4150.0,4150.0,1
CPT,33202,"Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach) SCHEDULED",,,10349.65,10567.54,3
CPT,33202,"Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach) UNSCHEDULED",,,542.3,553.71,3
CPT,33203,"Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy) ",,,2350.0,36200.0,70
CPT,33203,"Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy) Other Surgical Services",,,4150.0,4150.0,1
CPT,33203,"Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy) SCHEDULED",,,10349.65,10567.54,3
CPT,33203,"Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy) UNSCHEDULED",,,542.3,553.71,3
CPT,33206,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial ,,,1950.0,36200.0,75
CPT,33206,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33206,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial Other Surgical Services,,,2850.0,2850.0,4
CPT,33206,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial SCHEDULED,,,10349.65,10567.54,3
CPT,33206,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial UNSCHEDULED,,,542.3,553.71,3
CPT,33207,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular ,,,1950.0,36200.0,74
CPT,33207,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33207,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular High Cost Surgery,,,3950.0,3950.0,1
CPT,33207,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Other Surgical Services,,,2850.0,2850.0,4
CPT,33207,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular SCHEDULED,,,8494.55,8673.38,3
CPT,33207,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular UNSCHEDULED,,,542.3,553.71,3
CPT,33208,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular ,,,1950.0,36200.0,74
CPT,33208,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33208,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular High Cost Surgery,,,3950.0,3950.0,1
CPT,33208,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular Other Surgical Services,,,2850.0,2850.0,4
CPT,33208,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular SCHEDULED,,,11742.03,11989.23,3
CPT,33208,Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular UNSCHEDULED,,,9467.12,9666.43,3
CPT,3320F,"None of the following diagnostic imaging studies ordered: chest X-ray, CT, Ultrasound, MRI, PET, or nuclear medicine scans (ML) ",,,1075.0,2469.0,24
CPT,33210,Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) ,,,2350.0,36200.0,70
CPT,33210,Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33210,Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) High Cost Surgery,,,3950.0,3950.0,1
CPT,33210,Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) Other Surgical Services,,,4150.0,4150.0,1
CPT,33210,Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) SCHEDULED,,,10349.65,10567.54,3
CPT,33210,Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) UNSCHEDULED,,,542.3,553.71,3
CPT,33211,Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) ,,,1950.0,36200.0,74
CPT,33211,Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33211,Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) High Cost Surgery,,,3950.0,3950.0,1
CPT,33211,Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,33211,Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) SCHEDULED,,,10349.65,10567.54,3
CPT,33211,Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) UNSCHEDULED,,,542.3,553.71,3
CPT,33212,Insertion of pacemaker pulse generator only; with existing single lead ,,,1950.0,36200.0,74
CPT,33212,Insertion of pacemaker pulse generator only; with existing single lead AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33212,Insertion of pacemaker pulse generator only; with existing single lead High Cost Surgery,,,3950.0,3950.0,1
CPT,33212,Insertion of pacemaker pulse generator only; with existing single lead Other Surgical Services,,,2850.0,2850.0,4
CPT,33212,Insertion of pacemaker pulse generator only; with existing single lead SCHEDULED,,,10349.65,10567.54,3
CPT,33212,Insertion of pacemaker pulse generator only; with existing single lead UNSCHEDULED,,,542.3,553.71,3
CPT,33213,Insertion of pacemaker pulse generator only; with existing dual leads ,,,1950.0,36200.0,74
CPT,33213,Insertion of pacemaker pulse generator only; with existing dual leads AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33213,Insertion of pacemaker pulse generator only; with existing dual leads High Cost Surgery,,,3950.0,3950.0,1
CPT,33213,Insertion of pacemaker pulse generator only; with existing dual leads Other Surgical Services,,,2850.0,2850.0,4
CPT,33213,Insertion of pacemaker pulse generator only; with existing dual leads SCHEDULED,,,10349.65,10567.54,3
CPT,33213,Insertion of pacemaker pulse generator only; with existing dual leads UNSCHEDULED,,,542.3,553.71,3
CPT,33214,"Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of previously placed pulse generator, testing of existing lead, insertion of new lea",,,542.3,57784.0,149
CPT,33215,Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode ,,,1950.0,36200.0,74
CPT,33215,Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33215,Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode High Cost Surgery,,,3950.0,3950.0,1
CPT,33215,Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode Other Surgical Services,,,2850.0,2850.0,4
CPT,33215,Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode SCHEDULED,,,10349.65,10567.54,3
CPT,33215,Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode UNSCHEDULED,,,542.3,553.71,3
CPT,33216,"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator ",,,1950.0,36200.0,74
CPT,33216,"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator AICD/Pacemaker Implant/Revision",,,34407.0,57784.0,64
CPT,33216,"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator High Cost Surgery",,,3950.0,3950.0,1
CPT,33216,"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator Other Surgical Services",,,2850.0,2850.0,4
CPT,33216,"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator SCHEDULED",,,6697.02,6838.01,3
CPT,33216,"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator UNSCHEDULED",,,542.3,553.71,3
CPT,33217,"Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator ",,,1950.0,36200.0,74
CPT,33217,"Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator AICD/Pacemaker Implant/Revision",,,34407.0,57784.0,64
CPT,33217,"Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator High Cost Surgery",,,3950.0,3950.0,1
CPT,33217,"Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator Other Surgical Services",,,2850.0,2850.0,4
CPT,33217,"Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator SCHEDULED",,,10349.65,10567.54,3
CPT,33217,"Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator UNSCHEDULED",,,542.3,553.71,3
CPT,33218,"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator ",,,1950.0,36200.0,74
CPT,33218,"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator AICD/Pacemaker Implant/Revision",,,34407.0,57784.0,64
CPT,33218,"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator High Cost Surgery",,,3950.0,3950.0,1
CPT,33218,"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator Other Surgical Services",,,2850.0,2850.0,4
CPT,33218,"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator SCHEDULED",,,10349.65,10567.54,3
CPT,33218,"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator UNSCHEDULED",,,542.3,553.71,3
CPT,33220,Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator ,,,1950.0,36200.0,74
CPT,33220,Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33220,Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator High Cost Surgery,,,3950.0,3950.0,1
CPT,33220,Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator Other Surgical Services,,,2850.0,2850.0,4
CPT,33220,Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator SCHEDULED,,,10349.65,10567.54,3
CPT,33220,Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator UNSCHEDULED,,,542.3,553.71,3
CPT,33221,Insertion of pacemaker pulse generator only; with existing multiple leads ,,,1950.0,36200.0,74
CPT,33221,Insertion of pacemaker pulse generator only; with existing multiple leads AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33221,Insertion of pacemaker pulse generator only; with existing multiple leads High Cost Surgery,,,3950.0,3950.0,1
CPT,33221,Insertion of pacemaker pulse generator only; with existing multiple leads Other Surgical Services,,,2850.0,2850.0,4
CPT,33221,Insertion of pacemaker pulse generator only; with existing multiple leads SCHEDULED,,,10349.65,10567.54,3
CPT,33221,Insertion of pacemaker pulse generator only; with existing multiple leads UNSCHEDULED,,,542.3,553.71,3
CPT,33222,Relocation of skin pocket for pacemaker ,,,1950.0,36200.0,74
CPT,33222,Relocation of skin pocket for pacemaker AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33222,Relocation of skin pocket for pacemaker High Cost Surgery,,,3950.0,3950.0,1
CPT,33222,Relocation of skin pocket for pacemaker Other Surgical Services,,,2850.0,2850.0,4
CPT,33222,Relocation of skin pocket for pacemaker SCHEDULED,,,6126.45,6255.43,3
CPT,33222,Relocation of skin pocket for pacemaker UNSCHEDULED,,,542.3,553.71,3
CPT,33223,Relocation of skin pocket for implantable defibrillator ,,,1950.0,36200.0,74
CPT,33223,Relocation of skin pocket for implantable defibrillator AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33223,Relocation of skin pocket for implantable defibrillator High Cost Surgery,,,3950.0,3950.0,1
CPT,33223,Relocation of skin pocket for implantable defibrillator Other Surgical Services,,,2850.0,2850.0,4
CPT,33223,Relocation of skin pocket for implantable defibrillator SCHEDULED,,,10349.65,10567.54,3
CPT,33223,Relocation of skin pocket for implantable defibrillator UNSCHEDULED,,,542.3,553.71,3
CPT,33224,"Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or implantable defibrillator pulse generator (including revision of po",,,542.3,57784.0,149
CPT,33225,"Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber syste",,,542.3,36200.0,77
CPT,33226,"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) ",,,1950.0,36200.0,74
CPT,33226,"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) AICD/Pacemaker Implant/Revision",,,34407.0,57784.0,64
CPT,33226,"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) High Cost Surgery",,,3950.0,3950.0,1
CPT,33226,"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) Other Surgical Services",,,2850.0,2850.0,4
CPT,33226,"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) SCHEDULED",,,10349.65,10567.54,3
CPT,33226,"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator) UNSCHEDULED",,,542.3,553.71,3
CPT,33227,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system ,,,1950.0,36200.0,74
CPT,33227,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33227,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system High Cost Surgery,,,3950.0,3950.0,1
CPT,33227,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system Other Surgical Services,,,2850.0,2850.0,4
CPT,33227,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system SCHEDULED,,,16164.14,16504.43,3
CPT,33227,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system UNSCHEDULED,,,542.3,553.71,3
CPT,33228,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system ,,,1950.0,36200.0,74
CPT,33228,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33228,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system High Cost Surgery,,,3950.0,3950.0,1
CPT,33228,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system Other Surgical Services,,,2850.0,2850.0,4
CPT,33228,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system SCHEDULED,,,9748.73,9953.97,3
CPT,33228,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system UNSCHEDULED,,,542.3,553.71,3
CPT,33229,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system ,,,1950.0,36200.0,74
CPT,33229,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33229,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system High Cost Surgery,,,3950.0,3950.0,1
CPT,33229,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system Other Surgical Services,,,2850.0,2850.0,4
CPT,33229,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system SCHEDULED,,,10349.65,10567.54,3
CPT,33229,Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system UNSCHEDULED,,,542.3,553.71,3
CPT,33230,Insertion of implantable defibrillator pulse generator only; with existing dual leads ,,,1950.0,91275.0,74
CPT,33230,Insertion of implantable defibrillator pulse generator only; with existing dual leads AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33230,Insertion of implantable defibrillator pulse generator only; with existing dual leads High Cost Surgery,,,3950.0,3950.0,1
CPT,33230,Insertion of implantable defibrillator pulse generator only; with existing dual leads Other Surgical Services,,,2850.0,2850.0,4
CPT,33230,Insertion of implantable defibrillator pulse generator only; with existing dual leads SCHEDULED,,,31866.59,32537.47,3
CPT,33230,Insertion of implantable defibrillator pulse generator only; with existing dual leads UNSCHEDULED,,,10.47,10.69,3
CPT,33231,Insertion of implantable defibrillator pulse generator only; with existing multiple leads ,,,1950.0,91275.0,74
CPT,33231,Insertion of implantable defibrillator pulse generator only; with existing multiple leads AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33231,Insertion of implantable defibrillator pulse generator only; with existing multiple leads High Cost Surgery,,,3950.0,3950.0,1
CPT,33231,Insertion of implantable defibrillator pulse generator only; with existing multiple leads Other Surgical Services,,,2850.0,2850.0,4
CPT,33231,Insertion of implantable defibrillator pulse generator only; with existing multiple leads SCHEDULED,,,10349.65,10567.54,3
CPT,33231,Insertion of implantable defibrillator pulse generator only; with existing multiple leads UNSCHEDULED,,,542.3,553.71,3
CPT,33233,Removal of permanent pacemaker pulse generator only ,,,1950.0,36200.0,74
CPT,33233,Removal of permanent pacemaker pulse generator only AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33233,Removal of permanent pacemaker pulse generator only High Cost Surgery,,,3950.0,3950.0,1
CPT,33233,Removal of permanent pacemaker pulse generator only Other Surgical Services,,,2850.0,2850.0,4
CPT,33233,Removal of permanent pacemaker pulse generator only SCHEDULED,,,3057.99,3122.37,3
CPT,33233,Removal of permanent pacemaker pulse generator only UNSCHEDULED,,,542.3,553.71,3
CPT,33234,"Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular ",,,1950.0,36200.0,73
CPT,33234,"Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular High Cost Surgery",,,3950.0,3950.0,1
CPT,33234,"Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Other Surgical Services",,,2850.0,2850.0,4
CPT,33234,"Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular SCHEDULED",,,10349.65,10567.54,3
CPT,33234,"Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular UNSCHEDULED",,,542.3,553.71,3
CPT,33235,Removal of transvenous pacemaker electrode(s); dual lead system ,,,1950.0,36200.0,73
CPT,33235,Removal of transvenous pacemaker electrode(s); dual lead system High Cost Surgery,,,3950.0,3950.0,1
CPT,33235,Removal of transvenous pacemaker electrode(s); dual lead system Other Surgical Services,,,2850.0,2850.0,4
CPT,33235,Removal of transvenous pacemaker electrode(s); dual lead system SCHEDULED,,,10349.65,10567.54,3
CPT,33235,Removal of transvenous pacemaker electrode(s); dual lead system UNSCHEDULED,,,542.3,553.71,3
CPT,33236,"Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system, atrial or ventricular ",,,1950.0,36200.0,74
CPT,33236,"Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system, atrial or ventricular AICD/Pacemaker Implant/Revision",,,34407.0,57784.0,64
CPT,33236,"Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system, atrial or ventricular High Cost Surgery",,,3950.0,3950.0,1
CPT,33236,"Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system, atrial or ventricular Other Surgical Services",,,2850.0,2850.0,4
CPT,33236,"Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system, atrial or ventricular SCHEDULED",,,10349.65,10567.54,3
CPT,33236,"Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system, atrial or ventricular UNSCHEDULED",,,542.3,553.71,3
CPT,33237,Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system ,,,1950.0,36200.0,74
CPT,33237,Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33237,Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system High Cost Surgery,,,3950.0,3950.0,1
CPT,33237,Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system Other Surgical Services,,,2850.0,2850.0,4
CPT,33237,Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system SCHEDULED,,,10349.65,10567.54,3
CPT,33237,Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system UNSCHEDULED,,,542.3,553.71,3
CPT,33238,Removal of permanent transvenous electrode(s) by thoracotomy ,,,1950.0,36200.0,73
CPT,33238,Removal of permanent transvenous electrode(s) by thoracotomy High Cost Surgery,,,3950.0,3950.0,1
CPT,33238,Removal of permanent transvenous electrode(s) by thoracotomy Other Surgical Services,,,2850.0,2850.0,4
CPT,33238,Removal of permanent transvenous electrode(s) by thoracotomy SCHEDULED,,,10349.65,10567.54,3
CPT,33238,Removal of permanent transvenous electrode(s) by thoracotomy UNSCHEDULED,,,542.3,553.71,3
CPT,33240,Insertion of implantable defibrillator pulse generator only; with existing single lead ,,,2350.0,91275.0,70
CPT,33240,Insertion of implantable defibrillator pulse generator only; with existing single lead AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33240,Insertion of implantable defibrillator pulse generator only; with existing single lead High Cost Surgery,,,3950.0,3950.0,1
CPT,33240,Insertion of implantable defibrillator pulse generator only; with existing single lead Other Surgical Services,,,4150.0,4150.0,1
CPT,33240,Insertion of implantable defibrillator pulse generator only; with existing single lead SCHEDULED,,,10349.65,10567.54,3
CPT,33240,Insertion of implantable defibrillator pulse generator only; with existing single lead UNSCHEDULED,,,542.3,553.71,3
CPT,33241,Removal of implantable defibrillator pulse generator only ,,,2350.0,36200.0,70
CPT,33241,Removal of implantable defibrillator pulse generator only AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33241,Removal of implantable defibrillator pulse generator only High Cost Surgery,,,3950.0,3950.0,1
CPT,33241,Removal of implantable defibrillator pulse generator only Other Surgical Services,,,4150.0,4150.0,1
CPT,33241,Removal of implantable defibrillator pulse generator only SCHEDULED,,,5909.75,6034.17,3
CPT,33241,Removal of implantable defibrillator pulse generator only UNSCHEDULED,,,542.3,553.71,3
CPT,33242,REP ICD-generator/lead ,,,18639.0,36200.0,3
CPT,33242,REP ICD-generator/lead SCHEDULED,,,10349.65,10567.54,3
CPT,33242,REP ICD-generator/lead UNSCHEDULED,,,542.3,553.71,3
CPT,33243,Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy ,,,2350.0,36200.0,70
CPT,33243,Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33243,Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy High Cost Surgery,,,3950.0,3950.0,1
CPT,33243,Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy Other Surgical Services,,,4150.0,4150.0,1
CPT,33243,Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy SCHEDULED,,,10349.65,10567.54,3
CPT,33243,Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy UNSCHEDULED,,,542.3,553.71,3
CPT,33244,Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction ,,,2350.0,36200.0,70
CPT,33244,Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33244,Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction High Cost Surgery,,,3950.0,3950.0,1
CPT,33244,Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction Other Surgical Services,,,4150.0,4150.0,1
CPT,33244,Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction SCHEDULED,,,4809.46,4910.71,3
CPT,33244,Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction UNSCHEDULED,,,542.3,553.71,3
CPT,33245,INSERT EPIC ELTRD PACE-DEFIB ,,,18639.0,36200.0,3
CPT,33245,INSERT EPIC ELTRD PACE-DEFIB SCHEDULED,,,10349.65,10567.54,3
CPT,33245,INSERT EPIC ELTRD PACE-DEFIB UNSCHEDULED,,,542.3,553.71,3
CPT,33246,INSERT EPIC ELTRD/GENERATOR ,,,18639.0,36200.0,3
CPT,33246,INSERT EPIC ELTRD/GENERATOR SCHEDULED,,,10349.65,10567.54,3
CPT,33246,INSERT EPIC ELTRD/GENERATOR UNSCHEDULED,,,542.3,553.71,3
CPT,33247,Insert ICD lead-oth appr ,,,18639.0,36200.0,3
CPT,33247,Insert ICD lead-oth appr SCHEDULED,,,10349.65,10567.54,3
CPT,33247,Insert ICD lead-oth appr UNSCHEDULED,,,542.3,553.71,3
CPT,33249,"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber ",,,2350.0,91275.0,70
CPT,33249,"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber AICD/Pacemaker Implant/Revision",,,34407.0,57784.0,64
CPT,33249,"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber High Cost Surgery",,,3950.0,3950.0,1
CPT,33249,"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber Other Surgical Services",,,4150.0,4150.0,1
CPT,33249,"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber SCHEDULED",,,24645.07,25163.91,3
CPT,33249,"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber UNSCHEDULED",,,542.3,553.71,3
CPT,3324F,"MRI or CT scan ordered, reviewed or requested (EPI) ",,,1075.0,2469.0,24
CPT,33250,"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass ",,,1950.0,46072.0,93
CPT,33250,"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass Other S",,,2850.0,2850.0,4
CPT,33250,"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass SCHEDUL",,,10349.65,10567.54,3
CPT,33250,"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass UNSCHED",,,542.3,553.71,3
CPT,33251,"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass ",,,1950.0,46072.0,93
CPT,33251,"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass Other Surg",,,2850.0,2850.0,4
CPT,33251,"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33251,"Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass UNSCHEDULE",,,542.3,553.71,3
CPT,33253,RECONSTRUCT ATRIA ,,,22473.0,46072.0,3
CPT,33253,RECONSTRUCT ATRIA SCHEDULED,,,10349.65,10567.54,3
CPT,33253,RECONSTRUCT ATRIA UNSCHEDULED,,,542.3,553.71,3
CPT,33254,"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure) ",,,1950.0,46072.0,93
CPT,33254,"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33254,"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33254,"Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33255,"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass ",,,1950.0,46072.0,93
CPT,33255,"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33255,"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33255,"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33256,"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass ",,,1950.0,46072.0,93
CPT,33256,"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33256,"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33256,"Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33257,"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg, modified maze procedure) (List separately in addition to code for primary proce",,,542.3,46072.0,103
CPT,33258,"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), without cardiopulmonary bypass (List separately in addition ",,,542.3,46072.0,103
CPT,33259,"Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), with cardiopulmonary bypass (List separately in addition to ",,,542.3,46072.0,103
CPT,33261,Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass ,,,1950.0,46072.0,93
CPT,33261,Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33261,Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33261,Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33262,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system ,,,1950.0,91275.0,99
CPT,33262,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33262,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system High Cost Surgery,,,3950.0,3950.0,1
CPT,33262,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system Other Surgical Services,,,2850.0,2850.0,4
CPT,33262,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system SCHEDULED,,,31932.54,32604.8,3
CPT,33262,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system UNSCHEDULED,,,542.3,553.71,3
CPT,33263,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system ,,,1950.0,91275.0,99
CPT,33263,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33263,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system High Cost Surgery,,,3950.0,3950.0,1
CPT,33263,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system Other Surgical Services,,,2850.0,2850.0,4
CPT,33263,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system SCHEDULED,,,10949.53,11180.05,3
CPT,33263,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system UNSCHEDULED,,,542.3,553.71,3
CPT,33264,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system ,,,1950.0,91275.0,99
CPT,33264,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system AICD/Pacemaker Implant/Revision,,,34407.0,57784.0,64
CPT,33264,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system High Cost Surgery,,,3950.0,3950.0,1
CPT,33264,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system Other Surgical Services,,,2850.0,2850.0,4
CPT,33264,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system SCHEDULED,,,17987.83,18366.52,3
CPT,33264,Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system UNSCHEDULED,,,542.3,553.71,3
CPT,33265,"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), without cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33265,"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), without cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33265,"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), without cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33265,"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), without cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33266,"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33266,"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33266,"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33266,"Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33267,"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) ",,,1950.0,31992.0,78
CPT,33267,"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) Other Surgical Services",,,2850.0,2850.0,4
CPT,33267,"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) SCHEDULED",,,10349.65,10567.54,3
CPT,33267,"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) UNSCHEDULED",,,542.3,553.71,3
CPT,33268,"Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip",,,542.3,31992.0,88
CPT,33269,"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) ",,,1950.0,31992.0,78
CPT,33269,"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) Other Surgical Services",,,2850.0,2850.0,4
CPT,33269,"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) SCHEDULED",,,10349.65,10567.54,3
CPT,33269,"Exclusion of left atrial appendage, thoracoscopic, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) UNSCHEDULED",,,542.3,553.71,3
CPT,33270,"Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including defibrillation threshold evaluation, induction of arrhythmia, evaluation of ",,,542.3,91275.0,112
CPT,33271,Insertion of subcutaneous implantable defibrillator electrode ,,,1950.0,91275.0,102
CPT,33271,Insertion of subcutaneous implantable defibrillator electrode Other Surgical Services,,,2850.0,2850.0,4
CPT,33271,Insertion of subcutaneous implantable defibrillator electrode SCHEDULED,,,10349.65,10567.54,3
CPT,33271,Insertion of subcutaneous implantable defibrillator electrode UNSCHEDULED,,,542.3,553.71,3
CPT,33272,Removal of subcutaneous implantable defibrillator electrode ,,,1950.0,91275.0,102
CPT,33272,Removal of subcutaneous implantable defibrillator electrode Other Surgical Services,,,2850.0,2850.0,4
CPT,33272,Removal of subcutaneous implantable defibrillator electrode SCHEDULED,,,10349.65,10567.54,3
CPT,33272,Removal of subcutaneous implantable defibrillator electrode UNSCHEDULED,,,542.3,553.71,3
CPT,33273,Repositioning of previously implanted subcutaneous implantable defibrillator electrode ,,,1950.0,22212.0,106
CPT,33273,Repositioning of previously implanted subcutaneous implantable defibrillator electrode Other Surgical Services,,,2850.0,2850.0,4
CPT,33273,Repositioning of previously implanted subcutaneous implantable defibrillator electrode SCHEDULED,,,10349.65,10567.54,3
CPT,33273,Repositioning of previously implanted subcutaneous implantable defibrillator electrode UNSCHEDULED,,,542.3,553.71,3
CPT,33274,"Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and dev",,,542.3,30016.0,88
CPT,33275,"Transcatheter removal of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography), when performed ",,,1950.0,14792.0,78
CPT,33275,"Transcatheter removal of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography), when performed Other Su",,,2850.0,2850.0,4
CPT,33275,"Transcatheter removal of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography), when performed SCHEDULE",,,10349.65,10567.54,3
CPT,33275,"Transcatheter removal of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography), when performed UNSCHEDU",,,542.3,553.71,3
CPT,33276,"Insertion of phrenic nerve stimulator system (pulse generator and stimulating leadºs»), including vessel catheterization, all imaging guidance, and pulse generator initial analysis with diagnostic mod",,,542.3,83613.0,78
CPT,33277,Insertion of phrenic nerve stimulator transvenous sensing lead (List separately in addition to code for primary procedure) ,,,1950.0,9710.0,71
CPT,33277,Insertion of phrenic nerve stimulator transvenous sensing lead (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,33277,Insertion of phrenic nerve stimulator transvenous sensing lead (List separately in addition to code for primary procedure) UNSCHEDULED,,,542.3,553.71,3
CPT,33278,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; system, including pulse generator and lead(s) ",,,1950.0,18507.0,78
CPT,33278,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; system, including pulse generator and lead(s) Other Surg",,,2850.0,2850.0,4
CPT,33278,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; system, including pulse generator and lead(s) UNSCHEDULE",,,542.3,553.71,3
CPT,33279,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; transvenous stimulation or sensing lead(s) only ",,,1950.0,18507.0,78
CPT,33279,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; transvenous stimulation or sensing lead(s) only Other Su",,,2850.0,2850.0,4
CPT,33279,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; transvenous stimulation or sensing lead(s) only UNSCHEDU",,,542.3,553.71,3
CPT,33280,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator only ",,,1950.0,18507.0,78
CPT,33280,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator only Other Surgical Services",,,2850.0,2850.0,4
CPT,33280,"Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator only UNSCHEDULED",,,542.3,553.71,3
CPT,33281,Repositioning of phrenic nerve stimulator transvenous lead(s) ,,,1950.0,18507.0,78
CPT,33281,Repositioning of phrenic nerve stimulator transvenous lead(s) Other Surgical Services,,,2850.0,2850.0,4
CPT,33281,Repositioning of phrenic nerve stimulator transvenous lead(s) UNSCHEDULED,,,542.3,553.71,3
CPT,33282,IMPLANTATION OF PATIENT-ACTIVATED CARDIAC EVENT RECORDER ,,,10737.0,13315.0,28
CPT,33282,IMPLANTATION OF PATIENT-ACTIVATED CARDIAC EVENT RECORDER SCHEDULED,,,10349.65,10567.54,3
CPT,33282,IMPLANTATION OF PATIENT-ACTIVATED CARDIAC EVENT RECORDER UNSCHEDULED,,,542.3,553.71,3
CPT,33284,"REMOVAL OF AN IMPLANTABLE, PATIENT-ACTIVATED CARDIAC EVENT RECORDER ",,,2820.0,5414.0,28
CPT,33284,"REMOVAL OF AN IMPLANTABLE, PATIENT-ACTIVATED CARDIAC EVENT RECORDER SCHEDULED",,,10349.65,10567.54,3
CPT,33284,"REMOVAL OF AN IMPLANTABLE, PATIENT-ACTIVATED CARDIAC EVENT RECORDER UNSCHEDULED",,,542.3,553.71,3
CPT,33285,"Insertion, subcutaneous cardiac rhythm monitor, including programming ",,,1950.0,19295.0,78
CPT,33285,"Insertion, subcutaneous cardiac rhythm monitor, including programming Other Surgical Services",,,2850.0,2850.0,4
CPT,33285,"Insertion, subcutaneous cardiac rhythm monitor, including programming SCHEDULED",,,10349.65,10567.54,3
CPT,33285,"Insertion, subcutaneous cardiac rhythm monitor, including programming UNSCHEDULED",,,17419.37,17786.09,3
CPT,33286,"Removal, subcutaneous cardiac rhythm monitor ",,,1950.0,9710.0,78
CPT,33286,"Removal, subcutaneous cardiac rhythm monitor Other Surgical Services",,,2850.0,2850.0,4
CPT,33286,"Removal, subcutaneous cardiac rhythm monitor SCHEDULED",,,10349.65,10567.54,3
CPT,33286,"Removal, subcutaneous cardiac rhythm monitor UNSCHEDULED",,,4489.11,4583.62,3
CPT,33287,"Removal and replacement of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator ",,,1950.0,30016.0,78
CPT,33287,"Removal and replacement of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator Other Surgical Services",,,2850.0,2850.0,4
CPT,33287,"Removal and replacement of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator UNSCHEDULED",,,542.3,553.71,3
CPT,33288,"Removal and replacement of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; transvenous stimulation or sensing lead(",,,542.3,19295.0,85
CPT,33289,"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring, including deployment and calibration of the sensor, right heart catheterization, selective",,,542.3,83613.0,153
CPT,33300,Repair of cardiac wound; without bypass ,,,1950.0,31992.0,78
CPT,33300,Repair of cardiac wound; without bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33300,Repair of cardiac wound; without bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33300,Repair of cardiac wound; without bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33305,Repair of cardiac wound; with cardiopulmonary bypass ,,,1950.0,31992.0,78
CPT,33305,Repair of cardiac wound; with cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33305,Repair of cardiac wound; with cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33305,Repair of cardiac wound; with cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33310,"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass ",,,1950.0,31992.0,78
CPT,33310,"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33310,"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33310,"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33315,"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33315,"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33315,"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33315,"Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33320,Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass ,,,1950.0,31992.0,78
CPT,33320,Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33320,Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33320,Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33321,Suture repair of aorta or great vessels; with shunt bypass ,,,1950.0,31992.0,78
CPT,33321,Suture repair of aorta or great vessels; with shunt bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33321,Suture repair of aorta or great vessels; with shunt bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33321,Suture repair of aorta or great vessels; with shunt bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33322,Suture repair of aorta or great vessels; with cardiopulmonary bypass ,,,1950.0,31992.0,78
CPT,33322,Suture repair of aorta or great vessels; with cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33322,Suture repair of aorta or great vessels; with cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33322,Suture repair of aorta or great vessels; with cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33330,"Insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33330,"Insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33330,"Insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33330,"Insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33332,INSERT MAJOR VESSEL GRAFT ,,,9935.0,22212.0,3
CPT,33332,INSERT MAJOR VESSEL GRAFT SCHEDULED,,,10349.65,10567.54,3
CPT,33332,INSERT MAJOR VESSEL GRAFT UNSCHEDULED,,,542.3,553.71,3
CPT,33335,"Insertion of graft, aorta or great vessels; with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33335,"Insertion of graft, aorta or great vessels; with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33335,"Insertion of graft, aorta or great vessels; with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33335,"Insertion of graft, aorta or great vessels; with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33340,"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appen",,,542.3,31992.0,153
CPT,33361,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach ,,,1950.0,31992.0,78
CPT,33361,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach Complex Surgery,,,11754.0,11754.0,22
CPT,33361,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach Other Surgical Services,,,2850.0,2850.0,4
CPT,33361,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach SCHEDULED,,,10349.65,10567.54,3
CPT,33361,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach UNSCHEDULED,,,542.3,553.71,3
CPT,33362,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach ,,,1950.0,31992.0,78
CPT,33362,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach Complex Surgery,,,11754.0,11754.0,22
CPT,33362,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach Other Surgical Services,,,2850.0,2850.0,4
CPT,33362,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach SCHEDULED,,,10349.65,10567.54,3
CPT,33362,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach UNSCHEDULED,,,542.3,553.71,3
CPT,33363,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach ,,,1950.0,31992.0,78
CPT,33363,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach Complex Surgery,,,11754.0,11754.0,22
CPT,33363,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach Other Surgical Services,,,2850.0,2850.0,4
CPT,33363,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach SCHEDULED,,,10349.65,10567.54,3
CPT,33363,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach UNSCHEDULED,,,542.3,553.71,3
CPT,33364,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach ,,,1950.0,31992.0,78
CPT,33364,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach Complex Surgery,,,11754.0,11754.0,22
CPT,33364,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach Other Surgical Services,,,2850.0,2850.0,4
CPT,33364,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach SCHEDULED,,,10349.65,10567.54,3
CPT,33364,Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach UNSCHEDULED,,,542.3,553.71,3
CPT,33365,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy) ",,,1950.0,31992.0,78
CPT,33365,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy) Complex Surgery",,,11754.0,11754.0,22
CPT,33365,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,33365,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy) SCHEDULED",,,10349.65,10567.54,3
CPT,33365,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy) UNSCHEDULED",,,542.3,553.71,3
CPT,33366,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy) ",,,1950.0,31992.0,78
CPT,33366,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,33366,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy) SCHEDULED",,,10349.65,10567.54,3
CPT,33366,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy) UNSCHEDULED",,,542.3,553.71,3
CPT,33367,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with percutaneous peripheral arterial and venous cannulation (eg, femoral vessels) (List separa",,,542.3,31992.0,110
CPT,33368,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with open peripheral arterial and venous cannulation (eg, femoral, iliac, axillary vessels) (Li",,,542.3,31992.0,110
CPT,33369,"Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with central arterial and venous cannulation (eg, aorta, right atrium, pulmonary artery) (List ",,,542.3,31992.0,110
CPT,33370,"Transcatheter placement and subsequent removal of cerebral embolic protection device(s), including arterial access, catheterization, imaging, and radiological supervision and interpretation, percutane",,,542.3,10567.54,81
CPT,33390,"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension) ",,,1950.0,31992.0,78
CPT,33390,"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension) Other Surgical Services",,,2850.0,2850.0,4
CPT,33390,"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension) SCHEDULED",,,10349.65,10567.54,3
CPT,33390,"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension) UNSCHEDULED",,,542.3,553.71,3
CPT,33391,"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty) ",,,1950.0,31992.0,78
CPT,33391,"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty) Other Surgical Services",,,2850.0,2850.0,4
CPT,33391,"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty) SCHEDULED",,,10349.65,10567.54,3
CPT,33391,"Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty) UNSCHEDULED",,,542.3,553.71,3
CPT,33400,REPAIR OF AORTIC VALVE SCHEDULED,,,10349.65,10567.54,3
CPT,33400,REPAIR OF AORTIC VALVE UNSCHEDULED,,,542.3,553.71,3
CPT,33401,VALVULOPLASTY OPEN SCHEDULED,,,10349.65,10567.54,3
CPT,33401,VALVULOPLASTY OPEN UNSCHEDULED,,,542.3,553.71,3
CPT,33403,VALVULOPLASTY W/CP BYPASS SCHEDULED,,,10349.65,10567.54,3
CPT,33403,VALVULOPLASTY W/CP BYPASS UNSCHEDULED,,,542.3,553.71,3
CPT,33404,Construction of apical-aortic conduit ,,,1950.0,31992.0,78
CPT,33404,Construction of apical-aortic conduit Other Surgical Services,,,2850.0,2850.0,4
CPT,33404,Construction of apical-aortic conduit SCHEDULED,,,10349.65,10567.54,3
CPT,33404,Construction of apical-aortic conduit UNSCHEDULED,,,542.3,553.71,3
CPT,33405,"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve ",,,1950.0,31992.0,78
CPT,33405,"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve Other Surgical Services",,,2850.0,2850.0,4
CPT,33405,"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve SCHEDULED",,,10349.65,10567.54,3
CPT,33405,"Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve UNSCHEDULED",,,542.3,553.71,3
CPT,33406,"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand) ",,,1950.0,31992.0,78
CPT,33406,"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand) Other Surgical Services",,,2850.0,2850.0,4
CPT,33406,"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand) SCHEDULED",,,10349.65,10567.54,3
CPT,33406,"Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand) UNSCHEDULED",,,542.3,553.71,3
CPT,33410,"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve ",,,1950.0,31992.0,78
CPT,33410,"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve Other Surgical Services",,,2850.0,2850.0,4
CPT,33410,"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve SCHEDULED",,,10349.65,10567.54,3
CPT,33410,"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve UNSCHEDULED",,,542.3,553.71,3
CPT,33411,"Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus ",,,1950.0,31992.0,78
CPT,33411,"Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus Other Surgical Services",,,2850.0,2850.0,4
CPT,33411,"Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus SCHEDULED",,,10349.65,10567.54,3
CPT,33411,"Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus UNSCHEDULED",,,542.3,553.71,3
CPT,33412,"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure) ",,,1950.0,31992.0,78
CPT,33412,"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33412,"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33412,"Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33413,"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure) ",,,1950.0,31992.0,78
CPT,33413,"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33413,"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33413,"Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33414,Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract ,,,1950.0,31992.0,78
CPT,33414,Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract Other Surgical Services,,,2850.0,2850.0,4
CPT,33414,Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract SCHEDULED,,,10349.65,10567.54,3
CPT,33414,Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract UNSCHEDULED,,,542.3,553.71,3
CPT,33415,Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis ,,,1950.0,31992.0,78
CPT,33415,Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis Other Surgical Services,,,2850.0,2850.0,4
CPT,33415,Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis SCHEDULED,,,17.79,18.17,3
CPT,33415,Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis UNSCHEDULED,,,26.17,26.72,3
CPT,33416,"Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy) ",,,1950.0,31992.0,78
CPT,33416,"Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy) Other Surgical Services",,,2850.0,2850.0,4
CPT,33416,"Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy) SCHEDULED",,,10349.65,10567.54,3
CPT,33416,"Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy) UNSCHEDULED",,,542.3,553.71,3
CPT,33417,Aortoplasty (gusset) for supravalvular stenosis ,,,1950.0,31992.0,78
CPT,33417,Aortoplasty (gusset) for supravalvular stenosis Other Surgical Services,,,2850.0,2850.0,4
CPT,33417,Aortoplasty (gusset) for supravalvular stenosis SCHEDULED,,,10349.65,10567.54,3
CPT,33417,Aortoplasty (gusset) for supravalvular stenosis UNSCHEDULED,,,542.3,553.71,3
CPT,33418,"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis ",,,1950.0,21794.0,78
CPT,33418,"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis Other Surgical Services",,,2850.0,2850.0,4
CPT,33418,"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis SCHEDULED",,,10349.65,10567.54,3
CPT,33418,"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis UNSCHEDULED",,,542.3,553.71,3
CPT,33419,"Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addition to code for primary ",,,542.3,21794.0,116
CPT,33420,"Valvotomy, mitral valve; closed heart ",,,1950.0,31992.0,78
CPT,33420,"Valvotomy, mitral valve; closed heart Other Surgical Services",,,2850.0,2850.0,4
CPT,33420,"Valvotomy, mitral valve; closed heart SCHEDULED",,,10349.65,10567.54,3
CPT,33420,"Valvotomy, mitral valve; closed heart UNSCHEDULED",,,542.3,553.71,3
CPT,33422,"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33422,"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33422,"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33422,"Valvotomy, mitral valve; open heart, with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33425,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; ",,,1950.0,31992.0,78
CPT,33425,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; Other Surgical Services",,,2850.0,2850.0,4
CPT,33425,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; SCHEDULED",,,10349.65,10567.54,3
CPT,33425,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; UNSCHEDULED",,,542.3,553.71,3
CPT,33426,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring ",,,1950.0,31992.0,78
CPT,33426,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring Other Surgical Services",,,2850.0,2850.0,4
CPT,33426,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring SCHEDULED",,,10349.65,10567.54,3
CPT,33426,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring UNSCHEDULED",,,542.3,553.71,3
CPT,33427,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring ",,,1950.0,31992.0,78
CPT,33427,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring Other Surgical Services",,,2850.0,2850.0,4
CPT,33427,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring SCHEDULED",,,10349.65,10567.54,3
CPT,33427,"Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring UNSCHEDULED",,,542.3,553.71,3
CPT,33430,"Replacement, mitral valve, with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33430,"Replacement, mitral valve, with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33430,"Replacement, mitral valve, with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33430,"Replacement, mitral valve, with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33440,"Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmo",,,542.3,31992.0,88
CPT,33460,"Valvectomy, tricuspid valve, with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33460,"Valvectomy, tricuspid valve, with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33460,"Valvectomy, tricuspid valve, with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33460,"Valvectomy, tricuspid valve, with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33463,"Valvuloplasty, tricuspid valve; without ring insertion ",,,1950.0,31992.0,78
CPT,33463,"Valvuloplasty, tricuspid valve; without ring insertion Other Surgical Services",,,2850.0,2850.0,4
CPT,33463,"Valvuloplasty, tricuspid valve; without ring insertion SCHEDULED",,,10349.65,10567.54,3
CPT,33463,"Valvuloplasty, tricuspid valve; without ring insertion UNSCHEDULED",,,542.3,553.71,3
CPT,33464,"Valvuloplasty, tricuspid valve; with ring insertion ",,,1950.0,31992.0,78
CPT,33464,"Valvuloplasty, tricuspid valve; with ring insertion Other Surgical Services",,,2850.0,2850.0,4
CPT,33464,"Valvuloplasty, tricuspid valve; with ring insertion SCHEDULED",,,10349.65,10567.54,3
CPT,33464,"Valvuloplasty, tricuspid valve; with ring insertion UNSCHEDULED",,,542.3,553.71,3
CPT,33465,"Replacement, tricuspid valve, with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33465,"Replacement, tricuspid valve, with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33465,"Replacement, tricuspid valve, with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33465,"Replacement, tricuspid valve, with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33468,Tricuspid valve repositioning and plication for Ebstein anomaly ,,,1950.0,31992.0,78
CPT,33468,Tricuspid valve repositioning and plication for Ebstein anomaly Other Surgical Services,,,2850.0,2850.0,4
CPT,33468,Tricuspid valve repositioning and plication for Ebstein anomaly SCHEDULED,,,10349.65,10567.54,3
CPT,33468,Tricuspid valve repositioning and plication for Ebstein anomaly UNSCHEDULED,,,542.3,553.71,3
CPT,33470,"VALVOTOMY, PULMONARY VALVE, CLOSED HEART; TRANSVENTRICULAR SCHEDULED",,,10349.65,10567.54,3
CPT,33470,"VALVOTOMY, PULMONARY VALVE, CLOSED HEART; TRANSVENTRICULAR UNSCHEDULED",,,542.3,553.71,3
CPT,33471,"Valvotomy, pulmonary valve, closed heart, via pulmonary artery SCHEDULED",,,10349.65,10567.54,3
CPT,33471,"Valvotomy, pulmonary valve, closed heart, via pulmonary artery UNSCHEDULED",,,542.3,553.71,3
CPT,33472,REVISION OF PULMONARY VALVE SCHEDULED,,,10349.65,10567.54,3
CPT,33472,REVISION OF PULMONARY VALVE UNSCHEDULED,,,542.3,553.71,3
CPT,33474,"Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33474,"Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33474,"Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33474,"Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33475,"Replacement, pulmonary valve ",,,1950.0,31992.0,78
CPT,33475,"Replacement, pulmonary valve Other Surgical Services",,,2850.0,2850.0,4
CPT,33475,"Replacement, pulmonary valve SCHEDULED",,,10349.65,10567.54,3
CPT,33475,"Replacement, pulmonary valve UNSCHEDULED",,,542.3,553.71,3
CPT,33476,"Right ventricular resection for infundibular stenosis, with or without commissurotomy ",,,1950.0,31992.0,78
CPT,33476,"Right ventricular resection for infundibular stenosis, with or without commissurotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,33476,"Right ventricular resection for infundibular stenosis, with or without commissurotomy SCHEDULED",,,10349.65,10567.54,3
CPT,33476,"Right ventricular resection for infundibular stenosis, with or without commissurotomy UNSCHEDULED",,,542.3,553.71,3
CPT,33477,"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed ",,,1950.0,31992.0,79
CPT,33477,"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed Cardiac Cath",,,9333.0,12038.0,64
CPT,33477,"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed Cardiac Cath and Injections",,,,,0
CPT,33477,"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,33477,"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed SCHEDULED",,,10349.65,10567.54,3
CPT,33477,"Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed UNSCHEDULED",,,542.3,553.71,3
CPT,33478,"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection ",,,1950.0,31992.0,78
CPT,33478,"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection Other Surgical Services",,,2850.0,2850.0,4
CPT,33478,"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection SCHEDULED",,,10349.65,10567.54,3
CPT,33478,"Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection UNSCHEDULED",,,542.3,553.71,3
CPT,33496,Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure) ,,,1950.0,31992.0,78
CPT,33496,Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,33496,Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure) SCHEDULED,,,10349.65,10567.54,3
CPT,33496,Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure) UNSCHEDULED,,,542.3,553.71,3
CPT,33500,Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass ,,,1950.0,31992.0,78
CPT,33500,Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33500,Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33500,Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33501,Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass ,,,1950.0,31992.0,78
CPT,33501,Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33501,Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33501,Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33502,Repair of anomalous coronary artery from pulmonary artery origin; by ligation ,,,1950.0,31992.0,78
CPT,33502,Repair of anomalous coronary artery from pulmonary artery origin; by ligation Other Surgical Services,,,2850.0,2850.0,4
CPT,33502,Repair of anomalous coronary artery from pulmonary artery origin; by ligation SCHEDULED,,,10349.65,10567.54,3
CPT,33502,Repair of anomalous coronary artery from pulmonary artery origin; by ligation UNSCHEDULED,,,542.3,553.71,3
CPT,33503,"Repair of anomalous coronary artery from pulmonary artery origin; by graft, without cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33503,"Repair of anomalous coronary artery from pulmonary artery origin; by graft, without cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33503,"Repair of anomalous coronary artery from pulmonary artery origin; by graft, without cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33503,"Repair of anomalous coronary artery from pulmonary artery origin; by graft, without cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33504,"Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33504,"Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33504,"Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33504,"Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33505,Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure) ,,,1950.0,31992.0,78
CPT,33505,Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,33505,Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure) SCHEDULED,,,10349.65,10567.54,3
CPT,33505,Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure) UNSCHEDULED,,,542.3,553.71,3
CPT,33506,Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta ,,,1950.0,31992.0,78
CPT,33506,Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta Other Surgical Services,,,2850.0,2850.0,4
CPT,33506,Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta SCHEDULED,,,10349.65,10567.54,3
CPT,33506,Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta UNSCHEDULED,,,542.3,553.71,3
CPT,33507,"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation ",,,1950.0,31992.0,78
CPT,33507,"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation Other Surgical Services",,,2850.0,2850.0,4
CPT,33507,"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation SCHEDULED",,,10349.65,10567.54,3
CPT,33507,"Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation UNSCHEDULED",,,542.3,553.71,3
CPT,33508,"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,33508,"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33508,"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately in addition to code for primary procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33508,"Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately in addition to code for primary procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33509,"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic ",,,1950.0,31992.0,78
CPT,33509,"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic Other Surgical Services",,,2850.0,2850.0,4
CPT,33509,"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic SCHEDULED",,,10349.65,10567.54,3
CPT,33509,"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, endoscopic UNSCHEDULED",,,542.3,553.71,3
CPT,33510,"Coronary artery bypass, vein only; single coronary venous graft ",,,1950.0,31992.0,78
CPT,33510,"Coronary artery bypass, vein only; single coronary venous graft Other Surgical Services",,,2850.0,2850.0,4
CPT,33510,"Coronary artery bypass, vein only; single coronary venous graft SCHEDULED",,,10349.65,10567.54,3
CPT,33510,"Coronary artery bypass, vein only; single coronary venous graft UNSCHEDULED",,,542.3,553.71,3
CPT,33511,"Coronary artery bypass, vein only; 2 coronary venous grafts ",,,1950.0,31992.0,78
CPT,33511,"Coronary artery bypass, vein only; 2 coronary venous grafts Other Surgical Services",,,2850.0,2850.0,4
CPT,33511,"Coronary artery bypass, vein only; 2 coronary venous grafts SCHEDULED",,,10349.65,10567.54,3
CPT,33511,"Coronary artery bypass, vein only; 2 coronary venous grafts UNSCHEDULED",,,542.3,553.71,3
CPT,33512,"Coronary artery bypass, vein only; 3 coronary venous grafts ",,,1950.0,31992.0,78
CPT,33512,"Coronary artery bypass, vein only; 3 coronary venous grafts Other Surgical Services",,,2850.0,2850.0,4
CPT,33512,"Coronary artery bypass, vein only; 3 coronary venous grafts SCHEDULED",,,10349.65,10567.54,3
CPT,33512,"Coronary artery bypass, vein only; 3 coronary venous grafts UNSCHEDULED",,,542.3,553.71,3
CPT,33513,"Coronary artery bypass, vein only; 4 coronary venous grafts ",,,1950.0,31992.0,78
CPT,33513,"Coronary artery bypass, vein only; 4 coronary venous grafts Other Surgical Services",,,2850.0,2850.0,4
CPT,33513,"Coronary artery bypass, vein only; 4 coronary venous grafts SCHEDULED",,,10349.65,10567.54,3
CPT,33513,"Coronary artery bypass, vein only; 4 coronary venous grafts UNSCHEDULED",,,542.3,553.71,3
CPT,33514,"Coronary artery bypass, vein only; 5 coronary venous grafts ",,,1950.0,31992.0,78
CPT,33514,"Coronary artery bypass, vein only; 5 coronary venous grafts Other Surgical Services",,,2850.0,2850.0,4
CPT,33514,"Coronary artery bypass, vein only; 5 coronary venous grafts SCHEDULED",,,10349.65,10567.54,3
CPT,33514,"Coronary artery bypass, vein only; 5 coronary venous grafts UNSCHEDULED",,,542.3,553.71,3
CPT,33516,"Coronary artery bypass, vein only; 6 or more coronary venous grafts ",,,1950.0,31992.0,78
CPT,33516,"Coronary artery bypass, vein only; 6 or more coronary venous grafts Other Surgical Services",,,2850.0,2850.0,4
CPT,33516,"Coronary artery bypass, vein only; 6 or more coronary venous grafts SCHEDULED",,,10349.65,10567.54,3
CPT,33516,"Coronary artery bypass, vein only; 6 or more coronary venous grafts UNSCHEDULED",,,542.3,553.71,3
CPT,33517,"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,33517,"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33517,"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33517,"Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33518,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,33518,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33518,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33518,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33519,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,33519,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33519,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33519,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33521,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,33521,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33521,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33521,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33522,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,33522,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33522,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33522,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33523,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,33523,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33523,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33523,"Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33530,"Reoperation, coronary artery bypass procedure or valve procedure, more than 1 month after original operation (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,33530,"Reoperation, coronary artery bypass procedure or valve procedure, more than 1 month after original operation (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33530,"Reoperation, coronary artery bypass procedure or valve procedure, more than 1 month after original operation (List separately in addition to code for primary procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33530,"Reoperation, coronary artery bypass procedure or valve procedure, more than 1 month after original operation (List separately in addition to code for primary procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33533,"Coronary artery bypass, using arterial graft(s); single arterial graft ",,,1950.0,31992.0,78
CPT,33533,"Coronary artery bypass, using arterial graft(s); single arterial graft Other Surgical Services",,,2850.0,2850.0,4
CPT,33533,"Coronary artery bypass, using arterial graft(s); single arterial graft SCHEDULED",,,10349.65,10567.54,3
CPT,33533,"Coronary artery bypass, using arterial graft(s); single arterial graft UNSCHEDULED",,,542.3,553.71,3
CPT,33534,"Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts ",,,1950.0,31992.0,78
CPT,33534,"Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts Other Surgical Services",,,2850.0,2850.0,4
CPT,33534,"Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts SCHEDULED",,,10349.65,10567.54,3
CPT,33534,"Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts UNSCHEDULED",,,542.3,553.71,3
CPT,33535,"Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts ",,,1950.0,31992.0,78
CPT,33535,"Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts Other Surgical Services",,,2850.0,2850.0,4
CPT,33535,"Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts SCHEDULED",,,10349.65,10567.54,3
CPT,33535,"Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts UNSCHEDULED",,,542.3,553.71,3
CPT,33536,"Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts ",,,1950.0,31992.0,78
CPT,33536,"Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts Other Surgical Services",,,2850.0,2850.0,4
CPT,33536,"Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts SCHEDULED",,,10349.65,10567.54,3
CPT,33536,"Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts UNSCHEDULED",,,542.3,553.71,3
CPT,33542,"Myocardial resection (eg, ventricular aneurysmectomy) ",,,1950.0,31992.0,78
CPT,33542,"Myocardial resection (eg, ventricular aneurysmectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,33542,"Myocardial resection (eg, ventricular aneurysmectomy) SCHEDULED",,,10349.65,10567.54,3
CPT,33542,"Myocardial resection (eg, ventricular aneurysmectomy) UNSCHEDULED",,,542.3,553.71,3
CPT,33545,"Repair of postinfarction ventricular septal defect, with or without myocardial resection ",,,1950.0,31992.0,78
CPT,33545,"Repair of postinfarction ventricular septal defect, with or without myocardial resection Other Surgical Services",,,2850.0,2850.0,4
CPT,33545,"Repair of postinfarction ventricular septal defect, with or without myocardial resection SCHEDULED",,,10349.65,10567.54,3
CPT,33545,"Repair of postinfarction ventricular septal defect, with or without myocardial resection UNSCHEDULED",,,542.3,553.71,3
CPT,33548,"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures) ",,,1950.0,31992.0,78
CPT,33548,"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures) Other Surgical Services",,,2850.0,2850.0,4
CPT,33548,"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures) SCHEDULED",,,10349.65,10567.54,3
CPT,33548,"Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures) UNSCHEDULED",,,542.3,553.71,3
CPT,33572,"Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed in conjunction with coronary artery bypass graft procedure, each vessel (List sep",,,542.3,31992.0,88
CPT,33600,Closure of atrioventricular valve (mitral or tricuspid) by suture or patch ,,,1950.0,31992.0,78
CPT,33600,Closure of atrioventricular valve (mitral or tricuspid) by suture or patch Other Surgical Services,,,2850.0,2850.0,4
CPT,33600,Closure of atrioventricular valve (mitral or tricuspid) by suture or patch SCHEDULED,,,10349.65,10567.54,3
CPT,33600,Closure of atrioventricular valve (mitral or tricuspid) by suture or patch UNSCHEDULED,,,542.3,553.71,3
CPT,33602,Closure of semilunar valve (aortic or pulmonary) by suture or patch ,,,1950.0,31992.0,78
CPT,33602,Closure of semilunar valve (aortic or pulmonary) by suture or patch Other Surgical Services,,,2850.0,2850.0,4
CPT,33602,Closure of semilunar valve (aortic or pulmonary) by suture or patch SCHEDULED,,,10349.65,10567.54,3
CPT,33602,Closure of semilunar valve (aortic or pulmonary) by suture or patch UNSCHEDULED,,,542.3,553.71,3
CPT,33606,Anastomosis of pulmonary artery to aorta (Damus-Kaye-Stansel procedure) ,,,1950.0,31992.0,78
CPT,33606,Anastomosis of pulmonary artery to aorta (Damus-Kaye-Stansel procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,33606,Anastomosis of pulmonary artery to aorta (Damus-Kaye-Stansel procedure) SCHEDULED,,,10349.65,10567.54,3
CPT,33606,Anastomosis of pulmonary artery to aorta (Damus-Kaye-Stansel procedure) UNSCHEDULED,,,542.3,553.71,3
CPT,33608,Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by construction or replacement of conduit from right or left ventricle to pulmonary artery ,,,1950.0,31992.0,78
CPT,33608,Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by construction or replacement of conduit from right or left ventricle to pulmonary artery Other Surgical ,,,2850.0,2850.0,4
CPT,33608,Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by construction or replacement of conduit from right or left ventricle to pulmonary artery SCHEDULED,,,10349.65,10567.54,3
CPT,33608,Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by construction or replacement of conduit from right or left ventricle to pulmonary artery UNSCHEDULED,,,542.3,553.71,3
CPT,33610,"Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect ",,,1950.0,31992.0,78
CPT,33610,"Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect Other Surgical Services",,,2850.0,2850.0,4
CPT,33610,"Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect SCHEDULED",,,10349.65,10567.54,3
CPT,33610,"Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect UNSCHEDULED",,,542.3,553.71,3
CPT,33611,Repair of double outlet right ventricle with intraventricular tunnel repair; ,,,1950.0,31992.0,78
CPT,33611,Repair of double outlet right ventricle with intraventricular tunnel repair; Other Surgical Services,,,2850.0,2850.0,4
CPT,33611,Repair of double outlet right ventricle with intraventricular tunnel repair; SCHEDULED,,,10349.65,10567.54,3
CPT,33611,Repair of double outlet right ventricle with intraventricular tunnel repair; UNSCHEDULED,,,542.3,553.71,3
CPT,33612,Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction ,,,1950.0,31992.0,78
CPT,33612,Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction Other Surgical Services,,,2850.0,2850.0,4
CPT,33612,Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction SCHEDULED,,,10349.65,10567.54,3
CPT,33612,Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction UNSCHEDULED,,,542.3,553.71,3
CPT,33615,"Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure) ",,,1950.0,31992.0,78
CPT,33615,"Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure) Other Surgical Servic",,,2850.0,2850.0,4
CPT,33615,"Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33615,"Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33617,"Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure ",,,1950.0,31992.0,78
CPT,33617,"Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure Other Surgical Services",,,2850.0,2850.0,4
CPT,33617,"Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure SCHEDULED",,,10349.65,10567.54,3
CPT,33617,"Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure UNSCHEDULED",,,542.3,553.71,3
CPT,33619,"Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure) ",,,1950.0,31992.0,78
CPT,33619,"Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33619,"Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33619,"Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33620,"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1) ",,,1950.0,31992.0,78
CPT,33620,"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1) Other Surgical Services",,,2850.0,2850.0,4
CPT,33620,"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1) SCHEDULED",,,10349.65,10567.54,3
CPT,33620,"Application of right and left pulmonary artery bands (eg, hybrid approach stage 1) UNSCHEDULED",,,542.3,553.71,3
CPT,33621,"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1) ",,,1950.0,31992.0,78
CPT,33621,"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1) Other Surgical Services",,,2850.0,2850.0,4
CPT,33621,"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1) SCHEDULED",,,10349.65,10567.54,3
CPT,33621,"Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1) UNSCHEDULED",,,542.3,553.71,3
CPT,33622,"Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ventricle with aortic outflow obstruction and aortic arch hypoplasia, creation of c",,,542.3,31992.0,88
CPT,33641,"Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch ",,,1950.0,31992.0,78
CPT,33641,"Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch Other Surgical Services",,,2850.0,2850.0,4
CPT,33641,"Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch SCHEDULED",,,10349.65,10567.54,3
CPT,33641,"Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch UNSCHEDULED",,,542.3,553.71,3
CPT,33645,"Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage ",,,1950.0,31992.0,78
CPT,33645,"Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage Other Surgical Services",,,2850.0,2850.0,4
CPT,33645,"Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage SCHEDULED",,,10349.65,10567.54,3
CPT,33645,"Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage UNSCHEDULED",,,542.3,553.71,3
CPT,33647,"Repair of atrial septal defect and ventricular septal defect, with direct or patch closure ",,,1950.0,31992.0,78
CPT,33647,"Repair of atrial septal defect and ventricular septal defect, with direct or patch closure Other Surgical Services",,,2850.0,2850.0,4
CPT,33647,"Repair of atrial septal defect and ventricular septal defect, with direct or patch closure SCHEDULED",,,10349.65,10567.54,3
CPT,33647,"Repair of atrial septal defect and ventricular septal defect, with direct or patch closure UNSCHEDULED",,,542.3,553.71,3
CPT,33660,"Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair ",,,1950.0,31992.0,78
CPT,33660,"Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair Other Surgical Services",,,2850.0,2850.0,4
CPT,33660,"Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair SCHEDULED",,,10349.65,10567.54,3
CPT,33660,"Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair UNSCHEDULED",,,542.3,553.71,3
CPT,33665,"Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair ",,,1950.0,31992.0,78
CPT,33665,"Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair Other Surgical Services",,,2850.0,2850.0,4
CPT,33665,"Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair SCHEDULED",,,10349.65,10567.54,3
CPT,33665,"Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair UNSCHEDULED",,,542.3,553.71,3
CPT,33670,"Repair of complete atrioventricular canal, with or without prosthetic valve ",,,1950.0,31992.0,78
CPT,33670,"Repair of complete atrioventricular canal, with or without prosthetic valve Other Surgical Services",,,2850.0,2850.0,4
CPT,33670,"Repair of complete atrioventricular canal, with or without prosthetic valve SCHEDULED",,,10349.65,10567.54,3
CPT,33670,"Repair of complete atrioventricular canal, with or without prosthetic valve UNSCHEDULED",,,542.3,553.71,3
CPT,33675,Closure of multiple ventricular septal defects; ,,,1950.0,31992.0,78
CPT,33675,Closure of multiple ventricular septal defects; Other Surgical Services,,,2850.0,2850.0,4
CPT,33675,Closure of multiple ventricular septal defects; SCHEDULED,,,10349.65,10567.54,3
CPT,33675,Closure of multiple ventricular septal defects; UNSCHEDULED,,,542.3,553.71,3
CPT,33676,Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic) ,,,1950.0,31992.0,78
CPT,33676,Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic) Other Surgical Services,,,2850.0,2850.0,4
CPT,33676,Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic) SCHEDULED,,,10349.65,10567.54,3
CPT,33676,Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic) UNSCHEDULED,,,542.3,553.71,3
CPT,33677,"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset ",,,1950.0,31992.0,78
CPT,33677,"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset Other Surgical Services",,,2850.0,2850.0,4
CPT,33677,"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset SCHEDULED",,,10349.65,10567.54,3
CPT,33677,"Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset UNSCHEDULED",,,542.3,553.71,3
CPT,33681,"Closure of single ventricular septal defect, with or without patch; ",,,1950.0,31992.0,78
CPT,33681,"Closure of single ventricular septal defect, with or without patch; Other Surgical Services",,,2850.0,2850.0,4
CPT,33681,"Closure of single ventricular septal defect, with or without patch; SCHEDULED",,,10349.65,10567.54,3
CPT,33681,"Closure of single ventricular septal defect, with or without patch; UNSCHEDULED",,,542.3,553.71,3
CPT,33684,"Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic) ",,,1950.0,31992.0,78
CPT,33684,"Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic) Other Surgical Services",,,2850.0,2850.0,4
CPT,33684,"Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic) SCHEDULED",,,10349.65,10567.54,3
CPT,33684,"Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic) UNSCHEDULED",,,542.3,553.71,3
CPT,33688,"Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset ",,,1950.0,31992.0,78
CPT,33688,"Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset Other Surgical Services",,,2850.0,2850.0,4
CPT,33688,"Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset SCHEDULED",,,10349.65,10567.54,3
CPT,33688,"Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset UNSCHEDULED",,,542.3,553.71,3
CPT,33690,Banding of pulmonary artery ,,,1950.0,31992.0,78
CPT,33690,Banding of pulmonary artery Other Surgical Services,,,2850.0,2850.0,4
CPT,33690,Banding of pulmonary artery SCHEDULED,,,10349.65,10567.54,3
CPT,33690,Banding of pulmonary artery UNSCHEDULED,,,33.5,34.2,3
CPT,33692,Complete repair tetralogy of Fallot without pulmonary atresia; ,,,1950.0,31992.0,78
CPT,33692,Complete repair tetralogy of Fallot without pulmonary atresia; Other Surgical Services,,,2850.0,2850.0,4
CPT,33692,Complete repair tetralogy of Fallot without pulmonary atresia; SCHEDULED,,,10349.65,10567.54,3
CPT,33692,Complete repair tetralogy of Fallot without pulmonary atresia; UNSCHEDULED,,,542.3,553.71,3
CPT,33694,Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch ,,,1950.0,31992.0,78
CPT,33694,Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch Other Surgical Services,,,2850.0,2850.0,4
CPT,33694,Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch SCHEDULED,,,10349.65,10567.54,3
CPT,33694,Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch UNSCHEDULED,,,542.3,553.71,3
CPT,33697,Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect ,,,1950.0,31992.0,78
CPT,33697,Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect Other Surgical Services,,,2850.0,2850.0,4
CPT,33697,Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect SCHEDULED,,,10349.65,10567.54,3
CPT,33697,Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect UNSCHEDULED,,,542.3,553.71,3
CPT,33702,"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; ",,,1950.0,31992.0,78
CPT,33702,"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; Other Surgical Services",,,2850.0,2850.0,4
CPT,33702,"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; SCHEDULED",,,10349.65,10567.54,3
CPT,33702,"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; UNSCHEDULED",,,542.3,553.71,3
CPT,33710,"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect ",,,1950.0,31992.0,78
CPT,33710,"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect Other Surgical Services",,,2850.0,2850.0,4
CPT,33710,"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect SCHEDULED",,,10349.65,10567.54,3
CPT,33710,"Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect UNSCHEDULED",,,542.3,553.71,3
CPT,33720,"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33720,"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33720,"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33720,"Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33722,CLOSURE OF AORTICO-LEFT VENTRICULAR TUNNEL SCHEDULED,,,10349.65,10567.54,3
CPT,33722,CLOSURE OF AORTICO-LEFT VENTRICULAR TUNNEL UNSCHEDULED,,,542.3,553.71,3
CPT,33724,"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome) ",,,1950.0,31992.0,78
CPT,33724,"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome) Other Surgical Services",,,2850.0,2850.0,4
CPT,33724,"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome) SCHEDULED",,,10349.65,10567.54,3
CPT,33724,"Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome) UNSCHEDULED",,,542.3,553.71,3
CPT,33726,Repair of pulmonary venous stenosis ,,,1950.0,31992.0,78
CPT,33726,Repair of pulmonary venous stenosis Other Surgical Services,,,2850.0,2850.0,4
CPT,33726,Repair of pulmonary venous stenosis SCHEDULED,,,10349.65,10567.54,3
CPT,33726,Repair of pulmonary venous stenosis UNSCHEDULED,,,542.3,553.71,3
CPT,33730,"Complete repair of anomalous pulmonary venous return (supracardiac, intracardiac, or infracardiac types) ",,,1950.0,31992.0,78
CPT,33730,"Complete repair of anomalous pulmonary venous return (supracardiac, intracardiac, or infracardiac types) Other Surgical Services",,,2850.0,2850.0,4
CPT,33730,"Complete repair of anomalous pulmonary venous return (supracardiac, intracardiac, or infracardiac types) SCHEDULED",,,10349.65,10567.54,3
CPT,33730,"Complete repair of anomalous pulmonary venous return (supracardiac, intracardiac, or infracardiac types) UNSCHEDULED",,,542.3,553.71,3
CPT,33732,Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane ,,,1950.0,31992.0,78
CPT,33732,Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane Other Surgical Services,,,2850.0,2850.0,4
CPT,33732,Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane SCHEDULED,,,10349.65,10567.54,3
CPT,33732,Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane UNSCHEDULED,,,542.3,553.71,3
CPT,33735,Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation) ,,,1950.0,31992.0,78
CPT,33735,Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation) Other Surgical Services,,,2850.0,2850.0,4
CPT,33735,Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation) SCHEDULED,,,10349.65,10567.54,3
CPT,33735,Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation) UNSCHEDULED,,,542.3,553.71,3
CPT,33736,Atrial septectomy or septostomy; open heart with cardiopulmonary bypass ,,,1950.0,31992.0,78
CPT,33736,Atrial septectomy or septostomy; open heart with cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33736,Atrial septectomy or septostomy; open heart with cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33736,Atrial septectomy or septostomy; open heart with cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33737,"Atrial septectomy or septostomy; open heart, with inflow occlusion SCHEDULED",,,10349.65,10567.54,3
CPT,33737,"Atrial septectomy or septostomy; open heart, with inflow occlusion UNSCHEDULED",,,542.3,553.71,3
CPT,33741,"Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, any method (eg, Rashkind, S",,,542.3,46072.0,83
CPT,33745,"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by the proceduralist, when ",,,542.3,46072.0,153
CPT,33746,"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by the proceduralist, when ",,,542.3,31992.0,153
CPT,33750,Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) ,,,1950.0,31992.0,78
CPT,33750,Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) Other Surgical Services,,,2850.0,2850.0,4
CPT,33750,Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) SCHEDULED,,,10349.65,10567.54,3
CPT,33750,Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) UNSCHEDULED,,,542.3,553.71,3
CPT,33755,Shunt; ascending aorta to pulmonary artery (Waterston type operation) ,,,1950.0,31992.0,78
CPT,33755,Shunt; ascending aorta to pulmonary artery (Waterston type operation) Other Surgical Services,,,2850.0,2850.0,4
CPT,33755,Shunt; ascending aorta to pulmonary artery (Waterston type operation) SCHEDULED,,,10349.65,10567.54,3
CPT,33755,Shunt; ascending aorta to pulmonary artery (Waterston type operation) UNSCHEDULED,,,542.3,553.71,3
CPT,33762,Shunt; descending aorta to pulmonary artery (Potts-Smith type operation) ,,,1950.0,31992.0,78
CPT,33762,Shunt; descending aorta to pulmonary artery (Potts-Smith type operation) Other Surgical Services,,,2850.0,2850.0,4
CPT,33762,Shunt; descending aorta to pulmonary artery (Potts-Smith type operation) SCHEDULED,,,10349.65,10567.54,3
CPT,33762,Shunt; descending aorta to pulmonary artery (Potts-Smith type operation) UNSCHEDULED,,,542.3,553.71,3
CPT,33764,"Shunt; central, with prosthetic graft ",,,1950.0,31992.0,78
CPT,33764,"Shunt; central, with prosthetic graft Other Surgical Services",,,2850.0,2850.0,4
CPT,33764,"Shunt; central, with prosthetic graft SCHEDULED",,,10349.65,10567.54,3
CPT,33764,"Shunt; central, with prosthetic graft UNSCHEDULED",,,542.3,553.71,3
CPT,33766,Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure) ,,,1950.0,31992.0,78
CPT,33766,Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,33766,Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure) SCHEDULED,,,10349.65,10567.54,3
CPT,33766,Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure) UNSCHEDULED,,,542.3,553.71,3
CPT,33767,Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure) ,,,1950.0,31992.0,78
CPT,33767,Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,33767,Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure) SCHEDULED,,,10349.65,10567.54,3
CPT,33767,Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure) UNSCHEDULED,,,542.3,553.71,3
CPT,33768,"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure) ",,,1950.0,31992.0,78
CPT,33768,"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33768,"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33768,"Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33770,Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect ,,,1950.0,31992.0,78
CPT,33770,Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect Other Surgical Services,,,2850.0,2850.0,4
CPT,33770,Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect SCHEDULED,,,10349.65,10567.54,3
CPT,33770,Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect UNSCHEDULED,,,542.3,553.71,3
CPT,33771,Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect ,,,1950.0,31992.0,78
CPT,33771,Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect Other Surgical Services,,,2850.0,2850.0,4
CPT,33771,Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect SCHEDULED,,,10349.65,10567.54,3
CPT,33771,Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect UNSCHEDULED,,,542.3,553.71,3
CPT,33774,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; ",,,1950.0,31992.0,78
CPT,33774,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; Other Surgical Services",,,2850.0,2850.0,4
CPT,33774,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; SCHEDULED",,,10349.65,10567.54,3
CPT,33774,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; UNSCHEDULED",,,542.3,553.71,3
CPT,33775,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band ",,,1950.0,31992.0,78
CPT,33775,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band Other Surgical Services",,,2850.0,2850.0,4
CPT,33775,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band SCHEDULED",,,10349.65,10567.54,3
CPT,33775,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band UNSCHEDULED",,,542.3,553.71,3
CPT,33776,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect ",,,1950.0,31992.0,78
CPT,33776,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect Other Surgical Services",,,2850.0,2850.0,4
CPT,33776,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect SCHEDULED",,,10349.65,10567.54,3
CPT,33776,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect UNSCHEDULED",,,542.3,553.71,3
CPT,33777,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction ",,,1950.0,31992.0,78
CPT,33777,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction Other Surgical Services",,,2850.0,2850.0,4
CPT,33777,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction SCHEDULED",,,10349.65,10567.54,3
CPT,33777,"Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction UNSCHEDULED",,,542.3,553.71,3
CPT,33778,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); ",,,1950.0,31992.0,78
CPT,33778,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); Other Surgical Services",,,2850.0,2850.0,4
CPT,33778,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); SCHEDULED",,,10349.65,10567.54,3
CPT,33778,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); UNSCHEDULED",,,542.3,553.71,3
CPT,33779,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band ",,,1950.0,31992.0,78
CPT,33779,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band Other Surgical Services",,,2850.0,2850.0,4
CPT,33779,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band SCHEDULED",,,10349.65,10567.54,3
CPT,33779,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band UNSCHEDULED",,,542.3,553.71,3
CPT,33780,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with closure of ventricular septal defect ",,,1950.0,31992.0,78
CPT,33780,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with closure of ventricular septal defect Other Surgical Services",,,2850.0,2850.0,4
CPT,33780,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with closure of ventricular septal defect SCHEDULED",,,10349.65,10567.54,3
CPT,33780,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with closure of ventricular septal defect UNSCHEDULED",,,542.3,553.71,3
CPT,33781,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction ",,,1950.0,31992.0,78
CPT,33781,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction Other Surgical Services",,,2850.0,2850.0,4
CPT,33781,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction SCHEDULED",,,10349.65,10567.54,3
CPT,33781,"Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction UNSCHEDULED",,,542.3,553.71,3
CPT,33782,"Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation ",,,1950.0,31992.0,78
CPT,33782,"Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation Other Surgical Services",,,2850.0,2850.0,4
CPT,33782,"Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation SCHEDULED",,,10349.65,10567.54,3
CPT,33782,"Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation UNSCHEDULED",,,542.3,553.71,3
CPT,33783,"Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia ",,,1950.0,31992.0,78
CPT,33783,"Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia Other Surgical Services",,,2850.0,2850.0,4
CPT,33783,"Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia SCHEDULED",,,10349.65,10567.54,3
CPT,33783,"Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia UNSCHEDULED",,,542.3,553.71,3
CPT,33786,"Total repair, truncus arteriosus (Rastelli type operation) ",,,1950.0,31992.0,78
CPT,33786,"Total repair, truncus arteriosus (Rastelli type operation) Other Surgical Services",,,2850.0,2850.0,4
CPT,33786,"Total repair, truncus arteriosus (Rastelli type operation) SCHEDULED",,,10349.65,10567.54,3
CPT,33786,"Total repair, truncus arteriosus (Rastelli type operation) UNSCHEDULED",,,542.3,553.71,3
CPT,33788,Reimplantation of an anomalous pulmonary artery ,,,1950.0,31992.0,78
CPT,33788,Reimplantation of an anomalous pulmonary artery Other Surgical Services,,,2850.0,2850.0,4
CPT,33788,Reimplantation of an anomalous pulmonary artery SCHEDULED,,,10349.65,10567.54,3
CPT,33788,Reimplantation of an anomalous pulmonary artery UNSCHEDULED,,,542.3,553.71,3
CPT,33800,"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure) ",,,1950.0,31992.0,78
CPT,33800,"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33800,"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33800,"Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33802,Division of aberrant vessel (vascular ring); ,,,1950.0,31992.0,78
CPT,33802,Division of aberrant vessel (vascular ring); Other Surgical Services,,,2850.0,2850.0,4
CPT,33802,Division of aberrant vessel (vascular ring); SCHEDULED,,,10349.65,10567.54,3
CPT,33802,Division of aberrant vessel (vascular ring); UNSCHEDULED,,,542.3,553.71,3
CPT,33803,Division of aberrant vessel (vascular ring); with reanastomosis ,,,1950.0,31992.0,78
CPT,33803,Division of aberrant vessel (vascular ring); with reanastomosis Other Surgical Services,,,2850.0,2850.0,4
CPT,33803,Division of aberrant vessel (vascular ring); with reanastomosis SCHEDULED,,,10349.65,10567.54,3
CPT,33803,Division of aberrant vessel (vascular ring); with reanastomosis UNSCHEDULED,,,542.3,553.71,3
CPT,33813,Obliteration of aortopulmonary septal defect; without cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33813,Obliteration of aortopulmonary septal defect; without cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33814,"Obliteration of aortopulmonary septal defect, with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33814,"Obliteration of aortopulmonary septal defect, with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33814,"Obliteration of aortopulmonary septal defect, with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33814,"Obliteration of aortopulmonary septal defect, with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33820,Repair of patent ductus arteriosus; by ligation ,,,1950.0,31992.0,106
CPT,33820,Repair of patent ductus arteriosus; by ligation Other Surgical Services,,,2850.0,2850.0,4
CPT,33820,Repair of patent ductus arteriosus; by ligation SCHEDULED,,,10349.65,10567.54,3
CPT,33820,Repair of patent ductus arteriosus; by ligation UNSCHEDULED,,,542.3,553.71,3
CPT,33822,"Repair of patent ductus arteriosus; by division, younger than 18 years ",,,1950.0,31992.0,106
CPT,33822,"Repair of patent ductus arteriosus; by division, younger than 18 years Other Surgical Services",,,2850.0,2850.0,4
CPT,33822,"Repair of patent ductus arteriosus; by division, younger than 18 years SCHEDULED",,,10349.65,10567.54,3
CPT,33822,"Repair of patent ductus arteriosus; by division, younger than 18 years UNSCHEDULED",,,542.3,553.71,3
CPT,33824,"Repair of patent ductus arteriosus; by division, 18 years and older ",,,1950.0,31992.0,106
CPT,33824,"Repair of patent ductus arteriosus; by division, 18 years and older Other Surgical Services",,,2850.0,2850.0,4
CPT,33824,"Repair of patent ductus arteriosus; by division, 18 years and older SCHEDULED",,,10349.65,10567.54,3
CPT,33824,"Repair of patent ductus arteriosus; by division, 18 years and older UNSCHEDULED",,,542.3,553.71,3
CPT,33840,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with direct anastomosis ",,,1950.0,31992.0,78
CPT,33840,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with direct anastomosis Other Surgical Services",,,2850.0,2850.0,4
CPT,33840,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with direct anastomosis SCHEDULED",,,10349.65,10567.54,3
CPT,33840,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with direct anastomosis UNSCHEDULED",,,542.3,553.71,3
CPT,33845,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with graft ",,,1950.0,31992.0,78
CPT,33845,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with graft Other Surgical Services",,,2850.0,2850.0,4
CPT,33845,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with graft SCHEDULED",,,10349.65,10567.54,3
CPT,33845,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with graft UNSCHEDULED",,,542.3,553.71,3
CPT,33851,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; repair using either left subclavian artery or prosthetic material as gusset for enlargement ",,,1950.0,31992.0,78
CPT,33851,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; repair using either left subclavian artery or prosthetic material as gusset for enlargement Other Surgical Servic",,,2850.0,2850.0,4
CPT,33851,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; repair using either left subclavian artery or prosthetic material as gusset for enlargement SCHEDULED",,,10349.65,10567.54,3
CPT,33851,"Excision of coarctation of aorta, with or without associated patent ductus arteriosus; repair using either left subclavian artery or prosthetic material as gusset for enlargement UNSCHEDULED",,,542.3,553.71,3
CPT,33852,Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass ,,,1950.0,31992.0,78
CPT,33852,Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33852,Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33852,Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33853,Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass ,,,1950.0,31992.0,78
CPT,33853,Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33853,Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33853,Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33858,"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection ",,,1950.0,31992.0,78
CPT,33858,"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,33858,"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection SCHEDULED",,,10349.65,10567.54,3
CPT,33858,"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection UNSCHEDULED",,,542.3,553.71,3
CPT,33859,"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm) ",,,1950.0,31992.0,78
CPT,33859,"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm) Other Surgical Services",,,2850.0,2850.0,4
CPT,33859,"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm) SCHEDULED",,,10349.65,10567.54,3
CPT,33859,"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic disease other than dissection (eg, aneurysm) UNSCHEDULED",,,542.3,553.71,3
CPT,33860,"ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS, INCLUDES VALVE SUSPENSION, WHEN PERFORMED SCHEDULED",,,10349.65,10567.54,3
CPT,33860,"ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS, INCLUDES VALVE SUSPENSION, WHEN PERFORMED UNSCHEDULED",,,542.3,553.71,3
CPT,33861,ASCENDING AORTIC GRAFT SCHEDULED,,,10349.65,10567.54,3
CPT,33861,ASCENDING AORTIC GRAFT UNSCHEDULED,,,542.3,553.71,3
CPT,33863,"Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall) ",,,1950.0,31992.0,78
CPT,33863,"Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall) Other Surgical Services",,,2850.0,2850.0,4
CPT,33863,"Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall) SCHEDULED",,,10349.65,10567.54,3
CPT,33863,"Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall) UNSCHEDULED",,,542.3,553.71,3
CPT,33864,"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure) ",,,1950.0,31992.0,78
CPT,33864,"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure) Other Surgical S",,,2850.0,2850.0,4
CPT,33864,"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33864,"Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33866,"Aortic hemiarch graft including isolation and control of the arch vessels, beveled open distal aortic anastomosis extending under one or more of the arch vessels, and total circulatory arrest or isola",,,542.3,10567.54,81
CPT,33870,"TRANSVERSE ARCH GRAFT, WITH CARDIOPULMONARY BYPASS SCHEDULED",,,10349.65,10567.54,3
CPT,33870,"TRANSVERSE ARCH GRAFT, WITH CARDIOPULMONARY BYPASS UNSCHEDULED",,,542.3,553.71,3
CPT,33871,"Transverse aortic arch graft, with cardiopulmonary bypass, with profound hypothermia, total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg, island pedicle",,,542.3,31992.0,88
CPT,33875,"Descending thoracic aorta graft, with or without bypass ",,,1950.0,31992.0,78
CPT,33875,"Descending thoracic aorta graft, with or without bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33875,"Descending thoracic aorta graft, with or without bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33875,"Descending thoracic aorta graft, with or without bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33877,"Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33877,"Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33877,"Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33877,"Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33880,"Endovascular repair of thoracic aorta, including pre-procedure sizing and device selection, nonselective catheterization(s), all associated radiological supervision and interpretation; by deployment o",,,542.3,31992.0,88
CPT,33881,"Endovascular repair of thoracic aorta, including pre-procedure sizing and device selection, nonselective catheterization(s), all associated radiological supervision and interpretation; by deployment o",,,542.3,31992.0,88
CPT,33882,Endovascular repair of the thoracic aorta by deployment of a branched endograft multipiece system involving an aorto-aortic tube device with a fenestration for the left subclavian artery stent graft(s,,,1950.0,31992.0,79
CPT,33883,"Delayed placement of proximal extension prosthesis(es) not involving coverage of the left subclavian artery origin, after endovascular repair of the thoracic aorta, including pre-procedure sizing and ",,,542.3,31992.0,88
CPT,33884,"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disrupti",,,542.3,10567.54,6
CPT,33886,"Delayed placement of distal extension prosthesis(es) from the level of the left subclavian artery to the celiac artery, after endovascular repair of descending thoracic aorta, including pre-procedure ",,,542.3,31992.0,88
CPT,33889,"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision, unilateral SCHEDULED",,,10349.65,10567.54,3
CPT,33889,"Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision, unilateral UNSCHEDULED",,,542.3,553.71,3
CPT,33891,"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision SCHEDULED",,,10349.65,10567.54,3
CPT,33891,"Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision UNSCHEDULED",,,542.3,553.71,3
CPT,33894,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches ",,,1950.0,31992.0,78
CPT,33894,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches Other Surgical Services",,,2850.0,2850.0,4
CPT,33894,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches SCHEDULED",,,10349.65,10567.54,3
CPT,33894,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches UNSCHEDULED",,,542.3,553.71,3
CPT,33895,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; not crossing major side branches ",,,1950.0,31992.0,78
CPT,33895,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; not crossing major side branches Other Surgical Services",,,2850.0,2850.0,4
CPT,33895,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; not crossing major side branches SCHEDULED",,,10349.65,10567.54,3
CPT,33895,"Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; not crossing major side branches UNSCHEDULED",,,542.3,553.71,3
CPT,33897,Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta ,,,1950.0,31992.0,78
CPT,33897,Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta Other Surgical Services,,,2850.0,2850.0,4
CPT,33897,Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta SCHEDULED,,,10349.65,10567.54,3
CPT,33897,Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta UNSCHEDULED,,,542.3,553.71,3
CPT,33900,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, unilateral ",,,1950.0,19295.0,78
CPT,33900,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,33900,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, unilateral SCHEDULED",,,10349.65,10567.54,3
CPT,33900,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, unilateral UNSCHEDULED",,,542.3,553.71,3
CPT,33901,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, bilateral ",,,1950.0,19295.0,78
CPT,33901,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,33901,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, bilateral SCHEDULED",,,10349.65,10567.54,3
CPT,33901,"Percutaneous pulmonary artery revascularization by stent placement, initial; normal native connections, bilateral UNSCHEDULED",,,542.3,553.71,3
CPT,33902,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral ",,,1950.0,19295.0,78
CPT,33902,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,33902,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral SCHEDULED",,,10349.65,10567.54,3
CPT,33902,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral UNSCHEDULED",,,542.3,553.71,3
CPT,33903,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral ",,,1950.0,19295.0,78
CPT,33903,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,33903,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral SCHEDULED",,,10349.65,10567.54,3
CPT,33903,"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral UNSCHEDULED",,,542.3,553.71,3
CPT,33904,"Percutaneous pulmonary artery revascularization by stent placement, each additional vessel or separate lesion, normal or abnormal connections (List separately in addition to code for primary procedure",,,542.3,10567.54,81
CPT,33910,Pulmonary artery embolectomy; with cardiopulmonary bypass ,,,1950.0,31992.0,78
CPT,33910,Pulmonary artery embolectomy; with cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33910,Pulmonary artery embolectomy; with cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33910,Pulmonary artery embolectomy; with cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33915,Pulmonary artery embolectomy; without cardiopulmonary bypass ,,,1950.0,31992.0,78
CPT,33915,Pulmonary artery embolectomy; without cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33915,Pulmonary artery embolectomy; without cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33915,Pulmonary artery embolectomy; without cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33916,"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33916,"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33916,"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33916,"Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33917,Repair of pulmonary artery stenosis by reconstruction with patch or graft ,,,1950.0,31992.0,78
CPT,33917,Repair of pulmonary artery stenosis by reconstruction with patch or graft Other Surgical Services,,,2850.0,2850.0,4
CPT,33917,Repair of pulmonary artery stenosis by reconstruction with patch or graft SCHEDULED,,,10349.65,10567.54,3
CPT,33917,Repair of pulmonary artery stenosis by reconstruction with patch or graft UNSCHEDULED,,,542.3,553.71,3
CPT,33918,REPAIR PULMONARY ATRESIA SCHEDULED,,,10349.65,10567.54,3
CPT,33918,REPAIR PULMONARY ATRESIA UNSCHEDULED,,,542.3,553.71,3
CPT,33919,REPAIR PULMONARY ATRESIA SCHEDULED,,,10349.65,10567.54,3
CPT,33919,REPAIR PULMONARY ATRESIA UNSCHEDULED,,,542.3,553.71,3
CPT,33920,"Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of conduit from right or left ventricle to pulmonary artery ",,,1950.0,31992.0,78
CPT,33920,"Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of conduit from right or left ventricle to pulmonary artery Other Surgical Services",,,2850.0,2850.0,4
CPT,33920,"Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of conduit from right or left ventricle to pulmonary artery SCHEDULED",,,10349.65,10567.54,3
CPT,33920,"Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of conduit from right or left ventricle to pulmonary artery UNSCHEDULED",,,542.3,553.71,3
CPT,33922,Transection of pulmonary artery with cardiopulmonary bypass ,,,1950.0,31992.0,78
CPT,33922,Transection of pulmonary artery with cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33922,Transection of pulmonary artery with cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33922,Transection of pulmonary artery with cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33924,"Ligation and takedown of a systemic-to-pulmonary artery shunt, performed in conjunction with a congenital heart procedure (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,33924,"Ligation and takedown of a systemic-to-pulmonary artery shunt, performed in conjunction with a congenital heart procedure (List separately in addition to code for primary procedure) Other Surgical Ser",,,2850.0,2850.0,4
CPT,33924,"Ligation and takedown of a systemic-to-pulmonary artery shunt, performed in conjunction with a congenital heart procedure (List separately in addition to code for primary procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33924,"Ligation and takedown of a systemic-to-pulmonary artery shunt, performed in conjunction with a congenital heart procedure (List separately in addition to code for primary procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33925,Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass ,,,1950.0,31992.0,78
CPT,33925,Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33925,Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33925,Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33926,Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass ,,,1950.0,31992.0,78
CPT,33926,Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass Other Surgical Services,,,2850.0,2850.0,4
CPT,33926,Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass SCHEDULED,,,10349.65,10567.54,3
CPT,33926,Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass UNSCHEDULED,,,542.3,553.71,3
CPT,33927,Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy ,,,1950.0,31992.0,78
CPT,33927,Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,33927,Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy SCHEDULED,,,10349.65,10567.54,3
CPT,33927,Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy UNSCHEDULED,,,542.3,553.71,3
CPT,33928,Removal and replacement of total replacement heart system (artificial heart) ,,,1950.0,31992.0,78
CPT,33928,Removal and replacement of total replacement heart system (artificial heart) Other Surgical Services,,,2850.0,2850.0,4
CPT,33928,Removal and replacement of total replacement heart system (artificial heart) SCHEDULED,,,10349.65,10567.54,3
CPT,33928,Removal and replacement of total replacement heart system (artificial heart) UNSCHEDULED,,,542.3,553.71,3
CPT,33929,Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure) ,,,1950.0,31992.0,78
CPT,33929,Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,33929,Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure) SCHEDULED,,,10349.65,10567.54,3
CPT,33929,Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure) UNSCHEDULED,,,542.3,553.71,3
CPT,33930,Donor cardiectomy-pneumonectomy (including cold preservation) ,,,1950.0,31992.0,78
CPT,33930,Donor cardiectomy-pneumonectomy (including cold preservation) Other Surgical Services,,,2850.0,2850.0,4
CPT,33930,Donor cardiectomy-pneumonectomy (including cold preservation) SCHEDULED,,,10349.65,10567.54,3
CPT,33930,Donor cardiectomy-pneumonectomy (including cold preservation) UNSCHEDULED,,,542.3,553.71,3
CPT,33933,"Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare aorta, superior vena cava, inf",,,542.3,31992.0,88
CPT,33935,Heart-lung transplant with recipient cardiectomy-pneumonectomy ,,,1950.0,31992.0,78
CPT,33935,Heart-lung transplant with recipient cardiectomy-pneumonectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,33935,Heart-lung transplant with recipient cardiectomy-pneumonectomy SCHEDULED,,,10349.65,10567.54,3
CPT,33935,Heart-lung transplant with recipient cardiectomy-pneumonectomy UNSCHEDULED,,,542.3,553.71,3
CPT,33940,Donor cardiectomy (including cold preservation) ,,,1950.0,31992.0,78
CPT,33940,Donor cardiectomy (including cold preservation) Other Surgical Services,,,2850.0,2850.0,4
CPT,33940,Donor cardiectomy (including cold preservation) SCHEDULED,,,10349.65,10567.54,3
CPT,33940,Donor cardiectomy (including cold preservation) UNSCHEDULED,,,542.3,553.71,3
CPT,33944,"Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare aorta, superior vena cava, inferior",,,542.3,31992.0,88
CPT,33945,"Heart transplant, with or without recipient cardiectomy ",,,1950.0,31992.0,78
CPT,33945,"Heart transplant, with or without recipient cardiectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,33945,"Heart transplant, with or without recipient cardiectomy SCHEDULED",,,10349.65,10567.54,3
CPT,33945,"Heart transplant, with or without recipient cardiectomy UNSCHEDULED",,,542.3,553.71,3
CPT,33946,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous ",,,1950.0,31992.0,78
CPT,33946,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous Other Surgical Services",,,2850.0,2850.0,4
CPT,33946,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous SCHEDULED",,,10349.65,10567.54,3
CPT,33946,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous UNSCHEDULED",,,542.3,553.71,3
CPT,33947,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-arterial ",,,1950.0,31992.0,78
CPT,33947,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-arterial Other Surgical Services",,,2850.0,2850.0,4
CPT,33947,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-arterial SCHEDULED",,,10349.65,10567.54,3
CPT,33947,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-arterial UNSCHEDULED",,,542.3,553.71,3
CPT,33948,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-venous ",,,1950.0,31992.0,78
CPT,33948,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-venous Other Surgical Services",,,2850.0,2850.0,4
CPT,33948,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-venous SCHEDULED",,,10349.65,10567.54,3
CPT,33948,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-venous UNSCHEDULED",,,542.3,553.71,3
CPT,33949,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-arterial ",,,1950.0,31992.0,78
CPT,33949,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-arterial Other Surgical Services",,,2850.0,2850.0,4
CPT,33949,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-arterial SCHEDULED",,,10349.65,10567.54,3
CPT,33949,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-arterial UNSCHEDULED",,,542.3,553.71,3
CPT,33951,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of",,,542.3,31992.0,88
CPT,33952,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (inclu",,,542.3,31992.0,88
CPT,33953,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age ",,,1950.0,31992.0,78
CPT,33953,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age Oth",,,2850.0,2850.0,4
CPT,33953,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age SCH",,,10349.65,10567.54,3
CPT,33953,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age UNS",,,542.3,553.71,3
CPT,33954,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, 6 years and older ",,,1950.0,31992.0,78
CPT,33954,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, 6 years and older Other Surgical",,,2850.0,2850.0,4
CPT,33954,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, 6 years and older SCHEDULED",,,10349.65,10567.54,3
CPT,33954,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, 6 years and older UNSCHEDULED",,,542.3,553.71,3
CPT,33955,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age ",,,1950.0,31992.0,78
CPT,33955,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age Other Su",,,2850.0,2850.0,4
CPT,33955,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age SCHEDULE",,,10349.65,10567.54,3
CPT,33955,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age UNSCHEDU",,,542.3,553.71,3
CPT,33956,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older ",,,1950.0,31992.0,78
CPT,33956,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older Other Surgical Serv",,,2850.0,2850.0,4
CPT,33956,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older SCHEDULED",,,10349.65,10567.54,3
CPT,33956,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older UNSCHEDULED",,,542.3,553.71,3
CPT,33957,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of a",,,542.3,31992.0,88
CPT,33958,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (include",,,542.3,31992.0,88
CPT,33959,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age (incl",,,542.3,31992.0,88
CPT,33960,EXTERNAL CIRCULATION ASSIST SCHEDULED,,,10349.65,10567.54,3
CPT,33960,EXTERNAL CIRCULATION ASSIST UNSCHEDULED,,,542.3,553.71,3
CPT,33961,EXTERNAL CIRCULATION ASSIST SCHEDULED,,,10349.65,10567.54,3
CPT,33961,EXTERNAL CIRCULATION ASSIST UNSCHEDULED,,,542.3,553.71,3
CPT,33962,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, 6 years and older (includes fluoro",,,542.3,31992.0,88
CPT,33963,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age (includ",,,542.3,31992.0,88
CPT,33964,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition central cannula(e) by sternotomy or thoracotomy, 6 years and older (includes fluoroscopi",,,542.3,31992.0,88
CPT,33965,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of a",,,542.3,31992.0,88
CPT,33966,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older ",,,1950.0,31992.0,78
CPT,33966,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older Other Su",,,2850.0,2850.0,4
CPT,33966,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older SCHEDULE",,,10349.65,10567.54,3
CPT,33966,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older UNSCHEDU",,,542.3,553.71,3
CPT,33967,"Insertion of intra-aortic balloon assist device, percutaneous ",,,1950.0,31992.0,106
CPT,33967,"Insertion of intra-aortic balloon assist device, percutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,33967,"Insertion of intra-aortic balloon assist device, percutaneous SCHEDULED",,,10349.65,10567.54,3
CPT,33967,"Insertion of intra-aortic balloon assist device, percutaneous UNSCHEDULED",,,542.3,553.71,3
CPT,33968,"Removal of intra-aortic balloon assist device, percutaneous ",,,1950.0,31992.0,106
CPT,33968,"Removal of intra-aortic balloon assist device, percutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,33968,"Removal of intra-aortic balloon assist device, percutaneous SCHEDULED",,,10349.65,10567.54,3
CPT,33968,"Removal of intra-aortic balloon assist device, percutaneous UNSCHEDULED",,,542.3,553.71,3
CPT,33969,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age ",,,1950.0,31992.0,78
CPT,33969,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age Other",,,2850.0,2850.0,4
CPT,33969,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age SCHED",,,10349.65,10567.54,3
CPT,33969,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age UNSCH",,,542.3,553.71,3
CPT,33970,"Insertion of intra-aortic balloon assist device through the femoral artery, open approach ",,,1950.0,31992.0,78
CPT,33970,"Insertion of intra-aortic balloon assist device through the femoral artery, open approach Other Surgical Services",,,2850.0,2850.0,4
CPT,33970,"Insertion of intra-aortic balloon assist device through the femoral artery, open approach SCHEDULED",,,10349.65,10567.54,3
CPT,33970,"Insertion of intra-aortic balloon assist device through the femoral artery, open approach UNSCHEDULED",,,542.3,553.71,3
CPT,33971,"Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft ",,,1950.0,31992.0,78
CPT,33971,"Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft Other Surgical Services",,,2850.0,2850.0,4
CPT,33971,"Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft SCHEDULED",,,10349.65,10567.54,3
CPT,33971,"Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft UNSCHEDULED",,,542.3,553.71,3
CPT,33973,Insertion of intra-aortic balloon assist device through the ascending aorta ,,,1950.0,31992.0,78
CPT,33973,Insertion of intra-aortic balloon assist device through the ascending aorta Other Surgical Services,,,2850.0,2850.0,4
CPT,33973,Insertion of intra-aortic balloon assist device through the ascending aorta SCHEDULED,,,10349.65,10567.54,3
CPT,33973,Insertion of intra-aortic balloon assist device through the ascending aorta UNSCHEDULED,,,542.3,553.71,3
CPT,33974,"Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft ",,,1950.0,31992.0,78
CPT,33974,"Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft Other Surgical Services",,,2850.0,2850.0,4
CPT,33974,"Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft SCHEDULED",,,10349.65,10567.54,3
CPT,33974,"Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft UNSCHEDULED",,,542.3,553.71,3
CPT,33975,"Insertion of ventricular assist device; extracorporeal, single ventricle ",,,1950.0,31992.0,78
CPT,33975,"Insertion of ventricular assist device; extracorporeal, single ventricle Other Surgical Services",,,2850.0,2850.0,4
CPT,33975,"Insertion of ventricular assist device; extracorporeal, single ventricle SCHEDULED",,,10349.65,10567.54,3
CPT,33975,"Insertion of ventricular assist device; extracorporeal, single ventricle UNSCHEDULED",,,542.3,553.71,3
CPT,33976,"Insertion of ventricular assist device; extracorporeal, biventricular ",,,1950.0,31992.0,78
CPT,33976,"Insertion of ventricular assist device; extracorporeal, biventricular Other Surgical Services",,,2850.0,2850.0,4
CPT,33976,"Insertion of ventricular assist device; extracorporeal, biventricular SCHEDULED",,,10349.65,10567.54,3
CPT,33976,"Insertion of ventricular assist device; extracorporeal, biventricular UNSCHEDULED",,,542.3,553.71,3
CPT,33977,"Removal of ventricular assist device; extracorporeal, single ventricle ",,,1950.0,31992.0,78
CPT,33977,"Removal of ventricular assist device; extracorporeal, single ventricle Other Surgical Services",,,2850.0,2850.0,4
CPT,33977,"Removal of ventricular assist device; extracorporeal, single ventricle SCHEDULED",,,10349.65,10567.54,3
CPT,33977,"Removal of ventricular assist device; extracorporeal, single ventricle UNSCHEDULED",,,542.3,553.71,3
CPT,33978,"Removal of ventricular assist device; extracorporeal, biventricular ",,,1950.0,31992.0,78
CPT,33978,"Removal of ventricular assist device; extracorporeal, biventricular Other Surgical Services",,,2850.0,2850.0,4
CPT,33978,"Removal of ventricular assist device; extracorporeal, biventricular SCHEDULED",,,10349.65,10567.54,3
CPT,33978,"Removal of ventricular assist device; extracorporeal, biventricular UNSCHEDULED",,,542.3,553.71,3
CPT,33979,"Insertion of ventricular assist device, implantable intracorporeal, single ventricle ",,,1950.0,31992.0,78
CPT,33979,"Insertion of ventricular assist device, implantable intracorporeal, single ventricle Other Surgical Services",,,2850.0,2850.0,4
CPT,33979,"Insertion of ventricular assist device, implantable intracorporeal, single ventricle SCHEDULED",,,10349.65,10567.54,3
CPT,33979,"Insertion of ventricular assist device, implantable intracorporeal, single ventricle UNSCHEDULED",,,542.3,553.71,3
CPT,33980,"Removal of ventricular assist device, implantable intracorporeal, single ventricle ",,,1950.0,31992.0,78
CPT,33980,"Removal of ventricular assist device, implantable intracorporeal, single ventricle Other Surgical Services",,,2850.0,2850.0,4
CPT,33980,"Removal of ventricular assist device, implantable intracorporeal, single ventricle SCHEDULED",,,10349.65,10567.54,3
CPT,33980,"Removal of ventricular assist device, implantable intracorporeal, single ventricle UNSCHEDULED",,,542.3,553.71,3
CPT,33981,"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump ",,,1950.0,31992.0,78
CPT,33981,"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump Other Surgical Services",,,2850.0,2850.0,4
CPT,33981,"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump SCHEDULED",,,10349.65,10567.54,3
CPT,33981,"Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump UNSCHEDULED",,,542.3,553.71,3
CPT,33982,"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33982,"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33982,"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33982,"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33983,"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass ",,,1950.0,31992.0,78
CPT,33983,"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,33983,"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass SCHEDULED",,,10349.65,10567.54,3
CPT,33983,"Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass UNSCHEDULED",,,542.3,553.71,3
CPT,33984,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older ",,,1950.0,31992.0,78
CPT,33984,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older Other Surgical S",,,2850.0,2850.0,4
CPT,33984,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older SCHEDULED",,,10349.65,10567.54,3
CPT,33984,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older UNSCHEDULED",,,542.3,553.71,3
CPT,33985,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age ",,,1950.0,31992.0,78
CPT,33985,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age Other Surg",,,2850.0,2850.0,4
CPT,33985,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age SCHEDULED",,,10349.65,10567.54,3
CPT,33985,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age UNSCHEDULE",,,542.3,553.71,3
CPT,33986,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, 6 years and older ",,,1950.0,31992.0,78
CPT,33986,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, 6 years and older Other Surgical Servic",,,2850.0,2850.0,4
CPT,33986,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, 6 years and older SCHEDULED",,,10349.65,10567.54,3
CPT,33986,"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, 6 years and older UNSCHEDULED",,,542.3,553.71,3
CPT,33987,"Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,33987,"Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,33987,"Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure) SCHEDULED",,,10349.65,10567.54,3
CPT,33987,"Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure) UNSCHEDULED",,,542.3,553.71,3
CPT,33988,"Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS ",,,1950.0,31992.0,78
CPT,33988,"Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS Other Surgical Services",,,2850.0,2850.0,4
CPT,33988,"Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS SCHEDULED",,,10349.65,10567.54,3
CPT,33988,"Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS UNSCHEDULED",,,542.3,553.71,3
CPT,33989,"Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS ",,,1950.0,31992.0,78
CPT,33989,"Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS Other Surgical Services",,,2850.0,2850.0,4
CPT,33989,"Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS SCHEDULED",,,10349.65,10567.54,3
CPT,33989,"Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS UNSCHEDULED",,,542.3,553.71,3
CPT,33990,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only ",,,1950.0,31992.0,78
CPT,33990,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only Complex Surgery",,,11754.0,11754.0,22
CPT,33990,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only Other Surgical Services",,,2850.0,2850.0,4
CPT,33990,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only SCHEDULED",,,10349.65,10567.54,3
CPT,33990,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial access only UNSCHEDULED",,,542.3,553.71,3
CPT,33991,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal puncture ",,,1950.0,31992.0,78
CPT,33991,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal puncture Complex Surgery",,,11754.0,11754.0,22
CPT,33991,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal puncture Other Surgical Servi",,,2850.0,2850.0,4
CPT,33991,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal puncture SCHEDULED",,,10349.65,10567.54,3
CPT,33991,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial and venous access, with transseptal puncture UNSCHEDULED",,,542.3,553.71,3
CPT,33992,"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion ",,,1950.0,31992.0,78
CPT,33992,"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion Complex Surgery",,,11754.0,11754.0,22
CPT,33992,"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion Other Surgical Services",,,2850.0,2850.0,4
CPT,33992,"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion SCHEDULED",,,10349.65,10567.54,3
CPT,33992,"Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session from insertion UNSCHEDULED",,,542.3,553.71,3
CPT,33993,Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion ,,,1950.0,31992.0,78
CPT,33993,Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion Complex Surgery,,,11754.0,11754.0,22
CPT,33993,Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion Other Surgical Services,,,2850.0,2850.0,4
CPT,33993,Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion SCHEDULED,,,10349.65,10567.54,3
CPT,33993,Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion UNSCHEDULED,,,542.3,553.71,3
CPT,33995,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only ",,,1950.0,31992.0,78
CPT,33995,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only Other Surgical Services",,,2850.0,2850.0,4
CPT,33995,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only SCHEDULED",,,10349.65,10567.54,3
CPT,33995,"Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only UNSCHEDULED",,,542.3,553.71,3
CPT,33997,"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion ",,,1950.0,31992.0,78
CPT,33997,"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion Other Surgical Services",,,2850.0,2850.0,4
CPT,33997,"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion SCHEDULED",,,10349.65,10567.54,3
CPT,33997,"Removal of percutaneous right heart ventricular assist device, venous cannula, at separate and distinct session from insertion UNSCHEDULED",,,542.3,553.71,3
CPT,33999,"Unlisted procedure, cardiac surgery ",,,1950.0,9710.0,106
CPT,33999,"Unlisted procedure, cardiac surgery Other Surgical Services",,,2850.0,2850.0,4
CPT,33999,"Unlisted procedure, cardiac surgery SCHEDULED",,,5774.7,5896.27,3
CPT,33999,"Unlisted procedure, cardiac surgery UNSCHEDULED",,,542.3,553.71,3
CPT,34001,"Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision ",,,1950.0,31992.0,78
CPT,34001,"Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision Other Surgical Services",,,2850.0,2850.0,4
CPT,34001,"Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision SCHEDULED",,,5556.95,5673.94,3
CPT,34001,"Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,34051,"Embolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision ",,,1950.0,31992.0,78
CPT,34051,"Embolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision Other Surgical Services",,,2850.0,2850.0,4
CPT,34051,"Embolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision SCHEDULED",,,5556.95,5673.94,3
CPT,34051,"Embolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,34101,"Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision ",,,1950.0,18507.0,106
CPT,34101,"Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision Other Surgical Services",,,2850.0,2850.0,4
CPT,34101,"Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision SCHEDULED",,,5556.95,5673.94,3
CPT,34101,"Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,34111,"Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision ",,,1950.0,18507.0,106
CPT,34111,"Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Other Surgical Services",,,2850.0,2850.0,4
CPT,34111,"Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision SCHEDULED",,,5556.95,5673.94,3
CPT,34111,"Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,34151,"Embolectomy or thrombectomy, with or without catheter; renal, celiac, mesentery, aortoiliac artery, by abdominal incision ",,,1950.0,31992.0,78
CPT,34151,"Embolectomy or thrombectomy, with or without catheter; renal, celiac, mesentery, aortoiliac artery, by abdominal incision Other Surgical Services",,,2850.0,2850.0,4
CPT,34151,"Embolectomy or thrombectomy, with or without catheter; renal, celiac, mesentery, aortoiliac artery, by abdominal incision SCHEDULED",,,5556.95,5673.94,3
CPT,34151,"Embolectomy or thrombectomy, with or without catheter; renal, celiac, mesentery, aortoiliac artery, by abdominal incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,34201,"Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision ",,,1950.0,18507.0,106
CPT,34201,"Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision Other Surgical Services",,,2850.0,2850.0,4
CPT,34201,"Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision SCHEDULED",,,5556.95,5673.94,3
CPT,34201,"Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,34203,"Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision ",,,1950.0,18507.0,106
CPT,34203,"Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Other Surgical Services",,,2850.0,2850.0,4
CPT,34203,"Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision SCHEDULED",,,5556.95,5673.94,3
CPT,34203,"Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,34401,"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision ",,,1950.0,31992.0,78
CPT,34401,"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision Other Surgical Services",,,2850.0,2850.0,4
CPT,34401,"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision SCHEDULED",,,5556.95,5673.94,3
CPT,34401,"Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,34421,"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision ",,,1950.0,14792.0,106
CPT,34421,"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision Other Surgical Services",,,2850.0,2850.0,4
CPT,34421,"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision SCHEDULED",,,5556.95,5673.94,3
CPT,34421,"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,34451,"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by abdominal and leg incision ",,,1950.0,31992.0,78
CPT,34451,"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by abdominal and leg incision Other Surgical Services",,,2850.0,2850.0,4
CPT,34451,"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by abdominal and leg incision SCHEDULED",,,5556.95,5673.94,3
CPT,34451,"Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by abdominal and leg incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,34471,"Thrombectomy, direct or with catheter; subclavian vein, by neck incision ",,,1950.0,13315.0,106
CPT,34471,"Thrombectomy, direct or with catheter; subclavian vein, by neck incision Other Surgical Services",,,2850.0,2850.0,4
CPT,34471,"Thrombectomy, direct or with catheter; subclavian vein, by neck incision SCHEDULED",,,5556.95,5673.94,3
CPT,34471,"Thrombectomy, direct or with catheter; subclavian vein, by neck incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,34490,"Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision ",,,1950.0,14792.0,106
CPT,34490,"Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision Other Surgical Services",,,2850.0,2850.0,4
CPT,34490,"Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision SCHEDULED",,,5556.95,5673.94,3
CPT,34490,"Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,34501,"Valvuloplasty, femoral vein ",,,1950.0,18507.0,106
CPT,34501,"Valvuloplasty, femoral vein Other Surgical Services",,,2850.0,2850.0,4
CPT,34501,"Valvuloplasty, femoral vein SCHEDULED",,,5556.95,5673.94,3
CPT,34501,"Valvuloplasty, femoral vein UNSCHEDULED",,,2762.77,2820.93,3
CPT,34502,"Reconstruction of vena cava, any method ",,,1950.0,31992.0,78
CPT,34502,"Reconstruction of vena cava, any method Other Surgical Services",,,2850.0,2850.0,4
CPT,34502,"Reconstruction of vena cava, any method SCHEDULED",,,5556.95,5673.94,3
CPT,34502,"Reconstruction of vena cava, any method UNSCHEDULED",,,2762.77,2820.93,3
CPT,34510,"Venous valve transposition, any vein donor ",,,1950.0,18507.0,106
CPT,34510,"Venous valve transposition, any vein donor Other Surgical Services",,,2850.0,2850.0,4
CPT,34510,"Venous valve transposition, any vein donor SCHEDULED",,,5556.95,5673.94,3
CPT,34510,"Venous valve transposition, any vein donor UNSCHEDULED",,,2762.77,2820.93,3
CPT,34520,Cross-over vein graft to venous system ,,,1950.0,18507.0,106
CPT,34520,Cross-over vein graft to venous system Other Surgical Services,,,2850.0,2850.0,4
CPT,34520,Cross-over vein graft to venous system SCHEDULED,,,5556.95,5673.94,3
CPT,34520,Cross-over vein graft to venous system UNSCHEDULED,,,2762.77,2820.93,3
CPT,34530,Saphenopopliteal vein anastomosis ,,,1950.0,14792.0,106
CPT,34530,Saphenopopliteal vein anastomosis Other Surgical Services,,,2850.0,2850.0,4
CPT,34530,Saphenopopliteal vein anastomosis SCHEDULED,,,5556.95,5673.94,3
CPT,34530,Saphenopopliteal vein anastomosis UNSCHEDULED,,,2762.77,2820.93,3
CPT,34701,"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiolo",,,1950.0,31992.0,88
CPT,34702,"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiolo",,,1950.0,31992.0,88
CPT,34703,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s),",,,1950.0,31992.0,88
CPT,34704,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s),",,,1950.0,31992.0,88
CPT,34705,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), ",,,1950.0,31992.0,88
CPT,34706,"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), ",,,1950.0,31992.0,88
CPT,34707,"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological ",,,1950.0,31992.0,88
CPT,34708,"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological ",,,1950.0,31992.0,88
CPT,34709,"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneury",,,1950.0,31992.0,88
CPT,34710,"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, inc",,,1950.0,31992.0,88
CPT,34711,"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, endoleak, or endograft migration, inc",,,1950.0,31992.0,88
CPT,34712,"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation ",,,1950.0,31992.0,78
CPT,34712,"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation Other Surgical Services",,,2850.0,2850.0,4
CPT,34712,"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation SCHEDULED",,,5556.95,5673.94,3
CPT,34712,"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation UNSCHEDULED",,,2762.77,2820.93,3
CPT,34713,"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger), including ultrasound guidance, when performed, unilateral (List separately in ",,,1950.0,9710.0,81
CPT,34714,"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (List separately in addition",,,1950.0,9710.0,81
CPT,34715,"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision, unilateral (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,81
CPT,34716,"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or supraclavicular incision",,,1950.0,9710.0,81
CPT,34717,"Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of an iliac branched endograft including pre-procedure sizing and device selection, all ipsilate",,,1950.0,31992.0,153
CPT,34718,"Endovascular repair of iliac artery, not associated with placement of an aorto-iliac artery endograft at the same session, by deployment of an iliac branched endograft, including pre-procedure sizing ",,,1950.0,31992.0,153
CPT,34800,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-aortic tube prosthesis SCHEDULED,,,5556.95,5673.94,3
CPT,34800,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-aortic tube prosthesis UNSCHEDULED,,,2762.77,2820.93,3
CPT,34802,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (1 docking limb) SCHEDULED,,,5556.95,5673.94,3
CPT,34802,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (1 docking limb) UNSCHEDULED,,,2762.77,2820.93,3
CPT,34803,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (2 docking limbs) SCHEDULED,,,5556.95,5673.94,3
CPT,34803,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (2 docking limbs) UNSCHEDULED,,,2762.77,2820.93,3
CPT,34804,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using unibody bifurcated prosthesis SCHEDULED,,,5556.95,5673.94,3
CPT,34804,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using unibody bifurcated prosthesis UNSCHEDULED,,,2762.77,2820.93,3
CPT,34805,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-uniiliac or aorto-unifemoral prosthesis SCHEDULED,,,5556.95,5673.94,3
CPT,34805,HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-uniiliac or aorto-unifemoral prosthesis UNSCHEDULED,,,2762.77,2820.93,3
CPT,34806,"HTranscatheter placement of wireless physiologic sensor in aneurysmal sac during endovascular repair, including radiological supervision and interpretation, instrument calibration, and collection of S",,,5556.95,5673.94,3
CPT,34806,"HTranscatheter placement of wireless physiologic sensor in aneurysmal sac during endovascular repair, including radiological supervision and interpretation, instrument calibration, and collection of U",,,2762.77,2820.93,3
CPT,34808,Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure) ,,,1950.0,31992.0,78
CPT,34808,Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,34808,Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure) SCHEDULED,,,5556.95,5673.94,3
CPT,34808,Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure) UNSCHEDULED,,,2762.77,2820.93,3
CPT,34812,"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,34812,"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,34812,"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure) SCHEDULED",,,5556.95,5673.94,3
CPT,34812,"Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure) UNSCHEDULED",,,2762.77,2820.93,3
CPT,34813,Placement of femoral-femoral prosthetic graft during endovascular aortic aneurysm repair (List separately in addition to code for primary procedure) ,,,1950.0,31992.0,78
CPT,34813,Placement of femoral-femoral prosthetic graft during endovascular aortic aneurysm repair (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,34813,Placement of femoral-femoral prosthetic graft during endovascular aortic aneurysm repair (List separately in addition to code for primary procedure) SCHEDULED,,,5556.95,5673.94,3
CPT,34813,Placement of femoral-femoral prosthetic graft during endovascular aortic aneurysm repair (List separately in addition to code for primary procedure) UNSCHEDULED,,,2762.77,2820.93,3
CPT,34820,"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral (List separately in addition to ",,,1950.0,31992.0,88
CPT,34825,"HPlacement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; initial vessel SCHEDULED",,,5556.95,5673.94,3
CPT,34825,"HPlacement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; initial vessel UNSCHEDULED",,,2762.77,2820.93,3
CPT,34826,"HPlacement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; each additional vessel (List separately S",,,5556.95,5673.94,3
CPT,34826,"HPlacement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; each additional vessel (List separately U",,,2762.77,2820.93,3
CPT,34830,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis ",,,1950.0,31992.0,78
CPT,34830,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis Other Surgical Services",,,2850.0,2850.0,4
CPT,34830,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis SCHEDULED",,,5556.95,5673.94,3
CPT,34830,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis UNSCHEDULED",,,2762.77,2820.93,3
CPT,34831,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis ",,,1950.0,31992.0,78
CPT,34831,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis Other Surgical Services",,,2850.0,2850.0,4
CPT,34831,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis SCHEDULED",,,5556.95,5673.94,3
CPT,34831,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis UNSCHEDULED",,,2762.77,2820.93,3
CPT,34832,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis ",,,1950.0,31992.0,78
CPT,34832,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis Other Surgical Services",,,2850.0,2850.0,4
CPT,34832,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis SCHEDULED",,,5556.95,5673.94,3
CPT,34832,"Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis UNSCHEDULED",,,2762.77,2820.93,3
CPT,34833,"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal incision, unilateral (List s",,,1950.0,31992.0,88
CPT,34834,"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,34834,"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,34834,"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure) SCHEDULED",,,5556.95,5673.94,3
CPT,34834,"Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure) UNSCHEDULED",,,2762.77,2820.93,3
CPT,34839,Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time ,,,1950.0,9710.0,63
CPT,34839,Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time Other Surgical Services,,,2850.0,2850.0,4
CPT,34839,Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time SCHEDULED,,,5556.95,5673.94,3
CPT,34839,Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time UNSCHEDULED,,,2762.77,2820.93,3
CPT,34841,"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endogra",,,1950.0,31992.0,88
CPT,34842,"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endogra",,,1950.0,31992.0,88
CPT,34843,"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endogra",,,1950.0,31992.0,88
CPT,34844,"Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endogra",,,1950.0,31992.0,88
CPT,34845,"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visc",,,1950.0,31992.0,88
CPT,34846,"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visc",,,1950.0,31992.0,88
CPT,34847,"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visc",,,1950.0,31992.0,88
CPT,34848,"Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visc",,,1950.0,31992.0,88
CPT,34900,"HEndovascular repair of iliac artery (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma) using ilio-iliac tube endoprosthesis SCHEDULED",,,5556.95,5673.94,3
CPT,34900,"HEndovascular repair of iliac artery (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma) using ilio-iliac tube endoprosthesis UNSCHEDULED",,,2762.77,2820.93,3
CPT,35001,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, carotid, subclavian artery, b",,,1950.0,31992.0,88
CPT,35002,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, carotid, subclavian artery, by neck incision ",,,1950.0,31992.0,78
CPT,35002,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, carotid, subclavian artery, by neck incision Other Su",,,2850.0,2850.0,4
CPT,35002,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, carotid, subclavian artery, by neck incision SCHEDULE",,,5556.95,5673.94,3
CPT,35002,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, carotid, subclavian artery, by neck incision UNSCHEDU",,,2762.77,2820.93,3
CPT,35005,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, vertebral ar",,,1950.0,31992.0,88
CPT,35011,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by ",,,1950.0,18507.0,116
CPT,35013,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, axillary-brachial artery, by arm incision ",,,1950.0,31992.0,78
CPT,35013,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, axillary-brachial artery, by arm incision Other Surgi",,,2850.0,2850.0,4
CPT,35013,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, axillary-brachial artery, by arm incision SCHEDULED",,,5556.95,5673.94,3
CPT,35013,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, axillary-brachial artery, by arm incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,35021,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, innominate, ",,,1950.0,31992.0,88
CPT,35022,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision ",,,1950.0,31992.0,78
CPT,35022,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision O",,,2850.0,2850.0,4
CPT,35022,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision S",,,5556.95,5673.94,3
CPT,35022,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision U",,,2762.77,2820.93,3
CPT,35045,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, radial or ul",,,1950.0,18507.0,116
CPT,35081,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal ao",,,1950.0,31992.0,88
CPT,35082,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta ",,,1950.0,31992.0,78
CPT,35082,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta Other Surgical Services",,,2850.0,2850.0,4
CPT,35082,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta SCHEDULED",,,5556.95,5673.94,3
CPT,35082,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta UNSCHEDULED",,,2762.77,2820.93,3
CPT,35091,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal ao",,,1950.0,31992.0,88
CPT,35092,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving visceral vessels (mesenteri",,,1950.0,31992.0,88
CPT,35102,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal ao",,,1950.0,31992.0,88
CPT,35103,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypo",,,1950.0,31992.0,88
CPT,35111,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, splenic arte",,,1950.0,31992.0,88
CPT,35112,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, splenic artery ",,,1950.0,31992.0,78
CPT,35112,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, splenic artery Other Surgical Services",,,2850.0,2850.0,4
CPT,35112,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, splenic artery SCHEDULED",,,5556.95,5673.94,3
CPT,35112,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, splenic artery UNSCHEDULED",,,2762.77,2820.93,3
CPT,35121,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, hepatic, cel",,,1950.0,31992.0,88
CPT,35122,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, hepatic, celiac, renal, or mesenteric artery ",,,1950.0,31992.0,78
CPT,35122,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, hepatic, celiac, renal, or mesenteric artery Other Su",,,2850.0,2850.0,4
CPT,35122,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, hepatic, celiac, renal, or mesenteric artery SCHEDULE",,,5556.95,5673.94,3
CPT,35122,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, hepatic, celiac, renal, or mesenteric artery UNSCHEDU",,,2762.77,2820.93,3
CPT,35131,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, iliac artery",,,1950.0,31992.0,88
CPT,35132,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, iliac artery (common, hypogastric, external) ",,,1950.0,31992.0,78
CPT,35132,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, iliac artery (common, hypogastric, external) Other Su",,,2850.0,2850.0,4
CPT,35132,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, iliac artery (common, hypogastric, external) SCHEDULE",,,5556.95,5673.94,3
CPT,35132,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, iliac artery (common, hypogastric, external) UNSCHEDU",,,2762.77,2820.93,3
CPT,35141,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, common femor",,,1950.0,31992.0,88
CPT,35142,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, common femoral artery (profunda femoris, superficial ",,,1950.0,31992.0,88
CPT,35151,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, popliteal ar",,,1950.0,31992.0,88
CPT,35152,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery ",,,1950.0,31992.0,78
CPT,35152,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery Other Surgical Services",,,2850.0,2850.0,4
CPT,35152,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery SCHEDULED",,,5556.95,5673.94,3
CPT,35152,"Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery UNSCHEDULED",,,2762.77,2820.93,3
CPT,35161,REPAIR DEFECT OF ARTERY SCHEDULED,,,5556.95,5673.94,3
CPT,35161,REPAIR DEFECT OF ARTERY UNSCHEDULED,,,2762.77,2820.93,3
CPT,35162,REPAIR ARTERY RUPTURE SCHEDULED,,,5556.95,5673.94,3
CPT,35162,REPAIR ARTERY RUPTURE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35180,"Repair, congenital arteriovenous fistula; head and neck ",,,1950.0,9710.0,106
CPT,35180,"Repair, congenital arteriovenous fistula; head and neck Other Surgical Services",,,2850.0,2850.0,4
CPT,35180,"Repair, congenital arteriovenous fistula; head and neck SCHEDULED",,,5556.95,5673.94,3
CPT,35180,"Repair, congenital arteriovenous fistula; head and neck UNSCHEDULED",,,2762.77,2820.93,3
CPT,35182,"Repair, congenital arteriovenous fistula; thorax and abdomen ",,,1950.0,31992.0,78
CPT,35182,"Repair, congenital arteriovenous fistula; thorax and abdomen Other Surgical Services",,,2850.0,2850.0,4
CPT,35182,"Repair, congenital arteriovenous fistula; thorax and abdomen SCHEDULED",,,5556.95,5673.94,3
CPT,35182,"Repair, congenital arteriovenous fistula; thorax and abdomen UNSCHEDULED",,,2762.77,2820.93,3
CPT,35184,"Repair, congenital arteriovenous fistula; extremities ",,,1950.0,14792.0,106
CPT,35184,"Repair, congenital arteriovenous fistula; extremities Other Surgical Services",,,2850.0,2850.0,4
CPT,35184,"Repair, congenital arteriovenous fistula; extremities SCHEDULED",,,5556.95,5673.94,3
CPT,35184,"Repair, congenital arteriovenous fistula; extremities UNSCHEDULED",,,2762.77,2820.93,3
CPT,35188,"Repair, acquired or traumatic arteriovenous fistula; head and neck ",,,1950.0,18507.0,106
CPT,35188,"Repair, acquired or traumatic arteriovenous fistula; head and neck Other Surgical Services",,,2850.0,2850.0,4
CPT,35188,"Repair, acquired or traumatic arteriovenous fistula; head and neck SCHEDULED",,,5556.95,5673.94,3
CPT,35188,"Repair, acquired or traumatic arteriovenous fistula; head and neck UNSCHEDULED",,,2762.77,2820.93,3
CPT,35189,"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen ",,,1950.0,31992.0,78
CPT,35189,"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen Other Surgical Services",,,2850.0,2850.0,4
CPT,35189,"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen SCHEDULED",,,5556.95,5673.94,3
CPT,35189,"Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen UNSCHEDULED",,,2762.77,2820.93,3
CPT,35190,"Repair, acquired or traumatic arteriovenous fistula; extremities ",,,1950.0,18507.0,106
CPT,35190,"Repair, acquired or traumatic arteriovenous fistula; extremities Other Surgical Services",,,2850.0,2850.0,4
CPT,35190,"Repair, acquired or traumatic arteriovenous fistula; extremities SCHEDULED",,,23596.08,24092.84,3
CPT,35190,"Repair, acquired or traumatic arteriovenous fistula; extremities UNSCHEDULED",,,2762.77,2820.93,3
CPT,35201,"Repair blood vessel, direct; neck ",,,1950.0,18507.0,106
CPT,35201,"Repair blood vessel, direct; neck Other Surgical Services",,,2850.0,2850.0,4
CPT,35201,"Repair blood vessel, direct; neck SCHEDULED",,,5556.95,5673.94,3
CPT,35201,"Repair blood vessel, direct; neck UNSCHEDULED",,,2762.77,2820.93,3
CPT,35206,"Repair blood vessel, direct; upper extremity ",,,1950.0,14792.0,106
CPT,35206,"Repair blood vessel, direct; upper extremity Other Surgical Services",,,2850.0,2850.0,4
CPT,35206,"Repair blood vessel, direct; upper extremity SCHEDULED",,,5074.32,5181.15,3
CPT,35206,"Repair blood vessel, direct; upper extremity UNSCHEDULED",,,4713.14,4812.36,3
CPT,35207,"Repair blood vessel, direct; hand, finger ",,,1950.0,14792.0,106
CPT,35207,"Repair blood vessel, direct; hand, finger Other Surgical Services",,,2850.0,2850.0,4
CPT,35207,"Repair blood vessel, direct; hand, finger SCHEDULED",,,2083.33,2127.19,3
CPT,35207,"Repair blood vessel, direct; hand, finger UNSCHEDULED",,,2126.25,2171.02,3
CPT,35211,"Repair blood vessel, direct; intrathoracic, with bypass ",,,1950.0,31992.0,78
CPT,35211,"Repair blood vessel, direct; intrathoracic, with bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,35211,"Repair blood vessel, direct; intrathoracic, with bypass SCHEDULED",,,5556.95,5673.94,3
CPT,35211,"Repair blood vessel, direct; intrathoracic, with bypass UNSCHEDULED",,,2762.77,2820.93,3
CPT,35216,"Repair blood vessel, direct; intrathoracic, without bypass ",,,1950.0,31992.0,78
CPT,35216,"Repair blood vessel, direct; intrathoracic, without bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,35216,"Repair blood vessel, direct; intrathoracic, without bypass SCHEDULED",,,5556.95,5673.94,3
CPT,35216,"Repair blood vessel, direct; intrathoracic, without bypass UNSCHEDULED",,,14756.06,15066.71,3
CPT,35221,"Repair blood vessel, direct; intra-abdominal ",,,1950.0,31992.0,78
CPT,35221,"Repair blood vessel, direct; intra-abdominal Other Surgical Services",,,2850.0,2850.0,4
CPT,35221,"Repair blood vessel, direct; intra-abdominal SCHEDULED",,,5556.95,5673.94,3
CPT,35221,"Repair blood vessel, direct; intra-abdominal UNSCHEDULED",,,2762.77,2820.93,3
CPT,35226,"Repair blood vessel, direct; lower extremity ",,,1950.0,9710.0,106
CPT,35226,"Repair blood vessel, direct; lower extremity Other Surgical Services",,,2850.0,2850.0,4
CPT,35226,"Repair blood vessel, direct; lower extremity SCHEDULED",,,5556.95,5673.94,3
CPT,35226,"Repair blood vessel, direct; lower extremity UNSCHEDULED",,,10501.45,10722.54,3
CPT,35231,Repair blood vessel with vein graft; neck ,,,1950.0,14792.0,106
CPT,35231,Repair blood vessel with vein graft; neck Other Surgical Services,,,2850.0,2850.0,4
CPT,35231,Repair blood vessel with vein graft; neck SCHEDULED,,,5556.95,5673.94,3
CPT,35231,Repair blood vessel with vein graft; neck UNSCHEDULED,,,2762.77,2820.93,3
CPT,35236,Repair blood vessel with vein graft; upper extremity ,,,1950.0,18507.0,106
CPT,35236,Repair blood vessel with vein graft; upper extremity Other Surgical Services,,,2850.0,2850.0,4
CPT,35236,Repair blood vessel with vein graft; upper extremity SCHEDULED,,,5525.54,5641.87,3
CPT,35236,Repair blood vessel with vein graft; upper extremity UNSCHEDULED,,,12916.66,13188.59,3
CPT,35241,"Repair blood vessel with vein graft; intrathoracic, with bypass ",,,1950.0,31992.0,78
CPT,35241,"Repair blood vessel with vein graft; intrathoracic, with bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,35241,"Repair blood vessel with vein graft; intrathoracic, with bypass SCHEDULED",,,5556.95,5673.94,3
CPT,35241,"Repair blood vessel with vein graft; intrathoracic, with bypass UNSCHEDULED",,,2762.77,2820.93,3
CPT,35246,"Repair blood vessel with vein graft; intrathoracic, without bypass ",,,1950.0,31992.0,78
CPT,35246,"Repair blood vessel with vein graft; intrathoracic, without bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,35246,"Repair blood vessel with vein graft; intrathoracic, without bypass SCHEDULED",,,5556.95,5673.94,3
CPT,35246,"Repair blood vessel with vein graft; intrathoracic, without bypass UNSCHEDULED",,,2762.77,2820.93,3
CPT,35251,Repair blood vessel with vein graft; intra-abdominal ,,,1950.0,31992.0,78
CPT,35251,Repair blood vessel with vein graft; intra-abdominal Other Surgical Services,,,2850.0,2850.0,4
CPT,35251,Repair blood vessel with vein graft; intra-abdominal SCHEDULED,,,5556.95,5673.94,3
CPT,35251,Repair blood vessel with vein graft; intra-abdominal UNSCHEDULED,,,2762.77,2820.93,3
CPT,35256,Repair blood vessel with vein graft; lower extremity ,,,1950.0,18507.0,106
CPT,35256,Repair blood vessel with vein graft; lower extremity Other Surgical Services,,,2850.0,2850.0,4
CPT,35256,Repair blood vessel with vein graft; lower extremity SCHEDULED,,,5556.95,5673.94,3
CPT,35256,Repair blood vessel with vein graft; lower extremity UNSCHEDULED,,,2762.77,2820.93,3
CPT,35261,Repair blood vessel with graft other than vein; neck ,,,1950.0,14792.0,106
CPT,35261,Repair blood vessel with graft other than vein; neck Other Surgical Services,,,2850.0,2850.0,4
CPT,35261,Repair blood vessel with graft other than vein; neck SCHEDULED,,,5556.95,5673.94,3
CPT,35261,Repair blood vessel with graft other than vein; neck UNSCHEDULED,,,2762.77,2820.93,3
CPT,35266,Repair blood vessel with graft other than vein; upper extremity ,,,1950.0,18507.0,106
CPT,35266,Repair blood vessel with graft other than vein; upper extremity Other Surgical Services,,,2850.0,2850.0,4
CPT,35266,Repair blood vessel with graft other than vein; upper extremity SCHEDULED,,,5556.95,5673.94,3
CPT,35266,Repair blood vessel with graft other than vein; upper extremity UNSCHEDULED,,,2762.77,2820.93,3
CPT,35271,"Repair blood vessel with graft other than vein; intrathoracic, with bypass ",,,1950.0,31992.0,78
CPT,35271,"Repair blood vessel with graft other than vein; intrathoracic, with bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,35271,"Repair blood vessel with graft other than vein; intrathoracic, with bypass SCHEDULED",,,5556.95,5673.94,3
CPT,35271,"Repair blood vessel with graft other than vein; intrathoracic, with bypass UNSCHEDULED",,,2762.77,2820.93,3
CPT,35276,"Repair blood vessel with graft other than vein; intrathoracic, without bypass ",,,1950.0,31992.0,78
CPT,35276,"Repair blood vessel with graft other than vein; intrathoracic, without bypass Other Surgical Services",,,2850.0,2850.0,4
CPT,35276,"Repair blood vessel with graft other than vein; intrathoracic, without bypass SCHEDULED",,,5556.95,5673.94,3
CPT,35276,"Repair blood vessel with graft other than vein; intrathoracic, without bypass UNSCHEDULED",,,2762.77,2820.93,3
CPT,35281,Repair blood vessel with graft other than vein; intra-abdominal ,,,1950.0,31992.0,78
CPT,35281,Repair blood vessel with graft other than vein; intra-abdominal Other Surgical Services,,,2850.0,2850.0,4
CPT,35281,Repair blood vessel with graft other than vein; intra-abdominal SCHEDULED,,,5556.95,5673.94,3
CPT,35281,Repair blood vessel with graft other than vein; intra-abdominal UNSCHEDULED,,,2762.77,2820.93,3
CPT,35286,Repair blood vessel with graft other than vein; lower extremity ,,,1950.0,18507.0,106
CPT,35286,Repair blood vessel with graft other than vein; lower extremity Other Surgical Services,,,2850.0,2850.0,4
CPT,35286,Repair blood vessel with graft other than vein; lower extremity SCHEDULED,,,5556.95,5673.94,3
CPT,35286,Repair blood vessel with graft other than vein; lower extremity UNSCHEDULED,,,2762.77,2820.93,3
CPT,35301,"Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision ",,,1950.0,31992.0,78
CPT,35301,"Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision Other Surgical Services",,,2850.0,2850.0,4
CPT,35301,"Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision SCHEDULED",,,5556.95,5673.94,3
CPT,35301,"Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,35302,"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery ",,,1950.0,31992.0,78
CPT,35302,"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery Other Surgical Services",,,2850.0,2850.0,4
CPT,35302,"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery SCHEDULED",,,5556.95,5673.94,3
CPT,35302,"Thromboendarterectomy, including patch graft, if performed; superficial femoral artery UNSCHEDULED",,,2762.77,2820.93,3
CPT,35303,"Thromboendarterectomy, including patch graft, if performed; popliteal artery ",,,1950.0,31992.0,78
CPT,35303,"Thromboendarterectomy, including patch graft, if performed; popliteal artery Other Surgical Services",,,2850.0,2850.0,4
CPT,35303,"Thromboendarterectomy, including patch graft, if performed; popliteal artery SCHEDULED",,,5556.95,5673.94,3
CPT,35303,"Thromboendarterectomy, including patch graft, if performed; popliteal artery UNSCHEDULED",,,2762.77,2820.93,3
CPT,35304,"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery ",,,1950.0,31992.0,78
CPT,35304,"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery Other Surgical Services",,,2850.0,2850.0,4
CPT,35304,"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery SCHEDULED",,,5556.95,5673.94,3
CPT,35304,"Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery UNSCHEDULED",,,2762.77,2820.93,3
CPT,35305,"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel ",,,1950.0,31992.0,78
CPT,35305,"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel Other Surgical Services",,,2850.0,2850.0,4
CPT,35305,"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel SCHEDULED",,,5556.95,5673.94,3
CPT,35305,"Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel UNSCHEDULED",,,2762.77,2820.93,3
CPT,35306,"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,35306,"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,35306,"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure) SCHEDULED",,,5556.95,5673.94,3
CPT,35306,"Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure) UNSCHEDULED",,,2762.77,2820.93,3
CPT,35311,"Thromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incision ",,,1950.0,31992.0,78
CPT,35311,"Thromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incision Other Surgical Services",,,2850.0,2850.0,4
CPT,35311,"Thromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incision SCHEDULED",,,5556.95,5673.94,3
CPT,35311,"Thromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incision UNSCHEDULED",,,2762.77,2820.93,3
CPT,35321,"Thromboendarterectomy, including patch graft, if performed; axillary-brachial ",,,1950.0,18507.0,106
CPT,35321,"Thromboendarterectomy, including patch graft, if performed; axillary-brachial Other Surgical Services",,,2850.0,2850.0,4
CPT,35321,"Thromboendarterectomy, including patch graft, if performed; axillary-brachial SCHEDULED",,,5556.95,5673.94,3
CPT,35321,"Thromboendarterectomy, including patch graft, if performed; axillary-brachial UNSCHEDULED",,,2762.77,2820.93,3
CPT,35331,"Thromboendarterectomy, including patch graft, if performed; abdominal aorta ",,,1950.0,31992.0,78
CPT,35331,"Thromboendarterectomy, including patch graft, if performed; abdominal aorta Other Surgical Services",,,2850.0,2850.0,4
CPT,35331,"Thromboendarterectomy, including patch graft, if performed; abdominal aorta SCHEDULED",,,5556.95,5673.94,3
CPT,35331,"Thromboendarterectomy, including patch graft, if performed; abdominal aorta UNSCHEDULED",,,2762.77,2820.93,3
CPT,35341,"Thromboendarterectomy, including patch graft, if performed; mesenteric, celiac, or renal ",,,1950.0,31992.0,78
CPT,35341,"Thromboendarterectomy, including patch graft, if performed; mesenteric, celiac, or renal Other Surgical Services",,,2850.0,2850.0,4
CPT,35341,"Thromboendarterectomy, including patch graft, if performed; mesenteric, celiac, or renal SCHEDULED",,,5556.95,5673.94,3
CPT,35341,"Thromboendarterectomy, including patch graft, if performed; mesenteric, celiac, or renal UNSCHEDULED",,,2762.77,2820.93,3
CPT,35351,"Thromboendarterectomy, including patch graft, if performed; iliac ",,,1950.0,31992.0,78
CPT,35351,"Thromboendarterectomy, including patch graft, if performed; iliac Other Surgical Services",,,2850.0,2850.0,4
CPT,35351,"Thromboendarterectomy, including patch graft, if performed; iliac SCHEDULED",,,5556.95,5673.94,3
CPT,35351,"Thromboendarterectomy, including patch graft, if performed; iliac UNSCHEDULED",,,2762.77,2820.93,3
CPT,35355,"Thromboendarterectomy, including patch graft, if performed; iliofemoral ",,,1950.0,31992.0,78
CPT,35355,"Thromboendarterectomy, including patch graft, if performed; iliofemoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35355,"Thromboendarterectomy, including patch graft, if performed; iliofemoral SCHEDULED",,,5556.95,5673.94,3
CPT,35355,"Thromboendarterectomy, including patch graft, if performed; iliofemoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35361,"Thromboendarterectomy, including patch graft, if performed; combined aortoiliac ",,,1950.0,31992.0,78
CPT,35361,"Thromboendarterectomy, including patch graft, if performed; combined aortoiliac Other Surgical Services",,,2850.0,2850.0,4
CPT,35361,"Thromboendarterectomy, including patch graft, if performed; combined aortoiliac SCHEDULED",,,5556.95,5673.94,3
CPT,35361,"Thromboendarterectomy, including patch graft, if performed; combined aortoiliac UNSCHEDULED",,,2762.77,2820.93,3
CPT,35363,"Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral ",,,1950.0,31992.0,78
CPT,35363,"Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35363,"Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral SCHEDULED",,,5556.95,5673.94,3
CPT,35363,"Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35371,"Thromboendarterectomy, including patch graft, if performed; common femoral ",,,1950.0,31992.0,78
CPT,35371,"Thromboendarterectomy, including patch graft, if performed; common femoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35371,"Thromboendarterectomy, including patch graft, if performed; common femoral SCHEDULED",,,5556.95,5673.94,3
CPT,35371,"Thromboendarterectomy, including patch graft, if performed; common femoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35372,"Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral ",,,1950.0,18507.0,78
CPT,35372,"Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35372,"Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral SCHEDULED",,,5556.95,5673.94,3
CPT,35372,"Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35381,RECHANNELING OF ARTERY SCHEDULED,,,5556.95,5673.94,3
CPT,35381,RECHANNELING OF ARTERY UNSCHEDULED,,,2762.77,2820.93,3
CPT,35390,"Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,35390,"Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,35390,"Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (List separately in addition to code for primary procedure) SCHEDULED",,,5556.95,5673.94,3
CPT,35390,"Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (List separately in addition to code for primary procedure) UNSCHEDULED",,,2762.77,2820.93,3
CPT,35400,Angioscopy (noncoronary vessels or grafts) during therapeutic intervention (List separately in addition to code for primary procedure) ,,,1950.0,31992.0,78
CPT,35400,Angioscopy (noncoronary vessels or grafts) during therapeutic intervention (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,35400,Angioscopy (noncoronary vessels or grafts) during therapeutic intervention (List separately in addition to code for primary procedure) SCHEDULED,,,5556.95,5673.94,3
CPT,35400,Angioscopy (noncoronary vessels or grafts) during therapeutic intervention (List separately in addition to code for primary procedure) UNSCHEDULED,,,2762.77,2820.93,3
CPT,35450,REPAIR ARTERIAL BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35450,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35452,REPAIR ARTERIAL BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35452,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35454,REPAIR ARTERIAL BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35454,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35456,REPAIR ARTERIAL BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35456,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35458,REPAIR ARTERIAL BLOCKAGE ,,,10737.0,13315.0,28
CPT,35458,REPAIR ARTERIAL BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35458,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35459,REPAIR ARTERIAL BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35459,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35460,REPAIR VENOUS BLOCKAGE ,,,10737.0,13315.0,28
CPT,35460,REPAIR VENOUS BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35460,REPAIR VENOUS BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35470,REPAIR ARTERIAL BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35470,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35471,REPAIR ARTERIAL BLOCKAGE ,,,10737.0,13315.0,28
CPT,35471,REPAIR ARTERIAL BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35471,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35472,REPAIR ARTERIAL BLOCKAGE ,,,10737.0,13315.0,28
CPT,35472,REPAIR ARTERIAL BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35472,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35473,REPAIR ARTERIAL BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35473,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35474,REPAIR ARTERIAL BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35474,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35475,REPAIR ARTERIAL BLOCKAGE ,,,10737.0,13315.0,28
CPT,35475,REPAIR ARTERIAL BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35475,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35476,REPAIR VENOUS BLOCKAGE ,,,10737.0,13315.0,28
CPT,35476,REPAIR VENOUS BLOCKAGE SCHEDULED,,,5556.95,5673.94,3
CPT,35476,REPAIR VENOUS BLOCKAGE UNSCHEDULED,,,2762.77,2820.93,3
CPT,35480,"ATHERECTOMY, OPEN SCHEDULED",,,5556.95,5673.94,3
CPT,35480,"ATHERECTOMY, OPEN UNSCHEDULED",,,2762.77,2820.93,3
CPT,35481,"ATHERECTOMY, OPEN SCHEDULED",,,5556.95,5673.94,3
CPT,35481,"ATHERECTOMY, OPEN UNSCHEDULED",,,2762.77,2820.93,3
CPT,35482,"ATHERECTOMY, OPEN SCHEDULED",,,5556.95,5673.94,3
CPT,35482,"ATHERECTOMY, OPEN UNSCHEDULED",,,2762.77,2820.93,3
CPT,35483,"ATHERECTOMY, OPEN SCHEDULED",,,5556.95,5673.94,3
CPT,35483,"ATHERECTOMY, OPEN UNSCHEDULED",,,2762.77,2820.93,3
CPT,35484,"ATHERECTOMY, OPEN SCHEDULED",,,5556.95,5673.94,3
CPT,35484,"ATHERECTOMY, OPEN UNSCHEDULED",,,2762.77,2820.93,3
CPT,35485,"ATHERECTOMY, OPEN SCHEDULED",,,5556.95,5673.94,3
CPT,35485,"ATHERECTOMY, OPEN UNSCHEDULED",,,2762.77,2820.93,3
CPT,35490,"ATHERECTOMY, PERCUTANEOUS SCHEDULED",,,5556.95,5673.94,3
CPT,35490,"ATHERECTOMY, PERCUTANEOUS UNSCHEDULED",,,2762.77,2820.93,3
CPT,35491,"ATHERECTOMY, PERCUTANEOUS SCHEDULED",,,5556.95,5673.94,3
CPT,35491,"ATHERECTOMY, PERCUTANEOUS UNSCHEDULED",,,2762.77,2820.93,3
CPT,35492,"ATHERECTOMY, PERCUTANEOUS SCHEDULED",,,5556.95,5673.94,3
CPT,35492,"ATHERECTOMY, PERCUTANEOUS UNSCHEDULED",,,2762.77,2820.93,3
CPT,35493,"ATHERECTOMY, PERCUTANEOUS ",,,3792.0,5211.0,18
CPT,35493,"ATHERECTOMY, PERCUTANEOUS SCHEDULED",,,5556.95,5673.94,3
CPT,35493,"ATHERECTOMY, PERCUTANEOUS UNSCHEDULED",,,2762.77,2820.93,3
CPT,35494,"ATHERECTOMY, PERCUTANEOUS SCHEDULED",,,5556.95,5673.94,3
CPT,35494,"ATHERECTOMY, PERCUTANEOUS UNSCHEDULED",,,2762.77,2820.93,3
CPT,35495,"ATHERECTOMY, PERCUTANEOUS SCHEDULED",,,5556.95,5673.94,3
CPT,35495,"ATHERECTOMY, PERCUTANEOUS UNSCHEDULED",,,2762.77,2820.93,3
CPT,35500,"Harvest of upper extremity vein, 1 segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,35500,"Harvest of upper extremity vein, 1 segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,35500,"Harvest of upper extremity vein, 1 segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure) SCHEDULED",,,5556.95,5673.94,3
CPT,35500,"Harvest of upper extremity vein, 1 segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure) UNSCHEDULED",,,2762.77,2820.93,3
CPT,35501,"Bypass graft, with vein; common carotid-ipsilateral internal carotid ",,,1950.0,31992.0,78
CPT,35501,"Bypass graft, with vein; common carotid-ipsilateral internal carotid Other Surgical Services",,,2850.0,2850.0,4
CPT,35501,"Bypass graft, with vein; common carotid-ipsilateral internal carotid SCHEDULED",,,5556.95,5673.94,3
CPT,35501,"Bypass graft, with vein; common carotid-ipsilateral internal carotid UNSCHEDULED",,,2762.77,2820.93,3
CPT,35506,"Bypass graft, with vein; carotid-subclavian or subclavian-carotid ",,,1950.0,31992.0,78
CPT,35506,"Bypass graft, with vein; carotid-subclavian or subclavian-carotid Other Surgical Services",,,2850.0,2850.0,4
CPT,35506,"Bypass graft, with vein; carotid-subclavian or subclavian-carotid SCHEDULED",,,5556.95,5673.94,3
CPT,35506,"Bypass graft, with vein; carotid-subclavian or subclavian-carotid UNSCHEDULED",,,2762.77,2820.93,3
CPT,35507,ARTERY BYPASS GRAFT SCHEDULED,,,5556.95,5673.94,3
CPT,35507,ARTERY BYPASS GRAFT UNSCHEDULED,,,2762.77,2820.93,3
CPT,35508,"Bypass graft, with vein; carotid-vertebral ",,,1950.0,31992.0,78
CPT,35508,"Bypass graft, with vein; carotid-vertebral Other Surgical Services",,,2850.0,2850.0,4
CPT,35508,"Bypass graft, with vein; carotid-vertebral SCHEDULED",,,5556.95,5673.94,3
CPT,35508,"Bypass graft, with vein; carotid-vertebral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35509,"Bypass graft, with vein; carotid-contralateral carotid ",,,1950.0,31992.0,78
CPT,35509,"Bypass graft, with vein; carotid-contralateral carotid Other Surgical Services",,,2850.0,2850.0,4
CPT,35509,"Bypass graft, with vein; carotid-contralateral carotid SCHEDULED",,,5556.95,5673.94,3
CPT,35509,"Bypass graft, with vein; carotid-contralateral carotid UNSCHEDULED",,,2762.77,2820.93,3
CPT,35510,"Bypass graft, with vein; carotid-brachial ",,,1950.0,31992.0,78
CPT,35510,"Bypass graft, with vein; carotid-brachial Other Surgical Services",,,2850.0,2850.0,4
CPT,35510,"Bypass graft, with vein; carotid-brachial SCHEDULED",,,5556.95,5673.94,3
CPT,35510,"Bypass graft, with vein; carotid-brachial UNSCHEDULED",,,2762.77,2820.93,3
CPT,35511,"Bypass graft, with vein; subclavian-subclavian ",,,1950.0,31992.0,78
CPT,35511,"Bypass graft, with vein; subclavian-subclavian Other Surgical Services",,,2850.0,2850.0,4
CPT,35511,"Bypass graft, with vein; subclavian-subclavian SCHEDULED",,,5556.95,5673.94,3
CPT,35511,"Bypass graft, with vein; subclavian-subclavian UNSCHEDULED",,,2762.77,2820.93,3
CPT,35512,"Bypass graft, with vein; subclavian-brachial ",,,1950.0,31992.0,78
CPT,35512,"Bypass graft, with vein; subclavian-brachial Other Surgical Services",,,2850.0,2850.0,4
CPT,35512,"Bypass graft, with vein; subclavian-brachial SCHEDULED",,,5556.95,5673.94,3
CPT,35512,"Bypass graft, with vein; subclavian-brachial UNSCHEDULED",,,2762.77,2820.93,3
CPT,35515,"Bypass graft, with vein; subclavian-vertebral ",,,1950.0,31992.0,78
CPT,35515,"Bypass graft, with vein; subclavian-vertebral Other Surgical Services",,,2850.0,2850.0,4
CPT,35515,"Bypass graft, with vein; subclavian-vertebral SCHEDULED",,,5556.95,5673.94,3
CPT,35515,"Bypass graft, with vein; subclavian-vertebral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35516,"Bypass graft, with vein; subclavian-axillary ",,,1950.0,31992.0,78
CPT,35516,"Bypass graft, with vein; subclavian-axillary Other Surgical Services",,,2850.0,2850.0,4
CPT,35516,"Bypass graft, with vein; subclavian-axillary SCHEDULED",,,5556.95,5673.94,3
CPT,35516,"Bypass graft, with vein; subclavian-axillary UNSCHEDULED",,,2762.77,2820.93,3
CPT,35518,"Bypass graft, with vein; axillary-axillary ",,,1950.0,31992.0,78
CPT,35518,"Bypass graft, with vein; axillary-axillary Other Surgical Services",,,2850.0,2850.0,4
CPT,35518,"Bypass graft, with vein; axillary-axillary SCHEDULED",,,5556.95,5673.94,3
CPT,35518,"Bypass graft, with vein; axillary-axillary UNSCHEDULED",,,2762.77,2820.93,3
CPT,35521,"Bypass graft, with vein; axillary-femoral ",,,1950.0,31992.0,78
CPT,35521,"Bypass graft, with vein; axillary-femoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35521,"Bypass graft, with vein; axillary-femoral SCHEDULED",,,5556.95,5673.94,3
CPT,35521,"Bypass graft, with vein; axillary-femoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35522,"Bypass graft, with vein; axillary-brachial ",,,1950.0,31992.0,78
CPT,35522,"Bypass graft, with vein; axillary-brachial Other Surgical Services",,,2850.0,2850.0,4
CPT,35522,"Bypass graft, with vein; axillary-brachial SCHEDULED",,,5556.95,5673.94,3
CPT,35522,"Bypass graft, with vein; axillary-brachial UNSCHEDULED",,,2762.77,2820.93,3
CPT,35523,"Bypass graft, with vein; brachial-ulnar or -radial ",,,1950.0,31992.0,78
CPT,35523,"Bypass graft, with vein; brachial-ulnar or -radial Other Surgical Services",,,2850.0,2850.0,4
CPT,35523,"Bypass graft, with vein; brachial-ulnar or -radial SCHEDULED",,,5556.95,5673.94,3
CPT,35523,"Bypass graft, with vein; brachial-ulnar or -radial UNSCHEDULED",,,2762.77,2820.93,3
CPT,35525,"Bypass graft, with vein; brachial-brachial ",,,1950.0,31992.0,78
CPT,35525,"Bypass graft, with vein; brachial-brachial Other Surgical Services",,,2850.0,2850.0,4
CPT,35525,"Bypass graft, with vein; brachial-brachial SCHEDULED",,,5556.95,5673.94,3
CPT,35525,"Bypass graft, with vein; brachial-brachial UNSCHEDULED",,,2762.77,2820.93,3
CPT,35526,"Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid ",,,1950.0,31992.0,78
CPT,35526,"Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid Other Surgical Services",,,2850.0,2850.0,4
CPT,35526,"Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid SCHEDULED",,,5556.95,5673.94,3
CPT,35526,"Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid UNSCHEDULED",,,2762.77,2820.93,3
CPT,35531,"Bypass graft, with vein; aortoceliac or aortomesenteric ",,,1950.0,31992.0,78
CPT,35531,"Bypass graft, with vein; aortoceliac or aortomesenteric Other Surgical Services",,,2850.0,2850.0,4
CPT,35531,"Bypass graft, with vein; aortoceliac or aortomesenteric SCHEDULED",,,5556.95,5673.94,3
CPT,35531,"Bypass graft, with vein; aortoceliac or aortomesenteric UNSCHEDULED",,,2762.77,2820.93,3
CPT,35533,"Bypass graft, with vein; axillary-femoral-femoral ",,,1950.0,31992.0,78
CPT,35533,"Bypass graft, with vein; axillary-femoral-femoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35533,"Bypass graft, with vein; axillary-femoral-femoral SCHEDULED",,,5556.95,5673.94,3
CPT,35533,"Bypass graft, with vein; axillary-femoral-femoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35535,"Bypass graft, with vein; hepatorenal ",,,1950.0,31992.0,78
CPT,35535,"Bypass graft, with vein; hepatorenal Other Surgical Services",,,2850.0,2850.0,4
CPT,35535,"Bypass graft, with vein; hepatorenal SCHEDULED",,,5556.95,5673.94,3
CPT,35535,"Bypass graft, with vein; hepatorenal UNSCHEDULED",,,2762.77,2820.93,3
CPT,35536,"Bypass graft, with vein; splenorenal ",,,1950.0,31992.0,78
CPT,35536,"Bypass graft, with vein; splenorenal Other Surgical Services",,,2850.0,2850.0,4
CPT,35536,"Bypass graft, with vein; splenorenal SCHEDULED",,,5556.95,5673.94,3
CPT,35536,"Bypass graft, with vein; splenorenal UNSCHEDULED",,,2762.77,2820.93,3
CPT,35537,"Bypass graft, with vein; aortoiliac ",,,1950.0,31992.0,78
CPT,35537,"Bypass graft, with vein; aortoiliac Other Surgical Services",,,2850.0,2850.0,4
CPT,35537,"Bypass graft, with vein; aortoiliac SCHEDULED",,,5556.95,5673.94,3
CPT,35537,"Bypass graft, with vein; aortoiliac UNSCHEDULED",,,2762.77,2820.93,3
CPT,35538,"Bypass graft, with vein; aortobi-iliac ",,,1950.0,31992.0,78
CPT,35538,"Bypass graft, with vein; aortobi-iliac Other Surgical Services",,,2850.0,2850.0,4
CPT,35538,"Bypass graft, with vein; aortobi-iliac SCHEDULED",,,5556.95,5673.94,3
CPT,35538,"Bypass graft, with vein; aortobi-iliac UNSCHEDULED",,,2762.77,2820.93,3
CPT,35539,"Bypass graft, with vein; aortofemoral ",,,1950.0,31992.0,78
CPT,35539,"Bypass graft, with vein; aortofemoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35539,"Bypass graft, with vein; aortofemoral SCHEDULED",,,5556.95,5673.94,3
CPT,35539,"Bypass graft, with vein; aortofemoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35540,"Bypass graft, with vein; aortobifemoral ",,,1950.0,31992.0,78
CPT,35540,"Bypass graft, with vein; aortobifemoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35540,"Bypass graft, with vein; aortobifemoral SCHEDULED",,,5556.95,5673.94,3
CPT,35540,"Bypass graft, with vein; aortobifemoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35541,ARTERY BYPASS GRAFT SCHEDULED,,,5556.95,5673.94,3
CPT,35541,ARTERY BYPASS GRAFT UNSCHEDULED,,,2762.77,2820.93,3
CPT,35546,ARTERY BYPASS GRAFT SCHEDULED,,,5556.95,5673.94,3
CPT,35546,ARTERY BYPASS GRAFT UNSCHEDULED,,,2762.77,2820.93,3
CPT,35548,ARTERY BYPASS GRAFT SCHEDULED,,,5556.95,5673.94,3
CPT,35548,ARTERY BYPASS GRAFT UNSCHEDULED,,,2762.77,2820.93,3
CPT,35549,ARTERY BYPASS GRAFT SCHEDULED,,,5556.95,5673.94,3
CPT,35549,ARTERY BYPASS GRAFT UNSCHEDULED,,,2762.77,2820.93,3
CPT,35551,ARTERY BYPASS GRAFT SCHEDULED,,,5556.95,5673.94,3
CPT,35551,ARTERY BYPASS GRAFT UNSCHEDULED,,,2762.77,2820.93,3
CPT,35556,"Bypass graft, with vein; femoral-popliteal ",,,1950.0,31992.0,78
CPT,35556,"Bypass graft, with vein; femoral-popliteal Other Surgical Services",,,2850.0,2850.0,4
CPT,35556,"Bypass graft, with vein; femoral-popliteal SCHEDULED",,,5556.95,5673.94,3
CPT,35556,"Bypass graft, with vein; femoral-popliteal UNSCHEDULED",,,2762.77,2820.93,3
CPT,35558,"Bypass graft, with vein; femoral-femoral ",,,1950.0,31992.0,78
CPT,35558,"Bypass graft, with vein; femoral-femoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35558,"Bypass graft, with vein; femoral-femoral SCHEDULED",,,5556.95,5673.94,3
CPT,35558,"Bypass graft, with vein; femoral-femoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35560,"Bypass graft, with vein; aortorenal ",,,1950.0,31992.0,78
CPT,35560,"Bypass graft, with vein; aortorenal Other Surgical Services",,,2850.0,2850.0,4
CPT,35560,"Bypass graft, with vein; aortorenal SCHEDULED",,,5556.95,5673.94,3
CPT,35560,"Bypass graft, with vein; aortorenal UNSCHEDULED",,,2762.77,2820.93,3
CPT,35563,"Bypass graft, with vein; ilioiliac ",,,1950.0,31992.0,78
CPT,35563,"Bypass graft, with vein; ilioiliac Other Surgical Services",,,2850.0,2850.0,4
CPT,35563,"Bypass graft, with vein; ilioiliac SCHEDULED",,,5556.95,5673.94,3
CPT,35563,"Bypass graft, with vein; ilioiliac UNSCHEDULED",,,2762.77,2820.93,3
CPT,35565,"Bypass graft, with vein; iliofemoral ",,,1950.0,31992.0,78
CPT,35565,"Bypass graft, with vein; iliofemoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35565,"Bypass graft, with vein; iliofemoral SCHEDULED",,,5556.95,5673.94,3
CPT,35565,"Bypass graft, with vein; iliofemoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35566,"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels ",,,1950.0,31992.0,78
CPT,35566,"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels Other Surgical Services",,,2850.0,2850.0,4
CPT,35566,"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels SCHEDULED",,,5556.95,5673.94,3
CPT,35566,"Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels UNSCHEDULED",,,2762.77,2820.93,3
CPT,35570,"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial ",,,1950.0,31992.0,78
CPT,35570,"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial Other Surgical Services",,,2850.0,2850.0,4
CPT,35570,"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial SCHEDULED",,,5556.95,5673.94,3
CPT,35570,"Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial UNSCHEDULED",,,2762.77,2820.93,3
CPT,35571,"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels ",,,1950.0,31992.0,78
CPT,35571,"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels Other Surgical Services",,,2850.0,2850.0,4
CPT,35571,"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels SCHEDULED",,,5556.95,5673.94,3
CPT,35571,"Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels UNSCHEDULED",,,2762.77,2820.93,3
CPT,35572,"Harvest of femoropopliteal vein, 1 segment, for vascular reconstruction procedure (eg, aortic, vena caval, coronary, peripheral artery) (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,35572,"Harvest of femoropopliteal vein, 1 segment, for vascular reconstruction procedure (eg, aortic, vena caval, coronary, peripheral artery) (List separately in addition to code for primary procedure) Othe",,,2850.0,2850.0,4
CPT,35572,"Harvest of femoropopliteal vein, 1 segment, for vascular reconstruction procedure (eg, aortic, vena caval, coronary, peripheral artery) (List separately in addition to code for primary procedure) SCHE",,,5556.95,5673.94,3
CPT,35572,"Harvest of femoropopliteal vein, 1 segment, for vascular reconstruction procedure (eg, aortic, vena caval, coronary, peripheral artery) (List separately in addition to code for primary procedure) UNSC",,,2762.77,2820.93,3
CPT,35582,VEIN BYPASS GRAFT SCHEDULED,,,5556.95,5673.94,3
CPT,35582,VEIN BYPASS GRAFT UNSCHEDULED,,,2762.77,2820.93,3
CPT,35583,In-situ vein bypass; femoral-popliteal ,,,1950.0,31992.0,78
CPT,35583,In-situ vein bypass; femoral-popliteal Other Surgical Services,,,2850.0,2850.0,4
CPT,35583,In-situ vein bypass; femoral-popliteal SCHEDULED,,,5556.95,5673.94,3
CPT,35583,In-situ vein bypass; femoral-popliteal UNSCHEDULED,,,2762.77,2820.93,3
CPT,35585,"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery ",,,1950.0,31992.0,78
CPT,35585,"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery Other Surgical Services",,,2850.0,2850.0,4
CPT,35585,"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery SCHEDULED",,,5556.95,5673.94,3
CPT,35585,"In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery UNSCHEDULED",,,2762.77,2820.93,3
CPT,35587,"In-situ vein bypass; popliteal-tibial, peroneal ",,,1950.0,31992.0,78
CPT,35587,"In-situ vein bypass; popliteal-tibial, peroneal Other Surgical Services",,,2850.0,2850.0,4
CPT,35587,"In-situ vein bypass; popliteal-tibial, peroneal SCHEDULED",,,5556.95,5673.94,3
CPT,35587,"In-situ vein bypass; popliteal-tibial, peroneal UNSCHEDULED",,,2762.77,2820.93,3
CPT,35600,"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, open ",,,1950.0,31992.0,78
CPT,35600,"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, open Other Surgical Services",,,2850.0,2850.0,4
CPT,35600,"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, open SCHEDULED",,,5556.95,5673.94,3
CPT,35600,"Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure, open UNSCHEDULED",,,2762.77,2820.93,3
CPT,35601,"Bypass graft, with other than vein; common carotid-ipsilateral internal carotid ",,,1950.0,31992.0,78
CPT,35601,"Bypass graft, with other than vein; common carotid-ipsilateral internal carotid Other Surgical Services",,,2850.0,2850.0,4
CPT,35601,"Bypass graft, with other than vein; common carotid-ipsilateral internal carotid SCHEDULED",,,5556.95,5673.94,3
CPT,35601,"Bypass graft, with other than vein; common carotid-ipsilateral internal carotid UNSCHEDULED",,,2762.77,2820.93,3
CPT,35602,"Bypass graft, with other than vein; carotid-contralateral carotid ",,,1950.0,31992.0,75
CPT,35602,"Bypass graft, with other than vein; carotid-contralateral carotid Other Surgical Services",,,2850.0,2850.0,4
CPT,35606,"Bypass graft, with other than vein; carotid-subclavian ",,,1950.0,31992.0,78
CPT,35606,"Bypass graft, with other than vein; carotid-subclavian Other Surgical Services",,,2850.0,2850.0,4
CPT,35606,"Bypass graft, with other than vein; carotid-subclavian SCHEDULED",,,5556.95,5673.94,3
CPT,35606,"Bypass graft, with other than vein; carotid-subclavian UNSCHEDULED",,,2762.77,2820.93,3
CPT,35612,"Bypass graft, with other than vein; subclavian-subclavian ",,,1950.0,31992.0,78
CPT,35612,"Bypass graft, with other than vein; subclavian-subclavian Other Surgical Services",,,2850.0,2850.0,4
CPT,35612,"Bypass graft, with other than vein; subclavian-subclavian SCHEDULED",,,5556.95,5673.94,3
CPT,35612,"Bypass graft, with other than vein; subclavian-subclavian UNSCHEDULED",,,2762.77,2820.93,3
CPT,35616,"Bypass graft, with other than vein; subclavian-axillary ",,,1950.0,31992.0,78
CPT,35616,"Bypass graft, with other than vein; subclavian-axillary Other Surgical Services",,,2850.0,2850.0,4
CPT,35616,"Bypass graft, with other than vein; subclavian-axillary SCHEDULED",,,5556.95,5673.94,3
CPT,35616,"Bypass graft, with other than vein; subclavian-axillary UNSCHEDULED",,,2762.77,2820.93,3
CPT,35621,"Bypass graft, with other than vein; axillary-femoral ",,,1950.0,31992.0,78
CPT,35621,"Bypass graft, with other than vein; axillary-femoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35621,"Bypass graft, with other than vein; axillary-femoral SCHEDULED",,,5556.95,5673.94,3
CPT,35621,"Bypass graft, with other than vein; axillary-femoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35623,"Bypass graft, with other than vein; axillary-popliteal or -tibial ",,,1950.0,31992.0,78
CPT,35623,"Bypass graft, with other than vein; axillary-popliteal or -tibial Other Surgical Services",,,2850.0,2850.0,4
CPT,35623,"Bypass graft, with other than vein; axillary-popliteal or -tibial SCHEDULED",,,5556.95,5673.94,3
CPT,35623,"Bypass graft, with other than vein; axillary-popliteal or -tibial UNSCHEDULED",,,2762.77,2820.93,3
CPT,35626,"Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid ",,,1950.0,31992.0,78
CPT,35626,"Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid Other Surgical Services",,,2850.0,2850.0,4
CPT,35626,"Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid SCHEDULED",,,5556.95,5673.94,3
CPT,35626,"Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid UNSCHEDULED",,,2762.77,2820.93,3
CPT,35631,"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal ",,,1950.0,31992.0,78
CPT,35631,"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal Other Surgical Services",,,2850.0,2850.0,4
CPT,35631,"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal SCHEDULED",,,5556.95,5673.94,3
CPT,35631,"Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal UNSCHEDULED",,,2762.77,2820.93,3
CPT,35632,"Bypass graft, with other than vein; ilio-celiac ",,,1950.0,31992.0,78
CPT,35632,"Bypass graft, with other than vein; ilio-celiac Other Surgical Services",,,2850.0,2850.0,4
CPT,35632,"Bypass graft, with other than vein; ilio-celiac SCHEDULED",,,5556.95,5673.94,3
CPT,35632,"Bypass graft, with other than vein; ilio-celiac UNSCHEDULED",,,2762.77,2820.93,3
CPT,35633,"Bypass graft, with other than vein; ilio-mesenteric ",,,1950.0,31992.0,78
CPT,35633,"Bypass graft, with other than vein; ilio-mesenteric Other Surgical Services",,,2850.0,2850.0,4
CPT,35633,"Bypass graft, with other than vein; ilio-mesenteric SCHEDULED",,,5556.95,5673.94,3
CPT,35633,"Bypass graft, with other than vein; ilio-mesenteric UNSCHEDULED",,,2762.77,2820.93,3
CPT,35634,"Bypass graft, with other than vein; iliorenal ",,,1950.0,31992.0,78
CPT,35634,"Bypass graft, with other than vein; iliorenal Other Surgical Services",,,2850.0,2850.0,4
CPT,35634,"Bypass graft, with other than vein; iliorenal SCHEDULED",,,5556.95,5673.94,3
CPT,35634,"Bypass graft, with other than vein; iliorenal UNSCHEDULED",,,2762.77,2820.93,3
CPT,35636,"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis) ",,,1950.0,31992.0,78
CPT,35636,"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis) Other Surgical Services",,,2850.0,2850.0,4
CPT,35636,"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis) SCHEDULED",,,5556.95,5673.94,3
CPT,35636,"Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis) UNSCHEDULED",,,2762.77,2820.93,3
CPT,35637,"Bypass graft, with other than vein; aortoiliac ",,,1950.0,31992.0,78
CPT,35637,"Bypass graft, with other than vein; aortoiliac Other Surgical Services",,,2850.0,2850.0,4
CPT,35637,"Bypass graft, with other than vein; aortoiliac SCHEDULED",,,5556.95,5673.94,3
CPT,35637,"Bypass graft, with other than vein; aortoiliac UNSCHEDULED",,,2762.77,2820.93,3
CPT,35638,"Bypass graft, with other than vein; aortobi-iliac ",,,1950.0,31992.0,78
CPT,35638,"Bypass graft, with other than vein; aortobi-iliac Other Surgical Services",,,2850.0,2850.0,4
CPT,35638,"Bypass graft, with other than vein; aortobi-iliac SCHEDULED",,,5556.95,5673.94,3
CPT,35638,"Bypass graft, with other than vein; aortobi-iliac UNSCHEDULED",,,2762.77,2820.93,3
CPT,35641,ARTERY BYPASS GRAFT SCHEDULED,,,5556.95,5673.94,3
CPT,35641,ARTERY BYPASS GRAFT UNSCHEDULED,,,2762.77,2820.93,3
CPT,35642,"Bypass graft, with other than vein; carotid-vertebral ",,,1950.0,31992.0,78
CPT,35642,"Bypass graft, with other than vein; carotid-vertebral Other Surgical Services",,,2850.0,2850.0,4
CPT,35642,"Bypass graft, with other than vein; carotid-vertebral SCHEDULED",,,5556.95,5673.94,3
CPT,35642,"Bypass graft, with other than vein; carotid-vertebral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35645,"Bypass graft, with other than vein; subclavian-vertebral ",,,1950.0,31992.0,78
CPT,35645,"Bypass graft, with other than vein; subclavian-vertebral Other Surgical Services",,,2850.0,2850.0,4
CPT,35645,"Bypass graft, with other than vein; subclavian-vertebral SCHEDULED",,,5556.95,5673.94,3
CPT,35645,"Bypass graft, with other than vein; subclavian-vertebral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35646,"Bypass graft, with other than vein; aortobifemoral ",,,1950.0,31992.0,78
CPT,35646,"Bypass graft, with other than vein; aortobifemoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35646,"Bypass graft, with other than vein; aortobifemoral SCHEDULED",,,5556.95,5673.94,3
CPT,35646,"Bypass graft, with other than vein; aortobifemoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35647,"Bypass graft, with other than vein; aortofemoral ",,,1950.0,31992.0,78
CPT,35647,"Bypass graft, with other than vein; aortofemoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35647,"Bypass graft, with other than vein; aortofemoral SCHEDULED",,,5556.95,5673.94,3
CPT,35647,"Bypass graft, with other than vein; aortofemoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35650,"Bypass graft, with other than vein; axillary-axillary ",,,1950.0,31992.0,78
CPT,35650,"Bypass graft, with other than vein; axillary-axillary Other Surgical Services",,,2850.0,2850.0,4
CPT,35650,"Bypass graft, with other than vein; axillary-axillary SCHEDULED",,,5556.95,5673.94,3
CPT,35650,"Bypass graft, with other than vein; axillary-axillary UNSCHEDULED",,,2762.77,2820.93,3
CPT,35651,ARTERY BYPASS GRAFT SCHEDULED,,,5556.95,5673.94,3
CPT,35651,ARTERY BYPASS GRAFT UNSCHEDULED,,,2762.77,2820.93,3
CPT,35654,"Bypass graft, with other than vein; axillary-femoral-femoral ",,,1950.0,31992.0,78
CPT,35654,"Bypass graft, with other than vein; axillary-femoral-femoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35654,"Bypass graft, with other than vein; axillary-femoral-femoral SCHEDULED",,,5556.95,5673.94,3
CPT,35654,"Bypass graft, with other than vein; axillary-femoral-femoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35656,"Bypass graft, with other than vein; femoral-popliteal ",,,1950.0,31992.0,78
CPT,35656,"Bypass graft, with other than vein; femoral-popliteal Other Surgical Services",,,2850.0,2850.0,4
CPT,35656,"Bypass graft, with other than vein; femoral-popliteal SCHEDULED",,,5556.95,5673.94,3
CPT,35656,"Bypass graft, with other than vein; femoral-popliteal UNSCHEDULED",,,2762.77,2820.93,3
CPT,35661,"Bypass graft, with other than vein; femoral-femoral ",,,1950.0,31992.0,78
CPT,35661,"Bypass graft, with other than vein; femoral-femoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35661,"Bypass graft, with other than vein; femoral-femoral SCHEDULED",,,5556.95,5673.94,3
CPT,35661,"Bypass graft, with other than vein; femoral-femoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35663,"Bypass graft, with other than vein; ilioiliac ",,,1950.0,31992.0,78
CPT,35663,"Bypass graft, with other than vein; ilioiliac Other Surgical Services",,,2850.0,2850.0,4
CPT,35663,"Bypass graft, with other than vein; ilioiliac SCHEDULED",,,5556.95,5673.94,3
CPT,35663,"Bypass graft, with other than vein; ilioiliac UNSCHEDULED",,,2762.77,2820.93,3
CPT,35665,"Bypass graft, with other than vein; iliofemoral ",,,1950.0,31992.0,78
CPT,35665,"Bypass graft, with other than vein; iliofemoral Other Surgical Services",,,2850.0,2850.0,4
CPT,35665,"Bypass graft, with other than vein; iliofemoral SCHEDULED",,,5556.95,5673.94,3
CPT,35665,"Bypass graft, with other than vein; iliofemoral UNSCHEDULED",,,2762.77,2820.93,3
CPT,35666,"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery ",,,1950.0,31992.0,78
CPT,35666,"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery Other Surgical Services",,,2850.0,2850.0,4
CPT,35666,"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery SCHEDULED",,,5556.95,5673.94,3
CPT,35666,"Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery UNSCHEDULED",,,2762.77,2820.93,3
CPT,35671,"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery ",,,1950.0,31992.0,78
CPT,35671,"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery Other Surgical Services",,,2850.0,2850.0,4
CPT,35671,"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery SCHEDULED",,,5556.95,5673.94,3
CPT,35671,"Bypass graft, with other than vein; popliteal-tibial or -peroneal artery UNSCHEDULED",,,2762.77,2820.93,3
CPT,35681,"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,35681,"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,35681,"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure) SCHEDULED",,,5556.95,5673.94,3
CPT,35681,"Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure) UNSCHEDULED",,,2762.77,2820.93,3
CPT,35682,"Bypass graft; autogenous composite, 2 segments of veins from 2 locations (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,35682,"Bypass graft; autogenous composite, 2 segments of veins from 2 locations (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,35682,"Bypass graft; autogenous composite, 2 segments of veins from 2 locations (List separately in addition to code for primary procedure) SCHEDULED",,,5556.95,5673.94,3
CPT,35682,"Bypass graft; autogenous composite, 2 segments of veins from 2 locations (List separately in addition to code for primary procedure) UNSCHEDULED",,,2762.77,2820.93,3
CPT,35683,"Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,35683,"Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,35683,"Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure) SCHEDULED",,,5556.95,5673.94,3
CPT,35683,"Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure) UNSCHEDULED",,,2762.77,2820.93,3
CPT,35685,"Placement of vein patch or cuff at distal anastomosis of bypass graft, synthetic conduit (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,35685,"Placement of vein patch or cuff at distal anastomosis of bypass graft, synthetic conduit (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,35685,"Placement of vein patch or cuff at distal anastomosis of bypass graft, synthetic conduit (List separately in addition to code for primary procedure) SCHEDULED",,,5556.95,5673.94,3
CPT,35685,"Placement of vein patch or cuff at distal anastomosis of bypass graft, synthetic conduit (List separately in addition to code for primary procedure) UNSCHEDULED",,,2762.77,2820.93,3
CPT,35686,Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,35686,Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,35686,Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure) SCHEDULED,,,5556.95,5673.94,3
CPT,35686,Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure) UNSCHEDULED,,,2762.77,2820.93,3
CPT,35691,Transposition and/or reimplantation; vertebral to carotid artery ,,,1950.0,31992.0,78
CPT,35691,Transposition and/or reimplantation; vertebral to carotid artery Other Surgical Services,,,2850.0,2850.0,4
CPT,35691,Transposition and/or reimplantation; vertebral to carotid artery SCHEDULED,,,5556.95,5673.94,3
CPT,35691,Transposition and/or reimplantation; vertebral to carotid artery UNSCHEDULED,,,2762.77,2820.93,3
CPT,35693,Transposition and/or reimplantation; vertebral to subclavian artery ,,,1950.0,31992.0,78
CPT,35693,Transposition and/or reimplantation; vertebral to subclavian artery Other Surgical Services,,,2850.0,2850.0,4
CPT,35693,Transposition and/or reimplantation; vertebral to subclavian artery SCHEDULED,,,5556.95,5673.94,3
CPT,35693,Transposition and/or reimplantation; vertebral to subclavian artery UNSCHEDULED,,,2762.77,2820.93,3
CPT,35694,Transposition and/or reimplantation; subclavian to carotid artery ,,,1950.0,31992.0,78
CPT,35694,Transposition and/or reimplantation; subclavian to carotid artery Other Surgical Services,,,2850.0,2850.0,4
CPT,35694,Transposition and/or reimplantation; subclavian to carotid artery SCHEDULED,,,5556.95,5673.94,3
CPT,35694,Transposition and/or reimplantation; subclavian to carotid artery UNSCHEDULED,,,2762.77,2820.93,3
CPT,35695,Transposition and/or reimplantation; carotid to subclavian artery ,,,1950.0,31992.0,78
CPT,35695,Transposition and/or reimplantation; carotid to subclavian artery Other Surgical Services,,,2850.0,2850.0,4
CPT,35695,Transposition and/or reimplantation; carotid to subclavian artery SCHEDULED,,,5556.95,5673.94,3
CPT,35695,Transposition and/or reimplantation; carotid to subclavian artery UNSCHEDULED,,,2762.77,2820.93,3
CPT,35697,"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,35697,"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,35697,"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for primary procedure) SCHEDULED",,,5556.95,5673.94,3
CPT,35697,"Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for primary procedure) UNSCHEDULED",,,2762.77,2820.93,3
CPT,35700,"Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery, or other distal vessels, more than 1 month after original operation (List separately in additi",,,1950.0,31992.0,88
CPT,35701,"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian) ",,,1950.0,31992.0,78
CPT,35701,"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian) Other Surgical Services",,,2850.0,2850.0,4
CPT,35701,"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian) SCHEDULED",,,5556.95,5673.94,3
CPT,35701,"Exploration not followed by surgical repair, artery; neck (eg, carotid, subclavian) UNSCHEDULED",,,2762.77,2820.93,3
CPT,35702,"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar) ",,,1950.0,31992.0,78
CPT,35702,"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar) Other Surgical Services",,,2850.0,2850.0,4
CPT,35702,"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar) SCHEDULED",,,5556.95,5673.94,3
CPT,35702,"Exploration not followed by surgical repair, artery; upper extremity (eg, axillary, brachial, radial, ulnar) UNSCHEDULED",,,2762.77,2820.93,3
CPT,35703,"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal) ",,,1950.0,31992.0,78
CPT,35703,"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal) Other Surgical Services",,,2850.0,2850.0,4
CPT,35703,"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal) SCHEDULED",,,5556.95,5673.94,3
CPT,35703,"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal) UNSCHEDULED",,,2762.77,2820.93,3
CPT,35721,"EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; FEMORAL ARTERY SCHEDULED",,,5556.95,5673.94,3
CPT,35721,"EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; FEMORAL ARTERY UNSCHEDULED",,,2762.77,2820.93,3
CPT,35741,"EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; POPLITEAL ARTERY SCHEDULED",,,5556.95,5673.94,3
CPT,35741,"EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; POPLITEAL ARTERY UNSCHEDULED",,,2762.77,2820.93,3
CPT,35761,"EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; OTHER VESSELS ",,,7583.0,9539.0,28
CPT,35761,"EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; OTHER VESSELS SCHEDULED",,,5556.95,5673.94,3
CPT,35761,"EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; OTHER VESSELS UNSCHEDULED",,,2762.77,2820.93,3
CPT,35800,"Exploration for postoperative hemorrhage, thrombosis or infection; neck ",,,1950.0,18507.0,78
CPT,35800,"Exploration for postoperative hemorrhage, thrombosis or infection; neck Other Surgical Services",,,2850.0,2850.0,4
CPT,35800,"Exploration for postoperative hemorrhage, thrombosis or infection; neck SCHEDULED",,,5556.95,5673.94,3
CPT,35800,"Exploration for postoperative hemorrhage, thrombosis or infection; neck UNSCHEDULED",,,2762.77,2820.93,3
CPT,35820,"Exploration for postoperative hemorrhage, thrombosis or infection; chest ",,,1950.0,31992.0,78
CPT,35820,"Exploration for postoperative hemorrhage, thrombosis or infection; chest Other Surgical Services",,,2850.0,2850.0,4
CPT,35820,"Exploration for postoperative hemorrhage, thrombosis or infection; chest SCHEDULED",,,5556.95,5673.94,3
CPT,35820,"Exploration for postoperative hemorrhage, thrombosis or infection; chest UNSCHEDULED",,,2762.77,2820.93,3
CPT,35840,"Exploration for postoperative hemorrhage, thrombosis or infection; abdomen ",,,1950.0,31992.0,78
CPT,35840,"Exploration for postoperative hemorrhage, thrombosis or infection; abdomen Other Surgical Services",,,2850.0,2850.0,4
CPT,35840,"Exploration for postoperative hemorrhage, thrombosis or infection; abdomen SCHEDULED",,,5556.95,5673.94,3
CPT,35840,"Exploration for postoperative hemorrhage, thrombosis or infection; abdomen UNSCHEDULED",,,2762.77,2820.93,3
CPT,35860,"Exploration for postoperative hemorrhage, thrombosis or infection; extremity ",,,1950.0,14792.0,106
CPT,35860,"Exploration for postoperative hemorrhage, thrombosis or infection; extremity Other Surgical Services",,,2850.0,2850.0,4
CPT,35860,"Exploration for postoperative hemorrhage, thrombosis or infection; extremity SCHEDULED",,,5556.95,5673.94,3
CPT,35860,"Exploration for postoperative hemorrhage, thrombosis or infection; extremity UNSCHEDULED",,,4336.26,4427.55,3
CPT,35870,Repair of graft-enteric fistula ,,,1950.0,31992.0,78
CPT,35870,Repair of graft-enteric fistula Other Surgical Services,,,2850.0,2850.0,4
CPT,35870,Repair of graft-enteric fistula SCHEDULED,,,5556.95,5673.94,3
CPT,35870,Repair of graft-enteric fistula UNSCHEDULED,,,2762.77,2820.93,3
CPT,35875,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); ,,,1950.0,18507.0,106
CPT,35875,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); Other Surgical Services,,,2850.0,2850.0,4
CPT,35875,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); SCHEDULED,,,5556.95,5673.94,3
CPT,35875,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); UNSCHEDULED,,,2762.77,2820.93,3
CPT,35876,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft ,,,1950.0,18507.0,106
CPT,35876,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft Other Surgical Services,,,2850.0,2850.0,4
CPT,35876,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft SCHEDULED,,,5556.95,5673.94,3
CPT,35876,Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft UNSCHEDULED,,,2762.77,2820.93,3
CPT,35879,"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty ",,,1950.0,18507.0,106
CPT,35879,"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Other Surgical Services",,,2850.0,2850.0,4
CPT,35879,"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty SCHEDULED",,,5556.95,5673.94,3
CPT,35879,"Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty UNSCHEDULED",,,2762.77,2820.93,3
CPT,35881,"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition ",,,1950.0,18507.0,106
CPT,35881,"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition Other Surgical Services",,,2850.0,2850.0,4
CPT,35881,"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition SCHEDULED",,,5556.95,5673.94,3
CPT,35881,"Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition UNSCHEDULED",,,2762.77,2820.93,3
CPT,35883,"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium) ",,,1950.0,18507.0,106
CPT,35883,"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium) Other Surgical Services",,,2850.0,2850.0,4
CPT,35883,"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium) SCHEDULED",,,5556.95,5673.94,3
CPT,35883,"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium) UNSCHEDULED",,,2762.77,2820.93,3
CPT,35884,"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft ",,,1950.0,18507.0,106
CPT,35884,"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft Other Surgical Services",,,2850.0,2850.0,4
CPT,35884,"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft SCHEDULED",,,5556.95,5673.94,3
CPT,35884,"Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft UNSCHEDULED",,,2762.77,2820.93,3
CPT,35901,Excision of infected graft; neck ,,,1950.0,31992.0,78
CPT,35901,Excision of infected graft; neck Other Surgical Services,,,2850.0,2850.0,4
CPT,35901,Excision of infected graft; neck SCHEDULED,,,5556.95,5673.94,3
CPT,35901,Excision of infected graft; neck UNSCHEDULED,,,2762.77,2820.93,3
CPT,35903,Excision of infected graft; extremity ,,,1950.0,14792.0,106
CPT,35903,Excision of infected graft; extremity Other Surgical Services,,,2850.0,2850.0,4
CPT,35903,Excision of infected graft; extremity SCHEDULED,,,573.7,585.78,3
CPT,35903,Excision of infected graft; extremity UNSCHEDULED,,,2762.77,2820.93,3
CPT,35905,Excision of infected graft; thorax ,,,1950.0,31992.0,78
CPT,35905,Excision of infected graft; thorax Other Surgical Services,,,2850.0,2850.0,4
CPT,35905,Excision of infected graft; thorax SCHEDULED,,,5556.95,5673.94,3
CPT,35905,Excision of infected graft; thorax UNSCHEDULED,,,2762.77,2820.93,3
CPT,35907,Excision of infected graft; abdomen ,,,1950.0,31992.0,78
CPT,35907,Excision of infected graft; abdomen Other Surgical Services,,,2850.0,2850.0,4
CPT,35907,Excision of infected graft; abdomen SCHEDULED,,,5556.95,5673.94,3
CPT,35907,Excision of infected graft; abdomen UNSCHEDULED,,,2762.77,2820.93,3
CPT,36000,"Introduction of needle or intracatheter, vein ",,,1423.0,6802.0,85
CPT,36000,"Introduction of needle or intracatheter, vein Other Surgical Services",,,2850.0,2850.0,4
CPT,36000,NDL/INCATH VEIN,1330.0,1330.0,70.65,1599.6,82
CPT,36002,"Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm ",,,1423.0,9710.0,106
CPT,36002,"Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm Other Surgical Services",,,2850.0,2850.0,4
CPT,36002,"Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm SCHEDULED",,,5556.95,5673.94,3
CPT,36002,"Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm UNSCHEDULED",,,1977.6,2019.23,3
CPT,36005,Injection procedure for extremity venography (including introduction of needle or intracatheter) ,,,1423.0,9710.0,99
CPT,36005,Injection procedure for extremity venography (including introduction of needle or intracatheter) Other Surgical Services,,,2850.0,2850.0,4
CPT,36005,Injection procedure for extremity venography (including introduction of needle or intracatheter) SCHEDULED,,,5556.95,5673.94,3
CPT,36005,Injection procedure for extremity venography (including introduction of needle or intracatheter) UNSCHEDULED,,,1211.26,1236.76,3
CPT,36010,"Introduction of catheter, superior or inferior vena cava ",,,1423.0,9710.0,99
CPT,36010,"Introduction of catheter, superior or inferior vena cava Other Surgical Services",,,2850.0,2850.0,4
CPT,36010,"Introduction of catheter, superior or inferior vena cava SCHEDULED",,,5556.95,5673.94,3
CPT,36010,"Introduction of catheter, superior or inferior vena cava UNSCHEDULED",,,1601.76,1635.48,3
CPT,36011,"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein) ",,,1423.0,9710.0,99
CPT,36011,"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein) Other Surgical Services",,,2850.0,2850.0,4
CPT,36011,"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein) SCHEDULED",,,697.23,711.91,3
CPT,36011,"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein) UNSCHEDULED",,,2762.77,2820.93,3
CPT,36012,"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus) ",,,1423.0,9710.0,99
CPT,36012,"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus) Other Surgical Services",,,2850.0,2850.0,4
CPT,36012,"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus) SCHEDULED",,,1644.68,1679.3,3
CPT,36012,"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus) UNSCHEDULED",,,2762.77,2820.93,3
CPT,36013,"Introduction of catheter, right heart or main pulmonary artery ",,,1423.0,9710.0,99
CPT,36013,"Introduction of catheter, right heart or main pulmonary artery Other Surgical Services",,,2850.0,2850.0,4
CPT,36013,"Introduction of catheter, right heart or main pulmonary artery SCHEDULED",,,5556.95,5673.94,3
CPT,36013,"Introduction of catheter, right heart or main pulmonary artery UNSCHEDULED",,,2762.77,2820.93,3
CPT,36014,"Selective catheter placement, left or right pulmonary artery ",,,1423.0,9710.0,99
CPT,36014,"Selective catheter placement, left or right pulmonary artery Other Surgical Services",,,2850.0,2850.0,4
CPT,36014,"Selective catheter placement, left or right pulmonary artery SCHEDULED",,,5556.95,5673.94,3
CPT,36014,"Selective catheter placement, left or right pulmonary artery UNSCHEDULED",,,2762.77,2820.93,3
CPT,36015,"Selective catheter placement, segmental or subsegmental pulmonary artery ",,,1423.0,9710.0,99
CPT,36015,"Selective catheter placement, segmental or subsegmental pulmonary artery Other Surgical Services",,,2850.0,2850.0,4
CPT,36015,"Selective catheter placement, segmental or subsegmental pulmonary artery SCHEDULED",,,5556.95,5673.94,3
CPT,36015,"Selective catheter placement, segmental or subsegmental pulmonary artery UNSCHEDULED",,,11.51,11.76,3
CPT,36100,"Introduction of needle or intracatheter, carotid or vertebral artery ",,,1423.0,9710.0,99
CPT,36100,"Introduction of needle or intracatheter, carotid or vertebral artery Other Surgical Services",,,2850.0,2850.0,4
CPT,36100,"Introduction of needle or intracatheter, carotid or vertebral artery SCHEDULED",,,5556.95,5673.94,3
CPT,36100,"Introduction of needle or intracatheter, carotid or vertebral artery UNSCHEDULED",,,2762.77,2820.93,3
CPT,36120,HIntroduction of needle or intracatheter; retrograde brachial artery ,,,1423.0,3251.0,28
CPT,36120,HIntroduction of needle or intracatheter; retrograde brachial artery SCHEDULED,,,5556.95,5673.94,3
CPT,36120,HIntroduction of needle or intracatheter; retrograde brachial artery UNSCHEDULED,,,2762.77,2820.93,3
CPT,36140,"Introduction of needle or intracatheter, upper or lower extremity artery ",,,1423.0,9710.0,95
CPT,36140,"Introduction of needle or intracatheter, upper or lower extremity artery Other Surgical Services",,,4150.0,4150.0,1
CPT,36140,"Introduction of needle or intracatheter, upper or lower extremity artery SCHEDULED",,,5556.95,5673.94,3
CPT,36140,"Introduction of needle or intracatheter, upper or lower extremity artery UNSCHEDULED",,,251.26,256.55,3
CPT,36145,ARTERY TO VEIN SHUNT SCHEDULED,,,5556.95,5673.94,3
CPT,36145,ARTERY TO VEIN SHUNT UNSCHEDULED,,,2762.77,2820.93,3
CPT,36147,ACCESS AV DIAL GRFT FOR EVAL ,,,2820.0,5414.0,28
CPT,36147,ACCESS AV DIAL GRFT FOR EVAL SCHEDULED,,,5556.95,5673.94,3
CPT,36147,ACCESS AV DIAL GRFT FOR EVAL UNSCHEDULED,,,2762.77,2820.93,3
CPT,36148,ACCESS AV DIAL GRFT FOR PROC ,,,1423.0,3251.0,28
CPT,36148,ACCESS AV DIAL GRFT FOR PROC SCHEDULED,,,5556.95,5673.94,3
CPT,36148,ACCESS AV DIAL GRFT FOR PROC UNSCHEDULED,,,2762.77,2820.93,3
CPT,36160,"Introduction of needle or intracatheter, aortic, translumbar ",,,1423.0,9710.0,99
CPT,36160,"Introduction of needle or intracatheter, aortic, translumbar Other Surgical Services",,,2850.0,2850.0,4
CPT,36160,"Introduction of needle or intracatheter, aortic, translumbar SCHEDULED",,,5556.95,5673.94,3
CPT,36160,"Introduction of needle or intracatheter, aortic, translumbar UNSCHEDULED",,,2762.77,2820.93,3
CPT,36200,"Introduction of catheter, aorta ",,,1423.0,9710.0,95
CPT,36200,"Introduction of catheter, aorta Other Surgical Services",,,4150.0,4150.0,1
CPT,36200,"Introduction of catheter, aorta SCHEDULED",,,1236.39,1262.42,3
CPT,36200,"Introduction of catheter, aorta UNSCHEDULED",,,2762.77,2820.93,3
CPT,36215,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family ",,,1423.0,9710.0,95
CPT,36215,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family Other Surgical Services",,,4150.0,4150.0,1
CPT,36215,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family SCHEDULED",,,1362.01,1390.69,3
CPT,36215,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family UNSCHEDULED",,,2762.77,2820.93,3
CPT,36216,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family ",,,1423.0,9710.0,95
CPT,36216,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family Other Surgical Services",,,4150.0,4150.0,1
CPT,36216,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family SCHEDULED",,,922.32,941.73,3
CPT,36216,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family UNSCHEDULED",,,2762.77,2820.93,3
CPT,36217,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family ",,,1423.0,9710.0,95
CPT,36217,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family Other Surgical Services",,,4150.0,4150.0,1
CPT,36217,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family SCHEDULED",,,1539.99,1572.41,3
CPT,36217,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family UNSCHEDULED",,,2762.77,2820.93,3
CPT,36218,"Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial seco",,,1423.0,9710.0,102
CPT,36221,"Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervi",,,2350.0,14792.0,109
CPT,36222,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological superv",,,2350.0,14792.0,109
CPT,36223,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological superv",,,2350.0,18507.0,109
CPT,36224,"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, ",,,2350.0,18507.0,109
CPT,36225,"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, inc",,,2350.0,14792.0,109
CPT,36226,"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiograp",,,2350.0,18507.0,109
CPT,36227,"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List",,,1423.0,9710.0,102
CPT,36228,"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological su",,,1423.0,9710.0,102
CPT,36245,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,1423.0,9710.0,95
CPT,36245,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family Other Surgical Services",,,4150.0,4150.0,1
CPT,36245,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family SCHEDULED",,,5556.95,5673.94,3
CPT,36245,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family UNSCHEDULED",,,1231.15,1257.07,3
CPT,36246,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,1423.0,9710.0,95
CPT,36246,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family Other Surgical Services",,,4150.0,4150.0,1
CPT,36246,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family SCHEDULED",,,5330.81,5443.04,3
CPT,36246,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family UNSCHEDULED",,,2373.32,2423.28,3
CPT,36247,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,1423.0,9710.0,95
CPT,36247,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family Other Surgical Services",,,4150.0,4150.0,1
CPT,36247,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family SCHEDULED",,,4653.47,4751.44,3
CPT,36247,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family UNSCHEDULED",,,2809.88,2869.04,3
CPT,36248,"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code",,,1423.0,9710.0,109
CPT,36251,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,1950.0,14792.0,116
CPT,36252,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,1950.0,14792.0,116
CPT,36253,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,1950.0,18507.0,116
CPT,36254,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,1950.0,14792.0,116
CPT,36260,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) ",,,1950.0,23350.0,106
CPT,36260,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Other Surgical Services",,,2850.0,2850.0,4
CPT,36260,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) SCHEDULED",,,5556.95,5673.94,3
CPT,36260,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) UNSCHEDULED",,,2762.77,2820.93,3
CPT,36261,Revision of implanted intra-arterial infusion pump ,,,1950.0,18507.0,106
CPT,36261,Revision of implanted intra-arterial infusion pump Other Surgical Services,,,2850.0,2850.0,4
CPT,36261,Revision of implanted intra-arterial infusion pump SCHEDULED,,,5556.95,5673.94,3
CPT,36261,Revision of implanted intra-arterial infusion pump UNSCHEDULED,,,2762.77,2820.93,3
CPT,36262,Removal of implanted intra-arterial infusion pump ,,,1950.0,18507.0,106
CPT,36262,Removal of implanted intra-arterial infusion pump Other Surgical Services,,,2850.0,2850.0,4
CPT,36262,Removal of implanted intra-arterial infusion pump SCHEDULED,,,5556.95,5673.94,3
CPT,36262,Removal of implanted intra-arterial infusion pump UNSCHEDULED,,,2762.77,2820.93,3
CPT,36299,"Unlisted procedure, vascular injection ",,,1423.0,9710.0,99
CPT,36299,"Unlisted procedure, vascular injection Other Surgical Services",,,2850.0,2850.0,4
CPT,36299,"Unlisted procedure, vascular injection SCHEDULED",,,5556.95,5673.94,3
CPT,36299,"Unlisted procedure, vascular injection UNSCHEDULED",,,2762.77,2820.93,3
CPT,36400,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein ",,,1950.0,6802.0,59
CPT,36400,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein Other Surgi",,,2850.0,2850.0,4
CPT,36405,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein ",,,1950.0,6802.0,59
CPT,36405,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein Other Surgical Services",,,2850.0,2850.0,4
CPT,36406,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein ",,,1950.0,6802.0,59
CPT,36406,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein Other Surgical Services",,,2850.0,2850.0,4
CPT,36410,MIDLINE > 3 YO VENIPUNCT,174.0,174.0,9.22,208.8,17
CPT,36410,"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for ",174.0,174.0,1950.0,6802.0,63
CPT,36415,Collection of venous blood by venipuncture ,45.0,45.0,3.0,2702.0,80
CPT,36415,Collection of venous blood by venipuncture Other Surgical Services,,,2850.0,2850.0,4
CPT,36415,Collection of venous blood by venipuncture Trauma,,,22.42,22.42,6
CPT,36415,VENIPUNCTURE,45.0,45.0,3.87,54.0,27
CPT,36416,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,2702.0,44
CPT,36416,"Collection of capillary blood specimen (eg, finger, heel, ear stick) Other Surgical Services",,,2850.0,2850.0,4
CPT,36420,"Venipuncture, cutdown; younger than age 1 year ",,,1423.0,6802.0,92
CPT,36420,"Venipuncture, cutdown; younger than age 1 year Other Surgical Services",,,2850.0,2850.0,4
CPT,36425,"Venipuncture, cutdown; age 1 or over ",,,1423.0,6802.0,92
CPT,36425,"Venipuncture, cutdown; age 1 or over Other Surgical Services",,,2850.0,2850.0,4
CPT,36430,BLOOD TRANSFUSION,1021.0,1021.0,87.81,1225.2,224
CPT,36430,"Transfusion, blood or blood components ",,,1423.0,6802.0,102
CPT,36430,"Transfusion, blood or blood components Other Surgical Services",,,2850.0,2850.0,4
CPT,36430,"Transfusion, blood or blood components SCHEDULED",,,482.62,492.78,3
CPT,36430,"Transfusion, blood or blood components UNSCHEDULED",,,2762.77,2820.93,3
CPT,36440,"Push transfusion, blood, 2 years or younger ",,,1423.0,9710.0,105
CPT,36440,"Push transfusion, blood, 2 years or younger Other Surgical Services",,,2850.0,2850.0,4
CPT,36440,"Push transfusion, blood, 2 years or younger SCHEDULED",,,5556.95,5673.94,3
CPT,36440,"Push transfusion, blood, 2 years or younger UNSCHEDULED",,,2762.77,2820.93,3
CPT,36450,"Exchange transfusion, blood; newborn ",,,1423.0,9710.0,105
CPT,36450,"Exchange transfusion, blood; newborn Other Surgical Services",,,2850.0,2850.0,4
CPT,36450,"Exchange transfusion, blood; newborn SCHEDULED",,,5556.95,5673.94,3
CPT,36450,"Exchange transfusion, blood; newborn UNSCHEDULED",,,2762.77,2820.93,3
CPT,36455,EXCHANGE TRANSFUSION,1400.0,1400.0,120.4,1680.0,29
CPT,36455,"Exchange transfusion, blood; other than newborn ",1400.0,1400.0,1423.0,9710.0,105
CPT,36455,"Exchange transfusion, blood; other than newborn Other Surgical Services",,,2850.0,2850.0,4
CPT,36455,"Exchange transfusion, blood; other than newborn SCHEDULED",1400.0,1400.0,5556.95,5673.94,3
CPT,36455,"Exchange transfusion, blood; other than newborn UNSCHEDULED",1400.0,1400.0,2762.77,2820.93,3
CPT,36456,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn ",,,1950.0,9710.0,77
CPT,36456,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn Other Surgical Services",,,2850.0,2850.0,4
CPT,36456,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn SCHEDULED",,,5556.95,5673.94,3
CPT,36456,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn UNSCHEDULED",,,2762.77,2820.93,3
CPT,36460,"Transfusion, intrauterine, fetal ",,,1423.0,9710.0,105
CPT,36460,"Transfusion, intrauterine, fetal Other Surgical Services",,,2850.0,2850.0,4
CPT,36460,"Transfusion, intrauterine, fetal SCHEDULED",,,5556.95,5673.94,3
CPT,36460,"Transfusion, intrauterine, fetal UNSCHEDULED",,,2762.77,2820.93,3
CPT,36465,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity t",,,1950.0,9710.0,88
CPT,36466,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal v",,,1950.0,9710.0,88
CPT,36468,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk ",,,1423.0,9710.0,106
CPT,36468,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk Other Surgical Services",,,2850.0,2850.0,4
CPT,36468,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk SCHEDULED",,,5556.95,5673.94,3
CPT,36468,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk UNSCHEDULED",,,2762.77,2820.93,3
CPT,36469,INJECTION(S) SPIDER VEINS SCHEDULED,,,5556.95,5673.94,3
CPT,36469,INJECTION(S) SPIDER VEINS UNSCHEDULED,,,2762.77,2820.93,3
CPT,36470,Injection of sclerosant; single incompetent vein (other than telangiectasia) ,,,1423.0,9710.0,106
CPT,36470,Injection of sclerosant; single incompetent vein (other than telangiectasia) Other Surgical Services,,,2850.0,2850.0,4
CPT,36470,Injection of sclerosant; single incompetent vein (other than telangiectasia) SCHEDULED,,,5556.95,5673.94,3
CPT,36470,Injection of sclerosant; single incompetent vein (other than telangiectasia) UNSCHEDULED,,,2762.77,2820.93,3
CPT,36471,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg ",,,1423.0,9710.0,106
CPT,36471,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg Other Surgical Services",,,2850.0,2850.0,4
CPT,36471,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg SCHEDULED",,,5556.95,5673.94,3
CPT,36471,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg UNSCHEDULED",,,2762.77,2820.93,3
CPT,36473,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated ",,,1950.0,14792.0,106
CPT,36473,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated Other Surgical Services",,,2850.0,2850.0,4
CPT,36473,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated SCHEDULED",,,5556.95,5673.94,3
CPT,36473,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated UNSCHEDULED",,,2762.77,2820.93,3
CPT,36474,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each thro",,,1423.0,9710.0,109
CPT,36475,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated ",,,1950.0,14792.0,98
CPT,36475,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated Other Surgical Services",,,2850.0,2850.0,4
CPT,36475,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated SCHEDULED",,,5025.12,5130.91,3
CPT,36475,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated UNSCHEDULED",,,2762.77,2820.93,3
CPT,36476,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each throu",,,1423.0,9710.0,109
CPT,36478,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated ",,,1950.0,14792.0,106
CPT,36478,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated Other Surgical Services",,,2850.0,2850.0,4
CPT,36478,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated SCHEDULED",,,5046.06,5152.29,3
CPT,36478,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated UNSCHEDULED",,,2762.77,2820.93,3
CPT,36479,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; subsequent vein(s) treated in a single extremity, each through separa",,,1423.0,9710.0,109
CPT,36481,Percutaneous portal vein catheterization by any method ,,,1423.0,9710.0,99
CPT,36481,Percutaneous portal vein catheterization by any method Other Surgical Services,,,2850.0,2850.0,4
CPT,36481,Percutaneous portal vein catheterization by any method SCHEDULED,,,5556.95,5673.94,3
CPT,36481,Percutaneous portal vein catheterization by any method UNSCHEDULED,,,2762.77,2820.93,3
CPT,36482,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,1950.0,18507.0,88
CPT,36483,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,1950.0,9710.0,81
CPT,36488,"INSERTION OF CATHETER, VEIN SCHEDULED",,,5556.95,5673.94,3
CPT,36488,"INSERTION OF CATHETER, VEIN UNSCHEDULED",,,2762.77,2820.93,3
CPT,36489,"INSERTION OF CATHETER, VEIN SCHEDULED",,,5556.95,5673.94,3
CPT,36489,"INSERTION OF CATHETER, VEIN UNSCHEDULED",,,2762.77,2820.93,3
CPT,36490,"INSERTION OF CATHETER, VEIN SCHEDULED",,,5556.95,5673.94,3
CPT,36490,"INSERTION OF CATHETER, VEIN UNSCHEDULED",,,2762.77,2820.93,3
CPT,36491,"INSERTION OF CATHETER, VEIN SCHEDULED",,,5556.95,5673.94,3
CPT,36491,"INSERTION OF CATHETER, VEIN UNSCHEDULED",,,2762.77,2820.93,3
CPT,36493,REPOSITIONING OF CVC SCHEDULED,,,5556.95,5673.94,3
CPT,36493,REPOSITIONING OF CVC UNSCHEDULED,,,2762.77,2820.93,3
CPT,36500,Venous catheterization for selective organ blood sampling ,,,1423.0,9710.0,99
CPT,36500,Venous catheterization for selective organ blood sampling Other Surgical Services,,,2850.0,2850.0,4
CPT,36500,Venous catheterization for selective organ blood sampling SCHEDULED,,,2222.57,2269.36,3
CPT,36500,Venous catheterization for selective organ blood sampling UNSCHEDULED,,,2762.77,2820.93,3
CPT,36510,"Catheterization of umbilical vein for diagnosis or therapy, newborn ",,,1423.0,9710.0,99
CPT,36510,"Catheterization of umbilical vein for diagnosis or therapy, newborn Other Surgical Services",,,2850.0,2850.0,4
CPT,36510,"Catheterization of umbilical vein for diagnosis or therapy, newborn SCHEDULED",,,5556.95,5673.94,3
CPT,36510,"Catheterization of umbilical vein for diagnosis or therapy, newborn UNSCHEDULED",,,2762.77,2820.93,3
CPT,36511,THER APHERESIS WBC,6944.0,6944.0,1111.04,8332.8,12
CPT,36511,Therapeutic apheresis; for white blood cells ,6944.0,6944.0,1950.0,9710.0,105
CPT,36511,Therapeutic apheresis; for white blood cells Other Surgical Services,6944.0,6944.0,2850.0,2850.0,4
CPT,36511,Therapeutic apheresis; for white blood cells SCHEDULED,6944.0,6944.0,5556.95,5673.94,3
CPT,36511,Therapeutic apheresis; for white blood cells UNSCHEDULED,6944.0,6944.0,2762.77,2820.93,3
CPT,36512,THER APHERESIS RBC,6944.0,6944.0,1111.04,8332.8,12
CPT,36512,Therapeutic apheresis; for red blood cells ,6944.0,6944.0,1950.0,9710.0,105
CPT,36512,Therapeutic apheresis; for red blood cells Other Surgical Services,6944.0,6944.0,2850.0,2850.0,4
CPT,36512,Therapeutic apheresis; for red blood cells SCHEDULED,6944.0,6944.0,5556.95,5673.94,3
CPT,36512,Therapeutic apheresis; for red blood cells UNSCHEDULED,6944.0,6944.0,2762.77,2820.93,3
CPT,36513,THER APHERESIS PLT,2132.0,2132.0,341.12,2558.4,12
CPT,36513,Therapeutic apheresis; for platelets ,2132.0,2132.0,1950.0,9710.0,105
CPT,36513,Therapeutic apheresis; for platelets Other Surgical Services,2132.0,2132.0,2850.0,2850.0,4
CPT,36513,Therapeutic apheresis; for platelets SCHEDULED,2132.0,2132.0,5556.95,5673.94,3
CPT,36513,Therapeutic apheresis; for platelets UNSCHEDULED,2132.0,2132.0,2762.77,2820.93,3
CPT,36514,THER APHERESIS PLASMA,13292.0,13292.0,2126.72,15950.4,12
CPT,36514,Therapeutic apheresis; for plasma pheresis ,13292.0,13292.0,1950.0,9710.0,105
CPT,36514,Therapeutic apheresis; for plasma pheresis Other Surgical Services,13292.0,13292.0,2850.0,2850.0,4
CPT,36514,Therapeutic apheresis; for plasma pheresis SCHEDULED,13292.0,13292.0,5556.95,5673.94,3
CPT,36514,Therapeutic apheresis; for plasma pheresis UNSCHEDULED,13292.0,13292.0,2762.77,2820.93,3
CPT,36515,HTherapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion ,,,7583.0,9539.0,28
CPT,36515,HTherapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion SCHEDULED,,,5556.95,5673.94,3
CPT,36515,HTherapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion UNSCHEDULED,,,2762.77,2820.93,3
CPT,36516,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion ",,,1950.0,18507.0,105
CPT,36516,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion Other Surgical Services",,,2850.0,2850.0,4
CPT,36516,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion SCHEDULED",,,5556.95,5673.94,3
CPT,36516,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion UNSCHEDULED",,,2762.77,2820.93,3
CPT,36520,Plasma and/or cell exchange SCHEDULED,,,5556.95,5673.94,3
CPT,36520,Plasma and/or cell exchange UNSCHEDULED,,,2762.77,2820.93,3
CPT,36521,Apheresis w/ adsorp/reinfuse SCHEDULED,,,5556.95,5673.94,3
CPT,36521,Apheresis w/ adsorp/reinfuse UNSCHEDULED,,,2762.77,2820.93,3
CPT,36522,"Photopheresis, extracorporeal ",,,1950.0,18507.0,105
CPT,36522,"Photopheresis, extracorporeal Other Surgical Services",,,2850.0,2850.0,4
CPT,36522,"Photopheresis, extracorporeal SCHEDULED",,,5556.95,5673.94,3
CPT,36522,"Photopheresis, extracorporeal UNSCHEDULED",,,2762.77,2820.93,3
CPT,36530,INSERTION OF INFUSION PUMP SCHEDULED,,,5556.95,5673.94,3
CPT,36530,INSERTION OF INFUSION PUMP UNSCHEDULED,,,2762.77,2820.93,3
CPT,36531,REVISION OF INFUSION PUMP SCHEDULED,,,5556.95,5673.94,3
CPT,36531,REVISION OF INFUSION PUMP UNSCHEDULED,,,2762.77,2820.93,3
CPT,36532,REMOVAL OF INFUSION PUMP SCHEDULED,,,5556.95,5673.94,3
CPT,36532,REMOVAL OF INFUSION PUMP UNSCHEDULED,,,2762.77,2820.93,3
CPT,36533,INSERTION OF ACCESS DEVICE SCHEDULED,,,5556.95,5673.94,3
CPT,36533,INSERTION OF ACCESS DEVICE UNSCHEDULED,,,2762.77,2820.93,3
CPT,36534,REVISION OF ACCESS DEVICE SCHEDULED,,,5556.95,5673.94,3
CPT,36534,REVISION OF ACCESS DEVICE UNSCHEDULED,,,2762.77,2820.93,3
CPT,36535,REMOVAL OF ACCESS DEVICE SCHEDULED,,,5556.95,5673.94,3
CPT,36535,REMOVAL OF ACCESS DEVICE UNSCHEDULED,,,2762.77,2820.93,3
CPT,36540,COLLECT BLOOD VENOUS DEVICE SCHEDULED,,,5556.95,5673.94,3
CPT,36540,COLLECT BLOOD VENOUS DEVICE UNSCHEDULED,,,2762.77,2820.93,3
CPT,36550,DECLOT VASCULAR DEVICE SCHEDULED,,,5556.95,5673.94,3
CPT,36550,DECLOT VASCULAR DEVICE UNSCHEDULED,,,2762.77,2820.93,3
CPT,36555,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age ,,,1950.0,46072.0,78
CPT,36555,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age Other Surgical Services,,,2850.0,2850.0,4
CPT,36555,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age SCHEDULED,,,5556.95,5673.94,3
CPT,36555,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age UNSCHEDULED,,,2762.77,2820.93,3
CPT,36556,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older ,,,1950.0,46072.0,78
CPT,36556,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older Other Surgical Services,,,2850.0,2850.0,4
CPT,36556,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older SCHEDULED,,,1528.47,1560.65,3
CPT,36556,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older UNSCHEDULED,,,1671.9,1707.09,3
CPT,36557,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age ",,,1950.0,46072.0,78
CPT,36557,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age Other Surgical Services",,,2850.0,2850.0,4
CPT,36557,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age SCHEDULED",,,5556.95,5673.94,3
CPT,36557,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age UNSCHEDULED",,,2762.77,2820.93,3
CPT,36558,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older ",,,1950.0,46072.0,143
CPT,36558,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older Other Surgical Services",,,2850.0,2850.0,4
CPT,36558,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older SCHEDULED",,,1772.41,1809.72,3
CPT,36558,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older UNSCHEDULED",,,3274.71,3343.65,3
CPT,36560,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,1950.0,46072.0,78
CPT,36560,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age Other Surgical Services",,,2850.0,2850.0,4
CPT,36560,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age SCHEDULED",,,5556.95,5673.94,3
CPT,36560,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age UNSCHEDULED",,,2762.77,2820.93,3
CPT,36561,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,1950.0,46072.0,143
CPT,36561,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Other Surgical Services",,,2850.0,2850.0,4
CPT,36561,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older SCHEDULED",,,5561.13,5678.21,3
CPT,36561,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older UNSCHEDULED",,,2762.77,2820.93,3
CPT,36563,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump ,,,1950.0,46072.0,143
CPT,36563,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump Other Surgical Services,,,2850.0,2850.0,4
CPT,36563,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump SCHEDULED,,,5556.95,5673.94,3
CPT,36563,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump UNSCHEDULED,,,2762.77,2820.93,3
CPT,36565,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) ",,,1950.0,46072.0,78
CPT,36565,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) Other Surgi",,,2850.0,2850.0,4
CPT,36565,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) SCHEDULED",,,5556.95,5673.94,3
CPT,36565,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) UNSCHEDULED",,,3541.67,3616.23,3
CPT,36566,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) ",,,1950.0,46072.0,78
CPT,36566,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,36566,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) SCHEDULED",,,5556.95,5673.94,3
CPT,36566,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) UNSCHEDULED",,,2715.66,2772.83,3
CPT,36568,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age ",,,1950.0,46072.0,78
CPT,36568,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age Other Surgical Services",,,2850.0,2850.0,4
CPT,36568,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age SCHEDULED",,,5556.95,5673.94,3
CPT,36568,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age UNSCHEDULED",,,2762.77,2820.93,3
CPT,36569,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older ",,,1950.0,46072.0,143
CPT,36569,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older Other Surgical Services",,,2850.0,2850.0,4
CPT,36569,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older SCHEDULED",,,5556.95,5673.94,3
CPT,36569,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older UNSCHEDULED",,,1961.89,2003.2,3
CPT,36570,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,1950.0,46072.0,78
CPT,36570,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age Other Surgical Services",,,2850.0,2850.0,4
CPT,36570,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age SCHEDULED",,,5556.95,5673.94,3
CPT,36570,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age UNSCHEDULED",,,2762.77,2820.93,3
CPT,36571,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,1950.0,46072.0,143
CPT,36571,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older Other Surgical Services",,,2850.0,2850.0,4
CPT,36571,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older SCHEDULED",,,5556.95,5673.94,3
CPT,36571,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older UNSCHEDULED",,,3881.91,3963.63,3
CPT,36572,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,1950.0,46072.0,88
CPT,36573,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,1950.0,46072.0,88
CPT,36575,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site ",,,1950.0,46072.0,78
CPT,36575,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site Other Surgical Services",,,2850.0,2850.0,4
CPT,36575,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site SCHEDULED",,,5556.95,5673.94,3
CPT,36575,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site UNSCHEDULED",,,2762.77,2820.93,3
CPT,36576,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,1950.0,46072.0,78
CPT,36576,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site Other Surgical Services",,,2850.0,2850.0,4
CPT,36576,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site SCHEDULED",,,5556.95,5673.94,3
CPT,36576,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site UNSCHEDULED",,,2762.77,2820.93,3
CPT,36578,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,1950.0,46072.0,78
CPT,36578,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site Other Surgical Services",,,2850.0,2850.0,4
CPT,36578,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site SCHEDULED",,,5556.95,5673.94,3
CPT,36578,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site UNSCHEDULED",,,2219.43,2266.15,3
CPT,36580,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,1950.0,46072.0,78
CPT,36580,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Other Surgical Services",,,2850.0,2850.0,4
CPT,36580,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access SCHEDULED",,,5556.95,5673.94,3
CPT,36580,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access UNSCHEDULED",,,2762.77,2820.93,3
CPT,36581,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,1950.0,46072.0,78
CPT,36581,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Other Surgical Services",,,2850.0,2850.0,4
CPT,36581,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access SCHEDULED",,,6860.34,7004.77,3
CPT,36581,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access UNSCHEDULED",,,2762.77,2820.93,3
CPT,36582,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access ",,,1950.0,46072.0,78
CPT,36582,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access Other Surgical Services",,,2850.0,2850.0,4
CPT,36582,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access SCHEDULED",,,5556.95,5673.94,3
CPT,36582,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access UNSCHEDULED",,,2762.77,2820.93,3
CPT,36583,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access ",,,1950.0,46072.0,78
CPT,36583,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access Other Surgical Services",,,2850.0,2850.0,4
CPT,36583,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access SCHEDULED",,,5556.95,5673.94,3
CPT,36583,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access UNSCHEDULED",,,2762.77,2820.93,3
CPT,36584,"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, an",,,1907.45,46072.0,88
CPT,36585,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access ",,,1950.0,46072.0,78
CPT,36585,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access Other Surgical Services",,,2850.0,2850.0,4
CPT,36585,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access SCHEDULED",,,5556.95,5673.94,3
CPT,36585,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access UNSCHEDULED",,,2762.77,2820.93,3
CPT,36589,"Removal of tunneled central venous catheter, without subcutaneous port or pump ",,,1950.0,46072.0,78
CPT,36589,"Removal of tunneled central venous catheter, without subcutaneous port or pump Other Surgical Services",,,2850.0,2850.0,4
CPT,36589,"Removal of tunneled central venous catheter, without subcutaneous port or pump SCHEDULED",,,1431.11,1461.24,3
CPT,36589,"Removal of tunneled central venous catheter, without subcutaneous port or pump UNSCHEDULED",,,1556.74,1589.51,3
CPT,36590,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion ",,,1950.0,46072.0,143
CPT,36590,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion Other Surgical Services",,,2850.0,2850.0,4
CPT,36590,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion SCHEDULED",,,2119.97,2164.6,3
CPT,36590,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion UNSCHEDULED",,,2762.77,2820.93,3
CPT,36591,COLL BLOOD IMPLANTED VAD,590.0,590.0,50.74,708.0,25
CPT,36591,Collection of blood specimen from a completely implantable venous access device ,590.0,590.0,1479.0,17341.0,73
CPT,36591,Collection of blood specimen from a completely implantable venous access device Other Surgical Services,,,2850.0,2850.0,4
CPT,36592,"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified ",,,1479.0,17341.0,73
CPT,36592,"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified Other Surgical Services",,,2850.0,2850.0,4
CPT,36593,Declotting by thrombolytic agent of implanted vascular access device or catheter ,,,1844.0,46072.0,78
CPT,36593,Declotting by thrombolytic agent of implanted vascular access device or catheter Other Surgical Services,,,2850.0,2850.0,4
CPT,36593,Declotting by thrombolytic agent of implanted vascular access device or catheter SCHEDULED,,,5556.95,5673.94,3
CPT,36593,Declotting by thrombolytic agent of implanted vascular access device or catheter UNSCHEDULED,,,692.0,706.57,3
CPT,36595,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access ",,,1950.0,46072.0,78
CPT,36595,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access Other Surgical Services",,,2850.0,2850.0,4
CPT,36595,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access SCHEDULED",,,5556.95,5673.94,3
CPT,36595,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access UNSCHEDULED",,,2762.77,2820.93,3
CPT,36596,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen ,,,1950.0,46072.0,78
CPT,36596,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen Other Surgical Services,,,2850.0,2850.0,4
CPT,36596,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen SCHEDULED,,,5556.95,5673.94,3
CPT,36596,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen UNSCHEDULED,,,2762.77,2820.93,3
CPT,36597,Repositioning of previously placed central venous catheter under fluoroscopic guidance ,,,1950.0,46072.0,78
CPT,36597,Repositioning of previously placed central venous catheter under fluoroscopic guidance Other Surgical Services,,,2850.0,2850.0,4
CPT,36597,Repositioning of previously placed central venous catheter under fluoroscopic guidance SCHEDULED,,,12394.25,12655.18,3
CPT,36597,Repositioning of previously placed central venous catheter under fluoroscopic guidance UNSCHEDULED,,,2762.77,2820.93,3
CPT,36598,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report ",,,1844.0,46072.0,143
CPT,36598,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report Other Surgical Services",,,2850.0,2850.0,4
CPT,36598,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report SCHEDULED",,,5556.95,5673.94,3
CPT,36598,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report UNSCHEDULED",,,2443.47,2494.91,3
CPT,36600,ARTERIAL PUNCTURE,140.0,140.0,12.04,168.0,29
CPT,36600,"Arterial puncture, withdrawal of blood for diagnosis ",140.0,140.0,1479.0,11462.0,77
CPT,36600,"Arterial puncture, withdrawal of blood for diagnosis Other Surgical Services",,,2850.0,2850.0,4
CPT,36620,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous ",,,1950.0,46072.0,71
CPT,36620,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,36620,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous SCHEDULED",,,1040.62,1062.53,3
CPT,36620,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous UNSCHEDULED",,,4489.11,4583.62,3
CPT,36625,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown ",,,1950.0,46072.0,71
CPT,36625,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown Other Surgical Services",,,2850.0,2850.0,4
CPT,36625,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown SCHEDULED",,,5556.95,5673.94,3
CPT,36625,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown UNSCHEDULED",,,2762.77,2820.93,3
CPT,36640,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown ",,,1950.0,46072.0,78
CPT,36640,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Other Surgical Services",,,2850.0,2850.0,4
CPT,36640,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown SCHEDULED",,,5556.95,5673.94,3
CPT,36640,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown UNSCHEDULED",,,2762.77,2820.93,3
CPT,36660,"Catheterization, umbilical artery, newborn, for diagnosis or therapy ",,,1950.0,46072.0,78
CPT,36660,"Catheterization, umbilical artery, newborn, for diagnosis or therapy Other Surgical Services",,,2850.0,2850.0,4
CPT,36660,"Catheterization, umbilical artery, newborn, for diagnosis or therapy SCHEDULED",,,5556.95,5673.94,3
CPT,36660,"Catheterization, umbilical artery, newborn, for diagnosis or therapy UNSCHEDULED",,,2762.77,2820.93,3
CPT,36680,Placement of needle for intraosseous infusion ,,,1950.0,46072.0,78
CPT,36680,Placement of needle for intraosseous infusion Other Surgical Services,,,2850.0,2850.0,4
CPT,36680,Placement of needle for intraosseous infusion SCHEDULED,,,5556.95,5673.94,3
CPT,36680,Placement of needle for intraosseous infusion UNSCHEDULED,,,316.16,322.82,3
CPT,36800,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,1950.0,46072.0,74
CPT,36800,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein High Cost Surgery",,,3950.0,3950.0,1
CPT,36800,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein Other Surgical Services",,,2850.0,2850.0,4
CPT,36800,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein SCHEDULED",,,5556.95,5673.94,3
CPT,36800,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein UNSCHEDULED",,,2762.77,2820.93,3
CPT,36810,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,1950.0,46072.0,74
CPT,36810,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) High Cost Surgery",,,3950.0,3950.0,1
CPT,36810,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) Other Surgical Services",,,2850.0,2850.0,4
CPT,36810,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) SCHEDULED",,,5556.95,5673.94,3
CPT,36810,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) UNSCHEDULED",,,2762.77,2820.93,3
CPT,36815,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,1950.0,46072.0,74
CPT,36815,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure High Cost Surgery",,,3950.0,3950.0,1
CPT,36815,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure Other Surgical Services",,,2850.0,2850.0,4
CPT,36815,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure SCHEDULED",,,5556.95,5673.94,3
CPT,36815,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure UNSCHEDULED",,,2762.77,2820.93,3
CPT,36818,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,1950.0,46072.0,142
CPT,36818,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition High Cost Surgery",,,3950.0,3950.0,1
CPT,36818,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Other Surgical Services",,,2850.0,2850.0,4
CPT,36818,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition SCHEDULED",,,4970.68,5075.33,3
CPT,36818,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition UNSCHEDULED",,,2762.77,2820.93,3
CPT,36819,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,1950.0,46072.0,77
CPT,36819,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition High Cost Surgery",,,3950.0,3950.0,1
CPT,36819,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition Other Surgical Services",,,2850.0,2850.0,4
CPT,36819,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition SCHEDULED",,,5556.95,5673.94,3
CPT,36819,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition UNSCHEDULED",,,2762.77,2820.93,3
CPT,36820,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,1950.0,46072.0,74
CPT,36820,"Arteriovenous anastomosis, open; by forearm vein transposition High Cost Surgery",,,3950.0,3950.0,1
CPT,36820,"Arteriovenous anastomosis, open; by forearm vein transposition Other Surgical Services",,,2850.0,2850.0,4
CPT,36820,"Arteriovenous anastomosis, open; by forearm vein transposition SCHEDULED",,,5556.95,5673.94,3
CPT,36820,"Arteriovenous anastomosis, open; by forearm vein transposition UNSCHEDULED",,,2762.77,2820.93,3
CPT,36821,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,1950.0,46072.0,142
CPT,36821,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,36821,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,36821,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) SCHEDULED",,,15853.21,16186.96,3
CPT,36821,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) UNSCHEDULED",,,2762.77,2820.93,3
CPT,36822,INSERTION OF CANNULA(S) ,,,22473.0,46072.0,3
CPT,36822,INSERTION OF CANNULA(S) SCHEDULED,,,5556.95,5673.94,3
CPT,36822,INSERTION OF CANNULA(S) UNSCHEDULED,,,2762.77,2820.93,3
CPT,36823,"Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) ",,,1950.0,46072.0,85
CPT,36825,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,1950.0,46072.0,74
CPT,36825,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft High Cost Surgery,,,3950.0,3950.0,1
CPT,36825,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft Other Surgical Services,,,2850.0,2850.0,4
CPT,36825,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft SCHEDULED,,,20772.59,21209.9,3
CPT,36825,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft UNSCHEDULED,,,2762.77,2820.93,3
CPT,36830,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,1950.0,46072.0,77
CPT,36830,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) High Cost Surgery",,,3950.0,3950.0,1
CPT,36830,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,36830,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) SCHEDULED",,,6925.24,7071.04,3
CPT,36830,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) UNSCHEDULED",,,2762.77,2820.93,3
CPT,36831,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1950.0,46072.0,74
CPT,36831,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,36831,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,36831,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) SCHEDULED",,,5556.95,5673.94,3
CPT,36831,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) UNSCHEDULED",,,2762.77,2820.93,3
CPT,36832,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1950.0,46072.0,74
CPT,36832,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,36832,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,36832,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) SCHEDULED",,,5556.95,5673.94,3
CPT,36832,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) UNSCHEDULED",,,2762.77,2820.93,3
CPT,36833,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,1950.0,46072.0,74
CPT,36833,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,36833,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,36833,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) SCHEDULED",,,5556.95,5673.94,3
CPT,36833,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) UNSCHEDULED",,,3541.67,3616.23,3
CPT,36834,REPAIR A-V ANEURYSM ,,,22473.0,46072.0,3
CPT,36834,REPAIR A-V ANEURYSM SCHEDULED,,,5556.95,5673.94,3
CPT,36834,REPAIR A-V ANEURYSM UNSCHEDULED,,,2762.77,2820.93,3
CPT,36835,Insertion of Thomas shunt (separate procedure) ,,,1950.0,46072.0,74
CPT,36835,Insertion of Thomas shunt (separate procedure) High Cost Surgery,,,3950.0,3950.0,1
CPT,36835,Insertion of Thomas shunt (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,36835,Insertion of Thomas shunt (separate procedure) SCHEDULED,,,5556.95,5673.94,3
CPT,36835,Insertion of Thomas shunt (separate procedure) UNSCHEDULED,,,2762.77,2820.93,3
CPT,36836,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,1950.0,46072.0,85
CPT,36837,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,1950.0,46072.0,85
CPT,36838,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,1950.0,46072.0,74
CPT,36838,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) High Cost Surgery",,,3950.0,3950.0,1
CPT,36838,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Other Surgical Services",,,2850.0,2850.0,4
CPT,36838,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) SCHEDULED",,,5556.95,5673.94,3
CPT,36838,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) UNSCHEDULED",,,2762.77,2820.93,3
CPT,36860,External cannula declotting (separate procedure); without balloon catheter ,,,1950.0,46072.0,71
CPT,36860,External cannula declotting (separate procedure); without balloon catheter Cardiac Surgical Services,,,7950.0,7950.0,1
CPT,36860,External cannula declotting (separate procedure); without balloon catheter High Cost Surgery,,,3950.0,3950.0,1
CPT,36860,External cannula declotting (separate procedure); without balloon catheter PTCA/Angioplasty/ EP Studies,,,8300.0,8300.0,1
CPT,36860,External cannula declotting (separate procedure); without balloon catheter SCHEDULED,,,5556.95,5673.94,3
CPT,36860,External cannula declotting (separate procedure); without balloon catheter UNSCHEDULED,,,2762.77,2820.93,3
CPT,36861,External cannula declotting (separate procedure); with balloon catheter ,,,1950.0,46072.0,71
CPT,36861,External cannula declotting (separate procedure); with balloon catheter Cardiac Surgical Services,,,7950.0,7950.0,1
CPT,36861,External cannula declotting (separate procedure); with balloon catheter High Cost Surgery,,,3950.0,3950.0,1
CPT,36861,External cannula declotting (separate procedure); with balloon catheter PTCA/Angioplasty/ EP Studies,,,8300.0,8300.0,1
CPT,36861,External cannula declotting (separate procedure); with balloon catheter SCHEDULED,,,5556.95,5673.94,3
CPT,36861,External cannula declotting (separate procedure); with balloon catheter UNSCHEDULED,,,2762.77,2820.93,3
CPT,36870,PERCUT THROMBECT AV FISTULA ,,,10737.0,13315.0,28
CPT,36870,PERCUT THROMBECT AV FISTULA SCHEDULED,,,5556.95,5673.94,3
CPT,36870,PERCUT THROMBECT AV FISTULA UNSCHEDULED,,,2762.77,2820.93,3
CPT,36901,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,1950.0,9710.0,116
CPT,36902,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,2050.0,23692.0,178
CPT,36903,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,2050.0,23692.0,178
CPT,36904,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,2050.0,18507.0,113
CPT,36905,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,2050.0,23692.0,178
CPT,36906,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,2050.0,23692.0,178
CPT,36907,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,1423.0,23692.0,171
CPT,36908,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,1423.0,9710.0,106
CPT,36909,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,1423.0,9710.0,109
CPT,37140,"Venous anastomosis, open; portocaval ",,,1950.0,31992.0,78
CPT,37140,"Venous anastomosis, open; portocaval Other Surgical Services",,,2850.0,2850.0,4
CPT,37140,"Venous anastomosis, open; portocaval SCHEDULED",,,5556.95,5673.94,3
CPT,37140,"Venous anastomosis, open; portocaval UNSCHEDULED",,,2762.77,2820.93,3
CPT,37145,"Venous anastomosis, open; renoportal ",,,1950.0,31992.0,78
CPT,37145,"Venous anastomosis, open; renoportal Other Surgical Services",,,2850.0,2850.0,4
CPT,37145,"Venous anastomosis, open; renoportal SCHEDULED",,,5556.95,5673.94,3
CPT,37145,"Venous anastomosis, open; renoportal UNSCHEDULED",,,2762.77,2820.93,3
CPT,37160,"Venous anastomosis, open; caval-mesenteric ",,,1950.0,31992.0,78
CPT,37160,"Venous anastomosis, open; caval-mesenteric Other Surgical Services",,,2850.0,2850.0,4
CPT,37160,"Venous anastomosis, open; caval-mesenteric SCHEDULED",,,5556.95,5673.94,3
CPT,37160,"Venous anastomosis, open; caval-mesenteric UNSCHEDULED",,,2762.77,2820.93,3
CPT,37180,"Venous anastomosis, open; splenorenal, proximal ",,,1950.0,31992.0,78
CPT,37180,"Venous anastomosis, open; splenorenal, proximal Other Surgical Services",,,2850.0,2850.0,4
CPT,37180,"Venous anastomosis, open; splenorenal, proximal SCHEDULED",,,5556.95,5673.94,3
CPT,37180,"Venous anastomosis, open; splenorenal, proximal UNSCHEDULED",,,2762.77,2820.93,3
CPT,37181,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,1950.0,31992.0,78
CPT,37181,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) Other Surgical Services",,,2850.0,2850.0,4
CPT,37181,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) SCHEDULED",,,5556.95,5673.94,3
CPT,37181,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) UNSCHEDULED",,,2762.77,2820.93,3
CPT,37182,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,1950.0,19295.0,88
CPT,37183,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,1950.0,19295.0,116
CPT,37184,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,1950.0,18507.0,116
CPT,37185,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,1423.0,9710.0,109
CPT,37186,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,1423.0,9710.0,109
CPT,37187,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,1950.0,18507.0,106
CPT,37187,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,37187,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance SCHEDULED",,,4301.71,4392.28,3
CPT,37187,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance UNSCHEDULED",,,2762.77,2820.93,3
CPT,37188,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,1950.0,14792.0,116
CPT,37191,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,1950.0,22212.0,116
CPT,37192,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,1950.0,14792.0,116
CPT,37193,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,1950.0,14792.0,116
CPT,37195,"Thrombolysis, cerebral, by intravenous infusion ",,,1423.0,9710.0,102
CPT,37195,"Thrombolysis, cerebral, by intravenous infusion Other Surgical Services",,,4150.0,4150.0,1
CPT,37195,"Thrombolysis, cerebral, by intravenous infusion SCHEDULED",,,5556.95,5673.94,3
CPT,37195,"Thrombolysis, cerebral, by intravenous infusion UNSCHEDULED",,,752.72,768.57,3
CPT,37197,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,2350.0,14792.0,131
CPT,37200,Transcatheter biopsy ,,,2350.0,18507.0,102
CPT,37200,Transcatheter biopsy Other Surgical Services,,,4150.0,4150.0,1
CPT,37200,Transcatheter biopsy SCHEDULED,,,5556.95,5673.94,3
CPT,37200,Transcatheter biopsy UNSCHEDULED,,,2762.77,2820.93,3
CPT,37201,TRANSCATHETER THERAPY INFUSE SCHEDULED,,,5556.95,5673.94,3
CPT,37201,TRANSCATHETER THERAPY INFUSE UNSCHEDULED,,,2762.77,2820.93,3
CPT,37202,TRANSCATHETER THERAPY INFUSE ,,,6826.0,6826.0,15
CPT,37202,TRANSCATHETER THERAPY INFUSE SCHEDULED,,,5556.95,5673.94,3
CPT,37202,TRANSCATHETER THERAPY INFUSE UNSCHEDULED,,,2762.77,2820.93,3
CPT,37203,TRANSCATHETER RETRIEVAL SCHEDULED,,,5556.95,5673.94,3
CPT,37203,TRANSCATHETER RETRIEVAL UNSCHEDULED,,,2762.77,2820.93,3
CPT,37204,TRANSCATHETER OCCLUSION SCHEDULED,,,5556.95,5673.94,3
CPT,37204,TRANSCATHETER OCCLUSION UNSCHEDULED,,,2762.77,2820.93,3
CPT,37205,TRANSCATH IV STENT PERCUT ,,,8000.0,8000.0,1
CPT,37205,TRANSCATH IV STENT PERCUT SCHEDULED,,,5556.95,5673.94,3
CPT,37205,TRANSCATH IV STENT PERCUT UNSCHEDULED,,,2762.77,2820.93,3
CPT,37206,TRANSCATH IV STENT/PERC ADDL ,,,8300.0,8300.0,1
CPT,37206,TRANSCATH IV STENT/PERC ADDL SCHEDULED,,,5556.95,5673.94,3
CPT,37206,TRANSCATH IV STENT/PERC ADDL UNSCHEDULED,,,2762.77,2820.93,3
CPT,37207,TRANSCATH IV STENT OPEN SCHEDULED,,,5556.95,5673.94,3
CPT,37207,TRANSCATH IV STENT OPEN UNSCHEDULED,,,2762.77,2820.93,3
CPT,37208,TRANSCATH IV STENT/OPEN ADDL SCHEDULED,,,5556.95,5673.94,3
CPT,37208,TRANSCATH IV STENT/OPEN ADDL UNSCHEDULED,,,2762.77,2820.93,3
CPT,37209,CHANGE IV CATH AT THROMB TX SCHEDULED,,,5556.95,5673.94,3
CPT,37209,CHANGE IV CATH AT THROMB TX UNSCHEDULED,,,2762.77,2820.93,3
CPT,37210,EMBOLIZATION UTERINE FIBROID SCHEDULED,,,5556.95,5673.94,3
CPT,37210,EMBOLIZATION UTERINE FIBROID UNSCHEDULED,,,2762.77,2820.93,3
CPT,37211,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,1950.0,46072.0,75
CPT,37211,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day Other Surgical S",,,2850.0,2850.0,4
CPT,37211,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day SCHEDULED",,,5556.95,5673.94,3
CPT,37211,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day UNSCHEDULED",,,2762.77,2820.93,3
CPT,37212,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,1950.0,46072.0,75
CPT,37212,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day Other Surgical Services",,,2850.0,2850.0,4
CPT,37212,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day SCHEDULED",,,5556.95,5673.94,3
CPT,37212,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day UNSCHEDULED",,,2762.77,2820.93,3
CPT,37213,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,1950.0,46072.0,85
CPT,37214,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,1950.0,46072.0,85
CPT,37215,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,2050.0,46072.0,144
CPT,37216,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,2050.0,46072.0,137
CPT,37217,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,2050.0,46072.0,80
CPT,37218,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,2050.0,46072.0,83
CPT,37220,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,10737.0,46072.0,31
CPT,37220,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty SCHEDULED",,,5556.95,5673.94,3
CPT,37220,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty UNSCHEDULED",,,2762.77,2820.93,3
CPT,37221,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,12760.0,46072.0,31
CPT,37221,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed SCHED",,,6379.81,6514.12,3
CPT,37221,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed UNSCH",,,2762.77,2820.93,3
CPT,37222,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,2762.77,46072.0,37
CPT,37223,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,2762.77,46072.0,37
CPT,37224,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,10737.0,46072.0,31
CPT,37224,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty SCHEDULED",,,6534.75,6672.32,3
CPT,37224,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty UNSCHEDULED",,,2762.77,2820.93,3
CPT,37225,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,12760.0,46072.0,31
CPT,37225,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed SCHEDULED",,,13501.87,13786.12,3
CPT,37225,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed UNSCHEDULED",,,11312.8,11550.96,3
CPT,37226,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,12760.0,46072.0,31
CPT,37226,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed SCHED",,,26329.53,26883.84,3
CPT,37226,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed UNSCH",,,2762.77,2820.93,3
CPT,37227,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,2762.77,46072.0,37
CPT,37228,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,10737.0,46072.0,31
CPT,37228,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty SCHEDULED",,,13258.99,13538.13,3
CPT,37228,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty UNSCHEDULED",,,2762.77,2820.93,3
CPT,37229,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,12760.0,46072.0,31
CPT,37229,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed SCHEDULED",,,26667.69,27229.11,3
CPT,37229,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed UNSCHEDULED",,,25486.78,26023.34,3
CPT,37230,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,2762.77,46072.0,37
CPT,37231,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,2762.77,46072.0,37
CPT,37232,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,2762.77,46072.0,37
CPT,37233,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,2762.77,46072.0,37
CPT,37234,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,2762.77,46072.0,37
CPT,37235,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,2762.77,46072.0,37
CPT,37236,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,1950.0,46072.0,176
CPT,37237,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,2350.0,46072.0,173
CPT,37238,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,1950.0,46072.0,179
CPT,37239,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,2350.0,46072.0,173
CPT,37241,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,2350.0,46072.0,108
CPT,37242,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,2350.0,46072.0,108
CPT,37243,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,2350.0,46072.0,173
CPT,37244,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,2350.0,46072.0,108
CPT,37246,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,388.4,23692.0,175
CPT,37247,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,1423.0,23692.0,168
CPT,37248,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,2250.0,23692.0,175
CPT,37249,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,1423.0,23692.0,168
CPT,37250,IV US FIRST VESSEL ADD-ON SCHEDULED,,,5556.95,5673.94,3
CPT,37250,IV US FIRST VESSEL ADD-ON UNSCHEDULED,,,2762.77,2820.93,3
CPT,37251,IV US EACH ADD VESSEL ADD-ON SCHEDULED,,,5556.95,5673.94,3
CPT,37251,IV US EACH ADD VESSEL ADD-ON UNSCHEDULED,,,2762.77,2820.93,3
CPT,37252,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,1423.0,9710.0,102
CPT,37253,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,1423.0,9710.0,102
CPT,37254,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,2350.0,18507.0,86
CPT,37255,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,2143.0,7350.0,79
CPT,37256,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,2350.0,18507.0,86
CPT,37257,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,2143.0,7350.0,79
CPT,37258,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,2350.0,19295.0,86
CPT,37259,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,2143.0,7350.0,79
CPT,37260,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,1950.0,19295.0,76
CPT,37261,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,2143.0,7350.0,79
CPT,37262,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,2143.0,7350.0,79
CPT,37263,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,2350.0,18507.0,86
CPT,37264,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,2143.0,7350.0,79
CPT,37265,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,2350.0,18507.0,86
CPT,37266,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,2143.0,7350.0,79
CPT,37267,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,2350.0,19295.0,86
CPT,37268,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,2143.0,7350.0,79
CPT,37269,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,2350.0,19295.0,86
CPT,37270,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,2143.0,7350.0,79
CPT,37271,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,2350.0,19295.0,86
CPT,37272,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,2143.0,7350.0,79
CPT,37273,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,2350.0,19295.0,86
CPT,37274,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,2143.0,7350.0,79
CPT,37275,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,2350.0,30016.0,86
CPT,37276,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,2143.0,7350.0,79
CPT,37277,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,2350.0,30016.0,86
CPT,37278,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,2143.0,7350.0,79
CPT,37279,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,2143.0,7350.0,79
CPT,37280,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,2350.0,18507.0,86
CPT,37281,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,2143.0,7350.0,79
CPT,37282,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,2350.0,18507.0,86
CPT,37283,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,2143.0,7350.0,79
CPT,37284,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,2350.0,19295.0,86
CPT,37285,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,2143.0,7350.0,79
CPT,37286,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,2350.0,19295.0,86
CPT,37287,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,2143.0,7350.0,79
CPT,37288,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,2350.0,19295.0,86
CPT,37289,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,2143.0,7350.0,79
CPT,37290,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,2350.0,19295.0,86
CPT,37291,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,2143.0,7350.0,79
CPT,37292,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,2350.0,30016.0,86
CPT,37293,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,2143.0,7350.0,79
CPT,37294,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,2350.0,30016.0,86
CPT,37295,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,2143.0,7350.0,79
CPT,37296,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,2350.0,18507.0,86
CPT,37297,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,2143.0,7350.0,79
CPT,37298,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,2350.0,18507.0,86
CPT,37299,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,2143.0,7350.0,79
CPT,37500,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,7583.0,9539.0,28
CPT,37500,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) SCHEDULED",,,5556.95,5673.94,3
CPT,37500,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) UNSCHEDULED",,,2762.77,2820.93,3
CPT,37501,Unlisted vascular endoscopy procedure ,,,2350.0,9710.0,102
CPT,37501,Unlisted vascular endoscopy procedure Other Surgical Services,,,4150.0,4150.0,1
CPT,37501,Unlisted vascular endoscopy procedure SCHEDULED,,,5556.95,5673.94,3
CPT,37501,Unlisted vascular endoscopy procedure UNSCHEDULED,,,2762.77,2820.93,3
CPT,37565,"Ligation, internal jugular vein ",,,1950.0,14792.0,103
CPT,37565,"Ligation, internal jugular vein Other Surgical Services",,,2850.0,2850.0,4
CPT,37565,"Ligation, internal jugular vein SCHEDULED",,,5556.95,5673.94,3
CPT,37565,"Ligation, internal jugular vein UNSCHEDULED",,,2762.77,2820.93,3
CPT,37600,Ligation; external carotid artery ,,,1950.0,14792.0,103
CPT,37600,Ligation; external carotid artery Other Surgical Services,,,2850.0,2850.0,4
CPT,37600,Ligation; external carotid artery SCHEDULED,,,5556.95,5673.94,3
CPT,37600,Ligation; external carotid artery UNSCHEDULED,,,2762.77,2820.93,3
CPT,37605,Ligation; internal or common carotid artery ,,,1950.0,14792.0,103
CPT,37605,Ligation; internal or common carotid artery Other Surgical Services,,,2850.0,2850.0,4
CPT,37605,Ligation; internal or common carotid artery SCHEDULED,,,5556.95,5673.94,3
CPT,37605,Ligation; internal or common carotid artery UNSCHEDULED,,,2762.77,2820.93,3
CPT,37606,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,1950.0,14792.0,103
CPT,37606,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Other Surgical Services",,,2850.0,2850.0,4
CPT,37606,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp SCHEDULED",,,5556.95,5673.94,3
CPT,37606,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp UNSCHEDULED",,,2762.77,2820.93,3
CPT,37607,Ligation or banding of angioaccess arteriovenous fistula ,,,1950.0,14792.0,103
CPT,37607,Ligation or banding of angioaccess arteriovenous fistula Other Surgical Services,,,2850.0,2850.0,4
CPT,37607,Ligation or banding of angioaccess arteriovenous fistula SCHEDULED,,,5556.95,5673.94,3
CPT,37607,Ligation or banding of angioaccess arteriovenous fistula UNSCHEDULED,,,2762.77,2820.93,3
CPT,37609,"Ligation or biopsy, temporal artery ",,,1950.0,9710.0,103
CPT,37609,"Ligation or biopsy, temporal artery Other Surgical Services",,,2850.0,2850.0,4
CPT,37609,"Ligation or biopsy, temporal artery SCHEDULED",,,5556.95,5673.94,3
CPT,37609,"Ligation or biopsy, temporal artery UNSCHEDULED",,,2762.77,2820.93,3
CPT,37615,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,1950.0,14792.0,103
CPT,37615,"Ligation, major artery (eg, post-traumatic, rupture); neck Other Surgical Services",,,2850.0,2850.0,4
CPT,37615,"Ligation, major artery (eg, post-traumatic, rupture); neck SCHEDULED",,,14138.38,14436.03,3
CPT,37615,"Ligation, major artery (eg, post-traumatic, rupture); neck UNSCHEDULED",,,2762.77,2820.93,3
CPT,37616,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,1950.0,31992.0,75
CPT,37616,"Ligation, major artery (eg, post-traumatic, rupture); chest Other Surgical Services",,,2850.0,2850.0,4
CPT,37616,"Ligation, major artery (eg, post-traumatic, rupture); chest SCHEDULED",,,5556.95,5673.94,3
CPT,37616,"Ligation, major artery (eg, post-traumatic, rupture); chest UNSCHEDULED",,,2762.77,2820.93,3
CPT,37617,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,1950.0,18507.0,75
CPT,37617,"Ligation, major artery (eg, post-traumatic, rupture); abdomen Other Surgical Services",,,2850.0,2850.0,4
CPT,37617,"Ligation, major artery (eg, post-traumatic, rupture); abdomen SCHEDULED",,,5556.95,5673.94,3
CPT,37617,"Ligation, major artery (eg, post-traumatic, rupture); abdomen UNSCHEDULED",,,11719.0,11965.72,3
CPT,37618,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,1950.0,31992.0,75
CPT,37618,"Ligation, major artery (eg, post-traumatic, rupture); extremity Other Surgical Services",,,2850.0,2850.0,4
CPT,37618,"Ligation, major artery (eg, post-traumatic, rupture); extremity SCHEDULED",,,3586.68,3662.19,3
CPT,37618,"Ligation, major artery (eg, post-traumatic, rupture); extremity UNSCHEDULED",,,5235.55,5345.77,3
CPT,37619,Ligation of inferior vena cava ,,,1950.0,18507.0,103
CPT,37619,Ligation of inferior vena cava Other Surgical Services,,,2850.0,2850.0,4
CPT,37619,Ligation of inferior vena cava SCHEDULED,,,5556.95,5673.94,3
CPT,37619,Ligation of inferior vena cava UNSCHEDULED,,,2762.77,2820.93,3
CPT,37620,REVISION OF MAJOR VEIN ,,,3792.0,5211.0,18
CPT,37620,REVISION OF MAJOR VEIN SCHEDULED,,,5556.95,5673.94,3
CPT,37620,REVISION OF MAJOR VEIN UNSCHEDULED,,,2762.77,2820.93,3
CPT,37650,Ligation of femoral vein ,,,1950.0,14792.0,103
CPT,37650,Ligation of femoral vein Other Surgical Services,,,2850.0,2850.0,4
CPT,37650,Ligation of femoral vein SCHEDULED,,,5556.95,5673.94,3
CPT,37650,Ligation of femoral vein UNSCHEDULED,,,2762.77,2820.93,3
CPT,37660,Ligation of common iliac vein ,,,1950.0,31992.0,75
CPT,37660,Ligation of common iliac vein Other Surgical Services,,,2850.0,2850.0,4
CPT,37660,Ligation of common iliac vein SCHEDULED,,,5556.95,5673.94,3
CPT,37660,Ligation of common iliac vein UNSCHEDULED,,,2762.77,2820.93,3
CPT,37700,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,2350.0,14792.0,98
CPT,37700,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions High Cost Surgery",,,3950.0,3950.0,1
CPT,37700,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions Other Surgical Services",,,4150.0,4150.0,1
CPT,37700,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions SCHEDULED",,,4491.2,4585.75,3
CPT,37700,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions UNSCHEDULED",,,2762.77,2820.93,3
CPT,37718,"Ligation, division, and stripping, short saphenous vein ",,,2350.0,14792.0,98
CPT,37718,"Ligation, division, and stripping, short saphenous vein High Cost Surgery",,,3950.0,3950.0,1
CPT,37718,"Ligation, division, and stripping, short saphenous vein Other Surgical Services",,,4150.0,4150.0,1
CPT,37718,"Ligation, division, and stripping, short saphenous vein SCHEDULED",,,5556.95,5673.94,3
CPT,37718,"Ligation, division, and stripping, short saphenous vein UNSCHEDULED",,,2762.77,2820.93,3
CPT,37720,REMOVAL OF LEG VEIN SCHEDULED,,,5556.95,5673.94,3
CPT,37720,REMOVAL OF LEG VEIN UNSCHEDULED,,,2762.77,2820.93,3
CPT,37722,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,2350.0,14792.0,98
CPT,37722,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below High Cost Surgery",,,3950.0,3950.0,1
CPT,37722,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below Other Surgical Services",,,4150.0,4150.0,1
CPT,37722,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below SCHEDULED",,,5556.95,5673.94,3
CPT,37722,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below UNSCHEDULED",,,2762.77,2820.93,3
CPT,37730,REMOVAL OF LEG VEINS SCHEDULED,,,5556.95,5673.94,3
CPT,37730,REMOVAL OF LEG VEINS UNSCHEDULED,,,2762.77,2820.93,3
CPT,37735,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,2350.0,14792.0,106
CPT,37760,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,2350.0,14792.0,98
CPT,37760,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg High Cost Surgery",,,3950.0,3950.0,1
CPT,37760,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg Other Surgical Services",,,4150.0,4150.0,1
CPT,37760,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg SCHEDULED",,,5556.95,5673.94,3
CPT,37760,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg UNSCHEDULED",,,2762.77,2820.93,3
CPT,37761,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,1950.0,14792.0,103
CPT,37761,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg Other Surgical Services",,,2850.0,2850.0,4
CPT,37761,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg SCHEDULED",,,5556.95,5673.94,3
CPT,37761,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg UNSCHEDULED",,,2762.77,2820.93,3
CPT,37765,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,1950.0,14792.0,103
CPT,37765,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions Other Surgical Services",,,2850.0,2850.0,4
CPT,37765,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions SCHEDULED",,,1084.59,1107.42,3
CPT,37765,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions UNSCHEDULED",,,2762.77,2820.93,3
CPT,37766,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,1950.0,14792.0,103
CPT,37766,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions Other Surgical Services",,,2850.0,2850.0,4
CPT,37766,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions SCHEDULED",,,44573.86,45512.25,3
CPT,37766,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions UNSCHEDULED",,,2762.77,2820.93,3
CPT,37780,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,1950.0,14792.0,103
CPT,37780,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,37780,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) SCHEDULED,,,5556.95,5673.94,3
CPT,37780,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) UNSCHEDULED,,,2762.77,2820.93,3
CPT,37785,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,1950.0,14792.0,103
CPT,37785,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg Other Surgical Services",,,2850.0,2850.0,4
CPT,37785,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg SCHEDULED",,,5556.95,5673.94,3
CPT,37785,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg UNSCHEDULED",,,2762.77,2820.93,3
CPT,37788,"Penile revascularization, artery, with or without vein graft ",,,1950.0,31992.0,78
CPT,37788,"Penile revascularization, artery, with or without vein graft Other Surgical Services",,,2850.0,2850.0,4
CPT,37788,"Penile revascularization, artery, with or without vein graft SCHEDULED",,,5556.95,5673.94,3
CPT,37788,"Penile revascularization, artery, with or without vein graft UNSCHEDULED",,,2762.77,2820.93,3
CPT,37790,Penile venous occlusive procedure ,,,1950.0,18507.0,106
CPT,37790,Penile venous occlusive procedure Other Surgical Services,,,2850.0,2850.0,4
CPT,37790,Penile venous occlusive procedure SCHEDULED,,,5556.95,5673.94,3
CPT,37790,Penile venous occlusive procedure UNSCHEDULED,,,2762.77,2820.93,3
CPT,37799,"Unlisted procedure, vascular surgery ",,,1423.0,9710.0,106
CPT,37799,"Unlisted procedure, vascular surgery Other Surgical Services",,,2850.0,2850.0,4
CPT,37799,"Unlisted procedure, vascular surgery SCHEDULED",,,3791.87,3871.7,3
CPT,37799,"Unlisted procedure, vascular surgery UNSCHEDULED",,,6077.25,6205.2,3
CPT,38100,Splenectomy; total (separate procedure) ,,,1950.0,31992.0,78
CPT,38100,Splenectomy; total (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,38101,Splenectomy; partial (separate procedure) ,,,1950.0,31992.0,78
CPT,38101,Splenectomy; partial (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,38102,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,38102,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,38115,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,1950.0,31992.0,78
CPT,38115,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,38120,"Laparoscopy, surgical, splenectomy ",,,2350.0,22212.0,164
CPT,38120,"Laparoscopy, surgical, splenectomy Complex Surgery",,,11754.0,11754.0,22
CPT,38120,"Laparoscopy, surgical, splenectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,38129,"Unlisted laparoscopy procedure, spleen ",,,2350.0,22212.0,164
CPT,38129,"Unlisted laparoscopy procedure, spleen Complex Surgery",,,11754.0,11754.0,22
CPT,38129,"Unlisted laparoscopy procedure, spleen Other Surgical Services",,,4150.0,4150.0,1
CPT,38200,Injection procedure for splenoportography ,,,1423.0,9710.0,99
CPT,38200,Injection procedure for splenoportography Other Surgical Services,,,2850.0,2850.0,4
CPT,38204,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,1950.0,9710.0,62
CPT,38204,Management of recipient hematopoietic progenitor cell donor search and cell acquisition Other Surgical Services,,,2850.0,2850.0,4
CPT,38205,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,1423.0,9710.0,98
CPT,38205,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic Other Surgical Services",,,2850.0,2850.0,4
CPT,38206,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,1950.0,9710.0,105
CPT,38206,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous Other Surgical Services",,,2850.0,2850.0,4
CPT,38207,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,1423.0,9710.0,105
CPT,38207,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage Other Surgical Services,,,2850.0,2850.0,4
CPT,38208,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,1423.0,9710.0,105
CPT,38208,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor Other Surgical Services",,,2850.0,2850.0,4
CPT,38209,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,1423.0,9710.0,105
CPT,38209,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor Other Surgical Services",,,2850.0,2850.0,4
CPT,38210,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,1950.0,9710.0,105
CPT,38210,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion Other Surgical Services",,,2850.0,2850.0,4
CPT,38211,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,1950.0,9710.0,105
CPT,38211,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion Other Surgical Services,,,2850.0,2850.0,4
CPT,38212,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,,,1950.0,9710.0,105
CPT,38212,Transplant preparation of hematopoietic progenitor cells; red blood cell removal Other Surgical Services,,,2850.0,2850.0,4
CPT,38213,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,1950.0,9710.0,105
CPT,38213,Transplant preparation of hematopoietic progenitor cells; platelet depletion Other Surgical Services,,,2850.0,2850.0,4
CPT,38214,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,,,1950.0,9710.0,105
CPT,38214,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion Other Surgical Services,,,2850.0,2850.0,4
CPT,38215,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,1950.0,9710.0,105
CPT,38215,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer Other Surgical Services",,,2850.0,2850.0,4
CPT,38220,Diagnostic bone marrow; aspiration(s) ,,,1950.0,9710.0,106
CPT,38220,Diagnostic bone marrow; aspiration(s) Other Surgical Services,,,2850.0,2850.0,4
CPT,38221,Diagnostic bone marrow; biopsy(ies) ,,,1950.0,9710.0,106
CPT,38221,Diagnostic bone marrow; biopsy(ies) Other Surgical Services,,,2850.0,2850.0,4
CPT,38222,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,1950.0,14792.0,78
CPT,38222,Diagnostic bone marrow; biopsy(ies) and aspiration(s) Other Surgical Services,,,2850.0,2850.0,4
CPT,38225,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,1950.0,9710.0,71
CPT,38225,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day Other Surgical Services",,,2850.0,2850.0,4
CPT,38226,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,1950.0,9710.0,71
CPT,38226,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) Other Surgical Services",,,2850.0,2850.0,4
CPT,38227,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,1950.0,9710.0,71
CPT,38227,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration Other Surgical Services,,,2850.0,2850.0,4
CPT,38228,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,1844.0,9710.0,78
CPT,38228,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous Other Surgical Services",,,2850.0,2850.0,4
CPT,38230,Bone marrow harvesting for transplantation; allogeneic ,,,1950.0,9710.0,106
CPT,38230,Bone marrow harvesting for transplantation; allogeneic Other Surgical Services,,,2850.0,2850.0,4
CPT,38232,Bone marrow harvesting for transplantation; autologous ,,,1950.0,18507.0,106
CPT,38232,Bone marrow harvesting for transplantation; autologous Other Surgical Services,,,2850.0,2850.0,4
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,1950.0,18507.0,106
CPT,38240,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Other Surgical Services,,,2850.0,2850.0,4
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,1950.0,9710.0,106
CPT,38241,Hematopoietic progenitor cell (HPC); autologous transplantation Other Surgical Services,,,2850.0,2850.0,4
CPT,38242,Allogeneic lymphocyte infusions ,,,1950.0,9710.0,106
CPT,38242,Allogeneic lymphocyte infusions Other Surgical Services,,,2850.0,2850.0,4
CPT,38243,Hematopoietic progenitor cell (HPC); HPC boost ,,,1950.0,9710.0,106
CPT,38243,Hematopoietic progenitor cell (HPC); HPC boost Other Surgical Services,,,2850.0,2850.0,4
CPT,38300,Drainage of lymph node abscess or lymphadenitis; simple ,,,1950.0,14792.0,106
CPT,38300,Drainage of lymph node abscess or lymphadenitis; simple Other Surgical Services,,,2850.0,2850.0,4
CPT,38300,Drainage of lymph node abscess or lymphadenitis; simple SCHEDULED,,,117.25,119.72,3
CPT,38305,Drainage of lymph node abscess or lymphadenitis; extensive ,,,1950.0,14792.0,106
CPT,38305,Drainage of lymph node abscess or lymphadenitis; extensive Other Surgical Services,,,2850.0,2850.0,4
CPT,38305,Drainage of lymph node abscess or lymphadenitis; extensive SCHEDULED,,,6235.33,6366.6,3
CPT,38308,Lymphangiotomy or other operations on lymphatic channels ,,,1950.0,18507.0,106
CPT,38308,Lymphangiotomy or other operations on lymphatic channels Other Surgical Services,,,2850.0,2850.0,4
CPT,38308,Lymphangiotomy or other operations on lymphatic channels SCHEDULED,,,6235.33,6366.6,3
CPT,38380,Suture and/or ligation of thoracic duct; cervical approach ,,,1950.0,31992.0,78
CPT,38380,Suture and/or ligation of thoracic duct; cervical approach Other Surgical Services,,,2850.0,2850.0,4
CPT,38380,Suture and/or ligation of thoracic duct; cervical approach SCHEDULED,,,6235.33,6366.6,3
CPT,38381,Suture and/or ligation of thoracic duct; thoracic approach ,,,1950.0,31992.0,78
CPT,38381,Suture and/or ligation of thoracic duct; thoracic approach Other Surgical Services,,,2850.0,2850.0,4
CPT,38381,Suture and/or ligation of thoracic duct; thoracic approach SCHEDULED,,,6235.33,6366.6,3
CPT,38382,Suture and/or ligation of thoracic duct; abdominal approach ,,,1950.0,31992.0,78
CPT,38382,Suture and/or ligation of thoracic duct; abdominal approach Other Surgical Services,,,2850.0,2850.0,4
CPT,38382,Suture and/or ligation of thoracic duct; abdominal approach SCHEDULED,,,6235.33,6366.6,3
CPT,38500,"Biopsy or excision of lymph node(s); open, superficial ",,,2350.0,18507.0,102
CPT,38500,"Biopsy or excision of lymph node(s); open, superficial Other Surgical Services",,,4150.0,4150.0,1
CPT,38500,"Biopsy or excision of lymph node(s); open, superficial SCHEDULED",,,2371.23,2421.15,3
CPT,38505,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,2350.0,9710.0,102
CPT,38505,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) Other Surgical Services",,,4150.0,4150.0,1
CPT,38505,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) SCHEDULED",,,6235.33,6366.6,3
CPT,38510,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,2350.0,22212.0,163
CPT,38510,"Biopsy or excision of lymph node(s); open, deep cervical node(s) Complex Surgery",,,11754.0,11754.0,22
CPT,38510,"Biopsy or excision of lymph node(s); open, deep cervical node(s) High Cost Surgery",,,3950.0,3950.0,1
CPT,38510,"Biopsy or excision of lymph node(s); open, deep cervical node(s) Other Surgical Services",,,4150.0,4150.0,1
CPT,38510,"Biopsy or excision of lymph node(s); open, deep cervical node(s) SCHEDULED",,,6235.33,6366.6,3
CPT,38520,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,2350.0,22212.0,163
CPT,38520,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Complex Surgery",,,11754.0,11754.0,22
CPT,38520,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad High Cost Surgery",,,3950.0,3950.0,1
CPT,38520,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Other Surgical Services",,,4150.0,4150.0,1
CPT,38520,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad SCHEDULED",,,6235.33,6366.6,3
CPT,38525,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,2350.0,22212.0,163
CPT,38525,"Biopsy or excision of lymph node(s); open, deep axillary node(s) Complex Surgery",,,11754.0,11754.0,22
CPT,38525,"Biopsy or excision of lymph node(s); open, deep axillary node(s) High Cost Surgery",,,3950.0,3950.0,1
CPT,38525,"Biopsy or excision of lymph node(s); open, deep axillary node(s) Other Surgical Services",,,4150.0,4150.0,1
CPT,38525,"Biopsy or excision of lymph node(s); open, deep axillary node(s) SCHEDULED",,,6235.33,6366.6,3
CPT,38530,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,1950.0,18507.0,103
CPT,38530,"Biopsy or excision of lymph node(s); open, internal mammary node(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,38530,"Biopsy or excision of lymph node(s); open, internal mammary node(s) SCHEDULED",,,6235.33,6366.6,3
CPT,38531,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,1950.0,18507.0,78
CPT,38531,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,38531,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) SCHEDULED",,,10550.66,10772.78,3
CPT,38542,"Dissection, deep jugular node(s) ",,,1950.0,18507.0,106
CPT,38542,"Dissection, deep jugular node(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,38542,"Dissection, deep jugular node(s) SCHEDULED",,,6235.33,6366.6,3
CPT,38550,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,1950.0,18507.0,106
CPT,38550,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,38550,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection SCHEDULED",,,6235.33,6366.6,3
CPT,38555,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,1950.0,18507.0,106
CPT,38555,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,38555,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection SCHEDULED",,,6235.33,6366.6,3
CPT,38562,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,1950.0,18507.0,78
CPT,38562,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic Other Surgical Services,,,2850.0,2850.0,4
CPT,38562,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic SCHEDULED,,,6235.33,6366.6,3
CPT,38564,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,1950.0,31992.0,78
CPT,38564,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) Other Surgical Services,,,2850.0,2850.0,4
CPT,38564,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) SCHEDULED,,,6235.33,6366.6,3
CPT,38570,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,2350.0,22212.0,164
CPT,38570,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Complex Surgery",,,11754.0,11754.0,22
CPT,38570,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Other Surgical Services",,,4150.0,4150.0,1
CPT,38570,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple SCHEDULED",,,10099.44,10312.06,3
CPT,38571,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,2350.0,22212.0,164
CPT,38571,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Complex Surgery",,,11754.0,11754.0,22
CPT,38571,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,38571,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy SCHEDULED",,,6235.33,6366.6,3
CPT,38572,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,2350.0,22212.0,164
CPT,38572,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple Complex Surgery",,,11754.0,11754.0,22
CPT,38572,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple Other Surgical Services",,,4150.0,4150.0,1
CPT,38572,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple SCHEDULED",,,6235.33,6366.6,3
CPT,38573,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,2350.0,22212.0,162
CPT,38589,"Unlisted laparoscopy procedure, lymphatic system ",,,2350.0,22212.0,164
CPT,38589,"Unlisted laparoscopy procedure, lymphatic system Complex Surgery",,,11754.0,11754.0,22
CPT,38589,"Unlisted laparoscopy procedure, lymphatic system Other Surgical Services",,,4150.0,4150.0,1
CPT,38589,"Unlisted laparoscopy procedure, lymphatic system SCHEDULED",,,6235.33,6366.6,3
CPT,38700,Suprahyoid lymphadenectomy ,,,1950.0,18507.0,106
CPT,38700,Suprahyoid lymphadenectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,38700,Suprahyoid lymphadenectomy SCHEDULED,,,6235.33,6366.6,3
CPT,38720,Cervical lymphadenectomy (complete) ,,,1950.0,18507.0,106
CPT,38720,Cervical lymphadenectomy (complete) Other Surgical Services,,,2850.0,2850.0,4
CPT,38720,Cervical lymphadenectomy (complete) SCHEDULED,,,6235.33,6366.6,3
CPT,38724,Cervical lymphadenectomy (modified radical neck dissection) ,,,1950.0,31992.0,78
CPT,38724,Cervical lymphadenectomy (modified radical neck dissection) Other Surgical Services,,,2850.0,2850.0,4
CPT,38724,Cervical lymphadenectomy (modified radical neck dissection) SCHEDULED,,,6235.33,6366.6,3
CPT,38740,Axillary lymphadenectomy; superficial ,,,1950.0,18507.0,106
CPT,38740,Axillary lymphadenectomy; superficial Other Surgical Services,,,2850.0,2850.0,4
CPT,38740,Axillary lymphadenectomy; superficial SCHEDULED,,,6235.33,6366.6,3
CPT,38745,Axillary lymphadenectomy; complete ,,,1950.0,18507.0,106
CPT,38745,Axillary lymphadenectomy; complete Other Surgical Services,,,2850.0,2850.0,4
CPT,38745,Axillary lymphadenectomy; complete SCHEDULED,,,6235.33,6366.6,3
CPT,38746,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,38746,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,38746,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) SCHEDULED",,,6235.33,6366.6,3
CPT,38747,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,38747,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) Oth",,,2850.0,2850.0,4
CPT,38747,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) SCH",,,6235.33,6366.6,3
CPT,38760,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,1950.0,18507.0,106
CPT,38760,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,38760,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) SCHEDULED",,,6235.33,6366.6,3
CPT,38765,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,1950.0,31992.0,78
CPT,38765,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,38765,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) SCHEDULED",,,6235.33,6366.6,3
CPT,38770,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,1950.0,31992.0,78
CPT,38770,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,38770,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) SCHEDULED",,,6235.33,6366.6,3
CPT,38780,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,1950.0,31992.0,78
CPT,38780,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,38780,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) SCHEDULED",,,6235.33,6366.6,3
CPT,38790,Injection procedure; lymphangiography ,,,1423.0,9710.0,99
CPT,38790,Injection procedure; lymphangiography Other Surgical Services,,,2850.0,2850.0,4
CPT,38790,Injection procedure; lymphangiography SCHEDULED,,,6235.33,6366.6,3
CPT,38792,Injection procedure; radioactive tracer for identification of sentinel node ,,,1423.0,9710.0,106
CPT,38792,Injection procedure; radioactive tracer for identification of sentinel node Other Surgical Services,,,2850.0,2850.0,4
CPT,38792,Injection procedure; radioactive tracer for identification of sentinel node SCHEDULED,,,6235.33,6366.6,3
CPT,38794,"Cannulation, thoracic duct ",,,1423.0,9710.0,99
CPT,38794,"Cannulation, thoracic duct Other Surgical Services",,,2850.0,2850.0,4
CPT,38794,"Cannulation, thoracic duct SCHEDULED",,,6235.33,6366.6,3
CPT,38900,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,38900,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) Other Surgic",,,2850.0,2850.0,4
CPT,38900,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) SCHEDULED",,,6235.33,6366.6,3
CPT,38999,"Unlisted procedure, hemic or lymphatic system ",,,1423.0,9710.0,106
CPT,38999,"Unlisted procedure, hemic or lymphatic system Other Surgical Services",,,2850.0,2850.0,4
CPT,38999,"Unlisted procedure, hemic or lymphatic system SCHEDULED",,,6235.33,6366.6,3
CPT,39000,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,1950.0,31992.0,78
CPT,39000,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach Other Surgical Services",,,2850.0,2850.0,4
CPT,39000,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach SCHEDULED",,,5014.65,5120.22,3
CPT,39010,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,1950.0,31992.0,78
CPT,39010,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,39010,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy SCHEDULED",,,5014.65,5120.22,3
CPT,39200,Resection of mediastinal cyst ,,,1950.0,31992.0,78
CPT,39200,Resection of mediastinal cyst Other Surgical Services,,,2850.0,2850.0,4
CPT,39200,Resection of mediastinal cyst SCHEDULED,,,5014.65,5120.22,3
CPT,39220,Resection of mediastinal tumor ,,,1950.0,31992.0,78
CPT,39220,Resection of mediastinal tumor Other Surgical Services,,,2850.0,2850.0,4
CPT,39220,Resection of mediastinal tumor SCHEDULED,,,5014.65,5120.22,3
CPT,39400,MEDIASTINOSCOPY INCL BIOPSY ,,,3792.0,5211.0,18
CPT,39400,MEDIASTINOSCOPY INCL BIOPSY SCHEDULED,,,5014.65,5120.22,3
CPT,39401,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,1950.0,18507.0,106
CPT,39401,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,39401,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed SCHEDULED",,,5014.65,5120.22,3
CPT,39402,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,1950.0,18507.0,106
CPT,39402,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) Other Surgical Services",,,2850.0,2850.0,4
CPT,39402,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) SCHEDULED",,,5014.65,5120.22,3
CPT,39499,"Unlisted procedure, mediastinum ",,,1950.0,31992.0,78
CPT,39499,"Unlisted procedure, mediastinum Other Surgical Services",,,2850.0,2850.0,4
CPT,39499,"Unlisted procedure, mediastinum SCHEDULED",,,5014.65,5120.22,3
CPT,39501,"Repair, laceration of diaphragm, any approach ",,,1950.0,31992.0,78
CPT,39501,"Repair, laceration of diaphragm, any approach Other Surgical Services",,,2850.0,2850.0,4
CPT,39503,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,1950.0,31992.0,78
CPT,39503,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia Other Surgical Services",,,2850.0,2850.0,4
CPT,39540,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,1950.0,31992.0,78
CPT,39540,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute Other Surgical Services",,,2850.0,2850.0,4
CPT,39541,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,1950.0,31992.0,78
CPT,39541,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic Other Surgical Services",,,2850.0,2850.0,4
CPT,39545,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,1950.0,31992.0,78
CPT,39545,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic Other Surgical Services",,,2850.0,2850.0,4
CPT,39560,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,1950.0,31992.0,78
CPT,39560,"Resection, diaphragm; with simple repair (eg, primary suture) Other Surgical Services",,,2850.0,2850.0,4
CPT,39561,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,1950.0,31992.0,78
CPT,39561,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) Other Surgical Services",,,2850.0,2850.0,4
CPT,39599,"Unlisted procedure, diaphragm ",,,1950.0,31992.0,78
CPT,39599,"Unlisted procedure, diaphragm Other Surgical Services",,,2850.0,2850.0,4
CPT,40490,Biopsy of lip ,,,1423.0,9710.0,106
CPT,40490,Biopsy of lip Other Surgical Services,,,2850.0,2850.0,4
CPT,40490,Biopsy of lip UNSCHEDULED,,,1260.47,1287.01,3
CPT,40500,"Vermilionectomy (lip shave), with mucosal advancement ",,,1950.0,18507.0,106
CPT,40500,"Vermilionectomy (lip shave), with mucosal advancement Other Surgical Services",,,2850.0,2850.0,4
CPT,40500,"Vermilionectomy (lip shave), with mucosal advancement UNSCHEDULED",,,1260.47,1287.01,3
CPT,40510,Excision of lip; transverse wedge excision with primary closure ,,,1950.0,18507.0,106
CPT,40510,Excision of lip; transverse wedge excision with primary closure Other Surgical Services,,,2850.0,2850.0,4
CPT,40510,Excision of lip; transverse wedge excision with primary closure UNSCHEDULED,,,1260.47,1287.01,3
CPT,40520,Excision of lip; V-excision with primary direct linear closure ,,,1950.0,18507.0,106
CPT,40520,Excision of lip; V-excision with primary direct linear closure Other Surgical Services,,,2850.0,2850.0,4
CPT,40520,Excision of lip; V-excision with primary direct linear closure UNSCHEDULED,,,1260.47,1287.01,3
CPT,40525,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,1950.0,18507.0,106
CPT,40525,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) Other Surgical Services",,,2850.0,2850.0,4
CPT,40525,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) UNSCHEDULED",,,1260.47,1287.01,3
CPT,40527,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,1950.0,18507.0,106
CPT,40527,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) Other Surgical Services",,,2850.0,2850.0,4
CPT,40527,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) UNSCHEDULED",,,1260.47,1287.01,3
CPT,40530,"Resection of lip, more than one-fourth, without reconstruction ",,,1950.0,18507.0,106
CPT,40530,"Resection of lip, more than one-fourth, without reconstruction Other Surgical Services",,,2850.0,2850.0,4
CPT,40530,"Resection of lip, more than one-fourth, without reconstruction UNSCHEDULED",,,1260.47,1287.01,3
CPT,40650,"Repair lip, full thickness; vermilion only ",,,1950.0,9710.0,106
CPT,40650,"Repair lip, full thickness; vermilion only Other Surgical Services",,,2850.0,2850.0,4
CPT,40650,"Repair lip, full thickness; vermilion only UNSCHEDULED",,,1260.47,1287.01,3
CPT,40652,"Repair lip, full thickness; up to half vertical height ",,,1950.0,9710.0,106
CPT,40652,"Repair lip, full thickness; up to half vertical height Other Surgical Services",,,2850.0,2850.0,4
CPT,40652,"Repair lip, full thickness; up to half vertical height UNSCHEDULED",,,1207.08,1232.49,3
CPT,40654,"Repair lip, full thickness; over one-half vertical height, or complex ",,,1950.0,9710.0,106
CPT,40654,"Repair lip, full thickness; over one-half vertical height, or complex Other Surgical Services",,,2850.0,2850.0,4
CPT,40654,"Repair lip, full thickness; over one-half vertical height, or complex UNSCHEDULED",,,4565.53,4661.65,3
CPT,40700,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,1950.0,18507.0,106
CPT,40700,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,40700,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral UNSCHEDULED",,,1260.47,1287.01,3
CPT,40701,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,1950.0,18507.0,106
CPT,40701,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Other Surgical Services",,,2850.0,2850.0,4
CPT,40701,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure UNSCHEDULED",,,1260.47,1287.01,3
CPT,40702,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,1950.0,18507.0,106
CPT,40702,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages Other Surgical Services",,,2850.0,2850.0,4
CPT,40702,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages UNSCHEDULED",,,1260.47,1287.01,3
CPT,40720,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,1950.0,18507.0,106
CPT,40720,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Other Surgical Services",,,2850.0,2850.0,4
CPT,40720,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure UNSCHEDULED",,,1260.47,1287.01,3
CPT,40761,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,1950.0,18507.0,106
CPT,40761,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle Other Surgical Services",,,2850.0,2850.0,4
CPT,40761,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle UNSCHEDULED",,,1260.47,1287.01,3
CPT,40799,"Unlisted procedure, lips ",,,1423.0,9710.0,106
CPT,40799,"Unlisted procedure, lips Other Surgical Services",,,2850.0,2850.0,4
CPT,40799,"Unlisted procedure, lips UNSCHEDULED",,,1260.47,1287.01,3
CPT,40800,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,1423.0,9710.0,106
CPT,40800,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple Other Surgical Services",,,2850.0,2850.0,4
CPT,40800,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple SCHEDULED",,,3294.59,3363.95,3
CPT,40800,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple UNSCHEDULED",,,681.53,695.88,3
CPT,40801,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,1950.0,9710.0,106
CPT,40801,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated Other Surgical Services",,,2850.0,2850.0,4
CPT,40801,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated SCHEDULED",,,3294.59,3363.95,3
CPT,40801,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated UNSCHEDULED",,,681.53,695.88,3
CPT,40804,"Removal of embedded foreign body, vestibule of mouth; simple ",,,1423.0,9710.0,106
CPT,40804,"Removal of embedded foreign body, vestibule of mouth; simple Other Surgical Services",,,2850.0,2850.0,4
CPT,40804,"Removal of embedded foreign body, vestibule of mouth; simple SCHEDULED",,,3294.59,3363.95,3
CPT,40804,"Removal of embedded foreign body, vestibule of mouth; simple UNSCHEDULED",,,1072.03,1094.6,3
CPT,40805,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,1950.0,9710.0,106
CPT,40805,"Removal of embedded foreign body, vestibule of mouth; complicated Other Surgical Services",,,2850.0,2850.0,4
CPT,40805,"Removal of embedded foreign body, vestibule of mouth; complicated SCHEDULED",,,3294.59,3363.95,3
CPT,40805,"Removal of embedded foreign body, vestibule of mouth; complicated UNSCHEDULED",,,681.53,695.88,3
CPT,40806,Incision of labial frenum (frenotomy) ,,,1423.0,9710.0,106
CPT,40806,Incision of labial frenum (frenotomy) Other Surgical Services,,,2850.0,2850.0,4
CPT,40806,Incision of labial frenum (frenotomy) SCHEDULED,,,3294.59,3363.95,3
CPT,40806,Incision of labial frenum (frenotomy) UNSCHEDULED,,,681.53,695.88,3
CPT,40808,"Biopsy, vestibule of mouth ",,,1423.0,9710.0,106
CPT,40808,"Biopsy, vestibule of mouth Other Surgical Services",,,2850.0,2850.0,4
CPT,40808,"Biopsy, vestibule of mouth SCHEDULED",,,3294.59,3363.95,3
CPT,40808,"Biopsy, vestibule of mouth UNSCHEDULED",,,681.53,695.88,3
CPT,40810,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,1950.0,18507.0,106
CPT,40810,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair Other Surgical Services",,,2850.0,2850.0,4
CPT,40810,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair SCHEDULED",,,3294.59,3363.95,3
CPT,40810,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair UNSCHEDULED",,,681.53,695.88,3
CPT,40812,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,1950.0,9710.0,106
CPT,40812,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair Other Surgical Services",,,2850.0,2850.0,4
CPT,40812,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair SCHEDULED",,,3294.59,3363.95,3
CPT,40812,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair UNSCHEDULED",,,681.53,695.88,3
CPT,40814,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,1950.0,18507.0,106
CPT,40814,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Other Surgical Services",,,2850.0,2850.0,4
CPT,40814,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair SCHEDULED",,,5456.44,5571.31,3
CPT,40814,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair UNSCHEDULED",,,681.53,695.88,3
CPT,40816,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,1950.0,18507.0,106
CPT,40816,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle Other Surgical Services",,,2850.0,2850.0,4
CPT,40816,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle SCHEDULED",,,3294.59,3363.95,3
CPT,40816,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle UNSCHEDULED",,,681.53,695.88,3
CPT,40818,Excision of mucosa of vestibule of mouth as donor graft ,,,1423.0,9710.0,106
CPT,40818,Excision of mucosa of vestibule of mouth as donor graft Other Surgical Services,,,2850.0,2850.0,4
CPT,40818,Excision of mucosa of vestibule of mouth as donor graft SCHEDULED,,,3294.59,3363.95,3
CPT,40818,Excision of mucosa of vestibule of mouth as donor graft UNSCHEDULED,,,681.53,695.88,3
CPT,40819,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,1950.0,9710.0,106
CPT,40819,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,40819,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) SCHEDULED",,,3294.59,3363.95,3
CPT,40819,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) UNSCHEDULED",,,681.53,695.88,3
CPT,40820,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,1950.0,18507.0,106
CPT,40820,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) Other Surgical Services",,,2850.0,2850.0,4
CPT,40820,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) SCHEDULED",,,3294.59,3363.95,3
CPT,40820,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) UNSCHEDULED",,,681.53,695.88,3
CPT,40830,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,1423.0,9710.0,106
CPT,40830,"Closure of laceration, vestibule of mouth; 2.5 cm or less Other Surgical Services",,,2850.0,2850.0,4
CPT,40830,"Closure of laceration, vestibule of mouth; 2.5 cm or less SCHEDULED",,,3294.59,3363.95,3
CPT,40830,"Closure of laceration, vestibule of mouth; 2.5 cm or less UNSCHEDULED",,,681.53,695.88,3
CPT,40831,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,1950.0,9710.0,106
CPT,40831,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex Other Surgical Services",,,2850.0,2850.0,4
CPT,40831,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex SCHEDULED",,,3294.59,3363.95,3
CPT,40831,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex UNSCHEDULED",,,147.61,150.72,3
CPT,40840,Vestibuloplasty; anterior ,,,1950.0,18507.0,106
CPT,40840,Vestibuloplasty; anterior Other Surgical Services,,,2850.0,2850.0,4
CPT,40840,Vestibuloplasty; anterior SCHEDULED,,,3294.59,3363.95,3
CPT,40840,Vestibuloplasty; anterior UNSCHEDULED,,,681.53,695.88,3
CPT,40842,"Vestibuloplasty; posterior, unilateral ",,,1950.0,18507.0,106
CPT,40842,"Vestibuloplasty; posterior, unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,40842,"Vestibuloplasty; posterior, unilateral SCHEDULED",,,3294.59,3363.95,3
CPT,40842,"Vestibuloplasty; posterior, unilateral UNSCHEDULED",,,681.53,695.88,3
CPT,40843,"Vestibuloplasty; posterior, bilateral ",,,1950.0,18507.0,106
CPT,40843,"Vestibuloplasty; posterior, bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,40843,"Vestibuloplasty; posterior, bilateral SCHEDULED",,,3294.59,3363.95,3
CPT,40843,"Vestibuloplasty; posterior, bilateral UNSCHEDULED",,,681.53,695.88,3
CPT,40844,Vestibuloplasty; entire arch ,,,1950.0,18507.0,106
CPT,40844,Vestibuloplasty; entire arch Other Surgical Services,,,2850.0,2850.0,4
CPT,40844,Vestibuloplasty; entire arch SCHEDULED,,,3294.59,3363.95,3
CPT,40844,Vestibuloplasty; entire arch UNSCHEDULED,,,681.53,695.88,3
CPT,40845,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,1950.0,18507.0,106
CPT,40845,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) Other Surgical Services",,,2850.0,2850.0,4
CPT,40845,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) SCHEDULED",,,1132.74,1156.59,3
CPT,40845,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) UNSCHEDULED",,,681.53,695.88,3
CPT,40899,"Unlisted procedure, vestibule of mouth ",,,1423.0,9710.0,106
CPT,40899,"Unlisted procedure, vestibule of mouth Other Surgical Services",,,2850.0,2850.0,4
CPT,40899,"Unlisted procedure, vestibule of mouth SCHEDULED",,,3294.59,3363.95,3
CPT,40899,"Unlisted procedure, vestibule of mouth UNSCHEDULED",,,681.53,695.88,3
CPT,41000,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,1950.0,9710.0,106
CPT,41000,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual Other Surgical Services",,,2850.0,2850.0,4
CPT,41000,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual SCHEDULED",,,1132.74,1156.59,3
CPT,41000,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual UNSCHEDULED",,,2378.03,2428.09,3
CPT,41005,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,1423.0,9710.0,106
CPT,41005,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial Other Surgical Services",,,2850.0,2850.0,4
CPT,41005,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial SCHEDULED",,,1132.74,1156.59,3
CPT,41005,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial UNSCHEDULED",,,2378.03,2428.09,3
CPT,41006,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,1950.0,9710.0,106
CPT,41006,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid Other Surgical Services",,,2850.0,2850.0,4
CPT,41006,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid SCHEDULED",,,1132.74,1156.59,3
CPT,41006,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid UNSCHEDULED",,,2378.03,2428.09,3
CPT,41007,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,1950.0,9710.0,106
CPT,41007,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space Other Surgical Services",,,2850.0,2850.0,4
CPT,41007,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space SCHEDULED",,,1132.74,1156.59,3
CPT,41007,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space UNSCHEDULED",,,2378.03,2428.09,3
CPT,41008,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,1950.0,18507.0,106
CPT,41008,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space Other Surgical Services",,,2850.0,2850.0,4
CPT,41008,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space SCHEDULED",,,1132.74,1156.59,3
CPT,41008,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space UNSCHEDULED",,,2378.03,2428.09,3
CPT,41009,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,1423.0,9710.0,106
CPT,41009,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space Other Surgical Services",,,2850.0,2850.0,4
CPT,41009,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space SCHEDULED",,,1132.74,1156.59,3
CPT,41009,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space UNSCHEDULED",,,2378.03,2428.09,3
CPT,41010,Incision of lingual frenum (frenotomy) ,,,1950.0,9710.0,106
CPT,41010,Incision of lingual frenum (frenotomy) Other Surgical Services,,,2850.0,2850.0,4
CPT,41010,Incision of lingual frenum (frenotomy) SCHEDULED,,,1132.74,1156.59,3
CPT,41010,Incision of lingual frenum (frenotomy) UNSCHEDULED,,,2378.03,2428.09,3
CPT,41015,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,1423.0,9710.0,106
CPT,41015,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Other Surgical Services",,,2850.0,2850.0,4
CPT,41015,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual SCHEDULED",,,1132.74,1156.59,3
CPT,41015,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual UNSCHEDULED",,,2378.03,2428.09,3
CPT,41016,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,1950.0,18507.0,106
CPT,41016,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Other Surgical Services",,,2850.0,2850.0,4
CPT,41016,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental SCHEDULED",,,1132.74,1156.59,3
CPT,41016,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental UNSCHEDULED",,,2378.03,2428.09,3
CPT,41017,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,1950.0,18507.0,106
CPT,41017,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Other Surgical Services",,,2850.0,2850.0,4
CPT,41017,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular SCHEDULED",,,1132.74,1156.59,3
CPT,41017,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular UNSCHEDULED",,,2378.03,2428.09,3
CPT,41018,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,1950.0,9710.0,106
CPT,41018,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Other Surgical Services",,,2850.0,2850.0,4
CPT,41018,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space SCHEDULED",,,1132.74,1156.59,3
CPT,41018,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space UNSCHEDULED",,,2378.03,2428.09,3
CPT,41019,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,1950.0,18507.0,106
CPT,41019,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application Other Surgical Servic",,,2850.0,2850.0,4
CPT,41019,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application SCHEDULED",,,1132.74,1156.59,3
CPT,41019,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application UNSCHEDULED",,,2378.03,2428.09,3
CPT,41100,Biopsy of tongue; anterior two-thirds ,,,1950.0,9710.0,106
CPT,41100,Biopsy of tongue; anterior two-thirds Other Surgical Services,,,2850.0,2850.0,4
CPT,41100,Biopsy of tongue; anterior two-thirds SCHEDULED,,,1132.74,1156.59,3
CPT,41100,Biopsy of tongue; anterior two-thirds UNSCHEDULED,,,2378.03,2428.09,3
CPT,41105,Biopsy of tongue; posterior one-third ,,,1950.0,18507.0,106
CPT,41105,Biopsy of tongue; posterior one-third Other Surgical Services,,,2850.0,2850.0,4
CPT,41105,Biopsy of tongue; posterior one-third SCHEDULED,,,1132.74,1156.59,3
CPT,41105,Biopsy of tongue; posterior one-third UNSCHEDULED,,,2378.03,2428.09,3
CPT,41108,Biopsy of floor of mouth ,,,1950.0,9710.0,106
CPT,41108,Biopsy of floor of mouth Other Surgical Services,,,2850.0,2850.0,4
CPT,41108,Biopsy of floor of mouth SCHEDULED,,,1132.74,1156.59,3
CPT,41108,Biopsy of floor of mouth UNSCHEDULED,,,2378.03,2428.09,3
CPT,41110,Excision of lesion of tongue without closure ,,,1950.0,18507.0,106
CPT,41110,Excision of lesion of tongue without closure Other Surgical Services,,,2850.0,2850.0,4
CPT,41110,Excision of lesion of tongue without closure SCHEDULED,,,1132.74,1156.59,3
CPT,41110,Excision of lesion of tongue without closure UNSCHEDULED,,,2378.03,2428.09,3
CPT,41112,Excision of lesion of tongue with closure; anterior two-thirds ,,,1950.0,18507.0,106
CPT,41112,Excision of lesion of tongue with closure; anterior two-thirds Other Surgical Services,,,2850.0,2850.0,4
CPT,41112,Excision of lesion of tongue with closure; anterior two-thirds SCHEDULED,,,1132.74,1156.59,3
CPT,41112,Excision of lesion of tongue with closure; anterior two-thirds UNSCHEDULED,,,2378.03,2428.09,3
CPT,41113,Excision of lesion of tongue with closure; posterior one-third ,,,1950.0,18507.0,106
CPT,41113,Excision of lesion of tongue with closure; posterior one-third Other Surgical Services,,,2850.0,2850.0,4
CPT,41113,Excision of lesion of tongue with closure; posterior one-third SCHEDULED,,,1132.74,1156.59,3
CPT,41113,Excision of lesion of tongue with closure; posterior one-third UNSCHEDULED,,,2378.03,2428.09,3
CPT,41114,Excision of lesion of tongue with closure; with local tongue flap ,,,1950.0,18507.0,106
CPT,41114,Excision of lesion of tongue with closure; with local tongue flap Other Surgical Services,,,2850.0,2850.0,4
CPT,41114,Excision of lesion of tongue with closure; with local tongue flap SCHEDULED,,,1132.74,1156.59,3
CPT,41114,Excision of lesion of tongue with closure; with local tongue flap UNSCHEDULED,,,2378.03,2428.09,3
CPT,41115,Excision of lingual frenum (frenectomy) ,,,1950.0,9710.0,106
CPT,41115,Excision of lingual frenum (frenectomy) Other Surgical Services,,,2850.0,2850.0,4
CPT,41115,Excision of lingual frenum (frenectomy) SCHEDULED,,,1132.74,1156.59,3
CPT,41115,Excision of lingual frenum (frenectomy) UNSCHEDULED,,,2378.03,2428.09,3
CPT,41116,"Excision, lesion of floor of mouth ",,,1950.0,18507.0,106
CPT,41116,"Excision, lesion of floor of mouth Other Surgical Services",,,2850.0,2850.0,4
CPT,41116,"Excision, lesion of floor of mouth SCHEDULED",,,1132.74,1156.59,3
CPT,41116,"Excision, lesion of floor of mouth UNSCHEDULED",,,2378.03,2428.09,3
CPT,41120,Glossectomy; less than one-half tongue ,,,1950.0,18507.0,106
CPT,41120,Glossectomy; less than one-half tongue Other Surgical Services,,,2850.0,2850.0,4
CPT,41120,Glossectomy; less than one-half tongue SCHEDULED,,,1132.74,1156.59,3
CPT,41120,Glossectomy; less than one-half tongue UNSCHEDULED,,,2378.03,2428.09,3
CPT,41130,Glossectomy; hemiglossectomy ,,,1950.0,31992.0,78
CPT,41130,Glossectomy; hemiglossectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,41130,Glossectomy; hemiglossectomy SCHEDULED,,,1132.74,1156.59,3
CPT,41130,Glossectomy; hemiglossectomy UNSCHEDULED,,,2378.03,2428.09,3
CPT,41135,"Glossectomy; partial, with unilateral radical neck dissection ",,,1950.0,31992.0,78
CPT,41135,"Glossectomy; partial, with unilateral radical neck dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,41135,"Glossectomy; partial, with unilateral radical neck dissection SCHEDULED",,,1132.74,1156.59,3
CPT,41135,"Glossectomy; partial, with unilateral radical neck dissection UNSCHEDULED",,,2378.03,2428.09,3
CPT,41140,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,1950.0,31992.0,78
CPT,41140,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,41140,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection SCHEDULED",,,1132.74,1156.59,3
CPT,41140,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection UNSCHEDULED",,,2378.03,2428.09,3
CPT,41145,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,1950.0,31992.0,78
CPT,41145,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,41145,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection SCHEDULED",,,1132.74,1156.59,3
CPT,41145,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection UNSCHEDULED",,,2378.03,2428.09,3
CPT,41150,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,1950.0,31992.0,78
CPT,41150,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,41150,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection SCHEDULED",,,1132.74,1156.59,3
CPT,41150,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection UNSCHEDULED",,,2378.03,2428.09,3
CPT,41153,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,1950.0,31992.0,78
CPT,41153,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,41153,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection SCHEDULED",,,1132.74,1156.59,3
CPT,41153,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection UNSCHEDULED",,,2378.03,2428.09,3
CPT,41155,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,1950.0,31992.0,78
CPT,41155,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) Other Surgical Services",,,2850.0,2850.0,4
CPT,41155,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) SCHEDULED",,,1132.74,1156.59,3
CPT,41155,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) UNSCHEDULED",,,2378.03,2428.09,3
CPT,41250,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,1423.0,9710.0,106
CPT,41250,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue Other Surgical Services,,,2850.0,2850.0,4
CPT,41250,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue SCHEDULED,,,1132.74,1156.59,3
CPT,41250,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue UNSCHEDULED,,,190.53,194.54,3
CPT,41251,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,1423.0,9710.0,106
CPT,41251,Repair of laceration 2.5 cm or less; posterior one-third of tongue Other Surgical Services,,,2850.0,2850.0,4
CPT,41251,Repair of laceration 2.5 cm or less; posterior one-third of tongue SCHEDULED,,,1132.74,1156.59,3
CPT,41251,Repair of laceration 2.5 cm or less; posterior one-third of tongue UNSCHEDULED,,,2378.03,2428.09,3
CPT,41252,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,1844.0,9710.0,106
CPT,41252,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex Other Surgical Services",,,2850.0,2850.0,4
CPT,41252,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex SCHEDULED",,,1132.74,1156.59,3
CPT,41252,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex UNSCHEDULED",,,4565.53,4661.65,3
CPT,41500,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,2820.0,5414.0,28
CPT,41500,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) SCHEDULED",,,1132.74,1156.59,3
CPT,41500,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) UNSCHEDULED",,,2378.03,2428.09,3
CPT,41510,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,1950.0,18507.0,106
CPT,41510,Suture of tongue to lip for micrognathia (Douglas type procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,41510,Suture of tongue to lip for micrognathia (Douglas type procedure) SCHEDULED,,,1132.74,1156.59,3
CPT,41510,Suture of tongue to lip for micrognathia (Douglas type procedure) UNSCHEDULED,,,2378.03,2428.09,3
CPT,41512,"Tongue base suspension, permanent suture technique ",,,1950.0,18507.0,106
CPT,41512,"Tongue base suspension, permanent suture technique Other Surgical Services",,,2850.0,2850.0,4
CPT,41512,"Tongue base suspension, permanent suture technique SCHEDULED",,,1132.74,1156.59,3
CPT,41512,"Tongue base suspension, permanent suture technique UNSCHEDULED",,,2378.03,2428.09,3
CPT,41520,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,1950.0,18507.0,106
CPT,41520,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Other Surgical Services",,,2850.0,2850.0,4
CPT,41520,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) SCHEDULED",,,1132.74,1156.59,3
CPT,41520,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) UNSCHEDULED",,,2378.03,2428.09,3
CPT,41530,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,1950.0,18507.0,106
CPT,41530,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session Other Surgical Services",,,2850.0,2850.0,4
CPT,41530,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session SCHEDULED",,,1132.74,1156.59,3
CPT,41530,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session UNSCHEDULED",,,2378.03,2428.09,3
CPT,41599,"Unlisted procedure, tongue, floor of mouth ",,,1423.0,9710.0,106
CPT,41599,"Unlisted procedure, tongue, floor of mouth Other Surgical Services",,,2850.0,2850.0,4
CPT,41599,"Unlisted procedure, tongue, floor of mouth SCHEDULED",,,1132.74,1156.59,3
CPT,41599,"Unlisted procedure, tongue, floor of mouth UNSCHEDULED",,,2378.03,2428.09,3
CPT,41800,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,1423.0,9710.0,106
CPT,41800,"Drainage of abscess, cyst, hematoma from dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,4
CPT,41800,"Drainage of abscess, cyst, hematoma from dentoalveolar structures SCHEDULED",,,7523.02,7681.4,3
CPT,41800,"Drainage of abscess, cyst, hematoma from dentoalveolar structures UNSCHEDULED",,,572.65,584.71,3
CPT,41805,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,1950.0,9710.0,106
CPT,41805,Removal of embedded foreign body from dentoalveolar structures; soft tissues Other Surgical Services,,,2850.0,2850.0,4
CPT,41805,Removal of embedded foreign body from dentoalveolar structures; soft tissues SCHEDULED,,,7523.02,7681.4,3
CPT,41805,Removal of embedded foreign body from dentoalveolar structures; soft tissues UNSCHEDULED,,,399.91,408.33,3
CPT,41806,Removal of embedded foreign body from dentoalveolar structures; bone ,,,1950.0,9710.0,106
CPT,41806,Removal of embedded foreign body from dentoalveolar structures; bone Other Surgical Services,,,2850.0,2850.0,4
CPT,41806,Removal of embedded foreign body from dentoalveolar structures; bone SCHEDULED,,,7523.02,7681.4,3
CPT,41806,Removal of embedded foreign body from dentoalveolar structures; bone UNSCHEDULED,,,399.91,408.33,3
CPT,41820,"Gingivectomy, excision gingiva, each quadrant ",,,1950.0,18507.0,106
CPT,41820,"Gingivectomy, excision gingiva, each quadrant Other Surgical Services",,,2850.0,2850.0,4
CPT,41820,"Gingivectomy, excision gingiva, each quadrant SCHEDULED",,,7523.02,7681.4,3
CPT,41820,"Gingivectomy, excision gingiva, each quadrant UNSCHEDULED",,,399.91,408.33,3
CPT,41821,"Operculectomy, excision pericoronal tissues ",,,1950.0,9710.0,106
CPT,41821,"Operculectomy, excision pericoronal tissues Other Surgical Services",,,2850.0,2850.0,4
CPT,41821,"Operculectomy, excision pericoronal tissues SCHEDULED",,,7523.02,7681.4,3
CPT,41821,"Operculectomy, excision pericoronal tissues UNSCHEDULED",,,399.91,408.33,3
CPT,41822,"Excision of fibrous tuberosities, dentoalveolar structures ",,,1950.0,9710.0,106
CPT,41822,"Excision of fibrous tuberosities, dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,4
CPT,41822,"Excision of fibrous tuberosities, dentoalveolar structures SCHEDULED",,,7523.02,7681.4,3
CPT,41822,"Excision of fibrous tuberosities, dentoalveolar structures UNSCHEDULED",,,399.91,408.33,3
CPT,41823,"Excision of osseous tuberosities, dentoalveolar structures ",,,1950.0,18507.0,106
CPT,41823,"Excision of osseous tuberosities, dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,4
CPT,41823,"Excision of osseous tuberosities, dentoalveolar structures SCHEDULED",,,7523.02,7681.4,3
CPT,41823,"Excision of osseous tuberosities, dentoalveolar structures UNSCHEDULED",,,399.91,408.33,3
CPT,41825,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,1950.0,18507.0,106
CPT,41825,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair Other Surgical Services",,,2850.0,2850.0,4
CPT,41825,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair SCHEDULED",,,7523.02,7681.4,3
CPT,41825,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair UNSCHEDULED",,,399.91,408.33,3
CPT,41826,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,1950.0,18507.0,106
CPT,41826,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Other Surgical Services",,,2850.0,2850.0,4
CPT,41826,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair SCHEDULED",,,7523.02,7681.4,3
CPT,41826,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair UNSCHEDULED",,,399.91,408.33,3
CPT,41827,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,1950.0,18507.0,106
CPT,41827,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Other Surgical Services",,,2850.0,2850.0,4
CPT,41827,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair SCHEDULED",,,7523.02,7681.4,3
CPT,41827,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair UNSCHEDULED",,,399.91,408.33,3
CPT,41828,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,1950.0,9710.0,106
CPT,41828,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) Other Surgical Services",,,2850.0,2850.0,4
CPT,41828,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) SCHEDULED",,,7523.02,7681.4,3
CPT,41828,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) UNSCHEDULED",,,399.91,408.33,3
CPT,41830,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,1950.0,18507.0,106
CPT,41830,"Alveolectomy, including curettage of osteitis or sequestrectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,41830,"Alveolectomy, including curettage of osteitis or sequestrectomy SCHEDULED",,,11002.92,11234.56,3
CPT,41830,"Alveolectomy, including curettage of osteitis or sequestrectomy UNSCHEDULED",,,399.91,408.33,3
CPT,41850,"Destruction of lesion (except excision), dentoalveolar structures ",,,1950.0,9710.0,106
CPT,41850,"Destruction of lesion (except excision), dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,4
CPT,41850,"Destruction of lesion (except excision), dentoalveolar structures SCHEDULED",,,7523.02,7681.4,3
CPT,41850,"Destruction of lesion (except excision), dentoalveolar structures UNSCHEDULED",,,399.91,408.33,3
CPT,41870,Periodontal mucosal grafting ,,,1950.0,9710.0,106
CPT,41870,Periodontal mucosal grafting Other Surgical Services,,,2850.0,2850.0,4
CPT,41870,Periodontal mucosal grafting SCHEDULED,,,7523.02,7681.4,3
CPT,41870,Periodontal mucosal grafting UNSCHEDULED,,,399.91,408.33,3
CPT,41872,"Gingivoplasty, each quadrant (specify) ",,,1950.0,18507.0,106
CPT,41872,"Gingivoplasty, each quadrant (specify) Other Surgical Services",,,2850.0,2850.0,4
CPT,41872,"Gingivoplasty, each quadrant (specify) SCHEDULED",,,7523.02,7681.4,3
CPT,41872,"Gingivoplasty, each quadrant (specify) UNSCHEDULED",,,399.91,408.33,3
CPT,41874,"Alveoloplasty, each quadrant (specify) ",,,1950.0,18507.0,106
CPT,41874,"Alveoloplasty, each quadrant (specify) Other Surgical Services",,,2850.0,2850.0,4
CPT,41874,"Alveoloplasty, each quadrant (specify) SCHEDULED",,,7523.02,7681.4,3
CPT,41874,"Alveoloplasty, each quadrant (specify) UNSCHEDULED",,,399.91,408.33,3
CPT,41899,"Unlisted procedure, dentoalveolar structures ",,,1423.0,9710.0,106
CPT,41899,"Unlisted procedure, dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,4
CPT,41899,"Unlisted procedure, dentoalveolar structures SCHEDULED",,,5656.4,5775.49,3
CPT,41899,"Unlisted procedure, dentoalveolar structures UNSCHEDULED",,,227.17,231.96,3
CPT,42000,"Drainage of abscess of palate, uvula ",,,1423.0,9710.0,106
CPT,42000,"Drainage of abscess of palate, uvula Other Surgical Services",,,2850.0,2850.0,4
CPT,42000,"Drainage of abscess of palate, uvula SCHEDULED",,,2743.4,2801.16,3
CPT,42000,"Drainage of abscess of palate, uvula UNSCHEDULED",,,545.43,556.92,3
CPT,42100,"Biopsy of palate, uvula ",,,1950.0,9710.0,106
CPT,42100,"Biopsy of palate, uvula Other Surgical Services",,,2850.0,2850.0,4
CPT,42100,"Biopsy of palate, uvula SCHEDULED",,,384.21,392.3,3
CPT,42100,"Biopsy of palate, uvula UNSCHEDULED",,,545.43,556.92,3
CPT,42104,"Excision, lesion of palate, uvula; without closure ",,,1950.0,18507.0,106
CPT,42104,"Excision, lesion of palate, uvula; without closure Other Surgical Services",,,2850.0,2850.0,4
CPT,42104,"Excision, lesion of palate, uvula; without closure SCHEDULED",,,2743.4,2801.16,3
CPT,42104,"Excision, lesion of palate, uvula; without closure UNSCHEDULED",,,545.43,556.92,3
CPT,42106,"Excision, lesion of palate, uvula; with simple primary closure ",,,1950.0,18507.0,106
CPT,42106,"Excision, lesion of palate, uvula; with simple primary closure Other Surgical Services",,,2850.0,2850.0,4
CPT,42106,"Excision, lesion of palate, uvula; with simple primary closure SCHEDULED",,,2743.4,2801.16,3
CPT,42106,"Excision, lesion of palate, uvula; with simple primary closure UNSCHEDULED",,,545.43,556.92,3
CPT,42107,"Excision, lesion of palate, uvula; with local flap closure ",,,1950.0,18507.0,106
CPT,42107,"Excision, lesion of palate, uvula; with local flap closure Other Surgical Services",,,2850.0,2850.0,4
CPT,42107,"Excision, lesion of palate, uvula; with local flap closure SCHEDULED",,,2743.4,2801.16,3
CPT,42107,"Excision, lesion of palate, uvula; with local flap closure UNSCHEDULED",,,545.43,556.92,3
CPT,42120,Resection of palate or extensive resection of lesion ,,,1950.0,18507.0,106
CPT,42120,Resection of palate or extensive resection of lesion Other Surgical Services,,,2850.0,2850.0,4
CPT,42120,Resection of palate or extensive resection of lesion SCHEDULED,,,2743.4,2801.16,3
CPT,42120,Resection of palate or extensive resection of lesion UNSCHEDULED,,,545.43,556.92,3
CPT,42140,"Uvulectomy, excision of uvula ",,,1950.0,18507.0,106
CPT,42140,"Uvulectomy, excision of uvula Other Surgical Services",,,2850.0,2850.0,4
CPT,42140,"Uvulectomy, excision of uvula SCHEDULED",,,2743.4,2801.16,3
CPT,42140,"Uvulectomy, excision of uvula UNSCHEDULED",,,545.43,556.92,3
CPT,42145,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,2350.0,18507.0,98
CPT,42145,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) High Cost Surgery",,,3950.0,3950.0,1
CPT,42145,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) Other Surgical Services",,,4150.0,4150.0,1
CPT,42145,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) SCHEDULED",,,2743.4,2801.16,3
CPT,42145,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) UNSCHEDULED",,,545.43,556.92,3
CPT,42160,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,1950.0,18507.0,106
CPT,42160,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) Other Surgical Services",,,2850.0,2850.0,4
CPT,42160,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) SCHEDULED",,,2743.4,2801.16,3
CPT,42160,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) UNSCHEDULED",,,545.43,556.92,3
CPT,42180,"Repair, laceration of palate; up to 2 cm ",,,1423.0,9710.0,106
CPT,42180,"Repair, laceration of palate; up to 2 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,42180,"Repair, laceration of palate; up to 2 cm SCHEDULED",,,2743.4,2801.16,3
CPT,42180,"Repair, laceration of palate; up to 2 cm UNSCHEDULED",,,545.43,556.92,3
CPT,42182,"Repair, laceration of palate; over 2 cm or complex ",,,1950.0,18507.0,106
CPT,42182,"Repair, laceration of palate; over 2 cm or complex Other Surgical Services",,,2850.0,2850.0,4
CPT,42182,"Repair, laceration of palate; over 2 cm or complex SCHEDULED",,,5102.59,5210.02,3
CPT,42182,"Repair, laceration of palate; over 2 cm or complex UNSCHEDULED",,,545.43,556.92,3
CPT,42200,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,1950.0,18507.0,106
CPT,42200,"Palatoplasty for cleft palate, soft and/or hard palate only Other Surgical Services",,,2850.0,2850.0,4
CPT,42200,"Palatoplasty for cleft palate, soft and/or hard palate only SCHEDULED",,,2743.4,2801.16,3
CPT,42200,"Palatoplasty for cleft palate, soft and/or hard palate only UNSCHEDULED",,,545.43,556.92,3
CPT,42205,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,1950.0,18507.0,106
CPT,42205,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Other Surgical Services",,,2850.0,2850.0,4
CPT,42205,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only SCHEDULED",,,2743.4,2801.16,3
CPT,42205,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only UNSCHEDULED",,,545.43,556.92,3
CPT,42210,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,1950.0,18507.0,106
CPT,42210,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,42210,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) SCHEDULED",,,2743.4,2801.16,3
CPT,42210,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) UNSCHEDULED",,,545.43,556.92,3
CPT,42215,Palatoplasty for cleft palate; major revision ,,,1950.0,18507.0,106
CPT,42215,Palatoplasty for cleft palate; major revision Other Surgical Services,,,2850.0,2850.0,4
CPT,42215,Palatoplasty for cleft palate; major revision SCHEDULED,,,2743.4,2801.16,3
CPT,42215,Palatoplasty for cleft palate; major revision UNSCHEDULED,,,545.43,556.92,3
CPT,42220,Palatoplasty for cleft palate; secondary lengthening procedure ,,,1950.0,18507.0,106
CPT,42220,Palatoplasty for cleft palate; secondary lengthening procedure Other Surgical Services,,,2850.0,2850.0,4
CPT,42220,Palatoplasty for cleft palate; secondary lengthening procedure SCHEDULED,,,2743.4,2801.16,3
CPT,42220,Palatoplasty for cleft palate; secondary lengthening procedure UNSCHEDULED,,,545.43,556.92,3
CPT,42225,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,1950.0,18507.0,106
CPT,42225,Palatoplasty for cleft palate; attachment pharyngeal flap Other Surgical Services,,,2850.0,2850.0,4
CPT,42225,Palatoplasty for cleft palate; attachment pharyngeal flap SCHEDULED,,,2743.4,2801.16,3
CPT,42225,Palatoplasty for cleft palate; attachment pharyngeal flap UNSCHEDULED,,,545.43,556.92,3
CPT,42226,"Lengthening of palate, and pharyngeal flap ",,,1950.0,18507.0,106
CPT,42226,"Lengthening of palate, and pharyngeal flap Other Surgical Services",,,2850.0,2850.0,4
CPT,42226,"Lengthening of palate, and pharyngeal flap SCHEDULED",,,2743.4,2801.16,3
CPT,42226,"Lengthening of palate, and pharyngeal flap UNSCHEDULED",,,545.43,556.92,3
CPT,42227,"Lengthening of palate, with island flap ",,,1950.0,18507.0,106
CPT,42227,"Lengthening of palate, with island flap Other Surgical Services",,,2850.0,2850.0,4
CPT,42227,"Lengthening of palate, with island flap SCHEDULED",,,2743.4,2801.16,3
CPT,42227,"Lengthening of palate, with island flap UNSCHEDULED",,,545.43,556.92,3
CPT,42235,"Repair of anterior palate, including vomer flap ",,,1950.0,18507.0,106
CPT,42235,"Repair of anterior palate, including vomer flap Other Surgical Services",,,2850.0,2850.0,4
CPT,42235,"Repair of anterior palate, including vomer flap SCHEDULED",,,2743.4,2801.16,3
CPT,42235,"Repair of anterior palate, including vomer flap UNSCHEDULED",,,545.43,556.92,3
CPT,42260,Repair of nasolabial fistula ,,,1950.0,18507.0,106
CPT,42260,Repair of nasolabial fistula Other Surgical Services,,,2850.0,2850.0,4
CPT,42260,Repair of nasolabial fistula SCHEDULED,,,2743.4,2801.16,3
CPT,42260,Repair of nasolabial fistula UNSCHEDULED,,,545.43,556.92,3
CPT,42280,Maxillary impression for palatal prosthesis ,,,1423.0,9710.0,106
CPT,42280,Maxillary impression for palatal prosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,42280,Maxillary impression for palatal prosthesis SCHEDULED,,,2743.4,2801.16,3
CPT,42280,Maxillary impression for palatal prosthesis UNSCHEDULED,,,545.43,556.92,3
CPT,42281,Insertion of pin-retained palatal prosthesis ,,,1950.0,18507.0,106
CPT,42281,Insertion of pin-retained palatal prosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,42281,Insertion of pin-retained palatal prosthesis SCHEDULED,,,2743.4,2801.16,3
CPT,42281,Insertion of pin-retained palatal prosthesis UNSCHEDULED,,,545.43,556.92,3
CPT,42299,"Unlisted procedure, palate, uvula ",,,1423.0,9710.0,106
CPT,42299,"Unlisted procedure, palate, uvula Other Surgical Services",,,2850.0,2850.0,4
CPT,42299,"Unlisted procedure, palate, uvula SCHEDULED",,,2743.4,2801.16,3
CPT,42299,"Unlisted procedure, palate, uvula UNSCHEDULED",,,545.43,556.92,3
CPT,42300,"Drainage of abscess; parotid, simple ",,,1950.0,9710.0,106
CPT,42300,"Drainage of abscess; parotid, simple Other Surgical Services",,,2850.0,2850.0,4
CPT,42300,"Drainage of abscess; parotid, simple SCHEDULED",,,8.38,8.56,3
CPT,42300,"Drainage of abscess; parotid, simple UNSCHEDULED",,,4602.17,4699.06,3
CPT,42305,"Drainage of abscess; parotid, complicated ",,,1950.0,18507.0,106
CPT,42305,"Drainage of abscess; parotid, complicated Other Surgical Services",,,2850.0,2850.0,4
CPT,42305,"Drainage of abscess; parotid, complicated SCHEDULED",,,8.38,8.56,3
CPT,42305,"Drainage of abscess; parotid, complicated UNSCHEDULED",,,4602.17,4699.06,3
CPT,42310,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,1423.0,9710.0,106
CPT,42310,"Drainage of abscess; submaxillary or sublingual, intraoral Other Surgical Services",,,2850.0,2850.0,4
CPT,42310,"Drainage of abscess; submaxillary or sublingual, intraoral SCHEDULED",,,8.38,8.56,3
CPT,42310,"Drainage of abscess; submaxillary or sublingual, intraoral UNSCHEDULED",,,4602.17,4699.06,3
CPT,42320,"Drainage of abscess; submaxillary, external ",,,1423.0,9710.0,106
CPT,42320,"Drainage of abscess; submaxillary, external Other Surgical Services",,,2850.0,2850.0,4
CPT,42320,"Drainage of abscess; submaxillary, external SCHEDULED",,,8.38,8.56,3
CPT,42320,"Drainage of abscess; submaxillary, external UNSCHEDULED",,,4602.17,4699.06,3
CPT,42325,CREATE SALIVARY CYST DRAIN SCHEDULED,,,8.38,8.56,3
CPT,42325,CREATE SALIVARY CYST DRAIN UNSCHEDULED,,,4602.17,4699.06,3
CPT,42326,CREATE SALIVARY CYST DRAIN SCHEDULED,,,8.38,8.56,3
CPT,42326,CREATE SALIVARY CYST DRAIN UNSCHEDULED,,,4602.17,4699.06,3
CPT,42330,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,1950.0,18507.0,106
CPT,42330,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral Other Surgical Services",,,2850.0,2850.0,4
CPT,42330,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral SCHEDULED",,,8.38,8.56,3
CPT,42330,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral UNSCHEDULED",,,4602.17,4699.06,3
CPT,42335,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,1950.0,18507.0,106
CPT,42335,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral Other Surgical Services",,,2850.0,2850.0,4
CPT,42335,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral SCHEDULED",,,8.38,8.56,3
CPT,42335,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral UNSCHEDULED",,,4602.17,4699.06,3
CPT,42340,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,1950.0,18507.0,106
CPT,42340,"Sialolithotomy; parotid, extraoral or complicated intraoral Other Surgical Services",,,2850.0,2850.0,4
CPT,42340,"Sialolithotomy; parotid, extraoral or complicated intraoral SCHEDULED",,,8.38,8.56,3
CPT,42340,"Sialolithotomy; parotid, extraoral or complicated intraoral UNSCHEDULED",,,4602.17,4699.06,3
CPT,42400,Biopsy of salivary gland; needle ,,,1950.0,9710.0,106
CPT,42400,Biopsy of salivary gland; needle Other Surgical Services,,,2850.0,2850.0,4
CPT,42400,Biopsy of salivary gland; needle SCHEDULED,,,8.38,8.56,3
CPT,42400,Biopsy of salivary gland; needle UNSCHEDULED,,,4602.17,4699.06,3
CPT,42405,Biopsy of salivary gland; incisional ,,,1950.0,9710.0,106
CPT,42405,Biopsy of salivary gland; incisional Other Surgical Services,,,2850.0,2850.0,4
CPT,42405,Biopsy of salivary gland; incisional SCHEDULED,,,8.38,8.56,3
CPT,42405,Biopsy of salivary gland; incisional UNSCHEDULED,,,4602.17,4699.06,3
CPT,42408,Excision of sublingual salivary cyst (ranula) ,,,1950.0,18507.0,106
CPT,42408,Excision of sublingual salivary cyst (ranula) Other Surgical Services,,,2850.0,2850.0,4
CPT,42408,Excision of sublingual salivary cyst (ranula) SCHEDULED,,,8.38,8.56,3
CPT,42408,Excision of sublingual salivary cyst (ranula) UNSCHEDULED,,,4602.17,4699.06,3
CPT,42409,Marsupialization of sublingual salivary cyst (ranula) ,,,1950.0,18507.0,106
CPT,42409,Marsupialization of sublingual salivary cyst (ranula) Other Surgical Services,,,2850.0,2850.0,4
CPT,42409,Marsupialization of sublingual salivary cyst (ranula) SCHEDULED,,,8.38,8.56,3
CPT,42409,Marsupialization of sublingual salivary cyst (ranula) UNSCHEDULED,,,4602.17,4699.06,3
CPT,42410,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,1950.0,18507.0,106
CPT,42410,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,42410,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection SCHEDULED",,,8.38,8.56,3
CPT,42410,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection UNSCHEDULED",,,4602.17,4699.06,3
CPT,42415,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,1950.0,18507.0,106
CPT,42415,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,42415,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve SCHEDULED",,,8.38,8.56,3
CPT,42415,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve UNSCHEDULED",,,4602.17,4699.06,3
CPT,42420,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,1950.0,18507.0,106
CPT,42420,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,42420,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve SCHEDULED",,,8.38,8.56,3
CPT,42420,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve UNSCHEDULED",,,4602.17,4699.06,3
CPT,42425,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,1950.0,18507.0,106
CPT,42425,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,42425,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve SCHEDULED",,,8.38,8.56,3
CPT,42425,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve UNSCHEDULED",,,4602.17,4699.06,3
CPT,42426,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,1950.0,31992.0,78
CPT,42426,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,42426,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection SCHEDULED",,,8.38,8.56,3
CPT,42426,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection UNSCHEDULED",,,4602.17,4699.06,3
CPT,42440,Excision of submandibular (submaxillary) gland ,,,1950.0,18507.0,106
CPT,42440,Excision of submandibular (submaxillary) gland Other Surgical Services,,,2850.0,2850.0,4
CPT,42440,Excision of submandibular (submaxillary) gland SCHEDULED,,,8.38,8.56,3
CPT,42440,Excision of submandibular (submaxillary) gland UNSCHEDULED,,,4602.17,4699.06,3
CPT,42450,Excision of sublingual gland ,,,1950.0,18507.0,106
CPT,42450,Excision of sublingual gland Other Surgical Services,,,2850.0,2850.0,4
CPT,42450,Excision of sublingual gland SCHEDULED,,,8.38,8.56,3
CPT,42450,Excision of sublingual gland UNSCHEDULED,,,4602.17,4699.06,3
CPT,42500,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,1950.0,18507.0,106
CPT,42500,"Plastic repair of salivary duct, sialodochoplasty; primary or simple Other Surgical Services",,,2850.0,2850.0,4
CPT,42500,"Plastic repair of salivary duct, sialodochoplasty; primary or simple SCHEDULED",,,8.38,8.56,3
CPT,42500,"Plastic repair of salivary duct, sialodochoplasty; primary or simple UNSCHEDULED",,,4602.17,4699.06,3
CPT,42505,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,1950.0,18507.0,106
CPT,42505,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated Other Surgical Services",,,2850.0,2850.0,4
CPT,42505,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated SCHEDULED",,,8.38,8.56,3
CPT,42505,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated UNSCHEDULED",,,4602.17,4699.06,3
CPT,42507,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,1950.0,18507.0,106
CPT,42507,"Parotid duct diversion, bilateral (Wilke type procedure); Other Surgical Services",,,2850.0,2850.0,4
CPT,42507,"Parotid duct diversion, bilateral (Wilke type procedure); SCHEDULED",,,8.38,8.56,3
CPT,42507,"Parotid duct diversion, bilateral (Wilke type procedure); UNSCHEDULED",,,4602.17,4699.06,3
CPT,42508,PAROTID DUCT DIVERSION SCHEDULED,,,8.38,8.56,3
CPT,42508,PAROTID DUCT DIVERSION UNSCHEDULED,,,4602.17,4699.06,3
CPT,42509,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,1950.0,18507.0,106
CPT,42509,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Other Surgical Services",,,2850.0,2850.0,4
CPT,42509,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands SCHEDULED",,,8.38,8.56,3
CPT,42509,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands UNSCHEDULED",,,4602.17,4699.06,3
CPT,42510,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,1950.0,18507.0,106
CPT,42510,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Other Surgical Services",,,2850.0,2850.0,4
CPT,42510,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts SCHEDULED",,,8.38,8.56,3
CPT,42510,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts UNSCHEDULED",,,4602.17,4699.06,3
CPT,42550,Injection procedure for sialography ,,,1423.0,9710.0,99
CPT,42550,Injection procedure for sialography Other Surgical Services,,,2850.0,2850.0,4
CPT,42550,Injection procedure for sialography SCHEDULED,,,8.38,8.56,3
CPT,42550,Injection procedure for sialography UNSCHEDULED,,,4602.17,4699.06,3
CPT,42600,Closure salivary fistula ,,,1950.0,18507.0,106
CPT,42600,Closure salivary fistula Other Surgical Services,,,2850.0,2850.0,4
CPT,42600,Closure salivary fistula SCHEDULED,,,8.38,8.56,3
CPT,42600,Closure salivary fistula UNSCHEDULED,,,4602.17,4699.06,3
CPT,42650,Dilation salivary duct ,,,1950.0,9710.0,106
CPT,42650,Dilation salivary duct Other Surgical Services,,,2850.0,2850.0,4
CPT,42650,Dilation salivary duct SCHEDULED,,,8.38,8.56,3
CPT,42650,Dilation salivary duct UNSCHEDULED,,,4602.17,4699.06,3
CPT,42660,"Dilation and catheterization of salivary duct, with or without injection ",,,1423.0,9710.0,106
CPT,42660,"Dilation and catheterization of salivary duct, with or without injection Other Surgical Services",,,2850.0,2850.0,4
CPT,42660,"Dilation and catheterization of salivary duct, with or without injection SCHEDULED",,,8.38,8.56,3
CPT,42660,"Dilation and catheterization of salivary duct, with or without injection UNSCHEDULED",,,4602.17,4699.06,3
CPT,42665,"Ligation salivary duct, intraoral ",,,1950.0,18507.0,106
CPT,42665,"Ligation salivary duct, intraoral Other Surgical Services",,,2850.0,2850.0,4
CPT,42665,"Ligation salivary duct, intraoral SCHEDULED",,,8.38,8.56,3
CPT,42665,"Ligation salivary duct, intraoral UNSCHEDULED",,,4602.17,4699.06,3
CPT,42699,"Unlisted procedure, salivary glands or ducts ",,,1423.0,9710.0,106
CPT,42699,"Unlisted procedure, salivary glands or ducts Other Surgical Services",,,2850.0,2850.0,4
CPT,42699,"Unlisted procedure, salivary glands or ducts SCHEDULED",,,8.38,8.56,3
CPT,42699,"Unlisted procedure, salivary glands or ducts UNSCHEDULED",,,4602.17,4699.06,3
CPT,42700,Incision and drainage abscess; peritonsillar ,,,1423.0,9710.0,106
CPT,42700,Incision and drainage abscess; peritonsillar Other Surgical Services,,,2850.0,2850.0,4
CPT,42720,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,1950.0,18507.0,106
CPT,42720,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach Other Surgical Services",,,2850.0,2850.0,4
CPT,42725,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,1950.0,18507.0,106
CPT,42725,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach Other Surgical Services",,,2850.0,2850.0,4
CPT,42800,Biopsy; oropharynx ,,,1950.0,9710.0,106
CPT,42800,Biopsy; oropharynx Other Surgical Services,,,2850.0,2850.0,4
CPT,42804,"Biopsy; nasopharynx, visible lesion, simple ",,,1950.0,18507.0,106
CPT,42804,"Biopsy; nasopharynx, visible lesion, simple Other Surgical Services",,,2850.0,2850.0,4
CPT,42806,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,1950.0,18507.0,106
CPT,42806,"Biopsy; nasopharynx, survey for unknown primary lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,42808,"Excision or destruction of lesion of pharynx, any method ",,,1950.0,18507.0,106
CPT,42808,"Excision or destruction of lesion of pharynx, any method Other Surgical Services",,,2850.0,2850.0,4
CPT,42809,Removal of foreign body from pharynx ,,,1423.0,9710.0,106
CPT,42809,Removal of foreign body from pharynx Other Surgical Services,,,2850.0,2850.0,4
CPT,42810,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,1950.0,18507.0,106
CPT,42810,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Other Surgical Services",,,2850.0,2850.0,4
CPT,42815,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,1950.0,18507.0,106
CPT,42815,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Other Surgical Services",,,2850.0,2850.0,4
CPT,42820,Tonsillectomy and adenoidectomy; younger than age 12 ,,,1950.0,18507.0,106
CPT,42820,Tonsillectomy and adenoidectomy; younger than age 12 Other Surgical Services,,,2850.0,2850.0,4
CPT,42821,Tonsillectomy and adenoidectomy; age 12 or over ,,,1950.0,18507.0,106
CPT,42821,Tonsillectomy and adenoidectomy; age 12 or over Other Surgical Services,,,2850.0,2850.0,4
CPT,42825,"Tonsillectomy, primary or secondary; younger than age 12 ",,,1950.0,18507.0,106
CPT,42825,"Tonsillectomy, primary or secondary; younger than age 12 Other Surgical Services",,,2850.0,2850.0,4
CPT,42826,"Tonsillectomy, primary or secondary; age 12 or over ",,,1950.0,18507.0,106
CPT,42826,"Tonsillectomy, primary or secondary; age 12 or over Other Surgical Services",,,2850.0,2850.0,4
CPT,42830,"Adenoidectomy, primary; younger than age 12 ",,,1950.0,18507.0,106
CPT,42830,"Adenoidectomy, primary; younger than age 12 Other Surgical Services",,,2850.0,2850.0,4
CPT,42831,"Adenoidectomy, primary; age 12 or over ",,,1950.0,18507.0,106
CPT,42831,"Adenoidectomy, primary; age 12 or over Other Surgical Services",,,2850.0,2850.0,4
CPT,42835,"Adenoidectomy, secondary; younger than age 12 ",,,1950.0,18507.0,106
CPT,42835,"Adenoidectomy, secondary; younger than age 12 Other Surgical Services",,,2850.0,2850.0,4
CPT,42836,"Adenoidectomy, secondary; age 12 or over ",,,1950.0,18507.0,106
CPT,42836,"Adenoidectomy, secondary; age 12 or over Other Surgical Services",,,2850.0,2850.0,4
CPT,42842,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,1950.0,18507.0,106
CPT,42842,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Other Surgical Services",,,2850.0,2850.0,4
CPT,42844,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,1950.0,18507.0,106
CPT,42844,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) Other Surgical Services",,,2850.0,2850.0,4
CPT,42845,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,1950.0,31992.0,78
CPT,42845,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap Other Surgical Services",,,2850.0,2850.0,4
CPT,42860,Excision of tonsil tags ,,,1950.0,18507.0,106
CPT,42860,Excision of tonsil tags Other Surgical Services,,,2850.0,2850.0,4
CPT,42870,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,1950.0,18507.0,106
CPT,42870,"Excision or destruction lingual tonsil, any method (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,42890,Limited pharyngectomy ,,,1950.0,18507.0,106
CPT,42890,Limited pharyngectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,42892,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,1950.0,18507.0,106
CPT,42892,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls Other Surgical Services",,,2850.0,2850.0,4
CPT,42894,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,1950.0,31992.0,78
CPT,42894,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis Other Surgical Services",,,2850.0,2850.0,4
CPT,42900,Suture pharynx for wound or injury ,,,1950.0,9710.0,106
CPT,42900,Suture pharynx for wound or injury Other Surgical Services,,,2850.0,2850.0,4
CPT,42950,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,1950.0,18507.0,106
CPT,42950,Pharyngoplasty (plastic or reconstructive operation on pharynx) Other Surgical Services,,,2850.0,2850.0,4
CPT,42953,Pharyngoesophageal repair ,,,1950.0,31992.0,78
CPT,42953,Pharyngoesophageal repair Other Surgical Services,,,2850.0,2850.0,4
CPT,42955,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,1950.0,9710.0,106
CPT,42955,"Pharyngostomy (fistulization of pharynx, external for feeding) Other Surgical Services",,,2850.0,2850.0,4
CPT,42960,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,1423.0,9710.0,106
CPT,42960,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple Other Surgical Services",,,2850.0,2850.0,4
CPT,42961,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,1950.0,31992.0,78
CPT,42961,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization Other Surgical Services",,,2850.0,2850.0,4
CPT,42962,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,1950.0,18507.0,106
CPT,42962,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention Other Surgical Services",,,2850.0,2850.0,4
CPT,42970,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,1423.0,9710.0,106
CPT,42970,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery Other Surgical Services",,,2850.0,2850.0,4
CPT,42971,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,1950.0,31992.0,78
CPT,42971,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization Other Surgical Services",,,2850.0,2850.0,4
CPT,42972,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,1950.0,18507.0,106
CPT,42972,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention Other Surgical Services",,,2850.0,2850.0,4
CPT,42975,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,1950.0,9710.0,78
CPT,42975,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic Other Surgical Services",,,2850.0,2850.0,4
CPT,42999,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,1423.0,9710.0,106
CPT,42999,"Unlisted procedure, pharynx, adenoids, or tonsils Other Surgical Services",,,2850.0,2850.0,4
CPT,43020,"Esophagotomy, cervical approach, with removal of foreign body ",,,1950.0,9710.0,106
CPT,43020,"Esophagotomy, cervical approach, with removal of foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,43020,"Esophagotomy, cervical approach, with removal of foreign body SCHEDULED",,,1905.88,1946.0,3
CPT,43020,"Esophagotomy, cervical approach, with removal of foreign body UNSCHEDULED",,,2263.39,2311.04,3
CPT,43030,Cricopharyngeal myotomy ,,,1950.0,18507.0,106
CPT,43030,Cricopharyngeal myotomy Other Surgical Services,,,2850.0,2850.0,4
CPT,43030,Cricopharyngeal myotomy SCHEDULED,,,1905.88,1946.0,3
CPT,43030,Cricopharyngeal myotomy UNSCHEDULED,,,831.24,848.74,3
CPT,43045,"Esophagotomy, thoracic approach, with removal of foreign body ",,,1950.0,31992.0,78
CPT,43045,"Esophagotomy, thoracic approach, with removal of foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,43045,"Esophagotomy, thoracic approach, with removal of foreign body SCHEDULED",,,1905.88,1946.0,3
CPT,43045,"Esophagotomy, thoracic approach, with removal of foreign body UNSCHEDULED",,,2263.39,2311.04,3
CPT,43100,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,1950.0,31992.0,78
CPT,43100,"Excision of lesion, esophagus, with primary repair; cervical approach Other Surgical Services",,,2850.0,2850.0,4
CPT,43100,"Excision of lesion, esophagus, with primary repair; cervical approach SCHEDULED",,,1905.88,1946.0,3
CPT,43100,"Excision of lesion, esophagus, with primary repair; cervical approach UNSCHEDULED",,,2263.39,2311.04,3
CPT,43101,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,1950.0,31992.0,78
CPT,43101,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,43101,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach SCHEDULED",,,1905.88,1946.0,3
CPT,43101,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach UNSCHEDULED",,,2263.39,2311.04,3
CPT,43107,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,1950.0,31992.0,78
CPT,43107,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) Other Surgical Services",,,2850.0,2850.0,4
CPT,43107,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) SCHEDULED",,,1905.88,1946.0,3
CPT,43107,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43108,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,1950.0,31992.0,78
CPT,43108,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) Other Surgical Ser",,,2850.0,2850.0,4
CPT,43108,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) SCHEDULED",,,1905.88,1946.0,3
CPT,43108,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43112,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,1905.88,31992.0,88
CPT,43113,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,1950.0,31992.0,78
CPT,43113,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) Other Surgical Servi",,,2850.0,2850.0,4
CPT,43113,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) SCHEDULED",,,1905.88,1946.0,3
CPT,43113,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43116,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,1950.0,31992.0,78
CPT,43116,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction Other Surgical Services",,,2850.0,2850.0,4
CPT,43116,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction SCHEDULED",,,1905.88,1946.0,3
CPT,43116,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction UNSCHEDULED",,,2263.39,2311.04,3
CPT,43117,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,1905.88,31992.0,88
CPT,43118,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,1905.88,31992.0,88
CPT,43121,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,1950.0,31992.0,78
CPT,43121,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty Other Surgical Services",,,2850.0,2850.0,4
CPT,43121,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty SCHEDULED",,,1905.88,1946.0,3
CPT,43121,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty UNSCHEDULED",,,2263.39,2311.04,3
CPT,43122,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,1950.0,31992.0,78
CPT,43122,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty Other Surgical Services",,,2850.0,2850.0,4
CPT,43122,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty SCHEDULED",,,1905.88,1946.0,3
CPT,43122,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty UNSCHEDULED",,,2263.39,2311.04,3
CPT,43123,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,1905.88,31992.0,88
CPT,43124,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,1950.0,31992.0,78
CPT,43124,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,43124,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy SCHEDULED",,,1905.88,1946.0,3
CPT,43124,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy UNSCHEDULED",,,2263.39,2311.04,3
CPT,43130,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,1950.0,18507.0,106
CPT,43130,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach Other Surgical Services",,,2850.0,2850.0,4
CPT,43130,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach SCHEDULED",,,1905.88,1946.0,3
CPT,43130,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach UNSCHEDULED",,,2263.39,2311.04,3
CPT,43135,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,1950.0,31992.0,78
CPT,43135,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach Other Surgical Services",,,2850.0,2850.0,4
CPT,43135,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach SCHEDULED",,,1905.88,1946.0,3
CPT,43135,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach UNSCHEDULED",,,2263.39,2311.04,3
CPT,43180,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,1905.88,18507.0,116
CPT,43191,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,1950.0,9710.0,106
CPT,43191,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,43191,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) SCHEDULED",,,1197.66,1222.87,3
CPT,43191,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43192,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,1950.0,9710.0,106
CPT,43192,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,4
CPT,43192,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance SCHEDULED",,,1905.88,1946.0,3
CPT,43192,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance UNSCHEDULED",,,2263.39,2311.04,3
CPT,43193,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,43193,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,43193,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple SCHEDULED",,,1905.88,1946.0,3
CPT,43193,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple UNSCHEDULED",,,2263.39,2311.04,3
CPT,43194,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,1950.0,9710.0,106
CPT,43194,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,43194,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) SCHEDULED",,,1905.88,1946.0,3
CPT,43194,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43195,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,1950.0,18507.0,106
CPT,43195,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) Other Surgical Services",,,2850.0,2850.0,4
CPT,43195,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) SCHEDULED",,,4769.67,4870.09,3
CPT,43195,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43196,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,1950.0,9710.0,106
CPT,43196,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire Other Surgical Services",,,2850.0,2850.0,4
CPT,43196,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire SCHEDULED",,,1905.88,1946.0,3
CPT,43196,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire UNSCHEDULED",,,2263.39,2311.04,3
CPT,43197,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1950.0,9710.0,106
CPT,43197,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,43197,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) SCHEDULED",,,1905.88,1946.0,3
CPT,43197,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43198,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,43198,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,43198,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple SCHEDULED",,,1905.88,1946.0,3
CPT,43198,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple UNSCHEDULED",,,2263.39,2311.04,3
CPT,43200,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1950.0,9710.0,106
CPT,43200,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,43200,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) SCHEDULED",,,1905.88,1946.0,3
CPT,43200,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) UNSCHEDULED",,,4789.57,4890.4,3
CPT,43201,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,1950.0,9710.0,106
CPT,43201,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,4
CPT,43201,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance SCHEDULED",,,1905.88,1946.0,3
CPT,43201,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance UNSCHEDULED",,,2263.39,2311.04,3
CPT,43202,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,43202,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,43202,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple SCHEDULED",,,1412.27,1442.0,3
CPT,43202,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple UNSCHEDULED",,,2263.39,2311.04,3
CPT,43204,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,1950.0,9710.0,106
CPT,43204,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Other Surgical Services",,,2850.0,2850.0,4
CPT,43204,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices SCHEDULED",,,1905.88,1946.0,3
CPT,43204,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices UNSCHEDULED",,,2263.39,2311.04,3
CPT,43205,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,1950.0,9710.0,106
CPT,43205,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices Other Surgical Services",,,2850.0,2850.0,4
CPT,43205,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices SCHEDULED",,,1905.88,1946.0,3
CPT,43205,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices UNSCHEDULED",,,2263.39,2311.04,3
CPT,43206,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,1950.0,22212.0,106
CPT,43206,"Esophagoscopy, flexible, transoral; with optical endomicroscopy Complex Surgery",,,11754.0,11754.0,22
CPT,43206,"Esophagoscopy, flexible, transoral; with optical endomicroscopy Other Surgical Services",,,2850.0,2850.0,4
CPT,43206,"Esophagoscopy, flexible, transoral; with optical endomicroscopy SCHEDULED",,,1905.88,1946.0,3
CPT,43206,"Esophagoscopy, flexible, transoral; with optical endomicroscopy UNSCHEDULED",,,2263.39,2311.04,3
CPT,43210,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,1950.0,18507.0,106
CPT,43210,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,43210,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed SCHEDULED",,,1905.88,1946.0,3
CPT,43210,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed UNSCHEDULED",,,2263.39,2311.04,3
CPT,43211,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,1950.0,9710.0,106
CPT,43211,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection Complex Surgery",,,11754.0,11754.0,22
CPT,43211,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection Other Surgical Services",,,2850.0,2850.0,4
CPT,43211,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection SCHEDULED",,,1905.88,1946.0,3
CPT,43211,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection UNSCHEDULED",,,2263.39,2311.04,3
CPT,43212,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,1950.0,18507.0,106
CPT,43212,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Complex Surgery",,,11754.0,11754.0,22
CPT,43212,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,43212,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) SCHEDULED",,,1905.88,1946.0,3
CPT,43212,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43213,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,1950.0,9710.0,106
CPT,43213,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) Complex Surgery",,,11754.0,11754.0,22
CPT,43213,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,43213,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) SCHEDULED",,,1905.88,1946.0,3
CPT,43213,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43214,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,1950.0,9710.0,106
CPT,43214,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Complex Surgery",,,11754.0,11754.0,22
CPT,43214,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,43214,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) SCHEDULED",,,1905.88,1946.0,3
CPT,43214,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43215,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,1950.0,9710.0,106
CPT,43215,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,43215,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) SCHEDULED",,,1320.14,1347.93,3
CPT,43215,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43216,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,1950.0,9710.0,106
CPT,43216,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,4
CPT,43216,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps SCHEDULED",,,1905.88,1946.0,3
CPT,43216,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps UNSCHEDULED",,,2263.39,2311.04,3
CPT,43217,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,1950.0,9710.0,106
CPT,43217,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,4
CPT,43217,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique SCHEDULED",,,1905.88,1946.0,3
CPT,43217,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique UNSCHEDULED",,,2263.39,2311.04,3
CPT,43219,ESOPHAGUS ENDOSCOPY SCHEDULED,,,1905.88,1946.0,3
CPT,43219,ESOPHAGUS ENDOSCOPY UNSCHEDULED,,,2263.39,2311.04,3
CPT,43220,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,1950.0,9710.0,106
CPT,43220,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Other Surgical Services",,,2850.0,2850.0,4
CPT,43220,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) SCHEDULED",,,1257.33,1283.8,3
CPT,43220,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43226,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,1950.0,9710.0,106
CPT,43226,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire Other Surgical Services",,,2850.0,2850.0,4
CPT,43226,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire SCHEDULED",,,1905.88,1946.0,3
CPT,43226,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire UNSCHEDULED",,,2263.39,2311.04,3
CPT,43227,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,1950.0,9710.0,106
CPT,43227,"Esophagoscopy, flexible, transoral; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,4
CPT,43227,"Esophagoscopy, flexible, transoral; with control of bleeding, any method SCHEDULED",,,1905.88,1946.0,3
CPT,43227,"Esophagoscopy, flexible, transoral; with control of bleeding, any method UNSCHEDULED",,,2263.39,2311.04,3
CPT,43228,ESOPH ENDOSCOPY ABLATION SCHEDULED,,,1905.88,1946.0,3
CPT,43228,ESOPH ENDOSCOPY ABLATION UNSCHEDULED,,,2263.39,2311.04,3
CPT,43229,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,1950.0,18507.0,106
CPT,43229,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,43229,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) SCHEDULED",,,1905.88,1946.0,3
CPT,43229,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43231,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,1950.0,9710.0,106
CPT,43231,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Other Surgical Services",,,2850.0,2850.0,4
CPT,43231,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination SCHEDULED",,,1905.88,1946.0,3
CPT,43231,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination UNSCHEDULED",,,2263.39,2311.04,3
CPT,43232,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,1950.0,9710.0,106
CPT,43232,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,43232,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) SCHEDULED",,,1905.88,1946.0,3
CPT,43232,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43233,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,1950.0,9710.0,106
CPT,43233,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,43233,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) SCHEDULED",,,1905.88,1946.0,3
CPT,43233,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43234,UPPER GI ENDOSCOPY EXAM SCHEDULED,,,1905.88,1946.0,3
CPT,43234,UPPER GI ENDOSCOPY EXAM UNSCHEDULED,,,2263.39,2311.04,3
CPT,43235,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1950.0,9710.0,106
CPT,43235,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,43235,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) SCHEDULED",,,1968.17,2009.61,3
CPT,43235,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) UNSCHEDULED",,,2003.77,2045.95,3
CPT,43236,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,1950.0,9710.0,106
CPT,43236,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,4
CPT,43236,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance SCHEDULED",,,2699.96,2756.8,3
CPT,43236,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance UNSCHEDULED",,,2263.39,2311.04,3
CPT,43237,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,1950.0,9710.0,106
CPT,43237,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures Other Surgical Services",,,2850.0,2850.0,4
CPT,43237,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures SCHEDULED",,,1905.88,1946.0,3
CPT,43237,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures UNSCHEDULED",,,2263.39,2311.04,3
CPT,43238,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,1905.88,9710.0,116
CPT,43239,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,43239,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,43239,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple SCHEDULED",,,1532.66,1564.93,3
CPT,43239,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple UNSCHEDULED",,,2869.55,2929.96,3
CPT,43240,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,1905.88,18507.0,116
CPT,43241,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,1950.0,9710.0,106
CPT,43241,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter Other Surgical Services",,,2850.0,2850.0,4
CPT,43241,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter SCHEDULED",,,1905.88,1946.0,3
CPT,43241,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter UNSCHEDULED",,,2263.39,2311.04,3
CPT,43242,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,1950.0,9710.0,116
CPT,43243,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,1950.0,9710.0,106
CPT,43243,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices Other Surgical Services",,,2850.0,2850.0,4
CPT,43243,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices SCHEDULED",,,1905.88,1946.0,3
CPT,43243,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices UNSCHEDULED",,,2263.39,2311.04,3
CPT,43244,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,1950.0,9710.0,106
CPT,43244,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Other Surgical Services",,,2850.0,2850.0,4
CPT,43244,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices SCHEDULED",,,1905.88,1946.0,3
CPT,43244,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices UNSCHEDULED",,,2263.39,2311.04,3
CPT,43245,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,1950.0,9710.0,106
CPT,43245,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) Other Surgical Services",,,2850.0,2850.0,4
CPT,43245,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) SCHEDULED",,,1725.29,1761.62,3
CPT,43245,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43246,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,1950.0,9710.0,106
CPT,43246,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube Other Surgical Services",,,2850.0,2850.0,4
CPT,43246,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube SCHEDULED",,,1843.59,1882.4,3
CPT,43246,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube UNSCHEDULED",,,2263.39,2311.04,3
CPT,43247,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,1950.0,9710.0,106
CPT,43247,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,43247,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) SCHEDULED",,,3083.12,3148.03,3
CPT,43247,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) UNSCHEDULED",,,2019.47,2061.99,3
CPT,43248,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,1950.0,9710.0,106
CPT,43248,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire Other Surgical Services",,,2850.0,2850.0,4
CPT,43248,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire SCHEDULED",,,1710.64,1746.65,3
CPT,43248,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire UNSCHEDULED",,,2263.39,2311.04,3
CPT,43249,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,1950.0,9710.0,106
CPT,43249,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) Other Surgical Services",,,2850.0,2850.0,4
CPT,43249,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) SCHEDULED",,,2112.65,2157.12,3
CPT,43249,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43250,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,1950.0,9710.0,106
CPT,43250,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,4
CPT,43250,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps SCHEDULED",,,1905.88,1946.0,3
CPT,43250,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps UNSCHEDULED",,,2263.39,2311.04,3
CPT,43251,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,1950.0,9710.0,106
CPT,43251,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,4
CPT,43251,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique SCHEDULED",,,3288.31,3357.54,3
CPT,43251,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique UNSCHEDULED",,,2263.39,2311.04,3
CPT,43252,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,1950.0,22212.0,106
CPT,43252,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy Complex Surgery",,,11754.0,11754.0,22
CPT,43252,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy Other Surgical Services",,,2850.0,2850.0,4
CPT,43252,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy SCHEDULED",,,1905.88,1946.0,3
CPT,43252,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy UNSCHEDULED",,,2263.39,2311.04,3
CPT,43253,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,1905.88,9710.0,116
CPT,43254,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,1950.0,9710.0,106
CPT,43254,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection Other Surgical Services",,,2850.0,2850.0,4
CPT,43254,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection SCHEDULED",,,1905.88,1946.0,3
CPT,43254,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection UNSCHEDULED",,,2263.39,2311.04,3
CPT,43255,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,1950.0,9710.0,106
CPT,43255,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,4
CPT,43255,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method SCHEDULED",,,1905.88,1946.0,3
CPT,43255,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method UNSCHEDULED",,,2263.39,2311.04,3
CPT,43256,UPPR GI ENDOSCOPY W/STENT SCHEDULED,,,1905.88,1946.0,3
CPT,43256,UPPR GI ENDOSCOPY W/STENT UNSCHEDULED,,,2263.39,2311.04,3
CPT,43257,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,1950.0,18507.0,106
CPT,43257,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease Oth",,,2850.0,2850.0,4
CPT,43257,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease SCH",,,1905.88,1946.0,3
CPT,43257,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease UNS",,,2263.39,2311.04,3
CPT,43258,OPERATIVE UPPER GI ENDOSCOPY SCHEDULED,,,1905.88,1946.0,3
CPT,43258,OPERATIVE UPPER GI ENDOSCOPY UNSCHEDULED,,,2263.39,2311.04,3
CPT,43259,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,791.45,9710.0,116
CPT,43260,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2350.0,18507.0,102
CPT,43260,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,43260,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) SCHEDULED",,,1905.88,1946.0,3
CPT,43260,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43261,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,2350.0,18507.0,102
CPT,43261,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Other Surgical Services",,,4150.0,4150.0,1
CPT,43261,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple SCHEDULED",,,1905.88,1946.0,3
CPT,43261,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple UNSCHEDULED",,,2263.39,2311.04,3
CPT,43262,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,2350.0,18507.0,102
CPT,43262,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Other Surgical Services,,,4150.0,4150.0,1
CPT,43262,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy SCHEDULED,,,1905.88,1946.0,3
CPT,43262,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy UNSCHEDULED,,,2263.39,2311.04,3
CPT,43263,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,2350.0,9710.0,102
CPT,43263,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi Other Surgical Services,,,4150.0,4150.0,1
CPT,43263,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi SCHEDULED,,,1905.88,1946.0,3
CPT,43263,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi UNSCHEDULED,,,2263.39,2311.04,3
CPT,43264,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,2350.0,18507.0,102
CPT,43264,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) Other Surgical Services,,,4150.0,4150.0,1
CPT,43264,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) SCHEDULED,,,1905.88,1946.0,3
CPT,43264,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) UNSCHEDULED,,,2263.39,2311.04,3
CPT,43265,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,2350.0,18507.0,118
CPT,43265,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) Other Surgical Services",,,4150.0,4150.0,1
CPT,43265,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) SCHEDULED",,,1905.88,1946.0,3
CPT,43265,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43266,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2350.0,18507.0,102
CPT,43266,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,4150.0,4150.0,1
CPT,43266,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) SCHEDULED",,,2374.37,2424.36,3
CPT,43266,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43267,ENDO CHOLANGIOPANCREATOGRAPH SCHEDULED,,,1905.88,1946.0,3
CPT,43267,ENDO CHOLANGIOPANCREATOGRAPH UNSCHEDULED,,,2263.39,2311.04,3
CPT,43268,ENDO CHOLANGIOPANCREATOGRAPH SCHEDULED,,,1905.88,1946.0,3
CPT,43268,ENDO CHOLANGIOPANCREATOGRAPH UNSCHEDULED,,,2263.39,2311.04,3
CPT,43269,ENDO CHOLANGIOPANCREATOGRAPH SCHEDULED,,,1905.88,1946.0,3
CPT,43269,ENDO CHOLANGIOPANCREATOGRAPH UNSCHEDULED,,,2263.39,2311.04,3
CPT,43270,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2350.0,9710.0,102
CPT,43270,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Service",,,4150.0,4150.0,1
CPT,43270,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) SCHEDULED",,,1905.88,1946.0,3
CPT,43270,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43271,ENDO CHOLANGIOPANCREATOGRAPH SCHEDULED,,,1905.88,1946.0,3
CPT,43271,ENDO CHOLANGIOPANCREATOGRAPH UNSCHEDULED,,,2263.39,2311.04,3
CPT,43272,ENDO CHOLANGIOPANCREATOGRAPH SCHEDULED,,,1905.88,1946.0,3
CPT,43272,ENDO CHOLANGIOPANCREATOGRAPH UNSCHEDULED,,,2263.39,2311.04,3
CPT,43273,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,1423.0,9710.0,95
CPT,43273,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) Other Surgical Services,,,4150.0,4150.0,1
CPT,43273,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) SCHEDULED,,,1905.88,1946.0,3
CPT,43273,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) UNSCHEDULED,,,2263.39,2311.04,3
CPT,43274,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,1905.88,18507.0,112
CPT,43275,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,2050.0,9710.0,105
CPT,43275,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) Other Surgical Services,,,4150.0,4150.0,1
CPT,43275,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) SCHEDULED,,,6200.79,6331.34,3
CPT,43275,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) UNSCHEDULED,,,2263.39,2311.04,3
CPT,43276,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,1905.88,18507.0,112
CPT,43277,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,1905.88,18507.0,112
CPT,43278,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,2050.0,18507.0,105
CPT,43278,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed Other Surgical S",,,4150.0,4150.0,1
CPT,43278,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed SCHEDULED",,,1905.88,1946.0,3
CPT,43278,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed UNSCHEDULED",,,2263.39,2311.04,3
CPT,43279,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,2350.0,31992.0,102
CPT,43279,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,43279,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed SCHEDULED",,,1905.88,1946.0,3
CPT,43279,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed UNSCHEDULED",,,2263.39,2311.04,3
CPT,43280,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,2350.0,22212.0,164
CPT,43280,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) Complex Surgery",,,11754.0,11754.0,22
CPT,43280,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) Other Surgical Services",,,4150.0,4150.0,1
CPT,43280,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) SCHEDULED",,,594.64,607.16,3
CPT,43280,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43281,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,2350.0,22212.0,164
CPT,43281,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh Complex Surgery",,,11754.0,11754.0,22
CPT,43281,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh Other Surgical Services",,,4150.0,4150.0,1
CPT,43281,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh SCHEDULED",,,1905.88,1946.0,3
CPT,43281,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh UNSCHEDULED",,,2263.39,2311.04,3
CPT,43282,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,2350.0,22212.0,164
CPT,43282,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh Complex Surgery",,,11754.0,11754.0,22
CPT,43282,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh Other Surgical Services",,,4150.0,4150.0,1
CPT,43282,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh SCHEDULED",,,1905.88,1946.0,3
CPT,43282,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh UNSCHEDULED",,,2263.39,2311.04,3
CPT,43283,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,2350.0,31992.0,136
CPT,43283,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,43283,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,43283,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) SCHEDULED",,,1905.88,1946.0,3
CPT,43283,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43284,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,2350.0,22212.0,164
CPT,43284,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed Complex Surgery",,,11754.0,11754.0,22
CPT,43284,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,43284,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed SCHEDULED",,,1905.88,1946.0,3
CPT,43284,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed UNSCHEDULED",,,2263.39,2311.04,3
CPT,43285,Removal of esophageal sphincter augmentation device ,,,2350.0,22212.0,164
CPT,43285,Removal of esophageal sphincter augmentation device Complex Surgery,,,11754.0,11754.0,22
CPT,43285,Removal of esophageal sphincter augmentation device Other Surgical Services,,,4150.0,4150.0,1
CPT,43285,Removal of esophageal sphincter augmentation device SCHEDULED,,,1905.88,1946.0,3
CPT,43285,Removal of esophageal sphincter augmentation device UNSCHEDULED,,,2263.39,2311.04,3
CPT,43286,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,1905.88,31992.0,165
CPT,43287,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,1905.88,31992.0,165
CPT,43288,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,1905.88,31992.0,165
CPT,43289,"Unlisted laparoscopy procedure, esophagus ",,,2350.0,22212.0,164
CPT,43289,"Unlisted laparoscopy procedure, esophagus Complex Surgery",,,11754.0,11754.0,22
CPT,43289,"Unlisted laparoscopy procedure, esophagus Other Surgical Services",,,4150.0,4150.0,1
CPT,43289,"Unlisted laparoscopy procedure, esophagus SCHEDULED",,,1905.88,1946.0,3
CPT,43289,"Unlisted laparoscopy procedure, esophagus UNSCHEDULED",,,2263.39,2311.04,3
CPT,43290,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,1950.0,9710.0,78
CPT,43290,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon Other Surgical Services",,,2850.0,2850.0,4
CPT,43290,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon SCHEDULED",,,1905.88,1946.0,3
CPT,43290,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon UNSCHEDULED",,,2263.39,2311.04,3
CPT,43291,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,1950.0,9710.0,78
CPT,43291,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,43291,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) SCHEDULED",,,1905.88,1946.0,3
CPT,43291,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43300,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,1950.0,31992.0,78
CPT,43300,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,4
CPT,43300,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula SCHEDULED",,,1905.88,1946.0,3
CPT,43300,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula UNSCHEDULED",,,2263.39,2311.04,3
CPT,43305,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,1950.0,31992.0,78
CPT,43305,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,4
CPT,43305,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula SCHEDULED",,,1905.88,1946.0,3
CPT,43305,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula UNSCHEDULED",,,2263.39,2311.04,3
CPT,43310,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,1950.0,31992.0,78
CPT,43310,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,4
CPT,43310,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula SCHEDULED",,,1905.88,1946.0,3
CPT,43310,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula UNSCHEDULED",,,2263.39,2311.04,3
CPT,43312,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,1950.0,31992.0,78
CPT,43312,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,4
CPT,43312,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula SCHEDULED",,,1905.88,1946.0,3
CPT,43312,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula UNSCHEDULED",,,2263.39,2311.04,3
CPT,43313,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,1950.0,31992.0,78
CPT,43313,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,4
CPT,43313,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula SCHEDULED",,,1905.88,1946.0,3
CPT,43313,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula UNSCHEDULED",,,2263.39,2311.04,3
CPT,43314,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,1950.0,31992.0,78
CPT,43314,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,4
CPT,43314,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula SCHEDULED",,,1905.88,1946.0,3
CPT,43314,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula UNSCHEDULED",,,2263.39,2311.04,3
CPT,43320,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,1950.0,31992.0,78
CPT,43320,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach Other Surgical Services",,,2850.0,2850.0,4
CPT,43320,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach SCHEDULED",,,1905.88,1946.0,3
CPT,43320,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach UNSCHEDULED",,,2263.39,2311.04,3
CPT,43324,REVISE ESOPHAGUS & STOMACH SCHEDULED,,,1905.88,1946.0,3
CPT,43324,REVISE ESOPHAGUS & STOMACH UNSCHEDULED,,,2263.39,2311.04,3
CPT,43325,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,1950.0,31992.0,78
CPT,43325,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,43325,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) SCHEDULED",,,1905.88,1946.0,3
CPT,43325,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43326,REVISE ESOPHAGUS & STOMACH SCHEDULED,,,1905.88,1946.0,3
CPT,43326,REVISE ESOPHAGUS & STOMACH UNSCHEDULED,,,2263.39,2311.04,3
CPT,43327,Esophagogastric fundoplasty partial or complete; laparotomy ,,,1950.0,31992.0,78
CPT,43327,Esophagogastric fundoplasty partial or complete; laparotomy Other Surgical Services,,,2850.0,2850.0,4
CPT,43327,Esophagogastric fundoplasty partial or complete; laparotomy SCHEDULED,,,1905.88,1946.0,3
CPT,43327,Esophagogastric fundoplasty partial or complete; laparotomy UNSCHEDULED,,,2263.39,2311.04,3
CPT,43328,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,1950.0,31992.0,78
CPT,43328,Esophagogastric fundoplasty partial or complete; thoracotomy Other Surgical Services,,,2850.0,2850.0,4
CPT,43328,Esophagogastric fundoplasty partial or complete; thoracotomy SCHEDULED,,,1905.88,1946.0,3
CPT,43328,Esophagogastric fundoplasty partial or complete; thoracotomy UNSCHEDULED,,,2263.39,2311.04,3
CPT,43330,Esophagomyotomy (Heller type); abdominal approach ,,,1950.0,31992.0,78
CPT,43330,Esophagomyotomy (Heller type); abdominal approach Other Surgical Services,,,2850.0,2850.0,4
CPT,43330,Esophagomyotomy (Heller type); abdominal approach SCHEDULED,,,1905.88,1946.0,3
CPT,43330,Esophagomyotomy (Heller type); abdominal approach UNSCHEDULED,,,2263.39,2311.04,3
CPT,43331,Esophagomyotomy (Heller type); thoracic approach ,,,1950.0,31992.0,78
CPT,43331,Esophagomyotomy (Heller type); thoracic approach Other Surgical Services,,,2850.0,2850.0,4
CPT,43331,Esophagomyotomy (Heller type); thoracic approach SCHEDULED,,,1905.88,1946.0,3
CPT,43331,Esophagomyotomy (Heller type); thoracic approach UNSCHEDULED,,,2263.39,2311.04,3
CPT,43332,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,1950.0,31992.0,78
CPT,43332,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,4
CPT,43332,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis SCHEDULED",,,1905.88,1946.0,3
CPT,43332,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis UNSCHEDULED",,,2263.39,2311.04,3
CPT,43333,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,1950.0,31992.0,78
CPT,43333,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,4
CPT,43333,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis SCHEDULED",,,1905.88,1946.0,3
CPT,43333,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis UNSCHEDULED",,,2263.39,2311.04,3
CPT,43334,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,1950.0,31992.0,78
CPT,43334,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,4
CPT,43334,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis SCHEDULED",,,1905.88,1946.0,3
CPT,43334,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis UNSCHEDULED",,,2263.39,2311.04,3
CPT,43335,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,1950.0,31992.0,78
CPT,43335,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,4
CPT,43335,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis SCHEDULED",,,1905.88,1946.0,3
CPT,43335,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis UNSCHEDULED",,,2263.39,2311.04,3
CPT,43336,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,1950.0,31992.0,78
CPT,43336,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,4
CPT,43336,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis SCHEDULED",,,1905.88,1946.0,3
CPT,43336,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis UNSCHEDULED",,,2263.39,2311.04,3
CPT,43337,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,1950.0,31992.0,78
CPT,43337,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,4
CPT,43337,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis SCHEDULED",,,1905.88,1946.0,3
CPT,43337,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis UNSCHEDULED",,,2263.39,2311.04,3
CPT,43338,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,43338,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,43338,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) SCHEDULED",,,1905.88,1946.0,3
CPT,43338,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43340,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,1950.0,31992.0,78
CPT,43340,Esophagojejunostomy (without total gastrectomy); abdominal approach Other Surgical Services,,,2850.0,2850.0,4
CPT,43340,Esophagojejunostomy (without total gastrectomy); abdominal approach SCHEDULED,,,1905.88,1946.0,3
CPT,43340,Esophagojejunostomy (without total gastrectomy); abdominal approach UNSCHEDULED,,,2263.39,2311.04,3
CPT,43341,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,1950.0,31992.0,78
CPT,43341,Esophagojejunostomy (without total gastrectomy); thoracic approach Other Surgical Services,,,2850.0,2850.0,4
CPT,43341,Esophagojejunostomy (without total gastrectomy); thoracic approach SCHEDULED,,,1905.88,1946.0,3
CPT,43341,Esophagojejunostomy (without total gastrectomy); thoracic approach UNSCHEDULED,,,2263.39,2311.04,3
CPT,43350,SURGICAL OPENING ESOPHAGUS SCHEDULED,,,1905.88,1946.0,3
CPT,43350,SURGICAL OPENING ESOPHAGUS UNSCHEDULED,,,2263.39,2311.04,3
CPT,43351,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,1950.0,31992.0,78
CPT,43351,"Esophagostomy, fistulization of esophagus, external; thoracic approach Other Surgical Services",,,2850.0,2850.0,4
CPT,43351,"Esophagostomy, fistulization of esophagus, external; thoracic approach SCHEDULED",,,1905.88,1946.0,3
CPT,43351,"Esophagostomy, fistulization of esophagus, external; thoracic approach UNSCHEDULED",,,2263.39,2311.04,3
CPT,43352,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,1950.0,31992.0,78
CPT,43352,"Esophagostomy, fistulization of esophagus, external; cervical approach Other Surgical Services",,,2850.0,2850.0,4
CPT,43352,"Esophagostomy, fistulization of esophagus, external; cervical approach SCHEDULED",,,1905.88,1946.0,3
CPT,43352,"Esophagostomy, fistulization of esophagus, external; cervical approach UNSCHEDULED",,,2263.39,2311.04,3
CPT,43360,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,1950.0,31992.0,78
CPT,43360,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty Other Surgica",,,2850.0,2850.0,4
CPT,43360,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty SCHEDULED",,,1905.88,1946.0,3
CPT,43360,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty UNSCHEDULED",,,2263.39,2311.04,3
CPT,43361,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,1905.88,31992.0,88
CPT,43400,"Ligation, direct, esophageal varices ",,,1950.0,31992.0,106
CPT,43400,"Ligation, direct, esophageal varices Other Surgical Services",,,2850.0,2850.0,4
CPT,43400,"Ligation, direct, esophageal varices SCHEDULED",,,1905.88,1946.0,3
CPT,43400,"Ligation, direct, esophageal varices UNSCHEDULED",,,2263.39,2311.04,3
CPT,43401,"TRANSECTION OF ESOPHAGUS WITH REPAIR, FOR ESOPHAGEAL VARICES SCHEDULED",,,1905.88,1946.0,3
CPT,43401,"TRANSECTION OF ESOPHAGUS WITH REPAIR, FOR ESOPHAGEAL VARICES UNSCHEDULED",,,2263.39,2311.04,3
CPT,43405,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,1950.0,31992.0,78
CPT,43405,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation Other Surgical Services,,,2850.0,2850.0,4
CPT,43405,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation SCHEDULED,,,1905.88,1946.0,3
CPT,43405,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation UNSCHEDULED,,,2263.39,2311.04,3
CPT,43410,Suture of esophageal wound or injury; cervical approach ,,,1950.0,31992.0,78
CPT,43410,Suture of esophageal wound or injury; cervical approach Other Surgical Services,,,2850.0,2850.0,4
CPT,43410,Suture of esophageal wound or injury; cervical approach SCHEDULED,,,1905.88,1946.0,3
CPT,43410,Suture of esophageal wound or injury; cervical approach UNSCHEDULED,,,2263.39,2311.04,3
CPT,43415,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,1950.0,31992.0,78
CPT,43415,Suture of esophageal wound or injury; transthoracic or transabdominal approach Other Surgical Services,,,2850.0,2850.0,4
CPT,43415,Suture of esophageal wound or injury; transthoracic or transabdominal approach SCHEDULED,,,1905.88,1946.0,3
CPT,43415,Suture of esophageal wound or injury; transthoracic or transabdominal approach UNSCHEDULED,,,2263.39,2311.04,3
CPT,43420,Closure of esophagostomy or fistula; cervical approach ,,,1950.0,18507.0,106
CPT,43420,Closure of esophagostomy or fistula; cervical approach Other Surgical Services,,,2850.0,2850.0,4
CPT,43420,Closure of esophagostomy or fistula; cervical approach SCHEDULED,,,1905.88,1946.0,3
CPT,43420,Closure of esophagostomy or fistula; cervical approach UNSCHEDULED,,,2263.39,2311.04,3
CPT,43425,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,1950.0,31992.0,78
CPT,43425,Closure of esophagostomy or fistula; transthoracic or transabdominal approach Other Surgical Services,,,2850.0,2850.0,4
CPT,43425,Closure of esophagostomy or fistula; transthoracic or transabdominal approach SCHEDULED,,,1905.88,1946.0,3
CPT,43425,Closure of esophagostomy or fistula; transthoracic or transabdominal approach UNSCHEDULED,,,2263.39,2311.04,3
CPT,43450,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,1950.0,9710.0,106
CPT,43450,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes Other Surgical Services",,,2850.0,2850.0,4
CPT,43450,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes SCHEDULED",,,1905.88,1946.0,3
CPT,43450,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes UNSCHEDULED",,,2507.33,2560.11,3
CPT,43453,"Dilation of esophagus, over guide wire ",,,1950.0,9710.0,106
CPT,43453,"Dilation of esophagus, over guide wire Other Surgical Services",,,2850.0,2850.0,4
CPT,43453,"Dilation of esophagus, over guide wire SCHEDULED",,,1905.88,1946.0,3
CPT,43453,"Dilation of esophagus, over guide wire UNSCHEDULED",,,2263.39,2311.04,3
CPT,43456,DILATE ESOPHAGUS SCHEDULED,,,1905.88,1946.0,3
CPT,43456,DILATE ESOPHAGUS UNSCHEDULED,,,2263.39,2311.04,3
CPT,43458,DILATE ESOPHAGUS SCHEDULED,,,1905.88,1946.0,3
CPT,43458,DILATE ESOPHAGUS UNSCHEDULED,,,2263.39,2311.04,3
CPT,43460,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,1950.0,31992.0,78
CPT,43460,"Esophagogastric tamponade, with balloon (Sengstaken type) Other Surgical Services",,,2850.0,2850.0,4
CPT,43460,"Esophagogastric tamponade, with balloon (Sengstaken type) SCHEDULED",,,1905.88,1946.0,3
CPT,43460,"Esophagogastric tamponade, with balloon (Sengstaken type) UNSCHEDULED",,,2263.39,2311.04,3
CPT,43496,Free jejunum transfer with microvascular anastomosis ,,,1950.0,31992.0,78
CPT,43496,Free jejunum transfer with microvascular anastomosis Other Surgical Services,,,2850.0,2850.0,4
CPT,43496,Free jejunum transfer with microvascular anastomosis SCHEDULED,,,1905.88,1946.0,3
CPT,43496,Free jejunum transfer with microvascular anastomosis UNSCHEDULED,,,2263.39,2311.04,3
CPT,43497,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,1950.0,18507.0,78
CPT,43497,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») Other Surgical Services",,,2850.0,2850.0,4
CPT,43497,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») SCHEDULED",,,1905.88,1946.0,3
CPT,43497,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») UNSCHEDULED",,,2263.39,2311.04,3
CPT,43499,"Unlisted procedure, esophagus ",,,1950.0,9710.0,106
CPT,43499,"Unlisted procedure, esophagus Other Surgical Services",,,2850.0,2850.0,4
CPT,43499,"Unlisted procedure, esophagus SCHEDULED",,,1905.88,1946.0,3
CPT,43499,"Unlisted procedure, esophagus UNSCHEDULED",,,3851.55,3932.63,3
CPT,43500,Gastrotomy; with exploration or foreign body removal ,,,1950.0,31992.0,78
CPT,43500,Gastrotomy; with exploration or foreign body removal Other Surgical Services,,,2850.0,2850.0,4
CPT,43500,Gastrotomy; with exploration or foreign body removal SCHEDULED,,,7922.94,8089.74,3
CPT,43500,Gastrotomy; with exploration or foreign body removal UNSCHEDULED,,,1424.83,1454.83,3
CPT,43501,Gastrotomy; with suture repair of bleeding ulcer ,,,1950.0,31992.0,78
CPT,43501,Gastrotomy; with suture repair of bleeding ulcer Other Surgical Services,,,2850.0,2850.0,4
CPT,43501,Gastrotomy; with suture repair of bleeding ulcer SCHEDULED,,,7922.94,8089.74,3
CPT,43501,Gastrotomy; with suture repair of bleeding ulcer UNSCHEDULED,,,1424.83,1454.83,3
CPT,43502,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,1950.0,31992.0,78
CPT,43502,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) Other Surgical Services",,,2850.0,2850.0,4
CPT,43502,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) SCHEDULED",,,7922.94,8089.74,3
CPT,43502,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43510,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,1950.0,9710.0,106
CPT,43510,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) Other Surgical Services",,,2850.0,2850.0,4
CPT,43510,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) SCHEDULED",,,7922.94,8089.74,3
CPT,43510,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43520,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,1950.0,31992.0,78
CPT,43520,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) Other Surgical Services",,,2850.0,2850.0,4
CPT,43520,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) SCHEDULED",,,7922.94,8089.74,3
CPT,43520,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43600,BIOPSY OF STOMACH SCHEDULED,,,7922.94,8089.74,3
CPT,43600,BIOPSY OF STOMACH UNSCHEDULED,,,1424.83,1454.83,3
CPT,43605,"Biopsy of stomach, by laparotomy ",,,1950.0,31992.0,106
CPT,43605,"Biopsy of stomach, by laparotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,43605,"Biopsy of stomach, by laparotomy SCHEDULED",,,7922.94,8089.74,3
CPT,43605,"Biopsy of stomach, by laparotomy UNSCHEDULED",,,1424.83,1454.83,3
CPT,43610,"Excision, local; ulcer or benign tumor of stomach ",,,1950.0,31992.0,78
CPT,43610,"Excision, local; ulcer or benign tumor of stomach Other Surgical Services",,,2850.0,2850.0,4
CPT,43610,"Excision, local; ulcer or benign tumor of stomach SCHEDULED",,,7922.94,8089.74,3
CPT,43610,"Excision, local; ulcer or benign tumor of stomach UNSCHEDULED",,,1424.83,1454.83,3
CPT,43611,"Excision, local; malignant tumor of stomach ",,,1950.0,31992.0,78
CPT,43611,"Excision, local; malignant tumor of stomach Other Surgical Services",,,2850.0,2850.0,4
CPT,43611,"Excision, local; malignant tumor of stomach SCHEDULED",,,7922.94,8089.74,3
CPT,43611,"Excision, local; malignant tumor of stomach UNSCHEDULED",,,1424.83,1454.83,3
CPT,43620,"Gastrectomy, total; with esophagoenterostomy ",,,1950.0,31992.0,78
CPT,43620,"Gastrectomy, total; with esophagoenterostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,43620,"Gastrectomy, total; with esophagoenterostomy SCHEDULED",,,7922.94,8089.74,3
CPT,43620,"Gastrectomy, total; with esophagoenterostomy UNSCHEDULED",,,1424.83,1454.83,3
CPT,43621,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,1950.0,31992.0,78
CPT,43621,"Gastrectomy, total; with Roux-en-Y reconstruction Other Surgical Services",,,2850.0,2850.0,4
CPT,43621,"Gastrectomy, total; with Roux-en-Y reconstruction SCHEDULED",,,7922.94,8089.74,3
CPT,43621,"Gastrectomy, total; with Roux-en-Y reconstruction UNSCHEDULED",,,1424.83,1454.83,3
CPT,43622,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,1950.0,31992.0,78
CPT,43622,"Gastrectomy, total; with formation of intestinal pouch, any type Other Surgical Services",,,2850.0,2850.0,4
CPT,43622,"Gastrectomy, total; with formation of intestinal pouch, any type SCHEDULED",,,7922.94,8089.74,3
CPT,43622,"Gastrectomy, total; with formation of intestinal pouch, any type UNSCHEDULED",,,1424.83,1454.83,3
CPT,43631,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,1950.0,31992.0,78
CPT,43631,"Gastrectomy, partial, distal; with gastroduodenostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,43631,"Gastrectomy, partial, distal; with gastroduodenostomy SCHEDULED",,,7922.94,8089.74,3
CPT,43631,"Gastrectomy, partial, distal; with gastroduodenostomy UNSCHEDULED",,,1424.83,1454.83,3
CPT,43632,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,1950.0,31992.0,78
CPT,43632,"Gastrectomy, partial, distal; with gastrojejunostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,43632,"Gastrectomy, partial, distal; with gastrojejunostomy SCHEDULED",,,7922.94,8089.74,3
CPT,43632,"Gastrectomy, partial, distal; with gastrojejunostomy UNSCHEDULED",,,1424.83,1454.83,3
CPT,43633,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,1950.0,31992.0,78
CPT,43633,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction Other Surgical Services",,,2850.0,2850.0,4
CPT,43633,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction SCHEDULED",,,7922.94,8089.74,3
CPT,43633,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction UNSCHEDULED",,,1424.83,1454.83,3
CPT,43634,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,1950.0,31992.0,78
CPT,43634,"Gastrectomy, partial, distal; with formation of intestinal pouch Other Surgical Services",,,2850.0,2850.0,4
CPT,43634,"Gastrectomy, partial, distal; with formation of intestinal pouch SCHEDULED",,,7922.94,8089.74,3
CPT,43634,"Gastrectomy, partial, distal; with formation of intestinal pouch UNSCHEDULED",,,1424.83,1454.83,3
CPT,43635,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,1950.0,31992.0,78
CPT,43635,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,43635,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) SCHEDULED,,,7922.94,8089.74,3
CPT,43635,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) UNSCHEDULED,,,1424.83,1454.83,3
CPT,43638,"REMOVAL OF STOMACH, PARTIAL SCHEDULED",,,7922.94,8089.74,3
CPT,43638,"REMOVAL OF STOMACH, PARTIAL UNSCHEDULED",,,1424.83,1454.83,3
CPT,43639,"REMOVAL OF STOMACH, PARTIAL SCHEDULED",,,7922.94,8089.74,3
CPT,43639,"REMOVAL OF STOMACH, PARTIAL UNSCHEDULED",,,1424.83,1454.83,3
CPT,43640,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,1950.0,31992.0,78
CPT,43640,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective Other Surgical Services",,,2850.0,2850.0,4
CPT,43640,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective SCHEDULED",,,7922.94,8089.74,3
CPT,43640,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective UNSCHEDULED",,,1424.83,1454.83,3
CPT,43641,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,1950.0,31992.0,78
CPT,43641,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) Other Surgical Services",,,2850.0,2850.0,4
CPT,43641,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) SCHEDULED",,,7922.94,8089.74,3
CPT,43641,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43644,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,1950.0,38794.0,122
CPT,43644,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) Other Surgical Services",,,2850.0,2850.0,4
CPT,43644,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) SCHEDULED",,,7922.94,8089.74,3
CPT,43644,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43645,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,1950.0,38794.0,122
CPT,43645,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption Other Surgical Services",,,2850.0,2850.0,4
CPT,43645,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption SCHEDULED",,,7922.94,8089.74,3
CPT,43645,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption UNSCHEDULED",,,1424.83,1454.83,3
CPT,43647,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,1950.0,34553.0,106
CPT,43647,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum Other Surgical Services",,,2850.0,2850.0,4
CPT,43647,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum SCHEDULED",,,7922.94,8089.74,3
CPT,43647,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum UNSCHEDULED",,,1424.83,1454.83,3
CPT,43648,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,1950.0,34553.0,106
CPT,43648,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum Other Surgical Services",,,2850.0,2850.0,4
CPT,43648,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum SCHEDULED",,,7922.94,8089.74,3
CPT,43648,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum UNSCHEDULED",,,1424.83,1454.83,3
CPT,43651,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,2350.0,34553.0,164
CPT,43651,"Laparoscopy, surgical; transection of vagus nerves, truncal Complex Surgery",,,11754.0,11754.0,22
CPT,43651,"Laparoscopy, surgical; transection of vagus nerves, truncal Other Surgical Services",,,4150.0,4150.0,1
CPT,43651,"Laparoscopy, surgical; transection of vagus nerves, truncal SCHEDULED",,,7922.94,8089.74,3
CPT,43651,"Laparoscopy, surgical; transection of vagus nerves, truncal UNSCHEDULED",,,1424.83,1454.83,3
CPT,43652,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,2350.0,34553.0,164
CPT,43652,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Complex Surgery",,,11754.0,11754.0,22
CPT,43652,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Other Surgical Services",,,4150.0,4150.0,1
CPT,43652,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective SCHEDULED",,,7922.94,8089.74,3
CPT,43652,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective UNSCHEDULED",,,1424.83,1454.83,3
CPT,43653,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,2350.0,34553.0,164
CPT,43653,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,43653,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,43653,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) SCHEDULED",,,7922.94,8089.74,3
CPT,43653,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43659,"Unlisted laparoscopy procedure, stomach ",,,2350.0,34553.0,164
CPT,43659,"Unlisted laparoscopy procedure, stomach Complex Surgery",,,11754.0,11754.0,22
CPT,43659,"Unlisted laparoscopy procedure, stomach Other Surgical Services",,,4150.0,4150.0,1
CPT,43659,"Unlisted laparoscopy procedure, stomach SCHEDULED",,,7922.94,8089.74,3
CPT,43659,"Unlisted laparoscopy procedure, stomach UNSCHEDULED",,,1424.83,1454.83,3
CPT,43750,PLACE GASTROSTOMY TUBE SCHEDULED,,,7922.94,8089.74,3
CPT,43750,PLACE GASTROSTOMY TUBE UNSCHEDULED,,,1424.83,1454.83,3
CPT,43752,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,1423.0,9710.0,106
CPT,43752,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) Other Surgical Services",,,2850.0,2850.0,4
CPT,43752,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) SCHEDULED",,,7922.94,8089.74,3
CPT,43752,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43753,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,1423.0,9710.0,106
CPT,43753,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed Other Surgical Services",,,2850.0,2850.0,4
CPT,43753,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed SCHEDULED",,,7922.94,8089.74,3
CPT,43753,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed UNSCHEDULED",,,1424.83,1454.83,3
CPT,43754,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,1423.0,9710.0,106
CPT,43754,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) Other Surgical Services",,,2850.0,2850.0,4
CPT,43754,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) SCHEDULED",,,7922.94,8089.74,3
CPT,43754,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43755,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,1423.0,9710.0,116
CPT,43756,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,1423.0,9710.0,106
CPT,43756,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) Other Surgical Services",,,2850.0,2850.0,4
CPT,43756,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) SCHEDULED",,,7922.94,8089.74,3
CPT,43756,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43757,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,1423.0,9710.0,116
CPT,43760,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,1423.0,3251.0,28
CPT,43760,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE SCHEDULED",,,7922.94,8089.74,3
CPT,43760,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE UNSCHEDULED",,,1424.83,1454.83,3
CPT,43761,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,1844.0,9710.0,106
CPT,43761,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Other Surgical Services",,,2850.0,2850.0,4
CPT,43761,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition SCHEDULED",,,7922.94,8089.74,3
CPT,43761,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition UNSCHEDULED",,,1424.83,1454.83,3
CPT,43762,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,1844.0,9710.0,78
CPT,43762,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract Other Surgical Services",,,2850.0,2850.0,4
CPT,43762,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract SCHEDULED",,,7922.94,8089.74,3
CPT,43762,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract UNSCHEDULED",,,1112.86,1136.29,3
CPT,43763,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,1844.0,9710.0,78
CPT,43763,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract Other Surgical Services",,,2850.0,2850.0,4
CPT,43763,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract SCHEDULED",,,7922.94,8089.74,3
CPT,43763,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract UNSCHEDULED",,,1424.83,1454.83,3
CPT,43770,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,1950.0,38794.0,122
CPT,43770,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) Other Surgical Services",,,2850.0,2850.0,4
CPT,43770,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) SCHEDULED",,,7922.94,8089.74,3
CPT,43770,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43771,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,1950.0,38794.0,122
CPT,43771,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only Other Surgical Services",,,2850.0,2850.0,4
CPT,43771,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only SCHEDULED",,,7922.94,8089.74,3
CPT,43771,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only UNSCHEDULED",,,1424.83,1454.83,3
CPT,43772,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,1950.0,38794.0,122
CPT,43772,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only Other Surgical Services",,,2850.0,2850.0,4
CPT,43772,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only SCHEDULED",,,7922.94,8089.74,3
CPT,43772,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only UNSCHEDULED",,,1424.83,1454.83,3
CPT,43773,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,1950.0,38794.0,122
CPT,43773,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only Other Surgical Services",,,2850.0,2850.0,4
CPT,43773,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only SCHEDULED",,,7922.94,8089.74,3
CPT,43773,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only UNSCHEDULED",,,1424.83,1454.83,3
CPT,43774,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,1950.0,38794.0,122
CPT,43774,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components Other Surgical Services",,,2850.0,2850.0,4
CPT,43774,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components SCHEDULED",,,7922.94,8089.74,3
CPT,43774,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components UNSCHEDULED",,,1424.83,1454.83,3
CPT,43775,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,1950.0,34553.0,106
CPT,43775,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,43775,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) SCHEDULED",,,7922.94,8089.74,3
CPT,43775,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43800,Pyloroplasty ,,,1950.0,31992.0,78
CPT,43800,Pyloroplasty Other Surgical Services,,,2850.0,2850.0,4
CPT,43800,Pyloroplasty SCHEDULED,,,7922.94,8089.74,3
CPT,43800,Pyloroplasty UNSCHEDULED,,,1424.83,1454.83,3
CPT,43810,Gastroduodenostomy ,,,1950.0,31992.0,78
CPT,43810,Gastroduodenostomy Other Surgical Services,,,2850.0,2850.0,4
CPT,43810,Gastroduodenostomy SCHEDULED,,,7922.94,8089.74,3
CPT,43810,Gastroduodenostomy UNSCHEDULED,,,1424.83,1454.83,3
CPT,43820,Gastrojejunostomy; without vagotomy ,,,1950.0,31992.0,78
CPT,43820,Gastrojejunostomy; without vagotomy Other Surgical Services,,,2850.0,2850.0,4
CPT,43820,Gastrojejunostomy; without vagotomy SCHEDULED,,,7922.94,8089.74,3
CPT,43820,Gastrojejunostomy; without vagotomy UNSCHEDULED,,,1424.83,1454.83,3
CPT,43825,"Gastrojejunostomy; with vagotomy, any type ",,,1950.0,31992.0,78
CPT,43825,"Gastrojejunostomy; with vagotomy, any type Other Surgical Services",,,2850.0,2850.0,4
CPT,43825,"Gastrojejunostomy; with vagotomy, any type SCHEDULED",,,7922.94,8089.74,3
CPT,43825,"Gastrojejunostomy; with vagotomy, any type UNSCHEDULED",,,1424.83,1454.83,3
CPT,43830,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,1950.0,9710.0,106
CPT,43830,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,43830,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) SCHEDULED",,,7922.94,8089.74,3
CPT,43830,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43831,"Gastrostomy, open; neonatal, for feeding ",,,1950.0,9710.0,106
CPT,43831,"Gastrostomy, open; neonatal, for feeding Other Surgical Services",,,2850.0,2850.0,4
CPT,43831,"Gastrostomy, open; neonatal, for feeding SCHEDULED",,,7922.94,8089.74,3
CPT,43831,"Gastrostomy, open; neonatal, for feeding UNSCHEDULED",,,1424.83,1454.83,3
CPT,43832,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,1950.0,31992.0,78
CPT,43832,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,43832,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) SCHEDULED",,,7922.94,8089.74,3
CPT,43832,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43840,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,1950.0,18507.0,78
CPT,43840,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury Other Surgical Services",,,2850.0,2850.0,4
CPT,43840,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury SCHEDULED",,,7922.94,8089.74,3
CPT,43840,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury UNSCHEDULED",,,1424.83,1454.83,3
CPT,43842,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,1950.0,36598.0,136
CPT,43842,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty Other Surgical Services",,,2850.0,2850.0,4
CPT,43842,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty SCHEDULED",,,7922.94,8089.74,3
CPT,43842,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty UNSCHEDULED",,,1424.83,1454.83,3
CPT,43843,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,1950.0,38794.0,122
CPT,43843,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty Other Surgical Services",,,2850.0,2850.0,4
CPT,43843,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty SCHEDULED",,,7922.94,8089.74,3
CPT,43843,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty UNSCHEDULED",,,1424.83,1454.83,3
CPT,43845,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,1424.83,38794.0,132
CPT,43846,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,1950.0,38794.0,122
CPT,43846,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,43846,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy SCHEDULED",,,7922.94,8089.74,3
CPT,43846,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy UNSCHEDULED",,,1424.83,1454.83,3
CPT,43847,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,1950.0,38794.0,122
CPT,43847,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption Other Surgical Services",,,2850.0,2850.0,4
CPT,43847,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption SCHEDULED",,,7922.94,8089.74,3
CPT,43847,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption UNSCHEDULED",,,1424.83,1454.83,3
CPT,43848,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,1950.0,38794.0,122
CPT,43848,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,43848,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) SCHEDULED",,,7922.94,8089.74,3
CPT,43848,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) UNSCHEDULED",,,1424.83,1454.83,3
CPT,43850,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITHOUT VAGOTOMY SCHEDULED,,,7922.94,8089.74,3
CPT,43850,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITHOUT VAGOTOMY UNSCHEDULED,,,1424.83,1454.83,3
CPT,43855,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITH VAGOTOMY SCHEDULED,,,7922.94,8089.74,3
CPT,43855,REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH RECONSTRUCTION; WITH VAGOTOMY UNSCHEDULED,,,1424.83,1454.83,3
CPT,43860,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,1950.0,31992.0,78
CPT,43860,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,43860,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy SCHEDULED",,,7922.94,8089.74,3
CPT,43860,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy UNSCHEDULED",,,1424.83,1454.83,3
CPT,43865,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,1950.0,31992.0,78
CPT,43865,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,43865,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy SCHEDULED",,,7922.94,8089.74,3
CPT,43865,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy UNSCHEDULED",,,1424.83,1454.83,3
CPT,43870,"Closure of gastrostomy, surgical ",,,1950.0,18507.0,106
CPT,43870,"Closure of gastrostomy, surgical Other Surgical Services",,,2850.0,2850.0,4
CPT,43870,"Closure of gastrostomy, surgical SCHEDULED",,,7922.94,8089.74,3
CPT,43870,"Closure of gastrostomy, surgical UNSCHEDULED",,,1424.83,1454.83,3
CPT,43880,Closure of gastrocolic fistula ,,,1950.0,31992.0,78
CPT,43880,Closure of gastrocolic fistula Other Surgical Services,,,2850.0,2850.0,4
CPT,43880,Closure of gastrocolic fistula SCHEDULED,,,7922.94,8089.74,3
CPT,43880,Closure of gastrocolic fistula UNSCHEDULED,,,1424.83,1454.83,3
CPT,43881,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,1950.0,31992.0,78
CPT,43881,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open Other Surgical Services",,,2850.0,2850.0,4
CPT,43881,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open SCHEDULED",,,7922.94,8089.74,3
CPT,43881,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open UNSCHEDULED",,,1424.83,1454.83,3
CPT,43882,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,1950.0,31992.0,78
CPT,43882,"Revision or removal of gastric neurostimulator electrodes, antrum, open Other Surgical Services",,,2850.0,2850.0,4
CPT,43882,"Revision or removal of gastric neurostimulator electrodes, antrum, open SCHEDULED",,,7922.94,8089.74,3
CPT,43882,"Revision or removal of gastric neurostimulator electrodes, antrum, open UNSCHEDULED",,,1424.83,1454.83,3
CPT,43886,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,1950.0,18507.0,106
CPT,43886,"Gastric restrictive procedure, open; revision of subcutaneous port component only Other Surgical Services",,,2850.0,2850.0,4
CPT,43886,"Gastric restrictive procedure, open; revision of subcutaneous port component only SCHEDULED",,,7922.94,8089.74,3
CPT,43886,"Gastric restrictive procedure, open; revision of subcutaneous port component only UNSCHEDULED",,,1424.83,1454.83,3
CPT,43887,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,1950.0,9710.0,106
CPT,43887,"Gastric restrictive procedure, open; removal of subcutaneous port component only Other Surgical Services",,,2850.0,2850.0,4
CPT,43887,"Gastric restrictive procedure, open; removal of subcutaneous port component only SCHEDULED",,,7922.94,8089.74,3
CPT,43887,"Gastric restrictive procedure, open; removal of subcutaneous port component only UNSCHEDULED",,,1424.83,1454.83,3
CPT,43888,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,1950.0,18507.0,106
CPT,43888,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Other Surgical Services",,,2850.0,2850.0,4
CPT,43888,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only SCHEDULED",,,7922.94,8089.74,3
CPT,43888,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only UNSCHEDULED",,,1424.83,1454.83,3
CPT,43889,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,1950.0,18507.0,75
CPT,43889,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,43999,"Unlisted procedure, stomach ",,,1950.0,13128.0,81
CPT,43999,"Unlisted procedure, stomach Other Surgical Services",,,2850.0,2850.0,4
CPT,43999,"Unlisted procedure, stomach SCHEDULED",,,7922.94,8089.74,3
CPT,43999,"Unlisted procedure, stomach UNSCHEDULED",,,10392.57,10611.36,3
CPT,44005,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,1950.0,31992.0,78
CPT,44005,Enterolysis (freeing of intestinal adhesion) (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,44005,Enterolysis (freeing of intestinal adhesion) (separate procedure) SCHEDULED,,,1653.58,1688.39,3
CPT,44005,Enterolysis (freeing of intestinal adhesion) (separate procedure) UNSCHEDULED,,,2740.79,2798.49,3
CPT,44010,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,1950.0,31992.0,78
CPT,44010,"Duodenotomy, for exploration, biopsy(s), or foreign body removal Other Surgical Services",,,2850.0,2850.0,4
CPT,44010,"Duodenotomy, for exploration, biopsy(s), or foreign body removal SCHEDULED",,,1653.58,1688.39,3
CPT,44010,"Duodenotomy, for exploration, biopsy(s), or foreign body removal UNSCHEDULED",,,2740.79,2798.49,3
CPT,44015,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,1950.0,31992.0,78
CPT,44015,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,44015,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) SCHEDULED",,,1653.58,1688.39,3
CPT,44015,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44020,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,1950.0,31992.0,78
CPT,44020,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal Other Surgical Services",,,2850.0,2850.0,4
CPT,44020,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal SCHEDULED",,,1653.58,1688.39,3
CPT,44020,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal UNSCHEDULED",,,2740.79,2798.49,3
CPT,44021,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,1950.0,31992.0,78
CPT,44021,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) Other Surgical Services",,,2850.0,2850.0,4
CPT,44021,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) SCHEDULED",,,1653.58,1688.39,3
CPT,44021,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44025,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,1950.0,31992.0,78
CPT,44025,"Colotomy, for exploration, biopsy(s), or foreign body removal Other Surgical Services",,,2850.0,2850.0,4
CPT,44025,"Colotomy, for exploration, biopsy(s), or foreign body removal SCHEDULED",,,1653.58,1688.39,3
CPT,44025,"Colotomy, for exploration, biopsy(s), or foreign body removal UNSCHEDULED",,,2740.79,2798.49,3
CPT,44050,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,1950.0,31992.0,78
CPT,44050,"Reduction of volvulus, intussusception, internal hernia, by laparotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44050,"Reduction of volvulus, intussusception, internal hernia, by laparotomy SCHEDULED",,,1653.58,1688.39,3
CPT,44050,"Reduction of volvulus, intussusception, internal hernia, by laparotomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44055,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,1950.0,31992.0,78
CPT,44055,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,44055,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) SCHEDULED",,,1653.58,1688.39,3
CPT,44055,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44100,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,1950.0,9710.0,106
CPT,44100,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) Other Surgical Services",,,2850.0,2850.0,4
CPT,44100,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) SCHEDULED",,,1653.58,1688.39,3
CPT,44100,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44110,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,1950.0,31992.0,78
CPT,44110,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44110,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy SCHEDULED",,,1653.58,1688.39,3
CPT,44110,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44111,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,1950.0,31992.0,78
CPT,44111,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies Other Surgical Services",,,2850.0,2850.0,4
CPT,44111,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies SCHEDULED",,,1653.58,1688.39,3
CPT,44111,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies UNSCHEDULED",,,2740.79,2798.49,3
CPT,44120,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,1950.0,31992.0,78
CPT,44120,"Enterectomy, resection of small intestine; single resection and anastomosis Other Surgical Services",,,2850.0,2850.0,4
CPT,44120,"Enterectomy, resection of small intestine; single resection and anastomosis SCHEDULED",,,1653.58,1688.39,3
CPT,44120,"Enterectomy, resection of small intestine; single resection and anastomosis UNSCHEDULED",,,3969.84,4053.42,3
CPT,44121,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,44121,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,44121,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) SCHEDULED",,,1653.58,1688.39,3
CPT,44121,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44125,"Enterectomy, resection of small intestine; with enterostomy ",,,1950.0,31992.0,78
CPT,44125,"Enterectomy, resection of small intestine; with enterostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44125,"Enterectomy, resection of small intestine; with enterostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44125,"Enterectomy, resection of small intestine; with enterostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44126,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,1950.0,31992.0,78
CPT,44126,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering Other Surgical Services",,,2850.0,2850.0,4
CPT,44126,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering SCHEDULED",,,1653.58,1688.39,3
CPT,44126,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering UNSCHEDULED",,,2740.79,2798.49,3
CPT,44127,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,1950.0,31992.0,78
CPT,44127,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering Other Surgical Services",,,2850.0,2850.0,4
CPT,44127,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering SCHEDULED",,,1653.58,1688.39,3
CPT,44127,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering UNSCHEDULED",,,2740.79,2798.49,3
CPT,44128,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,1653.58,31992.0,88
CPT,44130,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,1950.0,31992.0,78
CPT,44130,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,44130,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) SCHEDULED",,,1653.58,1688.39,3
CPT,44130,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44132,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,1950.0,31992.0,78
CPT,44132,"Donor enterectomy (including cold preservation), open; from cadaver donor Other Surgical Services",,,2850.0,2850.0,4
CPT,44132,"Donor enterectomy (including cold preservation), open; from cadaver donor SCHEDULED",,,1653.58,1688.39,3
CPT,44132,"Donor enterectomy (including cold preservation), open; from cadaver donor UNSCHEDULED",,,2740.79,2798.49,3
CPT,44133,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,1950.0,31992.0,78
CPT,44133,"Donor enterectomy (including cold preservation), open; partial, from living donor Other Surgical Services",,,2850.0,2850.0,4
CPT,44133,"Donor enterectomy (including cold preservation), open; partial, from living donor SCHEDULED",,,1653.58,1688.39,3
CPT,44133,"Donor enterectomy (including cold preservation), open; partial, from living donor UNSCHEDULED",,,2740.79,2798.49,3
CPT,44135,Intestinal allotransplantation; from cadaver donor ,,,1950.0,31992.0,78
CPT,44135,Intestinal allotransplantation; from cadaver donor Other Surgical Services,,,2850.0,2850.0,4
CPT,44135,Intestinal allotransplantation; from cadaver donor SCHEDULED,,,1653.58,1688.39,3
CPT,44135,Intestinal allotransplantation; from cadaver donor UNSCHEDULED,,,2740.79,2798.49,3
CPT,44136,Intestinal allotransplantation; from living donor ,,,1950.0,31992.0,78
CPT,44136,Intestinal allotransplantation; from living donor Other Surgical Services,,,2850.0,2850.0,4
CPT,44136,Intestinal allotransplantation; from living donor SCHEDULED,,,1653.58,1688.39,3
CPT,44136,Intestinal allotransplantation; from living donor UNSCHEDULED,,,2740.79,2798.49,3
CPT,44137,"Removal of transplanted intestinal allograft, complete ",,,1950.0,31992.0,78
CPT,44137,"Removal of transplanted intestinal allograft, complete Other Surgical Services",,,2850.0,2850.0,4
CPT,44137,"Removal of transplanted intestinal allograft, complete SCHEDULED",,,1653.58,1688.39,3
CPT,44137,"Removal of transplanted intestinal allograft, complete UNSCHEDULED",,,2740.79,2798.49,3
CPT,44139,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,1950.0,31992.0,78
CPT,44139,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,44139,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) SCHEDULED,,,1653.58,1688.39,3
CPT,44139,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) UNSCHEDULED,,,2740.79,2798.49,3
CPT,44140,"Colectomy, partial; with anastomosis ",,,1950.0,31992.0,78
CPT,44140,"Colectomy, partial; with anastomosis Other Surgical Services",,,2850.0,2850.0,4
CPT,44140,"Colectomy, partial; with anastomosis SCHEDULED",,,1653.58,1688.39,3
CPT,44140,"Colectomy, partial; with anastomosis UNSCHEDULED",,,2740.79,2798.49,3
CPT,44141,"Colectomy, partial; with skin level cecostomy or colostomy ",,,1950.0,31992.0,78
CPT,44141,"Colectomy, partial; with skin level cecostomy or colostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44141,"Colectomy, partial; with skin level cecostomy or colostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44141,"Colectomy, partial; with skin level cecostomy or colostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44143,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,1950.0,31992.0,78
CPT,44143,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,44143,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) SCHEDULED",,,1653.58,1688.39,3
CPT,44143,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44144,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,1950.0,31992.0,78
CPT,44144,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula Other Surgical Services",,,2850.0,2850.0,4
CPT,44144,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula SCHEDULED",,,1653.58,1688.39,3
CPT,44144,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula UNSCHEDULED",,,2740.79,2798.49,3
CPT,44145,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,1950.0,31992.0,78
CPT,44145,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) Other Surgical Services",,,2850.0,2850.0,4
CPT,44145,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) SCHEDULED",,,1653.58,1688.39,3
CPT,44145,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44146,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,1950.0,31992.0,78
CPT,44146,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44146,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44146,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44147,"Colectomy, partial; abdominal and transanal approach ",,,1950.0,31992.0,78
CPT,44147,"Colectomy, partial; abdominal and transanal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,44147,"Colectomy, partial; abdominal and transanal approach SCHEDULED",,,1653.58,1688.39,3
CPT,44147,"Colectomy, partial; abdominal and transanal approach UNSCHEDULED",,,2740.79,2798.49,3
CPT,44150,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,1950.0,31992.0,78
CPT,44150,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44150,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44150,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44151,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,1950.0,31992.0,78
CPT,44151,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44151,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44151,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44152,REMOVAL OF COLON/ILEOSTOMY SCHEDULED,,,1653.58,1688.39,3
CPT,44152,REMOVAL OF COLON/ILEOSTOMY UNSCHEDULED,,,2740.79,2798.49,3
CPT,44153,REMOVAL OF COLON/ILEOSTOMY SCHEDULED,,,1653.58,1688.39,3
CPT,44153,REMOVAL OF COLON/ILEOSTOMY UNSCHEDULED,,,2740.79,2798.49,3
CPT,44155,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,1950.0,31992.0,78
CPT,44155,"Colectomy, total, abdominal, with proctectomy; with ileostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44155,"Colectomy, total, abdominal, with proctectomy; with ileostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44155,"Colectomy, total, abdominal, with proctectomy; with ileostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44156,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,1950.0,31992.0,78
CPT,44156,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44156,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44156,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44157,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,1950.0,31992.0,78
CPT,44157,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,44157,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed SCHEDULED",,,1653.58,1688.39,3
CPT,44157,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed UNSCHEDULED",,,2740.79,2798.49,3
CPT,44158,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,1950.0,31992.0,78
CPT,44158,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,44158,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed SCHEDULED",,,1653.58,1688.39,3
CPT,44158,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed UNSCHEDULED",,,2740.79,2798.49,3
CPT,44160,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,1950.0,31992.0,78
CPT,44160,"Colectomy, partial, with removal of terminal ileum with ileocolostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44160,"Colectomy, partial, with removal of terminal ileum with ileocolostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44160,"Colectomy, partial, with removal of terminal ileum with ileocolostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44180,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,1950.0,18507.0,103
CPT,44180,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,44180,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) SCHEDULED",,,12175.45,12431.77,3
CPT,44180,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44186,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,1950.0,18507.0,103
CPT,44186,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) Other Surgical Services",,,2850.0,2850.0,4
CPT,44186,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) SCHEDULED",,,1653.58,1688.39,3
CPT,44186,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44187,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,1950.0,31992.0,75
CPT,44187,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube Other Surgical Services",,,2850.0,2850.0,4
CPT,44187,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube SCHEDULED",,,1653.58,1688.39,3
CPT,44187,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube UNSCHEDULED",,,2740.79,2798.49,3
CPT,44188,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,1950.0,31992.0,75
CPT,44188,"Laparoscopy, surgical, colostomy or skin level cecostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44188,"Laparoscopy, surgical, colostomy or skin level cecostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44188,"Laparoscopy, surgical, colostomy or skin level cecostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44200,"LAPAROSCOPY, ENTEROLYSIS SCHEDULED",,,1653.58,1688.39,3
CPT,44200,"LAPAROSCOPY, ENTEROLYSIS UNSCHEDULED",,,2740.79,2798.49,3
CPT,44201,"LAPAROSCOPY, JEJUNOSTOMY SCHEDULED",,,1653.58,1688.39,3
CPT,44201,"LAPAROSCOPY, JEJUNOSTOMY UNSCHEDULED",,,2740.79,2798.49,3
CPT,44202,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,2350.0,31992.0,99
CPT,44202,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis Other Surgical Services",,,4150.0,4150.0,1
CPT,44202,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis SCHEDULED",,,1653.58,1688.39,3
CPT,44202,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis UNSCHEDULED",,,2740.79,2798.49,3
CPT,44203,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,2350.0,31992.0,99
CPT,44203,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,44203,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) SCHEDULED",,,1653.58,1688.39,3
CPT,44203,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44204,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,2350.0,31992.0,99
CPT,44204,"Laparoscopy, surgical; colectomy, partial, with anastomosis Other Surgical Services",,,4150.0,4150.0,1
CPT,44204,"Laparoscopy, surgical; colectomy, partial, with anastomosis SCHEDULED",,,1653.58,1688.39,3
CPT,44204,"Laparoscopy, surgical; colectomy, partial, with anastomosis UNSCHEDULED",,,2740.79,2798.49,3
CPT,44205,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,2350.0,31992.0,71
CPT,44205,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy Other Surgical Services",,,4150.0,4150.0,1
CPT,44205,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44205,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44206,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,2350.0,31992.0,71
CPT,44206,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,44206,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) SCHEDULED",,,1653.58,1688.39,3
CPT,44206,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44207,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,2350.0,31992.0,71
CPT,44207,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) Other Surgical Services",,,4150.0,4150.0,1
CPT,44207,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) SCHEDULED",,,1653.58,1688.39,3
CPT,44207,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44208,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,2350.0,31992.0,71
CPT,44208,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy Other Surgical Services",,,4150.0,4150.0,1
CPT,44208,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44208,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44209,"Laparoscope proc, intestine SCHEDULED",,,1653.58,1688.39,3
CPT,44209,"Laparoscope proc, intestine UNSCHEDULED",,,2740.79,2798.49,3
CPT,44210,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,2350.0,31992.0,71
CPT,44210,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy Other Surgical Services",,,4150.0,4150.0,1
CPT,44210,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44210,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44211,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,1653.58,31992.0,85
CPT,44212,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,1950.0,31992.0,75
CPT,44212,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44212,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44212,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44213,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,1950.0,31992.0,75
CPT,44213,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,44213,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) SCHEDULED",,,1653.58,1688.39,3
CPT,44213,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44227,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,1950.0,31992.0,75
CPT,44227,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis Other Surgical Services",,,2850.0,2850.0,4
CPT,44227,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis SCHEDULED",,,1653.58,1688.39,3
CPT,44227,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis UNSCHEDULED",,,2740.79,2798.49,3
CPT,44238,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,1950.0,18507.0,103
CPT,44238,"Unlisted laparoscopy procedure, intestine (except rectum) Other Surgical Services",,,2850.0,2850.0,4
CPT,44238,"Unlisted laparoscopy procedure, intestine (except rectum) SCHEDULED",,,1653.58,1688.39,3
CPT,44238,"Unlisted laparoscopy procedure, intestine (except rectum) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44239,"LAPAROSCOPE PROC, RECTUM SCHEDULED",,,1653.58,1688.39,3
CPT,44239,"LAPAROSCOPE PROC, RECTUM UNSCHEDULED",,,2740.79,2798.49,3
CPT,44300,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,1950.0,9710.0,78
CPT,44300,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,44300,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) SCHEDULED",,,1653.58,1688.39,3
CPT,44300,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44310,"Ileostomy or jejunostomy, non-tube ",,,1950.0,31992.0,78
CPT,44310,"Ileostomy or jejunostomy, non-tube Other Surgical Services",,,2850.0,2850.0,4
CPT,44310,"Ileostomy or jejunostomy, non-tube SCHEDULED",,,1653.58,1688.39,3
CPT,44310,"Ileostomy or jejunostomy, non-tube UNSCHEDULED",,,2740.79,2798.49,3
CPT,44312,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,1950.0,18507.0,106
CPT,44312,Revision of ileostomy; simple (release of superficial scar) (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,44312,Revision of ileostomy; simple (release of superficial scar) (separate procedure) SCHEDULED,,,1653.58,1688.39,3
CPT,44312,Revision of ileostomy; simple (release of superficial scar) (separate procedure) UNSCHEDULED,,,2740.79,2798.49,3
CPT,44314,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,1950.0,18507.0,78
CPT,44314,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,44314,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) SCHEDULED,,,1653.58,1688.39,3
CPT,44314,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) UNSCHEDULED,,,2740.79,2798.49,3
CPT,44316,Continent ileostomy (Kock procedure) (separate procedure) ,,,1950.0,31992.0,78
CPT,44316,Continent ileostomy (Kock procedure) (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,44316,Continent ileostomy (Kock procedure) (separate procedure) SCHEDULED,,,1653.58,1688.39,3
CPT,44316,Continent ileostomy (Kock procedure) (separate procedure) UNSCHEDULED,,,2740.79,2798.49,3
CPT,44320,Colostomy or skin level cecostomy; ,,,1950.0,31992.0,78
CPT,44320,Colostomy or skin level cecostomy; Other Surgical Services,,,2850.0,2850.0,4
CPT,44320,Colostomy or skin level cecostomy; SCHEDULED,,,1653.58,1688.39,3
CPT,44320,Colostomy or skin level cecostomy; UNSCHEDULED,,,2740.79,2798.49,3
CPT,44322,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,1950.0,31992.0,78
CPT,44322,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,44322,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) SCHEDULED",,,1653.58,1688.39,3
CPT,44322,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44340,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,1950.0,18507.0,106
CPT,44340,Revision of colostomy; simple (release of superficial scar) (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,44340,Revision of colostomy; simple (release of superficial scar) (separate procedure) SCHEDULED,,,1653.58,1688.39,3
CPT,44340,Revision of colostomy; simple (release of superficial scar) (separate procedure) UNSCHEDULED,,,2740.79,2798.49,3
CPT,44345,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,1950.0,18507.0,106
CPT,44345,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,44345,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) SCHEDULED,,,1653.58,1688.39,3
CPT,44345,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) UNSCHEDULED,,,2740.79,2798.49,3
CPT,44346,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,1950.0,18507.0,106
CPT,44346,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,44346,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) SCHEDULED,,,1653.58,1688.39,3
CPT,44346,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) UNSCHEDULED,,,2740.79,2798.49,3
CPT,44360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,1653.58,9710.0,116
CPT,44361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,44361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,44361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple SCHEDULED",,,1653.58,1688.39,3
CPT,44361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple UNSCHEDULED",,,2740.79,2798.49,3
CPT,44363,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,1950.0,9710.0,106
CPT,44363,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,44363,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) SCHEDULED",,,1653.58,1688.39,3
CPT,44363,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44364,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,1950.0,9710.0,106
CPT,44364,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,4
CPT,44364,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique SCHEDULED",,,1653.58,1688.39,3
CPT,44364,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique UNSCHEDULED",,,2740.79,2798.49,3
CPT,44365,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,1950.0,9710.0,106
CPT,44365,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery Other Su",,,2850.0,2850.0,4
CPT,44365,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery SCHEDULE",,,1653.58,1688.39,3
CPT,44365,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery UNSCHEDU",,,2740.79,2798.49,3
CPT,44366,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,1653.58,9710.0,116
CPT,44369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,1653.58,9710.0,116
CPT,44370,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,1950.0,18507.0,106
CPT,44370,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) Other Surgical Services",,,2850.0,2850.0,4
CPT,44370,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) SCHEDULED",,,1653.58,1688.39,3
CPT,44370,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44372,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,1950.0,9710.0,106
CPT,44372,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube Other Surgical Services",,,2850.0,2850.0,4
CPT,44372,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube SCHEDULED",,,107.83,110.1,3
CPT,44372,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube UNSCHEDULED",,,2740.79,2798.49,3
CPT,44373,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,1950.0,9710.0,106
CPT,44373,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube Other Surgical Service",,,2850.0,2850.0,4
CPT,44373,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube SCHEDULED",,,1653.58,1688.39,3
CPT,44373,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube UNSCHEDULED",,,1511.73,1543.55,3
CPT,44376,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1950.0,9710.0,106
CPT,44376,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Other Surg",,,2850.0,2850.0,4
CPT,44376,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) SCHEDULED",,,1653.58,1688.39,3
CPT,44376,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) UNSCHEDULE",,,2740.79,2798.49,3
CPT,44377,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,44377,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,44377,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple SCHEDULED",,,1653.58,1688.39,3
CPT,44377,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple UNSCHEDULED",,,2740.79,2798.49,3
CPT,44378,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,1653.58,9710.0,116
CPT,44379,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,1950.0,18507.0,106
CPT,44379,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) Other Surgical Services",,,2850.0,2850.0,4
CPT,44379,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) SCHEDULED",,,1653.58,1688.39,3
CPT,44379,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44380,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1950.0,9710.0,106
CPT,44380,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,44380,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) SCHEDULED",,,1653.58,1688.39,3
CPT,44380,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44381,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,1950.0,9710.0,106
CPT,44381,"Ileoscopy, through stoma; with transendoscopic balloon dilation Other Surgical Services",,,2850.0,2850.0,4
CPT,44381,"Ileoscopy, through stoma; with transendoscopic balloon dilation SCHEDULED",,,1653.58,1688.39,3
CPT,44381,"Ileoscopy, through stoma; with transendoscopic balloon dilation UNSCHEDULED",,,2740.79,2798.49,3
CPT,44382,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,44382,"Ileoscopy, through stoma; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,44382,"Ileoscopy, through stoma; with biopsy, single or multiple SCHEDULED",,,1633.16,1667.55,3
CPT,44382,"Ileoscopy, through stoma; with biopsy, single or multiple UNSCHEDULED",,,2740.79,2798.49,3
CPT,44383,ILEOSCOPY W/STENT SCHEDULED,,,1653.58,1688.39,3
CPT,44383,ILEOSCOPY W/STENT UNSCHEDULED,,,2740.79,2798.49,3
CPT,44384,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,1950.0,9710.0,106
CPT,44384,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,44384,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) SCHEDULED",,,1653.58,1688.39,3
CPT,44384,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44385,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1653.58,9710.0,116
CPT,44386,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,44386,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,44386,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple SCHEDULED",,,1653.58,1688.39,3
CPT,44386,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple UNSCHEDULED",,,2740.79,2798.49,3
CPT,44388,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1950.0,9710.0,106
CPT,44388,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,44388,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) SCHEDULED",,,9250.41,9445.15,3
CPT,44388,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44389,"Colonoscopy through stoma; with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,44389,"Colonoscopy through stoma; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,44389,"Colonoscopy through stoma; with biopsy, single or multiple SCHEDULED",,,1673.99,1709.24,3
CPT,44389,"Colonoscopy through stoma; with biopsy, single or multiple UNSCHEDULED",,,2740.79,2798.49,3
CPT,44390,Colonoscopy through stoma; with removal of foreign body(s) ,,,1950.0,9710.0,106
CPT,44390,Colonoscopy through stoma; with removal of foreign body(s) Other Surgical Services,,,2850.0,2850.0,4
CPT,44390,Colonoscopy through stoma; with removal of foreign body(s) SCHEDULED,,,1653.58,1688.39,3
CPT,44390,Colonoscopy through stoma; with removal of foreign body(s) UNSCHEDULED,,,2740.79,2798.49,3
CPT,44391,"Colonoscopy through stoma; with control of bleeding, any method ",,,1950.0,9710.0,106
CPT,44391,"Colonoscopy through stoma; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,4
CPT,44391,"Colonoscopy through stoma; with control of bleeding, any method SCHEDULED",,,1653.58,1688.39,3
CPT,44391,"Colonoscopy through stoma; with control of bleeding, any method UNSCHEDULED",,,2740.79,2798.49,3
CPT,44392,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,1950.0,9710.0,106
CPT,44392,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,4
CPT,44392,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps SCHEDULED",,,1653.58,1688.39,3
CPT,44392,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps UNSCHEDULED",,,2740.79,2798.49,3
CPT,44393,COLONOSCOPY LESION REMOVAL SCHEDULED,,,1653.58,1688.39,3
CPT,44393,COLONOSCOPY LESION REMOVAL UNSCHEDULED,,,2740.79,2798.49,3
CPT,44394,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,1950.0,9710.0,106
CPT,44394,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,4
CPT,44394,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique SCHEDULED",,,1653.58,1688.39,3
CPT,44394,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique UNSCHEDULED",,,2740.79,2798.49,3
CPT,44397,COLONOSCOPY W/STENT SCHEDULED,,,1653.58,1688.39,3
CPT,44397,COLONOSCOPY W/STENT UNSCHEDULED,,,2740.79,2798.49,3
CPT,44401,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,1950.0,9710.0,106
CPT,44401,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,44401,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) SCHEDULED",,,1653.58,1688.39,3
CPT,44401,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44402,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,1950.0,18507.0,106
CPT,44402,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,44402,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) SCHEDULED",,,1653.58,1688.39,3
CPT,44402,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44403,Colonoscopy through stoma; with endoscopic mucosal resection ,,,1950.0,9710.0,106
CPT,44403,Colonoscopy through stoma; with endoscopic mucosal resection Other Surgical Services,,,2850.0,2850.0,4
CPT,44403,Colonoscopy through stoma; with endoscopic mucosal resection SCHEDULED,,,1653.58,1688.39,3
CPT,44403,Colonoscopy through stoma; with endoscopic mucosal resection UNSCHEDULED,,,2740.79,2798.49,3
CPT,44404,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,1950.0,9710.0,106
CPT,44404,"Colonoscopy through stoma; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,4
CPT,44404,"Colonoscopy through stoma; with directed submucosal injection(s), any substance SCHEDULED",,,1653.58,1688.39,3
CPT,44404,"Colonoscopy through stoma; with directed submucosal injection(s), any substance UNSCHEDULED",,,2740.79,2798.49,3
CPT,44405,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,1950.0,9710.0,106
CPT,44405,Colonoscopy through stoma; with transendoscopic balloon dilation Other Surgical Services,,,2850.0,2850.0,4
CPT,44405,Colonoscopy through stoma; with transendoscopic balloon dilation SCHEDULED,,,1653.58,1688.39,3
CPT,44405,Colonoscopy through stoma; with transendoscopic balloon dilation UNSCHEDULED,,,2740.79,2798.49,3
CPT,44406,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,1950.0,9710.0,106
CPT,44406,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures Other Surgical Services",,,2850.0,2850.0,4
CPT,44406,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures SCHEDULED",,,1653.58,1688.39,3
CPT,44406,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures UNSCHEDULED",,,2740.79,2798.49,3
CPT,44407,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,1653.58,9710.0,116
CPT,44408,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,1950.0,9710.0,106
CPT,44408,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,44408,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed SCHEDULED",,,1653.58,1688.39,3
CPT,44408,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed UNSCHEDULED",,,2740.79,2798.49,3
CPT,44500,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,1950.0,9710.0,106
CPT,44500,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,44500,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) SCHEDULED",,,359.09,366.65,3
CPT,44500,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44602,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,1950.0,18507.0,78
CPT,44602,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation Other Surgical Services",,,2850.0,2850.0,4
CPT,44602,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation SCHEDULED",,,1653.58,1688.39,3
CPT,44602,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation UNSCHEDULED",,,2740.79,2798.49,3
CPT,44603,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,1950.0,31992.0,78
CPT,44603,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations Other Surgical Services",,,2850.0,2850.0,4
CPT,44603,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations SCHEDULED",,,1653.58,1688.39,3
CPT,44603,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations UNSCHEDULED",,,2740.79,2798.49,3
CPT,44604,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,1950.0,31992.0,78
CPT,44604,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44604,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44604,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44605,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,1950.0,31992.0,78
CPT,44605,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,44605,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy SCHEDULED",,,1653.58,1688.39,3
CPT,44605,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy UNSCHEDULED",,,2740.79,2798.49,3
CPT,44615,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,1950.0,31992.0,78
CPT,44615,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction Other Surgical Services",,,2850.0,2850.0,4
CPT,44615,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction SCHEDULED",,,1653.58,1688.39,3
CPT,44615,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction UNSCHEDULED",,,2740.79,2798.49,3
CPT,44620,"Closure of enterostomy, large or small intestine; ",,,1950.0,31992.0,78
CPT,44620,"Closure of enterostomy, large or small intestine; Other Surgical Services",,,2850.0,2850.0,4
CPT,44620,"Closure of enterostomy, large or small intestine; SCHEDULED",,,1653.58,1688.39,3
CPT,44620,"Closure of enterostomy, large or small intestine; UNSCHEDULED",,,2740.79,2798.49,3
CPT,44625,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,1950.0,31992.0,78
CPT,44625,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal Other Surgical Services",,,2850.0,2850.0,4
CPT,44625,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal SCHEDULED",,,1653.58,1688.39,3
CPT,44625,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal UNSCHEDULED",,,2740.79,2798.49,3
CPT,44626,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,1950.0,31992.0,78
CPT,44626,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,44626,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) SCHEDULED",,,1653.58,1688.39,3
CPT,44626,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44640,Closure of intestinal cutaneous fistula ,,,1950.0,31992.0,78
CPT,44640,Closure of intestinal cutaneous fistula Other Surgical Services,,,2850.0,2850.0,4
CPT,44640,Closure of intestinal cutaneous fistula SCHEDULED,,,1653.58,1688.39,3
CPT,44640,Closure of intestinal cutaneous fistula UNSCHEDULED,,,2740.79,2798.49,3
CPT,44650,Closure of enteroenteric or enterocolic fistula ,,,1950.0,31992.0,78
CPT,44650,Closure of enteroenteric or enterocolic fistula Other Surgical Services,,,2850.0,2850.0,4
CPT,44650,Closure of enteroenteric or enterocolic fistula SCHEDULED,,,1653.58,1688.39,3
CPT,44650,Closure of enteroenteric or enterocolic fistula UNSCHEDULED,,,2740.79,2798.49,3
CPT,44660,Closure of enterovesical fistula; without intestinal or bladder resection ,,,1950.0,31992.0,78
CPT,44660,Closure of enterovesical fistula; without intestinal or bladder resection Other Surgical Services,,,2850.0,2850.0,4
CPT,44660,Closure of enterovesical fistula; without intestinal or bladder resection SCHEDULED,,,1653.58,1688.39,3
CPT,44660,Closure of enterovesical fistula; without intestinal or bladder resection UNSCHEDULED,,,2740.79,2798.49,3
CPT,44661,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,1950.0,31992.0,78
CPT,44661,Closure of enterovesical fistula; with intestine and/or bladder resection Other Surgical Services,,,2850.0,2850.0,4
CPT,44661,Closure of enterovesical fistula; with intestine and/or bladder resection SCHEDULED,,,1653.58,1688.39,3
CPT,44661,Closure of enterovesical fistula; with intestine and/or bladder resection UNSCHEDULED,,,2740.79,2798.49,3
CPT,44680,Intestinal plication (separate procedure) ,,,1950.0,31992.0,78
CPT,44680,Intestinal plication (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,44680,Intestinal plication (separate procedure) SCHEDULED,,,1653.58,1688.39,3
CPT,44680,Intestinal plication (separate procedure) UNSCHEDULED,,,2740.79,2798.49,3
CPT,44700,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,1950.0,31992.0,78
CPT,44700,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) Other Surgical Services",,,2850.0,2850.0,4
CPT,44700,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) SCHEDULED",,,1653.58,1688.39,3
CPT,44700,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) UNSCHEDULED",,,2740.79,2798.49,3
CPT,44701,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,44701,Intraoperative colonic lavage (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,44701,Intraoperative colonic lavage (List separately in addition to code for primary procedure) SCHEDULED,,,1653.58,1688.39,3
CPT,44701,Intraoperative colonic lavage (List separately in addition to code for primary procedure) UNSCHEDULED,,,2740.79,2798.49,3
CPT,44705,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,1950.0,9710.0,63
CPT,44705,"Preparation of fecal microbiota for instillation, including assessment of donor specimen Other Surgical Services",,,2850.0,2850.0,4
CPT,44705,"Preparation of fecal microbiota for instillation, including assessment of donor specimen SCHEDULED",,,1653.58,1688.39,3
CPT,44705,"Preparation of fecal microbiota for instillation, including assessment of donor specimen UNSCHEDULED",,,2740.79,2798.49,3
CPT,44715,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,1950.0,31992.0,78
CPT,44715,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein Other Surgical ",,,2850.0,2850.0,4
CPT,44715,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein SCHEDULED",,,1653.58,1688.39,3
CPT,44715,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein UNSCHEDULED",,,2740.79,2798.49,3
CPT,44720,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,1950.0,31992.0,78
CPT,44720,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each Other Surgical Services",,,2850.0,2850.0,4
CPT,44720,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each SCHEDULED",,,1653.58,1688.39,3
CPT,44720,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each UNSCHEDULED",,,2740.79,2798.49,3
CPT,44721,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,1950.0,31992.0,78
CPT,44721,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each Other Surgical Services",,,2850.0,2850.0,4
CPT,44721,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each SCHEDULED",,,1653.58,1688.39,3
CPT,44721,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each UNSCHEDULED",,,2740.79,2798.49,3
CPT,44799,"Unlisted procedure, small intestine ",,,1950.0,9710.0,106
CPT,44799,"Unlisted procedure, small intestine Other Surgical Services",,,2850.0,2850.0,4
CPT,44799,"Unlisted procedure, small intestine SCHEDULED",,,1653.58,1688.39,3
CPT,44799,"Unlisted procedure, small intestine UNSCHEDULED",,,2740.79,2798.49,3
CPT,44800,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,1950.0,31992.0,78
CPT,44800,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct Other Surgical Services,,,2850.0,2850.0,4
CPT,44820,Excision of lesion of mesentery (separate procedure) ,,,1950.0,31992.0,78
CPT,44820,Excision of lesion of mesentery (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,44850,Suture of mesentery (separate procedure) ,,,1950.0,31992.0,78
CPT,44850,Suture of mesentery (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,44899,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,1950.0,31992.0,78
CPT,44899,"Unlisted procedure, Meckel's diverticulum and the mesentery Other Surgical Services",,,2850.0,2850.0,4
CPT,44900,"Incision and drainage of appendiceal abscess, open ",,,1950.0,31992.0,78
CPT,44900,"Incision and drainage of appendiceal abscess, open Other Surgical Services",,,2850.0,2850.0,4
CPT,44950,Appendectomy; ,,,1950.0,18507.0,106
CPT,44950,Appendectomy; Other Surgical Services,,,2850.0,2850.0,4
CPT,44955,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,44955,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,44960,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,1950.0,31992.0,78
CPT,44960,Appendectomy; for ruptured appendix with abscess or generalized peritonitis Other Surgical Services,,,2850.0,2850.0,4
CPT,44970,"Laparoscopy, surgical, appendectomy ",,,2350.0,22212.0,163
CPT,44970,"Laparoscopy, surgical, appendectomy Complex Surgery",,,11754.0,11754.0,22
CPT,44970,"Laparoscopy, surgical, appendectomy High Cost Surgery",,,3950.0,3950.0,1
CPT,44970,"Laparoscopy, surgical, appendectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,44979,"Unlisted laparoscopy procedure, appendix ",,,2350.0,22212.0,164
CPT,44979,"Unlisted laparoscopy procedure, appendix Complex Surgery",,,11754.0,11754.0,22
CPT,44979,"Unlisted laparoscopy procedure, appendix Other Surgical Services",,,4150.0,4150.0,1
CPT,45000,Transrectal drainage of pelvic abscess ,,,1950.0,9710.0,106
CPT,45000,Transrectal drainage of pelvic abscess Other Surgical Services,,,2850.0,2850.0,4
CPT,45000,Transrectal drainage of pelvic abscess SCHEDULED,,,2570.14,2624.25,3
CPT,45000,Transrectal drainage of pelvic abscess UNSCHEDULED,,,2018.43,2060.92,3
CPT,45005,"Incision and drainage of submucosal abscess, rectum ",,,1950.0,9710.0,106
CPT,45005,"Incision and drainage of submucosal abscess, rectum Other Surgical Services",,,2850.0,2850.0,4
CPT,45005,"Incision and drainage of submucosal abscess, rectum SCHEDULED",,,2570.14,2624.25,3
CPT,45005,"Incision and drainage of submucosal abscess, rectum UNSCHEDULED",,,2018.43,2060.92,3
CPT,45020,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,1950.0,14792.0,106
CPT,45020,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Other Surgical Services",,,2850.0,2850.0,4
CPT,45020,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess SCHEDULED",,,2570.14,2624.25,3
CPT,45020,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess UNSCHEDULED",,,2018.43,2060.92,3
CPT,45100,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,1950.0,14792.0,106
CPT,45100,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) Other Surgical Services",,,2850.0,2850.0,4
CPT,45100,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) SCHEDULED",,,2570.14,2624.25,3
CPT,45100,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45108,Anorectal myomectomy ,,,1950.0,14792.0,106
CPT,45108,Anorectal myomectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,45108,Anorectal myomectomy SCHEDULED,,,2570.14,2624.25,3
CPT,45108,Anorectal myomectomy UNSCHEDULED,,,2018.43,2060.92,3
CPT,45110,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,1950.0,31992.0,78
CPT,45110,"Proctectomy; complete, combined abdominoperineal, with colostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,45110,"Proctectomy; complete, combined abdominoperineal, with colostomy SCHEDULED",,,2570.14,2624.25,3
CPT,45110,"Proctectomy; complete, combined abdominoperineal, with colostomy UNSCHEDULED",,,2018.43,2060.92,3
CPT,45111,"Proctectomy; partial resection of rectum, transabdominal approach ",,,1950.0,31992.0,78
CPT,45111,"Proctectomy; partial resection of rectum, transabdominal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,45111,"Proctectomy; partial resection of rectum, transabdominal approach SCHEDULED",,,2570.14,2624.25,3
CPT,45111,"Proctectomy; partial resection of rectum, transabdominal approach UNSCHEDULED",,,2018.43,2060.92,3
CPT,45112,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,1950.0,31992.0,78
CPT,45112,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) Other Surgical Services",,,2850.0,2850.0,4
CPT,45112,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) SCHEDULED",,,2570.14,2624.25,3
CPT,45112,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45113,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,1950.0,31992.0,78
CPT,45113,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,45113,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy SCHEDULED",,,2570.14,2624.25,3
CPT,45113,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy UNSCHEDULED",,,2018.43,2060.92,3
CPT,45114,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,1950.0,31992.0,78
CPT,45114,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach Other Surgical Services",,,2850.0,2850.0,4
CPT,45114,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach SCHEDULED",,,2570.14,2624.25,3
CPT,45114,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach UNSCHEDULED",,,2018.43,2060.92,3
CPT,45116,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,1950.0,31992.0,78
CPT,45116,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) Other Surgical Services",,,2850.0,2850.0,4
CPT,45116,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) SCHEDULED",,,2570.14,2624.25,3
CPT,45116,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45119,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,1950.0,31992.0,78
CPT,45119,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed Other Surgical Se",,,2850.0,2850.0,4
CPT,45119,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed SCHEDULED",,,2570.14,2624.25,3
CPT,45119,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed UNSCHEDULED",,,2018.43,2060.92,3
CPT,45120,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,1950.0,31992.0,78
CPT,45120,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) Other Surgical Services",,,2850.0,2850.0,4
CPT,45120,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) SCHEDULED",,,2570.14,2624.25,3
CPT,45120,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45121,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,1950.0,31992.0,78
CPT,45121,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies Other Surgical Services",,,2850.0,2850.0,4
CPT,45121,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies SCHEDULED",,,2570.14,2624.25,3
CPT,45121,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies UNSCHEDULED",,,2018.43,2060.92,3
CPT,45123,"Proctectomy, partial, without anastomosis, perineal approach ",,,1950.0,31992.0,98
CPT,45123,"Proctectomy, partial, without anastomosis, perineal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,45123,"Proctectomy, partial, without anastomosis, perineal approach SCHEDULED",,,2570.14,2624.25,3
CPT,45123,"Proctectomy, partial, without anastomosis, perineal approach UNSCHEDULED",,,2018.43,2060.92,3
CPT,45126,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,1950.0,31992.0,88
CPT,45130,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,1950.0,31992.0,78
CPT,45130,"Excision of rectal procidentia, with anastomosis; perineal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,45130,"Excision of rectal procidentia, with anastomosis; perineal approach SCHEDULED",,,2570.14,2624.25,3
CPT,45130,"Excision of rectal procidentia, with anastomosis; perineal approach UNSCHEDULED",,,2018.43,2060.92,3
CPT,45135,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,1950.0,31992.0,78
CPT,45135,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,45135,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach SCHEDULED",,,2570.14,2624.25,3
CPT,45135,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach UNSCHEDULED",,,2018.43,2060.92,3
CPT,45136,Excision of ileoanal reservoir with ileostomy ,,,1950.0,31992.0,78
CPT,45136,Excision of ileoanal reservoir with ileostomy Other Surgical Services,,,2850.0,2850.0,4
CPT,45136,Excision of ileoanal reservoir with ileostomy SCHEDULED,,,2570.14,2624.25,3
CPT,45136,Excision of ileoanal reservoir with ileostomy UNSCHEDULED,,,2018.43,2060.92,3
CPT,45150,Division of stricture of rectum ,,,1950.0,9710.0,106
CPT,45150,Division of stricture of rectum Other Surgical Services,,,2850.0,2850.0,4
CPT,45150,Division of stricture of rectum SCHEDULED,,,2570.14,2624.25,3
CPT,45150,Division of stricture of rectum UNSCHEDULED,,,2018.43,2060.92,3
CPT,45160,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,1950.0,14792.0,106
CPT,45160,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,45160,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach SCHEDULED",,,2570.14,2624.25,3
CPT,45160,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach UNSCHEDULED",,,2018.43,2060.92,3
CPT,45170,EXCISION OF RECTAL LESION SCHEDULED,,,2570.14,2624.25,3
CPT,45170,EXCISION OF RECTAL LESION UNSCHEDULED,,,2018.43,2060.92,3
CPT,45171,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,1950.0,14792.0,106
CPT,45171,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) Other Surgical Services",,,2850.0,2850.0,4
CPT,45171,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) SCHEDULED",,,2570.14,2624.25,3
CPT,45171,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45172,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,1950.0,14792.0,106
CPT,45172,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Other Surgical Services",,,2850.0,2850.0,4
CPT,45172,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) SCHEDULED",,,2570.14,2624.25,3
CPT,45172,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45190,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,1950.0,14792.0,106
CPT,45190,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,45190,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach SCHEDULED",,,2570.14,2624.25,3
CPT,45190,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach UNSCHEDULED",,,2018.43,2060.92,3
CPT,45300,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1950.0,9710.0,106
CPT,45300,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,45300,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) SCHEDULED",,,2570.14,2624.25,3
CPT,45300,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45303,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,1950.0,9710.0,98
CPT,45303,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) Other Surgical Services",,,2850.0,2850.0,4
CPT,45303,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) SCHEDULED",,,2570.14,2624.25,3
CPT,45303,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45305,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,45305,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,45305,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple SCHEDULED",,,2570.14,2624.25,3
CPT,45305,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple UNSCHEDULED",,,2018.43,2060.92,3
CPT,45307,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,1950.0,14792.0,106
CPT,45307,"Proctosigmoidoscopy, rigid; with removal of foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,45307,"Proctosigmoidoscopy, rigid; with removal of foreign body SCHEDULED",,,2570.14,2624.25,3
CPT,45307,"Proctosigmoidoscopy, rigid; with removal of foreign body UNSCHEDULED",,,2018.43,2060.92,3
CPT,45308,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,1950.0,14792.0,106
CPT,45308,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Other Surgical Services",,,2850.0,2850.0,4
CPT,45308,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery SCHEDULED",,,2570.14,2624.25,3
CPT,45308,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery UNSCHEDULED",,,2018.43,2060.92,3
CPT,45309,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,1950.0,9710.0,106
CPT,45309,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Other Surgical Services",,,2850.0,2850.0,4
CPT,45309,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique SCHEDULED",,,2570.14,2624.25,3
CPT,45309,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique UNSCHEDULED",,,2018.43,2060.92,3
CPT,45315,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,1950.0,9710.0,106
CPT,45315,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique Other Surgical Services",,,2850.0,2850.0,4
CPT,45315,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique SCHEDULED",,,2570.14,2624.25,3
CPT,45315,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique UNSCHEDULED",,,2018.43,2060.92,3
CPT,45317,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,1950.0,9710.0,106
CPT,45317,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) Other Surgical Services",,,2850.0,2850.0,4
CPT,45317,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) SCHEDULED",,,2570.14,2624.25,3
CPT,45317,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45320,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,1950.0,14792.0,98
CPT,45320,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) Other Surgical Service",,,2850.0,2850.0,4
CPT,45320,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) SCHEDULED",,,2570.14,2624.25,3
CPT,45320,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45321,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,1950.0,14792.0,106
CPT,45321,"Proctosigmoidoscopy, rigid; with decompression of volvulus Other Surgical Services",,,2850.0,2850.0,4
CPT,45321,"Proctosigmoidoscopy, rigid; with decompression of volvulus SCHEDULED",,,2570.14,2624.25,3
CPT,45321,"Proctosigmoidoscopy, rigid; with decompression of volvulus UNSCHEDULED",,,2018.43,2060.92,3
CPT,45327,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,1950.0,18507.0,106
CPT,45327,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Other Surgical Services",,,2850.0,2850.0,4
CPT,45327,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) SCHEDULED",,,2570.14,2624.25,3
CPT,45327,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45330,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1950.0,9710.0,106
CPT,45330,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,45330,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) SCHEDULED",,,1345.27,1373.59,3
CPT,45330,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45331,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,45331,"Sigmoidoscopy, flexible; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,45331,"Sigmoidoscopy, flexible; with biopsy, single or multiple SCHEDULED",,,6019.67,6146.4,3
CPT,45331,"Sigmoidoscopy, flexible; with biopsy, single or multiple UNSCHEDULED",,,2147.19,2192.39,3
CPT,45332,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,1950.0,9710.0,106
CPT,45332,"Sigmoidoscopy, flexible; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,45332,"Sigmoidoscopy, flexible; with removal of foreign body(s) SCHEDULED",,,2570.14,2624.25,3
CPT,45332,"Sigmoidoscopy, flexible; with removal of foreign body(s) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45333,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,1950.0,9710.0,106
CPT,45333,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,4
CPT,45333,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps SCHEDULED",,,2570.14,2624.25,3
CPT,45333,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps UNSCHEDULED",,,2018.43,2060.92,3
CPT,45334,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,1950.0,9710.0,106
CPT,45334,"Sigmoidoscopy, flexible; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,4
CPT,45334,"Sigmoidoscopy, flexible; with control of bleeding, any method SCHEDULED",,,2570.14,2624.25,3
CPT,45334,"Sigmoidoscopy, flexible; with control of bleeding, any method UNSCHEDULED",,,2018.43,2060.92,3
CPT,45335,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,1950.0,9710.0,106
CPT,45335,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,4
CPT,45335,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance SCHEDULED",,,1228.02,1253.87,3
CPT,45335,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance UNSCHEDULED",,,2018.43,2060.92,3
CPT,45337,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,1950.0,9710.0,106
CPT,45337,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,45337,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed SCHEDULED",,,2570.14,2624.25,3
CPT,45337,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed UNSCHEDULED",,,2018.43,2060.92,3
CPT,45338,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,1950.0,9710.0,106
CPT,45338,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,4
CPT,45338,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique SCHEDULED",,,2570.14,2624.25,3
CPT,45338,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique UNSCHEDULED",,,2018.43,2060.92,3
CPT,45339,SIGMOIDOSCOPY W/ABLATE TUMR SCHEDULED,,,2570.14,2624.25,3
CPT,45339,SIGMOIDOSCOPY W/ABLATE TUMR UNSCHEDULED,,,2018.43,2060.92,3
CPT,45340,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,1950.0,9710.0,106
CPT,45340,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation Other Surgical Services",,,2850.0,2850.0,4
CPT,45340,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation SCHEDULED",,,2570.14,2624.25,3
CPT,45340,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation UNSCHEDULED",,,2018.43,2060.92,3
CPT,45341,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,1950.0,9710.0,106
CPT,45341,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination Other Surgical Services",,,2850.0,2850.0,4
CPT,45341,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination SCHEDULED",,,2570.14,2624.25,3
CPT,45341,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination UNSCHEDULED",,,2018.43,2060.92,3
CPT,45342,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,1950.0,9710.0,106
CPT,45342,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,45342,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) SCHEDULED",,,2570.14,2624.25,3
CPT,45342,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45345,SIGMOIDOSCOPY W/STENT SCHEDULED,,,2570.14,2624.25,3
CPT,45345,SIGMOIDOSCOPY W/STENT UNSCHEDULED,,,2018.43,2060.92,3
CPT,45346,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,1950.0,9710.0,106
CPT,45346,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,45346,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) SCHEDULED",,,2570.14,2624.25,3
CPT,45346,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45347,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,1950.0,18507.0,106
CPT,45347,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,45347,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) SCHEDULED",,,2570.14,2624.25,3
CPT,45347,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45349,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,1950.0,14792.0,106
CPT,45349,"Sigmoidoscopy, flexible; with endoscopic mucosal resection Other Surgical Services",,,2850.0,2850.0,4
CPT,45349,"Sigmoidoscopy, flexible; with endoscopic mucosal resection SCHEDULED",,,2570.14,2624.25,3
CPT,45349,"Sigmoidoscopy, flexible; with endoscopic mucosal resection UNSCHEDULED",,,1889.65,1929.44,3
CPT,45350,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,1950.0,9710.0,106
CPT,45350,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Other Surgical Services",,,2850.0,2850.0,4
CPT,45350,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) SCHEDULED",,,2570.14,2624.25,3
CPT,45350,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45355,SURGICAL COLONOSCOPY SCHEDULED,,,2570.14,2624.25,3
CPT,45355,SURGICAL COLONOSCOPY UNSCHEDULED,,,2018.43,2060.92,3
CPT,45378,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1950.0,9710.0,106
CPT,45378,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,45378,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) SCHEDULED",,,2174.41,2220.18,3
CPT,45378,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) UNSCHEDULED",,,1336.89,1365.03,3
CPT,45379,"Colonoscopy, flexible; with removal of foreign body(s) ",,,1950.0,9710.0,106
CPT,45379,"Colonoscopy, flexible; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,45379,"Colonoscopy, flexible; with removal of foreign body(s) SCHEDULED",,,2570.14,2624.25,3
CPT,45379,"Colonoscopy, flexible; with removal of foreign body(s) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45380,"Colonoscopy, flexible; with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,45380,"Colonoscopy, flexible; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,45380,"Colonoscopy, flexible; with biopsy, single or multiple SCHEDULED",,,2570.14,2624.25,3
CPT,45380,"Colonoscopy, flexible; with biopsy, single or multiple UNSCHEDULED",,,3478.85,3552.09,3
CPT,45381,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,1950.0,9710.0,106
CPT,45381,"Colonoscopy, flexible; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,4
CPT,45381,"Colonoscopy, flexible; with directed submucosal injection(s), any substance SCHEDULED",,,2570.14,2624.25,3
CPT,45381,"Colonoscopy, flexible; with directed submucosal injection(s), any substance UNSCHEDULED",,,2018.43,2060.92,3
CPT,45382,"Colonoscopy, flexible; with control of bleeding, any method ",,,1950.0,9710.0,106
CPT,45382,"Colonoscopy, flexible; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,4
CPT,45382,"Colonoscopy, flexible; with control of bleeding, any method SCHEDULED",,,2570.14,2624.25,3
CPT,45382,"Colonoscopy, flexible; with control of bleeding, any method UNSCHEDULED",,,2018.43,2060.92,3
CPT,45383,LESION REMOVAL COLONOSCOPY SCHEDULED,,,2570.14,2624.25,3
CPT,45383,LESION REMOVAL COLONOSCOPY UNSCHEDULED,,,2018.43,2060.92,3
CPT,45384,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,1950.0,9710.0,106
CPT,45384,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,4
CPT,45384,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps SCHEDULED",,,4544.59,4640.27,3
CPT,45384,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps UNSCHEDULED",,,2018.43,2060.92,3
CPT,45385,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,1950.0,9710.0,106
CPT,45385,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,4
CPT,45385,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique SCHEDULED",,,1889.65,1929.44,3
CPT,45385,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique UNSCHEDULED",,,2018.43,2060.92,3
CPT,45386,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,1950.0,9710.0,106
CPT,45386,"Colonoscopy, flexible; with transendoscopic balloon dilation Other Surgical Services",,,2850.0,2850.0,4
CPT,45386,"Colonoscopy, flexible; with transendoscopic balloon dilation SCHEDULED",,,2596.31,2650.97,3
CPT,45386,"Colonoscopy, flexible; with transendoscopic balloon dilation UNSCHEDULED",,,2018.43,2060.92,3
CPT,45387,COLONOSCOPY W/STENT SCHEDULED,,,2570.14,2624.25,3
CPT,45387,COLONOSCOPY W/STENT UNSCHEDULED,,,2018.43,2060.92,3
CPT,45388,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,1950.0,9710.0,106
CPT,45388,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,45388,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) SCHEDULED",,,2570.14,2624.25,3
CPT,45388,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45389,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,1950.0,18507.0,106
CPT,45389,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,45389,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) SCHEDULED",,,2570.14,2624.25,3
CPT,45389,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45390,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,1950.0,14792.0,106
CPT,45390,"Colonoscopy, flexible; with endoscopic mucosal resection Other Surgical Services",,,2850.0,2850.0,4
CPT,45390,"Colonoscopy, flexible; with endoscopic mucosal resection SCHEDULED",,,2570.14,2624.25,3
CPT,45390,"Colonoscopy, flexible; with endoscopic mucosal resection UNSCHEDULED",,,2018.43,2060.92,3
CPT,45391,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,1950.0,9710.0,106
CPT,45391,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures Other Surgical Services",,,2850.0,2850.0,4
CPT,45391,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures SCHEDULED",,,2570.14,2624.25,3
CPT,45391,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures UNSCHEDULED",,,2018.43,2060.92,3
CPT,45392,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,1950.0,9710.0,116
CPT,45393,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,1950.0,9710.0,106
CPT,45393,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,45393,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed SCHEDULED",,,2570.14,2624.25,3
CPT,45393,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed UNSCHEDULED",,,2018.43,2060.92,3
CPT,45395,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,1950.0,31992.0,78
CPT,45395,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,45395,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy SCHEDULED",,,2570.14,2624.25,3
CPT,45395,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy UNSCHEDULED",,,2018.43,2060.92,3
CPT,45397,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,1950.0,31992.0,88
CPT,45398,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,1950.0,9710.0,106
CPT,45398,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Other Surgical Services",,,2850.0,2850.0,4
CPT,45398,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) SCHEDULED",,,2570.14,2624.25,3
CPT,45398,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45399,"Unlisted procedure, colon ",,,1950.0,9710.0,106
CPT,45399,"Unlisted procedure, colon Other Surgical Services",,,2850.0,2850.0,4
CPT,45399,"Unlisted procedure, colon SCHEDULED",,,2570.14,2624.25,3
CPT,45399,"Unlisted procedure, colon UNSCHEDULED",,,2018.43,2060.92,3
CPT,45400,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,1950.0,31992.0,78
CPT,45400,"Laparoscopy, surgical; proctopexy (for prolapse) Other Surgical Services",,,2850.0,2850.0,4
CPT,45400,"Laparoscopy, surgical; proctopexy (for prolapse) SCHEDULED",,,2570.14,2624.25,3
CPT,45400,"Laparoscopy, surgical; proctopexy (for prolapse) UNSCHEDULED",,,2018.43,2060.92,3
CPT,45402,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,1950.0,31992.0,78
CPT,45402,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection Other Surgical Services",,,2850.0,2850.0,4
CPT,45402,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection SCHEDULED",,,2570.14,2624.25,3
CPT,45402,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection UNSCHEDULED",,,2018.43,2060.92,3
CPT,45499,"Unlisted laparoscopy procedure, rectum ",,,1950.0,18507.0,106
CPT,45499,"Unlisted laparoscopy procedure, rectum Other Surgical Services",,,2850.0,2850.0,4
CPT,45499,"Unlisted laparoscopy procedure, rectum SCHEDULED",,,2570.14,2624.25,3
CPT,45499,"Unlisted laparoscopy procedure, rectum UNSCHEDULED",,,2018.43,2060.92,3
CPT,45500,Proctoplasty; for stenosis ,,,1950.0,14792.0,106
CPT,45500,Proctoplasty; for stenosis Other Surgical Services,,,2850.0,2850.0,4
CPT,45500,Proctoplasty; for stenosis SCHEDULED,,,2570.14,2624.25,3
CPT,45500,Proctoplasty; for stenosis UNSCHEDULED,,,2018.43,2060.92,3
CPT,45505,Proctoplasty; for prolapse of mucous membrane ,,,1950.0,14792.0,106
CPT,45505,Proctoplasty; for prolapse of mucous membrane Other Surgical Services,,,2850.0,2850.0,4
CPT,45505,Proctoplasty; for prolapse of mucous membrane SCHEDULED,,,2570.14,2624.25,3
CPT,45505,Proctoplasty; for prolapse of mucous membrane UNSCHEDULED,,,2018.43,2060.92,3
CPT,45520,Perirectal injection of sclerosing solution for prolapse ,,,1423.0,9710.0,106
CPT,45520,Perirectal injection of sclerosing solution for prolapse Other Surgical Services,,,2850.0,2850.0,4
CPT,45520,Perirectal injection of sclerosing solution for prolapse SCHEDULED,,,2570.14,2624.25,3
CPT,45520,Perirectal injection of sclerosing solution for prolapse UNSCHEDULED,,,2018.43,2060.92,3
CPT,45540,"Proctopexy (eg, for prolapse); abdominal approach ",,,1950.0,31992.0,78
CPT,45540,"Proctopexy (eg, for prolapse); abdominal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,45540,"Proctopexy (eg, for prolapse); abdominal approach SCHEDULED",,,2570.14,2624.25,3
CPT,45540,"Proctopexy (eg, for prolapse); abdominal approach UNSCHEDULED",,,2018.43,2060.92,3
CPT,45541,"Proctopexy (eg, for prolapse); perineal approach ",,,1950.0,14792.0,106
CPT,45541,"Proctopexy (eg, for prolapse); perineal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,45541,"Proctopexy (eg, for prolapse); perineal approach SCHEDULED",,,2570.14,2624.25,3
CPT,45541,"Proctopexy (eg, for prolapse); perineal approach UNSCHEDULED",,,2018.43,2060.92,3
CPT,45550,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,1950.0,31992.0,78
CPT,45550,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,45550,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach SCHEDULED",,,2570.14,2624.25,3
CPT,45550,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach UNSCHEDULED",,,2018.43,2060.92,3
CPT,45560,Repair of rectocele (separate procedure) ,,,1950.0,14792.0,106
CPT,45560,Repair of rectocele (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,45560,Repair of rectocele (separate procedure) SCHEDULED,,,2570.14,2624.25,3
CPT,45560,Repair of rectocele (separate procedure) UNSCHEDULED,,,2018.43,2060.92,3
CPT,45562,"Exploration, repair, and presacral drainage for rectal injury; ",,,1950.0,31992.0,78
CPT,45562,"Exploration, repair, and presacral drainage for rectal injury; Other Surgical Services",,,2850.0,2850.0,4
CPT,45562,"Exploration, repair, and presacral drainage for rectal injury; SCHEDULED",,,2570.14,2624.25,3
CPT,45562,"Exploration, repair, and presacral drainage for rectal injury; UNSCHEDULED",,,2018.43,2060.92,3
CPT,45563,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,1950.0,31992.0,78
CPT,45563,"Exploration, repair, and presacral drainage for rectal injury; with colostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,45563,"Exploration, repair, and presacral drainage for rectal injury; with colostomy SCHEDULED",,,2570.14,2624.25,3
CPT,45563,"Exploration, repair, and presacral drainage for rectal injury; with colostomy UNSCHEDULED",,,2018.43,2060.92,3
CPT,45800,Closure of rectovesical fistula; ,,,1950.0,31992.0,78
CPT,45800,Closure of rectovesical fistula; Other Surgical Services,,,2850.0,2850.0,4
CPT,45800,Closure of rectovesical fistula; SCHEDULED,,,2570.14,2624.25,3
CPT,45800,Closure of rectovesical fistula; UNSCHEDULED,,,2018.43,2060.92,3
CPT,45805,Closure of rectovesical fistula; with colostomy ,,,1950.0,31992.0,78
CPT,45805,Closure of rectovesical fistula; with colostomy Other Surgical Services,,,2850.0,2850.0,4
CPT,45805,Closure of rectovesical fistula; with colostomy SCHEDULED,,,2570.14,2624.25,3
CPT,45805,Closure of rectovesical fistula; with colostomy UNSCHEDULED,,,2018.43,2060.92,3
CPT,45820,Closure of rectourethral fistula; ,,,1950.0,31992.0,78
CPT,45820,Closure of rectourethral fistula; Other Surgical Services,,,2850.0,2850.0,4
CPT,45820,Closure of rectourethral fistula; SCHEDULED,,,2570.14,2624.25,3
CPT,45820,Closure of rectourethral fistula; UNSCHEDULED,,,2018.43,2060.92,3
CPT,45825,Closure of rectourethral fistula; with colostomy ,,,1950.0,31992.0,78
CPT,45825,Closure of rectourethral fistula; with colostomy Other Surgical Services,,,2850.0,2850.0,4
CPT,45825,Closure of rectourethral fistula; with colostomy SCHEDULED,,,2570.14,2624.25,3
CPT,45825,Closure of rectourethral fistula; with colostomy UNSCHEDULED,,,2018.43,2060.92,3
CPT,45900,Reduction of procidentia (separate procedure) under anesthesia ,,,1950.0,9710.0,106
CPT,45900,Reduction of procidentia (separate procedure) under anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,45900,Reduction of procidentia (separate procedure) under anesthesia SCHEDULED,,,2570.14,2624.25,3
CPT,45900,Reduction of procidentia (separate procedure) under anesthesia UNSCHEDULED,,,2018.43,2060.92,3
CPT,45905,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,1950.0,9710.0,106
CPT,45905,Dilation of anal sphincter (separate procedure) under anesthesia other than local Other Surgical Services,,,2850.0,2850.0,4
CPT,45905,Dilation of anal sphincter (separate procedure) under anesthesia other than local SCHEDULED,,,2570.14,2624.25,3
CPT,45905,Dilation of anal sphincter (separate procedure) under anesthesia other than local UNSCHEDULED,,,2018.43,2060.92,3
CPT,45910,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,1950.0,9710.0,106
CPT,45910,Dilation of rectal stricture (separate procedure) under anesthesia other than local Other Surgical Services,,,2850.0,2850.0,4
CPT,45910,Dilation of rectal stricture (separate procedure) under anesthesia other than local SCHEDULED,,,2570.14,2624.25,3
CPT,45910,Dilation of rectal stricture (separate procedure) under anesthesia other than local UNSCHEDULED,,,2018.43,2060.92,3
CPT,45915,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,1950.0,9710.0,106
CPT,45915,Removal of fecal impaction or foreign body (separate procedure) under anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,45915,Removal of fecal impaction or foreign body (separate procedure) under anesthesia SCHEDULED,,,2570.14,2624.25,3
CPT,45915,Removal of fecal impaction or foreign body (separate procedure) under anesthesia UNSCHEDULED,,,2018.43,2060.92,3
CPT,45990,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,1950.0,14792.0,106
CPT,45990,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Other Surgical Services",,,2850.0,2850.0,4
CPT,45990,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic SCHEDULED",,,2570.14,2624.25,3
CPT,45990,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic UNSCHEDULED",,,2018.43,2060.92,3
CPT,45999,"Unlisted procedure, rectum ",,,1950.0,9710.0,106
CPT,45999,"Unlisted procedure, rectum Other Surgical Services",,,2850.0,2850.0,4
CPT,45999,"Unlisted procedure, rectum SCHEDULED",,,5517.16,5633.31,3
CPT,45999,"Unlisted procedure, rectum UNSCHEDULED",,,2018.43,2060.92,3
CPT,46020,Placement of seton ,,,1950.0,14792.0,106
CPT,46020,Placement of seton Other Surgical Services,,,2850.0,2850.0,4
CPT,46020,Placement of seton SCHEDULED,,,2749.16,2807.03,3
CPT,46020,Placement of seton UNSCHEDULED,,,9595.88,9797.9,3
CPT,46030,"Removal of anal seton, other marker ",,,1950.0,9710.0,106
CPT,46030,"Removal of anal seton, other marker Other Surgical Services",,,2850.0,2850.0,4
CPT,46030,"Removal of anal seton, other marker SCHEDULED",,,2749.16,2807.03,3
CPT,46030,"Removal of anal seton, other marker UNSCHEDULED",,,9595.88,9797.9,3
CPT,46040,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,1950.0,9710.0,106
CPT,46040,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,46040,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) SCHEDULED,,,2749.16,2807.03,3
CPT,46040,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) UNSCHEDULED,,,9595.88,9797.9,3
CPT,46045,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,1950.0,14792.0,106
CPT,46045,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,46045,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia SCHEDULED",,,2749.16,2807.03,3
CPT,46045,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia UNSCHEDULED",,,9595.88,9797.9,3
CPT,46050,"Incision and drainage, perianal abscess, superficial ",,,1950.0,9710.0,106
CPT,46050,"Incision and drainage, perianal abscess, superficial Other Surgical Services",,,2850.0,2850.0,4
CPT,46050,"Incision and drainage, perianal abscess, superficial SCHEDULED",,,2749.16,2807.03,3
CPT,46050,"Incision and drainage, perianal abscess, superficial UNSCHEDULED",,,9595.88,9797.9,3
CPT,46060,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,1950.0,14792.0,106
CPT,46060,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton Other Surgical Services",,,2850.0,2850.0,4
CPT,46060,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton SCHEDULED",,,2749.16,2807.03,3
CPT,46060,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton UNSCHEDULED",,,9595.88,9797.9,3
CPT,46070,"Incision, anal septum (infant) ",,,1950.0,14792.0,106
CPT,46070,"Incision, anal septum (infant) Other Surgical Services",,,2850.0,2850.0,4
CPT,46070,"Incision, anal septum (infant) SCHEDULED",,,2749.16,2807.03,3
CPT,46070,"Incision, anal septum (infant) UNSCHEDULED",,,9595.88,9797.9,3
CPT,46080,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,1950.0,14792.0,106
CPT,46080,"Sphincterotomy, anal, division of sphincter (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,46080,"Sphincterotomy, anal, division of sphincter (separate procedure) SCHEDULED",,,2749.16,2807.03,3
CPT,46080,"Sphincterotomy, anal, division of sphincter (separate procedure) UNSCHEDULED",,,9595.88,9797.9,3
CPT,46083,"Incision of thrombosed hemorrhoid, external ",,,1423.0,9710.0,106
CPT,46083,"Incision of thrombosed hemorrhoid, external Other Surgical Services",,,2850.0,2850.0,4
CPT,46083,"Incision of thrombosed hemorrhoid, external SCHEDULED",,,2749.16,2807.03,3
CPT,46083,"Incision of thrombosed hemorrhoid, external UNSCHEDULED",,,507.75,518.44,3
CPT,46200,"Fissurectomy, including sphincterotomy, when performed ",,,1950.0,14792.0,106
CPT,46200,"Fissurectomy, including sphincterotomy, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,46200,"Fissurectomy, including sphincterotomy, when performed SCHEDULED",,,2229.9,2276.84,3
CPT,46200,"Fissurectomy, including sphincterotomy, when performed UNSCHEDULED",,,9595.88,9797.9,3
CPT,46210,REMOVAL OF ANAL CRYPT SCHEDULED,,,2749.16,2807.03,3
CPT,46210,REMOVAL OF ANAL CRYPT UNSCHEDULED,,,9595.88,9797.9,3
CPT,46211,REMOVAL OF ANAL CRYPTS SCHEDULED,,,2749.16,2807.03,3
CPT,46211,REMOVAL OF ANAL CRYPTS UNSCHEDULED,,,9595.88,9797.9,3
CPT,46220,"Excision of single external papilla or tag, anus ",,,1950.0,9710.0,106
CPT,46220,"Excision of single external papilla or tag, anus Other Surgical Services",,,2850.0,2850.0,4
CPT,46220,"Excision of single external papilla or tag, anus SCHEDULED",,,2749.16,2807.03,3
CPT,46220,"Excision of single external papilla or tag, anus UNSCHEDULED",,,9595.88,9797.9,3
CPT,46221,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,1950.0,9710.0,106
CPT,46221,"Hemorrhoidectomy, internal, by rubber band ligation(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,46221,"Hemorrhoidectomy, internal, by rubber band ligation(s) SCHEDULED",,,2749.16,2807.03,3
CPT,46221,"Hemorrhoidectomy, internal, by rubber band ligation(s) UNSCHEDULED",,,9595.88,9797.9,3
CPT,46230,"Excision of multiple external papillae or tags, anus ",,,1950.0,14792.0,106
CPT,46230,"Excision of multiple external papillae or tags, anus Other Surgical Services",,,2850.0,2850.0,4
CPT,46230,"Excision of multiple external papillae or tags, anus SCHEDULED",,,2749.16,2807.03,3
CPT,46230,"Excision of multiple external papillae or tags, anus UNSCHEDULED",,,9595.88,9797.9,3
CPT,46250,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,1950.0,14792.0,106
CPT,46250,"Hemorrhoidectomy, external, 2 or more columns/groups Other Surgical Services",,,2850.0,2850.0,4
CPT,46250,"Hemorrhoidectomy, external, 2 or more columns/groups SCHEDULED",,,2749.16,2807.03,3
CPT,46250,"Hemorrhoidectomy, external, 2 or more columns/groups UNSCHEDULED",,,9595.88,9797.9,3
CPT,46255,"Hemorrhoidectomy, internal and external, single column/group; ",,,1950.0,14792.0,106
CPT,46255,"Hemorrhoidectomy, internal and external, single column/group; Other Surgical Services",,,2850.0,2850.0,4
CPT,46255,"Hemorrhoidectomy, internal and external, single column/group; SCHEDULED",,,4507.95,4602.85,3
CPT,46255,"Hemorrhoidectomy, internal and external, single column/group; UNSCHEDULED",,,9595.88,9797.9,3
CPT,46257,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,1950.0,14792.0,106
CPT,46257,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,46257,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy SCHEDULED",,,2749.16,2807.03,3
CPT,46257,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy UNSCHEDULED",,,9595.88,9797.9,3
CPT,46258,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,1950.0,14792.0,106
CPT,46258,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,46258,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed SCHEDULED",,,2749.16,2807.03,3
CPT,46258,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed UNSCHEDULED",,,9595.88,9797.9,3
CPT,46260,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,1950.0,14792.0,106
CPT,46260,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; Other Surgical Services",,,2850.0,2850.0,4
CPT,46260,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; SCHEDULED",,,11898.02,12148.5,3
CPT,46260,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; UNSCHEDULED",,,9595.88,9797.9,3
CPT,46261,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,1950.0,14792.0,106
CPT,46261,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,46261,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy SCHEDULED",,,2749.16,2807.03,3
CPT,46261,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy UNSCHEDULED",,,9595.88,9797.9,3
CPT,46262,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,1950.0,14792.0,106
CPT,46262,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,46262,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed SCHEDULED",,,2749.16,2807.03,3
CPT,46262,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed UNSCHEDULED",,,9595.88,9797.9,3
CPT,46270,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,1950.0,14792.0,106
CPT,46270,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Other Surgical Services,,,2850.0,2850.0,4
CPT,46270,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous SCHEDULED,,,2749.16,2807.03,3
CPT,46270,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous UNSCHEDULED,,,13699.73,13988.15,3
CPT,46275,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,1950.0,14792.0,106
CPT,46275,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Other Surgical Services,,,2850.0,2850.0,4
CPT,46275,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric SCHEDULED,,,2749.16,2807.03,3
CPT,46275,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric UNSCHEDULED,,,9595.88,9797.9,3
CPT,46280,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,1950.0,14792.0,106
CPT,46280,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,46280,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed SCHEDULED",,,2749.16,2807.03,3
CPT,46280,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed UNSCHEDULED",,,9595.88,9797.9,3
CPT,46285,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,1950.0,14792.0,106
CPT,46285,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Other Surgical Services,,,2850.0,2850.0,4
CPT,46285,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage SCHEDULED,,,2749.16,2807.03,3
CPT,46285,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage UNSCHEDULED,,,9595.88,9797.9,3
CPT,46288,Closure of anal fistula with rectal advancement flap ,,,1950.0,14792.0,106
CPT,46288,Closure of anal fistula with rectal advancement flap Other Surgical Services,,,2850.0,2850.0,4
CPT,46288,Closure of anal fistula with rectal advancement flap SCHEDULED,,,2749.16,2807.03,3
CPT,46288,Closure of anal fistula with rectal advancement flap UNSCHEDULED,,,9595.88,9797.9,3
CPT,46320,"Excision of thrombosed hemorrhoid, external ",,,1950.0,9710.0,106
CPT,46320,"Excision of thrombosed hemorrhoid, external Other Surgical Services",,,2850.0,2850.0,4
CPT,46320,"Excision of thrombosed hemorrhoid, external SCHEDULED",,,2749.16,2807.03,3
CPT,46320,"Excision of thrombosed hemorrhoid, external UNSCHEDULED",,,9595.88,9797.9,3
CPT,46500,"Injection of sclerosing solution, hemorrhoids ",,,1950.0,9710.0,106
CPT,46500,"Injection of sclerosing solution, hemorrhoids Other Surgical Services",,,2850.0,2850.0,4
CPT,46500,"Injection of sclerosing solution, hemorrhoids SCHEDULED",,,2749.16,2807.03,3
CPT,46500,"Injection of sclerosing solution, hemorrhoids UNSCHEDULED",,,9595.88,9797.9,3
CPT,46505,Chemodenervation of internal anal sphincter ,,,1950.0,9710.0,106
CPT,46505,Chemodenervation of internal anal sphincter Other Surgical Services,,,2850.0,2850.0,4
CPT,46505,Chemodenervation of internal anal sphincter SCHEDULED,,,2749.16,2807.03,3
CPT,46505,Chemodenervation of internal anal sphincter UNSCHEDULED,,,9595.88,9797.9,3
CPT,46600,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1423.0,9710.0,106
CPT,46600,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,46600,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) SCHEDULED",,,2749.16,2807.03,3
CPT,46600,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) UNSCHEDULED",,,9595.88,9797.9,3
CPT,46601,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,1423.0,9797.9,116
CPT,46604,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,1950.0,9710.0,106
CPT,46604,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) Other Surgical Services",,,2850.0,2850.0,4
CPT,46604,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) SCHEDULED",,,2749.16,2807.03,3
CPT,46604,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) UNSCHEDULED",,,9595.88,9797.9,3
CPT,46606,"Anoscopy; with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,46606,"Anoscopy; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,46606,"Anoscopy; with biopsy, single or multiple SCHEDULED",,,2893.63,2954.55,3
CPT,46606,"Anoscopy; with biopsy, single or multiple UNSCHEDULED",,,9595.88,9797.9,3
CPT,46607,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,1950.0,9710.0,106
CPT,46607,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,46607,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple SCHEDULED",,,2749.16,2807.03,3
CPT,46607,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple UNSCHEDULED",,,9595.88,9797.9,3
CPT,46608,Anoscopy; with removal of foreign body ,,,1950.0,9710.0,106
CPT,46608,Anoscopy; with removal of foreign body Other Surgical Services,,,2850.0,2850.0,4
CPT,46608,Anoscopy; with removal of foreign body SCHEDULED,,,2749.16,2807.03,3
CPT,46608,Anoscopy; with removal of foreign body UNSCHEDULED,,,9595.88,9797.9,3
CPT,46610,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,1950.0,14792.0,106
CPT,46610,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Other Surgical Services",,,2850.0,2850.0,4
CPT,46610,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery SCHEDULED",,,2749.16,2807.03,3
CPT,46610,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery UNSCHEDULED",,,9595.88,9797.9,3
CPT,46611,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,1950.0,9710.0,106
CPT,46611,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique Other Surgical Services",,,2850.0,2850.0,4
CPT,46611,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique SCHEDULED",,,2749.16,2807.03,3
CPT,46611,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique UNSCHEDULED",,,9595.88,9797.9,3
CPT,46612,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,1950.0,14792.0,106
CPT,46612,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique Other Surgical Services",,,2850.0,2850.0,4
CPT,46612,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique SCHEDULED",,,2749.16,2807.03,3
CPT,46612,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique UNSCHEDULED",,,9595.88,9797.9,3
CPT,46614,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,1950.0,9710.0,106
CPT,46614,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) Other Surgical Services",,,2850.0,2850.0,4
CPT,46614,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) SCHEDULED",,,2749.16,2807.03,3
CPT,46614,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) UNSCHEDULED",,,9595.88,9797.9,3
CPT,46615,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,1950.0,14792.0,106
CPT,46615,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique Other Surgical Services",,,2850.0,2850.0,4
CPT,46615,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique SCHEDULED",,,2749.16,2807.03,3
CPT,46615,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique UNSCHEDULED",,,9595.88,9797.9,3
CPT,46700,"Anoplasty, plastic operation for stricture; adult ",,,1950.0,14792.0,106
CPT,46700,"Anoplasty, plastic operation for stricture; adult Other Surgical Services",,,2850.0,2850.0,4
CPT,46700,"Anoplasty, plastic operation for stricture; adult SCHEDULED",,,2749.16,2807.03,3
CPT,46700,"Anoplasty, plastic operation for stricture; adult UNSCHEDULED",,,9595.88,9797.9,3
CPT,46705,"Anoplasty, plastic operation for stricture; infant ",,,1950.0,31992.0,78
CPT,46705,"Anoplasty, plastic operation for stricture; infant Other Surgical Services",,,2850.0,2850.0,4
CPT,46705,"Anoplasty, plastic operation for stricture; infant SCHEDULED",,,2749.16,2807.03,3
CPT,46705,"Anoplasty, plastic operation for stricture; infant UNSCHEDULED",,,9595.88,9797.9,3
CPT,46706,Repair of anal fistula with fibrin glue ,,,1950.0,14792.0,106
CPT,46706,Repair of anal fistula with fibrin glue Other Surgical Services,,,2850.0,2850.0,4
CPT,46706,Repair of anal fistula with fibrin glue SCHEDULED,,,2749.16,2807.03,3
CPT,46706,Repair of anal fistula with fibrin glue UNSCHEDULED,,,9595.88,9797.9,3
CPT,46707,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,1950.0,14792.0,106
CPT,46707,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») Other Surgical Services",,,2850.0,2850.0,4
CPT,46707,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») SCHEDULED",,,2749.16,2807.03,3
CPT,46707,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») UNSCHEDULED",,,9595.88,9797.9,3
CPT,46710,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,1950.0,31992.0,78
CPT,46710,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,46710,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach SCHEDULED",,,2749.16,2807.03,3
CPT,46710,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach UNSCHEDULED",,,9595.88,9797.9,3
CPT,46712,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,1950.0,31992.0,78
CPT,46712,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,46712,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach SCHEDULED",,,2749.16,2807.03,3
CPT,46712,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach UNSCHEDULED",,,9595.88,9797.9,3
CPT,46715,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,1950.0,31992.0,78
CPT,46715,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,46715,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) SCHEDULED,,,2749.16,2807.03,3
CPT,46715,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) UNSCHEDULED,,,9595.88,9797.9,3
CPT,46716,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,1950.0,31992.0,78
CPT,46716,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula Other Surgical Services,,,2850.0,2850.0,4
CPT,46716,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula SCHEDULED,,,2749.16,2807.03,3
CPT,46716,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula UNSCHEDULED,,,9595.88,9797.9,3
CPT,46730,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,1950.0,31992.0,78
CPT,46730,Repair of high imperforate anus without fistula; perineal or sacroperineal approach Other Surgical Services,,,2850.0,2850.0,4
CPT,46730,Repair of high imperforate anus without fistula; perineal or sacroperineal approach SCHEDULED,,,2749.16,2807.03,3
CPT,46730,Repair of high imperforate anus without fistula; perineal or sacroperineal approach UNSCHEDULED,,,9595.88,9797.9,3
CPT,46735,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,1950.0,31992.0,78
CPT,46735,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches Other Surgical Services,,,2850.0,2850.0,4
CPT,46735,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches SCHEDULED,,,2749.16,2807.03,3
CPT,46735,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches UNSCHEDULED,,,9595.88,9797.9,3
CPT,46740,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,1950.0,31992.0,78
CPT,46740,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach Other Surgical Services,,,2850.0,2850.0,4
CPT,46740,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach SCHEDULED,,,2749.16,2807.03,3
CPT,46740,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach UNSCHEDULED,,,9595.88,9797.9,3
CPT,46742,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,1950.0,31992.0,78
CPT,46742,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches Other Surgical Services,,,2850.0,2850.0,4
CPT,46742,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches SCHEDULED,,,2749.16,2807.03,3
CPT,46742,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches UNSCHEDULED,,,9595.88,9797.9,3
CPT,46744,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,1950.0,31992.0,78
CPT,46744,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,46744,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach SCHEDULED",,,2749.16,2807.03,3
CPT,46744,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach UNSCHEDULED",,,9595.88,9797.9,3
CPT,46746,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,1950.0,31992.0,78
CPT,46746,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; Other Surgical Services",,,2850.0,2850.0,4
CPT,46746,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; SCHEDULED",,,2749.16,2807.03,3
CPT,46746,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; UNSCHEDULED",,,9595.88,9797.9,3
CPT,46748,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,1950.0,31992.0,78
CPT,46748,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps Other Surgical Service",,,2850.0,2850.0,4
CPT,46748,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps SCHEDULED",,,2749.16,2807.03,3
CPT,46748,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps UNSCHEDULED",,,9595.88,9797.9,3
CPT,46750,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,1950.0,14792.0,106
CPT,46750,"Sphincteroplasty, anal, for incontinence or prolapse; adult Other Surgical Services",,,2850.0,2850.0,4
CPT,46750,"Sphincteroplasty, anal, for incontinence or prolapse; adult SCHEDULED",,,2749.16,2807.03,3
CPT,46750,"Sphincteroplasty, anal, for incontinence or prolapse; adult UNSCHEDULED",,,9595.88,9797.9,3
CPT,46751,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,1950.0,31992.0,78
CPT,46751,"Sphincteroplasty, anal, for incontinence or prolapse; child Other Surgical Services",,,2850.0,2850.0,4
CPT,46751,"Sphincteroplasty, anal, for incontinence or prolapse; child SCHEDULED",,,2749.16,2807.03,3
CPT,46751,"Sphincteroplasty, anal, for incontinence or prolapse; child UNSCHEDULED",,,9595.88,9797.9,3
CPT,46753,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,1950.0,14792.0,106
CPT,46753,Graft (Thiersch operation) for rectal incontinence and/or prolapse Other Surgical Services,,,2850.0,2850.0,4
CPT,46753,Graft (Thiersch operation) for rectal incontinence and/or prolapse SCHEDULED,,,2749.16,2807.03,3
CPT,46753,Graft (Thiersch operation) for rectal incontinence and/or prolapse UNSCHEDULED,,,9595.88,9797.9,3
CPT,46754,"Removal of Thiersch wire or suture, anal canal ",,,1950.0,14792.0,106
CPT,46754,"Removal of Thiersch wire or suture, anal canal Other Surgical Services",,,2850.0,2850.0,4
CPT,46754,"Removal of Thiersch wire or suture, anal canal SCHEDULED",,,2749.16,2807.03,3
CPT,46754,"Removal of Thiersch wire or suture, anal canal UNSCHEDULED",,,9595.88,9797.9,3
CPT,46760,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,1950.0,14792.0,106
CPT,46760,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant Other Surgical Services",,,2850.0,2850.0,4
CPT,46760,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant SCHEDULED",,,2749.16,2807.03,3
CPT,46760,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant UNSCHEDULED",,,9595.88,9797.9,3
CPT,46761,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,1950.0,14792.0,106
CPT,46761,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) Other Surgical Services",,,2850.0,2850.0,4
CPT,46761,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) SCHEDULED",,,2749.16,2807.03,3
CPT,46761,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) UNSCHEDULED",,,9595.88,9797.9,3
CPT,46762,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,7583.0,9539.0,28
CPT,46762,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER SCHEDULED",,,2749.16,2807.03,3
CPT,46762,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER UNSCHEDULED",,,9595.88,9797.9,3
CPT,46900,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,9710.0,106
CPT,46900,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical Other Surgical Services",,,2850.0,2850.0,4
CPT,46900,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical SCHEDULED",,,2749.16,2807.03,3
CPT,46900,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical UNSCHEDULED",,,9595.88,9797.9,3
CPT,46910,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,1950.0,9710.0,106
CPT,46910,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation Other Surgical Services",,,2850.0,2850.0,4
CPT,46910,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation SCHEDULED",,,2749.16,2807.03,3
CPT,46910,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation UNSCHEDULED",,,9595.88,9797.9,3
CPT,46916,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,9710.0,106
CPT,46916,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery Other Surgical Services",,,2850.0,2850.0,4
CPT,46916,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery SCHEDULED",,,2749.16,2807.03,3
CPT,46916,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery UNSCHEDULED",,,9595.88,9797.9,3
CPT,46917,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,1950.0,14792.0,106
CPT,46917,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery Other Surgical Services",,,2850.0,2850.0,4
CPT,46917,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery SCHEDULED",,,2749.16,2807.03,3
CPT,46917,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery UNSCHEDULED",,,9595.88,9797.9,3
CPT,46922,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,1950.0,14792.0,106
CPT,46922,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision Other Surgical Services",,,2850.0,2850.0,4
CPT,46922,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision SCHEDULED",,,2749.16,2807.03,3
CPT,46922,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision UNSCHEDULED",,,9595.88,9797.9,3
CPT,46924,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1950.0,14792.0,106
CPT,46924,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,4
CPT,46924,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) SCHEDULED",,,2749.16,2807.03,3
CPT,46924,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) UNSCHEDULED",,,9595.88,9797.9,3
CPT,46930,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,1950.0,9710.0,106
CPT,46930,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) Other Surgical Services",,,2850.0,2850.0,4
CPT,46930,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) SCHEDULED",,,2749.16,2807.03,3
CPT,46930,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) UNSCHEDULED",,,9595.88,9797.9,3
CPT,46934,DESTRUCTION OF HEMORRHOIDS SCHEDULED,,,2749.16,2807.03,3
CPT,46934,DESTRUCTION OF HEMORRHOIDS UNSCHEDULED,,,9595.88,9797.9,3
CPT,46935,DESTRUCTION OF HEMORRHOIDS SCHEDULED,,,2749.16,2807.03,3
CPT,46935,DESTRUCTION OF HEMORRHOIDS UNSCHEDULED,,,9595.88,9797.9,3
CPT,46936,DESTRUCTION OF HEMORRHOIDS SCHEDULED,,,2749.16,2807.03,3
CPT,46936,DESTRUCTION OF HEMORRHOIDS UNSCHEDULED,,,9595.88,9797.9,3
CPT,46937,CRYOTHERAPY OF RECTAL LESION SCHEDULED,,,2749.16,2807.03,3
CPT,46937,CRYOTHERAPY OF RECTAL LESION UNSCHEDULED,,,9595.88,9797.9,3
CPT,46938,CRYOTHERAPY OF RECTAL LESION SCHEDULED,,,2749.16,2807.03,3
CPT,46938,CRYOTHERAPY OF RECTAL LESION UNSCHEDULED,,,9595.88,9797.9,3
CPT,46940,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,1950.0,14792.0,106
CPT,46940,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Other Surgical Services",,,2850.0,2850.0,4
CPT,46940,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial SCHEDULED",,,2749.16,2807.03,3
CPT,46940,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial UNSCHEDULED",,,9595.88,9797.9,3
CPT,46942,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,1950.0,9710.0,106
CPT,46942,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Other Surgical Services",,,2850.0,2850.0,4
CPT,46942,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent SCHEDULED",,,2749.16,2807.03,3
CPT,46942,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent UNSCHEDULED",,,9595.88,9797.9,3
CPT,46945,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,1950.0,14792.0,106
CPT,46945,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,46945,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance SCHEDULED",,,2229.9,2276.84,3
CPT,46945,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance UNSCHEDULED",,,9595.88,9797.9,3
CPT,46946,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,1950.0,14792.0,106
CPT,46946,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,46946,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance SCHEDULED",,,2749.16,2807.03,3
CPT,46946,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance UNSCHEDULED",,,9595.88,9797.9,3
CPT,46947,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,1950.0,14792.0,106
CPT,46947,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling Other Surgical Services",,,2850.0,2850.0,4
CPT,46947,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling SCHEDULED",,,2749.16,2807.03,3
CPT,46947,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling UNSCHEDULED",,,9595.88,9797.9,3
CPT,46948,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,1950.0,14792.0,78
CPT,46948,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,46948,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed SCHEDULED",,,2749.16,2807.03,3
CPT,46948,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed UNSCHEDULED",,,9595.88,9797.9,3
CPT,46999,"Unlisted procedure, anus ",,,1950.0,9710.0,106
CPT,46999,"Unlisted procedure, anus Other Surgical Services",,,2850.0,2850.0,4
CPT,46999,"Unlisted procedure, anus SCHEDULED",,,1257.33,1283.8,3
CPT,46999,"Unlisted procedure, anus UNSCHEDULED",,,9595.88,9797.9,3
CPT,47000,"Biopsy of liver, needle; percutaneous ",,,1950.0,9710.0,106
CPT,47000,"Biopsy of liver, needle; percutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,47000,"Biopsy of liver, needle; percutaneous SCHEDULED",,,1735.76,1772.31,3
CPT,47001,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,47001,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,47001,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) SCHEDULED",,,1735.76,1772.31,3
CPT,47010,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,1950.0,31992.0,78
CPT,47010,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages Other Surgical Services",,,2850.0,2850.0,4
CPT,47010,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages SCHEDULED",,,1735.76,1772.31,3
CPT,47011,PERCUT DRAIN LIVER LESION SCHEDULED,,,1735.76,1772.31,3
CPT,47015,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,1950.0,31992.0,106
CPT,47015,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) Other Surgical Services",,,2850.0,2850.0,4
CPT,47015,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) SCHEDULED",,,1735.76,1772.31,3
CPT,47100,"Biopsy of liver, wedge ",,,1950.0,31992.0,78
CPT,47100,"Biopsy of liver, wedge Other Surgical Services",,,2850.0,2850.0,4
CPT,47100,"Biopsy of liver, wedge SCHEDULED",,,1735.76,1772.31,3
CPT,47120,"Hepatectomy, resection of liver; partial lobectomy ",,,1950.0,31992.0,78
CPT,47120,"Hepatectomy, resection of liver; partial lobectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,47120,"Hepatectomy, resection of liver; partial lobectomy SCHEDULED",,,1735.76,1772.31,3
CPT,47122,"Hepatectomy, resection of liver; trisegmentectomy ",,,1950.0,31992.0,78
CPT,47122,"Hepatectomy, resection of liver; trisegmentectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,47122,"Hepatectomy, resection of liver; trisegmentectomy SCHEDULED",,,1735.76,1772.31,3
CPT,47125,"Hepatectomy, resection of liver; total left lobectomy ",,,1950.0,31992.0,78
CPT,47125,"Hepatectomy, resection of liver; total left lobectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,47125,"Hepatectomy, resection of liver; total left lobectomy SCHEDULED",,,1735.76,1772.31,3
CPT,47130,"Hepatectomy, resection of liver; total right lobectomy ",,,1950.0,31992.0,78
CPT,47130,"Hepatectomy, resection of liver; total right lobectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,47130,"Hepatectomy, resection of liver; total right lobectomy SCHEDULED",,,1735.76,1772.31,3
CPT,47133,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,1950.0,31992.0,78
CPT,47133,"Donor hepatectomy (including cold preservation), from cadaver donor Other Surgical Services",,,2850.0,2850.0,4
CPT,47133,"Donor hepatectomy (including cold preservation), from cadaver donor SCHEDULED",,,1735.76,1772.31,3
CPT,47134,"PARTIAL REMOVAL, DONOR LIVER SCHEDULED",,,1735.76,1772.31,3
CPT,47135,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,1950.0,31992.0,78
CPT,47135,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age Other Surgical Services",,,2850.0,2850.0,4
CPT,47135,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age SCHEDULED",,,1735.76,1772.31,3
CPT,47136,TRANSPLANTATION OF LIVER SCHEDULED,,,1735.76,1772.31,3
CPT,47140,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,1950.0,31992.0,78
CPT,47140,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) Other Surgical Services",,,2850.0,2850.0,4
CPT,47140,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) SCHEDULED",,,1735.76,1772.31,3
CPT,47141,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,1950.0,31992.0,78
CPT,47141,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) Other Surgical Services",,,2850.0,2850.0,4
CPT,47141,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) SCHEDULED",,,1735.76,1772.31,3
CPT,47142,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,1950.0,31992.0,78
CPT,47142,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) Other Surgical Services",,,2850.0,2850.0,4
CPT,47142,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) SCHEDULED",,,1735.76,1772.31,3
CPT,47143,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,1735.76,31992.0,85
CPT,47144,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,1735.76,31992.0,85
CPT,47145,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,1735.76,31992.0,85
CPT,47146,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,1950.0,31992.0,78
CPT,47146,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each Other Surgical Services",,,2850.0,2850.0,4
CPT,47146,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each SCHEDULED",,,1735.76,1772.31,3
CPT,47147,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,1950.0,31992.0,78
CPT,47147,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each Other Surgical Services",,,2850.0,2850.0,4
CPT,47147,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each SCHEDULED",,,1735.76,1772.31,3
CPT,47300,Marsupialization of cyst or abscess of liver ,,,1950.0,31992.0,78
CPT,47300,Marsupialization of cyst or abscess of liver Other Surgical Services,,,2850.0,2850.0,4
CPT,47300,Marsupialization of cyst or abscess of liver SCHEDULED,,,1735.76,1772.31,3
CPT,47350,Management of liver hemorrhage; simple suture of liver wound or injury ,,,1950.0,31992.0,78
CPT,47350,Management of liver hemorrhage; simple suture of liver wound or injury Other Surgical Services,,,2850.0,2850.0,4
CPT,47350,Management of liver hemorrhage; simple suture of liver wound or injury SCHEDULED,,,1735.76,1772.31,3
CPT,47360,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,1950.0,31992.0,78
CPT,47360,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation Other Surgical Services",,,2850.0,2850.0,4
CPT,47360,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation SCHEDULED",,,1735.76,1772.31,3
CPT,47361,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,1950.0,31992.0,78
CPT,47361,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver Other Surgical Services",,,2850.0,2850.0,4
CPT,47361,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver SCHEDULED",,,1735.76,1772.31,3
CPT,47362,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,1950.0,31992.0,78
CPT,47362,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing Other Surgical Services,,,2850.0,2850.0,4
CPT,47362,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing SCHEDULED,,,1735.76,1772.31,3
CPT,47370,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,1950.0,22212.0,170
CPT,47370,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Complex Surgery",,,11754.0,11754.0,22
CPT,47370,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency High Cost Surgery",,,3950.0,3950.0,1
CPT,47370,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Other Surgical Services",,,2850.0,2850.0,4
CPT,47370,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency SCHEDULED",,,1735.76,1772.31,3
CPT,47371,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,1950.0,22212.0,170
CPT,47371,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Complex Surgery",,,11754.0,11754.0,22
CPT,47371,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical High Cost Surgery",,,3950.0,3950.0,1
CPT,47371,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Other Surgical Services",,,2850.0,2850.0,4
CPT,47371,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical SCHEDULED",,,1735.76,1772.31,3
CPT,47379,"Unlisted laparoscopic procedure, liver ",,,1950.0,22212.0,170
CPT,47379,"Unlisted laparoscopic procedure, liver Complex Surgery",,,11754.0,11754.0,22
CPT,47379,"Unlisted laparoscopic procedure, liver High Cost Surgery",,,3950.0,3950.0,1
CPT,47379,"Unlisted laparoscopic procedure, liver Other Surgical Services",,,2850.0,2850.0,4
CPT,47379,"Unlisted laparoscopic procedure, liver SCHEDULED",,,1735.76,1772.31,3
CPT,47380,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,1950.0,31992.0,78
CPT,47380,"Ablation, open, of 1 or more liver tumor(s); radiofrequency Other Surgical Services",,,2850.0,2850.0,4
CPT,47380,"Ablation, open, of 1 or more liver tumor(s); radiofrequency SCHEDULED",,,1735.76,1772.31,3
CPT,47381,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,1950.0,31992.0,78
CPT,47381,"Ablation, open, of 1 or more liver tumor(s); cryosurgical Other Surgical Services",,,2850.0,2850.0,4
CPT,47381,"Ablation, open, of 1 or more liver tumor(s); cryosurgical SCHEDULED",,,1735.76,1772.31,3
CPT,47382,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,1950.0,18507.0,106
CPT,47382,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency Other Surgical Services",,,2850.0,2850.0,4
CPT,47382,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency SCHEDULED",,,1735.76,1772.31,3
CPT,47383,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,1950.0,18507.0,106
CPT,47383,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation Other Surgical Services",,,2850.0,2850.0,4
CPT,47383,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation SCHEDULED",,,1735.76,1772.31,3
CPT,47384,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,1950.0,18507.0,75
CPT,47384,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,47399,"Unlisted procedure, liver ",,,1950.0,9710.0,106
CPT,47399,"Unlisted procedure, liver Other Surgical Services",,,2850.0,2850.0,4
CPT,47399,"Unlisted procedure, liver SCHEDULED",,,1735.76,1772.31,3
CPT,47400,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,1950.0,31992.0,78
CPT,47400,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus Other Surgical Services",,,2850.0,2850.0,4
CPT,47400,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus SCHEDULED",,,256.49,261.89,3
CPT,47400,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus UNSCHEDULED",,,1423.26,1453.22,3
CPT,47420,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,1950.0,31992.0,78
CPT,47420,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty Other Surgical Services",,,2850.0,2850.0,4
CPT,47420,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty SCHEDULED",,,256.49,261.89,3
CPT,47420,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty UNSCHEDULED",,,1423.26,1453.22,3
CPT,47425,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,1950.0,31992.0,78
CPT,47425,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty Other Surgical Services",,,2850.0,2850.0,4
CPT,47425,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty SCHEDULED",,,256.49,261.89,3
CPT,47425,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty UNSCHEDULED",,,1423.26,1453.22,3
CPT,47460,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,1950.0,31992.0,78
CPT,47460,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,47460,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) SCHEDULED",,,256.49,261.89,3
CPT,47460,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) UNSCHEDULED",,,1423.26,1453.22,3
CPT,47480,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,1950.0,31992.0,78
CPT,47480,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,47480,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) SCHEDULED",,,256.49,261.89,3
CPT,47480,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) UNSCHEDULED",,,1423.26,1453.22,3
CPT,47490,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,1950.0,18507.0,106
CPT,47490,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation Other Surgical Service",,,2850.0,2850.0,4
CPT,47490,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation SCHEDULED",,,256.49,261.89,3
CPT,47490,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation UNSCHEDULED",,,1423.26,1453.22,3
CPT,47500,INJECTION FOR LIVER X-RAYS SCHEDULED,,,256.49,261.89,3
CPT,47500,INJECTION FOR LIVER X-RAYS UNSCHEDULED,,,1423.26,1453.22,3
CPT,47505,INJECTION FOR LIVER X-RAYS SCHEDULED,,,256.49,261.89,3
CPT,47505,INJECTION FOR LIVER X-RAYS UNSCHEDULED,,,1423.26,1453.22,3
CPT,47510,INSERT CATHETER BILE DUCT SCHEDULED,,,256.49,261.89,3
CPT,47510,INSERT CATHETER BILE DUCT UNSCHEDULED,,,1423.26,1453.22,3
CPT,47511,INSERT BILE DUCT DRAIN SCHEDULED,,,256.49,261.89,3
CPT,47511,INSERT BILE DUCT DRAIN UNSCHEDULED,,,1423.26,1453.22,3
CPT,47525,CHANGE BILE DUCT CATHETER SCHEDULED,,,256.49,261.89,3
CPT,47525,CHANGE BILE DUCT CATHETER UNSCHEDULED,,,1423.26,1453.22,3
CPT,47530,REVISE/REINSERT BILE TUBE SCHEDULED,,,256.49,261.89,3
CPT,47530,REVISE/REINSERT BILE TUBE UNSCHEDULED,,,1423.26,1453.22,3
CPT,47531,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,256.49,18507.0,116
CPT,47532,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,256.49,18507.0,116
CPT,47533,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,256.49,18507.0,116
CPT,47534,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,256.49,18507.0,116
CPT,47535,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,256.49,18507.0,116
CPT,47536,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,256.49,18507.0,116
CPT,47537,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,256.49,9710.0,116
CPT,47538,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,256.49,18507.0,116
CPT,47539,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,256.49,18507.0,116
CPT,47540,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,256.49,18507.0,116
CPT,47541,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,256.49,18507.0,116
CPT,47542,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,256.49,9710.0,109
CPT,47543,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,256.49,9710.0,109
CPT,47544,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,256.49,9710.0,109
CPT,47550,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,99
CPT,47550,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,47550,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) SCHEDULED",,,256.49,261.89,3
CPT,47550,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) UNSCHEDULED",,,1423.26,1453.22,3
CPT,47552,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,1950.0,18507.0,106
CPT,47552,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,47552,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) SCHEDULED",,,256.49,261.89,3
CPT,47552,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) UNSCHEDULED",,,1423.26,1453.22,3
CPT,47553,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,1950.0,18507.0,106
CPT,47553,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,47553,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple SCHEDULED",,,256.49,261.89,3
CPT,47553,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple UNSCHEDULED",,,1423.26,1453.22,3
CPT,47554,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,1950.0,18507.0,106
CPT,47554,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Other Surgical Services",,,2850.0,2850.0,4
CPT,47554,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi SCHEDULED",,,256.49,261.89,3
CPT,47554,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi UNSCHEDULED",,,1423.26,1453.22,3
CPT,47555,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,1950.0,18507.0,106
CPT,47555,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent Other Surgical Services",,,2850.0,2850.0,4
CPT,47555,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent SCHEDULED",,,256.49,261.89,3
CPT,47555,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent UNSCHEDULED",,,1423.26,1453.22,3
CPT,47556,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,1950.0,18507.0,106
CPT,47556,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Other Surgical Services",,,2850.0,2850.0,4
CPT,47556,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent SCHEDULED",,,256.49,261.89,3
CPT,47556,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent UNSCHEDULED",,,1423.26,1453.22,3
CPT,47560,LAPAROSCOPY W/CHOLANGIO SCHEDULED,,,256.49,261.89,3
CPT,47560,LAPAROSCOPY W/CHOLANGIO UNSCHEDULED,,,1423.26,1453.22,3
CPT,47561,LAPARO W/CHOLANGIO/BIOPSY SCHEDULED,,,256.49,261.89,3
CPT,47561,LAPARO W/CHOLANGIO/BIOPSY UNSCHEDULED,,,1423.26,1453.22,3
CPT,47562,"Laparoscopy, surgical; cholecystectomy ",,,2350.0,21390.0,159
CPT,47562,"Laparoscopy, surgical; cholecystectomy High Cost Surgery",,,3950.0,3950.0,1
CPT,47562,"Laparoscopy, surgical; cholecystectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,47562,"Laparoscopy, surgical; cholecystectomy SCHEDULED",,,256.49,261.89,3
CPT,47562,"Laparoscopy, surgical; cholecystectomy UNSCHEDULED",,,1423.26,1453.22,3
CPT,47563,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,2350.0,21390.0,159
CPT,47563,"Laparoscopy, surgical; cholecystectomy with cholangiography High Cost Surgery",,,3950.0,3950.0,1
CPT,47563,"Laparoscopy, surgical; cholecystectomy with cholangiography Other Surgical Services",,,4150.0,4150.0,1
CPT,47563,"Laparoscopy, surgical; cholecystectomy with cholangiography SCHEDULED",,,256.49,261.89,3
CPT,47563,"Laparoscopy, surgical; cholecystectomy with cholangiography UNSCHEDULED",,,1423.26,1453.22,3
CPT,47564,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,2350.0,21390.0,159
CPT,47564,"Laparoscopy, surgical; cholecystectomy with exploration of common duct High Cost Surgery",,,3950.0,3950.0,1
CPT,47564,"Laparoscopy, surgical; cholecystectomy with exploration of common duct Other Surgical Services",,,4150.0,4150.0,1
CPT,47564,"Laparoscopy, surgical; cholecystectomy with exploration of common duct SCHEDULED",,,256.49,261.89,3
CPT,47564,"Laparoscopy, surgical; cholecystectomy with exploration of common duct UNSCHEDULED",,,1423.26,1453.22,3
CPT,47570,"Laparoscopy, surgical; cholecystoenterostomy ",,,2350.0,31992.0,131
CPT,47570,"Laparoscopy, surgical; cholecystoenterostomy High Cost Surgery",,,3950.0,3950.0,1
CPT,47570,"Laparoscopy, surgical; cholecystoenterostomy Other Surgical Services",,,4150.0,4150.0,1
CPT,47570,"Laparoscopy, surgical; cholecystoenterostomy SCHEDULED",,,256.49,261.89,3
CPT,47570,"Laparoscopy, surgical; cholecystoenterostomy UNSCHEDULED",,,1423.26,1453.22,3
CPT,47579,"Unlisted laparoscopy procedure, biliary tract ",,,2350.0,21390.0,94
CPT,47579,"Unlisted laparoscopy procedure, biliary tract High Cost Surgery",,,3950.0,3950.0,1
CPT,47579,"Unlisted laparoscopy procedure, biliary tract Other Surgical Services",,,4150.0,4150.0,1
CPT,47579,"Unlisted laparoscopy procedure, biliary tract SCHEDULED",,,256.49,261.89,3
CPT,47579,"Unlisted laparoscopy procedure, biliary tract UNSCHEDULED",,,1423.26,1453.22,3
CPT,47600,Cholecystectomy; ,,,2350.0,31992.0,135
CPT,47600,Cholecystectomy; Complex Surgery,,,11754.0,11754.0,22
CPT,47600,Cholecystectomy; High Cost Surgery,,,3950.0,3950.0,1
CPT,47600,Cholecystectomy; Other Surgical Services,,,4150.0,4150.0,1
CPT,47600,Cholecystectomy; SCHEDULED,,,256.49,261.89,3
CPT,47600,Cholecystectomy; UNSCHEDULED,,,1423.26,1453.22,3
CPT,47605,Cholecystectomy; with cholangiography ,,,2350.0,31992.0,70
CPT,47605,Cholecystectomy; with cholangiography High Cost Surgery,,,3950.0,3950.0,1
CPT,47605,Cholecystectomy; with cholangiography Other Surgical Services,,,4150.0,4150.0,1
CPT,47605,Cholecystectomy; with cholangiography SCHEDULED,,,256.49,261.89,3
CPT,47605,Cholecystectomy; with cholangiography UNSCHEDULED,,,1423.26,1453.22,3
CPT,47610,Cholecystectomy with exploration of common duct; ,,,2350.0,31992.0,71
CPT,47610,Cholecystectomy with exploration of common duct; Other Surgical Services,,,4150.0,4150.0,1
CPT,47610,Cholecystectomy with exploration of common duct; SCHEDULED,,,256.49,261.89,3
CPT,47610,Cholecystectomy with exploration of common duct; UNSCHEDULED,,,1423.26,1453.22,3
CPT,47612,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,2350.0,31992.0,71
CPT,47612,Cholecystectomy with exploration of common duct; with choledochoenterostomy Other Surgical Services,,,4150.0,4150.0,1
CPT,47612,Cholecystectomy with exploration of common duct; with choledochoenterostomy SCHEDULED,,,256.49,261.89,3
CPT,47612,Cholecystectomy with exploration of common duct; with choledochoenterostomy UNSCHEDULED,,,1423.26,1453.22,3
CPT,47620,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,2350.0,31992.0,71
CPT,47620,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography Other Surgical Services",,,4150.0,4150.0,1
CPT,47620,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography SCHEDULED",,,256.49,261.89,3
CPT,47620,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography UNSCHEDULED",,,1423.26,1453.22,3
CPT,47630,REMOVE BILE DUCT STONE SCHEDULED,,,256.49,261.89,3
CPT,47630,REMOVE BILE DUCT STONE UNSCHEDULED,,,1423.26,1453.22,3
CPT,47700,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,1950.0,31992.0,78
CPT,47700,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography Other Surgical Services",,,2850.0,2850.0,4
CPT,47700,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography SCHEDULED",,,256.49,261.89,3
CPT,47700,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography UNSCHEDULED",,,1423.26,1453.22,3
CPT,47701,"Portoenterostomy (eg, Kasai procedure) ",,,1950.0,31992.0,78
CPT,47701,"Portoenterostomy (eg, Kasai procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,47701,"Portoenterostomy (eg, Kasai procedure) SCHEDULED",,,256.49,261.89,3
CPT,47701,"Portoenterostomy (eg, Kasai procedure) UNSCHEDULED",,,1423.26,1453.22,3
CPT,47711,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,1950.0,31992.0,78
CPT,47711,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic Other Surgical Services",,,2850.0,2850.0,4
CPT,47711,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic SCHEDULED",,,256.49,261.89,3
CPT,47711,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic UNSCHEDULED",,,1423.26,1453.22,3
CPT,47712,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,1950.0,31992.0,78
CPT,47712,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic Other Surgical Services",,,2850.0,2850.0,4
CPT,47712,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic SCHEDULED",,,256.49,261.89,3
CPT,47712,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic UNSCHEDULED",,,1423.26,1453.22,3
CPT,47715,Excision of choledochal cyst ,,,1950.0,31992.0,78
CPT,47715,Excision of choledochal cyst Other Surgical Services,,,2850.0,2850.0,4
CPT,47715,Excision of choledochal cyst SCHEDULED,,,256.49,261.89,3
CPT,47715,Excision of choledochal cyst UNSCHEDULED,,,1423.26,1453.22,3
CPT,47716,FUSION OF BILE DUCT CYST SCHEDULED,,,256.49,261.89,3
CPT,47716,FUSION OF BILE DUCT CYST UNSCHEDULED,,,1423.26,1453.22,3
CPT,47719,FUSION OF BILE DUCT CYST SCHEDULED,,,256.49,261.89,3
CPT,47719,FUSION OF BILE DUCT CYST UNSCHEDULED,,,1423.26,1453.22,3
CPT,47720,Cholecystoenterostomy; direct ,,,1950.0,31992.0,78
CPT,47720,Cholecystoenterostomy; direct Other Surgical Services,,,2850.0,2850.0,4
CPT,47720,Cholecystoenterostomy; direct SCHEDULED,,,256.49,261.89,3
CPT,47720,Cholecystoenterostomy; direct UNSCHEDULED,,,1423.26,1453.22,3
CPT,47721,Cholecystoenterostomy; with gastroenterostomy ,,,1950.0,31992.0,78
CPT,47721,Cholecystoenterostomy; with gastroenterostomy Other Surgical Services,,,2850.0,2850.0,4
CPT,47721,Cholecystoenterostomy; with gastroenterostomy SCHEDULED,,,256.49,261.89,3
CPT,47721,Cholecystoenterostomy; with gastroenterostomy UNSCHEDULED,,,1423.26,1453.22,3
CPT,47740,Cholecystoenterostomy; Roux-en-Y ,,,1950.0,31992.0,78
CPT,47740,Cholecystoenterostomy; Roux-en-Y Other Surgical Services,,,2850.0,2850.0,4
CPT,47740,Cholecystoenterostomy; Roux-en-Y SCHEDULED,,,256.49,261.89,3
CPT,47740,Cholecystoenterostomy; Roux-en-Y UNSCHEDULED,,,1423.26,1453.22,3
CPT,47741,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,1950.0,31992.0,78
CPT,47741,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy Other Surgical Services,,,2850.0,2850.0,4
CPT,47741,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy SCHEDULED,,,256.49,261.89,3
CPT,47741,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy UNSCHEDULED,,,1423.26,1453.22,3
CPT,47760,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,1950.0,31992.0,78
CPT,47760,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract Other Surgical Services",,,2850.0,2850.0,4
CPT,47760,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract SCHEDULED",,,256.49,261.89,3
CPT,47760,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract UNSCHEDULED",,,1423.26,1453.22,3
CPT,47765,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,1950.0,31992.0,78
CPT,47765,"Anastomosis, of intrahepatic ducts and gastrointestinal tract Other Surgical Services",,,2850.0,2850.0,4
CPT,47765,"Anastomosis, of intrahepatic ducts and gastrointestinal tract SCHEDULED",,,256.49,261.89,3
CPT,47765,"Anastomosis, of intrahepatic ducts and gastrointestinal tract UNSCHEDULED",,,1423.26,1453.22,3
CPT,47780,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,1950.0,31992.0,78
CPT,47780,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract Other Surgical Services",,,2850.0,2850.0,4
CPT,47780,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract SCHEDULED",,,256.49,261.89,3
CPT,47780,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract UNSCHEDULED",,,1423.26,1453.22,3
CPT,47785,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,1950.0,31992.0,78
CPT,47785,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract Other Surgical Services",,,2850.0,2850.0,4
CPT,47785,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract SCHEDULED",,,256.49,261.89,3
CPT,47785,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract UNSCHEDULED",,,1423.26,1453.22,3
CPT,47800,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,1950.0,31992.0,78
CPT,47800,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis Other Surgical Services",,,2850.0,2850.0,4
CPT,47800,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis SCHEDULED",,,256.49,261.89,3
CPT,47800,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis UNSCHEDULED",,,1423.26,1453.22,3
CPT,47801,Placement of choledochal stent ,,,1950.0,31992.0,78
CPT,47801,Placement of choledochal stent Other Surgical Services,,,2850.0,2850.0,4
CPT,47801,Placement of choledochal stent SCHEDULED,,,256.49,261.89,3
CPT,47801,Placement of choledochal stent UNSCHEDULED,,,1423.26,1453.22,3
CPT,47802,U-tube hepaticoenterostomy SCHEDULED,,,256.49,261.89,3
CPT,47802,U-tube hepaticoenterostomy UNSCHEDULED,,,1423.26,1453.22,3
CPT,47900,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,1950.0,31992.0,78
CPT,47900,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,47900,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) SCHEDULED,,,256.49,261.89,3
CPT,47900,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) UNSCHEDULED,,,1423.26,1453.22,3
CPT,47999,"Unlisted procedure, biliary tract ",,,1950.0,9710.0,106
CPT,47999,"Unlisted procedure, biliary tract Other Surgical Services",,,2850.0,2850.0,4
CPT,47999,"Unlisted procedure, biliary tract SCHEDULED",,,256.49,261.89,3
CPT,47999,"Unlisted procedure, biliary tract UNSCHEDULED",,,1423.26,1453.22,3
CPT,48000,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,1950.0,31992.0,78
CPT,48000,"Placement of drains, peripancreatic, for acute pancreatitis; Other Surgical Services",,,2850.0,2850.0,4
CPT,48001,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,1950.0,31992.0,78
CPT,48001,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,48020,Removal of pancreatic calculus ,,,1950.0,31992.0,78
CPT,48020,Removal of pancreatic calculus Other Surgical Services,,,2850.0,2850.0,4
CPT,48100,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,1950.0,31992.0,78
CPT,48100,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) Other Surgical Services",,,2850.0,2850.0,4
CPT,48102,"Biopsy of pancreas, percutaneous needle ",,,1950.0,9710.0,106
CPT,48102,"Biopsy of pancreas, percutaneous needle Other Surgical Services",,,2850.0,2850.0,4
CPT,48105,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,1950.0,31992.0,78
CPT,48105,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis Other Surgical Services,,,2850.0,2850.0,4
CPT,48120,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,1950.0,31992.0,78
CPT,48120,"Excision of lesion of pancreas (eg, cyst, adenoma) Other Surgical Services",,,2850.0,2850.0,4
CPT,48140,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,1950.0,31992.0,78
CPT,48140,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,48145,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,1950.0,31992.0,78
CPT,48145,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,48146,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,1950.0,31992.0,78
CPT,48146,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,48148,Excision of ampulla of Vater ,,,1950.0,31992.0,78
CPT,48148,Excision of ampulla of Vater Other Surgical Services,,,2850.0,2850.0,4
CPT,48150,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,1950.0,31992.0,78
CPT,48150,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,48152,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,1950.0,31992.0,78
CPT,48152,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy Other Surgical Servic",,,2850.0,2850.0,4
CPT,48153,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,1950.0,31992.0,78
CPT,48153,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy Other Surgical Service",,,2850.0,2850.0,4
CPT,48154,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,1950.0,31992.0,78
CPT,48154,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy Other Surgical Serv",,,2850.0,2850.0,4
CPT,48155,"Pancreatectomy, total ",,,1950.0,31992.0,78
CPT,48155,"Pancreatectomy, total Other Surgical Services",,,2850.0,2850.0,4
CPT,48160,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,1950.0,9710.0,71
CPT,48160,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells Other Surgical Services",,,2850.0,2850.0,4
CPT,48400,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,1950.0,31992.0,78
CPT,48400,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,48500,Marsupialization of pancreatic cyst ,,,1950.0,31992.0,78
CPT,48500,Marsupialization of pancreatic cyst Other Surgical Services,,,2850.0,2850.0,4
CPT,48510,"External drainage, pseudocyst of pancreas, open ",,,1950.0,31992.0,78
CPT,48510,"External drainage, pseudocyst of pancreas, open Other Surgical Services",,,2850.0,2850.0,4
CPT,48520,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,1950.0,31992.0,78
CPT,48520,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct Other Surgical Services,,,2850.0,2850.0,4
CPT,48540,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,1950.0,31992.0,78
CPT,48540,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y Other Surgical Services,,,2850.0,2850.0,4
CPT,48545,Pancreatorrhaphy for injury ,,,1950.0,31992.0,78
CPT,48545,Pancreatorrhaphy for injury Other Surgical Services,,,2850.0,2850.0,4
CPT,48547,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,1950.0,31992.0,78
CPT,48547,Duodenal exclusion with gastrojejunostomy for pancreatic injury Other Surgical Services,,,2850.0,2850.0,4
CPT,48548,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,1950.0,31992.0,78
CPT,48548,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) Other Surgical Services",,,2850.0,2850.0,4
CPT,48550,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,1950.0,9710.0,63
CPT,48550,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation Other Surgical Services",,,2850.0,2850.0,4
CPT,48551,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,1950.0,31992.0,74
CPT,48552,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,1950.0,31992.0,70
CPT,48552,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each Other Surgical Services",,,2850.0,2850.0,4
CPT,48554,Transplantation of pancreatic allograft ,,,1950.0,31992.0,70
CPT,48554,Transplantation of pancreatic allograft Other Surgical Services,,,2850.0,2850.0,4
CPT,48556,Removal of transplanted pancreatic allograft ,,,1950.0,31992.0,70
CPT,48556,Removal of transplanted pancreatic allograft Other Surgical Services,,,2850.0,2850.0,4
CPT,48999,"Unlisted procedure, pancreas ",,,1950.0,9710.0,106
CPT,48999,"Unlisted procedure, pancreas Other Surgical Services",,,2850.0,2850.0,4
CPT,49000,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,1950.0,31992.0,106
CPT,49000,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,49000,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) SCHEDULED",,,6287.68,6420.05,3
CPT,49000,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) UNSCHEDULED",,,5717.12,5837.48,3
CPT,49002,Reopening of recent laparotomy ,,,1950.0,31992.0,78
CPT,49002,Reopening of recent laparotomy Other Surgical Services,,,2850.0,2850.0,4
CPT,49002,Reopening of recent laparotomy SCHEDULED,,,6287.68,6420.05,3
CPT,49002,Reopening of recent laparotomy UNSCHEDULED,,,5717.12,5837.48,3
CPT,49010,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,1950.0,18507.0,78
CPT,49010,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,49010,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) SCHEDULED",,,663.74,677.71,3
CPT,49010,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) UNSCHEDULED",,,5717.12,5837.48,3
CPT,49013,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,1950.0,31992.0,78
CPT,49013,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration Other Surgical Services",,,2850.0,2850.0,4
CPT,49013,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration SCHEDULED",,,6287.68,6420.05,3
CPT,49013,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration UNSCHEDULED",,,5717.12,5837.48,3
CPT,49014,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,1950.0,31992.0,78
CPT,49014,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,49014,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed SCHEDULED",,,6287.68,6420.05,3
CPT,49014,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed UNSCHEDULED",,,5717.12,5837.48,3
CPT,49020,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,1950.0,31992.0,78
CPT,49020,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open Other Surgical Services",,,2850.0,2850.0,4
CPT,49020,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open SCHEDULED",,,9167.7,9360.7,3
CPT,49020,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open UNSCHEDULED",,,5717.12,5837.48,3
CPT,49021,DRAIN ABDOMINAL ABSCESS SCHEDULED,,,6287.68,6420.05,3
CPT,49021,DRAIN ABDOMINAL ABSCESS UNSCHEDULED,,,5717.12,5837.48,3
CPT,49040,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,1950.0,31992.0,78
CPT,49040,"Drainage of subdiaphragmatic or subphrenic abscess, open Other Surgical Services",,,2850.0,2850.0,4
CPT,49040,"Drainage of subdiaphragmatic or subphrenic abscess, open SCHEDULED",,,6287.68,6420.05,3
CPT,49040,"Drainage of subdiaphragmatic or subphrenic abscess, open UNSCHEDULED",,,5717.12,5837.48,3
CPT,49041,DRAIN PERCUT ABDOM ABSCESS SCHEDULED,,,6287.68,6420.05,3
CPT,49041,DRAIN PERCUT ABDOM ABSCESS UNSCHEDULED,,,5717.12,5837.48,3
CPT,49060,"Drainage of retroperitoneal abscess, open ",,,1950.0,31992.0,78
CPT,49060,"Drainage of retroperitoneal abscess, open Other Surgical Services",,,2850.0,2850.0,4
CPT,49060,"Drainage of retroperitoneal abscess, open SCHEDULED",,,6287.68,6420.05,3
CPT,49060,"Drainage of retroperitoneal abscess, open UNSCHEDULED",,,5717.12,5837.48,3
CPT,49061,DRAIN PERCUT RETROPER ABSC SCHEDULED,,,6287.68,6420.05,3
CPT,49061,DRAIN PERCUT RETROPER ABSC UNSCHEDULED,,,5717.12,5837.48,3
CPT,49062,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,1950.0,31992.0,78
CPT,49062,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open Other Surgical Services",,,2850.0,2850.0,4
CPT,49062,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open SCHEDULED",,,6287.68,6420.05,3
CPT,49062,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open UNSCHEDULED",,,5717.12,5837.48,3
CPT,49080,PUNCTURE PERITONEAL CAVITY SCHEDULED,,,6287.68,6420.05,3
CPT,49080,PUNCTURE PERITONEAL CAVITY UNSCHEDULED,,,5717.12,5837.48,3
CPT,49081,REMOVAL OF ABDOMINAL FLUID SCHEDULED,,,6287.68,6420.05,3
CPT,49081,REMOVAL OF ABDOMINAL FLUID UNSCHEDULED,,,5717.12,5837.48,3
CPT,49082,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,1950.0,9710.0,106
CPT,49082,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance Other Surgical Services,,,2850.0,2850.0,4
CPT,49082,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance SCHEDULED,,,6287.68,6420.05,3
CPT,49082,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance UNSCHEDULED,,,5717.12,5837.48,3
CPT,49083,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,1950.0,9710.0,106
CPT,49083,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance Other Surgical Services,,,2850.0,2850.0,4
CPT,49083,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance SCHEDULED,,,2225.71,2272.56,3
CPT,49083,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance UNSCHEDULED,,,799.83,816.67,3
CPT,49084,"Peritoneal lavage, including imaging guidance, when performed ",,,1950.0,9710.0,106
CPT,49084,"Peritoneal lavage, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,49084,"Peritoneal lavage, including imaging guidance, when performed SCHEDULED",,,938.02,957.77,3
CPT,49084,"Peritoneal lavage, including imaging guidance, when performed UNSCHEDULED",,,5717.12,5837.48,3
CPT,49085,REMOVE ABDOMEN FOREIGN BODY SCHEDULED,,,6287.68,6420.05,3
CPT,49085,REMOVE ABDOMEN FOREIGN BODY UNSCHEDULED,,,5717.12,5837.48,3
CPT,49180,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,1950.0,9710.0,106
CPT,49180,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle Other Surgical Services",,,2850.0,2850.0,4
CPT,49180,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle SCHEDULED",,,2828.72,2888.27,3
CPT,49180,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle UNSCHEDULED",,,1774.5,1811.85,3
CPT,49185,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,1935.72,9710.0,116
CPT,49186,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,1950.0,31992.0,78
CPT,49186,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less O",,,2850.0,2850.0,4
CPT,49187,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,1950.0,31992.0,78
CPT,49187,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm O",,,2850.0,2850.0,4
CPT,49188,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,1950.0,31992.0,82
CPT,49189,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,1950.0,31992.0,82
CPT,49190,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,1950.0,31992.0,82
CPT,49200,REMOVAL OF ABDOMINAL LESION SCHEDULED,,,6287.68,6420.05,3
CPT,49200,REMOVAL OF ABDOMINAL LESION UNSCHEDULED,,,5717.12,5837.48,3
CPT,49201,"REMOVE ABDOM LESION, COMPLEX SCHEDULED",,,6287.68,6420.05,3
CPT,49201,"REMOVE ABDOM LESION, COMPLEX UNSCHEDULED",,,5717.12,5837.48,3
CPT,49203,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,5360.0,8727.0,28
CPT,49203,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less SCH",,,6287.68,6420.05,3
CPT,49203,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less UNS",,,5717.12,5837.48,3
CPT,49204,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,10737.0,13315.0,28
CPT,49204,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter SCHE",,,6287.68,6420.05,3
CPT,49204,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter UNSC",,,5717.12,5837.48,3
CPT,49205,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,5717.12,13315.0,34
CPT,49215,Excision of presacral or sacrococcygeal tumor ,,,1950.0,31992.0,78
CPT,49215,Excision of presacral or sacrococcygeal tumor Other Surgical Services,,,2850.0,2850.0,4
CPT,49215,Excision of presacral or sacrococcygeal tumor SCHEDULED,,,6287.68,6420.05,3
CPT,49215,Excision of presacral or sacrococcygeal tumor UNSCHEDULED,,,5717.12,5837.48,3
CPT,49220,"STAGING LAPAROTOMY FOR HODGKINS DISEASE OR LYMPHOMA (INCLUDES SPLENECTOMY, NEEDLE OR OPEN BIOPSIES OF BOTH LIVER LOBES, POSSIBLY ALSO REMOVAL OF ABDOMINAL NODES, ABDOMINAL NODE AND/OR BONE MARROW BIOP",,,5717.12,6420.05,6
CPT,49250,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,1950.0,18507.0,106
CPT,49250,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,49250,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) SCHEDULED",,,6966.07,7112.73,3
CPT,49250,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) UNSCHEDULED",,,5717.12,5837.48,3
CPT,49255,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,1950.0,18507.0,78
CPT,49255,"Omentectomy, epiploectomy, resection of omentum (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,49255,"Omentectomy, epiploectomy, resection of omentum (separate procedure) SCHEDULED",,,6287.68,6420.05,3
CPT,49255,"Omentectomy, epiploectomy, resection of omentum (separate procedure) UNSCHEDULED",,,5717.12,5837.48,3
CPT,49320,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1950.0,22212.0,167
CPT,49320,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,49320,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,49320,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,49320,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) SCHEDULED",,,8083.11,8253.28,3
CPT,49320,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) UNSCHEDULED",,,6596.51,6735.39,3
CPT,49321,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,1950.0,22212.0,167
CPT,49321,"Laparoscopy, surgical; with biopsy (single or multiple) Complex Surgery",,,11754.0,11754.0,22
CPT,49321,"Laparoscopy, surgical; with biopsy (single or multiple) High Cost Surgery",,,3950.0,3950.0,1
CPT,49321,"Laparoscopy, surgical; with biopsy (single or multiple) Other Surgical Services",,,2850.0,2850.0,4
CPT,49321,"Laparoscopy, surgical; with biopsy (single or multiple) SCHEDULED",,,6287.68,6420.05,3
CPT,49321,"Laparoscopy, surgical; with biopsy (single or multiple) UNSCHEDULED",,,5717.12,5837.48,3
CPT,49322,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,1950.0,22212.0,167
CPT,49322,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Complex Surgery",,,11754.0,11754.0,22
CPT,49322,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) High Cost Surgery",,,3950.0,3950.0,1
CPT,49322,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Other Surgical Services",,,2850.0,2850.0,4
CPT,49322,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) SCHEDULED",,,6287.68,6420.05,3
CPT,49322,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) UNSCHEDULED",,,5717.12,5837.48,3
CPT,49323,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,1950.0,22212.0,167
CPT,49323,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity Complex Surgery",,,11754.0,11754.0,22
CPT,49323,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity High Cost Surgery",,,3950.0,3950.0,1
CPT,49323,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity Other Surgical Services",,,2850.0,2850.0,4
CPT,49323,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity SCHEDULED",,,6287.68,6420.05,3
CPT,49323,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity UNSCHEDULED",,,5717.12,5837.48,3
CPT,49324,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,1950.0,22212.0,167
CPT,49324,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Complex Surgery",,,11754.0,11754.0,22
CPT,49324,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter High Cost Surgery",,,3950.0,3950.0,1
CPT,49324,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Other Surgical Services",,,2850.0,2850.0,4
CPT,49324,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter SCHEDULED",,,6287.68,6420.05,3
CPT,49324,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter UNSCHEDULED",,,5717.12,5837.48,3
CPT,49325,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,1950.0,22212.0,167
CPT,49325,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Complex Surgery",,,11754.0,11754.0,22
CPT,49325,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed High Cost Surgery",,,3950.0,3950.0,1
CPT,49325,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Other Surgical Services",,,2850.0,2850.0,4
CPT,49325,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed SCHEDULED",,,6287.68,6420.05,3
CPT,49325,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed UNSCHEDULED",,,5717.12,5837.48,3
CPT,49326,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1423.0,22212.0,160
CPT,49326,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,49326,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,49326,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,49326,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) SCHEDULED",,,6287.68,6420.05,3
CPT,49326,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) UNSCHEDULED",,,5717.12,5837.48,3
CPT,49327,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1423.0,22212.0,193
CPT,49329,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,1950.0,22212.0,167
CPT,49329,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum Complex Surgery",,,11754.0,11754.0,22
CPT,49329,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum High Cost Surgery",,,3950.0,3950.0,1
CPT,49329,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum Other Surgical Services",,,2850.0,2850.0,4
CPT,49329,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum SCHEDULED",,,6287.68,6420.05,3
CPT,49329,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum UNSCHEDULED",,,5717.12,5837.48,3
CPT,49400,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,1423.0,9710.0,99
CPT,49400,Injection of air or contrast into peritoneal cavity (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,49400,Injection of air or contrast into peritoneal cavity (separate procedure) SCHEDULED,,,6287.68,6420.05,3
CPT,49400,Injection of air or contrast into peritoneal cavity (separate procedure) UNSCHEDULED,,,5717.12,5837.48,3
CPT,49402,Removal of peritoneal foreign body from peritoneal cavity ,,,1950.0,18507.0,106
CPT,49402,Removal of peritoneal foreign body from peritoneal cavity Other Surgical Services,,,2850.0,2850.0,4
CPT,49402,Removal of peritoneal foreign body from peritoneal cavity SCHEDULED,,,5871.02,5994.62,3
CPT,49402,Removal of peritoneal foreign body from peritoneal cavity UNSCHEDULED,,,5523.44,5639.73,3
CPT,49405,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,1950.0,9710.0,106
CPT,49405,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,49405,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous SCHEDULED",,,5878.34,6002.1,3
CPT,49405,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous UNSCHEDULED",,,21877.07,22337.64,3
CPT,49406,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,1950.0,9710.0,106
CPT,49406,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,49406,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous SCHEDULED",,,4545.64,4641.33,3
CPT,49406,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous UNSCHEDULED",,,18608.65,19000.41,3
CPT,49407,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,1950.0,9710.0,106
CPT,49407,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal Other Surgical Services",,,2850.0,2850.0,4
CPT,49407,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal SCHEDULED",,,6287.68,6420.05,3
CPT,49407,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal UNSCHEDULED",,,5717.12,5837.48,3
CPT,49411,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,1950.0,9710.0,116
CPT,49412,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,1950.0,31992.0,88
CPT,49418,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,1950.0,18507.0,116
CPT,49419,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,1950.0,18507.0,106
CPT,49419,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) Other Surgical Services",,,2850.0,2850.0,4
CPT,49419,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) SCHEDULED",,,6287.68,6420.05,3
CPT,49419,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) UNSCHEDULED",,,5717.12,5837.48,3
CPT,49420,"INSERT ABDOM DRAIN, TEMP SCHEDULED",,,6287.68,6420.05,3
CPT,49420,"INSERT ABDOM DRAIN, TEMP UNSCHEDULED",,,5717.12,5837.48,3
CPT,49421,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,1950.0,18507.0,106
CPT,49421,"Insertion of tunneled intraperitoneal catheter for dialysis, open Other Surgical Services",,,2850.0,2850.0,4
CPT,49421,"Insertion of tunneled intraperitoneal catheter for dialysis, open SCHEDULED",,,6287.68,6420.05,3
CPT,49421,"Insertion of tunneled intraperitoneal catheter for dialysis, open UNSCHEDULED",,,5717.12,5837.48,3
CPT,49422,Removal of tunneled intraperitoneal catheter ,,,1950.0,14792.0,106
CPT,49422,Removal of tunneled intraperitoneal catheter Other Surgical Services,,,2850.0,2850.0,4
CPT,49422,Removal of tunneled intraperitoneal catheter SCHEDULED,,,10010.45,10221.2,3
CPT,49422,Removal of tunneled intraperitoneal catheter UNSCHEDULED,,,5717.12,5837.48,3
CPT,49423,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,1950.0,9710.0,106
CPT,49423,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,49423,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) SCHEDULED,,,2508.37,2561.18,3
CPT,49423,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) UNSCHEDULED,,,5717.12,5837.48,3
CPT,49424,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,1423.0,9710.0,99
CPT,49424,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,49424,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) SCHEDULED,,,6287.68,6420.05,3
CPT,49424,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) UNSCHEDULED,,,593.59,606.09,3
CPT,49425,Insertion of peritoneal-venous shunt ,,,1950.0,31992.0,106
CPT,49425,Insertion of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,4
CPT,49425,Insertion of peritoneal-venous shunt SCHEDULED,,,6287.68,6420.05,3
CPT,49425,Insertion of peritoneal-venous shunt UNSCHEDULED,,,5717.12,5837.48,3
CPT,49426,Revision of peritoneal-venous shunt ,,,1950.0,18507.0,106
CPT,49426,Revision of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,4
CPT,49426,Revision of peritoneal-venous shunt SCHEDULED,,,6287.68,6420.05,3
CPT,49426,Revision of peritoneal-venous shunt UNSCHEDULED,,,5717.12,5837.48,3
CPT,49427,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,1423.0,9710.0,99
CPT,49427,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt Other Surgical Services",,,2850.0,2850.0,4
CPT,49427,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt SCHEDULED",,,6287.68,6420.05,3
CPT,49427,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt UNSCHEDULED",,,5717.12,5837.48,3
CPT,49428,Ligation of peritoneal-venous shunt ,,,1950.0,31992.0,106
CPT,49428,Ligation of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,4
CPT,49428,Ligation of peritoneal-venous shunt SCHEDULED,,,6287.68,6420.05,3
CPT,49428,Ligation of peritoneal-venous shunt UNSCHEDULED,,,5717.12,5837.48,3
CPT,49429,Removal of peritoneal-venous shunt ,,,1950.0,14792.0,106
CPT,49429,Removal of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,4
CPT,49429,Removal of peritoneal-venous shunt SCHEDULED,,,6287.68,6420.05,3
CPT,49429,Removal of peritoneal-venous shunt UNSCHEDULED,,,5717.12,5837.48,3
CPT,49435,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,1950.0,9710.0,99
CPT,49435,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,49435,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) SCHEDULED,,,6287.68,6420.05,3
CPT,49435,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) UNSCHEDULED,,,5717.12,5837.48,3
CPT,49436,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,1950.0,9710.0,106
CPT,49436,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter Other Surgical Services,,,2850.0,2850.0,4
CPT,49436,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter SCHEDULED,,,6287.68,6420.05,3
CPT,49436,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter UNSCHEDULED,,,5717.12,5837.48,3
CPT,49440,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1950.0,9710.0,106
CPT,49440,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,4
CPT,49440,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report SCHEDULED",,,6287.68,6420.05,3
CPT,49440,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report UNSCHEDULED",,,4048.36,4133.59,3
CPT,49441,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1950.0,9710.0,106
CPT,49441,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,4
CPT,49441,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report SCHEDULED",,,6287.68,6420.05,3
CPT,49441,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report UNSCHEDULED",,,5717.12,5837.48,3
CPT,49442,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1950.0,9710.0,106
CPT,49442,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,4
CPT,49442,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report SCHEDULED",,,6287.68,6420.05,3
CPT,49442,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report UNSCHEDULED",,,5717.12,5837.48,3
CPT,49446,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1950.0,9710.0,106
CPT,49446,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,4
CPT,49446,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report SCHEDULED",,,6287.68,6420.05,3
CPT,49446,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report UNSCHEDULED",,,5717.12,5837.48,3
CPT,49450,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1950.0,9710.0,106
CPT,49450,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,4
CPT,49450,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report SCHEDULED",,,1616.42,1650.45,3
CPT,49450,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report UNSCHEDULED",,,901.38,920.36,3
CPT,49451,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1950.0,9710.0,106
CPT,49451,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,4
CPT,49451,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report SCHEDULED",,,962.1,982.36,3
CPT,49451,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report UNSCHEDULED",,,5717.12,5837.48,3
CPT,49452,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1950.0,9710.0,106
CPT,49452,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,4
CPT,49452,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report SCHEDULED",,,6287.68,6420.05,3
CPT,49452,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report UNSCHEDULED",,,999.79,1020.84,3
CPT,49460,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,1950.0,9710.0,116
CPT,49465,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,655.36,9710.0,116
CPT,49491,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,1950.0,18507.0,103
CPT,49491,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible Other Surg",,,2850.0,2850.0,4
CPT,49491,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible SCHEDULED",,,6287.68,6420.05,3
CPT,49491,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible UNSCHEDULE",,,5717.12,5837.48,3
CPT,49492,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,1950.0,18507.0,113
CPT,49495,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,1950.0,18507.0,113
CPT,49496,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,1950.0,18507.0,113
CPT,49500,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,1950.0,18507.0,103
CPT,49500,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Other Surgical Services",,,2850.0,2850.0,4
CPT,49500,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible SCHEDULED",,,6287.68,6420.05,3
CPT,49500,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible UNSCHEDULED",,,5717.12,5837.48,3
CPT,49501,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,1950.0,18507.0,103
CPT,49501,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated Other Surgical Services",,,2850.0,2850.0,4
CPT,49501,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated SCHEDULED",,,6287.68,6420.05,3
CPT,49501,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated UNSCHEDULED",,,5717.12,5837.48,3
CPT,49505,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,2350.0,18507.0,99
CPT,49505,"Repair initial inguinal hernia, age 5 years or older; reducible Other Surgical Services",,,4150.0,4150.0,1
CPT,49505,"Repair initial inguinal hernia, age 5 years or older; reducible SCHEDULED",,,4838.77,4940.64,3
CPT,49505,"Repair initial inguinal hernia, age 5 years or older; reducible UNSCHEDULED",,,13767.78,14057.63,3
CPT,49507,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,2350.0,18507.0,99
CPT,49507,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Other Surgical Services",,,4150.0,4150.0,1
CPT,49507,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated SCHEDULED",,,15585.2,15913.31,3
CPT,49507,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated UNSCHEDULED",,,11118.08,11352.14,3
CPT,49520,"Repair recurrent inguinal hernia, any age; reducible ",,,2350.0,18507.0,99
CPT,49520,"Repair recurrent inguinal hernia, any age; reducible Other Surgical Services",,,4150.0,4150.0,1
CPT,49520,"Repair recurrent inguinal hernia, any age; reducible SCHEDULED",,,5100.49,5207.87,3
CPT,49520,"Repair recurrent inguinal hernia, any age; reducible UNSCHEDULED",,,5717.12,5837.48,3
CPT,49521,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,2350.0,18507.0,99
CPT,49521,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated Other Surgical Services",,,4150.0,4150.0,1
CPT,49521,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated SCHEDULED",,,7827.67,7992.46,3
CPT,49521,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated UNSCHEDULED",,,6396.56,6531.22,3
CPT,49525,"Repair inguinal hernia, sliding, any age ",,,2350.0,18507.0,99
CPT,49525,"Repair inguinal hernia, sliding, any age Other Surgical Services",,,4150.0,4150.0,1
CPT,49525,"Repair inguinal hernia, sliding, any age SCHEDULED",,,13163.72,13440.85,3
CPT,49525,"Repair inguinal hernia, sliding, any age UNSCHEDULED",,,5717.12,5837.48,3
CPT,49540,Repair lumbar hernia ,,,2350.0,18507.0,99
CPT,49540,Repair lumbar hernia Other Surgical Services,,,4150.0,4150.0,1
CPT,49540,Repair lumbar hernia SCHEDULED,,,24014.84,24520.42,3
CPT,49540,Repair lumbar hernia UNSCHEDULED,,,5717.12,5837.48,3
CPT,49550,"Repair initial femoral hernia, any age; reducible ",,,2350.0,18507.0,99
CPT,49550,"Repair initial femoral hernia, any age; reducible Other Surgical Services",,,4150.0,4150.0,1
CPT,49550,"Repair initial femoral hernia, any age; reducible SCHEDULED",,,6697.02,6838.01,3
CPT,49550,"Repair initial femoral hernia, any age; reducible UNSCHEDULED",,,5717.12,5837.48,3
CPT,49553,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,2350.0,18507.0,99
CPT,49553,"Repair initial femoral hernia, any age; incarcerated or strangulated Other Surgical Services",,,4150.0,4150.0,1
CPT,49553,"Repair initial femoral hernia, any age; incarcerated or strangulated SCHEDULED",,,13582.48,13868.43,3
CPT,49553,"Repair initial femoral hernia, any age; incarcerated or strangulated UNSCHEDULED",,,5717.12,5837.48,3
CPT,49555,Repair recurrent femoral hernia; reducible ,,,2350.0,18507.0,99
CPT,49555,Repair recurrent femoral hernia; reducible Other Surgical Services,,,4150.0,4150.0,1
CPT,49555,Repair recurrent femoral hernia; reducible SCHEDULED,,,3455.81,3528.57,3
CPT,49555,Repair recurrent femoral hernia; reducible UNSCHEDULED,,,5717.12,5837.48,3
CPT,49557,Repair recurrent femoral hernia; incarcerated or strangulated ,,,2350.0,18507.0,99
CPT,49557,Repair recurrent femoral hernia; incarcerated or strangulated Other Surgical Services,,,4150.0,4150.0,1
CPT,49557,Repair recurrent femoral hernia; incarcerated or strangulated SCHEDULED,,,6287.68,6420.05,3
CPT,49557,Repair recurrent femoral hernia; incarcerated or strangulated UNSCHEDULED,,,5717.12,5837.48,3
CPT,49560,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,9539.0,28
CPT,49560,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE SCHEDULED,,,3771.98,3851.39,3
CPT,49560,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE UNSCHEDULED,,,5717.12,5837.48,3
CPT,49561,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,9539.0,28
CPT,49561,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED SCHEDULED,,,5757.95,5879.17,3
CPT,49561,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED UNSCHEDULED,,,7082.28,7231.38,3
CPT,49565,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,9539.0,28
CPT,49565,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE SCHEDULED,,,7414.14,7570.23,3
CPT,49565,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE UNSCHEDULED,,,5717.12,5837.48,3
CPT,49566,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,9539.0,28
CPT,49566,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED SCHEDULED,,,11526.37,11769.03,3
CPT,49566,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED UNSCHEDULED,,,4694.3,4793.13,3
CPT,49568,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,1423.0,4053.42,34
CPT,49570,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,7583.0,9539.0,28
CPT,49570,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) SCHEDULED",,,6721.1,6862.59,3
CPT,49570,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) UNSCHEDULED",,,5717.12,5837.48,3
CPT,49572,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,28
CPT,49572,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED SCHEDULED",,,12655.98,12922.42,3
CPT,49572,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED UNSCHEDULED",,,5503.55,5619.41,3
CPT,49580,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,7583.0,9539.0,28
CPT,49580,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE SCHEDULED",,,6287.68,6420.05,3
CPT,49580,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE UNSCHEDULED",,,5717.12,5837.48,3
CPT,49582,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,28
CPT,49582,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED SCHEDULED",,,6287.68,6420.05,3
CPT,49582,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED UNSCHEDULED",,,5717.12,5837.48,3
CPT,49585,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,7583.0,9539.0,28
CPT,49585,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE SCHEDULED",,,3952.05,4035.25,3
CPT,49585,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE UNSCHEDULED",,,7140.9,7291.24,3
CPT,49587,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,28
CPT,49587,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED SCHEDULED",,,3874.57,3956.14,3
CPT,49587,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED UNSCHEDULED",,,9177.12,9370.33,3
CPT,49590,REPAIR SPIGELIAN HERNIA ,,,7583.0,9539.0,28
CPT,49590,REPAIR SPIGELIAN HERNIA SCHEDULED,,,9584.37,9786.15,3
CPT,49590,REPAIR SPIGELIAN HERNIA UNSCHEDULED,,,5717.12,5837.48,3
CPT,49591,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,2350.0,22212.0,78
CPT,49592,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,2350.0,22212.0,78
CPT,49593,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,2350.0,22212.0,78
CPT,49594,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,2350.0,22212.0,78
CPT,49595,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,2350.0,22212.0,78
CPT,49596,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,2350.0,31992.0,78
CPT,49600,"Repair of small omphalocele, with primary closure ",,,2350.0,18507.0,99
CPT,49600,"Repair of small omphalocele, with primary closure Other Surgical Services",,,4150.0,4150.0,1
CPT,49600,"Repair of small omphalocele, with primary closure SCHEDULED",,,6287.68,6420.05,3
CPT,49600,"Repair of small omphalocele, with primary closure UNSCHEDULED",,,5717.12,5837.48,3
CPT,49605,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,2350.0,31992.0,71
CPT,49605,Repair of large omphalocele or gastroschisis; with or without prosthesis Other Surgical Services,,,4150.0,4150.0,1
CPT,49605,Repair of large omphalocele or gastroschisis; with or without prosthesis SCHEDULED,,,6287.68,6420.05,3
CPT,49605,Repair of large omphalocele or gastroschisis; with or without prosthesis UNSCHEDULED,,,5717.12,5837.48,3
CPT,49606,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,2350.0,31992.0,71
CPT,49606,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room Other Surgical Services",,,4150.0,4150.0,1
CPT,49606,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room SCHEDULED",,,6287.68,6420.05,3
CPT,49606,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room UNSCHEDULED",,,5717.12,5837.48,3
CPT,49610,Repair of omphalocele (Gross type operation); first stage ,,,2350.0,31992.0,71
CPT,49610,Repair of omphalocele (Gross type operation); first stage Other Surgical Services,,,4150.0,4150.0,1
CPT,49610,Repair of omphalocele (Gross type operation); first stage SCHEDULED,,,6287.68,6420.05,3
CPT,49610,Repair of omphalocele (Gross type operation); first stage UNSCHEDULED,,,5717.12,5837.48,3
CPT,49611,Repair of omphalocele (Gross type operation); second stage ,,,2350.0,31992.0,71
CPT,49611,Repair of omphalocele (Gross type operation); second stage Other Surgical Services,,,4150.0,4150.0,1
CPT,49611,Repair of omphalocele (Gross type operation); second stage SCHEDULED,,,6287.68,6420.05,3
CPT,49611,Repair of omphalocele (Gross type operation); second stage UNSCHEDULED,,,5717.12,5837.48,3
CPT,49613,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2350.0,22212.0,78
CPT,49614,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2350.0,22212.0,78
CPT,49615,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2350.0,22212.0,78
CPT,49616,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2350.0,31992.0,78
CPT,49617,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2350.0,31992.0,78
CPT,49618,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2350.0,31992.0,78
CPT,49621,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,2350.0,31992.0,71
CPT,49621,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible Other Surgical Services",,,4150.0,4150.0,1
CPT,49621,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible SCHEDULED",,,6287.68,6420.05,3
CPT,49621,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible UNSCHEDULED",,,5717.12,5837.48,3
CPT,49622,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,2350.0,31992.0,71
CPT,49622,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated Othe",,,4150.0,4150.0,1
CPT,49622,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated SCHE",,,6287.68,6420.05,3
CPT,49622,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated UNSC",,,5717.12,5837.48,3
CPT,49623,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,2143.0,22212.0,71
CPT,49650,"Laparoscopy, surgical; repair initial inguinal hernia ",,,2350.0,22212.0,163
CPT,49650,"Laparoscopy, surgical; repair initial inguinal hernia Complex Surgery",,,11754.0,11754.0,22
CPT,49650,"Laparoscopy, surgical; repair initial inguinal hernia High Cost Surgery",,,3950.0,3950.0,1
CPT,49650,"Laparoscopy, surgical; repair initial inguinal hernia Other Surgical Services",,,4150.0,4150.0,1
CPT,49650,"Laparoscopy, surgical; repair initial inguinal hernia SCHEDULED",,,5735.97,5856.72,3
CPT,49650,"Laparoscopy, surgical; repair initial inguinal hernia UNSCHEDULED",,,11182.98,11418.41,3
CPT,49651,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,2350.0,22212.0,163
CPT,49651,"Laparoscopy, surgical; repair recurrent inguinal hernia Complex Surgery",,,11754.0,11754.0,22
CPT,49651,"Laparoscopy, surgical; repair recurrent inguinal hernia High Cost Surgery",,,3950.0,3950.0,1
CPT,49651,"Laparoscopy, surgical; repair recurrent inguinal hernia Other Surgical Services",,,4150.0,4150.0,1
CPT,49651,"Laparoscopy, surgical; repair recurrent inguinal hernia SCHEDULED",,,9790.6,9996.72,3
CPT,49651,"Laparoscopy, surgical; repair recurrent inguinal hernia UNSCHEDULED",,,5717.12,5837.48,3
CPT,49652,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,28
CPT,49652,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE SCHEDULED",,,13425.45,13708.09,3
CPT,49652,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE UNSCHEDULED",,,5717.12,5837.48,3
CPT,49653,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,28
CPT,49653,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED SCHEDULED",,,12446.6,12708.63,3
CPT,49653,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED UNSCHEDULED",,,14398.02,14701.14,3
CPT,49654,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,28
CPT,49654,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE SCHEDULED",,,11659.32,11904.78,3
CPT,49654,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE UNSCHEDULED",,,5717.12,5837.48,3
CPT,49655,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,28
CPT,49655,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED SCHEDULED",,,14938.22,15252.71,3
CPT,49655,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED UNSCHEDULED",,,7047.73,7196.1,3
CPT,49656,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,28
CPT,49656,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE SCHEDULED",,,17966.89,18345.14,3
CPT,49656,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE UNSCHEDULED",,,5717.12,5837.48,3
CPT,49657,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,28
CPT,49657,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED SCHEDULED",,,19163.5,19566.95,3
CPT,49657,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED UNSCHEDULED",,,5717.12,5837.48,3
CPT,49659,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,2350.0,22212.0,163
CPT,49659,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Complex Surgery",,,11754.0,11754.0,22
CPT,49659,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy High Cost Surgery",,,3950.0,3950.0,1
CPT,49659,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Other Surgical Services",,,4150.0,4150.0,1
CPT,49659,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy SCHEDULED",,,6287.68,6420.05,3
CPT,49659,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy UNSCHEDULED",,,5717.12,5837.48,3
CPT,49900,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,1950.0,31992.0,78
CPT,49900,"Suture, secondary, of abdominal wall for evisceration or dehiscence Other Surgical Services",,,2850.0,2850.0,4
CPT,49900,"Suture, secondary, of abdominal wall for evisceration or dehiscence SCHEDULED",,,6287.68,6420.05,3
CPT,49900,"Suture, secondary, of abdominal wall for evisceration or dehiscence UNSCHEDULED",,,5717.12,5837.48,3
CPT,49904,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,1950.0,31992.0,78
CPT,49904,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) Other Surgical Services",,,2850.0,2850.0,4
CPT,49904,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) SCHEDULED",,,6287.68,6420.05,3
CPT,49904,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) UNSCHEDULED",,,5717.12,5837.48,3
CPT,49905,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,49905,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,49905,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) SCHEDULED",,,2632.95,2688.38,3
CPT,49905,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) UNSCHEDULED",,,5717.12,5837.48,3
CPT,49906,Free omental flap with microvascular anastomosis ,,,1950.0,31992.0,78
CPT,49906,Free omental flap with microvascular anastomosis Other Surgical Services,,,2850.0,2850.0,4
CPT,49906,Free omental flap with microvascular anastomosis SCHEDULED,,,6287.68,6420.05,3
CPT,49906,Free omental flap with microvascular anastomosis UNSCHEDULED,,,5717.12,5837.48,3
CPT,49999,"Unlisted procedure, abdomen, peritoneum and omentum ",,,1950.0,9710.0,106
CPT,49999,"Unlisted procedure, abdomen, peritoneum and omentum Other Surgical Services",,,2850.0,2850.0,4
CPT,49999,"Unlisted procedure, abdomen, peritoneum and omentum SCHEDULED",,,4224.24,4313.17,3
CPT,49999,"Unlisted procedure, abdomen, peritoneum and omentum UNSCHEDULED",,,3286.22,3355.4,3
CPT,50010,"Renal exploration, not necessitating other specific procedures ",,,1950.0,31992.0,78
CPT,50010,"Renal exploration, not necessitating other specific procedures Other Surgical Services",,,2850.0,2850.0,4
CPT,50010,"Renal exploration, not necessitating other specific procedures SCHEDULED",,,1048.99,1071.07,3
CPT,50010,"Renal exploration, not necessitating other specific procedures UNSCHEDULED",,,1107.62,1130.94,3
CPT,50020,"Drainage of perirenal or renal abscess, open ",,,1950.0,9710.0,106
CPT,50020,"Drainage of perirenal or renal abscess, open Other Surgical Services",,,2850.0,2850.0,4
CPT,50020,"Drainage of perirenal or renal abscess, open SCHEDULED",,,1048.99,1071.07,3
CPT,50020,"Drainage of perirenal or renal abscess, open UNSCHEDULED",,,1107.62,1130.94,3
CPT,50021,RENAL ABSCESS PERCUT DRAIN SCHEDULED,,,1048.99,1071.07,3
CPT,50021,RENAL ABSCESS PERCUT DRAIN UNSCHEDULED,,,1107.62,1130.94,3
CPT,50040,"Nephrostomy, nephrotomy with drainage ",,,1950.0,31992.0,106
CPT,50040,"Nephrostomy, nephrotomy with drainage Other Surgical Services",,,2850.0,2850.0,4
CPT,50040,"Nephrostomy, nephrotomy with drainage SCHEDULED",,,1048.99,1071.07,3
CPT,50040,"Nephrostomy, nephrotomy with drainage UNSCHEDULED",,,1107.62,1130.94,3
CPT,50045,"Nephrotomy, with exploration ",,,1950.0,31992.0,78
CPT,50045,"Nephrotomy, with exploration Other Surgical Services",,,2850.0,2850.0,4
CPT,50045,"Nephrotomy, with exploration SCHEDULED",,,1048.99,1071.07,3
CPT,50045,"Nephrotomy, with exploration UNSCHEDULED",,,1107.62,1130.94,3
CPT,50060,Nephrolithotomy; removal of calculus ,,,1950.0,31992.0,78
CPT,50060,Nephrolithotomy; removal of calculus Other Surgical Services,,,2850.0,2850.0,4
CPT,50060,Nephrolithotomy; removal of calculus SCHEDULED,,,1048.99,1071.07,3
CPT,50060,Nephrolithotomy; removal of calculus UNSCHEDULED,,,1107.62,1130.94,3
CPT,50065,Nephrolithotomy; secondary surgical operation for calculus ,,,1950.0,31992.0,78
CPT,50065,Nephrolithotomy; secondary surgical operation for calculus Other Surgical Services,,,2850.0,2850.0,4
CPT,50065,Nephrolithotomy; secondary surgical operation for calculus SCHEDULED,,,1048.99,1071.07,3
CPT,50065,Nephrolithotomy; secondary surgical operation for calculus UNSCHEDULED,,,1107.62,1130.94,3
CPT,50070,Nephrolithotomy; complicated by congenital kidney abnormality ,,,1950.0,31992.0,78
CPT,50070,Nephrolithotomy; complicated by congenital kidney abnormality Other Surgical Services,,,2850.0,2850.0,4
CPT,50070,Nephrolithotomy; complicated by congenital kidney abnormality SCHEDULED,,,1048.99,1071.07,3
CPT,50070,Nephrolithotomy; complicated by congenital kidney abnormality UNSCHEDULED,,,1107.62,1130.94,3
CPT,50075,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,1950.0,31992.0,78
CPT,50075,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) Other Surgical Services,,,2850.0,2850.0,4
CPT,50075,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) SCHEDULED,,,1048.99,1071.07,3
CPT,50075,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) UNSCHEDULED,,,1107.62,1130.94,3
CPT,50080,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,1048.99,18507.0,132
CPT,50081,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,1048.99,18507.0,132
CPT,50100,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,1950.0,31992.0,78
CPT,50100,Transection or repositioning of aberrant renal vessels (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,50100,Transection or repositioning of aberrant renal vessels (separate procedure) SCHEDULED,,,1048.99,1071.07,3
CPT,50100,Transection or repositioning of aberrant renal vessels (separate procedure) UNSCHEDULED,,,1107.62,1130.94,3
CPT,50120,Pyelotomy; with exploration ,,,1950.0,31992.0,78
CPT,50120,Pyelotomy; with exploration Other Surgical Services,,,2850.0,2850.0,4
CPT,50120,Pyelotomy; with exploration SCHEDULED,,,1048.99,1071.07,3
CPT,50120,Pyelotomy; with exploration UNSCHEDULED,,,1107.62,1130.94,3
CPT,50125,"Pyelotomy; with drainage, pyelostomy ",,,1950.0,31992.0,78
CPT,50125,"Pyelotomy; with drainage, pyelostomy Other Surgical Services",,,2850.0,2850.0,4
CPT,50125,"Pyelotomy; with drainage, pyelostomy SCHEDULED",,,1048.99,1071.07,3
CPT,50125,"Pyelotomy; with drainage, pyelostomy UNSCHEDULED",,,1107.62,1130.94,3
CPT,50130,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,1950.0,31992.0,78
CPT,50130,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,50130,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) SCHEDULED",,,1048.99,1071.07,3
CPT,50130,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) UNSCHEDULED",,,1107.62,1130.94,3
CPT,50135,"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) SCHEDULED",,,1048.99,1071.07,3
CPT,50135,"Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) UNSCHEDULED",,,1107.62,1130.94,3
CPT,50200,"Renal biopsy; percutaneous, by trocar or needle ",,,1950.0,9710.0,106
CPT,50200,"Renal biopsy; percutaneous, by trocar or needle Other Surgical Services",,,2850.0,2850.0,4
CPT,50200,"Renal biopsy; percutaneous, by trocar or needle SCHEDULED",,,1048.99,1071.07,3
CPT,50200,"Renal biopsy; percutaneous, by trocar or needle UNSCHEDULED",,,1107.62,1130.94,3
CPT,50205,Renal biopsy; by surgical exposure of kidney ,,,1950.0,31992.0,78
CPT,50205,Renal biopsy; by surgical exposure of kidney Other Surgical Services,,,2850.0,2850.0,4
CPT,50205,Renal biopsy; by surgical exposure of kidney SCHEDULED,,,1048.99,1071.07,3
CPT,50205,Renal biopsy; by surgical exposure of kidney UNSCHEDULED,,,1107.62,1130.94,3
CPT,50220,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,1950.0,31992.0,78
CPT,50220,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; Other Surgical Services",,,2850.0,2850.0,4
CPT,50220,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; SCHEDULED",,,1048.99,1071.07,3
CPT,50220,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; UNSCHEDULED",,,1107.62,1130.94,3
CPT,50225,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,1950.0,31992.0,78
CPT,50225,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney Other Surgical Services",,,2850.0,2850.0,4
CPT,50225,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney SCHEDULED",,,1048.99,1071.07,3
CPT,50225,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney UNSCHEDULED",,,1107.62,1130.94,3
CPT,50230,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,1950.0,31992.0,78
CPT,50230,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,50230,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy SCHEDULED",,,1048.99,1071.07,3
CPT,50230,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy UNSCHEDULED",,,1107.62,1130.94,3
CPT,50234,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,1950.0,31992.0,78
CPT,50234,Nephrectomy with total ureterectomy and bladder cuff; through same incision Other Surgical Services,,,2850.0,2850.0,4
CPT,50234,Nephrectomy with total ureterectomy and bladder cuff; through same incision SCHEDULED,,,1048.99,1071.07,3
CPT,50234,Nephrectomy with total ureterectomy and bladder cuff; through same incision UNSCHEDULED,,,1107.62,1130.94,3
CPT,50236,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,1950.0,31992.0,78
CPT,50236,Nephrectomy with total ureterectomy and bladder cuff; through separate incision Other Surgical Services,,,2850.0,2850.0,4
CPT,50236,Nephrectomy with total ureterectomy and bladder cuff; through separate incision SCHEDULED,,,1048.99,1071.07,3
CPT,50236,Nephrectomy with total ureterectomy and bladder cuff; through separate incision UNSCHEDULED,,,1107.62,1130.94,3
CPT,50240,"Nephrectomy, partial ",,,1950.0,31992.0,78
CPT,50240,"Nephrectomy, partial Other Surgical Services",,,2850.0,2850.0,4
CPT,50240,"Nephrectomy, partial SCHEDULED",,,1048.99,1071.07,3
CPT,50240,"Nephrectomy, partial UNSCHEDULED",,,1107.62,1130.94,3
CPT,50250,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,1950.0,31992.0,78
CPT,50250,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed Other Surgical Services",,,2850.0,2850.0,4
CPT,50250,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed SCHEDULED",,,1048.99,1071.07,3
CPT,50250,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed UNSCHEDULED",,,1107.62,1130.94,3
CPT,50280,Excision or unroofing of cyst(s) of kidney ,,,1950.0,31992.0,78
CPT,50280,Excision or unroofing of cyst(s) of kidney Other Surgical Services,,,2850.0,2850.0,4
CPT,50280,Excision or unroofing of cyst(s) of kidney SCHEDULED,,,1048.99,1071.07,3
CPT,50280,Excision or unroofing of cyst(s) of kidney UNSCHEDULED,,,1107.62,1130.94,3
CPT,50290,Excision of perinephric cyst ,,,1950.0,31992.0,78
CPT,50290,Excision of perinephric cyst Other Surgical Services,,,2850.0,2850.0,4
CPT,50290,Excision of perinephric cyst SCHEDULED,,,1048.99,1071.07,3
CPT,50290,Excision of perinephric cyst UNSCHEDULED,,,1107.62,1130.94,3
CPT,50300,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,1950.0,31992.0,78
CPT,50300,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,50300,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral SCHEDULED",,,1048.99,1071.07,3
CPT,50300,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral UNSCHEDULED",,,1107.62,1130.94,3
CPT,50320,"Donor nephrectomy (including cold preservation); open, from living donor ",,,1950.0,31992.0,78
CPT,50320,"Donor nephrectomy (including cold preservation); open, from living donor Other Surgical Services",,,2850.0,2850.0,4
CPT,50320,"Donor nephrectomy (including cold preservation); open, from living donor SCHEDULED",,,1048.99,1071.07,3
CPT,50320,"Donor nephrectomy (including cold preservation); open, from living donor UNSCHEDULED",,,1107.62,1130.94,3
CPT,50323,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,1048.99,31992.0,88
CPT,50325,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,1048.99,31992.0,88
CPT,50327,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,1950.0,31992.0,78
CPT,50327,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each Other Surgical Services",,,2850.0,2850.0,4
CPT,50327,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each SCHEDULED",,,1048.99,1071.07,3
CPT,50327,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each UNSCHEDULED",,,1107.62,1130.94,3
CPT,50328,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,1950.0,31992.0,78
CPT,50328,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each Other Surgical Services",,,2850.0,2850.0,4
CPT,50328,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each SCHEDULED",,,1048.99,1071.07,3
CPT,50328,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each UNSCHEDULED",,,1107.62,1130.94,3
CPT,50329,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,1950.0,31992.0,78
CPT,50329,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each Other Surgical Services",,,2850.0,2850.0,4
CPT,50329,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each SCHEDULED",,,1048.99,1071.07,3
CPT,50329,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each UNSCHEDULED",,,1107.62,1130.94,3
CPT,50340,Recipient nephrectomy (separate procedure) ,,,1950.0,31992.0,78
CPT,50340,Recipient nephrectomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,50340,Recipient nephrectomy (separate procedure) SCHEDULED,,,1048.99,1071.07,3
CPT,50340,Recipient nephrectomy (separate procedure) UNSCHEDULED,,,1107.62,1130.94,3
CPT,50360,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,1950.0,31992.0,78
CPT,50360,"Renal allotransplantation, implantation of graft; without recipient nephrectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,50360,"Renal allotransplantation, implantation of graft; without recipient nephrectomy SCHEDULED",,,1048.99,1071.07,3
CPT,50360,"Renal allotransplantation, implantation of graft; without recipient nephrectomy UNSCHEDULED",,,1107.62,1130.94,3
CPT,50365,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,1950.0,31992.0,78
CPT,50365,"Renal allotransplantation, implantation of graft; with recipient nephrectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,50365,"Renal allotransplantation, implantation of graft; with recipient nephrectomy SCHEDULED",,,1048.99,1071.07,3
CPT,50365,"Renal allotransplantation, implantation of graft; with recipient nephrectomy UNSCHEDULED",,,1107.62,1130.94,3
CPT,50370,Removal of transplanted renal allograft ,,,1950.0,31992.0,78
CPT,50370,Removal of transplanted renal allograft Other Surgical Services,,,2850.0,2850.0,4
CPT,50370,Removal of transplanted renal allograft SCHEDULED,,,1048.99,1071.07,3
CPT,50370,Removal of transplanted renal allograft UNSCHEDULED,,,1107.62,1130.94,3
CPT,50380,"Renal autotransplantation, reimplantation of kidney ",,,1950.0,31992.0,78
CPT,50380,"Renal autotransplantation, reimplantation of kidney Other Surgical Services",,,2850.0,2850.0,4
CPT,50380,"Renal autotransplantation, reimplantation of kidney SCHEDULED",,,1048.99,1071.07,3
CPT,50380,"Renal autotransplantation, reimplantation of kidney UNSCHEDULED",,,1107.62,1130.94,3
CPT,50382,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,1950.0,9710.0,106
CPT,50382,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation Other Surgical Services",,,2850.0,2850.0,4
CPT,50382,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation SCHEDULED",,,1048.99,1071.07,3
CPT,50382,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation UNSCHEDULED",,,1107.62,1130.94,3
CPT,50384,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,1950.0,9710.0,106
CPT,50384,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation Other Surgical Services",,,2850.0,2850.0,4
CPT,50384,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation SCHEDULED",,,1048.99,1071.07,3
CPT,50384,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation UNSCHEDULED",,,1107.62,1130.94,3
CPT,50385,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1950.0,9710.0,106
CPT,50385,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation Other Sur",,,2850.0,2850.0,4
CPT,50385,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation SCHEDULED",,,1048.99,1071.07,3
CPT,50385,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation UNSCHEDUL",,,1107.62,1130.94,3
CPT,50386,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1950.0,9710.0,106
CPT,50386,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation Other Surgical Services",,,2850.0,2850.0,4
CPT,50386,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation SCHEDULED",,,1048.99,1071.07,3
CPT,50386,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation UNSCHEDULED",,,1107.62,1130.94,3
CPT,50387,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,1950.0,9710.0,106
CPT,50387,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation Other Surg",,,2850.0,2850.0,4
CPT,50387,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation SCHEDULED",,,1048.99,1071.07,3
CPT,50387,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation UNSCHEDULE",,,1107.62,1130.94,3
CPT,50389,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,1950.0,9710.0,106
CPT,50389,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) Other Surgical Services",,,2850.0,2850.0,4
CPT,50389,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) SCHEDULED",,,1048.99,1071.07,3
CPT,50389,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) UNSCHEDULED",,,1107.62,1130.94,3
CPT,50390,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,1950.0,9710.0,106
CPT,50390,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,50390,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous SCHEDULED",,,1048.99,1071.07,3
CPT,50390,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous UNSCHEDULED",,,1107.62,1130.94,3
CPT,50391,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,1423.0,9710.0,106
CPT,50391,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) Other Surgical Services",,,2850.0,2850.0,4
CPT,50391,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) SCHEDULED",,,1048.99,1071.07,3
CPT,50391,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) UNSCHEDULED",,,1107.62,1130.94,3
CPT,50392,INSERT KIDNEY DRAIN SCHEDULED,,,1048.99,1071.07,3
CPT,50392,INSERT KIDNEY DRAIN UNSCHEDULED,,,1107.62,1130.94,3
CPT,50393,INSERT URETERAL TUBE SCHEDULED,,,1048.99,1071.07,3
CPT,50393,INSERT URETERAL TUBE UNSCHEDULED,,,1107.62,1130.94,3
CPT,50394,INJECTION FOR KIDNEY X-RAY SCHEDULED,,,1048.99,1071.07,3
CPT,50394,INJECTION FOR KIDNEY X-RAY UNSCHEDULED,,,1107.62,1130.94,3
CPT,50395,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,5360.0,8727.0,28
CPT,50395,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS SCHEDULED",,,1048.99,1071.07,3
CPT,50395,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS UNSCHEDULED",,,1107.62,1130.94,3
CPT,50396,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,1423.0,9710.0,106
CPT,50396,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter Other Surgical Services",,,2850.0,2850.0,4
CPT,50396,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter SCHEDULED",,,1048.99,1071.07,3
CPT,50396,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter UNSCHEDULED",,,1107.62,1130.94,3
CPT,50398,CHANGE KIDNEY TUBE SCHEDULED,,,1048.99,1071.07,3
CPT,50398,CHANGE KIDNEY TUBE UNSCHEDULED,,,1107.62,1130.94,3
CPT,50400,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,1950.0,31992.0,54
CPT,50400,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple Other Surgical Ser",,,2850.0,2850.0,4
CPT,50400,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple SCHEDULED",,,1048.99,1071.07,3
CPT,50400,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple UNSCHEDULED",,,1107.62,1130.94,3
CPT,50405,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,1048.99,31992.0,88
CPT,50430,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1048.99,9710.0,116
CPT,50431,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1048.99,9710.0,116
CPT,50432,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,1048.99,9710.0,116
CPT,50433,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,1048.99,18507.0,116
CPT,50434,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,1048.99,9710.0,116
CPT,50435,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,1048.99,9710.0,116
CPT,50436,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1048.99,18507.0,88
CPT,50437,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,1048.99,18507.0,88
CPT,50500,"Nephrorrhaphy, suture of kidney wound or injury ",,,1950.0,31992.0,78
CPT,50500,"Nephrorrhaphy, suture of kidney wound or injury Other Surgical Services",,,2850.0,2850.0,4
CPT,50500,"Nephrorrhaphy, suture of kidney wound or injury SCHEDULED",,,1048.99,1071.07,3
CPT,50500,"Nephrorrhaphy, suture of kidney wound or injury UNSCHEDULED",,,1107.62,1130.94,3
CPT,50520,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1950.0,31992.0,106
CPT,50520,Closure of nephrocutaneous or pyelocutaneous fistula Other Surgical Services,,,2850.0,2850.0,4
CPT,50520,Closure of nephrocutaneous or pyelocutaneous fistula SCHEDULED,,,1048.99,1071.07,3
CPT,50520,Closure of nephrocutaneous or pyelocutaneous fistula UNSCHEDULED,,,1107.62,1130.94,3
CPT,50525,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,1950.0,31992.0,78
CPT,50525,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,50525,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach SCHEDULED",,,1048.99,1071.07,3
CPT,50525,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach UNSCHEDULED",,,1107.62,1130.94,3
CPT,50526,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,1950.0,31992.0,78
CPT,50526,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach Other Surgical Services",,,2850.0,2850.0,4
CPT,50526,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach SCHEDULED",,,1048.99,1071.07,3
CPT,50526,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach UNSCHEDULED",,,1107.62,1130.94,3
CPT,50540,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,1950.0,31992.0,78
CPT,50540,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) Other Surgical Services",,,2850.0,2850.0,4
CPT,50540,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) SCHEDULED",,,1048.99,1071.07,3
CPT,50540,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) UNSCHEDULED",,,1107.62,1130.94,3
CPT,50541,"Laparoscopy, surgical; ablation of renal cysts ",,,2350.0,22212.0,164
CPT,50541,"Laparoscopy, surgical; ablation of renal cysts Complex Surgery",,,11754.0,11754.0,22
CPT,50541,"Laparoscopy, surgical; ablation of renal cysts Other Surgical Services",,,4150.0,4150.0,1
CPT,50541,"Laparoscopy, surgical; ablation of renal cysts SCHEDULED",,,1048.99,1071.07,3
CPT,50541,"Laparoscopy, surgical; ablation of renal cysts UNSCHEDULED",,,1107.62,1130.94,3
CPT,50542,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,2350.0,22212.0,164
CPT,50542,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed Complex Surgery",,,11754.0,11754.0,22
CPT,50542,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,50542,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed SCHEDULED",,,1048.99,1071.07,3
CPT,50542,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed UNSCHEDULED",,,1107.62,1130.94,3
CPT,50543,"Laparoscopy, surgical; partial nephrectomy ",,,2350.0,22212.0,164
CPT,50543,"Laparoscopy, surgical; partial nephrectomy Complex Surgery",,,11754.0,11754.0,22
CPT,50543,"Laparoscopy, surgical; partial nephrectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,50543,"Laparoscopy, surgical; partial nephrectomy SCHEDULED",,,1048.99,1071.07,3
CPT,50543,"Laparoscopy, surgical; partial nephrectomy UNSCHEDULED",,,1107.62,1130.94,3
CPT,50544,"Laparoscopy, surgical; pyeloplasty ",,,2350.0,22212.0,164
CPT,50544,"Laparoscopy, surgical; pyeloplasty Complex Surgery",,,11754.0,11754.0,22
CPT,50544,"Laparoscopy, surgical; pyeloplasty Other Surgical Services",,,4150.0,4150.0,1
CPT,50544,"Laparoscopy, surgical; pyeloplasty SCHEDULED",,,1048.99,1071.07,3
CPT,50544,"Laparoscopy, surgical; pyeloplasty UNSCHEDULED",,,1107.62,1130.94,3
CPT,50545,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,2350.0,31992.0,136
CPT,50545,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) Complex Surgery",,,11754.0,11754.0,22
CPT,50545,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) Other Surgical Services",,,4150.0,4150.0,1
CPT,50545,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) SCHEDULED",,,1048.99,1071.07,3
CPT,50545,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) UNSCHEDULED",,,1107.62,1130.94,3
CPT,50546,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,2350.0,31992.0,136
CPT,50546,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy Complex Surgery",,,11754.0,11754.0,22
CPT,50546,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,50546,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy SCHEDULED",,,1048.99,1071.07,3
CPT,50546,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy UNSCHEDULED",,,1107.62,1130.94,3
CPT,50547,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,2350.0,31992.0,136
CPT,50547,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor Complex Surgery",,,11754.0,11754.0,22
CPT,50547,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor Other Surgical Services",,,4150.0,4150.0,1
CPT,50547,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor SCHEDULED",,,1048.99,1071.07,3
CPT,50547,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor UNSCHEDULED",,,1107.62,1130.94,3
CPT,50548,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,2350.0,31992.0,136
CPT,50548,"Laparoscopy, surgical; nephrectomy with total ureterectomy Complex Surgery",,,11754.0,11754.0,22
CPT,50548,"Laparoscopy, surgical; nephrectomy with total ureterectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,50548,"Laparoscopy, surgical; nephrectomy with total ureterectomy SCHEDULED",,,1048.99,1071.07,3
CPT,50548,"Laparoscopy, surgical; nephrectomy with total ureterectomy UNSCHEDULED",,,1107.62,1130.94,3
CPT,50549,"Unlisted laparoscopy procedure, renal ",,,2350.0,22212.0,164
CPT,50549,"Unlisted laparoscopy procedure, renal Complex Surgery",,,11754.0,11754.0,22
CPT,50549,"Unlisted laparoscopy procedure, renal Other Surgical Services",,,4150.0,4150.0,1
CPT,50549,"Unlisted laparoscopy procedure, renal SCHEDULED",,,1048.99,1071.07,3
CPT,50549,"Unlisted laparoscopy procedure, renal UNSCHEDULED",,,1107.62,1130.94,3
CPT,50551,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1950.0,18507.0,106
CPT,50551,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,4
CPT,50551,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; SCHEDULED",,,1048.99,1071.07,3
CPT,50551,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; UNSCHEDULED",,,1107.62,1130.94,3
CPT,50553,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,1048.99,18507.0,116
CPT,50555,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1950.0,18507.0,106
CPT,50555,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,50555,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy SCHEDULED",,,1048.99,1071.07,3
CPT,50555,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy UNSCHEDULED",,,1107.62,1130.94,3
CPT,50557,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,1048.99,18507.0,116
CPT,50559,RENAL ENDOSCOPY/RADIOTRACER SCHEDULED,,,1048.99,1071.07,3
CPT,50559,RENAL ENDOSCOPY/RADIOTRACER UNSCHEDULED,,,1107.62,1130.94,3
CPT,50561,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,1048.99,18507.0,116
CPT,50562,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1950.0,18507.0,106
CPT,50562,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor Other Surgical ",,,2850.0,2850.0,4
CPT,50562,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor SCHEDULED",,,1048.99,1071.07,3
CPT,50562,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor UNSCHEDULED",,,1107.62,1130.94,3
CPT,50570,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1950.0,18507.0,106
CPT,50570,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,4
CPT,50570,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; SCHEDULED",,,1048.99,1071.07,3
CPT,50570,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; UNSCHEDULED",,,1107.62,1130.94,3
CPT,50572,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,1048.99,9710.0,116
CPT,50574,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1950.0,18507.0,106
CPT,50574,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,50574,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy SCHEDULED",,,1048.99,1071.07,3
CPT,50574,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy UNSCHEDULED",,,1107.62,1130.94,3
CPT,50575,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,1048.99,18507.0,116
CPT,50576,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,1048.99,18507.0,116
CPT,50578,RENAL ENDOSCOPY/RADIOTRACER SCHEDULED,,,1048.99,1071.07,3
CPT,50578,RENAL ENDOSCOPY/RADIOTRACER UNSCHEDULED,,,1107.62,1130.94,3
CPT,50580,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1950.0,18507.0,106
CPT,50580,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Other Surgic",,,2850.0,2850.0,4
CPT,50580,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus SCHEDULED",,,1048.99,1071.07,3
CPT,50580,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus UNSCHEDULED",,,1107.62,1130.94,3
CPT,50590,"Lithotripsy, extracorporeal shock wave ",,,2702.0,16454.0,112
CPT,50590,"Lithotripsy, extracorporeal shock wave ESWL Lithotripsy",,,5000.0,5000.0,1
CPT,50590,"Lithotripsy, extracorporeal shock wave SCHEDULED",,,1048.99,1071.07,3
CPT,50590,"Lithotripsy, extracorporeal shock wave UNSCHEDULED",,,1107.62,1130.94,3
CPT,50592,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,1950.0,18507.0,106
CPT,50592,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency Other Surgical Services",,,2850.0,2850.0,4
CPT,50592,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency SCHEDULED",,,1048.99,1071.07,3
CPT,50592,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency UNSCHEDULED",,,1107.62,1130.94,3
CPT,50593,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,1950.0,18507.0,82
CPT,50593,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy Other Surgical Services",,,2850.0,2850.0,4
CPT,50593,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy SCHEDULED",,,1048.99,1071.07,3
CPT,50593,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy UNSCHEDULED",,,1107.62,1130.94,3
CPT,50600,Ureterotomy with exploration or drainage (separate procedure) ,,,1950.0,31992.0,78
CPT,50600,Ureterotomy with exploration or drainage (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,50605,"Ureterotomy for insertion of indwelling stent, all types ",,,1950.0,31992.0,78
CPT,50605,"Ureterotomy for insertion of indwelling stent, all types Other Surgical Services",,,2850.0,2850.0,4
CPT,50606,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,1423.0,9710.0,103
CPT,50610,Ureterolithotomy; upper one-third of ureter ,,,1950.0,31992.0,78
CPT,50610,Ureterolithotomy; upper one-third of ureter Other Surgical Services,,,2850.0,2850.0,4
CPT,50620,Ureterolithotomy; middle one-third of ureter ,,,1950.0,31992.0,78
CPT,50620,Ureterolithotomy; middle one-third of ureter Other Surgical Services,,,2850.0,2850.0,4
CPT,50630,Ureterolithotomy; lower one-third of ureter ,,,1950.0,31992.0,78
CPT,50630,Ureterolithotomy; lower one-third of ureter Other Surgical Services,,,2850.0,2850.0,4
CPT,50650,"Ureterectomy, with bladder cuff (separate procedure) ",,,1950.0,31992.0,78
CPT,50650,"Ureterectomy, with bladder cuff (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,50660,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,1950.0,31992.0,78
CPT,50660,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,50684,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,1423.0,9710.0,99
CPT,50684,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter Other Surgical Services,,,2850.0,2850.0,4
CPT,50686,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,1423.0,9710.0,106
CPT,50686,Manometric studies through ureterostomy or indwelling ureteral catheter Other Surgical Services,,,2850.0,2850.0,4
CPT,50688,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,1950.0,9710.0,106
CPT,50688,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit Other Surgical Services,,,2850.0,2850.0,4
CPT,50690,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,1423.0,9710.0,99
CPT,50690,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service Other Surgical Services",,,2850.0,2850.0,4
CPT,50693,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1950.0,18507.0,110
CPT,50694,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1950.0,18507.0,110
CPT,50695,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,1950.0,18507.0,110
CPT,50700,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,1950.0,31992.0,78
CPT,50700,"Ureteroplasty, plastic operation on ureter (eg, stricture) Other Surgical Services",,,2850.0,2850.0,4
CPT,50705,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,1423.0,9710.0,103
CPT,50706,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,1423.0,9710.0,103
CPT,50715,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,1950.0,31992.0,78
CPT,50715,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis Other Surgical Services",,,2850.0,2850.0,4
CPT,50722,Ureterolysis for ovarian vein syndrome ,,,1950.0,31992.0,78
CPT,50722,Ureterolysis for ovarian vein syndrome Other Surgical Services,,,2850.0,2850.0,4
CPT,50725,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,1950.0,31992.0,78
CPT,50725,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava Other Surgical Services",,,2850.0,2850.0,4
CPT,50727,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,1950.0,18507.0,106
CPT,50727,Revision of urinary-cutaneous anastomosis (any type urostomy); Other Surgical Services,,,2850.0,2850.0,4
CPT,50728,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,1950.0,31992.0,78
CPT,50728,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia Other Surgical Services,,,2850.0,2850.0,4
CPT,50740,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,1950.0,31992.0,78
CPT,50740,"Ureteropyelostomy, anastomosis of ureter and renal pelvis Other Surgical Services",,,2850.0,2850.0,4
CPT,50750,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,1950.0,31992.0,78
CPT,50750,"Ureterocalycostomy, anastomosis of ureter to renal calyx Other Surgical Services",,,2850.0,2850.0,4
CPT,50760,Ureteroureterostomy ,,,1950.0,31992.0,78
CPT,50760,Ureteroureterostomy Other Surgical Services,,,2850.0,2850.0,4
CPT,50770,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,1950.0,31992.0,78
CPT,50770,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter Other Surgical Services",,,2850.0,2850.0,4
CPT,50780,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,1950.0,31992.0,78
CPT,50780,Ureteroneocystostomy; anastomosis of single ureter to bladder Other Surgical Services,,,2850.0,2850.0,4
CPT,50782,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,1950.0,31992.0,78
CPT,50782,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder Other Surgical Services,,,2850.0,2850.0,4
CPT,50783,Ureteroneocystostomy; with extensive ureteral tailoring ,,,1950.0,31992.0,78
CPT,50783,Ureteroneocystostomy; with extensive ureteral tailoring Other Surgical Services,,,2850.0,2850.0,4
CPT,50785,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,1950.0,31992.0,78
CPT,50785,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap Other Surgical Services,,,2850.0,2850.0,4
CPT,50800,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,1950.0,31992.0,78
CPT,50800,"Ureteroenterostomy, direct anastomosis of ureter to intestine Other Surgical Services",,,2850.0,2850.0,4
CPT,50810,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,1950.0,31992.0,78
CPT,50810,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis Other Surgical Services",,,2850.0,2850.0,4
CPT,50815,"Ureterocolon conduit, including intestine anastomosis ",,,1950.0,31992.0,78
CPT,50815,"Ureterocolon conduit, including intestine anastomosis Other Surgical Services",,,2850.0,2850.0,4
CPT,50820,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,1950.0,31992.0,78
CPT,50820,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) Other Surgical Services",,,2850.0,2850.0,4
CPT,50825,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,1950.0,31992.0,78
CPT,50825,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) Other Surgical Services",,,2850.0,2850.0,4
CPT,50830,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,1950.0,31992.0,78
CPT,50830,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,50840,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,1950.0,31992.0,78
CPT,50840,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis Other Surgical Services",,,2850.0,2850.0,4
CPT,50845,Cutaneous appendico-vesicostomy ,,,1950.0,31992.0,78
CPT,50845,Cutaneous appendico-vesicostomy Other Surgical Services,,,2850.0,2850.0,4
CPT,50860,"Ureterostomy, transplantation of ureter to skin ",,,1950.0,31992.0,78
CPT,50860,"Ureterostomy, transplantation of ureter to skin Other Surgical Services",,,2850.0,2850.0,4
CPT,50900,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,1950.0,31992.0,78
CPT,50900,"Ureterorrhaphy, suture of ureter (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,50920,Closure of ureterocutaneous fistula ,,,1950.0,31992.0,78
CPT,50920,Closure of ureterocutaneous fistula Other Surgical Services,,,2850.0,2850.0,4
CPT,50930,Closure of ureterovisceral fistula (including visceral repair) ,,,1950.0,31992.0,78
CPT,50930,Closure of ureterovisceral fistula (including visceral repair) Other Surgical Services,,,2850.0,2850.0,4
CPT,50940,Deligation of ureter ,,,1950.0,31992.0,78
CPT,50940,Deligation of ureter Other Surgical Services,,,2850.0,2850.0,4
CPT,50945,"Laparoscopy, surgical; ureterolithotomy ",,,2350.0,22212.0,164
CPT,50945,"Laparoscopy, surgical; ureterolithotomy Complex Surgery",,,11754.0,11754.0,22
CPT,50945,"Laparoscopy, surgical; ureterolithotomy Other Surgical Services",,,4150.0,4150.0,1
CPT,50947,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,2350.0,22212.0,164
CPT,50947,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,22
CPT,50947,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Other Surgical Services",,,4150.0,4150.0,1
CPT,50948,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,2350.0,22212.0,164
CPT,50948,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,22
CPT,50948,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Other Surgical Services",,,4150.0,4150.0,1
CPT,50949,"Unlisted laparoscopy procedure, ureter ",,,2350.0,22212.0,164
CPT,50949,"Unlisted laparoscopy procedure, ureter Complex Surgery",,,11754.0,11754.0,22
CPT,50949,"Unlisted laparoscopy procedure, ureter Other Surgical Services",,,4150.0,4150.0,1
CPT,50951,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1950.0,22212.0,106
CPT,50951,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,4
CPT,50953,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1950.0,22212.0,110
CPT,50955,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1950.0,22212.0,106
CPT,50955,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,50957,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,1950.0,22212.0,110
CPT,50959,URETER ENDOSCOPY & TRACER ,,,9935.0,22212.0,3
CPT,50961,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1950.0,22212.0,106
CPT,50961,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Other Su",,,2850.0,2850.0,4
CPT,50970,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1950.0,22212.0,106
CPT,50970,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,4
CPT,50972,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1950.0,22212.0,110
CPT,50974,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1950.0,22212.0,106
CPT,50974,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,50976,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,1950.0,22212.0,106
CPT,50976,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy Other",,,2850.0,2850.0,4
CPT,50978,URETER ENDOSCOPY & TRACER ,,,9935.0,22212.0,3
CPT,50980,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,1950.0,22212.0,106
CPT,50980,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Other Surgical Servic",,,2850.0,2850.0,4
CPT,51020,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,1950.0,18507.0,106
CPT,51020,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material Other Surgical Services",,,2850.0,2850.0,4
CPT,51020,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material SCHEDULED",,,5370.6,5483.66,3
CPT,51020,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material UNSCHEDULED",,,3498.74,3572.39,3
CPT,51030,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,5360.0,8727.0,28
CPT,51030,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion SCHEDULED,,,5370.6,5483.66,3
CPT,51030,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion UNSCHEDULED,,,3498.74,3572.39,3
CPT,51040,"Cystostomy, cystotomy with drainage ",,,1950.0,9710.0,106
CPT,51040,"Cystostomy, cystotomy with drainage Other Surgical Services",,,2850.0,2850.0,4
CPT,51040,"Cystostomy, cystotomy with drainage SCHEDULED",,,5852.17,5975.37,3
CPT,51040,"Cystostomy, cystotomy with drainage UNSCHEDULED",,,3498.74,3572.39,3
CPT,51045,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,1950.0,9710.0,106
CPT,51045,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,51045,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) SCHEDULED",,,5370.6,5483.66,3
CPT,51045,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51050,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,1950.0,18507.0,106
CPT,51050,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection Other Surgical Services",,,2850.0,2850.0,4
CPT,51050,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection SCHEDULED",,,5370.6,5483.66,3
CPT,51050,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection UNSCHEDULED",,,3498.74,3572.39,3
CPT,51060,Transvesical ureterolithotomy ,,,1950.0,13315.0,106
CPT,51060,Transvesical ureterolithotomy Other Surgical Services,,,2850.0,2850.0,4
CPT,51060,Transvesical ureterolithotomy SCHEDULED,,,5370.6,5483.66,3
CPT,51060,Transvesical ureterolithotomy UNSCHEDULED,,,3498.74,3572.39,3
CPT,51065,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,1950.0,18507.0,106
CPT,51065,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus Other Surgical Services",,,2850.0,2850.0,4
CPT,51065,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus SCHEDULED",,,5370.6,5483.66,3
CPT,51065,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus UNSCHEDULED",,,3498.74,3572.39,3
CPT,51080,Drainage of perivesical or prevesical space abscess ,,,1950.0,14792.0,106
CPT,51080,Drainage of perivesical or prevesical space abscess Other Surgical Services,,,2850.0,2850.0,4
CPT,51080,Drainage of perivesical or prevesical space abscess SCHEDULED,,,5370.6,5483.66,3
CPT,51080,Drainage of perivesical or prevesical space abscess UNSCHEDULED,,,3498.74,3572.39,3
CPT,51100,Aspiration of bladder; by needle ,,,1423.0,9710.0,106
CPT,51100,Aspiration of bladder; by needle Other Surgical Services,,,2850.0,2850.0,4
CPT,51100,Aspiration of bladder; by needle SCHEDULED,,,5370.6,5483.66,3
CPT,51100,Aspiration of bladder; by needle UNSCHEDULED,,,3498.74,3572.39,3
CPT,51101,Aspiration of bladder; by trocar or intracatheter ,,,1423.0,9710.0,106
CPT,51101,Aspiration of bladder; by trocar or intracatheter Other Surgical Services,,,2850.0,2850.0,4
CPT,51101,Aspiration of bladder; by trocar or intracatheter SCHEDULED,,,5370.6,5483.66,3
CPT,51101,Aspiration of bladder; by trocar or intracatheter UNSCHEDULED,,,3498.74,3572.39,3
CPT,51102,Aspiration of bladder; with insertion of suprapubic catheter ,,,1950.0,9710.0,106
CPT,51102,Aspiration of bladder; with insertion of suprapubic catheter Other Surgical Services,,,2850.0,2850.0,4
CPT,51102,Aspiration of bladder; with insertion of suprapubic catheter SCHEDULED,,,5841.7,5964.69,3
CPT,51102,Aspiration of bladder; with insertion of suprapubic catheter UNSCHEDULED,,,3498.74,3572.39,3
CPT,51500,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,1950.0,18507.0,106
CPT,51500,"Excision of urachal cyst or sinus, with or without umbilical hernia repair Other Surgical Services",,,2850.0,2850.0,4
CPT,51500,"Excision of urachal cyst or sinus, with or without umbilical hernia repair SCHEDULED",,,5370.6,5483.66,3
CPT,51500,"Excision of urachal cyst or sinus, with or without umbilical hernia repair UNSCHEDULED",,,3498.74,3572.39,3
CPT,51520,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,1950.0,18507.0,106
CPT,51520,Cystotomy; for simple excision of vesical neck (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,51520,Cystotomy; for simple excision of vesical neck (separate procedure) SCHEDULED,,,5370.6,5483.66,3
CPT,51520,Cystotomy; for simple excision of vesical neck (separate procedure) UNSCHEDULED,,,3498.74,3572.39,3
CPT,51525,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,1950.0,31992.0,106
CPT,51525,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,51525,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) SCHEDULED",,,5370.6,5483.66,3
CPT,51525,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51530,Cystotomy; for excision of bladder tumor ,,,1950.0,31992.0,106
CPT,51530,Cystotomy; for excision of bladder tumor Other Surgical Services,,,2850.0,2850.0,4
CPT,51530,Cystotomy; for excision of bladder tumor SCHEDULED,,,5370.6,5483.66,3
CPT,51530,Cystotomy; for excision of bladder tumor UNSCHEDULED,,,3498.74,3572.39,3
CPT,51535,"Cystotomy for excision, incision, or repair of ureterocele ",,,1950.0,18507.0,106
CPT,51535,"Cystotomy for excision, incision, or repair of ureterocele Other Surgical Services",,,2850.0,2850.0,4
CPT,51535,"Cystotomy for excision, incision, or repair of ureterocele SCHEDULED",,,5370.6,5483.66,3
CPT,51535,"Cystotomy for excision, incision, or repair of ureterocele UNSCHEDULED",,,3498.74,3572.39,3
CPT,51550,"Cystectomy, partial; simple ",,,1950.0,31992.0,78
CPT,51550,"Cystectomy, partial; simple Other Surgical Services",,,2850.0,2850.0,4
CPT,51550,"Cystectomy, partial; simple SCHEDULED",,,5370.6,5483.66,3
CPT,51550,"Cystectomy, partial; simple UNSCHEDULED",,,3498.74,3572.39,3
CPT,51555,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,1950.0,31992.0,78
CPT,51555,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) Other Surgical Services",,,2850.0,2850.0,4
CPT,51555,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) SCHEDULED",,,5370.6,5483.66,3
CPT,51555,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51565,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,1950.0,31992.0,78
CPT,51565,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,51565,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) SCHEDULED",,,5370.6,5483.66,3
CPT,51565,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51570,"Cystectomy, complete; (separate procedure) ",,,1950.0,31992.0,78
CPT,51570,"Cystectomy, complete; (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,51570,"Cystectomy, complete; (separate procedure) SCHEDULED",,,5370.6,5483.66,3
CPT,51570,"Cystectomy, complete; (separate procedure) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51575,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1950.0,31992.0,78
CPT,51575,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Other Surgical Services",,,2850.0,2850.0,4
CPT,51575,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes SCHEDULED",,,5370.6,5483.66,3
CPT,51575,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes UNSCHEDULED",,,3498.74,3572.39,3
CPT,51580,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,1950.0,31992.0,78
CPT,51580,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; Other Surgical Services",,,2850.0,2850.0,4
CPT,51580,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; SCHEDULED",,,5370.6,5483.66,3
CPT,51580,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; UNSCHEDULED",,,3498.74,3572.39,3
CPT,51585,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1950.0,31992.0,78
CPT,51585,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Other Surgical S",,,2850.0,2850.0,4
CPT,51585,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes SCHEDULED",,,5370.6,5483.66,3
CPT,51585,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes UNSCHEDULED",,,3498.74,3572.39,3
CPT,51590,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,1950.0,31992.0,78
CPT,51590,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; Other Surgical Services",,,2850.0,2850.0,4
CPT,51590,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; SCHEDULED",,,5370.6,5483.66,3
CPT,51590,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; UNSCHEDULED",,,3498.74,3572.39,3
CPT,51595,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1950.0,31992.0,78
CPT,51595,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes O",,,2850.0,2850.0,4
CPT,51595,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes S",,,5370.6,5483.66,3
CPT,51595,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes U",,,3498.74,3572.39,3
CPT,51596,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,1950.0,31992.0,78
CPT,51596,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder Other Surgical Services",,,2850.0,2850.0,4
CPT,51596,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder SCHEDULED",,,5370.6,5483.66,3
CPT,51596,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder UNSCHEDULED",,,3498.74,3572.39,3
CPT,51597,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,1950.0,31992.0,88
CPT,51600,Injection procedure for cystography or voiding urethrocystography ,,,1423.0,9710.0,99
CPT,51600,Injection procedure for cystography or voiding urethrocystography Other Surgical Services,,,2850.0,2850.0,4
CPT,51600,Injection procedure for cystography or voiding urethrocystography SCHEDULED,,,5370.6,5483.66,3
CPT,51600,Injection procedure for cystography or voiding urethrocystography UNSCHEDULED,,,596.73,609.3,3
CPT,51605,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,1423.0,9710.0,99
CPT,51605,Injection procedure and placement of chain for contrast and/or chain urethrocystography Other Surgical Services,,,2850.0,2850.0,4
CPT,51605,Injection procedure and placement of chain for contrast and/or chain urethrocystography SCHEDULED,,,5370.6,5483.66,3
CPT,51605,Injection procedure and placement of chain for contrast and/or chain urethrocystography UNSCHEDULED,,,3498.74,3572.39,3
CPT,51610,Injection procedure for retrograde urethrocystography ,,,1423.0,9710.0,99
CPT,51610,Injection procedure for retrograde urethrocystography Other Surgical Services,,,2850.0,2850.0,4
CPT,51610,Injection procedure for retrograde urethrocystography SCHEDULED,,,5370.6,5483.66,3
CPT,51610,Injection procedure for retrograde urethrocystography UNSCHEDULED,,,715.04,730.09,3
CPT,51700,"Bladder irrigation, simple, lavage and/or instillation ",,,1423.0,9710.0,106
CPT,51700,"Bladder irrigation, simple, lavage and/or instillation Other Surgical Services",,,2850.0,2850.0,4
CPT,51700,"Bladder irrigation, simple, lavage and/or instillation SCHEDULED",,,5370.6,5483.66,3
CPT,51700,"Bladder irrigation, simple, lavage and/or instillation UNSCHEDULED",,,3498.74,3572.39,3
CPT,51701,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,1423.0,9710.0,106
CPT,51701,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) Other Surgical Services",,,2850.0,2850.0,4
CPT,51701,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) SCHEDULED",,,5370.6,5483.66,3
CPT,51701,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51702,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,1423.0,9710.0,106
CPT,51702,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) Other Surgical Services",,,2850.0,2850.0,4
CPT,51702,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) SCHEDULED",,,5370.6,5483.66,3
CPT,51702,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51703,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,1423.0,9710.0,106
CPT,51703,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) Other Surgical Services",,,2850.0,2850.0,4
CPT,51703,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) SCHEDULED",,,5370.6,5483.66,3
CPT,51703,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51705,Change of cystostomy tube; simple ,,,1423.0,9710.0,106
CPT,51705,Change of cystostomy tube; simple Other Surgical Services,,,2850.0,2850.0,4
CPT,51705,Change of cystostomy tube; simple SCHEDULED,,,1137.98,1161.93,3
CPT,51705,Change of cystostomy tube; simple UNSCHEDULED,,,503.56,514.16,3
CPT,51710,Change of cystostomy tube; complicated ,,,1950.0,9710.0,106
CPT,51710,Change of cystostomy tube; complicated Other Surgical Services,,,2850.0,2850.0,4
CPT,51710,Change of cystostomy tube; complicated SCHEDULED,,,4899.49,5002.64,3
CPT,51710,Change of cystostomy tube; complicated UNSCHEDULED,,,3498.74,3572.39,3
CPT,51715,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,1950.0,18507.0,106
CPT,51715,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Other Surgical Services,,,2850.0,2850.0,4
CPT,51715,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck SCHEDULED,,,6025.95,6152.82,3
CPT,51715,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck UNSCHEDULED,,,3498.74,3572.39,3
CPT,51720,Bladder instillation of anticarcinogenic agent (including retention time) ,,,1423.0,9710.0,106
CPT,51720,Bladder instillation of anticarcinogenic agent (including retention time) Other Surgical Services,,,2850.0,2850.0,4
CPT,51720,Bladder instillation of anticarcinogenic agent (including retention time) SCHEDULED,,,5370.6,5483.66,3
CPT,51720,Bladder instillation of anticarcinogenic agent (including retention time) UNSCHEDULED,,,3498.74,3572.39,3
CPT,51721,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,1950.0,9710.0,75
CPT,51725,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,1423.0,9710.0,105
CPT,51725,"Simple cystometrogram (CMG) (eg, spinal manometer) Other Surgical Services",,,2850.0,2850.0,4
CPT,51725,"Simple cystometrogram (CMG) (eg, spinal manometer) SCHEDULED",,,5370.6,5483.66,3
CPT,51725,"Simple cystometrogram (CMG) (eg, spinal manometer) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51726,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,1844.0,9710.0,105
CPT,51726,"Complex cystometrogram (ie, calibrated electronic equipment); Other Surgical Services",,,2850.0,2850.0,4
CPT,51726,"Complex cystometrogram (ie, calibrated electronic equipment); SCHEDULED",,,5370.6,5483.66,3
CPT,51726,"Complex cystometrogram (ie, calibrated electronic equipment); UNSCHEDULED",,,3498.74,3572.39,3
CPT,51727,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,1950.0,9710.0,105
CPT,51727,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique Other Surgical Services",,,2850.0,2850.0,4
CPT,51727,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique SCHEDULED",,,5370.6,5483.66,3
CPT,51727,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique UNSCHEDULED",,,3498.74,3572.39,3
CPT,51728,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,1950.0,9710.0,105
CPT,51728,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique Other Surgical Services",,,2850.0,2850.0,4
CPT,51728,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique SCHEDULED",,,5370.6,5483.66,3
CPT,51728,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique UNSCHEDULED",,,3498.74,3572.39,3
CPT,51729,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,1950.0,9710.0,115
CPT,51736,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,1423.0,9710.0,105
CPT,51736,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) Other Surgical Services",,,2850.0,2850.0,4
CPT,51736,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) SCHEDULED",,,5370.6,5483.66,3
CPT,51736,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51741,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,1423.0,9710.0,105
CPT,51741,"Complex uroflowmetry (eg, calibrated electronic equipment) Other Surgical Services",,,2850.0,2850.0,4
CPT,51741,"Complex uroflowmetry (eg, calibrated electronic equipment) SCHEDULED",,,5370.6,5483.66,3
CPT,51741,"Complex uroflowmetry (eg, calibrated electronic equipment) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51772,URETHRA PRESSURE PROFILE SCHEDULED,,,5370.6,5483.66,3
CPT,51772,URETHRA PRESSURE PROFILE UNSCHEDULED,,,3498.74,3572.39,3
CPT,51784,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,1423.0,6802.0,102
CPT,51784,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique Other Surgical Services",,,2850.0,2850.0,4
CPT,51784,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique SCHEDULED",,,5370.6,5483.66,3
CPT,51784,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique UNSCHEDULED",,,3498.74,3572.39,3
CPT,51785,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,1423.0,6802.0,102
CPT,51785,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique Other Surgical Services",,,2850.0,2850.0,4
CPT,51785,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique SCHEDULED",,,5370.6,5483.66,3
CPT,51785,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique UNSCHEDULED",,,3498.74,3572.39,3
CPT,51792,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,1423.0,9710.0,105
CPT,51792,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) Other Surgical Services",,,2850.0,2850.0,4
CPT,51792,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) SCHEDULED",,,5370.6,5483.66,3
CPT,51792,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51795,URINE VOIDING PRESSURE STUDY SCHEDULED,,,5370.6,5483.66,3
CPT,51795,URINE VOIDING PRESSURE STUDY UNSCHEDULED,,,3498.74,3572.39,3
CPT,51797,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,95
CPT,51797,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,51797,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) SCHEDULED",,,5370.6,5483.66,3
CPT,51797,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51798,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,1423.0,9710.0,105
CPT,51798,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging Other Surgical Services",,,2850.0,2850.0,4
CPT,51798,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging SCHEDULED",,,5370.6,5483.66,3
CPT,51798,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging UNSCHEDULED",,,3498.74,3572.39,3
CPT,51800,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,1950.0,31992.0,88
CPT,51820,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,1950.0,31992.0,78
CPT,51820,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy Other Surgical Services,,,2850.0,2850.0,4
CPT,51820,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy SCHEDULED,,,5370.6,5483.66,3
CPT,51820,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy UNSCHEDULED,,,3498.74,3572.39,3
CPT,51840,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,1950.0,18507.0,106
CPT,51840,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Other Surgical Services",,,2850.0,2850.0,4
CPT,51840,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple SCHEDULED",,,5370.6,5483.66,3
CPT,51840,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple UNSCHEDULED",,,3498.74,3572.39,3
CPT,51841,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,1950.0,31992.0,106
CPT,51841,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) Other Surgical Services",,,2850.0,2850.0,4
CPT,51841,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) SCHEDULED",,,5370.6,5483.66,3
CPT,51841,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51845,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,1950.0,18507.0,106
CPT,51845,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) Other Surgical Services",,,2850.0,2850.0,4
CPT,51845,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) SCHEDULED",,,5370.6,5483.66,3
CPT,51845,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51860,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,1950.0,18507.0,106
CPT,51860,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple Other Surgical Services",,,2850.0,2850.0,4
CPT,51860,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple SCHEDULED",,,5370.6,5483.66,3
CPT,51860,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple UNSCHEDULED",,,3498.74,3572.39,3
CPT,51865,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,1950.0,31992.0,106
CPT,51865,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated Other Surgical Services",,,2850.0,2850.0,4
CPT,51865,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated SCHEDULED",,,5370.6,5483.66,3
CPT,51865,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated UNSCHEDULED",,,3498.74,3572.39,3
CPT,51880,Closure of cystostomy (separate procedure) ,,,1950.0,18507.0,106
CPT,51880,Closure of cystostomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,51880,Closure of cystostomy (separate procedure) SCHEDULED,,,5370.6,5483.66,3
CPT,51880,Closure of cystostomy (separate procedure) UNSCHEDULED,,,3498.74,3572.39,3
CPT,51900,"Closure of vesicovaginal fistula, abdominal approach ",,,1950.0,31992.0,106
CPT,51900,"Closure of vesicovaginal fistula, abdominal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,51900,"Closure of vesicovaginal fistula, abdominal approach SCHEDULED",,,5370.6,5483.66,3
CPT,51900,"Closure of vesicovaginal fistula, abdominal approach UNSCHEDULED",,,3498.74,3572.39,3
CPT,51920,Closure of vesicouterine fistula; ,,,1950.0,31992.0,106
CPT,51920,Closure of vesicouterine fistula; Other Surgical Services,,,2850.0,2850.0,4
CPT,51920,Closure of vesicouterine fistula; SCHEDULED,,,5370.6,5483.66,3
CPT,51920,Closure of vesicouterine fistula; UNSCHEDULED,,,3498.74,3572.39,3
CPT,51925,Closure of vesicouterine fistula; with hysterectomy ,,,1950.0,31992.0,78
CPT,51925,Closure of vesicouterine fistula; with hysterectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,51925,Closure of vesicouterine fistula; with hysterectomy SCHEDULED,,,5370.6,5483.66,3
CPT,51925,Closure of vesicouterine fistula; with hysterectomy UNSCHEDULED,,,3498.74,3572.39,3
CPT,51940,"Closure, exstrophy of bladder ",,,1950.0,31992.0,78
CPT,51940,"Closure, exstrophy of bladder Other Surgical Services",,,2850.0,2850.0,4
CPT,51940,"Closure, exstrophy of bladder SCHEDULED",,,5370.6,5483.66,3
CPT,51940,"Closure, exstrophy of bladder UNSCHEDULED",,,3498.74,3572.39,3
CPT,51960,"Enterocystoplasty, including intestinal anastomosis ",,,1950.0,31992.0,78
CPT,51960,"Enterocystoplasty, including intestinal anastomosis Other Surgical Services",,,2850.0,2850.0,4
CPT,51960,"Enterocystoplasty, including intestinal anastomosis SCHEDULED",,,5370.6,5483.66,3
CPT,51960,"Enterocystoplasty, including intestinal anastomosis UNSCHEDULED",,,3498.74,3572.39,3
CPT,51980,Cutaneous vesicostomy ,,,1950.0,31992.0,106
CPT,51980,Cutaneous vesicostomy Other Surgical Services,,,2850.0,2850.0,4
CPT,51980,Cutaneous vesicostomy SCHEDULED,,,5370.6,5483.66,3
CPT,51980,Cutaneous vesicostomy UNSCHEDULED,,,3498.74,3572.39,3
CPT,51990,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,2350.0,22212.0,99
CPT,51990,"Laparoscopy, surgical; urethral suspension for stress incontinence Other Surgical Services",,,4150.0,4150.0,1
CPT,51990,"Laparoscopy, surgical; urethral suspension for stress incontinence SCHEDULED",,,5370.6,5483.66,3
CPT,51990,"Laparoscopy, surgical; urethral suspension for stress incontinence UNSCHEDULED",,,3498.74,3572.39,3
CPT,51992,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,2350.0,22212.0,164
CPT,51992,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,22
CPT,51992,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Other Surgical Services",,,4150.0,4150.0,1
CPT,51992,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) SCHEDULED",,,5370.6,5483.66,3
CPT,51992,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) UNSCHEDULED",,,3498.74,3572.39,3
CPT,51999,"Unlisted laparoscopy procedure, bladder ",,,2350.0,22212.0,99
CPT,51999,"Unlisted laparoscopy procedure, bladder Other Surgical Services",,,4150.0,4150.0,1
CPT,51999,"Unlisted laparoscopy procedure, bladder SCHEDULED",,,5370.6,5483.66,3
CPT,51999,"Unlisted laparoscopy procedure, bladder UNSCHEDULED",,,3498.74,3572.39,3
CPT,52000,Cystourethroscopy (separate procedure) ,,,1982.0,22212.0,102
CPT,52000,Cystourethroscopy (separate procedure) Other Surgical Services,,,4150.0,4150.0,1
CPT,52000,Cystourethroscopy (separate procedure) SCHEDULED,,,1707.49,1743.44,3
CPT,52000,Cystourethroscopy (separate procedure) UNSCHEDULED,,,3498.74,3572.39,3
CPT,52001,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,2350.0,22212.0,99
CPT,52001,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots Other Surgical Services,,,4150.0,4150.0,1
CPT,52001,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots SCHEDULED,,,5370.6,5483.66,3
CPT,52001,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots UNSCHEDULED,,,3722.77,3801.15,3
CPT,52005,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,2350.0,22212.0,99
CPT,52005,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,4150.0,4150.0,1
CPT,52005,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; SCHEDULED",,,6431.11,6566.5,3
CPT,52005,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; UNSCHEDULED",,,3498.74,3572.39,3
CPT,52007,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,2350.0,22212.0,99
CPT,52007,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis Othe",,,4150.0,4150.0,1
CPT,52007,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis SCHE",,,5370.6,5483.66,3
CPT,52007,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis UNSC",,,3498.74,3572.39,3
CPT,52010,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,1982.0,22212.0,99
CPT,52010,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service Other Surgical Services",,,4150.0,4150.0,1
CPT,52010,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service SCHEDULED",,,5370.6,5483.66,3
CPT,52010,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service UNSCHEDULED",,,3498.74,3572.39,3
CPT,52204,"Cystourethroscopy, with biopsy(s) ",,,2350.0,22212.0,99
CPT,52204,"Cystourethroscopy, with biopsy(s) Other Surgical Services",,,4150.0,4150.0,1
CPT,52204,"Cystourethroscopy, with biopsy(s) SCHEDULED",,,3424.41,3496.5,3
CPT,52204,"Cystourethroscopy, with biopsy(s) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52214,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,2350.0,22212.0,99
CPT,52214,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands Other Surgical Services",,,4150.0,4150.0,1
CPT,52214,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands SCHEDULED",,,5370.6,5483.66,3
CPT,52214,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands UNSCHEDULED",,,3722.77,3801.15,3
CPT,52224,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,2350.0,22212.0,99
CPT,52224,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy Other Surgical Services",,,4150.0,4150.0,1
CPT,52224,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy SCHEDULED",,,5370.6,5483.66,3
CPT,52224,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy UNSCHEDULED",,,3498.74,3572.39,3
CPT,52234,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,2350.0,22212.0,99
CPT,52234,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) Other Surgical Services",,,4150.0,4150.0,1
CPT,52234,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) SCHEDULED",,,5370.6,5483.66,3
CPT,52234,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52235,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,2350.0,22212.0,99
CPT,52235,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) Other Surgical Services",,,4150.0,4150.0,1
CPT,52235,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) SCHEDULED",,,5370.6,5483.66,3
CPT,52235,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52240,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,2350.0,22212.0,99
CPT,52240,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) Other Surgical Services",,,4150.0,4150.0,1
CPT,52240,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) SCHEDULED",,,5370.6,5483.66,3
CPT,52240,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52250,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,2350.0,53068.0,99
CPT,52250,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration Other Surgical Services",,,4150.0,4150.0,1
CPT,52250,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration SCHEDULED",,,5370.6,5483.66,3
CPT,52250,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration UNSCHEDULED",,,3498.74,3572.39,3
CPT,52260,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,2350.0,22212.0,99
CPT,52260,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Other Surgical Services",,,4150.0,4150.0,1
CPT,52260,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia SCHEDULED",,,6993.29,7140.52,3
CPT,52260,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia UNSCHEDULED",,,3498.74,3572.39,3
CPT,52265,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,1982.0,22212.0,99
CPT,52265,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia Other Surgical Services",,,4150.0,4150.0,1
CPT,52265,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia SCHEDULED",,,5370.6,5483.66,3
CPT,52265,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia UNSCHEDULED",,,3498.74,3572.39,3
CPT,52270,"Cystourethroscopy, with internal urethrotomy; female ",,,2350.0,22212.0,99
CPT,52270,"Cystourethroscopy, with internal urethrotomy; female Other Surgical Services",,,4150.0,4150.0,1
CPT,52270,"Cystourethroscopy, with internal urethrotomy; female SCHEDULED",,,4109.08,4195.59,3
CPT,52270,"Cystourethroscopy, with internal urethrotomy; female UNSCHEDULED",,,8.38,8.56,3
CPT,52275,"Cystourethroscopy, with internal urethrotomy; male ",,,2350.0,22212.0,99
CPT,52275,"Cystourethroscopy, with internal urethrotomy; male Other Surgical Services",,,4150.0,4150.0,1
CPT,52275,"Cystourethroscopy, with internal urethrotomy; male SCHEDULED",,,22379.58,22850.73,3
CPT,52275,"Cystourethroscopy, with internal urethrotomy; male UNSCHEDULED",,,3498.74,3572.39,3
CPT,52276,Cystourethroscopy with direct vision internal urethrotomy ,,,2350.0,22212.0,99
CPT,52276,Cystourethroscopy with direct vision internal urethrotomy Other Surgical Services,,,4150.0,4150.0,1
CPT,52276,Cystourethroscopy with direct vision internal urethrotomy SCHEDULED,,,3997.07,4081.22,3
CPT,52276,Cystourethroscopy with direct vision internal urethrotomy UNSCHEDULED,,,3498.74,3572.39,3
CPT,52277,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,2350.0,22212.0,99
CPT,52277,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) Other Surgical Services",,,4150.0,4150.0,1
CPT,52277,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) SCHEDULED",,,5370.6,5483.66,3
CPT,52277,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52281,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,2350.0,22212.0,99
CPT,52281,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female Other Surgical Ser",,,4150.0,4150.0,1
CPT,52281,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female SCHEDULED",,,4640.91,4738.61,3
CPT,52281,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female UNSCHEDULED",,,3498.74,3572.39,3
CPT,52282,"Cystourethroscopy, with insertion of permanent urethral stent ",,,2350.0,22212.0,99
CPT,52282,"Cystourethroscopy, with insertion of permanent urethral stent Other Surgical Services",,,4150.0,4150.0,1
CPT,52282,"Cystourethroscopy, with insertion of permanent urethral stent SCHEDULED",,,6804.85,6948.11,3
CPT,52282,"Cystourethroscopy, with insertion of permanent urethral stent UNSCHEDULED",,,3498.74,3572.39,3
CPT,52283,"Cystourethroscopy, with steroid injection into stricture ",,,2350.0,22212.0,99
CPT,52283,"Cystourethroscopy, with steroid injection into stricture Other Surgical Services",,,4150.0,4150.0,1
CPT,52283,"Cystourethroscopy, with steroid injection into stricture SCHEDULED",,,5370.6,5483.66,3
CPT,52283,"Cystourethroscopy, with steroid injection into stricture UNSCHEDULED",,,3498.74,3572.39,3
CPT,52284,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,2350.0,22212.0,75
CPT,52285,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,2350.0,22212.0,106
CPT,52287,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,2350.0,22212.0,99
CPT,52287,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder Complex Surgery",,,11754.0,11754.0,22
CPT,52287,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder Other Surgical Services",,,4150.0,4150.0,1
CPT,52287,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder SCHEDULED",,,5370.6,5483.66,3
CPT,52287,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder UNSCHEDULED",,,3498.74,3572.39,3
CPT,52290,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,2350.0,22212.0,99
CPT,52290,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Other Surgical Services",,,4150.0,4150.0,1
CPT,52290,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral SCHEDULED",,,5370.6,5483.66,3
CPT,52290,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral UNSCHEDULED",,,3498.74,3572.39,3
CPT,52300,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,2350.0,22212.0,99
CPT,52300,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral Other Surgical Services",,,4150.0,4150.0,1
CPT,52300,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral SCHEDULED",,,5370.6,5483.66,3
CPT,52300,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral UNSCHEDULED",,,3498.74,3572.39,3
CPT,52301,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,2350.0,22212.0,99
CPT,52301,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Other Surgical Services",,,4150.0,4150.0,1
CPT,52301,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral SCHEDULED",,,5370.6,5483.66,3
CPT,52301,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral UNSCHEDULED",,,3498.74,3572.39,3
CPT,52305,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,2350.0,22212.0,99
CPT,52305,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Other Surgical Services",,,4150.0,4150.0,1
CPT,52305,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple SCHEDULED",,,5370.6,5483.66,3
CPT,52305,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple UNSCHEDULED",,,3498.74,3572.39,3
CPT,52310,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,2350.0,22212.0,99
CPT,52310,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple Other Surgical Services",,,4150.0,4150.0,1
CPT,52310,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple SCHEDULED",,,5370.6,5483.66,3
CPT,52310,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple UNSCHEDULED",,,3498.74,3572.39,3
CPT,52315,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,2350.0,22212.0,99
CPT,52315,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated Other Surgical Services",,,4150.0,4150.0,1
CPT,52315,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated SCHEDULED",,,5370.6,5483.66,3
CPT,52315,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated UNSCHEDULED",,,3498.74,3572.39,3
CPT,52317,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,2350.0,18507.0,143
CPT,52317,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) Other Surgical Services,,,4150.0,4150.0,1
CPT,52317,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) SCHEDULED,,,5370.6,5483.66,3
CPT,52317,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) UNSCHEDULED,,,3498.74,3572.39,3
CPT,52318,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,2350.0,18507.0,143
CPT,52318,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) Other Surgical Services,,,4150.0,4150.0,1
CPT,52318,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) SCHEDULED,,,5370.6,5483.66,3
CPT,52318,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) UNSCHEDULED,,,3498.74,3572.39,3
CPT,52320,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,2350.0,22212.0,163
CPT,52320,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Complex Surgery,,,11754.0,11754.0,22
CPT,52320,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus High Cost Surgery,,,3950.0,3950.0,1
CPT,52320,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Other Surgical Services,,,4150.0,4150.0,1
CPT,52320,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus SCHEDULED,,,5370.6,5483.66,3
CPT,52320,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus UNSCHEDULED,,,3498.74,3572.39,3
CPT,52325,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,2350.0,22212.0,139
CPT,52325,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) High Cost Surgery",,,3950.0,3950.0,1
CPT,52325,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) Other Surgical Services",,,4150.0,4150.0,1
CPT,52325,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) SCHEDULED",,,5370.6,5483.66,3
CPT,52325,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52327,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,2350.0,22212.0,163
CPT,52327,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Complex Surgery,,,11754.0,11754.0,22
CPT,52327,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material High Cost Surgery,,,3950.0,3950.0,1
CPT,52327,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Other Surgical Services,,,4150.0,4150.0,1
CPT,52327,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material SCHEDULED,,,5370.6,5483.66,3
CPT,52327,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material UNSCHEDULED,,,3498.74,3572.39,3
CPT,52330,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,2350.0,22212.0,163
CPT,52330,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Complex Surgery",,,11754.0,11754.0,22
CPT,52330,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus High Cost Surgery",,,3950.0,3950.0,1
CPT,52330,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Other Surgical Services",,,4150.0,4150.0,1
CPT,52330,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus SCHEDULED",,,5370.6,5483.66,3
CPT,52330,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus UNSCHEDULED",,,3498.74,3572.39,3
CPT,52332,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2350.0,22212.0,163
CPT,52332,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Complex Surgery",,,11754.0,11754.0,22
CPT,52332,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) High Cost Surgery",,,3950.0,3950.0,1
CPT,52332,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Other Surgical Services",,,4150.0,4150.0,1
CPT,52332,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) SCHEDULED",,,5370.6,5483.66,3
CPT,52332,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52334,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,2350.0,22212.0,163
CPT,52334,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Complex Surgery",,,11754.0,11754.0,22
CPT,52334,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde High Cost Surgery",,,3950.0,3950.0,1
CPT,52334,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Other Surgical Services",,,4150.0,4150.0,1
CPT,52334,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde SCHEDULED",,,5370.6,5483.66,3
CPT,52334,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde UNSCHEDULED",,,3498.74,3572.39,3
CPT,52335,Cystourethroscopy ,,,9935.0,22212.0,3
CPT,52335,Cystourethroscopy SCHEDULED,,,5370.6,5483.66,3
CPT,52335,Cystourethroscopy UNSCHEDULED,,,3498.74,3572.39,3
CPT,52336,Cysto w rmvl/manip CAL ,,,9935.0,22212.0,3
CPT,52336,Cysto w rmvl/manip CAL SCHEDULED,,,5370.6,5483.66,3
CPT,52336,Cysto w rmvl/manip CAL UNSCHEDULED,,,3498.74,3572.39,3
CPT,52337,Cysto w lithotripsy ,,,9935.0,22212.0,3
CPT,52337,Cysto w lithotripsy SCHEDULED,,,5370.6,5483.66,3
CPT,52337,Cysto w lithotripsy UNSCHEDULED,,,3498.74,3572.39,3
CPT,52338,Cysto w Bx/fulgur les ,,,9935.0,22212.0,3
CPT,52338,Cysto w Bx/fulgur les SCHEDULED,,,5370.6,5483.66,3
CPT,52338,Cysto w Bx/fulgur les UNSCHEDULED,,,3498.74,3572.39,3
CPT,52339,Cysto w tumor resection ,,,9935.0,22212.0,3
CPT,52339,Cysto w tumor resection SCHEDULED,,,5370.6,5483.66,3
CPT,52339,Cysto w tumor resection UNSCHEDULED,,,3498.74,3572.39,3
CPT,52340,TUR cong post valve/fold ,,,9935.0,22212.0,3
CPT,52340,TUR cong post valve/fold SCHEDULED,,,5370.6,5483.66,3
CPT,52340,TUR cong post valve/fold UNSCHEDULED,,,3498.74,3572.39,3
CPT,52341,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,22212.0,163
CPT,52341,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,22
CPT,52341,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) High Cost Surgery",,,3950.0,3950.0,1
CPT,52341,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Other Surgical Services",,,4150.0,4150.0,1
CPT,52341,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) SCHEDULED",,,5370.6,5483.66,3
CPT,52341,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) UNSCHEDULED",,,4656.61,4754.65,3
CPT,52342,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,22212.0,163
CPT,52342,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,22
CPT,52342,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) High Cost Surgery",,,3950.0,3950.0,1
CPT,52342,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Other Surgical Services",,,4150.0,4150.0,1
CPT,52342,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) SCHEDULED",,,5370.6,5483.66,3
CPT,52342,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52343,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,22212.0,163
CPT,52343,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,22
CPT,52343,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) High Cost Surgery",,,3950.0,3950.0,1
CPT,52343,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Other Surgical Services",,,4150.0,4150.0,1
CPT,52343,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) SCHEDULED",,,5370.6,5483.66,3
CPT,52343,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52344,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,22212.0,163
CPT,52344,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,22
CPT,52344,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) High Cost Surgery",,,3950.0,3950.0,1
CPT,52344,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Other Surgical Services",,,4150.0,4150.0,1
CPT,52344,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) SCHEDULED",,,5370.6,5483.66,3
CPT,52344,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52345,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,22212.0,163
CPT,52345,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,22
CPT,52345,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) High Cost Surgery",,,3950.0,3950.0,1
CPT,52345,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Other Surgical Services",,,4150.0,4150.0,1
CPT,52345,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) SCHEDULED",,,5370.6,5483.66,3
CPT,52345,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52346,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,22212.0,163
CPT,52346,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,22
CPT,52346,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) High Cost Surgery",,,3950.0,3950.0,1
CPT,52346,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Other Surgical Services",,,4150.0,4150.0,1
CPT,52346,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) SCHEDULED",,,5370.6,5483.66,3
CPT,52346,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52347,"CYSTOSCOPY, RESECT DUCTS ",,,9935.0,22212.0,3
CPT,52347,"CYSTOSCOPY, RESECT DUCTS SCHEDULED",,,5370.6,5483.66,3
CPT,52347,"CYSTOSCOPY, RESECT DUCTS UNSCHEDULED",,,3498.74,3572.39,3
CPT,52351,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,2350.0,22212.0,163
CPT,52351,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Complex Surgery",,,11754.0,11754.0,22
CPT,52351,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic High Cost Surgery",,,3950.0,3950.0,1
CPT,52351,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Other Surgical Services",,,4150.0,4150.0,1
CPT,52351,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic SCHEDULED",,,5370.6,5483.66,3
CPT,52351,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic UNSCHEDULED",,,3498.74,3572.39,3
CPT,52352,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,2350.0,22212.0,163
CPT,52352,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) Complex Surgery",,,11754.0,11754.0,22
CPT,52352,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) High Cost Surgery",,,3950.0,3950.0,1
CPT,52352,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) Other Surgical Services",,,4150.0,4150.0,1
CPT,52352,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) SCHEDULED",,,5370.6,5483.66,3
CPT,52352,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52353,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2702.0,18507.0,113
CPT,52353,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ESWL Lithotripsy",,,5000.0,5000.0,1
CPT,52353,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) High Cost Surgery",,,3950.0,3950.0,1
CPT,52353,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) SCHEDULED",,,5370.6,5483.66,3
CPT,52353,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) UNSCHEDULED",,,3498.74,3572.39,3
CPT,52354,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,2350.0,22212.0,163
CPT,52354,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion Complex Surgery",,,11754.0,11754.0,22
CPT,52354,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion High Cost Surgery",,,3950.0,3950.0,1
CPT,52354,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion Other Surgical Services",,,4150.0,4150.0,1
CPT,52354,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion SCHEDULED",,,5370.6,5483.66,3
CPT,52354,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion UNSCHEDULED",,,3498.74,3572.39,3
CPT,52355,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,2350.0,22212.0,163
CPT,52355,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Complex Surgery",,,11754.0,11754.0,22
CPT,52355,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor High Cost Surgery",,,3950.0,3950.0,1
CPT,52355,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Other Surgical Services",,,4150.0,4150.0,1
CPT,52355,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor SCHEDULED",,,5370.6,5483.66,3
CPT,52355,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor UNSCHEDULED",,,3498.74,3572.39,3
CPT,52356,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2050.0,22212.0,167
CPT,52356,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Other Surgical Services",,,2850.0,2850.0,4
CPT,52356,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) SCHEDULED",,,5370.6,5483.66,3
CPT,52356,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) UNSCHEDULED",,,7912.47,8079.05,3
CPT,52400,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,1950.0,22212.0,103
CPT,52400,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds Other Surgical Services",,,2850.0,2850.0,4
CPT,52400,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds SCHEDULED",,,5370.6,5483.66,3
CPT,52400,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds UNSCHEDULED",,,3498.74,3572.39,3
CPT,52402,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,1950.0,22212.0,103
CPT,52402,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Other Surgical Services,,,2850.0,2850.0,4
CPT,52402,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts SCHEDULED,,,5370.6,5483.66,3
CPT,52402,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts UNSCHEDULED,,,3498.74,3572.39,3
CPT,52441,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1423.0,22212.0,96
CPT,52441,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant Other Surgical Services",,,2850.0,2850.0,4
CPT,52441,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant SCHEDULED",,,5370.6,5483.66,3
CPT,52441,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant UNSCHEDULED",,,3498.74,3572.39,3
CPT,52442,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,1423.0,22212.0,106
CPT,52443,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,1950.0,18507.0,76
CPT,52450,Transurethral incision of prostate ,,,1950.0,22212.0,103
CPT,52450,Transurethral incision of prostate Other Surgical Services,,,2850.0,2850.0,4
CPT,52450,Transurethral incision of prostate SCHEDULED,,,3856.78,3937.98,3
CPT,52450,Transurethral incision of prostate UNSCHEDULED,,,3498.74,3572.39,3
CPT,52500,Transurethral resection of bladder neck (separate procedure) ,,,1950.0,22212.0,103
CPT,52500,Transurethral resection of bladder neck (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,52500,Transurethral resection of bladder neck (separate procedure) SCHEDULED,,,5370.6,5483.66,3
CPT,52500,Transurethral resection of bladder neck (separate procedure) UNSCHEDULED,,,3498.74,3572.39,3
CPT,52510,DILATION PROSTATIC URETHRA ,,,9935.0,22212.0,3
CPT,52510,DILATION PROSTATIC URETHRA SCHEDULED,,,5370.6,5483.66,3
CPT,52510,DILATION PROSTATIC URETHRA UNSCHEDULED,,,3498.74,3572.39,3
CPT,52597,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,1950.0,18507.0,76
CPT,52601,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,2350.0,22212.0,193
CPT,52606,CONTROL POSTOP BLEEDING ,,,9935.0,22212.0,3
CPT,52606,CONTROL POSTOP BLEEDING SCHEDULED,,,5370.6,5483.66,3
CPT,52606,CONTROL POSTOP BLEEDING UNSCHEDULED,,,3498.74,3572.39,3
CPT,52612,"PROSTATECTOMY, FIRST STAGE ",,,9935.0,22212.0,3
CPT,52612,"PROSTATECTOMY, FIRST STAGE SCHEDULED",,,5370.6,5483.66,3
CPT,52612,"PROSTATECTOMY, FIRST STAGE UNSCHEDULED",,,3498.74,3572.39,3
CPT,52614,"PROSTATECTOMY, SECOND STAGE ",,,9935.0,22212.0,3
CPT,52614,"PROSTATECTOMY, SECOND STAGE SCHEDULED",,,5370.6,5483.66,3
CPT,52614,"PROSTATECTOMY, SECOND STAGE UNSCHEDULED",,,3498.74,3572.39,3
CPT,52620,REMOVE RESIDUAL PROSTATE ,,,9935.0,22212.0,3
CPT,52620,REMOVE RESIDUAL PROSTATE SCHEDULED,,,5370.6,5483.66,3
CPT,52620,REMOVE RESIDUAL PROSTATE UNSCHEDULED,,,3498.74,3572.39,3
CPT,52630,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,2350.0,22212.0,106
CPT,52640,Transurethral resection; of postoperative bladder neck contracture ,,,2350.0,22212.0,98
CPT,52640,Transurethral resection; of postoperative bladder neck contracture High Cost Surgery,,,3950.0,3950.0,1
CPT,52640,Transurethral resection; of postoperative bladder neck contracture Other Surgical Services,,,4150.0,4150.0,1
CPT,52640,Transurethral resection; of postoperative bladder neck contracture SCHEDULED,,,5370.6,5483.66,3
CPT,52640,Transurethral resection; of postoperative bladder neck contracture UNSCHEDULED,,,3498.74,3572.39,3
CPT,52647,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,3498.74,22212.0,37
CPT,52648,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,2350.0,22212.0,106
CPT,52649,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,2350.0,22212.0,106
CPT,52700,Transurethral drainage of prostatic abscess ,,,1950.0,22212.0,103
CPT,52700,Transurethral drainage of prostatic abscess Other Surgical Services,,,2850.0,2850.0,4
CPT,52700,Transurethral drainage of prostatic abscess SCHEDULED,,,5370.6,5483.66,3
CPT,52700,Transurethral drainage of prostatic abscess UNSCHEDULED,,,3498.74,3572.39,3
CPT,53000,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,1950.0,9710.0,106
CPT,53000,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra Other Surgical Services",,,2850.0,2850.0,4
CPT,53000,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra UNSCHEDULED",,,8268.42,8442.49,3
CPT,53010,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,1950.0,18507.0,106
CPT,53010,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external Other Surgical Services",,,2850.0,2850.0,4
CPT,53010,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external UNSCHEDULED",,,8268.42,8442.49,3
CPT,53020,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,1950.0,9710.0,106
CPT,53020,"Meatotomy, cutting of meatus (separate procedure); except infant Other Surgical Services",,,2850.0,2850.0,4
CPT,53020,"Meatotomy, cutting of meatus (separate procedure); except infant UNSCHEDULED",,,8268.42,8442.49,3
CPT,53025,"Meatotomy, cutting of meatus (separate procedure); infant ",,,1950.0,9710.0,106
CPT,53025,"Meatotomy, cutting of meatus (separate procedure); infant Other Surgical Services",,,2850.0,2850.0,4
CPT,53025,"Meatotomy, cutting of meatus (separate procedure); infant UNSCHEDULED",,,8268.42,8442.49,3
CPT,53040,Drainage of deep periurethral abscess ,,,1950.0,18507.0,106
CPT,53040,Drainage of deep periurethral abscess Other Surgical Services,,,2850.0,2850.0,4
CPT,53040,Drainage of deep periurethral abscess UNSCHEDULED,,,8268.42,8442.49,3
CPT,53060,Drainage of Skene's gland abscess or cyst ,,,1950.0,9710.0,106
CPT,53060,Drainage of Skene's gland abscess or cyst Other Surgical Services,,,2850.0,2850.0,4
CPT,53060,Drainage of Skene's gland abscess or cyst UNSCHEDULED,,,8268.42,8442.49,3
CPT,53080,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,1950.0,9710.0,106
CPT,53080,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,53080,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) UNSCHEDULED,,,8268.42,8442.49,3
CPT,53085,Drainage of perineal urinary extravasation; complicated ,,,1950.0,9710.0,106
CPT,53085,Drainage of perineal urinary extravasation; complicated Other Surgical Services,,,2850.0,2850.0,4
CPT,53085,Drainage of perineal urinary extravasation; complicated UNSCHEDULED,,,8268.42,8442.49,3
CPT,53200,Biopsy of urethra ,,,1950.0,9710.0,106
CPT,53200,Biopsy of urethra Other Surgical Services,,,2850.0,2850.0,4
CPT,53200,Biopsy of urethra UNSCHEDULED,,,8268.42,8442.49,3
CPT,53210,"Urethrectomy, total, including cystostomy; female ",,,1950.0,18507.0,106
CPT,53210,"Urethrectomy, total, including cystostomy; female Other Surgical Services",,,2850.0,2850.0,4
CPT,53210,"Urethrectomy, total, including cystostomy; female UNSCHEDULED",,,8268.42,8442.49,3
CPT,53215,"Urethrectomy, total, including cystostomy; male ",,,1950.0,18507.0,106
CPT,53215,"Urethrectomy, total, including cystostomy; male Other Surgical Services",,,2850.0,2850.0,4
CPT,53215,"Urethrectomy, total, including cystostomy; male UNSCHEDULED",,,8268.42,8442.49,3
CPT,53220,Excision or fulguration of carcinoma of urethra ,,,1950.0,18507.0,106
CPT,53220,Excision or fulguration of carcinoma of urethra Other Surgical Services,,,2850.0,2850.0,4
CPT,53220,Excision or fulguration of carcinoma of urethra UNSCHEDULED,,,8268.42,8442.49,3
CPT,53230,Excision of urethral diverticulum (separate procedure); female ,,,1950.0,18507.0,106
CPT,53230,Excision of urethral diverticulum (separate procedure); female Other Surgical Services,,,2850.0,2850.0,4
CPT,53230,Excision of urethral diverticulum (separate procedure); female UNSCHEDULED,,,8268.42,8442.49,3
CPT,53235,Excision of urethral diverticulum (separate procedure); male ,,,1950.0,18507.0,106
CPT,53235,Excision of urethral diverticulum (separate procedure); male Other Surgical Services,,,2850.0,2850.0,4
CPT,53235,Excision of urethral diverticulum (separate procedure); male UNSCHEDULED,,,8268.42,8442.49,3
CPT,53240,"Marsupialization of urethral diverticulum, male or female ",,,1950.0,18507.0,106
CPT,53240,"Marsupialization of urethral diverticulum, male or female Other Surgical Services",,,2850.0,2850.0,4
CPT,53240,"Marsupialization of urethral diverticulum, male or female UNSCHEDULED",,,8268.42,8442.49,3
CPT,53250,Excision of bulbourethral gland (Cowper's gland) ,,,1950.0,18507.0,106
CPT,53250,Excision of bulbourethral gland (Cowper's gland) Other Surgical Services,,,2850.0,2850.0,4
CPT,53250,Excision of bulbourethral gland (Cowper's gland) UNSCHEDULED,,,8268.42,8442.49,3
CPT,53260,"Excision or fulguration; urethral polyp(s), distal urethra ",,,1950.0,18507.0,106
CPT,53260,"Excision or fulguration; urethral polyp(s), distal urethra Other Surgical Services",,,2850.0,2850.0,4
CPT,53260,"Excision or fulguration; urethral polyp(s), distal urethra UNSCHEDULED",,,8268.42,8442.49,3
CPT,53265,Excision or fulguration; urethral caruncle ,,,1950.0,9710.0,106
CPT,53265,Excision or fulguration; urethral caruncle Other Surgical Services,,,2850.0,2850.0,4
CPT,53265,Excision or fulguration; urethral caruncle UNSCHEDULED,,,8268.42,8442.49,3
CPT,53270,Excision or fulguration; Skene's glands ,,,1950.0,18507.0,106
CPT,53270,Excision or fulguration; Skene's glands Other Surgical Services,,,2850.0,2850.0,4
CPT,53270,Excision or fulguration; Skene's glands UNSCHEDULED,,,8268.42,8442.49,3
CPT,53275,Excision or fulguration; urethral prolapse ,,,1950.0,18507.0,106
CPT,53275,Excision or fulguration; urethral prolapse Other Surgical Services,,,2850.0,2850.0,4
CPT,53275,Excision or fulguration; urethral prolapse UNSCHEDULED,,,8268.42,8442.49,3
CPT,53400,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,1950.0,18507.0,106
CPT,53400,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Other Surgical Services",,,2850.0,2850.0,4
CPT,53400,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) UNSCHEDULED",,,8268.42,8442.49,3
CPT,53405,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,1950.0,18507.0,106
CPT,53405,"Urethroplasty; second stage (formation of urethra), including urinary diversion Other Surgical Services",,,2850.0,2850.0,4
CPT,53405,"Urethroplasty; second stage (formation of urethra), including urinary diversion UNSCHEDULED",,,8268.42,8442.49,3
CPT,53410,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,1950.0,18507.0,106
CPT,53410,"Urethroplasty, 1-stage reconstruction of male anterior urethra Other Surgical Services",,,2850.0,2850.0,4
CPT,53410,"Urethroplasty, 1-stage reconstruction of male anterior urethra UNSCHEDULED",,,8268.42,8442.49,3
CPT,53415,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,1950.0,31992.0,106
CPT,53415,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra Other Surgical Services",,,2850.0,2850.0,4
CPT,53415,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra UNSCHEDULED",,,8268.42,8442.49,3
CPT,53420,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,1950.0,18507.0,106
CPT,53420,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Other Surgical Services",,,2850.0,2850.0,4
CPT,53420,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage UNSCHEDULED",,,8268.42,8442.49,3
CPT,53425,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,1950.0,18507.0,106
CPT,53425,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Other Surgical Services",,,2850.0,2850.0,4
CPT,53425,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage UNSCHEDULED",,,8268.42,8442.49,3
CPT,53430,"Urethroplasty, reconstruction of female urethra ",,,1950.0,18507.0,106
CPT,53430,"Urethroplasty, reconstruction of female urethra Other Surgical Services",,,2850.0,2850.0,4
CPT,53430,"Urethroplasty, reconstruction of female urethra UNSCHEDULED",,,8268.42,8442.49,3
CPT,53431,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,1950.0,18507.0,106
CPT,53431,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,53431,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) UNSCHEDULED",,,8268.42,8442.49,3
CPT,53440,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,1950.0,22212.0,171
CPT,53440,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,22
CPT,53440,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Other Surgical Services",,,2850.0,2850.0,4
CPT,53440,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) UNSCHEDULED",,,8268.42,8442.49,3
CPT,53442,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,1950.0,18507.0,106
CPT,53442,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Other Surgical Services",,,2850.0,2850.0,4
CPT,53442,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) UNSCHEDULED",,,8268.42,8442.49,3
CPT,53443,RECONSTRUCTION OF URETHRA UNSCHEDULED,,,8268.42,8442.49,3
CPT,53444,Insertion of tandem cuff (dual cuff) ,,,1950.0,22212.0,171
CPT,53444,Insertion of tandem cuff (dual cuff) Complex Surgery,,,11754.0,11754.0,22
CPT,53444,Insertion of tandem cuff (dual cuff) Other Surgical Services,,,2850.0,2850.0,4
CPT,53444,Insertion of tandem cuff (dual cuff) UNSCHEDULED,,,8268.42,8442.49,3
CPT,53445,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,1950.0,22212.0,171
CPT,53445,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Complex Surgery",,,11754.0,11754.0,22
CPT,53445,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Other Surgical Services",,,2850.0,2850.0,4
CPT,53445,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff UNSCHEDULED",,,8268.42,8442.49,3
CPT,53446,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,1950.0,18507.0,106
CPT,53446,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Other Surgical Services",,,2850.0,2850.0,4
CPT,53446,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff UNSCHEDULED",,,8268.42,8442.49,3
CPT,53447,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,1950.0,24657.0,106
CPT,53447,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session Other Surgical Services",,,2850.0,2850.0,4
CPT,53447,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session UNSCHEDULED",,,8268.42,8442.49,3
CPT,53448,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,1950.0,31992.0,113
CPT,53449,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,1950.0,18507.0,106
CPT,53449,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Other Surgical Services",,,2850.0,2850.0,4
CPT,53449,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff UNSCHEDULED",,,8268.42,8442.49,3
CPT,53450,"Urethromeatoplasty, with mucosal advancement ",,,1950.0,18507.0,106
CPT,53450,"Urethromeatoplasty, with mucosal advancement Other Surgical Services",,,2850.0,2850.0,4
CPT,53450,"Urethromeatoplasty, with mucosal advancement UNSCHEDULED",,,8268.42,8442.49,3
CPT,53451,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,1950.0,19295.0,78
CPT,53451,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,53451,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance UNSCHEDULED",,,8268.42,8442.49,3
CPT,53452,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,1950.0,18507.0,78
CPT,53452,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,53452,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance UNSCHEDULED",,,8268.42,8442.49,3
CPT,53453,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,1950.0,18507.0,78
CPT,53453,"Periurethral transperineal adjustable balloon continence device; removal, each balloon Other Surgical Services",,,2850.0,2850.0,4
CPT,53453,"Periurethral transperineal adjustable balloon continence device; removal, each balloon UNSCHEDULED",,,8268.42,8442.49,3
CPT,53454,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,1844.0,9710.0,78
CPT,53454,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume Other Surgical Services,,,2850.0,2850.0,4
CPT,53454,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume UNSCHEDULED,,,8268.42,8442.49,3
CPT,53460,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,1950.0,18507.0,106
CPT,53460,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,53460,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) UNSCHEDULED",,,8268.42,8442.49,3
CPT,53500,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,1950.0,18507.0,106
CPT,53500,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) Other Surgical Services",,,2850.0,2850.0,4
CPT,53500,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) UNSCHEDULED",,,8268.42,8442.49,3
CPT,53502,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,1950.0,18507.0,106
CPT,53502,"Urethrorrhaphy, suture of urethral wound or injury, female Other Surgical Services",,,2850.0,2850.0,4
CPT,53502,"Urethrorrhaphy, suture of urethral wound or injury, female UNSCHEDULED",,,8268.42,8442.49,3
CPT,53505,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,1950.0,18507.0,106
CPT,53505,"Urethrorrhaphy, suture of urethral wound or injury; penile Other Surgical Services",,,2850.0,2850.0,4
CPT,53505,"Urethrorrhaphy, suture of urethral wound or injury; penile UNSCHEDULED",,,8268.42,8442.49,3
CPT,53510,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,1950.0,18507.0,106
CPT,53510,"Urethrorrhaphy, suture of urethral wound or injury; perineal Other Surgical Services",,,2850.0,2850.0,4
CPT,53510,"Urethrorrhaphy, suture of urethral wound or injury; perineal UNSCHEDULED",,,8268.42,8442.49,3
CPT,53515,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,1950.0,18507.0,106
CPT,53515,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Other Surgical Services",,,2850.0,2850.0,4
CPT,53515,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous UNSCHEDULED",,,8268.42,8442.49,3
CPT,53520,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,1950.0,18507.0,106
CPT,53520,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,53520,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) UNSCHEDULED",,,8268.42,8442.49,3
CPT,53600,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,1423.0,9710.0,106
CPT,53600,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Other Surgical Services",,,2850.0,2850.0,4
CPT,53600,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial UNSCHEDULED",,,8268.42,8442.49,3
CPT,53601,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,1423.0,9710.0,106
CPT,53601,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent Other Surgical Services",,,2850.0,2850.0,4
CPT,53601,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent UNSCHEDULED",,,8268.42,8442.49,3
CPT,53605,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,1950.0,18507.0,106
CPT,53605,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,53605,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia UNSCHEDULED",,,8268.42,8442.49,3
CPT,53620,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,1950.0,9710.0,106
CPT,53620,"Dilation of urethral stricture by passage of filiform and follower, male; initial Other Surgical Services",,,2850.0,2850.0,4
CPT,53620,"Dilation of urethral stricture by passage of filiform and follower, male; initial UNSCHEDULED",,,8268.42,8442.49,3
CPT,53621,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,1423.0,9710.0,106
CPT,53621,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent Other Surgical Services",,,2850.0,2850.0,4
CPT,53621,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent UNSCHEDULED",,,8268.42,8442.49,3
CPT,53660,Dilation of female urethra including suppository and/or instillation; initial ,,,1423.0,9710.0,106
CPT,53660,Dilation of female urethra including suppository and/or instillation; initial Other Surgical Services,,,2850.0,2850.0,4
CPT,53660,Dilation of female urethra including suppository and/or instillation; initial UNSCHEDULED,,,8268.42,8442.49,3
CPT,53661,Dilation of female urethra including suppository and/or instillation; subsequent ,,,1423.0,9710.0,106
CPT,53661,Dilation of female urethra including suppository and/or instillation; subsequent Other Surgical Services,,,2850.0,2850.0,4
CPT,53661,Dilation of female urethra including suppository and/or instillation; subsequent UNSCHEDULED,,,8268.42,8442.49,3
CPT,53665,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,1950.0,9710.0,106
CPT,53665,"Dilation of female urethra, general or conduction (spinal) anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,53665,"Dilation of female urethra, general or conduction (spinal) anesthesia UNSCHEDULED",,,8268.42,8442.49,3
CPT,53670,Insert urinary catheter UNSCHEDULED,,,8268.42,8442.49,3
CPT,53675,Insert urinary catheter UNSCHEDULED,,,8268.42,8442.49,3
CPT,53850,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,1950.0,18507.0,106
CPT,53850,Transurethral destruction of prostate tissue; by microwave thermotherapy Other Surgical Services,,,2850.0,2850.0,4
CPT,53850,Transurethral destruction of prostate tissue; by microwave thermotherapy UNSCHEDULED,,,8268.42,8442.49,3
CPT,53852,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,1950.0,18507.0,106
CPT,53852,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Other Surgical Services,,,2850.0,2850.0,4
CPT,53852,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy UNSCHEDULED,,,8268.42,8442.49,3
CPT,53853,PROSTATIC WATER THERMOTHER UNSCHEDULED,,,8268.42,8442.49,3
CPT,53854,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,1950.0,18507.0,78
CPT,53854,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy Other Surgical Services,,,2850.0,2850.0,4
CPT,53854,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy UNSCHEDULED,,,8268.42,8442.49,3
CPT,53855,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,1950.0,9710.0,106
CPT,53855,"Insertion of a temporary prostatic urethral stent, including urethral measurement Other Surgical Services",,,2850.0,2850.0,4
CPT,53855,"Insertion of a temporary prostatic urethral stent, including urethral measurement UNSCHEDULED",,,8268.42,8442.49,3
CPT,53860,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,1950.0,9710.0,106
CPT,53860,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence Other Surgical Services,,,2850.0,2850.0,4
CPT,53860,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence UNSCHEDULED,,,8268.42,8442.49,3
CPT,53865,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,1950.0,18507.0,78
CPT,53865,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate Other Surgical Services",,,2850.0,2850.0,4
CPT,53866,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,1844.0,9710.0,78
CPT,53866,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate Other Surgical Services",,,2850.0,2850.0,4
CPT,53899,"Unlisted procedure, urinary system ",,,1423.0,9710.0,106
CPT,53899,"Unlisted procedure, urinary system Other Surgical Services",,,2850.0,2850.0,4
CPT,53899,"Unlisted procedure, urinary system UNSCHEDULED",,,8268.42,8442.49,3
CPT,54000,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,1950.0,18507.0,106
CPT,54000,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn Other Surgical Services",,,2850.0,2850.0,4
CPT,54001,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,1950.0,9710.0,106
CPT,54001,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn Other Surgical Services",,,2850.0,2850.0,4
CPT,54015,"Incision and drainage of penis, deep ",,,1950.0,9710.0,106
CPT,54015,"Incision and drainage of penis, deep Other Surgical Services",,,2850.0,2850.0,4
CPT,54050,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,9710.0,106
CPT,54050,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical Other Surgical Services",,,2850.0,2850.0,4
CPT,54055,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,1950.0,9710.0,106
CPT,54055,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation Other Surgical Services",,,2850.0,2850.0,4
CPT,54056,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,9710.0,106
CPT,54056,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery Other Surgical Services",,,2850.0,2850.0,4
CPT,54057,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,1950.0,9710.0,106
CPT,54057,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery Other Surgical Services",,,2850.0,2850.0,4
CPT,54060,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,1950.0,9710.0,106
CPT,54060,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision Other Surgical Services",,,2850.0,2850.0,4
CPT,54065,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1950.0,9710.0,106
CPT,54065,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,4
CPT,54100,Biopsy of penis; (separate procedure) ,,,1950.0,9710.0,106
CPT,54100,Biopsy of penis; (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,54105,Biopsy of penis; deep structures ,,,1950.0,14792.0,106
CPT,54105,Biopsy of penis; deep structures Other Surgical Services,,,2850.0,2850.0,4
CPT,54110,Excision of penile plaque (Peyronie disease); ,,,1950.0,18507.0,106
CPT,54110,Excision of penile plaque (Peyronie disease); Other Surgical Services,,,2850.0,2850.0,4
CPT,54111,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,1950.0,18507.0,106
CPT,54111,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Other Surgical Services,,,2850.0,2850.0,4
CPT,54112,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,1950.0,18507.0,106
CPT,54112,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Other Surgical Services,,,2850.0,2850.0,4
CPT,54115,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,1950.0,14792.0,106
CPT,54115,"Removal foreign body from deep penile tissue (eg, plastic implant) Other Surgical Services",,,2850.0,2850.0,4
CPT,54120,Amputation of penis; partial ,,,1950.0,18507.0,106
CPT,54120,Amputation of penis; partial Other Surgical Services,,,2850.0,2850.0,4
CPT,54125,Amputation of penis; complete ,,,1950.0,31992.0,106
CPT,54125,Amputation of penis; complete Other Surgical Services,,,2850.0,2850.0,4
CPT,54130,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,1950.0,31992.0,78
CPT,54130,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,54135,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1950.0,31992.0,78
CPT,54135,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Other Surgical Services",,,2850.0,2850.0,4
CPT,54150,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,1950.0,9710.0,106
CPT,54150,"Circumcision, using clamp or other device with regional dorsal penile or ring block Other Surgical Services",,,2850.0,2850.0,4
CPT,54160,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,1950.0,9710.0,106
CPT,54160,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Other Surgical Services",,,2850.0,2850.0,4
CPT,54161,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,2350.0,9710.0,102
CPT,54161,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Other Surgical Services",,,4150.0,4150.0,1
CPT,54162,Lysis or excision of penile post-circumcision adhesions ,,,1950.0,9710.0,106
CPT,54162,Lysis or excision of penile post-circumcision adhesions Other Surgical Services,,,2850.0,2850.0,4
CPT,54163,Repair incomplete circumcision ,,,1950.0,9710.0,106
CPT,54163,Repair incomplete circumcision Other Surgical Services,,,2850.0,2850.0,4
CPT,54164,Frenulotomy of penis ,,,1950.0,9710.0,106
CPT,54164,Frenulotomy of penis Other Surgical Services,,,2850.0,2850.0,4
CPT,54200,Injection procedure for Peyronie disease; ,,,1423.0,9710.0,106
CPT,54200,Injection procedure for Peyronie disease; Other Surgical Services,,,2850.0,2850.0,4
CPT,54205,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,1950.0,18507.0,106
CPT,54205,Injection procedure for Peyronie disease; with surgical exposure of plaque Other Surgical Services,,,2850.0,2850.0,4
CPT,54220,Irrigation of corpora cavernosa for priapism ,,,1423.0,9710.0,106
CPT,54220,Irrigation of corpora cavernosa for priapism Other Surgical Services,,,2850.0,2850.0,4
CPT,54230,Injection procedure for corpora cavernosography ,,,1423.0,9710.0,99
CPT,54230,Injection procedure for corpora cavernosography Other Surgical Services,,,2850.0,2850.0,4
CPT,54231,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,1844.0,9710.0,106
CPT,54231,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) Other Surgical Services",,,2850.0,2850.0,4
CPT,54235,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,1423.0,9710.0,106
CPT,54235,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) Other Surgical Services",,,2850.0,2850.0,4
CPT,54240,Penile plethysmography ,,,1423.0,6802.0,103
CPT,54240,Penile plethysmography Other Surgical Services,,,2850.0,2850.0,4
CPT,54250,Nocturnal penile tumescence and/or rigidity test ,,,1423.0,6802.0,103
CPT,54250,Nocturnal penile tumescence and/or rigidity test Other Surgical Services,,,2850.0,2850.0,4
CPT,54300,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,1950.0,18507.0,106
CPT,54300,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra Other Surgical Services",,,2850.0,2850.0,4
CPT,54304,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,1950.0,18507.0,106
CPT,54304,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps Other Surgical Services,,,2850.0,2850.0,4
CPT,54308,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,1950.0,18507.0,106
CPT,54308,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Other Surgical Services,,,2850.0,2850.0,4
CPT,54312,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,1950.0,18507.0,106
CPT,54312,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Other Surgical Services,,,2850.0,2850.0,4
CPT,54316,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,1950.0,18507.0,106
CPT,54316,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia Other Surgical Services,,,2850.0,2850.0,4
CPT,54318,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,1950.0,18507.0,106
CPT,54318,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Other Surgical Services",,,2850.0,2850.0,4
CPT,54322,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,1950.0,18507.0,106
CPT,54322,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) Other Surgical Services",,,2850.0,2850.0,4
CPT,54324,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,1950.0,18507.0,106
CPT,54324,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) Other Surgical Services",,,2850.0,2850.0,4
CPT,54326,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,1950.0,18507.0,106
CPT,54326,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra Other Surgical Services,,,2850.0,2850.0,4
CPT,54328,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,1950.0,18507.0,110
CPT,54332,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1950.0,18507.0,106
CPT,54332,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap Other Surgical Services,,,2850.0,2850.0,4
CPT,54336,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,1950.0,18507.0,106
CPT,54336,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap Other Surgical Services,,,2850.0,2850.0,4
CPT,54340,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,1950.0,18507.0,106
CPT,54340,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple Other Surgical Services",,,2850.0,2850.0,4
CPT,54344,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,1950.0,18507.0,106
CPT,54344,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft Other Surgical Services",,,2850.0,2850.0,4
CPT,54348,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,1950.0,18507.0,110
CPT,54352,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,1950.0,18507.0,110
CPT,54360,Plastic operation on penis to correct angulation ,,,1950.0,18507.0,106
CPT,54360,Plastic operation on penis to correct angulation Other Surgical Services,,,2850.0,2850.0,4
CPT,54380,Plastic operation on penis for epispadias distal to external sphincter; ,,,1950.0,10719.0,106
CPT,54380,Plastic operation on penis for epispadias distal to external sphincter; Other Surgical Services,,,2850.0,2850.0,4
CPT,54385,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,1950.0,10719.0,106
CPT,54385,Plastic operation on penis for epispadias distal to external sphincter; with incontinence Other Surgical Services,,,2850.0,2850.0,4
CPT,54390,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,1950.0,31992.0,106
CPT,54390,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder Other Surgical Services,,,2850.0,2850.0,4
CPT,54400,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,2350.0,36087.0,99
CPT,54400,Insertion of penile prosthesis; non-inflatable (semi-rigid) Other Surgical Services,,,4150.0,4150.0,1
CPT,54401,Insertion of penile prosthesis; inflatable (self-contained) ,,,2350.0,36087.0,98
CPT,54401,Insertion of penile prosthesis; inflatable (self-contained) High Cost Surgery,,,3950.0,3950.0,1
CPT,54401,Insertion of penile prosthesis; inflatable (self-contained) Other Surgical Services,,,4150.0,4150.0,1
CPT,54405,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,2350.0,36087.0,98
CPT,54405,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir High Cost Surgery",,,3950.0,3950.0,1
CPT,54405,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir Other Surgical Services",,,4150.0,4150.0,1
CPT,54406,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,2350.0,18507.0,98
CPT,54406,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis High Cost Surgery",,,3950.0,3950.0,1
CPT,54406,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis Other Surgical Services",,,4150.0,4150.0,1
CPT,54408,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,2350.0,18507.0,98
CPT,54408,"Repair of component(s) of a multi-component, inflatable penile prosthesis High Cost Surgery",,,3950.0,3950.0,1
CPT,54408,"Repair of component(s) of a multi-component, inflatable penile prosthesis Other Surgical Services",,,4150.0,4150.0,1
CPT,54410,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,2350.0,36087.0,98
CPT,54410,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session High Cost Surgery",,,3950.0,3950.0,1
CPT,54410,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session Other Surgical Services",,,4150.0,4150.0,1
CPT,54411,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1423.0,36087.0,100
CPT,54415,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,2350.0,18507.0,99
CPT,54415,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis Other Surgical Services",,,4150.0,4150.0,1
CPT,54416,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,2350.0,36087.0,99
CPT,54416,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session Other Surgical Services,,,4150.0,4150.0,1
CPT,54417,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1982.0,36087.0,103
CPT,54420,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,2350.0,18507.0,102
CPT,54420,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral Other Surgical Services",,,4150.0,4150.0,1
CPT,54430,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,2350.0,31992.0,74
CPT,54430,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral Other Surgical Services",,,4150.0,4150.0,1
CPT,54435,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,2350.0,18507.0,102
CPT,54435,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism Other Surgical Services",,,4150.0,4150.0,1
CPT,54437,Repair of traumatic corporeal tear(s) ,,,2350.0,18507.0,102
CPT,54437,Repair of traumatic corporeal tear(s) Other Surgical Services,,,4150.0,4150.0,1
CPT,54440,Plastic operation of penis for injury ,,,2350.0,18507.0,102
CPT,54440,Plastic operation of penis for injury Other Surgical Services,,,4150.0,4150.0,1
CPT,54450,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,1423.0,9710.0,106
CPT,54450,Foreskin manipulation including lysis of preputial adhesions and stretching Other Surgical Services,,,2850.0,2850.0,4
CPT,54500,"Biopsy of testis, needle (separate procedure) ",,,1950.0,14792.0,106
CPT,54500,"Biopsy of testis, needle (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,54500,"Biopsy of testis, needle (separate procedure) SCHEDULED",,,7042.49,7190.76,3
CPT,54500,"Biopsy of testis, needle (separate procedure) UNSCHEDULED",,,6624.79,6764.26,3
CPT,54505,"Biopsy of testis, incisional (separate procedure) ",,,1950.0,18507.0,106
CPT,54505,"Biopsy of testis, incisional (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,54505,"Biopsy of testis, incisional (separate procedure) SCHEDULED",,,7042.49,7190.76,3
CPT,54505,"Biopsy of testis, incisional (separate procedure) UNSCHEDULED",,,6624.79,6764.26,3
CPT,54510,REMOVAL OF TESTIS LESION SCHEDULED,,,7042.49,7190.76,3
CPT,54510,REMOVAL OF TESTIS LESION UNSCHEDULED,,,6624.79,6764.26,3
CPT,54512,Excision of extraparenchymal lesion of testis ,,,1950.0,18507.0,106
CPT,54512,Excision of extraparenchymal lesion of testis Other Surgical Services,,,2850.0,2850.0,4
CPT,54512,Excision of extraparenchymal lesion of testis SCHEDULED,,,5451.2,5565.97,3
CPT,54512,Excision of extraparenchymal lesion of testis UNSCHEDULED,,,6624.79,6764.26,3
CPT,54520,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,1950.0,18507.0,106
CPT,54520,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,54520,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach SCHEDULED",,,7042.49,7190.76,3
CPT,54520,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach UNSCHEDULED",,,3494.56,3568.13,3
CPT,54522,"Orchiectomy, partial ",,,1950.0,18507.0,106
CPT,54522,"Orchiectomy, partial Other Surgical Services",,,2850.0,2850.0,4
CPT,54522,"Orchiectomy, partial SCHEDULED",,,12027.84,12281.05,3
CPT,54522,"Orchiectomy, partial UNSCHEDULED",,,6624.79,6764.26,3
CPT,54530,"Orchiectomy, radical, for tumor; inguinal approach ",,,1950.0,18507.0,106
CPT,54530,"Orchiectomy, radical, for tumor; inguinal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,54530,"Orchiectomy, radical, for tumor; inguinal approach SCHEDULED",,,4785.38,4886.12,3
CPT,54530,"Orchiectomy, radical, for tumor; inguinal approach UNSCHEDULED",,,6624.79,6764.26,3
CPT,54535,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,1950.0,18507.0,106
CPT,54535,"Orchiectomy, radical, for tumor; with abdominal exploration Other Surgical Services",,,2850.0,2850.0,4
CPT,54535,"Orchiectomy, radical, for tumor; with abdominal exploration SCHEDULED",,,7042.49,7190.76,3
CPT,54535,"Orchiectomy, radical, for tumor; with abdominal exploration UNSCHEDULED",,,6624.79,6764.26,3
CPT,54550,Exploration for undescended testis (inguinal or scrotal area) ,,,1950.0,18507.0,106
CPT,54550,Exploration for undescended testis (inguinal or scrotal area) Other Surgical Services,,,2850.0,2850.0,4
CPT,54550,Exploration for undescended testis (inguinal or scrotal area) SCHEDULED,,,7042.49,7190.76,3
CPT,54550,Exploration for undescended testis (inguinal or scrotal area) UNSCHEDULED,,,6624.79,6764.26,3
CPT,54560,Exploration for undescended testis with abdominal exploration ,,,1950.0,9710.0,106
CPT,54560,Exploration for undescended testis with abdominal exploration Other Surgical Services,,,2850.0,2850.0,4
CPT,54560,Exploration for undescended testis with abdominal exploration SCHEDULED,,,7042.49,7190.76,3
CPT,54560,Exploration for undescended testis with abdominal exploration UNSCHEDULED,,,6624.79,6764.26,3
CPT,54600,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,1950.0,18507.0,106
CPT,54600,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Other Surgical Services",,,2850.0,2850.0,4
CPT,54600,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis SCHEDULED",,,7042.49,7190.76,3
CPT,54600,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis UNSCHEDULED",,,6663.52,6803.8,3
CPT,54620,Fixation of contralateral testis (separate procedure) ,,,1950.0,18507.0,106
CPT,54620,Fixation of contralateral testis (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,54620,Fixation of contralateral testis (separate procedure) SCHEDULED,,,7042.49,7190.76,3
CPT,54620,Fixation of contralateral testis (separate procedure) UNSCHEDULED,,,6624.79,6764.26,3
CPT,54640,"Orchiopexy, inguinal or scrotal approach ",,,1950.0,18507.0,106
CPT,54640,"Orchiopexy, inguinal or scrotal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,54640,"Orchiopexy, inguinal or scrotal approach SCHEDULED",,,7042.49,7190.76,3
CPT,54640,"Orchiopexy, inguinal or scrotal approach UNSCHEDULED",,,6624.79,6764.26,3
CPT,54650,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,1950.0,18507.0,106
CPT,54650,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Other Surgical Services",,,2850.0,2850.0,4
CPT,54650,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) SCHEDULED",,,7042.49,7190.76,3
CPT,54650,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) UNSCHEDULED",,,6624.79,6764.26,3
CPT,54660,Insertion of testicular prosthesis (separate procedure) ,,,1950.0,18507.0,106
CPT,54660,Insertion of testicular prosthesis (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,54660,Insertion of testicular prosthesis (separate procedure) SCHEDULED,,,7042.49,7190.76,3
CPT,54660,Insertion of testicular prosthesis (separate procedure) UNSCHEDULED,,,6624.79,6764.26,3
CPT,54670,Suture or repair of testicular injury ,,,1950.0,18507.0,106
CPT,54670,Suture or repair of testicular injury Other Surgical Services,,,2850.0,2850.0,4
CPT,54670,Suture or repair of testicular injury SCHEDULED,,,7042.49,7190.76,3
CPT,54670,Suture or repair of testicular injury UNSCHEDULED,,,6815.32,6958.8,3
CPT,54680,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,1950.0,18507.0,106
CPT,54680,Transplantation of testis(es) to thigh (because of scrotal destruction) Other Surgical Services,,,2850.0,2850.0,4
CPT,54680,Transplantation of testis(es) to thigh (because of scrotal destruction) SCHEDULED,,,7042.49,7190.76,3
CPT,54680,Transplantation of testis(es) to thigh (because of scrotal destruction) UNSCHEDULED,,,6624.79,6764.26,3
CPT,54690,"Laparoscopy, surgical; orchiectomy ",,,2350.0,18507.0,99
CPT,54690,"Laparoscopy, surgical; orchiectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,54690,"Laparoscopy, surgical; orchiectomy SCHEDULED",,,11807.99,12056.58,3
CPT,54690,"Laparoscopy, surgical; orchiectomy UNSCHEDULED",,,6586.05,6724.7,3
CPT,54692,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,2350.0,18507.0,99
CPT,54692,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis Other Surgical Services",,,4150.0,4150.0,1
CPT,54692,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis SCHEDULED",,,7042.49,7190.76,3
CPT,54692,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis UNSCHEDULED",,,6624.79,6764.26,3
CPT,54699,"Unlisted laparoscopy procedure, testis ",,,2350.0,18507.0,99
CPT,54699,"Unlisted laparoscopy procedure, testis Other Surgical Services",,,4150.0,4150.0,1
CPT,54699,"Unlisted laparoscopy procedure, testis SCHEDULED",,,7042.49,7190.76,3
CPT,54699,"Unlisted laparoscopy procedure, testis UNSCHEDULED",,,6624.79,6764.26,3
CPT,54700,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,1950.0,9710.0,106
CPT,54700,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) Other Surgical Services",,,2850.0,2850.0,4
CPT,54700,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) SCHEDULED",,,6831.02,6974.83,3
CPT,54800,"Biopsy of epididymis, needle ",,,1950.0,9710.0,106
CPT,54800,"Biopsy of epididymis, needle Other Surgical Services",,,2850.0,2850.0,4
CPT,54800,"Biopsy of epididymis, needle SCHEDULED",,,6831.02,6974.83,3
CPT,54820,EXPLORATION OF EPIDIDYMIS SCHEDULED,,,6831.02,6974.83,3
CPT,54830,Excision of local lesion of epididymis ,,,1950.0,18507.0,106
CPT,54830,Excision of local lesion of epididymis Other Surgical Services,,,2850.0,2850.0,4
CPT,54830,Excision of local lesion of epididymis SCHEDULED,,,6831.02,6974.83,3
CPT,54840,"Excision of spermatocele, with or without epididymectomy ",,,1950.0,9710.0,106
CPT,54840,"Excision of spermatocele, with or without epididymectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,54840,"Excision of spermatocele, with or without epididymectomy SCHEDULED",,,6831.02,6974.83,3
CPT,54860,Epididymectomy; unilateral ,,,1950.0,18507.0,106
CPT,54860,Epididymectomy; unilateral Other Surgical Services,,,2850.0,2850.0,4
CPT,54860,Epididymectomy; unilateral SCHEDULED,,,6831.02,6974.83,3
CPT,54861,Epididymectomy; bilateral ,,,1950.0,18507.0,106
CPT,54861,Epididymectomy; bilateral Other Surgical Services,,,2850.0,2850.0,4
CPT,54861,Epididymectomy; bilateral SCHEDULED,,,6831.02,6974.83,3
CPT,54865,"Exploration of epididymis, with or without biopsy ",,,1950.0,18507.0,106
CPT,54865,"Exploration of epididymis, with or without biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,54865,"Exploration of epididymis, with or without biopsy SCHEDULED",,,6831.02,6974.83,3
CPT,54900,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,1950.0,9710.0,106
CPT,54900,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,54900,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral SCHEDULED",,,6831.02,6974.83,3
CPT,54901,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,1950.0,18507.0,106
CPT,54901,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,54901,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral SCHEDULED",,,6831.02,6974.83,3
CPT,55000,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,1950.0,9710.0,106
CPT,55000,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication Other Surgical Services",,,2850.0,2850.0,4
CPT,55000,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication SCHEDULED",,,6271.45,6403.48,3
CPT,55040,Excision of hydrocele; unilateral ,,,1950.0,18507.0,106
CPT,55040,Excision of hydrocele; unilateral Other Surgical Services,,,2850.0,2850.0,4
CPT,55040,Excision of hydrocele; unilateral SCHEDULED,,,6019.67,6146.4,3
CPT,55041,Excision of hydrocele; bilateral ,,,1950.0,18507.0,106
CPT,55041,Excision of hydrocele; bilateral Other Surgical Services,,,2850.0,2850.0,4
CPT,55041,Excision of hydrocele; bilateral SCHEDULED,,,6523.23,6660.56,3
CPT,55060,Repair of tunica vaginalis hydrocele (Bottle type) ,,,1950.0,18507.0,106
CPT,55060,Repair of tunica vaginalis hydrocele (Bottle type) Other Surgical Services,,,2850.0,2850.0,4
CPT,55060,Repair of tunica vaginalis hydrocele (Bottle type) SCHEDULED,,,6271.45,6403.48,3
CPT,55100,Drainage of scrotal wall abscess ,,,1950.0,9710.0,106
CPT,55100,Drainage of scrotal wall abscess Other Surgical Services,,,2850.0,2850.0,4
CPT,55100,Drainage of scrotal wall abscess SCHEDULED,,,19140.48,19543.43,3
CPT,55100,Drainage of scrotal wall abscess UNSCHEDULED,,,13538.51,13823.53,3
CPT,55110,Scrotal exploration ,,,1950.0,18507.0,106
CPT,55110,Scrotal exploration Other Surgical Services,,,2850.0,2850.0,4
CPT,55110,Scrotal exploration SCHEDULED,,,19140.48,19543.43,3
CPT,55110,Scrotal exploration UNSCHEDULED,,,25814.46,26357.93,3
CPT,55120,Removal of foreign body in scrotum ,,,1950.0,9710.0,106
CPT,55120,Removal of foreign body in scrotum Other Surgical Services,,,2850.0,2850.0,4
CPT,55120,Removal of foreign body in scrotum SCHEDULED,,,19140.48,19543.43,3
CPT,55120,Removal of foreign body in scrotum UNSCHEDULED,,,13538.51,13823.53,3
CPT,55150,Resection of scrotum ,,,1950.0,18507.0,106
CPT,55150,Resection of scrotum Other Surgical Services,,,2850.0,2850.0,4
CPT,55150,Resection of scrotum SCHEDULED,,,19140.48,19543.43,3
CPT,55150,Resection of scrotum UNSCHEDULED,,,102.6,104.76,3
CPT,55175,Scrotoplasty; simple ,,,1950.0,18507.0,106
CPT,55175,Scrotoplasty; simple Other Surgical Services,,,2850.0,2850.0,4
CPT,55175,Scrotoplasty; simple SCHEDULED,,,19140.48,19543.43,3
CPT,55175,Scrotoplasty; simple UNSCHEDULED,,,13538.51,13823.53,3
CPT,55180,Scrotoplasty; complicated ,,,1950.0,18507.0,106
CPT,55180,Scrotoplasty; complicated Other Surgical Services,,,2850.0,2850.0,4
CPT,55180,Scrotoplasty; complicated SCHEDULED,,,19140.48,19543.43,3
CPT,55180,Scrotoplasty; complicated UNSCHEDULED,,,13538.51,13823.53,3
CPT,55200,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,1950.0,18507.0,106
CPT,55200,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,55250,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,1950.0,9710.0,106
CPT,55250,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,55300,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,1423.0,9710.0,99
CPT,55300,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,55400,"Vasovasostomy, vasovasorrhaphy ",,,1950.0,18507.0,106
CPT,55400,"Vasovasostomy, vasovasorrhaphy Other Surgical Services",,,2850.0,2850.0,4
CPT,55450,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,5360.0,8727.0,28
CPT,55500,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,1950.0,18507.0,106
CPT,55500,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,55500,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) SCHEDULED",,,4068.25,4153.9,3
CPT,55520,Excision of lesion of spermatic cord (separate procedure) ,,,1950.0,18507.0,106
CPT,55520,Excision of lesion of spermatic cord (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,55520,Excision of lesion of spermatic cord (separate procedure) SCHEDULED,,,3761.52,3840.71,3
CPT,55530,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,1950.0,18507.0,106
CPT,55530,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,55530,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) SCHEDULED,,,3914.88,3997.3,3
CPT,55535,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,1950.0,18507.0,106
CPT,55535,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Other Surgical Services,,,2850.0,2850.0,4
CPT,55535,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach SCHEDULED,,,3914.88,3997.3,3
CPT,55540,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,1950.0,18507.0,106
CPT,55540,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Other Surgical Services,,,2850.0,2850.0,4
CPT,55540,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair SCHEDULED,,,3914.88,3997.3,3
CPT,55550,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,2350.0,18507.0,99
CPT,55550,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele Other Surgical Services",,,4150.0,4150.0,1
CPT,55550,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele SCHEDULED",,,3914.88,3997.3,3
CPT,55559,"Unlisted laparoscopy procedure, spermatic cord ",,,2350.0,18507.0,99
CPT,55559,"Unlisted laparoscopy procedure, spermatic cord Other Surgical Services",,,4150.0,4150.0,1
CPT,55559,"Unlisted laparoscopy procedure, spermatic cord SCHEDULED",,,3914.88,3997.3,3
CPT,55600,Vesiculotomy; ,,,1950.0,9710.0,106
CPT,55600,Vesiculotomy; Other Surgical Services,,,2850.0,2850.0,4
CPT,55605,Vesiculotomy; complicated ,,,1950.0,31992.0,106
CPT,55605,Vesiculotomy; complicated Other Surgical Services,,,2850.0,2850.0,4
CPT,55650,"Vesiculectomy, any approach ",,,1950.0,31992.0,106
CPT,55650,"Vesiculectomy, any approach Other Surgical Services",,,2850.0,2850.0,4
CPT,55680,Excision of Mullerian duct cyst ,,,1950.0,18507.0,106
CPT,55680,Excision of Mullerian duct cyst Other Surgical Services,,,2850.0,2850.0,4
CPT,55700,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,2820.0,5414.0,28
CPT,55700,"Biopsy, prostate; needle or punch, single or multiple, any approach SCHEDULED",,,5132.95,5241.02,3
CPT,55705,"Biopsy, prostate, any approach, nonimaging-guided ",,,1950.0,18507.0,106
CPT,55705,"Biopsy, prostate, any approach, nonimaging-guided Other Surgical Services",,,2850.0,2850.0,4
CPT,55705,"Biopsy, prostate, any approach, nonimaging-guided SCHEDULED",,,6158.92,6288.58,3
CPT,55706,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,1950.0,18507.0,106
CPT,55706,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,55706,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance SCHEDULED",,,6158.92,6288.58,3
CPT,55707,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1950.0,18507.0,75
CPT,55707,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») Other Surgical Services",,,2850.0,2850.0,4
CPT,55708,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,1950.0,18507.0,75
CPT,55708,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,55709,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,1950.0,18507.0,75
CPT,55709,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») Other Surgical Services",,,2850.0,2850.0,4
CPT,55710,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,1950.0,18507.0,75
CPT,55710,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,55711,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1950.0,18507.0,75
CPT,55711,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,55712,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,1950.0,18507.0,75
CPT,55712,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,55713,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,1950.0,18507.0,75
CPT,55713,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,55714,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,1950.0,18507.0,75
CPT,55714,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,55715,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,1950.0,6802.0,68
CPT,55715,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,55720,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,1950.0,18507.0,106
CPT,55720,"Prostatotomy, external drainage of prostatic abscess, any approach; simple Other Surgical Services",,,2850.0,2850.0,4
CPT,55720,"Prostatotomy, external drainage of prostatic abscess, any approach; simple SCHEDULED",,,6158.92,6288.58,3
CPT,55725,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,1950.0,18507.0,98
CPT,55725,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated Other Surgical Services",,,2850.0,2850.0,4
CPT,55725,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated SCHEDULED",,,6158.92,6288.58,3
CPT,55801,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,1950.0,31992.0,75
CPT,55801,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,55801,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) SCHEDULED",,,6158.92,6288.58,3
CPT,55810,"Prostatectomy, perineal radical; ",,,1950.0,31992.0,75
CPT,55810,"Prostatectomy, perineal radical; Other Surgical Services",,,2850.0,2850.0,4
CPT,55810,"Prostatectomy, perineal radical; SCHEDULED",,,6158.92,6288.58,3
CPT,55812,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1950.0,31992.0,75
CPT,55812,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,55812,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) SCHEDULED",,,6158.92,6288.58,3
CPT,55815,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1950.0,31992.0,75
CPT,55815,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Other Surgical Services",,,2850.0,2850.0,4
CPT,55815,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes SCHEDULED",,,6158.92,6288.58,3
CPT,55821,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,1950.0,31992.0,75
CPT,55821,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages Other Surgical Se",,,2850.0,2850.0,4
CPT,55821,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages SCHEDULED",,,6158.92,6288.58,3
CPT,55831,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,1950.0,31992.0,75
CPT,55831,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal Other Surgical Services",,,2850.0,2850.0,4
CPT,55831,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal SCHEDULED",,,6158.92,6288.58,3
CPT,55840,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,1950.0,31992.0,75
CPT,55840,"Prostatectomy, retropubic radical, with or without nerve sparing; Other Surgical Services",,,2850.0,2850.0,4
CPT,55840,"Prostatectomy, retropubic radical, with or without nerve sparing; SCHEDULED",,,6158.92,6288.58,3
CPT,55842,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1950.0,31992.0,75
CPT,55842,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,55842,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) SCHEDULED",,,6158.92,6288.58,3
CPT,55845,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,1950.0,31992.0,75
CPT,55845,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Other Surgical Services",,,2850.0,2850.0,4
CPT,55845,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes SCHEDULED",,,6158.92,6288.58,3
CPT,55859,"PERCUT/NEEDLE INSERT, PROS ",,,9935.0,22212.0,3
CPT,55859,"PERCUT/NEEDLE INSERT, PROS SCHEDULED",,,6158.92,6288.58,3
CPT,55860,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,1950.0,53068.0,103
CPT,55860,"Exposure of prostate, any approach, for insertion of radioactive substance; Other Surgical Services",,,2850.0,2850.0,4
CPT,55860,"Exposure of prostate, any approach, for insertion of radioactive substance; SCHEDULED",,,6158.92,6288.58,3
CPT,55862,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,1950.0,53068.0,75
CPT,55862,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,55862,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) SCHEDULED",,,6158.92,6288.58,3
CPT,55865,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,1950.0,53068.0,75
CPT,55865,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Other Surgical Services",,,2850.0,2850.0,4
CPT,55865,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes SCHEDULED",,,6158.92,6288.58,3
CPT,55866,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,1950.0,22880.0,74
CPT,55866,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; Other Surgical Services",,,2850.0,2850.0,4
CPT,55866,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; SCHEDULED",,,6158.92,6288.58,3
CPT,55867,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,1950.0,18507.0,85
CPT,55868,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,1950.0,18507.0,75
CPT,55868,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) Other Surgic",,,2850.0,2850.0,4
CPT,55869,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,1950.0,18507.0,79
CPT,55870,Electroejaculation ,,,1950.0,9710.0,106
CPT,55870,Electroejaculation Other Surgical Services,,,2850.0,2850.0,4
CPT,55870,Electroejaculation SCHEDULED,,,6158.92,6288.58,3
CPT,55873,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,1950.0,22212.0,168
CPT,55873,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Complex Surgery,,,11754.0,11754.0,22
CPT,55873,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Other Surgical Services,,,2850.0,2850.0,4
CPT,55873,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) SCHEDULED,,,6158.92,6288.58,3
CPT,55874,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,1950.0,18507.0,75
CPT,55874,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,55874,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed SCHEDULED",,,6158.92,6288.58,3
CPT,55875,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,2350.0,53068.0,164
CPT,55875,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Complex Surgery",,,11754.0,11754.0,22
CPT,55875,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Other Surgical Services",,,4150.0,4150.0,1
CPT,55875,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy SCHEDULED",,,6158.92,6288.58,3
CPT,55876,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,1950.0,9710.0,106
CPT,55876,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,55876,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple SCHEDULED",,,6158.92,6288.58,3
CPT,55877,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,1950.0,18507.0,75
CPT,55877,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,55880,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,1950.0,18507.0,78
CPT,55880,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,55880,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance SCHEDULED",,,6158.92,6288.58,3
CPT,55881,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,1950.0,9710.0,71
CPT,55881,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; Other Surgical Services",,,2850.0,2850.0,4
CPT,55882,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,1950.0,19295.0,82
CPT,55899,"Unlisted procedure, male genital system ",,,1423.0,9710.0,106
CPT,55899,"Unlisted procedure, male genital system Other Surgical Services",,,2850.0,2850.0,4
CPT,55899,"Unlisted procedure, male genital system SCHEDULED",,,7184.88,7336.14,3
CPT,55920,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,1950.0,18507.0,106
CPT,55920,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application Other Surgical Services,,,2850.0,2850.0,4
CPT,55970,Intersex surgery; male to female ,,,1950.0,18507.0,70
CPT,55970,Intersex surgery; male to female Other Surgical Services,,,2850.0,2850.0,4
CPT,55980,Intersex surgery; female to male ,,,1950.0,18507.0,70
CPT,55980,Intersex surgery; female to male Other Surgical Services,,,2850.0,2850.0,4
CPT,56405,Incision and drainage of vulva or perineal abscess ,,,1423.0,9710.0,98
CPT,56405,Incision and drainage of vulva or perineal abscess Other Surgical Services,,,2850.0,2850.0,4
CPT,56405,Incision and drainage of vulva or perineal abscess SCHEDULED,,,6565.11,6703.32,3
CPT,56420,Incision and drainage of Bartholin's gland abscess ,,,1423.0,9710.0,106
CPT,56420,Incision and drainage of Bartholin's gland abscess Other Surgical Services,,,2850.0,2850.0,4
CPT,56420,Incision and drainage of Bartholin's gland abscess SCHEDULED,,,6565.11,6703.32,3
CPT,56440,Marsupialization of Bartholin's gland cyst ,,,1950.0,18507.0,106
CPT,56440,Marsupialization of Bartholin's gland cyst Other Surgical Services,,,2850.0,2850.0,4
CPT,56440,Marsupialization of Bartholin's gland cyst SCHEDULED,,,6565.11,6703.32,3
CPT,56441,Lysis of labial adhesions ,,,1950.0,18507.0,106
CPT,56441,Lysis of labial adhesions Other Surgical Services,,,2850.0,2850.0,4
CPT,56441,Lysis of labial adhesions SCHEDULED,,,6565.11,6703.32,3
CPT,56442,"Hymenotomy, simple incision ",,,1950.0,18507.0,106
CPT,56442,"Hymenotomy, simple incision Other Surgical Services",,,2850.0,2850.0,4
CPT,56442,"Hymenotomy, simple incision SCHEDULED",,,6565.11,6703.32,3
CPT,56501,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1950.0,9710.0,106
CPT,56501,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,4
CPT,56501,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) SCHEDULED",,,6565.11,6703.32,3
CPT,56515,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1950.0,9710.0,106
CPT,56515,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,4
CPT,56515,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) SCHEDULED",,,6565.11,6703.32,3
CPT,56605,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,1950.0,9710.0,106
CPT,56605,Biopsy of vulva or perineum (separate procedure); 1 lesion Other Surgical Services,,,2850.0,2850.0,4
CPT,56605,Biopsy of vulva or perineum (separate procedure); 1 lesion SCHEDULED,,,6565.11,6703.32,3
CPT,56606,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,56606,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,56606,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) SCHEDULED,,,6565.11,6703.32,3
CPT,56620,Vulvectomy simple; partial ,,,1950.0,18507.0,106
CPT,56620,Vulvectomy simple; partial Other Surgical Services,,,2850.0,2850.0,4
CPT,56620,Vulvectomy simple; partial SCHEDULED,,,6565.11,6703.32,3
CPT,56625,Vulvectomy simple; complete ,,,1950.0,18507.0,106
CPT,56625,Vulvectomy simple; complete Other Surgical Services,,,2850.0,2850.0,4
CPT,56625,Vulvectomy simple; complete SCHEDULED,,,6565.11,6703.32,3
CPT,56630,"Vulvectomy, radical, partial; ",,,1950.0,18507.0,78
CPT,56630,"Vulvectomy, radical, partial; Other Surgical Services",,,2850.0,2850.0,4
CPT,56630,"Vulvectomy, radical, partial; SCHEDULED",,,6565.11,6703.32,3
CPT,56631,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,1950.0,31992.0,106
CPT,56631,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,56631,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy SCHEDULED",,,6565.11,6703.32,3
CPT,56632,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,1950.0,31992.0,106
CPT,56632,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,56632,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy SCHEDULED",,,6565.11,6703.32,3
CPT,56633,"Vulvectomy, radical, complete; ",,,1950.0,31992.0,106
CPT,56633,"Vulvectomy, radical, complete; Other Surgical Services",,,2850.0,2850.0,4
CPT,56633,"Vulvectomy, radical, complete; SCHEDULED",,,6565.11,6703.32,3
CPT,56634,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,1950.0,31992.0,106
CPT,56634,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,56634,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy SCHEDULED",,,6565.11,6703.32,3
CPT,56637,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,1950.0,31992.0,106
CPT,56637,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,56637,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy SCHEDULED",,,6565.11,6703.32,3
CPT,56640,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,1950.0,31992.0,78
CPT,56640,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,56640,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy SCHEDULED",,,6565.11,6703.32,3
CPT,56700,Partial hymenectomy or revision of hymenal ring ,,,1950.0,18507.0,106
CPT,56700,Partial hymenectomy or revision of hymenal ring Other Surgical Services,,,2850.0,2850.0,4
CPT,56700,Partial hymenectomy or revision of hymenal ring SCHEDULED,,,6565.11,6703.32,3
CPT,56720,INCISION OF HYMEN SCHEDULED,,,6565.11,6703.32,3
CPT,56740,Excision of Bartholin's gland or cyst ,,,1950.0,18507.0,106
CPT,56740,Excision of Bartholin's gland or cyst Other Surgical Services,,,2850.0,2850.0,4
CPT,56740,Excision of Bartholin's gland or cyst SCHEDULED,,,6565.11,6703.32,3
CPT,56800,Plastic repair of introitus ,,,1950.0,18507.0,106
CPT,56800,Plastic repair of introitus Other Surgical Services,,,2850.0,2850.0,4
CPT,56800,Plastic repair of introitus SCHEDULED,,,6565.11,6703.32,3
CPT,56805,Clitoroplasty for intersex state ,,,1950.0,18507.0,106
CPT,56805,Clitoroplasty for intersex state Other Surgical Services,,,2850.0,2850.0,4
CPT,56805,Clitoroplasty for intersex state SCHEDULED,,,6565.11,6703.32,3
CPT,56810,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,1950.0,18507.0,106
CPT,56810,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,56810,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) SCHEDULED",,,6565.11,6703.32,3
CPT,56820,Colposcopy of the vulva; ,,,1423.0,9710.0,106
CPT,56820,Colposcopy of the vulva; Other Surgical Services,,,2850.0,2850.0,4
CPT,56820,Colposcopy of the vulva; SCHEDULED,,,6565.11,6703.32,3
CPT,56821,Colposcopy of the vulva; with biopsy(s) ,,,1423.0,9710.0,106
CPT,56821,Colposcopy of the vulva; with biopsy(s) Other Surgical Services,,,2850.0,2850.0,4
CPT,56821,Colposcopy of the vulva; with biopsy(s) SCHEDULED,,,6565.11,6703.32,3
CPT,57000,Colpotomy; with exploration ,,,1950.0,18507.0,106
CPT,57000,Colpotomy; with exploration Other Surgical Services,,,2850.0,2850.0,4
CPT,57000,Colpotomy; with exploration SCHEDULED,,,10328.71,10546.16,3
CPT,57010,Colpotomy; with drainage of pelvic abscess ,,,1950.0,18507.0,106
CPT,57010,Colpotomy; with drainage of pelvic abscess Other Surgical Services,,,2850.0,2850.0,4
CPT,57010,Colpotomy; with drainage of pelvic abscess SCHEDULED,,,10328.71,10546.16,3
CPT,57020,Colpocentesis (separate procedure) ,,,1950.0,18507.0,106
CPT,57020,Colpocentesis (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,57020,Colpocentesis (separate procedure) SCHEDULED,,,10328.71,10546.16,3
CPT,57022,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,1950.0,14792.0,106
CPT,57022,Incision and drainage of vaginal hematoma; obstetrical/postpartum Other Surgical Services,,,2850.0,2850.0,4
CPT,57022,Incision and drainage of vaginal hematoma; obstetrical/postpartum SCHEDULED,,,10328.71,10546.16,3
CPT,57023,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,1950.0,14792.0,106
CPT,57023,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Other Surgical Services",,,2850.0,2850.0,4
CPT,57023,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) SCHEDULED",,,10328.71,10546.16,3
CPT,57061,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1950.0,18507.0,106
CPT,57061,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,4
CPT,57061,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) SCHEDULED",,,10328.71,10546.16,3
CPT,57065,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,1950.0,18507.0,106
CPT,57065,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,4
CPT,57065,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) SCHEDULED",,,10328.71,10546.16,3
CPT,57100,Biopsy of vaginal mucosa; simple (separate procedure) ,,,1950.0,9710.0,106
CPT,57100,Biopsy of vaginal mucosa; simple (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,57100,Biopsy of vaginal mucosa; simple (separate procedure) SCHEDULED,,,10328.71,10546.16,3
CPT,57105,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,1950.0,18507.0,106
CPT,57105,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Other Surgical Services",,,2850.0,2850.0,4
CPT,57105,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) SCHEDULED",,,10328.71,10546.16,3
CPT,57106,"Vaginectomy, partial removal of vaginal wall; ",,,1950.0,18507.0,106
CPT,57106,"Vaginectomy, partial removal of vaginal wall; Other Surgical Services",,,2850.0,2850.0,4
CPT,57106,"Vaginectomy, partial removal of vaginal wall; SCHEDULED",,,10328.71,10546.16,3
CPT,57107,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,1950.0,18507.0,106
CPT,57107,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,57107,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) SCHEDULED",,,10328.71,10546.16,3
CPT,57109,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,1950.0,18507.0,106
CPT,57109,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) Other Su",,,2850.0,2850.0,4
CPT,57109,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) SCHEDULE",,,10328.71,10546.16,3
CPT,57110,"Vaginectomy, complete removal of vaginal wall; ",,,1950.0,31992.0,78
CPT,57110,"Vaginectomy, complete removal of vaginal wall; Other Surgical Services",,,2850.0,2850.0,4
CPT,57110,"Vaginectomy, complete removal of vaginal wall; SCHEDULED",,,114.11,116.52,3
CPT,57111,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,1950.0,31992.0,106
CPT,57111,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,57111,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) SCHEDULED",,,10328.71,10546.16,3
CPT,57112,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL TISSUE (RADICAL VAGINECTOMY) WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY) SCHEDUL",,,10328.71,10546.16,3
CPT,57120,Colpocleisis (Le Fort type) ,,,1950.0,18507.0,106
CPT,57120,Colpocleisis (Le Fort type) Other Surgical Services,,,2850.0,2850.0,4
CPT,57120,Colpocleisis (Le Fort type) SCHEDULED,,,10328.71,10546.16,3
CPT,57130,Excision of vaginal septum ,,,1950.0,18507.0,106
CPT,57130,Excision of vaginal septum Other Surgical Services,,,2850.0,2850.0,4
CPT,57130,Excision of vaginal septum SCHEDULED,,,10328.71,10546.16,3
CPT,57135,Excision of vaginal cyst or tumor ,,,1950.0,18507.0,106
CPT,57135,Excision of vaginal cyst or tumor Other Surgical Services,,,2850.0,2850.0,4
CPT,57135,Excision of vaginal cyst or tumor SCHEDULED,,,10328.71,10546.16,3
CPT,57150,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,1423.0,9710.0,106
CPT,57150,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease Other Surgical Services",,,2850.0,2850.0,4
CPT,57150,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease SCHEDULED",,,10328.71,10546.16,3
CPT,57155,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1950.0,53068.0,106
CPT,57155,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy Other Surgical Services,,,2850.0,2850.0,4
CPT,57155,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy SCHEDULED,,,10328.71,10546.16,3
CPT,57156,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,1423.0,9710.0,106
CPT,57156,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy Other Surgical Services,,,2850.0,2850.0,4
CPT,57156,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy SCHEDULED,,,10328.71,10546.16,3
CPT,57160,Fitting and insertion of pessary or other intravaginal support device ,,,1423.0,9710.0,106
CPT,57160,Fitting and insertion of pessary or other intravaginal support device Other Surgical Services,,,2850.0,2850.0,4
CPT,57160,Fitting and insertion of pessary or other intravaginal support device SCHEDULED,,,10328.71,10546.16,3
CPT,57170,Diaphragm or cervical cap fitting with instructions ,,,1423.0,9710.0,106
CPT,57170,Diaphragm or cervical cap fitting with instructions Other Surgical Services,,,2850.0,2850.0,4
CPT,57170,Diaphragm or cervical cap fitting with instructions SCHEDULED,,,10328.71,10546.16,3
CPT,57180,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,1423.0,9710.0,106
CPT,57180,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,57180,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) SCHEDULED,,,10328.71,10546.16,3
CPT,57200,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,2350.0,18507.0,102
CPT,57200,"Colporrhaphy, suture of injury of vagina (nonobstetrical) Other Surgical Services",,,4150.0,4150.0,1
CPT,57200,"Colporrhaphy, suture of injury of vagina (nonobstetrical) SCHEDULED",,,10328.71,10546.16,3
CPT,57210,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,2350.0,18507.0,102
CPT,57210,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) Other Surgical Services",,,4150.0,4150.0,1
CPT,57210,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) SCHEDULED",,,10328.71,10546.16,3
CPT,57220,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,2350.0,18507.0,102
CPT,57220,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) Other Surgical Services",,,4150.0,4150.0,1
CPT,57220,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) SCHEDULED",,,10328.71,10546.16,3
CPT,57230,Plastic repair of urethrocele ,,,2350.0,18507.0,102
CPT,57230,Plastic repair of urethrocele Other Surgical Services,,,4150.0,4150.0,1
CPT,57230,Plastic repair of urethrocele SCHEDULED,,,10328.71,10546.16,3
CPT,57240,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,2350.0,18507.0,102
CPT,57240,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,57240,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed SCHEDULED",,,10328.71,10546.16,3
CPT,57250,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,2350.0,18507.0,102
CPT,57250,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Other Surgical Services",,,4150.0,4150.0,1
CPT,57250,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy SCHEDULED",,,10909.74,11139.42,3
CPT,57260,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,2350.0,18507.0,102
CPT,57260,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Other Surgical Services",,,4150.0,4150.0,1
CPT,57260,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; SCHEDULED",,,10328.71,10546.16,3
CPT,57265,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,2350.0,18507.0,102
CPT,57265,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Other Surgical Services",,,4150.0,4150.0,1
CPT,57265,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair SCHEDULED",,,15555.89,15883.38,3
CPT,57267,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,95
CPT,57267,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) Other",,,4150.0,4150.0,1
CPT,57267,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) SCHED",,,10328.71,10546.16,3
CPT,57268,"Repair of enterocele, vaginal approach (separate procedure) ",,,2350.0,18507.0,102
CPT,57268,"Repair of enterocele, vaginal approach (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,57268,"Repair of enterocele, vaginal approach (separate procedure) SCHEDULED",,,10328.71,10546.16,3
CPT,57270,"Repair of enterocele, abdominal approach (separate procedure) ",,,2350.0,31992.0,102
CPT,57270,"Repair of enterocele, abdominal approach (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,57270,"Repair of enterocele, abdominal approach (separate procedure) SCHEDULED",,,10328.71,10546.16,3
CPT,57280,"Colpopexy, abdominal approach ",,,2350.0,31992.0,102
CPT,57280,"Colpopexy, abdominal approach Other Surgical Services",,,4150.0,4150.0,1
CPT,57280,"Colpopexy, abdominal approach SCHEDULED",,,10328.71,10546.16,3
CPT,57282,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,2350.0,18507.0,102
CPT,57282,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Other Surgical Services",,,4150.0,4150.0,1
CPT,57282,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) SCHEDULED",,,10328.71,10546.16,3
CPT,57283,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,2350.0,18507.0,102
CPT,57283,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) Other Surgical Services",,,4150.0,4150.0,1
CPT,57283,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) SCHEDULED",,,10328.71,10546.16,3
CPT,57284,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,2350.0,18507.0,102
CPT,57284,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach Other Surgical Services",,,4150.0,4150.0,1
CPT,57284,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach SCHEDULED",,,10328.71,10546.16,3
CPT,57285,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,2350.0,18507.0,102
CPT,57285,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach Other Surgical Services",,,4150.0,4150.0,1
CPT,57285,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach SCHEDULED",,,10328.71,10546.16,3
CPT,57287,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,2350.0,18507.0,102
CPT,57287,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Other Surgical Services",,,4150.0,4150.0,1
CPT,57287,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) SCHEDULED",,,10328.71,10546.16,3
CPT,57288,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,2350.0,22212.0,167
CPT,57288,"Sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,22
CPT,57288,"Sling operation for stress incontinence (eg, fascia or synthetic) Other Surgical Services",,,4150.0,4150.0,1
CPT,57288,"Sling operation for stress incontinence (eg, fascia or synthetic) SCHEDULED",,,10328.71,10546.16,3
CPT,57289,"Pereyra procedure, including anterior colporrhaphy ",,,2350.0,18507.0,102
CPT,57289,"Pereyra procedure, including anterior colporrhaphy Other Surgical Services",,,4150.0,4150.0,1
CPT,57289,"Pereyra procedure, including anterior colporrhaphy SCHEDULED",,,10328.71,10546.16,3
CPT,57291,Construction of artificial vagina; without graft ,,,2350.0,18507.0,102
CPT,57291,Construction of artificial vagina; without graft Other Surgical Services,,,4150.0,4150.0,1
CPT,57291,Construction of artificial vagina; without graft SCHEDULED,,,10328.71,10546.16,3
CPT,57292,Construction of artificial vagina; with graft ,,,2350.0,18507.0,102
CPT,57292,Construction of artificial vagina; with graft Other Surgical Services,,,4150.0,4150.0,1
CPT,57292,Construction of artificial vagina; with graft SCHEDULED,,,10328.71,10546.16,3
CPT,57295,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,2350.0,18507.0,102
CPT,57295,Revision (including removal) of prosthetic vaginal graft; vaginal approach Other Surgical Services,,,4150.0,4150.0,1
CPT,57295,Revision (including removal) of prosthetic vaginal graft; vaginal approach SCHEDULED,,,10328.71,10546.16,3
CPT,57296,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,2350.0,31992.0,74
CPT,57296,Revision (including removal) of prosthetic vaginal graft; open abdominal approach Other Surgical Services,,,4150.0,4150.0,1
CPT,57296,Revision (including removal) of prosthetic vaginal graft; open abdominal approach SCHEDULED,,,10328.71,10546.16,3
CPT,57300,Closure of rectovaginal fistula; vaginal or transanal approach ,,,2350.0,18507.0,102
CPT,57300,Closure of rectovaginal fistula; vaginal or transanal approach Other Surgical Services,,,4150.0,4150.0,1
CPT,57300,Closure of rectovaginal fistula; vaginal or transanal approach SCHEDULED,,,10328.71,10546.16,3
CPT,57305,Closure of rectovaginal fistula; abdominal approach ,,,2350.0,31992.0,74
CPT,57305,Closure of rectovaginal fistula; abdominal approach Other Surgical Services,,,4150.0,4150.0,1
CPT,57305,Closure of rectovaginal fistula; abdominal approach SCHEDULED,,,10328.71,10546.16,3
CPT,57307,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,2350.0,31992.0,74
CPT,57307,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy Other Surgical Services",,,4150.0,4150.0,1
CPT,57307,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy SCHEDULED",,,10328.71,10546.16,3
CPT,57308,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,2350.0,31992.0,102
CPT,57308,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication Other Surgical Services",,,4150.0,4150.0,1
CPT,57308,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication SCHEDULED",,,10328.71,10546.16,3
CPT,57310,Closure of urethrovaginal fistula; ,,,2350.0,18507.0,102
CPT,57310,Closure of urethrovaginal fistula; Other Surgical Services,,,4150.0,4150.0,1
CPT,57310,Closure of urethrovaginal fistula; SCHEDULED,,,10328.71,10546.16,3
CPT,57311,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,2350.0,31992.0,102
CPT,57311,Closure of urethrovaginal fistula; with bulbocavernosus transplant Other Surgical Services,,,4150.0,4150.0,1
CPT,57311,Closure of urethrovaginal fistula; with bulbocavernosus transplant SCHEDULED,,,10328.71,10546.16,3
CPT,57320,Closure of vesicovaginal fistula; vaginal approach ,,,2350.0,18507.0,102
CPT,57320,Closure of vesicovaginal fistula; vaginal approach Other Surgical Services,,,4150.0,4150.0,1
CPT,57320,Closure of vesicovaginal fistula; vaginal approach SCHEDULED,,,10328.71,10546.16,3
CPT,57330,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,2350.0,18507.0,102
CPT,57330,Closure of vesicovaginal fistula; transvesical and vaginal approach Other Surgical Services,,,4150.0,4150.0,1
CPT,57330,Closure of vesicovaginal fistula; transvesical and vaginal approach SCHEDULED,,,10328.71,10546.16,3
CPT,57335,Vaginoplasty for intersex state ,,,2350.0,18507.0,102
CPT,57335,Vaginoplasty for intersex state Other Surgical Services,,,4150.0,4150.0,1
CPT,57335,Vaginoplasty for intersex state SCHEDULED,,,10328.71,10546.16,3
CPT,57400,Dilation of vagina under anesthesia (other than local) ,,,1950.0,18507.0,106
CPT,57400,Dilation of vagina under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,4
CPT,57400,Dilation of vagina under anesthesia (other than local) SCHEDULED,,,10328.71,10546.16,3
CPT,57410,Pelvic examination under anesthesia (other than local) ,,,1950.0,18507.0,106
CPT,57410,Pelvic examination under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,4
CPT,57410,Pelvic examination under anesthesia (other than local) SCHEDULED,,,10328.71,10546.16,3
CPT,57415,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,1950.0,18507.0,106
CPT,57415,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,4
CPT,57415,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) SCHEDULED,,,10328.71,10546.16,3
CPT,57420,"Colposcopy of the entire vagina, with cervix if present; ",,,1423.0,9710.0,106
CPT,57420,"Colposcopy of the entire vagina, with cervix if present; Other Surgical Services",,,2850.0,2850.0,4
CPT,57420,"Colposcopy of the entire vagina, with cervix if present; SCHEDULED",,,10328.71,10546.16,3
CPT,57421,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,1950.0,9710.0,106
CPT,57421,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Other Surgical Services",,,2850.0,2850.0,4
CPT,57421,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix SCHEDULED",,,10328.71,10546.16,3
CPT,57423,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,1950.0,18507.0,106
CPT,57423,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach Other Surgical Services",,,2850.0,2850.0,4
CPT,57423,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach SCHEDULED",,,10328.71,10546.16,3
CPT,57425,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,1950.0,18507.0,106
CPT,57425,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) Other Surgical Services",,,2850.0,2850.0,4
CPT,57425,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) SCHEDULED",,,10328.71,10546.16,3
CPT,57426,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,1950.0,18507.0,106
CPT,57426,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Other Surgical Services",,,2850.0,2850.0,4
CPT,57426,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach SCHEDULED",,,10328.71,10546.16,3
CPT,57452,Colposcopy of the cervix including upper/adjacent vagina; ,,,1423.0,9710.0,106
CPT,57452,Colposcopy of the cervix including upper/adjacent vagina; Other Surgical Services,,,2850.0,2850.0,4
CPT,57454,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,1423.0,9710.0,106
CPT,57454,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Other Surgical Services,,,2850.0,2850.0,4
CPT,57455,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,1423.0,9710.0,106
CPT,57455,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Other Surgical Services,,,2850.0,2850.0,4
CPT,57456,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,1423.0,9710.0,106
CPT,57456,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage Other Surgical Services,,,2850.0,2850.0,4
CPT,57460,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,1950.0,18507.0,106
CPT,57460,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Other Surgical Services,,,2850.0,2850.0,4
CPT,57461,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,1950.0,18507.0,106
CPT,57461,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix Other Surgical Services,,,2850.0,2850.0,4
CPT,57465,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,1950.0,9710.0,75
CPT,57500,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,1950.0,9710.0,106
CPT,57500,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,57505,Endocervical curettage (not done as part of a dilation and curettage) ,,,1950.0,9710.0,106
CPT,57505,Endocervical curettage (not done as part of a dilation and curettage) Other Surgical Services,,,2850.0,2850.0,4
CPT,57510,Cautery of cervix; electro or thermal ,,,1950.0,18507.0,106
CPT,57510,Cautery of cervix; electro or thermal Other Surgical Services,,,2850.0,2850.0,4
CPT,57511,"Cautery of cervix; cryocautery, initial or repeat ",,,1423.0,9710.0,106
CPT,57511,"Cautery of cervix; cryocautery, initial or repeat Other Surgical Services",,,2850.0,2850.0,4
CPT,57513,Cautery of cervix; laser ablation ,,,1950.0,18507.0,106
CPT,57513,Cautery of cervix; laser ablation Other Surgical Services,,,2850.0,2850.0,4
CPT,57520,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,1950.0,18507.0,106
CPT,57520,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser Other Surgical Services",,,2850.0,2850.0,4
CPT,57522,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,1950.0,18507.0,106
CPT,57522,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision Other Surgical Services",,,2850.0,2850.0,4
CPT,57530,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,1950.0,18507.0,106
CPT,57530,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,57531,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,1950.0,31992.0,78
CPT,57531,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) Other Surgical Se",,,2850.0,2850.0,4
CPT,57540,"Excision of cervical stump, abdominal approach; ",,,1950.0,31992.0,78
CPT,57540,"Excision of cervical stump, abdominal approach; Other Surgical Services",,,2850.0,2850.0,4
CPT,57545,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,1950.0,31992.0,78
CPT,57545,"Excision of cervical stump, abdominal approach; with pelvic floor repair Other Surgical Services",,,2850.0,2850.0,4
CPT,57550,"Excision of cervical stump, vaginal approach; ",,,1950.0,18507.0,106
CPT,57550,"Excision of cervical stump, vaginal approach; Other Surgical Services",,,2850.0,2850.0,4
CPT,57555,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,1950.0,18507.0,106
CPT,57555,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Other Surgical Services",,,2850.0,2850.0,4
CPT,57556,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,1950.0,18507.0,106
CPT,57556,"Excision of cervical stump, vaginal approach; with repair of enterocele Other Surgical Services",,,2850.0,2850.0,4
CPT,57558,Dilation and curettage of cervical stump ,,,1950.0,18507.0,106
CPT,57558,Dilation and curettage of cervical stump Other Surgical Services,,,2850.0,2850.0,4
CPT,57700,"Cerclage of uterine cervix, nonobstetrical ",,,1950.0,18507.0,106
CPT,57700,"Cerclage of uterine cervix, nonobstetrical Other Surgical Services",,,2850.0,2850.0,4
CPT,57720,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,1950.0,18507.0,106
CPT,57720,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,57800,"Dilation of cervical canal, instrumental (separate procedure) ",,,1950.0,18507.0,106
CPT,57800,"Dilation of cervical canal, instrumental (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,58100,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,1423.0,9710.0,106
CPT,58100,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,58110,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,58110,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,58120,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,1950.0,18507.0,106
CPT,58120,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) Other Surgical Services",,,2850.0,2850.0,4
CPT,58140,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,1950.0,31992.0,106
CPT,58140,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,58145,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,1950.0,18507.0,106
CPT,58145,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,58146,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,1950.0,31992.0,106
CPT,58146,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,58150,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,1950.0,31992.0,75
CPT,58150,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); Other Surgical Services",,,2850.0,2850.0,4
CPT,58152,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,1950.0,31992.0,75
CPT,58152,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) Other Surg",,,2850.0,2850.0,4
CPT,58180,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2350.0,31992.0,70
CPT,58180,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) High Cost Surgery",,,3950.0,3950.0,1
CPT,58180,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) Other Surgical Services",,,4150.0,4150.0,1
CPT,58200,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,2350.0,31992.0,70
CPT,58200,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) High Cost Surgery",,,3950.0,3950.0,1
CPT,58200,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) Other Surgical Ser",,,4150.0,4150.0,1
CPT,58210,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2350.0,31992.0,70
CPT,58210,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) High C",,,3950.0,3950.0,1
CPT,58210,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) Other ",,,4150.0,4150.0,1
CPT,58240,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,2350.0,31992.0,72
CPT,58260,"Vaginal hysterectomy, for uterus 250 g or less; ",,,2350.0,18507.0,98
CPT,58260,"Vaginal hysterectomy, for uterus 250 g or less; High Cost Surgery",,,3950.0,3950.0,1
CPT,58260,"Vaginal hysterectomy, for uterus 250 g or less; Other Surgical Services",,,4150.0,4150.0,1
CPT,58262,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,2350.0,18507.0,99
CPT,58262,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Other Surgical Services",,,4150.0,4150.0,1
CPT,58263,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,2350.0,18507.0,99
CPT,58263,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele Other Surgical Services",,,4150.0,4150.0,1
CPT,58267,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,2350.0,31992.0,99
CPT,58267,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control Other Surgical Services",,,4150.0,4150.0,1
CPT,58270,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,2350.0,18507.0,99
CPT,58270,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Other Surgical Services",,,4150.0,4150.0,1
CPT,58275,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,2350.0,31992.0,99
CPT,58275,"Vaginal hysterectomy, with total or partial vaginectomy; Other Surgical Services",,,4150.0,4150.0,1
CPT,58280,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,2350.0,31992.0,99
CPT,58280,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele Other Surgical Services",,,4150.0,4150.0,1
CPT,58285,"Vaginal hysterectomy, radical (Schauta type operation) ",,,2350.0,31992.0,71
CPT,58285,"Vaginal hysterectomy, radical (Schauta type operation) Other Surgical Services",,,4150.0,4150.0,1
CPT,58290,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,2350.0,18507.0,99
CPT,58290,"Vaginal hysterectomy, for uterus greater than 250 g; Other Surgical Services",,,4150.0,4150.0,1
CPT,58291,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2350.0,18507.0,99
CPT,58291,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Other Surgical Services",,,4150.0,4150.0,1
CPT,58292,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,2350.0,18507.0,99
CPT,58292,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele Other Surgical Services",,,4150.0,4150.0,1
CPT,58293,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,7583.0,9539.0,28
CPT,58294,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,2350.0,18507.0,99
CPT,58294,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Other Surgical Services",,,4150.0,4150.0,1
CPT,58300,Insertion of intrauterine device (IUD) ,,,40.96,9710.0,96
CPT,58300,Insertion of intrauterine device (IUD) Other Surgical Services,,,4150.0,4150.0,1
CPT,58301,Removal of intrauterine device (IUD) ,,,1423.0,9710.0,102
CPT,58301,Removal of intrauterine device (IUD) Other Surgical Services,,,4150.0,4150.0,1
CPT,58321,Artificial insemination; intra-cervical ,,,1423.0,9710.0,102
CPT,58321,Artificial insemination; intra-cervical Other Surgical Services,,,4150.0,4150.0,1
CPT,58322,Artificial insemination; intra-uterine ,,,1423.0,9710.0,102
CPT,58322,Artificial insemination; intra-uterine Other Surgical Services,,,4150.0,4150.0,1
CPT,58323,Sperm washing for artificial insemination ,,,1423.0,9710.0,102
CPT,58323,Sperm washing for artificial insemination Other Surgical Services,,,4150.0,4150.0,1
CPT,58340,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,1423.0,9710.0,95
CPT,58340,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography Other Surgical Services,,,4150.0,4150.0,1
CPT,58345,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,2350.0,18507.0,102
CPT,58345,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography Other Surgical Services",,,4150.0,4150.0,1
CPT,58346,Insertion of Heyman capsules for clinical brachytherapy ,,,2350.0,18507.0,102
CPT,58346,Insertion of Heyman capsules for clinical brachytherapy Other Surgical Services,,,4150.0,4150.0,1
CPT,58350,"Chromotubation of oviduct, including materials ",,,2350.0,18507.0,102
CPT,58350,"Chromotubation of oviduct, including materials Other Surgical Services",,,4150.0,4150.0,1
CPT,58353,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,2350.0,22212.0,164
CPT,58353,"Endometrial ablation, thermal, without hysteroscopic guidance Complex Surgery",,,11754.0,11754.0,22
CPT,58353,"Endometrial ablation, thermal, without hysteroscopic guidance Other Surgical Services",,,4150.0,4150.0,1
CPT,58356,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,2350.0,22212.0,167
CPT,58356,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Complex Surgery",,,11754.0,11754.0,22
CPT,58356,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,58400,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,1950.0,31992.0,78
CPT,58400,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,58410,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,1950.0,31992.0,78
CPT,58410,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,58520,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,1950.0,31992.0,78
CPT,58520,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) Other Surgical Services",,,2850.0,2850.0,4
CPT,58540,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,1950.0,31992.0,78
CPT,58540,"Hysteroplasty, repair of uterine anomaly (Strassman type) Other Surgical Services",,,2850.0,2850.0,4
CPT,58541,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,1950.0,22880.0,74
CPT,58541,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Other Surgical Services",,,2850.0,2850.0,4
CPT,58542,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,1950.0,22880.0,74
CPT,58542,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,58543,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,1950.0,22880.0,74
CPT,58543,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; Other Surgical Services",,,2850.0,2850.0,4
CPT,58544,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,1950.0,22880.0,74
CPT,58544,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,58545,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,2350.0,18507.0,163
CPT,58545,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas High Cost Surgery",,,3950.0,3950.0,1
CPT,58545,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas Other Surgical Services",,,4150.0,4150.0,1
CPT,58546,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,2350.0,18507.0,163
CPT,58546,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g High Cost Surgery",,,3950.0,3950.0,1
CPT,58546,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g Other Surgical Services",,,4150.0,4150.0,1
CPT,58548,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,2350.0,31992.0,69
CPT,58548,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed High Cost",,,3950.0,3950.0,1
CPT,58548,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed Other Sur",,,4150.0,4150.0,1
CPT,58550,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,2350.0,22880.0,134
CPT,58550,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; High Cost Surgery",,,3950.0,3950.0,1
CPT,58550,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Other Surgical Services",,,4150.0,4150.0,1
CPT,58552,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2350.0,22880.0,134
CPT,58552,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) High Cost Surgery",,,3950.0,3950.0,1
CPT,58552,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Other Surgical Services",,,4150.0,4150.0,1
CPT,58553,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,2350.0,22880.0,134
CPT,58553,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; High Cost Surgery",,,3950.0,3950.0,1
CPT,58553,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Other Surgical Services",,,4150.0,4150.0,1
CPT,58554,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2350.0,22880.0,134
CPT,58554,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) High Cost Surgery",,,3950.0,3950.0,1
CPT,58554,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Other Surgical Services",,,4150.0,4150.0,1
CPT,58555,"Hysteroscopy, diagnostic (separate procedure) ",,,2350.0,18507.0,163
CPT,58555,"Hysteroscopy, diagnostic (separate procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,58555,"Hysteroscopy, diagnostic (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,58555,"Hysteroscopy, diagnostic (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,58558,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,2350.0,18507.0,166
CPT,58558,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Complex Surgery",,,11754.0,11754.0,22
CPT,58558,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C High Cost Surgery",,,3950.0,3950.0,1
CPT,58558,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Other Surgical Services",,,4150.0,4150.0,1
CPT,58559,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,2350.0,18507.0,163
CPT,58559,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Complex Surgery",,,11754.0,11754.0,22
CPT,58559,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) High Cost Surgery",,,3950.0,3950.0,1
CPT,58559,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Other Surgical Services",,,4150.0,4150.0,1
CPT,58560,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,2350.0,18507.0,163
CPT,58560,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Complex Surgery",,,11754.0,11754.0,22
CPT,58560,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) High Cost Surgery",,,3950.0,3950.0,1
CPT,58560,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Other Surgical Services",,,4150.0,4150.0,1
CPT,58561,"Hysteroscopy, surgical; with removal of leiomyomata ",,,2350.0,18507.0,163
CPT,58561,"Hysteroscopy, surgical; with removal of leiomyomata Complex Surgery",,,11754.0,11754.0,22
CPT,58561,"Hysteroscopy, surgical; with removal of leiomyomata High Cost Surgery",,,3950.0,3950.0,1
CPT,58561,"Hysteroscopy, surgical; with removal of leiomyomata Other Surgical Services",,,4150.0,4150.0,1
CPT,58562,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,2350.0,18507.0,163
CPT,58562,"Hysteroscopy, surgical; with removal of impacted foreign body Complex Surgery",,,11754.0,11754.0,22
CPT,58562,"Hysteroscopy, surgical; with removal of impacted foreign body High Cost Surgery",,,3950.0,3950.0,1
CPT,58562,"Hysteroscopy, surgical; with removal of impacted foreign body Other Surgical Services",,,4150.0,4150.0,1
CPT,58563,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,2350.0,18507.0,163
CPT,58563,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) Complex Surgery",,,11754.0,11754.0,22
CPT,58563,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) High Cost Surgery",,,3950.0,3950.0,1
CPT,58563,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) Other Surgical Services",,,4150.0,4150.0,1
CPT,58565,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,2350.0,18507.0,163
CPT,58565,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Complex Surgery",,,11754.0,11754.0,22
CPT,58565,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants High Cost Surgery",,,3950.0,3950.0,1
CPT,58565,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Other Surgical Services",,,4150.0,4150.0,1
CPT,58570,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,2350.0,22880.0,134
CPT,58570,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; High Cost Surgery",,,3950.0,3950.0,1
CPT,58570,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Other Surgical Services",,,4150.0,4150.0,1
CPT,58571,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2350.0,22880.0,134
CPT,58571,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) High Cost Surgery",,,3950.0,3950.0,1
CPT,58571,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Other Surgical Services",,,4150.0,4150.0,1
CPT,58572,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,2350.0,22880.0,134
CPT,58572,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; High Cost Surgery",,,3950.0,3950.0,1
CPT,58572,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Other Surgical Services",,,4150.0,4150.0,1
CPT,58573,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2350.0,22880.0,134
CPT,58573,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) High Cost Surgery",,,3950.0,3950.0,1
CPT,58573,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Other Surgical Services",,,4150.0,4150.0,1
CPT,58575,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,2350.0,31992.0,66
CPT,58575,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed High Cost Surgery",,,3950.0,3950.0,1
CPT,58575,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed Other Surgical Servic",,,4150.0,4150.0,1
CPT,58578,"Unlisted laparoscopy procedure, uterus ",,,2350.0,18507.0,163
CPT,58578,"Unlisted laparoscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,22
CPT,58578,"Unlisted laparoscopy procedure, uterus High Cost Surgery",,,3950.0,3950.0,1
CPT,58578,"Unlisted laparoscopy procedure, uterus Other Surgical Services",,,4150.0,4150.0,1
CPT,58579,"Unlisted hysteroscopy procedure, uterus ",,,1423.0,15633.0,163
CPT,58579,"Unlisted hysteroscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,22
CPT,58579,"Unlisted hysteroscopy procedure, uterus High Cost Surgery",,,3950.0,3950.0,1
CPT,58579,"Unlisted hysteroscopy procedure, uterus Other Surgical Services",,,4150.0,4150.0,1
CPT,58580,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,1950.0,18507.0,78
CPT,58580,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency Other Surgical Services",,,2850.0,2850.0,4
CPT,58600,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,1950.0,18507.0,106
CPT,58600,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,58605,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,1950.0,31992.0,106
CPT,58605,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,58611,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,1950.0,31992.0,82
CPT,58615,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,1950.0,18507.0,106
CPT,58615,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Other Surgical Services",,,2850.0,2850.0,4
CPT,58660,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,2350.0,18507.0,163
CPT,58660,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Complex Surgery",,,11754.0,11754.0,22
CPT,58660,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,58660,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,58661,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,2350.0,18507.0,163
CPT,58661,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Complex Surgery",,,11754.0,11754.0,22
CPT,58661,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) High Cost Surgery",,,3950.0,3950.0,1
CPT,58661,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Other Surgical Services",,,4150.0,4150.0,1
CPT,58662,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,2350.0,18507.0,163
CPT,58662,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method Complex Surgery",,,11754.0,11754.0,22
CPT,58662,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method High Cost Surgery",,,3950.0,3950.0,1
CPT,58662,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method Other Surgical Services",,,4150.0,4150.0,1
CPT,58670,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,2350.0,18507.0,163
CPT,58670,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Complex Surgery",,,11754.0,11754.0,22
CPT,58670,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) High Cost Surgery",,,3950.0,3950.0,1
CPT,58670,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Other Surgical Services",,,4150.0,4150.0,1
CPT,58671,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,2350.0,18507.0,163
CPT,58671,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Complex Surgery",,,11754.0,11754.0,22
CPT,58671,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) High Cost Surgery",,,3950.0,3950.0,1
CPT,58671,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Other Surgical Services",,,4150.0,4150.0,1
CPT,58672,"Laparoscopy, surgical; with fimbrioplasty ",,,2350.0,18507.0,163
CPT,58672,"Laparoscopy, surgical; with fimbrioplasty Complex Surgery",,,11754.0,11754.0,22
CPT,58672,"Laparoscopy, surgical; with fimbrioplasty High Cost Surgery",,,3950.0,3950.0,1
CPT,58672,"Laparoscopy, surgical; with fimbrioplasty Other Surgical Services",,,4150.0,4150.0,1
CPT,58673,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,2350.0,18507.0,163
CPT,58673,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Complex Surgery",,,11754.0,11754.0,22
CPT,58673,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) High Cost Surgery",,,3950.0,3950.0,1
CPT,58673,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Other Surgical Services",,,4150.0,4150.0,1
CPT,58674,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2350.0,18507.0,163
CPT,58674,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency Complex Surgery",,,11754.0,11754.0,22
CPT,58674,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency High Cost Surgery",,,3950.0,3950.0,1
CPT,58674,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency Other Surgical Services",,,4150.0,4150.0,1
CPT,58679,"Unlisted laparoscopy procedure, oviduct, ovary ",,,2350.0,18507.0,163
CPT,58679,"Unlisted laparoscopy procedure, oviduct, ovary Complex Surgery",,,11754.0,11754.0,22
CPT,58679,"Unlisted laparoscopy procedure, oviduct, ovary High Cost Surgery",,,3950.0,3950.0,1
CPT,58679,"Unlisted laparoscopy procedure, oviduct, ovary Other Surgical Services",,,4150.0,4150.0,1
CPT,58700,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1950.0,31992.0,106
CPT,58700,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,58720,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,1950.0,31992.0,106
CPT,58720,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,58740,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,1950.0,31992.0,106
CPT,58740,"Lysis of adhesions (salpingolysis, ovariolysis) Other Surgical Services",,,2850.0,2850.0,4
CPT,58750,Tubotubal anastomosis ,,,1950.0,31992.0,106
CPT,58750,Tubotubal anastomosis Other Surgical Services,,,2850.0,2850.0,4
CPT,58752,Tubouterine implantation ,,,1950.0,31992.0,106
CPT,58752,Tubouterine implantation Other Surgical Services,,,2850.0,2850.0,4
CPT,58760,Fimbrioplasty ,,,1950.0,31992.0,106
CPT,58760,Fimbrioplasty Other Surgical Services,,,2850.0,2850.0,4
CPT,58770,Salpingostomy (salpingoneostomy) ,,,1950.0,18507.0,106
CPT,58770,Salpingostomy (salpingoneostomy) Other Surgical Services,,,2850.0,2850.0,4
CPT,58800,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,1950.0,18507.0,106
CPT,58800,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,58805,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,1950.0,18507.0,106
CPT,58805,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,58820,"Drainage of ovarian abscess; vaginal approach, open ",,,1950.0,18507.0,106
CPT,58820,"Drainage of ovarian abscess; vaginal approach, open Other Surgical Services",,,2850.0,2850.0,4
CPT,58822,Drainage of ovarian abscess; abdominal approach ,,,1950.0,31992.0,106
CPT,58822,Drainage of ovarian abscess; abdominal approach Other Surgical Services,,,2850.0,2850.0,4
CPT,58825,"Transposition, ovary(s) ",,,1950.0,31992.0,106
CPT,58825,"Transposition, ovary(s) Other Surgical Services",,,2850.0,2850.0,4
CPT,58900,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,1950.0,18507.0,106
CPT,58900,"Biopsy of ovary, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,58920,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,1950.0,18507.0,106
CPT,58920,"Wedge resection or bisection of ovary, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,58925,"Ovarian cystectomy, unilateral or bilateral ",,,1950.0,18507.0,106
CPT,58925,"Ovarian cystectomy, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,58940,"Oophorectomy, partial or total, unilateral or bilateral; ",,,1950.0,31992.0,106
CPT,58940,"Oophorectomy, partial or total, unilateral or bilateral; Other Surgical Services",,,2850.0,2850.0,4
CPT,58943,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,1950.0,31992.0,110
CPT,58950,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,1950.0,31992.0,106
CPT,58950,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; Other Surgical Services",,,2850.0,2850.0,4
CPT,58951,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,1950.0,31992.0,82
CPT,58952,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,1950.0,31992.0,82
CPT,58953,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,1950.0,31992.0,78
CPT,58953,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; Other Surgical Services",,,2850.0,2850.0,4
CPT,58954,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,1950.0,31992.0,78
CPT,58954,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy Other Surgical ",,,2850.0,2850.0,4
CPT,58956,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,1950.0,31992.0,78
CPT,58956,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy Other Surgical Services",,,2850.0,2850.0,4
CPT,58958,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,1950.0,31992.0,82
CPT,58960,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,1950.0,31992.0,110
CPT,58970,"Follicle puncture for oocyte retrieval, any method ",,,1950.0,9710.0,106
CPT,58970,"Follicle puncture for oocyte retrieval, any method Other Surgical Services",,,2850.0,2850.0,4
CPT,58974,"Embryo transfer, intrauterine ",,,1950.0,9710.0,106
CPT,58974,"Embryo transfer, intrauterine Other Surgical Services",,,2850.0,2850.0,4
CPT,58976,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,1423.0,9710.0,106
CPT,58976,"Gamete, zygote, or embryo intrafallopian transfer, any method Other Surgical Services",,,2850.0,2850.0,4
CPT,58999,"Unlisted procedure, female genital system (nonobstetrical) ",,,1423.0,9710.0,106
CPT,58999,"Unlisted procedure, female genital system (nonobstetrical) Other Surgical Services",,,2850.0,2850.0,4
CPT,59000,Amniocentesis; diagnostic ,,,1950.0,9710.0,106
CPT,59000,Amniocentesis; diagnostic Other Surgical Services,,,2850.0,2850.0,4
CPT,59000,Amniocentesis; diagnostic SCHEDULED,,,336.05,343.13,3
CPT,59000,Amniocentesis; diagnostic UNSCHEDULED,,,393.63,401.92,3
CPT,59001,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,1423.0,9710.0,106
CPT,59001,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) Other Surgical Services,,,2850.0,2850.0,4
CPT,59001,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) SCHEDULED,,,336.05,343.13,3
CPT,59001,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) UNSCHEDULED,,,393.63,401.92,3
CPT,59012,"Cordocentesis (intrauterine), any method ",,,1423.0,9710.0,106
CPT,59012,"Cordocentesis (intrauterine), any method Other Surgical Services",,,2850.0,2850.0,4
CPT,59012,"Cordocentesis (intrauterine), any method SCHEDULED",,,336.05,343.13,3
CPT,59012,"Cordocentesis (intrauterine), any method UNSCHEDULED",,,393.63,401.92,3
CPT,59015,"Chorionic villus sampling, any method ",,,1950.0,9710.0,106
CPT,59015,"Chorionic villus sampling, any method Other Surgical Services",,,2850.0,2850.0,4
CPT,59015,"Chorionic villus sampling, any method SCHEDULED",,,336.05,343.13,3
CPT,59015,"Chorionic villus sampling, any method UNSCHEDULED",,,393.63,401.92,3
CPT,59020,Fetal contraction stress test ,,,20.96,6802.0,103
CPT,59020,Fetal contraction stress test Other Surgical Services,,,2850.0,2850.0,4
CPT,59020,Fetal contraction stress test SCHEDULED,,,336.05,343.13,3
CPT,59020,Fetal contraction stress test UNSCHEDULED,,,393.63,401.92,3
CPT,59025,FETAL NONSTRESS TEST,1034.0,1034.0,88.92,1240.8,32
CPT,59025,Fetal non-stress test ,1034.0,1034.0,21.74,6802.0,103
CPT,59025,Fetal non-stress test Other Surgical Services,,,2850.0,2850.0,4
CPT,59025,Fetal non-stress test SCHEDULED,1034.0,1034.0,336.05,343.13,3
CPT,59025,Fetal non-stress test UNSCHEDULED,1034.0,1034.0,393.63,401.92,3
CPT,59030,Fetal scalp blood sampling ,,,1423.0,9710.0,106
CPT,59030,Fetal scalp blood sampling Other Surgical Services,,,2850.0,2850.0,4
CPT,59030,Fetal scalp blood sampling SCHEDULED,,,336.05,343.13,3
CPT,59030,Fetal scalp blood sampling UNSCHEDULED,,,393.63,401.92,3
CPT,59050,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,92.89,9710.0,100
CPT,59050,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation Other Surgical Services",,,2850.0,2850.0,4
CPT,59050,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation SCHEDULED",,,336.05,343.13,3
CPT,59050,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation UNSCHEDULED",,,393.63,401.92,3
CPT,59051,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,60.09,9710.0,72
CPT,59051,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only Other Surgical Services",,,2850.0,2850.0,4
CPT,59051,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only SCHEDULED",,,336.05,343.13,3
CPT,59051,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only UNSCHEDULED",,,393.63,401.92,3
CPT,59070,"Transabdominal amnioinfusion, including ultrasound guidance ",,,1844.0,9710.0,106
CPT,59070,"Transabdominal amnioinfusion, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,59070,"Transabdominal amnioinfusion, including ultrasound guidance SCHEDULED",,,336.05,343.13,3
CPT,59070,"Transabdominal amnioinfusion, including ultrasound guidance UNSCHEDULED",,,393.63,401.92,3
CPT,59072,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,1423.0,9710.0,106
CPT,59072,"Fetal umbilical cord occlusion, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,59072,"Fetal umbilical cord occlusion, including ultrasound guidance SCHEDULED",,,336.05,343.13,3
CPT,59072,"Fetal umbilical cord occlusion, including ultrasound guidance UNSCHEDULED",,,393.63,401.92,3
CPT,59074,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,1423.0,9710.0,106
CPT,59074,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,59074,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance SCHEDULED",,,336.05,343.13,3
CPT,59074,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance UNSCHEDULED",,,393.63,401.92,3
CPT,59076,"Fetal shunt placement, including ultrasound guidance ",,,1423.0,9710.0,106
CPT,59076,"Fetal shunt placement, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,59076,"Fetal shunt placement, including ultrasound guidance SCHEDULED",,,336.05,343.13,3
CPT,59076,"Fetal shunt placement, including ultrasound guidance UNSCHEDULED",,,393.63,401.92,3
CPT,59100,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,1950.0,18507.0,106
CPT,59100,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) Other Surgical Services",,,2850.0,2850.0,4
CPT,59120,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,1950.0,31992.0,106
CPT,59120,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,59121,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,1950.0,31992.0,106
CPT,59121,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,59130,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,1950.0,31992.0,78
CPT,59130,Surgical treatment of ectopic pregnancy; abdominal pregnancy Other Surgical Services,,,2850.0,2850.0,4
CPT,59136,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,1950.0,31992.0,78
CPT,59136,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus Other Surgical Services",,,2850.0,2850.0,4
CPT,59140,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,1950.0,31992.0,78
CPT,59140,"Surgical treatment of ectopic pregnancy; cervical, with evacuation Other Surgical Services",,,2850.0,2850.0,4
CPT,59150,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,2350.0,22212.0,163
CPT,59150,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,22
CPT,59150,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy High Cost Surgery,,,3950.0,3950.0,1
CPT,59150,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Other Surgical Services,,,4150.0,4150.0,1
CPT,59151,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,2350.0,22212.0,163
CPT,59151,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,22
CPT,59151,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy High Cost Surgery,,,3950.0,3950.0,1
CPT,59151,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Other Surgical Services,,,4150.0,4150.0,1
CPT,59160,"Curettage, postpartum ",,,1950.0,18507.0,106
CPT,59160,"Curettage, postpartum Other Surgical Services",,,2850.0,2850.0,4
CPT,59200,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,1423.0,9710.0,106
CPT,59200,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,59300,"Episiotomy or vaginal repair, by other than attending ",,,1950.0,18507.0,106
CPT,59300,"Episiotomy or vaginal repair, by other than attending Other Surgical Services",,,2850.0,2850.0,4
CPT,59320,"Cerclage of cervix, during pregnancy; vaginal ",,,1950.0,18507.0,106
CPT,59320,"Cerclage of cervix, during pregnancy; vaginal Other Surgical Services",,,2850.0,2850.0,4
CPT,59325,"Cerclage of cervix, during pregnancy; abdominal ",,,1950.0,31992.0,78
CPT,59325,"Cerclage of cervix, during pregnancy; abdominal Other Surgical Services",,,2850.0,2850.0,4
CPT,59350,Hysterorrhaphy of ruptured uterus ,,,1950.0,31992.0,70
CPT,59350,Hysterorrhaphy of ruptured uterus Other Surgical Services,,,2850.0,2850.0,4
CPT,59400,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,1950.0,9710.0,63
CPT,59400,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care Other Surgical Services",,,2850.0,2850.0,4
CPT,59409,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,1950.0,18507.0,106
CPT,59409,Vaginal delivery only (with or without episiotomy and/or forceps); Other Surgical Services,,,2850.0,2850.0,4
CPT,59410,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,1950.0,9710.0,63
CPT,59410,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care Other Surgical Services,,,2850.0,2850.0,4
CPT,59412,"External cephalic version, with or without tocolysis ",,,1950.0,18507.0,106
CPT,59412,"External cephalic version, with or without tocolysis Other Surgical Services",,,2850.0,2850.0,4
CPT,59414,Delivery of placenta (separate procedure) ,,,1950.0,18507.0,106
CPT,59414,Delivery of placenta (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,59425,Antepartum care only; 4-6 visits ,,,1950.0,9710.0,63
CPT,59425,Antepartum care only; 4-6 visits Other Surgical Services,,,2850.0,2850.0,4
CPT,59426,Antepartum care only; 7 or more visits ,,,1950.0,9710.0,63
CPT,59426,Antepartum care only; 7 or more visits Other Surgical Services,,,2850.0,2850.0,4
CPT,59430,Postpartum care only (separate procedure) ,,,1950.0,9710.0,63
CPT,59430,Postpartum care only (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,59510,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,1950.0,9710.0,63
CPT,59510,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care Other Surgical Services",,,2850.0,2850.0,4
CPT,59514,Cesarean delivery only; ,,,1950.0,31992.0,78
CPT,59514,Cesarean delivery only; Other Surgical Services,,,2850.0,2850.0,4
CPT,59515,Cesarean delivery only; including postpartum care ,,,1950.0,9710.0,71
CPT,59515,Cesarean delivery only; including postpartum care Other Surgical Services,,,2850.0,2850.0,4
CPT,59525,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,1950.0,31992.0,70
CPT,59525,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,59610,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,1950.0,9710.0,63
CPT,59610,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery Other Surgical Services",,,2850.0,2850.0,4
CPT,59612,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,1950.0,18507.0,106
CPT,59612,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); Other Surgical Services",,,2850.0,2850.0,4
CPT,59614,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,1950.0,9710.0,63
CPT,59614,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care Other Surgical Services",,,2850.0,2850.0,4
CPT,59618,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,1950.0,9710.0,63
CPT,59618,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery Other Surgical Services",,,2850.0,2850.0,4
CPT,59620,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,1950.0,31992.0,70
CPT,59620,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; Other Surgical Services",,,2850.0,2850.0,4
CPT,59622,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,1950.0,9710.0,63
CPT,59622,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care Other Surgical Services",,,2850.0,2850.0,4
CPT,59812,"Treatment of incomplete abortion, any trimester, completed surgically ",,,1950.0,18507.0,106
CPT,59812,"Treatment of incomplete abortion, any trimester, completed surgically Other Surgical Services",,,2850.0,2850.0,4
CPT,59812,"Treatment of incomplete abortion, any trimester, completed surgically SCHEDULED",,,7866.41,8032.02,3
CPT,59820,"Treatment of missed abortion, completed surgically; first trimester ",,,1950.0,18507.0,106
CPT,59820,"Treatment of missed abortion, completed surgically; first trimester Other Surgical Services",,,2850.0,2850.0,4
CPT,59820,"Treatment of missed abortion, completed surgically; first trimester SCHEDULED",,,7866.41,8032.02,3
CPT,59821,"Treatment of missed abortion, completed surgically; second trimester ",,,1950.0,18507.0,106
CPT,59821,"Treatment of missed abortion, completed surgically; second trimester Other Surgical Services",,,2850.0,2850.0,4
CPT,59821,"Treatment of missed abortion, completed surgically; second trimester SCHEDULED",,,7866.41,8032.02,3
CPT,59830,"Treatment of septic abortion, completed surgically ",,,448.95,31992.0,79
CPT,59830,"Treatment of septic abortion, completed surgically Other Surgical Services",,,2850.0,2850.0,4
CPT,59830,"Treatment of septic abortion, completed surgically SCHEDULED",,,7866.41,8032.02,3
CPT,59840,"Induced abortion, by dilation and curettage ",,,1950.0,18507.0,106
CPT,59840,"Induced abortion, by dilation and curettage Other Surgical Services",,,2850.0,2850.0,4
CPT,59840,"Induced abortion, by dilation and curettage SCHEDULED",,,7866.41,8032.02,3
CPT,59841,"Induced abortion, by dilation and evacuation ",,,1950.0,18507.0,106
CPT,59841,"Induced abortion, by dilation and evacuation Other Surgical Services",,,2850.0,2850.0,4
CPT,59841,"Induced abortion, by dilation and evacuation SCHEDULED",,,7866.41,8032.02,3
CPT,59850,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,1950.0,31992.0,78
CPT,59850,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; Other Surgical Services",,,2850.0,2850.0,4
CPT,59850,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; SCHEDULED",,,7866.41,8032.02,3
CPT,59851,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,1950.0,31992.0,85
CPT,59852,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,1950.0,31992.0,85
CPT,59855,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,1950.0,31992.0,78
CPT,59855,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; O",,,2850.0,2850.0,4
CPT,59855,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; S",,,7866.41,8032.02,3
CPT,59856,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,1950.0,31992.0,85
CPT,59857,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,1950.0,31992.0,85
CPT,59866,Multifetal pregnancy reduction(s) (MPR) ,,,1423.0,9710.0,106
CPT,59866,Multifetal pregnancy reduction(s) (MPR) Other Surgical Services,,,2850.0,2850.0,4
CPT,59866,Multifetal pregnancy reduction(s) (MPR) SCHEDULED,,,29.32,29.93,3
CPT,59866,Multifetal pregnancy reduction(s) (MPR) UNSCHEDULED,,,30.36,31.0,3
CPT,59870,Uterine evacuation and curettage for hydatidiform mole ,,,1950.0,18507.0,106
CPT,59870,Uterine evacuation and curettage for hydatidiform mole Other Surgical Services,,,2850.0,2850.0,4
CPT,59870,Uterine evacuation and curettage for hydatidiform mole SCHEDULED,,,29.32,29.93,3
CPT,59870,Uterine evacuation and curettage for hydatidiform mole UNSCHEDULED,,,30.36,31.0,3
CPT,59871,Removal of cerclage suture under anesthesia (other than local) ,,,1950.0,18507.0,106
CPT,59871,Removal of cerclage suture under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,4
CPT,59871,Removal of cerclage suture under anesthesia (other than local) SCHEDULED,,,29.32,29.93,3
CPT,59871,Removal of cerclage suture under anesthesia (other than local) UNSCHEDULED,,,30.36,31.0,3
CPT,59897,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,1423.0,9710.0,106
CPT,59897,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,59897,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed SCHEDULED",,,29.32,29.93,3
CPT,59897,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed UNSCHEDULED",,,30.36,31.0,3
CPT,59898,"Unlisted laparoscopy procedure, maternity care and delivery ",,,2350.0,22212.0,164
CPT,59898,"Unlisted laparoscopy procedure, maternity care and delivery Complex Surgery",,,11754.0,11754.0,22
CPT,59898,"Unlisted laparoscopy procedure, maternity care and delivery Other Surgical Services",,,4150.0,4150.0,1
CPT,59898,"Unlisted laparoscopy procedure, maternity care and delivery SCHEDULED",,,29.32,29.93,3
CPT,59898,"Unlisted laparoscopy procedure, maternity care and delivery UNSCHEDULED",,,30.36,31.0,3
CPT,59899,"Unlisted procedure, maternity care and delivery ",,,1423.0,9710.0,106
CPT,59899,"Unlisted procedure, maternity care and delivery Other Surgical Services",,,2850.0,2850.0,4
CPT,59899,"Unlisted procedure, maternity care and delivery SCHEDULED",,,29.32,29.93,3
CPT,59899,"Unlisted procedure, maternity care and delivery UNSCHEDULED",,,30.36,31.0,3
CPT,60000,"Incision and drainage of thyroglossal duct cyst, infected ",,,1950.0,9710.0,106
CPT,60000,"Incision and drainage of thyroglossal duct cyst, infected Other Surgical Services",,,2850.0,2850.0,4
CPT,60000,"Incision and drainage of thyroglossal duct cyst, infected SCHEDULED",,,454.36,463.92,3
CPT,60001,ASPIRATE/INJECT THYRIOD CYST SCHEDULED,,,454.36,463.92,3
CPT,60100,"Biopsy thyroid, percutaneous core needle ",,,1950.0,9710.0,106
CPT,60100,"Biopsy thyroid, percutaneous core needle Other Surgical Services",,,2850.0,2850.0,4
CPT,60100,"Biopsy thyroid, percutaneous core needle SCHEDULED",,,454.36,463.92,3
CPT,60200,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,1950.0,18507.0,106
CPT,60200,"Excision of cyst or adenoma of thyroid, or transection of isthmus Other Surgical Services",,,2850.0,2850.0,4
CPT,60200,"Excision of cyst or adenoma of thyroid, or transection of isthmus SCHEDULED",,,454.36,463.92,3
CPT,60210,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1950.0,18507.0,106
CPT,60210,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,60210,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy SCHEDULED",,,454.36,463.92,3
CPT,60212,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1950.0,18507.0,106
CPT,60212,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,60212,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy SCHEDULED",,,454.36,463.92,3
CPT,60220,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,1950.0,18507.0,106
CPT,60220,"Total thyroid lobectomy, unilateral; with or without isthmusectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,60220,"Total thyroid lobectomy, unilateral; with or without isthmusectomy SCHEDULED",,,454.36,463.92,3
CPT,60225,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,1950.0,18507.0,106
CPT,60225,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,60225,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy SCHEDULED",,,454.36,463.92,3
CPT,60240,"Thyroidectomy, total or complete ",,,1950.0,18507.0,106
CPT,60240,"Thyroidectomy, total or complete Other Surgical Services",,,2850.0,2850.0,4
CPT,60240,"Thyroidectomy, total or complete SCHEDULED",,,454.36,463.92,3
CPT,60252,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,1950.0,18507.0,106
CPT,60252,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,60252,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection SCHEDULED",,,454.36,463.92,3
CPT,60254,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,1950.0,31992.0,106
CPT,60254,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection Other Surgical Services",,,2850.0,2850.0,4
CPT,60254,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection SCHEDULED",,,454.36,463.92,3
CPT,60260,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,1950.0,18507.0,106
CPT,60260,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Other Surgical Services",,,2850.0,2850.0,4
CPT,60260,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid SCHEDULED",,,454.36,463.92,3
CPT,60270,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,1950.0,31992.0,106
CPT,60270,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach Other Surgical Services",,,2850.0,2850.0,4
CPT,60270,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach SCHEDULED",,,454.36,463.92,3
CPT,60271,"Thyroidectomy, including substernal thyroid; cervical approach ",,,1950.0,18507.0,106
CPT,60271,"Thyroidectomy, including substernal thyroid; cervical approach Other Surgical Services",,,2850.0,2850.0,4
CPT,60271,"Thyroidectomy, including substernal thyroid; cervical approach SCHEDULED",,,454.36,463.92,3
CPT,60280,Excision of thyroglossal duct cyst or sinus; ,,,1950.0,18507.0,106
CPT,60280,Excision of thyroglossal duct cyst or sinus; Other Surgical Services,,,2850.0,2850.0,4
CPT,60280,Excision of thyroglossal duct cyst or sinus; SCHEDULED,,,454.36,463.92,3
CPT,60281,Excision of thyroglossal duct cyst or sinus; recurrent ,,,1950.0,18507.0,106
CPT,60281,Excision of thyroglossal duct cyst or sinus; recurrent Other Surgical Services,,,2850.0,2850.0,4
CPT,60281,Excision of thyroglossal duct cyst or sinus; recurrent SCHEDULED,,,454.36,463.92,3
CPT,60300,"Aspiration and/or injection, thyroid cyst ",,,1950.0,9710.0,106
CPT,60300,"Aspiration and/or injection, thyroid cyst Other Surgical Services",,,2850.0,2850.0,4
CPT,60300,"Aspiration and/or injection, thyroid cyst SCHEDULED",,,454.36,463.92,3
CPT,60500,Parathyroidectomy or exploration of parathyroid(s); ,,,1950.0,18507.0,106
CPT,60500,Parathyroidectomy or exploration of parathyroid(s); Other Surgical Services,,,2850.0,2850.0,4
CPT,60502,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,1950.0,18507.0,106
CPT,60502,Parathyroidectomy or exploration of parathyroid(s); re-exploration Other Surgical Services,,,2850.0,2850.0,4
CPT,60505,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,1950.0,31992.0,78
CPT,60505,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach Other Surgical Services",,,2850.0,2850.0,4
CPT,60512,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,60512,Parathyroid autotransplantation (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,60520,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,1950.0,18507.0,106
CPT,60520,"Thymectomy, partial or total; transcervical approach (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,60521,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,1950.0,31992.0,78
CPT,60521,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,60522,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,1950.0,31992.0,78
CPT,60522,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,60540,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,1950.0,31992.0,78
CPT,60540,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); Other Surgical Services",,,2850.0,2850.0,4
CPT,60545,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,1950.0,31992.0,78
CPT,60545,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor Other",,,2850.0,2850.0,4
CPT,60600,Excision of carotid body tumor; without excision of carotid artery ,,,1950.0,31992.0,78
CPT,60600,Excision of carotid body tumor; without excision of carotid artery Other Surgical Services,,,2850.0,2850.0,4
CPT,60605,Excision of carotid body tumor; with excision of carotid artery ,,,1950.0,31992.0,78
CPT,60605,Excision of carotid body tumor; with excision of carotid artery Other Surgical Services,,,2850.0,2850.0,4
CPT,60650,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,2350.0,31992.0,99
CPT,60650,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal Other Surgical Services",,,4150.0,4150.0,1
CPT,60659,"Unlisted laparoscopy procedure, endocrine system ",,,2350.0,18507.0,99
CPT,60659,"Unlisted laparoscopy procedure, endocrine system Other Surgical Services",,,4150.0,4150.0,1
CPT,60660,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,1950.0,9710.0,78
CPT,60660,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency Other Surgical Services",,,2850.0,2850.0,4
CPT,60661,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,60661,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,60699,"Unlisted procedure, endocrine system ",,,1950.0,18507.0,106
CPT,60699,"Unlisted procedure, endocrine system Other Surgical Services",,,2850.0,2850.0,4
CPT,61000,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,1950.0,9710.0,106
CPT,61000,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial Other Surgical Services",,,2850.0,2850.0,4
CPT,61000,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial SCHEDULED",,,2831.86,2891.48,3
CPT,61000,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial UNSCHEDULED",,,1335.32,1363.43,3
CPT,61001,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,1950.0,9710.0,106
CPT,61001,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Other Surgical Services",,,2850.0,2850.0,4
CPT,61001,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps SCHEDULED",,,2831.86,2891.48,3
CPT,61001,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps UNSCHEDULED",,,1335.32,1363.43,3
CPT,61020,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,1950.0,9710.0,106
CPT,61020,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection Other Surgical Services",,,2850.0,2850.0,4
CPT,61020,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection SCHEDULED",,,2831.86,2891.48,3
CPT,61020,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection UNSCHEDULED",,,1335.32,1363.43,3
CPT,61026,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,1950.0,9710.0,106
CPT,61026,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment Other Surgi",,,2850.0,2850.0,4
CPT,61026,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment SCHEDULED",,,2831.86,2891.48,3
CPT,61026,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment UNSCHEDULED",,,1335.32,1363.43,3
CPT,61050,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,1844.0,9710.0,106
CPT,61050,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,61050,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) SCHEDULED,,,2831.86,2891.48,3
CPT,61050,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) UNSCHEDULED,,,1335.32,1363.43,3
CPT,61055,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,1844.0,9710.0,106
CPT,61055,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment Other Surgical Services,,,2850.0,2850.0,4
CPT,61055,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment SCHEDULED,,,2831.86,2891.48,3
CPT,61055,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment UNSCHEDULED,,,2090.66,2134.67,3
CPT,61070,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,1950.0,9710.0,106
CPT,61070,Puncture of shunt tubing or reservoir for aspiration or injection procedure Other Surgical Services,,,2850.0,2850.0,4
CPT,61070,Puncture of shunt tubing or reservoir for aspiration or injection procedure SCHEDULED,,,2831.86,2891.48,3
CPT,61070,Puncture of shunt tubing or reservoir for aspiration or injection procedure UNSCHEDULED,,,1335.32,1363.43,3
CPT,61105,Twist drill hole for subdural or ventricular puncture ,,,1950.0,31992.0,78
CPT,61105,Twist drill hole for subdural or ventricular puncture Other Surgical Services,,,2850.0,2850.0,4
CPT,61105,Twist drill hole for subdural or ventricular puncture SCHEDULED,,,2831.86,2891.48,3
CPT,61105,Twist drill hole for subdural or ventricular puncture UNSCHEDULED,,,1335.32,1363.43,3
CPT,61107,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,1950.0,31992.0,78
CPT,61107,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device Other Surgical Servic",,,2850.0,2850.0,4
CPT,61107,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device SCHEDULED",,,2831.86,2891.48,3
CPT,61107,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device UNSCHEDULED",,,1335.32,1363.43,3
CPT,61108,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,1950.0,31992.0,78
CPT,61108,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma Other Surgical Services",,,2850.0,2850.0,4
CPT,61108,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma SCHEDULED",,,2831.86,2891.48,3
CPT,61108,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma UNSCHEDULED",,,1335.32,1363.43,3
CPT,61120,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,1950.0,31992.0,78
CPT,61120,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) Other Surgical Services",,,2850.0,2850.0,4
CPT,61120,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) SCHEDULED",,,2831.86,2891.48,3
CPT,61120,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61140,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,1950.0,31992.0,78
CPT,61140,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion Other Surgical Services,,,2850.0,2850.0,4
CPT,61140,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion SCHEDULED,,,2831.86,2891.48,3
CPT,61140,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion UNSCHEDULED,,,1335.32,1363.43,3
CPT,61150,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,1950.0,31992.0,78
CPT,61150,Burr hole(s) or trephine; with drainage of brain abscess or cyst Other Surgical Services,,,2850.0,2850.0,4
CPT,61150,Burr hole(s) or trephine; with drainage of brain abscess or cyst SCHEDULED,,,2831.86,2891.48,3
CPT,61150,Burr hole(s) or trephine; with drainage of brain abscess or cyst UNSCHEDULED,,,3879.81,3961.49,3
CPT,61151,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,1950.0,31992.0,78
CPT,61151,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst Other Surgical Services,,,2850.0,2850.0,4
CPT,61151,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst SCHEDULED,,,2831.86,2891.48,3
CPT,61151,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst UNSCHEDULED,,,1335.32,1363.43,3
CPT,61154,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,1950.0,31992.0,78
CPT,61154,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural Other Surgical Services",,,2850.0,2850.0,4
CPT,61154,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural SCHEDULED",,,2831.86,2891.48,3
CPT,61154,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural UNSCHEDULED",,,1335.32,1363.43,3
CPT,61156,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,1950.0,31992.0,78
CPT,61156,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral Other Surgical Services",,,2850.0,2850.0,4
CPT,61156,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral SCHEDULED",,,2831.86,2891.48,3
CPT,61156,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral UNSCHEDULED",,,1335.32,1363.43,3
CPT,61210,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,1950.0,31992.0,78
CPT,61210,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,61210,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) SCHEDULED",,,2831.86,2891.48,3
CPT,61210,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61215,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,1950.0,23350.0,106
CPT,61215,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Other Surgical Services",,,2850.0,2850.0,4
CPT,61215,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter SCHEDULED",,,2831.86,2891.48,3
CPT,61215,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter UNSCHEDULED",,,1335.32,1363.43,3
CPT,61250,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,1950.0,31992.0,78
CPT,61250,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery Other Surgical Services",,,2850.0,2850.0,4
CPT,61250,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery SCHEDULED",,,2831.86,2891.48,3
CPT,61250,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery UNSCHEDULED",,,1335.32,1363.43,3
CPT,61253,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,1950.0,31992.0,78
CPT,61253,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,61253,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral SCHEDULED",,,2831.86,2891.48,3
CPT,61253,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral UNSCHEDULED",,,1335.32,1363.43,3
CPT,61304,"Craniectomy or craniotomy, exploratory; supratentorial ",,,1950.0,31992.0,78
CPT,61304,"Craniectomy or craniotomy, exploratory; supratentorial Other Surgical Services",,,2850.0,2850.0,4
CPT,61304,"Craniectomy or craniotomy, exploratory; supratentorial SCHEDULED",,,2831.86,2891.48,3
CPT,61304,"Craniectomy or craniotomy, exploratory; supratentorial UNSCHEDULED",,,1335.32,1363.43,3
CPT,61305,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,1950.0,31992.0,78
CPT,61305,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) Other Surgical Services",,,2850.0,2850.0,4
CPT,61305,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) SCHEDULED",,,2831.86,2891.48,3
CPT,61305,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61312,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,1950.0,31992.0,78
CPT,61312,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural Other Surgical Services",,,2850.0,2850.0,4
CPT,61312,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural SCHEDULED",,,2831.86,2891.48,3
CPT,61312,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural UNSCHEDULED",,,1335.32,1363.43,3
CPT,61313,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,1950.0,31992.0,78
CPT,61313,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral Other Surgical Services",,,2850.0,2850.0,4
CPT,61313,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral SCHEDULED",,,2831.86,2891.48,3
CPT,61313,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral UNSCHEDULED",,,1335.32,1363.43,3
CPT,61314,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,1950.0,31992.0,78
CPT,61314,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural Other Surgical Services",,,2850.0,2850.0,4
CPT,61314,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural SCHEDULED",,,2831.86,2891.48,3
CPT,61314,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural UNSCHEDULED",,,1335.32,1363.43,3
CPT,61315,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,1950.0,31992.0,78
CPT,61315,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar Other Surgical Services",,,2850.0,2850.0,4
CPT,61315,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar SCHEDULED",,,2831.86,2891.48,3
CPT,61315,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar UNSCHEDULED",,,1335.32,1363.43,3
CPT,61316,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,1950.0,31992.0,78
CPT,61316,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,61316,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) SCHEDULED,,,2831.86,2891.48,3
CPT,61316,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) UNSCHEDULED,,,1335.32,1363.43,3
CPT,61320,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,1950.0,31992.0,78
CPT,61320,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial Other Surgical Services",,,2850.0,2850.0,4
CPT,61320,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial SCHEDULED",,,2831.86,2891.48,3
CPT,61320,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial UNSCHEDULED",,,1335.32,1363.43,3
CPT,61321,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,1950.0,31992.0,78
CPT,61321,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial Other Surgical Services",,,2850.0,2850.0,4
CPT,61321,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial SCHEDULED",,,2831.86,2891.48,3
CPT,61321,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial UNSCHEDULED",,,1335.32,1363.43,3
CPT,61322,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,1950.0,31992.0,78
CPT,61322,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy Other Su",,,2850.0,2850.0,4
CPT,61322,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy SCHEDULE",,,2831.86,2891.48,3
CPT,61322,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy UNSCHEDU",,,1335.32,1363.43,3
CPT,61323,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,1950.0,31992.0,78
CPT,61323,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy Other Surgi",,,2850.0,2850.0,4
CPT,61323,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy SCHEDULED",,,2831.86,2891.48,3
CPT,61323,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy UNSCHEDULED",,,1335.32,1363.43,3
CPT,61330,"Decompression of orbit only, transcranial approach ",,,1950.0,18507.0,106
CPT,61330,"Decompression of orbit only, transcranial approach Other Surgical Services",,,2850.0,2850.0,4
CPT,61330,"Decompression of orbit only, transcranial approach SCHEDULED",,,2831.86,2891.48,3
CPT,61330,"Decompression of orbit only, transcranial approach UNSCHEDULED",,,1335.32,1363.43,3
CPT,61332,EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY SCHEDULED,,,2831.86,2891.48,3
CPT,61332,EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY UNSCHEDULED,,,1335.32,1363.43,3
CPT,61333,"Exploration of orbit (transcranial approach), with removal of lesion ",,,1950.0,31992.0,78
CPT,61333,"Exploration of orbit (transcranial approach), with removal of lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,61333,"Exploration of orbit (transcranial approach), with removal of lesion SCHEDULED",,,2831.86,2891.48,3
CPT,61333,"Exploration of orbit (transcranial approach), with removal of lesion UNSCHEDULED",,,1335.32,1363.43,3
CPT,61334,EXPLORE ORBIT/REMOVE OBJECT SCHEDULED,,,2831.86,2891.48,3
CPT,61334,EXPLORE ORBIT/REMOVE OBJECT UNSCHEDULED,,,1335.32,1363.43,3
CPT,61340,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,1950.0,31992.0,78
CPT,61340,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) Other Surgical Services",,,2850.0,2850.0,4
CPT,61340,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) SCHEDULED",,,2831.86,2891.48,3
CPT,61340,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61343,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,1950.0,31992.0,78
CPT,61343,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) Other Surgical Services",,,2850.0,2850.0,4
CPT,61343,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) SCHEDULED",,,2831.86,2891.48,3
CPT,61343,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61345,"Other cranial decompression, posterior fossa ",,,1950.0,31992.0,78
CPT,61345,"Other cranial decompression, posterior fossa Other Surgical Services",,,2850.0,2850.0,4
CPT,61345,"Other cranial decompression, posterior fossa SCHEDULED",,,2831.86,2891.48,3
CPT,61345,"Other cranial decompression, posterior fossa UNSCHEDULED",,,1335.32,1363.43,3
CPT,61440,INCISE SKULL FOR SURGERY SCHEDULED,,,2831.86,2891.48,3
CPT,61440,INCISE SKULL FOR SURGERY UNSCHEDULED,,,1335.32,1363.43,3
CPT,61450,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,1950.0,31992.0,78
CPT,61450,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion Other Surgical Services",,,2850.0,2850.0,4
CPT,61450,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion SCHEDULED",,,2831.86,2891.48,3
CPT,61450,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion UNSCHEDULED",,,579.98,592.19,3
CPT,61458,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,1950.0,31992.0,78
CPT,61458,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves Other Surgical Services",,,2850.0,2850.0,4
CPT,61458,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves SCHEDULED",,,2831.86,2891.48,3
CPT,61458,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves UNSCHEDULED",,,1335.32,1363.43,3
CPT,61460,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,1950.0,31992.0,78
CPT,61460,"Craniectomy, suboccipital; for section of 1 or more cranial nerves Other Surgical Services",,,2850.0,2850.0,4
CPT,61460,"Craniectomy, suboccipital; for section of 1 or more cranial nerves SCHEDULED",,,2831.86,2891.48,3
CPT,61460,"Craniectomy, suboccipital; for section of 1 or more cranial nerves UNSCHEDULED",,,1335.32,1363.43,3
CPT,61470,INCISE SKULL FOR SURGERY SCHEDULED,,,2831.86,2891.48,3
CPT,61470,INCISE SKULL FOR SURGERY UNSCHEDULED,,,1335.32,1363.43,3
CPT,61480,"CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY SCHEDULED",,,2831.86,2891.48,3
CPT,61480,"CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY UNSCHEDULED",,,1335.32,1363.43,3
CPT,61490,INCISE SKULL FOR SURGERY SCHEDULED,,,2831.86,2891.48,3
CPT,61490,INCISE SKULL FOR SURGERY UNSCHEDULED,,,1335.32,1363.43,3
CPT,61500,Craniectomy; with excision of tumor or other bone lesion of skull ,,,1950.0,31992.0,106
CPT,61500,Craniectomy; with excision of tumor or other bone lesion of skull Other Surgical Services,,,2850.0,2850.0,4
CPT,61500,Craniectomy; with excision of tumor or other bone lesion of skull SCHEDULED,,,2831.86,2891.48,3
CPT,61500,Craniectomy; with excision of tumor or other bone lesion of skull UNSCHEDULED,,,1335.32,1363.43,3
CPT,61501,Craniectomy; for osteomyelitis ,,,1950.0,31992.0,78
CPT,61501,Craniectomy; for osteomyelitis Other Surgical Services,,,2850.0,2850.0,4
CPT,61501,Craniectomy; for osteomyelitis SCHEDULED,,,2831.86,2891.48,3
CPT,61501,Craniectomy; for osteomyelitis UNSCHEDULED,,,1335.32,1363.43,3
CPT,61510,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,1950.0,31992.0,78
CPT,61510,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma Other Surgical Services",,,2850.0,2850.0,4
CPT,61510,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma SCHEDULED",,,2831.86,2891.48,3
CPT,61510,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma UNSCHEDULED",,,1335.32,1363.43,3
CPT,61512,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,1950.0,31992.0,78
CPT,61512,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial Other Surgical Services",,,2850.0,2850.0,4
CPT,61512,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial SCHEDULED",,,2831.86,2891.48,3
CPT,61512,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial UNSCHEDULED",,,1335.32,1363.43,3
CPT,61514,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,1950.0,31992.0,78
CPT,61514,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial Other Surgical Services",,,2850.0,2850.0,4
CPT,61514,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial SCHEDULED",,,2831.86,2891.48,3
CPT,61514,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial UNSCHEDULED",,,1335.32,1363.43,3
CPT,61516,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,1950.0,31992.0,78
CPT,61516,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial Other Surgical Services",,,2850.0,2850.0,4
CPT,61516,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial SCHEDULED",,,2831.86,2891.48,3
CPT,61516,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial UNSCHEDULED",,,1335.32,1363.43,3
CPT,61517,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,1950.0,31992.0,78
CPT,61517,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,61517,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) SCHEDULED,,,2831.86,2891.48,3
CPT,61517,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) UNSCHEDULED,,,1335.32,1363.43,3
CPT,61518,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,1950.0,31992.0,78
CPT,61518,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull Other Surgical Services",,,2850.0,2850.0,4
CPT,61518,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull SCHEDULED",,,2831.86,2891.48,3
CPT,61518,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull UNSCHEDULED",,,1335.32,1363.43,3
CPT,61519,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,1950.0,31992.0,78
CPT,61519,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma Other Surgical Services",,,2850.0,2850.0,4
CPT,61519,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma SCHEDULED",,,2831.86,2891.48,3
CPT,61519,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma UNSCHEDULED",,,1335.32,1363.43,3
CPT,61520,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,1950.0,31992.0,78
CPT,61520,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor Other Surgical Services",,,2850.0,2850.0,4
CPT,61520,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor SCHEDULED",,,2831.86,2891.48,3
CPT,61520,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor UNSCHEDULED",,,1335.32,1363.43,3
CPT,61521,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,1950.0,31992.0,78
CPT,61521,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull Other Surgical Services",,,2850.0,2850.0,4
CPT,61521,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull SCHEDULED",,,2831.86,2891.48,3
CPT,61521,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull UNSCHEDULED",,,1335.32,1363.43,3
CPT,61522,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,1950.0,31992.0,78
CPT,61522,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess Other Surgical Services",,,2850.0,2850.0,4
CPT,61522,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess SCHEDULED",,,2831.86,2891.48,3
CPT,61522,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess UNSCHEDULED",,,1335.32,1363.43,3
CPT,61524,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,1950.0,31992.0,78
CPT,61524,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst Other Surgical Services",,,2850.0,2850.0,4
CPT,61524,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst SCHEDULED",,,2831.86,2891.48,3
CPT,61524,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst UNSCHEDULED",,,1335.32,1363.43,3
CPT,61526,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,1950.0,31992.0,78
CPT,61526,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; Other Surgical Services",,,2850.0,2850.0,4
CPT,61526,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; SCHEDULED",,,2831.86,2891.48,3
CPT,61526,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; UNSCHEDULED",,,1335.32,1363.43,3
CPT,61530,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,1950.0,31992.0,78
CPT,61530,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,61530,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy SCHEDULED",,,2831.86,2891.48,3
CPT,61530,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy UNSCHEDULED",,,1335.32,1363.43,3
CPT,61531,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,1950.0,31992.0,106
CPT,61531,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring Other Surgical Services,,,2850.0,2850.0,4
CPT,61531,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring SCHEDULED,,,2831.86,2891.48,3
CPT,61531,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring UNSCHEDULED,,,1335.32,1363.43,3
CPT,61533,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,1950.0,31992.0,78
CPT,61533,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring Other Surgical Services",,,2850.0,2850.0,4
CPT,61533,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring SCHEDULED",,,2831.86,2891.48,3
CPT,61533,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring UNSCHEDULED",,,1335.32,1363.43,3
CPT,61534,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,1950.0,31992.0,78
CPT,61534,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery Other Surgical Services,,,2850.0,2850.0,4
CPT,61534,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery SCHEDULED,,,2831.86,2891.48,3
CPT,61534,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery UNSCHEDULED,,,1335.32,1363.43,3
CPT,61535,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,1950.0,31992.0,78
CPT,61535,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,61535,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) SCHEDULED",,,2831.86,2891.48,3
CPT,61535,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61536,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,1950.0,31992.0,78
CPT,61536,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) Other Surgical Services",,,2850.0,2850.0,4
CPT,61536,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) SCHEDULED",,,2831.86,2891.48,3
CPT,61536,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61537,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,1950.0,31992.0,78
CPT,61537,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,4
CPT,61537,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery SCHEDULED",,,2831.86,2891.48,3
CPT,61537,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery UNSCHEDULED",,,1335.32,1363.43,3
CPT,61538,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,1950.0,31992.0,78
CPT,61538,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,4
CPT,61538,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery SCHEDULED",,,2831.86,2891.48,3
CPT,61538,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery UNSCHEDULED",,,1335.32,1363.43,3
CPT,61539,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,1950.0,31992.0,78
CPT,61539,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,4
CPT,61539,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery SCHEDULED",,,2831.86,2891.48,3
CPT,61539,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery UNSCHEDULED",,,1335.32,1363.43,3
CPT,61540,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,1950.0,31992.0,78
CPT,61540,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,4
CPT,61540,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery SCHEDULED",,,2831.86,2891.48,3
CPT,61540,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery UNSCHEDULED",,,1335.32,1363.43,3
CPT,61541,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,1950.0,31992.0,78
CPT,61541,Craniotomy with elevation of bone flap; for transection of corpus callosum Other Surgical Services,,,2850.0,2850.0,4
CPT,61541,Craniotomy with elevation of bone flap; for transection of corpus callosum SCHEDULED,,,2831.86,2891.48,3
CPT,61541,Craniotomy with elevation of bone flap; for transection of corpus callosum UNSCHEDULED,,,1335.32,1363.43,3
CPT,61542,REMOVAL OF BRAIN TISSUE SCHEDULED,,,2831.86,2891.48,3
CPT,61542,REMOVAL OF BRAIN TISSUE UNSCHEDULED,,,1335.32,1363.43,3
CPT,61543,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,1950.0,31992.0,78
CPT,61543,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,61543,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy SCHEDULED,,,2831.86,2891.48,3
CPT,61543,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy UNSCHEDULED,,,1335.32,1363.43,3
CPT,61544,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,1950.0,31992.0,78
CPT,61544,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus Other Surgical Services,,,2850.0,2850.0,4
CPT,61544,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus SCHEDULED,,,2831.86,2891.48,3
CPT,61544,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus UNSCHEDULED,,,1335.32,1363.43,3
CPT,61545,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,1950.0,31992.0,78
CPT,61545,Craniotomy with elevation of bone flap; for excision of craniopharyngioma Other Surgical Services,,,2850.0,2850.0,4
CPT,61545,Craniotomy with elevation of bone flap; for excision of craniopharyngioma SCHEDULED,,,2831.86,2891.48,3
CPT,61545,Craniotomy with elevation of bone flap; for excision of craniopharyngioma UNSCHEDULED,,,1335.32,1363.43,3
CPT,61546,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,1950.0,31992.0,78
CPT,61546,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach Other Surgical Services",,,2850.0,2850.0,4
CPT,61546,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach SCHEDULED",,,2831.86,2891.48,3
CPT,61546,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach UNSCHEDULED",,,1335.32,1363.43,3
CPT,61548,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,1950.0,31992.0,78
CPT,61548,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic Other Surgical Services",,,2850.0,2850.0,4
CPT,61548,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic SCHEDULED",,,2831.86,2891.48,3
CPT,61548,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic UNSCHEDULED",,,1335.32,1363.43,3
CPT,61550,Craniectomy for craniosynostosis; single cranial suture ,,,1950.0,31992.0,78
CPT,61550,Craniectomy for craniosynostosis; single cranial suture Other Surgical Services,,,2850.0,2850.0,4
CPT,61550,Craniectomy for craniosynostosis; single cranial suture SCHEDULED,,,2831.86,2891.48,3
CPT,61550,Craniectomy for craniosynostosis; single cranial suture UNSCHEDULED,,,1335.32,1363.43,3
CPT,61552,Craniectomy for craniosynostosis; multiple cranial sutures ,,,1950.0,31992.0,78
CPT,61552,Craniectomy for craniosynostosis; multiple cranial sutures Other Surgical Services,,,2850.0,2850.0,4
CPT,61552,Craniectomy for craniosynostosis; multiple cranial sutures SCHEDULED,,,2831.86,2891.48,3
CPT,61552,Craniectomy for craniosynostosis; multiple cranial sutures UNSCHEDULED,,,1335.32,1363.43,3
CPT,61556,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,1950.0,31992.0,78
CPT,61556,Craniotomy for craniosynostosis; frontal or parietal bone flap Other Surgical Services,,,2850.0,2850.0,4
CPT,61556,Craniotomy for craniosynostosis; frontal or parietal bone flap SCHEDULED,,,2831.86,2891.48,3
CPT,61556,Craniotomy for craniosynostosis; frontal or parietal bone flap UNSCHEDULED,,,1335.32,1363.43,3
CPT,61557,Craniotomy for craniosynostosis; bifrontal bone flap ,,,1950.0,31992.0,78
CPT,61557,Craniotomy for craniosynostosis; bifrontal bone flap Other Surgical Services,,,2850.0,2850.0,4
CPT,61557,Craniotomy for craniosynostosis; bifrontal bone flap SCHEDULED,,,2831.86,2891.48,3
CPT,61557,Craniotomy for craniosynostosis; bifrontal bone flap UNSCHEDULED,,,1335.32,1363.43,3
CPT,61558,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,1950.0,31992.0,78
CPT,61558,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts Other Surgical Services",,,2850.0,2850.0,4
CPT,61558,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts SCHEDULED",,,2831.86,2891.48,3
CPT,61558,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts UNSCHEDULED",,,1335.32,1363.43,3
CPT,61559,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,1335.32,31992.0,88
CPT,61563,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,1950.0,31992.0,78
CPT,61563,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression Other Surgical Services",,,2850.0,2850.0,4
CPT,61563,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression SCHEDULED",,,2831.86,2891.48,3
CPT,61563,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression UNSCHEDULED",,,1335.32,1363.43,3
CPT,61564,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,1950.0,31992.0,78
CPT,61564,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression Other Surgical Services",,,2850.0,2850.0,4
CPT,61564,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression SCHEDULED",,,2831.86,2891.48,3
CPT,61564,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression UNSCHEDULED",,,1335.32,1363.43,3
CPT,61566,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,1950.0,31992.0,78
CPT,61566,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,61566,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy SCHEDULED,,,2831.86,2891.48,3
CPT,61566,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy UNSCHEDULED,,,1335.32,1363.43,3
CPT,61567,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,1950.0,31992.0,78
CPT,61567,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,4
CPT,61567,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery SCHEDULED",,,2831.86,2891.48,3
CPT,61567,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery UNSCHEDULED",,,1335.32,1363.43,3
CPT,61570,Craniectomy or craniotomy; with excision of foreign body from brain ,,,1950.0,31992.0,78
CPT,61570,Craniectomy or craniotomy; with excision of foreign body from brain Other Surgical Services,,,2850.0,2850.0,4
CPT,61570,Craniectomy or craniotomy; with excision of foreign body from brain SCHEDULED,,,2831.86,2891.48,3
CPT,61570,Craniectomy or craniotomy; with excision of foreign body from brain UNSCHEDULED,,,1335.32,1363.43,3
CPT,61571,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,1950.0,31992.0,78
CPT,61571,Craniectomy or craniotomy; with treatment of penetrating wound of brain Other Surgical Services,,,2850.0,2850.0,4
CPT,61571,Craniectomy or craniotomy; with treatment of penetrating wound of brain SCHEDULED,,,2831.86,2891.48,3
CPT,61571,Craniectomy or craniotomy; with treatment of penetrating wound of brain UNSCHEDULED,,,1335.32,1363.43,3
CPT,61575,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,1950.0,31992.0,78
CPT,61575,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; Other Surgical Services",,,2850.0,2850.0,4
CPT,61575,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; SCHEDULED",,,2831.86,2891.48,3
CPT,61575,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; UNSCHEDULED",,,1335.32,1363.43,3
CPT,61576,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,1950.0,31992.0,78
CPT,61576,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) Other Surgical",,,2850.0,2850.0,4
CPT,61576,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) SCHEDULED",,,2831.86,2891.48,3
CPT,61576,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61580,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,1950.0,31992.0,78
CPT,61580,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration Other Surgical Services",,,2850.0,2850.0,4
CPT,61580,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration SCHEDULED",,,2831.86,2891.48,3
CPT,61580,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration UNSCHEDULED",,,1335.32,1363.43,3
CPT,61581,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,1950.0,31992.0,78
CPT,61581,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,61581,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy SCHEDULED",,,2831.86,2891.48,3
CPT,61581,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy UNSCHEDULED",,,1335.32,1363.43,3
CPT,61582,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,1950.0,31992.0,78
CPT,61582,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa Other Surgical Serv",,,2850.0,2850.0,4
CPT,61582,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa SCHEDULED",,,2831.86,2891.48,3
CPT,61582,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa UNSCHEDULED",,,1335.32,1363.43,3
CPT,61583,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,1950.0,31992.0,78
CPT,61583,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa Other Sur",,,2850.0,2850.0,4
CPT,61583,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa SCHEDULED",,,2831.86,2891.48,3
CPT,61583,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa UNSCHEDUL",,,1335.32,1363.43,3
CPT,61584,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,1950.0,31992.0,78
CPT,61584,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration Other Surgical Servi",,,2850.0,2850.0,4
CPT,61584,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration SCHEDULED",,,2831.86,2891.48,3
CPT,61584,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration UNSCHEDULED",,,1335.32,1363.43,3
CPT,61585,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,1950.0,31992.0,78
CPT,61585,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration Other Surgical Services",,,2850.0,2850.0,4
CPT,61585,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration SCHEDULED",,,2831.86,2891.48,3
CPT,61585,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration UNSCHEDULED",,,1335.32,1363.43,3
CPT,61586,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,1950.0,31992.0,78
CPT,61586,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft Other Surgical Services",,,2850.0,2850.0,4
CPT,61586,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft SCHEDULED",,,2831.86,2891.48,3
CPT,61586,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft UNSCHEDULED",,,1335.32,1363.43,3
CPT,61590,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,1335.32,31992.0,88
CPT,61591,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,1335.32,31992.0,88
CPT,61592,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,1335.32,31992.0,88
CPT,61595,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,1950.0,31992.0,78
CPT,61595,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization Othe",,,2850.0,2850.0,4
CPT,61595,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization SCHE",,,2831.86,2891.48,3
CPT,61595,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization UNSC",,,1335.32,1363.43,3
CPT,61596,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,1335.32,31992.0,88
CPT,61597,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,1335.32,31992.0,88
CPT,61598,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,1950.0,31992.0,78
CPT,61598,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus Other Surgical Services",,,2850.0,2850.0,4
CPT,61598,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus SCHEDULED",,,2831.86,2891.48,3
CPT,61598,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus UNSCHEDULED",,,1335.32,1363.43,3
CPT,61600,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,1950.0,31992.0,78
CPT,61600,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural Other Surgical Services",,,2850.0,2850.0,4
CPT,61600,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural SCHEDULED",,,2831.86,2891.48,3
CPT,61600,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural UNSCHEDULED",,,1335.32,1363.43,3
CPT,61601,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,1950.0,31992.0,78
CPT,61601,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft Other Surgical Services",,,2850.0,2850.0,4
CPT,61601,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft SCHEDULED",,,2831.86,2891.48,3
CPT,61601,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft UNSCHEDULED",,,1335.32,1363.43,3
CPT,61605,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,1950.0,31992.0,78
CPT,61605,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural Other Surgical Services",,,2850.0,2850.0,4
CPT,61605,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural SCHEDULED",,,2831.86,2891.48,3
CPT,61605,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural UNSCHEDULED",,,1335.32,1363.43,3
CPT,61606,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,1950.0,31992.0,78
CPT,61606,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft Other Surgical ",,,2850.0,2850.0,4
CPT,61606,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft SCHEDULED",,,2831.86,2891.48,3
CPT,61606,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft UNSCHEDULED",,,1335.32,1363.43,3
CPT,61607,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,1950.0,31992.0,78
CPT,61607,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural Other Surgical Services",,,2850.0,2850.0,4
CPT,61607,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural SCHEDULED",,,2831.86,2891.48,3
CPT,61607,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural UNSCHEDULED",,,1335.32,1363.43,3
CPT,61608,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,1950.0,31992.0,78
CPT,61608,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft Other Su",,,2850.0,2850.0,4
CPT,61608,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft SCHEDULE",,,2831.86,2891.48,3
CPT,61608,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft UNSCHEDU",,,1335.32,1363.43,3
CPT,61609,TRANSECT ARTERY SINUS SCHEDULED,,,2831.86,2891.48,3
CPT,61609,TRANSECT ARTERY SINUS UNSCHEDULED,,,1335.32,1363.43,3
CPT,61610,"TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS, WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) SCHEDULED",,,2831.86,2891.48,3
CPT,61610,"TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS, WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61611,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,1950.0,31992.0,78
CPT,61611,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,61611,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) SCHEDULED",,,2831.86,2891.48,3
CPT,61611,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61612,"TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) SCHEDULED",,,2831.86,2891.48,3
CPT,61612,"TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY ANASTOMOSIS OR GRAFT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61613,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,1950.0,31992.0,78
CPT,61613,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus Other Surgical Services",,,2850.0,2850.0,4
CPT,61613,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus SCHEDULED",,,2831.86,2891.48,3
CPT,61613,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus UNSCHEDULED",,,1335.32,1363.43,3
CPT,61615,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,1950.0,31992.0,78
CPT,61615,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural Other Surgical Services",,,2850.0,2850.0,4
CPT,61615,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural SCHEDULED",,,2831.86,2891.48,3
CPT,61615,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural UNSCHEDULED",,,1335.32,1363.43,3
CPT,61616,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,1335.32,31992.0,88
CPT,61618,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,1335.32,31992.0,88
CPT,61619,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,1335.32,31992.0,88
CPT,61623,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,1335.32,19295.0,116
CPT,61624,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,1335.32,19295.0,88
CPT,61626,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,1335.32,19295.0,116
CPT,61630,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,1950.0,31992.0,143
CPT,61630,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous Other Surgical Services",,,2850.0,2850.0,4
CPT,61630,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous SCHEDULED",,,2831.86,2891.48,3
CPT,61630,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous UNSCHEDULED",,,1335.32,1363.43,3
CPT,61635,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,1950.0,31992.0,78
CPT,61635,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed Other Surgical Services",,,2850.0,2850.0,4
CPT,61635,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed SCHEDULED",,,2831.86,2891.48,3
CPT,61635,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed UNSCHEDULED",,,1335.32,1363.43,3
CPT,61640,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,1950.0,9710.0,71
CPT,61640,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel Other Surgical Services",,,2850.0,2850.0,4
CPT,61640,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel SCHEDULED",,,2831.86,2891.48,3
CPT,61640,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel UNSCHEDULED",,,1335.32,1363.43,3
CPT,61641,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,61641,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,61641,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) SCHEDULED",,,2831.86,2891.48,3
CPT,61641,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61642,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,61642,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,61642,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) SCHEDULED",,,2831.86,2891.48,3
CPT,61642,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61645,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,1335.32,31992.0,88
CPT,61650,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,1335.32,31992.0,88
CPT,61651,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,1335.32,31992.0,88
CPT,61680,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,1950.0,31992.0,78
CPT,61680,"Surgery of intracranial arteriovenous malformation; supratentorial, simple Other Surgical Services",,,2850.0,2850.0,4
CPT,61680,"Surgery of intracranial arteriovenous malformation; supratentorial, simple SCHEDULED",,,2831.86,2891.48,3
CPT,61680,"Surgery of intracranial arteriovenous malformation; supratentorial, simple UNSCHEDULED",,,1335.32,1363.43,3
CPT,61682,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,1950.0,31992.0,78
CPT,61682,"Surgery of intracranial arteriovenous malformation; supratentorial, complex Other Surgical Services",,,2850.0,2850.0,4
CPT,61682,"Surgery of intracranial arteriovenous malformation; supratentorial, complex SCHEDULED",,,2831.86,2891.48,3
CPT,61682,"Surgery of intracranial arteriovenous malformation; supratentorial, complex UNSCHEDULED",,,1335.32,1363.43,3
CPT,61684,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,1950.0,31992.0,78
CPT,61684,"Surgery of intracranial arteriovenous malformation; infratentorial, simple Other Surgical Services",,,2850.0,2850.0,4
CPT,61684,"Surgery of intracranial arteriovenous malformation; infratentorial, simple SCHEDULED",,,2831.86,2891.48,3
CPT,61684,"Surgery of intracranial arteriovenous malformation; infratentorial, simple UNSCHEDULED",,,1335.32,1363.43,3
CPT,61686,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,1950.0,31992.0,78
CPT,61686,"Surgery of intracranial arteriovenous malformation; infratentorial, complex Other Surgical Services",,,2850.0,2850.0,4
CPT,61686,"Surgery of intracranial arteriovenous malformation; infratentorial, complex SCHEDULED",,,2831.86,2891.48,3
CPT,61686,"Surgery of intracranial arteriovenous malformation; infratentorial, complex UNSCHEDULED",,,1335.32,1363.43,3
CPT,61690,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,1950.0,31992.0,78
CPT,61690,"Surgery of intracranial arteriovenous malformation; dural, simple Other Surgical Services",,,2850.0,2850.0,4
CPT,61690,"Surgery of intracranial arteriovenous malformation; dural, simple SCHEDULED",,,2831.86,2891.48,3
CPT,61690,"Surgery of intracranial arteriovenous malformation; dural, simple UNSCHEDULED",,,1335.32,1363.43,3
CPT,61692,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,1950.0,31992.0,78
CPT,61692,"Surgery of intracranial arteriovenous malformation; dural, complex Other Surgical Services",,,2850.0,2850.0,4
CPT,61692,"Surgery of intracranial arteriovenous malformation; dural, complex SCHEDULED",,,2831.86,2891.48,3
CPT,61692,"Surgery of intracranial arteriovenous malformation; dural, complex UNSCHEDULED",,,1335.32,1363.43,3
CPT,61697,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,1950.0,31992.0,78
CPT,61697,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation Other Surgical Services",,,2850.0,2850.0,4
CPT,61697,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation SCHEDULED",,,2831.86,2891.48,3
CPT,61697,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation UNSCHEDULED",,,1335.32,1363.43,3
CPT,61698,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1950.0,31992.0,78
CPT,61698,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation Other Surgical Services",,,2850.0,2850.0,4
CPT,61698,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation SCHEDULED",,,2831.86,2891.48,3
CPT,61698,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation UNSCHEDULED",,,1335.32,1363.43,3
CPT,61700,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,1950.0,31992.0,78
CPT,61700,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation Other Surgical Services",,,2850.0,2850.0,4
CPT,61700,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation SCHEDULED",,,2831.86,2891.48,3
CPT,61700,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation UNSCHEDULED",,,1335.32,1363.43,3
CPT,61702,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,1950.0,31992.0,78
CPT,61702,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation Other Surgical Services",,,2850.0,2850.0,4
CPT,61702,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation SCHEDULED",,,2831.86,2891.48,3
CPT,61702,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation UNSCHEDULED",,,197.87,202.03,3
CPT,61703,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,1950.0,31992.0,78
CPT,61703,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) Other Surgical Services",,,2850.0,2850.0,4
CPT,61703,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) SCHEDULED",,,2831.86,2891.48,3
CPT,61703,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61705,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,1950.0,31992.0,78
CPT,61705,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery Other Surgical Services",,,2850.0,2850.0,4
CPT,61705,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery SCHEDULED",,,2831.86,2891.48,3
CPT,61705,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery UNSCHEDULED",,,1335.32,1363.43,3
CPT,61708,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,1950.0,31992.0,78
CPT,61708,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis Other Surgical Services",,,2850.0,2850.0,4
CPT,61708,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis SCHEDULED",,,2831.86,2891.48,3
CPT,61708,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis UNSCHEDULED",,,1335.32,1363.43,3
CPT,61710,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,1950.0,31992.0,78
CPT,61710,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter Other Surgical Services",,,2850.0,2850.0,4
CPT,61710,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter SCHEDULED",,,2831.86,2891.48,3
CPT,61710,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter UNSCHEDULED",,,1335.32,1363.43,3
CPT,61711,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,1950.0,31992.0,78
CPT,61711,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries Other Surgical Services",,,2850.0,2850.0,4
CPT,61711,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries SCHEDULED",,,2831.86,2891.48,3
CPT,61711,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries UNSCHEDULED",,,1335.32,1363.43,3
CPT,61715,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,1950.0,19295.0,78
CPT,61715,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed Other S",,,2850.0,2850.0,4
CPT,61720,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,1950.0,18507.0,106
CPT,61720,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus Other Surgical Services",,,2850.0,2850.0,4
CPT,61720,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus SCHEDULED",,,2831.86,2891.48,3
CPT,61720,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus UNSCHEDULED",,,1335.32,1363.43,3
CPT,61735,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,1950.0,31992.0,78
CPT,61735,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus Ot",,,2850.0,2850.0,4
CPT,61735,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus SC",,,2831.86,2891.48,3
CPT,61735,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus UN",,,1335.32,1363.43,3
CPT,61736,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,1950.0,31992.0,78
CPT,61736,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion Other Surgica",,,2850.0,2850.0,4
CPT,61736,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion SCHEDULED",,,2831.86,2891.48,3
CPT,61736,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion UNSCHEDULED",,,1335.32,1363.43,3
CPT,61737,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,1335.32,31992.0,88
CPT,61750,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,1950.0,31992.0,78
CPT,61750,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; Other Surgical Services",,,2850.0,2850.0,4
CPT,61750,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; SCHEDULED",,,2831.86,2891.48,3
CPT,61750,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; UNSCHEDULED",,,1335.32,1363.43,3
CPT,61751,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,1950.0,31992.0,78
CPT,61751,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,61751,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance SCHEDULED",,,2831.86,2891.48,3
CPT,61751,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance UNSCHEDULED",,,1335.32,1363.43,3
CPT,61760,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,1950.0,31992.0,106
CPT,61760,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring Other Surgical Services,,,2850.0,2850.0,4
CPT,61760,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring SCHEDULED,,,2831.86,2891.48,3
CPT,61760,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring UNSCHEDULED,,,1335.32,1363.43,3
CPT,61770,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,1950.0,18507.0,106
CPT,61770,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source Other Surgical Services",,,2850.0,2850.0,4
CPT,61770,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source SCHEDULED",,,2831.86,2891.48,3
CPT,61770,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source UNSCHEDULED",,,1335.32,1363.43,3
CPT,61781,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,61781,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,61781,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) SCHEDULED",,,2831.86,2891.48,3
CPT,61781,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61782,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,61782,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,61782,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) SCHEDULED",,,2831.86,2891.48,3
CPT,61782,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61783,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,61783,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,61783,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) SCHEDULED,,,1884.42,1924.09,3
CPT,61783,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) UNSCHEDULED,,,1335.32,1363.43,3
CPT,61790,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,1950.0,9710.0,106
CPT,61790,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion Other Surgical Services",,,2850.0,2850.0,4
CPT,61790,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion SCHEDULED",,,2831.86,2891.48,3
CPT,61790,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion UNSCHEDULED",,,1335.32,1363.43,3
CPT,61791,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,1950.0,9710.0,106
CPT,61791,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract Other Surgical Services",,,2850.0,2850.0,4
CPT,61791,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract SCHEDULED",,,2831.86,2891.48,3
CPT,61791,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract UNSCHEDULED",,,1335.32,1363.43,3
CPT,61793,FOCUS RADIATION BEAM SCHEDULED,,,2831.86,2891.48,3
CPT,61793,FOCUS RADIATION BEAM UNSCHEDULED,,,1335.32,1363.43,3
CPT,61795,BRAIN SURGERY USING COMPUTER SCHEDULED,,,2831.86,2891.48,3
CPT,61795,BRAIN SURGERY USING COMPUTER UNSCHEDULED,,,1335.32,1363.43,3
CPT,61796,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2050.0,65000.0,65
CPT,61796,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion Gamma Knife",,,18000.0,18000.0,1
CPT,61796,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,61796,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion SCHEDULED",,,2831.86,2891.48,3
CPT,61796,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion UNSCHEDULED",,,1335.32,1363.43,3
CPT,61797,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,226.08,65000.0,66
CPT,61797,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) Gamma Knife",,,18000.0,18000.0,1
CPT,61797,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,61797,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) SCHEDULED",,,2831.86,2891.48,3
CPT,61797,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61798,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,1453.06,65000.0,66
CPT,61798,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion Gamma Knife",,,18000.0,18000.0,1
CPT,61798,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,61798,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion SCHEDULED",,,2831.86,2891.48,3
CPT,61798,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion UNSCHEDULED",,,1335.32,1363.43,3
CPT,61799,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,310.3,65000.0,66
CPT,61799,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) Gamma Knife",,,18000.0,18000.0,1
CPT,61799,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,61799,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) SCHEDULED",,,2831.86,2891.48,3
CPT,61799,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) UNSCHEDULED",,,1335.32,1363.43,3
CPT,61800,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,160.22,65000.0,66
CPT,61800,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) Gamma Knife,,,18000.0,18000.0,1
CPT,61800,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,61800,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) SCHEDULED,,,2831.86,2891.48,3
CPT,61800,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) UNSCHEDULED,,,1335.32,1363.43,3
CPT,61850,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,1950.0,31992.0,78
CPT,61850,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical Other Surgical Services",,,2850.0,2850.0,4
CPT,61850,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical SCHEDULED",,,2831.86,2891.48,3
CPT,61850,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical UNSCHEDULED",,,1335.32,1363.43,3
CPT,61855,Impl subcort electrodes SCHEDULED,,,2831.86,2891.48,3
CPT,61855,Impl subcort electrodes UNSCHEDULED,,,1335.32,1363.43,3
CPT,61860,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,1950.0,31992.0,78
CPT,61860,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical Other Surgical Services",,,2850.0,2850.0,4
CPT,61860,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical SCHEDULED",,,2831.86,2891.48,3
CPT,61860,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical UNSCHEDULED",,,1335.32,1363.43,3
CPT,61862,"IMPLANT NEUROSTIMUL, SUBCORT SCHEDULED",,,2831.86,2891.48,3
CPT,61862,"IMPLANT NEUROSTIMUL, SUBCORT UNSCHEDULED",,,1335.32,1363.43,3
CPT,61863,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1335.32,31992.0,88
CPT,61864,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1335.32,31992.0,88
CPT,61865,Impl cereb subcort elec SCHEDULED,,,2831.86,2891.48,3
CPT,61865,Impl cereb subcort elec UNSCHEDULED,,,1335.32,1363.43,3
CPT,61867,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1335.32,31992.0,88
CPT,61868,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,1335.32,31992.0,88
CPT,61870,"CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR, CORTICAL SCHEDULED",,,2831.86,2891.48,3
CPT,61870,"CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR, CORTICAL UNSCHEDULED",,,1335.32,1363.43,3
CPT,61875,IMPLANT NEUROELECTRODES SCHEDULED,,,2831.86,2891.48,3
CPT,61875,IMPLANT NEUROELECTRODES UNSCHEDULED,,,1335.32,1363.43,3
CPT,61880,Revision or removal of intracranial neurostimulator electrodes ,,,1950.0,18507.0,106
CPT,61880,Revision or removal of intracranial neurostimulator electrodes Other Surgical Services,,,2850.0,2850.0,4
CPT,61880,Revision or removal of intracranial neurostimulator electrodes SCHEDULED,,,2831.86,2891.48,3
CPT,61880,Revision or removal of intracranial neurostimulator electrodes UNSCHEDULED,,,1335.32,1363.43,3
CPT,61885,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,1950.0,72171.0,171
CPT,61885,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Complex Surgery",,,11754.0,11754.0,22
CPT,61885,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Other Surgical Services",,,2850.0,2850.0,4
CPT,61885,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array SCHEDULED",,,5815.53,5937.96,3
CPT,61885,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array UNSCHEDULED",,,1335.32,1363.43,3
CPT,61886,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,1950.0,72171.0,171
CPT,61886,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Complex Surgery",,,11754.0,11754.0,22
CPT,61886,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Other Surgical Services",,,2850.0,2850.0,4
CPT,61886,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays SCHEDULED",,,2831.86,2891.48,3
CPT,61886,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays UNSCHEDULED",,,1335.32,1363.43,3
CPT,61888,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,1950.0,18507.0,106
CPT,61888,Revision or removal of cranial neurostimulator pulse generator or receiver Other Surgical Services,,,2850.0,2850.0,4
CPT,61888,Revision or removal of cranial neurostimulator pulse generator or receiver SCHEDULED,,,2831.86,2891.48,3
CPT,61888,Revision or removal of cranial neurostimulator pulse generator or receiver UNSCHEDULED,,,1335.32,1363.43,3
CPT,61889,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,1335.32,31992.0,85
CPT,61891,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,1950.0,19295.0,78
CPT,61891,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) Other Surgical Services,,,2850.0,2850.0,4
CPT,61891,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) UNSCHEDULED,,,1335.32,1363.43,3
CPT,61892,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,1950.0,18507.0,78
CPT,61892,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,61892,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed UNSCHEDULED",,,1335.32,1363.43,3
CPT,62000,"Elevation of depressed skull fracture; simple, extradural ",,,1950.0,18507.0,106
CPT,62000,"Elevation of depressed skull fracture; simple, extradural Other Surgical Services",,,2850.0,2850.0,4
CPT,62000,"Elevation of depressed skull fracture; simple, extradural SCHEDULED",,,2831.86,2891.48,3
CPT,62000,"Elevation of depressed skull fracture; simple, extradural UNSCHEDULED",,,1335.32,1363.43,3
CPT,62005,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,1950.0,31992.0,78
CPT,62005,"Elevation of depressed skull fracture; compound or comminuted, extradural Other Surgical Services",,,2850.0,2850.0,4
CPT,62005,"Elevation of depressed skull fracture; compound or comminuted, extradural SCHEDULED",,,2831.86,2891.48,3
CPT,62005,"Elevation of depressed skull fracture; compound or comminuted, extradural UNSCHEDULED",,,1335.32,1363.43,3
CPT,62010,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,1950.0,31992.0,78
CPT,62010,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain Other Surgical Services,,,2850.0,2850.0,4
CPT,62010,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain SCHEDULED,,,2831.86,2891.48,3
CPT,62010,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain UNSCHEDULED,,,1335.32,1363.43,3
CPT,62100,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,1950.0,31992.0,78
CPT,62100,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea Other Surgical Services",,,2850.0,2850.0,4
CPT,62100,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea SCHEDULED",,,2831.86,2891.48,3
CPT,62100,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea UNSCHEDULED",,,1335.32,1363.43,3
CPT,62115,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,1950.0,31992.0,78
CPT,62115,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty Other Surgical Services",,,2850.0,2850.0,4
CPT,62115,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty SCHEDULED",,,2831.86,2891.48,3
CPT,62115,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty UNSCHEDULED",,,1335.32,1363.43,3
CPT,62116,REDUCTION OF SKULL DEFECT SCHEDULED,,,2831.86,2891.48,3
CPT,62116,REDUCTION OF SKULL DEFECT UNSCHEDULED,,,1335.32,1363.43,3
CPT,62117,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,1950.0,31992.0,78
CPT,62117,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) Other Surgical Services",,,2850.0,2850.0,4
CPT,62117,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) SCHEDULED",,,2831.86,2891.48,3
CPT,62117,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) UNSCHEDULED",,,1335.32,1363.43,3
CPT,62120,"Repair of encephalocele, skull vault, including cranioplasty ",,,1950.0,31992.0,78
CPT,62120,"Repair of encephalocele, skull vault, including cranioplasty Other Surgical Services",,,2850.0,2850.0,4
CPT,62120,"Repair of encephalocele, skull vault, including cranioplasty SCHEDULED",,,2831.86,2891.48,3
CPT,62120,"Repair of encephalocele, skull vault, including cranioplasty UNSCHEDULED",,,1335.32,1363.43,3
CPT,62121,"Craniotomy for repair of encephalocele, skull base ",,,1950.0,31992.0,78
CPT,62121,"Craniotomy for repair of encephalocele, skull base Other Surgical Services",,,2850.0,2850.0,4
CPT,62121,"Craniotomy for repair of encephalocele, skull base SCHEDULED",,,2831.86,2891.48,3
CPT,62121,"Craniotomy for repair of encephalocele, skull base UNSCHEDULED",,,1335.32,1363.43,3
CPT,62140,Cranioplasty for skull defect; up to 5 cm diameter ,,,1950.0,31992.0,78
CPT,62140,Cranioplasty for skull defect; up to 5 cm diameter Other Surgical Services,,,2850.0,2850.0,4
CPT,62140,Cranioplasty for skull defect; up to 5 cm diameter SCHEDULED,,,2831.86,2891.48,3
CPT,62140,Cranioplasty for skull defect; up to 5 cm diameter UNSCHEDULED,,,1335.32,1363.43,3
CPT,62141,Cranioplasty for skull defect; larger than 5 cm diameter ,,,1950.0,31992.0,78
CPT,62141,Cranioplasty for skull defect; larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,4
CPT,62141,Cranioplasty for skull defect; larger than 5 cm diameter SCHEDULED,,,2831.86,2891.48,3
CPT,62141,Cranioplasty for skull defect; larger than 5 cm diameter UNSCHEDULED,,,1335.32,1363.43,3
CPT,62142,Removal of bone flap or prosthetic plate of skull ,,,1950.0,31992.0,78
CPT,62142,Removal of bone flap or prosthetic plate of skull Other Surgical Services,,,2850.0,2850.0,4
CPT,62142,Removal of bone flap or prosthetic plate of skull SCHEDULED,,,2831.86,2891.48,3
CPT,62142,Removal of bone flap or prosthetic plate of skull UNSCHEDULED,,,1335.32,1363.43,3
CPT,62143,Replacement of bone flap or prosthetic plate of skull ,,,1950.0,31992.0,78
CPT,62143,Replacement of bone flap or prosthetic plate of skull Other Surgical Services,,,2850.0,2850.0,4
CPT,62143,Replacement of bone flap or prosthetic plate of skull SCHEDULED,,,2831.86,2891.48,3
CPT,62143,Replacement of bone flap or prosthetic plate of skull UNSCHEDULED,,,1335.32,1363.43,3
CPT,62145,Cranioplasty for skull defect with reparative brain surgery ,,,1950.0,31992.0,78
CPT,62145,Cranioplasty for skull defect with reparative brain surgery Other Surgical Services,,,2850.0,2850.0,4
CPT,62145,Cranioplasty for skull defect with reparative brain surgery SCHEDULED,,,2831.86,2891.48,3
CPT,62145,Cranioplasty for skull defect with reparative brain surgery UNSCHEDULED,,,1335.32,1363.43,3
CPT,62146,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,1950.0,31992.0,78
CPT,62146,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter Other Surgical Services,,,2850.0,2850.0,4
CPT,62146,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter SCHEDULED,,,2831.86,2891.48,3
CPT,62146,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter UNSCHEDULED,,,1335.32,1363.43,3
CPT,62147,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,1950.0,31992.0,78
CPT,62147,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,4
CPT,62147,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter SCHEDULED,,,2831.86,2891.48,3
CPT,62147,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter UNSCHEDULED,,,1335.32,1363.43,3
CPT,62148,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,1950.0,31992.0,78
CPT,62148,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,62148,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) SCHEDULED,,,2831.86,2891.48,3
CPT,62148,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) UNSCHEDULED,,,1335.32,1363.43,3
CPT,62160,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,62160,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) Other",,,2850.0,2850.0,4
CPT,62160,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) SCHED",,,2831.86,2891.48,3
CPT,62160,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) UNSCH",,,1335.32,1363.43,3
CPT,62161,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,1950.0,31992.0,78
CPT,62161,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) Other Sur",,,2850.0,2850.0,4
CPT,62161,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) SCHEDULED",,,2831.86,2891.48,3
CPT,62161,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) UNSCHEDUL",,,1335.32,1363.43,3
CPT,62162,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,1950.0,31992.0,78
CPT,62162,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage Other Surgical Services",,,2850.0,2850.0,4
CPT,62162,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage SCHEDULED",,,2831.86,2891.48,3
CPT,62162,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage UNSCHEDULED",,,1335.32,1363.43,3
CPT,62163,"NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY SCHEDULED",,,2831.86,2891.48,3
CPT,62163,"NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY UNSCHEDULED",,,1335.32,1363.43,3
CPT,62164,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,1950.0,31992.0,78
CPT,62164,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage Other Surgical Services",,,2850.0,2850.0,4
CPT,62164,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage SCHEDULED",,,2831.86,2891.48,3
CPT,62164,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage UNSCHEDULED",,,1335.32,1363.43,3
CPT,62165,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,1950.0,31992.0,78
CPT,62165,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,62165,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach SCHEDULED",,,2831.86,2891.48,3
CPT,62165,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach UNSCHEDULED",,,1335.32,1363.43,3
CPT,62180,Ventriculocisternostomy (Torkildsen type operation) ,,,1950.0,31992.0,78
CPT,62180,Ventriculocisternostomy (Torkildsen type operation) Other Surgical Services,,,2850.0,2850.0,4
CPT,62180,Ventriculocisternostomy (Torkildsen type operation) SCHEDULED,,,2831.86,2891.48,3
CPT,62180,Ventriculocisternostomy (Torkildsen type operation) UNSCHEDULED,,,1335.32,1363.43,3
CPT,62190,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,1950.0,31992.0,78
CPT,62190,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular Other Surgical Services",,,2850.0,2850.0,4
CPT,62190,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular SCHEDULED",,,2831.86,2891.48,3
CPT,62190,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular UNSCHEDULED",,,1335.32,1363.43,3
CPT,62192,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,1950.0,31992.0,78
CPT,62192,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus Other Surgical Services",,,2850.0,2850.0,4
CPT,62192,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus SCHEDULED",,,2831.86,2891.48,3
CPT,62192,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus UNSCHEDULED",,,1335.32,1363.43,3
CPT,62194,"Replacement or irrigation, subarachnoid/subdural catheter ",,,1950.0,9710.0,106
CPT,62194,"Replacement or irrigation, subarachnoid/subdural catheter Other Surgical Services",,,2850.0,2850.0,4
CPT,62194,"Replacement or irrigation, subarachnoid/subdural catheter SCHEDULED",,,2831.86,2891.48,3
CPT,62194,"Replacement or irrigation, subarachnoid/subdural catheter UNSCHEDULED",,,1335.32,1363.43,3
CPT,62200,"Ventriculocisternostomy, third ventricle; ",,,1950.0,31992.0,78
CPT,62200,"Ventriculocisternostomy, third ventricle; Other Surgical Services",,,2850.0,2850.0,4
CPT,62200,"Ventriculocisternostomy, third ventricle; SCHEDULED",,,2831.86,2891.48,3
CPT,62200,"Ventriculocisternostomy, third ventricle; UNSCHEDULED",,,1335.32,1363.43,3
CPT,62201,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,1950.0,31992.0,78
CPT,62201,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method Other Surgical Services",,,2850.0,2850.0,4
CPT,62201,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method SCHEDULED",,,2831.86,2891.48,3
CPT,62201,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method UNSCHEDULED",,,1335.32,1363.43,3
CPT,62220,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,1950.0,31992.0,78
CPT,62220,"Creation of shunt; ventriculo-atrial, -jugular, -auricular Other Surgical Services",,,2850.0,2850.0,4
CPT,62220,"Creation of shunt; ventriculo-atrial, -jugular, -auricular SCHEDULED",,,2831.86,2891.48,3
CPT,62220,"Creation of shunt; ventriculo-atrial, -jugular, -auricular UNSCHEDULED",,,1335.32,1363.43,3
CPT,62223,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,1950.0,31992.0,78
CPT,62223,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus Other Surgical Services",,,2850.0,2850.0,4
CPT,62223,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus SCHEDULED",,,2831.86,2891.48,3
CPT,62223,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus UNSCHEDULED",,,1335.32,1363.43,3
CPT,62225,"Replacement or irrigation, ventricular catheter ",,,1950.0,18507.0,106
CPT,62225,"Replacement or irrigation, ventricular catheter Other Surgical Services",,,2850.0,2850.0,4
CPT,62225,"Replacement or irrigation, ventricular catheter SCHEDULED",,,2831.86,2891.48,3
CPT,62225,"Replacement or irrigation, ventricular catheter UNSCHEDULED",,,1335.32,1363.43,3
CPT,62230,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,1950.0,18507.0,106
CPT,62230,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system Other Surgical Services",,,2850.0,2850.0,4
CPT,62230,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system SCHEDULED",,,2831.86,2891.48,3
CPT,62230,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system UNSCHEDULED",,,1335.32,1363.43,3
CPT,62252,Reprogramming of programmable cerebrospinal shunt ,,,1423.0,9710.0,106
CPT,62252,Reprogramming of programmable cerebrospinal shunt Other Surgical Services,,,2850.0,2850.0,4
CPT,62252,Reprogramming of programmable cerebrospinal shunt SCHEDULED,,,2831.86,2891.48,3
CPT,62252,Reprogramming of programmable cerebrospinal shunt UNSCHEDULED,,,1335.32,1363.43,3
CPT,62256,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,1950.0,31992.0,106
CPT,62256,Removal of complete cerebrospinal fluid shunt system; without replacement Other Surgical Services,,,2850.0,2850.0,4
CPT,62256,Removal of complete cerebrospinal fluid shunt system; without replacement SCHEDULED,,,2831.86,2891.48,3
CPT,62256,Removal of complete cerebrospinal fluid shunt system; without replacement UNSCHEDULED,,,1335.32,1363.43,3
CPT,62258,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,1950.0,31992.0,78
CPT,62258,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation Other Surgical Services,,,2850.0,2850.0,4
CPT,62258,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation SCHEDULED,,,2831.86,2891.48,3
CPT,62258,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation UNSCHEDULED,,,1335.32,1363.43,3
CPT,62263,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,1950.0,9710.0,116
CPT,62264,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,1444.72,9710.0,116
CPT,62267,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,1950.0,9710.0,106
CPT,62267,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes Other Surgical Services",,,2850.0,2850.0,4
CPT,62267,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes SCHEDULED",,,867.88,886.15,3
CPT,62267,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes UNSCHEDULED",,,2370.18,2420.08,3
CPT,62268,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,1950.0,9710.0,106
CPT,62268,"Percutaneous aspiration, spinal cord cyst or syrinx Other Surgical Services",,,2850.0,2850.0,4
CPT,62268,"Percutaneous aspiration, spinal cord cyst or syrinx SCHEDULED",,,8425.98,8603.37,3
CPT,62268,"Percutaneous aspiration, spinal cord cyst or syrinx UNSCHEDULED",,,2370.18,2420.08,3
CPT,62269,"Biopsy of spinal cord, percutaneous needle ",,,1950.0,9710.0,106
CPT,62269,"Biopsy of spinal cord, percutaneous needle Other Surgical Services",,,2850.0,2850.0,4
CPT,62269,"Biopsy of spinal cord, percutaneous needle SCHEDULED",,,8425.98,8603.37,3
CPT,62269,"Biopsy of spinal cord, percutaneous needle UNSCHEDULED",,,2370.18,2420.08,3
CPT,62270,"Spinal puncture, lumbar, diagnostic; ",,,1950.0,6802.0,103
CPT,62270,"Spinal puncture, lumbar, diagnostic; Other Surgical Services",,,2850.0,2850.0,4
CPT,62270,"Spinal puncture, lumbar, diagnostic; SCHEDULED",,,8425.98,8603.37,3
CPT,62270,"Spinal puncture, lumbar, diagnostic; UNSCHEDULED",,,966.29,986.64,3
CPT,62272,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,1950.0,6802.0,103
CPT,62272,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); Other Surgical Services",,,2850.0,2850.0,4
CPT,62272,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); SCHEDULED",,,887.77,906.47,3
CPT,62272,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); UNSCHEDULED",,,2194.3,2240.5,3
CPT,62273,"Injection, epidural, of blood or clot patch ",,,1950.0,6802.0,103
CPT,62273,"Injection, epidural, of blood or clot patch Other Surgical Services",,,2850.0,2850.0,4
CPT,62273,"Injection, epidural, of blood or clot patch SCHEDULED",,,8425.98,8603.37,3
CPT,62273,"Injection, epidural, of blood or clot patch UNSCHEDULED",,,1526.38,1558.52,3
CPT,62274,1 inject anes-subarach SCHEDULED,,,8425.98,8603.37,3
CPT,62274,1 inject anes-subarach UNSCHEDULED,,,2370.18,2420.08,3
CPT,62275,1 epidur inject-C/thor SCHEDULED,,,8425.98,8603.37,3
CPT,62275,1 epidur inject-C/thor UNSCHEDULED,,,2370.18,2420.08,3
CPT,62276,1 subar inject anes-diff SCHEDULED,,,8425.98,8603.37,3
CPT,62276,1 subar inject anes-diff UNSCHEDULED,,,2370.18,2420.08,3
CPT,62277,1 subar inject anes-cont SCHEDULED,,,8425.98,8603.37,3
CPT,62277,1 subar inject anes-cont UNSCHEDULED,,,2370.18,2420.08,3
CPT,62278,1 epidural inject anes-L SCHEDULED,,,8425.98,8603.37,3
CPT,62278,1 epidural inject anes-L UNSCHEDULED,,,2370.18,2420.08,3
CPT,62279,Cont epidur inject-lumb SCHEDULED,,,8425.98,8603.37,3
CPT,62279,Cont epidur inject-lumb UNSCHEDULED,,,2370.18,2420.08,3
CPT,62280,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,1950.0,9710.0,106
CPT,62280,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid Other Surgical Services",,,2850.0,2850.0,4
CPT,62280,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid SCHEDULED",,,8425.98,8603.37,3
CPT,62280,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid UNSCHEDULED",,,2370.18,2420.08,3
CPT,62281,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,1950.0,9710.0,106
CPT,62281,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic Other Surgical Services",,,2850.0,2850.0,4
CPT,62281,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic SCHEDULED",,,8425.98,8603.37,3
CPT,62281,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic UNSCHEDULED",,,4103.85,4190.24,3
CPT,62282,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,1950.0,9710.0,106
CPT,62282,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) Other Surgical Services",,,2850.0,2850.0,4
CPT,62282,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) SCHEDULED",,,8425.98,8603.37,3
CPT,62282,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) UNSCHEDULED",,,7676.92,7838.54,3
CPT,62284,"Injection procedure for myelography and/or computed tomography, lumbar ",,,1423.0,6802.0,96
CPT,62284,"Injection procedure for myelography and/or computed tomography, lumbar Other Surgical Services",,,2850.0,2850.0,4
CPT,62284,"Injection procedure for myelography and/or computed tomography, lumbar SCHEDULED",,,8425.98,8603.37,3
CPT,62284,"Injection procedure for myelography and/or computed tomography, lumbar UNSCHEDULED",,,889.87,908.6,3
CPT,62287,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,1950.0,10719.0,116
CPT,62288,Subarachnoid inject NEC SCHEDULED,,,8425.98,8603.37,3
CPT,62288,Subarachnoid inject NEC UNSCHEDULED,,,2370.18,2420.08,3
CPT,62289,Lumbar/caudal inject NEC SCHEDULED,,,8425.98,8603.37,3
CPT,62289,Lumbar/caudal inject NEC UNSCHEDULED,,,2370.18,2420.08,3
CPT,62290,"Injection procedure for discography, each level; lumbar ",,,1423.0,9710.0,99
CPT,62290,"Injection procedure for discography, each level; lumbar Other Surgical Services",,,2850.0,2850.0,4
CPT,62290,"Injection procedure for discography, each level; lumbar SCHEDULED",,,8425.98,8603.37,3
CPT,62290,"Injection procedure for discography, each level; lumbar UNSCHEDULED",,,1511.73,1543.55,3
CPT,62291,"Injection procedure for discography, each level; cervical or thoracic ",,,1423.0,9710.0,99
CPT,62291,"Injection procedure for discography, each level; cervical or thoracic Other Surgical Services",,,2850.0,2850.0,4
CPT,62291,"Injection procedure for discography, each level; cervical or thoracic SCHEDULED",,,8425.98,8603.37,3
CPT,62291,"Injection procedure for discography, each level; cervical or thoracic UNSCHEDULED",,,1570.35,1603.41,3
CPT,62292,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,1950.0,9710.0,106
CPT,62292,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar Other Surgical Services",,,2850.0,2850.0,4
CPT,62292,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar SCHEDULED",,,8425.98,8603.37,3
CPT,62292,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar UNSCHEDULED",,,2370.18,2420.08,3
CPT,62294,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1950.0,9710.0,106
CPT,62294,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal Other Surgical Services",,,2850.0,2850.0,4
CPT,62294,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal SCHEDULED",,,8425.98,8603.37,3
CPT,62294,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal UNSCHEDULED",,,2370.18,2420.08,3
CPT,62298,Other spinal injection SCHEDULED,,,8425.98,8603.37,3
CPT,62298,Other spinal injection UNSCHEDULED,,,2370.18,2420.08,3
CPT,62302,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1950.0,9710.0,106
CPT,62302,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical Other Surgical Services",,,2850.0,2850.0,4
CPT,62302,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical SCHEDULED",,,8425.98,8603.37,3
CPT,62302,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical UNSCHEDULED",,,1663.53,1698.55,3
CPT,62303,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1950.0,9710.0,106
CPT,62303,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic Other Surgical Services",,,2850.0,2850.0,4
CPT,62303,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic SCHEDULED",,,8425.98,8603.37,3
CPT,62303,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic UNSCHEDULED",,,1571.39,1604.48,3
CPT,62304,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1950.0,9710.0,106
CPT,62304,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral Other Surgical Services",,,2850.0,2850.0,4
CPT,62304,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral SCHEDULED",,,8425.98,8603.37,3
CPT,62304,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral UNSCHEDULED",,,2753.35,2811.31,3
CPT,62305,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1950.0,9710.0,106
CPT,62305,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) Other Sur",,,2850.0,2850.0,4
CPT,62305,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) SCHEDULED",,,8425.98,8603.37,3
CPT,62305,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) UNSCHEDUL",,,2018.43,2060.92,3
CPT,62310,INJECT SPINE CERV/THORACIC ,,,1982.0,3689.0,28
CPT,62310,INJECT SPINE CERV/THORACIC SCHEDULED,,,8425.98,8603.37,3
CPT,62310,INJECT SPINE CERV/THORACIC UNSCHEDULED,,,2370.18,2420.08,3
CPT,62311,INJECT SPINE LUMBAR/SACRAL ,,,1982.0,3689.0,28
CPT,62311,INJECT SPINE LUMBAR/SACRAL SCHEDULED,,,8425.98,8603.37,3
CPT,62311,INJECT SPINE LUMBAR/SACRAL UNSCHEDULED,,,2370.18,2420.08,3
CPT,62318,INJECT SPINE W/CATH CRV/THRC ,,,1982.0,3689.0,28
CPT,62318,INJECT SPINE W/CATH CRV/THRC SCHEDULED,,,8425.98,8603.37,3
CPT,62318,INJECT SPINE W/CATH CRV/THRC UNSCHEDULED,,,2370.18,2420.08,3
CPT,62319,INJECT SPINE W/CATH LMB/SCRL ,,,1982.0,3689.0,28
CPT,62319,INJECT SPINE W/CATH LMB/SCRL SCHEDULED,,,8425.98,8603.37,3
CPT,62319,INJECT SPINE W/CATH LMB/SCRL UNSCHEDULED,,,2370.18,2420.08,3
CPT,62320,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1950.0,9710.0,116
CPT,62321,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1950.0,9710.0,116
CPT,62322,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1950.0,9710.0,116
CPT,62323,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1950.0,9710.0,116
CPT,62324,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1950.0,9710.0,116
CPT,62325,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1950.0,9710.0,116
CPT,62326,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1950.0,9710.0,116
CPT,62327,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1950.0,9710.0,116
CPT,62328,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,1950.0,9710.0,78
CPT,62328,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,62328,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance SCHEDULED",,,8425.98,8603.37,3
CPT,62328,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance UNSCHEDULED",,,2370.18,2420.08,3
CPT,62329,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,1950.0,9710.0,78
CPT,62329,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,62329,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance SCHEDULED",,,8425.98,8603.37,3
CPT,62329,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance UNSCHEDULED",,,2370.18,2420.08,3
CPT,62330,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,1950.0,18507.0,79
CPT,62331,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,1950.0,6802.0,72
CPT,62350,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,1950.0,18507.0,116
CPT,62351,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,1950.0,18507.0,116
CPT,62355,Removal of previously implanted intrathecal or epidural catheter ,,,1950.0,9710.0,106
CPT,62355,Removal of previously implanted intrathecal or epidural catheter Other Surgical Services,,,2850.0,2850.0,4
CPT,62355,Removal of previously implanted intrathecal or epidural catheter SCHEDULED,,,8372.06,8548.31,3
CPT,62355,Removal of previously implanted intrathecal or epidural catheter UNSCHEDULED,,,4238.9,4328.14,3
CPT,62360,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,2350.0,23350.0,99
CPT,62360,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir Other Surgical Services,,,4150.0,4150.0,1
CPT,62360,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir SCHEDULED,,,15071.17,15388.46,3
CPT,62360,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir UNSCHEDULED,,,2370.18,2420.08,3
CPT,62361,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,2350.0,23350.0,99
CPT,62361,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Other Surgical Services,,,4150.0,4150.0,1
CPT,62361,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump SCHEDULED,,,10674.19,10898.91,3
CPT,62361,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump UNSCHEDULED,,,2370.18,2420.08,3
CPT,62362,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,2350.0,23350.0,101
CPT,62362,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming High Cost Surgery",,,3950.0,3950.0,1
CPT,62362,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming Other Surgical Services",,,4150.0,4150.0,1
CPT,62362,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming SCHEDULED",,,9440.95,9639.7,3
CPT,62362,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming UNSCHEDULED",,,26542.06,27100.84,3
CPT,62365,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,1950.0,18507.0,103
CPT,62365,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Other Surgical Services",,,2850.0,2850.0,4
CPT,62365,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion SCHEDULED",,,10542.28,10764.23,3
CPT,62365,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion UNSCHEDULED",,,4238.9,4328.14,3
CPT,62367,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,1423.0,9710.0,116
CPT,62368,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,1423.0,9710.0,106
CPT,62368,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming Othe",,,2850.0,2850.0,4
CPT,62368,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming SCHE",,,5944.3,6069.45,3
CPT,62368,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming UNSC",,,2370.18,2420.08,3
CPT,62369,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,733.88,9710.0,116
CPT,62370,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,1423.0,9710.0,116
CPT,62380,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,1950.0,18507.0,106
CPT,62380,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar Other",,,2850.0,2850.0,4
CPT,62380,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar SCHED",,,16958.73,17315.76,3
CPT,62380,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar UNSCH",,,2370.18,2420.08,3
CPT,63001,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,2350.0,18507.0,99
CPT,63001,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical Other S",,,4150.0,4150.0,1
CPT,63001,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical SCHEDUL",,,10500.41,10721.47,3
CPT,63001,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical UNSCHED",,,2370.18,2420.08,3
CPT,63003,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,2350.0,18507.0,99
CPT,63003,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic Other S",,,4150.0,4150.0,1
CPT,63003,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic SCHEDUL",,,18990.77,19390.57,3
CPT,63003,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic UNSCHED",,,2370.18,2420.08,3
CPT,63005,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,2350.0,18507.0,106
CPT,63011,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,2350.0,18507.0,99
CPT,63011,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral Other Sur",,,4150.0,4150.0,1
CPT,63011,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral SCHEDULED",,,2856.99,2917.14,3
CPT,63011,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral UNSCHEDUL",,,2370.18,2420.08,3
CPT,63012,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,2350.0,18507.0,99
CPT,63012,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,63012,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) SCHEDULED",,,11169.38,11404.52,3
CPT,63012,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) UNSCHEDULED",,,2370.18,2420.08,3
CPT,63015,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,2350.0,18507.0,99
CPT,63015,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical Ot",,,4150.0,4150.0,1
CPT,63015,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical SC",,,3145.93,3212.16,3
CPT,63015,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical UN",,,2370.18,2420.08,3
CPT,63016,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,2350.0,18507.0,99
CPT,63016,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic Ot",,,4150.0,4150.0,1
CPT,63016,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic SC",,,8425.98,8603.37,3
CPT,63016,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic UN",,,2370.18,2420.08,3
CPT,63017,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,2350.0,18507.0,99
CPT,63017,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar Othe",,,4150.0,4150.0,1
CPT,63017,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar SCHE",,,14336.25,14638.07,3
CPT,63017,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar UNSC",,,2370.18,2420.08,3
CPT,63020,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,2350.0,18507.0,99
CPT,63020,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical Other Surgical S",,,4150.0,4150.0,1
CPT,63020,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical SCHEDULED",,,12706.22,12973.72,3
CPT,63020,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical UNSCHEDULED",,,2370.18,2420.08,3
CPT,63030,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,2350.0,22212.0,163
CPT,63030,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar Complex Surgery",,,11754.0,11754.0,22
CPT,63030,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar High Cost Surgery",,,3950.0,3950.0,1
CPT,63030,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar Other Surgical Ser",,,4150.0,4150.0,1
CPT,63030,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar SCHEDULED",,,8032.87,8201.98,3
CPT,63030,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar UNSCHEDULED",,,13189.9,13467.58,3
CPT,63032,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,2350.0,8577.0,62
CPT,63035,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1423.0,9710.0,99
CPT,63040,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,2350.0,18507.0,106
CPT,63042,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,2350.0,18507.0,106
CPT,63043,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,2350.0,10719.0,99
CPT,63044,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,2350.0,10719.0,99
CPT,63045,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,2350.0,18507.0,106
CPT,63046,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,2350.0,19710.19,106
CPT,63047,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,2350.0,18507.0,106
CPT,63048,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1423.0,9710.0,99
CPT,63050,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,2350.0,31992.0,71
CPT,63050,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; Other Surgical Services",,,4150.0,4150.0,1
CPT,63050,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; SCHEDULED",,,8479.89,8658.41,3
CPT,63050,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; UNSCHEDULED",,,2370.18,2420.08,3
CPT,63051,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,2350.0,31992.0,78
CPT,63052,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,2143.0,9710.0,71
CPT,63053,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,2143.0,9710.0,71
CPT,63055,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,2350.0,18507.0,99
CPT,63055,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic Other Surgical Services",,,4150.0,4150.0,1
CPT,63055,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic SCHEDULED",,,8425.98,8603.37,3
CPT,63055,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic UNSCHEDULED",,,2370.18,2420.08,3
CPT,63056,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,2350.0,18507.0,106
CPT,63057,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,1423.0,9710.0,99
CPT,63064,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,2350.0,18507.0,99
CPT,63064,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment Other Surgical Services",,,4150.0,4150.0,1
CPT,63064,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment SCHEDULED",,,8425.98,8603.37,3
CPT,63064,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment UNSCHEDULED",,,2370.18,2420.08,3
CPT,63066,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,1423.0,9710.0,99
CPT,63075,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,2350.0,18507.0,99
CPT,63075,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace Other Surgical Services",,,4150.0,4150.0,1
CPT,63075,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace SCHEDULED",,,4204.35,4292.86,3
CPT,63075,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace UNSCHEDULED",,,2370.18,2420.08,3
CPT,63076,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1423.0,9710.0,102
CPT,63077,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,2350.0,31992.0,74
CPT,63077,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace Other Surgical Services",,,4150.0,4150.0,1
CPT,63077,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace SCHEDULED",,,8425.98,8603.37,3
CPT,63077,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace UNSCHEDULED",,,2370.18,2420.08,3
CPT,63078,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,2350.0,31992.0,81
CPT,63081,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2350.0,31992.0,74
CPT,63081,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment Other Surgical Services",,,4150.0,4150.0,1
CPT,63081,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment SCHEDULED",,,3631.7,3708.15,3
CPT,63081,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment UNSCHEDULED",,,2370.18,2420.08,3
CPT,63082,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,2350.0,31992.0,81
CPT,63085,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,2350.0,31992.0,74
CPT,63085,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment Other Surgical Services",,,4150.0,4150.0,1
CPT,63085,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment SCHEDULED",,,8425.98,8603.37,3
CPT,63085,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment UNSCHEDULED",,,2370.18,2420.08,3
CPT,63086,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,2350.0,31992.0,81
CPT,63087,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,1039.58,31992.0,81
CPT,63088,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,2350.0,31992.0,81
CPT,63090,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,2350.0,31992.0,81
CPT,63091,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,2350.0,31992.0,81
CPT,63101,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,2350.0,31992.0,81
CPT,63102,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,2350.0,31992.0,81
CPT,63103,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,2350.0,31992.0,81
CPT,63170,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,2350.0,31992.0,74
CPT,63170,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar Other Surgical Services",,,4150.0,4150.0,1
CPT,63170,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar SCHEDULED",,,8425.98,8603.37,3
CPT,63170,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar UNSCHEDULED",,,2370.18,2420.08,3
CPT,63172,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,2350.0,31992.0,74
CPT,63172,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space Other Surgical Services,,,4150.0,4150.0,1
CPT,63172,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space SCHEDULED,,,8425.98,8603.37,3
CPT,63172,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space UNSCHEDULED,,,2370.18,2420.08,3
CPT,63173,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,2350.0,31992.0,74
CPT,63173,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space Other Surgical Services,,,4150.0,4150.0,1
CPT,63173,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space SCHEDULED,,,8425.98,8603.37,3
CPT,63173,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space UNSCHEDULED,,,2370.18,2420.08,3
CPT,63180,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; 1 OR 2 SEGMENTS SCHEDULED",,,8425.98,8603.37,3
CPT,63180,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; 1 OR 2 SEGMENTS UNSCHEDULED",,,2370.18,2420.08,3
CPT,63182,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THAN 2 SEGMENTS SCHEDULED",,,8425.98,8603.37,3
CPT,63182,"LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, CERVICAL; MORE THAN 2 SEGMENTS UNSCHEDULED",,,2370.18,2420.08,3
CPT,63185,Laminectomy with rhizotomy; 1 or 2 segments ,,,2350.0,31992.0,102
CPT,63185,Laminectomy with rhizotomy; 1 or 2 segments Other Surgical Services,,,4150.0,4150.0,1
CPT,63185,Laminectomy with rhizotomy; 1 or 2 segments SCHEDULED,,,8425.98,8603.37,3
CPT,63185,Laminectomy with rhizotomy; 1 or 2 segments UNSCHEDULED,,,2370.18,2420.08,3
CPT,63190,Laminectomy with rhizotomy; more than 2 segments ,,,2350.0,31992.0,102
CPT,63190,Laminectomy with rhizotomy; more than 2 segments Other Surgical Services,,,4150.0,4150.0,1
CPT,63190,Laminectomy with rhizotomy; more than 2 segments SCHEDULED,,,8425.98,8603.37,3
CPT,63190,Laminectomy with rhizotomy; more than 2 segments UNSCHEDULED,,,2370.18,2420.08,3
CPT,63191,Laminectomy with section of spinal accessory nerve ,,,2350.0,31992.0,102
CPT,63191,Laminectomy with section of spinal accessory nerve Other Surgical Services,,,4150.0,4150.0,1
CPT,63191,Laminectomy with section of spinal accessory nerve SCHEDULED,,,8425.98,8603.37,3
CPT,63191,Laminectomy with section of spinal accessory nerve UNSCHEDULED,,,2370.18,2420.08,3
CPT,63194,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; CERVICAL SCHEDULED",,,8425.98,8603.37,3
CPT,63194,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; CERVICAL UNSCHEDULED",,,2370.18,2420.08,3
CPT,63195,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; THORACIC SCHEDULED",,,8425.98,8603.37,3
CPT,63195,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF 1 SPINOTHALAMIC TRACT, 1 STAGE; THORACIC UNSCHEDULED",,,2370.18,2420.08,3
CPT,63196,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 1 STAGE; CERVICAL SCHEDULED",,,8425.98,8603.37,3
CPT,63196,"LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 1 STAGE; CERVICAL UNSCHEDULED",,,2370.18,2420.08,3
CPT,63197,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,2350.0,31992.0,74
CPT,63197,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic Other Surgical Services",,,4150.0,4150.0,1
CPT,63197,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic SCHEDULED",,,8425.98,8603.37,3
CPT,63197,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic UNSCHEDULED",,,2370.18,2420.08,3
CPT,63198,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; CERVICAL SCHEDULED",,,8425.98,8603.37,3
CPT,63198,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; CERVICAL UNSCHEDULED",,,2370.18,2420.08,3
CPT,63199,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; THORACIC SCHEDULED",,,8425.98,8603.37,3
CPT,63199,"LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, 2 STAGES WITHIN 14 DAYS; THORACIC UNSCHEDULED",,,2370.18,2420.08,3
CPT,63200,"Laminectomy, with release of tethered spinal cord, lumbar ",,,2350.0,31992.0,102
CPT,63200,"Laminectomy, with release of tethered spinal cord, lumbar Other Surgical Services",,,4150.0,4150.0,1
CPT,63200,"Laminectomy, with release of tethered spinal cord, lumbar SCHEDULED",,,8425.98,8603.37,3
CPT,63200,"Laminectomy, with release of tethered spinal cord, lumbar UNSCHEDULED",,,2370.18,2420.08,3
CPT,63250,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,2350.0,31992.0,74
CPT,63250,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical Other Surgical Services,,,4150.0,4150.0,1
CPT,63250,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical SCHEDULED,,,8212.93,8385.83,3
CPT,63250,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical UNSCHEDULED,,,2370.18,2420.08,3
CPT,63251,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,2350.0,31992.0,74
CPT,63251,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic Other Surgical Services,,,4150.0,4150.0,1
CPT,63251,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic SCHEDULED,,,8425.98,8603.37,3
CPT,63251,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic UNSCHEDULED,,,2370.18,2420.08,3
CPT,63252,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,2350.0,31992.0,102
CPT,63252,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar Other Surgical Services,,,4150.0,4150.0,1
CPT,63252,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar SCHEDULED,,,8425.98,8603.37,3
CPT,63252,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar UNSCHEDULED,,,2370.18,2420.08,3
CPT,63265,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,2350.0,18507.0,74
CPT,63265,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical Other Surgical Services",,,4150.0,4150.0,1
CPT,63265,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical SCHEDULED",,,8425.98,8603.37,3
CPT,63265,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical UNSCHEDULED",,,2370.18,2420.08,3
CPT,63266,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,2350.0,18507.0,74
CPT,63266,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Other Surgical Services",,,4150.0,4150.0,1
CPT,63266,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic SCHEDULED",,,8425.98,8603.37,3
CPT,63266,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic UNSCHEDULED",,,2370.18,2420.08,3
CPT,63267,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,2350.0,18507.0,102
CPT,63267,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Other Surgical Services",,,4150.0,4150.0,1
CPT,63267,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar SCHEDULED",,,15565.31,15893.0,3
CPT,63267,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar UNSCHEDULED",,,2370.18,2420.08,3
CPT,63268,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,2350.0,18507.0,74
CPT,63268,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Other Surgical Services",,,4150.0,4150.0,1
CPT,63268,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral SCHEDULED",,,8425.98,8603.37,3
CPT,63268,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral UNSCHEDULED",,,2370.18,2420.08,3
CPT,63270,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,2350.0,31992.0,74
CPT,63270,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical Other Surgical Services",,,4150.0,4150.0,1
CPT,63270,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical SCHEDULED",,,8425.98,8603.37,3
CPT,63270,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical UNSCHEDULED",,,2370.18,2420.08,3
CPT,63271,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,2350.0,31992.0,74
CPT,63271,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic Other Surgical Services",,,4150.0,4150.0,1
CPT,63271,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic SCHEDULED",,,8425.98,8603.37,3
CPT,63271,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic UNSCHEDULED",,,2370.18,2420.08,3
CPT,63272,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,2350.0,31992.0,102
CPT,63272,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar Other Surgical Services",,,4150.0,4150.0,1
CPT,63272,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar SCHEDULED",,,8425.98,8603.37,3
CPT,63272,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar UNSCHEDULED",,,2370.18,2420.08,3
CPT,63273,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,2350.0,31992.0,74
CPT,63273,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral Other Surgical Services",,,4150.0,4150.0,1
CPT,63273,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral SCHEDULED",,,8425.98,8603.37,3
CPT,63273,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral UNSCHEDULED",,,2370.18,2420.08,3
CPT,63275,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,2350.0,31992.0,74
CPT,63275,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical Other Surgical Services",,,4150.0,4150.0,1
CPT,63275,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical SCHEDULED",,,8425.98,8603.37,3
CPT,63275,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical UNSCHEDULED",,,2370.18,2420.08,3
CPT,63276,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,2350.0,31992.0,74
CPT,63276,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic Other Surgical Services",,,4150.0,4150.0,1
CPT,63276,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic SCHEDULED",,,8425.98,8603.37,3
CPT,63276,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic UNSCHEDULED",,,2370.18,2420.08,3
CPT,63277,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,2350.0,31992.0,102
CPT,63277,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar Other Surgical Services",,,4150.0,4150.0,1
CPT,63277,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar SCHEDULED",,,8425.98,8603.37,3
CPT,63277,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar UNSCHEDULED",,,2370.18,2420.08,3
CPT,63278,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,2350.0,31992.0,74
CPT,63278,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral Other Surgical Services",,,4150.0,4150.0,1
CPT,63278,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral SCHEDULED",,,8425.98,8603.37,3
CPT,63278,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral UNSCHEDULED",,,2370.18,2420.08,3
CPT,63280,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,2350.0,31992.0,74
CPT,63280,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical Other Surgical Services",,,4150.0,4150.0,1
CPT,63280,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical SCHEDULED",,,8425.98,8603.37,3
CPT,63280,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical UNSCHEDULED",,,2370.18,2420.08,3
CPT,63281,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,2350.0,31992.0,74
CPT,63281,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic Other Surgical Services",,,4150.0,4150.0,1
CPT,63281,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic SCHEDULED",,,8425.98,8603.37,3
CPT,63281,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic UNSCHEDULED",,,2370.18,2420.08,3
CPT,63282,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,2350.0,31992.0,102
CPT,63282,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar Other Surgical Services",,,4150.0,4150.0,1
CPT,63282,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar SCHEDULED",,,8425.98,8603.37,3
CPT,63282,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar UNSCHEDULED",,,2370.18,2420.08,3
CPT,63283,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,2350.0,31992.0,74
CPT,63283,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral Other Surgical Services",,,4150.0,4150.0,1
CPT,63283,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral SCHEDULED",,,8425.98,8603.37,3
CPT,63283,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral UNSCHEDULED",,,2370.18,2420.08,3
CPT,63285,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,2350.0,31992.0,74
CPT,63285,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical Other Surgical Services",,,4150.0,4150.0,1
CPT,63285,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical SCHEDULED",,,8425.98,8603.37,3
CPT,63285,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical UNSCHEDULED",,,2370.18,2420.08,3
CPT,63286,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,2350.0,31992.0,74
CPT,63286,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic Other Surgical Services",,,4150.0,4150.0,1
CPT,63286,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic SCHEDULED",,,8425.98,8603.37,3
CPT,63286,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic UNSCHEDULED",,,2370.18,2420.08,3
CPT,63287,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,2350.0,31992.0,102
CPT,63287,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar Other Surgical Services",,,4150.0,4150.0,1
CPT,63287,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar SCHEDULED",,,8425.98,8603.37,3
CPT,63287,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar UNSCHEDULED",,,2370.18,2420.08,3
CPT,63290,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,2350.0,31992.0,102
CPT,63290,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level Other Surgical Services",,,4150.0,4150.0,1
CPT,63290,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level SCHEDULED",,,8425.98,8603.37,3
CPT,63290,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level UNSCHEDULED",,,2370.18,2420.08,3
CPT,63295,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,2350.0,31992.0,74
CPT,63295,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,63295,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) SCHEDULED",,,8425.98,8603.37,3
CPT,63295,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) UNSCHEDULED",,,2370.18,2420.08,3
CPT,63300,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,2350.0,31992.0,74
CPT,63300,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical Other Surgical Services",,,4150.0,4150.0,1
CPT,63300,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical SCHEDULED",,,8425.98,8603.37,3
CPT,63300,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical UNSCHEDULED",,,2370.18,2420.08,3
CPT,63301,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,2350.0,31992.0,74
CPT,63301,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach Other Surgical Services",,,4150.0,4150.0,1
CPT,63301,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach SCHEDULED",,,8425.98,8603.37,3
CPT,63301,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach UNSCHEDULED",,,2370.18,2420.08,3
CPT,63302,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,2350.0,31992.0,74
CPT,63302,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach Other Surgical Services",,,4150.0,4150.0,1
CPT,63302,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach SCHEDULED",,,8425.98,8603.37,3
CPT,63302,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach UNSCHEDULED",,,2370.18,2420.08,3
CPT,63303,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2350.0,31992.0,74
CPT,63303,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach Ot",,,4150.0,4150.0,1
CPT,63303,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach SC",,,8425.98,8603.37,3
CPT,63303,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach UN",,,2370.18,2420.08,3
CPT,63304,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,2350.0,31992.0,74
CPT,63304,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical Other Surgical Services",,,4150.0,4150.0,1
CPT,63304,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical SCHEDULED",,,8425.98,8603.37,3
CPT,63304,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical UNSCHEDULED",,,2370.18,2420.08,3
CPT,63305,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,2350.0,31992.0,74
CPT,63305,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach Other Surgical Services",,,4150.0,4150.0,1
CPT,63305,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach SCHEDULED",,,8425.98,8603.37,3
CPT,63305,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach UNSCHEDULED",,,2370.18,2420.08,3
CPT,63306,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,2350.0,31992.0,74
CPT,63306,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach Other Surgical Services",,,4150.0,4150.0,1
CPT,63306,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach SCHEDULED",,,8425.98,8603.37,3
CPT,63306,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach UNSCHEDULED",,,2370.18,2420.08,3
CPT,63307,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2350.0,31992.0,74
CPT,63307,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach Ot",,,4150.0,4150.0,1
CPT,63307,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach SC",,,8425.98,8603.37,3
CPT,63307,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach UN",,,2370.18,2420.08,3
CPT,63308,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,2350.0,31992.0,81
CPT,63600,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,2350.0,9710.0,102
CPT,63600,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) Other Surgical Services",,,4150.0,4150.0,1
CPT,63600,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) SCHEDULED",,,8425.98,8603.37,3
CPT,63600,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) UNSCHEDULED",,,2370.18,2420.08,3
CPT,63610,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,2350.0,9710.0,102
CPT,63610,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Other Surgical Services",,,4150.0,4150.0,1
CPT,63610,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery SCHEDULED",,,8425.98,8603.37,3
CPT,63610,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery UNSCHEDULED",,,2370.18,2420.08,3
CPT,63615,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2820.0,5414.0,28
CPT,63615,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD SCHEDULED",,,8425.98,8603.37,3
CPT,63615,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD UNSCHEDULED",,,2370.18,2420.08,3
CPT,63620,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2050.0,65000.0,74
CPT,63620,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion Gamma Knife",,,18000.0,18000.0,1
CPT,63620,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,63620,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion SCHEDULED",,,8425.98,8603.37,3
CPT,63620,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion UNSCHEDULED",,,2370.18,2420.08,3
CPT,63621,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,2050.0,65000.0,65
CPT,63621,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) Gamma Knife",,,18000.0,18000.0,1
CPT,63621,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,63621,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) SCHEDULED",,,8425.98,8603.37,3
CPT,63621,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) UNSCHEDULED",,,2370.18,2420.08,3
CPT,63650,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,2350.0,72171.0,164
CPT,63650,"Percutaneous implantation of neurostimulator electrode array, epidural Complex Surgery",,,11754.0,11754.0,22
CPT,63650,"Percutaneous implantation of neurostimulator electrode array, epidural Other Surgical Services",,,4150.0,4150.0,1
CPT,63650,"Percutaneous implantation of neurostimulator electrode array, epidural SCHEDULED",,,5010.46,5115.94,3
CPT,63650,"Percutaneous implantation of neurostimulator electrode array, epidural UNSCHEDULED",,,2370.18,2420.08,3
CPT,63655,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,2350.0,72171.0,164
CPT,63655,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Complex Surgery",,,11754.0,11754.0,22
CPT,63655,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Other Surgical Services",,,4150.0,4150.0,1
CPT,63655,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural SCHEDULED",,,10875.2,11104.15,3
CPT,63655,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural UNSCHEDULED",,,2370.18,2420.08,3
CPT,63660,REVISE/REMOVE NEUROELECTRODE SCHEDULED,,,8425.98,8603.37,3
CPT,63660,REVISE/REMOVE NEUROELECTRODE UNSCHEDULED,,,2370.18,2420.08,3
CPT,63661,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,2350.0,22212.0,99
CPT,63661,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,63661,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed SCHEDULED",,,4572.86,4669.13,3
CPT,63661,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed UNSCHEDULED",,,2370.18,2420.08,3
CPT,63662,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,2350.0,22212.0,99
CPT,63662,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,63662,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed SCHEDULED",,,7286.42,7439.82,3
CPT,63662,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed UNSCHEDULED",,,2370.18,2420.08,3
CPT,63663,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,2350.0,22212.0,99
CPT,63663,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,63663,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed SCHEDULED",,,6032.23,6159.23,3
CPT,63663,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed UNSCHEDULED",,,2370.18,2420.08,3
CPT,63664,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,2350.0,22212.0,99
CPT,63664,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed Other Surgical Services",,,4150.0,4150.0,1
CPT,63664,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed SCHEDULED",,,9386.5,9584.11,3
CPT,63664,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed UNSCHEDULED",,,2370.18,2420.08,3
CPT,63685,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,2350.0,72171.0,164
CPT,63685,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver Complex Surgery",,,11754.0,11754.0,22
CPT,63685,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver Other Surgical Services",,,4150.0,4150.0,1
CPT,63685,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver SCHEDULED",,,4785.38,4886.12,3
CPT,63685,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver UNSCHEDULED",,,2370.18,2420.08,3
CPT,63688,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2350.0,22212.0,99
CPT,63688,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array Other Surgical Services",,,4150.0,4150.0,1
CPT,63688,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array SCHEDULED",,,6838.35,6982.31,3
CPT,63688,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array UNSCHEDULED",,,2370.18,2420.08,3
CPT,63700,Repair of meningocele; less than 5 cm diameter ,,,1950.0,31992.0,78
CPT,63700,Repair of meningocele; less than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,4
CPT,63700,Repair of meningocele; less than 5 cm diameter SCHEDULED,,,8425.98,8603.37,3
CPT,63700,Repair of meningocele; less than 5 cm diameter UNSCHEDULED,,,2370.18,2420.08,3
CPT,63702,Repair of meningocele; larger than 5 cm diameter ,,,1950.0,31992.0,78
CPT,63702,Repair of meningocele; larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,4
CPT,63702,Repair of meningocele; larger than 5 cm diameter SCHEDULED,,,8425.98,8603.37,3
CPT,63702,Repair of meningocele; larger than 5 cm diameter UNSCHEDULED,,,2370.18,2420.08,3
CPT,63704,Repair of myelomeningocele; less than 5 cm diameter ,,,1950.0,31992.0,78
CPT,63704,Repair of myelomeningocele; less than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,4
CPT,63704,Repair of myelomeningocele; less than 5 cm diameter SCHEDULED,,,8425.98,8603.37,3
CPT,63704,Repair of myelomeningocele; less than 5 cm diameter UNSCHEDULED,,,2370.18,2420.08,3
CPT,63706,Repair of myelomeningocele; larger than 5 cm diameter ,,,1950.0,31992.0,78
CPT,63706,Repair of myelomeningocele; larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,4
CPT,63706,Repair of myelomeningocele; larger than 5 cm diameter SCHEDULED,,,8425.98,8603.37,3
CPT,63706,Repair of myelomeningocele; larger than 5 cm diameter UNSCHEDULED,,,2370.18,2420.08,3
CPT,63707,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,1950.0,31992.0,78
CPT,63707,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,63707,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy SCHEDULED",,,8425.98,8603.37,3
CPT,63707,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy UNSCHEDULED",,,2370.18,2420.08,3
CPT,63709,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,1950.0,31992.0,78
CPT,63709,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,63709,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy SCHEDULED",,,18774.06,19169.3,3
CPT,63709,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy UNSCHEDULED",,,2370.18,2420.08,3
CPT,63710,"Dural graft, spinal ",,,1950.0,31992.0,78
CPT,63710,"Dural graft, spinal Other Surgical Services",,,2850.0,2850.0,4
CPT,63710,"Dural graft, spinal SCHEDULED",,,8425.98,8603.37,3
CPT,63710,"Dural graft, spinal UNSCHEDULED",,,2370.18,2420.08,3
CPT,63740,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,1950.0,31992.0,78
CPT,63740,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,63740,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy SCHEDULED",,,8425.98,8603.37,3
CPT,63740,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy UNSCHEDULED",,,2370.18,2420.08,3
CPT,63741,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,1950.0,18507.0,106
CPT,63741,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,63741,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy SCHEDULED",,,8425.98,8603.37,3
CPT,63741,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy UNSCHEDULED",,,2370.18,2420.08,3
CPT,63744,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,1950.0,18507.0,106
CPT,63744,"Replacement, irrigation or revision of lumbosubarachnoid shunt Other Surgical Services",,,2850.0,2850.0,4
CPT,63744,"Replacement, irrigation or revision of lumbosubarachnoid shunt SCHEDULED",,,8425.98,8603.37,3
CPT,63744,"Replacement, irrigation or revision of lumbosubarachnoid shunt UNSCHEDULED",,,2370.18,2420.08,3
CPT,63746,Removal of entire lumbosubarachnoid shunt system without replacement ,,,1950.0,9710.0,106
CPT,63746,Removal of entire lumbosubarachnoid shunt system without replacement Other Surgical Services,,,2850.0,2850.0,4
CPT,63746,Removal of entire lumbosubarachnoid shunt system without replacement SCHEDULED,,,8425.98,8603.37,3
CPT,63746,Removal of entire lumbosubarachnoid shunt system without replacement UNSCHEDULED,,,2370.18,2420.08,3
CPT,64400,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,1423.0,6802.0,103
CPT,64400,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) Other Surgical Services",,,2850.0,2850.0,4
CPT,64400,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) SCHEDULED",,,3749.99,3828.94,3
CPT,64400,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) UNSCHEDULED",,,496.23,506.68,3
CPT,64402,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,1423.0,3251.0,28
CPT,64402,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE SCHEDULED",,,3749.99,3828.94,3
CPT,64402,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE UNSCHEDULED",,,1731.57,1768.03,3
CPT,64405,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,1844.0,6802.0,103
CPT,64405,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,64405,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve SCHEDULED",,,3749.99,3828.94,3
CPT,64405,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve UNSCHEDULED",,,903.48,922.5,3
CPT,64408,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,1423.0,9710.0,106
CPT,64408,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,64408,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve SCHEDULED",,,3749.99,3828.94,3
CPT,64408,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve UNSCHEDULED",,,1731.57,1768.03,3
CPT,64410,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1423.0,3251.0,28
CPT,64410,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE SCHEDULED",,,3749.99,3828.94,3
CPT,64410,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE UNSCHEDULED",,,1731.57,1768.03,3
CPT,64412,N BLOCK INJ SPINAL ACCESSOR SCHEDULED,,,3749.99,3828.94,3
CPT,64412,N BLOCK INJ SPINAL ACCESSOR UNSCHEDULED,,,1731.57,1768.03,3
CPT,64413,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1982.0,3689.0,28
CPT,64413,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS SCHEDULED",,,3749.99,3828.94,3
CPT,64413,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS UNSCHEDULED",,,1731.57,1768.03,3
CPT,64415,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,1950.0,9710.0,106
CPT,64415,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64415,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed SCHEDULED",,,3749.99,3828.94,3
CPT,64415,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed UNSCHEDULED",,,2041.45,2084.43,3
CPT,64416,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1950.0,9710.0,106
CPT,64416,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64416,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed SCHEDULED",,,3749.99,3828.94,3
CPT,64416,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed UNSCHEDULED",,,3422.32,3494.37,3
CPT,64417,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,1950.0,9710.0,106
CPT,64417,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64417,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed SCHEDULED",,,3749.99,3828.94,3
CPT,64417,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed UNSCHEDULED",,,1044.81,1066.81,3
CPT,64418,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,1950.0,9710.0,106
CPT,64418,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,64418,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve SCHEDULED",,,3749.99,3828.94,3
CPT,64418,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve UNSCHEDULED",,,1304.44,1331.9,3
CPT,64420,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,1950.0,9710.0,106
CPT,64420,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level Other Surgical Services",,,2850.0,2850.0,4
CPT,64420,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level SCHEDULED",,,3749.99,3828.94,3
CPT,64420,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level UNSCHEDULED",,,3257.95,3326.54,3
CPT,64421,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,106
CPT,64421,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,64421,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) SCHEDULED",,,3749.99,3828.94,3
CPT,64421,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) UNSCHEDULED",,,4088.14,4174.21,3
CPT,64425,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,1950.0,9710.0,106
CPT,64425,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves Other Surgical Services",,,2850.0,2850.0,4
CPT,64425,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves SCHEDULED",,,3749.99,3828.94,3
CPT,64425,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves UNSCHEDULED",,,1702.26,1738.09,3
CPT,64430,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,1950.0,9710.0,106
CPT,64430,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,64430,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve SCHEDULED",,,3749.99,3828.94,3
CPT,64430,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve UNSCHEDULED",,,579.98,592.19,3
CPT,64435,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,1950.0,9710.0,106
CPT,64435,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,64435,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve SCHEDULED",,,3749.99,3828.94,3
CPT,64435,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve UNSCHEDULED",,,1731.57,1768.03,3
CPT,64440,Inject anes 1 paravert N SCHEDULED,,,3749.99,3828.94,3
CPT,64440,Inject anes 1 paravert N UNSCHEDULED,,,1731.57,1768.03,3
CPT,64441,Inject anes >1 paravert SCHEDULED,,,3749.99,3828.94,3
CPT,64441,Inject anes >1 paravert UNSCHEDULED,,,1731.57,1768.03,3
CPT,64442,Inject anes 1 L facet N SCHEDULED,,,3749.99,3828.94,3
CPT,64442,Inject anes 1 L facet N UNSCHEDULED,,,1731.57,1768.03,3
CPT,64443,Inject anes L facet-ADDL SCHEDULED,,,3749.99,3828.94,3
CPT,64443,Inject anes L facet-ADDL UNSCHEDULED,,,1731.57,1768.03,3
CPT,64445,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,1950.0,9710.0,106
CPT,64445,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64445,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed SCHEDULED",,,3749.99,3828.94,3
CPT,64445,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed UNSCHEDULED",,,1522.19,1554.24,3
CPT,64446,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1950.0,9710.0,106
CPT,64446,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64446,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed SCHEDULED",,,3749.99,3828.94,3
CPT,64446,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed UNSCHEDULED",,,2149.29,2194.54,3
CPT,64447,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,1950.0,9710.0,106
CPT,64447,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64447,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed SCHEDULED",,,3749.99,3828.94,3
CPT,64447,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed UNSCHEDULED",,,1512.77,1544.62,3
CPT,64448,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1950.0,9710.0,106
CPT,64448,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64448,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed SCHEDULED",,,3749.99,3828.94,3
CPT,64448,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed UNSCHEDULED",,,1423.78,1453.76,3
CPT,64449,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,1950.0,9710.0,106
CPT,64449,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) Other Surgical Services",,,2850.0,2850.0,4
CPT,64449,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) SCHEDULED",,,3749.99,3828.94,3
CPT,64449,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) UNSCHEDULED",,,4182.37,4270.42,3
CPT,64450,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,1950.0,6802.0,103
CPT,64450,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch Other Surgical Services",,,2850.0,2850.0,4
CPT,64450,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch SCHEDULED",,,3749.99,3828.94,3
CPT,64450,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch UNSCHEDULED",,,607.2,619.99,3
CPT,64451,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,1950.0,9710.0,78
CPT,64451,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) Other Surgical Services",,,2850.0,2850.0,4
CPT,64451,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) SCHEDULED",,,3749.99,3828.94,3
CPT,64451,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64454,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,1950.0,9710.0,78
CPT,64454,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64454,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed SCHEDULED",,,3749.99,3828.94,3
CPT,64454,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed UNSCHEDULED",,,1731.57,1768.03,3
CPT,64455,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,1423.0,9710.0,106
CPT,64455,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) Other Surgical Services",,,2850.0,2850.0,4
CPT,64455,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) SCHEDULED",,,3749.99,3828.94,3
CPT,64455,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) UNSCHEDULED",,,595.69,608.23,3
CPT,64461,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,1950.0,9710.0,106
CPT,64461,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,64461,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) SCHEDULED",,,3749.99,3828.94,3
CPT,64461,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) UNSCHEDULED",,,3230.73,3298.75,3
CPT,64462,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,1423.0,9710.0,109
CPT,64463,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,1950.0,9710.0,106
CPT,64463,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,64463,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) SCHEDULED",,,3749.99,3828.94,3
CPT,64463,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64466,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1950.0,9710.0,71
CPT,64466,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64467,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1950.0,9710.0,71
CPT,64467,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64468,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,1950.0,9710.0,71
CPT,64468,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64469,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1950.0,9710.0,71
CPT,64469,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64470,INJ PARAVERTEBRAL C/T SCHEDULED,,,3749.99,3828.94,3
CPT,64470,INJ PARAVERTEBRAL C/T UNSCHEDULED,,,1731.57,1768.03,3
CPT,64472,INJ PARAVERTEBRAL C/T ADD-ON SCHEDULED,,,3749.99,3828.94,3
CPT,64472,INJ PARAVERTEBRAL C/T ADD-ON UNSCHEDULED,,,1731.57,1768.03,3
CPT,64473,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,1950.0,9710.0,71
CPT,64473,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64474,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,1950.0,9710.0,71
CPT,64474,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64475,INJ PARAVERTEBRAL L/S SCHEDULED,,,3749.99,3828.94,3
CPT,64475,INJ PARAVERTEBRAL L/S UNSCHEDULED,,,1731.57,1768.03,3
CPT,64476,INJ PARAVERTEBRAL L/S ADD-ON SCHEDULED,,,3749.99,3828.94,3
CPT,64476,INJ PARAVERTEBRAL L/S ADD-ON UNSCHEDULED,,,1731.57,1768.03,3
CPT,64479,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,1950.0,6802.0,103
CPT,64479,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level Other Surgical Services",,,2850.0,2850.0,4
CPT,64479,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level SCHEDULED",,,3749.99,3828.94,3
CPT,64479,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level UNSCHEDULED",,,1908.5,1948.68,3
CPT,64480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,392.59,6802.0,106
CPT,64483,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,1950.0,6802.0,103
CPT,64483,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level Other Surgical Services",,,2850.0,2850.0,4
CPT,64483,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level SCHEDULED",,,3749.99,3828.94,3
CPT,64483,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level UNSCHEDULED",,,2136.72,2181.7,3
CPT,64484,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,1423.0,6802.0,106
CPT,64486,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,1423.0,9710.0,99
CPT,64486,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,64486,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) SCHEDULED",,,3749.99,3828.94,3
CPT,64486,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) UNSCHEDULED",,,7168.12,7319.03,3
CPT,64487,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,1423.0,9710.0,99
CPT,64487,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,64487,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) SCHEDULED",,,3749.99,3828.94,3
CPT,64487,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64488,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,1423.0,9710.0,99
CPT,64488,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,64488,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) SCHEDULED",,,3749.99,3828.94,3
CPT,64488,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) UNSCHEDULED",,,3689.28,3766.95,3
CPT,64489,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,1423.0,9710.0,99
CPT,64489,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,4
CPT,64489,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) SCHEDULED",,,3749.99,3828.94,3
CPT,64489,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,1876.04,6802.0,113
CPT,64491,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,1423.0,6802.0,106
CPT,64492,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,1423.0,6802.0,106
CPT,64493,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,1950.0,6802.0,103
CPT,64493,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level Othe",,,2850.0,2850.0,4
CPT,64493,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level SCHE",,,3749.99,3828.94,3
CPT,64493,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level UNSC",,,2189.07,2235.15,3
CPT,64494,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,1423.0,6802.0,106
CPT,64495,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,1423.0,6802.0,106
CPT,64505,"Injection, anesthetic agent; sphenopalatine ganglion ",,,1423.0,9710.0,106
CPT,64505,"Injection, anesthetic agent; sphenopalatine ganglion Other Surgical Services",,,2850.0,2850.0,4
CPT,64505,"Injection, anesthetic agent; sphenopalatine ganglion SCHEDULED",,,3749.99,3828.94,3
CPT,64505,"Injection, anesthetic agent; sphenopalatine ganglion UNSCHEDULED",,,982.0,1002.67,3
CPT,64508,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,1423.0,3251.0,28
CPT,64508,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) SCHEDULED",,,3749.99,3828.94,3
CPT,64508,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64510,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,1950.0,9710.0,106
CPT,64510,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) Other Surgical Services",,,2850.0,2850.0,4
CPT,64510,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) SCHEDULED",,,3749.99,3828.94,3
CPT,64510,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) UNSCHEDULED",,,1307.58,1335.11,3
CPT,64517,"Injection, anesthetic agent; superior hypogastric plexus ",,,1950.0,9710.0,106
CPT,64517,"Injection, anesthetic agent; superior hypogastric plexus Other Surgical Services",,,2850.0,2850.0,4
CPT,64517,"Injection, anesthetic agent; superior hypogastric plexus SCHEDULED",,,3749.99,3828.94,3
CPT,64517,"Injection, anesthetic agent; superior hypogastric plexus UNSCHEDULED",,,1731.57,1768.03,3
CPT,64520,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,1950.0,6802.0,103
CPT,64520,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) Other Surgical Services",,,2850.0,2850.0,4
CPT,64520,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) SCHEDULED",,,3749.99,3828.94,3
CPT,64520,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) UNSCHEDULED",,,2078.1,2121.85,3
CPT,64530,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,1950.0,6802.0,103
CPT,64530,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Other Surgical Services",,,2850.0,2850.0,4
CPT,64530,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring SCHEDULED",,,3749.99,3828.94,3
CPT,64530,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring UNSCHEDULED",,,1282.45,1309.45,3
CPT,64550,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,1423.0,3251.0,28
CPT,64550,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) SCHEDULED",,,3749.99,3828.94,3
CPT,64550,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64553,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,2350.0,72171.0,167
CPT,64553,Percutaneous implantation of neurostimulator electrode array; cranial nerve Complex Surgery,,,11754.0,11754.0,22
CPT,64553,Percutaneous implantation of neurostimulator electrode array; cranial nerve Other Surgical Services,,,4150.0,4150.0,1
CPT,64553,Percutaneous implantation of neurostimulator electrode array; cranial nerve SCHEDULED,,,3749.99,3828.94,3
CPT,64553,Percutaneous implantation of neurostimulator electrode array; cranial nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64555,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,2350.0,72171.0,167
CPT,64555,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,22
CPT,64555,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Other Surgical Services,,,4150.0,4150.0,1
CPT,64555,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) SCHEDULED,,,3749.99,3828.94,3
CPT,64555,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) UNSCHEDULED,,,1731.57,1768.03,3
CPT,64560,IMPLANT NEUROELECTRODES SCHEDULED,,,3749.99,3828.94,3
CPT,64560,IMPLANT NEUROELECTRODES UNSCHEDULED,,,1731.57,1768.03,3
CPT,64561,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,2350.0,72171.0,167
CPT,64561,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed Complex Surgery",,,11754.0,11754.0,22
CPT,64561,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed Other Surgical Services",,,4150.0,4150.0,1
CPT,64561,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed SCHEDULED",,,5805.06,5927.27,3
CPT,64561,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed UNSCHEDULED",,,1731.57,1768.03,3
CPT,64565,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,9935.0,72171.0,39
CPT,64565,HPercutaneous implantation of neurostimulator electrode array; neuromuscular SCHEDULED,,,3749.99,3828.94,3
CPT,64565,HPercutaneous implantation of neurostimulator electrode array; neuromuscular UNSCHEDULED,,,1731.57,1768.03,3
CPT,64566,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,1423.0,22212.0,102
CPT,64566,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming Other Surgical Services",,,4150.0,4150.0,1
CPT,64566,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming SCHEDULED",,,3749.99,3828.94,3
CPT,64566,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming UNSCHEDULED",,,1731.57,1768.03,3
CPT,64567,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,2350.0,6802.0,63
CPT,64567,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation Other Surgical Services",,,4150.0,4150.0,1
CPT,64568,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,2350.0,72171.0,160
CPT,64568,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Complex Surgery",,,11754.0,11754.0,22
CPT,64568,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Other Surgical Services",,,4150.0,4150.0,1
CPT,64568,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator SCHEDULED",,,3749.99,3828.94,3
CPT,64568,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator UNSCHEDULED",,,1731.57,1768.03,3
CPT,64569,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,2350.0,22212.0,102
CPT,64569,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator Other Surgical Services",,,4150.0,4150.0,1
CPT,64569,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator SCHEDULED",,,3749.99,3828.94,3
CPT,64569,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator UNSCHEDULED",,,1731.57,1768.03,3
CPT,64570,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,2350.0,22212.0,102
CPT,64570,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Other Surgical Services",,,4150.0,4150.0,1
CPT,64570,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator SCHEDULED",,,3749.99,3828.94,3
CPT,64570,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator UNSCHEDULED",,,1731.57,1768.03,3
CPT,64573,IMPLANT NEUROELECTRODES SCHEDULED,,,3749.99,3828.94,3
CPT,64573,IMPLANT NEUROELECTRODES UNSCHEDULED,,,1731.57,1768.03,3
CPT,64575,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,2350.0,72171.0,167
CPT,64575,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,22
CPT,64575,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Other Surgical Services,,,4150.0,4150.0,1
CPT,64575,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) SCHEDULED,,,3749.99,3828.94,3
CPT,64575,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) UNSCHEDULED,,,1731.57,1768.03,3
CPT,64577,IMPLANT NEUROELECTRODES SCHEDULED,,,3749.99,3828.94,3
CPT,64577,IMPLANT NEUROELECTRODES UNSCHEDULED,,,1731.57,1768.03,3
CPT,64580,Open implantation of neurostimulator electrode array; neuromuscular ,,,2350.0,72171.0,167
CPT,64580,Open implantation of neurostimulator electrode array; neuromuscular Complex Surgery,,,11754.0,11754.0,22
CPT,64580,Open implantation of neurostimulator electrode array; neuromuscular Other Surgical Services,,,4150.0,4150.0,1
CPT,64580,Open implantation of neurostimulator electrode array; neuromuscular SCHEDULED,,,3749.99,3828.94,3
CPT,64580,Open implantation of neurostimulator electrode array; neuromuscular UNSCHEDULED,,,1731.57,1768.03,3
CPT,64581,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,2350.0,22212.0,167
CPT,64581,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Complex Surgery,,,11754.0,11754.0,22
CPT,64581,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Other Surgical Services,,,4150.0,4150.0,1
CPT,64581,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) SCHEDULED,,,4901.58,5004.77,3
CPT,64581,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) UNSCHEDULED,,,1731.57,1768.03,3
CPT,64582,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2350.0,30016.0,139
CPT,64582,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,22
CPT,64582,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Other Surgical Services",,,4150.0,4150.0,1
CPT,64582,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array SCHEDULED",,,3749.99,3828.94,3
CPT,64582,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array UNSCHEDULED",,,1731.57,1768.03,3
CPT,64583,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,2350.0,22212.0,139
CPT,64583,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator Complex Surgery",,,11754.0,11754.0,22
CPT,64583,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator Other Surgical Services",,,4150.0,4150.0,1
CPT,64583,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator SCHEDULED",,,3749.99,3828.94,3
CPT,64583,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator UNSCHEDULED",,,1731.57,1768.03,3
CPT,64584,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2350.0,22212.0,139
CPT,64584,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,22
CPT,64584,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Other Surgical Services",,,4150.0,4150.0,1
CPT,64584,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array SCHEDULED",,,3749.99,3828.94,3
CPT,64584,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array UNSCHEDULED",,,1731.57,1768.03,3
CPT,64585,Revision or removal of peripheral neurostimulator electrode array ,,,2350.0,22212.0,167
CPT,64585,Revision or removal of peripheral neurostimulator electrode array Complex Surgery,,,11754.0,11754.0,22
CPT,64585,Revision or removal of peripheral neurostimulator electrode array Other Surgical Services,,,4150.0,4150.0,1
CPT,64585,Revision or removal of peripheral neurostimulator electrode array SCHEDULED,,,3510.26,3584.16,3
CPT,64585,Revision or removal of peripheral neurostimulator electrode array UNSCHEDULED,,,1731.57,1768.03,3
CPT,64590,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,1731.57,72171.0,196
CPT,64595,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2350.0,22212.0,102
CPT,64595,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array Other Surgical Services",,,4150.0,4150.0,1
CPT,64595,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array SCHEDULED",,,3734.29,3812.91,3
CPT,64595,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array UNSCHEDULED",,,1731.57,1768.03,3
CPT,64596,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,1950.0,19295.0,78
CPT,64596,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array Other Surgical Services",,,2850.0,2850.0,4
CPT,64596,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array UNSCHEDULED",,,1731.57,1768.03,3
CPT,64597,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,1731.57,9710.0,78
CPT,64598,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,1950.0,18507.0,78
CPT,64598,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator Other Surgical Services",,,2850.0,2850.0,4
CPT,64598,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator UNSCHEDULED",,,1731.57,1768.03,3
CPT,64600,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,1950.0,9710.0,106
CPT,64600,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Other Surgical Services",,,2850.0,2850.0,4
CPT,64600,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch SCHEDULED",,,3749.99,3828.94,3
CPT,64600,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch UNSCHEDULED",,,1731.57,1768.03,3
CPT,64605,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,1950.0,9710.0,106
CPT,64605,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Other Surgical Services",,,2850.0,2850.0,4
CPT,64605,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale SCHEDULED",,,3749.99,3828.94,3
CPT,64605,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale UNSCHEDULED",,,1731.57,1768.03,3
CPT,64610,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,1950.0,9710.0,106
CPT,64610,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring Other Surgical Services",,,2850.0,2850.0,4
CPT,64610,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring SCHEDULED",,,3749.99,3828.94,3
CPT,64610,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring UNSCHEDULED",,,1731.57,1768.03,3
CPT,64611,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,1423.0,9710.0,106
CPT,64611,"Chemodenervation of parotid and submandibular salivary glands, bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,64611,"Chemodenervation of parotid and submandibular salivary glands, bilateral SCHEDULED",,,3749.99,3828.94,3
CPT,64611,"Chemodenervation of parotid and submandibular salivary glands, bilateral UNSCHEDULED",,,1731.57,1768.03,3
CPT,64612,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,1423.0,9710.0,106
CPT,64612,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) Other Surgical Services",,,2850.0,2850.0,4
CPT,64612,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) SCHEDULED",,,3749.99,3828.94,3
CPT,64612,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) UNSCHEDULED",,,2334.59,2383.74,3
CPT,64613,DESTROY NERVE NECK MUSCLE SCHEDULED,,,3749.99,3828.94,3
CPT,64613,DESTROY NERVE NECK MUSCLE UNSCHEDULED,,,1731.57,1768.03,3
CPT,64614,DESTROY NERVE EXTREM MUSC SCHEDULED,,,3749.99,3828.94,3
CPT,64614,DESTROY NERVE EXTREM MUSC UNSCHEDULED,,,1731.57,1768.03,3
CPT,64615,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,1423.0,9710.0,106
CPT,64615,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) Other Surgical Services",,,2850.0,2850.0,4
CPT,64615,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) SCHEDULED",,,3749.99,3828.94,3
CPT,64615,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) UNSCHEDULED",,,276.38,282.2,3
CPT,64616,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,1844.0,9710.0,106
CPT,64616,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) Other Surgical Services",,,2850.0,2850.0,4
CPT,64616,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) SCHEDULED",,,3749.99,3828.94,3
CPT,64616,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) UNSCHEDULED",,,416.67,425.44,3
CPT,64617,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,1950.0,9710.0,106
CPT,64617,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64617,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed SCHEDULED",,,3749.99,3828.94,3
CPT,64617,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed UNSCHEDULED",,,1731.57,1768.03,3
CPT,64620,"Destruction by neurolytic agent, intercostal nerve ",,,1950.0,9710.0,106
CPT,64620,"Destruction by neurolytic agent, intercostal nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,64620,"Destruction by neurolytic agent, intercostal nerve SCHEDULED",,,3749.99,3828.94,3
CPT,64620,"Destruction by neurolytic agent, intercostal nerve UNSCHEDULED",,,1731.57,1768.03,3
CPT,64622,DESTR PARAVERTEBRL NERVE L/S SCHEDULED,,,3749.99,3828.94,3
CPT,64622,DESTR PARAVERTEBRL NERVE L/S UNSCHEDULED,,,1731.57,1768.03,3
CPT,64623,DESTR PARAVERTEBRAL N ADD-ON SCHEDULED,,,3749.99,3828.94,3
CPT,64623,DESTR PARAVERTEBRAL N ADD-ON UNSCHEDULED,,,1731.57,1768.03,3
CPT,64624,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,1950.0,9710.0,78
CPT,64624,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,64624,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed SCHEDULED",,,3749.99,3828.94,3
CPT,64624,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed UNSCHEDULED",,,1731.57,1768.03,3
CPT,64625,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,1950.0,9710.0,78
CPT,64625,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) Other Surgical Services",,,2850.0,2850.0,4
CPT,64625,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) SCHEDULED",,,3749.99,3828.94,3
CPT,64625,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64626,DESTR PARAVERTEBRL NERVE C/T SCHEDULED,,,3749.99,3828.94,3
CPT,64626,DESTR PARAVERTEBRL NERVE C/T UNSCHEDULED,,,1731.57,1768.03,3
CPT,64627,DESTR PARAVERTEBRAL N ADD-ON SCHEDULED,,,3749.99,3828.94,3
CPT,64627,DESTR PARAVERTEBRAL N ADD-ON UNSCHEDULED,,,1731.57,1768.03,3
CPT,64628,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,1950.0,18507.0,78
CPT,64628,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral Other Surgical Services",,,2850.0,2850.0,4
CPT,64628,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral SCHEDULED",,,3749.99,3828.94,3
CPT,64628,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral UNSCHEDULED",,,1731.57,1768.03,3
CPT,64629,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,64629,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) Ot",,,2850.0,2850.0,4
CPT,64629,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) SC",,,3749.99,3828.94,3
CPT,64629,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) UN",,,1731.57,1768.03,3
CPT,64630,Destruction by neurolytic agent; pudendal nerve ,,,1950.0,9710.0,106
CPT,64630,Destruction by neurolytic agent; pudendal nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64630,Destruction by neurolytic agent; pudendal nerve SCHEDULED,,,3749.99,3828.94,3
CPT,64630,Destruction by neurolytic agent; pudendal nerve UNSCHEDULED,,,1376.67,1405.66,3
CPT,64632,Destruction by neurolytic agent; plantar common digital nerve ,,,1423.0,9710.0,106
CPT,64632,Destruction by neurolytic agent; plantar common digital nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64632,Destruction by neurolytic agent; plantar common digital nerve SCHEDULED,,,3749.99,3828.94,3
CPT,64632,Destruction by neurolytic agent; plantar common digital nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64633,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,1950.0,9710.0,106
CPT,64633,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint Other Surgical Services",,,2850.0,2850.0,4
CPT,64633,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint SCHEDULED",,,3749.99,3828.94,3
CPT,64633,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint UNSCHEDULED",,,1682.36,1717.78,3
CPT,64634,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,1423.0,9710.0,109
CPT,64635,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,1950.0,9710.0,106
CPT,64635,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint Other Surgical Services",,,2850.0,2850.0,4
CPT,64635,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint SCHEDULED",,,3749.99,3828.94,3
CPT,64635,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint UNSCHEDULED",,,2842.33,2902.17,3
CPT,64636,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,1370.39,9710.0,109
CPT,64640,Destruction by neurolytic agent; other peripheral nerve or branch ,,,1950.0,9710.0,106
CPT,64640,Destruction by neurolytic agent; other peripheral nerve or branch Other Surgical Services,,,2850.0,2850.0,4
CPT,64640,Destruction by neurolytic agent; other peripheral nerve or branch SCHEDULED,,,3749.99,3828.94,3
CPT,64640,Destruction by neurolytic agent; other peripheral nerve or branch UNSCHEDULED,,,1710.64,1746.65,3
CPT,64642,Chemodenervation of one extremity; 1-4 muscle(s) ,,,1950.0,9710.0,106
CPT,64642,Chemodenervation of one extremity; 1-4 muscle(s) Other Surgical Services,,,2850.0,2850.0,4
CPT,64642,Chemodenervation of one extremity; 1-4 muscle(s) SCHEDULED,,,3749.99,3828.94,3
CPT,64642,Chemodenervation of one extremity; 1-4 muscle(s) UNSCHEDULED,,,366.41,374.13,3
CPT,64643,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,64643,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,64643,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) SCHEDULED",,,3749.99,3828.94,3
CPT,64643,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) UNSCHEDULED",,,896.14,915.01,3
CPT,64644,Chemodenervation of one extremity; 5 or more muscles ,,,1950.0,9710.0,106
CPT,64644,Chemodenervation of one extremity; 5 or more muscles Other Surgical Services,,,2850.0,2850.0,4
CPT,64644,Chemodenervation of one extremity; 5 or more muscles SCHEDULED,,,3749.99,3828.94,3
CPT,64644,Chemodenervation of one extremity; 5 or more muscles UNSCHEDULED,,,228.23,233.03,3
CPT,64645,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,64645,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,64645,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) SCHEDULED",,,3749.99,3828.94,3
CPT,64645,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) UNSCHEDULED",,,228.23,233.03,3
CPT,64646,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,1950.0,9710.0,106
CPT,64646,Chemodenervation of trunk muscle(s); 1-5 muscle(s) Other Surgical Services,,,2850.0,2850.0,4
CPT,64646,Chemodenervation of trunk muscle(s); 1-5 muscle(s) SCHEDULED,,,3749.99,3828.94,3
CPT,64646,Chemodenervation of trunk muscle(s); 1-5 muscle(s) UNSCHEDULED,,,160.18,163.55,3
CPT,64647,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,1950.0,9710.0,106
CPT,64647,Chemodenervation of trunk muscle(s); 6 or more muscles Other Surgical Services,,,2850.0,2850.0,4
CPT,64647,Chemodenervation of trunk muscle(s); 6 or more muscles SCHEDULED,,,3749.99,3828.94,3
CPT,64647,Chemodenervation of trunk muscle(s); 6 or more muscles UNSCHEDULED,,,1731.57,1768.03,3
CPT,64650,Chemodenervation of eccrine glands; both axillae ,,,1423.0,9710.0,106
CPT,64650,Chemodenervation of eccrine glands; both axillae Other Surgical Services,,,2850.0,2850.0,4
CPT,64650,Chemodenervation of eccrine glands; both axillae SCHEDULED,,,3749.99,3828.94,3
CPT,64650,Chemodenervation of eccrine glands; both axillae UNSCHEDULED,,,1731.57,1768.03,3
CPT,64653,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,1423.0,9710.0,106
CPT,64653,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Other Surgical Services",,,2850.0,2850.0,4
CPT,64653,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day SCHEDULED",,,3749.99,3828.94,3
CPT,64653,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day UNSCHEDULED",,,1731.57,1768.03,3
CPT,64654,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,1950.0,83613.0,72
CPT,64655,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,1950.0,18507.0,75
CPT,64655,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only Other Surgical Services",,,2850.0,2850.0,4
CPT,64656,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,1950.0,30016.0,75
CPT,64656,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only Other Surgical Services",,,2850.0,2850.0,4
CPT,64657,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,1950.0,18507.0,75
CPT,64657,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator Other Surgical Services",,,2850.0,2850.0,4
CPT,64658,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,1950.0,18507.0,75
CPT,64658,Removal of baroreflex activation therapy (BAT) modulation system; lead only Other Surgical Services,,,2850.0,2850.0,4
CPT,64659,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,1950.0,18507.0,75
CPT,64659,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only Other Surgical Services,,,2850.0,2850.0,4
CPT,64680,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,1950.0,9710.0,106
CPT,64680,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Other Surgical Services",,,2850.0,2850.0,4
CPT,64680,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus SCHEDULED",,,3749.99,3828.94,3
CPT,64680,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus UNSCHEDULED",,,1079.35,1102.08,3
CPT,64681,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,1950.0,9710.0,106
CPT,64681,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus Other Surgical Services",,,2850.0,2850.0,4
CPT,64681,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus SCHEDULED",,,3749.99,3828.94,3
CPT,64681,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus UNSCHEDULED",,,1731.57,1768.03,3
CPT,64702,"Neuroplasty; digital, 1 or both, same digit ",,,1950.0,9710.0,106
CPT,64702,"Neuroplasty; digital, 1 or both, same digit Other Surgical Services",,,2850.0,2850.0,4
CPT,64702,"Neuroplasty; digital, 1 or both, same digit SCHEDULED",,,2574.33,2628.53,3
CPT,64702,"Neuroplasty; digital, 1 or both, same digit UNSCHEDULED",,,2317.84,2366.64,3
CPT,64704,Neuroplasty; nerve of hand or foot ,,,1950.0,9710.0,106
CPT,64704,Neuroplasty; nerve of hand or foot Other Surgical Services,,,2850.0,2850.0,4
CPT,64704,Neuroplasty; nerve of hand or foot SCHEDULED,,,3389.87,3461.23,3
CPT,64704,Neuroplasty; nerve of hand or foot UNSCHEDULED,,,1731.57,1768.03,3
CPT,64708,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,1950.0,9710.0,106
CPT,64708,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Other Surgical Services",,,2850.0,2850.0,4
CPT,64708,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified SCHEDULED",,,3749.99,3828.94,3
CPT,64708,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified UNSCHEDULED",,,1731.57,1768.03,3
CPT,64712,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,1950.0,9710.0,106
CPT,64712,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,64712,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve SCHEDULED",,,3967.75,4051.28,3
CPT,64712,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve UNSCHEDULED",,,1731.57,1768.03,3
CPT,64713,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,1950.0,9710.0,106
CPT,64713,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Other Surgical Services",,,2850.0,2850.0,4
CPT,64713,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus SCHEDULED",,,4650.33,4748.23,3
CPT,64713,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus UNSCHEDULED",,,14668.11,14976.92,3
CPT,64714,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,1950.0,9710.0,106
CPT,64714,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Other Surgical Services",,,2850.0,2850.0,4
CPT,64714,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus SCHEDULED",,,9030.56,9220.67,3
CPT,64714,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus UNSCHEDULED",,,1731.57,1768.03,3
CPT,64716,Neuroplasty and/or transposition; cranial nerve (specify) ,,,1950.0,9710.0,106
CPT,64716,Neuroplasty and/or transposition; cranial nerve (specify) Other Surgical Services,,,2850.0,2850.0,4
CPT,64716,Neuroplasty and/or transposition; cranial nerve (specify) SCHEDULED,,,3554.23,3629.05,3
CPT,64716,Neuroplasty and/or transposition; cranial nerve (specify) UNSCHEDULED,,,1731.57,1768.03,3
CPT,64718,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,1950.0,9710.0,106
CPT,64718,Neuroplasty and/or transposition; ulnar nerve at elbow Other Surgical Services,,,2850.0,2850.0,4
CPT,64718,Neuroplasty and/or transposition; ulnar nerve at elbow SCHEDULED,,,3907.03,3989.28,3
CPT,64718,Neuroplasty and/or transposition; ulnar nerve at elbow UNSCHEDULED,,,2211.05,2257.6,3
CPT,64719,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,1950.0,9710.0,106
CPT,64719,Neuroplasty and/or transposition; ulnar nerve at wrist Other Surgical Services,,,2850.0,2850.0,4
CPT,64719,Neuroplasty and/or transposition; ulnar nerve at wrist SCHEDULED,,,4267.16,4357.0,3
CPT,64719,Neuroplasty and/or transposition; ulnar nerve at wrist UNSCHEDULED,,,4117.46,4204.14,3
CPT,64721,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,2350.0,9710.0,102
CPT,64721,Neuroplasty and/or transposition; median nerve at carpal tunnel Other Surgical Services,,,4150.0,4150.0,1
CPT,64721,Neuroplasty and/or transposition; median nerve at carpal tunnel SCHEDULED,,,3199.32,3266.68,3
CPT,64721,Neuroplasty and/or transposition; median nerve at carpal tunnel UNSCHEDULED,,,4358.25,4450.0,3
CPT,64722,Decompression; unspecified nerve(s) (specify) ,,,1950.0,9710.0,106
CPT,64722,Decompression; unspecified nerve(s) (specify) Other Surgical Services,,,2850.0,2850.0,4
CPT,64722,Decompression; unspecified nerve(s) (specify) SCHEDULED,,,3749.99,3828.94,3
CPT,64722,Decompression; unspecified nerve(s) (specify) UNSCHEDULED,,,1731.57,1768.03,3
CPT,64726,Decompression; plantar digital nerve ,,,1950.0,9710.0,106
CPT,64726,Decompression; plantar digital nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64726,Decompression; plantar digital nerve SCHEDULED,,,3298.78,3368.23,3
CPT,64726,Decompression; plantar digital nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64727,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,1423.0,9710.0,99
CPT,64727,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) Other Surgical Services",,,2850.0,2850.0,4
CPT,64727,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) SCHEDULED",,,3389.87,3461.23,3
CPT,64727,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64728,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,1950.0,7493.0,75
CPT,64728,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,4
CPT,64732,Transection or avulsion of; supraorbital nerve ,,,1950.0,9710.0,106
CPT,64732,Transection or avulsion of; supraorbital nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64732,Transection or avulsion of; supraorbital nerve SCHEDULED,,,3749.99,3828.94,3
CPT,64732,Transection or avulsion of; supraorbital nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64734,Transection or avulsion of; infraorbital nerve ,,,1950.0,9710.0,106
CPT,64734,Transection or avulsion of; infraorbital nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64734,Transection or avulsion of; infraorbital nerve SCHEDULED,,,3749.99,3828.94,3
CPT,64734,Transection or avulsion of; infraorbital nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64736,Transection or avulsion of; mental nerve ,,,1950.0,9710.0,106
CPT,64736,Transection or avulsion of; mental nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64736,Transection or avulsion of; mental nerve SCHEDULED,,,3749.99,3828.94,3
CPT,64736,Transection or avulsion of; mental nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64738,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,1950.0,9710.0,106
CPT,64738,Transection or avulsion of; inferior alveolar nerve by osteotomy Other Surgical Services,,,2850.0,2850.0,4
CPT,64738,Transection or avulsion of; inferior alveolar nerve by osteotomy SCHEDULED,,,3749.99,3828.94,3
CPT,64738,Transection or avulsion of; inferior alveolar nerve by osteotomy UNSCHEDULED,,,1731.57,1768.03,3
CPT,64740,Transection or avulsion of; lingual nerve ,,,1950.0,9710.0,106
CPT,64740,Transection or avulsion of; lingual nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64740,Transection or avulsion of; lingual nerve SCHEDULED,,,3749.99,3828.94,3
CPT,64740,Transection or avulsion of; lingual nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64742,"Transection or avulsion of; facial nerve, differential or complete ",,,1950.0,9710.0,106
CPT,64742,"Transection or avulsion of; facial nerve, differential or complete Other Surgical Services",,,2850.0,2850.0,4
CPT,64742,"Transection or avulsion of; facial nerve, differential or complete SCHEDULED",,,3749.99,3828.94,3
CPT,64742,"Transection or avulsion of; facial nerve, differential or complete UNSCHEDULED",,,1731.57,1768.03,3
CPT,64744,Transection or avulsion of; greater occipital nerve ,,,1950.0,9710.0,106
CPT,64744,Transection or avulsion of; greater occipital nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64744,Transection or avulsion of; greater occipital nerve SCHEDULED,,,3749.99,3828.94,3
CPT,64744,Transection or avulsion of; greater occipital nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64746,Transection or avulsion of; phrenic nerve ,,,1950.0,9710.0,106
CPT,64746,Transection or avulsion of; phrenic nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64746,Transection or avulsion of; phrenic nerve SCHEDULED,,,3749.99,3828.94,3
CPT,64746,Transection or avulsion of; phrenic nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64752,INCISION OF VAGUS NERVE SCHEDULED,,,3749.99,3828.94,3
CPT,64752,INCISION OF VAGUS NERVE UNSCHEDULED,,,1731.57,1768.03,3
CPT,64755,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,1950.0,31992.0,78
CPT,64755,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) Other Surgica",,,2850.0,2850.0,4
CPT,64755,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) SCHEDULED",,,3749.99,3828.94,3
CPT,64755,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64760,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,1950.0,31992.0,78
CPT,64760,"Transection or avulsion of; vagus nerve (vagotomy), abdominal Other Surgical Services",,,2850.0,2850.0,4
CPT,64760,"Transection or avulsion of; vagus nerve (vagotomy), abdominal SCHEDULED",,,83.75,85.52,3
CPT,64760,"Transection or avulsion of; vagus nerve (vagotomy), abdominal UNSCHEDULED",,,1731.57,1768.03,3
CPT,64761,INCISION OF PELVIS NERVE SCHEDULED,,,3749.99,3828.94,3
CPT,64761,INCISION OF PELVIS NERVE UNSCHEDULED,,,1731.57,1768.03,3
CPT,64763,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,1950.0,9710.0,106
CPT,64763,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,64763,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy SCHEDULED",,,3749.99,3828.94,3
CPT,64763,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy UNSCHEDULED",,,1731.57,1768.03,3
CPT,64766,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,1950.0,10719.0,106
CPT,64766,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy Other Surgical Services",,,2850.0,2850.0,4
CPT,64766,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy SCHEDULED",,,3749.99,3828.94,3
CPT,64766,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy UNSCHEDULED",,,1731.57,1768.03,3
CPT,64771,"Transection or avulsion of other cranial nerve, extradural ",,,1950.0,9710.0,106
CPT,64771,"Transection or avulsion of other cranial nerve, extradural Other Surgical Services",,,2850.0,2850.0,4
CPT,64771,"Transection or avulsion of other cranial nerve, extradural SCHEDULED",,,3749.99,3828.94,3
CPT,64771,"Transection or avulsion of other cranial nerve, extradural UNSCHEDULED",,,1731.57,1768.03,3
CPT,64772,"Transection or avulsion of other spinal nerve, extradural ",,,1950.0,9710.0,106
CPT,64772,"Transection or avulsion of other spinal nerve, extradural Other Surgical Services",,,2850.0,2850.0,4
CPT,64772,"Transection or avulsion of other spinal nerve, extradural SCHEDULED",,,3749.99,3828.94,3
CPT,64772,"Transection or avulsion of other spinal nerve, extradural UNSCHEDULED",,,1731.57,1768.03,3
CPT,64774,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,1950.0,9710.0,106
CPT,64774,"Excision of neuroma; cutaneous nerve, surgically identifiable Other Surgical Services",,,2850.0,2850.0,4
CPT,64774,"Excision of neuroma; cutaneous nerve, surgically identifiable SCHEDULED",,,10666.87,10891.43,3
CPT,64774,"Excision of neuroma; cutaneous nerve, surgically identifiable UNSCHEDULED",,,1731.57,1768.03,3
CPT,64776,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,1950.0,9710.0,106
CPT,64776,"Excision of neuroma; digital nerve, 1 or both, same digit Other Surgical Services",,,2850.0,2850.0,4
CPT,64776,"Excision of neuroma; digital nerve, 1 or both, same digit SCHEDULED",,,3648.45,3725.26,3
CPT,64776,"Excision of neuroma; digital nerve, 1 or both, same digit UNSCHEDULED",,,1731.57,1768.03,3
CPT,64778,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,64778,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,64778,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) SCHEDULED",,,2193.26,2239.43,3
CPT,64778,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64782,"Excision of neuroma; hand or foot, except digital nerve ",,,1950.0,9710.0,106
CPT,64782,"Excision of neuroma; hand or foot, except digital nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,64782,"Excision of neuroma; hand or foot, except digital nerve SCHEDULED",,,5619.76,5738.07,3
CPT,64782,"Excision of neuroma; hand or foot, except digital nerve UNSCHEDULED",,,1731.57,1768.03,3
CPT,64783,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,64783,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,64783,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) SCHEDULED",,,3110.34,3175.82,3
CPT,64783,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64784,"Excision of neuroma; major peripheral nerve, except sciatic ",,,1950.0,9710.0,106
CPT,64784,"Excision of neuroma; major peripheral nerve, except sciatic Other Surgical Services",,,2850.0,2850.0,4
CPT,64784,"Excision of neuroma; major peripheral nerve, except sciatic SCHEDULED",,,5523.44,5639.73,3
CPT,64784,"Excision of neuroma; major peripheral nerve, except sciatic UNSCHEDULED",,,1731.57,1768.03,3
CPT,64786,Excision of neuroma; sciatic nerve ,,,1950.0,18507.0,106
CPT,64786,Excision of neuroma; sciatic nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64786,Excision of neuroma; sciatic nerve SCHEDULED,,,3749.99,3828.94,3
CPT,64786,Excision of neuroma; sciatic nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64787,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,1423.0,9710.0,99
CPT,64787,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) Other Surgical Services,,,2850.0,2850.0,4
CPT,64787,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) SCHEDULED,,,2960.64,3022.97,3
CPT,64787,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) UNSCHEDULED,,,1731.57,1768.03,3
CPT,64788,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,1950.0,9710.0,106
CPT,64788,Excision of neurofibroma or neurolemmoma; cutaneous nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64788,Excision of neurofibroma or neurolemmoma; cutaneous nerve SCHEDULED,,,3749.99,3828.94,3
CPT,64788,Excision of neurofibroma or neurolemmoma; cutaneous nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64790,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,1950.0,9710.0,106
CPT,64790,Excision of neurofibroma or neurolemmoma; major peripheral nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64790,Excision of neurofibroma or neurolemmoma; major peripheral nerve SCHEDULED,,,3732.2,3810.77,3
CPT,64790,Excision of neurofibroma or neurolemmoma; major peripheral nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64792,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,1950.0,18507.0,106
CPT,64792,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Other Surgical Services,,,2850.0,2850.0,4
CPT,64792,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) SCHEDULED,,,3749.99,3828.94,3
CPT,64792,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) UNSCHEDULED,,,1731.57,1768.03,3
CPT,64795,Biopsy of nerve ,,,1950.0,9710.0,106
CPT,64795,Biopsy of nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64795,Biopsy of nerve SCHEDULED,,,3053.8,3118.09,3
CPT,64795,Biopsy of nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64802,"Sympathectomy, cervical ",,,1950.0,9710.0,106
CPT,64802,"Sympathectomy, cervical Other Surgical Services",,,2850.0,2850.0,4
CPT,64802,"Sympathectomy, cervical SCHEDULED",,,3749.99,3828.94,3
CPT,64802,"Sympathectomy, cervical UNSCHEDULED",,,1731.57,1768.03,3
CPT,64804,"Sympathectomy, cervicothoracic ",,,1950.0,9710.0,106
CPT,64804,"Sympathectomy, cervicothoracic Other Surgical Services",,,2850.0,2850.0,4
CPT,64804,"Sympathectomy, cervicothoracic SCHEDULED",,,3749.99,3828.94,3
CPT,64804,"Sympathectomy, cervicothoracic UNSCHEDULED",,,1731.57,1768.03,3
CPT,64809,"Sympathectomy, thoracolumbar ",,,1950.0,31992.0,78
CPT,64809,"Sympathectomy, thoracolumbar Other Surgical Services",,,2850.0,2850.0,4
CPT,64809,"Sympathectomy, thoracolumbar SCHEDULED",,,3749.99,3828.94,3
CPT,64809,"Sympathectomy, thoracolumbar UNSCHEDULED",,,1731.57,1768.03,3
CPT,64818,"Sympathectomy, lumbar ",,,1950.0,31992.0,78
CPT,64818,"Sympathectomy, lumbar Other Surgical Services",,,2850.0,2850.0,4
CPT,64818,"Sympathectomy, lumbar SCHEDULED",,,3749.99,3828.94,3
CPT,64818,"Sympathectomy, lumbar UNSCHEDULED",,,1731.57,1768.03,3
CPT,64820,"Sympathectomy; digital arteries, each digit ",,,1950.0,9710.0,106
CPT,64820,"Sympathectomy; digital arteries, each digit Other Surgical Services",,,2850.0,2850.0,4
CPT,64820,"Sympathectomy; digital arteries, each digit SCHEDULED",,,3749.99,3828.94,3
CPT,64820,"Sympathectomy; digital arteries, each digit UNSCHEDULED",,,1731.57,1768.03,3
CPT,64821,Sympathectomy; radial artery ,,,1950.0,18507.0,106
CPT,64821,Sympathectomy; radial artery Other Surgical Services,,,2850.0,2850.0,4
CPT,64821,Sympathectomy; radial artery SCHEDULED,,,3749.99,3828.94,3
CPT,64821,Sympathectomy; radial artery UNSCHEDULED,,,1731.57,1768.03,3
CPT,64822,Sympathectomy; ulnar artery ,,,1950.0,18507.0,106
CPT,64822,Sympathectomy; ulnar artery Other Surgical Services,,,2850.0,2850.0,4
CPT,64822,Sympathectomy; ulnar artery SCHEDULED,,,3749.99,3828.94,3
CPT,64822,Sympathectomy; ulnar artery UNSCHEDULED,,,1731.57,1768.03,3
CPT,64823,Sympathectomy; superficial palmar arch ,,,1950.0,18507.0,106
CPT,64823,Sympathectomy; superficial palmar arch Other Surgical Services,,,2850.0,2850.0,4
CPT,64823,Sympathectomy; superficial palmar arch SCHEDULED,,,3749.99,3828.94,3
CPT,64823,Sympathectomy; superficial palmar arch UNSCHEDULED,,,1731.57,1768.03,3
CPT,64831,"Suture of digital nerve, hand or foot; 1 nerve ",,,1950.0,10719.0,106
CPT,64831,"Suture of digital nerve, hand or foot; 1 nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,64831,"Suture of digital nerve, hand or foot; 1 nerve SCHEDULED",,,3765.7,3844.97,3
CPT,64831,"Suture of digital nerve, hand or foot; 1 nerve UNSCHEDULED",,,2269.68,2317.47,3
CPT,64832,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,64832,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,64832,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) SCHEDULED",,,3849.45,3930.49,3
CPT,64832,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) UNSCHEDULED",,,2164.99,2210.57,3
CPT,64834,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,1950.0,18507.0,106
CPT,64834,"Suture of 1 nerve; hand or foot, common sensory nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,64834,"Suture of 1 nerve; hand or foot, common sensory nerve SCHEDULED",,,4379.19,4471.38,3
CPT,64834,"Suture of 1 nerve; hand or foot, common sensory nerve UNSCHEDULED",,,2624.57,2679.83,3
CPT,64835,Suture of 1 nerve; median motor thenar ,,,1950.0,18507.0,106
CPT,64835,Suture of 1 nerve; median motor thenar Other Surgical Services,,,2850.0,2850.0,4
CPT,64835,Suture of 1 nerve; median motor thenar SCHEDULED,,,5435.5,5549.93,3
CPT,64835,Suture of 1 nerve; median motor thenar UNSCHEDULED,,,2041.45,2084.43,3
CPT,64836,Suture of 1 nerve; ulnar motor ,,,1950.0,18507.0,106
CPT,64836,Suture of 1 nerve; ulnar motor Other Surgical Services,,,2850.0,2850.0,4
CPT,64836,Suture of 1 nerve; ulnar motor SCHEDULED,,,3876.67,3958.29,3
CPT,64836,Suture of 1 nerve; ulnar motor UNSCHEDULED,,,1698.07,1733.82,3
CPT,64837,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,64837,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,64837,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) SCHEDULED",,,2471.73,2523.77,3
CPT,64837,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) UNSCHEDULED",,,2512.56,2565.46,3
CPT,64840,Suture of posterior tibial nerve ,,,1950.0,18507.0,106
CPT,64840,Suture of posterior tibial nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64840,Suture of posterior tibial nerve SCHEDULED,,,3749.99,3828.94,3
CPT,64840,Suture of posterior tibial nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64856,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,1950.0,18507.0,106
CPT,64856,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition Other Surgical Services",,,2850.0,2850.0,4
CPT,64856,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition SCHEDULED",,,7315.74,7469.76,3
CPT,64856,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition UNSCHEDULED",,,1731.57,1768.03,3
CPT,64857,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,1950.0,18507.0,106
CPT,64857,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition Other Surgical Services",,,2850.0,2850.0,4
CPT,64857,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition SCHEDULED",,,4611.59,4708.68,3
CPT,64857,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition UNSCHEDULED",,,4132.11,4219.1,3
CPT,64858,Suture of sciatic nerve ,,,1950.0,10719.0,106
CPT,64858,Suture of sciatic nerve Other Surgical Services,,,2850.0,2850.0,4
CPT,64858,Suture of sciatic nerve SCHEDULED,,,3749.99,3828.94,3
CPT,64858,Suture of sciatic nerve UNSCHEDULED,,,1731.57,1768.03,3
CPT,64859,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,64859,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,64859,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) SCHEDULED,,,3749.99,3828.94,3
CPT,64859,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) UNSCHEDULED,,,1731.57,1768.03,3
CPT,64861,Suture of; brachial plexus ,,,1950.0,10719.0,106
CPT,64861,Suture of; brachial plexus Other Surgical Services,,,2850.0,2850.0,4
CPT,64861,Suture of; brachial plexus SCHEDULED,,,3749.99,3828.94,3
CPT,64861,Suture of; brachial plexus UNSCHEDULED,,,1731.57,1768.03,3
CPT,64862,Suture of; lumbar plexus ,,,1950.0,18507.0,106
CPT,64862,Suture of; lumbar plexus Other Surgical Services,,,2850.0,2850.0,4
CPT,64862,Suture of; lumbar plexus SCHEDULED,,,3749.99,3828.94,3
CPT,64862,Suture of; lumbar plexus UNSCHEDULED,,,1731.57,1768.03,3
CPT,64864,Suture of facial nerve; extracranial ,,,1950.0,18507.0,106
CPT,64864,Suture of facial nerve; extracranial Other Surgical Services,,,2850.0,2850.0,4
CPT,64864,Suture of facial nerve; extracranial SCHEDULED,,,3749.99,3828.94,3
CPT,64864,Suture of facial nerve; extracranial UNSCHEDULED,,,2263.39,2311.04,3
CPT,64865,"Suture of facial nerve; infratemporal, with or without grafting ",,,1950.0,18507.0,106
CPT,64865,"Suture of facial nerve; infratemporal, with or without grafting Other Surgical Services",,,2850.0,2850.0,4
CPT,64865,"Suture of facial nerve; infratemporal, with or without grafting SCHEDULED",,,3749.99,3828.94,3
CPT,64865,"Suture of facial nerve; infratemporal, with or without grafting UNSCHEDULED",,,1731.57,1768.03,3
CPT,64866,Anastomosis; facial-spinal accessory ,,,1950.0,31992.0,78
CPT,64866,Anastomosis; facial-spinal accessory Other Surgical Services,,,2850.0,2850.0,4
CPT,64866,Anastomosis; facial-spinal accessory SCHEDULED,,,3749.99,3828.94,3
CPT,64866,Anastomosis; facial-spinal accessory UNSCHEDULED,,,1731.57,1768.03,3
CPT,64868,Anastomosis; facial-hypoglossal ,,,1950.0,31992.0,78
CPT,64868,Anastomosis; facial-hypoglossal Other Surgical Services,,,2850.0,2850.0,4
CPT,64868,Anastomosis; facial-hypoglossal SCHEDULED,,,3749.99,3828.94,3
CPT,64868,Anastomosis; facial-hypoglossal UNSCHEDULED,,,1731.57,1768.03,3
CPT,64870,FUSION OF FACIAL/OTHER NERVE SCHEDULED,,,3749.99,3828.94,3
CPT,64870,FUSION OF FACIAL/OTHER NERVE UNSCHEDULED,,,1731.57,1768.03,3
CPT,64872,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,1423.0,9710.0,99
CPT,64872,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) Other Surgical Services,,,2850.0,2850.0,4
CPT,64872,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) SCHEDULED,,,3749.99,3828.94,3
CPT,64872,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) UNSCHEDULED,,,1327.47,1355.42,3
CPT,64874,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1423.0,9710.0,99
CPT,64874,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) Other Surgical Services",,,2850.0,2850.0,4
CPT,64874,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) SCHEDULED",,,3749.99,3828.94,3
CPT,64874,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64876,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1423.0,9710.0,99
CPT,64876,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) Other Surgical Services,,,2850.0,2850.0,4
CPT,64876,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) SCHEDULED,,,3749.99,3828.94,3
CPT,64876,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) UNSCHEDULED,,,775.75,792.08,3
CPT,64885,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,1950.0,18507.0,106
CPT,64885,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Other Surgical Services",,,2850.0,2850.0,4
CPT,64885,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length SCHEDULED",,,3749.99,3828.94,3
CPT,64885,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length UNSCHEDULED",,,1731.57,1768.03,3
CPT,64886,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,1950.0,18507.0,106
CPT,64886,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,4
CPT,64886,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length SCHEDULED",,,3749.99,3828.94,3
CPT,64886,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length UNSCHEDULED",,,1731.57,1768.03,3
CPT,64890,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,1950.0,18507.0,106
CPT,64890,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,4
CPT,64890,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length SCHEDULED",,,4791.66,4892.53,3
CPT,64890,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length UNSCHEDULED",,,2866.42,2926.76,3
CPT,64891,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,1950.0,18507.0,106
CPT,64891,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,4
CPT,64891,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length SCHEDULED",,,1387.14,1416.35,3
CPT,64891,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length UNSCHEDULED",,,1731.57,1768.03,3
CPT,64892,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,1950.0,18507.0,106
CPT,64892,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,4
CPT,64892,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length SCHEDULED",,,3251.67,3320.13,3
CPT,64892,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length UNSCHEDULED",,,1731.57,1768.03,3
CPT,64893,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,1950.0,18507.0,106
CPT,64893,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,4
CPT,64893,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length SCHEDULED",,,3749.99,3828.94,3
CPT,64893,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length UNSCHEDULED",,,1731.57,1768.03,3
CPT,64895,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,1950.0,18507.0,106
CPT,64895,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,4
CPT,64895,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length SCHEDULED",,,5681.52,5801.13,3
CPT,64895,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length UNSCHEDULED",,,1731.57,1768.03,3
CPT,64896,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,1950.0,18507.0,106
CPT,64896,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,4
CPT,64896,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length SCHEDULED",,,3749.99,3828.94,3
CPT,64896,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length UNSCHEDULED",,,1731.57,1768.03,3
CPT,64897,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,1950.0,18507.0,106
CPT,64897,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,4
CPT,64897,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length SCHEDULED",,,3596.1,3671.81,3
CPT,64897,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length UNSCHEDULED",,,1731.57,1768.03,3
CPT,64898,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,1950.0,18507.0,106
CPT,64898,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,4
CPT,64898,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length SCHEDULED",,,3749.99,3828.94,3
CPT,64898,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length UNSCHEDULED",,,1731.57,1768.03,3
CPT,64901,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,64901,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,64901,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) SCHEDULED",,,3749.99,3828.94,3
CPT,64901,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64902,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,64902,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,64902,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) SCHEDULED",,,3749.99,3828.94,3
CPT,64902,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) UNSCHEDULED",,,1731.57,1768.03,3
CPT,64905,Nerve pedicle transfer; first stage ,,,1950.0,18507.0,106
CPT,64905,Nerve pedicle transfer; first stage Other Surgical Services,,,2850.0,2850.0,4
CPT,64905,Nerve pedicle transfer; first stage SCHEDULED,,,2950.17,3012.28,3
CPT,64905,Nerve pedicle transfer; first stage UNSCHEDULED,,,1731.57,1768.03,3
CPT,64907,Nerve pedicle transfer; second stage ,,,1950.0,18507.0,106
CPT,64907,Nerve pedicle transfer; second stage Other Surgical Services,,,2850.0,2850.0,4
CPT,64907,Nerve pedicle transfer; second stage SCHEDULED,,,3749.99,3828.94,3
CPT,64907,Nerve pedicle transfer; second stage UNSCHEDULED,,,1731.57,1768.03,3
CPT,64910,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,1950.0,18507.0,106
CPT,64910,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,64910,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve SCHEDULED",,,3749.99,3828.94,3
CPT,64910,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve UNSCHEDULED",,,1731.57,1768.03,3
CPT,64911,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,1950.0,18507.0,106
CPT,64911,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve Other Surgical Services",,,2850.0,2850.0,4
CPT,64911,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve SCHEDULED",,,1531.62,1563.86,3
CPT,64911,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve UNSCHEDULED",,,1731.57,1768.03,3
CPT,64912,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,1950.0,18507.0,78
CPT,64912,"Nerve repair; with nerve allograft, each nerve, first strand (cable) Other Surgical Services",,,2850.0,2850.0,4
CPT,64912,"Nerve repair; with nerve allograft, each nerve, first strand (cable) SCHEDULED",,,3966.71,4050.22,3
CPT,64912,"Nerve repair; with nerve allograft, each nerve, first strand (cable) UNSCHEDULED",,,3022.4,3086.03,3
CPT,64913,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,1950.0,9710.0,71
CPT,64913,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,64913,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) SCHEDULED",,,4311.14,4401.9,3
CPT,64913,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) UNSCHEDULED",,,3022.4,3086.03,3
CPT,64999,"Unlisted procedure, nervous system ",,,1423.0,9710.0,106
CPT,64999,"Unlisted procedure, nervous system Other Surgical Services",,,2850.0,2850.0,4
CPT,64999,"Unlisted procedure, nervous system SCHEDULED",,,2418.34,2469.25,3
CPT,64999,"Unlisted procedure, nervous system UNSCHEDULED",,,139.24,142.17,3
CPT,65091,Evisceration of ocular contents; without implant ,,,1950.0,18507.0,106
CPT,65091,Evisceration of ocular contents; without implant Other Surgical Services,,,2850.0,2850.0,4
CPT,65091,Evisceration of ocular contents; without implant SCHEDULED,,,4626.25,4723.65,3
CPT,65091,Evisceration of ocular contents; without implant UNSCHEDULED,,,3279.42,3348.46,3
CPT,65093,Evisceration of ocular contents; with implant ,,,1950.0,18507.0,106
CPT,65093,Evisceration of ocular contents; with implant Other Surgical Services,,,2850.0,2850.0,4
CPT,65093,Evisceration of ocular contents; with implant SCHEDULED,,,4423.15,4516.27,3
CPT,65093,Evisceration of ocular contents; with implant UNSCHEDULED,,,3279.42,3348.46,3
CPT,65101,Enucleation of eye; without implant ,,,1950.0,18507.0,106
CPT,65101,Enucleation of eye; without implant Other Surgical Services,,,2850.0,2850.0,4
CPT,65101,Enucleation of eye; without implant SCHEDULED,,,14962.29,15277.29,3
CPT,65101,Enucleation of eye; without implant UNSCHEDULED,,,3279.42,3348.46,3
CPT,65103,"Enucleation of eye; with implant, muscles not attached to implant ",,,1950.0,18507.0,106
CPT,65103,"Enucleation of eye; with implant, muscles not attached to implant Other Surgical Services",,,2850.0,2850.0,4
CPT,65103,"Enucleation of eye; with implant, muscles not attached to implant SCHEDULED",,,4626.25,4723.65,3
CPT,65103,"Enucleation of eye; with implant, muscles not attached to implant UNSCHEDULED",,,3279.42,3348.46,3
CPT,65105,"Enucleation of eye; with implant, muscles attached to implant ",,,1950.0,18507.0,106
CPT,65105,"Enucleation of eye; with implant, muscles attached to implant Other Surgical Services",,,2850.0,2850.0,4
CPT,65105,"Enucleation of eye; with implant, muscles attached to implant SCHEDULED",,,9108.03,9299.78,3
CPT,65105,"Enucleation of eye; with implant, muscles attached to implant UNSCHEDULED",,,3279.42,3348.46,3
CPT,65110,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,1950.0,18507.0,106
CPT,65110,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only Other Surgical Services",,,2850.0,2850.0,4
CPT,65110,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only SCHEDULED",,,4626.25,4723.65,3
CPT,65110,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only UNSCHEDULED",,,3279.42,3348.46,3
CPT,65112,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,1950.0,18507.0,106
CPT,65112,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone Other Surgical Services",,,2850.0,2850.0,4
CPT,65112,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone SCHEDULED",,,4626.25,4723.65,3
CPT,65112,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone UNSCHEDULED",,,3279.42,3348.46,3
CPT,65114,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,1950.0,18507.0,106
CPT,65114,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap Other Surgical Services",,,2850.0,2850.0,4
CPT,65114,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap SCHEDULED",,,4626.25,4723.65,3
CPT,65114,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap UNSCHEDULED",,,3279.42,3348.46,3
CPT,65125,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,1950.0,9710.0,106
CPT,65125,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,65125,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) SCHEDULED",,,4626.25,4723.65,3
CPT,65125,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) UNSCHEDULED",,,3279.42,3348.46,3
CPT,65130,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,1950.0,18507.0,106
CPT,65130,"Insertion of ocular implant secondary; after evisceration, in scleral shell Other Surgical Services",,,2850.0,2850.0,4
CPT,65130,"Insertion of ocular implant secondary; after evisceration, in scleral shell SCHEDULED",,,4626.25,4723.65,3
CPT,65130,"Insertion of ocular implant secondary; after evisceration, in scleral shell UNSCHEDULED",,,3279.42,3348.46,3
CPT,65135,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,1950.0,18507.0,106
CPT,65135,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant Other Surgical Services",,,2850.0,2850.0,4
CPT,65135,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant SCHEDULED",,,4626.25,4723.65,3
CPT,65135,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant UNSCHEDULED",,,3279.42,3348.46,3
CPT,65140,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,1950.0,18507.0,106
CPT,65140,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant Other Surgical Services",,,2850.0,2850.0,4
CPT,65140,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant SCHEDULED",,,4626.25,4723.65,3
CPT,65140,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant UNSCHEDULED",,,3279.42,3348.46,3
CPT,65150,Reinsertion of ocular implant; with or without conjunctival graft ,,,1950.0,18507.0,106
CPT,65150,Reinsertion of ocular implant; with or without conjunctival graft Other Surgical Services,,,2850.0,2850.0,4
CPT,65150,Reinsertion of ocular implant; with or without conjunctival graft SCHEDULED,,,4626.25,4723.65,3
CPT,65150,Reinsertion of ocular implant; with or without conjunctival graft UNSCHEDULED,,,3279.42,3348.46,3
CPT,65155,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,1950.0,18507.0,106
CPT,65155,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant Other Surgical Services,,,2850.0,2850.0,4
CPT,65155,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant SCHEDULED,,,4626.25,4723.65,3
CPT,65155,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant UNSCHEDULED,,,3279.42,3348.46,3
CPT,65175,Removal of ocular implant ,,,1950.0,18507.0,106
CPT,65175,Removal of ocular implant Other Surgical Services,,,2850.0,2850.0,4
CPT,65175,Removal of ocular implant SCHEDULED,,,4626.25,4723.65,3
CPT,65175,Removal of ocular implant UNSCHEDULED,,,3279.42,3348.46,3
CPT,65205,"Removal of foreign body, external eye; conjunctival superficial ",,,1423.0,9710.0,106
CPT,65205,"Removal of foreign body, external eye; conjunctival superficial Other Surgical Services",,,2850.0,2850.0,4
CPT,65205,"Removal of foreign body, external eye; conjunctival superficial SCHEDULED",,,106.78,109.03,3
CPT,65205,"Removal of foreign body, external eye; conjunctival superficial UNSCHEDULED",,,293.13,299.3,3
CPT,65210,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,1423.0,9710.0,106
CPT,65210,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating Other Surgical Services",,,2850.0,2850.0,4
CPT,65210,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating SCHEDULED",,,1099.24,1122.39,3
CPT,65210,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating UNSCHEDULED",,,243.93,249.07,3
CPT,65220,"Removal of foreign body, external eye; corneal, without slit lamp ",,,1423.0,9710.0,106
CPT,65220,"Removal of foreign body, external eye; corneal, without slit lamp Other Surgical Services",,,2850.0,2850.0,4
CPT,65220,"Removal of foreign body, external eye; corneal, without slit lamp SCHEDULED",,,366.41,374.13,3
CPT,65220,"Removal of foreign body, external eye; corneal, without slit lamp UNSCHEDULED",,,331.86,338.85,3
CPT,65222,"Removal of foreign body, external eye; corneal, with slit lamp ",,,1423.0,9710.0,106
CPT,65222,"Removal of foreign body, external eye; corneal, with slit lamp Other Surgical Services",,,2850.0,2850.0,4
CPT,65222,"Removal of foreign body, external eye; corneal, with slit lamp SCHEDULED",,,218.8,223.41,3
CPT,65222,"Removal of foreign body, external eye; corneal, with slit lamp UNSCHEDULED",,,326.63,333.51,3
CPT,65235,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,1950.0,9710.0,106
CPT,65235,"Removal of foreign body, intraocular; from anterior chamber of eye or lens Other Surgical Services",,,2850.0,2850.0,4
CPT,65235,"Removal of foreign body, intraocular; from anterior chamber of eye or lens SCHEDULED",,,3205.6,3273.09,3
CPT,65235,"Removal of foreign body, intraocular; from anterior chamber of eye or lens UNSCHEDULED",,,671.06,685.19,3
CPT,65260,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,1423.0,9710.0,106
CPT,65260,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Other Surgical Services",,,2850.0,2850.0,4
CPT,65260,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route SCHEDULED",,,5770.51,5891.99,3
CPT,65260,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route UNSCHEDULED",,,3279.42,3348.46,3
CPT,65265,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,1950.0,9710.0,106
CPT,65265,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction Other Surgical Services",,,2850.0,2850.0,4
CPT,65265,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction SCHEDULED",,,15356.98,15680.28,3
CPT,65265,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction UNSCHEDULED",,,3279.42,3348.46,3
CPT,65270,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,1950.0,9710.0,106
CPT,65270,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Other Surgical Services",,,2850.0,2850.0,4
CPT,65270,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure SCHEDULED",,,4764.44,4864.74,3
CPT,65270,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure UNSCHEDULED",,,8537.47,8717.21,3
CPT,65272,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,1950.0,9710.0,106
CPT,65272,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Other Surgical Services",,,2850.0,2850.0,4
CPT,65272,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization SCHEDULED",,,4626.25,4723.65,3
CPT,65272,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization UNSCHEDULED",,,3279.42,3348.46,3
CPT,65273,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,1950.0,31992.0,78
CPT,65273,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization Other Surgical Services",,,2850.0,2850.0,4
CPT,65273,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization SCHEDULED",,,4626.25,4723.65,3
CPT,65273,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization UNSCHEDULED",,,3279.42,3348.46,3
CPT,65275,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,1950.0,18507.0,106
CPT,65275,"Repair of laceration; cornea, nonperforating, with or without removal foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,65275,"Repair of laceration; cornea, nonperforating, with or without removal foreign body SCHEDULED",,,4626.25,4723.65,3
CPT,65275,"Repair of laceration; cornea, nonperforating, with or without removal foreign body UNSCHEDULED",,,5961.05,6086.55,3
CPT,65280,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,1950.0,18507.0,106
CPT,65280,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue Other Surgical Services",,,2850.0,2850.0,4
CPT,65280,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue SCHEDULED",,,6908.49,7053.94,3
CPT,65280,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue UNSCHEDULED",,,5887.77,6011.72,3
CPT,65285,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,1950.0,18507.0,106
CPT,65285,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue Other Surgical Services",,,2850.0,2850.0,4
CPT,65285,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue SCHEDULED",,,6908.49,7053.94,3
CPT,65285,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue UNSCHEDULED",,,8636.92,8818.75,3
CPT,65286,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,1950.0,9710.0,106
CPT,65286,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera Other Surgical Services",,,2850.0,2850.0,4
CPT,65286,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera SCHEDULED",,,540.2,551.57,3
CPT,65286,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera UNSCHEDULED",,,3279.42,3348.46,3
CPT,65290,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,1950.0,18507.0,106
CPT,65290,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule Other Surgical Services",,,2850.0,2850.0,4
CPT,65290,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule SCHEDULED",,,4626.25,4723.65,3
CPT,65290,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule UNSCHEDULED",,,6269.89,6401.88,3
CPT,65400,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,1950.0,9710.0,106
CPT,65400,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium Other Surgical Services",,,2850.0,2850.0,4
CPT,65400,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium SCHEDULED",,,4710.0,4809.16,3
CPT,65400,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium UNSCHEDULED",,,4399.07,4491.68,3
CPT,65410,Biopsy of cornea ,,,1950.0,9710.0,106
CPT,65410,Biopsy of cornea Other Surgical Services,,,2850.0,2850.0,4
CPT,65410,Biopsy of cornea SCHEDULED,,,4710.0,4809.16,3
CPT,65410,Biopsy of cornea UNSCHEDULED,,,4399.07,4491.68,3
CPT,65420,Excision or transposition of pterygium; without graft ,,,1950.0,9710.0,106
CPT,65420,Excision or transposition of pterygium; without graft Other Surgical Services,,,2850.0,2850.0,4
CPT,65420,Excision or transposition of pterygium; without graft SCHEDULED,,,4710.0,4809.16,3
CPT,65420,Excision or transposition of pterygium; without graft UNSCHEDULED,,,4399.07,4491.68,3
CPT,65426,Excision or transposition of pterygium; with graft ,,,1950.0,9710.0,106
CPT,65426,Excision or transposition of pterygium; with graft Other Surgical Services,,,2850.0,2850.0,4
CPT,65426,Excision or transposition of pterygium; with graft SCHEDULED,,,6172.52,6302.47,3
CPT,65426,Excision or transposition of pterygium; with graft UNSCHEDULED,,,4399.07,4491.68,3
CPT,65430,"Scraping of cornea, diagnostic, for smear and/or culture ",,,1423.0,9710.0,106
CPT,65430,"Scraping of cornea, diagnostic, for smear and/or culture Other Surgical Services",,,2850.0,2850.0,4
CPT,65430,"Scraping of cornea, diagnostic, for smear and/or culture SCHEDULED",,,754.81,770.7,3
CPT,65430,"Scraping of cornea, diagnostic, for smear and/or culture UNSCHEDULED",,,4399.07,4491.68,3
CPT,65435,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,1950.0,9710.0,106
CPT,65435,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) Other Surgical Services",,,2850.0,2850.0,4
CPT,65435,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) SCHEDULED",,,4635.68,4733.27,3
CPT,65435,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) UNSCHEDULED",,,1455.19,1485.83,3
CPT,65436,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,1950.0,9710.0,106
CPT,65436,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) Other Surgical Services",,,2850.0,2850.0,4
CPT,65436,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) SCHEDULED",,,4333.12,4424.34,3
CPT,65436,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) UNSCHEDULED",,,4399.07,4491.68,3
CPT,65450,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,1423.0,9710.0,98
CPT,65450,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization Other Surgical Services",,,2850.0,2850.0,4
CPT,65450,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization SCHEDULED",,,4710.0,4809.16,3
CPT,65450,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization UNSCHEDULED",,,4399.07,4491.68,3
CPT,65600,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,1950.0,9710.0,106
CPT,65600,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) Other Surgical Services",,,2850.0,2850.0,4
CPT,65600,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) SCHEDULED",,,4710.0,4809.16,3
CPT,65600,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) UNSCHEDULED",,,4399.07,4491.68,3
CPT,65710,Keratoplasty (corneal transplant); anterior lamellar ,,,1950.0,18507.0,106
CPT,65710,Keratoplasty (corneal transplant); anterior lamellar Other Surgical Services,,,2850.0,2850.0,4
CPT,65710,Keratoplasty (corneal transplant); anterior lamellar SCHEDULED,,,7320.98,7475.1,3
CPT,65710,Keratoplasty (corneal transplant); anterior lamellar UNSCHEDULED,,,4399.07,4491.68,3
CPT,65730,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,1950.0,18507.0,106
CPT,65730,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) Other Surgical Services,,,2850.0,2850.0,4
CPT,65730,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) SCHEDULED,,,10230.3,10445.68,3
CPT,65730,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) UNSCHEDULED,,,398.87,407.26,3
CPT,65750,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,1950.0,18507.0,106
CPT,65750,Keratoplasty (corneal transplant); penetrating (in aphakia) Other Surgical Services,,,2850.0,2850.0,4
CPT,65750,Keratoplasty (corneal transplant); penetrating (in aphakia) SCHEDULED,,,5194.71,5304.08,3
CPT,65750,Keratoplasty (corneal transplant); penetrating (in aphakia) UNSCHEDULED,,,4399.07,4491.68,3
CPT,65755,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,1950.0,18507.0,106
CPT,65755,Keratoplasty (corneal transplant); penetrating (in pseudophakia) Other Surgical Services,,,2850.0,2850.0,4
CPT,65755,Keratoplasty (corneal transplant); penetrating (in pseudophakia) SCHEDULED,,,16312.79,16656.22,3
CPT,65755,Keratoplasty (corneal transplant); penetrating (in pseudophakia) UNSCHEDULED,,,4399.07,4491.68,3
CPT,65756,Keratoplasty (corneal transplant); endothelial ,,,1950.0,18507.0,106
CPT,65756,Keratoplasty (corneal transplant); endothelial Other Surgical Services,,,2850.0,2850.0,4
CPT,65756,Keratoplasty (corneal transplant); endothelial SCHEDULED,,,8283.07,8457.45,3
CPT,65756,Keratoplasty (corneal transplant); endothelial UNSCHEDULED,,,4399.07,4491.68,3
CPT,65757,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,65757,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,65757,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) SCHEDULED,,,4710.0,4809.16,3
CPT,65757,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) UNSCHEDULED,,,4399.07,4491.68,3
CPT,65760,Keratomileusis ,,,1950.0,9710.0,99
CPT,65760,Keratomileusis Other Surgical Services,,,2850.0,2850.0,4
CPT,65760,Keratomileusis SCHEDULED,,,4710.0,4809.16,3
CPT,65760,Keratomileusis UNSCHEDULED,,,4399.07,4491.68,3
CPT,65765,Keratophakia ,,,1950.0,9710.0,91
CPT,65765,Keratophakia Other Surgical Services,,,2850.0,2850.0,4
CPT,65765,Keratophakia SCHEDULED,,,4710.0,4809.16,3
CPT,65765,Keratophakia UNSCHEDULED,,,4399.07,4491.68,3
CPT,65767,Epikeratoplasty ,,,1950.0,9710.0,99
CPT,65767,Epikeratoplasty Other Surgical Services,,,2850.0,2850.0,4
CPT,65767,Epikeratoplasty SCHEDULED,,,4710.0,4809.16,3
CPT,65767,Epikeratoplasty UNSCHEDULED,,,4399.07,4491.68,3
CPT,65770,Keratoprosthesis ,,,1950.0,18507.0,106
CPT,65770,Keratoprosthesis Other Surgical Services,,,2850.0,2850.0,4
CPT,65770,Keratoprosthesis SCHEDULED,,,4710.0,4809.16,3
CPT,65770,Keratoprosthesis UNSCHEDULED,,,4399.07,4491.68,3
CPT,65771,Radial keratotomy ,,,1950.0,9710.0,99
CPT,65771,Radial keratotomy Other Surgical Services,,,2850.0,2850.0,4
CPT,65771,Radial keratotomy SCHEDULED,,,4710.0,4809.16,3
CPT,65771,Radial keratotomy UNSCHEDULED,,,4399.07,4491.68,3
CPT,65772,Corneal relaxing incision for correction of surgically induced astigmatism ,,,1950.0,9710.0,106
CPT,65772,Corneal relaxing incision for correction of surgically induced astigmatism Other Surgical Services,,,2850.0,2850.0,4
CPT,65772,Corneal relaxing incision for correction of surgically induced astigmatism SCHEDULED,,,218.8,223.41,3
CPT,65772,Corneal relaxing incision for correction of surgically induced astigmatism UNSCHEDULED,,,4399.07,4491.68,3
CPT,65775,Corneal wedge resection for correction of surgically induced astigmatism ,,,1950.0,9710.0,106
CPT,65775,Corneal wedge resection for correction of surgically induced astigmatism Other Surgical Services,,,2850.0,2850.0,4
CPT,65775,Corneal wedge resection for correction of surgically induced astigmatism SCHEDULED,,,4710.0,4809.16,3
CPT,65775,Corneal wedge resection for correction of surgically induced astigmatism UNSCHEDULED,,,4399.07,4491.68,3
CPT,65778,Placement of amniotic membrane on the ocular surface; without sutures ,,,1950.0,9710.0,106
CPT,65778,Placement of amniotic membrane on the ocular surface; without sutures Other Surgical Services,,,2850.0,2850.0,4
CPT,65778,Placement of amniotic membrane on the ocular surface; without sutures SCHEDULED,,,4710.0,4809.16,3
CPT,65778,Placement of amniotic membrane on the ocular surface; without sutures UNSCHEDULED,,,4399.07,4491.68,3
CPT,65779,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,1950.0,18507.0,106
CPT,65779,"Placement of amniotic membrane on the ocular surface; single layer, sutured Other Surgical Services",,,2850.0,2850.0,4
CPT,65779,"Placement of amniotic membrane on the ocular surface; single layer, sutured SCHEDULED",,,4710.0,4809.16,3
CPT,65779,"Placement of amniotic membrane on the ocular surface; single layer, sutured UNSCHEDULED",,,4399.07,4491.68,3
CPT,65780,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,1950.0,18507.0,106
CPT,65780,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers Other Surgical Services",,,2850.0,2850.0,4
CPT,65780,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers SCHEDULED",,,4710.0,4809.16,3
CPT,65780,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers UNSCHEDULED",,,4399.07,4491.68,3
CPT,65781,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,1950.0,18507.0,106
CPT,65781,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Other Surgical Services",,,2850.0,2850.0,4
CPT,65781,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) SCHEDULED",,,4710.0,4809.16,3
CPT,65781,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) UNSCHEDULED",,,4399.07,4491.68,3
CPT,65782,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,1950.0,18507.0,106
CPT,65782,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,65782,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) SCHEDULED,,,5950.58,6075.86,3
CPT,65782,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) UNSCHEDULED,,,4399.07,4491.68,3
CPT,65785,Implantation of intrastromal corneal ring segments ,,,1950.0,18507.0,106
CPT,65785,Implantation of intrastromal corneal ring segments Other Surgical Services,,,2850.0,2850.0,4
CPT,65785,Implantation of intrastromal corneal ring segments SCHEDULED,,,4710.0,4809.16,3
CPT,65785,Implantation of intrastromal corneal ring segments UNSCHEDULED,,,4399.07,4491.68,3
CPT,65800,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,1423.0,9710.0,106
CPT,65800,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous Other Surgical Services,,,2850.0,2850.0,4
CPT,65800,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous SCHEDULED,,,2949.11,3011.2,3
CPT,65800,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous UNSCHEDULED,,,4399.07,4491.68,3
CPT,65805,DRAINAGE OF EYE SCHEDULED,,,4710.0,4809.16,3
CPT,65805,DRAINAGE OF EYE UNSCHEDULED,,,4399.07,4491.68,3
CPT,65810,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,1950.0,9710.0,106
CPT,65810,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection Other Surgical Services",,,2850.0,2850.0,4
CPT,65810,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection SCHEDULED",,,4710.0,4809.16,3
CPT,65810,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection UNSCHEDULED",,,4399.07,4491.68,3
CPT,65815,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,1950.0,9710.0,106
CPT,65815,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection Other Surgical Services",,,2850.0,2850.0,4
CPT,65815,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection SCHEDULED",,,4710.0,4809.16,3
CPT,65815,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection UNSCHEDULED",,,4399.07,4491.68,3
CPT,65820,Goniotomy ,,,1950.0,18507.0,106
CPT,65820,Goniotomy Other Surgical Services,,,2850.0,2850.0,4
CPT,65820,Goniotomy SCHEDULED,,,4710.0,4809.16,3
CPT,65820,Goniotomy UNSCHEDULED,,,4399.07,4491.68,3
CPT,65850,Trabeculotomy ab externo ,,,1950.0,9710.0,106
CPT,65850,Trabeculotomy ab externo Other Surgical Services,,,2850.0,2850.0,4
CPT,65850,Trabeculotomy ab externo SCHEDULED,,,4710.0,4809.16,3
CPT,65850,Trabeculotomy ab externo UNSCHEDULED,,,4399.07,4491.68,3
CPT,65855,Trabeculoplasty by laser surgery ,,,1950.0,9710.0,106
CPT,65855,Trabeculoplasty by laser surgery Other Surgical Services,,,2850.0,2850.0,4
CPT,65855,Trabeculoplasty by laser surgery SCHEDULED,,,4710.0,4809.16,3
CPT,65855,Trabeculoplasty by laser surgery UNSCHEDULED,,,4399.07,4491.68,3
CPT,65860,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,1950.0,9710.0,106
CPT,65860,"Severing adhesions of anterior segment, laser technique (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,65860,"Severing adhesions of anterior segment, laser technique (separate procedure) SCHEDULED",,,4710.0,4809.16,3
CPT,65860,"Severing adhesions of anterior segment, laser technique (separate procedure) UNSCHEDULED",,,4399.07,4491.68,3
CPT,65865,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,1950.0,9710.0,106
CPT,65865,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae Other Surgical Services",,,2850.0,2850.0,4
CPT,65865,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae SCHEDULED",,,4710.0,4809.16,3
CPT,65865,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae UNSCHEDULED",,,4399.07,4491.68,3
CPT,65870,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,1950.0,9710.0,106
CPT,65870,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae Other Surgical Services",,,2850.0,2850.0,4
CPT,65870,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae SCHEDULED",,,4710.0,4809.16,3
CPT,65870,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae UNSCHEDULED",,,4399.07,4491.68,3
CPT,65875,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,1950.0,9710.0,106
CPT,65875,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae Other Surgical Services",,,2850.0,2850.0,4
CPT,65875,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae SCHEDULED",,,4710.0,4809.16,3
CPT,65875,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae UNSCHEDULED",,,4399.07,4491.68,3
CPT,65880,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,1950.0,18507.0,106
CPT,65880,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions Other Surgical Services",,,2850.0,2850.0,4
CPT,65880,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions SCHEDULED",,,4710.0,4809.16,3
CPT,65880,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions UNSCHEDULED",,,4399.07,4491.68,3
CPT,65900,"Removal of epithelial downgrowth, anterior chamber of eye ",,,1950.0,9710.0,106
CPT,65900,"Removal of epithelial downgrowth, anterior chamber of eye Other Surgical Services",,,2850.0,2850.0,4
CPT,65900,"Removal of epithelial downgrowth, anterior chamber of eye SCHEDULED",,,4710.0,4809.16,3
CPT,65900,"Removal of epithelial downgrowth, anterior chamber of eye UNSCHEDULED",,,4399.07,4491.68,3
CPT,65920,"Removal of implanted material, anterior segment of eye ",,,1950.0,9710.0,106
CPT,65920,"Removal of implanted material, anterior segment of eye Other Surgical Services",,,2850.0,2850.0,4
CPT,65920,"Removal of implanted material, anterior segment of eye SCHEDULED",,,8577.26,8757.83,3
CPT,65920,"Removal of implanted material, anterior segment of eye UNSCHEDULED",,,4399.07,4491.68,3
CPT,65930,"Removal of blood clot, anterior segment of eye ",,,1950.0,9710.0,106
CPT,65930,"Removal of blood clot, anterior segment of eye Other Surgical Services",,,2850.0,2850.0,4
CPT,65930,"Removal of blood clot, anterior segment of eye SCHEDULED",,,6482.4,6618.87,3
CPT,65930,"Removal of blood clot, anterior segment of eye UNSCHEDULED",,,4399.07,4491.68,3
CPT,66020,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,1950.0,9710.0,106
CPT,66020,"Injection, anterior chamber of eye (separate procedure); air or liquid Other Surgical Services",,,2850.0,2850.0,4
CPT,66020,"Injection, anterior chamber of eye (separate procedure); air or liquid SCHEDULED",,,4710.0,4809.16,3
CPT,66020,"Injection, anterior chamber of eye (separate procedure); air or liquid UNSCHEDULED",,,4399.07,4491.68,3
CPT,66030,"Injection, anterior chamber of eye (separate procedure); medication ",,,1950.0,9710.0,106
CPT,66030,"Injection, anterior chamber of eye (separate procedure); medication Other Surgical Services",,,2850.0,2850.0,4
CPT,66030,"Injection, anterior chamber of eye (separate procedure); medication SCHEDULED",,,4710.0,4809.16,3
CPT,66030,"Injection, anterior chamber of eye (separate procedure); medication UNSCHEDULED",,,8537.47,8717.21,3
CPT,66130,"Excision of lesion, sclera ",,,1950.0,9710.0,106
CPT,66130,"Excision of lesion, sclera Other Surgical Services",,,2850.0,2850.0,4
CPT,66130,"Excision of lesion, sclera SCHEDULED",,,4710.0,4809.16,3
CPT,66130,"Excision of lesion, sclera UNSCHEDULED",,,4399.07,4491.68,3
CPT,66150,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,1950.0,18507.0,106
CPT,66150,Fistulization of sclera for glaucoma; trephination with iridectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,66150,Fistulization of sclera for glaucoma; trephination with iridectomy SCHEDULED,,,4710.0,4809.16,3
CPT,66150,Fistulization of sclera for glaucoma; trephination with iridectomy UNSCHEDULED,,,4399.07,4491.68,3
CPT,66155,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,1950.0,18507.0,106
CPT,66155,Fistulization of sclera for glaucoma; thermocauterization with iridectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,66155,Fistulization of sclera for glaucoma; thermocauterization with iridectomy SCHEDULED,,,4710.0,4809.16,3
CPT,66155,Fistulization of sclera for glaucoma; thermocauterization with iridectomy UNSCHEDULED,,,4399.07,4491.68,3
CPT,66160,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,1950.0,9710.0,106
CPT,66160,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,66160,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy SCHEDULED",,,4710.0,4809.16,3
CPT,66160,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy UNSCHEDULED",,,4399.07,4491.68,3
CPT,66165,GLAUCOMA SURGERY SCHEDULED,,,4710.0,4809.16,3
CPT,66165,GLAUCOMA SURGERY UNSCHEDULED,,,4399.07,4491.68,3
CPT,66170,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,1950.0,9710.0,106
CPT,66170,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery Other Surgical Services,,,2850.0,2850.0,4
CPT,66170,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery SCHEDULED,,,4710.0,4809.16,3
CPT,66170,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery UNSCHEDULED,,,4399.07,4491.68,3
CPT,66172,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,1950.0,9710.0,106
CPT,66172,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) Other Surgical Services,,,2850.0,2850.0,4
CPT,66172,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) SCHEDULED,,,4710.0,4809.16,3
CPT,66172,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) UNSCHEDULED,,,4399.07,4491.68,3
CPT,66174,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,1950.0,18507.0,106
CPT,66174,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent Other Surgical Services",,,2850.0,2850.0,4
CPT,66174,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent SCHEDULED",,,4710.0,4809.16,3
CPT,66174,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent UNSCHEDULED",,,4399.07,4491.68,3
CPT,66175,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,1950.0,18507.0,106
CPT,66175,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Other Surgical Services",,,2850.0,2850.0,4
CPT,66175,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent SCHEDULED",,,4710.0,4809.16,3
CPT,66175,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent UNSCHEDULED",,,4399.07,4491.68,3
CPT,66179,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,1950.0,18507.0,106
CPT,66179,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Other Surgical Services",,,2850.0,2850.0,4
CPT,66179,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft SCHEDULED",,,24372.88,24885.99,3
CPT,66179,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft UNSCHEDULED",,,4399.07,4491.68,3
CPT,66180,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,2350.0,18507.0,102
CPT,66180,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Other Surgical Services",,,4150.0,4150.0,1
CPT,66180,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft SCHEDULED",,,7320.98,7475.1,3
CPT,66180,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft UNSCHEDULED",,,4399.07,4491.68,3
CPT,66183,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,2050.0,18507.0,105
CPT,66183,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Other Surgical Services",,,4150.0,4150.0,1
CPT,66183,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach SCHEDULED",,,4710.0,4809.16,3
CPT,66183,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach UNSCHEDULED",,,4399.07,4491.68,3
CPT,66184,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,1950.0,9710.0,106
CPT,66184,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Other Surgical Services,,,2850.0,2850.0,4
CPT,66184,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft SCHEDULED,,,4710.0,4809.16,3
CPT,66184,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft UNSCHEDULED,,,4399.07,4491.68,3
CPT,66185,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,1950.0,9710.0,106
CPT,66185,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Other Surgical Services,,,2850.0,2850.0,4
CPT,66185,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft SCHEDULED,,,7761.72,7925.12,3
CPT,66185,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft UNSCHEDULED,,,4399.07,4491.68,3
CPT,66220,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,5360.0,8727.0,28
CPT,66220,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT SCHEDULED,,,4710.0,4809.16,3
CPT,66220,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT UNSCHEDULED,,,4399.07,4491.68,3
CPT,66225,Repair of scleral staphyloma with graft ,,,1950.0,18507.0,106
CPT,66225,Repair of scleral staphyloma with graft Other Surgical Services,,,2850.0,2850.0,4
CPT,66225,Repair of scleral staphyloma with graft SCHEDULED,,,4710.0,4809.16,3
CPT,66225,Repair of scleral staphyloma with graft UNSCHEDULED,,,4399.07,4491.68,3
CPT,66250,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,1950.0,9710.0,106
CPT,66250,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure Other Surgical Services",,,2850.0,2850.0,4
CPT,66250,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure SCHEDULED",,,4334.17,4425.41,3
CPT,66250,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure UNSCHEDULED",,,15233.44,15554.14,3
CPT,66500,Iridotomy by stab incision (separate procedure); except transfixion ,,,1423.0,9710.0,106
CPT,66500,Iridotomy by stab incision (separate procedure); except transfixion Other Surgical Services,,,2850.0,2850.0,4
CPT,66500,Iridotomy by stab incision (separate procedure); except transfixion SCHEDULED,,,4710.0,4809.16,3
CPT,66500,Iridotomy by stab incision (separate procedure); except transfixion UNSCHEDULED,,,4399.07,4491.68,3
CPT,66505,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,1950.0,9710.0,106
CPT,66505,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Other Surgical Services,,,2850.0,2850.0,4
CPT,66505,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe SCHEDULED,,,4710.0,4809.16,3
CPT,66505,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe UNSCHEDULED,,,4399.07,4491.68,3
CPT,66600,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,1950.0,18507.0,106
CPT,66600,"Iridectomy, with corneoscleral or corneal section; for removal of lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,66600,"Iridectomy, with corneoscleral or corneal section; for removal of lesion SCHEDULED",,,4710.0,4809.16,3
CPT,66600,"Iridectomy, with corneoscleral or corneal section; for removal of lesion UNSCHEDULED",,,4399.07,4491.68,3
CPT,66605,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,1950.0,13315.0,106
CPT,66605,"Iridectomy, with corneoscleral or corneal section; with cyclectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,66605,"Iridectomy, with corneoscleral or corneal section; with cyclectomy SCHEDULED",,,4710.0,4809.16,3
CPT,66605,"Iridectomy, with corneoscleral or corneal section; with cyclectomy UNSCHEDULED",,,4399.07,4491.68,3
CPT,66625,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,1950.0,9710.0,106
CPT,66625,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,66625,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) SCHEDULED",,,4710.0,4809.16,3
CPT,66625,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) UNSCHEDULED",,,4399.07,4491.68,3
CPT,66630,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,1950.0,9710.0,106
CPT,66630,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,66630,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) SCHEDULED",,,4710.0,4809.16,3
CPT,66630,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) UNSCHEDULED",,,4399.07,4491.68,3
CPT,66635,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,1950.0,9710.0,106
CPT,66635,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,66635,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) SCHEDULED",,,4710.0,4809.16,3
CPT,66635,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) UNSCHEDULED",,,4399.07,4491.68,3
CPT,66680,"Repair of iris, ciliary body (as for iridodialysis) ",,,1950.0,9710.0,106
CPT,66680,"Repair of iris, ciliary body (as for iridodialysis) Other Surgical Services",,,2850.0,2850.0,4
CPT,66680,"Repair of iris, ciliary body (as for iridodialysis) SCHEDULED",,,3938.43,4021.35,3
CPT,66680,"Repair of iris, ciliary body (as for iridodialysis) UNSCHEDULED",,,4399.07,4491.68,3
CPT,66682,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,1950.0,9710.0,106
CPT,66682,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) Other Surgical Services",,,2850.0,2850.0,4
CPT,66682,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) SCHEDULED",,,4710.0,4809.16,3
CPT,66682,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) UNSCHEDULED",,,4399.07,4491.68,3
CPT,66683,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,1950.0,18507.0,78
CPT,66683,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed Other Surgical Services",,,2850.0,2850.0,4
CPT,66700,Ciliary body destruction; diathermy ,,,1950.0,9710.0,106
CPT,66700,Ciliary body destruction; diathermy Other Surgical Services,,,2850.0,2850.0,4
CPT,66700,Ciliary body destruction; diathermy SCHEDULED,,,4710.0,4809.16,3
CPT,66700,Ciliary body destruction; diathermy UNSCHEDULED,,,4399.07,4491.68,3
CPT,66710,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,1950.0,9710.0,106
CPT,66710,"Ciliary body destruction; cyclophotocoagulation, transscleral Other Surgical Services",,,2850.0,2850.0,4
CPT,66710,"Ciliary body destruction; cyclophotocoagulation, transscleral SCHEDULED",,,4195.98,4284.32,3
CPT,66710,"Ciliary body destruction; cyclophotocoagulation, transscleral UNSCHEDULED",,,4399.07,4491.68,3
CPT,66711,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,1950.0,9710.0,106
CPT,66711,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Other Surgical Services",,,2850.0,2850.0,4
CPT,66711,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens SCHEDULED",,,4710.0,4809.16,3
CPT,66711,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens UNSCHEDULED",,,4399.07,4491.68,3
CPT,66720,Ciliary body destruction; cryotherapy ,,,1950.0,9710.0,106
CPT,66720,Ciliary body destruction; cryotherapy Other Surgical Services,,,2850.0,2850.0,4
CPT,66720,Ciliary body destruction; cryotherapy SCHEDULED,,,4710.0,4809.16,3
CPT,66720,Ciliary body destruction; cryotherapy UNSCHEDULED,,,4399.07,4491.68,3
CPT,66740,Ciliary body destruction; cyclodialysis ,,,1950.0,9710.0,106
CPT,66740,Ciliary body destruction; cyclodialysis Other Surgical Services,,,2850.0,2850.0,4
CPT,66740,Ciliary body destruction; cyclodialysis SCHEDULED,,,4710.0,4809.16,3
CPT,66740,Ciliary body destruction; cyclodialysis UNSCHEDULED,,,4399.07,4491.68,3
CPT,66761,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,1950.0,9710.0,106
CPT,66761,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) Other Surgical Services",,,2850.0,2850.0,4
CPT,66761,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) SCHEDULED",,,3628.55,3704.94,3
CPT,66761,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) UNSCHEDULED",,,4399.07,4491.68,3
CPT,66762,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,1950.0,9710.0,106
CPT,66762,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) Other Surgical Services",,,2850.0,2850.0,4
CPT,66762,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) SCHEDULED",,,4710.0,4809.16,3
CPT,66762,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) UNSCHEDULED",,,4399.07,4491.68,3
CPT,66770,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,1950.0,9710.0,106
CPT,66770,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,66770,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) SCHEDULED,,,4710.0,4809.16,3
CPT,66770,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) UNSCHEDULED,,,4399.07,4491.68,3
CPT,66820,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,1423.0,9710.0,106
CPT,66820,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) Other Surgical Services,,,2850.0,2850.0,4
CPT,66820,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) SCHEDULED,,,4710.0,4809.16,3
CPT,66820,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) UNSCHEDULED,,,4399.07,4491.68,3
CPT,66821,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,1950.0,9710.0,106
CPT,66821,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) Other Surgical Services",,,2850.0,2850.0,4
CPT,66821,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) SCHEDULED",,,519.26,530.19,3
CPT,66821,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) UNSCHEDULED",,,4399.07,4491.68,3
CPT,66825,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,1950.0,9710.0,106
CPT,66825,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,66825,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) SCHEDULED",,,3989.73,4073.73,3
CPT,66825,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) UNSCHEDULED",,,4399.07,4491.68,3
CPT,66830,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,1950.0,9710.0,106
CPT,66830,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) Other ",,,2850.0,2850.0,4
CPT,66830,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) SCHEDU",,,4710.0,4809.16,3
CPT,66830,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) UNSCHE",,,4399.07,4491.68,3
CPT,66840,"Removal of lens material; aspiration technique, 1 or more stages ",,,1950.0,9710.0,106
CPT,66840,"Removal of lens material; aspiration technique, 1 or more stages Other Surgical Services",,,2850.0,2850.0,4
CPT,66840,"Removal of lens material; aspiration technique, 1 or more stages SCHEDULED",,,4710.0,4809.16,3
CPT,66840,"Removal of lens material; aspiration technique, 1 or more stages UNSCHEDULED",,,4399.07,4491.68,3
CPT,66850,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,1950.0,9710.0,106
CPT,66850,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration Other Surgical Services",,,2850.0,2850.0,4
CPT,66850,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration SCHEDULED",,,4992.67,5097.78,3
CPT,66850,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration UNSCHEDULED",,,4399.07,4491.68,3
CPT,66852,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,1950.0,18507.0,106
CPT,66852,"Removal of lens material; pars plana approach, with or without vitrectomy Other Surgical Services",,,2850.0,2850.0,4
CPT,66852,"Removal of lens material; pars plana approach, with or without vitrectomy SCHEDULED",,,4334.17,4425.41,3
CPT,66852,"Removal of lens material; pars plana approach, with or without vitrectomy UNSCHEDULED",,,7555.47,7714.54,3
CPT,66920,Removal of lens material; intracapsular ,,,1950.0,9710.0,106
CPT,66920,Removal of lens material; intracapsular Other Surgical Services,,,2850.0,2850.0,4
CPT,66920,Removal of lens material; intracapsular SCHEDULED,,,3343.8,3414.2,3
CPT,66920,Removal of lens material; intracapsular UNSCHEDULED,,,4399.07,4491.68,3
CPT,66930,"Removal of lens material; intracapsular, for dislocated lens ",,,1950.0,18507.0,106
CPT,66930,"Removal of lens material; intracapsular, for dislocated lens Other Surgical Services",,,2850.0,2850.0,4
CPT,66930,"Removal of lens material; intracapsular, for dislocated lens SCHEDULED",,,16060.49,16398.61,3
CPT,66930,"Removal of lens material; intracapsular, for dislocated lens UNSCHEDULED",,,4399.07,4491.68,3
CPT,66940,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,1950.0,9710.0,106
CPT,66940,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) Other Surgical Services",,,2850.0,2850.0,4
CPT,66940,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) SCHEDULED",,,4710.0,4809.16,3
CPT,66940,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) UNSCHEDULED",,,4399.07,4491.68,3
CPT,66982,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,1950.0,9710.0,116
CPT,66983,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,1950.0,9710.0,106
CPT,66983,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,66983,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) SCHEDULED,,,4710.0,4809.16,3
CPT,66983,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) UNSCHEDULED,,,4399.07,4491.68,3
CPT,66984,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,1950.0,9710.0,116
CPT,66985,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,1950.0,9710.0,106
CPT,66985,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Other Surgical Services",,,2850.0,2850.0,4
CPT,66985,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal SCHEDULED",,,5815.53,5937.96,3
CPT,66985,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal UNSCHEDULED",,,4399.07,4491.68,3
CPT,66986,Exchange of intraocular lens ,,,1950.0,9710.0,106
CPT,66986,Exchange of intraocular lens Other Surgical Services,,,2850.0,2850.0,4
CPT,66986,Exchange of intraocular lens SCHEDULED,,,4565.53,4661.65,3
CPT,66986,Exchange of intraocular lens UNSCHEDULED,,,4399.07,4491.68,3
CPT,66987,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,1950.0,18507.0,88
CPT,66988,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,1950.0,18507.0,88
CPT,66989,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,1950.0,16920.0,83
CPT,66990,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,66990,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,66990,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) SCHEDULED,,,916.04,935.32,3
CPT,66990,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) UNSCHEDULED,,,4399.07,4491.68,3
CPT,66991,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,1950.0,16920.0,83
CPT,66999,"Unlisted procedure, anterior segment of eye ",,,1950.0,9710.0,106
CPT,66999,"Unlisted procedure, anterior segment of eye Other Surgical Services",,,2850.0,2850.0,4
CPT,66999,"Unlisted procedure, anterior segment of eye SCHEDULED",,,3047.52,3111.68,3
CPT,66999,"Unlisted procedure, anterior segment of eye UNSCHEDULED",,,2603.64,2658.45,3
CPT,67005,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,2350.0,9710.0,98
CPT,67005,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal High Cost Surgery",,,3950.0,3950.0,1
CPT,67005,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal Other Surgical Services",,,4150.0,4150.0,1
CPT,67005,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal SCHEDULED",,,6552.55,6690.5,3
CPT,67005,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal UNSCHEDULED",,,6269.89,6401.88,3
CPT,67010,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,2350.0,9710.0,98
CPT,67010,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy High Cost Surgery",,,3950.0,3950.0,1
CPT,67010,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,67010,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy SCHEDULED",,,7320.98,7475.1,3
CPT,67010,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy UNSCHEDULED",,,6115.46,6244.21,3
CPT,67015,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,2350.0,9710.0,98
CPT,67015,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) High Cost Surgery",,,3950.0,3950.0,1
CPT,67015,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) Other Surgical Services",,,4150.0,4150.0,1
CPT,67015,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) SCHEDULED",,,6552.55,6690.5,3
CPT,67015,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) UNSCHEDULED",,,5961.05,6086.55,3
CPT,67025,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,2350.0,9710.0,98
CPT,67025,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) High Cost Surgery",,,3950.0,3950.0,1
CPT,67025,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) Other Surgical Services",,,4150.0,4150.0,1
CPT,67025,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) SCHEDULED",,,6552.55,6690.5,3
CPT,67025,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) UNSCHEDULED",,,6936.76,7082.79,3
CPT,67027,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,2350.0,18507.0,98
CPT,67027,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous High Cost Surgery",,,3950.0,3950.0,1
CPT,67027,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous Other Surgical Services",,,4150.0,4150.0,1
CPT,67027,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous SCHEDULED",,,6552.55,6690.5,3
CPT,67027,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous UNSCHEDULED",,,6115.46,6244.21,3
CPT,67028,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,1423.0,9710.0,98
CPT,67028,Intravitreal injection of a pharmacologic agent (separate procedure) High Cost Surgery,,,3950.0,3950.0,1
CPT,67028,Intravitreal injection of a pharmacologic agent (separate procedure) Other Surgical Services,,,4150.0,4150.0,1
CPT,67028,Intravitreal injection of a pharmacologic agent (separate procedure) SCHEDULED,,,6552.55,6690.5,3
CPT,67028,Intravitreal injection of a pharmacologic agent (separate procedure) UNSCHEDULED,,,1207.08,1232.49,3
CPT,67030,"Discission of vitreous strands (without removal), pars plana approach ",,,2350.0,9710.0,98
CPT,67030,"Discission of vitreous strands (without removal), pars plana approach High Cost Surgery",,,3950.0,3950.0,1
CPT,67030,"Discission of vitreous strands (without removal), pars plana approach Other Surgical Services",,,4150.0,4150.0,1
CPT,67030,"Discission of vitreous strands (without removal), pars plana approach SCHEDULED",,,6552.55,6690.5,3
CPT,67030,"Discission of vitreous strands (without removal), pars plana approach UNSCHEDULED",,,6115.46,6244.21,3
CPT,67031,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,1982.0,9710.0,98
CPT,67031,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) High Cost Surgery",,,3950.0,3950.0,1
CPT,67031,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) Other Surgical Services",,,4150.0,4150.0,1
CPT,67031,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) SCHEDULED",,,6552.55,6690.5,3
CPT,67031,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) UNSCHEDULED",,,6115.46,6244.21,3
CPT,67036,"Vitrectomy, mechanical, pars plana approach; ",,,2350.0,22212.0,163
CPT,67036,"Vitrectomy, mechanical, pars plana approach; Complex Surgery",,,11754.0,11754.0,22
CPT,67036,"Vitrectomy, mechanical, pars plana approach; High Cost Surgery",,,3950.0,3950.0,1
CPT,67036,"Vitrectomy, mechanical, pars plana approach; Other Surgical Services",,,4150.0,4150.0,1
CPT,67036,"Vitrectomy, mechanical, pars plana approach; SCHEDULED",,,6552.55,6690.5,3
CPT,67036,"Vitrectomy, mechanical, pars plana approach; UNSCHEDULED",,,16503.33,16850.77,3
CPT,67038,STRIP RETINAL MEMBRANE ,,,9935.0,22212.0,3
CPT,67038,STRIP RETINAL MEMBRANE SCHEDULED,,,6552.55,6690.5,3
CPT,67038,STRIP RETINAL MEMBRANE UNSCHEDULED,,,6115.46,6244.21,3
CPT,67039,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,2350.0,22212.0,163
CPT,67039,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Complex Surgery",,,11754.0,11754.0,22
CPT,67039,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation High Cost Surgery",,,3950.0,3950.0,1
CPT,67039,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Other Surgical Services",,,4150.0,4150.0,1
CPT,67039,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation SCHEDULED",,,7320.98,7475.1,3
CPT,67039,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation UNSCHEDULED",,,7556.53,7715.61,3
CPT,67040,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,2350.0,22212.0,163
CPT,67040,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Complex Surgery",,,11754.0,11754.0,22
CPT,67040,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation High Cost Surgery",,,3950.0,3950.0,1
CPT,67040,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Other Surgical Services",,,4150.0,4150.0,1
CPT,67040,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation SCHEDULED",,,6845.68,6989.8,3
CPT,67040,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation UNSCHEDULED",,,6115.46,6244.21,3
CPT,67041,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,2350.0,22212.0,163
CPT,67041,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Complex Surgery",,,11754.0,11754.0,22
CPT,67041,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) High Cost Surgery",,,3950.0,3950.0,1
CPT,67041,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Other Surgical Services",,,4150.0,4150.0,1
CPT,67041,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) SCHEDULED",,,5771.56,5893.07,3
CPT,67041,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) UNSCHEDULED",,,6115.46,6244.21,3
CPT,67042,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,2350.0,22212.0,193
CPT,67043,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,2350.0,22212.0,193
CPT,67101,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,2350.0,22212.0,163
CPT,67101,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Complex Surgery",,,11754.0,11754.0,22
CPT,67101,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy High Cost Surgery",,,3950.0,3950.0,1
CPT,67101,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Other Surgical Services",,,4150.0,4150.0,1
CPT,67101,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy SCHEDULED",,,6552.55,6690.5,3
CPT,67101,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy UNSCHEDULED",,,3310.29,3379.98,3
CPT,67105,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,1982.0,22212.0,163
CPT,67105,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Complex Surgery",,,11754.0,11754.0,22
CPT,67105,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation High Cost Surgery",,,3950.0,3950.0,1
CPT,67105,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Other Surgical Services",,,4150.0,4150.0,1
CPT,67105,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation SCHEDULED",,,6552.55,6690.5,3
CPT,67105,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation UNSCHEDULED",,,6115.46,6244.21,3
CPT,67107,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,2350.0,22212.0,193
CPT,67108,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,2350.0,22212.0,193
CPT,67110,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,2350.0,22212.0,163
CPT,67110,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Complex Surgery",,,11754.0,11754.0,22
CPT,67110,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) High Cost Surgery",,,3950.0,3950.0,1
CPT,67110,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Other Surgical Services",,,4150.0,4150.0,1
CPT,67110,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) SCHEDULED",,,6552.55,6690.5,3
CPT,67110,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) UNSCHEDULED",,,6115.46,6244.21,3
CPT,67112,REREPAIR DETACHED RETINA ,,,9935.0,22212.0,3
CPT,67112,REREPAIR DETACHED RETINA SCHEDULED,,,6552.55,6690.5,3
CPT,67112,REREPAIR DETACHED RETINA UNSCHEDULED,,,6115.46,6244.21,3
CPT,67113,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,2350.0,22212.0,193
CPT,67115,Release of encircling material (posterior segment) ,,,2350.0,22212.0,163
CPT,67115,Release of encircling material (posterior segment) Complex Surgery,,,11754.0,11754.0,22
CPT,67115,Release of encircling material (posterior segment) High Cost Surgery,,,3950.0,3950.0,1
CPT,67115,Release of encircling material (posterior segment) Other Surgical Services,,,4150.0,4150.0,1
CPT,67115,Release of encircling material (posterior segment) SCHEDULED,,,6552.55,6690.5,3
CPT,67115,Release of encircling material (posterior segment) UNSCHEDULED,,,6115.46,6244.21,3
CPT,67120,"Removal of implanted material, posterior segment; extraocular ",,,2350.0,22212.0,163
CPT,67120,"Removal of implanted material, posterior segment; extraocular Complex Surgery",,,11754.0,11754.0,22
CPT,67120,"Removal of implanted material, posterior segment; extraocular High Cost Surgery",,,3950.0,3950.0,1
CPT,67120,"Removal of implanted material, posterior segment; extraocular Other Surgical Services",,,4150.0,4150.0,1
CPT,67120,"Removal of implanted material, posterior segment; extraocular SCHEDULED",,,4334.17,4425.41,3
CPT,67120,"Removal of implanted material, posterior segment; extraocular UNSCHEDULED",,,6115.46,6244.21,3
CPT,67121,"Removal of implanted material, posterior segment; intraocular ",,,2350.0,22212.0,163
CPT,67121,"Removal of implanted material, posterior segment; intraocular Complex Surgery",,,11754.0,11754.0,22
CPT,67121,"Removal of implanted material, posterior segment; intraocular High Cost Surgery",,,3950.0,3950.0,1
CPT,67121,"Removal of implanted material, posterior segment; intraocular Other Surgical Services",,,4150.0,4150.0,1
CPT,67121,"Removal of implanted material, posterior segment; intraocular SCHEDULED",,,2789.99,2848.73,3
CPT,67121,"Removal of implanted material, posterior segment; intraocular UNSCHEDULED",,,5771.56,5893.07,3
CPT,67141,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,1423.0,22212.0,164
CPT,67141,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,22
CPT,67141,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy Other Surgical Services",,,4150.0,4150.0,1
CPT,67141,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy SCHEDULED",,,6552.55,6690.5,3
CPT,67141,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy UNSCHEDULED",,,6115.46,6244.21,3
CPT,67145,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,1982.0,22212.0,164
CPT,67145,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Complex Surgery",,,11754.0,11754.0,22
CPT,67145,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Other Surgical Services",,,4150.0,4150.0,1
CPT,67145,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation SCHEDULED",,,679.44,693.74,3
CPT,67145,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation UNSCHEDULED",,,1040.62,1062.53,3
CPT,67208,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,1423.0,22212.0,164
CPT,67208,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,22
CPT,67208,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy Other Surgical Services",,,4150.0,4150.0,1
CPT,67208,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy SCHEDULED",,,6552.55,6690.5,3
CPT,67208,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy UNSCHEDULED",,,6115.46,6244.21,3
CPT,67210,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,1982.0,22212.0,164
CPT,67210,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Complex Surgery",,,11754.0,11754.0,22
CPT,67210,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Other Surgical Services",,,4150.0,4150.0,1
CPT,67210,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation SCHEDULED",,,6552.55,6690.5,3
CPT,67210,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation UNSCHEDULED",,,6115.46,6244.21,3
CPT,67218,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,2350.0,22212.0,164
CPT,67218,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) Complex Surgery",,,11754.0,11754.0,22
CPT,67218,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) Other Surgical Services",,,4150.0,4150.0,1
CPT,67218,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) SCHEDULED",,,6552.55,6690.5,3
CPT,67218,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) UNSCHEDULED",,,6115.46,6244.21,3
CPT,67220,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,1982.0,22212.0,164
CPT,67220,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions Complex Surgery",,,11754.0,11754.0,22
CPT,67220,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions Other Surgical Services",,,4150.0,4150.0,1
CPT,67220,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions SCHEDULED",,,6552.55,6690.5,3
CPT,67220,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions UNSCHEDULED",,,6115.46,6244.21,3
CPT,67221,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,1982.0,22212.0,164
CPT,67221,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Complex Surgery",,,11754.0,11754.0,22
CPT,67221,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Other Surgical Services",,,4150.0,4150.0,1
CPT,67221,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) SCHEDULED",,,6552.55,6690.5,3
CPT,67221,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) UNSCHEDULED",,,6115.46,6244.21,3
CPT,67225,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1423.0,22212.0,157
CPT,67225,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) Compl",,,11754.0,11754.0,22
CPT,67225,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) Other",,,4150.0,4150.0,1
CPT,67225,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) SCHED",,,6552.55,6690.5,3
CPT,67225,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) UNSCH",,,6115.46,6244.21,3
CPT,67227,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,2350.0,22212.0,164
CPT,67227,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,22
CPT,67227,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Other Surgical Services",,,4150.0,4150.0,1
CPT,67227,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy SCHEDULED",,,6448.9,6584.67,3
CPT,67227,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy UNSCHEDULED",,,6115.46,6244.21,3
CPT,67228,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,1982.0,22212.0,164
CPT,67228,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Complex Surgery",,,11754.0,11754.0,22
CPT,67228,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Other Surgical Services",,,4150.0,4150.0,1
CPT,67228,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation SCHEDULED",,,832.29,849.81,3
CPT,67228,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation UNSCHEDULED",,,6115.46,6244.21,3
CPT,67229,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,1950.0,9710.0,116
CPT,67250,Scleral reinforcement (separate procedure); without graft ,,,1950.0,9710.0,106
CPT,67250,Scleral reinforcement (separate procedure); without graft Other Surgical Services,,,2850.0,2850.0,4
CPT,67250,Scleral reinforcement (separate procedure); without graft SCHEDULED,,,6552.55,6690.5,3
CPT,67250,Scleral reinforcement (separate procedure); without graft UNSCHEDULED,,,6115.46,6244.21,3
CPT,67255,Scleral reinforcement (separate procedure); with graft ,,,1950.0,18507.0,106
CPT,67255,Scleral reinforcement (separate procedure); with graft Other Surgical Services,,,2850.0,2850.0,4
CPT,67255,Scleral reinforcement (separate procedure); with graft SCHEDULED,,,8241.19,8414.69,3
CPT,67255,Scleral reinforcement (separate procedure); with graft UNSCHEDULED,,,6115.46,6244.21,3
CPT,67299,"Unlisted procedure, posterior segment ",,,1950.0,9710.0,106
CPT,67299,"Unlisted procedure, posterior segment Other Surgical Services",,,2850.0,2850.0,4
CPT,67299,"Unlisted procedure, posterior segment SCHEDULED",,,6552.55,6690.5,3
CPT,67299,"Unlisted procedure, posterior segment UNSCHEDULED",,,6115.46,6244.21,3
CPT,67311,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,1950.0,9710.0,106
CPT,67311,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle Other Surgical Services",,,2850.0,2850.0,4
CPT,67311,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle SCHEDULED",,,8628.55,8810.2,3
CPT,67311,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle UNSCHEDULED",,,1515.91,1547.83,3
CPT,67312,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,1950.0,18507.0,106
CPT,67312,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles Other Surgical Services",,,2850.0,2850.0,4
CPT,67312,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles SCHEDULED",,,5837.51,5960.41,3
CPT,67312,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles UNSCHEDULED",,,1515.91,1547.83,3
CPT,67314,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,1950.0,9710.0,106
CPT,67314,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) Other Surgical Services",,,2850.0,2850.0,4
CPT,67314,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) SCHEDULED",,,4708.96,4808.1,3
CPT,67314,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67316,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,1950.0,9710.0,106
CPT,67316,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Other Surgical Services",,,2850.0,2850.0,4
CPT,67316,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) SCHEDULED",,,5837.51,5960.41,3
CPT,67316,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67318,"Strabismus surgery, any procedure, superior oblique muscle ",,,1950.0,9710.0,106
CPT,67318,"Strabismus surgery, any procedure, superior oblique muscle Other Surgical Services",,,2850.0,2850.0,4
CPT,67318,"Strabismus surgery, any procedure, superior oblique muscle SCHEDULED",,,6908.49,7053.94,3
CPT,67318,"Strabismus surgery, any procedure, superior oblique muscle UNSCHEDULED",,,1515.91,1547.83,3
CPT,67320,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,67320,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,67320,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) SCHEDULED",,,5837.51,5960.41,3
CPT,67320,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67331,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,67331,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,67331,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) SCHEDULED,,,5837.51,5960.41,3
CPT,67331,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) UNSCHEDULED,,,1515.91,1547.83,3
CPT,67332,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1423.0,9710.0,109
CPT,67334,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,67334,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,67334,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) SCHEDULED",,,5837.51,5960.41,3
CPT,67334,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67335,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1423.0,9710.0,99
CPT,67335,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) Other Surgical Ser",,,2850.0,2850.0,4
CPT,67335,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) SCHEDULED",,,5837.51,5960.41,3
CPT,67335,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67340,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1423.0,9710.0,99
CPT,67340,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,67340,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) SCHEDULED,,,5837.51,5960.41,3
CPT,67340,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) UNSCHEDULED,,,1515.91,1547.83,3
CPT,67343,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,1950.0,9710.0,106
CPT,67343,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,67343,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) SCHEDULED,,,5837.51,5960.41,3
CPT,67343,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) UNSCHEDULED,,,1515.91,1547.83,3
CPT,67345,Chemodenervation of extraocular muscle ,,,1423.0,9710.0,106
CPT,67345,Chemodenervation of extraocular muscle Other Surgical Services,,,2850.0,2850.0,4
CPT,67345,Chemodenervation of extraocular muscle SCHEDULED,,,1568.26,1601.28,3
CPT,67345,Chemodenervation of extraocular muscle UNSCHEDULED,,,1515.91,1547.83,3
CPT,67346,Biopsy of extraocular muscle ,,,1950.0,18507.0,106
CPT,67346,Biopsy of extraocular muscle Other Surgical Services,,,2850.0,2850.0,4
CPT,67346,Biopsy of extraocular muscle SCHEDULED,,,5837.51,5960.41,3
CPT,67346,Biopsy of extraocular muscle UNSCHEDULED,,,1515.91,1547.83,3
CPT,67350,BIOPSY EYE MUSCLE SCHEDULED,,,5837.51,5960.41,3
CPT,67350,BIOPSY EYE MUSCLE UNSCHEDULED,,,1515.91,1547.83,3
CPT,67399,"Unlisted procedure, extraocular muscle ",,,1844.0,9710.0,106
CPT,67399,"Unlisted procedure, extraocular muscle Other Surgical Services",,,2850.0,2850.0,4
CPT,67399,"Unlisted procedure, extraocular muscle SCHEDULED",,,5837.51,5960.41,3
CPT,67399,"Unlisted procedure, extraocular muscle UNSCHEDULED",,,1515.91,1547.83,3
CPT,67400,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,1950.0,18507.0,106
CPT,67400,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,67400,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy SCHEDULED",,,8114.52,8285.35,3
CPT,67400,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy UNSCHEDULED",,,1515.91,1547.83,3
CPT,67405,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,1950.0,9710.0,106
CPT,67405,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only Other Surgical Services,,,2850.0,2850.0,4
CPT,67405,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only SCHEDULED,,,5837.51,5960.41,3
CPT,67405,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only UNSCHEDULED,,,1515.91,1547.83,3
CPT,67412,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,1950.0,9710.0,106
CPT,67412,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion Other Surgical Services,,,2850.0,2850.0,4
CPT,67412,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion SCHEDULED,,,5837.51,5960.41,3
CPT,67412,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion UNSCHEDULED,,,1515.91,1547.83,3
CPT,67413,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,1950.0,9710.0,106
CPT,67413,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Other Surgical Services,,,2850.0,2850.0,4
CPT,67413,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body SCHEDULED,,,17747.04,18120.67,3
CPT,67413,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body UNSCHEDULED,,,1515.91,1547.83,3
CPT,67414,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,1950.0,18507.0,106
CPT,67414,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Other Surgical Services,,,2850.0,2850.0,4
CPT,67414,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression SCHEDULED,,,5837.51,5960.41,3
CPT,67414,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression UNSCHEDULED,,,1515.91,1547.83,3
CPT,67415,Fine needle aspiration of orbital contents ,,,1950.0,9710.0,106
CPT,67415,Fine needle aspiration of orbital contents Other Surgical Services,,,2850.0,2850.0,4
CPT,67415,Fine needle aspiration of orbital contents SCHEDULED,,,5837.51,5960.41,3
CPT,67415,Fine needle aspiration of orbital contents UNSCHEDULED,,,1515.91,1547.83,3
CPT,67420,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,1950.0,18507.0,106
CPT,67420,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion Other Surgical Services",,,2850.0,2850.0,4
CPT,67420,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion SCHEDULED",,,5837.51,5960.41,3
CPT,67420,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion UNSCHEDULED",,,1515.91,1547.83,3
CPT,67430,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,1950.0,18507.0,106
CPT,67430,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Other Surgical Services",,,2850.0,2850.0,4
CPT,67430,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body SCHEDULED",,,5837.51,5960.41,3
CPT,67430,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body UNSCHEDULED",,,1515.91,1547.83,3
CPT,67440,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,1950.0,18507.0,106
CPT,67440,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Other Surgical Services",,,2850.0,2850.0,4
CPT,67440,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage SCHEDULED",,,5837.51,5960.41,3
CPT,67440,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage UNSCHEDULED",,,1515.91,1547.83,3
CPT,67445,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,1950.0,18507.0,106
CPT,67445,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Other Surgical Services",,,2850.0,2850.0,4
CPT,67445,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression SCHEDULED",,,5837.51,5960.41,3
CPT,67445,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression UNSCHEDULED",,,1515.91,1547.83,3
CPT,67450,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,1950.0,18507.0,106
CPT,67450,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Other Surgical Services",,,2850.0,2850.0,4
CPT,67450,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy SCHEDULED",,,5837.51,5960.41,3
CPT,67450,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy UNSCHEDULED",,,1515.91,1547.83,3
CPT,67500,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,1423.0,9710.0,106
CPT,67500,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) Other Surgical Services",,,2850.0,2850.0,4
CPT,67500,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) SCHEDULED",,,5837.51,5960.41,3
CPT,67500,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67505,Retrobulbar injection; alcohol ,,,1423.0,9710.0,106
CPT,67505,Retrobulbar injection; alcohol Other Surgical Services,,,2850.0,2850.0,4
CPT,67505,Retrobulbar injection; alcohol SCHEDULED,,,5837.51,5960.41,3
CPT,67505,Retrobulbar injection; alcohol UNSCHEDULED,,,1515.91,1547.83,3
CPT,67515,Injection of medication or other substance into Tenon's capsule ,,,1423.0,9710.0,106
CPT,67515,Injection of medication or other substance into Tenon's capsule Other Surgical Services,,,2850.0,2850.0,4
CPT,67515,Injection of medication or other substance into Tenon's capsule SCHEDULED,,,5837.51,5960.41,3
CPT,67515,Injection of medication or other substance into Tenon's capsule UNSCHEDULED,,,1164.15,1188.66,3
CPT,67516,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,1844.0,9710.0,78
CPT,67516,Suprachoroidal space injection of pharmacologic agent (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,67516,Suprachoroidal space injection of pharmacologic agent (separate procedure) UNSCHEDULED,,,1515.91,1547.83,3
CPT,67550,Orbital implant (implant outside muscle cone); insertion ,,,1950.0,18507.0,106
CPT,67550,Orbital implant (implant outside muscle cone); insertion Other Surgical Services,,,2850.0,2850.0,4
CPT,67550,Orbital implant (implant outside muscle cone); insertion SCHEDULED,,,5837.51,5960.41,3
CPT,67550,Orbital implant (implant outside muscle cone); insertion UNSCHEDULED,,,1515.91,1547.83,3
CPT,67560,Orbital implant (implant outside muscle cone); removal or revision ,,,1950.0,18507.0,106
CPT,67560,Orbital implant (implant outside muscle cone); removal or revision Other Surgical Services,,,2850.0,2850.0,4
CPT,67560,Orbital implant (implant outside muscle cone); removal or revision SCHEDULED,,,10419.8,10639.16,3
CPT,67560,Orbital implant (implant outside muscle cone); removal or revision UNSCHEDULED,,,1515.91,1547.83,3
CPT,67570,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,1950.0,18507.0,106
CPT,67570,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) Other Surgical Services",,,2850.0,2850.0,4
CPT,67570,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) SCHEDULED",,,5837.51,5960.41,3
CPT,67570,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67599,"Unlisted procedure, orbit ",,,1423.0,9710.0,106
CPT,67599,"Unlisted procedure, orbit Other Surgical Services",,,2850.0,2850.0,4
CPT,67599,"Unlisted procedure, orbit SCHEDULED",,,5522.4,5638.66,3
CPT,67599,"Unlisted procedure, orbit UNSCHEDULED",,,1515.91,1547.83,3
CPT,67700,"Blepharotomy, drainage of abscess, eyelid ",,,1423.0,9710.0,106
CPT,67700,"Blepharotomy, drainage of abscess, eyelid Other Surgical Services",,,2850.0,2850.0,4
CPT,67700,"Blepharotomy, drainage of abscess, eyelid SCHEDULED",,,5837.51,5960.41,3
CPT,67700,"Blepharotomy, drainage of abscess, eyelid UNSCHEDULED",,,1981.79,2023.51,3
CPT,67710,Severing of tarsorrhaphy ,,,1950.0,9710.0,106
CPT,67710,Severing of tarsorrhaphy Other Surgical Services,,,2850.0,2850.0,4
CPT,67710,Severing of tarsorrhaphy SCHEDULED,,,5837.51,5960.41,3
CPT,67710,Severing of tarsorrhaphy UNSCHEDULED,,,1515.91,1547.83,3
CPT,67715,Canthotomy (separate procedure) ,,,1950.0,9710.0,106
CPT,67715,Canthotomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,67715,Canthotomy (separate procedure) SCHEDULED,,,5837.51,5960.41,3
CPT,67715,Canthotomy (separate procedure) UNSCHEDULED,,,1515.91,1547.83,3
CPT,67800,Excision of chalazion; single ,,,1423.0,9710.0,106
CPT,67800,Excision of chalazion; single Other Surgical Services,,,2850.0,2850.0,4
CPT,67800,Excision of chalazion; single SCHEDULED,,,5837.51,5960.41,3
CPT,67800,Excision of chalazion; single UNSCHEDULED,,,1515.91,1547.83,3
CPT,67801,"Excision of chalazion; multiple, same lid ",,,1950.0,9710.0,106
CPT,67801,"Excision of chalazion; multiple, same lid Other Surgical Services",,,2850.0,2850.0,4
CPT,67801,"Excision of chalazion; multiple, same lid SCHEDULED",,,5837.51,5960.41,3
CPT,67801,"Excision of chalazion; multiple, same lid UNSCHEDULED",,,1515.91,1547.83,3
CPT,67805,"Excision of chalazion; multiple, different lids ",,,1423.0,9710.0,106
CPT,67805,"Excision of chalazion; multiple, different lids Other Surgical Services",,,2850.0,2850.0,4
CPT,67805,"Excision of chalazion; multiple, different lids SCHEDULED",,,5837.51,5960.41,3
CPT,67805,"Excision of chalazion; multiple, different lids UNSCHEDULED",,,1515.91,1547.83,3
CPT,67808,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,1950.0,9710.0,106
CPT,67808,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Other Surgical Services",,,2850.0,2850.0,4
CPT,67808,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple SCHEDULED",,,5837.51,5960.41,3
CPT,67808,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple UNSCHEDULED",,,1515.91,1547.83,3
CPT,67810,Incisional biopsy of eyelid skin including lid margin ,,,1423.0,9710.0,106
CPT,67810,Incisional biopsy of eyelid skin including lid margin Other Surgical Services,,,2850.0,2850.0,4
CPT,67810,Incisional biopsy of eyelid skin including lid margin SCHEDULED,,,5837.51,5960.41,3
CPT,67810,Incisional biopsy of eyelid skin including lid margin UNSCHEDULED,,,1515.91,1547.83,3
CPT,67820,"Correction of trichiasis; epilation, by forceps only ",,,1423.0,9710.0,106
CPT,67820,"Correction of trichiasis; epilation, by forceps only Other Surgical Services",,,2850.0,2850.0,4
CPT,67820,"Correction of trichiasis; epilation, by forceps only SCHEDULED",,,930.7,950.29,3
CPT,67820,"Correction of trichiasis; epilation, by forceps only UNSCHEDULED",,,1515.91,1547.83,3
CPT,67825,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,1423.0,9710.0,106
CPT,67825,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Other Surgical Services",,,2850.0,2850.0,4
CPT,67825,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) SCHEDULED",,,540.2,551.57,3
CPT,67825,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67830,Correction of trichiasis; incision of lid margin ,,,1950.0,9710.0,106
CPT,67830,Correction of trichiasis; incision of lid margin Other Surgical Services,,,2850.0,2850.0,4
CPT,67830,Correction of trichiasis; incision of lid margin SCHEDULED,,,5837.51,5960.41,3
CPT,67830,Correction of trichiasis; incision of lid margin UNSCHEDULED,,,1515.91,1547.83,3
CPT,67835,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,1950.0,9710.0,106
CPT,67835,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft Other Surgical Services",,,2850.0,2850.0,4
CPT,67835,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft SCHEDULED",,,5837.51,5960.41,3
CPT,67835,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft UNSCHEDULED",,,1515.91,1547.83,3
CPT,67840,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,1950.0,9710.0,106
CPT,67840,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Other Surgical Services,,,2850.0,2850.0,4
CPT,67840,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure SCHEDULED,,,930.7,950.29,3
CPT,67840,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure UNSCHEDULED,,,1515.91,1547.83,3
CPT,67850,Destruction of lesion of lid margin (up to 1 cm) ,,,1950.0,9710.0,106
CPT,67850,Destruction of lesion of lid margin (up to 1 cm) Other Surgical Services,,,2850.0,2850.0,4
CPT,67850,Destruction of lesion of lid margin (up to 1 cm) SCHEDULED,,,5837.51,5960.41,3
CPT,67850,Destruction of lesion of lid margin (up to 1 cm) UNSCHEDULED,,,1515.91,1547.83,3
CPT,67875,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,1950.0,9710.0,106
CPT,67875,"Temporary closure of eyelids by suture (eg, Frost suture) Other Surgical Services",,,2850.0,2850.0,4
CPT,67875,"Temporary closure of eyelids by suture (eg, Frost suture) SCHEDULED",,,5837.51,5960.41,3
CPT,67875,"Temporary closure of eyelids by suture (eg, Frost suture) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67880,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,1950.0,9710.0,106
CPT,67880,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; Other Surgical Services",,,2850.0,2850.0,4
CPT,67880,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; SCHEDULED",,,5837.51,5960.41,3
CPT,67880,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; UNSCHEDULED",,,1515.91,1547.83,3
CPT,67882,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,1950.0,9710.0,106
CPT,67882,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate Other Surgical Services",,,2850.0,2850.0,4
CPT,67882,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate SCHEDULED",,,5837.51,5960.41,3
CPT,67882,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate UNSCHEDULED",,,1515.91,1547.83,3
CPT,67900,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,1950.0,9710.0,106
CPT,67900,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) Other Surgical Services",,,2850.0,2850.0,4
CPT,67900,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) SCHEDULED",,,10225.07,10440.33,3
CPT,67900,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67901,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,1950.0,9710.0,106
CPT,67901,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) Other Surgical Services",,,2850.0,2850.0,4
CPT,67901,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) SCHEDULED",,,5837.51,5960.41,3
CPT,67901,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67902,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,1950.0,18507.0,106
CPT,67902,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) Other Surgical Services,,,2850.0,2850.0,4
CPT,67902,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) SCHEDULED,,,5837.51,5960.41,3
CPT,67902,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) UNSCHEDULED,,,1515.91,1547.83,3
CPT,67903,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,1950.0,9710.0,106
CPT,67903,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach Other Surgical Services",,,2850.0,2850.0,4
CPT,67903,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach SCHEDULED",,,5837.51,5960.41,3
CPT,67903,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach UNSCHEDULED",,,1515.91,1547.83,3
CPT,67904,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,1950.0,9710.0,106
CPT,67904,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach Other Surgical Services",,,2850.0,2850.0,4
CPT,67904,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach SCHEDULED",,,11536.84,11779.72,3
CPT,67904,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach UNSCHEDULED",,,1515.91,1547.83,3
CPT,67906,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,1950.0,18507.0,106
CPT,67906,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Other Surgical Services,,,2850.0,2850.0,4
CPT,67906,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) SCHEDULED,,,5837.51,5960.41,3
CPT,67906,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) UNSCHEDULED,,,1515.91,1547.83,3
CPT,67908,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,1950.0,9710.0,106
CPT,67908,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) Other Surgical Services",,,2850.0,2850.0,4
CPT,67908,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) SCHEDULED",,,5837.51,5960.41,3
CPT,67908,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67909,Reduction of overcorrection of ptosis ,,,1950.0,9710.0,106
CPT,67909,Reduction of overcorrection of ptosis Other Surgical Services,,,2850.0,2850.0,4
CPT,67909,Reduction of overcorrection of ptosis SCHEDULED,,,5837.51,5960.41,3
CPT,67909,Reduction of overcorrection of ptosis UNSCHEDULED,,,1515.91,1547.83,3
CPT,67911,Correction of lid retraction ,,,1950.0,9710.0,106
CPT,67911,Correction of lid retraction Other Surgical Services,,,2850.0,2850.0,4
CPT,67911,Correction of lid retraction SCHEDULED,,,5837.51,5960.41,3
CPT,67911,Correction of lid retraction UNSCHEDULED,,,1515.91,1547.83,3
CPT,67912,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,1950.0,9710.0,106
CPT,67912,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) Other Surgical Services",,,2850.0,2850.0,4
CPT,67912,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) SCHEDULED",,,6151.58,6281.09,3
CPT,67912,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67914,Repair of ectropion; suture ,,,1950.0,9710.0,106
CPT,67914,Repair of ectropion; suture Other Surgical Services,,,2850.0,2850.0,4
CPT,67914,Repair of ectropion; suture SCHEDULED,,,5837.51,5960.41,3
CPT,67914,Repair of ectropion; suture UNSCHEDULED,,,1515.91,1547.83,3
CPT,67915,Repair of ectropion; thermocauterization ,,,1950.0,9710.0,106
CPT,67915,Repair of ectropion; thermocauterization Other Surgical Services,,,2850.0,2850.0,4
CPT,67915,Repair of ectropion; thermocauterization SCHEDULED,,,5837.51,5960.41,3
CPT,67915,Repair of ectropion; thermocauterization UNSCHEDULED,,,1515.91,1547.83,3
CPT,67916,Repair of ectropion; excision tarsal wedge ,,,1950.0,9710.0,106
CPT,67916,Repair of ectropion; excision tarsal wedge Other Surgical Services,,,2850.0,2850.0,4
CPT,67916,Repair of ectropion; excision tarsal wedge SCHEDULED,,,5837.51,5960.41,3
CPT,67916,Repair of ectropion; excision tarsal wedge UNSCHEDULED,,,1515.91,1547.83,3
CPT,67917,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,1950.0,9710.0,106
CPT,67917,"Repair of ectropion; extensive (eg, tarsal strip operations) Other Surgical Services",,,2850.0,2850.0,4
CPT,67917,"Repair of ectropion; extensive (eg, tarsal strip operations) SCHEDULED",,,5837.51,5960.41,3
CPT,67917,"Repair of ectropion; extensive (eg, tarsal strip operations) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67921,Repair of entropion; suture ,,,1950.0,9710.0,106
CPT,67921,Repair of entropion; suture Other Surgical Services,,,2850.0,2850.0,4
CPT,67921,Repair of entropion; suture SCHEDULED,,,5837.51,5960.41,3
CPT,67921,Repair of entropion; suture UNSCHEDULED,,,1515.91,1547.83,3
CPT,67922,Repair of entropion; thermocauterization ,,,1950.0,9710.0,106
CPT,67922,Repair of entropion; thermocauterization Other Surgical Services,,,2850.0,2850.0,4
CPT,67922,Repair of entropion; thermocauterization SCHEDULED,,,5837.51,5960.41,3
CPT,67922,Repair of entropion; thermocauterization UNSCHEDULED,,,1515.91,1547.83,3
CPT,67923,Repair of entropion; excision tarsal wedge ,,,1950.0,9710.0,106
CPT,67923,Repair of entropion; excision tarsal wedge Other Surgical Services,,,2850.0,2850.0,4
CPT,67923,Repair of entropion; excision tarsal wedge SCHEDULED,,,5837.51,5960.41,3
CPT,67923,Repair of entropion; excision tarsal wedge UNSCHEDULED,,,1515.91,1547.83,3
CPT,67924,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,1950.0,9710.0,106
CPT,67924,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) Other Surgical Services",,,2850.0,2850.0,4
CPT,67924,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) SCHEDULED",,,4334.17,4425.41,3
CPT,67924,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) UNSCHEDULED",,,1515.91,1547.83,3
CPT,67930,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,1950.0,9710.0,106
CPT,67930,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness Other Surgical Services",,,2850.0,2850.0,4
CPT,67930,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness SCHEDULED",,,5837.51,5960.41,3
CPT,67930,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness UNSCHEDULED",,,1515.91,1547.83,3
CPT,67935,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,1950.0,9710.0,106
CPT,67935,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness Other Surgical Services",,,2850.0,2850.0,4
CPT,67935,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness SCHEDULED",,,5837.51,5960.41,3
CPT,67935,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness UNSCHEDULED",,,19923.55,20343.0,3
CPT,67938,"Removal of embedded foreign body, eyelid ",,,1423.0,9710.0,106
CPT,67938,"Removal of embedded foreign body, eyelid Other Surgical Services",,,2850.0,2850.0,4
CPT,67938,"Removal of embedded foreign body, eyelid SCHEDULED",,,366.41,374.13,3
CPT,67938,"Removal of embedded foreign body, eyelid UNSCHEDULED",,,692.0,706.57,3
CPT,67950,Canthoplasty (reconstruction of canthus) ,,,1950.0,9710.0,106
CPT,67950,Canthoplasty (reconstruction of canthus) Other Surgical Services,,,2850.0,2850.0,4
CPT,67950,Canthoplasty (reconstruction of canthus) SCHEDULED,,,8729.06,8912.83,3
CPT,67950,Canthoplasty (reconstruction of canthus) UNSCHEDULED,,,1515.91,1547.83,3
CPT,67961,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,1515.91,9710.0,116
CPT,67966,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,1515.91,9710.0,116
CPT,67971,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,1950.0,9710.0,106
CPT,67971,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage Other Surgical Services",,,2850.0,2850.0,4
CPT,67971,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage SCHEDULED",,,5837.51,5960.41,3
CPT,67971,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage UNSCHEDULED",,,1515.91,1547.83,3
CPT,67973,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,1950.0,9710.0,106
CPT,67973,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage Other Surgical Services",,,2850.0,2850.0,4
CPT,67973,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage SCHEDULED",,,5837.51,5960.41,3
CPT,67973,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage UNSCHEDULED",,,1515.91,1547.83,3
CPT,67974,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,1950.0,18507.0,106
CPT,67974,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage Other Surgical Services",,,2850.0,2850.0,4
CPT,67974,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage SCHEDULED",,,5837.51,5960.41,3
CPT,67974,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage UNSCHEDULED",,,1515.91,1547.83,3
CPT,67975,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,1950.0,9710.0,106
CPT,67975,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage Other Surgical Services",,,2850.0,2850.0,4
CPT,67975,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage SCHEDULED",,,5837.51,5960.41,3
CPT,67975,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage UNSCHEDULED",,,1515.91,1547.83,3
CPT,67999,"Unlisted procedure, eyelids ",,,1423.0,9710.0,106
CPT,67999,"Unlisted procedure, eyelids Other Surgical Services",,,2850.0,2850.0,4
CPT,67999,"Unlisted procedure, eyelids SCHEDULED",,,3644.26,3720.98,3
CPT,67999,"Unlisted procedure, eyelids UNSCHEDULED",,,1515.91,1547.83,3
CPT,68020,"Incision of conjunctiva, drainage of cyst ",,,1950.0,9710.0,106
CPT,68020,"Incision of conjunctiva, drainage of cyst Other Surgical Services",,,2850.0,2850.0,4
CPT,68020,"Incision of conjunctiva, drainage of cyst SCHEDULED",,,217.76,222.34,3
CPT,68020,"Incision of conjunctiva, drainage of cyst UNSCHEDULED",,,2867.98,2928.36,3
CPT,68040,"Expression of conjunctival follicles (eg, for trachoma) ",,,1423.0,9710.0,106
CPT,68040,"Expression of conjunctival follicles (eg, for trachoma) Other Surgical Services",,,2850.0,2850.0,4
CPT,68040,"Expression of conjunctival follicles (eg, for trachoma) SCHEDULED",,,2077.05,2120.78,3
CPT,68040,"Expression of conjunctival follicles (eg, for trachoma) UNSCHEDULED",,,2867.98,2928.36,3
CPT,68100,Biopsy of conjunctiva ,,,1950.0,9710.0,106
CPT,68100,Biopsy of conjunctiva Other Surgical Services,,,2850.0,2850.0,4
CPT,68100,Biopsy of conjunctiva SCHEDULED,,,1212.31,1237.84,3
CPT,68100,Biopsy of conjunctiva UNSCHEDULED,,,2867.98,2928.36,3
CPT,68110,"Excision of lesion, conjunctiva; up to 1 cm ",,,1950.0,9710.0,106
CPT,68110,"Excision of lesion, conjunctiva; up to 1 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,68110,"Excision of lesion, conjunctiva; up to 1 cm SCHEDULED",,,3213.98,3281.65,3
CPT,68110,"Excision of lesion, conjunctiva; up to 1 cm UNSCHEDULED",,,2867.98,2928.36,3
CPT,68115,"Excision of lesion, conjunctiva; over 1 cm ",,,1950.0,9710.0,106
CPT,68115,"Excision of lesion, conjunctiva; over 1 cm Other Surgical Services",,,2850.0,2850.0,4
CPT,68115,"Excision of lesion, conjunctiva; over 1 cm SCHEDULED",,,2077.05,2120.78,3
CPT,68115,"Excision of lesion, conjunctiva; over 1 cm UNSCHEDULED",,,2867.98,2928.36,3
CPT,68130,"Excision of lesion, conjunctiva; with adjacent sclera ",,,1950.0,9710.0,106
CPT,68130,"Excision of lesion, conjunctiva; with adjacent sclera Other Surgical Services",,,2850.0,2850.0,4
CPT,68130,"Excision of lesion, conjunctiva; with adjacent sclera SCHEDULED",,,2077.05,2120.78,3
CPT,68130,"Excision of lesion, conjunctiva; with adjacent sclera UNSCHEDULED",,,2867.98,2928.36,3
CPT,68135,"Destruction of lesion, conjunctiva ",,,1950.0,9710.0,106
CPT,68135,"Destruction of lesion, conjunctiva Other Surgical Services",,,2850.0,2850.0,4
CPT,68135,"Destruction of lesion, conjunctiva SCHEDULED",,,2077.05,2120.78,3
CPT,68135,"Destruction of lesion, conjunctiva UNSCHEDULED",,,2867.98,2928.36,3
CPT,68200,Subconjunctival injection ,,,1423.0,9710.0,106
CPT,68200,Subconjunctival injection Other Surgical Services,,,2850.0,2850.0,4
CPT,68200,Subconjunctival injection SCHEDULED,,,2077.05,2120.78,3
CPT,68200,Subconjunctival injection UNSCHEDULED,,,1515.91,1547.83,3
CPT,68320,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,1950.0,9710.0,106
CPT,68320,Conjunctivoplasty; with conjunctival graft or extensive rearrangement Other Surgical Services,,,2850.0,2850.0,4
CPT,68320,Conjunctivoplasty; with conjunctival graft or extensive rearrangement SCHEDULED,,,2077.05,2120.78,3
CPT,68320,Conjunctivoplasty; with conjunctival graft or extensive rearrangement UNSCHEDULED,,,2867.98,2928.36,3
CPT,68325,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,1950.0,18507.0,106
CPT,68325,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,68325,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) SCHEDULED,,,2077.05,2120.78,3
CPT,68325,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) UNSCHEDULED,,,2867.98,2928.36,3
CPT,68326,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,1950.0,18507.0,106
CPT,68326,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Other Surgical Services",,,2850.0,2850.0,4
CPT,68326,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement SCHEDULED",,,977.81,998.39,3
CPT,68326,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement UNSCHEDULED",,,2867.98,2928.36,3
CPT,68328,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,1950.0,9710.0,106
CPT,68328,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,4
CPT,68328,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) SCHEDULED",,,2077.05,2120.78,3
CPT,68328,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) UNSCHEDULED",,,2867.98,2928.36,3
CPT,68330,"Repair of symblepharon; conjunctivoplasty, without graft ",,,1950.0,9710.0,106
CPT,68330,"Repair of symblepharon; conjunctivoplasty, without graft Other Surgical Services",,,2850.0,2850.0,4
CPT,68330,"Repair of symblepharon; conjunctivoplasty, without graft SCHEDULED",,,2077.05,2120.78,3
CPT,68330,"Repair of symblepharon; conjunctivoplasty, without graft UNSCHEDULED",,,2867.98,2928.36,3
CPT,68335,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,1950.0,18507.0,106
CPT,68335,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,68335,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) SCHEDULED,,,2077.05,2120.78,3
CPT,68335,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) UNSCHEDULED,,,2867.98,2928.36,3
CPT,68340,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,1950.0,9710.0,106
CPT,68340,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Other Surgical Services",,,2850.0,2850.0,4
CPT,68340,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens SCHEDULED",,,2077.05,2120.78,3
CPT,68340,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens UNSCHEDULED",,,2867.98,2928.36,3
CPT,68360,Conjunctival flap; bridge or partial (separate procedure) ,,,1950.0,18507.0,106
CPT,68360,Conjunctival flap; bridge or partial (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,68360,Conjunctival flap; bridge or partial (separate procedure) SCHEDULED,,,2077.05,2120.78,3
CPT,68360,Conjunctival flap; bridge or partial (separate procedure) UNSCHEDULED,,,2867.98,2928.36,3
CPT,68362,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,1950.0,9710.0,106
CPT,68362,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) Other Surgical Services,,,2850.0,2850.0,4
CPT,68362,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) SCHEDULED,,,2077.05,2120.78,3
CPT,68362,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) UNSCHEDULED,,,2867.98,2928.36,3
CPT,68371,"Harvesting conjunctival allograft, living donor ",,,1950.0,9710.0,106
CPT,68371,"Harvesting conjunctival allograft, living donor Other Surgical Services",,,2850.0,2850.0,4
CPT,68371,"Harvesting conjunctival allograft, living donor SCHEDULED",,,2077.05,2120.78,3
CPT,68371,"Harvesting conjunctival allograft, living donor UNSCHEDULED",,,2867.98,2928.36,3
CPT,68399,"Unlisted procedure, conjunctiva ",,,1423.0,9710.0,106
CPT,68399,"Unlisted procedure, conjunctiva Other Surgical Services",,,2850.0,2850.0,4
CPT,68399,"Unlisted procedure, conjunctiva SCHEDULED",,,2077.05,2120.78,3
CPT,68399,"Unlisted procedure, conjunctiva UNSCHEDULED",,,2867.98,2928.36,3
CPT,68400,"Incision, drainage of lacrimal gland ",,,1950.0,9710.0,106
CPT,68400,"Incision, drainage of lacrimal gland Other Surgical Services",,,2850.0,2850.0,4
CPT,68400,"Incision, drainage of lacrimal gland SCHEDULED",,,2077.05,2120.78,3
CPT,68400,"Incision, drainage of lacrimal gland UNSCHEDULED",,,2867.98,2928.36,3
CPT,68420,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,1950.0,9710.0,106
CPT,68420,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) Other Surgical Services",,,2850.0,2850.0,4
CPT,68420,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) SCHEDULED",,,2077.05,2120.78,3
CPT,68420,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) UNSCHEDULED",,,2867.98,2928.36,3
CPT,68440,Snip incision of lacrimal punctum ,,,1423.0,9710.0,106
CPT,68440,Snip incision of lacrimal punctum Other Surgical Services,,,2850.0,2850.0,4
CPT,68440,Snip incision of lacrimal punctum SCHEDULED,,,2077.05,2120.78,3
CPT,68440,Snip incision of lacrimal punctum UNSCHEDULED,,,2867.98,2928.36,3
CPT,68500,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,1950.0,18507.0,106
CPT,68500,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Other Surgical Services",,,2850.0,2850.0,4
CPT,68500,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total SCHEDULED",,,2077.05,2120.78,3
CPT,68500,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total UNSCHEDULED",,,2867.98,2928.36,3
CPT,68505,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,1950.0,18507.0,106
CPT,68505,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Other Surgical Services",,,2850.0,2850.0,4
CPT,68505,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial SCHEDULED",,,2077.05,2120.78,3
CPT,68505,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial UNSCHEDULED",,,2867.98,2928.36,3
CPT,68510,Biopsy of lacrimal gland ,,,1950.0,9710.0,106
CPT,68510,Biopsy of lacrimal gland Other Surgical Services,,,2850.0,2850.0,4
CPT,68510,Biopsy of lacrimal gland SCHEDULED,,,2077.05,2120.78,3
CPT,68510,Biopsy of lacrimal gland UNSCHEDULED,,,2867.98,2928.36,3
CPT,68520,Excision of lacrimal sac (dacryocystectomy) ,,,1950.0,18507.0,106
CPT,68520,Excision of lacrimal sac (dacryocystectomy) Other Surgical Services,,,2850.0,2850.0,4
CPT,68520,Excision of lacrimal sac (dacryocystectomy) SCHEDULED,,,2077.05,2120.78,3
CPT,68520,Excision of lacrimal sac (dacryocystectomy) UNSCHEDULED,,,2867.98,2928.36,3
CPT,68525,Biopsy of lacrimal sac ,,,1950.0,9710.0,106
CPT,68525,Biopsy of lacrimal sac Other Surgical Services,,,2850.0,2850.0,4
CPT,68525,Biopsy of lacrimal sac SCHEDULED,,,2077.05,2120.78,3
CPT,68525,Biopsy of lacrimal sac UNSCHEDULED,,,2867.98,2928.36,3
CPT,68530,"Removal of foreign body or dacryolith, lacrimal passages ",,,1423.0,9710.0,106
CPT,68530,"Removal of foreign body or dacryolith, lacrimal passages Other Surgical Services",,,2850.0,2850.0,4
CPT,68530,"Removal of foreign body or dacryolith, lacrimal passages SCHEDULED",,,2077.05,2120.78,3
CPT,68530,"Removal of foreign body or dacryolith, lacrimal passages UNSCHEDULED",,,2867.98,2928.36,3
CPT,68540,Excision of lacrimal gland tumor; frontal approach ,,,1950.0,9710.0,106
CPT,68540,Excision of lacrimal gland tumor; frontal approach Other Surgical Services,,,2850.0,2850.0,4
CPT,68540,Excision of lacrimal gland tumor; frontal approach SCHEDULED,,,2077.05,2120.78,3
CPT,68540,Excision of lacrimal gland tumor; frontal approach UNSCHEDULED,,,2867.98,2928.36,3
CPT,68550,Excision of lacrimal gland tumor; involving osteotomy ,,,1950.0,18507.0,106
CPT,68550,Excision of lacrimal gland tumor; involving osteotomy Other Surgical Services,,,2850.0,2850.0,4
CPT,68550,Excision of lacrimal gland tumor; involving osteotomy SCHEDULED,,,2077.05,2120.78,3
CPT,68550,Excision of lacrimal gland tumor; involving osteotomy UNSCHEDULED,,,2867.98,2928.36,3
CPT,68700,Plastic repair of canaliculi ,,,1950.0,9710.0,106
CPT,68700,Plastic repair of canaliculi Other Surgical Services,,,2850.0,2850.0,4
CPT,68700,Plastic repair of canaliculi SCHEDULED,,,3796.06,3875.97,3
CPT,68700,Plastic repair of canaliculi UNSCHEDULED,,,4220.05,4308.9,3
CPT,68705,"Correction of everted punctum, cautery ",,,1423.0,9710.0,106
CPT,68705,"Correction of everted punctum, cautery Other Surgical Services",,,2850.0,2850.0,4
CPT,68705,"Correction of everted punctum, cautery SCHEDULED",,,2077.05,2120.78,3
CPT,68705,"Correction of everted punctum, cautery UNSCHEDULED",,,2867.98,2928.36,3
CPT,68720,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,1950.0,18507.0,106
CPT,68720,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Other Surgical Services,,,2850.0,2850.0,4
CPT,68720,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) SCHEDULED,,,3032.87,3096.72,3
CPT,68720,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) UNSCHEDULED,,,2867.98,2928.36,3
CPT,68745,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,1950.0,18507.0,106
CPT,68745,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube Other Surgical Services,,,2850.0,2850.0,4
CPT,68745,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube SCHEDULED,,,2077.05,2120.78,3
CPT,68745,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube UNSCHEDULED,,,2867.98,2928.36,3
CPT,68750,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,1950.0,18507.0,106
CPT,68750,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Other Surgical Services,,,2850.0,2850.0,4
CPT,68750,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent SCHEDULED,,,6046.89,6174.2,3
CPT,68750,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent UNSCHEDULED,,,2867.98,2928.36,3
CPT,68760,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,1423.0,9710.0,106
CPT,68760,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Other Surgical Services",,,2850.0,2850.0,4
CPT,68760,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery SCHEDULED",,,2077.05,2120.78,3
CPT,68760,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery UNSCHEDULED",,,2867.98,2928.36,3
CPT,68761,"Closure of the lacrimal punctum; by plug, each ",,,1423.0,9710.0,106
CPT,68761,"Closure of the lacrimal punctum; by plug, each Other Surgical Services",,,2850.0,2850.0,4
CPT,68761,"Closure of the lacrimal punctum; by plug, each SCHEDULED",,,1099.24,1122.39,3
CPT,68761,"Closure of the lacrimal punctum; by plug, each UNSCHEDULED",,,2867.98,2928.36,3
CPT,68770,Closure of lacrimal fistula (separate procedure) ,,,1950.0,9710.0,106
CPT,68770,Closure of lacrimal fistula (separate procedure) Other Surgical Services,,,2850.0,2850.0,4
CPT,68770,Closure of lacrimal fistula (separate procedure) SCHEDULED,,,2077.05,2120.78,3
CPT,68770,Closure of lacrimal fistula (separate procedure) UNSCHEDULED,,,2867.98,2928.36,3
CPT,68801,"Dilation of lacrimal punctum, with or without irrigation ",,,1423.0,9710.0,106
CPT,68801,"Dilation of lacrimal punctum, with or without irrigation Other Surgical Services",,,2850.0,2850.0,4
CPT,68801,"Dilation of lacrimal punctum, with or without irrigation SCHEDULED",,,879.4,897.91,3
CPT,68801,"Dilation of lacrimal punctum, with or without irrigation UNSCHEDULED",,,2867.98,2928.36,3
CPT,68810,"Probing of nasolacrimal duct, with or without irrigation; ",,,1423.0,9710.0,106
CPT,68810,"Probing of nasolacrimal duct, with or without irrigation; Other Surgical Services",,,2850.0,2850.0,4
CPT,68810,"Probing of nasolacrimal duct, with or without irrigation; SCHEDULED",,,2077.05,2120.78,3
CPT,68810,"Probing of nasolacrimal duct, with or without irrigation; UNSCHEDULED",,,2867.98,2928.36,3
CPT,68811,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,1950.0,9710.0,106
CPT,68811,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,68811,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia SCHEDULED",,,2077.05,2120.78,3
CPT,68811,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia UNSCHEDULED",,,2867.98,2928.36,3
CPT,68815,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,1950.0,9710.0,106
CPT,68815,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent Other Surgical Services",,,2850.0,2850.0,4
CPT,68815,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent SCHEDULED",,,3032.87,3096.72,3
CPT,68815,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent UNSCHEDULED",,,2867.98,2928.36,3
CPT,68816,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,1950.0,9710.0,106
CPT,68816,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation Other Surgical Services",,,2850.0,2850.0,4
CPT,68816,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation SCHEDULED",,,2077.05,2120.78,3
CPT,68816,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation UNSCHEDULED",,,2867.98,2928.36,3
CPT,68840,"Probing of lacrimal canaliculi, with or without irrigation ",,,1423.0,9710.0,106
CPT,68840,"Probing of lacrimal canaliculi, with or without irrigation Other Surgical Services",,,2850.0,2850.0,4
CPT,68840,"Probing of lacrimal canaliculi, with or without irrigation SCHEDULED",,,1165.2,1189.73,3
CPT,68840,"Probing of lacrimal canaliculi, with or without irrigation UNSCHEDULED",,,2867.98,2928.36,3
CPT,68841,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,1950.0,9710.0,78
CPT,68841,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each Other Surgical Services",,,2850.0,2850.0,4
CPT,68841,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each SCHEDULED",,,2077.05,2120.78,3
CPT,68841,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each UNSCHEDULED",,,2867.98,2928.36,3
CPT,68850,Injection of contrast medium for dacryocystography ,,,1423.0,9710.0,99
CPT,68850,Injection of contrast medium for dacryocystography Other Surgical Services,,,2850.0,2850.0,4
CPT,68850,Injection of contrast medium for dacryocystography SCHEDULED,,,2077.05,2120.78,3
CPT,68850,Injection of contrast medium for dacryocystography UNSCHEDULED,,,2867.98,2928.36,3
CPT,68899,"Unlisted procedure, lacrimal system ",,,1423.0,9710.0,106
CPT,68899,"Unlisted procedure, lacrimal system Other Surgical Services",,,2850.0,2850.0,4
CPT,68899,"Unlisted procedure, lacrimal system SCHEDULED",,,5834.38,5957.21,3
CPT,68899,"Unlisted procedure, lacrimal system UNSCHEDULED",,,2867.98,2928.36,3
CPT,69000,"Drainage external ear, abscess or hematoma; simple ",,,1423.0,9710.0,106
CPT,69000,"Drainage external ear, abscess or hematoma; simple Other Surgical Services",,,2850.0,2850.0,4
CPT,69000,"Drainage external ear, abscess or hematoma; simple SCHEDULED",,,5528.68,5645.07,3
CPT,69000,"Drainage external ear, abscess or hematoma; simple UNSCHEDULED",,,4046.27,4131.45,3
CPT,69005,"Drainage external ear, abscess or hematoma; complicated ",,,1950.0,9710.0,106
CPT,69005,"Drainage external ear, abscess or hematoma; complicated Other Surgical Services",,,2850.0,2850.0,4
CPT,69005,"Drainage external ear, abscess or hematoma; complicated SCHEDULED",,,5528.68,5645.07,3
CPT,69005,"Drainage external ear, abscess or hematoma; complicated UNSCHEDULED",,,386.31,394.44,3
CPT,69020,"Drainage external auditory canal, abscess ",,,1423.0,9710.0,106
CPT,69020,"Drainage external auditory canal, abscess Other Surgical Services",,,2850.0,2850.0,4
CPT,69020,"Drainage external auditory canal, abscess SCHEDULED",,,5528.68,5645.07,3
CPT,69020,"Drainage external auditory canal, abscess UNSCHEDULED",,,386.31,394.44,3
CPT,69090,Ear piercing ,,,1950.0,9710.0,71
CPT,69090,Ear piercing Other Surgical Services,,,2850.0,2850.0,4
CPT,69090,Ear piercing SCHEDULED,,,5528.68,5645.07,3
CPT,69090,Ear piercing UNSCHEDULED,,,386.31,394.44,3
CPT,69100,Biopsy external ear ,,,1423.0,9710.0,106
CPT,69100,Biopsy external ear Other Surgical Services,,,2850.0,2850.0,4
CPT,69100,Biopsy external ear SCHEDULED,,,5528.68,5645.07,3
CPT,69100,Biopsy external ear UNSCHEDULED,,,386.31,394.44,3
CPT,69105,Biopsy external auditory canal ,,,1950.0,9710.0,106
CPT,69105,Biopsy external auditory canal Other Surgical Services,,,2850.0,2850.0,4
CPT,69105,Biopsy external auditory canal SCHEDULED,,,3425.45,3497.57,3
CPT,69105,Biopsy external auditory canal UNSCHEDULED,,,386.31,394.44,3
CPT,69110,"Excision external ear; partial, simple repair ",,,1950.0,14792.0,106
CPT,69110,"Excision external ear; partial, simple repair Other Surgical Services",,,2850.0,2850.0,4
CPT,69110,"Excision external ear; partial, simple repair SCHEDULED",,,5528.68,5645.07,3
CPT,69110,"Excision external ear; partial, simple repair UNSCHEDULED",,,386.31,394.44,3
CPT,69120,Excision external ear; complete amputation ,,,1950.0,18507.0,106
CPT,69120,Excision external ear; complete amputation Other Surgical Services,,,2850.0,2850.0,4
CPT,69120,Excision external ear; complete amputation SCHEDULED,,,5528.68,5645.07,3
CPT,69120,Excision external ear; complete amputation UNSCHEDULED,,,29936.11,30566.34,3
CPT,69140,"Excision exostosis(es), external auditory canal ",,,1950.0,18507.0,106
CPT,69140,"Excision exostosis(es), external auditory canal Other Surgical Services",,,2850.0,2850.0,4
CPT,69140,"Excision exostosis(es), external auditory canal SCHEDULED",,,5528.68,5645.07,3
CPT,69140,"Excision exostosis(es), external auditory canal UNSCHEDULED",,,386.31,394.44,3
CPT,69145,"Excision soft tissue lesion, external auditory canal ",,,1950.0,14792.0,106
CPT,69145,"Excision soft tissue lesion, external auditory canal Other Surgical Services",,,2850.0,2850.0,4
CPT,69145,"Excision soft tissue lesion, external auditory canal SCHEDULED",,,5528.68,5645.07,3
CPT,69145,"Excision soft tissue lesion, external auditory canal UNSCHEDULED",,,386.31,394.44,3
CPT,69150,Radical excision external auditory canal lesion; without neck dissection ,,,1950.0,18507.0,106
CPT,69150,Radical excision external auditory canal lesion; without neck dissection Other Surgical Services,,,2850.0,2850.0,4
CPT,69150,Radical excision external auditory canal lesion; without neck dissection SCHEDULED,,,5528.68,5645.07,3
CPT,69150,Radical excision external auditory canal lesion; without neck dissection UNSCHEDULED,,,386.31,394.44,3
CPT,69155,Radical excision external auditory canal lesion; with neck dissection ,,,1950.0,31992.0,78
CPT,69155,Radical excision external auditory canal lesion; with neck dissection Other Surgical Services,,,2850.0,2850.0,4
CPT,69155,Radical excision external auditory canal lesion; with neck dissection SCHEDULED,,,5528.68,5645.07,3
CPT,69155,Radical excision external auditory canal lesion; with neck dissection UNSCHEDULED,,,386.31,394.44,3
CPT,69200,Removal foreign body from external auditory canal; without general anesthesia ,,,1423.0,9710.0,106
CPT,69200,Removal foreign body from external auditory canal; without general anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,69200,Removal foreign body from external auditory canal; without general anesthesia SCHEDULED,,,5528.68,5645.07,3
CPT,69200,Removal foreign body from external auditory canal; without general anesthesia UNSCHEDULED,,,338.15,345.27,3
CPT,69205,Removal foreign body from external auditory canal; with general anesthesia ,,,1950.0,9710.0,106
CPT,69205,Removal foreign body from external auditory canal; with general anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,69205,Removal foreign body from external auditory canal; with general anesthesia SCHEDULED,,,5528.68,5645.07,3
CPT,69205,Removal foreign body from external auditory canal; with general anesthesia UNSCHEDULED,,,386.31,394.44,3
CPT,69209,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,1423.0,9710.0,106
CPT,69209,"Removal impacted cerumen using irrigation/lavage, unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,69209,"Removal impacted cerumen using irrigation/lavage, unilateral SCHEDULED",,,5528.68,5645.07,3
CPT,69209,"Removal impacted cerumen using irrigation/lavage, unilateral UNSCHEDULED",,,351.76,359.16,3
CPT,69210,"Removal impacted cerumen requiring instrumentation, unilateral ",,,1423.0,9710.0,106
CPT,69210,"Removal impacted cerumen requiring instrumentation, unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,69210,"Removal impacted cerumen requiring instrumentation, unilateral SCHEDULED",,,5528.68,5645.07,3
CPT,69210,"Removal impacted cerumen requiring instrumentation, unilateral UNSCHEDULED",,,335.01,342.06,3
CPT,69220,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,1423.0,9710.0,106
CPT,69220,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) Other Surgical Services",,,2850.0,2850.0,4
CPT,69220,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) SCHEDULED",,,5528.68,5645.07,3
CPT,69220,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) UNSCHEDULED",,,386.31,394.44,3
CPT,69222,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,1950.0,9710.0,106
CPT,69222,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Other Surgical Services",,,2850.0,2850.0,4
CPT,69222,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) SCHEDULED",,,5528.68,5645.07,3
CPT,69222,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) UNSCHEDULED",,,386.31,394.44,3
CPT,69300,"Otoplasty, protruding ear, with or without size reduction ",,,1950.0,18507.0,106
CPT,69300,"Otoplasty, protruding ear, with or without size reduction Other Surgical Services",,,2850.0,2850.0,4
CPT,69300,"Otoplasty, protruding ear, with or without size reduction SCHEDULED",,,5528.68,5645.07,3
CPT,69300,"Otoplasty, protruding ear, with or without size reduction UNSCHEDULED",,,386.31,394.44,3
CPT,69310,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,1950.0,18507.0,106
CPT,69310,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,69310,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) SCHEDULED",,,11560.92,11804.31,3
CPT,69310,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) UNSCHEDULED",,,420.85,429.71,3
CPT,69320,"Reconstruction external auditory canal for congenital atresia, single stage ",,,1950.0,18507.0,106
CPT,69320,"Reconstruction external auditory canal for congenital atresia, single stage Other Surgical Services",,,2850.0,2850.0,4
CPT,69320,"Reconstruction external auditory canal for congenital atresia, single stage SCHEDULED",,,5528.68,5645.07,3
CPT,69320,"Reconstruction external auditory canal for congenital atresia, single stage UNSCHEDULED",,,386.31,394.44,3
CPT,69399,"Unlisted procedure, external ear ",,,1423.0,9710.0,106
CPT,69399,"Unlisted procedure, external ear Other Surgical Services",,,2850.0,2850.0,4
CPT,69399,"Unlisted procedure, external ear SCHEDULED",,,5528.68,5645.07,3
CPT,69399,"Unlisted procedure, external ear UNSCHEDULED",,,386.31,394.44,3
CPT,69420,Myringotomy including aspiration and/or eustachian tube inflation ,,,1423.0,9710.0,106
CPT,69420,Myringotomy including aspiration and/or eustachian tube inflation Other Surgical Services,,,2850.0,2850.0,4
CPT,69420,Myringotomy including aspiration and/or eustachian tube inflation SCHEDULED,,,7411.01,7567.03,3
CPT,69421,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,1950.0,18507.0,106
CPT,69421,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,69421,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia SCHEDULED,,,7411.01,7567.03,3
CPT,69424,Ventilating tube removal requiring general anesthesia ,,,1950.0,18507.0,106
CPT,69424,Ventilating tube removal requiring general anesthesia Other Surgical Services,,,2850.0,2850.0,4
CPT,69424,Ventilating tube removal requiring general anesthesia SCHEDULED,,,7411.01,7567.03,3
CPT,69433,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,1423.0,9710.0,106
CPT,69433,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,69433,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia SCHEDULED",,,7411.01,7567.03,3
CPT,69436,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,1950.0,9710.0,106
CPT,69436,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia Other Surgical Services",,,2850.0,2850.0,4
CPT,69436,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia SCHEDULED",,,3563.65,3638.67,3
CPT,69440,Middle ear exploration through postauricular or ear canal incision ,,,1950.0,18507.0,106
CPT,69440,Middle ear exploration through postauricular or ear canal incision Other Surgical Services,,,2850.0,2850.0,4
CPT,69440,Middle ear exploration through postauricular or ear canal incision SCHEDULED,,,7411.01,7567.03,3
CPT,69450,"Tympanolysis, transcanal ",,,1950.0,18507.0,106
CPT,69450,"Tympanolysis, transcanal Other Surgical Services",,,2850.0,2850.0,4
CPT,69450,"Tympanolysis, transcanal SCHEDULED",,,7411.01,7567.03,3
CPT,69501,Transmastoid antrotomy (simple mastoidectomy) ,,,1950.0,18507.0,106
CPT,69501,Transmastoid antrotomy (simple mastoidectomy) Other Surgical Services,,,2850.0,2850.0,4
CPT,69501,Transmastoid antrotomy (simple mastoidectomy) SCHEDULED,,,7411.01,7567.03,3
CPT,69502,Mastoidectomy; complete ,,,1950.0,18507.0,106
CPT,69502,Mastoidectomy; complete Other Surgical Services,,,2850.0,2850.0,4
CPT,69502,Mastoidectomy; complete SCHEDULED,,,10672.1,10896.78,3
CPT,69505,Mastoidectomy; modified radical ,,,1950.0,18507.0,106
CPT,69505,Mastoidectomy; modified radical Other Surgical Services,,,2850.0,2850.0,4
CPT,69505,Mastoidectomy; modified radical SCHEDULED,,,7411.01,7567.03,3
CPT,69511,Mastoidectomy; radical ,,,1950.0,18507.0,106
CPT,69511,Mastoidectomy; radical Other Surgical Services,,,2850.0,2850.0,4
CPT,69511,Mastoidectomy; radical SCHEDULED,,,7411.01,7567.03,3
CPT,69530,Petrous apicectomy including radical mastoidectomy ,,,1950.0,18507.0,106
CPT,69530,Petrous apicectomy including radical mastoidectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,69530,Petrous apicectomy including radical mastoidectomy SCHEDULED,,,7411.01,7567.03,3
CPT,69535,"Resection temporal bone, external approach ",,,1950.0,31992.0,78
CPT,69535,"Resection temporal bone, external approach Other Surgical Services",,,2850.0,2850.0,4
CPT,69535,"Resection temporal bone, external approach SCHEDULED",,,7411.01,7567.03,3
CPT,69540,Excision aural polyp ,,,1950.0,9710.0,106
CPT,69540,Excision aural polyp Other Surgical Services,,,2850.0,2850.0,4
CPT,69540,Excision aural polyp SCHEDULED,,,7411.01,7567.03,3
CPT,69550,Excision aural glomus tumor; transcanal ,,,1950.0,18507.0,106
CPT,69550,Excision aural glomus tumor; transcanal Other Surgical Services,,,2850.0,2850.0,4
CPT,69550,Excision aural glomus tumor; transcanal SCHEDULED,,,7411.01,7567.03,3
CPT,69552,Excision aural glomus tumor; transmastoid ,,,1950.0,18507.0,106
CPT,69552,Excision aural glomus tumor; transmastoid Other Surgical Services,,,2850.0,2850.0,4
CPT,69552,Excision aural glomus tumor; transmastoid SCHEDULED,,,7411.01,7567.03,3
CPT,69554,Excision aural glomus tumor; extended (extratemporal) ,,,1950.0,31992.0,78
CPT,69554,Excision aural glomus tumor; extended (extratemporal) Other Surgical Services,,,2850.0,2850.0,4
CPT,69554,Excision aural glomus tumor; extended (extratemporal) SCHEDULED,,,7411.01,7567.03,3
CPT,69601,Revision mastoidectomy; resulting in complete mastoidectomy ,,,1950.0,18507.0,106
CPT,69601,Revision mastoidectomy; resulting in complete mastoidectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,69601,Revision mastoidectomy; resulting in complete mastoidectomy SCHEDULED,,,7411.01,7567.03,3
CPT,69602,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,1950.0,18507.0,106
CPT,69602,Revision mastoidectomy; resulting in modified radical mastoidectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,69602,Revision mastoidectomy; resulting in modified radical mastoidectomy SCHEDULED,,,7411.01,7567.03,3
CPT,69603,Revision mastoidectomy; resulting in radical mastoidectomy ,,,1950.0,18507.0,106
CPT,69603,Revision mastoidectomy; resulting in radical mastoidectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,69603,Revision mastoidectomy; resulting in radical mastoidectomy SCHEDULED,,,7411.01,7567.03,3
CPT,69604,Revision mastoidectomy; resulting in tympanoplasty ,,,1950.0,18507.0,106
CPT,69604,Revision mastoidectomy; resulting in tympanoplasty Other Surgical Services,,,2850.0,2850.0,4
CPT,69604,Revision mastoidectomy; resulting in tympanoplasty SCHEDULED,,,7411.01,7567.03,3
CPT,69605,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,10737.0,13315.0,28
CPT,69605,REVISION MASTOIDECTOMY; WITH APICECTOMY SCHEDULED,,,7411.01,7567.03,3
CPT,69610,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,1950.0,9710.0,106
CPT,69610,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Other Surgical Services",,,2850.0,2850.0,4
CPT,69610,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch SCHEDULED",,,4686.97,4785.64,3
CPT,69620,Myringoplasty (surgery confined to drumhead and donor area) ,,,1950.0,18507.0,106
CPT,69620,Myringoplasty (surgery confined to drumhead and donor area) Other Surgical Services,,,2850.0,2850.0,4
CPT,69620,Myringoplasty (surgery confined to drumhead and donor area) SCHEDULED,,,3764.65,3843.91,3
CPT,69631,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,2350.0,18507.0,98
CPT,69631,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction High Cost Surgery",,,3950.0,3950.0,1
CPT,69631,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction Other Surgical Services",,,4150.0,4150.0,1
CPT,69631,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction SCHEDULED",,,9484.91,9684.6,3
CPT,69632,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,2350.0,18507.0,98
CPT,69632,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) High Cost Surgery",,,3950.0,3950.0,1
CPT,69632,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) Other Surgical Servic",,,4150.0,4150.0,1
CPT,69632,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) SCHEDULED",,,9520.51,9720.94,3
CPT,69633,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,2350.0,18507.0,103
CPT,69635,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,2350.0,18507.0,98
CPT,69635,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction High Cost Surgery",,,3950.0,3950.0,1
CPT,69635,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction Other Surgical Services",,,4150.0,4150.0,1
CPT,69635,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction SCHEDULED",,,4735.13,4834.82,3
CPT,69636,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,2350.0,18507.0,98
CPT,69636,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction High Cost Surgery",,,3950.0,3950.0,1
CPT,69636,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction Other Surgical Services",,,4150.0,4150.0,1
CPT,69636,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction SCHEDULED",,,7411.01,7567.03,3
CPT,69637,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,2350.0,18507.0,103
CPT,69641,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,2350.0,18507.0,98
CPT,69641,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction High Cost Surgery",,,3950.0,3950.0,1
CPT,69641,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction Other Surgical Services",,,4150.0,4150.0,1
CPT,69641,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction SCHEDULED",,,7499.99,7657.89,3
CPT,69642,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,2350.0,18507.0,98
CPT,69642,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction High Cost Surgery",,,3950.0,3950.0,1
CPT,69642,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction Other Surgical Services",,,4150.0,4150.0,1
CPT,69642,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction SCHEDULED",,,7411.01,7567.03,3
CPT,69643,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,2350.0,18507.0,98
CPT,69643,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction High Cost Surgery",,,3950.0,3950.0,1
CPT,69643,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction Other Surgical Service",,,4150.0,4150.0,1
CPT,69643,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction SCHEDULED",,,7411.01,7567.03,3
CPT,69644,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,2350.0,18507.0,98
CPT,69644,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction High Cost Surgery",,,3950.0,3950.0,1
CPT,69644,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction Other Surgical Serv",,,4150.0,4150.0,1
CPT,69644,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction SCHEDULED",,,10875.2,11104.15,3
CPT,69645,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,2350.0,18507.0,98
CPT,69645,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction High Cost Surgery",,,3950.0,3950.0,1
CPT,69645,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction Other Surgical Services",,,4150.0,4150.0,1
CPT,69645,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction SCHEDULED",,,7411.01,7567.03,3
CPT,69646,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,2350.0,18507.0,98
CPT,69646,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction High Cost Surgery",,,3950.0,3950.0,1
CPT,69646,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction Other Surgical Services",,,4150.0,4150.0,1
CPT,69646,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction SCHEDULED",,,7411.01,7567.03,3
CPT,69650,Stapes mobilization ,,,2350.0,18507.0,98
CPT,69650,Stapes mobilization High Cost Surgery,,,3950.0,3950.0,1
CPT,69650,Stapes mobilization Other Surgical Services,,,4150.0,4150.0,1
CPT,69650,Stapes mobilization SCHEDULED,,,7411.01,7567.03,3
CPT,69660,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,2350.0,18507.0,98
CPT,69660,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; High Cost Surgery",,,3950.0,3950.0,1
CPT,69660,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; Other Surgical Services",,,4150.0,4150.0,1
CPT,69660,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; SCHEDULED",,,12557.57,12821.94,3
CPT,69661,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,2350.0,18507.0,98
CPT,69661,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out High Cost Surgery",,,3950.0,3950.0,1
CPT,69661,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out Other Surgical Services",,,4150.0,4150.0,1
CPT,69661,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out SCHEDULED",,,4238.9,4328.14,3
CPT,69662,Revision of stapedectomy or stapedotomy ,,,2350.0,18507.0,98
CPT,69662,Revision of stapedectomy or stapedotomy High Cost Surgery,,,3950.0,3950.0,1
CPT,69662,Revision of stapedectomy or stapedotomy Other Surgical Services,,,4150.0,4150.0,1
CPT,69662,Revision of stapedectomy or stapedotomy SCHEDULED,,,7411.01,7567.03,3
CPT,69666,Repair oval window fistula ,,,2350.0,18507.0,98
CPT,69666,Repair oval window fistula High Cost Surgery,,,3950.0,3950.0,1
CPT,69666,Repair oval window fistula Other Surgical Services,,,4150.0,4150.0,1
CPT,69666,Repair oval window fistula SCHEDULED,,,10419.8,10639.16,3
CPT,69667,Repair round window fistula ,,,2350.0,18507.0,99
CPT,69667,Repair round window fistula Other Surgical Services,,,4150.0,4150.0,1
CPT,69667,Repair round window fistula SCHEDULED,,,3802.34,3882.39,3
CPT,69670,Mastoid obliteration (separate procedure) ,,,2350.0,18507.0,99
CPT,69670,Mastoid obliteration (separate procedure) Other Surgical Services,,,4150.0,4150.0,1
CPT,69670,Mastoid obliteration (separate procedure) SCHEDULED,,,10420.84,10640.23,3
CPT,69676,Tympanic neurectomy ,,,2350.0,9710.0,92
CPT,69676,Tympanic neurectomy Other Surgical Services,,,4150.0,4150.0,1
CPT,69676,Tympanic neurectomy SCHEDULED,,,7411.01,7567.03,3
CPT,69700,"Closure postauricular fistula, mastoid (separate procedure) ",,,1950.0,9710.0,106
CPT,69700,"Closure postauricular fistula, mastoid (separate procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,69700,"Closure postauricular fistula, mastoid (separate procedure) SCHEDULED",,,7411.01,7567.03,3
CPT,69705,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,1950.0,12863.0,71
CPT,69705,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,69705,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral SCHEDULED",,,7411.01,7567.03,3
CPT,69706,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,1950.0,12863.0,71
CPT,69706,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral Other Surgical Services",,,2850.0,2850.0,4
CPT,69706,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral SCHEDULED",,,7411.01,7567.03,3
CPT,69710,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,1950.0,13315.0,99
CPT,69710,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone Other Surgical Services,,,2850.0,2850.0,4
CPT,69710,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone SCHEDULED,,,7411.01,7567.03,3
CPT,69711,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,1950.0,13315.0,99
CPT,69711,Removal or repair of electromagnetic bone conduction hearing device in temporal bone Other Surgical Services,,,2850.0,2850.0,4
CPT,69711,Removal or repair of electromagnetic bone conduction hearing device in temporal bone SCHEDULED,,,7411.01,7567.03,3
CPT,69714,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1950.0,19295.0,99
CPT,69714,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Other Surgical Services",,,2850.0,2850.0,4
CPT,69714,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor SCHEDULED",,,3992.88,4076.94,3
CPT,69715,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,28
CPT,69715,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY SCHEDULED",,,7411.01,7567.03,3
CPT,69716,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,1950.0,15007.0,78
CPT,69717,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1950.0,13315.0,99
CPT,69717,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor Other Surgical Services",,,2850.0,2850.0,4
CPT,69717,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor SCHEDULED",,,7411.01,7567.03,3
CPT,69718,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,28
CPT,69718,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY SCHEDULED",,,7411.01,7567.03,3
CPT,69719,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,1950.0,15007.0,78
CPT,69720,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,1950.0,13315.0,99
CPT,69720,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,4
CPT,69720,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion SCHEDULED",,,7411.01,7567.03,3
CPT,69725,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,1950.0,13315.0,99
CPT,69725,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,4
CPT,69725,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion SCHEDULED",,,7411.01,7567.03,3
CPT,69726,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,1950.0,10719.0,71
CPT,69726,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor Other Surgical Services",,,2850.0,2850.0,4
CPT,69726,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor SCHEDULED",,,7411.01,7567.03,3
CPT,69727,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,1950.0,10719.0,78
CPT,69728,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,1950.0,10719.0,78
CPT,69729,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,1950.0,15007.0,78
CPT,69730,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,1950.0,15007.0,78
CPT,69740,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,1950.0,13315.0,99
CPT,69740,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,4
CPT,69740,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion SCHEDULED",,,7411.01,7567.03,3
CPT,69745,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,1950.0,13315.0,99
CPT,69745,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,4
CPT,69745,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion SCHEDULED",,,7411.01,7567.03,3
CPT,69799,"Unlisted procedure, middle ear ",,,1423.0,9710.0,106
CPT,69799,"Unlisted procedure, middle ear Other Surgical Services",,,2850.0,2850.0,4
CPT,69799,"Unlisted procedure, middle ear SCHEDULED",,,7322.02,7476.17,3
CPT,69801,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,1950.0,9710.0,106
CPT,69801,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Other Surgical Services",,,2850.0,2850.0,4
CPT,69801,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal SCHEDULED",,,2936.55,2998.38,3
CPT,69802,INCISE INNER EAR SCHEDULED,,,8022.4,8191.29,3
CPT,69805,Endolymphatic sac operation; without shunt ,,,1950.0,13315.0,99
CPT,69805,Endolymphatic sac operation; without shunt Other Surgical Services,,,2850.0,2850.0,4
CPT,69805,Endolymphatic sac operation; without shunt SCHEDULED,,,8022.4,8191.29,3
CPT,69806,Endolymphatic sac operation; with shunt ,,,1950.0,13315.0,99
CPT,69806,Endolymphatic sac operation; with shunt Other Surgical Services,,,2850.0,2850.0,4
CPT,69806,Endolymphatic sac operation; with shunt SCHEDULED,,,8022.4,8191.29,3
CPT,69820,HFenestration semicircular canal ,,,10737.0,13315.0,28
CPT,69820,HFenestration semicircular canal SCHEDULED,,,8022.4,8191.29,3
CPT,69840,HRevision fenestration operation ,,,10737.0,13315.0,28
CPT,69840,HRevision fenestration operation SCHEDULED,,,8022.4,8191.29,3
CPT,69905,Labyrinthectomy; transcanal ,,,1950.0,13315.0,99
CPT,69905,Labyrinthectomy; transcanal Other Surgical Services,,,2850.0,2850.0,4
CPT,69905,Labyrinthectomy; transcanal SCHEDULED,,,8022.4,8191.29,3
CPT,69910,Labyrinthectomy; with mastoidectomy ,,,1950.0,13315.0,99
CPT,69910,Labyrinthectomy; with mastoidectomy Other Surgical Services,,,2850.0,2850.0,4
CPT,69910,Labyrinthectomy; with mastoidectomy SCHEDULED,,,10238.68,10454.23,3
CPT,69915,"Vestibular nerve section, translabyrinthine approach ",,,1950.0,13315.0,99
CPT,69915,"Vestibular nerve section, translabyrinthine approach Other Surgical Services",,,2850.0,2850.0,4
CPT,69915,"Vestibular nerve section, translabyrinthine approach SCHEDULED",,,8022.4,8191.29,3
CPT,69930,"Cochlear device implantation, with or without mastoidectomy ",,,2350.0,104011.0,156
CPT,69930,"Cochlear device implantation, with or without mastoidectomy Complex Surgery",,,11754.0,11754.0,22
CPT,69930,"Cochlear device implantation, with or without mastoidectomy High Cost Surgery",,,3950.0,3950.0,1
CPT,69930,"Cochlear device implantation, with or without mastoidectomy Other Surgical Services",,,4150.0,4150.0,1
CPT,69930,"Cochlear device implantation, with or without mastoidectomy SCHEDULED",,,8022.4,8191.29,3
CPT,69949,"Unlisted procedure, inner ear ",,,1423.0,9710.0,106
CPT,69949,"Unlisted procedure, inner ear Other Surgical Services",,,2850.0,2850.0,4
CPT,69949,"Unlisted procedure, inner ear SCHEDULED",,,8022.4,8191.29,3
CPT,69950,"Vestibular nerve section, transcranial approach ",,,1950.0,31992.0,78
CPT,69950,"Vestibular nerve section, transcranial approach Other Surgical Services",,,2850.0,2850.0,4
CPT,69955,Total facial nerve decompression and/or repair (may include graft) ,,,1950.0,13315.0,99
CPT,69955,Total facial nerve decompression and/or repair (may include graft) Other Surgical Services,,,2850.0,2850.0,4
CPT,69960,Decompression internal auditory canal ,,,1950.0,13315.0,99
CPT,69960,Decompression internal auditory canal Other Surgical Services,,,2850.0,2850.0,4
CPT,69970,"Removal of tumor, temporal bone ",,,1950.0,13315.0,99
CPT,69970,"Removal of tumor, temporal bone Other Surgical Services",,,2850.0,2850.0,4
CPT,69979,"Unlisted procedure, temporal bone, middle fossa approach ",,,1423.0,9710.0,106
CPT,69979,"Unlisted procedure, temporal bone, middle fossa approach Other Surgical Services",,,2850.0,2850.0,4
CPT,69990,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,1423.0,9710.0,99
CPT,69990,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,4
CPT,69990,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) SCHEDULED",,,5158.07,5266.66,3
CPT,70010,"Myelography, posterior fossa, radiological supervision and interpretation ",,,625.8,625.8,8
CPT,70010,"Myelography, posterior fossa, radiological supervision and interpretation UNSCHEDULED",,,732.83,748.26,3
CPT,70015,"Cisternography, positive contrast, radiological supervision and interpretation ",,,1215.81,1215.81,8
CPT,70015,"Cisternography, positive contrast, radiological supervision and interpretation UNSCHEDULED",,,2398.97,2449.47,3
CPT,70030,"Radiologic examination, eye, for detection of foreign body ",,,137.53,137.53,8
CPT,70030,"Radiologic examination, eye, for detection of foreign body UNSCHEDULED",,,365.37,373.06,3
CPT,70030,XR EYE FOREIGN BODY BI,302.0,302.0,25.97,362.4,62
CPT,70030,XR EYE FOREIGN BODY LT,302.0,302.0,25.97,362.4,62
CPT,70030,XR EYE FOREIGN BODY RT,302.0,302.0,25.97,362.4,62
CPT,70100,"Radiologic examination, mandible; partial, less than 4 views ",,,137.53,137.53,8
CPT,70100,"Radiologic examination, mandible; partial, less than 4 views UNSCHEDULED",,,429.23,438.27,3
CPT,70100,XR MANDIBLE < 4 V,3003.0,3003.0,258.26,3603.6,155
CPT,70110,"Radiologic examination, mandible; complete, minimum of 4 views ",,,185.25,185.25,8
CPT,70110,"Radiologic examination, mandible; complete, minimum of 4 views UNSCHEDULED",,,576.84,588.98,3
CPT,70110,XR MANDIBLE 4 + V,4431.0,4431.0,381.07,5317.2,155
CPT,70120,"Radiologic examination, mastoids; less than 3 views per side ",,,185.25,185.25,8
CPT,70120,"Radiologic examination, mastoids; less than 3 views per side UNSCHEDULED",,,719.22,734.36,3
CPT,70130,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,185.25,185.25,8
CPT,70130,"Radiologic examination, mastoids; complete, minimum of 3 views per side UNSCHEDULED",,,978.85,999.46,3
CPT,70130,XR MASTOIDS 3 + V PS BI,555.0,555.0,47.73,666.0,31
CPT,70130,XR MASTOIDS 3 + V PS LT,1626.0,1626.0,139.84,1951.2,31
CPT,70130,XR MASTOIDS 3 + V PS RT,1626.0,1626.0,139.84,1951.2,31
CPT,70134,"Radiologic examination, internal auditory meati, complete ",,,820.91,820.91,8
CPT,70134,"Radiologic examination, internal auditory meati, complete UNSCHEDULED",,,2398.97,2449.47,3
CPT,70140,"Radiologic examination, facial bones; less than 3 views ",,,137.53,137.53,8
CPT,70140,"Radiologic examination, facial bones; less than 3 views UNSCHEDULED",,,303.6,309.99,3
CPT,70140,XR FACIAL BONES < 3 V,3024.0,3024.0,260.06,3628.8,155
CPT,70150,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,185.25,185.25,8
CPT,70150,"Radiologic examination, facial bones; complete, minimum of 3 views UNSCHEDULED",,,563.24,575.09,3
CPT,70150,XR FACIAL BONES 3 + V,4977.0,4977.0,428.02,5972.4,155
CPT,70160,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,137.53,137.53,8
CPT,70160,"Radiologic examination, nasal bones, complete, minimum of 3 views UNSCHEDULED",,,416.67,425.44,3
CPT,70160,XR NASAL BONES COMP,3577.0,3577.0,307.62,4292.4,155
CPT,70170,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,391.22,391.22,8
CPT,70170,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation UNSCHEDULED",,,2398.97,2449.47,3
CPT,70190,Radiologic examination; optic foramina ,,,137.53,137.53,8
CPT,70190,Radiologic examination; optic foramina UNSCHEDULED,,,2398.97,2449.47,3
CPT,70190,XR OPTIC FORAMINA BI,302.0,302.0,25.97,362.4,31
CPT,70190,XR OPTIC FORAMINA LT,302.0,302.0,25.97,362.4,31
CPT,70190,XR OPTIC FORAMINA RT,302.0,302.0,25.97,362.4,31
CPT,70200,"Radiologic examination; orbits, complete, minimum of 4 views ",,,185.25,185.25,8
CPT,70200,"Radiologic examination; orbits, complete, minimum of 4 views UNSCHEDULED",,,481.57,491.71,3
CPT,70200,XR ORBITS 4 + V,5316.0,5316.0,457.18,6379.2,155
CPT,70210,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,137.53,137.53,8
CPT,70210,"Radiologic examination, sinuses, paranasal, less than 3 views UNSCHEDULED",,,583.12,595.4,3
CPT,70210,XR SINUSES < 3 V,4513.0,4513.0,388.12,5415.6,93
CPT,70220,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,137.53,137.53,8
CPT,70220,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views UNSCHEDULED",,,721.32,736.5,3
CPT,70220,XR SINUSES 3 + V,6720.0,6720.0,577.92,8064.0,93
CPT,70240,"Radiologic examination, sella turcica ",613.0,613.0,137.53,137.53,8
CPT,70240,"Radiologic examination, sella turcica UNSCHEDULED",613.0,613.0,402.01,410.47,3
CPT,70240,XR SELLA TURCICA,613.0,613.0,52.72,735.6,31
CPT,70250,"Radiologic examination, skull; less than 4 views ",,,185.25,185.25,8
CPT,70250,"Radiologic examination, skull; less than 4 views UNSCHEDULED",,,471.1,481.02,3
CPT,70250,XR SKULL < 4 V,2793.0,2793.0,240.2,3351.6,186
CPT,70260,"Radiologic examination, skull; complete, minimum of 4 views ",,,185.25,185.25,8
CPT,70260,"Radiologic examination, skull; complete, minimum of 4 views UNSCHEDULED",,,586.26,598.61,3
CPT,70260,XR SKULL 4 + V,5514.0,5514.0,474.2,6616.8,124
CPT,70300,"Radiologic examination, teeth; single view ",,,137.53,137.53,8
CPT,70300,"Radiologic examination, teeth; single view UNSCHEDULED",,,2398.97,2449.47,3
CPT,70310,"Radiologic examination, teeth; partial examination, less than full mouth ",,,391.22,391.22,8
CPT,70310,"Radiologic examination, teeth; partial examination, less than full mouth UNSCHEDULED",,,2398.97,2449.47,3
CPT,70320,"Radiologic examination, teeth; complete, full mouth ",,,391.22,391.22,8
CPT,70320,"Radiologic examination, teeth; complete, full mouth UNSCHEDULED",,,225.08,229.82,3
CPT,70328,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,137.53,137.53,8
CPT,70328,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral UNSCHEDULED",,,2398.97,2449.47,3
CPT,70328,XR TMJ UNI LT,302.0,302.0,25.97,362.4,31
CPT,70328,XR TMJ UNI RT,302.0,302.0,25.97,362.4,31
CPT,70330,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,137.53,137.53,8
CPT,70330,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral UNSCHEDULED",,,726.55,741.85,3
CPT,70330,XR TMJ BI,2694.0,2694.0,231.68,3232.8,93
CPT,70332,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,391.22,391.22,8
CPT,70332,"Temporomandibular joint arthrography, radiological supervision and interpretation UNSCHEDULED",,,2398.97,2449.47,3
CPT,70336,MRI TMJ,14061.0,14061.0,1209.25,16873.2,28
CPT,70336,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",14061.0,14061.0,391.22,2469.0,37
CPT,70336,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) UNSCHEDULED",14061.0,14061.0,2398.97,2449.47,3
CPT,70350,"Cephalogram, orthodontic ",,,137.53,137.53,8
CPT,70350,"Cephalogram, orthodontic UNSCHEDULED",,,2398.97,2449.47,3
CPT,70355,"Orthopantogram (eg, panoramic x-ray) ",,,137.53,137.53,8
CPT,70355,"Orthopantogram (eg, panoramic x-ray) UNSCHEDULED",,,301.51,307.86,3
CPT,70360,"Radiologic examination; neck, soft tissue ",,,137.53,137.53,8
CPT,70360,"Radiologic examination; neck, soft tissue UNSCHEDULED",,,346.52,353.82,3
CPT,70360,XR NECK SOFT TISSUE,2563.0,2563.0,220.42,3075.6,155
CPT,70370,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,137.53,137.53,8
CPT,70370,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique UNSCHEDULED",,,2398.97,2449.47,3
CPT,70371,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,1133.0,1133.0,391.22,391.22,8
CPT,70371,Complex dynamic pharyngeal and speech evaluation by cine or video recording UNSCHEDULED,1133.0,1133.0,2398.97,2449.47,3
CPT,70371,XR SPEECH EV COMPLEX,1133.0,1133.0,97.44,1359.6,31
CPT,70373,CONTRAST X-RAY OF LARYNX ,,,,,0
CPT,70373,CONTRAST X-RAY OF LARYNX UNSCHEDULED,,,2398.97,2449.47,3
CPT,70380,"Radiologic examination, salivary gland for calculus ",,,137.53,137.53,8
CPT,70380,"Radiologic examination, salivary gland for calculus UNSCHEDULED",,,2398.97,2449.47,3
CPT,70390,"Sialography, radiological supervision and interpretation ",3133.0,3133.0,391.22,391.22,8
CPT,70390,"Sialography, radiological supervision and interpretation UNSCHEDULED",3133.0,3133.0,2398.97,2449.47,3
CPT,70390,XR SIALOGRAM,3133.0,3133.0,269.44,3759.6,31
CPT,70450,CT HEAD/BRAIN W/O CONT,16182.0,16182.0,1391.65,19418.4,196
CPT,70450,"Computed tomography, head or brain; without contrast material ",,,185.25,2469.0,21
CPT,70450,"Computed tomography, head or brain; without contrast material UNSCHEDULED",,,2227.81,2274.71,3
CPT,70460,CT HEAD/BRAIN W/CONT,18192.0,18192.0,1564.51,21830.4,84
CPT,70460,"Computed tomography, head or brain; with contrast material(s) ",,,303.54,2469.0,21
CPT,70460,"Computed tomography, head or brain; with contrast material(s) UNSCHEDULED",,,3589.82,3665.4,3
CPT,70470,CT HD/BR W&W/O CONT,19048.0,19048.0,1638.13,22857.6,140
CPT,70470,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,21
CPT,70470,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED",,,3037.05,3100.99,3
CPT,70471,CTA H&N W/CON+NONCON IMG,16182.0,16182.0,857.65,19418.4,33
CPT,70471,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",16182.0,16182.0,605.93,605.93,4
CPT,70472,CT CER PER W CONC CT/CTA,16182.0,16182.0,857.65,19418.4,33
CPT,70472,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed with concurrent CT or CT angiography of the same anatomy (List separately in a",16182.0,16182.0,,,0
CPT,70473,CT CER PER W/O CONC CT/A,16182.0,16182.0,857.65,19418.4,33
CPT,70473,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",16182.0,16182.0,304.64,304.64,4
CPT,70480,CT ORBIT/SELLA/IAC WO,16399.0,16399.0,1410.31,19678.8,196
CPT,70480,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,185.25,2469.0,21
CPT,70480,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material UNSCHEDULED",,,2502.09,2554.77,3
CPT,70481,CT ORBIT/SELLA/IAC W,19054.0,19054.0,1638.64,22864.8,168
CPT,70481,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,303.54,2469.0,21
CPT,70481,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) UNSCHEDULED",,,3580.4,3655.77,3
CPT,70482,CT ORBIT/SELLA/IAC W&WO,19959.0,19959.0,1716.47,23950.8,196
CPT,70482,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,21
CPT,70482,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED",,,5639.65,5758.38,3
CPT,70486,CT MAXIFAC W/O CNT,16938.0,16938.0,1456.67,20325.6,224
CPT,70486,"Computed tomography, maxillofacial area; without contrast material ",,,185.25,2469.0,21
CPT,70486,"Computed tomography, maxillofacial area; without contrast material UNSCHEDULED",,,2163.94,2209.5,3
CPT,70487,CT MAXIFAC W/CONTRAST,16399.0,16399.0,1410.31,19678.8,224
CPT,70487,"Computed tomography, maxillofacial area; with contrast material(s) ",,,303.54,2469.0,21
CPT,70487,"Computed tomography, maxillofacial area; with contrast material(s) UNSCHEDULED",,,3463.15,3536.06,3
CPT,70488,CT MAXIFAC W&W/O CONT,17319.0,17319.0,1489.43,20782.8,84
CPT,70488,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,21
CPT,70488,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED",,,3372.06,3443.05,3
CPT,70490,CT NECK W/O CONTRAST,12426.0,12426.0,1068.64,14911.2,140
CPT,70490,"Computed tomography, soft tissue neck; without contrast material ",,,185.25,2469.0,21
CPT,70490,"Computed tomography, soft tissue neck; without contrast material UNSCHEDULED",,,3298.78,3368.23,3
CPT,70491,CT NECK W/CONTRAST,18192.0,18192.0,1564.51,21830.4,140
CPT,70491,"Computed tomography, soft tissue neck; with contrast material(s) ",,,303.54,2469.0,21
CPT,70491,"Computed tomography, soft tissue neck; with contrast material(s) UNSCHEDULED",,,3633.79,3710.29,3
CPT,70492,CT NECK W&W/O CONT,13690.0,13690.0,1177.34,16428.0,84
CPT,70492,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,303.54,2469.0,21
CPT,70492,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections UNSCHEDULED",,,7291.66,7445.17,3
CPT,70496,CTA HEAD,16182.0,16182.0,1391.65,19418.4,168
CPT,70496,CTA HEAD AIDOC TECH,16182.0,16182.0,1391.65,19418.4,28
CPT,70496,CTA HEAD RAPIDAI TECH,16182.0,16182.0,1391.65,19418.4,28
CPT,70496,CTA HEAD VIZ AI TECH,16182.0,16182.0,1391.65,19418.4,28
CPT,70496,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,21
CPT,70496,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED",,,3946.81,4029.9,3
CPT,70498,CTA NECK,15684.0,15684.0,1348.82,18820.8,168
CPT,70498,CTA NECK AIDOC TECH,15684.0,15684.0,1348.82,18820.8,28
CPT,70498,CTA NECK RAPIDAI TECH,15684.0,15684.0,1348.82,18820.8,28
CPT,70498,CTA NECK VIZ AI TECH,15684.0,15684.0,1348.82,18820.8,28
CPT,70498,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,21
CPT,70498,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED",,,3312.39,3382.13,3
CPT,70540,MRI OR/FCE/NCK W/O CONT,16822.0,16822.0,1446.69,20186.4,28
CPT,70540,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",16822.0,16822.0,391.22,2469.0,37
CPT,70540,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) UNSCHEDULED",16822.0,16822.0,2846.52,2906.45,3
CPT,70541,MR angiography-head/neck UNSCHEDULED,,,2398.97,2449.47,3
CPT,70542,MRI OR/FCE/NCK W/CONT,19129.0,19129.0,1645.09,22954.8,28
CPT,70542,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",19129.0,19129.0,625.8,2469.0,37
CPT,70542,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) UNSCHEDULED",19129.0,19129.0,2398.97,2449.47,3
CPT,70543,MRI OR/FCE/NCK W&WO,16915.0,16915.0,1454.69,20298.0,28
CPT,70543,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",16915.0,16915.0,625.8,2469.0,37
CPT,70543,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED",16915.0,16915.0,4514.23,4609.27,3
CPT,70544,MRA HD W/O CONT,19890.0,19890.0,1710.54,23868.0,28
CPT,70544,"Magnetic resonance angiography, head; without contrast material(s) ",19890.0,19890.0,391.22,2469.0,37
CPT,70544,"Magnetic resonance angiography, head; without contrast material(s) UNSCHEDULED",19890.0,19890.0,2718.8,2776.03,3
CPT,70545,MRA HD W/CONTRAST,10241.0,10241.0,880.73,12289.2,28
CPT,70545,"Magnetic resonance angiography, head; with contrast material(s) ",10241.0,10241.0,625.8,2469.0,37
CPT,70545,"Magnetic resonance angiography, head; with contrast material(s) UNSCHEDULED",10241.0,10241.0,2398.97,2449.47,3
CPT,70546,MRA HD W&WO CONTRAST,10482.0,10482.0,901.45,12578.4,28
CPT,70546,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",10482.0,10482.0,625.8,2469.0,37
CPT,70546,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED",10482.0,10482.0,7378.55,7533.89,3
CPT,70547,MRA NECK W/O CONT,19890.0,19890.0,1710.54,23868.0,28
CPT,70547,"Magnetic resonance angiography, neck; without contrast material(s) ",19890.0,19890.0,391.22,2469.0,37
CPT,70547,"Magnetic resonance angiography, neck; without contrast material(s) UNSCHEDULED",19890.0,19890.0,2295.86,2344.19,3
CPT,70548,MRA NECK W/CONTRAST,10637.0,10637.0,914.78,12764.4,28
CPT,70548,"Magnetic resonance angiography, neck; with contrast material(s) ",10637.0,10637.0,625.8,2469.0,37
CPT,70548,"Magnetic resonance angiography, neck; with contrast material(s) UNSCHEDULED",10637.0,10637.0,4076.63,4162.45,3
CPT,70549,MRA NECK W&WO CONT,13057.0,13057.0,1122.9,15668.4,28
CPT,70549,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",13057.0,13057.0,625.8,2469.0,37
CPT,70549,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED",13057.0,13057.0,3180.49,3247.44,3
CPT,70551,MRI BRAIN W/O CONTRAST,16822.0,16822.0,1446.69,20186.4,28
CPT,70551,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",16822.0,16822.0,391.22,2469.0,37
CPT,70551,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material UNSCHEDULED",16822.0,16822.0,2671.68,2727.93,3
CPT,70552,MRI BRAIN W/CONTRAST,14590.0,14590.0,1254.74,17508.0,28
CPT,70552,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",14590.0,14590.0,625.8,2469.0,37
CPT,70552,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) UNSCHEDULED",14590.0,14590.0,3408.7,3480.47,3
CPT,70553,MRI BRAIN W&WO CONT,18280.0,18280.0,1572.08,21936.0,28
CPT,70553,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",18280.0,18280.0,625.8,2469.0,37
CPT,70553,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences UNSCHEDULED",18280.0,18280.0,3901.79,3983.94,3
CPT,70554,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,391.22,7047.53,40
CPT,70555,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,391.22,2469.0,37
CPT,70555,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing UNSCHEDULED",,,2398.97,2449.47,3
CPT,70557,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,820.91,2469.0,35
CPT,70558,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,303.54,2469.0,35
CPT,70559,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,303.54,2469.0,35
CPT,71010,"HRadiologic examination, chest; single view, frontal ",,,,,0
CPT,71015,"HRadiologic examination, chest; stereo, frontal ",,,,,0
CPT,71020,"HRadiologic examination, chest, 2 views, frontal and lateral; ",,,,,0
CPT,71021,"HRadiologic examination, chest, 2 views, frontal and lateral; with apical lordotic procedure ",,,,,0
CPT,71022,"HRadiologic examination, chest, 2 views, frontal and lateral; with oblique projections ",,,,,0
CPT,71023,"HRadiologic examination, chest, 2 views, frontal and lateral; with fluoroscopy ",,,,,0
CPT,71030,"HRadiologic examination, chest, complete, minimum of 4 views; ",,,,,0
CPT,71034,"HRadiologic examination, chest, complete, minimum of 4 views; with fluoroscopy ",,,,,0
CPT,71035,"HRadiologic examination, chest, special views (eg, lateral decubitus, Bucky studies) ",,,,,0
CPT,71036,Fluor loc Tc ndl Bx S&I ,,,,,0
CPT,71040,CONTRAST X-RAY OF BRONCHI ,,,,,0
CPT,71045,CHEST XRAY 1 V,1106.5,1106.5,25.97,2293.2,279
CPT,71045,"Radiologic examination, chest; single view ",,,137.53,137.53,8
CPT,71045,"Radiologic examination, chest; single view UNSCHEDULED",,,403.06,411.54,3
CPT,71046,CHEST XRAY 2 V,1591.5,1591.5,25.97,3457.2,217
CPT,71046,"Radiologic examination, chest; 2 views ",,,137.53,137.53,8
CPT,71046,"Radiologic examination, chest; 2 views UNSCHEDULED",,,479.48,489.58,3
CPT,71047,CHEST XRAY 3 V,1621.5,1621.5,25.97,3529.2,155
CPT,71047,"Radiologic examination, chest; 3 views ",,,137.53,137.53,8
CPT,71047,"Radiologic examination, chest; 3 views UNSCHEDULED",,,672.11,686.26,3
CPT,71048,CHEST XRAY 4+,1737.0,1737.0,47.73,3502.8,217
CPT,71048,"Radiologic examination, chest; 4 or more views ",,,185.25,185.25,8
CPT,71048,"Radiologic examination, chest; 4 or more views UNSCHEDULED",,,478.43,488.5,3
CPT,71060,CONTRAST X-RAY OF BRONCHI ,,,,,0
CPT,71060,CONTRAST X-RAY OF BRONCHI UNSCHEDULED,,,672.11,686.26,3
CPT,71090,X-RAY & PACEMAKER INSERTION ,,,,,0
CPT,71090,X-RAY & PACEMAKER INSERTION UNSCHEDULED,,,672.11,686.26,3
CPT,71100,"Radiologic examination, ribs, unilateral; 2 views ",,,137.53,137.53,8
CPT,71100,"Radiologic examination, ribs, unilateral; 2 views UNSCHEDULED",,,526.59,537.68,3
CPT,71100,XR RIBS UNI 2 V LT,2421.0,2421.0,208.21,2905.2,155
CPT,71100,XR RIBS UNI 2 V RT,2421.0,2421.0,208.21,2905.2,155
CPT,71101,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,185.25,185.25,8
CPT,71101,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views UNSCHEDULED",,,555.9,567.61,3
CPT,71101,XR RIBS UNI W/CXR 3+V LT,4580.0,4580.0,393.88,5496.0,155
CPT,71101,XR RIBS UNI W/CXR 3+V RT,4580.0,4580.0,393.88,5496.0,155
CPT,71110,"Radiologic examination, ribs, bilateral; 3 views ",,,185.25,185.25,8
CPT,71110,"Radiologic examination, ribs, bilateral; 3 views UNSCHEDULED",,,672.11,686.26,3
CPT,71110,XR RIBS BI 3 V,3904.0,3904.0,335.74,4684.8,155
CPT,71111,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,185.25,185.25,8
CPT,71111,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views UNSCHEDULED",,,633.37,646.71,3
CPT,71111,XR RIBS BI W/CXR 4 + V,3918.0,3918.0,336.95,4701.6,62
CPT,71120,"Radiologic examination; sternum, minimum of 2 views ",,,137.53,137.53,8
CPT,71120,"Radiologic examination; sternum, minimum of 2 views UNSCHEDULED",,,467.96,477.81,3
CPT,71120,XR STERNUM 2 + V,3012.0,3012.0,259.03,3614.4,155
CPT,71130,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,137.53,137.53,8
CPT,71130,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views UNSCHEDULED",,,600.92,613.57,3
CPT,71130,XR SC JOINTS 3 + V,1175.0,1175.0,101.05,1410.0,93
CPT,71250,CT CHEST W/O CONTRAST,13900.0,13900.0,1195.4,16680.0,168
CPT,71250,"Computed tomography, thorax, diagnostic; without contrast material ",,,185.25,2469.0,21
CPT,71250,"Computed tomography, thorax, diagnostic; without contrast material UNSCHEDULED",,,2296.9,2345.26,3
CPT,71260,CT CHEST W/CONTRAST,20649.0,20649.0,1775.81,24778.8,168
CPT,71260,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,303.54,2469.0,21
CPT,71260,"Computed tomography, thorax, diagnostic; with contrast material(s) UNSCHEDULED",,,2612.02,2667.01,3
CPT,71270,CT CHEST W&W/O CONT,21654.0,21654.0,1862.24,25984.8,140
CPT,71270,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,21
CPT,71270,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED",,,3025.54,3089.24,3
CPT,71271,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,137.53,1539.0,8
CPT,71271,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) UNSCHEDULED",,,672.11,686.26,3
CPT,71275,CTA CHEST,12727.0,12727.0,1094.52,15272.4,140
CPT,71275,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,21
CPT,71275,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED",,,3288.31,3357.54,3
CPT,71550,MRI CHEST W/O CONT,12189.0,12189.0,1048.25,14626.8,28
CPT,71550,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",12189.0,12189.0,391.22,2469.0,37
CPT,71550,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) UNSCHEDULED",12189.0,12189.0,3686.13,3763.74,3
CPT,71551,MRI CHEST W/CONTRAST,12804.0,12804.0,1101.14,15364.8,28
CPT,71551,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",12804.0,12804.0,1075.0,2469.0,37
CPT,71551,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) UNSCHEDULED",12804.0,12804.0,4849.24,4951.33,3
CPT,71552,MRI CHEST W&WO CONT,12804.0,12804.0,1101.14,15364.8,28
CPT,71552,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",12804.0,12804.0,625.8,2469.0,37
CPT,71552,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences UNSCH",12804.0,12804.0,3869.34,3950.8,3
CPT,71555,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,256.23,2469.0,38
CPT,71555,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) UNSCHEDULED",,,2323.07,2371.98,3
CPT,72010,X-RAY EXAM SPINE AP&LAT ,,,,,0
CPT,72020,"Radiologic examination, spine, single view, specify level ",,,137.53,137.53,8
CPT,72020,"Radiologic examination, spine, single view, specify level UNSCHEDULED",,,389.44,397.64,3
CPT,72020,XR SPINE 1 V SPEC LEVEL,2881.0,2881.0,247.77,3457.2,186
CPT,72040,"Radiologic examination, spine, cervical; 2 or 3 views ",,,137.53,137.53,8
CPT,72040,"Radiologic examination, spine, cervical; 2 or 3 views UNSCHEDULED",,,453.31,462.85,3
CPT,72040,XR C-SPINE 2-3 VIEWS,4169.0,4169.0,358.53,5002.8,186
CPT,72050,"Radiologic examination, spine, cervical; 4 or 5 views ",,,185.25,185.25,8
CPT,72050,"Radiologic examination, spine, cervical; 4 or 5 views UNSCHEDULED",,,699.33,714.06,3
CPT,72050,XR C-SPINE 4-5 V,4465.0,4465.0,383.99,5358.0,186
CPT,72052,"Radiologic examination, spine, cervical; 6 or more views ",,,185.25,185.25,8
CPT,72052,"Radiologic examination, spine, cervical; 6 or more views UNSCHEDULED",,,704.57,719.4,3
CPT,72052,XR C-SPINE 6 + V,4743.0,4743.0,407.9,5691.6,155
CPT,72069,X-RAY EXAM TRUNK SPINE STAND ,,,,,0
CPT,72069,X-RAY EXAM TRUNK SPINE STAND UNSCHEDULED,,,2275.44,2323.34,3
CPT,72070,"Radiologic examination, spine; thoracic, 2 views ",,,185.25,185.25,8
CPT,72070,"Radiologic examination, spine; thoracic, 2 views UNSCHEDULED",,,534.96,546.23,3
CPT,72070,XR T-SPINE 2 VIEWS,3835.0,3835.0,329.81,4602.0,155
CPT,72072,"Radiologic examination, spine; thoracic, 3 views ",,,185.25,185.25,8
CPT,72072,"Radiologic examination, spine; thoracic, 3 views UNSCHEDULED",,,534.96,546.23,3
CPT,72072,XR T-SPINE 3 VIEWS,555.0,555.0,47.73,666.0,124
CPT,72074,"Radiologic examination, spine; thoracic, minimum of 4 views ",3559.0,3559.0,185.25,185.25,8
CPT,72074,"Radiologic examination, spine; thoracic, minimum of 4 views UNSCHEDULED",3559.0,3559.0,596.73,609.3,3
CPT,72074,XR T-SPINE 4 + VIEWS,3559.0,3559.0,306.07,4270.8,31
CPT,72080,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,137.53,137.53,8
CPT,72080,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views UNSCHEDULED",,,545.43,556.92,3
CPT,72080,XR T-L-SPINE 2 VIEWS,2702.0,2702.0,232.37,3242.4,155
CPT,72081,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,137.53,137.53,8
CPT,72081,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view UNSCHEDULED",,,2275.44,2323.34,3
CPT,72081,XR SPINE 1 VIEW,347.0,347.0,29.84,416.4,124
CPT,72082,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,185.25,185.25,8
CPT,72082,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views UNSCHEDULED",,,545.43,556.92,3
CPT,72083,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,185.25,185.25,8
CPT,72083,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views UNSCHEDULED",,,1870.81,1910.19,3
CPT,72084,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,185.25,185.25,8
CPT,72084,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views UNSCHEDULED",,,2275.44,2323.34,3
CPT,72084,XR SPINE MIN 6 VIEWS,555.0,555.0,47.73,666.0,62
CPT,72090,X-RAY EXAM SCLOIOSIS ERECT ,,,,,0
CPT,72090,X-RAY EXAM SCLOIOSIS ERECT UNSCHEDULED,,,2275.44,2323.34,3
CPT,72100,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,185.25,185.25,8
CPT,72100,"Radiologic examination, spine, lumbosacral; 2 or 3 views UNSCHEDULED",,,512.98,523.78,3
CPT,72100,XR L-SPINE 2/3 VIEWS,6518.0,6518.0,560.55,7821.6,186
CPT,72110,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,185.25,185.25,8
CPT,72110,"Radiologic examination, spine, lumbosacral; minimum of 4 views UNSCHEDULED",,,843.8,861.56,3
CPT,72110,XR L-SPINE 4 + VIEWS,7214.0,7214.0,620.4,8656.8,186
CPT,72114,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,185.25,185.25,8
CPT,72114,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views UNSCHEDULED",,,1409.13,1438.79,3
CPT,72114,XR L-SPINE W/BEND VIEW,7002.0,7002.0,602.17,8402.4,124
CPT,72120,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,185.25,185.25,8
CPT,72120,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views UNSCHEDULED",,,860.55,878.66,3
CPT,72120,XR L-SPINE BEND ONLY,555.0,555.0,47.73,666.0,62
CPT,72125,CT C-SPINE W/O CONTRAST,15281.0,15281.0,1314.17,18337.2,140
CPT,72125,"Computed tomography, cervical spine; without contrast material ",,,185.25,2469.0,21
CPT,72125,"Computed tomography, cervical spine; without contrast material UNSCHEDULED",,,2509.42,2562.25,3
CPT,72126,CT C-SPINE W/CONTRAST,17763.0,17763.0,1527.62,21315.6,84
CPT,72126,"Computed tomography, cervical spine; with contrast material ",,,625.8,2469.0,21
CPT,72126,"Computed tomography, cervical spine; with contrast material UNSCHEDULED",,,4060.93,4146.42,3
CPT,72127,CT C-SPINE W&W/O CONT,13690.0,13690.0,1177.34,16428.0,84
CPT,72127,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,21
CPT,72127,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED",,,3931.11,4013.87,3
CPT,72128,CT T-SPINE W/O CONTRAST,11862.0,11862.0,1020.13,14234.4,140
CPT,72128,"Computed tomography, thoracic spine; without contrast material ",,,185.25,2469.0,21
CPT,72128,"Computed tomography, thoracic spine; without contrast material UNSCHEDULED",,,2302.14,2350.6,3
CPT,72129,CT T-SPINE W/CONTRAST,17334.0,17334.0,1490.72,20800.8,140
CPT,72129,"Computed tomography, thoracic spine; with contrast material ",,,303.54,2469.0,21
CPT,72129,"Computed tomography, thoracic spine; with contrast material UNSCHEDULED",,,4282.87,4373.03,3
CPT,72130,CT T-SPINE W&W/O CONT,1254.0,1254.0,107.84,1504.8,56
CPT,72130,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,21
CPT,72130,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED",,,1527.43,1559.59,3
CPT,72131,CT L-SPINE W/O CONTRAST,16399.0,16399.0,1410.31,19678.8,140
CPT,72131,"Computed tomography, lumbar spine; without contrast material ",,,185.25,2469.0,21
CPT,72131,"Computed tomography, lumbar spine; without contrast material UNSCHEDULED",,,2518.84,2571.87,3
CPT,72132,CT L-SPINE W/CONTRAST,19533.0,19533.0,1679.84,23439.6,140
CPT,72132,"Computed tomography, lumbar spine; with contrast material ",,,625.8,2469.0,21
CPT,72132,"Computed tomography, lumbar spine; with contrast material UNSCHEDULED",,,4102.8,4189.18,3
CPT,72133,CT L-SPINE W&W/O CONT,1254.0,1254.0,107.84,1504.8,56
CPT,72133,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,21
CPT,72133,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED",,,2907.24,2968.44,3
CPT,72141,MRI C-SPINE W/O CONT,16091.0,16091.0,1383.83,19309.2,28
CPT,72141,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",16091.0,16091.0,391.22,2469.0,37
CPT,72141,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material UNSCHEDULED",16091.0,16091.0,2550.25,2603.94,3
CPT,72142,MRI C-SPINE W/CONTRAST,13918.0,13918.0,1196.95,16701.6,28
CPT,72142,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",13918.0,13918.0,625.8,2469.0,37
CPT,72142,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) UNSCHEDULED",13918.0,13918.0,4771.77,4872.23,3
CPT,72146,MRI T-SPINE W/O CONT,14721.0,14721.0,1266.01,17665.2,28
CPT,72146,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",14721.0,14721.0,391.22,2469.0,37
CPT,72146,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material UNSCHEDULED",14721.0,14721.0,2695.77,2752.52,3
CPT,72147,MRI T-SPINE W/CONTRAST,13267.0,13267.0,1140.96,15920.4,28
CPT,72147,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",13267.0,13267.0,625.8,2469.0,37
CPT,72147,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) UNSCHEDULED",13267.0,13267.0,2248.74,2296.09,3
CPT,72148,MRI L-SPINE W/O CONT,15466.0,15466.0,1330.08,18559.2,28
CPT,72148,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",15466.0,15466.0,391.22,2469.0,37
CPT,72148,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material UNSCHEDULED",15466.0,15466.0,2716.71,2773.9,3
CPT,72149,MRI L-SPINE W/CONT,14590.0,14590.0,1254.74,17508.0,28
CPT,72149,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",14590.0,14590.0,625.8,2469.0,37
CPT,72149,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) UNSCHEDULED",14590.0,14590.0,5871.02,5994.62,3
CPT,72156,MRI C-SPINE W&W/O CONT,17310.0,17310.0,1488.66,20772.0,28
CPT,72156,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",17310.0,17310.0,625.8,2469.0,37
CPT,72156,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical UNSCHEDULED",17310.0,17310.0,4354.06,4445.72,3
CPT,72157,MRI T-SPINE W&W/O CONT,11557.0,11557.0,993.9,13868.4,28
CPT,72157,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",11557.0,11557.0,625.8,2469.0,37
CPT,72157,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic UNSCHEDULED",11557.0,11557.0,5030.35,5136.26,3
CPT,72158,MRI L-SPINE W&W/O CONT,22508.0,22508.0,1935.69,27009.6,28
CPT,72158,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",22508.0,22508.0,625.8,2469.0,37
CPT,72158,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar UNSCHEDULED",22508.0,22508.0,3760.46,3839.63,3
CPT,72159,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,523.79,2469.0,37
CPT,72159,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) UNSCHEDULED",,,2275.44,2323.34,3
CPT,72170,"Radiologic examination, pelvis; 1 or 2 views ",,,185.25,185.25,8
CPT,72170,"Radiologic examination, pelvis; 1 or 2 views UNSCHEDULED",,,419.8,428.64,3
CPT,72170,XR PELVIS 1/2 VIEWS,2116.0,2116.0,181.98,2539.2,155
CPT,72190,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,185.25,185.25,8
CPT,72190,"Radiologic examination, pelvis; complete, minimum of 3 views UNSCHEDULED",,,359.09,366.65,3
CPT,72190,XR PELVIS 3 + V,2467.0,2467.0,212.16,2960.4,93
CPT,72191,CTA PELVIS,1323.0,1323.0,113.78,1587.6,140
CPT,72191,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,21
CPT,72191,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED",,,3399.28,3470.84,3
CPT,72192,CT PELVIS W/O CONTRAST,12426.0,12426.0,1068.64,14911.2,140
CPT,72192,"Computed tomography, pelvis; without contrast material ",,,185.25,2469.0,21
CPT,72192,"Computed tomography, pelvis; without contrast material UNSCHEDULED",,,2629.81,2685.17,3
CPT,72193,CT PELVIS W/CONTRAST,18192.0,18192.0,1564.51,21830.4,140
CPT,72193,"Computed tomography, pelvis; with contrast material(s) ",,,303.54,2469.0,21
CPT,72193,"Computed tomography, pelvis; with contrast material(s) UNSCHEDULED",,,3062.18,3126.65,3
CPT,72194,CT PELVIS W&W/O CONT,19048.0,19048.0,1638.13,22857.6,84
CPT,72194,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,21
CPT,72194,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED",,,5447.02,5561.7,3
CPT,72195,MRI PELVIS W/O CONT,7831.0,7831.0,673.47,9397.2,28
CPT,72195,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",7831.0,7831.0,391.22,2469.0,37
CPT,72195,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) UNSCHEDULED",7831.0,7831.0,2988.9,3051.82,3
CPT,72196,MRI PELVIS W/CONTRAST,11329.0,11329.0,974.29,13594.8,28
CPT,72196,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",11329.0,11329.0,625.8,2469.0,37
CPT,72196,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) UNSCHEDULED",11329.0,11329.0,1820.56,1858.89,3
CPT,72197,MRI PELVIS W&WO CONT,12262.0,12262.0,1054.53,14714.4,28
CPT,72197,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",12262.0,12262.0,625.8,2469.0,37
CPT,72197,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED",12262.0,12262.0,3468.38,3541.4,3
CPT,72198,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,258.59,2469.0,38
CPT,72198,"Magnetic resonance angiography, pelvis, with or without contrast material(s) UNSCHEDULED",,,2275.44,2323.34,3
CPT,72200,"Radiologic examination, sacroiliac joints; less than 3 views ",,,185.25,185.25,8
CPT,72200,"Radiologic examination, sacroiliac joints; less than 3 views UNSCHEDULED",,,235.55,240.51,3
CPT,72202,"Radiologic examination, sacroiliac joints; 3 or more views ",,,185.25,185.25,8
CPT,72202,"Radiologic examination, sacroiliac joints; 3 or more views UNSCHEDULED",,,540.2,551.57,3
CPT,72202,XR SI JOINTS 3 + V,1055.0,1055.0,90.73,1266.0,155
CPT,72220,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,137.53,137.53,8
CPT,72220,"Radiologic examination, sacrum and coccyx, minimum of 2 views UNSCHEDULED",,,483.66,493.85,3
CPT,72220,XR SACRUM/COCCYX 2 + V,3723.0,3723.0,320.18,4467.6,155
CPT,72240,"Myelography, cervical, radiological supervision and interpretation ",6393.0,6393.0,1215.81,1215.81,8
CPT,72240,"Myelography, cervical, radiological supervision and interpretation UNSCHEDULED",6393.0,6393.0,2275.44,2323.34,3
CPT,72240,XR MYELOGRAM C-SPINE,6393.0,6393.0,549.8,7671.6,31
CPT,72255,"Myelography, thoracic, radiological supervision and interpretation ",6040.0,6040.0,1215.81,1215.81,8
CPT,72255,"Myelography, thoracic, radiological supervision and interpretation UNSCHEDULED",6040.0,6040.0,2275.44,2323.34,3
CPT,72255,XR MYELOGRAM T-SPINE,6040.0,6040.0,519.44,7248.0,31
CPT,72265,"Myelography, lumbosacral, radiological supervision and interpretation ",5948.0,5948.0,1215.81,1215.81,8
CPT,72265,"Myelography, lumbosacral, radiological supervision and interpretation UNSCHEDULED",5948.0,5948.0,2275.44,2323.34,3
CPT,72265,XR MYELOGRAM L-SPINE,5948.0,5948.0,511.53,7137.6,31
CPT,72270,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",23304.0,23304.0,1215.81,1215.81,8
CPT,72270,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation UNSCHEDULED",23304.0,23304.0,41.88,42.76,3
CPT,72270,XR MYELOGR SPINE 2/M REG,23304.0,23304.0,2004.14,27964.8,31
CPT,72275,"EPIDUROGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION ",,,,,0
CPT,72275,"EPIDUROGRAPHY, RADIOLOGICAL SUPERVISION AND INTERPRETATION UNSCHEDULED",,,2275.44,2323.34,3
CPT,72285,"Discography, cervical or thoracic, radiological supervision and interpretation ",12013.0,12013.0,2982.46,2982.46,8
CPT,72285,"Discography, cervical or thoracic, radiological supervision and interpretation UNSCHEDULED",12013.0,12013.0,2275.44,2323.34,3
CPT,72285,XR DISKGRPHY CERV/THOR,12013.0,12013.0,1033.12,14415.6,31
CPT,72291,PERQ VERTE/SACROPLSTY FLUOR ,,,,,0
CPT,72291,PERQ VERTE/SACROPLSTY FLUOR UNSCHEDULED,,,2275.44,2323.34,3
CPT,72292,PERQ VERTE/SACROPLSTY CT ,,,,,0
CPT,72292,PERQ VERTE/SACROPLSTY CT UNSCHEDULED,,,2275.44,2323.34,3
CPT,72295,"Discography, lumbar, radiological supervision and interpretation ",10374.0,10374.0,2982.46,2982.46,8
CPT,72295,"Discography, lumbar, radiological supervision and interpretation UNSCHEDULED",10374.0,10374.0,4035.8,4120.76,3
CPT,72295,XR DISKOGRAPHY LUMBAR,10374.0,10374.0,892.16,12448.8,31
CPT,73000,"Radiologic examination; clavicle, complete ",,,137.53,137.53,8
CPT,73000,"Radiologic examination; clavicle, complete UNSCHEDULED",,,409.34,417.95,3
CPT,73000,XR CLAVICLE COMP BI,302.0,302.0,25.97,362.4,62
CPT,73000,XR CLAVICLE COMP LT,1390.5,1390.5,25.97,2974.8,155
CPT,73000,XR CLAVICLE COMP RT,1390.5,1390.5,25.97,2974.8,155
CPT,73010,"Radiologic examination; scapula, complete ",,,185.25,185.25,8
CPT,73010,"Radiologic examination; scapula, complete UNSCHEDULED",,,433.42,442.54,3
CPT,73010,XR SCAPULA COMP BI,555.0,555.0,47.73,666.0,62
CPT,73010,XR SCAPULA COMP LT,1870.0,1870.0,47.73,3822.0,155
CPT,73010,XR SCAPULA COMP RT,1870.0,1870.0,47.73,3822.0,155
CPT,73020,"Radiologic examination, shoulder; 1 view ",,,137.53,137.53,8
CPT,73020,"Radiologic examination, shoulder; 1 view UNSCHEDULED",,,343.39,350.62,3
CPT,73020,XR SHOULDER 1 V BI,302.0,302.0,25.97,362.4,62
CPT,73020,XR SHOULDER 1 V LT,1012.5,1012.5,25.97,2067.6,155
CPT,73020,XR SHOULDER 1 V RT,1012.5,1012.5,25.97,2067.6,155
CPT,73030,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,137.53,137.53,8
CPT,73030,"Radiologic examination, shoulder; complete, minimum of 2 views UNSCHEDULED",,,476.34,486.37,3
CPT,73030,XR SHOULDER 2 + V BI,3723.0,3723.0,320.18,4467.6,124
CPT,73030,XR SHOULDER 2 + V LT,3723.0,3723.0,320.18,4467.6,155
CPT,73030,XR SHOULDER 2 + V RT,3723.0,3723.0,320.18,4467.6,155
CPT,73040,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,625.8,625.8,8
CPT,73040,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation UNSCHEDULED",,,498.32,508.81,3
CPT,73040,XR ARTHROGRAM SHLDR LT,2377.0,2377.0,204.42,2852.4,62
CPT,73040,XR ARTHROGRAM SHLDR RT,2377.0,2377.0,204.42,2852.4,62
CPT,73050,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,137.53,137.53,8
CPT,73050,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction UNSCHEDULED",,,467.96,477.81,3
CPT,73050,XR AC JNTS BI W/WO WT,2257.0,2257.0,194.1,2708.4,93
CPT,73060,"Radiologic examination; humerus, minimum of 2 views ",,,137.53,137.53,8
CPT,73060,"Radiologic examination; humerus, minimum of 2 views UNSCHEDULED",,,428.18,437.2,3
CPT,73060,XR HUMERUS 2 + V LT,2883.0,2883.0,247.94,3459.6,155
CPT,73060,XR HUMERUS 2 + V RT,2883.0,2883.0,247.94,3459.6,155
CPT,73070,"Radiologic examination, elbow; 2 views ",,,137.53,137.53,8
CPT,73070,"Radiologic examination, elbow; 2 views UNSCHEDULED",,,364.32,372.0,3
CPT,73070,XR ELBOW 1 VIEW BI,302.0,302.0,25.97,362.4,31
CPT,73070,XR ELBOW 1 VIEW LT,302.0,302.0,25.97,362.4,31
CPT,73070,XR ELBOW 1 VIEW RT,302.0,302.0,25.97,362.4,31
CPT,73070,XR ELBOW 2 VIEWS BI,302.0,302.0,25.97,362.4,62
CPT,73070,XR ELBOW 2 VIEWS LT,1051.5,1051.5,25.97,2161.2,155
CPT,73070,XR ELBOW 2 VIEWS RT,1051.5,1051.5,25.97,2161.2,155
CPT,73080,"Radiologic examination, elbow; complete, minimum of 3 views ",,,137.53,137.53,8
CPT,73080,"Radiologic examination, elbow; complete, minimum of 3 views UNSCHEDULED",,,460.64,470.33,3
CPT,73080,XR ELBOW 3 + V BI,3768.0,3768.0,324.05,4521.6,124
CPT,73080,XR ELBOW 3 + V LT,3768.0,3768.0,324.05,4521.6,155
CPT,73080,XR ELBOW 3 + V RT,3768.0,3768.0,324.05,4521.6,155
CPT,73085,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,625.8,625.8,8
CPT,73085,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation UNSCHEDULED",,,467.96,477.81,3
CPT,73085,XR ARTHROGRAM ELBOW LT,708.0,708.0,60.89,849.6,62
CPT,73085,XR ARTHROGRAM ELBOW RT,708.0,708.0,60.89,849.6,62
CPT,73090,"Radiologic examination; forearm, 2 views ",,,137.53,137.53,8
CPT,73090,"Radiologic examination; forearm, 2 views UNSCHEDULED",,,411.44,420.1,3
CPT,73090,XR FOREARM 2 VIEWS BI,3033.0,3033.0,260.84,3639.6,124
CPT,73090,XR FOREARM 2 VIEWS LT,3033.0,3033.0,260.84,3639.6,155
CPT,73090,XR FOREARM 2 VIEWS RT,3033.0,3033.0,260.84,3639.6,155
CPT,73092,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,185.25,185.25,8
CPT,73092,"Radiologic examination; upper extremity, infant, minimum of 2 views UNSCHEDULED",,,467.96,477.81,3
CPT,73092,XR UP EXTREM INFANT2V BI,555.0,555.0,47.73,666.0,62
CPT,73092,XR UP EXTREM INFANT2V LT,555.0,555.0,47.73,666.0,62
CPT,73092,XR UP EXTREM INFANT2V RT,555.0,555.0,47.73,666.0,62
CPT,73100,"Radiologic examination, wrist; 2 views ",,,137.53,137.53,8
CPT,73100,"Radiologic examination, wrist; 2 views UNSCHEDULED",,,375.84,383.75,3
CPT,73100,XR WRIST 2 VIEWS BI,302.0,302.0,25.97,362.4,93
CPT,73100,XR WRIST 2 VIEWS LT,1083.5,1083.5,25.97,2238.0,155
CPT,73100,XR WRIST 2 VIEWS RT,1083.5,1083.5,25.97,2238.0,155
CPT,73110,"Radiologic examination, wrist; complete, minimum of 3 views ",,,137.53,137.53,8
CPT,73110,"Radiologic examination, wrist; complete, minimum of 3 views UNSCHEDULED",,,447.02,456.43,3
CPT,73110,XR WRIST 3 + V BI,3276.0,3276.0,281.74,3931.2,124
CPT,73110,XR WRIST 3 + V LT,3276.0,3276.0,281.74,3931.2,155
CPT,73110,XR WRIST 3 + V RT,3276.0,3276.0,281.74,3931.2,155
CPT,73115,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,625.8,625.8,8
CPT,73115,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation UNSCHEDULED",,,467.96,477.81,3
CPT,73115,XR ARTHROGRAM WRIST LT,1204.0,1204.0,103.54,1444.8,62
CPT,73115,XR ARTHROGRAM WRIST RT,1204.0,1204.0,103.54,1444.8,62
CPT,73120,"Radiologic examination, hand; 2 views ",,,185.25,185.25,8
CPT,73120,"Radiologic examination, hand; 2 views UNSCHEDULED",,,338.15,345.27,3
CPT,73120,XR HAND 1 V BI,555.0,555.0,47.73,666.0,31
CPT,73120,XR HAND 1 V LT,555.0,555.0,47.73,666.0,31
CPT,73120,XR HAND 1 V RT,555.0,555.0,47.73,666.0,31
CPT,73120,XR HAND 2 V BI,555.0,555.0,47.73,666.0,93
CPT,73120,XR HAND 2 V LT,1139.0,1139.0,47.73,2067.6,155
CPT,73120,XR HAND 2 V RT,1139.0,1139.0,47.73,2067.6,155
CPT,73130,"Radiologic examination, hand; minimum of 3 views ",,,137.53,137.53,8
CPT,73130,"Radiologic examination, hand; minimum of 3 views UNSCHEDULED",,,441.79,451.09,3
CPT,73130,XR HAND 3 + V BI,3269.0,3269.0,281.13,3922.8,124
CPT,73130,XR HAND 3 + V LT,3269.0,3269.0,281.13,3922.8,155
CPT,73130,XR HAND 3 + V RT,3269.0,3269.0,281.13,3922.8,155
CPT,73140,"Radiologic examination, finger(s), minimum of 2 views ",,,137.53,137.53,8
CPT,73140,"Radiologic examination, finger(s), minimum of 2 views UNSCHEDULED",,,332.92,339.93,3
CPT,73140,XR FINGER(S) 2 + V BI,2802.0,2802.0,240.97,3362.4,31
CPT,73140,XR FINGER(S) 2 + V LT,2802.0,2802.0,240.97,3362.4,155
CPT,73140,XR FINGER(S) 2 + V RT,2802.0,2802.0,240.97,3362.4,155
CPT,73200,CT UP EXTREM W/O CONT BI,12727.0,12727.0,1094.52,15272.4,84
CPT,73200,CT UP EXTREM W/O CONT LT,12727.0,12727.0,1094.52,15272.4,336
CPT,73200,CT UP EXTREM W/O CONT RT,12727.0,12727.0,1094.52,15272.4,364
CPT,73200,"Computed tomography, upper extremity; without contrast material ",,,185.25,2469.0,21
CPT,73200,"Computed tomography, upper extremity; without contrast material UNSCHEDULED",,,1752.51,1789.41,3
CPT,73201,CT UP EXTREM W/CONT BI,12727.0,12727.0,1094.52,15272.4,84
CPT,73201,CT UP EXTREM W/CONT LT,12727.0,12727.0,1094.52,15272.4,196
CPT,73201,CT UP EXTREM W/CONT RT,12727.0,12727.0,1094.52,15272.4,196
CPT,73201,"Computed tomography, upper extremity; with contrast material(s) ",,,625.8,2469.0,21
CPT,73201,"Computed tomography, upper extremity; with contrast material(s) UNSCHEDULED",,,2709.38,2766.42,3
CPT,73202,CT UP EXTRM W&W/O CON BI,12727.0,12727.0,1094.52,15272.4,28
CPT,73202,CT UP EXTRM W&W/O CON LT,12727.0,12727.0,1094.52,15272.4,28
CPT,73202,CT UP EXTRM W&W/O CON RT,12727.0,12727.0,1094.52,15272.4,28
CPT,73202,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,21
CPT,73202,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED",,,9837.72,10044.83,3
CPT,73206,CTA UPPER EXTREMITY,1254.0,1254.0,107.84,1504.8,28
CPT,73206,CTA UPPER EXTREMITY BI,10630.0,10630.0,914.18,12756.0,56
CPT,73206,CTA UPPER EXTREMITY LT,5942.0,5942.0,107.84,12756.0,140
CPT,73206,CTA UPPER EXTREMITY RT,5942.0,5942.0,107.84,12756.0,140
CPT,73206,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,21
CPT,73206,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED",,,3085.21,3150.16,3
CPT,73218,MRI UPPER EX W/O CONT BI,11871.0,11871.0,1020.91,14245.2,28
CPT,73218,MRI UPPER EX W/O CONT LT,11871.0,11871.0,1020.91,14245.2,28
CPT,73218,MRI UPPER EX W/O CONT RT,11871.0,11871.0,1020.91,14245.2,28
CPT,73218,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,391.22,2469.0,37
CPT,73218,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) UNSCHEDULED",,,3404.51,3476.19,3
CPT,73219,MRI UPPER EX W/CONT LT,12262.0,12262.0,1054.53,14714.4,28
CPT,73219,MRI UPPER EX W/CONT RT,12262.0,12262.0,1054.53,14714.4,28
CPT,73219,MRI UPPER EXT W/CONT BI,12262.0,12262.0,1054.53,14714.4,28
CPT,73219,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,625.8,2469.0,37
CPT,73219,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) UNSCHEDULED",,,1890.7,1930.5,3
CPT,73220,MRI UP EX W&WO CONT BI,12262.0,12262.0,1054.53,14714.4,28
CPT,73220,MRI UP EX W&WO CONT LT,12262.0,12262.0,1054.53,14714.4,28
CPT,73220,MRI UP EX W&WO CONT RT,12262.0,12262.0,1054.53,14714.4,28
CPT,73220,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,37
CPT,73220,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED",,,3860.97,3942.25,3
CPT,73221,MRI UP JNT W/O CONT BI,11871.0,11871.0,1020.91,14245.2,28
CPT,73221,MRI UP JNT W/O CONT LT,11871.0,11871.0,1020.91,14245.2,28
CPT,73221,MRI UP JNT W/O CONT RT,11871.0,11871.0,1020.91,14245.2,28
CPT,73221,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,391.22,2469.0,37
CPT,73221,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) UNSCHEDULED",,,3503.97,3577.74,3
CPT,73222,MRI UP JNT W/CONT BI,12262.0,12262.0,1054.53,14714.4,28
CPT,73222,MRI UP JNT W/CONT LT,12262.0,12262.0,1054.53,14714.4,28
CPT,73222,MRI UP JNT W/CONT RT,12262.0,12262.0,1054.53,14714.4,28
CPT,73222,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,1075.0,2469.0,37
CPT,73222,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) UNSCHEDULED",,,3408.7,3480.47,3
CPT,73223,MRI UP JNT W&WO CONT BI,10241.0,10241.0,880.73,12289.2,28
CPT,73223,MRI UP JNT W&WO CONT LT,10241.0,10241.0,880.73,12289.2,28
CPT,73223,MRI UP JNT W&WO CONT RT,10241.0,10241.0,880.73,12289.2,28
CPT,73223,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,37
CPT,73223,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED",,,4130.02,4216.97,3
CPT,73225,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,523.79,2469.0,37
CPT,73225,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) UNSCHEDULED",,,467.96,477.81,3
CPT,73500,X-RAY EXAM OF HIP ,,,,,0
CPT,73501,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,137.53,137.53,8
CPT,73501,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view UNSCHEDULED",,,329.77,336.72,3
CPT,73501,XR HIP W PEL UNI 1 V LT,347.0,347.0,29.84,416.4,155
CPT,73501,XR HIP W PEL UNI 1 V RT,347.0,347.0,29.84,416.4,155
CPT,73501,XR HIP W PEL UNI 1 VIEW,347.0,347.0,29.84,416.4,217
CPT,73502,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,137.53,137.53,8
CPT,73502,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views UNSCHEDULED",,,473.19,483.16,3
CPT,73502,XR HIP W PEL UN 2-3 V LT,347.0,347.0,29.84,416.4,155
CPT,73502,XR HIP W PEL UN 2-3 V RT,347.0,347.0,29.84,416.4,155
CPT,73502,XR HIP W PEL UN 2-3 VIEW,347.0,347.0,29.84,416.4,217
CPT,73503,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,185.25,185.25,8
CPT,73503,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views UNSCHEDULED",,,1211.26,1236.76,3
CPT,73503,XR HIP W PEL UN M4 VW LT,555.0,555.0,47.73,666.0,62
CPT,73503,XR HIP W PEL UN M4 VW RT,555.0,555.0,47.73,666.0,62
CPT,73503,XR HIP W PEL UN MIN4 VW,555.0,555.0,47.73,666.0,62
CPT,73510,X-RAY EXAM OF HIP ,,,,,0
CPT,73510,X-RAY EXAM OF HIP UNSCHEDULED,,,589.93,602.35,3
CPT,73520,X-RAY EXAM OF HIPS ,,,,,0
CPT,73520,X-RAY EXAM OF HIPS UNSCHEDULED,,,589.93,602.35,3
CPT,73521,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,185.25,185.25,8
CPT,73521,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views UNSCHEDULED",,,768.43,784.6,3
CPT,73521,XR HIP W PEL BI 2 VIEW,578.0,578.0,49.71,693.6,186
CPT,73522,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,185.25,185.25,8
CPT,73522,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views UNSCHEDULED",,,794.6,811.33,3
CPT,73522,XR HIP W PEL BI 3-4 VIEW,552.0,552.0,47.47,662.4,93
CPT,73523,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,185.25,185.25,8
CPT,73523,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views UNSCHEDULED",,,619.76,632.81,3
CPT,73523,XR HIP W PEL BI MIN5 VW,555.0,555.0,47.73,666.0,93
CPT,73525,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,625.8,625.8,8
CPT,73525,"Radiologic examination, hip, arthrography, radiological supervision and interpretation UNSCHEDULED",,,560.09,571.88,3
CPT,73525,XR ARTHROGRAM HIP LT,1097.0,1097.0,94.34,1316.4,62
CPT,73525,XR ARTHROGRAM HIP RT,1097.0,1097.0,94.34,1316.4,62
CPT,73530,X-RAY EXAM OF HIP ,,,,,0
CPT,73530,X-RAY EXAM OF HIP UNSCHEDULED,,,589.93,602.35,3
CPT,73540,X-RAY EXAM OF PELVIS & HIPS ,,,,,0
CPT,73540,X-RAY EXAM OF PELVIS & HIPS UNSCHEDULED,,,589.93,602.35,3
CPT,73542,X-RAY EXAM SACROILIAC JOINT ,,,,,0
CPT,73542,X-RAY EXAM SACROILIAC JOINT UNSCHEDULED,,,589.93,602.35,3
CPT,73550,X-RAY EXAM OF THIGH ,,,,,0
CPT,73550,X-RAY EXAM OF THIGH UNSCHEDULED,,,589.93,602.35,3
CPT,73551,"Radiologic examination, femur; 1 view ",,,137.53,137.53,8
CPT,73551,"Radiologic examination, femur; 1 view UNSCHEDULED",,,558.0,569.75,3
CPT,73551,XR FEMUR 1 VIEW,347.0,347.0,29.84,416.4,93
CPT,73551,XR FEMUR 1 VIEW BI,324.5,324.5,25.97,416.4,62
CPT,73551,XR FEMUR 1 VIEW LT,324.5,324.5,25.97,416.4,186
CPT,73551,XR FEMUR 1 VIEW RT,324.5,324.5,25.97,416.4,186
CPT,73552,"Radiologic examination, femur; minimum 2 views ",,,137.53,137.53,8
CPT,73552,"Radiologic examination, femur; minimum 2 views UNSCHEDULED",,,505.66,516.3,3
CPT,73552,XR FEMUR MIN 2 V BI,324.5,324.5,25.97,416.4,62
CPT,73552,XR FEMUR MIN 2 V LT,324.5,324.5,25.97,416.4,124
CPT,73552,XR FEMUR MIN 2 V RT,324.5,324.5,25.97,416.4,124
CPT,73552,XR FEMUR MIN 2 VIEWS,347.0,347.0,29.84,416.4,93
CPT,73560,"Radiologic examination, knee; 1 or 2 views ",,,137.53,137.53,8
CPT,73560,"Radiologic examination, knee; 1 or 2 views UNSCHEDULED",,,364.32,372.0,3
CPT,73560,XR KNEE 1 OR 2 V BI,2154.0,2154.0,185.24,2584.8,124
CPT,73560,XR KNEE 1 OR 2 V LT,2154.0,2154.0,185.24,2584.8,155
CPT,73560,XR KNEE 1 OR 2 V RT,2154.0,2154.0,185.24,2584.8,155
CPT,73562,"Radiologic examination, knee; 3 views ",,,137.53,137.53,8
CPT,73562,"Radiologic examination, knee; 3 views UNSCHEDULED",,,475.29,485.3,3
CPT,73562,XR KNEE 3 V BI,3269.0,3269.0,281.13,3922.8,124
CPT,73562,XR KNEE 3 V LT,3269.0,3269.0,281.13,3922.8,155
CPT,73562,XR KNEE 3 V RT,3269.0,3269.0,281.13,3922.8,155
CPT,73564,"Radiologic examination, knee; complete, 4 or more views ",,,185.25,185.25,8
CPT,73564,"Radiologic examination, knee; complete, 4 or more views UNSCHEDULED",,,521.36,532.34,3
CPT,73564,XR KNEE 4 + V BI,572.0,572.0,49.19,686.4,124
CPT,73564,XR KNEE 4 + V LT,2133.0,2133.0,49.19,4432.8,155
CPT,73564,XR KNEE 4 + V RT,2133.0,2133.0,49.19,4432.8,155
CPT,73565,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,137.53,137.53,8
CPT,73565,"Radiologic examination, knee; both knees, standing, anteroposterior UNSCHEDULED",,,857.41,875.46,3
CPT,73565,XR KNEE AP STAND BI,1968.0,1968.0,169.25,2361.6,93
CPT,73580,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,625.8,625.8,8
CPT,73580,"Radiologic examination, knee, arthrography, radiological supervision and interpretation UNSCHEDULED",,,770.52,786.74,3
CPT,73580,XR ARTHROGRAM KNEE LT,2011.0,2011.0,172.95,2413.2,62
CPT,73580,XR ARTHROGRAM KNEE RT,2011.0,2011.0,172.95,2413.2,62
CPT,73590,"Radiologic examination; tibia and fibula, 2 views ",,,137.53,137.53,8
CPT,73590,"Radiologic examination; tibia and fibula, 2 views UNSCHEDULED",,,441.79,451.09,3
CPT,73590,XR TIBIA/FIBULA 2 V BI,3223.0,3223.0,277.18,3867.6,124
CPT,73590,XR TIBIA/FIBULA 2 V LT,3223.0,3223.0,277.18,3867.6,155
CPT,73590,XR TIBIA/FIBULA 2 V RT,3223.0,3223.0,277.18,3867.6,155
CPT,73592,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,137.53,137.53,8
CPT,73592,"Radiologic examination; lower extremity, infant, minimum of 2 views UNSCHEDULED",,,589.93,602.35,3
CPT,73592,XR TIB/FIB INFANT 2V BI,302.0,302.0,25.97,362.4,62
CPT,73592,XR TIB/FIB INFNT 2V LT,302.0,302.0,25.97,362.4,62
CPT,73592,XR TIB/FIB INFNT 2V RT,302.0,302.0,25.97,362.4,62
CPT,73600,"Radiologic examination, ankle; 2 views ",,,137.53,137.53,8
CPT,73600,"Radiologic examination, ankle; 2 views UNSCHEDULED",,,337.1,344.19,3
CPT,73600,XR ANKLE 1 VIEW BI,302.0,302.0,25.97,362.4,31
CPT,73600,XR ANKLE 1 VIEW LT,302.0,302.0,25.97,362.4,31
CPT,73600,XR ANKLE 1 VIEW RT,302.0,302.0,25.97,362.4,31
CPT,73600,XR ANKLE 2 VIEWS BI,302.0,302.0,25.97,362.4,93
CPT,73600,XR ANKLE 2 VIEWS LT,1316.0,1316.0,25.97,2796.0,155
CPT,73600,XR ANKLE 2 VIEWS RT,1316.0,1316.0,25.97,2796.0,155
CPT,73610,"Radiologic examination, ankle; complete, minimum of 3 views ",,,137.53,137.53,8
CPT,73610,"Radiologic examination, ankle; complete, minimum of 3 views UNSCHEDULED",,,450.17,459.64,3
CPT,73610,XR ANKLE 3 + V BI,3723.0,3723.0,320.18,4467.6,124
CPT,73610,XR ANKLE 3 + V LT,3723.0,3723.0,320.18,4467.6,155
CPT,73610,XR ANKLE 3 + V RT,3723.0,3723.0,320.18,4467.6,155
CPT,73615,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,625.8,625.8,8
CPT,73615,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation UNSCHEDULED",,,589.93,602.35,3
CPT,73615,XR ARTHROGRAM ANKLE LT,1204.0,1204.0,103.54,1444.8,62
CPT,73615,XR ARTHROGRAM ANKLE RT,1204.0,1204.0,103.54,1444.8,62
CPT,73620,"Radiologic examination, foot; 2 views ",,,137.53,137.53,8
CPT,73620,"Radiologic examination, foot; 2 views UNSCHEDULED",,,323.49,330.3,3
CPT,73620,XR FOOT 1 VIEW BI,302.0,302.0,25.97,362.4,31
CPT,73620,XR FOOT 1 VIEW LT,302.0,302.0,25.97,362.4,31
CPT,73620,XR FOOT 1 VIEW RT,302.0,302.0,25.97,362.4,31
CPT,73620,XR FOOT 2 VIEWS BI,302.0,302.0,25.97,362.4,93
CPT,73620,XR FOOT 2 VIEWS LT,1316.0,1316.0,25.97,2796.0,155
CPT,73620,XR FOOT 2 VIEWS RT,1316.0,1316.0,25.97,2796.0,155
CPT,73630,"Radiologic examination, foot; complete, minimum of 3 views ",,,137.53,137.53,8
CPT,73630,"Radiologic examination, foot; complete, minimum of 3 views UNSCHEDULED",,,450.17,459.64,3
CPT,73630,XR FOOT 3 + V BI,5871.0,5871.0,504.91,7045.2,124
CPT,73630,XR FOOT 3 + V LT,5871.0,5871.0,504.91,7045.2,155
CPT,73630,XR FOOT 3 + V RT,5871.0,5871.0,504.91,7045.2,155
CPT,73650,"Radiologic examination; calcaneus, minimum of 2 views ",,,137.53,137.53,8
CPT,73650,"Radiologic examination; calcaneus, minimum of 2 views UNSCHEDULED",,,373.74,381.61,3
CPT,73650,XR CALCANEUS 2 + V BI,302.0,302.0,25.97,362.4,93
CPT,73650,XR CALCANEUS 2 + V LT,1112.0,1112.0,25.97,2306.4,155
CPT,73650,XR CALCANEUS 2 + V RT,1112.0,1112.0,25.97,2306.4,155
CPT,73660,"Radiologic examination; toe(s), minimum of 2 views ",,,137.53,137.53,8
CPT,73660,"Radiologic examination; toe(s), minimum of 2 views UNSCHEDULED",,,326.63,333.51,3
CPT,73660,XR TOE(S) 2 + V BI,302.0,302.0,25.97,362.4,62
CPT,73660,XR TOE(S) 2 + V LT,1257.0,1257.0,25.97,2654.4,155
CPT,73660,XR TOE(S) 2 + V RT,1257.0,1257.0,25.97,2654.4,155
CPT,73700,CT LOWER EXTRM W/O C BI,12426.0,12426.0,1068.64,14911.2,280
CPT,73700,CT LOWER EXTRM W/O C LT,12426.0,12426.0,1068.64,14911.2,280
CPT,73700,CT LOWER EXTRM W/O C RT,12426.0,12426.0,1068.64,14911.2,308
CPT,73700,"Computed tomography, lower extremity; without contrast material ",,,185.25,2469.0,21
CPT,73700,"Computed tomography, lower extremity; without contrast material UNSCHEDULED",,,1990.15,2032.05,3
CPT,73701,CT LOWER EXTRM W/CON BI,18175.0,18175.0,1563.05,21810.0,112
CPT,73701,CT LOWER EXTRM W/CON LT,18175.0,18175.0,1563.05,21810.0,252
CPT,73701,CT LOWER EXTRM W/CON RT,18175.0,18175.0,1563.05,21810.0,224
CPT,73701,"Computed tomography, lower extremity; with contrast material(s) ",,,303.54,2469.0,21
CPT,73701,"Computed tomography, lower extremity; with contrast material(s) UNSCHEDULED",,,2955.4,3017.62,3
CPT,73702,CT LW EXTRM W&W/O CON BI,12727.0,12727.0,1094.52,15272.4,84
CPT,73702,CT LW EXTRM W&W/O CON LT,12727.0,12727.0,1094.52,15272.4,84
CPT,73702,CT LW EXTRM W&W/O CON RT,12727.0,12727.0,1094.52,15272.4,84
CPT,73702,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,21
CPT,73702,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED",,,5308.83,5420.59,3
CPT,73706,CTA LOW EXTREMITY BI,11572.0,11572.0,995.19,13886.4,112
CPT,73706,CTA LOW EXTREMITY LT,11572.0,11572.0,995.19,13886.4,112
CPT,73706,CTA LOW EXTREMITY RT,11572.0,11572.0,995.19,13886.4,252
CPT,73706,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,21
CPT,73706,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED",,,2931.32,2993.03,3
CPT,73718,MRI LOW EXT W/O CONT BI,11871.0,11871.0,1020.91,14245.2,28
CPT,73718,MRI LOW EXT W/O CONT LT,11871.0,11871.0,1020.91,14245.2,28
CPT,73718,MRI LOW EXT W/O CONT RT,11871.0,11871.0,1020.91,14245.2,28
CPT,73718,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,391.22,2469.0,37
CPT,73718,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) UNSCHEDULED",,,3182.58,3249.58,3
CPT,73719,MRI LOW EXT W/CONT BI,12262.0,12262.0,1054.53,14714.4,28
CPT,73719,MRI LOW EXT W/CONT LT,12262.0,12262.0,1054.53,14714.4,28
CPT,73719,MRI LOW EXT W/CONT RT,12262.0,12262.0,1054.53,14714.4,28
CPT,73719,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,625.8,2469.0,37
CPT,73719,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) UNSCHEDULED",,,5408.28,5522.14,3
CPT,73720,MRI LOW EXT W&WO CONT BI,11871.0,11871.0,1020.91,14245.2,28
CPT,73720,MRI LOW EXT W&WO CONT LT,11871.0,11871.0,1020.91,14245.2,28
CPT,73720,MRI LOW EXT W&WO CONT RT,11871.0,11871.0,1020.91,14245.2,28
CPT,73720,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,37
CPT,73720,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED",,,4537.27,4632.79,3
CPT,73721,MRI LW JNT W/O CONT BI,11871.0,11871.0,1020.91,14245.2,28
CPT,73721,MRI LW JNT W/O CONT LT,11871.0,11871.0,1020.91,14245.2,28
CPT,73721,MRI LW JNT W/O CONT RT,11871.0,11871.0,1020.91,14245.2,28
CPT,73721,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,391.22,2469.0,37
CPT,73721,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material UNSCHEDULED",,,2575.37,2629.59,3
CPT,73722,MRI LW JNT W/CONTRAST BI,12262.0,12262.0,1054.53,14714.4,28
CPT,73722,MRI LW JNT W/CONTRAST LT,12262.0,12262.0,1054.53,14714.4,28
CPT,73722,MRI LW JNT W/CONTRAST RT,12262.0,12262.0,1054.53,14714.4,28
CPT,73722,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,1075.0,2469.0,37
CPT,73722,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) UNSCHEDULED",,,589.93,602.35,3
CPT,73723,MRI LW JNT W&WO CONT BI,13162.0,13162.0,1131.93,15794.4,28
CPT,73723,MRI LW JNT W&WO CONT LT,13162.0,13162.0,1131.93,15794.4,28
CPT,73723,MRI LW JNT W&WO CONT RT,13162.0,13162.0,1131.93,15794.4,28
CPT,73723,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,37
CPT,73723,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED",,,5484.71,5600.18,3
CPT,73725,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,258.6,2469.0,38
CPT,73725,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) UNSCHEDULED",,,589.93,602.35,3
CPT,74000,"HRadiologic examination, abdomen; single anteroposterior view ",,,,,0
CPT,74010,"HRadiologic examination, abdomen; anteroposterior and additional oblique and cone views ",,,,,0
CPT,74018,ABD XR 1V,1334.0,1334.0,25.97,2839.2,217
CPT,74018,"Radiologic examination, abdomen; 1 view ",,,137.53,137.53,8
CPT,74018,"Radiologic examination, abdomen; 1 view UNSCHEDULED",,,507.75,518.44,3
CPT,74019,ABD XR 2V,424.5,424.5,25.28,666.0,155
CPT,74019,"Radiologic examination, abdomen; 2 views ",,,185.25,185.25,8
CPT,74019,"Radiologic examination, abdomen; 2 views UNSCHEDULED",,,511.94,522.71,3
CPT,74020,"HRadiologic examination, abdomen; complete, including decubitus and/or erect views ",,,,,0
CPT,74020,"HRadiologic examination, abdomen; complete, including decubitus and/or erect views UNSCHEDULED",,,3717.02,3795.27,3
CPT,74021,ABD XR 3+V,555.0,555.0,47.73,666.0,62
CPT,74021,"Radiologic examination, abdomen; 3 or more views ",,,185.25,185.25,8
CPT,74021,"Radiologic examination, abdomen; 3 or more views UNSCHEDULED",,,636.52,649.92,3
CPT,74022,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,185.25,185.25,8
CPT,74022,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest UNSCHEDULED",,,619.76,632.81,3
CPT,74022,XR ABD ACUTE W/CHEST,552.0,552.0,47.47,662.4,155
CPT,74150,CT ABDOMEN W/O CONT,13029.0,13029.0,1120.49,15634.8,196
CPT,74150,"Computed tomography, abdomen; without contrast material ",,,185.25,2469.0,21
CPT,74150,"Computed tomography, abdomen; without contrast material UNSCHEDULED",,,3081.03,3145.89,3
CPT,74160,CT ABDOMEN W/CONT,19048.0,19048.0,1638.13,22857.6,140
CPT,74160,"Computed tomography, abdomen; with contrast material(s) ",,,303.54,2469.0,21
CPT,74160,"Computed tomography, abdomen; with contrast material(s) UNSCHEDULED",,,3054.86,3119.17,3
CPT,74170,CT ABDOMEN W&WO CONT,19957.0,19957.0,1716.3,23948.4,84
CPT,74170,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,21
CPT,74170,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED",,,8544.79,8724.68,3
CPT,74174,CTA ABD&PEL W CONT,1323.0,1323.0,113.78,1587.6,140
CPT,74174,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,625.8,2469.0,21
CPT,74174,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED",,,5291.03,5402.42,3
CPT,74175,CTA ABDOMEN,16182.0,16182.0,1391.65,19418.4,140
CPT,74175,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,21
CPT,74175,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED",,,3923.78,4006.39,3
CPT,74176,CT ABD&PELVIS W/O CONT,25461.0,25461.0,2189.65,30553.2,140
CPT,74176,"Computed tomography, abdomen and pelvis; without contrast material ",,,391.22,2469.0,21
CPT,74176,"Computed tomography, abdomen and pelvis; without contrast material UNSCHEDULED",,,4249.37,4338.83,3
CPT,74177,CT ABD&PELVIS W/CONT,37242.0,37242.0,3202.81,44690.4,140
CPT,74177,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,625.8,2469.0,21
CPT,74177,"Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED",,,4939.28,5043.26,3
CPT,74178,CT ABD&PELVIS W&WO CONT,39003.0,39003.0,3354.26,46803.6,140
CPT,74178,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,625.8,2469.0,21
CPT,74178,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions UNSCHEDULED",,,5337.1,5449.46,3
CPT,74181,MRI ABDOMEN W/O CONT,12963.0,12963.0,1114.82,15555.6,56
CPT,74181,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,391.22,2469.0,37
CPT,74181,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) UNSCHEDULED",,,3510.26,3584.16,3
CPT,74182,MRI ABDOMEN W/CONT,12963.0,12963.0,1114.82,15555.6,28
CPT,74182,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",12963.0,12963.0,625.8,2469.0,37
CPT,74182,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) UNSCHEDULED",12963.0,12963.0,3717.02,3795.27,3
CPT,74183,MRI ABDOMEN W&WO CONT,12963.0,12963.0,1114.82,15555.6,28
CPT,74183,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",12963.0,12963.0,625.8,2469.0,37
CPT,74183,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences UNSCHEDULED",12963.0,12963.0,4436.77,4530.17,3
CPT,74185,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,257.58,2469.0,38
CPT,74185,"Magnetic resonance angiography, abdomen, with or without contrast material(s) UNSCHEDULED",,,3717.02,3795.27,3
CPT,74190,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,820.91,820.91,8
CPT,74190,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation UNSCHEDULED",,,3717.02,3795.27,3
CPT,74210,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,8
CPT,74210,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study UNSCHEDULED",,,857.41,875.46,3
CPT,74220,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",1968.0,1968.0,303.54,303.54,8
CPT,74220,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study UNSCHEDULED",1968.0,1968.0,857.41,875.46,3
CPT,74220,XR ESOPHAGUS,1968.0,1968.0,169.25,2361.6,31
CPT,74221,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,303.54,303.54,8
CPT,74221,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study UNSCHEDULED",,,857.41,875.46,3
CPT,74230,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",1851.0,1851.0,303.54,303.54,8
CPT,74230,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study UNSCHEDULED",1851.0,1851.0,617.67,630.67,3
CPT,74230,XR SWLW FUNC W/C&V,1851.0,1851.0,159.19,2221.2,31
CPT,74235,"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation ",1927.0,1927.0,,,0
CPT,74235,"Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation UNSCHEDULED",1927.0,1927.0,857.41,875.46,3
CPT,74235,XR ESOPH FB REMOVAL,1927.0,1927.0,102.13,2312.4,32
CPT,74240,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",7070.0,7070.0,303.54,303.54,8
CPT,74240,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study UNSCHEDULED",7070.0,7070.0,2214.19,2260.81,3
CPT,74240,XR UGI SNGL CONTRAST,7070.0,7070.0,608.02,8484.0,31
CPT,74241,"RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH OR WITHOUT DELAYED IMAGES, WITH KUB ",,,,,0
CPT,74241,"RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH OR WITHOUT DELAYED IMAGES, WITH KUB UNSCHEDULED",,,857.41,875.46,3
CPT,74245,"RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH SMALL INTESTINE, INCLUDES MULTIPLE SERIAL IMAGES ",,,,,0
CPT,74245,"RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH SMALL INTESTINE, INCLUDES MULTIPLE SERIAL IMAGES UNSCHEDULED",,,857.41,875.46,3
CPT,74246,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",1052.0,1052.0,303.54,875.46,11
CPT,74246,XR UGI DBL CONTRAST,1052.0,1052.0,90.47,1262.4,31
CPT,74247,"RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR CONTRAST, WITH SPECIFIC HIGH DENSITY BARIUM, EFFERVESCENT AGENT, WITH OR WITHOUT GLUCAGON; WITH OR WITHOUT DELAYED IMAGES, WITH KUB ",,,,,0
CPT,74247,"RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR CONTRAST, WITH SPECIFIC HIGH DENSITY BARIUM, EFFERVESCENT AGENT, WITH OR WITHOUT GLUCAGON; WITH OR WITHOUT DELAYED IMAGES, WITH KUB UNSCHED",,,857.41,875.46,3
CPT,74248,"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination) ",10677.0,10677.0,,,0
CPT,74248,"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination) UNSCHEDULED",10677.0,10677.0,857.41,875.46,3
CPT,74248,XRAY SM INTEST W MLT IMG,10677.0,10677.0,565.88,12812.4,32
CPT,74249,"RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR CONTRAST, WITH SPECIFIC HIGH DENSITY BARIUM, EFFERVESCENT AGENT, WITH OR WITHOUT GLUCAGON; WITH SMALL INTESTINE FOLLOW-THROUGH ",,,,,0
CPT,74249,"RADIOLOGICAL EXAMINATION, GASTROINTESTINAL TRACT, UPPER, AIR CONTRAST, WITH SPECIFIC HIGH DENSITY BARIUM, EFFERVESCENT AGENT, WITH OR WITHOUT GLUCAGON; WITH SMALL INTESTINE FOLLOW-THROUGH UNSCHEDULED",,,857.41,875.46,3
CPT,74250,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,8
CPT,74250,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study UNSCHEDULED",,,461.68,471.4,3
CPT,74250,XR SMALL INTESTINE,2421.0,2421.0,208.21,2905.2,62
CPT,74251,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",2768.0,2768.0,303.54,875.46,11
CPT,74251,XR SMALL BOWEL/ENTERO,2768.0,2768.0,238.05,3321.6,31
CPT,74260,"DUODENOGRAPHY, HYPOTONIC ",,,,,0
CPT,74260,"DUODENOGRAPHY, HYPOTONIC UNSCHEDULED",,,857.41,875.46,3
CPT,74261,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,185.25,2469.0,21
CPT,74261,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material UNSCHEDULED",,,857.41,875.46,3
CPT,74262,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,303.54,2469.0,21
CPT,74262,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed UNSCHEDULED",,,857.41,875.46,3
CPT,74263,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,809.0,2469.0,21
CPT,74263,"Computed tomographic (CT) colonography, screening, including image postprocessing UNSCHEDULED",,,857.41,875.46,3
CPT,74270,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",6213.0,6213.0,303.54,303.54,8
CPT,74270,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study UNSCHEDULED",6213.0,6213.0,857.41,875.46,3
CPT,74270,XR CONT ENEMA W/WO KUB,6213.0,6213.0,534.32,7455.6,31
CPT,74280,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",6953.0,6953.0,303.54,875.46,11
CPT,74280,XR ENEMA W/ AIR,6953.0,6953.0,597.96,8343.6,31
CPT,74283,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,303.54,303.54,8
CPT,74283,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) UNSCHEDULED",,,857.41,875.46,3
CPT,74290,"Cholecystography, oral contrast ",3169.0,3169.0,303.54,303.54,8
CPT,74290,"Cholecystography, oral contrast UNSCHEDULED",3169.0,3169.0,857.41,875.46,3
CPT,74290,XR CHOLECYST ORAL,3169.0,3169.0,272.53,3802.8,31
CPT,74291,CONTRAST X-RAYS GALLBLADDER ,,,,,0
CPT,74291,CONTRAST X-RAYS GALLBLADDER UNSCHEDULED,,,857.41,875.46,3
CPT,74300,"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation ",,,,,0
CPT,74300,"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation UNSCHEDULED",,,1104.48,1127.73,3
CPT,74300,XR CHOLANG INTRAOP,2203.0,2203.0,116.76,2643.6,64
CPT,74301,"Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and interpretation (List separately in addition to code for primary procedure) ",2793.0,2793.0,,,0
CPT,74301,"Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and interpretation (List separately in addition to code for primary procedure) UNSCHEDULED",2793.0,2793.0,857.41,875.46,3
CPT,74301,XR CHOLANG INTRAOP ADL,2793.0,2793.0,148.03,3351.6,32
CPT,74305,X-RAY BILE DUCTS/PANCREAS ,,,,,0
CPT,74305,X-RAY BILE DUCTS/PANCREAS UNSCHEDULED,,,857.41,875.46,3
CPT,74320,CONTRAST X-RAY OF BILE DUCTS ,,,,,0
CPT,74320,CONTRAST X-RAY OF BILE DUCTS UNSCHEDULED,,,857.41,875.46,3
CPT,74327,X-RAY BILE STONE REMOVAL ,,,,,0
CPT,74327,X-RAY BILE STONE REMOVAL UNSCHEDULED,,,857.41,875.46,3
CPT,74328,"Endoscopic catheterization of the biliary ductal system, radiological supervision and interpretation ",1828.0,1828.0,,,0
CPT,74328,"Endoscopic catheterization of the biliary ductal system, radiological supervision and interpretation UNSCHEDULED",1828.0,1828.0,857.41,875.46,3
CPT,74328,XR ERCP BILIARY ONLY,1828.0,1828.0,96.88,2193.6,32
CPT,74329,"Endoscopic catheterization of the pancreatic ductal system, radiological supervision and interpretation ",1828.0,1828.0,,,0
CPT,74329,"Endoscopic catheterization of the pancreatic ductal system, radiological supervision and interpretation UNSCHEDULED",1828.0,1828.0,857.41,875.46,3
CPT,74329,XR ERCP PANCREAS ONLY,1828.0,1828.0,96.88,2193.6,32
CPT,74330,"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation ",1828.0,1828.0,,,0
CPT,74330,"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation UNSCHEDULED",1828.0,1828.0,857.41,875.46,3
CPT,74330,XR ERCP,1828.0,1828.0,96.88,2193.6,32
CPT,74340,"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation ",,,,,0
CPT,74340,"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation UNSCHEDULED",,,857.41,875.46,3
CPT,74350,"X-RAY GUIDE, STOMACH TUBE ",,,,,0
CPT,74350,"X-RAY GUIDE, STOMACH TUBE UNSCHEDULED",,,857.41,875.46,3
CPT,74355,"Percutaneous placement of enteroclysis tube, radiological supervision and interpretation ",1454.0,1454.0,,,0
CPT,74355,"Percutaneous placement of enteroclysis tube, radiological supervision and interpretation UNSCHEDULED",1454.0,1454.0,857.41,875.46,3
CPT,74355,XR PLACE ENTERO TUBE,1454.0,1454.0,77.06,1744.8,32
CPT,74360,"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation ",,,,,0
CPT,74360,"Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation UNSCHEDULED",,,857.41,875.46,3
CPT,74360,XR DILAT INTRALUM,2713.0,2713.0,102.13,4198.8,64
CPT,74363,"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation ",9327.0,9327.0,,,0
CPT,74363,"Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation UNSCHEDULED",9327.0,9327.0,857.41,875.46,3
CPT,74363,XR DIL BILE DUCT W/WO ST,9327.0,9327.0,494.33,11192.4,32
CPT,74400,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,303.54,303.54,8
CPT,74400,"Urography (pyelography), intravenous, with or without KUB, with or without tomography UNSCHEDULED",,,1427.97,1458.04,3
CPT,74400,XR IVP W OR W/O TOMO,16417.0,16417.0,1411.86,19700.4,62
CPT,74410,"Urography, infusion, drip technique and/or bolus technique; ",3297.0,3297.0,303.54,303.54,8
CPT,74410,"Urography, infusion, drip technique and/or bolus technique; UNSCHEDULED",3297.0,3297.0,1427.97,1458.04,3
CPT,74410,XR IVP INFUSION,3297.0,3297.0,283.54,3956.4,31
CPT,74415,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",15668.0,15668.0,303.54,303.54,8
CPT,74415,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography UNSCHEDULED",15668.0,15668.0,1427.97,1458.04,3
CPT,74415,XR IVP W/NEPHROTOMO,15668.0,15668.0,1347.45,18801.6,31
CPT,74420,"Urography, retrograde, with or without KUB ",,,625.8,625.8,8
CPT,74420,"Urography, retrograde, with or without KUB UNSCHEDULED",,,1427.97,1458.04,3
CPT,74420,XR UROGRAM RETRO,5764.0,5764.0,495.7,6916.8,62
CPT,74425,"Urography, antegrade, radiological supervision and interpretation ",,,625.8,625.8,8
CPT,74425,"Urography, antegrade, radiological supervision and interpretation UNSCHEDULED",,,1427.97,1458.04,3
CPT,74425,XR UROGRAM ANTEGRADE,989.0,989.0,85.05,1186.8,31
CPT,74425,XR UROGRAM ANTEGRADE LT,989.0,989.0,85.05,1186.8,31
CPT,74425,XR UROGRAM ANTEGRADE RT,989.0,989.0,85.05,1186.8,31
CPT,74430,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,625.8,625.8,8
CPT,74430,"Cystography, minimum of 3 views, radiological supervision and interpretation UNSCHEDULED",,,1427.97,1458.04,3
CPT,74430,XR CYSTOGRAM 3 + V,1809.0,1809.0,155.57,2170.8,62
CPT,74440,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,391.22,391.22,8
CPT,74440,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation UNSCHEDULED",,,1427.97,1458.04,3
CPT,74445,"Corpora cavernosography, radiological supervision and interpretation ",,,185.25,185.25,8
CPT,74445,"Corpora cavernosography, radiological supervision and interpretation UNSCHEDULED",,,1427.97,1458.04,3
CPT,74450,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,391.22,391.22,8
CPT,74450,"Urethrocystography, retrograde, radiological supervision and interpretation UNSCHEDULED",,,718.17,733.29,3
CPT,74450,XR CYSTOURETHRO RETRO,3500.0,3500.0,301.0,4200.0,93
CPT,74455,"Urethrocystography, voiding, radiological supervision and interpretation ",5129.0,5129.0,391.22,391.22,8
CPT,74455,"Urethrocystography, voiding, radiological supervision and interpretation UNSCHEDULED",5129.0,5129.0,1927.34,1967.92,3
CPT,74455,XR CYSTOURETHRO VDNG,5129.0,5129.0,441.09,6154.8,31
CPT,74470,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,820.91,820.91,8
CPT,74470,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation UNSCHEDULED",,,1427.97,1458.04,3
CPT,74470,XR RENAL CYST STUDY,744.0,744.0,63.98,892.8,31
CPT,74470,XR RENAL CYST STY LT,744.0,744.0,63.98,892.8,31
CPT,74470,XR RENAL CYST STY RT,744.0,744.0,63.98,892.8,31
CPT,74475,X-RAY CONTROL CATH INSERT ,,,,,0
CPT,74475,X-RAY CONTROL CATH INSERT UNSCHEDULED,,,1427.97,1458.04,3
CPT,74480,X-RAY CONTROL CATH INSERT ,,,,,0
CPT,74480,X-RAY CONTROL CATH INSERT UNSCHEDULED,,,1427.97,1458.04,3
CPT,74485,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",1926.0,1926.0,3048.08,3048.08,8
CPT,74485,"Dilation of ureter(s) or urethra, radiological supervision and interpretation UNSCHEDULED",1926.0,1926.0,1427.97,1458.04,3
CPT,74485,XR DILAT URET OR URETHRA,1926.0,1926.0,165.64,2311.2,31
CPT,74710,"PELVIMETRY, WITH OR WITHOUT PLACENTAL LOCALIZATION ",,,,,0
CPT,74712,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,391.22,2118.0,13
CPT,74713,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure) ",,,1116.0,2118.0,5
CPT,74740,"Hysterosalpingography, radiological supervision and interpretation ",,,391.22,391.22,8
CPT,74740,XR HYSTROSALPNGOGRAM,4456.0,4456.0,383.22,5347.2,62
CPT,74742,"Transcervical catheterization of fallopian tube, radiological supervision and interpretation ",,,,,0
CPT,74775,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,391.22,391.22,8
CPT,75552,HEART MRI FOR MORPH W/O DYE ,,,,,0
CPT,75553,HEART MRI FOR MORPH W/DYE ,,,,,0
CPT,75554,CARDIAC MRI/FUNCTION ,,,,,0
CPT,75555,CARDIAC MRI/LIMITED STUDY ,,,,,0
CPT,75556,CARDIAC MRI/FLOW MAPPING ,,,,,0
CPT,75557,CAR MRI MORPH FUNC WO CM,9328.0,9328.0,802.21,11193.6,28
CPT,75557,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,9328.0,9328.0,391.22,2469.0,37
CPT,75557,Cardiac magnetic resonance imaging for morphology and function without contrast material; UNSCHEDULED,9328.0,9328.0,2027.84,2070.53,3
CPT,75558,CARDIAC MRI FLOW/VELOCITY UNSCHEDULED,,,2027.84,2070.53,3
CPT,75559,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,820.91,2469.0,37
CPT,75559,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging UNSCHEDULED,,,2027.84,2070.53,3
CPT,75560,CARDIAC MRI FLOW/VEL/STRESS UNSCHEDULED,,,2027.84,2070.53,3
CPT,75561,CAR MRI MRP FN WO/W CM,9328.0,9328.0,802.21,11193.6,28
CPT,75561,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",9328.0,9328.0,625.8,2469.0,37
CPT,75561,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; UNSCHEDULED",9328.0,9328.0,2027.84,2070.53,3
CPT,75562,CARD MRI FLOW/VEL W/DYE UNSCHEDULED,,,2027.84,2070.53,3
CPT,75563,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,1075.0,2469.0,37
CPT,75563,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging UNSCHEDULED",,,2027.84,2070.53,3
CPT,75564,HT MRI W/FLO/VEL/STRS & DYE UNSCHEDULED,,,2027.84,2070.53,3
CPT,75565,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) ,,,1075.0,2469.0,29
CPT,75565,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) UNSCHEDULED,,,2027.84,2070.53,3
CPT,75571,CT HEART WO CN W QUAN CA,10582.0,10582.0,910.05,12698.4,28
CPT,75571,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",10582.0,10582.0,137.53,12342.0,26
CPT,75571,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium UNSCHEDULED",10582.0,10582.0,118.3,120.79,3
CPT,75572,CTHEART W CN STR MOR FNC,10582.0,10582.0,910.05,12698.4,28
CPT,75572,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",10582.0,10582.0,303.54,12342.0,29
CPT,75573,CTHEART CONGENITL DISEAS,10582.0,10582.0,910.05,12698.4,28
CPT,75573,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",10582.0,10582.0,303.54,12342.0,29
CPT,75574,CT HEART W CN ART/GRAFTS,10582.0,10582.0,910.05,12698.4,56
CPT,75574,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",,,303.54,12342.0,29
CPT,75577,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1615.85,1615.85,8
CPT,75580,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",,,1693.51,1693.51,4
CPT,75600,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75600,"Aortography, thoracic, without serialography, radiological supervision and interpretation UNSCHEDULED",,,337.1,344.19,3
CPT,75605,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,8109.63,8109.63,8
CPT,75605,"Aortography, thoracic, by serialography, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75605,SP AORTOGM TH W/FILM,7963.0,7963.0,684.82,9555.6,62
CPT,75625,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75625,"Aortography, abdominal, by serialography, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75625,SP AORTOGM ABD W/FILM,8382.0,8382.0,720.85,10058.4,62
CPT,75630,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75630,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75630,SP AORTOGM ABD W/RNF,7014.0,7014.0,603.2,8416.8,62
CPT,75635,CTA ABD AORTA IF LWEX RO,3384.0,3384.0,291.02,4060.8,140
CPT,75635,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,21
CPT,75635,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSC",,,3631.7,3708.15,3
CPT,75650,ARTERY X-RAYS HEAD & NECK ,,,,,0
CPT,75650,ARTERY X-RAYS HEAD & NECK UNSCHEDULED,,,2433.0,2484.22,3
CPT,75658,"HAngiography, brachial, retrograde, radiological supervision and interpretation ",,,,,0
CPT,75658,"HAngiography, brachial, retrograde, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75660,ARTERY X-RAYS HEAD & NECK ,,,,,0
CPT,75660,ARTERY X-RAYS HEAD & NECK UNSCHEDULED,,,2433.0,2484.22,3
CPT,75662,ARTERY X-RAYS HEAD & NECK ,,,,,0
CPT,75662,ARTERY X-RAYS HEAD & NECK UNSCHEDULED,,,2433.0,2484.22,3
CPT,75665,ARTERY X-RAYS HEAD & NECK ,,,,,0
CPT,75665,ARTERY X-RAYS HEAD & NECK UNSCHEDULED,,,2433.0,2484.22,3
CPT,75671,ARTERY X-RAYS HEAD & NECK ,,,,,0
CPT,75671,ARTERY X-RAYS HEAD & NECK UNSCHEDULED,,,2433.0,2484.22,3
CPT,75676,ARTERY X-RAYS NECK ,,,,,0
CPT,75676,ARTERY X-RAYS NECK UNSCHEDULED,,,2433.0,2484.22,3
CPT,75680,ARTERY X-RAYS NECK ,,,,,0
CPT,75680,ARTERY X-RAYS NECK UNSCHEDULED,,,2433.0,2484.22,3
CPT,75685,ARTERY X-RAYS SPINE ,,,,,0
CPT,75685,ARTERY X-RAYS SPINE UNSCHEDULED,,,2433.0,2484.22,3
CPT,75705,"Angiography, spinal, selective, radiological supervision and interpretation ",,,8109.63,8109.63,8
CPT,75705,"Angiography, spinal, selective, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75705,SP ANGIO SPINAL SELECT,24808.0,24808.0,1574.83,37564.8,62
CPT,75710,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75710,"Angiography, extremity, unilateral, radiological supervision and interpretation UNSCHEDULED",,,7565.94,7725.23,3
CPT,75710,SP ANGIO EXT UNI LT,6247.0,6247.0,537.24,7496.4,62
CPT,75710,SP ANGIO EXT UNI RT,6247.0,6247.0,537.24,7496.4,62
CPT,75716,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75716,"Angiography, extremity, bilateral, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75716,SP ANGIO EXT BI,7142.0,7142.0,614.21,8570.4,62
CPT,75722,ARTERY X-RAYS KIDNEY ,,,,,0
CPT,75722,ARTERY X-RAYS KIDNEY UNSCHEDULED,,,2433.0,2484.22,3
CPT,75724,ARTERY X-RAYS KIDNEYS ,,,,,0
CPT,75724,ARTERY X-RAYS KIDNEYS UNSCHEDULED,,,2433.0,2484.22,3
CPT,75726,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,8109.63,8109.63,8
CPT,75726,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation UNSCHEDULED",,,4590.66,4687.3,3
CPT,75726,SP ANG VISC SEL W/WO F,20032.0,20032.0,558.05,40290.0,62
CPT,75731,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75731,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75731,SP ANG ADREN SEL UNI LT,11578.0,11578.0,995.71,13893.6,31
CPT,75731,SP ANG ADREN SEL UNI RT,11578.0,11578.0,995.71,13893.6,31
CPT,75733,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",3596.0,3596.0,4864.82,4864.82,8
CPT,75733,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation UNSCHEDULED",3596.0,3596.0,2433.0,2484.22,3
CPT,75733,SP ANGIO ADREN SEL BI,3596.0,3596.0,309.26,4315.2,31
CPT,75736,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,8109.63,8109.63,8
CPT,75736,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation UNSCHEDULED",,,3531.2,3605.54,3
CPT,75736,SP ANGIO PELVIC,12583.5,12583.5,140.44,28240.8,62
CPT,75741,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75741,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75741,SP ANGIO PULM SEL UNI LT,4062.0,4062.0,349.33,4874.4,62
CPT,75741,SP ANGIO PULM SEL UNI RT,4062.0,4062.0,349.33,4874.4,62
CPT,75743,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75743,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75743,SP ANGIO PULM SEL BI,6489.0,6489.0,558.05,7786.8,62
CPT,75746,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",8769.0,8769.0,4864.82,4864.82,8
CPT,75746,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation UNSCHEDULED",8769.0,8769.0,2433.0,2484.22,3
CPT,75746,SP ANGIO PULM NS,8769.0,8769.0,754.13,10522.8,31
CPT,75756,"Angiography, internal mammary, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75756,"Angiography, internal mammary, radiological supervision and interpretation UNSCHEDULED",,,2877.93,2938.52,3
CPT,75756,SP ANG INTRN MAMMARY,5085.0,5085.0,437.31,6102.0,62
CPT,75774,"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure) ",,,,,0
CPT,75774,"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure) UNSCHEDULED",,,1988.06,2029.92,3
CPT,75774,SP ANGIO ADDL VESSEL,4939.0,4939.0,261.77,5926.8,64
CPT,75790,VISUALIZE A-V SHUNT ,,,,,0
CPT,75790,VISUALIZE A-V SHUNT UNSCHEDULED,,,2433.0,2484.22,3
CPT,75791,AV DIALYSIS SHUNT IMAGING ,,,,,0
CPT,75791,AV DIALYSIS SHUNT IMAGING UNSCHEDULED,,,2433.0,2484.22,3
CPT,75801,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,920.75,920.75,8
CPT,75801,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75801,SP LYMPHANG EXT UNI LT,2726.0,2726.0,234.44,3271.2,31
CPT,75801,SP LYMPHANG EXT UNI RT,2726.0,2726.0,234.44,3271.2,31
CPT,75803,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",3300.0,3300.0,2390.44,2390.44,8
CPT,75803,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation UNSCHEDULED",3300.0,3300.0,2433.0,2484.22,3
CPT,75803,SP LYMPHANG EXT BI,3300.0,3300.0,283.8,3960.0,31
CPT,75805,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75805,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75805,SP LYMPHANG PEL/AB UN LT,2957.0,2957.0,254.3,3548.4,31
CPT,75805,SP LYMPHANG PEL/AB UN RT,2957.0,2957.0,254.3,3548.4,31
CPT,75807,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",2758.0,2758.0,4864.82,4864.82,8
CPT,75807,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation UNSCHEDULED",2758.0,2758.0,2433.0,2484.22,3
CPT,75807,SP LYMPHANG PEL/ABD BI,2758.0,2758.0,237.19,3309.6,31
CPT,75809,SP SHUNTOGM NONVASC,572.0,572.0,49.19,686.4,62
CPT,75809,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,185.25,185.25,8
CPT,75809,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation UNS",,,2433.0,2484.22,3
CPT,75810,SP SPLENOPORTOGRAM,3923.0,3923.0,337.38,4707.6,31
CPT,75810,"Splenoportography, radiological supervision and interpretation ",3923.0,3923.0,4864.82,4864.82,8
CPT,75810,"Splenoportography, radiological supervision and interpretation UNSCHEDULED",3923.0,3923.0,2433.0,2484.22,3
CPT,75820,SP VENOGRAM EXT UNI LT,2040.0,2040.0,175.44,2448.0,31
CPT,75820,SP VENOGRAM EXT UNI RT,2040.0,2040.0,175.44,2448.0,31
CPT,75820,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,2390.44,2390.44,8
CPT,75820,"Venography, extremity, unilateral, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75822,SP VENOGRAM EXT BI,2551.0,2551.0,219.39,3061.2,31
CPT,75822,"Venography, extremity, bilateral, radiological supervision and interpretation ",2551.0,2551.0,2390.44,2390.44,8
CPT,75822,"Venography, extremity, bilateral, radiological supervision and interpretation UNSCHEDULED",2551.0,2551.0,2433.0,2484.22,3
CPT,75825,SP VENOCAVAGM INF,10013.5,10013.5,411.51,18290.4,93
CPT,75825,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75825,"Venography, caval, inferior, with serialography, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75827,SP VENOCAVAGM SUP,6680.0,6680.0,574.48,8016.0,31
CPT,75827,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",6680.0,6680.0,2390.44,2390.44,8
CPT,75827,"Venography, caval, superior, with serialography, radiological supervision and interpretation UNSCHEDULED",6680.0,6680.0,2433.0,2484.22,3
CPT,75831,SP VENOGM RENAL UNI LT,3694.0,3694.0,317.68,4432.8,31
CPT,75831,SP VENOGM RENAL UNI RT,3694.0,3694.0,317.68,4432.8,31
CPT,75831,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75831,"Venography, renal, unilateral, selective, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75833,SP VENOGM RENAL BI,6178.0,6178.0,531.31,7413.6,31
CPT,75833,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",6178.0,6178.0,4864.82,4864.82,8
CPT,75833,"Venography, renal, bilateral, selective, radiological supervision and interpretation UNSCHEDULED",6178.0,6178.0,2433.0,2484.22,3
CPT,75840,SP VENOGM ADRENAL UNI LT,5391.0,5391.0,463.63,6469.2,31
CPT,75840,SP VENOGM ADRENAL UNI RT,5391.0,5391.0,463.63,6469.2,31
CPT,75840,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75840,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75842,"Venography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,,,0
CPT,75842,"Venography, adrenal, bilateral, selective, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75860,SP VENOGM SIN/JUG CATH,12046.0,12046.0,1035.96,14455.2,31
CPT,75860,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",12046.0,12046.0,4864.82,4864.82,8
CPT,75860,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation UNSCHEDULED",12046.0,12046.0,2433.0,2484.22,3
CPT,75870,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75870,"Venography, superior sagittal sinus, radiological supervision and interpretation UNSCHEDULED",,,813.44,830.56,3
CPT,75872,SP VENOGM EPIDURAL,4485.0,4485.0,385.71,5382.0,31
CPT,75872,"Venography, epidural, radiological supervision and interpretation ",4485.0,4485.0,920.75,920.75,8
CPT,75872,"Venography, epidural, radiological supervision and interpretation UNSCHEDULED",4485.0,4485.0,2433.0,2484.22,3
CPT,75880,"Venography, orbital, radiological supervision and interpretation ",,,920.75,920.75,8
CPT,75880,"Venography, orbital, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75885,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",5794.0,5794.0,4864.82,4864.82,8
CPT,75885,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation UNSCHEDULED",5794.0,5794.0,2433.0,2484.22,3
CPT,75885,SP PORTOGM W/HEMODYN,5794.0,5794.0,498.28,6952.8,31
CPT,75887,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75887,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75889,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75889,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75891,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,8
CPT,75891,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75893,SP VENOUS SAMP CATH,3144.0,3144.0,270.38,3772.8,31
CPT,75893,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",3144.0,3144.0,8109.63,8109.63,8
CPT,75893,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation UNSCHEDULED",3144.0,3144.0,2433.0,2484.22,3
CPT,75894,SP TRANSCTH THPY EMBL,2841.0,2841.0,150.57,3409.2,64
CPT,75894,"Transcatheter therapy, embolization, any method, radiological supervision and interpretation ",,,,,0
CPT,75894,"Transcatheter therapy, embolization, any method, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75896,X-RAYS TRANSCATH THERAPY ,,,,,0
CPT,75896,X-RAYS TRANSCATH THERAPY UNSCHEDULED,,,2433.0,2484.22,3
CPT,75898,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,4864.82,4864.82,8
CPT,75898,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis UNSCHEDULED",,,717.13,732.22,3
CPT,75898,SP TRANSCATH ANGIO F/U,961.0,961.0,82.65,1153.2,62
CPT,75900,INTRAVASCULAR CATH EXCHANGE ,,,,,0
CPT,75900,INTRAVASCULAR CATH EXCHANGE UNSCHEDULED,,,2433.0,2484.22,3
CPT,75901,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation ",,,,,0
CPT,75901,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75902,"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation ",1322.0,1322.0,,,0
CPT,75902,"Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation UNSCHEDULED",1322.0,1322.0,2433.0,2484.22,3
CPT,75902,SP RMV OBSTR MAT CV LUM,1322.0,1322.0,70.07,1586.4,32
CPT,75940,X-RAY PLACEMENT VEIN FILTER ,,,,,0
CPT,75940,X-RAY PLACEMENT VEIN FILTER UNSCHEDULED,,,2433.0,2484.22,3
CPT,75945,INTRAVASCULAR US ,,,,,0
CPT,75945,INTRAVASCULAR US UNSCHEDULED,,,2433.0,2484.22,3
CPT,75946,INTRAVASCULAR US ADD-ON ,,,,,0
CPT,75946,INTRAVASCULAR US ADD-ON UNSCHEDULED,,,2433.0,2484.22,3
CPT,75952,"HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and interpretation ",,,,,0
CPT,75952,"HEndovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75953,"HPlacement of proximal or distal extension prosthesis for endovascular repair of infrarenal aortic or iliac artery aneurysm, pseudoaneurysm, or dissection, radiological supervision and interpretation ",,,2433.0,2484.22,3
CPT,75954,"HEndovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, using ilio-iliac tube endoprosthesis, radiological supervision and interpretation ",,,,,0
CPT,75954,"HEndovascular repair of iliac artery aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma, using ilio-iliac tube endoprosthesis, radiological supervision and interpretation UNSCHEDULED",,,2433.0,2484.22,3
CPT,75956,"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); involving coverage of left subclavian arte",,,2433.0,2484.22,3
CPT,75957,"Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); not involving coverage of left subclavian ",,,2433.0,2484.22,3
CPT,75958,"Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disrupti",,,2433.0,2484.22,3
CPT,75959,"Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and interpretation ",,,,,0
CPT,75959,"Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta, as needed, to level of celiac origin, radiological supervision and interpretation UNSCHEDU",,,2433.0,2484.22,3
CPT,75960,TRANSCATH IV STENT RS&I ,,,,,0
CPT,75960,TRANSCATH IV STENT RS&I UNSCHEDULED,,,2433.0,2484.22,3
CPT,75961,RETRIEVAL BROKEN CATHETER ,,,,,0
CPT,75961,RETRIEVAL BROKEN CATHETER UNSCHEDULED,,,2433.0,2484.22,3
CPT,75962,REPAIR ARTERIAL BLOCKAGE ,,,,,0
CPT,75962,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2433.0,2484.22,3
CPT,75964,REPAIR ARTERY BLOCKAGE EACH ,,,,,0
CPT,75964,REPAIR ARTERY BLOCKAGE EACH UNSCHEDULED,,,2433.0,2484.22,3
CPT,75966,REPAIR ARTERIAL BLOCKAGE ,,,,,0
CPT,75966,REPAIR ARTERIAL BLOCKAGE UNSCHEDULED,,,2433.0,2484.22,3
CPT,75968,REPAIR ARTERY BLOCKAGE EACH ,,,,,0
CPT,75968,REPAIR ARTERY BLOCKAGE EACH UNSCHEDULED,,,2433.0,2484.22,3
CPT,75970,SP TRANSCATH BIOPSY,3423.0,3423.0,181.42,4107.6,32
CPT,75970,"Transcatheter biopsy, radiological supervision and interpretation ",3423.0,3423.0,,,0
CPT,75970,"Transcatheter biopsy, radiological supervision and interpretation UNSCHEDULED",3423.0,3423.0,2433.0,2484.22,3
CPT,75978,REPAIR VENOUS BLOCKAGE ,,,,,0
CPT,75978,REPAIR VENOUS BLOCKAGE UNSCHEDULED,,,2433.0,2484.22,3
CPT,75980,CONTRAST XRAY EXAM BILE DUCT ,,,,,0
CPT,75980,CONTRAST XRAY EXAM BILE DUCT UNSCHEDULED,,,2433.0,2484.22,3
CPT,75982,CONTRAST XRAY EXAM BILE DUCT ,,,,,0
CPT,75982,CONTRAST XRAY EXAM BILE DUCT UNSCHEDULED,,,2433.0,2484.22,3
CPT,75984,"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation ",1865.0,1865.0,,,0
CPT,75984,"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation UNSCHEDULED",1865.0,1865.0,2433.0,2484.22,3
CPT,75984,SP CHG TUBE/DRN W/C,1865.0,1865.0,98.84,2238.0,32
CPT,75989,"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and inte",,,724.45,2469.0,20
CPT,75989,SP PERC DRAIN,11907.0,11907.0,631.07,14288.4,96
CPT,75992,"ATHERECTOMY, X-RAY EXAM ",,,,,0
CPT,75993,"ATHERECTOMY, X-RAY EXAM ",,,,,0
CPT,75994,"ATHERECTOMY, X-RAY EXAM ",,,,,0
CPT,75995,"ATHERECTOMY, X-RAY EXAM ",,,,,0
CPT,75996,"ATHERECTOMY, X-RAY EXAM ",,,,,0
CPT,75998,FLUOROGUIDE FOR VEIN DEVICE ,,,,,0
CPT,76000,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,391.22,391.22,8
CPT,76000,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time UNSCHEDULED",,,617.67,630.67,3
CPT,76000,XR FLUOROSCOPY 0-60 MIN,3185.0,3185.0,256.37,4066.8,155
CPT,76001,"FLUOROSCOPY, PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL TIME MORE THAN 1 HOUR, ASSISTING A NONRADIOLOGIC PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL (EG, NEPHROSTOLITHOTOMY, ERCP ",,,617.67,630.67,3
CPT,76003,NEEDLE LOCALIZATION BY X-RAY ,,,,,0
CPT,76003,NEEDLE LOCALIZATION BY X-RAY UNSCHEDULED,,,617.67,630.67,3
CPT,76005,FLUOROGUIDE FOR SPINE INJECT ,,,,,0
CPT,76005,FLUOROGUIDE FOR SPINE INJECT UNSCHEDULED,,,617.67,630.67,3
CPT,76006,X-RAY STRESS VIEW ,,,,,0
CPT,76006,X-RAY STRESS VIEW UNSCHEDULED,,,617.67,630.67,3
CPT,76010,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,137.53,137.53,8
CPT,76010,"Radiologic examination from nose to rectum for foreign body, single view, child UNSCHEDULED",,,617.67,630.67,3
CPT,76010,XR WHOLE BODY FB 1 V,613.0,613.0,52.72,735.6,62
CPT,76012,PERCUT VERTEBROPLASTY FLUOR ,,,,,0
CPT,76012,PERCUT VERTEBROPLASTY FLUOR UNSCHEDULED,,,617.67,630.67,3
CPT,76013,"PERCUT VERTEBROPLASTY, CT ",,,,,0
CPT,76013,"PERCUT VERTEBROPLASTY, CT UNSCHEDULED",,,617.67,630.67,3
CPT,76014,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,41.63,41.63,8
CPT,76015,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,,,0
CPT,76016,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,149.69,149.69,8
CPT,76017,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,410.92,410.92,8
CPT,76018,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,156.04,156.04,8
CPT,76019,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,100.98,100.98,8
CPT,76020,X-RAYS FOR BONE AGE ,,,,,0
CPT,76020,X-RAYS FOR BONE AGE UNSCHEDULED,,,617.67,630.67,3
CPT,76040,"X-RAYS, BONE EVALUATION ",,,,,0
CPT,76040,"X-RAYS, BONE EVALUATION UNSCHEDULED",,,617.67,630.67,3
CPT,76061,"X-RAYS, BONE SURVEY ",,,,,0
CPT,76061,"X-RAYS, BONE SURVEY UNSCHEDULED",,,617.67,630.67,3
CPT,76062,"X-RAYS, BONE SURVEY ",,,,,0
CPT,76062,"X-RAYS, BONE SURVEY UNSCHEDULED",,,617.67,630.67,3
CPT,76065,"X-RAYS, BONE EVALUATION ",,,,,0
CPT,76065,"X-RAYS, BONE EVALUATION UNSCHEDULED",,,617.67,630.67,3
CPT,76066,"JOINT SURVEY, SINGLE VIEW ",,,,,0
CPT,76066,"JOINT SURVEY, SINGLE VIEW UNSCHEDULED",,,617.67,630.67,3
CPT,76070,"CT BONE DENSITY, AXIAL ",,,,,0
CPT,76070,"CT BONE DENSITY, AXIAL UNSCHEDULED",,,617.67,630.67,3
CPT,76071,"CT BONE DENSITY, PERIPHERAL ",,,,,0
CPT,76071,"CT BONE DENSITY, PERIPHERAL UNSCHEDULED",,,617.67,630.67,3
CPT,76075,"DXA BONE DENSITY,  AXIAL ",,,,,0
CPT,76075,"DXA BONE DENSITY,  AXIAL UNSCHEDULED",,,617.67,630.67,3
CPT,76076,DXA BONE DENSITY/PERIPHERAL ,,,,,0
CPT,76076,DXA BONE DENSITY/PERIPHERAL UNSCHEDULED,,,617.67,630.67,3
CPT,76077,DXA BONE DENSITY/V-FRACTURE ,,,,,0
CPT,76077,DXA BONE DENSITY/V-FRACTURE UNSCHEDULED,,,617.67,630.67,3
CPT,76078,RADIOGRAPHIC ABSORPTIOMETRY ,,,,,0
CPT,76078,RADIOGRAPHIC ABSORPTIOMETRY UNSCHEDULED,,,617.67,630.67,3
CPT,76080,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,820.91,820.91,8
CPT,76080,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation UNSCHEDULED",,,617.67,630.67,3
CPT,76080,XR ABSCESS/FIST/SIN,2138.5,2138.5,97.01,3778.8,62
CPT,76082,COMPUTER MAMMOGRAM ADD-ON ,,,,,0
CPT,76082,COMPUTER MAMMOGRAM ADD-ON UNSCHEDULED,,,617.67,630.67,3
CPT,76083,COMPUTER MAMMOGRAM ADD-ON ,,,,,0
CPT,76083,COMPUTER MAMMOGRAM ADD-ON UNSCHEDULED,,,617.67,630.67,3
CPT,76085,COMPUTER MAMMOGRAM ADD-ON ,,,,,0
CPT,76085,COMPUTER MAMMOGRAM ADD-ON UNSCHEDULED,,,617.67,630.67,3
CPT,76086,X-RAY OF MAMMARY DUCT ,,,,,0
CPT,76086,X-RAY OF MAMMARY DUCT UNSCHEDULED,,,617.67,630.67,3
CPT,76088,X-RAY OF MAMMARY DUCTS ,,,,,0
CPT,76088,X-RAY OF MAMMARY DUCTS UNSCHEDULED,,,617.67,630.67,3
CPT,76090,"MAMMOGRAM, ONE BREAST ",,,,,0
CPT,76090,"MAMMOGRAM, ONE BREAST UNSCHEDULED",,,617.67,630.67,3
CPT,76091,"MAMMOGRAM, BOTH BREASTS ",,,,,0
CPT,76091,"MAMMOGRAM, BOTH BREASTS UNSCHEDULED",,,617.67,630.67,3
CPT,76092,"MAMMOGRAM, SCREENING ",,,,,0
CPT,76092,"MAMMOGRAM, SCREENING UNSCHEDULED",,,617.67,630.67,3
CPT,76093,"MAGNETIC IMAGE, BREAST ",,,,,0
CPT,76093,"MAGNETIC IMAGE, BREAST UNSCHEDULED",,,617.67,630.67,3
CPT,76094,"MAGNETIC IMAGE, BOTH BREASTS ",,,,,0
CPT,76094,"MAGNETIC IMAGE, BOTH BREASTS UNSCHEDULED",,,617.67,630.67,3
CPT,76095,STEREOTACTIC BREAST BIOPSY ,,,,,0
CPT,76095,STEREOTACTIC BREAST BIOPSY UNSCHEDULED,,,617.67,630.67,3
CPT,76096,"X-RAY OF NEEDLE WIRE, BREAST ",,,,,0
CPT,76096,"X-RAY OF NEEDLE WIRE, BREAST UNSCHEDULED",,,617.67,630.67,3
CPT,76098,"Radiological examination, surgical specimen ",,,820.91,820.91,8
CPT,76098,"Radiological examination, surgical specimen UNSCHEDULED",,,362.23,369.85,3
CPT,76098,XR SURGICAL SPECIMEN,1373.0,1373.0,118.08,1647.6,62
CPT,76100,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",6213.0,6213.0,185.25,185.25,8
CPT,76100,"Radiologic examination, single plane body section (eg, tomography), other than with urography UNSCHEDULED",6213.0,6213.0,617.67,630.67,3
CPT,76100,XR TOMOGRAM SGL PLANE,6213.0,6213.0,534.32,7455.6,31
CPT,76101,"RADIOLOGIC EXAMINATION, COMPLEX MOTION (IE, HYPERCYCLOIDAL) BODY SECTION (EG, MASTOID POLYTOMOGRAPHY), OTHER THAN WITH UROGRAPHY; UNILATERAL ",,,,,0
CPT,76101,"RADIOLOGIC EXAMINATION, COMPLEX MOTION (IE, HYPERCYCLOIDAL) BODY SECTION (EG, MASTOID POLYTOMOGRAPHY), OTHER THAN WITH UROGRAPHY; UNILATERAL UNSCHEDULED",,,617.67,630.67,3
CPT,76102,"RADIOLOGIC EXAMINATION, COMPLEX MOTION (IE, HYPERCYCLOIDAL) BODY SECTION (EG, MASTOID POLYTOMOGRAPHY), OTHER THAN WITH UROGRAPHY; BILATERAL ",,,,,0
CPT,76102,"RADIOLOGIC EXAMINATION, COMPLEX MOTION (IE, HYPERCYCLOIDAL) BODY SECTION (EG, MASTOID POLYTOMOGRAPHY), OTHER THAN WITH UROGRAPHY; BILATERAL UNSCHEDULED",,,617.67,630.67,3
CPT,76120,"Cineradiography/videoradiography, except where specifically included ",,,185.25,185.25,8
CPT,76120,"Cineradiography/videoradiography, except where specifically included UNSCHEDULED",,,617.67,630.67,3
CPT,76125,Cineradiography/videoradiography to complement routine examination (List separately in addition to code for primary procedure) ,,,,,0
CPT,76125,Cineradiography/videoradiography to complement routine examination (List separately in addition to code for primary procedure) UNSCHEDULED,,,617.67,630.67,3
CPT,76140,"Consultation on X-ray examination made elsewhere, written report ",,,294.12,294.12,1
CPT,76140,"Consultation on X-ray examination made elsewhere, written report UNSCHEDULED",,,617.67,630.67,3
CPT,76145,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,215.68,215.68,8
CPT,76145,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report UNSCHEDULED",,,617.67,630.67,3
CPT,76150,"X-RAY EXAM, DRY PROCESS ",,,,,0
CPT,76150,"X-RAY EXAM, DRY PROCESS UNSCHEDULED",,,617.67,630.67,3
CPT,76350,SPECIAL X-RAY CONTRAST STUDY ,,,,,0
CPT,76350,SPECIAL X-RAY CONTRAST STUDY UNSCHEDULED,,,617.67,630.67,3
CPT,76355,CT SCAN FOR LOCALIZATION ,,,,,0
CPT,76355,CT SCAN FOR LOCALIZATION UNSCHEDULED,,,617.67,630.67,3
CPT,76360,CT SCAN FOR NEEDLE BIOPSY ,,,,,0
CPT,76360,CT SCAN FOR NEEDLE BIOPSY UNSCHEDULED,,,617.67,630.67,3
CPT,76362,CT GUIDE FOR TISSUE ABLATION ,,,,,0
CPT,76362,CT GUIDE FOR TISSUE ABLATION UNSCHEDULED,,,617.67,630.67,3
CPT,76365,CT guide cyst asp-S&I ,,,,,0
CPT,76365,CT guide cyst asp-S&I UNSCHEDULED,,,617.67,630.67,3
CPT,76370,CT SCAN FOR THERAPY GUIDE ,,,,,0
CPT,76370,CT SCAN FOR THERAPY GUIDE UNSCHEDULED,,,617.67,630.67,3
CPT,76375,3D/HOLOGRAPH RECONSTR ,,,,,0
CPT,76375,3D/HOLOGRAPH RECONSTR UNSCHEDULED,,,617.67,630.67,3
CPT,76376,3D CT/MRI/US/OTH NOT IND,5838.5,5838.5,307.35,7053.6,87
CPT,76376,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,522.4,2469.0,44
CPT,76377,3D CT/MRI/US/OTH IND,1410.0,1410.0,74.73,1692.0,58
CPT,76377,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,809.0,2469.0,44
CPT,76380,CT LTD/LOC,4137.0,4137.0,355.78,4964.4,84
CPT,76380,"Computed tomography, limited or localized follow-up study ",,,137.53,2469.0,21
CPT,76380,"Computed tomography, limited or localized follow-up study UNSCHEDULED",,,2684.25,2740.76,3
CPT,76390,Magnetic resonance spectroscopy ,,,137.53,2469.0,37
CPT,76390,Magnetic resonance spectroscopy UNSCHEDULED,,,1114.95,1138.42,3
CPT,76391,"Magnetic resonance (eg, vibration) elastography ",,,391.22,2118.0,13
CPT,76391,"Magnetic resonance (eg, vibration) elastography UNSCHEDULED",,,617.67,630.67,3
CPT,76393,MR GUIDANCE FOR NEEDLE PLACE ,,,,,0
CPT,76393,MR GUIDANCE FOR NEEDLE PLACE UNSCHEDULED,,,617.67,630.67,3
CPT,76394,MRI FOR TISSUE ABLATION ,,,,,0
CPT,76394,MRI FOR TISSUE ABLATION UNSCHEDULED,,,617.67,630.67,3
CPT,76400,"MAGNETIC IMAGE, BONE MARROW ",,,,,0
CPT,76400,"MAGNETIC IMAGE, BONE MARROW UNSCHEDULED",,,617.67,630.67,3
CPT,76490,US FOR TISSUE ABLATION ,,,,,0
CPT,76490,US FOR TISSUE ABLATION UNSCHEDULED,,,617.67,630.67,3
CPT,76496,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,137.53,137.53,8
CPT,76496,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) UNSCHEDULED",,,617.67,630.67,3
CPT,76497,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,21
CPT,76497,"Unlisted computed tomography procedure (eg, diagnostic, interventional) UNSCHEDULED",,,617.67,630.67,3
CPT,76498,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,37
CPT,76498,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) UNSCHEDULED",,,617.67,630.67,3
CPT,76499,UL DX RAD PROCEDURE,1396.0,1396.0,120.06,1675.2,31
CPT,76499,Unlisted diagnostic radiographic procedure ,1396.0,1396.0,137.53,137.53,8
CPT,76499,Unlisted diagnostic radiographic procedure UNSCHEDULED,1396.0,1396.0,403.06,411.54,3
CPT,76506,"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnor",,,185.25,791.02,4
CPT,76506,US ENCEPHALOGRAM,1701.0,1701.0,146.29,2041.2,62
CPT,76510,"Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter ",,,190.32,190.32,1
CPT,76510,"Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter UNSCHEDULED",,,774.71,791.02,3
CPT,76511,"Ophthalmic ultrasound, diagnostic; quantitative A-scan only ",,,185.25,185.25,1
CPT,76511,"Ophthalmic ultrasound, diagnostic; quantitative A-scan only UNSCHEDULED",,,774.71,791.02,3
CPT,76512,"Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) ",,,185.25,185.25,1
CPT,76512,"Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) UNSCHEDULED",,,448.08,457.51,3
CPT,76513,"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral ",,,185.25,185.25,1
CPT,76513,"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral UNSCHEDULED",,,774.71,791.02,3
CPT,76514,"Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness) ",,,41.94,41.94,1
CPT,76514,"Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness) UNSCHEDULED",,,774.71,791.02,3
CPT,76516,"Ophthalmic biometry by ultrasound echography, A-scan; ",,,185.25,185.25,1
CPT,76516,"Ophthalmic biometry by ultrasound echography, A-scan; UNSCHEDULED",,,774.71,791.02,3
CPT,76519,"Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation ",,,185.25,185.25,1
CPT,76519,"Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation UNSCHEDULED",,,774.71,791.02,3
CPT,76529,Ophthalmic ultrasonic foreign body localization ,,,137.53,137.53,1
CPT,76529,Ophthalmic ultrasonic foreign body localization UNSCHEDULED,,,774.71,791.02,3
CPT,76536,US HEAD AND NECK,2489.0,2489.0,214.05,2986.8,217
CPT,76536,"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation ",,,185.25,185.25,1
CPT,76536,"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation UNSCHEDULED",,,1006.07,1027.25,3
CPT,76604,US CHST W/MEDIASTINUM,1003.0,1003.0,72.24,1399.2,217
CPT,76604,US SOFT TISSUE UPR BACK,840.0,840.0,72.24,1008.0,31
CPT,76604,"Ultrasound, chest (includes mediastinum), real time with image documentation ",,,185.25,185.25,1
CPT,76604,"Ultrasound, chest (includes mediastinum), real time with image documentation UNSCHEDULED",,,523.45,534.47,3
CPT,76641,US BRST BI W AX COMP,1779.0,1779.0,152.99,2134.8,62
CPT,76641,US BRST UNI LT W AX COMP,1779.0,1779.0,152.99,2134.8,62
CPT,76641,US BRST UNI RT W AX COMP,1779.0,1779.0,152.99,2134.8,62
CPT,76641,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete ",,,185.25,185.25,1
CPT,76641,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete UNSCHEDULED",,,460.64,470.33,3
CPT,76642,US BRST BI W AX LTD,515.0,515.0,44.29,618.0,62
CPT,76642,US BRST UNI LT W AX LTD,515.0,515.0,44.29,618.0,62
CPT,76642,US BRST UNI RT W AX LTD,515.0,515.0,44.29,618.0,62
CPT,76642,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited ",,,137.53,137.53,1
CPT,76642,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited UNSCHEDULED",,,461.68,471.4,3
CPT,76645,US EXAM BREAST(S) ,,,,,0
CPT,76700,US ABDOMEN COMPLETE,4330.0,4330.0,372.38,5196.0,155
CPT,76700,"Ultrasound, abdominal, real time with image documentation; complete ",,,185.25,185.25,1
CPT,76700,"Ultrasound, abdominal, real time with image documentation; complete UNSCHEDULED",,,1490.79,1522.17,3
CPT,76705,US ABDOMEN LTD,2385.0,2385.0,190.58,3064.8,217
CPT,76705,"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) ",,,185.25,185.25,1
CPT,76705,"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) UNSCHEDULED",,,612.44,625.33,3
CPT,76706,US AAA SCREEN,537.0,537.0,46.18,644.4,31
CPT,76706,"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA) ",537.0,537.0,185.25,185.25,1
CPT,76706,"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA) UNSCHEDULED",537.0,537.0,146.57,149.65,3
CPT,76770,US RETROPERITONEAL COM,1494.0,1494.0,128.48,1792.8,124
CPT,76770,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete ",,,185.25,185.25,1
CPT,76770,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete UNSCHEDULED",,,1104.48,1127.73,3
CPT,76775,US RETRO LTD,2904.0,2904.0,249.74,3484.8,124
CPT,76775,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited ",,,185.25,185.25,1
CPT,76775,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited UNSCHEDULED",,,972.57,993.05,3
CPT,76776,US RENAL TRANSPLANT,636.0,636.0,46.18,882.0,93
CPT,76776,"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation ",,,185.25,185.25,1
CPT,76776,"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation UNSCHEDULED",,,972.57,993.05,3
CPT,76778,US EXAM KIDNEY TRANSPLANT ,,,,,0
CPT,76800,US SPINAL CANAL,759.0,759.0,65.27,910.8,62
CPT,76800,"Ultrasound, spinal canal and contents ",,,185.25,185.25,1
CPT,76801,US PREG 1ST TRIMTR,735.0,735.0,63.21,882.0,155
CPT,76801,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation ",,,185.25,185.25,1
CPT,76801,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation UNSCHEDULED",,,661.64,675.57,3
CPT,76802,US PRG 1ST TRI EA ADD,458.0,458.0,24.27,549.6,64
CPT,76802,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately",,,325.58,332.44,3
CPT,76805,US PREG AFTER 1ST TRI,1422.0,1422.0,122.29,1706.4,155
CPT,76805,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation ",,,185.25,185.25,1
CPT,76805,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation UNSCH",,,985.13,1005.87,3
CPT,76810,US PRG AFT 1ST TRI AD,559.0,559.0,29.63,670.8,64
CPT,76810,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List",,,658.5,672.37,3
CPT,76811,US PREG W/FTL AN EX SGL,2857.0,2857.0,245.7,3428.4,31
CPT,76811,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation ",2857.0,2857.0,391.22,391.22,1
CPT,76811,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation UNSCHEDULED",2857.0,2857.0,565.33,577.23,3
CPT,76812,US PREG W/FTL EX EA ADDL,3423.0,3423.0,181.42,4107.6,32
CPT,76812,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separa",3423.0,3423.0,432.37,441.48,3
CPT,76813,"Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation ",,,185.25,185.25,1
CPT,76813,"Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation UNSCHEDULED",,,653.27,667.02,3
CPT,76814,"Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; each additional gestation (List separat",,,653.27,667.02,3
CPT,76815,US PREGNANCY LTD,1422.0,1422.0,122.29,1706.4,155
CPT,76815,"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses ",,,185.25,185.25,1
CPT,76815,"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses UNSCHEDU",,,469.01,478.89,3
CPT,76816,US PREGNANCY FLW UP,894.0,894.0,76.88,1072.8,31
CPT,76816,"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ sy",894.0,894.0,185.25,718.32,4
CPT,76817,US PREG UT TRANSVAGINAL,735.0,735.0,63.21,882.0,124
CPT,76817,"Ultrasound, pregnant uterus, real time with image documentation, transvaginal ",,,185.25,185.25,1
CPT,76817,"Ultrasound, pregnant uterus, real time with image documentation, transvaginal UNSCHEDULED",,,489.95,500.27,3
CPT,76818,Fetal biophysical profile; with non-stress testing ,,,185.25,185.25,1
CPT,76818,Fetal biophysical profile; with non-stress testing UNSCHEDULED,,,1215.45,1241.04,3
CPT,76818,US FETAL BIOPHYS PROF,2326.0,2326.0,200.04,2791.2,93
CPT,76819,Fetal biophysical profile; without non-stress testing ,,,185.25,185.25,1
CPT,76819,Fetal biophysical profile; without non-stress testing UNSCHEDULED,,,653.27,667.02,3
CPT,76819,US FET BIO PH PR W/O NST,735.0,735.0,63.21,882.0,62
CPT,76820,DOP VELOCMTY UMBILCL ART,537.0,537.0,46.18,644.4,31
CPT,76820,"Doppler velocimetry, fetal; umbilical artery ",537.0,537.0,185.25,185.25,1
CPT,76820,"Doppler velocimetry, fetal; umbilical artery UNSCHEDULED",537.0,537.0,621.86,634.95,3
CPT,76821,"Doppler velocimetry, fetal; middle cerebral artery ",,,185.25,185.25,1
CPT,76821,"Doppler velocimetry, fetal; middle cerebral artery UNSCHEDULED",,,653.27,667.02,3
CPT,76825,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; ",768.0,768.0,820.91,820.91,1
CPT,76825,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; UNSCHEDULED",768.0,768.0,653.27,667.02,3
CPT,76825,US FETAL CARDIOVASC,768.0,768.0,66.05,921.6,31
CPT,76826,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study ",617.0,617.0,391.22,391.22,1
CPT,76826,"Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study UNSCHEDULED",617.0,617.0,653.27,667.02,3
CPT,76826,US FETAL CARDIOVASC F/U,617.0,617.0,53.06,740.4,31
CPT,76827,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete ",768.0,768.0,185.25,185.25,1
CPT,76827,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete UNSCHEDULED",768.0,768.0,653.27,667.02,3
CPT,76827,US FETAL HEART DOPP,768.0,768.0,66.05,921.6,31
CPT,76828,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study ",617.0,617.0,185.25,185.25,1
CPT,76828,"Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study UNSCHEDULED",617.0,617.0,653.27,667.02,3
CPT,76828,US FETAL HEART DOPP F/U,617.0,617.0,53.06,740.4,31
CPT,76830,US TRANSVAGINAL,2681.0,2681.0,230.57,3217.2,186
CPT,76830,"Ultrasound, transvaginal ",,,185.25,185.25,1
CPT,76830,"Ultrasound, transvaginal UNSCHEDULED",,,1013.4,1034.74,3
CPT,76831,"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed ",626.0,626.0,391.22,391.22,1
CPT,76831,"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed UNSCHEDULED",626.0,626.0,653.27,667.02,3
CPT,76831,US SIS,626.0,626.0,53.84,751.2,31
CPT,76856,US PELVIC COMPLETE,3285.0,3285.0,282.51,3942.0,186
CPT,76856,"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete ",,,185.25,185.25,1
CPT,76856,"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete UNSCHEDULED",,,1128.56,1152.32,3
CPT,76857,US PELVIC LTD OR FU,1686.0,1686.0,145.0,2023.2,186
CPT,76857,"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) ",,,185.25,185.25,1
CPT,76857,"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) UNSCHEDULED",,,449.12,458.58,3
CPT,76870,US SCROTUM AND CNTS,2683.0,2683.0,230.74,3219.6,155
CPT,76870,"Ultrasound, scrotum and contents ",,,185.25,185.25,1
CPT,76870,"Ultrasound, scrotum and contents UNSCHEDULED",,,763.19,779.26,3
CPT,76872,US TRANSRECTAL,1121.5,1121.5,90.3,1431.6,62
CPT,76872,"Ultrasound, transrectal; ",,,185.25,185.25,1
CPT,76872,"Ultrasound, transrectal; UNSCHEDULED",,,763.19,779.26,3
CPT,76873,US PROSTATE VOLUME,654.0,654.0,56.24,784.8,31
CPT,76873,"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure) ",654.0,654.0,185.25,185.25,1
CPT,76873,"Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure) UNSCHEDULED",654.0,654.0,763.19,779.26,3
CPT,76880,"US EXAM, EXTREMITY ",,,,,0
CPT,76881,US JOINT COMP,2339.0,2339.0,201.15,2806.8,124
CPT,76881,"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation ",,,185.25,185.25,1
CPT,76881,"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation UNSCHEDULED",,,843.8,861.56,3
CPT,76882,US EXTREM NON VASC LTD,2339.0,2339.0,201.15,2806.8,279
CPT,76882,"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendonºs», muscleºs», nerveºs», other soft-tissue structureºs», or soft-tiss",,,185.25,572.95,4
CPT,76883,"Ultrasound, nerve(s) and accompanying structures throughout their entire anatomic course in one extremity, comprehensive, including real-time cine imaging with image documentation, per extremity ",,,181.7,181.7,1
CPT,76883,"Ultrasound, nerve(s) and accompanying structures throughout their entire anatomic course in one extremity, comprehensive, including real-time cine imaging with image documentation, per extremity UNSCH",,,702.47,717.26,3
CPT,76885,US INFANT HIP DYNAM,332.5,332.5,25.03,448.8,93
CPT,76885,"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation) ",,,137.53,137.53,1
CPT,76885,"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation) UNSCHEDULED",,,702.47,717.26,3
CPT,76886,"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation) ",,,137.53,137.53,1
CPT,76886,"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation) UNSCHEDULED",,,702.47,717.26,3
CPT,76930,"ULTRASONIC GUIDANCE FOR PERICARDIOCENTESIS, IMAGING SUPERVISION AND INTERPRETATION ",,,,,0
CPT,76932,"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation ",,,,,0
CPT,76932,"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation UNSCHEDULED",,,933.83,953.49,3
CPT,76934,US guide thor/abd asp ,,,,,0
CPT,76934,US guide thor/abd asp UNSCHEDULED,,,933.83,953.49,3
CPT,76936,USG COMPRESS REPAIR,1385.0,1385.0,119.11,1662.0,31
CPT,76936,"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging) ",1385.0,1385.0,449.57,449.57,1
CPT,76936,"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging) UNSCHEDULED",1385.0,1385.0,1461.47,1492.24,3
CPT,76937,US GUIDANCE VASC ACCESS,1844.0,1844.0,7.95,4245.6,64
CPT,76937,"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular ne",,,664.78,678.78,3
CPT,76938,US guide cyst/ren asp ,,,,,0
CPT,76938,US guide cyst/ren asp UNSCHEDULED,,,933.83,953.49,3
CPT,76940,US GUIDANCE TISSUE ABLAT,816.0,816.0,43.25,979.2,32
CPT,76940,"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation ",816.0,816.0,,,0
CPT,76940,"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation UNSCHEDULED",816.0,816.0,933.83,953.49,3
CPT,76941,"Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and interpretation ",,,,,0
CPT,76941,"Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and interpretation UNSCHEDULED",,,933.83,953.49,3
CPT,76942,USG NDL PLACEMENT,1361.0,1361.0,72.13,1633.2,64
CPT,76942,"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation ",,,,,0
CPT,76942,"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation UNSCHEDULED",,,933.83,953.49,3
CPT,76945,"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation ",,,,,0
CPT,76945,"Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation UNSCHEDULED",,,933.83,953.49,3
CPT,76946,USG AMNIOCENTESIS,1126.0,1126.0,59.68,1351.2,32
CPT,76946,"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation ",1126.0,1126.0,,,0
CPT,76946,"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation UNSCHEDULED",1126.0,1126.0,933.83,953.49,3
CPT,76948,"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation ",,,,,0
CPT,76948,"Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation UNSCHEDULED",,,933.83,953.49,3
CPT,76950,ECHO GUIDANCE RADIOTHERAPY ,,,,,0
CPT,76950,ECHO GUIDANCE RADIOTHERAPY UNSCHEDULED,,,933.83,953.49,3
CPT,76960,Echogram NEC-Rtx fields ,,,,,0
CPT,76960,Echogram NEC-Rtx fields UNSCHEDULED,,,933.83,953.49,3
CPT,76965,Ultrasonic guidance for interstitial radioelement application ,,,,,0
CPT,76965,Ultrasonic guidance for interstitial radioelement application UNSCHEDULED,,,933.83,953.49,3
CPT,76970,ULTRASOUND STUDY FOLLOW-UP (SPECIFY) ,,,,,0
CPT,76970,ULTRASOUND STUDY FOLLOW-UP (SPECIFY) UNSCHEDULED,,,493.09,503.47,3
CPT,76975,"Gastrointestinal endoscopic ultrasound, supervision and interpretation ",,,391.22,391.22,1
CPT,76975,"Gastrointestinal endoscopic ultrasound, supervision and interpretation UNSCHEDULED",,,643.84,657.4,3
CPT,76977,"Ultrasound bone density measurement and interpretation, peripheral site(s), any method ",,,185.25,185.25,1
CPT,76977,"Ultrasound bone density measurement and interpretation, peripheral site(s), any method UNSCHEDULED",,,643.84,657.4,3
CPT,76978,"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion ",,,303.54,303.54,1
CPT,76978,"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion UNSCHEDULED",,,643.84,657.4,3
CPT,76979,"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to code for primary procedure)",,,643.84,657.4,3
CPT,76981,"Ultrasound, elastography; parenchyma (eg, organ) ",,,185.25,185.25,1
CPT,76981,"Ultrasound, elastography; parenchyma (eg, organ) UNSCHEDULED",,,643.84,657.4,3
CPT,76982,"Ultrasound, elastography; first target lesion ",,,185.25,185.25,1
CPT,76982,"Ultrasound, elastography; first target lesion UNSCHEDULED",,,643.84,657.4,3
CPT,76983,"Ultrasound, elastography; each additional target lesion (List separately in addition to code for primary procedure) ",,,,,0
CPT,76983,"Ultrasound, elastography; each additional target lesion (List separately in addition to code for primary procedure) UNSCHEDULED",,,643.84,657.4,3
CPT,76984,"Ultrasound, intraoperative thoracic aorta (eg, epiaortic), diagnostic ",,,,,0
CPT,76984,"Ultrasound, intraoperative thoracic aorta (eg, epiaortic), diagnostic UNSCHEDULED",,,643.84,657.4,3
CPT,76986,ULTRASOUND GUIDE INTRAOPER ,,,,,0
CPT,76986,ULTRASOUND GUIDE INTRAOPER UNSCHEDULED,,,643.84,657.4,3
CPT,76987,"Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; including placement and manipulation of transducer, image acquisition, interpretation and ",,,643.84,657.4,3
CPT,76988,"Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; placement, manipulation of transducer, and image acquisition only ",,,,,0
CPT,76988,"Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; placement, manipulation of transducer, and image acquisition only UNSCHEDULED",,,643.84,657.4,3
CPT,76989,"Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; interpretation and report only ",,,,,0
CPT,76989,"Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; interpretation and report only UNSCHEDULED",,,643.84,657.4,3
CPT,76998,US INTRAOPERATIVE,1821.0,1821.0,96.51,2185.2,32
CPT,76998,"Ultrasonic guidance, intraoperative ",1821.0,1821.0,,,0
CPT,76998,"Ultrasonic guidance, intraoperative UNSCHEDULED",1821.0,1821.0,1123.33,1146.98,3
CPT,76999,US UNLSTD PROC,346.0,346.0,29.76,415.2,31
CPT,76999,"Unlisted ultrasound procedure (eg, diagnostic, interventional) ",346.0,346.0,137.53,137.53,1
CPT,76999,"Unlisted ultrasound procedure (eg, diagnostic, interventional) UNSCHEDULED",346.0,346.0,643.84,657.4,3
CPT,77001,FLUORO GUID CTRL ACC DEV,1828.0,1828.0,96.88,2193.6,64
CPT,77001,"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any",,,584.17,596.47,3
CPT,77002,"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure) ",,,,,0
CPT,77002,"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure) UNSCHEDULED",,,377.93,385.89,3
CPT,77002,XR FLUORO NDL,3406.0,3406.0,180.52,4087.2,64
CPT,77003,Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code,,,737.02,752.54,3
CPT,77003,XR FLUORO FOR SPINE INJ,1828.0,1828.0,96.88,2193.6,64
CPT,77011,CT STEREO LOCALIZATION,5733.0,5733.0,303.85,6879.6,29
CPT,77011,Computed tomography guidance for stereotactic localization ,5733.0,5733.0,809.0,2469.0,17
CPT,77012,CT GUID NDL PLCMT,12978.0,12978.0,687.83,15573.6,58
CPT,77012,"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation ",,,809.0,2469.0,17
CPT,77013,"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation ",,,809.0,2469.0,17
CPT,77021,"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation ",,,1075.0,2469.0,29
CPT,77022,"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation ",,,1075.0,2469.0,29
CPT,77031,STEREOTACT GUIDE FOR BRST BX ,,,,,0
CPT,77032,GUIDANCE FOR NEEDLE BREAST ,,,,,0
CPT,77046,MRI BREAST WO CONT LT,1017.0,1017.0,87.46,1220.4,31
CPT,77046,MRI BREAST WO CONT RT,1017.0,1017.0,87.46,1220.4,31
CPT,77046,MRI BREAST WO CONT UNI,1017.0,1017.0,87.46,1220.4,31
CPT,77046,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,391.22,2118.0,13
CPT,77047,MRI BREAST WO CONT BI,3147.0,3147.0,270.64,3776.4,31
CPT,77047,"Magnetic resonance imaging, breast, without contrast material; bilateral ",3147.0,3147.0,391.22,2118.0,13
CPT,77048,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,482.85,2118.0,13
CPT,77049,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,480.47,2118.0,13
CPT,77051,COMPUTER DX MAMMOGRAM ADD-ON ,,,,,0
CPT,77052,COMP SCREEN MAMMOGRAM ADD-ON ,,,,,0
CPT,77053,"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation ",2067.0,2067.0,391.22,391.22,2
CPT,77053,XR MAMMARY DUCTO SGL,2067.0,2067.0,177.76,2480.4,31
CPT,77054,"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation ",2851.0,2851.0,391.22,391.22,2
CPT,77054,XR MAMMARY DCT/GL MUL,2851.0,2851.0,245.19,3421.2,31
CPT,77055,MAMMOGRAM ONE BREAST ,,,,,0
CPT,77056,MAMMOGRAM BOTH BREASTS ,,,,,0
CPT,77057,MAMMOGRAM SCREENING ,,,,,0
CPT,77058,"MAGNETIC RESONANCE IMAGING, BREAST, WITHOUT AND/OR WITH CONTRAST MATERIAL(S); UNILATERAL ",,,,,0
CPT,77059,"MAGNETIC RESONANCE IMAGING, BREAST, WITHOUT AND/OR WITH CONTRAST MATERIAL(S); BILATERAL ",,,,,0
CPT,77061,Diagnostic digital breast tomosynthesis; unilateral ,,,100.31,155.41,3
CPT,77062,Diagnostic digital breast tomosynthesis; bilateral ,,,127.88,198.71,3
CPT,77063,BREAST TOMO SCREENING,168.0,168.0,14.45,201.6,31
CPT,77063,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",168.0,168.0,23.61,74.24,35
CPT,77063,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) Trauma",,,58.42,58.42,6
CPT,77065,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,87.5,275.11,35
CPT,77065,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Trauma",,,216.48,216.48,6
CPT,77065,MAMMO DIAG CAD UNI LT,942.0,942.0,81.01,1130.4,31
CPT,77065,MAMMO DIAG CAD UNI RT,942.0,942.0,81.01,1130.4,31
CPT,77066,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",1180.0,1180.0,112.6,354.04,35
CPT,77066,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Trauma",,,278.59,278.59,6
CPT,77066,MAMMO DIAG CAD BI,1180.0,1180.0,101.48,1416.0,31
CPT,77067,MAMMO SCR CAD BI,652.0,652.0,56.07,782.4,31
CPT,77067,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",652.0,652.0,92.57,291.03,35
CPT,77067,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Trauma",,,229.01,229.01,6
CPT,77071,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,137.53,137.53,8
CPT,77071,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated UNSCHEDULED",,,103.64,105.83,3
CPT,77072,Bone age studies ,,,185.25,185.25,8
CPT,77072,Bone age studies UNSCHEDULED,,,229.27,234.1,3
CPT,77072,XR BONE AGE STUDIES,2040.0,2040.0,175.44,2448.0,62
CPT,77073,"Bone length studies (orthoroentgenogram, scanogram) ",,,185.25,185.25,8
CPT,77073,"Bone length studies (orthoroentgenogram, scanogram) UNSCHEDULED",,,229.27,234.1,3
CPT,77073,XR BONE LENGTH STUDIES,1121.0,1121.0,96.41,1345.2,124
CPT,77074,"Radiologic examination, osseous survey; limited (eg, for metastases) ",1072.0,1072.0,185.25,185.25,8
CPT,77074,"Radiologic examination, osseous survey; limited (eg, for metastases) UNSCHEDULED",1072.0,1072.0,229.27,234.1,3
CPT,77074,XR BONE SURVEY LTD,1072.0,1072.0,92.19,1286.4,31
CPT,77075,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,185.25,185.25,8
CPT,77075,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) UNSCHEDULED",,,229.27,234.1,3
CPT,77075,XR BONE SURVEY COMP,2135.0,2135.0,183.61,2562.0,155
CPT,77076,"Radiologic examination, osseous survey, infant ",,,185.25,185.25,8
CPT,77076,"Radiologic examination, osseous survey, infant UNSCHEDULED",,,229.27,234.1,3
CPT,77076,XR BONE SURVEY INFANT,1055.0,1055.0,90.73,1266.0,62
CPT,77077,"Joint survey, single view, 2 or more joints (specify) ",608.0,608.0,185.25,185.25,8
CPT,77077,"Joint survey, single view, 2 or more joints (specify) UNSCHEDULED",608.0,608.0,354.9,362.37,3
CPT,77077,XR JOINT SURVEY 1 V,608.0,608.0,52.29,729.6,31
CPT,77078,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,137.53,2469.0,21
CPT,77078,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) UNSCHEDULED",,,229.27,234.1,3
CPT,77079,CT BONE DENSITY PERIPHERAL ,,,,,0
CPT,77079,CT BONE DENSITY PERIPHERAL UNSCHEDULED,,,229.27,234.1,3
CPT,77080,DXA BONE DENSITY AXIAL,3176.0,3176.0,49.02,6938.4,62
CPT,77080,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,185.25,185.25,8
CPT,77080,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) UNSCHEDULED",,,229.27,234.1,3
CPT,77081,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,137.53,137.53,8
CPT,77081,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) UNSCHEDULED",,,229.27,234.1,3
CPT,77082,DXA BONE DENSITY VERT FX ,,,,,0
CPT,77082,DXA BONE DENSITY VERT FX UNSCHEDULED,,,229.27,234.1,3
CPT,77083,RADIOGRAPHIC ABSORPTIOMETRY ,,,,,0
CPT,77083,RADIOGRAPHIC ABSORPTIOMETRY UNSCHEDULED,,,229.27,234.1,3
CPT,77084,MRI BONE MARROW BLD,9328.0,9328.0,802.21,11193.6,28
CPT,77084,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",9328.0,9328.0,391.22,2469.0,37
CPT,77084,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply UNSCHEDULED",9328.0,9328.0,229.27,234.1,3
CPT,77085,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,185.25,185.25,8
CPT,77085,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment UNSCHEDULED",,,229.27,234.1,3
CPT,77086,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,137.53,137.53,8
CPT,77086,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) UNSCHEDULED,,,229.27,234.1,3
CPT,77089,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,70.6,70.6,8
CPT,77090,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,140.44,140.44,8
CPT,77091,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,140.44,140.44,8
CPT,77092,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,17.65,17.65,8
CPT,77261,Therapeutic radiology treatment planning; simple ,,,61.35,61.35,1
CPT,77261,Therapeutic radiology treatment planning; simple UNSCHEDULED,,,3045.43,3109.55,3
CPT,77262,Therapeutic radiology treatment planning; intermediate ,,,94.74,94.74,1
CPT,77262,Therapeutic radiology treatment planning; intermediate UNSCHEDULED,,,3045.43,3109.55,3
CPT,77263,Therapeutic radiology treatment planning; complex ,,,150.86,10400.0,2
CPT,77263,Therapeutic radiology treatment planning; complex 1st Session,,,13000.0,13000.0,1
CPT,77263,Therapeutic radiology treatment planning; complex 2nd-5th Sessions,,,9500.0,9500.0,1
CPT,77263,Therapeutic radiology treatment planning; complex Cyber Knife,,,6000.0,6000.0,1
CPT,77263,Therapeutic radiology treatment planning; complex UNSCHEDULED,,,3045.43,3109.55,3
CPT,77280,Therapeutic radiology simulation-aided field setting; simple ,,,10400.0,10400.0,1
CPT,77280,Therapeutic radiology simulation-aided field setting; simple 1st Session,,,13000.0,13000.0,1
CPT,77280,Therapeutic radiology simulation-aided field setting; simple 2nd-5th Sessions,,,9500.0,9500.0,1
CPT,77280,Therapeutic radiology simulation-aided field setting; simple Cyber Knife,,,6000.0,6000.0,1
CPT,77280,Therapeutic radiology simulation-aided field setting; simple UNSCHEDULED,,,3045.43,3109.55,3
CPT,77285,Therapeutic radiology simulation-aided field setting; intermediate ,,,10400.0,10400.0,1
CPT,77285,Therapeutic radiology simulation-aided field setting; intermediate 1st Session,,,13000.0,13000.0,1
CPT,77285,Therapeutic radiology simulation-aided field setting; intermediate 2nd-5th Sessions,,,9500.0,9500.0,1
CPT,77285,Therapeutic radiology simulation-aided field setting; intermediate Cyber Knife,,,6000.0,6000.0,1
CPT,77285,Therapeutic radiology simulation-aided field setting; intermediate UNSCHEDULED,,,3045.43,3109.55,3
CPT,77290,Therapeutic radiology simulation-aided field setting; complex ,,,10400.0,10400.0,1
CPT,77290,Therapeutic radiology simulation-aided field setting; complex 1st Session,,,13000.0,13000.0,1
CPT,77290,Therapeutic radiology simulation-aided field setting; complex 2nd-5th Sessions,,,9500.0,9500.0,1
CPT,77290,Therapeutic radiology simulation-aided field setting; complex Cyber Knife,,,6000.0,6000.0,1
CPT,77290,Therapeutic radiology simulation-aided field setting; complex UNSCHEDULED,,,3045.43,3109.55,3
CPT,77293,Respiratory motion management simulation (List separately in addition to code for primary procedure) ,,,10400.0,10400.0,1
CPT,77293,Respiratory motion management simulation (List separately in addition to code for primary procedure) 1st Session,,,13000.0,13000.0,1
CPT,77293,Respiratory motion management simulation (List separately in addition to code for primary procedure) 2nd-5th Sessions,,,9500.0,9500.0,1
CPT,77293,Respiratory motion management simulation (List separately in addition to code for primary procedure) Cyber Knife,,,6000.0,6000.0,1
CPT,77293,Respiratory motion management simulation (List separately in addition to code for primary procedure) UNSCHEDULED,,,3045.43,3109.55,3
CPT,77295,"3-dimensional radiotherapy plan, including dose-volume histograms ",,,10400.0,10400.0,1
CPT,77295,"3-dimensional radiotherapy plan, including dose-volume histograms 1st Session",,,13000.0,13000.0,1
CPT,77295,"3-dimensional radiotherapy plan, including dose-volume histograms 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77295,"3-dimensional radiotherapy plan, including dose-volume histograms Cyber Knife",,,6000.0,6000.0,1
CPT,77295,"3-dimensional radiotherapy plan, including dose-volume histograms UNSCHEDULED",,,1835.22,1873.86,3
CPT,77299,"Unlisted procedure, therapeutic radiology clinical treatment planning ",,,10400.0,10400.0,1
CPT,77299,"Unlisted procedure, therapeutic radiology clinical treatment planning 1st Session",,,13000.0,13000.0,1
CPT,77299,"Unlisted procedure, therapeutic radiology clinical treatment planning 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77299,"Unlisted procedure, therapeutic radiology clinical treatment planning Cyber Knife",,,6000.0,6000.0,1
CPT,77299,"Unlisted procedure, therapeutic radiology clinical treatment planning UNSCHEDULED",,,1835.22,1873.86,3
CPT,77300,"Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and ",2216.0,2216.0,559.05,13000.0,7
CPT,77300,TR DOSIMETRY BASIC,2216.0,2216.0,190.58,2659.2,31
CPT,77301,"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications ",,,10400.0,10400.0,1
CPT,77301,"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications 1st Session",,,13000.0,13000.0,1
CPT,77301,"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77301,"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications Cyber Knife",,,6000.0,6000.0,1
CPT,77301,"Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications UNSCHEDULED",,,4016.95,4101.52,3
CPT,77305,TELETX ISODOSE PLAN SIMPLE ,,,,,0
CPT,77305,TELETX ISODOSE PLAN SIMPLE UNSCHEDULED,,,1835.22,1873.86,3
CPT,77306,"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s) ",,,10400.0,10400.0,1
CPT,77306,"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s) 1st Session",,,13000.0,13000.0,1
CPT,77306,"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s) 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77306,"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s) Cyber Knife",,,6000.0,6000.0,1
CPT,77306,"Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s) UNSCHEDULED",,,1835.22,1873.86,3
CPT,77307,"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s) ",,,10400.0,10400.0,1
CPT,77307,"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s) 1s",,,13000.0,13000.0,1
CPT,77307,"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s) 2n",,,9500.0,9500.0,1
CPT,77307,"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s) Cy",,,6000.0,6000.0,1
CPT,77307,"Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s) UN",,,3583.54,3658.99,3
CPT,77310,TELETX ISODOSE PLAN INTERMED ,,,,,0
CPT,77310,TELETX ISODOSE PLAN INTERMED UNSCHEDULED,,,1835.22,1873.86,3
CPT,77315,TELETX ISODOSE PLAN COMPLEX ,,,,,0
CPT,77315,TELETX ISODOSE PLAN COMPLEX UNSCHEDULED,,,1835.22,1873.86,3
CPT,77316,"Brachytherapy isodose plan; simple (calculationºs» made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s) ",,,10400.0,10400.0,1
CPT,77316,"Brachytherapy isodose plan; simple (calculationºs» made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s) 1st Session",,,13000.0,13000.0,1
CPT,77316,"Brachytherapy isodose plan; simple (calculationºs» made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s) 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77316,"Brachytherapy isodose plan; simple (calculationºs» made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s) Cyber Knife",,,6000.0,6000.0,1
CPT,77316,"Brachytherapy isodose plan; simple (calculationºs» made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s) UNSCHEDULED",,,1835.22,1873.86,3
CPT,77317,"Brachytherapy isodose plan; intermediate (calculationºs» made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s) ",,,10400.0,10400.0,1
CPT,77317,"Brachytherapy isodose plan; intermediate (calculationºs» made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s) 1st Session",,,13000.0,13000.0,1
CPT,77317,"Brachytherapy isodose plan; intermediate (calculationºs» made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s) 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77317,"Brachytherapy isodose plan; intermediate (calculationºs» made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s) Cyber Knife",,,6000.0,6000.0,1
CPT,77317,"Brachytherapy isodose plan; intermediate (calculationºs» made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s) UNSCHEDULED",,,1835.22,1873.86,3
CPT,77318,"Brachytherapy isodose plan; complex (calculationºs» made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s) ",,,10400.0,10400.0,1
CPT,77318,"Brachytherapy isodose plan; complex (calculationºs» made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s) 1st Session",,,13000.0,13000.0,1
CPT,77318,"Brachytherapy isodose plan; complex (calculationºs» made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s) 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77318,"Brachytherapy isodose plan; complex (calculationºs» made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s) Cyber Knife",,,6000.0,6000.0,1
CPT,77318,"Brachytherapy isodose plan; complex (calculationºs» made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s) UNSCHEDULED",,,1835.22,1873.86,3
CPT,77321,"Special teletherapy port plan, particles, hemibody, total body ",,,10400.0,10400.0,1
CPT,77321,"Special teletherapy port plan, particles, hemibody, total body 1st Session",,,13000.0,13000.0,1
CPT,77321,"Special teletherapy port plan, particles, hemibody, total body 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77321,"Special teletherapy port plan, particles, hemibody, total body Cyber Knife",,,6000.0,6000.0,1
CPT,77321,"Special teletherapy port plan, particles, hemibody, total body UNSCHEDULED",,,1835.22,1873.86,3
CPT,77326,BRACHYTX ISODOSE CALC SIMP ,,,,,0
CPT,77326,BRACHYTX ISODOSE CALC SIMP UNSCHEDULED,,,1835.22,1873.86,3
CPT,77327,BRACHYTX ISODOSE CALC INTERM ,,,,,0
CPT,77327,BRACHYTX ISODOSE CALC INTERM UNSCHEDULED,,,1835.22,1873.86,3
CPT,77328,BRACHYTX ISODOSE PLAN COMPL ,,,,,0
CPT,77328,BRACHYTX ISODOSE PLAN COMPL UNSCHEDULED,,,1835.22,1873.86,3
CPT,77331,"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician ",,,10400.0,10400.0,1
CPT,77331,"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician 1st Session",,,13000.0,13000.0,1
CPT,77331,"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77331,"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician Cyber Knife",,,6000.0,6000.0,1
CPT,77331,"Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician UNSCHEDULED",,,1835.22,1873.86,3
CPT,77332,"Treatment devices, design and construction; simple (simple block, simple bolus) ",,,10400.0,10400.0,1
CPT,77332,"Treatment devices, design and construction; simple (simple block, simple bolus) 1st Session",,,13000.0,13000.0,1
CPT,77332,"Treatment devices, design and construction; simple (simple block, simple bolus) 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77332,"Treatment devices, design and construction; simple (simple block, simple bolus) Cyber Knife",,,6000.0,6000.0,1
CPT,77332,"Treatment devices, design and construction; simple (simple block, simple bolus) UNSCHEDULED",,,1835.22,1873.86,3
CPT,77333,"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus) ",,,10400.0,10400.0,1
CPT,77333,"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus) 1st Session",,,13000.0,13000.0,1
CPT,77333,"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus) 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77333,"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus) Cyber Knife",,,6000.0,6000.0,1
CPT,77333,"Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus) UNSCHEDULED",,,1835.22,1873.86,3
CPT,77334,"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts) ",,,10400.0,10400.0,1
CPT,77334,"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts) 1st Session",,,13000.0,13000.0,1
CPT,77334,"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts) 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77334,"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts) Cyber Knife",,,6000.0,6000.0,1
CPT,77334,"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts) UNSCHEDULED",,,1835.22,1873.86,3
CPT,77336,"Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation onc",,,1835.22,13000.0,7
CPT,77338,"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan ",,,10400.0,10400.0,1
CPT,77338,"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan 1st Session",,,13000.0,13000.0,1
CPT,77338,"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77338,"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan Cyber Knife",,,6000.0,6000.0,1
CPT,77338,"Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan UNSCHEDULED",,,752.72,768.57,3
CPT,77370,Special medical radiation physics consultation ,3281.0,3281.0,10400.0,10400.0,1
CPT,77370,Special medical radiation physics consultation 1st Session,3281.0,3281.0,13000.0,13000.0,1
CPT,77370,Special medical radiation physics consultation 2nd-5th Sessions,3281.0,3281.0,9500.0,9500.0,1
CPT,77370,Special medical radiation physics consultation Cyber Knife,3281.0,3281.0,6000.0,6000.0,1
CPT,77370,Special medical radiation physics consultation UNSCHEDULED,3281.0,3281.0,1835.22,1873.86,3
CPT,77370,TR MED PHYSICS SPECIAL,3281.0,3281.0,282.17,3937.2,31
CPT,77371,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based ",,,6349.0,65000.0,20
CPT,77371,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based 1st session",,,12545.0,13000.0,2
CPT,77371,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77371,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based Cyber Knife",,,6000.0,6000.0,1
CPT,77371,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based Gamma Knife",,,18000.0,18000.0,1
CPT,77371,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based Initial",,,10400.0,10400.0,1
CPT,77372,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based ",,,6349.0,65000.0,19
CPT,77372,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based 1st session",,,12545.0,13000.0,2
CPT,77372,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77372,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based Cyber Knife",,,6000.0,6000.0,1
CPT,77372,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based Initial",,,10400.0,10400.0,1
CPT,77373,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions ",,,6349.0,23036.0,19
CPT,77373,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions 1st Session",,,13000.0,13000.0,1
CPT,77373,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions 2nd-5th sessions",,,5308.0,9500.0,2
CPT,77373,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions Cyber Knife",,,6000.0,6000.0,1
CPT,77373,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions Session 2-5",,,5164.0,5164.0,1
CPT,77380,Proton beam delivery ,,,,,0
CPT,77381,Proton beam treatment ,,,,,0
CPT,77385,"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple ",,,,,0
CPT,77385,"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple UNSCHEDULED",,,1373.53,1402.45,3
CPT,77386,"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex ",,,,,0
CPT,77386,"Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex UNSCHEDULED",,,1927.34,1967.92,3
CPT,77387,"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed ",,,10400.0,10400.0,1
CPT,77387,"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed 1st Session",,,13000.0,13000.0,1
CPT,77387,"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77387,"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed Cyber Knife",,,6000.0,6000.0,1
CPT,77387,"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed UNSCHEDULED",,,1373.53,1402.45,3
CPT,77399,"Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services ",,,10400.0,10400.0,1
CPT,77399,"Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services 1st Session",,,13000.0,13000.0,1
CPT,77399,"Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77399,"Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services Cyber Knife",,,6000.0,6000.0,1
CPT,77399,"Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services UNSCHEDULED",,,1373.53,1402.45,3
CPT,77401,"Radiation treatment delivery, superficial and/or ortho voltage, per day ",,,,,0
CPT,77401,"Radiation treatment delivery, superficial and/or ortho voltage, per day UNSCHEDULED",,,1373.53,1402.45,3
CPT,77402,"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed ",,,10400.0,10400.0,1
CPT,77402,"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed 1st Session",,,13000.0,13000.0,1
CPT,77402,"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77402,"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed Cyber Knife",,,6000.0,6000.0,1
CPT,77402,"Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed UNSCHEDULED",,,1373.53,1402.45,3
CPT,77403,RADIATION TREATMENT DELIVERY ,,,,,0
CPT,77403,RADIATION TREATMENT DELIVERY UNSCHEDULED,,,1373.53,1402.45,3
CPT,77404,RADIATION TREATMENT DELIVERY ,,,,,0
CPT,77404,RADIATION TREATMENT DELIVERY UNSCHEDULED,,,1373.53,1402.45,3
CPT,77406,RADIATION TREATMENT DELIVERY ,,,,,0
CPT,77406,RADIATION TREATMENT DELIVERY UNSCHEDULED,,,1373.53,1402.45,3
CPT,77407,"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed ",,,10400.0,10400.0,1
CPT,77407,"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed 1st Session",,,13000.0,13000.0,1
CPT,77407,"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77407,"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed Cyber Knife",,,6000.0,6000.0,1
CPT,77407,"Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed UNSCHEDULED",,,1373.53,1402.45,3
CPT,77408,RADIATION TREATMENT DELIVERY ,,,,,0
CPT,77408,RADIATION TREATMENT DELIVERY UNSCHEDULED,,,1373.53,1402.45,3
CPT,77409,RADIATION TREATMENT DELIVERY ,,,,,0
CPT,77409,RADIATION TREATMENT DELIVERY UNSCHEDULED,,,1373.53,1402.45,3
CPT,77411,RADIATION TREATMENT DELIVERY ,,,,,0
CPT,77411,RADIATION TREATMENT DELIVERY UNSCHEDULED,,,1373.53,1402.45,3
CPT,77412,"Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin ",,,819.73,13000.0,7
CPT,77413,RADIATION TREATMENT DELIVERY ,,,,,0
CPT,77413,RADIATION TREATMENT DELIVERY UNSCHEDULED,,,1373.53,1402.45,3
CPT,77414,RADIATION TREATMENT DELIVERY ,,,,,0
CPT,77414,RADIATION TREATMENT DELIVERY UNSCHEDULED,,,1373.53,1402.45,3
CPT,77416,RADIATION TREATMENT DELIVERY ,,,,,0
CPT,77416,RADIATION TREATMENT DELIVERY UNSCHEDULED,,,1373.53,1402.45,3
CPT,77417,Therapeutic radiology port image(s) ,,,10400.0,10400.0,1
CPT,77417,Therapeutic radiology port image(s) 1st Session,,,13000.0,13000.0,1
CPT,77417,Therapeutic radiology port image(s) 2nd-5th Sessions,,,9500.0,9500.0,1
CPT,77417,Therapeutic radiology port image(s) Cyber Knife,,,6000.0,6000.0,1
CPT,77417,Therapeutic radiology port image(s) UNSCHEDULED,,,1373.53,1402.45,3
CPT,77418,RADIATION TX DELIVERY IMRT ,,,,,0
CPT,77418,RADIATION TX DELIVERY IMRT UNSCHEDULED,,,1373.53,1402.45,3
CPT,77419,Wkly Rtx mgmt-conformal ,,,,,0
CPT,77419,Wkly Rtx mgmt-conformal UNSCHEDULED,,,1373.53,1402.45,3
CPT,77420,Weekly Rtx mgmt-simple ,,,,,0
CPT,77420,Weekly Rtx mgmt-simple UNSCHEDULED,,,1373.53,1402.45,3
CPT,77421,STEREOSCOPIC X-RAY GUIDANCE ,,,,,0
CPT,77421,STEREOSCOPIC X-RAY GUIDANCE UNSCHEDULED,,,1373.53,1402.45,3
CPT,77422,HHigh energy neutron radiation treatment delivery; single treatment area using a single port or parallel-opposed ports with no blocks or simple blocking ,,,,,0
CPT,77422,HHigh energy neutron radiation treatment delivery; single treatment area using a single port or parallel-opposed ports with no blocks or simple blocking UNSCHEDULED,,,1373.53,1402.45,3
CPT,77423,"High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s) ",,,10400.0,10400.0,1
CPT,77423,"High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s) 1st Session",,,13000.0,13000.0,1
CPT,77423,"High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s) 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77423,"High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s) Cyber Knife",,,6000.0,6000.0,1
CPT,77423,"High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s) UNSCHEDULED",,,1373.53,1402.45,3
CPT,77424,"Intraoperative radiation treatment delivery, x-ray, single treatment session ",,,10400.0,10400.0,1
CPT,77424,"Intraoperative radiation treatment delivery, x-ray, single treatment session 1st Session",,,13000.0,13000.0,1
CPT,77424,"Intraoperative radiation treatment delivery, x-ray, single treatment session 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77424,"Intraoperative radiation treatment delivery, x-ray, single treatment session Cyber Knife",,,6000.0,6000.0,1
CPT,77424,"Intraoperative radiation treatment delivery, x-ray, single treatment session UNSCHEDULED",,,1373.53,1402.45,3
CPT,77425,"Intraoperative radiation treatment delivery, electrons, single treatment session ",,,10400.0,10400.0,1
CPT,77425,"Intraoperative radiation treatment delivery, electrons, single treatment session 1st Session",,,13000.0,13000.0,1
CPT,77425,"Intraoperative radiation treatment delivery, electrons, single treatment session 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77425,"Intraoperative radiation treatment delivery, electrons, single treatment session Cyber Knife",,,6000.0,6000.0,1
CPT,77425,"Intraoperative radiation treatment delivery, electrons, single treatment session UNSCHEDULED",,,1373.53,1402.45,3
CPT,77427,"Radiation treatment management, 5 treatments ",,,174.56,10400.0,2
CPT,77427,"Radiation treatment management, 5 treatments 1st Session",,,13000.0,13000.0,1
CPT,77427,"Radiation treatment management, 5 treatments 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77427,"Radiation treatment management, 5 treatments Cyber Knife",,,6000.0,6000.0,1
CPT,77430,Weekly Rtx mgmt-complex ,,,,,0
CPT,77431,Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only ,,,95.21,10400.0,2
CPT,77431,Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only 1st Session,,,13000.0,13000.0,1
CPT,77431,Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only 2nd-5th Sessions,,,9500.0,9500.0,1
CPT,77431,Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only Cyber Knife,,,6000.0,6000.0,1
CPT,77432,Stereotactic radiation treatment management of cranial lesion(s) (complete course of treatment consisting of 1 session) ,,,380.37,16132.0,3
CPT,77432,Stereotactic radiation treatment management of cranial lesion(s) (complete course of treatment consisting of 1 session) 1st Session,,,13000.0,13000.0,1
CPT,77432,Stereotactic radiation treatment management of cranial lesion(s) (complete course of treatment consisting of 1 session) 2nd-5th Sessions,,,9500.0,9500.0,1
CPT,77432,Stereotactic radiation treatment management of cranial lesion(s) (complete course of treatment consisting of 1 session) Cyber Knife,,,6000.0,6000.0,1
CPT,77435,"Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions ",,,10400.0,16132.0,2
CPT,77435,"Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions 1st Session",,,13000.0,13000.0,1
CPT,77435,"Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77435,"Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions Cyber Knife",,,6000.0,6000.0,1
CPT,77436,"Surface radiation therapy; superficial or orthovoltage, treatment planning and simulation-aided field setting ",,,10400.0,10400.0,1
CPT,77436,"Surface radiation therapy; superficial or orthovoltage, treatment planning and simulation-aided field setting 1st Session",,,13000.0,13000.0,1
CPT,77436,"Surface radiation therapy; superficial or orthovoltage, treatment planning and simulation-aided field setting 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77436,"Surface radiation therapy; superficial or orthovoltage, treatment planning and simulation-aided field setting Cyber Knife",,,6000.0,6000.0,1
CPT,77437,"Surface radiation therapy; superficial, delivery, </=150 kV, per fraction (eg, electronic brachytherapy) ",,,10400.0,10400.0,1
CPT,77437,"Surface radiation therapy; superficial, delivery, </=150 kV, per fraction (eg, electronic brachytherapy) 1st Session",,,13000.0,13000.0,1
CPT,77437,"Surface radiation therapy; superficial, delivery, </=150 kV, per fraction (eg, electronic brachytherapy) 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77437,"Surface radiation therapy; superficial, delivery, </=150 kV, per fraction (eg, electronic brachytherapy) Cyber Knife",,,6000.0,6000.0,1
CPT,77438,"Surface radiation therapy; orthovoltage, delivery, >150-500 kV, per fraction ",,,10400.0,10400.0,1
CPT,77438,"Surface radiation therapy; orthovoltage, delivery, >150-500 kV, per fraction 1st Session",,,13000.0,13000.0,1
CPT,77438,"Surface radiation therapy; orthovoltage, delivery, >150-500 kV, per fraction 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77438,"Surface radiation therapy; orthovoltage, delivery, >150-500 kV, per fraction Cyber Knife",,,6000.0,6000.0,1
CPT,77439,"Surface radiation therapy; superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of treatment (List separately",,,6000.0,13000.0,4
CPT,77469,Intraoperative radiation treatment management ,,,10400.0,10400.0,1
CPT,77469,Intraoperative radiation treatment management 1st Session,,,13000.0,13000.0,1
CPT,77469,Intraoperative radiation treatment management 2nd-5th Sessions,,,9500.0,9500.0,1
CPT,77469,Intraoperative radiation treatment management Cyber Knife,,,6000.0,6000.0,1
CPT,77470,"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation) ",,,10400.0,10400.0,1
CPT,77470,"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation) 1st Session",,,13000.0,13000.0,1
CPT,77470,"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation) 2nd-5th Sessions",,,9500.0,9500.0,1
CPT,77470,"Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation) Cyber Knife",,,6000.0,6000.0,1
CPT,77499,"Unlisted procedure, therapeutic radiology treatment management ",,,,,0
CPT,77520,"Proton treatment delivery; simple, without compensation ",,,,,0
CPT,77522,"Proton treatment delivery; simple, with compensation ",,,,,0
CPT,77523,Proton treatment delivery; intermediate ,,,,,0
CPT,77525,Proton treatment delivery; complex ,,,,,0
CPT,77600,"Hyperthermia, externally generated; superficial (ie, heating to a depth of 4 cm or less) ",,,,,0
CPT,77605,"Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) ",,,,,0
CPT,77610,Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators ,,,,,0
CPT,77615,Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators ,,,,,0
CPT,77620,Hyperthermia generated by intracavitary probe(s) ,,,653.96,653.96,1
CPT,77750,Infusion or instillation of radioelement solution (includes 3-month follow-up care) ,,,,,0
CPT,77761,Intracavitary radiation source application; simple ,,,,,0
CPT,77762,Intracavitary radiation source application; intermediate ,,,,,0
CPT,77763,Intracavitary radiation source application; complex ,,,,,0
CPT,77767,"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel ",,,,,0
CPT,77768,"Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions ",,,,,0
CPT,77770,"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel ",,,,,0
CPT,77771,"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels ",,,,,0
CPT,77772,"Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels ",,,,,0
CPT,77776,APPLY INTERSTIT RADIAT SIMPL ,,,,,0
CPT,77777,APPLY INTERSTIT RADIAT INTER ,,,,,0
CPT,77778,CB INTERST APP COMP,5832.0,5832.0,501.55,6998.4,31
CPT,77778,"Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed ",5832.0,5832.0,,,0
CPT,77781,HIGH INTENSITY BRACHYTHERAPY ,,,,,0
CPT,77782,HIGH INTENSITY BRACHYTHERAPY ,,,,,0
CPT,77783,HIGH INTENSITY BRACHYTHERAPY ,,,,,0
CPT,77784,HIGH INTENSITY BRACHYTHERAPY ,,,,,0
CPT,77785,HDR BRACHYTX 1 CHANNEL ,,,,,0
CPT,77786,HDR BRACHYTX 2-12 CHANNEL ,,,,,0
CPT,77787,HDR BRACHYTX OVER 12 CHAN ,,,,,0
CPT,77789,Surface application of low dose rate radionuclide source ,,,,,0
CPT,77789,Surface application of low dose rate radionuclide source 1st Session,,,13000.0,13000.0,1
CPT,77789,Surface application of low dose rate radionuclide source 2nd-5th Sessions,,,9500.0,9500.0,1
CPT,77789,Surface application of low dose rate radionuclide source Cyber Knife,,,6000.0,6000.0,1
CPT,77790,RAD HAND/LOAD,1458.0,1458.0,77.27,1749.6,32
CPT,77790,"Supervision, handling, loading of radiation source ",1458.0,1458.0,,,0
CPT,77799,"Unlisted procedure, clinical brachytherapy ",,,,,0
CPT,78000,THYROID SINGLE UPTAKE ,,,,,0
CPT,78001,THYROID MULTIPLE UPTAKES ,,,,,0
CPT,78003,THYROID SUPPRESS/STIMUL ,,,,,0
CPT,78006,THYROID IMAGING WITH UPTAKE ,,,,,0
CPT,78007,THYROID IMAGE MULT UPTAKES ,,,,,0
CPT,78010,THYROID IMAGING ,,,,,0
CPT,78011,THYROID IMAGING WITH FLOW ,,,,,0
CPT,78012,NM THYROID UPTAKE W STIM,735.0,735.0,63.21,882.0,31
CPT,78012,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",735.0,735.0,641.1,641.1,4
CPT,78012,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) UNSCHEDULED",735.0,735.0,2208.96,2255.46,3
CPT,78013,NM THYROID SCAN W/FL,972.0,972.0,83.59,1166.4,31
CPT,78013,"Thyroid imaging (including vascular flow, when performed); ",972.0,972.0,641.1,641.1,4
CPT,78013,"Thyroid imaging (including vascular flow, when performed); UNSCHEDULED",972.0,972.0,2208.96,2255.46,3
CPT,78014,NM THYROID SCN UP/STIM V,1508.0,1508.0,129.69,1809.6,31
CPT,78014,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",1508.0,1508.0,641.1,641.1,4
CPT,78014,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) UNSCHEDULED",1508.0,1508.0,2208.96,2255.46,3
CPT,78015,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",,,641.1,641.1,4
CPT,78015,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) UNSCHEDULED",,,2208.96,2255.46,3
CPT,78016,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",,,641.1,641.1,4
CPT,78016,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) UNSCHEDULED",,,2208.96,2255.46,3
CPT,78018,NM THYROID METS W BDY,2835.0,2835.0,243.81,3402.0,31
CPT,78018,Thyroid carcinoma metastases imaging; whole body ,2835.0,2835.0,831.98,831.98,4
CPT,78018,Thyroid carcinoma metastases imaging; whole body UNSCHEDULED,2835.0,2835.0,2208.96,2255.46,3
CPT,78020,Thyroid carcinoma metastases uptake (List separately in addition to code for primary procedure) ,,,,,0
CPT,78020,Thyroid carcinoma metastases uptake (List separately in addition to code for primary procedure) UNSCHEDULED,,,2208.96,2255.46,3
CPT,78070,NM PLANAR PARATHYROID,1635.0,1635.0,140.61,1962.0,31
CPT,78070,"Parathyroid planar imaging (including subtraction, when performed); ",1635.0,1635.0,641.1,641.1,4
CPT,78070,"Parathyroid planar imaging (including subtraction, when performed); UNSCHEDULED",1635.0,1635.0,2208.96,2255.46,3
CPT,78071,NM PARATHY SPECT,2079.0,2079.0,178.79,2494.8,31
CPT,78071,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",2079.0,2079.0,641.1,641.1,4
CPT,78071,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) UNSCHEDULED",2079.0,2079.0,2208.96,2255.46,3
CPT,78072,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",,,831.98,831.98,4
CPT,78072,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization UNSCHEDULED",,,2208.96,2255.46,3
CPT,78075,"Adrenal imaging, cortex and/or medulla ",,,2220.1,2220.1,4
CPT,78075,"Adrenal imaging, cortex and/or medulla UNSCHEDULED",,,2208.96,2255.46,3
CPT,78099,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,641.1,641.1,4
CPT,78099,"Unlisted endocrine procedure, diagnostic nuclear medicine UNSCHEDULED",,,2208.96,2255.46,3
CPT,78102,Bone marrow imaging; limited area ,,,641.1,641.1,4
CPT,78102,Bone marrow imaging; limited area UNSCHEDULED,,,2208.96,2255.46,3
CPT,78103,Bone marrow imaging; multiple areas ,,,641.1,641.1,4
CPT,78103,Bone marrow imaging; multiple areas UNSCHEDULED,,,2208.96,2255.46,3
CPT,78104,Bone marrow imaging; whole body ,,,641.1,641.1,4
CPT,78104,Bone marrow imaging; whole body UNSCHEDULED,,,2208.96,2255.46,3
CPT,78110,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,2220.1,2220.1,4
CPT,78110,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling UNSCHEDULED",,,2208.96,2255.46,3
CPT,78111,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,2220.1,2220.1,4
CPT,78111,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings UNSCHEDULED",,,2208.96,2255.46,3
CPT,78120,Red cell volume determination (separate procedure); single sampling ,,,641.1,641.1,4
CPT,78120,Red cell volume determination (separate procedure); single sampling UNSCHEDULED,,,2208.96,2255.46,3
CPT,78121,Red cell volume determination (separate procedure); multiple samplings ,,,831.98,831.98,4
CPT,78121,Red cell volume determination (separate procedure); multiple samplings UNSCHEDULED,,,2208.96,2255.46,3
CPT,78122,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,831.98,831.98,4
CPT,78122,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) UNSCHEDULED",,,2208.96,2255.46,3
CPT,78130,Red cell survival study ,,,641.1,641.1,4
CPT,78130,Red cell survival study UNSCHEDULED,,,2208.96,2255.46,3
CPT,78135,"RED CELL SURVIVAL STUDY; DIFFERENTIAL ORGAN/TISSUE KINETICS (EG, SPLENIC AND/OR HEPATIC SEQUESTRATION) ",,,,,0
CPT,78135,"RED CELL SURVIVAL STUDY; DIFFERENTIAL ORGAN/TISSUE KINETICS (EG, SPLENIC AND/OR HEPATIC SEQUESTRATION) UNSCHEDULED",,,2208.96,2255.46,3
CPT,78140,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",,,641.1,641.1,4
CPT,78140,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) UNSCHEDULED",,,2208.96,2255.46,3
CPT,78160,PLASMA IRON TURNOVER ,,,,,0
CPT,78160,PLASMA IRON TURNOVER UNSCHEDULED,,,2208.96,2255.46,3
CPT,78162,RADIOIRON ABSORPTION EXAM ,,,,,0
CPT,78162,RADIOIRON ABSORPTION EXAM UNSCHEDULED,,,2208.96,2255.46,3
CPT,78170,RED CELL IRON UTILIZATION ,,,,,0
CPT,78170,RED CELL IRON UTILIZATION UNSCHEDULED,,,2208.96,2255.46,3
CPT,78172,TOTAL BODY IRON ESTIMATION ,,,,,0
CPT,78172,TOTAL BODY IRON ESTIMATION UNSCHEDULED,,,2208.96,2255.46,3
CPT,78185,NM SPLEEN W&W/O FLOW,1894.0,1894.0,162.88,2272.8,31
CPT,78185,"Spleen imaging only, with or without vascular flow ",1894.0,1894.0,641.1,641.1,4
CPT,78185,"Spleen imaging only, with or without vascular flow UNSCHEDULED",1894.0,1894.0,2208.96,2255.46,3
CPT,78190,"HKinetics, study of platelet survival, with or without differential organ/tissue localization ",,,,,0
CPT,78190,"HKinetics, study of platelet survival, with or without differential organ/tissue localization UNSCHEDULED",,,2208.96,2255.46,3
CPT,78191,Platelet survival study ,,,641.1,641.1,4
CPT,78191,Platelet survival study UNSCHEDULED,,,2208.96,2255.46,3
CPT,78195,Lymphatics and lymph nodes imaging ,3165.0,3165.0,831.98,831.98,4
CPT,78195,Lymphatics and lymph nodes imaging UNSCHEDULED,3165.0,3165.0,2208.96,2255.46,3
CPT,78195,NM LYMPHIMAG,3165.0,3165.0,272.19,3798.0,31
CPT,78199,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,641.1,641.1,4
CPT,78199,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine UNSCHEDULED",,,2208.96,2255.46,3
CPT,78201,Liver imaging; static only ,2321.0,2321.0,831.98,831.98,4
CPT,78201,Liver imaging; static only UNSCHEDULED,2321.0,2321.0,2208.96,2255.46,3
CPT,78201,NM LIVER,2321.0,2321.0,199.61,2785.2,31
CPT,78202,Liver imaging; with vascular flow ,2321.0,2321.0,831.98,831.98,4
CPT,78202,Liver imaging; with vascular flow UNSCHEDULED,2321.0,2321.0,2208.96,2255.46,3
CPT,78202,NM LIVER W/FLOW,2321.0,2321.0,199.61,2785.2,31
CPT,78205,LIVER IMAGING (SPECT); ,,,,,0
CPT,78205,LIVER IMAGING (SPECT); UNSCHEDULED,,,2208.96,2255.46,3
CPT,78206,LIVER IMAGING (SPECT); WITH VASCULAR FLOW ,,,,,0
CPT,78206,LIVER IMAGING (SPECT); WITH VASCULAR FLOW UNSCHEDULED,,,2208.96,2255.46,3
CPT,78215,Liver and spleen imaging; static only ,9462.0,9462.0,641.1,641.1,4
CPT,78215,Liver and spleen imaging; static only UNSCHEDULED,9462.0,9462.0,2102.18,2146.44,3
CPT,78215,NM LIVER & SPLEEN,9462.0,9462.0,813.73,11354.4,31
CPT,78216,Liver and spleen imaging; with vascular flow ,,,641.1,641.1,4
CPT,78216,Liver and spleen imaging; with vascular flow UNSCHEDULED,,,2208.96,2255.46,3
CPT,78220,LIVER FUNCTION STUDY ,,,,,0
CPT,78220,LIVER FUNCTION STUDY UNSCHEDULED,,,2208.96,2255.46,3
CPT,78223,HEPATOBILIARY IMAGING ,,,,,0
CPT,78223,HEPATOBILIARY IMAGING UNSCHEDULED,,,2208.96,2255.46,3
CPT,78226,HEPA IMAG INCL GB,8021.0,8021.0,689.81,9625.2,31
CPT,78226,"Hepatobiliary system imaging, including gallbladder when present; ",8021.0,8021.0,641.1,641.1,4
CPT,78226,"Hepatobiliary system imaging, including gallbladder when present; UNSCHEDULED",8021.0,8021.0,1902.21,1942.26,3
CPT,78227,HEPA IMAG INCL GB W PHA,8021.0,8021.0,689.81,9625.2,31
CPT,78227,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",8021.0,8021.0,831.98,831.98,4
CPT,78227,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed UNSCHEDULED",8021.0,8021.0,1795.43,1833.23,3
CPT,78230,Salivary gland imaging; ,,,641.1,641.1,4
CPT,78230,Salivary gland imaging; UNSCHEDULED,,,2208.96,2255.46,3
CPT,78231,NM SALIVARY GLND W/SER,2320.0,2320.0,199.52,2784.0,31
CPT,78231,Salivary gland imaging; with serial images ,2320.0,2320.0,641.1,641.1,4
CPT,78231,Salivary gland imaging; with serial images UNSCHEDULED,2320.0,2320.0,2208.96,2255.46,3
CPT,78232,NM SALIVARY GLND FUNCT,3876.0,3876.0,333.34,4651.2,31
CPT,78232,Salivary gland function study ,3876.0,3876.0,641.1,641.1,4
CPT,78232,Salivary gland function study UNSCHEDULED,3876.0,3876.0,2208.96,2255.46,3
CPT,78258,Esophageal motility ,,,641.1,641.1,4
CPT,78258,Esophageal motility UNSCHEDULED,,,2208.96,2255.46,3
CPT,78261,Gastric mucosa imaging ,,,641.1,641.1,4
CPT,78261,Gastric mucosa imaging UNSCHEDULED,,,2208.96,2255.46,3
CPT,78262,Gastroesophageal reflux study ,,,641.1,641.1,4
CPT,78262,Gastroesophageal reflux study UNSCHEDULED,,,2208.96,2255.46,3
CPT,78264,"Gastric emptying imaging study (eg, solid, liquid, or both); ",5242.0,5242.0,641.1,641.1,4
CPT,78264,"Gastric emptying imaging study (eg, solid, liquid, or both); UNSCHEDULED",5242.0,5242.0,2208.96,2255.46,3
CPT,78264,NM GASTRIC EMPTYING,5242.0,5242.0,450.81,6290.4,31
CPT,78265,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",,,641.1,641.1,4
CPT,78265,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit UNSCHEDULED",,,2208.96,2255.46,3
CPT,78266,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",,,831.98,831.98,4
CPT,78266,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days UNSCHEDULED",,,2208.96,2255.46,3
CPT,78267,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,10.95,33.73,40
CPT,78267,"Urea breath test, C-14 (isotopic); acquisition for analysis Trauma",,,26.54,26.54,6
CPT,78267,"Urea breath test, C-14 (isotopic); acquisition for analysis UNSCHEDULED",,,2208.96,2255.46,3
CPT,78268,"Urea breath test, C-14 (isotopic); analysis ",,,93.47,287.95,40
CPT,78268,"Urea breath test, C-14 (isotopic); analysis Trauma",,,226.58,226.58,6
CPT,78268,"Urea breath test, C-14 (isotopic); analysis UNSCHEDULED",,,2208.96,2255.46,3
CPT,78270,"VITAMIN B-12 ABSORPTION STUDY (EG, SCHILLING TEST); WITHOUT INTRINSIC FACTOR ",,,,,0
CPT,78270,"VITAMIN B-12 ABSORPTION STUDY (EG, SCHILLING TEST); WITHOUT INTRINSIC FACTOR UNSCHEDULED",,,2208.96,2255.46,3
CPT,78271,"VITAMIN B-12 ABSORPTION STUDY (EG, SCHILLING TEST); WITH INTRINSIC FACTOR ",,,,,0
CPT,78271,"VITAMIN B-12 ABSORPTION STUDY (EG, SCHILLING TEST); WITH INTRINSIC FACTOR UNSCHEDULED",,,2208.96,2255.46,3
CPT,78272,"VITAMIN B-12 ABSORPTION STUDIES COMBINED, WITH AND WITHOUT INTRINSIC FACTOR ",,,,,0
CPT,78272,"VITAMIN B-12 ABSORPTION STUDIES COMBINED, WITH AND WITHOUT INTRINSIC FACTOR UNSCHEDULED",,,2208.96,2255.46,3
CPT,78278,Acute gastrointestinal blood loss imaging ,4573.0,4573.0,641.1,641.1,4
CPT,78278,Acute gastrointestinal blood loss imaging UNSCHEDULED,4573.0,4573.0,2208.96,2255.46,3
CPT,78278,NM ACUTE GI BLOOD LOSS,4573.0,4573.0,393.28,5487.6,31
CPT,78282,Gastrointestinal protein loss ,,,641.1,641.1,4
CPT,78282,Gastrointestinal protein loss UNSCHEDULED,,,2208.96,2255.46,3
CPT,78290,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",1824.0,1824.0,641.1,641.1,4
CPT,78290,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) UNSCHEDULED",1824.0,1824.0,2208.96,2255.46,3
CPT,78290,NM INTESTINE IMAGING,1824.0,1824.0,156.86,2188.8,31
CPT,78291,NM SHUNT PATENCY,1572.0,1572.0,135.19,1886.4,31
CPT,78291,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",1572.0,1572.0,641.1,641.1,4
CPT,78291,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) UNSCHEDULED",1572.0,1572.0,2208.96,2255.46,3
CPT,78299,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,641.1,641.1,4
CPT,78299,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine UNSCHEDULED",,,2208.96,2255.46,3
CPT,78300,Bone and/or joint imaging; limited area ,7257.0,7257.0,641.1,641.1,4
CPT,78300,Bone and/or joint imaging; limited area UNSCHEDULED,7257.0,7257.0,2208.96,2255.46,3
CPT,78300,NM BONE LIMITED,7257.0,7257.0,624.1,8708.4,31
CPT,78305,Bone and/or joint imaging; multiple areas ,,,641.1,641.1,4
CPT,78305,Bone and/or joint imaging; multiple areas UNSCHEDULED,,,2208.96,2255.46,3
CPT,78306,Bone and/or joint imaging; whole body ,7921.0,7921.0,641.1,641.1,4
CPT,78306,Bone and/or joint imaging; whole body UNSCHEDULED,7921.0,7921.0,567.42,579.36,3
CPT,78306,NM BONE WHOLE BODY,7921.0,7921.0,681.21,9505.2,31
CPT,78315,Bone and/or joint imaging; 3 phase study ,11588.0,11588.0,641.1,641.1,4
CPT,78315,Bone and/or joint imaging; 3 phase study UNSCHEDULED,11588.0,11588.0,2208.96,2255.46,3
CPT,78315,NM BONE 3 PHASE,11588.0,11588.0,996.57,13905.6,31
CPT,78320,BONE AND/OR JOINT IMAGING; TOMOGRAPHIC (SPECT) ,,,,,0
CPT,78320,BONE AND/OR JOINT IMAGING; TOMOGRAPHIC (SPECT) UNSCHEDULED,,,2208.96,2255.46,3
CPT,78350,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,36.77,36.77,4
CPT,78350,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry UNSCHEDULED",,,2208.96,2255.46,3
CPT,78351,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,23.08,26.1,5
CPT,78351,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites UNSCHEDULED",,,2208.96,2255.46,3
CPT,78399,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,641.1,641.1,4
CPT,78399,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine UNSCHEDULED",,,2208.96,2255.46,3
CPT,78414,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,831.98,831.98,4
CPT,78414,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations UNSCHEDUL",,,2208.96,2255.46,3
CPT,78428,Cardiac shunt detection ,,,641.1,641.1,4
CPT,78428,Cardiac shunt detection UNSCHEDULED,,,2208.96,2255.46,3
CPT,78429,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; with concurrently a",,,2208.96,4814.0,9
CPT,78430,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); single study, at rest or stress (exercise or",,,2208.96,4814.0,9
CPT,78431,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); multiple studies at rest and stress (exercis",,,2208.96,4814.0,9
CPT,78432,"Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), dual radi",,,2208.96,4814.0,9
CPT,78433,"Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), dual radi",,,2208.96,4814.0,9
CPT,78434,"Absolute quantitation of myocardial blood flow (AQMBF), positron emission tomography (PET), rest and pharmacologic stress (List separately in addition to code for primary procedure) ",,,2792.0,4814.0,5
CPT,78434,"Absolute quantitation of myocardial blood flow (AQMBF), positron emission tomography (PET), rest and pharmacologic stress (List separately in addition to code for primary procedure) UNSCHEDULED",,,2208.96,2255.46,3
CPT,78445,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",,,641.1,641.1,4
CPT,78445,"Non-cardiac vascular flow imaging (ie, angiography, venography) UNSCHEDULED",,,2208.96,2255.46,3
CPT,78451,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",1390.0,1390.0,2220.1,5330.8,7
CPT,78451,NM MYOCRD SPECT R/S SGL,1390.0,1390.0,119.54,1668.0,31
CPT,78452,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",1315.0,1315.0,2220.1,3974.32,7
CPT,78452,NM MYOCRD SPECT R/S MULT,1315.0,1315.0,113.09,1578.0,31
CPT,78453,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",6249.0,6249.0,2208.96,2255.46,7
CPT,78453,NM MYOCRD PERF R/S SGL,6249.0,6249.0,537.41,7498.8,31
CPT,78454,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",7292.0,7292.0,2208.96,2255.46,7
CPT,78454,NM MYOCRD PERF R/S MULT,7292.0,7292.0,627.11,8750.4,31
CPT,78455,VENOUS THROMBOSIS STUDY ,,,,,0
CPT,78455,VENOUS THROMBOSIS STUDY UNSCHEDULED,,,2208.96,2255.46,3
CPT,78456,"Acute venous thrombosis imaging, peptide ",2068.0,2068.0,2220.1,2220.1,4
CPT,78456,"Acute venous thrombosis imaging, peptide UNSCHEDULED",2068.0,2068.0,2208.96,2255.46,3
CPT,78456,NM ACUTE VENOUS THROM,2068.0,2068.0,177.85,2481.6,31
CPT,78457,NM VENOGRAM UNI LT,1969.0,1969.0,169.33,2362.8,31
CPT,78457,NM VENOGRAM UNI RT,1969.0,1969.0,169.33,2362.8,31
CPT,78457,"Venous thrombosis imaging, venogram; unilateral ",,,831.98,831.98,4
CPT,78457,"Venous thrombosis imaging, venogram; unilateral UNSCHEDULED",,,2208.96,2255.46,3
CPT,78458,NM VENOGRAM BI,3477.0,3477.0,299.02,4172.4,31
CPT,78458,"Venous thrombosis imaging, venogram; bilateral ",3477.0,3477.0,641.1,641.1,4
CPT,78458,"Venous thrombosis imaging, venogram; bilateral UNSCHEDULED",3477.0,3477.0,2208.96,2255.46,3
CPT,78459,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; ",,,1542.0,4814.0,9
CPT,78459,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; UNSCHEDULED",,,2208.96,2255.46,3
CPT,78460,"HEART MUSCLE BLOOD, SINGLE ",,,,,0
CPT,78460,"HEART MUSCLE BLOOD, SINGLE UNSCHEDULED",,,2208.96,2255.46,3
CPT,78461,"HEART MUSCLE BLOOD, MULTIPLE ",,,,,0
CPT,78461,"HEART MUSCLE BLOOD, MULTIPLE UNSCHEDULED",,,2208.96,2255.46,3
CPT,78464,"HEART IMAGE (3D), SINGLE ",,,,,0
CPT,78464,"HEART IMAGE (3D), SINGLE UNSCHEDULED",,,2208.96,2255.46,3
CPT,78465,"HEART IMAGE (3D), MULTIPLE ",,,,,0
CPT,78465,"HEART IMAGE (3D), MULTIPLE UNSCHEDULED",,,2208.96,2255.46,3
CPT,78466,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",3257.0,3257.0,641.1,641.1,4
CPT,78466,"Myocardial imaging, infarct avid, planar; qualitative or quantitative UNSCHEDULED",3257.0,3257.0,2208.96,2255.46,3
CPT,78466,NM MYOCARD IMAGE,3257.0,3257.0,280.1,3908.4,31
CPT,78468,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",,,831.98,831.98,4
CPT,78468,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique UNSCHEDULED",,,2208.96,2255.46,3
CPT,78469,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",,,831.98,831.98,4
CPT,78469,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification UNSCHEDULED",,,2208.96,2255.46,3
CPT,78472,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",3823.0,3823.0,641.1,2503.45,7
CPT,78472,NM MUGA R/S SINGLE,3823.0,3823.0,328.78,4587.6,31
CPT,78473,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",,,641.1,2255.46,7
CPT,78478,HEART WALL MOTION ADD-ON ,,,,,0
CPT,78478,HEART WALL MOTION ADD-ON UNSCHEDULED,,,2208.96,2255.46,3
CPT,78480,HEART FUNCTION ADD-ON ,,,,,0
CPT,78480,HEART FUNCTION ADD-ON UNSCHEDULED,,,2208.96,2255.46,3
CPT,78481,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",2812.0,2812.0,831.98,2255.46,7
CPT,78481,NM CARDIAC PL SGL R/S,2812.0,2812.0,241.83,3374.4,31
CPT,78483,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",,,831.98,2255.46,7
CPT,78491,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); single study, at rest or stress (exercise or",,,1542.0,4814.0,12
CPT,78492,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); multiple studies at rest and stress (exercis",,,1542.0,6104.71,12
CPT,78494,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",,,641.1,641.1,4
CPT,78494,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing UNSCHEDULED",,,2208.96,2255.46,3
CPT,78496,"Cardiac blood pool imaging, gated equilibrium, single study, at rest, with right ventricular ejection fraction by first pass technique (List separately in addition to code for primary procedure) ",,,,,0
CPT,78496,"Cardiac blood pool imaging, gated equilibrium, single study, at rest, with right ventricular ejection fraction by first pass technique (List separately in addition to code for primary procedure) UNSCH",,,2208.96,2255.46,3
CPT,78499,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,641.1,641.1,4
CPT,78499,"Unlisted cardiovascular procedure, diagnostic nuclear medicine UNSCHEDULED",,,451.21,460.71,3
CPT,78579,PULM VENT IMAGING,11255.0,11255.0,967.93,13506.0,31
CPT,78579,"Pulmonary ventilation imaging (eg, aerosol or gas) ",11255.0,11255.0,641.1,641.1,4
CPT,78579,"Pulmonary ventilation imaging (eg, aerosol or gas) UNSCHEDULED",11255.0,11255.0,2208.96,2255.46,3
CPT,78580,NM PULM PERF PARTIC,7493.0,7493.0,644.4,8991.6,31
CPT,78580,"Pulmonary perfusion imaging (eg, particulate) ",7493.0,7493.0,641.1,641.1,4
CPT,78580,"Pulmonary perfusion imaging (eg, particulate) UNSCHEDULED",7493.0,7493.0,3408.7,3480.47,3
CPT,78582,PULM VENT & PERF IMAG,11255.0,11255.0,967.93,13506.0,31
CPT,78582,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",11255.0,11255.0,831.98,831.98,4
CPT,78582,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging UNSCHEDULED",11255.0,11255.0,2314.69,2363.42,3
CPT,78584,LUNG V/Q IMAGE SINGLE BREATH ,,,,,0
CPT,78584,LUNG V/Q IMAGE SINGLE BREATH UNSCHEDULED,,,2208.96,2255.46,3
CPT,78585,LUNG V/Q IMAGING ,,,,,0
CPT,78585,LUNG V/Q IMAGING UNSCHEDULED,,,2208.96,2255.46,3
CPT,78586,AEROSOL LUNG IMAGE SINGLE ,,,,,0
CPT,78586,AEROSOL LUNG IMAGE SINGLE UNSCHEDULED,,,2208.96,2255.46,3
CPT,78587,AEROSOL LUNG IMAGE MULTIPLE ,,,,,0
CPT,78587,AEROSOL LUNG IMAGE MULTIPLE UNSCHEDULED,,,2208.96,2255.46,3
CPT,78588,PERFUSION LUNG IMAGE ,,,,,0
CPT,78588,PERFUSION LUNG IMAGE UNSCHEDULED,,,2208.96,2255.46,3
CPT,78591,VENT IMAGE 1 BREATH 1 PROJ ,,,,,0
CPT,78591,VENT IMAGE 1 BREATH 1 PROJ UNSCHEDULED,,,2208.96,2255.46,3
CPT,78593,VENT IMAGE 1 PROJ GAS ,,,,,0
CPT,78593,VENT IMAGE 1 PROJ GAS UNSCHEDULED,,,2208.96,2255.46,3
CPT,78594,VENT IMAGE MULT PROJ GAS ,,,,,0
CPT,78594,VENT IMAGE MULT PROJ GAS UNSCHEDULED,,,2208.96,2255.46,3
CPT,78596,LUNG DIFFERENTIAL FUNCTION ,,,,,0
CPT,78596,LUNG DIFFERENTIAL FUNCTION UNSCHEDULED,,,2208.96,2255.46,3
CPT,78597,QUANT DIF PULM PERF,8990.0,8990.0,773.14,10788.0,31
CPT,78597,"Quantitative differential pulmonary perfusion, including imaging when performed ",8990.0,8990.0,641.1,641.1,4
CPT,78597,"Quantitative differential pulmonary perfusion, including imaging when performed UNSCHEDULED",8990.0,8990.0,2208.96,2255.46,3
CPT,78598,QUANT DIF PULM PRF & VNT,8571.0,8571.0,737.11,10285.2,31
CPT,78598,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",8571.0,8571.0,831.98,831.98,4
CPT,78598,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed UNSCHEDULED",8571.0,8571.0,2208.96,2255.46,3
CPT,78599,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,641.1,641.1,4
CPT,78599,"Unlisted respiratory procedure, diagnostic nuclear medicine UNSCHEDULED",,,2208.96,2255.46,3
CPT,78600,"Brain imaging, less than 4 static views; ",,,641.1,641.1,4
CPT,78600,"Brain imaging, less than 4 static views; UNSCHEDULED",,,2208.96,2255.46,3
CPT,78601,"Brain imaging, less than 4 static views; with vascular flow ",,,641.1,641.1,4
CPT,78601,"Brain imaging, less than 4 static views; with vascular flow UNSCHEDULED",,,2208.96,2255.46,3
CPT,78605,"Brain imaging, minimum 4 static views; ",,,831.98,831.98,4
CPT,78605,"Brain imaging, minimum 4 static views; UNSCHEDULED",,,2208.96,2255.46,3
CPT,78606,"Brain imaging, minimum 4 static views; with vascular flow ",5338.0,5338.0,831.98,831.98,4
CPT,78606,"Brain imaging, minimum 4 static views; with vascular flow UNSCHEDULED",5338.0,5338.0,2208.96,2255.46,3
CPT,78606,NM BRAIN MIN 4 STATIC VF,5338.0,5338.0,459.07,6405.6,31
CPT,78607,"BRAIN IMAGING, TOMOGRAPHIC (SPECT) ",,,,,0
CPT,78607,"BRAIN IMAGING, TOMOGRAPHIC (SPECT) UNSCHEDULED",,,2208.96,2255.46,3
CPT,78608,"Brain imaging, positron emission tomography (PET); metabolic evaluation ",,,1542.0,4814.0,9
CPT,78608,"Brain imaging, positron emission tomography (PET); metabolic evaluation UNSCHEDULED",,,2208.96,2255.46,3
CPT,78609,"Brain imaging, positron emission tomography (PET); perfusion evaluation ",,,1542.0,4814.0,9
CPT,78609,"Brain imaging, positron emission tomography (PET); perfusion evaluation UNSCHEDULED",,,2208.96,2255.46,3
CPT,78610,"Brain imaging, vascular flow only ",,,831.98,831.98,4
CPT,78610,"Brain imaging, vascular flow only UNSCHEDULED",,,2208.96,2255.46,3
CPT,78615,CEREBRAL VASCULAR FLOW IMAGE ,,,,,0
CPT,78615,CEREBRAL VASCULAR FLOW IMAGE UNSCHEDULED,,,2208.96,2255.46,3
CPT,78630,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",3290.0,3290.0,831.98,831.98,4
CPT,78630,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography UNSCHEDULED",3290.0,3290.0,2208.96,2255.46,3
CPT,78630,NM CISTERNOGRAM,3290.0,3290.0,282.94,3948.0,31
CPT,78635,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",,,831.98,831.98,4
CPT,78635,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography UNSCHEDULED",,,2208.96,2255.46,3
CPT,78645,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",1673.0,1673.0,831.98,831.98,4
CPT,78645,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation UNSCHEDULED",1673.0,1673.0,2208.96,2255.46,3
CPT,78645,NM CSF SHUNT EVAL,1673.0,1673.0,143.88,2007.6,31
CPT,78647,"CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF MATERIAL); TOMOGRAPHIC (SPECT) ",,,,,0
CPT,78647,"CEREBROSPINAL FLUID FLOW, IMAGING (NOT INCLUDING INTRODUCTION OF MATERIAL); TOMOGRAPHIC (SPECT) UNSCHEDULED",,,2208.96,2255.46,3
CPT,78650,Cerebrospinal fluid leakage detection and localization ,,,2220.1,2220.1,4
CPT,78650,Cerebrospinal fluid leakage detection and localization UNSCHEDULED,,,2208.96,2255.46,3
CPT,78660,Radiopharmaceutical dacryocystography ,,,641.1,641.1,4
CPT,78660,Radiopharmaceutical dacryocystography UNSCHEDULED,,,2208.96,2255.46,3
CPT,78699,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,641.1,641.1,4
CPT,78699,"Unlisted nervous system procedure, diagnostic nuclear medicine UNSCHEDULED",,,2208.96,2255.46,3
CPT,78700,Kidney imaging morphology; ,2010.0,2010.0,641.1,641.1,4
CPT,78700,Kidney imaging morphology; UNSCHEDULED,2010.0,2010.0,1521.15,1553.17,3
CPT,78700,NM KIDNEY SCAN,2010.0,2010.0,172.86,2412.0,31
CPT,78701,Kidney imaging morphology; with vascular flow ,,,641.1,641.1,4
CPT,78701,Kidney imaging morphology; with vascular flow UNSCHEDULED,,,2208.96,2255.46,3
CPT,78704,IMAGING RENOGRAM ,,,,,0
CPT,78704,IMAGING RENOGRAM UNSCHEDULED,,,2208.96,2255.46,3
CPT,78707,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",5526.0,5526.0,831.98,831.98,4
CPT,78707,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention UNSCHEDULED",5526.0,5526.0,2208.96,2255.46,3
CPT,78707,NM KDNEY SCAN FLW&FNC,5526.0,5526.0,475.24,6631.2,31
CPT,78708,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,831.98,831.98,4
CPT,78708,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) UNSCHEDULED",,,2208.96,2255.46,3
CPT,78709,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,831.98,831.98,4
CPT,78709,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) UNSCHEDULED",,,2208.96,2255.46,3
CPT,78710,KIDNEY IMAGING MORPHOLOGY; TOMOGRAPHIC (SPECT) ,,,,,0
CPT,78710,KIDNEY IMAGING MORPHOLOGY; TOMOGRAPHIC (SPECT) UNSCHEDULED,,,2208.96,2255.46,3
CPT,78715,RENAL VASCULAR FLOW EXAM ,,,,,0
CPT,78715,RENAL VASCULAR FLOW EXAM UNSCHEDULED,,,2208.96,2255.46,3
CPT,78725,"Kidney function study, non-imaging radioisotopic study ",,,641.1,641.1,4
CPT,78725,"Kidney function study, non-imaging radioisotopic study UNSCHEDULED",,,2208.96,2255.46,3
CPT,78730,Urinary bladder residual study (List separately in addition to code for primary procedure) ,,,,,0
CPT,78730,Urinary bladder residual study (List separately in addition to code for primary procedure) UNSCHEDULED,,,2208.96,2255.46,3
CPT,78740,NM URETERAL REFLUX,1571.0,1571.0,135.11,1885.2,31
CPT,78740,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,1571.0,1571.0,641.1,641.1,4
CPT,78740,Ureteral reflux study (radiopharmaceutical voiding cystogram) UNSCHEDULED,1571.0,1571.0,2208.96,2255.46,3
CPT,78760,TESTICULAR IMAGING ,,,,,0
CPT,78760,TESTICULAR IMAGING UNSCHEDULED,,,2208.96,2255.46,3
CPT,78761,NM TESTICULAR W/FLOW,5877.0,5877.0,505.42,7052.4,31
CPT,78761,Testicular imaging with vascular flow ,5877.0,5877.0,641.1,641.1,4
CPT,78761,Testicular imaging with vascular flow UNSCHEDULED,5877.0,5877.0,2208.96,2255.46,3
CPT,78799,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,641.1,641.1,4
CPT,78799,"Unlisted genitourinary procedure, diagnostic nuclear medicine UNSCHEDULED",,,2208.96,2255.46,3
CPT,78800,NM TUMOR LOCAL LTD,4343.0,4343.0,373.5,5211.6,31
CPT,78800,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",4343.0,4343.0,641.1,2255.46,7
CPT,78801,NM TUMOR LOCAL MULT,5806.0,5806.0,499.32,6967.2,31
CPT,78801,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",5806.0,5806.0,641.1,2255.46,7
CPT,78802,NM TUMOR LC WHBD SGL DAY,12102.0,12102.0,1040.77,14522.4,31
CPT,78802,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",12102.0,12102.0,2208.96,2255.46,7
CPT,78803,NM TUMOR LCL SPECT,5846.0,5846.0,502.76,7015.2,31
CPT,78803,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",5846.0,5846.0,2208.96,2255.46,7
CPT,78804,NM TUM LC WB 2/MORE DAYS,6367.0,6367.0,547.56,7640.4,31
CPT,78804,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",6367.0,6367.0,2208.96,2255.46,7
CPT,78805,RADIOPHARMACEUTICAL LOCALIZATION OF INFLAMMATORY PROCESS; LIMITED AREA ,,,,,0
CPT,78805,RADIOPHARMACEUTICAL LOCALIZATION OF INFLAMMATORY PROCESS; LIMITED AREA UNSCHEDULED,,,2208.96,2255.46,3
CPT,78806,RADIOPHARMACEUTICAL LOCALIZATION OF INFLAMMATORY PROCESS; WHOLE BODY ,,,,,0
CPT,78806,RADIOPHARMACEUTICAL LOCALIZATION OF INFLAMMATORY PROCESS; WHOLE BODY UNSCHEDULED,,,2208.96,2255.46,3
CPT,78807,RADIOPHARMACEUTICAL LOCALIZATION OF INFLAMMATORY PROCESS; TOMOGRAPHIC (SPECT) ,,,,,0
CPT,78807,RADIOPHARMACEUTICAL LOCALIZATION OF INFLAMMATORY PROCESS; TOMOGRAPHIC (SPECT) UNSCHEDULED,,,2208.96,2255.46,3
CPT,78808,INJ IV RP LOC NOIMG PROB,1446.0,1446.0,124.36,1735.2,31
CPT,78808,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",1446.0,1446.0,641.1,641.1,4
CPT,78808,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) UNSCHEDULED",1446.0,1446.0,2208.96,2255.46,3
CPT,78810,TUMOR IMAGING (PET) ,,,,,0
CPT,78810,TUMOR IMAGING (PET) UNSCHEDULED,,,2208.96,2255.46,3
CPT,78811,"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) ",,,1542.0,4814.0,9
CPT,78811,"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) UNSCHEDULED",,,2208.96,2255.46,3
CPT,78812,Positron emission tomography (PET) imaging; skull base to mid-thigh ,,,1542.0,4814.0,9
CPT,78812,Positron emission tomography (PET) imaging; skull base to mid-thigh UNSCHEDULED,,,2208.96,2255.46,3
CPT,78813,Positron emission tomography (PET) imaging; whole body ,,,1542.0,4814.0,9
CPT,78813,Positron emission tomography (PET) imaging; whole body UNSCHEDULED,,,2208.96,2255.46,3
CPT,78814,"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck) ",,,1542.0,4814.0,9
CPT,78814,"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck) UNSCHEDULED",,,2208.96,2255.46,3
CPT,78815,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh ,,,1542.0,4814.0,9
CPT,78815,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh UNSCHEDULED,,,2208.96,2255.46,3
CPT,78816,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body ,,,1542.0,4814.0,9
CPT,78816,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body UNSCHEDULED,,,2208.96,2255.46,3
CPT,78830,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,809.0,2255.46,12
CPT,78831,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",,,809.0,2255.46,12
CPT,78832,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,809.0,2516.58,12
CPT,78835,Radiopharmaceutical quantification measurement(s) single area (List separately in addition to code for primary procedure) ,,,,,0
CPT,78835,Radiopharmaceutical quantification measurement(s) single area (List separately in addition to code for primary procedure) UNSCHEDULED,,,2208.96,2255.46,3
CPT,78890,NUCLEAR MEDICINE DATA PROC ,,,,,0
CPT,78890,NUCLEAR MEDICINE DATA PROC UNSCHEDULED,,,2208.96,2255.46,3
CPT,78891,NUCLEAR MED DATA PROC ,,,,,0
CPT,78891,NUCLEAR MED DATA PROC UNSCHEDULED,,,2208.96,2255.46,3
CPT,78990,PROVIDE DIAG RADIONUCLIDE(S) ,,,,,0
CPT,78990,PROVIDE DIAG RADIONUCLIDE(S) UNSCHEDULED,,,2208.96,2255.46,3
CPT,78999,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,641.1,641.1,4
CPT,78999,"Unlisted miscellaneous procedure, diagnostic nuclear medicine UNSCHEDULED",,,2208.96,2255.46,3
CPT,79000,INIT HYPERTHYROID THERAPY ,,,,,0
CPT,79001,REPEAT HYPERTHYROID THERAPY ,,,,,0
CPT,79005,RADIOPHM THPY ORAL ADMIN,11933.0,11933.0,1026.24,14319.6,31
CPT,79005,"Radiopharmaceutical therapy, by oral administration ",11933.0,11933.0,424.35,424.35,4
CPT,79005,"Radiopharmaceutical therapy, by oral administration UNSCHEDULED",11933.0,11933.0,432.37,441.48,3
CPT,79020,THYROID ABLATION ,,,,,0
CPT,79020,THYROID ABLATION UNSCHEDULED,,,432.37,441.48,3
CPT,79030,"THYROID ABLATION, CARCINOMA ",,,,,0
CPT,79030,"THYROID ABLATION, CARCINOMA UNSCHEDULED",,,432.37,441.48,3
CPT,79035,THYROID METASTATIC THERAPY ,,,,,0
CPT,79035,THYROID METASTATIC THERAPY UNSCHEDULED,,,432.37,441.48,3
CPT,79100,HEMATOPOETIC NUCLEAR THERAPY ,,,,,0
CPT,79100,HEMATOPOETIC NUCLEAR THERAPY UNSCHEDULED,,,432.37,441.48,3
CPT,79101,RADIOPHARM THPY IV ADMIN,2313.0,2313.0,198.92,2775.6,31
CPT,79101,"Radiopharmaceutical therapy, by intravenous administration ",2313.0,2313.0,424.35,424.35,4
CPT,79101,"Radiopharmaceutical therapy, by intravenous administration UNSCHEDULED",2313.0,2313.0,432.37,441.48,3
CPT,79200,"Radiopharmaceutical therapy, by intracavitary administration ",,,424.35,424.35,4
CPT,79200,"Radiopharmaceutical therapy, by intracavitary administration UNSCHEDULED",,,432.37,441.48,3
CPT,79300,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,424.35,424.35,4
CPT,79300,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration UNSCHEDULED",,,432.37,441.48,3
CPT,79400,NONHEMATO NUCLEAR THERAPY ,,,,,0
CPT,79400,NONHEMATO NUCLEAR THERAPY UNSCHEDULED,,,432.37,441.48,3
CPT,79403,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",,,424.35,424.35,4
CPT,79403,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion UNSCHEDULED",,,432.37,441.48,3
CPT,79420,INTRAVASCULAR NUCLEAR THER ,,,,,0
CPT,79420,INTRAVASCULAR NUCLEAR THER UNSCHEDULED,,,432.37,441.48,3
CPT,79440,"Radiopharmaceutical therapy, by intra-articular administration ",,,424.35,424.35,4
CPT,79440,"Radiopharmaceutical therapy, by intra-articular administration UNSCHEDULED",,,432.37,441.48,3
CPT,79445,RDPHM INTRA ARTERIAL ADM,1501.0,1501.0,129.09,1801.2,62
CPT,79445,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",,,424.35,424.35,4
CPT,79445,"Radiopharmaceutical therapy, by intra-arterial particulate administration UNSCHEDULED",,,432.37,441.48,3
CPT,79900,PROVIDE THER RADIOPHARM(S) ,,,,,0
CPT,79900,PROVIDE THER RADIOPHARM(S) UNSCHEDULED,,,432.37,441.48,3
CPT,79999,"Radiopharmaceutical therapy, unlisted procedure ",,,424.35,424.35,4
CPT,79999,"Radiopharmaceutical therapy, unlisted procedure UNSCHEDULED",,,432.37,441.48,3
CPT,80047,BASIC METABOLIC CALC ION,1263.5,1263.5,59.43,2203.2,155
CPT,80047,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.59,264.02,56
CPT,80048,BMP TOTAL CALCIUM,510.0,510.0,43.86,612.0,93
CPT,80048,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.38,235.17,56
CPT,80049,Basic metabolic panel UNSCHEDULED,,,258.58,264.02,3
CPT,80050,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,549.44,15
CPT,80051,ELECTROLYTE PANEL,626.0,626.0,53.84,751.2,31
CPT,80051,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,626.0,626.0,6.94,21.38,47
CPT,80051,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) Trauma,,,16.82,16.82,6
CPT,80051,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) UNSCHEDULED,626.0,626.0,170.65,174.24,3
CPT,80053,COMP METABOLIC PANEL,1617.0,1617.0,45.67,3243.6,155
CPT,80053,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.45,349.54,56
CPT,80054,Compr metabolic panel UNSCHEDULED,,,258.58,264.02,3
CPT,80055,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.33,264.02,56
CPT,80058,Hepatic function panel UNSCHEDULED,,,258.58,264.02,3
CPT,80059,Hepatitis panel UNSCHEDULED,,,258.58,264.02,3
CPT,80061,LIPID PANEL,1015.0,1015.0,87.29,1218.0,93
CPT,80061,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.26,40.84,47
CPT,80061,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Trauma",,,32.14,32.14,6
CPT,80061,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) UNSCHEDUL",,,233.46,238.38,3
CPT,80069,RENAL FUNCTION PANEL,1041.0,1041.0,89.53,1249.2,93
CPT,80069,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.59,175.31,56
CPT,80072,ARTHRITIS PANEL UNSCHEDULED,,,258.58,264.02,3
CPT,80074,ACUTE HEPATITIS PANEL,400.0,400.0,34.4,480.0,93
CPT,80074,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.15,346.34,56
CPT,80076,HEPATIC FUNCTION PANEL,5754.0,5754.0,494.84,6904.8,93
CPT,80076,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.09,283.27,56
CPT,80081,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.11,264.02,56
CPT,80143,ACETAMINOPHEN QN,1588.0,1588.0,136.57,1905.6,31
CPT,80143,Acetaminophen ,1588.0,1588.0,18.45,56.85,47
CPT,80143,Acetaminophen Trauma,,,44.74,44.74,6
CPT,80145,Adalimumab ,,,38.18,117.64,47
CPT,80145,Adalimumab Trauma,,,92.57,92.57,6
CPT,80145,Adalimumab UNSCHEDULED,,,129.29,132.02,3
CPT,80150,AMIKACIN PEAK QN,122.0,122.0,10.49,146.4,31
CPT,80150,AMIKACIN QUANT,122.0,122.0,10.49,146.4,31
CPT,80150,AMIKACIN TROUGH QN,122.0,122.0,10.49,146.4,31
CPT,80150,Amikacin ,,,14.93,45.99,47
CPT,80150,Amikacin Trauma,,,36.19,36.19,6
CPT,80150,Amikacin UNSCHEDULED,,,129.29,132.02,3
CPT,80151,AMIODARONE QN,311.0,311.0,26.75,373.2,31
CPT,80151,Amiodarone ,311.0,311.0,18.45,56.85,47
CPT,80151,Amiodarone Trauma,,,44.74,44.74,6
CPT,80151,Amiodarone UNSCHEDULED,311.0,311.0,129.29,132.02,3
CPT,80152,ASSAY OF AMITRIPTYLINE UNSCHEDULED,,,129.29,132.02,3
CPT,80154,ASSAY OF BENZODIAZEPINES UNSCHEDULED,,,129.29,132.02,3
CPT,80155,CAFFEINE QN,34.5,34.5,2.15,52.8,62
CPT,80155,Caffeine ,,,38.18,117.64,47
CPT,80155,Caffeine Trauma,,,92.57,92.57,6
CPT,80155,Caffeine UNSCHEDULED,,,129.29,132.02,3
CPT,80156,CARBAMAZEPINE TOTAL,2839.0,2839.0,244.15,3406.8,93
CPT,80156,Carbamazepine; total ,,,14.42,44.44,47
CPT,80156,Carbamazepine; total Trauma,,,34.97,34.97,6
CPT,80156,Carbamazepine; total UNSCHEDULED,,,149.71,152.86,3
CPT,80157,Carbamazepine; free ,,,13.12,40.41,47
CPT,80157,Carbamazepine; free Trauma,,,31.8,31.8,6
CPT,80157,Carbamazepine; free UNSCHEDULED,,,20.94,21.38,3
CPT,80158,CYCLOSPORINE QUANT,160.0,160.0,13.76,192.0,93
CPT,80158,Cyclosporine ,,,17.87,55.05,47
CPT,80158,Cyclosporine Trauma,,,43.32,43.32,6
CPT,80158,Cyclosporine UNSCHEDULED,,,129.29,132.02,3
CPT,80159,Clozapine ,,,19.95,61.46,47
CPT,80159,Clozapine Trauma,,,48.36,48.36,6
CPT,80159,Clozapine UNSCHEDULED,,,129.29,132.02,3
CPT,80160,ASSAY OF DESIPRAMINE UNSCHEDULED,,,129.29,132.02,3
CPT,80161,"Carbamazepine; -10,11-epoxide ",,,18.45,56.85,47
CPT,80161,"Carbamazepine; -10,11-epoxide Trauma",,,44.74,44.74,6
CPT,80161,"Carbamazepine; -10,11-epoxide UNSCHEDULED",,,129.29,132.02,3
CPT,80162,DIGOXIN QN,302.0,302.0,25.97,362.4,93
CPT,80162,Digoxin; total ,,,13.15,40.5,47
CPT,80162,Digoxin; total Trauma,,,31.87,31.87,6
CPT,80162,Digoxin; total UNSCHEDULED,,,141.33,144.31,3
CPT,80163,Digoxin; free ,,,13.15,40.5,47
CPT,80163,Digoxin; free Trauma,,,31.87,31.87,6
CPT,80163,Digoxin; free UNSCHEDULED,,,484.72,494.92,3
CPT,80164,VALPROIC ACID (DEPAKENE),1207.0,1207.0,103.8,1448.4,93
CPT,80164,Valproic acid (dipropylacetic acid); total ,,,13.4,41.3,47
CPT,80164,Valproic acid (dipropylacetic acid); total Trauma,,,32.5,32.5,6
CPT,80164,Valproic acid (dipropylacetic acid); total UNSCHEDULED,,,140.29,143.24,3
CPT,80165,Valproic acid (dipropylacetic acid); free ,,,13.4,41.3,47
CPT,80165,Valproic acid (dipropylacetic acid); free Trauma,,,32.5,32.5,6
CPT,80165,Valproic acid (dipropylacetic acid); free UNSCHEDULED,,,484.72,494.92,3
CPT,80166,ASSAY OF DOXEPIN UNSCHEDULED,,,129.29,132.02,3
CPT,80167,FELBAMATE FELBATOL QN,311.0,311.0,26.75,373.2,31
CPT,80167,Felbamate ,311.0,311.0,18.45,56.85,47
CPT,80167,Felbamate Trauma,,,44.74,44.74,6
CPT,80167,Felbamate UNSCHEDULED,311.0,311.0,129.29,132.02,3
CPT,80168,ETHOSUXIMIDE (ZARONTIN),143.0,143.0,12.3,171.6,31
CPT,80168,Ethosuximide ,143.0,143.0,16.18,49.84,47
CPT,80168,Ethosuximide Trauma,,,39.22,39.22,6
CPT,80168,Ethosuximide UNSCHEDULED,143.0,143.0,129.29,132.02,3
CPT,80169,Everolimus ,,,13.59,41.88,47
CPT,80169,Everolimus Trauma,,,32.95,32.95,6
CPT,80169,Everolimus UNSCHEDULED,,,129.29,132.02,3
CPT,80170,GENTAMICIN (GARAMYCIN)QN,379.0,379.0,32.59,454.8,93
CPT,80170,GENTAMICIN PEAK QN,379.0,379.0,32.59,454.8,31
CPT,80170,GENTAMICIN TROUGH QN,379.0,379.0,32.59,454.8,31
CPT,80170,Gentamicin ,,,16.22,49.96,47
CPT,80170,Gentamicin Trauma,,,39.31,39.31,6
CPT,80170,Gentamicin UNSCHEDULED,,,206.24,210.58,3
CPT,80171,GABAPENTIN NEURONTIN QN,913.0,913.0,78.52,1095.6,31
CPT,80171,"Gabapentin, whole blood, serum, or plasma ",913.0,913.0,21.45,66.09,47
CPT,80171,"Gabapentin, whole blood, serum, or plasma Trauma",,,52.01,52.01,6
CPT,80171,"Gabapentin, whole blood, serum, or plasma UNSCHEDULED",913.0,913.0,33.5,34.2,3
CPT,80172,ASSAY OF GOLD UNSCHEDULED,,,129.29,132.02,3
CPT,80173,HALOPERIDOL HALDOL QN,185.0,185.0,15.91,222.0,31
CPT,80173,Haloperidol ,185.0,185.0,15.62,48.13,47
CPT,80173,Haloperidol Trauma,,,37.87,37.87,6
CPT,80173,Haloperidol UNSCHEDULED,185.0,185.0,129.29,132.02,3
CPT,80174,ASSAY OF IMIPRAMINE UNSCHEDULED,,,129.29,132.02,3
CPT,80175,LAMOTRIGINE LAMICTAL QN,377.0,377.0,32.42,452.4,31
CPT,80175,Lamotrigine ,377.0,377.0,13.12,40.41,47
CPT,80175,Lamotrigine Trauma,,,31.8,31.8,6
CPT,80175,Lamotrigine UNSCHEDULED,377.0,377.0,11.51,11.76,3
CPT,80176,LIDOCAINE QN,102.0,102.0,8.77,122.4,31
CPT,80176,Lidocaine ,102.0,102.0,14.54,44.8,47
CPT,80176,Lidocaine Trauma,,,35.26,35.26,6
CPT,80176,Lidocaine UNSCHEDULED,102.0,102.0,435.51,444.68,3
CPT,80177,LEVETIRACETAM QN,238.0,238.0,20.47,285.6,93
CPT,80177,Levetiracetam ,,,13.12,40.41,47
CPT,80177,Levetiracetam Trauma,,,31.8,31.8,6
CPT,80177,Levetiracetam UNSCHEDULED,,,39.79,40.62,3
CPT,80178,LITHIUM QN,56.0,56.0,4.82,67.2,93
CPT,80178,Lithium ,,,6.54,20.16,47
CPT,80178,Lithium Trauma,,,15.86,15.86,6
CPT,80178,Lithium UNSCHEDULED,,,74.33,75.89,3
CPT,80179,SALICYLATE QN,130.0,130.0,11.18,156.0,31
CPT,80179,Salicylate ,130.0,130.0,18.45,56.85,47
CPT,80179,Salicylate Trauma,,,44.74,44.74,6
CPT,80179,Salicylate UNSCHEDULED,130.0,130.0,129.29,132.02,3
CPT,80180,Mycophenolate (mycophenolic acid) ,,,17.87,55.05,47
CPT,80180,Mycophenolate (mycophenolic acid) Trauma,,,43.32,43.32,6
CPT,80180,Mycophenolate (mycophenolic acid) UNSCHEDULED,,,129.29,132.02,3
CPT,80181,FLECAINIDE TAMBOCOR QN,311.0,311.0,26.75,373.2,31
CPT,80181,Flecainide ,311.0,311.0,18.45,56.85,47
CPT,80181,Flecainide Trauma,,,44.74,44.74,6
CPT,80181,Flecainide UNSCHEDULED,311.0,311.0,129.29,132.02,3
CPT,80182,ASSAY OF NORTRIPTYLINE UNSCHEDULED,,,129.29,132.02,3
CPT,80183,OXCARBAZEPINE QN,280.0,280.0,24.08,336.0,93
CPT,80183,Oxcarbazepine ,,,13.12,40.41,47
CPT,80183,Oxcarbazepine Trauma,,,31.8,31.8,6
CPT,80183,Oxcarbazepine UNSCHEDULED,,,129.29,132.02,3
CPT,80184,PHENOBARBITAL LUMINAL QN,585.0,585.0,50.31,702.0,93
CPT,80184,Phenobarbital ,,,15.15,46.66,47
CPT,80184,Phenobarbital Trauma,,,36.72,36.72,6
CPT,80184,Phenobarbital UNSCHEDULED,,,118.3,120.79,3
CPT,80185,PHENYTOIN DILANT TOT QN,137.5,137.5,8.08,217.2,93
CPT,80185,Phenytoin; total ,,,13.12,40.41,47
CPT,80185,Phenytoin; total Trauma,,,31.8,31.8,6
CPT,80185,Phenytoin; total UNSCHEDULED,,,164.36,167.82,3
CPT,80186,PHENYTOIN DILANTIN FR QN,1680.0,1680.0,144.48,2016.0,31
CPT,80186,Phenytoin; free ,1680.0,1680.0,13.62,41.97,47
CPT,80186,Phenytoin; free Trauma,,,33.02,33.02,6
CPT,80186,Phenytoin; free UNSCHEDULED,1680.0,1680.0,19.89,20.31,3
CPT,80187,Posaconazole ,,,26.84,82.69,47
CPT,80187,Posaconazole Trauma,,,65.06,65.06,6
CPT,80187,Posaconazole UNSCHEDULED,,,129.29,132.02,3
CPT,80188,PRIMIDONE (MYSOLINE) QN,143.0,143.0,12.3,171.6,31
CPT,80188,Primidone ,143.0,143.0,16.42,50.6,47
CPT,80188,Primidone Trauma,,,39.82,39.82,6
CPT,80188,Primidone UNSCHEDULED,143.0,143.0,129.29,132.02,3
CPT,80189,Itraconazole ,,,26.84,82.69,47
CPT,80189,Itraconazole Trauma,,,65.06,65.06,6
CPT,80189,Itraconazole UNSCHEDULED,,,129.29,132.02,3
CPT,80190,PROCAINAMIDE (PRONESTYL),248.0,248.0,21.33,297.6,31
CPT,80190,Procainamide; ,248.0,248.0,59.4,183.0,47
CPT,80190,Procainamide; Trauma,,,144.0,144.0,6
CPT,80190,Procainamide; UNSCHEDULED,248.0,248.0,129.29,132.02,3
CPT,80192,PROCAINAMIDE & NAPA QN,248.0,248.0,21.33,297.6,31
CPT,80192,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",248.0,248.0,16.58,51.09,47
CPT,80192,"Procainamide; with metabolites (eg, n-acetyl procainamide) Trauma",,,40.2,40.2,6
CPT,80192,"Procainamide; with metabolites (eg, n-acetyl procainamide) UNSCHEDULED",248.0,248.0,129.29,132.02,3
CPT,80193,Leflunomide ,,,38.18,117.64,47
CPT,80193,Leflunomide Trauma,,,92.57,92.57,6
CPT,80193,Leflunomide UNSCHEDULED,,,129.29,132.02,3
CPT,80194,QUINIDINE QUANT,341.0,341.0,29.33,409.2,31
CPT,80194,Quinidine ,341.0,341.0,14.45,44.53,47
CPT,80194,Quinidine Trauma,,,35.04,35.04,6
CPT,80194,Quinidine UNSCHEDULED,341.0,341.0,129.29,132.02,3
CPT,80195,Sirolimus ,,,13.59,41.88,47
CPT,80195,Sirolimus Trauma,,,32.95,32.95,6
CPT,80195,Sirolimus UNSCHEDULED,,,129.29,132.02,3
CPT,80196,ASSAY OF SALICYLATE UNSCHEDULED,,,129.29,132.02,3
CPT,80197,TACROLIMUS QUANT,211.0,211.0,18.15,253.2,31
CPT,80197,Tacrolimus ,211.0,211.0,13.59,41.88,47
CPT,80197,Tacrolimus Trauma,,,32.95,32.95,6
CPT,80197,Tacrolimus UNSCHEDULED,211.0,211.0,140.29,143.24,3
CPT,80198,THEOPHYLLINE QUANT,508.0,508.0,43.69,609.6,31
CPT,80198,Theophylline ,508.0,508.0,14.0,43.13,47
CPT,80198,Theophylline Trauma,,,33.94,33.94,6
CPT,80198,Theophylline UNSCHEDULED,508.0,508.0,129.29,132.02,3
CPT,80199,Tiagabine ,,,26.84,82.69,47
CPT,80199,Tiagabine Trauma,,,65.06,65.06,6
CPT,80199,Tiagabine UNSCHEDULED,,,129.29,132.02,3
CPT,80200,TOBRAMYCIN PEAK,552.0,552.0,47.47,662.4,93
CPT,80200,TOBRAMYCIN QUANT,552.0,552.0,47.47,662.4,31
CPT,80200,TOBRAMYCIN TROUGH,552.0,552.0,47.47,662.4,93
CPT,80200,Tobramycin ,,,15.97,49.2,47
CPT,80200,Tobramycin Trauma,,,38.71,38.71,6
CPT,80200,Tobramycin UNSCHEDULED,,,129.29,132.02,3
CPT,80201,TOPIRAMATE QUANT,288.0,288.0,24.77,345.6,31
CPT,80201,Topiramate ,288.0,288.0,11.8,36.36,47
CPT,80201,Topiramate Trauma,,,28.61,28.61,6
CPT,80201,Topiramate UNSCHEDULED,288.0,288.0,15.7,16.03,3
CPT,80202,VANCOMYCIN PEAK,730.0,730.0,62.78,876.0,31
CPT,80202,VANCOMYCIN QUANT,730.0,730.0,62.78,876.0,93
CPT,80202,VANCOMYCIN TROUGH,730.0,730.0,62.78,876.0,93
CPT,80202,Vancomycin ,,,13.4,41.3,47
CPT,80202,Vancomycin Trauma,,,32.5,32.5,6
CPT,80202,Vancomycin UNSCHEDULED,,,219.85,224.48,3
CPT,80203,ZONISAMIDE ZONEGRAN QN,305.0,305.0,26.23,366.0,31
CPT,80203,Zonisamide ,305.0,305.0,13.12,40.41,47
CPT,80203,Zonisamide Trauma,,,31.8,31.8,6
CPT,80203,Zonisamide UNSCHEDULED,305.0,305.0,46.07,47.04,3
CPT,80204,METHOTREXATE RHEUMAT QN,311.0,311.0,26.75,373.2,31
CPT,80204,Methotrexate ,311.0,311.0,38.18,117.64,47
CPT,80204,Methotrexate Trauma,,,92.57,92.57,6
CPT,80204,Methotrexate UNSCHEDULED,311.0,311.0,129.29,132.02,3
CPT,80210,Rufinamide ,,,26.84,82.69,47
CPT,80210,Rufinamide Trauma,,,65.06,65.06,6
CPT,80210,Rufinamide UNSCHEDULED,,,129.29,132.02,3
CPT,80220,Hydroxychloroquine ,,,18.45,56.85,47
CPT,80220,Hydroxychloroquine Trauma,,,44.74,44.74,6
CPT,80220,Hydroxychloroquine UNSCHEDULED,,,129.29,132.02,3
CPT,80230,Infliximab ,,,38.18,117.64,47
CPT,80230,Infliximab Trauma,,,92.57,92.57,6
CPT,80230,Infliximab UNSCHEDULED,,,129.29,132.02,3
CPT,80235,Lacosamide ,,,26.84,82.69,47
CPT,80235,Lacosamide Trauma,,,65.06,65.06,6
CPT,80235,Lacosamide UNSCHEDULED,,,129.29,132.02,3
CPT,80280,Vedolizumab ,,,38.18,117.64,47
CPT,80280,Vedolizumab Trauma,,,92.57,92.57,6
CPT,80280,Vedolizumab UNSCHEDULED,,,129.29,132.02,3
CPT,80285,VORICONAZOLE,122.0,122.0,10.49,146.4,31
CPT,80285,Voriconazole ,122.0,122.0,26.84,82.69,47
CPT,80285,Voriconazole Trauma,,,65.06,65.06,6
CPT,80285,Voriconazole UNSCHEDULED,122.0,122.0,129.29,132.02,3
CPT,80299,CLOMIPRAMINE ANAFRANL QN,311.0,311.0,26.75,373.2,31
CPT,80299,DEXAMETHASONE QN,613.0,613.0,52.72,735.6,31
CPT,80299,DISOPYRAMIDE NORPACE QN,311.0,311.0,26.75,373.2,31
CPT,80299,FLUOXETINE PROZAC QN,157.0,157.0,13.5,188.4,31
CPT,80299,METHYLPHENIDATE RITAL QN,311.0,311.0,26.75,373.2,31
CPT,80299,MEXILETINE MEXITIL QN,311.0,311.0,26.75,373.2,31
CPT,80299,PROPAFENONE RYTHMOL QN,311.0,311.0,26.75,373.2,31
CPT,80299,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.45,56.85,47
CPT,80299,"Quantitation of therapeutic drug, not elsewhere specified Trauma",,,44.74,44.74,6
CPT,80299,"Quantitation of therapeutic drug, not elsewhere specified UNSCHEDULED",,,58.62,59.86,3
CPT,80299,SERTRALINE ZOLOFT QN,311.0,311.0,26.75,373.2,31
CPT,80299,SULFONYLUREA QN,913.0,913.0,78.52,1095.6,31
CPT,80299,TOCAINIDE TONOCARD QN,311.0,311.0,26.75,373.2,31
CPT,80299,TRAZADONE (DESYREL) QN,311.0,311.0,26.75,373.2,31
CPT,80299,VERAPAMIL ISOPTIN QN,311.0,311.0,26.75,373.2,31
CPT,80299,WARFARIN QN,311.0,311.0,26.75,373.2,31
CPT,80305,DRUG SCR DOO MANUAL READ,87.0,87.0,7.48,104.4,62
CPT,80305,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.47,38.43,53
CPT,80306,DRUG SCR DOO INSTR READ,116.0,116.0,9.98,139.2,62
CPT,80306,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,16.97,52.28,53
CPT,80307,DRUG SCR ANY NBR PER DOS,593.0,593.0,21.41,3757.2,186
CPT,80307,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,61.52,189.53,53
CPT,80320,Alcohols ,146.0,146.0,,,0
CPT,80320,Alcohols UNSCHEDULED,146.0,146.0,145.52,148.58,3
CPT,80320,METHANOL DOA,146.0,146.0,7.74,175.2,35
CPT,80321,Alcohol biomarkers; 1 or 2 ,,,,,0
CPT,80321,Alcohol biomarkers; 1 or 2 UNSCHEDULED,,,145.52,148.58,3
CPT,80322,Alcohol biomarkers; 3 or more ,,,,,0
CPT,80322,Alcohol biomarkers; 3 or more UNSCHEDULED,,,145.52,148.58,3
CPT,80323,"Alkaloids, not otherwise specified ",,,,,0
CPT,80323,"Alkaloids, not otherwise specified UNSCHEDULED",,,145.52,148.58,3
CPT,80324,AMPHETAMINE QN,623.0,623.0,33.02,747.6,35
CPT,80324,Amphetamines; 1 or 2 ,623.0,623.0,,,0
CPT,80324,Amphetamines; 1 or 2 UNSCHEDULED,623.0,623.0,145.52,148.58,3
CPT,80325,Amphetamines; 3 or 4 ,,,,,0
CPT,80325,Amphetamines; 3 or 4 UNSCHEDULED,,,145.52,148.58,3
CPT,80326,Amphetamines; 5 or more ,,,,,0
CPT,80326,Amphetamines; 5 or more UNSCHEDULED,,,145.52,148.58,3
CPT,80327,Anabolic steroids; 1 or 2 ,,,,,0
CPT,80327,Anabolic steroids; 1 or 2 UNSCHEDULED,,,145.52,148.58,3
CPT,80328,Anabolic steroids; 3 or more ,,,,,0
CPT,80328,Anabolic steroids; 3 or more UNSCHEDULED,,,145.52,148.58,3
CPT,80329,"Analgesics, non-opioid; 1 or 2 ",90.0,90.0,,,0
CPT,80329,"Analgesics, non-opioid; 1 or 2 UNSCHEDULED",90.0,90.0,145.52,148.58,3
CPT,80329,DEF DRUG ANALGESICS 1-2,90.0,90.0,4.77,108.0,35
CPT,80330,"Analgesics, non-opioid; 3-5 ",,,,,0
CPT,80330,"Analgesics, non-opioid; 3-5 UNSCHEDULED",,,145.52,148.58,3
CPT,80331,"Analgesics, non-opioid; 6 or more ",,,,,0
CPT,80331,"Analgesics, non-opioid; 6 or more UNSCHEDULED",,,145.52,148.58,3
CPT,80332,"Antidepressants, serotonergic class; 1 or 2 ",,,,,0
CPT,80332,"Antidepressants, serotonergic class; 1 or 2 UNSCHEDULED",,,145.52,148.58,3
CPT,80333,"Antidepressants, serotonergic class; 3-5 ",,,,,0
CPT,80333,"Antidepressants, serotonergic class; 3-5 UNSCHEDULED",,,145.52,148.58,3
CPT,80334,"Antidepressants, serotonergic class; 6 or more ",,,,,0
CPT,80334,"Antidepressants, serotonergic class; 6 or more UNSCHEDULED",,,145.52,148.58,3
CPT,80335,"Antidepressants, tricyclic and other cyclicals; 1 or 2 ",168.0,168.0,,,0
CPT,80335,"Antidepressants, tricyclic and other cyclicals; 1 or 2 UNSCHEDULED",168.0,168.0,46.07,47.04,3
CPT,80335,DEF DRUG ANTIDEP TRI 1-2,168.0,168.0,8.9,201.6,35
CPT,80336,"Antidepressants, tricyclic and other cyclicals; 3-5 ",,,,,0
CPT,80336,"Antidepressants, tricyclic and other cyclicals; 3-5 UNSCHEDULED",,,145.52,148.58,3
CPT,80337,"Antidepressants, tricyclic and other cyclicals; 6 or more ",,,,,0
CPT,80337,"Antidepressants, tricyclic and other cyclicals; 6 or more UNSCHEDULED",,,118.3,120.79,3
CPT,80338,"Antidepressants, not otherwise specified ",,,,,0
CPT,80338,"Antidepressants, not otherwise specified UNSCHEDULED",,,145.52,148.58,3
CPT,80339,"Antiepileptics, not otherwise specified; 1-3 ",311.0,311.0,,,0
CPT,80339,"Antiepileptics, not otherwise specified; 1-3 UNSCHEDULED",311.0,311.0,145.52,148.58,3
CPT,80339,DEF DRUG ANTIELEPTIC 1-3,311.0,311.0,16.48,373.2,35
CPT,80340,"Antiepileptics, not otherwise specified; 4-6 ",,,,,0
CPT,80340,"Antiepileptics, not otherwise specified; 4-6 UNSCHEDULED",,,145.52,148.58,3
CPT,80341,"Antiepileptics, not otherwise specified; 7 or more ",,,,,0
CPT,80341,"Antiepileptics, not otherwise specified; 7 or more UNSCHEDULED",,,145.52,148.58,3
CPT,80342,"Antipsychotics, not otherwise specified; 1-3 ",122.0,122.0,,,0
CPT,80342,"Antipsychotics, not otherwise specified; 1-3 UNSCHEDULED",122.0,122.0,145.52,148.58,3
CPT,80342,CHLORPROMAZINE,122.0,122.0,6.47,146.4,35
CPT,80343,"Antipsychotics, not otherwise specified; 4-6 ",,,,,0
CPT,80343,"Antipsychotics, not otherwise specified; 4-6 UNSCHEDULED",,,145.52,148.58,3
CPT,80344,"Antipsychotics, not otherwise specified; 7 or more ",,,,,0
CPT,80344,"Antipsychotics, not otherwise specified; 7 or more UNSCHEDULED",,,145.52,148.58,3
CPT,80345,BARBITURATES QN,168.0,168.0,8.9,201.6,35
CPT,80345,Barbiturates ,,,,,0
CPT,80345,Barbiturates UNSCHEDULED,,,145.52,148.58,3
CPT,80345,PENTOBARBITAL QN,135.5,135.5,5.46,201.6,70
CPT,80346,Benzodiazepines; 1-12 ,,,,,0
CPT,80346,Benzodiazepines; 1-12 UNSCHEDULED,,,145.52,148.58,3
CPT,80346,DEF DRUG BENZODIAZ 1-12,329.0,329.0,17.44,394.8,35
CPT,80346,LORAZEPAM,329.0,329.0,17.44,394.8,35
CPT,80347,Benzodiazepines; 13 or more ,,,,,0
CPT,80347,Benzodiazepines; 13 or more UNSCHEDULED,,,145.52,148.58,3
CPT,80348,Buprenorphine ,,,,,0
CPT,80348,Buprenorphine UNSCHEDULED,,,254.4,259.76,3
CPT,80349,"Cannabinoids, natural ",,,,,0
CPT,80349,"Cannabinoids, natural UNSCHEDULED",,,145.52,148.58,3
CPT,80350,"Cannabinoids, synthetic; 1-3 ",,,,,0
CPT,80350,"Cannabinoids, synthetic; 1-3 UNSCHEDULED",,,145.52,148.58,3
CPT,80351,"Cannabinoids, synthetic; 4-6 ",,,,,0
CPT,80351,"Cannabinoids, synthetic; 4-6 UNSCHEDULED",,,145.52,148.58,3
CPT,80352,"Cannabinoids, synthetic; 7 or more ",,,,,0
CPT,80352,"Cannabinoids, synthetic; 7 or more UNSCHEDULED",,,145.52,148.58,3
CPT,80353,Cocaine ,,,,,0
CPT,80353,Cocaine UNSCHEDULED,,,145.52,148.58,3
CPT,80354,Fentanyl ,,,,,0
CPT,80354,Fentanyl UNSCHEDULED,,,145.52,148.58,3
CPT,80355,"Gabapentin, non-blood ",,,,,0
CPT,80355,"Gabapentin, non-blood UNSCHEDULED",,,145.52,148.58,3
CPT,80356,Heroin metabolite ,,,,,0
CPT,80356,Heroin metabolite UNSCHEDULED,,,145.52,148.58,3
CPT,80357,Ketamine and norketamine ,,,,,0
CPT,80357,Ketamine and norketamine UNSCHEDULED,,,145.52,148.58,3
CPT,80358,Methadone ,,,,,0
CPT,80358,Methadone UNSCHEDULED,,,145.52,148.58,3
CPT,80359,"Methylenedioxyamphetamines (MDA, MDEA, MDMA) ",,,,,0
CPT,80359,"Methylenedioxyamphetamines (MDA, MDEA, MDMA) UNSCHEDULED",,,145.52,148.58,3
CPT,80360,Methylphenidate ,,,,,0
CPT,80360,Methylphenidate UNSCHEDULED,,,145.52,148.58,3
CPT,80361,OPIATES QN,177.0,177.0,9.38,212.4,35
CPT,80361,"Opiates, 1 or more ",177.0,177.0,,,0
CPT,80361,"Opiates, 1 or more UNSCHEDULED",177.0,177.0,145.52,148.58,3
CPT,80362,Opioids and opiate analogs; 1 or 2 ,,,,,0
CPT,80362,Opioids and opiate analogs; 1 or 2 UNSCHEDULED,,,145.52,148.58,3
CPT,80363,Opioids and Opiate analogs; 3 or 4 ,,,,,0
CPT,80363,Opioids and Opiate analogs; 3 or 4 UNSCHEDULED,,,145.52,148.58,3
CPT,80364,Opioids and Opiate analogs; 5 or more ,,,,,0
CPT,80364,Opioids and Opiate analogs; 5 or more UNSCHEDULED,,,145.52,148.58,3
CPT,80365,Oxycodone ,,,,,0
CPT,80365,Oxycodone UNSCHEDULED,,,145.52,148.58,3
CPT,80366,Pregabalin ,,,,,0
CPT,80366,Pregabalin UNSCHEDULED,,,145.52,148.58,3
CPT,80367,Propoxyphene ,,,,,0
CPT,80367,Propoxyphene UNSCHEDULED,,,145.52,148.58,3
CPT,80368,GLUTETHIMIDE,414.0,414.0,21.94,496.8,35
CPT,80368,Sedative hypnotics (non-benzodiazepines) ,414.0,414.0,,,0
CPT,80368,Sedative hypnotics (non-benzodiazepines) UNSCHEDULED,414.0,414.0,145.52,148.58,3
CPT,80369,MEPROBAMATE,105.0,105.0,5.57,126.0,35
CPT,80369,Skeletal muscle relaxants; 1 or 2 ,105.0,105.0,,,0
CPT,80369,Skeletal muscle relaxants; 1 or 2 UNSCHEDULED,105.0,105.0,145.52,148.58,3
CPT,80370,Skeletal muscle relaxants; 3 or more ,,,,,0
CPT,80370,Skeletal muscle relaxants; 3 or more UNSCHEDULED,,,212.52,217.0,3
CPT,80371,"Stimulants, synthetic ",,,,,0
CPT,80371,"Stimulants, synthetic UNSCHEDULED",,,145.52,148.58,3
CPT,80372,Tapentadol ,,,,,0
CPT,80372,Tapentadol UNSCHEDULED,,,145.52,148.58,3
CPT,80373,Tramadol ,,,,,0
CPT,80373,Tramadol UNSCHEDULED,,,145.52,148.58,3
CPT,80374,"Stereoisomer (enantiomer) analysis, single drug class ",,,,,0
CPT,80374,"Stereoisomer (enantiomer) analysis, single drug class UNSCHEDULED",,,145.52,148.58,3
CPT,80375,DEF DRUG SUBSTANCE 1-3,163.0,163.0,8.64,195.6,35
CPT,80375,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3 ",163.0,163.0,,,0
CPT,80375,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3 UNSCHEDULED",163.0,163.0,145.52,148.58,3
CPT,80376,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6 ",,,,,0
CPT,80376,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6 UNSCHEDULED",,,145.52,148.58,3
CPT,80377,DEF DRUG SUBSTANCE 7+,913.0,913.0,48.39,1095.6,35
CPT,80377,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more ",913.0,913.0,,,0
CPT,80377,"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more UNSCHEDULED",913.0,913.0,145.52,148.58,3
CPT,80400,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.29,99.49,47
CPT,80400,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) Trauma,,,78.29,78.29,6
CPT,80400,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) UNSCHEDULED,,,145.52,148.58,3
CPT,80402,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.09,265.23,47
CPT,80402,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) Trauma,,,208.7,208.7,6
CPT,80402,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) UNSCHEDULED,,,145.52,148.58,3
CPT,80406,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,77.48,238.69,47
CPT,80406,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) Trauma,,,187.82,187.82,6
CPT,80406,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) UNSCHEDULED,,,145.52,148.58,3
CPT,80408,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,124.25,382.77,47
CPT,80408,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) Trauma",,,301.2,301.2,6
CPT,80408,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) UNSCHEDULED",,,145.52,148.58,3
CPT,80410,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,79.57,245.13,47
CPT,80410,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) Trauma",,,192.89,192.89,6
CPT,80410,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) UNSCHEDULED",,,145.52,148.58,3
CPT,80412,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,793.6,2444.94,47
CPT,80412,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) Trauma,,,1923.89,1923.89,6
CPT,80412,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) UNSCHEDULED,,,145.52,148.58,3
CPT,80414,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.12,157.5,47
CPT,80414,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) Trauma,,,123.94,123.94,6
CPT,80414,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) UNSCHEDULED,,,145.52,148.58,3
CPT,80415,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.33,170.46,47
CPT,80415,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) Trauma",,,134.14,134.14,6
CPT,80415,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) UNSCHEDULED",,,145.52,148.58,3
CPT,80416,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,207.23,638.43,47
CPT,80416,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Trauma",,,502.37,502.37,6
CPT,80416,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) UNSCHEDULED",,,145.52,148.58,3
CPT,80417,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.55,134.17,47
CPT,80417,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) Trauma",,,105.58,105.58,6
CPT,80417,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) UNSCHEDULED",,,145.52,148.58,3
CPT,80418,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,145.52,1767.41,56
CPT,80420,DEXAMETH SUPP PANEL,613.0,613.0,52.72,735.6,31
CPT,80420,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",613.0,613.0,160.26,493.73,47
CPT,80420,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) Trauma",,,388.51,388.51,6
CPT,80420,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) UNSCHEDULED",613.0,613.0,145.52,148.58,3
CPT,80422,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,45.61,140.51,47
CPT,80422,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) Trauma,,,110.57,110.57,6
CPT,80422,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) UNSCHEDULED,,,145.52,148.58,3
CPT,80424,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,49.99,154.02,47
CPT,80424,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) Trauma",,,121.2,121.2,6
CPT,80424,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) UNSCHEDULED",,,145.52,148.58,3
CPT,80426,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,146.93,452.65,47
CPT,80426,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) Trauma,,,356.18,356.18,6
CPT,80426,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) UNSCHEDULED,,,145.52,148.58,3
CPT,80428,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.03,203.44,47
CPT,80428,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) Trauma",,,160.08,160.08,6
CPT,80428,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) UNSCHEDULED",,,145.52,148.58,3
CPT,80430,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,128.04,394.46,47
CPT,80430,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) Trauma,,,310.39,310.39,6
CPT,80430,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) UNSCHEDULED,,,145.52,148.58,3
CPT,80432,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,163.95,505.11,47
CPT,80432,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) Trauma,,,397.46,397.46,6
CPT,80432,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) UNSCHEDULED,,,145.52,148.58,3
CPT,80434,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,282.18,869.34,47
CPT,80434,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) Trauma,,,684.07,684.07,6
CPT,80434,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) UNSCHEDULED,,,145.52,148.58,3
CPT,80435,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,101.97,314.15,47
CPT,80435,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) Trauma,,,247.2,247.2,6
CPT,80435,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) UNSCHEDULED,,,145.52,148.58,3
CPT,80436,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,90.25,278.04,47
CPT,80436,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Trauma,,,218.78,218.78,6
CPT,80436,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) UNSCHEDULED,,,145.52,148.58,3
CPT,80438,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,49.91,153.75,47
CPT,80438,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) Trauma,,,120.98,120.98,6
CPT,80438,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) UNSCHEDULED,,,145.52,148.58,3
CPT,80439,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,66.54,204.99,47
CPT,80439,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) Trauma,,,161.3,161.3,6
CPT,80439,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) UNSCHEDULED,,,145.52,148.58,3
CPT,80440,TRH STIMULATION PANEL UNSCHEDULED,,,145.52,148.58,3
CPT,80500,"CLINICAL PATHOLOGY CONSULTATION; LIMITED, WITHOUT REVIEW OF PATIENT'S HISTORY AND MEDICAL RECORDS UNSCHEDULED",,,145.52,148.58,3
CPT,80502,"CLINICAL PATHOLOGY CONSULTATION; COMPREHENSIVE, FOR A COMPLEX DIAGNOSTIC PROBLEM, WITH REVIEW OF PATIENT'S HISTORY AND MEDICAL RECORDS UNSCHEDULED",,,145.52,148.58,3
CPT,80503,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,148.58,8
CPT,80504,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,145.52,152.32,8
CPT,80505,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,145.52,152.32,8
CPT,80506,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,5
CPT,80506,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) UNSCHEDULED",,,145.52,148.58,3
CPT,81000,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.98,96.2,56
CPT,81001,UA W MICRO AUTO,1327.0,1327.0,114.12,1592.4,93
CPT,81001,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,3.14,121.86,56
CPT,81002,GLUC UR QUAL MANUAL,470.0,470.0,40.42,564.0,31
CPT,81002,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",470.0,470.0,3.45,39.55,56
CPT,81003,UA W O MICRO AUTO,646.0,646.0,9.72,1414.8,155
CPT,81003,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.23,91.93,56
CPT,81005,MELANIN MELANOGEN UR QL,207.0,207.0,17.8,248.4,31
CPT,81005,"Urinalysis; qualitative or semiquantitative, except immunoassays ",207.0,207.0,2.15,6.62,47
CPT,81005,"Urinalysis; qualitative or semiquantitative, except immunoassays Trauma",,,5.21,5.21,6
CPT,81005,"Urinalysis; qualitative or semiquantitative, except immunoassays UNSCHEDULED",207.0,207.0,34.55,35.28,3
CPT,81007,BACTERIAL SCREEN UR,1231.0,1231.0,105.87,1477.2,31
CPT,81007,"Urinalysis; bacteriuria screen, except by culture or dipstick ",1231.0,1231.0,29.68,91.44,47
CPT,81007,"Urinalysis; bacteriuria screen, except by culture or dipstick Trauma",,,71.95,71.95,6
CPT,81007,"Urinalysis; bacteriuria screen, except by culture or dipstick UNSCHEDULED",1231.0,1231.0,64.38,65.74,3
CPT,81015,Urinalysis; microscopic only ,,,3.02,9.3,47
CPT,81015,Urinalysis; microscopic only Trauma,,,7.32,7.32,6
CPT,81015,Urinalysis; microscopic only UNSCHEDULED,,,33.5,34.2,3
CPT,81020,Urinalysis; 2 or 3 glass test ,,,4.65,14.33,47
CPT,81020,Urinalysis; 2 or 3 glass test Trauma,,,11.28,11.28,6
CPT,81020,Urinalysis; 2 or 3 glass test UNSCHEDULED,,,64.38,65.74,3
CPT,81025,PREG URINE QUAL BY DOO,718.0,718.0,37.32,1202.4,155
CPT,81025,"Urine pregnancy test, by visual color comparison methods ",,,8.52,26.26,47
CPT,81025,"Urine pregnancy test, by visual color comparison methods Trauma",,,20.66,20.66,6
CPT,81025,"Urine pregnancy test, by visual color comparison methods UNSCHEDULED",,,128.77,131.48,3
CPT,81050,VOLUME MEASUREMENT UR,470.0,470.0,40.42,564.0,31
CPT,81050,"Volume measurement for timed collection, each ",470.0,470.0,3.6,11.1,47
CPT,81050,"Volume measurement for timed collection, each Trauma",,,8.74,8.74,6
CPT,81050,"Volume measurement for timed collection, each UNSCHEDULED",470.0,470.0,37.69,38.48,3
CPT,81099,Unlisted urinalysis procedure ,,,,,0
CPT,81099,Unlisted urinalysis procedure UNSCHEDULED,,,64.38,65.74,3
CPT,81105,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,114.64,372.77,55
CPT,81106,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,114.64,372.77,55
CPT,81107,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,114.64,372.77,55
CPT,81108,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,114.64,372.77,55
CPT,81109,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,114.64,372.77,55
CPT,81110,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,114.64,372.77,55
CPT,81111,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,114.64,372.77,55
CPT,81112,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,121.0,372.77,46
CPT,81112,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) Trau",,,293.33,293.33,6
CPT,81112,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) UNSC",,,114.64,117.05,3
CPT,81120,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,191.32,589.41,46
CPT,81120,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) Trauma",,,463.8,463.8,6
CPT,81120,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) UNSCHEDULED",,,114.64,117.05,3
CPT,81121,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,292.83,902.16,46
CPT,81121,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) Trauma",,,709.9,709.9,6
CPT,81121,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) UNSCHEDULED",,,114.64,117.05,3
CPT,81161,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,276.21,850.95,46
CPT,81161,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed Trauma",,,669.6,669.6,6
CPT,81161,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed UNSCHEDULED",,,114.64,117.05,3
CPT,81162,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,114.64,5565.88,56
CPT,81163,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,463.32,1427.4,46
CPT,81163,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Trauma",,,1123.2,1123.2,6
CPT,81163,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81164,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,114.64,1781.9,55
CPT,81165,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,280.05,862.78,46
CPT,81165,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Trauma",,,678.91,678.91,6
CPT,81165,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81166,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,298.34,919.12,46
CPT,81166,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Trauma",,,723.24,723.24,6
CPT,81166,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) UNSCHEDULED",,,114.64,117.05,3
CPT,81167,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,280.05,862.78,46
CPT,81167,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Trauma",,,678.91,678.91,6
CPT,81167,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) UNSCHEDULED",,,114.64,117.05,3
CPT,81168,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,205.24,632.3,46
CPT,81168,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed Trauma",,,497.54,497.54,6
CPT,81168,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed UNSCHEDULED",,,114.64,117.05,3
CPT,81170,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,297.0,915.0,46
CPT,81170,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain Trauma",,,720.0,720.0,6
CPT,81170,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain UNSCHEDULED",,,114.64,117.05,3
CPT,81171,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81171,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81171,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81172,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,272.08,838.23,46
CPT,81172,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) Trauma",,,659.59,659.59,6
CPT,81172,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) UNSCHEDULED",,,114.64,117.05,3
CPT,81173,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,298.34,919.12,46
CPT,81173,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence Trauma",,,723.24,723.24,6
CPT,81173,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81174,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,183.35,564.86,46
CPT,81174,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant Trauma",,,444.48,444.48,6
CPT,81174,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant UNSCHEDULED",,,114.64,117.05,3
CPT,81175,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,669.74,2063.32,46
CPT,81175,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence Trauma",,,1623.6,1623.6,6
CPT,81175,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence UNSCHEDU",,,114.64,117.05,3
CPT,81176,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,114.64,737.79,55
CPT,81177,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81177,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81177,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81178,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81178,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81178,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81179,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81179,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81179,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81180,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81180,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81180,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81181,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81181,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81181,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,158.08,161.41,3
CPT,81182,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81182,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81182,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81183,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81183,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81183,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81184,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81184,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81184,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81185,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,837.81,2581.12,46
CPT,81185,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence Trauma",,,2031.05,2031.05,6
CPT,81185,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81186,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,183.35,564.86,46
CPT,81186,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant Trauma",,,444.48,444.48,6
CPT,81186,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant UNSCHEDULED",,,114.64,117.05,3
CPT,81187,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81187,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81187,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81188,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81188,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81188,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81189,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,272.08,838.23,46
CPT,81189,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Trauma",,,659.59,659.59,6
CPT,81189,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81190,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,183.35,564.86,46
CPT,81190,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) Trauma",,,444.48,444.48,6
CPT,81190,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) UNSCHEDULED",,,114.64,117.05,3
CPT,81191,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,205.24,632.3,46
CPT,81191,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis Trauma",,,497.54,497.54,6
CPT,81191,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81192,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,205.24,632.3,46
CPT,81192,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis Trauma",,,497.54,497.54,6
CPT,81192,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81193,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,205.24,632.3,46
CPT,81193,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis Trauma",,,497.54,497.54,6
CPT,81193,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81194,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,513.1,1580.75,46
CPT,81194,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis Trauma",,,1243.87,1243.87,6
CPT,81194,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81195,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,5682.82,46
CPT,81195,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) Trauma",,,4471.73,4471.73,6
CPT,81200,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,46.78,144.11,46
CPT,81200,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) Trauma",,,113.4,113.4,6
CPT,81200,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) UNSCHEDULED",,,114.64,117.05,3
CPT,81201,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,772.2,2379.0,46
CPT,81201,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence Trauma",,,1872.0,1872.0,6
CPT,81201,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81202,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,277.2,854.0,46
CPT,81202,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants Trauma",,,672.0,672.0,6
CPT,81202,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants UNSCHEDULED",,,114.64,117.05,3
CPT,81203,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,198.0,610.0,46
CPT,81203,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants Trauma",,,480.0,480.0,6
CPT,81203,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants UNSCHEDULED",,,114.64,117.05,3
CPT,81204,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,135.63,417.85,46
CPT,81204,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) Trauma",,,328.8,328.8,6
CPT,81204,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) UNSCHED",,,114.64,117.05,3
CPT,81205,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.04,289.72,46
CPT,81205,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) Trauma",,,227.98,227.98,6
CPT,81205,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) UNSCHEDULED",,,161.22,164.62,3
CPT,81206,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",820.0,820.0,162.32,500.08,46
CPT,81206,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative Trauma",,,393.5,393.5,6
CPT,81206,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative UNSCHEDULED",820.0,820.0,114.64,117.05,3
CPT,81206,BCR/ABL1 MAJOR BREAKPT,820.0,820.0,70.52,984.0,31
CPT,81207,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",720.0,720.0,143.39,441.76,46
CPT,81207,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative Trauma",,,347.62,347.62,6
CPT,81207,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative UNSCHEDULED",720.0,720.0,114.64,117.05,3
CPT,81207,BCR/ABL1 MINOR BREAKPT,720.0,720.0,61.92,864.0,31
CPT,81208,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,212.47,654.59,46
CPT,81208,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative Trauma",,,515.09,515.09,6
CPT,81208,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative UNSCHEDULED",,,114.64,117.05,3
CPT,81209,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,38.92,119.9,46
CPT,81209,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant Trauma",,,94.34,94.34,6
CPT,81209,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant UNSCHEDULED",,,114.64,117.05,3
CPT,81210,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",470.0,470.0,173.65,534.97,46
CPT,81210,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) Trauma",,,420.96,420.96,6
CPT,81210,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) UNSCHEDULED",470.0,470.0,114.64,117.05,3
CPT,81210,BRAF V600 VARIANTS,470.0,470.0,40.42,564.0,31
CPT,81211,"BRCA1, BRCA2 (BREAST CANCER 1 AND 2) (EG, HEREDITARY BREAST AND OVARIAN CANCER) GENE ANALYSIS; FULL SEQUENCE ANALYSIS AND COMMON DUPLICATION/DELETION VARIANTS IN BRCA1 (IE, EXON 13 DEL 3.835KB, EXON U",,,114.64,117.05,3
CPT,81212,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,435.6,1342.0,46
CPT,81212,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants Trauma",,,1056.0,1056.0,6
CPT,81212,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants UNSCHEDULED",,,114.64,117.05,3
CPT,81213,"BRCA1, BRCA2 (BREAST CANCER 1 AND 2) (EG, HEREDITARY BREAST AND OVARIAN CANCER) GENE ANALYSIS; UNCOMMON DUPLICATION/DELETION VARIANTS UNSCHEDULED",,,114.64,117.05,3
CPT,81214,"BRCA1 (BREAST CANCER 1) (EG, HEREDITARY BREAST AND OVARIAN CANCER) GENE ANALYSIS; FULL SEQUENCE ANALYSIS AND COMMON DUPLICATION/DELETION VARIANTS (IE, EXON 13 DEL 3.835KB, EXON 13 DUP 6KB, EXON 14-20 ",,,114.64,117.05,3
CPT,81215,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,371.5,1144.51,46
CPT,81215,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Trauma",,,900.6,900.6,6
CPT,81215,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant UNSCHEDULED",,,114.64,117.05,3
CPT,81216,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,183.27,564.62,46
CPT,81216,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Trauma",,,444.29,444.29,6
CPT,81216,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81217,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,371.5,1144.51,46
CPT,81217,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Trauma",,,900.6,900.6,6
CPT,81217,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant UNSCHEDULED",,,114.64,117.05,3
CPT,81218,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,239.48,737.79,46
CPT,81218,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence Trauma",,,580.56,580.56,6
CPT,81218,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81219,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,120.41,370.97,46
CPT,81219,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 Trauma",,,291.91,291.91,6
CPT,81219,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 UNSCHEDULED",,,114.64,117.05,3
CPT,81220,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",1083.0,1083.0,551.03,1697.63,47
CPT,81220,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) Trauma",,,1335.84,1335.84,6
CPT,81220,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) UNSCHEDULED",1083.0,1083.0,114.64,117.05,3
CPT,81220,CFTR COMMON VARIANTS,1083.0,1083.0,93.14,1299.6,31
CPT,81221,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,96.25,296.52,47
CPT,81221,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants Trauma",,,233.33,233.33,6
CPT,81221,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants UNSCHEDULED",,,114.64,117.05,3
CPT,81222,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,430.72,1326.96,47
CPT,81222,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants Trauma",,,1044.17,1044.17,6
CPT,81222,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants UNSCHEDULED",,,114.64,117.05,3
CPT,81223,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,494.01,1521.95,47
CPT,81223,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence Trauma",,,1197.6,1197.6,6
CPT,81223,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81224,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,167.06,514.69,47
CPT,81224,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) Trauma",,,405.0,405.0,6
CPT,81224,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) UNSCHEDULED",,,114.64,117.05,3
CPT,81225,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,288.45,888.65,46
CPT,81225,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) Trauma",,,699.26,699.26,6
CPT,81225,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) UNSCHEDULED",,,114.64,117.05,3
CPT,81226,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,446.4,1375.28,46
CPT,81226,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) Trauma",,,1082.18,1082.18,6
CPT,81226,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) UNSCHE",,,114.64,117.05,3
CPT,81227,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,173.06,533.17,46
CPT,81227,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) Trauma",,,419.54,419.54,6
CPT,81227,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) UNSCHEDULED",,,114.64,117.05,3
CPT,81228,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,114.64,2745.0,55
CPT,81229,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,114.64,3538.0,55
CPT,81230,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,173.06,533.17,46
CPT,81230,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) Trauma",,,419.54,419.54,6
CPT,81230,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) UNSCHEDULED",,,114.64,117.05,3
CPT,81231,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,173.06,533.17,46
CPT,81231,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) Trauma",,,419.54,419.54,6
CPT,81231,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) UNSCHEDULED",,,114.64,117.05,3
CPT,81232,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,173.06,533.17,46
CPT,81232,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) Trauma",,,419.54,419.54,6
CPT,81232,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) UNSCHEDULED",,,114.64,117.05,3
CPT,81233,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,173.65,534.97,46
CPT,81233,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) Trauma",,,420.96,420.96,6
CPT,81233,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) UNSCHEDULED",,,114.64,117.05,3
CPT,81234,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,135.63,417.85,46
CPT,81234,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles Trauma",,,328.8,328.8,6
CPT,81234,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81235,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",1236.0,1236.0,321.33,989.97,46
CPT,81235,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) Trauma",,,778.99,778.99,6
CPT,81235,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) UNSCHEDULED",1236.0,1236.0,114.64,117.05,3
CPT,81235,EGFR COMMON VARIANTS,1236.0,1236.0,106.3,1483.2,31
CPT,81236,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,280.05,862.78,46
CPT,81236,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence Trauma",,,678.91,678.91,6
CPT,81236,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81237,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,173.65,534.97,46
CPT,81237,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) Trauma",,,420.96,420.96,6
CPT,81237,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) UNSCHEDULED",,,114.64,117.05,3
CPT,81238,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,594.0,1830.0,46
CPT,81238,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence Trauma",,,1440.0,1440.0,6
CPT,81238,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81239,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,272.08,838.23,46
CPT,81239,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) Trauma",,,659.59,659.59,6
CPT,81239,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) UNSCHEDULED",,,114.64,117.05,3
CPT,81240,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.03,200.35,47
CPT,81240,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant Trauma",,,157.66,157.66,6
CPT,81240,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant UNSCHEDULED",,,71.19,72.69,3
CPT,81241,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",62.0,62.0,72.64,223.78,47
CPT,81241,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant Trauma",,,176.09,176.09,6
CPT,81241,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant UNSCHEDULED",62.0,62.0,47.11,48.1,3
CPT,81241,F5 GENE LEIDEN VARIANT,62.0,62.0,5.33,74.4,31
CPT,81242,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.25,111.69,46
CPT,81242,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) Trauma",,,87.89,87.89,6
CPT,81242,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) UNSCHEDULED",,,114.64,117.05,3
CPT,81243,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,56.47,173.97,46
CPT,81243,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,136.9,136.9,6
CPT,81243,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81243,FMR1 DETECT ABN ALLELES,348.0,348.0,27.26,454.8,62
CPT,81244,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.44,136.91,55
CPT,81245,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,163.85,504.81,46
CPT,81245,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) Trauma",,,397.22,397.22,6
CPT,81245,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) UNSCHEDULED",,,114.64,117.05,3
CPT,81246,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,82.17,253.15,46
CPT,81246,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) Trauma",,,199.2,199.2,6
CPT,81246,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) UNSCHEDULED",,,114.64,117.05,3
CPT,81247,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,173.06,533.17,46
CPT,81247,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) Trauma",,,419.54,419.54,6
CPT,81247,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) UNSCHEDULED",,,114.64,117.05,3
CPT,81248,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,371.5,1144.51,46
CPT,81248,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) Trauma",,,900.6,900.6,6
CPT,81248,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) UNSCHEDULED",,,114.64,117.05,3
CPT,81249,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,594.0,1830.0,46
CPT,81249,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence Trauma",,,1440.0,1440.0,6
CPT,81249,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81250,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,57.91,178.39,46
CPT,81250,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) Trauma",,,140.38,140.38,6
CPT,81250,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) UNSCHEDULED",,,114.64,117.05,3
CPT,81251,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,46.78,144.11,46
CPT,81251,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) Trauma",,,113.4,113.4,6
CPT,81251,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) UNSCHEDULED",,,114.64,117.05,3
CPT,81252,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,100.11,308.42,46
CPT,81252,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence Trauma",,,242.69,242.69,6
CPT,81252,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81253,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,60.9,187.64,46
CPT,81253,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants Trauma",,,147.65,147.65,6
CPT,81253,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants UNSCHEDULED",,,114.64,117.05,3
CPT,81254,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,34.65,106.75,46
CPT,81254,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») Trauma",,,84.0,84.0,6
CPT,81254,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») UNSCHEDULED",,,114.64,117.05,3
CPT,81255,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,50.94,156.92,46
CPT,81255,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) Trauma",,,123.48,123.48,6
CPT,81255,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) UNSCHEDULED",,,114.64,117.05,3
CPT,81256,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,64.71,199.35,46
CPT,81256,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) Trauma",,,156.86,156.86,6
CPT,81256,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) UNSCHEDULED",,,114.64,117.05,3
CPT,81257,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,101.24,311.89,55
CPT,81258,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,371.5,1144.51,46
CPT,81258,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant Trauma",,,900.6,900.6,6
CPT,81258,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant UNSCHEDULED",,,114.64,117.05,3
CPT,81259,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,594.0,1830.0,46
CPT,81259,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence Trauma",,,1440.0,1440.0,6
CPT,81259,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81260,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,38.92,119.9,46
CPT,81260,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) Trauma",,,94.34,94.34,6
CPT,81260,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) UNSCHEDULED",,,114.64,117.05,3
CPT,81261,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,114.64,603.87,55
CPT,81262,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,67.86,209.08,46
CPT,81262,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) Trauma",,,164.52,164.52,6
CPT,81262,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) UNSCHED",,,114.64,117.05,3
CPT,81263,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,291.57,898.29,46
CPT,81263,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis Trauma",,,706.85,706.85,6
CPT,81263,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81264,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,171.0,526.83,46
CPT,81264,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Trauma",,,414.55,414.55,6
CPT,81264,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) UNSCHEDULED",,,114.64,117.05,3
CPT,81265,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,114.64,710.86,55
CPT,81266,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,114.64,929.67,55
CPT,81267,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,205.39,632.75,46
CPT,81267,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection Trauma",,,497.9,497.9,6
CPT,81267,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection UNSCHEDULED",,,114.64,117.05,3
CPT,81268,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,114.64,795.41,55
CPT,81269,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,200.38,617.32,46
CPT,81269,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants Trauma",,,485.76,485.76,6
CPT,81269,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants UNSCHEDULED",,,114.64,117.05,3
CPT,81270,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,90.74,279.56,46
CPT,81270,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant Trauma",,,219.98,219.98,6
CPT,81270,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant UNSCHEDULED",,,114.64,117.05,3
CPT,81270,JAK2 V617F VARIANT,319.0,319.0,16.25,538.8,62
CPT,81271,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81271,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81271,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81272,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,114.64,1005.01,55
CPT,81273,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,123.62,380.85,46
CPT,81273,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) Trauma",,,299.69,299.69,6
CPT,81273,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) UNSCHEDULED",,,114.64,117.05,3
CPT,81274,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,272.08,838.23,46
CPT,81274,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) Trauma",,,659.59,659.59,6
CPT,81274,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) UNSCHEDULED",,,114.64,117.05,3
CPT,81275,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",630.0,630.0,191.32,589.41,47
CPT,81275,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) Trauma",,,463.8,463.8,6
CPT,81275,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) UNSCHEDULED",630.0,630.0,114.64,117.05,3
CPT,81275,KRAS VAR EXN2 CODON12&13,630.0,630.0,54.18,756.0,31
CPT,81276,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,191.32,589.41,47
CPT,81276,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) Trauma",,,463.8,463.8,6
CPT,81276,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) UNSCHEDULED",,,114.64,117.05,3
CPT,81277,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1148.4,3538.0,40
CPT,81277,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities Trauma",,,2784.0,2784.0,6
CPT,81277,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities UNSCHEDULED",,,114.64,117.05,3
CPT,81278,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,205.24,632.3,46
CPT,81278,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative Trauma",,,497.54,497.54,6
CPT,81278,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative UNSCHEDULED",,,114.64,117.05,3
CPT,81279,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,183.35,564.86,46
CPT,81279,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) Trauma",,,444.48,444.48,6
CPT,81279,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) UNSCHEDULED",,,114.64,117.05,3
CPT,81280,LONG QT SYND GENE FULL SEQ UNSCHEDULED,,,114.64,117.05,3
CPT,81281,LONG QT SYND KNOWN FAM VAR UNSCHEDULED,,,114.64,117.05,3
CPT,81282,LONG QT SYN GENE DUP/DLT VAR UNSCHEDULED,,,114.64,117.05,3
CPT,81283,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,72.64,223.78,46
CPT,81283,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant Trauma",,,176.09,176.09,6
CPT,81283,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant UNSCHEDULED",,,114.64,117.05,3
CPT,81284,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,135.63,417.85,46
CPT,81284,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles Trauma",,,328.8,328.8,6
CPT,81284,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81285,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,272.08,838.23,46
CPT,81285,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) Trauma",,,659.59,659.59,6
CPT,81285,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) UNSCHEDULED",,,114.64,117.05,3
CPT,81286,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,272.08,838.23,46
CPT,81286,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence Trauma",,,659.59,659.59,6
CPT,81286,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81287,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,123.39,380.15,46
CPT,81287,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis Trauma",,,299.14,299.14,6
CPT,81287,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81288,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,190.4,586.58,46
CPT,81288,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis Trauma",,,461.57,461.57,6
CPT,81288,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81289,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,183.35,564.86,46
CPT,81289,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Trauma",,,444.48,444.48,6
CPT,81289,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) UNSCHEDULED",,,114.64,117.05,3
CPT,81290,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,38.92,119.9,46
CPT,81290,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) Trauma",,,94.34,94.34,6
CPT,81290,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) UNSCHEDULED",,,114.64,117.05,3
CPT,81291,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,64.69,199.29,46
CPT,81291,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) Trauma",,,156.82,156.82,6
CPT,81291,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) UNSCHEDULED",,,114.64,117.05,3
CPT,81292,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,668.65,2059.97,46
CPT,81292,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,1620.96,1620.96,6
CPT,81292,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81293,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,327.69,1009.55,46
CPT,81293,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,794.4,794.4,6
CPT,81293,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants UNSCHEDULED",,,114.64,117.05,3
CPT,81294,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,200.38,617.32,46
CPT,81294,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,485.76,485.76,6
CPT,81294,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants UNSCHEDULED",,,114.64,117.05,3
CPT,81295,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,377.88,1164.18,46
CPT,81295,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,916.08,916.08,6
CPT,81295,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81296,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,334.35,1030.08,46
CPT,81296,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,810.55,810.55,6
CPT,81296,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants UNSCHEDULED",,,114.64,117.05,3
CPT,81297,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,211.17,650.56,46
CPT,81297,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,511.92,511.92,6
CPT,81297,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants UNSCHEDULED",,,114.64,117.05,3
CPT,81298,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,635.43,1957.64,46
CPT,81298,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,1540.44,1540.44,6
CPT,81298,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81299,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,304.92,939.4,46
CPT,81299,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,739.2,739.2,6
CPT,81299,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants UNSCHEDULED",,,114.64,117.05,3
CPT,81300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,235.62,725.9,46
CPT,81300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,571.2,571.2,6
CPT,81300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants UNSCHEDULED",,,114.64,117.05,3
CPT,81301,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,114.64,1063.11,55
CPT,81302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,522.59,1610.0,46
CPT,81302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Trauma",,,1266.89,1266.89,6
CPT,81302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,118.8,366.0,46
CPT,81303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Trauma",,,288.0,288.0,6
CPT,81303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant UNSCHEDULED",,,114.64,117.05,3
CPT,81304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,148.5,457.5,46
CPT,81304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants Trauma",,,360.0,360.0,6
CPT,81304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants UNSCHEDULED",,,114.64,117.05,3
CPT,81305,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,173.65,534.97,46
CPT,81305,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant Trauma",,,420.96,420.96,6
CPT,81305,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant UNSCHEDULED",,,114.64,117.05,3
CPT,81306,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,288.45,888.65,46
CPT,81306,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) Trauma",,,699.26,699.26,6
CPT,81306,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) UNSCHEDULED",,,114.64,117.05,3
CPT,81307,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,669.74,2063.32,40
CPT,81307,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence Trauma",,,1623.6,1623.6,6
CPT,81307,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81308,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,298.34,919.12,40
CPT,81308,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant Trauma",,,723.24,723.24,6
CPT,81308,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant UNSCHEDULED",,,114.64,117.05,3
CPT,81309,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,272.08,838.23,40
CPT,81309,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) Trauma",,,659.59,659.59,6
CPT,81309,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) UNSCHEDULED",,,114.64,117.05,3
CPT,81310,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,244.05,751.89,46
CPT,81310,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants Trauma",,,591.65,591.65,6
CPT,81310,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants UNSCHEDULED",,,114.64,117.05,3
CPT,81311,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,292.83,902.16,46
CPT,81311,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) Trauma",,,709.9,709.9,6
CPT,81311,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) UNSCHEDULED",,,114.64,117.05,3
CPT,81312,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81312,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81312,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81313,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,252.5,777.9,47
CPT,81313,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) Trauma",,,612.12,612.12,6
CPT,81313,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) UNSCHEDULED",,,114.64,117.05,3
CPT,81314,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,326.21,1005.01,46
CPT,81314,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) Trauma",,,790.82,790.82,6
CPT,81314,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) UNSCHEDULED",,,114.64,117.05,3
CPT,81315,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,114.64,632.3,55
CPT,81316,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,114.64,632.3,55
CPT,81317,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,669.74,2063.32,46
CPT,81317,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,1623.6,1623.6,6
CPT,81317,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81318,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,327.69,1009.55,46
CPT,81318,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,794.4,794.4,6
CPT,81318,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants UNSCHEDULED",,,114.64,117.05,3
CPT,81319,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,201.47,620.67,46
CPT,81319,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,488.4,488.4,6
CPT,81319,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants UNSCHEDULED",,,114.64,117.05,3
CPT,81320,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,288.45,888.65,46
CPT,81320,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) Trauma",,,699.26,699.26,6
CPT,81320,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) UNSCHEDULED",,,114.64,117.05,3
CPT,81321,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,594.0,1830.0,46
CPT,81321,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis Trauma",,,1440.0,1440.0,6
CPT,81321,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81322,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.13,142.13,46
CPT,81322,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant Trauma",,,111.84,111.84,6
CPT,81322,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant UNSCHEDULED",,,114.64,117.05,3
CPT,81323,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,297.0,915.0,46
CPT,81323,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant Trauma",,,720.0,720.0,6
CPT,81323,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant UNSCHEDULED",,,114.64,117.05,3
CPT,81324,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,750.78,2313.0,46
CPT,81324,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis Trauma",,,1820.06,1820.06,6
CPT,81324,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81325,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,761.88,2347.22,46
CPT,81325,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis Trauma",,,1846.99,1846.99,6
CPT,81325,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81326,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.13,142.13,46
CPT,81326,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant Trauma",,,111.84,111.84,6
CPT,81326,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant UNSCHEDULED",,,114.64,117.05,3
CPT,81327,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,190.08,585.6,46
CPT,81327,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Trauma",,,460.8,460.8,6
CPT,81327,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81328,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,173.06,533.17,46
CPT,81328,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) Trauma",,,419.54,419.54,6
CPT,81328,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) UNSCHEDULED",,,114.64,117.05,3
CPT,81329,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,114.64,417.85,55
CPT,81330,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,46.53,143.35,46
CPT,81330,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) Trauma",,,112.8,112.8,6
CPT,81330,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) UNSCHEDULED",,,114.64,117.05,3
CPT,81331,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",1236.0,1236.0,50.56,155.76,46
CPT,81331,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis Trauma",,,122.57,122.57,6
CPT,81331,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis UNSCHEDULED",1236.0,1236.0,114.64,117.05,3
CPT,81331,SNRPN/UBE3A METHYLATION,1236.0,1236.0,106.3,1483.2,31
CPT,81332,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.21,133.13,46
CPT,81332,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) Trauma",,,104.76,104.76,6
CPT,81332,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) UNSCHEDULED",,,114.64,117.05,3
CPT,81333,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,135.63,417.85,46
CPT,81333,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) Trauma",,,328.8,328.8,6
CPT,81333,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) UNSCHEDULED",,,114.64,117.05,3
CPT,81334,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,326.21,1005.01,46
CPT,81334,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) Trauma",,,790.82,790.82,6
CPT,81334,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) UNSCHE",,,114.64,117.05,3
CPT,81335,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,173.06,533.17,46
CPT,81335,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) Trauma",,,419.54,419.54,6
CPT,81335,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) UNSCHEDULED",,,114.64,117.05,3
CPT,81336,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,298.34,919.12,46
CPT,81336,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence Trauma",,,723.24,723.24,6
CPT,81336,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81337,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,183.35,564.86,46
CPT,81337,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) Trauma",,,444.48,444.48,6
CPT,81337,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) UNSCHEDULED",,,114.64,117.05,3
CPT,81338,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,148.83,458.51,46
CPT,81338,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) Trauma",,,360.79,360.79,6
CPT,81338,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) UNSCHEDULED",,,114.64,117.05,3
CPT,81339,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,183.35,564.86,46
CPT,81339,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 Trauma",,,444.48,444.48,6
CPT,81339,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 UNSCHEDULED",,,114.64,117.05,3
CPT,81340,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,206.83,637.21,46
CPT,81340,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) T",,,501.41,501.41,6
CPT,81340,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) U",,,114.64,117.05,3
CPT,81341,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.09,151.25,46
CPT,81341,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) Trauma",,,119.02,119.02,6
CPT,81341,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) UNSCHEDULED",,,114.64,117.05,3
CPT,81342,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,199.48,614.57,46
CPT,81342,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Trauma",,,483.6,483.6,6
CPT,81342,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) UNSCHEDULED",,,114.64,117.05,3
CPT,81343,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81343,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81343,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81344,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,135.63,417.85,46
CPT,81344,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,6
CPT,81344,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles UNSCHEDULED",,,114.64,117.05,3
CPT,81345,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,183.35,564.86,46
CPT,81345,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) Trauma",,,444.48,444.48,6
CPT,81345,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) UNSCHEDULED",,,114.64,117.05,3
CPT,81346,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,173.06,533.17,46
CPT,81346,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) Trauma",,,419.54,419.54,6
CPT,81346,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) UNSCHEDULED",,,114.64,117.05,3
CPT,81347,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,191.32,589.41,46
CPT,81347,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) Trauma",,,463.8,463.8,6
CPT,81347,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) UNSCHEDULED",,,114.64,117.05,3
CPT,81348,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,173.65,534.97,46
CPT,81348,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) Trauma",,,420.96,420.96,6
CPT,81348,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) UNSCHEDULED",,,114.64,117.05,3
CPT,81349,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,3653.72,47
CPT,81349,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis Trau",,,2875.06,2875.06,6
CPT,81349,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis UNSC",,,114.64,117.05,3
CPT,81350,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,231.66,713.7,46
CPT,81350,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) Tr",,,561.6,561.6,6
CPT,81350,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) UN",,,114.64,117.05,3
CPT,81351,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,635.43,1957.64,46
CPT,81351,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence Trauma",,,1540.44,1540.44,6
CPT,81351,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81352,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,326.21,1005.01,46
CPT,81352,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) Trauma",,,790.82,790.82,6
CPT,81352,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) UNSCHEDULED",,,114.64,117.05,3
CPT,81353,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,304.92,939.4,46
CPT,81353,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Trauma",,,739.2,739.2,6
CPT,81353,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant UNSCHEDULED",,,114.64,117.05,3
CPT,81354,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1250.89,3853.77,46
CPT,81354,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) Trauma",,,3032.47,3032.47,6
CPT,81355,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,87.32,269.01,46
CPT,81355,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) Trauma",,,211.68,211.68,6
CPT,81355,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) UNSCHEDULED",,,114.64,117.05,3
CPT,81357,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,191.32,589.41,46
CPT,81357,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) Trauma",,,463.8,463.8,6
CPT,81357,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) UNSCHEDULED",,,114.64,117.05,3
CPT,81360,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,191.32,589.41,46
CPT,81360,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) Trauma",,,463.8,463.8,6
CPT,81360,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) UNSCHEDU",,,114.64,117.05,3
CPT,81361,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,173.06,533.17,46
CPT,81361,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) Trauma",,,419.54,419.54,6
CPT,81361,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) UNSCHEDULED",,,114.64,117.05,3
CPT,81362,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,371.5,1144.51,46
CPT,81362,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) Trauma",,,900.6,900.6,6
CPT,81362,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) UNSCHEDULED",,,114.64,117.05,3
CPT,81363,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,200.38,617.32,46
CPT,81363,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) Trauma",,,485.76,485.76,6
CPT,81363,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) UNSCHEDULED",,,114.64,117.05,3
CPT,81364,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,321.33,989.97,46
CPT,81364,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence Trauma",,,778.99,778.99,6
CPT,81364,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence UNSCHEDULED",,,114.64,117.05,3
CPT,81370,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,398.1,1226.47,47
CPT,81370,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 Trauma",,,965.09,965.09,6
CPT,81370,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 UNSCHEDULED",,,114.64,117.05,3
CPT,81371,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,400.47,1233.79,47
CPT,81371,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) Trauma",,,970.85,970.85,6
CPT,81371,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) UNSCHEDULED",,,114.64,117.05,3
CPT,81372,HLA 1 TYPING COMPLETE LR,2459.0,2459.0,211.47,2950.8,31
CPT,81372,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",2459.0,2459.0,399.55,1230.95,47
CPT,81372,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) Trauma",,,968.62,968.62,6
CPT,81372,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) UNSCHEDULED",2459.0,2459.0,114.64,117.05,3
CPT,81373,HLA 1 TYPE 1 LOCUS LR EA,504.0,504.0,43.34,604.8,31
CPT,81373,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",504.0,504.0,126.16,388.66,47
CPT,81373,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Trauma",,,305.83,305.83,6
CPT,81373,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each UNSCHEDULED",504.0,504.0,114.64,117.05,3
CPT,81374,HLA 1 TYP 1 AG EQV LR EA,218.0,218.0,18.75,261.6,31
CPT,81374,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",218.0,218.0,73.59,226.71,47
CPT,81374,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Trauma",,,178.39,178.39,6
CPT,81374,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each UNSCHEDULED",218.0,218.0,114.64,117.05,3
CPT,81375,HLA CLASS 2 TYPING LR,1360.0,1360.0,83.68,2096.4,62
CPT,81375,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,218.53,673.26,47
CPT,81375,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 Trauma",,,529.78,529.78,6
CPT,81375,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 UNSCHEDULED",,,114.64,117.05,3
CPT,81376,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,121.0,372.77,47
CPT,81376,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Trauma",,,293.33,293.33,6
CPT,81376,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each UNSCHEDULED",,,114.64,117.05,3
CPT,81377,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,93.79,288.96,47
CPT,81377,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Trauma",,,227.38,227.38,6
CPT,81377,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each UNSCHEDULED",,,114.64,117.05,3
CPT,81378,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,342.11,1053.99,47
CPT,81378,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 Trauma",,,829.37,829.37,6
CPT,81378,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 UNSCHEDULED",,,114.64,117.05,3
CPT,81379,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,332.03,1022.91,47
CPT,81379,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) Trauma",,,804.91,804.91,6
CPT,81379,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) UNSCHEDULED",,,114.64,117.05,3
CPT,81380,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,175.48,540.61,47
CPT,81380,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each Trauma",,,425.4,425.4,6
CPT,81380,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each UNSCHEDULED",,,114.64,117.05,3
CPT,81381,HLA 1 TYP 1 ALLELE HR EA,201.0,201.0,17.29,241.2,31
CPT,81381,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",201.0,201.0,168.2,518.19,47
CPT,81381,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each Trauma",,,407.76,407.76,6
CPT,81381,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each UNSCHEDULED",201.0,201.0,114.64,117.05,3
CPT,81382,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.44,377.22,47
CPT,81382,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Trauma",,,296.83,296.83,6
CPT,81382,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each UNSCHEDULED",,,114.64,117.05,3
CPT,81383,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,108.04,332.85,47
CPT,81383,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each Trauma",,,261.91,261.91,6
CPT,81383,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each UNSCHEDULED",,,114.64,117.05,3
CPT,81400,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.32,195.08,55
CPT,81401,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,114.64,417.85,55
CPT,81402,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,114.64,458.51,55
CPT,81403,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,114.64,564.86,55
CPT,81404,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,114.64,838.23,55
CPT,81405,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,114.64,919.12,55
CPT,81406,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,114.64,862.78,55
CPT,81407,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,114.64,2581.12,55
CPT,81408,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,114.64,6100.0,55
CPT,81410,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,114.64,1537.2,55
CPT,81411,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,114.64,4118.08,55
CPT,81412,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,114.64,7468.11,55
CPT,81413,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,114.64,1783.94,55
CPT,81414,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,114.64,1783.94,55
CPT,81415,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4732.2,14579.0,47
CPT,81415,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Trauma",,,11472.0,11472.0,6
CPT,81415,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81416,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,11880.0,36600.0,47
CPT,81416,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) T",,,28800.0,28800.0,6
CPT,81416,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) U",,,114.64,117.05,3
CPT,81417,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,316.8,976.0,47
CPT,81417,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) Trauma",,,768.0,768.0,6
CPT,81417,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) UNSCHEDULED",,,114.64,117.05,3
CPT,81418,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,907.91,2797.09,47
CPT,81418,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis Trauma",,,2200.99,2200.99,6
CPT,81418,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81419,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,114.64,7468.11,55
CPT,81420,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,751.46,2315.1,46
CPT,81420,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 Trauma",,,1821.72,1821.72,6
CPT,81420,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 UNSCHE",,,114.64,117.05,3
CPT,81422,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,751.46,2315.1,46
CPT,81422,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood Trauma",,,1821.72,1821.72,6
CPT,81422,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood UNSCHEDULED",,,114.64,117.05,3
CPT,81425,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4980.89,15345.16,47
CPT,81425,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Trauma",,,12074.88,12074.88,6
CPT,81425,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81426,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,114.64,8265.35,56
CPT,81427,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2314.27,7129.83,47
CPT,81427,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) Trauma",,,5610.36,5610.36,6
CPT,81427,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) UNSCHEDULED",,,114.64,117.05,3
CPT,81430,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,114.64,4956.25,55
CPT,81431,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,114.64,2072.69,55
CPT,81432,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,114.64,3977.05,55
CPT,81433,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer); duplication/deletion analysis panel, must include analyses for BRCA",,,114.64,117.05,3
CPT,81434,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,114.64,1823.63,55
CPT,81435,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,114.64,3977.05,55
CPT,81436,"Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis); duplication/deletion analysis panel, must include analysis of at leas",,,114.64,117.05,3
CPT,81437,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,114.64,3977.05,55
CPT,81438,"Hereditary neuroendocrine tumor disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma); duplication/deletion analysis panel, must include analy",,,114.64,117.05,3
CPT,81439,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,114.64,1783.94,55
CPT,81440,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,114.64,10138.2,55
CPT,81441,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,114.64,7468.11,55
CPT,81442,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,114.64,6537.98,55
CPT,81443,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,114.64,7468.11,55
CPT,81445,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,114.64,1823.63,55
CPT,81448,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,114.64,1783.94,55
CPT,81449,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,591.93,1823.63,46
CPT,81449,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis Trauma",,,1434.98,1434.98,6
CPT,81449,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis UNSCHEDULED",,,114.64,117.05,3
CPT,81450,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,114.64,2316.57,55
CPT,81451,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,114.64,2316.57,55
CPT,81455,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,114.64,8904.78,55
CPT,81456,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,114.64,8904.78,55
CPT,81457,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,887.9,2735.45,46
CPT,81457,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability Trauma",,,2152.49,2152.49,6
CPT,81457,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability UNSCHEDULED",,,114.64,117.05,3
CPT,81458,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1035.89,3191.37,46
CPT,81458,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability Trauma",,,2511.24,2511.24,6
CPT,81458,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability UNSCHEDULED",,,114.64,117.05,3
CPT,81459,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,114.64,9118.13,55
CPT,81460,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,114.64,3925.35,55
CPT,81462,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,114.64,3647.28,55
CPT,81463,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1331.86,4103.2,46
CPT,81463,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability Trau",,,3228.74,3228.74,6
CPT,81463,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability UNSC",,,114.64,117.05,3
CPT,81464,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,114.64,10029.96,55
CPT,81465,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,926.64,2854.8,46
CPT,81465,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed Trauma",,,2246.4,2246.4,6
CPT,81465,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed UNSCHEDULED",,,114.64,117.05,3
CPT,81470,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,114.64,2787.7,55
CPT,81471,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,114.64,2787.7,55
CPT,81479,Unlisted molecular pathology procedure ,,,,,0
CPT,81479,Unlisted molecular pathology procedure UNSCHEDULED,,,114.64,117.05,3
CPT,81490,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,832.24,2563.98,46
CPT,81490,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score Trauma",,,2017.56,2017.56,6
CPT,81490,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score UNSCHEDULED",,,72.24,73.76,3
CPT,81493,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1039.5,3202.5,46
CPT,81493,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score Trauma",,,2520.0,2520.0,6
CPT,81493,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score UNSCHEDULED",,,72.24,73.76,3
CPT,81500,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,257.89,794.52,46
CPT,81500,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score Trauma",,,625.2,625.2,6
CPT,81500,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score UNSCHEDULED",,,72.24,73.76,3
CPT,81503,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,888.03,2735.85,47
CPT,81503,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score Trauma",,,2152.8,2152.8,6
CPT,81503,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score UNSCHEDULED",,,72.24,73.76,3
CPT,81504,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,514.8,1586.0,46
CPT,81504,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores Trauma",,,1248.0,1248.0,6
CPT,81504,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores UNSCHEDULED",,,72.24,73.76,3
CPT,81506,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.23,210.21,55
CPT,81507,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,787.05,2424.75,46
CPT,81507,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy Trauma",,,1908.0,1908.0,6
CPT,81507,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy UNSCHEDULED",,,72.24,73.76,3
CPT,81508,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,53.76,165.61,47
CPT,81508,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score Trauma",,,130.32,130.32,6
CPT,81508,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score UNSCHEDULED",,,72.24,73.76,3
CPT,81509,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1472.5,4536.48,47
CPT,81509,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score Trauma",,,3569.69,3569.69,6
CPT,81509,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score UNSCHEDULED",,,72.24,73.76,3
CPT,81510,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.98,169.4,47
CPT,81510,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score Trauma",,,133.3,133.3,6
CPT,81510,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score UNSCHEDULED",,,72.24,73.76,3
CPT,81511,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,72.24,468.17,56
CPT,81512,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,68.82,212.04,47
CPT,81512,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score Trauma",,,166.85,166.85,6
CPT,81512,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score UNSCHEDULED",,,72.24,73.76,3
CPT,81513,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,72.24,435.02,56
CPT,81514,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,72.24,802.12,55
CPT,81515,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,260.36,802.12,52
CPT,81517,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,72.24,537.38,56
CPT,81518,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,72.24,11812.65,55
CPT,81519,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3834.27,11812.65,46
CPT,81519,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score Trauma",,,9295.2,9295.2,6
CPT,81519,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score UNSCHEDULED",,,72.24,73.76,3
CPT,81520,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,72.24,7656.14,55
CPT,81521,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,72.24,11812.65,55
CPT,81522,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,72.24,11812.65,49
CPT,81523,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,72.24,11812.65,55
CPT,81524,"Oncology (central nervous system tumor), DNA methylation analysis of at least 10,000 methylation sites, utilizing DNA extracted from formalin-fixed tumor tissue, algorithm(s) reported as probability o",,,,,0
CPT,81525,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,72.24,9503.8,55
CPT,81528,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,72.24,1552.05,56
CPT,81529,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,72.24,21938.65,55
CPT,81535,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,72.24,1767.35,55
CPT,81536,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,72.24,541.56,55
CPT,81538,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2842.29,8756.55,46
CPT,81538,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival Trauma",,,6890.4,6890.4,6
CPT,81538,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival UNSCHEDULED",,,72.24,73.76,3
CPT,81539,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,72.24,2318.0,55
CPT,81540,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,72.24,11437.5,55
CPT,81541,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,72.24,11812.65,55
CPT,81542,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3834.27,11812.65,40
CPT,81542,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score Trauma",,,9295.2,9295.2,6
CPT,81542,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score UNSCHEDULED",,,72.24,73.76,3
CPT,81545,"ONCOLOGY (THYROID), GENE EXPRESSION ANALYSIS OF 142 GENES, UTILIZING FINE NEEDLE ASPIRATE, ALGORITHM REPORTED AS A CATEGORICAL RESULT (EG, BENIGN OR SUSPICIOUS) UNSCHEDULED",,,72.24,73.76,3
CPT,81546,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3564.0,10980.0,46
CPT,81546,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) Trauma",,,8640.0,8640.0,6
CPT,81546,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) UNSCHEDULED",,,72.24,73.76,3
CPT,81551,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,72.24,6191.5,55
CPT,81552,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,72.24,23716.8,49
CPT,81554,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,72.24,16499.28,55
CPT,81558,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3207.6,9882.0,52
CPT,81560,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,72.24,1954.23,56
CPT,81595,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,72.24,9882.0,56
CPT,81596,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,71.47,220.18,55
CPT,81599,Unlisted multianalyte assay with algorithmic analysis ,,,,,0
CPT,81599,Unlisted multianalyte assay with algorithmic analysis UNSCHEDULED,,,72.24,73.76,3
CPT,82000,ASSAY OF BLOOD ACETALDEHYDE UNSCHEDULED,,,72.24,73.76,3
CPT,82003,ASSAY OF ACETAMINOPHEN UNSCHEDULED,,,72.24,73.76,3
CPT,82009,ACETONE BLD QL,593.0,593.0,51.0,711.6,31
CPT,82009,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",593.0,593.0,4.47,13.79,47
CPT,82009,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative Trauma",,,10.85,10.85,6
CPT,82009,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative UNSCHEDULED",593.0,593.0,72.24,73.76,3
CPT,82010,BETA HYDROXYBUTYRATE,593.0,593.0,51.0,711.6,62
CPT,82010,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.09,24.92,47
CPT,82010,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative Trauma",,,19.61,19.61,6
CPT,82010,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative UNSCHEDULED",,,108.88,111.17,3
CPT,82013,Acetylcholinesterase ,,,12.17,37.48,47
CPT,82013,Acetylcholinesterase Trauma,,,29.5,29.5,6
CPT,82013,Acetylcholinesterase UNSCHEDULED,,,80.61,82.3,3
CPT,82016,"Acylcarnitines; qualitative, each specimen ",,,16.33,50.29,47
CPT,82016,"Acylcarnitines; qualitative, each specimen Trauma",,,39.58,39.58,6
CPT,82016,"Acylcarnitines; qualitative, each specimen UNSCHEDULED",,,80.61,82.3,3
CPT,82017,"Acylcarnitines; quantitative, each specimen ",,,16.7,51.45,47
CPT,82017,"Acylcarnitines; quantitative, each specimen Trauma",,,40.49,40.49,6
CPT,82017,"Acylcarnitines; quantitative, each specimen UNSCHEDULED",,,80.61,82.3,3
CPT,82024,ACTH QN,329.0,329.0,28.29,394.8,31
CPT,82024,Adrenocorticotropic hormone (ACTH) ,329.0,329.0,38.23,117.79,47
CPT,82024,Adrenocorticotropic hormone (ACTH) Trauma,,,92.69,92.69,6
CPT,82024,Adrenocorticotropic hormone (ACTH) UNSCHEDULED,329.0,329.0,14.66,14.97,3
CPT,82030,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",227.0,227.0,25.54,78.69,47
CPT,82030,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) Trauma",,,61.92,61.92,6
CPT,82030,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) UNSCHEDULED",227.0,227.0,80.61,82.3,3
CPT,82030,CYCLIC AMP,227.0,227.0,19.52,272.4,31
CPT,82040,ALBUMIN SERUM QN,45.0,45.0,1.89,81.6,124
CPT,82040,"Albumin; serum, plasma or whole blood ",,,4.9,15.1,47
CPT,82040,"Albumin; serum, plasma or whole blood Trauma",,,11.88,11.88,6
CPT,82040,"Albumin; serum, plasma or whole blood UNSCHEDULED",,,150.76,153.93,3
CPT,82042,ALBUMIN OTHER QN,300.0,300.0,25.8,360.0,93
CPT,82042,"Albumin; other source, quantitative, each specimen ",,,7.7,23.73,47
CPT,82042,"Albumin; other source, quantitative, each specimen Trauma",,,18.67,18.67,6
CPT,82042,"Albumin; other source, quantitative, each specimen UNSCHEDULED",,,11.51,11.76,3
CPT,82043,"Albumin; urine (eg, microalbumin), quantitative ",,,5.72,17.63,47
CPT,82043,"Albumin; urine (eg, microalbumin), quantitative Trauma",,,13.87,13.87,6
CPT,82043,"Albumin; urine (eg, microalbumin), quantitative UNSCHEDULED",,,121.44,124.0,3
CPT,82043,MICROALBUMIN QN,288.0,288.0,24.77,345.6,93
CPT,82044,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.17,19.0,47
CPT,82044,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Trauma",,,14.95,14.95,6
CPT,82044,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) UNSCHEDULED",,,146.57,149.65,3
CPT,82044,MICROALBUMIN SEMIQN,38.0,38.0,3.27,45.6,62
CPT,82045,Albumin; ischemia modified ,,,33.6,103.52,47
CPT,82045,Albumin; ischemia modified Trauma,,,81.46,81.46,6
CPT,82045,Albumin; ischemia modified UNSCHEDULED,,,80.61,82.3,3
CPT,82055,ASSAY OF ETHANOL UNSCHEDULED,,,80.61,82.3,3
CPT,82075,Alcohol (ethanol); breath ,,,29.7,91.5,47
CPT,82075,Alcohol (ethanol); breath Trauma,,,72.0,72.0,6
CPT,82075,Alcohol (ethanol); breath UNSCHEDULED,,,39.79,40.62,3
CPT,82077,ALCOHOL QN EXC UA OR BRE,90.0,90.0,7.74,108.0,31
CPT,82077,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",90.0,90.0,17.1,52.67,46
CPT,82077,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) Trauma",,,41.45,41.45,6
CPT,82077,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) UNSCHEDULED",90.0,90.0,80.61,82.3,3
CPT,82085,ALDOLASE,78.0,78.0,6.71,93.6,31
CPT,82085,Aldolase ,78.0,78.0,9.61,29.62,47
CPT,82085,Aldolase Trauma,,,23.3,23.3,6
CPT,82085,Aldolase UNSCHEDULED,78.0,78.0,24.08,24.59,3
CPT,82088,ALDOSTERONE QN,341.0,341.0,29.33,409.2,31
CPT,82088,ALDOSTERONE UR QN,181.5,181.5,1.89,409.2,62
CPT,82088,Aldosterone ,,,40.34,124.29,47
CPT,82088,Aldosterone Trauma,,,97.8,97.8,6
CPT,82088,Aldosterone UNSCHEDULED,,,46.07,47.04,3
CPT,82101,ASSAY OF URINE ALKALOIDS UNSCHEDULED,,,80.61,82.3,3
CPT,82103,A-1-ANTITRYPSIN TOT,119.0,119.0,10.23,142.8,93
CPT,82103,Alpha-1-antitrypsin; total ,,,13.31,40.99,47
CPT,82103,Alpha-1-antitrypsin; total Trauma,,,32.26,32.26,6
CPT,82103,Alpha-1-antitrypsin; total UNSCHEDULED,,,80.61,82.3,3
CPT,82104,A-1-ANTITRYPSIN PHENO,505.0,505.0,43.43,606.0,31
CPT,82104,Alpha-1-antitrypsin; phenotype ,505.0,505.0,14.32,44.1,47
CPT,82104,Alpha-1-antitrypsin; phenotype Trauma,,,34.7,34.7,6
CPT,82104,Alpha-1-antitrypsin; phenotype UNSCHEDULED,505.0,505.0,80.61,82.3,3
CPT,82105,ALPHA FETOPROT SERUM,146.0,146.0,12.56,175.2,62
CPT,82105,ALPHA FETOPROT SERUM MAT,146.0,146.0,12.56,175.2,62
CPT,82105,Alpha-fetoprotein (AFP); serum ,,,16.6,51.15,47
CPT,82105,Alpha-fetoprotein (AFP); serum Trauma,,,40.25,40.25,6
CPT,82105,Alpha-fetoprotein (AFP); serum UNSCHEDULED,,,103.64,105.83,3
CPT,82106,Alpha-fetoprotein (AFP); amniotic fluid ,,,16.83,51.85,47
CPT,82106,Alpha-fetoprotein (AFP); amniotic fluid Trauma,,,40.8,40.8,6
CPT,82106,Alpha-fetoprotein (AFP); amniotic fluid UNSCHEDULED,,,80.61,82.3,3
CPT,82107,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,63.77,196.45,47
CPT,82107,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) Trauma,,,154.58,154.58,6
CPT,82107,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) UNSCHEDULED,,,80.61,82.3,3
CPT,82108,ALUMINUM,211.0,211.0,18.15,253.2,31
CPT,82108,Aluminum ,211.0,211.0,25.23,77.71,47
CPT,82108,Aluminum Trauma,,,61.15,61.15,6
CPT,82108,Aluminum UNSCHEDULED,211.0,211.0,8.38,8.56,3
CPT,82120,"Amines, vaginal fluid, qualitative ",,,5.93,18.27,47
CPT,82120,"Amines, vaginal fluid, qualitative Trauma",,,14.38,14.38,6
CPT,82120,"Amines, vaginal fluid, qualitative UNSCHEDULED",,,80.61,82.3,3
CPT,82127,AMINO ACID SINGLE QL UR,730.0,730.0,62.78,876.0,31
CPT,82127,"Amino acids; single, qualitative, each specimen ",730.0,730.0,14.04,43.25,47
CPT,82127,"Amino acids; single, qualitative, each specimen Trauma",,,34.03,34.03,6
CPT,82127,"Amino acids; single, qualitative, each specimen UNSCHEDULED",730.0,730.0,80.61,82.3,3
CPT,82128,"Amino acids; multiple, qualitative, each specimen ",,,13.73,42.3,47
CPT,82128,"Amino acids; multiple, qualitative, each specimen Trauma",,,33.29,33.29,6
CPT,82128,"Amino acids; multiple, qualitative, each specimen UNSCHEDULED",,,2483.24,2535.52,3
CPT,82131,"Amino acids; single, quantitative, each specimen ",68.0,68.0,22.75,70.09,47
CPT,82131,"Amino acids; single, quantitative, each specimen Trauma",,,55.15,55.15,6
CPT,82131,"Amino acids; single, quantitative, each specimen UNSCHEDULED",68.0,68.0,9.42,9.62,3
CPT,82131,CYSTINE QN,68.0,68.0,5.85,81.6,31
CPT,82135,AMINOLEVULINIC ACID ALA,555.0,555.0,47.73,666.0,31
CPT,82135,"Aminolevulinic acid, delta (ALA) ",555.0,555.0,16.29,50.17,47
CPT,82135,"Aminolevulinic acid, delta (ALA) Trauma",,,39.48,39.48,6
CPT,82135,"Aminolevulinic acid, delta (ALA) UNSCHEDULED",555.0,555.0,20.94,21.38,3
CPT,82136,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.41,59.81,47
CPT,82136,"Amino acids, 2 to 5 amino acids, quantitative, each specimen Trauma",,,47.06,47.06,6
CPT,82136,"Amino acids, 2 to 5 amino acids, quantitative, each specimen UNSCHEDULED",,,80.61,82.3,3
CPT,82139,AMINO ACIDS QN 6 OR MORE,673.0,673.0,57.88,807.6,31
CPT,82139,"Amino acids, 6 or more amino acids, quantitative, each specimen ",673.0,673.0,16.7,51.45,47
CPT,82139,"Amino acids, 6 or more amino acids, quantitative, each specimen Trauma",,,40.49,40.49,6
CPT,82139,"Amino acids, 6 or more amino acids, quantitative, each specimen UNSCHEDULED",673.0,673.0,80.61,82.3,3
CPT,82140,AMMONIA,681.0,681.0,58.57,817.2,93
CPT,82140,Ammonia ,,,14.42,44.44,47
CPT,82140,Ammonia Trauma,,,34.97,34.97,6
CPT,82140,Ammonia UNSCHEDULED,,,241.83,246.92,3
CPT,82143,Amniotic fluid scan (spectrophotometric) ,,,9.26,28.52,47
CPT,82143,Amniotic fluid scan (spectrophotometric) Trauma,,,22.44,22.44,6
CPT,82143,Amniotic fluid scan (spectrophotometric) UNSCHEDULED,,,80.61,82.3,3
CPT,82145,ASSAY OF AMPHETAMINES UNSCHEDULED,,,80.61,82.3,3
CPT,82150,AMYLASE,2011.0,2011.0,172.95,2413.2,93
CPT,82150,AMYLASE BLD,1168.5,1168.5,28.04,2413.2,124
CPT,82150,AMYLASE FL,1168.5,1168.5,28.04,2413.2,93
CPT,82150,AMYLASE UR,2011.0,2011.0,172.95,2413.2,31
CPT,82150,Amylase ,,,6.42,19.76,47
CPT,82150,Amylase Trauma,,,15.55,15.55,6
CPT,82150,Amylase UNSCHEDULED,,,173.78,177.44,3
CPT,82154,ANDROSTANEDIOL GLUCO,1273.0,1273.0,109.48,1527.6,31
CPT,82154,Androstanediol glucuronide ,1273.0,1273.0,28.54,87.93,47
CPT,82154,Androstanediol glucuronide Trauma,,,69.19,69.19,6
CPT,82154,Androstanediol glucuronide UNSCHEDULED,1273.0,1273.0,80.61,82.3,3
CPT,82157,ANDROSTENEDIONE,249.0,249.0,21.41,298.8,31
CPT,82157,Androstenedione ,249.0,249.0,28.99,89.3,47
CPT,82157,Androstenedione Trauma,,,70.27,70.27,6
CPT,82157,Androstenedione UNSCHEDULED,249.0,249.0,80.61,82.3,3
CPT,82160,Androsterone ,,,25.29,77.93,47
CPT,82160,Androsterone Trauma,,,61.32,61.32,6
CPT,82160,Androsterone UNSCHEDULED,,,746.44,762.16,3
CPT,82163,ANGIOTENSIN II,1360.0,1360.0,116.96,1632.0,31
CPT,82163,Angiotensin II ,1360.0,1360.0,20.31,62.59,47
CPT,82163,Angiotensin II Trauma,,,49.25,49.25,6
CPT,82163,Angiotensin II UNSCHEDULED,1360.0,1360.0,80.61,82.3,3
CPT,82164,ANGIOTENSIN CONV ENZ CSF,121.0,121.0,10.41,145.2,31
CPT,82164,ANGIOTENSIN I CONV ENZ,121.0,121.0,10.41,145.2,31
CPT,82164,Angiotensin I - converting enzyme (ACE) ,,,14.45,44.53,47
CPT,82164,Angiotensin I - converting enzyme (ACE) Trauma,,,35.04,35.04,6
CPT,82164,Angiotensin I - converting enzyme (ACE) UNSCHEDULED,,,46.07,47.04,3
CPT,82166,ASSAY ANTI-MULLERIAN HOR,122.0,122.0,10.49,146.4,31
CPT,82166,Anti-mullerian hormone (AMH) ,122.0,122.0,38.23,117.79,47
CPT,82166,Anti-mullerian hormone (AMH) Trauma,,,92.69,92.69,6
CPT,82166,Anti-mullerian hormone (AMH) UNSCHEDULED,122.0,122.0,80.61,82.3,3
CPT,82172,APOLIPOPROTEIN A1,121.0,121.0,10.41,145.2,31
CPT,82172,APOLIPOPROTEIN B,121.0,121.0,10.41,145.2,31
CPT,82172,"Apolipoprotein, each ",,,20.88,64.32,47
CPT,82172,"Apolipoprotein, each Trauma",,,50.62,50.62,6
CPT,82172,"Apolipoprotein, each UNSCHEDULED",,,65.96,67.35,3
CPT,82175,ARSENIC BLD,185.0,185.0,15.91,222.0,31
CPT,82175,ARSENIC UR,185.0,185.0,15.91,222.0,31
CPT,82175,Arsenic ,,,18.78,57.86,47
CPT,82175,Arsenic Trauma,,,45.53,45.53,6
CPT,82175,Arsenic UNSCHEDULED,,,16.75,17.1,3
CPT,82180,"Ascorbic acid (Vitamin C), blood ",122.0,122.0,9.79,30.16,47
CPT,82180,"Ascorbic acid (Vitamin C), blood Trauma",,,23.74,23.74,6
CPT,82180,"Ascorbic acid (Vitamin C), blood UNSCHEDULED",122.0,122.0,80.61,82.3,3
CPT,82180,VIT C ASCORBIC ACID,122.0,122.0,10.49,146.4,31
CPT,82190,"Atomic absorption spectroscopy, each analyte ",,,15.74,48.49,47
CPT,82190,"Atomic absorption spectroscopy, each analyte Trauma",,,38.16,38.16,6
CPT,82190,"Atomic absorption spectroscopy, each analyte UNSCHEDULED",,,80.61,82.3,3
CPT,82205,ASSAY OF BARBITURATES UNSCHEDULED,,,80.61,82.3,3
CPT,82232,BETA 2 MICROGLOBULIN,143.0,143.0,12.3,171.6,93
CPT,82232,Beta-2 microglobulin ,,,16.02,49.35,47
CPT,82232,Beta-2 microglobulin Trauma,,,38.83,38.83,6
CPT,82232,Beta-2 microglobulin UNSCHEDULED,,,39.79,40.62,3
CPT,82233,Beta-amyloid; 1-40 (Abeta 40) ,,,127.63,393.21,46
CPT,82233,Beta-amyloid; 1-40 (Abeta 40) Trauma,,,309.41,309.41,6
CPT,82234,Beta-amyloid; 1-42 (Abeta 42) ,,,127.63,393.21,46
CPT,82234,Beta-amyloid; 1-42 (Abeta 42) Trauma,,,309.41,309.41,6
CPT,82239,BILE ACIDS TOT,19.0,19.0,1.63,22.8,31
CPT,82239,Bile acids; total ,19.0,19.0,16.95,52.22,47
CPT,82239,Bile acids; total Trauma,,,41.09,41.09,6
CPT,82239,Bile acids; total UNSCHEDULED,19.0,19.0,80.61,82.3,3
CPT,82240,Bile acids; cholylglycine ,,,26.31,81.07,47
CPT,82240,Bile acids; cholylglycine Trauma,,,63.79,63.79,6
CPT,82240,Bile acids; cholylglycine UNSCHEDULED,,,80.61,82.3,3
CPT,82247,BILIRUBIN TOT,1358.0,1358.0,116.79,1629.6,93
CPT,82247,BILIRUBIN TOT FL,1358.0,1358.0,116.79,1629.6,31
CPT,82247,Bilirubin; total ,,,4.97,15.31,47
CPT,82247,Bilirubin; total Trauma,,,12.05,12.05,6
CPT,82247,Bilirubin; total UNSCHEDULED,,,180.06,183.85,3
CPT,82248,BILIRUBIN DIRECT,1065.0,1065.0,91.59,1278.0,93
CPT,82248,Bilirubin; direct ,,,4.97,15.31,47
CPT,82248,Bilirubin; direct Trauma,,,12.05,12.05,6
CPT,82248,Bilirubin; direct UNSCHEDULED,,,71.19,72.69,3
CPT,82251,Total & direct bilirubin UNSCHEDULED,,,80.61,82.3,3
CPT,82252,"Bilirubin; feces, qualitative ",,,4.51,13.91,47
CPT,82252,"Bilirubin; feces, qualitative Trauma",,,10.94,10.94,6
CPT,82252,"Bilirubin; feces, qualitative UNSCHEDULED",,,41.88,42.76,3
CPT,82261,"Biotinidase, each specimen ",,,16.7,51.45,47
CPT,82261,"Biotinidase, each specimen Trauma",,,40.49,40.49,6
CPT,82261,"Biotinidase, each specimen UNSCHEDULED",,,80.61,82.3,3
CPT,82270,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.34,62.0,56
CPT,82270,OCCULT BLD SCN 3 SPEC,160.0,160.0,1.08,264.0,186
CPT,82271,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.27,16.23,47
CPT,82271,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources Trauma",,,12.77,12.77,6
CPT,82271,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources UNSCHEDULED",,,80.61,82.3,3
CPT,82271,OCC BLD PEROX OTH SOURCE,140.96,140.96,1.2,321.6,186
CPT,82272,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.19,12.9,47
CPT,82272,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening Trauma",,,10.15,10.15,6
CPT,82272,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening UNSCHEDULED",,,60.72,62.0,3
CPT,82272,OCCBLD PEROX 1-3 DIAG,220.0,220.0,18.92,264.0,62
CPT,82273,"TEST FOR BLOOD, OTHER SOURCE UNSCHEDULED",,,80.61,82.3,3
CPT,82274,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",82.0,82.0,15.76,48.56,47
CPT,82274,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations Trauma",,,38.21,38.21,6
CPT,82274,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations UNSCHEDULED",82.0,82.0,157.03,160.34,3
CPT,82274,FECAL OCCULT BLD CRC IA,82.0,82.0,7.05,98.4,31
CPT,82286,Bradykinin ,,,5.11,15.74,47
CPT,82286,Bradykinin Trauma,,,12.38,12.38,6
CPT,82286,Bradykinin UNSCHEDULED,,,80.61,82.3,3
CPT,82300,Cadmium ,,,23.4,72.1,47
CPT,82300,Cadmium Trauma,,,56.74,56.74,6
CPT,82300,Cadmium UNSCHEDULED,,,80.61,82.3,3
CPT,82306,VITAMIN D 25OH W/WO FRAC,249.0,249.0,21.41,298.8,62
CPT,82306,VITAMIN D3 25-OH,249.0,249.0,21.41,298.8,31
CPT,82306,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.3,90.28,47
CPT,82306,"Vitamin D; 25 hydroxy, includes fraction(s), if performed Trauma",,,71.04,71.04,6
CPT,82306,"Vitamin D; 25 hydroxy, includes fraction(s), if performed UNSCHEDULED",,,124.58,127.21,3
CPT,82307,ASSAY OF VITAMIN D UNSCHEDULED,,,80.61,82.3,3
CPT,82308,CALCITONIN,222.0,222.0,19.09,266.4,31
CPT,82308,Calcitonin ,222.0,222.0,26.52,81.71,47
CPT,82308,Calcitonin Trauma,,,64.3,64.3,6
CPT,82308,Calcitonin UNSCHEDULED,222.0,222.0,80.61,82.3,3
CPT,82310,CALCIUM TOTAL,1227.0,1227.0,105.52,1472.4,93
CPT,82310,CALCIUM UR RANDOM QN,1227.0,1227.0,105.52,1472.4,31
CPT,82310,Calcium; total ,,,5.11,15.74,47
CPT,82310,Calcium; total Trauma,,,12.38,12.38,6
CPT,82310,Calcium; total UNSCHEDULED,,,47.11,48.1,3
CPT,82330,CALCIUM IONIZED,154.0,154.0,12.73,192.0,124
CPT,82330,Calcium; ionized ,,,13.54,41.72,47
CPT,82330,Calcium; ionized Trauma,,,32.83,32.83,6
CPT,82330,Calcium; ionized UNSCHEDULED,,,108.88,111.17,3
CPT,82331,Calcium; after calcium infusion test ,,,13.21,40.69,47
CPT,82331,Calcium; after calcium infusion test Trauma,,,32.02,32.02,6
CPT,82331,Calcium; after calcium infusion test UNSCHEDULED,,,80.61,82.3,3
CPT,82340,CALCIUM UR TIMED QN,1297.0,1297.0,111.54,1556.4,31
CPT,82340,"Calcium; urine quantitative, timed specimen ",1297.0,1297.0,5.97,18.39,47
CPT,82340,"Calcium; urine quantitative, timed specimen Trauma",,,14.47,14.47,6
CPT,82340,"Calcium; urine quantitative, timed specimen UNSCHEDULED",1297.0,1297.0,80.61,82.3,3
CPT,82355,Calculus; qualitative analysis ,,,11.46,35.32,47
CPT,82355,Calculus; qualitative analysis Trauma,,,27.79,27.79,6
CPT,82355,Calculus; qualitative analysis UNSCHEDULED,,,80.61,82.3,3
CPT,82360,"Calculus; quantitative analysis, chemical ",,,12.74,39.25,47
CPT,82360,"Calculus; quantitative analysis, chemical Trauma",,,30.89,30.89,6
CPT,82360,"Calculus; quantitative analysis, chemical UNSCHEDULED",,,80.61,82.3,3
CPT,82360,STONE ANALYSIS QN CHEM,110.0,110.0,9.46,132.0,93
CPT,82365,Calculus; infrared spectroscopy ,110.0,110.0,12.77,39.34,47
CPT,82365,Calculus; infrared spectroscopy Trauma,,,30.96,30.96,6
CPT,82365,Calculus; infrared spectroscopy UNSCHEDULED,110.0,110.0,42.92,43.82,3
CPT,82365,STONE ANALYSIS INFRARED,110.0,110.0,9.46,132.0,31
CPT,82370,Calculus; X-ray diffraction ,,,12.39,38.19,47
CPT,82370,Calculus; X-ray diffraction Trauma,,,30.05,30.05,6
CPT,82370,Calculus; X-ray diffraction UNSCHEDULED,,,80.61,82.3,3
CPT,82373,Carbohydrate deficient transferrin ,,,17.88,55.08,47
CPT,82373,Carbohydrate deficient transferrin Trauma,,,43.34,43.34,6
CPT,82373,Carbohydrate deficient transferrin UNSCHEDULED,,,80.61,82.3,3
CPT,82374,CARBON DIOXIDE BLD,593.0,593.0,51.0,711.6,31
CPT,82374,Carbon dioxide (bicarbonate) ,593.0,593.0,4.83,14.88,47
CPT,82374,Carbon dioxide (bicarbonate) Trauma,,,11.71,11.71,6
CPT,82374,Carbon dioxide (bicarbonate) UNSCHEDULED,593.0,593.0,45.02,45.97,3
CPT,82375,CARBOXYHEMOGLOBIN QN,465.0,465.0,39.99,558.0,31
CPT,82375,Carboxyhemoglobin; quantitative ,465.0,465.0,12.2,37.58,47
CPT,82375,Carboxyhemoglobin; quantitative Trauma,,,29.57,29.57,6
CPT,82375,Carboxyhemoglobin; quantitative UNSCHEDULED,465.0,465.0,83.75,85.52,3
CPT,82376,Carboxyhemoglobin; qualitative ,,,13.93,42.91,47
CPT,82376,Carboxyhemoglobin; qualitative Trauma,,,33.77,33.77,6
CPT,82376,Carboxyhemoglobin; qualitative UNSCHEDULED,,,90.03,91.93,3
CPT,82378,CEA,160.0,160.0,13.76,192.0,62
CPT,82378,Carcinoembryonic antigen (CEA) ,,,18.77,57.83,47
CPT,82378,Carcinoembryonic antigen (CEA) Trauma,,,45.5,45.5,6
CPT,82378,Carcinoembryonic antigen (CEA) UNSCHEDULED,,,184.25,188.13,3
CPT,82379,CARNITINE TOT & FREE QN,78.0,78.0,6.71,93.6,31
CPT,82379,"Carnitine (total and free), quantitative, each specimen ",78.0,78.0,16.7,51.45,47
CPT,82379,"Carnitine (total and free), quantitative, each specimen Trauma",,,40.49,40.49,6
CPT,82379,"Carnitine (total and free), quantitative, each specimen UNSCHEDULED",78.0,78.0,148.66,151.79,3
CPT,82380,CAROTENE,102.0,102.0,8.77,122.4,62
CPT,82380,Carotene ,,,9.13,28.12,47
CPT,82380,Carotene Trauma,,,22.13,22.13,6
CPT,82380,Carotene UNSCHEDULED,,,80.61,82.3,3
CPT,82382,CATECHOLAMINES TOT UR,190.0,190.0,16.34,228.0,31
CPT,82382,Catecholamines; total urine ,190.0,190.0,27.03,83.27,47
CPT,82382,Catecholamines; total urine Trauma,,,65.52,65.52,6
CPT,82382,Catecholamines; total urine UNSCHEDULED,190.0,190.0,80.61,82.3,3
CPT,82383,CATECHOLAMINES BLD,211.0,211.0,18.15,253.2,31
CPT,82383,Catecholamines; blood ,211.0,211.0,28.79,88.69,47
CPT,82383,Catecholamines; blood Trauma,,,69.79,69.79,6
CPT,82383,Catecholamines; blood UNSCHEDULED,211.0,211.0,80.61,82.3,3
CPT,82384,CATECHOL FRACTION BLD,207.0,207.0,17.8,248.4,31
CPT,82384,CATECHOL FRACTION UR,207.0,207.0,17.8,248.4,31
CPT,82384,Catecholamines; fractionated ,,,25.0,77.01,47
CPT,82384,Catecholamines; fractionated Trauma,,,60.6,60.6,6
CPT,82384,Catecholamines; fractionated UNSCHEDULED,,,31.41,32.07,3
CPT,82387,CATHEPSIN-D,922.0,922.0,79.29,1106.4,31
CPT,82387,Cathepsin-D ,922.0,922.0,17.88,55.08,47
CPT,82387,Cathepsin-D Trauma,,,43.34,43.34,6
CPT,82387,Cathepsin-D UNSCHEDULED,922.0,922.0,80.61,82.3,3
CPT,82390,CERULOPLASMIN,92.0,92.0,7.91,110.4,93
CPT,82390,Ceruloplasmin ,,,10.63,32.76,47
CPT,82390,Ceruloplasmin Trauma,,,25.78,25.78,6
CPT,82390,Ceruloplasmin UNSCHEDULED,,,80.61,82.3,3
CPT,82397,ANTI-MULERIAN HORM ECLIA,122.0,122.0,10.49,146.4,31
CPT,82397,ANTIADALIMUMAB AB QN CLA,75.0,75.0,6.45,90.0,31
CPT,82397,Chemiluminescent assay ,,,13.98,43.07,47
CPT,82397,Chemiluminescent assay Trauma,,,33.89,33.89,6
CPT,82397,Chemiluminescent assay UNSCHEDULED,,,505.66,516.3,3
CPT,82397,OPSONAL CHEMILUMINESCNT,133.0,133.0,11.44,159.6,31
CPT,82415,Chloramphenicol ,,,12.54,38.64,47
CPT,82415,Chloramphenicol Trauma,,,30.41,30.41,6
CPT,82415,Chloramphenicol UNSCHEDULED,,,80.61,82.3,3
CPT,82435,CHLORIDE BLD,330.0,330.0,28.38,396.0,93
CPT,82435,Chloride; blood ,,,4.55,14.03,47
CPT,82435,Chloride; blood Trauma,,,11.04,11.04,6
CPT,82435,Chloride; blood UNSCHEDULED,,,51.3,52.38,3
CPT,82436,CHLORIDE UR,185.0,185.0,15.91,222.0,93
CPT,82436,Chloride; urine ,,,5.69,17.54,47
CPT,82436,Chloride; urine Trauma,,,13.8,13.8,6
CPT,82436,Chloride; urine UNSCHEDULED,,,101.55,103.68,3
CPT,82438,CHLORIDE OTHER,185.0,185.0,15.91,222.0,31
CPT,82438,Chloride; other source ,185.0,185.0,4.95,15.25,47
CPT,82438,Chloride; other source Trauma,,,12.0,12.0,6
CPT,82438,Chloride; other source UNSCHEDULED,185.0,185.0,80.61,82.3,3
CPT,82441,CHL HYDROCARBONS QUAL,189.0,189.0,16.25,226.8,31
CPT,82441,"Chlorinated hydrocarbons, screen ",189.0,189.0,5.95,18.33,47
CPT,82441,"Chlorinated hydrocarbons, screen Trauma",,,14.42,14.42,6
CPT,82441,"Chlorinated hydrocarbons, screen UNSCHEDULED",189.0,189.0,80.61,82.3,3
CPT,82465,CHOLESTEROL BLD,609.0,609.0,52.37,730.8,93
CPT,82465,"Cholesterol, serum or whole blood, total ",,,4.31,13.27,47
CPT,82465,"Cholesterol, serum or whole blood, total Trauma",,,10.44,10.44,6
CPT,82465,"Cholesterol, serum or whole blood, total UNSCHEDULED",,,24.08,24.59,3
CPT,82480,Cholinesterase; serum ,,,7.79,24.0,47
CPT,82480,Cholinesterase; serum Trauma,,,18.89,18.89,6
CPT,82480,Cholinesterase; serum UNSCHEDULED,,,18.85,19.24,3
CPT,82482,CHOLINESTERASE RBC,72.0,72.0,6.19,86.4,31
CPT,82482,Cholinesterase; RBC ,72.0,72.0,9.71,29.92,47
CPT,82482,Cholinesterase; RBC Trauma,,,23.54,23.54,6
CPT,82482,Cholinesterase; RBC UNSCHEDULED,72.0,72.0,18.85,19.24,3
CPT,82485,"Chondroitin B sulfate, quantitative ",,,20.44,62.98,47
CPT,82485,"Chondroitin B sulfate, quantitative Trauma",,,49.56,49.56,6
CPT,82485,"Chondroitin B sulfate, quantitative UNSCHEDULED",,,80.61,82.3,3
CPT,82486,GAS/LIQUID CHROMATOGRAPHY UNSCHEDULED,,,80.61,82.3,3
CPT,82487,PAPER CHROMATOGRAPHY UNSCHEDULED,,,80.61,82.3,3
CPT,82488,PAPER CHROMATOGRAPHY UNSCHEDULED,,,80.61,82.3,3
CPT,82489,THIN LAYER CHROMATOGRAPHY UNSCHEDULED,,,80.61,82.3,3
CPT,82491,CHROMOTOGRAPHY QUANT SING UNSCHEDULED,,,80.61,82.3,3
CPT,82492,CHROMOTOGRAPHY QUANT MULT UNSCHEDULED,,,80.61,82.3,3
CPT,82495,CHROMIUM,168.0,168.0,14.45,201.6,31
CPT,82495,Chromium ,168.0,168.0,20.08,61.85,47
CPT,82495,Chromium Trauma,,,48.67,48.67,6
CPT,82495,Chromium UNSCHEDULED,168.0,168.0,46.07,47.04,3
CPT,82507,CITRATE,231.0,231.0,19.87,277.2,31
CPT,82507,Citrate ,231.0,231.0,27.52,84.79,47
CPT,82507,Citrate Trauma,,,66.72,66.72,6
CPT,82507,Citrate UNSCHEDULED,231.0,231.0,80.61,82.3,3
CPT,82520,ASSAY OF COCAINE UNSCHEDULED,,,80.61,82.3,3
CPT,82523,C-TELOPEPTIDE CTX,367.0,367.0,31.56,440.4,31
CPT,82523,"Collagen cross links, any method ",367.0,367.0,18.49,56.97,47
CPT,82523,"Collagen cross links, any method Trauma",,,44.83,44.83,6
CPT,82523,"Collagen cross links, any method UNSCHEDULED",367.0,367.0,80.61,82.3,3
CPT,82525,COPPER BLD,110.0,110.0,9.46,132.0,31
CPT,82525,COPPER URINE,110.0,110.0,9.46,132.0,31
CPT,82525,Copper ,,,12.29,37.85,47
CPT,82525,Copper Trauma,,,29.78,29.78,6
CPT,82525,Copper UNSCHEDULED,,,80.61,82.3,3
CPT,82528,Corticosterone ,,,22.29,68.69,47
CPT,82528,Corticosterone Trauma,,,54.05,54.05,6
CPT,82528,Corticosterone UNSCHEDULED,,,80.61,82.3,3
CPT,82530,CORTISOL FREE,146.0,146.0,12.56,175.2,31
CPT,82530,Cortisol; free ,146.0,146.0,16.54,50.97,47
CPT,82530,Cortisol; free Trauma,,,40.1,40.1,6
CPT,82530,Cortisol; free UNSCHEDULED,146.0,146.0,80.61,82.3,3
CPT,82533,CORTISOL TOTAL,143.0,143.0,12.3,171.6,93
CPT,82533,CORTISOL TOTAL SALIVARY,143.0,143.0,12.3,171.6,31
CPT,82533,Cortisol; total ,,,16.14,49.71,47
CPT,82533,Cortisol; total Trauma,,,39.12,39.12,6
CPT,82533,Cortisol; total UNSCHEDULED,,,137.14,140.03,3
CPT,82540,Creatine ,,,4.59,14.15,47
CPT,82540,Creatine Trauma,,,11.14,11.14,6
CPT,82540,Creatine UNSCHEDULED,,,80.61,82.3,3
CPT,82541,COLUMN CHROMOTOGRAPHY QUAL UNSCHEDULED,,,80.61,82.3,3
CPT,82542,BRODIFACOUM CHR QN,377.0,377.0,32.42,452.4,31
CPT,82542,COENZYME Q10 QN CHR,377.0,377.0,32.42,452.4,31
CPT,82542,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,23.85,104.76,56
CPT,82542,GC MS QUANTITATIVE,98.0,98.0,8.43,117.6,31
CPT,82542,HPLC MS QUANTITATIVE,298.5,298.5,6.36,627.6,62
CPT,82542,MHPG QN HPLC,377.0,377.0,32.42,452.4,31
CPT,82542,PORPHYRINS FRAC BLD HPLC,185.0,185.0,15.91,222.0,31
CPT,82543,COLUMN CHROMOTOGRAPH/ISOTOPE UNSCHEDULED,,,80.61,82.3,3
CPT,82544,COLUMN CHROMOTOGRAPH/ISOTOPE UNSCHEDULED,,,80.61,82.3,3
CPT,82550,CREAT KINASE (CK) TOTAL,990.0,990.0,85.14,1188.0,93
CPT,82550,"Creatine kinase (CK), (CPK); total ",,,6.44,19.86,47
CPT,82550,"Creatine kinase (CK), (CPK); total Trauma",,,15.62,15.62,6
CPT,82550,"Creatine kinase (CK), (CPK); total UNSCHEDULED",,,119.35,121.86,3
CPT,82552,CK-ISOENZYMES,1837.0,1837.0,157.98,2204.4,31
CPT,82552,"Creatine kinase (CK), (CPK); isoenzymes ",1837.0,1837.0,13.26,40.84,47
CPT,82552,"Creatine kinase (CK), (CPK); isoenzymes Trauma",,,32.14,32.14,6
CPT,82552,"Creatine kinase (CK), (CPK); isoenzymes UNSCHEDULED",1837.0,1837.0,41.88,42.76,3
CPT,82553,CK MB FRACTION,554.0,554.0,47.64,664.8,93
CPT,82553,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.43,35.23,47
CPT,82553,"Creatine kinase (CK), (CPK); MB fraction only Trauma",,,27.72,27.72,6
CPT,82553,"Creatine kinase (CK), (CPK); MB fraction only UNSCHEDULED",,,197.87,202.03,3
CPT,82554,"Creatine kinase (CK), (CPK); isoforms ",,,11.75,36.2,47
CPT,82554,"Creatine kinase (CK), (CPK); isoforms Trauma",,,28.49,28.49,6
CPT,82554,"Creatine kinase (CK), (CPK); isoforms UNSCHEDULED",,,80.61,82.3,3
CPT,82565,CREATININE BLD,168.0,168.0,14.45,201.6,93
CPT,82565,Creatinine; blood ,,,5.07,15.62,47
CPT,82565,Creatinine; blood Trauma,,,12.29,12.29,6
CPT,82565,Creatinine; blood UNSCHEDULED,,,55.49,56.66,3
CPT,82570,CREATININE OTHER,44.0,44.0,3.78,52.8,31
CPT,82570,CREATININE UR,542.5,542.5,3.78,1249.2,93
CPT,82570,Creatinine; other source ,,,5.13,15.8,47
CPT,82570,Creatinine; other source Trauma,,,12.43,12.43,6
CPT,82570,Creatinine; other source UNSCHEDULED,,,139.24,142.17,3
CPT,82575,CREATININE CLEARANCE,1774.0,1774.0,152.56,2128.8,93
CPT,82575,Creatinine; clearance ,,,9.37,28.85,47
CPT,82575,Creatinine; clearance Trauma,,,22.7,22.7,6
CPT,82575,Creatinine; clearance UNSCHEDULED,,,36.64,37.41,3
CPT,82585,Cryofibrinogen ,,,14.0,43.13,47
CPT,82585,Cryofibrinogen Trauma,,,33.94,33.94,6
CPT,82585,Cryofibrinogen UNSCHEDULED,,,48.16,49.17,3
CPT,82595,CRYOGLOBULINS QL SQN,288.0,288.0,24.77,345.6,31
CPT,82595,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",288.0,288.0,6.41,19.73,47
CPT,82595,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) Trauma",,,15.53,15.53,6
CPT,82595,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) UNSCHEDULED",288.0,288.0,137.14,140.03,3
CPT,82600,CYANIDE,160.0,160.0,13.76,192.0,31
CPT,82600,Cyanide ,160.0,160.0,19.21,59.17,47
CPT,82600,Cyanide Trauma,,,46.56,46.56,6
CPT,82600,Cyanide UNSCHEDULED,160.0,160.0,29.32,29.93,3
CPT,82607,Cyanocobalamin (Vitamin B-12); ,,,14.93,45.99,47
CPT,82607,Cyanocobalamin (Vitamin B-12); Trauma,,,36.19,36.19,6
CPT,82607,Cyanocobalamin (Vitamin B-12); UNSCHEDULED,,,146.57,149.65,3
CPT,82607,VITAMIN B12,122.0,122.0,10.49,146.4,93
CPT,82608,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.18,43.68,47
CPT,82608,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Trauma,,,34.37,34.37,6
CPT,82608,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity UNSCHEDULED,,,80.61,82.3,3
CPT,82610,CYSTATIN C,160.0,160.0,13.76,192.0,31
CPT,82610,Cystatin C ,160.0,160.0,18.33,56.49,47
CPT,82610,Cystatin C Trauma,,,44.45,44.45,6
CPT,82610,Cystatin C UNSCHEDULED,160.0,160.0,80.61,82.3,3
CPT,82615,"Cystine and homocystine, urine, qualitative ",,,9.45,29.13,47
CPT,82615,"Cystine and homocystine, urine, qualitative Trauma",,,22.92,22.92,6
CPT,82615,"Cystine and homocystine, urine, qualitative UNSCHEDULED",,,80.61,82.3,3
CPT,82626,DHEA,271.0,271.0,23.31,325.2,31
CPT,82626,Dehydroepiandrosterone (DHEA) ,271.0,271.0,25.02,77.07,47
CPT,82626,Dehydroepiandrosterone (DHEA) Trauma,,,60.65,60.65,6
CPT,82626,Dehydroepiandrosterone (DHEA) UNSCHEDULED,271.0,271.0,80.61,82.3,3
CPT,82627,DHEA-S,192.0,192.0,16.51,230.4,31
CPT,82627,Dehydroepiandrosterone-sulfate (DHEA-S) ,192.0,192.0,22.01,67.8,47
CPT,82627,Dehydroepiandrosterone-sulfate (DHEA-S) Trauma,,,53.35,53.35,6
CPT,82627,Dehydroepiandrosterone-sulfate (DHEA-S) UNSCHEDULED,192.0,192.0,80.61,82.3,3
CPT,82633,"Desoxycorticosterone, 11- ",,,30.67,94.49,47
CPT,82633,"Desoxycorticosterone, 11- Trauma",,,74.35,74.35,6
CPT,82633,"Desoxycorticosterone, 11- UNSCHEDULED",,,80.61,82.3,3
CPT,82634,DEOXYCORTISOL 11,283.0,283.0,24.34,339.6,31
CPT,82634,"Deoxycortisol, 11- ",283.0,283.0,28.99,89.3,47
CPT,82634,"Deoxycortisol, 11- Trauma",,,70.27,70.27,6
CPT,82634,"Deoxycortisol, 11- UNSCHEDULED",283.0,283.0,80.61,82.3,3
CPT,82638,DIBUCAINE INHIBITOR,377.0,377.0,32.42,452.4,31
CPT,82638,Dibucaine number ,377.0,377.0,12.13,37.36,47
CPT,82638,Dibucaine number Trauma,,,29.4,29.4,6
CPT,82638,Dibucaine number UNSCHEDULED,377.0,377.0,80.61,82.3,3
CPT,82642,Dihydrotestosterone (DHT) ,,,28.99,89.3,47
CPT,82642,Dihydrotestosterone (DHT) Trauma,,,70.27,70.27,6
CPT,82642,Dihydrotestosterone (DHT) UNSCHEDULED,,,80.61,82.3,3
CPT,82646,ASSAY OF DIHYDROCODEINONE UNSCHEDULED,,,80.61,82.3,3
CPT,82649,ASSAY OF DIHYDROMORPHINONE UNSCHEDULED,,,80.61,82.3,3
CPT,82651,ASSAY OF DIHYDROTESTOSTERONE UNSCHEDULED,,,80.61,82.3,3
CPT,82652,VITAMIN D 1-25 W/WO FRAC,305.0,305.0,26.23,366.0,93
CPT,82652,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.12,117.42,47
CPT,82652,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Trauma",,,92.4,92.4,6
CPT,82652,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed UNSCHEDULED",,,46.07,47.04,3
CPT,82653,"Elastase, pancreatic (EL-1), fecal; quantitative ",250.0,250.0,22.74,70.06,47
CPT,82653,"Elastase, pancreatic (EL-1), fecal; quantitative Trauma",,,55.13,55.13,6
CPT,82653,"Elastase, pancreatic (EL-1), fecal; quantitative UNSCHEDULED",250.0,250.0,80.61,82.3,3
CPT,82653,FECAL ELASTASE QN IA,250.0,250.0,21.5,300.0,31
CPT,82654,ASSAY OF DIMETHADIONE UNSCHEDULED,,,80.61,82.3,3
CPT,82656,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.41,35.17,47
CPT,82656,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative Trauma",,,27.67,27.67,6
CPT,82656,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative UNSCHEDULED",,,30.36,31.0,3
CPT,82657,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",293.0,293.0,21.95,67.62,47
CPT,82657,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen Trauma",,,53.21,53.21,6
CPT,82657,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen UNSCHEDULED",293.0,293.0,80.61,82.3,3
CPT,82657,PALATINASE SPECT,293.0,293.0,25.2,351.6,31
CPT,82658,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,43.59,134.29,47
CPT,82658,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen Trauma",,,105.67,105.67,6
CPT,82658,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen UNSCHEDULED",,,80.61,82.3,3
CPT,82664,AMYLASE ISOENZYMES ELP,288.0,288.0,24.77,345.6,31
CPT,82664,"Electrophoretic technique, not elsewhere specified ",288.0,288.0,60.88,187.57,47
CPT,82664,"Electrophoretic technique, not elsewhere specified Trauma",,,147.6,147.6,6
CPT,82664,"Electrophoretic technique, not elsewhere specified UNSCHEDULED",288.0,288.0,25.13,25.66,3
CPT,82666,ASSAY OF EPIANDROSTERONE UNSCHEDULED,,,80.61,82.3,3
CPT,82668,ERYTHROPOIETIN QN,379.0,379.0,32.59,454.8,31
CPT,82668,Erythropoietin ,379.0,379.0,18.6,57.31,47
CPT,82668,Erythropoietin Trauma,,,45.1,45.1,6
CPT,82668,Erythropoietin UNSCHEDULED,379.0,379.0,80.61,82.3,3
CPT,82670,ESTRADIOL TOTAL,231.0,231.0,19.87,277.2,31
CPT,82670,Estradiol; total ,231.0,231.0,27.66,85.22,47
CPT,82670,Estradiol; total Trauma,,,67.06,67.06,6
CPT,82670,Estradiol; total UNSCHEDULED,231.0,231.0,80.61,82.3,3
CPT,82671,Estrogens; fractionated ,,,31.98,98.51,47
CPT,82671,Estrogens; fractionated Trauma,,,77.52,77.52,6
CPT,82671,Estrogens; fractionated UNSCHEDULED,,,80.61,82.3,3
CPT,82672,ESTROGEN TOTAL,185.0,185.0,15.91,222.0,31
CPT,82672,Estrogens; total ,185.0,185.0,21.48,66.18,47
CPT,82672,Estrogens; total Trauma,,,52.08,52.08,6
CPT,82672,Estrogens; total UNSCHEDULED,185.0,185.0,80.61,82.3,3
CPT,82677,ESTRIOL,207.0,207.0,17.8,248.4,31
CPT,82677,Estriol ,207.0,207.0,23.94,73.75,47
CPT,82677,Estriol Trauma,,,58.03,58.03,6
CPT,82677,Estriol UNSCHEDULED,207.0,207.0,80.61,82.3,3
CPT,82679,Estrone ,,,24.7,76.1,47
CPT,82679,Estrone Trauma,,,59.88,59.88,6
CPT,82679,Estrone UNSCHEDULED,,,80.61,82.3,3
CPT,82681,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.66,85.22,46
CPT,82681,"Estradiol; free, direct measurement (eg, equilibrium dialysis) Trauma",,,67.06,67.06,6
CPT,82681,"Estradiol; free, direct measurement (eg, equilibrium dialysis) UNSCHEDULED",,,80.61,82.3,3
CPT,82690,ASSAY OF ETHCHLORVYNOL UNSCHEDULED,,,80.61,82.3,3
CPT,82693,ETHYLENE GLYCOL,122.0,122.0,10.49,146.4,31
CPT,82693,Ethylene glycol ,122.0,122.0,14.75,45.45,47
CPT,82693,Ethylene glycol Trauma,,,35.76,35.76,6
CPT,82693,Ethylene glycol UNSCHEDULED,122.0,122.0,27.22,27.79,3
CPT,82696,Etiocholanolone ,,,25.98,80.03,47
CPT,82696,Etiocholanolone Trauma,,,62.98,62.98,6
CPT,82696,Etiocholanolone UNSCHEDULED,,,80.61,82.3,3
CPT,82705,FECAL FAT QUAL,91.0,91.0,7.83,109.2,31
CPT,82705,"Fat or lipids, feces; qualitative ",91.0,91.0,5.05,15.55,47
CPT,82705,"Fat or lipids, feces; qualitative Trauma",,,12.24,12.24,6
CPT,82705,"Fat or lipids, feces; qualitative UNSCHEDULED",91.0,91.0,61.77,63.07,3
CPT,82710,FECAL FAT QUANT,218.0,218.0,18.75,261.6,31
CPT,82710,"Fat or lipids, feces; quantitative ",218.0,218.0,16.63,51.24,47
CPT,82710,"Fat or lipids, feces; quantitative Trauma",,,40.32,40.32,6
CPT,82710,"Fat or lipids, feces; quantitative UNSCHEDULED",218.0,218.0,80.61,82.3,3
CPT,82715,"Fat differential, feces, quantitative ",,,22.74,70.06,47
CPT,82715,"Fat differential, feces, quantitative Trauma",,,55.13,55.13,6
CPT,82715,"Fat differential, feces, quantitative UNSCHEDULED",,,80.61,82.3,3
CPT,82725,FATTY ACIDS NON EST,1041.0,1041.0,89.53,1249.2,31
CPT,82725,"Fatty acids, nonesterified ",1041.0,1041.0,18.58,57.25,47
CPT,82725,"Fatty acids, nonesterified Trauma",,,45.05,45.05,6
CPT,82725,"Fatty acids, nonesterified UNSCHEDULED",1041.0,1041.0,80.61,82.3,3
CPT,82726,Very long chain fatty acids ,,,19.55,60.24,47
CPT,82726,Very long chain fatty acids Trauma,,,47.4,47.4,6
CPT,82726,Very long chain fatty acids UNSCHEDULED,,,80.61,82.3,3
CPT,82728,FERRITIN,119.0,119.0,10.23,142.8,93
CPT,82728,Ferritin ,,,13.49,41.57,47
CPT,82728,Ferritin Trauma,,,32.71,32.71,6
CPT,82728,Ferritin UNSCHEDULED,,,142.38,145.37,3
CPT,82731,FETAL FIBRONECTIN SQN,765.0,765.0,65.79,918.0,62
CPT,82731,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,63.77,196.45,47
CPT,82731,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative Trauma",,,154.58,154.58,6
CPT,82731,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative UNSCHEDULED",,,612.44,625.33,3
CPT,82735,Fluoride ,,,18.35,56.55,47
CPT,82735,Fluoride Trauma,,,44.5,44.5,6
CPT,82735,Fluoride UNSCHEDULED,,,184.25,188.13,3
CPT,82742,ASSAY OF FLURAZEPAM UNSCHEDULED,,,80.61,82.3,3
CPT,82746,FOLATE (FOLIC ACID) SER,122.0,122.0,10.49,146.4,93
CPT,82746,Folic acid; serum ,,,14.55,44.83,47
CPT,82746,Folic acid; serum Trauma,,,35.28,35.28,6
CPT,82746,Folic acid; serum UNSCHEDULED,,,143.42,146.44,3
CPT,82747,FOLATE RBC,133.0,133.0,11.44,159.6,31
CPT,82747,Folic acid; RBC ,133.0,133.0,17.47,53.83,47
CPT,82747,Folic acid; RBC Trauma,,,42.36,42.36,6
CPT,82747,Folic acid; RBC UNSCHEDULED,133.0,133.0,49.2,50.24,3
CPT,82757,"Fructose, semen ",,,17.17,52.89,47
CPT,82757,"Fructose, semen Trauma",,,41.62,41.62,6
CPT,82757,"Fructose, semen UNSCHEDULED",,,80.61,82.3,3
CPT,82759,GALACTOKINASE RBC,1200.0,1200.0,103.2,1440.0,31
CPT,82759,"Galactokinase, RBC ",1200.0,1200.0,21.27,65.51,47
CPT,82759,"Galactokinase, RBC Trauma",,,51.55,51.55,6
CPT,82759,"Galactokinase, RBC UNSCHEDULED",1200.0,1200.0,80.61,82.3,3
CPT,82760,Galactose ,,,11.09,34.16,47
CPT,82760,Galactose Trauma,,,26.88,26.88,6
CPT,82760,Galactose UNSCHEDULED,,,80.61,82.3,3
CPT,82775,Galactose-1-phosphate uridyl transferase; quantitative ,,,20.86,64.26,47
CPT,82775,Galactose-1-phosphate uridyl transferase; quantitative Trauma,,,50.57,50.57,6
CPT,82775,Galactose-1-phosphate uridyl transferase; quantitative UNSCHEDULED,,,80.61,82.3,3
CPT,82776,Galactose-1-phosphate uridyl transferase; screen ,,,11.62,35.81,47
CPT,82776,Galactose-1-phosphate uridyl transferase; screen Trauma,,,28.18,28.18,6
CPT,82776,Galactose-1-phosphate uridyl transferase; screen UNSCHEDULED,,,80.61,82.3,3
CPT,82777,Galectin-3 ,,,43.81,134.96,47
CPT,82777,Galectin-3 Trauma,,,106.2,106.2,6
CPT,82777,Galectin-3 UNSCHEDULED,,,80.61,82.3,3
CPT,82784,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.21,28.37,47
CPT,82784,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each Trauma",,,22.32,22.32,6
CPT,82784,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each UNSCHEDULED",,,252.3,257.61,3
CPT,82784,IGA EA,110.0,110.0,9.46,132.0,124
CPT,82784,IGD EA,45.0,45.0,3.87,54.0,31
CPT,82784,IGG CSF EA,17.0,17.0,1.46,20.4,31
CPT,82784,IGG EA,60.0,60.0,0.86,132.0,155
CPT,82784,IGM EA,110.0,110.0,9.46,132.0,124
CPT,82785,Gammaglobulin (immunoglobulin); IgE ,,,16.3,50.2,47
CPT,82785,Gammaglobulin (immunoglobulin); IgE Trauma,,,39.5,39.5,6
CPT,82785,Gammaglobulin (immunoglobulin); IgE UNSCHEDULED,,,180.06,183.85,3
CPT,82785,IGE,143.0,143.0,12.3,171.6,93
CPT,82787,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",340.0,340.0,7.94,24.46,47
CPT,82787,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each Trauma",,,19.25,19.25,6
CPT,82787,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each UNSCHEDULED",340.0,340.0,80.61,82.3,3
CPT,82787,IGG SUBCLASSES EA,340.0,340.0,29.24,408.0,31
CPT,82800,"Gases, blood, pH only ",,,10.89,33.55,47
CPT,82800,"Gases, blood, pH only Trauma",,,26.4,26.4,6
CPT,82800,"Gases, blood, pH only UNSCHEDULED",,,286.85,292.89,3
CPT,82803,BG WITH CALC O2 SAT,3969.0,3969.0,341.33,4762.8,62
CPT,82803,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,25.81,79.51,47
CPT,82803,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); Trauma",,,62.57,62.57,6
CPT,82803,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); UNSCHEDULED",,,307.79,314.27,3
CPT,82805,ABG WITH MEAS O2 SAT,2430.5,2430.5,76.71,4762.8,62
CPT,82805,BG WITH MEAS O2 SAT,2069.99,2069.99,14.7,4762.8,186
CPT,82805,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,77.98,240.25,47
CPT,82805,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry Trauma",,,189.05,189.05,6
CPT,82805,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry UNSCHEDULED",,,302.56,308.93,3
CPT,82810,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.67,29.8,47
CPT,82810,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Trauma",,,23.45,23.45,6
CPT,82810,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry UNSCHEDULED",,,154.94,158.21,3
CPT,82810,OXYGEN SAT ONLY DM,784.0,784.0,67.42,940.8,62
CPT,82820,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.21,40.69,47
CPT,82820,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) Trauma,,,32.02,32.02,6
CPT,82820,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) UNSCHEDULED,,,90.03,91.93,3
CPT,82926,ASSAY OF GASTRIC ACID UNSCHEDULED,,,80.61,82.3,3
CPT,82928,ASSAY OF GASTRIC ACID UNSCHEDULED,,,80.61,82.3,3
CPT,82930,GASTRIC ACID W OR W/O PH,982.0,982.0,84.45,1178.4,31
CPT,82930,"Gastric acid analysis, includes pH if performed, each specimen ",982.0,982.0,6.64,20.47,47
CPT,82930,"Gastric acid analysis, includes pH if performed, each specimen Trauma",,,16.1,16.1,6
CPT,82930,"Gastric acid analysis, includes pH if performed, each specimen UNSCHEDULED",982.0,982.0,80.61,82.3,3
CPT,82938,Gastrin after secretin stimulation ,,,17.51,53.95,47
CPT,82938,Gastrin after secretin stimulation Trauma,,,42.46,42.46,6
CPT,82938,Gastrin after secretin stimulation UNSCHEDULED,,,80.61,82.3,3
CPT,82941,GASTRIN,148.0,148.0,12.73,177.6,31
CPT,82941,Gastrin ,148.0,148.0,17.45,53.77,47
CPT,82941,Gastrin Trauma,,,42.31,42.31,6
CPT,82941,Gastrin UNSCHEDULED,148.0,148.0,80.61,82.3,3
CPT,82943,GLUCAGON,148.0,148.0,12.73,177.6,31
CPT,82943,Glucagon ,148.0,148.0,14.15,43.58,47
CPT,82943,Glucagon Trauma,,,34.3,34.3,6
CPT,82943,Glucagon UNSCHEDULED,148.0,148.0,16.75,17.1,3
CPT,82945,GLUCOSE BODY FLD QN,855.0,855.0,73.53,1026.0,93
CPT,82945,GLUCOSE CSF QN,855.0,855.0,73.53,1026.0,31
CPT,82945,"Glucose, body fluid, other than blood ",,,3.89,11.99,47
CPT,82945,"Glucose, body fluid, other than blood Trauma",,,9.43,9.43,6
CPT,82945,"Glucose, body fluid, other than blood UNSCHEDULED",,,165.41,168.9,3
CPT,82946,Glucagon tolerance test ,,,17.59,54.2,47
CPT,82946,Glucagon tolerance test Trauma,,,42.65,42.65,6
CPT,82946,Glucagon tolerance test UNSCHEDULED,,,80.61,82.3,3
CPT,82947,GLUCOSE BLD QN,481.82,481.82,1.09,1141.2,124
CPT,82947,"Glucose; quantitative, blood (except reagent strip) ",,,3.89,11.99,47
CPT,82947,"Glucose; quantitative, blood (except reagent strip) Trauma",,,9.43,9.43,6
CPT,82947,"Glucose; quantitative, blood (except reagent strip) UNSCHEDULED",,,56.53,57.72,3
CPT,82948,GLUCOSE BLD REAGENT STRP,9.33,9.33,0.8,11.2,155
CPT,82948,"Glucose; blood, reagent strip ",,,4.99,15.37,47
CPT,82948,"Glucose; blood, reagent strip Trauma",,,12.1,12.1,6
CPT,82948,"Glucose; blood, reagent strip UNSCHEDULED",,,20.94,21.38,3
CPT,82950,Glucose; post glucose dose (includes glucose) ,,,4.7,14.49,47
CPT,82950,Glucose; post glucose dose (includes glucose) Trauma,,,11.4,11.4,6
CPT,82950,Glucose; post glucose dose (includes glucose) UNSCHEDULED,,,80.61,82.3,3
CPT,82951,GTT 1ST 3 SPECIMENS,1442.0,1442.0,124.01,1730.4,31
CPT,82951,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.74,39.25,47
CPT,82951,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) Trauma",,,30.89,30.89,6
CPT,82951,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) UNSCHEDULED",,,80.61,82.3,3
CPT,82951,LACTOSE TT 1ST 3 SPEC,1442.0,1442.0,124.01,1730.4,31
CPT,82952,GTT 3 HR SERUM,903.0,903.0,77.66,1083.6,31
CPT,82952,GTT 4 HR SERUM,903.0,903.0,77.66,1083.6,31
CPT,82952,GTT 5 HR SERUM,903.0,903.0,77.66,1083.6,31
CPT,82952,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.88,11.96,47
CPT,82952,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) Trauma",,,9.41,9.41,6
CPT,82952,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) UNSCHEDULED",,,20.94,21.38,3
CPT,82953,GLUCOSE-TOLBUTAMIDE TEST UNSCHEDULED,,,80.61,82.3,3
CPT,82955,G-6-PD QUANT,102.0,102.0,8.77,122.4,31
CPT,82955,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,102.0,102.0,9.6,29.58,47
CPT,82955,Glucose-6-phosphate dehydrogenase (G6PD); quantitative Trauma,,,23.28,23.28,6
CPT,82955,Glucose-6-phosphate dehydrogenase (G6PD); quantitative UNSCHEDULED,102.0,102.0,80.61,82.3,3
CPT,82960,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,5.99,18.45,47
CPT,82960,Glucose-6-phosphate dehydrogenase (G6PD); screen Trauma,,,14.52,14.52,6
CPT,82960,Glucose-6-phosphate dehydrogenase (G6PD); screen UNSCHEDULED,,,80.61,82.3,3
CPT,82962,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.25,10.0,47
CPT,82962,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use Trauma",,,7.87,7.87,6
CPT,82962,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use UNSCHEDULED",,,26.17,26.72,3
CPT,82963,BETA GLUCOSIDASE,1443.0,1443.0,124.1,1731.6,31
CPT,82963,"Glucosidase, beta ",1443.0,1443.0,21.27,65.51,47
CPT,82963,"Glucosidase, beta Trauma",,,51.55,51.55,6
CPT,82963,"Glucosidase, beta UNSCHEDULED",1443.0,1443.0,80.61,82.3,3
CPT,82965,Glutamate dehydrogenase ,,,13.02,40.11,47
CPT,82965,Glutamate dehydrogenase Trauma,,,31.56,31.56,6
CPT,82965,Glutamate dehydrogenase UNSCHEDULED,,,80.61,82.3,3
CPT,82975,ASSAY OF GLUTAMINE UNSCHEDULED,,,80.61,82.3,3
CPT,82977,GAMMA GT,1065.0,1065.0,91.59,1278.0,62
CPT,82977,"Glutamyltransferase, gamma (GGT) ",,,7.13,21.96,47
CPT,82977,"Glutamyltransferase, gamma (GGT) Trauma",,,17.28,17.28,6
CPT,82977,"Glutamyltransferase, gamma (GGT) UNSCHEDULED",,,63.86,65.2,3
CPT,82978,Glutathione ,,,15.3,47.12,47
CPT,82978,Glutathione Trauma,,,37.08,37.08,6
CPT,82978,Glutathione UNSCHEDULED,,,5522.4,5638.66,3
CPT,82979,"Glutathione reductase, RBC ",,,9.35,28.79,47
CPT,82979,"Glutathione reductase, RBC Trauma",,,22.66,22.66,6
CPT,82979,"Glutathione reductase, RBC UNSCHEDULED",,,80.61,82.3,3
CPT,82980,ASSAY OF GLUTETHIMIDE UNSCHEDULED,,,80.61,82.3,3
CPT,82985,FRUCTOSAMINE,122.0,122.0,10.49,146.4,31
CPT,82985,Glycated protein ,122.0,122.0,16.59,51.12,47
CPT,82985,Glycated protein Trauma,,,40.22,40.22,6
CPT,82985,Glycated protein UNSCHEDULED,122.0,122.0,50.25,51.31,3
CPT,83001,FSH,160.0,160.0,13.76,192.0,62
CPT,83001,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.39,56.67,47
CPT,83001,Gonadotropin; follicle stimulating hormone (FSH) Trauma,,,44.59,44.59,6
CPT,83001,Gonadotropin; follicle stimulating hormone (FSH) UNSCHEDULED,,,42.92,43.82,3
CPT,83002,Gonadotropin; luteinizing hormone (LH) ,,,18.33,56.49,47
CPT,83002,Gonadotropin; luteinizing hormone (LH) Trauma,,,44.45,44.45,6
CPT,83002,Gonadotropin; luteinizing hormone (LH) UNSCHEDULED,,,42.92,43.82,3
CPT,83002,LH,156.0,156.0,13.42,187.2,93
CPT,83003,GROWTH HORMONE (HGH),146.0,146.0,12.56,175.2,62
CPT,83003,"Growth hormone, human (HGH) (somatotropin) ",,,16.5,50.84,47
CPT,83003,"Growth hormone, human (HGH) (somatotropin) Trauma",,,40.01,40.01,6
CPT,83003,"Growth hormone, human (HGH) (somatotropin) UNSCHEDULED",,,30.36,31.0,3
CPT,83006,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,74.84,230.58,46
CPT,83006,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) Trauma",,,181.44,181.44,6
CPT,83006,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) UNSCHEDULED",,,80.61,82.3,3
CPT,83008,ASSAY OF GUANOSINE UNSCHEDULED,,,80.61,82.3,3
CPT,83009,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,66.69,205.45,47
CPT,83009,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Trauma",,,161.66,161.66,6
CPT,83009,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) UNSCHEDULED",,,80.61,82.3,3
CPT,83010,HAPTOGLOBIN QUANT,1091.0,1091.0,93.83,1309.2,62
CPT,83010,Haptoglobin; quantitative ,,,12.45,38.37,47
CPT,83010,Haptoglobin; quantitative Trauma,,,30.19,30.19,6
CPT,83010,Haptoglobin; quantitative UNSCHEDULED,,,105.73,107.96,3
CPT,83012,Haptoglobin; phenotypes ,,,26.62,82.01,47
CPT,83012,Haptoglobin; phenotypes Trauma,,,64.54,64.54,6
CPT,83012,Haptoglobin; phenotypes UNSCHEDULED,,,80.61,82.3,3
CPT,83013,H PYLORI BRTH UREASE NR,703.0,703.0,60.46,843.6,31
CPT,83013,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",703.0,703.0,66.69,205.45,47
CPT,83013,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) Trauma",,,161.66,161.66,6
CPT,83013,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) UNSCHEDULED",703.0,703.0,80.61,82.3,3
CPT,83014,Helicobacter pylori; drug administration ,,,7.78,23.97,47
CPT,83014,Helicobacter pylori; drug administration Trauma,,,18.86,18.86,6
CPT,83014,Helicobacter pylori; drug administration UNSCHEDULED,,,80.61,82.3,3
CPT,83015,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.73,63.87,47
CPT,83015,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes Trauma",,,50.26,50.26,6
CPT,83015,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes UNSCHEDULED",,,80.61,82.3,3
CPT,83018,HEAVY METAL QN,231.0,231.0,19.87,277.2,31
CPT,83018,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",231.0,231.0,21.74,66.98,47
CPT,83018,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified Trauma",,,52.7,52.7,6
CPT,83018,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified UNSCHEDULED",231.0,231.0,97.37,99.42,3
CPT,83020,HEMOGLOBIN A2 EP,742.0,742.0,63.81,890.4,31
CPT,83020,HEMOGLOBIN ELECTRO,742.0,742.0,63.81,890.4,62
CPT,83020,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.74,39.25,47
CPT,83020,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) Trauma",,,30.89,30.89,6
CPT,83020,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) UNSCHEDULED",,,132.95,135.75,3
CPT,83021,HEMOGLOBIN FRACT HPLC,742.0,742.0,63.81,890.4,31
CPT,83021,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",742.0,742.0,17.88,55.08,47
CPT,83021,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) Trauma",,,43.34,43.34,6
CPT,83021,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) UNSCHEDULED",742.0,742.0,77.47,79.1,3
CPT,83026,"Hemoglobin; by copper sulfate method, non-automated ",,,3.97,12.23,47
CPT,83026,"Hemoglobin; by copper sulfate method, non-automated Trauma",,,9.62,9.62,6
CPT,83026,"Hemoglobin; by copper sulfate method, non-automated UNSCHEDULED",,,80.61,82.3,3
CPT,83030,"Hemoglobin; F (fetal), chemical ",,,10.63,32.76,47
CPT,83030,"Hemoglobin; F (fetal), chemical Trauma",,,25.78,25.78,6
CPT,83030,"Hemoglobin; F (fetal), chemical UNSCHEDULED",,,50.25,51.31,3
CPT,83033,HEMOGLOBIN FETAL QL,146.0,146.0,12.56,175.2,31
CPT,83033,"Hemoglobin; F (fetal), qualitative ",146.0,146.0,7.92,24.4,47
CPT,83033,"Hemoglobin; F (fetal), qualitative Trauma",,,19.2,19.2,6
CPT,83033,"Hemoglobin; F (fetal), qualitative UNSCHEDULED",146.0,146.0,80.61,82.3,3
CPT,83036,GLYCOHEMOGLOBIN,44.0,44.0,3.78,52.8,31
CPT,83036,HEMOGLOBIN A1C,61.0,61.0,3.78,93.6,93
CPT,83036,Hemoglobin; glycosylated (A1C) ,,,9.61,29.62,47
CPT,83036,Hemoglobin; glycosylated (A1C) Trauma,,,23.3,23.3,6
CPT,83036,Hemoglobin; glycosylated (A1C) UNSCHEDULED,,,130.86,133.62,3
CPT,83037,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.61,29.62,47
CPT,83037,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Trauma,,,23.3,23.3,6
CPT,83037,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use UNSCHEDULED,,,80.61,82.3,3
CPT,83045,"Hemoglobin; methemoglobin, qualitative ",,,6.43,19.79,47
CPT,83045,"Hemoglobin; methemoglobin, qualitative Trauma",,,15.58,15.58,6
CPT,83045,"Hemoglobin; methemoglobin, qualitative UNSCHEDULED",,,90.03,91.93,3
CPT,83050,"Hemoglobin; methemoglobin, quantitative ",50.0,50.0,8.12,25.01,47
CPT,83050,"Hemoglobin; methemoglobin, quantitative Trauma",,,19.68,19.68,6
CPT,83050,"Hemoglobin; methemoglobin, quantitative UNSCHEDULED",50.0,50.0,43.97,44.89,3
CPT,83050,METHEMOGLOBIN QUANT,50.0,50.0,4.3,60.0,31
CPT,83051,HEMOGLOBIN PLASMA,414.0,414.0,35.6,496.8,31
CPT,83051,Hemoglobin; plasma ,414.0,414.0,7.24,22.3,47
CPT,83051,Hemoglobin; plasma Trauma,,,17.54,17.54,6
CPT,83051,Hemoglobin; plasma UNSCHEDULED,414.0,414.0,80.61,82.3,3
CPT,83055,BLOOD SULFHEMOGLOBIN TEST UNSCHEDULED,,,80.61,82.3,3
CPT,83060,"Hemoglobin; sulfhemoglobin, quantitative ",355.0,355.0,8.71,26.84,47
CPT,83060,"Hemoglobin; sulfhemoglobin, quantitative Trauma",,,21.12,21.12,6
CPT,83060,"Hemoglobin; sulfhemoglobin, quantitative UNSCHEDULED",355.0,355.0,80.61,82.3,3
CPT,83060,SULFHEMOGLOBIN QUANT,355.0,355.0,30.53,426.0,31
CPT,83065,Hemoglobin; thermolabile ,,,8.91,27.45,47
CPT,83065,Hemoglobin; thermolabile Trauma,,,21.6,21.6,6
CPT,83065,Hemoglobin; thermolabile UNSCHEDULED,,,80.61,82.3,3
CPT,83068,"Hemoglobin; unstable, screen ",,,9.38,28.88,47
CPT,83068,"Hemoglobin; unstable, screen Trauma",,,22.73,22.73,6
CPT,83068,"Hemoglobin; unstable, screen UNSCHEDULED",,,237.64,242.65,3
CPT,83069,Hemoglobin; urine ,,,3.91,12.05,47
CPT,83069,Hemoglobin; urine Trauma,,,9.48,9.48,6
CPT,83069,Hemoglobin; urine UNSCHEDULED,,,80.61,82.3,3
CPT,83070,HEMOSIDERIN QUAL,44.0,44.0,3.78,52.8,93
CPT,83070,"Hemosiderin, qualitative ",,,4.7,14.49,47
CPT,83070,"Hemosiderin, qualitative Trauma",,,11.4,11.4,6
CPT,83070,"Hemosiderin, qualitative UNSCHEDULED",,,80.61,82.3,3
CPT,83071,ASSAY OF HEMOSIDERIN QUANT UNSCHEDULED,,,80.61,82.3,3
CPT,83080,"b-Hexosaminidase, each assay ",,,16.7,51.45,47
CPT,83080,"b-Hexosaminidase, each assay Trauma",,,40.49,40.49,6
CPT,83080,"b-Hexosaminidase, each assay UNSCHEDULED",,,412.48,421.16,3
CPT,83088,HISTAMINE BLOOD,257.0,257.0,22.1,308.4,31
CPT,83088,HISTAMINE URINE,257.0,257.0,22.1,308.4,31
CPT,83088,Histamine ,,,29.23,90.07,47
CPT,83088,Histamine Trauma,,,70.87,70.87,6
CPT,83088,Histamine UNSCHEDULED,,,80.61,82.3,3
CPT,83090,HOMOCYSTEINE QN,146.0,146.0,12.56,175.2,62
CPT,83090,Homocysteine ,,,17.74,54.66,47
CPT,83090,Homocysteine Trauma,,,43.01,43.01,6
CPT,83090,Homocysteine UNSCHEDULED,,,85.84,87.65,3
CPT,83150,Homovanillic acid (HVA) ,,,22.19,68.35,47
CPT,83150,Homovanillic acid (HVA) Trauma,,,53.78,53.78,6
CPT,83150,Homovanillic acid (HVA) UNSCHEDULED,,,80.61,82.3,3
CPT,83491,17 HYDROXYCORT (17OH),148.0,148.0,12.73,177.6,31
CPT,83491,"Hydroxycorticosteroids, 17- (17-OHCS) ",148.0,148.0,17.72,54.59,47
CPT,83491,"Hydroxycorticosteroids, 17- (17-OHCS) Trauma",,,42.96,42.96,6
CPT,83491,"Hydroxycorticosteroids, 17- (17-OHCS) UNSCHEDULED",148.0,148.0,80.61,82.3,3
CPT,83497,5 HIAA,113.0,113.0,9.72,135.6,31
CPT,83497,"Hydroxyindolacetic acid, 5-(HIAA) ",113.0,113.0,12.77,39.34,47
CPT,83497,"Hydroxyindolacetic acid, 5-(HIAA) Trauma",,,30.96,30.96,6
CPT,83497,"Hydroxyindolacetic acid, 5-(HIAA) UNSCHEDULED",113.0,113.0,80.61,82.3,3
CPT,83498,HYDROXYPROG 17D,227.0,227.0,19.52,272.4,31
CPT,83498,"Hydroxyprogesterone, 17-d ",227.0,227.0,26.9,82.87,47
CPT,83498,"Hydroxyprogesterone, 17-d Trauma",,,65.21,65.21,6
CPT,83498,"Hydroxyprogesterone, 17-d UNSCHEDULED",227.0,227.0,80.61,82.3,3
CPT,83499,"HHydroxyprogesterone, 20- UNSCHEDULED",,,80.61,82.3,3
CPT,83500,Hydroxyproline; free ,,,22.42,69.08,47
CPT,83500,Hydroxyproline; free Trauma,,,54.36,54.36,6
CPT,83500,Hydroxyproline; free UNSCHEDULED,,,749.58,765.36,3
CPT,83505,HYDROXYPROLINE TOTAL,262.0,262.0,22.53,314.4,31
CPT,83505,Hydroxyproline; total ,262.0,262.0,24.06,74.11,47
CPT,83505,Hydroxyproline; total Trauma,,,58.32,58.32,6
CPT,83505,Hydroxyproline; total UNSCHEDULED,262.0,262.0,170.65,174.24,3
CPT,83516,ANTIGLOMERULAR B MIA QL,427.0,427.0,36.72,512.4,31
CPT,83516,CENTROMERE AB,110.0,110.0,9.46,132.0,31
CPT,83516,CHROMATIN AB IA QL,307.5,307.5,15.48,522.0,62
CPT,83516,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.41,35.17,47
CPT,83516,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method Trauma",,,27.67,27.67,6
CPT,83516,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method UNSCHEDULED",,,20.94,21.38,3
CPT,83516,PARIETAL CELL AB IA QL,435.0,435.0,37.41,522.0,31
CPT,83518,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.54,29.4,47
CPT,83518,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) Trauma",,,23.14,23.14,6
CPT,83518,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) UNSCHEDULED",,,80.61,82.3,3
CPT,83519,INSULIN LIKE GFBP 3 RIA,218.0,218.0,18.75,261.6,31
CPT,83519,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.22,56.12,47
CPT,83519,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) Trauma",,,44.16,44.16,6
CPT,83519,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) UNSCHEDULED",,,50.25,51.31,3
CPT,83519,MUSK ANTIBODY RIA QN,2539.0,2539.0,218.35,3046.8,31
CPT,83519,PTH RELATED PROTEIN RIA,25.0,25.0,2.15,30.0,31
CPT,83520,ADAMTS 13 AB IA QN,675.0,675.0,58.05,810.0,31
CPT,83520,ADIPONECTIN QN IA,57.0,57.0,4.9,68.4,31
CPT,83520,FIBRONECTIN AGGREG IGAQN,675.0,675.0,58.05,810.0,31
CPT,83520,GM1 AB IA QN,675.0,675.0,58.05,810.0,31
CPT,83520,GM1 AB IA QN IGM,675.0,675.0,58.05,810.0,31
CPT,83520,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.1,52.67,47
CPT,83520,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified Trauma",,,41.45,41.45,6
CPT,83520,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified UNSCHEDULED",,,103.64,105.83,3
CPT,83520,MAG IGM AB IA QN,675.0,675.0,58.05,810.0,31
CPT,83520,MANNOSE BIND PROT IA QN,103.0,103.0,8.86,123.6,31
CPT,83520,SULFATIDE AB IA QN,702.0,702.0,60.37,842.4,31
CPT,83521,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.1,52.67,47
CPT,83521,"Immunoglobulin light chains (ie, kappa, lambda), free, each Trauma",,,41.45,41.45,6
CPT,83521,"Immunoglobulin light chains (ie, kappa, lambda), free, each UNSCHEDULED",,,80.61,82.3,3
CPT,83521,LIGHT CHAINS KAP FREE,72.0,72.0,6.19,86.4,62
CPT,83521,LIGHT CHAINS LAM FREE,32.0,32.0,2.75,38.4,31
CPT,83525,INSULIN TOTAL,65.0,65.0,2.41,122.4,62
CPT,83525,Insulin; total ,,,11.32,34.86,47
CPT,83525,Insulin; total Trauma,,,27.43,27.43,6
CPT,83525,Insulin; total UNSCHEDULED,,,80.61,82.3,3
CPT,83527,Insulin; free ,,,12.82,39.5,47
CPT,83527,Insulin; free Trauma,,,31.08,31.08,6
CPT,83527,Insulin; free UNSCHEDULED,,,80.61,82.3,3
CPT,83528,Intrinsic factor ,,,19.62,60.45,47
CPT,83528,Intrinsic factor Trauma,,,47.57,47.57,6
CPT,83528,Intrinsic factor UNSCHEDULED,,,80.61,82.3,3
CPT,83529,INTERLEUKIN 6 IA QN,52.0,52.0,4.47,62.4,31
CPT,83529,Interleukin-6 (IL-6) ,52.0,52.0,17.1,52.67,47
CPT,83529,Interleukin-6 (IL-6) Trauma,,,41.45,41.45,6
CPT,83529,Interleukin-6 (IL-6) UNSCHEDULED,52.0,52.0,80.61,82.3,3
CPT,83540,IRON,185.0,185.0,15.91,222.0,93
CPT,83540,Iron ,,,6.41,19.73,47
CPT,83540,Iron Trauma,,,15.53,15.53,6
CPT,83540,Iron UNSCHEDULED,,,88.99,90.86,3
CPT,83550,IRON BINDING,68.0,68.0,5.85,81.6,93
CPT,83550,Iron binding capacity ,,,8.65,26.66,47
CPT,83550,Iron binding capacity Trauma,,,20.98,20.98,6
CPT,83550,Iron binding capacity UNSCHEDULED,,,101.55,103.68,3
CPT,83570,Isocitric dehydrogenase (IDH) ,,,8.76,26.99,47
CPT,83570,Isocitric dehydrogenase (IDH) Trauma,,,21.24,21.24,6
CPT,83570,Isocitric dehydrogenase (IDH) UNSCHEDULED,,,80.61,82.3,3
CPT,83582,KETOGENIC STEROID FRAC,121.0,121.0,10.41,145.2,31
CPT,83582,"Ketogenic steroids, fractionation ",121.0,121.0,15.32,47.18,47
CPT,83582,"Ketogenic steroids, fractionation Trauma",,,37.13,37.13,6
CPT,83582,"Ketogenic steroids, fractionation UNSCHEDULED",121.0,121.0,80.61,82.3,3
CPT,83586,17 KETOSTEROIDS TOTAL,113.0,113.0,9.72,135.6,31
CPT,83586,"Ketosteroids, 17- (17-KS); total ",113.0,113.0,12.67,39.04,47
CPT,83586,"Ketosteroids, 17- (17-KS); total Trauma",,,30.72,30.72,6
CPT,83586,"Ketosteroids, 17- (17-KS); total UNSCHEDULED",113.0,113.0,80.61,82.3,3
CPT,83593,"Ketosteroids, 17- (17-KS); fractionation ",,,28.21,86.92,47
CPT,83593,"Ketosteroids, 17- (17-KS); fractionation Trauma",,,68.4,68.4,6
CPT,83593,"Ketosteroids, 17- (17-KS); fractionation UNSCHEDULED",,,80.61,82.3,3
CPT,83605,LACTIC ACID,603.5,603.5,50.14,748.8,186
CPT,83605,Lactate (lactic acid) ,,,11.45,35.29,47
CPT,83605,Lactate (lactic acid) Trauma,,,27.77,27.77,6
CPT,83605,Lactate (lactic acid) UNSCHEDULED,,,140.29,143.24,3
CPT,83615,LDH (LD),552.0,552.0,47.47,662.4,93
CPT,83615,LDH (LD) BODY FLUID,552.0,552.0,47.47,662.4,62
CPT,83615,LDH (LD) CSF,76.0,76.0,6.54,91.2,31
CPT,83615,"Lactate dehydrogenase (LD), (LDH); ",,,5.98,18.42,47
CPT,83615,"Lactate dehydrogenase (LD), (LDH); Trauma",,,14.5,14.5,6
CPT,83615,"Lactate dehydrogenase (LD), (LDH); UNSCHEDULED",,,94.22,96.2,3
CPT,83625,LDH ISOENZYMES,671.0,671.0,57.71,805.2,31
CPT,83625,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",671.0,671.0,12.66,39.01,47
CPT,83625,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation Trauma",,,30.7,30.7,6
CPT,83625,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation UNSCHEDULED",671.0,671.0,80.61,82.3,3
CPT,83630,LACTOFERRIN STOOL IA QL,140.0,140.0,12.04,168.0,31
CPT,83630,"Lactoferrin, fecal; qualitative ",140.0,140.0,19.5,60.08,47
CPT,83630,"Lactoferrin, fecal; qualitative Trauma",,,47.28,47.28,6
CPT,83630,"Lactoferrin, fecal; qualitative UNSCHEDULED",140.0,140.0,60.72,62.0,3
CPT,83631,LACTOFERRIN FECAL QN,106.0,106.0,9.12,127.2,31
CPT,83631,"Lactoferrin, fecal; quantitative ",106.0,106.0,19.43,59.87,47
CPT,83631,"Lactoferrin, fecal; quantitative Trauma",,,47.11,47.11,6
CPT,83631,"Lactoferrin, fecal; quantitative UNSCHEDULED",106.0,106.0,80.61,82.3,3
CPT,83632,LACTOGEN HPL,648.0,648.0,55.73,777.6,31
CPT,83632,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",648.0,648.0,20.02,61.67,47
CPT,83632,"Lactogen, human placental (HPL) human chorionic somatomammotropin Trauma",,,48.53,48.53,6
CPT,83632,"Lactogen, human placental (HPL) human chorionic somatomammotropin UNSCHEDULED",648.0,648.0,80.61,82.3,3
CPT,83633,"Lactose, urine, qualitative ",,,11.14,34.31,47
CPT,83633,"Lactose, urine, qualitative Trauma",,,27.0,27.0,6
CPT,83633,"Lactose, urine, qualitative UNSCHEDULED",,,80.61,82.3,3
CPT,83634,ASSAY OF URINE FOR LACTOSE UNSCHEDULED,,,80.61,82.3,3
CPT,83655,LEAD BLOOD,110.0,110.0,9.46,132.0,31
CPT,83655,LEAD URINE,110.0,110.0,9.46,132.0,31
CPT,83655,Lead ,,,11.99,36.94,47
CPT,83655,Lead Trauma,,,29.06,29.06,6
CPT,83655,Lead UNSCHEDULED,,,8.38,8.56,3
CPT,83661,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.77,67.07,47
CPT,83661,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Trauma,,,52.78,52.78,6
CPT,83661,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio UNSCHEDULED,,,80.61,82.3,3
CPT,83662,Fetal lung maturity assessment; foam stability test ,,,18.72,57.68,47
CPT,83662,Fetal lung maturity assessment; foam stability test Trauma,,,45.38,45.38,6
CPT,83662,Fetal lung maturity assessment; foam stability test UNSCHEDULED,,,80.61,82.3,3
CPT,83663,Fetal lung maturity assessment; fluorescence polarization ,,,18.72,57.68,47
CPT,83663,Fetal lung maturity assessment; fluorescence polarization Trauma,,,45.38,45.38,6
CPT,83663,Fetal lung maturity assessment; fluorescence polarization UNSCHEDULED,,,80.61,82.3,3
CPT,83664,Fetal lung maturity assessment; lamellar body density ,,,19.13,58.93,47
CPT,83664,Fetal lung maturity assessment; lamellar body density Trauma,,,46.37,46.37,6
CPT,83664,Fetal lung maturity assessment; lamellar body density UNSCHEDULED,,,80.61,82.3,3
CPT,83670,LEUC AMINOPEPTIDASE,72.0,72.0,6.19,86.4,31
CPT,83670,Leucine aminopeptidase (LAP) ,72.0,72.0,9.71,29.92,47
CPT,83670,Leucine aminopeptidase (LAP) Trauma,,,23.54,23.54,6
CPT,83670,Leucine aminopeptidase (LAP) UNSCHEDULED,72.0,72.0,80.61,82.3,3
CPT,83690,LIPASE,33.0,33.0,2.84,39.6,124
CPT,83690,Lipase ,,,6.82,21.01,47
CPT,83690,Lipase Trauma,,,16.54,16.54,6
CPT,83690,Lipase UNSCHEDULED,,,162.27,165.69,3
CPT,83695,LIPOPROTEIN (A),102.0,102.0,8.77,122.4,31
CPT,83695,Lipoprotein (a) ,102.0,102.0,14.18,43.68,47
CPT,83695,Lipoprotein (a) Trauma,,,34.37,34.37,6
CPT,83695,Lipoprotein (a) UNSCHEDULED,102.0,102.0,11.51,11.76,3
CPT,83698,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,45.85,141.25,47
CPT,83698,Lipoprotein-associated phospholipase A2 (Lp-PLA2) Trauma,,,111.14,111.14,6
CPT,83698,Lipoprotein-associated phospholipase A2 (Lp-PLA2) UNSCHEDULED,,,80.61,82.3,3
CPT,83700,LIPOPROTEIN ELECTRO BLD,160.0,160.0,13.76,192.0,31
CPT,83700,"Lipoprotein, blood; electrophoretic separation and quantitation ",160.0,160.0,11.15,34.34,47
CPT,83700,"Lipoprotein, blood; electrophoretic separation and quantitation Trauma",,,27.02,27.02,6
CPT,83700,"Lipoprotein, blood; electrophoretic separation and quantitation UNSCHEDULED",160.0,160.0,80.61,82.3,3
CPT,83701,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.52,103.27,47
CPT,83701,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) Trauma",,,81.26,81.26,6
CPT,83701,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) UNSCHEDULED",,,80.61,82.3,3
CPT,83704,LDL CHOLESTEROL NMR BLD,465.0,465.0,39.99,558.0,31
CPT,83704,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",465.0,465.0,33.85,104.28,47
CPT,83704,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed Trauma",,,82.06,82.06,6
CPT,83704,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed UNSCHEDULED",465.0,465.0,80.61,82.3,3
CPT,83715,ASSAY OF BLOOD LIPOPROTEINS UNSCHEDULED,,,80.61,82.3,3
CPT,83716,ASSAY OF BLOOD LIPOPROTEINS UNSCHEDULED,,,80.61,82.3,3
CPT,83718,HDL CHOLESTEROL DM,68.0,68.0,5.85,81.6,31
CPT,83718,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",68.0,68.0,8.11,24.98,47
CPT,83718,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) Trauma",,,19.66,19.66,6
CPT,83718,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) UNSCHEDULED",68.0,68.0,80.61,82.3,3
CPT,83719,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.62,38.89,47
CPT,83719,"Lipoprotein, direct measurement; VLDL cholesterol Trauma",,,30.6,30.6,6
CPT,83719,"Lipoprotein, direct measurement; VLDL cholesterol UNSCHEDULED",,,80.61,82.3,3
CPT,83721,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.39,32.02,47
CPT,83721,"Lipoprotein, direct measurement; LDL cholesterol Trauma",,,25.2,25.2,6
CPT,83721,"Lipoprotein, direct measurement; LDL cholesterol UNSCHEDULED",,,90.03,91.93,3
CPT,83722,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,33.85,104.28,47
CPT,83722,"Lipoprotein, direct measurement; small dense LDL cholesterol Trauma",,,82.06,82.06,6
CPT,83722,"Lipoprotein, direct measurement; small dense LDL cholesterol UNSCHEDULED",,,80.61,82.3,3
CPT,83727,Luteinizing releasing factor (LRH) ,,,17.02,52.43,47
CPT,83727,Luteinizing releasing factor (LRH) Trauma,,,41.26,41.26,6
CPT,83727,Luteinizing releasing factor (LRH) UNSCHEDULED,,,80.61,82.3,3
CPT,83735,MAGNESIUM BLD,339.0,339.0,28.98,409.2,124
CPT,83735,MAGNESIUM OTHER,337.0,337.0,28.98,404.4,31
CPT,83735,MAGNESIUM URINE,341.0,341.0,29.33,409.2,31
CPT,83735,Magnesium ,,,6.63,20.43,47
CPT,83735,Magnesium Trauma,,,16.08,16.08,6
CPT,83735,Magnesium UNSCHEDULED,,,104.69,106.89,3
CPT,83775,Malate dehydrogenase ,,,7.3,22.48,47
CPT,83775,Malate dehydrogenase Trauma,,,17.69,17.69,6
CPT,83775,Malate dehydrogenase UNSCHEDULED,,,80.61,82.3,3
CPT,83785,MANGANESE,208.0,208.0,17.89,249.6,31
CPT,83785,Manganese ,208.0,208.0,26.38,81.28,47
CPT,83785,Manganese Trauma,,,63.96,63.96,6
CPT,83785,Manganese UNSCHEDULED,208.0,208.0,9.42,9.62,3
CPT,83788,MASS SPECTROMETRY QUAL UNSCHEDULED,,,80.61,82.3,3
CPT,83789,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,23.87,73.54,47
CPT,83789,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen Trauma",,,57.86,57.86,6
CPT,83789,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen UNSCHEDULED",,,121.44,124.0,3
CPT,83805,ASSAY OF MEPROBAMATE UNSCHEDULED,,,80.61,82.3,3
CPT,83825,MERCURY BLD QUANT,143.0,143.0,12.3,171.6,31
CPT,83825,MERCURY UR QUANT,143.0,143.0,12.3,171.6,31
CPT,83825,"Mercury, quantitative ",,,16.1,49.59,47
CPT,83825,"Mercury, quantitative Trauma",,,39.02,39.02,6
CPT,83825,"Mercury, quantitative UNSCHEDULED",,,19.89,20.31,3
CPT,83835,METANEPHRINES,146.0,146.0,12.56,175.2,31
CPT,83835,METANEPHRINES FRACT,80.5,80.5,1.29,175.2,62
CPT,83835,Metanephrines ,,,16.77,51.67,47
CPT,83835,Metanephrines Trauma,,,40.66,40.66,6
CPT,83835,Metanephrines UNSCHEDULED,,,20.94,21.38,3
CPT,83840,ASSAY OF METHADONE UNSCHEDULED,,,80.61,82.3,3
CPT,83857,METHEMALBUMIN,457.0,457.0,39.3,548.4,31
CPT,83857,Methemalbumin ,457.0,457.0,10.63,32.76,47
CPT,83857,Methemalbumin Trauma,,,25.78,25.78,6
CPT,83857,Methemalbumin UNSCHEDULED,457.0,457.0,80.61,82.3,3
CPT,83858,ASSAY OF METHSUXIMIDE UNSCHEDULED,,,80.61,82.3,3
CPT,83861,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.26,68.56,47
CPT,83861,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Trauma",,,53.95,53.95,6
CPT,83861,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity UNSCHEDULED",,,80.61,82.3,3
CPT,83864,MUCOPOLYSAC ACID QUANT,273.0,273.0,23.48,327.6,31
CPT,83864,"Mucopolysaccharides, acid, quantitative ",273.0,273.0,28.21,86.92,47
CPT,83864,"Mucopolysaccharides, acid, quantitative Trauma",,,68.4,68.4,6
CPT,83864,"Mucopolysaccharides, acid, quantitative UNSCHEDULED",273.0,273.0,80.61,82.3,3
CPT,83866,MUCOPOLYSACCHARIDES SCREEN UNSCHEDULED,,,80.61,82.3,3
CPT,83872,"Mucin, synovial fluid (Ropes test) ",,,5.8,17.87,47
CPT,83872,"Mucin, synovial fluid (Ropes test) Trauma",,,14.06,14.06,6
CPT,83872,"Mucin, synovial fluid (Ropes test) UNSCHEDULED",,,10.47,10.69,3
CPT,83873,MYELIN BASIC PROT CSF,143.0,143.0,12.3,171.6,31
CPT,83873,"Myelin basic protein, cerebrospinal fluid ",143.0,143.0,17.03,52.46,47
CPT,83873,"Myelin basic protein, cerebrospinal fluid Trauma",,,41.28,41.28,6
CPT,83873,"Myelin basic protein, cerebrospinal fluid UNSCHEDULED",143.0,143.0,46.07,47.04,3
CPT,83874,MYOGLOBIN BLD,283.0,283.0,24.34,339.6,93
CPT,83874,MYOGLOBIN URINE,283.0,283.0,24.34,339.6,93
CPT,83874,Myoglobin ,,,12.79,39.41,47
CPT,83874,Myoglobin Trauma,,,31.01,31.01,6
CPT,83874,Myoglobin UNSCHEDULED,,,162.27,165.69,3
CPT,83876,Myeloperoxidase (MPO) ,,,50.35,155.12,47
CPT,83876,Myeloperoxidase (MPO) Trauma,,,122.06,122.06,6
CPT,83876,Myeloperoxidase (MPO) UNSCHEDULED,,,80.61,82.3,3
CPT,83880,NATRIURETIC PEPTIDE,1552.5,1552.5,96.84,2374.8,155
CPT,83880,Natriuretic peptide ,,,38.87,119.74,47
CPT,83880,Natriuretic peptide Trauma,,,94.22,94.22,6
CPT,83880,Natriuretic peptide UNSCHEDULED,,,199.96,204.17,3
CPT,83883,"Nephelometry, each analyte not elsewhere specified ",72.0,72.0,13.46,41.48,47
CPT,83883,"Nephelometry, each analyte not elsewhere specified Trauma",,,32.64,32.64,6
CPT,83883,"Nephelometry, each analyte not elsewhere specified UNSCHEDULED",72.0,72.0,52.34,53.45,3
CPT,83883,RETINOL BIND PROTN NEPH,72.0,72.0,6.19,86.4,31
CPT,83884,Neurofilament light chain (NfL) ,,,115.07,354.5,46
CPT,83884,Neurofilament light chain (NfL) Trauma,,,278.95,278.95,6
CPT,83885,Nickel ,,,24.26,74.76,47
CPT,83885,Nickel Trauma,,,58.82,58.82,6
CPT,83885,Nickel UNSCHEDULED,,,11.51,11.76,3
CPT,83887,ASSAY OF NICOTINE UNSCHEDULED,,,80.61,82.3,3
CPT,83890,MOLECULE ISOLATE UNSCHEDULED,,,80.61,82.3,3
CPT,83891,MOLECULE ISOLATE NUCLEIC UNSCHEDULED,,,80.61,82.3,3
CPT,83892,MOLECULAR DIAGNOSTICS UNSCHEDULED,,,80.61,82.3,3
CPT,83893,MOLECULE DOT/SLOT/BLOT UNSCHEDULED,,,80.61,82.3,3
CPT,83894,MOLECULE GEL ELECTROPHOR UNSCHEDULED,,,80.61,82.3,3
CPT,83896,MOLECULAR DIAGNOSTICS UNSCHEDULED,,,80.61,82.3,3
CPT,83897,MOLECULE NUCLEIC TRANSFER UNSCHEDULED,,,80.61,82.3,3
CPT,83898,MOLECULE NUCLEIC AMPLI EACH UNSCHEDULED,,,80.61,82.3,3
CPT,83900,MOLECULE NUCLEIC AMPLI 2 SEQ UNSCHEDULED,,,80.61,82.3,3
CPT,83901,MOLECULE NUCLEIC AMPLI ADDON UNSCHEDULED,,,80.61,82.3,3
CPT,83902,MOLECULAR DIAGNOSTICS UNSCHEDULED,,,80.61,82.3,3
CPT,83903,MOLECULE MUTATION SCAN UNSCHEDULED,,,80.61,82.3,3
CPT,83904,MOLECULE MUTATION IDENTIFY UNSCHEDULED,,,80.61,82.3,3
CPT,83905,MOLECULE MUTATION IDENTIFY UNSCHEDULED,,,80.61,82.3,3
CPT,83906,MOLECULE MUTATION IDENTIFY UNSCHEDULED,,,80.61,82.3,3
CPT,83907,LYSE CELLS FOR NUCLEIC EXT UNSCHEDULED,,,80.61,82.3,3
CPT,83908,NUCLEIC ACID SIGNAL AMPLI UNSCHEDULED,,,80.61,82.3,3
CPT,83909,NUCLEIC ACID HIGH RESOLUTE UNSCHEDULED,,,80.61,82.3,3
CPT,83912,GENETIC EXAMINATION UNSCHEDULED,,,80.61,82.3,3
CPT,83913,MOLECULAR RNA STABILIZATION UNSCHEDULED,,,80.61,82.3,3
CPT,83914,MUTATION IDENT OLA/SBCE/ASPE UNSCHEDULED,,,80.61,82.3,3
CPT,83915,NUCLEOTIDASE 5'-,231.0,231.0,19.87,277.2,31
CPT,83915,Nucleotidase 5'- ,231.0,231.0,11.04,34.01,47
CPT,83915,Nucleotidase 5'- Trauma,,,26.76,26.76,6
CPT,83915,Nucleotidase 5'- UNSCHEDULED,231.0,231.0,80.61,82.3,3
CPT,83916,OLIGOCLONAL BANDS,271.0,271.0,23.31,325.2,62
CPT,83916,Oligoclonal immune (oligoclonal bands) ,,,27.12,83.54,47
CPT,83916,Oligoclonal immune (oligoclonal bands) Trauma,,,65.74,65.74,6
CPT,83916,Oligoclonal immune (oligoclonal bands) UNSCHEDULED,,,42.92,43.82,3
CPT,83918,"Organic acids; total, quantitative, each specimen ",,,23.36,71.98,47
CPT,83918,"Organic acids; total, quantitative, each specimen Trauma",,,56.64,56.64,6
CPT,83918,"Organic acids; total, quantitative, each specimen UNSCHEDULED",,,80.61,82.3,3
CPT,83919,"Organic acids; qualitative, each specimen ",,,16.29,50.17,47
CPT,83919,"Organic acids; qualitative, each specimen Trauma",,,39.48,39.48,6
CPT,83919,"Organic acids; qualitative, each specimen UNSCHEDULED",,,80.61,82.3,3
CPT,83921,FORMIC ACID QN,107.0,107.0,9.2,128.4,31
CPT,83921,METHYLMALONIC ACID QN,730.0,730.0,62.78,876.0,31
CPT,83921,"Organic acid, single, quantitative ",,,21.0,64.69,47
CPT,83921,"Organic acid, single, quantitative Trauma",,,50.9,50.9,6
CPT,83921,"Organic acid, single, quantitative UNSCHEDULED",,,20.94,21.38,3
CPT,83925,ASSAY OF OPIATES UNSCHEDULED,,,80.61,82.3,3
CPT,83930,OSMOLALITY BLD,379.0,379.0,32.59,454.8,93
CPT,83930,Osmolality; blood ,,,6.54,20.16,47
CPT,83930,Osmolality; blood Trauma,,,15.86,15.86,6
CPT,83930,Osmolality; blood UNSCHEDULED,,,120.39,122.93,3
CPT,83935,OSMOLALITY UR,534.0,534.0,45.92,640.8,93
CPT,83935,Osmolality; urine ,,,6.75,20.8,47
CPT,83935,Osmolality; urine Trauma,,,16.37,16.37,6
CPT,83935,Osmolality; urine UNSCHEDULED,,,99.46,101.55,3
CPT,83937,OSTEOCALCIN,835.0,835.0,71.81,1002.0,31
CPT,83937,Osteocalcin (bone g1a protein) ,835.0,835.0,29.55,91.04,47
CPT,83937,Osteocalcin (bone g1a protein) Trauma,,,71.64,71.64,6
CPT,83937,Osteocalcin (bone g1a protein) UNSCHEDULED,835.0,835.0,80.61,82.3,3
CPT,83945,OXALATE,113.0,113.0,9.72,135.6,31
CPT,83945,Oxalate ,113.0,113.0,14.31,44.07,47
CPT,83945,Oxalate Trauma,,,34.68,34.68,6
CPT,83945,Oxalate UNSCHEDULED,113.0,113.0,80.61,82.3,3
CPT,83950,Oncoprotein; HER-2/neu ,,,63.77,196.45,47
CPT,83950,Oncoprotein; HER-2/neu Trauma,,,154.58,154.58,6
CPT,83950,Oncoprotein; HER-2/neu UNSCHEDULED,,,80.61,82.3,3
CPT,83951,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,63.77,196.45,47
CPT,83951,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) Trauma,,,154.58,154.58,6
CPT,83951,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) UNSCHEDULED,,,80.61,82.3,3
CPT,83970,PARATHORMONE (PTH),713.0,713.0,61.32,855.6,31
CPT,83970,PTH C TERMINAL,327.0,327.0,28.12,392.4,31
CPT,83970,PTH INTACT,713.0,713.0,61.32,855.6,62
CPT,83970,PTH MID MOLECULE,327.0,327.0,28.12,392.4,31
CPT,83970,PTH N TERMINAL,327.0,327.0,28.12,392.4,31
CPT,83970,Parathormone (parathyroid hormone) ,,,40.87,125.9,47
CPT,83970,Parathormone (parathyroid hormone) Trauma,,,99.07,99.07,6
CPT,83970,Parathormone (parathyroid hormone) UNSCHEDULED,,,168.55,172.1,3
CPT,83986,NITRAZINE PH AMNIO FLD,148.0,148.0,12.73,177.6,31
CPT,83986,PH BODY FLUID,148.0,148.0,12.73,177.6,62
CPT,83986,PH STOOL,41.0,41.0,3.53,49.2,31
CPT,83986,"pH; body fluid, not otherwise specified ",,,3.54,10.92,47
CPT,83986,"pH; body fluid, not otherwise specified Trauma",,,8.59,8.59,6
CPT,83986,"pH; body fluid, not otherwise specified UNSCHEDULED",,,58.62,59.86,3
CPT,83987,pH; exhaled breath condensate ,,,3.54,10.92,46
CPT,83987,pH; exhaled breath condensate Trauma,,,8.59,8.59,6
CPT,83987,pH; exhaled breath condensate UNSCHEDULED,,,80.61,82.3,3
CPT,83992,Phencyclidine (PCP) ,,,41.52,41.52,11
CPT,83992,Phencyclidine (PCP) UNSCHEDULED,,,80.61,82.3,3
CPT,83993,CALPROTECTIN FECAL,345.0,345.0,29.67,414.0,31
CPT,83993,"Calprotectin, fecal ",345.0,345.0,19.43,59.87,47
CPT,83993,"Calprotectin, fecal Trauma",,,47.11,47.11,6
CPT,83993,"Calprotectin, fecal UNSCHEDULED",345.0,345.0,80.61,82.3,3
CPT,84022,ASSAY OF PHENOTHIAZINE UNSCHEDULED,,,80.61,82.3,3
CPT,84030,"Phenylalanine (PKU), blood ",,,5.45,16.77,47
CPT,84030,"Phenylalanine (PKU), blood Trauma",,,13.2,13.2,6
CPT,84030,"Phenylalanine (PKU), blood UNSCHEDULED",,,80.61,82.3,3
CPT,84035,"Phenylketones, qualitative ",,,3.94,12.14,47
CPT,84035,"Phenylketones, qualitative Trauma",,,9.55,9.55,6
CPT,84035,"Phenylketones, qualitative UNSCHEDULED",,,80.61,82.3,3
CPT,84060,ACID PHOSPHATASE TOT,65.0,65.0,5.59,78.0,31
CPT,84060,"Phosphatase, acid; total ",65.0,65.0,7.56,23.3,47
CPT,84060,"Phosphatase, acid; total Trauma",,,18.34,18.34,6
CPT,84060,"Phosphatase, acid; total UNSCHEDULED",65.0,65.0,80.61,82.3,3
CPT,84061,"HPhosphatase, acid; forensic examination UNSCHEDULED",,,80.61,82.3,3
CPT,84066,ACID PHOSPHATASE PROST,78.0,78.0,6.71,93.6,31
CPT,84066,"Phosphatase, acid; prostatic ",78.0,78.0,9.56,29.46,47
CPT,84066,"Phosphatase, acid; prostatic Trauma",,,23.18,23.18,6
CPT,84066,"Phosphatase, acid; prostatic UNSCHEDULED",78.0,78.0,80.61,82.3,3
CPT,84075,ALK PHOS (ALP),1053.0,1053.0,90.56,1263.6,93
CPT,84075,"Phosphatase, alkaline; ",,,5.13,15.8,47
CPT,84075,"Phosphatase, alkaline; Trauma",,,12.43,12.43,6
CPT,84075,"Phosphatase, alkaline; UNSCHEDULED",,,183.21,187.06,3
CPT,84078,"Phosphatase, alkaline; heat stable (total not included) ",,,8.18,25.19,47
CPT,84078,"Phosphatase, alkaline; heat stable (total not included) Trauma",,,19.82,19.82,6
CPT,84078,"Phosphatase, alkaline; heat stable (total not included) UNSCHEDULED",,,80.61,82.3,3
CPT,84080,ALK PHOS ISOENZYMES,122.0,122.0,10.49,146.4,31
CPT,84080,"Phosphatase, alkaline; isoenzymes ",122.0,122.0,14.63,45.08,47
CPT,84080,"Phosphatase, alkaline; isoenzymes Trauma",,,35.47,35.47,6
CPT,84080,"Phosphatase, alkaline; isoenzymes UNSCHEDULED",122.0,122.0,80.61,82.3,3
CPT,84081,Phosphatidylglycerol ,,,16.35,50.39,47
CPT,84081,Phosphatidylglycerol Trauma,,,39.65,39.65,6
CPT,84081,Phosphatidylglycerol UNSCHEDULED,,,80.61,82.3,3
CPT,84085,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.35,28.79,47
CPT,84085,"Phosphogluconate, 6-, dehydrogenase, RBC Trauma",,,22.66,22.66,6
CPT,84085,"Phosphogluconate, 6-, dehydrogenase, RBC UNSCHEDULED",,,80.61,82.3,3
CPT,84087,Phosphohexose isomerase ,,,10.62,32.73,47
CPT,84087,Phosphohexose isomerase Trauma,,,25.75,25.75,6
CPT,84087,Phosphohexose isomerase UNSCHEDULED,,,80.61,82.3,3
CPT,84100,PHOSPHORUS BLD,263.5,263.5,20.55,345.6,155
CPT,84100,Phosphorus inorganic (phosphate); ,,,4.69,14.46,47
CPT,84100,Phosphorus inorganic (phosphate); Trauma,,,11.38,11.38,6
CPT,84100,Phosphorus inorganic (phosphate); UNSCHEDULED,,,78.52,80.17,3
CPT,84105,PHOSPHORUS UR,211.0,211.0,18.15,253.2,31
CPT,84105,Phosphorus inorganic (phosphate); urine ,211.0,211.0,5.72,17.63,47
CPT,84105,Phosphorus inorganic (phosphate); urine Trauma,,,13.87,13.87,6
CPT,84105,Phosphorus inorganic (phosphate); urine UNSCHEDULED,211.0,211.0,80.61,82.3,3
CPT,84106,"Porphobilinogen, urine; qualitative ",,,5.76,17.75,47
CPT,84106,"Porphobilinogen, urine; qualitative Trauma",,,13.97,13.97,6
CPT,84106,"Porphobilinogen, urine; qualitative UNSCHEDULED",,,80.61,82.3,3
CPT,84110,PORPHOBILINOGEN UR QUAN,185.0,185.0,15.91,222.0,31
CPT,84110,"Porphobilinogen, urine; quantitative ",185.0,185.0,8.36,25.74,47
CPT,84110,"Porphobilinogen, urine; quantitative Trauma",,,20.26,20.26,6
CPT,84110,"Porphobilinogen, urine; quantitative UNSCHEDULED",185.0,185.0,80.61,82.3,3
CPT,84112,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",675.0,675.0,97.13,299.24,47
CPT,84112,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen Tra",,,235.46,235.46,6
CPT,84112,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen UNS",675.0,675.0,187.4,191.34,3
CPT,84112,PAMG-1 CVS QL,675.0,675.0,58.05,810.0,31
CPT,84119,PORPHYRINS UR QUAL,185.0,185.0,15.91,222.0,31
CPT,84119,"Porphyrins, urine; qualitative ",185.0,185.0,13.23,40.75,47
CPT,84119,"Porphyrins, urine; qualitative Trauma",,,32.06,32.06,6
CPT,84119,"Porphyrins, urine; qualitative UNSCHEDULED",185.0,185.0,80.61,82.3,3
CPT,84120,PORPHYRINS UR QN + FRACT,185.0,185.0,15.91,222.0,31
CPT,84120,"Porphyrins, urine; quantitation and fractionation ",185.0,185.0,14.56,44.87,47
CPT,84120,"Porphyrins, urine; quantitation and fractionation Trauma",,,35.3,35.3,6
CPT,84120,"Porphyrins, urine; quantitation and fractionation UNSCHEDULED",185.0,185.0,80.61,82.3,3
CPT,84126,"Porphyrins, feces, quantitative ",,,38.72,119.29,47
CPT,84126,"Porphyrins, feces, quantitative Trauma",,,93.86,93.86,6
CPT,84126,"Porphyrins, feces, quantitative UNSCHEDULED",,,80.61,82.3,3
CPT,84127,ASSAY OF FECES PORPHYRINS UNSCHEDULED,,,80.61,82.3,3
CPT,84132,POTASSIUM BLD,784.0,784.0,67.42,940.8,93
CPT,84132,"Potassium; serum, plasma or whole blood ",,,4.71,14.52,47
CPT,84132,"Potassium; serum, plasma or whole blood Trauma",,,11.42,11.42,6
CPT,84132,"Potassium; serum, plasma or whole blood UNSCHEDULED",,,49.2,50.24,3
CPT,84133,POTASSIUM UR,377.0,377.0,32.42,452.4,93
CPT,84133,Potassium; urine ,,,4.68,14.43,47
CPT,84133,Potassium; urine Trauma,,,11.35,11.35,6
CPT,84133,Potassium; urine UNSCHEDULED,,,105.73,107.96,3
CPT,84134,PREALBUMIN,218.0,218.0,18.75,261.6,93
CPT,84134,Prealbumin ,,,14.44,44.5,47
CPT,84134,Prealbumin Trauma,,,35.02,35.02,6
CPT,84134,Prealbumin UNSCHEDULED,,,110.97,113.31,3
CPT,84135,PREGNANEDIOL,341.0,341.0,29.33,409.2,31
CPT,84135,Pregnanediol ,341.0,341.0,21.06,64.87,47
CPT,84135,Pregnanediol Trauma,,,51.05,51.05,6
CPT,84135,Pregnanediol UNSCHEDULED,341.0,341.0,40.83,41.69,3
CPT,84138,Pregnanetriol ,,,20.84,64.2,47
CPT,84138,Pregnanetriol Trauma,,,50.52,50.52,6
CPT,84138,Pregnanetriol UNSCHEDULED,,,80.61,82.3,3
CPT,84140,PREGNENOLONE,1102.0,1102.0,94.77,1322.4,31
CPT,84140,Pregnenolone ,1102.0,1102.0,20.46,63.04,47
CPT,84140,Pregnenolone Trauma,,,49.61,49.61,6
CPT,84140,Pregnenolone UNSCHEDULED,1102.0,1102.0,80.61,82.3,3
CPT,84143,17-hydroxypregnenolone ,,,22.58,69.57,47
CPT,84143,17-hydroxypregnenolone Trauma,,,54.74,54.74,6
CPT,84143,17-hydroxypregnenolone UNSCHEDULED,,,80.61,82.3,3
CPT,84144,PROGESTERONE,175.0,175.0,15.05,210.0,31
CPT,84144,Progesterone ,175.0,175.0,20.65,63.62,47
CPT,84144,Progesterone Trauma,,,50.06,50.06,6
CPT,84144,Progesterone UNSCHEDULED,175.0,175.0,80.61,82.3,3
CPT,84145,PROCALCITONIN PCT,393.0,393.0,33.8,471.6,31
CPT,84145,Procalcitonin (PCT) ,393.0,393.0,26.95,83.02,47
CPT,84145,Procalcitonin (PCT) Trauma,,,65.33,65.33,6
CPT,84145,Procalcitonin (PCT) UNSCHEDULED,393.0,393.0,149.71,152.86,3
CPT,84146,PROLACTIN,162.0,162.0,13.93,194.4,93
CPT,84146,Prolactin ,,,19.19,59.11,47
CPT,84146,Prolactin Trauma,,,46.51,46.51,6
CPT,84146,Prolactin UNSCHEDULED,,,77.47,79.1,3
CPT,84150,PROSTAGLANDIN EA,768.0,768.0,66.05,921.6,31
CPT,84150,"Prostaglandin, each ",768.0,768.0,41.35,127.4,47
CPT,84150,"Prostaglandin, each Trauma",,,100.25,100.25,6
CPT,84150,"Prostaglandin, each UNSCHEDULED",768.0,768.0,80.61,82.3,3
CPT,84152,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.21,56.09,47
CPT,84152,Prostate specific antigen (PSA); complexed (direct measurement) Trauma,,,44.14,44.14,6
CPT,84152,Prostate specific antigen (PSA); complexed (direct measurement) UNSCHEDULED,,,80.61,82.3,3
CPT,84153,PROS SPEC AG (PSA) TOTAL,156.0,156.0,13.42,187.2,93
CPT,84153,Prostate specific antigen (PSA); total ,,,18.21,56.09,47
CPT,84153,Prostate specific antigen (PSA); total Trauma,,,44.14,44.14,6
CPT,84153,Prostate specific antigen (PSA); total UNSCHEDULED,,,162.27,165.69,3
CPT,84154,Prostate specific antigen (PSA); free ,,,18.21,56.09,47
CPT,84154,Prostate specific antigen (PSA); free Trauma,,,44.14,44.14,6
CPT,84154,Prostate specific antigen (PSA); free UNSCHEDULED,,,127.72,130.41,3
CPT,84155,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.63,11.19,47
CPT,84155,"Protein, total, except by refractometry; serum, plasma or whole blood Trauma",,,8.81,8.81,6
CPT,84155,"Protein, total, except by refractometry; serum, plasma or whole blood UNSCHEDULED",,,189.49,193.48,3
CPT,84155,TOTAL PROTEIN BLD,784.0,784.0,67.42,940.8,93
CPT,84156,"Protein, total, except by refractometry; urine ",,,3.63,11.19,47
CPT,84156,"Protein, total, except by refractometry; urine Trauma",,,8.81,8.81,6
CPT,84156,"Protein, total, except by refractometry; urine UNSCHEDULED",,,135.05,137.9,3
CPT,84156,TOTAL PROTEIN URINE QN,508.0,508.0,43.69,609.6,93
CPT,84157,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,3.96,12.2,47
CPT,84157,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) Trauma",,,9.6,9.6,6
CPT,84157,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) UNSCHEDULED",,,99.46,101.55,3
CPT,84157,TOT PROTEIN BODY FLDS QN,784.0,784.0,67.42,940.8,93
CPT,84157,TOTAL PROTEIN CSF QN,784.0,784.0,67.42,940.8,62
CPT,84160,"Protein, total, by refractometry, any source ",,,5.55,17.11,47
CPT,84160,"Protein, total, by refractometry, any source Trauma",,,13.46,13.46,6
CPT,84160,"Protein, total, by refractometry, any source UNSCHEDULED",,,80.61,82.3,3
CPT,84163,Pregnancy-associated plasma protein-A (PAPP-A) ,,,14.9,45.9,47
CPT,84163,Pregnancy-associated plasma protein-A (PAPP-A) Trauma,,,36.12,36.12,6
CPT,84163,Pregnancy-associated plasma protein-A (PAPP-A) UNSCHEDULED,,,80.61,82.3,3
CPT,84165,PROTEIN ELECTRO SER,92.0,92.0,7.91,110.4,93
CPT,84165,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.63,32.76,47
CPT,84165,"Protein; electrophoretic fractionation and quantitation, serum Trauma",,,25.78,25.78,6
CPT,84165,"Protein; electrophoretic fractionation and quantitation, serum UNSCHEDULED",,,64.9,66.27,3
CPT,84166,BENCE JONES PROTEIN EP,92.0,92.0,7.91,110.4,31
CPT,84166,PROTEIN ELECTRO CSF,92.0,92.0,7.91,110.4,31
CPT,84166,PROTEIN ELECTRO URINE,92.0,92.0,7.91,110.4,93
CPT,84166,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.65,54.38,47
CPT,84166,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) Trauma",,,42.79,42.79,6
CPT,84166,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) UNSCHEDULED",,,128.77,131.48,3
CPT,84181,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,16.86,51.94,47
CPT,84181,"Protein; Western Blot, with interpretation and report, blood or other body fluid Trauma",,,40.87,40.87,6
CPT,84181,"Protein; Western Blot, with interpretation and report, blood or other body fluid UNSCHEDULED",,,80.61,82.3,3
CPT,84182,AGNA-1/SOX1 AB IB,1292.0,1292.0,111.11,1550.4,31
CPT,84182,AMPHIPHYSIN AB IB,1292.0,1292.0,111.11,1550.4,31
CPT,84182,CRMP5 IGG BY WB,1292.0,1292.0,111.11,1550.4,31
CPT,84182,DNER LINE BLOT,1292.0,1292.0,111.11,1550.4,31
CPT,84182,MA TA AB WB-BD,1292.0,1292.0,111.11,1550.4,31
CPT,84182,NEUR NUC AB 1 HU WB&BAND,1292.0,1292.0,111.11,1550.4,31
CPT,84182,PCA-TR/DNER AB IB,1292.0,1292.0,111.11,1550.4,31
CPT,84182,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,28.92,89.09,47
CPT,84182,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each Trauma",,,70.1,70.1,6
CPT,84182,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each UNSCHEDULED",,,80.61,82.3,3
CPT,84182,RI AB WB BAND ID,1292.0,1292.0,111.11,1550.4,31
CPT,84182,WESTERN BLOT PROBE B ID,208.0,208.0,17.89,249.6,31
CPT,84182,YO AB WB BAND ID,1292.0,1292.0,111.11,1550.4,31
CPT,84182,ZIC4 AB WB BAND ID,1292.0,1292.0,111.11,1550.4,31
CPT,84202,FREE RBC PROTOPORPHYRIN,16.0,16.0,1.38,19.2,31
CPT,84202,PROTOPORPHYRIN RBC QUANT,113.0,113.0,9.72,135.6,31
CPT,84202,"Protoporphyrin, RBC; quantitative ",,,14.21,43.77,47
CPT,84202,"Protoporphyrin, RBC; quantitative Trauma",,,34.44,34.44,6
CPT,84202,"Protoporphyrin, RBC; quantitative UNSCHEDULED",,,26.17,26.72,3
CPT,84203,"Protoporphyrin, RBC; screen ",,,9.64,29.71,47
CPT,84203,"Protoporphyrin, RBC; screen Trauma",,,23.38,23.38,6
CPT,84203,"Protoporphyrin, RBC; screen UNSCHEDULED",,,80.61,82.3,3
CPT,84206,PROINSULIN,280.0,280.0,24.08,336.0,31
CPT,84206,Proinsulin ,280.0,280.0,26.42,81.4,47
CPT,84206,Proinsulin Trauma,,,64.06,64.06,6
CPT,84206,Proinsulin UNSCHEDULED,280.0,280.0,80.61,82.3,3
CPT,84207,PYRIDOXAL 5 PHOS VIT B6,156.0,156.0,13.42,187.2,31
CPT,84207,Pyridoxal phosphate (Vitamin B-6) ,156.0,156.0,27.82,85.7,47
CPT,84207,Pyridoxal phosphate (Vitamin B-6) Trauma,,,67.44,67.44,6
CPT,84207,Pyridoxal phosphate (Vitamin B-6) UNSCHEDULED,156.0,156.0,12.56,12.82,3
CPT,84210,PYRUVIC ACID (PYRUVATE),92.0,92.0,7.91,110.4,31
CPT,84210,Pyruvate ,92.0,92.0,14.34,44.16,47
CPT,84210,Pyruvate Trauma,,,34.75,34.75,6
CPT,84210,Pyruvate UNSCHEDULED,92.0,92.0,80.61,82.3,3
CPT,84220,Pyruvate kinase ,,,9.35,28.79,47
CPT,84220,Pyruvate kinase Trauma,,,22.66,22.66,6
CPT,84220,Pyruvate kinase UNSCHEDULED,,,80.61,82.3,3
CPT,84228,Quinine ,,,11.51,35.47,47
CPT,84228,Quinine Trauma,,,27.91,27.91,6
CPT,84228,Quinine UNSCHEDULED,,,80.61,82.3,3
CPT,84233,ESTROGEN RECEPTOR (ERA),1689.0,1689.0,145.25,2026.8,31
CPT,84233,Receptor assay; estrogen ,1689.0,1689.0,87.0,268.03,47
CPT,84233,Receptor assay; estrogen Trauma,,,210.91,210.91,6
CPT,84233,Receptor assay; estrogen UNSCHEDULED,1689.0,1689.0,80.61,82.3,3
CPT,84234,Receptor assay; progesterone ,,,64.23,197.88,47
CPT,84234,Receptor assay; progesterone Trauma,,,155.71,155.71,6
CPT,84234,Receptor assay; progesterone UNSCHEDULED,,,80.61,82.3,3
CPT,84235,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,70.52,217.25,47
CPT,84235,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Trauma",,,170.95,170.95,6
CPT,84235,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) UNSCHEDULED",,,48.16,49.17,3
CPT,84238,Receptor assay; non-endocrine (specify receptor) ,659.0,659.0,36.2,111.54,47
CPT,84238,Receptor assay; non-endocrine (specify receptor) Trauma,,,87.77,87.77,6
CPT,84238,Receptor assay; non-endocrine (specify receptor) UNSCHEDULED,659.0,659.0,80.61,82.3,3
CPT,84238,SOLUBLE TRANSFER REC QN,659.0,659.0,56.67,790.8,31
CPT,84244,RENIN,377.0,377.0,32.42,452.4,31
CPT,84244,Renin ,377.0,377.0,21.77,67.07,47
CPT,84244,Renin Trauma,,,52.78,52.78,6
CPT,84244,Renin UNSCHEDULED,377.0,377.0,25.13,25.66,3
CPT,84252,Riboflavin (Vitamin B-2) ,175.0,175.0,20.04,61.73,47
CPT,84252,Riboflavin (Vitamin B-2) Trauma,,,48.58,48.58,6
CPT,84252,Riboflavin (Vitamin B-2) UNSCHEDULED,175.0,175.0,80.61,82.3,3
CPT,84252,VITAMIN B2 (RIBOFL),175.0,175.0,15.05,210.0,31
CPT,84255,SELENIUM,455.0,455.0,39.13,546.0,31
CPT,84255,Selenium ,455.0,455.0,25.27,77.87,47
CPT,84255,Selenium Trauma,,,61.27,61.27,6
CPT,84255,Selenium UNSCHEDULED,455.0,455.0,80.61,82.3,3
CPT,84260,SEROTONIN,419.0,419.0,36.03,502.8,31
CPT,84260,Serotonin ,419.0,419.0,30.67,94.49,47
CPT,84260,Serotonin Trauma,,,74.35,74.35,6
CPT,84260,Serotonin UNSCHEDULED,419.0,419.0,80.61,82.3,3
CPT,84270,SEX HORMONE BG,211.0,211.0,18.15,253.2,31
CPT,84270,Sex hormone binding globulin (SHBG) ,211.0,211.0,21.51,66.28,47
CPT,84270,Sex hormone binding globulin (SHBG) Trauma,,,52.15,52.15,6
CPT,84270,Sex hormone binding globulin (SHBG) UNSCHEDULED,211.0,211.0,80.61,82.3,3
CPT,84275,SIALIC ACID,404.0,404.0,34.74,484.8,31
CPT,84275,Sialic acid ,404.0,404.0,13.31,40.99,47
CPT,84275,Sialic acid Trauma,,,32.26,32.26,6
CPT,84275,Sialic acid UNSCHEDULED,404.0,404.0,38.73,39.55,3
CPT,84285,Silica ,,,24.96,76.89,47
CPT,84285,Silica Trauma,,,60.5,60.5,6
CPT,84285,Silica UNSCHEDULED,,,64.9,66.27,3
CPT,84295,SODIUM BLD,222.0,222.0,19.09,266.4,93
CPT,84295,"Sodium; serum, plasma or whole blood ",,,4.76,14.67,47
CPT,84295,"Sodium; serum, plasma or whole blood Trauma",,,11.54,11.54,6
CPT,84295,"Sodium; serum, plasma or whole blood UNSCHEDULED",,,50.25,51.31,3
CPT,84300,SODIUM UR,222.0,222.0,19.09,266.4,93
CPT,84300,Sodium; urine ,,,5.01,15.43,47
CPT,84300,Sodium; urine Trauma,,,12.14,12.14,6
CPT,84300,Sodium; urine UNSCHEDULED,,,96.31,98.34,3
CPT,84302,SODIUM STOOL,222.0,222.0,19.09,266.4,31
CPT,84302,Sodium; other source ,222.0,222.0,4.81,14.82,47
CPT,84302,Sodium; other source Trauma,,,11.66,11.66,6
CPT,84302,Sodium; other source UNSCHEDULED,222.0,222.0,80.61,82.3,3
CPT,84305,SOMATOMEDIN A IGF-2,231.0,231.0,19.87,277.2,31
CPT,84305,SOMATOMEDIN C IGF-1,231.0,231.0,19.87,277.2,62
CPT,84305,Somatomedin ,,,21.05,64.84,47
CPT,84305,Somatomedin Trauma,,,51.02,51.02,6
CPT,84305,Somatomedin UNSCHEDULED,,,20.94,21.38,3
CPT,84307,Somatostatin ,,,18.1,55.75,47
CPT,84307,Somatostatin Trauma,,,43.87,43.87,6
CPT,84307,Somatostatin UNSCHEDULED,,,80.61,82.3,3
CPT,84311,ADENOSINE DEAMINASE SPEC,377.0,377.0,32.42,452.4,31
CPT,84311,LACTASE SPECT,283.0,283.0,24.34,339.6,31
CPT,84311,MALTASE SPECT,283.0,283.0,24.34,339.6,31
CPT,84311,PHOSPHOLIPIDS SPECTRO,248.0,248.0,21.33,297.6,31
CPT,84311,POTASSIUM FECES AA,377.0,377.0,32.42,452.4,31
CPT,84311,SUCRASE SPECT,283.0,283.0,24.34,339.6,31
CPT,84311,"Spectrophotometry, analyte not elsewhere specified ",,,8.02,24.7,47
CPT,84311,"Spectrophotometry, analyte not elsewhere specified Trauma",,,19.44,19.44,6
CPT,84311,"Spectrophotometry, analyte not elsewhere specified UNSCHEDULED",,,36.64,37.41,3
CPT,84315,Specific gravity (except urine) ,,,3.25,10.0,47
CPT,84315,Specific gravity (except urine) Trauma,,,7.87,7.87,6
CPT,84315,Specific gravity (except urine) UNSCHEDULED,,,80.61,82.3,3
CPT,84375,"Sugars, chromatographic, TLC or paper chromatography ",,,38.61,118.95,47
CPT,84375,"Sugars, chromatographic, TLC or paper chromatography Trauma",,,93.6,93.6,6
CPT,84375,"Sugars, chromatographic, TLC or paper chromatography UNSCHEDULED",,,80.61,82.3,3
CPT,84376,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.45,16.77,47
CPT,84376,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen Trauma",,,13.2,13.2,6
CPT,84376,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen UNSCHEDULED",,,80.61,82.3,3
CPT,84377,REDUCING SUB STOOL MULTI,104.5,104.5,8.26,135.6,62
CPT,84377,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.45,16.77,47
CPT,84377,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Trauma",,,13.2,13.2,6
CPT,84377,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen UNSCHEDULED",,,80.61,82.3,3
CPT,84378,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.41,35.17,47
CPT,84378,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen Trauma",,,27.67,27.67,6
CPT,84378,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen UNSCHEDULED",,,80.61,82.3,3
CPT,84379,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.41,35.17,47
CPT,84379,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen Trauma",,,27.67,27.67,6
CPT,84379,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen UNSCHEDULED",,,80.61,82.3,3
CPT,84392,"Sulfate, urine ",,,5.44,16.74,47
CPT,84392,"Sulfate, urine Trauma",,,13.18,13.18,6
CPT,84392,"Sulfate, urine UNSCHEDULED",,,80.61,82.3,3
CPT,84393,TAU PHOSPHORYLATED EA,208.0,208.0,17.89,249.6,31
CPT,84393,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",208.0,208.0,127.63,393.21,46
CPT,84393,"Tau, phosphorylated (eg, pTau 181, pTau 217), each Trauma",,,309.41,309.41,6
CPT,84394,TOTAL TAU,208.0,208.0,17.89,249.6,31
CPT,84394,"Tau, total (tTau) ",208.0,208.0,127.63,393.21,46
CPT,84394,"Tau, total (tTau) Trauma",,,309.41,309.41,6
CPT,84402,TESTOSTERONE FREE,6.0,6.0,0.52,7.2,31
CPT,84402,Testosterone; free ,6.0,6.0,25.22,77.68,47
CPT,84402,Testosterone; free Trauma,,,61.13,61.13,6
CPT,84402,Testosterone; free UNSCHEDULED,6.0,6.0,36.64,37.41,3
CPT,84403,TESTOSTERONE TOTAL,218.0,218.0,18.75,261.6,31
CPT,84403,Testosterone; total ,218.0,218.0,25.55,78.72,47
CPT,84403,Testosterone; total Trauma,,,61.94,61.94,6
CPT,84403,Testosterone; total UNSCHEDULED,218.0,218.0,36.64,37.41,3
CPT,84410,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,50.77,156.4,47
CPT,84410,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) Trauma",,,123.07,123.07,6
CPT,84410,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) UNSCHEDULED",,,80.61,82.3,3
CPT,84425,Thiamine (Vitamin B-1) ,,,21.02,64.75,47
CPT,84425,Thiamine (Vitamin B-1) Trauma,,,50.95,50.95,6
CPT,84425,Thiamine (Vitamin B-1) UNSCHEDULED,,,17.79,18.17,3
CPT,84425,VITAMIN B1 THIAMINE,168.0,168.0,14.45,201.6,93
CPT,84430,THIOCYANATES,122.0,122.0,10.49,146.4,31
CPT,84430,Thiocyanate ,122.0,122.0,11.51,35.47,47
CPT,84430,Thiocyanate Trauma,,,27.91,27.91,6
CPT,84430,Thiocyanate UNSCHEDULED,122.0,122.0,80.61,82.3,3
CPT,84431,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,34.76,107.09,47
CPT,84431,"Thromboxane metabolite(s), including thromboxane if performed, urine Trauma",,,84.26,84.26,6
CPT,84431,"Thromboxane metabolite(s), including thromboxane if performed, urine UNSCHEDULED",,,80.61,82.3,3
CPT,84432,THYROGLOBULIN,133.0,133.0,11.44,159.6,31
CPT,84432,Thyroglobulin ,133.0,133.0,15.9,48.98,47
CPT,84432,Thyroglobulin Trauma,,,38.54,38.54,6
CPT,84432,Thyroglobulin UNSCHEDULED,133.0,133.0,80.61,82.3,3
CPT,84433,TPMT ERYTHROCYTES NRS,73.0,73.0,6.28,87.6,31
CPT,84433,Thiopurine S-methyltransferase (TPMT) ,73.0,73.0,21.95,67.62,47
CPT,84433,Thiopurine S-methyltransferase (TPMT) Trauma,,,53.21,53.21,6
CPT,84433,Thiopurine S-methyltransferase (TPMT) UNSCHEDULED,73.0,73.0,80.61,82.3,3
CPT,84436,THYROXINE T4 TOTAL,62.0,62.0,5.33,74.4,93
CPT,84436,Thyroxine; total ,,,6.8,20.95,47
CPT,84436,Thyroxine; total Trauma,,,16.49,16.49,6
CPT,84436,Thyroxine; total UNSCHEDULED,,,128.77,131.48,3
CPT,84437,"Thyroxine; requiring elution (eg, neonatal) ",,,6.41,19.73,47
CPT,84437,"Thyroxine; requiring elution (eg, neonatal) Trauma",,,15.53,15.53,6
CPT,84437,"Thyroxine; requiring elution (eg, neonatal) UNSCHEDULED",,,80.61,82.3,3
CPT,84439,T4 FREE,72.0,72.0,6.19,86.4,93
CPT,84439,THYROXINE FREE T4 DIALYS,72.0,72.0,6.19,86.4,31
CPT,84439,Thyroxine; free ,,,8.93,27.51,47
CPT,84439,Thyroxine; free Trauma,,,21.65,21.65,6
CPT,84439,Thyroxine; free UNSCHEDULED,,,124.58,127.21,3
CPT,84442,THYROXINE BG (TBG),122.0,122.0,10.49,146.4,31
CPT,84442,Thyroxine binding globulin (TBG) ,122.0,122.0,14.63,45.08,47
CPT,84442,Thyroxine binding globulin (TBG) Trauma,,,35.47,35.47,6
CPT,84442,Thyroxine binding globulin (TBG) UNSCHEDULED,122.0,122.0,261.72,267.24,3
CPT,84443,TSH,146.0,146.0,12.56,175.2,93
CPT,84443,Thyroid stimulating hormone (TSH) ,,,16.63,51.24,47
CPT,84443,Thyroid stimulating hormone (TSH) Trauma,,,40.32,40.32,6
CPT,84443,Thyroid stimulating hormone (TSH) UNSCHEDULED,,,189.49,193.48,3
CPT,84445,THYROID STIM IMMUNO TSI,443.0,443.0,38.1,531.6,93
CPT,84445,Thyroid stimulating immune globulins (TSI) ,,,50.35,155.12,47
CPT,84445,Thyroid stimulating immune globulins (TSI) Trauma,,,122.06,122.06,6
CPT,84445,Thyroid stimulating immune globulins (TSI) UNSCHEDULED,,,80.61,82.3,3
CPT,84446,Tocopherol alpha (Vitamin E) ,119.0,119.0,14.04,43.25,47
CPT,84446,Tocopherol alpha (Vitamin E) Trauma,,,34.03,34.03,6
CPT,84446,Tocopherol alpha (Vitamin E) UNSCHEDULED,119.0,119.0,80.61,82.3,3
CPT,84446,VITAMIN E,119.0,119.0,10.23,142.8,31
CPT,84449,Transcortin (cortisol binding globulin) ,,,17.82,54.9,47
CPT,84449,Transcortin (cortisol binding globulin) Trauma,,,43.2,43.2,6
CPT,84449,Transcortin (cortisol binding globulin) UNSCHEDULED,,,80.61,82.3,3
CPT,84450,AST (SGOT),1388.0,1388.0,119.37,1665.6,93
CPT,84450,Transferase; aspartate amino (AST) (SGOT) ,,,5.13,15.8,47
CPT,84450,Transferase; aspartate amino (AST) (SGOT) Trauma,,,12.43,12.43,6
CPT,84450,Transferase; aspartate amino (AST) (SGOT) UNSCHEDULED,,,192.63,196.69,3
CPT,84460,ALT (SGPT),1388.0,1388.0,119.37,1665.6,93
CPT,84460,Transferase; alanine amino (ALT) (SGPT) ,,,5.25,16.16,47
CPT,84460,Transferase; alanine amino (ALT) (SGPT) Trauma,,,12.72,12.72,6
CPT,84460,Transferase; alanine amino (ALT) (SGPT) UNSCHEDULED,,,163.31,166.75,3
CPT,84466,TRANSFERRIN,113.0,113.0,9.72,135.6,93
CPT,84466,Transferrin ,,,12.63,38.92,47
CPT,84466,Transferrin Trauma,,,30.62,30.62,6
CPT,84466,Transferrin UNSCHEDULED,,,102.6,104.76,3
CPT,84478,TRIGLYCERIDES,2227.0,2227.0,191.52,2672.4,93
CPT,84478,Triglycerides ,,,5.68,17.51,47
CPT,84478,Triglycerides Trauma,,,13.78,13.78,6
CPT,84478,Triglycerides UNSCHEDULED,,,61.77,63.07,3
CPT,84479,T3 UPTAKE,56.0,56.0,4.82,67.2,31
CPT,84479,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,56.0,56.0,6.41,19.73,47
CPT,84479,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) Trauma,,,15.53,15.53,6
CPT,84479,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) UNSCHEDULED,56.0,56.0,80.61,82.3,3
CPT,84480,T3 TOTAL,121.0,121.0,10.41,145.2,93
CPT,84480,Triiodothyronine T3; total (TT-3) ,,,14.04,43.25,47
CPT,84480,Triiodothyronine T3; total (TT-3) Trauma,,,34.03,34.03,6
CPT,84480,Triiodothyronine T3; total (TT-3) UNSCHEDULED,,,138.19,141.1,3
CPT,84481,T3 FREE,133.0,133.0,11.44,159.6,93
CPT,84481,Triiodothyronine T3; free ,,,16.77,51.67,47
CPT,84481,Triiodothyronine T3; free Trauma,,,40.66,40.66,6
CPT,84481,Triiodothyronine T3; free UNSCHEDULED,,,181.12,184.93,3
CPT,84482,T3 REVERSE,318.0,318.0,27.35,381.6,31
CPT,84482,Triiodothyronine T3; reverse ,318.0,318.0,15.6,48.07,47
CPT,84482,Triiodothyronine T3; reverse Trauma,,,37.82,37.82,6
CPT,84482,Triiodothyronine T3; reverse UNSCHEDULED,318.0,318.0,80.61,82.3,3
CPT,84484,TROPONIN QUANT,1233.0,1233.0,54.09,2204.4,186
CPT,84484,"Troponin, quantitative ",,,12.35,38.03,47
CPT,84484,"Troponin, quantitative Trauma",,,29.93,29.93,6
CPT,84484,"Troponin, quantitative UNSCHEDULED",,,208.34,212.72,3
CPT,84485,Trypsin; duodenal fluid ,,,7.13,21.96,47
CPT,84485,Trypsin; duodenal fluid Trauma,,,17.28,17.28,6
CPT,84485,Trypsin; duodenal fluid UNSCHEDULED,,,103.64,105.83,3
CPT,84488,"Trypsin; feces, qualitative ",,,7.23,22.26,47
CPT,84488,"Trypsin; feces, qualitative Trauma",,,17.52,17.52,6
CPT,84488,"Trypsin; feces, qualitative UNSCHEDULED",,,80.61,82.3,3
CPT,84490,TRYPSIN FECES QUANT,609.0,609.0,52.37,730.8,31
CPT,84490,"Trypsin; feces, quantitative, 24-hour collection ",609.0,609.0,9.83,30.29,47
CPT,84490,"Trypsin; feces, quantitative, 24-hour collection Trauma",,,23.83,23.83,6
CPT,84490,"Trypsin; feces, quantitative, 24-hour collection UNSCHEDULED",609.0,609.0,80.61,82.3,3
CPT,84510,Tyrosine ,,,10.52,32.42,47
CPT,84510,Tyrosine Trauma,,,25.51,25.51,6
CPT,84510,Tyrosine UNSCHEDULED,,,48.16,49.17,3
CPT,84512,"Troponin, qualitative ",,,9.99,30.77,47
CPT,84512,"Troponin, qualitative Trauma",,,24.22,24.22,6
CPT,84512,"Troponin, qualitative UNSCHEDULED",,,80.61,82.3,3
CPT,84520,BUN,185.0,185.0,15.91,222.0,93
CPT,84520,UREA NITROGEN OTHER,185.0,185.0,15.91,222.0,31
CPT,84520,Urea nitrogen; quantitative ,,,3.91,12.05,47
CPT,84520,Urea nitrogen; quantitative Trauma,,,9.48,9.48,6
CPT,84520,Urea nitrogen; quantitative UNSCHEDULED,,,54.43,55.58,3
CPT,84525,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.08,15.65,47
CPT,84525,"Urea nitrogen; semiquantitative (eg, reagent strip test) Trauma",,,12.31,12.31,6
CPT,84525,"Urea nitrogen; semiquantitative (eg, reagent strip test) UNSCHEDULED",,,80.61,82.3,3
CPT,84540,URINE UREA NITROGEN,33.0,33.0,2.84,39.6,93
CPT,84540,"Urea nitrogen, urine ",,,5.5,16.96,47
CPT,84540,"Urea nitrogen, urine Trauma",,,13.34,13.34,6
CPT,84540,"Urea nitrogen, urine UNSCHEDULED",,,67.0,68.41,3
CPT,84545,"Urea nitrogen, clearance ",,,7.13,21.96,47
CPT,84545,"Urea nitrogen, clearance Trauma",,,17.28,17.28,6
CPT,84545,"Urea nitrogen, clearance UNSCHEDULED",,,80.61,82.3,3
CPT,84550,URIC ACID BLD,1475.0,1475.0,126.85,1770.0,93
CPT,84550,Uric acid; blood ,,,4.47,13.79,47
CPT,84550,Uric acid; blood Trauma,,,10.85,10.85,6
CPT,84550,Uric acid; blood UNSCHEDULED,,,98.41,100.48,3
CPT,84560,URIC ACID BODY FLD,821.0,821.0,70.61,985.2,31
CPT,84560,URIC ACID UR,821.0,821.0,70.61,985.2,93
CPT,84560,Uric acid; other source ,,,5.03,15.49,47
CPT,84560,Uric acid; other source Trauma,,,12.19,12.19,6
CPT,84560,Uric acid; other source UNSCHEDULED,,,36.64,37.41,3
CPT,84577,"Urobilinogen, feces, quantitative ",,,16.63,51.24,47
CPT,84577,"Urobilinogen, feces, quantitative Trauma",,,40.32,40.32,6
CPT,84577,"Urobilinogen, feces, quantitative UNSCHEDULED",,,80.61,82.3,3
CPT,84578,"Urobilinogen, urine; qualitative ",,,4.43,13.63,47
CPT,84578,"Urobilinogen, urine; qualitative Trauma",,,10.73,10.73,6
CPT,84578,"Urobilinogen, urine; qualitative UNSCHEDULED",,,80.61,82.3,3
CPT,84580,UROBILINOGEN UR QUANT,361.0,361.0,31.05,433.2,31
CPT,84580,"Urobilinogen, urine; quantitative, timed specimen ",361.0,361.0,9.45,29.13,47
CPT,84580,"Urobilinogen, urine; quantitative, timed specimen Trauma",,,22.92,22.92,6
CPT,84580,"Urobilinogen, urine; quantitative, timed specimen UNSCHEDULED",361.0,361.0,80.61,82.3,3
CPT,84583,"Urobilinogen, urine; semiquantitative ",,,5.99,18.45,47
CPT,84583,"Urobilinogen, urine; semiquantitative Trauma",,,14.52,14.52,6
CPT,84583,"Urobilinogen, urine; semiquantitative UNSCHEDULED",,,80.61,82.3,3
CPT,84585,VMA URINE,156.0,156.0,13.42,187.2,31
CPT,84585,"Vanillylmandelic acid (VMA), urine ",156.0,156.0,15.35,47.27,47
CPT,84585,"Vanillylmandelic acid (VMA), urine Trauma",,,37.2,37.2,6
CPT,84585,"Vanillylmandelic acid (VMA), urine UNSCHEDULED",156.0,156.0,80.61,82.3,3
CPT,84586,VASO INTEST PEPTIDE(VIP),75.0,75.0,6.45,90.0,31
CPT,84586,Vasoactive intestinal peptide (VIP) ,75.0,75.0,34.98,107.76,47
CPT,84586,Vasoactive intestinal peptide (VIP) Trauma,,,84.79,84.79,6
CPT,84586,Vasoactive intestinal peptide (VIP) UNSCHEDULED,75.0,75.0,80.61,82.3,3
CPT,84588,ADH (VASOPRESSIN),397.0,397.0,34.14,476.4,31
CPT,84588,"Vasopressin (antidiuretic hormone, ADH) ",397.0,397.0,33.6,103.52,47
CPT,84588,"Vasopressin (antidiuretic hormone, ADH) Trauma",,,81.46,81.46,6
CPT,84588,"Vasopressin (antidiuretic hormone, ADH) UNSCHEDULED",397.0,397.0,33.5,34.2,3
CPT,84590,VITAMIN A,273.0,273.0,23.48,327.6,31
CPT,84590,Vitamin A ,273.0,273.0,11.49,35.41,47
CPT,84590,Vitamin A Trauma,,,27.86,27.86,6
CPT,84590,Vitamin A UNSCHEDULED,273.0,273.0,80.61,82.3,3
CPT,84591,NIACIN VIT B 3,74.0,74.0,6.36,88.8,31
CPT,84591,"Vitamin, not otherwise specified ",74.0,74.0,16.89,52.03,47
CPT,84591,"Vitamin, not otherwise specified Trauma",,,40.94,40.94,6
CPT,84591,"Vitamin, not otherwise specified UNSCHEDULED",74.0,74.0,80.61,82.3,3
CPT,84597,VITAMIN K,273.0,273.0,23.48,327.6,31
CPT,84597,Vitamin K ,273.0,273.0,13.58,41.85,47
CPT,84597,Vitamin K Trauma,,,32.93,32.93,6
CPT,84597,Vitamin K UNSCHEDULED,273.0,273.0,80.61,82.3,3
CPT,84600,BENZENE,43.0,43.0,3.7,51.6,31
CPT,84600,"Volatiles (eg, acetic anhydride, diethylether) ",43.0,43.0,16.94,52.19,47
CPT,84600,"Volatiles (eg, acetic anhydride, diethylether) Trauma",,,41.06,41.06,6
CPT,84600,"Volatiles (eg, acetic anhydride, diethylether) UNSCHEDULED",43.0,43.0,34.55,35.28,3
CPT,84620,D-XYLOSE ABSORPTION,185.0,185.0,15.91,222.0,31
CPT,84620,"Xylose absorption test, blood and/or urine ",185.0,185.0,12.78,39.38,47
CPT,84620,"Xylose absorption test, blood and/or urine Trauma",,,30.98,30.98,6
CPT,84620,"Xylose absorption test, blood and/or urine UNSCHEDULED",185.0,185.0,228.23,233.03,3
CPT,84630,ZINC BLOOD,102.0,102.0,8.77,122.4,31
CPT,84630,Zinc ,102.0,102.0,11.28,34.74,47
CPT,84630,Zinc Trauma,,,27.34,27.34,6
CPT,84630,Zinc UNSCHEDULED,102.0,102.0,21.98,22.45,3
CPT,84681,C-PEPTIDE,437.0,437.0,37.58,524.4,31
CPT,84681,C-peptide ,437.0,437.0,20.6,63.47,47
CPT,84681,C-peptide Trauma,,,49.94,49.94,6
CPT,84681,C-peptide UNSCHEDULED,437.0,437.0,79.56,81.24,3
CPT,84702,"Gonadotropin, chorionic (hCG); quantitative ",,,14.9,45.9,47
CPT,84702,"Gonadotropin, chorionic (hCG); quantitative Trauma",,,36.12,36.12,6
CPT,84702,"Gonadotropin, chorionic (hCG); quantitative UNSCHEDULED",,,231.36,236.23,3
CPT,84702,HCG BETA QUANTITATIVE,4501.0,4501.0,387.09,5401.2,93
CPT,84703,"Gonadotropin, chorionic (hCG); qualitative ",,,7.44,22.94,47
CPT,84703,"Gonadotropin, chorionic (hCG); qualitative Trauma",,,18.05,18.05,6
CPT,84703,"Gonadotropin, chorionic (hCG); qualitative UNSCHEDULED",,,127.72,130.41,3
CPT,84703,HCG QL SERUM/URINE INSTR,3194.0,3194.0,274.68,3832.8,31
CPT,84703,HCG QL URINE OTH THN DOO,75.0,75.0,6.45,90.0,62
CPT,84703,HCG QUALITATIVE SERUM,3159.0,3159.0,271.67,3790.8,93
CPT,84704,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.14,46.63,47
CPT,84704,"Gonadotropin, chorionic (hCG); free beta chain Trauma",,,36.7,36.7,6
CPT,84704,"Gonadotropin, chorionic (hCG); free beta chain UNSCHEDULED",,,102.6,104.76,3
CPT,84830,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.57,38.73,47
CPT,84830,"Ovulation tests, by visual color comparison methods for human luteinizing hormone Trauma",,,30.48,30.48,6
CPT,84830,"Ovulation tests, by visual color comparison methods for human luteinizing hormone UNSCHEDULED",,,80.61,82.3,3
CPT,84999,Unlisted chemistry procedure ,,,,,0
CPT,84999,Unlisted chemistry procedure UNSCHEDULED,,,322.45,329.24,3
CPT,85002,BLEEDING TIME,873.0,873.0,75.08,1047.6,31
CPT,85002,Bleeding time ,873.0,873.0,4.77,14.7,47
CPT,85002,Bleeding time Trauma,,,11.57,11.57,6
CPT,85002,Bleeding time UNSCHEDULED,873.0,873.0,31.41,32.07,3
CPT,85004,Blood count; automated differential WBC count ,,,6.41,19.73,47
CPT,85004,Blood count; automated differential WBC count Trauma,,,15.53,15.53,6
CPT,85004,Blood count; automated differential WBC count UNSCHEDULED,,,50.25,51.31,3
CPT,85007,"Blood count; blood smear, microscopic examination with manual differential WBC count ",25.0,25.0,3.76,11.59,47
CPT,85007,"Blood count; blood smear, microscopic examination with manual differential WBC count Trauma",,,9.12,9.12,6
CPT,85007,"Blood count; blood smear, microscopic examination with manual differential WBC count UNSCHEDULED",25.0,25.0,54.43,55.58,3
CPT,85007,MANUAL DIFFERENTIAL,25.0,25.0,2.15,30.0,31
CPT,85008,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.4,10.46,47
CPT,85008,"Blood count; blood smear, microscopic examination without manual differential WBC count Trauma",,,8.23,8.23,6
CPT,85008,"Blood count; blood smear, microscopic examination without manual differential WBC count UNSCHEDULED",,,67.0,68.41,3
CPT,85009,"Blood count; manual differential WBC count, buffy coat ",,,5.02,15.46,47
CPT,85009,"Blood count; manual differential WBC count, buffy coat Trauma",,,12.17,12.17,6
CPT,85009,"Blood count; manual differential WBC count, buffy coat UNSCHEDULED",,,106.78,109.03,3
CPT,85013,Blood count; spun microhematocrit ,,,6.93,21.35,47
CPT,85013,Blood count; spun microhematocrit Trauma,,,16.8,16.8,6
CPT,85013,Blood count; spun microhematocrit UNSCHEDULED,,,106.78,109.03,3
CPT,85014,Blood count; hematocrit (Hct) ,,,2.35,7.23,47
CPT,85014,Blood count; hematocrit (Hct) Trauma,,,5.69,5.69,6
CPT,85014,Blood count; hematocrit (Hct) UNSCHEDULED,,,55.49,56.66,3
CPT,85014,HEMATOCRIT,505.0,505.0,43.43,606.0,62
CPT,85018,Blood count; hemoglobin (Hgb) ,,,2.35,7.23,47
CPT,85018,Blood count; hemoglobin (Hgb) Trauma,,,5.69,5.69,6
CPT,85018,Blood count; hemoglobin (Hgb) UNSCHEDULED,,,55.49,56.66,3
CPT,85018,HEMOGLOBIN,669.0,669.0,57.53,802.8,93
CPT,85021,Automated hemogram UNSCHEDULED,,,106.78,109.03,3
CPT,85022,Automated hemogram UNSCHEDULED,,,106.78,109.03,3
CPT,85023,Automated hemogram UNSCHEDULED,,,106.78,109.03,3
CPT,85024,Automated hemogram UNSCHEDULED,,,106.78,109.03,3
CPT,85025,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.69,23.7,47
CPT,85025,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Trauma",,,18.65,18.65,6
CPT,85025,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count UNSCHEDULED",,,165.41,168.9,3
CPT,85027,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.41,19.73,47
CPT,85027,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Trauma",,,15.53,15.53,6
CPT,85027,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) UNSCHEDULED",,,129.82,132.55,3
CPT,85027,CBC AUTOMATED,614.5,614.5,28.04,1083.6,155
CPT,85031,"Manual hemogram, cbc UNSCHEDULED",,,106.78,109.03,3
CPT,85032,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.27,13.15,47
CPT,85032,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Trauma",,,10.34,10.34,6
CPT,85032,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each UNSCHEDULED",,,27.22,27.79,3
CPT,85041,"Blood count; red blood cell (RBC), automated ",508.0,508.0,2.99,9.21,47
CPT,85041,"Blood count; red blood cell (RBC), automated Trauma",,,7.25,7.25,6
CPT,85041,"Blood count; red blood cell (RBC), automated UNSCHEDULED",508.0,508.0,106.78,109.03,3
CPT,85041,RBC COUNT BLD AUTO,508.0,508.0,43.69,609.6,31
CPT,85044,"Blood count; reticulocyte, manual ",,,4.27,13.15,47
CPT,85044,"Blood count; reticulocyte, manual Trauma",,,10.34,10.34,6
CPT,85044,"Blood count; reticulocyte, manual UNSCHEDULED",,,144.48,147.52,3
CPT,85044,RETIC COUNT MANUAL,156.0,156.0,13.42,187.2,62
CPT,85045,"Blood count; reticulocyte, automated ",,,3.95,12.17,47
CPT,85045,"Blood count; reticulocyte, automated Trauma",,,9.58,9.58,6
CPT,85045,"Blood count; reticulocyte, automated UNSCHEDULED",,,135.05,137.9,3
CPT,85045,RETIC COUNT AUTO,175.0,175.0,15.05,210.0,62
CPT,85046,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",175.0,175.0,5.51,85.52,56
CPT,85046,RETIC CT AUTO W/RET-HE,175.0,175.0,15.05,210.0,31
CPT,85048,"Blood count; leukocyte (WBC), automated ",,,2.51,7.75,47
CPT,85048,"Blood count; leukocyte (WBC), automated Trauma",,,6.1,6.1,6
CPT,85048,"Blood count; leukocyte (WBC), automated UNSCHEDULED",,,221.94,226.61,3
CPT,85048,EOSINOPHIL COUNT BLD AUT,248.0,248.0,21.33,297.6,31
CPT,85048,WBC COUNT BLD AUTO,248.0,248.0,21.33,297.6,31
CPT,85049,"Blood count; platelet, automated ",,,4.44,13.66,47
CPT,85049,"Blood count; platelet, automated Trauma",,,10.75,10.75,6
CPT,85049,"Blood count; platelet, automated UNSCHEDULED",,,138.19,141.1,3
CPT,85049,PLATELET AUTOMATED,990.0,990.0,85.14,1188.0,93
CPT,85055,Reticulated platelet assay ,,,35.38,109.01,47
CPT,85055,Reticulated platelet assay Trauma,,,85.78,85.78,6
CPT,85055,Reticulated platelet assay UNSCHEDULED,,,11.51,11.76,3
CPT,85060,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,11
CPT,85060,"Blood smear, peripheral, interpretation by physician with written report UNSCHEDULED",,,51.3,52.38,3
CPT,85095,BONE MARROW ASPIRATION UNSCHEDULED,,,106.78,109.03,3
CPT,85097,BONE MARROW TECH ASSIST,2812.0,2812.0,241.83,3374.4,68
CPT,85097,"Bone marrow, smear interpretation ",,,656.15,656.15,11
CPT,85097,"Bone marrow, smear interpretation UNSCHEDULED",,,106.78,109.03,3
CPT,85102,BONE MARROW BIOPSY UNSCHEDULED,,,106.78,109.03,3
CPT,85130,Chromogenic substrate assay ,,,11.77,36.26,47
CPT,85130,Chromogenic substrate assay Trauma,,,28.54,28.54,6
CPT,85130,Chromogenic substrate assay UNSCHEDULED,,,42.92,43.82,3
CPT,85170,Clot retraction ,,,16.14,49.71,47
CPT,85170,Clot retraction Trauma,,,39.12,39.12,6
CPT,85170,Clot retraction UNSCHEDULED,,,106.78,109.03,3
CPT,85175,"Clot lysis time, whole blood dilution ",,,20.17,62.13,47
CPT,85175,"Clot lysis time, whole blood dilution Trauma",,,48.89,48.89,6
CPT,85175,"Clot lysis time, whole blood dilution UNSCHEDULED",,,106.78,109.03,3
CPT,85210,"Clotting; factor II, prothrombin, specific ",,,12.85,39.59,47
CPT,85210,"Clotting; factor II, prothrombin, specific Trauma",,,31.15,31.15,6
CPT,85210,"Clotting; factor II, prothrombin, specific UNSCHEDULED",,,106.78,109.03,3
CPT,85210,FACTOR 2 PROTHROMBIN,249.0,249.0,21.41,298.8,62
CPT,85220,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.47,53.83,47
CPT,85220,"Clotting; factor V (AcG or proaccelerin), labile factor Trauma",,,42.36,42.36,6
CPT,85220,"Clotting; factor V (AcG or proaccelerin), labile factor UNSCHEDULED",,,9.42,9.62,3
CPT,85220,FACTOR 5 LABILE,249.0,249.0,21.41,298.8,62
CPT,85230,"Clotting; factor VII (proconvertin, stable factor) ",156.0,156.0,17.72,54.59,47
CPT,85230,"Clotting; factor VII (proconvertin, stable factor) Trauma",,,42.96,42.96,6
CPT,85230,"Clotting; factor VII (proconvertin, stable factor) UNSCHEDULED",156.0,156.0,34.55,35.28,3
CPT,85230,FACTOR 7 STABLE,156.0,156.0,13.42,187.2,31
CPT,85240,"Clotting; factor VIII (AHG), 1-stage ",,,17.72,54.59,47
CPT,85240,"Clotting; factor VIII (AHG), 1-stage Trauma",,,42.96,42.96,6
CPT,85240,"Clotting; factor VIII (AHG), 1-stage UNSCHEDULED",,,26.17,26.72,3
CPT,85240,FACTOR 8 ACTIVITY 1STAGE,156.0,156.0,13.42,187.2,62
CPT,85244,Clotting; factor VIII related antigen ,271.0,271.0,20.22,62.28,47
CPT,85244,Clotting; factor VIII related antigen Trauma,,,49.01,49.01,6
CPT,85244,Clotting; factor VIII related antigen UNSCHEDULED,271.0,271.0,225.08,229.82,3
CPT,85244,FACTOR 8 REL AG,271.0,271.0,23.31,325.2,31
CPT,85245,"Clotting; factor VIII, VW factor, ristocetin cofactor ",57.0,57.0,22.71,69.97,47
CPT,85245,"Clotting; factor VIII, VW factor, ristocetin cofactor Trauma",,,55.06,55.06,6
CPT,85245,"Clotting; factor VIII, VW factor, ristocetin cofactor UNSCHEDULED",57.0,57.0,106.78,109.03,3
CPT,85245,FACTOR 8 RISTOCETIN,57.0,57.0,4.9,68.4,31
CPT,85246,"Clotting; factor VIII, VW factor antigen ",271.0,271.0,22.71,69.97,47
CPT,85246,"Clotting; factor VIII, VW factor antigen Trauma",,,55.06,55.06,6
CPT,85246,"Clotting; factor VIII, VW factor antigen UNSCHEDULED",271.0,271.0,106.78,109.03,3
CPT,85246,FACTOR 8 VW AG,271.0,271.0,23.31,325.2,31
CPT,85247,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",483.0,483.0,22.71,69.97,47
CPT,85247,"Clotting; factor VIII, von Willebrand factor, multimetric analysis Trauma",,,55.06,55.06,6
CPT,85247,"Clotting; factor VIII, von Willebrand factor, multimetric analysis UNSCHEDULED",483.0,483.0,106.78,109.03,3
CPT,85247,FACTOR 8 VW MULTIMERS,483.0,483.0,41.54,579.6,31
CPT,85250,Clotting; factor IX (PTC or Christmas) ,249.0,249.0,18.85,58.07,47
CPT,85250,Clotting; factor IX (PTC or Christmas) Trauma,,,45.7,45.7,6
CPT,85250,Clotting; factor IX (PTC or Christmas) UNSCHEDULED,249.0,249.0,193.68,197.75,3
CPT,85250,FACTOR 9 ACTIVITY,249.0,249.0,21.41,298.8,31
CPT,85260,Clotting; factor X (Stuart-Prower) ,249.0,249.0,17.72,54.59,47
CPT,85260,Clotting; factor X (Stuart-Prower) Trauma,,,42.96,42.96,6
CPT,85260,Clotting; factor X (Stuart-Prower) UNSCHEDULED,249.0,249.0,106.78,109.03,3
CPT,85260,FACTOR 10 ASSAY,249.0,249.0,21.41,298.8,31
CPT,85270,Clotting; factor XI (PTA) ,156.0,156.0,17.72,54.59,47
CPT,85270,Clotting; factor XI (PTA) Trauma,,,42.96,42.96,6
CPT,85270,Clotting; factor XI (PTA) UNSCHEDULED,156.0,156.0,106.78,109.03,3
CPT,85270,FACTOR 11 ACTIVITY,156.0,156.0,13.42,187.2,31
CPT,85280,Clotting; factor XII (Hageman) ,,,19.16,59.02,47
CPT,85280,Clotting; factor XII (Hageman) Trauma,,,46.44,46.44,6
CPT,85280,Clotting; factor XII (Hageman) UNSCHEDULED,,,106.78,109.03,3
CPT,85290,Clotting; factor XIII (fibrin stabilizing) ,,,16.18,49.84,47
CPT,85290,Clotting; factor XIII (fibrin stabilizing) Trauma,,,39.22,39.22,6
CPT,85290,Clotting; factor XIII (fibrin stabilizing) UNSCHEDULED,,,106.78,109.03,3
CPT,85291,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.02,27.79,47
CPT,85291,"Clotting; factor XIII (fibrin stabilizing), screen solubility Trauma",,,21.86,21.86,6
CPT,85291,"Clotting; factor XIII (fibrin stabilizing), screen solubility UNSCHEDULED",,,106.78,109.03,3
CPT,85292,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.74,57.74,47
CPT,85292,Clotting; prekallikrein assay (Fletcher factor assay) Trauma,,,45.43,45.43,6
CPT,85292,Clotting; prekallikrein assay (Fletcher factor assay) UNSCHEDULED,,,106.78,109.03,3
CPT,85293,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.74,57.74,47
CPT,85293,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) Trauma,,,45.43,45.43,6
CPT,85293,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) UNSCHEDULED,,,106.78,109.03,3
CPT,85300,ANTITHROMBIN 3 ACT,271.0,271.0,23.31,325.2,93
CPT,85300,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.73,36.14,47
CPT,85300,"Clotting inhibitors or anticoagulants; antithrombin III, activity Trauma",,,28.44,28.44,6
CPT,85300,"Clotting inhibitors or anticoagulants; antithrombin III, activity UNSCHEDULED",,,127.72,130.41,3
CPT,85301,ANTITHROMBIN 3 AG,110.0,110.0,9.46,132.0,31
CPT,85301,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",110.0,110.0,10.7,32.97,47
CPT,85301,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay Trauma",,,25.94,25.94,6
CPT,85301,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay UNSCHEDULED",110.0,110.0,106.78,109.03,3
CPT,85302,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,11.89,36.63,47
CPT,85302,"Clotting inhibitors or anticoagulants; protein C, antigen Trauma",,,28.82,28.82,6
CPT,85302,"Clotting inhibitors or anticoagulants; protein C, antigen UNSCHEDULED",,,191.59,195.62,3
CPT,85302,PROTEIN C AG,119.0,119.0,10.23,142.8,93
CPT,85303,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.7,42.21,47
CPT,85303,"Clotting inhibitors or anticoagulants; protein C, activity Trauma",,,33.22,33.22,6
CPT,85303,"Clotting inhibitors or anticoagulants; protein C, activity UNSCHEDULED",,,94.22,96.2,3
CPT,85303,PROTEIN C ACTIVITY,675.0,675.0,58.05,810.0,93
CPT,85305,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.49,35.41,47
CPT,85305,"Clotting inhibitors or anticoagulants; protein S, total Trauma",,,27.86,27.86,6
CPT,85305,"Clotting inhibitors or anticoagulants; protein S, total UNSCHEDULED",,,108.88,111.17,3
CPT,85305,PROTEIN S ANTIGEN TOTAL,675.0,675.0,58.05,810.0,62
CPT,85306,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.17,46.73,47
CPT,85306,"Clotting inhibitors or anticoagulants; protein S, free Trauma",,,36.77,36.77,6
CPT,85306,"Clotting inhibitors or anticoagulants; protein S, free UNSCHEDULED",,,47.11,48.1,3
CPT,85306,PROTEIN S ANTIGEN FREE,473.0,473.0,40.68,567.6,31
CPT,85306,PROTEIN S FUNCTIONAL,473.0,473.0,40.68,567.6,31
CPT,85307,ACTV PROT C RESISTANCE,1034.0,1034.0,88.92,1240.8,31
CPT,85307,Activated Protein C (APC) resistance assay ,1034.0,1034.0,15.17,46.73,47
CPT,85307,Activated Protein C (APC) resistance assay Trauma,,,36.77,36.77,6
CPT,85307,Activated Protein C (APC) resistance assay UNSCHEDULED,1034.0,1034.0,69.09,70.55,3
CPT,85335,Factor inhibitor test ,,,12.74,39.25,47
CPT,85335,Factor inhibitor test Trauma,,,30.89,30.89,6
CPT,85335,Factor inhibitor test UNSCHEDULED,,,16.75,17.1,3
CPT,85337,Thrombomodulin ,,,17.1,52.67,47
CPT,85337,Thrombomodulin Trauma,,,41.45,41.45,6
CPT,85337,Thrombomodulin UNSCHEDULED,,,106.78,109.03,3
CPT,85345,Coagulation time; Lee and White ,,,4.64,14.3,47
CPT,85345,Coagulation time; Lee and White Trauma,,,11.26,11.26,6
CPT,85345,Coagulation time; Lee and White UNSCHEDULED,,,106.78,109.03,3
CPT,85347,ACT CLOT TIME,713.0,713.0,61.32,855.6,93
CPT,85347,ACT CLOT TIME KAOLIN CK,713.0,713.0,61.32,855.6,31
CPT,85347,ACT KAOLIN/HEPARINAS CKH,713.0,713.0,61.32,855.6,31
CPT,85347,Coagulation time; activated ,,,4.24,13.05,47
CPT,85347,Coagulation time; activated Trauma,,,10.27,10.27,6
CPT,85347,Coagulation time; activated UNSCHEDULED,,,30.36,31.0,3
CPT,85348,Coagulation time; other methods ,,,4.45,13.69,47
CPT,85348,Coagulation time; other methods Trauma,,,10.78,10.78,6
CPT,85348,Coagulation time; other methods UNSCHEDULED,,,106.78,109.03,3
CPT,85360,Euglobulin lysis ,,,8.33,25.65,47
CPT,85360,Euglobulin lysis Trauma,,,20.18,20.18,6
CPT,85360,Euglobulin lysis UNSCHEDULED,,,106.78,109.03,3
CPT,85362,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.82,21.01,47
CPT,85362,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative Trauma",,,16.54,16.54,6
CPT,85362,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative UNSCHEDULED",,,171.69,175.31,3
CPT,85366,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,79.66,245.4,47
CPT,85366,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Trauma,,,193.1,193.1,6
CPT,85366,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation UNSCHEDULED,,,106.78,109.03,3
CPT,85370,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.31,37.91,47
CPT,85370,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Trauma,,,29.83,29.83,6
CPT,85370,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative UNSCHEDULED,,,109.92,112.24,3
CPT,85378,D-DIMER SEMI,960.0,960.0,82.56,1152.0,93
CPT,85378,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.62,29.65,47
CPT,85378,"Fibrin degradation products, D-dimer; qualitative or semiquantitative Trauma",,,23.33,23.33,6
CPT,85378,"Fibrin degradation products, D-dimer; qualitative or semiquantitative UNSCHEDULED",,,107.83,110.1,3
CPT,85379,D-DIMER QUANT,423.5,423.5,28.72,615.6,155
CPT,85379,"Fibrin degradation products, D-dimer; quantitative ",,,10.08,31.05,47
CPT,85379,"Fibrin degradation products, D-dimer; quantitative Trauma",,,24.43,24.43,6
CPT,85379,"Fibrin degradation products, D-dimer; quantitative UNSCHEDULED",,,175.88,179.59,3
CPT,85380,D-DIMER ULTRASEN QL SEMI,231.0,231.0,19.87,277.2,31
CPT,85380,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",231.0,231.0,10.08,31.05,47
CPT,85380,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative Trauma",,,24.43,24.43,6
CPT,85380,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative UNSCHEDULED",231.0,231.0,228.23,233.03,3
CPT,85384,FIBRINOGEN ACTIVITY,85.0,85.0,7.31,102.0,93
CPT,85384,FUNCT FIBRINOGEN ACT CFF,85.0,85.0,7.31,102.0,31
CPT,85384,Fibrinogen; activity ,,,9.62,29.65,47
CPT,85384,Fibrinogen; activity Trauma,,,23.33,23.33,6
CPT,85384,Fibrinogen; activity UNSCHEDULED,,,152.85,156.06,3
CPT,85385,FIBRINOGEN ANTIGEN,143.0,143.0,12.3,171.6,31
CPT,85385,Fibrinogen; antigen ,143.0,143.0,14.32,44.1,47
CPT,85385,Fibrinogen; antigen Trauma,,,34.7,34.7,6
CPT,85385,Fibrinogen; antigen UNSCHEDULED,143.0,143.0,61.77,63.07,3
CPT,85390,COAG INTERPRETATION,50.0,50.0,4.3,60.0,31
CPT,85390,"Fibrinolysins or coagulopathy screen, interpretation and report ",50.0,50.0,15.33,47.21,47
CPT,85390,"Fibrinolysins or coagulopathy screen, interpretation and report Trauma",,,37.15,37.15,6
CPT,85390,"Fibrinolysins or coagulopathy screen, interpretation and report UNSCHEDULED",50.0,50.0,40.83,41.69,3
CPT,85396,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",96.0,96.0,19.89,19.89,11
CPT,85396,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day UNSCH",96.0,96.0,318.26,324.96,3
CPT,85396,THROMBOELASTOGRAPHY TEG,96.0,96.0,5.09,115.2,35
CPT,85397,ADAMTS-13,240.0,240.0,20.64,288.0,31
CPT,85397,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",240.0,240.0,30.55,94.12,47
CPT,85397,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte Trauma",,,74.06,74.06,6
CPT,85397,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte UNSCHEDULED",240.0,240.0,268.0,273.65,3
CPT,85400,Fibrinolytic factors and inhibitors; plasmin ,,,7.63,23.52,47
CPT,85400,Fibrinolytic factors and inhibitors; plasmin Trauma,,,18.5,18.5,6
CPT,85400,Fibrinolytic factors and inhibitors; plasmin UNSCHEDULED,,,106.78,109.03,3
CPT,85410,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.63,23.52,47
CPT,85410,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin Trauma,,,18.5,18.5,6
CPT,85410,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin UNSCHEDULED,,,106.78,109.03,3
CPT,85415,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.02,52.43,47
CPT,85415,Fibrinolytic factors and inhibitors; plasminogen activator Trauma,,,41.26,41.26,6
CPT,85415,Fibrinolytic factors and inhibitors; plasminogen activator UNSCHEDULED,,,106.78,109.03,3
CPT,85420,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",211.0,211.0,6.46,19.92,47
CPT,85420,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay Trauma",,,15.67,15.67,6
CPT,85420,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay UNSCHEDULED",211.0,211.0,106.78,109.03,3
CPT,85420,PLASMINOGEN ACTIVITY,211.0,211.0,18.15,253.2,31
CPT,85421,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.08,31.05,47
CPT,85421,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Trauma",,,24.43,24.43,6
CPT,85421,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay UNSCHEDULED",,,75.37,76.96,3
CPT,85441,HEINZ BODY DIRECT,252.0,252.0,21.67,302.4,31
CPT,85441,Heinz bodies; direct ,252.0,252.0,4.16,12.81,47
CPT,85441,Heinz bodies; direct Trauma,,,10.08,10.08,6
CPT,85441,Heinz bodies; direct UNSCHEDULED,252.0,252.0,106.78,109.03,3
CPT,85445,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.75,20.8,47
CPT,85445,"Heinz bodies; induced, acetyl phenylhydrazine Trauma",,,16.37,16.37,6
CPT,85445,"Heinz bodies; induced, acetyl phenylhydrazine UNSCHEDULED",,,106.78,109.03,3
CPT,85460,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",83.0,83.0,7.65,23.58,47
CPT,85460,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) Trauma",,,18.55,18.55,6
CPT,85460,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) UNSCHEDULED",83.0,83.0,109.92,112.24,3
CPT,85460,KB STAIN (FETAL BLEED),83.0,83.0,7.14,99.6,31
CPT,85461,FETAL SCREEN (ROSETTE),754.0,754.0,38.1,1278.0,62
CPT,85461,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.27,28.55,47
CPT,85461,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette Trauma",,,22.46,22.46,6
CPT,85461,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette UNSCHEDULED",,,106.78,109.03,3
CPT,85475,ACID HEMOLYSIN,704.0,704.0,60.54,844.8,31
CPT,85475,"Hemolysin, acid ",704.0,704.0,8.78,27.05,47
CPT,85475,"Hemolysin, acid Trauma",,,21.29,21.29,6
CPT,85475,"Hemolysin, acid UNSCHEDULED",704.0,704.0,106.78,109.03,3
CPT,85520,HEPARIN ANTI XA,1135.0,1135.0,97.61,1362.0,62
CPT,85520,HEPARIN ANTI XA LMWH,1135.0,1135.0,97.61,1362.0,31
CPT,85520,HEPARIN ASSAY,1135.0,1135.0,97.61,1362.0,31
CPT,85520,Heparin assay ,,,12.96,39.92,47
CPT,85520,Heparin assay Trauma,,,31.42,31.42,6
CPT,85520,Heparin assay UNSCHEDULED,,,138.19,141.1,3
CPT,85525,Heparin neutralization ,,,11.72,36.11,47
CPT,85525,Heparin neutralization Trauma,,,28.42,28.42,6
CPT,85525,Heparin neutralization UNSCHEDULED,,,106.78,109.03,3
CPT,85530,Heparin-protamine tolerance test ,,,12.96,39.92,47
CPT,85530,Heparin-protamine tolerance test Trauma,,,31.42,31.42,6
CPT,85530,Heparin-protamine tolerance test UNSCHEDULED,,,106.78,109.03,3
CPT,85535,"IRON STAIN, BLOOD CELLS UNSCHEDULED",,,106.78,109.03,3
CPT,85536,"Iron stain, peripheral blood ",,,6.81,20.98,47
CPT,85536,"Iron stain, peripheral blood Trauma",,,16.51,16.51,6
CPT,85536,"Iron stain, peripheral blood UNSCHEDULED",,,106.78,109.03,3
CPT,85540,LEUKO ALK PHOS STAIN,68.0,68.0,5.85,81.6,31
CPT,85540,Leukocyte alkaline phosphatase with count ,68.0,68.0,8.51,26.23,47
CPT,85540,Leukocyte alkaline phosphatase with count Trauma,,,20.64,20.64,6
CPT,85540,Leukocyte alkaline phosphatase with count UNSCHEDULED,68.0,68.0,106.78,109.03,3
CPT,85547,"Mechanical fragility, RBC ",648.0,648.0,8.51,26.23,47
CPT,85547,"Mechanical fragility, RBC Trauma",,,20.64,20.64,6
CPT,85547,"Mechanical fragility, RBC UNSCHEDULED",648.0,648.0,106.78,109.03,3
CPT,85547,RBC FRAGILITY MECHANICAL,648.0,648.0,55.73,777.6,31
CPT,85549,MURAMIDASE LYSOZYME,78.0,78.0,6.71,93.6,31
CPT,85549,Muramidase ,78.0,78.0,18.56,57.19,47
CPT,85549,Muramidase Trauma,,,45.0,45.0,6
CPT,85549,Muramidase UNSCHEDULED,78.0,78.0,106.78,109.03,3
CPT,85555,"Osmotic fragility, RBC; unincubated ",,,7.4,22.78,47
CPT,85555,"Osmotic fragility, RBC; unincubated Trauma",,,17.93,17.93,6
CPT,85555,"Osmotic fragility, RBC; unincubated UNSCHEDULED",,,106.78,109.03,3
CPT,85557,OSMOTIC FRAGILITY INCUB,507.0,507.0,43.6,608.4,31
CPT,85557,"Osmotic fragility, RBC; incubated ",507.0,507.0,13.23,40.75,47
CPT,85557,"Osmotic fragility, RBC; incubated Trauma",,,32.06,32.06,6
CPT,85557,"Osmotic fragility, RBC; incubated UNSCHEDULED",507.0,507.0,106.78,109.03,3
CPT,85576,PLATELET AGGREGATION,1041.0,1041.0,89.53,1249.2,31
CPT,85576,PLT AGG ACTIVATOR F ACTF,1041.0,1041.0,89.53,1249.2,31
CPT,85576,PLT AGGREG RAPID-TEG CRT,1041.0,1041.0,89.53,1249.2,31
CPT,85576,PLT AGGREGATE A ACID,1041.0,1041.0,89.53,1249.2,31
CPT,85576,PLT AGGREGATE ADP,1041.0,1041.0,89.53,1249.2,31
CPT,85576,PLT AGGREGATE COLL/ADP,1041.0,1041.0,89.53,1249.2,31
CPT,85576,PLT AGGREGATE EPI,1041.0,1041.0,89.53,1249.2,31
CPT,85576,PLT AGGREGATE P2Y12,1041.0,1041.0,89.53,1249.2,31
CPT,85576,PLTAGG KAOLIN/HEPARINASE,1041.0,1041.0,89.53,1249.2,31
CPT,85576,"Platelet, aggregation (in vitro), each agent ",,,24.66,75.98,47
CPT,85576,"Platelet, aggregation (in vitro), each agent Trauma",,,59.78,59.78,6
CPT,85576,"Platelet, aggregation (in vitro), each agent UNSCHEDULED",,,126.67,129.34,3
CPT,85585,Blood platelet estimation UNSCHEDULED,,,106.78,109.03,3
CPT,85590,"Platelet count, manual UNSCHEDULED",,,106.78,109.03,3
CPT,85595,"Platelet count, automated UNSCHEDULED",,,106.78,109.03,3
CPT,85597,Phospholipid neutralization; platelet ,,,17.8,54.84,47
CPT,85597,Phospholipid neutralization; platelet Trauma,,,43.15,43.15,6
CPT,85597,Phospholipid neutralization; platelet UNSCHEDULED,,,64.9,66.27,3
CPT,85598,Phospholipid neutralization; hexagonal phospholipid ,,,17.8,54.84,47
CPT,85598,Phospholipid neutralization; hexagonal phospholipid Trauma,,,43.15,43.15,6
CPT,85598,Phospholipid neutralization; hexagonal phospholipid UNSCHEDULED,,,106.78,109.03,3
CPT,85610,PROTIME,786.0,786.0,18.58,1627.2,155
CPT,85610,Prothrombin time; ,,,4.25,13.08,47
CPT,85610,Prothrombin time; Trauma,,,10.3,10.3,6
CPT,85610,Prothrombin time; UNSCHEDULED,,,106.78,109.03,3
CPT,85611,PT SUBSTITUTION MIXING,1500.0,1500.0,129.0,1800.0,31
CPT,85611,"Prothrombin time; substitution, plasma fractions, each ",1500.0,1500.0,3.9,12.02,47
CPT,85611,"Prothrombin time; substitution, plasma fractions, each Trauma",,,9.46,9.46,6
CPT,85611,"Prothrombin time; substitution, plasma fractions, each UNSCHEDULED",1500.0,1500.0,106.78,109.03,3
CPT,85612,Russell viper venom time (includes venom); undiluted ,,,17.32,53.34,47
CPT,85612,Russell viper venom time (includes venom); undiluted Trauma,,,41.98,41.98,6
CPT,85612,Russell viper venom time (includes venom); undiluted UNSCHEDULED,,,106.78,109.03,3
CPT,85613,RUSSELL VIPER DILUTED,91.0,91.0,7.83,109.2,31
CPT,85613,Russell viper venom time (includes venom); diluted ,91.0,91.0,9.48,29.22,47
CPT,85613,Russell viper venom time (includes venom); diluted Trauma,,,22.99,22.99,6
CPT,85613,Russell viper venom time (includes venom); diluted UNSCHEDULED,91.0,91.0,34.55,35.28,3
CPT,85635,REPTILASE,148.0,148.0,12.73,177.6,31
CPT,85635,Reptilase test ,148.0,148.0,9.75,30.04,47
CPT,85635,Reptilase test Trauma,,,23.64,23.64,6
CPT,85635,Reptilase test UNSCHEDULED,148.0,148.0,106.78,109.03,3
CPT,85651,SED RATE MANUAL,973.0,973.0,83.68,1167.6,62
CPT,85651,SED RATE WESTERGREN,973.0,973.0,83.68,1167.6,31
CPT,85651,"Sedimentation rate, erythrocyte; non-automated ",,,4.23,13.02,47
CPT,85651,"Sedimentation rate, erythrocyte; non-automated Trauma",,,10.25,10.25,6
CPT,85651,"Sedimentation rate, erythrocyte; non-automated UNSCHEDULED",,,136.1,138.96,3
CPT,85652,SED RATE AUTO,973.0,973.0,83.68,1167.6,31
CPT,85652,"Sedimentation rate, erythrocyte; automated ",973.0,973.0,2.67,8.23,47
CPT,85652,"Sedimentation rate, erythrocyte; automated Trauma",,,6.48,6.48,6
CPT,85652,"Sedimentation rate, erythrocyte; automated UNSCHEDULED",973.0,973.0,76.43,78.04,3
CPT,85660,SICKLE CELL PREP,465.0,465.0,39.99,558.0,93
CPT,85660,"Sickling of RBC, reduction ",,,5.45,16.81,47
CPT,85660,"Sickling of RBC, reduction Trauma",,,13.22,13.22,6
CPT,85660,"Sickling of RBC, reduction UNSCHEDULED",,,106.78,109.03,3
CPT,85670,THROMBIN TIME,377.0,377.0,32.42,452.4,93
CPT,85670,Thrombin time; plasma ,,,5.71,17.6,47
CPT,85670,Thrombin time; plasma Trauma,,,13.85,13.85,6
CPT,85670,Thrombin time; plasma UNSCHEDULED,,,60.72,62.0,3
CPT,85675,Thrombin time; titer ,,,6.78,20.89,47
CPT,85675,Thrombin time; titer Trauma,,,16.44,16.44,6
CPT,85675,Thrombin time; titer UNSCHEDULED,,,106.78,109.03,3
CPT,85705,"Thromboplastin inhibition, tissue ",,,9.53,29.37,47
CPT,85705,"Thromboplastin inhibition, tissue Trauma",,,23.11,23.11,6
CPT,85705,"Thromboplastin inhibition, tissue UNSCHEDULED",,,362.23,369.85,3
CPT,85730,PTT,898.5,898.5,26.06,1792.8,155
CPT,85730,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,5.95,18.33,47
CPT,85730,"Thromboplastin time, partial (PTT); plasma or whole blood Trauma",,,14.42,14.42,6
CPT,85730,"Thromboplastin time, partial (PTT); plasma or whole blood UNSCHEDULED",,,135.05,137.9,3
CPT,85732,CIRCULAT ANTICOAG-PTT,113.0,113.0,9.72,135.6,31
CPT,85732,PTT SUBSTITUTION MIXING,64.0,64.0,5.5,76.8,31
CPT,85732,SILICA CLOTTING TIME,64.0,64.0,5.5,76.8,31
CPT,85732,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.41,19.73,47
CPT,85732,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each Trauma",,,15.53,15.53,6
CPT,85732,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each UNSCHEDULED",,,13.61,13.9,3
CPT,85810,VISCOSITY,248.0,248.0,21.33,297.6,31
CPT,85810,Viscosity ,248.0,248.0,11.55,35.59,47
CPT,85810,Viscosity Trauma,,,28.01,28.01,6
CPT,85810,Viscosity UNSCHEDULED,248.0,248.0,256.49,261.89,3
CPT,85999,Unlisted hematology and coagulation procedure ,,,,,0
CPT,85999,Unlisted hematology and coagulation procedure UNSCHEDULED,,,359.09,366.65,3
CPT,86000,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.91,21.29,47
CPT,86000,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen Trauma",,,16.75,16.75,6
CPT,86000,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen UNSCHEDULED",,,30.36,31.0,3
CPT,86000,BRUCELLA ABORT AGG,555.0,555.0,47.73,666.0,31
CPT,86000,PROTEUS OX19 AGG,555.0,555.0,47.73,666.0,31
CPT,86000,PROTEUS OX2 AGG,555.0,555.0,47.73,666.0,31
CPT,86000,PROTEUS OXK AGG,555.0,555.0,47.73,666.0,31
CPT,86000,SALMONELLA AGG,555.0,555.0,47.73,666.0,31
CPT,86000,SALMONELLA H GRP D TYP H,555.0,555.0,47.73,666.0,31
CPT,86000,SALMONELLA H PARATYP B,555.0,555.0,47.73,666.0,31
CPT,86000,SALMONELLA H PARATYPH A,555.0,555.0,47.73,666.0,31
CPT,86000,SALMONELLA O GRP D TYP O,555.0,555.0,47.73,666.0,31
CPT,86000,SALMONELLA O PARATYPH A,555.0,555.0,47.73,666.0,31
CPT,86000,SALMONELLA O PARATYPH B,555.0,555.0,47.73,666.0,31
CPT,86000,TULAREMIA AGG,555.0,555.0,47.73,666.0,31
CPT,86001,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.74,23.85,47
CPT,86001,"Allergen specific IgG quantitative or semiquantitative, each allergen Trauma",,,18.77,18.77,6
CPT,86001,"Allergen specific IgG quantitative or semiquantitative, each allergen UNSCHEDULED",,,94.22,96.2,3
CPT,86003,ALLERGEN IGE EACH,6.0,6.0,0.52,7.2,31
CPT,86003,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",6.0,6.0,5.17,15.92,47
CPT,86003,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Trauma",,,12.53,12.53,6
CPT,86003,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each UNSCHEDULED",6.0,6.0,121.44,124.0,3
CPT,86005,ALLERGEN MULTI PANEL,693.0,693.0,59.6,831.6,31
CPT,86005,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",693.0,693.0,7.89,24.31,47
CPT,86005,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Trauma",,,19.13,19.13,6
CPT,86005,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) UNSCHEDULED",693.0,693.0,94.22,96.2,3
CPT,86008,ALLERGEN IGE REC/PURIF E,125.0,125.0,10.75,150.0,31
CPT,86008,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",125.0,125.0,17.75,54.69,47
CPT,86008,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Trauma",,,43.03,43.03,6
CPT,86008,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each UNSCHEDULED",125.0,125.0,94.22,96.2,3
CPT,86015,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,36.75,47
CPT,86015,"Actin (smooth muscle) antibody (ASMA), each Trauma",,,28.92,28.92,6
CPT,86015,"Actin (smooth muscle) antibody (ASMA), each UNSCHEDULED",,,94.22,96.2,3
CPT,86015,SMOOTH MUSC AB IA QL,435.0,435.0,37.41,522.0,93
CPT,86015,SMOOTH MUSCLE FA AB TIT,556.0,556.0,47.82,667.2,31
CPT,86021,Antibody identification; leukocyte antibodies ,318.0,318.0,14.9,45.9,47
CPT,86021,Antibody identification; leukocyte antibodies Trauma,,,36.12,36.12,6
CPT,86021,Antibody identification; leukocyte antibodies UNSCHEDULED,318.0,318.0,41.88,42.76,3
CPT,86021,NEUTROPHIL AB,318.0,318.0,27.35,381.6,31
CPT,86022,Antibody identification; platelet antibodies ,,,18.19,56.03,47
CPT,86022,Antibody identification; platelet antibodies Trauma,,,44.09,44.09,6
CPT,86022,Antibody identification; platelet antibodies UNSCHEDULED,,,165.41,168.9,3
CPT,86022,PLATELET AB HLA CLASS,53.0,53.0,4.56,63.6,31
CPT,86022,PLATELET ANTIBODIES,698.0,698.0,60.03,837.6,62
CPT,86022,PLT AB HEPARIN INDUCED,439.0,439.0,15.48,837.6,124
CPT,86023,Antibody identification; platelet associated immunoglobulin assay ,,,12.34,38.0,47
CPT,86023,Antibody identification; platelet associated immunoglobulin assay Trauma,,,29.9,29.9,6
CPT,86023,Antibody identification; platelet associated immunoglobulin assay UNSCHEDULED,,,94.22,96.2,3
CPT,86023,PLATELET ASSOC AB,300.0,300.0,25.8,360.0,31
CPT,86023,PLATELET ASSOC AB IGG,300.0,300.0,25.8,360.0,31
CPT,86036,ANCA CYTOPLASMIC,318.0,318.0,27.35,381.6,62
CPT,86036,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,11.93,36.75,47
CPT,86036,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody Trauma",,,28.92,28.92,6
CPT,86036,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody UNSCHEDULED",,,94.22,96.2,3
CPT,86037,ANCA CYTOPLASMIC TITER,63.0,63.0,5.42,75.6,31
CPT,86037,ANCA PERINUCLEAR TITER,63.0,63.0,5.42,75.6,31
CPT,86037,ANCA-P ATYPICAL AB TITER,63.0,63.0,5.42,75.6,31
CPT,86037,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,11.93,36.75,47
CPT,86037,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody Trauma",,,28.92,28.92,6
CPT,86037,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody UNSCHEDULED",,,94.22,96.2,3
CPT,86038,ANA QUAL SCREEN,110.0,110.0,9.46,132.0,93
CPT,86038,Antinuclear antibodies (ANA); ,,,11.97,36.87,47
CPT,86038,Antinuclear antibodies (ANA); Trauma,,,29.02,29.02,6
CPT,86038,Antinuclear antibodies (ANA); UNSCHEDULED,,,123.54,126.14,3
CPT,86039,ANA QUANT TITER,91.0,91.0,7.83,109.2,31
CPT,86039,Antinuclear antibodies (ANA); titer ,91.0,91.0,11.05,34.04,47
CPT,86039,Antinuclear antibodies (ANA); titer Trauma,,,26.78,26.78,6
CPT,86039,Antinuclear antibodies (ANA); titer UNSCHEDULED,91.0,91.0,51.3,52.38,3
CPT,86041,ACHR RCPT BND AB,218.0,218.0,18.75,261.6,31
CPT,86041,Acetylcholine receptor (AChR); binding antibody ,218.0,218.0,18.22,56.12,47
CPT,86041,Acetylcholine receptor (AChR); binding antibody Trauma,,,44.16,44.16,6
CPT,86041,Acetylcholine receptor (AChR); binding antibody UNSCHEDULED,218.0,218.0,94.22,96.2,3
CPT,86042,ACHR RCPT BLCK AB,185.0,185.0,15.91,222.0,31
CPT,86042,Acetylcholine receptor (AChR); blocking antibody ,185.0,185.0,18.22,56.12,47
CPT,86042,Acetylcholine receptor (AChR); blocking antibody Trauma,,,44.16,44.16,6
CPT,86042,Acetylcholine receptor (AChR); blocking antibody UNSCHEDULED,185.0,185.0,94.22,96.2,3
CPT,86043,ACHR RCPT MODLG AB,120.0,120.0,10.32,144.0,31
CPT,86043,Acetylcholine receptor (AChR); modulating antibody ,120.0,120.0,11.93,36.75,47
CPT,86043,Acetylcholine receptor (AChR); modulating antibody Trauma,,,28.92,28.92,6
CPT,86043,Acetylcholine receptor (AChR); modulating antibody UNSCHEDULED,120.0,120.0,94.22,96.2,3
CPT,86051,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,200.0,200.0,11.41,35.17,47
CPT,86051,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Trauma,,,27.67,27.67,6
CPT,86051,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) UNSCHEDULED,200.0,200.0,94.22,96.2,3
CPT,86051,NEUROMYELIT OPT AB IA QN,200.0,200.0,17.2,240.0,31
CPT,86052,AQUAPORIN4 NMO AB CBA EA,40.0,40.0,3.44,48.0,31
CPT,86052,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",40.0,40.0,11.93,36.75,47
CPT,86052,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each Trauma",,,28.92,28.92,6
CPT,86052,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each UNSCHEDULED",40.0,40.0,94.22,96.2,3
CPT,86053,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,115.08,47
CPT,86053,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Trauma",,,90.55,90.55,6
CPT,86053,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each UNSCHEDULED",,,94.22,96.2,3
CPT,86060,ANTISTREPTOLYSIN O QN,62.0,62.0,5.33,74.4,31
CPT,86060,Antistreptolysin 0; titer ,62.0,62.0,7.23,22.26,47
CPT,86060,Antistreptolysin 0; titer Trauma,,,17.52,17.52,6
CPT,86060,Antistreptolysin 0; titer UNSCHEDULED,62.0,62.0,39.79,40.62,3
CPT,86063,ASO QUAL SCREEN,62.0,62.0,5.33,74.4,31
CPT,86063,Antistreptolysin 0; screen ,62.0,62.0,5.71,17.6,47
CPT,86063,Antistreptolysin 0; screen Trauma,,,13.85,13.85,6
CPT,86063,Antistreptolysin 0; screen UNSCHEDULED,62.0,62.0,94.22,96.2,3
CPT,86064,"B CELLS, TOTAL COUNT UNSCHEDULED",,,94.22,96.2,3
CPT,86077,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,11
CPT,86077,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report UNSCHEDULED",,,94.22,96.2,3
CPT,86078,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,11
CPT,86078,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report UNSCHEDULED",,,94.22,96.2,3
CPT,86079,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,11
CPT,86079,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report UNSCHEDULED",,,94.22,96.2,3
CPT,86140,C-REACTIVE PROTEIN,78.0,78.0,6.71,93.6,93
CPT,86140,C-reactive protein; ,,,5.13,15.8,47
CPT,86140,C-reactive protein; Trauma,,,12.43,12.43,6
CPT,86140,C-reactive protein; UNSCHEDULED,,,116.2,118.65,3
CPT,86141,C-REACTIVE PROTEIN HS,92.0,92.0,7.91,110.4,62
CPT,86141,C-reactive protein; high sensitivity (hsCRP) ,,,12.82,39.5,47
CPT,86141,C-reactive protein; high sensitivity (hsCRP) Trauma,,,31.08,31.08,6
CPT,86141,C-reactive protein; high sensitivity (hsCRP) UNSCHEDULED,,,137.14,140.03,3
CPT,86146,BETA 2 GLYCOPROT1 AB IGA,48.0,48.0,4.13,57.6,31
CPT,86146,BETA 2 GLYCOPROT1 AB IGG,48.0,48.0,4.13,57.6,31
CPT,86146,BETA 2 GLYCOPROT1 AB IGM,48.0,48.0,4.13,57.6,31
CPT,86146,"Beta 2 Glycoprotein I antibody, each ",,,25.2,77.62,47
CPT,86146,"Beta 2 Glycoprotein I antibody, each Trauma",,,61.08,61.08,6
CPT,86146,"Beta 2 Glycoprotein I antibody, each UNSCHEDULED",,,256.49,261.89,3
CPT,86147,CARDIOLIPIN AB IGA,143.0,143.0,12.3,171.6,62
CPT,86147,CARDIOLIPIN AB IGG,143.0,143.0,12.3,171.6,62
CPT,86147,CARDIOLIPIN AB IGM,143.0,143.0,12.3,171.6,62
CPT,86147,CARDIOLIPIN AB TOTAL,143.0,143.0,12.3,171.6,31
CPT,86147,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.2,77.62,47
CPT,86147,"Cardiolipin (phospholipid) antibody, each Ig class Trauma",,,61.08,61.08,6
CPT,86147,"Cardiolipin (phospholipid) antibody, each Ig class UNSCHEDULED",,,61.77,63.07,3
CPT,86148,Anti-phosphatidylserine (phospholipid) antibody ,,,15.91,49.01,47
CPT,86148,Anti-phosphatidylserine (phospholipid) antibody Trauma,,,38.57,38.57,6
CPT,86148,Anti-phosphatidylserine (phospholipid) antibody UNSCHEDULED,,,28.26,28.86,3
CPT,86148,PHOSPHATIDYLSER AB IGA,122.0,122.0,10.49,146.4,31
CPT,86148,PHOSPHATIDYLSER AB IGG,122.0,122.0,10.49,146.4,31
CPT,86148,PHOSPHATIDYLSER AB IGM,122.0,122.0,10.49,146.4,31
CPT,86152,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,248.27,764.88,47
CPT,86152,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); Trauma",,,601.87,601.87,6
CPT,86152,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); UNSCHEDULED",,,94.22,96.2,3
CPT,86153,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); physician interpretation and report, when required ",,,,,0
CPT,86153,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); physician interpretation and report, when required UNSCHEDULED",,,94.22,96.2,3
CPT,86155,"Chemotaxis assay, specify method ",,,15.83,48.77,47
CPT,86155,"Chemotaxis assay, specify method Trauma",,,38.38,38.38,6
CPT,86155,"Chemotaxis assay, specify method UNSCHEDULED",,,94.22,96.2,3
CPT,86156,Cold agglutinin; screen ,,,7.99,24.61,47
CPT,86156,Cold agglutinin; screen Trauma,,,19.37,19.37,6
CPT,86156,Cold agglutinin; screen UNSCHEDULED,,,94.22,96.2,3
CPT,86157,COLD AGGLUTININ TITER,288.0,288.0,24.77,345.6,93
CPT,86157,Cold agglutinin; titer ,,,7.98,24.58,47
CPT,86157,Cold agglutinin; titer Trauma,,,19.34,19.34,6
CPT,86157,Cold agglutinin; titer UNSCHEDULED,,,94.22,96.2,3
CPT,86160,COMPLEMENT C1 EST INHIBI,1170.0,1170.0,100.62,1404.0,62
CPT,86160,COMPLEMENT C1 ESTERASE,1170.0,1170.0,100.62,1404.0,31
CPT,86160,COMPLEMENT C1 Q,1170.0,1170.0,100.62,1404.0,31
CPT,86160,COMPLEMENT C2,117.0,117.0,10.06,140.4,31
CPT,86160,COMPLEMENT C3,1170.0,1170.0,100.62,1404.0,93
CPT,86160,COMPLEMENT C4,1170.0,1170.0,100.62,1404.0,93
CPT,86160,COMPLEMENT C5,70.0,70.0,6.02,84.0,31
CPT,86160,COMPLEMENT C6,1170.0,1170.0,100.62,1404.0,31
CPT,86160,COMPLEMENT C7,1170.0,1170.0,100.62,1404.0,31
CPT,86160,COMPLEMENT C9,1170.0,1170.0,100.62,1404.0,31
CPT,86160,"Complement; antigen, each component ",,,11.88,36.6,47
CPT,86160,"Complement; antigen, each component Trauma",,,28.8,28.8,6
CPT,86160,"Complement; antigen, each component UNSCHEDULED",,,87.94,89.79,3
CPT,86161,"Complement; functional activity, each component ",,,11.88,36.6,47
CPT,86161,"Complement; functional activity, each component Trauma",,,28.8,28.8,6
CPT,86161,"Complement; functional activity, each component UNSCHEDULED",,,55.49,56.66,3
CPT,86162,COMPLEMENT TOT CH50,168.0,168.0,14.45,201.6,93
CPT,86162,Complement; total hemolytic (CH50) ,,,20.12,61.98,47
CPT,86162,Complement; total hemolytic (CH50) Trauma,,,48.77,48.77,6
CPT,86162,Complement; total hemolytic (CH50) UNSCHEDULED,,,94.22,96.2,3
CPT,86171,"Complement fixation tests, each antigen ",,,9.91,30.53,47
CPT,86171,"Complement fixation tests, each antigen Trauma",,,24.02,24.02,6
CPT,86171,"Complement fixation tests, each antigen UNSCHEDULED",,,94.22,96.2,3
CPT,86185,"HCounterimmunoelectrophoresis, each antigen UNSCHEDULED",,,94.22,96.2,3
CPT,86200,ANTI-CCP,330.0,330.0,28.38,396.0,31
CPT,86200,"Cyclic citrullinated peptide (CCP), antibody ",330.0,330.0,12.82,39.5,47
CPT,86200,"Cyclic citrullinated peptide (CCP), antibody Trauma",,,31.08,31.08,6
CPT,86200,"Cyclic citrullinated peptide (CCP), antibody UNSCHEDULED",330.0,330.0,165.41,168.9,3
CPT,86215,DNASE ANTIBODY,100.0,100.0,8.6,120.0,31
CPT,86215,"Deoxyribonuclease, antibody ",100.0,100.0,13.12,40.41,47
CPT,86215,"Deoxyribonuclease, antibody Trauma",,,31.8,31.8,6
CPT,86215,"Deoxyribonuclease, antibody UNSCHEDULED",100.0,100.0,94.22,96.2,3
CPT,86225,DS DNA AB,119.0,119.0,10.23,142.8,93
CPT,86225,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.6,41.91,47
CPT,86225,Deoxyribonucleic acid (DNA) antibody; native or double stranded Trauma,,,32.98,32.98,6
CPT,86225,Deoxyribonucleic acid (DNA) antibody; native or double stranded UNSCHEDULED,,,162.27,165.69,3
CPT,86226,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,11.99,36.94,47
CPT,86226,Deoxyribonucleic acid (DNA) antibody; single stranded Trauma,,,29.06,29.06,6
CPT,86226,Deoxyribonucleic acid (DNA) antibody; single stranded UNSCHEDULED,,,94.22,96.2,3
CPT,86231,ENDOMYSIAL FA AB IGA SCR,427.0,427.0,36.72,512.4,31
CPT,86231,ENDOMYSIAL FA AB IGA TIT,556.0,556.0,47.82,667.2,31
CPT,86231,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,11.97,36.87,47
CPT,86231,"Endomysial antibody (EMA), each immunoglobulin (Ig) class Trauma",,,29.02,29.02,6
CPT,86231,"Endomysial antibody (EMA), each immunoglobulin (Ig) class UNSCHEDULED",,,94.22,96.2,3
CPT,86235,CENTROMERE B AB IA,556.0,556.0,47.82,667.2,31
CPT,86235,CHROMATIN AB,180.0,180.0,15.48,216.0,31
CPT,86235,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.75,54.69,47
CPT,86235,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody Trauma",,,43.03,43.03,6
CPT,86235,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody UNSCHEDULED",,,38.73,39.55,3
CPT,86235,HISTONE AB QN EIA,180.0,180.0,15.48,216.0,31
CPT,86235,JO-1 ANTIBODY,367.0,367.0,31.56,440.4,93
CPT,86235,RIBOSOMAL P AB,367.0,367.0,31.56,440.4,31
CPT,86235,RNP ANTIBODY,367.0,367.0,31.56,440.4,93
CPT,86235,SCLERODERMA 70 AB,367.0,367.0,31.56,440.4,93
CPT,86235,SJOGRENS A AB (SSA),367.0,367.0,31.56,440.4,93
CPT,86235,SJOGRENS B AB (SSB),367.0,367.0,31.56,440.4,93
CPT,86235,SMITH ANTIBODY,367.0,367.0,31.56,440.4,62
CPT,86243,HFc receptor UNSCHEDULED,,,94.22,96.2,3
CPT,86255,AGNA-1 AB BY FA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,AMPA-R-1 CBA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,AMPA-R-2 CBA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,AMPA-R1 ANTIBODY,1231.0,1231.0,105.87,1477.2,31
CPT,86255,AMPA-R2 ANTIBODY,1231.0,1231.0,105.87,1477.2,31
CPT,86255,AMPHIPHYSIN AB FA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,ANNA-1 (ANTI-HU) SCR FA,556.0,556.0,47.82,667.2,31
CPT,86255,ANNA-3 SCR BY IFA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,ANTI-RI AB FA QL,1231.0,1231.0,105.87,1477.2,31
CPT,86255,CASPR2-IGG AB CBA-IF,1231.0,1231.0,105.87,1477.2,31
CPT,86255,CRMP-5 IGG BY FA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,DNER AB,1231.0,1231.0,105.87,1477.2,31
CPT,86255,DPPX AB BY CBA-IFA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,DPPX AB BY IFA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,FLUORESCENT AB SCREEN,1231.0,1231.0,105.87,1477.2,31
CPT,86255,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,11.93,36.75,47
CPT,86255,"Fluorescent noninfectious agent antibody; screen, each antibody Trauma",,,28.92,28.92,6
CPT,86255,"Fluorescent noninfectious agent antibody; screen, each antibody UNSCHEDULED",,,25.13,25.66,3
CPT,86255,GABA-B-R AB BY FA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,GABA-B-R AB CBA-IFA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,GLOMERULAR BM FA AB SCR,427.0,427.0,36.72,512.4,31
CPT,86255,IGLON5 AB,1231.0,1231.0,105.87,1477.2,31
CPT,86255,IGLON5-IGG AB BY CBA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,ITPR1 AB,1231.0,1231.0,105.87,1477.2,31
CPT,86255,ITPR1 CB IFA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,LGI1-IGG AB CBA-IFA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,MA2-TA AB,1231.0,1231.0,105.87,1477.2,31
CPT,86255,MGLUR1-IGG AB CBA-IF,1231.0,1231.0,105.87,1477.2,31
CPT,86255,MGLUR1-IGG IFA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,NEURONAL NUC FA AB QL,1231.0,1231.0,105.87,1477.2,31
CPT,86255,NMDA RECEPTOR NR1 IFA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,NMDA-RCPT AB CBA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,PCA-2 AB BY FA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,PCA-TR AB BY FA,1231.0,1231.0,105.87,1477.2,31
CPT,86255,PURK CELL (YO) FA AB QL,1231.0,1231.0,105.87,1477.2,31
CPT,86255,RETICULIN FA AB IGA SCR,1231.0,1231.0,105.87,1477.2,31
CPT,86255,RETICULIN FA AB QL,427.0,427.0,36.72,512.4,31
CPT,86255,STRIATED MUSC FA AB SCR,427.0,427.0,36.72,512.4,31
CPT,86255,ZIC4 AB,1231.0,1231.0,105.87,1477.2,31
CPT,86256,ADRENAL FA AB TIT,556.0,556.0,47.82,667.2,31
CPT,86256,AMPA-R-1 IF TITER,556.0,556.0,47.82,667.2,31
CPT,86256,AMPA-R-2 IF TITER,556.0,556.0,47.82,667.2,31
CPT,86256,ANTI-AQP4 AB IFA TIT,556.0,556.0,47.82,667.2,31
CPT,86256,ANTI-GAD65 AB TITER,556.0,556.0,47.82,667.2,31
CPT,86256,ANTI-LGI1 AB TIT,556.0,556.0,47.82,667.2,31
CPT,86256,CASPR2 IGG AB TITER IFA,556.0,556.0,47.82,667.2,31
CPT,86256,DPPX AB BY IFA TIT,556.0,556.0,47.82,667.2,31
CPT,86256,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,11.93,36.75,47
CPT,86256,"Fluorescent noninfectious agent antibody; titer, each antibody Trauma",,,28.92,28.92,6
CPT,86256,"Fluorescent noninfectious agent antibody; titer, each antibody UNSCHEDULED",,,265.91,271.51,3
CPT,86256,GABA-B-R AB IFA TIT,556.0,556.0,47.82,667.2,31
CPT,86256,IGLON5 AB BY IFA TIT,556.0,556.0,47.82,667.2,31
CPT,86256,ITPR1 IF TITER,556.0,556.0,47.82,667.2,31
CPT,86256,MGLUR1-IGGAB IFA TIT,556.0,556.0,47.82,667.2,31
CPT,86256,MYOCARDIAL FA AB TIT,556.0,556.0,47.82,667.2,31
CPT,86256,NEURON NUC AB 1 HU TIT,556.0,556.0,47.82,667.2,31
CPT,86256,NMDA RECEPTOR AB TIT FA,556.0,556.0,47.82,667.2,31
CPT,86258,GLIADIN AB IGA IA QL,435.0,435.0,37.41,522.0,62
CPT,86258,GLIADIN AB IGA IA QN,435.0,435.0,37.41,522.0,31
CPT,86258,GLIADIN AB IGG IA QL,435.0,435.0,37.41,522.0,62
CPT,86258,GLIADIN AB IGG IA QN,435.0,435.0,37.41,522.0,31
CPT,86258,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,36.75,47
CPT,86258,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class Trauma",,,28.92,28.92,6
CPT,86258,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class UNSCHEDULED",,,94.22,96.2,3
CPT,86277,GROWTH HORMONE AB,160.0,160.0,13.76,192.0,31
CPT,86277,"Growth hormone, human (HGH), antibody ",160.0,160.0,15.58,48.01,47
CPT,86277,"Growth hormone, human (HGH), antibody Trauma",,,37.78,37.78,6
CPT,86277,"Growth hormone, human (HGH), antibody UNSCHEDULED",160.0,160.0,94.22,96.2,3
CPT,86280,Hemagglutination inhibition test (HAI) ,,,8.11,24.98,47
CPT,86280,Hemagglutination inhibition test (HAI) Trauma,,,19.66,19.66,6
CPT,86280,Hemagglutination inhibition test (HAI) UNSCHEDULED,,,94.22,96.2,3
CPT,86294,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.31,77.99,47
CPT,86294,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Trauma",,,61.37,61.37,6
CPT,86294,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) UNSCHEDULED",,,94.22,96.2,3
CPT,86300,CA 15-3 QN,168.0,168.0,14.45,201.6,93
CPT,86300,CA 27-29 QN,167.5,167.5,14.36,201.6,93
CPT,86300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.6,63.47,47
CPT,86300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) Trauma",,,49.94,49.94,6
CPT,86300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) UNSCHEDULED",,,94.22,96.2,3
CPT,86301,CA 19-9 QN,168.0,168.0,14.45,201.6,93
CPT,86301,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.6,63.47,47
CPT,86301,"Immunoassay for tumor antigen, quantitative; CA 19-9 Trauma",,,49.94,49.94,6
CPT,86301,"Immunoassay for tumor antigen, quantitative; CA 19-9 UNSCHEDULED",,,168.55,172.1,3
CPT,86304,CA 125 QN,168.0,168.0,14.45,201.6,62
CPT,86304,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.6,63.47,47
CPT,86304,"Immunoassay for tumor antigen, quantitative; CA 125 Trauma",,,49.94,49.94,6
CPT,86304,"Immunoassay for tumor antigen, quantitative; CA 125 UNSCHEDULED",,,175.88,179.59,3
CPT,86305,Human epididymis protein 4 (HE4) ,,,20.6,63.47,47
CPT,86305,Human epididymis protein 4 (HE4) Trauma,,,49.94,49.94,6
CPT,86305,Human epididymis protein 4 (HE4) UNSCHEDULED,,,94.22,96.2,3
CPT,86308,Heterophile antibodies; screening ,,,5.13,15.8,47
CPT,86308,Heterophile antibodies; screening Trauma,,,12.43,12.43,6
CPT,86308,Heterophile antibodies; screening UNSCHEDULED,,,124.58,127.21,3
CPT,86308,MONO SCR (HETEROPHILE),1940.0,1940.0,166.84,2328.0,93
CPT,86309,Heterophile antibodies; titer ,,,6.41,19.73,47
CPT,86309,Heterophile antibodies; titer Trauma,,,15.53,15.53,6
CPT,86309,Heterophile antibodies; titer UNSCHEDULED,,,94.22,96.2,3
CPT,86310,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.3,22.48,47
CPT,86310,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Trauma,,,17.69,17.69,6
CPT,86310,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney UNSCHEDULED,,,94.22,96.2,3
CPT,86316,ALPHA-FETOPROTEIN FLD QN,389.0,389.0,33.45,466.8,31
CPT,86316,CHROMOGRANIN A IA QN,389.0,389.0,33.45,466.8,62
CPT,86316,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.6,63.47,47
CPT,86316,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each Trauma",,,49.94,49.94,6
CPT,86316,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each UNSCHEDULED",,,94.22,96.2,3
CPT,86316,NEURON SPEC ENOLASE QN,389.0,389.0,33.45,466.8,31
CPT,86317,BABESIA MICROTI AB QN,160.0,160.0,13.76,192.0,31
CPT,86317,DIPHTHERIA AB QN,160.0,160.0,13.76,192.0,31
CPT,86317,HB S AB QN,115.0,115.0,8.6,156.0,62
CPT,86317,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.84,45.72,47
CPT,86317,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified Trauma",,,35.98,35.98,6
CPT,86317,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified UNSCHEDULED",,,41.88,42.76,3
CPT,86317,PNEUMOCOCCAL AB QN,160.0,160.0,13.76,192.0,31
CPT,86317,PRION INF AGENT QN IA,208.0,208.0,17.89,249.6,31
CPT,86317,TETANUS AB QN,160.0,160.0,13.76,192.0,31
CPT,86318,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,17.91,55.17,47
CPT,86318,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); Trauma",,,43.42,43.42,6
CPT,86318,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); UNSCHEDULED",,,134.01,136.83,3
CPT,86320,Immunoelectrophoresis; serum ,,,29.62,91.26,47
CPT,86320,Immunoelectrophoresis; serum Trauma,,,71.81,71.81,6
CPT,86320,Immunoelectrophoresis; serum UNSCHEDULED,,,211.47,215.92,3
CPT,86325,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,22.9,70.55,47
CPT,86325,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Trauma",,,55.51,55.51,6
CPT,86325,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration UNSCHEDULED",,,94.22,96.2,3
CPT,86327,Immunoelectrophoresis; crossed (2-dimensional assay) UNSCHEDULED,,,94.22,96.2,3
CPT,86328,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,44.83,138.1,56
CPT,86329,ALPHA 2 MACRO ID,273.0,273.0,23.48,327.6,31
CPT,86329,Immunodiffusion; not elsewhere specified ,,,13.91,42.85,47
CPT,86329,Immunodiffusion; not elsewhere specified Trauma,,,33.72,33.72,6
CPT,86329,Immunodiffusion; not elsewhere specified UNSCHEDULED,,,94.22,96.2,3
CPT,86329,TEICHOIC ACID AB ID,273.0,273.0,23.48,327.6,31
CPT,86331,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",100.0,100.0,11.86,36.54,47
CPT,86331,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody Trauma",,,28.75,28.75,6
CPT,86331,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody UNSCHEDULED",100.0,100.0,94.22,96.2,3
CPT,86331,PIGEON SERUM GD,100.0,100.0,8.6,120.0,31
CPT,86332,C1Q BINDING IMM COMP,207.0,207.0,17.8,248.4,31
CPT,86332,Immune complex assay ,,,24.13,74.33,47
CPT,86332,Immune complex assay Trauma,,,58.49,58.49,6
CPT,86332,Immune complex assay UNSCHEDULED,,,94.22,96.2,3
CPT,86332,RAJI IMMUNE COMP,207.0,207.0,17.8,248.4,31
CPT,86334,IMMUNOFIX ELECTRO SER,227.0,227.0,19.52,272.4,62
CPT,86334,Immunofixation electrophoresis; serum ,,,22.12,68.14,47
CPT,86334,Immunofixation electrophoresis; serum Trauma,,,53.62,53.62,6
CPT,86334,Immunofixation electrophoresis; serum UNSCHEDULED,,,285.81,291.82,3
CPT,86335,IMMUNOFIX ELECTRO CSF,478.0,478.0,41.11,573.6,31
CPT,86335,IMMUNOFIX ELECTRO UR,478.0,478.0,41.11,573.6,31
CPT,86335,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.06,89.52,47
CPT,86335,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) Trauma",,,70.44,70.44,6
CPT,86335,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) UNSCHEDULED",,,203.1,207.38,3
CPT,86336,Inhibin A ,,,15.43,47.55,47
CPT,86336,Inhibin A Trauma,,,37.42,37.42,6
CPT,86336,Inhibin A UNSCHEDULED,,,94.22,96.2,3
CPT,86337,INSULIN AB,199.0,199.0,17.11,238.8,31
CPT,86337,Insulin antibodies ,199.0,199.0,21.2,65.3,47
CPT,86337,Insulin antibodies Trauma,,,51.38,51.38,6
CPT,86337,Insulin antibodies UNSCHEDULED,199.0,199.0,94.22,96.2,3
CPT,86340,INTRINSIC FACT AB,148.0,148.0,12.73,177.6,31
CPT,86340,Intrinsic factor antibodies ,148.0,148.0,14.93,45.99,47
CPT,86340,Intrinsic factor antibodies Trauma,,,36.19,36.19,6
CPT,86340,Intrinsic factor antibodies UNSCHEDULED,148.0,148.0,94.22,96.2,3
CPT,86341,GAD65 LINE BLOT,467.0,467.0,40.16,560.4,31
CPT,86341,GLUTAMIC ACID DECARB A,467.0,467.0,40.16,560.4,31
CPT,86341,IA2 AUTOANTIBODY,106.0,106.0,9.12,127.2,31
CPT,86341,ISLET CELL AB,467.0,467.0,40.16,560.4,31
CPT,86341,Islet cell antibody ,,,23.33,71.89,47
CPT,86341,Islet cell antibody Trauma,,,56.57,56.57,6
CPT,86341,Islet cell antibody UNSCHEDULED,,,57.58,58.79,3
CPT,86343,Leukocyte histamine release test (LHR) ,,,12.34,38.0,47
CPT,86343,Leukocyte histamine release test (LHR) Trauma,,,29.9,29.9,6
CPT,86343,Leukocyte histamine release test (LHR) UNSCHEDULED,,,94.22,96.2,3
CPT,86344,Leukocyte phagocytosis ,,,10.29,31.69,47
CPT,86344,Leukocyte phagocytosis Trauma,,,24.94,24.94,6
CPT,86344,Leukocyte phagocytosis UNSCHEDULED,,,94.22,96.2,3
CPT,86352,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,134.5,414.37,47
CPT,86352,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) Trauma",,,326.06,326.06,6
CPT,86352,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) UNSCHEDULED",,,94.22,96.2,3
CPT,86353,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,48.54,149.54,47
CPT,86353,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis Trauma",,,117.67,117.67,6
CPT,86353,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis UNSCHEDULED",,,94.22,96.2,3
CPT,86355,B CELLS TOTAL COUNT,478.0,478.0,41.11,573.6,31
CPT,86355,"B cells, total count ",478.0,478.0,37.35,115.08,47
CPT,86355,"B cells, total count Trauma",,,90.55,90.55,6
CPT,86355,"B cells, total count UNSCHEDULED",478.0,478.0,86.9,88.73,3
CPT,86356,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.51,81.68,47
CPT,86356,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen Trauma",,,64.27,64.27,6
CPT,86356,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen UNSCHEDULED",,,60.72,62.0,3
CPT,86357,NK CELLS TOTAL CT,185.0,185.0,15.91,222.0,31
CPT,86357,"Natural killer (NK) cells, total count ",185.0,185.0,37.35,115.08,47
CPT,86357,"Natural killer (NK) cells, total count Trauma",,,90.55,90.55,6
CPT,86357,"Natural killer (NK) cells, total count UNSCHEDULED",185.0,185.0,123.54,126.14,3
CPT,86359,T CELLS TOTAL,593.0,593.0,51.0,711.6,31
CPT,86359,T cells; total count ,593.0,593.0,37.35,115.08,47
CPT,86359,T cells; total count Trauma,,,90.55,90.55,6
CPT,86359,T cells; total count UNSCHEDULED,593.0,593.0,86.9,88.73,3
CPT,86360,T CELLS CD4 8 RATIO,353.0,353.0,30.36,423.6,31
CPT,86360,"T cells; absolute CD4 and CD8 count, including ratio ",353.0,353.0,46.51,143.29,47
CPT,86360,"T cells; absolute CD4 and CD8 count, including ratio Trauma",,,112.75,112.75,6
CPT,86360,"T cells; absolute CD4 and CD8 count, including ratio UNSCHEDULED",353.0,353.0,76.43,78.04,3
CPT,86361,T cells; absolute CD4 count ,,,26.51,81.68,47
CPT,86361,T cells; absolute CD4 count Trauma,,,64.27,64.27,6
CPT,86361,T cells; absolute CD4 count UNSCHEDULED,,,151.8,155.0,3
CPT,86362,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,11.93,36.75,47
CPT,86362,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each Trauma",,,28.92,28.92,6
CPT,86362,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each UNSCHEDULED",,,94.22,96.2,3
CPT,86363,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,115.08,47
CPT,86363,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Trauma",,,90.55,90.55,6
CPT,86363,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each UNSCHEDULED",,,94.22,96.2,3
CPT,86364,TRANSGLUTAMIN AB IGG QN,435.0,435.0,37.41,522.0,31
CPT,86364,TRANSGLUTAMIN IGA QL IA,435.0,435.0,37.41,522.0,93
CPT,86364,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.41,35.17,47
CPT,86364,"Tissue transglutaminase, each immunoglobulin (Ig) class Trauma",,,27.67,27.67,6
CPT,86364,"Tissue transglutaminase, each immunoglobulin (Ig) class UNSCHEDULED",,,94.22,96.2,3
CPT,86366,MUSK AB,2539.0,2539.0,218.35,3046.8,31
CPT,86366,Muscle-specific kinase (MuSK) antibody ,2539.0,2539.0,18.22,56.12,47
CPT,86366,Muscle-specific kinase (MuSK) antibody Trauma,,,44.16,44.16,6
CPT,86366,Muscle-specific kinase (MuSK) antibody UNSCHEDULED,2539.0,2539.0,94.22,96.2,3
CPT,86367,"Stem cells (ie, CD34), total count ",,,77.0,237.23,47
CPT,86367,"Stem cells (ie, CD34), total count Trauma",,,186.67,186.67,6
CPT,86367,"Stem cells (ie, CD34), total count UNSCHEDULED",,,94.22,96.2,3
CPT,86376,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.4,44.38,47
CPT,86376,"Microsomal antibodies (eg, thyroid or liver-kidney), each Trauma",,,34.92,34.92,6
CPT,86376,"Microsomal antibodies (eg, thyroid or liver-kidney), each UNSCHEDULED",,,125.63,128.27,3
CPT,86376,THYROID MICROSOMAL AB,122.0,122.0,10.49,146.4,31
CPT,86376,THYROID PEROXIDASE AB,122.0,122.0,10.49,146.4,31
CPT,86378,HMigration inhibitory factor test (MIF) UNSCHEDULED,,,94.22,96.2,3
CPT,86379,"NK CELLS, TOTAL COUNT UNSCHEDULED",,,94.22,96.2,3
CPT,86381,MITOCHOND FA AB TIT,556.0,556.0,47.82,667.2,62
CPT,86381,MITOCHONDRIAL FA AB QL,427.0,427.0,36.72,512.4,31
CPT,86381,"Mitochondrial antibody (eg, M2), each ",,,25.2,77.62,47
CPT,86381,"Mitochondrial antibody (eg, M2), each Trauma",,,61.08,61.08,6
CPT,86381,"Mitochondrial antibody (eg, M2), each UNSCHEDULED",,,94.22,96.2,3
CPT,86382,"Neutralization test, viral ",,,16.74,51.58,47
CPT,86382,"Neutralization test, viral Trauma",,,40.58,40.58,6
CPT,86382,"Neutralization test, viral UNSCHEDULED",,,123.54,126.14,3
CPT,86384,Nitroblue tetrazolium dye test (NTD) ,,,13.47,41.51,47
CPT,86384,Nitroblue tetrazolium dye test (NTD) Trauma,,,32.66,32.66,6
CPT,86384,Nitroblue tetrazolium dye test (NTD) UNSCHEDULED,,,94.22,96.2,3
CPT,86386,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.56,66.43,47
CPT,86386,"Nuclear Matrix Protein 22 (NMP22), qualitative Trauma",,,52.27,52.27,6
CPT,86386,"Nuclear Matrix Protein 22 (NMP22), qualitative UNSCHEDULED",,,94.22,96.2,3
CPT,86403,LE LATEX AB,334.0,334.0,28.72,400.8,31
CPT,86403,"Particle agglutination; screen, each antibody ",334.0,334.0,11.42,35.2,47
CPT,86403,"Particle agglutination; screen, each antibody Trauma",,,27.7,27.7,6
CPT,86403,"Particle agglutination; screen, each antibody UNSCHEDULED",334.0,334.0,125.63,128.27,3
CPT,86406,"Particle agglutination; titer, each antibody ",,,10.53,32.45,47
CPT,86406,"Particle agglutination; titer, each antibody Trauma",,,25.54,25.54,6
CPT,86406,"Particle agglutination; titer, each antibody UNSCHEDULED",,,94.22,96.2,3
CPT,86408,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,41.71,128.5,47
CPT,86408,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen Trauma",,,101.11,101.11,6
CPT,86408,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen UNSCHEDULED",,,94.22,96.2,3
CPT,86409,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,78.81,242.81,46
CPT,86409,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer Trauma",,,191.06,191.06,6
CPT,86409,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer UNSCHEDULED",,,94.22,96.2,3
CPT,86413,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,156.86,47
CPT,86413,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative Trauma",,,123.43,123.43,6
CPT,86413,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative UNSCHEDULED",,,94.22,96.2,3
CPT,86430,RA FACTOR QUAL,62.0,62.0,5.33,74.4,93
CPT,86430,Rheumatoid factor; qualitative ,,,6.08,18.73,47
CPT,86430,Rheumatoid factor; qualitative Trauma,,,14.74,14.74,6
CPT,86430,Rheumatoid factor; qualitative UNSCHEDULED,,,147.61,150.72,3
CPT,86431,RA QN,62.0,62.0,5.33,74.4,31
CPT,86431,Rheumatoid factor; quantitative ,62.0,62.0,5.61,17.29,47
CPT,86431,Rheumatoid factor; quantitative Trauma,,,13.61,13.61,6
CPT,86431,Rheumatoid factor; quantitative UNSCHEDULED,62.0,62.0,62.81,64.14,3
CPT,86480,TB GAMMA INTERFERON RESP,478.0,478.0,41.11,573.6,31
CPT,86480,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",478.0,478.0,61.36,189.04,47
CPT,86480,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Trauma",,,148.75,148.75,6
CPT,86480,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon UNSCHEDULED",478.0,478.0,121.44,124.0,3
CPT,86481,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,99.0,305.0,47
CPT,86481,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension Trauma",,,240.0,240.0,6
CPT,86481,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension UNSCHEDULED",,,94.22,96.2,3
CPT,86485,Skin test; candida ,,,24.67,24.67,11
CPT,86485,Skin test; candida UNSCHEDULED,,,94.22,96.2,3
CPT,86486,"Skin test; unlisted antigen, each ",,,24.67,24.67,11
CPT,86486,"Skin test; unlisted antigen, each UNSCHEDULED",,,94.22,96.2,3
CPT,86490,Skin test; coccidioidomycosis UNSCHEDULED,,,94.22,96.2,3
CPT,86510,Skin test; histoplasmosis ,,,55.66,55.66,11
CPT,86510,Skin test; histoplasmosis UNSCHEDULED,,,151.8,155.0,3
CPT,86580,SKIN TB-PPD,207.0,207.0,17.8,248.4,34
CPT,86580,"Skin test; tuberculosis, intradermal ",207.0,207.0,24.67,24.67,11
CPT,86580,"Skin test; tuberculosis, intradermal UNSCHEDULED",207.0,207.0,94.22,96.2,3
CPT,86581,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,91.11,280.69,46
CPT,86581,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Trauma",,,220.87,220.87,6
CPT,86585,TB TINE TEST UNSCHEDULED,,,94.22,96.2,3
CPT,86586,"SKIN TEST, UNLISTED UNSCHEDULED",,,94.22,96.2,3
CPT,86587,"STEM CELLS, TOTAL COUNT UNSCHEDULED",,,94.22,96.2,3
CPT,86588,Direct strep screen UNSCHEDULED,,,94.22,96.2,3
CPT,86590,STREPTOKINASE AB,318.0,318.0,27.35,381.6,31
CPT,86590,"Streptokinase, antibody ",318.0,318.0,12.53,38.61,47
CPT,86590,"Streptokinase, antibody Trauma",,,30.38,30.38,6
CPT,86590,"Streptokinase, antibody UNSCHEDULED",318.0,318.0,94.22,96.2,3
CPT,86592,RPR QUAL,48.0,48.0,4.13,57.6,93
CPT,86592,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.23,13.02,47
CPT,86592,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) Trauma",,,10.25,10.25,6
CPT,86592,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) UNSCHEDULED",,,94.22,96.2,3
CPT,86592,VDRL CSF QUAL,43.5,43.5,3.35,57.6,93
CPT,86593,RPR QUANT,1136.0,1136.0,97.7,1363.2,62
CPT,86593,"Syphilis test, non-treponemal antibody; quantitative ",,,4.36,13.42,47
CPT,86593,"Syphilis test, non-treponemal antibody; quantitative Trauma",,,10.56,10.56,6
CPT,86593,"Syphilis test, non-treponemal antibody; quantitative UNSCHEDULED",,,83.75,85.52,3
CPT,86593,VDRL BLD QUANT,400.0,400.0,34.4,480.0,31
CPT,86593,VDRL CSF QN,13.2,13.2,1.14,15.84,31
CPT,86596,VOLTAGE-GATED C C AB RIA,200.0,200.0,17.2,240.0,31
CPT,86596,"Voltage-gated calcium channel antibody, each ",200.0,200.0,11.93,36.75,47
CPT,86596,"Voltage-gated calcium channel antibody, each Trauma",,,28.92,28.92,6
CPT,86596,"Voltage-gated calcium channel antibody, each UNSCHEDULED",200.0,200.0,94.22,96.2,3
CPT,86602,Antibody; actinomyces ,,,10.08,31.05,47
CPT,86602,Antibody; actinomyces Trauma,,,24.43,24.43,6
CPT,86602,Antibody; actinomyces UNSCHEDULED,,,94.22,96.2,3
CPT,86602,T SACCHARI,100.0,100.0,8.6,120.0,31
CPT,86602,T VULGARIS,100.0,100.0,8.6,120.0,31
CPT,86603,ADENOVIRUS AB QL,113.0,113.0,9.72,135.6,31
CPT,86603,Antibody; adenovirus ,113.0,113.0,12.74,39.25,47
CPT,86603,Antibody; adenovirus Trauma,,,30.89,30.89,6
CPT,86603,Antibody; adenovirus UNSCHEDULED,113.0,113.0,128.77,131.48,3
CPT,86606,ASPERGILLUS FLAVUS AB,133.0,133.0,11.44,159.6,31
CPT,86606,ASPERGILLUS FUMIGATUS AB,133.0,133.0,11.44,159.6,31
CPT,86606,ASPERGILLUS NIGER AB,133.0,133.0,11.44,159.6,31
CPT,86606,Antibody; Aspergillus ,,,14.9,45.9,47
CPT,86606,Antibody; Aspergillus Trauma,,,36.12,36.12,6
CPT,86606,Antibody; Aspergillus UNSCHEDULED,,,172.74,176.38,3
CPT,86609,"Antibody; bacterium, not elsewhere specified ",125.0,125.0,12.75,39.28,47
CPT,86609,"Antibody; bacterium, not elsewhere specified Trauma",,,30.91,30.91,6
CPT,86609,"Antibody; bacterium, not elsewhere specified UNSCHEDULED",125.0,125.0,94.22,96.2,3
CPT,86609,MICROPOLYSPORA FAENI AB,125.0,125.0,10.75,150.0,31
CPT,86611,Antibody; Bartonella ,,,10.08,31.05,47
CPT,86611,Antibody; Bartonella Trauma,,,24.43,24.43,6
CPT,86611,Antibody; Bartonella UNSCHEDULED,,,94.22,96.2,3
CPT,86611,BARTONELLA H IGG,185.0,185.0,15.91,222.0,31
CPT,86611,BARTONELLA H IGM,185.0,185.0,15.91,222.0,31
CPT,86611,BARTONELLA Q IGG,185.0,185.0,15.91,222.0,31
CPT,86611,BARTONELLA Q IGM,185.0,185.0,15.91,222.0,31
CPT,86612,Antibody; Blastomyces ,133.0,133.0,12.77,39.34,47
CPT,86612,Antibody; Blastomyces Trauma,,,30.96,30.96,6
CPT,86612,Antibody; Blastomyces UNSCHEDULED,133.0,133.0,105.73,107.96,3
CPT,86612,BLASTOMYCES AB QUAL,133.0,133.0,11.44,159.6,31
CPT,86615,Antibody; Bordetella ,,,13.06,40.23,47
CPT,86615,Antibody; Bordetella Trauma,,,31.66,31.66,6
CPT,86615,Antibody; Bordetella UNSCHEDULED,,,31.41,32.07,3
CPT,86617,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.34,47.24,47
CPT,86617,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) Trauma",,,37.18,37.18,6
CPT,86617,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) UNSCHEDULED",,,14.66,14.97,3
CPT,86617,LYME AB IGM WESTERN BLOT,122.0,122.0,10.49,146.4,31
CPT,86617,LYME AB WESTERN BLOT,173.0,173.0,11.61,253.2,62
CPT,86618,Antibody; Borrelia burgdorferi (Lyme disease) ,,,16.86,51.94,47
CPT,86618,Antibody; Borrelia burgdorferi (Lyme disease) Trauma,,,40.87,40.87,6
CPT,86618,Antibody; Borrelia burgdorferi (Lyme disease) UNSCHEDULED,,,40.83,41.69,3
CPT,86618,LYME DISEASE AB QL,122.0,122.0,10.49,146.4,62
CPT,86619,Antibody; Borrelia (relapsing fever) ,,,13.25,40.81,47
CPT,86619,Antibody; Borrelia (relapsing fever) Trauma,,,32.11,32.11,6
CPT,86619,Antibody; Borrelia (relapsing fever) UNSCHEDULED,,,94.22,96.2,3
CPT,86622,Antibody; Brucella ,,,8.84,27.24,47
CPT,86622,Antibody; Brucella Trauma,,,21.43,21.43,6
CPT,86622,Antibody; Brucella UNSCHEDULED,,,21.98,22.45,3
CPT,86622,BRUCELLA AB QL IGG,406.0,406.0,34.92,487.2,31
CPT,86622,BRUCELLA AB QL IGM,406.0,406.0,34.92,487.2,31
CPT,86625,Antibody; Campylobacter ,,,12.99,40.02,47
CPT,86625,Antibody; Campylobacter Trauma,,,31.49,31.49,6
CPT,86625,Antibody; Campylobacter UNSCHEDULED,,,94.22,96.2,3
CPT,86628,Antibody; Candida ,68.0,68.0,11.89,36.63,47
CPT,86628,Antibody; Candida Trauma,,,28.82,28.82,6
CPT,86628,Antibody; Candida UNSCHEDULED,68.0,68.0,94.22,96.2,3
CPT,86628,CANDIDA AB QUAL,68.0,68.0,5.85,81.6,31
CPT,86631,Antibody; Chlamydia ,,,11.7,36.05,47
CPT,86631,Antibody; Chlamydia Trauma,,,28.37,28.37,6
CPT,86631,Antibody; Chlamydia UNSCHEDULED,,,94.22,96.2,3
CPT,86631,CHLAMYDIA PNEUMO IGA,355.0,355.0,30.53,426.0,31
CPT,86631,CHLAMYDIA PNEUMO IGG,355.0,355.0,30.53,426.0,31
CPT,86631,CHLAMYDIA PSITTACI IGA,355.0,355.0,30.53,426.0,31
CPT,86631,CHLAMYDIA PSITTACI IGG,355.0,355.0,30.53,426.0,31
CPT,86631,CHLAMYDIA TRACH IGA,355.0,355.0,30.53,426.0,31
CPT,86631,CHLAMYDIA TRACH IGG,355.0,355.0,30.53,426.0,31
CPT,86632,"Antibody; Chlamydia, IgM ",,,12.55,38.67,47
CPT,86632,"Antibody; Chlamydia, IgM Trauma",,,30.43,30.43,6
CPT,86632,"Antibody; Chlamydia, IgM UNSCHEDULED",,,94.22,96.2,3
CPT,86632,CHLAMYDIA PNEUMO IGM,120.0,120.0,10.32,144.0,31
CPT,86632,CHLAMYDIA PSITTACI IGM,120.0,120.0,10.32,144.0,31
CPT,86632,CHLAMYDIA TRACH IGM,120.0,120.0,10.32,144.0,62
CPT,86635,Antibody; Coccidioides ,,,11.36,34.98,47
CPT,86635,Antibody; Coccidioides Trauma,,,27.53,27.53,6
CPT,86635,Antibody; Coccidioides UNSCHEDULED,,,39.79,40.62,3
CPT,86635,COCCIDIOID AB QUAL,133.0,133.0,11.44,159.6,93
CPT,86638,Antibody; Coxiella burnetii (Q fever) ,280.0,280.0,12.0,36.97,47
CPT,86638,Antibody; Coxiella burnetii (Q fever) Trauma,,,29.09,29.09,6
CPT,86638,Antibody; Coxiella burnetii (Q fever) UNSCHEDULED,280.0,280.0,27.22,27.79,3
CPT,86638,Q FEVER AB QUAL,280.0,280.0,24.08,336.0,31
CPT,86641,Antibody; Cryptococcus ,,,14.27,43.95,47
CPT,86641,Antibody; Cryptococcus Trauma,,,34.58,34.58,6
CPT,86641,Antibody; Cryptococcus UNSCHEDULED,,,94.22,96.2,3
CPT,86641,CRYPTOCOC AB BLD QUAL,121.0,121.0,10.41,145.2,93
CPT,86641,CRYPTOCOC AB CSF QUAL,121.0,121.0,10.41,145.2,31
CPT,86644,Antibody; cytomegalovirus (CMV) ,121.0,121.0,14.25,43.89,47
CPT,86644,Antibody; cytomegalovirus (CMV) Trauma,,,34.54,34.54,6
CPT,86644,Antibody; cytomegalovirus (CMV) UNSCHEDULED,121.0,121.0,109.92,112.24,3
CPT,86644,CMV IGG QUAL,121.0,121.0,10.41,145.2,31
CPT,86645,"Antibody; cytomegalovirus (CMV), IgM ",,,16.68,51.39,47
CPT,86645,"Antibody; cytomegalovirus (CMV), IgM Trauma",,,40.44,40.44,6
CPT,86645,"Antibody; cytomegalovirus (CMV), IgM UNSCHEDULED",,,74.33,75.89,3
CPT,86645,CMV IGM QUAL,146.0,146.0,12.56,175.2,93
CPT,86648,Antibody; Diphtheria ,,,15.06,46.39,47
CPT,86648,Antibody; Diphtheria Trauma,,,36.5,36.5,6
CPT,86648,Antibody; Diphtheria UNSCHEDULED,,,94.22,96.2,3
CPT,86651,"Antibody; encephalitis, California (La Crosse) ",113.0,113.0,13.06,40.23,47
CPT,86651,"Antibody; encephalitis, California (La Crosse) Trauma",,,31.66,31.66,6
CPT,86651,"Antibody; encephalitis, California (La Crosse) UNSCHEDULED",113.0,113.0,94.22,96.2,3
CPT,86651,ENCEPH LACROSSE AB QUAL,113.0,113.0,9.72,135.6,31
CPT,86652,"Antibody; encephalitis, Eastern equine ",133.0,133.0,13.06,40.23,47
CPT,86652,"Antibody; encephalitis, Eastern equine Trauma",,,31.66,31.66,6
CPT,86652,"Antibody; encephalitis, Eastern equine UNSCHEDULED",133.0,133.0,94.22,96.2,3
CPT,86652,ENCEPH E EQUINE AB QUAL,133.0,133.0,11.44,159.6,31
CPT,86653,"Antibody; encephalitis, St. Louis ",190.0,190.0,13.06,40.23,47
CPT,86653,"Antibody; encephalitis, St. Louis Trauma",,,31.66,31.66,6
CPT,86653,"Antibody; encephalitis, St. Louis UNSCHEDULED",190.0,190.0,94.22,96.2,3
CPT,86653,ENCEPH ST LOUIS AB QUAL,190.0,190.0,16.34,228.0,31
CPT,86654,"Antibody; encephalitis, Western equine ",133.0,133.0,13.06,40.23,47
CPT,86654,"Antibody; encephalitis, Western equine Trauma",,,31.66,31.66,6
CPT,86654,"Antibody; encephalitis, Western equine UNSCHEDULED",133.0,133.0,94.22,96.2,3
CPT,86654,ENCEPH W EQUINE AB QUAL,133.0,133.0,11.44,159.6,31
CPT,86658,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,12.9,39.74,47
CPT,86658,"Antibody; enterovirus (eg, coxsackie, echo, polio) Trauma",,,31.27,31.27,6
CPT,86658,"Antibody; enterovirus (eg, coxsackie, echo, polio) UNSCHEDULED",,,17.79,18.17,3
CPT,86658,COXSACKIE A AB QL,478.0,478.0,41.11,573.6,31
CPT,86658,COXSACKIE B AB QL,271.5,271.5,5.59,573.6,62
CPT,86658,ECHOVIRUS AB QUAL,478.0,478.0,41.11,573.6,31
CPT,86663,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,12.99,40.02,47
CPT,86663,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) Trauma",,,31.49,31.49,6
CPT,86663,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) UNSCHEDULED",,,14.66,14.97,3
CPT,86663,EBV EARLY AB QUAL,94.0,94.0,8.08,112.8,62
CPT,86664,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.14,46.63,47
CPT,86664,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) Trauma",,,36.7,36.7,6
CPT,86664,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) UNSCHEDULED",,,20.94,21.38,3
CPT,86664,EBV NUCLEAR AG AB QUAL,222.0,222.0,19.09,266.4,93
CPT,86665,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,17.96,55.33,47
CPT,86665,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) Trauma",,,43.54,43.54,6
CPT,86665,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) UNSCHEDULED",,,30.36,31.0,3
CPT,86665,EBV CAPSID IGG QUAL,156.0,156.0,13.42,187.2,93
CPT,86665,EBV CAPSID IGM QUAL,156.0,156.0,13.42,187.2,93
CPT,86666,Antibody; Ehrlichia ,,,10.08,31.05,47
CPT,86666,Antibody; Ehrlichia Trauma,,,24.43,24.43,6
CPT,86666,Antibody; Ehrlichia UNSCHEDULED,,,94.22,96.2,3
CPT,86668,Antibody; Francisella tularensis ,,,14.02,43.19,47
CPT,86668,Antibody; Francisella tularensis Trauma,,,33.98,33.98,6
CPT,86668,Antibody; Francisella tularensis UNSCHEDULED,,,94.22,96.2,3
CPT,86671,A PULLULANS AB,64.0,64.0,5.5,76.8,31
CPT,86671,"Antibody; fungus, not elsewhere specified ",,,12.13,37.36,47
CPT,86671,"Antibody; fungus, not elsewhere specified Trauma",,,29.4,29.4,6
CPT,86671,"Antibody; fungus, not elsewhere specified UNSCHEDULED",,,94.22,96.2,3
CPT,86671,SACCHAROMYCES AB IGA,64.0,64.0,5.5,76.8,31
CPT,86671,SACCHAROMYCES AB IGG,64.0,64.0,5.5,76.8,31
CPT,86674,Antibody; Giardia lamblia ,,,14.57,44.9,47
CPT,86674,Antibody; Giardia lamblia Trauma,,,35.33,35.33,6
CPT,86674,Antibody; Giardia lamblia UNSCHEDULED,,,94.22,96.2,3
CPT,86674,GIARDIA AB QL SQN,130.0,130.0,10.23,169.2,62
CPT,86674,GIARDIA AB QL SQN IGG,119.0,119.0,10.23,142.8,31
CPT,86674,GIARDIA AB QL SQN IGM,119.0,119.0,10.23,142.8,31
CPT,86677,Antibody; Helicobacter pylori ,,,16.68,51.39,47
CPT,86677,Antibody; Helicobacter pylori Trauma,,,40.44,40.44,6
CPT,86677,Antibody; Helicobacter pylori UNSCHEDULED,,,227.17,231.96,3
CPT,86677,H PYLORI AB QL IGA,190.0,190.0,16.34,228.0,31
CPT,86677,H PYLORI AB QUAL,190.0,190.0,16.34,228.0,31
CPT,86682,"Antibody; helminth, not elsewhere specified ",,,12.88,39.68,47
CPT,86682,"Antibody; helminth, not elsewhere specified Trauma",,,31.22,31.22,6
CPT,86682,"Antibody; helminth, not elsewhere specified UNSCHEDULED",,,94.22,96.2,3
CPT,86682,CYSTICERCUS AB,863.0,863.0,74.22,1035.6,31
CPT,86682,ECHINOCOCCUS AB,863.0,863.0,74.22,1035.6,31
CPT,86682,FILARIA AB IGG,375.0,375.0,32.25,450.0,31
CPT,86682,SCHISTOSOMA AB QUAL,473.0,473.0,7.14,1035.6,62
CPT,86682,STRONGYLOIDES AB QUAL,863.0,863.0,74.22,1035.6,31
CPT,86683,"HEMOGLOBIN, FECAL ANTIBODY UNSCHEDULED",,,94.22,96.2,3
CPT,86684,Antibody; Haemophilus influenza ,,,15.68,48.31,47
CPT,86684,Antibody; Haemophilus influenza Trauma,,,38.02,38.02,6
CPT,86684,Antibody; Haemophilus influenza UNSCHEDULED,,,143.42,146.44,3
CPT,86687,Antibody; HTLV-I ,,,9.0,27.72,47
CPT,86687,Antibody; HTLV-I Trauma,,,21.82,21.82,6
CPT,86687,Antibody; HTLV-I UNSCHEDULED,,,135.05,137.9,3
CPT,86688,Antibody; HTLV-II ,,,13.86,42.7,47
CPT,86688,Antibody; HTLV-II Trauma,,,33.6,33.6,6
CPT,86688,Antibody; HTLV-II UNSCHEDULED,,,94.22,96.2,3
CPT,86689,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.16,59.02,47
CPT,86689,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) Trauma",,,46.44,46.44,6
CPT,86689,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) UNSCHEDULED",,,110.97,113.31,3
CPT,86689,HIV AB WESTERN BLOT,675.0,675.0,58.05,810.0,31
CPT,86689,HTLV WESTERN BLOT,675.0,675.0,58.05,810.0,31
CPT,86692,"Antibody; hepatitis, delta agent ",146.0,146.0,16.99,52.34,47
CPT,86692,"Antibody; hepatitis, delta agent Trauma",,,41.18,41.18,6
CPT,86692,"Antibody; hepatitis, delta agent UNSCHEDULED",146.0,146.0,94.22,96.2,3
CPT,86692,HEPATITIS DELTA AB QUAL,146.0,146.0,12.56,175.2,31
CPT,86694,"Antibody; herpes simplex, non-specific type test ",,,14.25,43.89,47
CPT,86694,"Antibody; herpes simplex, non-specific type test Trauma",,,34.54,34.54,6
CPT,86694,"Antibody; herpes simplex, non-specific type test UNSCHEDULED",,,30.36,31.0,3
CPT,86694,HERPES SIMPLEX AB QUAL,121.0,121.0,10.41,145.2,62
CPT,86695,"Antibody; herpes simplex, type 1 ",,,13.06,40.23,47
CPT,86695,"Antibody; herpes simplex, type 1 Trauma",,,31.66,31.66,6
CPT,86695,"Antibody; herpes simplex, type 1 UNSCHEDULED",,,80.61,82.3,3
CPT,86695,HERPES SIMPLEX 1 AB IGG,113.0,113.0,9.72,135.6,31
CPT,86695,HERPES SIMPLEX 1 AB IGM,113.0,113.0,9.72,135.6,31
CPT,86696,"Antibody; herpes simplex, type 2 ",162.0,162.0,19.16,59.02,47
CPT,86696,"Antibody; herpes simplex, type 2 Trauma",,,46.44,46.44,6
CPT,86696,"Antibody; herpes simplex, type 2 UNSCHEDULED",162.0,162.0,65.96,67.35,3
CPT,86696,HERPES SIMPLEX 2 AB QL,162.0,162.0,13.93,194.4,31
CPT,86698,Antibody; histoplasma ,,,13.65,42.06,47
CPT,86698,Antibody; histoplasma Trauma,,,33.1,33.1,6
CPT,86698,Antibody; histoplasma UNSCHEDULED,,,16.75,17.1,3
CPT,86698,HISTOPLASMA AB QL,133.0,133.0,11.44,159.6,31
CPT,86698,HISTOPLASMA MYCEL AB QL,133.0,133.0,11.44,159.6,31
CPT,86698,HISTOPLASMA YEAST AB QL,133.0,133.0,11.44,159.6,31
CPT,86701,Antibody; HIV-1 ,,,8.8,27.11,47
CPT,86701,Antibody; HIV-1 Trauma,,,21.34,21.34,6
CPT,86701,Antibody; HIV-1 UNSCHEDULED,,,147.61,150.72,3
CPT,86701,HIV-1 AB QUAL,81.0,81.0,3.7,142.8,62
CPT,86702,Antibody; HIV-2 ,,,13.38,41.24,47
CPT,86702,Antibody; HIV-2 Trauma,,,32.45,32.45,6
CPT,86702,Antibody; HIV-2 UNSCHEDULED,,,39.79,40.62,3
CPT,86702,HIV-2 AB QUAL,113.0,113.0,6.02,187.2,62
CPT,86703,"Antibody; HIV-1 and HIV-2, single result ",,,13.57,41.82,47
CPT,86703,"Antibody; HIV-1 and HIV-2, single result Trauma",,,32.9,32.9,6
CPT,86703,"Antibody; HIV-1 and HIV-2, single result UNSCHEDULED",,,145.52,148.58,3
CPT,86703,HIV 1&2 AB QUAL,144.0,144.0,12.38,172.8,62
CPT,86704,HEP B CORE AB TOTAL,133.0,133.0,11.44,159.6,93
CPT,86704,Hepatitis B core antibody (HBcAb); total ,,,11.93,36.75,47
CPT,86704,Hepatitis B core antibody (HBcAb); total Trauma,,,28.92,28.92,6
CPT,86704,Hepatitis B core antibody (HBcAb); total UNSCHEDULED,,,94.22,96.2,3
CPT,86705,HEP B CORE AB IGM QL,102.0,102.0,8.77,122.4,31
CPT,86705,Hepatitis B core antibody (HBcAb); IgM antibody ,102.0,102.0,11.65,35.9,47
CPT,86705,Hepatitis B core antibody (HBcAb); IgM antibody Trauma,,,28.25,28.25,6
CPT,86705,Hepatitis B core antibody (HBcAb); IgM antibody UNSCHEDULED,102.0,102.0,94.22,96.2,3
CPT,86706,HEP B SURFACE AB QUAL,92.0,92.0,7.91,110.4,62
CPT,86706,Hepatitis B surface antibody (HBsAb) ,,,10.63,32.76,47
CPT,86706,Hepatitis B surface antibody (HBsAb) Trauma,,,25.78,25.78,6
CPT,86706,Hepatitis B surface antibody (HBsAb) UNSCHEDULED,,,134.01,136.83,3
CPT,86707,HEPATITIS BE AB QL,102.0,102.0,8.77,122.4,31
CPT,86707,Hepatitis Be antibody (HBeAb) ,102.0,102.0,11.45,35.29,47
CPT,86707,Hepatitis Be antibody (HBeAb) Trauma,,,27.77,27.77,6
CPT,86707,Hepatitis Be antibody (HBeAb) UNSCHEDULED,102.0,102.0,26.17,26.72,3
CPT,86708,HEP A AB TOTAL,110.0,110.0,9.46,132.0,31
CPT,86708,Hepatitis A antibody (HAAb) ,110.0,110.0,12.27,37.79,47
CPT,86708,Hepatitis A antibody (HAAb) Trauma,,,29.74,29.74,6
CPT,86708,Hepatitis A antibody (HAAb) UNSCHEDULED,110.0,110.0,31.41,32.07,3
CPT,86709,HEP A AB IGM QUAL,92.0,92.0,7.91,110.4,93
CPT,86709,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.15,34.34,47
CPT,86709,"Hepatitis A antibody (HAAb), IgM antibody Trauma",,,27.02,27.02,6
CPT,86709,"Hepatitis A antibody (HAAb), IgM antibody UNSCHEDULED",,,94.22,96.2,3
CPT,86710,Antibody; influenza virus ,,,13.41,41.33,47
CPT,86710,Antibody; influenza virus Trauma,,,32.52,32.52,6
CPT,86710,Antibody; influenza virus UNSCHEDULED,,,94.22,96.2,3
CPT,86710,INFLUENZA A VIRUS AB,330.0,330.0,28.38,396.0,31
CPT,86710,INFLUENZA B VIRUS AB,330.0,330.0,28.38,396.0,31
CPT,86711,Antibody; JC (John Cunningham) virus ,,,16.72,51.51,47
CPT,86711,Antibody; JC (John Cunningham) virus Trauma,,,40.54,40.54,6
CPT,86711,Antibody; JC (John Cunningham) virus UNSCHEDULED,,,94.22,96.2,3
CPT,86713,Antibody; Legionella ,,,15.15,46.66,47
CPT,86713,Antibody; Legionella Trauma,,,36.72,36.72,6
CPT,86713,Antibody; Legionella UNSCHEDULED,,,94.22,96.2,3
CPT,86713,LEGIONELLA AB IGM QUAL,133.0,133.0,11.44,159.6,93
CPT,86713,LEGIONELLA AB QUAL,133.0,133.0,11.44,159.6,31
CPT,86717,Antibody; Leishmania ,,,12.13,37.36,47
CPT,86717,Antibody; Leishmania Trauma,,,29.4,29.4,6
CPT,86717,Antibody; Leishmania UNSCHEDULED,,,94.22,96.2,3
CPT,86717,LEISHMANIA AB QUAL,190.0,190.0,16.34,228.0,31
CPT,86717,LEISHMANIA DONOVANI IGG,190.0,190.0,16.34,228.0,31
CPT,86717,LEISHMANIA DONOVANI IGM,190.0,190.0,16.34,228.0,31
CPT,86717,LEISHMANIA MEXICANA IGG,190.0,190.0,16.34,228.0,31
CPT,86717,LEISHMANIA MEXICANA IGM,190.0,190.0,16.34,228.0,31
CPT,86717,LEISHMANIA TROPICA IGG,190.0,190.0,16.34,228.0,31
CPT,86717,LEISHMANIA TROPICA IGM,190.0,190.0,16.34,228.0,31
CPT,86720,Antibody; Leptospira ,119.0,119.0,16.04,49.41,47
CPT,86720,Antibody; Leptospira Trauma,,,38.88,38.88,6
CPT,86720,Antibody; Leptospira UNSCHEDULED,119.0,119.0,94.22,96.2,3
CPT,86720,LEPTOSPIRA AB QUAL,119.0,119.0,10.23,142.8,31
CPT,86723,Antibody; Listeria monocytogenes ,231.0,231.0,13.06,40.23,47
CPT,86723,Antibody; Listeria monocytogenes Trauma,,,31.66,31.66,6
CPT,86723,Antibody; Listeria monocytogenes UNSCHEDULED,231.0,231.0,94.22,96.2,3
CPT,86723,LISTERIA MONOCYTOGENE AB,231.0,231.0,19.87,277.2,31
CPT,86727,Antibody; lymphocytic choriomeningitis ,,,12.74,39.25,47
CPT,86727,Antibody; lymphocytic choriomeningitis Trauma,,,30.89,30.89,6
CPT,86727,Antibody; lymphocytic choriomeningitis UNSCHEDULED,,,94.22,96.2,3
CPT,86727,LYMPH CHORIO AB QUAL IGG,302.0,302.0,25.97,362.4,31
CPT,86727,LYMPH CHORIO AB QUAL IGM,302.0,302.0,25.97,362.4,31
CPT,86729,HAntibody; lymphogranuloma venereum UNSCHEDULED,,,94.22,96.2,3
CPT,86732,Antibody; mucormycosis ,,,14.85,45.75,47
CPT,86732,Antibody; mucormycosis Trauma,,,36.0,36.0,6
CPT,86732,Antibody; mucormycosis UNSCHEDULED,,,94.22,96.2,3
CPT,86735,Antibody; mumps ,,,12.92,39.8,47
CPT,86735,Antibody; mumps Trauma,,,31.32,31.32,6
CPT,86735,Antibody; mumps UNSCHEDULED,,,154.94,158.21,3
CPT,86735,MUMPS AB QUAL,113.0,113.0,9.72,135.6,31
CPT,86735,MUMPS IGG QUAL,113.0,113.0,9.72,135.6,31
CPT,86735,MUMPS IGM QUAL,113.0,113.0,9.72,135.6,93
CPT,86738,Antibody; mycoplasma ,,,13.11,40.38,47
CPT,86738,Antibody; mycoplasma Trauma,,,31.78,31.78,6
CPT,86738,Antibody; mycoplasma UNSCHEDULED,,,203.1,207.38,3
CPT,86738,MYCOPLASMA AB IGG QL,288.0,288.0,24.77,345.6,93
CPT,86738,MYCOPLASMA AB IGM QL,288.0,288.0,24.77,345.6,93
CPT,86741,Antibody; Neisseria meningitidis ,,,13.06,40.23,47
CPT,86741,Antibody; Neisseria meningitidis Trauma,,,31.66,31.66,6
CPT,86741,Antibody; Neisseria meningitidis UNSCHEDULED,,,94.22,96.2,3
CPT,86744,Antibody; Nocardia ,,,15.83,48.77,47
CPT,86744,Antibody; Nocardia Trauma,,,38.38,38.38,6
CPT,86744,Antibody; Nocardia UNSCHEDULED,,,94.22,96.2,3
CPT,86747,Antibody; parvovirus ,,,14.88,45.84,47
CPT,86747,Antibody; parvovirus Trauma,,,36.07,36.07,6
CPT,86747,Antibody; parvovirus UNSCHEDULED,,,30.36,31.0,3
CPT,86747,PARVOVIRUS AB QUAL,122.0,122.0,10.49,146.4,31
CPT,86747,PARVOVIRUS IGG,122.0,122.0,10.49,146.4,31
CPT,86747,PARVOVIRUS IGM,122.0,122.0,10.49,146.4,31
CPT,86750,Antibody; Plasmodium (malaria) ,,,13.06,40.23,47
CPT,86750,Antibody; Plasmodium (malaria) Trauma,,,31.66,31.66,6
CPT,86750,Antibody; Plasmodium (malaria) UNSCHEDULED,,,94.22,96.2,3
CPT,86753,AMOEBIC AB,162.0,162.0,13.93,194.4,31
CPT,86753,"Antibody; protozoa, not elsewhere specified ",,,12.27,37.79,47
CPT,86753,"Antibody; protozoa, not elsewhere specified Trauma",,,29.74,29.74,6
CPT,86753,"Antibody; protozoa, not elsewhere specified UNSCHEDULED",,,49.2,50.24,3
CPT,86753,BABESIOSIS IGG AB,160.0,160.0,13.76,192.0,31
CPT,86753,BABESIOSIS IGM AB,160.0,160.0,13.76,192.0,31
CPT,86753,SERAMEBA AB QUAL,162.0,162.0,13.93,194.4,31
CPT,86753,TRYPANOSOMA CRUZI IGG,162.0,162.0,13.93,194.4,31
CPT,86756,Antibody; respiratory syncytial virus ,437.0,437.0,15.73,48.46,47
CPT,86756,Antibody; respiratory syncytial virus Trauma,,,38.14,38.14,6
CPT,86756,Antibody; respiratory syncytial virus UNSCHEDULED,437.0,437.0,94.22,96.2,3
CPT,86756,RSV AB QUAL,437.0,437.0,37.58,524.4,31
CPT,86757,Antibody; Rickettsia ,,,19.16,59.02,47
CPT,86757,Antibody; Rickettsia Trauma,,,46.44,46.44,6
CPT,86757,Antibody; Rickettsia UNSCHEDULED,,,94.22,96.2,3
CPT,86757,RICKETTSIA AB IGG QL,156.0,156.0,13.42,187.2,31
CPT,86757,RICKETTSIA AB IGM QL,156.0,156.0,13.42,187.2,31
CPT,86757,RICKETTSIA AB QL,156.0,156.0,13.42,187.2,31
CPT,86759,Antibody; rotavirus ,,,18.05,55.6,47
CPT,86759,Antibody; rotavirus Trauma,,,43.75,43.75,6
CPT,86759,Antibody; rotavirus UNSCHEDULED,,,259.63,265.1,3
CPT,86759,ROTAVIRUS AB QUAL,110.0,110.0,9.46,132.0,93
CPT,86762,Antibody; rubella ,,,14.25,43.89,47
CPT,86762,Antibody; rubella Trauma,,,34.54,34.54,6
CPT,86762,Antibody; rubella UNSCHEDULED,,,50.25,51.31,3
CPT,86762,RUBELLA AB QUAL,121.0,121.0,10.41,145.2,31
CPT,86762,RUBELLA IGG,121.0,121.0,10.41,145.2,31
CPT,86762,RUBELLA IGM,121.0,121.0,10.41,145.2,62
CPT,86765,Antibody; rubeola ,,,12.75,39.28,47
CPT,86765,Antibody; rubeola Trauma,,,30.91,30.91,6
CPT,86765,Antibody; rubeola UNSCHEDULED,,,162.27,165.69,3
CPT,86765,RUBEOLA AB QUAL,173.0,173.0,14.88,207.6,62
CPT,86765,RUBEOLA IGG,47.0,47.0,4.04,56.4,31
CPT,86765,RUBEOLA IGM,173.0,173.0,14.88,207.6,93
CPT,86768,Antibody; Salmonella ,234.0,234.0,13.06,40.23,47
CPT,86768,Antibody; Salmonella Trauma,,,31.66,31.66,6
CPT,86768,Antibody; Salmonella UNSCHEDULED,234.0,234.0,94.22,96.2,3
CPT,86768,SALMONELLA AB QUAL,234.0,234.0,20.12,280.8,31
CPT,86769,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,41.71,128.5,47
CPT,86769,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Trauma,,,101.11,101.11,6
CPT,86769,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») UNSCHEDULED,,,94.22,96.2,3
CPT,86769,COVID-19 AB MULTISTEP,52.565,52.565,3.62,75.6,62
CPT,86771,Antibody; Shigella ,,,24.24,74.66,47
CPT,86771,Antibody; Shigella Trauma,,,58.75,58.75,6
CPT,86771,Antibody; Shigella UNSCHEDULED,,,94.22,96.2,3
CPT,86774,Antibody; tetanus ,,,14.65,45.14,47
CPT,86774,Antibody; tetanus Trauma,,,35.52,35.52,6
CPT,86774,Antibody; tetanus UNSCHEDULED,,,94.22,96.2,3
CPT,86777,Antibody; Toxoplasma ,231.0,231.0,14.25,43.89,47
CPT,86777,Antibody; Toxoplasma Trauma,,,34.54,34.54,6
CPT,86777,Antibody; Toxoplasma UNSCHEDULED,231.0,231.0,94.22,96.2,3
CPT,86777,TOXOPLASMA IGG QUAL,231.0,231.0,19.87,277.2,31
CPT,86778,"Antibody; Toxoplasma, IgM ",231.0,231.0,14.27,43.95,47
CPT,86778,"Antibody; Toxoplasma, IgM Trauma",,,34.58,34.58,6
CPT,86778,"Antibody; Toxoplasma, IgM UNSCHEDULED",231.0,231.0,94.22,96.2,3
CPT,86778,TOXOPLASMA IGM QUAL,231.0,231.0,19.87,277.2,31
CPT,86780,Antibody; Treponema pallidum ,,,13.11,40.38,47
CPT,86780,Antibody; Treponema pallidum Trauma,,,31.78,31.78,6
CPT,86780,Antibody; Treponema pallidum UNSCHEDULED,,,90.03,91.93,3
CPT,86780,FTA AB CONFIRM,113.0,113.0,9.72,135.6,31
CPT,86780,MHA TP CONFIRM,119.0,119.0,10.23,142.8,31
CPT,86780,T PALLIDUM AB IGG,113.0,113.0,9.72,135.6,62
CPT,86780,TREP PALLIDUM IGG IA SQ,113.0,113.0,9.72,135.6,31
CPT,86780,TREP PALLIDUM IGM IA SQ,113.0,113.0,9.72,135.6,31
CPT,86781,"TREPONEMA PALLIDUM, CONFIRM UNSCHEDULED",,,94.22,96.2,3
CPT,86784,Antibody; Trichinella ,404.0,404.0,12.43,38.31,47
CPT,86784,Antibody; Trichinella Trauma,,,30.14,30.14,6
CPT,86784,Antibody; Trichinella UNSCHEDULED,404.0,404.0,94.22,96.2,3
CPT,86784,TRICHINELLA AB QUAL,404.0,404.0,34.74,484.8,31
CPT,86787,Antibody; varicella-zoster ,,,12.75,39.28,47
CPT,86787,Antibody; varicella-zoster Trauma,,,30.91,30.91,6
CPT,86787,Antibody; varicella-zoster UNSCHEDULED,,,101.55,103.68,3
CPT,86787,VARIC ZOSTER IGG,367.0,367.0,31.56,440.4,31
CPT,86787,VARIC ZOSTER IGM,367.0,367.0,31.56,440.4,31
CPT,86788,"Antibody; West Nile virus, IgM ",,,16.68,51.39,47
CPT,86788,"Antibody; West Nile virus, IgM Trauma",,,40.44,40.44,6
CPT,86788,"Antibody; West Nile virus, IgM UNSCHEDULED",,,94.22,96.2,3
CPT,86788,ENCEPH WEST NILE AB IGM,208.0,208.0,17.89,249.6,31
CPT,86788,ENCPH WST NIL AB IGM CSF,208.0,208.0,17.89,249.6,31
CPT,86789,Antibody; West Nile virus ,,,14.25,43.89,47
CPT,86789,Antibody; West Nile virus Trauma,,,34.54,34.54,6
CPT,86789,Antibody; West Nile virus UNSCHEDULED,,,11.51,11.76,3
CPT,86789,ENCEPH WEST NILE AB IGG,208.0,208.0,17.89,249.6,31
CPT,86789,ENCPH WST NIL AB IGG CSF,208.0,208.0,17.89,249.6,31
CPT,86790,"Antibody; virus, not elsewhere specified ",,,12.75,39.28,47
CPT,86790,"Antibody; virus, not elsewhere specified Trauma",,,30.91,30.91,6
CPT,86790,"Antibody; virus, not elsewhere specified UNSCHEDULED",,,35.6,36.35,3
CPT,86790,CHIKUNGUNYA AB IGG,325.5,325.5,17.89,531.6,62
CPT,86790,CHIKUNGUNYA AB IGM,214.5,214.5,17.89,265.2,62
CPT,86790,DENGUE VIRUS AB IGG QL,208.0,208.0,17.89,249.6,62
CPT,86790,DENGUE VIRUS AB IGM QL,208.0,208.0,17.89,249.6,93
CPT,86790,HANTAVIRUS AB IGG QL,208.0,208.0,17.89,249.6,31
CPT,86790,HANTAVIRUS AB IGM QL,208.0,208.0,17.89,249.6,31
CPT,86790,HERPES 6 HUMAN AB IGG QL,88.0,88.0,7.57,105.6,31
CPT,86790,HERPES 6 HUMAN AB IGM QL,88.0,88.0,7.57,105.6,31
CPT,86790,HTLV 1 2 AB QL,230.0,230.0,19.78,276.0,31
CPT,86790,PARAINFLUENZA 1 AB QL,208.0,208.0,17.89,249.6,31
CPT,86790,PARAINFLUENZA 2 AB QL,208.0,208.0,17.89,249.6,31
CPT,86790,PARAINFLUENZA 3 AB QL,208.0,208.0,17.89,249.6,31
CPT,86793,Antibody; Yersinia ,,,13.06,40.23,47
CPT,86793,Antibody; Yersinia Trauma,,,31.66,31.66,6
CPT,86793,Antibody; Yersinia UNSCHEDULED,,,94.22,96.2,3
CPT,86794,"Antibody; Zika virus, IgM ",,,16.68,51.39,47
CPT,86794,"Antibody; Zika virus, IgM Trauma",,,40.44,40.44,6
CPT,86794,"Antibody; Zika virus, IgM UNSCHEDULED",,,94.22,96.2,3
CPT,86800,THYROGLOBULIN AB QUANT,133.0,133.0,11.44,159.6,93
CPT,86800,Thyroglobulin antibody ,,,15.75,48.53,47
CPT,86800,Thyroglobulin antibody Trauma,,,38.18,38.18,6
CPT,86800,Thyroglobulin antibody UNSCHEDULED,,,252.3,257.61,3
CPT,86803,HEPATITIS C AB QUAL,868.0,868.0,74.65,1041.6,93
CPT,86803,Hepatitis C antibody; ,,,14.13,43.52,47
CPT,86803,Hepatitis C antibody; Trauma,,,34.25,34.25,6
CPT,86803,Hepatitis C antibody; UNSCHEDULED,,,130.86,133.62,3
CPT,86804,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.34,47.24,47
CPT,86804,"Hepatitis C antibody; confirmatory test (eg, immunoblot) Trauma",,,37.18,37.18,6
CPT,86804,"Hepatitis C antibody; confirmatory test (eg, immunoblot) UNSCHEDULED",,,196.82,200.96,3
CPT,86805,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,187.61,578.01,47
CPT,86805,"Lymphocytotoxicity assay, visual crossmatch; with titration Trauma",,,454.82,454.82,6
CPT,86805,"Lymphocytotoxicity assay, visual crossmatch; with titration UNSCHEDULED",,,63.86,65.2,3
CPT,86806,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.11,145.15,47
CPT,86806,"Lymphocytotoxicity assay, visual crossmatch; without titration Trauma",,,114.22,114.22,6
CPT,86806,"Lymphocytotoxicity assay, visual crossmatch; without titration UNSCHEDULED",,,87.94,89.79,3
CPT,86807,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,77.86,239.88,47
CPT,86807,Serum screening for cytotoxic percent reactive antibody (PRA); standard method Trauma,,,188.76,188.76,6
CPT,86807,Serum screening for cytotoxic percent reactive antibody (PRA); standard method UNSCHEDULED,,,63.86,65.2,3
CPT,86808,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.38,90.52,47
CPT,86808,Serum screening for cytotoxic percent reactive antibody (PRA); quick method Trauma,,,71.23,71.23,6
CPT,86808,Serum screening for cytotoxic percent reactive antibody (PRA); quick method UNSCHEDULED,,,63.86,65.2,3
CPT,86812,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",218.0,218.0,25.55,78.72,47
CPT,86812,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen Trauma",,,61.94,61.94,6
CPT,86812,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen UNSCHEDULED",218.0,218.0,39.79,40.62,3
CPT,86812,TYPING SINGLE AG,218.0,218.0,18.75,261.6,31
CPT,86813,HLA PHENOTYPING MULTI AG,1481.5,1481.5,43.34,2950.8,62
CPT,86813,"HLA typing; A, B, or C, multiple antigens ",,,57.42,176.9,47
CPT,86813,"HLA typing; A, B, or C, multiple antigens Trauma",,,139.2,139.2,6
CPT,86813,"HLA typing; A, B, or C, multiple antigens UNSCHEDULED",,,63.86,65.2,3
CPT,86816,"HLA typing; DR/DQ, single antigen ",,,29.87,92.02,47
CPT,86816,"HLA typing; DR/DQ, single antigen Trauma",,,72.41,72.41,6
CPT,86816,"HLA typing; DR/DQ, single antigen UNSCHEDULED",,,63.86,65.2,3
CPT,86817,"HLA typing; DR/DQ, multiple antigens ",,,105.08,323.73,47
CPT,86817,"HLA typing; DR/DQ, multiple antigens Trauma",,,254.74,254.74,6
CPT,86817,"HLA typing; DR/DQ, multiple antigens UNSCHEDULED",,,63.86,65.2,3
CPT,86821,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.19,111.51,47
CPT,86821,"HLA typing; lymphocyte culture, mixed (MLC) Trauma",,,87.74,87.74,6
CPT,86821,"HLA typing; lymphocyte culture, mixed (MLC) UNSCHEDULED",,,63.86,65.2,3
CPT,86822,"HHLA typing; lymphocyte culture, primed (PLC) UNSCHEDULED",,,63.86,65.2,3
CPT,86825,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,108.4,333.94,47
CPT,86825,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution Trauma",,,262.78,262.78,6
CPT,86825,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution UNSCHEDULED",,,63.86,65.2,3
CPT,86826,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.16,111.42,47
CPT,86826,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) Trauma",,,87.67,87.67,6
CPT,86826,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) UNSCHEDULED",,,63.86,65.2,3
CPT,86828,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,63.55,195.78,56
CPT,86829,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,63.55,195.78,56
CPT,86830,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,63.86,291.34,56
CPT,86831,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,63.86,249.73,56
CPT,86832,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,63.86,987.44,56
CPT,86833,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,63.86,993.69,56
CPT,86834,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,353.98,1090.56,47
CPT,86834,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I Trauma",,,858.14,858.14,6
CPT,86834,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I UNSCHEDULED",,,63.86,65.2,3
CPT,86835,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,319.73,985.03,47
CPT,86835,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II Trauma",,,775.1,775.1,6
CPT,86835,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II UNSCHEDULED",,,63.86,65.2,3
CPT,86849,Unlisted immunology procedure ,,,,,0
CPT,86849,Unlisted immunology procedure UNSCHEDULED,,,63.86,65.2,3
CPT,86850,ANTIBODY SCREEN EA,320.0,320.0,4.82,700.8,93
CPT,86850,"Antibody screen, RBC, each serum technique ",,,9.67,29.8,46
CPT,86850,"Antibody screen, RBC, each serum technique Trauma",,,23.45,23.45,6
CPT,86850,"Antibody screen, RBC, each serum technique UNSCHEDULED",,,106.78,109.03,3
CPT,86860,ANTIBODY ELUTION EA,143.0,143.0,12.3,171.6,34
CPT,86860,"Antibody elution (RBC), each elution ",143.0,143.0,149.16,149.16,11
CPT,86860,"Antibody elution (RBC), each elution UNSCHEDULED",143.0,143.0,86.9,88.73,3
CPT,86870,ANTIBODY ID EA,1179.0,1179.0,101.39,1414.8,68
CPT,86870,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,11
CPT,86870,"Antibody identification, RBC antibodies, each panel for each serum technique UNSCHEDULED",,,221.94,226.61,3
CPT,86880,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.34,16.44,46
CPT,86880,"Antihuman globulin test (Coombs test); direct, each antiserum Trauma",,,12.94,12.94,6
CPT,86880,"Antihuman globulin test (Coombs test); direct, each antiserum UNSCHEDULED",,,29.32,29.93,3
CPT,86880,DIRECT COOMBS AHG EA,1150.0,1150.0,98.9,1380.0,62
CPT,86880,DIRECT COOMBS COMP EA,1150.0,1150.0,98.9,1380.0,31
CPT,86880,DIRECT COOMBS IGG EA,1150.0,1150.0,98.9,1380.0,31
CPT,86880,DIRECT COOMBS POLYVALENT,300.0,300.0,25.8,360.0,31
CPT,86885,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.66,17.45,46
CPT,86885,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Trauma",,,13.73,13.73,6
CPT,86885,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell UNSCHEDULED",,,238.7,243.72,3
CPT,86885,INDIRECT COOMBS QL EA,1021.0,1021.0,87.81,1225.2,62
CPT,86886,ANTIBODY TITER EA INDIR,302.0,302.0,25.97,362.4,31
CPT,86886,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",302.0,302.0,5.13,15.8,46
CPT,86886,"Antihuman globulin test (Coombs test); indirect, each antibody titer Trauma",,,12.43,12.43,6
CPT,86886,"Antihuman globulin test (Coombs test); indirect, each antibody titer UNSCHEDULED",302.0,302.0,105.73,107.96,3
CPT,86890,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,11
CPT,86890,"Autologous blood or component, collection processing and storage; predeposited UNSCHEDULED",,,86.9,88.73,3
CPT,86891,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,11
CPT,86891,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage UNSCHEDULED",,,86.9,88.73,3
CPT,86900,ABO TYPE,593.0,593.0,51.0,711.6,124
CPT,86900,ABO TYPE CORD BLOOD,29.0,29.0,2.49,34.8,31
CPT,86900,"Blood typing, serologic; ABO ",,,2.96,9.12,46
CPT,86900,"Blood typing, serologic; ABO Trauma",,,7.18,7.18,6
CPT,86900,"Blood typing, serologic; ABO UNSCHEDULED",,,77.47,79.1,3
CPT,86901,"Blood typing, serologic; Rh (D) ",,,2.96,9.12,46
CPT,86901,"Blood typing, serologic; Rh (D) Trauma",,,7.18,7.18,6
CPT,86901,"Blood typing, serologic; Rh (D) UNSCHEDULED",,,51.3,52.38,3
CPT,86901,RH TYPE,321.5,321.5,1.63,748.8,124
CPT,86901,RH TYPE CORD BLOOD,29.0,29.0,2.49,34.8,31
CPT,86902,AG SC DON BLD REA SER EA,122.0,122.0,9.72,261.6,111
CPT,86902,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.29,19.37,46
CPT,86902,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Trauma",,,15.24,15.24,6
CPT,86902,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test UNSCHEDULED",,,47.11,48.1,3
CPT,86903,"BLOOD TYPING, ANTIGEN SCREEN UNSCHEDULED",,,86.9,88.73,3
CPT,86904,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.18,49.84,46
CPT,86904,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Trauma",,,39.22,39.22,6
CPT,86904,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened UNSCHEDULED",,,67.0,68.41,3
CPT,86905,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.79,11.68,46
CPT,86905,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each Trauma",,,9.19,9.19,6
CPT,86905,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each UNSCHEDULED",,,105.73,107.96,3
CPT,86905,RBC ANTIGEN TYPING EA,444.0,444.0,26.14,700.8,102
CPT,86906,BLOOD TYPE RH PHENOTYPE,584.0,584.0,50.22,700.8,31
CPT,86906,"Blood typing, serologic; Rh phenotyping, complete ",584.0,584.0,7.67,23.64,46
CPT,86906,"Blood typing, serologic; Rh phenotyping, complete Trauma",,,18.6,18.6,6
CPT,86906,"Blood typing, serologic; Rh phenotyping, complete UNSCHEDULED",584.0,584.0,86.9,88.73,3
CPT,86910,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,11
CPT,86910,"Blood typing, for paternity testing, per individual; ABO, Rh and MN UNSCHEDULED",,,86.9,88.73,3
CPT,86911,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,11
CPT,86911,"Blood typing, for paternity testing, per individual; each additional antigen system UNSCHEDULED",,,86.9,88.73,3
CPT,86915,Bone marrow/stem cell prep UNSCHEDULED,,,86.9,88.73,3
CPT,86920,CROSSMATCH IMM SPIN,845.0,845.0,72.67,1014.0,34
CPT,86920,Compatibility test each unit; immediate spin technique ,845.0,845.0,149.16,149.16,11
CPT,86920,Compatibility test each unit; immediate spin technique UNSCHEDULED,845.0,845.0,145.52,148.58,3
CPT,86921,CROSSMATCH INCUB,531.0,531.0,45.67,637.2,34
CPT,86921,Compatibility test each unit; incubation technique ,531.0,531.0,149.16,149.16,11
CPT,86921,Compatibility test each unit; incubation technique UNSCHEDULED,531.0,531.0,55.49,56.66,3
CPT,86922,CROSSMATCH AHG,454.0,454.0,39.04,544.8,43
CPT,86922,CROSSMATCH IGG AHG,454.0,454.0,39.04,544.8,43
CPT,86922,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,11
CPT,86922,Compatibility test each unit; antiglobulin technique UNSCHEDULED,,,81.66,83.38,3
CPT,86923,Compatibility test each unit; electronic ,690.0,690.0,149.16,149.16,11
CPT,86923,Compatibility test each unit; electronic UNSCHEDULED,690.0,690.0,74.33,75.89,3
CPT,86923,ELECTRONIC XMATCH,690.0,690.0,59.34,828.0,34
CPT,86927,FFP THAW EA UNIT,248.0,248.0,21.33,297.6,34
CPT,86927,"Fresh frozen plasma, thawing, each unit ",248.0,248.0,149.16,149.16,11
CPT,86927,"Fresh frozen plasma, thawing, each unit UNSCHEDULED",248.0,248.0,91.08,92.99,3
CPT,86930,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,11
CPT,86930,"Frozen blood, each unit; freezing (includes preparation) UNSCHEDULED",,,86.9,88.73,3
CPT,86931,"Frozen blood, each unit; thawing ",,,291.26,291.26,11
CPT,86931,"Frozen blood, each unit; thawing UNSCHEDULED",,,86.9,88.73,3
CPT,86932,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,11
CPT,86932,"Frozen blood, each unit; freezing (includes preparation) and thawing UNSCHEDULED",,,86.9,88.73,3
CPT,86940,HEMOLYSIN AGGLUTIN AUTO,704.0,704.0,60.54,844.8,31
CPT,86940,"Hemolysins and agglutinins; auto, screen, each ",,,8.68,26.75,47
CPT,86940,"Hemolysins and agglutinins; auto, screen, each Trauma",,,21.05,21.05,6
CPT,86940,"Hemolysins and agglutinins; auto, screen, each UNSCHEDULED",,,86.9,88.73,3
CPT,86940,SUCROSE HEMOLYSIN SCN,704.0,704.0,60.54,844.8,31
CPT,86941,Hemolysins and agglutinins; incubated ,507.0,507.0,11.99,36.94,47
CPT,86941,Hemolysins and agglutinins; incubated Trauma,,,29.06,29.06,6
CPT,86941,Hemolysins and agglutinins; incubated UNSCHEDULED,507.0,507.0,86.9,88.73,3
CPT,86941,INCUBATED AUTO SCREEN,507.0,507.0,43.6,608.4,31
CPT,86945,IRRADIATION BLD EA,379.0,379.0,32.59,454.8,34
CPT,86945,"Irradiation of blood product, each unit ",379.0,379.0,33.84,33.84,11
CPT,86945,"Irradiation of blood product, each unit UNSCHEDULED",379.0,379.0,86.9,88.73,3
CPT,86950,Leukocyte transfusion ,,,149.16,149.16,11
CPT,86950,Leukocyte transfusion UNSCHEDULED,,,182.16,186.0,3
CPT,86960,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,11
CPT,86960,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit UNSCHEDULED",,,86.9,88.73,3
CPT,86965,Pooling of platelets or other blood products ,,,149.16,149.16,11
CPT,86965,Pooling of platelets or other blood products UNSCHEDULED,,,86.9,88.73,3
CPT,86970,PRETREAT RBC'S CHEM EA,1200.0,1200.0,103.2,1440.0,34
CPT,86970,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",1200.0,1200.0,33.84,33.84,11
CPT,86970,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each UNSCHEDULED",1200.0,1200.0,86.9,88.73,3
CPT,86971,PRETREAT RBC'S ENZ EA,1508.0,1508.0,129.69,1809.6,34
CPT,86971,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",1508.0,1508.0,291.26,291.26,11
CPT,86971,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each UNSCHEDULED",1508.0,1508.0,47.11,48.1,3
CPT,86972,PRETREAT RBC'S DENS EA,1200.0,1200.0,103.2,1440.0,34
CPT,86972,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",1200.0,1200.0,149.16,149.16,11
CPT,86972,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation UNSCHEDULED",1200.0,1200.0,86.9,88.73,3
CPT,86975,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,11
CPT,86975,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each UNSCHEDULED",,,86.9,88.73,3
CPT,86976,PRETREAT SERUM DIL EA,1200.0,1200.0,103.2,1440.0,34
CPT,86976,Pretreatment of serum for use in RBC antibody identification; by dilution ,1200.0,1200.0,24.67,24.67,11
CPT,86976,Pretreatment of serum for use in RBC antibody identification; by dilution UNSCHEDULED,1200.0,1200.0,86.9,88.73,3
CPT,86977,PRETREAT SERUM INHIB EA,1200.0,1200.0,103.2,1440.0,34
CPT,86977,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",1200.0,1200.0,149.16,149.16,11
CPT,86977,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each UNSCHEDULED",1200.0,1200.0,86.9,88.73,3
CPT,86978,PRETREAT SERUM ABSORP EA,151.0,151.0,12.99,181.2,34
CPT,86978,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",151.0,151.0,33.84,33.84,11
CPT,86978,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption UNSCHEDULED",151.0,151.0,86.9,88.73,3
CPT,86985,SPLITTING OF PRODUCT,3202.45,3202.45,275.41,3842.94,43
CPT,86985,"Splitting of blood or blood products, each unit ",3202.45,3202.45,149.16,149.16,11
CPT,86985,"Splitting of blood or blood products, each unit UNSCHEDULED",3202.45,3202.45,86.9,88.73,3
CPT,86999,Unlisted transfusion medicine procedure ,,,24.67,24.67,11
CPT,86999,Unlisted transfusion medicine procedure UNSCHEDULED,,,702.47,717.26,3
CPT,87003,"Animal inoculation, small animal, with observation and dissection ",,,16.67,51.36,47
CPT,87003,"Animal inoculation, small animal, with observation and dissection Trauma",,,40.42,40.42,6
CPT,87003,"Animal inoculation, small animal, with observation and dissection UNSCHEDULED",,,55.49,56.66,3
CPT,87015,AFB CONCENTRATION,207.0,207.0,17.8,248.4,93
CPT,87015,"Concentration (any type), for infectious agents ",,,6.61,20.37,47
CPT,87015,"Concentration (any type), for infectious agents Trauma",,,16.03,16.03,6
CPT,87015,"Concentration (any type), for infectious agents UNSCHEDULED",,,57.58,58.79,3
CPT,87015,INF AGENT CONCENTRATION,207.0,207.0,17.8,248.4,31
CPT,87040,CULTURE BLOOD,122.0,122.0,10.49,146.4,93
CPT,87040,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.22,31.48,47
CPT,87040,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Trauma",,,24.77,24.77,6
CPT,87040,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) UNSCHEDULED",,,268.0,273.65,3
CPT,87045,CULTURE STOOL,1231.0,1231.0,105.87,1477.2,93
CPT,87045,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.35,28.79,47
CPT,87045,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species Trauma",,,22.66,22.66,6
CPT,87045,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species UNSCHEDULED",,,270.1,275.79,3
CPT,87046,CULT STL ADD'L PATHOGENS,207.0,207.0,17.8,248.4,31
CPT,87046,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",207.0,207.0,9.35,28.79,47
CPT,87046,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate Trauma",,,22.66,22.66,6
CPT,87046,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate UNSCHEDULED",207.0,207.0,65.96,67.35,3
CPT,87060,Def bact cult-throat/NAS UNSCHEDULED,,,109.92,112.24,3
CPT,87070,CULT ENVIRON EPIDEMI,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULT NASOPHARYNGEAL,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULT NOSE,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULT THROAT,1221.0,1221.0,105.01,1465.2,93
CPT,87070,CULTURE ABSCESS,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULTURE ASPIRATE,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULTURE BODY FLUID,1221.0,1221.0,105.01,1465.2,93
CPT,87070,CULTURE BONE MARROW,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULTURE BONE NOT MARROW,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULTURE BRONCH WASH,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULTURE BRONCHIAL,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULTURE CATHETER TIP,1221.0,1221.0,105.01,1465.2,93
CPT,87070,CULTURE CERVICAL,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULTURE CSF,1221.0,1221.0,105.01,1465.2,93
CPT,87070,CULTURE EAR,1221.0,1221.0,105.01,1465.2,93
CPT,87070,CULTURE EYE,1221.0,1221.0,105.01,1465.2,93
CPT,87070,CULTURE GASTRIC,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULTURE GENITAL,1221.0,1221.0,105.01,1465.2,93
CPT,87070,CULTURE PLACENTA,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULTURE RESPIRATORY,1221.0,1221.0,105.01,1465.2,93
CPT,87070,CULTURE SINUS,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULTURE SPUTUM,1221.0,1221.0,105.01,1465.2,93
CPT,87070,CULTURE SURGICAL SPEC,1221.0,1221.0,105.01,1465.2,62
CPT,87070,CULTURE TISSUE,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULTURE UROGENITAL,1221.0,1221.0,105.01,1465.2,31
CPT,87070,CULTURE WOUND,1221.0,1221.0,105.01,1465.2,93
CPT,87070,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.53,26.29,47
CPT,87070,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates Trauma",,,20.69,20.69,6
CPT,87070,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates UNSCHEDULED",,,247.07,252.27,3
CPT,87071,CULT QN BRONCH LAVAGE,50.0,50.0,4.3,60.0,31
CPT,87071,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",50.0,50.0,9.79,30.16,47
CPT,87071,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Trauma",,,23.74,23.74,6
CPT,87071,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool UNSCHEDULED",50.0,50.0,61.77,63.07,3
CPT,87072,Cult NEC-commercial kit UNSCHEDULED,,,109.92,112.24,3
CPT,87073,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.56,29.46,47
CPT,87073,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Trauma",,,23.18,23.18,6
CPT,87073,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool UNSCHEDULED",,,77.47,79.1,3
CPT,87075,CULTURE ANAEROBIC,1461.0,1461.0,125.65,1753.2,93
CPT,87075,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.38,28.88,47
CPT,87075,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates Trauma",,,22.73,22.73,6
CPT,87075,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates UNSCHEDULED",,,195.77,199.89,3
CPT,87076,ANAEROBIC ORG ID,65.0,65.0,5.59,78.0,62
CPT,87076,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.0,24.64,47
CPT,87076,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Trauma",,,19.39,19.39,6
CPT,87076,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate UNSCHEDULED",,,167.5,171.03,3
CPT,87077,AEROBIC ORG ID,148.0,148.0,12.73,177.6,93
CPT,87077,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.0,24.64,47
CPT,87077,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Trauma",,,19.39,19.39,6
CPT,87077,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate UNSCHEDULED",,,102.6,104.76,3
CPT,87077,H PYLORI UREASE (BIOPSY),148.0,148.0,12.73,177.6,31
CPT,87081,CULT BORDETELLA PERT SCR,355.0,355.0,30.53,426.0,93
CPT,87081,CULT DIPHTHERIA SCR,355.0,355.0,30.53,426.0,31
CPT,87081,CULT ECOLI 0157 H7 SCR,355.0,355.0,30.53,426.0,31
CPT,87081,CULT GC SCR,355.0,355.0,30.53,426.0,93
CPT,87081,CULT LEGIONELLA SCR,355.0,355.0,30.53,426.0,31
CPT,87081,CULT STREP GROUP A SCR,355.0,355.0,30.53,426.0,31
CPT,87081,CULT STREP GROUP B SCR,355.0,355.0,30.53,426.0,31
CPT,87081,CULT T VAGINALIS SCRN,10.0,10.0,0.86,12.0,31
CPT,87081,CULT VIBRIO SCR,355.0,355.0,30.53,426.0,31
CPT,87081,CULT VRE SCR,355.0,355.0,30.53,426.0,31
CPT,87081,CULT YERSINIA SCR,355.0,355.0,30.53,426.0,31
CPT,87081,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.56,20.22,47
CPT,87081,"Culture, presumptive, pathogenic organisms, screening only; Trauma",,,15.91,15.91,6
CPT,87081,"Culture, presumptive, pathogenic organisms, screening only; UNSCHEDULED",,,82.71,84.45,3
CPT,87082,Screening culture-1 org UNSCHEDULED,,,109.92,112.24,3
CPT,87083,Screening cult-mult org UNSCHEDULED,,,109.92,112.24,3
CPT,87084,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,26.8,82.56,47
CPT,87084,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Trauma",,,64.97,64.97,6
CPT,87084,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart UNSCHEDULED",,,109.92,112.24,3
CPT,87085,Screen cult-colony count UNSCHEDULED,,,109.92,112.24,3
CPT,87086,CULT COLONY COUNT UR,444.0,444.0,38.18,532.8,93
CPT,87086,"Culture, bacterial; quantitative colony count, urine ",,,7.99,24.61,47
CPT,87086,"Culture, bacterial; quantitative colony count, urine Trauma",,,19.37,19.37,6
CPT,87086,"Culture, bacterial; quantitative colony count, urine UNSCHEDULED",,,186.35,190.28,3
CPT,87087,Urine bact culture-kit UNSCHEDULED,,,109.92,112.24,3
CPT,87088,CULT W PRESUMPTIVE ID UR,444.0,444.0,38.18,532.8,93
CPT,87088,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.01,24.67,47
CPT,87088,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine Trauma",,,19.42,19.42,6
CPT,87088,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine UNSCHEDULED",,,115.16,117.58,3
CPT,87101,CULT FUNGUS SKIN,211.0,211.0,18.15,253.2,31
CPT,87101,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",211.0,211.0,7.63,23.52,47
CPT,87101,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail Trauma",,,18.5,18.5,6
CPT,87101,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail UNSCHEDULED",211.0,211.0,50.25,51.31,3
CPT,87102,CULT FUNGUS OTHER SRC,58.0,58.0,4.99,69.6,62
CPT,87102,CULT YEAST OTHER SOURCE,58.0,58.0,4.99,69.6,31
CPT,87102,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.33,25.65,47
CPT,87102,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) Trauma",,,20.18,20.18,6
CPT,87102,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) UNSCHEDULED",,,257.54,262.96,3
CPT,87103,CULT FUNGUS BLOOD,122.0,122.0,10.49,146.4,62
CPT,87103,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.26,62.4,47
CPT,87103,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood Trauma",,,49.1,49.1,6
CPT,87103,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood UNSCHEDULED",,,109.92,112.24,3
CPT,87106,"Culture, fungi, definitive identification, each organism; yeast ",,,10.22,31.48,47
CPT,87106,"Culture, fungi, definitive identification, each organism; yeast Trauma",,,24.77,24.77,6
CPT,87106,"Culture, fungi, definitive identification, each organism; yeast UNSCHEDULED",,,56.53,57.72,3
CPT,87106,YEAST ID,208.0,208.0,17.89,249.6,93
CPT,87107,"Culture, fungi, definitive identification, each organism; mold ",211.0,211.0,10.22,31.48,47
CPT,87107,"Culture, fungi, definitive identification, each organism; mold Trauma",,,24.77,24.77,6
CPT,87107,"Culture, fungi, definitive identification, each organism; mold UNSCHEDULED",211.0,211.0,38.73,39.55,3
CPT,87107,MOLD ID,211.0,211.0,18.15,253.2,31
CPT,87109,CULT MYCOPLASMA,1091.0,1091.0,93.83,1309.2,31
CPT,87109,"Culture, mycoplasma, any source ",1091.0,1091.0,15.24,46.94,47
CPT,87109,"Culture, mycoplasma, any source Trauma",,,36.94,36.94,6
CPT,87109,"Culture, mycoplasma, any source UNSCHEDULED",1091.0,1091.0,109.92,112.24,3
CPT,87110,CULT CHLAMYDIA,175.0,175.0,15.05,210.0,62
CPT,87110,"Culture, chlamydia, any source ",,,19.4,59.78,47
CPT,87110,"Culture, chlamydia, any source Trauma",,,47.04,47.04,6
CPT,87110,"Culture, chlamydia, any source UNSCHEDULED",,,172.74,176.38,3
CPT,87116,CULT AFB,121.0,121.0,10.41,145.2,93
CPT,87116,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.69,32.94,47
CPT,87116,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates Trauma",,,25.92,25.92,6
CPT,87116,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates UNSCHEDULED",,,347.57,354.88,3
CPT,87117,Acid-fast cult-conc+isol UNSCHEDULED,,,109.92,112.24,3
CPT,87118,AFB IDENTIFICATION,330.0,330.0,28.38,396.0,31
CPT,87118,"Culture, mycobacterial, definitive identification, each isolate ",330.0,330.0,14.46,44.56,47
CPT,87118,"Culture, mycobacterial, definitive identification, each isolate Trauma",,,35.06,35.06,6
CPT,87118,"Culture, mycobacterial, definitive identification, each isolate UNSCHEDULED",330.0,330.0,109.92,112.24,3
CPT,87140,CULT TYPING IFT,211.0,211.0,18.15,253.2,31
CPT,87140,"Culture, typing; immunofluorescent method, each antiserum ",211.0,211.0,5.51,16.99,47
CPT,87140,"Culture, typing; immunofluorescent method, each antiserum Trauma",,,13.37,13.37,6
CPT,87140,"Culture, typing; immunofluorescent method, each antiserum UNSCHEDULED",211.0,211.0,50.25,51.31,3
CPT,87143,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.39,38.19,47
CPT,87143,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Trauma",,,30.05,30.05,6
CPT,87143,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method UNSCHEDULED",,,109.92,112.24,3
CPT,87145,Typing cult-phage method UNSCHEDULED,,,109.92,112.24,3
CPT,87147,CULT TYPE AGGLUT,534.0,534.0,45.92,640.8,31
CPT,87147,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.13,15.8,47
CPT,87147,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Trauma",,,12.43,12.43,6
CPT,87147,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum UNSCHEDULED",,,46.07,47.04,3
CPT,87147,SHIGELLA TYPING AGG,534.0,534.0,45.92,640.8,31
CPT,87149,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,19.85,61.15,47
CPT,87149,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed Trauma",,,48.12,48.12,6
CPT,87149,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed UNSCHEDULED",,,48.16,49.17,3
CPT,87150,CULT TYPING AMP PROBE,211.0,211.0,18.15,253.2,31
CPT,87150,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",211.0,211.0,34.74,107.02,47
CPT,87150,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed Trauma",,,84.22,84.22,6
CPT,87150,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed UNSCHEDULED",211.0,211.0,107.83,110.1,3
CPT,87151,Typing cult-serolog SPEC UNSCHEDULED,,,109.92,112.24,3
CPT,87152,"Culture, typing; identification by pulse field gel typing ",,,7.66,23.61,47
CPT,87152,"Culture, typing; identification by pulse field gel typing Trauma",,,18.58,18.58,6
CPT,87152,"Culture, typing; identification by pulse field gel typing UNSCHEDULED",,,109.92,112.24,3
CPT,87153,CULT TYPING SEQ EA ISO,70.0,70.0,6.02,84.0,31
CPT,87153,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",70.0,70.0,114.21,351.85,47
CPT,87153,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) Trauma",,,276.86,276.86,6
CPT,87153,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) UNSCHEDULED",70.0,70.0,239.74,244.79,3
CPT,87154,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,109.92,665.08,56
CPT,87155,Typing cult-precipitin UNSCHEDULED,,,109.92,112.24,3
CPT,87158,"Culture, typing; other methods ",70.0,70.0,7.66,23.61,47
CPT,87158,"Culture, typing; other methods Trauma",,,18.58,18.58,6
CPT,87158,"Culture, typing; other methods UNSCHEDULED",70.0,70.0,109.92,112.24,3
CPT,87158,ORGANISM IDENTIFICATION,70.0,70.0,6.02,84.0,31
CPT,87163,Cult-ADDL ID meth req UNSCHEDULED,,,109.92,112.24,3
CPT,87164,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.63,32.76,47
CPT,87164,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Trauma",,,25.78,25.78,6
CPT,87164,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection UNSCHEDULED",,,109.92,112.24,3
CPT,87166,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.19,34.47,47
CPT,87166,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Trauma",,,27.12,27.12,6
CPT,87166,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection UNSCHEDULED",,,109.92,112.24,3
CPT,87168,Macroscopic examination; arthropod ,,,4.23,13.02,47
CPT,87168,Macroscopic examination; arthropod Trauma,,,10.25,10.25,6
CPT,87168,Macroscopic examination; arthropod UNSCHEDULED,,,52.34,53.45,3
CPT,87169,MACRO EXAM PARASITE,62.0,62.0,5.33,74.4,31
CPT,87169,Macroscopic examination; parasite ,62.0,62.0,4.27,13.15,47
CPT,87169,Macroscopic examination; parasite Trauma,,,10.34,10.34,6
CPT,87169,Macroscopic examination; parasite UNSCHEDULED,62.0,62.0,109.92,112.24,3
CPT,87172,PINWORM EXAM,190.0,190.0,16.34,228.0,31
CPT,87172,"Pinworm exam (eg, cellophane tape prep) ",190.0,190.0,4.23,13.02,47
CPT,87172,"Pinworm exam (eg, cellophane tape prep) Trauma",,,10.25,10.25,6
CPT,87172,"Pinworm exam (eg, cellophane tape prep) UNSCHEDULED",190.0,190.0,109.92,112.24,3
CPT,87174,Bact endotoxin-chemical UNSCHEDULED,,,109.92,112.24,3
CPT,87175,Bact endotox-biol assay UNSCHEDULED,,,109.92,112.24,3
CPT,87176,HOMOGENIZATION TISSUE,170.0,170.0,14.62,204.0,31
CPT,87176,"Homogenization, tissue, for culture ",170.0,170.0,5.82,17.93,47
CPT,87176,"Homogenization, tissue, for culture Trauma",,,14.11,14.11,6
CPT,87176,"Homogenization, tissue, for culture UNSCHEDULED",170.0,170.0,65.96,67.35,3
CPT,87177,O&P SMEAR CONC ID,916.0,916.0,78.78,1099.2,93
CPT,87177,"Ova and parasites, direct smears, concentration and identification ",,,8.81,27.14,47
CPT,87177,"Ova and parasites, direct smears, concentration and identification Trauma",,,21.36,21.36,6
CPT,87177,"Ova and parasites, direct smears, concentration and identification UNSCHEDULED",,,242.88,247.99,3
CPT,87181,E TEST AGAR METH,148.0,148.0,12.73,177.6,31
CPT,87181,SUSC AGAR DIL EACH AGENT,148.0,148.0,12.73,177.6,62
CPT,87181,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.7,14.49,47
CPT,87181,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Trauma",,,11.4,11.4,6
CPT,87181,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) UNSCHEDULED",,,52.34,53.45,3
CPT,87182,"Susceptibility studies, antimicrobial agent; carbapenemase enzyme detection (eg, Klebsiella pneumoniae carbapenemase ºKPC», New Delhi metallo-beta-lactamase ºNDM», Verona integron-encoded metallo-beta",,,,,0
CPT,87183,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,34.74,107.02,46
CPT,87183,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate Trauma",,,84.22,84.22,6
CPT,87184,SUSC 1-12 DISKS,72.0,72.0,6.19,86.4,93
CPT,87184,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.41,22.81,47
CPT,87184,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Trauma",,,17.95,17.95,6
CPT,87184,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) UNSCHEDULED",,,229.27,234.1,3
CPT,87185,SUSC BETA LACTAM,283.0,283.0,24.34,339.6,31
CPT,87185,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",283.0,283.0,4.7,14.49,47
CPT,87185,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme Trauma",,,11.4,11.4,6
CPT,87185,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme UNSCHEDULED",283.0,283.0,30.36,31.0,3
CPT,87186,FUNGAL MIC,272.0,272.0,23.39,326.4,31
CPT,87186,GRAM POS SENSI MIC,272.0,272.0,23.39,326.4,31
CPT,87186,SUSC MIC,272.0,272.0,23.39,326.4,93
CPT,87186,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.56,26.38,47
CPT,87186,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate Trauma",,,20.76,20.76,6
CPT,87186,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate UNSCHEDULED",,,120.39,122.93,3
CPT,87187,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,39.77,122.52,47
CPT,87187,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) Trauma",,,96.41,96.41,6
CPT,87187,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) UNSCHEDULED",,,109.92,112.24,3
CPT,87188,SUSC MACROBROTH EA AGENT,62.0,62.0,5.33,74.4,31
CPT,87188,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",62.0,62.0,6.57,20.25,47
CPT,87188,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Trauma",,,15.94,15.94,6
CPT,87188,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent UNSCHEDULED",62.0,62.0,134.01,136.83,3
CPT,87190,SUSC AFB PROP EA AGENT,231.0,231.0,19.87,277.2,31
CPT,87190,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",231.0,231.0,7.24,22.3,47
CPT,87190,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Trauma",,,17.54,17.54,6
CPT,87190,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent UNSCHEDULED",231.0,231.0,109.92,112.24,3
CPT,87192,Antibio study-fungi UNSCHEDULED,,,109.92,112.24,3
CPT,87197,SERUM CIDAL LEVEL,377.0,377.0,32.42,452.4,31
CPT,87197,Serum bactericidal titer (Schlichter test) ,377.0,377.0,14.87,45.81,47
CPT,87197,Serum bactericidal titer (Schlichter test) Trauma,,,36.05,36.05,6
CPT,87197,Serum bactericidal titer (Schlichter test) UNSCHEDULED,377.0,377.0,109.92,112.24,3
CPT,87198,Cytomegalovirus antibody dfa UNSCHEDULED,,,109.92,112.24,3
CPT,87199,"Enterovirus antibody, dfa UNSCHEDULED",,,109.92,112.24,3
CPT,87205,GRAM STAIN PRIMARY SRCE,159.5,159.5,7.22,282.0,124
CPT,87205,SMEAR EOSINOPHILS STAIN,235.0,235.0,20.21,282.0,31
CPT,87205,SMEAR FECAL MUCOUS STN,235.0,235.0,20.21,282.0,31
CPT,87205,SMEAR FUNGUS STAIN,235.0,235.0,20.21,282.0,62
CPT,87205,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.23,13.02,47
CPT,87205,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types Trauma",,,10.25,10.25,6
CPT,87205,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types UNSCHEDULED",,,97.37,99.42,3
CPT,87206,CRYPTOSPORIDIUM SMEAR,178.0,178.0,15.31,213.6,31
CPT,87206,CYCLOSPORA SMEAR FLUOR,250.0,250.0,21.5,300.0,31
CPT,87206,SMEAR AFB,428.0,428.0,36.81,513.6,62
CPT,87206,SMEAR MODIFIED KINYON,428.0,428.0,36.81,513.6,31
CPT,87206,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.34,16.44,47
CPT,87206,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types Trauma",,,12.94,12.94,6
CPT,87206,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types UNSCHEDULED",,,95.27,97.27,3
CPT,87207,SMEAR CYCLOSPORA STAIN,554.0,554.0,47.64,664.8,31
CPT,87207,SMR BLD PARASIT/INCL BDY,554.0,554.0,47.64,664.8,93
CPT,87207,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.93,18.27,47
CPT,87207,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) Trauma",,,14.38,14.38,6
CPT,87207,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) UNSCHEDULED",,,92.13,94.07,3
CPT,87208,Smear+interpr DIR stain UNSCHEDULED,,,109.92,112.24,3
CPT,87209,O&P SPECIAL STAIN,554.0,554.0,47.64,664.8,31
CPT,87209,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",554.0,554.0,17.8,54.84,47
CPT,87209,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites Trauma",,,43.15,43.15,6
CPT,87209,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites UNSCHEDULED",554.0,554.0,61.77,63.07,3
CPT,87210,CRYPTOCOCCUS SMEAR,465.0,465.0,39.99,558.0,31
CPT,87210,KOH PREP WET MOUNT,564.0,564.0,48.5,676.8,31
CPT,87210,SMEAR WET MOUNT,465.0,465.0,39.99,558.0,93
CPT,87210,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.76,17.75,47
CPT,87210,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) Trauma",,,13.97,13.97,6
CPT,87210,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) UNSCHEDULED",,,57.58,58.79,3
CPT,87211,Smear+interpr wet & dry UNSCHEDULED,,,109.92,112.24,3
CPT,87220,KOH PREP TISSUE,554.0,554.0,47.64,664.8,31
CPT,87220,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",554.0,554.0,4.23,13.02,47
CPT,87220,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) Trauma",,,10.25,10.25,6
CPT,87220,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) UNSCHEDULED",554.0,554.0,55.49,56.66,3
CPT,87230,C DIFFICILE TOXIN TC,537.0,537.0,46.18,644.4,31
CPT,87230,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",537.0,537.0,19.54,60.21,47
CPT,87230,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Trauma",,,47.38,47.38,6
CPT,87230,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) UNSCHEDULED",537.0,537.0,118.3,120.79,3
CPT,87250,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.36,59.66,47
CPT,87250,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Trauma",,,46.94,46.94,6
CPT,87250,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection UNSCHEDULED",,,109.92,112.24,3
CPT,87252,CULT CMV,714.0,714.0,61.4,856.8,31
CPT,87252,CULT COXSACKIE A,714.0,714.0,61.4,856.8,31
CPT,87252,CULT HERPES SIMP 1&2,714.0,714.0,61.4,856.8,93
CPT,87252,CULT RSV,714.0,714.0,61.4,856.8,62
CPT,87252,CULT VARICELLA ZOSTER,714.0,714.0,61.4,856.8,93
CPT,87252,CULT VIRUS CPE,714.0,714.0,61.4,856.8,93
CPT,87252,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,25.81,79.51,47
CPT,87252,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect Trauma",,,62.57,62.57,6
CPT,87252,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect UNSCHEDULED",,,134.01,136.83,3
CPT,87253,VIRUS DEFINITIVE ID,250.0,250.0,21.5,300.0,31
CPT,87253,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",250.0,250.0,20.0,61.61,47
CPT,87253,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate Trauma",,,48.48,48.48,6
CPT,87253,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate UNSCHEDULED",250.0,250.0,109.92,112.24,3
CPT,87254,CULT VIRUS SHELL VIAL,250.0,250.0,21.5,300.0,31
CPT,87254,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",250.0,250.0,19.36,59.66,47
CPT,87254,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus Trauma",,,46.94,46.94,6
CPT,87254,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus UNSCHEDULED",250.0,250.0,36.64,37.41,3
CPT,87255,HSV CULTURE/TYPING ELVIS,218.0,218.0,18.75,261.6,31
CPT,87255,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",218.0,218.0,33.52,103.27,47
CPT,87255,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) Trauma",,,81.26,81.26,6
CPT,87255,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) UNSCHEDULED",218.0,218.0,109.92,112.24,3
CPT,87260,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.29,44.01,47
CPT,87260,Infectious agent antigen detection by immunofluorescent technique; adenovirus Trauma,,,34.63,34.63,6
CPT,87260,Infectious agent antigen detection by immunofluorescent technique; adenovirus UNSCHEDULED,,,109.92,112.24,3
CPT,87265,BORD PERTUSSIS AG IFT,334.0,334.0,28.72,400.8,31
CPT,87265,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,334.0,334.0,11.86,36.54,47
CPT,87265,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis Trauma,,,28.75,28.75,6
CPT,87265,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis UNSCHEDULED,334.0,334.0,109.92,112.24,3
CPT,87267,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.29,40.93,47
CPT,87267,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) Trauma",,,32.21,32.21,6
CPT,87267,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) UNSCHEDULED",,,109.92,112.24,3
CPT,87269,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.47,41.51,47
CPT,87269,Infectious agent antigen detection by immunofluorescent technique; giardia Trauma,,,32.66,32.66,6
CPT,87269,Infectious agent antigen detection by immunofluorescent technique; giardia UNSCHEDULED,,,109.92,112.24,3
CPT,87270,CHLAMYDIA TRACH AG IFT,102.0,102.0,8.77,122.4,31
CPT,87270,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,102.0,102.0,11.86,36.54,47
CPT,87270,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis Trauma,,,28.75,28.75,6
CPT,87270,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis UNSCHEDULED,102.0,102.0,194.72,198.82,3
CPT,87271,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.29,40.93,47
CPT,87271,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) Trauma",,,32.21,32.21,6
CPT,87271,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) UNSCHEDULED",,,109.92,112.24,3
CPT,87272,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.86,36.54,47
CPT,87272,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium Trauma,,,28.75,28.75,6
CPT,87272,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium UNSCHEDULED,,,109.92,112.24,3
CPT,87273,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.86,36.54,47
CPT,87273,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Trauma,,,28.75,28.75,6
CPT,87273,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 UNSCHEDULED,,,109.92,112.24,3
CPT,87274,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.86,36.54,47
CPT,87274,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Trauma,,,28.75,28.75,6
CPT,87274,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 UNSCHEDULED,,,109.92,112.24,3
CPT,87275,INFLUENZA B AG IFT,96.0,96.0,8.26,115.2,31
CPT,87275,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,96.0,96.0,12.13,37.36,47
CPT,87275,Infectious agent antigen detection by immunofluorescent technique; influenza B virus Trauma,,,29.4,29.4,6
CPT,87275,Infectious agent antigen detection by immunofluorescent technique; influenza B virus UNSCHEDULED,96.0,96.0,163.31,166.75,3
CPT,87276,INFLUENZA A AG IFT,96.0,96.0,8.26,115.2,31
CPT,87276,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,96.0,96.0,15.91,49.01,47
CPT,87276,Infectious agent antigen detection by immunofluorescent technique; influenza A virus Trauma,,,38.57,38.57,6
CPT,87276,Infectious agent antigen detection by immunofluorescent technique; influenza A virus UNSCHEDULED,96.0,96.0,163.31,166.75,3
CPT,87277,HInfectious agent antigen detection by immunofluorescent technique; Legionella micdadei UNSCHEDULED,,,109.92,112.24,3
CPT,87278,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,669.0,669.0,15.44,47.58,47
CPT,87278,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Trauma,,,37.44,37.44,6
CPT,87278,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila UNSCHEDULED,669.0,669.0,169.59,173.16,3
CPT,87278,LEG PNEUMOPHILIA AG IFT,669.0,669.0,57.53,802.8,31
CPT,87279,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.27,50.11,47
CPT,87279,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type Trauma",,,39.43,39.43,6
CPT,87279,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type UNSCHEDULED",,,109.92,112.24,3
CPT,87280,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,113.0,113.0,13.29,40.93,47
CPT,87280,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus Trauma,,,32.21,32.21,6
CPT,87280,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus UNSCHEDULED,113.0,113.0,109.92,112.24,3
CPT,87280,RSV AG IFT,113.0,113.0,9.72,135.6,31
CPT,87281,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,162.0,162.0,11.86,36.54,47
CPT,87281,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Trauma,,,28.75,28.75,6
CPT,87281,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii UNSCHEDULED,162.0,162.0,109.92,112.24,3
CPT,87281,PNEUMOCYSTIS CARINII IFT,162.0,162.0,13.93,194.4,31
CPT,87283,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.19,185.44,47
CPT,87283,Infectious agent antigen detection by immunofluorescent technique; Rubeola Trauma,,,145.92,145.92,6
CPT,87283,Infectious agent antigen detection by immunofluorescent technique; Rubeola UNSCHEDULED,,,109.92,112.24,3
CPT,87285,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.06,37.15,47
CPT,87285,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Trauma,,,29.23,29.23,6
CPT,87285,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum UNSCHEDULED,,,109.92,112.24,3
CPT,87290,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.29,40.93,47
CPT,87290,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus Trauma,,,32.21,32.21,6
CPT,87290,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus UNSCHEDULED,,,109.92,112.24,3
CPT,87290,VARICELLA ZOSTER AG IFT,406.0,406.0,34.92,487.2,93
CPT,87299,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,15.94,49.11,47
CPT,87299,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Trauma",,,38.64,38.64,6
CPT,87299,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism UNSCHEDULED",,,109.92,112.24,3
CPT,87300,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.86,36.54,47
CPT,87300,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum Trauma",,,28.75,28.75,6
CPT,87300,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum UNSCHEDULED",,,109.92,112.24,3
CPT,87301,ADENOVIRUS AGTY40/41 EIA,173.0,173.0,14.88,207.6,31
CPT,87301,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",173.0,173.0,11.86,112.24,56
CPT,87305,ASPERGILLUS AG EIA,288.5,288.5,24.34,352.8,62
CPT,87305,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.86,97.27,56
CPT,87320,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,14.85,112.24,56
CPT,87324,C DIFFICILE TOXIN AG EIA,537.0,537.0,46.18,644.4,31
CPT,87324,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",537.0,537.0,11.86,166.75,56
CPT,87327,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,13.29,112.24,56
CPT,87328,CRYPTOSPORIDIUM AG EIA,231.0,231.0,19.87,277.2,93
CPT,87328,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,13.68,42.15,56
CPT,87329,GIARDIA AG EIA,231.0,231.0,19.87,277.2,93
CPT,87329,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.86,45.97,56
CPT,87332,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.86,112.24,56
CPT,87335,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,12.53,112.24,56
CPT,87336,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,15.84,112.24,56
CPT,87337,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.86,112.24,56
CPT,87338,H PYLORI AG EIA STOOL,143.0,143.0,12.3,171.6,31
CPT,87338,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",143.0,143.0,14.24,112.24,56
CPT,87339,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,15.84,191.34,56
CPT,87340,HEP B S AG EIA QL,91.0,91.0,7.83,109.2,93
CPT,87340,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.23,109.03,56
CPT,87341,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.23,159.27,56
CPT,87350,HEP BE AG EIA,102.0,102.0,8.77,122.4,31
CPT,87350,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",102.0,102.0,11.41,35.17,56
CPT,87380,HEP DELTA AGENT AG EIA,146.0,146.0,12.56,175.2,31
CPT,87380,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",146.0,146.0,18.18,66.27,56
CPT,87385,HISTOPLASMA CAPS AG EIA,400.0,400.0,34.4,480.0,31
CPT,87385,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",400.0,400.0,13.12,88.73,56
CPT,87389,HIV-1AG HIV-1/2AB SINGLE,62.0,62.0,5.33,74.4,93
CPT,87389,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,23.84,73.44,56
CPT,87390,HIV 1 P24 AG IA,478.0,478.0,41.11,573.6,31
CPT,87390,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",478.0,478.0,23.82,142.17,56
CPT,87391,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,21.68,112.24,56
CPT,87400,INFLUENZA A AG IA,712.0,712.0,61.23,854.4,155
CPT,87400,INFLUENZA B AG IA,712.0,712.0,61.23,854.4,155
CPT,87400,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,13.99,107.96,56
CPT,87420,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,13.77,112.24,56
CPT,87420,RSV AG IA,966.0,966.0,60.29,1477.2,155
CPT,87425,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",110.0,110.0,11.86,335.65,56
CPT,87425,ROTAVIRUS AG EIA,110.0,110.0,9.46,132.0,31
CPT,87426,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,34.98,112.24,56
CPT,87426,SARSCOV CORONAVIRU AG IA,1780.0,1780.0,153.08,2136.0,155
CPT,87427,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.86,73.76,56
CPT,87427,SHIGA LIKE TOXIN EIA,94.0,94.0,8.08,112.8,62
CPT,87428,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,69.59,214.38,56
CPT,87428,SARSCOV&INF VIR AB AG IA,1780.0,1780.0,153.08,2136.0,62
CPT,87430,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,16.64,109.03,56
CPT,87430,STREP A AG IA,847.0,847.0,72.84,1016.4,155
CPT,87449,INFECT ANTGN DETEC NOS,400.0,400.0,34.4,480.0,93
CPT,87449,INFLU VIRUS NEURAMIN EIA,400.0,400.0,34.4,480.0,31
CPT,87449,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,11.86,69.48,56
CPT,87449,LEGIONELLA AG EIA,400.0,400.0,34.4,480.0,62
CPT,87449,NOROVIRUS AG EIA,400.0,400.0,34.4,480.0,31
CPT,87450,"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]), QUALITATIVE OR SEMIQUANTIT",,,109.92,112.24,3
CPT,87451,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.4,112.24,56
CPT,87467,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,15.05,112.24,56
CPT,87468,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,34.74,107.02,47
CPT,87468,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87468,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87469,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,34.74,107.02,47
CPT,87469,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87469,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87470,"HInfectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, direct probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87471,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,34.74,107.02,47
CPT,87471,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87471,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87472,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.41,130.66,47
CPT,87472,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification Trauma",,,102.82,102.82,6
CPT,87472,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87475,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,19.85,61.15,47
CPT,87475,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Trauma",,,48.12,48.12,6
CPT,87475,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87476,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,34.74,107.02,47
CPT,87476,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87476,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique UNSCHEDULED",,,117.25,119.72,3
CPT,87477,"HInfectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87478,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,34.74,107.02,47
CPT,87478,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87478,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87480,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,19.85,61.15,47
CPT,87480,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Trauma",,,48.12,48.12,6
CPT,87480,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique UNSCHEDULED",,,61.77,63.07,3
CPT,87481,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,34.74,107.02,47
CPT,87481,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87481,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87482,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.18,170.01,47
CPT,87482,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Trauma",,,133.78,133.78,6
CPT,87482,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87483,CNS DNA AMP PROB TY12-25,1218.0,1218.0,104.75,1461.6,31
CPT,87483,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",1218.0,1218.0,412.61,1271.18,56
CPT,87484,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,34.74,107.02,47
CPT,87484,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87484,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87485,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,19.85,61.15,47
CPT,87485,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Trauma",,,48.12,48.12,6
CPT,87485,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique UNSCHEDULED",,,41.88,42.76,3
CPT,87486,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,34.74,107.02,47
CPT,87486,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87486,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique UNSCHEDULED",,,97.37,99.42,3
CPT,87487,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.41,130.66,47
CPT,87487,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Trauma",,,102.82,102.82,6
CPT,87487,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87490,CHLAMYDIA T DIR PROBE,113.0,113.0,9.72,135.6,31
CPT,87490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",113.0,113.0,22.52,69.39,47
CPT,87490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Trauma",,,54.6,54.6,6
CPT,87490,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique UNSCHEDULED",113.0,113.0,152.85,156.06,3
CPT,87491,CHLAMYDIA T AMP PROBE,455.0,455.0,39.13,546.0,93
CPT,87491,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,34.74,107.02,47
CPT,87491,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87491,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87492,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,52.94,163.08,47
CPT,87492,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Trauma",,,128.33,128.33,6
CPT,87492,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87493,C DIFF TOX B NAP1 ST AMP,393.0,393.0,33.8,471.6,31
CPT,87493,C DIFF TOX GENE AMP PROB,393.0,393.0,33.8,471.6,62
CPT,87493,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,36.9,113.67,47
CPT,87493,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique Trauma",,,89.45,89.45,6
CPT,87493,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique UNSCHEDULED",,,165.41,168.9,3
CPT,87494,CHLM TRCH&NEISR GONO MUL,910.0,910.0,78.26,1092.0,31
CPT,87494,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",910.0,910.0,69.48,214.05,46
CPT,87494,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique Trauma",,,168.43,168.43,6
CPT,87495,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,29.73,91.59,47
CPT,87495,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Trauma",,,72.07,72.07,6
CPT,87495,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87496,CMV AMP PROBE,475.25,475.25,19.05,874.8,62
CPT,87496,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,34.74,107.02,47
CPT,87496,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87496,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique UNSCHEDULED",,,560.09,571.88,3
CPT,87497,CMV DNA QN,92.0,92.0,7.91,110.4,31
CPT,87497,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",92.0,92.0,42.41,130.66,47
CPT,87497,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Trauma",,,102.82,102.82,6
CPT,87497,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification UNSCHEDULED",92.0,92.0,109.92,112.24,3
CPT,87498,ENTEROVIRUS AMP/REVERS T,404.0,404.0,34.74,484.8,31
CPT,87498,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",404.0,404.0,34.74,107.02,47
CPT,87498,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,6
CPT,87498,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed UNSCHEDULED",404.0,404.0,247.07,252.27,3
CPT,87500,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,34.74,107.02,47
CPT,87500,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique Trauma",,,84.22,84.22,6
CPT,87500,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique UNSCHEDULED",,,91.08,92.99,3
CPT,87501,FLU SINGLE TYPE/SUBTY AM,1120.0,1120.0,96.32,1344.0,31
CPT,87501,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",1120.0,1120.0,50.8,156.5,47
CPT,87501,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype Trauma",,,123.14,123.14,6
CPT,87501,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype UNSCHEDULED",1120.0,1120.0,109.92,112.24,3
CPT,87502,FLU 1ST 2 MPLEX TY SUBTY,159.0,159.0,13.67,190.8,31
CPT,87502,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",159.0,159.0,94.84,292.19,56
CPT,87503,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,28.93,89.12,56
CPT,87505,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,127.01,489.58,56
CPT,87506,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,109.92,802.12,56
CPT,87507,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",250.0,250.0,412.61,1271.18,56
CPT,87507,NAT GI MULT 12-25 TARGET,250.0,250.0,21.5,300.0,31
CPT,87510,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,19.85,61.15,47
CPT,87510,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Trauma",,,48.12,48.12,6
CPT,87510,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique UNSCHEDULED",,,61.77,63.07,3
CPT,87511,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,34.74,107.02,47
CPT,87511,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87511,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87512,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.34,127.37,47
CPT,87512,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Trauma",,,100.22,100.22,6
CPT,87512,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87513,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,34.74,107.02,46
CPT,87513,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87515,"HInfectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, direct probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87516,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,34.74,107.02,47
CPT,87516,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87516,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique UNSCHEDULED",,,95.27,97.27,3
CPT,87517,HEP B DNA QN,596.0,596.0,51.26,715.2,31
CPT,87517,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",596.0,596.0,42.41,130.66,47
CPT,87517,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification Trauma",,,102.82,102.82,6
CPT,87517,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification UNSCHEDULED",596.0,596.0,126.67,129.34,3
CPT,87520,HEP C DIR PROBE,1372.0,1372.0,117.99,1646.4,31
CPT,87520,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",1372.0,1372.0,30.91,95.22,47
CPT,87520,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Trauma",,,74.93,74.93,6
CPT,87520,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique UNSCHEDULED",1372.0,1372.0,78.52,80.17,3
CPT,87521,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,34.74,107.02,47
CPT,87521,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,6
CPT,87521,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed UNSCHEDULED",,,65.96,67.35,3
CPT,87522,HEP C DNA QN,1218.0,1218.0,104.75,1461.6,31
CPT,87522,HEP C RNA QN,1218.0,1218.0,104.75,1461.6,31
CPT,87522,HEP C VIRAL LOAD,1218.0,1218.0,104.75,1461.6,31
CPT,87522,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.41,130.66,47
CPT,87522,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Trauma",,,102.82,102.82,6
CPT,87522,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed UNSCHEDULED",,,109.92,112.24,3
CPT,87523,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.41,130.66,46
CPT,87523,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed Trauma",,,102.82,102.82,6
CPT,87523,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed UNSCHEDULED",,,109.92,112.24,3
CPT,87525,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.5,90.89,47
CPT,87525,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Trauma",,,71.52,71.52,6
CPT,87525,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87526,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,38.87,119.74,47
CPT,87526,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Trauma",,,94.22,94.22,6
CPT,87526,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87527,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.34,127.37,47
CPT,87527,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification Trauma",,,100.22,100.22,6
CPT,87527,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87528,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,19.85,61.15,47
CPT,87528,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Trauma",,,48.12,48.12,6
CPT,87528,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87529,HERPES SIMP AMP PROBE,1769.0,1769.0,152.13,2122.8,62
CPT,87529,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,34.74,107.02,47
CPT,87529,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87529,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique UNSCHEDULED",,,368.5,376.26,3
CPT,87530,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.41,130.66,47
CPT,87530,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Trauma",,,102.82,102.82,6
CPT,87530,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification UNSCHEDULED",,,128.77,131.48,3
CPT,87531,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,57.42,176.9,47
CPT,87531,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Trauma",,,139.2,139.2,6
CPT,87531,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87532,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,34.74,107.02,47
CPT,87532,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87532,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique UNSCHEDULED",,,222.99,227.69,3
CPT,87533,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.34,127.37,47
CPT,87533,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Trauma",,,100.22,100.22,6
CPT,87533,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87534,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.7,66.86,47
CPT,87534,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Trauma",,,52.61,52.61,6
CPT,87534,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87535,HIV-1 AMP PROBE,231.5,231.5,19.44,284.4,62
CPT,87535,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,34.74,107.02,47
CPT,87535,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,6
CPT,87535,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed UNSCHEDULED",,,94.22,96.2,3
CPT,87536,HIV 1 DNA QN,593.0,593.0,51.0,711.6,31
CPT,87536,HIV 1 VIRAL LOAD,593.0,593.0,51.0,711.6,31
CPT,87536,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,84.25,259.55,47
CPT,87536,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Trauma",,,204.24,204.24,6
CPT,87536,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed UNSCHEDULED",,,98.41,100.48,3
CPT,87537,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.7,66.86,47
CPT,87537,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Trauma",,,52.61,52.61,6
CPT,87537,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87538,HIV-2 AMP PROBE,70.0,70.0,6.02,84.0,31
CPT,87538,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",70.0,70.0,34.74,107.02,47
CPT,87538,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,6
CPT,87538,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed UNSCHEDULED",70.0,70.0,109.92,112.24,3
CPT,87539,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.03,178.79,47
CPT,87539,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed Trauma",,,140.69,140.69,6
CPT,87539,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed UNSCHEDULED",,,109.92,112.24,3
CPT,87540,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,19.85,61.15,47
CPT,87540,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique Trauma",,,48.12,48.12,6
CPT,87540,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87541,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,34.74,107.02,47
CPT,87541,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87541,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87542,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.34,127.37,47
CPT,87542,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Trauma",,,100.22,100.22,6
CPT,87542,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87550,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,19.85,61.15,47
CPT,87550,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Trauma",,,48.12,48.12,6
CPT,87550,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87551,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,47.76,147.13,47
CPT,87551,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique Trauma",,,115.78,115.78,6
CPT,87551,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique UNSCHEDULED",,,342.33,349.54,3
CPT,87552,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.41,130.66,47
CPT,87552,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Trauma",,,102.82,102.82,6
CPT,87552,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87555,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",283.0,283.0,26.61,81.98,47
CPT,87555,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Trauma",,,64.51,64.51,6
CPT,87555,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique UNSCHEDULED",283.0,283.0,109.92,112.24,3
CPT,87555,MTB DIRECT PROBE,283.0,283.0,24.34,339.6,31
CPT,87556,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",1518.0,1518.0,41.26,127.12,47
CPT,87556,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Trauma",,,100.03,100.03,6
CPT,87556,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique UNSCHEDULED",1518.0,1518.0,227.17,231.96,3
CPT,87556,MTB AMP PROBE,1518.0,1518.0,130.55,1821.6,31
CPT,87557,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.41,130.66,47
CPT,87557,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Trauma",,,102.82,102.82,6
CPT,87557,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87560,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",283.0,283.0,27.02,83.23,47
CPT,87560,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique Trauma",,,65.5,65.5,6
CPT,87560,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique UNSCHEDULED",283.0,283.0,109.92,112.24,3
CPT,87560,M AVIUM-INTRAC DIR PROBE,283.0,283.0,24.34,339.6,31
CPT,87561,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,34.74,107.02,47
CPT,87561,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87561,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87562,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.41,130.66,47
CPT,87562,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Trauma",,,102.82,102.82,6
CPT,87562,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87563,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,34.74,107.02,47
CPT,87563,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87563,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87564,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",70.0,70.0,76.0,234.15,46
CPT,87564,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique Trauma",,,184.25,184.25,6
CPT,87564,MTB RIFAMPIN RST AMP,70.0,70.0,6.02,84.0,31
CPT,87580,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,19.85,61.15,47
CPT,87580,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Trauma",,,48.12,48.12,6
CPT,87580,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87581,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,34.74,107.02,47
CPT,87581,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87581,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique UNSCHEDULED",,,42.92,43.82,3
CPT,87582,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,299.59,922.99,47
CPT,87582,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Trauma",,,726.29,726.29,6
CPT,87582,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87590,GC DIR PROBE,113.0,113.0,9.72,135.6,31
CPT,87590,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",113.0,113.0,26.61,81.98,47
CPT,87590,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Trauma",,,64.51,64.51,6
CPT,87590,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique UNSCHEDULED",113.0,113.0,152.85,156.06,3
CPT,87591,GC AMP PROBE,455.0,455.0,39.13,546.0,93
CPT,87591,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,34.74,107.02,47
CPT,87591,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87591,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87592,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.41,130.66,47
CPT,87592,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Trauma",,,102.82,102.82,6
CPT,87592,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87593,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",105.0,105.0,50.8,156.5,47
CPT,87593,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each Trauma",,,123.14,123.14,6
CPT,87593,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each UNSCHEDULED",105.0,105.0,109.92,112.24,3
CPT,87593,ORTHOPOXVIRUS AMP PRB EA,105.0,105.0,9.03,126.0,31
CPT,87594,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,34.74,107.02,46
CPT,87594,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87620,HPV DNA DIR PROBE UNSCHEDULED,,,109.92,112.24,3
CPT,87621,HPV DNA AMP PROBE UNSCHEDULED,,,109.92,112.24,3
CPT,87622,HPV DNA QUANT UNSCHEDULED,,,109.92,112.24,3
CPT,87623,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,34.74,107.02,47
CPT,87623,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) Trauma",,,84.22,84.22,6
CPT,87623,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) UNSCHEDULED",,,109.92,112.24,3
CPT,87624,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,34.74,107.02,47
CPT,87624,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result Trauma",,,84.22,84.22,6
CPT,87624,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result UNSCHEDULED",,,109.92,112.24,3
CPT,87625,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.14,123.68,47
CPT,87625,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed Trauma",,,97.32,97.32,6
CPT,87625,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed UNSCHEDULED",,,109.92,112.24,3
CPT,87626,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,69.5,214.11,46
CPT,87626,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) Trauma",,,168.48,168.48,6
CPT,87627,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,672.97,2073.3,46
CPT,87627,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets Trauma",,,1631.45,1631.45,6
CPT,87631,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,141.2,435.02,56
CPT,87632,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,215.88,1185.46,56
CPT,87633,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",966.0,966.0,412.61,1271.18,56
CPT,87633,RESP MPLEX RT AMP 12-25,966.0,966.0,83.08,1159.2,31
CPT,87634,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,69.5,214.11,47
CPT,87634,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique Trauma",,,168.48,168.48,6
CPT,87634,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87635,COVID-19 DNA/RNA AMP,70.0,70.0,6.02,84.0,31
CPT,87635,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",70.0,70.0,50.8,156.5,47
CPT,87635,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique Trauma",,,123.14,123.14,6
CPT,87635,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique UNSCHEDULED",70.0,70.0,109.92,112.24,3
CPT,87636,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,109.92,435.02,56
CPT,87637,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,109.92,435.02,56
CPT,87638,Infectious agent detection by nucleic acid (DNA or RNA); rubeola (measles) virus ,,,,,0
CPT,87640,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,34.74,107.02,47
CPT,87640,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87640,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique UNSCHEDULED",,,199.96,204.17,3
CPT,87641,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",325.0,325.0,34.74,107.02,47
CPT,87641,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87641,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique UNSCHEDULED",325.0,325.0,181.12,184.93,3
CPT,87641,STAPH AUREUS MRSA AMP,325.0,325.0,27.95,390.0,31
CPT,87650,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,19.85,61.15,47
CPT,87650,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Trauma",,,48.12,48.12,6
CPT,87650,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,34.74,107.02,47
CPT,87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique UNSCHEDULED",,,119.35,121.86,3
CPT,87652,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.34,127.37,47
CPT,87652,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Trauma",,,100.22,100.22,6
CPT,87652,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification UNSCHEDULED",,,109.92,112.24,3
CPT,87653,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,34.74,107.02,47
CPT,87653,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87653,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique UNSCHEDULED",,,101.55,103.68,3
CPT,87660,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,19.85,61.15,47
CPT,87660,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique Trauma",,,48.12,48.12,6
CPT,87660,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique UNSCHEDULED",,,61.77,63.07,3
CPT,87661,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",207.0,207.0,34.74,107.02,47
CPT,87661,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Trauma",,,84.22,84.22,6
CPT,87661,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique UNSCHEDULED",207.0,207.0,109.92,112.24,3
CPT,87661,TRICH VAGINALIS AMP PRBE,207.0,207.0,17.8,248.4,31
CPT,87662,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,50.8,156.5,47
CPT,87662,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique Trauma",,,123.14,123.14,6
CPT,87662,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique UNSCHEDULED",,,109.92,112.24,3
CPT,87797,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,29.73,91.59,47
CPT,87797,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism Trauma",,,72.07,72.07,6
CPT,87797,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism UNSCHEDULED",,,109.92,112.24,3
CPT,87798,ADENOVIRUS AMP PROBE,464.0,464.0,39.9,556.8,31
CPT,87798,BORD PERTUSSIS AMP PR,257.0,257.0,22.1,308.4,31
CPT,87798,BORDETELL PARAPERTUS AMP,427.0,427.0,36.72,512.4,31
CPT,87798,EBV AMP PROBE,464.0,464.0,39.9,556.8,31
CPT,87798,HTLV1 AMP PROBE,167.0,167.0,14.36,200.4,31
CPT,87798,HTLV2 AMP PROBE,167.0,167.0,14.36,200.4,31
CPT,87798,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,34.74,107.02,47
CPT,87798,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism Trauma",,,84.22,84.22,6
CPT,87798,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism UNSCHEDULED",,,112.01,114.37,3
CPT,87798,J C VIRUS AMP PROBE,427.0,427.0,36.72,512.4,31
CPT,87798,J C VIRUS AMP PROBE CSF,427.0,427.0,36.72,512.4,31
CPT,87798,NOROVIRUS AMP PROBE,188.0,188.0,16.17,225.6,31
CPT,87798,T GONDII AMP PROBE,427.0,427.0,36.72,512.4,31
CPT,87798,VARICELLA ZOSTER DNA AMP,322.0,322.0,27.69,386.4,31
CPT,87798,WEST NILE VIR AMP PROBE,379.0,379.0,32.59,454.8,31
CPT,87799,BK POLYOMA VIRUS AMP QN,283.0,283.0,24.34,339.6,31
CPT,87799,HERPES (HHV) 8 AMP QN,254.0,254.0,21.84,304.8,31
CPT,87799,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.41,130.66,47
CPT,87799,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Trauma",,,102.82,102.82,6
CPT,87799,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism UNSCHEDULED",,,109.92,112.24,3
CPT,87800,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.23,133.19,47
CPT,87800,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique Trauma",,,104.81,104.81,6
CPT,87800,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique UNSCHEDULED",,,109.92,112.24,3
CPT,87801,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,69.5,214.11,47
CPT,87801,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Trauma",,,168.48,168.48,6
CPT,87801,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique UNSCHEDULED",,,237.64,242.65,3
CPT,87802,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",1434.0,1434.0,12.6,38.83,47
CPT,87802,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B Trauma",,,30.55,30.55,6
CPT,87802,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B UNSCHEDULED",1434.0,1434.0,109.92,112.24,3
CPT,87802,STREP GR B OPTICAL IA,1434.0,1434.0,123.32,1720.8,31
CPT,87803,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,15.84,48.8,47
CPT,87803,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A Trauma",,,38.4,38.4,6
CPT,87803,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A UNSCHEDULED",,,71.19,72.69,3
CPT,87804,INFLUENZA VIRUS AG OIA,130.0,130.0,11.18,156.0,62
CPT,87804,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.38,50.48,47
CPT,87804,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza Trauma",,,39.72,39.72,6
CPT,87804,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza UNSCHEDULED",,,109.92,112.24,3
CPT,87806,HIV1 AG & HIV1&2 ABS OIA,119.0,119.0,10.23,142.8,31
CPT,87806,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",119.0,119.0,32.44,99.95,47
CPT,87806,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies Trauma",,,78.65,78.65,6
CPT,87806,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies UNSCHEDULED",119.0,119.0,90.03,91.93,3
CPT,87807,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,12.97,39.95,47
CPT,87807,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus Trauma",,,31.44,31.44,6
CPT,87807,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus UNSCHEDULED",,,109.92,112.24,3
CPT,87807,RSV AG OIA,123.0,123.0,10.58,147.6,62
CPT,87808,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.14,46.63,47
CPT,87808,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis Trauma",,,36.7,36.7,6
CPT,87808,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis UNSCHEDULED",,,210.42,214.85,3
CPT,87808,TRICHOMONAS VAG AG OIA,771.0,771.0,66.31,925.2,155
CPT,87809,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.54,66.37,47
CPT,87809,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Trauma",,,52.22,52.22,6
CPT,87809,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus UNSCHEDULED",,,109.92,112.24,3
CPT,87810,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,34.94,107.63,47
CPT,87810,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis Trauma",,,84.7,84.7,6
CPT,87810,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis UNSCHEDULED",,,105.73,107.96,3
CPT,87811,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,40.97,129.93,47
CPT,87811,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Trauma",,,99.31,99.31,6
CPT,87811,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») UNSCHEDULE",,,109.92,112.24,3
CPT,87812,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,73.74,227.16,52
CPT,87850,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.31,74.91,47
CPT,87850,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae Trauma",,,58.94,58.94,6
CPT,87850,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae UNSCHEDULED",,,109.92,112.24,3
CPT,87880,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.36,50.42,47
CPT,87880,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A Trauma",,,39.67,39.67,6
CPT,87880,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A UNSCHEDULED",,,123.54,126.14,3
CPT,87880,STREP A OPTICAL IA,1854.0,1854.0,159.44,2224.8,93
CPT,87899,CAMPYLOBACTER AG OIA,113.0,113.0,9.72,135.6,31
CPT,87899,CRYPTOCOCCAL AG IA TIT,113.0,113.0,9.72,135.6,31
CPT,87899,CRYPTOCOCCUS AG OIA,113.0,113.0,9.72,135.6,31
CPT,87899,CRYPTOCOCCUS AG OIA CSF,121.0,121.0,10.41,145.2,31
CPT,87899,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,15.91,49.01,47
CPT,87899,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified Trauma",,,38.57,38.57,6
CPT,87899,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified UNSCHEDULED",,,121.44,124.0,3
CPT,87899,N MENINGITIDIS AG OIA,113.0,113.0,9.72,135.6,31
CPT,87899,STREP PNEUMO AG OIA,39.0,39.0,2.24,135.6,93
CPT,87900,GENOTYPIC BIOINFORMATICS,650.0,650.0,55.9,780.0,31
CPT,87900,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,650.0,650.0,129.05,397.57,47
CPT,87900,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics Trauma,,,312.84,312.84,6
CPT,87900,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics UNSCHEDULED,650.0,650.0,109.92,112.24,3
CPT,87901,HIV 1 GENOTYPE RT & PROT,1587.0,1587.0,136.48,1904.4,31
CPT,87901,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",1587.0,1587.0,254.88,785.22,47
CPT,87901,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions Trauma",,,617.88,617.88,6
CPT,87901,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions UNSCHEDULED",1587.0,1587.0,839.61,857.29,3
CPT,87902,HEP C GENOTYPE,1372.0,1372.0,117.99,1646.4,31
CPT,87902,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,1372.0,1372.0,254.88,785.22,47
CPT,87902,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus Trauma,,,617.88,617.88,6
CPT,87902,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus UNSCHEDULED,1372.0,1372.0,63.86,65.2,3
CPT,87903,HIV 1 PHENO & 1-10 DRUGS,2500.0,2500.0,215.0,3000.0,31
CPT,87903,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",2500.0,2500.0,483.77,1490.41,47
CPT,87903,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested Trauma",,,1172.78,1172.78,6
CPT,87903,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested UNSCHEDULED",2500.0,2500.0,109.92,112.24,3
CPT,87904,HIV 1 PHENO EA ADD DRUG,2500.0,2500.0,215.0,3000.0,31
CPT,87904,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",2500.0,2500.0,25.81,112.24,56
CPT,87905,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.1,37.27,47
CPT,87905,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Trauma",,,29.33,29.33,6
CPT,87905,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) UNSCHEDULED",,,206.24,210.58,3
CPT,87905,SIALIDASE ACT OTHER FLD,53.0,53.0,4.56,63.6,124
CPT,87905,SIALIDASE ACT VAG FLD,53.0,53.0,4.56,63.6,31
CPT,87906,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,127.44,392.63,47
CPT,87906,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) Trauma",,,308.95,308.95,6
CPT,87906,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) UNSCHEDULED",,,109.92,112.24,3
CPT,87910,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,254.88,785.22,47
CPT,87910,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus Trauma,,,617.88,617.88,6
CPT,87910,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus UNSCHEDULED,,,109.92,112.24,3
CPT,87912,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,254.88,785.22,47
CPT,87912,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus Trauma,,,617.88,617.88,6
CPT,87912,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus UNSCHEDULED,,,109.92,112.24,3
CPT,87913,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,109.92,785.22,56
CPT,87999,Unlisted microbiology procedure ,,,,,0
CPT,87999,Unlisted microbiology procedure UNSCHEDULED,,,109.92,112.24,3
CPT,88000,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,5
CPT,88005,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,5
CPT,88007,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,5
CPT,88012,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,5
CPT,88014,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,5
CPT,88016,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,5
CPT,88020,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,5
CPT,88025,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,5
CPT,88027,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,5
CPT,88028,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,5
CPT,88029,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,5
CPT,88036,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,5
CPT,88037,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,5
CPT,88040,Necropsy (autopsy); forensic examination ,,,584.46,584.46,5
CPT,88045,Necropsy (autopsy); coroner's call ,,,58.62,58.62,5
CPT,88099,Unlisted necropsy (autopsy) procedure ,,,,,0
CPT,88104,CYTO FWB SMEAR & INTERP,44.0,44.0,3.78,52.8,102
CPT,88104,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,5
CPT,88104,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation UNSCHEDULED",,,90.03,91.93,3
CPT,88106,CYTO FWB FILTER & INTERP,75.0,75.0,6.45,90.0,34
CPT,88106,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",75.0,75.0,24.67,24.67,5
CPT,88106,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation UNSCHEDULED",75.0,75.0,168.55,172.1,3
CPT,88107,CYTOPATH FL NONGYN SM/FLTR UNSCHEDULED,,,168.55,172.1,3
CPT,88108,CYTOLOGY CONC & INTERP,176.0,176.0,15.14,211.2,102
CPT,88108,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,5
CPT,88108,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) UNSCHEDULED",,,190.53,194.54,3
CPT,88112,CYTO LIQUID BASE NON C/V,91.0,91.0,7.83,109.2,102
CPT,88112,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,5
CPT,88112,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal UNSCHEDULED",,,168.55,172.1,3
CPT,88120,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,5
CPT,88120,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual UNSCHEDULED",,,168.55,172.1,3
CPT,88121,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,5
CPT,88121,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology UNSCHEDULED",,,168.55,172.1,3
CPT,88125,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,5
CPT,88125,"Cytopathology, forensic (eg, sperm) UNSCHEDULED",,,168.55,172.1,3
CPT,88130,Sex chromatin identification; Barr bodies ,,,17.8,54.84,41
CPT,88130,Sex chromatin identification; Barr bodies Trauma,,,43.15,43.15,6
CPT,88130,Sex chromatin identification; Barr bodies UNSCHEDULED,,,168.55,172.1,3
CPT,88140,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.91,24.37,41
CPT,88140,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Trauma",,,19.18,19.18,6
CPT,88140,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks UNSCHEDULED",,,146.57,149.65,3
CPT,88141,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,5
CPT,88141,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician UNSCHEDULED",,,168.55,172.1,3
CPT,88142,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.06,61.79,41
CPT,88142,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Trauma",,,48.62,48.62,6
CPT,88142,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision UNSCHEDULED",,,168.55,172.1,3
CPT,88143,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,22.81,70.27,41
CPT,88143,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision Trauma",,,55.3,55.3,6
CPT,88143,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision UNSCHEDU",,,168.55,172.1,3
CPT,88144,"Cytopath, c/v, thin lyr redo UNSCHEDULED",,,168.55,172.1,3
CPT,88145,"Cytopath, c/v, thin lyr sel UNSCHEDULED",,,168.55,172.1,3
CPT,88147,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.05,154.21,41
CPT,88147,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Trauma",,,121.34,121.34,6
CPT,88147,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision UNSCHEDULED",,,168.55,172.1,3
CPT,88148,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,56.55,41
CPT,88148,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision Trauma",,,44.5,44.5,6
CPT,88148,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision UNSCHEDULED",,,168.55,172.1,3
CPT,88150,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,56.55,41
CPT,88150,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision Trauma",,,44.5,44.5,6
CPT,88150,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision UNSCHEDULED",,,168.55,172.1,3
CPT,88152,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.36,84.3,41
CPT,88152,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision Trauma",,,66.34,66.34,6
CPT,88152,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision UNSCHEDULED",,,168.55,172.1,3
CPT,88153,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,23.79,73.29,41
CPT,88153,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Trauma",,,57.67,57.67,6
CPT,88153,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision UNSCHEDULED",,,168.55,172.1,3
CPT,88154,"HCytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening using cell selection and review under physician supervision UNSCHEDULED",,,168.55,172.1,3
CPT,88155,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.5,172.1,50
CPT,88160,CYTO SMEAR SCR & INTERP,41.0,41.0,3.53,49.2,34
CPT,88160,"Cytopathology, smears, any other source; screening and interpretation ",41.0,41.0,24.67,24.67,5
CPT,88160,"Cytopathology, smears, any other source; screening and interpretation UNSCHEDULED",41.0,41.0,168.55,172.1,3
CPT,88161,CYTO SMEAR PSI,48.0,48.0,4.13,57.6,34
CPT,88161,"Cytopathology, smears, any other source; preparation, screening and interpretation ",48.0,48.0,24.67,24.67,5
CPT,88161,"Cytopathology, smears, any other source; preparation, screening and interpretation UNSCHEDULED",48.0,48.0,168.55,172.1,3
CPT,88162,CYTOPATH EXTENDED,48.0,48.0,4.13,57.6,34
CPT,88162,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",48.0,48.0,49.76,49.76,5
CPT,88162,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains UNSCHEDULED",48.0,48.0,168.55,172.1,3
CPT,88164,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,56.55,41
CPT,88164,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision Trauma",,,44.5,44.5,6
CPT,88164,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision UNSCHEDULED",,,168.55,172.1,3
CPT,88165,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,41.8,128.77,41
CPT,88165,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision Trauma",,,101.33,101.33,6
CPT,88165,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision UNSCHEDULED",,,168.55,172.1,3
CPT,88166,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,56.55,41
CPT,88166,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision Trauma",,,44.5,44.5,6
CPT,88166,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision UNSCHEDULED",,,168.55,172.1,3
CPT,88167,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,56.55,41
CPT,88167,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision Trauma",,,44.5,44.5,6
CPT,88167,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision UNSCHEDULED",,,168.55,172.1,3
CPT,88170,FINE NEEDLE ASPIRATION UNSCHEDULED,,,168.55,172.1,3
CPT,88171,FINE NEEDLE ASPIRATION UNSCHEDULED,,,168.55,172.1,3
CPT,88172,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",32.0,32.0,149.16,149.16,5
CPT,88172,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site UNSCHEDULED",32.0,32.0,168.55,172.1,3
CPT,88172,FNA SAMPLE ADEQUACY IMM,32.0,32.0,2.75,38.4,34
CPT,88173,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",105.0,105.0,49.76,49.76,5
CPT,88173,"Cytopathology, evaluation of fine needle aspirate; interpretation and report UNSCHEDULED",105.0,105.0,306.75,313.2,3
CPT,88173,FNA INTERP & REPORT,105.0,105.0,9.03,126.0,34
CPT,88174,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.12,77.38,41
CPT,88174,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision Trauma",,,60.89,60.89,6
CPT,88174,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision UNSCHEDULED",,,168.55,172.1,3
CPT,88175,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.34,172.1,50
CPT,88177,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",25.0,25.0,7.33,172.1,8
CPT,88177,FNA ADEQUACY IMM ADDL,25.0,25.0,1.32,30.0,35
CPT,88180,CELL MARKER STUDY UNSCHEDULED,,,168.55,172.1,3
CPT,88182,DNA CELL CYCLE FC,251.0,251.0,21.59,301.2,34
CPT,88182,"Flow cytometry, cell cycle or DNA analysis ",251.0,251.0,49.76,49.76,5
CPT,88182,"Flow cytometry, cell cycle or DNA analysis UNSCHEDULED",251.0,251.0,168.55,172.1,3
CPT,88184,CD 20 1ST MARK,669.0,669.0,57.53,802.8,34
CPT,88184,CD 59 1ST MARK,669.0,669.0,57.53,802.8,34
CPT,88184,CD3 TTFC 1ST MARKER,669.0,669.0,57.53,802.8,34
CPT,88184,CD4 HELPER INDUC 1ST MRK,669.0,669.0,57.53,802.8,34
CPT,88184,FC 1ST MARK,669.0,669.0,57.53,802.8,34
CPT,88184,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,5
CPT,88184,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker UNSCHEDULED",,,363.27,370.92,3
CPT,88184,PAROXY NCTRN HGB 1ST MRK,669.0,669.0,57.53,802.8,34
CPT,88184,T & B CELL FC 1ST MARK,669.0,669.0,57.53,802.8,34
CPT,88185,FC ADD,181.0,181.0,9.59,217.2,35
CPT,88185,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",181.0,181.0,23.03,23.03,5
CPT,88185,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) UNSCHEDULED",181.0,181.0,46.07,47.04,3
CPT,88187,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,5
CPT,88187,"Flow cytometry, interpretation; 2 to 8 markers UNSCHEDULED",,,168.55,172.1,3
CPT,88188,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,5
CPT,88188,"Flow cytometry, interpretation; 9 to 15 markers UNSCHEDULED",,,168.55,172.1,3
CPT,88189,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,5
CPT,88189,"Flow cytometry, interpretation; 16 or more markers UNSCHEDULED",,,168.55,172.1,3
CPT,88199,Unlisted cytopathology procedure ,,,49.76,49.76,5
CPT,88199,Unlisted cytopathology procedure UNSCHEDULED,,,168.55,172.1,3
CPT,88230,TISS CULT CHROM BLD NM,1231.0,1231.0,105.87,1477.2,31
CPT,88230,Tissue culture for non-neoplastic disorders; lymphocyte ,1231.0,1231.0,115.33,355.29,41
CPT,88230,Tissue culture for non-neoplastic disorders; lymphocyte Trauma,,,279.58,279.58,6
CPT,88233,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,139.32,429.23,41
CPT,88233,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Trauma,,,337.75,337.75,6
CPT,88235,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,148.8,458.42,41
CPT,88235,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Trauma,,,360.72,360.72,6
CPT,88237,TISS CULT NEOPLAS BM BLD,702.5,702.5,52.55,952.8,62
CPT,88237,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,142.31,438.44,41
CPT,88237,"Tissue culture for neoplastic disorders; bone marrow, blood cells Trauma",,,345.0,345.0,6
CPT,88239,TISS CULT NEOPLAS TUMOR,714.0,714.0,61.4,856.8,31
CPT,88239,Tissue culture for neoplastic disorders; solid tumor ,714.0,714.0,146.04,449.94,41
CPT,88239,Tissue culture for neoplastic disorders; solid tumor Trauma,,,354.05,354.05,6
CPT,88240,"Cryopreservation, freezing and storage of cells, each cell line ",,,12.94,39.86,41
CPT,88240,"Cryopreservation, freezing and storage of cells, each cell line Trauma",,,31.37,31.37,6
CPT,88241,"Thawing and expansion of frozen cells, each aliquot ",,,11.97,36.87,41
CPT,88241,"Thawing and expansion of frozen cells, each aliquot Trauma",,,29.02,29.02,6
CPT,88245,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,171.44,528.17,41
CPT,88245,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Trauma",,,415.61,415.61,6
CPT,88248,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,171.44,528.17,41
CPT,88248,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) Trauma",,,415.61,415.61,6
CPT,88249,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,171.44,528.17,41
CPT,88249,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) Trauma",,,415.61,415.61,6
CPT,88261,CHROM & KARYOTYPE 5 TISS,1974.0,1974.0,169.76,2368.8,31
CPT,88261,CHROM COUNT 5 KARY W BND,1974.0,1974.0,169.76,2368.8,31
CPT,88261,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,261.7,806.24,41
CPT,88261,"Chromosome analysis; count 5 cells, 1 karyotype, with banding Trauma",,,634.42,634.42,6
CPT,88262,CHROM & KARY 15-20 2 KAR,2750.0,2750.0,236.5,3300.0,31
CPT,88262,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,124.24,382.74,41
CPT,88262,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding Trauma",,,301.18,301.18,6
CPT,88262,PHILADELPHIA CHROMOSOME,1551.5,1551.5,30.36,3300.0,62
CPT,88263,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,148.79,458.38,41
CPT,88263,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding Trauma",,,360.7,360.7,6
CPT,88264,CHROM ANAL 20-25 CELLS,389.0,389.0,33.45,466.8,31
CPT,88264,Chromosome analysis; analyze 20-25 cells ,389.0,389.0,143.16,441.06,41
CPT,88264,Chromosome analysis; analyze 20-25 cells Trauma,,,347.06,347.06,6
CPT,88267,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,186.68,575.14,41
CPT,88267,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Trauma",,,452.57,452.57,6
CPT,88269,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,171.92,529.66,41
CPT,88269,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding Trauma",,,416.78,416.78,6
CPT,88271,CYTOGEN DNA ISH PROBE EA,2583.0,2583.0,222.14,3099.6,31
CPT,88271,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",2583.0,2583.0,21.21,65.33,41
CPT,88271,"Molecular cytogenetics; DNA probe, each (eg, FISH) Trauma",,,51.41,51.41,6
CPT,88272,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.29,124.14,41
CPT,88272,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Trauma",,,97.68,97.68,6
CPT,88273,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.46,106.17,41
CPT,88273,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Trauma",,,83.54,83.54,6
CPT,88274,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,41.96,129.26,41
CPT,88274,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells Trauma",,,101.71,101.71,6
CPT,88275,CYTOGEN I P ISH 100-300,193.0,193.0,16.6,231.6,31
CPT,88275,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",193.0,193.0,50.68,156.13,41
CPT,88275,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Trauma",,,122.86,122.86,6
CPT,88280,CHROM ADDTL KARYOTYPE,121.0,121.0,10.41,145.2,31
CPT,88280,"Chromosome analysis; additional karyotypes, each study ",121.0,121.0,33.14,102.08,41
CPT,88280,"Chromosome analysis; additional karyotypes, each study Trauma",,,80.33,80.33,6
CPT,88283,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,67.91,209.23,41
CPT,88283,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) Trauma",,,164.64,164.64,6
CPT,88285,CHROM ANAL ADDTL CELLS,92.0,92.0,7.91,110.4,31
CPT,88285,"Chromosome analysis; additional cells counted, each study ",92.0,92.0,26.64,82.08,41
CPT,88285,"Chromosome analysis; additional cells counted, each study Trauma",,,64.58,64.58,6
CPT,88289,Chromosome analysis; additional high resolution study ,,,34.09,105.01,41
CPT,88289,Chromosome analysis; additional high resolution study Trauma,,,82.63,82.63,6
CPT,88291,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.68,33.85,6
CPT,88299,Unlisted cytogenetic study ,,,49.76,49.76,5
CPT,88300,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,5
CPT,88300,"Level I - Surgical pathology, gross examination only UNSCHEDULED",,,149.71,152.86,3
CPT,88300,SURG PATH LEVEL 1,309.0,309.0,26.57,370.8,102
CPT,88302,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",199.0,199.0,24.67,240.51,8
CPT,88302,SURG PATH LEVEL 2,199.0,199.0,17.11,238.8,34
CPT,88304,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,362.37,8
CPT,88304,SURG PATH LEVEL 3,355.0,355.0,30.53,426.0,102
CPT,88305,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,518.44,8
CPT,88305,SURG PATH LEVEL 4,355.0,355.0,30.53,426.0,102
CPT,88307,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,681.99,8
CPT,88307,SURG PATH LEVEL 5,922.0,922.0,79.29,1106.4,102
CPT,88309,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",922.0,922.0,299.41,656.15,8
CPT,88309,SURG PATH LEVEL 6,922.0,922.0,79.29,1106.4,34
CPT,88311,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,5
CPT,88311,Decalcification procedure (List separately in addition to code for surgical pathology examination) UNSCHEDULED,,,122.48,125.06,3
CPT,88311,PATH DECALCIFICATION,309.0,309.0,16.38,370.8,105
CPT,88312,PATH ACID FAST STAIN,510.0,510.0,43.86,612.0,34
CPT,88312,PATH GIEMSA STAIN,510.0,510.0,43.86,612.0,34
CPT,88312,PATH GOMORI SILVER ST,510.0,510.0,43.86,612.0,34
CPT,88312,PATH STAIN GROUP 1,510.0,510.0,43.86,612.0,102
CPT,88312,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,5
CPT,88312,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) UNSCHEDULED",,,181.12,184.93,3
CPT,88313,PATH ALCIAN BLUE MAST,427.0,427.0,36.72,512.4,34
CPT,88313,PATH AMYLOID STAIN,427.0,427.0,36.72,512.4,34
CPT,88313,PATH CONGO RED STAIN,427.0,427.0,36.72,512.4,34
CPT,88313,PATH ELASTIC STAIN,427.0,427.0,36.72,512.4,34
CPT,88313,PATH STAIN GROUP 2,427.0,427.0,36.72,512.4,102
CPT,88313,PATH TRICHROME STAIN,427.0,427.0,36.72,512.4,34
CPT,88313,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,225.54,8
CPT,88314,HISTOCHEM STAIN & FS,211.0,211.0,11.18,253.2,35
CPT,88314,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,211.0,211.0,79.91,79.91,5
CPT,88314,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) UNSCHEDULED,211.0,211.0,299.41,305.71,3
CPT,88318,CHEMICAL HISTOCHEMISTRY UNSCHEDULED,,,299.41,305.71,3
CPT,88319,HISTOCHM ENZYME STAIN EA,256.0,256.0,22.02,307.2,34
CPT,88319,"Special stain including interpretation and report; Group III, for enzyme constituents ",256.0,256.0,656.15,656.15,5
CPT,88319,"Special stain including interpretation and report; Group III, for enzyme constituents UNSCHEDULED",256.0,256.0,299.41,305.71,3
CPT,88321,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,5
CPT,88321,Consultation and report on referred slides prepared elsewhere UNSCHEDULED,,,322.45,329.24,3
CPT,88323,Consultation and report on referred material requiring preparation of slides ,203.0,203.0,49.76,49.76,5
CPT,88323,Consultation and report on referred material requiring preparation of slides UNSCHEDULED,203.0,203.0,299.41,305.71,3
CPT,88323,PATH CONS PREP SLIDES,203.0,203.0,17.46,243.6,34
CPT,88325,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",1764.0,1764.0,149.16,149.16,5
CPT,88325,"Consultation, comprehensive, with review of records and specimens, with report on referred material UNSCHEDULED",1764.0,1764.0,299.41,305.71,3
CPT,88325,PATH CONS EXTENDED REF,1764.0,1764.0,151.7,2116.8,34
CPT,88329,Pathology consultation during surgery; ,,,33.84,33.84,5
CPT,88329,Pathology consultation during surgery; UNSCHEDULED,,,299.41,305.71,3
CPT,88331,PATH CONSULT FS 1 SPEC,922.0,922.0,79.29,1106.4,34
CPT,88331,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",922.0,922.0,149.16,149.16,5
CPT,88331,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen UNSCHEDULED",922.0,922.0,299.41,305.71,3
CPT,88332,PATH CONSULT FS EA ADDTL,510.0,510.0,27.03,612.0,35
CPT,88332,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,510.0,510.0,24.08,24.08,5
CPT,88332,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) UNSCHEDULED,510.0,510.0,299.41,305.71,3
CPT,88333,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,5
CPT,88333,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site UNSCHEDULED",,,299.41,305.71,3
CPT,88333,TOUCH PREP INITIAL SITE,44.0,44.0,3.78,52.8,102
CPT,88334,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",87.0,87.0,19.19,19.19,5
CPT,88334,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) UNSCHEDULED",87.0,87.0,299.41,305.71,3
CPT,88334,TOUCH PREP EA ADD SITE,87.0,87.0,4.61,104.4,35
CPT,88341,IHC AB STAIN EA ADD,105.0,105.0,5.57,126.0,35
CPT,88341,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",105.0,105.0,65.25,65.25,11
CPT,88341,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) UNSCHEDULED",105.0,105.0,299.41,305.71,3
CPT,88342,A1A PEROX FIRST AB,922.0,922.0,79.29,1106.4,34
CPT,88342,AAC PEROX 1ST AB,922.0,922.0,79.29,1106.4,34
CPT,88342,ACT PEROX 1ST AB,922.0,922.0,79.29,1106.4,34
CPT,88342,ACTI PEROX 1ST AB,922.0,922.0,79.29,1106.4,34
CPT,88342,AE PEROX 1ST AB,922.0,922.0,79.29,1106.4,34
CPT,88342,AE1 AE3 PER 1ST AB,922.0,922.0,79.29,1106.4,34
CPT,88342,AFP PER 1ST AB,922.0,922.0,79.29,1106.4,34
CPT,88342,ALPHA SMUSC ACTIN 1ST AB,922.0,922.0,79.29,1106.4,34
CPT,88342,ANTI-CEA FIRST AB IHC,922.0,922.0,79.29,1106.4,34
CPT,88342,B723 PER 1ST AB,922.0,922.0,79.29,1106.4,34
CPT,88342,BCL 2 PER 1ST AB,922.0,922.0,79.29,1106.4,34
CPT,88342,BER EP4 PER 1ST AB,922.0,922.0,79.29,1106.4,34
CPT,88342,BER H2 PER 1ST AB,922.0,922.0,79.29,1106.4,34
CPT,88342,CALCITON 1ST AB IHC,922.0,922.0,79.29,1106.4,34
CPT,88342,CD 15 PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,CD 20 PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,CD1 (LEU-6) PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,CD10 (CALLA) PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,CD11C (LEUM1) PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,CD15 (LEUM1) PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,CD2 (LEU5B) PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,CD23 (LEU 20) PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,CD3 (LEU 4) PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,CD3 PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,CD30 (KI-1) PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,CD31 PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,CD34 PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,EMA PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,ESTROGEN RECP PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,FACTOR VIII PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88342,IHC AB STAIN,450.0,450.0,38.7,540.0,34
CPT,88342,IMMUNOHISTOCHEM 1ST AB,922.0,922.0,79.29,1106.4,34
CPT,88342,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,5
CPT,88342,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure UNSCHEDULED",,,299.41,305.71,3
CPT,88342,VIMENTIN PEROX AB,922.0,922.0,79.29,1106.4,34
CPT,88343,IMMUNOHISTO ANTIBOD ADD SLID UNSCHEDULED,,,299.41,305.71,3
CPT,88344,IHC EA MULTIPLEX AB PROC,1543.0,1543.0,132.7,1851.6,34
CPT,88344,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",1543.0,1543.0,291.26,291.26,11
CPT,88344,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure UNSCHEDULED",1543.0,1543.0,299.41,305.71,3
CPT,88346,"Immunofluorescence, per specimen; initial single antibody stain procedure ",922.0,922.0,291.26,291.26,5
CPT,88346,"Immunofluorescence, per specimen; initial single antibody stain procedure UNSCHEDULED",922.0,922.0,299.41,305.71,3
CPT,88346,TISSUE BIOPSY DIF AB INI,922.0,922.0,79.29,1106.4,34
CPT,88347,IMMUNOFLUORESCENT STUDY UNSCHEDULED,,,299.41,305.71,3
CPT,88348,EM DIAGNOSTIC,1147.0,1147.0,98.64,1376.4,34
CPT,88348,"Electron microscopy, diagnostic ",1147.0,1147.0,656.15,656.15,5
CPT,88348,"Electron microscopy, diagnostic UNSCHEDULED",1147.0,1147.0,299.41,305.71,3
CPT,88349,SCANNING ELECTRON MICROSCOPY UNSCHEDULED,,,299.41,305.71,3
CPT,88350,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",121.0,121.0,81.3,81.3,5
CPT,88350,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) UNSCHEDULED",121.0,121.0,299.41,305.71,3
CPT,88350,TISS IF IND EA ADDL AB,121.0,121.0,6.41,145.2,35
CPT,88355,Morphometric analysis; skeletal muscle ,,,149.16,149.16,5
CPT,88355,Morphometric analysis; skeletal muscle UNSCHEDULED,,,299.41,305.71,3
CPT,88356,Morphometric analysis; nerve ,,,49.76,49.76,5
CPT,88356,Morphometric analysis; nerve UNSCHEDULED,,,299.41,305.71,3
CPT,88358,MORPHOMETRIC TUMOR,121.0,121.0,10.41,145.2,34
CPT,88358,"Morphometric analysis; tumor (eg, DNA ploidy) ",121.0,121.0,149.16,149.16,5
CPT,88358,"Morphometric analysis; tumor (eg, DNA ploidy) UNSCHEDULED",121.0,121.0,299.41,305.71,3
CPT,88360,M A ER IHC AB QT/SQT MAN,252.0,252.0,21.67,302.4,34
CPT,88360,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",252.0,252.0,149.16,305.71,8
CPT,88361,IHC QN/SQN EA AB COMP,341.0,341.0,29.33,409.2,34
CPT,88361,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",341.0,341.0,291.26,305.71,8
CPT,88362,NERVE TEASING PREP,703.0,703.0,60.46,843.6,34
CPT,88362,Nerve teasing preparations ,703.0,703.0,656.15,656.15,5
CPT,88362,Nerve teasing preparations UNSCHEDULED,703.0,703.0,299.41,305.71,3
CPT,88363,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,5
CPT,88363,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) UNSCHEDULED",,,299.41,305.71,3
CPT,88364,ISH/FISH EA ADDL PROBE,535.0,535.0,28.36,642.0,35
CPT,88364,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",535.0,535.0,109.56,109.56,11
CPT,88364,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) UNSCHEDULED",535.0,535.0,299.41,305.71,3
CPT,88365,ISH/FISH INITIAL PROBE,922.0,922.0,79.29,1106.4,34
CPT,88365,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",922.0,922.0,149.16,149.16,5
CPT,88365,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure UNSCHEDULED",922.0,922.0,299.41,305.71,3
CPT,88366,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,11
CPT,88366,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure UNSCHEDULED",,,299.41,305.71,3
CPT,88367,MORPH ANAL CMP INI PROBE,248.0,248.0,21.33,297.6,34
CPT,88367,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",248.0,248.0,291.26,291.26,5
CPT,88367,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure UNSCHEDULED",248.0,248.0,299.41,305.71,3
CPT,88368,MORPH ANAL MAN INI PROBE,366.5,366.5,13.85,686.4,68
CPT,88368,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,5
CPT,88368,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure UNSCHEDULED",,,299.41,305.71,3
CPT,88369,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,305.71,14
CPT,88371,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.01,67.8,40
CPT,88371,"Protein analysis of tissue by Western Blot, with interpretation and report; Trauma",,,53.35,53.35,6
CPT,88371,"Protein analysis of tissue by Western Blot, with interpretation and report; UNSCHEDULED",,,299.41,305.71,3
CPT,88372,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,25.96,79.97,40
CPT,88372,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each Trauma",,,62.93,62.93,6
CPT,88372,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each UNSCHEDULED",,,259.63,265.1,3
CPT,88373,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,305.71,14
CPT,88374,MORPH ANAL CMP MLP PROBE,3202.45,3202.45,275.41,3842.94,34
CPT,88374,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",3202.45,3202.45,149.16,149.16,11
CPT,88374,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure UNSCHEDULED",3202.45,3202.45,208.34,212.72,3
CPT,88375,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,11
CPT,88375,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session UNSCHEDULED",,,299.41,305.71,3
CPT,88377,MORPH ANAL MAN MLP PROBE,615.0,615.0,52.89,738.0,34
CPT,88377,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",615.0,615.0,149.16,149.16,11
CPT,88377,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure UNSCHEDULED",615.0,615.0,299.41,305.71,3
CPT,88380,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,5
CPT,88380,"Microdissection (ie, sample preparation of microscopically identified target); laser capture UNSCHEDULED",,,715.04,730.09,3
CPT,88381,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,5
CPT,88381,"Microdissection (ie, sample preparation of microscopically identified target); manual UNSCHEDULED",,,299.41,305.71,3
CPT,88384,EVAL MOLECULAR PROBES 11-50 UNSCHEDULED,,,299.41,305.71,3
CPT,88385,EVAL MOLECUL PROBES 51-250 UNSCHEDULED,,,299.41,305.71,3
CPT,88386,EVAL MOLECUL PROBES 251-500 UNSCHEDULED,,,299.41,305.71,3
CPT,88387,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,5
CPT,88387,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) UNSC",,,299.41,305.71,3
CPT,88388,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies); in conjunction with a touch imprint, intraoperative co",,,299.41,305.71,3
CPT,88399,Unlisted surgical pathology procedure ,,,49.76,49.76,5
CPT,88399,Unlisted surgical pathology procedure UNSCHEDULED,,,1333.75,1361.83,3
CPT,88720,"Bilirubin, total, transcutaneous ",,,4.97,15.31,47
CPT,88720,"Bilirubin, total, transcutaneous Trauma",,,12.05,12.05,6
CPT,88738,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,4.97,15.31,41
CPT,88738,"Hemoglobin (Hgb), quantitative, transcutaneous Trauma",,,12.05,12.05,6
CPT,88740,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.28,28.58,47
CPT,88740,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin Trauma",,,22.49,22.49,6
CPT,88741,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.28,28.58,47
CPT,88741,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Trauma",,,22.49,22.49,6
CPT,88749,"Unlisted in vivo (eg, transcutaneous) laboratory service ",,,,,0
CPT,89049,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,11
CPT,89049,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report UNSCHEDULED",,,99.46,101.55,3
CPT,89050,CELL COUNT BODY FLD,188.0,188.0,16.17,225.6,93
CPT,89050,CELL COUNT CSF,188.0,188.0,16.17,225.6,62
CPT,89050,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.67,14.4,47
CPT,89050,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; Trauma",,,11.33,11.33,6
CPT,89050,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; UNSCHEDULED",,,206.24,210.58,3
CPT,89050,EOSINOPHILS URINE,188.0,188.0,16.17,225.6,31
CPT,89051,CELL CT & DIFF CSF,379.0,379.0,32.59,454.8,93
CPT,89051,CELL CT&DIFF BODY FL,213.5,213.5,4.13,454.8,62
CPT,89051,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.54,17.08,47
CPT,89051,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count Trauma",,,13.44,13.44,6
CPT,89051,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count UNSCHEDULED",,,196.82,200.96,3
CPT,89055,FECAL WBC COUNT QL,207.0,207.0,17.8,248.4,62
CPT,89055,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.23,13.02,47
CPT,89055,"Leukocyte assessment, fecal, qualitative or semiquantitative Trauma",,,10.25,10.25,6
CPT,89055,"Leukocyte assessment, fecal, qualitative or semiquantitative UNSCHEDULED",,,20.94,21.38,3
CPT,89060,CRYSTALS BODY FL,379.0,379.0,32.59,454.8,93
CPT,89060,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.26,22.36,47
CPT,89060,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) Trauma",,,17.59,17.59,6
CPT,89060,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) UNSCHEDULED",,,99.46,101.55,3
CPT,89100,SAMPLE INTESTINAL CONTENTS UNSCHEDULED,,,99.46,101.55,3
CPT,89105,SAMPLE INTESTINAL CONTENTS UNSCHEDULED,,,99.46,101.55,3
CPT,89125,FAT STAIN,65.0,65.0,5.59,78.0,31
CPT,89125,"Fat stain, feces, urine, or respiratory secretions ",65.0,65.0,5.82,17.93,47
CPT,89125,"Fat stain, feces, urine, or respiratory secretions Trauma",,,14.11,14.11,6
CPT,89125,"Fat stain, feces, urine, or respiratory secretions UNSCHEDULED",65.0,65.0,99.46,101.55,3
CPT,89130,SAMPLE STOMACH CONTENTS UNSCHEDULED,,,99.46,101.55,3
CPT,89132,SAMPLE STOMACH CONTENTS UNSCHEDULED,,,99.46,101.55,3
CPT,89135,SAMPLE STOMACH CONTENTS UNSCHEDULED,,,99.46,101.55,3
CPT,89136,SAMPLE STOMACH CONTENTS UNSCHEDULED,,,99.46,101.55,3
CPT,89140,SAMPLE STOMACH CONTENTS UNSCHEDULED,,,99.46,101.55,3
CPT,89141,SAMPLE STOMACH CONTENTS UNSCHEDULED,,,99.46,101.55,3
CPT,89160,"Meat fibers, feces ",,,4.8,14.79,47
CPT,89160,"Meat fibers, feces Trauma",,,11.64,11.64,6
CPT,89160,"Meat fibers, feces UNSCHEDULED",,,99.46,101.55,3
CPT,89190,Nasal smear for eosinophils ,,,5.73,17.66,47
CPT,89190,Nasal smear for eosinophils Trauma,,,13.9,13.9,6
CPT,89190,Nasal smear for eosinophils UNSCHEDULED,,,20.94,21.38,3
CPT,89220,SPUTUM SPEC COLL IND,585.0,585.0,50.31,702.0,34
CPT,89220,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",585.0,585.0,149.16,149.16,11
CPT,89220,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) UNSCHEDULED",585.0,585.0,99.46,101.55,3
CPT,89225,"STARCH GRANULES, FECES UNSCHEDULED",,,99.46,101.55,3
CPT,89230,Sweat collection by iontophoresis ,,,49.76,49.76,11
CPT,89230,Sweat collection by iontophoresis UNSCHEDULED,,,99.46,101.55,3
CPT,89235,WATER LOAD TEST UNSCHEDULED,,,99.46,101.55,3
CPT,89240,Unlisted miscellaneous pathology test ,,,49.76,49.76,11
CPT,89240,Unlisted miscellaneous pathology test UNSCHEDULED,,,99.46,101.55,3
CPT,89250,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,11
CPT,89251,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,11
CPT,89253,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,11
CPT,89254,Oocyte identification from follicular fluid ,,,149.16,149.16,11
CPT,89255,Preparation of embryo for transfer (any method) ,,,49.76,49.76,11
CPT,89257,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,11
CPT,89258,Cryopreservation; embryo(s) ,,,656.15,656.15,11
CPT,89259,Cryopreservation; sperm ,,,149.16,149.16,11
CPT,89260,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,11
CPT,89261,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,11
CPT,89264,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,11
CPT,89268,Insemination of oocytes ,,,149.16,149.16,11
CPT,89272,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,11
CPT,89280,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,11
CPT,89281,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,11
CPT,89290,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,11
CPT,89291,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,11
CPT,89300,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.74,30.01,47
CPT,89300,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Trauma,,,23.62,23.62,6
CPT,89310,SEMEN ANALYSIS MOT & CT,609.0,609.0,52.37,730.8,31
CPT,89310,Semen analysis; motility and count (not including Huhner test) ,609.0,609.0,8.52,26.26,47
CPT,89310,Semen analysis; motility and count (not including Huhner test) Trauma,,,20.66,20.66,6
CPT,89320,"Semen analysis; volume, count, motility, and differential ",,,12.19,37.55,47
CPT,89320,"Semen analysis; volume, count, motility, and differential Trauma",,,29.54,29.54,6
CPT,89321,"Semen analysis; sperm presence and motility of sperm, if performed ",,,11.93,36.75,47
CPT,89321,"Semen analysis; sperm presence and motility of sperm, if performed Trauma",,,28.92,28.92,6
CPT,89322,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.35,47.27,41
CPT,89322,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) Trauma",,,37.2,37.2,6
CPT,89325,SPERM ANTIBODIES,467.0,467.0,40.16,560.4,31
CPT,89325,Sperm antibodies ,467.0,467.0,10.56,32.54,47
CPT,89325,Sperm antibodies Trauma,,,25.61,25.61,6
CPT,89329,Sperm evaluation; hamster penetration test ,,,19.39,59.75,47
CPT,89329,Sperm evaluation; hamster penetration test Trauma,,,47.02,47.02,6
CPT,89330,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.28,31.66,47
CPT,89330,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Trauma",,,24.91,24.91,6
CPT,89331,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.39,59.75,41
CPT,89331,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) Trauma",,,47.02,47.02,6
CPT,89335,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,11
CPT,89337,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,11
CPT,89342,Storage (per year); embryo(s) ,,,149.16,149.16,11
CPT,89343,Storage (per year); sperm/semen ,,,149.16,149.16,11
CPT,89344,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,11
CPT,89346,Storage (per year); oocyte(s) ,,,291.26,291.26,11
CPT,89352,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,11
CPT,89353,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,11
CPT,89354,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,11
CPT,89356,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,11
CPT,89398,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,5
CPT,90281,"Immune globulin (Ig), human, for intramuscular use ",,,197.13,197.13,5
CPT,90281,"Immune globulin (Ig), human, for intramuscular use UNSCHEDULED",,,376.88,384.82,3
CPT,90283,"Immune globulin (IgIV), human, for intravenous use ",,,157.92,157.92,5
CPT,90283,"Immune globulin (IgIV), human, for intravenous use UNSCHEDULED",,,1126.46,1150.18,3
CPT,90284,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,39.9,39.9,5
CPT,90284,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each UNSCHEDULED",,,1776.59,1813.99,3
CPT,90287,"Botulinum antitoxin, equine, any route UNSCHEDULED",,,1126.46,1150.18,3
CPT,90288,"Botulism immune globulin, human, for intravenous use UNSCHEDULED",,,1126.46,1150.18,3
CPT,90291,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,3582.93,3582.93,5
CPT,90291,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use UNSCHEDULED",,,1126.46,1150.18,3
CPT,90296,"Diphtheria antitoxin, equine, any route UNSCHEDULED",,,1126.46,1150.18,3
CPT,90371,HBIG HUMAN 0.5 ML IM,729.0,729.0,62.69,874.8,29
CPT,90371,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",729.0,729.0,136.0,231.35,6
CPT,90371,"Hepatitis B immune globulin (HBIg), human, for intramuscular use UNSCHEDULED",729.0,729.0,1067.84,1090.32,3
CPT,90375,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,266.92,454.05,6
CPT,90375,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use UNSCHEDULED",,,2541.88,2595.39,3
CPT,90376,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,581.53,581.53,5
CPT,90376,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use UNSCHEDULED",,,932.79,952.42,3
CPT,90377,RIG KEDRAB 150 U IMSQ,4023.34,4023.34,346.01,4828.01,29
CPT,90377,RIG KEDRAB 150 U IMSQJW,20117.0,20117.0,1730.06,24140.4,29
CPT,90377,RIG KEDRAB 300 U IMSQ,4060.0,4060.0,349.16,4872.0,29
CPT,90377,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,234.91,399.6,6
CPT,90377,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use UNSCHEDULED",,,1126.46,1150.18,3
CPT,90378,RSV-MAB RECOM 50 MG IM,20543.0,20543.0,1766.7,24651.6,29
CPT,90378,RSV-MAB RECOM 50 MG IMJW,20543.0,20543.0,1766.7,24651.6,29
CPT,90378,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,720.64,720.64,5
CPT,90378,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each UNSCHEDULED",,,1126.46,1150.18,3
CPT,90379,"RSV IG, IV UNSCHEDULED",,,1126.46,1150.18,3
CPT,90380,BEYFORTUS 0.5 ML IM,3950.0,3950.0,209.35,4740.0,30
CPT,90380,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",3950.0,3950.0,611.85,1178.22,6
CPT,90380,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use UNSCHEDULED",3950.0,3950.0,1126.46,1150.18,3
CPT,90381,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,611.85,1178.22,6
CPT,90381,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use UNSCHEDULED",,,1126.46,1150.18,3
CPT,90382,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,571.68,1100.88,6
CPT,90384,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,217.01,217.01,5
CPT,90384,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use UNSCHEDULED",,,293.13,299.3,3
CPT,90385,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,132.0,132.0,5
CPT,90385,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use UNSCHEDULED",,,1126.46,1150.18,3
CPT,90386,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1096.84,1096.84,5
CPT,90386,"Rho(D) immune globulin (RhIgIV), human, for intravenous use UNSCHEDULED",,,1126.46,1150.18,3
CPT,90389,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,1298.2,1298.2,5
CPT,90389,"Tetanus immune globulin (TIg), human, for intramuscular use UNSCHEDULED",,,11683.4,11929.37,3
CPT,90393,"Vaccinia immune globulin, human, for intramuscular use UNSCHEDULED",,,1126.46,1150.18,3
CPT,90396,VARICELLA-ZOSTER IG IM,3948.0,3948.0,339.53,4737.6,29
CPT,90396,"Varicella-zoster immune globulin, human, for intramuscular use ",3948.0,3948.0,3899.36,3899.36,5
CPT,90396,"Varicella-zoster immune globulin, human, for intramuscular use UNSCHEDULED",3948.0,3948.0,1822.65,1861.02,3
CPT,90399,Unlisted immune globulin ,,,706.02,706.02,5
CPT,90399,Unlisted immune globulin UNSCHEDULED,,,1126.46,1150.18,3
CPT,90460,"Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine o",,,16.15,74.29,6
CPT,90461,"Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine or toxoid compone",,,14.25,74.29,6
CPT,90465,"IMMUNE ADMIN 1 INJ, < 8 YRS UNSCHEDULED",,,72.76,74.29,3
CPT,90466,"IMMUNE ADMIN ADDL INJ, < 8 Y UNSCHEDULED",,,72.76,74.29,3
CPT,90467,"IMMUNE ADMIN O OR N, < 8 YRS UNSCHEDULED",,,72.76,74.29,3
CPT,90468,"IMMUNE ADMIN O/N, ADDL < 8 Y UNSCHEDULED",,,72.76,74.29,3
CPT,90470,IMMUNE ADMIN H1N1 IM/NASAL UNSCHEDULED,,,72.76,74.29,3
CPT,90471,IMMUNIZ ADMIN SGL,304.0,304.0,25.28,393.6,342
CPT,90471,"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) SCHEDULED",,,16.15,16.49,3
CPT,90471,"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) UNSCHEDULED",,,81.66,83.38,3
CPT,90472,IMMUNIZ ADMIN EA ADDTL,269.5,269.5,13.89,332.4,321
CPT,90472,"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition",,,14.25,65.2,6
CPT,90473,Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid) SCHEDULED,,,16.15,16.49,3
CPT,90473,Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid) UNSCHEDULED,,,72.76,74.29,3
CPT,90474,Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure) SCHEDULED,,,14.25,14.55,3
CPT,90474,Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure) UNSCHEDULED,,,72.76,74.29,3
CPT,90476,"Adenovirus vaccine, type 4, live, for oral use UNSCHEDULED",,,170.65,174.24,3
CPT,90477,"Adenovirus vaccine, type 7, live, for oral use UNSCHEDULED",,,170.65,174.24,3
CPT,90480,"Immunization administration by intramuscular injection, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine; first or only component of each vaccine a",,,170.65,174.24,3
CPT,90581,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,191.5,191.5,5
CPT,90581,"Anthrax vaccine, for subcutaneous or intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90584,"Dengue vaccine, quadrivalent, live, 2 dose schedule, for subcutaneous use UNSCHEDULED",,,170.65,174.24,3
CPT,90585,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,374.72,374.72,5
CPT,90585,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use UNSCHEDULED",,,170.65,174.24,3
CPT,90586,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,374.72,374.72,5
CPT,90586,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use UNSCHEDULED",,,170.65,174.24,3
CPT,90587,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,67.86,130.68,6
CPT,90587,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use UNSCHEDULED",,,170.65,174.24,3
CPT,90589,"Chikungunya virus vaccine, live attenuated, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90592,Live cholera vaccine UNSCHEDULED,,,170.65,174.24,3
CPT,90593,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,680.63,680.63,5
CPT,90611,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.02,280.37,6
CPT,90611,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use UNSCHEDULED",,,170.65,174.24,3
CPT,90619,MENACWY-TT VAC IM,107.71,107.71,5.71,129.25,30
CPT,90619,MENQUADFI VAC IM,1005.0,1005.0,53.27,1206.0,30
CPT,90619,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,182.11,350.43,6
CPT,90619,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90620,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,251.1,497.34,6
CPT,90620,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90621,MENB-FHBP 2 OR 3 DOSE IM,1133.0,1133.0,60.05,1359.6,30
CPT,90621,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",1133.0,1133.0,222.72,447.05,6
CPT,90621,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use UNSCHEDULED",1133.0,1133.0,170.65,174.24,3
CPT,90622,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.02,0.02,5
CPT,90622,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use UNSCHEDULED",,,170.65,174.24,3
CPT,90623,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,258.96,498.43,6
CPT,90623,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90624,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,525.94,525.94,5
CPT,90625,"Cholera vaccine, live, adult dosage, 1 dose schedule, for oral use UNSCHEDULED",,,170.65,174.24,3
CPT,90626,"Tick-borne encephalitis virus vaccine, inactivated; 0.25 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90627,"Tick-borne encephalitis virus vaccine, inactivated; 0.5 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90630,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use UNSCHEDULED",,,170.65,174.24,3
CPT,90632,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,71.52,121.65,6
CPT,90632,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use UNSCHEDULED",,,64.9,66.27,3
CPT,90633,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,40.88,70.97,6
CPT,90633,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90634,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,51.81,51.81,5
CPT,90634,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use UNSCHEDULED",,,127.72,130.41,3
CPT,90636,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,140.87,279.87,6
CPT,90636,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use UNSCHEDULED",,,517.17,528.06,3
CPT,90644,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,39.12,174.24,8
CPT,90645,HIB VACCINE HBOC IM UNSCHEDULED,,,170.65,174.24,3
CPT,90646,HIB VACCINE PRP-D IM UNSCHEDULED,,,170.65,174.24,3
CPT,90647,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,31.59,62.07,6
CPT,90647,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90648,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,14.11,26.93,6
CPT,90648,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90649,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,186.83,186.83,5
CPT,90649,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90650,"Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90651,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,337.93,651.35,6
CPT,90651,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90653,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,95.22,161.96,6
CPT,90653,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use Trauma",,,,,0
CPT,90653,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90654,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative-free, for intradermal use UNSCHEDULED",,,170.65,174.24,3
CPT,90655,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,22.08,22.08,5
CPT,90655,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
CPT,90655,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90656,FLUZONE TRI 0.5 ML PF IM,60.0,60.0,5.16,72.0,29
CPT,90656,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",60.0,60.0,22.52,38.31,6
CPT,90656,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
CPT,90656,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use UNSCHEDULED",60.0,60.0,170.65,174.24,3
CPT,90657,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,10.7,18.2,6
CPT,90657,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
CPT,90657,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90658,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,21.41,36.42,6
CPT,90658,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
CPT,90658,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90659,"FLU VACCINE, WHOLE, IM UNSCHEDULED",,,170.65,174.24,3
CPT,90660,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,28.82,49.02,6
CPT,90660,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use Trauma",,,,,0
CPT,90660,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use UNSCHEDULED",,,170.65,174.24,3
CPT,90661,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,48.02,81.68,6
CPT,90661,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
CPT,90661,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90662,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,95.22,161.96,6
CPT,90662,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use Trauma",,,,,0
CPT,90662,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90663,FLU VACC PANDEMIC H1N1 UNSCHEDULED,,,170.65,174.24,3
CPT,90664,"Influenza virus vaccine, live (LAIV), pandemic formulation, for intranasal use UNSCHEDULED",,,170.65,174.24,3
CPT,90665,LYME DISEASE VACCINE IM UNSCHEDULED,,,170.65,174.24,3
CPT,90666,"Influenza virus vaccine (IIV), pandemic formulation, split virus, preservative free, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90667,"Influenza virus vaccine (IIV), pandemic formulation, split virus, adjuvanted, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90668,"Influenza virus vaccine (IIV), pandemic formulation, split virus, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90669,PNEUMOCOCCAL VACC 7 VAL IM UNSCHEDULED,,,170.65,174.24,3
CPT,90670,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,425.45,425.45,5
CPT,90670,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use Trauma",,,,,0
CPT,90670,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use UNSCHEDULED",,,750.62,766.43,3
CPT,90671,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",783.0,783.0,261.23,444.36,6
CPT,90671,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use Trauma",,,,,0
CPT,90671,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use UNSCHEDULED",783.0,783.0,170.65,174.24,3
CPT,90671,VAXNEUVANCE VAC IM,783.0,783.0,67.34,939.6,29
CPT,90672,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use ",,,,,0
CPT,90672,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use Trauma",,,,,0
CPT,90672,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use UNSCHEDULED",,,170.65,174.24,3
CPT,90673,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,95.22,161.96,6
CPT,90673,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Trauma",,,,,0
CPT,90673,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90674,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
CPT,90674,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
CPT,90674,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90675,IMOVAX 1 ML VAC IM,3200.0,3200.0,275.2,3840.0,29
CPT,90675,RABAVERT 1 ML VAC IM,3660.0,3660.0,314.76,4392.0,29
CPT,90675,"Rabies vaccine, for intramuscular use ",,,305.76,520.11,6
CPT,90675,"Rabies vaccine, for intramuscular use UNSCHEDULED",,,786.22,802.77,3
CPT,90676,"Rabies vaccine, for intradermal use ",,,390.82,390.82,5
CPT,90676,"Rabies vaccine, for intradermal use UNSCHEDULED",,,711.89,726.88,3
CPT,90677,PREVNAR-20 VAC IM,2114.35,2114.35,181.83,2537.22,29
CPT,90677,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",2114.35,2114.35,303.51,516.29,6
CPT,90677,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use Trauma",,,,,0
CPT,90677,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use UNSCHEDULED",2114.35,2114.35,170.65,174.24,3
CPT,90678,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,328.06,631.75,6
CPT,90678,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90679,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,314.99,635.68,6
CPT,90679,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90680,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,104.87,203.18,6
CPT,90680,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use UNSCHEDULED",,,170.65,174.24,3
CPT,90681,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,160.19,308.24,6
CPT,90681,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use UNSCHEDULED",,,170.65,174.24,3
CPT,90682,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,,,0
CPT,90682,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Trauma",,,,,0
CPT,90682,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90683,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,298.18,631.62,6
CPT,90683,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90684,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,333.92,568.01,6
CPT,90684,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use Trauma",,,,,0
CPT,90685,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
CPT,90685,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
CPT,90685,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90686,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
CPT,90686,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
CPT,90686,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90687,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use ",,,,,0
CPT,90687,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
CPT,90687,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90688,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use ",,,,,0
CPT,90688,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
CPT,90688,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90689,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use ",,,,,0
CPT,90689,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
CPT,90689,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90690,"Typhoid vaccine, live, oral ",,,232.22,232.22,5
CPT,90690,"Typhoid vaccine, live, oral UNSCHEDULED",,,170.65,174.24,3
CPT,90691,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,274.54,274.54,5
CPT,90691,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90692,TYPHOID VACCINE H-P SC/ID UNSCHEDULED,,,170.65,174.24,3
CPT,90693,TYPHOID VACCINE AKD SC UNSCHEDULED,,,170.65,174.24,3
CPT,90694,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use ",,,,,0
CPT,90694,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
CPT,90694,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90696,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,67.99,129.84,6
CPT,90696,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90697,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,170.65,329.88,9
CPT,90698,DTAP-IPV/HIB VAC IM,872.0,872.0,46.22,1046.4,30
CPT,90698,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",872.0,872.0,134.21,233.1,6
CPT,90698,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use UNSCHEDULED",872.0,872.0,170.65,174.24,3
CPT,90700,DTAP VAC <7YRS IM,304.11,304.11,16.12,364.93,30
CPT,90700,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",304.11,304.11,31.98,61.12,6
CPT,90700,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use UNSCHEDULED",304.11,304.11,170.65,174.24,3
CPT,90701,DTP VACCINE IM UNSCHEDULED,,,170.65,174.24,3
CPT,90702,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,30.31,30.31,5
CPT,90702,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90703,TETANUS VACCINE IM UNSCHEDULED,,,170.65,174.24,3
CPT,90704,MUMPS VACCINE SC UNSCHEDULED,,,170.65,174.24,3
CPT,90705,MEASLES VACCINE SC UNSCHEDULED,,,170.65,174.24,3
CPT,90706,RUBELLA VACCINE SC UNSCHEDULED,,,170.65,174.24,3
CPT,90707,MMR VAC LIVE SQ,766.0,766.0,40.6,919.2,30
CPT,90707,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",766.0,766.0,99.45,193.28,6
CPT,90707,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use UNSCHEDULED",766.0,766.0,170.65,174.24,3
CPT,90708,MEASLES-RUBELLA VACCINE SC UNSCHEDULED,,,170.65,174.24,3
CPT,90709,"Rubella & mumps vaccine, sc UNSCHEDULED",,,170.65,174.24,3
CPT,90710,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,297.32,571.56,6
CPT,90710,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use UNSCHEDULED",,,170.65,174.24,3
CPT,90712,ORAL POLIOVIRUS VACCINE UNSCHEDULED,,,170.65,174.24,3
CPT,90713,IPV VAC IMSQ,1581.0,1581.0,83.79,1897.2,30
CPT,90713,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",1581.0,1581.0,47.58,94.41,6
CPT,90713,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use UNSCHEDULED",1581.0,1581.0,170.65,174.24,3
CPT,90714,TD VAC PF >=7YRS IM,282.0,282.0,14.95,338.4,30
CPT,90714,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",282.0,282.0,37.59,63.94,6
CPT,90714,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use UNSCHEDULED",282.0,282.0,103.64,105.83,3
CPT,90715,TDAP VAC >=7YRS IM,304.11,304.11,16.12,364.93,30
CPT,90715,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",304.11,304.11,38.3,65.14,6
CPT,90715,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use UNSCHEDULED",304.11,304.11,170.65,174.24,3
CPT,90716,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,197.14,380.14,6
CPT,90716,"Varicella virus vaccine (VAR), live, for subcutaneous use UNSCHEDULED",,,170.65,174.24,3
CPT,90717,"Yellow fever vaccine, live, for subcutaneous use ",,,507.54,507.54,5
CPT,90717,"Yellow fever vaccine, live, for subcutaneous use UNSCHEDULED",,,170.65,174.24,3
CPT,90718,TD VACCINE > 7 IM UNSCHEDULED,,,170.65,174.24,3
CPT,90719,DIPHTHERIA VACCINE IM UNSCHEDULED,,,170.65,174.24,3
CPT,90720,DTP/HIB VACCINE IM UNSCHEDULED,,,170.65,174.24,3
CPT,90721,DTAP/HIB VACCINE IM UNSCHEDULED,,,170.65,174.24,3
CPT,90723,DTAP-HEPB-IPV VAC IM,943.0,943.0,49.98,1131.6,30
CPT,90723,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",943.0,943.0,114.34,218.96,6
CPT,90723,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use UNSCHEDULED",943.0,943.0,170.65,174.24,3
CPT,90725,CHOLERA VACCINE INJECTABLE UNSCHEDULED,,,170.65,174.24,3
CPT,90727,PLAGUE VACCINE IM UNSCHEDULED,,,170.65,174.24,3
CPT,90732,PPSV23 VAC IMSQ,923.0,923.0,79.38,1107.6,29
CPT,90732,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",923.0,923.0,129.47,220.23,6
CPT,90732,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use Trauma",,,,,0
CPT,90732,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use UNSCHEDULED",923.0,923.0,161.22,164.62,3
CPT,90733,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,147.69,147.69,5
CPT,90733,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use UNSCHEDULED",,,170.65,174.24,3
CPT,90734,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,178.28,349.64,6
CPT,90734,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90735,ENCEPHALITIS VACCINE SC UNSCHEDULED,,,170.65,174.24,3
CPT,90736,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,235.88,235.88,5
CPT,90736,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection UNSCHEDULED",,,170.65,174.24,3
CPT,90738,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,601.21,601.21,5
CPT,90738,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90739,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,172.23,292.97,6
CPT,90739,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use Trauma",,,,,0
CPT,90739,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90740,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,159.49,271.29,6
CPT,90740,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
CPT,90740,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90743,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,72.9,124.0,6
CPT,90743,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use Trauma",,,,,0
CPT,90743,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90744,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",214.32,214.32,32.2,54.78,6
CPT,90744,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
CPT,90744,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use UNSCHEDULED",214.32,214.32,170.65,174.24,3
CPT,90744,RECOMBIVAX PED 5MCG IM,214.32,214.32,18.43,257.18,29
CPT,90745,Hepat B vacc-ADOL/baby UNSCHEDULED,,,170.65,174.24,3
CPT,90746,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,72.9,124.0,6
CPT,90746,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
CPT,90746,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90747,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,159.49,271.29,6
CPT,90747,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use Trauma",,,,,0
CPT,90747,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90748,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,82.12,82.12,5
CPT,90748,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90749,Unlisted vaccine/toxoid UNSCHEDULED,,,170.65,174.24,3
CPT,90750,"Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use ",,,221.59,221.59,1
CPT,90750,"Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90756,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,,,0
CPT,90756,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
CPT,90756,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use UNSCHEDULED",,,170.65,174.24,3
CPT,90759,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,121.8,121.8,5
CPT,90759,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
CPT,90785,Interactive complexity (List separately in addition to the code for primary procedure) SCHEDULED,,,15.2,15.52,3
CPT,90791,Psychiatric diagnostic evaluation SCHEDULED,,,140.6,143.56,3
CPT,90791,Psychiatric diagnostic evaluation UNSCHEDULED,,,265.91,271.51,3
CPT,90792,Psychiatric diagnostic evaluation with medical services SCHEDULED,,,156.75,160.05,3
CPT,90792,Psychiatric diagnostic evaluation with medical services UNSCHEDULED,,,196.82,200.96,3
CPT,90799,THER/PROPHYLACTIC/DX INJECT UNSCHEDULED,,,244.98,250.13,3
CPT,90801,PSY DX INTERVIEW UNSCHEDULED,,,244.98,250.13,3
CPT,90802,INTAC PSY DX INTERVIEW UNSCHEDULED,,,244.98,250.13,3
CPT,90804,PSYTX OFFICE 20-30 MIN UNSCHEDULED,,,244.98,250.13,3
CPT,90805,PSYTX OFF 20-30 MIN W/E&M UNSCHEDULED,,,244.98,250.13,3
CPT,90806,PSYTX OFF 45-50 MIN UNSCHEDULED,,,244.98,250.13,3
CPT,90807,PSYTX OFF 45-50 MIN W/E&M UNSCHEDULED,,,244.98,250.13,3
CPT,90808,PSYTX OFFICE 75-80 MIN UNSCHEDULED,,,244.98,250.13,3
CPT,90809,PSYTX OFF 75-80 W/E&M UNSCHEDULED,,,244.98,250.13,3
CPT,90810,INTAC PSYTX OFF 20-30 MIN UNSCHEDULED,,,244.98,250.13,3
CPT,90811,INTAC PSYTX 20-30 W/E&M UNSCHEDULED,,,244.98,250.13,3
CPT,90812,INTAC PSYTX OFF 45-50 MIN UNSCHEDULED,,,244.98,250.13,3
CPT,90813,INTAC PSYTX 45-50 MIN W/E&M UNSCHEDULED,,,244.98,250.13,3
CPT,90814,INTAC PSYTX OFF 75-80 MIN UNSCHEDULED,,,244.98,250.13,3
CPT,90815,INTAC PSYTX 75-80 W/E&M UNSCHEDULED,,,244.98,250.13,3
CPT,90816,PSYTX HOSP 20-30 MIN UNSCHEDULED,,,244.98,250.13,3
CPT,90817,PSYTX HOSP 20-30 MIN W/E&M UNSCHEDULED,,,244.98,250.13,3
CPT,90818,PSYTX HOSP 45-50 MIN UNSCHEDULED,,,244.98,250.13,3
CPT,90819,PSYTX HOSP 45-50 MIN W/E&M UNSCHEDULED,,,244.98,250.13,3
CPT,90821,PSYTX HOSP 75-80 MIN UNSCHEDULED,,,244.98,250.13,3
CPT,90822,PSYTX HOSP 75-80 MIN W/E&M UNSCHEDULED,,,244.98,250.13,3
CPT,90823,INTAC PSYTX HOSP 20-30 MIN UNSCHEDULED,,,244.98,250.13,3
CPT,90824,INTAC PSYTX HSP 20-30 W/E&M UNSCHEDULED,,,244.98,250.13,3
CPT,90826,INTAC PSYTX HOSP 45-50 MIN UNSCHEDULED,,,244.98,250.13,3
CPT,90827,INTAC PSYTX HSP 45-50 W/E&M UNSCHEDULED,,,244.98,250.13,3
CPT,90828,INTAC PSYTX HOSP 75-80 MIN UNSCHEDULED,,,244.98,250.13,3
CPT,90829,INTAC PSYTX HSP 75-80 W/E&M UNSCHEDULED,,,244.98,250.13,3
CPT,90832,"Psychotherapy, 30 minutes with patient SCHEDULED",,,70.3,71.78,3
CPT,90832,"Psychotherapy, 30 minutes with patient UNSCHEDULED",,,244.98,250.13,3
CPT,90833,"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) SCHEDULED",,,73.15,74.69,3
CPT,90833,"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) UNSCHEDULED",,,244.98,250.13,3
CPT,90834,"Psychotherapy, 45 minutes with patient SCHEDULED",,,94.05,96.03,3
CPT,90834,"Psychotherapy, 45 minutes with patient UNSCHEDULED",,,244.98,250.13,3
CPT,90836,"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) SCHEDULED",,,93.1,95.06,3
CPT,90836,"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) UNSCHEDULED",,,244.98,250.13,3
CPT,90837,INDIV SESSION 60MIN,384.09,384.09,33.03,460.91,114
CPT,90837,"Psychotherapy, 60 minutes with patient SCHEDULED",,,140.6,143.56,3
CPT,90837,"Psychotherapy, 60 minutes with patient UNSCHEDULED",,,244.98,250.13,3
CPT,90838,"Psychotherapy, 60 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) SCHEDULED",,,121.6,124.16,3
CPT,90838,"Psychotherapy, 60 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) UNSCHEDULED",,,244.98,250.13,3
CPT,90839,Psychotherapy for crisis; first 60 minutes SCHEDULED,,,146.3,149.38,3
CPT,90839,Psychotherapy for crisis; first 60 minutes UNSCHEDULED,,,237.64,242.65,3
CPT,90840,Psychotherapy for crisis; each additional 30 minutes (List separately in addition to code for primary service) SCHEDULED,,,70.3,71.78,3
CPT,90840,Psychotherapy for crisis; each additional 30 minutes (List separately in addition to code for primary service) UNSCHEDULED,,,244.98,250.13,3
CPT,90845,Psychoanalysis SCHEDULED,,,101.65,103.79,3
CPT,90845,Psychoanalysis UNSCHEDULED,,,244.98,250.13,3
CPT,90846,FAM WO PT 50 MIN,384.09,384.09,33.03,460.91,35
CPT,90846,"Family psychotherapy (without the patient present), 50 minutes SCHEDULED",384.09,384.09,113.05,115.43,3
CPT,90846,"Family psychotherapy (without the patient present), 50 minutes UNSCHEDULED",384.09,384.09,244.98,250.13,3
CPT,90847,FAM W PT 50 MIN,384.09,384.09,33.03,460.91,114
CPT,90847,"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes SCHEDULED",,,117.8,120.28,3
CPT,90847,"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes UNSCHEDULED",,,244.98,250.13,3
CPT,90849,MULT FAMILY GROUP,384.09,384.09,33.03,460.91,114
CPT,90849,Multiple-family group psychotherapy SCHEDULED,,,32.3,32.98,3
CPT,90849,Multiple-family group psychotherapy UNSCHEDULED,,,244.98,250.13,3
CPT,90853,Group psychotherapy (other than of a multiple-family group) SCHEDULED,,,30.4,31.04,3
CPT,90853,Group psychotherapy (other than of a multiple-family group) UNSCHEDULED,,,244.98,250.13,3
CPT,90853,IOP PSY GRP (NOT FAMILY),215.19,215.19,18.51,258.23,79
CPT,90857,INTAC GROUP PSYTX UNSCHEDULED,,,244.98,250.13,3
CPT,90862,MEDICATION MANAGEMENT UNSCHEDULED,,,244.98,250.13,3
CPT,90863,"Pharmacologic management, including prescription and review of medication, when performed with psychotherapy services (List separately in addition to the code for primary procedure) SCHEDULED",,,30.4,31.04,3
CPT,90863,"Pharmacologic management, including prescription and review of medication, when performed with psychotherapy services (List separately in addition to the code for primary procedure) UNSCHEDULED",,,244.98,250.13,3
CPT,90865,"Narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview) SCHEDULED",,,143.45,146.47,3
CPT,90865,"Narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview) UNSCHEDULED",,,244.98,250.13,3
CPT,90867,"Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management UNSCHEDULED",,,244.98,250.13,3
CPT,90868,"Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent delivery and management, per session UNSCHEDULED",,,244.98,250.13,3
CPT,90869,Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent motor threshold re-determination with delivery and management UNSCHEDULED,,,244.98,250.13,3
CPT,90870,ECT WITH MONITORING,1448.0,1448.0,124.53,1737.6,34
CPT,90870,Electroconvulsive therapy (includes necessary monitoring) ,1448.0,1448.0,979.0,1349.0,12
CPT,90870,Electroconvulsive therapy (includes necessary monitoring) SCHEDULED,1448.0,1448.0,123.5,126.1,3
CPT,90870,Electroconvulsive therapy (includes necessary monitoring) UNSCHEDULED,1448.0,1448.0,1798.58,1836.44,3
CPT,90871,ELECTROCONVULSIVE THERAPY UNSCHEDULED,,,244.98,250.13,3
CPT,90875,"Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive ps",,,72.2,250.13,6
CPT,90876,"Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive ps",,,114.95,250.13,6
CPT,90880,Hypnotherapy SCHEDULED,,,106.4,108.64,3
CPT,90880,Hypnotherapy UNSCHEDULED,,,244.98,250.13,3
CPT,90882,"Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions SCHEDULED",,,98.8,100.88,3
CPT,90882,"Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutions UNSCHEDULED",,,244.98,250.13,3
CPT,90885,"Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes SCHEDULED",,,59.85,61.11,3
CPT,90885,"Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes UNSCHEDULED",,,244.98,250.13,3
CPT,90887,"Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist pat",,,88.35,250.13,6
CPT,90889,"Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers UNSCHEDULE",,,244.98,250.13,3
CPT,90899,Unlisted psychiatric service or procedure ,,,1278.0,1278.0,4
CPT,90899,Unlisted psychiatric service or procedure UNSCHEDULED,,,244.98,250.13,3
CPT,90901,Biofeedback training by any modality ,,,37.2,130.24,65
CPT,90901,Biofeedback training by any modality SCHEDULED,,,43.7,44.62,3
CPT,90901,Biofeedback training by any modality Trauma,,,90.18,102.48,12
CPT,90912,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,51.3,264.71,80
CPT,90913,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,28.5,106.38,80
CPT,90935,HEMODIALYSIS SGL PHY EVL,1291.0,1291.0,111.03,1549.2,43
CPT,90935,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,1291.0,1291.0,,,0
CPT,90935,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional SCHEDULED,1291.0,1291.0,84.55,86.33,3
CPT,90935,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional UNSCHEDULED,1291.0,1291.0,3533.29,3607.67,3
CPT,90937,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,78.97,78.97,1
CPT,90937,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription SCHEDULED,,,214.7,219.22,3
CPT,90937,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription UNSCHEDULED,,,4559.25,4655.23,3
CPT,90939,"HEMODIALYSIS STUDY, TRANSCUT UNSCHEDULED",,,4046.27,4131.45,3
CPT,90940,Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method UNSCHEDULED,,,4046.27,4131.45,3
CPT,90945,DIALYSIS CCPD,1337.0,1337.0,70.86,1604.4,93
CPT,90945,DIALYSIS SLEDD,1000.0,1000.0,53.0,1200.0,49
CPT,90945,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,97.85,1978.61,6
CPT,90947,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,143.45,1978.61,6
CPT,90951,"End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counsel",,,1048.82,1048.82,1
CPT,90954,"End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of par",,,917.99,917.99,1
CPT,90955,"End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of par",,,476.71,476.71,1
CPT,90956,"End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of par",,,324.08,324.08,1
CPT,90957,"End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of pa",,,706.73,757.57,4
CPT,90958,"End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of pa",,,459.07,514.1,4
CPT,90959,"End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of pa",,,299.97,347.26,4
CPT,90960,"End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month",,,325.85,332.71,4
CPT,90961,"End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month ",,,275.13,275.13,1
CPT,90961,"End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month SCHED",,,273.6,279.36,3
CPT,90962,"End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month ",,,189.61,189.61,1
CPT,90962,"End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month SCHEDULE",,,210.9,215.34,3
CPT,90963,"End-stage renal disease (ESRD) related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and",,,554.62,554.62,1
CPT,90964,"End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and developme",,,472.23,472.23,1
CPT,90965,"End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and developm",,,456.44,533.5,4
CPT,90966,"End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older ",,,274.84,274.84,1
CPT,90966,"End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older SCHEDULED",,,273.6,279.36,3
CPT,90967,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age ",,,16.19,16.19,1
CPT,90968,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 2-11 years of age ",,,15.63,15.63,1
CPT,90969,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age ",,,15.36,15.36,1
CPT,90969,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age SCHEDULED",,,17.1,17.46,3
CPT,90970,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 20 years of age and older ",,,8.81,8.81,1
CPT,90970,"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 20 years of age and older SCHEDULED",,,9.5,9.7,3
CPT,90993,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
CPT,90997,"Hemoperfusion (eg, with activated charcoal or resin) SCHEDULED",,,109.25,111.55,3
CPT,90999,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
CPT,90999,"Unlisted dialysis procedure, inpatient or outpatient UNSCHEDULED",,,3888.19,3970.05,3
CPT,91010,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1423.0,3251.0,36
CPT,91010,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; SCHEDULED,,,148.2,151.32,3
CPT,91010,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; UNSCHEDULED,,,2284.33,2332.42,3
CPT,91011,ESOPHAGUS MOTILITY STUDY UNSCHEDULED,,,1393.42,1422.76,3
CPT,91012,ESOPHAGUS MOTILITY STUDY UNSCHEDULED,,,1393.42,1422.76,3
CPT,91013,ESOPH MOTILITY STIM/PERF,1662.0,1662.0,88.09,1994.4,40
CPT,91013,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",1662.0,1662.0,18.05,3251.0,42
CPT,91020,Gastric motility (manometric) studies ,,,1423.0,3251.0,36
CPT,91020,Gastric motility (manometric) studies SCHEDULED,,,203.3,207.58,3
CPT,91020,Gastric motility (manometric) studies UNSCHEDULED,,,1393.42,1422.76,3
CPT,91022,Duodenal motility (manometric) study ,,,1423.0,3251.0,36
CPT,91022,Duodenal motility (manometric) study SCHEDULED,,,103.55,105.73,3
CPT,91022,Duodenal motility (manometric) study UNSCHEDULED,,,1393.42,1422.76,3
CPT,91030,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1423.0,3251.0,36
CPT,91030,"Esophagus, acid perfusion (Bernstein) test for esophagitis SCHEDULED",,,101.65,103.79,3
CPT,91030,"Esophagus, acid perfusion (Bernstein) test for esophagitis UNSCHEDULED",,,1393.42,1422.76,3
CPT,91032,"ESOPHAGUS, ACID REFLUX TEST UNSCHEDULED",,,1393.42,1422.76,3
CPT,91033,PROLONGED ACID REFLUX TEST UNSCHEDULED,,,1393.42,1422.76,3
CPT,91034,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1423.0,3251.0,36
CPT,91034,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation SCHEDULED",,,153.9,157.14,3
CPT,91034,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation UNSCHEDULED",,,1393.42,1422.76,3
CPT,91035,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1423.0,4009.0,36
CPT,91035,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation SCHEDULED",,,439.85,449.11,3
CPT,91035,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation UNSCHEDULED",,,1581.86,1615.17,3
CPT,91037,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1423.0,3251.0,36
CPT,91037,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; SCHEDULED",,,127.3,129.98,3
CPT,91037,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; UNSCHEDULED",,,1393.42,1422.76,3
CPT,91038,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,419.9,3251.0,42
CPT,91040,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1423.0,3251.0,36
CPT,91040,"Esophageal balloon distension study, diagnostic, with provocation when performed SCHEDULED",,,501.6,512.16,3
CPT,91040,"Esophageal balloon distension study, diagnostic, with provocation when performed UNSCHEDULED",,,1393.42,1422.76,3
CPT,91052,GASTRIC ANALYSIS TEST UNSCHEDULED,,,1393.42,1422.76,3
CPT,91055,GASTRIC INTUBATION FOR SMEAR UNSCHEDULED,,,1393.42,1422.76,3
CPT,91060,GASTRIC SALINE LOAD TEST UNSCHEDULED,,,1393.42,1422.76,3
CPT,91065,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1423.0,3251.0,36
CPT,91065,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) SCHEDULED",,,76.95,78.57,3
CPT,91065,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) UNSCHEDULED",,,435.51,444.68,3
CPT,91100,PASS INTESTINE BLEEDING TUBE UNSCHEDULED,,,1393.42,1422.76,3
CPT,91105,GASTRIC INTUBATION TREATMENT UNSCHEDULED,,,1393.42,1422.76,3
CPT,91110,CAPSULE ENDOSCOPY ILEUM,3304.0,3304.0,284.14,3964.8,39
CPT,91110,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",3304.0,3304.0,2820.0,5568.0,36
CPT,91110,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report SCHEDULED",3304.0,3304.0,801.8,818.68,3
CPT,91110,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report UNSCHEDULED",3304.0,3304.0,213.57,218.07,3
CPT,91111,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2820.0,5568.0,36
CPT,91111,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report SCHEDULED",,,843.6,861.36,3
CPT,91111,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report UNSCHEDULED",,,1393.42,1422.76,3
CPT,91112,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2820.0,5568.0,36
CPT,91112,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report SCHEDULED",,,1466.8,1497.68,3
CPT,91112,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report UNSCHEDULED",,,1393.42,1422.76,3
CPT,91113,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report UNSCHEDULED",,,1393.42,1422.76,3
CPT,91117,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,157.7,3251.0,42
CPT,91120,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1423.0,3251.0,28
CPT,91120,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) SCHEDULED",,,479.75,489.85,3
CPT,91120,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) UNSCHEDULED",,,450.17,459.64,3
CPT,91122,Anorectal manometry ,,,1423.0,3251.0,28
CPT,91122,Anorectal manometry SCHEDULED,,,178.6,182.36,3
CPT,91122,Anorectal manometry UNSCHEDULED,,,5932.78,6057.68,3
CPT,91123,IRRIGATE FECAL IMPACTION UNSCHEDULED,,,1393.42,1422.76,3
CPT,91124,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,2143.0,2143.0,8
CPT,91125,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,2143.0,2143.0,8
CPT,91132,"Electrogastrography, diagnostic, transcutaneous; ",,,1423.0,3251.0,36
CPT,91132,"Electrogastrography, diagnostic, transcutaneous; SCHEDULED",,,324.9,331.74,3
CPT,91132,"Electrogastrography, diagnostic, transcutaneous; UNSCHEDULED",,,1393.42,1422.76,3
CPT,91133,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1423.0,3251.0,36
CPT,91133,"Electrogastrography, diagnostic, transcutaneous; with provocative testing SCHEDULED",,,342.95,350.17,3
CPT,91133,"Electrogastrography, diagnostic, transcutaneous; with provocative testing UNSCHEDULED",,,1393.42,1422.76,3
CPT,91200,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report ",,,237.24,237.24,2
CPT,91200,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report SCHEDULED",,,25.65,26.19,3
CPT,91200,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report UNSCHEDULED",,,282.66,288.61,3
CPT,91299,Unlisted diagnostic gastroenterology procedure ,,,1423.0,3251.0,36
CPT,91299,Unlisted diagnostic gastroenterology procedure UNSCHEDULED,,,282.66,288.61,3
CPT,91304,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,186.16,316.67,6
CPT,91318,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,108.03,108.03,5
CPT,91318,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Tra",,,,,0
CPT,91319,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,91.96,156.42,6
CPT,91319,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Tr",,,,,0
CPT,91320,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,163.32,277.81,6
CPT,91320,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Tr",,,,,0
CPT,91321,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,142.65,242.65,6
CPT,91321,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use Trauma",,,,,0
CPT,91322,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,156.8,266.72,6
CPT,91322,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use Trauma",,,,,0
CPT,91323,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,195.85,333.15,6
CPT,91323,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use Trauma",,,,,0
CPT,92002,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient SCHEDULED",,,59.85,61.11,3
CPT,92004,"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits SCHEDULED",,,108.3,110.58,3
CPT,92012,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient SCHEDULED",,,57.95,59.17,3
CPT,92014,"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits SCHEDULED",,,87.4,89.24,3
CPT,92015,Determination of refractive state SCHEDULED,,,32.3,32.98,3
CPT,92015,Determination of refractive state UNSCHEDULED,,,55.49,56.66,3
CPT,92018,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,161.5,8727.0,42
CPT,92019,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,81.7,8727.0,42
CPT,92020,Gonioscopy (separate procedure) SCHEDULED,,,29.45,30.07,3
CPT,92020,Gonioscopy (separate procedure) UNSCHEDULED,,,372.69,380.54,3
CPT,92025,"Computerized corneal topography, unilateral or bilateral, with interpretation and report SCHEDULED",,,19.0,19.4,3
CPT,92025,"Computerized corneal topography, unilateral or bilateral, with interpretation and report UNSCHEDULED",,,291.04,297.17,3
CPT,92060,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) SCHEDULED",,,28.5,29.1,3
CPT,92060,"Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) UNSCHEDULED",,,351.76,359.16,3
CPT,92065,Orthoptic training; performed by a physician or other qualified health care professional SCHEDULED,,,38.95,39.77,3
CPT,92065,Orthoptic training; performed by a physician or other qualified health care professional UNSCHEDULED,,,474.77,484.77,3
CPT,92066,Orthoptic training; under supervision of a physician or other qualified health care professional UNSCHEDULED,,,474.77,484.77,3
CPT,92070,FITTING OF CONTACT LENS UNSCHEDULED,,,474.77,484.77,3
CPT,92071,Fitting of contact lens for treatment of ocular surface disease SCHEDULED,,,37.05,37.83,3
CPT,92071,Fitting of contact lens for treatment of ocular surface disease UNSCHEDULED,,,252.3,257.61,3
CPT,92072,"Fitting of contact lens for management of keratoconus, initial fitting SCHEDULED",,,106.4,108.64,3
CPT,92072,"Fitting of contact lens for management of keratoconus, initial fitting UNSCHEDULED",,,474.77,484.77,3
CPT,92081,"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Oc",,,19.95,484.77,6
CPT,92082,"Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshol",,,28.5,300.37,6
CPT,92083,"Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the",,,38.95,712.98,6
CPT,92100,"Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment o",,,38.0,647.78,6
CPT,92120,TONOGRAPHY & EYE EVALUATION UNSCHEDULED,,,474.77,484.77,3
CPT,92130,WATER PROVOCATION TONOGRAPHY UNSCHEDULED,,,474.77,484.77,3
CPT,92132,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), anterior segment, with interpretation and report, unilateral or bilateral SCHEDULED",,,17.1,17.46,3
CPT,92132,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), anterior segment, with interpretation and report, unilateral or bilateral UNSCHEDULED",,,190.53,194.54,3
CPT,92133,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve SCHEDULED",,,17.1,17.46,3
CPT,92133,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve UNSCHEDULED",,,450.17,459.64,3
CPT,92134,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina SCHEDULED",,,17.1,17.46,3
CPT,92134,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina UNSCHEDULED",,,231.36,236.23,3
CPT,92135,OPHTH DX IMAGING POST SEG UNSCHEDULED,,,474.77,484.77,3
CPT,92136,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation SCHEDULED,,,59.85,61.11,3
CPT,92136,Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation UNSCHEDULED,,,510.89,521.65,3
CPT,92137,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,529.38,529.38,8
CPT,92140,GLAUCOMA PROVOCATIVE TESTS UNSCHEDULED,,,474.77,484.77,3
CPT,92145,"Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report SCHEDULED",,,8.55,8.73,3
CPT,92145,"Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report UNSCHEDULED",,,474.77,484.77,3
CPT,92201,"Ophthalmoscopy, extended; with retinal drawing and scleral depression of peripheral retinal disease (eg, for retinal tear, retinal detachment, retinal tumor) with interpretation and report, unilateral",,,25.65,484.77,6
CPT,92202,"Ophthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateral SCHEDULED",,,16.15,16.49,3
CPT,92202,"Ophthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateral UNSCHEDULED",,,474.77,484.77,3
CPT,92225,"OPHTHALMOSCOPY, EXTENDED, WITH RETINAL DRAWING (EG, FOR RETINAL DETACHMENT, MELANOMA), WITH INTERPRETATION AND REPORT; INITIAL UNSCHEDULED",,,474.77,484.77,3
CPT,92226,"OPHTHALMOSCOPY, EXTENDED, WITH RETINAL DRAWING (EG, FOR RETINAL DETACHMENT, MELANOMA), WITH INTERPRETATION AND REPORT; SUBSEQUENT UNSCHEDULED",,,474.77,484.77,3
CPT,92227,"Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral SCHEDULED",,,15.2,15.52,3
CPT,92227,"Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral UNSCHEDULED",,,474.77,484.77,3
CPT,92228,"Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral SCHEDULED",,,15.2,15.52,3
CPT,92228,"Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateral UNSCHEDULED",,,474.77,484.77,3
CPT,92229,"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral UNSCHEDULED",,,474.77,484.77,3
CPT,92230,Fluorescein angioscopy with interpretation and report SCHEDULED,,,55.1,56.26,3
CPT,92230,Fluorescein angioscopy with interpretation and report UNSCHEDULED,,,474.77,484.77,3
CPT,92235,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral SCHEDULED",,,66.5,67.9,3
CPT,92235,"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral UNSCHEDULED",,,1145.31,1169.42,3
CPT,92240,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral SCHEDULED",,,169.1,172.66,3
CPT,92240,"Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral UNSCHEDULED",,,1490.79,1522.17,3
CPT,92242,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral SCHEDULED",,,200.45,204.67,3
CPT,92242,"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateral UNSCHEDULED",,,474.77,484.77,3
CPT,92250,Fundus photography with interpretation and report SCHEDULED,,,26.6,27.16,3
CPT,92250,Fundus photography with interpretation and report UNSCHEDULED,,,293.13,299.3,3
CPT,92260,Ophthalmodynamometry SCHEDULED,,,19.0,19.4,3
CPT,92260,Ophthalmodynamometry UNSCHEDULED,,,474.77,484.77,3
CPT,92265,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report SCHEDULED",,,44.65,45.59,3
CPT,92265,"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report UNSCHEDULED",,,474.77,484.77,3
CPT,92270,Electro-oculography with interpretation and report SCHEDULED,,,59.85,61.11,3
CPT,92270,Electro-oculography with interpretation and report UNSCHEDULED,,,474.77,484.77,3
CPT,92273,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) SCHEDULED",,,102.6,104.76,3
CPT,92273,"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) UNSCHEDULED",,,1283.5,1310.52,3
CPT,92274,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) SCHEDULED",,,60.8,62.08,3
CPT,92274,"Electroretinography (ERG), with interpretation and report; multifocal (mfERG) UNSCHEDULED",,,474.77,484.77,3
CPT,92275,ELECTRORETINOGRAPHY WITH INTERPRETATION AND REPORT UNSCHEDULED,,,474.77,484.77,3
CPT,92283,"Color vision examination, extended, eg, anomaloscope or equivalent SCHEDULED",,,48.45,49.47,3
CPT,92283,"Color vision examination, extended, eg, anomaloscope or equivalent UNSCHEDULED",,,944.3,964.18,3
CPT,92284,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report SCHEDULED",,,52.25,53.35,3
CPT,92284,"Diagnostic dark adaptation examination (eg, rod and cone sensitivities, rod-cone breakpoint), with interpretation and report UNSCHEDULED",,,1899.08,1939.06,3
CPT,92285,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) SCHEDULED",,,20.9,21.34,3
CPT,92285,"External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography) UNSCHEDULED",,,499.37,509.88,3
CPT,92286,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis SCHEDULED,,,27.55,28.13,3
CPT,92286,Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis UNSCHEDULED,,,728.64,743.98,3
CPT,92287,Anterior segment imaging with interpretation and report; with fluorescein angiography SCHEDULED,,,117.8,120.28,3
CPT,92287,Anterior segment imaging with interpretation and report; with fluorescein angiography UNSCHEDULED,,,474.77,484.77,3
CPT,92310,"Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens, both eyes, except for aphakia ",,,43.45,43.45,1
CPT,92310,"Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens, both eyes, except for aphakia SCHEDULED",,,81.7,83.42,3
CPT,92311,"Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, 1 eye SCHEDULED",,,74.1,75.66,3
CPT,92312,"Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, both eyes SCHEDULED",,,84.55,86.33,3
CPT,92313,"Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneoscleral lens SCHEDULED",,,66.5,67.9,3
CPT,92314,"Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens, both eyes except for apha",,,25.53,52.38,4
CPT,92315,"Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, 1 eye SCHEDUL",,,41.8,42.68,3
CPT,92316,"Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, both eyes SCH",,,56.05,57.23,3
CPT,92317,"Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneoscleral lens SCHEDULED",,,37.05,37.83,3
CPT,92325,"Modification of contact lens (separate procedure), with medical supervision of adaptation SCHEDULED",,,49.4,50.44,3
CPT,92326,Replacement of contact lens SCHEDULED,,,41.8,42.68,3
CPT,92340,"Fitting of spectacles, except for aphakia; monofocal SCHEDULED",,,30.4,31.04,3
CPT,92341,"Fitting of spectacles, except for aphakia; bifocal SCHEDULED",,,40.85,41.71,3
CPT,92342,"Fitting of spectacles, except for aphakia; multifocal, other than bifocal SCHEDULED",,,40.85,41.71,3
CPT,92358,"Prosthesis service for aphakia, temporary (disposable or loan, including materials) SCHEDULED",,,22.8,23.28,3
CPT,92370,Repair and refitting spectacles; except for aphakia SCHEDULED,,,33.25,33.95,3
CPT,92371,Repair and refitting spectacles; spectacle prosthesis for aphakia SCHEDULED,,,17.1,17.46,3
CPT,92502,Otolaryngologic examination under general anesthesia ,,,1423.0,3251.0,36
CPT,92502,Otolaryngologic examination under general anesthesia SCHEDULED,,,108.3,110.58,3
CPT,92502,Otolaryngologic examination under general anesthesia UNSCHEDULED,,,250.21,255.48,3
CPT,92504,Binocular microscopy (separate diagnostic procedure) SCHEDULED,,,22.8,23.28,3
CPT,92504,Binocular microscopy (separate diagnostic procedure) UNSCHEDULED,,,250.21,255.48,3
CPT,92506,SPEECH/HEARING EVALUATION UNSCHEDULED,,,250.21,255.48,3
CPT,92507,TX SPEECH INDIVIDUAL SP,561.0,561.0,48.25,673.2,36
CPT,92507,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual ",561.0,561.0,75.65,237.87,33
CPT,92507,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual SCHEDULED",561.0,561.0,88.35,90.21,3
CPT,92507,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual Trauma",,,187.18,187.18,6
CPT,92507,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual UNSCHEDULED",561.0,561.0,250.21,255.48,3
CPT,92508,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals ",,,24.33,76.49,33
CPT,92508,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals SCHEDULED",,,39.9,40.74,3
CPT,92508,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals Trauma",,,60.19,60.19,6
CPT,92508,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals UNSCHEDULED",,,250.21,255.48,3
CPT,92510,REHAB FOR EAR IMPLANT UNSCHEDULED,,,250.21,255.48,3
CPT,92511,Nasopharyngoscopy with endoscope (separate procedure) SCHEDULED,,,76.95,78.57,3
CPT,92511,Nasopharyngoscopy with endoscope (separate procedure) UNSCHEDULED,,,250.21,255.48,3
CPT,92512,"Nasal function studies (eg, rhinomanometry) SCHEDULED",,,43.7,44.62,3
CPT,92512,"Nasal function studies (eg, rhinomanometry) UNSCHEDULED",,,250.21,255.48,3
CPT,92516,"Facial nerve function studies (eg, electroneuronography) SCHEDULED",,,34.2,34.92,3
CPT,92516,"Facial nerve function studies (eg, electroneuronography) UNSCHEDULED",,,250.21,255.48,3
CPT,92517,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) UNSCHEDULED",,,250.21,255.48,3
CPT,92518,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; ocular (oVEMP) UNSCHEDULED",,,250.21,255.48,3
CPT,92519,"Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP) UNSCHEDULED",,,250.21,255.48,3
CPT,92520,LARYNGEAL FUNCTN STUDIES,470.36,470.36,40.45,564.43,48
CPT,92520,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) ",470.36,470.36,93.62,288.44,32
CPT,92520,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) SCHEDULED",470.36,470.36,47.5,48.5,3
CPT,92520,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) Trauma",,,226.97,226.97,6
CPT,92520,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) UNSCHEDULED",470.36,470.36,250.21,255.48,3
CPT,92521,"Evaluation of speech fluency (eg, stuttering, cluttering) ",1366.0,1366.0,132.08,415.29,33
CPT,92521,"Evaluation of speech fluency (eg, stuttering, cluttering) SCHEDULED",1366.0,1366.0,127.3,129.98,3
CPT,92521,"Evaluation of speech fluency (eg, stuttering, cluttering) Trauma",,,326.78,326.78,6
CPT,92521,"Evaluation of speech fluency (eg, stuttering, cluttering) UNSCHEDULED",1366.0,1366.0,250.21,255.48,3
CPT,92521,SP/EVAL FLUENCY,1366.0,1366.0,117.48,1639.2,36
CPT,92522,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); ",1366.0,1366.0,112.36,353.31,33
CPT,92522,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); SCHEDULED",1366.0,1366.0,104.5,106.7,3
CPT,92522,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); Trauma",,,278.02,278.02,6
CPT,92522,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); UNSCHEDULED",1366.0,1366.0,250.21,255.48,3
CPT,92522,SP/EVAL SOUND PRODUCTION,1366.0,1366.0,117.48,1639.2,36
CPT,92523,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) ",1366.0,1366.0,224.05,704.49,33
CPT,92523,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) SC",1366.0,1366.0,216.6,221.16,3
CPT,92523,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) Tr",,,554.35,554.35,6
CPT,92523,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) UN",1366.0,1366.0,250.21,255.48,3
CPT,92523,SP/EVAL SND W/ LANG EVAL,1366.0,1366.0,117.48,1639.2,36
CPT,92524,BEHAV QL ANALYSIS VOICE,1366.0,1366.0,117.48,1639.2,36
CPT,92524,Behavioral and qualitative analysis of voice and resonance ,1366.0,1366.0,109.51,344.38,33
CPT,92524,Behavioral and qualitative analysis of voice and resonance SCHEDULED,1366.0,1366.0,102.6,104.76,3
CPT,92524,Behavioral and qualitative analysis of voice and resonance Trauma,,,270.98,270.98,6
CPT,92524,Behavioral and qualitative analysis of voice and resonance UNSCHEDULED,1366.0,1366.0,250.21,255.48,3
CPT,92525,Oral function evaluation UNSCHEDULED,,,250.21,255.48,3
CPT,92526,TX SWAL/ORAL FUNCTION SP,507.0,507.0,43.6,608.4,41
CPT,92526,Treatment of swallowing dysfunction and/or oral function for feeding ,507.0,507.0,83.69,263.15,33
CPT,92526,Treatment of swallowing dysfunction and/or oral function for feeding SCHEDULED,507.0,507.0,97.85,99.91,3
CPT,92526,Treatment of swallowing dysfunction and/or oral function for feeding Trauma,,,207.07,207.07,6
CPT,92526,Treatment of swallowing dysfunction and/or oral function for feeding UNSCHEDULED,507.0,507.0,250.21,255.48,3
CPT,92531,"Spontaneous nystagmus, including gaze SCHEDULED",,,9.5,9.7,3
CPT,92531,"Spontaneous nystagmus, including gaze UNSCHEDULED",,,250.21,255.48,3
CPT,92532,Positional nystagmus test SCHEDULED,,,13.3,13.58,3
CPT,92532,Positional nystagmus test UNSCHEDULED,,,250.21,255.48,3
CPT,92533,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) SCHEDULED",,,38.95,39.77,3
CPT,92533,"Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests) UNSCHEDULED",,,250.21,255.48,3
CPT,92534,Optokinetic nystagmus test UNSCHEDULED,,,250.21,255.48,3
CPT,92537,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) SCHEDULED",,,11.4,11.64,3
CPT,92537,"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations) UNSCHEDULED",,,1101.33,1124.52,3
CPT,92538,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) SCHEDULED",,,7.6,7.76,3
CPT,92538,"Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations) UNSCHEDULED",,,762.15,778.19,3
CPT,92540,"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic ",,,30.4,1848.2,6
CPT,92541,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording SCHEDULED",,,8.55,8.73,3
CPT,92541,"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording UNSCHEDULED",,,1022.82,1044.35,3
CPT,92542,"Positional nystagmus test, minimum of 4 positions, with recording SCHEDULED",,,9.5,9.7,3
CPT,92542,"Positional nystagmus test, minimum of 4 positions, with recording UNSCHEDULED",,,1022.82,1044.35,3
CPT,92543,CALORIC VESTIBULAR TEST UNSCHEDULED,,,1022.82,1044.35,3
CPT,92544,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording SCHEDULED",,,7.6,7.76,3
CPT,92544,"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording UNSCHEDULED",,,356.99,364.51,3
CPT,92545,"Oscillating tracking test, with recording SCHEDULED",,,7.6,7.76,3
CPT,92545,"Oscillating tracking test, with recording UNSCHEDULED",,,356.99,364.51,3
CPT,92546,Sinusoidal vertical axis rotational testing SCHEDULED,,,106.4,108.64,3
CPT,92546,Sinusoidal vertical axis rotational testing UNSCHEDULED,,,1334.8,1362.9,3
CPT,92547,Use of vertical electrodes (List separately in addition to code for primary procedure) SCHEDULED,,,19.95,20.37,3
CPT,92547,Use of vertical electrodes (List separately in addition to code for primary procedure) UNSCHEDULED,,,1022.82,1044.35,3
CPT,92548,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,56.05,1044.35,6
CPT,92549,"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), incl",,,20.9,1044.35,6
CPT,92550,Tympanometry and reflex threshold measurements SCHEDULED,,,25.65,26.19,3
CPT,92550,Tympanometry and reflex threshold measurements UNSCHEDULED,,,395.73,404.06,3
CPT,92551,"Screening test, pure tone, air only ",,,13.97,13.97,1
CPT,92551,"Screening test, pure tone, air only SCHEDULED",,,16.15,16.49,3
CPT,92551,"Screening test, pure tone, air only UNSCHEDULED",,,395.73,404.06,3
CPT,92552,Pure tone audiometry (threshold); air only SCHEDULED,,,35.15,35.89,3
CPT,92552,Pure tone audiometry (threshold); air only UNSCHEDULED,,,395.73,404.06,3
CPT,92553,Pure tone audiometry (threshold); air and bone SCHEDULED,,,42.75,43.65,3
CPT,92553,Pure tone audiometry (threshold); air and bone UNSCHEDULED,,,395.73,404.06,3
CPT,92555,Speech audiometry threshold; SCHEDULED,,,26.6,27.16,3
CPT,92555,Speech audiometry threshold; UNSCHEDULED,,,395.73,404.06,3
CPT,92556,Speech audiometry threshold; with speech recognition SCHEDULED,,,41.8,42.68,3
CPT,92556,Speech audiometry threshold; with speech recognition UNSCHEDULED,,,395.73,404.06,3
CPT,92557,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) SCHEDULED,,,43.7,44.62,3
CPT,92557,Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) UNSCHEDULED,,,395.73,404.06,3
CPT,92558,"Evoked otoacoustic emissions, screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions), automated analysis ",,,15.6,15.6,1
CPT,92558,"Evoked otoacoustic emissions, screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions), automated analysis SCHEDULED",,,10.45,10.67,3
CPT,92558,"Evoked otoacoustic emissions, screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions), automated analysis UNSCHEDULED",,,395.73,404.06,3
CPT,92559,AUDIOMETRIC TESTING OF GROUPS UNSCHEDULED,,,395.73,404.06,3
CPT,92560,BEKESY AUDIOMETRY; SCREENING SCHEDULED,,,21.85,22.31,3
CPT,92560,BEKESY AUDIOMETRY; SCREENING UNSCHEDULED,,,395.73,404.06,3
CPT,92561,BEKESY AUDIOMETRY; DIAGNOSTIC SCHEDULED,,,43.7,44.62,3
CPT,92561,BEKESY AUDIOMETRY; DIAGNOSTIC UNSCHEDULED,,,395.73,404.06,3
CPT,92562,"Loudness balance test, alternate binaural or monaural SCHEDULED",,,49.4,50.44,3
CPT,92562,"Loudness balance test, alternate binaural or monaural UNSCHEDULED",,,395.73,404.06,3
CPT,92563,Tone decay test SCHEDULED,,,34.2,34.92,3
CPT,92563,Tone decay test UNSCHEDULED,,,395.73,404.06,3
CPT,92564,SHORT INCREMENT SENSITIVITY INDEX (SISI) SCHEDULED,,,26.6,27.16,3
CPT,92564,SHORT INCREMENT SENSITIVITY INDEX (SISI) UNSCHEDULED,,,395.73,404.06,3
CPT,92565,"Stenger test, pure tone SCHEDULED",,,18.05,18.43,3
CPT,92565,"Stenger test, pure tone UNSCHEDULED",,,395.73,404.06,3
CPT,92567,Tympanometry (impedance testing) SCHEDULED,,,19.0,19.4,3
CPT,92567,Tympanometry (impedance testing) UNSCHEDULED,,,395.73,404.06,3
CPT,92568,"Acoustic reflex testing, threshold SCHEDULED",,,18.05,18.43,3
CPT,92568,"Acoustic reflex testing, threshold UNSCHEDULED",,,395.73,404.06,3
CPT,92569,ACOUSTIC REFLEX DECAY TEST UNSCHEDULED,,,395.73,404.06,3
CPT,92570,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing SCHEDULED",,,34.2,34.92,3
CPT,92570,"Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing UNSCHEDULED",,,395.73,404.06,3
CPT,92571,Filtered speech test SCHEDULED,,,30.4,31.04,3
CPT,92571,Filtered speech test UNSCHEDULED,,,395.73,404.06,3
CPT,92572,Staggered spondaic word test SCHEDULED,,,38.95,39.77,3
CPT,92572,Staggered spondaic word test UNSCHEDULED,,,395.73,404.06,3
CPT,92573,LOMBARD TEST UNSCHEDULED,,,395.73,404.06,3
CPT,92575,Sensorineural acuity level test SCHEDULED,,,72.2,73.72,3
CPT,92575,Sensorineural acuity level test UNSCHEDULED,,,395.73,404.06,3
CPT,92576,Synthetic sentence identification test SCHEDULED,,,39.9,40.74,3
CPT,92576,Synthetic sentence identification test UNSCHEDULED,,,395.73,404.06,3
CPT,92577,"Stenger test, speech SCHEDULED",,,26.6,27.16,3
CPT,92577,"Stenger test, speech UNSCHEDULED",,,395.73,404.06,3
CPT,92579,Visual reinforcement audiometry (VRA) SCHEDULED,,,43.7,44.62,3
CPT,92579,Visual reinforcement audiometry (VRA) UNSCHEDULED,,,395.73,404.06,3
CPT,92582,Conditioning play audiometry SCHEDULED,,,81.7,83.42,3
CPT,92582,Conditioning play audiometry UNSCHEDULED,,,395.73,404.06,3
CPT,92583,Select picture audiometry SCHEDULED,,,53.2,54.32,3
CPT,92583,Select picture audiometry UNSCHEDULED,,,395.73,404.06,3
CPT,92584,Electrocochleography SCHEDULED,,,89.3,91.18,3
CPT,92584,Electrocochleography UNSCHEDULED,,,388.4,396.57,3
CPT,92585,AUDITORY EVOKED POTENTIALS FOR EVOKED RESPONSE AUDIOMETRY AND/OR TESTING OF THE CENTRAL NERVOUS SYSTEM; COMPREHENSIVE SCHEDULED,,,119.7,122.22,3
CPT,92585,AUDITORY EVOKED POTENTIALS FOR EVOKED RESPONSE AUDIOMETRY AND/OR TESTING OF THE CENTRAL NERVOUS SYSTEM; COMPREHENSIVE UNSCHEDULED,,,581.03,593.26,3
CPT,92586,AUDITORY EVOKED POTENTIALS FOR EVOKED RESPONSE AUDIOMETRY AND/OR TESTING OF THE CENTRAL NERVOUS SYSTEM; LIMITED SCHEDULED,,,104.5,106.7,3
CPT,92586,AUDITORY EVOKED POTENTIALS FOR EVOKED RESPONSE AUDIOMETRY AND/OR TESTING OF THE CENTRAL NERVOUS SYSTEM; LIMITED UNSCHEDULED,,,308.84,315.34,3
CPT,92587,"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpreta",,,46.55,404.06,6
CPT,92588,"Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpreta",,,54.15,404.06,6
CPT,92589,AUDITORY FUNCTION TEST(S) UNSCHEDULED,,,395.73,404.06,3
CPT,92590,Hearing aid examination and selection; monaural SCHEDULED,,,38.95,39.77,3
CPT,92590,Hearing aid examination and selection; monaural UNSCHEDULED,,,395.73,404.06,3
CPT,92591,Hearing aid examination and selection; binaural UNSCHEDULED,,,395.73,404.06,3
CPT,92592,Hearing aid check; monaural UNSCHEDULED,,,395.73,404.06,3
CPT,92593,Hearing aid check; binaural UNSCHEDULED,,,395.73,404.06,3
CPT,92594,Electroacoustic evaluation for hearing aid; monaural UNSCHEDULED,,,395.73,404.06,3
CPT,92595,Electroacoustic evaluation for hearing aid; binaural UNSCHEDULED,,,395.73,404.06,3
CPT,92596,Ear protector attenuation measurements SCHEDULED,,,72.2,73.72,3
CPT,92596,Ear protector attenuation measurements UNSCHEDULED,,,395.73,404.06,3
CPT,92597,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech ,,,71.17,223.78,33
CPT,92597,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech SCHEDULED,,,91.2,93.12,3
CPT,92597,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech Trauma,,,176.09,176.09,6
CPT,92597,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech UNSCHEDULED,,,240.79,245.86,3
CPT,92598,Modify oral speech device UNSCHEDULED,,,240.79,245.86,3
CPT,92599,ENT procedure/service UNSCHEDULED,,,240.79,245.86,3
CPT,92601,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming UNSCHEDULED",,,240.79,245.86,3
CPT,92602,"Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming UNSCHEDULED",,,240.79,245.86,3
CPT,92603,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming SCHEDULED",,,137.75,140.65,3
CPT,92603,"Diagnostic analysis of cochlear implant, age 7 years or older; with programming UNSCHEDULED",,,240.79,245.86,3
CPT,92604,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming SCHEDULED",,,76.95,78.57,3
CPT,92604,"Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming UNSCHEDULED",,,240.79,245.86,3
CPT,92605,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",,,97.08,97.08,1
CPT,92605,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour SCHEDULED",,,104.5,106.7,3
CPT,92605,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour UNSCHEDULED",,,240.79,245.86,3
CPT,92606,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification ",,,82.3,82.3,1
CPT,92606,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification SCHEDULED",,,84.55,86.33,3
CPT,92606,"Therapeutic service(s) for the use of non-speech-generating device, including programming and modification UNSCHEDULED",,,240.79,245.86,3
CPT,92607,EV SGD W/PT FIRST HR SP,622.0,622.0,53.49,746.4,41
CPT,92607,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour ",622.0,622.0,121.47,381.92,33
CPT,92607,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour SCHEDULED",622.0,622.0,144.4,147.44,3
CPT,92607,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour Trauma",,,300.53,300.53,6
CPT,92607,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour UNSCHEDULED",622.0,622.0,254.4,259.76,3
CPT,92608,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,47.3,245.86,45
CPT,92609,SGD INCL PROGRAM/MOD SP,622.0,622.0,53.49,746.4,41
CPT,92609,"Therapeutic services for the use of speech-generating device, including programming and modification ",622.0,622.0,102.03,320.83,33
CPT,92609,"Therapeutic services for the use of speech-generating device, including programming and modification SCHEDULED",622.0,622.0,121.6,124.16,3
CPT,92609,"Therapeutic services for the use of speech-generating device, including programming and modification Trauma",,,252.46,252.46,6
CPT,92609,"Therapeutic services for the use of speech-generating device, including programming and modification UNSCHEDULED",622.0,622.0,240.79,245.86,3
CPT,92610,EVAL ORAL/PHARYNG SWL SP,1043.0,1043.0,89.7,1251.6,41
CPT,92610,Evaluation of oral and pharyngeal swallowing function ,1043.0,1043.0,84.43,265.44,33
CPT,92610,Evaluation of oral and pharyngeal swallowing function SCHEDULED,1043.0,1043.0,82.65,84.39,3
CPT,92610,Evaluation of oral and pharyngeal swallowing function Trauma,,,208.87,208.87,6
CPT,92610,Evaluation of oral and pharyngeal swallowing function UNSCHEDULED,1043.0,1043.0,240.79,245.86,3
CPT,92611,FLUORO EVAL OF SWALW SP,1867.0,1867.0,160.56,2240.4,41
CPT,92611,Motion fluoroscopic evaluation of swallowing function by cine or video recording ,1867.0,1867.0,93.08,292.68,33
CPT,92611,Motion fluoroscopic evaluation of swallowing function by cine or video recording SCHEDULED,1867.0,1867.0,105.45,107.67,3
CPT,92611,Motion fluoroscopic evaluation of swallowing function by cine or video recording Trauma,,,230.3,230.3,6
CPT,92611,Motion fluoroscopic evaluation of swallowing function by cine or video recording UNSCHEDULED,1867.0,1867.0,240.79,245.86,3
CPT,92612,ENDO EVAL OF SWALLOW SP,764.0,764.0,65.7,916.8,41
CPT,92612,Flexible endoscopic evaluation of swallowing by cine or video recording; ,764.0,764.0,202.46,636.57,33
CPT,92612,Flexible endoscopic evaluation of swallowing by cine or video recording; SCHEDULED,764.0,764.0,164.35,167.81,3
CPT,92612,Flexible endoscopic evaluation of swallowing by cine or video recording; Trauma,,,500.9,500.9,6
CPT,92612,Flexible endoscopic evaluation of swallowing by cine or video recording; UNSCHEDULED,764.0,764.0,240.79,245.86,3
CPT,92613,Flexible endoscopic evaluation of swallowing by cine or video recording; interpretation and report only ,,,37.1,37.1,1
CPT,92613,Flexible endoscopic evaluation of swallowing by cine or video recording; interpretation and report only SCHEDULED,,,43.7,44.62,3
CPT,92613,Flexible endoscopic evaluation of swallowing by cine or video recording; interpretation and report only UNSCHEDULED,,,15981.97,16318.44,3
CPT,92614,ENDO LARYNG SENS TEST SP,578.0,578.0,49.71,693.6,41
CPT,92614,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; ",578.0,578.0,154.37,485.38,33
CPT,92614,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; SCHEDULED",578.0,578.0,127.3,129.98,3
CPT,92614,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; Trauma",,,381.94,381.94,6
CPT,92614,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; UNSCHEDULED",578.0,578.0,240.79,245.86,3
CPT,92615,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; interpretation and report only ",,,23.88,23.88,1
CPT,92615,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; interpretation and report only SCHEDULED",,,38.95,39.77,3
CPT,92615,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; interpretation and report only UNSCHEDULED",,,240.79,245.86,3
CPT,92616,ENDO SWALL/LARYNG SEN SP,852.0,852.0,73.27,1022.4,41
CPT,92616,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; ,852.0,852.0,231.98,729.41,33
CPT,92616,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; SCHEDULED,852.0,852.0,173.85,177.51,3
CPT,92616,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; Trauma,,,573.96,573.96,6
CPT,92616,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; UNSCHEDULED,852.0,852.0,240.79,245.86,3
CPT,92617,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; interpretation and report only ,,,30.13,30.13,1
CPT,92617,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; interpretation and report only SCHEDULED,,,47.5,48.5,3
CPT,92617,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; interpretation and report only UNSCHEDULED,,,240.79,245.86,3
CPT,92618,"Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code f",,,34.45,245.86,7
CPT,92620,"Evaluation of central auditory function, with report; initial 60 minutes SCHEDULED",,,92.15,94.09,3
CPT,92620,"Evaluation of central auditory function, with report; initial 60 minutes UNSCHEDULED",,,926.51,946.01,3
CPT,92621,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) SCHEDULED",,,20.9,21.34,3
CPT,92621,"Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure) UNSCHEDULED",,,68.05,69.48,3
CPT,92622,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes UNSCHEDULED",,,240.79,245.86,3
CPT,92623,"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; each additional 15 minutes (List separately in addition to code for primary procedure) UNSC",,,240.79,245.86,3
CPT,92625,"Assessment of tinnitus (includes pitch, loudness matching, and masking) SCHEDULED",,,70.3,71.78,3
CPT,92625,"Assessment of tinnitus (includes pitch, loudness matching, and masking) UNSCHEDULED",,,227.17,231.96,3
CPT,92626,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour SCHEDULED,,,85.5,87.3,3
CPT,92626,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour UNSCHEDULED,,,240.79,245.86,3
CPT,92627,Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to cod,,,19.95,163.55,6
CPT,92630,Auditory rehabilitation; prelingual hearing loss ,,,361.45,361.45,1
CPT,92630,Auditory rehabilitation; prelingual hearing loss UNSCHEDULED,,,240.79,245.86,3
CPT,92633,Auditory rehabilitation; postlingual hearing loss ,,,361.45,361.45,1
CPT,92633,Auditory rehabilitation; postlingual hearing loss UNSCHEDULED,,,240.79,245.86,3
CPT,92640,"Diagnostic analysis with programming of auditory brainstem implant, per hour SCHEDULED",,,108.3,110.58,3
CPT,92640,"Diagnostic analysis with programming of auditory brainstem implant, per hour UNSCHEDULED",,,240.79,245.86,3
CPT,92650,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis ",,,18.91,18.91,1
CPT,92650,"Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysis UNSCHEDULED",,,240.79,245.86,3
CPT,92651,"Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and report UNSCHEDULED",,,240.79,245.86,3
CPT,92652,AU EVO PO MULTFRQ W INTR,515.0,515.0,44.29,618.0,48
CPT,92652,"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report UNSCHEDULED",515.0,515.0,240.79,245.86,3
CPT,92653,AU EVO PO NEURDIA W INTR,515.0,515.0,44.29,618.0,48
CPT,92653,"Auditory evoked potentials; neurodiagnostic, with interpretation and report UNSCHEDULED",515.0,515.0,240.79,245.86,3
CPT,92920,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6697.0,46072.0,128
CPT,92920,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) Cardiac Surgical Services",,,7950.0,7950.0,1
CPT,92920,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) PTCA/Angioplasty/ EP Studies",,,8300.0,8300.0,1
CPT,92920,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) SCHEDULED",,,714.4,729.44,3
CPT,92920,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) UNSCHEDULED",,,17496.84,17865.2,3
CPT,92921,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,46072.0,76
CPT,92921,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) UNSCHEDULED,,,8381.48,8557.93,3
CPT,92924,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6697.0,46072.0,128
CPT,92924,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) Cardiac Surgical Services",,,7950.0,7950.0,1
CPT,92924,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) PTCA/Angioplasty/ EP Studies",,,8300.0,8300.0,1
CPT,92924,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) SCHEDULED",,,853.1,871.06,3
CPT,92924,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) UNSCHEDULED",,,8876.67,9063.54,3
CPT,92925,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,46072.0,79
CPT,92928,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,795.15,46072.0,136
CPT,92929,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,46072.0,79
CPT,92930,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,6697.0,23692.0,79
CPT,92933,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6697.0,46072.0,128
CPT,92933,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) Cardiac Surgical Services",,,7950.0,7950.0,1
CPT,92933,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) PTCA/Angioplasty/ EP Studies",,,8300.0,8300.0,1
CPT,92933,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) SCHEDULED",,,893.95,912.77,3
CPT,92933,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) UNSCHEDULED",,,12986.79,13260.2,3
CPT,92934,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,46072.0,79
CPT,92937,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,794.2,46072.0,136
CPT,92938,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,46072.0,79
CPT,92941,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,894.9,46072.0,136
CPT,92943,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,894.9,46072.0,136
CPT,92944,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,46072.0,80
CPT,92950,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,1423.0,8100.0,38
CPT,92950,"Cardiopulmonary resuscitation (eg, in cardiac arrest) SCHEDULED",,,227.05,231.83,3
CPT,92950,"Cardiopulmonary resuscitation (eg, in cardiac arrest) UNSCHEDULED",,,950.59,970.6,3
CPT,92953,TEMP EXTERNAL PACING,3596.0,3596.0,309.26,4315.2,38
CPT,92953,Temporary transcutaneous pacing ,3596.0,3596.0,1982.0,8100.0,38
CPT,92953,Temporary transcutaneous pacing SCHEDULED,3596.0,3596.0,33.25,33.95,3
CPT,92953,Temporary transcutaneous pacing UNSCHEDULED,3596.0,3596.0,8876.67,9063.54,3
CPT,92960,CARDIOVERSION EXTERNAL,2211.0,2211.0,190.15,2653.2,152
CPT,92960,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1982.0,8100.0,38
CPT,92960,"Cardioversion, elective, electrical conversion of arrhythmia; external SCHEDULED",,,153.9,157.14,3
CPT,92960,"Cardioversion, elective, electrical conversion of arrhythmia; external UNSCHEDULED",,,1457.28,1487.96,3
CPT,92961,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1982.0,8100.0,38
CPT,92961,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) SCHEDULED",,,328.7,335.62,3
CPT,92961,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) UNSCHEDULED",,,8876.67,9063.54,3
CPT,92970,Cardioassist-method of circulatory assist; internal ,,,7500.0,8577.0,10
CPT,92970,Cardioassist-method of circulatory assist; internal SCHEDULED,,,255.55,260.93,3
CPT,92970,Cardioassist-method of circulatory assist; internal UNSCHEDULED,,,8876.67,9063.54,3
CPT,92971,Cardioassist-method of circulatory assist; external ,,,7500.0,8577.0,10
CPT,92971,Cardioassist-method of circulatory assist; external SCHEDULED,,,133.0,135.8,3
CPT,92971,Cardioassist-method of circulatory assist; external UNSCHEDULED,,,2693.68,2750.39,3
CPT,92972,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,17341.0,17341.0,22
CPT,92972,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) UNSCHEDULED,,,8876.67,9063.54,3
CPT,92973,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,2143.0,46072.0,55
CPT,92973,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) Cardiac Surgical Services,,,7950.0,7950.0,1
CPT,92973,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) PTCA/Angioplasty/ EP Studies,,,8300.0,8300.0,1
CPT,92973,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) SCHEDULED,,,237.5,242.5,3
CPT,92973,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) UNSCHEDULED,,,8876.67,9063.54,3
CPT,92974,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1423.0,46072.0,80
CPT,92974,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) Cardiac Surgical Services,,,7950.0,7950.0,1
CPT,92974,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) PTCA/Angioplasty/ EP Studies,,,8300.0,8300.0,1
CPT,92974,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) SCHEDULED,,,215.65,220.19,3
CPT,92974,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) UNSCHEDULED,,,8876.67,9063.54,3
CPT,92975,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,17341.0,46072.0,25
CPT,92975,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography SCHEDULED",,,506.35,517.01,3
CPT,92975,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography UNSCHEDULED",,,8876.67,9063.54,3
CPT,92977,"Thrombolysis, coronary; by intravenous infusion ",,,1423.0,46072.0,53
CPT,92977,"Thrombolysis, coronary; by intravenous infusion SCHEDULED",,,286.9,292.94,3
CPT,92977,"Thrombolysis, coronary; by intravenous infusion UNSCHEDULED",,,8876.67,9063.54,3
CPT,92978,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,161.5,46072.0,88
CPT,92979,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,81.7,46072.0,88
CPT,92980,INSERT INTRACORONARY STENT UNSCHEDULED,,,8876.67,9063.54,3
CPT,92981,INSERT INTRACORONARY STENT UNSCHEDULED,,,8876.67,9063.54,3
CPT,92982,CORONARY ARTERY DILATION UNSCHEDULED,,,8876.67,9063.54,3
CPT,92984,CORONARY ARTERY DILATION UNSCHEDULED,,,8876.67,9063.54,3
CPT,92986,Percutaneous balloon valvuloplasty; aortic valve ,,,6697.0,46072.0,65
CPT,92986,Percutaneous balloon valvuloplasty; aortic valve Cardiac Surgical Services,,,7950.0,7950.0,1
CPT,92986,Percutaneous balloon valvuloplasty; aortic valve PTCA/Angioplasty/ EP Studies,,,8300.0,8300.0,1
CPT,92986,Percutaneous balloon valvuloplasty; aortic valve SCHEDULED,,,1750.85,1787.71,3
CPT,92986,Percutaneous balloon valvuloplasty; aortic valve UNSCHEDULED,,,8876.67,9063.54,3
CPT,92987,Percutaneous balloon valvuloplasty; mitral valve ,,,6697.0,46072.0,65
CPT,92987,Percutaneous balloon valvuloplasty; mitral valve Cardiac Surgical Services,,,7950.0,7950.0,1
CPT,92987,Percutaneous balloon valvuloplasty; mitral valve PTCA/Angioplasty/ EP Studies,,,8300.0,8300.0,1
CPT,92987,Percutaneous balloon valvuloplasty; mitral valve SCHEDULED,,,1803.1,1841.06,3
CPT,92987,Percutaneous balloon valvuloplasty; mitral valve UNSCHEDULED,,,8876.67,9063.54,3
CPT,92990,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6697.0,46072.0,65
CPT,92990,Percutaneous balloon valvuloplasty; pulmonary valve Cardiac Surgical Services,,,7950.0,7950.0,1
CPT,92990,Percutaneous balloon valvuloplasty; pulmonary valve PTCA/Angioplasty/ EP Studies,,,8300.0,8300.0,1
CPT,92990,Percutaneous balloon valvuloplasty; pulmonary valve SCHEDULED,,,1444.0,1474.4,3
CPT,92990,Percutaneous balloon valvuloplasty; pulmonary valve UNSCHEDULED,,,8876.67,9063.54,3
CPT,92992,"ATRIAL SEPTECTOMY OR SEPTOSTOMY; TRANSVENOUS METHOD, BALLOON (EG, RASHKIND TYPE) (INCLUDES CARDIAC CATHETERIZATION) UNSCHEDULED",,,8876.67,9063.54,3
CPT,92993,ATRIAL SEPTECTOMY OR SEPTOSTOMY; BLADE METHOD (PARK SEPTOSTOMY) (INCLUDES CARDIAC CATHETERIZATION) UNSCHEDULED,,,8876.67,9063.54,3
CPT,92995,CORONARY ATHERECTOMY UNSCHEDULED,,,8876.67,9063.54,3
CPT,92996,CORONARY ATHERECTOMY ADD-ON UNSCHEDULED,,,8876.67,9063.54,3
CPT,92997,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6697.0,46072.0,130
CPT,92997,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel Cardiac Surgical Services,,,7950.0,7950.0,1
CPT,92997,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel PTCA/Angioplasty/ EP Studies,,,8300.0,8300.0,1
CPT,92997,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel SCHEDULED,,,834.1,851.66,3
CPT,92997,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel UNSCHEDULED,,,8876.67,9063.54,3
CPT,92998,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6697.0,46072.0,128
CPT,92998,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) Cardiac Surgical Services,,,7950.0,7950.0,1
CPT,92998,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) PTCA/Angioplasty/ EP Studies,,,8300.0,8300.0,1
CPT,92998,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) SCHEDULED,,,435.1,444.26,3
CPT,92998,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) UNSCHEDULED,,,8876.67,9063.54,3
CPT,93000,"Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report ",,,13.81,13.81,1
CPT,93000,"Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report SCHEDULED",,,24.7,25.22,3
CPT,93000,"Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report UNSCHEDULED",,,400.97,409.41,3
CPT,93005,EKG TRACING ONLY,1715.0,1715.0,147.49,2058.0,36
CPT,93005,"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report ",1715.0,1715.0,,,0
CPT,93005,"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report SCHEDULED",1715.0,1715.0,15.2,15.52,3
CPT,93005,"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report UNSCHEDULED",1715.0,1715.0,270.1,275.79,3
CPT,93010,"Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only ",,,,,0
CPT,93010,"Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only SCHEDULED",,,11.4,11.64,3
CPT,93010,"Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only UNSCHEDULED",,,778.37,794.76,3
CPT,93012,TRANSMISSION OF ECG UNSCHEDULED,,,778.37,794.76,3
CPT,93014,REPORT ON TRANSMITTED ECG UNSCHEDULED,,,778.37,794.76,3
CPT,93015,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and re",,,98.8,794.76,6
CPT,93016,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretatio",,,24.7,1803.3,6
CPT,93017,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation an",10368.0,10368.0,59.85,1180.11,6
CPT,93017,STRESS TEST,10368.0,10368.0,891.65,12441.6,36
CPT,93018,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only ",,,,,0
CPT,93018,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only SCHEDULE",,,51.3,52.38,3
CPT,93018,"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only UNSCHEDU",,,778.37,794.76,3
CPT,93024,Ergonovine provocation test ,,,,,0
CPT,93024,Ergonovine provocation test SCHEDULED,,,57.95,59.17,3
CPT,93024,Ergonovine provocation test UNSCHEDULED,,,1451.0,1481.55,3
CPT,93025,Microvolt T-wave alternans for assessment of ventricular arrhythmias ,,,,,0
CPT,93025,Microvolt T-wave alternans for assessment of ventricular arrhythmias SCHEDULED,,,114.95,117.37,3
CPT,93025,Microvolt T-wave alternans for assessment of ventricular arrhythmias UNSCHEDULED,,,778.37,794.76,3
CPT,93040,"Rhythm ECG, 1-3 leads; with interpretation and report ",,,,,0
CPT,93040,"Rhythm ECG, 1-3 leads; with interpretation and report SCHEDULED",,,15.2,15.52,3
CPT,93040,"Rhythm ECG, 1-3 leads; with interpretation and report UNSCHEDULED",,,778.37,794.76,3
CPT,93041,RHYTHM STRIP TRACE,539.0,539.0,46.35,646.8,36
CPT,93041,"Rhythm ECG, 1-3 leads; tracing only without interpretation and report ",539.0,539.0,,,0
CPT,93041,"Rhythm ECG, 1-3 leads; tracing only without interpretation and report SCHEDULED",539.0,539.0,29.45,30.07,3
CPT,93041,"Rhythm ECG, 1-3 leads; tracing only without interpretation and report UNSCHEDULED",539.0,539.0,110.97,113.31,3
CPT,93042,"Rhythm ECG, 1-3 leads; interpretation and report only ",,,,,0
CPT,93042,"Rhythm ECG, 1-3 leads; interpretation and report only SCHEDULED",,,8.55,8.73,3
CPT,93042,"Rhythm ECG, 1-3 leads; interpretation and report only UNSCHEDULED",,,15675.24,16005.24,3
CPT,93050,"Arterial pressure waveform analysis for assessment of central arterial pressures, includes obtaining waveform(s), digitization and application of nonlinear mathematical transformations to determine ce",,,9.5,295.03,6
CPT,93145,"Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (BAT) modulation system including telemetric iterative communication with the implantable device to monitor dev",,,,,0
CPT,93146,"Interrogation device evaluation (in person), carotid sinus baroreflex activation therapy (BAT) modulation system including telemetric iterative communication with the implantable device to monitor dev",,,,,0
CPT,93150,"Therapy activation of implanted phrenic nerve stimulator system, including all interrogation and programming ",,,,,0
CPT,93151,Interrogation and programming (minimum one parameter) of implanted phrenic nerve stimulator system ,,,,,0
CPT,93152,Interrogation and programming of implanted phrenic nerve stimulator system during polysomnography ,,,,,0
CPT,93153,Interrogation without programming of implanted phrenic nerve stimulator system ,,,,,0
CPT,93224,"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation by a physician or other ",,,61.29,579.9,7
CPT,93225,"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection) ",7435.0,7435.0,,,0
CPT,93225,"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection) SCHEDULED",7435.0,7435.0,43.7,44.62,3
CPT,93225,"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection) UNSCHEDULED",7435.0,7435.0,494.13,504.54,3
CPT,93225,HOLTER RECORD VISUAL,7435.0,7435.0,639.41,8922.0,36
CPT,93226,External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report ,,,,,0
CPT,93226,External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report SCHEDULED,,,78.85,80.51,3
CPT,93226,External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report UNSCHEDULED,,,641.75,655.26,3
CPT,93227,External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional ,,,15.17,15.17,1
CPT,93227,External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional SCHEDULED,,,47.5,48.5,3
CPT,93227,External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional UNSCHEDULED,,,567.95,579.9,3
CPT,93228,"External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with",,,22.2,579.9,7
CPT,93229,"External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with",,,772.35,962.05,6
CPT,93230,"ECG MONITOR/REPORT, 24 HRS UNSCHEDULED",,,567.95,579.9,3
CPT,93231,"ECG MONITOR/RECORD, 24 HRS UNSCHEDULED",,,567.95,579.9,3
CPT,93232,"ECG MONITOR/REPORT, 24 HRS UNSCHEDULED",,,567.95,579.9,3
CPT,93233,"ECG MONITOR/REVIEW, 24 HRS UNSCHEDULED",,,567.95,579.9,3
CPT,93235,"ECG MONITOR/REPORT, 24 HRS UNSCHEDULED",,,567.95,579.9,3
CPT,93236,"ECG MONITOR/REPORT, 24 HRS UNSCHEDULED",,,567.95,579.9,3
CPT,93237,"ECG MONITOR/REVIEW, 24 HRS UNSCHEDULED",,,567.95,579.9,3
CPT,93241,"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation ",,,,,0
CPT,93241,"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation UNS",,,567.95,579.9,3
CPT,93242,External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording) ,,,,,0
CPT,93242,External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording) UNSCHEDULED,,,567.95,579.9,3
CPT,93243,External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report ,,,,,0
CPT,93243,External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report UNSCHEDULED,,,567.95,579.9,3
CPT,93244,External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; review and interpretation ,,,,,0
CPT,93244,External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; review and interpretation UNSCHEDULED,,,567.95,579.9,3
CPT,93245,"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation ",,,,,0
CPT,93245,"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation UNSC",,,567.95,579.9,3
CPT,93246,External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording) ,,,,,0
CPT,93246,External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording) UNSCHEDULED,,,567.95,579.9,3
CPT,93247,External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report ,,,,,0
CPT,93247,External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report UNSCHEDULED,,,567.95,579.9,3
CPT,93248,External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretation ,,,,,0
CPT,93248,External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretation UNSCHEDULED,,,567.95,579.9,3
CPT,93260,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,32.3,579.9,6
CPT,93261,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",,,32.3,579.9,6
CPT,93264,"Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads of pulmonary artery pressure recordings, interpretation(s), trend analysis, and ",,,41.8,245.86,6
CPT,93268,"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende",,,146.7,245.86,7
CPT,93270,"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende",,,43.7,236.23,6
CPT,93271,"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende",,,181.45,245.86,6
CPT,93272,"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attende",,,20.59,245.86,7
CPT,93278,"Signal-averaged electrocardiography (SAECG), with or without ECG ",,,,,0
CPT,93278,"Signal-averaged electrocardiography (SAECG), with or without ECG SCHEDULED",,,41.8,42.68,3
CPT,93278,"Signal-averaged electrocardiography (SAECG), with or without ECG UNSCHEDULED",,,240.79,245.86,3
CPT,93279,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,31.35,245.86,6
CPT,93280,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,37.05,168.9,6
CPT,93281,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,37.05,245.86,6
CPT,93282,PROG EVAL FUNC SGL ICD,431.0,431.0,37.07,517.2,35
CPT,93282,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",431.0,431.0,34.2,238.38,6
CPT,93283,PROG EVAL FUNC DUAL ICD,431.0,431.0,37.07,517.2,35
CPT,93283,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",431.0,431.0,37.05,98.34,6
CPT,93284,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,39.9,1249.59,6
CPT,93285,"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review an",,,30.4,245.86,6
CPT,93286,"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualifi",,,27.55,245.86,6
CPT,93287,"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualifi",,,27.55,253.33,6
CPT,93288,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",,,31.35,245.86,6
CPT,93289,INTEROGATION EVAL ICD,435.0,435.0,37.41,522.0,35
CPT,93289,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",435.0,435.0,31.35,382.68,6
CPT,93290,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",,,28.5,245.86,6
CPT,93291,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",,,27.55,245.86,6
CPT,93292,"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient en",,,26.6,245.86,6
CPT,93293,"Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes recording with and without magnet application with analysis, review and report(s) by a ph",,,40.85,245.86,6
CPT,93294,"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, or leadless pacemaker system with interim analysis, review(s) and report(s) by a physician ",,,26.2,245.86,7
CPT,93295,"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead implantable defibrillator system with interim analysis, review(s) and report(s) by a physician or other quali",,,32.19,245.86,7
CPT,93296,"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system, remote data acquisition(s),",,,28.5,245.86,6
CPT,93297,"Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, including analysis of 1 or more recorded physiologic cardiovascular data elements fro",,,32.3,245.86,6
CPT,93298,"Interrogation device evaluation(s), (remote) up to 30 days; subcutaneous cardiac rhythm monitor system, including analysis of recorded heart rhythm data, analysis, review(s) and report(s) by a physici",,,32.3,245.86,6
CPT,93303,ECHO ANOMALIES COMP,8968.0,8968.0,771.25,10761.6,36
CPT,93303,Transthoracic echocardiography for congenital cardiac anomalies; complete ,8968.0,8968.0,,,0
CPT,93303,Transthoracic echocardiography for congenital cardiac anomalies; complete SCHEDULED,8968.0,8968.0,186.2,190.12,3
CPT,93303,Transthoracic echocardiography for congenital cardiac anomalies; complete UNSCHEDULED,8968.0,8968.0,1792.29,1830.02,3
CPT,93304,ECHO ANOMALIES LTD,7176.0,7176.0,617.14,8611.2,36
CPT,93304,Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study ,7176.0,7176.0,,,0
CPT,93304,Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study SCHEDULED,7176.0,7176.0,135.85,138.71,3
CPT,93304,Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study UNSCHEDULED,7176.0,7176.0,1784.96,1822.54,3
CPT,93306,ECHO2D COMP W CF DOP,14826.0,14826.0,1275.04,17791.2,35
CPT,93306,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc",14826.0,14826.0,147.25,1989.3,6
CPT,93307,ECHO2D COMP W/O CF DOP,10898.0,10898.0,937.23,13077.6,35
CPT,93307,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography ",10898.0,10898.0,,,0
CPT,93307,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography SCHEDULED",10898.0,10898.0,136.8,139.68,3
CPT,93307,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography UNSCHEDULED",10898.0,10898.0,2600.5,2655.25,3
CPT,93308,ECHO 2D W/WOM MODE LTD,1063.0,1063.0,91.42,1275.6,36
CPT,93308,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study ",1063.0,1063.0,,,0
CPT,93308,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study SCHEDULED",1063.0,1063.0,80.75,82.45,3
CPT,93308,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study UNSCHEDULED",1063.0,1063.0,906.61,925.7,3
CPT,93312,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report ",,,,,0
CPT,93312,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report SCHEDULED",,,172.9,176.54,3
CPT,93312,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report UNSCHEDULED",,,2004.81,2047.02,3
CPT,93312,TEE 2D W/WOM MODE COMP,28785.0,28785.0,2475.51,34542.0,71
CPT,93313,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only ",,,,,0
CPT,93313,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only SCHEDULED",,,72.2,73.72,3
CPT,93313,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only UNSCHEDULED",,,1784.96,1822.54,3
CPT,93314,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only ",2763.0,2763.0,,,0
CPT,93314,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only SCHEDULED",2763.0,2763.0,159.6,162.96,3
CPT,93314,"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only UNSCHEDULED",2763.0,2763.0,1784.96,1822.54,3
CPT,93314,TEE IMAGE ACQ INTER/RPT,2763.0,2763.0,146.44,3315.6,36
CPT,93315,"Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report ",,,,,0
CPT,93315,"Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report SCHEDULED",,,516.8,527.68,3
CPT,93315,"Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report UNSCHEDULED",,,867.88,886.15,3
CPT,93316,Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only ,,,,,0
CPT,93316,Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only SCHEDULED,,,74.1,75.66,3
CPT,93316,Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only UNSCHEDULED,,,1784.96,1822.54,3
CPT,93317,"Transesophageal echocardiography for congenital cardiac anomalies; image acquisition, interpretation and report only ",,,,,0
CPT,93317,"Transesophageal echocardiography for congenital cardiac anomalies; image acquisition, interpretation and report only SCHEDULED",,,133.95,136.77,3
CPT,93317,"Transesophageal echocardiography for congenital cardiac anomalies; image acquisition, interpretation and report only UNSCHEDULED",,,1784.96,1822.54,3
CPT,93318,"Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (",,,516.8,2970.59,6
CPT,93319,"3D echocardiographic imaging and postprocessing during transesophageal echocardiography, or during transthoracic echocardiography for congenital cardiac anomalies, for the assessment of cardiac struct",,,1784.96,1822.54,3
CPT,93320,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete ",2782.0,2782.0,,,0
CPT,93320,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete SCHEDULED",2782.0,2782.0,61.75,63.05,3
CPT,93320,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete UNSCHEDULED",2782.0,2782.0,1784.96,1822.54,3
CPT,93320,ECHO DOPPLER COMP,2782.0,2782.0,147.45,3338.4,36
CPT,93321,"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in ",1925.0,1925.0,39.9,457.51,6
CPT,93321,ECHO DOPPLER LTD,1925.0,1925.0,102.03,2310.0,37
CPT,93325,Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) ,1147.0,1147.0,,,0
CPT,93325,Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) SCHEDULED,1147.0,1147.0,104.5,106.7,3
CPT,93325,Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) UNSCHEDULED,1147.0,1147.0,434.46,443.61,3
CPT,93325,ECHO COLOR FLOW MAPPING,1147.0,1147.0,60.79,1376.4,36
CPT,93350,ECHO STRESS,3450.0,3450.0,296.7,4140.0,35
CPT,93350,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or",3450.0,3450.0,130.15,2011.74,6
CPT,93351,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or",,,164.35,1709.24,6
CPT,93352,Use of echocardiographic contrast agent during stress echocardiography (List separately in addition to code for primary procedure) ,,,31.28,31.28,1
CPT,93352,Use of echocardiographic contrast agent during stress echocardiography (List separately in addition to code for primary procedure) SCHEDULED,,,38.0,38.8,3
CPT,93352,Use of echocardiographic contrast agent during stress echocardiography (List separately in addition to code for primary procedure) UNSCHEDULED,,,1784.96,1822.54,3
CPT,93355,"Echocardiography, transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel(s) structural intervention(s) (eg, TAVR, transcatheter pulmonary valve replacement, mitral valve re",670.0,670.0,268.85,1815.06,6
CPT,93355,TEE GUIDANCE INTRACARD,670.0,670.0,35.51,804.0,41
CPT,93356,MYOCARD STRAIN IMAGE,1120.0,1120.0,59.36,1344.0,42
CPT,93356,Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging) SCHEDULED,1120.0,1120.0,14.25,14.55,3
CPT,93356,Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging) UNSCHEDULED,1120.0,1120.0,1784.96,1822.54,3
CPT,93451,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,2791.0,16454.0,27
CPT,93451,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,3450.0,12038.0,66
CPT,93451,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
CPT,93451,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed SCHEDULED",,,780.9,797.34,3
CPT,93451,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed UNSCHEDULED",,,8604.47,8785.62,3
CPT,93452,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,2791.0,16454.0,27
CPT,93452,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,3450.0,12038.0,66
CPT,93452,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
CPT,93452,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed SCHEDULED",,,740.05,755.63,3
CPT,93452,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed UNSCHEDULED",,,15282.65,15604.39,3
CPT,93453,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,2791.0,16454.0,27
CPT,93453,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,3450.0,12038.0,66
CPT,93453,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
CPT,93453,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed SCHEDULED",,,940.5,960.3,3
CPT,93453,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed UNSCHEDULED",,,12569.08,12833.69,3
CPT,93454,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,2791.0,16454.0,27
CPT,93454,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,3450.0,12038.0,66
CPT,93454,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
CPT,93454,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; SCHEDULED",,,740.05,755.63,3
CPT,93454,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; UNSCHEDULED",,,10441.78,10661.61,3
CPT,93455,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,832.2,16454.0,99
CPT,93456,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,926.25,16454.0,99
CPT,93457,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,1017.45,32099.2,99
CPT,93458,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,848.35,16454.0,99
CPT,93459,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,908.2,16454.0,99
CPT,93460,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,1000.35,17814.95,99
CPT,93461,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,1124.8,18091.81,99
CPT,93462,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,2791.0,13374.0,24
CPT,93462,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,3450.0,12038.0,66
CPT,93462,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
CPT,93462,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) SCHEDULED,,,280.25,286.15,3
CPT,93462,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) UNSCHEDULED,,,9458.74,9657.87,3
CPT,93463,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,114.95,12833.69,46
CPT,93464,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1423.0,9822.0,40
CPT,93464,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) SCHEDULED",,,169.1,172.66,3
CPT,93464,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) UNSCHEDULED",,,12569.08,12833.69,3
CPT,93501,RIGHT HEART CATHETERIZATION UNSCHEDULED,,,12569.08,12833.69,3
CPT,93503,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,2791.0,8727.0,44
CPT,93503,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,3450.0,12038.0,66
CPT,93503,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
CPT,93503,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes SCHEDULED",,,177.65,181.39,3
CPT,93503,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes UNSCHEDULED",,,12569.08,12833.69,3
CPT,93505,Endomyocardial biopsy ,,,2791.0,10719.0,44
CPT,93505,Endomyocardial biopsy Cardiac Cath,,,3450.0,12038.0,66
CPT,93505,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
CPT,93505,Endomyocardial biopsy SCHEDULED,,,531.05,542.23,3
CPT,93505,Endomyocardial biopsy UNSCHEDULED,,,4194.92,4283.24,3
CPT,93508,"CATH PLACEMENT, ANGIOGRAPHY UNSCHEDULED",,,12569.08,12833.69,3
CPT,93510,LEFT HEART CATHETERIZATION UNSCHEDULED,,,12569.08,12833.69,3
CPT,93511,LEFT HEART CATHETERIZATION UNSCHEDULED,,,12569.08,12833.69,3
CPT,93514,LEFT HEART CATHETERIZATION UNSCHEDULED,,,12569.08,12833.69,3
CPT,93524,LEFT HEART CATHETERIZATION UNSCHEDULED,,,12569.08,12833.69,3
CPT,93526,RT & LT HEART CATHETERS UNSCHEDULED,,,12569.08,12833.69,3
CPT,93527,RT & LT HEART CATHETERS UNSCHEDULED,,,12569.08,12833.69,3
CPT,93528,RT & LT HEART CATHETERS UNSCHEDULED,,,12569.08,12833.69,3
CPT,93529,"RT, LT HEART CATHETERIZATION UNSCHEDULED",,,12569.08,12833.69,3
CPT,93530,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,28
CPT,93530,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES SCHEDULED",,,602.3,614.98,3
CPT,93530,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES UNSCHEDULED",,,12569.08,12833.69,3
CPT,93531,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,28
CPT,93531,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES SCHEDULED",,,1724.25,1760.55,3
CPT,93531,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES UNSCHEDULED",,,12569.08,12833.69,3
CPT,93532,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,28
CPT,93532,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES SCHEDULED",,,1677.7,1713.02,3
CPT,93532,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES UNSCHEDULE",,,12569.08,12833.69,3
CPT,93533,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,1677.7,12833.69,34
CPT,93536,INSERT CIRCULATION ASSI UNSCHEDULED,,,12569.08,12833.69,3
CPT,93539,"INJECTION, CARDIAC CATH UNSCHEDULED",,,12569.08,12833.69,3
CPT,93540,"INJECTION, CARDIAC CATH UNSCHEDULED",,,12569.08,12833.69,3
CPT,93541,INJECTION FOR LUNG ANGIOGRAM UNSCHEDULED,,,12569.08,12833.69,3
CPT,93542,INJECTION FOR HEART X-RAYS UNSCHEDULED,,,12569.08,12833.69,3
CPT,93543,INJECTION FOR HEART X-RAYS UNSCHEDULED,,,12569.08,12833.69,3
CPT,93544,INJECTION FOR AORTOGRAPHY UNSCHEDULED,,,12569.08,12833.69,3
CPT,93545,INJECT FOR CORONARY X-RAYS UNSCHEDULED,,,12569.08,12833.69,3
CPT,93555,"IMAGING, CARDIAC CATH UNSCHEDULED",,,12569.08,12833.69,3
CPT,93556,"IMAGING, CARDIAC CATH UNSCHEDULED",,,12569.08,12833.69,3
CPT,93561,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,1423.0,3251.0,28
CPT,93561,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) SCHEDULED",,,19.0,19.4,3
CPT,93561,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) UNSCHEDULED",,,12569.08,12833.69,3
CPT,93562,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,1423.0,3251.0,28
CPT,93562,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT SCHEDULED",,,12.35,12.61,3
CPT,93562,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT UNSCHEDULED",,,12569.08,12833.69,3
CPT,93563,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,74.1,29688.74,110
CPT,93564,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,83.6,16454.0,110
CPT,93565,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,57.0,16454.0,110
CPT,93566,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,61.75,16454.0,110
CPT,93567,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,71.25,16454.0,110
CPT,93568,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,62.7,16454.0,110
CPT,93569,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,2143.0,16454.0,14
CPT,93571,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,161.5,16454.0,45
CPT,93572,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,147.25,16454.0,45
CPT,93573,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,2143.0,12833.69,11
CPT,93574,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,2143.0,12833.69,11
CPT,93575,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,2143.0,12833.69,11
CPT,93580,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6697.0,31841.0,52
CPT,93580,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant Cardiac Surgical Services",,,7950.0,7950.0,1
CPT,93580,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant PTCA/Angioplasty/ EP Studies",,,8300.0,8300.0,1
CPT,93580,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant SCHEDULED",,,1301.5,1328.9,3
CPT,93580,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant UNSCHEDULED",,,12569.08,12833.69,3
CPT,93581,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6697.0,31841.0,52
CPT,93581,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant Cardiac Surgical Services,,,7950.0,7950.0,1
CPT,93581,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant PTCA/Angioplasty/ EP Studies,,,8300.0,8300.0,1
CPT,93581,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant SCHEDULED,,,1792.65,1830.39,3
CPT,93581,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant UNSCHEDULED,,,12569.08,12833.69,3
CPT,93582,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,46072.0,80
CPT,93582,Percutaneous transcatheter closure of patent ductus arteriosus Cardiac Surgical Services,,,7950.0,7950.0,1
CPT,93582,Percutaneous transcatheter closure of patent ductus arteriosus PTCA/Angioplasty/ EP Studies,,,8300.0,8300.0,1
CPT,93582,Percutaneous transcatheter closure of patent ductus arteriosus SCHEDULED,,,898.7,917.62,3
CPT,93582,Percutaneous transcatheter closure of patent ductus arteriosus UNSCHEDULED,,,12569.08,12833.69,3
CPT,93583,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,46072.0,52
CPT,93583,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed Cardiac Surgical Services",,,7950.0,7950.0,1
CPT,93583,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed PTCA/Angioplasty/ EP Studies",,,8300.0,8300.0,1
CPT,93583,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed SCHEDULED",,,1001.3,1022.38,3
CPT,93583,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed UNSCHEDULED",,,12569.08,12833.69,3
CPT,93584,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contrala",,,12569.08,12833.69,3
CPT,93585,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for prima",,,12569.08,12833.69,3
CPT,93586,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) UNS",,,12569.08,12833.69,3
CPT,93587,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate ",,,12569.08,12833.69,3
CPT,93588,"Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena",,,12569.08,12833.69,3
CPT,93590,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,7117.0,30016.0,61
CPT,93590,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,64
CPT,93590,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
CPT,93590,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve UNSCHEDULED",,,444.93,454.3,3
CPT,93591,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,7117.0,30016.0,61
CPT,93591,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,64
CPT,93591,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
CPT,93591,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve UNSCHEDULED",,,12569.08,12833.69,3
CPT,93592,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,2143.0,8100.0,11
CPT,93592,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,64
CPT,93592,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
CPT,93592,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) UNSCHEDULED,,,12569.08,12833.69,3
CPT,93593,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,7117.0,13374.0,13
CPT,93593,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,64
CPT,93593,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
CPT,93594,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,7117.0,13374.0,13
CPT,93594,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,64
CPT,93594,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
CPT,93595,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,7117.0,12863.0,13
CPT,93595,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,64
CPT,93596,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,7117.0,13374.0,13
CPT,93596,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,64
CPT,93597,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,7117.0,13374.0,13
CPT,93597,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,64
CPT,93598,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,2143.0,2143.0,8
CPT,93600,BUNDLE OF HIS RECORDING,45892.0,45892.0,5965.96,55070.4,25
CPT,93600,Bundle of His recording ,45892.0,45892.0,6826.0,46072.0,63
CPT,93600,Bundle of His recording Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CPT,93600,Bundle of His recording PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CPT,93600,Bundle of His recording SCHEDULED,45892.0,45892.0,69.35,70.81,3
CPT,93600,Bundle of His recording UNSCHEDULED,45892.0,45892.0,11370.38,11609.76,3
CPT,93602,INTRA ATRIAL RECORDING,45892.0,45892.0,5965.96,55070.4,25
CPT,93602,Intra-atrial recording ,45892.0,45892.0,6826.0,46072.0,63
CPT,93602,Intra-atrial recording Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CPT,93602,Intra-atrial recording PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CPT,93602,Intra-atrial recording SCHEDULED,45892.0,45892.0,39.9,40.74,3
CPT,93602,Intra-atrial recording UNSCHEDULED,45892.0,45892.0,11370.38,11609.76,3
CPT,93603,RT VENTRICULAR RECORDING,45892.0,45892.0,5965.96,55070.4,25
CPT,93603,Right ventricular recording ,45892.0,45892.0,6826.0,46072.0,63
CPT,93603,Right ventricular recording Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CPT,93603,Right ventricular recording PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CPT,93603,Right ventricular recording SCHEDULED,45892.0,45892.0,59.85,61.11,3
CPT,93603,Right ventricular recording UNSCHEDULED,45892.0,45892.0,11370.38,11609.76,3
CPT,93607,LEFT VENTRICULAR RECORDING ,,,22473.0,46072.0,3
CPT,93607,LEFT VENTRICULAR RECORDING UNSCHEDULED,,,11370.38,11609.76,3
CPT,93609,IV/IA MAP ID ORIGIN,45892.0,45892.0,2432.28,55070.4,26
CPT,93609,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,45892.0,45892.0,95.95,46072.0,71
CPT,93610,IA PACING,45892.0,45892.0,5965.96,55070.4,25
CPT,93610,Intra-atrial pacing ,45892.0,45892.0,6826.0,46072.0,63
CPT,93610,Intra-atrial pacing Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CPT,93610,Intra-atrial pacing PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CPT,93610,Intra-atrial pacing SCHEDULED,45892.0,45892.0,49.4,50.44,3
CPT,93610,Intra-atrial pacing UNSCHEDULED,45892.0,45892.0,623.95,637.09,3
CPT,93612,IV PACING,45892.0,45892.0,5965.96,55070.4,25
CPT,93612,Intraventricular pacing ,45892.0,45892.0,6826.0,46072.0,63
CPT,93612,Intraventricular pacing Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CPT,93612,Intraventricular pacing PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CPT,93612,Intraventricular pacing SCHEDULED,45892.0,45892.0,57.95,59.17,3
CPT,93612,Intraventricular pacing UNSCHEDULED,45892.0,45892.0,11370.38,11609.76,3
CPT,93613,INTRACARD EP 3D MAPPING,45892.0,45892.0,2432.28,55070.4,26
CPT,93613,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,45892.0,45892.0,6826.0,46072.0,63
CPT,93613,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CPT,93613,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CPT,93613,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) SCHEDULED,45892.0,45892.0,397.1,405.46,3
CPT,93613,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) UNSCHEDULED,45892.0,45892.0,11370.38,11609.76,3
CPT,93615,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,46072.0,63
CPT,93615,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); Cardiac Surgical Services,,,7950.0,7950.0,1
CPT,93615,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); PTCA/Angioplasty/ EP Studies,,,8300.0,8300.0,1
CPT,93615,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); SCHEDULED,,,11.4,11.64,3
CPT,93615,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); UNSCHEDULED,,,11370.38,11609.76,3
CPT,93616,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,46072.0,63
CPT,93616,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing Cardiac Surgical Services,,,7950.0,7950.0,1
CPT,93616,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing PTCA/Angioplasty/ EP Studies,,,8300.0,8300.0,1
CPT,93616,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing SCHEDULED,,,11.4,11.64,3
CPT,93616,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing UNSCHEDULED,,,11370.38,11609.76,3
CPT,93618,ARRHYTHMIA INDUCE ELECT,45892.0,45892.0,5965.96,55070.4,25
CPT,93618,Induction of arrhythmia by electrical pacing ,45892.0,45892.0,6826.0,46072.0,63
CPT,93618,Induction of arrhythmia by electrical pacing Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CPT,93618,Induction of arrhythmia by electrical pacing PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CPT,93618,Induction of arrhythmia by electrical pacing SCHEDULED,45892.0,45892.0,140.6,143.56,3
CPT,93618,Induction of arrhythmia by electrical pacing UNSCHEDULED,45892.0,45892.0,11370.38,11609.76,3
CPT,93619,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",50675.0,50675.0,275.5,46072.0,136
CPT,93619,EP W/O ARRHYTHMIA,50675.0,50675.0,6587.75,60810.0,20
CPT,93620,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,50675.0,50675.0,86.45,46072.0,136
CPT,93620,EP W/ARRHYTHMIA,50675.0,50675.0,6587.75,60810.0,20
CPT,93621,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,50675.0,50675.0,6826.0,46072.0,68
CPT,93621,EP W/LA REC W/ARRHYTHMIA,50675.0,50675.0,2685.78,60810.0,26
CPT,93622,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,48288.0,48288.0,6826.0,46072.0,68
CPT,93622,EP W/LVREC W/ARRHYTHMIA,48288.0,48288.0,2559.26,57945.6,26
CPT,93623,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,50675.0,50675.0,6826.0,46072.0,63
CPT,93623,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) Cardiac Surgical Services,50675.0,50675.0,7950.0,7950.0,1
CPT,93623,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) PTCA/Angioplasty/ EP Studies,50675.0,50675.0,8300.0,8300.0,1
CPT,93623,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) UNSCHEDULED,50675.0,50675.0,11370.38,11609.76,3
CPT,93623,STIM & PACE AFTER IV INF,50675.0,50675.0,2685.78,60810.0,26
CPT,93624,EP FOLLOWUP,45892.0,45892.0,5965.96,55070.4,20
CPT,93624,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",45892.0,45892.0,6826.0,46072.0,128
CPT,93624,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia Cardiac Surgical Services",45892.0,45892.0,7950.0,7950.0,1
CPT,93624,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia PTCA/Angioplasty/ EP Studies",45892.0,45892.0,8300.0,8300.0,1
CPT,93624,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia SCHEDULED",45892.0,45892.0,70.3,71.78,3
CPT,93624,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia UNSCHEDULED",45892.0,45892.0,11370.38,11609.76,3
CPT,93631,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,45892.0,45892.0,6826.0,46072.0,63
CPT,93631,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction Cardiac Surgical Services,45892.0,45892.0,7950.0,7950.0,1
CPT,93631,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction PTCA/Angioplasty/ EP Studies,45892.0,45892.0,8300.0,8300.0,1
CPT,93631,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction SCHEDULED,45892.0,45892.0,227.05,231.83,3
CPT,93631,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction UNSCHEDULED,45892.0,45892.0,189.49,193.48,3
CPT,93631,PACE & MAP INTRA-OP,45892.0,45892.0,2432.28,55070.4,26
CPT,93640,AICD LEAD TEST INIT,6010.0,6010.0,318.53,7212.0,29
CPT,93640,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",6010.0,6010.0,255.55,46072.0,89
CPT,93641,AICD LEAD/GEN TEST INIT,6010.0,6010.0,318.53,7212.0,24
CPT,93641,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",6010.0,6010.0,255.55,46072.0,154
CPT,93642,AICD EVAL & REPROGRAM,6010.0,6010.0,781.3,7212.0,28
CPT,93642,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",6010.0,6010.0,255.55,46072.0,89
CPT,93644,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,57.0,46072.0,89
CPT,93650,ABLATION AV NODE W/WO,74749.0,74749.0,9717.37,89698.8,20
CPT,93650,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",74749.0,74749.0,6826.0,46072.0,128
CPT,93650,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement Cardiac Surgical Servi",74749.0,74749.0,7950.0,7950.0,1
CPT,93650,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement PTCA/Angioplasty/ EP S",74749.0,74749.0,8300.0,8300.0,1
CPT,93650,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement SCHEDULED",74749.0,74749.0,788.5,805.1,3
CPT,93650,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement UNSCHEDULED",74749.0,74749.0,17325.15,17689.89,3
CPT,93651,ABLATE HEART DYSRHYTHM FOCUS UNSCHEDULED,,,11370.38,11609.76,3
CPT,93652,ABLATE HEART DYSRHYTHM FOCUS UNSCHEDULED,,,11370.38,11609.76,3
CPT,93653,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",99623.0,99623.0,1119.1,46072.0,152
CPT,93653,EP REPOS ELE SVT SGL,99623.0,99623.0,12950.99,119547.6,22
CPT,93654,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",106718.0,106718.0,1499.1,46072.0,152
CPT,93654,EP REPOS ELE VT 3D MAP,106718.0,106718.0,13873.34,128061.6,22
CPT,93655,EP INTRACARD DX TX,12219.0,12219.0,647.61,14662.8,28
CPT,93655,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",12219.0,12219.0,571.9,46072.0,87
CPT,93656,COM EP REPO CTH TX AFIB,106571.0,106571.0,13854.23,127885.2,22
CPT,93656,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",106571.0,106571.0,1502.9,46072.0,152
CPT,93657,ADD INTRACRD AFIB/PV ISO,12219.0,12219.0,647.61,14662.8,28
CPT,93657,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,12219.0,12219.0,570.95,46072.0,87
CPT,93660,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1423.0,46072.0,81
CPT,93660,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention Cardiac Surgic",,,7950.0,7950.0,1
CPT,93660,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention PTCA/Angioplas",,,8300.0,8300.0,1
CPT,93660,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention SCHEDULED",,,72.2,73.72,3
CPT,93660,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention UNSCHEDULED",,,2140.91,2185.98,3
CPT,93660,TILT TABLE W/WO RX,14951.0,14951.0,1943.63,17941.2,56
CPT,93662,INTRACARDIAC ECHO,15813.0,15813.0,838.09,18975.6,29
CPT,93662,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",15813.0,15813.0,1423.0,46072.0,81
CPT,93662,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) Cardiac Surgical ",15813.0,15813.0,7950.0,7950.0,1
CPT,93662,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) PTCA/Angioplasty/",15813.0,15813.0,8300.0,8300.0,1
CPT,93662,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) UNSCHEDULED",15813.0,15813.0,11370.38,11609.76,3
CPT,93701,Bioimpedance-derived physiologic cardiovascular analysis SCHEDULED,,,25.65,26.19,3
CPT,93701,Bioimpedance-derived physiologic cardiovascular analysis UNSCHEDULED,,,109.92,112.24,3
CPT,93702,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) SCHEDULED",,,152.0,155.2,3
CPT,93702,"Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s) UNSCHEDULED",,,256.49,261.89,3
CPT,93720,TOTAL BODY PLETHYSMOGRAPHY UNSCHEDULED,,,256.49,261.89,3
CPT,93721,PLETHYSMOGRAPHY TRACING UNSCHEDULED,,,256.49,261.89,3
CPT,93722,PLETHYSMOGRAPHY REPORT UNSCHEDULED,,,256.49,261.89,3
CPT,93724,"Electronic analysis of antitachycardia pacemaker system (includes electrocardiographic recording, programming of device, induction and termination of tachycardia via implanted pacemaker, and interpret",,,140.6,261.89,6
CPT,93727,ANALYZE ILR SYSTEM UNSCHEDULED,,,256.49,261.89,3
CPT,93731,ANALYZE PACEMAKER SYSTEM UNSCHEDULED,,,256.49,261.89,3
CPT,93732,ANALYZE PACEMAKER SYSTEM UNSCHEDULED,,,256.49,261.89,3
CPT,93733,"TELEPHONE ANALY, PACEMAKER UNSCHEDULED",,,256.49,261.89,3
CPT,93734,ANALYZE PACEMAKER SYSTEM UNSCHEDULED,,,256.49,261.89,3
CPT,93735,ANALYZE PACEMAKER SYSTEM UNSCHEDULED,,,256.49,261.89,3
CPT,93736,"TELEPHONIC ANALY, PACEMAKER UNSCHEDULED",,,256.49,261.89,3
CPT,93737,ANALYZE CARDIO/DEFIBRILLATOR UNSCHEDULED,,,256.49,261.89,3
CPT,93738,ANALYZE CARDIO/DEFIBRILLATOR UNSCHEDULED,,,256.49,261.89,3
CPT,93740,Temperature gradient studies SCHEDULED,,,4.75,4.85,3
CPT,93740,Temperature gradient studies UNSCHEDULED,,,256.49,261.89,3
CPT,93741,ANALYZE HT PACE DEVICE SNGL UNSCHEDULED,,,256.49,261.89,3
CPT,93742,ANALYZE HT PACE DEVICE SNGL UNSCHEDULED,,,256.49,261.89,3
CPT,93743,ANALYZE HT PACE DEVICE DUAL UNSCHEDULED,,,256.49,261.89,3
CPT,93744,ANALYZE HT PACE DEVICE DUAL UNSCHEDULED,,,256.49,261.89,3
CPT,93745,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,256.49,3251.0,39
CPT,93750,INTEROGT VAD INC PROGRAM,531.0,531.0,45.67,637.2,40
CPT,93750,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",531.0,531.0,58.9,3251.0,42
CPT,93760,CEPHALIC THERMOGRAM UNSCHEDULED,,,256.49,261.89,3
CPT,93762,PERIPHERAL THERMOGRAM UNSCHEDULED,,,256.49,261.89,3
CPT,93770,Determination of venous pressure UNSCHEDULED,,,256.49,261.89,3
CPT,93784,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report ",,,41.81,41.81,1
CPT,93784,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report SCHED",,,52.25,53.35,3
CPT,93784,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and report UNSCH",,,256.49,261.89,3
CPT,93786,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only SCHEDULED",,,25.65,26.19,3
CPT,93786,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording only UNSCHEDULED",,,256.49,261.89,3
CPT,93788,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; scanning analysis with report SCHEDULED",,,5.7,5.82,3
CPT,93788,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; scanning analysis with report UNSCHEDULED",,,674.21,688.4,3
CPT,93790,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; review with interpretation and report ",,,15.47,15.47,1
CPT,93790,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; review with interpretation and report SCHEDULED",,,20.9,21.34,3
CPT,93790,"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; review with interpretation and report UNSCHEDULED",,,256.49,261.89,3
CPT,93792,"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, includin",,,73.15,74.69,3
CPT,93793,"Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dos",,,13.3,13.58,3
CPT,93797,Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session) SCHEDULED,,,16.15,16.49,3
CPT,93798,Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session) SCHEDULED,,,36.1,36.86,3
CPT,93799,Unlisted cardiovascular service or procedure ,,,1423.0,3251.0,36
CPT,93880,DUP EXTRACRANIAL BIL,5522.0,5522.0,474.89,6626.4,180
CPT,93880,Duplex scan of extracranial arteries; complete bilateral study ,,,,,0
CPT,93880,Duplex scan of extracranial arteries; complete bilateral study SCHEDULED,,,175.75,179.45,3
CPT,93880,Duplex scan of extracranial arteries; complete bilateral study UNSCHEDULED,,,1103.43,1126.66,3
CPT,93882,DUP EXTRCRNIAL UNI/LTD,530.0,530.0,45.58,636.0,72
CPT,93882,Duplex scan of extracranial arteries; unilateral or limited study ,,,,,0
CPT,93882,Duplex scan of extracranial arteries; unilateral or limited study SCHEDULED,,,114.0,116.4,3
CPT,93882,Duplex scan of extracranial arteries; unilateral or limited study UNSCHEDULED,,,862.65,880.81,3
CPT,93886,DOP TRANSCRANIAL COMP,1105.0,1105.0,95.03,1326.0,72
CPT,93886,Transcranial Doppler study of the intracranial arteries; complete study ,,,,,0
CPT,93886,Transcranial Doppler study of the intracranial arteries; complete study SCHEDULED,,,247.0,252.2,3
CPT,93886,Transcranial Doppler study of the intracranial arteries; complete study UNSCHEDULED,,,983.04,1003.74,3
CPT,93888,DOP TRANSCRANIAL LTD,774.0,774.0,66.56,928.8,108
CPT,93888,Transcranial Doppler study of the intracranial arteries; limited study ,,,,,0
CPT,93888,Transcranial Doppler study of the intracranial arteries; limited study SCHEDULED,,,121.6,124.16,3
CPT,93888,Transcranial Doppler study of the intracranial arteries; limited study UNSCHEDULED,,,983.04,1003.74,3
CPT,93890,Transcranial Doppler study of the intracranial arteries; vasoreactivity study SCHEDULED,,,247.0,252.2,3
CPT,93890,Transcranial Doppler study of the intracranial arteries; vasoreactivity study UNSCHEDULED,,,983.04,1003.74,3
CPT,93892,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection ,,,,,0
CPT,93892,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection SCHEDULED,,,120.65,123.19,3
CPT,93892,Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection UNSCHEDULED,,,983.04,1003.74,3
CPT,93893,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection ,,,,,0
CPT,93893,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection SCHEDULED,,,120.65,123.19,3
CPT,93893,Transcranial Doppler study of the intracranial arteries; venous-arterial shunt detection with intravenous microbubble injection UNSCHEDULED,,,983.04,1003.74,3
CPT,93895,"Quantitative carotid intima media thickness and carotid atheroma evaluation, bilateral ",,,,,0
CPT,93895,"Quantitative carotid intima media thickness and carotid atheroma evaluation, bilateral UNSCHEDULED",,,983.04,1003.74,3
CPT,93896,"Vasoreactivity study performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,,,0
CPT,93897,"Emboli detection without intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary procedure) ",,,,,0
CPT,93898,"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete (List separately in addition to code for primary pro",,,,,0
CPT,93922,DOP ART 1-2 LEVELS BIL,711.5,711.5,43.69,1098.0,108
CPT,93922,"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a",,,79.8,563.33,6
CPT,93923,"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibia",,,121.6,584.71,6
CPT,93923,DOP ART >3 LEVELS BIL,3517.5,3517.5,53.41,7696.8,216
CPT,93924,"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at res",,,152.95,818.81,6
CPT,93925,DUP LE ART BIL,4482.0,4482.0,385.45,5378.4,180
CPT,93925,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study ,,,,,0
CPT,93925,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study SCHEDULED,,,236.55,241.53,3
CPT,93925,Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study UNSCHEDULED,,,1313.86,1341.52,3
CPT,93926,DUP LE ART UNI LT,915.0,915.0,78.69,1098.0,180
CPT,93926,DUP LE ART UNI RT,722.5,722.5,45.58,1098.0,144
CPT,93926,DUP LE ART UNI/LTD,915.0,915.0,78.69,1098.0,36
CPT,93926,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study ,,,,,0
CPT,93926,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study SCHEDULED,,,121.6,124.16,3
CPT,93926,Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study UNSCHEDULED,,,692.0,706.57,3
CPT,93930,DUP UE ART BIL,6003.0,6003.0,516.26,7203.6,108
CPT,93930,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study ,,,,,0
CPT,93930,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study SCHEDULED,,,182.4,186.24,3
CPT,93930,Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study UNSCHEDULED,,,1721.11,1757.34,3
CPT,93931,DUP UE ART UNI LT,963.0,963.0,82.82,1155.6,180
CPT,93931,DUP UE ART UNI RT,746.5,746.5,45.58,1155.6,144
CPT,93931,DUP UE ART UNI/LTD,963.0,963.0,82.82,1155.6,36
CPT,93931,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study ,,,,,0
CPT,93931,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study SCHEDULED,,,114.95,117.37,3
CPT,93931,Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study UNSCHEDULED,,,852.18,870.12,3
CPT,93970,DUP VEIN BIL,7611.0,7611.0,654.55,9133.2,216
CPT,93970,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study ,,,,,0
CPT,93970,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study SCHEDULED,,,176.7,180.42,3
CPT,93970,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study UNSCHEDULED,,,1053.18,1075.35,3
CPT,93971,DUP VEIN UNI LT,935.0,935.0,80.41,1122.0,216
CPT,93971,DUP VEIN UNI RT,866.0,866.0,45.58,1122.0,216
CPT,93971,DUP VEIN UNI/LTD,935.0,935.0,80.41,1122.0,36
CPT,93971,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study ,,,,,0
CPT,93971,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study SCHEDULED,,,109.25,111.55,3
CPT,93971,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study UNSCHEDULED,,,780.99,797.43,3
CPT,93975,DUP AB/PEL/SC COMP,2674.0,2674.0,229.96,3208.8,108
CPT,93975,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study ",,,,,0
CPT,93975,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study SCHEDULED",,,241.3,246.38,3
CPT,93975,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study UNSCHEDULED",,,893.01,911.81,3
CPT,93976,DUP AB/PEL/SC LTD,2012.0,2012.0,173.03,2414.4,180
CPT,93976,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study ",,,,,0
CPT,93976,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study SCHEDULED",,,121.6,124.16,3
CPT,93976,"Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study UNSCHEDULED",,,693.04,707.63,3
CPT,93978,DUP AO/IVC/IV/BPG COMP,5254.0,5254.0,451.84,6304.8,216
CPT,93978,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study ",,,,,0
CPT,93978,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study SCHEDULED",,,163.4,166.84,3
CPT,93978,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study UNSCHEDULED",,,767.38,783.54,3
CPT,93979,DUP AO/IVC/IV/BPG LTD,3082.0,3082.0,78.26,6304.8,180
CPT,93979,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study ",,,,,0
CPT,93979,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study SCHEDULED",,,106.4,108.64,3
CPT,93979,"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study UNSCHEDULED",,,1188.23,1213.25,3
CPT,93980,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study ,,,,,0
CPT,93980,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study SCHEDULED,,,99.75,101.85,3
CPT,93980,Duplex scan of arterial inflow and venous outflow of penile vessels; complete study UNSCHEDULED,,,386.31,394.44,3
CPT,93981,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study ,,,,,0
CPT,93981,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study SCHEDULED,,,117.8,120.28,3
CPT,93981,Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study UNSCHEDULED,,,767.38,783.54,3
CPT,93985,DUP SCAN ART PREOP BI,833.0,833.0,71.64,999.6,36
CPT,93985,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study ,833.0,833.0,,,0
CPT,93985,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study SCHEDULED,833.0,833.0,250.8,256.08,3
CPT,93985,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study UNSCHEDULED,833.0,833.0,755.86,771.77,3
CPT,93986,DUP SCAN ART PREOP UN LT,394.0,394.0,33.88,472.8,36
CPT,93986,DUP SCAN ART PREOP UN RT,394.0,394.0,33.88,472.8,36
CPT,93986,DUP SCAN ART PREOP UNI,394.0,394.0,33.88,472.8,36
CPT,93986,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study ,,,,,0
CPT,93986,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study SCHEDULED,,,121.6,124.16,3
CPT,93986,Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study UNSCHEDULED,,,755.86,771.77,3
CPT,93990,DUP A/V STUDY,935.0,935.0,80.41,1122.0,180
CPT,93990,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) ",,,,,0
CPT,93990,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) SCHEDULED",,,121.6,124.16,3
CPT,93990,"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) UNSCHEDULED",,,755.86,771.77,3
CPT,93998,Unlisted noninvasive vascular diagnostic study ,,,,,0
CPT,94002,VENT MGMT INITIAL IP/OBS,3150.0,3150.0,270.9,3780.0,48
CPT,94002,"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day SCHEDULED",3150.0,3150.0,108.3,110.58,3
CPT,94003,VENT MGMT IP/OBS SUB DAY,2767.0,2767.0,237.96,3320.4,48
CPT,94003,"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day SCHEDULED",2767.0,2767.0,78.85,80.51,3
CPT,94004,"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; nursing facility, per day SCHEDULED",,,58.9,60.14,3
CPT,94010,SPIROMETRY,2429.0,2429.0,208.89,2914.8,41
CPT,94010,"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation SCHEDULED",2429.0,2429.0,30.4,31.04,3
CPT,94010,"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation UNSCHEDULED",2429.0,2429.0,197.87,202.03,3
CPT,94011,Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age UNSCHEDULED,,,250.21,255.48,3
CPT,94012,"Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age UNSCHEDULED",,,250.21,255.48,3
CPT,94013,"Measurement of lung volumes (ie, functional residual capacity ºFRC», forced vital capacity ºFVC», and expiratory reserve volume ºERV») in an infant or child through 2 years of age UNSCHEDULED",,,250.21,255.48,3
CPT,94014,"Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of spirometric tracing, data capture, analysis of transmitted data, periodic recalibratio",,,62.7,255.48,6
CPT,94015,"Patient-initiated spirometric recording per 30-day period of time; recording (includes hook-up, reinforced education, data transmission, data capture, trend analysis, and periodic recalibration) SCHED",,,34.2,34.92,3
CPT,94015,"Patient-initiated spirometric recording per 30-day period of time; recording (includes hook-up, reinforced education, data transmission, data capture, trend analysis, and periodic recalibration) UNSCH",,,250.21,255.48,3
CPT,94016,Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or other qualified health care professional ,,,21.46,21.46,1
CPT,94016,Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or other qualified health care professional SCHEDULED,,,28.5,29.1,3
CPT,94016,Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or other qualified health care professional UNSCHEDULED,,,250.21,255.48,3
CPT,94060,BRONCH EV SPIR PRE/POST,2033.0,2033.0,174.84,2439.6,41
CPT,94060,"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration SCHEDULED",2033.0,2033.0,51.3,52.38,3
CPT,94060,"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration UNSCHEDULED",2033.0,2033.0,515.07,525.91,3
CPT,94070,BRONCH PROV EV MULT SPIR,5844.0,5844.0,502.58,7012.8,41
CPT,94070,"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigenºs», cold air, methacholine) SCHEDULED",5844.0,5844.0,34.2,34.92,3
CPT,94070,"Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigenºs», cold air, methacholine) UNSCHEDULED",5844.0,5844.0,820.77,838.05,3
CPT,94150,VITAL CAPACITY,652.0,652.0,56.07,782.4,41
CPT,94150,"Vital capacity, total (separate procedure) SCHEDULED",652.0,652.0,23.75,24.25,3
CPT,94150,"Vital capacity, total (separate procedure) UNSCHEDULED",652.0,652.0,140.29,143.24,3
CPT,94200,"Maximum breathing capacity, maximal voluntary ventilation SCHEDULED",,,19.95,20.37,3
CPT,94200,"Maximum breathing capacity, maximal voluntary ventilation UNSCHEDULED",,,114.11,116.52,3
CPT,94240,RESIDUAL LUNG CAPACITY UNSCHEDULED,,,250.21,255.48,3
CPT,94250,"EXPIRED GAS COLLECTION, QUANTITATIVE, SINGLE PROCEDURE (SEPARATE PROCEDURE) SCHEDULED",,,23.75,24.25,3
CPT,94250,"EXPIRED GAS COLLECTION, QUANTITATIVE, SINGLE PROCEDURE (SEPARATE PROCEDURE) UNSCHEDULED",,,250.21,255.48,3
CPT,94260,THORACIC GAS VOLUME UNSCHEDULED,,,250.21,255.48,3
CPT,94350,LUNG NITROGEN WASHOUT CURVE UNSCHEDULED,,,250.21,255.48,3
CPT,94360,MEASURE AIRFLOW RESISTANCE UNSCHEDULED,,,250.21,255.48,3
CPT,94370,BREATH AIRWAY CLOSING VOLUME UNSCHEDULED,,,250.21,255.48,3
CPT,94375,RESP FLOW VOLUME LOOP,612.0,612.0,52.63,734.4,41
CPT,94375,Respiratory flow volume loop SCHEDULED,612.0,612.0,26.6,27.16,3
CPT,94375,Respiratory flow volume loop UNSCHEDULED,612.0,612.0,139.24,142.17,3
CPT,94400,BREATHING RESPONSE TO CO2 (CO2 RESPONSE CURVE) SCHEDULED,,,41.8,42.68,3
CPT,94400,BREATHING RESPONSE TO CO2 (CO2 RESPONSE CURVE) UNSCHEDULED,,,250.21,255.48,3
CPT,94450,Breathing response to hypoxia (hypoxia response curve) SCHEDULED,,,53.2,54.32,3
CPT,94450,Breathing response to hypoxia (hypoxia response curve) UNSCHEDULED,,,2637.14,2692.66,3
CPT,94452,"High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care professional; SCHEDULED",,,41.8,42.68,3
CPT,94452,"High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care professional; UNSCHEDULED",,,184.25,188.13,3
CPT,94453,HAST SUPP OXYGEN TITRATN,1022.0,1022.0,87.89,1226.4,41
CPT,94453,"High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care professional; with supplemental oxygen titration SCHEDULED",1022.0,1022.0,57.95,59.17,3
CPT,94453,"High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care professional; with supplemental oxygen titration UNSCHEDULED",1022.0,1022.0,250.21,255.48,3
CPT,94610,Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube SCHEDULED,1123.0,1123.0,65.55,66.93,3
CPT,94610,Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube UNSCHEDULED,1123.0,1123.0,250.21,255.48,3
CPT,94610,SURFACTANT,1123.0,1123.0,96.58,1347.6,48
CPT,94617,"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s) SCHEDULED",,,64.6,65.96,3
CPT,94617,"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s) UNSCHEDULED",,,250.21,255.48,3
CPT,94618,PULMONARY STRESS TESTING,585.0,585.0,50.31,702.0,41
CPT,94618,"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed SCHEDULED",585.0,585.0,12.35,12.61,3
CPT,94618,"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed UNSCHEDULED",585.0,585.0,724.45,739.7,3
CPT,94619,"Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s) UNSCHEDULED",,,250.21,255.48,3
CPT,94620,"HPulmonary stress testing; simple (eg, 6-minute walk test, prolonged exercise test for bronchospasm with pre- and post-spirometry and oximetry) UNSCHEDULED",,,250.21,255.48,3
CPT,94621,"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings SCHEDULED",,,98.8,100.88,3
CPT,94621,"Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings UNSCHEDULED",,,1123.33,1146.98,3
CPT,94625,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) UNSCHEDULED,,,250.21,255.48,3
CPT,94626,Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) UNSCHEDULED,,,250.21,255.48,3
CPT,94640,INH TX AC AWY OBST,277.0,277.0,23.82,332.4,144
CPT,94640,MDI VENT,1145.0,1145.0,98.47,1374.0,48
CPT,94640,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m",,,19.95,106.89,6
CPT,94642,Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis UNSCHEDULED,,,250.21,255.48,3
CPT,94644,CONT INHAL TRMT 1ST HOUR,697.0,697.0,59.94,836.4,48
CPT,94644,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour SCHEDULED,697.0,697.0,58.9,60.14,3
CPT,94644,Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour UNSCHEDULED,697.0,697.0,78.52,80.17,3
CPT,94645,CONT IN TRMT EA ADD HOUR,697.0,697.0,36.94,836.4,49
CPT,94645,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) SCHEDULED,697.0,697.0,19.0,19.4,3
CPT,94645,Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) UNSCHEDULED,697.0,697.0,78.52,80.17,3
CPT,94650,Pressure breathing (IPPB) UNSCHEDULED,,,250.21,255.48,3
CPT,94651,Pressure breathing (IPPB) UNSCHEDULED,,,250.21,255.48,3
CPT,94652,Pressure breathing (IPPB) UNSCHEDULED,,,250.21,255.48,3
CPT,94656,INITIAL VENTILATOR MGMT UNSCHEDULED,,,250.21,255.48,3
CPT,94657,CONTINUED VENTILATOR MGMT UNSCHEDULED,,,250.21,255.48,3
CPT,94660,CPAP VENT INIT&MGMT NB,2178.0,2178.0,187.31,2613.6,48
CPT,94660,CPAP VENT INT&MGMT,2178.0,2178.0,187.31,2613.6,48
CPT,94660,"Continuous positive airway pressure ventilation (CPAP), initiation and management SCHEDULED",,,51.3,52.38,3
CPT,94660,"Continuous positive airway pressure ventilation (CPAP), initiation and management UNSCHEDULED",,,698.28,712.98,3
CPT,94662,"Continuous negative pressure ventilation (CNP), initiation and management SCHEDULED",,,42.75,43.65,3
CPT,94662,"Continuous negative pressure ventilation (CNP), initiation and management UNSCHEDULED",,,250.21,255.48,3
CPT,94664,CONT BRONCH DEM/EVAL,424.0,424.0,36.46,508.8,41
CPT,94664,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device SCHEDULED",424.0,424.0,19.0,19.4,3
CPT,94664,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device UNSCHEDULED",424.0,424.0,250.21,255.48,3
CPT,94665,Aerosol or vapor inhalations UNSCHEDULED,,,250.21,255.48,3
CPT,94667,CHEST WALL INITIAL,692.0,692.0,59.51,830.4,48
CPT,94667,INTRAPULM PERC INITIAL,692.0,692.0,59.51,830.4,48
CPT,94667,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation SCHEDULED",,,28.5,29.1,3
CPT,94667,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation UNSCHEDULED",,,487.85,498.12,3
CPT,94668,CHEST WALL SUBSEQUENT,216.0,216.0,18.58,259.2,48
CPT,94668,INTRAPULM PERC SUBSQ,216.0,216.0,18.58,259.2,48
CPT,94668,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent SCHEDULED",,,32.3,32.98,3
CPT,94668,"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent UNSCHEDULED",,,93.18,95.14,3
CPT,94669,MECH CHEST WALL OSCILL,342.0,342.0,29.41,410.4,48
CPT,94669,"Mechanical chest wall oscillation to facilitate lung function, per session SCHEDULED",342.0,342.0,33.25,33.95,3
CPT,94669,"Mechanical chest wall oscillation to facilitate lung function, per session UNSCHEDULED",342.0,342.0,250.21,255.48,3
CPT,94680,"Oxygen uptake, expired gas analysis; rest and exercise, direct, simple SCHEDULED",,,44.65,45.59,3
CPT,94680,"Oxygen uptake, expired gas analysis; rest and exercise, direct, simple UNSCHEDULED",,,250.21,255.48,3
CPT,94681,EXP GAS INC CO2 OUTPUT,302.0,302.0,25.97,362.4,41
CPT,94681,"Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted SCHEDULED",302.0,302.0,47.5,48.5,3
CPT,94681,"Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted UNSCHEDULED",302.0,302.0,471.1,481.02,3
CPT,94690,EXP GAS REST INDIRECT,147.0,147.0,12.64,176.4,41
CPT,94690,"Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) SCHEDULED",147.0,147.0,51.3,52.38,3
CPT,94690,"Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) UNSCHEDULED",147.0,147.0,348.62,355.96,3
CPT,94720,MONOXIDE DIFFUSING CAPACITY UNSCHEDULED,,,250.21,255.48,3
CPT,94725,MEMBRANE DIFFUSION CAPACITY UNSCHEDULED,,,250.21,255.48,3
CPT,94726,"Plethysmography for determination of lung volumes and, when performed, airway resistance SCHEDULED",,,45.6,46.56,3
CPT,94726,"Plethysmography for determination of lung volumes and, when performed, airway resistance UNSCHEDULED",,,395.73,404.06,3
CPT,94727,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes SCHEDULED",,,34.2,34.92,3
CPT,94727,"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes UNSCHEDULED",,,1062.6,1084.97,3
CPT,94728,AIRWAY RESISTANCE OSCILL,759.0,759.0,65.27,910.8,48
CPT,94728,Airway resistance by oscillometry SCHEDULED,759.0,759.0,31.35,32.01,3
CPT,94728,Airway resistance by oscillometry UNSCHEDULED,759.0,759.0,126.67,129.34,3
CPT,94729,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) SCHEDULED",,,52.25,53.35,3
CPT,94729,"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure) UNSCHEDULED",,,392.59,400.85,3
CPT,94750,"PULMONARY COMPLIANCE STUDY (EG, PLETHYSMOGRAPHY, VOLUME AND PRESSURE MEASUREMENTS) SCHEDULED",,,84.55,86.33,3
CPT,94750,"PULMONARY COMPLIANCE STUDY (EG, PLETHYSMOGRAPHY, VOLUME AND PRESSURE MEASUREMENTS) UNSCHEDULED",,,250.21,255.48,3
CPT,94760,Noninvasive ear or pulse oximetry for oxygen saturation; single determination SCHEDULED,262.0,262.0,8.55,8.73,3
CPT,94760,Noninvasive ear or pulse oximetry for oxygen saturation; single determination UNSCHEDULED,262.0,262.0,53.39,54.51,3
CPT,94760,SINGLE DX PULSE OX,262.0,262.0,13.89,314.4,42
CPT,94761,MULTIPLE DX PULSE OX,58.0,58.0,3.07,69.6,42
CPT,94761,"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise) SCHEDULED",58.0,58.0,19.0,19.4,3
CPT,94761,"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise) UNSCHEDULED",58.0,58.0,114.11,116.52,3
CPT,94762,Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure) SCHEDULED,,,29.45,30.07,3
CPT,94762,Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure) UNSCHEDULED,,,260.68,266.17,3
CPT,94770,"CARBON DIOXIDE, EXPIRED GAS DETERMINATION BY INFRARED ANALYZER SCHEDULED",,,11.4,11.64,3
CPT,94770,"CARBON DIOXIDE, EXPIRED GAS DETERMINATION BY INFRARED ANALYZER UNSCHEDULED",,,250.21,255.48,3
CPT,94772,"Circadian respiratory pattern recording (pediatric pneumogram), 12-24 hour continuous recording, infant UNSCHEDULED",,,250.21,255.48,3
CPT,94774,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; includes monitor attachment, download of data, review, interpretation, and",,,250.21,255.48,3
CPT,94775,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and dis",,,250.21,255.48,3
CPT,94776,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analys",,,250.21,255.48,3
CPT,94777,"Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; review, interpretation and preparation of report only by a physician or ot",,,250.21,255.48,3
CPT,94780,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,250.21,255.48,3
CPT,94781,"Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, ",,,250.21,255.48,3
CPT,94799,Unlisted pulmonary service or procedure UNSCHEDULED,,,141.33,144.31,3
CPT,95004,"Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests SCHEDULED",,,5.7,5.82,3
CPT,95004,"Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests UNSCHEDULED",,,102.6,104.76,3
CPT,95010,PERCUT ALLERGY TITRATE TEST UNSCHEDULED,,,102.6,104.76,3
CPT,95012,Nitric oxide expired gas determination SCHEDULED,,,21.85,22.31,3
CPT,95012,Nitric oxide expired gas determination UNSCHEDULED,,,102.6,104.76,3
CPT,95015,ID ALLERGY TITRATE-DRUG/BUG UNSCHEDULED,,,102.6,104.76,3
CPT,95017,"Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal), sequential and incremental, with venoms, immediate type reaction, including test interpret",,,4.75,104.76,6
CPT,95018,"Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal), sequential and incremental, with drugs or biologicals, immediate type reaction, including ",,,8.55,104.76,6
CPT,95024,"Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests SCHEDULED",,,2.85,2.91,3
CPT,95024,"Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests UNSCHEDULED",,,102.6,104.76,3
CPT,95027,"Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens, immediate type reaction, including test interpretation and report, specify number of te",,,5.7,104.76,6
CPT,95028,"Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number of tests SCHEDULED",,,14.25,14.55,3
CPT,95028,"Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number of tests UNSCHEDULED",,,102.6,104.76,3
CPT,95044,Patch or application test(s) (specify number of tests) SCHEDULED,,,6.65,6.79,3
CPT,95044,Patch or application test(s) (specify number of tests) UNSCHEDULED,,,102.6,104.76,3
CPT,95052,Photo patch test(s) (specify number of tests) SCHEDULED,,,8.55,8.73,3
CPT,95052,Photo patch test(s) (specify number of tests) UNSCHEDULED,,,102.6,104.76,3
CPT,95056,Photo tests SCHEDULED,,,51.3,52.38,3
CPT,95056,Photo tests UNSCHEDULED,,,102.6,104.76,3
CPT,95060,Ophthalmic mucous membrane tests SCHEDULED,,,38.95,39.77,3
CPT,95060,Ophthalmic mucous membrane tests UNSCHEDULED,,,102.6,104.76,3
CPT,95065,Direct nasal mucous membrane test SCHEDULED,,,28.5,29.1,3
CPT,95065,Direct nasal mucous membrane test UNSCHEDULED,,,102.6,104.76,3
CPT,95070,"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds SCHEDULED",,,77.9,79.54,3
CPT,95070,"Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compounds UNSCHEDULED",,,102.6,104.76,3
CPT,95071,"INHALATION BRONCHIAL CHALLENGE TESTING (NOT INCLUDING NECESSARY PULMONARY FUNCTION TESTS); WITH ANTIGENS OR GASES, SPECIFY SCHEDULED",,,99.75,101.85,3
CPT,95071,"INHALATION BRONCHIAL CHALLENGE TESTING (NOT INCLUDING NECESSARY PULMONARY FUNCTION TESTS); WITH ANTIGENS OR GASES, SPECIFY UNSCHEDULED",,,102.6,104.76,3
CPT,95076,"Ingestion challenge test (sequential and incremental ingestion of test items, eg, food, drug or other substance); initial 120 minutes of testing SCHEDULED",,,84.55,86.33,3
CPT,95079,"Ingestion challenge test (sequential and incremental ingestion of test items, eg, food, drug or other substance); each additional 60 minutes of testing (List separately in addition to code for primary",,,77.9,79.54,3
CPT,95115,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection SCHEDULED,,,10.45,10.67,3
CPT,95117,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections SCHEDULED,,,12.35,12.61,3
CPT,95120,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; singl",,,61.45,61.45,1
CPT,95125,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 2 or ",,,87.78,87.78,1
CPT,95130,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; singl",,,70.23,70.23,1
CPT,95131,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 2 sti",,,102.64,102.64,1
CPT,95132,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 3 sti",,,116.63,116.63,1
CPT,95133,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 4 sti",,,180.38,180.38,1
CPT,95134,"Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 5 sti",,,209.94,209.94,1
CPT,95144,"Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single dose vial(s) (specify number of vials) SCHEDULED",,,8.55,8.73,3
CPT,95145,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); single stinging insect venom SCHEDULED,,,16.15,16.49,3
CPT,95146,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 2 single stinging insect venoms SCHEDULED,,,22.8,23.28,3
CPT,95147,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 3 single stinging insect venoms SCHEDULED,,,31.35,32.01,3
CPT,95148,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 4 single stinging insect venoms SCHEDULED,,,30.4,31.04,3
CPT,95149,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 5 single stinging insect venoms SCHEDULED,,,34.2,34.92,3
CPT,95165,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses) SCHEDULED,,,6.65,6.79,3
CPT,95170,Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole body extract of biting insect or other arthropod (specify number of doses) SCHEDULE,,,12.35,12.61,3
CPT,95180,"Rapid desensitization procedure, each hour (eg, insulin, penicillin, equine serum) SCHEDULED",,,117.8,120.28,3
CPT,95249,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor",,,61.75,63.05,3
CPT,95250,Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equip,,,166.25,169.75,3
CPT,95251,"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report SCHEDULED",,,41.8,42.68,3
CPT,95700,EEG CONT MIN 8 CHNLS,174.0,174.0,14.96,208.8,82
CPT,95713,VEEG 2-12 HR W CONT MON,2300.0,2300.0,197.8,2760.0,41
CPT,95716,VEEG 12-26 HR CONT,4488.0,4488.0,385.97,5385.6,41
CPT,95717,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation and report, 2",,,117.8,120.28,3
CPT,95718,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation and report, 2",,,155.8,159.08,3
CPT,95719,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, each increment of greater th",,,183.35,187.21,3
CPT,95720,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, each increment of greater th",,,241.3,246.38,3
CPT,95721,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary ",,,242.25,247.35,3
CPT,95722,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary ",,,294.5,300.7,3
CPT,95723,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary ",,,301.15,307.49,3
CPT,95724,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary ",,,375.25,383.15,3
CPT,95725,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary ",,,342.0,349.2,3
CPT,95726,"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary ",,,475.0,485.0,3
CPT,95782,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,4033.0,4033.0,3
CPT,95782,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist UNSCHEDULED",,,5813.44,5935.83,3
CPT,95783,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by ",,,4033.0,5935.83,6
CPT,95800,"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time ",,,4033.0,4033.0,3
CPT,95800,"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time UNSCHEDULED",,,5813.44,5935.83,3
CPT,95801,"Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone) ",,,4033.0,4033.0,3
CPT,95801,"Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone) UNSCHEDULED",,,5813.44,5935.83,3
CPT,95803,"Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording) SCHEDULED",,,114.95,117.37,3
CPT,95803,"Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording) UNSCHEDULED",,,5813.44,5935.83,3
CPT,95805,MUL SLEEP LATENCY,11343.0,11343.0,975.5,13611.6,43
CPT,95805,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness ",11343.0,11343.0,4033.0,4033.0,3
CPT,95805,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness SCHEDULED",11343.0,11343.0,393.3,401.58,3
CPT,95805,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness UNSCHEDULED",11343.0,11343.0,5813.44,5935.83,3
CPT,95806,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) ",,,4033.0,4033.0,3
CPT,95806,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) SCHEDULED",,,130.15,132.89,3
CPT,95806,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) UNSCHEDULED",,,1342.12,1370.38,3
CPT,95807,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist ",,,4033.0,4033.0,3
CPT,95807,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist SCHEDULED",,,381.9,389.94,3
CPT,95807,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist UNSCHEDULED",,,5813.44,5935.83,3
CPT,95808,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist ",,,4033.0,4033.0,3
CPT,95808,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist SCHEDULED",,,621.3,634.38,3
CPT,95808,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist UNSCHEDULED",,,5813.44,5935.83,3
CPT,95810,POLYSOMNOGRAPHY >4 PAR,11343.0,11343.0,975.5,13611.6,43
CPT,95810,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",11343.0,11343.0,4033.0,4033.0,3
CPT,95810,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist SCHEDULED",11343.0,11343.0,538.65,549.99,3
CPT,95810,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist UNSCHEDULED",11343.0,11343.0,5813.44,5935.83,3
CPT,95811,POLY >4 PAR W/CPAP OR BV,12449.0,12449.0,1070.61,14938.8,43
CPT,95811,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a",12449.0,12449.0,563.35,6530.16,9
CPT,95812,Electroencephalogram (EEG) extended monitoring; 41-60 minutes SCHEDULED,,,297.35,303.61,3
CPT,95812,Electroencephalogram (EEG) extended monitoring; 41-60 minutes UNSCHEDULED,,,978.85,999.46,3
CPT,95813,EEG EXT MNTR 61-119 MIN,1201.0,1201.0,103.29,1441.2,41
CPT,95813,Electroencephalogram (EEG) extended monitoring; 61-119 minutes SCHEDULED,1201.0,1201.0,353.4,360.84,3
CPT,95813,Electroencephalogram (EEG) extended monitoring; 61-119 minutes UNSCHEDULED,1201.0,1201.0,1066.79,1089.25,3
CPT,95816,EEG REC AW & DROWSY,3050.0,3050.0,262.3,3660.0,41
CPT,95816,Electroencephalogram (EEG); including recording awake and drowsy SCHEDULED,3050.0,3050.0,337.25,344.35,3
CPT,95816,Electroencephalogram (EEG); including recording awake and drowsy UNSCHEDULED,3050.0,3050.0,793.55,810.26,3
CPT,95819,EEG REC AW & ASLEEP,3210.0,3210.0,276.06,3852.0,41
CPT,95819,Electroencephalogram (EEG); including recording awake and asleep SCHEDULED,3210.0,3210.0,412.3,420.98,3
CPT,95819,Electroencephalogram (EEG); including recording awake and asleep UNSCHEDULED,3210.0,3210.0,872.07,890.43,3
CPT,95822,EEG COMA OR SLEEP ONLY,583.0,583.0,50.14,699.6,41
CPT,95822,Electroencephalogram (EEG); recording in coma or sleep only SCHEDULED,583.0,583.0,368.6,376.36,3
CPT,95822,Electroencephalogram (EEG); recording in coma or sleep only UNSCHEDULED,583.0,583.0,925.46,944.94,3
CPT,95824,EEG CEREB DEATH,3777.0,3777.0,324.82,4532.4,41
CPT,95824,Electroencephalogram (EEG); cerebral death evaluation only SCHEDULED,3777.0,3777.0,9.5,9.7,3
CPT,95824,Electroencephalogram (EEG); cerebral death evaluation only UNSCHEDULED,3777.0,3777.0,925.46,944.94,3
CPT,95827,ELECTROENCEPHALOGRAM (EEG); ALL NIGHT RECORDING UNSCHEDULED,,,925.46,944.94,3
CPT,95829,Electrocorticogram at surgery (separate procedure) SCHEDULED,,,1679.6,1714.96,3
CPT,95829,Electrocorticogram at surgery (separate procedure) UNSCHEDULED,,,925.46,944.94,3
CPT,95830,Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording SCHEDULED,,,126.35,129.01,3
CPT,95830,Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording UNSCHEDULED,,,925.46,944.94,3
CPT,95836,"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days SCHEDULED",,,142.5,145.5,3
CPT,95851,ROM EA EXT/TRNK EX HN OT,190.0,190.0,16.34,228.0,41
CPT,95851,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) ,190.0,190.0,26.58,83.57,33
CPT,95851,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) SCHEDULED,190.0,190.0,17.1,17.46,3
CPT,95851,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) Trauma,,,65.76,65.76,6
CPT,95852,ROM HAND W/WO COMP OT,190.0,190.0,16.34,228.0,41
CPT,95852,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side ",190.0,190.0,21.92,68.93,33
CPT,95852,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side SCHEDULED",190.0,190.0,13.3,13.58,3
CPT,95852,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Trauma",,,54.24,54.24,6
CPT,95857,CHOLINESTERASE INH CHLNG,940.0,940.0,80.84,1128.0,48
CPT,95857,Cholinesterase inhibitor challenge test for myasthenia gravis SCHEDULED,940.0,940.0,38.0,38.8,3
CPT,95860,Needle electromyography; 1 extremity with or without related paraspinal areas SCHEDULED,,,74.1,75.66,3
CPT,95860,Needle electromyography; 1 extremity with or without related paraspinal areas UNSCHEDULED,,,184.25,188.13,3
CPT,95861,Needle electromyography; 2 extremities with or without related paraspinal areas SCHEDULED,,,97.85,99.91,3
CPT,95861,Needle electromyography; 2 extremities with or without related paraspinal areas UNSCHEDULED,,,592.54,605.02,3
CPT,95863,Needle electromyography; 3 extremities with or without related paraspinal areas SCHEDULED,,,123.5,126.1,3
CPT,95863,Needle electromyography; 3 extremities with or without related paraspinal areas UNSCHEDULED,,,349.67,357.03,3
CPT,95864,Needle electromyography; 4 extremities with or without related paraspinal areas SCHEDULED,,,156.75,160.05,3
CPT,95864,Needle electromyography; 4 extremities with or without related paraspinal areas UNSCHEDULED,,,743.3,758.95,3
CPT,95865,Needle electromyography; larynx SCHEDULED,,,76.0,77.6,3
CPT,95865,Needle electromyography; larynx UNSCHEDULED,,,286.85,292.89,3
CPT,95866,Needle electromyography; hemidiaphragm SCHEDULED,,,75.05,76.63,3
CPT,95866,Needle electromyography; hemidiaphragm UNSCHEDULED,,,476.34,486.37,3
CPT,95867,"Needle electromyography; cranial nerve supplied muscle(s), unilateral SCHEDULED",,,71.25,72.75,3
CPT,95867,"Needle electromyography; cranial nerve supplied muscle(s), unilateral UNSCHEDULED",,,359.09,366.65,3
CPT,95868,"Needle electromyography; cranial nerve supplied muscles, bilateral SCHEDULED",,,85.5,87.3,3
CPT,95868,"Needle electromyography; cranial nerve supplied muscles, bilateral UNSCHEDULED",,,340.24,347.41,3
CPT,95869,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) SCHEDULED,,,83.6,85.36,3
CPT,95869,Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) UNSCHEDULED,,,349.67,357.03,3
CPT,95870,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters SC",,,77.9,79.54,3
CPT,95870,"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters UN",,,363.27,370.92,3
CPT,95872,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied SCHEDULED",,,51.3,52.38,3
CPT,95872,"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied UNSCHEDULED",,,349.67,357.03,3
CPT,95873,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) SCHEDULED,,,61.75,63.05,3
CPT,95873,Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) UNSCHEDULED,,,349.67,357.03,3
CPT,95874,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) SCHEDULED,,,64.6,65.96,3
CPT,95874,Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) UNSCHEDULED,,,349.67,357.03,3
CPT,95875,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) SCHEDULED,,,81.7,83.42,3
CPT,95875,Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) UNSCHEDULED,,,349.67,357.03,3
CPT,95885,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code f",,,48.45,329.24,6
CPT,95886,"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innerv",,,56.05,357.03,6
CPT,95887,"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary pro",,,51.3,199.89,6
CPT,95905,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report SCH",,,57.0,58.2,3
CPT,95905,"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report UNS",,,909.76,928.91,3
CPT,95907,Nerve conduction studies; 1-2 studies SCHEDULED,,,45.6,46.56,3
CPT,95907,Nerve conduction studies; 1-2 studies UNSCHEDULED,,,422.95,431.85,3
CPT,95908,Nerve conduction studies; 3-4 studies SCHEDULED,,,59.85,61.11,3
CPT,95908,Nerve conduction studies; 3-4 studies UNSCHEDULED,,,478.43,488.5,3
CPT,95909,Nerve conduction studies; 5-6 studies SCHEDULED,,,71.25,72.75,3
CPT,95909,Nerve conduction studies; 5-6 studies UNSCHEDULED,,,888.82,907.53,3
CPT,95910,Nerve conduction studies; 7-8 studies SCHEDULED,,,91.2,93.12,3
CPT,95910,Nerve conduction studies; 7-8 studies UNSCHEDULED,,,909.76,928.91,3
CPT,95911,Nerve conduction studies; 9-10 studies SCHEDULED,,,104.5,106.7,3
CPT,95911,Nerve conduction studies; 9-10 studies UNSCHEDULED,,,1542.09,1574.55,3
CPT,95912,Nerve conduction studies; 11-12 studies SCHEDULED,,,113.05,115.43,3
CPT,95912,Nerve conduction studies; 11-12 studies UNSCHEDULED,,,3135.47,3201.48,3
CPT,95913,Nerve conduction studies; 13 or more studies SCHEDULED,,,125.4,128.04,3
CPT,95913,Nerve conduction studies; 13 or more studies UNSCHEDULED,,,1864.53,1903.78,3
CPT,95921,"Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval",,,44.65,345.81,6
CPT,95922,"Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuve",,,56.05,345.81,6
CPT,95923,"Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and",,,91.2,292.89,6
CPT,95924,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt SCHEDULED,,,69.35,70.81,3
CPT,95924,Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt UNSCHEDULED,,,390.5,398.72,3
CPT,95925,SHRT LATENCY SOMA UP LMB,2249.0,2249.0,193.41,2698.8,48
CPT,95925,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs SCHEDULED",2249.0,2249.0,123.5,126.1,3
CPT,95925,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs UNSCHEDULED",2249.0,2249.0,898.24,917.15,3
CPT,95926,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs SCHEDULED",,,116.85,119.31,3
CPT,95926,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs UNSCHEDULED",,,1945.14,1986.09,3
CPT,95927,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head SCHEDULED",,,116.85,119.31,3
CPT,95927,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head UNSCHEDULED",,,1814.28,1852.48,3
CPT,95928,Central motor evoked potential study (transcranial motor stimulation); upper limbs SCHEDULED,,,159.6,162.96,3
CPT,95928,Central motor evoked potential study (transcranial motor stimulation); upper limbs UNSCHEDULED,,,1358.36,1386.95,3
CPT,95929,Central motor evoked potential study (transcranial motor stimulation); lower limbs SCHEDULED,,,166.25,169.75,3
CPT,95929,Central motor evoked potential study (transcranial motor stimulation); lower limbs UNSCHEDULED,,,2527.22,2580.42,3
CPT,95930,VISUAL EVOKED POT VEP,1216.0,1216.0,104.58,1459.2,48
CPT,95930,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report SCHEDULED",1216.0,1216.0,53.2,54.32,3
CPT,95930,"Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report UNSCHEDULED",1216.0,1216.0,879.4,897.91,3
CPT,95933,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing SCHEDULED",,,56.05,57.23,3
CPT,95933,"Orbicularis oculi (blink) reflex, by electrodiagnostic testing UNSCHEDULED",,,1358.36,1386.95,3
CPT,95934,H-REFLEX TEST UNSCHEDULED,,,1358.36,1386.95,3
CPT,95936,H-REFLEX TEST UNSCHEDULED,,,1358.36,1386.95,3
CPT,95937,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method SCHEDULED",,,65.55,66.93,3
CPT,95937,"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method UNSCHEDULED",,,206.24,210.58,3
CPT,95938,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs SCHEDULED",,,334.4,341.44,3
CPT,95938,"Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs UNSCHEDULED",,,1357.83,1386.41,3
CPT,95939,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs SCHEDULED,,,445.55,454.93,3
CPT,95939,Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs UNSCHEDULED,,,1358.88,1387.49,3
CPT,95940,"Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary proced",,,38.95,611.43,6
CPT,95941,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby) or for monitoring of more than one case while in the operating room, per hour (List separately ",,,598.82,611.43,3
CPT,95943,"SIMULTANEOUS, INDEPENDENT, QUANTITATIVE MEASURES OF BOTH PARASYMPATHETIC FUNCTION AND SYMPATHETIC FUNCTION, BASED ON TIME-FREQUENCY ANALYSIS OF HEART RATE VARIABILITY CONCURRENT WITH TIME-FREQUENCY AN",,,598.82,611.43,3
CPT,95954,"Pharmacological or physical activation requiring physician or other qualified health care professional attendance during EEG recording of activation phase (eg, thiopental activation test) SCHEDULED",,,304.95,311.37,3
CPT,95955,EEG NONINTRACRANIAL SURG,3469.0,3469.0,183.86,4162.8,42
CPT,95955,"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery) SCHEDULED",3469.0,3469.0,171.0,174.6,3
CPT,95955,"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery) UNSCHEDULED",3469.0,3469.0,631.28,644.57,3
CPT,95957,"Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis) SCHEDULED",,,168.15,171.69,3
CPT,95957,"Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis) UNSCHEDULED",,,429.23,438.27,3
CPT,95958,"Wada activation test for hemispheric function, including electroencephalographic (EEG) monitoring SCHEDULED",,,391.4,399.64,3
CPT,95961,"Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour",,,162.45,165.87,3
CPT,95962,"Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; each additio",,,97.85,99.91,3
CPT,95970,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,22.8,1485.83,6
CPT,95971,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,49.4,614.64,6
CPT,95972,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,74.1,2357.01,6
CPT,95973,ANALYZE NEUROSTIM COMPLEX UNSCHEDULED,,,1455.19,1485.83,3
CPT,95974,"ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR SYSTEM (EG, RATE, PULSE AMPLITUDE, PULSE DURATION, CONFIGURATION OF WAVE FORM, BATTERY STATUS, ELECTRODE SELECTABILITY, OUTPUT MODULAT ",,,1455.19,1485.83,3
CPT,95975,"ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR SYSTEM (EG, RATE, PULSE AMPLITUDE, PULSE DURATION, CONFIGURATION OF WAVE FORM, BATTERY STATUS, ELECTRODE SELECTABILITY, OUTPUT MODULAT ",,,1455.19,1485.83,3
CPT,95976,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,48.45,1485.83,6
CPT,95977,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,63.65,1485.83,6
CPT,95978,"ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR SYSTEM (EG, RATE, PULSE AMPLITUDE AND DURATION, BATTERY STATUS, ELECTRODE SELECTABILITY AND POLARITY, IMPEDANCE AND PATIENT COMPLIANCE ",,,1455.19,1485.83,3
CPT,95979,"ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR SYSTEM (EG, RATE, PULSE AMPLITUDE AND DURATION, BATTERY STATUS, ELECTRODE SELECTABILITY AND POLARITY, IMPEDANCE AND PATIENT COMPLIANCE ",,,1455.19,1485.83,3
CPT,95980,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,60.8,1485.83,6
CPT,95981,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,22.8,1485.83,6
CPT,95982,"Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation,",,,46.55,1485.83,6
CPT,95983,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,59.85,1485.83,6
CPT,95984,"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact groupºs», interleaving, amplitude, pulse width, frequency ºHz», on/off cycling, burst, magnet mode, dose locko",,,54.15,1485.83,6
CPT,95990,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1423.0,3251.0,36
CPT,95990,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; SCHEDULE",,,101.65,103.79,3
CPT,95990,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; UNSCHEDU",,,135.05,137.9,3
CPT,95991,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,49.4,3251.0,42
CPT,95992,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day ",,,36.95,129.35,65
CPT,95992,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day SCHEDULED",,,43.7,44.62,3
CPT,95992,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day Trauma",,,89.57,101.78,12
CPT,95992,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day UNSCHEDULED",,,135.05,137.9,3
CPT,95999,Unlisted neurological or neuromuscular diagnostic procedure UNSCHEDULED,,,135.05,137.9,3
CPT,96000,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; SCHEDULED,,,108.3,110.58,3
CPT,96001,Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking SCHEDULED,,,129.2,131.92,3
CPT,96002,"Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles SCHEDULED",,,25.65,26.19,3
CPT,96003,"Dynamic fine wire electromyography, during walking or other functional activities, 1 muscle SCHEDULED",,,19.0,19.4,3
CPT,96004,"Review and interpretation by physician or other qualified health care professional of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyogra",,,111.22,136.77,4
CPT,96105,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,98.23,308.87,42
CPT,96110,"Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument SCHEDULED",,,83.6,85.36,3
CPT,96112,DEV TEST INT&RPT 60M SP,671.0,671.0,57.71,805.2,41
CPT,96112,"Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when ",671.0,671.0,146.3,149.38,3
CPT,96113,DEV TEST INT&RPT A30M SP,9428.0,9428.0,499.68,11313.6,42
CPT,96113,"Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when ",9428.0,9428.0,66.5,67.9,3
CPT,96116,"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, ºeg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities»)",,,15.7,97.97,6
CPT,96117,NEUROPSYCH TEST BATTERY UNSCHEDULED,,,15.7,16.03,3
CPT,96118,"NEUROPSYCHOLOGICAL TESTING (EG, HALSTEAD-REITAN NEUROPSYCHOLOGICAL BATTERY, WECHSLER MEMORY SCALES AND WISCONSIN CARD SORTING TEST), PER HOUR OF THE PSYCHOLOGIST'S OR PHYSICIAN'S TIME, BOTH FACE-TO-F ",,,15.7,16.03,3
CPT,96119,"NEUROPSYCHOLOGICAL TESTING (EG, HALSTEAD-REITAN NEUROPSYCHOLOGICAL BATTERY, WECHSLER MEMORY SCALES AND WISCONSIN CARD SORTING TEST), WITH QUALIFIED HEALTH CARE PROFESSIONAL INTERPRETATION AND REPORT, ",,,15.7,16.03,3
CPT,96120,"NEUROPSYCHOLOGICAL TESTING (EG, WISCONSIN CARD SORTING TEST), ADMINISTERED BY A COMPUTER, WITH QUALIFIED HEALTH CARE PROFESSIONAL INTERPRETATION AND REPORT UNSCHEDULED",,,15.7,16.03,3
CPT,96121,"Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, ºeg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities»)",,,15.7,91.18,6
CPT,96125,COGNITIV PERFORM TEST SP,622.0,622.0,53.49,746.4,41
CPT,96125,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",622.0,622.0,15.7,325.59,45
CPT,96127,"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder ºADHD» scale), with scoring and documentation, per standardized instrument SCHEDULED",,,5.7,5.82,3
CPT,96127,"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder ºADHD» scale), with scoring and documentation, per standardized instrument UNSCHEDULED",,,15.7,16.03,3
CPT,96130,"Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data",,,15.7,124.16,6
CPT,96131,"Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data",,,15.7,97.0,6
CPT,96132,"Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical",,,15.7,123.19,6
CPT,96133,"Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical",,,15.7,95.06,6
CPT,96136,"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes SCHEDULED",,,28.5,29.1,3
CPT,96136,"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes UNSCHEDULED",,,15.7,16.03,3
CPT,96137,"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List separately",,,15.7,22.31,6
CPT,96138,"Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes SCHEDULED",,,41.8,42.68,3
CPT,96138,"Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes UNSCHEDULED",,,15.7,16.03,3
CPT,96139,"Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; each additional 30 minutes (List separately in addition to code for primary procedure)",,,15.7,42.68,6
CPT,96146,"Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only SCHEDULED",,,2.85,2.91,3
CPT,96146,"Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only UNSCHEDULED",,,15.7,16.03,3
CPT,96156,"Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making) SCHEDULED",,,100.7,102.82,3
CPT,96158,"Health behavior intervention, individual, face-to-face; initial 30 minutes SCHEDULED",,,67.45,68.87,3
CPT,96159,"Health behavior intervention, individual, face-to-face; each additional 15 minutes (List separately in addition to code for primary service) SCHEDULED",,,23.75,24.25,3
CPT,96164,"Health behavior intervention, group (2 or more patients), face-to-face; initial 30 minutes SCHEDULED",,,10.45,10.67,3
CPT,96165,"Health behavior intervention, group (2 or more patients), face-to-face; each additional 15 minutes (List separately in addition to code for primary service) SCHEDULED",,,3.8,3.88,3
CPT,96167,"Health behavior intervention, family (with the patient present), face-to-face; initial 30 minutes SCHEDULED",,,73.15,74.69,3
CPT,96168,"Health behavior intervention, family (with the patient present), face-to-face; each additional 15 minutes (List separately in addition to code for primary service) SCHEDULED",,,25.65,26.19,3
CPT,96170,"Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutes SCHEDULED",,,90.25,92.15,3
CPT,96171,"Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes (List separately in addition to code for primary service) SCHEDULED",,,33.25,33.95,3
CPT,96202,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,20.15,63.35,39
CPT,96203,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,5.71,18.0,39
CPT,96360,IV HYDRAT INIT UP TO 1HR,220.0,220.0,17.37,1261.2,348
CPT,96360,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,358.56,358.56,5
CPT,96360,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour SCHEDULED",,,38.0,38.8,3
CPT,96360,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour UNSCHEDULED",,,274.28,280.06,3
CPT,96361,IV HYDRAT EA ADD HR,93.0,93.0,0.52,259.2,389
CPT,96361,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,78.94,78.94,5
CPT,96361,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) SCHEDULED",,,15.2,15.52,3
CPT,96361,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) UNSCHEDULED",,,136.1,138.96,3
CPT,96365,IV INITIAL UP TO 1 HOUR,619.0,619.0,16.08,1261.2,444
CPT,96365,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour SCHEDULED",,,79.8,81.48,3
CPT,96365,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour UNSCHEDULED",,,318.26,324.96,3
CPT,96366,IV EACH ADD HOUR,187.0,187.0,1.38,259.2,403
CPT,96366,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) SCHEDULED",,,23.75,24.25,3
CPT,96366,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) UNSCHEDULED",,,123.54,126.14,3
CPT,96367,IV ADDL SEQ INF UP TO 1H,187.0,187.0,16.08,224.4,369
CPT,96367,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for ",,,34.2,159.27,6
CPT,96368,IV CONCURRENT INFUSION,186.0,186.0,9.86,223.2,378
CPT,96368,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure) SCHEDULED",,,22.8,23.28,3
CPT,96368,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure) UNSCHEDULED",,,141.33,144.31,3
CPT,96369,SQ INFUSION UP TO 1 HOUR,143.0,143.0,12.3,171.6,267
CPT,96369,"Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s) SCHEDULED",,,174.8,178.48,3
CPT,96369,"Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s) UNSCHEDULED",,,72.24,73.76,3
CPT,96370,SQ INFUSION EA ADDL HOUR,66.0,66.0,5.68,79.2,288
CPT,96370,Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) SCHEDULED,,,17.1,17.46,3
CPT,96370,Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) UNSCHEDULED,,,64.9,66.27,3
CPT,96371,SQ INFUSION ADDL PUMP SU,69.0,69.0,5.93,82.8,288
CPT,96371,Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for pr,,,69.35,177.44,6
CPT,96372,INJECTION IM OR SQ,513.0,513.0,24.17,853.2,526
CPT,96372,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular SCHEDULED",,,16.15,16.49,3
CPT,96372,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular UNSCHEDULED",,,113.07,115.45,3
CPT,96373,INJECTION INTRA-ARTERIAL,607.0,607.0,40.76,888.0,75
CPT,96373,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial SCHEDULED",,,20.9,21.34,3
CPT,96373,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial UNSCHEDULED",,,176.93,180.65,3
CPT,96374,IVP SINGLE/INITIAL DRUG,629.0,629.0,46.01,1261.2,315
CPT,96374,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug SCHEDULED",,,43.7,44.62,3
CPT,96374,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug UNSCHEDULED",,,159.13,162.47,3
CPT,96375,IVP EA ADD SEQ NEW DRUG,515.0,515.0,18.58,867.6,315
CPT,96375,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary pro",,,18.05,144.31,6
CPT,96376,IVP EA ADD SEQ SAME DRUG,98.0,98.0,4.82,158.4,284
CPT,96376,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in additi",,,132.95,135.75,3
CPT,96377,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection SCHEDULED,,,21.85,22.31,3
CPT,96377,Application of on-body injector (includes cannula insertion) for timed subcutaneous injection UNSCHEDULED,,,141.33,144.31,3
CPT,96379,UNLISTED IV/IA INJ/INF,134.0,134.0,13.8,160.8,29
CPT,96379,"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion UNSCHEDULED",134.0,134.0,141.33,144.31,3
CPT,96380,"Administration of respiratory syncytial virus, monoclonal antibody, seasonal dose by intramuscular injection, with counseling by physician or other qualified health care professional ",,,26.31,26.31,1
CPT,96381,"Administration of respiratory syncytial virus, monoclonal antibody, seasonal dose by intramuscular injection ",,,21.15,21.15,1
CPT,96401,CHEMO SQ/IM NON HORM ANP,252.0,252.0,21.67,302.4,36
CPT,96401,"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic ",252.0,252.0,,,0
CPT,96401,"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic SCHEDULED",252.0,252.0,88.35,90.21,3
CPT,96401,"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic UNSCHEDULED",252.0,252.0,214.61,219.13,3
CPT,96402,CHEMO SQ/IM HORMONL ANPL,302.0,302.0,25.97,362.4,108
CPT,96402,"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic ",,,,,0
CPT,96402,"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic SCHEDULED",,,35.15,35.89,3
CPT,96402,"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic UNSCHEDULED",,,777.85,794.23,3
CPT,96405,"Chemotherapy administration; intralesional, up to and including 7 lesions ",,,,,0
CPT,96405,"Chemotherapy administration; intralesional, up to and including 7 lesions SCHEDULED",,,54.15,55.29,3
CPT,96405,"Chemotherapy administration; intralesional, up to and including 7 lesions UNSCHEDULED",,,777.85,794.23,3
CPT,96406,"Chemotherapy administration; intralesional, more than 7 lesions ",,,,,0
CPT,96406,"Chemotherapy administration; intralesional, more than 7 lesions SCHEDULED",,,81.7,83.42,3
CPT,96406,"Chemotherapy administration; intralesional, more than 7 lesions UNSCHEDULED",,,777.85,794.23,3
CPT,96408,"CHEMOTHERAPY, PUSH TECHNIQUE UNSCHEDULED",,,777.85,794.23,3
CPT,96409,CHEMO IV PUSH SING/IN DR,324.0,324.0,27.86,388.8,72
CPT,96409,"Chemotherapy administration; intravenous, push technique, single or initial substance/drug ",,,,,0
CPT,96409,"Chemotherapy administration; intravenous, push technique, single or initial substance/drug SCHEDULED",,,122.55,125.13,3
CPT,96409,"Chemotherapy administration; intravenous, push technique, single or initial substance/drug UNSCHEDULED",,,777.85,794.23,3
CPT,96410,"CHEMOTHERAPY,INFUSION METHOD UNSCHEDULED",,,777.85,794.23,3
CPT,96411,CHEMO IV PUSH EA ADD DRG,148.0,148.0,12.73,177.6,72
CPT,96411,"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure) ",,,,,0
CPT,96411,"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure) SCHEDULED",,,67.45,68.87,3
CPT,96411,"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure) UNSCHEDULED",,,777.85,794.23,3
CPT,96412,"CHEMO, INFUSE METHOD ADD-ON UNSCHEDULED",,,777.85,794.23,3
CPT,96413,CHEMO IV SING/IN DR 1 HR,324.0,324.0,27.86,388.8,72
CPT,96413,"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug ",,,,,0
CPT,96413,"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug SCHEDULED",,,157.7,161.02,3
CPT,96413,"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug UNSCHEDULED",,,1144.27,1168.36,3
CPT,96414,"CHEMO, INFUSE METHOD ADD-ON UNSCHEDULED",,,777.85,794.23,3
CPT,96415,CHEMO IV EA ADD HOUR,217.0,217.0,18.66,260.4,72
CPT,96415,"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) ",,,,,0
CPT,96415,"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) SCHEDULED",,,34.2,34.92,3
CPT,96415,"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) UNSCHEDULED",,,103.64,105.83,3
CPT,96416,CHEM INF > 8HR REQ PUMP,1215.0,1215.0,104.49,1458.0,36
CPT,96416,"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump ",1215.0,1215.0,,,0
CPT,96416,"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump SCHEDULED",1215.0,1215.0,157.7,161.02,3
CPT,96416,"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump UNSCHEDULED",1215.0,1215.0,1033.29,1055.04,3
CPT,96417,CHEMO IV EA AD SEQ 1 HR,252.0,252.0,21.67,302.4,36
CPT,96417,"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure) ",252.0,252.0,,,0
CPT,96417,"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure) SC",252.0,252.0,76.95,78.57,3
CPT,96417,"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure) UN",252.0,252.0,232.41,237.3,3
CPT,96420,CHEMO INTRA ART PUSH,1194.0,1194.0,102.68,1432.8,36
CPT,96420,"Chemotherapy administration, intra-arterial; push technique ",1194.0,1194.0,,,0
CPT,96420,"Chemotherapy administration, intra-arterial; push technique SCHEDULED",1194.0,1194.0,118.75,121.25,3
CPT,96420,"Chemotherapy administration, intra-arterial; push technique UNSCHEDULED",1194.0,1194.0,777.85,794.23,3
CPT,96422,"Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour ",,,,,0
CPT,96422,"Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour SCHEDULED",,,192.85,196.91,3
CPT,96422,"Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour UNSCHEDULED",,,777.85,794.23,3
CPT,96423,"Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to code for primary procedure) ",,,,,0
CPT,96423,"Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to code for primary procedure) SCHEDULED",,,89.3,91.18,3
CPT,96423,"Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to code for primary procedure) UNSCHEDULED",,,777.85,794.23,3
CPT,96425,"Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours), requiring the use of a portable or implantable pump ",,,,,0
CPT,96425,"Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours), requiring the use of a portable or implantable pump SCHEDULED",,,203.3,207.58,3
CPT,96425,"Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours), requiring the use of a portable or implantable pump UNSCHEDULED",,,777.85,794.23,3
CPT,96440,"Chemotherapy administration into pleural cavity, requiring and including thoracentesis ",,,,,0
CPT,96440,"Chemotherapy administration into pleural cavity, requiring and including thoracentesis SCHEDULED",,,164.35,167.81,3
CPT,96440,"Chemotherapy administration into pleural cavity, requiring and including thoracentesis UNSCHEDULED",,,777.85,794.23,3
CPT,96445,"CHEMOTHERAPY, INTRACAVITARY UNSCHEDULED",,,777.85,794.23,3
CPT,96446,Chemotherapy administration into the peritoneal cavity via implanted port or catheter ,,,,,0
CPT,96446,Chemotherapy administration into the peritoneal cavity via implanted port or catheter SCHEDULED,,,37.05,37.83,3
CPT,96446,Chemotherapy administration into the peritoneal cavity via implanted port or catheter UNSCHEDULED,,,777.85,794.23,3
CPT,96450,CHEMO CNS SPINAL PUNC,1215.0,1215.0,104.49,1458.0,36
CPT,96450,"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture ",1215.0,1215.0,,,0
CPT,96450,"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture SCHEDULED",1215.0,1215.0,127.3,129.98,3
CPT,96450,"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture UNSCHEDULED",1215.0,1215.0,777.85,794.23,3
CPT,96520,PORT PUMP REFILL & MAIN UNSCHEDULED,,,777.85,794.23,3
CPT,96521,Refilling and maintenance of portable pump ,,,,,0
CPT,96521,Refilling and maintenance of portable pump SCHEDULED,,,165.3,168.78,3
CPT,96521,Refilling and maintenance of portable pump UNSCHEDULED,,,784.13,800.64,3
CPT,96522,REFILL/MAINT PUMP DRG DL,662.0,662.0,68.19,794.4,24
CPT,96522,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) ",662.0,662.0,,,0
CPT,96522,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) SCHEDULED",662.0,662.0,138.7,141.62,3
CPT,96522,"Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial) UNSCHEDULED",662.0,662.0,777.85,794.23,3
CPT,96523,IRRIGATION OF VAD,279.0,279.0,28.74,334.8,27
CPT,96523,Irrigation of implanted venous access device for drug delivery systems ,279.0,279.0,,,0
CPT,96523,Irrigation of implanted venous access device for drug delivery systems SCHEDULED,279.0,279.0,31.35,32.01,3
CPT,96523,Irrigation of implanted venous access device for drug delivery systems UNSCHEDULED,279.0,279.0,777.85,794.23,3
CPT,96530,SYST PUMP REFILL & MAIN UNSCHEDULED,,,777.85,794.23,3
CPT,96542,"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents ",,,,,0
CPT,96542,"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents SCHEDULED",,,119.7,122.22,3
CPT,96542,"Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents UNSCHEDULED",,,777.85,794.23,3
CPT,96545,PROVIDE CHEMOTHERAPY AGENT UNSCHEDULED,,,777.85,794.23,3
CPT,96547,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,777.85,2143.0,11
CPT,96548,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,777.85,2143.0,11
CPT,96549,Unlisted chemotherapy procedure UNSCHEDULED,,,777.85,794.23,3
CPT,96567,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1423.0,3251.0,36
CPT,96567,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day SC",,,146.3,149.38,3
CPT,96570,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,73.15,3251.0,39
CPT,96571,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,36.1,3251.0,39
CPT,96573,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,233.7,2143.0,11
CPT,96574,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,295.45,2143.0,11
CPT,96900,Actinotherapy (ultraviolet light) SCHEDULED,,,24.7,25.22,3
CPT,96900,Actinotherapy (ultraviolet light) UNSCHEDULED,,,148.66,151.79,3
CPT,96902,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality ",,,,,0
CPT,96902,"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality UNSCHEDULED",,,285.81,291.82,3
CPT,96904,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma S",,,76.0,77.6,3
CPT,96904,"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma U",,,285.81,291.82,3
CPT,96910,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B SCHEDULED,,,128.25,130.95,3
CPT,96910,Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B UNSCHEDULED,,,285.81,291.82,3
CPT,96912,Photochemotherapy; psoralens and ultraviolet A (PUVA) SCHEDULED,,,109.25,111.55,3
CPT,96912,Photochemotherapy; psoralens and ultraviolet A (PUVA) UNSCHEDULED,,,285.81,291.82,3
CPT,96913,Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and ,,,158.65,291.82,6
CPT,96920,Excimer laser treatment for psoriasis; total area less than 250 sq cm SCHEDULED,,,144.4,147.44,3
CPT,96920,Excimer laser treatment for psoriasis; total area less than 250 sq cm UNSCHEDULED,,,285.81,291.82,3
CPT,96921,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm SCHEDULED,,,147.25,150.35,3
CPT,96921,Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm UNSCHEDULED,,,285.81,291.82,3
CPT,96922,Excimer laser treatment for psoriasis; over 500 sq cm SCHEDULED,,,203.3,207.58,3
CPT,96922,Excimer laser treatment for psoriasis; over 500 sq cm UNSCHEDULED,,,285.81,291.82,3
CPT,96931,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion SCHEDULED",,,190.0,194.0,3
CPT,96931,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion UNSCHEDULED",,,285.81,291.82,3
CPT,96932,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, first lesion SCHEDULED",,,138.7,141.62,3
CPT,96932,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, first lesion UNSCHEDULED",,,285.81,291.82,3
CPT,96933,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; interpretation and report only, first lesion SCHEDULED",,,51.3,52.38,3
CPT,96933,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; interpretation and report only, first lesion UNSCHEDULED",,,285.81,291.82,3
CPT,96934,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, each additional lesion (List separately in addition to code for pr",,,115.9,291.82,6
CPT,96935,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, each additional lesion (List separately in addition to code for primary procedure) SCHEDULE",,,66.5,67.9,3
CPT,96935,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only, each additional lesion (List separately in addition to code for primary procedure) UNSCHEDU",,,285.81,291.82,3
CPT,96936,"Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; interpretation and report only, each additional lesion (List separately in addition to code for primary procedure) ",,,49.4,291.82,6
CPT,96999,Unlisted special dermatological service or procedure UNSCHEDULED,,,421.9,430.79,3
CPT,97010,Application of a modality to 1 or more areas; hot or cold packs ,,,,,0
CPT,97010,Application of a modality to 1 or more areas; hot or cold packs SCHEDULED,,,9.5,9.7,3
CPT,97012,"Application of a modality to 1 or more areas; traction, mechanical ",1267.0,1267.0,13.17,46.12,65
CPT,97012,"Application of a modality to 1 or more areas; traction, mechanical SCHEDULED",1267.0,1267.0,17.1,17.46,3
CPT,97012,"Application of a modality to 1 or more areas; traction, mechanical Trauma",,,31.93,36.29,12
CPT,97012,TRACTION MECHANICAL PT,1267.0,1267.0,108.96,1520.4,36
CPT,97014,Application of a modality to 1 or more areas; electrical stimulation (unattended) ,,,,,0
CPT,97014,Application of a modality to 1 or more areas; electrical stimulation (unattended) SCHEDULED,,,16.15,16.49,3
CPT,97016,Application of a modality to 1 or more areas; vasopneumatic devices ,,,11.13,38.95,97
CPT,97016,Application of a modality to 1 or more areas; vasopneumatic devices SCHEDULED,,,14.25,14.55,3
CPT,97016,Application of a modality to 1 or more areas; vasopneumatic devices Trauma,,,26.97,30.65,18
CPT,97018,Application of a modality to 1 or more areas; paraffin bath ,,,6.47,20.34,33
CPT,97018,Application of a modality to 1 or more areas; paraffin bath SCHEDULED,,,9.5,9.7,3
CPT,97018,Application of a modality to 1 or more areas; paraffin bath Trauma,,,16.01,16.01,6
CPT,97018,PARAFFIN BATH OT,966.0,966.0,83.08,1159.2,36
CPT,97018,PARAFFIN BATH PT,966.0,966.0,83.08,1159.2,36
CPT,97022,Application of a modality to 1 or more areas; whirlpool ,,,14.47,50.66,97
CPT,97022,Application of a modality to 1 or more areas; whirlpool SCHEDULED,,,19.95,20.37,3
CPT,97022,Application of a modality to 1 or more areas; whirlpool Trauma,,,35.08,39.86,18
CPT,97022,WHIRLPOOL OT,2206.0,2206.0,189.72,2647.2,36
CPT,97022,WHIRLPOOL PT,2206.0,2206.0,189.72,2647.2,36
CPT,97022,WHIRLPOOL PTCQ,2206.0,2206.0,189.72,2647.2,36
CPT,97024,"Application of a modality to 1 or more areas; diathermy (eg, microwave) ",,,7.83,24.58,33
CPT,97024,"Application of a modality to 1 or more areas; diathermy (eg, microwave) SCHEDULED",,,9.5,9.7,3
CPT,97024,"Application of a modality to 1 or more areas; diathermy (eg, microwave) Trauma",,,19.34,19.34,6
CPT,97026,Application of a modality to 1 or more areas; infrared ,,,7.15,22.48,33
CPT,97026,Application of a modality to 1 or more areas; infrared SCHEDULED,,,8.55,8.73,3
CPT,97026,Application of a modality to 1 or more areas; infrared Trauma,,,17.69,17.69,6
CPT,97028,Application of a modality to 1 or more areas; ultraviolet ,,,8.81,27.69,33
CPT,97028,Application of a modality to 1 or more areas; ultraviolet SCHEDULED,,,9.5,9.7,3
CPT,97028,Application of a modality to 1 or more areas; ultraviolet Trauma,,,21.79,21.79,6
CPT,97032,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes ",,,13.46,47.12,65
CPT,97032,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes SCHEDULED",,,16.15,16.49,3
CPT,97032,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Trauma",,,32.63,37.08,12
CPT,97032,ELEC STIMULATION/15M OT,1348.0,1348.0,115.93,1617.6,36
CPT,97032,ELEC STIMULATION/15M PT,1348.0,1348.0,115.93,1617.6,36
CPT,97032,ELEC STMULATON/15M PTCQ,1348.0,1348.0,115.93,1617.6,36
CPT,97033,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes ",,,17.39,60.88,97
CPT,97033,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes SCHEDULED",,,22.8,23.28,3
CPT,97033,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Trauma",,,42.16,47.9,18
CPT,97033,IONTOPHORESIS/15 MIN PT,1329.0,1329.0,114.29,1594.8,36
CPT,97033,IONTOPHORESIS/15 MN PTCQ,1329.0,1329.0,114.29,1594.8,36
CPT,97034,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes ",,,14.37,45.17,33
CPT,97034,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes SCHEDULED",,,17.1,17.46,3
CPT,97034,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes Trauma",,,35.54,35.54,6
CPT,97035,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes ",,,13.21,46.24,97
CPT,97035,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes SCHEDULED",,,16.15,16.49,3
CPT,97035,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes Trauma",,,32.02,36.38,18
CPT,97035,ULTRASOUND/15 MIN OT,1686.0,1686.0,145.0,2023.2,36
CPT,97035,ULTRASOUND/15 MIN PT,1686.0,1686.0,145.0,2023.2,36
CPT,97036,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes ",,,35.19,110.62,33
CPT,97036,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes SCHEDULED",,,38.95,39.77,3
CPT,97036,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Trauma",,,87.05,87.05,6
CPT,97036,HUBBARD TANK/15MIN OT,877.0,877.0,75.42,1052.4,36
CPT,97036,HUBBARD TANK/15MIN PT,877.0,877.0,75.42,1052.4,36
CPT,97036,HUBBARD TANK/15MN PTCQ,877.0,877.0,75.42,1052.4,36
CPT,97037,"Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-operative pain reduction ",,,,,0
CPT,97039,Unlisted modality (specify type and time if constant attendance) ,,,,,0
CPT,97039,Unlisted modality (specify type and time if constant attendance) SCHEDULED,,,14.25,14.55,3
CPT,97110,THER EXERCIS 15 MIN PTCQ,1299.0,1299.0,111.71,1558.8,36
CPT,97110,THER EXERCISES 15 MIN OT,1299.0,1299.0,111.71,1558.8,36
CPT,97110,THER EXERCISES 15 MIN PT,1299.0,1299.0,111.71,1558.8,36
CPT,97110,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility ",,,26.25,91.9,97
CPT,97110,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility SCHEDULED",,,34.2,34.92,3
CPT,97110,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility Trauma",,,63.63,72.31,18
CPT,97112,NEROMUSC REDUCT 15M PTCQ,1619.0,1619.0,139.23,1942.8,36
CPT,97112,NEUROMUSC REEDUCT 15M OT,1619.0,1619.0,139.23,1942.8,36
CPT,97112,NEUROMUSC REEDUCT 15M PT,1619.0,1619.0,139.23,1942.8,36
CPT,97112,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,29.52,103.36,118
CPT,97113,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises ",,,33.48,117.21,97
CPT,97113,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises SCHEDULED",,,43.7,44.62,3
CPT,97113,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Trauma",,,81.16,92.23,18
CPT,97116,GAIT TRAINING 15 MIN OT,720.0,720.0,61.92,864.0,36
CPT,97116,GAIT TRAINING 15 MIN PT,720.0,720.0,61.92,864.0,36
CPT,97116,GAIT TRAINNG 15 MN PTCQ,720.0,720.0,61.92,864.0,36
CPT,97116,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) ",,,26.25,91.9,65
CPT,97116,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) SCHEDULED",,,34.2,34.92,3
CPT,97116,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) Trauma",,,63.63,72.31,12
CPT,97124,MASSAGE 15 MIN OT,1518.0,1518.0,130.55,1821.6,36
CPT,97124,MASSAGE 15 MIN PT,1518.0,1518.0,130.55,1821.6,36
CPT,97124,MASSAGE 15 MIN PTCQ,1518.0,1518.0,130.55,1821.6,36
CPT,97124,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) ",,,26.97,94.43,65
CPT,97124,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) SCHEDULED",,,32.3,32.98,3
CPT,97124,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) Trauma",,,65.39,74.3,12
CPT,97129,COGSKLS DVLMNT INT15M OT,370.0,370.0,31.82,444.0,36
CPT,97129,COGSKLS DVLMNT INT15M SP,370.0,370.0,31.82,444.0,36
CPT,97129,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,20.13,70.49,80
CPT,97130,COGSKLS DVLMNT EA15M OT,370.0,370.0,31.82,444.0,36
CPT,97130,COGSKLS DVLMNT EA15M SP,370.0,370.0,31.82,444.0,36
CPT,97130,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,20.61,64.81,42
CPT,97139,UL THERAPEUTIC PROC PT,407.0,407.0,21.57,488.4,37
CPT,97139,UL THRAPEUTC PROC PTCQ,407.0,407.0,21.57,488.4,37
CPT,97139,Unlisted therapeutic procedure (specify) ,,,,,0
CPT,97139,Unlisted therapeutic procedure (specify) SCHEDULED,,,14.25,14.55,3
CPT,97140,MANL THER TECH 15M PTCQ,877.0,877.0,75.42,1052.4,36
CPT,97140,MANUAL THER TECH 15M OT,877.0,877.0,75.42,1052.4,36
CPT,97140,MANUAL THER TECH 15M PT,877.0,877.0,75.42,1052.4,36
CPT,97140,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes ",,,25.06,87.75,97
CPT,97140,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes SCHEDULED",,,31.35,32.01,3
CPT,97140,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes Trauma",,,60.76,69.05,18
CPT,97150,THER PROCEDURES GROUP OT,391.0,391.0,33.63,469.2,36
CPT,97150,THER PROCEDURES GROUP PT,391.0,391.0,33.63,469.2,36
CPT,97150,THER PROCEDURES GRP PTCQ,391.0,391.0,33.63,469.2,36
CPT,97150,"Therapeutic procedure(s), group (2 or more individuals) ",,,16.45,57.58,97
CPT,97150,"Therapeutic procedure(s), group (2 or more individuals) SCHEDULED",,,20.9,21.34,3
CPT,97150,"Therapeutic procedure(s), group (2 or more individuals) Trauma",,,39.87,45.31,18
CPT,97151,"Behavior identification assessment, administered by a physician or other qualified health care professional, each 15 minutes of the physician's or other qualified health care professional's time face-",,,,,0
CPT,97152,"Behavior identification-supporting assessment, administered by one technician under the direction of a physician or other qualified health care professional, face-to-face with the patient, each 15 min",,,,,0
CPT,97153,"Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutes ",,,,,0
CPT,97154,"Group adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with two or more patients, each 1",,,,,0
CPT,97155,"Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with",,,,,0
CPT,97156,"Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with guardian(s)/caregiver(s), ea",,,,,0
CPT,97157,"Multiple-family group adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present), face-to-face with multiple sets of guar",,,,,0
CPT,97158,"Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, face-to-face with multiple patients, each 15 minutes ",,,,,0
CPT,97161,EVAL PT LOW COMPLEX,1598.0,1598.0,137.43,1917.6,36
CPT,97161,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",1598.0,1598.0,87.36,305.82,80
CPT,97162,EVAL PT MOD COMPLEX,1598.0,1598.0,137.43,1917.6,36
CPT,97162,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",1598.0,1598.0,87.36,305.82,80
CPT,97163,EVAL PT HIGH COMPLEX,1598.0,1598.0,137.43,1917.6,36
CPT,97163,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",1598.0,1598.0,87.36,305.82,80
CPT,97164,RE-EVALUATION PT,1598.0,1598.0,137.43,1917.6,36
CPT,97164,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",1598.0,1598.0,60.48,211.73,80
CPT,97165,EVAL OT LOW COMPLEX,1193.0,1193.0,102.6,1431.6,36
CPT,97165,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",1193.0,1193.0,89.78,314.3,80
CPT,97166,EVAL OT MOD COMPLEX,1193.0,1193.0,102.6,1431.6,36
CPT,97166,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",1193.0,1193.0,89.78,314.3,80
CPT,97167,EVAL OT HIGH COMPLEX,1193.0,1193.0,102.6,1431.6,36
CPT,97167,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",1193.0,1193.0,89.78,314.3,80
CPT,97168,RE-EVALUATION OT,747.0,747.0,64.24,896.4,36
CPT,97168,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",747.0,747.0,61.38,214.9,80
CPT,97169,"Athletic training evaluation, low complexity, requiring these components: A history and physical activity profile with no comorbidities that affect physical activity; An examination of affected body a",,,,,0
CPT,97170,"Athletic training evaluation, moderate complexity, requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical activity; An examination of a",,,,,0
CPT,97171,"Athletic training evaluation, high complexity, requiring these components: A medical history and physical activity profile, with 3 or more comorbidities that affect physical activity; A comprehensive ",,,,,0
CPT,97172,Re-evaluation of athletic training established plan of care requiring these components: An assessment of patient's current functional status when there is a documented change; and A revised plan of ca,,,,,0
CPT,97530,THER ACTIV DIR 15 MIN OT,1299.0,1299.0,111.71,1558.8,36
CPT,97530,THER ACTIV DIR 15 MIN PT,1299.0,1299.0,111.71,1558.8,36
CPT,97530,THER ACTV DIR 15 MN PTCQ,1299.0,1299.0,111.71,1558.8,36
CPT,97530,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes ",,,31.71,111.02,97
CPT,97530,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes SCHEDULED",,,43.7,44.62,3
CPT,97530,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes Trauma",,,76.88,87.36,18
CPT,97533,SENSORY INTEGRATN 15M OT,370.0,370.0,31.82,444.0,36
CPT,97533,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes ",370.0,370.0,54.99,192.52,65
CPT,97533,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes SCHEDULED",370.0,370.0,57.95,59.17,3
CPT,97533,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes Trauma",,,133.31,151.49,12
CPT,97535,SELF/HOME ONE/ONE 15M OT,609.0,609.0,52.37,730.8,36
CPT,97535,SELF/HOME ONE/ONE 15M PT,609.0,609.0,52.37,730.8,36
CPT,97535,SELFHOME ONEONE 15M PTCQ,609.0,609.0,52.37,730.8,72
CPT,97535,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,29.28,102.51,118
CPT,97537,COMM/WORK ONE/ONE 15M OT,370.0,370.0,31.82,444.0,36
CPT,97537,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",370.0,370.0,32.89,101.32,41
CPT,97542,WHEELCHAIR MGT 15M OT,349.0,349.0,30.01,418.8,36
CPT,97542,WHEELCHAIR MGT 15M PT,349.0,349.0,30.01,418.8,36
CPT,97542,WHELCHAR MGT 15M PTCQ,349.0,349.0,30.01,418.8,36
CPT,97542,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes ",,,28.03,98.15,65
CPT,97542,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes SCHEDULED",,,37.05,37.83,3
CPT,97542,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes Trauma",,,67.96,77.23,12
CPT,97545,Work hardening/conditioning; initial 2 hours ,,,,,0
CPT,97545,Work hardening/conditioning; initial 2 hours SCHEDULED,,,78.85,80.51,3
CPT,97546,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) ,,,,,0
CPT,97546,Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) SCHEDULED,,,38.95,39.77,3
CPT,97550,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,52.44,164.88,39
CPT,97551,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,25.59,80.46,39
CPT,97552,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,22.44,70.55,39
CPT,97597,DEBRIDE WND 20SQCM PTCQ,2371.0,2371.0,203.91,2845.2,41
CPT,97597,DEBRIDE WND IN 20SQC OT,2283.0,2283.0,188.77,2845.2,82
CPT,97597,DEBRIDE WND IN 20SQCM PT,2371.0,2371.0,203.91,2845.2,41
CPT,97597,DEBRIDE WND INI 20SQCM,2032.0,2032.0,209.3,2438.4,29
CPT,97597,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,43.7,3251.0,77
CPT,97598,DBRD WD EAAD 20SQCM PTCQ,2614.0,2614.0,224.8,3136.8,41
CPT,97598,DEBRD WD EA AD 20SQCM OT,2614.0,2614.0,224.8,3136.8,41
CPT,97598,DEBRD WD EA AD 20SQCM PT,2517.0,2517.0,208.12,3136.8,82
CPT,97598,DEBRID WND EA ADD 20SQCM,2241.0,2241.0,230.82,2689.2,29
CPT,97598,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,31.35,3251.0,77
CPT,97602,REM DEVITALIZED TISS NS,737.0,737.0,75.91,884.4,29
CPT,97605,NEG PRESSURE 50CM OR <,585.0,585.0,40.79,884.4,99
CPT,97605,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,29.45,132.89,41
CPT,97606,NEG PRESSURE > 50 CM,585.0,585.0,40.79,884.4,99
CPT,97606,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,31.35,159.18,41
CPT,97607,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,29.45,1173.98,41
CPT,97608,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,33.25,1270.11,41
CPT,97610,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day ",,,409.59,1261.88,32
CPT,97610,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day SCHEDULED",,,20.9,21.34,3
CPT,97610,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day Trauma",,,992.95,992.95,6
CPT,97750,PHYS PER TEST/MSR 15M OT,1598.0,1598.0,137.43,1917.6,41
CPT,97750,PHYS PER TEST/MSR 15M PT,1598.0,1598.0,137.43,1917.6,41
CPT,97750,PHYS PERTST/MSR 15M PTCQ,1598.0,1598.0,137.43,1917.6,41
CPT,97750,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes ",,,30.49,106.75,97
CPT,97750,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes Trauma",,,73.92,84.0,18
CPT,97755,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,37.77,118.77,42
CPT,97760,ORTH MGT TRAIN EA 15M OT,322.0,322.0,27.69,386.4,41
CPT,97760,ORTH MGT TRAIN EA 15M PT,322.0,322.0,27.69,386.4,41
CPT,97760,ORTH MGT TRN EA 15M PTCQ,322.0,322.0,27.69,386.4,41
CPT,97760,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,41.64,145.79,118
CPT,97761,PROST TRAINING EA 15M OT,609.0,609.0,52.37,730.8,41
CPT,97761,PROST TRAINING EA 15M PT,609.0,609.0,52.37,730.8,41
CPT,97761,PROST TRANNG EA 15M PTCQ,609.0,609.0,52.37,730.8,41
CPT,97761,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes ",,,40.63,127.73,33
CPT,97761,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes SCHEDULED",,,46.55,47.53,3
CPT,97761,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Trauma",,,100.51,100.51,6
CPT,97763,ORTH/PROS MGT SBSQ ENCOT,609.0,609.0,52.37,730.8,36
CPT,97763,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes ",609.0,609.0,45.3,158.6,65
CPT,97763,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes SCHEDULED",609.0,609.0,58.9,60.14,3
CPT,97763,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes Trauma",,,109.82,124.8,12
CPT,97802,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,32.0,98.58,33
CPT,97802,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes SCHEDULED",,,38.0,38.8,3
CPT,97802,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes Trauma",,,77.57,77.57,6
CPT,97802,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes UNSCHEDULED",,,42.92,43.82,3
CPT,97803,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes ",,,27.69,85.31,33
CPT,97803,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes SCHEDULED",,,32.3,32.98,3
CPT,97803,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes Trauma",,,67.13,67.13,6
CPT,97803,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes UNSCHEDULED",,,42.92,43.82,3
CPT,97804,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes ",,,15.06,46.39,33
CPT,97804,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes SCHEDULED",,,18.05,18.43,3
CPT,97804,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes Trauma",,,36.5,36.5,6
CPT,97804,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes UNSCHEDULED",,,42.92,43.82,3
CPT,97810,"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient SCHEDULED",,,36.1,36.86,3
CPT,97811,"Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to ",,,31.35,32.01,3
CPT,97813,"Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient SCHEDULED",,,38.95,39.77,3
CPT,97814,"Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with insertion of needle(s) (List separately in addition to cod",,,34.2,34.92,3
CPT,98926,Osteopathic manipulative treatment (OMT); 3-4 body regions involved SCHEDULED,,,41.8,42.68,3
CPT,98928,Osteopathic manipulative treatment (OMT); 7-8 body regions involved SCHEDULED,,,67.45,68.87,3
CPT,98941,"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions SCHEDULED",,,38.0,38.8,3
CPT,98943,"Chiropractic manipulative treatment (CMT); extraspinal, 1 or more regions SCHEDULED",,,29.45,30.07,3
CPT,98960,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,31.35,32.01,3
CPT,98961,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,15.2,15.52,3
CPT,98962,"Education and training for patient self-management by a nonphysician qualified health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) ",,,11.4,11.64,3
CPT,98966,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,9.0,43.95,39
CPT,98967,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,17.45,80.49,39
CPT,98968,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,24.92,110.2,39
CPT,98970,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes ",,,12.89,39.71,32
CPT,98970,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes Trauma",,,31.25,31.25,6
CPT,98971,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes ",,,24.14,74.36,32
CPT,98971,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes Trauma",,,58.51,58.51,6
CPT,98972,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes ",,,36.0,110.9,32
CPT,98972,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes Trauma",,,87.26,87.26,6
CPT,98975,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment ",,,23.35,71.95,32
CPT,98975,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment Trauma",,,56.62,56.62,6
CPT,98976,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,54.19,166.96,38
CPT,98977,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,53.5,164.82,38
CPT,98980,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,56.4,173.76,38
CPT,98981,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,43.33,133.5,38
CPT,99000,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,11
CPT,99000,Handling and/or conveyance of specimen for transfer from the office to a laboratory SCHEDULED,,,5.7,5.82,3
CPT,99000,Handling and/or conveyance of specimen for transfer from the office to a laboratory UNSCHEDULED,,,65.96,67.35,3
CPT,99001,DRUG SCRN COLLECT W COC,384.0,384.0,20.35,460.8,40
CPT,99001,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,384.0,384.0,6.63,6.63,11
CPT,99001,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) SCHEDULED,384.0,384.0,3.8,3.88,3
CPT,99001,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) UNSCHEDULED,384.0,384.0,65.96,67.35,3
CPT,99002,"Handling, conveyance, and/or any other service in connection with the implementation of an order involving devices (eg, designing, fitting, packaging, handling, delivery or mailing) when devices such ",,,33.25,67.35,6
CPT,99024,"Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to t",,,65.96,67.35,3
CPT,99025,INITIAL SURGICAL EVALUATION UNSCHEDULED,,,65.96,67.35,3
CPT,99026,"Hospital mandated on call service; in-hospital, each hour UNSCHEDULED",,,65.96,67.35,3
CPT,99027,"Hospital mandated on call service; out-of-hospital, each hour UNSCHEDULED",,,65.96,67.35,3
CPT,99050,"Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday), in addition to basic service UNSCHE",,,65.96,67.35,3
CPT,99051,"Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service UNSCHEDULED",,,65.96,67.35,3
CPT,99052,MEDICAL SERVICES AT NIGHT UNSCHEDULED,,,65.96,67.35,3
CPT,99053,"Service(s) provided between 10:00 PM and 8:00 AM at 24-hour facility, in addition to basic service UNSCHEDULED",,,65.96,67.35,3
CPT,99054,"MEDICAL SERVCS, UNUSUAL HRS UNSCHEDULED",,,65.96,67.35,3
CPT,99056,"Service(s) typically provided in the office, provided out of the office at request of patient, in addition to basic service UNSCHEDULED",,,65.96,67.35,3
CPT,99058,"Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic service UNSCHEDULED",,,65.96,67.35,3
CPT,99060,"Service(s) provided on an emergency basis, out of the office, which disrupts other scheduled office services, in addition to basic service UNSCHEDULED",,,65.96,67.35,3
CPT,99070,"Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered",,,65.96,67.35,3
CPT,99071,"Educational supplies, such as books, tapes, and pamphlets, for the patient's education at cost to physician or other qualified health care professional UNSCHEDULED",,,65.96,67.35,3
CPT,99072,"Additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other non-facility service(s), when performed during a Public Health Emergency, as d",,,65.96,67.35,3
CPT,99075,Medical testimony UNSCHEDULED,,,65.96,67.35,3
CPT,99078,"Physician or other qualified health care professional qualified by education, training, licensure/regulation (when applicable) educational services rendered to patients in a group setting (eg, prenata",,,65.96,67.35,3
CPT,99080,"Special reports such as insurance forms, more than the information conveyed in the usual medical communications or standard reporting form ",,,239.16,239.16,1
CPT,99080,"Special reports such as insurance forms, more than the information conveyed in the usual medical communications or standard reporting form UNSCHEDULED",,,65.96,67.35,3
CPT,99082,"Unusual travel (eg, transportation and escort of patient) UNSCHEDULED",,,65.96,67.35,3
CPT,99152,MOD SED MD 1ST 15 >5YRS,681.0,681.0,36.09,817.2,98
CPT,99152,"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presenc",,,14.25,14.55,3
CPT,99153,MOD SED MD EADD 15,341.0,341.0,18.07,409.2,98
CPT,99153,"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presenc",,,12.35,12.61,3
CPT,99156,Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therape,,,93.1,95.06,3
CPT,99157,Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therape,,,74.1,75.66,3
CPT,99170,"Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed UNSCHEDULED",,,159.13,162.47,3
CPT,99172,"Visual function screening, automated or semi-automated bilateral quantitative determination of visual acuity, ocular alignment, color vision by pseudoisochromatic plates, and field of vision (may incl",,,108.85,162.47,4
CPT,99173,"Screening test of visual acuity, quantitative, bilateral ",,,3.28,3.28,1
CPT,99173,"Screening test of visual acuity, quantitative, bilateral SCHEDULED",,,3.8,3.88,3
CPT,99173,"Screening test of visual acuity, quantitative, bilateral UNSCHEDULED",,,159.13,162.47,3
CPT,99174,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report ",,,6.14,6.14,1
CPT,99174,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report SCHEDULED",,,6.65,6.79,3
CPT,99174,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report UNSCHEDULED",,,159.13,162.47,3
CPT,99175,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison SCHEDULED,,,50.35,51.41,3
CPT,99175,Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison UNSCHEDULED,,,159.13,162.47,3
CPT,99177,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis ",,,5.0,5.0,1
CPT,99177,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis SCHEDULED",,,5.7,5.82,3
CPT,99177,"Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis UNSCHEDULED",,,159.13,162.47,3
CPT,99183,"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session SCHEDULED",,,135.85,138.71,3
CPT,99183,"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session UNSCHEDULED",,,2386.93,2437.18,3
CPT,99184,"Initiation of selective head or total body hypothermia in the critically ill neonate, includes appropriate patient selection by review of clinical, imaging and laboratory data, confirmation of esophag",,,159.13,263.84,6
CPT,99185,REGIONAL HYPOTHERMIA UNSCHEDULED,,,159.13,162.47,3
CPT,99186,TOTAL BODY HYPOTHERMIA UNSCHEDULED,,,159.13,162.47,3
CPT,99188,Application of topical fluoride varnish by a physician or other qualified health care professional SCHEDULED,,,12.35,12.61,3
CPT,99188,Application of topical fluoride varnish by a physician or other qualified health care professional UNSCHEDULED,,,159.13,162.47,3
CPT,99190,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour UNSCHEDULED,,,134.01,136.83,3
CPT,99191,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes UNSCHEDULED,,,37.69,38.48,3
CPT,99192,Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes UNSCHEDULED,,,159.13,162.47,3
CPT,99195,"Phlebotomy, therapeutic (separate procedure) SCHEDULED",,,114.0,116.4,3
CPT,99195,"Phlebotomy, therapeutic (separate procedure) UNSCHEDULED",,,423.99,432.92,3
CPT,99195,THERAPEUTIC PHLEB,445.5,445.5,20.47,783.6,96
CPT,99199,"Unlisted special service, procedure or report UNSCHEDULED",,,159.13,162.47,3
CPT,99201,"OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A PROBLEM FOCUSED HISTORY; A PROBLEM FOCUSED EXAMINATION; STRAIGHTFORWARD ME",,,33.25,168.9,6
CPT,99202,BASIC CARE NP,274.0,274.0,14.52,328.8,70
CPT,99202,OP VISIT LEVEL 2 NP,413.0,413.0,19.93,519.6,105
CPT,99202,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When",,,59.85,182.79,6
CPT,99202,PSYCH BRIDGE APPT,135.0,135.0,7.16,162.0,46
CPT,99203,OP VISIT LEVEL 3 NP,457.5,457.5,23.32,570.0,105
CPT,99203,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When us",,,89.3,281.14,6
CPT,99204,OP VISIT LEVEL 4 NP,684.0,684.0,34.34,864.0,105
CPT,99204,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. Wh",,,152.0,300.37,6
CPT,99205,OP VISIT LEVEL 5 NP,930.0,930.0,46.32,1183.2,105
CPT,99205,"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When u",,,198.55,251.2,6
CPT,99211,FOLLOW UP VISIT ONLY EP,263.0,263.0,13.94,315.6,30
CPT,99211,OP VISIT LEVEL 1 EST,296.5,296.5,14.52,382.8,105
CPT,99211,Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional SCHEDULED,,,18.05,18.43,3
CPT,99211,Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional UNSCHEDULED,,,143.42,146.44,3
CPT,99212,OP VISIT LEVEL 2 EST,395.0,395.0,19.93,496.8,105
CPT,99212,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision mak",,,30.4,159.27,6
CPT,99213,OP VISIT LEVEL 3 EST,414.0,414.0,19.93,519.6,105
CPT,99213,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making",,,59.85,149.65,6
CPT,99214,OP VISIT LEVEL 4 EST,509.5,509.5,25.18,652.8,105
CPT,99214,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision m",,,91.2,197.75,6
CPT,99215,OP VISIT LEVEL 5 EST,684.0,684.0,34.34,864.0,105
CPT,99215,"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision makin",,,128.25,190.28,6
CPT,99217,"OBSERVATION CARE DISCHARGE DAY MANAGEMENT (THIS CODE IS TO BE UTILIZED TO REPORT ALL SERVICES PROVIDED TO A PATIENT ON DISCHARGE FROM OUTPATIENT HOSPITAL ""OBSERVATION STATUS"" IF THE DISCHARGE IS ON OT",,,83.6,85.36,3
CPT,99218,"INITIAL OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT WHICH REQUIRES THESE 3 KEY COMPONENTS: A DETAILED OR COMPREHENSIVE HISTORY; A DETAILED OR COMPREHENSIVE EXAMINATION; A",,,116.85,119.31,3
CPT,99219,"INITIAL OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A COMPREHENSIVE HISTORY; A COMPREHENSIVE EXAMINATION; AND MEDICAL DECISION MAK",,,156.75,160.05,3
CPT,99220,"INITIAL OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A COMPREHENSIVE HISTORY; A COMPREHENSIVE EXAMINATION; AND MEDICAL DECISION MAK",,,213.75,218.25,3
CPT,99221,"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low le",,,120.65,123.19,3
CPT,99222,"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical",,,160.55,163.93,3
CPT,99223,"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical dec",,,233.7,238.62,3
CPT,99224,"SUBSEQUENT OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: PROBLEM FOCUSED INTERVAL HISTORY; PROBLEM FOCUSED EXAMINATION",,,46.55,47.53,3
CPT,99225,"SUBSEQUENT OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: AN EXPANDED PROBLEM FOCUSED INTERVAL HISTORY; AN EXPANDED PRO",,,83.6,85.36,3
CPT,99226,"SUBSEQUENT OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: A DETAILED INTERVAL HISTORY; A DETAILED EXAMINATION; MEDICAL ",,,119.7,122.22,3
CPT,99231,"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low",,,45.6,46.56,3
CPT,99232,"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medi",,,82.65,84.39,3
CPT,99233,"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical ",,,119.7,122.22,3
CPT,99234,"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examina",,,155.8,159.08,3
CPT,99235,"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examina",,,194.75,198.85,3
CPT,99236,"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examina",,,250.8,256.08,3
CPT,99238,Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter SCHEDULED,,,83.6,85.36,3
CPT,99239,Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter SCHEDULED,,,122.55,125.13,3
CPT,99241,"OFFICE CONSULTATION FOR A NEW OR ESTABLISHED PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A PROBLEM FOCUSED HISTORY; A PROBLEM FOCUSED EXAMINATION; AND STRAIGHTFORWARD MEDICAL DECISION MAKING. COUN",,,51.3,881.88,6
CPT,99242,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using tota",,,83.6,517.37,6
CPT,99243,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total t",,,113.05,380.01,6
CPT,99244,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using to",,,182.4,242.65,6
CPT,99245,"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total ",,,157.03,229.89,6
CPT,99251,"INPATIENT CONSULTATION FOR A NEW OR ESTABLISHED PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A PROBLEM FOCUSED HISTORY; A PROBLEM FOCUSED EXAMINATION; AND STRAIGHTFORWARD MEDICAL DECISION MAKING. C",,,58.9,60.14,3
CPT,99252,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total ",,,87.4,89.24,3
CPT,99253,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total tim",,,135.85,138.71,3
CPT,99254,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using tota",,,198.55,202.73,3
CPT,99255,"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total ti",,,237.5,242.5,3
CPT,99281,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,576.0,3143.0,35
CPT,99281,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional SCHEDULED,,,27.55,28.13,3
CPT,99281,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional UNSCHEDULED,,,239.74,244.79,3
CPT,99281,LVL 1 EMER DEPT,1971.0,1971.0,315.36,2365.2,30
CPT,99281,LVL 1 FREE STD EMER DEPT,1971.0,1971.0,315.36,2365.2,40
CPT,99282,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,800.0,3401.0,35
CPT,99282,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making SCHEDULED",,,52.25,53.35,3
CPT,99282,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making UNSCHEDULED",,,369.56,377.34,3
CPT,99282,LVL 2 EMER DEPT,3654.0,3654.0,584.64,4384.8,30
CPT,99282,LVL 2 FREE STD EMER DEPT,3654.0,3654.0,584.64,4384.8,40
CPT,99283,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,800.0,3721.0,35
CPT,99283,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making SCHEDULED",,,77.9,79.54,3
CPT,99283,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making UNSCHEDULED",,,650.12,663.81,3
CPT,99283,LVL 3 EMER DEPT,5859.0,5859.0,937.44,7030.8,30
CPT,99283,LVL 3 FREE STD EMER DEPT,5859.0,5859.0,937.44,7030.8,40
CPT,99284,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,800.0,4359.0,35
CPT,99284,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making SCHEDULED",,,144.4,147.44,3
CPT,99284,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making UNSCHEDULED",,,947.44,967.39,3
CPT,99284,LVL 4 EMER DEPT,7676.0,7676.0,1228.16,9211.2,30
CPT,99284,LVL 4 FREE STD EMER DEPT,7676.0,7676.0,1228.16,9211.2,40
CPT,99285,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,800.0,7734.0,35
CPT,99285,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making SCHEDULED",,,209.95,214.37,3
CPT,99285,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making UNSCHEDULED",,,1397.61,1427.03,3
CPT,99285,LVL 5 EMER DEPT,16140.0,16140.0,2582.4,19368.0,30
CPT,99285,LVL 5 FREE STD EMER DEPT,16140.0,16140.0,2582.4,19368.0,40
CPT,99291,CRIT CARE 1ST 30-74 MINS,17424.0,17424.0,2787.84,20908.8,20
CPT,99291,CRIT CARE 1ST 30-74M ER,17424.0,17424.0,2787.84,20908.8,40
CPT,99291,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,800.0,7734.0,35
CPT,99291,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes SCHEDULED",,,262.2,267.72,3
CPT,99291,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes UNSCHEDULED",,,1955.61,1996.78,3
CPT,99292,CRIT CARE EACH ADD 30MIN,7636.0,7636.0,786.51,9163.2,95
CPT,99292,CRIT CARE ECH ADD 30M ER,7636.0,7636.0,786.51,9163.2,19
CPT,99292,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,800.0,7734.0,20
CPT,99292,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) SCHEDULED",,,132.05,134.83,3
CPT,99292,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) UNSCHEDULED",,,764.24,780.33,3
CPT,99304,"Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical de",,,103.55,105.73,3
CPT,99305,"Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making.",,,146.3,149.38,3
CPT,99306,"Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. Whe",,,190.95,194.97,3
CPT,99307,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making",,,50.35,51.41,3
CPT,99308,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. W",,,78.85,80.51,3
CPT,99309,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision maki",,,103.55,105.73,3
CPT,99310,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. ",,,152.0,155.2,3
CPT,99315,Nursing facility discharge management; 30 minutes or less total time on the date of the encounter SCHEDULED,,,84.55,86.33,3
CPT,99316,Nursing facility discharge management; more than 30 minutes total time on the date of the encounter SCHEDULED,,,119.7,122.22,3
CPT,99318,"EVALUATION AND MANAGEMENT OF A PATIENT INVOLVING AN ANNUAL NURSING FACILITY ASSESSMENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A DETAILED INTERVAL HISTORY; A COMPREHENSIVE EXAMINATION; AND MEDICAL DEC",,,109.25,111.55,3
CPT,99324,"DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A PROBLEM FOCUSED HISTORY; A PROBLEM FOCUSED EXAMINATION; AND STRAIGHTFORWARD ",,,61.75,63.05,3
CPT,99325,"DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: AN EXPANDED PROBLEM FOCUSED HISTORY; AN EXPANDED PROBLEM FOCUSED EXAMINATION; ",,,90.25,92.15,3
CPT,99326,"DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A DETAILED HISTORY; A DETAILED EXAMINATION; AND MEDICAL DECISION MAKING OF MOD",,,155.8,159.08,3
CPT,99327,"DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A COMPREHENSIVE HISTORY; A COMPREHENSIVE EXAMINATION; AND MEDICAL DECISION MAK",,,210.9,215.34,3
CPT,99328,"DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A COMPREHENSIVE HISTORY; A COMPREHENSIVE EXAMINATION; AND MEDICAL DECISION MAK",,,250.8,256.08,3
CPT,99334,"DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: A PROBLEM FOCUSED INTERVAL HISTORY; A PROBLEM FOCUSED E",,,68.4,69.84,3
CPT,99335,"DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: AN EXPANDED PROBLEM FOCUSED INTERVAL HISTORY; AN EXPAND",,,107.35,109.61,3
CPT,99336,"DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: A DETAILED INTERVAL HISTORY; A DETAILED EXAMINATION; ME",,,152.0,155.2,3
CPT,99337,"DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: A COMPREHENSIVE INTERVAL HISTORY; A COMPREHENSIVE EXAMI",,,221.35,226.01,3
CPT,99339,"INDIVIDUAL PHYSICIAN SUPERVISION OF A PATIENT (PATIENT NOT PRESENT) IN HOME, DOMICILIARY OR REST HOME (EG, ASSISTED LIVING FACILITY) REQUIRING COMPLEX AND MULTIDISCIPLINARY CARE MODALITIES INVOLVING R",,,89.3,91.18,3
CPT,99340,"INDIVIDUAL PHYSICIAN SUPERVISION OF A PATIENT (PATIENT NOT PRESENT) IN HOME, DOMICILIARY OR REST HOME (EG, ASSISTED LIVING FACILITY) REQUIRING COMPLEX AND MULTIDISCIPLINARY CARE MODALITIES INVOLVING R",,,123.5,126.1,3
CPT,99341,"Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using to",,,61.75,63.05,3
CPT,99342,"Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total",,,88.35,90.21,3
CPT,99343,"HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A DETAILED HISTORY; A DETAILED EXAMINATION; AND MEDICAL DECISION MAKING OF MODERATE COMPLEXITY. CO",,,145.35,148.41,3
CPT,99344,"Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using ",,,209.0,213.4,3
CPT,99345,"Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using tota",,,255.55,260.93,3
CPT,99347,"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When",,,61.75,63.05,3
CPT,99348,"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When us",,,95.95,97.97,3
CPT,99349,"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. Wh",,,146.3,149.38,3
CPT,99350,"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When u",,,205.2,209.52,3
CPT,99354,PROLONGED SERVICE(S) IN THE OUTPATIENT SETTING REQUIRING DIRECT PATIENT CONTACT BEYOND THE TIME OF THE USUAL SERVICE; FIRST HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR OUTPATIENT EVALUATION AND MANA,,,139.65,142.59,3
CPT,99355,PROLONGED SERVICE(S) IN THE OUTPATIENT SETTING REQUIRING DIRECT PATIENT CONTACT BEYOND THE TIME OF THE USUAL SERVICE; EACH ADDITIONAL 30 MINUTES (LIST SEPARATELY IN ADDITION TO CODE FOR PROLONGED SERV,,,105.45,107.67,3
CPT,99356,"PROLONGED SERVICE IN THE INPATIENT OR OBSERVATION SETTING, REQUIRING UNIT/FLOOR TIME BEYOND THE USUAL SERVICE; FIRST HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR INPATIENT OR OBSERVATION EVALUATION A",,,105.45,107.67,3
CPT,99357,"PROLONGED SERVICE IN THE INPATIENT OR OBSERVATION SETTING, REQUIRING UNIT/FLOOR TIME BEYOND THE USUAL SERVICE; EACH ADDITIONAL 30 MINUTES (LIST SEPARATELY IN ADDITION TO CODE FOR PROLONGED SERVICE) SC",,,106.4,108.64,3
CPT,99360,"Standby service, requiring prolonged attendance, each 30 minutes (eg, operative standby, standby for frozen section, for cesarean/high risk delivery, for monitoring EEG) SCHEDULED",,,72.2,73.72,3
CPT,99366,"Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care profe",,,51.3,52.38,3
CPT,99367,"Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by physician SCHEDULED",,,66.5,67.9,3
CPT,99368,"Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professiona",,,43.7,44.62,3
CPT,99374,"Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care m",,,42.05,72.75,4
CPT,99375,"Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care m",,,65.91,105.73,4
CPT,99377,"Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of",,,71.25,72.75,3
CPT,99378,"Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of",,,103.55,105.73,3
CPT,99379,"Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, ",,,71.25,72.75,3
CPT,99380,"Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, ",,,103.55,105.73,3
CPT,99381,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,56.35,56.35,1
CPT,99382,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,60.37,60.37,1
CPT,99383,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,65.08,65.08,1
CPT,99384,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,75.76,75.76,1
CPT,99385,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,73.27,73.27,1
CPT,99386,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,89.23,89.23,1
CPT,99387,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio",,,95.48,95.48,1
CPT,99391,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,51.9,51.9,1
CPT,99392,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,56.34,56.34,1
CPT,99393,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,56.35,56.35,1
CPT,99394,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,65.08,65.08,1
CPT,99395,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,66.75,66.75,1
CPT,99396,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,72.43,72.43,1
CPT,99397,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc",,,75.76,75.76,1
CPT,99401,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes ,,,18.46,18.46,1
CPT,99401,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes UNSCHEDULED,,,27.22,27.79,3
CPT,99402,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes ,,,37.47,37.47,1
CPT,99402,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes UNSCHEDULED,,,58.62,59.86,3
CPT,99403,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes ,,,54.96,54.96,1
CPT,99403,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes UNSCHEDULED,,,42.92,43.82,3
CPT,99404,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes ,,,74.1,74.1,1
CPT,99404,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes UNSCHEDULED,,,42.92,43.82,3
CPT,99406,SMOKECESS 3-10 MIN,104.0,104.0,8.94,124.8,48
CPT,99406,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes SCHEDULED",104.0,104.0,14.25,14.55,3
CPT,99406,"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes UNSCHEDULED",104.0,104.0,42.92,43.82,3
CPT,99407,SMOKECESS >10 MIN,111.0,111.0,9.55,133.2,48
CPT,99407,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes SCHEDULED",111.0,111.0,31.35,32.01,3
CPT,99407,"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes UNSCHEDULED",111.0,111.0,42.92,43.82,3
CPT,99408,"Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; 15 to 30 minutes SCHEDULED",,,38.95,39.77,3
CPT,99408,"Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; 15 to 30 minutes UNSCHEDULED",,,42.92,43.82,3
CPT,99409,"Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; greater than 30 minutes SCHEDULED",,,78.85,80.51,3
CPT,99409,"Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; greater than 30 minutes UNSCHEDULED",,,42.92,43.82,3
CPT,99411,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutes UNSCHEDULED,,,42.92,43.82,3
CPT,99412,Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 60 minutes UNSCHEDULED,,,42.92,43.82,3
CPT,99415,"Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct",,,11.4,43.82,6
CPT,99416,"Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct",,,4.75,43.82,6
CPT,99417,Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected u,,,23.6,43.82,4
CPT,99418,Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has b,,,42.92,43.82,3
CPT,99420,HEALTH RISK ASSESSMENT TEST UNSCHEDULED,,,42.92,43.82,3
CPT,99421,"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes SCHEDULED",,,15.2,15.52,3
CPT,99421,"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes UNSCHEDULED",,,42.92,43.82,3
CPT,99422,"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes SCHEDULED",,,32.3,32.98,3
CPT,99422,"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes UNSCHEDULED",,,42.92,43.82,3
CPT,99423,"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes SCHEDULED",,,50.35,51.41,3
CPT,99423,"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes UNSCHEDULED",,,42.92,43.82,3
CPT,99424,"Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient ",,,42.92,43.82,3
CPT,99425,"Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient ",,,42.92,43.82,3
CPT,99426,"Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient ",,,42.92,43.82,3
CPT,99427,"Principal care management services, for a single high-risk disease, with the following required elements: one complex chronic condition expected to last at least 3 months, and that places the patient ",,,42.92,43.82,3
CPT,99429,Unlisted preventive medicine service UNSCHEDULED,,,42.92,43.82,3
CPT,99446,"Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and",,,20.9,21.34,3
CPT,99447,"Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and",,,42.75,43.65,3
CPT,99448,"Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and",,,63.65,64.99,3
CPT,99449,"Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and",,,84.55,86.33,3
CPT,99451,"Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a written re",,,42.75,43.65,3
CPT,99452,"Interprofessional telephone/Internet/electronic health record referral service(s) provided by a treating/requesting physician or other qualified health care professional, 30 minutes SCHEDULED",,,42.75,43.65,3
CPT,99453,REMMON INTL SETUP PT EDU,615.0,615.0,52.89,738.0,34
CPT,99453,"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate); initial set-up and patient education on use of equipment SCHEDULED",615.0,615.0,20.9,21.34,3
CPT,99454,REMMON INTL DEVC EA 30 D,178.0,178.0,15.31,213.6,34
CPT,99454,"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate); device(s) supply with daily recording(s) or programmed alert(s) transmission, 16-30 d",178.0,178.0,67.45,68.87,3
CPT,99455,Work related or medical disability examination by the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commens,,,85.5,87.3,3
CPT,99458,"Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring 1 real-time interactive communication ",,,38.0,38.8,3
CPT,99461,"Initial care, per day, for evaluation and management of normal newborn infant seen in other than hospital or birthing center ",,,47.03,47.03,1
CPT,99464,ATC DEL&INITIAL STABILIZ,1381.0,1381.0,73.19,1657.2,49
CPT,99465,DEL RESUS PPV CHEST COMP,879.0,879.0,75.59,1054.8,96
CPT,99473,Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device calibration SCHEDULED,,,12.35,12.61,3
CPT,99474,"Self-measured blood pressure using a device validated for clinical accuracy; separate self-measurements of two readings one minute apart, twice daily over a 30-day period (minimum of 12 readings), col",,,10.45,10.67,3
CPT,99483,"Assessment of and care planning for a patient with cognitive impairment, requiring an independent historian, in the office or other outpatient, home or domiciliary or rest home, with all of the follow",,,209.0,213.4,3
CPT,99484,"Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the",,,38.0,38.8,3
CPT,99485,"Supervision by a control physician of interfacility transport care of the critically ill or critically injured pediatric patient, 24 months of age or younger, includes two-way communication with trans",,,56.35,56.35,1
CPT,99486,"Supervision by a control physician of interfacility transport care of the critically ill or critically injured pediatric patient, 24 months of age or younger, includes two-way communication with trans",,,48.99,48.99,1
CPT,99487,"Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic",,,59.85,61.11,3
CPT,99489,"Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic",,,29.45,30.07,3
CPT,99490,"Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditi",,,38.0,38.8,3
CPT,99491,"Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditi",,,94.05,96.03,3
CPT,99492,"Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directe",,,101.65,103.79,3
CPT,99493,"Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed b",,,91.2,93.12,3
CPT,99494,"Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month of behavioral health care manager activities, in consultation with a psychiatric consult",,,48.45,49.47,3
CPT,99495,"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge ",,,139.65,142.59,3
CPT,99496,"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge ",,,186.2,190.12,3
CPT,99497,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,90.25,283.1,41
CPT,99498,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,83.08,255.96,41
CPT,99499,Unlisted evaluation and management service UNSCHEDULED,,,134.01,136.83,3
CPT,99501,Home visit for postnatal assessment and follow-up care ,,,171.48,171.48,1
CPT,99502,Home visit for newborn care and assessment ,,,171.48,171.48,1
CPT,99503,"Home visit for respiratory therapy care (eg, bronchodilator, oxygen therapy, respiratory assessment, apnea evaluation) ",,,255.48,255.48,1
CPT,99506,Home visit for intramuscular injections ,,,166.97,166.97,1
CPT,99601,"Home infusion/specialty drug administration, per visit (up to 2 hours); ",,,445.06,445.06,1
CPT,99602,"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure) ",,,294.76,294.76,1
EAPG,0002,SUPERFICIAL NEEDLE BIOPSY AND ASPIRATION ,,,437.88,656.82,13
EAPG,0003,"LEVEL I SKIN INCISION AND DRAINAGE, DEBRIDEMENT, DESTRUCTION, OTHER RELATED PX ",,,109.83,164.75,13
EAPG,0004,"LEVEL II SKIN INCISION AND DRAINAGE, DEBRIDEMENT, DESTRUCTION, OTHER RELATED PX ",,,726.03,1089.05,13
EAPG,0005,NAIL PROCEDURES ,,,47.16,70.74,13
EAPG,0009,"LEVEL I SKIN EXCISIONS, BIOPSIES, AND REPAIRS ",,,274.64,411.96,13
EAPG,0010,"LEVEL II SKIN EXCISIONS, BIOPSIES, AND REPAIRS ",,,793.31,1189.96,13
EAPG,0011,"LEVEL III SKIN EXCISIONS, BIOPSIES, AND REPAIRS ",,,1239.1,1858.65,13
EAPG,0016,SIMPLE WOUND REPAIR AND TREATMENT ,,,125.08,187.62,13
EAPG,0017,INTERMEDIATE WOUND REPAIR AND TREATMENT ,,,257.16,385.74,13
EAPG,0018,COMPLEX WOUND REPAIR AND TREATMENT ,,,652.63,978.94,13
EAPG,0019,MOHS MICROGRAPHIC SURGERY ,,,598.6,897.9,13
EAPG,0020,"BREAST BIOPSIES, EXCISIONS, AND OTHER RELATED PROCEDURES ",,,876.45,1314.68,13
EAPG,0021,LEVEL I MASTECTOMY AND RECONSTRUCTIVE BREAST PROCEDURES ,,,2253.72,3380.58,13
EAPG,0022,LEVEL II MASTECTOMY AND RECONSTRUCTIVE BREAST PROCEDURES ,,,5256.82,7885.23,13
EAPG,0023,LEVEL I FOREARM AND WRIST PROCEDURES ,,,1192.99,1789.49,13
EAPG,0024,LEVEL II FOREARM AND WRIST PROCEDURES ,,,3916.88,5875.32,13
EAPG,0025,LEVEL I SHOULDER AND UPPER ARM PROCEDURES ,,,3222.19,4833.28,13
EAPG,0026,LEVEL I KNEE AND LOWER LEG PROCEDURES ,,,2240.9,3361.35,13
EAPG,0027,LEVEL I HIP AND FEMUR PROCEDURES ,,,2662.57,3993.86,13
EAPG,0028,LEVEL I SPINE PROCEDURES ,,,3374.13,5061.19,13
EAPG,0029,LEVEL II SPINE PROCEDURES ,,,6407.65,9611.47,13
EAPG,0033,LEVEL I HAND PROCEDURES ,,,874.76,1312.14,13
EAPG,0034,LEVEL II HAND PROCEDURES ,,,1449.76,2174.64,13
EAPG,0035,LEVEL I FOOT PROCEDURES ,,,1455.33,2182.99,13
EAPG,0036,LEVEL II FOOT PROCEDURES ,,,4017.63,6026.44,13
EAPG,0037,LEVEL I ARTHROSCOPY ,,,1423.47,2135.2,13
EAPG,0038,LEVEL II ARTHROSCOPY ,,,3787.5,5681.25,13
EAPG,0039,CAST APPLICATION OR REPLACEMENT ,,,128.6,192.9,13
EAPG,0040,MINOR SPLINT AND STRAPPING APPLICATION ,,,48.98,73.47,13
EAPG,0041,CLOSED TREATMENT FX AND DISLOCATION ,,,329.92,494.88,13
EAPG,0043,OPEN OR PERCUTANEOUS TREATMENT OF FRACTURES ,,,3679.93,5519.89,13
EAPG,0044,BONE OR JOINT MANIPULATION UNDER ANESTHESIA ,,,684.05,1026.07,13
EAPG,0046,LEVEL I ARTHROPLASTY ,,,2457.86,3686.79,13
EAPG,0047,LEVEL II ARTHROPLASTY ,,,6097.24,9145.86,13
EAPG,0049,"LEVEL I JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES ",,,166.07,249.1,13
EAPG,0050,"LEVEL II JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES ",,,282.24,423.36,13
EAPG,0051,"MUSCULOSKELETAL EXCISIONS, BIOPSIES, AND DRAINAGE PROCEDURES ",,,1204.2,1806.3,13
EAPG,0052,LEVEL II KNEE AND LOWER LEG PROCEDURES ,,,5238.95,7858.42,13
EAPG,0053,SPINE INJECTIONS AND OTHER RELATED PROCEDURES ,,,471.65,707.47,13
EAPG,0054,FIXATION DEVICE INSERTION OR REPLACEMENT PROCEDURES ,,,1571.02,2356.53,13
EAPG,0055,LEVEL II HIP AND FEMUR PROCEDURES ,,,7278.45,10917.67,13
EAPG,0056,SKIN AND CONNECTIVE TISSUE GRAFTING AND FLAP PROCEDURES ,,,1272.22,1908.33,13
EAPG,0057,LEVEL III SPINE PROCEDURES ,,,10566.52,15849.78,13
EAPG,0058,LEVEL II SHOULDER AND UPPER ARM PROCEDURES ,,,6734.96,10102.44,13
EAPG,0059,ARTERIOVENOUS FISTULA CREATION OR REVISION FOR HEMODIALYSIS ,,,2398.23,3597.35,13
EAPG,0060,PULMONARY FUNCTION TESTS ,,,71.36,107.04,13
EAPG,0062,LEVEL I ENDOSCOPY OF THE UPPER AIRWAY ,,,373.51,560.26,13
EAPG,0063,LEVEL II ENDOSCOPY OF THE UPPER AIRWAY ,,,1292.04,1938.06,13
EAPG,0064,LEVEL I LOWER AIRWAY ENDOSCOPY ,,,1281.61,1922.41,13
EAPG,0066,PULMONARY REHABILITATIVE SERVICES ,,,23.21,34.81,13
EAPG,0067,VENTILATION ASSISTANCE AND MANAGEMENT ,,,860.42,1290.63,13
EAPG,0068,"THORACENTESIS, RELATED BIOPSY AND PLEURAL DRAINAGE PROCEDURES ",,,621.38,932.07,13
EAPG,0069,LEVEL I THORACIC AND CHEST PROCEDURES ,,,1511.61,2267.41,13
EAPG,0070,LEVEL II THORACIC AND CHEST PROCEDURES ,,,3569.93,5354.89,13
EAPG,0071,LEVEL II LOWER AIRWAY ENDOSCOPY ,,,2924.04,4386.06,13
EAPG,0072,TRACHEOSTOMY AND RELATED TRACHEAL PROCEDURES ,,,1497.66,2246.49,13
EAPG,0073,DIAPHRAGMATIC PROCEDURES AND RELATED HERNIA REPAIR ,,,4453.59,6680.39,13
EAPG,0074,"REVISION, REPLACEMENT OR REMOVAL OF CARDIAC DEVICE COMPONENT ",,,1029.92,1544.88,13
EAPG,0075,LEVEL I CENTRAL VENOUS ACCESS PROCEDURES ,,,790.49,1185.74,13
EAPG,0076,"REVISION, REPAIR OR REMOVAL OF CENTRAL VENOUS ACCESS DEVICE ",,,486.6,729.9,13
EAPG,0077,LEVEL I PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES ,,,2646.49,3969.73,13
EAPG,0078,"LEVEL I PERIPHERAL VASCULAR REPAIR, LIGATION OR RECONSTRUCTION ",,,1451.02,2176.53,13
EAPG,0079,LEVEL II PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES ,,,4649.52,6974.28,13
EAPG,0080,EXERCISE TOLERANCE TESTS ,,,109.83,164.75,13
EAPG,0081,ECHOCARDIOGRAPHY ,,,299.84,449.76,13
EAPG,0082,COMPREHENSIVE CARDIAC ELECTROPHYSIOLOGIC PROCEDURES WITH ABLATION ,,,12245.03,18367.55,13
EAPG,0083,LEVEL II CENTRAL VENOUS ACCESS PROCEDURES ,,,1397.3,2095.95,13
EAPG,0084,CARDIAC CATHETERIZATION PROCEDURES ,,,1619.31,2428.97,13
EAPG,0085,LEVEL III PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES ,,,7208.04,10812.06,13
EAPG,0086,PACEMAKER AND OTHER CARDIOVASCULAR DEVICE INSERTION AND REPLACEMENT ,,,5071.93,7607.9,13
EAPG,0087,REMOVAL OR REVISION OF PACEMAKERS AND OTHER CARDIOVASCULAR DEVICES ,,,4533.22,6799.83,13
EAPG,0090,LEVEL I VARICOSE VEIN AND RELATED PROCEDURES ,,,482.38,723.57,13
EAPG,0091,"LEVEL II PERIPHERAL VASCULAR REPAIR, LIGATION OR RECONSTRUCTION ",,,2720.37,4080.55,13
EAPG,0092,RESUSCITATION ,,,468.95,703.42,13
EAPG,0093,CARDIOVERSION ,,,434.49,651.74,13
EAPG,0094,CARDIAC REHABILITATION ,,,99.22,148.83,13
EAPG,0096,CARDIAC ELECTROPHYSIOLOGIC PROCEDURES INCLUDING PACING AND RECORDING ,,,4371.71,6557.57,13
EAPG,0097,AICD AND RELATED CARDIAC DEVICE INSERTION OR REPLACEMENT ,,,13718.43,20577.65,13
EAPG,0099,LEVEL I PERCUTANEOUS CORONARY AND INTRACARDIAC INTERVENTIONAL PROCEDURES ,,,5733.2,8599.8,13
EAPG,0103,LEVEL II VARICOSE VEIN AND RELATED PROCEDURES ,,,1697.97,2546.95,13
EAPG,0104,MAJOR OPEN CORONARY ARTERY PROCEDURES INCLUDING CABG ,,,11746.95,17620.43,13
EAPG,0105,MAJOR OPEN CARDIAC AND CARDIAC VALVE PROCEDURES ,,,6782.11,10173.16,13
EAPG,0106,MAJOR OPEN ABDOMINAL AND THORACIC VASCULAR PROCEDURES ,,,5296.84,7945.26,13
EAPG,0107,CHOLECYSTECTOMY AND RELATED BILIARY PROCEDURES ,,,2540.22,3810.33,13
EAPG,0108,OTHER INTRA-ABDOMINAL AND INTRAPERITONEAL SURGICAL PROCEDURES ,,,2571.26,3856.89,13
EAPG,0109,ANCILLARY DRUG ADMINISTRATION ,,,31.86,47.79,13
EAPG,0110,PHARMACOTHERAPY BY EXTENDED INFUSION ,,,321.01,481.51,13
EAPG,0111,PHARMACOTHERAPY EXCEPT BY EXTENDED INFUSION ,,,178.32,267.48,13
EAPG,0113,LEVEL I BLOOD PRODUCT EXCHANGE SERVICES ,,,293.02,439.53,13
EAPG,0114,LEVEL II BLOOD PRODUCT EXCHANGE SERVICES ,,,1063.69,1595.54,13
EAPG,0115,DEEP LYMPH STRUCTURE PROCEDURES ,,,2279.28,3418.92,13
EAPG,0116,LEVEL I ALLERGY TESTS ,,,22.69,34.04,13
EAPG,0118,NUTRITION THERAPY ,,,135.51,203.26,13
EAPG,0119,CAR T-CELL IMMUNOTHERAPY PREPARATION SERVICES ,,,1251.62,1877.43,13
EAPG,0120,CAR T-CELL IMMUNOTHERAPY ,,,26173.34,39260.01,13
EAPG,0121,LEVEL II PERCUTANEOUS CORONARY AND INTRACARDIAC INTERVENTIONAL PROCEDURES ,,,9243.32,13864.98,13
EAPG,0122,PERCUTANEOUS INTRA-ABDOMINAL OR INTRATHORACIC VASCULAR PROCEDURES ,,,8462.23,12693.34,13
EAPG,0123,PERIPHERAL VASCULAR BYPASS PROCEDURES ,,,4337.07,6505.6,13
EAPG,0124,BONE MARROW BIOPSIES ,,,1295.91,1943.87,13
EAPG,0125,LEVEL I ESOPHAGEAL AND GASTRIC SURGICAL PROCEDURES ,,,2785.31,4177.97,13
EAPG,0126,LEVEL II ESOPHAGEAL AND GASTRIC SURGICAL PROCEDURES ,,,2924.6,4386.9,13
EAPG,0127,LEVEL I SMALL AND LARGE INTESTINE SURGICAL PROCEDURES ,,,1392.52,2088.78,13
EAPG,0128,LEVEL II SMALL AND LARGE INTESTINE SURGICAL PROCEDURES ,,,2705.38,4058.07,13
EAPG,0129,ESOPHAGOGASTRIC RESTRICTIVE PROCEDURES AND GASTRIC FUNDOPLICATION ,,,3412.2,5118.3,13
EAPG,0130,MINOR GASTROINTESTINAL PROCEDURES INCLUDING TUBE INSERTION OR PLACEMENT ,,,199.45,299.17,13
EAPG,0134,LEVEL I UPPER GI ENDOSCOPY ,,,671.79,1007.68,13
EAPG,0135,LEVEL II UPPER GI ENDOSCOPY ,,,1499.74,2249.61,13
EAPG,0136,LEVEL I LOWER GI ENDOSCOPY ,,,654.89,982.34,13
EAPG,0137,LEVEL II LOWER GI ENDOSCOPY ,,,1397.56,2096.34,13
EAPG,0138,LEVEL I ERCP AND RELATED ENDOSCOPIC PROCEDURES ,,,1786.81,2680.22,13
EAPG,0141,LEVEL I ANAL AND RECTAL PROCEDURES ,,,964.16,1446.24,13
EAPG,0142,LEVEL II ANAL AND RECTAL PROCEDURES ,,,1508.61,2262.91,13
EAPG,0150,ABDOMINAL PARACENTESIS AND RELATED PERITONEAL DRAINAGE PROCEDURES ,,,491.77,737.65,13
EAPG,0151,LEVEL I HEPATOBILIARY AND PANCREAS PROCEDURES ,,,1560.11,2340.16,13
EAPG,0152,LEVEL II HEPATOBILIARY AND PANCREAS PROCEDURES ,,,3697.31,5545.97,13
EAPG,0153,LEVEL II ERCP AND RELATED ENDOSCOPIC PROCEDURES ,,,2957.15,4435.73,13
EAPG,0154,LEVEL III UPPER GI ENDOSCOPY ,,,2812.9,4219.35,13
EAPG,0155,LEVEL III BLOOD PRODUCT EXCHANGE SERVICES ,,,2560.3,3840.45,13
EAPG,0156,OCULAR IMAGING AND RELATED SERVICES ,,,33.38,50.07,13
EAPG,0157,REPRODUCTIVE PATHOLOGY TESTS ,,,76.36,114.54,13
EAPG,0158,PATHOLOGY CONSULTATION AND INTERPRETATION ,,,58.67,88.0,13
EAPG,0159,MINOR UROLOGY SERVICES ,,,55.63,83.45,13
EAPG,0161,URINARY STUDIES AND PROCEDURES ,,,273.03,409.54,13
EAPG,0166,LEVEL I URETHRAL PROCEDURES ,,,2086.65,3129.98,13
EAPG,0167,LEVEL II URETHRAL PROCEDURES ,,,3968.43,5952.64,13
EAPG,0168,DIALYSIS PROCEDURES ,,,592.91,889.37,13
EAPG,0170,LEVEL I KIDNEY AND URETERAL PROCEDURES ,,,978.2,1467.3,13
EAPG,0171,LEVEL II KIDNEY AND URETERAL PROCEDURES ,,,1940.53,2910.8,13
EAPG,0172,LEVEL III KIDNEY AND URETERAL PROCEDURES ,,,4718.71,7078.07,13
EAPG,0173,LEVEL I BLADDER AND URETERAL PROCEDURES ,,,1026.31,1539.46,13
EAPG,0174,LEVEL II BLADDER AND URETERAL PROCEDURES ,,,2858.5,4287.75,13
EAPG,0175,LEVEL III BLADDER AND URETERAL PROCEDURES ,,,3583.79,5375.68,13
EAPG,0176,LEVEL I PROSTATE PROCEDURES ,,,1124.32,1686.48,13
EAPG,0177,MINOR DERMATOLOGY SERVICES ,,,94.23,141.34,13
EAPG,0178,ANTEPARTUM PROCEDURES ,,,283.42,425.13,13
EAPG,0179,ECTOPIC PREGNANCY PROCEDURES ,,,2392.71,3589.07,13
EAPG,0180,TESTICULAR AND EPIDIDYMAL PROCEDURES ,,,1415.91,2123.87,13
EAPG,0182,INSERTION OF PENILE PROSTHESIS ,,,8993.85,13490.78,13
EAPG,0183,LEVEL I PENILE PROCEDURES ,,,1376.96,2065.44,13
EAPG,0184,LEVEL II PROSTATE PROCEDURES ,,,3176.81,4765.22,13
EAPG,0187,LEVEL II PENILE PROCEDURES ,,,2067.14,3100.71,13
EAPG,0188,LEVEL I PERINEAL AND VAGINAL GYNECOLOGICAL PROCEDURES ,,,1666.51,2499.76,13
EAPG,0189,LEVEL II PERINEAL AND VAGINAL GYNECOLOGICAL PROCEDURES ,,,3619.86,5429.79,13
EAPG,0190,ARTIFICIAL FERTILIZATION ,,,364.99,547.49,13
EAPG,0191,LEVEL I FETAL PROCEDURES ,,,128.08,192.12,13
EAPG,0192,LEVEL II FETAL PROCEDURES ,,,730.81,1096.21,13
EAPG,0194,ABORTION AND MISCARRIAGE TREATMENT AND PROCEDURES ,,,1197.07,1795.61,13
EAPG,0195,VAGINAL DELIVERY PROCEDURES ,,,1714.71,2572.07,13
EAPG,0202,CESAREAN DELIVERY PROCEDURES ,,,1488.7,2233.05,13
EAPG,0203,GLOBAL ANTEPARTUM AND POSTPARTUM VISITS ,,,229.96,344.94,13
EAPG,0204,LEVEL I HYSTERECTOMY AND MYOMECTOMY PROCEDURES ,,,2772.83,4159.24,13
EAPG,0205,OBSTETRICAL PROCEDURES ,,,1311.77,1967.65,13
EAPG,0206,LEVEL II HYSTERECTOMY AND MYOMECTOMY PROCEDURES ,,,3874.55,5811.83,13
EAPG,0207,LEVEL I OTHER UTERINE AND ADNEXA GYNECOLOGICAL PROCEDURES ,,,1616.87,2425.3,13
EAPG,0208,LEVEL II OTHER UTERINE AND ADNEXA GYNECOLOGICAL PROCEDURES ,,,2990.53,4485.8,13
EAPG,0209,OTHER GYNECOLOGICAL PROCEDURES ,,,350.48,525.72,13
EAPG,0210,EXTENDED EEG STUDIES ,,,320.66,480.99,13
EAPG,0211,ELECTROENCEPHALOGRAM ,,,238.61,357.92,13
EAPG,0212,ELECTROCONVULSIVE THERAPY ,,,308.41,462.62,13
EAPG,0213,NERVE AND MUSCLE TESTS ,,,89.14,133.71,13
EAPG,0214,LEVEL I NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP ,,,275.98,413.97,13
EAPG,0217,LEVEL I PERIPHERAL NERVE PROCEDURES ,,,907.79,1361.68,13
EAPG,0218,LEVEL II PERIPHERAL NERVE PROCEDURES ,,,3505.47,5258.2,13
EAPG,0220,LEVEL II NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP ,,,970.16,1455.24,13
EAPG,0222,SLEEP STUDIES ATTENDED ,,,484.08,726.12,13
EAPG,0223,LEVEL I NEUROSTIMULATOR AND RELATED DEVICE IMPLANTATION ,,,3859.47,5789.2,13
EAPG,0224,LEVEL II NEUROSTIMULATOR AND RELATED DEVICE IMPLANTATION ,,,12406.14,18609.21,13
EAPG,0225,OTHER INTRACRANIAL NEUROSURGERY PROCEDURES ,,,2467.21,3700.82,13
EAPG,0226,SLEEP STUDIES UNATTENDED ,,,105.05,157.57,13
EAPG,0227,LEVEL I CRANIOFACIAL BONE PROCEDURES ,,,1835.23,2752.85,13
EAPG,0228,LEVEL II CRANIOFACIAL BONE PROCEDURES ,,,3681.88,5522.82,13
EAPG,0229,MINOR AUDIOMETRY TESTS AND AUDIOLOGY SCREENING SERVICES ,,,21.73,32.59,13
EAPG,0230,MINOR OPHTHALMOLOGICAL PROCEDURES AND DIAGNOSTIC SERVICES ,,,178.98,268.47,13
EAPG,0233,CATARACT AND OTHER INTRAOCULAR LENS PROCEDURES ,,,1142.75,1714.13,13
EAPG,0234,LEVEL I ANTERIOR CHAMBER EYE PROCEDURES ,,,644.32,966.48,13
EAPG,0235,LEVEL II ANTERIOR CHAMBER EYE PROCEDURES ,,,2277.67,3416.51,13
EAPG,0237,"LEVEL I INTRAVITREAL, RETINAL AND OTHER POSTERIOR CHAMBER EYE PROCEDURES ",,,677.31,1015.96,13
EAPG,0238,"LEVEL II INTRAVITREAL, RETINAL AND OTHER POSTERIOR CHAMBER EYE PROCEDURES ",,,2165.1,3247.65,13
EAPG,0239,EXTRAOCULAR MUSCLE PROCEDURES ,,,1412.38,2118.57,13
EAPG,0241,OCULAR RECONSTRUCTIVE PROCEDURES W OR W/O OCULAR DEVICE ,,,2009.51,3014.26,13
EAPG,0244,CLASS II THERAPEUTIC RADIOPHARMACEUTICALS ,,,568.53,852.79,13
EAPG,0245,CLASS III THERAPEUTIC RADIOPHARMACEUTICALS ,,,7954.76,11932.14,13
EAPG,0246,CLASS IV THERAPEUTIC RADIOPHARMACEUTICALS ,,,19670.34,29505.51,13
EAPG,0247,LEVEL I CORNEAL AND OTHER ANTERIOR SURFACE EYE PROCEDURES ,,,359.47,539.21,13
EAPG,0248,LEVEL II CORNEAL AND OTHER ANTERIOR SURFACE EYE PROCEDURES ,,,2290.58,3435.87,13
EAPG,0249,"MINOR EAR, NOSE, MOUTH AND THROAT PROCEDURES ",,,124.21,186.31,13
EAPG,0250,COCHLEAR DEVICE IMPLANTATION ,,,15428.23,23142.35,13
EAPG,0251,OTORHINOLARYNGOLOGIC FUNCTION TESTS ,,,91.31,136.97,13
EAPG,0252,"LEVEL I EAR, NOSE, MOUTH AND THROAT PROCEDURES ",,,922.83,1384.25,13
EAPG,0253,"LEVEL II EAR, NOSE, MOUTH AND THROAT PROCEDURES ",,,1726.01,2589.01,13
EAPG,0254,"LEVEL III EAR, NOSE, MOUTH AND THROAT PROCEDURES ",,,2340.17,3510.26,13
EAPG,0255,"LEVEL IV EAR, NOSE, MOUTH AND THROAT PROCEDURES ",,,2953.59,4430.39,13
EAPG,0256,TONSIL AND ADENOID PROCEDURES ,,,1419.82,2129.73,13
EAPG,0257,AUDIOMETRY ,,,54.81,82.22,13
EAPG,0258,"LEVEL I EYELID, LACRIMAL AND CONJUNCTIVAL PROCEDURES ",,,922.35,1383.53,13
EAPG,0259,"LEVEL II EYELID, LACRIMAL AND CONJUNCTIVAL PROCEDURES ",,,1171.52,1757.28,13
EAPG,0260,CASE MANAGEMENT AND CARE PLANNING SERVICES ,,,77.62,116.43,13
EAPG,0261,ESRD MONTHLY CASE MANAGEMENT ,,,419.63,629.44,13
EAPG,0262,CLEFT LIP AND PALATE REPAIR ,,,1822.84,2734.26,13
EAPG,0263,THYROID AND PARATHYROID PROCEDURES ,,,2960.02,4440.03,13
EAPG,0264,MAJOR CRANIOTOMY AND CRANIECTOMY SURGICAL PROCEDURES ,,,2880.53,4320.8,13
EAPG,0265,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES ,,,8934.22,13401.33,13
EAPG,0266,OPEN INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES ,,,3694.62,5541.93,13
EAPG,0267,OTHER CRANIOTOMY PROCEDURES INCLUDING CRANIOPLASTY ,,,4348.68,6523.02,13
EAPG,0268,CRANIAL AND SPINAL SHUNT PROCEDURES ,,,3755.73,5633.6,13
EAPG,0269,LEVEL II ANCILLARY THERAPEUTIC SERVICES ,,,22.04,33.06,13
EAPG,0270,OCCUPATIONAL THERAPY ,,,259.6,389.4,13
EAPG,0271,PHYSICAL THERAPY ,,,168.11,252.17,13
EAPG,0272,SPEECH THERAPY AND EVALUATION ,,,161.9,242.85,13
EAPG,0276,PROCEDURES FOR REVISION OR REMOVAL OF NEUROSTIMULATOR DEVICES ,,,2090.04,3135.06,13
EAPG,0277,LEVEL I VASCULAR RADIOLOGICAL PROCEDURES ,,,834.08,1251.12,13
EAPG,0278,INJECTION(S) FOR RADIOLOGICAL IMAGING ,,,243.95,365.92,13
EAPG,0279,LEVEL II VASCULAR RADIOLOGICAL PROCEDURES ,,,1125.58,1688.37,13
EAPG,0280,LEVEL III VASCULAR RADIOLOGICAL PROCEDURES ,,,3264.13,4896.19,13
EAPG,0282,MAGNETIC RESONANCE ANGIOGRAPHY ,,,288.59,432.88,13
EAPG,0284,MYELOGRAPHY AND DISCOGRAPHY IMAGING PROCEDURES ,,,376.9,565.35,13
EAPG,0286,MAMMOGRAPHY AND OTHER RELATED PROCEDURES ,,,29.38,44.07,13
EAPG,0288,LEVEL I DIAGNOSTIC ULTRASOUND ,,,70.1,105.15,13
EAPG,0289,LEVEL II DIAGNOSTIC ULTRASOUND ,,,105.0,157.5,13
EAPG,0290,PET SCANS ,,,925.13,1387.69,13
EAPG,0291,BONE DENSITY AND RELATED PROCEDURES ,,,46.55,69.82,13
EAPG,0293,MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST ,,,150.64,225.96,13
EAPG,0295,MAGNETIC RESONANCE IMAGING WITH CONTRAST ,,,249.56,374.34,13
EAPG,0297,MAGNETOCEPHALOGRAPHY ,,,3010.74,4516.11,13
EAPG,0299,LEVEL I COMPUTED TOMOGRAPHY ,,,64.89,97.34,13
EAPG,0300,LEVEL II COMPUTED TOMOGRAPHY ,,,204.1,306.15,13
EAPG,0301,COMPUTED TOMOGRAPHY- OTHER ,,,163.59,245.38,13
EAPG,0302,COMPUTED TOMOGRAPHIC ANGIOGRAPHY ,,,250.12,375.18,13
EAPG,0304,MINOR SPECIMEN COLLECTION SERVICES ,,,2.69,4.04,13
EAPG,0305,LEVEL I SURGICAL PATHOLOGY TESTS ,,,22.47,33.7,13
EAPG,0306,LEVEL II SURGICAL PATHOLOGY TESTS ,,,102.05,153.07,13
EAPG,0308,LEVEL III PATHOLOGY TESTS ,,,110.48,165.72,13
EAPG,0309,ADAPTIVE BEHAVIORAL HEALTH TREATMENT SERVICES ,,,106.61,159.91,13
EAPG,0310,DEVELOPMENTAL AND NEUROPSYCHOLOGICAL TESTING ,,,418.28,627.42,13
EAPG,0312,BEHAVIORAL AND SUBSTANCE ABUSE PARTIAL HOSPITALIZATION PROGRAM ,,,564.75,847.13,13
EAPG,0315,COUNSELLING OR INDIVIDUAL BRIEF PSYCHOTHERAPY ,,,79.67,119.5,13
EAPG,0316,INDIVIDUAL COMPREHENSIVE PSYCHOTHERAPY ,,,93.44,140.16,13
EAPG,0317,FAMILY PSYCHOTHERAPY ,,,110.05,165.07,13
EAPG,0318,GROUP PSYCHOTHERAPY ,,,158.98,238.47,13
EAPG,0319,ACTIVITY THERAPY ,,,112.96,169.44,13
EAPG,0320,BEHAVIORAL HEALTH - CASE MANAGEMENT AND TREATMENT PLAN DEVELOPMENT ,,,64.32,96.48,13
EAPG,0321,CRISIS INTERVENTION ,,,233.43,350.14,13
EAPG,0322,MEDICATION ADMINISTRATION AND OBSERVATION ,,,19.08,28.62,13
EAPG,0323,BEHAVIORAL HEALTH ASSESSMENT ,,,158.07,237.1,13
EAPG,0324,SCREENING FOR BEHAVIORAL CHANGE OR RISK ASSESSMENT ,,,13.82,20.73,13
EAPG,0325,PREVENTION COUNSELING ,,,48.42,72.63,13
EAPG,0327,INTENSIVE OUTPATIENT PSYCHIATRIC TREATMENT ,,,236.09,354.13,13
EAPG,0328,"DAY REHABILITATION, HALF DAY ",,,81.06,121.59,13
EAPG,0329,"DAY REHABILITATION, FULL DAY ",,,230.78,346.17,13
EAPG,0331,LEVEL I DIAGNOSTIC NUCLEAR MEDICINE ,,,240.08,360.12,13
EAPG,0332,LEVEL II DIAGNOSTIC NUCLEAR MEDICINE ,,,537.1,805.65,13
EAPG,0333,BEHAVIORAL HEALTH RESIDENTIAL TREATMENT ,,,360.39,540.59,13
EAPG,0335,CLASS I BRACHYTHERAPY SOURCES ,,,145.16,217.74,13
EAPG,0336,CLASS II BRACHYTHERAPY SOURCES ,,,1544.51,2316.76,13
EAPG,0337,CLASS III BRACHYTHERAPY SOURCES ,,,6443.33,9664.99,13
EAPG,0340,THERAPEUTIC NUCLEAR MEDICINE ,,,149.68,224.52,13
EAPG,0343,LEVEL I RADIATION THERAPY ,,,116.65,174.98,13
EAPG,0346,RADIOSURGERY ,,,3266.73,4900.1,13
EAPG,0347,LEVEL II RADIATION THERAPY ,,,301.02,451.53,13
EAPG,0348,LEVEL III RADIATION THERAPY ,,,887.49,1331.24,13
EAPG,0350,ADJUNCTIVE DENTAL SERVICES ,,,198.27,297.41,13
EAPG,0352,LEVEL I PERIODONTICS ,,,819.48,1229.22,13
EAPG,0353,"LEVEL I PROSTHODONTICS, FIXED ",,,74.93,112.4,13
EAPG,0354,"LEVEL II PROSTHODONTICS, FIXED ",,,280.29,420.44,13
EAPG,0355,"LEVEL III PROSTHODONTICS, FIXED ",,,346.74,520.11,13
EAPG,0356,"LEVEL I PROSTHODONTICS, REMOVABLE ",,,129.47,194.2,13
EAPG,0357,"LEVEL II PROSTHODONTICS, REMOVABLE ",,,187.76,281.64,13
EAPG,0358,"LEVEL III PROSTHODONTICS, REMOVABLE ",,,223.61,335.42,13
EAPG,0359,LEVEL I MAXILLOFACIAL PROSTHETICS ,,,1455.11,2182.66,13
EAPG,0360,LEVEL II MAXILLOFACIAL PROSTHETICS ,,,2117.9,3176.85,13
EAPG,0361,LEVEL I DENTAL RESTORATIONS ,,,1541.12,2311.68,13
EAPG,0362,LEVEL II DENTAL RESTORATIONS ,,,1820.71,2731.07,13
EAPG,0363,LEVEL III DENTAL RESTORATIONS ,,,2001.08,3001.62,13
EAPG,0364,LEVEL I ENDODONTICS ,,,102.92,154.38,13
EAPG,0365,LEVEL II ENDODONTICS ,,,185.1,277.65,13
EAPG,0366,LEVEL III ENDODONTICS ,,,220.53,330.8,13
EAPG,0367,LEVEL I ORAL SURGERY PROCEDURES ,,,944.65,1416.97,13
EAPG,0368,LEVEL II ORAL SURGERY PROCEDURES ,,,1377.14,2065.71,13
EAPG,0369,LEVEL III ORAL SURGERY PROCEDURES ,,,2031.76,3047.64,13
EAPG,0371,LEVEL I ORTHODONTICS ,,,988.98,1483.47,13
EAPG,0372,SEALANT ,,,36.46,54.69,13
EAPG,0373,LEVEL I DENTAL IMAGING ,,,27.03,40.55,13
EAPG,0374,LEVEL II DENTAL IMAGING ,,,103.27,154.91,13
EAPG,0375,DENTAL ANESTHESIA ,,,35.07,52.61,13
EAPG,0376,DIAGNOSTIC DENTAL PROCEDURES ,,,82.66,123.99,13
EAPG,0377,PREVENTIVE DENTAL PROCEDURES ,,,97.22,145.83,13
EAPG,0378,LEVEL II PERIODONTICS ,,,860.42,1290.63,13
EAPG,0379,LEVEL II ORTHODONTICS ,,,1087.9,1631.85,13
EAPG,0380,ANESTHESIA ,,,16.56,24.84,13
EAPG,0381,LEVEL I DENTAL IMPLANTS ,,,949.17,1423.75,13
EAPG,0382,LEVEL II DENTAL IMPLANTS ,,,1044.09,1566.13,13
EAPG,0384,LEVEL III CHEMISTRY TESTS ,,,33.99,50.98,13
EAPG,0385,"LEVEL I COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS ",,,20.82,31.23,13
EAPG,0386,"LEVEL II COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS ",,,80.06,120.09,13
EAPG,0387,"LEVEL III COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS ",,,196.45,294.67,13
EAPG,0388,LEVEL III MICROBIOLOGY TESTS ,,,97.79,146.69,13
EAPG,0389,LEVEL II CONVENTIONAL RADIOLOGY ,,,76.23,114.34,13
EAPG,0390,LEVEL I PATHOLOGY TESTS ,,,2.43,3.65,13
EAPG,0391,LEVEL II PATHOLOGY TESTS ,,,12.0,18.0,13
EAPG,0392,PAP SMEARS ,,,10.08,15.12,13
EAPG,0393,LEVEL II BLOOD AND TISSUE TYPING TESTS ,,,30.16,45.24,13
EAPG,0394,LEVEL I IMMUNOLOGY TESTS ,,,5.48,8.22,13
EAPG,0395,LEVEL II IMMUNOLOGY TESTS ,,,19.95,29.92,13
EAPG,0396,LEVEL I MICROBIOLOGY TESTS ,,,4.04,6.06,13
EAPG,0397,LEVEL II MICROBIOLOGY TESTS ,,,23.95,35.92,13
EAPG,0398,LEVEL I ENDOCRINOLOGY TESTS ,,,6.61,9.92,13
EAPG,0399,LEVEL II ENDOCRINOLOGY TESTS ,,,17.25,25.88,13
EAPG,0400,LEVEL I CHEMISTRY TESTS ,,,6.04,9.06,13
EAPG,0401,LEVEL II CHEMISTRY TESTS ,,,13.91,20.87,13
EAPG,0402,BASIC CHEMISTRY TESTS ,,,2.74,4.11,13
EAPG,0403,ORGAN OR DISEASE ORIENTED PANELS ,,,4.48,6.72,13
EAPG,0404,TOXICOLOGY TESTS ,,,5.95,8.93,13
EAPG,0405,THERAPEUTIC DRUG MONITORING ,,,6.08,9.12,13
EAPG,0406,LEVEL I CLOTTING TESTS ,,,2.22,3.33,13
EAPG,0407,LEVEL II CLOTTING TESTS ,,,12.56,18.84,13
EAPG,0408,LEVEL I HEMATOLOGY TESTS ,,,2.96,4.44,13
EAPG,0410,URINALYSIS ,,,1.48,2.22,13
EAPG,0412,ANCILLARY RESPIRATORY THERAPY AND OTHER PULMONARY TESTS AND SERVICES ,,,41.72,62.58,13
EAPG,0413,CARDIOGRAM ,,,16.95,25.42,13
EAPG,0414,LEVEL I IMMUNIZATION ,,,22.56,33.84,13
EAPG,0415,LEVEL II IMMUNIZATION ,,,92.1,138.15,13
EAPG,0417,MINOR FEMALE REPRODUCTIVE PROCEDURES ,,,149.21,223.81,13
EAPG,0418,AMBULATORY PATIENT MONITORING AND RELATED ASSESSMENTS ,,,35.07,52.61,13
EAPG,0419,ANCILLARY OPHTHALMOLOGY OR OPTOMETRY SERVICES ,,,46.77,70.16,13
EAPG,0420,"ELECTRONIC ANALYSIS FOR CARDIAC, NEUROLOGICAL AND OTHER DEVICES ",,,96.57,144.85,13
EAPG,0423,VASCULAR ACCESS BY NEEDLE OR CATHETER ,,,481.04,721.56,13
EAPG,0427,BIOFEEDBACK AND OTHER TRAINING ,,,88.66,132.99,13
EAPG,0428,"PATIENT EDUCATION, INDIVIDUAL ",,,43.46,65.19,13
EAPG,0429,"PATIENT EDUCATION, GROUP ",,,27.29,40.94,13
EAPG,0431,CLASS II CHEMOTHERAPY DRUGS ,,,27.12,40.68,13
EAPG,0432,CLASS III CHEMOTHERAPY DRUGS ,,,66.76,100.14,13
EAPG,0433,CLASS IV CHEMOTHERAPY DRUGS ,,,84.49,126.73,13
EAPG,0434,CLASS V CHEMOTHERAPY DRUGS ,,,195.75,293.63,13
EAPG,0436,CLASS II PHARMACOTHERAPY ,,,61.32,91.98,13
EAPG,0437,CLASS III PHARMACOTHERAPY ,,,67.71,101.56,13
EAPG,0438,CLASS IV PHARMACOTHERAPY ,,,79.49,119.23,13
EAPG,0439,CLASS V PHARMACOTHERAPY ,,,265.12,397.68,13
EAPG,0440,CLASS VI PHARMACOTHERAPY ,,,302.19,453.28,13
EAPG,0441,CLASS VI CHEMOTHERAPY DRUGS ,,,672.92,1009.38,13
EAPG,0443,CLASS VII CHEMOTHERAPY DRUGS ,,,747.63,1121.44,13
EAPG,0444,CLASS VII PHARMACOTHERAPY ,,,528.45,792.68,13
EAPG,0448,EXPANDED HOURS ACCESS ,,,32.12,48.18,13
EAPG,0450,OBSERVATION ,,,592.91,889.37,13
EAPG,0458,ALLERGY THERAPY ,,,14.91,22.37,13
EAPG,0459,VACCINE ADMINISTRATION ,,,27.99,41.98,13
EAPG,0460,CLASS VIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY ,,,803.87,1205.81,13
EAPG,0461,CLASS IX COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY ,,,1144.27,1716.4,13
EAPG,0462,CLASS X COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY ,,,2643.01,3964.52,13
EAPG,0463,CLASS XI COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY ,,,3171.64,4757.46,13
EAPG,0464,CLASS XII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY ,,,4351.81,6527.72,13
EAPG,0465,CLASS XIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY ,,,8792.06,13188.09,13
EAPG,0466,CLASS XIV COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY ,,,14782.99,22174.49,13
EAPG,0470,OBSTETRICAL ULTRASOUND ,,,62.5,93.75,13
EAPG,0471,LEVEL I CONVENTIONAL RADIOLOGY ,,,36.29,54.44,13
EAPG,0472,ULTRASOUND GUIDANCE ,,,70.15,105.23,13
EAPG,0473,CT GUIDANCE ,,,49.5,74.25,13
EAPG,0474,RADIOLOGICAL GUIDANCE FOR THERAPEUTIC OR DIAGNOSTIC PROCEDURES ,,,146.51,219.76,13
EAPG,0475,MRI GUIDANCE ,,,127.26,190.89,13
EAPG,0476,LEVEL I RADIATION TREATMENT PREPARATION AND PLANNING ,,,78.62,117.93,13
EAPG,0477,LEVEL II RADIATION TREATMENT PREPARATION AND PLANNING ,,,120.39,180.59,13
EAPG,0478,LEVEL III RADIATION TREATMENT PREPARATION AND PLANNING ,,,704.08,1056.12,13
EAPG,0483,RADIATION THERAPY MANAGEMENT ,,,191.02,286.53,13
EAPG,0485,CORNEAL TISSUE PROCESSING ,,,1895.07,2842.61,13
EAPG,0486,LEVEL I BLOOD AND TISSUE TYPING TESTS ,,,2.17,3.25,13
EAPG,0488,MINOR DEVICE EVALUATION AND INTERROGATION ,,,23.17,34.76,13
EAPG,0493,LEVEL I ANCILLARY THERAPEUTIC SERVICES ,,,18.99,28.48,13
EAPG,0494,COMPLEX BLOOD COLLECTION SERVICES ,,,50.16,75.24,13
EAPG,0497,TELEHEALTH FACILITATION ,,,2.91,4.37,13
EAPG,0499,"BLOOD PROCESSING, STORAGE AND RELATED SERVICES ",,,54.46,81.69,13
EAPG,0518,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ,,,126.43,189.65,13
EAPG,0519,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM ,,,87.97,131.95,13
EAPG,0520,SPINAL DIAGNOSES AND INJURIES ,,,115.13,172.69,13
EAPG,0521,NERVOUS SYSTEM MALIGNANCY ,,,86.71,130.06,13
EAPG,0522,DEGENERATIVE NERVOUS SYSTEM DIAGNOSES EXC MULT SCLEROSIS ,,,82.66,123.99,13
EAPG,0523,MULTIPLE SCLEROSIS AND OTHER DEMYELINATING DISEASES ,,,82.4,123.6,13
EAPG,0524,OTHER CENTRAL NERVOUS SYSTEM DIAGNOSES ,,,102.92,154.38,13
EAPG,0526,TRANSIENT ISCHEMIA ,,,174.63,261.94,13
EAPG,0527,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DIAGNOSES ",,,85.62,128.43,13
EAPG,0528,ANOXIC AND OTHER SEVERE BRAIN DAMAGE OR COMA ,,,136.56,204.84,13
EAPG,0529,SEIZURE ,,,126.21,189.31,13
EAPG,0530,HEADACHES OTHER THAN MIGRAINE ,,,115.78,173.67,13
EAPG,0531,MIGRAINE ,,,80.27,120.41,13
EAPG,0532,HEAD TRAUMA WITH OR WITHOUT LOC/COMA LESS THAN 1 HR ,,,149.42,224.13,13
EAPG,0533,AFTEREFFECTS OF CEREBROVASCULAR ACCIDENT ,,,110.26,165.39,13
EAPG,0534,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION W/O INFARC ,,,79.01,118.52,13
EAPG,0535,CVA AND PRECEREBRAL OCCLUSION W INFARCT ,,,156.81,235.22,13
EAPG,0536,CEREBRAL PALSY ,,,101.35,152.02,13
EAPG,0537,"MALFUNCTION, REACTION, COMPLICATION OF NEUROLOGICAL DEVICE OR PROC ",,,122.82,184.23,13
EAPG,0538,HEAD TRAUMA WITH LOC/COMA MORE THEN 1 HR ,,,366.65,549.97,13
EAPG,0539,INTRACRANIAL HEMORRHAGE ,,,172.02,258.03,13
EAPG,0545,"PERIPHERAL, CRANIAL, AND AUTONOMIC NERVE INJURIES ",,,98.48,147.72,13
EAPG,0548,PERIPHERAL AND OTHER VASCULAR RELATED INJURIES ,,,166.98,250.47,13
EAPG,0550,ACUTE MAJOR EYE INFECTIONS ,,,92.14,138.21,13
EAPG,0551,CATARACTS ,,,71.84,107.76,13
EAPG,0552,GLAUCOMA ,,,87.53,131.3,13
EAPG,0553,OTHER OPHTHALMIC SYSTEM DIAGNOSES ,,,100.61,150.91,13
EAPG,0555,CONJUNCTIVITIS ,,,76.02,114.03,13
EAPG,0556,OCULAR AND PERIOCULAR MALIGNANCY ,,,93.92,140.88,13
EAPG,0557,OTHER EYE INFECTION DIAGNOSES ,,,63.67,95.5,13
EAPG,0558,"MALFUNCTION, REACTION, OR COMPLICATION OF OCULAR DEVICE OR PROCEDURE ",,,85.36,128.04,13
EAPG,0560,"EAR, NOSE, MOUTH, THROAT, CRANIAL AND FACIAL MALIGNANCIES ",,,102.7,154.05,13
EAPG,0561,VERTIGO AND OTHER LABYRINTH DISORDERS ,,,151.12,226.68,13
EAPG,0562,INFECTIONS OF UPPER RESPIRATORY TRACT AND OTITIS MEDIA ,,,112.35,168.52,13
EAPG,0563,DENTAL AND ORAL DIAGNOSES AND INJURIES ,,,91.7,137.55,13
EAPG,0564,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIOFACIAL DIAGNOSES ",,,99.61,149.41,13
EAPG,0566,"MALFUNCTION, REACTION, OR COMPLICATION OF OTOLARYNGOLOGIC DEVICE OR PROCEDURE ",,,110.48,165.72,13
EAPG,0570,CYSTIC FIBROSIS - PULMONARY DISEASE ,,,181.24,271.86,13
EAPG,0571,RESPIRATORY MALIGNANCY ,,,93.14,139.71,13
EAPG,0572,BRONCHIOLITIS AND RSV PNEUMONIA ,,,224.52,336.78,13
EAPG,0574,CHRONIC OBSTRUCTIVE PULMONARY DISEASE ,,,160.33,240.5,13
EAPG,0575,ASTHMA ,,,130.13,195.19,13
EAPG,0576,OTHER RESPIRATORY SYSTEM DIAGNOSES ,,,121.48,182.22,13
EAPG,0579,STATUS ASTHMATICUS ,,,185.5,278.25,13
EAPG,0580,MAJOR CHEST AND RESPIRATORY TRAUMA ,,,232.35,348.52,13
EAPG,0581,PULMONARY INFECTION DIAGNOSES INCLUDING PNEUMONIA ,,,201.66,302.49,13
EAPG,0582,INTERSTITIAL AND ALVEOLAR LUNG DIAGNOSES ,,,127.69,191.53,13
EAPG,0583,"MALFUNCTION, REACTION, OR COMPLICATION OF PULMONARY DEVICE OR PROCEDURE ",,,212.31,318.47,13
EAPG,0584,ACUTE BRONCHITIS ,,,160.2,240.3,13
EAPG,0585,"AFTERCARE, OPEN WOUNDS AND OTHER TRAUMATIC INJURIES ",,,74.45,111.68,13
EAPG,0586,PULMONARY EMBOLISM ,,,127.87,191.81,13
EAPG,0587,RESPIRATORY FAILURE ,,,291.8,437.7,13
EAPG,0589,"MALFUNCTION, REACTION, OR COMPLICATION OF CARDIOVASCULAR DEVICE OR PROC ",,,168.24,252.36,13
EAPG,0591,ACUTE MYOCARDIAL INFARCTION ,,,292.41,438.62,13
EAPG,0592,OTHER CARDIOVASCULAR SYSTEM DIAGNOSES ,,,121.26,181.89,13
EAPG,0594,HEART FAILURE ,,,123.91,185.87,13
EAPG,0595,CARDIAC ARREST OR OTHER CAUSES OF MORTALITY ,,,109.65,164.48,13
EAPG,0596,PERIPHERAL AND OTHER VASCULAR DIAGNOSES ,,,93.36,140.04,13
EAPG,0597,PHLEBITIS ,,,180.89,271.33,13
EAPG,0598,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS ,,,78.28,117.42,13
EAPG,0599,HYPERTENSION ,,,91.14,136.71,13
EAPG,0600,CARDIAC STRUCTURAL AND VALVULAR DIAGNOSES ,,,77.71,116.56,13
EAPG,0601,CARDIAC ARRHYTHMIA AND CONDUCTION DIAGNOSES ,,,119.43,179.15,13
EAPG,0602,ATRIAL FIBRILLATION ,,,95.57,143.35,13
EAPG,0604,CHEST PAIN ,,,258.86,388.29,13
EAPG,0605,SYNCOPE AND COLLAPSE ,,,197.1,295.65,13
EAPG,0607,CARDIOMYOPATHY DIAGNOSES ,,,79.71,119.56,13
EAPG,0608,ACUTE AND SUBACUTE ENDOCARDITIS ,,,78.75,118.13,13
EAPG,0610,CONTUSIONS TO EXTERNAL ORGANS OTHER THAN HEAD TRAUMA ,,,169.72,254.58,13
EAPG,0616,DIVERTICULITIS AND DIVERTICULOSIS ,,,134.6,201.9,13
EAPG,0617,GASTROINTESTINAL HEMORRHAGE AND RELATED POSTPROCEDURAL HEMORRHAGE DIAGNOSES ,,,189.8,284.7,13
EAPG,0618,INTESTINAL OBSTRUCTION DIAGNOSES ,,,185.24,277.86,13
EAPG,0619,GASTROINTESTINAL AND PERITONEAL INFECTION DIAGNOSES ,,,144.25,216.38,13
EAPG,0620,DIGESTIVE MALIGNANCY ,,,109.48,164.22,13
EAPG,0621,PEPTIC ULCER AND GASTRITIS ,,,186.02,279.03,13
EAPG,0623,ESOPHAGITIS AND OTHER ESOPHAGEAL DIAGNOSES ,,,101.4,152.1,13
EAPG,0624,OTHER GASTROINTESTINAL SYSTEM DIAGNOSES ,,,116.96,175.44,13
EAPG,0626,INFLAMMATORY BOWEL DISEASE ,,,83.62,125.43,13
EAPG,0627,"NON-BACTERIAL GASTROENTERITIS, NAUSEA AND VOMITING ",,,137.3,205.95,13
EAPG,0628,ABDOMINAL PAIN ,,,159.77,239.66,13
EAPG,0629,"MALFUNCTION, REACTION AND COMPLICATION OF GI DEVICE OR PROCEDURE ",,,222.74,334.11,13
EAPG,0630,CONSTIPATION ,,,124.34,186.51,13
EAPG,0631,HERNIA ,,,98.92,148.38,13
EAPG,0632,IRRITABLE BOWEL SYNDROME ,,,72.15,108.23,13
EAPG,0633,ALCOHOLIC LIVER DISEASE ,,,115.61,173.41,13
EAPG,0634,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS ,,,133.43,200.15,13
EAPG,0635,PANCREAS DIAGNOSES EXCEPT MALIGNANCY ,,,130.3,195.45,13
EAPG,0636,HEPATITIS WITHOUT COMA ,,,107.13,160.69,13
EAPG,0637,GALLBLADDER AND BILIARY TRACT DIAGNOSES ,,,135.12,202.68,13
EAPG,0638,CHOLECYSTITIS ,,,185.63,278.44,13
EAPG,0639,OTHER HEPATOBILIARY SYSTEM DIAGNOSES ,,,111.35,167.02,13
EAPG,0641,HEPATIC COMA AND MAJOR ACUTE LIVER DIAGNOSES ,,,104.27,156.41,13
EAPG,0642,GASTROINTESTINAL VASCULAR INSUFFICIENCY ,,,122.52,183.78,13
EAPG,0647,"FRACTURES, DISLOCATIONS, OTHER INJURIES - UPPER EXTREMITY INCLUDING SHOULDER ",,,179.89,269.83,13
EAPG,0648,"FRACTURES, DISLOCATIONS AND SPRAINS OF THE SKULL, CRANIUM AND FACE ",,,211.7,317.55,13
EAPG,0649,OTHER PATHOLOGICAL FRACTURES W/O MUSCULOSKELETAL MALIGNANCY ,,,160.29,240.44,13
EAPG,0650,"FRACTURES, DISLOCATIONS, OTHER INJURIES - LOWER EXTREMITY INCLUDING FEMUR ",,,177.72,266.58,13
EAPG,0651,"FRACTURES, DISLOCATIONS, SPRAINS AND OTHER INJURIES OF THE PELVIS AND HIP ",,,213.66,320.49,13
EAPG,0652,OTHER INJURIES AND DISORDERS OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE ,,,94.23,141.34,13
EAPG,0653,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FX DUE TO MALIGNANCY ,,,117.26,175.89,13
EAPG,0654,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS ",,,100.88,151.32,13
EAPG,0655,CONNECTIVE TISSUE DIAGNOSES ,,,79.06,118.59,13
EAPG,0656,"FRACTURES, DISLOCATIONS, OTHER INJURIES OF THE NECK, UPPER BACK AND CHEST ",,,206.49,309.74,13
EAPG,0657,"FRACTURES, DISLOCATIONS, SPRAINS AND OTHER INJURIES OF THE LOWER BACK ",,,114.44,171.66,13
EAPG,0658,SCIATICA AND LOW BACK PAIN ,,,104.31,156.47,13
EAPG,0659,"MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE ",,,117.78,176.67,13
EAPG,0660,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES ,,,109.92,164.88,13
EAPG,0662,OSTEOPOROSIS ,,,79.58,119.37,13
EAPG,0663,PAIN RELATED DIAGNOSES ,,,91.36,137.04,13
EAPG,0670,NON-PRESSURE CHRONIC SKIN ULCERS ,,,80.01,120.02,13
EAPG,0671,MAJOR SKIN DIAGNOSES ,,,77.97,116.95,13
EAPG,0672,MALIGNANT BREAST DIAGNOSES ,,,84.97,127.45,13
EAPG,0673,CELLULITIS AND OTHER BACTERIAL SKIN INFECTIONS ,,,132.82,199.23,13
EAPG,0674,"OPEN WOUNDS, PUNCTURES AND OTHER OPEN TRAUMATIC INJURIES ",,,116.78,175.17,13
EAPG,0675,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DIAGNOSES ",,,71.58,107.37,13
EAPG,0676,PRESSURE ULCERS ,,,87.23,130.84,13
EAPG,0690,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DIAGNOSES ",,,103.92,155.88,13
EAPG,0691,INBORN ERRORS OF METABOLISM ,,,76.1,114.15,13
EAPG,0692,OTHER ENDOCRINE SYSTEM DIAGNOSES ,,,88.31,132.47,13
EAPG,0694,ELECTROLYTE DISORDERS ,,,152.99,229.49,13
EAPG,0695,OBESITY ,,,69.28,103.92,13
EAPG,0696,THYROID AND PARATHYROID DIAGNOSES ,,,83.14,124.71,13
EAPG,0710,DIABETES WITH OPHTHALMIC MANIFESTATIONS ,,,120.95,181.43,13
EAPG,0711,DIABETES WITH OTHER MANIFESTATIONS AND COMPLICATIONS ,,,97.66,146.49,13
EAPG,0712,DIABETES WITH NEUROLOGIC MANIFESTATIONS ,,,77.28,115.92,13
EAPG,0713,DIABETES WITHOUT COMPLICATIONS ,,,74.67,112.0,13
EAPG,0714,DIABETES WITH RENAL MANIFESTATIONS ,,,82.4,123.6,13
EAPG,0715,DIABETES WITH VASCULAR COMPLICATIONS INCLUDING FOOT AND OTHER SKIN ULCERS ,,,81.49,122.23,13
EAPG,0720,CHRONIC KIDNEY DISEASE ,,,91.18,136.77,13
EAPG,0721,KIDNEY AND URINARY TRACT MALIGNANCY ,,,84.1,126.15,13
EAPG,0722,NEPHRITIS AND NEPHROSIS ,,,95.96,143.94,13
EAPG,0723,COMPLEX KIDNEY AND URINARY TRACT INFECTIONS ,,,162.55,243.83,13
EAPG,0724,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION ,,,94.14,141.21,13
EAPG,0725,"MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC ",,,167.59,251.38,13
EAPG,0726,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS ",,,102.66,153.99,13
EAPG,0727,ACUTE LOWER URINARY TRACT INFECTIONS ,,,152.12,228.18,13
EAPG,0729,ACUTE KIDNEY INJURY ,,,193.84,290.76,13
EAPG,0740,MALE REPRODUCTIVE SYSTEM MALIGNANCY ,,,89.75,134.63,13
EAPG,0741,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES ,,,99.92,149.88,13
EAPG,0743,PROSTATITIS ,,,79.84,119.76,13
EAPG,0744,MALE REPRODUCTIVE SYSTEM INFECTIONS ,,,83.93,125.9,13
EAPG,0750,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY ,,,98.92,148.38,13
EAPG,0751,FEMALE REPRODUCTIVE SYSTEM INFECTIONS ,,,110.65,165.98,13
EAPG,0752,OTHER FEMALE REPRODUCTIVE SYSTEM AND MENSTRUAL DIAGNOSES ,,,87.97,131.95,13
EAPG,0760,LABOR AND DELIVERY RELATED DIAGNOSES ,,,145.9,218.85,13
EAPG,0761,POSTPARTUM AND POST ABORTION DIAGNOSES ,,,160.11,240.17,13
EAPG,0762,PRETERM LABOR DIAGNOSES ,,,255.6,383.4,13
EAPG,0763,ABORTION RELATED DIAGNOSES ,,,232.17,348.25,13
EAPG,0764,FALSE LABOR ,,,148.73,223.09,13
EAPG,0765,OTHER ANTEPARTUM COMPLICATION DIAGNOSES ,,,173.54,260.31,13
EAPG,0766,ROUTINE PRENATAL CARE ,,,110.39,165.59,13
EAPG,0767,COMPLICATIONS OF TREATMENT AFFECTING PREGNANCY ,,,319.75,479.63,13
EAPG,0768,ANTEPARTUM ENCOUNTERS FOR NON-ROUTINE AND ABNORMAL FINDINGS ,,,165.72,248.58,13
EAPG,0770,NORMAL NEONATE ,,,181.98,272.97,13
EAPG,0771,NEONATAL DIAGNOSES ,,,76.19,114.28,13
EAPG,0777,SUPERFICIAL INJURY TO SKIN AND SUBCUTANEOUS TISSUE ,,,133.95,200.92,13
EAPG,0780,OTHER HEMATOLOGICAL DIAGNOSES ,,,126.13,189.19,13
EAPG,0781,COAGULATION AND PLATELET DISORDERS AND CONGENITAL FACTOR DEFICIENCIES ,,,93.27,139.91,13
EAPG,0783,SICKLE CELL ANEMIA CRISIS ,,,215.44,323.16,13
EAPG,0785,"ANEMIA, BLOOD AND BLOOD-FORMING ORGAN DISORDERS ",,,111.05,166.57,13
EAPG,0787,"AFTERCARE, BURNS, CORROSIONS, OTHER INJURIES RELATED TO THE SKIN AND SUB TIS ",,,83.01,124.52,13
EAPG,0800,ACUTE LEUKEMIA ,,,159.98,239.97,13
EAPG,0801,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA ",,,122.82,184.23,13
EAPG,0802,RADIOTHERAPY ,,,95.27,142.91,13
EAPG,0803,CHEMOTHERAPY ,,,134.78,202.17,13
EAPG,0804,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR ,,,106.87,160.31,13
EAPG,0805,SEPTICEMIA AND DISSEMINATED INFECTIONS ,,,427.93,641.89,13
EAPG,0806,"INTRAOPERATIVE, POST-OPERATIVE OR POST-TRAUMATIC INFECTIONS AND COMPLICATIONS ",,,136.34,204.51,13
EAPG,0807,FEVER AND OTHER INFLAMMATORY CONDITIONS ,,,223.39,335.08,13
EAPG,0808,VIRAL ILLNESS ,,,182.89,274.33,13
EAPG,0809,OTHER INFECTIOUS AND PARASITIC DISEASES ,,,99.48,149.22,13
EAPG,0810,H. PYLORI INFECTION ,,,89.36,134.04,13
EAPG,0812,VIRAL MENINGITIS ,,,144.03,216.05,13
EAPG,0820,SCHIZOPHRENIA ,,,147.03,220.55,13
EAPG,0821,MAJOR DEPRESSIVE DIAGNOSES AND  OTHER OR UNSPECIFIED PSYCHOSES ,,,94.18,141.27,13
EAPG,0822,PERSONALITY AND IMPULSE CONTROL DIAGNOSES ,,,156.68,235.02,13
EAPG,0823,BIPOLAR DISORDERS ,,,108.48,162.72,13
EAPG,0824,DEPRESSION EXCEPT MAJOR DEPRESSIVE DIAGNOSES ,,,119.26,178.89,13
EAPG,0825,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES ,,,109.18,163.77,13
EAPG,0826,ACUTE ANXIETY AND DELIRIUM STATES ,,,134.86,202.29,13
EAPG,0827,ORGANIC BEHAVIORAL HEALTH DISTURBANCES ,,,105.18,157.77,13
EAPG,0828,INTELLECTUAL DISABILITY ,,,110.05,165.07,13
EAPG,0829,CHILDHOOD BEHAVIORAL DIAGNOSES ,,,92.83,139.25,13
EAPG,0830,EATING DISORDERS ,,,96.36,144.54,13
EAPG,0831,OTHER BEHAVIORAL HEALTH DIAGNOSES ,,,126.6,189.9,13
EAPG,0832,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE ,,,317.4,476.1,13
EAPG,0840,OPIOID ABUSE AND DEPENDENCE ,,,106.18,159.27,13
EAPG,0841,COCAINE ABUSE AND DEPENDENCE ,,,195.32,292.98,13
EAPG,0842,ALCOHOL ABUSE AND DEPENDENCE ,,,186.93,280.39,13
EAPG,0843,OTHER DRUG ABUSE AND DEPENDENCE ,,,169.94,254.91,13
EAPG,0850,ALLERGIC REACTIONS ,,,169.11,253.67,13
EAPG,0851,POISONING OR TOXIC EFFECTS OF MEDICINAL AGENTS ,,,177.11,265.67,13
EAPG,0852,OTHER COMPLICATIONS OF TREATMENT ,,,117.56,176.34,13
EAPG,0853,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES ",,,102.96,154.44,13
EAPG,0854,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES ,,,130.26,195.39,13
EAPG,0860,EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS ,,,119.82,179.73,13
EAPG,0861,PARTIAL THICKNESS BURNS ,,,113.65,170.48,13
EAPG,0867,ENCOUNTERS FOR CONTACT WITH HEALTH SERVICES ,,,84.49,126.73,13
EAPG,0869,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE INJURIES ",,,82.4,123.6,13
EAPG,0870,REHABILITATION ,,,89.23,133.84,13
EAPG,0871,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS ",,,112.44,168.66,13
EAPG,0872,OTHER AFTERCARE AND CONVALESCENCE ,,,98.35,147.52,13
EAPG,0873,NEONATAL AFTERCARE ,,,133.95,200.92,13
EAPG,0874,AFTERCARE FOR JOINT REPLACEMENT ,,,79.62,119.43,13
EAPG,0875,CONTRACEPTIVE MANAGEMENT ,,,100.05,150.07,13
EAPG,0876,ADULT PREVENTIVE MEDICINE ,,,99.09,148.63,13
EAPG,0877,CHILD PREVENTIVE MEDICINE ,,,95.75,143.63,13
EAPG,0878,GYNECOLOGIC PREVENTIVE MEDICINE ,,,67.67,101.5,13
EAPG,0879,PREVENTIVE OR SCREENING ENCOUNTER ,,,92.49,138.73,13
EAPG,0880,HIV INFECTION ,,,150.25,225.38,13
EAPG,0881,AIDS ,,,149.9,224.85,13
EAPG,0882,GENETIC COUNSELING ,,,101.66,152.49,13
EAPG,0883,ALTERATION IN CONSCIOUSNESS ,,,248.47,372.7,13
EAPG,0900,AUTOPSY AND POST-MORTEM EXAMINATION SERVICES ,,,110.35,165.52,13
EAPG,1030,AMBULANCE SERVICES ,,,5.0,7.5,13
EAPG,2016,LEVEL II ALLERGY TESTS ,,,25.25,37.88,13
EAPG,2020,NONINVASIVE VENTILATION SUPPORT ,,,101.4,152.1,13
EAPG,2030,MINOR MUSCULOSKELETAL PROCEDURES ,,,163.85,245.77,13
EAPG,2040,LEVEL I DRUG SCREENING AND DEFINITIVE TESTS ,,,6.91,10.37,13
EAPG,2041,LEVEL II DRUG SCREENING AND DEFINITIVE TESTS ,,,34.6,51.9,13
EAPG,2042,LEVEL III DRUG SCREENING AND DEFINITIVE TESTS ,,,76.58,114.87,13
EAPG,2043,LEVEL III BLOOD AND TISSUE TYPING TESTS ,,,88.84,133.26,13
EAPG,2044,"LEVEL IV COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS ",,,336.0,504.0,13
EAPG,2045,ADVANCED MOLECULAR PATHOLOGY AND GENETIC TESTS ,,,1145.92,1718.88,13
EAPG,2061,CLASS I BLOOD PRODUCTS ,,,63.58,95.37,13
EAPG,2062,CLASS II BLOOD PRODUCTS ,,,187.28,280.92,13
EAPG,2070,MONTHLY CARE AND CASE MANAGEMENT SERVICES ,,,40.2,60.3,13
EAPG,2071,MONTHLY BEHAVIORAL HEALTH CARE AND CASE MANAGEMENT SERVICES ,,,53.41,80.11,13
EAPG,2072,MONTHLY TREATMENT MANAGEMENT SERVICES ,,,25.82,38.73,13
EAPG,3011,BONE CONDUCTION HEARING DEVICE IMPLANTATION ,,,6124.67,9187.01,13
EAPG,3030,SPINAL IMPLANTATION OF DRUG INFUSION DEVICE ,,,8007.66,12011.49,13
EAPG,3033,"INGUINAL, FEMORAL AND UMBILICAL HERNIA REPAIR ",,,2643.18,3964.77,13
EAPG,3035,ABDOMINAL HERNIA REPAIR ,,,2654.66,3981.99,13
EAPG,3050,OTHER TRANSPLANT PROCEDURES ,,,3321.89,4982.84,13
EAPG,3051,HEART AND/OR LUNG TRANSPLANT ,,,9228.42,13842.63,13
EAPG,3052,KIDNEY TRANSPLANT ,,,5485.17,8227.76,13
EAPG,3060,VENTRICULAR ASSIST DEVICE PROCEDURES ,,,19840.71,29761.06,13
EAPG,3070,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) PROCEDURES ,,,5691.35,8537.03,13
EAPG,4010,LEVEL I OPIOID TREATMENT PROGRAM SERVICES ,,,148.16,222.24,13
EAPG,4011,LEVEL II OPIOID TREATMENT PROGRAM SERVICES ,,,273.51,410.26,13
HCPCS,A0425,"Ground mileage, per statute mile ",,,10.0,11.0,8
HCPCS,A0426,"Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) ",,,365.0,386.0,8
HCPCS,A0427,"Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) ",,,578.0,613.0,8
HCPCS,A0428,"Ambulance service, basic life support, non-emergency transport, (bls) ",,,305.0,322.0,8
HCPCS,A0429,"Ambulance service, basic life support, emergency transport (bls-emergency) ",,,487.0,516.0,8
HCPCS,A0433,"Advanced life support, level 2 (als 2) ",,,837.0,885.0,8
HCPCS,A0434,Specialty care transport (sct) ,,,921.0,975.0,8
HCPCS,A2001,INNOVAMATRIX AC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2001,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2002,MIRRAGEN ADV MTX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2002,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2004,"Xcellistem, 1 mg ",,,25.74,25.74,5
HCPCS,A2005,MICROLYTE MTX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2005,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2006,NOVOSORB SYNPATH 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2006,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2007,RESTRATA 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2007,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2008,THERAGENESIS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2008,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2009,SYMPHONY 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2009,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2010,APIS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2010,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2011,SUPRA SDRM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2011,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2012,SUPRATHEL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2012,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2013,INNOVAMATRIX FS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2013,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2014,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,253.69,253.69,5
HCPCS,A2015,PHOENIX WOUND MTX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2015,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2016,PERMEADERM B 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2016,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2018,PERMEADERM C 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2018,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2019,KERECIS MARIGEN SH 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2019,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2020,Ac5 advanced wound system (ac5) ,,,9900.0,9900.0,5
HCPCS,A2021,NEOMATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2021,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2022,INNOVAMATX XL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2022,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2023,"Innovamatrix pd, 1 mg ",,,28.1,28.1,5
HCPCS,A2024,RESOLVE MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2024,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2025,MIRO3D CC,1.0,1.0,0.05,1.2,30
HCPCS,A2025,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2027,MATRIDERM 155.4 SQCM,48672.0,48672.0,1399.52,85125.6,60
HCPCS,A2027,MATRIDERM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2027,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,A2028,MICROMATRIX FLEX 750 MG,18095.0,18095.0,959.03,21714.0,30
HCPCS,A2029,MIROTRACT MATRIX SHEET 1,1.0,1.0,0.05,1.2,30
HCPCS,A2029,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2030,"Miro3d fibers, per milligram ",,,27.09,27.09,5
HCPCS,A2031,MIRODRY 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2031,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2032,MYRIAD MATRIX 100 SQCM,6854.0,6854.0,363.26,8224.8,49
HCPCS,A2032,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,38.82,38.82,5
HCPCS,A2033,"Myriad morcells, 4 milligrams ",,,21.78,21.78,5
HCPCS,A2034,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,2538.39,2538.39,5
HCPCS,A2035,"Corplex p or theracor p or allacor p, per milligram ",,,188.91,188.91,5
HCPCS,A2036,COHEALYX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2036,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2038,MARIGEN PACTO 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2038,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2039,INNOVAMATRIX FD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,A2039,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,A2040,"Microlyte painguard, per square centimeter ",,,209.78,209.78,5
HCPCS,A2041,"Foundation drs+ duo, per square centimeter ",,,209.78,209.78,5
HCPCS,A2042,"Foundation drs+ solo, per square centimeter ",,,209.78,209.78,5
HCPCS,A2043,"Biobrane, per square centimeter ",,,209.78,209.78,5
HCPCS,A2045,"Novashield or novogen wound matrix, per square centimeter ",,,209.78,209.78,5
HCPCS,A4100,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,209.98,209.98,5
HCPCS,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml ",,,0.56,1.77,33
HCPCS,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml Trauma",,,1.39,1.39,6
HCPCS,A4217,"Sterile water/saline, 500 ml ",,,4.34,13.63,33
HCPCS,A4217,"Sterile water/saline, 500 ml Trauma",,,10.73,10.73,6
HCPCS,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) ",,,25.09,78.9,33
HCPCS,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) Trauma",,,62.09,62.09,6
HCPCS,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ",,,47.6,149.66,33
HCPCS,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) Trauma",,,117.77,117.77,6
HCPCS,A4224,"Supplies for maintenance of insulin infusion catheter, per week ",,,25.09,78.9,33
HCPCS,A4224,"Supplies for maintenance of insulin infusion catheter, per week Trauma",,,62.09,62.09,6
HCPCS,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ",,,3.37,10.58,33
HCPCS,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each Trauma",,,8.33,8.33,6
HCPCS,A4231,"Infusion set for external insulin pump, needle type ",,,,,0
HCPCS,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.49,1.56,33
HCPCS,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,1.22,1.22,6
HCPCS,A4234,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each ",,,2.29,7.2,33
HCPCS,A4234,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,5.66,5.66,6
HCPCS,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ",,,0.97,3.05,33
HCPCS,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,2.4,2.4,6
HCPCS,A4236,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ",,,1.13,3.54,33
HCPCS,A4236,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,2.78,2.78,6
HCPCS,A4238,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,272.29,856.17,33
HCPCS,A4238,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service Trauma",,,673.7,673.7,6
HCPCS,A4239,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ",,,265.08,833.5,33
HCPCS,A4239,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service Trauma",,,655.87,655.87,6
HCPCS,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips ",,,8.07,25.38,33
HCPCS,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips Trauma",,,19.97,19.97,6
HCPCS,A4255,"Platforms for home blood glucose monitor, 50 per box ",,,5.41,17.02,33
HCPCS,A4255,"Platforms for home blood glucose monitor, 50 per box Trauma",,,13.39,13.39,6
HCPCS,A4256,"Normal, low and high calibrator solution / chips ",,,3.28,10.31,33
HCPCS,A4256,"Normal, low and high calibrator solution / chips Trauma",,,8.11,8.11,6
HCPCS,A4257,"Replacement lens shield cartridge for use with laser skin piercing device, each ",,,17.64,55.48,33
HCPCS,A4257,"Replacement lens shield cartridge for use with laser skin piercing device, each Trauma",,,43.66,43.66,6
HCPCS,A4258,"Spring-powered device for lancet, each ",,,2.06,6.47,33
HCPCS,A4258,"Spring-powered device for lancet, each Trauma",,,5.09,5.09,6
HCPCS,A4259,"Lancets, per box of 100 ",,,1.38,4.33,33
HCPCS,A4259,"Lancets, per box of 100 Trauma",,,3.41,3.41,6
HCPCS,A4263,STENT OPTH .64X300MM,127.0,127.0,6.73,152.4,20
HCPCS,A4265,"Paraffin, per pound ",,,4.71,14.82,33
HCPCS,A4265,"Paraffin, per pound Trauma",,,11.66,11.66,6
HCPCS,A4271,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests ",,,33.08,104.0,33
HCPCS,A4271,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests Trauma",,,81.84,81.84,6
HCPCS,A4280,"Adhesive skin support attachment for use with external breast prosthesis, each ",,,7.38,23.21,33
HCPCS,A4280,"Adhesive skin support attachment for use with external breast prosthesis, each Trauma",,,18.26,18.26,6
HCPCS,A4295,"Intermittent urinary catheter; straight tip, hydrophilic coating, each ",,,2.5,7.87,33
HCPCS,A4295,"Intermittent urinary catheter; straight tip, hydrophilic coating, each Trauma",,,6.19,6.19,6
HCPCS,A4296,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each ",,,7.55,23.73,33
HCPCS,A4296,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each Trauma",,,18.67,18.67,6
HCPCS,A4297,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies ",,,9.67,30.41,33
HCPCS,A4297,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies Trauma",,,23.93,23.93,6
HCPCS,A4310,Insertion tray without drainage bag and without catheter (accessories only) ,,,9.08,28.55,33
HCPCS,A4310,Insertion tray without drainage bag and without catheter (accessories only) Trauma,,,22.46,22.46,6
HCPCS,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,17.4,54.72,33
HCPCS,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) Trauma",,,43.06,43.06,6
HCPCS,A4312,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,24.93,78.38,33
HCPCS,A4312,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone Trauma",,,61.68,61.68,6
HCPCS,A4313,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,21.77,68.44,33
HCPCS,A4313,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation Trauma",,,53.86,53.86,6
HCPCS,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ",,,29.71,93.42,33
HCPCS,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) Trauma",,,73.51,73.51,6
HCPCS,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ",,,30.99,97.45,33
HCPCS,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone Trauma",,,76.68,76.68,6
HCPCS,A4316,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ",,,33.37,104.92,33
HCPCS,A4316,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation Trauma",,,82.56,82.56,6
HCPCS,A4318,"Female external urinary collection cup, with or without ring attachment, per day ",,,8.34,26.23,33
HCPCS,A4318,"Female external urinary collection cup, with or without ring attachment, per day Trauma",,,20.64,20.64,6
HCPCS,A4320,"Irrigation tray with bulb or piston syringe, any purpose ",,,7.38,23.21,33
HCPCS,A4320,"Irrigation tray with bulb or piston syringe, any purpose Trauma",,,18.26,18.26,6
HCPCS,A4322,"Irrigation syringe, bulb or piston, each ",,,3.9,12.26,33
HCPCS,A4322,"Irrigation syringe, bulb or piston, each Trauma",,,9.65,9.65,6
HCPCS,A4326,"Male external catheter with integral collection chamber, any type, each ",,,14.91,46.88,33
HCPCS,A4326,"Male external catheter with integral collection chamber, any type, each Trauma",,,36.89,36.89,6
HCPCS,A4327,"Female external urinary collection device; meatal cup, each ",,,58.42,183.7,33
HCPCS,A4327,"Female external urinary collection device; meatal cup, each Trauma",,,144.55,144.55,6
HCPCS,A4328,"Female external urinary collection device; pouch, each ",,,13.64,42.88,33
HCPCS,A4328,"Female external urinary collection device; pouch, each Trauma",,,33.74,33.74,6
HCPCS,A4330,"Perianal fecal collection pouch with adhesive, each ",,,9.9,31.14,33
HCPCS,A4330,"Perianal fecal collection pouch with adhesive, each Trauma",,,24.5,24.5,6
HCPCS,A4331,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each ",188.0,188.0,4.39,13.82,33
HCPCS,A4331,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each Trauma",,,10.87,10.87,6
HCPCS,A4331,TUBE COLOSTOMY,188.0,188.0,16.17,225.6,48
HCPCS,A4332,"Lubricant, individual sterile packet, each ",,,0.15,0.46,33
HCPCS,A4332,"Lubricant, individual sterile packet, each Trauma",,,0.36,0.36,6
HCPCS,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each ",,,3.07,9.64,33
HCPCS,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each Trauma",,,7.58,7.58,6
HCPCS,A4334,"Urinary catheter anchoring device, leg strap, each ",,,6.8,21.38,33
HCPCS,A4334,"Urinary catheter anchoring device, leg strap, each Trauma",,,16.82,16.82,6
HCPCS,A4336,"Incontinence supply, urethral insert, any type, each ",,,1.99,6.25,33
HCPCS,A4336,"Incontinence supply, urethral insert, any type, each Trauma",,,4.92,4.92,6
HCPCS,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each ",,,16.96,53.31,33
HCPCS,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each Trauma",,,41.95,41.95,6
HCPCS,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each ",,,43.89,138.01,33
HCPCS,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each Trauma",,,108.6,108.6,6
HCPCS,A4341,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each ",,,337.32,1060.64,33
HCPCS,A4341,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each Trauma",,,834.6,834.6,6
HCPCS,A4342,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each ",,,851.72,2678.08,33
HCPCS,A4342,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each Trauma",,,2107.34,2107.34,6
HCPCS,A4344,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each ",,,22.13,69.57,33
HCPCS,A4344,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each Trauma",,,54.74,54.74,6
HCPCS,A4346,"Indwelling catheter; foley type, three way for continuous irrigation, each ",,,27.07,85.13,33
HCPCS,A4346,"Indwelling catheter; foley type, three way for continuous irrigation, each Trauma",,,66.98,66.98,6
HCPCS,A4349,"Male external catheter, with or without adhesive, disposable, each ",,,2.78,8.75,33
HCPCS,A4349,"Male external catheter, with or without adhesive, disposable, each Trauma",,,6.89,6.89,6
HCPCS,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each ",,,2.5,7.87,33
HCPCS,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each Trauma",,,6.19,6.19,6
HCPCS,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each ",,,7.55,23.73,33
HCPCS,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each Trauma",,,18.67,18.67,6
HCPCS,A4353,"Intermittent urinary catheter, with insertion supplies ",,,9.67,30.41,33
HCPCS,A4353,"Intermittent urinary catheter, with insertion supplies Trauma",,,23.93,23.93,6
HCPCS,A4354,Insertion tray with drainage bag but without catheter ,,,13.88,43.65,33
HCPCS,A4354,Insertion tray with drainage bag but without catheter Trauma,,,34.34,34.34,6
HCPCS,A4355,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each ",,,10.48,32.94,33
HCPCS,A4355,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each Trauma",,,25.92,25.92,6
HCPCS,A4356,"External urethral clamp or compression device (not to be used for catheter clamp), each ",,,63.08,198.34,33
HCPCS,A4356,"External urethral clamp or compression device (not to be used for catheter clamp), each Trauma",,,156.07,156.07,6
HCPCS,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each ",,,13.42,42.21,33
HCPCS,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each Trauma",,,33.22,33.22,6
HCPCS,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each ",,,9.18,28.85,33
HCPCS,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each Trauma",,,22.7,22.7,6
HCPCS,A4360,"Disposable external urethral clamp or compression device, with pad and/or pouch, each ",,,0.68,2.13,33
HCPCS,A4360,"Disposable external urethral clamp or compression device, with pad and/or pouch, each Trauma",,,1.68,1.68,6
HCPCS,A4361,"Ostomy faceplate, each ",,,25.38,79.79,33
HCPCS,A4361,"Ostomy faceplate, each Trauma",,,62.78,62.78,6
HCPCS,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each ",,,4.71,14.82,33
HCPCS,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each Trauma",,,11.66,11.66,6
HCPCS,A4363,"Ostomy clamp, any type, replacement only, each ",,,3.28,10.31,33
HCPCS,A4363,"Ostomy clamp, any type, replacement only, each Trauma",,,8.11,8.11,6
HCPCS,A4364,"Adhesive, liquid or equal, any type, per oz ",,,3.64,11.44,33
HCPCS,A4364,"Adhesive, liquid or equal, any type, per oz Trauma",,,9.0,9.0,6
HCPCS,A4366,"Ostomy vent, any type, each ",,,1.78,5.61,33
HCPCS,A4366,"Ostomy vent, any type, each Trauma",,,4.42,4.42,6
HCPCS,A4367,"Ostomy belt, each ",,,10.18,31.99,33
HCPCS,A4367,"Ostomy belt, each Trauma",,,25.18,25.18,6
HCPCS,A4368,"Ostomy filter, any type, each ",,,0.35,1.1,33
HCPCS,A4368,"Ostomy filter, any type, each Trauma",,,0.86,0.86,6
HCPCS,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz ",,,3.36,10.55,33
HCPCS,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz Trauma",,,8.3,8.3,6
HCPCS,A4371,"Ostomy skin barrier, powder, per oz ",,,5.04,15.86,33
HCPCS,A4371,"Ostomy skin barrier, powder, per oz Trauma",,,12.48,12.48,6
HCPCS,A4372,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each ",,,5.81,18.27,33
HCPCS,A4372,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each Trauma",,,14.38,14.38,6
HCPCS,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each ",,,8.67,27.27,33
HCPCS,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each Trauma",,,21.46,21.46,6
HCPCS,A4375,"Ostomy pouch, drainable, with faceplate attached, plastic, each ",,,23.74,74.63,33
HCPCS,A4375,"Ostomy pouch, drainable, with faceplate attached, plastic, each Trauma",,,58.73,58.73,6
HCPCS,A4376,"Ostomy pouch, drainable, with faceplate attached, rubber, each ",,,65.78,206.82,33
HCPCS,A4376,"Ostomy pouch, drainable, with faceplate attached, rubber, each Trauma",,,162.74,162.74,6
HCPCS,A4377,"Ostomy pouch, drainable, for use on faceplate, plastic, each ",,,5.93,18.64,33
HCPCS,A4377,"Ostomy pouch, drainable, for use on faceplate, plastic, each Trauma",,,14.66,14.66,6
HCPCS,A4378,"Ostomy pouch, drainable, for use on faceplate, rubber, each ",,,42.51,133.65,33
HCPCS,A4378,"Ostomy pouch, drainable, for use on faceplate, rubber, each Trauma",,,105.17,105.17,6
HCPCS,A4379,"Ostomy pouch, urinary, with faceplate attached, plastic, each ",,,20.76,65.27,33
HCPCS,A4379,"Ostomy pouch, urinary, with faceplate attached, plastic, each Trauma",,,51.36,51.36,6
HCPCS,A4380,"Ostomy pouch, urinary, with faceplate attached, rubber, each ",,,51.6,162.26,33
HCPCS,A4380,"Ostomy pouch, urinary, with faceplate attached, rubber, each Trauma",,,127.68,127.68,6
HCPCS,A4381,"Ostomy pouch, urinary, for use on faceplate, plastic, each ",,,6.39,20.1,33
HCPCS,A4381,"Ostomy pouch, urinary, for use on faceplate, plastic, each Trauma",,,15.82,15.82,6
HCPCS,A4382,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ",,,34.04,107.02,33
HCPCS,A4382,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each Trauma",,,84.22,84.22,6
HCPCS,A4383,"Ostomy pouch, urinary, for use on faceplate, rubber, each ",,,38.96,122.52,33
HCPCS,A4383,"Ostomy pouch, urinary, for use on faceplate, rubber, each Trauma",,,96.41,96.41,6
HCPCS,A4384,"Ostomy faceplate equivalent, silicone ring, each ",,,13.28,41.75,33
HCPCS,A4384,"Ostomy faceplate equivalent, silicone ring, each Trauma",,,32.86,32.86,6
HCPCS,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ",,,7.04,22.14,33
HCPCS,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each Trauma",,,17.42,17.42,6
HCPCS,A4387,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ",,,3.1,9.76,33
HCPCS,A4387,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each Trauma",,,7.68,7.68,6
HCPCS,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ",,,6.02,18.94,33
HCPCS,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each Trauma",,,14.9,14.9,6
HCPCS,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ",,,8.57,26.96,33
HCPCS,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each Trauma",,,21.22,21.22,6
HCPCS,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,13.27,41.72,33
HCPCS,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each Trauma",,,32.83,32.83,6
HCPCS,A4391,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ",,,9.77,30.71,33
HCPCS,A4391,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each Trauma",,,24.17,24.17,6
HCPCS,A4392,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ",,,11.3,35.53,33
HCPCS,A4392,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each Trauma",,,27.96,27.96,6
HCPCS,A4393,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ",,,12.49,39.28,33
HCPCS,A4393,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each Trauma",,,30.91,30.91,6
HCPCS,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce ",,,3.58,11.25,33
HCPCS,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce Trauma",,,8.86,8.86,6
HCPCS,A4395,"Ostomy deodorant for use in ostomy pouch, solid, per tablet ",,,0.05,0.15,33
HCPCS,A4395,"Ostomy deodorant for use in ostomy pouch, solid, per tablet Trauma",,,0.12,0.12,6
HCPCS,A4396,Ostomy belt with peristomal hernia support ,,,55.96,175.95,33
HCPCS,A4396,Ostomy belt with peristomal hernia support Trauma,,,138.46,138.46,6
HCPCS,A4398,"Ostomy irrigation supply; bag, each ",,,19.11,60.08,33
HCPCS,A4398,"Ostomy irrigation supply; bag, each Trauma",,,47.28,47.28,6
HCPCS,A4399,"Ostomy irrigation supply; cone/catheter, with or without brush ",,,16.96,53.31,33
HCPCS,A4399,"Ostomy irrigation supply; cone/catheter, with or without brush Trauma",,,41.95,41.95,6
HCPCS,A4400,Ostomy irrigation set ,,,57.42,180.56,33
HCPCS,A4400,Ostomy irrigation set Trauma,,,142.08,142.08,6
HCPCS,A4402,"Lubricant, per ounce ",,,1.96,6.16,33
HCPCS,A4402,"Lubricant, per ounce Trauma",,,4.85,4.85,6
HCPCS,A4404,"Ostomy ring, each ",,,2.32,7.29,33
HCPCS,A4404,"Ostomy ring, each Trauma",,,5.74,5.74,6
HCPCS,A4405,"Ostomy skin barrier, non-pectin based, paste, per ounce ",,,4.72,14.85,33
HCPCS,A4405,"Ostomy skin barrier, non-pectin based, paste, per ounce Trauma",,,11.69,11.69,6
HCPCS,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce ",,,7.92,24.89,33
HCPCS,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce Trauma",,,19.58,19.58,6
HCPCS,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ",,,12.11,38.06,33
HCPCS,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each Trauma",,,29.95,29.95,6
HCPCS,A4408,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ",,,13.65,42.91,33
HCPCS,A4408,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each Trauma",,,33.77,33.77,6
HCPCS,A4409,BARRIER SKIN 1.75IN,115.0,115.0,15.41,138.0,24
HCPCS,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ",115.0,115.0,8.57,26.96,33
HCPCS,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each Trauma",,,21.22,21.22,6
HCPCS,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ",,,12.49,39.28,33
HCPCS,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each Trauma",,,30.91,30.91,6
HCPCS,A4411,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ",,,7.04,22.14,33
HCPCS,A4411,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each Trauma",,,17.42,17.42,6
HCPCS,A4412,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ",,,3.74,11.77,33
HCPCS,A4412,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each Trauma",,,9.26,9.26,6
HCPCS,A4413,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ",,,7.61,23.94,33
HCPCS,A4413,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each Trauma",,,18.84,18.84,6
HCPCS,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each ",,,6.8,21.38,33
HCPCS,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each Trauma",,,16.82,16.82,6
HCPCS,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each ",,,8.29,26.08,33
HCPCS,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each Trauma",,,20.52,20.52,6
HCPCS,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each ",,,3.81,11.99,33
HCPCS,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each Trauma",,,9.43,9.43,6
HCPCS,A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each ",,,5.15,16.2,33
HCPCS,A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each Trauma",,,12.74,12.74,6
HCPCS,A4418,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each ",,,2.5,7.87,33
HCPCS,A4418,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each Trauma",,,6.19,6.19,6
HCPCS,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each ",,,2.39,7.5,33
HCPCS,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each Trauma",,,5.9,5.9,6
HCPCS,A4422,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ",,,0.15,0.46,33
HCPCS,A4422,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each Trauma",,,0.36,0.36,6
HCPCS,A4423,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each ",,,2.56,8.05,33
HCPCS,A4423,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each Trauma",,,6.34,6.34,6
HCPCS,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each ",,,6.58,20.68,33
HCPCS,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each Trauma",,,16.27,16.27,6
HCPCS,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each ",15.0,15.0,4.95,15.55,33
HCPCS,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each Trauma",,,12.24,12.24,6
HCPCS,A4425,POUCH OST 2.25IN 12IN,15.0,15.0,2.01,18.0,24
HCPCS,A4426,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each ",,,3.77,11.86,33
HCPCS,A4426,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each Trauma",,,9.34,9.34,6
HCPCS,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each ",,,3.86,12.14,33
HCPCS,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each Trauma",,,9.55,9.55,6
HCPCS,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each ",,,9.01,28.33,33
HCPCS,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each Trauma",,,22.3,22.3,6
HCPCS,A4429,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,11.41,35.87,33
HCPCS,A4429,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each Trauma",,,28.22,28.22,6
HCPCS,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each ",,,11.78,37.03,33
HCPCS,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each Trauma",,,29.14,29.14,6
HCPCS,A4431,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each ",,,8.57,26.96,33
HCPCS,A4431,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each Trauma",,,21.22,21.22,6
HCPCS,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each ",,,4.96,15.59,33
HCPCS,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each Trauma",,,12.26,12.26,6
HCPCS,A4433,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each ",,,4.64,14.58,33
HCPCS,A4433,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each Trauma",,,11.47,11.47,6
HCPCS,A4434,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each ",,,5.2,16.35,33
HCPCS,A4434,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each Trauma",,,12.86,12.86,6
HCPCS,A4435,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each ",126.0,126.0,7.96,25.04,33
HCPCS,A4435,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each Trauma",,,19.7,19.7,6
HCPCS,A4435,POUCH UROS 4 1/3IN 12IN,126.0,126.0,16.88,151.2,24
HCPCS,A4436,"Irrigation supply; sleeve, reusable, per month ",,,22.78,71.61,33
HCPCS,A4436,"Irrigation supply; sleeve, reusable, per month Trauma",,,56.35,56.35,6
HCPCS,A4437,"Irrigation supply; sleeve, disposable, per month ",,,22.78,71.61,33
HCPCS,A4437,"Irrigation supply; sleeve, disposable, per month Trauma",,,56.35,56.35,6
HCPCS,A4438,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each ",,,1.9,5.98,33
HCPCS,A4438,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each Trauma",,,4.7,4.7,6
HCPCS,A4450,"Tape, non-waterproof, per 18 square inches ",,,0.1,0.3,33
HCPCS,A4450,"Tape, non-waterproof, per 18 square inches Trauma",,,0.24,0.24,6
HCPCS,A4452,"Tape, waterproof, per 18 square inches ",,,0.48,1.52,33
HCPCS,A4452,"Tape, waterproof, per 18 square inches Trauma",,,1.2,1.2,6
HCPCS,A4453,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each ",,,13.62,42.82,33
HCPCS,A4453,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each Trauma",,,33.7,33.7,6
HCPCS,A4455,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ",,,1.68,5.28,33
HCPCS,A4455,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce Trauma",,,4.15,4.15,6
HCPCS,A4456,"Adhesive remover, wipes, any type, each ",,,0.34,1.07,33
HCPCS,A4456,"Adhesive remover, wipes, any type, each Trauma",,,0.84,0.84,6
HCPCS,A4459,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type ",,,155.61,489.28,33
HCPCS,A4459,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type Trauma",,,385.01,385.01,6
HCPCS,A4461,"Surgical dressing holder, non-reusable, each ",,,4.56,14.33,33
HCPCS,A4461,"Surgical dressing holder, non-reusable, each Trauma",,,11.28,11.28,6
HCPCS,A4463,"Surgical dressing holder, reusable, each ",,,18.4,57.86,33
HCPCS,A4463,"Surgical dressing holder, reusable, each Trauma",,,45.53,45.53,6
HCPCS,A4479,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type ",,,685.19,2154.46,33
HCPCS,A4479,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type Trauma",,,1695.31,1695.31,6
HCPCS,A4481,"Tracheostoma filter, any type, any size, each ",,,0.49,1.56,33
HCPCS,A4481,"Tracheostoma filter, any type, any size, each Trauma",,,1.22,1.22,6
HCPCS,A4541,Monthly supplies for use of device coded at e0733 ,,,39.84,125.26,33
HCPCS,A4541,Monthly supplies for use of device coded at e0733 Trauma,,,98.57,98.57,6
HCPCS,A4542,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ,,,511.04,1606.89,33
HCPCS,A4542,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist Trauma,,,1264.44,1264.44,6
HCPCS,A4544,Electrode for external lower extremity nerve stimulator for restless legs syndrome ,,,6.15,19.34,33
HCPCS,A4544,Electrode for external lower extremity nerve stimulator for restless legs syndrome Trauma,,,15.22,15.22,6
HCPCS,A4545,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month ",,,40.47,127.25,33
HCPCS,A4545,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month Trauma",,,100.13,100.13,6
HCPCS,A4556,"Electrodes, (e.g., apnea monitor), per pair ",,,14.95,47.0,33
HCPCS,A4556,"Electrodes, (e.g., apnea monitor), per pair Trauma",,,36.98,36.98,6
HCPCS,A4557,"Lead wires, (e.g., apnea monitor), per pair ",,,13.08,41.11,33
HCPCS,A4557,"Lead wires, (e.g., apnea monitor), per pair Trauma",,,32.35,32.35,6
HCPCS,A4558,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz ",,,7.13,22.42,33
HCPCS,A4558,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz Trauma",,,17.64,17.64,6
HCPCS,A4559,"Coupling gel or paste, for use with ultrasound device, per oz ",,,0.13,0.4,33
HCPCS,A4559,"Coupling gel or paste, for use with ultrasound device, per oz Trauma",,,0.31,0.31,6
HCPCS,A4561,"Pessary, reusable, rubber, any type ",,,28.46,89.49,33
HCPCS,A4561,"Pessary, reusable, rubber, any type Trauma",,,70.42,70.42,6
HCPCS,A4562,"Pessary, reusable, non rubber, any type ",,,70.77,222.53,33
HCPCS,A4562,"Pessary, reusable, non rubber, any type Trauma",,,175.1,175.1,6
HCPCS,A4563,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ",,,1639.04,5153.68,33
HCPCS,A4563,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each Trauma",,,4055.35,4055.35,6
HCPCS,A4565,SLING ORT SHLDR XL,77.0,77.0,10.32,92.4,24
HCPCS,A4565,Slings ,77.0,77.0,10.65,33.49,33
HCPCS,A4565,Slings Trauma,,,26.35,26.35,6
HCPCS,A4593,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ",,,51.23,161.07,33
HCPCS,A4593,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller Trauma",,,126.74,126.74,6
HCPCS,A4594,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ",,,3002.27,9440.12,33
HCPCS,A4594,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each Trauma",,,7428.29,7428.29,6
HCPCS,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) ",,,12.84,40.38,33
HCPCS,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) Trauma",,,31.78,31.78,6
HCPCS,A4596,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,39.84,125.26,38
HCPCS,A4596,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month Trauma",,,98.57,98.57,6
HCPCS,A4602,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ",,,5.15,16.2,33
HCPCS,A4602,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each Trauma",,,12.74,12.74,6
HCPCS,A4604,Tubing with integrated heating element for use with positive airway pressure device ,,,47.88,150.55,33
HCPCS,A4604,Tubing with integrated heating element for use with positive airway pressure device Trauma,,,118.46,118.46,6
HCPCS,A4605,"Tracheal suction catheter, closed system, each ",,,22.68,71.31,33
HCPCS,A4605,"Tracheal suction catheter, closed system, each Trauma",,,56.11,56.11,6
HCPCS,A4608,"Transtracheal oxygen catheter, each ",,,69.3,217.89,33
HCPCS,A4608,"Transtracheal oxygen catheter, each Trauma",,,171.46,171.46,6
HCPCS,A4614,"Peak expiratory flow rate meter, hand held ",,,32.87,103.36,33
HCPCS,A4614,"Peak expiratory flow rate meter, hand held Trauma",,,81.34,81.34,6
HCPCS,A4615,"Cannula, nasal ",,,1.01,3.17,33
HCPCS,A4615,"Cannula, nasal Trauma",,,2.5,2.5,6
HCPCS,A4616,"Tubing (oxygen), per foot ",,,0.08,0.24,33
HCPCS,A4616,"Tubing (oxygen), per foot Trauma",,,0.19,0.19,6
HCPCS,A4617,Mouth piece ,,,4.29,13.48,33
HCPCS,A4617,Mouth piece Trauma,,,10.61,10.61,6
HCPCS,A4618,Breathing circuits ,,,10.46,32.88,33
HCPCS,A4618,Breathing circuits Trauma,,,25.87,25.87,6
HCPCS,A4619,Face tent ,,,2.49,7.84,33
HCPCS,A4619,Face tent Trauma,,,6.17,6.17,6
HCPCS,A4620,Variable concentration mask ,,,0.83,2.62,33
HCPCS,A4620,Variable concentration mask Trauma,,,2.06,2.06,6
HCPCS,A4623,"Tracheostomy, inner cannula ",,,9.06,28.49,33
HCPCS,A4623,"Tracheostomy, inner cannula Trauma",,,22.42,22.42,6
HCPCS,A4624,"Tracheal suction catheter, any type other than closed system, each ",,,3.65,11.47,33
HCPCS,A4624,"Tracheal suction catheter, any type other than closed system, each Trauma",,,9.02,9.02,6
HCPCS,A4625,Tracheostomy care kit for new tracheostomy ,,,9.57,30.1,33
HCPCS,A4625,Tracheostomy care kit for new tracheostomy Trauma,,,23.69,23.69,6
HCPCS,A4626,"Tracheostomy cleaning brush, each ",,,3.74,11.77,33
HCPCS,A4626,"Tracheostomy cleaning brush, each Trauma",,,9.26,9.26,6
HCPCS,A4628,"Oral and/or oropharyngeal suction catheter, each ",,,5.06,15.92,33
HCPCS,A4628,"Oral and/or oropharyngeal suction catheter, each Trauma",,,12.53,12.53,6
HCPCS,A4629,Tracheostomy care kit for established tracheostomy ,,,6.43,20.22,33
HCPCS,A4629,Tracheostomy care kit for established tracheostomy Trauma,,,15.91,15.91,6
HCPCS,A4630,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient ",,,8.61,27.08,33
HCPCS,A4630,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient Trauma",,,21.31,21.31,6
HCPCS,A4633,"Replacement bulb/lamp for ultraviolet light therapy system, each ",,,56.74,178.39,33
HCPCS,A4633,"Replacement bulb/lamp for ultraviolet light therapy system, each Trauma",,,140.38,140.38,6
HCPCS,A4635,"Underarm pad, crutch, replacement, each ",,,6.0,18.88,33
HCPCS,A4635,"Underarm pad, crutch, replacement, each Trauma",,,14.86,14.86,6
HCPCS,A4636,"Replacement, handgrip, cane, crutch, or walker, each ",,,3.85,12.11,33
HCPCS,A4636,"Replacement, handgrip, cane, crutch, or walker, each Trauma",,,9.53,9.53,6
HCPCS,A4637,"Replacement, tip, cane, crutch, walker, each. ",,,2.13,6.71,33
HCPCS,A4637,"Replacement, tip, cane, crutch, walker, each. Trauma",,,5.28,5.28,6
HCPCS,A4639,"Replacement pad for infrared heating pad system, each ",,,39.71,124.87,33
HCPCS,A4639,"Replacement pad for infrared heating pad system, each Trauma",,,98.26,98.26,6
HCPCS,A4640,Replacement pad for use with medically necessary alternating pressure pad owned by patient ,,,61.42,193.13,33
HCPCS,A4640,Replacement pad for use with medically necessary alternating pressure pad owned by patient Trauma,,,151.97,151.97,6
HCPCS,A4641,RADIOPHARM DX NOC,352.0,352.0,18.66,422.4,36
HCPCS,A4642,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,2766.04,2766.04,5
HCPCS,A4648,MARKER BX SITE 12GA 13CM,115.5,115.5,5.62,162.0,140
HCPCS,A4648,MARKER BX SITE STOPLIGHT,110.0,110.0,5.83,132.0,20
HCPCS,A4648,MARKER FDCL 0.8MM 3.5MM,505.0,505.0,26.77,606.0,20
HCPCS,A4648,MARKER FDCL 1.2MM 3MM,66.0,66.0,3.5,79.2,20
HCPCS,A4648,MARKER MRI BUCKLE,110.0,110.0,5.83,132.0,20
HCPCS,A4648,MARKER MRI INFINITY,110.0,110.0,5.83,132.0,20
HCPCS,A4648,MARKER SITE 18GA 100CM,152.0,152.0,8.06,182.4,20
HCPCS,A4802,"Protamine sulfate, for hemodialysis, per 50 mg ",,,,,0
HCPCS,A5051,"Ostomy pouch, closed; with barrier attached (1 piece), each ",,,2.85,8.97,33
HCPCS,A5051,"Ostomy pouch, closed; with barrier attached (1 piece), each Trauma",,,7.06,7.06,6
HCPCS,A5052,"Ostomy pouch, closed; without barrier attached (1 piece), each ",,,2.06,6.47,33
HCPCS,A5052,"Ostomy pouch, closed; without barrier attached (1 piece), each Trauma",,,5.09,5.09,6
HCPCS,A5053,"Ostomy pouch, closed; for use on faceplate, each ",,,2.31,7.26,33
HCPCS,A5053,"Ostomy pouch, closed; for use on faceplate, each Trauma",,,5.71,5.71,6
HCPCS,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each ",,,2.48,7.81,33
HCPCS,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each Trauma",,,6.14,6.14,6
HCPCS,A5055,Stoma cap ,,,1.99,6.25,33
HCPCS,A5055,Stoma cap Trauma,,,4.92,4.92,6
HCPCS,A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ",,,6.46,20.31,33
HCPCS,A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each Trauma",,,15.98,15.98,6
HCPCS,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ",,,13.27,41.72,33
HCPCS,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each Trauma",,,32.83,32.83,6
HCPCS,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each ",,,4.89,15.37,33
HCPCS,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each Trauma",,,12.1,12.1,6
HCPCS,A5062,"Ostomy pouch, drainable; without barrier attached (1 piece), each ",,,2.87,9.03,33
HCPCS,A5062,"Ostomy pouch, drainable; without barrier attached (1 piece), each Trauma",,,7.1,7.1,6
HCPCS,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ",14.0,14.0,3.74,11.77,33
HCPCS,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each Trauma",,,9.26,9.26,6
HCPCS,A5063,POUCH OST 4IN 12IN,14.0,14.0,1.88,16.8,24
HCPCS,A5071,"Ostomy pouch, urinary; with barrier attached (1 piece), each ",,,8.31,26.14,33
HCPCS,A5071,"Ostomy pouch, urinary; with barrier attached (1 piece), each Trauma",,,20.57,20.57,6
HCPCS,A5072,"Ostomy pouch, urinary; without barrier attached (1 piece), each ",,,4.15,13.05,33
HCPCS,A5072,"Ostomy pouch, urinary; without barrier attached (1 piece), each Trauma",,,10.27,10.27,6
HCPCS,A5073,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each ",,,3.79,11.93,33
HCPCS,A5073,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each Trauma",,,9.38,9.38,6
HCPCS,A5081,"Stoma plug or seal, any type ",,,4.58,14.4,33
HCPCS,A5081,"Stoma plug or seal, any type Trauma",,,11.33,11.33,6
HCPCS,A5082,Continent device; catheter for continent stoma ,,,13.99,43.98,33
HCPCS,A5082,Continent device; catheter for continent stoma Trauma,,,34.61,34.61,6
HCPCS,A5083,"Continent device, stoma absorptive cover for continent stoma ",,,0.89,2.81,33
HCPCS,A5083,"Continent device, stoma absorptive cover for continent stoma Trauma",,,2.21,2.21,6
HCPCS,A5093,Ostomy accessory; convex insert ,,,2.7,8.48,33
HCPCS,A5093,Ostomy accessory; convex insert Trauma,,,6.67,6.67,6
HCPCS,A5102,"Bedside drainage bottle with or without tubing, rigid or expandable, each ",,,31.2,98.09,33
HCPCS,A5102,"Bedside drainage bottle with or without tubing, rigid or expandable, each Trauma",,,77.18,77.18,6
HCPCS,A5105,"Urinary suspensory with leg bag, with or without tube, each ",,,47.91,150.64,33
HCPCS,A5105,"Urinary suspensory with leg bag, with or without tube, each Trauma",,,118.54,118.54,6
HCPCS,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each ",,,47.87,150.52,33
HCPCS,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each Trauma",,,118.44,118.44,6
HCPCS,A5113,"Leg strap; latex, replacement only, per set ",,,6.51,20.47,33
HCPCS,A5113,"Leg strap; latex, replacement only, per set Trauma",,,16.1,16.1,6
HCPCS,A5114,"Leg strap; foam or fabric, replacement only, per set ",,,11.14,35.01,33
HCPCS,A5114,"Leg strap; foam or fabric, replacement only, per set Trauma",,,27.55,27.55,6
HCPCS,A5120,"Skin barrier, wipes or swabs, each ",,,0.34,1.07,33
HCPCS,A5120,"Skin barrier, wipes or swabs, each Trauma",,,0.84,0.84,6
HCPCS,A5121,"Skin barrier; solid, 6 x 6 or equivalent, each ",,,8.76,27.54,33
HCPCS,A5121,"Skin barrier; solid, 6 x 6 or equivalent, each Trauma",,,21.67,21.67,6
HCPCS,A5122,"Skin barrier; solid, 8 x 8 or equivalent, each ",,,17.75,55.81,33
HCPCS,A5122,"Skin barrier; solid, 8 x 8 or equivalent, each Trauma",,,43.92,43.92,6
HCPCS,A5126,Adhesive or non-adhesive; disk or foam pad ,,,1.54,4.85,33
HCPCS,A5126,Adhesive or non-adhesive; disk or foam pad Trauma,,,3.82,3.82,6
HCPCS,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. ",,,18.62,58.56,33
HCPCS,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. Trauma",,,46.08,46.08,6
HCPCS,A5200,"Percutaneous catheter/tube anchoring device, adhesive skin attachment ",,,15.62,49.11,33
HCPCS,A5200,"Percutaneous catheter/tube anchoring device, adhesive skin attachment Trauma",,,38.64,38.64,6
HCPCS,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe ",,,87.91,276.42,33
HCPCS,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe Trauma",,,217.51,217.51,6
HCPCS,A5501,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe ",,,263.65,828.99,33
HCPCS,A5501,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe Trauma",,,652.32,652.32,6
HCPCS,A5503,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe ",,,44.42,139.66,33
HCPCS,A5503,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe Trauma",,,109.9,109.9,6
HCPCS,A5504,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe ",,,44.42,139.66,33
HCPCS,A5504,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe Trauma",,,109.9,109.9,6
HCPCS,A5505,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe ",,,44.42,139.66,33
HCPCS,A5505,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe Trauma",,,109.9,109.9,6
HCPCS,A5506,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe ",,,44.42,139.66,33
HCPCS,A5506,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe Trauma",,,109.9,109.9,6
HCPCS,A5507,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe ",,,44.42,139.66,33
HCPCS,A5507,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe Trauma",,,109.9,109.9,6
HCPCS,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,35.85,112.73,39
HCPCS,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,53.51,168.24,39
HCPCS,A5514,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,53.51,168.24,39
HCPCS,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen ",,,42.82,134.63,33
HCPCS,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen Trauma",,,105.94,105.94,6
HCPCS,A6011,"Collagen based wound filler, gel/paste, per gram of collagen ",,,3.15,9.91,33
HCPCS,A6011,"Collagen based wound filler, gel/paste, per gram of collagen Trauma",,,7.8,7.8,6
HCPCS,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each ",,,29.07,91.41,33
HCPCS,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each Trauma",,,71.93,71.93,6
HCPCS,A6022,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ",,,29.07,91.41,33
HCPCS,A6022,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each Trauma",,,71.93,71.93,6
HCPCS,A6023,"Collagen dressing, sterile, size more than 48 sq. in., each ",,,263.08,827.22,33
HCPCS,A6023,"Collagen dressing, sterile, size more than 48 sq. in., each Trauma",,,650.93,650.93,6
HCPCS,A6024,"Collagen dressing wound filler, sterile, per 6 inches ",,,8.55,26.87,33
HCPCS,A6024,"Collagen dressing wound filler, sterile, per 6 inches Trauma",,,21.14,21.14,6
HCPCS,A6154,"Wound pouch, each ",,,19.26,60.57,33
HCPCS,A6154,"Wound pouch, each Trauma",,,47.66,47.66,6
HCPCS,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing ",,,10.18,31.99,33
HCPCS,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing Trauma",,,25.18,25.18,6
HCPCS,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,22.74,71.49,33
HCPCS,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Trauma",,,56.26,56.26,6
HCPCS,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches ",,,7.29,22.94,33
HCPCS,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches Trauma",,,18.05,18.05,6
HCPCS,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,4.66,14.64,33
HCPCS,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,11.52,11.52,6
HCPCS,A6204,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,8.59,27.02,33
HCPCS,A6204,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,21.26,21.26,6
HCPCS,A6207,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,10.16,31.93,33
HCPCS,A6207,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Trauma",,,25.13,25.13,6
HCPCS,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,10.33,32.48,33
HCPCS,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,25.56,25.56,6
HCPCS,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,27.55,86.62,33
HCPCS,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,68.16,68.16,6
HCPCS,A6211,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,40.6,127.67,33
HCPCS,A6211,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,100.46,100.46,6
HCPCS,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,13.42,42.21,33
HCPCS,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,33.22,33.22,6
HCPCS,A6214,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,14.24,44.77,33
HCPCS,A6214,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Trauma",,,35.23,35.23,6
HCPCS,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.05,0.15,33
HCPCS,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,0.12,0.12,6
HCPCS,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.32,4.15,33
HCPCS,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,3.26,3.26,6
HCPCS,A6220,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,3.58,11.25,33
HCPCS,A6220,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,8.86,8.86,6
HCPCS,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,2.95,9.27,33
HCPCS,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,7.3,7.3,6
HCPCS,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,3.36,10.55,33
HCPCS,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,8.3,8.3,6
HCPCS,A6224,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,4.98,15.65,33
HCPCS,A6224,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,12.31,12.31,6
HCPCS,A6229,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,4.98,15.65,33
HCPCS,A6229,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,12.31,12.31,6
HCPCS,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing ",,,6.46,20.31,33
HCPCS,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing Trauma",,,15.98,15.98,6
HCPCS,A6232,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing ",,,9.49,29.83,33
HCPCS,A6232,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing Trauma",,,23.47,23.47,6
HCPCS,A6233,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing ",,,26.51,83.36,33
HCPCS,A6233,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing Trauma",,,65.59,65.59,6
HCPCS,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,9.05,28.46,33
HCPCS,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,22.39,22.39,6
HCPCS,A6235,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,23.25,73.11,33
HCPCS,A6235,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,57.53,57.53,6
HCPCS,A6236,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,37.67,118.43,33
HCPCS,A6236,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,93.19,93.19,6
HCPCS,A6237,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,10.93,34.37,33
HCPCS,A6237,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,27.05,27.05,6
HCPCS,A6238,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,31.52,99.13,33
HCPCS,A6238,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,78.0,78.0,6
HCPCS,A6240,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce ",,,16.93,53.22,33
HCPCS,A6240,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce Trauma",,,41.88,41.88,6
HCPCS,A6241,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram ",,,3.55,11.16,33
HCPCS,A6241,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram Trauma",,,8.78,8.78,6
HCPCS,A6242,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,8.37,26.32,33
HCPCS,A6242,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,20.71,20.71,6
HCPCS,A6243,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,17.03,53.56,33
HCPCS,A6243,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,42.14,42.14,6
HCPCS,A6244,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,54.31,170.77,33
HCPCS,A6244,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,134.38,134.38,6
HCPCS,A6245,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,10.05,31.6,33
HCPCS,A6245,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,24.86,24.86,6
HCPCS,A6246,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,13.74,43.19,33
HCPCS,A6246,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,33.98,33.98,6
HCPCS,A6247,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ",,,32.87,103.36,33
HCPCS,A6247,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Trauma",,,81.34,81.34,6
HCPCS,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce ",,,22.46,70.61,33
HCPCS,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce Trauma",,,55.56,55.56,6
HCPCS,A6250,"Skin sealants, protectants, moisturizers, ointments, any type, any size ",,,,,0
HCPCS,A6251,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,2.75,8.66,33
HCPCS,A6251,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,6.82,6.82,6
HCPCS,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ",,,4.5,14.15,33
HCPCS,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,11.14,11.14,6
HCPCS,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ",,,8.76,27.54,33
HCPCS,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,21.67,21.67,6
HCPCS,A6254,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ",,,1.65,5.18,33
HCPCS,A6254,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,4.08,4.08,6
HCPCS,A6255,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ",,,4.21,13.24,33
HCPCS,A6255,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,10.42,10.42,6
HCPCS,A6257,"Transparent film, sterile, 16 sq. in. or less, each dressing ",,,2.11,6.65,33
HCPCS,A6257,"Transparent film, sterile, 16 sq. in. or less, each dressing Trauma",,,5.23,5.23,6
HCPCS,A6258,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ",,,5.96,18.73,33
HCPCS,A6258,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Trauma",,,14.74,14.74,6
HCPCS,A6259,"Transparent film, sterile, more than 48 sq. in., each dressing ",,,15.12,47.55,33
HCPCS,A6259,"Transparent film, sterile, more than 48 sq. in., each dressing Trauma",,,37.42,37.42,6
HCPCS,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard ",,,2.64,8.3,33
HCPCS,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard Trauma",,,6.53,6.53,6
HCPCS,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ",,,0.15,0.46,33
HCPCS,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,0.36,0.36,6
HCPCS,A6403,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ",,,0.56,1.77,33
HCPCS,A6403,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,1.39,1.39,6
HCPCS,A6407,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ",,,2.58,8.11,33
HCPCS,A6407,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard Trauma",,,6.38,6.38,6
HCPCS,A6410,"Eye pad, sterile, each ",,,0.51,1.62,33
HCPCS,A6410,"Eye pad, sterile, each Trauma",,,1.27,1.27,6
HCPCS,A6441,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ",,,0.94,2.96,33
HCPCS,A6441,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard Trauma",,,2.33,2.33,6
HCPCS,A6442,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ",,,0.22,0.7,33
HCPCS,A6442,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard Trauma",,,0.55,0.55,6
HCPCS,A6443,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.39,1.22,33
HCPCS,A6443,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard Trauma",,,0.96,0.96,6
HCPCS,A6444,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ",,,0.78,2.44,33
HCPCS,A6444,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard Trauma",,,1.92,1.92,6
HCPCS,A6445,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ",,,0.44,1.37,33
HCPCS,A6445,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard Trauma",,,1.08,1.08,6
HCPCS,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard ",,,0.53,1.68,33
HCPCS,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard Trauma",,,1.32,1.32,6
HCPCS,A6447,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard ",,,0.94,2.96,33
HCPCS,A6447,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard Trauma",,,2.33,2.33,6
HCPCS,A6448,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard ",,,1.59,5.0,33
HCPCS,A6448,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard Trauma",,,3.94,3.94,6
HCPCS,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,2.42,7.63,33
HCPCS,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Trauma",,,6.0,6.0,6
HCPCS,A6450,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard ",,,2.42,7.63,33
HCPCS,A6450,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard Trauma",,,6.0,6.0,6
HCPCS,A6451,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,2.42,7.63,39
HCPCS,A6452,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,8.15,25.62,39
HCPCS,A6453,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard ",,,0.87,2.75,33
HCPCS,A6453,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard Trauma",,,2.16,2.16,6
HCPCS,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.09,3.42,33
HCPCS,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard Trauma",,,2.69,2.69,6
HCPCS,A6455,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard ",,,1.93,6.07,33
HCPCS,A6455,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard Trauma",,,4.78,4.78,6
HCPCS,A6456,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard ",,,1.74,5.46,33
HCPCS,A6456,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Trauma",,,4.3,4.3,6
HCPCS,A6457,"Tubular dressing with or without elastic, any width, per linear yard ",,,1.57,4.94,33
HCPCS,A6457,"Tubular dressing with or without elastic, any width, per linear yard Trauma",,,3.89,3.89,6
HCPCS,A6520,"Gradient compression garment, glove, padded, for nighttime use, each ",,,122.66,385.67,33
HCPCS,A6520,"Gradient compression garment, glove, padded, for nighttime use, each Trauma",,,303.48,303.48,6
HCPCS,A6521,"Gradient compression garment, glove, padded, for nighttime use, custom, each ",,,486.7,1530.34,33
HCPCS,A6521,"Gradient compression garment, glove, padded, for nighttime use, custom, each Trauma",,,1204.2,1204.2,6
HCPCS,A6522,"Gradient compression garment, arm, padded, for nighttime use, each ",,,298.04,937.14,33
HCPCS,A6522,"Gradient compression garment, arm, padded, for nighttime use, each Trauma",,,737.42,737.42,6
HCPCS,A6523,"Gradient compression garment, arm, padded, for nighttime use, custom, each ",,,707.15,2223.51,33
HCPCS,A6523,"Gradient compression garment, arm, padded, for nighttime use, custom, each Trauma",,,1749.65,1749.65,6
HCPCS,A6524,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each ",,,371.84,1169.19,33
HCPCS,A6524,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each Trauma",,,920.02,920.02,6
HCPCS,A6525,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ",,,750.68,2360.39,33
HCPCS,A6525,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each Trauma",,,1857.36,1857.36,6
HCPCS,A6526,"Gradient compression garment, full leg and foot, padded, for nighttime use, each ",,,672.27,2113.83,33
HCPCS,A6526,"Gradient compression garment, full leg and foot, padded, for nighttime use, each Trauma",,,1663.34,1663.34,6
HCPCS,A6527,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ",,,1236.22,3887.07,33
HCPCS,A6527,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each Trauma",,,3058.68,3058.68,6
HCPCS,A6528,"Gradient compression garment, bra, for nighttime use, each ",,,646.43,2032.58,33
HCPCS,A6528,"Gradient compression garment, bra, for nighttime use, each Trauma",,,1599.41,1599.41,6
HCPCS,A6529,"Gradient compression garment, bra, for nighttime use, custom, each ",,,1021.45,3211.77,33
HCPCS,A6529,"Gradient compression garment, bra, for nighttime use, custom, each Trauma",,,2527.3,2527.3,6
HCPCS,A6530,"Gradient compression stocking, below knee, 18-30 mmhg, each ",,,37.9,119.16,33
HCPCS,A6530,"Gradient compression stocking, below knee, 18-30 mmhg, each Trauma",,,93.77,93.77,6
HCPCS,A6531,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ",,,59.81,188.06,33
HCPCS,A6531,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each Trauma",,,147.98,147.98,6
HCPCS,A6532,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ",,,84.27,264.98,33
HCPCS,A6532,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each Trauma",,,208.51,208.51,6
HCPCS,A6533,"Gradient compression stocking, thigh length, 18-30 mmhg, each ",,,53.21,167.32,33
HCPCS,A6533,"Gradient compression stocking, thigh length, 18-30 mmhg, each Trauma",,,131.66,131.66,6
HCPCS,A6534,"Gradient compression stocking, thigh length, 30-40 mmhg, each ",,,60.77,191.08,33
HCPCS,A6534,"Gradient compression stocking, thigh length, 30-40 mmhg, each Trauma",,,150.36,150.36,6
HCPCS,A6535,"Gradient compression stocking, thigh length, 40 mmhg or greater, each ",,,69.97,220.0,33
HCPCS,A6535,"Gradient compression stocking, thigh length, 40 mmhg or greater, each Trauma",,,173.11,173.11,6
HCPCS,A6536,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each ",,,71.73,225.55,33
HCPCS,A6536,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each Trauma",,,177.48,177.48,6
HCPCS,A6537,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each ",,,85.04,267.39,33
HCPCS,A6537,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each Trauma",,,210.41,210.41,6
HCPCS,A6538,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ",,,99.57,313.08,33
HCPCS,A6538,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each Trauma",,,246.36,246.36,6
HCPCS,A6539,"Gradient compression stocking, waist length, 18-30 mmhg, each ",,,94.92,298.47,33
HCPCS,A6539,"Gradient compression stocking, waist length, 18-30 mmhg, each Trauma",,,234.86,234.86,6
HCPCS,A6540,"Gradient compression stocking, waist length, 30-40 mmhg, each ",,,113.18,355.87,33
HCPCS,A6540,"Gradient compression stocking, waist length, 30-40 mmhg, each Trauma",,,280.03,280.03,6
HCPCS,A6541,"Gradient compression stocking, waist length, 40 mmhg or greater, each ",,,134.06,421.54,33
HCPCS,A6541,"Gradient compression stocking, waist length, 40 mmhg or greater, each Trauma",,,331.7,331.7,6
HCPCS,A6544,"Gradient compression stocking, garter belt ",,,37.73,118.64,33
HCPCS,A6544,"Gradient compression stocking, garter belt Trauma",,,93.36,93.36,6
HCPCS,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ",,,117.77,370.3,33
HCPCS,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each Trauma",,,291.38,291.38,6
HCPCS,A6548,"Accessory to custom gradient compression garment, silicone band, any size ",,,20.23,63.62,33
HCPCS,A6548,"Accessory to custom gradient compression garment, silicone band, any size Trauma",,,50.06,50.06,6
HCPCS,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ",,,30.41,95.62,33
HCPCS,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories Trauma",,,75.24,75.24,6
HCPCS,A6552,"Gradient compression stocking, below knee, 30-40 mmhg, each ",,,56.23,176.81,33
HCPCS,A6552,"Gradient compression stocking, below knee, 30-40 mmhg, each Trauma",,,139.13,139.13,6
HCPCS,A6553,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each ",,,219.59,690.46,33
HCPCS,A6553,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each Trauma",,,543.31,543.31,6
HCPCS,A6554,"Gradient compression stocking, below knee, 40 mmhg or greater, each ",,,77.33,243.15,33
HCPCS,A6554,"Gradient compression stocking, below knee, 40 mmhg or greater, each Trauma",,,191.33,191.33,6
HCPCS,A6555,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ",,,219.59,690.46,33
HCPCS,A6555,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each Trauma",,,543.31,543.31,6
HCPCS,A6556,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ",,,300.94,946.26,33
HCPCS,A6556,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each Trauma",,,744.6,744.6,6
HCPCS,A6557,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ",,,300.94,946.26,33
HCPCS,A6557,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each Trauma",,,744.6,744.6,6
HCPCS,A6558,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ",,,310.56,976.52,33
HCPCS,A6558,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each Trauma",,,768.41,768.41,6
HCPCS,A6562,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each ",,,984.91,3096.88,33
HCPCS,A6562,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each Trauma",,,2436.89,2436.89,6
HCPCS,A6563,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each ",,,984.91,3096.88,33
HCPCS,A6563,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each Trauma",,,2436.89,2436.89,6
HCPCS,A6564,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ",,,1060.97,3336.03,33
HCPCS,A6564,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each Trauma",,,2625.07,2625.07,6
HCPCS,A6565,"Gradient compression gauntlet, custom, each ",,,170.19,535.12,33
HCPCS,A6565,"Gradient compression gauntlet, custom, each Trauma",,,421.08,421.08,6
HCPCS,A6566,"Gradient compression garment, neck/head, each ",,,247.11,776.99,33
HCPCS,A6566,"Gradient compression garment, neck/head, each Trauma",,,611.4,611.4,6
HCPCS,A6567,"Gradient compression garment, neck/head, custom, each ",,,776.41,2441.28,33
HCPCS,A6567,"Gradient compression garment, neck/head, custom, each Trauma",,,1921.01,1921.01,6
HCPCS,A6568,"Gradient compression garment, torso and shoulder, each ",,,161.27,507.09,33
HCPCS,A6568,"Gradient compression garment, torso and shoulder, each Trauma",,,399.02,399.02,6
HCPCS,A6569,"Gradient compression garment, torso/shoulder, custom, each ",,,918.34,2887.56,33
HCPCS,A6569,"Gradient compression garment, torso/shoulder, custom, each Trauma",,,2272.18,2272.18,6
HCPCS,A6570,"Gradient compression garment, genital region, each ",,,109.88,345.5,33
HCPCS,A6570,"Gradient compression garment, genital region, each Trauma",,,271.87,271.87,6
HCPCS,A6571,"Gradient compression garment, genital region, custom, each ",,,660.41,2076.56,33
HCPCS,A6571,"Gradient compression garment, genital region, custom, each Trauma",,,1634.02,1634.02,6
HCPCS,A6572,"Gradient compression garment, toe caps, each ",,,101.96,320.59,33
HCPCS,A6572,"Gradient compression garment, toe caps, each Trauma",,,252.26,252.26,6
HCPCS,A6573,"Gradient compression garment, toe caps, custom, each ",,,241.95,760.76,33
HCPCS,A6573,"Gradient compression garment, toe caps, custom, each Trauma",,,598.63,598.63,6
HCPCS,A6574,"Gradient compression arm sleeve and glove combination, custom, each ",,,308.45,969.87,33
HCPCS,A6574,"Gradient compression arm sleeve and glove combination, custom, each Trauma",,,763.18,763.18,6
HCPCS,A6575,"Gradient  compression arm sleeve and glove combination, each ",,,99.96,314.3,33
HCPCS,A6575,"Gradient  compression arm sleeve and glove combination, each Trauma",,,247.32,247.32,6
HCPCS,A6576,"Gradient  compression arm sleeve, custom, medium weight, each ",,,189.31,595.24,33
HCPCS,A6576,"Gradient  compression arm sleeve, custom, medium weight, each Trauma",,,468.38,468.38,6
HCPCS,A6577,"Gradient  compression arm sleeve, custom, heavy weight, each ",,,156.68,492.67,33
HCPCS,A6577,"Gradient  compression arm sleeve, custom, heavy weight, each Trauma",,,387.67,387.67,6
HCPCS,A6578,"Gradient  compression arm sleeve, each ",,,77.16,242.63,33
HCPCS,A6578,"Gradient  compression arm sleeve, each Trauma",,,190.92,190.92,6
HCPCS,A6579,"Gradient compression glove, custom, medium weight, each ",,,303.86,955.44,33
HCPCS,A6579,"Gradient compression glove, custom, medium weight, each Trauma",,,751.82,751.82,6
HCPCS,A6580,"Gradient  compression glove, custom, heavy weight, each ",,,301.63,948.43,33
HCPCS,A6580,"Gradient  compression glove, custom, heavy weight, each Trauma",,,746.3,746.3,6
HCPCS,A6581,"Gradient compression glove, each ",,,70.8,222.62,33
HCPCS,A6581,"Gradient compression glove, each Trauma",,,175.18,175.18,6
HCPCS,A6582,"Gradient compression gauntlet, each ",,,47.22,148.47,33
HCPCS,A6582,"Gradient compression gauntlet, each Trauma",,,116.83,116.83,6
HCPCS,A6583,"Gradient compression wrap with adjustable straps, below knee, each ",,,155.33,488.4,33
HCPCS,A6583,"Gradient compression wrap with adjustable straps, below knee, each Trauma",,,384.31,384.31,6
HCPCS,A6585,"Gradient compression wrap with adjustable straps, above knee, each ",,,183.91,578.28,33
HCPCS,A6585,"Gradient compression wrap with adjustable straps, above knee, each Trauma",,,455.04,455.04,6
HCPCS,A6586,"Gradient compression wrap with adjustable straps, full leg, each ",,,541.83,1703.7,33
HCPCS,A6586,"Gradient compression wrap with adjustable straps, full leg, each Trauma",,,1340.62,1340.62,6
HCPCS,A6587,"Gradient compression wrap with adjustable straps, foot, each ",,,70.97,223.17,33
HCPCS,A6587,"Gradient compression wrap with adjustable straps, foot, each Trauma",,,175.61,175.61,6
HCPCS,A6588,"Gradient compression wrap with adjustable straps, arm, each ",,,236.55,743.8,33
HCPCS,A6588,"Gradient compression wrap with adjustable straps, arm, each Trauma",,,585.29,585.29,6
HCPCS,A6589,"Gradient pressure wrap with adjustable straps, bra, each ",,,93.38,293.62,33
HCPCS,A6589,"Gradient pressure wrap with adjustable straps, bra, each Trauma",,,231.05,231.05,6
HCPCS,A6590,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month ",,,409.15,1286.49,33
HCPCS,A6590,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month Trauma",,,1012.32,1012.32,6
HCPCS,A6591,"External urinary catheter; non-disposable, for use with suction pump, per month ",,,87.92,276.45,33
HCPCS,A6591,"External urinary catheter; non-disposable, for use with suction pump, per month Trauma",,,217.54,217.54,6
HCPCS,A6594,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ",,,34.0,106.9,33
HCPCS,A6594,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each Trauma",,,84.12,84.12,6
HCPCS,A6595,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ",,,33.45,105.16,33
HCPCS,A6595,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each Trauma",,,82.75,82.75,6
HCPCS,A6596,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ",,,0.17,0.55,33
HCPCS,A6596,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each Trauma",,,0.43,0.43,6
HCPCS,A6597,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ",,,1.5,4.73,33
HCPCS,A6597,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each Trauma",,,3.72,3.72,6
HCPCS,A6598,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ",,,0.73,2.29,33
HCPCS,A6598,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each Trauma",,,1.8,1.8,6
HCPCS,A6599,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ",,,1.65,5.18,33
HCPCS,A6599,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each Trauma",,,4.08,4.08,6
HCPCS,A6600,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ",,,2.98,9.36,33
HCPCS,A6600,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each Trauma",,,7.37,7.37,6
HCPCS,A6601,"Gradient compression bandaging supply, high density foam pad, any size or shape, each ",,,3.35,10.52,33
HCPCS,A6601,"Gradient compression bandaging supply, high density foam pad, any size or shape, each Trauma",,,8.28,8.28,6
HCPCS,A6602,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ",,,4.88,15.34,33
HCPCS,A6602,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each Trauma",,,12.07,12.07,6
HCPCS,A6603,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ",,,2.29,7.2,33
HCPCS,A6603,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each Trauma",,,5.66,5.66,6
HCPCS,A6604,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ",,,1.34,4.21,33
HCPCS,A6604,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each Trauma",,,3.31,3.31,6
HCPCS,A6605,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each ",,,1.52,4.79,33
HCPCS,A6605,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each Trauma",,,3.77,3.77,6
HCPCS,A6606,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each ",,,4.53,14.24,33
HCPCS,A6606,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each Trauma",,,11.21,11.21,6
HCPCS,A6607,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ",,,1.21,3.81,33
HCPCS,A6607,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each Trauma",,,3.0,3.0,6
HCPCS,A6608,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ",,,5.05,15.89,33
HCPCS,A6608,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each Trauma",,,12.5,12.5,6
HCPCS,A6610,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each ",,,219.59,690.46,33
HCPCS,A6610,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each Trauma",,,543.31,543.31,6
HCPCS,A7000,"Canister, disposable, used with suction pump, each ",,,10.19,32.02,33
HCPCS,A7000,"Canister, disposable, used with suction pump, each Trauma",,,25.2,25.2,6
HCPCS,A7001,"Canister, non-disposable, used with suction pump, each ",,,38.86,122.18,33
HCPCS,A7001,"Canister, non-disposable, used with suction pump, each Trauma",,,96.14,96.14,6
HCPCS,A7002,"Tubing, used with suction pump, each ",,,4.51,14.18,33
HCPCS,A7002,"Tubing, used with suction pump, each Trauma",,,11.16,11.16,6
HCPCS,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable ",,,1.83,5.76,33
HCPCS,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable Trauma",,,4.54,4.54,6
HCPCS,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable ",,,1.54,4.85,33
HCPCS,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable Trauma",,,3.82,3.82,6
HCPCS,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable ",,,14.57,45.81,33
HCPCS,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable Trauma",,,36.05,36.05,6
HCPCS,A7006,"Administration set, with small volume filtered pneumatic nebulizer ",,,9.28,29.19,33
HCPCS,A7006,"Administration set, with small volume filtered pneumatic nebulizer Trauma",,,22.97,22.97,6
HCPCS,A7007,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor ",,,4.04,12.72,33
HCPCS,A7007,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor Trauma",,,10.01,10.01,6
HCPCS,A7008,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor ",,,12.92,40.63,33
HCPCS,A7008,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor Trauma",,,31.97,31.97,6
HCPCS,A7009,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer ",,,53.97,169.7,33
HCPCS,A7009,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer Trauma",,,133.54,133.54,6
HCPCS,A7010,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet ",,,19.57,61.55,33
HCPCS,A7010,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet Trauma",,,48.43,48.43,6
HCPCS,A7012,"Water collection device, used with large volume nebulizer ",,,3.59,11.29,33
HCPCS,A7012,"Water collection device, used with large volume nebulizer Trauma",,,8.88,8.88,6
HCPCS,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator ",,,0.71,2.23,33
HCPCS,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator Trauma",,,1.75,1.75,6
HCPCS,A7014,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator ",,,3.97,12.47,33
HCPCS,A7014,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator Trauma",,,9.82,9.82,6
HCPCS,A7015,"Aerosol mask, used with dme nebulizer ",,,1.59,5.0,33
HCPCS,A7015,"Aerosol mask, used with dme nebulizer Trauma",,,3.94,3.94,6
HCPCS,A7016,"Dome and mouthpiece, used with small volume ultrasonic nebulizer ",,,9.03,28.4,33
HCPCS,A7016,"Dome and mouthpiece, used with small volume ultrasonic nebulizer Trauma",,,22.34,22.34,6
HCPCS,A7017,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen ",,,151.62,476.75,33
HCPCS,A7017,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen Trauma",,,375.14,375.14,6
HCPCS,A7018,"Water, distilled, used with large volume nebulizer, 1000 ml ",,,0.4,1.25,33
HCPCS,A7018,"Water, distilled, used with large volume nebulizer, 1000 ml Trauma",,,0.98,0.98,6
HCPCS,A7020,"Interface for cough stimulating device, includes all components, replacement only ",,,19.27,60.6,33
HCPCS,A7020,"Interface for cough stimulating device, includes all components, replacement only Trauma",,,47.69,47.69,6
HCPCS,A7021,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) ",,,132.28,415.93,33
HCPCS,A7021,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) Trauma",,,327.29,327.29,6
HCPCS,A7025,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each ",,,60.13,189.07,33
HCPCS,A7025,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each Trauma",,,148.78,148.78,6
HCPCS,A7026,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each ",,,39.73,124.93,33
HCPCS,A7026,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each Trauma",,,98.3,98.3,6
HCPCS,A7027,"Combination oral/nasal mask, used with continuous positive airway pressure device, each ",,,149.07,468.72,33
HCPCS,A7027,"Combination oral/nasal mask, used with continuous positive airway pressure device, each Trauma",,,368.83,368.83,6
HCPCS,A7028,"Oral cushion for combination oral/nasal mask, replacement only, each ",,,41.68,131.06,33
HCPCS,A7028,"Oral cushion for combination oral/nasal mask, replacement only, each Trauma",,,103.13,103.13,6
HCPCS,A7029,"Nasal pillows for combination oral/nasal mask, replacement only, pair ",,,18.62,58.56,33
HCPCS,A7029,"Nasal pillows for combination oral/nasal mask, replacement only, pair Trauma",,,46.08,46.08,6
HCPCS,A7030,"Full face mask used with positive airway pressure device, each ",,,107.23,337.18,33
HCPCS,A7030,"Full face mask used with positive airway pressure device, each Trauma",,,265.32,265.32,6
HCPCS,A7031,"Face mask interface, replacement for full face mask, each ",,,41.58,130.75,33
HCPCS,A7031,"Face mask interface, replacement for full face mask, each Trauma",,,102.89,102.89,6
HCPCS,A7032,"Cushion for use on nasal mask interface, replacement only, each ",,,23.33,73.35,33
HCPCS,A7032,"Cushion for use on nasal mask interface, replacement only, each Trauma",,,57.72,57.72,6
HCPCS,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair ",,,18.78,59.05,33
HCPCS,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair Trauma",,,46.46,46.46,6
HCPCS,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap ",,,67.66,212.74,33
HCPCS,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap Trauma",,,167.4,167.4,6
HCPCS,A7035,Headgear used with positive airway pressure device ,,,22.2,69.81,33
HCPCS,A7035,Headgear used with positive airway pressure device Trauma,,,54.94,54.94,6
HCPCS,A7036,Chinstrap used with positive airway pressure device ,,,12.92,40.63,33
HCPCS,A7036,Chinstrap used with positive airway pressure device Trauma,,,31.97,31.97,6
HCPCS,A7037,Tubing used with positive airway pressure device ,,,14.33,45.05,33
HCPCS,A7037,Tubing used with positive airway pressure device Trauma,,,35.45,35.45,6
HCPCS,A7038,"Filter, disposable, used with positive airway pressure device ",,,2.5,7.87,33
HCPCS,A7038,"Filter, disposable, used with positive airway pressure device Trauma",,,6.19,6.19,6
HCPCS,A7039,"Filter, non disposable, used with positive airway pressure device ",,,7.34,23.09,33
HCPCS,A7039,"Filter, non disposable, used with positive airway pressure device Trauma",,,18.17,18.17,6
HCPCS,A7040,One way chest drain valve ,,,56.22,176.78,33
HCPCS,A7040,One way chest drain valve Trauma,,,139.1,139.1,6
HCPCS,A7041,Water seal drainage container and tubing for use with implanted chest tube ,,,105.66,332.24,33
HCPCS,A7041,Water seal drainage container and tubing for use with implanted chest tube Trauma,,,261.43,261.43,6
HCPCS,A7044,"Oral interface used with positive airway pressure device, each ",,,103.03,323.97,33
HCPCS,A7044,"Oral interface used with positive airway pressure device, each Trauma",,,254.93,254.93,6
HCPCS,A7045,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only ",,,14.18,44.59,33
HCPCS,A7045,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only Trauma",,,35.09,35.09,6
HCPCS,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each ",,,16.5,51.88,33
HCPCS,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each Trauma",,,40.82,40.82,6
HCPCS,A7047,"Oral interface used with respiratory suction pump, each ",,,167.14,525.55,33
HCPCS,A7047,"Oral interface used with respiratory suction pump, each Trauma",,,413.54,413.54,6
HCPCS,A7048,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each ",,,58.81,184.92,33
HCPCS,A7048,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each Trauma",,,145.51,145.51,6
HCPCS,A7501,"Tracheostoma valve, including diaphragm, each ",,,145.17,456.46,33
HCPCS,A7501,"Tracheostoma valve, including diaphragm, each Trauma",,,359.18,359.18,6
HCPCS,A7502,"Replacement diaphragm/faceplate for tracheostoma valve, each ",,,69.02,217.01,33
HCPCS,A7502,"Replacement diaphragm/faceplate for tracheostoma valve, each Trauma",,,170.76,170.76,6
HCPCS,A7503,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each ",,,15.68,49.32,33
HCPCS,A7503,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each Trauma",,,38.81,38.81,6
HCPCS,A7504,"Filter for use in a tracheostoma heat and moisture exchange system, each ",,,0.94,2.96,33
HCPCS,A7504,"Filter for use in a tracheostoma heat and moisture exchange system, each Trauma",,,2.33,2.33,6
HCPCS,A7505,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each ",,,6.48,20.37,33
HCPCS,A7505,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each Trauma",,,16.03,16.03,6
HCPCS,A7506,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each ",,,0.45,1.4,33
HCPCS,A7506,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each Trauma",,,1.1,1.1,6
HCPCS,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each ",,,3.45,10.86,33
HCPCS,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each Trauma",,,8.54,8.54,6
HCPCS,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each ",,,3.97,12.47,33
HCPCS,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each Trauma",,,9.82,9.82,6
HCPCS,A7509,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each ",,,1.95,6.13,33
HCPCS,A7509,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each Trauma",,,4.82,4.82,6
HCPCS,A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,65.63,206.36,33
HCPCS,A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each Trauma",,,162.38,162.38,6
HCPCS,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each ",,,65.03,204.47,33
HCPCS,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each Trauma",,,160.9,160.9,6
HCPCS,A7522,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each ",,,62.43,196.3,33
HCPCS,A7522,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each Trauma",,,154.46,154.46,6
HCPCS,A7524,"Tracheostoma stent/stud/button, each ",,,107.02,336.51,33
HCPCS,A7524,"Tracheostoma stent/stud/button, each Trauma",,,264.79,264.79,6
HCPCS,A7525,"Tracheostomy mask, each ",,,2.85,8.97,33
HCPCS,A7525,"Tracheostomy mask, each Trauma",,,7.06,7.06,6
HCPCS,A7526,"Tracheostomy tube collar/holder, each ",,,4.69,14.73,33
HCPCS,A7526,"Tracheostomy tube collar/holder, each Trauma",,,11.59,11.59,6
HCPCS,A7527,"Tracheostomy/laryngectomy tube plug/stop, each ",,,4.95,15.55,33
HCPCS,A7527,"Tracheostomy/laryngectomy tube plug/stop, each Trauma",,,12.24,12.24,6
HCPCS,A8000,"Helmet, protective, soft, prefabricated, includes all components and accessories ",,,212.01,666.64,33
HCPCS,A8000,"Helmet, protective, soft, prefabricated, includes all components and accessories Trauma",,,524.57,524.57,6
HCPCS,A8001,"Helmet, protective, hard, prefabricated, includes all components and accessories ",,,212.01,666.64,33
HCPCS,A8001,"Helmet, protective, hard, prefabricated, includes all components and accessories Trauma",,,524.57,524.57,6
HCPCS,A9180,"Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker ",,,,,0
HCPCS,A9500,TC99M SESTAMIBI DX DOSE,5683.0,5683.0,301.2,6819.6,36
HCPCS,A9500,"Technetium tc-99m sestamibi, diagnostic, per study dose ",5683.0,5683.0,743.46,743.46,5
HCPCS,A9502,TC99M TETROFOSMIN DXDOSE,279.0,279.0,14.79,334.8,36
HCPCS,A9502,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",279.0,279.0,192.89,192.89,5
HCPCS,A9503,TC99M MEDRONATE DX 30MCI,495.0,495.0,26.23,594.0,36
HCPCS,A9503,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",495.0,495.0,106.36,106.36,5
HCPCS,A9504,TC99M APCITIDE DX 20MCI,204.0,204.0,10.81,244.8,36
HCPCS,A9504,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",204.0,204.0,867.45,867.45,5
HCPCS,A9505,TL201 THALLOUS CL DX MCI,1448.0,1448.0,76.74,1737.6,36
HCPCS,A9505,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",1448.0,1448.0,91.49,91.49,5
HCPCS,A9506,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,542.19,542.19,5
HCPCS,A9507,IN111 CAPRO PEN DX 10MCI,14028.0,14028.0,743.48,16833.6,36
HCPCS,A9507,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",14028.0,14028.0,2854.98,2854.98,5
HCPCS,A9508,I131 IOBENGUAN DX 0.5MCI,7782.0,7782.0,412.45,9338.4,36
HCPCS,A9508,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",7782.0,7782.0,1572.47,1572.47,5
HCPCS,A9509,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,287.13,287.13,5
HCPCS,A9510,TC99M DISOFENIN DX 15MCI,832.0,832.0,44.1,998.4,36
HCPCS,A9510,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",832.0,832.0,101.95,101.95,5
HCPCS,A9512,TC99M PERTECHNETA DX MCI,218.0,218.0,11.55,261.6,36
HCPCS,A9512,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",218.0,218.0,18.18,18.18,5
HCPCS,A9513,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,527.9,527.9,5
HCPCS,A9515,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,4152.11,4152.11,5
HCPCS,A9516,I123 SOD DX 100-999 UCI,774.0,774.0,41.02,928.8,36
HCPCS,A9516,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",774.0,774.0,167.54,167.54,5
HCPCS,A9517,I131 SOD IOD CAP TX MCI,581.0,581.0,49.97,697.2,43
HCPCS,A9517,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",581.0,581.0,39.72,39.72,5
HCPCS,A9520,TC99M TILMANOC DX 0.5MCI,6531.0,6531.0,346.14,7837.2,36
HCPCS,A9521,TC99M EXAMETAZM DX 25MCI,21510.0,21510.0,1140.03,25812.0,36
HCPCS,A9521,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",21510.0,21510.0,2644.26,2644.26,5
HCPCS,A9524,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,1430.14,1430.14,5
HCPCS,A9526,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,1321.57,1321.57,5
HCPCS,A9527,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,653.93,653.93,5
HCPCS,A9528,I131 SOD IOD CAP DX MCI,581.0,581.0,30.79,697.2,36
HCPCS,A9528,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",581.0,581.0,160.92,160.92,5
HCPCS,A9530,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,34.27,34.27,5
HCPCS,A9531,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,7.16,7.16,5
HCPCS,A9532,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,773.95,773.95,5
HCPCS,A9536,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,1321.02,1321.02,5
HCPCS,A9537,TC99M MEBROFEN DX 15MCI,679.0,679.0,35.99,814.8,36
HCPCS,A9537,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",679.0,679.0,187.21,187.21,5
HCPCS,A9538,TC99M PYROPHOS DX 25MCI,1117.0,1117.0,59.2,1340.4,36
HCPCS,A9538,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",1117.0,1117.0,74.96,74.96,5
HCPCS,A9539,TC99M PENTETATE DX 25MCI,343.0,343.0,18.18,411.6,36
HCPCS,A9539,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",343.0,343.0,47.39,47.39,5
HCPCS,A9540,TC99M MACRO ALB DX 10MCI,7532.0,7532.0,399.2,9038.4,36
HCPCS,A9540,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",7532.0,7532.0,50.14,50.14,5
HCPCS,A9541,TC99M SULFUR CO DX 20MCI,2030.0,2030.0,107.59,2436.0,36
HCPCS,A9541,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",2030.0,2030.0,1239.81,1239.81,5
HCPCS,A9542,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,6782.57,6782.57,5
HCPCS,A9543,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,93760.51,93760.51,5
HCPCS,A9546,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,2.21,2.21,5
HCPCS,A9547,IN111 OXYQUINO DX 0.5MCI,32213.0,32213.0,2770.32,38655.6,35
HCPCS,A9547,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",32213.0,32213.0,1371.91,1371.91,5
HCPCS,A9548,IN111 PENTETAT DX 0.5MCI,61838.0,61838.0,5318.07,74205.6,35
HCPCS,A9548,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",61838.0,61838.0,1230.27,1230.27,5
HCPCS,A9551,TC99M SUCCIMER DX 10MCI,9911.0,9911.0,525.28,11893.2,36
HCPCS,A9551,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",9911.0,9911.0,1088.88,1088.88,5
HCPCS,A9552,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,711.5,711.5,5
HCPCS,A9553,CR51 SOD CHROM DX 250UCI,41.0,41.0,2.17,49.2,36
HCPCS,A9553,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",41.0,41.0,3164.63,3164.63,5
HCPCS,A9554,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,1071.91,1071.91,5
HCPCS,A9555,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,817.31,817.31,5
HCPCS,A9556,GA67 CITRATE DX 1 MCI,1595.0,1595.0,84.53,1914.0,36
HCPCS,A9556,"Gallium ga-67 citrate, diagnostic, per millicurie ",1595.0,1595.0,37.47,37.47,5
HCPCS,A9557,TC99M BICISATE DX 25 MCI,7922.0,7922.0,681.29,9506.4,35
HCPCS,A9557,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",7922.0,7922.0,1279.61,1279.61,5
HCPCS,A9558,XENON XE133 GAS DX 10MCI,1391.0,1391.0,73.72,1669.2,36
HCPCS,A9558,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",1391.0,1391.0,505.38,505.38,5
HCPCS,A9559,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,337.84,337.84,5
HCPCS,A9560,TC99M LABEL RBC DX 30MCI,2030.0,2030.0,107.59,2436.0,72
HCPCS,A9560,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,179.67,179.67,5
HCPCS,A9561,TC99M OXIDRONAT DX 30MCI,353.0,353.0,18.71,423.6,36
HCPCS,A9561,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",353.0,353.0,85.98,85.98,5
HCPCS,A9562,TC99M MERTIATID DX 15MCI,4492.0,4492.0,238.08,5390.4,36
HCPCS,A9562,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",4492.0,4492.0,1308.9,1308.9,5
HCPCS,A9563,"Sodium phosphate p-32, therapeutic, per millicurie ",,,459.1,459.1,5
HCPCS,A9564,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,257.93,257.93,5
HCPCS,A9567,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,34.72,34.72,5
HCPCS,A9568,TC99M ARCITUMOM DX 45MCI,14028.0,14028.0,743.48,16833.6,36
HCPCS,A9568,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",14028.0,14028.0,2138.32,2138.32,5
HCPCS,A9569,TC99M AUTO WBC DX DOSE,25259.0,25259.0,2172.27,30310.8,35
HCPCS,A9569,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",25259.0,25259.0,1541.31,1541.31,5
HCPCS,A9570,IN111 AUTO WBC DX DOSE,29295.0,29295.0,2519.37,35154.0,35
HCPCS,A9570,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",29295.0,29295.0,1820.26,1820.26,5
HCPCS,A9571,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,7915.66,7915.66,5
HCPCS,A9572,IN111 PENTETREOT DX 6MCI,61838.0,61838.0,5318.07,74205.6,35
HCPCS,A9572,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",61838.0,61838.0,3301.55,3301.55,5
HCPCS,A9573,"Injection, gadopiclenol, 1 ml ",,,3.12,5.31,6
HCPCS,A9575,GADOTERATE MEG 20 ML,314.0,314.0,16.64,376.8,29
HCPCS,A9575,"Injection, gadoterate meglumine, 0.1 ml ",314.0,314.0,0.09,0.15,6
HCPCS,A9576,"Injection, gadoteridol, (prohance multipack), per ml ",312.0,312.0,1.35,2.29,6
HCPCS,A9576,PROHANCE MULTIPK 1 ML,312.0,312.0,16.54,374.4,29
HCPCS,A9577,"Injection, gadobenate dimeglumine (multihance), per ml ",,,1.74,2.95,6
HCPCS,A9578,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,1.67,2.84,6
HCPCS,A9579,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",900.0,900.0,1.41,2.39,6
HCPCS,A9579,PROHANCE 20 ML INJ,900.0,900.0,47.7,1080.0,29
HCPCS,A9580,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,446.41,446.41,5
HCPCS,A9581,GADOXETATE 10 ML INJ,1829.0,1829.0,96.94,2194.8,29
HCPCS,A9581,"Injection, gadoxetate disodium, 1 ml ",1829.0,1829.0,14.29,24.3,6
HCPCS,A9582,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,3823.88,3823.88,5
HCPCS,A9584,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2289.77,2289.77,5
HCPCS,A9585,"Injection, gadobutrol, 0.1 ml ",,,0.29,0.5,6
HCPCS,A9586,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3012.31,3012.31,5
HCPCS,A9587,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,81.89,81.89,5
HCPCS,A9588,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,531.75,531.75,5
HCPCS,A9589,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,1381.4,2349.8,6
HCPCS,A9590,"Iodine i-131, iobenguane, 1 millicurie ",,,,,0
HCPCS,A9591,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,759.69,759.69,5
HCPCS,A9592,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,980.56,980.56,5
HCPCS,A9593,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,907.71,907.71,5
HCPCS,A9594,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,599.78,599.78,5
HCPCS,A9595,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,571.71,571.71,5
HCPCS,A9596,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,789.56,789.56,5
HCPCS,A9600,STRONTIUM SR89 CL TX MCI,17069.0,17069.0,1467.93,20482.8,43
HCPCS,A9600,"Strontium sr-89 chloride, therapeutic, per millicurie ",17069.0,17069.0,6841.46,6841.46,5
HCPCS,A9601,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,612.15,612.15,5
HCPCS,A9602,"Fluorodopa f-18, diagnostic, per millicurie ",,,1411.66,1411.66,5
HCPCS,A9604,SM153 LEXIDRON TX 150MCI,31162.0,31162.0,2679.93,37394.4,48
HCPCS,A9604,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",31162.0,31162.0,5213.67,5213.67,5
HCPCS,A9606,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,163.95,282.3,6
HCPCS,A9607,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,428.34,428.34,5
HCPCS,A9608,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1107.51,1107.51,5
HCPCS,A9611,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,874.5,874.5,5
HCPCS,A9612,FLUORESCEIN 500MG INJ,48.14,48.14,2.55,57.77,30
HCPCS,A9615,"Injection, pegulicianine, 1 mg ",,,61.89,61.89,5
HCPCS,A9616,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,1932.65,1932.65,5
HCPCS,A9697,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,2069.1,2069.1,5
HCPCS,A9698,ETHIODIZED OIL INJ,4239.5,4239.5,67.79,8640.0,58
HCPCS,A9698,OMNIPAQUE 12 500ML PO,57.22,57.22,3.03,68.66,29
HCPCS,A9699,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,77046.96,77046.96,5
HCPCS,A9800,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,598.13,598.13,5
HCPCS,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape ",,,3.82,3.82,1
HCPCS,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape ",,,6.88,6.88,1
HCPCS,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape ",,,5.29,5.29,1
HCPCS,B4081,Nasogastric tubing with stylet ,,,18.66,18.66,1
HCPCS,B4082,Nasogastric tubing without stylet ,,,13.66,13.66,1
HCPCS,B4083,Stomach tube - levine type ,,,2.05,2.05,1
HCPCS,B4087,"Gastrostomy/jejunostomy tube, standard, any material, any type, each ",,,32.31,32.31,1
HCPCS,B4088,"Gastrostomy/jejunostomy tube, low-profile, any material, any type, each ",,,36.89,36.89,1
HCPCS,B4100,"Food thickener, administered orally, per ounce ",,,,,0
HCPCS,B4102,"Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit ",,,,,0
HCPCS,B4148,"Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape ",,,7.31,7.31,1
HCPCS,B4149,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding",,,1.26,1.26,1
HCPCS,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calor",,,0.48,0.48,1
HCPCS,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fibe",,,0.39,0.39,1
HCPCS,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral fe",,,1.5,1.5,1
HCPCS,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals,",,,0.82,0.82,1
HCPCS,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium ch",,,0.88,0.88,1
HCPCS,B4164,"Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) - home mix ",,,24.4,24.4,1
HCPCS,B4168,"Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix ",,,35.58,35.58,1
HCPCS,B4176,"Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix ",,,68.83,68.83,1
HCPCS,B4178,"Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix ",,,82.61,82.61,1
HCPCS,B4180,"Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml = 1 unit) - home mix ",,,35.03,35.03,1
HCPCS,B4185,"Parenteral nutrition solution, not otherwise specified, 10 grams lipids ",,,16.12,16.12,1
HCPCS,B4187,"Omegaven, 10 grams lipids ",,,16.12,16.12,1
HCPCS,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix ",,,255.17,255.17,1
HCPCS,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix ",,,329.7,329.7,1
HCPCS,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix ",,,401.42,401.42,1
HCPCS,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix ",,,458.68,458.68,1
HCPCS,B4216,"Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes), home mix, per day ",,,11.08,11.08,1
HCPCS,B4220,"Parenteral nutrition supply kit; premix, per day ",,,11.48,11.48,1
HCPCS,B4222,"Parenteral nutrition supply kit; home mix, per day ",,,14.18,14.18,1
HCPCS,B4224,"Parenteral nutrition administration kit, per day ",,,35.89,35.89,1
HCPCS,B5000,"Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal-aminosyn-rf, nephramine, renamine-prem",,,17.07,17.07,1
HCPCS,B5100,"Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic, hepatamine-premix ",,,6.66,6.66,1
HCPCS,B9002,"Enteral nutrition infusion pump, any type ",,,39.75,39.75,1
HCPCS,B9004,"Parenteral nutrition infusion pump, portable ",,,286.68,286.68,1
HCPCS,B9006,"Parenteral nutrition infusion pump, stationary ",,,286.68,286.68,1
HCPCS,C1052,HEMOSTAT HMSPRY 7F/220CM,14767.0,14767.0,782.65,17720.4,49
HCPCS,C1062,KIT CASE SPN INSTR 4.2MM,29133.0,29133.0,1544.05,34959.6,49
HCPCS,C1062,KIT CASE SPN INSTR 5.0MM,32987.0,32987.0,1748.31,39584.4,49
HCPCS,C1062,KIT CASE SPN INSTR 5.8MM,29133.0,29133.0,1544.05,34959.6,49
HCPCS,C1062,KIT EXPN SPN IMP 5.0MM,9711.0,9711.0,514.68,11653.2,20
HCPCS,C1713,AMBI HIP SCREW CLIP,52.0,52.0,2.76,62.4,20
HCPCS,C1713,ANCH BN 3.5MM 19.5MM,990.0,990.0,52.47,1188.0,20
HCPCS,C1713,ANCH HYBRD KN,1050.0,1050.0,55.65,1260.0,20
HCPCS,C1713,ANCH IMPL SYS 7X10MM,1438.0,1438.0,76.21,1725.6,20
HCPCS,C1713,ANCH MITEK 2.0 HND,408.5,408.5,21.65,490.2,20
HCPCS,C1713,ANCH SUT 4.5MM 40MM,500.0,500.0,26.5,600.0,20
HCPCS,C1713,ANCH SUT 5.5MM 22MM,790.0,790.0,41.87,948.0,20
HCPCS,C1713,ANCH SUT 6.5X28MM,500.0,500.0,26.5,600.0,20
HCPCS,C1713,ANCH SUT 6.5X32MM,500.0,500.0,26.5,600.0,20
HCPCS,C1713,ANCH SUT AR-1934BNF,510.0,510.0,27.03,612.0,20
HCPCS,C1713,ANCH SUT SWLCK PEEK,870.0,870.0,46.11,1044.0,20
HCPCS,C1713,ANCHOR BICEPS TENODESIS,1250.0,1250.0,66.25,1500.0,20
HCPCS,C1713,ANCHOR BN 24D 2-0,990.0,990.0,52.47,1188.0,20
HCPCS,C1713,ANCHOR BN 3.9MM,5790.0,5790.0,306.87,6948.0,20
HCPCS,C1713,ANCHOR BN 4.75X19.1MM,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1713,ANCHOR BN ACHILLES 3.9MM,6051.0,6051.0,320.7,7261.2,20
HCPCS,C1713,ANCHOR BN FBRTK HIP 1.8,950.0,950.0,50.35,1140.0,20
HCPCS,C1713,ANCHOR BN IMPLNTS 1.5,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,ANCHOR BN KNTLS 4.75MM,970.0,970.0,51.41,1164.0,20
HCPCS,C1713,ANCHOR BN LIG 4.75MM,1990.0,1990.0,105.47,2388.0,20
HCPCS,C1713,ANCHOR BN SHDR 1.8,968.0,968.0,51.3,1161.6,20
HCPCS,C1713,ANCHOR BN SHDR 1.8MM,880.0,880.0,46.64,1056.0,20
HCPCS,C1713,ANCHOR BN SYSTEM 10MM,4350.0,4350.0,230.55,5220.0,20
HCPCS,C1713,ANCHOR BN TNDN 3.9MM,5775.0,5775.0,306.07,6930.0,20
HCPCS,C1713,ANCHOR BN TNDN 5.5MM,990.0,990.0,52.47,1188.0,20
HCPCS,C1713,ANCHOR CROSSFIT BC 4.5MM,1038.0,1038.0,55.01,1245.6,20
HCPCS,C1713,ANCHOR DBL LD KNTLS KN,1050.0,1050.0,55.65,1260.0,20
HCPCS,C1713,ANCHOR HEALIX KNTLS 4.75,1395.0,1395.0,73.94,1674.0,20
HCPCS,C1713,ANCHOR IMP SYS 4.75MM,1722.0,1722.0,91.27,2066.4,20
HCPCS,C1713,ANCHOR IMPL SYS 2.9MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1713,ANCHOR IMPL SYS 4.75MM,1635.0,1635.0,84.8,2004.0,40
HCPCS,C1713,ANCHOR IMPL SYS 8X12MM,1438.0,1438.0,76.21,1725.6,20
HCPCS,C1713,ANCHOR IMPL SYSTM 3.9MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1713,ANCHOR KN DBL LOADED,850.0,850.0,45.05,1020.0,20
HCPCS,C1713,ANCHOR KNTLS 4.75MM,3180.0,3180.0,56.18,6360.0,40
HCPCS,C1713,ANCHOR PEEK FIX 4.75MM,1550.0,1550.0,82.15,1860.0,20
HCPCS,C1713,ANCHOR SCREW 902570,508.0,508.0,26.92,609.6,20
HCPCS,C1713,ANCHOR SHRT 2.9X12.5MM,1551.0,1551.0,82.2,1861.2,20
HCPCS,C1713,ANCHOR SPN 10MM,11000.0,11000.0,583.0,13200.0,20
HCPCS,C1713,ANCHOR SPN 8MM,10000.0,10000.0,530.0,12000.0,20
HCPCS,C1713,ANCHOR SPN MIS 25MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,ANCHOR SUT #2 5.5X19.1MM,920.0,920.0,48.76,1104.0,20
HCPCS,C1713,ANCHOR SUT 1.8MM,1330.0,1330.0,70.49,1596.0,20
HCPCS,C1713,ANCHOR SUT 2 CRSFT 4.5MM,798.0,798.0,42.29,957.6,20
HCPCS,C1713,ANCHOR SUT 2.2MM 2-0 3/8,570.0,570.0,30.21,684.0,20
HCPCS,C1713,ANCHOR SUT 2.4MM 1.8MM,580.0,580.0,30.74,696.0,20
HCPCS,C1713,ANCHOR SUT 2.5MM 8MM,935.0,935.0,49.55,1122.0,20
HCPCS,C1713,ANCHOR SUT 2.6MM,1650.0,1650.0,87.45,1980.0,20
HCPCS,C1713,ANCHOR SUT 2.7MM 2-0 3/8,570.0,570.0,30.21,684.0,20
HCPCS,C1713,ANCHOR SUT 2.9MM 15.5MM,800.0,800.0,42.4,960.0,20
HCPCS,C1713,ANCHOR SUT 3-0,850.0,850.0,45.05,1020.0,20
HCPCS,C1713,ANCHOR SUT 3.0MM 12.7MM,810.0,810.0,40.81,1020.0,40
HCPCS,C1713,ANCHOR SUT 3.5MM,935.0,935.0,49.55,1122.0,20
HCPCS,C1713,ANCHOR SUT 3.5MM PNLK SH,4600.0,4600.0,243.8,5520.0,20
HCPCS,C1713,ANCHOR SUT 3MM 2 BSUT,640.0,640.0,33.92,768.0,20
HCPCS,C1713,ANCHOR SUT 4.5MM 42MM,500.0,500.0,26.5,600.0,20
HCPCS,C1713,ANCHOR SUT 4.5MM 44MM,500.0,500.0,26.5,600.0,20
HCPCS,C1713,ANCHOR SUT 4.5MM 46MM,500.0,500.0,26.5,600.0,20
HCPCS,C1713,ANCHOR SUT 4.75MM 15.8MM,775.0,775.0,39.75,960.0,40
HCPCS,C1713,ANCHOR SUT 4.75MM 19.1MM,955.0,955.0,45.05,1272.0,60
HCPCS,C1713,ANCHOR SUT 4.75X19.1MMM,3654.0,3654.0,193.66,4384.8,20
HCPCS,C1713,ANCHOR SUT 5.5MM,2328.0,2328.0,123.38,2793.6,20
HCPCS,C1713,ANCHOR SUT 5.5MM 14.7MM,670.0,670.0,35.51,804.0,20
HCPCS,C1713,ANCHOR SUT 5.5MM 19.1MM,1022.0,1022.0,42.4,1492.8,40
HCPCS,C1713,ANCHOR SUT 5.5MM 22MM,850.0,850.0,45.05,1020.0,20
HCPCS,C1713,ANCHOR SUT 6.25MM 19.1MM,820.0,820.0,43.46,984.0,20
HCPCS,C1713,ANCHOR SUT 7.0MM 19.1MM,870.0,870.0,46.11,1044.0,20
HCPCS,C1713,ANCHOR SUT 902554,330.0,330.0,17.49,396.0,20
HCPCS,C1713,ANCHOR SUT ACH 3.9MM,6390.0,6390.0,338.67,7668.0,20
HCPCS,C1713,ANCHOR SUT BLU 1PK,3570.0,3570.0,189.21,4284.0,20
HCPCS,C1713,ANCHOR SUT BN #1,850.0,850.0,45.05,1020.0,20
HCPCS,C1713,ANCHOR SUT DX,930.0,930.0,49.29,1116.0,20
HCPCS,C1713,ANCHOR SUT GRAY 1PK,3430.0,3430.0,181.79,4116.0,20
HCPCS,C1713,ANCHOR SUT GRAY 2PK,6860.0,6860.0,363.58,8232.0,20
HCPCS,C1713,ANCHOR SUT IMPL,3190.0,3190.0,169.07,3828.0,20
HCPCS,C1713,ANCHOR SUT KNTLS #2,1005.0,1005.0,50.35,1272.0,40
HCPCS,C1713,ANCHOR SUT KNTLS 1.7MM,1060.0,1060.0,56.18,1272.0,20
HCPCS,C1713,ANCHOR SUT KNTLS 2.6MM,1089.0,1089.0,57.72,1306.8,20
HCPCS,C1713,ANCHOR SUT KNTLS 4.75MM,920.0,920.0,48.76,1104.0,20
HCPCS,C1713,ANCHOR SUT KNTLS SZ2,1230.0,1230.0,56.18,1680.0,40
HCPCS,C1713,ANCHOR SUT PEEKOPTMA 5.5,880.0,880.0,46.64,1056.0,20
HCPCS,C1713,ANCHOR SUT RCUF REPR 6.5,940.0,940.0,49.82,1128.0,20
HCPCS,C1713,ANCHOR SUT W NDL #2,1190.0,1190.0,63.07,1428.0,20
HCPCS,C1713,ANCHOR SUT W/NDL .9MM,1155.0,1155.0,61.22,1386.0,20
HCPCS,C1713,ANCHOR SUTURE 2-0,990.0,990.0,52.47,1188.0,20
HCPCS,C1713,ANCHOR SUTURE 3MM,680.0,680.0,36.04,816.0,20
HCPCS,C1713,ANCHOR SUTURE 4.75MM,990.0,990.0,52.47,1188.0,20
HCPCS,C1713,ANCHOR SYS SOFT TISSUE,90.0,90.0,4.77,108.0,20
HCPCS,C1713,ASSEMBLY ORTH BSPLT,10264.0,10264.0,543.99,12316.8,20
HCPCS,C1713,BASEPLATE NPOR REV 10 RT,3750.0,3750.0,198.75,4500.0,20
HCPCS,C1713,BASEPLATE TIB FNDTN SZ2,3750.0,3750.0,198.75,4500.0,20
HCPCS,C1713,BASEPLATE TIB GNSIS2 LT,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,BASEPLATE ULNA BN PROX,10264.0,10264.0,543.99,12316.8,20
HCPCS,C1713,BIO-SURETAK/ TGTL,670.0,670.0,35.51,804.0,20
HCPCS,C1713,BIOACTION GREAT TOE IMPL,3870.0,3870.0,205.11,4644.0,20
HCPCS,C1713,BLADE BN FEM FX 60MM,714.0,714.0,37.84,856.8,20
HCPCS,C1713,BLADE BN FEM SPRL 36MM,706.0,706.0,37.42,847.2,20
HCPCS,C1713,BLADE BN HLCL 80MM,1385.0,1385.0,73.41,1662.0,20
HCPCS,C1713,BLADE BN SPRL HUM 42MM,1009.0,1009.0,53.48,1210.8,20
HCPCS,C1713,BLADE HLCL 105MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,BLADE IM FX HUM 38MM,706.0,706.0,37.42,847.2,20
HCPCS,C1713,BLADE IM FX HUM 42MM,706.0,706.0,37.42,847.2,20
HCPCS,C1713,BLADE IM FX HUM 48MM,1009.0,1009.0,53.48,1210.8,20
HCPCS,C1713,BLADE IM FX HUM 52MM,1093.0,1093.0,57.93,1311.6,20
HCPCS,C1713,BLADE SPIRAL 36MM,1009.0,1009.0,53.48,1210.8,20
HCPCS,C1713,BOLT ACS LAT TROCH 32MM,756.0,756.0,40.07,907.2,20
HCPCS,C1713,BOLT BN FEM NK SYS 90MM,858.0,858.0,45.47,1029.6,20
HCPCS,C1713,BOLT BN LCK 40MM,755.0,755.0,40.02,906.0,20
HCPCS,C1713,BOLT FEM TI 110MM,858.0,858.0,45.47,1029.6,20
HCPCS,C1713,BOLT LCK ACS LAT 24MM,756.0,756.0,40.07,907.2,20
HCPCS,C1713,BOLT ORTH 28MM,756.0,756.0,40.07,907.2,20
HCPCS,C1713,BOLT ORTH 30MM,756.0,756.0,40.07,907.2,20
HCPCS,C1713,BOLT ORTH 34MM,756.0,756.0,40.07,907.2,20
HCPCS,C1713,BOLT ORTH 36MM,755.0,755.0,40.02,906.0,20
HCPCS,C1713,BRIDGE BN SHRT 23MM,8394.0,8394.0,444.88,10072.8,20
HCPCS,C1713,BUTTON CBL 3.5MM,137.0,137.0,7.26,164.4,20
HCPCS,C1713,BUTTON CBL HEX LCK 2.5MM,430.0,430.0,22.79,516.0,20
HCPCS,C1713,BUTTON FX CLVCL,700.0,700.0,37.1,840.0,20
HCPCS,C1713,BUTTON KNOTLESS DIS CLAV,1970.0,1970.0,104.41,2364.0,20
HCPCS,C1713,BUTTON RTRO BTB 12M/50M,400.0,400.0,21.2,480.0,20
HCPCS,C1713,BUTTON SUTURE 3.5MM,190.0,190.0,10.07,228.0,20
HCPCS,C1713,BUTTON SUTURE 5MM 20MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,CABLE FXTN 1.8MM 635CM,926.0,926.0,49.08,1111.2,20
HCPCS,C1713,CABLE FXTN 1.8MM 91CM,1069.0,1069.0,56.66,1282.8,20
HCPCS,C1713,CABLE ORTH 1.7X750MM,844.0,844.0,44.73,1012.8,20
HCPCS,C1713,CABLE ORTH COCR 2X75MM,561.0,561.0,29.73,673.2,20
HCPCS,C1713,CABLE ORTHO 1.7X750MM,850.0,850.0,45.05,1020.0,20
HCPCS,C1713,CABLE POST BN FX 3.5MM,1542.0,1542.0,81.73,1850.4,20
HCPCS,C1713,CABLE SADDLE 4.5MM,1628.0,1628.0,86.28,1953.6,20
HCPCS,C1713,CABLE SLV DLMLS HIP 2.0,412.0,412.0,21.84,494.4,20
HCPCS,C1713,CABLE SPN SS W/NDLE 5P,197.0,197.0,10.44,236.4,20
HCPCS,C1713,CABLE STRNL TPR BLN NDL,110.0,110.0,5.83,132.0,20
HCPCS,C1713,CAGE SPNL 17X12X30-42MM,2604.0,2604.0,138.01,3124.8,20
HCPCS,C1713,CAGE SPNL 17X22X16MM CAP,3055.0,3055.0,161.91,3666.0,20
HCPCS,C1713,CAGE SPNL 17X22X23-25MM,2604.0,2604.0,138.01,3124.8,20
HCPCS,C1713,CAGE SPNL 17X22X2MM CAPR,2810.0,2810.0,148.93,3372.0,20
HCPCS,C1713,CAGE SPNL 17X22X42-62MM,2810.0,2810.0,148.93,3372.0,20
HCPCS,C1713,CAGE SPNL 20X16X36-42MM,2604.0,2604.0,138.01,3124.8,40
HCPCS,C1713,CAGE SPNL 20X16X4MM SANT,2604.0,2604.0,138.01,3124.8,20
HCPCS,C1713,CAGE SPNL 21X25X24-26MM,2604.0,2604.0,138.01,3124.8,20
HCPCS,C1713,CAGE SPNL 21X25X2MM CAPR,3055.0,3055.0,161.91,3666.0,20
HCPCS,C1713,CAGE SPNL 21X25X30-38MM,2810.0,2810.0,148.93,3372.0,20
HCPCS,C1713,CAGE SPNL 21X25X34-42MM,2810.0,2810.0,148.93,3372.0,20
HCPCS,C1713,CAGE SPNL 21X25X8MM CAPR,3055.0,3055.0,161.91,3666.0,20
HCPCS,C1713,CAGE SPNL 24X30X16MM CAP,3055.0,3055.0,161.91,3666.0,20
HCPCS,C1713,CAGE SPNL 24X30X38-46MM,2810.0,2810.0,148.93,3372.0,20
HCPCS,C1713,CAGE SPNL 24X30X46-62MM,2810.0,2810.0,148.93,3372.0,20
HCPCS,C1713,CAGE SPNL 24X30X8MM CAPR,3055.0,3055.0,161.91,3666.0,20
HCPCS,C1713,CAP SCREW LCK 2.0T,324.0,324.0,17.17,388.8,20
HCPCS,C1713,CAP SPN LCK FOR CONN,100.0,100.0,5.3,120.0,20
HCPCS,C1713,CHS SPLG SCREW 105,274.72,274.72,14.56,329.66,20
HCPCS,C1713,CLAMP ANKL ARTC XTRNFX,1914.0,1914.0,101.44,2296.8,20
HCPCS,C1713,CNCTR APX OP ILIAC T-15M,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,CNCTR APX OP ILIAC T-25M,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,CNCTR APX OP ILIAC T-80M,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,CNNCTR ROD 5.5 XPDM CLS,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CNNCTR ROD TANDM 5.5-6MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,CONN BN NL ARTHDS 7MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,CONN OFST SCOLI XIA,496.12,496.12,26.29,595.34,20
HCPCS,C1713,CONN ROD SPN 10MM 3.5MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN ROD SPN 27-33MM3.5M,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN ROD SPN 3.5MM 4MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN ROD SPN 5.5-6.0MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN ROD SPN 5.5MM 1IN,800.0,800.0,42.4,960.0,20
HCPCS,C1713,CONN ROD SPN 5.5MM 6MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN ROD SPN 5.5X20MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN ROD SPN 5.5X5.5MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN ROD SPN 5.5X6X47MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN ROD SPN LG 56MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN ROD SPN T 27-33MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN ROD SPN XPDM 20MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN SPN 3.5-4/3.5-4MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN SPN PRLL 5.5MM 6MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN SPN ROD 5.5 MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN SPN ROD 6MM 5.5MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN SPN ROD OFST 25MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN SPN TRNSV 5.5/6.0MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONN W/2 SCRWS 12MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONNCTOR SPN CRS 28-33MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,CONNCTR SPN LAT OFST 4.0,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONNECT CRX MLTSPN 31-39,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,CONNECT OFFST EVRST 50MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONNECTOR MINI STRGHT,400.4,400.4,21.22,480.48,20
HCPCS,C1713,CONNECTOR PEDFUSE 43-49,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,CONNECTOR ROD 38-44MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,CONNECTOR ROD 5.5-6.5MM,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,CONNECTOR ROD 6.5-6.5MM,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,CONNECTOR ROD SPN 10MM,700.0,700.0,37.1,840.0,40
HCPCS,C1713,CONNECTOR SPN 11MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONNECTOR SPN 13MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONNECTOR SPN 3.5X10MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONNECTOR SPN 33-39MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONNECTOR SPN 5.5-6.0MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONNECTOR SPN LAT 35MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONNECTOR SPN LNG 4MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONNECTOR XIA AXIAL SS,885.08,885.08,46.91,1062.1,20
HCPCS,C1713,CONNECTORS TRNSVRS 5.5/6,700.0,700.0,37.1,840.0,20
HCPCS,C1713,CONNECTR ASSY OCCIP-CERV,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,CONNECTR SPN 5.5X50-58MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,COVER BUR HL 14X.4MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,COVER SCRW SPNL LCKG 8MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,CROSS CONCTR PDFSE 58-64,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,DART FX 18MM,242.0,242.0,12.83,290.4,20
HCPCS,C1713,DEVICE FSTFX MNSCL,1036.0,1036.0,54.91,1243.2,20
HCPCS,C1713,DEVICE FX FSTFX 360D,941.0,941.0,49.87,1129.2,20
HCPCS,C1713,DEVICE FX TGHTRP BN TNDN,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1713,DISC BN ANKL 4MM,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1713,END CAP TROCH NAIL 10MM,462.0,462.0,24.49,554.4,20
HCPCS,C1713,ENDCAP NAIL 1MM,980.0,980.0,51.94,1176.0,20
HCPCS,C1713,ENDPLATE SPN 0D 15X18,945.0,945.0,50.09,1134.0,20
HCPCS,C1713,EXP TI POLY SCREW 8MMX65,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,HEAD FEM COCR +15.5X40MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,HEAD SPN SCRW XTN,450.0,450.0,23.85,540.0,20
HCPCS,C1713,HEAD SPN XTN SCREW,450.0,450.0,23.85,540.0,20
HCPCS,C1713,HK LAMINER SCOLI XIA,1583.64,1583.64,83.93,1900.37,20
HCPCS,C1713,HK PDCL SCOLI EIA LG,1510.22,1510.22,80.04,1812.26,20
HCPCS,C1713,HOOK TI 5.5MM W5.5MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,IMHS NAIL- 12X21X130D,1806.42,1806.42,95.74,2167.7,20
HCPCS,C1713,IMP SPN POSTER SI FUSION,14400.0,14400.0,763.2,17280.0,20
HCPCS,C1713,IMPL SPN KIT 1LVL CSTM,52000.0,52000.0,2756.0,62400.0,20
HCPCS,C1713,IMPL SPN KIT 2LVL CSTM,64000.0,64000.0,3392.0,76800.0,20
HCPCS,C1713,IMPL TOE MTP SZ2 13.5MM,2236.0,2236.0,118.51,2683.2,20
HCPCS,C1713,IMPLANT ANCHOR FIXATION,3990.0,3990.0,211.47,4788.0,20
HCPCS,C1713,IMPLANT ANCHOR SYSTEM,1578.0,1578.0,83.63,1893.6,20
HCPCS,C1713,IMPLANT ARTHROERESIS 9MM,3288.0,3288.0,174.26,3945.6,20
HCPCS,C1713,IMPLANT BN 4.2X52.5MM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1713,IMPLANT BN ANCHOR SYS,990.0,990.0,52.47,1188.0,20
HCPCS,C1713,IMPLANT BN DEL SYS BICEP,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1713,IMPLANT CRNL XL PEK CSTM,39030.0,39030.0,2068.59,46836.0,20
HCPCS,C1713,IMPLANT CUSTOM COMPLEXIT,28710.0,28710.0,1521.63,34452.0,20
HCPCS,C1713,IMPLANT DEVICE FX,1710.0,1710.0,90.63,2052.0,20
HCPCS,C1713,IMPLANT FIBERWIRE 2-0,990.0,990.0,52.47,1188.0,20
HCPCS,C1713,IMPLANT FX 14MM SYS ST,526.0,526.0,27.88,631.2,20
HCPCS,C1713,IMPLANT FX 5MM MTRXRB LG,1513.0,1513.0,80.19,1815.6,20
HCPCS,C1713,IMPLANT FX CURVED,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,IMPLANT FX MATRIXRIB 3MM,1513.0,1513.0,80.19,1815.6,20
HCPCS,C1713,IMPLANT FX MATRIXRIB 4MM,1513.0,1513.0,80.19,1815.6,20
HCPCS,C1713,IMPLANT FX18.9X19.6X15.3,6962.0,6962.0,368.99,8354.4,20
HCPCS,C1713,IMPLANT HAMMERTOE MED,2014.0,2014.0,106.74,2416.8,20
HCPCS,C1713,IMPLANT HAMMERTOE SMALL,2014.0,2014.0,106.74,2416.8,20
HCPCS,C1713,IMPLANT HMRTOE 2.9X19MM,2994.0,2994.0,158.68,3592.8,20
HCPCS,C1713,IMPLANT KN ANCHR SYSTM,990.0,990.0,52.47,1188.0,20
HCPCS,C1713,IMPLANT KNTLS AC OPN RPR,3490.0,3490.0,184.97,4188.0,20
HCPCS,C1713,IMPLANT KNTLS BTN SYS,1925.0,1925.0,102.03,2310.0,20
HCPCS,C1713,IMPLANT MTCRPL 3.6X40MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1713,IMPLANT SYNDSMS SUT BTTN,2850.0,2850.0,151.05,3420.0,20
HCPCS,C1713,IMPLNT FX TI TIB/FIB ZPL,1840.0,1840.0,97.52,2208.0,20
HCPCS,C1713,INSERT INTBDY FSN DV SZ6,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1713,INSERT TIB 3 19MM LT E-+,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,INSERT TIB POLY SZ2 13MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,INSERT TIB PST STB SZ 2,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,KIT ANCH MNSCL REPR ROOT,2790.0,2790.0,147.87,3348.0,20
HCPCS,C1713,KIT ANCHOR BN FIX 2.6,987.0,987.0,52.31,1184.4,20
HCPCS,C1713,KIT ANCHOR BN KNTLS,1980.0,1980.0,104.94,2376.0,20
HCPCS,C1713,KIT ANCHOR BN MNSCL REPR,3400.0,3400.0,180.2,4080.0,20
HCPCS,C1713,KIT ANCHOR BUTTON 10MM,2144.0,2144.0,113.63,2572.8,20
HCPCS,C1713,KIT ANCHOR SUTURE,3500.0,3500.0,185.5,4200.0,20
HCPCS,C1713,KIT ARTHSCP FX 12X2.4MM,2489.0,2489.0,131.92,2986.8,20
HCPCS,C1713,KIT ARTHSCP FX ARTHX SUT,2990.0,2990.0,158.47,3588.0,20
HCPCS,C1713,KIT BN ANCHOR STD 4.75MM,2990.0,2990.0,158.47,3588.0,20
HCPCS,C1713,KIT BN PLT/SCR 3.9X2.7MM,9120.0,9120.0,483.36,10944.0,20
HCPCS,C1713,KIT BUTTON BN PEC FX LG,3300.0,3300.0,174.9,3960.0,20
HCPCS,C1713,KIT DIST BICEP 7MM 10MM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1713,KIT ENDO KNTLS STRL,1760.0,1760.0,93.28,2112.0,20
HCPCS,C1713,KIT IMP DR NRW SHRT56M-R,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1713,KIT IMP SYNDSMS RPR,1760.0,1760.0,93.28,2112.0,20
HCPCS,C1713,KIT IMPL ACL FIXATION,1050.0,1050.0,55.65,1260.0,20
HCPCS,C1713,KIT IMPL ANCH SYS 8X12MM,1378.0,1378.0,73.03,1653.6,20
HCPCS,C1713,KIT IMPL SPN SI JNT FSN,14400.0,14400.0,763.2,17280.0,20
HCPCS,C1713,KIT IMPLANT ANKLE,3139.5,3139.5,158.47,3946.8,40
HCPCS,C1713,KIT INERBRAC LGMNT AUG,2990.0,2990.0,158.47,3588.0,20
HCPCS,C1713,KIT INTERNAL BRACE W CC,2990.0,2990.0,158.47,3588.0,20
HCPCS,C1713,KIT INTL BRACE 4.75X15MM,2390.0,2390.0,126.67,2868.0,20
HCPCS,C1713,KIT KN MPFL 6MM 4.75MM,2974.0,2974.0,157.62,3568.8,20
HCPCS,C1713,KIT LGMNT AUGMT REPR,2990.0,2990.0,158.47,3588.0,20
HCPCS,C1713,KIT LGMNT REPR FX,2150.0,2150.0,113.95,2580.0,20
HCPCS,C1713,KIT NAIL BN 4.5MM 70MM,4290.0,4290.0,227.37,5148.0,20
HCPCS,C1713,KIT ORT REP AC IMPL,2475.0,2475.0,131.18,2970.0,20
HCPCS,C1713,KIT ORT SEC FIX ACL/PCL,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,KIT PEEK IMPLANT,2990.0,2990.0,158.47,3588.0,20
HCPCS,C1713,KIT PIN REPLAE BSHING XS,1648.0,1648.0,87.34,1977.6,20
HCPCS,C1713,KIT PLATE BN ANK FX,1962.0,1962.0,103.99,2354.4,20
HCPCS,C1713,KIT SYNDSMS FXN #5 2.8MM,1872.0,1872.0,99.22,2246.4,20
HCPCS,C1713,KNE REV FNDTN 10 PST BLK,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,MESH 15/17MM DYNA MED,3039.0,3039.0,161.07,3646.8,20
HCPCS,C1713,MESH DYNMC 90X90X.6,3039.0,3039.0,161.07,3646.8,20
HCPCS,C1713,NAIL 1.5 130D 1038 L,6540.0,6540.0,346.62,7848.0,20
HCPCS,C1713,NAIL 10MM 33CM TROCH LT,4160.0,4160.0,220.48,4992.0,20
HCPCS,C1713,NAIL 10MM 39CM TROCH RT,4160.0,4160.0,220.48,4992.0,20
HCPCS,C1713,NAIL 10MM 42CM RT INTRTN,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL 11MM 36CM IM MOD,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL 12MM 23.5CM TROCH I,2168.6,2168.6,114.94,2602.32,20
HCPCS,C1713,NAIL 130D 11.536 R,3326.9,3326.9,176.33,3992.28,20
HCPCS,C1713,NAIL 130D 11.538 R,4344.8,4344.8,230.27,5213.76,20
HCPCS,C1713,NAIL 130D 11.542 R,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL 130D 11X180MM,2324.0,2324.0,123.17,2788.8,20
HCPCS,C1713,NAIL 13MM 30CM TIB MT-NL,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL 13MM 330CM TIB NLEX,1844.0,1844.0,97.73,2212.8,20
HCPCS,C1713,NAIL 13MM 38CM TIB MT-NL,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL 4.0 TI ELASTIC STR,712.0,712.0,37.74,854.4,20
HCPCS,C1713,NAIL 4MM 450MM UPPR LWR,420.0,420.0,22.26,504.0,20
HCPCS,C1713,NAIL 7X255MM LT HUM MULT,2489.0,2489.0,131.92,2986.8,20
HCPCS,C1713,NAIL 8.0 TI PROX HUMERAL,3334.0,3334.0,176.7,4000.8,20
HCPCS,C1713,NAIL 8.5X32 TIB META,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL 8MM 34.5CM TIB IM,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1713,NAIL 8MM 39CM TIB IM,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1713,NAIL 9/7.5MM 24CM HUM TR,2932.0,2932.0,155.4,3518.4,20
HCPCS,C1713,NAIL 9MM 32CM SP CNDL,3546.0,3546.0,187.94,4255.2,20
HCPCS,C1713,NAIL 9MM 34CM IM MOD,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL 9MM 360MM LT FEM NL,2904.0,2904.0,153.91,3484.8,20
HCPCS,C1713,NAIL 9MM 37.5CM TIB IM,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1713,NAIL 9MM 380MM FEM GT LT,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL ANTE LT LME 8.5X38,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL ANTGRD TRGN 11.5X44,2618.4,2618.4,138.78,3142.08,20
HCPCS,C1713,NAIL AOS IM 10X30X130,4160.0,4160.0,220.48,4992.0,20
HCPCS,C1713,NAIL AOS MOD IM 8X37.5,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1713,NAIL ARTHDS RT 10X540,11509.44,11509.44,610.0,13811.33,20
HCPCS,C1713,NAIL ARTHDS RT 10X660MM,11509.44,11509.44,610.0,13811.33,20
HCPCS,C1713,NAIL BN 1.5MM 300MM,501.0,501.0,26.55,601.2,20
HCPCS,C1713,NAIL BN 1.5X11.5MM 40CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL BN 10.5MM 300MM,25000.0,25000.0,1325.0,30000.0,20
HCPCS,C1713,NAIL BN 10.5X180MM,25000.0,25000.0,1325.0,30000.0,20
HCPCS,C1713,NAIL BN 10MM 18CM,3059.0,3059.0,162.13,3670.8,20
HCPCS,C1713,NAIL BN 10MM 200MM,14000.0,14000.0,742.0,16800.0,20
HCPCS,C1713,NAIL BN 10MM 20CM,3059.0,3059.0,162.13,3670.8,20
HCPCS,C1713,NAIL BN 10MM 235MM,3332.0,3332.0,176.6,3998.4,20
HCPCS,C1713,NAIL BN 10MM 26CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN 10MM 28CM,3539.0,3539.0,187.57,4246.8,20
HCPCS,C1713,NAIL BN 10MM 300MM,2706.0,2706.0,143.42,3247.2,20
HCPCS,C1713,NAIL BN 10MM 30CM,3207.0,3207.0,155.18,4183.2,40
HCPCS,C1713,NAIL BN 10MM 315MM,2706.0,2706.0,143.42,3247.2,20
HCPCS,C1713,NAIL BN 10MM 32MM,3384.0,3384.0,179.35,4060.8,20
HCPCS,C1713,NAIL BN 10MM 330MM,3259.0,3259.0,172.73,3910.8,20
HCPCS,C1713,NAIL BN 10MM 33CM,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1713,NAIL BN 10MM 340MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN 10MM 345MM,2982.5,2982.5,143.42,3910.8,40
HCPCS,C1713,NAIL BN 10MM 34CM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN 10MM 360MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN 10MM 36CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN 10MM 36CM LT,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN 10MM 38CM,3885.0,3885.0,195.25,4903.2,40
HCPCS,C1713,NAIL BN 10MM 40CM,3486.0,3486.0,127.09,5212.8,60
HCPCS,C1713,NAIL BN 10MM 42MM,3384.0,3384.0,179.35,4060.8,20
HCPCS,C1713,NAIL BN 10MM 44CM,3384.0,3384.0,179.35,4060.8,20
HCPCS,C1713,NAIL BN 10MM 46CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN 10MMX30CM,2928.0,2928.0,155.18,3513.6,20
HCPCS,C1713,NAIL BN 10S 130X10MM40CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN 10X340MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN 11.5MM 17.2CM,2721.0,2721.0,144.21,3265.2,20
HCPCS,C1713,NAIL BN 11.5MM 180MM,25000.0,25000.0,1325.0,30000.0,20
HCPCS,C1713,NAIL BN 11.5MM 18CM,3059.0,3059.0,162.13,3670.8,20
HCPCS,C1713,NAIL BN 11.5MM 210MM,25000.0,25000.0,1325.0,30000.0,20
HCPCS,C1713,NAIL BN 11.5MM 33CM,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL BN 11.5MM 37CM,4448.0,4448.0,235.74,5337.6,20
HCPCS,C1713,NAIL BN 11.5MM 38CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL BN 11.5MM 39CM,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL BN 11.5MM 40CM,5178.0,5178.0,216.56,7524.0,60
HCPCS,C1713,NAIL BN 11.5MM 42CM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN 110MM 330MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN 11MM 210MM,9450.0,9450.0,500.85,11340.0,20
HCPCS,C1713,NAIL BN 11MM 360MM,2579.5,2579.5,130.01,3247.2,40
HCPCS,C1713,NAIL BN 11MM 380MM,4061.0,4061.0,215.23,4873.2,20
HCPCS,C1713,NAIL BN 11MM 420MM,4061.0,4061.0,215.23,4873.2,20
HCPCS,C1713,NAIL BN 11MM 44CM,3726.0,3726.0,197.48,4471.2,20
HCPCS,C1713,NAIL BN 11X180MM,2349.0,2349.0,124.5,2818.8,20
HCPCS,C1713,NAIL BN 12.5X300MM,25000.0,25000.0,1325.0,30000.0,20
HCPCS,C1713,NAIL BN 125D 1.5MM 36CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN 125D 10MM 170MM,2470.0,2470.0,130.91,2964.0,40
HCPCS,C1713,NAIL BN 125D 10MM 24CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL BN 125D 10MM 300MM,3960.0,3960.0,209.88,4752.0,20
HCPCS,C1713,NAIL BN 125D 10MM 38CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN 125D 10MM 400MM,3120.0,3120.0,165.36,3744.0,20
HCPCS,C1713,NAIL BN 125D 10X240MM,3266.0,3266.0,173.1,3919.2,20
HCPCS,C1713,NAIL BN 125D 10X340MM,3022.0,3022.0,160.17,3626.4,20
HCPCS,C1713,NAIL BN 125D 11MM 200MM,2470.0,2470.0,130.91,2964.0,20
HCPCS,C1713,NAIL BN 125D 11MM 320MM,3266.0,3266.0,173.1,3919.2,20
HCPCS,C1713,NAIL BN 125D 12X400MM,3266.0,3266.0,173.1,3919.2,20
HCPCS,C1713,NAIL BN 125D 13MM 36CM,3656.0,3656.0,193.77,4387.2,20
HCPCS,C1713,NAIL BN 125D 13MM 40CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN 12MMX32CM,4784.0,4784.0,253.55,5740.8,20
HCPCS,C1713,NAIL BN 130D 1.5X3MM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL BN 130D 10MM 20CM,3059.0,3059.0,162.13,3670.8,20
HCPCS,C1713,NAIL BN 130D 10MM 360MM,3885.0,3885.0,205.91,4662.0,20
HCPCS,C1713,NAIL BN 130D 10MM 38CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN 130D 11.5MM 18CM,3059.0,3059.0,162.13,3670.8,20
HCPCS,C1713,NAIL BN 130D 11MM 360MM,3960.0,3960.0,209.88,4752.0,20
HCPCS,C1713,NAIL BN 130D 13MM 36CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN 130D 170MM 10MM,2470.0,2470.0,130.91,2964.0,20
HCPCS,C1713,NAIL BN 130X170X10MM,2470.0,2470.0,130.91,2964.0,20
HCPCS,C1713,NAIL BN 13MM 150MM,7897.0,7897.0,418.54,9476.4,20
HCPCS,C1713,NAIL BN 13MM 32CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN 13MM 38CM,3684.0,3684.0,195.25,4420.8,20
HCPCS,C1713,NAIL BN 13X18X125,3059.0,3059.0,162.13,3670.8,20
HCPCS,C1713,NAIL BN 2.25MM 300MM,334.0,334.0,17.7,400.8,20
HCPCS,C1713,NAIL BN 2.5MM 440MM,572.0,572.0,30.32,686.4,20
HCPCS,C1713,NAIL BN 3.0MM 440MM,648.0,648.0,34.34,777.6,20
HCPCS,C1713,NAIL BN 3.0X180MM,5990.0,5990.0,317.47,7188.0,20
HCPCS,C1713,NAIL BN 3.5MM 440MM,671.0,671.0,33.92,842.4,40
HCPCS,C1713,NAIL BN 3.8X130MM,6290.0,6290.0,333.37,7548.0,20
HCPCS,C1713,NAIL BN 3MM 44MM,604.0,604.0,32.01,724.8,20
HCPCS,C1713,NAIL BN 40CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL BN 42CM 9MM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN 4MM 440MM,686.0,686.0,36.36,823.2,20
HCPCS,C1713,NAIL BN 5MM 28MM,693.0,693.0,36.73,831.6,20
HCPCS,C1713,NAIL BN 7MM 9.5MM 225MM,3406.0,3406.0,180.52,4087.2,20
HCPCS,C1713,NAIL BN 7MM 9.5MM 240MM,3406.0,3406.0,180.52,4087.2,20
HCPCS,C1713,NAIL BN 7MM 9.5MM 255MM,3406.0,3406.0,180.52,4087.2,20
HCPCS,C1713,NAIL BN 7MM 9.5MM 270MM,3406.0,3406.0,180.52,4087.2,20
HCPCS,C1713,NAIL BN 8.5MM 225MM,3406.0,3406.0,180.52,4087.2,20
HCPCS,C1713,NAIL BN 8.5MM 255MM,3406.0,3406.0,180.52,4087.2,20
HCPCS,C1713,NAIL BN 8.5MM 270MM,3406.0,3406.0,180.52,4087.2,20
HCPCS,C1713,NAIL BN 8.5MM 28CM,3209.0,3209.0,155.4,4183.2,40
HCPCS,C1713,NAIL BN 8.5MM 34CM,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL BN 8.5MMX31CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN 8/7MM 28CM,3371.0,3371.0,178.66,4045.2,20
HCPCS,C1713,NAIL BN 8MM 9.5MM 160MM,3268.0,3268.0,173.2,3921.6,20
HCPCS,C1713,NAIL BN 9.3MMX280MM,3539.0,3539.0,187.57,4246.8,20
HCPCS,C1713,NAIL BN 9MM 18CM,2660.0,2660.0,140.98,3192.0,20
HCPCS,C1713,NAIL BN 9MM 270MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN 9MM 280MM,3296.0,3296.0,174.69,3955.2,20
HCPCS,C1713,NAIL BN 9MM 38CM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN 9MM 40CM,2191.0,2191.0,116.12,2629.2,20
HCPCS,C1713,NAIL BN ANK 10MM 150MM,7897.0,7897.0,418.54,9476.4,20
HCPCS,C1713,NAIL BN ANKL 11MM 240MM,9450.0,9450.0,500.85,11340.0,20
HCPCS,C1713,NAIL BN ARTHRO 2.5MM,480.0,480.0,25.44,576.0,20
HCPCS,C1713,NAIL BN CALC 7.2X80MM,1783.0,1783.0,94.5,2139.6,20
HCPCS,C1713,NAIL BN CANN 2MM 26MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1713,NAIL BN CANN 2MM 28MM,2340.0,2340.0,124.02,2808.0,20
HCPCS,C1713,NAIL BN CRPL 4.6X60MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,NAIL BN FEM 1.5MM 34CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL BN FEM 10MM 17.2CM,2721.0,2721.0,144.21,3265.2,20
HCPCS,C1713,NAIL BN FEM 10MM 170MM,2898.0,2898.0,153.59,3477.6,20
HCPCS,C1713,NAIL BN FEM 10MM 24CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN FEM 10MM 28CM,3684.0,3684.0,195.25,4420.8,20
HCPCS,C1713,NAIL BN FEM 10MM 340MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN FEM 10MM 360MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN FEM 10MM 36CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN FEM 10MM 380MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN FEM 10MM 38CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN FEM 10MM 400MM,3828.0,3828.0,202.88,4593.6,20
HCPCS,C1713,NAIL BN FEM 10MM 40CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN FEM 10MM 42CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL BN FEM 10MM 44CM,3242.0,3242.0,127.09,4903.2,40
HCPCS,C1713,NAIL BN FEM 10X34MM,3684.0,3684.0,195.25,4420.8,20
HCPCS,C1713,NAIL BN FEM 11.0MM 360MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN FEM 11.5MM 20CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN FEM 11.5MM 22CM,3684.0,3684.0,195.25,4420.8,20
HCPCS,C1713,NAIL BN FEM 11.5MM 24CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN FEM 11.5MM 26CM,3684.0,3684.0,195.25,4420.8,20
HCPCS,C1713,NAIL BN FEM 11.5MM 30CM,3186.0,3186.0,168.86,3823.2,20
HCPCS,C1713,NAIL BN FEM 11.5MM 32CM,4215.5,4215.5,216.56,5214.0,40
HCPCS,C1713,NAIL BN FEM 11.5MM 34CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN FEM 11.5MM 36CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL BN FEM 11.5MM 38CM,4812.5,4812.5,230.28,6336.0,40
HCPCS,C1713,NAIL BN FEM 11.5X380MM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN FEM 11MM 34CM,4784.0,4784.0,253.55,5740.8,20
HCPCS,C1713,NAIL BN FEM 11X320MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN FEM 12MM 200MM,2898.0,2898.0,153.59,3477.6,20
HCPCS,C1713,NAIL BN FEM 12MM 360MM,3828.0,3828.0,202.88,4593.6,20
HCPCS,C1713,NAIL BN FEM 13MM 22CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN FEM 13MM 24CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN FEM 13MM 30CM,1809.0,1809.0,95.88,2170.8,20
HCPCS,C1713,NAIL BN FEM 13MM 34CM,3684.0,3684.0,195.25,4420.8,20
HCPCS,C1713,NAIL BN FEM 13MM 36CM,3684.0,3684.0,195.25,4420.8,20
HCPCS,C1713,NAIL BN FEM 13MM 440MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN FEM 13MM 44CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN FEM 3.4X130MM,6634.0,6634.0,351.6,7960.8,20
HCPCS,C1713,NAIL BN FEM 9MM 32CM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN FEM 9MM 340MM,3212.0,3212.0,170.24,3854.4,20
HCPCS,C1713,NAIL BN FEM 9MM 380MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN FEM 9X36MM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN FEM 9X400MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN FEM GT 9X320MM,3212.0,3212.0,170.24,3854.4,20
HCPCS,C1713,NAIL BN FEM GT 9X340MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN FEM LT 10MM 38CM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN FEM LT 10X380MM,3212.0,3212.0,170.24,3854.4,20
HCPCS,C1713,NAIL BN FEM LT 130D 12MM,5990.0,5990.0,317.47,7188.0,20
HCPCS,C1713,NAIL BN FEM RT 10MMX38CM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN FEM RT 10X380MM,3212.0,3212.0,170.24,3854.4,20
HCPCS,C1713,NAIL BN FEM RT 10X44MM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN FEM RT 12X400MM,3212.0,3212.0,170.24,3854.4,20
HCPCS,C1713,NAIL BN FEM RT 13MM 34CM,3656.0,3656.0,193.77,4387.2,20
HCPCS,C1713,NAIL BN FEM RT 240MM,3266.0,3266.0,173.1,3919.2,20
HCPCS,C1713,NAIL BN FEM RT 9MM 17CM,2898.0,2898.0,153.59,3477.6,20
HCPCS,C1713,NAIL BN FEM RT 9MM 36CM,6650.0,6650.0,352.45,7980.0,20
HCPCS,C1713,NAIL BN FEM RT 9MM 38CM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN FEM11.5MM 32CM,3443.0,3443.0,182.48,4131.6,20
HCPCS,C1713,NAIL BN FIB 2.7MM 10MM,558.0,558.0,29.57,669.6,20
HCPCS,C1713,NAIL BN FIB 2.8X130MM,10700.0,10700.0,567.1,12840.0,20
HCPCS,C1713,NAIL BN FIB 3.4X130MM,6634.0,6634.0,351.6,7960.8,20
HCPCS,C1713,NAIL BN FIB 3.8MM 130MM,5990.0,5990.0,317.47,7188.0,20
HCPCS,C1713,NAIL BN FIB LT 3X130MM,6589.0,6589.0,349.22,7906.8,20
HCPCS,C1713,NAIL BN FIB LT 4X130MM,6634.0,6634.0,351.6,7960.8,20
HCPCS,C1713,NAIL BN FIB RT 3MM 13MM,5990.0,5990.0,317.47,7188.0,20
HCPCS,C1713,NAIL BN FIB RT 3X180MM,5990.0,5990.0,317.47,7188.0,20
HCPCS,C1713,NAIL BN GT RT 11X420MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN HUM 10/8.5MM,2932.0,2932.0,155.4,3518.4,20
HCPCS,C1713,NAIL BN HUM 20X8,1957.0,1957.0,103.72,2348.4,20
HCPCS,C1713,NAIL BN HUM 7X225MM,3406.0,3406.0,180.52,4087.2,20
HCPCS,C1713,NAIL BN HUM 8/7MM 20CM,2932.0,2932.0,155.4,3518.4,20
HCPCS,C1713,NAIL BN HUM 8/7MM 22CM,2932.0,2932.0,155.4,3518.4,20
HCPCS,C1713,NAIL BN HUM 9MM 270MM,2230.0,2230.0,118.19,2676.0,20
HCPCS,C1713,NAIL BN IM 2.0MM 440MM,531.0,531.0,28.14,637.2,20
HCPCS,C1713,NAIL BN IM RT 40CM 130D,4344.0,4344.0,230.23,5212.8,20
HCPCS,C1713,NAIL BN KIT R1/5 11X300,3266.0,3266.0,173.1,3919.2,20
HCPCS,C1713,NAIL BN KN 10X320MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN L 10MM 35CM,2928.0,2928.0,155.18,3513.6,20
HCPCS,C1713,NAIL BN L 11MM 36CM,2928.0,2928.0,155.18,3513.6,20
HCPCS,C1713,NAIL BN L 9MM 38CM,2928.0,2928.0,155.18,3513.6,20
HCPCS,C1713,NAIL BN LFT 9.0MM 34CM,5880.0,5880.0,311.64,7056.0,20
HCPCS,C1713,NAIL BN LNG LT 13X300MM,3266.0,3266.0,173.1,3919.2,20
HCPCS,C1713,NAIL BN LT 1.5MM 40CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN LT 10MM 34CM,3656.0,3656.0,193.77,4387.2,20
HCPCS,C1713,NAIL BN LT 10MM 37CM,2928.0,2928.0,155.18,3513.6,20
HCPCS,C1713,NAIL BN LT 10MM 40CM,4344.0,4344.0,230.23,5212.8,20
HCPCS,C1713,NAIL BN LT 10MM 42CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN LT 10X360MM,3885.0,3885.0,205.91,4662.0,20
HCPCS,C1713,NAIL BN LT 11.5MM 16CM,2180.0,2180.0,115.54,2616.0,20
HCPCS,C1713,NAIL BN LT 11.5MM 25CM,4505.0,4505.0,238.76,5406.0,20
HCPCS,C1713,NAIL BN LT 13MM 38CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN LT 2.8MM 130MM,6634.0,6634.0,351.6,7960.8,20
HCPCS,C1713,NAIL BN LT 2.8MM 180MM,7490.0,7490.0,396.97,8988.0,20
HCPCS,C1713,NAIL BN LT 3.4MM 180MM,10700.0,10700.0,567.1,12840.0,20
HCPCS,C1713,NAIL BN LT 8.5MM 255MM,3406.0,3406.0,180.52,4087.2,20
HCPCS,C1713,NAIL BN LT 8.5MM 285MM,4032.0,4032.0,213.7,4838.4,20
HCPCS,C1713,NAIL BN LT 9MM 35CM,2928.0,2928.0,155.18,3513.6,20
HCPCS,C1713,NAIL BN LT 9MM 400MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN LT 9X160MM,5009.0,5009.0,265.48,6010.8,20
HCPCS,C1713,NAIL BN LT INTERTRO 42CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN MICRO 2MM 36MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1713,NAIL BN MODULAR 130X30CM,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL BN RT 1.5MM 13MM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN RT 1.5MM 34CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL BN RT 10MM 16CM,2180.0,2180.0,115.54,2616.0,20
HCPCS,C1713,NAIL BN RT 10MM 34CM,3656.0,3656.0,193.77,4387.2,20
HCPCS,C1713,NAIL BN RT 10MM 35CM,2928.0,2928.0,155.18,3513.6,20
HCPCS,C1713,NAIL BN RT 10MM 36CM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN RT 10MM 40CM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN RT 10MM 42CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL BN RT 11.5MM 34CM,3656.0,3656.0,193.77,4387.2,20
HCPCS,C1713,NAIL BN RT 11.5MM 36CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL BN RT 13.0MM 440MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN RT 2.8X180MM,6634.0,6634.0,351.6,7960.8,20
HCPCS,C1713,NAIL BN RT 3.4MM 180MM,7490.0,7490.0,396.97,8988.0,20
HCPCS,C1713,NAIL BN RT 8.5MM 30CM,3390.0,3390.0,179.67,4068.0,20
HCPCS,C1713,NAIL BN RT 9MM 34CM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN RT 9MM 40CM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL BN RT LG 10MM 250MM,5892.0,5892.0,312.28,7070.4,20
HCPCS,C1713,NAIL BN RTRGD 10X32MM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN SCREW 7.2MM 75MM,1783.0,1783.0,94.5,2139.6,20
HCPCS,C1713,NAIL BN THRD PEG 5X30MM,693.0,693.0,36.73,831.6,20
HCPCS,C1713,NAIL BN TIB 10MM 28CM,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL BN TIB 10MM 330MM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN TIB 10MM 34CM,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL BN TIB 10MM 360MM,2706.0,2706.0,143.42,3247.2,20
HCPCS,C1713,NAIL BN TIB 10MM 375MM,2706.0,2706.0,143.42,3247.2,20
HCPCS,C1713,NAIL BN TIB 10MM 37CM,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL BN TIB 10MMX41CM,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL BN TIB 10X35MM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN TIB 11.5MM 32CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN TIB 11.5X35MM,1809.0,1809.0,95.88,2170.8,20
HCPCS,C1713,NAIL BN TIB 11.5X36CM,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL BN TIB 11MM 345MM,2706.0,2706.0,143.42,3247.2,20
HCPCS,C1713,NAIL BN TIB 11MM 42CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN TIB 13MM 40CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN TIB 32CM 10MM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL BN TIB 8.5MM 30CM,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL BN TIB 9MM 330MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN TIB 9MM 360MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN TIB IM 9MM 315MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN TIB IM 9X375MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL BN TIB LT 11MM 34CM,2928.0,2928.0,155.18,3513.6,20
HCPCS,C1713,NAIL BN TIB LT 11MM 38CM,2928.0,2928.0,155.18,3513.6,20
HCPCS,C1713,NAIL BN TIB STD 11X345MM,1905.0,1905.0,100.97,2286.0,20
HCPCS,C1713,NAIL BN TROCH 10MM 18CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL BN TROCH 10MM 32CM,4345.0,4345.0,230.28,5214.0,40
HCPCS,C1713,NAIL BN TROCH 10MM 34CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL BN TROCH 10MM 36CM,4344.0,4344.0,216.56,5214.0,80
HCPCS,C1713,NAIL BN TROCH 10MM 38CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL BN TROCH 11.5M 20CM,3059.0,3059.0,162.13,3670.8,20
HCPCS,C1713,NAIL BN TROCH 12MM 200MM,2470.0,2470.0,130.91,2964.0,20
HCPCS,C1713,NAIL BN WRST RADL 70MM,800.0,800.0,42.4,960.0,20
HCPCS,C1713,NAIL CANN 2MM 12MM,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1713,NAIL CANN 2MM 16MM,2340.0,2340.0,124.02,2808.0,20
HCPCS,C1713,NAIL CANN 2MM 18MM,2340.0,2340.0,124.02,2808.0,20
HCPCS,C1713,NAIL CANN 2MM 20MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1713,NAIL CANN 2MM 22MM,2350.0,2350.0,124.55,2820.0,20
HCPCS,C1713,NAIL CANN 2MM 24MM,2340.0,2340.0,124.02,2808.0,20
HCPCS,C1713,NAIL CANN RT TROCH 11X38,3623.3,3623.3,192.03,4347.96,20
HCPCS,C1713,NAIL CANN TNM 11.5X200,9230.0,9230.0,489.19,11076.0,20
HCPCS,C1713,NAIL ENDCAP SHDR 5MM,549.0,549.0,29.1,658.8,20
HCPCS,C1713,NAIL FEM 10MM 22CM,3684.0,3684.0,195.25,4420.8,20
HCPCS,C1713,NAIL FEM 10MM 42CM,3684.0,3684.0,195.25,4420.8,20
HCPCS,C1713,NAIL FEM 10MM18 CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL FEM 10MMX34CM,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL FEM 11MM 340MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL FEM 11MM 400MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL FEM 11X400MM,3212.0,3212.0,170.24,3854.4,20
HCPCS,C1713,NAIL FEM 130DEG 12X30CM,4370.0,4370.0,231.61,5244.0,20
HCPCS,C1713,NAIL FEM 13MM 32CM,4784.0,4784.0,253.55,5740.8,20
HCPCS,C1713,NAIL FEM 13MM 420MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL FEM 71770824,2932.0,2932.0,155.4,3518.4,20
HCPCS,C1713,NAIL FEM ANTGRD THRD MED,970.0,970.0,51.41,1164.0,20
HCPCS,C1713,NAIL FEM COMP 9MMX44CM,4180.0,4180.0,221.54,5016.0,20
HCPCS,C1713,NAIL FEM COMP 9X46,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL FEM COMPNT 9MMX38CM,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL FEM GALILEO 9MX40CM,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL FEM IMSC 5HL 11X25,1455.3,1455.3,77.13,1746.36,20
HCPCS,C1713,NAIL FEM INTERTN 1.5X10M,6110.0,6110.0,323.83,7332.0,20
HCPCS,C1713,NAIL FEM LT 11.5MM 32CM,3434.0,3434.0,182.0,4120.8,20
HCPCS,C1713,NAIL FEM LT 11.5MM 36CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL FEM LT 11.5MM 42CM,4086.0,4086.0,161.76,5214.0,60
HCPCS,C1713,NAIL FEM LT 9MM 40CM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL FEM LT TROCH 10X40,3384.0,3384.0,179.35,4060.8,20
HCPCS,C1713,NAIL FEM LT/RT 10MM 12CM,13000.0,13000.0,689.0,15600.0,20
HCPCS,C1713,NAIL FEM MOD 10X38C,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL FEM MOD 10X40 STR,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL FEM MOD 11MMX34CM,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL FEM MOD 12X30,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL FEM MOD 9X36MM,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1713,NAIL FEM NLEX CAN 10X36,2562.0,2562.0,135.79,3074.4,20
HCPCS,C1713,NAIL FEM NLEX LT 11X36,2562.0,2562.0,135.79,3074.4,20
HCPCS,C1713,NAIL FEM RT 10MM 40CM,4086.0,4086.0,216.56,4903.2,20
HCPCS,C1713,NAIL FEM RT 10MM 42CM,3384.0,3384.0,179.35,4060.8,20
HCPCS,C1713,NAIL FEM RT 10X235MM,3332.0,3332.0,176.6,3998.4,20
HCPCS,C1713,NAIL FEM RT 10X400MM,2220.0,2220.0,117.66,2664.0,20
HCPCS,C1713,NAIL FEM RT 11.5MM 42CM,6540.0,6540.0,346.62,7848.0,20
HCPCS,C1713,NAIL FEM RT 13MM 42CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL FEM RT NLEX 11X40,3250.9,3250.9,172.3,3901.08,20
HCPCS,C1713,NAIL FEM RTGRD GRN 10X36,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL FEM RTRO 11.5X36MM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL FEM T2 LCK TI 8X360,3036.14,3036.14,160.92,3643.37,20
HCPCS,C1713,NAIL FEM TRGN RT 10X38,3326.9,3326.9,176.33,3992.28,20
HCPCS,C1713,NAIL FEMORAL LEFT 11X440,907.2,907.2,48.08,1088.64,20
HCPCS,C1713,NAIL FIB TI LT 140MM,3596.0,3596.0,190.59,4315.2,20
HCPCS,C1713,NAIL FT ANKL 10X150MM,7898.0,7898.0,418.59,9477.6,20
HCPCS,C1713,NAIL FX RSH CNDRL13.97X3,158.0,158.0,8.37,189.6,20
HCPCS,C1713,NAIL FX RUSH CMPLT 4.5X2,146.0,146.0,7.74,175.2,20
HCPCS,C1713,NAIL HD FX TRTHLN .075IN,90.0,90.0,4.77,108.0,20
HCPCS,C1713,NAIL HUM 10 8.5X24,3371.0,3371.0,178.66,4045.2,20
HCPCS,C1713,NAIL HUM 2MM 300MM,323.0,323.0,17.12,387.6,20
HCPCS,C1713,NAIL HUM 3.5MM 450MM,376.0,376.0,19.93,451.2,20
HCPCS,C1713,NAIL HUM 7MM 25CM,5190.0,5190.0,275.07,6228.0,20
HCPCS,C1713,NAIL HUM CANN 7MM 220MM,2094.0,2094.0,110.98,2512.8,20
HCPCS,C1713,NAIL HUM CANN 7MM 230MM,2094.0,2094.0,110.98,2512.8,20
HCPCS,C1713,NAIL HUM CANN 7MM 240MM,3199.0,3199.0,169.55,3838.8,20
HCPCS,C1713,NAIL HUM CANN 7MM 250MM,3199.0,3199.0,169.55,3838.8,20
HCPCS,C1713,NAIL HUM CANN 7MM 260MM,2094.0,2094.0,110.98,2512.8,20
HCPCS,C1713,NAIL HUM CANN 7MM 280MM,3186.0,3186.0,168.86,3823.2,20
HCPCS,C1713,NAIL HUM CANN 7MM 290MM,3296.0,3296.0,174.69,3955.2,20
HCPCS,C1713,NAIL HUM CANN 9MM 230MM,2094.0,2094.0,110.98,2512.8,20
HCPCS,C1713,NAIL HUM CANN 9MM 240MM,2094.0,2094.0,110.98,2512.8,20
HCPCS,C1713,NAIL HUM CANN 9MM 250MM,3199.0,3199.0,169.55,3838.8,20
HCPCS,C1713,NAIL HUM IM T2 8X22MM,2335.0,2335.0,123.75,2802.0,20
HCPCS,C1713,NAIL HUM TRI 71770926,2932.0,2932.0,155.4,3518.4,20
HCPCS,C1713,NAIL HUMRL 8/7 16 CM,2932.0,2932.0,155.4,3518.4,20
HCPCS,C1713,NAIL IM 25X10 VRSNL,2998.58,2998.58,158.92,3598.3,20
HCPCS,C1713,NAIL IM CANN 2X30MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1713,NAIL IM FEM 36X16,1391.94,1391.94,73.77,1670.33,20
HCPCS,C1713,NAIL IM HUM 11X150,2113.12,2113.12,112.0,2535.74,20
HCPCS,C1713,NAIL IM HUM 9X22MM,22.0,22.0,1.17,26.4,20
HCPCS,C1713,NAIL IM HUM TRGN 10/8.5,3365.0,3365.0,178.34,4038.0,20
HCPCS,C1713,NAIL IM HUM TRGN 7.5X22,3371.0,3371.0,178.66,4045.2,20
HCPCS,C1713,NAIL IM HUM TRGN 8/7X26,3150.0,3150.0,166.95,3780.0,20
HCPCS,C1713,NAIL IM SUPRA 12X25CM,1455.3,1455.3,77.13,1746.36,20
HCPCS,C1713,NAIL IM TI 10X340,3020.0,3020.0,160.06,3624.0,20
HCPCS,C1713,NAIL IM TI 135DD L170MM,2169.0,2169.0,114.96,2602.8,20
HCPCS,C1713,NAIL IM TIB METAL,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL IM TRIG 11.5MMX32CM,6535.0,6535.0,346.36,7842.0,20
HCPCS,C1713,NAIL INTERTN R 10X32X125,3326.9,3326.9,176.33,3992.28,20
HCPCS,C1713,NAIL INTRN 10X32X130 RT,6110.0,6110.0,323.83,7332.0,20
HCPCS,C1713,NAIL INTRN 10X42X130 RT,6110.0,6110.0,323.83,7332.0,20
HCPCS,C1713,NAIL INTRN TRGN LT 36CM,6540.0,6540.0,346.62,7848.0,20
HCPCS,C1713,NAIL INTRTN 10MM 34CM LT,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL INTRTN 10X400X130 L,7490.0,7490.0,396.97,8988.0,20
HCPCS,C1713,NAIL INTRTN LT 1.5X10X32,4718.45,4718.45,176.33,7332.0,40
HCPCS,C1713,NAIL INTRTN RT36X1.5X125,3326.9,3326.9,176.33,3992.28,20
HCPCS,C1713,NAIL INTRTN TRGN R 10X40,6540.0,6540.0,346.62,7848.0,20
HCPCS,C1713,NAIL KN 11.5M 38CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL KNEE 10MM 67CM,14064.0,14064.0,745.39,16876.8,20
HCPCS,C1713,NAIL LCKNG SCRW AMS 7.5,470.0,470.0,24.91,564.0,20
HCPCS,C1713,NAIL LNG 125D 10X300MM,3266.0,3266.0,173.1,3919.2,20
HCPCS,C1713,NAIL LNG 125D 10X320MM,3266.0,3266.0,173.1,3919.2,20
HCPCS,C1713,NAIL LNG 125D 10X380MM,3266.0,3266.0,173.1,3919.2,20
HCPCS,C1713,NAIL LNG 125D 10X400MM,3960.0,3960.0,209.88,4752.0,20
HCPCS,C1713,NAIL LNG 125D 11X360MM,3266.0,3266.0,173.1,3919.2,20
HCPCS,C1713,NAIL LNG 125D 11X380MM,3266.0,3266.0,173.1,3919.2,20
HCPCS,C1713,NAIL LT HIP IM 10X34X130,3760.68,3760.68,199.32,4512.82,20
HCPCS,C1713,NAIL LT HNDFT 11.5MM20CM,4505.0,4505.0,238.76,5406.0,20
HCPCS,C1713,NAIL MOD HUM 40MM,290.0,290.0,15.37,348.0,20
HCPCS,C1713,NAIL MOD IM 10X25,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL MOD IM 10X30,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL MODULAR 10MMX20CM,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL MODULAR 12MMX33CM,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL MODULAR 13MMX42CM,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL MODULAR 13X40,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL MODULAR AOS 11X42,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL MODULAR IM 12X38,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL ORT IM 30CMX11MM,2235.54,2235.54,118.48,2682.65,20
HCPCS,C1713,NAIL ORTH 10X30X130,4370.0,4370.0,231.61,5244.0,20
HCPCS,C1713,NAIL ORTHO MOD 13X30CM,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1713,NAIL PROXIMAL IM HUM 7.0,3399.0,3399.0,180.15,4078.8,20
HCPCS,C1713,NAIL RT FEM 1.5MM 42CM,4345.0,4345.0,230.28,5214.0,20
HCPCS,C1713,NAIL RUSH 6.5X4,146.0,146.0,7.74,175.2,20
HCPCS,C1713,NAIL RUSS-TYLR 5X45MM,151.3,151.3,8.02,181.56,20
HCPCS,C1713,NAIL SCREW HDLS 7.2X55MM,2003.0,2003.0,106.16,2403.6,20
HCPCS,C1713,NAIL SHRT 12MMX20CMX135D,4160.0,4160.0,220.48,4992.0,20
HCPCS,C1713,NAIL TI HUM 9/7.5X20,3371.0,3371.0,178.66,4045.2,20
HCPCS,C1713,NAIL TIB 10.5X300MM,3560.0,3560.0,188.68,4272.0,20
HCPCS,C1713,NAIL TIB 10.5X310MM,3560.0,3560.0,188.68,4272.0,20
HCPCS,C1713,NAIL TIB 10.5X320MM,3925.0,3925.0,208.03,4710.0,20
HCPCS,C1713,NAIL TIB 10.5X330MM,3560.0,3560.0,188.68,4272.0,20
HCPCS,C1713,NAIL TIB 10.5X340MM,3560.0,3560.0,188.68,4272.0,20
HCPCS,C1713,NAIL TIB 10.5X350MM,3560.0,3560.0,188.68,4272.0,20
HCPCS,C1713,NAIL TIB 10MM 315MM,1844.0,1844.0,97.73,2212.8,20
HCPCS,C1713,NAIL TIB 10MM 31CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL TIB 10MM 38CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL TIB 10MMX34CM,3052.0,3052.0,161.76,3662.4,20
HCPCS,C1713,NAIL TIB 11.5MM 30CM,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL TIB 11.5MM 34CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL TIB 11MM 315MM,1844.0,1844.0,97.73,2212.8,20
HCPCS,C1713,NAIL TIB 13MM 34 M,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL TIB 8.5MM 33CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL TIB 8.5MM 35CM,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL TIB 9MM 28.5CM,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1713,NAIL TIB 9MM 300MM,2614.0,2614.0,138.54,3136.8,20
HCPCS,C1713,NAIL TIB 9MM 330MM,2230.0,2230.0,118.19,2676.0,20
HCPCS,C1713,NAIL TIB IM 9X37.5MM,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1713,NAIL TIB IM MT-NL 8.5X24,3044.24,3044.24,161.34,3653.09,20
HCPCS,C1713,NAIL TIB IMPL 11X34.5,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1713,NAIL TIB MT 8.5X37MM,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL TIB MT-NL IM 10X36,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,NAIL TIB T-N 8.5MM 36CM,3684.0,3684.0,195.25,4420.8,20
HCPCS,C1713,NAIL TIB T2 9MM 31.5CM,1905.0,1905.0,100.97,2286.0,20
HCPCS,C1713,NAIL TIB TRGN 8.5X29,3014.1,3014.1,159.75,3616.92,20
HCPCS,C1713,NAIL TIB TRGN 8.5X32 GRY,147.0,147.0,7.79,176.4,20
HCPCS,C1713,NAIL TIBIA 11MMX20CM,1435.88,1435.88,76.1,1723.06,20
HCPCS,C1713,NAIL TIBIA 12MMX20CM,1435.88,1435.88,76.1,1723.06,20
HCPCS,C1713,NAIL TIBIA 39CM 10MM,3486.0,3486.0,184.76,4183.2,20
HCPCS,C1713,NAIL TIBIAL 8MMX34.5CM,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1713,NAIL TIBIAL 8X27.0MM,3930.0,3930.0,208.29,4716.0,20
HCPCS,C1713,NAIL TRGN LT 8.5MM 34CM,3390.0,3390.0,179.67,4068.0,20
HCPCS,C1713,NAIL TROCH 10MM 20CM,4275.0,4275.0,220.48,5268.0,40
HCPCS,C1713,NAIL TROCH 10MM 36CM,5790.0,5790.0,306.87,6948.0,20
HCPCS,C1713,NAIL TROCH 11MM 20CM,4160.0,4160.0,220.48,4992.0,20
HCPCS,C1713,NAIL TROCH 11MM 33MM,4370.0,4370.0,231.61,5244.0,20
HCPCS,C1713,NAIL TROCH 11MM 36CM,5790.0,5790.0,306.87,6948.0,20
HCPCS,C1713,NAIL TROCH 11MM 42MM,4160.0,4160.0,220.48,4992.0,20
HCPCS,C1713,NAIL TROCH ANTGRD 13X34,2618.4,2618.4,138.78,3142.08,20
HCPCS,C1713,NAIL TROCH ANTGRD 13X36,2618.4,2618.4,138.78,3142.08,20
HCPCS,C1713,NAIL TROCH ES LT 10X30,4370.0,4370.0,231.61,5244.0,20
HCPCS,C1713,NAIL TROCH ES LT 10X33,4570.0,4570.0,242.21,5484.0,20
HCPCS,C1713,NAIL TROCH INTRTN 10X34,3326.9,3326.9,176.33,3992.28,20
HCPCS,C1713,NAIL TROCH L 12.5X36X130,4160.0,4160.0,220.48,4992.0,20
HCPCS,C1713,NUT BN 4.5MM,52.0,52.0,2.76,62.4,20
HCPCS,C1713,NUT FIXATION WASHER,757.0,757.0,40.12,908.4,20
HCPCS,C1713,NUT LCK SPN HD TO HD,100.0,100.0,5.3,120.0,20
HCPCS,C1713,NUT SPN LCK FOR CONN,100.0,100.0,5.3,120.0,20
HCPCS,C1713,NUT SPN LCK TI ST SCR,100.0,100.0,5.3,120.0,20
HCPCS,C1713,PACK PLATE / SCREW 2.7MM,4100.0,4100.0,217.3,4920.0,20
HCPCS,C1713,PEG BN 2.7MM 16MM,630.0,630.0,33.39,756.0,20
HCPCS,C1713,PEG BN 2.7MM 18MM,630.0,630.0,33.39,756.0,20
HCPCS,C1713,PEG BN 2.7MM 20MM,170.0,170.0,8.06,756.0,60
HCPCS,C1713,PEG BN 2.7MM 21MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,PEG BN 2.7MM 24MM,630.0,630.0,33.39,756.0,20
HCPCS,C1713,PEG BN 2MM 14MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,PEG BN 2MM 19MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,PEG BN CORT 2.7X32MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,PEG BN FX 1.8MM 16MM,250.0,250.0,13.25,300.0,20
HCPCS,C1713,PEG BN FX 1.8MM 20MM,250.0,250.0,13.25,300.0,20
HCPCS,C1713,PEG BN FX 2.3MM,154.0,154.0,8.16,184.8,20
HCPCS,C1713,PEG BN FX 2.3MM 12MM,154.0,154.0,8.16,184.8,20
HCPCS,C1713,PEG BN FX 2.3MM 14MM,154.0,154.0,8.16,184.8,20
HCPCS,C1713,PEG BN FX 2.3MM 20MM,154.0,154.0,8.16,184.8,20
HCPCS,C1713,PEG BN FX 2.3MM 30MM,154.0,154.0,8.16,184.8,20
HCPCS,C1713,PEG BN FX 2.7MM 10MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,PEG BN FX 2.7MM 12MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,PEG BN FX 2.7MM 20MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,PEG BN FX 2.7MM 24MM,152.0,152.0,8.06,182.4,20
HCPCS,C1713,PEG BN FX 2MM 26MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,PEG BN FX LCK 2.7X30MM,152.0,152.0,8.06,182.4,20
HCPCS,C1713,PEG BN FX THRD 2.3X20MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,PEG BN HI CMPR 2.7X14,170.0,170.0,9.01,204.0,20
HCPCS,C1713,PEG BN HI CMPR 2.7X28,170.0,170.0,9.01,204.0,20
HCPCS,C1713,PEG BN HI CMPR 2.7X30,198.0,198.0,10.49,237.6,20
HCPCS,C1713,PEG BN HI-CMPR 2.7X18MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,PEG BN LCK 2.3MM 28MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,PEG BN LCK 2.3X23MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,PEG BN LCK 2.3X24MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,PEG BN LCK 2.3X26MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,PEG BN LCK 2.7MM 16MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,PEG BN LCK 2.7X12MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,PEG BN LCK 3.2MM 34MM,309.0,309.0,16.38,370.8,20
HCPCS,C1713,PEG BN LCK 3.2MM 38MM,338.0,338.0,17.91,405.6,20
HCPCS,C1713,PEG BN LCK 3.2MM 46MM,294.0,294.0,15.58,352.8,20
HCPCS,C1713,PEG BN LCK 3.2MM 48MM,309.0,309.0,16.38,370.8,20
HCPCS,C1713,PEG BN LCK 3.2MM 54MM,338.0,338.0,17.91,405.6,20
HCPCS,C1713,PEG BN LCK 3.2MM 56MM,309.0,309.0,16.38,370.8,20
HCPCS,C1713,PEG BN LCK 3.2MM 58MM,309.0,309.0,16.38,370.8,20
HCPCS,C1713,PEG BN LCK 3.5MM 42MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PEG BN LCK 3.5MM 44MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PEG BN LCK 3.5MM 46MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PEG BN LCK 3.5MM 50MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PEG BN LCK 3.5MM 52MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PEG BN LCK 3.5MM 54MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PEG BN LCK 3.5MM 56MM,211.0,211.0,11.18,253.2,20
HCPCS,C1713,PEG BN LCK 6MM 46MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PEG BN LCK 6MM 48MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PEG BN LCK 6MM 50MM,211.0,211.0,11.18,253.2,20
HCPCS,C1713,PEG BN LCK 6MM 52MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PEG BN LCK 6MM 54MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PEG BN LCK SMTH 2X17MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,PEG BN LCK SMTH 2X28MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,PEG BN N-LCK 2.7X18MM,152.0,152.0,8.06,182.4,20
HCPCS,C1713,PEG BN NLCKG 2.7MM 26MM,152.0,152.0,8.06,182.4,20
HCPCS,C1713,PEG BN NONLCK 2.7X28MM,152.0,152.0,8.06,182.4,20
HCPCS,C1713,PEG BN THD NLCK 2.7X24MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,PEG BN THRD 2.3MM 10MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,PEG BN THRD 2.7MM 10MM,152.0,152.0,8.06,182.4,20
HCPCS,C1713,PEG BN THRD 2.7MM 12MM,355.0,355.0,8.06,669.6,40
HCPCS,C1713,PEG BN THRD 2.7MM 14MM,152.0,152.0,8.06,182.4,20
HCPCS,C1713,PEG BN THRD 2.7MM 16MM,152.0,152.0,8.06,182.4,20
HCPCS,C1713,PEG BN THRD 2.7X24MM,152.0,152.0,8.06,182.4,20
HCPCS,C1713,PEG BN THRD LCK 2.3X12MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,PEG BN THRD LCK 2.3X14MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,PEG BN THRD LCK 2.3X17MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,PEG BN THRD LCK 2.3X18MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,PEG BN THRD LCK 2.3X21MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,PEG BN THRD LCK 2.3X22MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,PEG CORT NLCK 2.7X26MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,PEG FX 2.3MM 16MM,161.0,161.0,8.16,201.6,40
HCPCS,C1713,PEG FX 2.3MM 18MM,154.0,154.0,8.16,184.8,20
HCPCS,C1713,PEG FX 2.7MM 23MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,PEG FX 2MM 16MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,PEG FX 2MM 24MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,PEG FX BN 2.3MM 24MM,154.0,154.0,8.16,184.8,20
HCPCS,C1713,PEG FX BN 2.5MM 28MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,PEG FX L40 SHLDR THRD,190.0,190.0,10.07,228.0,20
HCPCS,C1713,PEG FX LCK 2X21MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,PEG FX LCK NS 3.2X44MM,338.0,338.0,17.91,405.6,20
HCPCS,C1713,PEG FX LCK NS 3.2X50MM,309.0,309.0,16.38,370.8,20
HCPCS,C1713,PEG FX LNG 10MM,3300.0,3300.0,174.9,3960.0,20
HCPCS,C1713,PEG FX N-LCK 2.7MM 30MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,PEG FX N-LCK 2.7MM 40MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,PEG FX NS LCK 3.2 X 36MM,440.0,440.0,23.32,528.0,20
HCPCS,C1713,PEG HEAD LCKNG 2.0X16,370.0,370.0,19.61,444.0,20
HCPCS,C1713,PEG HI-COMP LCK 2.7X19MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,PEG HI-COMP LCK 2.7X22MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,PEG HI-COMP LCK 2.7X24MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,PEG HI-COMP LCK 2.7X26MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,PEG LCK 3.5X36MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PEG LCK SMOOTH 2X20MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,PEG LCK SMOOTH 2X23MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,PEG LCK SMOOTH 2X30MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,PEG LCK SMTH 2X22MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,PEG LOCKING 3.2X32MM,440.0,440.0,23.32,528.0,20
HCPCS,C1713,PEG LOCKING 3.2X42MM,294.0,294.0,15.58,352.8,20
HCPCS,C1713,PEG SMTH LCK 2.0X18MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,PEG THRD 4.0X20.0,187.0,187.0,9.91,224.4,20
HCPCS,C1713,PEG THRD NLCK 2.7X28MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,PEG TRA THRD 2.5X16,114.92,114.92,6.09,137.9,20
HCPCS,C1713,PIN AXIS BOOM 2.5X45MM,576.0,576.0,30.53,691.2,20
HCPCS,C1713,PIN AXIS BOOM 2.5X55MM,576.0,576.0,30.53,691.2,20
HCPCS,C1713,PIN BN 2.4MM 10-50MM,735.0,735.0,38.95,882.0,20
HCPCS,C1713,PIN BN 2.4MM 50MM,735.0,735.0,38.95,882.0,20
HCPCS,C1713,PIN BN 2.5MM 40MM,576.0,576.0,30.53,691.2,20
HCPCS,C1713,PIN BN 2.5X16MM,2994.0,2994.0,158.68,3592.8,20
HCPCS,C1713,PIN BN DMD 1ND 3.5MM,387.0,387.0,20.51,464.4,20
HCPCS,C1713,PIN BN KN CMPNTRESS,296.0,296.0,15.69,355.2,20
HCPCS,C1713,PIN BN PSTN 4.5MM,317.0,317.0,16.8,380.4,20
HCPCS,C1713,PIN DRILL 1.5MM 100MM,420.0,420.0,22.26,504.0,20
HCPCS,C1713,PIN FX 1.8MM 22MM,381.0,381.0,20.19,457.2,20
HCPCS,C1713,PIN FX 2.8MM,120.0,120.0,6.36,144.0,20
HCPCS,C1713,PIN FX 280MM 6MM,787.0,787.0,41.71,944.4,20
HCPCS,C1713,PIN FX AXIS IJS 50X2.5MM,576.0,576.0,30.53,691.2,20
HCPCS,C1713,PIN FX ELB STAB 2.5X70MM,576.0,576.0,30.53,691.2,20
HCPCS,C1713,PIN FX T8 BTRS 1.8X16MM,381.0,381.0,20.19,457.2,20
HCPCS,C1713,PIN FXTN DMD 1ND 1.9MM,190.0,190.0,10.07,228.0,20
HCPCS,C1713,PIN FXTN DMD 1ND 3.1MM,229.0,229.0,12.14,274.8,20
HCPCS,C1713,PIN FXTN DMD 1ND 3.5MM,70.0,70.0,3.71,84.0,20
HCPCS,C1713,PIN FXTN DMD 1ND 3.9MM,81.0,81.0,4.29,97.2,20
HCPCS,C1713,PIN RUSH FX CNDLR 12.7X3,158.0,158.0,8.37,189.6,20
HCPCS,C1713,PIN RUSH STD 10INX2MM,130.0,130.0,6.89,156.0,20
HCPCS,C1713,PIN RUSH STD 5INX2MM,146.0,146.0,7.74,175.2,20
HCPCS,C1713,PIN RUSH STD 7.5INX2MM,146.0,146.0,7.74,175.2,20
HCPCS,C1713,PINTRA3.0X8.0X16M SLFDRL,165.06,165.06,8.75,198.07,20
HCPCS,C1713,PLATE 1 LVL HELIX 22MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1713,PLATE 1/3 TBLR 73MM 6HL,165.0,165.0,8.74,198.0,20
HCPCS,C1713,PLATE 1/3 TBLR 97MM 8HL,171.0,171.0,9.06,205.2,20
HCPCS,C1713,PLATE 1/3 TBLR TI LCK 7H,510.0,510.0,27.03,612.0,20
HCPCS,C1713,PLATE 100D 12M LT CRNMXF,745.0,745.0,39.48,894.0,20
HCPCS,C1713,PLATE 100D 12M RT CRNMXF,569.0,569.0,30.16,682.8,20
HCPCS,C1713,PLATE 100DEG 7H 85MM,119.0,119.0,6.31,142.8,20
HCPCS,C1713,PLATE 117MM 3.5/4MM SCR,3720.0,3720.0,197.16,4464.0,20
HCPCS,C1713,PLATE 118MM SS 2.7MM6H,1339.0,1339.0,70.97,1606.8,20
HCPCS,C1713,PLATE 11MM SPC STD 134X1,4052.0,4052.0,214.76,4862.4,20
HCPCS,C1713,PLATE 122X122X5MM 6HL,8421.0,8421.0,446.31,10105.2,20
HCPCS,C1713,PLATE 130D BRL 60MM2HL,872.0,872.0,46.22,1046.4,20
HCPCS,C1713,PLATE 142MM 8HL,3132.0,3132.0,166.0,3758.4,20
HCPCS,C1713,PLATE 24MM 1 LVL OZARK B,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE 266MM 02.104.032S,3259.0,3259.0,172.73,3910.8,20
HCPCS,C1713,PLATE 2X2 BLUE BOX,338.0,338.0,17.91,405.6,20
HCPCS,C1713,PLATE 2XL 8HL 10MMX3MM,3175.0,3175.0,168.28,3810.0,20
HCPCS,C1713,PLATE 3.5 LC DCP,396.0,396.0,20.99,475.2,20
HCPCS,C1713,PLATE 317MM DIST FEM,2667.0,2667.0,141.35,3200.4,20
HCPCS,C1713,PLATE 385MM SS 4.5/5 16H,3554.0,3554.0,188.36,4264.8,20
HCPCS,C1713,PLATE 4 HL BN LT HUM,2400.0,2400.0,127.2,2880.0,20
HCPCS,C1713,PLATE 4-CRNR RT SM,3184.0,3184.0,168.75,3820.8,20
HCPCS,C1713,PLATE 5MM 31X5X1.2MM,2560.0,2560.0,135.68,3072.0,20
HCPCS,C1713,PLATE 5TH MTRSL 1.3X5.5,2224.0,2224.0,117.87,2668.8,20
HCPCS,C1713,PLATE 5X.6MM MDFC LT 5H,391.0,391.0,20.72,469.2,20
HCPCS,C1713,PLATE 5X.6MM MDFC RT 5H,391.0,391.0,20.72,469.2,20
HCPCS,C1713,PLATE 66MM 4 HL OBLNG HL,3640.0,3640.0,192.92,4368.0,20
HCPCS,C1713,PLATE 66MM TI L3 TETH BN,3055.0,3055.0,161.91,3666.0,20
HCPCS,C1713,PLATE 6X17 2MM,3272.0,3272.0,173.42,3926.4,20
HCPCS,C1713,PLATE 6X17 HOLE O DEG RT,4248.0,4248.0,225.14,5097.6,20
HCPCS,C1713,PLATE 90D 4M R 9H CRNMXF,833.0,833.0,44.15,999.6,20
HCPCS,C1713,PLATE 99 SS 2.7/3.5M 5HL,1273.0,1273.0,67.47,1527.6,20
HCPCS,C1713,PLATE ACTB STRT 142.5 12,1060.0,1060.0,56.18,1272.0,20
HCPCS,C1713,PLATE ADJ BN SPNE OCT,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1713,PLATE ANKL RT 125X9X1.5,3676.0,3676.0,194.83,4411.2,20
HCPCS,C1713,PLATE ANT CRV 2LVL 39M,2100.0,2100.0,111.3,2520.0,20
HCPCS,C1713,PLATE ANT CSPN 26MM 1LVL,2604.0,2604.0,138.01,3124.8,20
HCPCS,C1713,PLATE ANT DSTL TIB 13HL,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE ANTER BRIM 14HL LT,2164.0,2164.0,114.69,2596.8,20
HCPCS,C1713,PLATE ANTLOCK W.HOLE AO,2170.0,2170.0,115.01,2604.0,20
HCPCS,C1713,PLATE ATLNTS ATP 85,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1713,PLATE BIO ZIP 11MM,182.0,182.0,9.65,218.4,20
HCPCS,C1713,PLATE BIO ZIP 18MM,226.0,226.0,11.98,271.2,20
HCPCS,C1713,PLATE BN .5X1.2MM 7HL,382.0,382.0,20.25,458.4,20
HCPCS,C1713,PLATE BN .6X1.2MM 2HL,418.0,418.0,22.15,501.6,20
HCPCS,C1713,PLATE BN .6X1.2MM 7HL,348.0,348.0,18.44,417.6,20
HCPCS,C1713,PLATE BN .6X1.2MM 8HL,468.0,468.0,24.8,561.6,20
HCPCS,C1713,PLATE BN 0.5MM 18.5MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PLATE BN 1.1MM,2274.0,2274.0,120.52,2728.8,20
HCPCS,C1713,PLATE BN 1.3MM,775.0,775.0,41.08,930.0,20
HCPCS,C1713,PLATE BN 1.6MM 16HL,1402.0,1402.0,74.31,1682.4,20
HCPCS,C1713,PLATE BN 1.7MM 25MM,1742.0,1742.0,92.33,2090.4,20
HCPCS,C1713,PLATE BN 1.7MM 30MM,1760.0,1760.0,93.28,2112.0,20
HCPCS,C1713,PLATE BN 1.7X8MM 6 HL RT,404.0,404.0,21.41,484.8,20
HCPCS,C1713,PLATE BN 1/3 2HL 23MM,468.0,468.0,24.8,561.6,20
HCPCS,C1713,PLATE BN 1/3 3HL 35MM,504.0,504.0,26.71,604.8,20
HCPCS,C1713,PLATE BN 1/3 4HL 47MM,644.0,644.0,34.13,772.8,20
HCPCS,C1713,PLATE BN 1/3 TBL LCK 12H,660.0,660.0,34.98,792.0,20
HCPCS,C1713,PLATE BN 1/3TBLR 107MM,585.0,585.0,31.0,702.0,20
HCPCS,C1713,PLATE BN 1/3TBLR 167MM,938.0,938.0,49.71,1125.6,20
HCPCS,C1713,PLATE BN 1/3TUB 6HL 71MM,544.0,544.0,28.83,652.8,20
HCPCS,C1713,PLATE BN 100D 12MM,395.0,395.0,20.93,474.0,20
HCPCS,C1713,PLATE BN 100D 5H 5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,PLATE BN 100D 8 LFT 5 HL,404.0,404.0,21.41,484.8,20
HCPCS,C1713,PLATE BN 100MM,2814.0,2814.0,149.14,3376.8,20
HCPCS,C1713,PLATE BN 101MM,3524.0,3524.0,186.77,4228.8,20
HCPCS,C1713,PLATE BN 102MM SS 3.5MM,2612.0,2612.0,138.44,3134.4,20
HCPCS,C1713,PLATE BN 104 SS 3.5 SCR8,709.0,709.0,37.58,850.8,20
HCPCS,C1713,PLATE BN 105MM 2.7MM,1534.0,1534.0,81.3,1840.8,20
HCPCS,C1713,PLATE BN 10H 118.5MM,824.0,824.0,43.67,988.8,20
HCPCS,C1713,PLATE BN 10H 131MM,560.0,560.0,29.68,672.0,20
HCPCS,C1713,PLATE BN 10H 136MM,1828.0,1828.0,96.88,2193.6,20
HCPCS,C1713,PLATE BN 10H 230MM 3.5MM,2853.0,2853.0,151.21,3423.6,20
HCPCS,C1713,PLATE BN 10H 3.5MM 110MM,1049.0,1049.0,55.6,1258.8,20
HCPCS,C1713,PLATE BN 10H 3.5MM 134MM,4081.0,4081.0,216.29,4897.2,20
HCPCS,C1713,PLATE BN 10H 3.5MM 137MM,614.0,614.0,32.54,736.8,20
HCPCS,C1713,PLATE BN 10H 3.5MM 140MM,983.0,983.0,52.1,1179.6,20
HCPCS,C1713,PLATE BN 10H 3.5MM 171MM,2667.0,2667.0,141.35,3200.4,20
HCPCS,C1713,PLATE BN 10H LT 230MM,2725.0,2725.0,144.43,3270.0,20
HCPCS,C1713,PLATE BN 10H3.5X 183MM,1838.0,1838.0,97.41,2205.6,20
HCPCS,C1713,PLATE BN 10HL,3128.0,3128.0,165.78,3753.6,20
HCPCS,C1713,PLATE BN 10HL 175MM,2520.0,2520.0,133.56,3024.0,20
HCPCS,C1713,PLATE BN 10HL 199MM,2622.0,2622.0,138.97,3146.4,40
HCPCS,C1713,PLATE BN 10HL 2.7X94MM,718.0,718.0,38.05,861.6,20
HCPCS,C1713,PLATE BN 10HL 3.5MM,2440.0,2440.0,129.32,2928.0,20
HCPCS,C1713,PLATE BN 10HL 3.5X116MM,1002.0,1002.0,53.11,1202.4,20
HCPCS,C1713,PLATE BN 10HL 3.5X171MM,2940.0,2940.0,155.82,3528.0,20
HCPCS,C1713,PLATE BN 10HL 3.5X230MM,2853.0,2853.0,151.21,3423.6,20
HCPCS,C1713,PLATE BN 10HL 3.5X232MM,2906.0,2906.0,154.02,3487.2,20
HCPCS,C1713,PLATE BN 10HL 4.5X188MM,1096.0,1096.0,58.09,1315.2,20
HCPCS,C1713,PLATE BN 10HL 49MM,1516.0,1516.0,80.35,1819.2,20
HCPCS,C1713,PLATE BN 10HL LG LT,3128.0,3128.0,165.78,3753.6,20
HCPCS,C1713,PLATE BN 10HL LG RT,3128.0,3128.0,165.78,3753.6,20
HCPCS,C1713,PLATE BN 10HL ORBT 1.2MM,441.0,441.0,23.37,529.2,20
HCPCS,C1713,PLATE BN 11 HL 56MM,1516.0,1516.0,80.35,1819.2,20
HCPCS,C1713,PLATE BN 11-12D 172MM,2872.0,2872.0,152.22,3446.4,20
HCPCS,C1713,PLATE BN 111MM 3.5MM,592.0,592.0,31.38,710.4,20
HCPCS,C1713,PLATE BN 112MM 2.7/3.5MM,2617.0,2617.0,138.7,3140.4,20
HCPCS,C1713,PLATE BN 116MM 2.7/3.5MM,2022.0,2022.0,107.17,2426.4,20
HCPCS,C1713,PLATE BN 117MM 3.5MM,3172.0,3172.0,168.12,3806.4,20
HCPCS,C1713,PLATE BN 117X9X1MM,303.0,303.0,16.06,363.6,20
HCPCS,C1713,PLATE BN 118MM,1120.0,1120.0,59.36,1344.0,20
HCPCS,C1713,PLATE BN 11H 233MM,6158.0,6158.0,326.37,7389.6,20
HCPCS,C1713,PLATE BN 11H 43MM 2.7MM,1710.0,1710.0,90.63,2052.0,20
HCPCS,C1713,PLATE BN 11HL 130.5MM,868.0,868.0,46.0,1041.6,20
HCPCS,C1713,PLATE BN 11HL 4.5X206MM,1307.0,1307.0,69.27,1568.4,20
HCPCS,C1713,PLATE BN 11HL 4.5X209MM,5473.0,5473.0,290.07,6567.6,20
HCPCS,C1713,PLATE BN 11HL 43MM 2.7MM,1710.0,1710.0,90.63,2052.0,20
HCPCS,C1713,PLATE BN 11MM,4335.0,4335.0,229.75,5202.0,20
HCPCS,C1713,PLATE BN 11MM 111X10.9X2,2760.0,2760.0,146.28,3312.0,20
HCPCS,C1713,PLATE BN 11MM 81X10X2MM,1708.0,1708.0,90.52,2049.6,20
HCPCS,C1713,PLATE BN 121MM 2.4MM,1512.0,1512.0,80.14,1814.4,20
HCPCS,C1713,PLATE BN 125MM,2952.0,2952.0,156.46,3542.4,20
HCPCS,C1713,PLATE BN 125X10X2MM,1917.0,1917.0,101.6,2300.4,20
HCPCS,C1713,PLATE BN 127MM,1904.0,1904.0,100.91,2284.8,20
HCPCS,C1713,PLATE BN 128MM 2.7MM,3480.0,3480.0,184.44,4176.0,20
HCPCS,C1713,PLATE BN 12H 1.0M,570.0,570.0,30.21,684.0,20
HCPCS,C1713,PLATE BN 12H 132MM,1550.0,1550.0,82.15,1860.0,20
HCPCS,C1713,PLATE BN 12H 162MM,4573.0,4573.0,242.37,5487.6,20
HCPCS,C1713,PLATE BN 12H 202MM,3084.0,3084.0,163.45,3700.8,20
HCPCS,C1713,PLATE BN 12H 2MM 81MM,719.0,719.0,38.11,862.8,20
HCPCS,C1713,PLATE BN 12H 3.5MM 266MM,3186.5,3186.5,165.04,3910.8,40
HCPCS,C1713,PLATE BN 12H 3.5X139MM,1029.0,1029.0,54.54,1234.8,20
HCPCS,C1713,PLATE BN 12HL,5709.0,5709.0,302.58,6850.8,20
HCPCS,C1713,PLATE BN 12HL 151MM,2681.5,2681.5,65.61,4950.0,40
HCPCS,C1713,PLATE BN 12HL 156MM,852.0,852.0,45.16,1022.4,20
HCPCS,C1713,PLATE BN 12HL 2.4MM,960.0,960.0,50.88,1152.0,20
HCPCS,C1713,PLATE BN 12HL 225MM,2672.0,2672.0,141.62,3206.4,40
HCPCS,C1713,PLATE BN 12HL 266MM,3452.0,3452.0,182.96,4142.4,20
HCPCS,C1713,PLATE BN 12HL 3.5X163MM,699.0,699.0,37.05,838.8,20
HCPCS,C1713,PLATE BN 12HL 3.5X295MM,12355.0,12355.0,654.82,14826.0,20
HCPCS,C1713,PLATE BN 12HL 4.5X224MM,1239.0,1239.0,65.67,1486.8,20
HCPCS,C1713,PLATE BN 130X12.2X2MM,2703.0,2703.0,143.26,3243.6,20
HCPCS,C1713,PLATE BN 137MM 3.5MM,3173.0,3173.0,168.17,3807.6,20
HCPCS,C1713,PLATE BN 138X3.5MM 10HL,3248.0,3248.0,172.14,3897.6,20
HCPCS,C1713,PLATE BN 13H 3.5MM 176MM,806.0,806.0,42.72,967.2,20
HCPCS,C1713,PLATE BN 13HL 240MM,1302.0,1302.0,69.01,1562.4,20
HCPCS,C1713,PLATE BN 140D 1.5MM 6HL,1362.0,1362.0,72.19,1634.4,20
HCPCS,C1713,PLATE BN 14H 3.5MM 162MM,1710.0,1710.0,90.63,2052.0,20
HCPCS,C1713,PLATE BN 14H 301MM 4.5MM,3683.0,3683.0,195.2,4419.6,20
HCPCS,C1713,PLATE BN 14H 4.5MM 260MM,1546.0,1546.0,81.94,1855.2,20
HCPCS,C1713,PLATE BN 14HL 175MM,1238.0,1238.0,65.61,1485.6,20
HCPCS,C1713,PLATE BN 14HL 182MM,934.0,934.0,49.5,1120.8,20
HCPCS,C1713,PLATE BN 14HL 237MM,3526.0,3526.0,186.88,4231.2,20
HCPCS,C1713,PLATE BN 14HL 251MM,2724.0,2724.0,144.37,3268.8,20
HCPCS,C1713,PLATE BN 14HL 257MM,5698.0,5698.0,301.99,6837.6,20
HCPCS,C1713,PLATE BN 14HL 3.5X189MM,1049.0,1049.0,55.6,1258.8,20
HCPCS,C1713,PLATE BN 14HL 331MM,12480.0,12480.0,661.44,14976.0,20
HCPCS,C1713,PLATE BN 14HL 4.5X260MM,1229.0,1229.0,65.14,1474.8,20
HCPCS,C1713,PLATE BN 14HL 4.5X301MM,3366.0,3366.0,178.4,4039.2,40
HCPCS,C1713,PLATE BN 15H 4.5MM 306MM,6613.0,6613.0,350.49,7935.6,20
HCPCS,C1713,PLATE BN 15HL 195MM,981.0,981.0,51.99,1177.2,20
HCPCS,C1713,PLATE BN 15HL 3.5X195MM,981.0,981.0,51.99,1177.2,20
HCPCS,C1713,PLATE BN 16 HL 4.5MM,3755.0,3755.0,199.01,4506.0,20
HCPCS,C1713,PLATE BN 162X11.4X3.4MM,4958.0,4958.0,262.77,5949.6,20
HCPCS,C1713,PLATE BN 16H,3918.0,3918.0,207.65,4701.6,20
HCPCS,C1713,PLATE BN 16H 3.5X4.5MM,11455.0,11455.0,607.12,13746.0,20
HCPCS,C1713,PLATE BN 16H 367MM,12600.0,12600.0,667.8,15120.0,20
HCPCS,C1713,PLATE BN 16H 4.5MM 296MM,1882.0,1882.0,99.75,2258.4,20
HCPCS,C1713,PLATE BN 16HL 191MM,938.0,938.0,49.71,1125.6,20
HCPCS,C1713,PLATE BN 16HL 2.3MM LT,3146.0,3146.0,166.74,3775.2,20
HCPCS,C1713,PLATE BN 16HL 215X3.5MM,1125.0,1125.0,59.63,1350.0,20
HCPCS,C1713,PLATE BN 16HL 232X3.5MM,2794.0,2794.0,148.08,3352.8,20
HCPCS,C1713,PLATE BN 16HL 3.5X200MM,4673.0,4673.0,247.67,5607.6,20
HCPCS,C1713,PLATE BN 16HL 4.5X339MM,3431.0,3431.0,181.84,4117.2,20
HCPCS,C1713,PLATE BN 170X13.5X4.2MM,871.0,871.0,46.16,1045.2,20
HCPCS,C1713,PLATE BN 17HL 1.5MM,3918.0,3918.0,207.65,4701.6,20
HCPCS,C1713,PLATE BN 18H 3.5-4.5X365,11765.0,11765.0,623.54,14118.0,20
HCPCS,C1713,PLATE BN 18H 3.5/4.5X403,12720.0,12720.0,674.16,15264.0,20
HCPCS,C1713,PLATE BN 18H 375MM 4.5MM,3654.0,3654.0,193.66,4384.8,20
HCPCS,C1713,PLATE BN 18H 403MM 3.5MM,12720.0,12720.0,674.16,15264.0,20
HCPCS,C1713,PLATE BN 18H1.5MM,3918.0,3918.0,207.65,4701.6,20
HCPCS,C1713,PLATE BN 18HL,988.0,988.0,52.36,1185.6,20
HCPCS,C1713,PLATE BN 18HL 134MM,1068.0,1068.0,56.6,1281.6,20
HCPCS,C1713,PLATE BN 18HL 2.7MM,3390.0,3390.0,179.67,4068.0,20
HCPCS,C1713,PLATE BN 1H 3.5MM 69MM,1703.0,1703.0,90.26,2043.6,20
HCPCS,C1713,PLATE BN 1X21H 1.7X.5MM,5115.0,5115.0,271.1,6138.0,20
HCPCS,C1713,PLATE BN 2.3MM 1.5MM,2810.0,2810.0,148.93,3372.0,20
HCPCS,C1713,PLATE BN 2.4MM 170MM,252.0,252.0,13.36,302.4,20
HCPCS,C1713,PLATE BN 2.4MM 58MM,1196.0,1196.0,63.39,1435.2,20
HCPCS,C1713,PLATE BN 2.4MM 60MM,680.0,680.0,36.04,816.0,20
HCPCS,C1713,PLATE BN 2.4MM 69MM,1728.0,1728.0,91.58,2073.6,20
HCPCS,C1713,PLATE BN 2.7-3.5MM 73MM,1798.0,1798.0,95.29,2157.6,20
HCPCS,C1713,PLATE BN 2.7-3.5X120MM,2557.0,2557.0,135.52,3068.4,20
HCPCS,C1713,PLATE BN 2.7-3.5X97MM,2571.0,2571.0,136.26,3085.2,20
HCPCS,C1713,PLATE BN 2.7/3.5MM,3426.0,3426.0,181.58,4111.2,20
HCPCS,C1713,PLATE BN 2.7/3.5MM 107MM,2571.0,2571.0,136.26,3085.2,20
HCPCS,C1713,PLATE BN 2.7/3.5MM 111MM,2462.0,2462.0,130.49,2954.4,20
HCPCS,C1713,PLATE BN 2.7/3.5MM 120MM,4514.0,4514.0,239.24,5416.8,20
HCPCS,C1713,PLATE BN 2.7/3.5MM 172MM,3493.0,3493.0,185.13,4191.6,20
HCPCS,C1713,PLATE BN 2.7/3.5MM 61MM,3390.0,3390.0,179.67,4068.0,20
HCPCS,C1713,PLATE BN 2.7/3.5MM 74MM,2473.0,2473.0,131.07,2967.6,20
HCPCS,C1713,PLATE BN 2.7/3.5MM 81MM,1838.0,1838.0,97.41,2205.6,20
HCPCS,C1713,PLATE BN 2.7/3.5MM 89MM,1651.0,1651.0,87.5,1981.2,20
HCPCS,C1713,PLATE BN 2.7/3.5MM 90MM,1639.0,1639.0,66.57,2426.4,40
HCPCS,C1713,PLATE BN 2.7/3.5MM 97MM,2760.0,2760.0,146.28,3312.0,20
HCPCS,C1713,PLATE BN 2.7/3.5X116MM,1838.0,1838.0,97.41,2205.6,20
HCPCS,C1713,PLATE BN 2.7MM 140MM,3196.0,3196.0,169.39,3835.2,20
HCPCS,C1713,PLATE BN 2.7MM 142MM,2911.0,2911.0,154.28,3493.2,20
HCPCS,C1713,PLATE BN 2.7MM 75MM,1367.0,1367.0,72.45,1640.4,20
HCPCS,C1713,PLATE BN 2.7MM 84MM,1997.0,1997.0,105.84,2396.4,20
HCPCS,C1713,PLATE BN 2.7MM 85MM,2216.0,2216.0,117.45,2659.2,40
HCPCS,C1713,PLATE BN 2.7MM 88MM,2149.0,2149.0,113.9,2578.8,20
HCPCS,C1713,PLATE BN 2.7MM 97MM,792.0,792.0,41.98,950.4,20
HCPCS,C1713,PLATE BN 2.7MM 99MM,1093.0,1093.0,57.93,1311.6,20
HCPCS,C1713,PLATE BN 2.7X3.5X73MM,1236.0,1236.0,65.51,1483.2,20
HCPCS,C1713,PLATE BN 20H .5MM 1.7MM,989.0,989.0,52.42,1186.8,20
HCPCS,C1713,PLATE BN 20HL 2.0MM,2972.0,2972.0,157.52,3566.4,20
HCPCS,C1713,PLATE BN 218.5MM 14HL,993.0,993.0,52.63,1191.6,20
HCPCS,C1713,PLATE BN 224X13.5X4.2MM,1096.0,1096.0,58.09,1315.2,20
HCPCS,C1713,PLATE BN 24H 1.5X108MM,710.0,710.0,37.63,852.0,20
HCPCS,C1713,PLATE BN 250MM,3902.0,3902.0,206.81,4682.4,20
HCPCS,C1713,PLATE BN 2H 0.4MM 16MM,311.0,311.0,16.48,373.2,20
HCPCS,C1713,PLATE BN 2H 1.5MM,8789.0,8789.0,465.82,10546.8,20
HCPCS,C1713,PLATE BN 2H 2.7/3.5X90MM,1838.0,1838.0,97.41,2205.6,20
HCPCS,C1713,PLATE BN 2H 3.5MM,521.0,521.0,27.61,625.2,20
HCPCS,C1713,PLATE BN 2H 3.5MM 79MM,1637.0,1637.0,86.76,1964.4,20
HCPCS,C1713,PLATE BN 2H 90MM,2022.0,2022.0,107.17,2426.4,20
HCPCS,C1713,PLATE BN 2HL 20MM,161.0,161.0,8.53,193.2,20
HCPCS,C1713,PLATE BN 2HL 28.5X3.5MM,642.0,642.0,34.03,770.4,20
HCPCS,C1713,PLATE BN 2HL 3.5MM 105MM,1654.0,1654.0,87.66,1984.8,20
HCPCS,C1713,PLATE BN 2HL 3.5MM 79MM,1721.0,1721.0,91.21,2065.2,20
HCPCS,C1713,PLATE BN 2HL 95MM,3020.0,3020.0,160.06,3624.0,20
HCPCS,C1713,PLATE BN 2MM,2486.0,2486.0,131.76,2983.2,20
HCPCS,C1713,PLATE BN 2MM 76MM,1746.0,1746.0,92.54,2095.2,40
HCPCS,C1713,PLATE BN 2MMX56MM,1420.0,1420.0,75.26,1704.0,40
HCPCS,C1713,PLATE BN 2MMX76MM,1638.0,1638.0,86.81,1965.6,40
HCPCS,C1713,PLATE BN 2X.6X1.7MM 5HL,380.0,380.0,20.14,456.0,20
HCPCS,C1713,PLATE BN 2X21 HL .5MM,6226.0,6226.0,329.98,7471.2,20
HCPCS,C1713,PLATE BN 2X2HL 0.6MM,425.0,425.0,22.52,510.0,20
HCPCS,C1713,PLATE BN 2X41MM 6HL,1066.0,1066.0,56.5,1279.2,20
HCPCS,C1713,PLATE BN 2Y 6HL .4MM,571.0,571.0,30.26,685.2,20
HCPCS,C1713,PLATE BN 3 HL 61MM,1650.0,1650.0,87.45,1980.0,20
HCPCS,C1713,PLATE BN 3 RIB LT 15HL,4184.0,4184.0,221.75,5020.8,20
HCPCS,C1713,PLATE BN 3-5HL,1670.0,1670.0,88.51,2004.0,20
HCPCS,C1713,PLATE BN 3.5/2.7 186MM,4995.0,4995.0,264.74,5994.0,20
HCPCS,C1713,PLATE BN 3.5/4.5X297MM,11145.0,11145.0,590.68,13374.0,20
HCPCS,C1713,PLATE BN 3.5MM,688.5,688.5,29.84,976.8,40
HCPCS,C1713,PLATE BN 3.5MM 117MM,2894.0,2894.0,153.38,3472.8,20
HCPCS,C1713,PLATE BN 3.5MM 118MM,773.0,773.0,40.97,927.6,20
HCPCS,C1713,PLATE BN 3.5MM 119MM,2488.0,2488.0,131.86,2985.6,20
HCPCS,C1713,PLATE BN 3.5MM 128MM,2522.0,2522.0,133.67,3026.4,20
HCPCS,C1713,PLATE BN 3.5MM 131MM,1899.0,1899.0,100.65,2278.8,20
HCPCS,C1713,PLATE BN 3.5MM 154MM,2609.5,2609.5,135.1,3204.0,40
HCPCS,C1713,PLATE BN 3.5MM 168MM,1042.0,1042.0,55.23,1250.4,20
HCPCS,C1713,PLATE BN 3.5MM 180MM,2979.0,2979.0,157.89,3574.8,20
HCPCS,C1713,PLATE BN 3.5MM 32MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PLATE BN 3.5MM 56MM,564.0,564.0,29.89,676.8,20
HCPCS,C1713,PLATE BN 3.5MM 63MM,1703.0,1703.0,90.26,2043.6,20
HCPCS,C1713,PLATE BN 3.5MM 65MM,629.0,629.0,33.34,754.8,20
HCPCS,C1713,PLATE BN 3.5MM 6HL,696.0,696.0,36.89,835.2,20
HCPCS,C1713,PLATE BN 3.5MM 76MM,2762.0,2762.0,146.39,3314.4,20
HCPCS,C1713,PLATE BN 3.5MM 82MM,221.0,221.0,11.71,265.2,20
HCPCS,C1713,PLATE BN 3.5MM 86MM 8H,3230.0,3230.0,171.19,3876.0,20
HCPCS,C1713,PLATE BN 3.5MM 91MM,684.0,684.0,36.25,820.8,20
HCPCS,C1713,PLATE BN 3.5MM 93MM,2756.0,2756.0,146.07,3307.2,20
HCPCS,C1713,PLATE BN 3.5MM 98MM,909.0,909.0,48.18,1090.8,20
HCPCS,C1713,PLATE BN 3.5MM 9MM,2571.0,2571.0,136.26,3085.2,20
HCPCS,C1713,PLATE BN 3.5X108MM 10H,1909.0,1909.0,101.18,2290.8,20
HCPCS,C1713,PLATE BN 3.5X117MM 8HL,2557.0,2557.0,135.52,3068.4,20
HCPCS,C1713,PLATE BN 3.5X171MM,2425.0,2425.0,128.53,2910.0,20
HCPCS,C1713,PLATE BN 35X16X36MM,2362.0,2362.0,125.19,2834.4,20
HCPCS,C1713,PLATE BN 36X36MM .5MM,1798.0,1798.0,95.29,2157.6,20
HCPCS,C1713,PLATE BN 3D 3X2HL 1.5MM,1422.0,1422.0,75.37,1706.4,20
HCPCS,C1713,PLATE BN 3D LEFT,1138.0,1138.0,60.31,1365.6,20
HCPCS,C1713,PLATE BN 3D RIGHT,1138.0,1138.0,60.31,1365.6,20
HCPCS,C1713,PLATE BN 3H 73MM,3549.0,3549.0,188.1,4258.8,20
HCPCS,C1713,PLATE BN 3H 86MM,2560.0,2560.0,135.68,3072.0,20
HCPCS,C1713,PLATE BN 3H LT 2.4MM,1670.0,1670.0,88.51,2004.0,20
HCPCS,C1713,PLATE BN 3H LT 64MM,2461.0,2461.0,130.43,2953.2,20
HCPCS,C1713,PLATE BN 3HL,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,PLATE BN 3HL 17MM,185.0,185.0,9.8,222.0,20
HCPCS,C1713,PLATE BN 3HL 2.7 34MM,209.0,209.0,11.08,250.8,20
HCPCS,C1713,PLATE BN 3HL 2.7MM 34MM,209.0,209.0,11.08,250.8,20
HCPCS,C1713,PLATE BN 3HL 3.5MM 90MM,2421.0,2421.0,128.31,2905.2,20
HCPCS,C1713,PLATE BN 3HL 3.5X87MM,907.0,907.0,48.07,1088.4,20
HCPCS,C1713,PLATE BN 3HL 40.5MM,642.0,642.0,34.03,770.4,20
HCPCS,C1713,PLATE BN 3HL 77MM,1022.0,1022.0,54.17,1226.4,20
HCPCS,C1713,PLATE BN 4 HL .55X1.7MM,209.0,209.0,11.08,250.8,20
HCPCS,C1713,PLATE BN 4 HL 2X31MM,426.0,426.0,22.58,511.2,20
HCPCS,C1713,PLATE BN 4 HL 3.5MM 87MM,2863.0,2863.0,151.74,3435.6,20
HCPCS,C1713,PLATE BN 4.5/3.5MM 367MM,12600.0,12600.0,667.8,15120.0,20
HCPCS,C1713,PLATE BN 4.5/5MM 147MM,1392.0,1392.0,73.78,1670.4,20
HCPCS,C1713,PLATE BN 4.5MM 142MM,308.0,308.0,16.32,369.6,20
HCPCS,C1713,PLATE BN 4.5MM 159MM,3169.0,3169.0,167.96,3802.8,20
HCPCS,C1713,PLATE BN 4.5MM 161MM,5243.0,5243.0,277.88,6291.6,20
HCPCS,C1713,PLATE BN 4.5MM 170MM,1019.0,1019.0,54.01,1222.8,20
HCPCS,C1713,PLATE BN 4.5MM 230MM,2986.0,2986.0,137.32,4057.2,60
HCPCS,C1713,PLATE BN 4.5MM 233MM,6158.0,6158.0,326.37,7389.6,20
HCPCS,C1713,PLATE BN 4.5MM 266MM,3154.0,3154.0,167.16,3784.8,20
HCPCS,C1713,PLATE BN 4.5MM 296MM,1610.0,1610.0,85.33,1932.0,20
HCPCS,C1713,PLATE BN 4.5MM 301MM,3683.0,3683.0,195.2,4419.6,20
HCPCS,C1713,PLATE BN 4.5MM T BRD LCP,2341.0,2341.0,124.07,2809.2,20
HCPCS,C1713,PLATE BN 4.5X188MM,946.0,946.0,50.14,1135.2,20
HCPCS,C1713,PLATE BN 4.5X5MM,1052.0,1052.0,55.76,1262.4,20
HCPCS,C1713,PLATE BN 42X6.5X1.3MM,2224.0,2224.0,117.87,2668.8,20
HCPCS,C1713,PLATE BN 42X7.5X2.7MM,2860.0,2860.0,151.58,3432.0,20
HCPCS,C1713,PLATE BN 48MM 2.7MM,1296.0,1296.0,68.69,1555.2,20
HCPCS,C1713,PLATE BN 4H .4X6MM,267.0,267.0,14.15,320.4,20
HCPCS,C1713,PLATE BN 4H 0.4MM,543.0,543.0,28.78,651.6,20
HCPCS,C1713,PLATE BN 4H 1.5MM 28MM,834.0,834.0,44.2,1000.8,20
HCPCS,C1713,PLATE BN 4H 2.4MM,752.0,752.0,39.86,902.4,20
HCPCS,C1713,PLATE BN 4H 25X6X3.5MM,1855.0,1855.0,98.31,2226.0,20
HCPCS,C1713,PLATE BN 4H 27X8X3.5MM,1906.0,1906.0,101.02,2287.2,20
HCPCS,C1713,PLATE BN 4H 29X10X3.5MM,1906.0,1906.0,101.02,2287.2,20
HCPCS,C1713,PLATE BN 4H 3.5MM 93MM,2572.0,2572.0,136.32,3086.4,20
HCPCS,C1713,PLATE BN 4H 31MM 3.5MM,1808.0,1808.0,95.82,2169.6,20
HCPCS,C1713,PLATE BN 4H 31X12X3.5MM,1906.0,1906.0,101.02,2287.2,20
HCPCS,C1713,PLATE BN 4H 5.5MM 1.3MM,2224.0,2224.0,117.87,2668.8,20
HCPCS,C1713,PLATE BN 4H 57MM,1538.0,1538.0,81.51,1845.6,20
HCPCS,C1713,PLATE BN 4H 58.5MM,832.0,832.0,44.1,998.4,20
HCPCS,C1713,PLATE BN 4H 58MM,1658.0,1658.0,87.87,1989.6,20
HCPCS,C1713,PLATE BN 4H 99MM,2560.0,2560.0,135.68,3072.0,20
HCPCS,C1713,PLATE BN 4H LT 3.5X75MM,2655.0,2655.0,140.72,3186.0,20
HCPCS,C1713,PLATE BN 4HL,20083.0,20083.0,1064.4,24099.6,20
HCPCS,C1713,PLATE BN 4HL 1.3MM,2696.0,2696.0,142.89,3235.2,20
HCPCS,C1713,PLATE BN 4HL 102MM,2998.0,2998.0,158.89,3597.6,20
HCPCS,C1713,PLATE BN 4HL 116MM,2022.0,2022.0,107.17,2426.4,20
HCPCS,C1713,PLATE BN 4HL 121MM,2470.0,2470.0,130.91,2964.0,40
HCPCS,C1713,PLATE BN 4HL 2.4MM,752.0,752.0,39.86,902.4,20
HCPCS,C1713,PLATE BN 4HL 2.8/3.5MM,3690.0,3690.0,195.57,4428.0,20
HCPCS,C1713,PLATE BN 4HL 23MM,199.0,199.0,10.55,238.8,20
HCPCS,C1713,PLATE BN 4HL 3.5MM,635.0,635.0,33.66,762.0,20
HCPCS,C1713,PLATE BN 4HL 3.5MM 75MM,2655.0,2655.0,140.72,3186.0,20
HCPCS,C1713,PLATE BN 4HL 3.5X87MM,2629.0,2629.0,137.91,3187.2,40
HCPCS,C1713,PLATE BN 4HL 47MM,506.0,506.0,26.82,607.2,20
HCPCS,C1713,PLATE BN 4HL 60.5MM,1284.0,1284.0,68.05,1540.8,20
HCPCS,C1713,PLATE BN 4HL 75MM,2420.0,2420.0,128.26,2904.0,20
HCPCS,C1713,PLATE BN 4HL 80MM,601.0,601.0,31.85,721.2,20
HCPCS,C1713,PLATE BN 4HL 86MM,1292.0,1292.0,68.48,1550.4,20
HCPCS,C1713,PLATE BN 4HL 89MM,940.0,940.0,49.82,1128.0,20
HCPCS,C1713,PLATE BN 4HL 97MM,2603.5,2603.5,122.75,3469.2,40
HCPCS,C1713,PLATE BN 4HL RT 116MM,1838.0,1838.0,97.41,2205.6,20
HCPCS,C1713,PLATE BN 4X162MM,1828.0,1828.0,96.88,2193.6,20
HCPCS,C1713,PLATE BN 4X84MM 6HL,1772.0,1772.0,93.92,2126.4,20
HCPCS,C1713,PLATE BN 55MM 2.7MM,3560.0,3560.0,188.68,4272.0,20
HCPCS,C1713,PLATE BN 57X10X3.4MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1713,PLATE BN 57X9X1MM,282.0,282.0,14.95,338.4,20
HCPCS,C1713,PLATE BN 5H 112MM,2560.0,2560.0,135.68,3072.0,20
HCPCS,C1713,PLATE BN 5H 2.4MM,1862.0,1862.0,98.69,2234.4,20
HCPCS,C1713,PLATE BN 5H 2.7/3.5X99MM,1093.0,1093.0,57.93,1311.6,20
HCPCS,C1713,PLATE BN 5H 3.5MM 114MM,2497.0,2497.0,132.34,2996.4,20
HCPCS,C1713,PLATE BN 5H 3.5MM 72MM,508.0,508.0,26.92,609.6,20
HCPCS,C1713,PLATE BN 5H 3.5MM 78MM,2473.0,2473.0,131.07,2967.6,20
HCPCS,C1713,PLATE BN 5H 3.5MM 87MM,1720.0,1720.0,91.16,2064.0,20
HCPCS,C1713,PLATE BN 5H 4MM,334.0,334.0,17.7,400.8,20
HCPCS,C1713,PLATE BN 5H 74.5MM,620.0,620.0,32.86,744.0,20
HCPCS,C1713,PLATE BN 5H 79MM,2358.0,2358.0,124.97,2829.6,20
HCPCS,C1713,PLATE BN 5H 91MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,PLATE BN 5HL,1007.0,1007.0,26.18,1824.0,40
HCPCS,C1713,PLATE BN 5HL 0.6MM,292.0,292.0,15.48,350.4,20
HCPCS,C1713,PLATE BN 5HL 101X10X2MM,1022.0,1022.0,54.17,1226.4,20
HCPCS,C1713,PLATE BN 5HL 105MM,3070.0,3070.0,162.71,3684.0,20
HCPCS,C1713,PLATE BN 5HL 2.0MM 29MM,208.0,208.0,11.02,249.6,20
HCPCS,C1713,PLATE BN 5HL 2.0MM 38MM,426.0,426.0,22.58,511.2,20
HCPCS,C1713,PLATE BN 5HL 3.5MM,1023.0,1023.0,54.22,1227.6,20
HCPCS,C1713,PLATE BN 5HL 3.5MM 114MM,3173.0,3173.0,168.17,3807.6,20
HCPCS,C1713,PLATE BN 5HL 3.5MM 142MM,2752.0,2752.0,145.86,3302.4,20
HCPCS,C1713,PLATE BN 5HL 3.5MM 70MM,749.0,749.0,39.7,898.8,20
HCPCS,C1713,PLATE BN 5HL 4.0MM,430.0,430.0,22.79,516.0,20
HCPCS,C1713,PLATE BN 5HL 4.5X98MM,642.0,642.0,34.03,770.4,20
HCPCS,C1713,PLATE BN 5HL 59MM,506.0,506.0,26.82,607.2,20
HCPCS,C1713,PLATE BN 5HL 67MM,710.0,710.0,37.63,852.0,20
HCPCS,C1713,PLATE BN 5HL 87MM,103.0,103.0,5.46,123.6,20
HCPCS,C1713,PLATE BN 5TH MTRSL LT,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1713,PLATE BN 5TH MTRSL RT,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1713,PLATE BN 60MM,6720.0,6720.0,356.16,8064.0,20
HCPCS,C1713,PLATE BN 60X1.2MM,1251.0,1251.0,66.3,1501.2,20
HCPCS,C1713,PLATE BN 63X10.9X1.5MM,1578.0,1578.0,83.63,1893.6,20
HCPCS,C1713,PLATE BN 67MM 3.5MM,2160.0,2160.0,114.48,2592.0,20
HCPCS,C1713,PLATE BN 69X9X1MM,293.0,293.0,15.53,351.6,20
HCPCS,C1713,PLATE BN 6H,1240.0,1240.0,25.44,2400.0,40
HCPCS,C1713,PLATE BN 6H 113MM,1060.0,1060.0,56.18,1272.0,20
HCPCS,C1713,PLATE BN 6H 2.4MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,PLATE BN 6H 2.7/3.5X112,1110.0,1110.0,58.83,1332.0,20
HCPCS,C1713,PLATE BN 6H 29MM 3.5MM,1758.0,1758.0,93.17,2109.6,20
HCPCS,C1713,PLATE BN 6H 36MM 3.5MM,1850.0,1850.0,98.05,2220.0,20
HCPCS,C1713,PLATE BN 6H 4.5MM 159MM,3169.0,3169.0,167.96,3802.8,20
HCPCS,C1713,PLATE BN 6H 4.5X129MM,5018.0,5018.0,265.95,6021.6,20
HCPCS,C1713,PLATE BN 6H 6.7MM,1464.0,1464.0,77.59,1756.8,20
HCPCS,C1713,PLATE BN 6H 70X10X3.6MM,1128.0,1128.0,59.78,1353.6,20
HCPCS,C1713,PLATE BN 6H 90.5MM,875.0,875.0,44.1,1101.6,40
HCPCS,C1713,PLATE BN 6H 92.5MM,1425.0,1425.0,75.53,1710.0,20
HCPCS,C1713,PLATE BN 6HL,3128.0,3128.0,165.78,3753.6,40
HCPCS,C1713,PLATE BN 6HL 0.4MM,675.0,675.0,33.76,855.6,40
HCPCS,C1713,PLATE BN 6HL 1.3X2.3MM,378.0,378.0,20.03,453.6,20
HCPCS,C1713,PLATE BN 6HL 100X12 LT,414.0,414.0,21.94,496.8,20
HCPCS,C1713,PLATE BN 6HL 104MM,1450.0,1450.0,76.85,1740.0,40
HCPCS,C1713,PLATE BN 6HL 107MM,2493.0,2493.0,132.13,2991.6,20
HCPCS,C1713,PLATE BN 6HL 112MM,1250.0,1250.0,66.25,1500.0,20
HCPCS,C1713,PLATE BN 6HL 116MM,452.0,452.0,23.96,542.4,20
HCPCS,C1713,PLATE BN 6HL 117X3.5MM,2686.0,2686.0,142.36,3223.2,20
HCPCS,C1713,PLATE BN 6HL 123MM,2450.0,2450.0,126.35,3019.2,40
HCPCS,C1713,PLATE BN 6HL 127MM,3065.0,3065.0,162.44,3678.0,20
HCPCS,C1713,PLATE BN 6HL 12MM,819.0,819.0,43.41,982.8,20
HCPCS,C1713,PLATE BN 6HL 147MM,2520.0,2520.0,133.56,3024.0,40
HCPCS,C1713,PLATE BN 6HL 2.4MM,1670.0,1670.0,88.51,2004.0,20
HCPCS,C1713,PLATE BN 6HL 2.4MM 54MM,1880.0,1880.0,99.64,2256.0,20
HCPCS,C1713,PLATE BN 6HL 2.7/3.5MM,2646.0,2646.0,140.24,3175.2,20
HCPCS,C1713,PLATE BN 6HL 3.5MM 102MM,2612.0,2612.0,138.44,3134.4,20
HCPCS,C1713,PLATE BN 6HL 3.5MM 119MM,2488.0,2488.0,131.86,2985.6,20
HCPCS,C1713,PLATE BN 6HL 3.5MM 158MM,2540.0,2540.0,134.62,3048.0,20
HCPCS,C1713,PLATE BN 6HL 3.5MM 194MM,2694.0,2694.0,142.78,3232.8,20
HCPCS,C1713,PLATE BN 6HL 3.5MM 84MM,866.0,866.0,45.9,1039.2,20
HCPCS,C1713,PLATE BN 6HL 3.5X160MM,2861.0,2861.0,151.63,3433.2,20
HCPCS,C1713,PLATE BN 6HL 3.5X70MM,614.0,614.0,32.54,736.8,20
HCPCS,C1713,PLATE BN 6HL 3.5X85MM,520.0,520.0,27.56,624.0,20
HCPCS,C1713,PLATE BN 6HL 3X56MM,1280.0,1280.0,67.84,1536.0,20
HCPCS,C1713,PLATE BN 6HL 4.5MM 159MM,2895.0,2895.0,153.44,3474.0,20
HCPCS,C1713,PLATE BN 6HL 4.5X116MM,702.5,702.5,36.04,870.0,40
HCPCS,C1713,PLATE BN 6HL 5.5X1.3MM,2472.0,2472.0,131.02,2966.4,20
HCPCS,C1713,PLATE BN 6HL 78X3.5MM,1610.5,1610.5,81.36,2023.2,40
HCPCS,C1713,PLATE BN 6HL LT,3128.0,3128.0,165.78,3753.6,20
HCPCS,C1713,PLATE BN 6HL MDFC .6MM,419.0,419.0,22.21,502.8,20
HCPCS,C1713,PLATE BN 6HL RT 36X3.5MM,1906.0,1906.0,101.02,2287.2,20
HCPCS,C1713,PLATE BN 6X2H .6MM,748.0,748.0,39.64,897.6,20
HCPCS,C1713,PLATE BN 6X2HL 1.7MM,767.0,767.0,40.65,920.4,20
HCPCS,C1713,PLATE BN 70MM 3.5MM,2160.0,2160.0,114.48,2592.0,20
HCPCS,C1713,PLATE BN 70X11.2X2MM,2655.0,2655.0,140.72,3186.0,20
HCPCS,C1713,PLATE BN 73MM 2.7/3.5MM,1798.0,1798.0,95.29,2157.6,20
HCPCS,C1713,PLATE BN 77MM,3372.0,3372.0,178.72,4046.4,20
HCPCS,C1713,PLATE BN 7H 103MM,2760.0,2760.0,146.28,3312.0,20
HCPCS,C1713,PLATE BN 7H 127MM,2149.0,2149.0,113.9,2578.8,20
HCPCS,C1713,PLATE BN 7H 2.7X3.5,1126.0,1126.0,59.68,1351.2,20
HCPCS,C1713,PLATE BN 7H 3.5MM 103MM,1653.0,1653.0,87.61,1983.6,20
HCPCS,C1713,PLATE BN 7H 3.5MM 81MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,PLATE BN 7H 3.5MM 98MM,1650.0,1650.0,87.45,1980.0,20
HCPCS,C1713,PLATE BN 7H 4.5MM 134MM,738.0,738.0,39.11,885.6,20
HCPCS,C1713,PLATE BN 7HL 1.1MM,950.0,950.0,50.35,1140.0,20
HCPCS,C1713,PLATE BN 7HL 106.5MM,800.0,800.0,36.15,1101.6,40
HCPCS,C1713,PLATE BN 7HL 127MM,1267.0,1267.0,67.15,1520.4,20
HCPCS,C1713,PLATE BN 7HL 2.0X103MM,1973.0,1973.0,104.57,2367.6,20
HCPCS,C1713,PLATE BN 7HL 2.7/3.5,3450.0,3450.0,182.85,4140.0,20
HCPCS,C1713,PLATE BN 7HL 2.7MM 67MM,805.0,805.0,42.66,966.0,20
HCPCS,C1713,PLATE BN 7HL 2X46MM,1294.0,1294.0,68.58,1552.8,20
HCPCS,C1713,PLATE BN 7HL 3.5MM,1170.0,1170.0,62.01,1404.0,20
HCPCS,C1713,PLATE BN 7HL 3.5MM 90MM,713.0,713.0,37.79,855.6,20
HCPCS,C1713,PLATE BN 7HL 3.5X91MM,730.0,730.0,38.69,876.0,20
HCPCS,C1713,PLATE BN 7HL 4.5MM 134MM,787.0,787.0,41.71,944.4,20
HCPCS,C1713,PLATE BN 7HL 66X2.7MM,2082.0,2082.0,110.35,2498.4,20
HCPCS,C1713,PLATE BN 7HL 91MM,710.0,710.0,37.63,852.0,20
HCPCS,C1713,PLATE BN 8 HL 2MM,2560.0,2560.0,135.68,3072.0,20
HCPCS,C1713,PLATE BN 80MM 12HL,1456.0,1456.0,77.17,1747.2,20
HCPCS,C1713,PLATE BN 81X9X1MM,299.0,299.0,15.85,358.8,20
HCPCS,C1713,PLATE BN 82MM 3.5MM,636.0,636.0,33.71,763.2,20
HCPCS,C1713,PLATE BN 85X2.4MM 6X3HL,1880.0,1880.0,99.64,2256.0,20
HCPCS,C1713,PLATE BN 89X9X1.5MM,3448.0,3448.0,182.74,4137.6,20
HCPCS,C1713,PLATE BN 8H,1690.0,1690.0,89.57,2028.0,20
HCPCS,C1713,PLATE BN 8H 122.5MM,721.0,721.0,38.21,865.2,20
HCPCS,C1713,PLATE BN 8H 145M 3.5MM,2638.0,2638.0,139.81,3165.6,20
HCPCS,C1713,PLATE BN 8H 2.4X68MM,651.0,651.0,34.5,781.2,20
HCPCS,C1713,PLATE BN 8H 3.5MM 94MM,664.0,664.0,35.19,796.8,20
HCPCS,C1713,PLATE BN 8H 90DG .6MM,353.0,353.0,18.71,423.6,20
HCPCS,C1713,PLATE BN 8H LCK BN FIB,1690.0,1690.0,89.57,2028.0,20
HCPCS,C1713,PLATE BN 8HL,2272.0,2272.0,91.37,3753.6,80
HCPCS,C1713,PLATE BN 8HL 0.4MM,292.0,292.0,15.48,350.4,20
HCPCS,C1713,PLATE BN 8HL 104MM,837.0,837.0,44.36,1004.4,20
HCPCS,C1713,PLATE BN 8HL 122.5MM,750.0,750.0,39.75,900.0,20
HCPCS,C1713,PLATE BN 8HL 133MM,2522.0,2522.0,133.67,3026.4,20
HCPCS,C1713,PLATE BN 8HL 149MM,2452.0,2452.0,129.96,2942.4,40
HCPCS,C1713,PLATE BN 8HL 151MM,2952.0,2952.0,156.46,3542.4,20
HCPCS,C1713,PLATE BN 8HL 152MM,798.0,798.0,42.29,957.6,20
HCPCS,C1713,PLATE BN 8HL 173MM,2570.0,2570.0,136.21,3084.0,40
HCPCS,C1713,PLATE BN 8HL 194MM 3.5MM,2694.0,2694.0,142.78,3232.8,20
HCPCS,C1713,PLATE BN 8HL 196X3.5MM,3334.0,3334.0,176.7,4000.8,20
HCPCS,C1713,PLATE BN 8HL 2.7/3.5MM,3461.0,3461.0,183.43,4153.2,20
HCPCS,C1713,PLATE BN 8HL 3.5MM,1497.5,1497.5,60.9,2215.2,40
HCPCS,C1713,PLATE BN 8HL 3.5MM 112MM,922.0,922.0,48.87,1106.4,20
HCPCS,C1713,PLATE BN 8HL 3.5MM 117MM,3413.0,3413.0,180.89,4095.6,20
HCPCS,C1713,PLATE BN 8HL 3.5MM 128MM,2641.0,2641.0,139.97,3169.2,20
HCPCS,C1713,PLATE BN 8HL 3.5MM 196MM,2803.0,2803.0,148.56,3363.6,20
HCPCS,C1713,PLATE BN 8HL 3.5X147MM,3055.0,3055.0,161.91,3666.0,20
HCPCS,C1713,PLATE BN 8HL 3.5X194MM,2574.0,2574.0,136.42,3088.8,20
HCPCS,C1713,PLATE BN 8HL 3.5X93MM,942.0,942.0,49.93,1130.4,20
HCPCS,C1713,PLATE BN 8HL 4.5MM 152MM,943.0,943.0,49.98,1131.6,20
HCPCS,C1713,PLATE BN 8HL 49MM,1516.0,1516.0,80.35,1819.2,20
HCPCS,C1713,PLATE BN 8HL 94.5MM,960.0,960.0,50.88,1152.0,20
HCPCS,C1713,PLATE BN 8HL 98MM,530.0,530.0,28.09,636.0,20
HCPCS,C1713,PLATE BN 8HL LG LT,3128.0,3128.0,165.78,3753.6,20
HCPCS,C1713,PLATE BN 8HL LG RT,3128.0,3128.0,165.78,3753.6,40
HCPCS,C1713,PLATE BN 8HL LT,3128.0,3128.0,165.78,3753.6,20
HCPCS,C1713,PLATE BN 8HL RT,3128.0,3128.0,165.78,3753.6,40
HCPCS,C1713,PLATE BN 8HL RT 3.5X113,4036.0,4036.0,213.91,4843.2,20
HCPCS,C1713,PLATE BN 8HL RT THRD,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE BN 8HL SM LT,3128.0,3128.0,165.78,3753.6,20
HCPCS,C1713,PLATE BN 8HS 3.5MM,760.0,760.0,40.28,912.0,20
HCPCS,C1713,PLATE BN 8MM,488.0,488.0,25.86,585.6,20
HCPCS,C1713,PLATE BN 8MM 2H CRNMXF,265.0,265.0,14.04,318.0,20
HCPCS,C1713,PLATE BN 93X10X2MM,2424.0,2424.0,128.47,2908.8,20
HCPCS,C1713,PLATE BN 93X9X1MM,303.0,303.0,16.06,363.6,20
HCPCS,C1713,PLATE BN 94MM,7380.0,7380.0,391.14,8856.0,20
HCPCS,C1713,PLATE BN 96X10.9X1.5MM,1692.0,1692.0,89.68,2030.4,20
HCPCS,C1713,PLATE BN 98X11X3.4MM,539.0,539.0,28.57,646.8,20
HCPCS,C1713,PLATE BN 99MM 2.7/3.5MM,1231.0,1231.0,65.24,1477.2,20
HCPCS,C1713,PLATE BN 99MM 4HL,2560.0,2560.0,135.68,3072.0,20
HCPCS,C1713,PLATE BN 9H 106.5MM,786.0,786.0,41.66,943.2,20
HCPCS,C1713,PLATE BN 9H 25MM 2.7MM,1612.0,1612.0,85.44,1934.4,20
HCPCS,C1713,PLATE BN 9HL,662.0,662.0,35.09,794.4,20
HCPCS,C1713,PLATE BN 9HL 115MM,1068.0,1068.0,56.6,1281.6,20
HCPCS,C1713,PLATE BN 9HL 125MM,2063.0,2063.0,109.34,2475.6,20
HCPCS,C1713,PLATE BN 9HL 130MM,4477.0,4477.0,237.28,5372.4,20
HCPCS,C1713,PLATE BN 9HL 138.5MM,682.0,682.0,36.15,818.4,20
HCPCS,C1713,PLATE BN 9HL 3.5MM 241MM,12230.0,12230.0,648.19,14676.0,20
HCPCS,C1713,PLATE BN 9HL 3.5MM LT,3146.0,3146.0,166.74,3775.2,20
HCPCS,C1713,PLATE BN ANCHOR 2PK,7100.0,7100.0,376.3,8520.0,20
HCPCS,C1713,PLATE BN ANKL 2HL 3.5MM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1713,PLATE BN ANKL 7HL 83MM,436.0,436.0,23.11,523.2,20
HCPCS,C1713,PLATE BN ANKL 8HL,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE BN ANKL LG,3496.0,3496.0,185.29,4195.2,20
HCPCS,C1713,PLATE BN ANKL LT 13HL,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE BN ANKL RT 11HL,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE BN ANT CP RT,5070.0,5070.0,268.71,6084.0,20
HCPCS,C1713,PLATE BN BRDGE 6HL 2.4MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,PLATE BN BROAD 2.7T 8HL,2153.0,2153.0,114.11,2583.6,20
HCPCS,C1713,PLATE BN CALC FX RT,1520.0,1520.0,80.56,1824.0,20
HCPCS,C1713,PLATE BN CALC LG,1190.0,1190.0,63.07,1428.0,20
HCPCS,C1713,PLATE BN CALC MED,1190.0,1190.0,63.07,1428.0,20
HCPCS,C1713,PLATE BN CENTRAL LEFT,1526.0,1526.0,80.88,1831.2,20
HCPCS,C1713,PLATE BN CERV 2LVL 39MM,2100.0,2100.0,111.3,2520.0,20
HCPCS,C1713,PLATE BN CL 22D,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE BN CLAV 3.5MM 10H,1720.0,1720.0,91.16,2064.0,20
HCPCS,C1713,PLATE BN CLAV 3RD/LT,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE BN CLAV 8HL LT,3128.0,3128.0,165.78,3753.6,20
HCPCS,C1713,PLATE BN CLAV 8HL RT,2890.0,2890.0,153.17,3468.0,20
HCPCS,C1713,PLATE BN CLAV LFT THIRD,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE BN CLAV STR LT,2280.0,2280.0,120.84,2736.0,20
HCPCS,C1713,PLATE BN CLVCL LT MED,2170.0,2170.0,115.01,2604.0,20
HCPCS,C1713,PLATE BN CLVCL RT 2.7MM,1888.0,1888.0,100.06,2265.6,20
HCPCS,C1713,PLATE BN CLVL TITNM 9HL,2170.0,2170.0,115.01,2604.0,20
HCPCS,C1713,PLATE BN CMF 12H 94MM,1816.0,1816.0,96.25,2179.2,20
HCPCS,C1713,PLATE BN CMF DBL Y 7H,374.0,374.0,19.82,448.8,20
HCPCS,C1713,PLATE BN CMF LT 9HL 4MM,850.0,850.0,45.05,1020.0,20
HCPCS,C1713,PLATE BN CMPR,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE BN CMPR 10HL 127MM,1068.0,1068.0,56.6,1281.6,20
HCPCS,C1713,PLATE BN CMPR 12HL 201MM,2227.0,2227.0,118.03,2672.4,20
HCPCS,C1713,PLATE BN CMPR 4HL 55MM,534.0,534.0,28.3,640.8,20
HCPCS,C1713,PLATE BN CMPR 8H 110MM,1828.0,1828.0,96.88,2193.6,20
HCPCS,C1713,PLATE BN CMPR 8H 67MM,645.0,645.0,34.19,774.0,20
HCPCS,C1713,PLATE BN CMPR LCK SZ2,902.0,902.0,47.81,1082.4,20
HCPCS,C1713,PLATE BN CNTR 3HL,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,PLATE BN COMP 28X13X11MM,6524.0,6524.0,345.77,7828.8,20
HCPCS,C1713,PLATE BN CRN 55X55X.5MM,4748.0,4748.0,251.64,5697.6,20
HCPCS,C1713,PLATE BN CRNFCL 2MM,17940.0,17940.0,950.82,21528.0,20
HCPCS,C1713,PLATE BN CRNFCL 32 6X2HL,813.0,813.0,43.09,975.6,20
HCPCS,C1713,PLATE BN CRNL 100D 5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,PLATE BN CRNL 11HL 2.5MM,4189.0,4189.0,222.02,5026.8,20
HCPCS,C1713,PLATE BN CRNMXF 0.6X12MM,223.0,223.0,11.82,267.6,20
HCPCS,C1713,PLATE BN CRNMXF 24HL,1082.0,1082.0,57.35,1298.4,20
HCPCS,C1713,PLATE BN CRNMXF 3D 2X2HL,388.0,388.0,20.56,465.6,20
HCPCS,C1713,PLATE BN CRNMXF 6H 8MM,840.0,840.0,44.52,1008.0,20
HCPCS,C1713,PLATE BN CRNMXF 7 PLATES,21748.0,21748.0,1152.64,26097.6,20
HCPCS,C1713,PLATE BN CRV 0.8MM,1094.0,1094.0,57.98,1312.8,20
HCPCS,C1713,PLATE BN CRV 10HL 3.5MM,598.0,598.0,31.69,717.6,20
HCPCS,C1713,PLATE BN CRV 139MM 11HL,1238.0,1238.0,65.61,1485.6,20
HCPCS,C1713,PLATE BN CRV 266MM 4.5MM,3154.0,3154.0,167.16,3784.8,20
HCPCS,C1713,PLATE BN CRV 3D 6X2HL,842.0,842.0,44.63,1010.4,20
HCPCS,C1713,PLATE BN CRV 5HL,966.0,966.0,51.2,1159.2,20
HCPCS,C1713,PLATE BN CRV 6HL,1084.0,1084.0,57.45,1300.8,20
HCPCS,C1713,PLATE BN CRV RT 5HL,966.0,966.0,51.2,1159.2,20
HCPCS,C1713,PLATE BN CRV10HL.6X1.7MM,582.0,582.0,30.85,698.4,20
HCPCS,C1713,PLATE BN CRVD UP 10HL,479.0,479.0,25.39,574.8,20
HCPCS,C1713,PLATE BN CRVLCK 8HL .8MM,326.0,326.0,17.28,391.2,20
HCPCS,C1713,PLATE BN DBL Y 7H,353.0,353.0,18.71,423.6,20
HCPCS,C1713,PLATE BN DCP ANG 4HL,939.12,939.12,49.77,1126.94,20
HCPCS,C1713,PLATE BN DIST 5H 105MM,3070.0,3070.0,162.71,3684.0,20
HCPCS,C1713,PLATE BN DIST FIB 10HL,2415.0,2415.0,128.0,2898.0,20
HCPCS,C1713,PLATE BN DIST FIB LT 6HL,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1713,PLATE BN DIST FIB RT 6HL,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1713,PLATE BN DIST HUM 3HL,4313.0,4313.0,228.59,5175.6,20
HCPCS,C1713,PLATE BN DIST LCK LT 8H,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,PLATE BN DIST RDS LT 3HL,2728.0,2728.0,144.58,3273.6,40
HCPCS,C1713,PLATE BN DIST RT 5H,7300.0,7300.0,386.9,8760.0,20
HCPCS,C1713,PLATE BN DIST ULNA,1654.0,1654.0,87.66,1984.8,20
HCPCS,C1713,PLATE BN DIST VOLR 3.5X1,1390.0,1390.0,73.67,1668.0,20
HCPCS,C1713,PLATE BN DISTAL RT SHRT,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE BN DR RT 2MM 49MM,1516.0,1516.0,80.35,1819.2,20
HCPCS,C1713,PLATE BN DRSL MTP 4D LT,500.0,500.0,26.5,600.0,20
HCPCS,C1713,PLATE BN DRSL SHRT,2312.0,2312.0,122.54,2774.4,20
HCPCS,C1713,PLATE BN DRSL SPAN LNG,2312.0,2312.0,122.54,2774.4,20
HCPCS,C1713,PLATE BN DST LCK RT 4HL,1320.0,1320.0,69.96,1584.0,20
HCPCS,C1713,PLATE BN DSTL RT 3H 64M,2461.0,2461.0,130.43,2953.2,20
HCPCS,C1713,PLATE BN ELB 151MM,2208.0,2208.0,117.02,2649.6,20
HCPCS,C1713,PLATE BN FEM 3.5MM 4.5MM,11460.0,11460.0,607.38,13752.0,20
HCPCS,C1713,PLATE BN FEM 9H 246MM,2457.0,2457.0,130.22,2948.4,20
HCPCS,C1713,PLATE BN FEM 9HL 197MM,5928.0,5928.0,314.18,7113.6,20
HCPCS,C1713,PLATE BN FEM L 14H 297MM,11150.0,11150.0,590.95,13380.0,20
HCPCS,C1713,PLATE BN FEM NK 1HL,1736.0,1736.0,92.01,2083.2,20
HCPCS,C1713,PLATE BN FEM NK SYS 2 HL,1736.0,1736.0,92.01,2083.2,20
HCPCS,C1713,PLATE BN FEM RT 9H 146MM,3008.0,3008.0,159.42,3609.6,20
HCPCS,C1713,PLATE BN FEMUR 5H 115MM,4192.0,4192.0,222.18,5030.4,20
HCPCS,C1713,PLATE BN FIB 11HL,1724.0,1724.0,91.37,2068.8,20
HCPCS,C1713,PLATE BN FIB 5HL,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1713,PLATE BN FIB 8HL 137MM,1060.0,1060.0,56.18,1272.0,20
HCPCS,C1713,PLATE BN FIB LAT LT MED,1892.0,1892.0,100.28,2270.4,20
HCPCS,C1713,PLATE BN FIB LAT LT XS,1892.0,1892.0,100.28,2270.4,20
HCPCS,C1713,PLATE BN FIB LT 10HL,1953.0,1953.0,103.51,2343.6,20
HCPCS,C1713,PLATE BN FIB LT 11HL,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE BN FIB LT 4H,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,PLATE BN FIB LT DIST 4HL,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE BN FIB LT DIST 6HL,1550.0,1550.0,82.15,1860.0,20
HCPCS,C1713,PLATE BN FIB RT 4HL,1230.0,1230.0,65.19,1476.0,20
HCPCS,C1713,PLATE BN FIB RT 5 HL,1595.0,1595.0,84.53,1914.0,20
HCPCS,C1713,PLATE BN FIB RT SM,1892.0,1892.0,100.28,2270.4,20
HCPCS,C1713,PLATE BN FIB STR 4HL,1050.0,1050.0,55.65,1260.0,20
HCPCS,C1713,PLATE BN FIB STR 6HL,1050.0,1050.0,55.65,1260.0,20
HCPCS,C1713,PLATE BN FIBULA 9 HL,1724.0,1724.0,91.37,2068.8,20
HCPCS,C1713,PLATE BN FIX RT 6 SLOT,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1713,PLATE BN FLEX 5 HL,1892.0,1892.0,100.28,2270.4,20
HCPCS,C1713,PLATE BN FLX FIB UNV 7HL,1890.0,1890.0,100.17,2268.0,20
HCPCS,C1713,PLATE BN FRAG DBL STK,1498.0,1498.0,79.39,1797.6,20
HCPCS,C1713,PLATE BN FT 33MM 3.5MM,1756.0,1756.0,93.07,2107.2,20
HCPCS,C1713,PLATE BN FT ANKL 5HL,1220.0,1220.0,64.66,1464.0,20
HCPCS,C1713,PLATE BN FT MINI 5HL,1404.0,1404.0,74.41,1684.8,20
HCPCS,C1713,PLATE BN FX LF,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1713,PLATE BN FX RT CNTRL 3RD,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE BN HK MDL MLS 2HL,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE BN HK RADL LT,794.0,794.0,42.08,952.8,20
HCPCS,C1713,PLATE BN HMSPHR 28H 2.8,19921.0,19921.0,1055.81,23905.2,20
HCPCS,C1713,PLATE BN HOOK 4HL,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE BN HOOK LT SMALL,2396.0,2396.0,126.99,2875.2,20
HCPCS,C1713,PLATE BN HUM 10H 176MM,2952.0,2952.0,156.46,3542.4,20
HCPCS,C1713,PLATE BN HUM 12H 196MM,2222.0,2222.0,117.77,2666.4,20
HCPCS,C1713,PLATE BN HUM 12H 202MM,3084.0,3084.0,163.45,3700.8,20
HCPCS,C1713,PLATE BN HUM 136MM,1662.0,1662.0,88.09,1994.4,20
HCPCS,C1713,PLATE BN HUM 172MM,1828.0,1828.0,93.49,2270.4,40
HCPCS,C1713,PLATE BN HUM 208MM,1880.0,1880.0,99.64,2256.0,20
HCPCS,C1713,PLATE BN HUM 3H,3593.0,3593.0,190.43,4311.6,20
HCPCS,C1713,PLATE BN HUM 3H 86MM,2560.0,2560.0,135.68,3072.0,20
HCPCS,C1713,PLATE BN HUM 3HL,5489.0,5489.0,290.92,6586.8,20
HCPCS,C1713,PLATE BN HUM 4H 83MM,3671.0,3671.0,194.56,4405.2,20
HCPCS,C1713,PLATE BN HUM 4H 90MM,3926.0,3926.0,208.08,4711.2,20
HCPCS,C1713,PLATE BN HUM 5 H,3593.0,3593.0,190.43,4311.6,20
HCPCS,C1713,PLATE BN HUM 5H 100MM,2814.0,2814.0,149.14,3376.8,20
HCPCS,C1713,PLATE BN HUM 5H 112MM,2560.0,2560.0,135.68,3072.0,20
HCPCS,C1713,PLATE BN HUM 5HL,5489.0,5489.0,290.92,6586.8,20
HCPCS,C1713,PLATE BN HUM 8HL 194MM,2799.0,2799.0,148.35,3358.8,20
HCPCS,C1713,PLATE BN HUM LAT 145MM,3454.0,3454.0,183.06,4144.8,20
HCPCS,C1713,PLATE BN HUM LAT LT 9HL,3454.0,3454.0,183.06,4144.8,20
HCPCS,C1713,PLATE BN HUM LFT 6HL,3718.0,3718.0,197.05,4461.6,20
HCPCS,C1713,PLATE BN HUM LT 1 SLT,3706.0,3706.0,196.42,4447.2,20
HCPCS,C1713,PLATE BN HUM LT 151MM,4125.0,4125.0,218.63,4950.0,20
HCPCS,C1713,PLATE BN HUM LT 165MM,3070.0,3070.0,162.71,3684.0,20
HCPCS,C1713,PLATE BN HUM LT 2SLOT,3836.0,3836.0,203.31,4603.2,20
HCPCS,C1713,PLATE BN HUM LT 3H,3593.0,3593.0,190.43,4311.6,20
HCPCS,C1713,PLATE BN HUM LT 70MM,2686.0,2686.0,142.36,3223.2,20
HCPCS,C1713,PLATE BN HUM LT 75MM,2814.0,2814.0,149.14,3376.8,20
HCPCS,C1713,PLATE BN HUM LT 8HL,4169.0,4169.0,220.96,5002.8,20
HCPCS,C1713,PLATE BN HUM MDL 135MM,3326.0,3326.0,176.28,3991.2,20
HCPCS,C1713,PLATE BN HUM MED. 88MM,2149.0,2149.0,113.9,2578.8,20
HCPCS,C1713,PLATE BN HUM RT 125MM 6H,2952.0,2952.0,156.46,3542.4,20
HCPCS,C1713,PLATE BN HUM RT 196MM,3812.0,3812.0,202.04,4574.4,20
HCPCS,C1713,PLATE BN HUM RT 2SLOT,3836.0,3836.0,203.31,4603.2,20
HCPCS,C1713,PLATE BN HUM RT 3H 81MM,1580.0,1580.0,83.74,1896.0,20
HCPCS,C1713,PLATE BN HUM RT 3HL,4168.0,4168.0,220.9,5001.6,20
HCPCS,C1713,PLATE BN HUM RT 4HL 83MM,5620.0,5620.0,297.86,6744.0,20
HCPCS,C1713,PLATE BN HUM RT 70MM,2686.0,2686.0,142.36,3223.2,20
HCPCS,C1713,PLATE BN HUM RT 7HL,4168.0,4168.0,220.9,5001.6,20
HCPCS,C1713,PLATE BN HUM RT 8H 151MM,2952.0,2952.0,156.46,3542.4,20
HCPCS,C1713,PLATE BN HUM TI RT,2280.0,2280.0,120.84,2736.0,20
HCPCS,C1713,PLATE BN HUM TIT 3H,2990.0,2990.0,158.47,3588.0,20
HCPCS,C1713,PLATE BN HUMERUS RT 8HL,4168.0,4168.0,220.9,5001.6,20
HCPCS,C1713,PLATE BN L 100D 4HL,752.0,752.0,39.86,902.4,20
HCPCS,C1713,PLATE BN L 5H 3.5X115MM,4192.0,4192.0,222.18,5030.4,20
HCPCS,C1713,PLATE BN L 9H 4.5X197MM,5928.0,5928.0,314.18,7113.6,20
HCPCS,C1713,PLATE BN L LCK 6H 8MM,441.0,441.0,23.37,529.2,20
HCPCS,C1713,PLATE BN L RIGHT,640.0,640.0,33.92,768.0,20
HCPCS,C1713,PLATE BN LAB TIB 149MM,1104.0,1104.0,58.51,1324.8,20
HCPCS,C1713,PLATE BN LAP LOPRO LONG,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,PLATE BN LAPDS RT STD,2854.0,2854.0,151.26,3424.8,20
HCPCS,C1713,PLATE BN LAT 10HL,5709.0,5709.0,302.58,6850.8,20
HCPCS,C1713,PLATE BN LAT LCK 3HL,1943.0,1943.0,102.98,2331.6,20
HCPCS,C1713,PLATE BN LAT LT SMALL,1892.0,1892.0,100.28,2270.4,20
HCPCS,C1713,PLATE BN LAT POST,1541.0,1541.0,81.67,1849.2,20
HCPCS,C1713,PLATE BN LAT RT MEDIUM,1892.0,1892.0,100.28,2270.4,20
HCPCS,C1713,PLATE BN LAT RT XS,1892.0,1892.0,100.28,2270.4,20
HCPCS,C1713,PLATE BN LCK 13HL 169MM,1362.0,1362.0,72.19,1634.4,20
HCPCS,C1713,PLATE BN LCK 14HL 182MM,1491.0,1491.0,79.02,1789.2,20
HCPCS,C1713,PLATE BN LCK 14HL 188MM,1880.0,1880.0,99.64,2256.0,20
HCPCS,C1713,PLATE BN LCK 2.7MM 14MM,1318.0,1318.0,69.85,1581.6,20
HCPCS,C1713,PLATE BN LCK 3.5MM 6H,1126.0,1126.0,59.68,1351.2,20
HCPCS,C1713,PLATE BN LCK 5H HOOK MED,1920.0,1920.0,101.76,2304.0,20
HCPCS,C1713,PLATE BN LCK 6H 115MM,2774.0,2774.0,147.02,3328.8,20
HCPCS,C1713,PLATE BN LCK 6HL,528.0,528.0,27.98,633.6,20
HCPCS,C1713,PLATE BN LCK 6HL 2MM,912.0,912.0,48.34,1094.4,20
HCPCS,C1713,PLATE BN LCK 71MM 5HL,1772.0,1772.0,93.92,2126.4,20
HCPCS,C1713,PLATE BN LCK 7H 97MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1713,PLATE BN LCK 7HL 125MM,1152.0,1152.0,61.06,1382.4,20
HCPCS,C1713,PLATE BN LCK 8H 1.1MM,950.0,950.0,50.35,1140.0,20
HCPCS,C1713,PLATE BN LCK 9HL 159MM,1108.0,1108.0,58.72,1329.6,20
HCPCS,C1713,PLATE BN LCK MED 3HL,1850.0,1850.0,98.05,2220.0,20
HCPCS,C1713,PLATE BN LCK RT 2HL 85MM,5090.0,5090.0,269.77,6108.0,20
HCPCS,C1713,PLATE BN LCK RT 6H,1550.0,1550.0,82.15,1860.0,20
HCPCS,C1713,PLATE BN LCK STRT 8HL,1572.0,1572.0,83.32,1886.4,20
HCPCS,C1713,PLATE BN LCK SZ10 13MM,10468.0,10468.0,554.8,12561.6,20
HCPCS,C1713,PLATE BN LCP 11HL 4.5MM,1019.0,1019.0,54.01,1222.8,20
HCPCS,C1713,PLATE BN LEFT ANT LONG,2190.0,2190.0,116.07,2628.0,20
HCPCS,C1713,PLATE BN LEFT SM 3D,2362.0,2362.0,125.19,2834.4,20
HCPCS,C1713,PLATE BN LFT 4H,7700.0,7700.0,408.1,9240.0,20
HCPCS,C1713,PLATE BN LFT 8HL 128MM,2522.0,2522.0,133.67,3026.4,20
HCPCS,C1713,PLATE BN LFT MEDIUM,2454.0,2454.0,130.06,2944.8,20
HCPCS,C1713,PLATE BN LG RT 1.2M,2511.0,2511.0,133.08,3013.2,20
HCPCS,C1713,PLATE BN LG STR .1MM,339.0,339.0,17.97,406.8,20
HCPCS,C1713,PLATE BN LISFRANC RT SM,3184.0,3184.0,168.75,3820.8,20
HCPCS,C1713,PLATE BN LNG 4H 19MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,PLATE BN LNG 70X3.5MM,2160.0,2160.0,114.48,2592.0,20
HCPCS,C1713,PLATE BN LONG 1MM 57MM,1056.0,1056.0,55.97,1267.2,20
HCPCS,C1713,PLATE BN LOPRO 3H 11MM,1763.0,1763.0,93.44,2115.6,20
HCPCS,C1713,PLATE BN LRG 4HL,902.0,902.0,47.81,1082.4,20
HCPCS,C1713,PLATE BN LT 1.5MM 60MM,1446.0,1446.0,76.64,1735.2,40
HCPCS,C1713,PLATE BN LT 1.5MM 81MM,1668.0,1668.0,88.4,2001.6,40
HCPCS,C1713,PLATE BN LT 102MM 3.5MM,2493.0,2493.0,132.13,2991.6,20
HCPCS,C1713,PLATE BN LT 10HOLE,1785.0,1785.0,94.61,2142.0,20
HCPCS,C1713,PLATE BN LT 11HL 196MM,5588.0,5588.0,296.16,6705.6,20
HCPCS,C1713,PLATE BN LT 13H 167MM,4102.0,4102.0,217.41,4922.4,20
HCPCS,C1713,PLATE BN LT 13H 270MM,6383.0,6383.0,338.3,7659.6,20
HCPCS,C1713,PLATE BN LT 14HL 257MM,5698.0,5698.0,301.99,6837.6,20
HCPCS,C1713,PLATE BN LT 160MM,3520.0,3520.0,186.56,4224.0,20
HCPCS,C1713,PLATE BN LT 16H 329MM,11765.0,11765.0,623.54,14118.0,20
HCPCS,C1713,PLATE BN LT 18H 365MM,11765.0,11765.0,623.54,14118.0,20
HCPCS,C1713,PLATE BN LT 1MM 40MM,1056.0,1056.0,55.97,1267.2,20
HCPCS,C1713,PLATE BN LT 1MM 53MM,1056.0,1056.0,55.97,1267.2,20
HCPCS,C1713,PLATE BN LT 2.7/3.5X102,3405.0,3405.0,180.47,4086.0,20
HCPCS,C1713,PLATE BN LT 2/4HL 40MM,660.0,660.0,34.98,792.0,20
HCPCS,C1713,PLATE BN LT 3.5MM 221MM,4410.0,4410.0,233.73,5292.0,20
HCPCS,C1713,PLATE BN LT 3HL 132MM,11985.0,11985.0,635.21,14382.0,20
HCPCS,C1713,PLATE BN LT 4.0HL,904.0,904.0,47.91,1084.8,20
HCPCS,C1713,PLATE BN LT 4H 70MM,2748.0,2748.0,140.72,3409.2,40
HCPCS,C1713,PLATE BN LT 4H 86MM,1216.0,1216.0,64.45,1459.2,20
HCPCS,C1713,PLATE BN LT 4H WIDE,916.0,916.0,48.55,1099.2,20
HCPCS,C1713,PLATE BN LT 4HL,3371.5,3371.5,71.71,6468.0,40
HCPCS,C1713,PLATE BN LT 4HL 3.5X76MM,2762.0,2762.0,146.39,3314.4,20
HCPCS,C1713,PLATE BN LT 4HL 86MM,1079.0,1079.0,57.19,1294.8,20
HCPCS,C1713,PLATE BN LT 5,2030.0,2030.0,107.59,2436.0,20
HCPCS,C1713,PLATE BN LT 5D,3990.0,3990.0,211.47,4788.0,20
HCPCS,C1713,PLATE BN LT 5H,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1713,PLATE BN LT 5H 3.5X81MM,1570.0,1570.0,83.21,1884.0,20
HCPCS,C1713,PLATE BN LT 5HL,640.0,640.0,33.92,768.0,20
HCPCS,C1713,PLATE BN LT 5HL 99MM,1231.0,1231.0,65.24,1477.2,20
HCPCS,C1713,PLATE BN LT 6H 3.5X33MM,1808.0,1808.0,95.82,2169.6,20
HCPCS,C1713,PLATE BN LT 6HL,3160.0,3160.0,167.48,3792.0,20
HCPCS,C1713,PLATE BN LT 73X5.7X10MM,1854.0,1854.0,98.26,2224.8,20
HCPCS,C1713,PLATE BN LT 7H 110MM,1734.0,1734.0,91.9,2080.8,20
HCPCS,C1713,PLATE BN LT 7HL 103MM,1973.0,1973.0,104.57,2367.6,20
HCPCS,C1713,PLATE BN LT 8HL,3844.0,3844.0,203.73,4612.8,20
HCPCS,C1713,PLATE BN LT 9H,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE BN LT 9HL 151MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1713,PLATE BN LT RIBS 8-9 8HL,3918.0,3918.0,207.65,4701.6,20
HCPCS,C1713,PLATE BN LT SM,1520.0,1520.0,80.56,1824.0,20
HCPCS,C1713,PLATE BN LT STD 7HL,948.0,948.0,50.24,1137.6,20
HCPCS,C1713,PLATE BN LT SZ6,2204.0,2204.0,116.81,2644.8,20
HCPCS,C1713,PLATE BN LT SZMED,4538.0,4538.0,240.51,5445.6,20
HCPCS,C1713,PLATE BN MD VAR 4HL 88MM,1977.0,1977.0,104.78,2372.4,20
HCPCS,C1713,PLATE BN MDFC 16H .8X1.7,695.0,695.0,36.84,834.0,20
HCPCS,C1713,PLATE BN MDFC 6H 12MM,395.0,395.0,20.93,474.0,20
HCPCS,C1713,PLATE BN MDFC 8H .8X1.7,489.0,489.0,25.92,586.8,20
HCPCS,C1713,PLATE BN MDL RT 75MM,2814.0,2814.0,149.14,3376.8,20
HCPCS,C1713,PLATE BN MDSHFT 112MM,1886.0,1886.0,99.96,2263.2,20
HCPCS,C1713,PLATE BN MDSHFT 188MM,2032.0,2032.0,107.7,2438.4,20
HCPCS,C1713,PLATE BN MDSHFT 8H 97MM,1924.0,1924.0,101.97,2308.8,20
HCPCS,C1713,PLATE BN MDSHFT RDS 97MM,1866.0,1866.0,98.9,2239.2,20
HCPCS,C1713,PLATE BN MDSHFT ULN 97MM,1866.0,1866.0,98.9,2239.2,20
HCPCS,C1713,PLATE BN MED,2298.0,2298.0,121.79,2757.6,20
HCPCS,C1713,PLATE BN MED 10-12MM,2854.0,2854.0,151.26,3424.8,20
HCPCS,C1713,PLATE BN MED 2MM 100MM,1517.0,1517.0,80.4,1820.4,20
HCPCS,C1713,PLATE BN MED 3.5/4.5MM,3130.0,3130.0,165.89,3756.0,20
HCPCS,C1713,PLATE BN MED 4H,2720.0,2720.0,144.16,3264.0,20
HCPCS,C1713,PLATE BN MED RT 6H,2690.0,2690.0,142.57,3228.0,20
HCPCS,C1713,PLATE BN MEDIUM,1066.0,1066.0,56.5,1279.2,20
HCPCS,C1713,PLATE BN MESH CALC SM,1190.0,1190.0,63.07,1428.0,20
HCPCS,C1713,PLATE BN MESH LG 16HL,1190.0,1190.0,63.07,1428.0,20
HCPCS,C1713,PLATE BN METATARSAL 4HL,1404.0,1404.0,74.41,1684.8,20
HCPCS,C1713,PLATE BN METATARSAL 9HL,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,PLATE BN METATASAL 7HL,1404.0,1404.0,74.41,1684.8,20
HCPCS,C1713,PLATE BN MF FUSION 4H,2634.0,2634.0,139.6,3160.8,20
HCPCS,C1713,PLATE BN MID RAD 157MM,1976.0,1976.0,104.73,2371.2,20
HCPCS,C1713,PLATE BN MINI 16HL 1MM,782.0,782.0,41.45,938.4,20
HCPCS,C1713,PLATE BN MINI 4H W/BAR,221.0,221.0,11.71,265.2,20
HCPCS,C1713,PLATE BN MINI 4HL 1.5MM,977.5,977.5,47.12,1279.2,40
HCPCS,C1713,PLATE BN MINI 6H 1.5MM,1260.0,1260.0,66.78,1512.0,20
HCPCS,C1713,PLATE BN MINI ST 6HL,243.0,243.0,12.88,291.6,20
HCPCS,C1713,PLATE BN MLBL 2X2HL,464.0,464.0,24.59,556.8,20
HCPCS,C1713,PLATE BN MNDB 3X2HL,669.0,669.0,35.46,802.8,20
HCPCS,C1713,PLATE BN MNDB 4HL 1.6MM,622.0,622.0,32.97,746.4,20
HCPCS,C1713,PLATE BN MNDBL 4H 77MM,270.0,270.0,14.31,324.0,20
HCPCS,C1713,PLATE BN MTP FSN 39,2400.0,2400.0,127.2,2880.0,20
HCPCS,C1713,PLATE BN MTRSL RT STNDRD,2160.0,2160.0,114.48,2592.0,20
HCPCS,C1713,PLATE BN MTRSL STRT 7H,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,PLATE BN MXLFCL 1.5MM,1422.0,1422.0,75.37,1706.4,20
HCPCS,C1713,PLATE BN MXLFCL 16H,341.0,341.0,18.07,409.2,20
HCPCS,C1713,PLATE BN MXLFCL 4HL,591.0,591.0,31.32,709.2,20
HCPCS,C1713,PLATE BN NAR 2MM 56MM,1420.0,1420.0,75.26,1704.0,20
HCPCS,C1713,PLATE BN NAR LT 4H,916.0,916.0,48.55,1099.2,20
HCPCS,C1713,PLATE BN NAR RT,3058.0,3058.0,162.07,3669.6,20
HCPCS,C1713,PLATE BN NAR RT 4HL,2728.0,2728.0,144.58,3273.6,20
HCPCS,C1713,PLATE BN NRW 12HL 2.7MM,2153.0,2153.0,114.11,2583.6,20
HCPCS,C1713,PLATE BN NRW LT 120MM,3136.0,3136.0,166.21,3763.2,20
HCPCS,C1713,PLATE BN NRW LT 3HL,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,PLATE BN NRW LT 4HL,2728.0,2728.0,144.58,3273.6,20
HCPCS,C1713,PLATE BN NRW RT 160MM,3520.0,3520.0,186.56,4224.0,20
HCPCS,C1713,PLATE BN OBLIQ RIGHT,904.0,904.0,47.91,1084.8,20
HCPCS,C1713,PLATE BN OLCRN RT 2HL,2873.0,2873.0,152.27,3447.6,20
HCPCS,C1713,PLATE BN OPN WDG 5MM,2454.0,2454.0,130.06,2944.8,20
HCPCS,C1713,PLATE BN ORBT 4H 1.2MM,223.0,223.0,11.82,267.6,20
HCPCS,C1713,PLATE BN ORBT CRV 8HL,204.0,204.0,10.81,244.8,20
HCPCS,C1713,PLATE BN ORBT POR 35X.8,1124.0,1124.0,59.57,1348.8,20
HCPCS,C1713,PLATE BN ORT 3.5MM 16H,4315.0,4315.0,228.69,5178.0,20
HCPCS,C1713,PLATE BN ORT ROT 1.6MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,PLATE BN ORT VAR 11MM,2461.0,2461.0,130.43,2953.2,20
HCPCS,C1713,PLATE BN ORTH NAR 2HL,162.54,162.54,8.61,195.05,20
HCPCS,C1713,PLATE BN ORTHO SLT RT,2846.0,2846.0,150.84,3415.2,20
HCPCS,C1713,PLATE BN ORTHO SM RT,4196.0,4196.0,222.39,5035.2,20
HCPCS,C1713,PLATE BN P-AX LOCKING,3028.0,3028.0,160.48,3633.6,20
HCPCS,C1713,PLATE BN PLVC 10 HL,558.18,558.18,29.58,669.82,20
HCPCS,C1713,PLATE BN PLVC 4HL 58.5MM,620.0,620.0,32.86,744.0,20
HCPCS,C1713,PLATE BN PLVC RECON 9HL,492.66,492.66,26.11,591.19,20
HCPCS,C1713,PLATE BN PRBENT 6HL 6MM,414.0,414.0,21.94,496.8,20
HCPCS,C1713,PLATE BN PRBNT 12H,3044.0,3044.0,161.33,3652.8,20
HCPCS,C1713,PLATE BN PRBNT 60MM,7100.0,7100.0,376.3,8520.0,20
HCPCS,C1713,PLATE BN PRBNT 94MM,7800.0,7800.0,413.4,9360.0,20
HCPCS,C1713,PLATE BN PRECONTOUR,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE BN PRECONTR 24HL,5722.0,5722.0,303.27,6866.4,20
HCPCS,C1713,PLATE BN PROX 4.5X118MM,2664.0,2664.0,141.19,3196.8,20
HCPCS,C1713,PLATE BN PROX HUM,1560.0,1560.0,82.68,1872.0,20
HCPCS,C1713,PLATE BN PROX HUM 3H RT,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1713,PLATE BN QTR 4HL 31MM,231.0,231.0,12.24,277.2,20
HCPCS,C1713,PLATE BN QTR 5HL 39MM,243.0,243.0,12.88,291.6,20
HCPCS,C1713,PLATE BN QTR 6HL 47MM,261.0,261.0,13.83,313.2,20
HCPCS,C1713,PLATE BN QTR 7HL 55MM,276.0,276.0,14.63,331.2,20
HCPCS,C1713,PLATE BN QTR 8HL 63MM,285.0,285.0,15.11,342.0,20
HCPCS,C1713,PLATE BN R 11H 4.5X209MM,5474.0,5474.0,290.12,6568.8,20
HCPCS,C1713,PLATE BN RAD 127MM,1904.0,1904.0,100.91,2284.8,20
HCPCS,C1713,PLATE BN RAD 8H 98MM,2860.0,2860.0,151.58,3432.0,20
HCPCS,C1713,PLATE BN RAD HD,2452.0,2452.0,129.96,2942.4,20
HCPCS,C1713,PLATE BN RADIAL LEFT,1526.0,1526.0,80.88,1831.2,20
HCPCS,C1713,PLATE BN RADIUS 6HL,1878.0,1878.0,99.53,2253.6,20
HCPCS,C1713,PLATE BN RADL CLMN RT,1568.0,1568.0,83.1,1881.6,20
HCPCS,C1713,PLATE BN RCT 6HL SZ1,890.0,890.0,47.17,1068.0,20
HCPCS,C1713,PLATE BN REAR FOOT 18MM,3584.0,3584.0,189.95,4300.8,20
HCPCS,C1713,PLATE BN RECON 9HL 54MM,3811.0,3811.0,201.98,4573.2,20
HCPCS,C1713,PLATE BN RECT 6HL,978.0,978.0,51.83,1173.6,20
HCPCS,C1713,PLATE BN RT 1.5MM 60MM,1446.0,1446.0,76.64,1735.2,40
HCPCS,C1713,PLATE BN RT 1.5MM 81MM,1668.0,1668.0,88.4,2001.6,40
HCPCS,C1713,PLATE BN RT 10H 176MM,2952.0,2952.0,156.46,3542.4,20
HCPCS,C1713,PLATE BN RT 10HL 154MM,2609.5,2609.5,135.1,3204.0,40
HCPCS,C1713,PLATE BN RT 120MM,3136.0,3136.0,166.21,3763.2,20
HCPCS,C1713,PLATE BN RT 12HL 266MM,3452.0,3452.0,182.96,4142.4,20
HCPCS,C1713,PLATE BN RT 12HL 324MM,3308.0,3308.0,175.32,3969.6,20
HCPCS,C1713,PLATE BN RT 13HL 270MM,6383.0,6383.0,338.3,7659.6,20
HCPCS,C1713,PLATE BN RT 142X3.5/4MM,3760.0,3760.0,199.28,4512.0,20
HCPCS,C1713,PLATE BN RT 15HL,4184.0,4184.0,221.75,5020.8,20
HCPCS,C1713,PLATE BN RT 15HL 306MM,6613.0,6613.0,350.49,7935.6,20
HCPCS,C1713,PLATE BN RT 19HL 378MM,7068.0,7068.0,374.6,8481.6,20
HCPCS,C1713,PLATE BN RT 1MM 40MM,1056.0,1056.0,55.97,1267.2,20
HCPCS,C1713,PLATE BN RT 1MM 53MM,1056.0,1056.0,55.97,1267.2,20
HCPCS,C1713,PLATE BN RT 20H405MM,12685.0,12685.0,672.3,15222.0,20
HCPCS,C1713,PLATE BN RT 22MM 186MM,3256.0,3256.0,172.57,3907.2,20
HCPCS,C1713,PLATE BN RT 2HL 20MM,161.0,161.0,8.53,193.2,20
HCPCS,C1713,PLATE BN RT 2HL 85MM,2462.0,2462.0,130.49,2954.4,20
HCPCS,C1713,PLATE BN RT 2MM 76MM,1638.0,1638.0,86.81,1965.6,20
HCPCS,C1713,PLATE BN RT 3.5MM 103MM,1653.0,1653.0,87.61,1983.6,20
HCPCS,C1713,PLATE BN RT 3HL,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,PLATE BN RT 3HL 59MM,1628.0,1628.0,86.28,1953.6,20
HCPCS,C1713,PLATE BN RT 3HL 75MM,1977.0,1977.0,104.78,2372.4,20
HCPCS,C1713,PLATE BN RT 3HL NAR,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,PLATE BN RT 4H 71MM,2461.0,2461.0,130.43,2953.2,20
HCPCS,C1713,PLATE BN RT 4HL,5390.0,5390.0,285.67,6468.0,20
HCPCS,C1713,PLATE BN RT 4HL 108MM,2149.0,2149.0,113.9,2578.8,20
HCPCS,C1713,PLATE BN RT 4HL 3.5X76MM,2580.0,2580.0,136.74,3096.0,20
HCPCS,C1713,PLATE BN RT 4HL 4.5X82MM,2630.0,2630.0,139.39,3156.0,20
HCPCS,C1713,PLATE BN RT 4HL 86MM,1924.0,1924.0,101.97,2308.8,20
HCPCS,C1713,PLATE BN RT 5H 100D 2MM,350.0,350.0,18.55,420.0,20
HCPCS,C1713,PLATE BN RT 5HL 121MM,2149.0,2149.0,113.9,2578.8,20
HCPCS,C1713,PLATE BN RT 5HL 3.5X81MM,1577.0,1577.0,83.58,1892.4,20
HCPCS,C1713,PLATE BN RT 5HL 99MM,1231.0,1231.0,65.24,1477.2,20
HCPCS,C1713,PLATE BN RT 5SLT,2030.0,2030.0,107.59,2436.0,20
HCPCS,C1713,PLATE BN RT 6+7H 109MM,2935.0,2935.0,155.56,3522.0,20
HCPCS,C1713,PLATE BN RT 6H 3.5X98MM,1845.0,1845.0,97.78,2214.0,20
HCPCS,C1713,PLATE BN RT 6H 4.5X143MM,5698.0,5698.0,301.99,6837.6,20
HCPCS,C1713,PLATE BN RT 6HL,3144.5,3144.5,165.78,3793.2,40
HCPCS,C1713,PLATE BN RT 7H STD,948.0,948.0,50.24,1137.6,20
HCPCS,C1713,PLATE BN RT 7HL 125MM,1268.0,1268.0,67.2,1521.6,20
HCPCS,C1713,PLATE BN RT 7HL 12MM,3128.0,3128.0,165.78,3753.6,20
HCPCS,C1713,PLATE BN RT 93MM 3.5MM,2572.0,2572.0,136.32,3086.4,20
HCPCS,C1713,PLATE BN RT LAT 70MM,2686.0,2686.0,142.36,3223.2,20
HCPCS,C1713,PLATE BN RT LAT TIB 3H,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1713,PLATE BN RT LRG,1892.0,1892.0,100.28,2270.4,20
HCPCS,C1713,PLATE BN RT SM 1.1MM,1520.0,1520.0,80.56,1824.0,20
HCPCS,C1713,PLATE BN RT STD 4HL,916.0,916.0,48.55,1099.2,20
HCPCS,C1713,PLATE BN SCAP 10HL LT,5528.0,5528.0,292.98,6633.6,20
HCPCS,C1713,PLATE BN SCAP 6HL RT,4320.0,4320.0,228.96,5184.0,20
HCPCS,C1713,PLATE BN SCAP 7HL LT,4610.0,4610.0,244.33,5532.0,20
HCPCS,C1713,PLATE BN SCAP 9HL LT,5130.0,5130.0,271.89,6156.0,20
HCPCS,C1713,PLATE BN SHRT 1MMX44MM,1056.0,1056.0,55.97,1267.2,20
HCPCS,C1713,PLATE BN SHRT 27X3.5MM,1658.0,1658.0,87.87,1989.6,20
HCPCS,C1713,PLATE BN SHRT 3.5X75MM,2149.0,2149.0,113.9,2578.8,20
HCPCS,C1713,PLATE BN SHRT 67X3.5MM,2160.0,2160.0,114.48,2592.0,20
HCPCS,C1713,PLATE BN SHRT 69MM,2148.0,2148.0,113.84,2577.6,20
HCPCS,C1713,PLATE BN SHRT DIST CLVCL,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE BN SHRT LT 1H 72MM,2216.0,2216.0,117.45,2659.2,20
HCPCS,C1713,PLATE BN SINUS LT SML,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1713,PLATE BN SINUS RT SM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1713,PLATE BN SINUS TIA MD LT,1520.0,1520.0,80.56,1824.0,20
HCPCS,C1713,PLATE BN SIZE 20,10468.0,10468.0,554.8,12561.6,20
HCPCS,C1713,PLATE BN SKYLN 24 ANT,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE BN SLNT LT 4HL,2476.0,2476.0,131.23,2971.2,20
HCPCS,C1713,PLATE BN SM 12HL,1190.0,1190.0,63.07,1428.0,20
HCPCS,C1713,PLATE BN SM 2.7MM,4910.0,4910.0,260.23,5892.0,20
HCPCS,C1713,PLATE BN SM 4HL 0.4MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,PLATE BN SM P/L RT,2144.0,2144.0,113.63,2572.8,20
HCPCS,C1713,PLATE BN SM RT 1.5MM,3294.0,3294.0,174.58,3952.8,20
HCPCS,C1713,PLATE BN SMALL,691.0,691.0,33.28,904.8,40
HCPCS,C1713,PLATE BN SML PERI SPIDER,134.0,134.0,7.1,160.8,20
HCPCS,C1713,PLATE BN SMTB 7HL,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE BN SPN 8X24MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE BN SPRPCTNL RGHT,4080.0,4080.0,216.24,4896.0,20
HCPCS,C1713,PLATE BN SS 7H,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1713,PLATE BN SS CNTRL THRD,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE BN SS ORTH 2 HL SP,461.0,461.0,24.43,553.2,20
HCPCS,C1713,PLATE BN ST 8H,1484.0,1484.0,78.65,1780.8,20
HCPCS,C1713,PLATE BN STD 2.4MM,2644.0,2644.0,140.13,3172.8,20
HCPCS,C1713,PLATE BN STD 2MM,3328.0,3328.0,176.38,3993.6,20
HCPCS,C1713,PLATE BN STD 2MM 56MM,1638.0,1638.0,86.81,1965.6,20
HCPCS,C1713,PLATE BN STD 3HL,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,PLATE BN STD LT 3HL,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,PLATE BN STD LT 5HL,1670.0,1670.0,88.51,2004.0,20
HCPCS,C1713,PLATE BN STD RT 3H 2.4MM,7875.0,7875.0,417.38,9450.0,20
HCPCS,C1713,PLATE BN STD RT 3HL,2728.0,2728.0,144.58,3273.6,20
HCPCS,C1713,PLATE BN STR 24HL,887.0,887.0,47.01,1064.4,20
HCPCS,C1713,PLATE BN STR 5HL,1404.0,1404.0,74.41,1684.8,20
HCPCS,C1713,PLATE BN STR 6HL,322.0,322.0,17.07,386.4,20
HCPCS,C1713,PLATE BN STR 6HL 79MM,710.0,710.0,37.63,852.0,20
HCPCS,C1713,PLATE BN STR 7HL 91MM,710.0,710.0,37.63,852.0,20
HCPCS,C1713,PLATE BN STR LCK 12HL,1390.0,1390.0,73.67,1668.0,20
HCPCS,C1713,PLATE BN STR LCK SS 10H,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1713,PLATE BN STR MEDIUM,938.0,938.0,49.71,1125.6,20
HCPCS,C1713,PLATE BN STR RT 4HL,2476.0,2476.0,131.23,2971.2,20
HCPCS,C1713,PLATE BN STR SHORT,898.0,898.0,47.59,1077.6,20
HCPCS,C1713,PLATE BN STRAIGHT 5 HOLE,1113.0,1113.0,58.99,1335.6,20
HCPCS,C1713,PLATE BN STRAIGHT LONG,1032.0,1032.0,54.7,1238.4,20
HCPCS,C1713,PLATE BN STRNL CBL 4H,1289.0,1289.0,68.32,1546.8,20
HCPCS,C1713,PLATE BN STRT 8H,2320.0,2320.0,122.96,2784.0,20
HCPCS,C1713,PLATE BN STRT 8HL,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,PLATE BN STRT 9HL,1388.0,1388.0,73.56,1665.6,20
HCPCS,C1713,PLATE BN STRT LCK 6HL,950.0,950.0,50.35,1140.0,20
HCPCS,C1713,PLATE BN STRT.6MM 1.7MM,490.0,490.0,25.97,588.0,20
HCPCS,C1713,PLATE BN SYS WPST 23MM,7678.0,7678.0,406.93,9213.6,20
HCPCS,C1713,PLATE BN SZ2,19714.0,19714.0,1044.84,23656.8,20
HCPCS,C1713,PLATE BN T 10HL LT 137MM,3173.0,3173.0,168.17,3807.6,20
HCPCS,C1713,PLATE BN T 3.5MM 3H 50MM,547.0,547.0,28.99,656.4,20
HCPCS,C1713,PLATE BN T 3HL 3.5X67MM,621.0,621.0,32.91,745.2,20
HCPCS,C1713,PLATE BN T 4H 3.5MM 78MM,724.0,724.0,38.37,868.8,20
HCPCS,C1713,PLATE BN T-PLATE 4HL,640.0,640.0,33.92,768.0,20
HCPCS,C1713,PLATE BN TBLR 1/3 3.5X22,416.0,416.0,22.05,499.2,20
HCPCS,C1713,PLATE BN TBLR 1/3 3.5X46,199.0,199.0,10.55,238.8,20
HCPCS,C1713,PLATE BN TBLR 12H 143MM,678.0,678.0,35.93,813.6,20
HCPCS,C1713,PLATE BN TBLR 141X9X1MM,325.0,325.0,17.23,390.0,20
HCPCS,C1713,PLATE BN TBLR 4HL 51MM,82.0,82.0,4.35,98.4,20
HCPCS,C1713,PLATE BN TBLR 8HL 95MM,544.0,544.0,28.83,652.8,20
HCPCS,C1713,PLATE BN TBLR 9X100MM,1064.0,1064.0,56.39,1276.8,20
HCPCS,C1713,PLATE BN TBLR STR 6HL,988.0,988.0,52.36,1185.6,20
HCPCS,C1713,PLATE BN TI 16H,4314.0,4314.0,228.64,5176.8,20
HCPCS,C1713,PLATE BN TI 3HL,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,PLATE BN TI LOCK 4HL,473.0,473.0,25.07,567.6,20
HCPCS,C1713,PLATE BN TIB 10HL,1724.0,1724.0,91.37,2068.8,20
HCPCS,C1713,PLATE BN TIB 10HL 175MM,2520.0,2520.0,133.56,3024.0,20
HCPCS,C1713,PLATE BN TIB 20HL 370MM,3100.0,3100.0,164.3,3720.0,20
HCPCS,C1713,PLATE BN TIB 2HL 95MM,2420.0,2420.0,128.26,2904.0,20
HCPCS,C1713,PLATE BN TIB 3.5MM 102MM,2493.0,2493.0,132.13,2991.6,20
HCPCS,C1713,PLATE BN TIB 3.5MM 91MM,3990.0,3990.0,211.47,4788.0,20
HCPCS,C1713,PLATE BN TIB 6H RT 91MM,4290.0,4290.0,227.37,5148.0,20
HCPCS,C1713,PLATE BN TIB 6HL 129MM,5018.0,5018.0,265.95,6021.6,20
HCPCS,C1713,PLATE BN TIB ANT 13HL,3750.0,3750.0,198.75,4500.0,20
HCPCS,C1713,PLATE BN TIB DIST 12HL,8100.0,8100.0,429.3,9720.0,20
HCPCS,C1713,PLATE BN TIB DSTL 3HL,1990.0,1990.0,105.47,2388.0,20
HCPCS,C1713,PLATE BN TIB FIB STRT12H,1388.0,1388.0,73.56,1665.6,20
HCPCS,C1713,PLATE BN TIB LARGE,3294.0,3294.0,174.58,3952.8,20
HCPCS,C1713,PLATE BN TIB LEFT 3 HOLE,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1713,PLATE BN TIB LT 23HL,3938.0,3938.0,208.71,4725.6,20
HCPCS,C1713,PLATE BN TIB LT 2HL,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1713,PLATE BN TIB LT 6H 119MM,2606.0,2606.0,138.12,3127.2,20
HCPCS,C1713,PLATE BN TIB LT DP LOC,3750.0,3750.0,198.75,4500.0,20
HCPCS,C1713,PLATE BN TIB MDL 17HL,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE BN TIB RT 10 HL,3560.0,3560.0,188.68,4272.0,20
HCPCS,C1713,PLATE BN TIB RT 19HL,3938.0,3938.0,208.71,4725.6,20
HCPCS,C1713,PLATE BN TIB RT 2HL,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1713,PLATE BN TIB RT 6HL,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE BN TIB RT 8HL,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1713,PLATE BN TIB RT 9 HL,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE BN TIBIA,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1713,PLATE BN TPR LOPRO RT,2190.0,2190.0,116.07,2628.0,20
HCPCS,C1713,PLATE BN TPR RT LNG,2190.0,2190.0,116.07,2628.0,20
HCPCS,C1713,PLATE BN TRA 3.5X170MM,3713.0,3713.0,196.79,4455.6,20
HCPCS,C1713,PLATE BN TUB 8H,530.0,530.0,28.09,636.0,20
HCPCS,C1713,PLATE BN TUBE 7HL 85MM,510.0,510.0,27.03,612.0,20
HCPCS,C1713,PLATE BN ULN EXT 1HL,580.0,580.0,30.74,696.0,20
HCPCS,C1713,PLATE BN ULN LT 2 SLOT,1770.0,1770.0,93.81,2124.0,20
HCPCS,C1713,PLATE BN ULN LT 5 SLOT,2118.0,2118.0,112.25,2541.6,20
HCPCS,C1713,PLATE BN ULN RT 3SLOT,1856.0,1856.0,98.37,2227.2,20
HCPCS,C1713,PLATE BN ULN RT 5 SLOT,2118.0,2118.0,112.25,2541.6,20
HCPCS,C1713,PLATE BN ULNA 108MM,2084.0,2084.0,110.45,2500.8,20
HCPCS,C1713,PLATE BN ULNA 4SLOT,1944.0,1944.0,103.03,2332.8,20
HCPCS,C1713,PLATE BN ULNA 73MM,1854.0,1854.0,98.26,2224.8,20
HCPCS,C1713,PLATE BN ULNA LF 112MM,1886.0,1886.0,99.96,2263.2,20
HCPCS,C1713,PLATE BN ULNA LT 151MM,2208.0,2208.0,117.02,2649.6,20
HCPCS,C1713,PLATE BN ULNA LT 3 SLOT,1856.0,1856.0,98.37,2227.2,20
HCPCS,C1713,PLATE BN ULNA RT 108MM,2084.0,2084.0,110.45,2500.8,20
HCPCS,C1713,PLATE BN ULNA RT 4SLOT,1944.0,1944.0,103.03,2332.8,20
HCPCS,C1713,PLATE BN ULNAR 6HL,1878.0,1878.0,99.53,2253.6,20
HCPCS,C1713,PLATE BN UNIV 4H 4MM,592.0,592.0,31.38,710.4,20
HCPCS,C1713,PLATE BN UNV 8HL,2670.0,2670.0,141.51,3204.0,20
HCPCS,C1713,PLATE BN UNV CRNIO 3,581.0,581.0,30.79,697.2,20
HCPCS,C1713,PLATE BN V-AX CRV 4HL,890.0,890.0,47.17,1068.0,20
HCPCS,C1713,PLATE BN VAR 103MM 8 HL,1042.0,1042.0,55.23,1250.4,20
HCPCS,C1713,PLATE BN VERTICAL 4HL,2790.0,2790.0,147.87,3348.0,20
HCPCS,C1713,PLATE BN VLP CAL LT,2398.0,2398.0,127.09,2877.6,20
HCPCS,C1713,PLATE BN W BAR 4H 2.4MM,307.0,307.0,16.27,368.4,20
HCPCS,C1713,PLATE BN XPLATE 8H,840.0,840.0,44.52,1008.0,20
HCPCS,C1713,PLATE BN XSHRT LT 49MM,1516.0,1516.0,80.35,1819.2,20
HCPCS,C1713,PLATE BN Y 7HL 2.7X69MM,1832.0,1832.0,97.1,2198.4,20
HCPCS,C1713,PLATE BN Y 7MM 66MM,2082.0,2082.0,110.35,2498.4,20
HCPCS,C1713,PLATE BN Y-PLT 2.4X60MM,1402.0,1402.0,74.31,1682.4,20
HCPCS,C1713,PLATE BNE CERV FX 16,2603.32,2603.32,137.98,3123.98,20
HCPCS,C1713,PLATE BNE DRSL RADL RT,1390.0,1390.0,73.67,1668.0,20
HCPCS,C1713,PLATE BNE SS 88 RDS,1109.0,1109.0,58.78,1330.8,20
HCPCS,C1713,PLATE BNE TI STRNL 12 HL,1754.0,1754.0,92.96,2104.8,20
HCPCS,C1713,PLATE BURH LRG 5X18.5MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,PLATE CALC FRAC SM LFT,1520.0,1520.0,80.56,1824.0,20
HCPCS,C1713,PLATE CALC FRACT STD LT,2190.0,2190.0,116.07,2628.0,20
HCPCS,C1713,PLATE CALC FX LT MED,1520.0,1520.0,80.56,1824.0,20
HCPCS,C1713,PLATE CALC FX RT MED,1520.0,1520.0,80.56,1824.0,20
HCPCS,C1713,PLATE CALC SM TNM 13HL,4358.0,4358.0,230.97,5229.6,20
HCPCS,C1713,PLATE CALC XS 20X3.5MM,3770.0,3770.0,199.81,4524.0,20
HCPCS,C1713,PLATE CERV 18MM 1LVL,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE CERV 2L 40MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE CERV INVUE 2LVL 41,2100.0,2100.0,111.3,2520.0,20
HCPCS,C1713,PLATE CHIN MINI 4H 4MM,691.0,691.0,36.62,829.2,20
HCPCS,C1713,PLATE CLAV SS RT 3RD,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE CLVCL CURV RT,2170.0,2170.0,115.01,2604.0,20
HCPCS,C1713,PLATE CLVCL THIRD LEFT,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE CMF BLU 1.7MM 20HL,989.0,989.0,52.42,1186.8,20
HCPCS,C1713,PLATE CMPR BRL CLSC 3HL,680.4,680.4,36.06,816.48,20
HCPCS,C1713,PLATE CNTRL LT CLVCL 3RD,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE COMP 2HL 15MM,3968.0,3968.0,210.3,4761.6,20
HCPCS,C1713,PLATE COMP 4MM L97MM 7 H,1772.0,1772.0,93.92,2126.4,20
HCPCS,C1713,PLATE CRNFCL 24HL,916.0,916.0,48.55,1099.2,20
HCPCS,C1713,PLATE CRNFCL RECON 17HL,2483.0,2483.0,131.6,2979.6,20
HCPCS,C1713,PLATE CRNL LT 100D 2MM,350.0,350.0,18.55,420.0,20
HCPCS,C1713,PLATE CRNMXF 16HL .4MM,560.0,560.0,29.68,672.0,20
HCPCS,C1713,PLATE CRNMXF 25X25X.25,1086.0,1086.0,57.56,1303.2,20
HCPCS,C1713,PLATE CRNMXF 50X50X.25,3136.0,3136.0,166.21,3763.2,20
HCPCS,C1713,PLATE CRNMXF BN 12MM,272.0,272.0,14.42,326.4,20
HCPCS,C1713,PLATE CRNMXF ORBT LT SM,4500.0,4500.0,238.5,5400.0,20
HCPCS,C1713,PLATE CRNMXF ORBT RT LG,4410.0,4410.0,233.73,5292.0,20
HCPCS,C1713,PLATE CRNMXF ORBT RT SM,4410.0,4410.0,233.73,5292.0,20
HCPCS,C1713,PLATE CRV RECON 3.5X6X70,487.62,487.62,25.84,585.14,20
HCPCS,C1713,PLATE CUBOID UNIVERSAL,2160.0,2160.0,114.48,2592.0,20
HCPCS,C1713,PLATE CURVED RECON 8X94,530.46,530.46,28.11,636.55,20
HCPCS,C1713,PLATE DIST FIB SS 4HOLE,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1713,PLATE DIST TIB ANT 10 HL,8100.0,8100.0,429.3,9720.0,20
HCPCS,C1713,PLATE DISTAL FIB RT 8H,1750.0,1750.0,92.75,2100.0,20
HCPCS,C1713,PLATE DSTL MDL RT 4HL,1254.0,1254.0,66.46,1504.8,20
HCPCS,C1713,PLATE DVR VOLAR RIGHT,1190.0,1190.0,63.07,1428.0,20
HCPCS,C1713,PLATE FEM LCP 11H 260M-R,3279.36,3279.36,173.81,3935.23,20
HCPCS,C1713,PLATE FEM LCP PRX HK 6HL,3234.0,3234.0,171.4,3880.8,20
HCPCS,C1713,PLATE FEM NCB LT 5 HL,2457.0,2457.0,130.22,2948.4,20
HCPCS,C1713,PLATE FEM RT 7/9 HOLE,4004.0,4004.0,212.21,4804.8,20
HCPCS,C1713,PLATE FEMORAL LOCKING,2602.0,2602.0,137.91,3122.4,20
HCPCS,C1713,PLATE FIB 9HL 149MM,1152.0,1152.0,61.06,1382.4,20
HCPCS,C1713,PLATE FIB DSTL 2.8/3.5MM,3441.0,3441.0,182.37,4129.2,20
HCPCS,C1713,PLATE FIB LCK DSTL LT 8H,1750.0,1750.0,92.75,2100.0,20
HCPCS,C1713,PLATE FIB LCK LT 5HL,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1713,PLATE FIB RT 11HL 147MM,2021.0,2021.0,107.11,2425.2,20
HCPCS,C1713,PLATE FIB STR 8HL,1050.0,1050.0,55.65,1260.0,20
HCPCS,C1713,PLATE FOOT 2HL 5X15.5MM,3098.0,3098.0,164.19,3717.6,20
HCPCS,C1713,PLATE FX 6H W/BAR,987.0,987.0,52.31,1184.4,20
HCPCS,C1713,PLATE FX C-SHAPE 4H,804.0,804.0,42.61,964.8,20
HCPCS,C1713,PLATE HIP CHS 130D 3HL,897.0,897.0,47.54,1076.4,20
HCPCS,C1713,PLATE HIP CHS 130D 4HL,897.0,897.0,47.54,1076.4,20
HCPCS,C1713,PLATE HIP CHS 95D 10HL,873.72,873.72,46.31,1048.46,20
HCPCS,C1713,PLATE HK BN,794.0,794.0,42.08,952.8,20
HCPCS,C1713,PLATE HK BN + SCREW,130.0,130.0,6.89,156.0,20
HCPCS,C1713,PLATE HUM 5 H,4312.0,4312.0,228.54,5174.4,20
HCPCS,C1713,PLATE HUM 6H 160MM 3.5MM,2946.0,2946.0,156.14,3535.2,20
HCPCS,C1713,PLATE HUM DIST LT 70MM,2686.0,2686.0,142.36,3223.2,20
HCPCS,C1713,PLATE HUM DST LT LCK 7HL,1463.0,1463.0,77.54,1755.6,20
HCPCS,C1713,PLATE HUM DSTL LT 250MM,3902.0,3902.0,206.81,4682.4,20
HCPCS,C1713,PLATE HUM DSTL/LAT 11HL,1621.5,1621.5,85.94,1945.8,20
HCPCS,C1713,PLATE HUM LAT LT 100MM,2814.0,2814.0,149.14,3376.8,20
HCPCS,C1713,PLATE HUM LCK DSTL/MDL7H,1673.0,1673.0,88.67,2007.6,20
HCPCS,C1713,PLATE HUM LT 142MM,3646.0,3646.0,193.24,4375.2,20
HCPCS,C1713,PLATE HUM MDSHRT 136MM,1790.0,1790.0,94.87,2148.0,20
HCPCS,C1713,PLATE HUM PERI LCKG 9HL,1617.0,1617.0,85.7,1940.4,20
HCPCS,C1713,PLATE HUM R 142MM,3646.0,3646.0,193.24,4375.2,20
HCPCS,C1713,PLATE HUM RT PROX 5H,3593.0,3593.0,190.43,4311.6,20
HCPCS,C1713,PLATE HUM RVS 15MM,3868.8,3868.8,205.05,4642.56,20
HCPCS,C1713,PLATE HUM SZ2 LT 122MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,PLATE HUMERAL 196MM,3812.0,3812.0,202.04,4574.4,20
HCPCS,C1713,PLATE HUMERAL SUTURE 5H,3190.0,3190.0,169.07,3828.0,20
HCPCS,C1713,PLATE HUMERUS 3H,4025.0,4025.0,213.32,4830.0,20
HCPCS,C1713,PLATE INDS CRVL SGL 19MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE LAPDS STEP 1MM,4072.0,4072.0,215.82,4886.4,20
HCPCS,C1713,PLATE LAT FIB 89MM,3448.0,3448.0,182.74,4137.6,20
HCPCS,C1713,PLATE LAT RIB RT 101MM,3524.0,3524.0,186.77,4228.8,20
HCPCS,C1713,PLATE LAT TIB LT 113MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1713,PLATE LCDCP 8H/4.5 142,248.0,248.0,13.14,297.6,20
HCPCS,C1713,PLATE LCK 1/3 TBLR 10H,560.0,560.0,29.68,672.0,20
HCPCS,C1713,PLATE LCP 8HL 145X3.5MM,2825.0,2825.0,149.72,3390.0,20
HCPCS,C1713,PLATE LCP LT 4HL 76X3.5,2580.0,2580.0,136.74,3096.0,20
HCPCS,C1713,PLATE LG BN RT DIST MDL,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1713,PLATE LG LOPRO TI PRIMTR,2190.0,2190.0,116.07,2628.0,20
HCPCS,C1713,PLATE LMBR SPN 32D 41MM,5600.0,5600.0,296.8,6720.0,20
HCPCS,C1713,PLATE LNG 111MM 2.7/3.5,2385.0,2385.0,117.45,3064.8,40
HCPCS,C1713,PLATE LT PRT RADL HEAD,2452.0,2452.0,129.96,2942.4,20
HCPCS,C1713,PLATE LT UPFCL 8HL 90X.6,342.0,342.0,18.13,410.4,20
HCPCS,C1713,PLATE MDFC 24 HL STR MLB,1022.0,1022.0,54.17,1226.4,20
HCPCS,C1713,PLATE MDFC 2X6 HL 3D MLB,868.0,868.0,46.0,1041.6,20
HCPCS,C1713,PLATE MDFC 5H Y LCK 8MM,430.0,430.0,22.79,516.0,20
HCPCS,C1713,PLATE MDFC 6H L LT 8MM,384.0,384.0,20.35,460.8,20
HCPCS,C1713,PLATE MDFC 6H L RT 8MM,422.0,422.0,22.37,506.4,20
HCPCS,C1713,PLATE MDFC RECON 4 PLT,25114.0,25114.0,1331.04,30136.8,20
HCPCS,C1713,PLATE MDL HUM SHRT 7HL,1645.0,1645.0,87.19,1974.0,20
HCPCS,C1713,PLATE MED LOPRO TI PRIMT,2190.0,2190.0,116.07,2628.0,20
HCPCS,C1713,PLATE MED PEEK-OPTMA LCK,5120.0,5120.0,271.36,6144.0,20
HCPCS,C1713,PLATE MEDL TIB LEFT 8HL,3696.0,3696.0,195.89,4435.2,20
HCPCS,C1713,PLATE MESH MED 69MM,1190.0,1190.0,63.07,1428.0,20
HCPCS,C1713,PLATE META HOOK RT 5HL,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1713,PLATE METATARSAL 7HL,1404.0,1404.0,74.41,1684.8,20
HCPCS,C1713,PLATE METATARSAL LG,2160.0,2160.0,114.48,2592.0,20
HCPCS,C1713,PLATE MIDSHAFT RAD 142MM,1956.0,1956.0,103.67,2347.2,20
HCPCS,C1713,PLATE MIDSHAFT RAD 81MM,1828.0,1828.0,96.88,2193.6,20
HCPCS,C1713,PLATE MIDSHAFT ULNA 81MM,1828.0,1828.0,96.88,2193.6,20
HCPCS,C1713,PLATE MLTFRGMNT NLCK 2.7,113.4,113.4,6.01,136.08,20
HCPCS,C1713,PLATE MNDB 1.5X2/2.3 14H,1415.0,1415.0,75.0,1698.0,20
HCPCS,C1713,PLATE MNDB 4HL STRGHT,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1713,PLATE MNDB 6HL 2MM,483.0,483.0,25.6,579.6,20
HCPCS,C1713,PLATE MNI MNDB 4HL STR,192.0,192.0,10.18,230.4,20
HCPCS,C1713,PLATE MOD EXT FIX 4H,360.0,360.0,19.08,432.0,20
HCPCS,C1713,PLATE MSH ORB RSRB 40X40,1513.0,1513.0,80.19,1815.6,20
HCPCS,C1713,PLATE MTRX ADP 7 HL,718.0,718.0,38.05,861.6,20
HCPCS,C1713,PLATE MTRX L RIB6-7 17HL,3918.0,3918.0,207.65,4701.6,20
HCPCS,C1713,PLATE MXCRNFCL 6,20539.0,20539.0,1088.57,24646.8,20
HCPCS,C1713,PLATE MXLFCL 11 HL RECON,2492.0,2492.0,132.08,2990.4,20
HCPCS,C1713,PLATE OBLQ RT 8HL 1.1MM,950.0,950.0,50.35,1140.0,20
HCPCS,C1713,PLATE OLCRN LCP LT 8HL,2014.32,2014.32,106.76,2417.18,20
HCPCS,C1713,PLATE OLECR 17H 154MM-R,2944.0,2944.0,156.03,3532.8,20
HCPCS,C1713,PLATE ORBT FLR 3D SM RT,2362.0,2362.0,125.19,2834.4,20
HCPCS,C1713,PLATE ORBT FLR LT .4X1.5,3124.0,3124.0,165.57,3748.8,20
HCPCS,C1713,PLATE ORBT LCTSRB 1.5,1626.0,1626.0,86.18,1951.2,20
HCPCS,C1713,PLATE ORT STR 77X9X1.5MM,3372.0,3372.0,178.72,4046.4,20
HCPCS,C1713,PLATE ORTHO 3HL,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE PART CSINK.75X2X21,7480.0,7480.0,396.44,8976.0,20
HCPCS,C1713,PLATE PELVIC 3.5 X 5 X 5,667.0,667.0,35.35,800.4,20
HCPCS,C1713,PLATE PLVC 10HL 154.5MM,678.0,678.0,35.93,813.6,20
HCPCS,C1713,PLATE PRECNTRD 16HL 4-5,3918.0,3918.0,207.65,4701.6,20
HCPCS,C1713,PLATE PRECONTOUR SS CNTR,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE PREMIER CSTM 50MM,5164.0,5164.0,273.69,6196.8,20
HCPCS,C1713,PLATE PROX HUM RT 13H,4600.0,4600.0,243.8,5520.0,20
HCPCS,C1713,PLATE RAD DSTL VA-LCP 6H,1062.0,1062.0,56.29,1274.4,20
HCPCS,C1713,PLATE RECON 3X45X4.5,374.22,374.22,19.83,449.06,20
HCPCS,C1713,PLATE RECONSTR 11HL,660.68,660.68,35.02,792.82,20
HCPCS,C1713,PLATE REPLACE IR2001T,5120.0,5120.0,271.36,6144.0,20
HCPCS,C1713,PLATE RT 6HL 100D 12MM,414.0,414.0,21.94,496.8,20
HCPCS,C1713,PLATE RT MXLFCL 4 HL PRB,548.0,548.0,29.04,657.6,20
HCPCS,C1713,PLATE SCR 10HL 118X3.5MM,540.54,540.54,28.65,648.65,20
HCPCS,C1713,PLATE SIDE SHRT BARL 4HL,936.0,936.0,49.61,1123.2,20
HCPCS,C1713,PLATE SM 3MM FSN BN,2990.0,2990.0,158.47,3588.0,20
HCPCS,C1713,PLATE SM 9HL 77MM,4538.0,4538.0,240.51,5445.6,20
HCPCS,C1713,PLATE SM FRAG 3.5MM 8HL,286.7,286.7,15.2,344.04,20
HCPCS,C1713,PLATE SPN 1.6V 1LVL 20MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 12MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 14MM,796.0,796.0,42.19,955.2,20
HCPCS,C1713,PLATE SPN 17.5MM 32MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 18MM 2HL,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE SPN 1HL 12MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,PLATE SPN 1LV 26MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 1LVL 1.9H 26MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 1LVL 11MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 1LVL 14MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 1LVL 16MM,1900.0,1900.0,100.7,2280.0,40
HCPCS,C1713,PLATE SPN 1LVL 18MM,1900.0,1900.0,100.7,2280.0,40
HCPCS,C1713,PLATE SPN 1LVL 20MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 1LVL 22MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 1LVL 23MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 1LVL 28MM,1900.0,1900.0,100.7,2280.0,40
HCPCS,C1713,PLATE SPN 1LVL 30MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 25MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 27.5MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 2LV 34X16X2.5,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 2LVL 1.6V 42MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 2LVL 1.9H 44MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 2LVL 28MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 2LVL 30MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 2LVL 32MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 2LVL 34MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 2LVL 37MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 2LVL 38MM,1995.0,1995.0,100.7,2508.0,40
HCPCS,C1713,PLATE SPN 2LVL 42MM,1900.0,1900.0,100.7,2280.0,40
HCPCS,C1713,PLATE SPN 2LVL 44MM,1900.0,1900.0,100.7,2280.0,60
HCPCS,C1713,PLATE SPN 2LVL 46MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 2LVL 48MM,1900.0,1900.0,100.7,2280.0,40
HCPCS,C1713,PLATE SPN 2LVL 54MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 3.75MM 18MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,PLATE SPN 30X16X2.5MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 38MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 3LVL 1.9H 62MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 3LVL 1.9X68MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 3LVL 42MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 3LVL 45M,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 3LVL 51MM,1900.0,1900.0,100.7,2280.0,40
HCPCS,C1713,PLATE SPN 3LVL 54MM,1900.0,1900.0,100.7,2280.0,40
HCPCS,C1713,PLATE SPN 3LVL 69MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 40MM,1900.0,1900.0,100.7,2280.0,60
HCPCS,C1713,PLATE SPN 4LVL 68MM,1900.0,1900.0,100.7,2280.0,40
HCPCS,C1713,PLATE SPN 4LVL 81MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 4LVL 89MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 52MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN 58MM 10MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,PLATE SPN 70MM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1713,PLATE SPN 80MM,800.0,800.0,42.4,960.0,20
HCPCS,C1713,PLATE SPN 90MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN ANCH MED,5120.0,5120.0,271.36,6144.0,20
HCPCS,C1713,PLATE SPN ANT 1LVL 24MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN BTRS 24MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,PLATE SPN CANN 2LVL 30MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN CERV 1LV 18MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN CERV 1LVL 12MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN CERV 3LVL 51MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN CERV 85MM L4,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN CERV LV3 48MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN CERV LV3 60MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN CRV 1LVL 14MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN INTERBODY 7MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,PLATE SPN L1 26MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN L60 RFLX HBRD,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN LAT 1HL 10MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,PLATE SPN LATE 1H 12MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE SPN LCK 1HL 10MM,50.0,50.0,2.65,60.0,20
HCPCS,C1713,PLATE SPN LCK 5.5X58MM,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1713,PLATE SPN LVL 3 55MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN LVL3 75MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN MDL 1LV 14MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPN MED 42MM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1713,PLATE SPN OCPTL 25-35MM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1713,PLATE SPN SM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1713,PLATE SPN SM 32MM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1713,PLATE SPN SZ2,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1713,PLATE SPN TROUGH SM,796.0,796.0,42.19,955.2,20
HCPCS,C1713,PLATE SPN XPND 5X8-12MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,PLATE SPNE THORLMBR 67MM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1713,PLATE SPNL 1LVL 24MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPNL 2LVL 46MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPNL 3L 1.9H 56MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPNL BN 34MM 1LVL,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SPNL PRBNT 14MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,PLATE SS PRLC 97MM,973.0,973.0,51.57,1167.6,20
HCPCS,C1713,PLATE SS SCR SM 58X3.5,379.26,379.26,20.1,455.11,20
HCPCS,C1713,PLATE STD OLCRN,1267.88,1267.88,67.2,1521.46,20
HCPCS,C1713,PLATE STR 6 HL 5.5X1.3MM,1236.0,1236.0,65.51,1483.2,20
HCPCS,C1713,PLATE T 2.4MM 2X6HL VLP,1890.0,1890.0,100.17,2268.0,20
HCPCS,C1713,PLATE T BN 2HL 18MM,109.0,109.0,5.78,130.8,20
HCPCS,C1713,PLATE T BN 3HL 32MM,217.0,217.0,11.5,260.4,20
HCPCS,C1713,PLATE T BN 3X5H 2.4X41MM,1244.0,1244.0,65.93,1492.8,20
HCPCS,C1713,PLATE T LITE 2X5H,1790.0,1790.0,94.87,2148.0,20
HCPCS,C1713,PLATE TB LCP PRX MD16H-R,3042.48,3042.48,161.25,3650.98,20
HCPCS,C1713,PLATE TI OSTM RT KN 2MM,1138.0,1138.0,60.31,1365.6,20
HCPCS,C1713,PLATE TIB BASE RTK+ SM,3190.0,3190.0,169.07,3828.0,20
HCPCS,C1713,PLATE TIB BN 4.5MM 226MM,2755.0,2755.0,146.01,3306.0,20
HCPCS,C1713,PLATE TIB DIST 19HL LT,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,PLATE TIB KN RT 2HL,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1713,PLATE TIB LAT PRLOC 13HL,2096.0,2096.0,111.09,2515.2,20
HCPCS,C1713,PLATE TIB LAT PROX RT 8H,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1713,PLATE TIB LCP 7H RT 180M,3071.04,3071.04,162.77,3685.25,20
HCPCS,C1713,PLATE TIB LCP DST 15HL-R,3113.04,3113.04,164.99,3735.65,20
HCPCS,C1713,PLATE TIB LCP PRX RT16HL,3108.0,3108.0,164.72,3729.6,20
HCPCS,C1713,PLATE TIB LOWBEND LT 14H,3010.56,3010.56,159.56,3612.67,20
HCPCS,C1713,PLATE TIB LT 2H,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1713,PLATE TIB LT 4HL 76MM,2814.0,2814.0,149.14,3376.8,20
HCPCS,C1713,PLATE TIB MDL 6HL RT,7700.0,7700.0,408.1,9240.0,20
HCPCS,C1713,PLATE TIB PROX 3.5X159MM,2670.0,2670.0,141.51,3204.0,20
HCPCS,C1713,PLATE TIB PROX 4.5X113,3876.0,3876.0,205.43,4651.2,20
HCPCS,C1713,PLATE TIB PROX LAT 6HL/R,3876.0,3876.0,205.43,4651.2,20
HCPCS,C1713,PLATE TIB RT 5 HOLE,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1713,PLATE TIB RT 6H 91MM,2571.0,2571.0,136.26,3085.2,20
HCPCS,C1713,PLATE TIB RT 8HL 161MM,5244.0,5244.0,277.93,6292.8,20
HCPCS,C1713,PLATE TIB RT DST MDL 4HL,2783.76,2783.76,147.54,3340.51,20
HCPCS,C1713,PLATE TIB TIBLA ST 5HL,883.0,883.0,46.8,1059.6,20
HCPCS,C1713,PLATE TIB TRA LCK 6HL-L,7290.0,7290.0,386.37,8748.0,20
HCPCS,C1713,PLATE TIB TRA LCKG 6HL,7290.0,7290.0,386.37,8748.0,20
HCPCS,C1713,PLATE TIV 7 STD 50X82,4282.0,4282.0,226.95,5138.4,20
HCPCS,C1713,PLATE TRA 7 HL FIB LCK,461.0,461.0,24.43,553.2,20
HCPCS,C1713,PLATE TRPEZE 2X2HLS,870.0,870.0,46.11,1044.0,20
HCPCS,C1713,PLATE ULNA MDSHFT 142MM,1956.0,1956.0,103.67,2347.2,20
HCPCS,C1713,PLATE ULNA PROX ALPS RT,1281.36,1281.36,67.91,1537.63,20
HCPCS,C1713,PLATE ULNAR PROXIMAL,2962.0,2962.0,156.99,3554.4,20
HCPCS,C1713,PLATE VA-LCP NRW L 6HX4H,2034.48,2034.48,107.83,2441.38,20
HCPCS,C1713,PLATE VA-LCP ST 6X5HL-R,2106.72,2106.72,111.66,2528.06,20
HCPCS,C1713,PLATE VAR ANG 2HL 27X2.7,1428.0,1428.0,75.68,1713.6,20
HCPCS,C1713,PLATE VOLR RADL WRST 6HL,1425.0,1425.0,75.53,1710.0,20
HCPCS,C1713,PLATE Y BN ULNA ORTHO,1498.0,1498.0,79.39,1797.6,20
HCPCS,C1713,PLATE-T SHAPE RT 6HL,3766.0,3766.0,199.6,4519.2,20
HCPCS,C1713,PLATES 5 CRANIO FACIAL,19332.0,19332.0,1024.6,23198.4,20
HCPCS,C1713,PLATES MINI FRAGMENT,391.44,391.44,20.75,469.73,20
HCPCS,C1713,PLT 1/3 TBLR 22MM 3.5MM,199.0,199.0,10.55,238.8,20
HCPCS,C1713,PLT 6 HL DBL Y W/BAR N12,378.0,378.0,20.03,453.6,20
HCPCS,C1713,PLT 81MM SS 3.5MM SCR4HL,2580.0,2580.0,136.74,3096.0,20
HCPCS,C1713,PLT B I PA 78MM 5HL LT,2655.0,2655.0,140.72,3186.0,20
HCPCS,C1713,PLT B LP 3.570 4HL RT,4238.0,4238.0,224.61,5085.6,20
HCPCS,C1713,PLT B T 3.5104 7HL LT,3094.0,3094.0,163.98,3712.8,20
HCPCS,C1713,PLT B T 3.5104 7HL RT,3094.0,3094.0,163.98,3712.8,20
HCPCS,C1713,PLT BN 2.3X1 DVR STD LT,1190.0,1190.0,63.07,1428.0,20
HCPCS,C1713,PLT BN LT 3H 2.7/3.5X80,3060.0,3060.0,162.18,3672.0,20
HCPCS,C1713,PLT BN MLBL 5HL 100D 2MM,380.0,380.0,20.14,456.0,20
HCPCS,C1713,PLT CH 60MM 2SL 130 DEG,894.0,894.0,47.38,1072.8,20
HCPCS,C1713,PLT FEMNG 4.5342 15HL LT,10300.0,10300.0,545.9,12360.0,20
HCPCS,C1713,PLT HUM EAD 16H 195 MM,4200.0,4200.0,222.6,5040.0,20
HCPCS,C1713,PLT HUM MD 2.7/3.5 80 3H,3060.0,3060.0,162.18,3672.0,20
HCPCS,C1713,PLT RECON 3.5154 14HL,1352.0,1352.0,71.66,1622.4,20
HCPCS,C1713,PLT TIBHEAD 440.529,361.0,361.0,19.13,433.2,20
HCPCS,C1713,PLT VA-LCP NRW6/4H 63M-R,2034.48,2034.48,107.83,2441.38,20
HCPCS,C1713,POST BN LG 30D 4.6X20MM,2436.0,2436.0,129.11,2923.2,20
HCPCS,C1713,POST BN MED 30D 4MM 20MM,2436.0,2436.0,129.11,2923.2,20
HCPCS,C1713,POST BN PIP 45D 4MM 20MM,2436.0,2436.0,129.11,2923.2,20
HCPCS,C1713,ROD 5.5X45 PREBENT,612.74,612.74,32.48,735.29,20
HCPCS,C1713,ROD 80MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,ROD CONN SPN 38-47MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,ROD CONN SPN 5.5MM 50MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,ROD CONN SPN MED 3.5MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,ROD FIXED CURV PERC 30MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD FOREARM ULNA 3.6X230,3092.0,3092.0,163.88,3710.4,20
HCPCS,C1713,ROD FULL JOINT ANX 120MM,7000.0,7000.0,371.0,8400.0,20
HCPCS,C1713,ROD INTPHAL SIL4.5X2.2MM,404.0,404.0,21.41,484.8,20
HCPCS,C1713,ROD MTRX SPN 62-90MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,ROD PERC MLT ANG 5.5X220,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD PERCUTANEOUS FXD 200,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD RADIUS LT 3X190MM,3334.0,3334.0,176.7,4000.8,20
HCPCS,C1713,ROD RADIUS RT 3.6X210MM,3950.0,3950.0,209.35,4740.0,20
HCPCS,C1713,ROD SPAL L70 OD5.5 LORDO,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 100MM 3.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 100MM 6MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 115D 3.5MM 125MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 120MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 130MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 140MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 150MM 5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 200MM,565.0,565.0,28.09,720.0,40
HCPCS,C1713,ROD SPN 200MM 5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 3.5-5.5X300MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 3.5MM 100MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 3.5MM 120MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 3.5MM 200MM,600.0,600.0,31.8,720.0,20
HCPCS,C1713,ROD SPN 3.5MM 220MM,600.0,600.0,31.8,720.0,20
HCPCS,C1713,ROD SPN 3.5MM 25MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 3.5MM 45MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 3.5MM 55MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 3.5MM 65MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 3.5MM 70MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 3.5MM 75MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 3.5MM 80MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 3.5MM 90MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 3.5X105MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 4.0MM 65MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 4.0MM 95MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 4.0X075MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 4.0X30MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 40MM,360.0,360.0,19.08,432.0,40
HCPCS,C1713,ROD SPN 4MM 120MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 4MM 240MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 4MM 50MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 4MM 60MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 4MM 70MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 4MM 90MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 4UP L 6.0MM,2775.0,2775.0,147.07,3330.0,20
HCPCS,C1713,ROD SPN 5.5 MM 25CM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5/6.0,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5MM,2775.0,2775.0,147.07,3330.0,20
HCPCS,C1713,ROD SPN 5.5MM 100MM,360.0,360.0,19.08,432.0,40
HCPCS,C1713,ROD SPN 5.5MM 10CM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5MM 110MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5MM 130MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5MM 150MM,360.0,360.0,19.08,432.0,40
HCPCS,C1713,ROD SPN 5.5MM 190MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5MM 200MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5MM 35MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5MM 40MM,360.0,360.0,19.08,432.0,60
HCPCS,C1713,ROD SPN 5.5MM 45MM,360.0,360.0,19.08,432.0,80
HCPCS,C1713,ROD SPN 5.5MM 500MM,360.0,360.0,19.08,432.0,100
HCPCS,C1713,ROD SPN 5.5MM 50MM,360.0,360.0,19.08,432.0,40
HCPCS,C1713,ROD SPN 5.5MM 55MM,360.0,360.0,19.08,432.0,40
HCPCS,C1713,ROD SPN 5.5MM 60MM,360.0,360.0,19.08,432.0,80
HCPCS,C1713,ROD SPN 5.5MM 65MM,360.0,360.0,19.08,432.0,60
HCPCS,C1713,ROD SPN 5.5MM 6MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,ROD SPN 5.5MM 70MM,360.0,360.0,19.08,432.0,40
HCPCS,C1713,ROD SPN 5.5MM 75MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5MM 80MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5MM 85MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5MM 90MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5MM 95MM,360.0,360.0,19.08,432.0,40
HCPCS,C1713,ROD SPN 5.5X45MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5X500,580.0,580.0,30.74,696.0,20
HCPCS,C1713,ROD SPN 5.5X60MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5X7.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 5.5X85MM CRVD,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 500MM 5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 50MM 5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 6.0MM 500MM,480.0,480.0,19.08,720.0,40
HCPCS,C1713,ROD SPN 6MM,2775.0,2775.0,147.07,3330.0,20
HCPCS,C1713,ROD SPN 6MM 150MM,360.0,360.0,19.08,432.0,40
HCPCS,C1713,ROD SPN 6MM 160MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 6MM 40MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 6MM 450MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 6MM 500MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 6MM 85MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 6MM 90MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 6X160MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 70D 3.5X170MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 70MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 70MM 3.5MM 2 CRV,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 75MM 4MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 75MM 5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN 90MM 5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN ARTC 5.5MM 125MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CNTOR 3.5X115MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CNTOR 3.5X85MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CNTOR 375X5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CNTOR 4MM 50MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CNTOR 5.5X125MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CNTOR 5.5X90MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CNTOR 500X5.5MM,600.0,600.0,31.8,720.0,20
HCPCS,C1713,ROD SPN CNTOR SZ6 95MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CNTR OCT 55X4MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CNTRD 4X60MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CONT 5.5X55MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CONTOURED,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 3.5MM 30MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 3.5MM 40MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 3.5MM 50MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 3.5MM 60MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 35MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 5.5/115MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 5.5/65MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 5.5/95MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 5.5MM 120MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 5.5MM 40MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 5.5MM 50MM,360.0,360.0,19.08,432.0,60
HCPCS,C1713,ROD SPN CRV 5.5MM 55MM,360.0,360.0,19.08,432.0,40
HCPCS,C1713,ROD SPN CRV 5.5MM 60MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 5.5MM 70MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 5.5MM 80MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 5.5X40MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 5.5X45MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 5.5X50MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 5.5X55MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 5.5X75MM,360.0,360.0,19.08,432.0,40
HCPCS,C1713,ROD SPN CRV 5.5X80MM,360.0,360.0,19.08,432.0,40
HCPCS,C1713,ROD SPN CRV 5.5X85MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV 75MM 6MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV LG 5.5X50MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV LG 5.5X85MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV PERC 5.5X60,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRV YLW 5.5X70MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRVD 3.5MM 35MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRVD 3.5MM 70MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRVD 400MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRVD 5.5MM 90MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRVD 5.5X45MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CRVD 5.5X50MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CURV 5.5MM 45MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CURVED 5.5X55MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN CVR 5.5X125MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN FIX 75MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN GRY 40MM 5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN GRY 75X5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN HEX 5.5MM 45MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN HINGED,700.0,700.0,37.1,840.0,20
HCPCS,C1713,ROD SPN HXHD 5.5X40MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN KRD1 PRE110X5.5,400.0,400.0,21.2,480.0,20
HCPCS,C1713,ROD SPN LG 5.5X60MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN LRDTC 100MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN LRDTC 140X5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN LRDTC 5.5MM 70MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN LRDTC 90MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN LRDTC TI 6X45MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN MED 5.5MM,600.0,600.0,31.8,720.0,20
HCPCS,C1713,ROD SPN MRNR 45MM 6MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN PCUT 4X80MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN PDCL 200X5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN PEDFUSE 5.5X45,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN PRBNT 3.5X40MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN PRCNTR 6X70MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN PRCNTRD 5.5X65MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN PRCNTRD 6X40MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN PRECNTRD 6X45MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN PRECNTRD 6X65MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN PRELRDTC 130X5.5,400.0,400.0,21.2,480.0,20
HCPCS,C1713,ROD SPN PRLSD 80MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN R-LN 210X5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN REV CRV 5.5X65,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN SHRT TI 5.5MM,600.0,600.0,31.8,720.0,20
HCPCS,C1713,ROD SPN SLHT HEX5.5X100,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STR 3.5MM 240MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STR 3.5X240MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STR 5.5MM 500MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STR 5.5MM 70MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STR 5.5X200MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STR 5.5X300MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STR 5.5X40MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STR 6MM 150MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STR 6MM 250MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STR 6X450MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STRAIGHT 5.5X220,747.0,747.0,39.59,896.4,20
HCPCS,C1713,ROD SPN STRT 5.5MM 110MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STRT 5.5MM 130MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STRT 5.5MM 140MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STRT 5.5MM 70MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STRT 5.5X120MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STRT 5.5X80MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN STRT 90MM 5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN TI 4.0X085MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN TI 6X600MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN TI LRDS 5.5X80MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN TI LRDSD 5X40MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN TI STR 5.5X80,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN TI XIA 70MM,464.38,464.38,24.61,557.26,20
HCPCS,C1713,ROD SPN TRNCN 33-38MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,ROD SPN UNION 70MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN UNV 120X3.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN XIA TI 70X8MM,477.94,477.94,25.33,573.53,20
HCPCS,C1713,ROD SPN YLW 5.5X35MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPN YLW 5.5X60MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 110MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 130MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 200MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 3.5MM 50MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 300MM 5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 35MM 3.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 4-5.5MM 300MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 40MM 3.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 40X5.5MM KRD1,400.0,400.0,21.2,480.0,20
HCPCS,C1713,ROD SPNL 5.5MM 160MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 5.5MM 85MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 500MM 5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 500MM 6MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 50MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 6.0MMX250MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 6.0MMX450MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 60MM 6MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 65MM 5.5MM CREO,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL 70MM OPS,547.96,547.96,29.04,657.55,20
HCPCS,C1713,ROD SPNL ADJ 3.2/3.5X100,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,ROD SPNL CNTR 3.5MM 90MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL CRV 5.5X80MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL CRV 55MM 5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL CRV 6X130MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL CRV 85MM 6MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL CRV TI 60X5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL CRV TI 70X5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL CURV 5.5X120MM,960.0,960.0,19.08,1872.0,40
HCPCS,C1713,ROD SPNL CURV 70MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL GRY 110MM 5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL HEX 40X6,2417.3,2417.3,128.12,2900.76,20
HCPCS,C1713,ROD SPNL KRD1 120X5.5,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL KRD1 50X5.5,400.0,400.0,21.2,480.0,20
HCPCS,C1713,ROD SPNL KRDI 70X5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL KRDI 75X5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL KRDI 80X5.5,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL LN 75MM 5.5MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL MANTIS LMBR 45,2417.3,2417.3,128.12,2900.76,20
HCPCS,C1713,ROD SPNL PREBENT L25MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,ROD SPNL PRLRDOTC 45X5.5,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL SLRA 50X4.75MM,275.0,275.0,14.57,330.0,20
HCPCS,C1713,ROD SPNL STR 6X170MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL STRT 6X450MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL TI 400MM 5.5MM,600.0,600.0,31.8,720.0,20
HCPCS,C1713,ROD SPNL TI 47-62MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,ROD SPNL TI 5.5X100MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL TI L75 OD5.5 M-,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL TI L80 DIAPAS,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL VPR 2 LRDTC 85M,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD SPNL XIA COMPR 70X6,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD STRT HEX CON 5.5X500,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD STRT THBOLT 5.5X170,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD STRT THBOLT 5.5X210,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD STRT THBOLT 5.5X230,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD STRT THBOLT 5.5X250,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD THNDRBLT STR 5.5X190,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD THNDRBLT STR 5.5X210,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD TI LRDSD 5.5X120,360.0,360.0,19.08,432.0,20
HCPCS,C1713,ROD ULNA 3.6X210MM,1750.88,1750.88,92.8,2101.06,20
HCPCS,C1713,ROD XIA SS 480MM,595.36,595.36,31.55,714.43,20
HCPCS,C1713,ROS SPNL 5.5X80MM YLW,360.0,360.0,19.08,432.0,20
HCPCS,C1713,SCR CANN HEAD 5.5X40MM,350.0,350.0,18.55,420.0,20
HCPCS,C1713,SCR XIA 03820630,1867.42,1867.42,98.97,2240.9,20
HCPCS,C1713,SCREW  4.5MMX90MM,70.72,70.72,3.75,84.86,20
HCPCS,C1713,SCREW 1.9MMX4MM,69.6,69.6,3.69,83.52,20
HCPCS,C1713,SCREW 1.9X4MM NEURO,70.0,70.0,3.71,84.0,20
HCPCS,C1713,SCREW 10MM 2.3MM XDR LCK,144.0,144.0,7.63,172.8,20
HCPCS,C1713,SCREW 2.0X20MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW 2.4X14MM,1244.0,1244.0,65.93,1492.8,20
HCPCS,C1713,SCREW 3.5X12 LOPRO LCK,170.0,170.0,9.01,204.0,20
HCPCS,C1713,SCREW 3.5X16MM LCK CORT,464.0,464.0,24.59,556.8,20
HCPCS,C1713,SCREW 3.5X36MM SUTPLT TI,320.0,320.0,16.96,384.0,20
HCPCS,C1713,SCREW 3.5X45MM SUTPLT,90.0,90.0,4.77,108.0,20
HCPCS,C1713,SCREW 34MM CORTICAL,40.0,40.0,2.12,48.0,20
HCPCS,C1713,SCREW 3MM 40MM 16MM,577.0,577.0,30.58,692.4,20
HCPCS,C1713,SCREW 4.0 LCK 40MM,250.0,250.0,13.25,300.0,20
HCPCS,C1713,SCREW 4.0X36 CANN ORTHO,410.0,410.0,21.73,492.0,20
HCPCS,C1713,SCREW 4.5 SML HD L60,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW 4.5MM 32MM DTS PEG,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW 4.5MM CRTCL OCCPTL,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW 4.5X14 CORT T25 ST,994.0,994.0,52.68,1192.8,20
HCPCS,C1713,SCREW 4.5X3.9X42 MULTLC,376.0,376.0,19.93,451.2,20
HCPCS,C1713,SCREW 4.5X7.9X16MM PRLOC,994.0,994.0,52.68,1192.8,20
HCPCS,C1713,SCREW 4MM ROD 4.5X38MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW 5.5X40MM,1070.0,1070.0,56.71,1284.0,20
HCPCS,C1713,SCREW 5.5X80X32MM ORTH,563.0,563.0,29.84,675.6,20
HCPCS,C1713,SCREW 6.5 CANC BNE FUL T,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW 6.5X40MM,1413.2,1413.2,74.9,1695.84,20
HCPCS,C1713,SCREW 7X35MM XPDM CORT,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW 80MM LAG,680.0,680.0,36.04,816.0,20
HCPCS,C1713,SCREW 8X60MM XPDM P AX,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW ACTB REFLC 60X6.5,221.0,221.0,11.71,265.2,20
HCPCS,C1713,SCREW ANKL FT 3.5X26MM,259.0,259.0,13.73,310.8,20
HCPCS,C1713,SCREW ANKL NLCK 2X10MM,259.0,259.0,13.73,310.8,20
HCPCS,C1713,SCREW AOS LOCK 20MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,SCREW ARTHDS 3.5X44MM,642.0,642.0,34.03,770.4,20
HCPCS,C1713,SCREW ARTHDS 3.5X46MM,642.0,642.0,34.03,770.4,20
HCPCS,C1713,SCREW ARTHRO 2.5X40MM,642.0,642.0,34.03,770.4,20
HCPCS,C1713,SCREW ASCP ACL/PCL 25X10,410.0,410.0,21.73,492.0,20
HCPCS,C1713,SCREW ASNIS 65MM,335.16,335.16,17.76,402.19,20
HCPCS,C1713,SCREW BIOABS 12X28 F-T,462.0,462.0,24.49,554.4,20
HCPCS,C1713,SCREW BIODRV MCR 2.3X26,760.0,760.0,40.28,912.0,20
HCPCS,C1713,SCREW BIODRV TI P-T 4X48,530.0,530.0,28.09,636.0,20
HCPCS,C1713,SCREW BN 0D 62MM 5MM,269.0,269.0,14.26,322.8,20
HCPCS,C1713,SCREW BN 1.2MM 3MM,171.0,171.0,9.06,205.2,20
HCPCS,C1713,SCREW BN 1.2MM 4MM,174.0,174.0,9.22,208.8,20
HCPCS,C1713,SCREW BN 1.2MM 5MM,171.0,171.0,9.06,205.2,20
HCPCS,C1713,SCREW BN 1.2MM 6MM,155.0,155.0,8.21,186.0,20
HCPCS,C1713,SCREW BN 1.2X4MM SLF TAP,171.0,171.0,9.06,205.2,20
HCPCS,C1713,SCREW BN 1.4MM 3MM,163.0,163.0,8.64,195.6,20
HCPCS,C1713,SCREW BN 1.4MM 4MM 44MM,657.0,657.0,34.82,788.4,20
HCPCS,C1713,SCREW BN 1.4MM 5MM,163.0,163.0,8.64,195.6,20
HCPCS,C1713,SCREW BN 1.5MM 10MM,216.0,216.0,11.45,259.2,20
HCPCS,C1713,SCREW BN 1.5MM 13MM,191.0,191.0,10.12,229.2,20
HCPCS,C1713,SCREW BN 1.5MM 14MM,191.0,191.0,10.12,229.2,20
HCPCS,C1713,SCREW BN 1.5MM 16MM,191.0,191.0,10.12,229.2,20
HCPCS,C1713,SCREW BN 1.5MM 18MM,127.5,127.5,3.39,229.2,40
HCPCS,C1713,SCREW BN 1.5MM 20MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN 1.5MM 22MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN 1.5MM 24MM,79.0,79.0,4.19,94.8,20
HCPCS,C1713,SCREW BN 1.5MM 4MM,106.5,106.5,4.24,159.6,40
HCPCS,C1713,SCREW BN 1.5MM 5MM,159.0,159.0,5.94,211.2,60
HCPCS,C1713,SCREW BN 1.5MM 7MM,111.0,111.0,5.88,133.2,20
HCPCS,C1713,SCREW BN 1.5MM 8MM,210.0,210.0,11.13,252.0,20
HCPCS,C1713,SCREW BN 1.5MM 9MM,191.0,191.0,10.12,229.2,20
HCPCS,C1713,SCREW BN 1.6MM 10MM,250.0,250.0,11.66,336.0,40
HCPCS,C1713,SCREW BN 1.6MM 12MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW BN 1.6MM 8MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW BN 1.7MM 3MM,155.0,155.0,8.21,186.0,20
HCPCS,C1713,SCREW BN 1.7MM 4MM,149.0,149.0,7.05,186.0,60
HCPCS,C1713,SCREW BN 1.7MM 5MM,138.0,138.0,7.31,165.6,20
HCPCS,C1713,SCREW BN 1.7MM 8MM,153.0,153.0,8.11,183.6,20
HCPCS,C1713,SCREW BN 1.7X10MM,138.0,138.0,7.31,165.6,20
HCPCS,C1713,SCREW BN 1.7X3MM,202.0,202.0,10.71,242.4,20
HCPCS,C1713,SCREW BN 1.9MM 3MM,153.0,153.0,8.11,183.6,20
HCPCS,C1713,SCREW BN 1.9MM 5MM,153.0,153.0,7.26,202.8,40
HCPCS,C1713,SCREW BN 1.9MM 7MM,153.0,153.0,8.11,183.6,20
HCPCS,C1713,SCREW BN 10.35MM 100MM,1320.0,1320.0,69.96,1584.0,20
HCPCS,C1713,SCREW BN 10.35MM 105MM,1216.0,1216.0,64.45,1459.2,20
HCPCS,C1713,SCREW BN 10.35MM 75MM,1216.0,1216.0,64.45,1459.2,20
HCPCS,C1713,SCREW BN 10.35MM 80MM,1216.0,1216.0,64.45,1459.2,20
HCPCS,C1713,SCREW BN 10.35MM 85MM,1320.0,1320.0,69.96,1584.0,20
HCPCS,C1713,SCREW BN 10.35MM 90MM,1320.0,1320.0,69.96,1584.0,40
HCPCS,C1713,SCREW BN 10.35MM 95MM,1320.0,1320.0,69.96,1584.0,20
HCPCS,C1713,SCREW BN 10.5MM 100MM,771.0,771.0,40.6,931.2,40
HCPCS,C1713,SCREW BN 10.5MM 105MM,771.0,771.0,40.6,931.2,40
HCPCS,C1713,SCREW BN 10.5MM 75MM,776.0,776.0,41.13,931.2,20
HCPCS,C1713,SCREW BN 10.5MM 80MM,776.0,776.0,41.13,931.2,20
HCPCS,C1713,SCREW BN 10.5MM 85MM,776.0,776.0,40.6,1896.0,60
HCPCS,C1713,SCREW BN 10.5MM 90MM,1050.0,1050.0,40.6,2148.0,60
HCPCS,C1713,SCREW BN 10.5MM 95MM,1050.0,1050.0,40.6,2148.0,60
HCPCS,C1713,SCREW BN 100MM 4.5MM,1309.0,1309.0,69.38,1570.8,20
HCPCS,C1713,SCREW BN 105MM 4.5MM,1309.0,1309.0,69.38,1570.8,20
HCPCS,C1713,SCREW BN 10MM 1.7MM,122.0,122.0,6.47,146.4,20
HCPCS,C1713,SCREW BN 10MM 105MM,1215.0,1215.0,64.39,1458.0,20
HCPCS,C1713,SCREW BN 10MM 2MM,250.0,250.0,13.25,300.0,20
HCPCS,C1713,SCREW BN 10MM 30MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 10MM 3MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW BN 110MM 105MM,1387.0,1387.0,73.51,1664.4,20
HCPCS,C1713,SCREW BN 11MM 30MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 12.7X9X85X21MM,586.0,586.0,31.06,703.2,20
HCPCS,C1713,SCREW BN 12.7X9X90X21MM,665.0,665.0,35.24,798.0,20
HCPCS,C1713,SCREW BN 12MM,3790.0,3790.0,200.87,4548.0,20
HCPCS,C1713,SCREW BN 13X2MM,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW BN 14MM,224.0,224.0,11.87,268.8,20
HCPCS,C1713,SCREW BN 14MM 140MM,668.0,668.0,35.4,801.6,20
HCPCS,C1713,SCREW BN 14MM ORTH LCK,270.0,270.0,14.31,324.0,20
HCPCS,C1713,SCREW BN 18MM 5MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN 2.0MM 10MM,122.0,122.0,2.12,315.6,60
HCPCS,C1713,SCREW BN 2.0MM 12MM,271.0,271.0,5.88,547.2,80
HCPCS,C1713,SCREW BN 2.0MM 24MM,2732.0,2732.0,144.8,3278.4,20
HCPCS,C1713,SCREW BN 2.0MM 6MM,166.5,166.5,8.64,204.0,40
HCPCS,C1713,SCREW BN 2.0MM 7MM,116.0,116.0,6.15,139.2,20
HCPCS,C1713,SCREW BN 2.0MM 8.0MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,SCREW BN 2.0MM 8MM,219.0,219.0,8.9,324.0,40
HCPCS,C1713,SCREW BN 2.0MM 9MM,167.0,167.0,4.45,300.0,40
HCPCS,C1713,SCREW BN 2.0MMX14MM,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1713,SCREW BN 2.0MMX44MM,2340.0,2340.0,124.02,2808.0,20
HCPCS,C1713,SCREW BN 2.0X10MM,169.0,169.0,8.9,204.0,40
HCPCS,C1713,SCREW BN 2.0X13MM,128.0,128.0,6.78,153.6,20
HCPCS,C1713,SCREW BN 2.0X14MM,163.0,163.0,8.64,195.6,20
HCPCS,C1713,SCREW BN 2.2X20MM,242.0,242.0,12.83,290.4,20
HCPCS,C1713,SCREW BN 2.3MM 10MM,196.0,196.0,7.42,264.0,100
HCPCS,C1713,SCREW BN 2.3MM 12MM,186.0,186.0,8.27,259.2,60
HCPCS,C1713,SCREW BN 2.3MM 13MM,147.0,147.0,7.79,176.4,20
HCPCS,C1713,SCREW BN 2.3MM 14MM,218.0,218.0,7.42,379.2,80
HCPCS,C1713,SCREW BN 2.3MM 16MM,216.0,216.0,11.45,259.2,20
HCPCS,C1713,SCREW BN 2.3MM 18MM,266.0,266.0,11.45,379.2,40
HCPCS,C1713,SCREW BN 2.3MM 20MM,958.0,958.0,11.45,2040.0,60
HCPCS,C1713,SCREW BN 2.3MM 22MM,216.0,216.0,11.45,259.2,20
HCPCS,C1713,SCREW BN 2.3MM 30MM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1713,SCREW BN 2.3MM 35MM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1713,SCREW BN 2.3MM 4MM,163.0,163.0,7.42,223.2,40
HCPCS,C1713,SCREW BN 2.3MM 6MM,140.0,140.0,7.42,168.0,20
HCPCS,C1713,SCREW BN 2.3MM 7MM,1408.0,1408.0,74.62,1689.6,20
HCPCS,C1713,SCREW BN 2.3MM 8MM,175.5,175.5,7.16,259.2,40
HCPCS,C1713,SCREW BN 2.3MM 9MM,147.0,147.0,7.79,176.4,20
HCPCS,C1713,SCREW BN 2.3X6MM,191.0,191.0,9.86,235.2,40
HCPCS,C1713,SCREW BN 2.3X7MM,244.0,244.0,7.21,422.4,40
HCPCS,C1713,SCREW BN 2.3X8MM,191.0,191.0,10.12,229.2,20
HCPCS,C1713,SCREW BN 2.4MM 1.9MM,212.0,212.0,10.76,265.2,40
HCPCS,C1713,SCREW BN 2.4MM 10MM,100.0,100.0,2.12,424.8,140
HCPCS,C1713,SCREW BN 2.4MM 12MM,154.0,154.0,2.12,424.8,160
HCPCS,C1713,SCREW BN 2.4MM 12MM SS C,136.0,136.0,7.21,163.2,20
HCPCS,C1713,SCREW BN 2.4MM 12MM SS R,168.0,168.0,8.9,201.6,20
HCPCS,C1713,SCREW BN 2.4MM 12MM TI L,400.0,400.0,21.2,480.0,20
HCPCS,C1713,SCREW BN 2.4MM 13MM,98.0,98.0,5.19,117.6,20
HCPCS,C1713,SCREW BN 2.4MM 14MM,170.0,170.0,2.12,618.0,200
HCPCS,C1713,SCREW BN 2.4MM 14MM SS,235.0,235.0,12.46,282.0,20
HCPCS,C1713,SCREW BN 2.4MM 14MM SS R,168.0,168.0,8.9,201.6,20
HCPCS,C1713,SCREW BN 2.4MM 15MM,515.0,515.0,27.3,618.0,20
HCPCS,C1713,SCREW BN 2.4MM 16MM,222.0,222.0,2.12,618.0,240
HCPCS,C1713,SCREW BN 2.4MM 16MM TI L,280.0,280.0,14.84,336.0,20
HCPCS,C1713,SCREW BN 2.4MM 18MM,233.0,233.0,2.12,744.0,160
HCPCS,C1713,SCREW BN 2.4MM 19MM,255.0,255.0,13.52,306.0,20
HCPCS,C1713,SCREW BN 2.4MM 20MM,170.0,170.0,4.45,778.8,100
HCPCS,C1713,SCREW BN 2.4MM 20MM SS,235.0,235.0,12.46,282.0,20
HCPCS,C1713,SCREW BN 2.4MM 20MM SS C,136.0,136.0,7.21,163.2,20
HCPCS,C1713,SCREW BN 2.4MM 22MM,231.0,231.0,3.92,778.8,100
HCPCS,C1713,SCREW BN 2.4MM 22MM SS,235.0,235.0,12.46,282.0,20
HCPCS,C1713,SCREW BN 2.4MM 24MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW BN 2.4MM 26MM,94.0,94.0,3.87,265.2,60
HCPCS,C1713,SCREW BN 2.4MM 28MM,227.0,227.0,3.87,277.2,80
HCPCS,C1713,SCREW BN 2.4MM 30MM,255.0,255.0,13.52,306.0,20
HCPCS,C1713,SCREW BN 2.4MM 30MM HPS,558.0,558.0,29.57,669.6,20
HCPCS,C1713,SCREW BN 2.4MM 32MM,124.5,124.5,4.93,187.2,40
HCPCS,C1713,SCREW BN 2.4MM 34MM,127.0,127.0,6.73,152.4,20
HCPCS,C1713,SCREW BN 2.4MM 36MM,104.0,104.0,3.87,162.0,40
HCPCS,C1713,SCREW BN 2.4MM 38MM,135.0,135.0,7.16,162.0,20
HCPCS,C1713,SCREW BN 2.4MM 40MM,73.0,73.0,3.71,117.6,60
HCPCS,C1713,SCREW BN 2.4MM 44MM,135.0,135.0,7.16,162.0,20
HCPCS,C1713,SCREW BN 2.4MM 4MM 14MM,98.0,98.0,5.19,117.6,20
HCPCS,C1713,SCREW BN 2.4MM 4MM 18MM,98.0,98.0,5.19,117.6,20
HCPCS,C1713,SCREW BN 2.4MM 4MM 20MM,98.0,98.0,5.19,117.6,20
HCPCS,C1713,SCREW BN 2.4MM 4MM 22MM,98.0,98.0,5.19,117.6,20
HCPCS,C1713,SCREW BN 2.4MM 4MM 28MM,94.0,94.0,4.98,112.8,20
HCPCS,C1713,SCREW BN 2.4MM 4MM 30MM,94.0,94.0,4.98,112.8,20
HCPCS,C1713,SCREW BN 2.4MM 4MM 36MM,93.0,93.0,4.93,111.6,20
HCPCS,C1713,SCREW BN 2.4MM 4MM 38MM,98.0,98.0,5.19,117.6,20
HCPCS,C1713,SCREW BN 2.4MM 6MM,155.5,155.5,3.87,285.6,40
HCPCS,C1713,SCREW BN 2.4MM 7MM,238.0,238.0,12.61,285.6,40
HCPCS,C1713,SCREW BN 2.4MM 8MM,170.0,170.0,2.12,424.8,100
HCPCS,C1713,SCREW BN 2.4MM 8MM SS RA,168.0,168.0,8.9,201.6,20
HCPCS,C1713,SCREW BN 2.4MM 9MM,70.0,70.0,3.71,84.0,20
HCPCS,C1713,SCREW BN 2.4X11MM,203.0,203.0,10.76,243.6,20
HCPCS,C1713,SCREW BN 2.4X12MM,227.0,227.0,12.03,272.4,20
HCPCS,C1713,SCREW BN 2.4X16MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW BN 2.4X18MM,246.0,246.0,12.83,300.0,40
HCPCS,C1713,SCREW BN 2.4X20MM,280.0,280.0,14.84,336.0,40
HCPCS,C1713,SCREW BN 2.4X24MM,98.0,98.0,5.19,117.6,20
HCPCS,C1713,SCREW BN 2.4X3.8X12MM,73.0,73.0,3.87,87.6,20
HCPCS,C1713,SCREW BN 2.4X3.8X13,73.0,73.0,3.87,87.6,20
HCPCS,C1713,SCREW BN 2.4X3.8X17MM,73.0,73.0,3.87,87.6,20
HCPCS,C1713,SCREW BN 2.4X3.8X18MM,70.0,70.0,3.71,84.0,20
HCPCS,C1713,SCREW BN 2.5MM 10MM,292.0,292.0,12.83,410.4,40
HCPCS,C1713,SCREW BN 2.5MM 11MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 2.5MM 12MM,533.5,533.5,12.83,770.4,120
HCPCS,C1713,SCREW BN 2.5MM 12MM MINI,386.0,386.0,20.46,463.2,20
HCPCS,C1713,SCREW BN 2.5MM 13MM,488.0,488.0,20.46,708.0,40
HCPCS,C1713,SCREW BN 2.5MM 14MM,303.0,303.0,12.83,463.2,80
HCPCS,C1713,SCREW BN 2.5MM 16MM,653.5,653.5,12.83,5046.0,80
HCPCS,C1713,SCREW BN 2.5MM 18MM,453.0,453.0,13.99,770.4,40
HCPCS,C1713,SCREW BN 2.5MM 20MM,314.0,314.0,12.83,463.2,60
HCPCS,C1713,SCREW BN 2.5MM 22MM,586.0,586.0,12.83,882.0,80
HCPCS,C1713,SCREW BN 2.5MM 24MM,715.0,715.0,34.03,945.6,40
HCPCS,C1713,SCREW BN 2.5MM 26MM,442.0,442.0,12.83,770.4,40
HCPCS,C1713,SCREW BN 2.5MM 28MM,590.0,590.0,24.17,770.4,60
HCPCS,C1713,SCREW BN 2.5MM 30MM,349.0,349.0,12.83,547.2,40
HCPCS,C1713,SCREW BN 2.5MM 36MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW BN 2.5MM 38MM,543.0,543.0,20.46,840.0,40
HCPCS,C1713,SCREW BN 2.5MM 50MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW BN 2.5MM 90MM,429.0,429.0,22.74,514.8,20
HCPCS,C1713,SCREW BN 2.5MMX20MM,735.0,735.0,38.95,882.0,20
HCPCS,C1713,SCREW BN 2.5MMX24MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 2.5X14MM,642.0,642.0,34.03,770.4,20
HCPCS,C1713,SCREW BN 2.5X18MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 2.5X20MM,642.0,642.0,34.03,770.4,20
HCPCS,C1713,SCREW BN 2.5X30MM,642.0,642.0,34.03,770.4,20
HCPCS,C1713,SCREW BN 2.7 10 PRLK T15,54.0,54.0,2.86,64.8,20
HCPCS,C1713,SCREW BN 2.7 4.5MM 22MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN 2.7 X 14MM,172.0,172.0,9.12,206.4,20
HCPCS,C1713,SCREW BN 2.7MM 10MM,238.5,238.5,3.39,498.0,120
HCPCS,C1713,SCREW BN 2.7MM 11MM,229.5,229.5,9.54,334.8,40
HCPCS,C1713,SCREW BN 2.7MM 12MM,245.5,245.5,3.39,708.0,240
HCPCS,C1713,SCREW BN 2.7MM 13MM,169.5,169.5,4.45,306.0,40
HCPCS,C1713,SCREW BN 2.7MM 14MM,304.5,304.5,2.12,778.8,200
HCPCS,C1713,SCREW BN 2.7MM 14MM SS,247.0,247.0,13.09,296.4,20
HCPCS,C1713,SCREW BN 2.7MM 15MM,347.5,347.5,9.54,618.0,40
HCPCS,C1713,SCREW BN 2.7MM 16MM,286.0,286.0,2.12,778.8,240
HCPCS,C1713,SCREW BN 2.7MM 17MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN 2.7MM 18MM,224.0,224.0,3.39,684.0,260
HCPCS,C1713,SCREW BN 2.7MM 18MM SS,247.0,247.0,13.09,296.4,20
HCPCS,C1713,SCREW BN 2.7MM 19MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN 2.7MM 2.1MM20MM,197.0,197.0,10.44,236.4,20
HCPCS,C1713,SCREW BN 2.7MM 20MM,180.5,180.5,3.39,316.8,120
HCPCS,C1713,SCREW BN 2.7MM 20MM SS,247.0,247.0,13.09,296.4,20
HCPCS,C1713,SCREW BN 2.7MM 22MM,223.0,223.0,4.77,618.0,180
HCPCS,C1713,SCREW BN 2.7MM 22MM SS,247.0,247.0,13.09,296.4,20
HCPCS,C1713,SCREW BN 2.7MM 24MM,252.0,252.0,3.39,369.6,100
HCPCS,C1713,SCREW BN 2.7MM 24MM SS,247.0,247.0,13.09,296.4,20
HCPCS,C1713,SCREW BN 2.7MM 26MM,259.5,259.5,4.08,718.8,120
HCPCS,C1713,SCREW BN 2.7MM 26MM SS,247.0,247.0,13.09,296.4,20
HCPCS,C1713,SCREW BN 2.7MM 28MM,222.0,222.0,3.39,618.0,80
HCPCS,C1713,SCREW BN 2.7MM 30MM,180.5,180.5,3.39,306.0,120
HCPCS,C1713,SCREW BN 2.7MM 32MM,255.0,255.0,3.5,718.8,160
HCPCS,C1713,SCREW BN 2.7MM 32MM SS,247.0,247.0,13.09,296.4,20
HCPCS,C1713,SCREW BN 2.7MM 34MM,257.5,257.5,12.19,718.8,80
HCPCS,C1713,SCREW BN 2.7MM 34MM SS,247.0,247.0,13.09,296.4,20
HCPCS,C1713,SCREW BN 2.7MM 36MM,79.0,79.0,3.34,744.0,100
HCPCS,C1713,SCREW BN 2.7MM 36MM SS,247.0,247.0,13.09,296.4,20
HCPCS,C1713,SCREW BN 2.7MM 38MM,91.5,91.5,3.39,718.8,120
HCPCS,C1713,SCREW BN 2.7MM 4.5MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN 2.7MM 40M,77.0,77.0,4.08,92.4,20
HCPCS,C1713,SCREW BN 2.7MM 40MM,71.5,71.5,3.39,312.0,80
HCPCS,C1713,SCREW BN 2.7MM 40MM SS,247.0,247.0,13.09,296.4,20
HCPCS,C1713,SCREW BN 2.7MM 42MM,192.5,192.5,3.39,708.0,80
HCPCS,C1713,SCREW BN 2.7MM 44MM,77.0,77.0,3.39,296.4,120
HCPCS,C1713,SCREW BN 2.7MM 45MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN 2.7MM 46MM,154.5,154.5,3.5,296.4,80
HCPCS,C1713,SCREW BN 2.7MM 48MM,129.0,129.0,6.84,154.8,20
HCPCS,C1713,SCREW BN 2.7MM 50M,237.0,237.0,12.56,284.4,20
HCPCS,C1713,SCREW BN 2.7MM 50MM,66.0,66.0,3.39,94.8,60
HCPCS,C1713,SCREW BN 2.7MM 52MM,79.0,79.0,4.19,94.8,20
HCPCS,C1713,SCREW BN 2.7MM 54MM,79.0,79.0,4.19,94.8,20
HCPCS,C1713,SCREW BN 2.7MM 54MM SS,247.0,247.0,13.09,296.4,20
HCPCS,C1713,SCREW BN 2.7MM 55MM,159.0,159.0,3.92,292.8,40
HCPCS,C1713,SCREW BN 2.7MM 58MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN 2.7MM 5MM,184.0,184.0,8.48,249.6,40
HCPCS,C1713,SCREW BN 2.7MM 5MM 12MM,71.0,71.0,3.76,85.2,20
HCPCS,C1713,SCREW BN 2.7MM 5MM 16MM,65.0,65.0,3.39,79.2,40
HCPCS,C1713,SCREW BN 2.7MM 5MM 18MM,66.0,66.0,3.5,79.2,20
HCPCS,C1713,SCREW BN 2.7MM 5MM 20MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN 2.7MM 5MM 22MM,67.5,67.5,3.39,85.2,40
HCPCS,C1713,SCREW BN 2.7MM 5MM 26MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN 2.7MM 5MM 28MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN 2.7MM 5MM 34MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN 2.7MM 5MM 6MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN 2.7MM 5MM 8MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN 2.7MM 60MM,163.5,163.5,4.24,296.4,40
HCPCS,C1713,SCREW BN 2.7MM 66MM,79.0,79.0,4.19,94.8,20
HCPCS,C1713,SCREW BN 2.7MM 6MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN 2.7MM 70MM,79.0,79.0,4.19,94.8,20
HCPCS,C1713,SCREW BN 2.7MM 8MM,236.0,236.0,4.45,310.8,100
HCPCS,C1713,SCREW BN 2.7MM 9MM,164.0,164.0,4.45,292.8,40
HCPCS,C1713,SCREW BN 2.7MM12MMPROLOC,54.0,54.0,2.86,64.8,20
HCPCS,C1713,SCREW BN 2.7X12,230.0,230.0,12.19,276.0,20
HCPCS,C1713,SCREW BN 2.7X16MM,95.0,95.0,4.77,120.0,40
HCPCS,C1713,SCREW BN 2.7X18MM,320.0,320.0,15.05,708.0,60
HCPCS,C1713,SCREW BN 2.7X18MM CORT,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1713,SCREW BN 2.7X19MM,255.0,255.0,13.52,306.0,20
HCPCS,C1713,SCREW BN 2.7X20MM,322.0,322.0,13.25,708.0,60
HCPCS,C1713,SCREW BN 2.7X22MM,270.0,270.0,14.31,324.0,20
HCPCS,C1713,SCREW BN 2.7X24MM,90.0,90.0,4.45,267.6,60
HCPCS,C1713,SCREW BN 2.7X26MM,223.0,223.0,11.82,267.6,20
HCPCS,C1713,SCREW BN 2.7X4.3X14MM,244.0,244.0,12.93,292.8,20
HCPCS,C1713,SCREW BN 2.7X4.3X28MM,330.0,330.0,17.49,396.0,20
HCPCS,C1713,SCREW BN 2.7X4.3X30MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN 2.7X4.3X38MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN 2.7X4.3X42MM,244.0,244.0,12.93,292.8,20
HCPCS,C1713,SCREW BN 2.7X4.5X10MM,244.0,244.0,12.93,292.8,20
HCPCS,C1713,SCREW BN 2.7X4.5X11MM,244.0,244.0,12.93,292.8,20
HCPCS,C1713,SCREW BN 2.7X4.5X14MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN 2.7X4.5X22MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN 2.7X4.5X26MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN 2.7X4.5X30MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN 2.7X4.5X34MM,77.0,77.0,4.08,92.4,20
HCPCS,C1713,SCREW BN 2.7X4.5X46MM,77.0,77.0,4.08,92.4,20
HCPCS,C1713,SCREW BN 2.7X4.5X48MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN 2.7X42MM,230.0,230.0,12.19,276.0,20
HCPCS,C1713,SCREW BN 2.7X44MM,129.0,129.0,6.84,154.8,20
HCPCS,C1713,SCREW BN 2.7X52MM,237.0,237.0,12.56,284.4,20
HCPCS,C1713,SCREW BN 2.7X58MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN 2.7X5MM 14MM,66.0,66.0,3.5,79.2,20
HCPCS,C1713,SCREW BN 2.7X8MM,213.0,213.0,11.29,255.6,20
HCPCS,C1713,SCREW BN 2.8MM 10MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,SCREW BN 2.8MM 14MM,226.0,226.0,11.98,271.2,20
HCPCS,C1713,SCREW BN 2.8MM 14MM QFIX,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 2.8MM 16MM,226.0,226.0,11.98,271.2,20
HCPCS,C1713,SCREW BN 2.8MM 18MM,226.0,226.0,11.98,271.2,20
HCPCS,C1713,SCREW BN 2.8MM 24MM LCK,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 2.8MM 5MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,SCREW BN 2.8MM 8MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,SCREW BN 2.9MM 10MM,332.0,332.0,17.6,398.4,20
HCPCS,C1713,SCREW BN 2.9MM 12MM,492.0,492.0,26.08,590.4,20
HCPCS,C1713,SCREW BN 2.9MM 8MM,526.0,526.0,27.88,631.2,20
HCPCS,C1713,SCREW BN 2.9MMX12MM MTRX,332.0,332.0,17.6,398.4,20
HCPCS,C1713,SCREW BN 2.9X10MM TI ST,331.0,331.0,17.54,397.2,20
HCPCS,C1713,SCREW BN 20MM,870.0,870.0,10.6,1848.0,40
HCPCS,C1713,SCREW BN 22MM,224.0,224.0,11.87,268.8,20
HCPCS,C1713,SCREW BN 24MM 2MM,79.0,79.0,4.19,94.8,20
HCPCS,C1713,SCREW BN 26MM,224.0,224.0,11.87,268.8,20
HCPCS,C1713,SCREW BN 26MM 3.5MM,1225.0,1225.0,23.85,2400.0,40
HCPCS,C1713,SCREW BN 28.20.135,430.0,430.0,22.79,516.0,20
HCPCS,C1713,SCREW BN 28MM 3.5MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 2MM 10MM,64.0,64.0,2.12,94.8,60
HCPCS,C1713,SCREW BN 2MM 11MM,128.0,128.0,3.39,230.4,40
HCPCS,C1713,SCREW BN 2MM 12MM,193.5,193.5,2.12,410.4,200
HCPCS,C1713,SCREW BN 2MM 13MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 2MM 14MM,263.0,263.0,2.12,590.4,140
HCPCS,C1713,SCREW BN 2MM 15MM,215.0,215.0,7.84,338.4,40
HCPCS,C1713,SCREW BN 2MM 16MM,122.0,122.0,6.47,146.4,20
HCPCS,C1713,SCREW BN 2MM 17MM,233.0,233.0,12.35,279.6,20
HCPCS,C1713,SCREW BN 2MM 18MM,59.0,59.0,2.12,93.6,40
HCPCS,C1713,SCREW BN 2MM 20MM,122.0,122.0,3.39,216.0,40
HCPCS,C1713,SCREW BN 2MM 22MM,180.0,180.0,4.19,547.2,60
HCPCS,C1713,SCREW BN 2MM 26MM,122.0,122.0,3.39,216.0,40
HCPCS,C1713,SCREW BN 2MM 34MM,1389.0,1389.0,4.13,3240.0,40
HCPCS,C1713,SCREW BN 2MM 38MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1713,SCREW BN 2MM 40MM,78.0,78.0,4.13,93.6,20
HCPCS,C1713,SCREW BN 2MM 44MM,456.0,456.0,24.17,547.2,20
HCPCS,C1713,SCREW BN 2MM 4MM,122.0,122.0,6.47,146.4,20
HCPCS,C1713,SCREW BN 2MM 5MM,127.0,127.0,5.83,195.6,60
HCPCS,C1713,SCREW BN 2MM 6MM,106.5,106.5,1.7,442.8,120
HCPCS,C1713,SCREW BN 2MM 7MM,199.0,199.0,10.55,238.8,20
HCPCS,C1713,SCREW BN 2MM 8MM,166.0,166.0,1.7,441.6,120
HCPCS,C1713,SCREW BN 2MM 9MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN 2X12MM,621.5,621.5,31.96,768.0,40
HCPCS,C1713,SCREW BN 2X12MM AND 28MM,956.0,956.0,50.67,1147.2,20
HCPCS,C1713,SCREW BN 2X14MM TRG,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN 2X15MM,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW BN 2X16MM,213.0,213.0,8.64,315.6,40
HCPCS,C1713,SCREW BN 2X22MM 5MM ASNS,3811.28,3811.28,202.0,4573.54,20
HCPCS,C1713,SCREW BN 2X4MM,163.0,163.0,8.64,195.6,20
HCPCS,C1713,SCREW BN 2X8MM,388.0,388.0,20.56,465.6,20
HCPCS,C1713,SCREW BN 3.0MM 10MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 3.0MM 12MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 3.0MM 14MM,314.0,314.0,16.64,376.8,20
HCPCS,C1713,SCREW BN 3.0MM 16MM,333.5,333.5,4.08,708.0,40
HCPCS,C1713,SCREW BN 3.0MM 18MM,538.0,538.0,28.51,645.6,20
HCPCS,C1713,SCREW BN 3.0MM 20MM,370.0,370.0,16.64,1884.0,60
HCPCS,C1713,SCREW BN 3.0MM 32MM 14MM,345.0,345.0,18.29,414.0,20
HCPCS,C1713,SCREW BN 3.0MM 34MM,530.0,530.0,28.09,636.0,20
HCPCS,C1713,SCREW BN 3.0MM 36MM,922.0,922.0,48.87,1106.4,20
HCPCS,C1713,SCREW BN 3.0X14MM,649.0,649.0,34.4,778.8,20
HCPCS,C1713,SCREW BN 3.0X16MM,649.0,649.0,34.4,778.8,20
HCPCS,C1713,SCREW BN 3.0X18MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN 3.0X20MM,530.0,530.0,28.09,636.0,20
HCPCS,C1713,SCREW BN 3.0X22MM,314.0,314.0,16.64,376.8,20
HCPCS,C1713,SCREW BN 3.0X26MM,314.0,314.0,16.64,376.8,20
HCPCS,C1713,SCREW BN 3.2 18 ZP SHRT,235.38,235.38,12.48,282.46,20
HCPCS,C1713,SCREW BN 3.5M 40MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 3.5MM 100MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN 3.5MM 10MM,289.0,289.0,2.12,858.0,400
HCPCS,C1713,SCREW BN 3.5MM 11MM,156.0,156.0,3.23,374.4,60
HCPCS,C1713,SCREW BN 3.5MM 120MM,54.0,54.0,2.86,64.8,20
HCPCS,C1713,SCREW BN 3.5MM 12MM,229.0,229.0,2.92,468.0,360
HCPCS,C1713,SCREW BN 3.5MM 12MM LOPR,170.0,170.0,9.01,204.0,20
HCPCS,C1713,SCREW BN 3.5MM 130MM,149.0,149.0,7.9,178.8,20
HCPCS,C1713,SCREW BN 3.5MM 13MM,70.0,70.0,3.71,84.0,20
HCPCS,C1713,SCREW BN 3.5MM 14MM,229.0,229.0,2.92,770.4,460
HCPCS,C1713,SCREW BN 3.5MM 150MM,161.0,161.0,8.53,193.2,20
HCPCS,C1713,SCREW BN 3.5MM 15MM,156.0,156.0,3.71,770.4,80
HCPCS,C1713,SCREW BN 3.5MM 16MM,215.0,215.0,1.85,684.0,460
HCPCS,C1713,SCREW BN 3.5MM 17MM,351.5,351.5,3.23,770.4,40
HCPCS,C1713,SCREW BN 3.5MM 18MM,233.0,233.0,2.92,3525.6,460
HCPCS,C1713,SCREW BN 3.5MM 19MM,164.0,164.0,3.23,374.4,60
HCPCS,C1713,SCREW BN 3.5MM 2.5MM,170.0,170.0,9.01,204.0,60
HCPCS,C1713,SCREW BN 3.5MM 20MM,268.0,268.0,1.96,3278.4,520
HCPCS,C1713,SCREW BN 3.5MM 22MM,244.5,244.5,2.92,3278.4,500
HCPCS,C1713,SCREW BN 3.5MM 24MM,316.0,316.0,4.45,3278.4,520
HCPCS,C1713,SCREW BN 3.5MM 24MM SS,62.0,62.0,3.29,74.4,20
HCPCS,C1713,SCREW BN 3.5MM 25MM,378.0,378.0,20.03,453.6,20
HCPCS,C1713,SCREW BN 3.5MM 26MM,264.0,264.0,3.92,2916.0,540
HCPCS,C1713,SCREW BN 3.5MM 28MM,248.5,248.5,2.86,2916.0,520
HCPCS,C1713,SCREW BN 3.5MM 28MM SS,62.0,62.0,3.29,74.4,20
HCPCS,C1713,SCREW BN 3.5MM 30M,63.0,63.0,3.34,75.6,20
HCPCS,C1713,SCREW BN 3.5MM 30MM,264.0,264.0,3.92,1884.0,660
HCPCS,C1713,SCREW BN 3.5MM 30MM SS,62.0,62.0,3.29,74.4,20
HCPCS,C1713,SCREW BN 3.5MM 32MM,261.5,261.5,3.71,1884.0,320
HCPCS,C1713,SCREW BN 3.5MM 32MM LCK,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 3.5MM 33MM,266.0,266.0,14.1,319.2,20
HCPCS,C1713,SCREW BN 3.5MM 34MM,285.0,285.0,1.96,1908.0,440
HCPCS,C1713,SCREW BN 3.5MM 35MM,204.5,204.5,5.3,770.4,80
HCPCS,C1713,SCREW BN 3.5MM 36M,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN 3.5MM 36MM,305.0,305.0,4.13,1884.0,400
HCPCS,C1713,SCREW BN 3.5MM 36MM VAR,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 3.5MM 38MM,299.5,299.5,3.29,2004.0,500
HCPCS,C1713,SCREW BN 3.5MM 39MM,338.0,338.0,14.1,492.0,40
HCPCS,C1713,SCREW BN 3.5MM 40MM,261.5,261.5,2.86,1884.0,460
HCPCS,C1713,SCREW BN 3.5MM 42MM,272.0,272.0,3.71,858.0,360
HCPCS,C1713,SCREW BN 3.5MM 44MM,271.0,271.0,2.12,1884.0,360
HCPCS,C1713,SCREW BN 3.5MM 45MM,157.0,157.0,1.96,1920.0,120
HCPCS,C1713,SCREW BN 3.5MM 46MM,351.0,351.0,4.45,1884.0,280
HCPCS,C1713,SCREW BN 3.5MM 48MM,265.0,265.0,4.61,858.0,240
HCPCS,C1713,SCREW BN 3.5MM 4MM,268.0,268.0,14.2,321.6,20
HCPCS,C1713,SCREW BN 3.5MM 50M,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN 3.5MM 50MM,299.5,299.5,1.91,1920.0,200
HCPCS,C1713,SCREW BN 3.5MM 50MM TI,212.0,212.0,11.24,254.4,20
HCPCS,C1713,SCREW BN 3.5MM 51MM,266.0,266.0,14.1,319.2,20
HCPCS,C1713,SCREW BN 3.5MM 52MM,458.5,458.5,3.29,1884.0,80
HCPCS,C1713,SCREW BN 3.5MM 54MM,334.5,334.5,3.29,1884.0,120
HCPCS,C1713,SCREW BN 3.5MM 55MM,191.0,191.0,2.6,567.6,200
HCPCS,C1713,SCREW BN 3.5MM 56MM,217.0,217.0,11.5,260.4,20
HCPCS,C1713,SCREW BN 3.5MM 58MM,466.0,466.0,11.5,858.0,40
HCPCS,C1713,SCREW BN 3.5MM 60MM,217.0,217.0,2.6,546.0,220
HCPCS,C1713,SCREW BN 3.5MM 62MM,1570.0,1570.0,83.21,1884.0,40
HCPCS,C1713,SCREW BN 3.5MM 65MM,261.0,261.0,2.49,540.0,140
HCPCS,C1713,SCREW BN 3.5MM 6MM,56.0,56.0,2.97,67.2,20
HCPCS,C1713,SCREW BN 3.5MM 6MM 10MM,36.0,36.0,1.91,43.2,20
HCPCS,C1713,SCREW BN 3.5MM 6MM 12MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 3.5MM 6MM 14MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 3.5MM 6MM 18MM,40.5,40.5,1.96,52.8,40
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HCPCS,C1713,SCREW BN 3.5MM 6MM 30MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 3.5MM 6MM 32MM,37.0,37.0,1.96,44.4,20
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HCPCS,C1713,SCREW BN 3.5MM 6MM 40MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 3.5MM 6MM 42MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 3.5MM 6MM 55MM,36.0,36.0,1.91,43.2,20
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HCPCS,C1713,SCREW BN 3.5MM 70MM,217.0,217.0,2.49,540.0,220
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HCPCS,C1713,SCREW BN 3.5MM 80M,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN 3.5MM 80MM,227.5,227.5,2.49,374.4,120
HCPCS,C1713,SCREW BN 3.5MM 85M,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN 3.5MM 85MM,244.5,244.5,2.49,368.4,80
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HCPCS,C1713,SCREW BN 3.5MM 90M,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN 3.5MM 90MM,244.5,244.5,11.5,510.0,80
HCPCS,C1713,SCREW BN 3.5MM 95M,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN 3.5MM 95MM,49.0,49.0,2.6,58.8,20
HCPCS,C1713,SCREW BN 3.5MM 9MM,156.0,156.0,8.27,187.2,40
HCPCS,C1713,SCREW BN 3.5MM X 10MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 3.5MM X 12MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 3.5MM X 14MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 3.5MM X 28MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 3.5MM X 30MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 3.5MMX26MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN 3.5MMX28MM,390.0,390.0,20.67,468.0,20
HCPCS,C1713,SCREW BN 3.5MMX30MM,224.0,224.0,11.87,268.8,20
HCPCS,C1713,SCREW BN 3.5X11MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,SCREW BN 3.5X12MM,807.5,807.5,37.9,1080.0,40
HCPCS,C1713,SCREW BN 3.5X13MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,SCREW BN 3.5X14MM,528.5,528.5,18.13,858.0,40
HCPCS,C1713,SCREW BN 3.5X150MM,157.0,157.0,8.32,188.4,20
HCPCS,C1713,SCREW BN 3.5X16M,342.0,342.0,18.13,410.4,20
HCPCS,C1713,SCREW BN 3.5X16MM,156.0,156.0,4.08,858.0,60
HCPCS,C1713,SCREW BN 3.5X16MM REDUCT,642.0,642.0,34.03,770.4,20
HCPCS,C1713,SCREW BN 3.5X18MM,530.0,530.0,13.25,819.6,60
HCPCS,C1713,SCREW BN 3.5X2.9MM 46MM,210.0,210.0,11.13,252.0,20
HCPCS,C1713,SCREW BN 3.5X2.9MM 75MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN 3.5X2.9MM 80MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN 3.5X2.9X45MM,217.0,217.0,11.5,260.4,20
HCPCS,C1713,SCREW BN 3.5X2.9X55MM,210.0,210.0,11.13,252.0,20
HCPCS,C1713,SCREW BN 3.5X2.9X65MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN 3.5X2.9X85MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN 3.5X20MM,310.0,310.0,15.32,819.6,60
HCPCS,C1713,SCREW BN 3.5X22MM,230.0,230.0,3.29,708.0,100
HCPCS,C1713,SCREW BN 3.5X24MM,261.0,261.0,13.83,313.2,20
HCPCS,C1713,SCREW BN 3.5X26MM,264.0,264.0,13.83,819.6,60
HCPCS,C1713,SCREW BN 3.5X28.5MM HEX,164.0,164.0,8.69,196.8,20
HCPCS,C1713,SCREW BN 3.5X28MM,331.0,331.0,4.45,819.6,120
HCPCS,C1713,SCREW BN 3.5X30MM,340.0,340.0,4.77,708.0,40
HCPCS,C1713,SCREW BN 3.5X32MM,172.0,172.0,4.13,708.0,80
HCPCS,C1713,SCREW BN 3.5X34MM,272.0,272.0,9.12,468.0,100
HCPCS,C1713,SCREW BN 3.5X36MM,251.0,251.0,8.96,708.0,60
HCPCS,C1713,SCREW BN 3.5X38MM,390.0,390.0,4.45,708.0,60
HCPCS,C1713,SCREW BN 3.5X40MM,455.0,455.0,16.96,708.0,40
HCPCS,C1713,SCREW BN 3.5X42MM,330.0,330.0,4.45,547.2,80
HCPCS,C1713,SCREW BN 3.5X48MM,79.0,79.0,3.92,100.8,40
HCPCS,C1713,SCREW BN 3.5X50MM,261.0,261.0,13.83,313.2,20
HCPCS,C1713,SCREW BN 3.5X55MM,218.0,218.0,11.55,261.6,20
HCPCS,C1713,SCREW BN 3.5X60MM,63.0,63.0,3.34,75.6,20
HCPCS,C1713,SCREW BN 3.5X65MM,324.0,324.0,3.07,708.0,40
HCPCS,C1713,SCREW BN 3.5X70MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN 3.5X75MM,414.0,414.0,12.61,708.0,40
HCPCS,C1713,SCREW BN 3.5X95MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN 3.5XL32MM,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN 3.6MM 25MM,2340.0,2340.0,124.02,2808.0,20
HCPCS,C1713,SCREW BN 3.6MM 32MM TI M,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 3.6MM 36MM,314.0,314.0,16.64,376.8,20
HCPCS,C1713,SCREW BN 3.6X45MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1713,SCREW BN 3.6X50MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1713,SCREW BN 3.7MM 28MM,1680.0,1680.0,89.04,2016.0,20
HCPCS,C1713,SCREW BN 3.7MM 30MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN 3.7MM 34MM,264.0,264.0,13.99,316.8,40
HCPCS,C1713,SCREW BN 3.7MM 36MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN 3.7MM 38MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN 3.7MM 40MM,972.0,972.0,13.99,2016.0,60
HCPCS,C1713,SCREW BN 3.7MM 42MM,264.0,264.0,13.99,316.8,40
HCPCS,C1713,SCREW BN 3.7MM 44MM,264.0,264.0,13.99,316.8,40
HCPCS,C1713,SCREW BN 3.7MM 46MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN 3.7MM 50MM,211.0,211.0,11.18,253.2,20
HCPCS,C1713,SCREW BN 3.7MM 54MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN 3.7MM 60MM,332.0,332.0,17.6,398.4,20
HCPCS,C1713,SCREW BN 30MM,882.0,882.0,11.87,1848.0,40
HCPCS,C1713,SCREW BN 30MM 3.5MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 32MM 3.5MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 32MM 4MM,294.0,294.0,15.58,352.8,20
HCPCS,C1713,SCREW BN 34MM,224.0,224.0,11.87,268.8,20
HCPCS,C1713,SCREW BN 35MM 32MM,2430.0,2430.0,128.79,2916.0,20
HCPCS,C1713,SCREW BN 36MM 3.5MM,450.0,450.0,23.85,540.0,20
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HCPCS,C1713,SCREW BN 3MM 12MM,244.0,244.0,9.75,379.2,100
HCPCS,C1713,SCREW BN 3MM 14MM,318.0,318.0,3.71,675.6,120
HCPCS,C1713,SCREW BN 3MM 14MM 4MM,272.0,272.0,14.42,326.4,20
HCPCS,C1713,SCREW BN 3MM 15MM 4MM,272.0,272.0,14.42,326.4,20
HCPCS,C1713,SCREW BN 3MM 16MM,806.0,806.0,9.75,2923.2,100
HCPCS,C1713,SCREW BN 3MM 16MM 4MM,329.0,329.0,17.44,394.8,20
HCPCS,C1713,SCREW BN 3MM 18MM,324.0,324.0,3.71,1884.0,100
HCPCS,C1713,SCREW BN 3MM 18MM 5MM,328.0,328.0,17.38,393.6,20
HCPCS,C1713,SCREW BN 3MM 19MM,328.0,328.0,17.38,393.6,20
HCPCS,C1713,SCREW BN 3MM 20MM,314.0,314.0,4.08,1884.0,120
HCPCS,C1713,SCREW BN 3MM 22MM,300.0,300.0,5.3,1884.0,100
HCPCS,C1713,SCREW BN 3MM 24MM,618.5,618.5,3.71,1884.0,80
HCPCS,C1713,SCREW BN 3MM 26MM,976.0,976.0,20.25,1884.0,40
HCPCS,C1713,SCREW BN 3MM 28MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 3MM 28MM 6MM,328.0,328.0,17.38,393.6,20
HCPCS,C1713,SCREW BN 3MM 30MM,314.0,314.0,5.3,897.6,100
HCPCS,C1713,SCREW BN 3MM 32MM,748.0,748.0,39.64,897.6,20
HCPCS,C1713,SCREW BN 3MM 34MM,652.0,652.0,20.25,1106.4,40
HCPCS,C1713,SCREW BN 3MM 36MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 3MM 38MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN 3MM 4.3MM 16MM,772.0,772.0,40.92,926.4,20
HCPCS,C1713,SCREW BN 3MM 40MM,345.0,345.0,11.66,692.4,60
HCPCS,C1713,SCREW BN 3MM 40MM 8MM,272.0,272.0,14.42,326.4,20
HCPCS,C1713,SCREW BN 3MM 46MM,385.0,385.0,20.41,462.0,20
HCPCS,C1713,SCREW BN 3MM 48MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW BN 3MM 50MM,503.0,503.0,20.46,744.0,40
HCPCS,C1713,SCREW BN 3MM 5MM 20MM,329.0,329.0,17.44,394.8,20
HCPCS,C1713,SCREW BN 3MM 6MM,184.0,184.0,9.75,220.8,40
HCPCS,C1713,SCREW BN 3MM 6MM 24MM,328.0,328.0,17.38,393.6,20
HCPCS,C1713,SCREW BN 3MM 8MM,184.0,184.0,9.75,220.8,20
HCPCS,C1713,SCREW BN 3X12MM,70.0,70.0,3.71,84.0,20
HCPCS,C1713,SCREW BN 3X14MM CPTR TI,806.0,806.0,42.72,967.2,20
HCPCS,C1713,SCREW BN 3X15MM,345.0,345.0,18.29,414.0,40
HCPCS,C1713,SCREW BN 3X17MM,345.0,345.0,18.29,414.0,40
HCPCS,C1713,SCREW BN 3X18MM,345.0,345.0,18.29,414.0,20
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HCPCS,C1713,SCREW BN 3X21MM,345.0,345.0,18.29,414.0,40
HCPCS,C1713,SCREW BN 3X23MM,345.0,345.0,18.29,414.0,40
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HCPCS,C1713,SCREW BN 3X27MM,345.0,345.0,18.29,414.0,40
HCPCS,C1713,SCREW BN 3X28MM,365.5,365.5,18.29,463.2,40
HCPCS,C1713,SCREW BN 3X29MM,345.0,345.0,18.29,414.0,40
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HCPCS,C1713,SCREW BN 3X36MM,322.5,322.5,15.9,414.0,40
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HCPCS,C1713,SCREW BN 4.0MM 10MM,156.5,156.5,1.54,340.8,40
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HCPCS,C1713,SCREW BN 4.0MM 14MM,236.0,236.0,1.54,340.8,60
HCPCS,C1713,SCREW BN 4.0MM 16MM,284.0,284.0,15.05,340.8,20
HCPCS,C1713,SCREW BN 4.0MM 20MM,236.0,236.0,12.51,283.2,20
HCPCS,C1713,SCREW BN 4.0MM 22MM,394.0,394.0,15.05,604.8,40
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HCPCS,C1713,SCREW BN 4.0MM 26MM,434.0,434.0,23.0,520.8,20
HCPCS,C1713,SCREW BN 4.0MM 28MM,352.0,352.0,15.05,708.0,100
HCPCS,C1713,SCREW BN 4.0MM 30MM,156.5,156.5,1.54,340.8,40
HCPCS,C1713,SCREW BN 4.0MM 32MM,431.0,431.0,15.05,693.6,40
HCPCS,C1713,SCREW BN 4.0MM 34MM,449.0,449.0,15.05,736.8,40
HCPCS,C1713,SCREW BN 4.0MM 36MM,318.5,318.5,15.05,423.6,40
HCPCS,C1713,SCREW BN 4.0MM 38MM,434.0,434.0,15.05,1106.4,60
HCPCS,C1713,SCREW BN 4.0MM 40MM,260.5,260.5,9.54,409.2,40
HCPCS,C1713,SCREW BN 4.0MM 42MM,788.0,788.0,18.07,1168.8,60
HCPCS,C1713,SCREW BN 4.0MM 42MMM,1706.0,1706.0,90.42,2047.2,20
HCPCS,C1713,SCREW BN 4.0MM 44MM,353.0,353.0,12.51,2916.0,100
HCPCS,C1713,SCREW BN 4.0MM 45MM,363.0,363.0,19.24,435.6,20
HCPCS,C1713,SCREW BN 4.0MM 46MM,486.5,486.5,15.05,2916.0,80
HCPCS,C1713,SCREW BN 4.0MM 48MM,318.5,318.5,15.05,423.6,40
HCPCS,C1713,SCREW BN 4.0MM 50MM,356.0,356.0,18.71,430.8,40
HCPCS,C1713,SCREW BN 4.0MM 52MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN 4.0MM 55MM,435.0,435.0,23.05,522.0,20
HCPCS,C1713,SCREW BN 4.0MM 58MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN 4.0MM 60MM,434.0,434.0,23.0,520.8,20
HCPCS,C1713,SCREW BN 4.0MM 68MM,337.5,337.5,17.7,409.2,40
HCPCS,C1713,SCREW BN 4.0MM 72MM,334.0,334.0,17.7,400.8,20
HCPCS,C1713,SCREW BN 4.0MMX32MM,570.0,570.0,30.21,684.0,20
HCPCS,C1713,SCREW BN 4.0MMX36MM,570.0,570.0,30.21,684.0,20
HCPCS,C1713,SCREW BN 4.0MMX38MM,570.0,570.0,30.21,684.0,20
HCPCS,C1713,SCREW BN 4.0MMX40MM,314.0,314.0,3.07,684.0,40
HCPCS,C1713,SCREW BN 4.0MMX46MM,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN 4.0MMX48MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN 4.0X6X32X14MM,359.0,359.0,19.03,430.8,20
HCPCS,C1713,SCREW BN 4.2MM 10MM,276.0,276.0,14.63,331.2,20
HCPCS,C1713,SCREW BN 4.2MM 14MM,352.0,352.0,18.66,422.4,20
HCPCS,C1713,SCREW BN 4.2MM 16MM,276.0,276.0,14.63,331.2,20
HCPCS,C1713,SCREW BN 4.2MM 18MM,314.0,314.0,14.63,422.4,40
HCPCS,C1713,SCREW BN 4.2MM 20MM,352.0,352.0,18.66,422.4,20
HCPCS,C1713,SCREW BN 4.2MM 28MM,314.0,314.0,14.63,422.4,40
HCPCS,C1713,SCREW BN 4.2MM 30MM,314.0,314.0,14.63,422.4,40
HCPCS,C1713,SCREW BN 4.2MM 30MM CORT,470.0,470.0,24.91,564.0,20
HCPCS,C1713,SCREW BN 4.2MM 38MM,276.0,276.0,14.63,331.2,20
HCPCS,C1713,SCREW BN 4.2MM 40MM,276.0,276.0,14.63,331.2,20
HCPCS,C1713,SCREW BN 4.2MM 40MM AOS,630.0,630.0,33.39,756.0,20
HCPCS,C1713,SCREW BN 4.2MM 47MM 17MM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1713,SCREW BN 4.2MM 55MM,352.0,352.0,18.66,422.4,20
HCPCS,C1713,SCREW BN 4.2MM 55MM 14MM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1713,SCREW BN 4.2MM 57MM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1713,SCREW BN 4.2MM 60MM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1713,SCREW BN 4.2X55MM 17MM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1713,SCREW BN 4.2X5X17MM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1713,SCREW BN 4.5 32 PRLK T25,994.0,994.0,52.68,1192.8,20
HCPCS,C1713,SCREW BN 4.5MM 100MM,83.0,83.0,4.4,99.6,20
HCPCS,C1713,SCREW BN 4.5MM 12MM,798.0,798.0,42.29,957.6,20
HCPCS,C1713,SCREW BN 4.5MM 14MM,154.5,154.5,1.96,957.6,80
HCPCS,C1713,SCREW BN 4.5MM 16MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 18MM,200.0,200.0,3.76,348.0,60
HCPCS,C1713,SCREW BN 4.5MM 20MM,100.0,100.0,1.96,410.4,140
HCPCS,C1713,SCREW BN 4.5MM 22MM,290.0,290.0,1.96,410.4,60
HCPCS,C1713,SCREW BN 4.5MM 24MM,200.0,200.0,3.76,540.0,80
HCPCS,C1713,SCREW BN 4.5MM 25MM,237.0,237.0,3.07,499.2,40
HCPCS,C1713,SCREW BN 4.5MM 26MM,161.0,161.0,4.45,285.6,40
HCPCS,C1713,SCREW BN 4.5MM 27.5MM,362.0,362.0,19.19,434.4,20
HCPCS,C1713,SCREW BN 4.5MM 28MM,264.0,264.0,2.23,792.0,160
HCPCS,C1713,SCREW BN 4.5MM 28MM THOR,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 4.5MM 30MM,300.0,300.0,2.23,792.0,180
HCPCS,C1713,SCREW BN 4.5MM 32.5MM,362.0,362.0,19.19,434.4,20
HCPCS,C1713,SCREW BN 4.5MM 32MM,231.0,231.0,2.23,285.6,60
HCPCS,C1713,SCREW BN 4.5MM 34MM,234.5,234.5,3.76,1080.0,160
HCPCS,C1713,SCREW BN 4.5MM 35MM,272.0,272.0,3.07,434.4,60
HCPCS,C1713,SCREW BN 4.5MM 36MM,238.0,238.0,1.96,2016.0,140
HCPCS,C1713,SCREW BN 4.5MM 37.5MM,432.0,432.0,22.9,518.4,20
HCPCS,C1713,SCREW BN 4.5MM 38MM,294.0,294.0,4.4,1192.8,200
HCPCS,C1713,SCREW BN 4.5MM 40MM,382.5,382.5,3.07,3240.0,200
HCPCS,C1713,SCREW BN 4.5MM 40MM LCK,350.0,350.0,18.55,420.0,20
HCPCS,C1713,SCREW BN 4.5MM 42MM,335.0,335.0,10.6,540.0,80
HCPCS,C1713,SCREW BN 4.5MM 44MM,238.0,238.0,1.96,1036.8,100
HCPCS,C1713,SCREW BN 4.5MM 45MM,362.0,362.0,3.07,792.0,60
HCPCS,C1713,SCREW BN 4.5MM 46MM,432.0,432.0,3.76,2016.0,60
HCPCS,C1713,SCREW BN 4.5MM 47.5MM,362.0,362.0,19.19,434.4,20
HCPCS,C1713,SCREW BN 4.5MM 48MM,77.5,77.5,1.96,518.4,80
HCPCS,C1713,SCREW BN 4.5MM 50MM,546.0,546.0,3.76,2016.0,160
HCPCS,C1713,SCREW BN 4.5MM 52.5MM,432.0,432.0,22.9,518.4,20
HCPCS,C1713,SCREW BN 4.5MM 52MM,71.0,71.0,1.96,285.6,60
HCPCS,C1713,SCREW BN 4.5MM 55MM,71.0,71.0,3.07,499.2,60
HCPCS,C1713,SCREW BN 4.5MM 56MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 58MM,71.0,71.0,1.96,285.6,60
HCPCS,C1713,SCREW BN 4.5MM 60MM,210.0,210.0,3.07,434.4,40
HCPCS,C1713,SCREW BN 4.5MM 62MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 65MM,223.0,223.0,3.07,465.6,40
HCPCS,C1713,SCREW BN 4.5MM 66MM,137.5,137.5,1.96,285.6,40
HCPCS,C1713,SCREW BN 4.5MM 70MM,58.0,58.0,1.96,285.6,60
HCPCS,C1713,SCREW BN 4.5MM 80MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 24MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 26MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 28MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 30MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 32MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 34MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 36MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 38MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 40MM,44.0,44.0,2.33,52.8,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 42MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 46MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 50MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 54MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN 4.5MM 8MM 60MM,42.0,42.0,2.23,50.4,20
HCPCS,C1713,SCREW BN 4.5X10MM,798.0,798.0,42.29,957.6,20
HCPCS,C1713,SCREW BN 4.5X3.9MM 36MM,376.0,376.0,19.93,451.2,20
HCPCS,C1713,SCREW BN 4.5X35MM,2340.0,2340.0,124.02,2808.0,20
HCPCS,C1713,SCREW BN 4.5X36MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN 4.5X38MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN 4.5X40MM,1680.0,1680.0,89.04,2016.0,20
HCPCS,C1713,SCREW BN 4.5X42.5MM,362.0,362.0,19.19,434.4,20
HCPCS,C1713,SCREW BN 4.5X45MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1713,SCREW BN 4.5X46MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN 4.5X50MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1713,SCREW BN 4.5X54MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN 4.5X55MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1713,SCREW BN 4.5X60MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN 4.5X7.9X76MM,218.0,218.0,11.55,261.6,20
HCPCS,C1713,SCREW BN 4.6MM 30MM,844.0,844.0,44.73,1012.8,20
HCPCS,C1713,SCREW BN 4.6MM 32MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 4.6X18MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN 4.6X38MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN 4.75MM 25MM,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW BN 4.75MM 30MM,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW BN 4.7MM 12MM,158.0,158.0,8.37,189.6,20
HCPCS,C1713,SCREW BN 4.7MM 14MM,158.0,158.0,8.37,189.6,20
HCPCS,C1713,SCREW BN 4.7MM 16MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 4.7MM 18MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 4.7MM 20MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 4.7MM 22MM,158.0,158.0,8.37,189.6,20
HCPCS,C1713,SCREW BN 4.7MM 26MM,158.0,158.0,8.37,189.6,20
HCPCS,C1713,SCREW BN 4.7MM 28MM,158.0,158.0,8.37,189.6,20
HCPCS,C1713,SCREW BN 4.7MM 30MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 4.7MM 32MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 4.7MM 34MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 4.7MM 35MM ACTR,1066.0,1066.0,56.5,1279.2,20
HCPCS,C1713,SCREW BN 4.7MM 36MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 4.7MM 38MM,153.0,153.0,7.84,189.6,40
HCPCS,C1713,SCREW BN 4.7MM 40MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 4.7MM 42MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 4.7MM 44MM,158.0,158.0,8.37,189.6,20
HCPCS,C1713,SCREW BN 4.7MM 48MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 4.7MM 50MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 4.7MM 55MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 4.7MM 60MM EVOS,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 4.7MM 65MM,174.5,174.5,8.96,216.0,40
HCPCS,C1713,SCREW BN 4.7MM 70MM,169.0,169.0,8.96,202.8,20
HCPCS,C1713,SCREW BN 4.7MM 75MM,169.0,169.0,8.96,202.8,40
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HCPCS,C1713,SCREW BN 4.7MM 85MM,169.0,169.0,8.96,202.8,20
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HCPCS,C1713,SCREW BN 4.7X46MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN 40MM,338.0,338.0,17.91,405.6,20
HCPCS,C1713,SCREW BN 40MM 3.5MM,450.0,450.0,23.85,540.0,20
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HCPCS,C1713,SCREW BN 4MM 14MM,150.0,150.0,3.07,409.2,160
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HCPCS,C1713,SCREW BN 4MM 20MM,277.0,277.0,3.07,734.4,180
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HCPCS,C1713,SCREW BN 4MM 24MM,302.0,302.0,3.07,734.4,260
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HCPCS,C1713,SCREW BN 4MM 26MM,224.0,224.0,1.59,600.0,220
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HCPCS,C1713,SCREW BN 4MM 3.3MM 38MM,269.0,269.0,14.26,322.8,20
HCPCS,C1713,SCREW BN 4MM 3.3MM 48MM,304.0,304.0,16.11,364.8,20
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HCPCS,C1713,SCREW BN 4MM 3.4MM 48MM,250.0,250.0,13.25,300.0,20
HCPCS,C1713,SCREW BN 4MM 3.4MM 52MM,250.0,250.0,13.25,300.0,20
HCPCS,C1713,SCREW BN 4MM 3.4MM 56MM,250.0,250.0,13.25,300.0,20
HCPCS,C1713,SCREW BN 4MM 3.4MM 60MM,250.0,250.0,13.25,300.0,20
HCPCS,C1713,SCREW BN 4MM 30M,435.0,435.0,23.05,522.0,20
HCPCS,C1713,SCREW BN 4MM 30MM,312.0,312.0,3.07,1168.8,260
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HCPCS,C1713,SCREW BN 4MM 32MM 14MM,58.0,58.0,3.07,69.6,20
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HCPCS,C1713,SCREW BN 4MM 36MM,342.0,342.0,3.07,1063.2,360
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HCPCS,C1713,SCREW BN 4MM 38MM 14MM,68.0,68.0,3.6,81.6,20
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HCPCS,C1713,SCREW BN 4MM 4.5MM 36MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN 4MM 40MM,330.0,330.0,10.6,2916.0,300
HCPCS,C1713,SCREW BN 4MM 42MM,342.0,342.0,3.07,1377.6,300
HCPCS,C1713,SCREW BN 4MM 42MM 14MM,294.0,294.0,15.58,352.8,20
HCPCS,C1713,SCREW BN 4MM 44MM,330.0,330.0,3.07,435.6,240
HCPCS,C1713,SCREW BN 4MM 44MM 15MM,294.0,294.0,15.58,352.8,20
HCPCS,C1713,SCREW BN 4MM 45MM,328.5,328.5,17.33,396.0,60
HCPCS,C1713,SCREW BN 4MM 46MM,257.5,257.5,3.07,1106.4,260
HCPCS,C1713,SCREW BN 4MM 46MM 15.5MM,294.0,294.0,15.58,352.8,20
HCPCS,C1713,SCREW BN 4MM 48MM,291.0,291.0,3.07,1106.4,300
HCPCS,C1713,SCREW BN 4MM 48MM TGR CS,955.5,955.5,50.64,1146.6,20
HCPCS,C1713,SCREW BN 4MM 50MM,345.0,345.0,3.6,2758.8,380
HCPCS,C1713,SCREW BN 4MM 50MM 15MM,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN 4MM 50MM 17MM,294.0,294.0,15.58,352.8,20
HCPCS,C1713,SCREW BN 4MM 52MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN 4MM 54MM,322.5,322.5,16.11,409.2,40
HCPCS,C1713,SCREW BN 4MM 55MM,330.0,330.0,3.07,712.8,200
HCPCS,C1713,SCREW BN 4MM 55MM 18.5MM,294.0,294.0,15.58,352.8,20
HCPCS,C1713,SCREW BN 4MM 56MM,504.0,504.0,19.03,622.8,60
HCPCS,C1713,SCREW BN 4MM 58MM,334.0,334.0,17.7,400.8,20
HCPCS,C1713,SCREW BN 4MM 5MM,337.5,337.5,17.7,409.2,40
HCPCS,C1713,SCREW BN 4MM 5MM 72MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN 4MM 60MM,327.0,327.0,3.07,840.0,200
HCPCS,C1713,SCREW BN 4MM 65MM,274.0,274.0,3.07,430.8,100
HCPCS,C1713,SCREW BN 4MM 6MM 10MM,30.0,30.0,1.59,36.0,20
HCPCS,C1713,SCREW BN 4MM 6MM 12MM,30.0,30.0,1.59,36.0,20
HCPCS,C1713,SCREW BN 4MM 6MM 14MM,30.0,30.0,1.59,36.0,20
HCPCS,C1713,SCREW BN 4MM 6MM 16MM,30.0,30.0,1.59,36.0,20
HCPCS,C1713,SCREW BN 4MM 6MM 18MM,30.0,30.0,1.59,36.0,20
HCPCS,C1713,SCREW BN 4MM 6MM 20MM,30.0,30.0,1.59,36.0,20
HCPCS,C1713,SCREW BN 4MM 6MM 22MM,34.0,34.0,1.8,40.8,20
HCPCS,C1713,SCREW BN 4MM 6MM 24MM,30.0,30.0,1.59,36.0,20
HCPCS,C1713,SCREW BN 4MM 6MM 30MM,30.0,30.0,1.59,36.0,20
HCPCS,C1713,SCREW BN 4MM 6MM 35MM,29.5,29.5,1.54,36.0,40
HCPCS,C1713,SCREW BN 4MM 6MM 40MM,29.5,29.5,1.54,36.0,40
HCPCS,C1713,SCREW BN 4MM 6MM 45MM,29.5,29.5,1.54,36.0,40
HCPCS,C1713,SCREW BN 4MM 6MM 50MM,29.5,29.5,1.54,36.0,40
HCPCS,C1713,SCREW BN 4MM 6MM 55MM,30.0,30.0,1.59,36.0,20
HCPCS,C1713,SCREW BN 4MM 70MM,245.5,245.5,3.07,430.8,100
HCPCS,C1713,SCREW BN 4MM 70MM 23.5MM,274.0,274.0,14.52,328.8,20
HCPCS,C1713,SCREW BN 4MM 85MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN 4MM 90MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN 4MM 95MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN 4MM CANN,246.0,246.0,13.04,295.2,20
HCPCS,C1713,SCREW BN 4MMX55MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN 4MMX65MM,298.0,298.0,15.79,357.6,20
HCPCS,C1713,SCREW BN 4X16MM,120.0,120.0,6.36,144.0,20
HCPCS,C1713,SCREW BN 4X20MM,304.0,304.0,16.11,364.8,20
HCPCS,C1713,SCREW BN 4X24MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN 4X26MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN 4X3.5X24MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN 4X32MM,294.0,294.0,15.58,352.8,20
HCPCS,C1713,SCREW BN 4X34MM,236.0,236.0,12.51,283.2,20
HCPCS,C1713,SCREW BN 4X38MM,330.0,330.0,17.49,396.0,20
HCPCS,C1713,SCREW BN 4X40MM 13.5MM,294.0,294.0,15.58,352.8,20
HCPCS,C1713,SCREW BN 4X42MM,281.5,281.5,10.6,435.6,40
HCPCS,C1713,SCREW BN 4X44MM,434.0,434.0,15.79,708.0,60
HCPCS,C1713,SCREW BN 4X46MM,363.0,363.0,19.24,435.6,20
HCPCS,C1713,SCREW BN 4X4MM 14MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN 4X4MM/L20MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN 4X50MM,347.0,347.0,18.39,416.4,20
HCPCS,C1713,SCREW BN 4X55MM,330.0,330.0,17.49,396.0,20
HCPCS,C1713,SCREW BN 4X56MM,472.0,472.0,25.02,566.4,20
HCPCS,C1713,SCREW BN 4X5X1.35X34MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN 4X5X1.35X56MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN 4X5X1.35X64MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN 4X5X30MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN 4X5X52MM,334.0,334.0,17.7,400.8,20
HCPCS,C1713,SCREW BN 4X5X56MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN 4X6X30X14MM,359.0,359.0,19.03,430.8,20
HCPCS,C1713,SCREW BN 4X6X40X14MM,359.0,359.0,19.03,430.8,20
HCPCS,C1713,SCREW BN 4X70MM,298.0,298.0,15.79,357.6,20
HCPCS,C1713,SCREW BN 4X75MM,298.0,298.0,15.79,357.6,20
HCPCS,C1713,SCREW BN 4X80MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN 5.0MM 12MM,488.0,488.0,25.86,585.6,20
HCPCS,C1713,SCREW BN 5.0MM 14MM,328.0,328.0,8.9,585.6,40
HCPCS,C1713,SCREW BN 5.0MM 16MM,488.0,488.0,25.86,585.6,20
HCPCS,C1713,SCREW BN 5.0MM 18MM,488.0,488.0,25.86,585.6,20
HCPCS,C1713,SCREW BN 5.0MM 20MM,589.0,589.0,18.44,996.0,40
HCPCS,C1713,SCREW BN 5.0MM 22MM,348.0,348.0,18.44,417.6,20
HCPCS,C1713,SCREW BN 5.0MM 26MM,348.0,348.0,18.44,417.6,20
HCPCS,C1713,SCREW BN 5.0MM 27.5MM,501.0,501.0,26.55,601.2,20
HCPCS,C1713,SCREW BN 5.0MM 30MM,388.5,388.5,18.44,514.8,40
HCPCS,C1713,SCREW BN 5.0MM 32MM,332.0,332.0,16.75,417.6,40
HCPCS,C1713,SCREW BN 5.0MM 34MM,348.0,348.0,18.44,417.6,20
HCPCS,C1713,SCREW BN 5.0MM 36MM,332.0,332.0,16.75,417.6,40
HCPCS,C1713,SCREW BN 5.0MM 37.5MM,429.0,429.0,22.74,514.8,20
HCPCS,C1713,SCREW BN 5.0MM 38MM,470.0,470.0,18.44,772.8,60
HCPCS,C1713,SCREW BN 5.0MM 40MM,452.0,452.0,18.44,667.2,40
HCPCS,C1713,SCREW BN 5.0MM 42MM,388.5,388.5,18.44,514.8,40
HCPCS,C1713,SCREW BN 5.0MM 45MM,429.0,429.0,22.74,514.8,20
HCPCS,C1713,SCREW BN 5.0MM 48MM,316.0,316.0,16.75,379.2,20
HCPCS,C1713,SCREW BN 5.0MM 50MM,416.0,416.0,19.19,564.0,40
HCPCS,C1713,SCREW BN 5.0MM 55MM,362.0,362.0,19.19,434.4,20
HCPCS,C1713,SCREW BN 5.0MM 60MM,348.0,348.0,18.44,417.6,20
HCPCS,C1713,SCREW BN 5.0MM 65MM,355.0,355.0,18.44,434.4,40
HCPCS,C1713,SCREW BN 5.0MM 67.5MM,362.0,362.0,19.19,434.4,20
HCPCS,C1713,SCREW BN 5.0MM 75MM,348.0,348.0,18.44,417.6,20
HCPCS,C1713,SCREW BN 5.0MM 80MM,355.0,355.0,18.44,434.4,40
HCPCS,C1713,SCREW BN 5.0X10MM,582.0,582.0,30.85,698.4,20
HCPCS,C1713,SCREW BN 5.0X30MM,316.0,316.0,16.75,379.2,20
HCPCS,C1713,SCREW BN 5.5MM 32MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN 5.5MM 36MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN 5.5MM 40MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,SCREW BN 5.5MM 40MM RELI,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW BN 5.5MM 48MM,1328.0,1328.0,70.38,1593.6,20
HCPCS,C1713,SCREW BN 5.5MM 50MM,1329.0,1329.0,46.32,2383.2,120
HCPCS,C1713,SCREW BN 5.5MM 52MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 5.5MM 58MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 5.5MM 65MM,593.0,593.0,16.43,1048.8,100
HCPCS,C1713,SCREW BN 5.5MM 70MM,568.0,568.0,16.43,1593.6,100
HCPCS,C1713,SCREW BN 5.5MM 75MM,530.0,530.0,16.43,2474.4,100
HCPCS,C1713,SCREW BN 5.5MM 80MM,592.0,592.0,16.43,1048.8,60
HCPCS,C1713,SCREW BN 5.5X28MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN 5.5X45MM SPNL,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW BN 5.5X65X32MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 5.5X70X16MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 5.7MM 25MM,627.0,627.0,33.23,752.4,20
HCPCS,C1713,SCREW BN 5.7MM 30MM,557.0,557.0,25.81,752.4,40
HCPCS,C1713,SCREW BN 5.7MM 34MM,627.0,627.0,33.23,752.4,20
HCPCS,C1713,SCREW BN 5.7MM 40MM,628.0,628.0,33.28,753.6,20
HCPCS,C1713,SCREW BN 5.7MM 42MM,627.0,627.0,33.23,752.4,20
HCPCS,C1713,SCREW BN 5.7MM 46MM,627.0,627.0,33.23,752.4,20
HCPCS,C1713,SCREW BN 5.7MM 50MM,628.0,628.0,33.28,753.6,20
HCPCS,C1713,SCREW BN 5.7MM 60MM,628.0,628.0,33.28,753.6,20
HCPCS,C1713,SCREW BN 5.7MM 80MM,684.0,684.0,36.25,820.8,20
HCPCS,C1713,SCREW BN 52MM,309.0,309.0,16.38,370.8,20
HCPCS,C1713,SCREW BN 5MM 10MM,356.0,356.0,14.36,529.2,40
HCPCS,C1713,SCREW BN 5MM 12MM,402.5,402.5,19.29,529.2,40
HCPCS,C1713,SCREW BN 5MM 14MM,357.5,357.5,15.0,518.4,40
HCPCS,C1713,SCREW BN 5MM 16MM,364.0,364.0,19.29,436.8,20
HCPCS,C1713,SCREW BN 5MM 18MM,538.0,538.0,22.9,772.8,40
HCPCS,C1713,SCREW BN 5MM 20MM,644.0,644.0,34.13,772.8,20
HCPCS,C1713,SCREW BN 5MM 22MM,211.0,211.0,7.95,774.0,80
HCPCS,C1713,SCREW BN 5MM 24MM,316.0,316.0,15.05,417.6,40
HCPCS,C1713,SCREW BN 5MM 24MM PRLOC,1065.75,1065.75,56.48,1278.9,20
HCPCS,C1713,SCREW BN 5MM 25MM,385.5,385.5,12.72,667.2,80
HCPCS,C1713,SCREW BN 5MM 26MM,293.5,293.5,7.95,1042.8,160
HCPCS,C1713,SCREW BN 5MM 27.5MM,334.5,334.5,12.72,514.8,40
HCPCS,C1713,SCREW BN 5MM 28MM,429.0,429.0,16.75,948.0,120
HCPCS,C1713,SCREW BN 5MM 2MM,210.0,210.0,11.13,252.0,20
HCPCS,C1713,SCREW BN 5MM 3.5MM 50MM,409.0,409.0,21.68,490.8,20
HCPCS,C1713,SCREW BN 5MM 3.5MM 65MM,409.0,409.0,21.68,490.8,20
HCPCS,C1713,SCREW BN 5MM 30MM,395.5,395.5,3.71,948.0,180
HCPCS,C1713,SCREW BN 5MM 32.5MM,412.5,412.5,17.17,601.2,40
HCPCS,C1713,SCREW BN 5MM 32MM,416.0,416.0,12.72,948.0,120
HCPCS,C1713,SCREW BN 5MM 34MM,495.0,495.0,8.9,702.0,100
HCPCS,C1713,SCREW BN 5MM 35MM,395.5,395.5,12.72,624.0,80
HCPCS,C1713,SCREW BN 5MM 35MM MESA,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,SCREW BN 5MM 36MM,540.0,540.0,26.5,702.0,60
HCPCS,C1713,SCREW BN 5MM 37.5MM,370.5,370.5,12.72,601.2,40
HCPCS,C1713,SCREW BN 5MM 37MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN 5MM 38MM,407.5,407.5,7.95,1140.0,160
HCPCS,C1713,SCREW BN 5MM 4.4MM 16MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN 5MM 4.4MM 20MM,283.0,283.0,15.0,339.6,20
HCPCS,C1713,SCREW BN 5MM 4.4MM 24MM,243.0,243.0,12.88,291.6,20
HCPCS,C1713,SCREW BN 5MM 4.4MM 30MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN 5MM 4.4MM 38MM,243.0,243.0,12.88,291.6,20
HCPCS,C1713,SCREW BN 5MM 4.4MM 42MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN 5MM 4.4MM 44MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN 5MM 4.4MM 60MM,326.0,326.0,17.28,391.2,20
HCPCS,C1713,SCREW BN 5MM 4.4MM 70MM,302.0,302.0,16.01,362.4,20
HCPCS,C1713,SCREW BN 5MM 4.4MM 80MM,302.0,302.0,16.01,362.4,20
HCPCS,C1713,SCREW BN 5MM 4.4MM 85MM,326.0,326.0,17.28,391.2,20
HCPCS,C1713,SCREW BN 5MM 4.4MM 90MM,302.0,302.0,16.01,362.4,20
HCPCS,C1713,SCREW BN 5MM 4.4MM 95MM,326.0,326.0,17.28,391.2,20
HCPCS,C1713,SCREW BN 5MM 40MM,482.5,482.5,12.72,1140.0,260
HCPCS,C1713,SCREW BN 5MM 40MM MESA,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,SCREW BN 5MM 42.5MM,324.0,324.0,17.17,388.8,20
HCPCS,C1713,SCREW BN 5MM 42MM,434.5,434.5,19.19,600.0,120
HCPCS,C1713,SCREW BN 5MM 44MM,495.0,495.0,16.01,746.4,100
HCPCS,C1713,SCREW BN 5MM 45MM,301.0,301.0,12.72,434.4,40
HCPCS,C1713,SCREW BN 5MM 46MM,486.5,486.5,16.75,1140.0,80
HCPCS,C1713,SCREW BN 5MM 47.5MM,343.0,343.0,12.61,601.2,80
HCPCS,C1713,SCREW BN 5MM 48MM,348.0,348.0,15.0,1140.0,60
HCPCS,C1713,SCREW BN 5MM 50MM,324.0,324.0,12.72,1140.0,140
HCPCS,C1713,SCREW BN 5MM 52.5MM,324.0,324.0,17.17,388.8,20
HCPCS,C1713,SCREW BN 5MM 54MM,473.0,473.0,25.07,567.6,20
HCPCS,C1713,SCREW BN 5MM 55MM,419.0,419.0,12.72,1500.0,120
HCPCS,C1713,SCREW BN 5MM 56MM,540.0,540.0,28.62,648.0,20
HCPCS,C1713,SCREW BN 5MM 57MM,362.0,362.0,19.19,434.4,20
HCPCS,C1713,SCREW BN 5MM 58MM,473.0,473.0,25.07,567.6,20
HCPCS,C1713,SCREW BN 5MM 60MM,409.0,409.0,16.75,1140.0,60
HCPCS,C1713,SCREW BN 5MM 62.5MM,395.5,395.5,19.19,514.8,40
HCPCS,C1713,SCREW BN 5MM 65MM,380.5,380.5,12.72,1428.0,120
HCPCS,C1713,SCREW BN 5MM 70MM,429.0,429.0,12.72,2008.8,220
HCPCS,C1713,SCREW BN 5MM 72MM,362.0,362.0,19.19,434.4,20
HCPCS,C1713,SCREW BN 5MM 75MM,362.0,362.0,12.98,2349.6,180
HCPCS,C1713,SCREW BN 5MM 77.5MM,362.0,362.0,19.19,434.4,20
HCPCS,C1713,SCREW BN 5MM 80MM,569.5,569.5,15.11,2349.6,80
HCPCS,C1713,SCREW BN 5MM 85MM,416.0,416.0,16.01,852.0,80
HCPCS,C1713,SCREW BN 5MM 8MM,541.0,541.0,28.67,649.2,20
HCPCS,C1713,SCREW BN 5MM 90MM,356.0,356.0,17.17,501.6,60
HCPCS,C1713,SCREW BN 5MMX16MM,432.0,432.0,22.9,518.4,20
HCPCS,C1713,SCREW BN 5MN 30MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,SCREW BN 5X25MM,429.0,429.0,22.74,514.8,20
HCPCS,C1713,SCREW BN 5X32.5MM,429.0,429.0,22.74,514.8,20
HCPCS,C1713,SCREW BN 5X35MM,501.0,501.0,26.55,601.2,20
HCPCS,C1713,SCREW BN 5X37.5MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN 5X37MM,362.0,362.0,19.19,434.4,20
HCPCS,C1713,SCREW BN 5X42.5MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN 5X42MM,408.5,408.5,16.75,601.2,40
HCPCS,C1713,SCREW BN 5X45MM,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW BN 5X47.5MM,429.0,429.0,22.74,514.8,20
HCPCS,C1713,SCREW BN 5X48MM XL25,408.0,408.0,21.62,489.6,20
HCPCS,C1713,SCREW BN 5X50MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN 5X52.5MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN 5X55,770.0,770.0,40.81,924.0,20
HCPCS,C1713,SCREW BN 5X55MM,710.0,710.0,24.91,1140.0,40
HCPCS,C1713,SCREW BN 5X6.2X32MM,386.0,386.0,20.46,463.2,20
HCPCS,C1713,SCREW BN 5X65MM,429.0,429.0,22.74,514.8,20
HCPCS,C1713,SCREW BN 5X70MM,950.0,950.0,12.72,1159.2,60
HCPCS,C1713,SCREW BN 5X75MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN 6 45 VPR 2 SPNL,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW BN 6.0MM 35MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN 6.2X32X105MM,61.0,61.0,3.23,73.2,20
HCPCS,C1713,SCREW BN 6.5 100 SS LCK,1430.0,1430.0,75.79,1716.0,20
HCPCS,C1713,SCREW BN 6.5 60 SS LK CA,1430.0,1430.0,75.79,1716.0,20
HCPCS,C1713,SCREW BN 6.5 75 SS LK CA,1430.0,1430.0,75.79,1716.0,20
HCPCS,C1713,SCREW BN 6.5 90 CANN LCK,1430.0,1430.0,75.79,1716.0,20
HCPCS,C1713,SCREW BN 6.5M 75MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 6.5MM 100MM,61.0,61.0,3.23,73.2,40
HCPCS,C1713,SCREW BN 6.5MM 100MM 40M,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 6.5MM 105MM,208.5,208.5,3.23,427.2,40
HCPCS,C1713,SCREW BN 6.5MM 105MM 40M,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 6.5MM 110MM,221.5,221.5,3.23,458.4,40
HCPCS,C1713,SCREW BN 6.5MM 115MM,217.0,217.0,4.03,429.6,40
HCPCS,C1713,SCREW BN 6.5MM 120MM,76.0,76.0,4.03,91.2,20
HCPCS,C1713,SCREW BN 6.5MM 125MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5MM 130MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5MM 135MM,458.0,458.0,23.85,559.2,40
HCPCS,C1713,SCREW BN 6.5MM 140MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 6.5MM 15MM,110.0,110.0,5.83,132.0,80
HCPCS,C1713,SCREW BN 6.5MM 160MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5MM 16MM,83.5,83.5,3.02,132.0,40
HCPCS,C1713,SCREW BN 6.5MM 16MM 80MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5MM 20MM,110.0,110.0,5.83,132.0,80
HCPCS,C1713,SCREW BN 6.5MM 25MM,110.0,110.0,5.83,132.0,120
HCPCS,C1713,SCREW BN 6.5MM 30MM,280.0,280.0,3.02,1680.0,140
HCPCS,C1713,SCREW BN 6.5MM 32MM,57.0,57.0,3.02,68.4,40
HCPCS,C1713,SCREW BN 6.5MM 35MM,767.0,767.0,5.83,1680.0,120
HCPCS,C1713,SCREW BN 6.5MM 35MM MRNR,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5MM 40MM,110.0,110.0,3.02,429.6,80
HCPCS,C1713,SCREW BN 6.5MM 45MM,549.5,549.5,5.83,920.4,100
HCPCS,C1713,SCREW BN 6.5MM 45MM 32MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5MM 50MM,370.0,370.0,5.83,1080.0,160
HCPCS,C1713,SCREW BN 6.5MM 50MM 20MM,477.0,477.0,25.28,572.4,20
HCPCS,C1713,SCREW BN 6.5MM 50MM 32MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5MM 55MM,754.0,754.0,23.85,1080.0,100
HCPCS,C1713,SCREW BN 6.5MM 60MM,383.0,383.0,17.28,889.2,160
HCPCS,C1713,SCREW BN 6.5MM 60MM 20MM,328.0,328.0,17.38,393.6,20
HCPCS,C1713,SCREW BN 6.5MM 60MM 40MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 6.5MM 65MM,548.5,548.5,17.28,1594.8,80
HCPCS,C1713,SCREW BN 6.5MM 65MM 20MM,328.0,328.0,17.38,393.6,20
HCPCS,C1713,SCREW BN 6.5MM 65MM 40MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 6.5MM 70MM,358.0,358.0,16.38,920.4,160
HCPCS,C1713,SCREW BN 6.5MM 75MM,527.0,527.0,2.92,920.4,120
HCPCS,C1713,SCREW BN 6.5MM 75MM 20MM,410.0,410.0,18.87,556.8,40
HCPCS,C1713,SCREW BN 6.5MM 75MM 40MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 6.5MM 8000,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 6.5MM 80MM,597.0,597.0,3.02,957.6,100
HCPCS,C1713,SCREW BN 6.5MM 80MM 20MM,369.5,369.5,18.87,459.6,40
HCPCS,C1713,SCREW BN 6.5MM 80MM 22MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 6.5MM 85MM,370.0,370.0,3.23,957.6,120
HCPCS,C1713,SCREW BN 6.5MM 85MM 20MM,371.5,371.5,18.87,464.4,40
HCPCS,C1713,SCREW BN 6.5MM 85MM 22MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 6.5MM 8MM,57.0,57.0,3.02,68.4,60
HCPCS,C1713,SCREW BN 6.5MM 8MM 25MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5MM 8MM 35MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5MM 8MM 70MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5MM 8MM 75MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5MM 90MM,358.0,358.0,3.23,957.6,160
HCPCS,C1713,SCREW BN 6.5MM 90MM 20MM,369.5,369.5,18.87,459.6,40
HCPCS,C1713,SCREW BN 6.5MM 90MM 40MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 6.5MM 95MM,369.0,369.0,18.87,458.4,60
HCPCS,C1713,SCREW BN 6.5MM 95MM 20MM,369.5,369.5,18.87,459.6,40
HCPCS,C1713,SCREW BN 6.5MM 95MM 22MM,374.0,374.0,19.82,448.8,20
HCPCS,C1713,SCREW BN 6.5MM 95MM 40MM,326.0,326.0,17.28,391.2,20
HCPCS,C1713,SCREW BN 6.5X100MM,369.0,369.0,18.87,458.4,40
HCPCS,C1713,SCREW BN 6.5X100X20MM,464.0,464.0,24.59,556.8,20
HCPCS,C1713,SCREW BN 6.5X100X22MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 6.5X100X32MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5X100X40MM,326.0,326.0,17.28,391.2,20
HCPCS,C1713,SCREW BN 6.5X105X46MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 6.5X110X46MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 6.5X120X32MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5X140X32MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5X16X100MM,61.0,61.0,3.23,73.2,20
HCPCS,C1713,SCREW BN 6.5X16X105MM,61.0,61.0,3.23,73.2,20
HCPCS,C1713,SCREW BN 6.5X16X115MM,61.0,61.0,3.23,73.2,20
HCPCS,C1713,SCREW BN 6.5X16X35MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5X16X40MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5X16X60MM,440.0,440.0,23.32,528.0,20
HCPCS,C1713,SCREW BN 6.5X16X65MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5X16X70MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5X16X95MM,61.0,61.0,3.23,73.2,20
HCPCS,C1713,SCREW BN 6.5X2.9MM 85MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5X2.9MM 90MM,450.0,450.0,23.85,540.0,40
HCPCS,C1713,SCREW BN 6.5X20X70MM,328.0,328.0,17.38,393.6,20
HCPCS,C1713,SCREW BN 6.5X32X110MM,61.0,61.0,3.23,73.2,20
HCPCS,C1713,SCREW BN 6.5X32X150MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5X32X95MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5X35X16MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5X40X16MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5X55MM,219.5,219.5,3.02,458.4,40
HCPCS,C1713,SCREW BN 6.5X60MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5X65MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5X65X22MM,1422.0,1422.0,75.37,1706.4,20
HCPCS,C1713,SCREW BN 6.5X65X32MM,440.0,440.0,23.32,528.0,20
HCPCS,C1713,SCREW BN 6.5X7.9X2.9X45,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5X7.9X2.9X55,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5X7.9X2.9X80,440.0,440.0,23.32,528.0,20
HCPCS,C1713,SCREW BN 6.5X70X32MM,530.0,530.0,28.09,636.0,20
HCPCS,C1713,SCREW BN 6.5X75MM,1422.0,1422.0,75.37,1706.4,20
HCPCS,C1713,SCREW BN 6.5X75X32MM,503.0,503.0,26.66,603.6,20
HCPCS,C1713,SCREW BN 6.5X80MMX20MM,387.0,387.0,20.51,464.4,20
HCPCS,C1713,SCREW BN 6.5X80X22MM CAN,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 6.5X85X20MM,387.0,387.0,20.51,464.4,20
HCPCS,C1713,SCREW BN 6.5X85X22MM TI,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 6.5X85X32MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN 6.5X8X45MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5X8X50MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5X8X55MM,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN 6.5X8X85MM,61.0,61.0,3.23,73.2,20
HCPCS,C1713,SCREW BN 6.5X90MM22MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 6.5X95MM,61.0,61.0,3.23,73.2,20
HCPCS,C1713,SCREW BN 6.7MM 100MM,500.0,500.0,26.5,600.0,20
HCPCS,C1713,SCREW BN 6.7MM 36MM,513.0,513.0,27.19,615.6,20
HCPCS,C1713,SCREW BN 6.7MM 50MM,513.0,513.0,27.19,615.6,20
HCPCS,C1713,SCREW BN 6.7MM 55MM,514.0,514.0,27.24,616.8,20
HCPCS,C1713,SCREW BN 6.7MM 60MM,514.0,514.0,27.24,616.8,20
HCPCS,C1713,SCREW BN 6.7MM 65MM,519.5,519.5,27.24,630.0,40
HCPCS,C1713,SCREW BN 6.7MM 75MM,525.0,525.0,27.82,630.0,20
HCPCS,C1713,SCREW BN 6.7MM 80MM,570.0,570.0,30.21,684.0,20
HCPCS,C1713,SCREW BN 6.7MM 90MM,466.0,466.0,24.7,559.2,20
HCPCS,C1713,SCREW BN 6.7X75MM,500.0,500.0,26.5,600.0,20
HCPCS,C1713,SCREW BN 65MM 120MM 46MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 65MM 4.5MM,368.0,368.0,19.5,441.6,20
HCPCS,C1713,SCREW BN 6MM 1.7MM,138.0,138.0,7.31,165.6,20
HCPCS,C1713,SCREW BN 6MM 15MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN 6MM 2.3MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,SCREW BN 6MM 25MM,79.0,79.0,4.19,94.8,20
HCPCS,C1713,SCREW BN 6MM 44MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN 6MM 45MM,696.0,696.0,36.89,835.2,20
HCPCS,C1713,SCREW BN 6MM 60MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,SCREW BN 7.0MM 40MM,1489.0,1489.0,78.92,1786.8,20
HCPCS,C1713,SCREW BN 7.0MM 70MM,462.0,462.0,24.49,554.4,20
HCPCS,C1713,SCREW BN 7.0MM 75MM,462.0,462.0,24.49,554.4,20
HCPCS,C1713,SCREW BN 7.0MM 80MM,502.0,502.0,26.61,602.4,20
HCPCS,C1713,SCREW BN 7.2MM 75MM,2062.0,2062.0,109.29,2474.4,20
HCPCS,C1713,SCREW BN 7.3MM 100MM,447.5,447.5,23.69,537.6,40
HCPCS,C1713,SCREW BN 7.3MM 105MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 110MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 120MM,438.0,438.0,23.21,525.6,20
HCPCS,C1713,SCREW BN 7.3MM 135MM,538.0,538.0,28.51,645.6,20
HCPCS,C1713,SCREW BN 7.3MM 140MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 145MM,538.0,538.0,28.51,645.6,20
HCPCS,C1713,SCREW BN 7.3MM 150MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 16MM 45MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 16MM 65MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 32MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 32MM 65MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 32MM 70MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 35MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 40MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 45MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 55MM,447.0,447.0,23.69,536.4,40
HCPCS,C1713,SCREW BN 7.3MM 60MM,447.0,447.0,23.69,536.4,40
HCPCS,C1713,SCREW BN 7.3MM 75MM 32MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 80MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 85MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3MM 95MM,447.0,447.0,23.69,536.4,40
HCPCS,C1713,SCREW BN 7.3X115X32MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3X125X32MM,438.0,438.0,23.21,525.6,20
HCPCS,C1713,SCREW BN 7.3X130X32MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3X30X16MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3X32X135MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3X32X150MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3X32X85MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3X50MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3X75MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.3X80MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN 7.5MM 80MM,1422.0,1422.0,75.37,1706.4,20
HCPCS,C1713,SCREW BN 7.5MM 85MM,1422.0,1422.0,75.37,1706.4,20
HCPCS,C1713,SCREW BN 7.5MM 90MM,1172.0,1172.0,62.12,1406.4,20
HCPCS,C1713,SCREW BN 7.5MM 95MM,1172.0,1172.0,62.12,1406.4,20
HCPCS,C1713,SCREW BN 75MM,1320.0,1320.0,69.96,1584.0,20
HCPCS,C1713,SCREW BN 7MM 100MM,452.5,452.5,20.25,627.6,40
HCPCS,C1713,SCREW BN 7MM 10MM,709.0,709.0,36.73,870.0,40
HCPCS,C1713,SCREW BN 7MM 115MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 7MM 130MM,382.0,382.0,20.25,458.4,40
HCPCS,C1713,SCREW BN 7MM 135MM 16MM,539.0,539.0,28.57,646.8,20
HCPCS,C1713,SCREW BN 7MM 140MM 16MM,539.0,539.0,28.57,646.8,20
HCPCS,C1713,SCREW BN 7MM 145MM 16MM,539.0,539.0,28.57,646.8,20
HCPCS,C1713,SCREW BN 7MM 150MM 16MM,539.0,539.0,28.57,646.8,20
HCPCS,C1713,SCREW BN 7MM 16MM 105MM,523.0,523.0,27.72,627.6,20
HCPCS,C1713,SCREW BN 7MM 16MM 115MM,523.0,523.0,27.72,627.6,20
HCPCS,C1713,SCREW BN 7MM 16MM 120MM,523.0,523.0,27.72,627.6,20
HCPCS,C1713,SCREW BN 7MM 16MM 125MM,523.0,523.0,27.72,627.6,20
HCPCS,C1713,SCREW BN 7MM 16MM 130MM,523.0,523.0,27.72,627.6,20
HCPCS,C1713,SCREW BN 7MM 30MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 7MM 32MM 90MM,523.0,523.0,27.72,627.6,20
HCPCS,C1713,SCREW BN 7MM 46MM,792.0,792.0,41.98,950.4,20
HCPCS,C1713,SCREW BN 7MM 50MM,1390.0,1390.0,73.67,1668.0,20
HCPCS,C1713,SCREW BN 7MM 55MM TI COR,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW BN 7MM 60MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 7MM 60MM 32MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 7MM 65MM,1390.0,1390.0,73.67,1668.0,20
HCPCS,C1713,SCREW BN 7MM 65MM 32MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 7MM 75MM,790.0,790.0,41.87,948.0,20
HCPCS,C1713,SCREW BN 7MM 78MM,792.0,792.0,41.98,950.4,20
HCPCS,C1713,SCREW BN 7MM 80MM,829.5,829.5,20.25,1708.8,100
HCPCS,C1713,SCREW BN 7MM 80MM 36MM,869.0,869.0,46.06,1042.8,20
HCPCS,C1713,SCREW BN 7MM 80MM MAXTOR,420.0,420.0,22.26,504.0,20
HCPCS,C1713,SCREW BN 7MM 85MM,437.0,437.0,20.25,590.4,40
HCPCS,C1713,SCREW BN 7MM 8MM 110MM,523.0,523.0,27.72,627.6,20
HCPCS,C1713,SCREW BN 7MM 90MM,462.0,462.0,24.49,554.4,20
HCPCS,C1713,SCREW BN 7MM 90MM 16MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 7MM 90MM 36MM,830.0,830.0,43.99,996.0,20
HCPCS,C1713,SCREW BN 7MM 95MM,382.0,382.0,20.25,458.4,40
HCPCS,C1713,SCREW BN 7X35MM,993.0,993.0,52.63,1191.6,20
HCPCS,C1713,SCREW BN 7X75MM SURESHOT,1167.0,1167.0,61.85,1400.4,20
HCPCS,C1713,SCREW BN 7X85X16MM,462.0,462.0,24.49,554.4,20
HCPCS,C1713,SCREW BN 8.0MM 145MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 8.0MM 150MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 8.0MM 40MM,398.0,398.0,21.09,477.6,20
HCPCS,C1713,SCREW BN 8.0MM 45MM,398.0,398.0,21.09,477.6,20
HCPCS,C1713,SCREW BN 8.0MM 50MM,398.0,398.0,21.09,477.6,20
HCPCS,C1713,SCREW BN 8.0MM 55MM,398.0,398.0,21.09,477.6,20
HCPCS,C1713,SCREW BN 8.0MM 60MM,398.0,398.0,21.09,477.6,20
HCPCS,C1713,SCREW BN 8.0MM 65MM,284.0,284.0,15.05,340.8,20
HCPCS,C1713,SCREW BN 8.0MM 85MM,398.0,398.0,21.09,477.6,20
HCPCS,C1713,SCREW BN 8.0MM 95MM,398.0,398.0,21.09,477.6,20
HCPCS,C1713,SCREW BN 8.2X2.9MM 90MM,457.0,457.0,24.22,548.4,20
HCPCS,C1713,SCREW BN 8.5MM 100MM,1340.0,1340.0,71.02,1608.0,20
HCPCS,C1713,SCREW BN 8.5MM 80MM VRST,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW BN 8.5MM 95MM 20MM,1422.0,1422.0,75.37,1706.4,20
HCPCS,C1713,SCREW BN 80MM 40MM,464.0,464.0,24.59,556.8,20
HCPCS,C1713,SCREW BN 80MM 75MM,1309.0,1309.0,69.38,1570.8,20
HCPCS,C1713,SCREW BN 85MM 6.5MM,326.0,326.0,17.28,391.2,20
HCPCS,C1713,SCREW BN 85MM/90MM,1309.0,1309.0,69.38,1570.8,20
HCPCS,C1713,SCREW BN 8MM 100MM 46MM,794.0,794.0,42.08,952.8,20
HCPCS,C1713,SCREW BN 8MM 105MM 22MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 8MM 105MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 110MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 110X22MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 8MM 115MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 120MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 8MM 125MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 125MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 12MM,660.0,660.0,33.39,828.0,40
HCPCS,C1713,SCREW BN 8MM 135MM 22MM,1226.0,1226.0,64.98,1471.2,20
HCPCS,C1713,SCREW BN 8MM 140MM 46MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 8MM 22MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 8MM 23MM,672.0,672.0,35.62,806.4,20
HCPCS,C1713,SCREW BN 8MM 2MM,286.0,286.0,15.16,343.2,20
HCPCS,C1713,SCREW BN 8MM 40MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 45MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 50MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 55MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 55MM XPDM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW BN 8MM 60MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 65MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 70MM,398.0,398.0,21.09,477.6,20
HCPCS,C1713,SCREW BN 8MM 70MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 70MM 46MM,1008.0,1008.0,53.42,1209.6,20
HCPCS,C1713,SCREW BN 8MM 74MM 24MM,1070.0,1070.0,56.71,1284.0,20
HCPCS,C1713,SCREW BN 8MM 75MM,377.0,377.0,18.87,477.6,40
HCPCS,C1713,SCREW BN 8MM 75MM 46MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 8MM 80MM,390.0,390.0,20.25,477.6,80
HCPCS,C1713,SCREW BN 8MM 80MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 80MM 40MM,1168.0,1168.0,61.9,1401.6,20
HCPCS,C1713,SCREW BN 8MM 85MM,798.5,798.5,20.25,1458.0,40
HCPCS,C1713,SCREW BN 8MM 85MM 46MM,495.0,495.0,20.25,729.6,40
HCPCS,C1713,SCREW BN 8MM 90M,398.0,398.0,21.09,477.6,20
HCPCS,C1713,SCREW BN 8MM 90MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN 8MM 90MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8MM 95MM 25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8X100X25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8X75MM XPDM TI,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW BN 8X80X16MM TMX,12533.96,12533.96,664.3,15040.75,20
HCPCS,C1713,SCREW BN 8X85X25MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN 8X90MM,1166.0,1166.0,61.8,1399.2,20
HCPCS,C1713,SCREW BN 9.5MM 100MM,1166.0,1166.0,61.8,1399.2,20
HCPCS,C1713,SCREW BN 90MM,1216.0,1216.0,64.45,1459.2,20
HCPCS,C1713,SCREW BN 95MM,1216.0,1216.0,64.45,1459.2,20
HCPCS,C1713,SCREW BN 95MM 90MM,1309.0,1309.0,69.38,1570.8,20
HCPCS,C1713,SCREW BN 9MM 95MM,1166.0,1166.0,61.8,1399.2,20
HCPCS,C1713,SCREW BN 9X90,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW BN ACTB 25MM,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW BN ANG LC 3.5X60MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN ANGL 5.0X34MM,316.0,316.0,16.75,379.2,20
HCPCS,C1713,SCREW BN ANKL 4X18MM,259.0,259.0,13.73,310.8,20
HCPCS,C1713,SCREW BN ANKL 4X45MM,614.0,614.0,32.54,736.8,20
HCPCS,C1713,SCREW BN ANKL 5X24MM,645.0,645.0,34.19,774.0,20
HCPCS,C1713,SCREW BN ANKL 5X65MM,1674.0,1674.0,88.72,2008.8,20
HCPCS,C1713,SCREW BN ARTHDS 3.5X36MM,642.0,642.0,34.03,770.4,20
HCPCS,C1713,SCREW BN ARTHDS 3.5X40MM,642.0,642.0,34.03,770.4,20
HCPCS,C1713,SCREW BN ASNS 3 8X105MM,472.0,472.0,25.02,566.4,20
HCPCS,C1713,SCREW BN BIOCMPR 3-5X28,770.0,770.0,40.81,924.0,20
HCPCS,C1713,SCREW BN BVL 4MM 34MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,SCREW BN BVL 4MM 40MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,SCREW BN BVLD 4X42MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,SCREW BN BVLD 4X46MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,SCREW BN CAN HD 3X12MM,315.0,315.0,16.7,378.0,20
HCPCS,C1713,SCREW BN CAN HD3.5X38MM,320.0,320.0,16.96,384.0,20
HCPCS,C1713,SCREW BN CANC 3.0X10,278.0,278.0,14.73,333.6,20
HCPCS,C1713,SCREW BN CANC 4.0X34MM,599.0,599.0,31.75,718.8,20
HCPCS,C1713,SCREW BN CANC 4MM 12MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN CANC 4MM 14MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN CANC 4MM 16MM,70.0,70.0,1.54,217.2,60
HCPCS,C1713,SCREW BN CANC 4MM 18MM,104.5,104.5,1.54,216.0,40
HCPCS,C1713,SCREW BN CANC 4MM 20MM,138.0,138.0,7.31,165.6,20
HCPCS,C1713,SCREW BN CANC 4MM 22MM,29.0,29.0,1.54,34.8,20
HCPCS,C1713,SCREW BN CANC 4MM 24MM,29.0,29.0,1.54,34.8,20
HCPCS,C1713,SCREW BN CANC 4MM 26MM,29.0,29.0,1.54,34.8,20
HCPCS,C1713,SCREW BN CANC 4MM 28MM,28.0,28.0,1.48,33.6,20
HCPCS,C1713,SCREW BN CANC 4MM 36MM,30.0,30.0,1.59,36.0,20
HCPCS,C1713,SCREW BN CANC 4X20MM,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN CANC 4X40MM,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN CANC 4X70MM,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN CANC 5.0X32MM,351.0,351.0,18.6,421.2,20
HCPCS,C1713,SCREW BN CANC 5MM 36MM,402.0,402.0,21.31,482.4,20
HCPCS,C1713,SCREW BN CANC 5MM 38MM,402.0,402.0,21.31,482.4,20
HCPCS,C1713,SCREW BN CANC 5MM 40MM,402.0,402.0,21.31,482.4,20
HCPCS,C1713,SCREW BN CANC 5MM 44MM,402.0,402.0,21.31,482.4,20
HCPCS,C1713,SCREW BN CANC 5MM 46MM,351.0,351.0,18.6,421.2,20
HCPCS,C1713,SCREW BN CANC 5MM 48MM,351.0,351.0,18.6,421.2,20
HCPCS,C1713,SCREW BN CANC 5MM 50MM,402.0,402.0,21.31,482.4,20
HCPCS,C1713,SCREW BN CANC 5MM 54MM,402.0,402.0,21.31,482.4,20
HCPCS,C1713,SCREW BN CANC 5MM 56MM,402.0,402.0,21.31,482.4,20
HCPCS,C1713,SCREW BN CANC 6.5X115X16,76.0,76.0,4.03,91.2,20
HCPCS,C1713,SCREW BN CANC 6.5X30,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BN CANC 6.5X95MM,61.0,61.0,3.23,73.2,20
HCPCS,C1713,SCREW BN CANC F/T 4X65MM,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN CANC FT 6X85MM,79.04,79.04,4.19,94.85,20
HCPCS,C1713,SCREW BN CANC LCK 4.0X32,460.0,460.0,24.38,552.0,20
HCPCS,C1713,SCREW BN CANC LCK 4X38,480.0,480.0,25.44,576.0,20
HCPCS,C1713,SCREW BN CANC LCK 4X42,460.0,460.0,24.38,552.0,20
HCPCS,C1713,SCREW BN CANC LCK 4X44,480.0,480.0,25.44,576.0,20
HCPCS,C1713,SCREW BN CANC PLCK 4X46,460.0,460.0,24.38,552.0,20
HCPCS,C1713,SCREW BN CANC PLRS 5X40,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN CANC SM 4X60MM,30.0,30.0,1.59,36.0,20
HCPCS,C1713,SCREW BN CANC UNITE 4X10,259.0,259.0,13.73,310.8,20
HCPCS,C1713,SCREW BN CANCELLOUS 75MM,710.0,710.0,37.63,852.0,20
HCPCS,C1713,SCREW BN CANCELLOUS 90MM,710.0,710.0,37.63,852.0,20
HCPCS,C1713,SCREW BN CANCL ARTH,710.0,710.0,37.63,852.0,20
HCPCS,C1713,SCREW BN CANN 16MM,780.0,780.0,41.34,936.0,20
HCPCS,C1713,SCREW BN CANN 2.0X06MM,566.0,566.0,30.0,679.2,20
HCPCS,C1713,SCREW BN CANN 2.5X14MM,537.0,537.0,28.46,644.4,20
HCPCS,C1713,SCREW BN CANN 3.5MM 34MM,789.0,789.0,41.82,946.8,20
HCPCS,C1713,SCREW BN CANN 3.5X16MM,320.0,320.0,16.96,384.0,20
HCPCS,C1713,SCREW BN CANN 3.5X34MM,320.0,320.0,16.96,384.0,20
HCPCS,C1713,SCREW BN CANN 3.5X38MM,386.0,386.0,20.46,463.2,20
HCPCS,C1713,SCREW BN CANN 3MM 26MM,315.0,315.0,16.7,378.0,20
HCPCS,C1713,SCREW BN CANN 3MM 28MM,345.0,345.0,18.29,414.0,20
HCPCS,C1713,SCREW BN CANN 3MM 30MM,345.0,345.0,18.29,414.0,20
HCPCS,C1713,SCREW BN CANN 3X20MM,780.0,780.0,41.34,936.0,20
HCPCS,C1713,SCREW BN CANN 3X40MM,456.0,456.0,24.17,547.2,20
HCPCS,C1713,SCREW BN CANN 4.0MM 50MM,677.0,677.0,35.88,812.4,20
HCPCS,C1713,SCREW BN CANN 4.0X24MM,846.0,846.0,44.84,1015.2,20
HCPCS,C1713,SCREW BN CANN 4.0X26MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN CANN 4.0X44MM,363.0,363.0,19.24,435.6,20
HCPCS,C1713,SCREW BN CANN 4.5X40MM,2015.0,2015.0,106.8,2418.0,20
HCPCS,C1713,SCREW BN CANN 4.5X44MM,2015.0,2015.0,106.8,2418.0,20
HCPCS,C1713,SCREW BN CANN 4MM 32MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN CANN 4MM 34MM,341.0,341.0,17.33,946.8,60
HCPCS,C1713,SCREW BN CANN 4MM 40MM,288.0,288.0,15.26,345.6,20
HCPCS,C1713,SCREW BN CANN 4MM 42MM,794.0,794.0,15.26,1560.0,40
HCPCS,C1713,SCREW BN CANN 4MM 48MM,352.0,352.0,18.66,422.4,20
HCPCS,C1713,SCREW BN CANN 4MM 55MM,29.0,29.0,1.54,34.8,20
HCPCS,C1713,SCREW BN CANN 4MM 60MM,236.0,236.0,12.51,283.2,20
HCPCS,C1713,SCREW BN CANN 4X18MM,434.0,434.0,23.0,520.8,20
HCPCS,C1713,SCREW BN CANN 4X24MM,613.52,613.52,32.52,736.22,20
HCPCS,C1713,SCREW BN CANN 4X28MM,613.52,613.52,32.52,736.22,20
HCPCS,C1713,SCREW BN CANN 4X32MM,886.0,886.0,46.96,1063.2,20
HCPCS,C1713,SCREW BN CANN 4X34MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW BN CANN 4X38MM,484.0,484.0,18.76,736.8,40
HCPCS,C1713,SCREW BN CANN 4X40MM,607.5,607.5,23.05,936.0,40
HCPCS,C1713,SCREW BN CANN 4X42MM,780.0,780.0,41.34,936.0,20
HCPCS,C1713,SCREW BN CANN 4X44MM,666.5,666.5,19.03,1168.8,40
HCPCS,C1713,SCREW BN CANN 4X50MM,284.0,284.0,15.05,340.8,20
HCPCS,C1713,SCREW BN CANN 4X55MM,330.0,330.0,17.49,396.0,20
HCPCS,C1713,SCREW BN CANN 4X5X64MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN CANN 4X9X22MM,677.0,677.0,35.88,812.4,20
HCPCS,C1713,SCREW BN CANN 5.0X30MM,472.0,472.0,25.02,566.4,20
HCPCS,C1713,SCREW BN CANN 5.0X35MM,472.0,472.0,25.02,566.4,20
HCPCS,C1713,SCREW BN CANN 5.0X75MM,472.0,472.0,25.02,566.4,20
HCPCS,C1713,SCREW BN CANN 5.5X55MM,3664.5,3664.5,70.44,7200.0,40
HCPCS,C1713,SCREW BN CANN 5.5X60MM,606.0,606.0,32.12,727.2,20
HCPCS,C1713,SCREW BN CANN 5.7X44MM,628.0,628.0,33.28,753.6,20
HCPCS,C1713,SCREW BN CANN 5.7X55MM,628.0,628.0,33.28,753.6,20
HCPCS,C1713,SCREW BN CANN 5X40MM,472.0,472.0,25.02,566.4,20
HCPCS,C1713,SCREW BN CANN 5X50MM,472.0,472.0,25.02,566.4,20
HCPCS,C1713,SCREW BN CANN 5X65MM,472.0,472.0,25.02,566.4,20
HCPCS,C1713,SCREW BN CANN 5X70MM,472.0,472.0,25.02,566.4,20
HCPCS,C1713,SCREW BN CANN 5X80MM,472.0,472.0,25.02,566.4,20
HCPCS,C1713,SCREW BN CANN 5X85MM,472.0,472.0,25.02,566.4,20
HCPCS,C1713,SCREW BN CANN 5X90MM,472.0,472.0,25.02,566.4,20
HCPCS,C1713,SCREW BN CANN 6.5X145MM,416.0,416.0,20.25,540.0,40
HCPCS,C1713,SCREW BN CANN 6.5X16X65,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN CANN 6.5X65MM,358.0,358.0,18.97,429.6,20
HCPCS,C1713,SCREW BN CANN 6.5X70MM,503.0,503.0,26.66,603.6,20
HCPCS,C1713,SCREW BN CANN 6.5X75MM,503.0,503.0,26.66,603.6,20
HCPCS,C1713,SCREW BN CANN 6.5X90MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN CANN 7.3MM 70MM,447.0,447.0,23.69,536.4,20
HCPCS,C1713,SCREW BN CANN 70,710.0,710.0,37.63,852.0,20
HCPCS,C1713,SCREW BN CANN 8X80X16MM,1020.0,1020.0,54.06,1224.0,20
HCPCS,C1713,SCREW BN CANN HD 5.5X85,606.0,606.0,32.12,727.2,20
HCPCS,C1713,SCREW BN CANN HDLS 7X76,1424.0,1424.0,75.47,1708.8,20
HCPCS,C1713,SCREW BN CANN IMPL 2500,668.0,668.0,35.4,801.6,20
HCPCS,C1713,SCREW BN CANN LCKNG 3X12,278.0,278.0,14.73,333.6,20
HCPCS,C1713,SCREW BN CANN P-T 8X65MM,1008.0,1008.0,53.42,1209.6,20
HCPCS,C1713,SCREW BN CANN P-T7X50X16,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN CANN P-T7X75X16,492.0,492.0,26.08,590.4,20
HCPCS,C1713,SCREW BN CANN ST 16,420.0,420.0,22.26,504.0,20
HCPCS,C1713,SCREW BN CERV 4X14MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN CMP 3.5X28,212.0,212.0,11.24,254.4,20
HCPCS,C1713,SCREW BN CMP 3.5X32,212.0,212.0,11.24,254.4,20
HCPCS,C1713,SCREW BN CMP 3.5X34,212.0,212.0,11.24,254.4,20
HCPCS,C1713,SCREW BN CMP R3.5X36,212.0,212.0,11.24,254.4,20
HCPCS,C1713,SCREW BN CMPR 2.5X30MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN CMPR 2.7MM 10MM,649.0,649.0,34.4,778.8,20
HCPCS,C1713,SCREW BN CMPR 2.7MM 28MM,223.0,223.0,11.82,267.6,20
HCPCS,C1713,SCREW BN CMPR 2MM 10MM,395.0,395.0,20.93,474.0,20
HCPCS,C1713,SCREW BN CMPR 3.5X12MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,SCREW BN CMPR 3.5X45MM,642.0,642.0,34.03,770.4,20
HCPCS,C1713,SCREW BN CMPR 3.5X60MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW BN CMPR 3X14MM,184.0,184.0,9.75,220.8,20
HCPCS,C1713,SCREW BN CMPR 3X8MM,184.0,184.0,9.75,220.8,20
HCPCS,C1713,SCREW BN CMPR 4.5MM 35MM,660.0,660.0,34.98,792.0,20
HCPCS,C1713,SCREW BN CMPR 4.5X26MM,660.0,660.0,34.98,792.0,20
HCPCS,C1713,SCREW BN CMPR 4.5X30MM,290.0,290.0,15.37,348.0,20
HCPCS,C1713,SCREW BN CMPR 4.5X36MM,290.0,290.0,15.37,348.0,20
HCPCS,C1713,SCREW BN CMPR 4MM 48MM,788.0,788.0,41.76,945.6,20
HCPCS,C1713,SCREW BN CMPR 70/65MM,1309.0,1309.0,69.38,1570.8,20
HCPCS,C1713,SCREW BN CMPR 7MM 60MM,1390.0,1390.0,73.67,1668.0,20
HCPCS,C1713,SCREW BN CMPR F-T 7X75MM,1390.0,1390.0,73.67,1668.0,20
HCPCS,C1713,SCREW BN CMPR F-T 7X80MM,1390.0,1390.0,73.67,1668.0,20
HCPCS,C1713,SCREW BN CMPR LCK CAP,412.0,412.0,21.84,494.4,20
HCPCS,C1713,SCREW BN CMPR MALE 45MM,316.0,316.0,16.75,379.2,20
HCPCS,C1713,SCREW BN CMPR MALE 50MM,316.0,316.0,16.75,379.2,20
HCPCS,C1713,SCREW BN CMPR MALE 55MM,316.0,316.0,16.75,379.2,20
HCPCS,C1713,SCREW BN CMPR MALE 60MM,316.0,316.0,16.75,379.2,20
HCPCS,C1713,SCREW BN CMPR MALE 65MM,316.0,316.0,16.75,379.2,20
HCPCS,C1713,SCREW BN CMPR TI 4X20,383.0,383.0,20.3,459.6,20
HCPCS,C1713,SCREW BN CMPR TROCHLEAR,580.0,580.0,30.74,696.0,20
HCPCS,C1713,SCREW BN CMPRS 2.5 40MM,770.0,770.0,40.81,924.0,20
HCPCS,C1713,SCREW BN CMPRSN 2.7X2MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN CMPRSN 3.5X35MM,378.0,378.0,20.03,453.6,20
HCPCS,C1713,SCREW BN CMPRSN 4.5X16MM,290.0,290.0,15.37,348.0,20
HCPCS,C1713,SCREW BN CMPRSN 4.5X32MM,342.0,342.0,18.13,410.4,20
HCPCS,C1713,SCREW BN CNDR 5X4.4X35MM,326.0,326.0,17.28,391.2,20
HCPCS,C1713,SCREW BN CNDRL 5X22MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN CNN P-T7X100X16,2564.0,2564.0,135.89,3076.8,20
HCPCS,C1713,SCREW BN CNTR 6.5X30MM,190.0,190.0,10.07,228.0,20
HCPCS,C1713,SCREW BN COCR 2.5X18MM,242.0,242.0,12.83,290.4,20
HCPCS,C1713,SCREW BN COMP 2.7X24MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN COMP 3.5X16MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN COMP 3.5X26MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN CONDYLAR FSTN,315.0,315.0,16.7,378.0,20
HCPCS,C1713,SCREW BN CORT 2.0MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN CORT 2.0X12MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN CORT 2.0X14MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW BN CORT 2.0X16MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN CORT 2.4X12MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW BN CORT 2.4X42MM,135.0,135.0,7.16,162.0,20
HCPCS,C1713,SCREW BN CORT 2.7MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN CORT 2.7MM 26MM,66.0,66.0,3.5,79.2,20
HCPCS,C1713,SCREW BN CORT 2.7MM 30MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CORT 2.7MM 32MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CORT 2.7MM 36MM,230.0,230.0,12.19,276.0,20
HCPCS,C1713,SCREW BN CORT 2.7MM 46MM,230.0,230.0,12.19,276.0,20
HCPCS,C1713,SCREW BN CORT 2.7X13MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN CORT 2.7X14MM,90.0,90.0,4.77,108.0,20
HCPCS,C1713,SCREW BN CORT 22MMX2.4MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW BN CORT 2MM 12MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CORT 2MM 14MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CORT 2MM 16MM,79.0,79.0,3.39,216.0,60
HCPCS,C1713,SCREW BN CORT 2MM 18MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CORT 2MM 8MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CORT 2X10MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW BN CORT 2X12MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW BN CORT 2X18MM,148.0,148.0,7.84,177.6,20
HCPCS,C1713,SCREW BN CORT 2X20MM,231.0,231.0,12.24,277.2,20
HCPCS,C1713,SCREW BN CORT 2X28MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN CORT 3.5MM 10MM,230.0,230.0,12.19,276.0,20
HCPCS,C1713,SCREW BN CORT 3.5MM 14MM,224.0,224.0,11.55,276.0,40
HCPCS,C1713,SCREW BN CORT 3.5MM 16MM,230.0,230.0,12.19,276.0,20
HCPCS,C1713,SCREW BN CORT 3.5MM 18MM,218.0,218.0,11.55,261.6,20
HCPCS,C1713,SCREW BN CORT 3.5MM 20MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,SCREW BN CORT 3.5MM 26MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,SCREW BN CORT 3.5MM 32MM,230.0,230.0,12.19,276.0,20
HCPCS,C1713,SCREW BN CORT 3.5MM 38MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN CORT 3.5X10MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CORT 3.5X12MM,172.0,172.0,9.12,206.4,20
HCPCS,C1713,SCREW BN CORT 3.5X14MM,132.0,132.0,3.71,206.4,60
HCPCS,C1713,SCREW BN CORT 3.5X16MM,120.0,120.0,6.36,144.0,20
HCPCS,C1713,SCREW BN CORT 3.5X18MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,SCREW BN CORT 3.5X20,274.0,274.0,14.52,328.8,20
HCPCS,C1713,SCREW BN CORT 3.5X22.5MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN CORT 3.5X24MM,172.0,172.0,3.71,684.0,60
HCPCS,C1713,SCREW BN CORT 3.5X32MM,169.0,169.0,8.96,202.8,20
HCPCS,C1713,SCREW BN CORT 3.5X34MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN CORT 3.5X36MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN CORT 3.5X40MM,70.0,70.0,3.71,84.0,20
HCPCS,C1713,SCREW BN CORT 3.5X50MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN CORT 3.5X6X46MM,36.0,36.0,1.91,43.2,20
HCPCS,C1713,SCREW BN CORT 3.5X6X48MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN CORT 36X4.5MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN CORT 3MM 16MM,250.0,250.0,13.25,300.0,20
HCPCS,C1713,SCREW BN CORT 3X14MM,316.0,316.0,16.75,379.2,20
HCPCS,C1713,SCREW BN CORT 3X18MM,250.0,250.0,13.25,300.0,20
HCPCS,C1713,SCREW BN CORT 3X46MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW BN CORT 4.0X24MM,290.0,290.0,15.37,348.0,20
HCPCS,C1713,SCREW BN CORT 4.0X26MM,290.0,290.0,15.37,348.0,20
HCPCS,C1713,SCREW BN CORT 4.5MM 68MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN CORT 4.5X20MM,71.0,71.0,3.76,85.2,20
HCPCS,C1713,SCREW BN CORT 4.5X30MM,71.0,71.0,3.76,85.2,20
HCPCS,C1713,SCREW BN CORT 4.5X40MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN CORT 4MM 28MM,121.0,121.0,6.41,145.2,20
HCPCS,C1713,SCREW BN CORT 4MMX40MM,121.0,121.0,6.41,145.2,20
HCPCS,C1713,SCREW BN CORT 55X3.5,28.98,28.98,1.54,34.78,20
HCPCS,C1713,SCREW BN CORT 5X20MM LCK,314.08,314.08,16.65,376.9,20
HCPCS,C1713,SCREW BN CORT 6.5X15MM,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW BN CORT LCK 10MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,SCREW BN CORT LCK 14X2.4,136.0,136.0,7.21,163.2,20
HCPCS,C1713,SCREW BN CORT LCK 22.5,480.0,480.0,25.44,576.0,20
HCPCS,C1713,SCREW BN CORT LCK AOS 18,370.0,370.0,19.61,444.0,20
HCPCS,C1713,SCREW BN CORT LCK AOS 20,370.0,370.0,19.61,444.0,20
HCPCS,C1713,SCREW BN CORT LCK AOS 22,370.0,370.0,19.61,444.0,20
HCPCS,C1713,SCREW BN CORT LP 3.5X11,126.0,126.0,6.68,151.2,20
HCPCS,C1713,SCREW BN CORT ST 3.5X12,96.0,96.0,5.09,115.2,20
HCPCS,C1713,SCREW BN CORT T4 1.5X4MM,79.0,79.0,4.19,94.8,20
HCPCS,C1713,SCREW BN CORT T6 2X12MM,79.0,79.0,4.19,94.8,20
HCPCS,C1713,SCREW BN CORT T6 2X20MM,79.0,79.0,4.19,94.8,20
HCPCS,C1713,SCREW BN CORTEX 3.5X85,45.36,45.36,2.4,54.43,20
HCPCS,C1713,SCREW BN CORTEX 4.5X14MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN CP LCK 2.3X12MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW BN CPTR HEX 4.5X30,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW BN CPTR HEX 4.5X35,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW BN CPTR HEX 4.5X40,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW BN CPTR HEX 4.5X45,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW BN CPTR HEX 5X35,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW BN CPTR HEX 5X50,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW BN CPTR HEX 5X60,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW BN CPTR HEX 5X70,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW BN CPTR HEX 5X75,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW BN CPTR HEX 5X80,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW BN CRNL SD 1.9X4MM,85.0,85.0,4.5,102.0,20
HCPCS,C1713,SCREW BN CRNL TI 1.9X5MM,70.0,70.0,3.71,84.0,20
HCPCS,C1713,SCREW BN CRNMXF 2X5MM,174.0,174.0,9.22,208.8,20
HCPCS,C1713,SCREW BN CRNMXF 4X1.7MM,175.0,175.0,9.28,210.0,20
HCPCS,C1713,SCREW BN CRTCL 4.5X40MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN CRTX 1.5X10MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CRTX 1.5X11MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CRTX 1.5X12MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CRTX 1.5X14MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CRTX 1.5X16MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CRTX 1.5X6MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CRTX 1.5X7MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CRTX 1.5X8MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CRTX 1.5X9MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN CRTX 2X10MM,69.0,69.0,3.66,82.8,20
HCPCS,C1713,SCREW BN CRTX 3.5MM 58MM,62.0,62.0,3.29,74.4,20
HCPCS,C1713,SCREW BN CRTX 3.5X24MM,74.0,74.0,3.92,88.8,20
HCPCS,C1713,SCREW BN CRTX 4.5X24MM,71.0,71.0,3.76,85.2,20
HCPCS,C1713,SCREW BN CRTX 4.5X26MM,71.0,71.0,3.76,85.2,20
HCPCS,C1713,SCREW BN CRTX 4.5X28MM,71.0,71.0,3.76,85.2,20
HCPCS,C1713,SCREW BN CRTX 4.5X32MM,71.0,71.0,3.76,85.2,20
HCPCS,C1713,SCREW BN CRTX 4.5X42MM,71.0,71.0,3.76,85.2,20
HCPCS,C1713,SCREW BN CRTX 4.5X90MM,80.0,80.0,4.24,96.0,20
HCPCS,C1713,SCREW BN CRTX 4X30MM,121.0,121.0,6.41,145.2,20
HCPCS,C1713,SCREW BN CRTX 4X32MM,121.0,121.0,6.41,145.2,20
HCPCS,C1713,SCREW BN CRTX ST2.7X20MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN DSCVR HXALBLR,548.0,548.0,29.04,657.6,20
HCPCS,C1713,SCREW BN ELB 2.7MM 16MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,SCREW BN ELB 28MM,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1713,SCREW BN ELB 3.5MM 24MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,SCREW BN ELB T8 2.7MM,77.0,77.0,4.08,92.4,20
HCPCS,C1713,SCREW BN ELBW 3.5X45MM,218.0,218.0,11.55,261.6,20
HCPCS,C1713,SCREW BN F-T 4.6X26MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW BN F-T 4X50MM,332.5,332.5,10.18,567.6,40
HCPCS,C1713,SCREW BN F-T 5X50MM,2062.0,2062.0,109.29,2474.4,20
HCPCS,C1713,SCREW BN F-T 6.7X70MM,514.0,514.0,27.24,616.8,20
HCPCS,C1713,SCREW BN F-T 6.7X75MM,514.0,514.0,27.24,616.8,20
HCPCS,C1713,SCREW BN F-T 6.7X85MM,570.0,570.0,30.21,684.0,20
HCPCS,C1713,SCREW BN F/T 4MM 30MM,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN F/T 4MM 38MM,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN FA LCK 4X36MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN FA LCK 4X40MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN FEM 5MM 52.5MM,362.0,362.0,19.19,434.4,20
HCPCS,C1713,SCREW BN FEM STRL 90MM,579.0,579.0,30.69,694.8,20
HCPCS,C1713,SCREW BN FEM SYS 110MM,579.0,579.0,30.69,694.8,20
HCPCS,C1713,SCREW BN FL THRD 3.5X26,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN FT 3.5X42MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW BN FT 4MM 30MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN FT 4MM 34MM,192.0,192.0,10.18,230.4,20
HCPCS,C1713,SCREW BN FT 4MM 48MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,SCREW BN FULL 2.7X16MM,250.0,250.0,13.25,300.0,20
HCPCS,C1713,SCREW BN GLND 25MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW BN GLND 5.0X34MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN GLND 5.5X16MM,160.0,160.0,8.48,192.0,20
HCPCS,C1713,SCREW BN GLND 6.5X40MM,600.0,600.0,31.8,720.0,20
HCPCS,C1713,SCREW BN GLND PLATE LT,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW BN GOEZ 2.5X16MM,370.0,370.0,19.61,444.0,20
HCPCS,C1713,SCREW BN HD 2MM 24MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HD 3.5MM 18MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HD 3.5X20MM,321.0,321.0,17.01,385.2,20
HCPCS,C1713,SCREW BN HD 3.5X22MM,321.0,321.0,17.01,385.2,20
HCPCS,C1713,SCREW BN HD 4MM 22MM,353.0,353.0,18.71,423.6,20
HCPCS,C1713,SCREW BN HD 4MM 30MM,353.0,353.0,18.71,423.6,20
HCPCS,C1713,SCREW BN HD 4MM 32MM,353.0,353.0,18.71,423.6,20
HCPCS,C1713,SCREW BN HD 4MM 40MM,353.0,353.0,18.71,423.6,20
HCPCS,C1713,SCREW BN HD 4MM 46MM,353.0,353.0,18.71,423.6,20
HCPCS,C1713,SCREW BN HD CAN 4.0X34MM,434.0,434.0,23.0,520.8,20
HCPCS,C1713,SCREW BN HDED 3.5MM 20MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HDED 3.5MM 22MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HDED 3.5MM 24MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HDED 3.5MM 26MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HDED 3.5MM 30MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HDED 3.5MM 38MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HDED 3.5MM 42MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HDED 3.5MM 46MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HDED 3.5MM 48MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HDED 4MM 24MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HDLS 3.5X12MM,642.0,642.0,34.03,770.4,20
HCPCS,C1713,SCREW BN HDLS 3.5X48MM,456.0,456.0,24.17,547.2,20
HCPCS,C1713,SCREW BN HDLS 3X14MM,586.0,586.0,31.06,703.2,20
HCPCS,C1713,SCREW BN HDLS 4.5X26MM,789.0,789.0,41.82,946.8,20
HCPCS,C1713,SCREW BN HDLS 6.5X45MM,1329.0,1329.0,70.44,1594.8,20
HCPCS,C1713,SCREW BN HDLS 6.5X55MM,1329.0,1329.0,70.44,1594.8,20
HCPCS,C1713,SCREW BN HDLSS 2.3X40MM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1713,SCREW BN HDLSS 2.3X45MM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1713,SCREW BN HDLSS 2.3X50MM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1713,SCREW BN HDLSS 4.0X34MM,500.0,500.0,26.5,600.0,20
HCPCS,C1713,SCREW BN HDLSS 4X48MM,722.0,722.0,38.27,866.4,20
HCPCS,C1713,SCREW BN HEAD 3MM 18MM,315.0,315.0,16.7,378.0,20
HCPCS,C1713,SCREW BN HEADED 2MM 14MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 2MM 20MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 2MM 24MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 3MM 16MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 3MM 20MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 3MM 22MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 3MM 24MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 3X16MM,315.0,315.0,16.7,378.0,20
HCPCS,C1713,SCREW BN HEADED 3X22MM,315.0,315.0,16.7,378.0,20
HCPCS,C1713,SCREW BN HEADED 4MM 34MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 4MM 36MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 4MM 38MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 4MM 40MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 4MM 42MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 4MM 44MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 4MM 46MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 4MM 48MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN HEADED 4X34MM,354.0,354.0,18.76,424.8,20
HCPCS,C1713,SCREW BN HEADED 4X42MM,354.0,354.0,18.76,424.8,20
HCPCS,C1713,SCREW BN HEADED 4X46MM,354.0,354.0,18.76,424.8,20
HCPCS,C1713,SCREW BN HEADLESS 3.0X16,587.0,587.0,31.11,704.4,20
HCPCS,C1713,SCREW BN HIP 4.5MM 36MM,44.0,44.0,2.33,52.8,20
HCPCS,C1713,SCREW BN HIP 4.5MM 38MM,44.0,44.0,2.33,52.8,20
HCPCS,C1713,SCREW BN HIP 6.5MM 20MM,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW BN HUM 3.5MM 10MM,144.0,144.0,7.63,172.8,20
HCPCS,C1713,SCREW BN HUM 3.5MM 12MM,144.0,144.0,7.63,172.8,20
HCPCS,C1713,SCREW BN HUM 3.5MM 14MM,144.0,144.0,7.63,172.8,20
HCPCS,C1713,SCREW BN HUM 3.5MM 18MM,144.0,144.0,7.63,172.8,20
HCPCS,C1713,SCREW BN HUM 3.5MM 40MM,378.0,378.0,20.03,453.6,20
HCPCS,C1713,SCREW BN HUM PLT,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN IM 10.5X90MM,776.0,776.0,41.13,931.2,20
HCPCS,C1713,SCREW BN IM 10.5X95MM,776.0,776.0,41.13,931.2,20
HCPCS,C1713,SCREW BN INJ 3.5X30MM,359.0,359.0,19.03,430.8,20
HCPCS,C1713,SCREW BN INJ 3.5X33MM,717.0,717.0,38.0,860.4,20
HCPCS,C1713,SCREW BN INJ 3.5X39MM,717.0,717.0,38.0,860.4,20
HCPCS,C1713,SCREW BN INJ 3.5X42MM,717.0,717.0,38.0,860.4,20
HCPCS,C1713,SCREW BN INJ 3.5X45MM,717.0,717.0,38.0,860.4,20
HCPCS,C1713,SCREW BN INJ 3.5X48MM,717.0,717.0,38.0,860.4,20
HCPCS,C1713,SCREW BN INTFR 9X30MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN KIT 75MM/70MM,1309.0,1309.0,65.56,4387.2,60
HCPCS,C1713,SCREW BN KIT 75MM/80MM,1237.0,1237.0,65.56,1484.4,20
HCPCS,C1713,SCREW BN KIT 85MM/80MM,1237.0,1237.0,65.56,1484.4,20
HCPCS,C1713,SCREW BN KIT 90MM/85MM,1237.0,1237.0,65.56,1484.4,20
HCPCS,C1713,SCREW BN L-T 4X54MM,341.0,341.0,18.07,409.2,20
HCPCS,C1713,SCREW BN L/T CANN 4X50MM,434.0,434.0,23.0,520.8,20
HCPCS,C1713,SCREW BN LAG 1.4X4X48MM,730.0,730.0,38.69,876.0,20
HCPCS,C1713,SCREW BN LAG 2.2X12MM,464.0,464.0,24.59,556.8,20
HCPCS,C1713,SCREW BN LAG 3MM 20MM,780.0,780.0,41.34,936.0,20
HCPCS,C1713,SCREW BN LAG 3MM 22MM,780.0,780.0,41.34,936.0,20
HCPCS,C1713,SCREW BN LAG 4X20MM,730.0,730.0,38.69,876.0,20
HCPCS,C1713,SCREW BN LAG 8.5MM,1020.0,1020.0,54.06,1224.0,20
HCPCS,C1713,SCREW BN LAG 85/80MM,1309.0,1309.0,69.38,1570.8,20
HCPCS,C1713,SCREW BN LAG PERITRCH 95,1362.0,1362.0,72.19,1634.4,20
HCPCS,C1713,SCREW BN LCK 2.0X12MM,492.0,492.0,26.08,590.4,20
HCPCS,C1713,SCREW BN LCK 2.0X13MM,492.0,492.0,26.08,590.4,20
HCPCS,C1713,SCREW BN LCK 2.2X8MM,636.0,636.0,33.71,763.2,20
HCPCS,C1713,SCREW BN LCK 2.4X10MM,203.0,203.0,9.01,283.2,40
HCPCS,C1713,SCREW BN LCK 2.4X14MM,390.0,390.0,20.67,468.0,20
HCPCS,C1713,SCREW BN LCK 2.4X16MM,322.0,322.0,17.07,386.4,20
HCPCS,C1713,SCREW BN LCK 2.4X18MM,322.0,322.0,17.07,386.4,20
HCPCS,C1713,SCREW BN LCK 2.5X12MM,342.0,342.0,18.13,410.4,20
HCPCS,C1713,SCREW BN LCK 2.5X16MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN LCK 2.7MM 12MM,205.0,205.0,10.87,246.0,20
HCPCS,C1713,SCREW BN LCK 2.7MM 14MM,205.0,205.0,10.87,246.0,20
HCPCS,C1713,SCREW BN LCK 2.7MM 16MM,232.5,232.5,10.87,312.0,40
HCPCS,C1713,SCREW BN LCK 2.7MM 18MM,205.0,205.0,10.87,246.0,20
HCPCS,C1713,SCREW BN LCK 2.7MM 20MM,308.0,308.0,16.32,369.6,20
HCPCS,C1713,SCREW BN LCK 2.7MM 22MM,197.0,197.0,10.44,236.4,20
HCPCS,C1713,SCREW BN LCK 2.7MM 40MM,230.0,230.0,12.19,276.0,20
HCPCS,C1713,SCREW BN LCK 2.7MM 8MM,205.0,205.0,10.87,246.0,20
HCPCS,C1713,SCREW BN LCK 2.7X10MM,284.0,284.0,15.05,340.8,20
HCPCS,C1713,SCREW BN LCK 2.7X12MM,415.0,415.0,22.0,498.0,20
HCPCS,C1713,SCREW BN LCK 2.7X14MM,308.0,308.0,16.32,369.6,20
HCPCS,C1713,SCREW BN LCK 2.7X17MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN LCK 2.7X18MM,308.0,308.0,16.32,369.6,20
HCPCS,C1713,SCREW BN LCK 2.7X20MM 4F,714.0,714.0,37.84,856.8,20
HCPCS,C1713,SCREW BN LCK 2.7X38MM,308.0,308.0,16.32,369.6,20
HCPCS,C1713,SCREW BN LCK 2.7X50MM,244.0,244.0,12.93,292.8,20
HCPCS,C1713,SCREW BN LCK 2.9X10MM,492.0,492.0,26.08,590.4,20
HCPCS,C1713,SCREW BN LCK 20MM,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW BN LCK 24X4MM,269.0,269.0,14.26,322.8,20
HCPCS,C1713,SCREW BN LCK 2X10MM,322.0,322.0,17.07,386.4,20
HCPCS,C1713,SCREW BN LCK 2X12MM,390.0,390.0,20.67,468.0,20
HCPCS,C1713,SCREW BN LCK 2X14MM,322.0,322.0,17.07,386.4,20
HCPCS,C1713,SCREW BN LCK 3.5MM 10MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN LCK 3.5MM 12MM,432.0,432.0,14.52,708.0,40
HCPCS,C1713,SCREW BN LCK 3.5MM 14MM,274.0,274.0,4.45,427.2,60
HCPCS,C1713,SCREW BN LCK 3.5MM 18MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN LCK 3.5MM 20MM,292.0,292.0,15.48,350.4,20
HCPCS,C1713,SCREW BN LCK 3.5MM 22MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN LCK 3.5MM 26MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN LCK 3.5MM 42MM,342.0,342.0,18.13,410.4,20
HCPCS,C1713,SCREW BN LCK 3.5MM 48MM,308.0,308.0,16.32,369.6,20
HCPCS,C1713,SCREW BN LCK 3.5MM 50MM,364.0,364.0,19.29,436.8,20
HCPCS,C1713,SCREW BN LCK 3.5MM 65MM,217.0,217.0,11.5,260.4,20
HCPCS,C1713,SCREW BN LCK 3.5MM 70MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN LCK 3.5MM 75MM,261.0,261.0,13.83,313.2,20
HCPCS,C1713,SCREW BN LCK 3.5MM 80MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN LCK 3.5MM 85MM,418.5,418.5,11.5,744.0,40
HCPCS,C1713,SCREW BN LCK 3.5MM 8MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN LCK 3.5MN 12MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN LCK 3.5X10MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,SCREW BN LCK 3.5X12MM,218.0,218.0,11.55,261.6,20
HCPCS,C1713,SCREW BN LCK 3.5X13MM,289.0,289.0,15.32,346.8,20
HCPCS,C1713,SCREW BN LCK 3.5X14MM,326.0,326.0,17.28,391.2,20
HCPCS,C1713,SCREW BN LCK 3.5X16,274.0,274.0,14.52,328.8,20
HCPCS,C1713,SCREW BN LCK 3.5X16MM,326.0,326.0,17.28,391.2,20
HCPCS,C1713,SCREW BN LCK 3.5X18MM,466.0,466.0,18.13,708.0,40
HCPCS,C1713,SCREW BN LCK 3.5X20MM,326.0,326.0,17.28,391.2,20
HCPCS,C1713,SCREW BN LCK 3.5X22,274.0,274.0,14.52,328.8,20
HCPCS,C1713,SCREW BN LCK 3.5X24MM,218.0,218.0,11.55,261.6,20
HCPCS,C1713,SCREW BN LCK 3.5X32MM,307.5,307.5,15.32,391.2,40
HCPCS,C1713,SCREW BN LCK 3.5X34MM,280.0,280.0,11.55,410.4,40
HCPCS,C1713,SCREW BN LCK 3.5X35,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN LCK 3.5X36MM,217.0,217.0,11.5,260.4,20
HCPCS,C1713,SCREW BN LCK 3.5X38MM,263.5,263.5,11.5,372.0,40
HCPCS,C1713,SCREW BN LCK 3.5X40,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN LCK 3.5X40MM,253.5,253.5,11.55,346.8,40
HCPCS,C1713,SCREW BN LCK 3.5X44MM,308.0,308.0,16.32,369.6,20
HCPCS,C1713,SCREW BN LCK 3.5X46MM,342.0,342.0,18.13,410.4,20
HCPCS,C1713,SCREW BN LCK 3.5X48MM,490.0,490.0,20.67,708.0,40
HCPCS,C1713,SCREW BN LCK 3.5X50MM,332.0,332.0,17.07,410.4,40
HCPCS,C1713,SCREW BN LCK 3.5X65MM,218.0,218.0,11.55,261.6,20
HCPCS,C1713,SCREW BN LCK 3.7X38MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN LCK 3MM 10MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN LCK 3MM 12MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN LCK 3MM 14MM,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW BN LCK 3MM 16MM,2564.0,2564.0,135.89,3076.8,20
HCPCS,C1713,SCREW BN LCK 3MM 18MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN LCK 3MM 22MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN LCK 3MM 26MM,245.0,245.0,12.98,294.0,20
HCPCS,C1713,SCREW BN LCK 3MM 8MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN LCK 3X12MM,280.0,280.0,14.84,336.0,20
HCPCS,C1713,SCREW BN LCK 3X16MM,280.0,280.0,14.84,336.0,20
HCPCS,C1713,SCREW BN LCK 3X46MM,464.0,464.0,24.59,556.8,20
HCPCS,C1713,SCREW BN LCK 4.0X44MM,570.0,570.0,30.21,684.0,20
HCPCS,C1713,SCREW BN LCK 4.2X24MM,352.0,352.0,18.66,422.4,20
HCPCS,C1713,SCREW BN LCK 4.2X26MM,352.0,352.0,18.66,422.4,20
HCPCS,C1713,SCREW BN LCK 4.2X32MM,352.0,352.0,18.66,422.4,20
HCPCS,C1713,SCREW BN LCK 4.5MM 16MM,342.0,342.0,18.13,410.4,20
HCPCS,C1713,SCREW BN LCK 4.5MM 22MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN LCK 4.5MM 24MM,264.0,264.0,12.61,348.0,40
HCPCS,C1713,SCREW BN LCK 4.5MM 26MM,290.0,290.0,15.37,348.0,20
HCPCS,C1713,SCREW BN LCK 4.5MM 34MM,342.0,342.0,18.13,410.4,20
HCPCS,C1713,SCREW BN LCK 4.5MM 8MM,798.0,798.0,42.29,957.6,20
HCPCS,C1713,SCREW BN LCK 4.5X16MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN LCK 4.5X18MM,290.0,290.0,12.61,410.4,40
HCPCS,C1713,SCREW BN LCK 4.5X20MM,238.0,238.0,12.61,285.6,20
HCPCS,C1713,SCREW BN LCK 4.5X26MM,342.0,342.0,18.13,410.4,20
HCPCS,C1713,SCREW BN LCK 4MM 22MM,269.0,269.0,14.26,322.8,20
HCPCS,C1713,SCREW BN LCK 4MM 26MM,346.5,346.5,16.11,466.8,40
HCPCS,C1713,SCREW BN LCK 4MM 28MM,250.0,250.0,13.25,300.0,20
HCPCS,C1713,SCREW BN LCK 4MM 30MM,286.5,286.5,14.26,364.8,40
HCPCS,C1713,SCREW BN LCK 4MM 34MM,269.0,269.0,14.26,322.8,20
HCPCS,C1713,SCREW BN LCK 4MM 36MM,269.0,269.0,14.26,322.8,20
HCPCS,C1713,SCREW BN LCK 4MM 38MM,304.0,304.0,16.11,364.8,20
HCPCS,C1713,SCREW BN LCK 4MM 40MM,325.0,325.0,14.26,457.2,40
HCPCS,C1713,SCREW BN LCK 4MM 42MM,269.0,269.0,14.26,322.8,20
HCPCS,C1713,SCREW BN LCK 4MM 50MM,389.0,389.0,20.62,466.8,20
HCPCS,C1713,SCREW BN LCK 4X50MM,570.0,570.0,30.21,684.0,20
HCPCS,C1713,SCREW BN LCK 5.5MM 20MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN LCK 5.7X65MM,628.0,628.0,33.28,753.6,20
HCPCS,C1713,SCREW BN LCK 5.7X70MM,628.0,628.0,33.28,753.6,20
HCPCS,C1713,SCREW BN LCK 5.7X75MM,628.0,628.0,33.28,753.6,20
HCPCS,C1713,SCREW BN LCK 5MM 35MM,324.0,324.0,17.17,388.8,20
HCPCS,C1713,SCREW BN LCK 5MM 40MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN LCK 5MM 47MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN LCK 5MM 50MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN LCK 5MM 55MM,243.0,243.0,12.88,291.6,20
HCPCS,C1713,SCREW BN LCK 5MM 60MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN LCK 5MM 75MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN LCK 5MM 80MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN LCK 5MM 85MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN LCK 5X18MM,225.5,225.5,8.9,339.6,40
HCPCS,C1713,SCREW BN LCK 5X26MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN LCK 5X28MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN LCK 5X32.5MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN LCK 5X32MM,283.0,283.0,15.0,339.6,20
HCPCS,C1713,SCREW BN LCK 5X34MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN LCK 5X35,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN LCK 5X36MM,243.0,243.0,12.88,291.6,20
HCPCS,C1713,SCREW BN LCK 5X4.4X90MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN LCK 5X40,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN LCK 5X40MM,243.0,243.0,12.88,291.6,20
HCPCS,C1713,SCREW BN LCK 5X45MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN LCK 5X46MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN LCK 5X57.5MM,324.0,324.0,17.17,388.8,20
HCPCS,C1713,SCREW BN LCK 5X60MM,247.0,247.0,12.72,304.8,40
HCPCS,C1713,SCREW BN LCK 5X65,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN LCK 5X65MM,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW BN LCK 5X80MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN LCK 6.5MM 50MM,741.0,741.0,39.27,889.2,20
HCPCS,C1713,SCREW BN LCK 7MM 85MM,684.0,684.0,36.25,820.8,20
HCPCS,C1713,SCREW BN LCK LP 3X20MM,280.0,280.0,14.84,336.0,20
HCPCS,C1713,SCREW BN LCK S/T 2.4X9MM,400.0,400.0,21.2,480.0,20
HCPCS,C1713,SCREW BN LCK ST 2.7X24MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN LCK ST 3.5X36MM,289.0,289.0,15.32,346.8,20
HCPCS,C1713,SCREW BN LCK ST 5X44MM,467.0,467.0,24.75,560.4,20
HCPCS,C1713,SCREW BN LCK T8 2.7X15MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN LCK THRD 3.5X12,250.0,250.0,13.25,300.0,20
HCPCS,C1713,SCREW BN LCKG 3.5X32MM,390.0,390.0,20.67,468.0,20
HCPCS,C1713,SCREW BN LCKG 3.5X36MM,322.0,322.0,17.07,386.4,20
HCPCS,C1713,SCREW BN LCKG 3.5X40MM,390.0,390.0,20.67,468.0,20
HCPCS,C1713,SCREW BN LCKG 5X55MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN LCKG 5X65MM,324.0,324.0,17.17,388.8,20
HCPCS,C1713,SCREW BN LCKNG 2.2X10MM,668.0,668.0,35.4,801.6,20
HCPCS,C1713,SCREW BN LCKNG 3.5X12MM,342.0,342.0,18.13,410.4,20
HCPCS,C1713,SCREW BN LCKNG 3.5X26MM,342.0,342.0,18.13,410.4,20
HCPCS,C1713,SCREW BN LCKNG 3.5X28MM,280.0,280.0,11.55,410.4,40
HCPCS,C1713,SCREW BN LCKNG 3.5X40MM,342.0,342.0,18.13,410.4,20
HCPCS,C1713,SCREW BN LCKNG 3X50MM,218.0,218.0,11.55,261.6,20
HCPCS,C1713,SCREW BN LCKNG 5X80MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN LCP 3.5X65MM,233.0,233.0,12.35,279.6,20
HCPCS,C1713,SCREW BN LG CORT 4.5X40,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN LK 5X45MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN LOCK 3.5X14MM,170.0,170.0,9.01,204.0,20
HCPCS,C1713,SCREW BN LOCKING,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN LOPRO 3.5X20MM,132.0,132.0,7.0,158.4,20
HCPCS,C1713,SCREW BN LOPRO 3MM 60MM,243.0,243.0,12.88,291.6,20
HCPCS,C1713,SCREW BN LOPRO 5.0X22MM,830.0,830.0,43.99,996.0,20
HCPCS,C1713,SCREW BN LOPRO 5.0X35MM,830.0,830.0,43.99,996.0,20
HCPCS,C1713,SCREW BN LP TI 4X12MM,126.0,126.0,6.68,151.2,20
HCPCS,C1713,SCREW BN LPRO 3.5MM 44MM,132.0,132.0,7.0,158.4,20
HCPCS,C1713,SCREW BN LPRO 3.5MM 46MM,172.0,172.0,9.12,206.4,20
HCPCS,C1713,SCREW BN LPRO 5.0X24MM,830.0,830.0,43.99,996.0,20
HCPCS,C1713,SCREW BN LT 3.4X270MM,7490.0,7490.0,396.97,8988.0,20
HCPCS,C1713,SCREW BN LT 4X36MM,363.0,363.0,19.24,435.6,20
HCPCS,C1713,SCREW BN M/T 3.5X45MM,212.0,212.0,11.24,254.4,20
HCPCS,C1713,SCREW BN MALE 70MM,316.0,316.0,16.75,379.2,20
HCPCS,C1713,SCREW BN MAXTORQ 6X7,350.0,350.0,18.55,420.0,20
HCPCS,C1713,SCREW BN MDFC 12X1.7MM,122.0,122.0,6.47,146.4,20
HCPCS,C1713,SCREW BN MDFC 6X1.7 XPN,122.0,122.0,6.47,146.4,20
HCPCS,C1713,SCREW BN MED 35MM,1638.0,1638.0,86.81,1965.6,20
HCPCS,C1713,SCREW BN MINI 2.5X22MM,386.0,386.0,20.46,463.2,20
HCPCS,C1713,SCREW BN MINI 20MM,1051.0,1051.0,55.44,1267.2,40
HCPCS,C1713,SCREW BN MINI 3.5X48MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW BN MOD GLND 35MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW BN MTCRPL 3.6X55MM,2340.0,2340.0,124.02,2808.0,20
HCPCS,C1713,SCREW BN MTFX1 POD 3X12,370.0,370.0,19.61,444.0,20
HCPCS,C1713,SCREW BN MTPHSL 2.7X42MM,79.0,79.0,4.19,94.8,20
HCPCS,C1713,SCREW BN MTRSL 2.7X48MM,77.0,77.0,4.08,92.4,20
HCPCS,C1713,SCREW BN MXLFCL 1.7X4MM,122.0,122.0,6.47,146.4,20
HCPCS,C1713,SCREW BN MXLFCL 2.7X14MM,145.0,145.0,7.68,174.0,20
HCPCS,C1713,SCREW BN MXLFCL 2X14MM,111.0,111.0,5.88,133.2,20
HCPCS,C1713,SCREW BN MXLFCL 6X2MM,122.0,122.0,6.47,146.4,20
HCPCS,C1713,SCREW BN N-LCK 2.0X12MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN N-LCK 3.5X13MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,SCREW BN N-LCK 3.5X30MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,SCREW BN N-LCK 4.5X32MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN N-LCK 4.5X40MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN NLCK 2.4X10MM,259.0,259.0,13.73,310.8,20
HCPCS,C1713,SCREW BN NLCK 2.4X12MM,259.0,259.0,13.73,310.8,20
HCPCS,C1713,SCREW BN NLCK 2.5X10MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN NLCK 2.7MM 18MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN NLCK 2.7X10MM,259.0,259.0,13.73,310.8,20
HCPCS,C1713,SCREW BN NLCK 2.7X16MM,253.0,253.0,13.41,303.6,20
HCPCS,C1713,SCREW BN NLCK 3.5MM 12MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN NLCK 3.5MM 16MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN NLCK 3.5MM 18MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN NLCK 3.5MM 20MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN NLCK 3.5MM 24MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN NLCK 3.5MM 26MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN NLCK 3.5MM 80MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN NLCK 3.5MM 85MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN NLCK 3.5MM 8MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN NLCK 3.5X12MM,120.0,120.0,6.36,144.0,20
HCPCS,C1713,SCREW BN NLCK 3.5X16MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN NLCK 3.5X32MM,206.0,206.0,10.92,247.2,20
HCPCS,C1713,SCREW BN NLCK 3.5X34MM,259.0,259.0,13.73,310.8,20
HCPCS,C1713,SCREW BN NLCK 3.5X38MM,259.0,259.0,13.73,310.8,20
HCPCS,C1713,SCREW BN NLCK 3.5X40,430.0,430.0,22.79,516.0,20
HCPCS,C1713,SCREW BN NLCK 3.5X46MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN NLCK 3.5X48MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN NLCK 3.5X50MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCREW BN NLCK 3MM 10MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN NLCK 3MM 12MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN NLCK 3MM 14MM,174.0,174.0,9.22,208.8,20
HCPCS,C1713,SCREW BN NLCK 3MM 16MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN NLCK 3MM 18MM,182.0,182.0,9.65,218.4,20
HCPCS,C1713,SCREW BN NLCK 3MM 20MM,2341.0,2341.0,124.07,2809.2,20
HCPCS,C1713,SCREW BN NLCK 3MM 22MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN NLCK 3MM 24MM,124.0,124.0,6.57,148.8,20
HCPCS,C1713,SCREW BN NLCK 3MM 26MM,125.0,125.0,6.63,150.0,20
HCPCS,C1713,SCREW BN NLCK 3MM 30MM,124.0,124.0,6.57,148.8,20
HCPCS,C1713,SCREW BN NLCK 3MM 34MM,124.0,124.0,6.57,148.8,20
HCPCS,C1713,SCREW BN NLCK 3MM 8MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW BN NLCK 4.2X32MM,276.0,276.0,14.63,331.2,20
HCPCS,C1713,SCREW BN NLCKG 2.5X26MM,256.0,256.0,13.57,307.2,20
HCPCS,C1713,SCREW BN NLCKG 2.7X10MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN NLCKG 3.5MM,70.0,70.0,3.71,84.0,20
HCPCS,C1713,SCREW BN NLCKG 4.2X46MM,276.0,276.0,14.63,331.2,20
HCPCS,C1713,SCREW BN NLCKG 4.2X55MM,276.0,276.0,14.63,331.2,20
HCPCS,C1713,SCREW BN NLCKG 44X3.5MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN NON 2.7MM 20MM,40.0,40.0,2.12,48.0,20
HCPCS,C1713,SCREW BN NONLCK 3.5X24MM,259.0,259.0,13.73,310.8,20
HCPCS,C1713,SCREW BN NS LCK 5X30MM,304.0,304.0,16.11,364.8,20
HCPCS,C1713,SCREW BN NS LCK 5X32MM,304.0,304.0,16.11,364.8,20
HCPCS,C1713,SCREW BN NS LCK 5X34MM,304.0,304.0,16.11,364.8,20
HCPCS,C1713,SCREW BN NS LCK 5X36MM,305.0,305.0,16.16,366.0,20
HCPCS,C1713,SCREW BN NS LCK 5X38MM,304.0,304.0,16.11,364.8,20
HCPCS,C1713,SCREW BN NS LCK 5X40MM,304.0,304.0,16.11,364.8,20
HCPCS,C1713,SCREW BN NS LCK 5X42MM,304.0,304.0,16.11,364.8,20
HCPCS,C1713,SCREW BN NS LCK 5X48MM,304.0,304.0,16.11,364.8,20
HCPCS,C1713,SCREW BN NS LCK 5X50MM,304.0,304.0,16.11,364.8,20
HCPCS,C1713,SCREW BN OD S/T 4.5X16MM,400.0,400.0,21.2,480.0,20
HCPCS,C1713,SCREW BN ORTH 3.5X16MM,272.0,272.0,14.42,326.4,20
HCPCS,C1713,SCREW BN ORTH LOCK 16MM,370.0,370.0,19.61,444.0,20
HCPCS,C1713,SCREW BN OSTPN T7 3X16MM,280.0,280.0,14.84,336.0,20
HCPCS,C1713,SCREW BN P-AX 5MM 30MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN P/T 4MM 36MM,58.0,58.0,3.07,69.6,20
HCPCS,C1713,SCREW BN P/T 5MM 55MM,966.0,966.0,51.2,1159.2,20
HCPCS,C1713,SCREW BN P/T 5X65MM,966.0,966.0,51.2,1159.2,20
HCPCS,C1713,SCREW BN P/T 8X95X22MM,1160.0,1160.0,61.48,1392.0,20
HCPCS,C1713,SCREW BN PERI 4.5X16MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW BN PERI 4.5X32MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW BN PERPH 4.5X24MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN POLY 2.5X24MM,242.0,242.0,12.83,290.4,20
HCPCS,C1713,SCREW BN POLY 3.5X12MM,156.0,156.0,8.27,187.2,20
HCPCS,C1713,SCREW BN POLY 3X40MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN PRPLR HD 2.7X22,414.0,414.0,21.94,496.8,20
HCPCS,C1713,SCREW BN QFX 4X24MM,330.0,330.0,17.49,396.0,20
HCPCS,C1713,SCREW BN RADL HD SM 11MM,5733.64,5733.64,303.88,6880.37,20
HCPCS,C1713,SCREW BN RDS RT,190.0,190.0,10.07,228.0,20
HCPCS,C1713,SCREW BN RESC 2.7MM 8MM,354.0,354.0,18.76,424.8,20
HCPCS,C1713,SCREW BN RVRS 5.5X24MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN S/T 2.7MM 14MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BN S/T 3.5MM 16MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN S/T 3.5X14MM,62.0,62.0,3.29,74.4,20
HCPCS,C1713,SCREW BN S/T LCK2.7X16MM,247.0,247.0,13.09,296.4,20
HCPCS,C1713,SCREW BN S/TP 5MM 46MM,348.0,348.0,18.44,417.6,20
HCPCS,C1713,SCREW BN S/TP 5MM 55MM,348.0,348.0,18.44,417.6,20
HCPCS,C1713,SCREW BN S/TP 5MM 70MM,348.0,348.0,18.44,417.6,20
HCPCS,C1713,SCREW BN SET 4-40,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BN SHLDR 6X25MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN SHLDR LCK,704.0,704.0,37.31,844.8,20
HCPCS,C1713,SCREW BN SHT THRD 4X40MM,434.0,434.0,23.0,520.8,20
HCPCS,C1713,SCREW BN SLD TPR 3X24MM,780.0,780.0,41.34,936.0,20
HCPCS,C1713,SCREW BN SLF DRL 1.2X3MM,192.0,192.0,10.18,230.4,20
HCPCS,C1713,SCREW BN SLF DRL 1.2X4MM,165.0,165.0,8.74,198.0,20
HCPCS,C1713,SCREW BN SLF LCK 20X25MM,130.0,130.0,6.89,156.0,20
HCPCS,C1713,SCREW BN SLF TAP3.5X14MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN SLF TP 3.5X18MM,96.0,96.0,5.09,115.2,20
HCPCS,C1713,SCREW BN SLFDRL 1.7X6MM,171.0,171.0,9.06,205.2,20
HCPCS,C1713,SCREW BN SLFRET 4X18MM,168.0,168.0,8.9,201.6,20
HCPCS,C1713,SCREW BN SLFTAP 3.5X44MM,36.0,36.0,1.91,43.2,20
HCPCS,C1713,SCREW BN SLFTP 1.2X8MM,155.0,155.0,8.21,186.0,20
HCPCS,C1713,SCREW BN SLFTP 1.7X12MM,138.0,138.0,7.31,165.6,20
HCPCS,C1713,SCREW BN SLFTP 1.7X6MM,178.0,178.0,9.43,213.6,20
HCPCS,C1713,SCREW BN SLFTP 2.4X23MM,70.0,70.0,3.71,84.0,20
HCPCS,C1713,SCREW BN SLFTP 2.7X10MM,71.0,71.0,3.76,85.2,20
HCPCS,C1713,SCREW BN SLFTP 3.5X18,70.0,70.0,3.71,84.0,20
HCPCS,C1713,SCREW BN SLFTP 3.5X20,70.0,70.0,3.71,84.0,20
HCPCS,C1713,SCREW BN SLFTP 3.5X22MM,312.0,312.0,16.54,374.4,20
HCPCS,C1713,SCREW BN SLFTP 3.5X65MM,98.0,98.0,5.19,117.6,20
HCPCS,C1713,SCREW BN SLFTP 3.5X75MM,49.0,49.0,2.6,58.8,20
HCPCS,C1713,SCREW BN SLFTP 5X38MM,467.0,467.0,24.75,560.4,20
HCPCS,C1713,SCREW BN SM 2.7X4.3X36MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN SPN  4.5MM 17MM,415.0,415.0,22.0,498.0,20
HCPCS,C1713,SCREW BN SPN  4MM 10MM,415.0,415.0,22.0,498.0,40
HCPCS,C1713,SCREW BN SPN  4MM 12MM,415.0,415.0,22.0,498.0,20
HCPCS,C1713,SCREW BN SPN  4MM 15MM,415.0,415.0,22.0,498.0,20
HCPCS,C1713,SCREW BN SPN  4MM 17MM,415.0,415.0,22.0,498.0,40
HCPCS,C1713,SCREW BN SPN  4MM 18MM,415.0,415.0,22.0,498.0,20
HCPCS,C1713,SCREW BN SPN  4MM 19MM,415.0,415.0,22.0,498.0,20
HCPCS,C1713,SCREW BN SPN  4MM 20MM,415.0,415.0,22.0,498.0,40
HCPCS,C1713,SCREW BN SPN  6MM 30MM,314.0,314.0,16.64,376.8,20
HCPCS,C1713,SCREW BN SPN 2.6MM 5MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW BN SPN 3.5MM 10MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW BN SPN 3.5MM 24MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW BN SPN 3.5MM 28MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW BN SPN 3.5MM 32MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW BN SPN 3MM 10MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW BN SPN 3MM 8MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW BN SPN 4.2MM 14MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN SPN 4.2MM 16MM,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW BN SPN 4.2MM 19MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN SPN 4.2MM 20MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN SPN 4.5MM 13MM,415.0,415.0,22.0,498.0,20
HCPCS,C1713,SCREW BN SPN 4.5MM 15MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN SPN 4.5MM 30MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW BN SPN 4.5MM 35MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW BN SPN 4.5MM 40MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW BN SPN 4.5MM 50MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW BN SPN 4MM 14MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN SPN 4MM 15MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN SPN 4MM 16MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN SPN 4MM 32MM,1005.0,1005.0,53.27,1206.0,20
HCPCS,C1713,SCREW BN SPN 4MM 34MM,2406.0,2406.0,127.52,2887.2,20
HCPCS,C1713,SCREW BN SPN 4MM 36MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW BN SPN 4MM 38MM,1005.0,1005.0,53.27,1206.0,20
HCPCS,C1713,SCREW BN SPN 4MM 42MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW BN SPN 5.5MM 35MM,1450.0,1450.0,63.6,2040.0,40
HCPCS,C1713,SCREW BN SPN 5.5MM 40MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1713,SCREW BN SPN 5.5MM 45MM,1200.0,1200.0,63.6,1440.0,40
HCPCS,C1713,SCREW BN SPN 5MM 40MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW BN SPN 6.5MM 40MM,1200.0,1200.0,47.7,2640.0,60
HCPCS,C1713,SCREW BN SPN 6.5MM 45MM,1285.0,1285.0,47.7,2040.0,140
HCPCS,C1713,SCREW BN SPN 6.5MM 50MM,1200.0,1200.0,47.7,1644.0,60
HCPCS,C1713,SCREW BN SPN 7.5MM 40MM,1300.0,1300.0,47.7,2040.0,60
HCPCS,C1713,SCREW BN SPN 7.5MM 45MM,1450.0,1450.0,63.6,2040.0,40
HCPCS,C1713,SCREW BN SPN 7.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW BN SPN 7.5MM 55MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW BN SPN 7.5MM 70MM,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1713,SCREW BN SPN 9.5MM 80MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW BN SPN CERV 4X16MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN SPN STD,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW BN SPNE MOD NS,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW BN SPNL 2X14,760.0,760.0,40.28,912.0,20
HCPCS,C1713,SCREW BN SPNL 4.2X14MM,400.0,400.0,21.2,480.0,20
HCPCS,C1713,SCREW BN SPNL 4MM 18MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW BN SPNL FCT 5.5X50,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1713,SCREW BN SPRCL 6.5X20MM,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW BN SPRCL 6.5X30MM,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW BN SS 4X6X18X7MM,359.0,359.0,19.03,430.8,20
HCPCS,C1713,SCREW BN SS 7MM 2MM,78.0,78.0,4.13,93.6,20
HCPCS,C1713,SCREW BN SS 7X70X16MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN SS 7X80X16MM,462.0,462.0,24.49,554.4,20
HCPCS,C1713,SCREW BN SS 7X90X32MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCREW BN SS 7X95X16MM,462.0,462.0,24.49,554.4,20
HCPCS,C1713,SCREW BN SS 95 46 OD6.5,374.0,374.0,19.82,448.8,20
HCPCS,C1713,SCREW BN SS 95 46 OD8.0,1070.0,1070.0,56.71,1284.0,20
HCPCS,C1713,SCREW BN ST 1.2MM 12MM,155.0,155.0,8.21,186.0,20
HCPCS,C1713,SCREW BN ST 2.4MM 13MM,203.0,203.0,10.76,243.6,20
HCPCS,C1713,SCREW BN ST 2.4MM 14MM,203.0,203.0,10.76,243.6,20
HCPCS,C1713,SCREW BN ST 2.4MM 20MM,195.0,195.0,10.34,234.0,20
HCPCS,C1713,SCREW BN ST 2.5MM 15MM,386.0,386.0,20.46,463.2,20
HCPCS,C1713,SCREW BN ST 3.5X110MM,127.0,127.0,6.73,152.4,20
HCPCS,C1713,SCREW BN ST 4.5MM 18MM,37.0,37.0,1.96,44.4,20
HCPCS,C1713,SCREW BN STD 4X48MM,735.0,735.0,38.95,882.0,20
HCPCS,C1713,SCREW BN STNLS 2.0X40MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1713,SCREW BN STNLS 2.0X42MM,2340.0,2340.0,124.02,2808.0,20
HCPCS,C1713,SCREW BN STRL LCK 5X32MM,269.0,269.0,14.26,322.8,20
HCPCS,C1713,SCREW BN STRL LCK 5X36MM,269.0,269.0,14.26,322.8,20
HCPCS,C1713,SCREW BN STRL LCK 5X38MM,269.0,269.0,14.26,322.8,20
HCPCS,C1713,SCREW BN STRL LCK 5X42MM,269.0,269.0,14.26,322.8,20
HCPCS,C1713,SCREW BN STRL LCK 5X46MM,269.0,269.0,14.26,322.8,20
HCPCS,C1713,SCREW BN STRL LCK 5X48MM,269.0,269.0,14.26,322.8,20
HCPCS,C1713,SCREW BN STRNL 2.7X12,134.0,134.0,7.1,160.8,20
HCPCS,C1713,SCREW BN SUP 2.7X93,3130.0,3130.0,165.89,3756.0,20
HCPCS,C1713,SCREW BN SZ2.5 50MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW BN T10 3.5/L16MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN T10 3.5X18MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN T10 3.5X20MM,174.0,174.0,4.45,316.8,40
HCPCS,C1713,SCREW BN T10 3.5X22MM,250.0,250.0,13.25,300.0,20
HCPCS,C1713,SCREW BN T15 3.5X22MM,188.0,188.0,9.96,225.6,20
HCPCS,C1713,SCREW BN T55MM 4.5MM,368.0,368.0,19.5,441.6,20
HCPCS,C1713,SCREW BN T8 2.4X38MM,255.0,255.0,13.52,306.0,20
HCPCS,C1713,SCREW BN T8 2.7MM 12MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN T8 2.7X38MM,79.0,79.0,4.19,94.8,20
HCPCS,C1713,SCREW BN T8 2.7X4.5X10,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BN T8 2.7X4.5X13MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN T8 2.7X50MM,77.0,77.0,4.08,92.4,20
HCPCS,C1713,SCREW BN T8 S/T 2.7X26MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN TAN TROCH LAG,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1713,SCREW BN THRD 4.5X40MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW BN TI 2.4X16MM,649.0,649.0,34.4,778.8,20
HCPCS,C1713,SCREW BN TI 2.4X26MM,649.0,649.0,34.4,778.8,20
HCPCS,C1713,SCREW BN TI 2.4X28MM,620.0,620.0,32.86,744.0,20
HCPCS,C1713,SCREW BN TI 2.7X22MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN TI 3.5X26MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN TI 3.5X34MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN TI 3.5X50MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW BN TI 3MM 18MM,453.0,453.0,16.75,708.0,40
HCPCS,C1713,SCREW BN TI 3MM 22MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN TI 3MM 30MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN TI 5.5MM 42MM,1328.0,1328.0,70.38,1593.6,20
HCPCS,C1713,SCREW BN TI 5.5MM 48MM,1328.0,1328.0,70.38,1593.6,20
HCPCS,C1713,SCREW BN TI 5.5MM 65MM,1328.0,1328.0,70.38,1593.6,20
HCPCS,C1713,SCREW BN TI CANC 5X24MM,351.0,351.0,18.6,421.2,20
HCPCS,C1713,SCREW BN TI CANC 5X30MM,402.0,402.0,21.31,482.4,20
HCPCS,C1713,SCREW BN TI CANC 5X34MM,402.0,402.0,21.31,482.4,20
HCPCS,C1713,SCREW BN TI CORT 4X20MM,332.0,332.0,17.6,398.4,20
HCPCS,C1713,SCREW BN TI CORT 4X22MM,332.0,332.0,17.6,398.4,20
HCPCS,C1713,SCREW BN TI CORT 4X28MM,327.0,327.0,17.33,392.4,20
HCPCS,C1713,SCREW BN TIB KN 5X60MM,362.0,362.0,19.19,434.4,20
HCPCS,C1713,SCREW BN TOE 3.0X12,270.0,270.0,14.31,324.0,20
HCPCS,C1713,SCREW BN VAL 3.0MM 20MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN VAR 2.7MM 28MM,599.0,599.0,31.75,718.8,20
HCPCS,C1713,SCREW BN VAR 3.5MM 50MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN VAR 3.5MM 55MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN VAR 3.5X44MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW BN VAR 5X12MM,432.0,432.0,22.9,518.4,20
HCPCS,C1713,SCREW BN VAR 5X50MM,316.0,316.0,16.75,379.2,20
HCPCS,C1713,SCREW BN WCHT 6X35MM,314.0,314.0,16.64,376.8,20
HCPCS,C1713,SCREW BN XIA 0380-1740,1962.18,1962.18,104.0,2354.62,20
HCPCS,C1713,SCREW BN XIA 0382-0645,1867.42,1867.42,98.97,2240.9,20
HCPCS,C1713,SCREW BN XIA 0382-0650,1867.42,1867.42,98.97,2240.9,20
HCPCS,C1713,SCREW BN XIA 0382-0735,1867.42,1867.42,98.97,2240.9,20
HCPCS,C1713,SCREW BN XIA 0382-0750,1867.42,1867.42,98.97,2240.9,20
HCPCS,C1713,SCREW BNE 3.5X28 CORT,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW BNE 316L SS L7MM O,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BNE 5.0X60 LCK,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCREW BNE 5X70,188.66,188.66,10.0,226.39,20
HCPCS,C1713,SCREW BNE CANC 6.5X45,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BNE CANC 6.5X50,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW BNE L16MM OD2.7MM,81.0,81.0,4.29,97.2,20
HCPCS,C1713,SCREW BNE L24MM OD1.5MM,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW BNE LAG 1PC 11X105,412.64,412.64,21.87,495.17,20
HCPCS,C1713,SCREW BNE LAG 1PC 11X90,412.64,412.64,21.87,495.17,20
HCPCS,C1713,SCREW BNE SYNLOCK TI L48,364.0,364.0,19.29,436.8,20
HCPCS,C1713,SCREW BNE TI L40 TRGN,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW BNE TIV 4.5X60,222.0,222.0,11.77,266.4,20
HCPCS,C1713,SCREW BNE TIV HIP 6.5X20,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW BONE 3.5MM X 50MM,540.0,540.0,28.62,648.0,20
HCPCS,C1713,SCREW BONE 4.5X50 SLFTAP,222.0,222.0,11.77,266.4,20
HCPCS,C1713,SCREW CAN 4.0X32MM,846.0,846.0,44.84,1015.2,20
HCPCS,C1713,SCREW CAN AOS LCKNG 36MM,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1713,SCREW CAN HD S-T 2.5X11,385.0,385.0,20.41,462.0,20
HCPCS,C1713,SCREW CAN HDLS S-T2.5X10,480.0,480.0,25.44,576.0,20
HCPCS,C1713,SCREW CAN LOPRO 3X12MM,710.0,710.0,37.63,852.0,20
HCPCS,C1713,SCREW CAN PT 6.5X115X46,201.0,201.0,10.65,241.2,20
HCPCS,C1713,SCREW CAN PT SS 8X180X46,698.0,698.0,36.99,837.6,20
HCPCS,C1713,SCREW CAN SLF-CMP 3.2X26,1498.0,1498.0,79.39,1797.6,20
HCPCS,C1713,SCREW CANC 5X70MM,245.0,245.0,12.98,294.0,20
HCPCS,C1713,SCREW CANC 6.5X120X16,76.0,76.0,4.03,91.2,20
HCPCS,C1713,SCREW CANC 6.5X65,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW CANC 6.5X80,57.0,57.0,3.02,68.4,20
HCPCS,C1713,SCREW CANC 6.5X85,61.0,61.0,3.23,73.2,20
HCPCS,C1713,SCREW CANC 6.5X90,61.0,61.0,3.23,73.2,20
HCPCS,C1713,SCREW CANC AOS 65MM,710.0,710.0,37.63,852.0,20
HCPCS,C1713,SCREW CANC AOS LCKNG 34,504.0,504.0,26.71,604.8,20
HCPCS,C1713,SCREW CANC AOS LCKNG 38,504.0,504.0,26.71,604.8,20
HCPCS,C1713,SCREW CANC AOS LCKNG 42,504.0,504.0,26.71,604.8,20
HCPCS,C1713,SCREW CANC AOS LCKNG 46,504.0,504.0,26.71,604.8,20
HCPCS,C1713,SCREW CANC AOS LCKNG 48,504.0,504.0,26.71,604.8,20
HCPCS,C1713,SCREW CANC AOS LCKNG 52,504.0,504.0,26.71,604.8,20
HCPCS,C1713,SCREW CANC AOS STD 40,504.0,504.0,26.71,604.8,20
HCPCS,C1713,SCREW CANC CERV CTK 4X10,1620.0,1620.0,85.86,1944.0,20
HCPCS,C1713,SCREW CANC HEX TI 4X24,176.0,176.0,9.33,211.2,20
HCPCS,C1713,SCREW CANC LCK 4X24,510.0,510.0,27.03,612.0,20
HCPCS,C1713,SCREW CANC LCK 4X26,510.0,510.0,27.03,612.0,20
HCPCS,C1713,SCREW CANC LCK 4X28,460.0,460.0,24.38,552.0,20
HCPCS,C1713,SCREW CANC LCK 4X36,480.0,480.0,25.44,576.0,20
HCPCS,C1713,SCREW CANC LCK P/T 4X48,460.0,460.0,24.38,552.0,20
HCPCS,C1713,SCREW CANC LCP SS 4X46,33.18,33.18,1.76,39.82,20
HCPCS,C1713,SCREW CANC LOPRO 4X36MM,80.0,80.0,4.24,96.0,20
HCPCS,C1713,SCREW CANC LPR6.5X3.5X50,114.0,114.0,6.04,136.8,20
HCPCS,C1713,SCREW CANC P/T LCK 4X34,460.0,460.0,24.38,552.0,20
HCPCS,C1713,SCREW CANC P/T LCK 4X40,510.0,510.0,27.03,612.0,20
HCPCS,C1713,SCREW CANC PRLOC 4X32,71.4,71.4,3.78,85.68,20
HCPCS,C1713,SCREW CANC SS 6.5X60X32,64.0,64.0,3.39,76.8,20
HCPCS,C1713,SCREW CANN 3MM 40MM,530.0,530.0,28.09,636.0,20
HCPCS,C1713,SCREW CANN 4.0MM 44MM,614.0,614.0,32.54,736.8,20
HCPCS,C1713,SCREW CANN 4.0X26,359.0,359.0,19.03,430.8,20
HCPCS,C1713,SCREW CANN 5.0MMX20.0MM,229.42,229.42,12.16,275.3,20
HCPCS,C1713,SCREW CANN 7X50,1020.0,1020.0,54.06,1224.0,20
HCPCS,C1713,SCREW CANN BRNZ 4X22,410.0,410.0,21.73,492.0,20
HCPCS,C1713,SCREW CANN CMPRS 4X34,842.0,842.0,44.63,1010.4,20
HCPCS,C1713,SCREW CANN DS 2X38,550.0,550.0,29.15,660.0,20
HCPCS,C1713,SCREW CANN FT SS 8X180,698.0,698.0,36.99,837.6,20
HCPCS,C1713,SCREW CANN GOEZ 3X10MM,370.0,370.0,19.61,444.0,20
HCPCS,C1713,SCREW CANN HD 4X40MM,354.0,354.0,18.76,424.8,20
HCPCS,C1713,SCREW CANN HDED S-T 4X14,434.5,434.5,23.03,521.4,20
HCPCS,C1713,SCREW CANN HDLS 7X50MM,1474.0,1474.0,78.12,1768.8,20
HCPCS,C1713,SCREW CANN HDLS 7X60MM,574.0,574.0,30.42,688.8,20
HCPCS,C1713,SCREW CANN L/T 3.0X18MM,345.0,345.0,18.29,414.0,20
HCPCS,C1713,SCREW CANN LOCKNG 30X4.0,460.0,460.0,24.38,552.0,20
HCPCS,C1713,SCREW CANN NLCKG 2.7X20,340.0,340.0,18.02,408.0,20
HCPCS,C1713,SCREW CANN P-AX 6.5X45MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW CANN P/T 6.5X70X22,1422.0,1422.0,75.37,1706.4,20
HCPCS,C1713,SCREW CANN P/T 8X85X22MM,1230.0,1230.0,65.19,1476.0,20
HCPCS,C1713,SCREW CANN P/T 8X90X22MM,1230.0,1230.0,65.19,1476.0,20
HCPCS,C1713,SCREW CANN P/T LCK 4X30,510.0,510.0,27.03,612.0,20
HCPCS,C1713,SCREW CANN POLY 6.5X50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW CANN RECON 4X40,780.0,780.0,41.34,936.0,20
HCPCS,C1713,SCREW CANN ST 3.0MMX20MM,345.0,345.0,18.29,414.0,20
HCPCS,C1713,SCREW CANN THRD 3.0 10,336.0,336.0,17.81,403.2,20
HCPCS,C1713,SCREW CANN THRD 3.0X14,345.0,345.0,18.29,414.0,20
HCPCS,C1713,SCREW CANN THRD 3.0X16,340.5,340.5,17.81,414.0,40
HCPCS,C1713,SCREW CANN THRD 3.0X20,345.0,345.0,18.29,414.0,20
HCPCS,C1713,SCREW CANN THRD 3.0X22,345.0,345.0,18.29,414.0,20
HCPCS,C1713,SCREW CANN THRD 3.0X25,345.0,345.0,18.29,414.0,20
HCPCS,C1713,SCREW CANN THRD 3.0X32,345.0,345.0,18.29,414.0,20
HCPCS,C1713,SCREW CANN THRD 3.0X34,345.0,345.0,18.29,414.0,20
HCPCS,C1713,SCREW CAP 5X100 HEX FEM,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW CERV 4.0X14MM,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW CMP MLT-THD 2.7X30,270.0,270.0,14.31,324.0,20
HCPCS,C1713,SCREW CMPR 2.7MM 18MM,270.0,270.0,14.31,324.0,20
HCPCS,C1713,SCREW CMPR FT 2.5 38MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW CMPR MLTI THRD 2.7,270.0,270.0,14.31,324.0,20
HCPCS,C1713,SCREW CMPRS LCK 3.5X26,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW CMPRS LCK 3.5X28,346.0,346.0,18.34,415.2,20
HCPCS,C1713,SCREW CMPRSN 2.7X26MM,620.0,620.0,32.86,744.0,20
HCPCS,C1713,SCREW CMPRSN 2.7X44MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW CMPRSN 2.7X46MM,620.0,620.0,32.86,744.0,20
HCPCS,C1713,SCREW CMPRSN 3.5X20MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW CMPRSN 3.5X24MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW CMPRSN 3.5X32MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW CMPRSN 3.5X34MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW CMPRSN 3.5X36MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW CNCL LCK 16X2.4,136.0,136.0,7.21,163.2,20
HCPCS,C1713,SCREW COMPRESS STD 32MM,80.0,80.0,4.24,96.0,20
HCPCS,C1713,SCREW CONN MUTARS 125MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW CONN MUTARS 165MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW CORT 2.0X18MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW CORT 2.3 LP 12,120.0,120.0,6.36,144.0,20
HCPCS,C1713,SCREW CORT 2.7X12MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW CORT 2.7X14MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW CORT 2.7X16MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW CORT 2.7X20MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW CORT 2.7X22MM,230.0,230.0,12.19,276.0,20
HCPCS,C1713,SCREW CORT 2.7X24MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW CORT 2.7X30MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW CORT 2.7X32MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW CORT 2.7X40MM,230.0,230.0,12.19,276.0,20
HCPCS,C1713,SCREW CORT 2.7X48MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW CORT 2.7X60MM,180.0,180.0,9.54,216.0,20
HCPCS,C1713,SCREW CORT 3.5 34,30.0,30.0,1.59,36.0,20
HCPCS,C1713,SCREW CORT 3.5X12.5MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW CORT 3.5X18MM,230.0,230.0,12.19,276.0,20
HCPCS,C1713,SCREW CORT 3.5X26,35.0,35.0,1.85,42.0,20
HCPCS,C1713,SCREW CORT 4.5 36MM,50.0,50.0,2.65,60.0,20
HCPCS,C1713,SCREW CORT AR-8931-19,480.0,480.0,25.44,576.0,20
HCPCS,C1713,SCREW CORT BN 3X16MM,220.0,220.0,11.66,264.0,20
HCPCS,C1713,SCREW CORT LCK 3.5X22MM,310.0,310.0,16.43,372.0,20
HCPCS,C1713,SCREW CORT LCK 30X2.5,425.0,425.0,18.02,612.0,40
HCPCS,C1713,SCREW CORT LCKG 3.5X45,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW CORT LCKG 3.5X50,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW CORT LG 5.5X50,243.82,243.82,12.92,292.58,20
HCPCS,C1713,SCREW CORT LG 5.5X70,243.82,243.82,12.92,292.58,20
HCPCS,C1713,SCREW CORT LOCK 4.5X30,111.0,111.0,5.88,133.2,20
HCPCS,C1713,SCREW CORT LOCK 4.5X42,111.0,111.0,5.88,133.2,20
HCPCS,C1713,SCREW CORT LOCK 4.5X50,134.5,134.5,5.88,189.6,40
HCPCS,C1713,SCREW CORT LOCK 4.5X85,111.0,111.0,5.88,133.2,20
HCPCS,C1713,SCREW CORT LOQTEQ 4.5X18,346.0,346.0,18.34,415.2,20
HCPCS,C1713,SCREW CORT LOQTEQ 4.5X20,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW CORT LOQTEQ 4.5X22,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW CORT LOQTEQ 4.5X34,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW CORT LOQTEQ 4.5X36,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW CORT LOQTEQ 4.5X38,110.0,110.0,5.83,132.0,40
HCPCS,C1713,SCREW CORT LOQTEQ 4.5X40,111.0,111.0,5.88,133.2,20
HCPCS,C1713,SCREW CORT LOQTEQ 4.5X45,110.5,110.5,5.83,133.2,40
HCPCS,C1713,SCREW CORT LOQTEQ 4.5X55,300.0,300.0,13.46,415.2,40
HCPCS,C1713,SCREW CORT LOQTEQ 4.5X60,111.0,111.0,5.88,133.2,20
HCPCS,C1713,SCREW CORT LOQTEQ 4.5X65,182.0,182.0,5.83,304.8,40
HCPCS,C1713,SCREW CORT LOQTEQ 4.5X75,127.0,127.0,6.73,152.4,20
HCPCS,C1713,SCREW CORT LOQTEQ 4.5X80,158.0,158.0,8.37,189.6,20
HCPCS,C1713,SCREW CORT LP 3.5X13MM,132.0,132.0,7.0,158.4,20
HCPCS,C1713,SCREW CORT LPRO 3.5X45,60.9,60.9,3.23,73.08,20
HCPCS,C1713,SCREW CORT LPRO 3.5X55,60.9,60.9,3.23,73.08,20
HCPCS,C1713,SCREW CORT LQTEQ 14.5X65,254.0,254.0,13.46,304.8,20
HCPCS,C1713,SCREW CORT MED 4.2X35,243.82,243.82,12.92,292.58,20
HCPCS,C1713,SCREW CORT MF 1.5X6,32.0,32.0,1.7,38.4,20
HCPCS,C1713,SCREW CORT MF 1.5X9,32.0,32.0,1.7,38.4,20
HCPCS,C1713,SCREW CORT N/L 3.5X85MM,239.0,239.0,12.67,286.8,20
HCPCS,C1713,SCREW CORT NLCK 4.5X40,111.0,111.0,5.88,133.2,20
HCPCS,C1713,SCREW CORT NLCK 4.5X45,111.0,111.0,5.88,133.2,20
HCPCS,C1713,SCREW CORT PRLOC 4.5X46,163.0,163.0,8.64,195.6,20
HCPCS,C1713,SCREW CORT S/T 3.5X14MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X16MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X18MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X20MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X22MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X24MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X26MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X32MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X38MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X40MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X42MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X44MM,50.0,50.0,2.65,60.0,20
HCPCS,C1713,SCREW CORT S/T 3.5X46MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X55MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X60MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X70MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT S/T 3.5X80MM,84.0,84.0,4.45,100.8,20
HCPCS,C1713,SCREW CORT SHLDR 3.5X25,510.0,510.0,27.03,612.0,20
HCPCS,C1713,SCREW CORT SHLDR LCK27.5,510.0,510.0,27.03,612.0,20
HCPCS,C1713,SCREW CORT SLFDRL 50X150,340.0,340.0,18.02,408.0,20
HCPCS,C1713,SCREW CORT SM HD 4.5X80,110.0,110.0,5.83,132.0,20
HCPCS,C1713,SCREW CORT ST 4.5 64M,46.0,46.0,2.44,55.2,20
HCPCS,C1713,SCREW CORT STBLZ RH 3X24,358.0,358.0,18.97,429.6,20
HCPCS,C1713,SCREW CORT TIB PHNX 5X22,524.0,524.0,27.77,628.8,20
HCPCS,C1713,SCREW CORTEX 2.4 X 8MM,94.0,94.0,4.98,112.8,20
HCPCS,C1713,SCREW CORTICAL 3.5 X 36M,49.0,49.0,2.6,58.8,20
HCPCS,C1713,SCREW CORTICAL 4.5X40,40.0,40.0,2.12,48.0,20
HCPCS,C1713,SCREW CORTICAL 5.0X90,470.0,470.0,24.91,564.0,20
HCPCS,C1713,SCREW COUNTERSNK 4.5X6.5,259.56,259.56,13.76,311.47,20
HCPCS,C1713,SCREW CPTR SD ST P-T7X70,1220.0,1220.0,64.66,1464.0,20
HCPCS,C1713,SCREW CREO 5.5X50MM MOD,650.0,650.0,34.45,780.0,20
HCPCS,C1713,SCREW CRTX SLFTP 4.5X100,153.3,153.3,8.12,183.96,20
HCPCS,C1713,SCREW CSPN 4X16,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW DARCO 3.2X28,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW DARCO LNG 3.5X24,562.0,562.0,29.79,674.4,20
HCPCS,C1713,SCREW DENTAL IMPL 0.50IN,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1713,SCREW DNFX CORT 20X120,354.0,354.0,18.76,424.8,20
HCPCS,C1713,SCREW DRACO LNG 3.5X14,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW DRACO LNG 3.5X20,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW DRCO HD 6.5X60X16,998.0,998.0,52.89,1197.6,20
HCPCS,C1713,SCREW DRCO HD THRD2.7X36,412.0,412.0,21.84,494.4,20
HCPCS,C1713,SCREW DRCO SHRT HD 4X16,610.0,610.0,32.33,732.0,20
HCPCS,C1713,SCREW FEM BAR MTRS 10X85,4400.0,4400.0,233.2,5280.0,20
HCPCS,C1713,SCREW FEM TRGN HX 4.5X50,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW FEN 6.5X50MM MOD,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SCREW FOOT SLVTN 5.5X60,540.0,540.0,28.62,648.0,20
HCPCS,C1713,SCREW FT ANKL 4X50MM,354.0,354.0,18.76,424.8,20
HCPCS,C1713,SCREW FT NLCK 2.2X10MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,SCREW FULL THREAD 5X30,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SCREW FULL THREAD 5X35,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SCREW FULL THREAD 5X70,770.0,770.0,40.81,924.0,20
HCPCS,C1713,SCREW FULL THREAD 5X75,770.0,770.0,40.81,924.0,20
HCPCS,C1713,SCREW HDLS 3.0X30MM,530.0,530.0,28.09,636.0,20
HCPCS,C1713,SCREW HDLS CMP 2.5X26MM,788.0,788.0,41.76,945.6,20
HCPCS,C1713,SCREW HDLS CMPRS LT 32MM,788.0,788.0,41.76,945.6,20
HCPCS,C1713,SCREW HDLS S-T 2MM 36MM,456.0,456.0,24.17,547.2,20
HCPCS,C1713,SCREW HDLS SHRT 2.4X26,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW HDLS SHRT 2.4X28,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW HGHTOP 5.0X40MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW HGHTOP 6.0X40MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW HIP IMHS CANN ST,254.1,254.1,13.47,304.92,20
HCPCS,C1713,SCREW HLX ANT CERV 4X15,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW HT X-DRV EMR 1.8X5,176.0,176.0,9.33,211.2,20
HCPCS,C1713,SCREW LAB AMBI 55,311.04,311.04,16.49,373.25,20
HCPCS,C1713,SCREW LAG 85MM,1020.0,1020.0,54.06,1224.0,20
HCPCS,C1713,SCREW LAG LT 10.5X95MM,1790.0,1790.0,94.87,2148.0,20
HCPCS,C1713,SCREW LAG NONLCK 2.2X8MM,464.0,464.0,24.59,556.8,20
HCPCS,C1713,SCREW LAPIDUS 3.5X24MM,430.0,430.0,22.79,516.0,20
HCPCS,C1713,SCREW LAPIDUS STD 3.5X28,430.0,430.0,22.79,516.0,20
HCPCS,C1713,SCREW LCK 2.4MM 24MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW LCK 2.4X3.8X10MM,388.0,388.0,20.56,465.6,20
HCPCS,C1713,SCREW LCK COMP 3.5X18MM,754.0,754.0,39.96,904.8,20
HCPCS,C1713,SCREW LCK HD 3.5X2.7X55,159.6,159.6,8.46,191.52,20
HCPCS,C1713,SCREW LCK MLT-DRCTL 30MM,302.3,302.3,16.02,362.76,20
HCPCS,C1713,SCREW LCK STRDR 4X3.3X40,356.0,356.0,18.87,427.2,20
HCPCS,C1713,SCREW LCKG ST 2.7X44MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,SCREW LCKNG 3.5X30MM,754.0,754.0,39.96,904.8,20
HCPCS,C1713,SCREW LCP PROX 3.5X10MM,250.88,250.88,13.3,301.06,20
HCPCS,C1713,SCREW LNG 1.9X4 SLFDRL,90.0,90.0,4.77,108.0,20
HCPCS,C1713,SCREW LNG 1.9X5 SLFDRL,88.0,88.0,4.66,105.6,20
HCPCS,C1713,SCREW LO PRF 6.5X45,189.0,189.0,10.02,226.8,20
HCPCS,C1713,SCREW LOCK 4MM ST WSTARD,250.0,250.0,13.25,300.0,80
HCPCS,C1713,SCREW LOPRO LCK 2.7X60,330.0,330.0,17.49,396.0,20
HCPCS,C1713,SCREW LOPRO NLCK 3.5X28,89.68,89.68,4.75,107.62,20
HCPCS,C1713,SCREW LOPRO TI 4.5X16MM,216.0,216.0,11.45,259.2,20
HCPCS,C1713,SCREW LOW PROF 2.4X14MM,272.0,272.0,14.42,326.4,20
HCPCS,C1713,SCREW LP CORT NLCK 3.5X8,430.0,430.0,22.79,516.0,20
HCPCS,C1713,SCREW LP CORT NLCK3.5X10,430.0,430.0,22.79,516.0,20
HCPCS,C1713,SCREW LPRO TNM 5.5X60,858.0,858.0,45.47,1029.6,20
HCPCS,C1713,SCREW MDN CORT 3.5X40,268.8,268.8,14.25,322.56,20
HCPCS,C1713,SCREW MDN CORT 4.2X37.5,253.82,253.82,13.45,304.58,20
HCPCS,C1713,SCREW MDN CORT 5.5X45,243.82,243.82,12.92,292.58,20
HCPCS,C1713,SCREW MDN CORT 5.5X60,243.82,243.82,12.92,292.58,20
HCPCS,C1713,SCREW MEDL MAL 4X60MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW METAGLENE COLLET,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCREW MLTHRD LCK 3.5X40,228.0,228.0,12.08,273.6,20
HCPCS,C1713,SCREW MNOAXL 5.5 X45MM,1837.64,1837.64,97.39,2205.17,20
HCPCS,C1713,SCREW MNOAXL 5.5X40MM,1837.64,1837.64,97.39,2205.17,20
HCPCS,C1713,SCREW MNOAXL 7.5 X60MM,2000.37,2000.37,97.39,2595.72,40
HCPCS,C1713,SCREW MONOAXIAL 7.5X35,1668.92,1668.92,88.45,2002.7,20
HCPCS,C1713,SCREW MONOAXIAL 7.5X45,1668.92,1668.92,88.45,2002.7,20
HCPCS,C1713,SCREW MONOAXIAL 7.5X50,1668.92,1668.92,88.45,2002.7,20
HCPCS,C1713,SCREW MONOAXIAL 7.5X55,1668.92,1668.92,88.45,2002.7,20
HCPCS,C1713,SCREW MONOAXIAL6.5X60,1668.92,1668.92,88.45,2002.7,20
HCPCS,C1713,SCREW MONOAXIAl 7.5X40,1668.92,1668.92,88.45,2002.7,20
HCPCS,C1713,SCREW MTRX PDCL 6X50MM,720.0,720.0,38.16,864.0,20
HCPCS,C1713,SCREW MTRXRB LCK 2.9X6MM,526.0,526.0,27.88,631.2,20
HCPCS,C1713,SCREW MXLFCL CP 2.3X8MM,140.0,140.0,7.42,168.0,20
HCPCS,C1713,SCREW MXLFCL SD 1.7X5,149.0,149.0,7.9,178.8,20
HCPCS,C1713,SCREW NCB CONN TI6AL4V,280.0,280.0,14.84,336.0,20
HCPCS,C1713,SCREW NLCKG 3.5MM 75MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW NON LCK AO 14MM,370.0,370.0,19.61,444.0,20
HCPCS,C1713,SCREW NON LCK AO 16MM,370.0,370.0,19.61,444.0,20
HCPCS,C1713,SCREW NON LCK AO 18MM,370.0,370.0,19.61,444.0,20
HCPCS,C1713,SCREW NON LCK AO 22MM,370.0,370.0,19.61,444.0,20
HCPCS,C1713,SCREW NON-LCK 4.7X25,416.0,416.0,22.05,499.2,20
HCPCS,C1713,SCREW NON-LCK 4.7X35,416.0,416.0,22.05,499.2,20
HCPCS,C1713,SCREW NONLCK HEX 2.7X60,234.0,234.0,12.4,280.8,20
HCPCS,C1713,SCREW NRMD NLCKG 3.5X24,232.5,232.5,12.32,279.0,20
HCPCS,C1713,SCREW NRMD NLCKG 3.5X30,232.5,232.5,12.32,279.0,20
HCPCS,C1713,SCREW ODI LAG 105M,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW ODI LAG 12.7X85,1460.0,1460.0,77.38,1752.0,20
HCPCS,C1713,SCREW ORT IM 62.5X4.5M,268.8,268.8,14.25,322.56,20
HCPCS,C1713,SCREW ORT IM 85X4.5MM,268.8,268.8,14.25,322.56,20
HCPCS,C1713,SCREW OSTPNC SLVTN5.5X60,288.0,288.0,15.26,345.6,20
HCPCS,C1713,SCREW P-AX BLCKBRD 4X14,1370.0,1370.0,72.61,1644.0,20
HCPCS,C1713,SCREW P-AX BLCKBRD 4X16,1370.0,1370.0,72.61,1644.0,20
HCPCS,C1713,SCREW P-AX GEMNS 3.5X22,290.0,290.0,15.37,348.0,20
HCPCS,C1713,SCREW P-AX GEMNS 3.5X32,290.0,290.0,15.37,348.0,20
HCPCS,C1713,SCREW P-AX LCK 2.4X12MM,322.0,322.0,17.07,386.4,20
HCPCS,C1713,SCREW P-AX LCK 2.7X14MM,322.0,322.0,17.07,386.4,20
HCPCS,C1713,SCREW P-AX LCK 2.7X16MM,322.0,322.0,17.07,386.4,20
HCPCS,C1713,SCREW P-AX LCK 2.7X22MM,322.0,322.0,17.07,386.4,20
HCPCS,C1713,SCREW P-AX LCK 2.7X24MM,322.0,322.0,17.07,386.4,20
HCPCS,C1713,SCREW P-AX NLCK 3.5X38,290.0,290.0,15.37,348.0,20
HCPCS,C1713,SCREW P-AX PED SFTP 7X35,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW P-AX PED ST 5.5X40,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW P-AX PED ST 8.5X55,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW P-AX PED ST4.75X30,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW P-AX PED ST4.75X35,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW P-AX PED STP5.5X55,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW P-AX STRMLN 3.5X18,1370.0,1370.0,72.61,1644.0,20
HCPCS,C1713,SCREW P-AX THBOLT 5.5X30,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1713,SCREW P-SPN 7.2X50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW PAX PDCL ST 5.5X50,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW PDCL SLFTP 5.5X45,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW PDCL SLFTP 6.25X30,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW PDCL SLFTP 6.25X35,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW PDCL SLFTP 6.25X40,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW PDCL SPN RDC5.5X35,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW PDCL SPN RDC5.5X40,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW PDCL W/O TLP4.5X35,980.0,980.0,51.94,1176.0,20
HCPCS,C1713,SCREW PDCL W/O TLP4.5X40,980.0,980.0,51.94,1176.0,20
HCPCS,C1713,SCREW PDCL W/O TLP5.5X40,980.0,980.0,51.94,1176.0,20
HCPCS,C1713,SCREW PDCL W/O TLP7.5X40,980.0,980.0,51.94,1176.0,20
HCPCS,C1713,SCREW PDCL W/O TLP7.5X50,980.0,980.0,51.94,1176.0,20
HCPCS,C1713,SCREW PDCL W/O TLP7.5X90,980.0,980.0,51.94,1176.0,20
HCPCS,C1713,SCREW PDFSE CRTQD 5.5X40,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW PDFSE CRTQD 5.5X45,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW PDIC RESET 7X50,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW PEDFUSE RESET 6X45,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1713,SCREW PEDICLE RESET 6X50,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1713,SCREW PERI 4.5X36MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW PERI 5.0MMX20MM,928.8,928.8,49.23,1114.56,20
HCPCS,C1713,SCREW PERI LK 3.5X2.7X50,159.6,159.6,8.46,191.52,20
HCPCS,C1713,SCREW PERI LNG LCK3.5X44,159.6,159.6,8.46,191.52,20
HCPCS,C1713,SCREW PLT NLCK 2X12MM,259.0,259.0,13.73,310.8,20
HCPCS,C1713,SCREW PLT NLCK 2X14MM,259.0,259.0,13.73,310.8,20
HCPCS,C1713,SCREW PLT NLCK 3.5X90MM,548.0,548.0,29.04,657.6,20
HCPCS,C1713,SCREW POLY 4.5X30MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW POLY PED 5.5X30MM,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW POLY PED 5.5X35MM,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW POLYAXIAL 5.5X30,1962.18,1962.18,104.0,2354.62,20
HCPCS,C1713,SCREW POLYAXIAL 6.5X60,1962.18,1962.18,104.0,2354.62,20
HCPCS,C1713,SCREW POLYAXIAL 7.5X45,1962.18,1962.18,104.0,2354.62,20
HCPCS,C1713,SCREW POLYAXIAL 7.5X55,1962.18,1962.18,104.0,2354.62,20
HCPCS,C1713,SCREW POLYAXIAL 7.5X60,1962.18,1962.18,104.0,2354.62,20
HCPCS,C1713,SCREW POLYAXIAL LOCKING,322.0,322.0,17.07,386.4,20
HCPCS,C1713,SCREW PRLOC CANC 4.5X85,350.0,350.0,18.55,420.0,20
HCPCS,C1713,SCREW PRLOC CANC 6.5X50,87.0,87.0,4.61,104.4,20
HCPCS,C1713,SCREW PRLOC CORT 4.5X44,350.0,350.0,18.55,420.0,20
HCPCS,C1713,SCREW PRLOC T25 4.5X74MM,294.0,294.0,15.58,352.8,20
HCPCS,C1713,SCREW PROX FEM REVISION,31800.12,31800.12,1685.41,38160.14,20
HCPCS,C1713,SCREW RADL LCK2.7X20MM,111.88,111.88,5.93,134.26,20
HCPCS,C1713,SCREW RCHRD 127032,55.0,55.0,2.92,66.0,20
HCPCS,C1713,SCREW REARFT STD 3.5X22,430.0,430.0,22.79,516.0,20
HCPCS,C1713,SCREW RELINE 5.5X45MM 2C,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW RETAIN REPLACE,168.0,168.0,8.9,201.6,20
HCPCS,C1713,SCREW RS-TYLR 5/6.4X65MM,188.66,188.66,10.0,226.39,20
HCPCS,C1713,SCREW RS-TYLR 5/6.4X75MM,188.66,188.66,10.0,226.39,20
HCPCS,C1713,SCREW S-T BONE 6.5X80,222.0,222.0,11.77,266.4,20
HCPCS,C1713,SCREW S/D S-T 4.5X16MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW S/T LCK 3.5X15MM,312.0,312.0,16.54,374.4,20
HCPCS,C1713,SCREW SET IM HIP,226.38,226.38,12.0,271.66,20
HCPCS,C1713,SCREW SET SPN,100.0,100.0,5.3,120.0,40
HCPCS,C1713,SCREW SET SPN 5.5MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SET SPN LCK,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SET SPN NS,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SET SPN PDCL CANN,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SHLDR 6MM 25MM,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCREW SHLDR RVRS,720.0,720.0,38.16,864.0,20
HCPCS,C1713,SCREW SLFDRL CAN 3X20X10,288.4,288.4,15.29,346.08,20
HCPCS,C1713,SCREW SLFDRL CAN3X19X9.4,288.4,288.4,15.29,346.08,20
HCPCS,C1713,SCREW SPN -4PLY 5X34MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN .25IN 32MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN 10MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW SPN 10MM 35MM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1713,SCREW SPN 10MM 40MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPN 10MM 45MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 10MM 50MM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1713,SCREW SPN 12MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 14MM 4.2MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 15X3.5MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN 2.7MM 26MM,138.0,138.0,7.31,165.6,20
HCPCS,C1713,SCREW SPN 2MM 6MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN 2S 6.5X35MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 3.5MM 10MM,950.0,950.0,47.7,1200.0,60
HCPCS,C1713,SCREW SPN 3.5MM 120MM,360.0,360.0,19.08,432.0,20
HCPCS,C1713,SCREW SPN 3.5MM 12MM,950.0,950.0,47.7,1200.0,100
HCPCS,C1713,SCREW SPN 3.5MM 13MM,150.0,150.0,7.95,180.0,40
HCPCS,C1713,SCREW SPN 3.5MM 14MM,950.0,950.0,47.7,1200.0,80
HCPCS,C1713,SCREW SPN 3.5MM 15MM,150.0,150.0,7.95,180.0,40
HCPCS,C1713,SCREW SPN 3.5MM 16MM,900.0,900.0,7.95,1200.0,80
HCPCS,C1713,SCREW SPN 3.5MM 18MM,900.0,900.0,7.95,1200.0,80
HCPCS,C1713,SCREW SPN 3.5MM 20MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 3.5MM 22MM,900.0,900.0,47.7,1080.0,40
HCPCS,C1713,SCREW SPN 3.5MM 24MM,950.0,950.0,47.7,1200.0,60
HCPCS,C1713,SCREW SPN 3.5MM 26MM,950.0,950.0,47.7,1200.0,60
HCPCS,C1713,SCREW SPN 3.5MM 28MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 3.5MM 30MM,1000.0,1000.0,53.0,1200.0,60
HCPCS,C1713,SCREW SPN 3.5MM 32MM,950.0,950.0,47.7,1200.0,60
HCPCS,C1713,SCREW SPN 3.5MM 36MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 3.5X14MM,950.0,950.0,47.7,1200.0,40
HCPCS,C1713,SCREW SPN 3.5X26MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 3.5X32 MTNR,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW SPN 3.5X34 MTNR,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW SPN 3.6MM 14MM,150.0,150.0,7.95,180.0,40
HCPCS,C1713,SCREW SPN 3.6MM 16MM,150.0,150.0,7.95,180.0,40
HCPCS,C1713,SCREW SPN 3.75X14MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 3MM 16MM,184.0,184.0,9.75,220.8,20
HCPCS,C1713,SCREW SPN 4 SHFT 3.5X28,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 4.0MM 16MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 4.0MM 20MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 4.0MM 22MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 4.0MM 34MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 4.0X26MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 4.2MM 14MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 4.2MM 16MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 4.2X16 PRTX,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 4.2X16MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 4.5MM 10MM,150.0,150.0,7.95,180.0,40
HCPCS,C1713,SCREW SPN 4.5MM 12MM,150.0,150.0,7.95,180.0,40
HCPCS,C1713,SCREW SPN 4.5MM 14MM,150.0,150.0,7.95,180.0,40
HCPCS,C1713,SCREW SPN 4.5MM 16MM,150.0,150.0,7.95,180.0,40
HCPCS,C1713,SCREW SPN 4.5MM 24MM,900.0,900.0,47.7,1080.0,60
HCPCS,C1713,SCREW SPN 4.5MM 25MM,950.0,950.0,47.7,1200.0,40
HCPCS,C1713,SCREW SPN 4.5MM 26MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 4.5MM 30MM,1050.0,1050.0,47.7,1440.0,100
HCPCS,C1713,SCREW SPN 4.5MM 34MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 4.5MM 35MM,1000.0,1000.0,47.7,1440.0,60
HCPCS,C1713,SCREW SPN 4.5MM 36MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 4.5MM 40MM,1200.0,1200.0,47.7,1740.0,80
HCPCS,C1713,SCREW SPN 4.5MM 45MM,1100.0,1100.0,53.0,1440.0,40
HCPCS,C1713,SCREW SPN 4.5MM 6MM,150.0,150.0,7.95,180.0,40
HCPCS,C1713,SCREW SPN 4.5MM 8MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 4.5X3.2X14MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 4.5X45MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 4.6MM 16MM,150.0,150.0,7.95,180.0,40
HCPCS,C1713,SCREW SPN 4MM 10MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 4MM 12MM,525.0,525.0,7.95,1080.0,100
HCPCS,C1713,SCREW SPN 4MM 14MM,525.0,525.0,7.95,1080.0,140
HCPCS,C1713,SCREW SPN 4MM 16MM,150.0,150.0,7.95,180.0,160
HCPCS,C1713,SCREW SPN 4MM 18MM,150.0,150.0,7.95,180.0,40
HCPCS,C1713,SCREW SPN 4MM 24MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 4MM 26MM,900.0,900.0,47.7,1080.0,40
HCPCS,C1713,SCREW SPN 4MM 28MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 4MM 30MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 4MM 34MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 4MM 35MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 4MM 40MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 4X12MM,575.0,575.0,7.95,1200.0,40
HCPCS,C1713,SCREW SPN 4X32MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 5.0MM 30MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 5.0X25.0MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 5.0X26MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 5.25MM 8MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 5.2MM 55MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 5.5/6MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN 5.5/6MM 50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 5.5MM,275.0,275.0,5.3,540.0,40
HCPCS,C1713,SCREW SPN 5.5MM 25MM,150.0,150.0,7.95,180.0,40
HCPCS,C1713,SCREW SPN 5.5MM 30MM,675.0,675.0,7.95,1200.0,100
HCPCS,C1713,SCREW SPN 5.5MM 35MM,1000.0,1000.0,23.85,1560.0,140
HCPCS,C1713,SCREW SPN 5.5MM 40MM,1000.0,1000.0,23.85,1560.0,200
HCPCS,C1713,SCREW SPN 5.5MM 45MM,900.0,900.0,7.95,1560.0,300
HCPCS,C1713,SCREW SPN 5.5MM 50MM,775.0,775.0,29.15,1200.0,60
HCPCS,C1713,SCREW SPN 5.5MMX45MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 5.5MMX50MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 5.5X35MM XIA,2163.1,2163.1,114.64,2595.72,20
HCPCS,C1713,SCREW SPN 5MM 28MM,575.0,575.0,7.95,1200.0,40
HCPCS,C1713,SCREW SPN 5MM 30MM,1200.0,1200.0,47.7,1740.0,60
HCPCS,C1713,SCREW SPN 5MM 35MM,1000.0,1000.0,47.7,1740.0,60
HCPCS,C1713,SCREW SPN 5MM 40MM,1200.0,1200.0,7.95,1740.0,60
HCPCS,C1713,SCREW SPN 5MM 45MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 5X17.5MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 5X20MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 6.2MM 60MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 6.2X45MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 6.2X50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 6.2X55MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 6.50MM 50MM,550.0,550.0,29.15,660.0,20
HCPCS,C1713,SCREW SPN 6.50MM 55MM,550.0,550.0,29.15,660.0,20
HCPCS,C1713,SCREW SPN 6.5MM 30MM,675.0,675.0,23.85,1080.0,100
HCPCS,C1713,SCREW SPN 6.5MM 35MM,1050.0,1050.0,29.15,1560.0,120
HCPCS,C1713,SCREW SPN 6.5MM 40MM,1050.0,1050.0,23.85,1740.0,160
HCPCS,C1713,SCREW SPN 6.5MM 45MM,900.0,900.0,23.85,1560.0,200
HCPCS,C1713,SCREW SPN 6.5MM 50MM,1200.0,1200.0,23.85,1560.0,100
HCPCS,C1713,SCREW SPN 6.5MM 55MM,550.0,550.0,23.85,1440.0,60
HCPCS,C1713,SCREW SPN 6.5NN 45MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 6.5X35MM MOD,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SCREW SPN 6.5X40MM,1250.0,1250.0,63.6,1560.0,40
HCPCS,C1713,SCREW SPN 6.5X45MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 6MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN 6MM 26MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 6MM 30MM,1250.0,1250.0,63.6,1560.0,40
HCPCS,C1713,SCREW SPN 6MM 35MM,1100.0,1100.0,47.7,1560.0,60
HCPCS,C1713,SCREW SPN 6MM 40MM,1200.0,1200.0,63.6,1440.0,60
HCPCS,C1713,SCREW SPN 6MM 45MM,1200.0,1200.0,63.6,1440.0,40
HCPCS,C1713,SCREW SPN 6MM 55MM,1300.0,1300.0,68.9,1560.0,40
HCPCS,C1713,SCREW SPN 6X36MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN 7.2MM 55MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 7.2MM 60MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 7.5MM 30MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW SPN 7.5MM 35MM,875.0,875.0,29.15,1560.0,80
HCPCS,C1713,SCREW SPN 7.5MM 40MM,775.0,775.0,23.85,1440.0,80
HCPCS,C1713,SCREW SPN 7.5MM 45MM,900.0,900.0,23.85,1560.0,180
HCPCS,C1713,SCREW SPN 7.5MM 50MM,600.0,600.0,23.85,1560.0,100
HCPCS,C1713,SCREW SPN 7.5MM 55MM,500.0,500.0,23.85,660.0,60
HCPCS,C1713,SCREW SPN 7.5MM 60MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW SPN 7.5MM 80MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 7.5MMX45MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 7.5X50MM,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1713,SCREW SPN 7.5X55MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPN 7.5X55MM XIA,2163.1,2163.1,114.64,2595.72,20
HCPCS,C1713,SCREW SPN 7MM 35MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPN 7MM 45MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPN 7MM 50MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPN 7MM 60MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 8.0MM 70MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 8.5MM 40MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 8.5MM 70MM,1150.0,1150.0,53.0,1560.0,40
HCPCS,C1713,SCREW SPN 8.5MM 90MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN 8.5X50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 8MM 40MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 8MM 50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 8MM 55MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 8MM 90MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 9.0MM 70MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPN 9.5MM 100MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN 9.5MM 90MM,1050.0,1050.0,47.7,1440.0,40
HCPCS,C1713,SCREW SPN 9MM 100MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN 9MM 50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN BRGD 5.5X25MM,400.0,400.0,21.2,480.0,20
HCPCS,C1713,SCREW SPN CAN 5.5MM 40MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN CANN 5.5X45MM,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SCREW SPN CANN 6.5X45MM,975.0,975.0,39.75,1440.0,40
HCPCS,C1713,SCREW SPN CORT 7X50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN CORT 8X45MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN CORT 8X50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN CREO 6.5X50MM,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SCREW SPN DFRMTY NS LF,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW SPN FCT FSE 5.5X50,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1713,SCREW SPN FCTFUSE 5.5X40,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1713,SCREW SPN FCTFUSE 5.5X50,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1713,SCREW SPN FEN 6.5MM 40MM,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SCREW SPN FEN 6.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN FEN 8.5X80MM,650.0,650.0,34.45,780.0,20
HCPCS,C1713,SCREW SPN FIX 5.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN FNSTRD 30MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW SPN FXD STP 3.5X15,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN IL 8.2X80MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN LCK 4.5X24MM,342.0,342.0,18.13,410.4,20
HCPCS,C1713,SCREW SPN LCK 4.5X26MM,342.0,342.0,18.13,410.4,20
HCPCS,C1713,SCREW SPN LCK SET,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN LCKNG,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN LNG SHNK 4X32,1370.0,1370.0,72.61,1644.0,20
HCPCS,C1713,SCREW SPN LNG SHNK 4X36,1370.0,1370.0,72.61,1644.0,20
HCPCS,C1713,SCREW SPN LNG SHNK3.5X34,1370.0,1370.0,72.61,1644.0,20
HCPCS,C1713,SCREW SPN LOCKING,176.0,176.0,5.3,302.4,40
HCPCS,C1713,SCREW SPN OCPTL 5.25X6MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN OCT SET,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN P-AX 3.5X14MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN P-AX 3.5X16MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN P-AX 3.5X20MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN P-AX 3.5X32MM,1000.0,1000.0,53.0,1200.0,40
HCPCS,C1713,SCREW SPN P-AX 4.0X12MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN P-AX 4MM 30MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,SCREW SPN P-AX 5.2X50MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN P-AX 5.5X28MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN P-AX 5.5X38MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN P-AX 5.5X40MM,1100.0,1100.0,47.7,1560.0,40
HCPCS,C1713,SCREW SPN P-AX 5.5X6X60,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPN P-AX 5.5X8X55,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN P-AX 5.5X9X60,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPN P-AX 5X38MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN P-AX 6.5X55MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN P-AX 7.5X45MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN P-AX 7.5X55,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW SPN P-AX 8.5X45MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN P-AX 8X70MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPN P-AX 8X80MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPN P-AX 9X40MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPN P-AX 9X45MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN P-AX MIS 30MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW SPN P-AXL 4.5X25,400.0,400.0,21.2,480.0,20
HCPCS,C1713,SCREW SPN PAX 4D 5.5X22,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN PDCL 5.5X35,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN PDCL 5X35MM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1713,SCREW SPN PEDFUSE 5.0X40,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1713,SCREW SPN PLY 5.5X34MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN PLY AXL HEAD,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW SPN POINTLOCK SET,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN POLY 4.0X14MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN POLY 4X12MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN POLY 4X30MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN POLY 4X32MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPN POLY 7.5X40MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPN S/D 3.5X15MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN S/D VR 3.75X16,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN S/T 3.5X17MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN S/T 4.3MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN S/T FX 4X15MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN SET,100.0,100.0,5.3,120.0,80
HCPCS,C1713,SCREW SPN SET FORTRESS,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN SET GRY,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN SET STD M6,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN SHNK 6.5X35MM,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SCREW SPN SLFDRL 25MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN SLFDRL 4.5X14,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN SLFTP 3.5X13MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN ST 3.5X17MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN ST 5.2X45MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPN ST 5.5MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN ST NS 6MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW SPN TI T27 8X100MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPN TOP LOAD 10MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW SPN TOP LOAD 20MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW SPN TOP/SIDE 10MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW SPN TOP/SIDE 8MM,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW SPN TULIP,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW SPN VAR 4.2X12MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN VAR 4.5X14MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPN VAR ANG 6.5X22,800.0,800.0,42.4,960.0,20
HCPCS,C1713,SCREW SPN VPR 7X40MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPN WSHR 10X40MM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1713,SCREW SPN XIA PA 4.5X40,1440.0,1440.0,76.32,1728.0,20
HCPCS,C1713,SCREW SPNL 10X45MM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1713,SCREW SPNL 3.5MM 10MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPNL 3.5MM 12MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPNL 3.5MM 14MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPNL 3.5MM 20MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPNL 4MM 25MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,SCREW SPNL 4MM 30MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPNL 4MM 40MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1713,SCREW SPNL 5.5-6X40MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPNL 5.5MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPNL 5.5MM 30MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,SCREW SPNL 5.5MM 40MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPNL 5.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPNL 5.5MM 65MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPNL 5.5X45MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPNL 5.5X6X45MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPNL 6.2MM 40MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPNL 6.2X45MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPNL 6.5MM 40MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPNL 6.5MM 45MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPNL 6.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPNL 6.5MM 55MM,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SCREW SPNL 7.2X40MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPNL 7.2X45MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPNL 7.5MM 50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPNL 7.5X35MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW SPNL 8.50MM 56MM,450.0,450.0,23.85,540.0,20
HCPCS,C1713,SCREW SPNL CMPR 3.5X45MM,378.0,378.0,20.03,453.6,20
HCPCS,C1713,SCREW SPNL CMPR 3.5X75MM,378.0,378.0,20.03,453.6,20
HCPCS,C1713,SCREW SPNL CORT 7X60MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPNL CORT 8X60MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPNL INDUS 4.2X16,400.0,400.0,21.2,480.0,20
HCPCS,C1713,SCREW SPNL LCK 2.4X12MM,322.0,322.0,17.07,386.4,20
HCPCS,C1713,SCREW SPNL LCK 2.4X8MM,322.0,322.0,17.07,386.4,20
HCPCS,C1713,SCREW SPNL LCK 2.7X10MM,390.0,390.0,20.67,468.0,20
HCPCS,C1713,SCREW SPNL LCK 2.7X12MM,324.5,324.5,13.73,468.0,40
HCPCS,C1713,SCREW SPNL LCK 2.7X14MM,324.5,324.5,13.73,468.0,40
HCPCS,C1713,SCREW SPNL LCK 2.7X8MM,390.0,390.0,20.67,468.0,20
HCPCS,C1713,SCREW SPNL LCK 2MM 10MM,390.0,390.0,20.67,468.0,20
HCPCS,C1713,SCREW SPNL LCK 3X10MM,464.0,464.0,24.59,556.8,20
HCPCS,C1713,SCREW SPNL P-AX 5.5X32MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPNL P-AX 5.5X36MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPNL P-AX 5X32MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1713,SCREW SPNL PED 6.5X50MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1713,SCREW SPNL PEDFUSE 8X50,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1713,SCREW SPNL POLY 5.2X40MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW SPNL S/T 3.5X12MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPNL S/T 4.0X12MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPNL S/T 4.0X14MM,150.0,150.0,7.95,180.0,20
HCPCS,C1713,SCREW SPNL SMTH 5X50,770.0,770.0,40.81,924.0,20
HCPCS,C1713,SCREW SPNL WSHR SM 5X45,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1713,SCREW SS 2.7MM X 40MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW SS 2.7MMX 32MM,590.0,590.0,31.27,708.0,20
HCPCS,C1713,SCREW ST COCR 3MM 2MM,90.0,90.0,4.77,108.0,20
HCPCS,C1713,SCREW ST SPN FLAT CONN,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SCREW STRNL SPN 2.7X10MM,134.0,134.0,7.1,160.8,20
HCPCS,C1713,SCREW SURG L26MM OD4MM O,312.0,312.0,16.54,374.4,20
HCPCS,C1713,SCREW SURG L38MM OD4.5MM,78.0,78.0,4.13,93.6,20
HCPCS,C1713,SCREW SV-T PED CRT6.5X45,1370.0,1370.0,72.61,1644.0,20
HCPCS,C1713,SCREW SYN CORT ST 3.5X30,49.0,49.0,2.6,58.8,20
HCPCS,C1713,SCREW TB CORT DSTL3.5X38,69.0,69.0,3.66,82.8,20
HCPCS,C1713,SCREW THEKEN 4.0X14,414.2,414.2,21.95,497.04,20
HCPCS,C1713,SCREW TI 4MM X 42MM,304.0,304.0,16.11,364.8,20
HCPCS,C1713,SCREW TI FXANG 15X4.5MM,414.2,414.2,21.95,497.04,20
HCPCS,C1713,SCREW TI6 DS-SERIES 2X40,550.0,550.0,29.15,660.0,20
HCPCS,C1713,SCREW TI6 DS-SERIES 2X42,550.0,550.0,29.15,660.0,20
HCPCS,C1713,SCREW TNM CARBOFX 4X40,600.0,600.0,31.8,720.0,20
HCPCS,C1713,SCREW TNM T25 LCKG 5X32,392.0,392.0,20.78,470.4,20
HCPCS,C1713,SCREW TOP LOADING,700.0,700.0,37.1,840.0,20
HCPCS,C1713,SCREW TRA CANN 3.5X18,4344.0,4344.0,230.23,5212.8,20
HCPCS,C1713,SCREW TRAD. 5.0X30,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW TRBCULAR 6.5X85,710.0,710.0,37.63,852.0,20
HCPCS,C1713,SCREW TRGN LCK 5.0X65,243.6,243.6,12.91,292.32,20
HCPCS,C1713,SCREW VIPR CORT 8X35MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCREW VIPR PLOY 8X45 TI,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1713,SCREW VLP TI 24X10MM LCK,400.0,400.0,21.2,480.0,20
HCPCS,C1713,SCREW XIA POLY SS 5.5X40,2163.1,2163.1,114.64,2595.72,20
HCPCS,C1713,SCREW XIS POLY SS 5.5X45,2163.1,2163.1,114.64,2595.72,20
HCPCS,C1713,SCRW  4.0X 10 MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,SCRW 2.7X 16 MM THD WM,412.0,412.0,21.84,494.4,20
HCPCS,C1713,SCRW 3.5X28MM LCKNG PLAT,670.0,670.0,35.51,804.0,20
HCPCS,C1713,SCRW BN 1.7MM 5MM SLFDRL,171.0,171.0,9.06,205.2,20
HCPCS,C1713,SCRW BN 16MM 7.5X105MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCRW BN 3.5X18MM,264.0,264.0,13.99,316.8,20
HCPCS,C1713,SCRW BN 4MM 46MM,304.0,304.0,16.11,364.8,20
HCPCS,C1713,SCRW BN L60 OD6 EXPEDIUM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1713,SCRW CA 16THD 7.5X70MM,492.0,492.0,26.08,590.4,20
HCPCS,C1713,SCRW CA 16THD 7.5X95MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCRW CAN 6.5X120MM 46PT,300.0,300.0,15.9,360.0,20
HCPCS,C1713,SCRW CAN32 THD 7.0X140MM,382.0,382.0,20.25,458.4,20
HCPCS,C1713,SCRW CAN32 THD 7.0X145MM,442.0,442.0,23.43,530.4,20
HCPCS,C1713,SCRW CANC T20 PT 4.065,94.0,94.0,4.98,112.8,20
HCPCS,C1713,SCRW CANN 16THD 5.5X65MM,563.0,563.0,29.84,675.6,20
HCPCS,C1713,SCRW CANN 32THD 5.5X60CC,563.0,563.0,29.84,675.6,20
HCPCS,C1713,SCRW CANN 4.0 X 30,200.0,200.0,10.6,240.0,20
HCPCS,C1713,SCRW CMPRSN PLT 3.5X18MM,548.0,548.0,29.04,657.6,20
HCPCS,C1713,SCRW CRTX 4.530MM R,55.0,55.0,2.92,66.0,20
HCPCS,C1713,SCRW LP ST 3.530MM SN,32.0,32.0,1.7,38.4,20
HCPCS,C1713,SCRW LP ST 3.540MM SN,32.0,32.0,1.7,38.4,20
HCPCS,C1713,SCRW OSTEONG 4.022MM,586.0,586.0,31.06,703.2,20
HCPCS,C1713,SCRW PLATE NLCK 3.5X24MM,488.0,488.0,25.86,585.6,20
HCPCS,C1713,SCRW SPN 6.5X55 03820655,1867.42,1867.42,98.97,2240.9,20
HCPCS,C1713,SCRW XIA 7.5X40 03820740,1867.42,1867.42,98.97,2240.9,20
HCPCS,C1713,SET IMPL HIP LABRL RECN,3934.0,3934.0,208.5,4720.8,20
HCPCS,C1713,SET SCREW BN 2.0X12MM,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SET SCREW META-TAN 0MM,278.0,278.0,14.73,333.6,20
HCPCS,C1713,SET SCREW SPN,100.0,100.0,5.3,120.0,20
HCPCS,C1713,SET SCREW SPNL LCK,83.0,83.0,4.4,99.6,20
HCPCS,C1713,SHANK SPN 5.5MM 30MM,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SHANK SPN 5.5MM 35MM,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SHANK SPN 6.5MM 30MM,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SHANK SPN 6.5X40MM,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SHANK SPN 7.5MM 40MM,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SHANK SPNL 7.5MM 50MM,750.0,750.0,39.75,900.0,20
HCPCS,C1713,SIDEPLT LCP DHHS 4H 130D,1189.44,1189.44,63.04,1427.33,20
HCPCS,C1713,SPACER ALGRF 14X11X5MM V,3055.0,3055.0,161.91,3666.0,20
HCPCS,C1713,SPACER ALGRF 14X11X6MM V,3299.0,3299.0,174.85,3958.8,40
HCPCS,C1713,SPACER ALGRF 14X11X7MM V,3299.0,3299.0,174.85,3958.8,60
HCPCS,C1713,SPACER ALGRF 17MM 10D LR,3055.0,3055.0,161.91,3666.0,20
HCPCS,C1713,SPACER ALGRF 5MM VIKOS S,3299.0,3299.0,174.85,3958.8,20
HCPCS,C1713,SPACER ALGRF 7MM VIKOS S,3299.0,3299.0,174.85,3958.8,20
HCPCS,C1713,SPNL SCREW 8MM 70MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1713,STAPLE BN 10MM 13MM,3790.0,3790.0,200.87,4548.0,20
HCPCS,C1713,STAPLE BN 10MM 9MM,2990.0,2990.0,158.47,3588.0,20
HCPCS,C1713,STAPLE BN 10X10X13MM,1690.0,1690.0,89.57,2028.0,20
HCPCS,C1713,STAPLE BN 12MM 15MM,3790.0,3790.0,200.87,4548.0,20
HCPCS,C1713,STAPLE BN 15MM 15MM,4590.0,4590.0,243.27,5508.0,20
HCPCS,C1713,STAPLE BN 15MM 15MM 15MM,2932.0,2932.0,155.4,3518.4,20
HCPCS,C1713,STAPLE BN 15X10X10MM,2340.0,2340.0,124.02,2808.0,20
HCPCS,C1713,STAPLE BN 15X18MM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1713,STAPLE BN 16MM 18MM,2524.0,2524.0,133.77,3028.8,20
HCPCS,C1713,STAPLE BN 18MM 18MM,6558.0,6558.0,347.57,7869.6,20
HCPCS,C1713,STAPLE BN 18MM 18MM 18MM,2932.0,2932.0,155.4,3518.4,20
HCPCS,C1713,STAPLE BN 18WX15L,5240.0,5240.0,277.72,6288.0,20
HCPCS,C1713,STAPLE BN 20X20X20MM,2932.0,2932.0,155.4,3518.4,20
HCPCS,C1713,STAPLE BN 22X15MM,5240.0,5240.0,277.72,6288.0,20
HCPCS,C1713,STAPLE BN 25MM 20MM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1713,STAPLE BN 28X17X14MM,6524.0,6524.0,345.77,7828.8,20
HCPCS,C1713,STAPLE BN 7MM 9MM,2990.0,2990.0,158.47,3588.0,20
HCPCS,C1713,STAPLE BN CMPR 20X20 UC,790.0,790.0,41.87,948.0,20
HCPCS,C1713,STAPLE BN ISTR 15X15MM,4990.0,4990.0,264.47,5988.0,20
HCPCS,C1713,STAPLE BN MEMFX 12X15X13,2712.0,2712.0,143.74,3254.4,20
HCPCS,C1713,STAPLE BN NTNL 18X14MM,3446.0,3446.0,182.64,4135.2,20
HCPCS,C1713,STAPLE MEMOFIX 15X15X15,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1713,STAPLE UNICLIP COMPRESSI,790.0,790.0,41.87,948.0,20
HCPCS,C1713,STEM HUM 6X15 SHLDER,6220.0,6220.0,329.66,7464.0,20
HCPCS,C1713,STIMULATOR BN OSTGN IMPL,17740.0,17740.0,940.22,21288.0,20
HCPCS,C1713,SUT BIO SMJNT AR-8934BNF,844.0,844.0,44.73,1012.8,20
HCPCS,C1713,SUTURE ANCH BTTN PLT 2HL,4700.0,4700.0,249.1,5640.0,20
HCPCS,C1713,SUTURE CERCLAGE,950.0,950.0,50.35,1140.0,20
HCPCS,C1713,SYS IMPL ANCH W/BC SWVLK,6105.0,6105.0,323.56,7326.0,20
HCPCS,C1713,SYS IMPL SWVL 3.9X17.9MM,3990.0,3990.0,211.47,4788.0,20
HCPCS,C1713,SYS IMPL TNDN REPR 3.9MM,5590.0,5590.0,296.27,6708.0,20
HCPCS,C1713,SYSTEM ANCHOR LIGMNT RPR,2990.0,2990.0,158.47,3588.0,20
HCPCS,C1713,SYSTEM ANCHOR SUTURE,5190.0,5190.0,275.07,6228.0,20
HCPCS,C1713,SYSTEM ANCHOR UCL 3.5MM,2358.0,2358.0,124.97,2829.6,20
HCPCS,C1713,SYSTEM ANCHR 4.75MM,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1713,SYSTEM ANCHR PTLA 4.75MM,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1713,SYSTEM BN IMPL ANCH,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1713,SYSTEM BN IMPLANT REPAIR,2790.0,2790.0,147.87,3348.0,20
HCPCS,C1713,SYSTEM CBL HIP 23X121MM,4746.0,4746.0,251.54,5695.2,20
HCPCS,C1713,SYSTEM END FX BLU 4.75MM,1280.0,1280.0,67.84,1536.0,20
HCPCS,C1713,SYSTEM IMPL GRAFT ANCHR,4130.0,4130.0,207.23,5220.0,40
HCPCS,C1713,SYSTEM IMPLANT FIBER,2030.0,2030.0,107.59,2436.0,20
HCPCS,C1713,SYSTEM IMPLANT MULTI,7622.0,7622.0,403.97,9146.4,20
HCPCS,C1713,SYSTEM IMPLANT RT,2110.0,2110.0,111.83,2532.0,20
HCPCS,C1713,SYSTEM IMPLANT SCREW,3990.0,3990.0,211.47,4788.0,20
HCPCS,C1713,SYSTEM IMPLANT SUT/DRILL,2270.0,2270.0,120.31,2724.0,20
HCPCS,C1713,SYSTEM INTRA 2.4 MM,2430.0,2430.0,128.79,2916.0,20
HCPCS,C1713,SYSTEM INTRA 2.9 MM,2430.0,2430.0,128.79,2916.0,20
HCPCS,C1713,SYSTEM KNOTLES AC REPAIR,3750.0,3750.0,198.75,4500.0,20
HCPCS,C1713,SYSTEM PLT/SCR 3.6X2.7MM,7600.0,7600.0,402.8,9120.0,20
HCPCS,C1713,T-PLATE BN 5HL 2MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1713,T-PLATE BN 6H 2MM,1670.0,1670.0,88.51,2004.0,20
HCPCS,C1713,TAP SURG BONE 2.3 SCR,460.62,460.62,24.41,552.74,20
HCPCS,C1713,TISS SYN MDPR BLOCK38X63,2486.12,2486.12,131.76,2983.34,20
HCPCS,C1713,TISS TAK II AR1935B30,540.0,540.0,28.62,648.0,20
HCPCS,C1713,TUNNELOC TIBL FX 8MM,1130.0,1130.0,59.89,1356.0,20
HCPCS,C1713,VOLAR PLATE DISTAL RT,1390.0,1390.0,73.67,1668.0,20
HCPCS,C1713,VOLAR PLT WIDE DISTAL RT,1390.0,1390.0,73.67,1668.0,20
HCPCS,C1713,WASHER BN 12.7MM,165.0,165.0,8.74,198.0,20
HCPCS,C1713,WASHER BN 12.7MM 6.5MM,78.0,78.0,4.13,93.6,20
HCPCS,C1713,WASHER BN 13.0MM,49.0,49.0,2.6,58.8,20
HCPCS,C1713,WASHER BN 13MM,361.0,361.0,19.13,433.2,20
HCPCS,C1713,WASHER BN 2.7X3.5X4.2MM,260.0,260.0,13.78,312.0,20
HCPCS,C1713,WASHER BN 21.7MM,273.0,273.0,14.47,327.6,20
HCPCS,C1713,WASHER BN 2MM 9MM,820.0,820.0,43.46,984.0,20
HCPCS,C1713,WASHER BN 4.5MM 10MM,52.0,52.0,2.76,62.4,20
HCPCS,C1713,WASHER BN 4MM 8MM,70.0,70.0,3.71,84.0,20
HCPCS,C1713,WASHER BN 6.5MM 12.7MM,95.0,95.0,5.04,114.0,20
HCPCS,C1713,WASHER BN 6.5MM 3.0MM,50.0,50.0,2.65,60.0,20
HCPCS,C1713,WASHER BN 6.5MM 8MM,56.0,56.0,2.97,67.2,20
HCPCS,C1713,WASHER BN 7.0MM F/SM,44.0,44.0,2.33,52.8,20
HCPCS,C1713,WASHER BN 7MM 4MM,77.0,77.0,4.08,92.4,20
HCPCS,C1713,WASHER BN 9.5MM,430.0,430.0,22.79,516.0,20
HCPCS,C1713,WASHER BN BTN 2.7MM 5MM,80.0,80.0,4.24,96.0,20
HCPCS,C1713,WASHER BN DBL 3.5MM,278.0,278.0,14.73,333.6,20
HCPCS,C1713,WASHER BN FIX 7MM,71.0,71.0,3.76,85.2,20
HCPCS,C1713,WASHER BN FLAT 3MM,40.0,40.0,2.12,48.0,20
HCPCS,C1713,WASHER BN FLAT 4.0,40.0,40.0,2.12,48.0,20
HCPCS,C1713,WASHER BN HIP SZ3 7MM,41.0,41.0,2.17,49.2,20
HCPCS,C1713,WASHER BN LCKNG LT,5090.0,5090.0,269.77,6108.0,20
HCPCS,C1713,WASHER BN ORTH 6.5/8MM,58.0,58.0,3.07,69.6,20
HCPCS,C1713,WASHER BN THRD 3.0MM,240.0,240.0,12.72,288.0,20
HCPCS,C1713,WASHER BN TI 13MM,160.0,160.0,8.48,192.0,20
HCPCS,C1713,WASHER EVOS ORTH 3.5 MM,80.0,80.0,4.24,96.0,20
HCPCS,C1713,WASHER FIXATION SCREW,757.0,757.0,40.12,908.4,20
HCPCS,C1713,WASHER LCK RT,5400.0,5400.0,286.2,6480.0,20
HCPCS,C1713,WASHER NUT ORTH 5MM,471.0,471.0,24.96,565.2,20
HCPCS,C1713,WASHER ORT PERILC 10MM,20.0,20.0,1.06,24.0,20
HCPCS,C1713,WASHER ORTH RND 12.7MM,186.0,186.0,9.86,223.2,20
HCPCS,C1713,WASHER RND 12.7X8MM,165.0,165.0,8.74,198.0,20
HCPCS,C1713,WASHER SCRW HI TRQ 4.0MM,280.0,280.0,14.84,336.0,20
HCPCS,C1713,WASHER SPIKED BNE L17MM,322.0,322.0,17.07,386.4,20
HCPCS,C1713,WASHER SPIKED BNE L20MM,274.0,274.0,14.52,328.8,20
HCPCS,C1713,WASHER SPNL REVERE MED,902.0,902.0,47.81,1082.4,20
HCPCS,C1713,XLNK SCOLI XIA 23,2032.12,2032.12,107.7,2438.54,20
HCPCS,C1714,CATH ATHR 6F 36MM 145CM,22539.0,22539.0,1194.57,27046.8,49
HCPCS,C1714,CATH ATHRCM 5.9CM 135CM,22539.0,22539.0,1194.57,27046.8,49
HCPCS,C1721,DEFIB CARD 2.5V 500OHM,22360.0,22360.0,1185.08,26832.0,20
HCPCS,C1721,DEFIB CARD 36J 51X70MM,22360.0,22360.0,1185.08,26832.0,20
HCPCS,C1721,DEFIB CARD THK15MM 51X66,22850.0,22850.0,1211.05,27420.0,20
HCPCS,C1721,DEFIB ICD 69X51X12MM,22360.0,22360.0,1185.08,26832.0,20
HCPCS,C1721,DEFIB ICD ELLIPSE DR,22360.0,22360.0,1185.08,26832.0,20
HCPCS,C1721,DEFIB-CARD MXMO2 DR 2CHM,22850.0,22850.0,1211.05,27420.0,20
HCPCS,C1721,ICD DEFB DLCHMBR MRI IS1,19884.0,19884.0,1053.85,23860.8,20
HCPCS,C1721,ICD DEFIB 68X51X13MM,19884.0,19884.0,1053.85,23860.8,20
HCPCS,C1721,ICD DEFIB CARD 51X66MM,18856.0,18856.0,999.37,22627.2,20
HCPCS,C1721,ICD DEFIB CARD 7.68CM,16896.0,16896.0,895.49,20275.2,20
HCPCS,C1721,ICD DR MRI IS1 DF1,17670.0,17670.0,936.51,21204.0,20
HCPCS,C1721,ICD DUAL CHMBR 35MM,22360.0,22360.0,1185.08,26832.0,20
HCPCS,C1721,ICD ENTRST D154ATG,27040.0,27040.0,1433.12,32448.0,20
HCPCS,C1721,ICD EVERA S DR DF4,22850.0,22850.0,1211.05,27420.0,20
HCPCS,C1721,ICD MDT VIRTUOSO II DF-1,22850.0,22850.0,1211.05,27420.0,20
HCPCS,C1721,ICD MRQS DR 7274,27040.0,27040.0,1433.12,32448.0,20
HCPCS,C1721,ICD MXMO DR 7278,27040.0,27040.0,1433.12,32448.0,20
HCPCS,C1721,ICD PROTECTA DR D334DRG,22850.0,22850.0,1211.05,27420.0,20
HCPCS,C1721,ICD VNTK PRZM DR HE 1853,30600.0,30600.0,1621.8,36720.0,20
HCPCS,C1721,ICD VTLTY AVT A155,38852.0,38852.0,2059.16,46622.4,20
HCPCS,C1721,ICD VTLTY DS T125,35000.0,35000.0,1855.0,42000.0,20
HCPCS,C1721,PACER W/DEFIB SECURA DR,22850.0,22850.0,1211.05,27420.0,20
HCPCS,C1722,DEFIB CARD 30J 50X76MM,36480.0,36480.0,1933.44,43776.0,20
HCPCS,C1722,DEFIB CARD THK15MM 37ML,21250.0,21250.0,1126.25,25500.0,20
HCPCS,C1722,DEFIB CARD THK15MM 51X64,21250.0,21250.0,1126.25,25500.0,20
HCPCS,C1722,DEFIB ELLIPSE VR ICD DF4,22360.0,22360.0,1185.08,26832.0,20
HCPCS,C1722,DEFIB SECURA VR CHMBR,21250.0,21250.0,1126.25,25500.0,20
HCPCS,C1722,DEFIB-CARD MXM2 VR 1CHM,21250.0,21250.0,1126.25,25500.0,20
HCPCS,C1722,DEFIB-CARD MXMO2 DR 1CHM,21250.0,21250.0,1126.25,25500.0,20
HCPCS,C1722,DEFIB-CARD PROTCTVR 1CHM,21250.0,21250.0,1126.25,25500.0,20
HCPCS,C1722,DEFIB-CARD SECURA VR ICD,21250.0,21250.0,1126.25,25500.0,20
HCPCS,C1722,ICD CHAMBER 1,22360.0,22360.0,1185.08,26832.0,20
HCPCS,C1722,ICD DEFIB CARD 7.36CM,18498.0,18498.0,980.39,22197.6,20
HCPCS,C1722,ICD DEFIB CARD DEVICE,40000.0,40000.0,2120.0,48000.0,20
HCPCS,C1722,ICD DX DF4,13536.0,13536.0,717.41,16243.2,20
HCPCS,C1722,ICD MRQS VR 7230CX,26000.0,26000.0,1378.0,31200.0,20
HCPCS,C1722,ICD MXMO VR 7232CX,27040.0,27040.0,1433.12,32448.0,20
HCPCS,C1722,ICD PROTECTA VR 334VRG,21250.0,21250.0,1126.25,25500.0,20
HCPCS,C1722,ICD VNTK PRZM VR HE 1852,28116.0,28116.0,1490.15,33739.2,20
HCPCS,C1722,ICD VRTOSO D154VWC,21250.0,21250.0,1126.25,25500.0,20
HCPCS,C1722,ICD VTLTY DS VR T135,30744.0,30744.0,1629.43,36892.8,20
HCPCS,C1722,ICD VTLTY2 VR T175,22850.0,22850.0,1211.05,27420.0,20
HCPCS,C1722,ICD XT MRI DF4,18874.0,18874.0,1000.32,22648.8,20
HCPCS,C1722,ICD-S 12.7MM 83.1X69.1MM,36000.0,36000.0,1908.0,43200.0,20
HCPCS,C1724,BURR CATH ARTHRM 1.25MM,14961.0,14961.0,792.93,17953.2,49
HCPCS,C1724,BURR CATH ARTHRM 1.50MM,14961.0,14961.0,792.93,17953.2,49
HCPCS,C1724,BURR CATH ARTHRM 1.75MM,14961.0,14961.0,792.93,17953.2,49
HCPCS,C1724,BURR CATH ARTHRM 2.00MM,16282.0,16282.0,862.95,19538.4,49
HCPCS,C1724,CATH ATHR 1.25MM 135CM,7604.0,7604.0,403.01,9124.8,49
HCPCS,C1724,CATH ATHR 1.5MM 135CM,7604.0,7604.0,403.01,9124.8,49
HCPCS,C1724,CATH ATHRCM 1.50MM 145CM,25130.0,25130.0,1331.89,30156.0,49
HCPCS,C1724,CATH ATHRCM 145CM 1.25MM,25130.0,25130.0,1331.89,30156.0,98
HCPCS,C1724,CATH ATHRCM 2.1MM,19041.0,19041.0,1009.17,22849.2,49
HCPCS,C1724,CATH ATHRCM 2.4/3.4MM,19041.0,19041.0,1009.17,22849.2,49
HCPCS,C1724,CATH ATHRCM 6.6CM 114CM,24443.0,24443.0,1295.48,29331.6,49
HCPCS,C1724,CATH ATHRCM STRL 1.75MM,2525.0,2525.0,133.82,3030.0,49
HCPCS,C1724,CATH SET 6F 135MM,20091.0,20091.0,1064.82,24109.2,49
HCPCS,C1724,CTH ATHER 1.75MM 135CM,7604.0,7604.0,403.01,9124.8,49
HCPCS,C1724,CTH ATHER 2MM 135CM,7604.0,7604.0,403.01,9124.8,49
HCPCS,C1724,SYSTEM CATH ARTHRCM 1.5M,25130.0,25130.0,1331.89,30156.0,49
HCPCS,C1724,SYSTEM CATH ARTHRCM 135C,28091.0,28091.0,1488.82,33709.2,49
HCPCS,C1725,BLN AVTR+ RX 4X2X142,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,BLN AVTR+ RX 5X2X142,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,BLN AVTR+ RX 5X3X142,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,BLN AVTR+ RX 5X4X142,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,BLN STRLG 6.5X20X80,1305.0,1305.0,69.17,1566.0,49
HCPCS,C1725,CATH ANGIO 16MM 4CM 80CM,3432.0,3432.0,181.9,4118.4,49
HCPCS,C1725,CATH ANGIO 5FR 100CM,363.0,363.0,19.24,435.6,49
HCPCS,C1725,CATH BALLN OTW 20X2.5,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BDL .035IN 5FR 4MM,974.4,974.4,51.64,1169.28,49
HCPCS,C1725,CATH BDL .035IN 5FR 5MM,974.4,974.4,51.64,1169.28,147
HCPCS,C1725,CATH BDL .035IN 5FR 6MM,1769.2,1769.2,51.64,3076.8,98
HCPCS,C1725,CATH BLD 3.5X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLD 3.5X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 10X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 10X60MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 10X80MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 12X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 12X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 2X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 2X120MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 2X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 2X20MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 2X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 2X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 2X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 2X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 3.5X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 3.5X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 3X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 3X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 3X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 4X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 4X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 4X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 4X20MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 4X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 4X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 4X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 4X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 4X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 4X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X120MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X120MM 150CM,3057.0,3057.0,162.02,3668.4,49
HCPCS,C1725,CATH BLDL 5X130MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X200MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X220MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X250MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X300MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 5X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 6X100MM 130CM,3148.5,3148.5,135.89,4479.6,98
HCPCS,C1725,CATH BLDL 6X120MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 6X150MM 130CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLDL 6X200MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 6X20MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 6X220MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 6X250MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 6X300MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 6X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 6X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 6X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 7X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 7X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 7X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 7X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 7X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 8X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 8X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 8X20MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 8X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 9X20MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLDL 9X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN .035 8X80X80,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN .035IN 7FR 12MM,3432.0,3432.0,181.9,4118.4,49
HCPCS,C1725,CATH BLN .035IN 8FR 16MM,3432.0,3432.0,181.9,4118.4,49
HCPCS,C1725,CATH BLN 1.5X120MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 10MM 80CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 10MM 80MM 8CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 10X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 2.0X120MM 150CM,3262.0,3262.0,172.89,3914.4,49
HCPCS,C1725,CATH BLN 2.5X100MM 150CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLN 2.5X150MM 150CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLN 2.5X220MM 150CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLN 2.5X300MM 150CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLN 2.5X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 2.5X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 22X4.5X110MM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLN 2X210MM 150CM,3825.0,3825.0,197.85,4700.4,98
HCPCS,C1725,CATH BLN 3.0X100MM 150CM,3235.0,3235.0,171.46,3882.0,49
HCPCS,C1725,CATH BLN 3.5X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 3.5X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 3.5X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 3.5X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 3.5X60MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 3.5X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 3X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 3X100MM 150CM,4252.5,4252.5,135.89,7129.2,98
HCPCS,C1725,CATH BLN 3X120MM 150CM,3262.0,3262.0,172.89,3914.4,49
HCPCS,C1725,CATH BLN 3X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 3X150MM 150CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLN 3X210MM 170CM,3917.0,3917.0,207.6,4700.4,49
HCPCS,C1725,CATH BLN 3X220MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 3X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 3X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 3X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 4.0X210MM 150CM,3917.0,3917.0,207.6,4700.4,49
HCPCS,C1725,CATH BLN 4FR 2.5MM 10CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 4MM 100CM,5829.0,5829.0,308.94,6994.8,49
HCPCS,C1725,CATH BLN 4X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 4X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 4X120MM 170CM,3864.0,3864.0,204.79,4636.8,49
HCPCS,C1725,CATH BLN 4X150MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 4X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 4X220MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 4X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 4X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 4X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 4X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 4X60MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 4X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 5MM 40MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 6X100MM 135CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 7FR 14MM 120CM,3432.0,3432.0,181.9,4118.4,49
HCPCS,C1725,CATH BLN 8MM 2CM 80CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 8MM 60MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 8X40MM 80CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN 9FR 20MM,4585.0,4585.0,243.0,5502.0,49
HCPCS,C1725,CATH BLN 9FR 20MM 80CM,4585.0,4585.0,243.0,5502.0,49
HCPCS,C1725,CATH BLN 9MM 40MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLN ANGIO 40MM 80CM,3432.0,3432.0,181.9,4118.4,49
HCPCS,C1725,CATH BLN PRPF 80MM 150CM,36528.0,36528.0,1935.98,43833.6,49
HCPCS,C1725,CATH BLNDIL .014IN 4X30,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 1.2X12MM,5240.0,5240.0,277.72,6288.0,49
HCPCS,C1725,CATH BLNDIL 1.5MM 15MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 1.5MM 20MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 1.5MM 8MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 10MM 2.5MM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 10MM 80CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 10X80MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 12MM 40MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 135CM 17CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 14MM 40MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 15MM 1.5MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 15MM 4.00MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 16MM 60MM,3432.0,3432.0,181.9,4118.4,49
HCPCS,C1725,CATH BLNDIL 18FR 108CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 18MM 40MM,3432.0,3432.0,181.9,4118.4,49
HCPCS,C1725,CATH BLNDIL 18X4.5X110,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 2.25MM 10MM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 2.25MM 12MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 2.25MM 15MM,4252.5,4252.5,135.89,7129.2,147
HCPCS,C1725,CATH BLNDIL 2.25MM 20MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 2.25MM 6MM,4252.5,4252.5,135.89,7129.2,98
HCPCS,C1725,CATH BLNDIL 2.25MM 8MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 2.50X20MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 2.5MM 12MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 2.5MM 150MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 2.5MM 15MM,4252.5,4252.5,135.89,7129.2,245
HCPCS,C1725,CATH BLNDIL 2.5MM 20MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 2.5MM 220MM,2594.0,2594.0,137.48,3112.8,49
HCPCS,C1725,CATH BLNDIL 2.5MM 30MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 2.5MM 4CM,5344.0,5344.0,283.23,6412.8,49
HCPCS,C1725,CATH BLNDIL 2.5MM 6MM,4252.5,4252.5,135.89,7129.2,98
HCPCS,C1725,CATH BLNDIL 2.5MM 8MM,2564.0,2564.0,135.89,3076.8,147
HCPCS,C1725,CATH BLNDIL 2.5MM0MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 2.75MM 10MM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 2.75MM 12MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 2.75MM 15MM,4252.5,4252.5,135.89,7129.2,147
HCPCS,C1725,CATH BLNDIL 2.75MM 20MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 2.75MM 6MM,4252.5,4252.5,135.89,7129.2,98
HCPCS,C1725,CATH BLNDIL 2.75MM 8MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 20MM 1.5MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 20X4.5X110,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 26X4.5X110,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 2MM 100MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 2MM 10MM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 2MM 12MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 2MM 150MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 2MM 15MM,4252.5,4252.5,135.89,7129.2,196
HCPCS,C1725,CATH BLNDIL 2MM 1MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 2MM 20MM,2564.0,2564.0,135.89,3076.8,147
HCPCS,C1725,CATH BLNDIL 2MM 220MM,2594.0,2594.0,137.48,3112.8,49
HCPCS,C1725,CATH BLNDIL 2MM 30MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 2MM 4CM,5344.0,5344.0,283.23,6412.8,49
HCPCS,C1725,CATH BLNDIL 2MM 6MM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 2MM 8MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 2MM 8MM LUM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 2MM0MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 3.25MM 10MM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 3.25MM 12MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 3.25MM 15MM,4252.5,4252.5,135.89,7129.2,147
HCPCS,C1725,CATH BLNDIL 3.25MM 20MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 3.25MM 6MM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 3.25MM 8MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 3.5MM 10MM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 3.5MM 12MM,2564.0,2564.0,135.89,3076.8,147
HCPCS,C1725,CATH BLNDIL 3.5MM 15MM,4252.5,4252.5,135.89,7129.2,196
HCPCS,C1725,CATH BLNDIL 3.5MM 170CM,3262.0,3262.0,172.89,3914.4,49
HCPCS,C1725,CATH BLNDIL 3.5MM 20MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 3.5MM 30MM,2564.0,2564.0,135.89,3076.8,147
HCPCS,C1725,CATH BLNDIL 3.5MM 6MM,4252.5,4252.5,135.89,7129.2,98
HCPCS,C1725,CATH BLNDIL 3.5MM 8MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 3.5MM0MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 3.75MM 12MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 3.75MM 15MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 3.75MM 20MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 3.75MM 6MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 3.75MM 8MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 3MM 100MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 3MM 10MM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 3MM 120MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 3MM 12MM,2564.0,2564.0,135.89,3076.8,147
HCPCS,C1725,CATH BLNDIL 3MM 150MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 3MM 15MM,4252.5,4252.5,135.89,7129.2,196
HCPCS,C1725,CATH BLNDIL 3MM 20MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 3MM 220MM,2594.0,2594.0,137.48,3112.8,49
HCPCS,C1725,CATH BLNDIL 3MM 30MM,2564.0,2564.0,135.89,3076.8,147
HCPCS,C1725,CATH BLNDIL 3MM 4CM,5344.0,5344.0,283.23,6412.8,49
HCPCS,C1725,CATH BLNDIL 3MM 6MM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 3MM 8CM,5344.0,5344.0,283.23,6412.8,49
HCPCS,C1725,CATH BLNDIL 3MM 8MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 3MM 8MM LUM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 3MM0MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 4.5MM 12MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 4.5MM 15MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 4.5MM 20MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 4.5MM 8MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 4MM 10MM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDIL 4MM 12MM,2564.0,2564.0,135.89,3076.8,147
HCPCS,C1725,CATH BLNDIL 4MM 15MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 4MM 20MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 4MM 6MM,4252.5,4252.5,135.89,7129.2,98
HCPCS,C1725,CATH BLNDIL 4MM 8MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 4MM 8MM LUM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 4MM0MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 4X20X135,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 4X30X135,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 4X40X135,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 5.0X25MM,4441.0,4441.0,235.37,5329.2,49
HCPCS,C1725,CATH BLNDIL 5.0X35MM,4441.0,4441.0,235.37,5329.2,49
HCPCS,C1725,CATH BLNDIL 5FR 4X135CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 5FR 6MM 80CM,974.4,974.4,51.64,1169.28,49
HCPCS,C1725,CATH BLNDIL 5MM 12MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 5MM 135X20CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 5MM 15MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 5MM 20MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 5MM 6MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 5MM 8MM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDIL 5X20X135,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 5X30X135,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 6.0MM 35MM,4441.0,4441.0,235.37,5329.2,49
HCPCS,C1725,CATH BLNDIL 6.0X25MM,4441.0,4441.0,235.37,5329.2,49
HCPCS,C1725,CATH BLNDIL 6MM 75X4CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 6MM 80CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 6X20X135,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 6X30X135,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 6X40X 135,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 7F 12X80X4,3432.0,3432.0,181.9,4118.4,49
HCPCS,C1725,CATH BLNDIL 7F 40 75X9X8,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 7MM 80CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 7X20MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 7X60MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 8MM 80CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDIL 9MM 80CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 10X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 10X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 14X40MM 80CM,3432.0,3432.0,181.9,4118.4,49
HCPCS,C1725,CATH BLNDL 2.5X120X150,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 24MM 110CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDL 2MM 90X12CM,5344.0,5344.0,283.23,6412.8,49
HCPCS,C1725,CATH BLNDL 2X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 2X100MM 150CM,4252.5,4252.5,135.89,7129.2,98
HCPCS,C1725,CATH BLNDL 2X150MM 150CM,4252.5,4252.5,135.89,7129.2,98
HCPCS,C1725,CATH BLNDL 2X200MM 150CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDL 2X220MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 2X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 2X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 2X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 2X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 2X60MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 2X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 3X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 3X150MM 150CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1725,CATH BLNDL 3X220MM 150CM,2932.0,2932.0,155.4,3518.4,49
HCPCS,C1725,CATH BLNDL 3X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 3X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 3X60MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 3X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 4FR 2.5MM 170,3235.0,3235.0,171.46,3882.0,49
HCPCS,C1725,CATH BLNDL 4X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 4X100MM 150CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDL 4X150MM 150CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1725,CATH BLNDL 4X220MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 5X100MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 5X150MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 5X20MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 5X300MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 5X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 5X60MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 5X80MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 6FR 7MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 6X20 135CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 6X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 6X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 6X60MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 6X80MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 7X100MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 7X220MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 7X40MM 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 8MM 75X4CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 8X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 8X60MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 90X12CM 3MM,5344.0,5344.0,283.23,6412.8,49
HCPCS,C1725,CATH BLNDL 9X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 9X60MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL 9X80MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH BLNDL PRPH 120X10CM,1243.2,1243.2,65.89,1491.84,49
HCPCS,C1725,CATH BLNL 1.5X40MM 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1725,CATH IVL 2.5MM 80MM,36528.0,36528.0,1935.98,43833.6,49
HCPCS,C1725,CATH IVL 3.5MM 80MM,36528.0,36528.0,1935.98,43833.6,49
HCPCS,C1725,CATH IVL 4MM 80MM,36528.0,36528.0,1935.98,43833.6,49
HCPCS,C1725,CATH IVL 5MM 80MM,36528.0,36528.0,1935.98,43833.6,49
HCPCS,C1725,CATH IVL 60MM 80MM,36528.0,36528.0,1935.98,43833.6,49
HCPCS,C1725,CATH IVL 8MM 30MM,26813.0,26813.0,1421.09,32175.6,49
HCPCS,C1725,CATH OCL 65CM,5698.0,5698.0,301.99,6837.6,49
HCPCS,C1725,CATH PRF18MMX3.5CM 110CM,9326.0,9326.0,494.28,11191.2,49
HCPCS,C1725,CATH PRF20MMX3.5CM 110CM,9326.0,9326.0,494.28,11191.2,49
HCPCS,C1725,CATH PRF22MMX3.5CM 110CM,9326.0,9326.0,494.28,11191.2,49
HCPCS,C1725,CATH PRF24MMX3.5CM 110CM,9326.0,9326.0,494.28,11191.2,49
HCPCS,C1725,CATH ULTSND 2.5MM 40MM,21373.0,21373.0,1132.77,25647.6,49
HCPCS,C1725,CATH ULTSND 3.0MM 40MM,21373.0,21373.0,1132.77,25647.6,49
HCPCS,C1725,CATH ULTSND 3MM 40MM,21373.0,21373.0,1132.77,25647.6,49
HCPCS,C1725,CATH ULTSND IVL 4.0X60MM,26813.0,26813.0,1421.09,32175.6,49
HCPCS,C1725,CATH ULTSND IVL 5.5X60MM,26813.0,26813.0,1421.09,32175.6,49
HCPCS,C1725,CATH ULTSND IVL 5X60MM,26813.0,26813.0,1421.09,32175.6,49
HCPCS,C1725,CATH ULTSND IVL 6.5X60MM,26813.0,26813.0,1421.09,32175.6,49
HCPCS,C1725,CATH ULTSND IVL 6X60MM,26813.0,26813.0,1421.09,32175.6,49
HCPCS,C1725,CATH ULTSND IVL 7X60MM,26813.0,26813.0,1421.09,32175.6,49
HCPCS,C1725,CATH ULTSND IVL 8X60MM,26813.0,26813.0,1421.09,32175.6,49
HCPCS,C1725,CATHETER BLN 2.5MM 90CM,5344.0,5344.0,283.23,6412.8,49
HCPCS,C1725,CATHETHER BLN 2MM 90CM,5344.0,5344.0,283.23,6412.8,49
HCPCS,C1726,BLN CERV DIL 18FR 40CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1726,BLN URE URMX 6-10X6X75,2868.0,2868.0,152.0,3441.6,49
HCPCS,C1726,BLN URE URMX 6-4X6X75,2957.0,2957.0,156.72,3548.4,49
HCPCS,C1726,BLNDIL ENDO 7.5FR 240CM,2564.0,2564.0,135.89,3076.8,245
HCPCS,C1726,CATH BLN ANGIO 4.0X100MM,9715.0,9715.0,514.89,11658.0,49
HCPCS,C1726,CATH BLN ANGIO 6.0X150MM,12047.0,12047.0,638.49,14456.4,49
HCPCS,C1726,CATH BLN ANGIO 6.0X40MM,9715.0,9715.0,514.89,11658.0,49
HCPCS,C1726,CATH BLNDIL 15FR 10CM,2704.0,2704.0,143.31,3244.8,49
HCPCS,C1726,CATH BLNDIL 18FR 10CM,2787.0,2787.0,147.71,3344.4,49
HCPCS,C1726,CATH BLNDIL 30FR 12CM,3018.0,3018.0,159.95,3621.6,49
HCPCS,C1726,CATH BLNDIL 4MM 2X180CM,2955.0,2955.0,156.62,3546.0,49
HCPCS,C1726,CATH BLNDIL 4MM 4X180CM,2955.0,2955.0,156.62,3546.0,49
HCPCS,C1726,CATH BLNDIL 6MM 2X180CM,2955.0,2955.0,156.62,3546.0,49
HCPCS,C1726,CATH BLNDIL 6MM 4X180CM,2955.0,2955.0,156.62,3546.0,49
HCPCS,C1726,CATH EP L160 HALO ABLT,16982.0,16982.0,900.05,20378.4,49
HCPCS,C1726,CATH URN DIL 5MM 4CM,2704.0,2704.0,143.31,3244.8,49
HCPCS,C1726,DILATOR BLN 5.5X240CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1726,KIT CATH BLND 30FR 12CM,2727.0,2727.0,144.53,3272.4,49
HCPCS,C1726,KIT CATH BLNDIL 15F 10CM,3044.0,3044.0,161.33,3652.8,49
HCPCS,C1726,KIT CATH BLNDIL 15FR 4CM,2810.0,2810.0,148.93,3372.0,49
HCPCS,C1726,KIT NPHSTM 30F 10MM 15CM,3019.0,3019.0,160.01,3622.8,49
HCPCS,C1726,TRAY KYPHOPLASTY 20/3MM,20207.0,20207.0,1070.97,24248.4,49
HCPCS,C1729,CATH 19G 5FR 20CM,546.0,546.0,28.94,655.2,49
HCPCS,C1729,CATH DRN 10.2FR 25CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,CATH DRN 10.5FR 40CM,2553.0,2553.0,135.31,3063.6,49
HCPCS,C1729,CATH DRN 10FR 25CM,2299.0,2299.0,121.85,2758.8,49
HCPCS,C1729,CATH DRN 10FR 25CM 8HL,1982.0,1982.0,105.05,2378.4,49
HCPCS,C1729,CATH DRN 10FR 5CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,CATH DRN 10FR 9IN,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,CATH DRN 12FR 16IN,205.0,205.0,10.87,246.0,49
HCPCS,C1729,CATH DRN 12FR 25CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,CATH DRN 12FR 8HL 25CM,2222.0,2222.0,117.77,2666.4,49
HCPCS,C1729,CATH DRN 14FR 25CM9HL,1982.0,1982.0,105.05,2378.4,49
HCPCS,C1729,CATH DRN 20FR 22IN,251.0,251.0,13.3,301.2,49
HCPCS,C1729,CATH DRN 8.5FR 25CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,CATH DRN 8FR 9IN,470.0,470.0,24.91,564.0,49
HCPCS,C1729,CATH DRN BIL 10.2FR 40CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,CATH DRN BIL 14FR 40CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,CATH DRN BIL 8.5F 40,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,CATH DRN MLCT 4-WNG 18FR,1196.0,1196.0,63.39,1435.2,49
HCPCS,C1729,CATH DRN SDPRT 14FR 29CM,3854.0,3854.0,204.26,4624.8,49
HCPCS,C1729,CATH DRN THOR 10FR 8IN,208.0,208.0,11.02,249.6,49
HCPCS,C1729,CATH DRN THOR 32FR 23IN,212.0,212.0,9.96,283.2,98
HCPCS,C1729,CATH DRN THOR 8FR 8IN,208.0,208.0,11.02,249.6,49
HCPCS,C1729,CATH DRN W/MKR 8FR 35CM,2530.0,2530.0,134.09,3036.0,49
HCPCS,C1729,CATH EXT DRA VNTRC,4866.0,4866.0,257.9,5839.2,49
HCPCS,C1729,CATH MALECOT 10FR,2252.0,2252.0,119.36,2702.4,49
HCPCS,C1729,CATH MLCT 20FR 4-WING,361.0,361.0,19.13,433.2,49
HCPCS,C1729,CATH MLCT 24FR 4-WING,375.0,375.0,19.88,450.0,49
HCPCS,C1729,CATH MLCT 26FR 4-WING,375.0,375.0,19.88,450.0,49
HCPCS,C1729,CATH MLCT 4 WNG 22FR,375.0,375.0,19.88,450.0,49
HCPCS,C1729,CATH NPHSTM 10FR 25CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,CATH NPHSTM 16FR,361.0,361.0,19.13,433.2,49
HCPCS,C1729,CATH NPHSTM 28FR,375.0,375.0,19.88,450.0,49
HCPCS,C1729,CATH THOR DRN 16FR 16IN,205.0,205.0,10.87,246.0,49
HCPCS,C1729,CATH THOR DRN 36FR 20IN,211.0,211.0,11.18,253.2,49
HCPCS,C1729,CATH THORACIC 16FR,1138.0,1138.0,60.31,1365.6,49
HCPCS,C1729,CATH THORACIC 20FR,1191.0,1191.0,63.12,1429.2,49
HCPCS,C1729,CATH THORACIC 24FR,1413.0,1413.0,74.89,1695.6,49
HCPCS,C1729,CATH THORACIC 28FR,1191.0,1191.0,63.12,1429.2,49
HCPCS,C1729,CATH THORACIC 32FR,1191.0,1191.0,63.12,1429.2,49
HCPCS,C1729,CATH URTH SFT RNDTIP 8FR,486.0,486.0,25.76,583.2,49
HCPCS,C1729,CATHETER DRN 12FR 25CM,2261.0,2261.0,119.83,2713.2,49
HCPCS,C1729,CATHETER DRN 14FR 25CM,2261.0,2261.0,119.83,2713.2,49
HCPCS,C1729,CATHETER DRN 28FR 16IN A,4253.0,4253.0,225.41,5103.6,49
HCPCS,C1729,CATHETER DRN 5FR 10CM,521.0,521.0,27.61,625.2,49
HCPCS,C1729,CATHETER DRN 8.5FR 25CM,1982.0,1982.0,105.05,2378.4,49
HCPCS,C1729,KIT CATH PERI 8.3FR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,KIT DCMPRS 14FR 175CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,KIT PRICRDC CATH 6F 60CM,2685.0,2685.0,142.31,3222.0,49
HCPCS,C1729,KIT PRIRDCTS 8.3FR 41CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,NEEDLE PROC 19GA 10CM,580.0,580.0,30.74,696.0,49
HCPCS,C1729,SET CATH NPHS 20FR 35CM,2286.0,2286.0,121.16,2743.2,49
HCPCS,C1729,SET CATH VNTRCLR 1.9MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,SET DRN 8FR 18CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1729,SHUNT DRN SYS CRANIA CSF,5078.0,5078.0,269.13,6093.6,49
HCPCS,C1729,TRAY PNEUMO 14FR 25CM,2699.0,2699.0,143.05,3238.8,49
HCPCS,C1729,TRAY THORA/PARA 8FR,40.0,40.0,2.12,48.0,49
HCPCS,C1730,CATH ABL REP 7FR 110CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1730,CATH EP 10 3.5X110CM 7FR,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1730,CATH EP 115CM 6FR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1730,CATH EP 2-5-2MM SPC110CM,4912.0,4912.0,260.34,5894.4,49
HCPCS,C1730,CATH EP 3.3FR 165CM,5941.0,5941.0,314.87,7129.2,98
HCPCS,C1730,CATH EP 5FR 110CM,3930.0,3930.0,208.29,4716.0,98
HCPCS,C1730,CATH EP 5FR 5X120CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1730,CATH EP 6FR 110CM,3930.0,3930.0,208.29,4716.0,49
HCPCS,C1730,CATH EP 6FR 120CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1730,CATH EP ABL 5FR 120CM,1372.0,1372.0,72.72,1646.4,49
HCPCS,C1730,CATH EP D MD2-5-2X110 4F,4912.0,4912.0,260.34,5894.4,49
HCPCS,C1730,CATH EP J 2-5-2X120 5FR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1730,CATH EP J CRV 10X120 5FR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1730,CATH EP J CRV 5X120 6FR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1730,CATH EP LG 2-5-2X110 4FR,4912.0,4912.0,260.34,5894.4,49
HCPCS,C1730,CATH EP LG 5X110CM 7FR,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1730,CATH MAP 8FR 110CM,11891.0,11891.0,630.22,14269.2,49
HCPCS,C1730,CATH MAPPING 15MM 165CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1730,CATH MAPPING 20MM 165CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1730,CATHETER EP 2-5-2MM SPC,1372.0,1372.0,72.72,1646.4,49
HCPCS,C1730,ELECTRODE PACER BI TEMP,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1731,CATH EP 110CM 7FR,5001.0,5001.0,265.05,6001.2,49
HCPCS,C1731,CATH EP 7FR 110CM,11658.0,11658.0,617.87,13989.6,49
HCPCS,C1731,CATH EP 7FR 115CM,5946.0,5946.0,315.14,7135.2,49
HCPCS,C1731,CATH EP 7FR 95CM,5946.0,5946.0,315.14,7135.2,49
HCPCS,C1731,CATH EP LG 2-5-2X110 6FR,3930.0,3930.0,208.29,4716.0,49
HCPCS,C1731,CATH MAP 15-25MM 117CM,12241.0,12241.0,648.77,14689.2,49
HCPCS,C1732,CATH MAP 13X13MM 105CM,15155.0,15155.0,803.22,18186.0,49
HCPCS,C1732,CATH NVSTR THMCL SF BI3D,3600.0,3600.0,190.8,4320.0,49
HCPCS,C1733,CATH 10.5F 23MM 95CM,33420.0,33420.0,1771.26,40104.0,49
HCPCS,C1733,CATH ABL 7FR 110CM,7018.0,7018.0,371.95,8421.6,98
HCPCS,C1733,CATH ABL 7FR 115CM,5941.0,5941.0,314.87,7129.2,98
HCPCS,C1733,CATH ABL 7FR 4X115CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1733,CATH CRYO 10.5FR 28MM,33420.0,33420.0,1771.26,40104.0,49
HCPCS,C1733,CATHETER ABL 110CM 7FR,4027.0,4027.0,213.43,4832.4,49
HCPCS,C1733,CATHETER ABL LOOP,52717.0,52717.0,2794.0,63260.4,49
HCPCS,C1734,GRAFT BN ALGRF INJ 3.0CC,6080.0,6080.0,322.24,7296.0,20
HCPCS,C1735,CATHETER RENAL 6FR,124352.0,124352.0,10694.27,149222.4,48
HCPCS,C1737,IMPLANT SPN 9.5MM 100MM,5850.0,5850.0,936.0,7020.0,19
HCPCS,C1737,IMPLANT SPN 9.5MM 70MM,6300.0,6300.0,1008.0,7560.0,19
HCPCS,C1737,IMPLANT SPN PLVC 7X45MM,6150.0,6150.0,984.0,7380.0,19
HCPCS,C1737,IMPLANT SPN PLVC 7X55MM,6150.0,6150.0,984.0,7380.0,19
HCPCS,C1743,STENT VASC OTW 2.5X38MM,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1743,STENT VASC OTW 3.0X38MM,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1743,STENT VASC OTW 3.75X38MM,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1743,SYSTEM SCFLD 3.5MM 38MM,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1747,URTSCP FLX 9.5FR 2-50MM,11658.0,11658.0,617.87,13989.6,49
HCPCS,C1748,SCOPE SNGL USE DISP,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1750,CATH CV 2LUM PICC,2473.0,2473.0,131.07,2967.6,49
HCPCS,C1750,CATH DLYS 16FR 42CM,3202.0,3202.0,169.71,3842.4,49
HCPCS,C1750,CATH HEMO 14.5F 23CM,4819.0,4819.0,255.41,5782.8,49
HCPCS,C1750,CATH HMDIAL 14.5FR 23CM,3575.0,3575.0,189.47,4290.0,49
HCPCS,C1750,CATH HMDIAL 16F 28CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1750,CATH HMDIAL 16FR 28CM,4419.0,4419.0,234.21,5302.8,49
HCPCS,C1750,CATH HMDIAL 23CM 14.5FR,4418.0,4418.0,234.15,5301.6,49
HCPCS,C1750,CATH HMDIAL 24CM 16FR,3202.0,3202.0,169.71,3842.4,49
HCPCS,C1750,CATH HMDIAL 32CM 14.5FR,4418.0,4418.0,234.15,5301.6,49
HCPCS,C1750,CATH KIT ANTIMCRBL SPN,1167.0,1167.0,61.85,1400.4,20
HCPCS,C1750,EQSTREAM SPLT-TP CTH 27,4419.0,4419.0,234.21,5302.8,49
HCPCS,C1750,KIT CATH 27CM 16FR,4093.0,4093.0,216.93,4911.6,49
HCPCS,C1750,KIT CATH 27CM 16FR STR,4093.0,4093.0,216.93,4911.6,49
HCPCS,C1750,KIT CATH HMDIAL 15CM,4418.0,4418.0,234.15,5301.6,49
HCPCS,C1750,KIT CATH PRTNL 57CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1750,KIT HMDIAL 13FR 24CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1750,KTI HMDIAL 13FR 20CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,CATH 4FR PICC 1LUM BRR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,CATH ART LN 5FR 110CM,3340.0,3340.0,177.02,4008.0,49
HCPCS,C1751,CATH CV 2.7FR 52CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,CATH CV 3FR 45CM,2870.0,2870.0,152.11,3444.0,49
HCPCS,C1751,CATH CV 4.2FR 71CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,CATH CV 5FR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,CATH CV L38 9.3FR ICY,6383.0,6383.0,338.3,7659.6,49
HCPCS,C1751,CATH CV2 LUM 9.5FR 47CM,2607.0,2607.0,138.17,3128.4,49
HCPCS,C1751,CATH DLV 5.4/7FR 43CM,2698.0,2698.0,142.99,3237.6,49
HCPCS,C1751,CATH INFS 2.8FR 3.2FR,7578.0,7578.0,401.63,9093.6,49
HCPCS,C1751,CATH INFS 5FR 100CM,2564.0,2564.0,135.89,3076.8,245
HCPCS,C1751,CATH INFS 5FR 135CM,2564.0,2564.0,135.89,3076.8,147
HCPCS,C1751,CATH INFSN 19FR 135CM,5567.0,5567.0,295.05,6680.4,49
HCPCS,C1751,CATH IV 18GA 10CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,CATH IV 18GA 8CM,4908.5,4908.5,135.89,8703.6,98
HCPCS,C1751,CATH MICRO2.8/2.3F 150CM,8364.0,8364.0,443.29,10036.8,49
HCPCS,C1751,CATH MIDLNE 18G 10CM PWR,2901.0,2901.0,153.75,3481.2,49
HCPCS,C1751,CATH PICC 1LUM 1.9F 30CM,1046.0,1046.0,55.44,1255.2,49
HCPCS,C1751,CATH PICC NEONATE 1.4FR,1902.0,1902.0,100.81,2282.4,49
HCPCS,C1751,CATHETER CV 8.5FR 16CM P,3406.0,3406.0,180.52,4087.2,49
HCPCS,C1751,CATHETER DUAL LUMEN 28FR,19041.0,19041.0,1009.17,22849.2,49
HCPCS,C1751,CATHETER PICC 1.9FR POLY,1747.0,1747.0,92.59,2096.4,49
HCPCS,C1751,CATHETER POLY PICC 1.4FR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,KIT ART 22GA 3/8IN,712.0,712.0,37.74,854.4,49
HCPCS,C1751,KIT CATH 18GA 8CM PWRGLD,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,KIT CATH 28GA 1.2FR 25CM,2473.0,2473.0,131.07,2967.6,49
HCPCS,C1751,KIT CATH 2LUM 4FR 13CM,1206.0,1206.0,63.92,1447.2,49
HCPCS,C1751,KIT CATH 3LUM 8.5FR 20CM,3778.0,3778.0,200.23,4533.6,49
HCPCS,C1751,KIT CATH 7.0FR 20CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,KIT CATH 8.5FR 16CM 3LUM,3406.0,3406.0,180.52,4087.2,49
HCPCS,C1751,KIT CATH CV 5.5FR 13CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,KIT CATH CV 5FR 3LUM 5CM,1059.0,1059.0,56.13,1270.8,49
HCPCS,C1751,KIT CATH CV 5FR 50CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,KIT CATH CV 7FR 20CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,KIT CATH CV THRMB 8.5X20,3668.0,3668.0,194.4,4401.6,49
HCPCS,C1751,KIT CATH CVC 2L 4F 8CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,KIT CATH DV 7FR 20CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,KIT CATH MIDLINE 3FR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,KIT CATH MIDLINE 4FR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,KIT CATH PICC 4FR 55CM,3135.0,3135.0,166.16,3762.0,49
HCPCS,C1751,KIT CV 8.5FR6CM3LUM ANMC,4454.0,4454.0,236.06,5344.8,49
HCPCS,C1751,MCATH INFSN 2.6FR 150CM,6179.0,6179.0,327.49,7414.8,49
HCPCS,C1751,SET PRSS MNTR 5FR 15CM,1282.0,1282.0,67.95,1538.4,49
HCPCS,C1751,TRAY CATH 3FR P PICC,3269.0,3269.0,173.26,3922.8,49
HCPCS,C1751,TRAY CATH 4FR 18GA,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,TRAY CATH 4FR P PICC,3360.0,3360.0,178.08,4032.0,49
HCPCS,C1751,TRAY CATH 5FR PICC 3LUM,3513.0,3513.0,186.19,4215.6,49
HCPCS,C1751,TRAY CATH BASIC 18G 10CM,2475.0,2475.0,131.18,2970.0,49
HCPCS,C1751,TRAY CATH MID 2LUM 5FR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,TRAY CATH MID 4FR 20CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1751,TRAY CATH PICC 5FR 3LUM,3571.0,3571.0,189.26,4285.2,49
HCPCS,C1752,CATH HMDIAL 11.5FX15CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1753,BLN ULTR ENDOSC BFUC160F,857.0,857.0,45.42,1028.4,49
HCPCS,C1753,CATH ULTSND 3.4FR 135CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1753,CATH ULTSND 6FR 120CM,19819.0,19819.0,1050.41,23782.8,49
HCPCS,C1753,CATH ULTSND 8.5FR 90CM,7383.0,7383.0,391.3,8859.6,49
HCPCS,C1753,CATH ULTSND 8FR 90CM,24148.0,24148.0,1279.84,28977.6,49
HCPCS,C1753,CATH UTLSND 14IN 150CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1753,CATH VASC US 3FR 135CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1753,CATHETER PERPH IMG 8FR,6839.0,6839.0,362.47,8206.8,49
HCPCS,C1753,CATHSND 5FR 40MHZ,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1753,CATHSND 6FR 1.18MM 135CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1753,CATHSND 6FR 40MHZ,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1755,CATH IT 4FR 114CM .5MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1756,KIT INTRO 110CM 5FR 18GA,3589.0,3589.0,190.22,4306.8,49
HCPCS,C1757,CATH & ASPR TUBING 5MAX,21373.0,21373.0,1132.77,25647.6,49
HCPCS,C1757,CATH MICRO .021IN 162CM,6532.0,6532.0,346.2,7838.4,49
HCPCS,C1757,CATH PULMONARY 8FR 110CM,3022.0,3022.0,160.17,3626.4,49
HCPCS,C1757,CATH RTVR THRMB 12F 80CM,37267.0,37267.0,1975.15,44720.4,49
HCPCS,C1757,CATH THMB 2F 0.67MM 60CM,2261.0,2261.0,119.83,2713.2,49
HCPCS,C1757,CATH THRMB 100CM,75000.0,75000.0,3975.0,90000.0,49
HCPCS,C1757,CATH THRMB 100CM 135CM,75000.0,75000.0,3975.0,90000.0,98
HCPCS,C1757,CATH THRMB 115CM,15738.0,15738.0,834.11,18885.6,49
HCPCS,C1757,CATH THRMB 115CM .074IN,17487.0,17487.0,926.81,20984.4,49
HCPCS,C1757,CATH THRMB 115CM 135CM,75000.0,75000.0,3975.0,90000.0,98
HCPCS,C1757,CATH THRMB 12FR 100MM,51995.0,51995.0,2755.74,62394.0,49
HCPCS,C1757,CATH THRMB 12FR 115CM,51995.0,51995.0,2755.74,62394.0,49
HCPCS,C1757,CATH THRMB 137CM .055IN,18886.0,18886.0,1000.96,22663.2,49
HCPCS,C1757,CATH THRMB 137CM .071IN,19313.0,19313.0,1023.59,23175.6,49
HCPCS,C1757,CATH THRMB 140CM .044IN,13990.0,13990.0,741.47,16788.0,49
HCPCS,C1757,CATH THRMB 144CM .045IN,19313.0,19313.0,1023.59,23175.6,49
HCPCS,C1757,CATH THRMB 150CM,13795.0,13795.0,731.13,16554.0,49
HCPCS,C1757,CATH THRMB 158CM .035IN,13096.0,13096.0,694.09,15715.2,49
HCPCS,C1757,CATH THRMB 16MM 105CM,37267.0,37267.0,1975.15,44720.4,49
HCPCS,C1757,CATH THRMB 16MM 115CM,42746.0,42746.0,2265.54,51295.2,49
HCPCS,C1757,CATH THRMB 4/3FR 145CM,15412.0,15412.0,816.84,18494.4,49
HCPCS,C1757,CATH THRMB 4F 80CM,1244.0,1244.0,65.93,1492.8,49
HCPCS,C1757,CATH THRMB 5F 80CM,1244.0,1244.0,65.93,1492.8,49
HCPCS,C1757,CATH THRMB 5FR 120CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1757,CATH THRMB 5FR 131CM,17837.0,17837.0,945.36,21404.4,49
HCPCS,C1757,CATH THRMB 6FR 135CM,14028.0,14028.0,743.48,16833.6,49
HCPCS,C1757,CATH THRMB 6FR 140CM,5305.0,5305.0,281.17,6366.0,49
HCPCS,C1757,CATH THRMB 7FR 130CM,52189.0,52189.0,2261.4,74052.0,98
HCPCS,C1757,CATH THRMB 8FR 115CM,21839.0,21839.0,1157.47,26206.8,49
HCPCS,C1757,CATH THRMB ASP 5F 115CM,12396.0,12396.0,656.99,14875.2,49
HCPCS,C1757,CATH THRMB ASP 6F 115CM,12396.0,12396.0,656.99,14875.2,49
HCPCS,C1757,CATH THRMB ASP 6F 125CM,17837.0,17837.0,945.36,21404.4,49
HCPCS,C1757,CATH THRMB REP 6IN,37927.0,37927.0,2010.13,45512.4,49
HCPCS,C1757,CATH THRMB SCTN 7FR,33808.0,33808.0,1730.03,41968.8,98
HCPCS,C1757,CATH THRMB STD TIP 132CM,21373.0,21373.0,1132.77,25647.6,49
HCPCS,C1757,CATH THRMBS 137CM,19313.0,19313.0,1023.59,23175.6,49
HCPCS,C1757,CATH THROM REP 132CM,19974.0,19974.0,984.48,25647.6,98
HCPCS,C1757,CATH THROM REPFUSN,21373.0,21373.0,1132.77,25647.6,49
HCPCS,C1757,CATH THROMB 5FX125CM,17837.0,17837.0,945.36,21404.4,49
HCPCS,C1757,CATH THROMB 6FX131CM,17837.0,17837.0,945.36,21404.4,49
HCPCS,C1757,CATH VASC 3.8F 153CM,11192.0,11192.0,593.18,13430.4,49
HCPCS,C1757,CATH VASC 5.4F 132CM,17798.0,17798.0,943.29,21357.6,49
HCPCS,C1757,CATHETER ASPIRATN 132CM,18886.0,18886.0,1000.96,22663.2,49
HCPCS,C1757,CATHETER EMB 4FR 40CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1757,CATHETER EMB 5.5FR 40CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1757,CATHETER EMBL 3FR 40CM,1331.0,1331.0,70.54,1597.2,49
HCPCS,C1757,CATHETER EMBL 4FR 40CM,1281.0,1281.0,67.89,1537.2,49
HCPCS,C1757,CATHETER THRMB 2FR 60CM,2508.0,2508.0,132.92,3009.6,49
HCPCS,C1757,CATHETER THRMB 3FR 80CM,1281.0,1281.0,67.89,1537.2,49
HCPCS,C1757,CATHETER THRMB 4FR 80CM,1281.0,1281.0,67.89,1537.2,49
HCPCS,C1757,CATHETER THRMB 5FR 80CM,1281.0,1281.0,67.89,1537.2,49
HCPCS,C1757,DEVICE REVSC 6.5X45MM,47798.0,47798.0,2533.29,57357.6,49
HCPCS,C1757,DEVICE THRMB 4.5MM 26MM,38782.0,38782.0,2055.45,46538.4,49
HCPCS,C1757,DEVICE THRMB 4X20X10MM,49741.0,49741.0,2636.27,59689.2,49
HCPCS,C1757,DEVICE WIRE THRMB 4X20MM,49702.0,49702.0,2634.21,59642.4,49
HCPCS,C1757,DEVICE WIRE THROMB 3MM,49702.0,49702.0,2634.21,59642.4,49
HCPCS,C1757,DEVICE WIRE THROMB 4MM,49702.0,49702.0,2634.21,59642.4,49
HCPCS,C1757,KIT CATH 12F 100CM,74611.0,74611.0,3954.38,89533.2,49
HCPCS,C1757,KIT CATH 12F 115CM,74611.0,74611.0,3954.38,89533.2,49
HCPCS,C1757,KIT CATH RTRV20MM .014IN,55923.0,55923.0,2963.92,67107.6,49
HCPCS,C1757,KIT CATH THRMB 68 132CM,21373.0,21373.0,1132.77,25647.6,49
HCPCS,C1757,KIT CATH THRMB SHTH,54404.0,54404.0,2883.41,65284.8,49
HCPCS,C1757,KIT CATH VSC 1.65MM138CM,21373.0,21373.0,1132.77,25647.6,49
HCPCS,C1757,KIT THRMB 4FR 135CM,13166.0,13166.0,697.8,15799.2,49
HCPCS,C1757,KIT THRMB 5FR 135CM,13725.0,13725.0,727.42,16470.0,49
HCPCS,C1757,KIT THRMB 6FR 120CM,12047.0,12047.0,638.49,14456.4,49
HCPCS,C1757,KIT THRMB 6FR 90CM,11246.0,11246.0,596.04,13495.2,49
HCPCS,C1757,KIT THRMB CATH 8FR 105CM,48847.0,48847.0,2588.89,58616.4,49
HCPCS,C1757,MICROCATH 2.95FR 160CM,8052.0,8052.0,426.76,9662.4,49
HCPCS,C1757,RETRIEIVER ENDO 4X30MM,53227.0,53227.0,2821.03,63872.4,49
HCPCS,C1757,RETRIEVER 20MM 4MM ENDO,53227.0,53227.0,2821.03,63872.4,49
HCPCS,C1757,RETRIEVER 3MM 25MM 32MM,50693.0,50693.0,2686.73,60831.6,49
HCPCS,C1757,RETRIEVER 4MM 21MM 28MM,50693.0,50693.0,2686.73,60831.6,49
HCPCS,C1757,RETRIEVER 4MM 35MM 41MM,50693.0,50693.0,2686.73,60831.6,49
HCPCS,C1757,RETRIEVER 6MM 30MM 37MM,50693.0,50693.0,2686.73,60831.6,49
HCPCS,C1757,SEPARATOR THRMB 175CM,7966.0,7966.0,422.2,9559.2,49
HCPCS,C1757,SEPARATOR THRMB 190CM,12396.0,12396.0,656.99,14875.2,49
HCPCS,C1757,STENT REVAS 5MMX27MM,47798.0,47798.0,2533.29,57357.6,49
HCPCS,C1757,STENT REVAS 5MMX37MM,47798.0,47798.0,2533.29,57357.6,49
HCPCS,C1757,SYSTEM MECH THRMB,69948.0,69948.0,3707.24,83937.6,49
HCPCS,C1758,CATH BLNDL URET 4CM 5MM,2792.0,2792.0,147.98,3350.4,49
HCPCS,C1758,CATH URET 10FR 2LUM,1319.0,1319.0,69.91,1582.8,49
HCPCS,C1758,CATH URET 2LUM 10FR,2051.0,2051.0,108.7,2461.2,49
HCPCS,C1758,CATH URET 5FR 70CM,300.0,300.0,15.11,426.0,147
HCPCS,C1758,CTH URET PLLK 5F,754.0,754.0,39.96,904.8,49
HCPCS,C1758,CTH URET PLLK OPEN-END,739.0,739.0,39.17,886.8,49
HCPCS,C1758,CTH URET RTNR 5F,738.0,738.0,39.11,885.6,49
HCPCS,C1759,CATH ULTSND 9FR 90CM,16321.0,16321.0,865.01,19585.2,49
HCPCS,C1759,CATHETER ULTSND 9FR,11066.0,11066.0,586.5,13279.2,49
HCPCS,C1760,DEVICE CLSR 24MM,34000.0,34000.0,1802.0,40800.0,20
HCPCS,C1760,DEVICE CLSR 27MM,34000.0,34000.0,1802.0,40800.0,20
HCPCS,C1760,DEVICE CLSR 5FR,400.0,400.0,21.2,480.0,20
HCPCS,C1760,DEVICE CLSR 6FR .035IN,460.0,460.0,22.26,600.0,40
HCPCS,C1760,DEVICE CLSR 6FR-12FR,490.0,490.0,24.91,612.0,40
HCPCS,C1760,DEVICE CLSR 6FR-7FR,400.0,400.0,21.2,480.0,20
HCPCS,C1760,DEVICE CLSR 8FR .038IN,500.0,500.0,26.5,600.0,20
HCPCS,C1760,DEVICE CLSR FEM 5FR,400.0,400.0,21.2,480.0,40
HCPCS,C1760,DEVICE CLSR FEM 6FR,400.0,400.0,21.2,480.0,40
HCPCS,C1760,DEVICE CLSR FEM 7FR,1200.0,1200.0,21.2,2400.0,40
HCPCS,C1760,DEVICE CLSR VASC 5FR,410.0,410.0,21.73,492.0,20
HCPCS,C1760,DEVICE CLSR VASC 6/7FR,469.0,469.0,24.86,562.8,20
HCPCS,C1760,DEVICE CLSR VASC 6FR,420.0,420.0,22.26,504.0,20
HCPCS,C1760,DEVICE CLSR VENUS 6/12FR,4700.0,4700.0,249.1,5640.0,20
HCPCS,C1761,CATH CORN 2.5MM 12MM,36528.0,36528.0,1935.98,43833.6,49
HCPCS,C1761,CATH CORN 3.0MM 12MM,36528.0,36528.0,1935.98,43833.6,49
HCPCS,C1761,CATH CORN 3.5MM 12MM,36528.0,36528.0,1935.98,43833.6,49
HCPCS,C1761,CATH IVL 2.5X12MM,36528.0,36528.0,1935.98,43833.6,49
HCPCS,C1761,CATH IVL 3.0X12MM,36528.0,36528.0,1935.98,43833.6,49
HCPCS,C1761,CATH IVL 3.5X12MM,36528.0,36528.0,1935.98,43833.6,49
HCPCS,C1761,CATH IVL 4.0X12MM,36528.0,36528.0,1935.98,43833.6,49
HCPCS,C1762,ALLOGRFT MEMB 4X8CM,10700.0,10700.0,567.1,12840.0,20
HCPCS,C1762,GRAFT BN OSTEO CELL,712.0,712.0,37.74,854.4,20
HCPCS,C1762,GRAFT BN TND 5X80MM,4340.0,4340.0,230.02,5208.0,20
HCPCS,C1762,GRAFT ST TIS 12X8CM,5824.0,5824.0,308.67,6988.8,20
HCPCS,C1762,GRAFT ST TIS 8X6CM,4222.0,4222.0,223.77,5066.4,20
HCPCS,C1763,GFT SFT TIS L7CMX24,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1763,GRAFT DURAL PRCN 10X7CM,1760.0,1760.0,93.28,2112.0,20
HCPCS,C1763,GRAFT SFT TISS TNDN,2839.0,2839.0,150.47,3406.8,20
HCPCS,C1763,MESH SURG 50MM 70MM,4960.0,4960.0,262.88,5952.0,20
HCPCS,C1763,MESH SURG 5CM 10CM,9416.0,9416.0,499.05,11299.2,20
HCPCS,C1763,SUB BNGF 50X25X4MM,3430.0,3430.0,181.79,4116.0,20
HCPCS,C1763,SUB BNGF CAPHS 10CC,4379.5,4379.5,170.5,6650.4,40
HCPCS,C1763,SUB BNGF FOAM 10CC,2312.0,2312.0,122.54,2774.4,20
HCPCS,C1763,SUB BNGF FOAM 2.5CC,670.0,670.0,35.51,804.0,20
HCPCS,C1763,SUB BNGF FOAM 5CC,1462.5,1462.5,62.65,2091.6,40
HCPCS,C1763,TISSUE SYN MDPR 70X17X2,874.0,874.0,46.32,1048.8,20
HCPCS,C1764,ICM 45.1X8.0X4.2MM,8880.0,8880.0,470.64,10656.0,20
HCPCS,C1764,ILR RVEAL+ 9526US,6590.0,6590.0,349.27,7908.0,20
HCPCS,C1764,MONITOR CARDIAC INSERT,9100.0,9100.0,482.3,10920.0,20
HCPCS,C1764,MONITOR ICM LINQ,9690.0,9690.0,513.57,11628.0,20
HCPCS,C1764,SYS CRD MNTR IMPL,9145.0,9145.0,477.0,11148.0,40
HCPCS,C1765,BARRIER ADH 5IN 6IN,5234.0,5234.0,277.4,6280.8,49
HCPCS,C1765,BARRIER ADH ABS 3X4IN,3258.0,3258.0,172.67,3909.6,49
HCPCS,C1765,BARRIER ADH ABS 6X5IN,4490.0,4490.0,237.97,5388.0,49
HCPCS,C1766,INTR0 SHTH 8.5FR 71CM,6948.0,6948.0,368.24,8337.6,49
HCPCS,C1766,INTRO DR 8.5F 22.4MM,6948.0,6948.0,368.24,8337.6,49
HCPCS,C1766,INTRO SHTH 8.5F 71CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1766,INTRO SHTH 8.5F 94CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1766,INTRO STRBL 8.5FR 71CM,6948.0,6948.0,368.24,8337.6,49
HCPCS,C1766,INTRODUCER SHTH 8.5FR,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1766,SHEATH INTRO 15FR 65CM,8549.0,8549.0,453.1,10258.8,49
HCPCS,C1766,SHEATH INTRO 9FR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1766,SHEATH STEER 10FR 10CM,9326.0,9326.0,494.28,11191.2,49
HCPCS,C1766,SHEATH STRBL 10FR 20MM,9326.0,9326.0,494.28,11191.2,49
HCPCS,C1766,SHEATH VASC STRBL7F 90CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1767,GENERATOR IPG MEDTR,17600.0,17600.0,932.8,21120.0,20
HCPCS,C1767,IPG NRSTM 44MM 51MM,20911.0,20911.0,1108.28,25093.2,20
HCPCS,C1767,NRSTM IMP 44MM 51MM,19010.0,19010.0,1007.53,22812.0,20
HCPCS,C1768,GFT CV HMSH MCVL18X9X40,1129.0,1129.0,59.84,1354.8,20
HCPCS,C1768,GFT VASC 20-80CM 3-6MM,15490.0,15490.0,820.97,18588.0,20
HCPCS,C1768,GFT VSC BIOLN EX SUP6X8,5600.0,5600.0,296.8,6720.0,20
HCPCS,C1768,GFT VSC HMSH MCVL 8X30,755.0,755.0,40.02,906.0,20
HCPCS,C1768,GFT VSC PTFE 4X4 3080,182.0,182.0,9.65,218.4,20
HCPCS,C1768,GRAFT CV 10MM 30CM,755.0,755.0,40.02,906.0,20
HCPCS,C1768,GRAFT CV 10X26MM 50CM,2022.0,2022.0,107.17,2426.4,20
HCPCS,C1768,GRAFT CV 10X28MM 50CM,2022.0,2022.0,107.17,2426.4,20
HCPCS,C1768,GRAFT CV 10X30MM 50CM,2022.0,2022.0,107.17,2426.4,20
HCPCS,C1768,GRAFT CV 10X32MM 50CM,2022.0,2022.0,107.17,2426.4,20
HCPCS,C1768,GRAFT CV 10X34MM 50CM,2022.0,2022.0,107.17,2426.4,20
HCPCS,C1768,GRAFT CV 12MM 20CM,3742.0,3742.0,198.33,4490.4,40
HCPCS,C1768,GRAFT CV 12X6MM 40CM,1129.0,1129.0,59.84,1354.8,20
HCPCS,C1768,GRAFT CV 12X7MM 40CM,1129.0,1129.0,59.84,1354.8,20
HCPCS,C1768,GRAFT CV 14MM 20CM,3742.0,3742.0,198.33,4490.4,40
HCPCS,C1768,GRAFT CV 14MM 60CM,792.0,792.0,41.98,950.4,20
HCPCS,C1768,GRAFT CV 14X7MM 40CM,1163.0,1163.0,61.64,1395.6,20
HCPCS,C1768,GRAFT CV 14X8MM 40CM,1075.0,1075.0,56.98,1290.0,20
HCPCS,C1768,GRAFT CV 15.2X15.2CM,645.0,645.0,34.19,774.0,20
HCPCS,C1768,GRAFT CV 15CM 34MM,5500.0,5500.0,291.5,6600.0,20
HCPCS,C1768,GRAFT CV 16MM 60CM,792.0,792.0,41.98,950.4,20
HCPCS,C1768,GRAFT CV 16X8MM 40CM,1129.0,1129.0,59.84,1354.8,20
HCPCS,C1768,GRAFT CV 16X9MM 40CM,1129.0,1129.0,59.84,1354.8,20
HCPCS,C1768,GRAFT CV 18MM 60CM,792.0,792.0,41.98,950.4,20
HCPCS,C1768,GRAFT CV 20MM 30CM,830.0,830.0,43.99,996.0,20
HCPCS,C1768,GRAFT CV 22MM 30CM,830.0,830.0,43.99,996.0,20
HCPCS,C1768,GRAFT CV 24MM 30CM,830.0,830.0,43.99,996.0,20
HCPCS,C1768,GRAFT CV 26MM 30CM,911.0,911.0,48.28,1093.2,20
HCPCS,C1768,GRAFT CV 28MM 14MM 8MM,6016.0,6016.0,318.85,7219.2,20
HCPCS,C1768,GRAFT CV 28MM 15CM,5500.0,5500.0,291.5,6600.0,20
HCPCS,C1768,GRAFT CV 28MM 30CM,910.0,910.0,48.23,1092.0,20
HCPCS,C1768,GRAFT CV 30CM 28MM,1504.0,1504.0,79.71,1804.8,20
HCPCS,C1768,GRAFT CV 30CM 30MM,1504.0,1504.0,79.71,1804.8,20
HCPCS,C1768,GRAFT CV 30CM 32MM,1504.0,1504.0,79.71,1804.8,20
HCPCS,C1768,GRAFT CV 30MM 14MM 8MM,6016.0,6016.0,318.85,7219.2,20
HCPCS,C1768,GRAFT CV 30MM 15CM,5500.0,5500.0,291.5,6600.0,20
HCPCS,C1768,GRAFT CV 30MM 20CM,6966.0,6966.0,369.2,8359.2,20
HCPCS,C1768,GRAFT CV 30MM 30CM,885.0,885.0,46.91,1062.0,20
HCPCS,C1768,GRAFT CV 32MM 15CM,5765.0,5765.0,301.04,7020.0,40
HCPCS,C1768,GRAFT CV 32MM 20CM,6966.0,6966.0,369.2,8359.2,20
HCPCS,C1768,GRAFT CV 32MM 30CM,884.0,884.0,46.85,1060.8,20
HCPCS,C1768,GRAFT CV 34MM 15CM,5500.0,5500.0,291.5,6600.0,20
HCPCS,C1768,GRAFT CV 38MM 30CM,843.0,843.0,44.68,1011.6,20
HCPCS,C1768,GRAFT CV 45CM 5MM,6978.0,6978.0,369.83,8373.6,20
HCPCS,C1768,GRAFT CV 6MM 40CM,4984.0,4984.0,264.15,5980.8,20
HCPCS,C1768,GRAFT CV 6MM 45CM,6058.0,6058.0,321.07,7269.6,20
HCPCS,C1768,GRAFT CV 7MM 45CM,4198.0,4198.0,222.49,5037.6,20
HCPCS,C1768,GRAFT CV 8/10/14MM 32MM,6016.0,6016.0,318.85,7219.2,20
HCPCS,C1768,GRAFT CV 8MM 30CM,7878.0,7878.0,417.53,9453.6,20
HCPCS,C1768,GRAFT CV PTFE 4X4X1.65MM,491.0,491.0,26.02,589.2,20
HCPCS,C1768,GRAFT EVAS 127X38MM 22FR,24188.0,24188.0,1281.96,29025.6,20
HCPCS,C1768,GRAFT ILIAC PLUG 14X30,3886.0,3886.0,205.96,4663.2,20
HCPCS,C1768,GRAFT ILIAC PLUG 20X30,3886.0,3886.0,205.96,4663.2,20
HCPCS,C1768,GRAFT ITRGRD KNIT 14X40,783.0,783.0,41.5,939.6,20
HCPCS,C1768,GRAFT ITRGRD KNIT 18X40,870.0,870.0,46.11,1044.0,20
HCPCS,C1768,GRAFT VASC 20CM 6MM,5600.0,5600.0,296.8,6720.0,20
HCPCS,C1768,GRAFT VASC 4-7MM,300.0,300.0,15.9,360.0,20
HCPCS,C1768,GRAFT VASC 45CM 4-7MM,3035.0,3035.0,139.5,4125.6,40
HCPCS,C1768,GRAFT VASC 6CM 40CM,2718.0,2718.0,144.05,3261.6,20
HCPCS,C1768,GRAFT VASC 6X6IN 1.85MM,273.0,273.0,14.47,327.6,20
HCPCS,C1768,GRAFT VASC 70CM 8MM,7704.0,7704.0,408.31,9244.8,20
HCPCS,C1768,GRAFT VASC 80CM 6MM,931.5,931.5,49.37,1117.8,20
HCPCS,C1768,GRAFT VASC 90CM 8MM,9108.0,9108.0,482.72,10929.6,20
HCPCS,C1768,GRAFT VASC STD 80CM 8MM,6100.0,6100.0,323.3,7320.0,20
HCPCS,C1768,GRAFT VASC THIN 80CM 6MM,5333.0,5333.0,260.44,6902.4,40
HCPCS,C1768,GRAFT VASC THIN 80CM 7MM,4914.0,4914.0,260.44,5896.8,20
HCPCS,C1768,GRAFT VASC THIN 80CM 8MM,5263.0,5263.0,260.44,6734.4,40
HCPCS,C1768,GRAFT VASC THIN 90CM 6MM,6144.0,6144.0,325.63,7372.8,20
HCPCS,C1768,GRAFT VASC THIN 90CM 8MM,6144.0,6144.0,325.63,7372.8,20
HCPCS,C1768,GRAFT VEIN SAPH 20-29CM,10000.0,10000.0,530.0,12000.0,20
HCPCS,C1768,GRAFT VEIN SAPH 80-89CM,22658.0,22658.0,1200.87,27189.6,20
HCPCS,C1768,GRAFT VN 6-15MM 10-30CM,12350.0,12350.0,654.55,14820.0,20
HCPCS,C1768,GRFT SAPH VEIN 60-69CM,18390.0,18390.0,974.67,22068.0,20
HCPCS,C1768,PATCH CV CLOSURE 7X15CM,2289.0,2289.0,121.32,2746.8,20
HCPCS,C1768,PATCH VASC 8X75MM,156.0,156.0,8.27,187.2,20
HCPCS,C1768,VEIN GRAFT SAPH 40-49CM,13790.0,13790.0,730.87,16548.0,20
HCPCS,C1769,CATH GD LD 7FR 60CM ATTN,3225.6,3225.6,170.96,3870.72,49
HCPCS,C1769,DEVICE LCK BX CAP OLMPS,603.0,603.0,31.96,723.6,49
HCPCS,C1769,DRILL SURG 4.2MM,5567.0,5567.0,295.05,6680.4,49
HCPCS,C1769,GDWIRE ENDO.035IN 450CM,4323.0,4323.0,229.12,5187.6,49
HCPCS,C1769,GDWIRE GSTR/URO SPRNG TP,1696.0,1696.0,89.89,2035.2,49
HCPCS,C1769,GDWIRE ORTH .062IN 1.6MM,754.0,754.0,39.96,904.8,49
HCPCS,C1769,GDWIRE ORTH .062IN 5MM,622.0,622.0,32.97,746.4,49
HCPCS,C1769,GDWIRE VASC .035IN 150CM,466.0,466.0,24.7,559.2,49
HCPCS,C1769,GDWIRE VASC 7CM 180CM,1078.0,1078.0,57.13,1293.6,49
HCPCS,C1769,GDWIRE VASC W/FLX TP.014,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GDWR ORTH 1.6X400MM,1752.0,1752.0,92.86,2102.4,49
HCPCS,C1769,GDWR UNTHRDED 3.2X20MM,1922.0,1922.0,101.87,2306.4,49
HCPCS,C1769,GDWR VASC 12GF 300CM PRT,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GDWRE ARTHSCP 1.1MM 18IN,1847.0,1847.0,97.89,2216.4,49
HCPCS,C1769,GLIDEWIRE .018 260CM ANG,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GUIDE PIN ORTH 2.0X150MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GUIDEWIRE 1.6MM,289.65,289.65,15.35,347.58,49
HCPCS,C1769,GUIDEWIRE 100X1.6MM,313.79,313.79,16.63,376.55,49
HCPCS,C1769,GUIDEWIRE 150STR .035STF,1507.0,1507.0,79.87,1808.4,49
HCPCS,C1769,GUIDEWIRE 300CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GUIDEWIRE ARTHSCP .045IN,754.0,754.0,39.96,904.8,49
HCPCS,C1769,GUIDEWIRE BEAD TIP 2.6MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GUIDEWIRE BN 1.4MM 3.5MM,1847.0,1847.0,97.89,2216.4,49
HCPCS,C1769,GUIDEWIRE DBL TIP 1.1MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GUIDEWIRE HYDROPHILIC,5004.0,5004.0,265.21,6004.8,49
HCPCS,C1769,GUIDEWIRE ORT TI IM 2.5M,289.65,289.65,15.35,347.58,49
HCPCS,C1769,GUIDEWIRE ORTH 1.1X150MM,1884.0,1884.0,99.85,2260.8,49
HCPCS,C1769,GUIDEWIRE ORTH 1.45MM,942.0,942.0,49.93,1130.4,49
HCPCS,C1769,GUIDEWIRE ORTH 1.4MM,942.0,942.0,49.93,1130.4,98
HCPCS,C1769,GUIDEWIRE ORTH 1.4X150MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GUIDEWIRE ORTH 1.6MM,1152.0,1152.0,61.06,1382.4,49
HCPCS,C1769,GUIDEWIRE ORTH 2.0MM,942.0,942.0,49.93,1130.4,49
HCPCS,C1769,GUIDEWIRE PACK 01.7MM,942.0,942.0,49.93,1130.4,49
HCPCS,C1769,GUIDEWIRE PRESSURE,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GUIDEWIRE TROCAR 1.1MM,754.0,754.0,39.96,904.8,49
HCPCS,C1769,GUIDEWIRE TROCAR 1.6MM,754.0,754.0,39.96,904.8,49
HCPCS,C1769,GUIDEWIRE VASC 150CM,1151.0,1151.0,61.0,1381.2,49
HCPCS,C1769,GUIDEWIRE VASC 150CM .03,1507.0,1507.0,79.87,1808.4,49
HCPCS,C1769,GUIDEWIRE VASC 200CM 20C,3144.0,3144.0,166.63,3772.8,49
HCPCS,C1769,GUIDEWIRE VASC 260CM,1613.0,1613.0,57.13,2577.6,98
HCPCS,C1769,GUIDEWIRE VASC 300CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GUIDEWIRE VASC HYDRPHL,1076.0,1076.0,57.03,1291.2,49
HCPCS,C1769,GUIDEWIRE VASC STANDARD,10298.0,10298.0,545.79,12357.6,49
HCPCS,C1769,GUIDEWRE VASC ARCHR260CM,1068.48,1068.48,56.63,1282.18,49
HCPCS,C1769,GW .014 FSN EXCH L,537.6,537.6,28.49,645.12,49
HCPCS,C1769,GW CHC 300 ST XS 5PK,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GW EMRLD 035 175 TRNRDL,466.0,466.0,24.7,559.2,49
HCPCS,C1769,GW ESCP SAVORY 250CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GW STRQ 035 180 ANG,1789.0,1789.0,94.82,2146.8,49
HCPCS,C1769,GW TFEHC 035 260 STR,622.0,622.0,32.97,746.4,49
HCPCS,C1769,GW VASC 145CM .035IN STR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GW VASC 145CM .038IN STD,358.0,358.0,18.97,429.6,49
HCPCS,C1769,GW VASC 175X.035 JTIP,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GW VASC 260X.032 STD TIP,505.0,505.0,26.77,606.0,49
HCPCS,C1769,GW VASC 300X.014 SPRG CL,5187.0,5187.0,274.91,6224.4,49
HCPCS,C1769,GW VASC 5CM TIP .038IN,466.0,466.0,24.7,559.2,49
HCPCS,C1769,GW VASC EMRLD 150 .035,466.0,466.0,24.7,559.2,49
HCPCS,C1769,GW VASC L185 L3 OD.014,840.0,840.0,44.52,1008.0,49
HCPCS,C1769,GW VASC SHARP PIPELINE,1244.0,1244.0,65.93,1492.8,49
HCPCS,C1769,GW VASC STD L185 L3 OD,1344.0,1344.0,71.23,1612.8,49
HCPCS,C1769,GW VASC ZNGRSUP180CM STR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GW X-WR 035 450,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE 0.025IN 260CM,505.0,505.0,26.77,606.0,49
HCPCS,C1769,GWIRE 0.038IN 150CM,1374.0,1374.0,72.82,1648.8,49
HCPCS,C1769,GWIRE 1.6MM 230MM,1753.0,1753.0,92.91,2103.6,49
HCPCS,C1769,GWIRE 1.6MM 400MM,2842.0,2842.0,150.63,3410.4,49
HCPCS,C1769,GWIRE 2.4MM,1159.0,1159.0,61.43,1390.8,49
HCPCS,C1769,GWIRE 2.4MM ARTHX,622.0,622.0,32.97,746.4,49
HCPCS,C1769,GWIRE 2.8X300MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE ARTHSCOP .078IN,912.0,912.0,48.34,1094.4,49
HCPCS,C1769,GWIRE BALL TIP 2.5X800MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE BN 1.6 MM 150MM,1847.0,1847.0,97.89,2216.4,49
HCPCS,C1769,GWIRE BN BVLD 1.6X4MM,1847.0,1847.0,97.89,2216.4,49
HCPCS,C1769,GWIRE BN DISP 1.1X150MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE BN DISP 1.4X150MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE BN DISP 1.6X220MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE CATH .027IN 130CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE DBL 0.9X150MM,1097.0,1097.0,58.14,1316.4,49
HCPCS,C1769,GWIRE DISP 0.9MM,490.0,490.0,25.97,588.0,49
HCPCS,C1769,GWIRE ENDO .025IN 260CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE ENDO .025IN 450CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1769,GWIRE ENDO .035IN 260CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1769,GWIRE ENDO .035IN 450CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1769,GWIRE ENDO 210CM,1884.0,1884.0,99.85,2260.8,49
HCPCS,C1769,GWIRE FIB 1.5X250MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE FLPY 330X2.2CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE GI .035 IN 180CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE NEUR 0.010IN 200CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE ORT 1000MM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE ORTH .034IN,904.5,904.5,43.94,1176.0,98
HCPCS,C1769,GWIRE ORTH .045IN,44.0,44.0,2.33,52.8,49
HCPCS,C1769,GWIRE ORTH .045IN 6IN,528.0,528.0,27.98,633.6,49
HCPCS,C1769,GWIRE ORTH .045IN CL,980.0,980.0,51.94,1176.0,49
HCPCS,C1769,GWIRE ORTH .059IN 5IN,528.0,528.0,27.98,633.6,49
HCPCS,C1769,GWIRE ORTH .062IN,829.0,829.0,43.94,994.8,49
HCPCS,C1769,GWIRE ORTH .062IN 5MM,1131.0,1131.0,59.94,1357.2,49
HCPCS,C1769,GWIRE ORTH .09IN 7MM,1131.0,1131.0,59.94,1357.2,49
HCPCS,C1769,GWIRE ORTH 0.9X150MM,1097.0,1097.0,58.14,1316.4,49
HCPCS,C1769,GWIRE ORTH 1.1MM 150MM,882.0,882.0,44.04,1130.4,147
HCPCS,C1769,GWIRE ORTH 1.25MM 150MM,951.5,951.5,48.92,1176.0,98
HCPCS,C1769,GWIRE ORTH 1.35MM,2318.0,2318.0,122.85,2781.6,49
HCPCS,C1769,GWIRE ORTH 1.35X150MM,754.0,754.0,39.96,904.8,49
HCPCS,C1769,GWIRE ORTH 1.4MM 150MM,1828.5,1828.5,85.97,2442.0,98
HCPCS,C1769,GWIRE ORTH 1.5MM 230MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE ORTH 1.6MM 510MM,942.0,942.0,49.93,1130.4,49
HCPCS,C1769,GWIRE ORTH 100CM 3MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE ORTH 12IN 1.5X.062,1696.0,1696.0,89.89,2035.2,49
HCPCS,C1769,GWIRE ORTH 150MM .053IN,829.0,829.0,43.94,994.8,49
HCPCS,C1769,GWIRE ORTH 150MM 1.4MM,2506.0,2506.0,132.82,3007.2,49
HCPCS,C1769,GWIRE ORTH 150MM 1.6MM,1112.0,1112.0,58.94,1334.4,49
HCPCS,C1769,GWIRE ORTH 150X1.25MM,305.0,305.0,16.16,366.0,49
HCPCS,C1769,GWIRE ORTH 150X1.4MM,942.0,942.0,49.93,1130.4,49
HCPCS,C1769,GWIRE ORTH 150X2MM,2035.0,2035.0,107.86,2442.0,49
HCPCS,C1769,GWIRE ORTH 2.2MM 800MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE ORTH 2.4MM,1207.0,1207.0,46.16,1851.6,98
HCPCS,C1769,GWIRE ORTH 2.4MM 8IN,1131.0,1131.0,59.94,1357.2,49
HCPCS,C1769,GWIRE ORTH 2.8MM 300MM,1507.0,1507.0,79.87,1808.4,49
HCPCS,C1769,GWIRE ORTH 2.8X350MM,1621.0,1621.0,85.91,1945.2,49
HCPCS,C1769,GWIRE ORTH 240X2MM,1108.0,1108.0,58.72,1329.6,49
HCPCS,C1769,GWIRE ORTH 2MM 150MM,2412.5,2412.5,119.83,3076.8,98
HCPCS,C1769,GWIRE ORTH 2MM 230MM,1281.5,1281.5,66.94,1560.0,98
HCPCS,C1769,GWIRE ORTH 2MM 800MM,5043.0,5043.0,267.28,6051.6,49
HCPCS,C1769,GWIRE ORTH 2TP .86MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE ORTH 3.2MM 230MM,2450.0,2450.0,129.85,2940.0,49
HCPCS,C1769,GWIRE ORTH 3.2MM 300MM,1244.0,1244.0,65.93,1492.8,98
HCPCS,C1769,GWIRE ORTH 3.2MM 600MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE ORTH 320X1.4MM,1884.0,1884.0,99.85,2260.8,49
HCPCS,C1769,GWIRE ORTH 3MM 100CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE ORTH 3MM 900MM,3959.0,3959.0,209.83,4750.8,49
HCPCS,C1769,GWIRE ORTH 3X370MM,3242.0,3242.0,171.83,3890.4,49
HCPCS,C1769,GWIRE ORTH 3X600MM,5174.0,5174.0,274.22,6208.8,49
HCPCS,C1769,GWIRE ORTH 460X3.2MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE ORTH 510MM 1.6MM,942.0,942.0,49.93,1130.4,49
HCPCS,C1769,GWIRE ORTH 9.25IN 2.4MM,565.0,565.0,29.95,678.0,49
HCPCS,C1769,GWIRE ORTH HIP 300X3.2MM,1621.0,1621.0,85.91,1945.2,49
HCPCS,C1769,GWIRE ORTH NSE 3MM 80CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE ORTH PERC 3.2MM,2031.0,2031.0,107.64,2437.2,49
HCPCS,C1769,GWIRE ORTH S2 3X1000MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE ORTH SPN.062IN30CM,942.0,942.0,49.93,1130.4,49
HCPCS,C1769,GWIRE ORTH SURG 1.1MM,565.0,565.0,29.95,678.0,49
HCPCS,C1769,GWIRE ORTH SURG 1.35MM,659.5,659.5,29.95,904.8,98
HCPCS,C1769,GWIRE ORTH T2 3X800MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE ORTHO .054X6IN,682.0,682.0,36.15,818.4,49
HCPCS,C1769,GWIRE ORTHO 0.7X150MM,2563.0,2563.0,135.84,3075.6,49
HCPCS,C1769,GWIRE ORTHO 1.4X150MM,2035.0,2035.0,107.86,2442.0,49
HCPCS,C1769,GWIRE ORTHO 3MM 900MM,2620.0,2620.0,138.86,3144.0,49
HCPCS,C1769,GWIRE PERI .014 300CM,4625.0,4625.0,245.13,5550.0,49
HCPCS,C1769,GWIRE RSN HC 035 260,270.34,270.34,14.33,324.41,49
HCPCS,C1769,GWIRE SLCT-14 STR 215CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE SNSR ENDO .035X150,1347.0,1347.0,71.39,1616.4,49
HCPCS,C1769,GWIRE SPN DISP 24IN,942.0,942.0,49.93,1130.4,49
HCPCS,C1769,GWIRE ST ARTH .062IN,622.0,622.0,32.97,746.4,49
HCPCS,C1769,GWIRE STF 035IN 145CM,813.0,813.0,43.09,975.6,49
HCPCS,C1769,GWIRE STRL NITINOL,3091.0,3091.0,163.82,3709.2,49
HCPCS,C1769,GWIRE STRT 300CM,2440.0,2440.0,129.32,2928.0,49
HCPCS,C1769,GWIRE SUPP .014IN 300CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE TROC TP 1.35MM,754.0,754.0,39.96,904.8,49
HCPCS,C1769,GWIRE TROCH TIP 2X55MM,942.0,942.0,49.93,1130.4,49
HCPCS,C1769,GWIRE TROCHAR TPD 420MM,537.6,537.6,28.49,645.12,49
HCPCS,C1769,GWIRE URO .025IN 150CM,1229.0,1229.0,65.14,1474.8,49
HCPCS,C1769,GWIRE URO .035IN 150CM,1168.0,1168.0,29.63,2042.4,245
HCPCS,C1769,GWIRE URO .038IN 150CM,1360.5,1360.5,71.39,1648.8,98
HCPCS,C1769,GWIRE URO ANGLD .035X150,1347.0,1347.0,71.39,1616.4,49
HCPCS,C1769,GWIRE VAS STR .025 260CM,2083.0,2083.0,110.4,2499.6,49
HCPCS,C1769,GWIRE VASC .0009IN 330CM,3390.0,3390.0,179.67,4068.0,49
HCPCS,C1769,GWIRE VASC .007MM 220CM,5941.0,5941.0,314.87,7129.2,98
HCPCS,C1769,GWIRE VASC .008MM 220CM,5941.0,5941.0,314.87,7129.2,98
HCPCS,C1769,GWIRE VASC .012IN 310CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE VASC .012MM 200CM,5502.0,5502.0,284.66,6759.6,98
HCPCS,C1769,GWIRE VASC .014 335CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC .014IN 180CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC .014IN 182CM,2516.0,2516.0,128.05,3076.8,196
HCPCS,C1769,GWIRE VASC .014IN 190CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1769,GWIRE VASC .014IN 200CM,5741.0,5741.0,293.67,7129.2,245
HCPCS,C1769,GWIRE VASC .014IN 215CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE VASC .014IN 300CM,2540.0,2540.0,131.97,7129.2,539
HCPCS,C1769,GWIRE VASC .016IN 180CM,3235.0,3235.0,171.46,3882.0,98
HCPCS,C1769,GWIRE VASC .018 180CM,4261.0,4261.0,225.83,5113.2,49
HCPCS,C1769,GWIRE VASC .018IN 108CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC .018IN 180CM,2331.5,2331.5,111.25,3076.8,98
HCPCS,C1769,GWIRE VASC .018IN 200CM,5941.0,5941.0,314.87,7129.2,98
HCPCS,C1769,GWIRE VASC .018IN 260CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC .018IN 300CM,2622.5,2622.5,135.89,3217.2,147
HCPCS,C1769,GWIRE VASC .018IN 9.75IN,327.0,327.0,17.33,392.4,49
HCPCS,C1769,GWIRE VASC .01IN 200CM,3497.0,3497.0,185.34,4196.4,49
HCPCS,C1769,GWIRE VASC .024IN 200CM,5941.0,5941.0,314.87,7129.2,98
HCPCS,C1769,GWIRE VASC .025IN 150CM,461.0,461.0,24.43,553.2,49
HCPCS,C1769,GWIRE VASC .032IN 180CM,753.0,753.0,39.91,903.6,49
HCPCS,C1769,GWIRE VASC .032IN 260CM,969.0,969.0,51.36,1162.8,49
HCPCS,C1769,GWIRE VASC .035 150CM,1367.0,1367.0,72.45,1640.4,49
HCPCS,C1769,GWIRE VASC .035IN 145CM,1078.0,1078.0,57.13,1293.6,98
HCPCS,C1769,GWIRE VASC .035IN 150CM,490.0,490.0,24.43,2012.4,343
HCPCS,C1769,GWIRE VASC .035IN 175CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC .035IN 180CM,1664.0,1664.0,31.96,2994.0,392
HCPCS,C1769,GWIRE VASC .035IN 260CM,1264.0,1264.0,15.63,7129.2,686
HCPCS,C1769,GWIRE VASC .035IN 300CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1769,GWIRE VASC .035IN 75CM,1078.0,1078.0,57.13,1293.6,49
HCPCS,C1769,GWIRE VASC .038IN 260CM,471.0,471.0,23.16,606.0,98
HCPCS,C1769,GWIRE VASC .10IN 310CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE VASC 0.014IN 300CM,3930.0,3930.0,208.29,4716.0,49
HCPCS,C1769,GWIRE VASC 0.018IN 300CM,3930.0,3930.0,208.29,4716.0,49
HCPCS,C1769,GWIRE VASC 0.018IN 80CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC 0.035X150CM,200.0,200.0,10.6,240.0,49
HCPCS,C1769,GWIRE VASC 0.035X260CM,362.0,362.0,19.19,434.4,49
HCPCS,C1769,GWIRE VASC 0.038IN 180CM,1332.0,1332.0,70.6,1598.4,49
HCPCS,C1769,GWIRE VASC 0.18IN 180CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC 035IN 260CM,1550.0,1550.0,82.15,1860.0,49
HCPCS,C1769,GWIRE VASC 108CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC 145CM .014IN,4978.0,4978.0,263.83,5973.6,49
HCPCS,C1769,GWIRE VASC 175CM .014IN,23316.0,23316.0,1235.75,27979.2,49
HCPCS,C1769,GWIRE VASC 180CM,1168.0,1168.0,61.9,1401.6,49
HCPCS,C1769,GWIRE VASC 180CM .009IN,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC 180CM .014IN,2564.0,2564.0,135.89,3076.8,196
HCPCS,C1769,GWIRE VASC 18F 90CM,17013.0,17013.0,901.69,20415.6,49
HCPCS,C1769,GWIRE VASC 190CM .014IN,2564.0,2564.0,135.89,3076.8,245
HCPCS,C1769,GWIRE VASC 195CM .014IN,2563.0,2563.0,135.84,3075.6,98
HCPCS,C1769,GWIRE VASC 200CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE VASC 200CM .014IN,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE VASC 200CM .01IN,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE VASC 200CM 0.024IN,13990.0,13990.0,741.47,16788.0,49
HCPCS,C1769,GWIRE VASC 200CM 0.18IN,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC 205CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE VASC 20CM,508.0,508.0,26.92,609.6,49
HCPCS,C1769,GWIRE VASC 215CM,5941.0,5941.0,314.87,7129.2,98
HCPCS,C1769,GWIRE VASC 260CM,640.0,640.0,33.92,768.0,49
HCPCS,C1769,GWIRE VASC 260CM .035IN,2148.0,2148.0,113.84,2577.6,49
HCPCS,C1769,GWIRE VASC 260CM .038IN,416.0,416.0,22.05,499.2,49
HCPCS,C1769,GWIRE VASC 260CM 3MM,969.0,969.0,51.36,1162.8,49
HCPCS,C1769,GWIRE VASC 275X2.9X3.2CM,3374.0,3374.0,178.82,4048.8,49
HCPCS,C1769,GWIRE VASC 275X4.2X4.2CM,3374.0,3374.0,178.82,4048.8,49
HCPCS,C1769,GWIRE VASC 300CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE VASC 300CM .014IN,2564.0,2564.0,129.85,7129.2,833
HCPCS,C1769,GWIRE VASC 300CM .018IN,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1769,GWIRE VASC 30MM 260CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC 3CM 150CM,1887.0,1887.0,100.01,2264.4,49
HCPCS,C1769,GWIRE VASC 3CM 180CM,2246.0,2246.0,119.04,2695.2,49
HCPCS,C1769,GWIRE VASC 95CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC 9MM 145CM,358.0,358.0,18.97,429.6,49
HCPCS,C1769,GWIRE VASC ANG TIP 300CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC FLX 260CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC HTORQ 18GA,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC MIC.014 300CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC ORBT 360,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC PORTER 300CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASC SFT 215CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE VASC SFT 300CM,6744.0,6744.0,357.43,8092.8,49
HCPCS,C1769,GWIRE VASC STD 215CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,GWIRE VASC T-J6CM 80CM,379.0,379.0,20.09,454.8,49
HCPCS,C1769,GWIRE VASC.018IN 260X3CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASE .014IN 300CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE VASE 300CM .009IN,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWIRE W INST KIT 4.5MM,4585.0,4585.0,243.0,5502.0,49
HCPCS,C1769,GWIRE W/INST KIT 3.6MM,4585.0,4585.0,243.0,5502.0,49
HCPCS,C1769,GWIRE WHLY J TIP 145CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWRE GLD 038 260,1649.0,1649.0,87.4,1978.8,49
HCPCS,C1769,GWRE GLD 038 260 ANG,1855.0,1855.0,98.31,2226.0,49
HCPCS,C1769,GWRE LEAD ATTN 6216A47,2282.28,2282.28,120.96,2738.74,49
HCPCS,C1769,GWRE LEAD ATTN GWR419488,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,GWRE SPRG 032 60 STR,452.0,452.0,23.96,542.4,49
HCPCS,C1769,KIT CATH GW 18GA .038IN,2043.0,2043.0,108.28,2451.6,49
HCPCS,C1769,KIT DIL VASC GW NDL 18GA,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,KIT EMBL DTCH HANDLE,2947.0,2947.0,156.19,3536.4,49
HCPCS,C1769,KIT INS PERC GW 18GA,2014.0,2014.0,106.74,2416.8,49
HCPCS,C1769,KIT MINTRDCR 5FR 45CM,839.0,839.0,44.47,1006.8,49
HCPCS,C1769,KIT MRKR DLVRY GW 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1769,KIT SUT 1.35-1.6MM DRL,3962.0,3962.0,209.99,4754.4,49
HCPCS,C1769,KIT TRAY TRACH 8.5,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,KIT VASC GW NDL 5FR 45CM,1149.0,1149.0,60.9,1378.8,49
HCPCS,C1769,KWIRE FX ORTH 3MM,942.0,942.0,49.93,1130.4,49
HCPCS,C1769,ROD GUIDE BN 3X550MM,3537.0,3537.0,187.46,4244.4,49
HCPCS,C1769,SET INTRO 24-26-28FR CGL,4764.0,4764.0,252.49,5716.8,49
HCPCS,C1769,SET PROC CGL W/O TRACH T,4585.0,4585.0,243.0,5502.0,49
HCPCS,C1769,SPHNTM GW .025IN 260CM,5032.0,5032.0,266.7,6038.4,49
HCPCS,C1769,SPHNTM GW .025IN 450CM,5109.0,5109.0,270.78,6130.8,49
HCPCS,C1769,SPHNTM GW 20MM 260CM,5032.0,5032.0,266.7,6038.4,49
HCPCS,C1769,SYS DELV LD ACC CRD RHYT,537.6,537.6,28.49,645.12,49
HCPCS,C1769,TRAY CGL TRACH TUBE SZ8,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1769,TRAY PROC CGL W/O TRACH,5737.0,5737.0,304.06,6884.4,49
HCPCS,C1769,WIRE GD 55X3.2 BALL T,584.64,584.64,30.99,701.57,49
HCPCS,C1769,WIRE GLD .038 150 STRGHT,1076.0,1076.0,57.03,1291.2,49
HCPCS,C1771,SLING GYN 7.75CM,2590.0,2590.0,137.27,3108.0,20
HCPCS,C1771,SLING MALE IN VANCE,5260.0,5260.0,278.78,6312.0,20
HCPCS,C1771,SLING SURG MESH MALE,14808.0,14808.0,784.82,17769.6,20
HCPCS,C1771,SLNG URTHRAL LYNZ SYS,1795.0,1795.0,95.14,2154.0,20
HCPCS,C1773,KIT SNARE 6FR 30MM 120CM,3406.0,3406.0,180.52,4087.2,49
HCPCS,C1773,KIT SNARE EXTRACT 175CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1773,KIT SNARE RTRVL 20MM,4585.0,4585.0,243.0,5502.0,49
HCPCS,C1773,KIT SNRE CATH 20MM 120CM,3406.0,3406.0,180.52,4087.2,49
HCPCS,C1773,RETRIEVER VASC 6FR 90CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1773,SET SHTH DIL 11FR 13.6CM,12466.0,12466.0,660.7,14959.2,49
HCPCS,C1773,SET SHTH DIL 11FR 40.6CM,11619.0,11619.0,615.81,13942.8,49
HCPCS,C1773,SET SHTH DIL 13FR 40.6CM,15528.0,15528.0,822.98,18633.6,49
HCPCS,C1773,SET SHTH DIL 9FR 13.6CM,9288.0,9288.0,492.26,11145.6,49
HCPCS,C1773,SET SHTH DIL 9FR 40.6CM,15528.0,15528.0,822.98,18633.6,49
HCPCS,C1773,SNARE VASC 12F 13MM 94CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1773,SNARE VASC 16F 20MM 94CM,9533.0,9533.0,505.25,11439.6,49
HCPCS,C1773,SNARE VASC 4FR 65CM,3406.0,3406.0,180.52,4087.2,49
HCPCS,C1773,STYLET LD WIRE CRD 140CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1776,ACTB CONTOUR RECON RNG62,696.0,696.0,36.89,835.2,20
HCPCS,C1776,ACTB LINER XLP 20D 62X40,6510.0,6510.0,345.03,7812.0,20
HCPCS,C1776,ACTB SHELL FLRD W/HLS 58,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,ACTB SHELL W/HOLS FLR 48,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,ADAPTER HD FEM HIP 3.5MM,383.0,383.0,20.3,459.6,20
HCPCS,C1776,ADAPTER HEMI SHLDR,2488.0,2488.0,131.86,2985.6,20
HCPCS,C1776,ADAPTER STEM SHLDR +0,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,AUG FEM KN REV SZ6 4MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1776,AUG FEM REV XPRT KN A LT,460.0,460.0,24.38,552.0,20
HCPCS,C1776,AUG KN POST SZ5 5MM,1503.0,1503.0,79.66,1803.6,20
HCPCS,C1776,AUGMENT FEM KN 4MM 4,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,AUGMENT FEM KN 4MM 7,1540.0,1540.0,81.62,1848.0,40
HCPCS,C1776,AUGMENT FEM KN 8MM 5,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1776,AUGMENT FEM KN 8MM 7,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1776,AUGMENT FEM KN LT 4MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1776,AUGMENT GLND SMALL 15L,4384.0,4384.0,232.35,5260.8,20
HCPCS,C1776,AUGMNT TIB 5MM 4 LT MDL,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,AUGMNT TIB KN SZ6 5MM,1368.0,1368.0,72.5,1641.6,20
HCPCS,C1776,AUGMNT TIB LM/RL 10MM S8,1340.0,1340.0,71.02,1608.0,20
HCPCS,C1776,AUGMNT WEDGE ACTB 66X20,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1776,AXLE FEM KN 648-1-120,1357.0,1357.0,71.92,1628.4,20
HCPCS,C1776,AXLE FEM KN GMRS SM,1358.0,1358.0,71.97,1629.6,20
HCPCS,C1776,AXLE/BUSHING KN HNGE STD,3404.0,3404.0,180.41,4084.8,20
HCPCS,C1776,BASE PROFIX 2 65X45 LT,1920.0,1920.0,101.76,2304.0,20
HCPCS,C1776,BASE TIB REVISION SZ 6,3750.0,3750.0,198.75,4500.0,20
HCPCS,C1776,BASEPLAT GLND 25MM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1776,BASEPLATE GLND SHLDR SM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1776,BASEPLATE HUM RSP 30MM,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,BASEPLATE HUM SHLDR 24MM,2260.0,2260.0,119.78,2712.0,20
HCPCS,C1776,BASEPLATE HUM SHLDR 30MM,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,BASEPLATE KN CMNT TIB 7,6286.0,6286.0,333.16,7543.2,20
HCPCS,C1776,BASEPLATE KN LT SZ6,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,BASEPLATE KN RT SZ5,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,BASEPLATE KN RT SZ8,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASEPLATE KN SZ SM-2,4001.0,4001.0,212.05,4801.2,20
HCPCS,C1776,BASEPLATE KN SZ3,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,BASEPLATE KN SZ4,1900.0,1900.0,95.4,2400.0,40
HCPCS,C1776,BASEPLATE KN TIB CMNT 2,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASEPLATE KN TIB RT SZ6,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,BASEPLATE KN TIB SZ4,2546.0,2546.0,134.94,3055.2,20
HCPCS,C1776,BASEPLATE KN TIB SZ8,2546.0,2546.0,134.94,3055.2,20
HCPCS,C1776,BASEPLATE KN TIB SZ9,2323.0,2323.0,111.3,3055.2,40
HCPCS,C1776,BASEPLATE KN TIB TI SZ5,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1776,BASEPLATE NPOR GNS2 SZ4R,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASEPLATE SHLD LRG 29MM,2260.0,2260.0,119.78,2712.0,20
HCPCS,C1776,BASEPLATE SHLDR 10D 24MM,6400.0,6400.0,339.2,7680.0,20
HCPCS,C1776,BASEPLATE SHLDR 10MM,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,BASEPLATE SHLDR 24MM,2480.0,2480.0,81.62,7680.0,120
HCPCS,C1776,BASEPLATE SHLDR MOD 30MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1776,BASEPLATE SHLDR SM 24MM,2110.0,2110.0,111.83,2532.0,40
HCPCS,C1776,BASEPLATE SHLDR STANDARD,2400.0,2400.0,127.2,2880.0,20
HCPCS,C1776,BASEPLATE SHLDR STD 25MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1776,BASEPLATE TIB 3DKNE 12LT,1920.0,1920.0,101.76,2304.0,20
HCPCS,C1776,BASEPLATE TIB 6 RT NPOR,3026.1,3026.1,160.38,3631.32,20
HCPCS,C1776,BASEPLATE TIB 8 ROT,3750.0,3750.0,198.75,4500.0,20
HCPCS,C1776,BASEPLATE TIB 80X55 5L,1920.0,1920.0,101.76,2304.0,20
HCPCS,C1776,BASEPLATE TIB ATTUNE 7 K,2546.0,2546.0,134.94,3055.2,20
HCPCS,C1776,BASEPLATE TIB CMNT RT S7,4280.0,4280.0,226.84,5136.0,20
HCPCS,C1776,BASEPLATE TIB CMNT RT S8,4280.0,4280.0,226.84,5136.0,20
HCPCS,C1776,BASEPLATE TIB FNDTN 2 RT,3750.0,3750.0,198.75,4500.0,20
HCPCS,C1776,BASEPLATE TIB FNDTN 4 RT,3750.0,3750.0,198.75,4500.0,20
HCPCS,C1776,BASEPLATE TIB FNDTN 6 LT,3290.0,3290.0,174.37,3948.0,20
HCPCS,C1776,BASEPLATE TIB KN 0DG SZH,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,BASEPLATE TIB KN 5D,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,BASEPLATE TIB KN 5D SZ E,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,BASEPLATE TIB KN 5D SZ F,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,BASEPLATE TIB KN 5D SZG,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,BASEPLATE TIB KN LT SZ1,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,BASEPLATE TIB KN LT SZ2,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,BASEPLATE TIB KN LT SZ5,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,BASEPLATE TIB KN LT SZD,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,BASEPLATE TIB KN REV SZ3,6286.0,6286.0,333.16,7543.2,20
HCPCS,C1776,BASEPLATE TIB KN RT LNG,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,BASEPLATE TIB KN RT SZ2,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASEPLATE TIB KN RT SZ3,1755.0,1755.0,90.63,2160.0,40
HCPCS,C1776,BASEPLATE TIB KN RT SZ4,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,BASEPLATE TIB KN RT SZ6,1710.0,1710.0,90.63,2052.0,20
HCPCS,C1776,BASEPLATE TIB KN RT SZH,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,BASEPLATE TIB KN SYS 4,2100.0,2100.0,111.3,2520.0,20
HCPCS,C1776,BASEPLATE TIB KN SZ3,2546.0,2546.0,111.3,3120.0,60
HCPCS,C1776,BASEPLATE TIB KN SZ4,2600.0,2600.0,95.4,7543.2,60
HCPCS,C1776,BASEPLATE TIB KN SZ4-,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASEPLATE TIB KN SZ5,2323.0,2323.0,106.0,7454.4,100
HCPCS,C1776,BASEPLATE TIB KN SZ6,2350.0,2350.0,106.0,7543.2,100
HCPCS,C1776,BASEPLATE TIB KN SZ6-,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASEPLATE TIB KN SZ7,2100.0,2100.0,106.0,3055.2,100
HCPCS,C1776,BASEPLATE TIB KN SZ8,2100.0,2100.0,111.3,2520.0,20
HCPCS,C1776,BASEPLATE TIB KN UNV SZ3,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASEPLATE TIB KN UNV SZ8,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASEPLATE TIB MOD RT SZ5,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,BASEPLATE TIB PRFX 7 RT,1920.0,1920.0,101.76,2304.0,20
HCPCS,C1776,BASEPLATE TIB PRFX 85X58,1920.0,1920.0,101.76,2304.0,20
HCPCS,C1776,BASEPLATE TIB PRFX5 RT,1920.0,1920.0,101.76,2304.0,20
HCPCS,C1776,BASEPLATE TIB RT SZ6,1920.0,1920.0,101.76,2304.0,20
HCPCS,C1776,BASEPLATE TIB RT SZ7,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,BASEPLATE TIB S1 KN MRH,4001.0,4001.0,212.05,4801.2,20
HCPCS,C1776,BASEPLATE TIB SM POROUS,3190.0,3190.0,169.07,3828.0,20
HCPCS,C1776,BASEPLATE TIB SZ2 LT,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,BASEPLATE TIB SZ3,1960.0,1960.0,101.76,2400.0,40
HCPCS,C1776,BASEPLATE TIB UNV SZ4,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASEPLATE TIB UNV SZ6,2400.0,2400.0,127.2,2880.0,20
HCPCS,C1776,BASEPLATE TIBIAL SIZE 6,2546.0,2546.0,134.94,3055.2,20
HCPCS,C1776,BASEPLT KN RT SZ4,1710.0,1710.0,90.63,2052.0,20
HCPCS,C1776,BASEPLT TIB 10 LT STM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASEPLT TIB 3D RT STM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASEPLT TIB KN LT SZ2,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASEPLT TIB KN LT SZ4,1710.0,1710.0,90.63,2052.0,20
HCPCS,C1776,BASEPLT TIB KN LT SZ6,1710.0,1710.0,90.63,2052.0,20
HCPCS,C1776,BASEPLT TIB KN RM/LL SZ3,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASEPLT TIB NSB-0HL 6L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,BASEPLTE MOVATION 6F/4T,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BASPLATE TIB KN SZ5,6286.0,6286.0,333.16,7543.2,20
HCPCS,C1776,BEARING 12MM KN CRCTE,1148.0,1148.0,60.84,1377.6,40
HCPCS,C1776,BEARING 14MM KN CRCTE,1148.0,1148.0,60.84,1377.6,40
HCPCS,C1776,BEARING FEM SZ8 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING HIP SZE 28X42MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,BEARING HUM SHLDR 36MM,2700.0,2700.0,132.5,3480.0,40
HCPCS,C1776,BEARING IBLNC SZ7 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ2 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ2 15MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ2 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ2 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ3 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ3 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ3 14MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ3 15MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ3 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ3 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ4 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ4 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ4 15MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ4 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ4 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ5 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ5 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ5 15MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ5 18MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ6 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ6 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ6 15MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ6 18MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ6 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ7 15MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ7 18MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ8 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ8 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ8 15MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ8 18MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE SZ8 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBLNCE T/K 2MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING IBNLCE SZ5 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING KN 8MM,886.0,886.0,46.96,1063.2,20
HCPCS,C1776,BEARING SZE 28X42MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,BEARING TB UKA SZ4 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR SZ 4 13MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR+ SZ2 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR+ SZ2 11MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR+ SZ2 12MM,1100.0,1100.0,58.3,1320.0,40
HCPCS,C1776,BEARING TIB CR+ SZ2 14MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR+ SZ2 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR+ SZ3 8MM,1148.0,1148.0,60.84,1377.6,20
HCPCS,C1776,BEARING TIB CR+ SZ4 11MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR+ SZ5 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR+ SZ5 8MM,1148.0,1148.0,60.84,1377.6,20
HCPCS,C1776,BEARING TIB CR+ SZ5 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR+ SZ6 11MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR+ SZ7 11MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR+ SZ7 13MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR+ SZ7 14MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR+ SZ8 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB CR+ SZ8 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB E SZ1 10MM,886.0,886.0,46.96,1063.2,20
HCPCS,C1776,BEARING TIB I-BAL+ 2 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB I-BAL+ 3 10M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB IBAL SZ4 18M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB KN 11MM,1148.0,1148.0,60.84,1377.6,20
HCPCS,C1776,BEARING TIB KN 8MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,BEARING TIB KN SZ1 9MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,BEARING TIB KN SZ2 10MM,884.0,884.0,46.85,1060.8,20
HCPCS,C1776,BEARING TIB KN SZ3 9MM,886.0,886.0,46.96,1063.2,20
HCPCS,C1776,BEARING TIB KN SZ4 8MM,886.0,886.0,46.96,1063.2,20
HCPCS,C1776,BEARING TIB KN SZ4 9MM,886.0,886.0,46.96,1063.2,20
HCPCS,C1776,BEARING TIB KN SZ5-6,6824.0,6824.0,361.67,8188.8,20
HCPCS,C1776,BEARING TIB SZ-7 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ2 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ2 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ3 11MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ3 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ3 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ4 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ5 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ5 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ5 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ6 10MM,1100.0,1100.0,58.3,1320.0,40
HCPCS,C1776,BEARING TIB SZ6 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ6 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ7 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ7 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB SZ7 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TIB VE CR+1 11MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TKA IBL SZ4 11MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TKA IBLN SZ5 11M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TKA IBLNCE SZ4,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TKA PS SZ3 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TKA PS SZ3 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TKA PS SZ4 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARING TKR FEM SZ3-RT,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,BEARNG MNSCL 4MM SM,1752.0,1752.0,92.86,2102.4,20
HCPCS,C1776,BEARNG TB I-BAL CR+3 11M,1100.0,1100.0,58.3,1320.0,40
HCPCS,C1776,BEARNG TB I-BAL CR+3 13M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TB IBAL CR+3 10M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TB IBAL CR+3 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TIB I-BAL CR+2 9M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TIB I-BAL CR+3 9M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TIB IBAL CR+4 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TIB MNSCL MD 5MM,1490.0,1490.0,78.97,1788.0,20
HCPCS,C1776,BEARNG TIB TKA CR+ 4 10M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TIB TKA CR+ 4 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TIB TKA CR+ 5 8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TIB TKA CR+1 13MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TIB TKA CR+2 13MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TIB TKA CR+4 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TIB TKA CR+4 14MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TIB TKA CR+5 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TIB TKA CR+6 14MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TIB TKA CR+6 16MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BEARNG TIB TKA CR+6 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TKA IBLN SZ7 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TKA IBLN SZ8 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BEARNG TRUNON SHLDR 49MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,BEARNING IBLNCE SZ2 18MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,BIPOLAR CORNM COCR 43X26,2390.0,2390.0,126.67,2868.0,20
HCPCS,C1776,BIPOLAR CORNM COMP 12X26,2390.0,2390.0,126.67,2868.0,20
HCPCS,C1776,BLOCK AUGMT SCRP 5 15MM,1538.84,1538.84,81.56,1846.61,20
HCPCS,C1776,BLOCK AUGMT SCRP 5 5MM,1538.84,1538.84,81.56,1846.61,20
HCPCS,C1776,BLOCK FEM DSTL XS MD HNG,931.0,931.0,49.34,1117.2,20
HCPCS,C1776,BODY CALCAR +30 23MM,6345.0,6345.0,336.29,7614.0,20
HCPCS,C1776,BODY CONE FEM HIP+0X21MM,5466.0,5466.0,289.7,6559.2,20
HCPCS,C1776,BODY CONE HIP STD 60MM,7553.0,7553.0,400.31,9063.6,20
HCPCS,C1776,BODY FEM HIP 20MM 75MM,4698.0,4698.0,248.99,5637.6,20
HCPCS,C1776,BODY FEM MILLED DP 23MM,6085.0,6085.0,322.5,7302.0,20
HCPCS,C1776,BODY FEM MOD RSTR 19MM,6085.0,6085.0,322.5,7302.0,20
HCPCS,C1776,BODY HUM SHLDR 12MM 135D,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,BODY MLD SHLW RSTR 21MM,6085.0,6085.0,322.5,7302.0,20
HCPCS,C1776,BODY PROX HIP 20MM 85MM,4698.0,4698.0,248.99,5637.6,20
HCPCS,C1776,BODY PROX SHLDR RT MED,7800.0,7800.0,413.4,9360.0,20
HCPCS,C1776,BODY PROX SHLDR RT SM,7800.0,7800.0,413.4,9360.0,20
HCPCS,C1776,BODY SHLDR PROX LT MED,7800.0,7800.0,413.4,9360.0,20
HCPCS,C1776,BODY SHLDR PROX LT SM,7800.0,7800.0,413.4,9360.0,20
HCPCS,C1776,BOLT LKNG STM EXFX HIP,225.0,225.0,11.93,270.0,20
HCPCS,C1776,BOLT TIB RETAINING 10MM,110.0,110.0,5.83,132.0,20
HCPCS,C1776,BRNG MXM PRIM TIB 10M,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,BRNG PRIM TIB 18X71/7,2140.0,2140.0,113.42,2568.0,20
HCPCS,C1776,BSPLATETIB 1 KNEE 3,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,BSPLTE GLND SHLDR 25MM,1750.0,1750.0,92.75,2100.0,20
HCPCS,C1776,BUMPER KN HNG 0D,1305.0,1305.0,69.17,1566.0,20
HCPCS,C1776,BUSHNG FEM KN ROT HNG,396.0,396.0,20.99,475.2,20
HCPCS,C1776,BUSHNG KN FEM SM,410.0,410.0,21.73,492.0,20
HCPCS,C1776,BUTTON TROCH 25MM,741.0,741.0,39.27,889.2,20
HCPCS,C1776,CENTRALIZR STM HIP 8.5MM,110.0,110.0,5.83,132.0,20
HCPCS,C1776,CLAW FEM 40-50MM MLHD,28.0,28.0,1.48,33.6,20
HCPCS,C1776,CMPNT ACTB +9NN HD MOD,1526.0,1526.0,80.88,1831.2,20
HCPCS,C1776,CMPNT ACTB -3MM MD HD,1798.0,1798.0,95.29,2157.6,20
HCPCS,C1776,CMPNT ACTB HIP 28X51MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,CMPNT ACTB HIP 28X52MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,CMPNT ACTB HIP 60MM,7553.0,7553.0,400.31,9063.6,20
HCPCS,C1776,CMPNT ACTB MOD HD +6MM,1798.0,1798.0,95.29,2157.6,20
HCPCS,C1776,CMPNT ACTB MOD HD -3MM,2076.0,2076.0,110.03,2491.2,20
HCPCS,C1776,CMPNT ACTB MOD HD -6MM,1798.0,1798.0,95.29,2157.6,20
HCPCS,C1776,CMPNT ACTB MOD HD STD,1798.0,1798.0,95.29,2157.6,20
HCPCS,C1776,CMPNT DISC LFT 3MM 115MM,8403.0,8403.0,445.36,10083.6,20
HCPCS,C1776,CMPNT DOME KN 29MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,CMPNT ELB +BRNG 4X75MM,7640.0,7640.0,404.92,9168.0,20
HCPCS,C1776,CMPNT ELB 2.5MM 53MM,7639.0,7639.0,404.87,9166.8,20
HCPCS,C1776,CMPNT ELB 3.5MM 84MM,7424.0,7424.0,393.47,8908.8,20
HCPCS,C1776,CMPNT ELB LT 5MM 150MM,7628.0,7628.0,404.28,9153.6,20
HCPCS,C1776,CMPNT ELB RT 4X115MM,8403.0,8403.0,445.36,10083.6,20
HCPCS,C1776,CMPNT ELB RT 5MM 115MM,8403.0,8403.0,445.36,10083.6,20
HCPCS,C1776,CMPNT FEM 154600,4440.0,4440.0,235.32,5328.0,20
HCPCS,C1776,CMPNT FEM 60 RT,9850.0,9850.0,522.05,11820.0,20
HCPCS,C1776,CMPNT FEM CMNT LT SZ8,3300.0,3300.0,174.9,3960.0,20
HCPCS,C1776,CMPNT FEM HIP +4 SZ12/14,270.0,270.0,14.31,324.0,20
HCPCS,C1776,CMPNT FEM HIP 15MM 165MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,CMPNT FEM HIP 19MM +20MM,5467.0,5467.0,289.75,6560.4,20
HCPCS,C1776,CMPNT FEM HIP A4 FITMORE,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1776,CMPNT FEM HIP RT KN SZ4,2740.0,2740.0,145.22,3288.0,20
HCPCS,C1776,CMPNT FEM HIP SZ 3,3400.0,3400.0,180.2,4080.0,40
HCPCS,C1776,CMPNT FEM HIP SZ 5,3400.0,3400.0,180.2,4080.0,20
HCPCS,C1776,CMPNT FEM HIP SZ1,3400.0,3400.0,180.2,4080.0,20
HCPCS,C1776,CMPNT FEM HIP SZ15,3900.0,3900.0,201.4,4800.0,40
HCPCS,C1776,CMPNT FEM HIP SZ4,3400.0,3400.0,180.2,4080.0,40
HCPCS,C1776,CMPNT FEM HIP SZ5,3400.0,3400.0,180.2,4080.0,60
HCPCS,C1776,CMPNT FEM HIP SZ6,3400.0,3400.0,180.2,4080.0,20
HCPCS,C1776,CMPNT FEM ILK PRIM 65 LT,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,CMPNT FEM ILK PRM 60 RT,5132.0,5132.0,272.0,6158.4,20
HCPCS,C1776,CMPNT FEM KN 4 LT,8365.0,8365.0,443.35,10038.0,20
HCPCS,C1776,CMPNT FEM KN 6 LT,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,CMPNT FEM KN 7 LT,8365.0,8365.0,443.35,10038.0,20
HCPCS,C1776,CMPNT FEM KN 71MM 66MM,6932.0,6932.0,367.4,8318.4,20
HCPCS,C1776,CMPNT FEM KN 9 RT,2900.0,2900.0,153.7,3480.0,20
HCPCS,C1776,CMPNT FEM KN CMNT SZ2,2740.0,2740.0,145.22,3288.0,20
HCPCS,C1776,CMPNT FEM KN ES LT 8.5CM,10617.0,10617.0,562.7,12740.4,20
HCPCS,C1776,CMPNT FEM KN ES RT 7CM,9982.0,9982.0,529.05,11978.4,20
HCPCS,C1776,CMPNT FEM KN LT #2,2740.0,2740.0,145.22,3288.0,20
HCPCS,C1776,CMPNT FEM KN LT 7CM,9982.0,9982.0,529.05,11978.4,20
HCPCS,C1776,CMPNT FEM KN LT CMNT 3,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,CMPNT FEM KN LT STD SZ6,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,CMPNT FEM KN LT SZ1,4057.5,4057.5,174.9,5778.0,40
HCPCS,C1776,CMPNT FEM KN LT SZ2,3300.0,3300.0,174.9,3960.0,20
HCPCS,C1776,CMPNT FEM KN LT SZ3,3321.0,3321.0,145.22,10038.0,60
HCPCS,C1776,CMPNT FEM KN LT SZ4,2500.0,2500.0,132.5,3000.0,40
HCPCS,C1776,CMPNT FEM KN LT SZ5,3054.0,3054.0,132.5,9984.0,120
HCPCS,C1776,CMPNT FEM KN LT SZ6,2870.0,2870.0,121.9,10038.0,80
HCPCS,C1776,CMPNT FEM KN LT SZ7,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,CMPNT FEM KN LT SZ8,3054.0,3054.0,161.86,3664.8,20
HCPCS,C1776,CMPNT FEM KN LT SZC,16188.0,16188.0,857.96,19425.6,20
HCPCS,C1776,CMPNT FEM KN LT XX-SM,18533.0,18533.0,982.25,22239.6,20
HCPCS,C1776,CMPNT FEM KN MDL RT SZ5,3322.0,3322.0,176.07,3986.4,20
HCPCS,C1776,CMPNT FEM KN POST RT SZ8,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,CMPNT FEM KN PS RT SZ7,4100.0,4100.0,217.3,4920.0,20
HCPCS,C1776,CMPNT FEM KN RM/LL SZ3,2740.0,2740.0,145.22,3288.0,20
HCPCS,C1776,CMPNT FEM KN RS AXLE,606.0,606.0,32.12,727.2,20
HCPCS,C1776,CMPNT FEM KN RS BUSHING,559.0,559.0,29.63,670.8,20
HCPCS,C1776,CMPNT FEM KN RS LT 8.5CM,9567.0,9567.0,507.05,11480.4,20
HCPCS,C1776,CMPNT FEM KN RSS LT 7CM,9190.0,9190.0,487.07,11028.0,20
HCPCS,C1776,CMPNT FEM KN RSS RT 7CM,9190.0,9190.0,487.07,11028.0,20
HCPCS,C1776,CMPNT FEM KN RT NAR SZ5,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1776,CMPNT FEM KN RT SZ1,2900.0,2900.0,153.7,3480.0,20
HCPCS,C1776,CMPNT FEM KN RT SZ10,3300.0,3300.0,159.0,4320.0,60
HCPCS,C1776,CMPNT FEM KN RT SZ3,3086.0,3086.0,151.05,3986.4,40
HCPCS,C1776,CMPNT FEM KN RT SZ4,3340.0,3340.0,121.9,10038.0,100
HCPCS,C1776,CMPNT FEM KN RT SZ4.5,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1776,CMPNT FEM KN RT SZ5,2740.0,2740.0,121.9,10101.6,60
HCPCS,C1776,CMPNT FEM KN RT SZ7,3200.0,3200.0,132.5,4560.0,80
HCPCS,C1776,CMPNT FEM KN RT XS,6932.0,6932.0,367.4,8318.4,20
HCPCS,C1776,CMPNT FEM KN SZ3,3270.0,3270.0,169.6,4008.0,40
HCPCS,C1776,CMPNT FEM KN SZ4,2850.0,2850.0,132.5,3840.0,40
HCPCS,C1776,CMPNT FEM KN SZ5,3427.0,3427.0,159.0,10038.0,160
HCPCS,C1776,CMPNT FEM KN SZ5N,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,CMPNT FEM KN SZ6,3027.0,3027.0,132.5,4320.0,140
HCPCS,C1776,CMPNT FEM KN SZ7,3127.0,3127.0,153.7,10038.0,80
HCPCS,C1776,CMPNT FEM KN SZ8,3600.0,3600.0,121.9,4368.0,60
HCPCS,C1776,CMPNT FEM KN UNCNDL SZ2,3321.0,3321.0,176.01,3985.2,20
HCPCS,C1776,CMPNT FEM KN64X49.3X10.5,3300.0,3300.0,174.9,3960.0,20
HCPCS,C1776,CMPNT FEM LT KN SZ3,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1776,CMPNT FEM LT KN SZ4,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,CMPNT FEM LT SZ10,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,CMPNT FEM LT SZ8,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,CMPNT FEM NAR KN LT SZ7,3700.0,3700.0,190.8,4560.0,40
HCPCS,C1776,CMPNT FEM NAR KN LT SZ8,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,CMPNT FEM NAR KN RT SZ4,3300.0,3300.0,159.0,4320.0,40
HCPCS,C1776,CMPNT FEM NAR KN RT SZ5,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,CMPNT FEM NAR KN RT SZ9,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,CMPNT FEM NP PS SZ2 LT,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,CMPNT FEM RT 65MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,CMPNT FEM RT KN 3,2740.0,2740.0,145.22,3288.0,20
HCPCS,C1776,CMPNT FEM RT SZ10,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,CMPNT FEM RT SZ4,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,CMPNT FEM RT SZ8,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,CMPNT GLENOID PEG 42MM,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,CMPNT GLND MEDIUM BETA,6340.0,6340.0,336.02,7608.0,20
HCPCS,C1776,CMPNT GLND SHLDR 24X33MM,4600.0,4600.0,243.8,5520.0,20
HCPCS,C1776,CMPNT GLND SHLDR 36MM,4600.0,4600.0,243.8,5520.0,20
HCPCS,C1776,CMPNT GLND SHLDR 45MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,CMPNT HIP 26MM 45M,800.0,800.0,42.4,960.0,20
HCPCS,C1776,CMPNT HMICAP 2.5MM 3.5MM,2860.0,2860.0,151.58,3432.0,20
HCPCS,C1776,CMPNT HUM ELB 150X4MM,7628.0,7628.0,404.28,9153.6,20
HCPCS,C1776,CMPNT HUM ELB 4MM 100MM,6935.0,6935.0,367.56,8322.0,20
HCPCS,C1776,CMPNT HUM ELB 5MM 100MM,7628.0,7628.0,404.28,9153.6,20
HCPCS,C1776,CMPNT HUM ELB CONDYL,3072.0,3072.0,162.82,3686.4,20
HCPCS,C1776,CMPNT HUM ELB RT 5X150MM,7628.0,7628.0,404.28,9153.6,20
HCPCS,C1776,CMPNT HUM ELB XS 3IN,7004.0,7004.0,371.21,8404.8,20
HCPCS,C1776,CMPNT HUM HEX XS,2934.0,2934.0,155.5,3520.8,20
HCPCS,C1776,CMPNT HUM SHLDR 36+0MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,CMPNT HUM SHLDR 40+0MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,CMPNT HUM SHLDR LT SZ1,3400.0,3400.0,180.2,4080.0,20
HCPCS,C1776,CMPNT HUM SHLDR LT SZ2,5078.0,5078.0,269.13,6093.6,20
HCPCS,C1776,CMPNT HUM SHLDR RT SZ3,5078.0,5078.0,269.13,6093.6,20
HCPCS,C1776,CMPNT HUM XS 4IN,8600.0,8600.0,455.8,10320.0,20
HCPCS,C1776,CMPNT KN CMNT LT SZ6,2740.0,2740.0,145.22,3288.0,20
HCPCS,C1776,CMPNT KN CMNTLS RT SZ2,3340.0,3340.0,177.02,4008.0,20
HCPCS,C1776,CMPNT KN DIST STD 3CM,7728.0,7728.0,409.58,9273.6,20
HCPCS,C1776,CMPNT KN DPHSL PROSTHES,197.0,197.0,10.44,236.4,20
HCPCS,C1776,CMPNT KN DPHSL SEG 3CM,7728.0,7728.0,409.58,9273.6,20
HCPCS,C1776,CMPNT KN DPHSL SEG 5CM,9100.0,9100.0,482.3,10920.0,20
HCPCS,C1776,CMPNT KN DPHSL SEG 9CM,7727.0,7727.0,409.53,9272.4,20
HCPCS,C1776,CMPNT KN DPHSL SEG LG3CM,7727.0,7727.0,409.53,9272.4,20
HCPCS,C1776,CMPNT KN FEM BSHNG STD,280.0,280.0,14.84,336.0,20
HCPCS,C1776,CMPNT KN FEM CMN LT SZ5,2740.0,2740.0,145.22,3288.0,20
HCPCS,C1776,CMPNT KN FEM CMNT RT 2,2740.0,2740.0,145.22,3288.0,20
HCPCS,C1776,CMPNT KN FEM CMNT RT 5,2900.0,2900.0,153.7,3480.0,20
HCPCS,C1776,CMPNT KN FEM LT SZ3,3054.0,3054.0,161.86,3664.8,20
HCPCS,C1776,CMPNT KN HINGED ROTATE,399.0,399.0,21.15,478.8,20
HCPCS,C1776,CMPNT KN LT SZ4,2970.0,2970.0,145.22,3840.0,40
HCPCS,C1776,CMPNT KN PTLA DOME 41MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,CMPNT KN RT SZ3,2520.0,2520.0,121.9,3288.0,40
HCPCS,C1776,CMPNT KN RT SZ4,2900.0,2900.0,153.7,3480.0,20
HCPCS,C1776,CMPNT KN SZ4,3340.0,3340.0,177.02,4008.0,20
HCPCS,C1776,CMPNT KN TIB BASE SZ8,6286.0,6286.0,333.16,7543.2,20
HCPCS,C1776,CMPNT KN TIB SZ2,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1776,CMPNT KN YOKE REINFC,1416.0,1416.0,75.05,1699.2,20
HCPCS,C1776,CMPNT KNEE FEM RT SZ5,3340.0,3340.0,177.02,4008.0,20
HCPCS,C1776,CMPNT MOD HD 38MM,3306.0,3306.0,175.22,3967.2,20
HCPCS,C1776,CMPNT MOD PST SHLDR 25MM,1938.0,1938.0,102.71,2325.6,20
HCPCS,C1776,CMPNT PAT KN 27MM 8MM,886.0,886.0,46.96,1063.2,20
HCPCS,C1776,CMPNT PRIM FEM 75,5132.0,5132.0,272.0,6158.4,20
HCPCS,C1776,CMPNT PTLA 35MM ENCR,500.0,500.0,26.5,600.0,20
HCPCS,C1776,CMPNT PTLA 3PEG STD25X8,500.0,500.0,26.5,600.0,20
HCPCS,C1776,CMPNT PTLA 3PEG STD31X8,500.0,500.0,26.5,600.0,20
HCPCS,C1776,CMPNT PTLA KN 29MM 8MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,CMPNT PTLA KN 3PEG 32MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,CMPNT PTLA KN DOME 38MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,CMPNT PTLA POLY 29X10,1040.0,1040.0,55.12,1248.0,20
HCPCS,C1776,CMPNT PTLA POLY 38X10,1040.0,1040.0,55.12,1248.0,20
HCPCS,C1776,CMPNT PTLA POLY 8X26MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,CMPNT PTLA POLY 8X29MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,CMPNT PTLA SZ 26,1288.0,1288.0,68.26,1545.6,20
HCPCS,C1776,CMPNT PTLLA KN 29MM 9MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1776,CMPNT PTLLA KN 38MM 10MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1776,CMPNT PTLR KN 10MM 32MM,810.0,810.0,40.28,1032.0,40
HCPCS,C1776,CMPNT PTLR KN 10X32MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1776,CMPNT PTLR KN 10X35MM,760.0,760.0,40.28,912.0,20
HCPCS,C1776,CMPNT PTLR KN 13X26MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,CMPNT PTLR KN 29MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,CMPNT PTLR KN 35X9.5MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1776,CMPNT PTLR KN 8X27MM,760.0,760.0,40.28,912.0,20
HCPCS,C1776,CMPNT PTLR KN 9MM 29MM,860.0,860.0,45.58,1032.0,20
HCPCS,C1776,CMPNT PTLR KN3PEG 8X26MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,CMPNT PTLR RSRFC 9X26MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,CMPNT RAD ELB 24MM,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1776,CMPNT RVRS SHLDR +3MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,CMPNT SHLDR 28+0MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,CMPNT SHLDR 2MM,2278.0,2278.0,120.73,2733.6,20
HCPCS,C1776,CMPNT SHLDR 38MM +4MM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1776,CMPNT SHLDR GLND 39X24MM,1260.0,1260.0,66.78,1512.0,20
HCPCS,C1776,CMPNT SHLDR GLND MED,1190.0,1190.0,63.07,1428.0,20
HCPCS,C1776,CMPNT STEM KN EXT 100MM,1824.0,1824.0,96.67,2188.8,20
HCPCS,C1776,CMPNT STEM SHLDR REV SZ9,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,CMPNT TALAR 10 L16X10MM,3006.0,3006.0,159.32,3607.2,20
HCPCS,C1776,CMPNT TALAR 9 L15X9MM,3006.0,3006.0,159.32,3607.2,20
HCPCS,C1776,CMPNT TIB KN 0D SZG,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,CMPNT TIB KN 0DG SZG,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,CMPNT TIB KN 13MM SZ1-2,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,CMPNT TIB KN 42X72X25MM,3300.0,3300.0,174.9,3960.0,20
HCPCS,C1776,CMPNT TIB KN 5D SZD,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,CMPNT TIB KN 71X160X9MM,4654.0,4654.0,246.66,5584.8,20
HCPCS,C1776,CMPNT TIB KN BASE SZ4,2100.0,2100.0,111.3,2520.0,20
HCPCS,C1776,CMPNT TIB KN BS SZ2,6286.0,6286.0,333.16,7543.2,20
HCPCS,C1776,CMPNT TIB KN LT SZD,4590.0,4590.0,243.27,5508.0,20
HCPCS,C1776,CMPNT TIB KN RS 160X10,4653.0,4653.0,246.61,5583.6,40
HCPCS,C1776,CMPNT TIB KN RS 59 160X9,4597.0,4597.0,243.64,5516.4,20
HCPCS,C1776,CMPNT TIB KN RS 63 160X9,4653.0,4653.0,246.61,5583.6,20
HCPCS,C1776,CMPNT TIB KN RS 67 160X9,4654.0,4654.0,246.66,5584.8,20
HCPCS,C1776,CMPNT TIB KN SZ2,2100.0,2100.0,111.3,2520.0,20
HCPCS,C1776,CMPNT TIB KN SZ4 9MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,CMPNT TIB KN SZ7,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1776,CMPNT TIB KN SZC,4590.0,4590.0,243.27,5508.0,20
HCPCS,C1776,CMPNT TIB KN SZG,4590.0,4590.0,243.27,5508.0,20
HCPCS,C1776,CMPNT ULN LT 4X115MM,8403.0,8403.0,445.36,10083.6,20
HCPCS,C1776,CMPNT ULNA 4MM 75MM,7639.0,7639.0,404.87,9166.8,20
HCPCS,C1776,CMPTN KN LT SZ7,2900.0,2900.0,153.7,3480.0,20
HCPCS,C1776,CMPTN SHLDR SZ1 18MM,6100.0,6100.0,323.3,7320.0,20
HCPCS,C1776,CNTRLZR STM HIP 10.5MM,110.0,110.0,5.83,132.0,20
HCPCS,C1776,CNTRLZR STM HIP DIST 8MM,110.0,110.0,5.83,132.0,20
HCPCS,C1776,COMP CONE KN XL,6200.0,6200.0,328.6,7440.0,20
HCPCS,C1776,COMP ELB E+ LT 5X115MM,8403.0,8403.0,445.36,10083.6,20
HCPCS,C1776,COMP EXTEN PC MUTRS 60MM,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,COMP EXTEN PC MUTRS 80MM,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,COMP FEM 3 PROFIX NONPOR,5584.5,5584.5,295.98,6701.4,20
HCPCS,C1776,COMP FEM 5 LT KN NONPOR,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMP FEM 6L KN PST NPOR,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,COMP FEM EXT PC MTRS 40M,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,COMP FEM HIP 22MM 42MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,COMP FEM HIP 28MM 43MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,COMP FEM HIP 28MM 48MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,COMP FEM KN 67X5MM LT,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,COMP FEM KN LT SZ2,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1776,COMP FEM KN LT SZ3,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMP FEM KN LT SZ5,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP FEM KN LT SZ7,3200.0,3200.0,159.0,4320.0,80
HCPCS,C1776,COMP FEM KN LT SZ8,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP FEM KN LT SZ9,3600.0,3600.0,190.8,4320.0,40
HCPCS,C1776,COMP FEM KN R SZ11,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP FEM KN R SZ6,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP FEM KN R SZ8,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP FEM KN R SZ9,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP FEM KN RT SZ-5N,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,COMP FEM KN RT SZ4,2925.0,2925.0,151.05,3600.0,40
HCPCS,C1776,COMP FEM KN RT SZ5,2500.0,2500.0,132.5,3000.0,40
HCPCS,C1776,COMP FEM KN RT SZ6,2750.0,2750.0,132.5,3600.0,40
HCPCS,C1776,COMP FEM KN RT SZ7,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP FEM KN RT SZ8,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1776,COMP FEM KN SZ10,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP FEM KN SZ2,3322.0,3322.0,176.07,3986.4,20
HCPCS,C1776,COMP FEM KN SZ26,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP FEM KN SZ4,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP FEM KN SZ5,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP FEM KN SZ7,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP FEM KN SZ8,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP FEM PRFX OX SZ3 RT,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,COMP FEM PRFX OX SZ4 LT,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,COMP FEM PRFX OX SZ4 RT,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,COMP FEM PRFX OX SZ5 LT,5040.0,5040.0,267.12,6048.0,40
HCPCS,C1776,COMP FEM PRFX OX SZ5 RT,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,COMP FEM PRFX OX SZ6 LT,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,COMP FEM PRFX OX SZ6 RT,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,COMP FEMORAL  71522164,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,COMP FEMUR MED LT OR,5190.0,5190.0,275.07,6228.0,20
HCPCS,C1776,COMP HIP 46MM 28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,COMP HUM ELB 150MM 4MM,7628.0,7628.0,404.28,9153.6,20
HCPCS,C1776,COMP HUM ELB LT 4X1050MM,6935.0,6935.0,367.56,8322.0,20
HCPCS,C1776,COMP HUM ELB RT 4X150MM,6935.0,6935.0,367.56,8322.0,20
HCPCS,C1776,COMP HUM RVRS FRAC LT,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,COMP KN RT NPROS WOTPR 7,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,COMP PS FEM CMNT SZ4+/R,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMP PS INSRT SZ1 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,COMP PS INSRT SZ5 11MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,COMP PTLA KN 29MM 8MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,COMP PTLR DOME 8MM 30,886.0,886.0,46.96,1063.2,20
HCPCS,C1776,COMP PTLR KN 7.5X26MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,COMP PTLR KN 9MM 29MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,COMP PTLR PRFX 12X26MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,COMP PTLR TRI X3 8X27MM,760.0,760.0,40.28,912.0,20
HCPCS,C1776,COMP PTLR XS ASYM DRCN,965.0,965.0,51.15,1158.0,20
HCPCS,C1776,COMP SHLDR GLND 38X+8MM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1776,COMP TIB KN 0D SZF,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,COMP TIB KN 0D SZH,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,COMP TIB KN RT 0D SZC,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,COMP TIB KN RT 0D SZD,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,COMP TIB KN RT 0D SZE,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,COMP TIB KN RT 0D SZF,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,COMP TIB KN SZ4,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMP TOE JNT 14X8MM,3006.0,3006.0,159.32,3607.2,20
HCPCS,C1776,COMPNT ACTB HIP 44X28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,COMPNT DSTAL HUM STD RT,11906.0,11906.0,631.02,14287.2,20
HCPCS,C1776,COMPNT ELBW RT 115X4,10574.0,10574.0,560.42,12688.8,20
HCPCS,C1776,COMPNT FEM 6 LT KN PST S,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM 7 LT KN PRFX,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,COMPNT FEM 8 RT NPOR STB,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM 8 STD LT CRU,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,COMPNT FEM CMNT LT SZ1,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM CR-FLX RT KNE,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,COMPNT FEM DPHSL KN 13,6972.0,6972.0,369.52,8366.4,20
HCPCS,C1776,COMPNT FEM FNDTN NPOR LT,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM FNDTN SZ2 RT,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM KN 6 RT,8200.0,8200.0,434.6,9840.0,20
HCPCS,C1776,COMPNT FEM KN 65MM,9454.0,9454.0,501.06,11344.8,20
HCPCS,C1776,COMPNT FEM KN LT PS SZ3,2740.0,2740.0,145.22,3288.0,20
HCPCS,C1776,COMPNT FEM KN LT SZ4,2577.0,2577.0,132.5,3184.8,40
HCPCS,C1776,COMPNT FEM KN LT SZ5,3000.0,3000.0,121.9,4008.0,100
HCPCS,C1776,COMPNT FEM KN LT SZ5N,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,COMPNT FEM KN LT SZ7,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM KN NPOR RT 3,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM KN RT 65MM,9539.0,9539.0,505.57,11446.8,20
HCPCS,C1776,COMPNT FEM KN RT SZ3,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1776,COMPNT FEM KN RT SZ3N,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,COMPNT FEM KN RT SZ4,2500.0,2500.0,132.5,3000.0,40
HCPCS,C1776,COMPNT FEM KN RT SZ5,3025.0,3025.0,151.05,3840.0,40
HCPCS,C1776,COMPNT FEM KN RT SZ6,3700.0,3700.0,190.8,4560.0,40
HCPCS,C1776,COMPNT FEM KN RT SZ8,3340.0,3340.0,159.0,4560.0,60
HCPCS,C1776,COMPNT FEM KN STD SZ+7,13725.0,13725.0,727.42,16470.0,20
HCPCS,C1776,COMPNT FEM KN SZ4,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1776,COMPNT FEM KN SZ5,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMPNT FEM KN SZ6,3050.0,3050.0,132.5,4320.0,40
HCPCS,C1776,COMPNT FEM KN SZ7,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM KN SZ8,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMPNT FEM KNEE RT STD,28549.98,28549.98,1513.15,34259.98,20
HCPCS,C1776,COMPNT FEM LFT RTK SM,5190.0,5190.0,275.07,6228.0,20
HCPCS,C1776,COMPNT FEM LT KN SZ4,3040.0,3040.0,145.22,4008.0,40
HCPCS,C1776,COMPNT FEM LT KN SZ6,8320.0,8320.0,440.96,9984.0,20
HCPCS,C1776,COMPNT FEM LT KN SZ8,2400.0,2400.0,121.9,3000.0,40
HCPCS,C1776,COMPNT FEM NAR KN LT 3,2900.0,2900.0,153.7,3480.0,20
HCPCS,C1776,COMPNT FEM NPOR 4 RT PST,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM NPOR RT SZ3,3200.0,3200.0,169.6,3840.0,40
HCPCS,C1776,COMPNT FEM NPOR SZ2 LT,7250.0,7250.0,384.25,8700.0,20
HCPCS,C1776,COMPNT FEM NPOR SZ5 FNDT,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM NPOR SZ7 RT,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM NPOR SZ7-L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM POROUS RT SZ2,5190.0,5190.0,275.07,6228.0,20
HCPCS,C1776,COMPNT FEM PORS EXSM SZ1,5190.0,5190.0,275.07,6228.0,20
HCPCS,C1776,COMPNT FEM PORUS RT,5190.0,5190.0,275.07,6228.0,20
HCPCS,C1776,COMPNT FEM PRFX RT SZ7,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,COMPNT FEM PS CMNT SZ2-R,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM PS CMNT SZ5-L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM PS CMNT SZ5-R,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM PST NPOR SZ5,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM REV PST SZ6,7250.0,7250.0,384.25,8700.0,20
HCPCS,C1776,COMPNT FEM RIGHT KNEE,5190.0,5190.0,275.07,6228.0,20
HCPCS,C1776,COMPNT FEM RT KN PST SZ2,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM RT KN SZ5,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM RT KN SZ7,2740.0,2740.0,145.22,3288.0,20
HCPCS,C1776,COMPNT FEM SZ3 NPOR LT,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FEM SZ4 LT KN CRU,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,COMPNT FEM SZ4 RT KN CRU,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,COMPNT FEM SZ5 LT KN PST,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FM MOVATION SZ6L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FM NPOR FNDTN SZ6,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT FM NPOR REV 10 RT,7250.0,7250.0,384.25,8700.0,20
HCPCS,C1776,COMPNT GLND 27MM,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,COMPNT GLND PRX SHLD 110,16856.0,16856.0,893.37,20227.2,20
HCPCS,C1776,COMPNT HEAD HUM STNDRD,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,COMPNT HEAD HUM W/TAPER,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,COMPNT HEAD ULN 64.11X19,11050.0,11050.0,585.65,13260.0,20
HCPCS,C1776,COMPNT KN RT SZ3,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPNT KN RT SZ4,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1776,COMPNT LT KN SZ6,11444.0,11444.0,606.53,13732.8,20
HCPCS,C1776,COMPNT PLTR DOME 8X27MM,886.0,886.0,46.96,1063.2,20
HCPCS,C1776,COMPNT PSN 6-9 CD 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,COMPNT PTELA LG AGMNT 22,4249.7,4249.7,225.23,5099.64,20
HCPCS,C1776,COMPNT PTLA DOME 32MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,COMPNT PTLR 13X23MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,COMPNT PTLR 34MM ARCM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,COMPNT PTLR ALPLY 29MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,COMPNT PTLR KN 10X35MM,860.0,860.0,45.58,1032.0,20
HCPCS,C1776,COMPNT PTLR KN 32MM,500.0,500.0,26.5,600.0,20
HCPCS,C1776,COMPNT PTLR KN 9MM 29MM,760.0,760.0,40.28,912.0,20
HCPCS,C1776,COMPNT PTLR KN DOME 35MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,COMPNT PTLR L+ 3 PEG,456.0,456.0,24.17,547.2,20
HCPCS,C1776,COMPNT SBTALR ANKL 14X8,4190.0,4190.0,222.07,5028.0,20
HCPCS,C1776,COMPNT SHLDR HUM SZ1 RT,3400.0,3400.0,180.2,4080.0,20
HCPCS,C1776,COMPNT SHLDR STD 36MM,4052.0,4052.0,214.76,4862.4,20
HCPCS,C1776,COMPNT TIB 3F/3T KNEE,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,COMPNT TIB AOS 9X30,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1776,COMPNT TIB HNG STD LNG,18980.84,18980.84,1005.98,22777.01,20
HCPCS,C1776,COMPNT TIB IBLNCE SZ4,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,COMPNT TIB KN 0D SZE,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,COMPNT TIB KN 0DG SZC,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,COMPNT TIB KN LCK BAR,110.0,110.0,5.83,132.0,20
HCPCS,C1776,COMPNT TIB KN SZ5,2114.0,2114.0,112.04,2536.8,20
HCPCS,C1776,COMPNT TIB LT KN XS-XL,3883.0,3883.0,205.8,4659.6,20
HCPCS,C1776,COMPNT TIB RT KN SZE 0D,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,COMPNT TIB RTK SZ2 17MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,COMPNT TIB SZ6 RM/LL,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,COMPNT ULN DSCVR R 5X75,11770.0,11770.0,623.81,14124.0,20
HCPCS,C1776,COMPNT ULNR DSCVR L 5X75,11770.0,11770.0,623.81,14124.0,20
HCPCS,C1776,COMPONENT ELB RT 3X115MM,8403.0,8403.0,445.36,10083.6,20
HCPCS,C1776,COMPONENT FEM 12LT 3DKNE,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,COMPONENT FEM 2 LT KN PS,2850.0,2850.0,151.05,3420.0,20
HCPCS,C1776,COMPONENT FEM 2RT 3DKNEE,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPONENT FEM 3 RT KN,3700.0,3700.0,125.08,6048.0,40
HCPCS,C1776,COMPONENT FEM 4 69X59,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,COMPONENT FEM 4 RT,2654.0,2654.0,140.66,3184.8,20
HCPCS,C1776,COMPONENT FEM 6 KN RT,2654.0,2654.0,140.66,3184.8,20
HCPCS,C1776,COMPONENT FEM 67X56MM RT,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,COMPONENT FEM 7 RT KN,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,COMPONENT FEM KN 6,3054.0,3054.0,161.86,3664.8,20
HCPCS,C1776,COMPONENT FEM KN 65MM,9454.0,9454.0,501.06,11344.8,20
HCPCS,C1776,COMPONENT FEM KN CMNT 3,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,COMPONENT FEM KN LT CR 6,3340.0,3340.0,177.02,4008.0,20
HCPCS,C1776,COMPONENT FEM KN LT SZ5N,3054.0,3054.0,161.86,3664.8,20
HCPCS,C1776,COMPONENT FEM KN LT SZ6,2850.0,2850.0,151.05,3420.0,20
HCPCS,C1776,COMPONENT FEM KN LT SZ7,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPONENT FEM KN LT SZ8,8365.0,8365.0,443.35,10038.0,20
HCPCS,C1776,COMPONENT FEM KN RT SZ3,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPONENT FEM KN RT SZ5,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1776,COMPONENT FEM KN RT SZ6,3227.0,3227.0,169.6,3904.8,40
HCPCS,C1776,COMPONENT FEM KN SZ6,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,COMPONENT FEM KN SZ7,3054.0,3054.0,161.86,3664.8,20
HCPCS,C1776,COMPONENT FEM RT KN 10,4100.0,4100.0,217.3,4920.0,20
HCPCS,C1776,COMPONENT FEM STD HIP,6622.0,6622.0,350.97,7946.4,20
HCPCS,C1776,COMPONENT FEM SZ D KN LT,7524.0,7524.0,398.77,9028.8,20
HCPCS,C1776,COMPONENT GLND 52-44MM,3254.0,3254.0,172.46,3904.8,20
HCPCS,C1776,COMPONENT POLY PTRL10X35,500.0,500.0,26.5,600.0,20
HCPCS,C1776,COMPONENT PTLR 9MM 30MM,1376.0,1376.0,72.93,1651.2,20
HCPCS,C1776,COMPONENT PTLR LG,1190.0,1190.0,63.07,1428.0,20
HCPCS,C1776,COMPONENT PTLR SM,1190.0,1190.0,63.07,1428.0,20
HCPCS,C1776,COMPONENT TIBTRY 2 RT MD,1993.0,1993.0,105.63,2391.6,20
HCPCS,C1776,COMPT FEM KN LT SZ11,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1776,CONE FEM HIP B SZ60MM,7553.0,7553.0,400.31,9063.6,20
HCPCS,C1776,CONE FEM HIP BDY SZA 70,7553.0,7553.0,400.31,9063.6,20
HCPCS,C1776,CONE FEM HIP STD 70MM,7553.0,7553.0,400.31,9063.6,20
HCPCS,C1776,CONE FEM KN MED,6200.0,6200.0,328.6,7440.0,20
HCPCS,C1776,CONE TIB KN AUG SZD,5309.0,5309.0,281.38,6370.8,20
HCPCS,C1776,CUP 44MM BIPOLAR,2350.0,2350.0,124.55,2820.0,20
HCPCS,C1776,CUP 48MM BIPOLAR,2390.0,2390.0,126.67,2868.0,20
HCPCS,C1776,CUP ACTB DOME 56MM,3289.0,3289.0,174.32,3946.8,20
HCPCS,C1776,CUP ACTB HIP 28MM 46MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,CUP ACTB HIP 28MM 47MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,CUP ACTB HIP 28X48MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,CUP ACTB HIP 28X49MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,CUP ACTB HIP 42X32MM,1569.0,1569.0,83.16,1882.8,20
HCPCS,C1776,CUP ACTB HIP HH 54MM,3289.0,3289.0,174.32,3946.8,20
HCPCS,C1776,CUP ACTB HIP LINER 62MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,CUP ACTB HIP PNCL 56MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,CUP BIP ACTB HIP 55X28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,CUP HUM 38MM +3MM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1776,CUP HUM 38MM +6MM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1776,CUP HUM 38MM DLT +3MM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1776,CUP HUM 38MM DLT XTND,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1776,CUP HUM REV SHLDR 33MM,3570.0,3570.0,189.21,4284.0,20
HCPCS,C1776,CUP HUM SHLDR +9 38MM,1827.0,1827.0,96.83,2192.4,20
HCPCS,C1776,CUP HUM SHLDR 38MM +9MM,1827.0,1827.0,96.83,2192.4,20
HCPCS,C1776,CUP HUM SHLDR 42MM +3MM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1776,CUP HUM SHLDR 42MM +6MM,1763.5,1763.5,90.1,2192.4,60
HCPCS,C1776,CUP HUM SHLDR 42MM +9MM,1613.5,1613.5,74.2,2192.4,40
HCPCS,C1776,CUP HUM SHLDR LT +2 36MM,3570.0,3570.0,189.21,4284.0,20
HCPCS,C1776,CUP HUM SHLDR PE +6 38MM,1827.0,1827.0,96.83,2192.4,20
HCPCS,C1776,CUP HUM SHLDR REV 36MM,3570.0,3570.0,189.21,4284.0,20
HCPCS,C1776,CUP HUM SHLDR UNIV 39MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,CUP SHLDR SUT 33MM,3570.0,3570.0,189.21,4284.0,20
HCPCS,C1776,DOME PTLA KN 8MM 30MM,886.0,886.0,46.96,1063.2,20
HCPCS,C1776,DOME PTLR 8MM 32MM,886.0,886.0,46.96,1063.2,20
HCPCS,C1776,E-LIFT INTRVTBRL 9X30X10,5400.0,5400.0,286.2,6480.0,20
HCPCS,C1776,E-PLUS POLY 9 SIZE 12 L,2140.0,2140.0,113.42,2568.0,20
HCPCS,C1776,EPOCH POR ST/CER HD/TM C,2735.0,2735.0,144.96,3282.0,20
HCPCS,C1776,EXTENDER ARTHDS 120MM,30600.0,30600.0,1621.8,36720.0,20
HCPCS,C1776,EXTENSION FEM HIP 50MM,3940.0,3940.0,208.82,4728.0,20
HCPCS,C1776,EXTENSION STM FEM 180X15,1560.0,1560.0,82.68,1872.0,20
HCPCS,C1776,EXTN STEM PLSM MD 180X14,1560.0,1560.0,82.68,1872.0,20
HCPCS,C1776,FEM CMPNT PRIM 70 L,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,FEM COMP SZ4 NON-POR,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,FEM FOUNDN PS TINBN COAT,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,FEM NONPOR SZ 2LT,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,FEM OXNM 5 PRFX RT,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,FEM RSTR MOD HIP BDY21MM,7910.5,7910.5,419.26,9492.6,20
HCPCS,C1776,FEM TROC OFSET XLG 8.5X4,11090.0,11090.0,587.77,13308.0,20
HCPCS,C1776,FEMORAL A2 FITMORE HIP,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1776,FEMORAL COMP NON-POR,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,FEMORAL COMPONENT SZ 5,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,FEMORAL PROFIX POR R SZ6,1816.0,1816.0,96.25,2179.2,20
HCPCS,C1776,FEMUR COMP EX-SM LT OR,5190.0,5190.0,275.07,6228.0,20
HCPCS,C1776,FEMUR NPOROUS PS SZ 4LT,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,FEMUR PROXML MUTARS 50MM,39000.0,39000.0,2067.0,46800.0,20
HCPCS,C1776,GLENOID HUM PEG E SZ46,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,GLENOID HUM PEG E SZ50,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,GLENOID HUM PEG E SZ54,2290.0,2290.0,121.37,2748.0,20
HCPCS,C1776,GLENOID HUM SHLDR E SZ42,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,GLENOSPHERE LATERAL 32MM,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,GLENOSPHERE LATERAL 36MM,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,GLENOSPHERE SCREW LCK,100.0,100.0,5.3,120.0,20
HCPCS,C1776,GLENOSPHERE SHLDR 2MM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1776,GLENOSPHERE SHLDR 36MM,2400.0,2400.0,127.2,2880.0,20
HCPCS,C1776,GLENSPHR SHLDR 36+4MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,GLND SHLDR +0X38MM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1776,GLNSPHR HEAD SHLDR +3X36,1260.0,1260.0,66.78,1512.0,20
HCPCS,C1776,GLNSPHR HEAD SHLDR 36MM,1260.0,1260.0,66.78,1512.0,20
HCPCS,C1776,GLNSPHR HUM SHLDR 36+8MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,GLNSPHR SHLDR D42MM +4MM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1776,HAMMERLOCK ANGL SM 10DEG,1954.0,1954.0,103.56,2344.8,20
HCPCS,C1776,HAMMERLOCK STRA 0DEG LRG,1954.0,1954.0,103.56,2344.8,20
HCPCS,C1776,HAMMERLOCK STRA 0DEG MED,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,HAMMERLOCK STRA 0DEG SM,1954.0,1954.0,103.56,2344.8,20
HCPCS,C1776,HAMMERLOCK STRA 0DG PTIT,1954.0,1954.0,103.56,2344.8,20
HCPCS,C1776,HD FEM C COCR 32 +7 HIP,4500.0,4500.0,238.5,5400.0,20
HCPCS,C1776,HD FEM PCA 36 MM -3MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HD HUMRL STND 42 X 20,2419.2,2419.2,128.22,2903.04,20
HCPCS,C1776,HEAD BIP 42MM 26MM,800.0,800.0,42.4,960.0,20
HCPCS,C1776,HEAD BIP HIP 28MM 50MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD BIP HIP 48MM 26MM,800.0,800.0,42.4,960.0,20
HCPCS,C1776,HEAD BIP HIP 48MM 28MM,800.0,800.0,42.4,960.0,20
HCPCS,C1776,HEAD BIP HIP 52MM 28MM,800.0,800.0,42.4,960.0,20
HCPCS,C1776,HEAD BIP HIP UNV 26X53MM,800.0,800.0,42.4,960.0,20
HCPCS,C1776,HEAD FEM +6M OD38MM,2122.0,2122.0,112.47,2546.4,20
HCPCS,C1776,HEAD FEM 0 HIP COCR 28MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD FEM 12/14 36MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM 32MM,1526.0,1526.0,80.88,1831.2,20
HCPCS,C1776,HEAD FEM 32MM BIOLOX,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1776,HEAD FEM 497-38-000,1658.0,1658.0,87.87,1989.6,20
HCPCS,C1776,HEAD FEM COCR 12/14 32MM,4500.0,4500.0,238.5,5400.0,20
HCPCS,C1776,HEAD FEM COCR 28MM,2850.0,2850.0,151.05,3420.0,20
HCPCS,C1776,HEAD FEM CUP HIP 28 56M,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM HIP +0 12/14X22,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD FEM HIP +0 28MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP +0MM 32MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD FEM HIP +0X12/14X28,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD FEM HIP +0X32MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP +1.5 36MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD FEM HIP +1.5 40MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP +1.5X28,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD FEM HIP +1.5X28MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD FEM HIP +10MM 28MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD FEM HIP +12MM 32MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD FEM HIP +12S 28MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD FEM HIP +13 32MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD FEM HIP +4 28MM,1550.0,1550.0,82.15,1860.0,20
HCPCS,C1776,HEAD FEM HIP +4MM 28MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD FEM HIP +4MM 32MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD FEM HIP +5 28MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,HEAD FEM HIP +5MM 32MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP +5MM 36MM,650.0,650.0,31.8,840.0,40
HCPCS,C1776,HEAD FEM HIP +6MM,2628.0,2628.0,139.28,3153.6,20
HCPCS,C1776,HEAD FEM HIP +7.5MM 36MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,HEAD FEM HIP +8.5 40MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP +8.5MM 28MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD FEM HIP +8.5MM 36MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP +8MM 28MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD FEM HIP +8MM 36MM,1350.0,1350.0,68.9,1680.0,40
HCPCS,C1776,HEAD FEM HIP +9X32MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP -2MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD FEM HIP -3 28MM,665.0,665.0,35.24,798.0,20
HCPCS,C1776,HEAD FEM HIP -3.5/36MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP -3.5MM 40MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP -3MM 36MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD FEM HIP -4MM 28MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD FEM HIP 0D 28X44MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM HIP 0MM 22MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD FEM HIP 0MM 28MM,1350.0,1350.0,68.9,1680.0,40
HCPCS,C1776,HEAD FEM HIP 10MM 36MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD FEM HIP 12.0MM 28MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD FEM HIP 12/14 -3 28,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP 12/14 22MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP 12/14 28MM,1300.0,1300.0,68.9,1560.0,60
HCPCS,C1776,HEAD FEM HIP 12/14 32MM,1300.0,1300.0,68.9,1560.0,40
HCPCS,C1776,HEAD FEM HIP 12/14 36MM,1964.0,1964.0,68.9,3153.6,40
HCPCS,C1776,HEAD FEM HIP 12/14 3MM,2628.0,2628.0,139.28,3153.6,20
HCPCS,C1776,HEAD FEM HIP 12/14+12X36,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP 12/14MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP 26X49MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM HIP 28MM +1.5MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP 28MM +5MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD FEM HIP 28MM 41MM,900.0,900.0,47.7,1080.0,40
HCPCS,C1776,HEAD FEM HIP 28MM 43MM,900.0,900.0,47.7,1080.0,40
HCPCS,C1776,HEAD FEM HIP 28MM 45MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM HIP 28MM 47MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM HIP 28MM 51MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM HIP 28MM 52MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM HIP 28MM 58MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM HIP 28MM SZM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP 28X45MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM HIP 28X55MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM HIP 3.5MM 28MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP 3.5X28MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP 32MM,1400.0,1400.0,68.9,1800.0,40
HCPCS,C1776,HEAD FEM HIP 36MM,1000.0,1000.0,31.8,1680.0,180
HCPCS,C1776,HEAD FEM HIP 36X+15.5MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD FEM HIP 3MM 32MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP 40MM,1300.0,1300.0,68.9,1560.0,40
HCPCS,C1776,HEAD FEM HIP 40MM +5MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP 49MM 28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM HIP 5MM 36MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD FEM HIP BIP 28X46MM,800.0,800.0,42.4,960.0,20
HCPCS,C1776,HEAD FEM HIP BIP 28X47MM,800.0,800.0,42.4,960.0,20
HCPCS,C1776,HEAD FEM HIP CUP 28X53MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM HIP DL MBL 28MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP HMSPHR 38MM,5292.0,5292.0,280.48,6350.4,20
HCPCS,C1776,HEAD FEM HIP HMSPHR 40MM,7580.0,7580.0,401.74,9096.0,20
HCPCS,C1776,HEAD FEM HIP HMSPHR 42MM,5292.0,5292.0,280.48,6350.4,20
HCPCS,C1776,HEAD FEM HIP MOD 40MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP OMM 28MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP RV LIMA 110,5200.0,5200.0,275.6,6240.0,20
HCPCS,C1776,HEAD FEM HIP SZ3 36MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM HIP TAPER 12/14,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM LG +11 14/16 36,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD FEM MOD 38MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,HEAD FEM MOD BIOMR2 40MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM MOD BIOMR2 41MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD FEM MOD+ 12MM,2598.0,2598.0,137.69,3117.6,20
HCPCS,C1776,HEAD FEM OPTN TYPE1 +6MM,110.0,110.0,5.83,132.0,20
HCPCS,C1776,HEAD FEM OPTN TYPE1 -3MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEM SHRT NK 26MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,HEAD FEM SROM 36MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,HEAD FEM TYP1 +3MM 28MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD FEMORAL 00642803202,2774.0,2774.0,147.02,3328.8,20
HCPCS,C1776,HEAD FEMORAL 26MM MED,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,HEAD FM HIP 12/14X-2X40,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD GLND SHLDR 33MM,2030.0,2030.0,107.59,2436.0,20
HCPCS,C1776,HEAD HEMI 46MM,5292.0,5292.0,280.48,6350.4,20
HCPCS,C1776,HEAD HIP +0MM 40MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,HEAD HIP +0X26MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD HIP +4MM 26MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD HIP +4MM 28MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,HEAD HIP +5 12/14 36MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD HIP +5MM 12/14 28MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD HIP -2.5X36MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,HEAD HIP -3MM 26MM,600.0,600.0,31.8,720.0,20
HCPCS,C1776,HEAD HIP -4MM 32MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,HEAD HIP -5MM 36MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,HEAD HIP 12/14 +5 32MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD HIP 12/14 22.225MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD HIP 26MM 43MM,800.0,800.0,42.4,960.0,20
HCPCS,C1776,HEAD HIP 28MM 39MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD HIP 28MM 42MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD HIP 28MM 46MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD HIP 28MM 56MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD HIP 44MM 26MM,800.0,800.0,42.4,960.0,20
HCPCS,C1776,HEAD HIP 46MM 26MM,800.0,800.0,42.4,960.0,20
HCPCS,C1776,HEAD HIP 52MM 26MM,800.0,800.0,42.4,960.0,20
HCPCS,C1776,HEAD HIP BIP 42MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,HEAD HIP D +4X32MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,HEAD HIP FEM 0D M 40MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD HIP FEM 36MM +1.5MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HEAD HIP TPR NK+6X28MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD HIP TPR NK+9X28MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEAD HUM 15MM 48MM SHR,2685.0,2685.0,142.31,3222.0,20
HCPCS,C1776,HEAD HUM 18MM 38MM,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,HEAD HUM 19X48MM 113890,5516.0,5516.0,292.35,6619.2,20
HCPCS,C1776,HEAD HUM 20MM 54MM SHLDR,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,HEAD HUM 25MM 40MM SHLDR,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,HEAD HUM 42MM 16MM,2420.0,2420.0,128.26,2904.0,20
HCPCS,C1776,HEAD HUM 42X18MM,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,HEAD HUM 46MM 16MM,2420.0,2420.0,128.26,2904.0,20
HCPCS,C1776,HEAD HUM 46MM 20MM,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,HEAD HUM 503-46-022,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,HEAD HUM 50MM 18MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,HEAD HUM ECNTRC 18X48,2685.0,2685.0,142.31,3222.0,20
HCPCS,C1776,HEAD HUM FX 53X19MM,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,HEAD HUM GLND RSP 44MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,HEAD HUM NTRL 46MM 18MM,2420.0,2420.0,128.26,2904.0,20
HCPCS,C1776,HEAD HUM RSRFC SMR 54MM,9334.0,9334.0,494.7,11200.8,20
HCPCS,C1776,HEAD HUM SHLDR -4MM 36MM,1608.0,1608.0,85.22,1929.6,20
HCPCS,C1776,HEAD HUM SHLDR 17MM 45MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,HEAD HUM SHLDR 17X54MM,1958.0,1958.0,103.77,2349.6,20
HCPCS,C1776,HEAD HUM SHLDR 18MM 48MM,2100.0,2100.0,111.3,2520.0,20
HCPCS,C1776,HEAD HUM SHLDR 18MM 50MM,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,HEAD HUM SHLDR 18X52,2685.0,2685.0,142.31,3222.0,20
HCPCS,C1776,HEAD HUM SHLDR 21X45MM,3608.0,3608.0,191.22,4329.6,20
HCPCS,C1776,HEAD HUM SHLDR 25X45MM,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,HEAD HUM SHLDR 32MM,1608.0,1608.0,85.22,1929.6,20
HCPCS,C1776,HEAD HUM SHLDR 36MM,1608.0,1608.0,85.22,1929.6,20
HCPCS,C1776,HEAD HUM SHLDR 43MM 16MM,9800.0,9800.0,519.4,11760.0,20
HCPCS,C1776,HEAD HUM SHLDR 46MM 17MM,9800.0,9800.0,519.4,11760.0,20
HCPCS,C1776,HEAD HUM SHLDR 49MM 20MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,HEAD HUM SHLDR 50X18MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,HEAD HUM SHLDR 51MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,HEAD HUM SHLDR 57MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,HEAD HUM SHLDR OFST 32MM,1608.0,1608.0,85.22,1929.6,20
HCPCS,C1776,HEAD HUM STD 26MM 54MM,2420.0,2420.0,128.26,2904.0,20
HCPCS,C1776,HEAD HUMERAL B/F OFFSET,2917.0,2917.0,154.6,3500.4,20
HCPCS,C1776,HEAD HUMRL FX 50X19MM,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,HEAD METATARSAL MEDIUM,930.0,930.0,49.29,1116.0,20
HCPCS,C1776,HEAD ORT MOD SLEEVE +8MM,468.0,468.0,24.8,561.6,20
HCPCS,C1776,HEAD RAD ELB 20MM,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1776,HEAD RADL ELB 22MM,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1776,HEAD RADL ELB 26MM,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1776,HEAD RADL KATLYST BIP 21,5532.0,5532.0,293.2,6638.4,20
HCPCS,C1776,HEAD RADL SMTH MED 15MM,5733.64,5733.64,303.88,6880.37,20
HCPCS,C1776,HEAD UNIPLR HIP 56MM,700.0,700.0,37.1,840.0,20
HCPCS,C1776,HEMI TOE IMPL SZ2 17X15,4250.0,4250.0,225.25,5100.0,20
HCPCS,C1776,HIP HEAD FEM +0 12/14 22,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,HIP INTRMEDLRY LAG SLEV,360.0,360.0,19.08,432.0,20
HCPCS,C1776,HIP STM 6088-0525-250L,8044.92,8044.92,426.38,9653.9,20
HCPCS,C1776,IMP ARTHODESIS SEG 120MM,30600.0,30600.0,1621.8,36720.0,20
HCPCS,C1776,IMPACTOR FR HUMERAL HEAD,192.0,192.0,10.18,230.4,20
HCPCS,C1776,IMPLANT FEM 12-14 +3MM,2628.0,2628.0,139.28,3153.6,20
HCPCS,C1776,IMPLANT FUTURA LMP SZ20,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1776,IMPLANT INTRPHANGEAL S2,4807.0,4807.0,254.77,5768.4,20
HCPCS,C1776,IMPLANT JT TOE SZ30,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1776,IMPLANT MOD SHLDR RT SZ1,3400.0,3400.0,180.2,4080.0,20
HCPCS,C1776,IMPLANT SLSTC 5 TOE SM S,1433.0,1433.0,75.95,1719.6,20
HCPCS,C1776,IMPLANT SZ1 INTRPHNGEAL,2460.0,2460.0,130.38,2952.0,20
HCPCS,C1776,IMPLANT TOE PIP SZ1,1516.0,1516.0,80.35,1819.2,20
HCPCS,C1776,INS ACTB HIP 22.2X38MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INS HIP OPTN TYP 1 +3MM,110.0,110.0,5.83,132.0,20
HCPCS,C1776,INS TIB 1 H9.5 FX,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INS TIB KN SZ5 8MM,3080.0,3080.0,163.24,3696.0,20
HCPCS,C1776,INS TIB KN SZ6 10MM,3080.0,3080.0,163.24,3696.0,20
HCPCS,C1776,INS TIB KN SZ7 24MM,3752.0,3752.0,198.86,4502.4,20
HCPCS,C1776,INS TIB KN SZ8-11 11MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSERT ACETB HIP E 36MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ACETB HIP F 36MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ACTB 2 CNSTRN PST,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,INSERT ACTB 42MM 48MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ACTB HIP 10D 32MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ACTB HIP 22X36MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT ACTB HIP 28/46MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT ACTB HIP SZE 36MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT APX KN PS SZ3 16M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT ARTC GNS2 3-4 13M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT ARTC KN 1-2 25MM,3190.0,3190.0,169.07,3828.0,20
HCPCS,C1776,INSERT ARTC KN 11MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ARTC KN 3-4 13MM,2630.0,2630.0,139.39,3156.0,20
HCPCS,C1776,INSERT ARTC KN 3-4 15MM,2630.0,2630.0,139.39,3156.0,20
HCPCS,C1776,INSERT ARTC KN 3-5 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ARTC KN 4-5 10MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSERT ARTC KN 4-5 12MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ARTC KN 4-5 16MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ARTC KN 5-6 11MM,4285.5,4285.5,139.39,7129.2,40
HCPCS,C1776,INSERT ARTC KN 6-7 11MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSERT ARTC KN 6-7 13MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ARTC KN 6-7 20MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ARTC KN 6-9 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ARTC KN 7-8 13MM,2768.0,2768.0,146.7,3321.6,20
HCPCS,C1776,INSERT ARTC KN 8-11 12MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ARTC KN LT 14MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ARTC KN LT 4 14MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT ARTC KN PRFX SZ4,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT ARTC KN PRFX SZ6,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT ARTC KN PST 12MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT ARTC KN PST RT 10,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT ARTC KN PST SZ 5,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT ARTC KN RT 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ARTC KN RT 13MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ARTC KN RT 14MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT ARTC KN S4-5 13MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT ARTC KN SZ5-6 13,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT ARTC PERSNA 12MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,INSERT ARTC PRFX 3 10 LT,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT ARTC PRFX 3 12 RT,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT ARTC TIB KN SZ1-2,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT ARTC4 10MM LT KN,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT BRNG KN SZ4 12MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT BRNG KN TIB3 13MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT BRNG KN TIB4 9MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT BRNG KN TIB6 10MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT BUMPER KN 0D,814.0,814.0,43.14,976.8,20
HCPCS,C1776,INSERT FEM HIP 0D 36MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT FEM HIP 3 28MM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1776,INSERT FEM HIP TYP1 -6MM,110.0,110.0,5.83,132.0,20
HCPCS,C1776,INSERT FEM HIP TYPE1 0MM,1880.0,1880.0,99.64,2256.0,20
HCPCS,C1776,INSERT FEM IBLNCE SZ1-L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,INSERT FEM IBLNCE SZ2-L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,INSERT FEM IBLNCE SZ3-L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,INSERT FEM IBLNCE SZ9-R,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,INSERT FEM ORTHO SZ1-R,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,INSERT FEM ORTHO SZ10-L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,INSERT FEM ORTHO SZ2-R,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,INSERT FEM ORTHO SZ9-L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,INSERT FEM SZ 6L,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,INSERT FEM SZ8 LT,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,INSERT FEM SZ8-RT,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,INSERT FLEXCR SZ2 16MM,1250.0,1250.0,66.25,1500.0,20
HCPCS,C1776,INSERT FLEXCR SZ4 10MM,1250.0,1250.0,66.25,1500.0,20
HCPCS,C1776,INSERT FLEXCR SZ4 16MM,1250.0,1250.0,66.25,1500.0,20
HCPCS,C1776,INSERT FLEXCR SZ5 10MM,1250.0,1250.0,66.25,1500.0,20
HCPCS,C1776,INSERT FLEXCR SZ5 12MM,1250.0,1250.0,66.25,1500.0,20
HCPCS,C1776,INSERT FLEXCR SZ5 14MM,1250.0,1250.0,66.25,1500.0,20
HCPCS,C1776,INSERT FLEXCR SZ5 16MM,1250.0,1250.0,66.25,1500.0,20
HCPCS,C1776,INSERT FLEXCR SZ6 12MM,1250.0,1250.0,66.25,1500.0,20
HCPCS,C1776,INSERT FLEXCR SZ6 14MM,1250.0,1250.0,66.25,1500.0,20
HCPCS,C1776,INSERT HD HIP 3MM,110.0,110.0,5.83,132.0,20
HCPCS,C1776,INSERT HIP 10D 36MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT HIP 28X44MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT HIP ACTB 28-52MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT HIP ACTB 28X40MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT HIP C 0D 32MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT HIP ELEV E 32MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT HIP F 0D 40MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT HIP PLY10D F 36MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT HIP RSTR 28X54MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT HUM SHLDR +0 36MM,1680.0,1680.0,89.04,2016.0,20
HCPCS,C1776,INSERT HUM SHLDR +3X36MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,INSERT HUM SHLDR +3X39MM,980.0,980.0,51.94,1176.0,20
HCPCS,C1776,INSERT HUM SHLDR +4 36MM,1460.0,1460.0,77.38,1752.0,20
HCPCS,C1776,INSERT HUM SHLDR 32MM,1460.0,1460.0,77.38,1752.0,40
HCPCS,C1776,INSERT HUM SHLDR 33+3MM,980.0,980.0,51.94,1176.0,20
HCPCS,C1776,INSERT HUM SHLDR 33+6MM,1344.0,1344.0,71.23,1612.8,20
HCPCS,C1776,INSERT HUM SHLDR 36,2030.0,2030.0,107.59,2436.0,20
HCPCS,C1776,INSERT HUM SHLDR 36 +3MM,2030.0,2030.0,107.59,2436.0,20
HCPCS,C1776,INSERT HUM SHLDR 36MM,1358.0,1358.0,44.52,1752.0,80
HCPCS,C1776,INSERT KN ARTC 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT KN ARTC 2-6 14MM,3548.0,3548.0,188.04,4257.6,20
HCPCS,C1776,INSERT KN ARTC 3-4 11MM,2630.0,2630.0,139.39,3156.0,20
HCPCS,C1776,INSERT KN BRNG 11MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT KN BRNG SZ4 12MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT KN BRNG TIB6 11MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT KN LT 5 10MM PST,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT KN LT SZ5-6 10MM,1235.0,1235.0,65.45,1482.0,20
HCPCS,C1776,INSERT KN PST SZ5-6 11MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT KN SZ5-6 11MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT KN SZ5-6 9MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT KN SZ6-7 12MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT KN TIB #5 11MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT KN TIB 3 9MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT KN TIB LT SZ5 6MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT KN TIB LT SZ5 7MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT KN TIB RT SZ3 5MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT KN TIB RT SZ4 5MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT KN TIB RT SZ6 5MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT KN TIB STD 16MM,1516.0,1516.0,80.35,1819.2,20
HCPCS,C1776,INSERT KN TIB STD 18MM,1516.0,1516.0,80.35,1819.2,20
HCPCS,C1776,INSERT KN TIB STD 20MM,1515.0,1515.0,80.3,1818.0,20
HCPCS,C1776,INSERT KN TIB SZ2 8MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT KN TIB SZ3 6MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT KN TIB SZ3-4 18MM,2630.0,2630.0,139.39,3156.0,20
HCPCS,C1776,INSERT KN TIB SZ4 9MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT KN TIB SZ4.5 11MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT KN TIB SZ5 12MM,1572.0,1572.0,83.32,1886.4,20
HCPCS,C1776,INSERT KN TIB SZ6 10MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT KN TIB SZ6 9MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT KN TIB SZ7 5MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT KNEE APEX PS 4X14,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT MOVATION PS 6X9,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT ORT SZ5 LFT 16M,1210.0,1210.0,64.13,1452.0,20
HCPCS,C1776,INSERT ORTH 18MM XS UNV,6365.0,6365.0,337.35,7638.0,20
HCPCS,C1776,INSERT POLY HIP SZG 36MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT POLY SHLDR 36MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,INSERT POLY SIZE +0 32MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,INSERT POLY SZ+0 36MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,INSERT PR FLXCR SZ6 10MM,1250.0,1250.0,66.25,1500.0,20
HCPCS,C1776,INSERT PR FLXCR SZ6 16MM,1250.0,1250.0,66.25,1500.0,20
HCPCS,C1776,INSERT PRFX PS ART SZ3,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT PRO ART S2 10MMR,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT PRO ART S3 10MMR,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT PS SZ5 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT PS TIB SZ2 16MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT RVRS NEU SM 40MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1776,INSERT SCKT HUM STD 32MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1776,INSERT SCKT HUM STD 36MM,1350.0,1350.0,71.55,1620.0,40
HCPCS,C1776,INSERT SCKT SHLDR 32MM,1460.0,1460.0,77.38,1752.0,20
HCPCS,C1776,INSERT SCKT SHLDR 36MM,1534.0,1534.0,81.3,1840.8,20
HCPCS,C1776,INSERT SEM CNSTRN 44MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1776,INSERT SHD RT 155D SZ2,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,INSERT SHLDR +0 32MM,2850.0,2850.0,151.05,3420.0,20
HCPCS,C1776,INSERT SHLDR +4 32MM,2180.0,2180.0,115.54,2616.0,40
HCPCS,C1776,INSERT SHLDR +4 44MM,1534.0,1534.0,81.3,1840.8,20
HCPCS,C1776,INSERT SHLDR 32MM +0,2180.0,2180.0,115.54,2616.0,20
HCPCS,C1776,INSERT SHLDR 33 +3MM,2030.0,2030.0,107.59,2436.0,20
HCPCS,C1776,INSERT SHLDR 36MM +0,2180.0,2180.0,115.54,2616.0,20
HCPCS,C1776,INSERT SHLDR 36MM +4,2180.0,2180.0,115.54,2616.0,20
HCPCS,C1776,INSERT SHLDR E+ 4MM 32MM,1460.0,1460.0,77.38,1752.0,20
HCPCS,C1776,INSERT SHLDR LT 155D SZ1,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,INSERT SHLDR RT 155D SZ1,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,INSERT SHLDR SM +4 32MM,1460.0,1460.0,77.38,1752.0,20
HCPCS,C1776,INSERT SHLDR SM +4 36MM,1460.0,1460.0,77.38,1752.0,20
HCPCS,C1776,INSERT SHLDR SZ 3/4 39MM,3960.0,3960.0,209.88,4752.0,20
HCPCS,C1776,INSERT SHLDR SZ1/2 36MM,1680.0,1680.0,89.04,2016.0,20
HCPCS,C1776,INSERT SHLDR SZ3/4 8MM,3610.0,3610.0,191.33,4332.0,20
HCPCS,C1776,INSERT SM SKCT +4MM 44MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1776,INSERT TB CNGRT SZ1 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TB FNDTN CMPR SZ4,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TB FNDTN CMPR SZ8,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TB FNDTN REV SZ10,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,INSERT TIB 10MM 2 PROFIX,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB 13MM SZ3-LT,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB 2 14MM RT KN,1210.0,1210.0,64.13,1452.0,20
HCPCS,C1776,INSERT TIB 2 CNSTRN PST,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,INSERT TIB 3 12MM LT KN,1210.0,1210.0,64.13,1452.0,20
HCPCS,C1776,INSERT TIB 3 14MM LT KN,1210.0,1210.0,64.13,1452.0,20
HCPCS,C1776,INSERT TIB 3-8MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,INSERT TIB 3D LT 2X9 KN,1986.0,1986.0,105.26,2383.2,20
HCPCS,C1776,INSERT TIB 4 13MM KN PST,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB 4 9MM KN PST,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB 4 KNEE,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,INSERT TIB 5 13MM RT KN,2140.0,2140.0,113.42,2568.0,20
HCPCS,C1776,INSERT TIB 5-6 EF 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB 8X9 KN PRIM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB APX PS 11 SZ1,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB BRNG RS 20MM,1270.0,1270.0,67.31,1524.0,20
HCPCS,C1776,INSERT TIB CMNT PS 8 11M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB CMPLT MED 20,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB CMPLT MED22.5,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB CMPR MLD SZ6,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB CNFM 3 20 RT,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSERT TIB CNFRM RT SZ2,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB CNFRM SZ3 14M,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB CNFRM SZ3 LT,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB CNSTRN SZ4,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,INSERT TIB CNSTRN SZ6,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,INSERT TIB E+ 8 LT 15MM,2140.0,2140.0,113.42,2568.0,20
HCPCS,C1776,INSERT TIB E-+ RT SZ5,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB E-+ SZ5-L 19M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB FDNTN STB SZ4,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,INSERT TIB FNDTN SZ2 11M,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1776,INSERT TIB FNDTN SZ8 19M,2418.78,2418.78,128.2,2902.54,20
HCPCS,C1776,INSERT TIB FX 14.5MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB KN 0D 67X10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN 1-2 9MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT TIB KN 10MM,1506.0,1506.0,79.5,1814.4,100
HCPCS,C1776,INSERT TIB KN 11MM,1900.0,1900.0,100.7,2280.0,40
HCPCS,C1776,INSERT TIB KN 12MM,1585.0,1585.0,67.31,2280.0,40
HCPCS,C1776,INSERT TIB KN 12MM SZ8,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN 13MM SZ5-6,1235.0,1235.0,65.45,1482.0,20
HCPCS,C1776,INSERT TIB KN 13XSM/SM,1512.0,1512.0,80.14,1814.4,20
HCPCS,C1776,INSERT TIB KN 14MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN 16MM,1512.0,1512.0,80.14,1814.4,20
HCPCS,C1776,INSERT TIB KN 2 9MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN 22MM,3043.0,3043.0,161.28,3651.6,20
HCPCS,C1776,INSERT TIB KN 3 11MM,2471.5,2471.5,100.7,3651.6,40
HCPCS,C1776,INSERT TIB KN 3-4 11MM,1400.0,1400.0,68.9,1800.0,40
HCPCS,C1776,INSERT TIB KN 5 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB KN 5MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN 7 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB KN 7-8MM 11MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT TIB KN 8-11E-F 10,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN 8MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN 9MM SZ1,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN 9MM SZ1-2,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT TIB KN AOX 17.5MM,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1776,INSERT TIB KN BRG 2 10MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN BRG 3 10MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN BRG 3 9MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN BRN 6 11MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN BRNG 10MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN BRNG 11MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN BRNG 14MM,1270.0,1270.0,67.31,1524.0,20
HCPCS,C1776,INSERT TIB KN BRNG 16MM,1270.0,1270.0,67.31,1524.0,20
HCPCS,C1776,INSERT TIB KN BRNG 9MM,1900.0,1900.0,100.7,2280.0,40
HCPCS,C1776,INSERT TIB KN CMT 8X9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB KN EZ3-4 9MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT TIB KN L 7-9 18MM,4500.0,4500.0,238.5,5400.0,20
HCPCS,C1776,INSERT TIB KN L SZ8 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN LT 4 7MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN LT SZ3 6MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN LT SZ4 5MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN LT SZ4 6MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN LT SZ5 5MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN LT SZ5 8MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN LT SZ7 5MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN LT SZ7 6MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN LT SZ8 5MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN LT SZ8 6MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN POST 5 7MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN PST 4 8MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN PST 7 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN R SZ5 12MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN R SZ7 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN RT 11MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSERT TIB KN RT 12MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN RT 4 10MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB KN RT H 8MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN RT SZ3-4,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,INSERT TIB KN RT SZ4 6MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN RT SZ6 7MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN RT SZ7 8MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN RT SZ8 6MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN RT SZ8 8MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN STAB 7 5MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN STD 22MM,1516.0,1516.0,80.35,1819.2,20
HCPCS,C1776,INSERT TIB KN SZ1 10MM,1500.0,1500.0,58.3,2280.0,40
HCPCS,C1776,INSERT TIB KN SZ1 22MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ1-2 11MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT TIB KN SZ1-2 13MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT TIB KN SZ1-2 15MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT TIB KN SZ2 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ2 11MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ2 13MM,2471.5,2471.5,100.7,3651.6,60
HCPCS,C1776,INSERT TIB KN SZ2 14MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ2 9MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ3 10MM,1700.0,1700.0,79.5,2280.0,40
HCPCS,C1776,INSERT TIB KN SZ3 11MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ3 12MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ3 14MM,3752.0,3752.0,198.86,4502.4,20
HCPCS,C1776,INSERT TIB KN SZ3 22MM,3752.0,3752.0,198.86,4502.4,20
HCPCS,C1776,INSERT TIB KN SZ3 5MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSERT TIB KN SZ3 6MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ3 9MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ3-4 10MM,1235.0,1235.0,65.45,1482.0,20
HCPCS,C1776,INSERT TIB KN SZ3-4 11MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT TIB KN SZ3-4 13MM,1650.0,1650.0,68.9,2400.0,60
HCPCS,C1776,INSERT TIB KN SZ3-4 15MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT TIB KN SZ3-4 9MM,1650.0,1650.0,68.9,2400.0,60
HCPCS,C1776,INSERT TIB KN SZ3/4 10MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,INSERT TIB KN SZ4 10MM,1700.0,1700.0,79.5,2280.0,60
HCPCS,C1776,INSERT TIB KN SZ4 11MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ4 12MM,2826.0,2826.0,100.7,4502.4,40
HCPCS,C1776,INSERT TIB KN SZ4 13MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ4 14MM,2826.0,2826.0,100.7,4502.4,40
HCPCS,C1776,INSERT TIB KN SZ4 5MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSERT TIB KN SZ4 6MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ4 7MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSERT TIB KN SZ4 8MM,3752.0,3752.0,198.86,4502.4,20
HCPCS,C1776,INSERT TIB KN SZ4 9MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ4-5 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ4-5 12MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ5 10MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ5 11MM,2711.0,2711.0,100.7,4226.4,40
HCPCS,C1776,INSERT TIB KN SZ5 12MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ5 13MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ5 5MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSERT TIB KN SZ5 6MM,2626.0,2626.0,79.5,4502.4,60
HCPCS,C1776,INSERT TIB KN SZ5 8MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSERT TIB KN SZ5 9MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ5-6 18MM,1235.0,1235.0,65.45,1482.0,20
HCPCS,C1776,INSERT TIB KN SZ5-6 9MM,1267.5,1267.5,65.45,1560.0,40
HCPCS,C1776,INSERT TIB KN SZ6 12MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ6 13MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ6 16MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB KN SZ6 5MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ6 6MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSERT TIB KN SZ6-7 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ6-7 11MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSERT TIB KN SZ6-7 13MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ7 12MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1776,INSERT TIB KN SZ7 18MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ7 6MM,2626.0,2626.0,79.5,4502.4,40
HCPCS,C1776,INSERT TIB KN SZ7 7MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ7 8MM,2626.0,2626.0,79.5,4502.4,40
HCPCS,C1776,INSERT TIB KN SZ7 9MM,1900.0,1900.0,100.7,2280.0,40
HCPCS,C1776,INSERT TIB KN SZ7-8 9MM,1965.0,1965.0,68.9,3156.0,40
HCPCS,C1776,INSERT TIB KN SZ8 12MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ8 20MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ8 5MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSERT TIB KN SZ8 6MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ8 7MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN SZ8 8MM,3752.0,3752.0,198.86,4502.4,20
HCPCS,C1776,INSERT TIB KN SZ9 5MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB KN XXS 16MM,7995.0,7995.0,423.74,9594.0,20
HCPCS,C1776,INSERT TIB KN8-11EF 14MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB LT CNFRM SZ4,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB MED 14MM,7995.0,7995.0,423.74,9594.0,20
HCPCS,C1776,INSERT TIB PRFX 4 12 LT,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB PRFX 5 10 LT,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB PRIM SZ2 11MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB PS SZ4 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB PST 10 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB PST FNDTN SZ2,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB PST ST 6 7MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB PST SZ4 11MM,2419.3,2419.3,128.22,2903.16,20
HCPCS,C1776,INSERT TIB PST SZ5 5MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB RT E-+ SZ3,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB RT SZ-7 E-+,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB RT SZ3 CNFRM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB SCORPIO-FLEX3,2281.0,2281.0,120.89,2737.2,20
HCPCS,C1776,INSERT TIB SZ1 12MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB SZ1 RTK+17.0,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB SZ10 CMNT PST,2140.0,2140.0,113.42,2568.0,20
HCPCS,C1776,INSERT TIB SZ2 9MMRT E-+,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB SZ2 RTK 12.0,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB SZ3 LT E-+ 11,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB SZ3 LT KN CNF,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB SZ3 RT E-+ 9M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB SZ3-4 11MM,1235.0,1235.0,65.45,1482.0,20
HCPCS,C1776,INSERT TIB SZ3-4 12MM,1235.0,1235.0,65.45,1482.0,20
HCPCS,C1776,INSERT TIB SZ4 CNDRL 18,2478.0,2478.0,131.33,2973.6,20
HCPCS,C1776,INSERT TIB SZ5 RT KN PRF,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIB SZ5-6 11MM,1235.0,1235.0,65.45,1482.0,20
HCPCS,C1776,INSERT TIB SZ6 8MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSERT TIB SZ6 PRIM CMPR,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB SZ7 RT E-+,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB SZ7-8 9MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSERT TIB SZ8 LT E-+,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIB TNDN 1.20X22,3900.0,3900.0,206.7,4680.0,20
HCPCS,C1776,INSERT TIB6 12MM PREX LT,1210.0,1210.0,64.13,1452.0,20
HCPCS,C1776,INSERT TIB6 KN 6MM,3752.0,3752.0,198.86,4502.4,20
HCPCS,C1776,INSERT TIBIAL 9MM SZ 2,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIBIAL 9MX10,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSERT TIBIAL RT SZ6 12M,1210.0,1210.0,64.13,1452.0,20
HCPCS,C1776,INSERT TIBIAL RTK SZ3,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT TIBIAL SZ 3,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSERT XLPE HIP 28/42MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSR GNS PS SZ 1-2 9MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSR GNS SZ 3-4 11MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSRT ACTB HIP 40MM SZE,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSRT ACTB HIP X3 32H,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1776,INSRT ACTB HIP641-00-32E,2876.64,2876.64,152.46,3451.97,20
HCPCS,C1776,INSRT ART GNS2 CR1-2 18M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSRT ARTC KN 13MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSRT ARTC KN 4-5 13MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSRT ARTC KN 6-7 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSRT ARTC KN LT 11MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSRT ARTC KN LT 12MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSRT ARTC KN LT 16MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSRT ARTC KN RT 11MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSRT ARTC KN RT 12MM,1500.0,1500.0,79.5,1800.0,40
HCPCS,C1776,INSRT ARTC KN RT 14MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSRT ARTC PRFX SZ1 10MM,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSRT ARTC PRFX SZ1 12MM,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSRT ARTC PRFX SZ1 14MM,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSRT ARTC PRFX SZ1 16MM,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSRT ARTC PRFX SZ1 18MM,1445.0,1445.0,76.58,1734.0,20
HCPCS,C1776,INSRT ARTC PRFX SZ1 20MM,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSRT ARTC PRFX SZ2 12MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSRT ARTC PS 10MM SZ4,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,INSRT HUM SHLDR 36X+3MM,2900.0,2900.0,153.7,3480.0,20
HCPCS,C1776,INSRT KN SZ3-4 9MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ1 10MM,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ1 12MM,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ1 14MM,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ1 16MM,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ2 18MM,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ2 20MM,1445.0,1445.0,76.58,1734.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ3 10MM,1210.0,1210.0,64.13,1452.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ3 20MM,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ4 16MM,1210.0,1210.0,64.13,1452.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ4 18MM,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ5 12MM,1210.0,1210.0,64.13,1452.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ6 14MM,1210.0,1210.0,64.13,1452.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ6 16MM,1210.0,1210.0,64.13,1452.0,20
HCPCS,C1776,INSRT PRFX CNF+ SZ6 20MM,1545.0,1545.0,81.89,1854.0,20
HCPCS,C1776,INSRT PRO P/S ARTS3 12MM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSRT PSTR STBL ARTC 14M,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,INSRT SCKT SEMI +4 32MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1776,INSRT TIB 5 9MM RT DCM,2140.0,2140.0,113.42,2568.0,20
HCPCS,C1776,INSRT TIB ARTC KN 12MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSRT TIB KN 14MM SZ4-5,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSRT TIB KN 6-7/CD 13MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSRT TIB KN 6485-0-041,5635.5,5635.5,298.68,6762.6,20
HCPCS,C1776,INSRT TIB KN SZ4 6MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,INSRT TIB KN SZ6-7 10MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,JNT TOE MOV 30 HMSPHR,5676.0,5676.0,300.83,6811.2,20
HCPCS,C1776,JNTDEV TOE SPEED 11X10,1954.0,1954.0,103.56,2344.8,20
HCPCS,C1776,JOINT FLX HNG TOE SZ3S,1620.0,1620.0,85.86,1944.0,20
HCPCS,C1776,JOINT TOE 10.25MM,3900.0,3900.0,206.7,4680.0,20
HCPCS,C1776,JOINT TOE 16X2-5.5X1.2MM,1882.0,1882.0,99.75,2258.4,20
HCPCS,C1776,JOINT TOE BIOACTION SM,2730.0,2730.0,144.69,3276.0,20
HCPCS,C1776,JOINT TOE SZ40,5676.0,5676.0,300.83,6811.2,20
HCPCS,C1776,KIT BRNG ULNA ELBOW E+,3484.0,3484.0,184.65,4180.8,20
HCPCS,C1776,KNEE ARTIC INS 3LFT 12,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,KNEE FEM POR CR SZC RT,6400.0,6400.0,339.2,7680.0,20
HCPCS,C1776,KNEE NPRS PSTR OXNUM 6R,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,KNEE TIBIAL 37X7.5MM,2028.0,2028.0,107.48,2433.6,20
HCPCS,C1776,KNEE TIBIAL 38MX26M RT,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,LINEAR PORS W/P2 SZ14,4500.0,4500.0,238.5,5400.0,20
HCPCS,C1776,LINEAR STD PORS W/P2 SZ5,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,LINER ACE,7200.0,7200.0,381.6,8640.0,20
HCPCS,C1776,LINER ACET HIP 54MM SZI,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,LINER ACETAB R3 58x46MM,1860.0,1860.0,98.58,2232.0,20
HCPCS,C1776,LINER ACETABULAR 28,915.0,915.0,48.49,1098.0,20
HCPCS,C1776,LINER ACTB 10D 5.9X36MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER ACTB 10DD 25 32MM,2166.0,2166.0,114.8,2599.2,20
HCPCS,C1776,LINER ACTB 10DEG 36D,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1776,LINER ACTB 11-105902,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,LINER ACTB 11-105904,2166.0,2166.0,114.8,2599.2,20
HCPCS,C1776,LINER ACTB ALTRX 32X54,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB FMP 10X8,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,LINER ACTB FMP 10X8X32,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB FMP X-ALT 44M,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB FRDM 60 36MM,2877.0,2877.0,152.48,3452.4,20
HCPCS,C1776,LINER ACTB G,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1776,LINER ACTB HIP +4 10D,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP +4X62X36,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP +5X40MM,2400.0,2400.0,127.2,2880.0,20
HCPCS,C1776,LINER ACTB HIP 10D 32MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 10D 62X36,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 20X56X40,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 28/38MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 28MM 52MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER ACTB HIP 28X40MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER ACTB HIP 28X44MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,LINER ACTB HIP 28X50MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER ACTB HIP 32MM 48MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 32MM 50MM,1100.0,1100.0,58.3,1320.0,40
HCPCS,C1776,LINER ACTB HIP 36MM 54MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 36MM 56MM,1100.0,1100.0,58.3,1320.0,40
HCPCS,C1776,LINER ACTB HIP 36X48MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,LINER ACTB HIP 36X52MM,1100.0,1100.0,58.3,1320.0,40
HCPCS,C1776,LINER ACTB HIP 38MM,1630.0,1630.0,86.39,1956.0,20
HCPCS,C1776,LINER ACTB HIP 42/54MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,LINER ACTB HIP 43/22MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 44/58MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,LINER ACTB HIP 44MM 32MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 45X28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,LINER ACTB HIP 46/60MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,LINER ACTB HIP 46MM 32MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 48MM 32MM,1045.0,1045.0,55.38,1254.0,20
HCPCS,C1776,LINER ACTB HIP 48X32MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 48X36MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 50MM,1400.0,1400.0,68.9,1800.0,40
HCPCS,C1776,LINER ACTB HIP 50MM 28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,LINER ACTB HIP 50MM 36MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 52MM 28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,LINER ACTB HIP 52MM 36MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 53MM 28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,LINER ACTB HIP 54MM 36MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 54MM 40MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 56MM 40MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP 58MM 36MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP C 38MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,LINER ACTB HIP E50-52X28,1118.4,1118.4,59.28,1342.08,20
HCPCS,C1776,LINER ACTB HIP F 44MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,LINER ACTB HIP F54-56X28,915.0,915.0,48.49,1098.0,20
HCPCS,C1776,LINER ACTB HIP FACE 56MM,2877.0,2877.0,152.48,3452.4,20
HCPCS,C1776,LINER ACTB HIP G58-60X32,1802.0,1802.0,95.51,2162.4,20
HCPCS,C1776,LINER ACTB HIP G7 C 32MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER ACTB HIP SZ1 54X28,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER ACTB HIP SZ52,2877.0,2877.0,152.48,3452.4,20
HCPCS,C1776,LINER ACTB HIP SZ7 40MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP SZB 32MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER ACTB HIP SZC 28X38,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER ACTB HIP SZD 36MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER ACTB HIP SZE 36MM,2250.0,2250.0,79.5,3600.0,40
HCPCS,C1776,LINER ACTB HIP SZF 40MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER ACTB HIP SZG 40MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER ACTB HIP SZG 46MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,LINER ACTB HIP SZI 40MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP SZJ 36MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER ACTB HIP SZJ 58MM,1630.0,1630.0,86.39,1956.0,20
HCPCS,C1776,LINER ACTB HIP+4 56X36MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP10D36X52MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP10D36X54MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP20D40X58MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP52MM 40MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB HIP56-58X40MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB MED 42MM ALPH,1630.0,1630.0,86.39,1956.0,20
HCPCS,C1776,LINER ACTB R3 20D XLPE,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER ACTB R3 50X38 COCR,1860.0,1860.0,98.58,2232.0,20
HCPCS,C1776,LINER ACTB RNGLC 24 28MM,1244.8,1244.8,65.97,1493.76,20
HCPCS,C1776,LINER ACTB RNGLC 28MM,2286.0,2286.0,121.16,2743.2,20
HCPCS,C1776,LINER ACTB TRB MTL 56X32,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1776,LINER ACTB XALT 20D 34MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER ACTB XALT FMP 44MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER BIP HIP 51X28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,LINER DUAL HIP 44MM 56MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,LINER HIP 10D +4X32X50MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER HIP 10D 36X60MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER HIP 20D 36X54MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER HIP 20D 52MM 36MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER HIP 28D 46MM SZG,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER HIP 28MM 38MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER HIP 46MM,1630.0,1630.0,86.39,1956.0,20
HCPCS,C1776,LINER HIP 47MM 28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,LINER HIP 48MM,1630.0,1630.0,86.39,1956.0,20
HCPCS,C1776,LINER HIP 50/43 50MM,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,LINER HIP 56-58MM 36MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,LINER HIP ACTB F 36MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER HIP COCR 40X22,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,LINER HIP DUAL 38/50MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,LINER HIP DUAL 40/52MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,LINER HIP HIP SZE 42MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,LINER HIP J 28MM 58MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LINER HUM REV 36+4MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,LINER HUM SHLDR 33+3MM,980.0,980.0,51.94,1176.0,20
HCPCS,C1776,LINER HUM SHLDR 36+0MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,LINER POLY 22MM SZ50,716.0,716.0,37.95,859.2,20
HCPCS,C1776,LINER REV SHLDR 36+0MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,C1776,LINER RING-LOC ACET 28MM,1244.8,1244.8,65.97,1493.76,20
HCPCS,C1776,LINER TRL SEMICNSTRD 32M,450.54,450.54,23.88,540.65,20
HCPCS,C1776,LINER XLPE 20D 28X58,2186.0,2186.0,115.86,2623.2,20
HCPCS,C1776,LNR 20D 50/52/54X28M HIP,2186.0,2186.0,115.86,2623.2,20
HCPCS,C1776,LNR ACETB 10DD 25 ID32M,2166.0,2166.0,114.8,2599.2,20
HCPCS,C1776,LNR ACTB COC HIP G7D40MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1776,LNR ACTB HIP SZF 28X44MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,LNR R3 COCR 4456MM 1,1860.0,1860.0,98.58,2232.0,20
HCPCS,C1776,LNR RTNTV 650 40 +0 POLY,334.0,334.0,17.7,400.8,20
HCPCS,C1776,MAX ILK PS FMRL 145152,4004.8,4004.8,212.25,4805.76,20
HCPCS,C1776,MODULAR HEAD INS T12X40,4420.0,4420.0,234.26,5304.0,20
HCPCS,C1776,MONOBLOCK/ CONVERTER,11295.0,11295.0,598.63,13554.0,20
HCPCS,C1776,NAIL INTERTN-R 10MMX40CM,3326.9,3326.9,176.33,3992.28,20
HCPCS,C1776,NAIL LONG IMHS CP 130DEG,3572.8,3572.8,189.36,4287.36,20
HCPCS,C1776,NONPOR PST R W/O TPR SZ4,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,PATELLA 38MM,1040.0,1040.0,55.12,1248.0,20
HCPCS,C1776,PATELLA COMP DOME SMALL,1040.0,1040.0,55.12,1248.0,20
HCPCS,C1776,PATELLA KN ORTH STRL MED,5990.0,5990.0,317.47,7188.0,20
HCPCS,C1776,PEG KN 9MM 32MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1776,PLATE BS PRFX 3 RT 70X48,1920.0,1920.0,101.76,2304.0,20
HCPCS,C1776,PLATE BS PRFX 4 LT 75X51,1920.0,1920.0,101.76,2304.0,20
HCPCS,C1776,PLATE CALCAN LK 14HL SM,3400.0,3400.0,180.2,4080.0,20
HCPCS,C1776,PLATE HUM SHLDR 7HL,5709.0,5709.0,302.58,6850.8,20
HCPCS,C1776,PLATE TIB KN SZ2 62X41MM,8037.0,8037.0,425.96,9644.4,20
HCPCS,C1776,POST MOD SHLDR 35MM,2900.0,2900.0,153.7,3480.0,20
HCPCS,C1776,POST SHLDR GLND SHRT 7MM,140.0,140.0,7.42,168.0,20
HCPCS,C1776,PRIM FEM CMPNT 60,5132.0,5132.0,272.0,6158.4,20
HCPCS,C1776,PRO NP P/S FEM W/O TPR5L,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,PROFIX KN PSTR NP WO TPR,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,PROFIX OXIN PS FEM SZ6 L,5040.0,5040.0,267.12,6048.0,20
HCPCS,C1776,PROFIX PS INSR L SZ2 10M,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,PROFIX PS INSR R SZ2 12M,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,PROFIX PS INSR R SZ2 14M,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,PROS FEM HD SZ28 +7,1228.82,1228.82,65.13,1474.58,20
HCPCS,C1776,PROS HD FEM +7 32,1228.82,1228.82,65.13,1474.58,20
HCPCS,C1776,PROS INS ART. SZ4,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,PROS INS SZ4 RT 10,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1776,PROS TIB BS SZ4 RT,1920.0,1920.0,101.76,2304.0,20
HCPCS,C1776,PROTECTOR GLENOID,264.0,264.0,13.99,316.8,20
HCPCS,C1776,PROWICK KN PSTOP DRSG C,80.0,80.0,4.24,96.0,20
HCPCS,C1776,PSN ASF PS 11MM VE R 10-,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,RESTRCTOR CMNT 14MM,144.0,144.0,7.63,172.8,20
HCPCS,C1776,RESTRICTOR BNCMNT 25MM,424.0,424.0,22.47,508.8,20
HCPCS,C1776,RESTRICTOR CMNT BSTP 12,402.0,402.0,21.31,482.4,20
HCPCS,C1776,RETAINER CRUCIATE SZ1-L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,RETAINER CRUCIATE SZ1-R,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,RETAINER CRUCIATE SZ10-L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,RETAINER CRUCIATE SZ2-L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,RING ACTB HIP 62MM 74MM,333.0,333.0,17.65,399.6,20
HCPCS,C1776,RING INSRT SHLDR +0 32MM,2850.0,2850.0,151.05,3420.0,20
HCPCS,C1776,RING INSRT SHLDR +4 32MM,2180.0,2180.0,115.54,2616.0,20
HCPCS,C1776,SCREW TIB AUGMNT 5MM,134.0,134.0,7.1,160.8,20
HCPCS,C1776,SET REV 8 LT FEM PST STB,5908.36,5908.36,313.14,7090.03,20
HCPCS,C1776,SHELL 3HOLE 66MM,2220.0,2220.0,117.66,2664.0,20
HCPCS,C1776,SHELL ACET GAP II 56 RT,4397.0,4397.0,233.04,5276.4,20
HCPCS,C1776,SHELL ACETB W/HOLE PROUS,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,SHELL ACT TD PSL W/PF52E,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,SHELL ACTB 52MM,2945.85,2945.85,139.39,3914.04,40
HCPCS,C1776,SHELL ACTB 54MM,2630.0,2630.0,139.39,3156.0,20
HCPCS,C1776,SHELL ACTB 54MM MLHL,2630.0,2630.0,139.39,3156.0,20
HCPCS,C1776,SHELL ACTB 56MM,2630.0,2630.0,139.39,3156.0,40
HCPCS,C1776,SHELL ACTB 56MM HIP 3 HL,176.0,176.0,9.33,211.2,20
HCPCS,C1776,SHELL ACTB 56MM MLHL,2630.0,2630.0,139.39,3156.0,20
HCPCS,C1776,SHELL ACTB 58MM HIP MLH,5945.0,5945.0,315.08,7134.0,20
HCPCS,C1776,SHELL ACTB 58X60 3HL,2630.0,2630.0,139.39,3156.0,20
HCPCS,C1776,SHELL ACTB AGMT HIP 62MM,2049.6,2049.6,108.63,2459.52,20
HCPCS,C1776,SHELL ACTB FLARED W/HO,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,SHELL ACTB HIP 0D 60MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 13H 56MM,4253.0,4253.0,225.41,5103.6,20
HCPCS,C1776,SHELL ACTB HIP 13H 58MM,4253.0,4253.0,225.41,5103.6,20
HCPCS,C1776,SHELL ACTB HIP 13H 64MM,4253.0,4253.0,225.41,5103.6,20
HCPCS,C1776,SHELL ACTB HIP 13H 66MM,4253.0,4253.0,225.41,5103.6,20
HCPCS,C1776,SHELL ACTB HIP 13H 70MM,4253.0,4253.0,225.41,5103.6,20
HCPCS,C1776,SHELL ACTB HIP 22X41,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,SHELL ACTB HIP 3 H 50MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 3H 46MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 3H 48MM,2000.0,2000.0,106.0,2400.0,40
HCPCS,C1776,SHELL ACTB HIP 3H 50MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 3H 52MM,1900.0,1900.0,95.4,2400.0,40
HCPCS,C1776,SHELL ACTB HIP 3H 54MM,1900.0,1900.0,95.4,2400.0,40
HCPCS,C1776,SHELL ACTB HIP 3HL 44MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 3HL 50MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,SHELL ACTB HIP 3HL 56MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 3HL 58MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 42MM 28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,SHELL ACTB HIP 48MM,1900.0,1900.0,95.4,2400.0,60
HCPCS,C1776,SHELL ACTB HIP 48MM 3HL,2630.0,2630.0,139.39,3156.0,20
HCPCS,C1776,SHELL ACTB HIP 4HL 60MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 5 SCR56MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 50MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 52MM,4309.0,4309.0,228.38,5170.8,20
HCPCS,C1776,SHELL ACTB HIP 54MM,3972.5,3972.5,106.0,7134.0,40
HCPCS,C1776,SHELL ACTB HIP 56MM,3353.0,3353.0,106.0,5647.2,40
HCPCS,C1776,SHELL ACTB HIP 5H 52MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 5H 54MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 5H 58MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 60MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,SHELL ACTB HIP 60X61.8MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,SHELL ACTB HIP 62MM,5945.0,5945.0,315.08,7134.0,20
HCPCS,C1776,SHELL ACTB HIP 64MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP 9HL 48MM,4253.0,4253.0,225.41,5103.6,20
HCPCS,C1776,SHELL ACTB HIP CH FLR 60,2630.0,2630.0,139.39,3156.0,20
HCPCS,C1776,SHELL ACTB HIP G3 48MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,SHELL ACTB HIP GRP7 60MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,SHELL ACTB HIP MLH 58MM,2852.0,2852.0,151.16,3422.4,20
HCPCS,C1776,SHELL ACTB HIP PNCL 58MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP SZ5 56MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,SHELL ACTB HIP SZD 46MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,SHELL ACTB HIP SZE 52MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP SZF 54MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL ACTB HIP SZF 56MM,5946.0,5946.0,315.14,7135.2,20
HCPCS,C1776,SHELL ACTB HIP SZG 58MM,1800.0,1800.0,84.8,2400.0,40
HCPCS,C1776,SHELL ACTB HIP SZG 60MM,5945.0,5945.0,315.08,7134.0,20
HCPCS,C1776,SHELL ACTB HMSPHR FMP 60,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1776,SHELL ACTB M/H RAD 52MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,SHELL ACTB PLVS HIP 46MM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1776,SHELL ACTB W/HLS FLRD 50,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,SHELL ACTB W/HOLE 60MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,SHELL BIP HIP 50MM 28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,SHELL CONTINUUM OD50MM,2387.28,2387.28,126.53,2864.74,20
HCPCS,C1776,SHELL FLRD RIM W/HL 46MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,SHELL HIP 0D 54MMX28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,SHELL HIP 13H J 72MM,4253.0,4253.0,225.41,5103.6,20
HCPCS,C1776,SHELL HIP 13HL SZG 60MM,4253.0,4253.0,225.41,5103.6,20
HCPCS,C1776,SHELL HIP 28MM 49MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1776,SHELL HIP 58MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,SHELL HIP ACTB 3H 46MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SHELL HIP ACTB 52MM,2852.0,2852.0,106.0,7134.0,60
HCPCS,C1776,SHELL HIP ACTB SZ1 66MM,5945.0,5945.0,315.08,7134.0,20
HCPCS,C1776,SHELL HIP INTRFT 52MM E,2968.0,2968.0,157.3,3561.6,20
HCPCS,C1776,SHELL HIP INTRFT 56MM F,2220.0,2220.0,117.66,2664.0,20
HCPCS,C1776,SHELL HIP INTRFT 58MM G,2968.0,2968.0,157.3,3561.6,20
HCPCS,C1776,SHELL HIP INTRFT 62MM H,2220.0,2220.0,117.66,2664.0,20
HCPCS,C1776,SHELL HIP R3 POR 56MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1776,SHELL HM SHLDR 12X108MM,10914.0,10914.0,578.44,13096.8,20
HCPCS,C1776,SHELL INTERFIT 64MM,2220.0,2220.0,117.66,2664.0,20
HCPCS,C1776,SHELL SHLDR REV SM 32+0,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SLEEVE ADPT HIP 5.0MM,110.0,110.0,5.83,132.0,20
HCPCS,C1776,SLEEVE CNTRNG KN 2.5MM,110.0,110.0,5.83,132.0,20
HCPCS,C1776,SLEEVE FEM 13MM,214.2,214.2,11.35,257.04,20
HCPCS,C1776,SLEEVE FEM 40MM,4096.0,4096.0,217.09,4915.2,20
HCPCS,C1776,SLEEVE FEM HIP V40,110.0,110.0,5.83,132.0,20
HCPCS,C1776,SLEEVE FEM KN 35MM,4097.0,4097.0,217.14,4916.4,20
HCPCS,C1776,SLEEVE FEM KN CMNT 20MM,2819.0,2819.0,149.41,3382.8,20
HCPCS,C1776,SLEEVE HEAD HIP 12/14 -4,271.0,271.0,14.36,325.2,20
HCPCS,C1776,SLEEVE HIP ADPTR 4MM,110.0,110.0,5.83,132.0,20
HCPCS,C1776,SLEEVE KN FEM 30MM,4097.0,4097.0,217.14,4916.4,20
HCPCS,C1776,SLEEVE KN TIBTRY ROT HNG,681.0,681.0,36.09,817.2,20
HCPCS,C1776,SLEEVE MOD HEAD +4MM,468.0,468.0,24.8,561.6,20
HCPCS,C1776,SLEEVE TAPER HIP NK +0,286.0,286.0,15.16,343.2,20
HCPCS,C1776,SLEEVE TIB KN PRCT 29MM,4625.0,4625.0,245.13,5550.0,20
HCPCS,C1776,SLEEVE TIB KN PRCT 37MM,4625.0,4625.0,245.13,5550.0,20
HCPCS,C1776,SLEEVE TIB KN PRCT 45MM,4624.0,4624.0,245.07,5548.8,20
HCPCS,C1776,SPACER FEM KN RT SZ4,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,SPACER FEM MNBLK R/M L/L,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1776,SPACER HUM 8MM STRL,2484.0,2484.0,131.65,2980.8,20
HCPCS,C1776,SPACER HUM SHLDR +8MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1776,SPACER HUM SHLDR 20MM,9200.0,9200.0,487.6,11040.0,20
HCPCS,C1776,SPACER HUM SHLDR SM 8MM,2484.0,2484.0,131.65,2980.8,20
HCPCS,C1776,SPACER HUMERAL 9MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1776,SPACER SHLDR HUM 33 +9MM,980.0,980.0,51.94,1176.0,20
HCPCS,C1776,SPHR GLND SHLDR 36X24MM,1260.0,1260.0,66.78,1512.0,20
HCPCS,C1776,SRFC ARTC CR GRN H10MM,1756.0,1756.0,93.07,2107.2,20
HCPCS,C1776,SRFC ARTC CR GRN H12MM,2132.0,2132.0,113.0,2558.4,20
HCPCS,C1776,SRFC KNEE ARTC YLW H12MM,1756.0,1756.0,93.07,2107.2,20
HCPCS,C1776,SRFC TIB ARTC H10MM YLW,1756.0,1756.0,93.07,2107.2,20
HCPCS,C1776,STEM ACTB HIP 48MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,STEM ACTB HIP 50MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,STEM ACTB HIP 54MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,STEM BOW PLSM RSTR15X217,5437.0,5437.0,288.16,6524.4,20
HCPCS,C1776,STEM CMNT 12X50MM,1522.0,1522.0,80.67,1826.4,20
HCPCS,C1776,STEM CMNTD EXT 14MMX50MM,2910.0,2910.0,154.23,3492.0,20
HCPCS,C1776,STEM CNTRLZR DIST 18MM,53.0,53.0,2.81,63.6,20
HCPCS,C1776,STEM DIST CNCL 22X155,3917.0,3917.0,207.6,4700.4,20
HCPCS,C1776,STEM ELB 11X2MM 38MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM ELB RADL -2MM 11MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM ELB RADL 11X8MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM ELB RADL 6.5MM,5532.0,5532.0,293.2,6638.4,20
HCPCS,C1776,STEM ELBOW 2MM 8MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM ELBOW 7MM 2MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM EXT KN 175MM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,STEM EXT KN 30MM,3777.0,3777.0,200.18,4532.4,20
HCPCS,C1776,STEM EXT TIBL MOD 12X65,1678.0,1678.0,88.93,2013.6,20
HCPCS,C1776,STEM EXTN GMRS KN 40MM,3940.0,3940.0,208.82,4728.0,20
HCPCS,C1776,STEM FEM 0 BPS TRLK OFST,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM 10MM,6990.0,6990.0,370.47,8388.0,20
HCPCS,C1776,STEM FEM 135D 12/14 SZ12,8883.0,8883.0,470.8,10659.6,20
HCPCS,C1776,STEM FEM 140MM 10MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM 14MM 60MM,2097.0,2097.0,111.14,2516.4,20
HCPCS,C1776,STEM FEM 150MM 15MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,STEM FEM 150X22M FNDTN,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1776,STEM FEM 16MM 60MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,STEM FEM 18MM 60MM,2097.0,2097.0,111.14,2516.4,20
HCPCS,C1776,STEM FEM 190MM 15MM,3525.0,3525.0,186.82,4230.0,20
HCPCS,C1776,STEM FEM 2 V40 117MM,3864.0,3864.0,204.79,4636.8,20
HCPCS,C1776,STEM FEM 267MM 17MM BOW,5698.0,5698.0,301.99,6837.6,20
HCPCS,C1776,STEM FEM 34C,10190.0,10190.0,540.07,12228.0,20
HCPCS,C1776,STEM FEM 37.5MM 125MM,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM FEM 470-01-135,5600.0,5600.0,296.8,6720.0,20
HCPCS,C1776,STEM FEM ABG2 SZ4-RT,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM BDY KSTN 16.5MM,6890.0,6890.0,365.17,8268.0,20
HCPCS,C1776,STEM FEM BDY KYSTN 13.5,6890.0,6890.0,365.17,8268.0,20
HCPCS,C1776,STEM FEM BOW 22X17X230,5412.0,5412.0,286.84,6494.4,20
HCPCS,C1776,STEM FEM BOW RSTR 267X18,5698.0,5698.0,301.99,6837.6,20
HCPCS,C1776,STEM FEM BW 150X11MM,2417.0,2417.0,128.1,2900.4,20
HCPCS,C1776,STEM FEM BW 150X14MM,2417.0,2417.0,128.1,2900.4,20
HCPCS,C1776,STEM FEM CMNT ECH 300X12,9009.0,9009.0,477.48,10810.8,20
HCPCS,C1776,STEM FEM CMNT MUTRS 13MM,13000.0,13000.0,689.0,15600.0,20
HCPCS,C1776,STEM FEM CMNTLS LAT HIP,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM CONE 12/14 SZ0,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM FEM DIST 14X160MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM ECHLN 190X17X15,11050.0,11050.0,585.65,13260.0,20
HCPCS,C1776,STEM FEM EXT 205X17MM,1820.0,1820.0,96.46,2184.0,20
HCPCS,C1776,STEM FEM EXT DRP DN 45MM,1776.0,1776.0,94.13,2131.2,20
HCPCS,C1776,STEM FEM EXT GMRS 200MM,4002.0,4002.0,212.11,4802.4,20
HCPCS,C1776,STEM FEM FNDTN 100MM,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1776,STEM FEM FNDTN 100X20,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1776,STEM FEM FNDTN MTL 100,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1776,STEM FEM FNDTN MTL SZ10,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1776,STEM FEM FNDTN NPR SZ4,7250.0,7250.0,384.25,8700.0,20
HCPCS,C1776,STEM FEM FNDTN POR 10.5,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM HI OFST 16X170,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIOFST 17X154MM,3400.0,3400.0,180.2,4080.0,20
HCPCS,C1776,STEM FEM HIP 100X16MM,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1776,STEM FEM HIP 12/14 SZ2,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP 12/14 SZ7,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP 12/14 SZ8,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1776,STEM FEM HIP 12/14MM,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1776,STEM FEM HIP 12MM 144MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,STEM FEM HIP 12MM 150MM,3525.0,3525.0,186.82,4230.0,20
HCPCS,C1776,STEM FEM HIP 12X150MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP 132D 111MM,3864.0,3864.0,204.79,4636.8,20
HCPCS,C1776,STEM FEM HIP 132MM 6MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,STEM FEM HIP 139MM,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1776,STEM FEM HIP 13MM 146MM,3400.0,3400.0,180.2,4080.0,20
HCPCS,C1776,STEM FEM HIP 13X146MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,STEM FEM HIP 13X170MM,6669.0,6669.0,353.46,8002.8,20
HCPCS,C1776,STEM FEM HIP 140MM 10MM,3700.0,3700.0,180.2,4800.0,40
HCPCS,C1776,STEM FEM HIP 140X10MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,STEM FEM HIP 142MM 11MM,3400.0,3400.0,180.2,4080.0,20
HCPCS,C1776,STEM FEM HIP 147MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP 14MM 148MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,STEM FEM HIP 14MM 160MM,3900.0,3900.0,201.4,4800.0,40
HCPCS,C1776,STEM FEM HIP 14MM 190MM,3525.0,3525.0,186.82,4230.0,20
HCPCS,C1776,STEM FEM HIP 150MM 14MM,3525.0,3525.0,186.82,4230.0,20
HCPCS,C1776,STEM FEM HIP 150MM 16MM,3525.0,3525.0,186.82,4230.0,20
HCPCS,C1776,STEM FEM HIP 150X15MM,3525.0,3525.0,186.82,4230.0,20
HCPCS,C1776,STEM FEM HIP 155X13MM,4000.0,4000.0,212.0,4800.0,40
HCPCS,C1776,STEM FEM HIP 16MM 152MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,STEM FEM HIP 16X140MM,3928.0,3928.0,208.18,4713.6,20
HCPCS,C1776,STEM FEM HIP 17MM 150MM,3525.0,3525.0,186.82,4230.0,20
HCPCS,C1776,STEM FEM HIP 17MM 154MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,STEM FEM HIP 17MM 190MM,3525.0,3525.0,186.82,4230.0,20
HCPCS,C1776,STEM FEM HIP 17X140MM,3928.0,3928.0,208.18,4713.6,20
HCPCS,C1776,STEM FEM HIP 185MM 11MM,8882.0,8882.0,470.75,10658.4,20
HCPCS,C1776,STEM FEM HIP 18MM 140MM,3928.0,3928.0,208.18,4713.6,20
HCPCS,C1776,STEM FEM HIP 18MM 150MM,3525.0,3525.0,186.82,4230.0,20
HCPCS,C1776,STEM FEM HIP 18MM 155MM,3917.0,3917.0,207.6,4700.4,20
HCPCS,C1776,STEM FEM HIP 18MM 156MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,STEM FEM HIP 18MM 225MM,7815.0,7815.0,414.19,9378.0,20
HCPCS,C1776,STEM FEM HIP 190MM 16MM,3525.0,3525.0,186.82,4230.0,20
HCPCS,C1776,STEM FEM HIP 19MM,5467.0,5467.0,289.75,6560.4,20
HCPCS,C1776,STEM FEM HIP 205MM 44MM,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM FEM HIP 21MM 155MM,3917.0,3917.0,207.6,4700.4,20
HCPCS,C1776,STEM FEM HIP 23MM,5467.0,5467.0,289.75,6560.4,20
HCPCS,C1776,STEM FEM HIP 25MM +0MM,5467.0,5467.0,289.75,6560.4,20
HCPCS,C1776,STEM FEM HIP 44MM 56MM,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM FEM HIP 4MM 128MM,3400.0,3400.0,180.2,4080.0,20
HCPCS,C1776,STEM FEM HIP 5MM 130MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,STEM FEM HIP 70MM,7553.0,7553.0,400.31,9063.6,20
HCPCS,C1776,STEM FEM HIP 7MM 134MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,STEM FEM HIP 8MM 136MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,STEM FEM HIP 9MM 137MM,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,STEM FEM HIP ACT SZ6,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP CMNT SZ2,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM FEM HIP CNTRL9.25MM,110.0,110.0,5.83,132.0,20
HCPCS,C1776,STEM FEM HIP COLR 97MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP EXT SZ6,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1776,STEM FEM HIP LAT SZ9,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP LG 100MM,1209.0,1209.0,64.08,1450.8,20
HCPCS,C1776,STEM FEM HIP MED,3300.0,3300.0,174.9,3960.0,20
HCPCS,C1776,STEM FEM HIP OFST 16MM,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM HIP OFST 170X16,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP OFST 175X17,5370.0,5370.0,284.61,6444.0,20
HCPCS,C1776,STEM FEM HIP PRSFT SZ11,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP PRSFT SZ8,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP SM 100MM,1209.0,1209.0,64.08,1450.8,20
HCPCS,C1776,STEM FEM HIP STD #2 94MM,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1776,STEM FEM HIP STD SIZE3,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP STD SZ1,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP STD SZ5,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP STD SZ6,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP STD SZ9,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1776,STEM FEM HIP STDCLR SZ3,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP SZ1 27X96MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP SZ10,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1776,STEM FEM HIP SZ10 115MM,3300.0,3300.0,148.4,4560.0,40
HCPCS,C1776,STEM FEM HIP SZ11,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP SZ11 145MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP SZ12,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP SZ12/14 135,8883.0,8883.0,470.8,10659.6,20
HCPCS,C1776,STEM FEM HIP SZ13,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP SZ14,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1776,STEM FEM HIP SZ15 190MM,8364.0,8364.0,443.29,10036.8,20
HCPCS,C1776,STEM FEM HIP SZ15 240MM,9183.0,9183.0,486.7,11019.6,20
HCPCS,C1776,STEM FEM HIP SZ16 240MM,8724.0,8724.0,462.37,10468.8,20
HCPCS,C1776,STEM FEM HIP SZ17,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP SZ2,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP SZ2 12/14,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM FEM HIP SZ2 99MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP SZ3 101MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP SZ3 102MM,3864.0,3864.0,204.79,4636.8,40
HCPCS,C1776,STEM FEM HIP SZ3 108MM,2800.0,2800.0,148.4,3360.0,40
HCPCS,C1776,STEM FEM HIP SZ4,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP SZ4 103MM,4000.0,4000.0,212.0,4800.0,40
HCPCS,C1776,STEM FEM HIP SZ4 114MM,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM FEM HIP SZ4 143MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP SZ5 105MM,4000.0,4000.0,212.0,4800.0,40
HCPCS,C1776,STEM FEM HIP SZ6 107MM,3864.0,3864.0,204.79,4636.8,20
HCPCS,C1776,STEM FEM HIP SZ6 111MM,3864.0,3864.0,204.79,4636.8,20
HCPCS,C1776,STEM FEM HIP SZ7,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1776,STEM FEM HIP SZ7 109MM,3864.0,3864.0,204.79,4636.8,20
HCPCS,C1776,STEM FEM HIP SZ7 41MM,3864.0,3864.0,204.79,4636.8,20
HCPCS,C1776,STEM FEM HIP SZA 50MM,7553.0,7553.0,400.31,9063.6,20
HCPCS,C1776,STEM FEM HIP TPR 150X13,3525.0,3525.0,186.82,4230.0,20
HCPCS,C1776,STEM FEM HIP10 132D123MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM FEM HIP127D 2 124MM,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM FEM KN 110MM 20MM,2097.0,2097.0,111.14,2516.4,20
HCPCS,C1776,STEM FEM KN 11MM 100MM,1428.0,1428.0,75.68,1713.6,20
HCPCS,C1776,STEM FEM KN 127MM 11MM,3694.0,3694.0,195.78,4432.8,20
HCPCS,C1776,STEM FEM KN 13MM 127MM,3694.0,3694.0,195.78,4432.8,20
HCPCS,C1776,STEM FEM KN 13X120MM,1072.0,1072.0,56.82,1286.4,20
HCPCS,C1776,STEM FEM KN 14MM +75MM,2898.0,2898.0,153.59,3477.6,20
HCPCS,C1776,STEM FEM KN 14MM 50MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1776,STEM FEM KN 14X80MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1776,STEM FEM KN 150MM 13MM,2417.0,2417.0,128.1,2900.4,20
HCPCS,C1776,STEM FEM KN 150MM 15MM,2417.0,2417.0,128.1,2900.4,20
HCPCS,C1776,STEM FEM KN 150X12MM,2417.0,2417.0,128.1,2900.4,20
HCPCS,C1776,STEM FEM KN 15MM 127MM,3694.0,3694.0,195.78,4432.8,20
HCPCS,C1776,STEM FEM KN 17X100MM,1659.0,1659.0,87.93,1990.8,20
HCPCS,C1776,STEM FEM KN 30MM 14MM,1428.0,1428.0,75.68,1713.6,20
HCPCS,C1776,STEM FEM KN 80MM 12MM,1346.0,1346.0,71.34,1615.2,20
HCPCS,C1776,STEM FEM KN 80MM 16MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1776,STEM FEM KN 90X13MM,2221.0,2221.0,117.71,2665.2,20
HCPCS,C1776,STEM FEM KN 9MM 50MM,1521.0,1521.0,80.61,1825.2,20
HCPCS,C1776,STEM FEM KN LPS 16X125MM,8100.0,8100.0,429.3,9720.0,20
HCPCS,C1776,STEM FEM LAT LNR 13,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM LAT LNR 9,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM LAT OFFST 7 HIP,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM LAT OFST LNR 10,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM LAT OFST LNR 12,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM LAT OFST LNR 14,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM LAT OFST LNR 17,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM LEFT SZ4,2360.0,2360.0,125.08,2832.0,20
HCPCS,C1776,STEM FEM LT OFST LNR SZ8,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM MOD 20X150MM,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1776,STEM FEM MOD BDY KSTN 15,1560.0,1560.0,82.68,1872.0,20
HCPCS,C1776,STEM FEM MOD BDY KSTN 20,6890.0,6890.0,365.17,8268.0,20
HCPCS,C1776,STEM FEM MOD NPORS 10MM,2400.0,2400.0,127.2,2880.0,20
HCPCS,C1776,STEM FEM NPOROUS SZ7 RT,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,STEM FEM OFST LNR SZ17,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM OFST LNR SZ8,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM OFST RDC SZ19,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM PLSM BWD 12X217,5437.0,5437.0,288.16,6524.4,20
HCPCS,C1776,STEM FEM PLSM SLT 217X17,5580.0,5580.0,295.74,6696.0,20
HCPCS,C1776,STEM FEM POR HAP 13.5,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM PORS 9MM SER470,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM POST FNDTN 6 RT,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,STEM FEM PRIM STD 135MM,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1776,STEM FEM PRSFT FNDTN 9MM,5600.0,5600.0,296.8,6720.0,20
HCPCS,C1776,STEM FEM PRSFT POR HA 12,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM PS CMNT SZ3-L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,STEM FEM REV PRSFT 220X9,11628.2,11628.2,616.29,13953.84,20
HCPCS,C1776,STEM FEM REV SYS 167X14,6732.7,6732.7,356.83,8079.24,20
HCPCS,C1776,STEM FEM RGH BLASTING FI,143.0,143.0,7.58,171.6,20
HCPCS,C1776,STEM FEM RSTR MD SHLW 23,7910.5,7910.5,419.26,9492.6,20
HCPCS,C1776,STEM FEM RSTR MOD 167X15,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1776,STEM FEM RT RSTR 8X12MM,11492.0,11492.0,609.08,13790.4,20
HCPCS,C1776,STEM FEM RVLTN SHRT 8MM,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM RVSN RT SZ8,7250.0,7250.0,384.25,8700.0,20
HCPCS,C1776,STEM FEM STD OFST LNR 14,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM STD OFST LNR 15,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM SZ10 132MM,3864.0,3864.0,204.79,4636.8,20
HCPCS,C1776,STEM FEM SZ10 135D 180MM,8882.0,8882.0,470.75,10658.4,20
HCPCS,C1776,STEM FEM SZ2 99MM,3864.0,3864.0,204.79,4636.8,20
HCPCS,C1776,STEM FEM SZ20 STD OFST,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1776,STEM FEM SZ4 105MM,3864.0,3864.0,204.79,4636.8,40
HCPCS,C1776,STEM FEM SZ5 108MM,3864.0,3864.0,204.79,4636.8,40
HCPCS,C1776,STEM FEM SZ7 114MM,3864.0,3864.0,204.79,4636.8,40
HCPCS,C1776,STEM FEM TAPER 12X125,5370.0,5370.0,284.61,6444.0,20
HCPCS,C1776,STEM FEM TI HIP POR 470,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FEM TKR FNDTN SZ7-L,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,STEM FEMORAL MOD 10MM,1620.0,1620.0,85.86,1944.0,20
HCPCS,C1776,STEM FEMORAL TPRLC 133 M,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM FXD NCK SZ3 STCKTTE,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM HD SHLDR LOW 18X48,9800.0,9800.0,519.4,11760.0,20
HCPCS,C1776,STEM HIP 12/14 14X200MM,8882.0,8882.0,470.75,10658.4,20
HCPCS,C1776,STEM HIP 132D SZ2 124MM,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM HIP 132D SZ3 131MM,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM HIP 132D SZ4 137MM,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM HIP 132D SZ5 145MM,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM HIP 150MM 12MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM HIP 155MM 13MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM HIP 170MM 16MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM HIP 235MM 16MM,4607.0,4607.0,244.17,5528.4,20
HCPCS,C1776,STEM HIP 36MM 101MM,3864.0,3864.0,204.79,4636.8,20
HCPCS,C1776,STEM HIP CMNTLS 0-006,9017.64,9017.64,477.93,10821.17,20
HCPCS,C1776,STEM HIP FEM 99MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM HIP LAT OFST SZ12,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1776,STEM HIP MRDN TMZF 3/13,8746.24,8746.24,463.55,10495.49,20
HCPCS,C1776,STEM HIP POR SZ34D,10190.0,10190.0,540.07,12228.0,20
HCPCS,C1776,STEM HIP PRSTLAC SZ1,7880.0,7880.0,417.64,9456.0,20
HCPCS,C1776,STEM HIP SZ2 99MM 36MM,3864.0,3864.0,204.79,4636.8,20
HCPCS,C1776,STEM HIP SZ2 99X32.5MM,3864.0,3864.0,204.79,4636.8,20
HCPCS,C1776,STEM HIP SZ3 101X36MM,3864.0,3864.0,204.79,4636.8,20
HCPCS,C1776,STEM HIP SZ5 38.5X105MM,3864.0,3864.0,204.79,4636.8,20
HCPCS,C1776,STEM HM CMNTLS SMR 36X13,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,STEM HUM 107MM 8MM,3900.0,3900.0,206.7,4680.0,20
HCPCS,C1776,STEM HUM 113MM 10MM,3900.0,3900.0,206.7,4680.0,20
HCPCS,C1776,STEM HUM 12X115MM BIOMDL,10462.0,10462.0,554.49,12554.4,20
HCPCS,C1776,STEM HUM 14MM CMNTLS,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1776,STEM HUM 14X129MM,3200.0,3200.0,169.6,3840.0,20
HCPCS,C1776,STEM HUM 16X61MM,3900.0,3900.0,206.7,4680.0,20
HCPCS,C1776,STEM HUM AQLS LNG 9X210,6000.0,6000.0,318.0,7200.0,20
HCPCS,C1776,STEM HUM FNDTN REV 200X8,5400.0,5400.0,286.2,6480.0,20
HCPCS,C1776,STEM HUM FX 8X158MM,7786.0,7786.0,412.66,9343.2,20
HCPCS,C1776,STEM HUM LNG 36MM,5400.0,5400.0,286.2,6480.0,20
HCPCS,C1776,STEM HUM M TPR SZ 10,5400.0,5400.0,286.2,6480.0,20
HCPCS,C1776,STEM HUM MED 116X10.5,6500.0,6500.0,344.5,7800.0,20
HCPCS,C1776,STEM HUM MNOBLCK 12MM,7400.0,7400.0,392.2,8880.0,20
HCPCS,C1776,STEM HUM POR 100% MLRY,4192.0,4192.0,222.18,5030.4,20
HCPCS,C1776,STEM HUM PRX SHLD 12.5,6502.0,6502.0,344.61,7802.4,20
HCPCS,C1776,STEM HUM REV SZ10 175MM,15439.0,15439.0,818.27,18526.8,20
HCPCS,C1776,STEM HUM RVSN RSP 10X220,11295.0,11295.0,598.63,13554.0,20
HCPCS,C1776,STEM HUM SHLD LARGE,22080.0,22080.0,1170.24,26496.0,20
HCPCS,C1776,STEM HUM SHLD SZ16,16560.0,16560.0,877.68,19872.0,20
HCPCS,C1776,STEM HUM SHLDR 10MM,2639.0,2639.0,139.87,3166.8,20
HCPCS,C1776,STEM HUM SHLDR 10MM 48MM,10914.0,10914.0,578.44,13096.8,20
HCPCS,C1776,STEM HUM SHLDR 10X108MM,10914.0,10914.0,578.44,13096.8,20
HCPCS,C1776,STEM HUM SHLDR 12 175MM,15439.0,15439.0,818.27,18526.8,20
HCPCS,C1776,STEM HUM SHLDR 12MM,2639.0,2639.0,139.87,3166.8,20
HCPCS,C1776,STEM HUM SHLDR 12X120MM,3900.0,3900.0,206.7,4680.0,20
HCPCS,C1776,STEM HUM SHLDR 151X12,7350.0,7350.0,389.55,8820.0,20
HCPCS,C1776,STEM HUM SHLDR 183MM,4824.0,4824.0,255.67,5788.8,20
HCPCS,C1776,STEM HUM SHLDR 32X165MM,6602.0,6602.0,349.91,7922.4,20
HCPCS,C1776,STEM HUM SHLDR 4/33,6162.0,6162.0,326.59,7394.4,20
HCPCS,C1776,STEM HUM SHLDR 5MM,4970.0,4970.0,263.41,5964.0,20
HCPCS,C1776,STEM HUM SHLDR 70MM,4400.0,4400.0,233.2,5280.0,20
HCPCS,C1776,STEM HUM SHLDR 74MM,2940.0,2940.0,155.82,3528.0,20
HCPCS,C1776,STEM HUM SHLDR 8MM 122MM,5400.0,5400.0,286.2,6480.0,20
HCPCS,C1776,STEM HUM SHLDR 8X108MM,10914.0,10914.0,578.44,13096.8,20
HCPCS,C1776,STEM HUM SHLDR REV SM,13724.0,13724.0,727.37,16468.8,20
HCPCS,C1776,STEM HUM SHLDR RT 10.5MM,5700.0,5700.0,302.1,6840.0,20
HCPCS,C1776,STEM HUM SHLDR RVRS SZ6,4970.0,4970.0,263.41,5964.0,20
HCPCS,C1776,STEM HUM SHLDR RVRS SZ7,4970.0,4970.0,263.41,5964.0,20
HCPCS,C1776,STEM HUM SHLDR SM108X6MM,10914.0,10914.0,578.44,13096.8,20
HCPCS,C1776,STEM HUM SHLDR SZ10,4970.0,4970.0,263.41,5964.0,20
HCPCS,C1776,STEM HUM SHLDR SZ11,3324.0,3324.0,176.17,3988.8,20
HCPCS,C1776,STEM HUM SHLDR SZ12 48MM,10914.0,10914.0,578.44,13096.8,20
HCPCS,C1776,STEM HUM SHLDR SZ14 48MM,10914.0,10914.0,578.44,13096.8,20
HCPCS,C1776,STEM HUM SHLDR SZ16 48MM,12785.0,12785.0,677.61,15342.0,20
HCPCS,C1776,STEM HUM SHLDR SZ6 48MM,10914.0,10914.0,578.44,13096.8,20
HCPCS,C1776,STEM HUM SHLDR190MM 12MM,4974.0,4974.0,263.62,5968.8,20
HCPCS,C1776,STEM HUM SHORT 36MM,5400.0,5400.0,286.2,6480.0,20
HCPCS,C1776,STEM HUM SHORT 41MM,5400.0,5400.0,286.2,6480.0,20
HCPCS,C1776,STEM HUM SHRT SZ10 44MM,3900.0,3900.0,206.7,4680.0,20
HCPCS,C1776,STEM HUM SHRT SZ14 57MM,3900.0,3900.0,206.7,4680.0,20
HCPCS,C1776,STEM HUM SM SH 12X48MM,10914.0,10914.0,578.44,13096.8,20
HCPCS,C1776,STEM HUM SM SH 8X48MM,10914.0,10914.0,578.44,13096.8,20
HCPCS,C1776,STEM HUM SM SZ6 175MM,15439.0,15439.0,818.27,18526.8,20
HCPCS,C1776,STEM HUM SM SZ6 220MM,13868.0,13868.0,735.0,16641.6,20
HCPCS,C1776,STEM HUM SURG 14MM,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM HUM SURG NTRL,810.0,810.0,42.93,972.0,20
HCPCS,C1776,STEM HUM SZ12 49MM,3900.0,3900.0,206.7,4680.0,20
HCPCS,C1776,STEM HUM SZ16 108MM,11625.0,11625.0,616.13,13950.0,20
HCPCS,C1776,STEM HUM SZ8 175MM,15439.0,15439.0,818.27,18526.8,20
HCPCS,C1776,STEM HUM TPR SZ 8,5400.0,5400.0,286.2,6480.0,20
HCPCS,C1776,STEM HUM UNIV REV 180MM,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM HUM UNV 13X204,5450.0,5450.0,288.85,6540.0,20
HCPCS,C1776,STEM HUM UNV 3D 13MM,7350.0,7350.0,389.55,8820.0,20
HCPCS,C1776,STEM HUMERAL 12X200,4856.0,4856.0,257.37,5827.2,20
HCPCS,C1776,STEM KN 130MM 14MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1776,STEM KN 130MM 16MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1776,STEM KN 14X110MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1776,STEM KN CMNT 15MM 100MM,1521.0,1521.0,80.61,1825.2,20
HCPCS,C1776,STEM KN CMNT 9X100MM,1831.0,1831.0,97.04,2197.2,20
HCPCS,C1776,STEM KN MED,3700.0,3700.0,196.1,4440.0,20
HCPCS,C1776,STEM KN RV CMNT 14X30MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1776,STEM LNG OMNFT CMNT SZ9L,6593.0,6593.0,349.43,7911.6,20
HCPCS,C1776,STEM MONBLC OVL 30X36X44,17244.26,17244.26,913.95,20693.11,20
HCPCS,C1776,STEM ORT FEM SZ 11MM HIP,5000.0,5000.0,265.0,6000.0,20
HCPCS,C1776,STEM OSS P/C 12.5X90,2587.0,2587.0,137.11,3104.4,20
HCPCS,C1776,STEM PLSMA BOW 19X217,5437.0,5437.0,288.16,6524.4,20
HCPCS,C1776,STEM PLSMA BOW 20X217,5437.0,5437.0,288.16,6524.4,20
HCPCS,C1776,STEM RADIAL ELB 9MM 2MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM RADL 10X0X35MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM RADL 9MMX4MM 33MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM RADL ELB 7MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM RADL ELB 9MM 6MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM RADL ELBOW 10MMX2MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM RADL ELBOW 11MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM RADL ELBOW 8MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM RADL ELBW 9X0X33MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM RDL ELB 9X2X33MM,4050.0,4050.0,214.65,4860.0,20
HCPCS,C1776,STEM RESTR SZ12 18MM,9126.0,9126.0,483.68,10951.2,20
HCPCS,C1776,STEM REV CLCR CTPR8 205M,9126.0,9126.0,483.68,10951.2,20
HCPCS,C1776,STEM REV MNOBLCK SZ8 220,11295.0,11295.0,598.63,13554.0,20
HCPCS,C1776,STEM REV SHLDR UNV SZ15,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1776,STEM REVELATION L 13.5MM,5600.0,5600.0,296.8,6720.0,20
HCPCS,C1776,STEM SHLDR 36MMX115MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM SHLDR PRFT SZ10,5650.0,5650.0,299.45,6780.0,20
HCPCS,C1776,STEM SHLDR PRFT SZ11,5650.0,5650.0,299.45,6780.0,20
HCPCS,C1776,STEM SHLDR PRFT SZ12,5650.0,5650.0,299.45,6780.0,20
HCPCS,C1776,STEM SHLDR PRFT SZ13,5650.0,5650.0,299.45,6780.0,20
HCPCS,C1776,STEM SHLDR PRFT SZ14,5650.0,5650.0,299.45,6780.0,20
HCPCS,C1776,STEM SHLDR PRFT SZ15,5650.0,5650.0,299.45,6780.0,20
HCPCS,C1776,STEM SHLDR PRFT SZ8,5650.0,5650.0,299.45,6780.0,20
HCPCS,C1776,STEM SHLDR PRFT SZ9,5650.0,5650.0,299.45,6780.0,20
HCPCS,C1776,STEM SHLDR SHRT 32X70MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM SHLDR SHRT 40X78MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM SHLDR SM 32X109MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM SHLDR SZ10,4341.0,4341.0,230.07,5209.2,20
HCPCS,C1776,STEM SHLDR SZ12 108MM,11625.0,11625.0,616.13,13950.0,20
HCPCS,C1776,STEM SHLDR SZ14 108MM,10914.0,10914.0,578.44,13096.8,20
HCPCS,C1776,STEM SHLDR SZ2 21MM,6100.0,6100.0,323.3,7320.0,20
HCPCS,C1776,STEM SHLDR SZ6,5970.0,5970.0,316.41,7164.0,20
HCPCS,C1776,STEM SHLDR SZ9 130MM,13000.0,13000.0,689.0,15600.0,20
HCPCS,C1776,STEM SHLDR XS 28MM 102MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM SHLDR XS 28X66MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM SHORT MED 36X74MM,4000.0,4000.0,212.0,4800.0,20
HCPCS,C1776,STEM TIB CMNTD 13X120,5500.0,5500.0,291.5,6600.0,20
HCPCS,C1776,STEM TIB CMNTD 15X120,5500.0,5500.0,291.5,6600.0,20
HCPCS,C1776,STEM TIB EXT I-BAL 10X50,3286.0,3286.0,174.16,3943.2,20
HCPCS,C1776,STEM TIB EXT IBAL 12X50,3286.0,3286.0,174.16,3943.2,20
HCPCS,C1776,STEM TIB EXT IBAL 14X100,2670.0,2670.0,141.51,3204.0,20
HCPCS,C1776,STEM TIB FNDTN XTN18X150,1450.0,1450.0,76.85,1740.0,20
HCPCS,C1776,STEM TIB KN 15X80MM,1346.0,1346.0,71.34,1615.2,20
HCPCS,C1776,STEM TIB KN 16MM 80MM,1345.0,1345.0,71.28,1614.0,20
HCPCS,C1776,STEM TIB KN LT 5D SZF,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,STEM TIB KN MED,3700.0,3700.0,196.1,4440.0,20
HCPCS,C1776,STEM TIB LNG KN 100X10MM,1458.0,1458.0,77.27,1749.6,20
HCPCS,C1776,STEM TIB PREFX 14MM,829.4,829.4,43.96,995.28,20
HCPCS,C1776,STEM TIB RT KN D 5D,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1776,STEM TIB STD 6 74X50,4498.0,4498.0,238.39,5397.6,20
HCPCS,C1776,STEM TIBIALSZ 1,1450.0,1450.0,76.85,1740.0,40
HCPCS,C1776,STEM ULNAR 2CM 6MM,5350.0,5350.0,283.55,6420.0,20
HCPCS,C1776,STEM ULNAR 3CM 6MM,5350.0,5350.0,283.55,6420.0,20
HCPCS,C1776,STEM ULNAR 5.0MM 2CM,5350.0,5350.0,283.55,6420.0,20
HCPCS,C1776,STM HUMERAL FX 7L,5700.0,5700.0,302.1,6840.0,20
HCPCS,C1776,SURFACE ARTC ROT 1-6-B,3735.0,3735.0,197.96,4482.0,20
HCPCS,C1776,SURFACE ARTIC 12MM PERSO,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,SYSTEM HIP 98000100116,15158.0,15158.0,803.37,18189.6,20
HCPCS,C1776,SYSTEM KNEE 98000220020,36.0,36.0,1.91,43.2,20
HCPCS,C1776,TIB BASE ATTUNE RP SZ4,2546.0,2546.0,134.94,3055.2,20
HCPCS,C1776,TIB INS 3D SZ 5/11 RT DJ,2140.0,2140.0,113.42,2568.0,20
HCPCS,C1776,TIBIAL BASE PLT MED OR,3190.0,3190.0,169.07,3828.0,20
HCPCS,C1776,TIBIAL NON-POROUS SZ 2,1920.0,1920.0,101.76,2304.0,20
HCPCS,C1776,TIBIAL RT KNEE CEMENTED,3190.0,3190.0,169.07,3828.0,20
HCPCS,C1776,TM REVERSE BASE PLATE,3868.8,3868.8,205.05,4642.56,20
HCPCS,C1776,TRAY CMNT TIB KN SZ2,3600.0,3600.0,190.8,4320.0,40
HCPCS,C1776,TRAY CMNT TIB KN SZ4,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,TRAY RVRS HUM +0,3400.0,3400.0,180.2,4080.0,20
HCPCS,C1776,TRAY TIB CEMENTED SZ3,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,TRAY TIB CMNT SZ1 RM/LL,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,TRAY TIB CMNT SZ5,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,TRAY TIB CMNT SZ8,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,TRAY TIB IBAL 4KN UNC RT,1993.0,1993.0,105.63,2391.6,20
HCPCS,C1776,TRAY TIB IBLNCE SZ7,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,TRAY TIB KN LM/RL SZ1,3960.0,3960.0,209.88,4752.0,20
HCPCS,C1776,TRAY TIB KN LM/RL SZ3,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,TRAY TIB KN RM/LL SZ4,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1776,TRAY TIB KN SZ 4.5F/3.5T,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,TRAY TIB KN SZ3,2114.0,2114.0,112.04,2536.8,20
HCPCS,C1776,TRAY TIB KN SZ4,2114.0,2114.0,112.04,2536.8,20
HCPCS,C1776,TRAY TIB ORTHO SZ2,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,TRAY TIB ORTHO SZ6,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,TRAY TIBIAL IBLNCE SZ9,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,TRAY TIBIAL ORTHO SZ1,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,TRAY TIBIAL ORTHO SZ10,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1776,VSN RNGLC SHL 50 LNR 23,3836.0,3836.0,203.31,4603.2,20
HCPCS,C1776,VSN RNGLC SHL 52 SZ23,2630.0,2630.0,139.39,3156.0,20
HCPCS,C1776,WEDGE AUGMT KN SZC 10MM,1231.0,1231.0,65.24,1477.2,20
HCPCS,C1776,WEDGE FEM KN 10MM SZCD,1550.0,1550.0,82.15,1860.0,20
HCPCS,C1776,WEDGE FEM KN SZ7 15MM,1550.0,1550.0,82.15,1860.0,20
HCPCS,C1776,WEDGE FEM KN SZ7 5MM,1550.0,1550.0,82.15,1860.0,20
HCPCS,C1776,WEDGE KN 10MM SZCD,1550.0,1550.0,82.15,1860.0,20
HCPCS,C1776,WEDGE KN SZ5 5MM,1550.0,1550.0,82.15,1860.0,20
HCPCS,C1776,WEDGE KN SZMED,9225.0,9225.0,488.93,11070.0,20
HCPCS,C1776,WEDGE SUBTALAR FOOT 10MM,4200.0,4200.0,222.6,5040.0,20
HCPCS,C1776,WEDGE TIB FULSTP 5-6 10M,2667.5,2667.5,141.38,3201.0,20
HCPCS,C1776,WEDGE TIB KN CONE SZ1,9225.0,9225.0,488.93,11070.0,20
HCPCS,C1776,WEDGE TIB KN CONE SZXS,9225.0,9225.0,488.93,11070.0,20
HCPCS,C1776,WEDGE TIB KN8D XLG9D LG,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1776,WEDGE TIB TIV SZ 5 H10,2774.0,2774.0,147.02,3328.8,20
HCPCS,C1776,XTEN STEM 17X155,1513.0,1513.0,80.19,1815.6,20
HCPCS,C1777,LEAD CRT PCNG 62CM,6794.0,6794.0,360.08,8152.8,20
HCPCS,C1777,LEAD DEFIB 4.7FR 74CM,9000.0,9000.0,477.0,10800.0,20
HCPCS,C1777,LEAD ICD DF4 PF SC 59CM,8440.0,8440.0,447.32,10128.0,20
HCPCS,C1777,LEAD ICD DX 65/15,6178.0,6178.0,327.43,7413.6,20
HCPCS,C1777,LEAD ICD ENDO 65CM,6178.0,6178.0,327.43,7413.6,20
HCPCS,C1777,LEAD ICD PCNG 8.6FR 65CM,6734.0,6734.0,356.9,8080.8,20
HCPCS,C1777,LEAD ICD SC DF4 64CM,7512.0,7512.0,398.14,9014.4,20
HCPCS,C1777,LEAD PCNG 58CM,9500.0,9500.0,503.5,11400.0,20
HCPCS,C1777,LEAD SPRNT QTRO 100CM,8380.0,8380.0,444.14,10056.0,20
HCPCS,C1777,LEAD SPRNT QTRO 1CH 52CM,8380.0,8380.0,444.14,10056.0,20
HCPCS,C1777,LEAD SPRNT QTRO 1CH 75CM,8380.0,8380.0,444.14,10056.0,20
HCPCS,C1778,KIT LEAD NRSTM SURG 90CM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1778,KIT LEAD SURG NRSTM 50CM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1778,KIT LEAD SURG NRSTM 70CM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1778,KIT NRSTM LD LF45 30.5CM,168.0,168.0,8.9,201.6,20
HCPCS,C1778,KIT NRSTM LD PNE 30.5CM,84.0,84.0,4.45,100.8,20
HCPCS,C1778,LEAD NRSTM 0.170IN 28CM,6059.0,6059.0,321.13,7270.8,20
HCPCS,C1778,LEAD NRSTM 2.8MM 65CM,10116.0,10116.0,536.15,12139.2,20
HCPCS,C1778,LEAD NRSTM 28X33X41CM,5770.0,5770.0,305.81,6924.0,20
HCPCS,C1778,LEAD NRSTM 3MM 60CM,6400.0,6400.0,339.2,7680.0,20
HCPCS,C1778,LEAD NRSTM RSTR SPN 75CM,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1778,LEAD OCTAD 1X8 LZ 6 S,3800.0,3800.0,201.4,4560.0,20
HCPCS,C1778,VNS LEAD 303-2.0,5334.0,5334.0,282.7,6400.8,20
HCPCS,C1779,LEAD PCNG 45CM,794.0,794.0,42.08,952.8,20
HCPCS,C1781,GRAFT ST TIS 4X24MM,1840.0,1840.0,97.52,2208.0,20
HCPCS,C1781,IMPLANT MESH SURG MEDIUM,6696.0,6696.0,354.89,8035.2,20
HCPCS,C1781,IMPLANT MESH SURG SMALL,6696.0,6696.0,354.89,8035.2,20
HCPCS,C1781,MARISTEM 1 MG,3600.0,3600.0,190.8,4320.0,20
HCPCS,C1781,MATRIX TISS 10X15CM,5166.0,5166.0,273.8,6199.2,20
HCPCS,C1781,MATRIX TISS 15X10CM,7118.0,7118.0,372.91,8640.0,40
HCPCS,C1781,MESH ABDOMINAL 2-4 X6 EL,7880.0,7880.0,417.64,9456.0,20
HCPCS,C1781,MESH CONTOURD ORBTL R-LG,3124.0,3124.0,165.57,3748.8,20
HCPCS,C1781,MESH CRNFCL MED 15/17MM,3188.0,3188.0,168.96,3825.6,20
HCPCS,C1781,MESH CRNL 90X90X.6MM,7148.0,7148.0,156.67,13608.0,40
HCPCS,C1781,MESH CRNMXF 90X90X1MM,4601.0,4601.0,243.85,5521.2,20
HCPCS,C1781,MESH ELLIPSE 8X10IN,18267.0,18267.0,968.15,21920.4,20
HCPCS,C1781,MESH GYN 24X3CM RESTOREL,2110.0,2110.0,111.83,2532.0,20
HCPCS,C1781,MESH GYN 25CM 30CM,33250.0,33250.0,1762.25,39900.0,20
HCPCS,C1781,MESH GYN RND 8CM,2801.0,2801.0,148.45,3361.2,20
HCPCS,C1781,MESH HERNIA 10IN 12IN,27839.0,27839.0,1475.47,33406.8,20
HCPCS,C1781,MESH HERNIA 25CM 30CM,22460.0,22460.0,1190.38,26952.0,20
HCPCS,C1781,MESH HERNIA 8X10IN,18810.0,18810.0,996.93,22572.0,20
HCPCS,C1781,MESH HERNIA PLTFORM 4.5,4598.0,4598.0,243.69,5517.6,20
HCPCS,C1781,MESH HRN 10CM 15CM,6061.0,6061.0,321.23,7273.2,20
HCPCS,C1781,MESH HRN 12X12CM,3461.0,3461.0,183.43,4153.2,20
HCPCS,C1781,MESH HRN 15X10CM,1014.0,1014.0,53.74,1216.8,20
HCPCS,C1781,MESH HRN 20X20.5CM,11172.0,11172.0,592.12,13406.4,20
HCPCS,C1781,MESH HRN 2LYR 20X20.5CM,14364.0,14364.0,761.29,17236.8,20
HCPCS,C1781,MESH HRN 30CM 35CM,38624.0,38624.0,2047.07,46348.8,20
HCPCS,C1781,MESH HRN 3LY 11.5X22CM,6404.0,6404.0,339.41,7684.8,20
HCPCS,C1781,MESH HRN 4.5CM 10CM,896.0,896.0,47.49,1075.2,20
HCPCS,C1781,MESH HRN 9X9CM,2061.0,2061.0,109.23,2473.2,20
HCPCS,C1781,MESH HRN CIR 11CM,4557.0,4557.0,241.52,5468.4,20
HCPCS,C1781,MESH HRN EPTFE 4.3 OVL M,2567.0,2567.0,136.05,3080.4,20
HCPCS,C1781,MESH HRN L-PRO 15X25CM,9012.0,9012.0,477.64,10814.4,20
HCPCS,C1781,MESH HRN LT 5.3X3.1IN,739.0,739.0,39.17,886.8,20
HCPCS,C1781,MESH HRN LT 6.2X4.1IN,780.0,780.0,41.34,936.0,20
HCPCS,C1781,MESH HRN LT 6.7X4.8IN,871.0,871.0,46.16,1045.2,20
HCPCS,C1781,MESH HRN OPEN PSTN 6X8,11621.0,11621.0,615.91,13945.2,20
HCPCS,C1781,MESH HRN PLGLY 10X16CM,900.0,900.0,47.7,1080.0,20
HCPCS,C1781,MESH HRN PLGLY 10X6CM,1728.0,1728.0,91.58,2073.6,20
HCPCS,C1781,MESH HRN PLGLY 12X10CM,3888.0,3888.0,206.06,4665.6,20
HCPCS,C1781,MESH HRN PLGLY 20X10CM,6120.0,6120.0,324.36,7344.0,20
HCPCS,C1781,MESH HRN PLGLY 20X20IN,12960.0,12960.0,686.88,15552.0,20
HCPCS,C1781,MESH HRN PLGY 25CMX40CM,14450.0,14450.0,765.85,17340.0,20
HCPCS,C1781,MESH HRN PP 10X6IN,1482.0,1482.0,54.06,2332.8,40
HCPCS,C1781,MESH HRN PP 12CM 18CM,5803.0,5803.0,307.56,6963.6,20
HCPCS,C1781,MESH HRN PP 12X10CM,3888.0,3888.0,206.06,4665.6,20
HCPCS,C1781,MESH HRN PP 12X10IN,1920.0,1920.0,101.76,2304.0,20
HCPCS,C1781,MESH HRN PP 16CMX20CM,9216.0,9216.0,488.45,11059.2,20
HCPCS,C1781,MESH HRN PP 20X10CM,6480.0,6480.0,343.44,7776.0,20
HCPCS,C1781,MESH HRN PP 20X16CM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1781,MESH HRN PP 20X20IN,9480.0,9480.0,318.0,15552.0,40
HCPCS,C1781,MESH HRN PP 25X30IN S,19950.0,19950.0,1057.35,23940.0,20
HCPCS,C1781,MESH HRN PP 25X40IN,25650.0,25650.0,1359.45,30780.0,20
HCPCS,C1781,MESH HRN PP 4X1.8,146.0,146.0,7.74,175.2,20
HCPCS,C1781,MESH HRN REINF 4X8CM,480.0,480.0,25.44,576.0,20
HCPCS,C1781,MESH HRN RSRB 10X20CM,6891.0,6891.0,365.22,8269.2,20
HCPCS,C1781,MESH HRN RSRB 20X20CM,6000.0,6000.0,318.0,7200.0,20
HCPCS,C1781,MESH HRN RT 5.3X3.1IN,739.0,739.0,39.17,886.8,20
HCPCS,C1781,MESH HRN RT 6.2X4.1IN,787.0,787.0,41.71,944.4,20
HCPCS,C1781,MESH HRN RT 6.7X4.8IN,832.0,832.0,44.1,998.4,20
HCPCS,C1781,MESH PATCH VENTRL MED,843.0,843.0,44.68,1011.6,20
HCPCS,C1781,MESH PATCH VNTRL PRC SM,705.0,705.0,37.37,846.0,20
HCPCS,C1781,MESH PERM CIRC 12X12CM,3869.0,3869.0,205.06,4642.8,20
HCPCS,C1781,MESH PERM CIRC 15X15CM,5408.0,5408.0,286.62,6489.6,20
HCPCS,C1781,MESH PERM CIRC 15X25CM,9012.0,9012.0,477.64,10814.4,20
HCPCS,C1781,MESH PERM HERNIA 25X30CM,12350.0,12350.0,654.55,14820.0,20
HCPCS,C1781,MESH PHASIX 3IN RND,2069.0,2069.0,109.66,2482.8,20
HCPCS,C1781,MESH PORCINE 10CM 10CM,3300.0,3300.0,174.9,3960.0,20
HCPCS,C1781,MESH PORCINE 16CM 20CM,10560.0,10560.0,559.68,12672.0,20
HCPCS,C1781,MESH PORCINE 20CM 25CM,16500.0,16500.0,874.5,19800.0,20
HCPCS,C1781,MESH PRFX XL 1.6IN 2IN,701.0,701.0,37.15,841.2,20
HCPCS,C1781,MESH RCTNG 20X25CM,16553.0,16553.0,877.31,19863.6,20
HCPCS,C1781,MESH SURG 1.3X1.55IN,592.0,592.0,31.38,710.4,20
HCPCS,C1781,MESH SURG 10CM 17CM,1120.0,1120.0,59.36,1344.0,20
HCPCS,C1781,MESH SURG 10X17CM,1120.0,1120.0,59.36,1344.0,20
HCPCS,C1781,MESH SURG 12X10IN,20650.0,20650.0,1094.45,24780.0,20
HCPCS,C1781,MESH SURG 12X18CM,5192.0,5192.0,275.18,6230.4,20
HCPCS,C1781,MESH SURG 15CM 8CM,4715.0,4715.0,249.9,5658.0,20
HCPCS,C1781,MESH SURG 15X15CM,5408.0,5408.0,286.62,6489.6,20
HCPCS,C1781,MESH SURG 16X20CM,9216.0,9216.0,488.45,11059.2,20
HCPCS,C1781,MESH SURG 20CM 15CM,11203.0,11203.0,593.76,13443.6,20
HCPCS,C1781,MESH SURG 20X20CM,11520.0,11520.0,610.56,13824.0,20
HCPCS,C1781,MESH SURG 22X18CM,11405.0,11405.0,604.47,13686.0,20
HCPCS,C1781,MESH SURG 35CM 30CM,34328.0,34328.0,1819.38,41193.6,20
HCPCS,C1781,MESH SURG 3X6IN,106.0,106.0,5.62,127.2,20
HCPCS,C1781,MESH SURG 4.5CM 10CM,523.0,523.0,27.72,627.6,20
HCPCS,C1781,MESH SURG 4.5IN,2976.0,2976.0,157.73,3571.2,20
HCPCS,C1781,MESH SURG 4IN 6IN,629.0,629.0,33.34,754.8,20
HCPCS,C1781,MESH SURG 4X3IN,2874.0,2874.0,152.32,3448.8,20
HCPCS,C1781,MESH SURG 4X6IN,1664.0,1664.0,88.19,1996.8,20
HCPCS,C1781,MESH SURG 5.5X12.8CM,523.0,523.0,27.72,627.6,20
HCPCS,C1781,MESH SURG 6X4IN,7320.0,7320.0,387.96,8784.0,20
HCPCS,C1781,MESH SURG 6X6IN,505.0,505.0,26.77,606.0,20
HCPCS,C1781,MESH SURG 8X10IN,4821.0,4821.0,255.51,5785.2,20
HCPCS,C1781,MESH SURG 8X6IN,7200.5,7200.5,223.24,12226.8,40
HCPCS,C1781,MESH SURG 9X9IN,1947.0,1947.0,103.19,2336.4,20
HCPCS,C1781,MESH SURG CIRCL 4.5IN,2157.0,2157.0,114.32,2588.4,20
HCPCS,C1781,MESH SURG CNTR 10X18.5CM,6064.0,6064.0,321.39,7276.8,20
HCPCS,C1781,MESH SURG COLLAG 35X35CM,40425.0,40425.0,2142.53,48510.0,20
HCPCS,C1781,MESH SURG HRN 4IN 6IN,2472.0,2472.0,131.02,2966.4,20
HCPCS,C1781,MESH SURG HRN 6X4IN,4138.0,4138.0,219.31,4965.6,20
HCPCS,C1781,MESH SURG LG 13.7X5.9CM,265.0,265.0,14.04,318.0,20
HCPCS,C1781,MESH SURG LG CIR 3.2IN,1769.0,1769.0,93.76,2122.8,20
HCPCS,C1781,MESH SURG OVL 8X12CM,4034.0,4034.0,213.8,4840.8,20
HCPCS,C1781,MESH SURG PERF CNTOR MED,13146.0,13146.0,696.74,15775.2,20
HCPCS,C1781,MESH SURG PERF CNTOR SM,7668.0,7668.0,406.4,9201.6,20
HCPCS,C1781,MESH SURG PLG 1.9X1.6IN,608.0,608.0,32.22,729.6,20
HCPCS,C1781,MESH SURG RECT 12X10IN,24584.0,24584.0,1302.95,29500.8,20
HCPCS,C1781,MESH SURG STF 4.5IN,4044.0,4044.0,214.33,4852.8,20
HCPCS,C1781,MESH SURG SYMBOTEX 25X20,2858.36,2858.36,151.49,3430.03,20
HCPCS,C1781,MESH ULTRAPRO PLUG LG,346.0,346.0,18.34,415.2,20
HCPCS,C1781,MESH ULTRAPRO PLUG MED,339.0,339.0,17.97,406.8,20
HCPCS,C1781,MESH ULTRAPRO PLUG SMALL,339.0,339.0,17.97,406.8,20
HCPCS,C1781,MESH VCRYL 12X12,1525.0,1525.0,80.83,1830.0,20
HCPCS,C1781,MESH Y SURG 5CM 27CM,1660.0,1660.0,87.98,1992.0,20
HCPCS,C1781,PATCH CV PRCRD .08X8CM,498.0,498.0,26.39,597.6,20
HCPCS,C1781,PATCH HERN 4.3CM,1329.0,1329.0,70.44,1594.8,20
HCPCS,C1781,PATCH SURG MFL 6.4CM,1590.0,1590.0,84.27,1908.0,20
HCPCS,C1781,PATCH TIS 2MMX26CMX34CM,8756.0,8756.0,464.07,10507.2,20
HCPCS,C1781,PLATE CRANI MESH 12MM,2211.0,2211.0,117.18,2653.2,20
HCPCS,C1781,PLATE MESH MED 12MM,2934.0,2934.0,155.5,3520.8,20
HCPCS,C1781,XNMTRX AB 5.9X7.9,17300.0,17300.0,916.9,20760.0,20
HCPCS,C1782,BLADE SHAVER DENSE PLUS,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1782,BLADE SHAVER SOFT MINI,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1782,BLADE SHAVER SOFT PLUS,5464.0,5464.0,289.59,6556.8,49
HCPCS,C1785,PACEMAKER DDDR CRD ACTDR,8100.0,8100.0,429.3,9720.0,20
HCPCS,C1785,PACEMKR ACLD RT ATR L301,3150.0,3150.0,166.95,3780.0,20
HCPCS,C1785,PACEMKR ACT 2CHMB 52X46,6400.0,6400.0,339.2,7680.0,20
HCPCS,C1785,PACEMKR SYS 2CHMBR XL ID,8100.0,8100.0,429.3,9720.0,20
HCPCS,C1785,PACNG 2REVO MRI SURESCAN,10100.0,10100.0,535.3,12120.0,20
HCPCS,C1785,PCMAKR .75CM 4.45X5.88CM,6112.0,6112.0,323.94,7334.4,20
HCPCS,C1785,PCMKR 2CH W HOME MNTR,4868.0,4868.0,258.0,5841.6,20
HCPCS,C1785,PCMKR 4.45X5.88X0.75CM,5440.0,5440.0,288.32,6528.0,20
HCPCS,C1785,PCMKR 46.6X50.8X7.4MM,5662.0,5662.0,300.09,6794.4,20
HCPCS,C1785,PCMKR CD  6MM 44X43MM ID,6400.0,6400.0,339.2,7680.0,20
HCPCS,C1785,PCMKR CD  6MM 52X44MM,8948.0,8948.0,474.24,10737.6,20
HCPCS,C1785,PCMKR CRD 4.45X5.02X0.75,9243.0,9243.0,323.94,14848.8,40
HCPCS,C1785,PCMKR CRD 47X50X6MM,6400.0,6400.0,339.2,7680.0,20
HCPCS,C1785,PCR ALTR 60 EL DR S606,7048.0,7048.0,373.54,8457.6,20
HCPCS,C1785,PCR ENRTHM DR P1501DR,7300.0,7300.0,386.9,8760.0,20
HCPCS,C1785,PCR IDNTY ADX XL DR 5356,8100.0,8100.0,429.3,9720.0,20
HCPCS,C1785,PCR IDNTY DR 5370,8100.0,8100.0,429.3,9720.0,20
HCPCS,C1785,PCR KPPA DR KDR403,8112.0,8112.0,429.94,9734.4,20
HCPCS,C1785,PCR KPPA DR KDR921,8112.0,8112.0,429.94,9734.4,20
HCPCS,C1785,PCR KPPA DR KDR921P,8112.0,8112.0,429.94,9734.4,20
HCPCS,C1785,PCR SMPHNY DR2550 DDDR,12600.0,12600.0,667.8,15120.0,20
HCPCS,C1785,PCR VCTRY DR 5810,6400.0,6400.0,339.2,7680.0,20
HCPCS,C1786,PACEMAKER 23F 105CM,22500.0,22500.0,1192.5,27000.0,20
HCPCS,C1786,PACEMAKER CARD 259,17500.0,17500.0,927.5,21000.0,20
HCPCS,C1786,PACEMKR ACT 1CHMB 52X42,6400.0,6400.0,339.2,7680.0,20
HCPCS,C1786,PCMKR CRD 47X50X6MM,6400.0,6400.0,339.2,7680.0,20
HCPCS,C1786,PCMKR SNGL 7.4 50.8X42.6,5460.0,5460.0,289.38,6552.0,20
HCPCS,C1786,PCR ALTR SSIR S401,8100.0,8100.0,429.3,9720.0,20
HCPCS,C1786,PCR IDNTY ADX XL SR 5180,6400.0,6400.0,339.2,7680.0,20
HCPCS,C1786,PCR IDNTY SR 5172,8100.0,8100.0,429.3,9720.0,20
HCPCS,C1786,PCR VCTRY SR 5610,6400.0,6400.0,339.2,7680.0,20
HCPCS,C1786,SYSTEM PCNG LDLESS CPSL,18820.0,18820.0,997.46,22584.0,20
HCPCS,C1786,SYSTEM PCNG LEADLESS,24440.0,24440.0,1295.32,29328.0,20
HCPCS,C1787,CONTROLLER PROGRAMER PT,5240.0,5240.0,277.72,6288.0,49
HCPCS,C1787,CONTROLLER PT NEURO,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1787,KIT NRSTM PT PROGRAMMER,11630.5,11630.5,601.39,14296.8,98
HCPCS,C1787,KIT PATIENT REMOTE,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1787,PROGRAMMER NRSTM VRF 4,3236.0,3236.0,171.51,3883.2,49
HCPCS,C1787,PROGRAMMER PT INTERSTIM,3970.05,3970.05,210.41,4764.06,49
HCPCS,C1787,PROGRAMMERS STIM EXTRNL,3970.05,3970.05,210.41,4764.06,49
HCPCS,C1788,PORT IMPL INFSN 6FR,516.0,516.0,27.35,619.2,20
HCPCS,C1788,PORT IMPL INFSN 8FR,525.0,525.0,26.5,660.0,60
HCPCS,C1789,IMP BRST NTRL MH FPJ 140,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1789,IMP BRST NTRL MOD FP 195,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1789,IMPL BREAST 153-360,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1789,IMPL BREAST 153-450,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1789,IMPL BREAST 645CC,1520.0,1520.0,80.56,1824.0,20
HCPCS,C1789,IMPL BRST 15X15.5CM605ML,2190.0,2190.0,116.07,2628.0,20
HCPCS,C1789,IMPL BRST OD11.6 CM,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1789,IMPL BRST TEXTURED,1100.0,1100.0,58.3,1320.0,20
HCPCS,C1789,IMPLANT BREAST 130CC,1861.0,1861.0,88.62,2460.0,60
HCPCS,C1789,IMPLANT BREAST 150CC,1849.0,1849.0,87.34,2460.0,40
HCPCS,C1789,IMPLANT BREAST 160CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 170CC,1849.0,1849.0,87.34,2460.0,40
HCPCS,C1789,IMPLANT BREAST 175CC,1645.0,1645.0,58.3,2628.0,40
HCPCS,C1789,IMPLANT BREAST 185CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 190CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 210CC,2275.0,2275.0,108.65,3000.0,40
HCPCS,C1789,IMPLANT BREAST 215CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 230CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 235CC,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1789,IMPLANT BREAST 240CC,2650.0,2650.0,140.45,3180.0,20
HCPCS,C1789,IMPLANT BREAST 250CC,1931.0,1931.0,88.62,2628.0,40
HCPCS,C1789,IMPLANT BREAST 255CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 265CC,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1789,IMPLANT BREAST 280CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 290CC,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1789,IMPLANT BREAST 295CC,2190.0,2190.0,116.07,2628.0,20
HCPCS,C1789,IMPLANT BREAST 300CC,1510.0,1510.0,80.03,1812.0,20
HCPCS,C1789,IMPLANT BREAST 310CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 320CC,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1789,IMPLANT BREAST 325CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 330CC,2350.0,2350.0,108.65,3180.0,40
HCPCS,C1789,IMPLANT BREAST 335CC,2190.0,2190.0,116.07,2628.0,20
HCPCS,C1789,IMPLANT BREAST 340CC,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1789,IMPLANT BREAST 345CC,2650.0,2650.0,140.45,3180.0,20
HCPCS,C1789,IMPLANT BREAST 350CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 355CC,1750.0,1750.0,92.75,2100.0,20
HCPCS,C1789,IMPLANT BREAST 360CC,1781.0,1781.0,88.62,2268.0,40
HCPCS,C1789,IMPLANT BREAST 370CC,2175.0,2175.0,108.65,2760.0,40
HCPCS,C1789,IMPLANT BREAST 385CC,2161.0,2161.0,88.62,3180.0,40
HCPCS,C1789,IMPLANT BREAST 390CC,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1789,IMPLANT BREAST 400CC,2350.0,2350.0,108.65,3180.0,40
HCPCS,C1789,IMPLANT BREAST 405CC,2275.0,2275.0,108.65,3000.0,40
HCPCS,C1789,IMPLANT BREAST 415CC,2600.0,2600.0,108.65,3180.0,60
HCPCS,C1789,IMPLANT BREAST 420CC,2650.0,2650.0,140.45,3180.0,20
HCPCS,C1789,IMPLANT BREAST 425CC,1648.0,1648.0,87.34,1977.6,20
HCPCS,C1789,IMPLANT BREAST 430CC,2275.0,2275.0,108.65,3000.0,40
HCPCS,C1789,IMPLANT BREAST 440CC,2050.0,2050.0,92.75,3000.0,60
HCPCS,C1789,IMPLANT BREAST 450CC,2050.0,2050.0,80.03,3180.0,100
HCPCS,C1789,IMPLANT BREAST 465CC,2050.0,2050.0,108.65,2460.0,40
HCPCS,C1789,IMPLANT BREAST 470CC,2350.0,2350.0,108.65,3180.0,40
HCPCS,C1789,IMPLANT BREAST 475CC,1686.0,1686.0,88.62,2040.0,40
HCPCS,C1789,IMPLANT BREAST 480CC,2400.0,2400.0,121.9,3000.0,40
HCPCS,C1789,IMPLANT BREAST 485CC,2650.0,2650.0,140.45,3180.0,20
HCPCS,C1789,IMPLANT BREAST 495CC,2650.0,2650.0,140.45,3180.0,20
HCPCS,C1789,IMPLANT BREAST 500CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 510CC,1672.0,1672.0,88.62,2006.4,20
HCPCS,C1789,IMPLANT BREAST 520CC,2575.0,2575.0,132.5,3180.0,60
HCPCS,C1789,IMPLANT BREAST 525CC,2350.0,2350.0,108.65,3180.0,40
HCPCS,C1789,IMPLANT BREAST 530CC,2300.0,2300.0,121.9,2760.0,20
HCPCS,C1789,IMPLANT BREAST 535CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 545CC,2295.0,2295.0,108.65,3000.0,80
HCPCS,C1789,IMPLANT BREAST 560CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 585CC,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1789,IMPLANT BREAST 590CC,1750.0,1750.0,88.62,3000.0,60
HCPCS,C1789,IMPLANT BREAST 595CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 605CC,2350.0,2350.0,108.65,3180.0,40
HCPCS,C1789,IMPLANT BREAST 615CC,2400.0,2400.0,127.2,2880.0,20
HCPCS,C1789,IMPLANT BREAST 630CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 635CC,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1789,IMPLANT BREAST 645CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 650CC,2050.0,2050.0,58.3,3180.0,60
HCPCS,C1789,IMPLANT BREAST 685CC,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1789,IMPLANT BREAST 700CC,2120.0,2120.0,108.65,2628.0,60
HCPCS,C1789,IMPLANT BREAST 740CC,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1789,IMPLANT BREAST 750CC,600.0,600.0,31.8,720.0,20
HCPCS,C1789,IMPLANT BREAST 755CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1789,IMPLANT BREAST 775CC,2500.0,2500.0,132.5,3000.0,20
HCPCS,C1789,IMPLANT BREAST 790CC,2050.0,2050.0,108.65,2460.0,20
HCPCS,C1813,CYL & PMP SET 16,11070.0,11070.0,586.71,13284.0,20
HCPCS,C1813,CYL & PMP SET 18,13728.0,13728.0,727.58,16473.6,20
HCPCS,C1813,CYL & PMP SET 22,10270.0,10270.0,544.31,12324.0,20
HCPCS,C1813,CYLINDER SET W/PUMP 18CM,13728.0,13728.0,727.58,16473.6,20
HCPCS,C1813,KIT ASMBLY PROS PENL,560.0,560.0,29.68,672.0,20
HCPCS,C1813,KIT PROSTH PENL ACC,1748.0,1748.0,92.64,2097.6,20
HCPCS,C1813,PROS PENILE PUMP INFL,10194.0,10194.0,540.28,12232.8,20
HCPCS,C1813,PROS PENL 16CM-25CM 11MM,22665.0,22665.0,1201.24,27198.0,20
HCPCS,C1813,PROS PENL 9.5MM,22665.0,22665.0,1201.24,27198.0,20
HCPCS,C1813,PROS PENL LKOUT VLV RSRV,2950.0,2950.0,156.35,3540.0,20
HCPCS,C1813,PROSPENL PUMP 6FR 45CM,17598.0,17598.0,932.69,21117.6,20
HCPCS,C1813,PROSTH PENL LCK-OUT 14CM,15690.0,15690.0,831.57,18828.0,20
HCPCS,C1813,PROSTH PENL LCK-OUT 16CM,17598.0,17598.0,932.69,21117.6,20
HCPCS,C1813,PROSTH PENL OD PMP 22CM,17598.0,17598.0,932.69,21117.6,20
HCPCS,C1813,PROSTH PENL PS 10CM 18CM,21228.0,21228.0,1109.56,25825.2,40
HCPCS,C1813,PROSTH PENL PS 12CM 21CM,21228.0,21228.0,1109.56,25825.2,40
HCPCS,C1813,PROSTH PENL PS 14CM 24CM,20935.0,20935.0,1109.56,25122.0,20
HCPCS,C1813,PROSTH PENL PUMP PL 18CM,598.0,598.0,31.69,717.6,20
HCPCS,C1813,PROSTH PENL PUMP PS 12CM,19264.0,19264.0,1020.99,23116.8,20
HCPCS,C1813,PROSTH PENL PUMP PS 15CM,21227.0,21227.0,1109.5,25824.0,40
HCPCS,C1813,PROSTH PENL PUMP PS 16CM,21781.0,21781.0,1154.39,26137.2,20
HCPCS,C1813,PROSTH PENL PUMP PS 18CM,21520.0,21520.0,1140.56,25824.0,20
HCPCS,C1813,PROSTH PENL XTND REAR TP,834.0,834.0,44.2,1000.8,20
HCPCS,C1813,PROSTH RESRVOIR 125ML,4478.0,4478.0,237.33,5373.6,20
HCPCS,C1813,PROSTHES PENL HYDRPHL 75,2950.0,2950.0,156.35,3540.0,20
HCPCS,C1813,PROSTHES PENL INFL 18CM,17598.0,17598.0,932.69,21117.6,20
HCPCS,C1813,PROSTHESIS PENILE TITAN,20390.0,20390.0,1080.67,24468.0,40
HCPCS,C1813,PROSTHESIS PENL SCROTAL,17796.0,17796.0,943.19,21355.2,20
HCPCS,C1813,PROSTHESIS PENL TTN 11CM,18412.0,18412.0,975.84,22094.4,20
HCPCS,C1813,PROSTHESIS PENL TTN 16MM,20390.0,20390.0,1080.67,24468.0,20
HCPCS,C1813,PROSTHESIS PENL TTN 18CM,20390.0,20390.0,1080.67,24468.0,20
HCPCS,C1813,PROSTHESIS PENL TTN 24CM,10194.0,10194.0,540.28,12232.8,20
HCPCS,C1813,PROSTHESIS PNL 75ML,4478.0,4478.0,237.33,5373.6,20
HCPCS,C1813,PROSTHESIS PNLE 20CM,20390.0,20390.0,1080.67,24468.0,20
HCPCS,C1813,PROSTHESIS PNLE 24CM,19180.0,19180.0,1016.54,23016.0,20
HCPCS,C1813,RESERVOIR PENL 100MM,5348.0,5348.0,283.44,6417.6,20
HCPCS,C1813,RSVR SCRT 100ML LKOUT,2480.0,2480.0,131.44,2976.0,20
HCPCS,C1815,CUFF OCCL PNLE 4.5CM,4950.0,4950.0,262.35,5940.0,20
HCPCS,C1815,CUFF URTH SPHNC AB 3.5CM,13622.0,13622.0,721.97,16346.4,20
HCPCS,C1815,CUFF URTH SPHNCR AB 4.5C,14962.0,14962.0,792.99,17954.4,20
HCPCS,C1815,CUFF URTH SPHNCR AB 4CM,14962.0,14962.0,792.99,17954.4,20
HCPCS,C1815,CUFF URTH SPHNCR AB 5CM,14962.0,14962.0,792.99,17954.4,20
HCPCS,C1817,OCCLUDER CV 10X3MM,14100.0,14100.0,747.3,16920.0,20
HCPCS,C1817,OCCLUDER CV 25MM,18200.0,18200.0,964.6,21840.0,20
HCPCS,C1817,OCCLUDER CV 30MM,18200.0,18200.0,964.6,21840.0,20
HCPCS,C1819,NEEDLE BRST 20GA 10CM,867.0,867.0,45.95,1040.4,49
HCPCS,C1819,NEEDLE LOC 21GA 5CM,1212.0,1212.0,64.24,1454.4,49
HCPCS,C1819,NEEDLE LOC 21GA 7CM,64.0,64.0,3.39,76.8,20
HCPCS,C1820,IPG NRSTM 17MM 47MM,19010.0,19010.0,1007.53,22812.0,20
HCPCS,C1820,IPG NRSTM 5.3X4.8CM,29562.0,29562.0,1566.79,35474.4,20
HCPCS,C1820,IPG NRSTM 5.55CM 4.95CM,31562.0,31562.0,1672.79,37874.4,20
HCPCS,C1820,IPG NRSTM 57.1MM 47.2MM,33660.0,33660.0,1783.98,40392.0,20
HCPCS,C1820,NEUROSTM IMPL IPG RESTR,27800.0,27800.0,1473.4,33360.0,20
HCPCS,C1820,NEUROSTM SYNRG SPN RCHRG,21888.0,21888.0,1160.06,26265.6,20
HCPCS,C1820,NRSTM IMPL RESTORE ULT,30000.0,30000.0,1590.0,36000.0,20
HCPCS,C1822,IMPLANT PULSE 8.5X15.5IN,38000.0,38000.0,2014.0,45600.0,20
HCPCS,C1822,PULSE GEN IMP,38000.0,38000.0,2014.0,45600.0,20
HCPCS,C1824,GEN PLS CARD MOD SYS,46000.0,46000.0,2438.0,55200.0,20
HCPCS,C1824,GEN PLS CARD SMART MINI,52000.0,52000.0,2756.0,62400.0,20
HCPCS,C1832,DEVICE CELL HARVEST,52161.0,52161.0,2697.12,64119.6,98
HCPCS,C1874,GFT EVAS ZNTH 34X190X18F,31930.0,31930.0,1692.29,38316.0,20
HCPCS,C1874,GFT EVAS ZNTH 36X190X18F,31930.0,31930.0,1692.29,38316.0,20
HCPCS,C1874,GRAFT AAA ILIAC LMB24X90,5992.0,5992.0,317.58,7190.4,20
HCPCS,C1874,GRAFT EVAS AAA 74X26,16424.0,16424.0,870.47,19708.8,20
HCPCS,C1874,GRAFT EVAS ZNTH 28X120,24188.0,24188.0,1281.96,29025.6,20
HCPCS,C1874,GRAFT EVS ZNTH 38X152X22,24188.0,24188.0,1281.96,29025.6,20
HCPCS,C1874,GRAFT STENT 102X14X23MM,19950.0,19950.0,1057.35,23940.0,20
HCPCS,C1874,GRAFT STENT 14-25X103MM,16700.0,16700.0,885.1,20040.0,20
HCPCS,C1874,GRAFT STENT EVAS 56X16MM,5992.0,5992.0,317.58,7190.4,20
HCPCS,C1874,GRAFT STNT 102MM 28-14MM,19950.0,19950.0,1057.35,23940.0,20
HCPCS,C1874,GRAFT STNT 103MM 14-28MM,16700.0,16700.0,885.1,20040.0,20
HCPCS,C1874,GRAFT STNT 16FR 146MM,8400.0,8400.0,445.2,10080.0,20
HCPCS,C1874,GRAFT STNT 22MM 112MM,30510.0,30510.0,1617.03,36612.0,20
HCPCS,C1874,GRAFT STNT 22MM 152MM,33203.0,33203.0,1759.76,39843.6,20
HCPCS,C1874,GRAFT STNT 24MM 152MM,33203.0,33203.0,1759.76,39843.6,20
HCPCS,C1874,GRAFT STNT 30MM 157MM,33203.0,33203.0,1759.76,39843.6,20
HCPCS,C1874,GRAFT STNT 32MM 100MM,33990.0,33990.0,1801.47,40788.0,20
HCPCS,C1874,GRAFT STNT 32MM 150MM,32552.0,32552.0,1725.26,39062.4,20
HCPCS,C1874,GRAFT STNT 32MM 157MM,32552.0,32552.0,1725.26,39062.4,20
HCPCS,C1874,GRAFT STNT 32MM 49MM,9150.0,9150.0,484.95,10980.0,20
HCPCS,C1874,GRAFT STNT 34MM 100MM,33990.0,33990.0,1801.47,40788.0,20
HCPCS,C1874,GRAFT STNT 36-16MM 166MM,16700.0,16700.0,885.1,20040.0,20
HCPCS,C1874,GRAFT STNT 36MM 200MM,34998.0,34998.0,1854.89,41997.6,20
HCPCS,C1874,GRAFT STNT 38MM 107MM,30510.0,30510.0,1617.03,36612.0,20
HCPCS,C1874,GRAFT STNT 42MM 157MM,36990.0,36990.0,1960.47,44388.0,20
HCPCS,C1874,GRFT EVAS 145MM 32/16MM,19950.0,19950.0,1057.35,23940.0,20
HCPCS,C1874,STENT BIL 10MM 60MM,4719.0,4719.0,250.11,5662.8,20
HCPCS,C1874,STENT BIL 10MM 80MM,4719.0,4719.0,250.11,5662.8,20
HCPCS,C1874,STENT BIL 8.5FR 10X40MM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1874,STENT BIL 8.5FR 10X60MM,18373.0,18373.0,973.77,22047.6,20
HCPCS,C1874,STENT BIL 8.5FR 40X10MM,4268.0,4268.0,226.2,5121.6,20
HCPCS,C1874,STENT BIL 8.5FR 60X10MM,4268.0,4268.0,226.2,5121.6,40
HCPCS,C1874,STENT BIL 8.5FR 80X10MM,4234.0,4234.0,222.6,5121.6,40
HCPCS,C1874,STENT BIL 8.5FR 8X80MM,4728.0,4728.0,250.58,5673.6,20
HCPCS,C1874,STENT BIL RX 10MM 60MM,5233.0,5233.0,277.35,6279.6,20
HCPCS,C1874,STENT BIL RX 10MM 80MM,5233.0,5233.0,277.35,6279.6,20
HCPCS,C1874,STENT BILIARY 10MM 10CM,4600.0,4600.0,243.8,5520.0,20
HCPCS,C1874,STENT BILIARY 4MM 10CM,4600.0,4600.0,243.8,5520.0,20
HCPCS,C1874,STENT BILIARY 6MM 10CM,4600.0,4600.0,243.8,5520.0,20
HCPCS,C1874,STENT BILIARY 8MM 10CM,4600.0,4600.0,243.8,5520.0,20
HCPCS,C1874,STENT COR 2.00MM X22 MM,1178.0,1178.0,62.43,1413.6,20
HCPCS,C1874,STENT COR 2.00MMX08MM,1178.0,1178.0,62.43,1413.6,20
HCPCS,C1874,STENT COR 2.00MMX12MM,1178.0,1178.0,62.43,1413.6,20
HCPCS,C1874,STENT COR 2.00MMX30MM,1178.0,1178.0,62.43,1413.6,20
HCPCS,C1874,STENT COR 2.0MMX15MM,1178.0,1178.0,62.43,1413.6,20
HCPCS,C1874,STENT COR 2.25MM 15MM,1370.0,1370.0,63.6,1848.0,40
HCPCS,C1874,STENT COR 2.25MM 18MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.25MM 23MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.25MM 26MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1874,STENT COR 2.25MM 28MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.25MM 33MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.25MM 34MM,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1874,STENT COR 2.25MM 38MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.25MM 8MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.25MMX08MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.25MMX12MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.25MMX15MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.25MMX18MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.25MMX22MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.25MMX26MM,600.0,600.0,31.8,720.0,20
HCPCS,C1874,STENT COR 2.25MMX30MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.25MMX38MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.25X12MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.25X16MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.25X20MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.25X24MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.25X28MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.25X32MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.25X38MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.25X8MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.50MMX08MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.50MMX12MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.50MMX15MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.50MMX18MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.50MMX22MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.50MMX26MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.50MMX30MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.50MMX34MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.50MMX38MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.50X12MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.50X16MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.50X20MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.50X24MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.50X28MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.50X32MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.50X38MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.50X48MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1874,STENT COR 2.50X8MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.5MM 12MM,1307.0,1307.0,56.92,1848.0,40
HCPCS,C1874,STENT COR 2.5MM 15MM,1307.0,1307.0,56.92,1848.0,40
HCPCS,C1874,STENT COR 2.5MM 18MM,1307.0,1307.0,56.92,1848.0,40
HCPCS,C1874,STENT COR 2.5MM 23MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.5MM 26MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.5MM 28MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.5MM 30MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1874,STENT COR 2.5MM 33MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.5MM 38MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.5MM 8MM,1307.0,1307.0,56.92,1848.0,40
HCPCS,C1874,STENT COR 2.75MM 12MM,1370.0,1370.0,63.6,1848.0,40
HCPCS,C1874,STENT COR 2.75MM 15MM,1307.0,1307.0,56.92,1848.0,40
HCPCS,C1874,STENT COR 2.75MM 18MM,1307.0,1307.0,56.92,1848.0,40
HCPCS,C1874,STENT COR 2.75MM 23MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.75MM 26MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.75MM 28MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.75MM 33MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.75MM 38MM,1307.0,1307.0,56.92,1848.0,40
HCPCS,C1874,STENT COR 2.75MM 8MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 2.75MMX08MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.75MMX12MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.75MMX15MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.75MMX18MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.75MMX22MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.75MMX30MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.75MMX34MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 2.75X12MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.75X16MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.75X20MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.75X24MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.75X28MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.75X32MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.75X38MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2.75X48MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1874,STENT COR 2.75X8MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 2MM 12MM,1178.0,1178.0,62.43,1413.6,20
HCPCS,C1874,STENT COR 2MM 15MM,1178.0,1178.0,62.43,1413.6,20
HCPCS,C1874,STENT COR 2MM 26MM,1178.0,1178.0,62.43,1413.6,20
HCPCS,C1874,STENT COR 2MM 8MM,1178.0,1178.0,62.43,1413.6,20
HCPCS,C1874,STENT COR 3.00MMX08MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 3.00MMX12MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 3.00MMX15MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 3.00MMX18MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 3.00MMX22MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 3.00MMX26MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 3.00MMX30MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 3.00MMX34MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 3.00MMX38MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 3.00X12MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.00X16MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.00X20MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.00X24MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.00X28MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.00X32MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.00X38MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.00X48MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1874,STENT COR 3.00X8MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.25MM 12MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 3.25MM 15MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 3.25MM 18MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 3.25MM 23MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 3.25MM 33MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 3.25MM 38MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 3.25MM 8MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 3.50MMX12MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 3.50MMX15MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 3.50MMX18MM,550.0,550.0,29.15,660.0,20
HCPCS,C1874,STENT COR 3.50MMX22MM,550.0,550.0,29.15,660.0,20
HCPCS,C1874,STENT COR 3.50MMX26MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 3.50MMX30MM,550.0,550.0,29.15,660.0,20
HCPCS,C1874,STENT COR 3.50MMX34MM,550.0,550.0,29.15,660.0,20
HCPCS,C1874,STENT COR 3.50MMX38MM,550.0,550.0,29.15,660.0,20
HCPCS,C1874,STENT COR 3.50X12MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.50X16MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.50X20MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.50X24MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.50X28MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.50X32MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.50X38MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.50X48MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1874,STENT COR 3.50X8MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 3.5MM 15MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 3.5MM 18MM,1370.0,1370.0,63.6,1848.0,40
HCPCS,C1874,STENT COR 3.5MM 22MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1874,STENT COR 3.5MM 30MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1874,STENT COR 3.5MM 34MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1874,STENT COR 3.5MM 38MM,1370.0,1370.0,63.6,1848.0,40
HCPCS,C1874,STENT COR 3.5MM 8MM,1307.0,1307.0,56.92,1848.0,40
HCPCS,C1874,STENT COR 3MM 12MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 3MM 15MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 3MM 18MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 3MM 28MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 3MM 33MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 3MM 38MM,1370.0,1370.0,63.6,1848.0,40
HCPCS,C1874,STENT COR 3MM 8MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 4.00MMX08MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 4.00MMX12MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 4.00MMX15MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 4.00MMX22MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 4.00MMX30MM,550.0,550.0,29.15,660.0,20
HCPCS,C1874,STENT COR 4.00MMX34MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 4.00X12MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.00X16MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.00X20MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.00X24MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.00X28MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.00X32MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.00X38MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.00X48MM,1600.0,1600.0,84.8,1920.0,20
HCPCS,C1874,STENT COR 4.00X8MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.50MMX12MM,550.0,550.0,29.15,660.0,20
HCPCS,C1874,STENT COR 4.50MMX15MM,1178.0,1178.0,62.43,1413.6,20
HCPCS,C1874,STENT COR 4.50MMX18MM,550.0,550.0,29.15,660.0,20
HCPCS,C1874,STENT COR 4.50X12MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.50X16MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.50X20MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.50X24MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.50X28MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.50X32MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 4.5MM 12MM,1650.0,1650.0,87.45,1980.0,20
HCPCS,C1874,STENT COR 4.5MM 18MM,1178.0,1178.0,62.43,1413.6,20
HCPCS,C1874,STENT COR 4MM 12MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 4MM 15MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 4MM 18MM,1520.0,1520.0,79.5,1848.0,40
HCPCS,C1874,STENT COR 4MM 23MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 4MM 26MM,1850.0,1850.0,98.05,2220.0,20
HCPCS,C1874,STENT COR 4MM 28MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 4MM 30MM,1074.0,1074.0,56.92,1288.8,20
HCPCS,C1874,STENT COR 4MM 33MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 4MM 38MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 4MM 8MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR 5.00X12MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 5.00X16MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 5.00X20MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 5.00X24MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 5.00X28MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR 5.00X32MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR RX 2.25X12MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR RX 3.25X28MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR RX 3.5X12MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR RX 3.5X23MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR RX 3.5X28MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR RX 3.5X33MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR RX 3X23MM,1540.0,1540.0,81.62,1848.0,20
HCPCS,C1874,STENT COR RX 3X24MM,1350.0,1350.0,71.55,1620.0,20
HCPCS,C1874,STENT COR RX2.25X16MM,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1874,STENT COR RX2.5X28MM,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1874,STENT COR RX2.5X38MM,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1874,STENT COR XIENCE 33X2.25,1750.0,1750.0,92.75,2100.0,20
HCPCS,C1874,STENT COR XIENCE 38X3MM,1550.0,1550.0,82.15,1860.0,20
HCPCS,C1874,STENT COR XIENCE 8X3MM,1550.0,1550.0,82.15,1860.0,20
HCPCS,C1874,STENT ENDO 6FR 135CM,5792.0,5792.0,303.16,7036.8,40
HCPCS,C1874,STENT ENDO 6X29MM 135CM,5864.0,5864.0,310.79,7036.8,20
HCPCS,C1874,STENT ENDO 7FR 135CM,5864.0,5864.0,310.79,7036.8,60
HCPCS,C1874,STENT EPRSTH 10MM 120CM,7532.0,7532.0,399.2,9038.4,20
HCPCS,C1874,STENT EPRSTH 10MM 8CM,10090.0,10090.0,534.77,12108.0,20
HCPCS,C1874,STENT EPRSTH 10X13X29MM,5864.0,5864.0,310.79,7036.8,20
HCPCS,C1874,STENT EPRSTH 10X13X39MM,5864.0,5864.0,310.79,7036.8,20
HCPCS,C1874,STENT EPRSTH 10X13X59MM,5864.0,5864.0,310.79,7036.8,20
HCPCS,C1874,STENT EPRSTH 11X16X39MM,5864.0,5864.0,310.79,7036.8,20
HCPCS,C1874,STENT EPRSTH 11X16X59MM,5864.0,5864.0,310.79,7036.8,20
HCPCS,C1874,STENT EPRSTH 11X16X79MM,6664.0,6664.0,353.19,7996.8,20
HCPCS,C1874,STENT EPRSTH 5CM 10MM,5822.0,5822.0,308.57,6986.4,20
HCPCS,C1874,STENT EPRSTH 5CM 11MM,5938.0,5938.0,314.71,7125.6,20
HCPCS,C1874,STENT EPRSTH 5CM 13MM,5822.0,5822.0,308.57,6986.4,20
HCPCS,C1874,STENT EPRSTH 5MM 10CM,7156.0,7156.0,379.27,8587.2,20
HCPCS,C1874,STENT EPRSTH 5X8X19MM,5186.0,5186.0,274.86,6223.2,20
HCPCS,C1874,STENT EPRSTH 6CM 8-10MM,9796.0,9796.0,519.19,11755.2,20
HCPCS,C1874,STENT EPRSTH 6MM 10CM,7156.0,7156.0,379.27,8587.2,20
HCPCS,C1874,STENT EPRSTH 6MM 2.5CM,6228.0,6228.0,330.08,7473.6,20
HCPCS,C1874,STENT EPRSTH 6MM 5CM,6228.0,6228.0,330.08,7473.6,20
HCPCS,C1874,STENT EPRSTH 6X8X19MM,5084.0,5084.0,269.45,6100.8,20
HCPCS,C1874,STENT EPRSTH 6X8X29MM,5864.0,5864.0,310.79,7036.8,20
HCPCS,C1874,STENT EPRSTH 7CM 8-10MM,10090.0,10090.0,534.77,12108.0,20
HCPCS,C1874,STENT EPRSTH 7MM 10CM,7156.0,7156.0,379.27,8587.2,20
HCPCS,C1874,STENT EPRSTH 7MM 15CM,8234.0,8234.0,436.4,9880.8,20
HCPCS,C1874,STENT EPRSTH 7MM 2.5CM,6228.0,6228.0,330.08,7473.6,20
HCPCS,C1874,STENT EPRSTH 7MM 25CM,13558.0,13558.0,718.57,16269.6,20
HCPCS,C1874,STENT EPRSTH 7X11X19MM,5084.0,5084.0,269.45,6100.8,20
HCPCS,C1874,STENT EPRSTH 7X11X39MM,5720.0,5720.0,303.16,6864.0,20
HCPCS,C1874,STENT EPRSTH 7X11X59MM,5720.0,5720.0,303.16,6864.0,20
HCPCS,C1874,STENT EPRSTH 7X11X79MM,6664.0,6664.0,353.19,7996.8,20
HCPCS,C1874,STENT EPRSTH 8MM 10CM,7156.0,7156.0,379.27,8587.2,20
HCPCS,C1874,STENT EPRSTH 8MM 15CM,8234.0,8234.0,436.4,9880.8,20
HCPCS,C1874,STENT EPRSTH 8MM 5.0CM,6228.0,6228.0,330.08,7473.6,20
HCPCS,C1874,STENT EPRSTH 8X11X29MM,5720.0,5720.0,303.16,6864.0,20
HCPCS,C1874,STENT EPRSTH 8X11X39MM,5720.0,5720.0,303.16,6864.0,20
HCPCS,C1874,STENT EPRSTH 8X11X59MM,5720.0,5720.0,303.16,6864.0,20
HCPCS,C1874,STENT ESPH 18.5FR 23MM,4383.5,4383.5,229.7,5319.6,60
HCPCS,C1874,STENT EVAS 16MM 146MM,8400.0,8400.0,445.2,10080.0,20
HCPCS,C1874,STENT GFT 16F 20X82MM,9700.0,9700.0,514.1,11640.0,20
HCPCS,C1874,STENT GFT 18F 70MM 23MM,14950.0,14950.0,792.35,17940.0,20
HCPCS,C1874,STENT GFT EVAS ZN 22X113,13028.0,13028.0,690.48,15633.6,20
HCPCS,C1874,STENT GFT EVAS ZN 30X16,4002.0,4002.0,212.11,4802.4,20
HCPCS,C1874,STENT GRAFT 14-32X103MM,16400.0,16400.0,869.2,19680.0,20
HCPCS,C1874,STENT GRAFT 16X10X124MM,8400.0,8400.0,445.2,10080.0,20
HCPCS,C1874,STENT GRAFT 16X10X156MM,8400.0,8400.0,445.2,10080.0,20
HCPCS,C1874,STENT GRAFT 16X10X199MM,8230.0,8230.0,436.19,9876.0,20
HCPCS,C1874,STENT GRAFT 16X10X93MM,8230.0,8230.0,436.19,9876.0,20
HCPCS,C1874,STENT GRAFT 16X13X124MM,8400.0,8400.0,445.2,10080.0,20
HCPCS,C1874,STENT GRAFT 16X13X156MM,8400.0,8400.0,445.2,10080.0,20
HCPCS,C1874,STENT GRAFT 16X13X82MM,8230.0,8230.0,436.19,9876.0,20
HCPCS,C1874,STENT GRAFT 16X13X93MM,8230.0,8230.0,436.19,9876.0,20
HCPCS,C1874,STENT GRAFT 16X16X124MM,8400.0,8400.0,445.2,10080.0,20
HCPCS,C1874,STENT GRAFT 16X16X82MM,8230.0,8230.0,436.19,9876.0,20
HCPCS,C1874,STENT GRAFT 16X16X93MM,8400.0,8400.0,445.2,10080.0,20
HCPCS,C1874,STENT GRAFT 16X20X124MM,8400.0,8400.0,445.2,10080.0,20
HCPCS,C1874,STENT GRAFT 16X20X156MM,12800.0,12800.0,678.4,15360.0,20
HCPCS,C1874,STENT GRAFT 16X24X146MM,8230.0,8230.0,436.19,9876.0,20
HCPCS,C1874,STENT GRAFT 16X28X93MM,8230.0,8230.0,436.19,9876.0,20
HCPCS,C1874,STENT GRAFT 22X22X100MM,36990.0,36990.0,1960.47,44388.0,20
HCPCS,C1874,STENT GRAFT 25X25X96MM,36990.0,36990.0,1960.47,44388.0,20
HCPCS,C1874,STENT GRAFT 28MM 4.5CM,8498.0,8498.0,450.39,10197.6,20
HCPCS,C1874,STENT GRAFT 34X34X100MM,36990.0,36990.0,1960.47,44388.0,20
HCPCS,C1874,STENT GRAFT 37X37X97MM,36990.0,36990.0,1960.47,44388.0,20
HCPCS,C1874,STENT GRAFT 40X40X100MM,36990.0,36990.0,1960.47,44388.0,20
HCPCS,C1874,STENT GRAFT ENDURANT II,40000.0,40000.0,2120.0,48000.0,20
HCPCS,C1874,STENT GRFT 124X23X13MM,16700.0,16700.0,885.1,20040.0,20
HCPCS,C1874,STENT GRFT 14-23X103MM,15448.0,15448.0,818.74,18537.6,20
HCPCS,C1874,STENT GRFT 14FR 10X82MM,9300.0,9300.0,492.9,11160.0,20
HCPCS,C1874,STENT GRFT 23MMX4.5CM,8498.0,8498.0,450.39,10197.6,20
HCPCS,C1874,STENT GRFT 36MMX4.5CM,8498.0,8498.0,450.39,10197.6,20
HCPCS,C1874,STENT PANC 21MM 146MM,8668.0,8668.0,459.4,10401.6,20
HCPCS,C1874,STENT PANC 24MM 146MM,8668.0,8668.0,459.4,10401.6,20
HCPCS,C1874,STENT PANC 29MM 146MM,9841.0,9841.0,521.57,11809.2,20
HCPCS,C1874,STENT VASC 10X38MM 80CM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1874,STENT VASC 12X38MM 135CM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1874,STENT VASC 30MM 100MM,33990.0,33990.0,1801.47,40788.0,20
HCPCS,C1874,STENT VASC 5X100MM 125CM,3590.0,3590.0,190.27,4308.0,20
HCPCS,C1874,STENT VASC 5X120MM 125CM,3990.0,3990.0,211.47,4788.0,20
HCPCS,C1874,STENT VASC 5X140MM 125CM,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1874,STENT VASC 5X60MM 125CM,2990.0,2990.0,158.47,3588.0,20
HCPCS,C1874,STENT VASC 5X80MM 125CM,3590.0,3590.0,190.27,4308.0,20
HCPCS,C1874,STENT VASC 6MM 100MM,5190.0,5190.0,275.07,6228.0,40
HCPCS,C1874,STENT VASC 6MM 120MM,5790.0,5790.0,306.87,6948.0,20
HCPCS,C1874,STENT VASC 6MM 40MM,3990.0,3990.0,211.47,4788.0,20
HCPCS,C1874,STENT VASC 6MM 60MM,4590.0,4590.0,243.27,5508.0,20
HCPCS,C1874,STENT VASC 6MM 80MM,5190.0,5190.0,275.07,6228.0,20
HCPCS,C1874,STENT VASC 6X100MM 123CM,3590.0,3590.0,190.27,4308.0,20
HCPCS,C1874,STENT VASC 6X120MM 125CM,3990.0,3990.0,211.47,4788.0,20
HCPCS,C1874,STENT VASC 6X140MM 125CM,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1874,STENT VASC 6X150MM 130CM,6790.0,6790.0,359.87,8148.0,20
HCPCS,C1874,STENT VASC 6X26MM 135CM,4300.0,4300.0,227.9,5160.0,20
HCPCS,C1874,STENT VASC 6X26MM 80CM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1874,STENT VASC 6X40MM 125CM,2350.0,2350.0,124.55,2820.0,20
HCPCS,C1874,STENT VASC 6X60MM 125CM,2990.0,2990.0,158.47,3588.0,20
HCPCS,C1874,STENT VASC 6X80MM 125CM,3590.0,3590.0,190.27,4308.0,20
HCPCS,C1874,STENT VASC 7MM 120MM,5790.0,5790.0,306.87,6948.0,20
HCPCS,C1874,STENT VASC 7MM 150MM,6790.0,6790.0,359.87,8148.0,20
HCPCS,C1874,STENT VASC 7MM 40MM,3990.0,3990.0,211.47,4788.0,20
HCPCS,C1874,STENT VASC 7MM 60MM,4590.0,4590.0,243.27,5508.0,20
HCPCS,C1874,STENT VASC 7MM 80MM,5190.0,5190.0,275.07,6228.0,20
HCPCS,C1874,STENT VASC 7X140MM 125CM,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1874,STENT VASC 7X26MM 80CM,5400.0,5400.0,286.2,6480.0,20
HCPCS,C1874,STENT VASC 7X37MM 135CM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1874,STENT VASC 7X37MM 80CM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1874,STENT VASC 7X58MM 80CM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1874,STENT VASC 7X80MM 125CM,3590.0,3590.0,190.27,4308.0,20
HCPCS,C1874,STENT VASC 8FR 8MM 60MM,4500.0,4500.0,238.5,5400.0,20
HCPCS,C1874,STENT VASC 8X26MM 80CM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1874,STENT VASC 8X37MM 135CM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1874,STENT VASC 8X37MM 80CM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1874,STENT VASC 8X40MM 125CM,2280.0,2280.0,120.84,2736.0,20
HCPCS,C1874,STENT VASC 8X58MM 80CM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1874,STENT VASC 8X80MM 125CM,3483.0,3483.0,184.6,4179.6,20
HCPCS,C1874,STENT VASC 9X38MM 80CM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1874,STENT VASC 9X58MM 80CM,4800.0,4800.0,254.4,5760.0,20
HCPCS,C1874,STENT VNS 10F 12MM 60MM,4500.0,4500.0,238.5,5400.0,20
HCPCS,C1874,STENT VNS 10FR 13.5X60MM,4500.0,4500.0,238.5,5400.0,20
HCPCS,C1874,STENT VNS 9FR 10MM 40MM,4500.0,4500.0,238.5,5400.0,20
HCPCS,C1874,STENT VNS 9FR 8MM 40MM,4500.0,4500.0,238.5,5400.0,20
HCPCS,C1874,STENT VNS 9FR 8MM 60MM,4500.0,4500.0,238.5,5400.0,20
HCPCS,C1874,STNT PROM MR PLS 2.25X16,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 2.25X20,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 2.25X24,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 2.25X28,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 2.25X32,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 2.25X8,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 2.5X20,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 2.5X8,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 2.75X12,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 2.75X16,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 2.75X28,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 2.75X8,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 3.00X12,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 3.00X20,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 3.00X24,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 3.00X28,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 3.50X12,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 3.50X20,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 3.50X24,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 3.50X8,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 4.00X20,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 4.00X24,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 4.00X28,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT PROM MR PLS 4.00X8,2800.0,2800.0,148.4,3360.0,20
HCPCS,C1874,STNT XTN AAA ZNTH 24X74,16916.0,16916.0,896.55,20299.2,20
HCPCS,C1874,SYSTEM COR STNT 2.8X19MM,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1874,SYSTEM COR STNT 3.5X16MM,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1874,SYSTEM COR STNT 3.5X19MM,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1874,SYSTEM COR STNT 4.5X19MM,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1874,SYSTEM COR STNT 4X16MM,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1874,SYSTEM COR STNT 4X19MM,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1874,SYSTEM COR STNT4.5X16MM,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1876,STENT 10F 20X100MM 120CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT 7F 12X100MM 80CM,2998.0,2998.0,158.89,3597.6,20
HCPCS,C1876,STENT 7F 14X100MM 120CM,2998.0,2998.0,158.89,3597.6,20
HCPCS,C1876,STENT 7F 14X140MM 80CM,2998.0,2998.0,158.89,3597.6,20
HCPCS,C1876,STENT 7F 14X60MM 120CM,2798.0,2798.0,148.29,3357.6,20
HCPCS,C1876,STENT 7F 16X100MM 120CM,2998.0,2998.0,158.89,3597.6,20
HCPCS,C1876,STENT 7F 16X100MM 80CM,2998.0,2998.0,158.89,3597.6,20
HCPCS,C1876,STENT 7F 16X140MM 80CM,2998.0,2998.0,158.89,3597.6,20
HCPCS,C1876,STENT 7F 16X60MM 120CM,2798.0,2798.0,148.29,3357.6,20
HCPCS,C1876,STENT 7F 16X60MM 80CM,2698.0,2698.0,142.99,3237.6,20
HCPCS,C1876,STENT APS 14X60MM 80CM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1876,STENT BIL 10X120MM 80CM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1876,STENT BIL 10X40MM 135CM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT BIL 10X40MM 80CM,1625.0,1625.0,71.55,2280.0,40
HCPCS,C1876,STENT BIL 10X60MM 80CM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1876,STENT BIL 12X40MM 80CM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT BIL 6FR 7MM 27MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1876,STENT BIL 6FR 8MM 37MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C1876,STENT BIL 7MM 40MM 130CM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT BIL 7X40MM 80CM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1876,STENT BIL 7X60MM 80CM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1876,STENT BIL 8FR 10X60MM,3251.0,3251.0,172.3,3901.2,20
HCPCS,C1876,STENT BIL 8FR 10X80MM,3300.0,3300.0,174.9,3960.0,20
HCPCS,C1876,STENT BIL 8X100MM 80CM,1250.0,1250.0,63.6,1560.0,40
HCPCS,C1876,STENT BIL 8X40MM 80CM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1876,STENT BIL 8X60MM 80CM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT BIL 90X40MM 80CM,1650.0,1650.0,87.45,1980.0,20
HCPCS,C1876,STENT BIL 9X40MM 80CM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1876,STENT BIL C-H 8.5FRX7CM,120.0,120.0,6.36,144.0,20
HCPCS,C1876,STENT BIL INTR G25671,186.0,186.0,9.86,223.2,20
HCPCS,C1876,STENT BILI 5X14MM 80CM,1233.0,1233.0,65.35,1479.6,20
HCPCS,C1876,STENT BILI 6X14MM 80CM,1233.0,1233.0,65.35,1479.6,20
HCPCS,C1876,STENT BILI 8X60MM 120CM,1750.0,1750.0,92.75,2100.0,20
HCPCS,C1876,STENT CAROTID 6X30MM,4900.0,4900.0,259.7,5880.0,20
HCPCS,C1876,STENT CAROTID SYS 6X40MM,4900.0,4900.0,259.7,5880.0,20
HCPCS,C1876,STENT CAROTID SYS 7X30MM,4900.0,4900.0,259.7,5880.0,20
HCPCS,C1876,STENT CAROTID SYS 7X40MM,4900.0,4900.0,259.7,5880.0,20
HCPCS,C1876,STENT CAROTID SYS 8X30MM,4900.0,4900.0,259.7,5880.0,20
HCPCS,C1876,STENT CAROTID SYS 8X40MM,4900.0,4900.0,259.7,5880.0,40
HCPCS,C1876,STENT CAROTID SYS 9X30MM,4900.0,4900.0,259.7,5880.0,20
HCPCS,C1876,STENT CAROTID SYS 9X40MM,4900.0,4900.0,259.7,5880.0,20
HCPCS,C1876,STENT CARTID SYS 10X30MM,4900.0,4900.0,259.7,5880.0,20
HCPCS,C1876,STENT CARTID SYS 10X40MM,4900.0,4900.0,259.7,5880.0,20
HCPCS,C1876,STENT CLN 25X120MM 270CM,4990.0,4990.0,264.47,5988.0,20
HCPCS,C1876,STENT CLN 25X60MM 270CM,4916.0,4916.0,260.55,5899.2,20
HCPCS,C1876,STENT CLN 25X90MM 270CM,4916.0,4916.0,260.55,5899.2,20
HCPCS,C1876,STENT COR OTW 2.25X12MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 2.25X16MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 2.25X20MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 2.25X24MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 2.25X28MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 2.25X8MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 2.5X12MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1876,STENT COR OTW 2.5X16MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1876,STENT COR OTW 2.5X20MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1876,STENT COR OTW 2.5X24MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 2.5X28MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 2.5X8MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 2.75X12MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1876,STENT COR OTW 2.75X16MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 2.75X20MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1876,STENT COR OTW 2.75X24MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 2.75X32MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1876,STENT COR OTW 3.5X12MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1876,STENT COR OTW 3.5X16MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 3.5X20MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 3.5X24MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1876,STENT COR OTW 3.5X28MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1876,STENT COR OTW 3.5X32MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 3.5X8MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 3X12MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1876,STENT COR OTW 3X16MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1876,STENT COR OTW 3X20MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 3X24MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 3X28MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 3X32MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 3X8MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 4.5X12MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 4.5X16MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 4.5X20MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 4.5X24MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 4.5X28MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 4.5X32MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1876,STENT COR OTW 4X12MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 4X16MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 4X20MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 4X24MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT COR OTW 4X28MM,1180.0,1180.0,62.54,1416.0,20
HCPCS,C1876,STENT COR OTW 4X32MM,1000.0,1000.0,53.0,1200.0,20
HCPCS,C1876,STENT COR OTW 4X8MM,900.0,900.0,47.7,1080.0,20
HCPCS,C1876,STENT CRN 4MM 12MM,29403.0,29403.0,1558.36,35283.6,20
HCPCS,C1876,STENT CRTD ACLNK RX 9X40,4100.0,4100.0,217.3,4920.0,20
HCPCS,C1876,STENT CTD 10MM 30MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1876,STENT CTD 10MM 40MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1876,STENT CTD 5MM 20MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1876,STENT CTD 5MM 30MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1876,STENT CTD 5MM 40MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1876,STENT CTD 6MM 30MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1876,STENT CTD 6MM 40MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1876,STENT CTD 7MM 40MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1876,STENT CTD 8MM 30MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1876,STENT CTD 8MM 40MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1876,STENT CTD 9MM 30MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1876,STENT CTD 9MM 40MM,2700.0,2700.0,143.1,3240.0,20
HCPCS,C1876,STENT DUODENAL 22MM 60MM,4990.0,4990.0,264.47,5988.0,20
HCPCS,C1876,STENT DUODENAL 22MM 90MM,4916.0,4916.0,260.55,5899.2,20
HCPCS,C1876,STENT DUODENAL 22X120MM,4915.0,4915.0,260.5,5898.0,20
HCPCS,C1876,STENT DVTR FLW 3.25X12MM,29403.0,29403.0,1558.36,35283.6,20
HCPCS,C1876,STENT DVTR FLW 4.0X15MM,26730.0,26730.0,1416.69,32076.0,20
HCPCS,C1876,STENT DVTR FLW 4.0X25MM,26730.0,26730.0,1416.69,32076.0,20
HCPCS,C1876,STENT DVTR FLW 4.5X12MM,26730.0,26730.0,1416.69,32076.0,20
HCPCS,C1876,STENT DVTR FLW 4.5X15MM,26730.0,26730.0,1416.69,32076.0,20
HCPCS,C1876,STENT DVTR FLW 4.5X17MM,26730.0,26730.0,1416.69,32076.0,20
HCPCS,C1876,STENT DVTR FLW 4.5X20MM,26730.0,26730.0,1416.69,32076.0,20
HCPCS,C1876,STENT DVTR FLW 4X17MM,26730.0,26730.0,1416.69,32076.0,20
HCPCS,C1876,STENT DVTR FLW 5.0X20MM,26730.0,26730.0,1416.69,32076.0,20
HCPCS,C1876,STENT DVTR FLW 5.0X40MM,31977.0,31977.0,1694.78,38372.4,20
HCPCS,C1876,STENT DVTR FLW 5X17MM,26730.0,26730.0,1416.69,32076.0,20
HCPCS,C1876,STENT ILIOFEM 16X60MM,2850.0,2850.0,151.05,3420.0,20
HCPCS,C1876,STENT INTRCR 3.0MM 15MM,14355.0,14355.0,760.82,17226.0,20
HCPCS,C1876,STENT INTRCR 3.0MM 21MM,14065.0,14065.0,745.45,16878.0,20
HCPCS,C1876,STENT INTRCR 3.0MM 24MM,14065.0,14065.0,745.45,16878.0,20
HCPCS,C1876,STENT INTRCR 4.0MM 21MM,15426.0,15426.0,817.58,18511.2,20
HCPCS,C1876,STENT INTRCR 4.0MM 24MM,14065.0,14065.0,745.45,16878.0,20
HCPCS,C1876,STENT INTRCR 4.5MM 30MM,14065.0,14065.0,745.45,16878.0,20
HCPCS,C1876,STENT PANC PGTL.035 5F 5,88.0,88.0,4.66,105.6,20
HCPCS,C1876,STENT SLFEXP 16X60X75CM,1650.0,1650.0,87.45,1980.0,20
HCPCS,C1876,STENT SLFEXP 18X90X75CM,2110.0,2110.0,111.83,2532.0,20
HCPCS,C1876,STENT TRACH T-TUBE 10X50,226.6,226.6,12.01,271.92,20
HCPCS,C1876,STENT VASC  4.0MM 12MM,27781.0,27781.0,1472.39,33337.2,20
HCPCS,C1876,STENT VASC 10-8MM 30MM,3860.0,3860.0,204.58,4632.0,20
HCPCS,C1876,STENT VASC 10-8MM 40MM,3860.0,3860.0,204.58,4632.0,20
HCPCS,C1876,STENT VASC 3.25MM 15MM,27781.0,27781.0,1472.39,33337.2,20
HCPCS,C1876,STENT VASC 3.25MM 20MM,27781.0,27781.0,1472.39,33337.2,20
HCPCS,C1876,STENT VASC 3.75X12MM,27781.0,27781.0,1472.39,33337.2,20
HCPCS,C1876,STENT VASC 4.25MM 15MM,27781.0,27781.0,1472.39,33337.2,20
HCPCS,C1876,STENT VASC 4.5MM 21MM,15426.0,15426.0,817.58,18511.2,20
HCPCS,C1876,STENT VASC 4.5MM 25MM,27781.0,27781.0,1472.39,33337.2,20
HCPCS,C1876,STENT VASC 4.5X15MM,27781.0,27781.0,1472.39,33337.2,20
HCPCS,C1876,STENT VASC 4X17MM,27781.0,27781.0,1472.39,33337.2,20
HCPCS,C1876,STENT VASC 5.0MM 17MM,27781.0,27781.0,1472.39,33337.2,20
HCPCS,C1876,STENT VASC 5.25MM 40MM,28640.0,28640.0,1517.92,34368.0,20
HCPCS,C1876,STENT VASC 5.25X20MM,27781.0,27781.0,1472.39,33337.2,20
HCPCS,C1876,STENT VASC 5FR 5X10MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5FR 5X120MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5FR 5X160MM,1750.0,1750.0,92.75,2100.0,20
HCPCS,C1876,STENT VASC 5FR 5X170MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,C1876,STENT VASC 5FR 5X40MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5FR 5X60MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5FR 5X80MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5FR 6X10MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5FR 6X120MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5FR 6X150MM,1750.0,1750.0,92.75,2100.0,20
HCPCS,C1876,STENT VASC 5FR 6X40MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5FR 6X60MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5FR 6X80MM,1700.0,1700.0,90.1,2040.0,20
HCPCS,C1876,STENT VASC 5FR 7X100MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5FR 7X120MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5FR 7X40MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5FR 7X60MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5FR 7X80MM,1200.0,1200.0,63.6,1440.0,20
HCPCS,C1876,STENT VASC 5X20MM,27781.0,27781.0,1472.39,33337.2,20
HCPCS,C1876,STENT VASC 6FR 10X80MM,1190.0,1190.0,63.07,1428.0,20
HCPCS,C1876,STENT VASC 6X100MM 120CM,1750.0,1750.0,92.75,2100.0,20
HCPCS,C1876,STENT VASC 6X120MM 120CM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1876,STENT VASC 6X150MM 120CM,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1876,STENT VASC 6X200MM 120CM,3500.0,3500.0,185.5,4200.0,20
HCPCS,C1876,STENT VASC 6X27MM 80CM,1233.0,1233.0,65.35,1479.6,20
HCPCS,C1876,STENT VASC 6X30MM 135CM,2590.0,2590.0,137.27,3108.0,20
HCPCS,C1876,STENT VASC 6X37MM 80CM,1233.0,1233.0,65.35,1479.6,20
HCPCS,C1876,STENT VASC 6X40MM 135CM,2590.0,2590.0,137.27,3108.0,20
HCPCS,C1876,STENT VASC 6X80MM 120CM,1531.0,1531.0,80.14,1860.0,40
HCPCS,C1876,STENT VASC 7X120MM 120CM,2000.0,2000.0,106.0,2400.0,20
HCPCS,C1876,STENT VASC 7X150MM 120CM,2200.0,2200.0,116.6,2640.0,20
HCPCS,C1876,STENT VASC 7X200MM 120CM,4790.0,4790.0,253.87,5748.0,20
HCPCS,C1876,STENT VASC 7X27MM 80CM,1233.0,1233.0,65.35,1479.6,20
HCPCS,C1876,STENT VASC 7X37MM 80CM,1370.0,1370.0,72.61,1644.0,20
HCPCS,C1876,STENT VASC 7X80MM 120CM,1510.0,1510.0,80.03,1812.0,20
HCPCS,C1876,STENT VASC 8-6MM 30MM,3860.0,3860.0,204.58,4632.0,20
HCPCS,C1876,STENT VASC 8-6MM 40MM,3860.0,3860.0,204.58,4632.0,20
HCPCS,C1876,STENT VASC 8MM 30MM,3860.0,3860.0,204.58,4632.0,20
HCPCS,C1876,STENT VASC 8X100MM 120CM,1750.0,1750.0,92.75,2100.0,20
HCPCS,C1876,STENT VASC 8X100MM 80CM,1575.0,1575.0,83.47,1890.0,20
HCPCS,C1876,STENT VASC 8X27MM 135CM,1370.0,1370.0,72.61,1644.0,20
HCPCS,C1876,STENT VASC 8X27MM 80CM,1370.0,1370.0,72.61,1644.0,20
HCPCS,C1876,STENT VASC 8X40MM 80CM,1512.0,1512.0,80.14,1814.4,20
HCPCS,C1876,STENT VASC 8X80MM 120CM,1754.0,1754.0,92.96,2104.8,20
HCPCS,C1876,STENT VASC BM 4X20MM,29403.0,29403.0,1558.36,35283.6,20
HCPCS,C1876,STENT VNS 14X100MM 120CM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1876,STENT VNS 14X100MM 80CM,10104.0,10104.0,535.51,12124.8,20
HCPCS,C1876,STENT VNS 14X80MM 80CM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1876,STENT VNS 16X100MM 120CM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1876,STENT VNS 16X100MM 80CM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1876,STENT VNS 16X120MM 120CM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1876,STENT VNS 16X120MM 80CM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1876,STENT VNS 16X140MM 120CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 16X140MM 80CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 16X160MM 120CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 16X160MM 80CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 16X60MM 80CM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1876,STENT VNS 16X80MM 120CM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1876,STENT VNS 16X80MM 80CM,2600.0,2600.0,137.8,3120.0,20
HCPCS,C1876,STENT VNS 18X100MM 120CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 18X100MM 80CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 18X120MM 120CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 18X140MM 120CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 18X160MM 120CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 18X40MM 80CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 18X60MM 120CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 18X60MM 80CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 18X80MM 120CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 18X80MM 80CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 20X120MM 120CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 20X140MM 120CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 20X40MM 80CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 20X60MM 80CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENT VNS 20X80MM 120CM,3000.0,3000.0,159.0,3600.0,20
HCPCS,C1876,STENTCAROTID SYS 7X40MM,4900.0,4900.0,259.7,5880.0,20
HCPCS,C1876,STNT VASC 6X120MM 120CM,1980.0,1980.0,104.94,2376.0,20
HCPCS,C1876,STNT VASC 8/6X30MM 135CM,2590.0,2590.0,137.27,3108.0,20
HCPCS,C1876,STNT VASC 8/6X40MM 135CM,2590.0,2590.0,137.27,3108.0,20
HCPCS,C1880,FILTER VC KIT 7FR 42MM,2100.0,2100.0,111.3,2520.0,20
HCPCS,C1880,FILTER VENACAV 49MM 65CM,1860.0,1860.0,98.58,2232.0,40
HCPCS,C1880,FLTR VC SYS LD 40DL,1830.0,1830.0,96.99,2196.0,20
HCPCS,C1880,KIT DLV FILTER EMBL JUG,3550.0,3550.0,188.15,4260.0,20
HCPCS,C1882,CRT DEFIB CARD 71X51X12,31444.0,31444.0,1666.53,37732.8,20
HCPCS,C1882,CRT DEFIB CARD DF4,30102.0,30102.0,1595.41,36122.4,20
HCPCS,C1882,CRT DEFIB DDE-DDDR 36J,33080.0,33080.0,1753.24,39696.0,20
HCPCS,C1882,CRT-D CRD 5.37X8.08X0.99,28682.0,28682.0,1520.15,34418.4,20
HCPCS,C1882,CRT-D CRD 5.37X8.18X0.99,25958.0,25958.0,1375.77,31149.6,20
HCPCS,C1882,CRT-D HF-T DF4,19074.0,19074.0,1010.92,22888.8,20
HCPCS,C1882,CRT-D VOLUME 36MM,31444.0,31444.0,1666.53,37732.8,20
HCPCS,C1882,CRTD CNCRTD C154DWK,32210.0,32210.0,1707.13,38652.0,20
HCPCS,C1882,CRTD CNTK RNW3 HE H177,44000.0,44000.0,2332.0,52800.0,20
HCPCS,C1882,CRTD CNTK RNW3 HE H179,53800.0,53800.0,2851.4,64560.0,20
HCPCS,C1882,CRTD CNTK RNW3 RFHE H217,50200.0,50200.0,2660.6,60240.0,20
HCPCS,C1882,CRTD INSYN MXMO 7303,36920.0,36920.0,1956.76,44304.0,20
HCPCS,C1882,CRTD INSYN2 MRQS 7289,40050.0,40050.0,2122.65,48060.0,20
HCPCS,C1882,CRTD MXMO2 D284TRK,32000.0,32000.0,1696.0,38400.0,20
HCPCS,C1882,CRTD XT MRI IS1 DF1,30102.0,30102.0,1595.41,36122.4,20
HCPCS,C1882,CRTD XT MRI IS1 DF4,26752.0,26752.0,1417.86,32102.4,20
HCPCS,C1882,CRTD XT MRI QUAD DF4,30102.0,30102.0,1595.41,36122.4,20
HCPCS,C1882,CRTD XT QUAD MRI DF1,25248.0,25248.0,1338.14,30297.6,20
HCPCS,C1882,DEFIB CARD CARDIOSIGHT,22850.0,22850.0,1211.05,27420.0,20
HCPCS,C1882,DEFIB CARD CNCRTO 2 STD,32000.0,32000.0,1696.0,38400.0,20
HCPCS,C1882,DEFIB CARD OGNS N118,28022.0,28022.0,1485.17,33626.4,20
HCPCS,C1882,DEFIB CARD PROTECTA DR,22850.0,22850.0,1211.05,27420.0,20
HCPCS,C1882,DEFIB CARD THK15MM 51X69,32000.0,32000.0,1696.0,38400.0,20
HCPCS,C1882,DEFIB CRTD 14X40X73MM,31444.0,31444.0,1666.53,37732.8,20
HCPCS,C1882,DEFIB CRTD CNSLT CRT-D,32000.0,32000.0,1696.0,38400.0,20
HCPCS,C1882,DEFIB-CARD CONSLTA 1DF4,32000.0,32000.0,1696.0,38400.0,20
HCPCS,C1882,DEFIB-CARD MAXIMO2 CRT-D,32000.0,32000.0,1696.0,38400.0,20
HCPCS,C1882,DEVICE ICD PRTCTA XT DF4,32000.0,32000.0,1696.0,38400.0,20
HCPCS,C1882,ICD MRI IS1 DF1,16774.0,16774.0,889.02,20128.8,20
HCPCS,C1882,ICD PROTECTA TRG D334TRG,32000.0,32000.0,1696.0,38400.0,20
HCPCS,C1883,ADPTR CLMN TIM 25CM LEAD,1500.0,1500.0,79.5,1800.0,20
HCPCS,C1883,KIT LEAD PERC EXT 4.32MM,370.0,370.0,19.61,444.0,20
HCPCS,C1883,KIT NURSTMR ITREL PAIN C,390.0,390.0,20.67,468.0,20
HCPCS,C1883,LEAD NEURO EXT LPRFL 25,1046.0,1046.0,55.44,1255.2,20
HCPCS,C1883,XTN NRSTM PERC 2.16MM,370.0,370.0,19.61,444.0,20
HCPCS,C1884,FILTER EMBL 3MM 320CM,7391.0,7391.0,391.72,8869.2,49
HCPCS,C1884,FILTER EMBL 4MM 320CM,7391.0,7391.0,391.72,8869.2,49
HCPCS,C1884,FILTER EMBL 5MM 320CM,7391.0,7391.0,391.72,8869.2,49
HCPCS,C1884,FILTER EMBL 6MM 320CM,7391.0,7391.0,391.72,8869.2,49
HCPCS,C1884,FILTRWRE EMBL190CM110UOM,9154.0,9154.0,485.16,10984.8,49
HCPCS,C1884,GWIRE FILTER 5.5MM 190CM,9326.0,9326.0,494.28,11191.2,49
HCPCS,C1884,SYSTEM EMB 5.0MM 190CM,11269.0,11269.0,597.26,13522.8,98
HCPCS,C1886,CATH BRNCHL THERMO 5MM,19430.0,19430.0,1029.79,23316.0,49
HCPCS,C1886,PROBE RF ABLAT 17GA 10MM,30352.0,30352.0,1608.66,36422.4,49
HCPCS,C1886,PROBE RF ABLAT 17GA 15MM,30352.0,30352.0,1608.66,36422.4,49
HCPCS,C1886,PROBE RF ABLAT 17GA 7MM,30352.0,30352.0,1608.66,36422.4,49
HCPCS,C1887,CATH ANG .038IN 5F 125CM,746.0,746.0,39.54,895.2,49
HCPCS,C1887,CATH ANGIO 2.0MM 100CM,1432.0,1432.0,75.9,1718.4,49
HCPCS,C1887,CATH ANGIO 4FR 100CM,1922.0,1922.0,95.45,2451.6,98
HCPCS,C1887,CATH ANGIO 5FR 100CM,2043.0,2043.0,108.28,2451.6,49
HCPCS,C1887,CATH ANGIO 5FR 110CM,678.0,678.0,35.93,813.6,49
HCPCS,C1887,CATH ANGIO 5FR 65CM,678.0,678.0,35.93,813.6,49
HCPCS,C1887,CATH ANGIO 90DG,6995.0,6995.0,370.74,8394.0,49
HCPCS,C1887,CATH ANGIO CRV 6FR 4MM,1432.0,1432.0,75.9,1718.4,49
HCPCS,C1887,CATH ANGIO JB2 5FR 100CM,2043.0,2043.0,108.28,2451.6,49
HCPCS,C1887,CATH DLV 6FR 125CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH DLV NEURO 115CM,12357.0,12357.0,654.92,14828.4,98
HCPCS,C1887,CATH DLV NEURO 125CM,12357.0,12357.0,654.92,14828.4,49
HCPCS,C1887,CATH DLV SYS 115CM 45TIP,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH DLV SYS 135CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH DLV SYS 5FR 120CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH DLV SYS 6FR 105CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH DLV SYS 6FR 125CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH DLVRY SYS 8FR 90CM,6762.0,6762.0,358.39,8114.4,49
HCPCS,C1887,CATH EMBL 175CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH GD .014IN 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD .018IN 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD .035IN 135CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1887,CATH GD .035IN 150CM CX,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD .035IN 90CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD .46IN 125CM,10422.0,10422.0,552.37,12506.4,49
HCPCS,C1887,CATH GD 115CM 6FR SOFIA,15513.0,15513.0,822.19,18615.6,49
HCPCS,C1887,CATH GD 130D 4FR LD,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD 130D CRV 7.1FR,3024.0,3024.0,160.27,3628.8,49
HCPCS,C1887,CATH GD 135CM 40-60MM,3036.0,3036.0,160.91,3643.2,49
HCPCS,C1887,CATH GD 2.1FR 156CM,6433.0,6433.0,340.95,7719.6,49
HCPCS,C1887,CATH GD 2.3FR 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD 2.3FR 90CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD 2.6FR 150CM,2564.0,2564.0,135.89,3076.8,147
HCPCS,C1887,CATH GD 3-1.9FR 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD 4FR 135CM,2564.0,2564.0,135.89,3076.8,147
HCPCS,C1887,CATH GD 4FR 90CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1887,CATH GD 5.4-7.0F 30CM,3039.0,3039.0,161.07,3646.8,49
HCPCS,C1887,CATH GD 50CM 9FR 7.2FR,3235.0,3235.0,171.46,3882.0,49
HCPCS,C1887,CATH GD 5FR 115CM,11627.0,11627.0,616.23,13952.4,49
HCPCS,C1887,CATH GD 5FR 125CM,10160.0,10160.0,538.48,12192.0,49
HCPCS,C1887,CATH GD 5FR 90CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH GD 6FR 100CM,2232.5,2232.5,73.88,7129.2,1372
HCPCS,C1887,CATH GD 6FR 125CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD 6FR 55CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD 7.1FR 65CM,2880.0,2880.0,152.64,3456.0,49
HCPCS,C1887,CATH GD 7.62FR 65CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD 7FR 100CM,1979.0,1979.0,73.88,3076.8,98
HCPCS,C1887,CATH GD 7FR 43CM,3039.0,3039.0,161.07,3646.8,49
HCPCS,C1887,CATH GD 7FR 65CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1887,CATH GD 8.4FR 45CM,4074.0,4074.0,215.92,4888.8,49
HCPCS,C1887,CATH GD 8FR 95CM,12506.0,12506.0,590.37,16647.6,98
HCPCS,C1887,CATH GD 8X95CM,9132.0,9132.0,484.0,10958.4,49
HCPCS,C1887,CATH GD 90D CRV 7.1FR,2856.0,2856.0,151.37,3427.2,49
HCPCS,C1887,CATH GD 95CM 6FR,3576.0,3576.0,189.53,4291.2,49
HCPCS,C1887,CATH GD 9FR 45CM,3235.0,3235.0,171.46,3882.0,49
HCPCS,C1887,CATH GD 9FR 50CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH GD AL1 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CATH GD AL2 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CATH GD ANGL.035IN 135CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD BALLOON 9F 920MM,8215.0,8215.0,435.39,9858.0,49
HCPCS,C1887,CATH GD CORSN 71CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD CRBRVASC 6/150CM,1871.0,1871.0,99.16,2245.2,49
HCPCS,C1887,CATH GD HS CRV 100CM 6FR,1394.0,1394.0,73.88,1672.8,49
HCPCS,C1887,CATH GD IMA 6FR 55CM,1741.0,1741.0,92.27,2089.2,49
HCPCS,C1887,CATH GD INFS 2.8FR 15CM,9296.0,9296.0,492.69,11155.2,49
HCPCS,C1887,CATH GD JL4 6FR 100CM,2672.0,2672.0,141.62,3206.4,49
HCPCS,C1887,CATH GD JR4 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CATH GD JR5 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CATH GD MP1 6FR 55CM,1741.0,1741.0,92.27,2089.2,49
HCPCS,C1887,CATH GD MPA1 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CATH GD MPD 6FR 105CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH GD MPD CRV 6FR .070,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH GD NRVSC 140CM,5600.0,5600.0,296.8,6720.0,49
HCPCS,C1887,CATH GD NRVSC 150CM,5600.0,5600.0,296.8,6720.0,98
HCPCS,C1887,CATH GD RDC 6FR 55CM,1741.0,1741.0,92.27,2089.2,49
HCPCS,C1887,CATH GD STR 6F 131CM,15513.0,15513.0,822.19,18615.6,49
HCPCS,C1887,CATH GD SUPP 150CM,3036.0,3036.0,160.91,3643.2,49
HCPCS,C1887,CATH GD TIG4 6FR 100CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH GD VASC 152CM,17060.0,17060.0,904.18,20472.0,147
HCPCS,C1887,CATH GD VASC 165CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH GD VASC 9FR 45CM,3642.0,3642.0,193.03,4370.4,49
HCPCS,C1887,CATH GD VASC.058IN 115CM,12054.0,12054.0,638.86,14464.8,49
HCPCS,C1887,CATH GD XB3 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CATH GD XB3.5 6FR 100CM,2105.0,2105.0,81.51,3206.4,98
HCPCS,C1887,CATH GD XB4.5 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CATH GD XLG 110CM 7FR,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH GLD ANG 5FR 100CM,2045.0,2045.0,108.39,2454.0,49
HCPCS,C1887,CATH INFS 1.5/2.7F 1.5CM,13951.0,13951.0,739.4,16741.2,49
HCPCS,C1887,CATH INFS 30CM .040IN,9715.0,9715.0,514.89,11658.0,49
HCPCS,C1887,CATH INTVN 2.8F 150CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH MCR 2.4-1.7FR 150CM,7269.0,7269.0,385.26,8722.8,49
HCPCS,C1887,CATH MIC ORN .021 150CM,10321.0,10321.0,547.01,12385.2,49
HCPCS,C1887,CATH MICRO 1.9FR 165CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH MICRO 2.1FR 167CM,8378.0,8378.0,444.03,10053.6,49
HCPCS,C1887,CATH MICRO 2FR 15CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH NRON DLV MP 12X115,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH NRON DLVR MP 6X105,6956.0,6956.0,368.67,8347.2,49
HCPCS,C1887,CATH NROVASC 6MM 150CM,7269.0,7269.0,385.26,8722.8,49
HCPCS,C1887,CATH SUPP .018IN 150CM,3036.0,3036.0,160.91,3643.2,49
HCPCS,C1887,CATH SUPP 135CM 12MM,3036.0,3036.0,160.91,3643.2,98
HCPCS,C1887,CATH SUPP 135CM 2.3FR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH SUPP 2.3FR 150CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH SUPP 90MM 12CM,3036.0,3036.0,160.91,3643.2,49
HCPCS,C1887,CATH SUPPORT 12MM 90CM,3036.0,3036.0,160.91,3643.2,49
HCPCS,C1887,CATH THRMB .088IN 110CM,23277.0,23277.0,1233.68,27932.4,49
HCPCS,C1887,CATH VASC .058INX132CM,17647.0,17647.0,935.29,21176.4,49
HCPCS,C1887,CATH VASC 0.060INX132CM,16438.0,16438.0,871.21,19725.6,49
HCPCS,C1887,CATH VASC 2.3FR 150CM,7754.0,7754.0,410.96,9304.8,49
HCPCS,C1887,CATH VASC 2.7F 165CM,13951.0,13951.0,739.4,16741.2,49
HCPCS,C1887,CATH VASC 45D 6.0X150CM,7269.0,7269.0,385.26,8722.8,49
HCPCS,C1887,CATH VASC 6CM 150CM,7781.0,7781.0,412.39,9337.2,49
HCPCS,C1887,CATH VASC 90D 6.0X150CM,7269.0,7269.0,385.26,8722.8,49
HCPCS,C1887,CATH VASC GD 115CM,23277.0,23277.0,1233.68,27932.4,49
HCPCS,C1887,CATH VASC GD 17FR,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH VASC GD 17FR 13CM,34275.0,34275.0,1816.58,41130.0,49
HCPCS,C1887,CATH VASC GD 17FR 65CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,CATH VASC MCR 5F 130CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATH VASC SET 132X156CM,49508.0,49508.0,2623.92,59409.6,49
HCPCS,C1887,CATH VASC STRT 6.0X150CM,7050.0,7050.0,373.65,8460.0,49
HCPCS,C1887,CATHETER ANGIO 2.3F 90CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1887,CATHETER GD 100CM 6FR .0,5282.0,5282.0,279.95,6338.4,49
HCPCS,C1887,CATHETER GD 5FR 59CM,2657.0,2657.0,140.82,3188.4,49
HCPCS,C1887,CATHETER GD 6FR 150CM,5305.0,5305.0,281.17,6366.0,49
HCPCS,C1887,CATHETER GD 9FR 57.5CM,3636.0,3636.0,192.71,4363.2,49
HCPCS,C1887,CATHETER GD LF 40CM 8.4,5711.0,5711.0,302.68,6853.2,49
HCPCS,C1887,CATHETER MICRO 45DG,6995.0,6995.0,370.74,8394.0,49
HCPCS,C1887,CATHGD VBT 6X070HSTK 100,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CATHGD XBLADE4 6FR 100CM,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CTHDX GLD 4F ST 120,2043.0,2043.0,108.28,2451.6,49
HCPCS,C1887,CTHGD 6F 100CM M1 JR4,1394.0,1394.0,73.88,1672.8,49
HCPCS,C1887,CTHGD 7F 100CM M1 AL1,1394.0,1394.0,73.88,1672.8,49
HCPCS,C1887,CTHGD 7F 100CM M1 CLS4,1394.0,1394.0,73.88,1672.8,49
HCPCS,C1887,CTHGD 7F 100CM M1 HS,1394.0,1394.0,73.88,1672.8,49
HCPCS,C1887,CTHGD 7F 100CM M1 JL4,1394.0,1394.0,73.88,1672.8,49
HCPCS,C1887,CTHGD 7F 100CM M1 JR3.5,1583.0,1583.0,83.9,1899.6,49
HCPCS,C1887,CTHGD 7F 100CM M1 JR4,1394.0,1394.0,73.88,1672.8,49
HCPCS,C1887,CTHGD 8F 100CM M1 CLS3.5,1583.0,1583.0,83.9,1899.6,49
HCPCS,C1887,CTHGD 8F 100CM M1 CLS4,1583.0,1583.0,83.9,1899.6,49
HCPCS,C1887,CTHGD 8F 100CM M1 JL4,1960.0,1960.0,103.88,2352.0,49
HCPCS,C1887,CTHGD 8F 100CM M1 JR4,1960.0,1960.0,103.88,2352.0,49
HCPCS,C1887,CTHGD ATTN 6216,3225.6,3225.6,170.96,3870.72,49
HCPCS,C1887,CTHGD ATTN 6226DEF,2234.4,2234.4,118.42,2681.28,49
HCPCS,C1887,CTHGD CLS3.5 7FR 0.081IN,1394.0,1394.0,73.88,1672.8,49
HCPCS,C1887,CTHGD CRV 8FX57 CS-EH,1585.92,1585.92,84.05,1903.1,49
HCPCS,C1887,CTHGD EXCL1018 90D 150CM,7269.0,7269.0,385.26,8722.8,49
HCPCS,C1887,CTHGD LNCH 6F JL3,312.0,312.0,16.54,374.4,49
HCPCS,C1887,CTHGD RPDO ADV 7712,799.68,799.68,42.38,959.62,49
HCPCS,C1887,CTHGD SLT ATTN 6218GRN,463.44,463.44,24.56,556.13,49
HCPCS,C1887,CTHGD VB70 6F AL1.5,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CTHGD VBT 6F 070 AL3 100,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CTHGD VBT 6F 070 IM 100,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CTHGD VBT 6F 070 LCB 100,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CTHGD VBT 6F 070 RCB 100,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CTHGD VBT 6X070 3DRC,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CTHGD VBT 6X070AR2SH 100,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CTHGD VBT 6X070JL4.5 100,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CTHGD VBT 6X070XB3SH 100,1538.0,1538.0,81.51,1845.6,49
HCPCS,C1887,CTHGD VBT 7F 078 XB3 100,1432.0,1432.0,75.9,1718.4,49
HCPCS,C1887,GDCATH LIVER 41CM 10FR,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,GUIDE CATH BLN 9FR,8730.0,8730.0,462.69,10476.0,49
HCPCS,C1887,GUIDE STENT DISP 270MM,2259.0,2259.0,119.73,2710.8,49
HCPCS,C1887,INTRO SHEATH 8FR 4CM,642.0,642.0,34.03,770.4,49
HCPCS,C1887,KIT CATH VASC 4.3F 139CM,13601.0,13601.0,720.85,16321.2,49
HCPCS,C1887,KIT CATH VASC 8.5F 40CM,8199.0,8199.0,434.55,9838.8,49
HCPCS,C1887,MCTH INFS 3-2.4FR 130CM,3877.0,3877.0,205.48,4652.4,49
HCPCS,C1887,MICROCATH COX 2.4FR 130C,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1887,MICROCATH CRBRVASC 150CM,7269.0,7269.0,385.26,8722.8,49
HCPCS,C1887,SHEATH GD 6FR 105CM,3576.0,3576.0,189.53,4291.2,49
HCPCS,C1887,SHEATH GD 6FR 119CM,3576.0,3576.0,189.53,4291.2,49
HCPCS,C1887,SHEATH GD STR 75CM 6FR,3275.0,3275.0,173.57,3930.0,49
HCPCS,C1887,SYSTEM DLV 1 CATH 1 CLIP,58000.0,58000.0,3074.0,69600.0,20
HCPCS,C1892,ADAPTER INTRO SEAL 9FR,1490.5,1490.5,78.28,1804.8,98
HCPCS,C1892,INTRO PEEL 15.5CM 20CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1892,INTRO SHTH 10FR 13CM,1310.0,1310.0,69.43,1572.0,49
HCPCS,C1892,INTRO SHTH 6FR 13CM,1308.0,1308.0,69.32,1569.6,49
HCPCS,C1892,INTRO SHTH 7FR 13CM,1333.0,1333.0,70.65,1599.6,49
HCPCS,C1892,INTRO SHTH 9FR 15.5CM,2072.0,2072.0,109.82,2486.4,49
HCPCS,C1892,INTRO VASC 18G 23CM 60CM,2186.0,2186.0,115.86,2623.2,49
HCPCS,C1892,INTRODCR SPLTBL 8FR 13CM,1308.0,1308.0,69.32,1569.6,49
HCPCS,C1892,INTRODUCER SHTH 7FR 13CM,3026.0,3026.0,160.38,3631.2,49
HCPCS,C1892,INTRODUCER SHTH 8FR 13CM,3026.0,3026.0,160.38,3631.2,49
HCPCS,C1892,INTRODUCER SHTH 9FR 13CM,2799.0,2799.0,148.35,3358.8,49
HCPCS,C1892,INTRODUCER SHTH PL 1.4FR,1734.0,1734.0,91.9,2080.8,49
HCPCS,C1892,SET INTRO .038IN 15.5CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1892,SET INTRO SHTH PLWY 9F,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1892,SHEATH GD 8FR 65CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1892,SHEATH PLWY 8F 38,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1892,SHTH INTRO SPLT 9FR 13CM,1310.0,1310.0,69.43,1572.0,49
HCPCS,C1892,SYSTEM INTRO 7FR 19.5CM,392.0,392.0,20.78,470.4,49
HCPCS,C1892,SYSTEM INTRO 9FR 19.5CM,3026.0,3026.0,160.38,3631.2,49
HCPCS,C1893,CATH GD 8.7FR 45CM,2657.0,2657.0,140.82,3188.4,49
HCPCS,C1893,CATH GD DRCT 10.06FR,5371.0,5371.0,284.66,6445.2,49
HCPCS,C1893,DILATOR VASC 8FR 15CM,376.0,376.0,19.93,451.2,49
HCPCS,C1893,INTRO CATH GW 8.7FR 45CM,3119.0,3119.0,165.31,3742.8,49
HCPCS,C1893,INTRO GUID 10FR 63CM,3091.0,3091.0,163.82,3709.2,49
HCPCS,C1893,INTRO GUID 8.5FR 60CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1893,INTRO GUID 8.5FR 63CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1893,INTRO GUID 8FR 63CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1893,INTRO SHTH 5FR 10-2031,349.0,349.0,18.5,418.8,49
HCPCS,C1893,INTRO SHTH 8.5FR 63CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1893,INTRO SHTH 8.5FR 67CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1893,INTRO SHTH FEM CRV 12FR,3655.0,3655.0,193.72,4386.0,49
HCPCS,C1893,KIT CARDIAC CATHETER,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1893,SET INTRO 16FR 27IN,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1893,SHEATH ESURG 11FR,4532.0,4532.0,220.06,5894.4,98
HCPCS,C1893,SHEATH ESURG 13FR,4912.0,4912.0,260.34,5894.4,49
HCPCS,C1893,SHEATH ESURG 9FR,4676.0,4676.0,247.83,5611.2,49
HCPCS,C1893,SHEATH WIRE 45D 63CM,7539.0,7539.0,399.57,9046.8,49
HCPCS,C1893,SHEATH WIRE 45F 230CM,7539.0,7539.0,399.57,9046.8,49
HCPCS,C1893,SHEATH WIRE 8.5FR 63CM,7306.0,7306.0,387.22,8767.2,98
HCPCS,C1894,DEVICE BRSTBIO 12GA,452.0,452.0,23.96,542.4,49
HCPCS,C1894,DILATOR RENAL 8FR 35CM,1296.0,1296.0,68.69,1555.2,49
HCPCS,C1894,GD WIRE 22GA 7FR 18CM,2149.0,2149.0,113.9,2578.8,49
HCPCS,C1894,GLIDSHEATH Z KIT 6F 10MM,2186.0,2186.0,115.86,2623.2,49
HCPCS,C1894,GWIRE VASC 210CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRCR SHTH 23FR 55.7CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,INTRO ACC VASC LNG 11F,600.0,600.0,31.8,720.0,49
HCPCS,C1894,INTRO CATH 12FR 30CM,2317.0,2317.0,122.8,2780.4,49
HCPCS,C1894,INTRO CATH 14FR 30CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRO CATH 18FR 40CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRO CATH 26GA 1.9CM,5542.0,5542.0,293.73,6650.4,49
HCPCS,C1894,INTRO SHEATH 10FR 33CM,5941.0,5941.0,291.61,7386.0,196
HCPCS,C1894,INTRO SHEATH 12FR 33CM,5397.0,5397.0,286.04,6476.4,49
HCPCS,C1894,INTRO SHEATH 16FR 33CM,5502.0,5502.0,291.61,6602.4,49
HCPCS,C1894,INTRO SHEATH 16FR 65CM,6155.0,6155.0,326.21,7386.0,49
HCPCS,C1894,INTRO SHEATH 18FR 33CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,INTRO SHEATH 18FR 65CM,6155.0,6155.0,326.21,7386.0,49
HCPCS,C1894,INTRO SHEATH 20FR 33CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,INTRO SHEATH 22FR 33CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,INTRO SHEATH 24FR 33CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,INTRO SHEATH 26FR 33CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,INTRO SHTH 10FR 40CM,2336.0,2336.0,123.81,2803.2,49
HCPCS,C1894,INTRO SHTH 11FR 10CM,377.0,377.0,19.98,452.4,98
HCPCS,C1894,INTRO SHTH 12FR 12CM,904.0,904.0,47.91,1084.8,49
HCPCS,C1894,INTRO SHTH 12FR 4.1MM 80,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRO SHTH 14FR 12CM,904.0,904.0,47.91,1084.8,49
HCPCS,C1894,INTRO SHTH 16FR 42CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRO SHTH 18FR 30CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRO SHTH 4FR 11CM,347.0,347.0,18.39,416.4,49
HCPCS,C1894,INTRO SHTH 5.3MM 70CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRO SHTH 5FR 11CM,347.0,347.0,18.39,416.4,49
HCPCS,C1894,INTRO SHTH 5FR 12CM,415.0,415.0,22.0,498.0,49
HCPCS,C1894,INTRO SHTH 5FR 80X23CM,1903.0,1903.0,100.86,2283.6,49
HCPCS,C1894,INTRO SHTH 6F 21G 80CM,1903.0,1903.0,100.86,2283.6,49
HCPCS,C1894,INTRO SHTH 6F LNG 90CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,INTRO SHTH 6FR 10CM,395.0,395.0,20.93,474.0,49
HCPCS,C1894,INTRO SHTH 6FR 4CM,642.0,642.0,34.03,770.4,49
HCPCS,C1894,INTRO SHTH 7FR 12CM,415.0,415.0,22.0,498.0,49
HCPCS,C1894,INTRO SHTH 7FR 1OCM,395.0,395.0,20.93,474.0,49
HCPCS,C1894,INTRO SHTH 7FR 4CM,642.0,642.0,34.03,770.4,49
HCPCS,C1894,INTRO SHTH 7FR 80X23CM,1903.0,1903.0,100.86,2283.6,49
HCPCS,C1894,INTRO SHTH 8FR 10CM,395.0,395.0,20.93,474.0,49
HCPCS,C1894,INTRO SHTH GW 7FR 11CM,347.0,347.0,18.39,416.4,49
HCPCS,C1894,INTRO SHTH NRN MP 4X80,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,INTRO SHTH NRN MP 4X90,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,INTRO SHTH SHRT 5F4 GRY,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRODCR SHTH .038OD11FR,1884.0,1884.0,99.85,2260.8,49
HCPCS,C1894,INTRODUCE STD.038X12 5FR,356.0,356.0,18.87,427.2,49
HCPCS,C1894,INTRODUCER CATH 18F 85CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRODUCER CATH 45CM 5FR,2562.0,2562.0,135.79,3074.4,49
HCPCS,C1894,INTRODUCER CATH 6FR 45CM,2562.0,2562.0,135.79,3074.4,49
HCPCS,C1894,INTRODUCER CATH 7FR 45CM,2562.0,2562.0,135.79,3074.4,49
HCPCS,C1894,INTRODUCER SHTH 16F 45CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRODUCER SHTH 4FR 10CM,866.0,866.0,45.9,1039.2,49
HCPCS,C1894,INTRODUCER SHTH 6FR 23CM,867.0,867.0,45.95,1040.4,49
HCPCS,C1894,INTRODUCER SHTH 6FR 55CM,2525.0,2525.0,133.82,3030.0,49
HCPCS,C1894,INTRODUCER SHTH 6FR 90CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRODUCER SHTH 7F 10CM,735.0,735.0,38.95,882.0,49
HCPCS,C1894,INTRODUCER SHTH 7FR 10CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRODUCER SHTH 7FR 55CM,2525.0,2525.0,133.82,3030.0,49
HCPCS,C1894,INTRODUCER SHTH 7FR 70CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRODUCER SHTH 7FR 90CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRODUCER SHTH 8FR 80CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRODUCER TUBE 10F 70CM,184.0,184.0,9.75,220.8,49
HCPCS,C1894,INTRODUCER VASC 14F 45CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,INTRODUCR SHTH 7CM 4FR,2261.0,2261.0,119.83,2713.2,49
HCPCS,C1894,INTROSHTH 8F .038IN 10CM,377.0,377.0,19.98,452.4,49
HCPCS,C1894,KIT ACC INTRO 6FR 15CM,2165.0,2165.0,114.75,2598.0,49
HCPCS,C1894,KIT CAROTID EMBLC PRTCT,29013.0,29013.0,1537.69,34815.6,49
HCPCS,C1894,KIT CATH CV 9FR 11.5CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,KIT CATH CV 9FR 16CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,KIT CATH INTRO 6FR 10CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,KIT INTRO 10CM 6FR 21GA,2186.0,2186.0,115.86,2623.2,49
HCPCS,C1894,KIT INTRO 10CM 6FR 22GA,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,KIT INTRO 5FR 21GA 10CM,2261.0,2261.0,119.83,2713.2,49
HCPCS,C1894,KIT INTRO 8.5FR 10CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,KIT INTRO 9.0FR 10CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,KIT INTRO GW 4.5FR 7CM,1237.0,1237.0,65.56,1484.4,49
HCPCS,C1894,KIT INTRO NTNL 5FR 40CM,827.0,827.0,43.83,992.4,49
HCPCS,C1894,KIT INTRO SHTH 7FR 10CM,2261.0,2261.0,119.83,2713.2,49
HCPCS,C1894,KIT INTVN TRANSCAROTID,26021.0,26021.0,1379.11,31225.2,49
HCPCS,C1894,KIT MINTRDCR 4FR 10CM,622.0,622.0,32.97,746.4,49
HCPCS,C1894,KIT MINTRDCR 5FR 5CM UNV,1396.0,1396.0,73.99,1675.2,49
HCPCS,C1894,KIT MINTRDCR 7CM 21GA ND,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,KIT MINTRDCR GW 5FR 50CM,1237.0,1237.0,65.56,1484.4,49
HCPCS,C1894,KT INTRO SHTH 6FR 10CM,2261.0,2261.0,119.83,2713.2,49
HCPCS,C1894,NDL BX LVR 19GA 60CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,SET DILATION SHEATH 6FR,1206.0,1206.0,63.92,1447.2,49
HCPCS,C1894,SET DILATOR SHTH 24-30FR,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SET INTRO 10FR 38.5CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SET INTRO 7CM 21GA,1149.0,1149.0,60.9,1378.8,49
HCPCS,C1894,SET INTRO SHTH 6FR 11CM,1112.0,1112.0,58.94,1334.4,49
HCPCS,C1894,SET INTRO SHTH 6FR 35CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SET INTRO SHTH 7FR 24CM,2148.0,2148.0,113.84,2577.6,49
HCPCS,C1894,SET INTRO SHTH 8FR 65CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,SET SHTH INTRO 24FR 33CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,SET SHTH URT 11-13F 36CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SET SHTH URT 11-14F 28CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SET SHTH URT 13-15F 36CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SHEATH ACC TPR 15FR 13FR,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1894,SHEATH GD 5FR 55CM,2525.0,2525.0,133.82,3030.0,49
HCPCS,C1894,SHEATH GD 5FR 70CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SHEATH GD 5FR 90CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1894,SHEATH GD 63CM 10FR .038,2035.0,2035.0,107.86,2442.0,49
HCPCS,C1894,SHEATH GD 6FR 45CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1894,SHEATH GD 6FR 70CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SHEATH GD 6FR 80CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SHEATH GD 7FR 45CM,2563.0,2563.0,135.79,3076.8,147
HCPCS,C1894,SHEATH GD 7FR 90CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SHEATH GD 8FR 70CM,1959.0,1959.0,103.83,2350.8,49
HCPCS,C1894,SHEATH GD 8FR 90CM,2564.0,2564.0,135.89,3076.8,98
HCPCS,C1894,SHEATH INTRO .88IN 100CM,5895.0,5895.0,312.44,7074.0,49
HCPCS,C1894,SHEATH INTRO .88IN 80CM,5895.0,5895.0,312.44,7074.0,49
HCPCS,C1894,SHEATH INTRO .88IN 90CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,SHEATH INTRO 10F 23CM,697.0,697.0,36.94,836.4,49
HCPCS,C1894,SHEATH INTRO 10FR 25CM,791.0,791.0,41.92,949.2,49
HCPCS,C1894,SHEATH INTRO 11F 25CM,791.0,791.0,41.92,949.2,49
HCPCS,C1894,SHEATH INTRO 12F 28CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SHEATH INTRO 14F 28CM,2620.0,2620.0,138.86,3144.0,49
HCPCS,C1894,SHEATH INTRO 16FR 28CM,2620.0,2620.0,138.86,3144.0,49
HCPCS,C1894,SHEATH INTRO 18FR 64CM,5240.0,5240.0,277.72,6288.0,49
HCPCS,C1894,SHEATH INTRO 20FR 28CM,3275.0,3275.0,173.57,3930.0,49
HCPCS,C1894,SHEATH INTRO 20FR 65CM,6031.0,6031.0,319.64,7237.2,49
HCPCS,C1894,SHEATH INTRO 22FR 28CM,3275.0,3275.0,173.57,3930.0,49
HCPCS,C1894,SHEATH INTRO 5F 23CM,697.0,697.0,36.94,836.4,49
HCPCS,C1894,SHEATH INTRO 5FR 10CM,396.0,396.0,19.98,498.0,98
HCPCS,C1894,SHEATH INTRO 5FR 25CM,791.0,791.0,41.92,949.2,49
HCPCS,C1894,SHEATH INTRO 5FR/10CM,2186.0,2186.0,115.86,2623.2,49
HCPCS,C1894,SHEATH INTRO 6F 23CM,697.0,697.0,36.94,836.4,49
HCPCS,C1894,SHEATH INTRO 6F 25CM,791.0,791.0,41.92,949.2,49
HCPCS,C1894,SHEATH INTRO 6FR 65CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SHEATH INTRO 7FR 25CM,978.5,978.5,43.78,1357.2,98
HCPCS,C1894,SHEATH INTRO 7FR 65CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SHEATH INTRO 8F 25CM,791.0,791.0,41.92,949.2,49
HCPCS,C1894,SHEATH INTRO 8FR 25CM,791.0,791.0,41.92,949.2,49
HCPCS,C1894,SHEATH INTRO 90CM 6F.038,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SHEATH INTRO 9F 25CM,826.0,826.0,43.78,991.2,49
HCPCS,C1894,SHEATH INTRO 9FR 10CM,377.0,377.0,19.98,452.4,49
HCPCS,C1894,SHEATH INTRO GW 10F 11CM,296.0,296.0,15.69,355.2,49
HCPCS,C1894,SHEATH INTRO GW 11F 11CM,296.0,296.0,15.69,355.2,49
HCPCS,C1894,SHEATH INTRO GW 4F 11CM,1479.0,1479.0,78.39,1774.8,49
HCPCS,C1894,SHEATH INTRO GW 5F 11CM,217.0,217.0,11.5,260.4,49
HCPCS,C1894,SHEATH INTRO GW 6F 11CM,296.0,296.0,15.69,355.2,49
HCPCS,C1894,SHEATH INTRO GW 7F 11CM,1479.0,1479.0,78.39,1774.8,49
HCPCS,C1894,SHEATH INTRO GW 9F 11CM,296.0,296.0,15.69,355.2,49
HCPCS,C1894,SHEATH INTRO.088IN 105CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C1894,SHEATH NVGRT 12/14F 36CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SHEATH NVGRT 12/14F 46CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SHEATH VASC 18FR 28CM,2620.0,2620.0,138.86,3144.0,49
HCPCS,C1894,SHTH BRTP 6F 35,867.0,867.0,45.95,1040.4,49
HCPCS,C1894,SHTH INTRO 24FR 28CM,4257.0,4257.0,225.62,5108.4,49
HCPCS,C1894,SHTH INTRO 5FR 018 40 10,861.0,861.0,45.63,1033.2,49
HCPCS,C1894,SHTH INTRO GS 6FR 10CM,2261.0,2261.0,119.83,2713.2,49
HCPCS,C1894,SHTH PNCLP 10F 10 035,395.0,395.0,20.93,474.0,49
HCPCS,C1894,SHTH SFE 9F 6709,2261.0,2261.0,119.83,2713.2,49
HCPCS,C1894,SHTH URT NVGTR 28X11-13F,2564.0,2564.0,135.89,3076.8,49
HCPCS,C1894,SHTH WGW 6F 035 11,347.0,347.0,18.39,416.4,49
HCPCS,C1894,SYSTEM INTRO 4-6FR 60CM,2487.0,2487.0,131.81,2984.4,49
HCPCS,C1894,TUNNLER SHTH 11GA 10IN,1040.0,1040.0,55.12,1248.0,49
HCPCS,C1895,LEAD DEFB SPRNT DF4 62CM,6734.0,6734.0,356.9,8080.8,20
HCPCS,C1895,LEAD DEFIB 58CM,9500.0,9500.0,503.5,11400.0,20
HCPCS,C1895,LEAD DEFIB 65CM,9500.0,9500.0,503.5,11400.0,20
HCPCS,C1895,LEAD ICD 62CM,6734.0,6734.0,356.9,8080.8,20
HCPCS,C1895,LEAD ICD 63CM,10780.0,10780.0,571.34,12936.0,20
HCPCS,C1895,LEAD ICD 72CM,5984.0,5984.0,317.15,7180.8,20
HCPCS,C1895,LEAD ICD DEFIB 58CM,9500.0,9500.0,503.5,11400.0,20
HCPCS,C1895,LEAD ICD DEFIB 65CM,9500.0,9500.0,503.5,11400.0,20
HCPCS,C1895,LEAD ICD DF4 8.6FR 55CM,6734.0,6734.0,356.9,8080.8,20
HCPCS,C1895,LEAD PCNG 65X17CM 2COIL,10770.0,10770.0,570.81,12924.0,20
HCPCS,C1895,LEAD PCNG RIATA 7020-65,9500.0,9500.0,503.5,11400.0,20
HCPCS,C1895,LEAD SPRNT FDLS 694958,9000.0,9000.0,477.0,10800.0,20
HCPCS,C1895,LEAD SPRNT FDLS 694965ID,9000.0,9000.0,477.0,10800.0,20
HCPCS,C1895,LEAD SPRNT QTRO 6944,9000.0,9000.0,477.0,10800.0,20
HCPCS,C1895,LEAD SPRNT QTRO RV 55CM,8380.0,8380.0,444.14,10056.0,20
HCPCS,C1895,LEAD SPRNT QTRO RV 75CM,8380.0,8380.0,444.14,10056.0,20
HCPCS,C1895,LEAD SPRNT QTRO SCR 6947,9000.0,9000.0,477.0,10800.0,20
HCPCS,C1895,LEAD SPRNT QTRO SCR DF4,8380.0,8380.0,444.14,10056.0,20
HCPCS,C1895,LEAD SPRNTQTRO 2CL 62CM,8380.0,8380.0,444.14,10056.0,20
HCPCS,C1895,LEAD SPRNTQTRO 2CL 97CM,8380.0,8380.0,444.14,10056.0,20
HCPCS,C1896,ICD ELECTRODE DEFIB 45CM,8000.0,8000.0,424.0,9600.0,20
HCPCS,C1896,LEAD CRT PCNG 55CM,6734.0,6734.0,356.9,8080.8,20
HCPCS,C1897,KIT TES TRIAL STIM,771.0,771.0,40.86,925.2,20
HCPCS,C1897,KIT TEST STIMULATOR LEAD,840.0,840.0,44.52,1008.0,20
HCPCS,C1898,LEAD CAPSURE SP 4024,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1898,LEAD CPSR SNSE 407458,794.0,794.0,42.08,952.8,20
HCPCS,C1898,LEAD CRYSTLN ICF09B45,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1898,LEAD CRYSTLN ICF09B52,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1898,LEAD ENDO PACING,794.0,794.0,42.08,952.8,20
HCPCS,C1898,LEAD EXCEL SS+ IML49B52,1300.0,1300.0,68.9,1560.0,20
HCPCS,C1898,LEAD ISOFLEX PM 1646T,3270.0,3270.0,173.31,3924.0,20
HCPCS,C1898,LEAD ISOFLX S 1642T52,800.0,800.0,42.4,960.0,20
HCPCS,C1898,LEAD PACING 6FR 58CM,800.0,800.0,42.4,960.0,20
HCPCS,C1898,LEAD PCNG 1PS 46CM 5.9F,800.0,800.0,42.4,960.0,20
HCPCS,C1898,LEAD PCNG 1PS 52CM 5.9F,800.0,800.0,42.4,960.0,20
HCPCS,C1898,LEAD PCNG 4.1FR 59CM,794.0,794.0,42.08,952.8,20
HCPCS,C1898,LEAD PCNG 4.1FR 69CM,794.0,794.0,42.08,952.8,20
HCPCS,C1898,LEAD PCNG 40CM 7FR,800.0,800.0,42.4,960.0,20
HCPCS,C1898,LEAD PCNG 45CM,794.0,794.0,37.63,1252.8,60
HCPCS,C1898,LEAD PCNG 45CM 5.3FR,794.0,794.0,42.08,952.8,20
HCPCS,C1898,LEAD PCNG 46CM,800.0,800.0,42.4,960.0,20
HCPCS,C1898,LEAD PCNG 5.3FR 7FR,794.0,794.0,42.08,952.8,20
HCPCS,C1898,LEAD PCNG 52CM,797.0,797.0,42.08,960.0,40
HCPCS,C1898,LEAD PCNG 52CM 1.7MM,698.0,698.0,36.99,837.6,20
HCPCS,C1898,LEAD PCNG 53CM,398.5,398.5,4.61,852.0,40
HCPCS,C1898,LEAD PCNG 58CM,800.0,800.0,42.4,960.0,20
HCPCS,C1898,LEAD PCNG 58CM 7FR,800.0,800.0,42.4,960.0,20
HCPCS,C1898,LEAD PCNG 59CM 5.9FR,800.0,800.0,42.4,960.0,20
HCPCS,C1898,LEAD PCNG 6.2FR 52CM,794.0,794.0,42.08,952.8,20
HCPCS,C1898,LEAD PCNG 6.6FR 35CM,990.0,990.0,52.47,1188.0,20
HCPCS,C1898,LEAD PCNG 60CM,752.0,752.0,37.63,952.8,40
HCPCS,C1898,LEAD PCNG 6FR 58CM,794.0,794.0,42.08,952.8,20
HCPCS,C1898,LEAD PCNG 6FR 65CM,794.0,794.0,42.08,952.8,20
HCPCS,C1898,LEAD PCNG IS-1 52CM 7FR,800.0,800.0,42.4,960.0,20
HCPCS,C1898,LEAD PCNG RT VNTRC 52CM,794.0,794.0,42.08,952.8,20
HCPCS,C1898,LEAD PCNG SURESCAN 45CM,1850.0,1850.0,98.05,2220.0,20
HCPCS,C1898,LEAD SLT PCTP 4034,1140.0,1140.0,60.42,1368.0,20
HCPCS,C1900,LEAD ATTAIN STRFIX 103CM,3390.0,3390.0,179.67,4068.0,20
HCPCS,C1900,LEAD ATTN OW 419378,3390.0,3390.0,179.67,4068.0,20
HCPCS,C1900,LEAD ATTN OW 419388,3390.0,3390.0,179.67,4068.0,20
HCPCS,C1900,LEAD BIPLOR OTW 78-88CM,3390.0,3390.0,179.67,4068.0,20
HCPCS,C1900,LEAD CRT PACING 88CM,3378.0,3378.0,179.03,4053.6,20
HCPCS,C1900,LEAD CRT PCNG 5.3FR 88CM,2646.0,2646.0,140.24,3175.2,20
HCPCS,C1900,LEAD CRT PCNG 88CM,2812.0,2812.0,140.24,3573.6,40
HCPCS,C1900,LEAD CRT-D 1.6MM 87CM,2126.0,2126.0,112.68,2551.2,20
HCPCS,C1900,LEAD EZTRK 4513,5200.0,5200.0,275.6,6240.0,20
HCPCS,C1900,LEAD PACING UNIPLR 78CM,3390.0,3390.0,179.67,4068.0,20
HCPCS,C1900,LEAD PCNG 4.7FR 86CM,3482.0,3482.0,184.55,4178.4,80
HCPCS,C1900,LEAD PCNG 86CM,3482.0,3482.0,184.55,4178.4,20
HCPCS,C2596,HANDPIECE H2O JET KNIFE,26269.0,26269.0,1392.26,31522.8,49
HCPCS,C2596,HANDPIECE PROBE JET DISP,26269.0,26269.0,1392.26,31522.8,49
HCPCS,C2615,SEALANT PLR PROGL 4ML,7578.0,7578.0,401.63,9093.6,49
HCPCS,C2616,BRACHYTX NS YTTRIUM 90,32000.0,32000.0,5120.0,38400.0,19
HCPCS,C2616,"Brachytherapy source, non-stranded, yttrium-90, per source ",32000.0,32000.0,40000.0,40000.0,1
HCPCS,C2617,SET STENT URTH 6FR 75CM,317.0,317.0,16.8,380.4,20
HCPCS,C2617,STENT 6X26CM SILHOUETTE,288.0,288.0,15.26,345.6,20
HCPCS,C2617,STENT BIL 10FR 7CM,104.0,104.0,5.51,124.8,20
HCPCS,C2617,STENT BIL PGTL 10FR 10CM,102.0,102.0,5.41,122.4,20
HCPCS,C2617,STENT BIL PGTL 7FR 3CM,103.0,103.0,5.46,123.6,20
HCPCS,C2617,STENT BIL PGTL 7FR 7CM,103.0,103.0,5.46,123.6,20
HCPCS,C2617,STENT PANC 4FR 3CM,148.0,148.0,7.84,177.6,20
HCPCS,C2617,STENT PANC 5FR 11CM,150.0,150.0,7.95,180.0,20
HCPCS,C2617,STENT PANC 5FR 3CM,148.0,148.0,7.84,177.6,40
HCPCS,C2617,STENT PANC 7FR 7CM,167.0,167.0,8.85,200.4,20
HCPCS,C2617,STENT URET 4.8FR 10CM,183.0,183.0,9.7,219.6,20
HCPCS,C2617,STENT URET 4.8FR 12CM,183.0,183.0,9.7,219.6,20
HCPCS,C2617,STENT URET 4.8FR 14CM,183.0,183.0,9.7,219.6,20
HCPCS,C2617,STENT URET 4.8FR 16CM,183.0,183.0,9.7,219.6,20
HCPCS,C2617,STENT URET 4.8FR 18CM,183.0,183.0,9.7,219.6,20
HCPCS,C2617,STENT URET 5FR 20CM,241.0,241.0,12.77,289.2,20
HCPCS,C2617,STENT URET 5FR 22CM,241.0,241.0,12.77,289.2,20
HCPCS,C2617,STENT URET 5FR 24CM,241.0,241.0,12.77,289.2,20
HCPCS,C2617,STENT URET 5FR 26CM,241.0,241.0,12.77,289.2,20
HCPCS,C2617,STENT URET 5FR 28CM,249.0,249.0,13.2,298.8,20
HCPCS,C2617,STENT URET 6FR 22CM,241.0,241.0,12.77,289.2,20
HCPCS,C2617,STENT URET 6FR 24CM,263.0,263.0,13.14,464.4,60
HCPCS,C2617,STENT URET 6FR 26CM,314.0,314.0,12.77,464.4,40
HCPCS,C2617,STENT URET 6FR 28CM,241.0,241.0,12.77,289.2,20
HCPCS,C2617,STENT URET 7FR 20CM,267.0,267.0,14.15,320.4,20
HCPCS,C2617,STENT URET 7FR 22CM,241.0,241.0,12.77,289.2,20
HCPCS,C2617,STENT URET 7FR 24CM,241.0,241.0,12.77,289.2,20
HCPCS,C2617,STENT URET 7FR 26CM,248.0,248.0,13.14,297.6,20
HCPCS,C2617,STENT URET 7FR 28CM,287.0,287.0,15.21,344.4,20
HCPCS,C2617,STENT URET 8FR 20CM,387.0,387.0,20.51,464.4,20
HCPCS,C2617,STENT URET 8FR 22CM,387.0,387.0,20.51,464.4,20
HCPCS,C2617,STENT URET 8FR 22MM,240.0,240.0,12.72,288.0,20
HCPCS,C2617,STENT URET 8FR 24CM,387.0,387.0,20.51,464.4,20
HCPCS,C2617,STENT URET 8FR 24MM,240.0,240.0,12.72,288.0,20
HCPCS,C2617,STENT URET 8FR 26CM,387.0,387.0,20.51,464.4,20
HCPCS,C2617,STENT URET 8FR 28CM,387.0,387.0,20.51,464.4,20
HCPCS,C2617,STENT URET 8FR 28MM,240.0,240.0,12.72,288.0,20
HCPCS,C2617,STENT URET 8FR 8X20MM,240.0,240.0,12.72,288.0,20
HCPCS,C2617,STENT URET DBL PGTL 6X22,128.0,128.0,6.78,153.6,20
HCPCS,C2618,CRYOPROBE CARTRG URTH,5985.0,5985.0,317.2,7182.0,49
HCPCS,C2618,KIT CYRABL 1.5MM 175MM,14728.0,14728.0,780.58,17673.6,49
HCPCS,C2618,NDL CRYALB 1.5MM 175MM,14728.0,14728.0,780.58,17673.6,49
HCPCS,C2618,NEEDLE CRYOSURG 90D,14728.0,14728.0,780.58,17673.6,49
HCPCS,C2618,PROBE CRYO 11IN,21762.0,21762.0,1153.39,26114.4,49
HCPCS,C2618,PROBE CRYO 17IN,22539.0,22539.0,1194.57,27046.8,49
HCPCS,C2618,PROBE CRYO TIP 11IN 8MM,19041.0,19041.0,1009.17,22849.2,49
HCPCS,C2618,PROBE CRYOABLTN 10CM 3,17448.0,17448.0,924.74,20937.6,49
HCPCS,C2618,PROBE CRYOFLX ABLN 10CM,22889.0,22889.0,1213.12,27466.8,49
HCPCS,C2618,PROBE CRYOSPHERE 18IN 8M,19819.0,19819.0,1050.41,23782.8,49
HCPCS,C2621,CRT-P CRD 11X46.5X59MM,12818.0,12818.0,679.35,15381.6,20
HCPCS,C2621,CRT-P CRD 59X46.5X11,12818.0,12818.0,679.35,15381.6,20
HCPCS,C2621,CRT-P CRD 59X46.5X11MM,15240.0,15240.0,807.72,18288.0,20
HCPCS,C2621,CRT-P MR 15MM,13190.0,13190.0,699.07,15828.0,20
HCPCS,C2621,PCMKR CRD VENTRC 2 58X52,13190.0,13190.0,699.07,15828.0,20
HCPCS,C2622,PROS PENIL CVR 16CM,5900.0,5900.0,312.7,7080.0,20
HCPCS,C2622,PROS PENILE INFL 18CM,13728.0,13728.0,727.58,16473.6,20
HCPCS,C2622,PROSTHESIS PENILE 9.5MM,18412.0,18412.0,975.84,22094.4,20
HCPCS,C2622,PROSTHESIS PENL 27 13MM,18412.0,18412.0,975.84,22094.4,20
HCPCS,C2622,SET SCRT 20 CYL & PMP,10270.0,10270.0,544.31,12324.0,20
HCPCS,C2623,CATH BLN 5F 5X40MM 130CM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH BLN 5F 5X80MM 130CM,10221.0,10221.0,541.71,12265.2,49
HCPCS,C2623,CATH BLN 5F 80MM 130CM,8549.0,8549.0,453.1,10258.8,49
HCPCS,C2623,CATH BLN 5FR 4X130X100MM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH BLN 5FR 4X130X120MM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH BLN 5FR 4X130X150MM,11269.0,11269.0,597.26,13522.8,49
HCPCS,C2623,CATH BLN 5FR 4X130X40MM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH BLN 5FR 4X130X60MM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH BLN 5FR 5X130X100MM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH BLN 5FR 5X130X120MM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH BLN 5FR 5X130X60MM,11269.0,11269.0,597.26,13522.8,49
HCPCS,C2623,CATH BLN 5FR 6X130X150MM,11269.0,11269.0,597.26,13522.8,49
HCPCS,C2623,CATH BLN 5FR 6X130X40MM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH BLN 5FR 6X130X60MM,10104.0,10104.0,535.51,12124.8,49
HCPCS,C2623,CATH BLN 5FR 6X130X80MM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH BLN 6FR 4X130X100MM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH BLNDIL 130CM 6X80MM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH BLNDIL 4MM 100MM,12583.0,12583.0,666.9,15099.6,49
HCPCS,C2623,CATH BLNDIL 4MM 120MM,9715.0,9715.0,514.89,11658.0,49
HCPCS,C2623,CATH BLNDIL 4MM 150MM,11658.0,11658.0,597.26,14456.4,98
HCPCS,C2623,CATH BLNDIL 4MM 220MM,14573.0,14573.0,772.37,17487.6,49
HCPCS,C2623,CATH BLNDIL 4MM 40MM,11463.5,11463.5,514.89,15854.4,98
HCPCS,C2623,CATH BLNDIL 4MM 60MM,9326.5,9326.5,473.71,11658.0,98
HCPCS,C2623,CATH BLNDIL 4MM 80MM,9326.5,9326.5,473.71,11658.0,98
HCPCS,C2623,CATH BLNDIL 4X40MM,8860.0,8860.0,469.58,10632.0,49
HCPCS,C2623,CATH BLNDIL 5MM 100MM,9164.0,9164.0,485.69,10996.8,49
HCPCS,C2623,CATH BLNDIL 5MM 120MM,9715.0,9715.0,514.89,11658.0,49
HCPCS,C2623,CATH BLNDIL 5MM 150MM,12407.5,12407.5,638.49,15321.6,98
HCPCS,C2623,CATH BLNDIL 5MM 200MM,14339.0,14339.0,759.97,17206.8,49
HCPCS,C2623,CATH BLNDIL 5MM 220MM,14767.0,14767.0,782.65,17720.4,49
HCPCS,C2623,CATH BLNDIL 5MM 250MM,15777.0,15777.0,836.18,18932.4,49
HCPCS,C2623,CATH BLNDIL 5MM 300MM,19391.0,19391.0,1027.72,23269.2,49
HCPCS,C2623,CATH BLNDIL 5MM 40MM,9669.0,9669.0,510.02,11658.0,98
HCPCS,C2623,CATH BLNDIL 5MM 60MM,9669.0,9669.0,510.02,11658.0,98
HCPCS,C2623,CATH BLNDIL 5MM 80MM,9326.5,9326.5,473.71,11658.0,98
HCPCS,C2623,CATH BLNDIL 5X150MM,11269.0,11269.0,597.26,13522.8,49
HCPCS,C2623,CATH BLNDIL 5X200MM,14300.0,14300.0,757.9,17160.0,49
HCPCS,C2623,CATH BLNDIL 6MM 100MM,9623.0,9623.0,510.02,11547.6,49
HCPCS,C2623,CATH BLNDIL 6MM 120MM,9715.0,9715.0,514.89,11658.0,49
HCPCS,C2623,CATH BLNDIL 6MM 150MM,12407.5,12407.5,638.49,15321.6,98
HCPCS,C2623,CATH BLNDIL 6MM 200MM,14339.0,14339.0,759.97,17206.8,49
HCPCS,C2623,CATH BLNDIL 6MM 220MM,14573.0,14573.0,772.37,17487.6,49
HCPCS,C2623,CATH BLNDIL 6MM 250MM,15777.0,15777.0,836.18,18932.4,49
HCPCS,C2623,CATH BLNDIL 6MM 300MM,19391.0,19391.0,1027.72,23269.2,49
HCPCS,C2623,CATH BLNDIL 6MM 40MM,9326.5,9326.5,473.71,11658.0,98
HCPCS,C2623,CATH BLNDIL 6MM 60MM,9669.0,9669.0,510.02,11658.0,98
HCPCS,C2623,CATH BLNDIL 6MM 80MM,9715.0,9715.0,514.89,11658.0,49
HCPCS,C2623,CATH BLNDIL 6X120MM,9637.0,9637.0,510.76,11564.4,49
HCPCS,C2623,CATH BLNDIL 6X220MM,14573.0,14573.0,772.37,17487.6,49
HCPCS,C2623,CATH BLNDIL 6X80MM,8860.0,8860.0,469.58,10632.0,49
HCPCS,C2623,CATH BLNDIL 7MM 100MM,8938.0,8938.0,473.71,10725.6,98
HCPCS,C2623,CATH BLNDIL 7MM 150MM,11269.0,11269.0,597.26,13522.8,49
HCPCS,C2623,CATH BLNDIL 7MM 220MM,14573.0,14573.0,772.37,17487.6,49
HCPCS,C2623,CATH BLNDIL 7MM 40MM,9326.5,9326.5,473.71,11658.0,98
HCPCS,C2623,CATH BLNDIL 7MM 60MM,9326.5,9326.5,473.71,11658.0,98
HCPCS,C2623,CATH BLNDIL 7MM 80MM,9164.0,9164.0,485.69,10996.8,49
HCPCS,C2623,CATH BLNDIL 7X100MM,137.0,137.0,7.26,164.4,49
HCPCS,C2623,CATH BLNDIL 9X60MM 75CM,11269.0,11269.0,597.26,13522.8,49
HCPCS,C2623,CATH BLNDL 5F 5X220MM,14573.0,14573.0,772.37,17487.6,49
HCPCS,C2623,CATH BLNDL DCB 5X150X150,11192.0,11192.0,593.18,13430.4,49
HCPCS,C2623,CATH BLNDL DCB 6X200X150,14300.0,14300.0,757.9,17160.0,49
HCPCS,C2623,CATH BLNDL DCB 6X60X135,8860.0,8860.0,469.58,10632.0,49
HCPCS,C2623,CATH DBC 5X40MM 75CM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH DBC 6X40MM 75CM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH DBC 7X40MM 75CM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH DBC 7X60MM 75CM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH DBC 8X40MM 75CM,11288.0,11288.0,598.26,13545.6,49
HCPCS,C2623,CATH DBC 8X60MM 75CM,11269.0,11269.0,597.26,13522.8,49
HCPCS,C2623,CATH DBC 9X40MM 75CM,11269.0,11269.0,597.26,13522.8,49
HCPCS,C2623,CATH DCB 10X40MM 75CM,11288.0,11288.0,598.26,13545.6,49
HCPCS,C2623,CATH DCB 10X60MM 75CM,11269.0,11269.0,597.26,13522.8,49
HCPCS,C2623,CATH DCB 12X40MM 75CM,11269.0,11269.0,597.26,13522.8,49
HCPCS,C2623,CATH DCB 7X40MM 130CM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH DCB 7X60MM 130CM,11269.0,11269.0,597.26,13522.8,49
HCPCS,C2623,CATH DCB 7X80MM 130CM,8938.0,8938.0,473.71,10725.6,49
HCPCS,C2623,CATH LTNX 6X150MMX130CM,14184.0,14184.0,751.75,17020.8,49
HCPCS,C2625,KIT STENT PANC 4FR 3CM,329.0,329.0,17.44,394.8,20
HCPCS,C2625,KIT STENT PANC 4FR 5CM,329.0,329.0,17.44,394.8,20
HCPCS,C2625,KIT STENT PANC 5FR 3CM,329.0,329.0,17.44,394.8,20
HCPCS,C2625,KIT STENT PANC 5FR 7CM,329.0,329.0,17.44,394.8,20
HCPCS,C2625,STENT BIL 7FR 12CM,254.0,254.0,13.46,304.8,20
HCPCS,C2625,STENT BIL 7FR 15CM,255.0,255.0,13.52,306.0,20
HCPCS,C2625,STENT BIL DB 10FR 10CM,178.0,178.0,9.43,213.6,20
HCPCS,C2625,STENT BIL DB 10FR 7CM,178.0,178.0,9.43,213.6,20
HCPCS,C2625,STENT BIL DB 7FR 10CM,178.0,178.0,9.43,213.6,20
HCPCS,C2625,STENT BIL DB 7FR 5CM,178.0,178.0,9.43,213.6,20
HCPCS,C2625,STENT BIL DB 7FR 7CM,178.0,178.0,9.43,213.6,20
HCPCS,C2625,STENT NPHURET 8.5FR 26CM,181.0,181.0,9.59,217.2,20
HCPCS,C2625,STENT NPHURSTM 22CM,181.0,181.0,9.59,217.2,20
HCPCS,C2625,STENT NPHURSTM 24CM,181.0,181.0,9.59,217.2,20
HCPCS,C2625,STENT NPHURSTM 26CM,158.0,158.0,8.37,189.6,20
HCPCS,C2625,STENT NSL IMPLANT 23MM,1800.0,1800.0,95.4,2160.0,20
HCPCS,C2625,STENT URE 6FR 26CM,2684.0,2684.0,142.25,3220.8,20
HCPCS,C2625,STENT URET 10.2FR 28CM,181.0,181.0,9.59,217.2,20
HCPCS,C2625,STENT URET 6F 24CM,2684.0,2684.0,142.25,3220.8,20
HCPCS,C2625,STENT URET 6FR 20CM,269.0,269.0,14.26,322.8,20
HCPCS,C2625,STENT URET 6FR 28CM,2380.0,2380.0,126.14,2856.0,20
HCPCS,C2625,STENT URET 8.5F 22CM.038,181.0,181.0,9.59,217.2,20
HCPCS,C2625,STENT URO 8.5FR 24CM,181.0,181.0,9.59,217.2,20
HCPCS,C2625,STNT URET MTL 6X22,2684.0,2684.0,142.25,3220.8,20
HCPCS,C2627,TRAY CATH 14/18GA 11IN,2564.0,2564.0,135.89,3076.8,49
HCPCS,C2628,BLN 10-37MMX4.0CMX90CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C2628,BLN OCL HGLD 2.8X7X150,10321.0,10321.0,547.01,12385.2,49
HCPCS,C2628,CATH BLN ERREBOAPLUS BP,34383.0,34383.0,1822.3,41259.6,49
HCPCS,C2628,CATH BLN GD 87X95,13873.0,13873.0,735.27,16647.6,49
HCPCS,C2628,CATH BLNOCC 2.8FR 3X15MM,11433.0,11433.0,605.95,13719.6,49
HCPCS,C2628,CATH BLNOCC 26FR 65CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C2628,CATH BLNOCC 2MM 10MM,20176.0,20176.0,1069.33,24211.2,49
HCPCS,C2628,CATH BLNOCC 4MM 10MM,9249.0,9249.0,490.2,11098.8,49
HCPCS,C2628,CATH BLNOCC 4MM 11MM,11231.0,11231.0,595.24,13477.2,49
HCPCS,C2628,CATH BLNOCC 7X10MM,11433.0,11433.0,605.95,13719.6,49
HCPCS,C2628,CATH BLNOCC 9FR 120CM,5941.0,5941.0,314.87,7129.2,49
HCPCS,C2628,CATH OCC BLN 8F 90CM,6324.0,6324.0,335.17,7588.8,49
HCPCS,C2628,CATH OCC BLN TRANS 3X10,11433.0,11433.0,605.95,13719.6,49
HCPCS,C2628,CATH OCC BLN TRANS 7X7,11433.0,11433.0,605.95,13719.6,49
HCPCS,C2628,CATH OCL TRNSFM 4X15MM,11433.0,11433.0,605.95,13719.6,49
HCPCS,C2628,CATHETER BLNOCC 2.8FR 4M,11433.0,11433.0,605.95,13719.6,49
HCPCS,C2628,KIT CATH OCC BLN 8F,3095.0,3095.0,164.03,3714.0,49
HCPCS,C2628,OCCLUDER CORNARY 1.00MM,2564.0,2564.0,135.89,3076.8,49
HCPCS,C2630,CATH ABL 108 7FR 6MM MED,9715.0,9715.0,514.89,11658.0,49
HCPCS,C2630,CATH ABL 8FR 115CM,13212.0,13212.0,700.24,15854.4,49
HCPCS,C2630,CATH ABL 8GA 115CM,22539.0,22539.0,1194.57,27046.8,49
HCPCS,C2630,CATH ABL CRV D-F 115CM,29534.0,29534.0,1565.3,35440.8,49
HCPCS,C2630,CATH ABLAT BI-D FJ CURVE,22539.0,22539.0,1194.57,27046.8,49
HCPCS,C2630,CATH EP MED/CR110CMX2MM,7014.0,7014.0,371.74,8416.8,49
HCPCS,C2630,CATHETER ABL 8FR 115CM,14767.0,14767.0,782.65,17720.4,98
HCPCS,C5271,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1982.0,3689.0,28
HCPCS,C5272,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1423.0,3251.0,28
HCPCS,C5273,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2820.0,5414.0,28
HCPCS,C5274,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1423.0,3251.0,28
HCPCS,C5275,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1982.0,3689.0,28
HCPCS,C5276,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1423.0,3251.0,28
HCPCS,C5277,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1982.0,3689.0,28
HCPCS,C5278,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1423.0,3251.0,28
HCPCS,C7500,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,8577.0,8577.0,8
HCPCS,C7501,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,8577.0,8577.0,8
HCPCS,C7502,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,8577.0,8577.0,8
HCPCS,C7503,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,8577.0,8577.0,8
HCPCS,C7504,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,8577.0,8577.0,8
HCPCS,C7505,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,8577.0,8577.0,8
HCPCS,C7506,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,8577.0,8577.0,8
HCPCS,C7507,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,8577.0,8577.0,8
HCPCS,C7508,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,8577.0,8577.0,8
HCPCS,C7509,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,8
HCPCS,C7510,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,8
HCPCS,C7511,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,8577.0,8577.0,8
HCPCS,C7512,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,8577.0,8577.0,8
HCPCS,C7513,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8577.0,8577.0,8
HCPCS,C7514,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8577.0,8577.0,8
HCPCS,C7515,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8577.0,8577.0,8
HCPCS,C7516,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,8577.0,8577.0,8
HCPCS,C7517,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,8577.0,8577.0,8
HCPCS,C7518,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,8577.0,8577.0,8
HCPCS,C7519,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,8577.0,8577.0,8
HCPCS,C7520,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,8577.0,8577.0,8
HCPCS,C7521,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,8577.0,12038.0,72
HCPCS,C7522,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,8577.0,12038.0,72
HCPCS,C7523,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,8577.0,12038.0,72
HCPCS,C7524,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,8577.0,12038.0,72
HCPCS,C7525,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,8577.0,12038.0,72
HCPCS,C7526,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,8577.0,12038.0,72
HCPCS,C7527,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,8577.0,12038.0,72
HCPCS,C7528,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,8577.0,12038.0,72
HCPCS,C7529,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,8577.0,12038.0,72
HCPCS,C7530,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8577.0,8577.0,8
HCPCS,C7531,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,8577.0,8577.0,8
HCPCS,C7532,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,8577.0,8577.0,8
HCPCS,C7533,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,8577.0,23692.0,73
HCPCS,C7534,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,8577.0,8577.0,8
HCPCS,C7535,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,8577.0,8577.0,8
HCPCS,C7537,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,8577.0,8577.0,8
HCPCS,C7538,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,8577.0,8577.0,8
HCPCS,C7539,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,8577.0,8577.0,8
HCPCS,C7540,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,8577.0,8577.0,8
HCPCS,C7541,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,8577.0,8577.0,8
HCPCS,C7542,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,8
HCPCS,C7543,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,8
HCPCS,C7544,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,8577.0,8577.0,8
HCPCS,C7545,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,8577.0,8577.0,8
HCPCS,C7546,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,8577.0,8577.0,8
HCPCS,C7547,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,8577.0,8577.0,8
HCPCS,C7548,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,8577.0,8577.0,8
HCPCS,C7549,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,8577.0,8577.0,8
HCPCS,C7550,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,8577.0,8577.0,8
HCPCS,C7551,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,8577.0,8577.0,8
HCPCS,C7552,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,8577.0,12038.0,72
HCPCS,C7553,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,8577.0,12038.0,72
HCPCS,C7554,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,8577.0,8577.0,8
HCPCS,C7555,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,8577.0,8577.0,8
HCPCS,C7557,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8577.0,8577.0,8
HCPCS,C7560,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,8577.0,8577.0,8
HCPCS,C7562,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,8577.0,8577.0,8
HCPCS,C7563,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,8577.0,8577.0,8
HCPCS,C7564,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,8577.0,8577.0,8
HCPCS,C7565,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,8577.0,8577.0,8
HCPCS,C7566,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,8577.0,8577.0,8
HCPCS,C7567,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,8577.0,8577.0,8
HCPCS,C7568,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8577.0,8577.0,8
HCPCS,C7569,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,8577.0,8577.0,8
HCPCS,C7570,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8577.0,8577.0,8
HCPCS,C7571,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,8577.0,8577.0,8
HCPCS,C8001,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,149.69,149.69,8
HCPCS,C8003,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,19295.0,19295.0,8
HCPCS,C8006,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,10719.0,10719.0,8
HCPCS,C8007,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,8577.0,8577.0,8
HCPCS,C8008,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,8577.0,8577.0,8
HCPCS,C8009,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,8577.0,8577.0,8
HCPCS,C8010,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,8577.0,8577.0,8
HCPCS,C8011,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,8577.0,8577.0,8
HCPCS,C8012,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,8
HCPCS,C8013,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,8
HCPCS,C8014,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,7493.0,7493.0,8
HCPCS,C8900,"Magnetic resonance angiography with contrast, abdomen ",,,625.8,2118.0,13
HCPCS,C8901,"Magnetic resonance angiography without contrast, abdomen ",,,391.22,2118.0,13
HCPCS,C8902,MRA W/O FOL W/CONT ABD,19890.0,19890.0,1710.54,23868.0,31
HCPCS,C8902,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",19890.0,19890.0,625.8,2118.0,13
HCPCS,C8903,MRI W/CONT BREAST UNI LT,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8903,MRI W/CONT BREAST UNI RT,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8903,"Magnetic resonance imaging with contrast, breast; unilateral ",,,303.54,2118.0,13
HCPCS,C8905,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,625.8,2118.0,13
HCPCS,C8906,MRI W/CONT BREAST BI,3147.0,3147.0,270.64,3776.4,31
HCPCS,C8906,"Magnetic resonance imaging with contrast, breast; bilateral ",3147.0,3147.0,625.8,2118.0,13
HCPCS,C8908,MRI WO FOL W/CON BRST BI,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8908,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",13057.0,13057.0,625.8,2118.0,13
HCPCS,C8909,MRA W/CONT CHEST,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8909,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",13057.0,13057.0,625.8,2118.0,13
HCPCS,C8910,MRA W/O CONT CHEST,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8910,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",13057.0,13057.0,391.22,2118.0,13
HCPCS,C8911,MRA W/O FOL W/CONT CHEST,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8911,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",13057.0,13057.0,625.8,2118.0,13
HCPCS,C8912,MRA W/CONT LWR EXT BI,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8912,MRA W/CONT LWR EXT LT,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8912,MRA W/CONT LWR EXT RT,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8912,"Magnetic resonance angiography with contrast, lower extremity ",,,625.8,2118.0,13
HCPCS,C8913,MRA W/O CONT LWR EXT BI,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8913,MRA W/O CONT LWR EXT LT,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8913,MRA W/O CONT LWR EXT RT,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8913,"Magnetic resonance angiography without contrast, lower extremity ",,,391.22,2118.0,13
HCPCS,C8914,MRA WO W CONT LWR EXT BI,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8914,MRA WO W CONT LWR EXT LT,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8914,MRA WO W CONT LWR EXT RT,13057.0,13057.0,1122.9,15668.4,31
HCPCS,C8914,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,625.8,2118.0,13
HCPCS,C8918,"Magnetic resonance angiography with contrast, pelvis ",,,625.8,2118.0,13
HCPCS,C8919,"Magnetic resonance angiography without contrast, pelvis ",,,391.22,2118.0,13
HCPCS,C8920,MRA WO FOL W CONT PELVIS,2823.0,2823.0,242.78,3387.6,31
HCPCS,C8920,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",2823.0,2823.0,625.8,2118.0,13
HCPCS,C8923,TTE2D W OR W&WO COMPLETE,10898.0,10898.0,937.23,13077.6,40
HCPCS,C8927,TEE2D W OR W&WO MONITOR,28785.0,28785.0,2475.51,34542.0,41
HCPCS,C8928,TTE2D W OR W&WO STRESS,4535.0,4535.0,390.01,5442.0,40
HCPCS,C8929,TTE2D W OR W/WO CN W DOP,3993.0,3993.0,343.4,4791.6,40
HCPCS,C8931,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,625.8,2118.0,13
HCPCS,C8932,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,391.22,2118.0,13
HCPCS,C8933,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,625.8,2118.0,13
HCPCS,C8934,"Magnetic resonance angiography with contrast, upper extremity ",,,625.8,2118.0,13
HCPCS,C8935,"Magnetic resonance angiography without contrast, upper extremity ",,,391.22,2118.0,13
HCPCS,C8936,MRA UP EXT WWO CONT LT,10200.0,10200.0,877.2,12240.0,31
HCPCS,C8936,MRA UP EXT WWO CONT RT,10200.0,10200.0,877.2,12240.0,31
HCPCS,C8936,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,625.8,2118.0,13
HCPCS,C9046,"Cocaine hydrochloride nasal solution (goprelto), 1 mg ",,,,,0
HCPCS,C9047,CAPLACIZMAB-YHDP 11MGINJ,73635.0,73635.0,3902.66,88362.0,30
HCPCS,C9047,"Injection, caplacizumab-yhdp, 1 mg ",73635.0,73635.0,1322.08,1322.08,5
HCPCS,C9067,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,5.96,5.96,5
HCPCS,C9101,"Injection, oliceridine, 0.1 mg ",,,,,0
HCPCS,C9176,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,16.5,16.5,5
HCPCS,C9250,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,237.11,237.11,5
HCPCS,C9254,"Injection, lacosamide, 1 mg ",419.0,419.0,,,0
HCPCS,C9254,LACOSAMIDE 200 MG INJ,419.0,419.0,22.21,502.8,30
HCPCS,C9257,"Injection, bevacizumab, 0.25 mg ",,,3.07,3.07,5
HCPCS,C9293,"Injection, glucarpidase, 10 units ",,,741.02,741.02,5
HCPCS,C9309,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,4395977.17,4395977.17,5
HCPCS,C9363,INTEGRA MESH 125 SQCM,25564.0,25564.0,1354.89,30676.8,30
HCPCS,C9363,INTEGRA MESH 25 SQCM,15328.0,15328.0,812.38,18393.6,30
HCPCS,C9363,INTEGRA MESH 250 SQCM,41976.0,41976.0,2224.73,50371.2,30
HCPCS,C9363,INTEGRA MESH 500 SQCM,67735.0,67735.0,3589.95,81282.0,30
HCPCS,C9363,INTEGRA MESHED 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,C9363,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,209.78,209.78,5
HCPCS,C9399,BRIDION 200 MG INJ,484.36,484.36,25.67,581.23,30
HCPCS,C9399,PAXLOVID 300/100 MG PO,575.6,575.6,30.51,690.72,30
HCPCS,C9399,PRAXBIND 2.5 G INJ,23042.0,23042.0,1221.23,27650.4,30
HCPCS,C9399,RYANODEX 250 MG INJ,10325.0,10325.0,547.23,12390.0,30
HCPCS,C9460,CANGRELOR 50 MG INJ,4361.0,4361.0,375.05,5233.2,29
HCPCS,C9460,"Injection, cangrelor, 1 mg ",4361.0,4361.0,33.03,33.03,5
HCPCS,C9462,DELAFLOXACIN 300 MG INJ,586.0,586.0,31.06,703.2,30
HCPCS,C9482,"Injection, sotalol hydrochloride, 1 mg ",,,,,0
HCPCS,C9488,"Injection, conivaptan hydrochloride, 1 mg ",,,,,0
HCPCS,C9600,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6697.0,46072.0,130
HCPCS,C9600,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch Cardiac Surgical Services",,,7950.0,7950.0,1
HCPCS,C9600,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch PTCA/Angioplasty/ EP Studies",,,8300.0,8300.0,1
HCPCS,C9601,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6697.0,46072.0,132
HCPCS,C9602,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6697.0,46072.0,130
HCPCS,C9602,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch Cardiac Surgical Services",,,7950.0,7950.0,1
HCPCS,C9602,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch PTCA/Angioplasty/ EP Studies",,,8300.0,8300.0,1
HCPCS,C9603,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6697.0,46072.0,132
HCPCS,C9604,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6697.0,46072.0,130
HCPCS,C9605,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6697.0,46072.0,128
HCPCS,C9606,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6697.0,46072.0,128
HCPCS,C9607,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6697.0,46072.0,128
HCPCS,C9608,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6697.0,46072.0,128
HCPCS,C9610,CATH BLNDIL 2.25MM 12MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2.25MM 15MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2.25MM 20MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2.25MM 30MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2.50MM 12MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2.50MM 15MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2.50MM 30MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2.75MM 12MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2.75MM 15MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2.75MM 20MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2.75MM 30MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2MM 12MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2MM 15MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2MM 20MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 2MM 30MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 3.50MM 12MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 3.50MM 15MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 3.50MM 20MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 3.50MM 30MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 3MM 12MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 3MM 15MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 3MM 30MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 4MM 12MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 4MM 15MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 4MM 20MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH BLNDIL 4MM 30MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH DCB 2.5MM 20MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9610,CATH DCB 3MM 20MM,43912.0,43912.0,3776.43,52694.4,48
HCPCS,C9725,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1982.0,4009.0,36
HCPCS,C9726,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1423.0,3251.0,36
HCPCS,C9727,Insertion of implants into the soft palate; minimum of three implants ,,,1982.0,5568.0,36
HCPCS,C9733,Non-ophthalmic fluorescent vascular angiography ,,,625.8,625.8,8
HCPCS,C9734,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,5360.0,8727.0,28
HCPCS,C9738,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,2143.0,2143.0,8
HCPCS,C9739,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5360.0,8727.0,36
HCPCS,C9740,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,10737.0,15007.0,36
HCPCS,C9741,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,3500.0,9539.0,29
HCPCS,C9742,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2820.0,5414.0,28
HCPCS,C9756,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,2143.0,2143.0,8
HCPCS,C9757,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,15007.0,15007.0,8
HCPCS,C9758,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,7117.0,24657.0,73
HCPCS,C9759,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,2143.0,2143.0,8
HCPCS,C9760,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,7117.0,83613.0,73
HCPCS,C9761,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,7493.0,7493.0,8
HCPCS,C9762,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,820.91,2118.0,13
HCPCS,C9763,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,820.91,2118.0,13
HCPCS,C9764,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,15007.0,15007.0,8
HCPCS,C9765,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,19295.0,19295.0,8
HCPCS,C9766,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,19295.0,19295.0,8
HCPCS,C9767,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,19295.0,19295.0,8
HCPCS,C9772,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,8
HCPCS,C9773,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,19295.0,19295.0,8
HCPCS,C9774,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,8
HCPCS,C9775,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,19295.0,19295.0,8
HCPCS,C9777,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,7493.0,7493.0,8
HCPCS,C9778,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,7493.0,7493.0,8
HCPCS,C9779,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,7493.0,7493.0,8
HCPCS,C9780,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,19295.0,19295.0,8
HCPCS,C9781,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,15007.0,15007.0,8
HCPCS,C9782,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,24657.0,24657.0,8
HCPCS,C9783,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,19295.0,19295.0,8
HCPCS,C9785,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,15007.0,15007.0,8
HCPCS,C9789,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,5568.0,5568.0,8
HCPCS,C9791,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,2125.85,2125.85,8
HCPCS,C9792,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,19295.0,19295.0,8
HCPCS,C9793,"3d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography and/or magnetic resonance imaging with report ",,,,,0
HCPCS,C9794,"Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., mo",,,,,0
HCPCS,C9795,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, e",,,,,0
HCPCS,C9796,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,7493.0,7493.0,8
HCPCS,C9797,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,19295.0,19295.0,8
HCPCS,C9800,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2820.0,5414.0,28
HCPCS,C9804,SYSTEM PUMP 2ML/HR 100ML,2564.0,2564.0,135.89,3076.8,49
HCPCS,C9818,"Suzetrigine, oral 1 mg ",,,0.54,0.54,5
HCPCS,C9901,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,15007.0,15007.0,8
HCPCS,D0416,Viral culture ,,,,,0
HCPCS,D0431,Diag tst detect mucos abnorm ,,,,,0
HCPCS,D0475,Decalcification procedure ,,,,,0
HCPCS,D0476,Spec stains for microorganis ,,,,,0
HCPCS,D0477,Spec stains not for microorg ,,,,,0
HCPCS,D0478,Immunohistochemical stains ,,,,,0
HCPCS,D0479,Tissue in-situ hybridization ,,,,,0
HCPCS,D0481,Electron microscopy diagnost ,,,,,0
HCPCS,D0482,Direct immunofluorescence ,,,,,0
HCPCS,D0483,Indirect immunofluorescence ,,,,,0
HCPCS,D2956,Removal of an indirect restoration on a natural tooth ,,,8577.0,8577.0,8
HCPCS,D2989,Excavation of a tooth resulting in the determination of non-restorability ,,,8577.0,8577.0,8
HCPCS,D3471,Surgical repair of root resorption-anterior ,,,8577.0,8577.0,8
HCPCS,D3472,Surgical repair of root resorption- premolar ,,,8577.0,8577.0,8
HCPCS,D3473,Surgical repair of root resorption - molar ,,,8577.0,8577.0,8
HCPCS,D3501,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,8577.0,8577.0,8
HCPCS,D3502,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,8577.0,8577.0,8
HCPCS,D3503,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,8577.0,8577.0,8
HCPCS,D3921,Decoronation or submergence of an erupted tooth ,,,8577.0,8577.0,8
HCPCS,D4286,Removal of non-resorbable barrier ,,,8577.0,8577.0,8
HCPCS,D5909,Maxillary guidance prosthesis with guide flange ,,,8577.0,8577.0,8
HCPCS,D5930,Maxillary guidance prosthesis without guide flange ,,,8577.0,8577.0,8
HCPCS,D5938,Resection prosthesis - Maxillary complete removable ,,,8577.0,8577.0,8
HCPCS,D5939,Resection prosthesis - Mandibular complete removable ,,,8577.0,8577.0,8
HCPCS,D5940,Resection prosthesis - Maxillary partial removable ,,,8577.0,8577.0,8
HCPCS,D5941,Resection prosthesis - Mandibular partial removable ,,,8577.0,8577.0,8
HCPCS,D5942,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,8
HCPCS,D5943,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,8
HCPCS,D5944,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,8577.0,8577.0,8
HCPCS,D5945,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,8577.0,8577.0,8
HCPCS,D5946,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,8
HCPCS,D5947,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,8
HCPCS,D5995,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,8577.0,8577.0,8
HCPCS,D5996,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,8577.0,8577.0,8
HCPCS,D6089,Accessing and retorquing loose implant screw - per screw ,,,8577.0,8577.0,8
HCPCS,D6105,Removal of implant body not requiring bone removal nor flap elevation ,,,8577.0,8577.0,8
HCPCS,D6106,"Guided tissue regeneration - resorbable barrier, per implant ",,,8577.0,8577.0,8
HCPCS,D6107,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,8577.0,8577.0,8
HCPCS,D6191,Semi-precision abutment - placement ,,,8577.0,8577.0,8
HCPCS,D6192,Semi-precision attachment - placement ,,,8577.0,8577.0,8
HCPCS,D6193,Replacement of an implant screw ,,,8577.0,8577.0,8
HCPCS,D6197,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,8577.0,8577.0,8
HCPCS,D6198,Remove interim implant component ,,,8577.0,8577.0,8
HCPCS,D7252,Partial extraction for immediate implant replacement ,,,8577.0,8577.0,8
HCPCS,D7259,Nerve dissection ,,,8577.0,8577.0,8
HCPCS,D7284,Exc biopsy of saliv glands ,,,8577.0,8577.0,8
HCPCS,D7298,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,8577.0,8577.0,8
HCPCS,D7299,"Removal of temporary anchorage device, requiring flap ",,,8577.0,8577.0,8
HCPCS,D7300,Removal of temporary anchorage device without flap ,,,8577.0,8577.0,8
HCPCS,D7509,Marsupialization of odontogenic cyst ,,,8577.0,8577.0,8
HCPCS,D7939,Indexing for osteotomy ,,,8577.0,8577.0,8
HCPCS,D7956,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,8577.0,8577.0,8
HCPCS,D7957,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,8577.0,8577.0,8
HCPCS,D7961,Buccal/ labial frenectomy (frenulectomy) ,,,8577.0,8577.0,8
HCPCS,D7962,Lingual frenectomy (frenulectomy) ,,,8577.0,8577.0,8
HCPCS,D7993,Surgical placement of craniofacial implant - extra oral ,,,8577.0,8577.0,8
HCPCS,D7994,Surgical placement zygomatic implant ,,,8577.0,8577.0,8
HCPCS,D9949,Repair of custom sleep apnea appliance ,,,8577.0,8577.0,8
HCPCS,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip ",,,29.14,91.62,33
HCPCS,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip Trauma",,,72.1,72.1,6
HCPCS,E0105,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ",,,67.9,213.5,33
HCPCS,E0105,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips Trauma",,,168.0,168.0,6
HCPCS,E0110,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ",,,100.46,315.89,33
HCPCS,E0110,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips Trauma",,,248.57,248.57,6
HCPCS,E0111,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ",,,62.56,196.72,33
HCPCS,E0111,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips Trauma",,,154.8,154.8,6
HCPCS,E0112,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,43.49,136.73,33
HCPCS,E0112,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips Trauma",,,107.59,107.59,6
HCPCS,E0113,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ",,,24.84,78.11,33
HCPCS,E0113,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip Trauma",,,61.46,61.46,6
HCPCS,E0114,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ",,,57.57,181.02,33
HCPCS,E0114,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips Trauma",,,142.44,142.44,6
HCPCS,E0116,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ",,,32.61,102.54,33
HCPCS,E0116,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each Trauma",,,80.69,80.69,6
HCPCS,E0117,"Crutch, underarm, articulating, spring assisted, each ",,,26.63,83.72,33
HCPCS,E0117,"Crutch, underarm, articulating, spring assisted, each Trauma",,,65.88,65.88,6
HCPCS,E0130,"Walker, rigid (pickup), adjustable or fixed height ",,,55.65,174.98,33
HCPCS,E0130,"Walker, rigid (pickup), adjustable or fixed height Trauma",,,137.69,137.69,6
HCPCS,E0135,"Walker, folding (pickup), adjustable or fixed height ",,,55.89,175.74,33
HCPCS,E0135,"Walker, folding (pickup), adjustable or fixed height Trauma",,,138.29,138.29,6
HCPCS,E0140,"Walker, with trunk support, adjustable or fixed height, any type ",,,34.94,109.86,33
HCPCS,E0140,"Walker, with trunk support, adjustable or fixed height, any type Trauma",,,86.45,86.45,6
HCPCS,E0141,"Walker, rigid, wheeled, adjustable or fixed height ",,,59.06,185.71,33
HCPCS,E0141,"Walker, rigid, wheeled, adjustable or fixed height Trauma",,,146.14,146.14,6
HCPCS,E0143,"Walker, folding, wheeled, adjustable or fixed height ",,,59.06,185.71,33
HCPCS,E0143,"Walker, folding, wheeled, adjustable or fixed height Trauma",,,146.14,146.14,6
HCPCS,E0144,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat ",,,33.33,104.8,33
HCPCS,E0144,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat Trauma",,,82.46,82.46,6
HCPCS,E0147,"Walker, heavy duty, multiple braking system, variable wheel resistance ",,,492.01,1547.05,33
HCPCS,E0147,"Walker, heavy duty, multiple braking system, variable wheel resistance Trauma",,,1217.35,1217.35,6
HCPCS,E0148,"Walker, heavy duty, without wheels, rigid or folding, any type, each ",,,102.14,321.16,33
HCPCS,E0148,"Walker, heavy duty, without wheels, rigid or folding, any type, each Trauma",,,252.72,252.72,6
HCPCS,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type ",,,15.22,47.85,33
HCPCS,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type Trauma",,,37.66,37.66,6
HCPCS,E0153,"Platform attachment, forearm crutch, each ",,,81.55,256.41,33
HCPCS,E0153,"Platform attachment, forearm crutch, each Trauma",,,201.77,201.77,6
HCPCS,E0154,"Platform attachment, walker, each ",,,57.73,181.54,33
HCPCS,E0154,"Platform attachment, walker, each Trauma",,,142.85,142.85,6
HCPCS,E0155,"Wheel attachment, rigid pick-up walker, per pair ",,,24.63,77.44,33
HCPCS,E0155,"Wheel attachment, rigid pick-up walker, per pair Trauma",,,60.94,60.94,6
HCPCS,E0156,"Seat attachment, walker ",,,19.48,61.24,33
HCPCS,E0156,"Seat attachment, walker Trauma",,,48.19,48.19,6
HCPCS,E0157,"Crutch attachment, walker, each ",,,69.66,219.02,33
HCPCS,E0157,"Crutch attachment, walker, each Trauma",,,172.34,172.34,6
HCPCS,E0158,"Leg extensions for walker, per set of four (4) ",,,26.13,82.17,33
HCPCS,E0158,"Leg extensions for walker, per set of four (4) Trauma",,,64.66,64.66,6
HCPCS,E0159,"Brake attachment for wheeled walker, replacement, each ",,,18.15,57.07,33
HCPCS,E0159,"Brake attachment for wheeled walker, replacement, each Trauma",,,44.9,44.9,6
HCPCS,E0160,"Sitz type bath or equipment, portable, used with or without commode ",,,32.39,101.84,33
HCPCS,E0160,"Sitz type bath or equipment, portable, used with or without commode Trauma",,,80.14,80.14,6
HCPCS,E0161,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s ",,,30.34,95.4,33
HCPCS,E0161,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s Trauma",,,75.07,75.07,6
HCPCS,E0162,Sitz bath chair ,,,201.42,633.33,33
HCPCS,E0162,Sitz bath chair Trauma,,,498.36,498.36,6
HCPCS,E0163,"Commode chair, mobile or stationary, with fixed arms ",,,66.2,208.16,33
HCPCS,E0163,"Commode chair, mobile or stationary, with fixed arms Trauma",,,163.8,163.8,6
HCPCS,E0165,"Commode chair, mobile or stationary, with detachable arms ",,,15.25,47.95,33
HCPCS,E0165,"Commode chair, mobile or stationary, with detachable arms Trauma",,,37.73,37.73,6
HCPCS,E0167,"Pail or pan for use with commode chair, replacement only ",,,12.25,38.52,33
HCPCS,E0167,"Pail or pan for use with commode chair, replacement only Trauma",,,30.31,30.31,6
HCPCS,E0168,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each ",,,145.98,459.02,33
HCPCS,E0168,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each Trauma",,,361.2,361.2,6
HCPCS,E0170,"Commode chair with integrated seat lift mechanism, electric, any type ",,,195.94,616.1,33
HCPCS,E0170,"Commode chair with integrated seat lift mechanism, electric, any type Trauma",,,484.8,484.8,6
HCPCS,E0171,"Commode chair with integrated seat lift mechanism, non-electric, any type ",,,36.01,113.22,33
HCPCS,E0171,"Commode chair with integrated seat lift mechanism, non-electric, any type Trauma",,,89.09,89.09,6
HCPCS,E0175,"Foot rest, for use with commode chair, each ",,,91.56,287.89,33
HCPCS,E0175,"Foot rest, for use with commode chair, each Trauma",,,226.54,226.54,6
HCPCS,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty ",,,19.18,60.3,33
HCPCS,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty Trauma",,,47.45,47.45,6
HCPCS,E0182,"Pump for alternating pressure pad, for replacement only ",,,23.79,74.82,33
HCPCS,E0182,"Pump for alternating pressure pad, for replacement only Trauma",,,58.87,58.87,6
HCPCS,E0183,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty ",,,19.18,60.3,33
HCPCS,E0183,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty Trauma",,,47.45,47.45,6
HCPCS,E0184,Dry pressure mattress ,,,196.1,616.59,33
HCPCS,E0184,Dry pressure mattress Trauma,,,485.18,485.18,6
HCPCS,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width ",,,209.37,658.34,33
HCPCS,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width Trauma",,,518.04,518.04,6
HCPCS,E0186,Air pressure mattress ,,,21.85,68.72,33
HCPCS,E0186,Air pressure mattress Trauma,,,54.07,54.07,6
HCPCS,E0187,Water pressure mattress ,,,23.82,74.91,33
HCPCS,E0187,Water pressure mattress Trauma,,,58.94,58.94,6
HCPCS,E0188,Synthetic sheepskin pad ,,,29.16,91.68,33
HCPCS,E0188,Synthetic sheepskin pad Trauma,,,72.14,72.14,6
HCPCS,E0189,"Lambswool sheepskin pad, any size ",,,60.54,190.35,33
HCPCS,E0189,"Lambswool sheepskin pad, any size Trauma",,,149.78,149.78,6
HCPCS,E0191,"Heel or elbow protector, each ",,,12.77,40.17,33
HCPCS,E0191,"Heel or elbow protector, each Trauma",,,31.61,31.61,6
HCPCS,E0193,Powered air flotation bed (low air loss therapy) ,,,838.89,2637.73,33
HCPCS,E0193,Powered air flotation bed (low air loss therapy) Trauma,,,2075.59,2075.59,6
HCPCS,E0194,Air fluidized bed ,,,3968.28,12477.58,33
HCPCS,E0194,Air fluidized bed Trauma,,,9818.42,9818.42,6
HCPCS,E0196,Gel pressure mattress ,,,36.58,115.02,33
HCPCS,E0196,Gel pressure mattress Trauma,,,90.5,90.5,6
HCPCS,E0197,"Air pressure pad for mattress, standard mattress length and width ",,,20.49,64.42,33
HCPCS,E0197,"Air pressure pad for mattress, standard mattress length and width Trauma",,,50.69,50.69,6
HCPCS,E0198,"Water pressure pad for mattress, standard mattress length and width ",,,30.64,96.35,33
HCPCS,E0198,"Water pressure pad for mattress, standard mattress length and width Trauma",,,75.82,75.82,6
HCPCS,E0199,"Dry pressure pad for mattress, standard mattress length and width ",,,35.84,112.7,33
HCPCS,E0199,"Dry pressure pad for mattress, standard mattress length and width Trauma",,,88.68,88.68,6
HCPCS,E0200,"Heat lamp, without stand (table model), includes bulb, or infrared element ",,,93.16,292.92,33
HCPCS,E0200,"Heat lamp, without stand (table model), includes bulb, or infrared element Trauma",,,230.5,230.5,6
HCPCS,E0201,"Penile contracture device, manual, greater than 3 lbs traction force ",,,142.12,446.89,33
HCPCS,E0201,"Penile contracture device, manual, greater than 3 lbs traction force Trauma",,,351.65,351.65,6
HCPCS,E0202,Phototherapy (bilirubin) light with photometer ,,,73.58,231.37,33
HCPCS,E0202,Phototherapy (bilirubin) light with photometer Trauma,,,182.06,182.06,6
HCPCS,E0205,"Heat lamp, with stand, includes bulb, or infrared element ",,,228.03,716.99,33
HCPCS,E0205,"Heat lamp, with stand, includes bulb, or infrared element Trauma",,,564.19,564.19,6
HCPCS,E0210,"Electric heat pad, standard ",,,38.37,120.66,33
HCPCS,E0210,"Electric heat pad, standard Trauma",,,94.94,94.94,6
HCPCS,E0215,"Electric heat pad, moist ",,,83.25,261.75,33
HCPCS,E0215,"Electric heat pad, moist Trauma",,,205.97,205.97,6
HCPCS,E0217,Water circulating heat pad with pump ,,,583.36,1834.27,33
HCPCS,E0217,Water circulating heat pad with pump Trauma,,,1443.36,1443.36,6
HCPCS,E0225,"Hydrocollator unit, includes pads ",,,456.68,1435.94,33
HCPCS,E0225,"Hydrocollator unit, includes pads Trauma",,,1129.92,1129.92,6
HCPCS,E0235,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) ",,,23.84,74.97,33
HCPCS,E0235,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) Trauma",,,58.99,58.99,6
HCPCS,E0236,Pump for water circulating pad ,,,51.99,163.48,33
HCPCS,E0236,Pump for water circulating pad Trauma,,,128.64,128.64,6
HCPCS,E0239,"Hydrocollator unit, portable ",,,621.84,1955.26,33
HCPCS,E0239,"Hydrocollator unit, portable Trauma",,,1538.57,1538.57,6
HCPCS,E0249,"Pad for water circulating heat unit, for replacement only ",,,117.03,367.98,33
HCPCS,E0249,"Pad for water circulating heat unit, for replacement only Trauma",,,289.56,289.56,6
HCPCS,E0250,"Hospital bed, fixed height, with any type side rails, with mattress ",,,74.64,234.7,33
HCPCS,E0250,"Hospital bed, fixed height, with any type side rails, with mattress Trauma",,,184.68,184.68,6
HCPCS,E0251,"Hospital bed, fixed height, with any type side rails, without mattress ",,,68.99,216.92,33
HCPCS,E0251,"Hospital bed, fixed height, with any type side rails, without mattress Trauma",,,170.69,170.69,6
HCPCS,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress ",,,75.6,237.72,33
HCPCS,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress Trauma",,,187.06,187.06,6
HCPCS,E0256,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress ",,,71.94,226.22,33
HCPCS,E0256,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress Trauma",,,178.01,178.01,6
HCPCS,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress ",,,75.82,238.39,33
HCPCS,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress Trauma",,,187.58,187.58,6
HCPCS,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress ",,,75.52,237.47,33
HCPCS,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress Trauma",,,186.86,186.86,6
HCPCS,E0265,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress ",,,178.49,561.23,33
HCPCS,E0265,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress Trauma",,,441.62,441.62,6
HCPCS,E0266,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress ",,,155.31,488.34,33
HCPCS,E0266,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress Trauma",,,384.26,384.26,6
HCPCS,E0271,"Mattress, innerspring ",,,153.89,483.88,33
HCPCS,E0271,"Mattress, innerspring Trauma",,,380.76,380.76,6
HCPCS,E0272,"Mattress, foam rubber ",,,172.82,543.39,33
HCPCS,E0272,"Mattress, foam rubber Trauma",,,427.58,427.58,6
HCPCS,E0275,"Bed pan, standard, metal or plastic ",,,16.54,52.0,33
HCPCS,E0275,"Bed pan, standard, metal or plastic Trauma",,,40.92,40.92,6
HCPCS,E0276,"Bed pan, fracture, metal or plastic ",,,13.78,43.34,33
HCPCS,E0276,"Bed pan, fracture, metal or plastic Trauma",,,34.1,34.1,6
HCPCS,E0277,Powered pressure-reducing air mattress ,,,244.0,767.23,33
HCPCS,E0277,Powered pressure-reducing air mattress Trauma,,,603.72,603.72,6
HCPCS,E0280,"Bed cradle, any type ",,,37.02,116.42,33
HCPCS,E0280,"Bed cradle, any type Trauma",,,91.61,91.61,6
HCPCS,E0290,"Hospital bed, fixed height, without side rails, with mattress ",,,68.48,215.33,33
HCPCS,E0290,"Hospital bed, fixed height, without side rails, with mattress Trauma",,,169.44,169.44,6
HCPCS,E0291,"Hospital bed, fixed height, without side rails, without mattress ",,,52.14,163.94,33
HCPCS,E0291,"Hospital bed, fixed height, without side rails, without mattress Trauma",,,129.0,129.0,6
HCPCS,E0292,"Hospital bed, variable height, hi-lo, without side rails, with mattress ",,,72.55,228.11,33
HCPCS,E0292,"Hospital bed, variable height, hi-lo, without side rails, with mattress Trauma",,,179.5,179.5,6
HCPCS,E0293,"Hospital bed, variable height, hi-lo, without side rails, without mattress ",,,66.14,207.98,33
HCPCS,E0293,"Hospital bed, variable height, hi-lo, without side rails, without mattress Trauma",,,163.66,163.66,6
HCPCS,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress ",,,75.68,237.96,33
HCPCS,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress Trauma",,,187.25,187.25,6
HCPCS,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress ",,,75.52,237.47,33
HCPCS,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress Trauma",,,186.86,186.86,6
HCPCS,E0296,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress ",,,139.26,437.89,33
HCPCS,E0296,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress Trauma",,,344.57,344.57,6
HCPCS,E0297,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress ",,,122.89,386.4,33
HCPCS,E0297,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress Trauma",,,304.06,304.06,6
HCPCS,E0300,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ",,,310.31,975.73,33
HCPCS,E0300,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure Trauma",,,767.78,767.78,6
HCPCS,E0301,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ",,,203.62,640.26,33
HCPCS,E0301,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress Trauma",,,503.81,503.81,6
HCPCS,E0302,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ",,,585.58,1841.25,33
HCPCS,E0302,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress Trauma",,,1448.86,1448.86,6
HCPCS,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ",,,207.5,652.46,33
HCPCS,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress Trauma",,,513.41,513.41,6
HCPCS,E0304,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ",,,608.29,1912.65,33
HCPCS,E0304,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress Trauma",,,1505.04,1505.04,6
HCPCS,E0305,"Bed side rails, half length ",,,13.33,41.91,33
HCPCS,E0305,"Bed side rails, half length Trauma",,,32.98,32.98,6
HCPCS,E0310,"Bed side rails, full length ",,,140.9,443.04,33
HCPCS,E0310,"Bed side rails, full length Trauma",,,348.62,348.62,6
HCPCS,E0316,"Safety enclosure frame/canopy for use with hospital bed, any type ",,,251.73,791.54,33
HCPCS,E0316,"Safety enclosure frame/canopy for use with hospital bed, any type Trauma",,,622.85,622.85,6
HCPCS,E0325,"Urinal; male, jug-type, any material ",,,10.68,33.58,33
HCPCS,E0325,"Urinal; male, jug-type, any material Trauma",,,26.42,26.42,6
HCPCS,E0326,"Urinal; female, jug-type, any material ",,,11.44,35.96,33
HCPCS,E0326,"Urinal; female, jug-type, any material Trauma",,,28.3,28.3,6
HCPCS,E0371,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width ",,,244.0,767.23,33
HCPCS,E0371,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width Trauma",,,603.72,603.72,6
HCPCS,E0372,"Powered air overlay for mattress, standard mattress length and width ",,,244.0,767.23,33
HCPCS,E0372,"Powered air overlay for mattress, standard mattress length and width Trauma",,,603.72,603.72,6
HCPCS,E0373,Nonpowered advanced pressure reducing mattress ,,,244.0,767.23,33
HCPCS,E0373,Nonpowered advanced pressure reducing mattress Trauma,,,603.72,603.72,6
HCPCS,E0424,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ",,,97.2,305.64,33
HCPCS,E0424,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing Trauma",,,240.5,240.5,6
HCPCS,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,21.48,67.53,33
HCPCS,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing Trauma",,,53.14,53.14,6
HCPCS,E0433,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,46.5,146.22,39
HCPCS,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ",,,46.5,146.22,33
HCPCS,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing Trauma",,,115.06,115.06,6
HCPCS,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ",,,97.2,305.64,33
HCPCS,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing Trauma",,,240.5,240.5,6
HCPCS,E0441,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ",,,66.23,208.25,33
HCPCS,E0441,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit Trauma",,,163.87,163.87,6
HCPCS,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit ",,,66.23,208.25,33
HCPCS,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit Trauma",,,163.87,163.87,6
HCPCS,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit ",,,60.0,188.67,33
HCPCS,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit Trauma",,,148.46,148.46,6
HCPCS,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit ",,,60.0,188.67,33
HCPCS,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit Trauma",,,148.46,148.46,6
HCPCS,E0447,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) ",,,90.01,283.01,33
HCPCS,E0447,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) Trauma",,,222.7,222.7,6
HCPCS,E0462,Rocking bed with or without side rails ,,,402.84,1266.66,33
HCPCS,E0462,Rocking bed with or without side rails Trauma,,,996.72,996.72,6
HCPCS,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) ",,,1319.52,4149.01,33
HCPCS,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) Trauma",,,3264.79,3264.79,6
HCPCS,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) ",,,1319.52,4149.01,33
HCPCS,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) Trauma",,,3264.79,3264.79,6
HCPCS,E0467,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,1531.32,4814.97,39
HCPCS,E0468,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions ",,,1410.22,4434.18,33
HCPCS,E0468,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions Trauma",,,3489.19,3489.19,6
HCPCS,E0469,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device ",,,1516.21,4767.45,33
HCPCS,E0469,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device Trauma",,,3751.44,3751.44,6
HCPCS,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,129.92,408.52,39
HCPCS,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,319.97,1006.1,39
HCPCS,E0472,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,483.71,1520.94,39
HCPCS,E0480,"Percussor, electric or pneumatic, home model ",,,51.64,162.38,33
HCPCS,E0480,"Percussor, electric or pneumatic, home model Trauma",,,127.78,127.78,6
HCPCS,E0482,"Cough stimulating device, alternating positive and negative airway pressure ",,,544.15,1710.99,33
HCPCS,E0482,"Cough stimulating device, alternating positive and negative airway pressure Trauma",,,1346.35,1346.35,6
HCPCS,E0483,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each ",,,1469.67,4621.12,33
HCPCS,E0483,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each Trauma",,,3636.29,3636.29,6
HCPCS,E0484,"Oscillatory positive expiratory pressure device, non-electric, any type, each ",,,51.06,160.55,33
HCPCS,E0484,"Oscillatory positive expiratory pressure device, non-electric, any type, each Trauma",,,126.34,126.34,6
HCPCS,E0490,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote ",,,123.75,389.12,33
HCPCS,E0490,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote Trauma",,,306.19,306.19,6
HCPCS,E0491,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,102.21,321.38,39
HCPCS,E0500,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ",,,151.74,477.11,33
HCPCS,E0500,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source Trauma",,,375.43,375.43,6
HCPCS,E0530,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ",,,36.01,113.22,33
HCPCS,E0530,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type Trauma",,,89.09,89.09,6
HCPCS,E0550,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ",,,69.31,217.92,33
HCPCS,E0550,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery Trauma",,,171.48,171.48,6
HCPCS,E0560,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ",,,181.08,569.37,33
HCPCS,E0560,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery Trauma",,,448.03,448.03,6
HCPCS,E0561,"Humidifier, non-heated, used with positive airway pressure device ",,,89.46,281.3,33
HCPCS,E0561,"Humidifier, non-heated, used with positive airway pressure device Trauma",,,221.35,221.35,6
HCPCS,E0562,"Humidifier, heated, used with positive airway pressure device ",,,168.62,530.18,33
HCPCS,E0562,"Humidifier, heated, used with positive airway pressure device Trauma",,,417.19,417.19,6
HCPCS,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven ",,,50.42,158.54,33
HCPCS,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven Trauma",,,124.75,124.75,6
HCPCS,E0570,"Nebulizer, with compressor ",,,7.14,22.45,33
HCPCS,E0570,"Nebulizer, with compressor Trauma",,,17.66,17.66,6
HCPCS,E0572,"Aerosol compressor, adjustable pressure, light duty for intermittent use ",,,38.26,120.29,33
HCPCS,E0572,"Aerosol compressor, adjustable pressure, light duty for intermittent use Trauma",,,94.66,94.66,6
HCPCS,E0574,Ultrasonic/electronic aerosol generator with small volume nebulizer ,,,51.22,161.04,33
HCPCS,E0574,Ultrasonic/electronic aerosol generator with small volume nebulizer Trauma,,,126.72,126.72,6
HCPCS,E0575,"Nebulizer, ultrasonic, large volume ",,,139.89,439.87,33
HCPCS,E0575,"Nebulizer, ultrasonic, large volume Trauma",,,346.13,346.13,6
HCPCS,E0580,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ",,,159.71,502.18,33
HCPCS,E0580,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter Trauma",,,395.16,395.16,6
HCPCS,E0585,"Nebulizer, with compressor and heater ",,,36.08,113.46,33
HCPCS,E0585,"Nebulizer, with compressor and heater Trauma",,,89.28,89.28,6
HCPCS,E0600,"Respiratory suction pump, home model, portable or stationary, electric ",,,63.29,199.01,33
HCPCS,E0600,"Respiratory suction pump, home model, portable or stationary, electric Trauma",,,156.6,156.6,6
HCPCS,E0601,Continuous positive airway pressure (cpap) device ,,,50.38,158.42,33
HCPCS,E0601,Continuous positive airway pressure (cpap) device Trauma,,,124.66,124.66,6
HCPCS,E0602,"Breast pump, manual, any type ",,,40.8,128.28,33
HCPCS,E0602,"Breast pump, manual, any type Trauma",,,100.94,100.94,6
HCPCS,E0605,"Vaporizer, room type ",,,35.88,112.82,33
HCPCS,E0605,"Vaporizer, room type Trauma",,,88.78,88.78,6
HCPCS,E0606,Postural drainage board ,,,26.97,84.79,33
HCPCS,E0606,Postural drainage board Trauma,,,66.72,66.72,6
HCPCS,E0607,Home blood glucose monitor ,,,92.37,290.45,33
HCPCS,E0607,Home blood glucose monitor Trauma,,,228.55,228.55,6
HCPCS,E0610,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ",,,328.8,1033.86,33
HCPCS,E0610,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) Trauma",,,813.53,813.53,6
HCPCS,E0615,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ",,,661.87,2081.14,33
HCPCS,E0615,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems Trauma",,,1637.62,1637.62,6
HCPCS,E0617,External defibrillator with integrated electrocardiogram analysis ,,,420.3,1321.57,33
HCPCS,E0617,External defibrillator with integrated electrocardiogram analysis Trauma,,,1039.92,1039.92,6
HCPCS,E0618,"Apnea monitor, without recording feature ",,,329.43,1035.84,33
HCPCS,E0618,"Apnea monitor, without recording feature Trauma",,,815.09,815.09,6
HCPCS,E0620,"Skin piercing device for collection of capillary blood, laser, each ",,,120.85,380.0,33
HCPCS,E0620,"Skin piercing device for collection of capillary blood, laser, each Trauma",,,299.02,299.02,6
HCPCS,E0621,"Sling or seat, patient lift, canvas or nylon ",,,96.78,304.3,33
HCPCS,E0621,"Sling or seat, patient lift, canvas or nylon Trauma",,,239.45,239.45,6
HCPCS,E0627,"Seat lift mechanism, electric, any type ",,,314.43,988.66,33
HCPCS,E0627,"Seat lift mechanism, electric, any type Trauma",,,777.96,777.96,6
HCPCS,E0629,"Seat lift mechanism, non-electric, any type ",,,313.01,984.2,33
HCPCS,E0629,"Seat lift mechanism, non-electric, any type Trauma",,,774.46,774.46,6
HCPCS,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) ",,,71.85,225.91,33
HCPCS,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) Trauma",,,177.77,177.77,6
HCPCS,E0635,"Patient lift, electric with seat or sling ",,,140.55,441.94,33
HCPCS,E0635,"Patient lift, electric with seat or sling Trauma",,,347.76,347.76,6
HCPCS,E0636,"Multipositional patient support system, with integrated lift, patient accessible controls ",,,1187.79,3734.82,33
HCPCS,E0636,"Multipositional patient support system, with integrated lift, patient accessible controls Trauma",,,2938.87,2938.87,6
HCPCS,E0639,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories ",,,131.08,412.15,33
HCPCS,E0639,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories Trauma",,,324.31,324.31,6
HCPCS,E0640,"Patient lift, fixed system, includes all components/accessories ",,,131.08,412.15,33
HCPCS,E0640,"Patient lift, fixed system, includes all components/accessories Trauma",,,324.31,324.31,6
HCPCS,E0650,"Pneumatic compressor, non-segmental home model ",,,920.31,2893.75,33
HCPCS,E0650,"Pneumatic compressor, non-segmental home model Trauma",,,2277.05,2277.05,6
HCPCS,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure ",,,1269.58,3991.99,33
HCPCS,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure Trauma",,,3141.24,3141.24,6
HCPCS,E0652,"Pneumatic compressor, segmental home model with calibrated gradient pressure ",,,7328.65,23043.7,33
HCPCS,E0652,"Pneumatic compressor, segmental home model with calibrated gradient pressure Trauma",,,18132.74,18132.74,6
HCPCS,E0655,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm ",,,142.7,448.69,33
HCPCS,E0655,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm Trauma",,,353.06,353.06,6
HCPCS,E0656,"Segmental pneumatic appliance for use with pneumatic compressor, trunk ",,,79.88,251.17,33
HCPCS,E0656,"Segmental pneumatic appliance for use with pneumatic compressor, trunk Trauma",,,197.64,197.64,6
HCPCS,E0657,"Segmental pneumatic appliance for use with pneumatic compressor, chest ",,,75.05,235.98,33
HCPCS,E0657,"Segmental pneumatic appliance for use with pneumatic compressor, chest Trauma",,,185.69,185.69,6
HCPCS,E0658,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest ",,,173.78,546.41,33
HCPCS,E0658,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest Trauma",,,429.96,429.96,6
HCPCS,E0659,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest ",,,173.78,546.41,33
HCPCS,E0659,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest Trauma",,,429.96,429.96,6
HCPCS,E0660,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,188.57,592.92,33
HCPCS,E0660,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg Trauma",,,466.56,466.56,6
HCPCS,E0665,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,174.22,547.81,33
HCPCS,E0665,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm Trauma",,,431.06,431.06,6
HCPCS,E0666,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,190.9,600.24,33
HCPCS,E0666,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg Trauma",,,472.32,472.32,6
HCPCS,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg ",,,447.57,1407.3,33
HCPCS,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg Trauma",,,1107.38,1107.38,6
HCPCS,E0668,"Segmental pneumatic appliance for use with pneumatic compressor, full arm ",,,610.85,1920.71,33
HCPCS,E0668,"Segmental pneumatic appliance for use with pneumatic compressor, full arm Trauma",,,1511.38,1511.38,6
HCPCS,E0669,"Segmental pneumatic appliance for use with pneumatic compressor, half leg ",,,240.62,756.58,33
HCPCS,E0669,"Segmental pneumatic appliance for use with pneumatic compressor, half leg Trauma",,,595.34,595.34,6
HCPCS,E0670,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk ",,,1737.73,5463.98,33
HCPCS,E0670,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk Trauma",,,4299.53,4299.53,6
HCPCS,E0671,"Segmental gradient pressure pneumatic appliance, full leg ",,,574.18,1805.42,33
HCPCS,E0671,"Segmental gradient pressure pneumatic appliance, full leg Trauma",,,1420.66,1420.66,6
HCPCS,E0672,"Segmental gradient pressure pneumatic appliance, full arm ",,,446.12,1402.76,33
HCPCS,E0672,"Segmental gradient pressure pneumatic appliance, full arm Trauma",,,1103.81,1103.81,6
HCPCS,E0673,"Segmental gradient pressure pneumatic appliance, half leg ",,,370.7,1165.59,33
HCPCS,E0673,"Segmental gradient pressure pneumatic appliance, half leg Trauma",,,917.18,917.18,6
HCPCS,E0675,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) ",,,531.59,1671.49,33
HCPCS,E0675,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) Trauma",,,1315.27,1315.27,6
HCPCS,E0677,"Non-pneumatic sequential compression garment, trunk ",,,79.88,251.17,33
HCPCS,E0677,"Non-pneumatic sequential compression garment, trunk Trauma",,,197.64,197.64,6
HCPCS,E0678,"Non-pneumatic sequential compression garment, full leg ",,,44.76,140.73,33
HCPCS,E0678,"Non-pneumatic sequential compression garment, full leg Trauma",,,110.74,110.74,6
HCPCS,E0679,"Non-pneumatic sequential compression garment, half leg ",,,24.07,75.67,33
HCPCS,E0679,"Non-pneumatic sequential compression garment, half leg Trauma",,,59.54,59.54,6
HCPCS,E0680,Non-pneumatic compression controller with sequential calibrated gradient pressure ,,,732.86,2304.37,33
HCPCS,E0680,Non-pneumatic compression controller with sequential calibrated gradient pressure Trauma,,,1813.27,1813.27,6
HCPCS,E0681,Non-pneumatic compression controller without calibrated gradient pressure ,,,126.96,399.21,33
HCPCS,E0681,Non-pneumatic compression controller without calibrated gradient pressure Trauma,,,314.14,314.14,6
HCPCS,E0682,"Non-pneumatic sequential compression garment, full arm ",,,61.08,192.06,33
HCPCS,E0682,"Non-pneumatic sequential compression garment, full arm Trauma",,,151.13,151.13,6
HCPCS,E0683,"Non-pneumatic, non-sequential, peristaltic wave compression pump ",,,79.08,248.67,33
HCPCS,E0683,"Non-pneumatic, non-sequential, peristaltic wave compression pump Trauma",,,195.67,195.67,6
HCPCS,E0691,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less ",,,1242.19,3905.86,33
HCPCS,E0691,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less Trauma",,,3073.46,3073.46,6
HCPCS,E0692,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel ",,,1559.86,4904.7,33
HCPCS,E0692,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel Trauma",,,3859.44,3859.44,6
HCPCS,E0693,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel ",,,1922.86,6046.11,33
HCPCS,E0693,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel Trauma",,,4757.59,4757.59,6
HCPCS,E0694,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection ",,,6120.29,19244.22,33
HCPCS,E0694,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection Trauma",,,15142.99,15142.99,6
HCPCS,E0705,"Transfer device, any type, each ",,,59.62,187.45,33
HCPCS,E0705,"Transfer device, any type, each Trauma",,,147.5,147.5,6
HCPCS,E0720,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation ",,,88.65,278.74,33
HCPCS,E0720,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation Trauma",,,219.34,219.34,6
HCPCS,E0730,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation ",,,89.57,281.64,33
HCPCS,E0730,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation Trauma",,,221.62,221.62,6
HCPCS,E0731,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ,,,111.04,349.13,33
HCPCS,E0731,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) Trauma,,,274.73,274.73,6
HCPCS,E0732,"Cranial electrotherapy stimulation (ces) system, any type ",,,50.81,159.76,33
HCPCS,E0732,"Cranial electrotherapy stimulation (ces) system, any type Trauma",,,125.71,125.71,6
HCPCS,E0733,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ,,,50.81,159.76,33
HCPCS,E0733,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve Trauma,,,125.71,125.71,6
HCPCS,E0734,External upper limb tremor stimulator of the peripheral nerves of the wrist ,,,434.88,1367.41,33
HCPCS,E0734,External upper limb tremor stimulator of the peripheral nerves of the wrist Trauma,,,1075.99,1075.99,6
HCPCS,E0735,Non-invasive vagus nerve stimulator ,,,50.81,159.76,33
HCPCS,E0735,Non-invasive vagus nerve stimulator Trauma,,,125.71,125.71,6
HCPCS,E0736,Transcutaneous tibial nerve stimulator ,,,50.81,159.76,33
HCPCS,E0736,Transcutaneous tibial nerve stimulator Trauma,,,125.71,125.71,6
HCPCS,E0738,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories ",,,1978.45,6220.9,33
HCPCS,E0738,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories Trauma",,,4895.14,4895.14,6
HCPCS,E0739,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors ",,,1549.73,4872.86,33
HCPCS,E0739,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors Trauma",,,3834.38,3834.38,6
HCPCS,E0740,"Non-implanted pelvic floor electrical stimulator, complete system ",,,72.28,227.29,33
HCPCS,E0740,"Non-implanted pelvic floor electrical stimulator, complete system Trauma",,,178.85,178.85,6
HCPCS,E0743,"External lower extremity nerve stimulator for restless legs syndrome, each ",,,234.93,738.71,33
HCPCS,E0743,"External lower extremity nerve stimulator for restless legs syndrome, each Trauma",,,581.28,581.28,6
HCPCS,E0744,Neuromuscular stimulator for scoliosis ,,,126.59,398.06,33
HCPCS,E0744,Neuromuscular stimulator for scoliosis Trauma,,,313.22,313.22,6
HCPCS,E0745,"Neuromuscular stimulator, electronic shock unit ",,,123.75,389.12,33
HCPCS,E0745,"Neuromuscular stimulator, electronic shock unit Trauma",,,306.19,306.19,6
HCPCS,E0747,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications ",,,5413.51,17021.87,33
HCPCS,E0747,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications Trauma",,,13394.26,13394.26,6
HCPCS,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications ",,,5378.46,16911.64,33
HCPCS,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications Trauma",,,13307.52,13307.52,6
HCPCS,E0749,"Osteogenesis stimulator, electrical, surgically implanted ",15530.0,15530.0,334.14,1050.63,33
HCPCS,E0749,"Osteogenesis stimulator, electrical, surgically implanted Trauma",,,826.73,826.73,6
HCPCS,E0749,STIMULATOR BN MESH 20/M,15530.0,15530.0,2484.8,18636.0,19
HCPCS,E0760,"Osteogenesis stimulator, low intensity ultrasound, non-invasive ",,,4469.39,14053.24,33
HCPCS,E0760,"Osteogenesis stimulator, low intensity ultrasound, non-invasive Trauma",,,11058.29,11058.29,6
HCPCS,E0762,"Transcutaneous electrical joint stimulation device system, includes all accessories ",,,152.0,477.93,33
HCPCS,E0762,"Transcutaneous electrical joint stimulation device system, includes all accessories Trauma",,,376.08,376.08,6
HCPCS,E0764,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,1529.83,4810.28,39
HCPCS,E0766,"Electrical stimulation device used for cancer treatment, includes all accessories, any type ",,,15893.16,49973.33,33
HCPCS,E0766,"Electrical stimulation device used for cancer treatment, includes all accessories, any type Trauma",,,39323.28,39323.28,6
HCPCS,E0776,Iv pole ,,,64.12,560.35,34
HCPCS,E0776,Iv pole Trauma,,,440.93,440.93,6
HCPCS,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ",,,21.27,66.89,33
HCPCS,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater Trauma",,,52.63,52.63,6
HCPCS,E0780,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ",,,14.34,45.08,33
HCPCS,E0780,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours Trauma",,,35.47,35.47,6
HCPCS,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ",,,300.05,943.46,33
HCPCS,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient Trauma",,,742.39,742.39,6
HCPCS,E0782,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,5935.17,18662.13,33
HCPCS,E0782,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) Trauma",,,14684.95,14684.95,6
HCPCS,E0783,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ",,,11317.48,35585.88,33
HCPCS,E0783,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) Trauma",,,28002.0,28002.0,6
HCPCS,E0784,"External ambulatory infusion pump, insulin ",,,541.02,1701.14,33
HCPCS,E0784,"External ambulatory infusion pump, insulin Trauma",,,1338.6,1338.6,6
HCPCS,E0785,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ",,,653.19,2053.84,33
HCPCS,E0785,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement Trauma",,,1616.14,1616.14,6
HCPCS,E0786,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ",,,11039.47,34711.74,33
HCPCS,E0786,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) Trauma",,,27314.16,27314.16,6
HCPCS,E0791,"Parenteral infusion pump, stationary, single or multi-channel ",,,356.46,1120.81,33
HCPCS,E0791,"Parenteral infusion pump, stationary, single or multi-channel Trauma",,,881.95,881.95,6
HCPCS,E0840,"Traction frame, attached to headboard, cervical traction ",,,101.29,318.48,33
HCPCS,E0840,"Traction frame, attached to headboard, cervical traction Trauma",,,250.61,250.61,6
HCPCS,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible ",,,71.25,224.02,33
HCPCS,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible Trauma",,,176.28,176.28,6
HCPCS,E0850,"Traction stand, free standing, cervical traction ",,,145.22,456.62,33
HCPCS,E0850,"Traction stand, free standing, cervical traction Trauma",,,359.3,359.3,6
HCPCS,E0855,Cervical traction equipment not requiring additional stand or frame ,,,68.33,214.84,33
HCPCS,E0855,Cervical traction equipment not requiring additional stand or frame Trauma,,,169.06,169.06,6
HCPCS,E0856,"Cervical traction device, with inflatable air bladder(s) ",,,21.27,66.89,33
HCPCS,E0856,"Cervical traction device, with inflatable air bladder(s) Trauma",,,52.63,52.63,6
HCPCS,E0860,"Traction equipment, overdoor, cervical ",,,51.62,162.32,33
HCPCS,E0860,"Traction equipment, overdoor, cervical Trauma",,,127.73,127.73,6
HCPCS,E0870,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) ",,,136.67,429.75,33
HCPCS,E0870,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) Trauma",,,338.16,338.16,6
HCPCS,E0880,"Traction stand, free standing, extremity traction ",,,173.54,545.68,33
HCPCS,E0880,"Traction stand, free standing, extremity traction Trauma",,,429.38,429.38,6
HCPCS,E0890,"Traction frame, attached to footboard, pelvic traction ",,,141.46,444.81,33
HCPCS,E0890,"Traction frame, attached to footboard, pelvic traction Trauma",,,350.02,350.02,6
HCPCS,E0900,"Traction stand, free standing, pelvic traction, (e.g., buck's) ",,,150.57,473.45,33
HCPCS,E0900,"Traction stand, free standing, pelvic traction, (e.g., buck's) Trauma",,,372.55,372.55,6
HCPCS,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar ",,,13.53,42.55,33
HCPCS,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar Trauma",,,33.48,33.48,6
HCPCS,E0911,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar ",,,51.43,161.71,33
HCPCS,E0911,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar Trauma",,,127.25,127.25,6
HCPCS,E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar ",,,103.22,324.55,33
HCPCS,E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar Trauma",,,255.38,255.38,6
HCPCS,E0920,"Fracture frame, attached to bed, includes weights ",,,63.81,200.63,33
HCPCS,E0920,"Fracture frame, attached to bed, includes weights Trauma",,,157.87,157.87,6
HCPCS,E0930,"Fracture frame, free standing, includes weights ",,,63.15,198.55,33
HCPCS,E0930,"Fracture frame, free standing, includes weights Trauma",,,156.24,156.24,6
HCPCS,E0935,Continuous passive motion exercise device for use on knee only ,,,31.45,98.88,33
HCPCS,E0935,Continuous passive motion exercise device for use on knee only Trauma,,,77.81,77.81,6
HCPCS,E0940,"Trapeze bar, free standing, complete with grab bar ",,,25.54,80.31,33
HCPCS,E0940,"Trapeze bar, free standing, complete with grab bar Trauma",,,63.19,63.19,6
HCPCS,E0941,"Gravity assisted traction device, any type ",,,59.99,188.64,33
HCPCS,E0941,"Gravity assisted traction device, any type Trauma",,,148.44,148.44,6
HCPCS,E0942,Cervical head harness/halter ,,,27.43,86.25,33
HCPCS,E0942,Cervical head harness/halter Trauma,,,67.87,67.87,6
HCPCS,E0944,Pelvic belt/harness/boot ,,,53.89,169.46,33
HCPCS,E0944,Pelvic belt/harness/boot Trauma,,,133.34,133.34,6
HCPCS,E0945,Extremity belt/harness ,,,52.08,163.75,33
HCPCS,E0945,Extremity belt/harness Trauma,,,128.86,128.86,6
HCPCS,E0946,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) ",,,70.83,222.71,33
HCPCS,E0946,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) Trauma",,,175.25,175.25,6
HCPCS,E0947,"Fracture frame, attachments for complex pelvic traction ",,,712.61,2240.68,33
HCPCS,E0947,"Fracture frame, attachments for complex pelvic traction Trauma",,,1763.16,1763.16,6
HCPCS,E0948,"Fracture frame, attachments for complex cervical traction ",,,689.24,2167.21,33
HCPCS,E0948,"Fracture frame, attachments for complex cervical traction Trauma",,,1705.34,1705.34,6
HCPCS,E0950,"Wheelchair accessory, tray, each ",,,91.66,288.22,33
HCPCS,E0950,"Wheelchair accessory, tray, each Trauma",,,226.8,226.8,6
HCPCS,E0951,"Heel loop/holder, any type, with or without ankle strap, each ",,,15.87,49.9,33
HCPCS,E0951,"Heel loop/holder, any type, with or without ankle strap, each Trauma",,,39.26,39.26,6
HCPCS,E0952,"Toe loop/holder, any type, each ",,,20.12,63.26,33
HCPCS,E0952,"Toe loop/holder, any type, each Trauma",,,49.78,49.78,6
HCPCS,E0953,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each ",,,90.56,284.75,33
HCPCS,E0953,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each Trauma",,,224.06,224.06,6
HCPCS,E0954,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot ",,,64.59,203.1,33
HCPCS,E0954,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot Trauma",,,159.82,159.82,6
HCPCS,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each ",,,17.18,54.02,33
HCPCS,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each Trauma",,,42.5,42.5,6
HCPCS,E0956,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each ",,,90.56,284.75,33
HCPCS,E0956,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each Trauma",,,224.06,224.06,6
HCPCS,E0957,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each ",,,143.67,451.74,33
HCPCS,E0957,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each Trauma",,,355.46,355.46,6
HCPCS,E0958,"Manual wheelchair accessory, one-arm drive attachment, each ",,,49.01,154.12,33
HCPCS,E0958,"Manual wheelchair accessory, one-arm drive attachment, each Trauma",,,121.27,121.27,6
HCPCS,E0959,"Manual wheelchair accessory, adapter for amputee, each ",,,51.32,161.38,33
HCPCS,E0959,"Manual wheelchair accessory, adapter for amputee, each Trauma",,,126.98,126.98,6
HCPCS,E0960,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware ",,,87.04,273.68,33
HCPCS,E0960,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware Trauma",,,215.35,215.35,6
HCPCS,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each ",,,23.88,75.09,33
HCPCS,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each Trauma",,,59.09,59.09,6
HCPCS,E0966,"Manual wheelchair accessory, headrest extension, each ",,,82.39,259.07,33
HCPCS,E0966,"Manual wheelchair accessory, headrest extension, each Trauma",,,203.86,203.86,6
HCPCS,E0967,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each ",,,85.96,270.29,33
HCPCS,E0967,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each Trauma",,,212.69,212.69,6
HCPCS,E0968,"Commode seat, wheelchair ",,,24.77,77.9,33
HCPCS,E0968,"Commode seat, wheelchair Trauma",,,61.3,61.3,6
HCPCS,E0969,"Narrowing device, wheelchair ",,,216.52,680.82,33
HCPCS,E0969,"Narrowing device, wheelchair Trauma",,,535.73,535.73,6
HCPCS,E0971,"Manual wheelchair accessory, anti-tipping device, each ",,,37.2,116.97,33
HCPCS,E0971,"Manual wheelchair accessory, anti-tipping device, each Trauma",,,92.04,92.04,6
HCPCS,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each ",,,68.46,215.27,33
HCPCS,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each Trauma",,,169.39,169.39,6
HCPCS,E0974,"Manual wheelchair accessory, anti-rollback device, each ",,,86.91,273.28,33
HCPCS,E0974,"Manual wheelchair accessory, anti-rollback device, each Trauma",,,215.04,215.04,6
HCPCS,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each ",,,30.02,94.4,33
HCPCS,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each Trauma",,,74.28,74.28,6
HCPCS,E0980,"Safety vest, wheelchair ",,,38.84,122.12,33
HCPCS,E0980,"Safety vest, wheelchair Trauma",,,96.1,96.1,6
HCPCS,E0981,"Wheelchair accessory, seat upholstery, replacement only, each ",,,50.41,158.51,33
HCPCS,E0981,"Wheelchair accessory, seat upholstery, replacement only, each Trauma",,,124.73,124.73,6
HCPCS,E0982,"Wheelchair accessory, back upholstery, replacement only, each ",,,55.82,175.53,33
HCPCS,E0982,"Wheelchair accessory, back upholstery, replacement only, each Trauma",,,138.12,138.12,6
HCPCS,E0983,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control ",,,335.93,1056.28,33
HCPCS,E0983,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control Trauma",,,831.17,831.17,6
HCPCS,E0984,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control ",,,264.1,830.42,33
HCPCS,E0984,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control Trauma",,,653.45,653.45,6
HCPCS,E0985,"Wheelchair accessory, seat lift mechanism ",,,25.18,79.18,33
HCPCS,E0985,"Wheelchair accessory, seat lift mechanism Trauma",,,62.3,62.3,6
HCPCS,E0986,"Manual wheelchair accessory, power assist system ",,,672.44,2114.38,33
HCPCS,E0986,"Manual wheelchair accessory, power assist system Trauma",,,1663.78,1663.78,6
HCPCS,E0988,"Manual wheelchair accessory, lever-activated, wheel drive, pair ",,,397.89,1251.11,33
HCPCS,E0988,"Manual wheelchair accessory, lever-activated, wheel drive, pair Trauma",,,984.48,984.48,6
HCPCS,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each ",,,90.33,284.02,33
HCPCS,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each Trauma",,,223.49,223.49,6
HCPCS,E0992,"Manual wheelchair accessory, solid seat insert ",,,97.59,306.86,33
HCPCS,E0992,"Manual wheelchair accessory, solid seat insert Trauma",,,241.46,241.46,6
HCPCS,E0994,"Arm rest, each ",,,24.38,76.65,33
HCPCS,E0994,"Arm rest, each Trauma",,,60.31,60.31,6
HCPCS,E0995,"Wheelchair accessory, calf rest/pad, replacement only, each ",,,30.79,96.81,33
HCPCS,E0995,"Wheelchair accessory, calf rest/pad, replacement only, each Trauma",,,76.18,76.18,6
HCPCS,E1002,"Wheelchair accessory, power seating system, tilt only ",,,449.54,1413.49,33
HCPCS,E1002,"Wheelchair accessory, power seating system, tilt only Trauma",,,1112.26,1112.26,6
HCPCS,E1003,"Wheelchair accessory, power seating system, recline only, without shear reduction ",,,523.22,1645.17,33
HCPCS,E1003,"Wheelchair accessory, power seating system, recline only, without shear reduction Trauma",,,1294.56,1294.56,6
HCPCS,E1004,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction ",,,578.33,1818.47,33
HCPCS,E1004,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction Trauma",,,1430.93,1430.93,6
HCPCS,E1005,"Wheelchair accessory, power seating system, recline only, with power shear reduction ",,,627.94,1974.45,33
HCPCS,E1005,"Wheelchair accessory, power seating system, recline only, with power shear reduction Trauma",,,1553.66,1553.66,6
HCPCS,E1006,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction ",,,769.16,2418.5,33
HCPCS,E1006,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction Trauma",,,1903.08,1903.08,6
HCPCS,E1007,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction ",,,968.26,3044.54,33
HCPCS,E1007,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction Trauma",,,2395.7,2395.7,6
HCPCS,E1008,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction ",,,993.17,3122.86,33
HCPCS,E1008,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction Trauma",,,2457.34,2457.34,6
HCPCS,E1010,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair ",,,134.97,424.38,33
HCPCS,E1010,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair Trauma",,,333.94,333.94,6
HCPCS,E1012,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each ",,,134.97,424.38,33
HCPCS,E1012,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each Trauma",,,333.94,333.94,6
HCPCS,E1014,"Reclining back, addition to pediatric size wheelchair ",,,50.5,158.78,33
HCPCS,E1014,"Reclining back, addition to pediatric size wheelchair Trauma",,,124.94,124.94,6
HCPCS,E1015,"Shock absorber for manual wheelchair, each ",,,141.97,446.4,33
HCPCS,E1015,"Shock absorber for manual wheelchair, each Trauma",,,351.26,351.26,6
HCPCS,E1016,"Shock absorber for power wheelchair, each ",,,129.51,407.24,33
HCPCS,E1016,"Shock absorber for power wheelchair, each Trauma",,,320.45,320.45,6
HCPCS,E1020,"Residual limb support system for wheelchair, any type ",,,21.75,68.38,33
HCPCS,E1020,"Residual limb support system for wheelchair, any type Trauma",,,53.81,53.81,6
HCPCS,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other ",,,16.67,52.43,33
HCPCS,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other Trauma",,,41.26,41.26,6
HCPCS,E1029,"Wheelchair accessory, ventilator tray, fixed ",,,44.02,138.41,33
HCPCS,E1029,"Wheelchair accessory, ventilator tray, fixed Trauma",,,108.91,108.91,6
HCPCS,E1030,"Wheelchair accessory, ventilator tray, gimbaled ",,,138.85,436.58,33
HCPCS,E1030,"Wheelchair accessory, ventilator tray, gimbaled Trauma",,,343.54,343.54,6
HCPCS,E1031,"Rollabout chair, any and all types with casters 5 or greater ",,,51.07,160.58,33
HCPCS,E1031,"Rollabout chair, any and all types with casters 5 or greater Trauma",,,126.36,126.36,6
HCPCS,E1032,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface ",,,16.67,52.43,33
HCPCS,E1032,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface Trauma",,,41.26,41.26,6
HCPCS,E1033,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type ",,,16.67,52.43,33
HCPCS,E1033,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type Trauma",,,41.26,41.26,6
HCPCS,E1034,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type ",,,16.67,52.43,33
HCPCS,E1034,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type Trauma",,,41.26,41.26,6
HCPCS,E1035,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs ",,,711.41,2236.9,33
HCPCS,E1035,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs Trauma",,,1760.18,1760.18,6
HCPCS,E1036,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs ",,,1012.73,3184.35,33
HCPCS,E1036,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs Trauma",,,2505.72,2505.72,6
HCPCS,E1037,"Transport chair, pediatric size ",,,125.78,395.49,33
HCPCS,E1037,"Transport chair, pediatric size Trauma",,,311.21,311.21,6
HCPCS,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds ",,,18.47,58.07,33
HCPCS,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds Trauma",,,45.7,45.7,6
HCPCS,E1039,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds ",,,39.25,123.4,33
HCPCS,E1039,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds Trauma",,,97.1,97.1,6
HCPCS,E1050,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,119.69,376.34,33
HCPCS,E1050,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests Trauma",,,296.14,296.14,6
HCPCS,E1060,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests ",,,148.12,465.73,33
HCPCS,E1060,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests Trauma",,,366.48,366.48,6
HCPCS,E1070,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest ",,,128.71,404.7,33
HCPCS,E1070,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest Trauma",,,318.46,318.46,6
HCPCS,E1083,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest ",,,92.52,290.91,33
HCPCS,E1083,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest Trauma",,,228.91,228.91,6
HCPCS,E1084,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests ",,,115.27,362.43,33
HCPCS,E1084,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests Trauma",,,285.19,285.19,6
HCPCS,E1087,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,148.68,467.5,33
HCPCS,E1087,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests Trauma",,,367.87,367.87,6
HCPCS,E1088,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests ",,,177.16,557.05,33
HCPCS,E1088,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests Trauma",,,438.34,438.34,6
HCPCS,E1092,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests ",,,151.01,474.82,33
HCPCS,E1092,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests Trauma",,,373.63,373.63,6
HCPCS,E1093,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests ",,,129.86,408.33,33
HCPCS,E1093,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests Trauma",,,321.31,321.31,6
HCPCS,E1100,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests ",,,121.97,383.51,33
HCPCS,E1100,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests Trauma",,,301.78,301.78,6
HCPCS,E1110,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest ",,,119.44,375.55,33
HCPCS,E1110,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest Trauma",,,295.51,295.51,6
HCPCS,E1150,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests ",,,95.97,301.77,33
HCPCS,E1150,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests Trauma",,,237.46,237.46,6
HCPCS,E1160,"Wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,74.05,232.84,33
HCPCS,E1160,"Wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,183.22,183.22,6
HCPCS,E1161,"Manual adult size wheelchair, includes tilt in space ",,,327.07,1028.43,33
HCPCS,E1161,"Manual adult size wheelchair, includes tilt in space Trauma",,,809.26,809.26,6
HCPCS,E1170,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,104.96,330.04,33
HCPCS,E1170,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,259.7,259.7,6
HCPCS,E1171,"Amputee wheelchair, fixed full length arms, without footrests or legrest ",,,94.18,296.12,33
HCPCS,E1171,"Amputee wheelchair, fixed full length arms, without footrests or legrest Trauma",,,233.02,233.02,6
HCPCS,E1172,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest ",,,115.13,362.0,33
HCPCS,E1172,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest Trauma",,,284.86,284.86,6
HCPCS,E1180,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests ",,,119.08,374.42,33
HCPCS,E1180,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests Trauma",,,294.62,294.62,6
HCPCS,E1190,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests ",,,137.56,432.52,33
HCPCS,E1190,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests Trauma",,,340.34,340.34,6
HCPCS,E1195,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,147.6,464.12,33
HCPCS,E1195,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,365.21,365.21,6
HCPCS,E1200,"Amputee wheelchair, fixed full length arms, swing away detachable footrest ",,,102.24,321.47,33
HCPCS,E1200,"Amputee wheelchair, fixed full length arms, swing away detachable footrest Trauma",,,252.96,252.96,6
HCPCS,E1221,"Wheelchair with fixed arm, footrests ",,,55.83,175.56,33
HCPCS,E1221,"Wheelchair with fixed arm, footrests Trauma",,,138.14,138.14,6
HCPCS,E1222,"Wheelchair with fixed arm, elevating legrests ",,,79.63,250.37,33
HCPCS,E1222,"Wheelchair with fixed arm, elevating legrests Trauma",,,197.02,197.02,6
HCPCS,E1223,"Wheelchair with detachable arms, footrests ",,,86.97,273.46,33
HCPCS,E1223,"Wheelchair with detachable arms, footrests Trauma",,,215.18,215.18,6
HCPCS,E1224,"Wheelchair with detachable arms, elevating legrests ",,,95.36,299.85,33
HCPCS,E1224,"Wheelchair with detachable arms, elevating legrests Trauma",,,235.94,235.94,6
HCPCS,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each ",,,45.41,142.77,33
HCPCS,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each Trauma",,,112.34,112.34,6
HCPCS,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each ",,,479.19,1506.73,33
HCPCS,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each Trauma",,,1185.62,1185.62,6
HCPCS,E1227,Special height arms for wheelchair ,,,383.62,1206.21,33
HCPCS,E1227,Special height arms for wheelchair Trauma,,,949.15,949.15,6
HCPCS,E1228,Special back height for wheelchair ,,,32.93,103.55,33
HCPCS,E1228,Special back height for wheelchair Trauma,,,81.48,81.48,6
HCPCS,E1230,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number ,,,2657.68,8356.63,33
HCPCS,E1230,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number Trauma,,,6575.71,6575.71,6
HCPCS,E1232,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system ",,,295.64,929.58,33
HCPCS,E1232,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system Trauma",,,731.47,731.47,6
HCPCS,E1233,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system ",,,306.29,963.07,33
HCPCS,E1233,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system Trauma",,,757.82,757.82,6
HCPCS,E1234,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system ",,,266.66,838.48,33
HCPCS,E1234,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system Trauma",,,659.78,659.78,6
HCPCS,E1235,"Wheelchair, pediatric size, rigid, adjustable, with seating system ",,,256.78,807.4,33
HCPCS,E1235,"Wheelchair, pediatric size, rigid, adjustable, with seating system Trauma",,,635.33,635.33,6
HCPCS,E1236,"Wheelchair, pediatric size, folding, adjustable, with seating system ",,,226.54,712.33,33
HCPCS,E1236,"Wheelchair, pediatric size, folding, adjustable, with seating system Trauma",,,560.52,560.52,6
HCPCS,E1237,"Wheelchair, pediatric size, rigid, adjustable, without seating system ",,,228.5,718.49,33
HCPCS,E1237,"Wheelchair, pediatric size, rigid, adjustable, without seating system Trauma",,,565.37,565.37,6
HCPCS,E1238,"Wheelchair, pediatric size, folding, adjustable, without seating system ",,,226.54,712.33,33
HCPCS,E1238,"Wheelchair, pediatric size, folding, adjustable, without seating system Trauma",,,560.52,560.52,6
HCPCS,E1240,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest ",,,121.07,380.67,33
HCPCS,E1240,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest Trauma",,,299.54,299.54,6
HCPCS,E1270,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests ",,,92.76,291.67,33
HCPCS,E1270,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,229.51,229.51,6
HCPCS,E1280,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests ",,,154.23,484.95,33
HCPCS,E1280,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests Trauma",,,381.6,381.6,6
HCPCS,E1295,"Heavy duty wheelchair, fixed full length arms, elevating legrest ",,,142.73,448.78,33
HCPCS,E1295,"Heavy duty wheelchair, fixed full length arms, elevating legrest Trauma",,,353.14,353.14,6
HCPCS,E1296,Special wheelchair seat height from floor ,,,679.65,2137.04,33
HCPCS,E1296,Special wheelchair seat height from floor Trauma,,,1681.61,1681.61,6
HCPCS,E1297,"Special wheelchair seat depth, by upholstery ",,,144.61,454.69,33
HCPCS,E1297,"Special wheelchair seat depth, by upholstery Trauma",,,357.79,357.79,6
HCPCS,E1298,"Special wheelchair seat depth and/or width, by construction ",,,519.75,1634.25,33
HCPCS,E1298,"Special wheelchair seat depth and/or width, by construction Trauma",,,1285.97,1285.97,6
HCPCS,E1310,"Whirlpool, non-portable (built-in type) ",,,2523.27,7934.0,33
HCPCS,E1310,"Whirlpool, non-portable (built-in type) Trauma",,,6243.14,6243.14,6
HCPCS,E1353,Regulator ,,,39.15,123.1,33
HCPCS,E1353,Regulator Trauma,,,96.86,96.86,6
HCPCS,E1355,Stand/rack ,,,29.51,92.78,33
HCPCS,E1355,Stand/rack Trauma,,,73.01,73.01,6
HCPCS,E1372,Immersion external heater for nebulizer ,,,158.15,497.27,33
HCPCS,E1372,Immersion external heater for nebulizer Trauma,,,391.3,391.3,6
HCPCS,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ",,,97.2,305.64,33
HCPCS,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate Trauma",,,240.5,240.5,6
HCPCS,E1391,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ",,,97.2,305.64,33
HCPCS,E1391,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each Trauma",,,240.5,240.5,6
HCPCS,E1392,"Portable oxygen concentrator, rental ",,,46.5,146.22,33
HCPCS,E1392,"Portable oxygen concentrator, rental Trauma",,,115.06,115.06,6
HCPCS,E1405,Oxygen and water vapor enriching system with heated delivery ,,,133.29,419.1,33
HCPCS,E1405,Oxygen and water vapor enriching system with heated delivery Trauma,,,329.78,329.78,6
HCPCS,E1406,Oxygen and water vapor enriching system without heated delivery ,,,104.34,328.09,33
HCPCS,E1406,Oxygen and water vapor enriching system without heated delivery Trauma,,,258.17,258.17,6
HCPCS,E1700,Jaw motion rehabilitation system ,,,47.68,149.91,33
HCPCS,E1700,Jaw motion rehabilitation system Trauma,,,117.96,117.96,6
HCPCS,E1701,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 ",,,13.92,43.77,33
HCPCS,E1701,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 Trauma",,,34.44,34.44,6
HCPCS,E1702,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 ",,,27.97,87.93,33
HCPCS,E1702,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 Trauma",,,69.19,69.19,6
HCPCS,E1800,"Dynamic adjustable elbow extension and flexion device, includes soft interface material ",,,143.94,452.59,33
HCPCS,E1800,"Dynamic adjustable elbow extension and flexion device, includes soft interface material Trauma",,,356.14,356.14,6
HCPCS,E1801,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,163.24,513.28,33
HCPCS,E1801,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,403.9,403.9,6
HCPCS,E1802,"Dynamic adjustable forearm pronation/supination device, includes soft interface material ",,,451.78,1420.54,33
HCPCS,E1802,"Dynamic adjustable forearm pronation/supination device, includes soft interface material Trauma",,,1117.8,1117.8,6
HCPCS,E1803,"Dynamic adjustable elbow extension only device, includes soft interface material ",,,143.94,452.59,33
HCPCS,E1803,"Dynamic adjustable elbow extension only device, includes soft interface material Trauma",,,356.14,356.14,6
HCPCS,E1804,"Dynamic adjustable elbow flexion only device, includes soft interface material ",,,143.94,452.59,33
HCPCS,E1804,"Dynamic adjustable elbow flexion only device, includes soft interface material Trauma",,,356.14,356.14,6
HCPCS,E1805,"Dynamic adjustable wrist extension and flexion device, includes soft interface material ",,,148.47,466.83,33
HCPCS,E1805,"Dynamic adjustable wrist extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,6
HCPCS,E1806,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,134.0,421.33,33
HCPCS,E1806,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories Trauma",,,331.54,331.54,6
HCPCS,E1807,"Dynamic adjustable wrist extension only device, includes soft interface material ",,,148.47,466.83,33
HCPCS,E1807,"Dynamic adjustable wrist extension only device, includes soft interface material Trauma",,,367.34,367.34,6
HCPCS,E1808,"Dynamic adjustable wrist flexion only device, includes soft interface material ",,,148.47,466.83,33
HCPCS,E1808,"Dynamic adjustable wrist flexion only device, includes soft interface material Trauma",,,367.34,367.34,6
HCPCS,E1810,"Dynamic adjustable knee extension and flexion device, includes soft interface material ",,,146.4,460.34,33
HCPCS,E1810,"Dynamic adjustable knee extension and flexion device, includes soft interface material Trauma",,,362.23,362.23,6
HCPCS,E1811,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,169.74,533.72,33
HCPCS,E1811,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,419.98,419.98,6
HCPCS,E1812,"Dynamic knee, extension/flexion device with active resistance control ",,,118.87,373.78,33
HCPCS,E1812,"Dynamic knee, extension/flexion device with active resistance control Trauma",,,294.12,294.12,6
HCPCS,E1813,"Dynamic adjustable knee extension only device, includes soft interface material ",,,146.4,460.34,33
HCPCS,E1813,"Dynamic adjustable knee extension only device, includes soft interface material Trauma",,,362.23,362.23,6
HCPCS,E1814,"Dynamic adjustable knee flexion only device, includes soft interface material ",,,146.4,460.34,33
HCPCS,E1814,"Dynamic adjustable knee flexion only device, includes soft interface material Trauma",,,362.23,362.23,6
HCPCS,E1815,"Dynamic adjustable ankle extension and flexion device, includes soft interface material ",,,148.47,466.83,33
HCPCS,E1815,"Dynamic adjustable ankle extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,6
HCPCS,E1816,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories ",,,172.39,542.05,33
HCPCS,E1816,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories Trauma",,,426.53,426.53,6
HCPCS,E1818,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories ",,,176.04,553.51,33
HCPCS,E1818,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories Trauma",,,435.55,435.55,6
HCPCS,E1820,"Replacement soft interface material, dynamic adjustable extension/flexion device ",,,113.0,355.32,33
HCPCS,E1820,"Replacement soft interface material, dynamic adjustable extension/flexion device Trauma",,,279.6,279.6,6
HCPCS,E1821,Replacement soft interface material/cuffs for bi-directional static progressive stretch device ,,,145.48,457.44,33
HCPCS,E1821,Replacement soft interface material/cuffs for bi-directional static progressive stretch device Trauma,,,359.95,359.95,6
HCPCS,E1822,"Dynamic adjustable ankle extension only device, includes soft interface material ",,,148.47,466.83,33
HCPCS,E1822,"Dynamic adjustable ankle extension only device, includes soft interface material Trauma",,,367.34,367.34,6
HCPCS,E1823,"Dynamic adjustable ankle flexion only device, includes soft interface material ",,,148.47,466.83,33
HCPCS,E1823,"Dynamic adjustable ankle flexion only device, includes soft interface material Trauma",,,367.34,367.34,6
HCPCS,E1825,"Dynamic adjustable finger extension and flexion device, includes soft interface material ",,,148.47,466.83,33
HCPCS,E1825,"Dynamic adjustable finger extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,6
HCPCS,E1826,"Dynamic adjustable finger extension only device, includes soft interface material ",,,148.47,466.83,33
HCPCS,E1826,"Dynamic adjustable finger extension only device, includes soft interface material Trauma",,,367.34,367.34,6
HCPCS,E1827,"Dynamic adjustable finger flexion only device, includes soft interface material ",,,148.47,466.83,33
HCPCS,E1827,"Dynamic adjustable finger flexion only device, includes soft interface material Trauma",,,367.34,367.34,6
HCPCS,E1828,"Dynamic adjustable toe extension only device, includes soft interface material ",,,148.47,466.83,33
HCPCS,E1828,"Dynamic adjustable toe extension only device, includes soft interface material Trauma",,,367.34,367.34,6
HCPCS,E1829,"Dynamic adjustable toe flexion only device, includes soft interface material ",,,148.47,466.83,33
HCPCS,E1829,"Dynamic adjustable toe flexion only device, includes soft interface material Trauma",,,367.34,367.34,6
HCPCS,E1830,"Dynamic adjustable toe extension and flexion device, includes soft interface material ",,,148.47,466.83,33
HCPCS,E1830,"Dynamic adjustable toe extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,6
HCPCS,E1831,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,87.84,276.21,33
HCPCS,E1831,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,217.34,217.34,6
HCPCS,E1832,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories ",,,87.84,276.21,33
HCPCS,E1832,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,217.34,217.34,6
HCPCS,E1840,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material ",,,502.07,1578.68,33
HCPCS,E1840,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material Trauma",,,1242.24,1242.24,6
HCPCS,E1841,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories ",,,626.2,1968.99,33
HCPCS,E1841,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories Trauma",,,1549.37,1549.37,6
HCPCS,E1905,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software ",,,654.53,2058.05,33
HCPCS,E1905,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software Trauma",,,1619.45,1619.45,6
HCPCS,E2000,"Gastric suction pump, home model, portable or stationary, electric ",,,65.57,206.18,33
HCPCS,E2000,"Gastric suction pump, home model, portable or stationary, electric Trauma",,,162.24,162.24,6
HCPCS,E2001,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system ",,,63.29,199.01,33
HCPCS,E2001,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system Trauma",,,156.6,156.6,6
HCPCS,E2100,Blood glucose monitor with integrated voice synthesizer ,,,755.75,2376.32,33
HCPCS,E2100,Blood glucose monitor with integrated voice synthesizer Trauma,,,1869.89,1869.89,6
HCPCS,E2101,Blood glucose monitor with integrated lancing/blood sample ,,,260.65,819.57,33
HCPCS,E2101,Blood glucose monitor with integrated lancing/blood sample Trauma,,,644.9,644.9,6
HCPCS,E2102,"Adjunctive, non-implanted continuous glucose monitor or receiver ",,,232.04,729.62,33
HCPCS,E2102,"Adjunctive, non-implanted continuous glucose monitor or receiver Trauma",,,574.13,574.13,6
HCPCS,E2103,"Non-adjunctive, non-implanted continuous glucose monitor or receiver ",,,292.23,918.87,33
HCPCS,E2103,"Non-adjunctive, non-implanted continuous glucose monitor or receiver Trauma",,,723.05,723.05,6
HCPCS,E2104,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ,,,52.88,166.29,33
HCPCS,E2104,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge Trauma,,,130.85,130.85,6
HCPCS,E2120,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ,,,391.93,1232.35,33
HCPCS,E2120,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid Trauma,,,969.72,969.72,6
HCPCS,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches ",,,381.31,1198.95,33
HCPCS,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches Trauma",,,943.44,943.44,6
HCPCS,E2202,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,535.92,1685.09,33
HCPCS,E2202,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches Trauma",,,1325.98,1325.98,6
HCPCS,E2203,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches ",,,517.67,1627.72,33
HCPCS,E2203,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches Trauma",,,1280.83,1280.83,6
HCPCS,E2204,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches ",,,893.7,2810.09,33
HCPCS,E2204,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches Trauma",,,2211.22,2211.22,6
HCPCS,E2205,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each ",,,41.5,130.48,33
HCPCS,E2205,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each Trauma",,,102.67,102.67,6
HCPCS,E2206,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each ",,,45.49,143.04,33
HCPCS,E2206,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each Trauma",,,112.56,112.56,6
HCPCS,E2207,"Wheelchair accessory, crutch and cane holder, each ",,,52.58,165.34,33
HCPCS,E2207,"Wheelchair accessory, crutch and cane holder, each Trauma",,,130.1,130.1,6
HCPCS,E2208,"Wheelchair accessory, cylinder tank carrier, each ",,,95.95,301.71,33
HCPCS,E2208,"Wheelchair accessory, cylinder tank carrier, each Trauma",,,237.41,237.41,6
HCPCS,E2209,"Accessory, arm trough, with or without hand support, each ",,,97.74,307.32,33
HCPCS,E2209,"Accessory, arm trough, with or without hand support, each Trauma",,,241.82,241.82,6
HCPCS,E2210,"Wheelchair accessory, bearings, any type, replacement only, each ",,,6.28,19.73,33
HCPCS,E2210,"Wheelchair accessory, bearings, any type, replacement only, each Trauma",,,15.53,15.53,6
HCPCS,E2211,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each ",,,40.82,128.34,33
HCPCS,E2211,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each Trauma",,,100.99,100.99,6
HCPCS,E2212,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each ",,,7.27,22.88,33
HCPCS,E2212,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each Trauma",,,18.0,18.0,6
HCPCS,E2213,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each ",,,34.69,109.07,33
HCPCS,E2213,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each Trauma",,,85.82,85.82,6
HCPCS,E2214,"Manual wheelchair accessory, pneumatic caster tire, any size, each ",,,36.95,116.17,33
HCPCS,E2214,"Manual wheelchair accessory, pneumatic caster tire, any size, each Trauma",,,91.42,91.42,6
HCPCS,E2215,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each ",,,11.97,37.64,33
HCPCS,E2215,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each Trauma",,,29.62,29.62,6
HCPCS,E2216,"Manual wheelchair accessory, foam filled propulsion tire, any size, each ",,,53.41,167.93,33
HCPCS,E2216,"Manual wheelchair accessory, foam filled propulsion tire, any size, each Trauma",,,132.14,132.14,6
HCPCS,E2217,"Manual wheelchair accessory, foam filled caster tire, any size, each ",,,47.27,148.63,33
HCPCS,E2217,"Manual wheelchair accessory, foam filled caster tire, any size, each Trauma",,,116.95,116.95,6
HCPCS,E2218,"Manual wheelchair accessory, foam propulsion tire, any size, each ",,,53.41,167.93,33
HCPCS,E2218,"Manual wheelchair accessory, foam propulsion tire, any size, each Trauma",,,132.14,132.14,6
HCPCS,E2219,"Manual wheelchair accessory, foam caster tire, any size, each ",,,47.27,148.63,33
HCPCS,E2219,"Manual wheelchair accessory, foam caster tire, any size, each Trauma",,,116.95,116.95,6
HCPCS,E2220,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each ",,,35.12,110.44,33
HCPCS,E2220,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each Trauma",,,86.9,86.9,6
HCPCS,E2221,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,31.2,98.12,33
HCPCS,E2221,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each Trauma",,,77.21,77.21,6
HCPCS,E2222,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,26.39,82.99,33
HCPCS,E2222,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each Trauma",,,65.3,65.3,6
HCPCS,E2224,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each ",,,111.94,351.97,33
HCPCS,E2224,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each Trauma",,,276.96,276.96,6
HCPCS,E2225,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,21.65,68.08,33
HCPCS,E2225,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each Trauma",,,53.57,53.57,6
HCPCS,E2226,"Manual wheelchair accessory, caster fork, any size, replacement only, each ",,,46.11,145.0,33
HCPCS,E2226,"Manual wheelchair accessory, caster fork, any size, replacement only, each Trauma",,,114.1,114.1,6
HCPCS,E2227,"Manual wheelchair accessory, gear reduction drive wheel, each ",,,248.64,781.81,33
HCPCS,E2227,"Manual wheelchair accessory, gear reduction drive wheel, each Trauma",,,615.19,615.19,6
HCPCS,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each ",,,111.71,351.24,33
HCPCS,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each Trauma",,,276.38,276.38,6
HCPCS,E2231,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware ",,,169.16,531.89,33
HCPCS,E2231,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware Trauma",,,418.54,418.54,6
HCPCS,E2298,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type ",,,204.03,641.54,33
HCPCS,E2298,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type Trauma",,,504.82,504.82,6
HCPCS,E2310,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,131.63,413.88,39
HCPCS,E2311,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,265.62,835.21,39
HCPCS,E2312,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware ",,,268.08,842.93,33
HCPCS,E2312,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware Trauma",,,663.29,663.29,6
HCPCS,E2313,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each ",,,42.6,133.96,33
HCPCS,E2313,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each Trauma",,,105.41,105.41,6
HCPCS,E2321,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,178.85,562.36,33
HCPCS,E2321,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware Trauma",,,442.51,442.51,6
HCPCS,E2322,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware ",,,168.02,528.32,33
HCPCS,E2322,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware Trauma",,,415.73,415.73,6
HCPCS,E2323,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated ",,,82.36,258.98,33
HCPCS,E2323,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated Trauma",,,203.78,203.78,6
HCPCS,E2324,"Power wheelchair accessory, chin cup for chin control interface ",,,52.21,164.15,33
HCPCS,E2324,"Power wheelchair accessory, chin cup for chin control interface Trauma",,,129.17,129.17,6
HCPCS,E2325,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware ",,,160.49,504.62,33
HCPCS,E2325,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware Trauma",,,397.08,397.08,6
HCPCS,E2326,"Power wheelchair accessory, breath tube kit for sip and puff interface ",,,41.37,130.08,33
HCPCS,E2326,"Power wheelchair accessory, breath tube kit for sip and puff interface Trauma",,,102.36,102.36,6
HCPCS,E2327,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware ",,,311.24,978.65,33
HCPCS,E2327,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware Trauma",,,770.09,770.09,6
HCPCS,E2328,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware ",,,590.4,1856.41,33
HCPCS,E2328,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware Trauma",,,1460.78,1460.78,6
HCPCS,E2329,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,210.43,661.67,39
HCPCS,E2330,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,407.72,1282.01,39
HCPCS,E2340,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches ",,,495.37,1557.6,33
HCPCS,E2340,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches Trauma",,,1225.66,1225.66,6
HCPCS,E2341,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches ",,,743.14,2336.67,33
HCPCS,E2341,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches Trauma",,,1838.69,1838.69,6
HCPCS,E2342,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches ",,,619.3,1947.27,33
HCPCS,E2342,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches Trauma",,,1532.28,1532.28,6
HCPCS,E2343,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches ",,,990.87,3115.64,33
HCPCS,E2343,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches Trauma",,,2451.65,2451.65,6
HCPCS,E2351,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface ",,,832.7,2618.27,33
HCPCS,E2351,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface Trauma",,,2060.28,2060.28,6
HCPCS,E2359,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,198.52,624.21,33
HCPCS,E2359,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,491.18,491.18,6
HCPCS,E2360,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each ",,,144.04,452.89,33
HCPCS,E2360,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each Trauma",,,356.38,356.38,6
HCPCS,E2361,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) ",,,135.25,425.26,33
HCPCS,E2361,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) Trauma",,,334.63,334.63,6
HCPCS,E2362,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each ",,,127.16,399.82,33
HCPCS,E2362,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each Trauma",,,314.62,314.62,6
HCPCS,E2363,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,174.87,549.85,33
HCPCS,E2363,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,432.67,432.67,6
HCPCS,E2364,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each ",,,139.03,437.16,33
HCPCS,E2364,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each Trauma",,,343.99,343.99,6
HCPCS,E2365,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,92.58,291.09,33
HCPCS,E2365,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,229.06,229.06,6
HCPCS,E2366,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each ",,,197.65,621.47,33
HCPCS,E2366,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each Trauma",,,489.02,489.02,6
HCPCS,E2367,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each ",,,445.27,1400.07,33
HCPCS,E2367,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each Trauma",,,1101.7,1101.7,6
HCPCS,E2368,"Power wheelchair component, drive wheel motor, replacement only ",,,48.51,152.53,33
HCPCS,E2368,"Power wheelchair component, drive wheel motor, replacement only Trauma",,,120.02,120.02,6
HCPCS,E2369,"Power wheelchair component, drive wheel gear box, replacement only ",,,45.32,142.5,33
HCPCS,E2369,"Power wheelchair component, drive wheel gear box, replacement only Trauma",,,112.13,112.13,6
HCPCS,E2370,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only ",,,64.3,202.18,33
HCPCS,E2370,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only Trauma",,,159.1,159.1,6
HCPCS,E2371,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each ",,,164.23,516.4,33
HCPCS,E2371,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each Trauma",,,406.34,406.34,6
HCPCS,E2373,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware ",,,93.46,293.87,33
HCPCS,E2373,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware Trauma",,,231.24,231.24,6
HCPCS,E2374,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,60.65,190.72,39
HCPCS,E2375,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only ",,,81.53,256.35,33
HCPCS,E2375,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only Trauma",,,201.72,201.72,6
HCPCS,E2376,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only ",,,150.69,473.82,33
HCPCS,E2376,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only Trauma",,,372.84,372.84,6
HCPCS,E2377,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue ",,,55.82,175.53,33
HCPCS,E2377,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue Trauma",,,138.12,138.12,6
HCPCS,E2378,"Power wheelchair component, actuator, replacement only ",,,68.04,213.93,33
HCPCS,E2378,"Power wheelchair component, actuator, replacement only Trauma",,,168.34,168.34,6
HCPCS,E2381,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each ",,,71.35,224.36,33
HCPCS,E2381,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each Trauma",,,176.54,176.54,6
HCPCS,E2382,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each ",,,22.11,69.51,33
HCPCS,E2382,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each Trauma",,,54.7,54.7,6
HCPCS,E2383,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each ",,,145.57,457.71,33
HCPCS,E2383,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each Trauma",,,360.17,360.17,6
HCPCS,E2384,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each ",,,73.67,231.65,33
HCPCS,E2384,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each Trauma",,,182.28,182.28,6
HCPCS,E2385,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each ",,,53.05,166.8,33
HCPCS,E2385,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each Trauma",,,131.26,131.26,6
HCPCS,E2386,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each ",,,128.17,403.0,33
HCPCS,E2386,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each Trauma",,,317.11,317.11,6
HCPCS,E2387,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each ",,,59.82,188.09,33
HCPCS,E2387,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each Trauma",,,148.01,148.01,6
HCPCS,E2388,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each ",,,57.73,181.54,33
HCPCS,E2388,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each Trauma",,,142.85,142.85,6
HCPCS,E2389,"Power wheelchair accessory, foam caster tire, any size, replacement only, each ",,,32.27,101.47,33
HCPCS,E2389,"Power wheelchair accessory, foam caster tire, any size, replacement only, each Trauma",,,79.85,79.85,6
HCPCS,E2390,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each ",,,49.96,157.11,33
HCPCS,E2390,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each Trauma",,,123.62,123.62,6
HCPCS,E2391,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each ",,,20.57,64.69,33
HCPCS,E2391,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each Trauma",,,50.9,50.9,6
HCPCS,E2392,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each ",,,49.68,156.22,33
HCPCS,E2392,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each Trauma",,,122.93,122.93,6
HCPCS,E2394,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each ",,,68.91,216.67,33
HCPCS,E2394,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each Trauma",,,170.5,170.5,6
HCPCS,E2395,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each ",,,51.86,163.05,33
HCPCS,E2395,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each Trauma",,,128.3,128.3,6
HCPCS,E2396,"Power wheelchair accessory, caster fork, any size, replacement only, each ",,,62.36,196.08,33
HCPCS,E2396,"Power wheelchair accessory, caster fork, any size, replacement only, each Trauma",,,154.3,154.3,6
HCPCS,E2397,"Power wheelchair accessory, lithium-based battery, each ",,,512.79,1612.38,33
HCPCS,E2397,"Power wheelchair accessory, lithium-based battery, each Trauma",,,1268.76,1268.76,6
HCPCS,E2398,"Wheelchair accessory, dynamic positioning hardware for back ",,,158.59,498.64,33
HCPCS,E2398,"Wheelchair accessory, dynamic positioning hardware for back Trauma",,,392.38,392.38,6
HCPCS,E2402,"Negative pressure wound therapy electrical pump, stationary or portable ",,,855.48,2689.92,33
HCPCS,E2402,"Negative pressure wound therapy electrical pump, stationary or portable Trauma",,,2116.66,2116.66,6
HCPCS,E2500,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time ",,,540.58,1699.76,33
HCPCS,E2500,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time Trauma",,,1337.52,1337.52,6
HCPCS,E2502,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time ",,,1653.04,5197.72,33
HCPCS,E2502,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time Trauma",,,4090.01,4090.01,6
HCPCS,E2504,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time ",,,2180.61,6856.55,33
HCPCS,E2504,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time Trauma",,,5395.32,5395.32,6
HCPCS,E2506,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time ",,,3197.38,10053.62,33
HCPCS,E2506,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time Trauma",,,7911.05,7911.05,6
HCPCS,E2508,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device ",,,4944.24,15546.31,33
HCPCS,E2508,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device Trauma",,,12233.16,12233.16,6
HCPCS,E2510,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access ",,,9356.32,29419.35,33
HCPCS,E2510,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access Trauma",,,23149.66,23149.66,6
HCPCS,E2513,"Accessory for speech generating device, electromyographic sensor ",,,4356.27,13697.55,33
HCPCS,E2513,"Accessory for speech generating device, electromyographic sensor Trauma",,,10778.4,10778.4,6
HCPCS,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth ",,,47.76,150.18,33
HCPCS,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,118.18,118.18,6
HCPCS,E2602,"General use wheelchair seat cushion, width 22 inches or greater, any depth ",,,102.6,322.6,33
HCPCS,E2602,"General use wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,253.85,253.85,6
HCPCS,E2603,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth ",,,127.81,401.87,33
HCPCS,E2603,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,316.22,316.22,6
HCPCS,E2604,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth ",,,174.94,550.07,33
HCPCS,E2604,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,432.84,432.84,6
HCPCS,E2605,"Positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,249.13,783.36,33
HCPCS,E2605,"Positioning wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,616.42,616.42,6
HCPCS,E2606,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,400.42,1259.04,33
HCPCS,E2606,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,990.72,990.72,6
HCPCS,E2607,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth ",,,250.77,788.52,33
HCPCS,E2607,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,620.47,620.47,6
HCPCS,E2608,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth ",,,310.34,975.82,33
HCPCS,E2608,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,767.86,767.86,6
HCPCS,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware ",,,197.51,621.04,33
HCPCS,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware Trauma",,,488.69,488.69,6
HCPCS,E2612,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware ",,,376.86,1184.99,33
HCPCS,E2612,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,932.45,932.45,6
HCPCS,E2613,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware ",,,371.28,1167.42,33
HCPCS,E2613,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware Trauma",,,918.62,918.62,6
HCPCS,E2614,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware ",,,533.76,1678.32,33
HCPCS,E2614,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,1320.65,1320.65,6
HCPCS,E2615,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware ",,,419.89,1320.28,33
HCPCS,E2615,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware Trauma",,,1038.91,1038.91,6
HCPCS,E2616,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware ",,,564.28,1774.28,33
HCPCS,E2616,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,1396.15,1396.15,6
HCPCS,E2619,"Replacement cover for wheelchair seat cushion or back cushion, each ",,,59.44,186.9,33
HCPCS,E2619,"Replacement cover for wheelchair seat cushion or back cushion, each Trauma",,,147.07,147.07,6
HCPCS,E2620,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware ",,,463.67,1457.93,33
HCPCS,E2620,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware Trauma",,,1147.22,1147.22,6
HCPCS,E2621,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware ",,,541.62,1703.03,33
HCPCS,E2621,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,1340.09,1340.09,6
HCPCS,E2622,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,377.09,1185.69,33
HCPCS,E2622,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth Trauma",,,933.0,933.0,6
HCPCS,E2623,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,476.85,1499.38,33
HCPCS,E2623,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth Trauma",,,1179.84,1179.84,6
HCPCS,E2624,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth ",,,383.18,1204.84,33
HCPCS,E2624,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth Trauma",,,948.07,948.07,6
HCPCS,E2625,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth ",,,474.22,1491.11,33
HCPCS,E2625,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth Trauma",,,1173.34,1173.34,6
HCPCS,E2626,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable ",,,745.61,2344.44,33
HCPCS,E2626,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Trauma",,,1844.81,1844.81,6
HCPCS,E2627,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type ",,,1153.67,3627.52,33
HCPCS,E2627,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type Trauma",,,2854.44,2854.44,6
HCPCS,E2628,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining ",,,901.4,2834.3,33
HCPCS,E2628,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining Trauma",,,2230.27,2230.27,6
HCPCS,E2629,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) ",,,1137.82,3577.68,33
HCPCS,E2629,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) Trauma",,,2815.22,2815.22,6
HCPCS,E2630,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support ",,,767.06,2411.88,33
HCPCS,E2630,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support Trauma",,,1897.87,1897.87,6
HCPCS,E2631,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm ",,,334.55,1051.94,33
HCPCS,E2631,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm Trauma",,,827.76,827.76,6
HCPCS,E2632,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control ",,,201.21,632.66,33
HCPCS,E2632,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control Trauma",,,497.83,497.83,6
HCPCS,E2633,"Wheelchair accessory, addition to mobile arm support, supinator ",,,163.01,512.55,33
HCPCS,E2633,"Wheelchair accessory, addition to mobile arm support, supinator Trauma",,,403.32,403.32,6
HCPCS,E3000,"Speech volume modulation system, any type, including all components and accessories ",,,237.49,746.76,33
HCPCS,E3000,"Speech volume modulation system, any type, including all components and accessories Trauma",,,587.62,587.62,6
HCPCS,E3200,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only ",,,1143.3,3594.91,33
HCPCS,E3200,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only Trauma",,,2828.78,2828.78,6
HCPCS,G0008,ADMIN INFLUENZA VACCINE,210.0,210.0,18.06,252.0,48
HCPCS,G0008,Administration of influenza virus vaccine ,210.0,210.0,21.0,21.0,1
HCPCS,G0009,ADMIN PNEUMOCOCCAL VAC,210.0,210.0,18.06,252.0,48
HCPCS,G0009,Administration of pneumococcal vaccine UNSCHEDULED,210.0,210.0,74.33,75.89,3
HCPCS,G0010,ADMIN HEP B VACCINE,256.0,256.0,22.02,307.2,48
HCPCS,G0010,Administration of hepatitis b vaccine UNSCHEDULED,256.0,256.0,78.52,80.17,3
HCPCS,G0011,"Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp) to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial ",,,19.76,19.76,1
HCPCS,G0012,"Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle ",,,13.41,13.41,1
HCPCS,G0017,"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); ",,,144.38,144.38,1
HCPCS,G0018,"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); ",,,70.07,70.07,1
HCPCS,G0027,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.43,19.82,47
HCPCS,G0027,Semen analysis; presence and/or motility of sperm excluding huhner Trauma,,,15.6,15.6,6
HCPCS,G0101,Cervical or vaginal cancer screening; pelvic and clinical breast examination SCHEDULED,,,36.1,36.86,3
HCPCS,G0102,Prostate cancer screening; digital rectal examination SCHEDULED,,,10.45,10.67,3
HCPCS,G0103,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.12,58.9,47
HCPCS,G0103,Prostate cancer screening; prostate specific antigen test (psa) Trauma,,,46.34,46.34,6
HCPCS,G0104,Colorectal cancer screening; flexible sigmoidoscopy ,,,1982.0,4009.0,36
HCPCS,G0104,Colorectal cancer screening; flexible sigmoidoscopy SCHEDULED,,,68.4,69.84,3
HCPCS,G0105,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1982.0,4009.0,36
HCPCS,G0105,Colorectal cancer screening; colonoscopy on individual at high risk SCHEDULED,,,227.05,231.83,3
HCPCS,G0106,"Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema SCHEDULED",,,172.9,176.54,3
HCPCS,G0108,"Diabetes outpatient self-management training services, individual, per 30 minutes ",,,57.06,179.4,33
HCPCS,G0108,"Diabetes outpatient self-management training services, individual, per 30 minutes SCHEDULED",,,63.65,64.99,3
HCPCS,G0108,"Diabetes outpatient self-management training services, individual, per 30 minutes Trauma",,,141.17,141.17,6
HCPCS,G0109,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes ",,,16.33,51.36,33
HCPCS,G0109,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes SCHEDULED",,,17.1,17.46,3
HCPCS,G0109,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes Trauma",,,40.42,40.42,6
HCPCS,G0117,Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist SCHEDULED,,,60.8,62.08,3
HCPCS,G0118,Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist SCHEDULED,,,48.45,49.47,3
HCPCS,G0120,"Colorectal cancer screening; alternative to g0105, screening colonoscopy, barium enema. SCHEDULED",,,172.9,176.54,3
HCPCS,G0121,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1982.0,4009.0,36
HCPCS,G0121,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk SCHEDULED,,,228.95,233.77,3
HCPCS,G0122,Colorectal cancer screening; barium enema SCHEDULED,,,285.95,291.97,3
HCPCS,G0123,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.06,61.79,47
HCPCS,G0123,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision Trauma",,,48.62,48.62,6
HCPCS,G0124,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,5
HCPCS,G0127,"Trimming of dystrophic nails, any number ",,,1423.0,3251.0,36
HCPCS,G0128,"Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes SCHEDULED",,,8.55,8.73,3
HCPCS,G0130,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,185.25,185.25,8
HCPCS,G0141,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,5
HCPCS,G0143,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,26.78,82.5,53
HCPCS,G0144,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.53,134.11,53
HCPCS,G0145,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.23,80.79,53
HCPCS,G0147,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,56.55,47
HCPCS,G0147,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision Trauma",,,44.5,44.5,6
HCPCS,G0148,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.62,97.42,47
HCPCS,G0148,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening Trauma",,,76.66,76.66,6
HCPCS,G0166,"External counterpulsation, per treatment session SCHEDULED",,,114.0,116.4,3
HCPCS,G0168,Wound closure utilizing tissue adhesive(s) only ,,,1423.0,3251.0,36
HCPCS,G0168,Wound closure utilizing tissue adhesive(s) only UNSCHEDULED,,,46.07,47.04,3
HCPCS,G0179,"Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and revi",,,45.6,46.56,3
HCPCS,G0180,"Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review ",,,60.8,62.08,3
HCPCS,G0181,Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplin,,,121.6,124.16,3
HCPCS,G0182,Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revisi,,,122.55,125.13,3
HCPCS,G0186,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1982.0,4009.0,28
HCPCS,G0219,Pet imaging whole body; melanoma for non-covered indications ,,,1542.0,4814.0,8
HCPCS,G0235,"Pet imaging, any site, not otherwise specified ",,,641.1,4814.0,9
HCPCS,G0237,STRENGTHN RESP MUS EA15M,158.0,158.0,13.59,189.6,48
HCPCS,G0237,"Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) SCHEDULED",158.0,158.0,10.45,10.67,3
HCPCS,G0238,"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) SCHEDULED",,,11.4,11.64,3
HCPCS,G0239,"Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) SCHEDULED",,,13.3,13.58,3
HCPCS,G0245,"Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2)",,,48.45,49.47,3
HCPCS,G0246,Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient,,,23.75,24.25,3
HCPCS,G0248,"Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteri",,,64.6,65.96,3
HCPCS,G0249,"Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage c",,,63.65,64.99,3
HCPCS,G0250,"Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicar",,,7.94,10.67,4
HCPCS,G0252,"Pet imaging, full and partial-ring pet scanners only, for initial diagnosis of breast cancer and/or surgical planning for breast cancer (e.g., initial staging of axillary lymph nodes) ",,,1542.0,4814.0,8
HCPCS,G0257,EMERGENT DIALYSIS ESRD,1722.0,1722.0,177.37,2066.4,29
HCPCS,G0259,Injection procedure for sacroiliac joint; arthrography ,,,1423.0,3251.0,36
HCPCS,G0259,Injection procedure for sacroiliac joint; arthrography UNSCHEDULED,,,1708.54,1744.51,3
HCPCS,G0260,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1982.0,4009.0,36
HCPCS,G0268,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1423.0,3251.0,36
HCPCS,G0268,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing SCHEDULED,,,41.8,42.68,3
HCPCS,G0269,OCCLUSIVE DEVICE VEN/ART,2197.0,2197.0,116.44,2636.4,29
HCPCS,G0269,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",2197.0,2197.0,1423.0,4750.0,40
HCPCS,G0269,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) UNSCHEDULED",2197.0,2197.0,331.86,338.85,3
HCPCS,G0270,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,27.69,85.31,41
HCPCS,G0271,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,15.06,46.39,41
HCPCS,G0276,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,10737.0,15007.0,36
HCPCS,G0277,HBO FULL BODY 30 MIN INT,562.0,562.0,48.33,674.4,48
HCPCS,G0277,"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval SCHEDULED",562.0,562.0,149.15,152.29,3
HCPCS,G0278,"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes posi",,,3792.0,4750.0,7
HCPCS,G0279,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",172.0,172.0,12.82,43.3,35
HCPCS,G0279,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) Trauma",,,31.7,31.7,6
HCPCS,G0279,TOMOSYNTHESIS MAMMO DX,172.0,172.0,14.79,206.4,36
HCPCS,G0281,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,10.82,47.04,121
HCPCS,G0282,"Electrical stimulation, (unattended), to one or more areas, for wound care other than described in g0281 ",,,51.63,51.63,1
HCPCS,G0282,"Electrical stimulation, (unattended), to one or more areas, for wound care other than described in g0281 UNSCHEDULED",,,331.86,338.85,3
HCPCS,G0283,EL ST UN IND NOT WC OT,1115.0,1115.0,95.89,1338.0,41
HCPCS,G0283,EL ST UN IND NOT WC PT,1115.0,1115.0,95.89,1338.0,41
HCPCS,G0283,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ",,,11.73,41.05,97
HCPCS,G0283,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care SCHEDULED",,,15.2,15.52,3
HCPCS,G0283,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care Trauma",,,28.43,32.3,18
HCPCS,G0289,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1423.0,3251.0,39
HCPCS,G0296,Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) SCHEDULED,,,32.3,32.98,3
HCPCS,G0297,Low dose ct scan (ldct) for lung cancer screening ,,,809.0,809.0,1
HCPCS,G0297,Low dose ct scan (ldct) for lung cancer screening UNSCHEDULED,,,57.58,58.79,3
HCPCS,G0306,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.69,23.7,47
HCPCS,G0306,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count Trauma",,,18.65,18.65,6
HCPCS,G0307,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.41,19.73,47
HCPCS,G0307,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) Trauma",,,15.53,15.53,6
HCPCS,G0327,Colorectal cancer screening; blood-based biomarker ,,,,,0
HCPCS,G0328,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,17.87,55.05,47
HCPCS,G0328,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous Trauma",,,43.32,43.32,6
HCPCS,G0328,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous UNSCHEDULED",,,122.48,125.06,3
HCPCS,G0329,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,11.19,35.2,42
HCPCS,G0330,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,8577.0,8577.0,8
HCPCS,G0337,"Hospice evaluation and counseling services, pre-election SCHEDULED",,,85.5,87.3,3
HCPCS,G0339,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,10737.0,16132.0,37
HCPCS,G0340,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,6634.0,10719.0,37
HCPCS,G0364,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,1423.0,3251.0,28
HCPCS,G0372,Physician service required to establish and document the need for a power mobility device ,,,6.81,6.81,1
HCPCS,G0372,Physician service required to establish and document the need for a power mobility device SCHEDULED,,,10.45,10.67,3
HCPCS,G0378,"Hospital observation service, per hour ",,,106.78,109.03,3
HCPCS,G0378,OBS PER HOUR,77.0,77.0,11.2,102.0,230
HCPCS,G0379,DIRECT REFERRAL TO OBS,1236.0,1236.0,197.76,1483.2,100
HCPCS,G0380,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,221.94,3143.0,38
HCPCS,G0381,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,571.61,3143.0,38
HCPCS,G0382,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3721.0,38
HCPCS,G0383,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,4359.0,38
HCPCS,G0384,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,7734.0,38
HCPCS,G0390,TRAUMA RESP TIER 2 CC,23445.0,23445.0,2016.27,28134.0,32
HCPCS,G0390,TRAUMA RESPONSE CC LVL 1,30000.0,30000.0,2580.0,36000.0,32
HCPCS,G0390,Trauma response team associated with hospital critical care service UNSCHEDULED,,,4641.96,4739.68,3
HCPCS,G0396,"Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes SCHEDULED",,,38.95,39.77,3
HCPCS,G0397,"Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes SCHEDULED",,,76.0,77.6,3
HCPCS,G0398,"Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation ",,,,,0
HCPCS,G0399,"Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation ",,,,,0
HCPCS,G0400,"Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels ",,,,,0
HCPCS,G0402,"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment SCHEDULED",,,143.45,146.47,3
HCPCS,G0403,"Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report SCHEDULED",,,19.95,20.37,3
HCPCS,G0404,"Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination SCHEDULED",,,9.5,9.7,3
HCPCS,G0405,"Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination SCHEDULED",,,9.5,9.7,3
HCPCS,G0406,"Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth SCHEDULED",,,44.65,45.59,3
HCPCS,G0407,"Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth SCHEDULED",,,81.7,83.42,3
HCPCS,G0408,"Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth SCHEDULED",,,117.8,120.28,3
HCPCS,G0409,"Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified soci",,,15.2,15.52,3
HCPCS,G0412,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,15007.0,15007.0,8
HCPCS,G0413,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7583.0,10719.0,36
HCPCS,G0414,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,15007.0,15007.0,8
HCPCS,G0415,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,15007.0,15007.0,8
HCPCS,G0416,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,5
HCPCS,G0420,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour ",,,100.4,371.43,33
HCPCS,G0420,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour Trauma",,,292.27,292.27,6
HCPCS,G0421,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour ",,,24.17,89.43,33
HCPCS,G0421,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour Trauma",,,70.37,70.37,6
HCPCS,G0422,"Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session SCHEDULED",,,121.6,124.16,3
HCPCS,G0422,"Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session UNSCHEDULED",,,338.15,345.27,3
HCPCS,G0423,"Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session SCHEDULED",,,121.6,124.16,3
HCPCS,G0423,"Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session UNSCHEDULED",,,238.7,243.72,3
HCPCS,G0424,"Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day SCHEDULED",,,16.15,16.49,3
HCPCS,G0424,"Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day UNSCHEDULED",,,215.66,220.2,3
HCPCS,G0425,"Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth SCHEDULED",,,114.95,117.37,3
HCPCS,G0426,"Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth SCHEDULED",,,154.85,158.11,3
HCPCS,G0427,"Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth SCHEDULED",,,230.85,235.71,3
HCPCS,G0428,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,8577.0,8577.0,8
HCPCS,G0432,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.37,59.69,47
HCPCS,G0432,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening Trauma",,,46.97,46.97,6
HCPCS,G0432,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening UNSCHEDULED",,,338.15,345.27,3
HCPCS,G0433,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.11,55.78,47
HCPCS,G0433,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening Trauma",,,43.9,43.9,6
HCPCS,G0433,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening UNSCHEDULED",,,127.72,130.41,3
HCPCS,G0435,HIV1&/OR HIV2 AB SC RAP,87.0,87.0,7.48,104.4,31
HCPCS,G0435,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",87.0,87.0,11.86,36.54,47
HCPCS,G0435,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening Trauma",,,28.75,28.75,6
HCPCS,G0435,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening UNSCHEDULED",87.0,87.0,306.75,313.2,3
HCPCS,G0438,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ",,,153.68,568.49,33
HCPCS,G0438,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit Trauma",,,447.34,447.34,6
HCPCS,G0439,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ",,,121.27,448.62,33
HCPCS,G0439,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Trauma",,,353.02,353.02,6
HCPCS,G0448,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,8577.0,57784.0,162
HCPCS,G0452,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,5
HCPCS,G0453,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,38.95,3251.0,42
HCPCS,G0454,"Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist SCHEDULED",,,10.45,10.67,3
HCPCS,G0459,"Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy SCHEDULED",,,47.5,48.5,3
HCPCS,G0460,"Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedure",,,159.6,162.96,3
HCPCS,G0463,Hospital outpatient clinic visit for assessment and management of a patient ,,,4060.0,4060.0,1
HCPCS,G0463,Hospital outpatient clinic visit for assessment and management of a patient UNSCHEDULED,,,174.83,178.51,3
HCPCS,G0471,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) ,,,11.0,34.59,36
HCPCS,G0471,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) Trauma,,,27.22,27.22,6
HCPCS,G0472,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,45.89,141.37,47
HCPCS,G0472,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) Trauma",,,111.24,111.24,6
HCPCS,G0473,"Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes SCHEDULED",,,13.3,13.58,3
HCPCS,G0475,"Hiv antigen/antibody, combination assay, screening ",,,23.84,73.44,47
HCPCS,G0475,"Hiv antigen/antibody, combination assay, screening Trauma",,,57.79,57.79,6
HCPCS,G0475,"Hiv antigen/antibody, combination assay, screening UNSCHEDULED",,,14.66,14.97,3
HCPCS,G0476,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,34.74,107.02,53
HCPCS,G0480,DRUG TEST DEF 1-7 CLASS,181.0,181.0,15.57,217.2,93
HCPCS,G0480,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,113.29,349.01,53
HCPCS,G0481,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,155.02,477.6,53
HCPCS,G0482,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,196.75,606.16,53
HCPCS,G0483,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,244.45,753.11,53
HCPCS,G0499,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,27.99,86.22,53
HCPCS,G0500,"Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of",,,7.6,7.76,3
HCPCS,G0506,Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) SCHEDULED,,,52.25,53.35,3
HCPCS,G0508,"Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth SCHEDULED",,,245.1,250.26,3
HCPCS,G0509,"Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth SCHEDULED",,,227.05,231.83,3
HCPCS,G0511,"Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral healt",,,74.1,75.66,3
HCPCS,G0512,"Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm servic",,,156.75,160.05,3
HCPCS,G0516,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,2143.0,2143.0,8
HCPCS,G0517,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,8
HCPCS,G0518,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,8
HCPCS,G0539,"Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (w",,,33.4,33.4,1
HCPCS,G0540,"Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified healt",,,17.45,17.45,1
HCPCS,G0541,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,33.4,33.4,1
HCPCS,G0542,"Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to ",,,17.45,17.45,1
HCPCS,G0543,"Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniqu",,,8.18,8.18,1
HCPCS,G0546,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty   whose covered services are limited by statute to services fo,,,15.01,15.01,1
HCPCS,G0547,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for ,,,29.59,29.59,1
HCPCS,G0548,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for ,,,43.49,43.49,1
HCPCS,G0549,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for ,,,57.8,57.8,1
HCPCS,G0550,Interprofessional telephone/internet/electronic health record assessment and management service provided by a practitioner in a specialty whose covered services are limited by statute to services for ,,,27.06,27.06,1
HCPCS,G0551,Interprofessional telephone/internet/electronic health record referral service(s) provided by a treating/requesting practitioner in a specialty whose covered services are limited by statute to service,,,27.93,27.93,1
HCPCS,G0560,"Safety planning interventions, each 20 minutes personally performed by the billing practitioner, including assisting the patient in the identification of the following personalized elements of a safet",,,33.01,33.01,1
HCPCS,G0561,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,2143.0,2143.0,8
HCPCS,G0566,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,265.98,265.98,8
HCPCS,G0567,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,34.74,107.02,47
HCPCS,G0567,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique Trauma",,,84.22,84.22,6
HCPCS,G0571,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,2143.0,2143.0,8
HCPCS,G0577,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,8577.0,8577.0,8
HCPCS,G0659,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,61.52,189.53,52
HCPCS,G0681,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,8577.0,8577.0,8
HCPCS,G0682,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,8577.0,8577.0,8
HCPCS,G0683,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,8577.0,8577.0,8
HCPCS,G0684,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,8577.0,8577.0,8
HCPCS,G2010,"Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,10.45,10.67,3
HCPCS,G2011,"Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes SCHEDULED",,,19.95,20.37,3
HCPCS,G2025,Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only ,,,86.18,86.18,1
HCPCS,G2250,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,7.09,42.12,39
HCPCS,G2251,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,9.3,45.02,39
HCPCS,G2252,"Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an establ",,,20.28,20.28,1
HCPCS,G9143,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,119.51,368.2,46
HCPCS,G9143,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) Trauma",,,289.73,289.73,6
HCPCS,G9157,"Transesophageal doppler measurement of cardiac output (including probe placement, image acquisition, and interpretation per course of treatment) for monitoring purposes SCHEDULED",,,114.95,117.37,3
HCPCS,G9187,"Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited",,,48.45,49.47,3
HCPCS,G9361,"Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of gestation) ºdocumentation of reason(s) for elective delivery (e.g., hemorrhage and placental complications, hypert",,,,,0
HCPCS,G9685,Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration ,,,234.65,239.59,3
HCPCS,G9868,"Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, less than 10 minutes SCHEDULED",,,30.4,31.04,3
HCPCS,G9869,"Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, 10-20 minutes SCHEDULED",,,39.9,40.74,3
HCPCS,G9870,"Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, more than 20 minutes SCHEDULED",,,50.35,51.41,3
HCPCS,H0003,Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs ,,,,,0
HCPCS,H0008,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,2300
HCPCS,H0009,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,2300
HCPCS,H0010,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,2300
HCPCS,H0011,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,2300
HCPCS,H0015,"Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessmen",,,979.0,1349.0,10
HCPCS,H0035,"Mental health partial hospitalization, treatment, less than 24 hours ",,,212.0,212.0,3
HCPCS,H0047,"Alcohol and/or other drug abuse services, not otherwise specified ",,,274.24,274.24,1
HCPCS,H0049,Alcohol and/or drug screening ,,,,,0
HCPCS,H2019,"Therapeutic behavioral services, per 15 minutes ",,,35.61,35.61,1
HCPCS,H2036,"Alcohol and/or other drug treatment program, per diem ",,,212.0,212.0,3
HCPCS,J0013,"Esketamine, nasal spray, 1 mg ",,,31.65,31.65,5
HCPCS,J0120,"Injection, tetracycline, up to 250 mg ",,,,,0
HCPCS,J0121,"Injection, omadacycline, 1 mg ",,,4.01,6.81,6
HCPCS,J0122,"Injection, eravacycline, 1 mg ",,,1.25,2.13,6
HCPCS,J0129,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,43.38,73.79,6
HCPCS,J0130,"Injection abciximab, 10 mg ",,,951.77,951.77,5
HCPCS,J0131,ACETAMINO NOS 1000MG INJ,254.0,254.0,1.75,570.0,60
HCPCS,J0131,ACETAMINO NOS 10MG INJ,4.75,4.75,0.25,5.7,30
HCPCS,J0131,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.05,0.08,6
HCPCS,J0132,ACETYLCYSTEIN 6000MG INJ,2670.0,2670.0,141.51,3204.0,30
HCPCS,J0132,"Injection, acetylcysteine, 100 mg ",2670.0,2670.0,0.49,0.84,6
HCPCS,J0133,ACYCLOVIR 1000 MG INJ,267.0,267.0,14.15,320.4,30
HCPCS,J0133,ACYCLOVIR 5 MG/ML INJ,0.2,0.2,0.01,0.24,30
HCPCS,J0133,ACYCLOVIR 500 MG INJ,252.0,252.0,13.36,302.4,30
HCPCS,J0133,"Injection, acyclovir, 5 mg ",,,0.02,0.03,6
HCPCS,J0134,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.05,0.08,6
HCPCS,J0136,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.05,0.08,6
HCPCS,J0137,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.06,0.1,6
HCPCS,J0138,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.09,0.15,6
HCPCS,J0139,"Injection, adalimumab, 1 mg ",,,269.25,269.25,5
HCPCS,J0153,ADENOSINE 6 MG INJ,459.0,459.0,24.33,550.8,30
HCPCS,J0153,ADENOSINE 60 MG INJ,1522.0,1522.0,80.67,1826.4,30
HCPCS,J0153,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,0.47,0.79,6
HCPCS,J0162,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,0.42,0.71,6
HCPCS,J0163,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.29,0.5,6
HCPCS,J0164,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,0.89,1.52,6
HCPCS,J0165,EPI NOS 0.1 MG INJ,88.0,88.0,4.66,105.6,30
HCPCS,J0165,EPI NOS 1 MG INJ,80.0,80.0,4.24,96.0,30
HCPCS,J0165,EPI NOS 10 MG MDV,204.0,204.0,10.81,244.8,30
HCPCS,J0165,EPI NOS 100MCG/ML INJ,8.0,8.0,0.42,9.6,30
HCPCS,J0165,EPI NOS 20MCG/ML INJ,1.6,1.6,0.08,1.92,30
HCPCS,J0165,EPI NOS 30 MG MDV,458.0,458.0,24.27,549.6,30
HCPCS,J0165,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.3,0.51,6
HCPCS,J0166,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,0.81,1.39,6
HCPCS,J0167,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,1.05,1.78,6
HCPCS,J0168,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,2.79,4.75,6
HCPCS,J0169,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,0.84,1.44,6
HCPCS,J0174,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,1.3,2.21,6
HCPCS,J0175,"Injection, donanemab-azbt, 2 mg ",,,4.02,6.83,6
HCPCS,J0177,"Injection, aflibercept hd, 1 mg ",,,292.14,496.95,6
HCPCS,J0178,"Injection, aflibercept, 1 mg ",,,709.93,1207.62,6
HCPCS,J0179,"Injection, brolucizumab-dbll, 1 mg ",,,342.48,582.57,6
HCPCS,J0180,"Injection, agalsidase beta, 1 mg ",,,220.75,375.51,6
HCPCS,J0184,"Injection, amisulpride, 1 mg ",,,15.77,15.77,5
HCPCS,J0185,APREPITANT 130 MG INJ,575.8,575.8,49.52,690.96,29
HCPCS,J0185,"Injection, aprepitant, 1 mg ",575.8,575.8,1.64,2.79,6
HCPCS,J0202,"Injection, alemtuzumab, 1 mg ",,,2367.21,4026.69,6
HCPCS,J0206,"Injection, allopurinol sodium, 1 mg ",,,3.7,6.29,6
HCPCS,J0207,"Injection, amifostine, 500 mg ",,,722.52,722.52,5
HCPCS,J0208,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,157.49,157.49,5
HCPCS,J0209,505HP NA THIOS 12.5GINJ,898.0,898.0,47.59,1077.6,30
HCPCS,J0209,"Injection, sodium thiosulfate (hope), 100 mg ",898.0,898.0,1.45,1.45,5
HCPCS,J0210,"Injection, methyldopate hcl, up to 250 mg ",233.0,233.0,15.99,15.99,5
HCPCS,J0210,METHYLDOPATE 250 MG INJ,233.0,233.0,12.35,279.6,30
HCPCS,J0211,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",389.5,389.5,3.58,3.58,5
HCPCS,J0211,NITHIODOT 300MG/12.5GINJ,389.5,389.5,33.5,467.4,29
HCPCS,J0216,"Injection, alfentanil hydrochloride, 500 micrograms ",,,,,0
HCPCS,J0217,"Injection, velmanase alfa-tycv, 1 mg ",,,451.27,767.63,6
HCPCS,J0218,"Injection, olipudase alfa-rpcp, 1 mg ",,,383.73,652.74,6
HCPCS,J0219,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,78.76,133.98,6
HCPCS,J0220,"Injection, alglucosidase alfa, 10 mg, not otherwise specified ",,,,,0
HCPCS,J0221,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,201.28,342.39,6
HCPCS,J0222,"Injection, patisiran, 0.1 mg ",,,97.87,166.49,6
HCPCS,J0223,"Injection, givosiran, 0.5 mg ",,,117.35,199.62,6
HCPCS,J0224,"Injection, lumasiran, 0.5 mg ",,,317.89,540.74,6
HCPCS,J0225,"Injection, vutrisiran, 1 mg ",,,4868.69,8281.8,6
HCPCS,J0248,"Injection, remdesivir, 1 mg ",1560.0,1560.0,6.69,11.39,6
HCPCS,J0248,REMDESIVIR 100 MG INJ,1560.0,1560.0,134.16,1872.0,29
HCPCS,J0256,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,4.99,8.48,6
HCPCS,J0257,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,5.49,9.34,6
HCPCS,J0270,ALPROSTADL 10 MCG/ML INJ,2088.0,2088.0,110.66,2505.6,30
HCPCS,J0270,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",2088.0,2088.0,0.79,0.79,5
HCPCS,J0275,"Alprostadil urethral suppository (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,,,0
HCPCS,J0278,AMIKACIN 10 MG/ML INJ,331.0,331.0,17.54,397.2,30
HCPCS,J0278,AMIKACIN SULFATE 500 MG,331.0,331.0,17.54,397.2,30
HCPCS,J0278,"Injection, amikacin sulfate, 100 mg ",,,0.59,1.01,6
HCPCS,J0280,AMINOPHYLLIN 5 MG/ML INJ,8.41,8.41,0.45,10.09,30
HCPCS,J0280,AMINOPHYLLIN 500 MG INJ,8.41,8.41,0.45,10.09,30
HCPCS,J0280,"Injection, aminophyllin, up to 250 mg ",,,10.99,18.69,6
HCPCS,J0281,AMINOCAPROC 100MG/ML INJ,1.55,1.55,0.08,1.86,30
HCPCS,J0281,AMINOCAPROC 20 MG/ML INJ,0.2,0.2,0.01,0.24,30
HCPCS,J0281,AMINOCAPROIC 5 G INJ,50.71,50.71,2.69,60.85,30
HCPCS,J0281,"Injection, aminocaproic acid, 1 gram ",,,1.52,2.59,6
HCPCS,J0282,AMIODARONE 1.8 MG/ML INJ,133.0,133.0,7.05,159.6,30
HCPCS,J0282,AMIODARONE 150 MG INJ,133.0,133.0,7.05,159.6,30
HCPCS,J0282,AMIODARONE 450 MG INJ,29.0,29.0,1.54,34.8,30
HCPCS,J0282,"Injection, amiodarone hydrochloride, 30 mg ",,,0.38,0.64,6
HCPCS,J0283,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",247.0,247.0,2.42,4.11,6
HCPCS,J0283,NEXTERONE AMIO 360MG INJ,247.0,247.0,13.09,296.4,30
HCPCS,J0285,AMPHOTERICN B 50 MG INJ,454.0,454.0,24.06,544.8,30
HCPCS,J0285,"Injection, amphotericin b, 50 mg ",454.0,454.0,43.0,73.14,6
HCPCS,J0287,AMPHO B LIPID 1MG/ML INJ,15.05,15.05,0.8,18.06,30
HCPCS,J0287,"Injection, amphotericin b lipid complex, 10 mg ",15.05,15.05,30.86,30.86,5
HCPCS,J0289,AMPHOT B LIPOSOME 50 MG,2313.0,2313.0,198.92,2775.6,29
HCPCS,J0289,"Injection, amphotericin b liposome, 10 mg ",2313.0,2313.0,22.13,37.64,6
HCPCS,J0290,AMPICILLIN 1 G INJ,263.0,263.0,7.58,459.6,60
HCPCS,J0290,AMPICILLIN 100 MG/ML INJ,143.0,143.0,7.58,171.6,30
HCPCS,J0290,AMPICILLIN 2 G INJ,184.0,184.0,9.75,220.8,30
HCPCS,J0290,AMPICILLIN 250 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J0290,AMPICILLIN 30 MG/ML INJ,143.0,143.0,7.58,171.6,30
HCPCS,J0290,AMPICILLIN 500 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J0290,"Injection, ampicillin sodium, 500 mg ",,,0.62,1.06,6
HCPCS,J0291,"Injection, plazomicin, 5 mg ",,,3.4,5.79,6
HCPCS,J0295,AMP/SUL 30MG/15MG PER ML,1.0,1.0,0.05,1.2,30
HCPCS,J0295,AMP20MG/SUL10MG / ML INJ,1.0,1.0,0.05,1.2,30
HCPCS,J0295,AMPICIL/SULBAC 1.5 G INJ,168.0,168.0,8.9,201.6,30
HCPCS,J0295,AMPICIL/SULBAC 3 G INJ,248.5,248.5,11.66,332.4,60
HCPCS,J0295,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,1.31,2.23,6
HCPCS,J0300,"Injection, amobarbital, up to 125 mg ",,,19.29,19.29,5
HCPCS,J0330,"Injection, succinylcholine chloride, up to 20 mg ",14.0,14.0,2.46,2.46,5
HCPCS,J0330,SUCCINYLCHOL UP TO 20 MG,14.0,14.0,0.74,16.8,30
HCPCS,J0348,"Injection, anidulafungin, 1 mg ",,,0.48,0.81,6
HCPCS,J0349,"Injection, rezafungin, 1 mg ",,,10.47,17.8,6
HCPCS,J0360,HYDRALAZINE 20 MG INJ,270.0,270.0,14.31,324.0,30
HCPCS,J0360,"Injection, hydralazine hcl, up to 20 mg ",270.0,270.0,4.16,7.08,6
HCPCS,J0364,"Injection, apomorphine hydrochloride, 1 mg ",,,71.15,71.15,5
HCPCS,J0390,"Injection, chloroquine hydrochloride, up to 250 mg ",,,,,0
HCPCS,J0391,"Injection, artesunate, 1 mg ",,,85.52,85.52,5
HCPCS,J0400,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.54,0.54,5
HCPCS,J0401,"Injection, aripiprazole (abilify maintena), 1 mg ",,,7.05,12.0,6
HCPCS,J0402,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,5.84,9.93,6
HCPCS,J0456,AZITHROMYCIN 2 MG/ML INJ,1.76,1.76,0.09,2.11,30
HCPCS,J0456,AZITHROMYCIN 500 MG INJ,438.0,438.0,23.21,525.6,30
HCPCS,J0456,"Injection, azithromycin, 500 mg ",,,1.88,3.2,6
HCPCS,J0457,AZTREONAM 1 G INJ,637.0,637.0,33.76,764.4,30
HCPCS,J0457,AZTREONAM 2 G INJ,609.75,609.75,32.32,731.7,30
HCPCS,J0457,AZTREONAM 20 MG/ML INJ,12.74,12.74,0.68,15.29,30
HCPCS,J0457,"Injection, aztreonam, 100 mg ",,,2.22,3.78,6
HCPCS,J0458,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,1.63,2.77,6
HCPCS,J0461,ATROPINE 0.4 MG INJ,245.0,245.0,12.98,294.0,30
HCPCS,J0461,ATROPINE 0.5 MG INJ,58.0,58.0,3.07,69.6,30
HCPCS,J0461,ATROPINE 1 MG INJ,69.725,69.725,0.99,145.01,60
HCPCS,J0461,"Injection, atropine sulfate, 0.01 mg ",,,0.1,0.17,6
HCPCS,J0462,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.1,0.17,6
HCPCS,J0463,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.01,0.02,6
HCPCS,J0470,"Injection, dimercaprol, per 100 mg ",,,,,0
HCPCS,J0475,BACLOFEN 40 MG INJ,1987.0,1987.0,170.88,2384.4,29
HCPCS,J0475,"Injection, baclofen, 10 mg ",1987.0,1987.0,172.71,293.78,6
HCPCS,J0476,"Injection, baclofen, 50 mcg for intrathecal trial ",,,52.71,89.66,6
HCPCS,J0480,"Injection, basiliximab, 20 mg ",,,4667.94,7940.31,6
HCPCS,J0485,"Injection, belatacept, 1 mg ",,,3.77,6.42,6
HCPCS,J0490,"Injection, belimumab, 10 mg ",,,55.47,94.36,6
HCPCS,J0491,"Injection, anifrolumab-fnia, 1 mg ",,,17.76,30.21,6
HCPCS,J0500,DICYCLOMINE 20 MG INJ,765.0,765.0,40.55,918.0,30
HCPCS,J0500,"Injection, dicyclomine hcl, up to 20 mg ",765.0,765.0,9.09,15.46,6
HCPCS,J0515,BENZTROPINE 2 MG INJ,469.0,469.0,24.86,562.8,30
HCPCS,J0515,"Injection, benztropine mesylate, per 1 mg ",469.0,469.0,13.11,22.31,6
HCPCS,J0517,"Injection, benralizumab, 1 mg ",,,158.46,269.54,6
HCPCS,J0520,"Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg ",,,,,0
HCPCS,J0525,"Injection, cefotetan disodium, 10 mg ",,,0.48,0.48,5
HCPCS,J0528,"Injection, fosfomycin disodium, 20 mg ",,,,,0
HCPCS,J0558,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,18.93,32.21,6
HCPCS,J0561,"Injection, penicillin g benzathine, 100,000 units ",1279.0,1279.0,30.53,51.93,6
HCPCS,J0561,PEN G BEN 1200000 U INJ,1279.0,1279.0,109.99,1534.8,29
HCPCS,J0565,"Injection, bezlotoxumab, 10 mg ",,,38.64,65.72,6
HCPCS,J0567,"Injection, cerliponase alfa, 1 mg ",,,199.93,199.93,5
HCPCS,J0570,"Buprenorphine implant, 74.2 mg ",,,,,0
HCPCS,J0571,BUPRENORPHINE 2 MG PO,23.44,23.44,1.24,28.13,30
HCPCS,J0571,BUPRENORPHINE 8 MG PO,61.1,61.1,3.24,73.32,30
HCPCS,J0571,"Buprenorphine, oral, 1 mg ",,,2.06,2.06,5
HCPCS,J0572,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,9.62,9.62,5
HCPCS,J0573,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,15.66,15.66,5
HCPCS,J0574,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,16.47,16.47,5
HCPCS,J0575,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,31.19,31.19,5
HCPCS,J0577,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,404.69,688.4,6
HCPCS,J0578,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,1618.77,2753.59,6
HCPCS,J0582,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.13,0.21,6
HCPCS,J0583,BIVALIRUDIN 1 MG INJ,41.2,41.2,2.18,49.44,30
HCPCS,J0583,BIVALIRUDIN 250 MG INJ,338.0,338.0,17.91,405.6,30
HCPCS,J0583,"Injection, bivalirudin, 1 mg ",,,0.12,0.2,6
HCPCS,J0584,"Injection, burosumab-twza 1 mg ",,,483.76,822.89,6
HCPCS,J0585,"Injection, onabotulinumtoxina, 1 unit ",7861.0,7861.0,6.31,10.74,6
HCPCS,J0585,ONABOTULINUMTOXA 100 U,7861.0,7861.0,676.05,9433.2,29
HCPCS,J0586,"Injection, abobotulinumtoxina, 5 units ",,,8.63,14.69,6
HCPCS,J0587,"Injection, rimabotulinumtoxinb, 100 units ",,,12.88,21.91,6
HCPCS,J0588,"Injection, incobotulinumtoxin a, 1 unit ",,,5.13,8.73,6
HCPCS,J0589,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,3.0,5.1,6
HCPCS,J0591,"Injection, deoxycholic acid, 1 mg ",,,,,0
HCPCS,J0592,BUPRENORPHINE 0.3 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J0592,"Injection, buprenorphine hydrochloride, 0.1 mg ",143.0,143.0,4.04,6.88,6
HCPCS,J0593,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,84.24,143.3,6
HCPCS,J0594,"injection, busulfan, 1 mg ",,,0.66,1.12,6
HCPCS,J0595,BUTORPHANOL 1 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J0595,BUTORPHANOL 2 MG INJ,47.0,47.0,2.49,56.4,30
HCPCS,J0595,"Injection, butorphanol tartrate, 1 mg ",,,5.97,10.15,6
HCPCS,J0596,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,35.58,60.52,6
HCPCS,J0597,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,73.77,125.48,6
HCPCS,J0598,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,63.53,108.08,6
HCPCS,J0599,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,24.92,24.92,5
HCPCS,J0600,EDETAT CA DIS 1000MG INJ,26387.61,26387.61,2269.33,31665.13,29
HCPCS,J0600,"Injection, edetate calcium disodium, up to 1000 mg ",26387.61,26387.61,5919.78,10069.74,6
HCPCS,J0601,SEVEL CAR 800 MG ESRD PO,8.75,8.75,0.46,10.5,44
HCPCS,J0601,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",8.75,8.75,0.17,0.17,5
HCPCS,J0602,SEVEL CAR 0.8G ESRD POWD,11.5,11.5,0.61,13.8,44
HCPCS,J0602,SEVEL CAR 2.4G ESRD POWD,13.8,13.8,0.73,16.56,44
HCPCS,J0602,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.51,0.51,5
HCPCS,J0603,SEVELAM HCL 800MG ESRDPO,16.9,16.9,0.9,20.28,44
HCPCS,J0603,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",16.9,16.9,0.33,0.33,5
HCPCS,J0604,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,1.63,1.63,5
HCPCS,J0605,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.35,0.35,5
HCPCS,J0606,"Injection, etelcalcetide, 0.1 mg ",,,3.89,3.89,5
HCPCS,J0607,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.15,0.15,5
HCPCS,J0608,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.13,0.13,5
HCPCS,J0609,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.05,0.05,5
HCPCS,J0612,CA GLUC NOS 1 G INJ,160.0,160.0,8.48,192.0,30
HCPCS,J0612,CA GLUC NOS 100MG/MLINJ,34.0,34.0,1.8,40.8,30
HCPCS,J0612,CA GLUC NOS 50MG/ML INJ,72.16,72.16,3.82,86.59,30
HCPCS,J0612,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.03,0.05,6
HCPCS,J0613,505WGCAGL1G/NACL 50MLINJ,71.98,71.98,3.81,86.38,30
HCPCS,J0613,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",71.98,71.98,0.07,0.12,6
HCPCS,J0614,"Injection, treosulfan, 50 mg ",,,30.66,52.16,6
HCPCS,J0615,CALC ACET 667MG ESRD PO,8.75,8.75,0.46,10.5,44
HCPCS,J0615,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",8.75,8.75,0.05,0.05,5
HCPCS,J0616,"Injection, metoprolol tartrate, 1 mg ",8.75,8.75,0.13,0.21,6
HCPCS,J0616,METOPROLOL 5 MG INJ,8.75,8.75,0.46,10.5,30
HCPCS,J0618,CALCIUM CHL 1 G INJ,80.0,80.0,4.24,96.0,30
HCPCS,J0618,CALCIUM CHL 20 MG/ML INJ,1.62,1.62,0.09,1.94,30
HCPCS,J0618,"Injection, calcium chloride, 2 mg ",,,0.05,0.05,5
HCPCS,J0620,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,18.74,18.74,5
HCPCS,J0630,CALCITONIN SALMON 400 U,499.1,499.1,26.45,598.92,44
HCPCS,J0630,"Injection, calcitonin salmon, up to 400 units ",499.1,499.1,2364.78,2364.78,5
HCPCS,J0636,CALCITRIOL 1 MCG INJ,270.0,270.0,14.31,324.0,30
HCPCS,J0636,"Injection, calcitriol, 0.1 mcg ",270.0,270.0,1.96,1.96,5
HCPCS,J0637,"Injection, caspofungin acetate, 5 mg ",,,3.47,5.91,6
HCPCS,J0638,"Injection, canakinumab, 1 mg ",,,145.08,246.79,6
HCPCS,J0640,"Injection, leucovorin calcium, per 50 mg ",,,3.48,5.92,6
HCPCS,J0640,LEUCOVORIN 10 MG/ML INJ,64.2,64.2,3.4,77.04,30
HCPCS,J0640,LEUCOVORIN CA 50 MG INJ,494.0,494.0,26.18,592.8,30
HCPCS,J0641,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.05,0.08,6
HCPCS,J0642,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,1.25,2.13,6
HCPCS,J0650,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",207.15,207.15,7.19,12.23,6
HCPCS,J0650,LEVOTHY NOS 20MCG/MLINJ,207.15,207.15,10.98,248.58,30
HCPCS,J0651,505FK LEVOTH 20MCG/MLINJ,120.2,120.2,10.34,144.24,29
HCPCS,J0651,505FK LEVOTHY 100MCGINJ,601.0,601.0,51.69,721.2,29
HCPCS,J0651,505FK LEVOTHY 200MCGINJ,988.24,988.24,84.99,1185.89,29
HCPCS,J0651,505FK LEVOTHY 500MCGINJ,2470.64,2470.64,212.48,2964.77,29
HCPCS,J0651,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,6.75,11.48,6
HCPCS,J0652,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,6.13,10.43,6
HCPCS,J0654,"Injection, liothyronine, 1 mcg ",,,64.83,64.83,5
HCPCS,J0665,BUPIVAC 250 MG/50 ML MDV,398.33,398.33,21.11,478.0,30
HCPCS,J0665,BUPIVACAINE 15 MG INJ,21.25,21.25,1.13,25.5,30
HCPCS,J0665,BUPIVACAINE 150 MG INJ,239.0,239.0,12.67,286.8,30
HCPCS,J0665,BUPIVACAINE 25 MG INJ,14.21,14.21,0.75,17.05,30
HCPCS,J0665,BUPIVACAINE 75 MG INJ,239.0,239.0,12.67,286.8,30
HCPCS,J0665,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.01,0.02,6
HCPCS,J0666,"Injection, bupivacaine liposome, 1 mg ",,,1.37,2.33,6
HCPCS,J0668,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,1.37,1.37,5
HCPCS,J0670,"Injection, mepivacaine hydrochloride, per 10 ml ",,,3.62,6.15,6
HCPCS,J0675,CARBOPROST 0.25MG INJ,245.0,245.0,21.07,294.0,29
HCPCS,J0675,"Injection, carboprost tromethamine, 0.1 mg ",245.0,245.0,25.67,25.67,5
HCPCS,J0681,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,1.82,1.82,5
HCPCS,J0687,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,0.72,1.22,6
HCPCS,J0688,505HK CEFAZ 100MG/ML INJ,0.4,0.4,0.02,0.48,30
HCPCS,J0688,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",0.4,0.4,0.82,1.4,6
HCPCS,J0689,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,1.2,2.05,6
HCPCS,J0690,CEFAZOLIN 1 G INJ,97.0,97.0,5.14,116.4,30
HCPCS,J0690,CEFAZOLIN 100 MG/ML INJ,97.0,97.0,5.14,116.4,30
HCPCS,J0690,"Injection, cefazolin sodium, 500 mg ",,,0.82,1.4,6
HCPCS,J0691,"Injection, lefamulin, 1 mg ",,,1.35,1.35,5
HCPCS,J0692,CEFEPIME 40 MG/ML INJ,226.0,226.0,11.98,271.2,30
HCPCS,J0692,CEFEPIME HCL 1 G INJ,226.0,226.0,11.98,271.2,30
HCPCS,J0692,CEFEPIME HCL 2 G INJ,306.0,306.0,16.22,367.2,30
HCPCS,J0692,"Injection, cefepime hydrochloride, 500 mg ",,,1.23,2.1,6
HCPCS,J0694,CEFOXITIN 1 G INJ,209.0,209.0,11.08,250.8,30
HCPCS,J0694,CEFOXITIN 2 G INJ,129.695,129.695,2.41,256.8,60
HCPCS,J0694,CEFOXITIN 40 MG/ML INJ,8.36,8.36,0.44,10.03,30
HCPCS,J0694,"Injection, cefoxitin sodium, 1 gm ",,,3.45,5.87,6
HCPCS,J0695,CEFTOLOZ TAZOBACT 1.5 G,505.0,505.0,43.43,606.0,29
HCPCS,J0695,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",505.0,505.0,8.57,14.59,6
HCPCS,J0696,CEFTRIAXONE 1 G INJ,224.0,224.0,11.87,268.8,30
HCPCS,J0696,CEFTRIAXONE 2 G INJ,315.0,315.0,16.7,378.0,30
HCPCS,J0696,CEFTRIAXONE 250 MG INJ,282.0,282.0,14.95,338.4,30
HCPCS,J0696,CEFTRIAXONE 40 MG/ML INJ,8.96,8.96,0.47,10.75,30
HCPCS,J0696,CEFTRIAXONE 500MG INJ,119.0,119.0,6.31,142.8,30
HCPCS,J0696,"Injection, ceftriaxone sodium, per 250 mg ",,,0.42,0.71,6
HCPCS,J0697,CEFUROXIME 1.5 G INJ,167.0,167.0,8.85,200.4,30
HCPCS,J0697,CEFUROXIME 100 MG/ML INJ,19.07,19.07,1.01,22.88,30
HCPCS,J0697,CEFUROXIME 750 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J0697,"Injection, sterile cefuroxime sodium, per 750 mg ",,,1.93,3.28,6
HCPCS,J0698,CEFOTAXIME 1 G INJ,188.0,188.0,9.96,225.6,30
HCPCS,J0698,CEFOTAXIME 50 MG/ML INJ,188.0,188.0,9.96,225.6,30
HCPCS,J0698,"Injection, cefotaxime sodium, per gm ",,,12.13,12.13,5
HCPCS,J0699,CEFIDEROCOL 1 G INJ,495.32,495.32,42.6,594.38,29
HCPCS,J0699,"Injection, cefiderocol, 10 mg ",495.32,495.32,2.35,3.99,6
HCPCS,J0701,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,5.73,9.75,6
HCPCS,J0702,BETAMETHSN 30 MG MDV,322.0,322.0,17.07,386.4,30
HCPCS,J0702,BETAMETHSN 6 MG INJ,406.0,406.0,21.52,487.2,30
HCPCS,J0702,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,6.76,11.5,6
HCPCS,J0703,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,4.74,8.07,6
HCPCS,J0706,CAFFEINE CITRAT 60MG INJ,386.0,386.0,20.46,463.2,30
HCPCS,J0706,"Injection, caffeine citrate, 5 mg ",386.0,386.0,3.0,3.0,5
HCPCS,J0712,CEFTAROLINE 600 MG INJ,1524.0,1524.0,131.06,1828.8,29
HCPCS,J0712,"Injection, ceftaroline fosamil, 10 mg ",1524.0,1524.0,4.12,7.01,6
HCPCS,J0713,CEFTAZIDIME 1 G INJ,103.0,103.0,5.46,123.6,30
HCPCS,J0713,"Injection, ceftazidime, per 500 mg ",103.0,103.0,1.37,2.33,6
HCPCS,J0714,CEFTAZ/AVIBCT 2.5 G INJ,3217.0,3217.0,276.66,3860.4,29
HCPCS,J0714,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",3217.0,3217.0,101.61,172.84,6
HCPCS,J0716,"Injection, centruroides immune f(ab)2, up to 120 milligrams ",,,,,0
HCPCS,J0717,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,3.68,6.25,6
HCPCS,J0720,CHLORAMPHENICOL 1 G INJ,224.0,224.0,11.87,268.8,30
HCPCS,J0720,"Injection, chloramphenicol sodium succinate, up to 1 gm ",224.0,224.0,96.33,96.33,5
HCPCS,J0725,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,14.71,25.03,6
HCPCS,J0735,"Injection, clonidine hydrochloride, 1 mg ",,,17.38,29.57,6
HCPCS,J0736,CLINDAMYCIN 900 MG INJ,448.0,448.0,23.74,537.6,30
HCPCS,J0736,"Injection, clindamycin phosphate, 300 mg ",448.0,448.0,1.8,3.07,6
HCPCS,J0737,505BX CLINDA 12MG/ML INJ,1.05,1.05,0.06,1.26,30
HCPCS,J0737,505BX CLINDA 6 MG/ML INJ,23.5,23.5,1.25,28.2,30
HCPCS,J0737,505BX CLINDAMY 300MG INJ,55.68,55.68,2.95,66.82,30
HCPCS,J0737,505BX CLINDAMY 600MG INJ,83.97,83.97,4.45,100.76,30
HCPCS,J0737,505BX CLINDAMY 900MG INJ,273.0,273.0,14.47,327.6,30
HCPCS,J0737,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,2.25,3.83,6
HCPCS,J0738,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,15.62,26.57,6
HCPCS,J0739,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,6.94,11.8,6
HCPCS,J0740,"Injection, cidofovir, 375 mg ",,,543.97,925.3,6
HCPCS,J0741,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,23.45,39.9,6
HCPCS,J0742,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,2.52,4.29,6
HCPCS,J0743,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,6.13,10.43,6
HCPCS,J0744,CIPROFLOX 2 MG/ML INJ,83.0,83.0,4.4,99.6,30
HCPCS,J0744,CIPROFLOXACIN 200 MG INJ,83.0,83.0,4.4,99.6,30
HCPCS,J0744,CIPROFLOXACIN 400 MG INJ,414.0,414.0,21.94,496.8,30
HCPCS,J0744,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,0.74,1.25,6
HCPCS,J0745,"Injection, codeine phosphate, per 30 mg ",,,1.65,1.65,5
HCPCS,J0750,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",8.75,8.75,0.48,0.81,6
HCPCS,J0750,TRUVADA PREP 200/300MGPO,8.75,8.75,0.75,10.5,29
HCPCS,J0751,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,69.3,117.88,6
HCPCS,J0752,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,603.3,1026.23,6
HCPCS,J0759,"Injection, clevidipine butyrate, 1 mg ",,,2.75,4.69,6
HCPCS,J0770,COLISTIMETH 75MG/ML INJ,199.0,199.0,10.55,238.8,30
HCPCS,J0770,COLISTIMETHATE 150MG INJ,398.0,398.0,21.09,477.6,30
HCPCS,J0770,"Injection, colistimethate sodium, up to 150 mg ",,,13.84,23.55,6
HCPCS,J0775,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,76.0,129.28,6
HCPCS,J0780,"Injection, prochlorperazine, up to 10 mg ",207.0,207.0,3.23,5.49,6
HCPCS,J0780,PROCHLORPERAZ 10 MG INJ,207.0,207.0,10.97,248.4,30
HCPCS,J0791,"Injection, crizanlizumab-tmca, 5 mg ",,,126.04,214.4,6
HCPCS,J0799,"Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified ",,,,,0
HCPCS,J0801,"Injection, corticotropin (acthar gel), up to 40 units ",,,3971.43,6755.53,6
HCPCS,J0802,"Injection, corticotropin (ani), up to 40 units ",,,3464.21,5892.73,6
HCPCS,J0834,COSYNTROPIN 0.25 MG INJ,783.0,783.0,41.5,939.6,30
HCPCS,J0834,"Injection, cosyntropin, 0.25 mg ",783.0,783.0,15.77,26.83,6
HCPCS,J0840,ANTIVENIN CROFAB 1 G INJ,14939.0,14939.0,1284.75,17926.8,29
HCPCS,J0840,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",14939.0,14939.0,1785.79,3037.68,6
HCPCS,J0841,ANTIVENIN ANAVIP120MGINJ,6631.0,6631.0,351.44,7957.2,30
HCPCS,J0841,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",6631.0,6631.0,2613.6,2613.6,5
HCPCS,J0850,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,1754.35,2984.21,6
HCPCS,J0870,"Injection, imetelstat, 1 mg ",,,56.42,95.98,6
HCPCS,J0872,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.05,0.08,6
HCPCS,J0873,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.03,0.05,6
HCPCS,J0874,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.06,0.1,6
HCPCS,J0875,"Injection, dalbavancin, 5 mg ",,,14.55,24.75,6
HCPCS,J0877,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.05,0.08,6
HCPCS,J0878,DAPTOMYCIN 500 MG INJ,135.0,135.0,7.16,162.0,30
HCPCS,J0878,"Injection, daptomycin, 1 mg ",135.0,135.0,0.03,0.05,6
HCPCS,J0879,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.46,0.46,5
HCPCS,J0881,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,2.98,5.07,6
HCPCS,J0882,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,2.98,5.07,6
HCPCS,J0883,ARGATROB 250MG NESRD INJ,983.0,983.0,84.54,1179.6,29
HCPCS,J0883,ARGATROBAN NON ESRD 1MG,4.0,4.0,0.34,4.8,29
HCPCS,J0883,"Injection, argatroban, 1 mg (for non-esrd use) ",,,0.98,1.67,6
HCPCS,J0884,ARGATROB 250MG ESRD INJ,983.0,983.0,52.1,1179.6,30
HCPCS,J0884,ARGATROBAN ESRD HD 1MG,4.0,4.0,0.21,4.8,30
HCPCS,J0884,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,0.98,1.67,6
HCPCS,J0885,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,7.09,12.06,6
HCPCS,J0887,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,1.0,1.7,6
HCPCS,J0888,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.0,1.7,6
HCPCS,J0890,"Injection, peginesatide, 0.1 mg (for esrd on dialysis) ",,,,,0
HCPCS,J0891,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.0,3.0,5
HCPCS,J0892,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,7.84,7.84,5
HCPCS,J0893,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.11,1.11,5
HCPCS,J0894,"Injection, decitabine, 1 mg ",,,0.97,1.65,6
HCPCS,J0895,DEFEROX MESY 500 MG INJ,343.0,343.0,18.18,411.6,30
HCPCS,J0895,"Injection, deferoxamine mesylate, 500 mg ",343.0,343.0,8.32,14.16,6
HCPCS,J0896,"Injection, luspatercept-aamt, 0.25 mg ",15503.6,15503.6,41.47,70.54,6
HCPCS,J0896,LUSPAT-AAMT 25 MG INJ,15503.6,15503.6,1333.31,18604.32,29
HCPCS,J0897,"Injection, denosumab, 1 mg ",,,28.62,48.69,6
HCPCS,J0898,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,1.34,2.28,6
HCPCS,J0899,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,1.34,2.28,6
HCPCS,J0901,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.14,0.23,6
HCPCS,J0911,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,8.3,8.3,5
HCPCS,J0945,"Injection, brompheniramine maleate, per 10 mg ",,,0.54,0.54,5
HCPCS,J1000,"Injection, depo-estradiol cypionate, up to 5 mg ",,,50.27,85.5,6
HCPCS,J1010,"Injection, methylprednisolone acetate, 1 mg ",,,0.11,0.18,6
HCPCS,J1010,METHYLPRED ACE 40 MG INJ,173.0,173.0,9.17,207.6,30
HCPCS,J1010,METHYLPRED ACE 80 MG INJ,283.0,283.0,15.0,339.6,30
HCPCS,J1050,"Injection, medroxyprogesterone acetate, 1 mg ",822.0,822.0,0.79,0.79,5
HCPCS,J1050,MEDRXYPRGTRN 150MG INJ,822.0,822.0,43.57,986.4,30
HCPCS,J1071,"Injection, testosterone cypionate, 1 mg ",,,0.02,0.03,6
HCPCS,J1071,TESTOSTERNE CY 200MG INJ,84.55,84.55,4.48,101.46,30
HCPCS,J1071,TESTOSTERONE CYP 1MG INJ,376.0,376.0,19.93,451.2,30
HCPCS,J1072,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.14,0.23,6
HCPCS,J1073,"Testosterone pellet, implant, 75 mg ",,,123.7,123.7,5
HCPCS,J1095,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,4.47,4.47,5
HCPCS,J1096,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,89.77,152.71,6
HCPCS,J1097,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,159.41,159.41,5
HCPCS,J1098,"Articaine ophthalmic, 8% solution, 0.4 ml ",,,,,0
HCPCS,J1100,DEXAMETH NA PHOS 1 MG,1.0,1.0,0.05,1.2,30
HCPCS,J1100,DEXAMETH NA PHOS 10 MG,83.0,83.0,4.4,99.6,30
HCPCS,J1100,DEXAMETH NA PHOS 4 MG,97.0,97.0,5.14,116.4,30
HCPCS,J1100,DEXAMTH NAP 0.1MG/ML INJ,97.0,97.0,5.14,116.4,30
HCPCS,J1100,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.11,0.18,6
HCPCS,J1105,"Dexmedetomidine, oral, 1 mcg ",,,1.45,1.45,5
HCPCS,J1110,DIHYDROERGOT 1 MG INJ,482.0,482.0,25.55,578.4,30
HCPCS,J1110,"Injection, dihydroergotamine mesylate, per 1 mg ",482.0,482.0,53.24,90.57,6
HCPCS,J1120,ACETAZLMDE 100 MG/ML INJ,366.0,366.0,19.4,439.2,30
HCPCS,J1120,ACETAZOLAMIDE 500 MG INJ,366.0,366.0,19.4,439.2,30
HCPCS,J1120,"Injection, acetazolamide sodium, up to 500 mg ",,,23.63,40.19,6
HCPCS,J1130,"Injection, diclofenac sodium, 0.5 mg ",,,,,0
HCPCS,J1160,DIGOXIN 0.1 MG INJ,364.0,364.0,19.29,436.8,30
HCPCS,J1160,DIGOXIN 0.5 MG INJ,160.0,160.0,8.48,192.0,30
HCPCS,J1160,DIGOXIN 100 MCG/ML INJ,936.62,936.62,49.64,1123.94,30
HCPCS,J1160,DIGOXIN 20 MCG/ML INJ,72.8,72.8,3.86,87.36,30
HCPCS,J1160,"Injection, digoxin, up to 0.5 mg ",,,10.06,17.11,6
HCPCS,J1162,DIG IMMUNE FAB PER VIAL,34120.0,34120.0,2934.32,40944.0,29
HCPCS,J1162,"Injection, digoxin immune fab (ovine), per vial ",34120.0,34120.0,5011.98,8525.53,6
HCPCS,J1163,DILTIAZEM 125 MG INJ,70.0,70.0,3.71,84.0,30
HCPCS,J1163,DILTIAZEM 25 MG INJ,23.75,23.75,1.26,28.5,30
HCPCS,J1163,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.04,0.07,6
HCPCS,J1164,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.17,0.3,6
HCPCS,J1165,"Injection, phenytoin sodium, per 50 mg ",,,0.41,0.69,6
HCPCS,J1165,PHENYTOIN 100 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J1165,PHENYTOIN 250 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J1165,PHENYTOIN 5 MG/ML INJ,143.0,143.0,7.58,171.6,30
HCPCS,J1171,HYDROMORPH 0.5 MG INJ,34.12,34.12,1.81,40.94,30
HCPCS,J1171,HYDROMORPH 1 MG INJ,40.07,40.07,2.12,48.08,30
HCPCS,J1171,HYDROMORPH 10 MG INJ,43.19,43.19,2.29,51.83,30
HCPCS,J1171,HYDROMORPH 2 MG INJ,25.77,25.77,1.37,30.92,30
HCPCS,J1171,HYDROMORPH 50 MG INJ,122.25,122.25,6.48,146.7,30
HCPCS,J1171,"Injection, hydromorphone, 0.1 mg ",,,0.1,0.17,6
HCPCS,J1180,"Injection, dyphylline, up to 500 mg ",,,,,0
HCPCS,J1190,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,48.25,82.07,6
HCPCS,J1200,DIPHENHYDRAMNE 50 MG INJ,160.0,160.0,8.48,192.0,30
HCPCS,J1200,"Injection, diphenhydramine hcl, up to 50 mg ",160.0,160.0,0.67,1.14,6
HCPCS,J1201,"Injection, cetirizine hydrochloride, 0.5 mg ",,,16.41,27.92,6
HCPCS,J1202,"Miglustat, oral, 65 mg ",,,70.39,70.39,5
HCPCS,J1203,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,89.63,152.46,6
HCPCS,J1205,"Injection, chlorothiazide sodium, per 500 mg ",,,45.51,77.42,6
HCPCS,J1212,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,726.51,1235.82,6
HCPCS,J1230,"Injection, methadone hcl, up to 10 mg ",,,14.27,24.27,6
HCPCS,J1240,"Injection, dimenhydrinate, up to 50 mg ",,,7.49,12.74,6
HCPCS,J1245,DIPYRIDAMOLE 10 MG INJ,1210.0,1210.0,64.13,1452.0,30
HCPCS,J1245,"Injection, dipyridamole, per 10 mg ",1210.0,1210.0,8.16,13.88,6
HCPCS,J1250,DOBUTAMINE 250 MG INJ,399.5,399.5,11.87,690.0,60
HCPCS,J1250,DOBUTAMINE 500 MG INJ,157.0,157.0,8.32,188.4,30
HCPCS,J1250,DOBUTAMNE 1000MCG/ML INJ,45.12,45.12,2.39,54.14,30
HCPCS,J1250,DOBUTAMNE 2000MCG/ML INJ,157.0,157.0,8.32,188.4,30
HCPCS,J1250,"Injection, dobutamine hydrochloride, per 250 mg ",,,7.64,13.0,6
HCPCS,J1260,"Injection, dolasetron mesylate, 10 mg ",,,6.06,6.06,5
HCPCS,J1265,DOPAMINE 1600 MCG/ML INJ,448.0,448.0,23.74,537.6,30
HCPCS,J1265,DOPAMINE 200 MG INJ,89.0,89.0,4.72,106.8,30
HCPCS,J1265,DOPAMINE 400 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J1265,DOPAMINE 400MG/250ML INJ,75.56,75.56,4.0,90.67,30
HCPCS,J1265,DOPAMINE 800 MCG/ML INJ,0.2,0.2,0.01,0.24,30
HCPCS,J1265,DOPAMINE 800 MG INJ,448.0,448.0,23.74,537.6,60
HCPCS,J1265,"Injection, dopamine hcl, 40 mg ",,,0.78,1.32,6
HCPCS,J1270,"Injection, doxercalciferol, 1 mcg ",,,0.3,0.51,6
HCPCS,J1271,DOXYCYCL HYCL 100 MG INJ,69.41,69.41,3.68,83.29,30
HCPCS,J1271,"Injection, doxycycline hyclate, 1 mg ",69.41,69.41,0.09,0.15,6
HCPCS,J1289,"Injection, narsoplimab-wuug, 1 mg ",,,,,0
HCPCS,J1290,"Injection, ecallantide, 1 mg ",,,561.39,954.94,6
HCPCS,J1299,ECULIZUMAB 300 MG INJ,59815.0,59815.0,5144.09,71778.0,29
HCPCS,J1299,"Injection, eculizumab, 2 mg ",59815.0,59815.0,43.36,73.76,6
HCPCS,J1301,"Injection, edaravone, 1 mg ",,,14.72,25.05,6
HCPCS,J1302,"Injection, sutimlimab-jome, 10 mg ",,,19.05,32.41,6
HCPCS,J1303,"Injection, ravulizumab-cwvz, 10 mg ",,,216.97,369.07,6
HCPCS,J1304,"Injection, tofersen, 1 mg ",,,155.21,264.02,6
HCPCS,J1305,"Injection, evinacumab-dgnb, 5mg ",,,191.7,326.09,6
HCPCS,J1306,"Injection, inclisiran, 1 mg ",,,12.23,20.81,6
HCPCS,J1307,"Injection, crovalimab-akkz, 10 mg ",,,534.96,909.99,6
HCPCS,J1308,FAMOTIDINE 2 MG/ML INJ,0.87,0.87,0.05,1.04,30
HCPCS,J1308,FAMOTIDINE 20 MG INJ,8.75,8.75,0.46,10.5,30
HCPCS,J1308,FAMOTIDINE 40 MG MDV,17.5,17.5,0.93,21.0,30
HCPCS,J1308,"Injection, famotidine, 0.25 mg ",,,0.01,0.02,6
HCPCS,J1320,"Injection, amitriptyline hcl, up to 20 mg ",,,,,0
HCPCS,J1322,"Injection, elosulfase alfa, 1 mg ",,,302.59,514.72,6
HCPCS,J1323,"Injection, elranatamab-bcmm, 1 mg ",,,181.19,308.2,6
HCPCS,J1324,"Injection, enfuvirtide, 1 mg ",,,0.54,0.54,5
HCPCS,J1325,EPOPROSTENOL 1.5 MG INJ,638.0,638.0,33.81,765.6,30
HCPCS,J1325,"Injection, epoprostenol, 0.5 mg ",638.0,638.0,14.43,24.55,6
HCPCS,J1326,"Injection, zolbetuximab-clzb, 2 mg ",,,32.64,55.52,6
HCPCS,J1327,EPTIFIBATIDE 20 MG INJ,136.45,136.45,7.23,163.74,30
HCPCS,J1327,EPTIFIBATIDE 75 MG INJ,383.31,383.31,20.32,459.97,30
HCPCS,J1327,"Injection, eptifibatide, 5 mg ",,,5.38,5.38,5
HCPCS,J1335,ERTAPENEM SOD 1 G INJ,1098.0,1098.0,58.19,1317.6,30
HCPCS,J1335,"Injection, ertapenem sodium, 500 mg ",1098.0,1098.0,7.0,11.91,6
HCPCS,J1364,ERYTHRO LACTO 500 MG INJ,679.0,679.0,35.99,814.8,30
HCPCS,J1364,ERYTHROMYCIN2.5MG/ML INJ,2.6,2.6,0.14,3.12,30
HCPCS,J1364,"Injection, erythromycin lactobionate, per 500 mg ",,,88.49,150.53,6
HCPCS,J1370,"Injection, esomeprazole sodium, 1 mg ",,,2.1,2.1,5
HCPCS,J1380,"Injection, estradiol valerate, up to 10 mg ",,,6.97,11.86,6
HCPCS,J1410,ESTROGEN CONJ 25 MG INJ,568.0,568.0,48.85,681.6,29
HCPCS,J1410,"Injection, estrogen conjugated, per 25 mg ",568.0,568.0,379.97,646.34,6
HCPCS,J1411,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,6090892.5,6090892.5,5
HCPCS,J1412,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,20713.62,20713.62,5
HCPCS,J1413,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,5480271.03,5480271.03,5
HCPCS,J1414,"Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose ",,,,,0
HCPCS,J1426,"Injection, casimersen, 10 mg ",,,274.23,274.23,5
HCPCS,J1427,"Injection, viltolarsen, 10 mg ",,,111.67,111.67,5
HCPCS,J1428,"Injection, eteplirsen, 10 mg ",,,276.39,276.39,5
HCPCS,J1429,"Injection, golodirsen, 10 mg ",,,316.8,316.8,5
HCPCS,J1430,ETHANOLAMINE OLEAT 100MG,5218.0,5218.0,448.75,6261.6,29
HCPCS,J1430,"Injection, ethanolamine oleate, 100 mg ",5218.0,5218.0,503.07,855.74,6
HCPCS,J1434,"Injection, fosaprepitant (focinvez), 1 mg ",,,2.47,4.21,6
HCPCS,J1435,"Injection, estrone, per 1 mg ",,,0.54,0.54,5
HCPCS,J1436,"Injection, etidronate disodium, per 300 mg ",,,,,0
HCPCS,J1437,"Injection, ferric derisomaltose, 10 mg ",,,21.27,36.18,6
HCPCS,J1438,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,2119.95,2119.95,5
HCPCS,J1439,FERR CRBXMLTS 750MG INJ,2197.75,2197.75,189.01,2637.3,29
HCPCS,J1439,"Injection, ferric carboxymaltose, 1 mg ",2197.75,2197.75,1.07,1.82,6
HCPCS,J1440,"Fecal microbiota, live - jslm, 1 ml ",,,62.39,106.13,6
HCPCS,J1442,FILGRASTIM 15 MCG/ML INJ,217.35,217.35,18.69,260.82,29
HCPCS,J1442,FILGRASTIM 300 MCG INJ,4347.0,4347.0,373.84,5216.4,29
HCPCS,J1442,FILGRASTIM 480 MCG INJ,6433.0,6433.0,553.24,7719.6,29
HCPCS,J1442,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,0.99,1.68,6
HCPCS,J1447,"Injection, tbo-filgrastim, 1 microgram ",,,0.24,0.41,6
HCPCS,J1447,TBO-FILGRASTM 300MCG INJ,3143.0,3143.0,270.3,3771.6,29
HCPCS,J1447,TBO-FILGRASTM 480MCG INJ,5028.0,5028.0,432.41,6033.6,29
HCPCS,J1448,"Injection, trilaciclib, 1mg ",,,5.33,9.06,6
HCPCS,J1449,"Injection, eflapegrastim-xnst, 0.1 mg ",,,37.79,64.28,6
HCPCS,J1450,FLUCONAZOLE 100 MG INJ,47.0,47.0,2.49,56.4,30
HCPCS,J1450,FLUCONAZOLE 2 MG/ML INJ,0.2,0.2,0.01,0.24,30
HCPCS,J1450,FLUCONAZOLE 200 MG INJ,1016.0,1016.0,53.85,1219.2,30
HCPCS,J1450,FLUCONAZOLE 400 MG INJ,1481.0,1481.0,78.49,1777.2,30
HCPCS,J1450,"Injection fluconazole, 200 mg ",,,3.75,6.39,6
HCPCS,J1451,FOMEPIZOLE 1500 MG INJ,8058.0,8058.0,692.99,9669.6,29
HCPCS,J1451,"Injection, fomepizole, 15 mg ",8058.0,8058.0,10.79,10.79,5
HCPCS,J1453,FOSAPREPITANT 150 MG INJ,3310.37,3310.37,175.45,3972.44,30
HCPCS,J1453,"Injection, fosaprepitant, 1 mg ",3310.37,3310.37,0.11,0.18,6
HCPCS,J1454,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,508.45,864.9,6
HCPCS,J1455,FOSCARNET 6000 MG INJ,5066.0,5066.0,268.5,6079.2,30
HCPCS,J1455,"Injection, foscarnet sodium, per 1000 mg ",5066.0,5066.0,8.11,13.79,6
HCPCS,J1456,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.04,0.07,6
HCPCS,J1458,"Injection, galsulfase, 1 mg ",,,498.19,847.44,6
HCPCS,J1459,IVIG PRIVIGEN 10G/100ML,3200.0,3200.0,275.2,3840.0,29
HCPCS,J1459,IVIG PRIVIGEN 20G/200ML,5689.55,5689.55,489.3,6827.46,29
HCPCS,J1459,IVIG PRIVIGEN 5G,2931.0,2931.0,252.07,3517.2,29
HCPCS,J1459,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,48.04,81.72,6
HCPCS,J1460,"Injection, gamma globulin, intramuscular, 1 cc ",,,47.48,80.77,6
HCPCS,J1551,"Injection, immune globulin (cutaquig), 100 mg ",,,13.51,22.98,6
HCPCS,J1552,"Injection, immune globulin (alyglo), 500 mg ",,,119.44,203.16,6
HCPCS,J1553,"Injection, immune globulin (yimmugo), 100 mg ",,,23.59,40.13,6
HCPCS,J1554,"Injection, immune globulin (asceniv), 500 mg ",,,485.9,826.53,6
HCPCS,J1555,"Injection, immune globulin (cuvitru), 100 mg ",,,17.05,29.01,6
HCPCS,J1556,"Injection, immune globulin (bivigam), 500 mg ",,,77.06,131.08,6
HCPCS,J1557,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,62.71,106.67,6
HCPCS,J1558,"Injection, immune globulin (xembify), 100 mg ",,,14.91,25.36,6
HCPCS,J1559,"Injection, immune globulin (hizentra), 100 mg ",,,14.08,23.96,6
HCPCS,J1560,"Injection, gamma globulin, intramuscular, over 10 cc ",,,155.48,264.48,6
HCPCS,J1561,IVIG GAMUNX/GAMMAK 10G,7194.0,7194.0,618.68,8632.8,29
HCPCS,J1561,IVIG GAMUNX/GAMMAK 5G,3561.0,3561.0,306.25,4273.2,29
HCPCS,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,48.24,82.05,6
HCPCS,J1566,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,77.99,132.66,6
HCPCS,J1568,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,45.63,77.62,6
HCPCS,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,47.61,80.98,6
HCPCS,J1570,GANCICLOVIR 10 MG/ML INJ,5.04,5.04,0.27,6.05,30
HCPCS,J1570,GANCICLOVIR 5 MG/ML INJ,8.75,8.75,0.46,10.5,30
HCPCS,J1570,GANCICLOVIR 500 MG INJ,966.0,966.0,51.2,1159.2,30
HCPCS,J1570,"Injection, ganciclovir sodium, 500 mg ",,,33.03,56.18,6
HCPCS,J1571,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,68.12,115.88,6
HCPCS,J1572,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,149.72,149.72,5
HCPCS,J1573,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,68.12,115.88,6
HCPCS,J1574,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,99.0,99.0,5
HCPCS,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,18.24,31.02,6
HCPCS,J1576,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,71.62,121.82,6
HCPCS,J1577,"Injection, immune globulin (qivigy), 100 mg ",,,,,0
HCPCS,J1580,GENTAMICIN 2 MG/ML INJ,1.0,1.0,0.05,1.2,30
HCPCS,J1580,GENTAMICIN 80 MG INJ,212.5,212.5,8.48,318.0,60
HCPCS,J1580,GENTAMICIN 800 MG MDV,17.0,17.0,0.9,20.4,30
HCPCS,J1580,"Injection, garamycin, gentamicin, up to 80 mg ",,,1.87,3.18,6
HCPCS,J1595,"Injection, glatiramer acetate, 20 mg ",,,427.81,427.81,5
HCPCS,J1596,GLYCOPYRROL 0.2 MG INJ,12.16,12.16,0.64,14.59,30
HCPCS,J1596,"Injection, glycopyrrolate, 0.1 mg ",12.16,12.16,0.36,0.61,6
HCPCS,J1597,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,1.31,2.23,6
HCPCS,J1598,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,1.3,2.21,6
HCPCS,J1599,"Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg ",,,,,0
HCPCS,J1600,"Injection, gold sodium thiomalate, up to 50 mg ",,,22.59,22.59,5
HCPCS,J1602,"Injection, golimumab, 1 mg, for intravenous use ",,,10.95,18.63,6
HCPCS,J1610,GLUCAGON 1 MG INJ,2284.0,2284.0,196.42,2740.8,29
HCPCS,J1610,"Injection, glucagon hydrochloride, per 1 mg ",2284.0,2284.0,141.94,241.44,6
HCPCS,J1611,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,130.95,222.75,6
HCPCS,J1612,"Injection, glucagon (gvoke), 0.01 mg ",,,2.3,3.91,6
HCPCS,J1626,"Injection, granisetron hydrochloride, 100 mcg ",,,0.16,0.26,6
HCPCS,J1627,"Injection, granisetron, extended-release, 0.1 mg ",,,3.76,6.4,6
HCPCS,J1628,"Injection, guselkumab, 1 mg ",,,65.78,111.89,6
HCPCS,J1630,HALOPERIDOL LACT 5MG INJ,160.0,160.0,8.48,192.0,30
HCPCS,J1630,"Injection, haloperidol, up to 5 mg ",160.0,160.0,0.77,1.3,6
HCPCS,J1631,HALOPERIDOL DEC 50MG INJ,455.0,455.0,24.11,546.0,30
HCPCS,J1631,"Injection, haloperidol decanoate, per 50 mg ",455.0,455.0,5.89,10.02,6
HCPCS,J1632,"Injection, brexanolone, 1 mg ",,,,,0
HCPCS,J1640,"Injection, hemin, 1 mg ",,,34.25,58.26,6
HCPCS,J1642,HEPARIN 10 U LOCK,160.0,160.0,8.48,192.0,30
HCPCS,J1642,"Injection, heparin sodium, (heparin lock flush), per 10 units ",160.0,160.0,0.02,0.03,6
HCPCS,J1643,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,1.12,1.9,6
HCPCS,J1644,HEPAR 10000U/10ML MDV,18.98,18.98,1.01,22.78,30
HCPCS,J1644,HEPAR 1000U/NS 500ML INJ,40.26,40.26,2.13,48.31,30
HCPCS,J1644,HEPAR 25000U/ 250ML INJ,71.0,71.0,3.76,85.2,30
HCPCS,J1644,HEPAR 30000U/30ML MDV,13.85,13.85,0.73,16.62,30
HCPCS,J1644,HEPARIN 100 UNITS/ML INJ,142.56,142.56,7.56,171.07,30
HCPCS,J1644,HEPARIN 1000 U INJ,6.0,6.0,0.32,7.2,30
HCPCS,J1644,HEPARIN 2000 U INJ,55.0,55.0,2.92,66.0,30
HCPCS,J1644,HEPARIN 25000 U INJ,150.0,150.0,7.95,180.0,30
HCPCS,J1644,HEPARIN 50 UNITS/ML INJ,83.6,83.6,4.43,100.32,30
HCPCS,J1644,HEPARIN 5000U / 1ML INJ,11.5,11.5,0.61,13.8,30
HCPCS,J1644,"Injection, heparin sodium, per 1000 units ",,,0.21,0.36,6
HCPCS,J1645,"Injection, dalteparin sodium, per 2500 iu ",,,15.38,26.17,6
HCPCS,J1650,ENOXAPARIN 100 MG INJ,626.0,626.0,33.18,751.2,30
HCPCS,J1650,ENOXAPARIN 120 MG INJ,751.0,751.0,39.8,901.2,30
HCPCS,J1650,ENOXAPARIN 30 MG INJ,352.0,352.0,18.66,422.4,30
HCPCS,J1650,ENOXAPARIN 40 MG INJ,427.0,427.0,22.63,512.4,30
HCPCS,J1650,ENOXAPARIN 60 MG INJ,28.0,28.0,1.48,33.6,30
HCPCS,J1650,ENOXAPARIN 80 MG INJ,501.0,501.0,26.55,601.2,30
HCPCS,J1650,"Injection, enoxaparin sodium, 10 mg ",,,0.52,0.89,6
HCPCS,J1652,FONDAPARINUX 2.5 MG INJ,488.0,488.0,25.86,585.6,30
HCPCS,J1652,FONDAPARINUX 7.5 MG INJ,829.0,829.0,43.94,994.8,30
HCPCS,J1652,"Injection, fondaparinux sodium, 0.5 mg ",,,0.78,1.32,6
HCPCS,J1670,"Injection, tetanus immune globulin, human, up to 250 units ",1151.0,1151.0,541.38,920.9,6
HCPCS,J1670,TETANUS IG HUMAN 250 U,1151.0,1151.0,98.99,1381.2,29
HCPCS,J1675,"Injection, histrelin acetate, 10 micrograms ",,,1.65,1.65,5
HCPCS,J1700,"Injection, hydrocortisone acetate, up to 25 mg ",,,,,0
HCPCS,J1720,HYDROCORT SUCC 100MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J1720,HYDROCORT SUCC 500MG INJ,385.0,385.0,20.41,462.0,30
HCPCS,J1720,HYDROCORTISN 1 MG/ML INJ,52.64,52.64,2.79,63.17,30
HCPCS,J1720,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,21.48,36.53,6
HCPCS,J1726,"Injection, hydroxyprogesterone caproate, (makena), 10 mg ",,,,,0
HCPCS,J1729,"Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg ",,,,,0
HCPCS,J1730,"Injection, diazoxide, up to 300 mg ",,,167.54,167.54,5
HCPCS,J1736,"Injection, meloxicam (delova), 1 mg ",,,,,0
HCPCS,J1737,"Injection, meloxicam (azurity), 1 mg ",,,1.75,1.75,5
HCPCS,J1738,"Injection, meloxicam, 1 mg ",,,,,0
HCPCS,J1740,"Injection, ibandronate sodium, 1 mg ",,,8.79,14.95,6
HCPCS,J1741,"Injection, ibuprofen, 100 mg ",,,3.08,5.25,6
HCPCS,J1742,IBUTILIDE FUM 1 MG INJ,2684.0,2684.0,230.82,3220.8,29
HCPCS,J1742,"Injection, ibutilide fumarate, 1 mg ",2684.0,2684.0,361.71,361.71,5
HCPCS,J1743,"Injection, idursulfase, 1 mg ",,,541.47,921.06,6
HCPCS,J1744,"Injection, icatibant, 1 mg ",,,518.38,518.38,5
HCPCS,J1745,INFLIXIMAB 100 MG INJ,13053.0,13053.0,1122.56,15663.6,29
HCPCS,J1745,"Injection, infliximab, excludes biosimilar, 10 mg ",13053.0,13053.0,30.11,51.22,6
HCPCS,J1746,"Injection, ibalizumab-uiyk, 10 mg ",,,75.35,128.17,6
HCPCS,J1747,"Injection, spesolimab-sbzo, 1 mg ",,,63.76,108.45,6
HCPCS,J1748,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,551.55,551.55,5
HCPCS,J1749,"Injection, iloprost, 0.1 mcg ",,,5.54,9.42,6
HCPCS,J1750,"Injection, iron dextran, 50 mg ",,,17.57,29.88,6
HCPCS,J1756,IRON SUCROSE 100 MG INJ,604.0,604.0,32.01,724.8,30
HCPCS,J1756,"Injection, iron sucrose, 1 mg ",604.0,604.0,0.21,0.36,6
HCPCS,J1786,"Injection, imiglucerase, 10 units ",,,41.55,70.67,6
HCPCS,J1790,"Injection, droperidol, up to 5 mg ",,,6.99,11.9,6
HCPCS,J1800,"Injection, propranolol hcl, up to 1 mg ",,,19.19,19.19,5
HCPCS,J1800,PROPRANOL 0.2 MG/ML INJ,7.36,7.36,0.39,8.83,30
HCPCS,J1800,PROPRANOLOL 1 MG INJ,374.0,374.0,19.82,448.8,30
HCPCS,J1805,ESMOLO 2.5G/NACL250MLINJ,513.7,513.7,27.23,616.44,30
HCPCS,J1805,ESMOLOL 10 MG/ML INJ,225.5,225.5,11.95,270.6,30
HCPCS,J1805,ESMOLOL 100 MG INJ,17.0,17.0,0.9,20.4,30
HCPCS,J1805,ESMOLOL 20 MG/ML INJ,20.17,20.17,1.07,24.2,30
HCPCS,J1805,ESMOLOL 2G/NACL100ML INJ,745.0,745.0,39.48,894.0,30
HCPCS,J1805,"Injection, esmolol hydrochloride, 10 mg ",,,0.23,0.4,6
HCPCS,J1806,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.19,0.33,6
HCPCS,J1807,"Injection, ethacrynate sodium, 1 mg ",,,30.15,30.15,5
HCPCS,J1808,FOLIC ACID 50 MG MDV,299.68,299.68,15.88,359.62,30
HCPCS,J1808,"Injection, folic acid, 0.1 mg ",299.68,299.68,0.05,0.08,6
HCPCS,J1809,"Injection, fosdenopterin, 0.1 mg ",,,17.06,29.02,6
HCPCS,J1811,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,8.5,14.45,6
HCPCS,J1812,"Insulin (fiasp), per 5 units ",,,1.12,1.12,5
HCPCS,J1813,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,14.65,24.92,6
HCPCS,J1814,"Insulin (lyumjev), per 5 units ",,,0.99,0.99,5
HCPCS,J1815,ADMELOG 20 U INJ,8.25,8.25,0.44,9.9,44
HCPCS,J1815,HUMULIN R 20 U INJ,3.48,3.48,0.18,4.18,44
HCPCS,J1815,INSULIN 0.5 UNIT/ML INJ,9.0,9.0,0.48,10.8,44
HCPCS,J1815,INSULIN 1 U INJ,0.18,0.18,0.01,0.22,44
HCPCS,J1815,INSULIN 1 UNIT/ML INJ,9.0,9.0,0.48,10.8,44
HCPCS,J1815,INSULIN 20 U INJ,3.0,3.0,0.16,3.6,44
HCPCS,J1815,INSULIN 5 U INJ,19.2,19.2,0.05,171.6,264
HCPCS,J1815,"Injection, insulin, per 5 units ",,,0.81,0.81,5
HCPCS,J1815,SEMGLEE 20 U INJ,9.35,9.35,0.5,11.22,44
HCPCS,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,3.04,5.16,6
HCPCS,J1823,"Injection, inebilizumab-cdon, 1 mg ",,,480.68,817.66,6
HCPCS,J1826,"Injection, interferon beta-1a, 30 mcg ",,,5832.21,5832.21,5
HCPCS,J1830,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,992.52,992.52,5
HCPCS,J1833,"Injection, isavuconazonium, 1 mg ",,,1.67,1.67,5
HCPCS,J1834,"Injection, isoniazid, 1 mg ",,,0.5,0.5,5
HCPCS,J1835,"Injection, itraconazole, 50 mg ",,,1549.73,1549.73,5
HCPCS,J1836,"Injection, metronidazole, 10 mg ",,,0.03,0.05,6
HCPCS,J1836,METRONIDAZOL 5 MG/ML INJ,0.29,0.29,0.02,0.35,30
HCPCS,J1836,METRONIDAZOLE 500 MG INJ,28.75,28.75,1.52,34.5,30
HCPCS,J1837,"Injection, posaconazole, 1 mg ",,,0.34,0.58,6
HCPCS,J1885,"Injection, ketorolac tromethamine, per 15 mg ",,,0.33,0.56,6
HCPCS,J1885,KETOROLAC 15 MG INJ,136.0,136.0,11.7,163.2,29
HCPCS,J1885,KETOROLAC 30 MG INJ,143.0,143.0,12.3,171.6,29
HCPCS,J1920,"Injection, labetalol hydrochloride, 5 mg ",,,0.25,0.43,6
HCPCS,J1920,LABETALOL 1 MG/ML INJ,54.0,54.0,2.86,64.8,30
HCPCS,J1920,LABETALOL 100 MG MDV,8.75,8.75,0.46,10.5,30
HCPCS,J1921,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,0.87,1.49,6
HCPCS,J1930,"Injection, lanreotide, 1 mg ",,,34.65,58.94,6
HCPCS,J1931,"Injection, laronidase, 0.1 mg ",,,38.75,65.92,6
HCPCS,J1932,"Injection, lanreotide, (cipla), 1 mg ",14916.14,14916.14,31.22,53.11,6
HCPCS,J1932,LANREOTI(CIPLA) 120MGINJ,14916.14,14916.14,1282.79,17899.37,29
HCPCS,J1938,FUROSEMIDE 1 MG/ML INJ,0.15,0.15,0.008,0.18,30
HCPCS,J1938,FUROSEMIDE 10 MG/ML INJ,1.53,1.53,0.08,1.84,30
HCPCS,J1938,FUROSEMIDE 100 MG INJ,15.25,15.25,0.81,18.3,30
HCPCS,J1938,FUROSEMIDE 2 MG/ML INJ,0.3,0.3,0.02,0.36,30
HCPCS,J1938,FUROSEMIDE 20 MG INJ,9.75,9.75,0.52,11.7,30
HCPCS,J1938,FUROSEMIDE 40 MG INJ,8.75,8.75,0.46,10.5,30
HCPCS,J1938,"Injection, furosemide, 1 mg ",,,0.02,0.03,6
HCPCS,J1939,BUMETANIDE 0.1 MG/ML INJ,0.83,0.83,0.04,1.0,30
HCPCS,J1939,BUMETANIDE 0.25MG/ML INJ,1.2,1.2,0.06,1.44,30
HCPCS,J1939,BUMETANIDE 1 MG INJ,5.68,5.68,0.3,6.82,30
HCPCS,J1939,BUMETANIDE 2.5 MG MDV,15.25,15.25,0.81,18.3,30
HCPCS,J1939,"Injection, bumetanide, 0.5 mg ",,,0.46,0.78,6
HCPCS,J1941,"Injection, furosemide (furoscix), 20 mg ",,,485.4,485.4,5
HCPCS,J1943,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,3.15,5.36,6
HCPCS,J1944,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,3.22,5.48,6
HCPCS,J1950,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",13136.0,13136.0,1712.6,2913.19,6
HCPCS,J1950,LEUPRO DEPOT 3.75 MG INJ,13136.0,13136.0,1129.7,15763.2,29
HCPCS,J1951,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,136.49,232.17,6
HCPCS,J1952,"Leuprolide injectable, camcevi, 1 mg ",,,38.75,65.92,6
HCPCS,J1953,"Injection, levetiracetam, 10 mg ",,,0.03,0.05,6
HCPCS,J1953,LEVETIRACETAM 500 MG INJ,397.0,397.0,21.04,476.4,30
HCPCS,J1953,LEVETIRACTM 15 MG/ML INJ,0.28,0.28,0.01,0.34,30
HCPCS,J1953,LEVETIRACTM 5 MG/ML INJ,8.5,8.5,0.45,10.2,30
HCPCS,J1954,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,672.75,1144.37,6
HCPCS,J1955,"Injection, levocarnitine, per 1 gm ",443.0,443.0,22.4,38.1,6
HCPCS,J1955,LEVOCARNITINE 1 G INJ,443.0,443.0,23.48,531.6,30
HCPCS,J1956,"Injection, levofloxacin, 250 mg ",,,2.1,3.56,6
HCPCS,J1956,LEVOFLOXACIN 250 MG INJ,422.0,422.0,22.37,506.4,30
HCPCS,J1956,LEVOFLOXACIN 5 MG/ML INJ,8.44,8.44,0.45,10.13,30
HCPCS,J1956,LEVOFLOXACIN 500 MG INJ,469.0,469.0,24.86,562.8,30
HCPCS,J1956,LEVOFLOXACIN 750 MG INJ,1.86,1.86,0.1,2.23,30
HCPCS,J1960,"Injection, levorphanol tartrate, up to 2 mg ",,,4.97,4.97,5
HCPCS,J1961,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,21.63,36.8,6
HCPCS,J1980,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,15.43,15.43,5
HCPCS,J1990,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,34.17,34.17,5
HCPCS,J2002,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",34.85,34.85,0.01,0.02,6
HCPCS,J2002,LIDO D5W 2G/500 ML INJ,34.85,34.85,1.85,41.82,30
HCPCS,J2003,"Injection, lidocaine hydrochloride, 1 mg ",,,0.08,0.08,5
HCPCS,J2003,LIDO 0.5% 250MG/50ML INJ,86.0,86.0,4.56,103.2,30
HCPCS,J2003,LIDO 1% 200MG/20ML MDV,8.75,8.75,0.46,10.5,30
HCPCS,J2003,LIDO 1% 20MG/2ML INJ,16.5,16.5,0.87,19.8,30
HCPCS,J2003,LIDO 1% 300MG/30ML INJ,126.49,126.49,6.7,151.79,30
HCPCS,J2003,LIDO 1% 500MG/50ML MDV,8.75,8.75,0.46,10.5,30
HCPCS,J2003,LIDO 1% 50MG/5ML INJ,54.0,54.0,2.86,64.8,30
HCPCS,J2003,LIDO 2% 100MG/5ML INJ,67.0,67.0,3.55,80.4,30
HCPCS,J2003,LIDO 2% 400MG/20ML MDV,8.75,8.75,0.46,10.5,30
HCPCS,J2003,LIDO 2% 40MG/2ML INJ,132.0,132.0,7.0,158.4,30
HCPCS,J2004,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.07,0.07,5
HCPCS,J2004,LIDO 200MG/EPI 0.2MG MDV,43.0,43.0,2.28,51.6,30
HCPCS,J2004,LIDO 250MG/EPI0.25MG MDV,8.75,8.75,0.46,10.5,30
HCPCS,J2004,LIDO 400MG/EPI 0.1MG INJ,80.75,80.75,4.28,96.9,30
HCPCS,J2004,LIDO 400MG/EPI 0.2MG MDV,14.5,14.5,0.77,17.4,30
HCPCS,J2010,"Injection, lincomycin hcl, up to 300 mg ",,,4.58,7.79,6
HCPCS,J2020,"Injection, linezolid, 200 mg ",,,2.41,4.09,6
HCPCS,J2020,LINEZOLID 2 MG/ML INJ,0.22,0.22,0.01,0.26,30
HCPCS,J2020,LINEZOLID 600 MG INJ,704.0,704.0,37.31,844.8,30
HCPCS,J2021,505HS LINEZOL 200MG INJ,704.0,704.0,37.31,844.8,30
HCPCS,J2021,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",704.0,704.0,26.03,44.27,6
HCPCS,J2060,"Injection, lorazepam, 2 mg ",,,1.61,2.74,6
HCPCS,J2060,LORAZEPAM 2 MG INJ,8.0,8.0,0.42,9.6,30
HCPCS,J2060,LORAZEPAM 20 MG MDV,39.98,39.98,2.12,47.98,30
HCPCS,J2062,"Loxapine for inhalation, 1 mg ",,,,,0
HCPCS,J2151,"Injection, mannitol, 250 mg ",,,0.05,0.08,6
HCPCS,J2151,MANNITOL 100G INJ,90.0,90.0,4.77,108.0,30
HCPCS,J2151,MANNITOL 12.5G INJ,72.44,72.44,3.84,86.93,30
HCPCS,J2151,MANNITOL 250MG INJ,19.75,19.75,1.05,23.7,30
HCPCS,J2170,"Injection, mecasermin, 1 mg ",,,763.93,763.93,5
HCPCS,J2175,"Injection, meperidine hydrochloride, per 100 mg ",,,8.56,14.55,6
HCPCS,J2175,MEPERIDINE 25 MG INJ,160.0,160.0,8.48,192.0,30
HCPCS,J2175,MEPERIDINE 75 MG INJ,37.0,37.0,1.96,44.4,30
HCPCS,J2180,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,12.67,12.67,5
HCPCS,J2182,"Injection, mepolizumab, 1 mg ",,,30.87,52.5,6
HCPCS,J2183,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,1.44,2.44,6
HCPCS,J2184,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,1.91,3.25,6
HCPCS,J2185,"Injection, meropenem, 100 mg ",,,0.36,0.61,6
HCPCS,J2185,MEROPENEM 1 G INJ,40.0,40.0,2.12,48.0,30
HCPCS,J2185,MEROPENEM 20 MG/ML INJ,8.75,8.75,0.46,10.5,30
HCPCS,J2185,MEROPENEM 500 MG INJ,428.0,428.0,22.68,513.6,30
HCPCS,J2186,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",1330.01,1330.01,3.58,3.58,5
HCPCS,J2186,MEROPNM/VABORB 2G INJ,1330.01,1330.01,114.38,1596.01,29
HCPCS,J2210,"Injection, methylergonovine maleate, up to 0.2 mg ",160.0,160.0,20.96,35.66,6
HCPCS,J2210,METHYLERGONOV 0.2 MG INJ,160.0,160.0,8.48,192.0,30
HCPCS,J2212,"Injection, methylnaltrexone, 0.1 mg ",,,3.47,3.47,5
HCPCS,J2246,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.36,0.61,6
HCPCS,J2247,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.21,0.36,6
HCPCS,J2248,"Injection, micafungin sodium, 1 mg ",,,0.25,0.43,6
HCPCS,J2248,MICAFUNGIN 1 MG/ML INJ,2.1,2.1,0.11,2.52,30
HCPCS,J2248,MICAFUNGIN 100 MG INJ,1382.0,1382.0,73.25,1658.4,30
HCPCS,J2249,"Injection, remimazolam, 1 mg ",,,4.6,4.6,5
HCPCS,J2250,"Injection, midazolam hydrochloride, per 1 mg ",,,0.16,0.28,6
HCPCS,J2250,MIDAZOLAM 0.2 MG/ML INJ,24.5,24.5,1.3,29.4,30
HCPCS,J2250,MIDAZOLAM 0.5 MG/ML INJ,1.42,1.42,0.08,1.7,30
HCPCS,J2250,MIDAZOLAM 1 MG INJ,1.0,1.0,0.05,1.2,30
HCPCS,J2250,MIDAZOLAM 10 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J2250,MIDAZOLAM 100 MG INJ,23.96,23.96,1.27,28.75,30
HCPCS,J2250,MIDAZOLAM 2 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J2250,MIDAZOLAM 5 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J2250,MIDAZOLAM 5 MG/5 ML INJ,71.0,71.0,3.76,85.2,30
HCPCS,J2250,MIDAZOLAM 50 MG INJ,19.0,19.0,1.01,22.8,30
HCPCS,J2251,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",258.0,258.0,0.16,0.26,6
HCPCS,J2251,MIDAZOL/0.9NS 100 MG IV,258.0,258.0,13.67,309.6,30
HCPCS,J2252,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.23,0.23,5
HCPCS,J2253,"Injection, midazolam (seizalam), 1 mg ",,,,,0
HCPCS,J2260,"Injection, milrinone lactate, 5 mg ",,,1.14,1.95,6
HCPCS,J2260,MILRIN 20MG/D5W100ML INJ,130.76,130.76,6.93,156.91,30
HCPCS,J2260,MILRINONE 200 MCG/ML INJ,0.55,0.55,0.03,0.66,30
HCPCS,J2260,MILRINONE LAC 10 MG INJ,946.0,946.0,50.14,1135.2,30
HCPCS,J2260,MILRINONE LAC 20 MG INJ,34.0,34.0,1.8,40.8,30
HCPCS,J2265,"Injection, minocycline hydrochloride, 1 mg ",936.86,936.86,4.39,4.39,5
HCPCS,J2265,MINOCYCLINE HCL 100 MG,936.86,936.86,80.57,1124.23,29
HCPCS,J2267,"Injection, mirikizumab-mrkz, 1 mg ",,,40.83,69.45,6
HCPCS,J2270,"Injection, morphine sulfate, up to 10 mg ",,,4.32,7.34,6
HCPCS,J2270,MORPHINE 0.04 MG/ML INJ,9.76,9.76,0.52,11.71,30
HCPCS,J2270,MORPHINE 0.1 MG/ML INJ,14.3,14.3,0.76,17.16,30
HCPCS,J2270,MORPHINE 0.2 MG/ML INJ,28.6,28.6,1.52,34.32,30
HCPCS,J2270,MORPHINE 1MG/ML INJ,143.0,143.0,7.58,171.6,30
HCPCS,J2270,MORPHINE SULF 10MG INJ,72.0,72.0,0.05,171.6,60
HCPCS,J2270,MORPHINE SULF 2MG INJ,131.0,131.0,6.94,157.2,30
HCPCS,J2270,MORPHINE SULF 30MG INJ,552.0,552.0,29.26,662.4,30
HCPCS,J2270,MORPHINE SULF 4MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J2270,MORPHINE SULF 5MG INJ,119.0,119.0,6.31,142.8,30
HCPCS,J2272,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,8.09,13.76,6
HCPCS,J2274,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",127.37,127.37,11.79,20.05,6
HCPCS,J2274,MORPHINE EPD/IT PF 10 MG,127.37,127.37,6.75,152.84,30
HCPCS,J2277,"Injection, motixafortide, 0.25 mg ",,,25.69,43.69,6
HCPCS,J2278,"Injection, ziconotide, 1 microgram ",,,10.15,17.26,6
HCPCS,J2280,"Injection, moxifloxacin, 100 mg ",292.0,292.0,8.48,14.42,6
HCPCS,J2280,MOXIFLOXACIN 400 MG INJ,292.0,292.0,15.48,350.4,30
HCPCS,J2281,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,6.44,10.96,6
HCPCS,J2290,"Injection, nafcillin sodium, 20 mg ",,,0.05,0.08,6
HCPCS,J2290,NAFCILLIN 1 G INJ,38.5,38.5,2.04,46.2,30
HCPCS,J2290,NAFCILLIN 100 MG/ML INJ,3.85,3.85,0.2,4.62,30
HCPCS,J2290,NAFCILLIN 2 G INJ,60.0,60.0,3.18,72.0,30
HCPCS,J2290,NAFCILLIN 20 MG/ML INJ,1.0,1.0,0.05,1.2,30
HCPCS,J2291,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.15,0.25,6
HCPCS,J2300,"Injection, nalbuphine hydrochloride, per 10 mg ",125.0,125.0,3.32,5.64,6
HCPCS,J2300,NALBUPHINE 20 MG INJ,125.0,125.0,6.63,150.0,30
HCPCS,J2305,"Injection, nitroglycerin, 5 mg ",,,1.62,2.76,6
HCPCS,J2305,NITROGLYC 200 MCG/ML INJ,24.4,24.4,1.29,29.28,30
HCPCS,J2305,NITROGLYCERIN 25 MG INJ,70.24,70.24,3.72,84.29,30
HCPCS,J2305,NITROGLYCERIN 50 MG INJ,28.45,28.45,1.51,34.14,30
HCPCS,J2312,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.07,0.12,6
HCPCS,J2312,NALOX NOS 0.4MG INJ,25.0,25.0,1.32,30.0,30
HCPCS,J2312,NALOX NOS 2 MG INJ,72.0,72.0,3.82,86.4,30
HCPCS,J2313,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.25,0.25,5
HCPCS,J2315,"Injection, naltrexone, depot form, 1 mg ",17564.0,17564.0,4.12,7.01,6
HCPCS,J2315,NALTREXONE DEPOT 380MG,17564.0,17564.0,1510.5,21076.8,29
HCPCS,J2320,"Injection, nandrolone decanoate, up to 50 mg ",,,6.62,6.62,5
HCPCS,J2323,"Injection, natalizumab, 1 mg ",,,23.59,40.13,6
HCPCS,J2325,"Injection, nesiritide, 0.1 mg ",,,49.6,49.6,5
HCPCS,J2326,"Injection, nusinersen, 0.1 mg ",,,2121.54,2121.54,5
HCPCS,J2327,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,14.16,24.09,6
HCPCS,J2329,"Injection, ublituximab-xiiy, 1mg ",,,66.69,113.44,6
HCPCS,J2350,"Injection, ocrelizumab, 1 mg ",,,57.81,98.34,6
HCPCS,J2351,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,45.39,77.2,6
HCPCS,J2353,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",4302.72,4302.72,182.7,310.78,6
HCPCS,J2353,OCTREOTIDE DEPO IM 20MG,4302.72,4302.72,370.03,5163.26,29
HCPCS,J2354,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,0.6,1.02,6
HCPCS,J2354,OCTREOTD SQIV 10 MCG/ML,85.0,85.0,4.5,102.0,30
HCPCS,J2354,OCTREOTID ND SQIV 100MCG,95.0,95.0,5.04,114.0,44
HCPCS,J2354,OCTREOTID ND SQIV 500MCG,13.24,13.24,0.7,15.89,44
HCPCS,J2354,OCTREOTIDE ND SQIV 25MCG,85.0,85.0,4.5,102.0,44
HCPCS,J2355,"Injection, oprelvekin, 5 mg ",,,407.83,407.83,5
HCPCS,J2356,"Injection, tezepelumab-ekko, 1 mg ",,,17.05,29.01,6
HCPCS,J2357,"Injection, omalizumab, 5 mg ",,,40.57,69.0,6
HCPCS,J2358,"Injection, olanzapine, long-acting, 1 mg ",,,3.09,5.26,6
HCPCS,J2359,"Injection, olanzapine, 0.5 mg ",360.1,360.1,0.69,1.17,6
HCPCS,J2359,OLANZAPINE 10 MG INJ,360.1,360.1,19.09,432.12,30
HCPCS,J2360,"Injection, orphenadrine citrate, up to 60 mg ",380.0,380.0,7.97,13.56,6
HCPCS,J2360,ORPHENADRINE 60 MG INJ,380.0,380.0,20.14,456.0,30
HCPCS,J2361,"Injection, depemokimab-ulaa, 1 mg ",,,,,0
HCPCS,J2371,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.01,0.02,6
HCPCS,J2371,PHENYLEPH 100 MCG/ML INJ,0.76,0.76,0.04,0.91,30
HCPCS,J2371,PHENYLEPHN 60 MCG/ML INJ,10.45,10.45,0.55,12.54,30
HCPCS,J2371,PHENYLEPHRINE 10 MG INJ,10.45,10.45,0.55,12.54,30
HCPCS,J2371,PHENYLEPHRINE 100 MG MDV,81.4,81.4,4.31,97.68,30
HCPCS,J2371,PHENYLEPHRINE 50 MG MDV,34.2,34.2,1.81,41.04,30
HCPCS,J2372,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.15,0.25,6
HCPCS,J2373,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.13,0.21,6
HCPCS,J2374,"Apraclonidine hydrochloride ophthalmic, 1% solution, 0.1 ml ",,,,,0
HCPCS,J2401,CHLOROPROCAINE 400MG INJ,14.0,14.0,0.74,16.8,30
HCPCS,J2401,CHLOROPROCAINE 600MG INJ,14.5,14.5,0.77,17.4,30
HCPCS,J2401,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.04,0.07,6
HCPCS,J2402,"Injection, chloroprocaine hydrochloride (clorotekal), per 1 mg ",,,,,0
HCPCS,J2403,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.57,0.97,6
HCPCS,J2404,"Injection, nicardipine, 0.1 mg ",,,0.07,0.12,6
HCPCS,J2404,NICARDIP 20MG/200ML INJ,274.0,274.0,14.52,328.8,30
HCPCS,J2404,NICARDIPINE 0.1MG/ML INJ,0.6,0.6,0.03,0.72,30
HCPCS,J2404,NICARDIPINE 0.2MG/ML INJ,3.8,3.8,0.2,4.56,30
HCPCS,J2404,NICARDIPINE 25 MG INJ,167.63,167.63,8.88,201.16,30
HCPCS,J2405,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.09,0.15,6
HCPCS,J2405,ONDANSETRON 1 MG INJ,3299.0,3299.0,174.85,3958.8,30
HCPCS,J2405,ONDANSETRON 4 MG INJ,13.75,13.75,0.73,16.5,30
HCPCS,J2406,"Injection, oritavancin (kimyrsa), 10 mg ",,,42.41,72.14,6
HCPCS,J2407,"Injection, oritavancin (orbactiv), 10 mg ",,,27.71,47.14,6
HCPCS,J2410,"Injection, oxymorphone hcl, up to 1 mg ",,,3.86,3.86,5
HCPCS,J2425,"Injection, palifermin, 50 micrograms ",,,35.62,60.59,6
HCPCS,J2426,INVEGA SUSTEN 156 MG INJ,6758.0,6758.0,581.19,8109.6,29
HCPCS,J2426,INVEGA SUSTEN 234 MG INJ,9551.0,9551.0,821.39,11461.2,29
HCPCS,J2426,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,14.63,24.88,6
HCPCS,J2427,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,12.56,21.37,6
HCPCS,J2428,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,14.06,23.91,6
HCPCS,J2430,"Injection, pamidronate disodium, per 30 mg ",2356.0,2356.0,12.05,20.49,6
HCPCS,J2430,PAMIDRONATE 30 MG INJ,2356.0,2356.0,124.87,2827.2,30
HCPCS,J2440,"Injection, papaverine hcl, up to 60 mg ",,,75.8,75.8,5
HCPCS,J2460,"Injection, oxytetracycline hcl, up to 50 mg ",,,,,0
HCPCS,J2468,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,53.63,91.23,6
HCPCS,J2469,"Injection, palonosetron hcl, 25 mcg ",163.0,163.0,0.63,1.07,6
HCPCS,J2469,PALONOSETRON 0.25 MG INJ,163.0,163.0,8.64,195.6,30
HCPCS,J2470,"Injection, pantoprazole sodium, 40 mg ",,,14.19,14.19,5
HCPCS,J2470,PANTOPRAZ 4 MG/ML INJ,46.8,46.8,2.48,56.16,30
HCPCS,J2470,PANTOPRAZOLE 40 MG INJ,51.17,51.17,2.71,61.4,30
HCPCS,J2471,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,6.24,6.24,5
HCPCS,J2472,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,15.81,15.81,5
HCPCS,J2501,"Injection, paricalcitol, 1 mcg ",435.0,435.0,0.99,1.68,6
HCPCS,J2501,PARICALCITOL 5 MCG INJ,435.0,435.0,23.05,522.0,30
HCPCS,J2502,"Injection, pasireotide long acting, 1 mg ",,,578.41,983.9,6
HCPCS,J2506,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",4253.24,4253.24,123.56,210.18,6
HCPCS,J2506,PEGFILGRASTIM 6 MG INJ,4253.24,4253.24,365.78,5103.89,29
HCPCS,J2507,"Injection, pegloticase, 1 mg ",,,3709.78,6310.46,6
HCPCS,J2508,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,216.7,368.61,6
HCPCS,J2510,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",1226.02,1226.02,16.53,16.53,5
HCPCS,J2510,PCN G PROCN AQ 1.2MILL U,1226.02,1226.02,64.98,1471.22,30
HCPCS,J2515,"Injection, pentobarbital sodium, per 50 mg ",,,60.79,60.79,5
HCPCS,J2515,PENTOBARB 8 MG/ML INJ,27.05,27.05,1.43,32.46,30
HCPCS,J2515,PENTOBARBITAL 50 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J2516,"Injection, pentamidine isethionate, 1 mg ",287.2,287.2,0.16,0.26,6
HCPCS,J2516,PENTAMIDINE 6MG/ML INJ,287.2,287.2,15.22,344.64,30
HCPCS,J2540,"Injection, penicillin g potassium, up to 600,000 units ",,,0.66,1.12,6
HCPCS,J2540,PCNG K 5 MILLION U INJ,165.62,165.62,0.21,392.84,60
HCPCS,J2540,PCNG K 50000 U/ML INJ,155.0,155.0,8.21,186.0,30
HCPCS,J2543,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.06,1.8,6
HCPCS,J2543,PIP SOD/TAZ 2.25 G INJ,226.0,226.0,11.98,271.2,30
HCPCS,J2543,PIP SOD/TAZ 3.375 G INJ,118.45,118.45,6.28,142.14,30
HCPCS,J2543,PIP SOD/TAZ 4.5 G INJ,374.0,374.0,19.82,448.8,30
HCPCS,J2543,PIP/TAZ60MG/7.5MG PER ML,8.75,8.75,0.46,10.5,30
HCPCS,J2545,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,71.36,121.39,6
HCPCS,J2547,"Injection, peramivir, 1 mg ",,,2.77,2.77,5
HCPCS,J2550,"Injection, promethazine hcl, up to 50 mg ",,,3.24,5.51,6
HCPCS,J2550,PROMETHAZINE 25 MG INJ,80.0,80.0,4.24,96.0,30
HCPCS,J2550,PROMETHAZINE 50 MG INJ,160.0,160.0,8.48,192.0,30
HCPCS,J2560,"Injection, phenobarbital sodium, up to 120 mg ",,,22.94,39.02,6
HCPCS,J2561,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.86,1.86,5
HCPCS,J2562,"Injection, plerixafor, 1 mg ",,,31.76,54.02,6
HCPCS,J2590,"Injection, oxytocin, up to 10 units ",160.0,160.0,4.47,4.47,5
HCPCS,J2590,OXYTOCIN 10 U INJ,160.0,160.0,8.48,192.0,30
HCPCS,J2596,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,1.14,1.95,6
HCPCS,J2597,DESMOPRESSIN 1 MCG INJ,128.0,128.0,6.78,153.6,30
HCPCS,J2597,DESMOPRESSIN 4 MCG INJ,886.0,886.0,46.96,1063.2,30
HCPCS,J2597,DESMOPRESSIN 40 MCG MDV,785.0,785.0,41.6,942.0,30
HCPCS,J2597,"Injection, desmopressin acetate, per 1 mcg ",,,3.31,5.63,6
HCPCS,J2598,"Injection, vasopressin, 1 unit ",,,0.51,0.87,6
HCPCS,J2598,VASOPRES 0.05UNIT/ML INJ,0.25,0.25,0.01,0.3,30
HCPCS,J2598,VASOPRES 0.2 UNIT/ML INJ,5.13,5.13,0.27,6.16,30
HCPCS,J2598,VASOPRESSIN 1 UNIT INJ,73.68,73.68,3.91,88.42,30
HCPCS,J2598,VASOPRESSIN 20 UNIT INJ,29.99,29.99,1.59,35.99,30
HCPCS,J2599,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,0.81,1.39,6
HCPCS,J2601,"Injection, vasopressin (baxter), 1 unit ",,,1.48,2.52,6
HCPCS,J2650,"Injection, prednisolone acetate, up to 1 ml ",,,,,0
HCPCS,J2670,"Injection, tolazoline hcl, up to 25 mg ",,,,,0
HCPCS,J2675,"Injection, progesterone, per 50 mg ",83.0,83.0,0.64,1.09,6
HCPCS,J2675,PROGESTERONE 50 MG INJ,83.0,83.0,4.4,99.6,30
HCPCS,J2679,"Injection, fluphenazine hcl, 1.25 mg ",,,7.13,12.13,6
HCPCS,J2680,FLUPHENAZINE DEC TO 25MG,224.0,224.0,11.87,268.8,30
HCPCS,J2680,"Injection, fluphenazine decanoate, up to 25 mg ",224.0,224.0,5.42,9.22,6
HCPCS,J2690,"Injection, procainamide hcl, up to 1 gm ",700.0,700.0,208.37,354.44,6
HCPCS,J2690,PROCAINAMIDE 1 G INJ,700.0,700.0,60.2,840.0,29
HCPCS,J2700,"Injection, oxacillin sodium, up to 250 mg ",,,0.82,1.4,6
HCPCS,J2704,"Injection, propofol, 10 mg ",,,0.09,0.15,6
HCPCS,J2704,PROPOFOL 10 MG/ML INJ,7.76,7.76,0.41,9.31,30
HCPCS,J2704,PROPOFOL 100 MG INJ,15.0,15.0,0.8,18.0,30
HCPCS,J2704,PROPOFOL 1000 MG INJ,321.88,321.88,17.06,386.26,30
HCPCS,J2704,PROPOFOL 200 MG INJ,475.0,475.0,25.18,570.0,30
HCPCS,J2704,PROPOFOL 500 MG INJ,689.0,689.0,36.52,826.8,30
HCPCS,J2710,"Injection, neostigmine methylsulfate, up to 0.5 mg ",240.99,240.99,2.33,2.33,5
HCPCS,J2710,NEOSTIGMINE 10 MG MDV,240.99,240.99,12.77,289.19,30
HCPCS,J2711,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,1.4,1.4,5
HCPCS,J2720,"Injection, protamine sulfate, per 10 mg ",,,1.62,2.76,6
HCPCS,J2720,PROTAMINE 250 MG INJ,339.0,339.0,17.97,406.8,30
HCPCS,J2720,PROTAMINE 50 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J2724,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,14.6,24.83,6
HCPCS,J2725,"Injection, protirelin, per 250 mcg ",,,,,0
HCPCS,J2730,"Injection, pralidoxime chloride, up to 1 gm ",431.0,431.0,171.67,171.67,5
HCPCS,J2730,PRALIDOXIME 1 G INJ,431.0,431.0,22.84,517.2,30
HCPCS,J2760,"Injection, phentolamine mesylate, up to 5 mg ",451.0,451.0,249.73,424.79,6
HCPCS,J2760,PHENTOLAMINE MES 5MG INJ,451.0,451.0,38.79,541.2,29
HCPCS,J2765,"Injection, metoclopramide hcl, up to 10 mg ",,,0.92,1.57,6
HCPCS,J2765,METOCLOPRAMIDE 10 MG INJ,160.0,160.0,8.48,192.0,30
HCPCS,J2765,METOCLOPRM 0.2 MG/ML INJ,3.88,3.88,0.21,4.66,30
HCPCS,J2770,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,194.55,194.55,5
HCPCS,J2777,"Injection, faricimab-svoa, 0.1 mg ",,,31.88,54.24,6
HCPCS,J2778,"Injection, ranibizumab, 0.1 mg ",,,65.81,111.95,6
HCPCS,J2779,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,73.91,125.73,6
HCPCS,J2781,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,143.38,243.89,6
HCPCS,J2782,"Injection, avacincaptad pegol, 0.1 mg ",,,100.3,170.61,6
HCPCS,J2783,"Injection, rasburicase, 0.5 mg ",9345.0,9345.0,370.72,630.61,6
HCPCS,J2783,RASBURICASE 1.5 MG INJ,9345.0,9345.0,803.67,11214.0,29
HCPCS,J2785,"Injection, regadenoson, 0.1 mg ",2802.0,2802.0,2.81,4.79,6
HCPCS,J2785,REGADENOSON 0.4 MG INJ,2802.0,2802.0,148.51,3362.4,30
HCPCS,J2786,"Injection, reslizumab, 1 mg ",,,11.18,19.02,6
HCPCS,J2787,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,4514.4,4514.4,5
HCPCS,J2788,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,26.69,45.41,6
HCPCS,J2789,"Riboflavin 5'-phosphate, ophthalmic solution (epioxahd/epioxa), up to 2 ml ",,,,,0
HCPCS,J2790,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,76.53,130.19,6
HCPCS,J2791,IG RHOPHYLAC 1500 IU,270.46,270.46,14.33,324.55,30
HCPCS,J2791,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",270.46,270.46,4.7,8.0,6
HCPCS,J2792,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,33.23,56.53,6
HCPCS,J2793,"Injection, rilonacept, 1 mg ",,,56.03,56.03,5
HCPCS,J2794,"Injection, risperidone (risperdal consta), 0.5 mg ",8974.0,8974.0,10.48,17.82,6
HCPCS,J2794,RISPERD CONSTA 50 MG INJ,8974.0,8974.0,771.76,10768.8,29
HCPCS,J2795,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.05,0.08,6
HCPCS,J2795,ROPIVACAINE 150 MG INJ,228.0,228.0,12.08,273.6,30
HCPCS,J2795,ROPIVACAINE 200 MG INJ,297.5,297.5,15.21,369.6,60
HCPCS,J2795,ROPIVACAINE 40 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J2795,ROPIVACAINE 400 MG INJ,875.0,875.0,46.38,1050.0,30
HCPCS,J2797,"Injection, rolapitant, 0.5 mg ",,,,,0
HCPCS,J2798,"Injection, risperidone, (perseris), 0.5 mg ",,,11.8,20.08,6
HCPCS,J2799,"Injection, risperidone (uzedy), 1 mg ",,,24.41,41.51,6
HCPCS,J2800,"Injection, methocarbamol, up to 10 ml ",,,4.07,6.93,6
HCPCS,J2801,"Injection, risperidone (rykindo), 0.5 mg ",,,21.5,21.5,5
HCPCS,J2802,"Injection, romiplostim, 1 microgram ",,,10.78,18.33,6
HCPCS,J2802,ROMIPLOSTIM 125 MCG INJ,12020.5,12020.5,1033.76,14424.6,29
HCPCS,J2802,ROMIPLOSTIM 250 MCG INJ,24041.0,24041.0,2067.53,28849.2,29
HCPCS,J2802,ROMIPLOSTIM 500 MCG INJ,48081.0,48081.0,4134.97,57697.2,29
HCPCS,J2804,"Injection, rifampin, 1 mg ",628.0,628.0,0.16,0.28,6
HCPCS,J2804,RIFAMPIN 600 MG INJ,628.0,628.0,33.28,753.6,30
HCPCS,J2805,"Injection, sincalide, 5 micrograms ",448.0,448.0,104.95,178.53,6
HCPCS,J2805,SINCALIDE 5 MCG INJ,448.0,448.0,23.74,537.6,30
HCPCS,J2810,"Injection, theophylline, per 40 mg ",,,,,0
HCPCS,J2820,"Injection, sargramostim (gm-csf), 50 mcg ",,,60.03,102.12,6
HCPCS,J2840,"Injection, sebelipase alfa, 1 mg ",,,891.3,891.3,5
HCPCS,J2850,"Injection, secretin, synthetic, human, 1 microgram ",,,66.38,66.38,5
HCPCS,J2860,"Injection, siltuximab, 10 mg ",,,168.86,287.23,6
HCPCS,J2865,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.04,0.07,6
HCPCS,J2865,SMX/TMP 2400/480MG MDV,84.27,84.27,4.47,101.12,30
HCPCS,J2865,SMX/TMP 3.2/0.64 MG/ML,1.1,1.1,0.06,1.32,30
HCPCS,J2865,SMX/TMP 5.5/1.1 MG/ML,1.93,1.93,0.1,2.32,30
HCPCS,J2865,SMX/TMP 800/160MG MDV,41.44,41.44,2.2,49.73,30
HCPCS,J2916,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",90.0,90.0,2.32,3.94,6
HCPCS,J2916,NA FERRIC GLUCON 62.5 MG,90.0,90.0,4.77,108.0,30
HCPCS,J2919,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.23,0.4,6
HCPCS,J2919,METHYLPRED SS 1 G INJ,74.0,74.0,3.92,88.8,30
HCPCS,J2919,METHYLPRED SS 125 MGINJ,160.0,160.0,8.48,192.0,30
HCPCS,J2919,METHYLPRED SS 2.5MG/ML,0.2,0.2,0.01,0.24,30
HCPCS,J2919,METHYLPRED SS 40 MG INJ,156.0,156.0,8.27,187.2,30
HCPCS,J2919,METHYLPRED SS 500 MG,266.0,266.0,14.1,319.2,30
HCPCS,J2941,"Injection, somatropin, 1 mg ",,,272.56,272.56,5
HCPCS,J2950,"Injection, promazine hcl, up to 25 mg ",,,,,0
HCPCS,J2993,"Injection, reteplase, 18.1 mg ",,,4792.56,4792.56,5
HCPCS,J2997,ALTEPLASE RECOMB 1 MG/ML,859.3,859.3,73.9,1031.16,29
HCPCS,J2997,ALTEPLASE RECOMB 100 MG,88769.27,88769.27,7634.16,106523.12,29
HCPCS,J2997,ALTEPLASE RECOMB 2 MG,1623.0,1623.0,139.58,1947.6,29
HCPCS,J2997,ALTEPLASE RECOMB 50 MG,13087.0,13087.0,1125.48,15704.4,29
HCPCS,J2997,"Injection, alteplase recombinant, 1 mg ",,,92.24,156.9,6
HCPCS,J2998,"Injection, plasminogen, human-tvmh, 1 mg ",,,63.34,63.34,5
HCPCS,J3000,"Injection, streptomycin, up to 1 gm ",,,39.05,66.43,6
HCPCS,J3010,FENTANYL 10 MCG/ML INJ,1.65,1.65,0.09,1.98,30
HCPCS,J3010,FENTANYL 2.5 MCG/ML INJ,6.65,6.65,0.35,7.98,30
HCPCS,J3010,FENTANYL 5 MCG/ML INJ,13.31,13.31,0.71,15.97,30
HCPCS,J3010,FENTANYL 50 MCG/ML INJ,609.4,609.4,32.3,731.28,30
HCPCS,J3010,FENTANYL CIT 0.05 MG INJ,11.09,11.09,0.59,13.31,30
HCPCS,J3010,FENTANYL CIT 0.1 MG INJ,160.0,160.0,8.48,192.0,30
HCPCS,J3010,FENTANYL CIT 0.25 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J3010,FENTANYL CIT 1 MG INJ,152.0,152.0,2.12,316.8,60
HCPCS,J3010,FENTANYL CIT 2.5 MG INJ,15.52,15.52,0.82,18.62,30
HCPCS,J3010,"Injection, fentanyl citrate, 0.1 mg ",,,1.13,1.91,6
HCPCS,J3030,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",549.0,549.0,293.16,293.16,5
HCPCS,J3030,SUMATRIPTAN SUCC 6MG INJ,549.0,549.0,29.1,658.8,30
HCPCS,J3031,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,7.01,7.01,5
HCPCS,J3032,"Injection, eptinezumab-jjmr, 1 mg ",,,19.93,33.91,6
HCPCS,J3055,"Injection, talquetamab-tgvs, 0.25 mg ",,,72.63,123.55,6
HCPCS,J3060,"Injection, taliglucerase alfa, 10 units ",,,39.44,67.09,6
HCPCS,J3070,"Injection, pentazocine, 30 mg ",,,45.19,45.19,5
HCPCS,J3090,"Injection, tedizolid phosphate, 1 mg ",,,1.9,3.23,6
HCPCS,J3095,"Injection, telavancin, 10 mg ",,,6.82,11.6,6
HCPCS,J3101,"Injection, tenecteplase, 1 mg ",,,191.52,325.78,6
HCPCS,J3101,TENECTEPLASE 25 MG INJ,36656.0,36656.0,3152.42,43987.2,29
HCPCS,J3101,TENECTEPLASE 50 MG INJ,35600.0,35600.0,3061.6,42720.0,29
HCPCS,J3105,"Injection, terbutaline sulfate, up to 1 mg ",,,2.87,4.88,6
HCPCS,J3105,TERBUTALINE 1 MG INJ,507.0,507.0,26.87,608.4,30
HCPCS,J3105,TERBUTALINE 1 MG/ML INJ,12.38,12.38,0.66,14.86,30
HCPCS,J3110,"Injection, teriparatide, 10 mcg ",565.0,565.0,130.53,130.53,5
HCPCS,J3110,TERIPARATIDE 10 MCG INJ,565.0,565.0,29.95,678.0,44
HCPCS,J3111,"Injection, romosozumab-aqqg, 1 mg ",,,11.82,20.11,6
HCPCS,J3121,"Injection, testosterone enanthate, 1 mg ",,,0.05,0.08,6
HCPCS,J3145,"Injection, testosterone undecanoate, 1 mg ",,,2.07,3.51,6
HCPCS,J3230,CHLORPROMAZINE 50 MG INJ,257.0,257.0,13.62,308.4,30
HCPCS,J3230,"Injection, chlorpromazine hcl, up to 50 mg ",257.0,257.0,20.33,34.58,6
HCPCS,J3240,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,2061.58,3506.81,6
HCPCS,J3241,"Injection, teprotumumab-trbw, 10 mg ",,,356.87,607.05,6
HCPCS,J3243,"Injection, tigecycline, 1 mg ",1582.0,1582.0,0.55,0.94,6
HCPCS,J3243,TIGECYCLINE 50 MG INJ,1582.0,1582.0,83.85,1898.4,30
HCPCS,J3244,"Injection, tigecycline (accord), not therapeutically equivalent to j3243, 1 mg ",,,,,0
HCPCS,J3245,"Injection, tildrakizumab, 1 mg ",,,114.65,195.03,6
HCPCS,J3246,"Injection, tirofiban hcl, 0.25 mg ",,,3.09,5.26,6
HCPCS,J3247,"Injection, secukinumab, intravenous, 1 mg ",,,17.5,29.77,6
HCPCS,J3250,"Injection, trimethobenzamide hcl, up to 200 mg ",314.0,314.0,55.5,94.41,6
HCPCS,J3250,TRIMETHBENZMD 200 MG INJ,314.0,314.0,16.64,376.8,30
HCPCS,J3260,"Injection, tobramycin sulfate, up to 80 mg ",,,1.96,3.33,6
HCPCS,J3260,TOBRAMYCIN 2 MG/ML INJ,15.7,15.7,0.83,18.84,30
HCPCS,J3260,TOBRAMYCIN 80 MG INJ,160.0,160.0,8.48,192.0,30
HCPCS,J3262,"Injection, tocilizumab, 1 mg ",,,5.36,9.12,6
HCPCS,J3263,"Injection, toripalimab-tpzi, 1 mg ",,,38.79,65.98,6
HCPCS,J3265,"Injection, torsemide, 10 mg/ml ",,,,,0
HCPCS,J3285,"Injection, treprostinil, 1 mg ",,,53.53,91.06,6
HCPCS,J3290,"Injection, tranexamic acid, 5 mg ",19.75,19.75,0.21,0.21,5
HCPCS,J3290,TRANEXAMIC 1000MG INJ,19.75,19.75,1.05,23.7,30
HCPCS,J3291,"Injection, tranexamic acid in sodium chloride, 5 mg ",42.0,42.0,0.2,0.2,5
HCPCS,J3291,TRANEX NACL 1000MG INJ,42.0,42.0,2.23,50.4,30
HCPCS,J3299,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,46.35,78.84,6
HCPCS,J3300,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,18.22,30.99,6
HCPCS,J3301,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",582.0,582.0,0.87,1.49,6
HCPCS,J3301,TRIAMCINOLN ACE 40MG INJ,582.0,582.0,30.85,698.4,30
HCPCS,J3302,"Injection, triamcinolone diacetate, per 5 mg ",,,0.54,0.54,5
HCPCS,J3303,"Injection, triamcinolone hexacetonide, per 5 mg ",,,16.09,16.09,5
HCPCS,J3304,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,18.08,30.76,6
HCPCS,J3315,"Injection, triptorelin pamoate, 3.75 mg ",,,455.3,774.48,6
HCPCS,J3316,"Injection, triptorelin, extended-release, 3.75 mg ",,,3612.05,6144.2,6
HCPCS,J3350,"Injection, urea, up to 40 gm ",,,,,0
HCPCS,J3357,"Ustekinumab, for subcutaneous injection, 1 mg ",,,672.72,672.72,5
HCPCS,J3358,"Ustekinumab, for intravenous injection, 1 mg ",,,11.27,19.17,6
HCPCS,J3360,DIAZEPAM 10 MG INJ,201.0,201.0,10.65,241.2,30
HCPCS,J3360,"Injection, diazepam, up to 5 mg ",201.0,201.0,8.25,14.04,6
HCPCS,J3373,"Injection, vancomycin hydrochloride, 10 mg ",,,0.03,0.05,6
HCPCS,J3373,VANCO 1 G INJ,19.75,19.75,1.05,23.7,30
HCPCS,J3373,VANCO 1.25 G INJ,105.0,105.0,5.57,126.0,30
HCPCS,J3373,VANCO 1.5 G INJ,73.0,73.0,3.87,87.6,30
HCPCS,J3373,VANCO 5 MG/ML INJ,1.78,1.78,0.09,2.14,30
HCPCS,J3373,VANCO 500 MG INJ,16.5,16.5,0.87,19.8,30
HCPCS,J3373,VANCO 750 MG INJ,40.0,40.0,2.12,48.0,30
HCPCS,J3374,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.1,0.17,6
HCPCS,J3375,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.16,0.26,6
HCPCS,J3376,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.01,0.02,6
HCPCS,J3379,"Injection, valproate sodium, 5 mg ",7.24,7.24,0.04,0.07,6
HCPCS,J3379,VALPROATE 30MG/ML INJ,7.24,7.24,0.38,8.69,30
HCPCS,J3380,"Injection, vedolizumab, intravenous, 1 mg ",42962.0,42962.0,20.35,34.62,6
HCPCS,J3380,VEDOLIZUMAB 300 MG IV,42962.0,42962.0,3694.73,51554.4,29
HCPCS,J3385,"Injection, velaglucerase alfa, 100 units ",,,376.52,640.46,6
HCPCS,J3386,"Injection, etuvetidigene autotemcel, per treatment ",,,,,0
HCPCS,J3387,"Injection, elivaldogene autotemcel, per treatment ",,,5247000.0,5247000.0,5
HCPCS,J3389,"Topical administration, prademagene zamikeracel, per treatment ",,,5504103.0,5504103.0,5
HCPCS,J3391,"Injection, atidarsagene autotemcel, per treatment ",,,7433250.0,7433250.0,5
HCPCS,J3392,"Injection, exagamglogene autotemcel, per treatment ",,,3847800.0,3847800.0,5
HCPCS,J3393,"Injection, betibeglogene autotemcel, per treatment ",,,4848228.0,4848228.0,5
HCPCS,J3394,"Injection, lovotibeglogene autotemcel, per treatment ",,,5354879.29,5354879.29,5
HCPCS,J3396,"Injection, verteporfin, 0.1 mg ",,,11.22,19.09,6
HCPCS,J3397,"Injection, vestronidase alfa-vjbk, 1 mg ",,,462.25,462.25,5
HCPCS,J3398,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,5065.65,5065.65,5
HCPCS,J3399,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,4268693.98,4268693.98,5
HCPCS,J3401,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,974.44,1657.56,6
HCPCS,J3402,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,196632.58,334477.41,6
HCPCS,J3403,"Revakinagene taroretcel-lwey, per implant ",,,,,0
HCPCS,J3404,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,201135.0,201135.0,5
HCPCS,J3405,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,,,0
HCPCS,J3410,HYDROXYZINE 25 MG INJ,89.0,89.0,4.72,106.8,30
HCPCS,J3410,"Injection, hydroxyzine hcl, up to 25 mg ",89.0,89.0,14.71,25.03,6
HCPCS,J3411,"Injection, thiamine hcl, 100 mg ",,,1.5,2.56,6
HCPCS,J3411,THIAMINE 100 MG INJ,72.0,72.0,3.82,86.4,30
HCPCS,J3411,THIAMINE 200 MG MDV,19.0,19.0,1.01,22.8,30
HCPCS,J3415,"Injection, pyridoxine hcl, 100 mg ",143.0,143.0,14.45,24.59,6
HCPCS,J3415,PYRIDOXINE 100 MG INJ,143.0,143.0,7.58,171.6,30
HCPCS,J3420,CYANOCOBALAMIN 1000 MCG,160.0,160.0,8.48,192.0,30
HCPCS,J3420,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",160.0,160.0,0.65,1.11,6
HCPCS,J3424,HYDROXOCOBALAM 5 G IV,4263.6,4263.6,366.67,5116.32,29
HCPCS,J3424,"Injection, hydroxocobalamin, intravenous, 25 mg ",4263.6,4263.6,8.98,8.98,5
HCPCS,J3425,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.01,0.02,6
HCPCS,J3430,"Injection, phytonadione (vitamin k), per 1 mg ",,,3.07,5.21,6
HCPCS,J3430,VIT K PHYTON 1 MG/ML INJ,160.0,160.0,8.48,192.0,30
HCPCS,J3430,VIT K PHYTONADIONE 1 MG,160.0,160.0,8.48,192.0,30
HCPCS,J3430,VIT K PHYTONADIONE 10 MG,243.0,243.0,12.88,291.6,30
HCPCS,J3465,"Injection, voriconazole, 10 mg ",,,0.63,1.07,6
HCPCS,J3465,VORICONAZOLE 200 MG INJ,963.0,963.0,51.04,1155.6,30
HCPCS,J3465,VORICONAZOLE 5MG/ML INJ,24.07,24.07,1.28,28.88,30
HCPCS,J3470,HYALURONIDASE UP TO 150U,982.0,982.0,52.05,1178.4,30
HCPCS,J3470,"Injection, hyaluronidase, up to 150 units ",982.0,982.0,30.6,52.06,6
HCPCS,J3471,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.54,0.54,5
HCPCS,J3472,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,181.32,181.32,5
HCPCS,J3473,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.35,0.59,6
HCPCS,J3475,"Injection, magnesium sulfate, per 500 mg ",,,0.42,0.71,6
HCPCS,J3475,MAG SULFATE 1G INJ,221.5,221.5,9.43,318.0,60
HCPCS,J3475,MAG SULFATE 20G INJ,83.0,83.0,4.4,99.6,30
HCPCS,J3475,MAG SULFATE 40 MG/ML INJ,8.75,8.75,0.46,10.5,30
HCPCS,J3475,MAG SULFATE 40G INJ,554.0,554.0,29.36,664.8,30
HCPCS,J3475,MAG SULFATE 4G INJ,329.0,329.0,17.44,394.8,30
HCPCS,J3475,MAG SULFATE 500 MG INJ,83.0,83.0,4.4,99.6,30
HCPCS,J3480,"Injection, potassium chloride, per 2 meq ",,,0.13,0.21,6
HCPCS,J3480,POTASS CL 0.1 MEQ/ML INJ,15.14,15.14,0.8,18.17,30
HCPCS,J3480,POTASS CL 0.2MEQ/ML INJ,16.82,16.82,0.89,20.18,30
HCPCS,J3480,POTASS CL 10 MEQ INJ,22.0,22.0,1.17,26.4,30
HCPCS,J3480,POTASS CL 2 MEQ INJ,76.0,76.0,4.03,91.2,30
HCPCS,J3480,POTASS CL 20 MEQ INJ,148.5,148.5,1.7,318.0,60
HCPCS,J3485,"Injection, zidovudine, 10 mg ",,,1.46,2.49,6
HCPCS,J3485,ZIDOVUDINE 200 MG INJ,308.5,308.5,13.67,430.8,60
HCPCS,J3485,ZIDOVUDINE 4 MG/ML INJ,7.18,7.18,0.38,8.62,30
HCPCS,J3486,"Injection, ziprasidone mesylate, 10 mg ",941.0,941.0,5.69,9.69,6
HCPCS,J3486,ZIPRASIDONE 20 MG INJ,941.0,941.0,49.87,1129.2,30
HCPCS,J3489,"Injection, zoledronic acid, 1 mg ",868.0,868.0,29.95,50.95,6
HCPCS,J3489,ZOLEDRONIC ACID 4MG INJ,868.0,868.0,46.0,1041.6,30
HCPCS,J3490,ACD A/ANTICO-CIT-DEX 750,274.0,274.0,14.52,328.8,43
HCPCS,J3490,ACD A/ANTICO-CIT-DEX1000,154.0,154.0,8.16,184.8,43
HCPCS,J3490,BUPIV2.5/EPI0.005MG 10ML,367.0,367.0,19.45,440.4,43
HCPCS,J3490,BUPIV2.5/EPI0.005MG 30ML,367.0,367.0,19.45,440.4,43
HCPCS,J3490,BUPIV5MG/EPI0.005MG 10ML,367.0,367.0,19.45,440.4,43
HCPCS,J3490,BUPIV5MG/EPI0.005MG 30ML,106.0,106.0,5.62,127.2,43
HCPCS,J3490,BUPIV7.5/EPI0.005MG 30ML,367.0,367.0,19.45,440.4,43
HCPCS,J3490,CISATRACURIUM 20 MG INJ,32.47,32.47,1.72,38.96,30
HCPCS,J3490,CISATRACURIUM 200 MG INJ,1544.0,1544.0,81.83,1852.8,30
HCPCS,J3490,CISATRACURIUM 2MG/ML INJ,3.32,3.32,0.18,3.98,30
HCPCS,J3490,CISATRACURIUM0.4MG/MLINJ,1.27,1.27,0.07,1.52,30
HCPCS,J3490,CLINIMIX 4.25/5 2L INJ,464.74,464.74,24.63,557.69,30
HCPCS,J3490,CLINIMIX 5/15 2L INJ,497.84,497.84,26.39,597.41,30
HCPCS,J3490,CLINIMIX 5/20 1L INJ,234.9,234.9,12.45,281.88,30
HCPCS,J3490,CLINIMIX E 4.25/5 1L INJ,224.21,224.21,11.88,269.05,30
HCPCS,J3490,CLINIMIX E 5/15 2L INJ,482.3,482.3,25.56,578.76,30
HCPCS,J3490,CLINIMIX E 8/14 2L INJ,582.89,582.89,30.89,699.47,30
HCPCS,J3490,DANTRLNE(NOT SUSP)20 INJ,898.0,898.0,47.59,1077.6,30
HCPCS,J3490,DEXMED 400MCG/NS100MLINJ,82.0,82.0,4.35,98.4,43
HCPCS,J3490,DEXMEDETOMID 200 MCG INJ,15.0,15.0,0.8,18.0,43
HCPCS,J3490,DEXMEDETOMID 4 MCG/MLINJ,129.0,129.0,6.84,154.8,43
HCPCS,J3490,ENALAPRILAT 25MCG/ML INJ,7.34,7.34,0.39,8.81,30
HCPCS,J3490,EPHEDRINE 50 MG INJ,367.0,367.0,19.45,440.4,43
HCPCS,J3490,ETHACRYNATE 50MG INJ,59019.0,59019.0,3128.01,70822.8,30
HCPCS,J3490,FLUMAZENIL 0.1 MG INJ,1476.0,1476.0,78.23,1771.2,30
HCPCS,J3490,IBUPROFEN LYS 5MG/ML INJ,4938.18,4938.18,261.72,5925.82,30
HCPCS,J3490,INDOMETHACIN 0.5MG/MLINJ,2898.0,2898.0,153.59,3477.6,30
HCPCS,J3490,INDOMETHACIN 1MG INJ,5796.0,5796.0,307.19,6955.2,30
HCPCS,J3490,INDOMETHACIN 50 MG SUPP,143.0,143.0,7.58,171.6,30
HCPCS,J3490,ISOPROTERENOL 1MG INJ,19322.0,19322.0,1024.07,23186.4,30
HCPCS,J3490,KETAMINE 2 MG/ML INJ,0.64,0.64,0.03,0.77,30
HCPCS,J3490,KETAMINE 200 MG MDV,14.0,14.0,0.74,16.8,30
HCPCS,J3490,KETAMINE 50 MG INJ,16.0,16.0,0.85,19.2,43
HCPCS,J3490,KETAMINE 500 MG MDV,26.41,26.41,1.4,31.69,30
HCPCS,J3490,LIPID EMUL 20% 100ML INJ,90.92,90.92,4.82,109.1,43
HCPCS,J3490,LIPID EMUL 20% 250ML INJ,92.84,92.84,4.92,111.41,43
HCPCS,J3490,NA BICARB 1 MEQ/ML INJ,0.73,0.73,0.04,0.88,30
HCPCS,J3490,NITROPRSIDE400MCG/ML INJ,76.06,76.06,4.03,91.27,30
HCPCS,J3490,NITROPRSIDE60MCG/ML INJ,12.66,12.66,0.67,15.19,30
HCPCS,J3490,NITROPRUSSIDE 50 MG INJ,4796.5,4796.5,4.5,11409.6,60
HCPCS,J3490,NOREPI 16MCG/ML INJ,329.0,329.0,17.44,394.8,30
HCPCS,J3490,NOREPI 32MCG/ML INJ,21.0,21.0,1.11,25.2,30
HCPCS,J3490,NOREPI 64MCG/ML INJ,41.0,41.0,2.17,49.2,30
HCPCS,J3490,PHYSOSTIGMINE 2 MG INJ,315.0,315.0,16.7,378.0,30
HCPCS,J3490,PLASMA-LYTE A 1000ML INJ,1138.0,1138.0,60.31,1365.6,43
HCPCS,J3490,POT PHOS 0.05MMOL/ML INJ,72.5,72.5,3.84,87.0,30
HCPCS,J3490,POT PHOS 0.12MMOL/ML INJ,72.5,72.5,3.84,87.0,30
HCPCS,J3490,REMIFENTANIL 2 MG INJ,701.0,701.0,37.15,841.2,30
HCPCS,J3490,ROCURONIUM 10 MG/ML INJ,2.0,2.0,0.11,2.4,30
HCPCS,J3490,ROCURONIUM 100 MG MDV,9.75,9.75,0.52,11.7,30
HCPCS,J3490,ROCURONIUM 5 MG/ML INJ,1.0,1.0,0.05,1.2,30
HCPCS,J3490,ROCURONIUM 50 MG MDV,9.75,9.75,0.52,11.7,30
HCPCS,J3490,SOD PHOS 0.05MMOL/ML INJ,9.04,9.04,0.48,10.85,30
HCPCS,J3490,SOD PHOS 0.12MMOL/ML INJ,9.04,9.04,0.48,10.85,30
HCPCS,J3490,SOD TETRADEC 3% 60MG MDV,277.9,277.9,14.73,333.48,30
HCPCS,J3490,TRANEXAMICAC 10MG/MLINJ,950.0,950.0,50.35,1140.0,30
HCPCS,J3490,Unclassified drugs ,,,,,0
HCPCS,J3490,VECURONIUM 1 MG/ML INJ,407.0,407.0,21.57,488.4,30
HCPCS,J3520,EDETATE DISOD 150 MG INJ,208.0,208.0,11.02,249.6,30
HCPCS,J3520,"Edetate disodium, per 150 mg ",208.0,208.0,0.54,0.54,5
HCPCS,J3530,Nasal vaccine inhalation ,,,,,0
HCPCS,J3535,ALBUTEROL HFA 90 8GM,510.0,510.0,27.03,612.0,44
HCPCS,J3535,BUDESONDE FLXHLR 180 MCG,1335.0,1335.0,70.75,1602.0,44
HCPCS,J3535,Drug administered through a metered dose inhaler ,,,,,0
HCPCS,J3535,LEVALBUTEROL HFA 45 15GM,538.0,538.0,28.51,645.6,44
HCPCS,J3535,TIOTROPIUM 18 MCG 1CAP,531.0,531.0,28.14,637.2,44
HCPCS,J3570,"Laetrile, amygdalin, vitamin b17 ",,,,,0
HCPCS,J3590,COLLAGENASE 30 GM TOP,793.0,793.0,42.03,951.6,30
HCPCS,J3590,COLLAGENASE TOPICAL,1632.5,1632.5,9.91,3693.6,60
HCPCS,J3590,DUPILUMAB 300 MG INJ,8992.23,8992.23,476.59,10790.68,44
HCPCS,J3590,PORACTANT 120 MG INST,2610.0,2610.0,138.33,3132.0,30
HCPCS,J3590,THROMBIN 5000 U TOPICAL,449.33,449.33,23.81,539.2,30
HCPCS,J3590,TISSEEL 10 ML TOPICAL,4829.0,4829.0,255.94,5794.8,30
HCPCS,J3590,TISSEEL 4 ML TOPICAL,2564.0,2564.0,135.89,3076.8,30
HCPCS,J3590,Unclassified biologics ,,,,,0
HCPCS,J3591,Unclassified drug or biological used for esrd on dialysis ,,,,,0
HCPCS,J7030,"Infusion, normal saline solution , 1000 cc ",784.0,784.0,2.12,3.61,6
HCPCS,J7030,NS 1000 ML,784.0,784.0,41.55,940.8,30
HCPCS,J7040,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",752.0,752.0,1.32,2.24,6
HCPCS,J7040,NS 500 ML,752.0,752.0,39.86,902.4,30
HCPCS,J7042,5% dextrose/normal saline (500 ml = 1 unit) ,,,1.25,2.13,6
HCPCS,J7050,"Infusion, normal saline solution, 250 cc ",,,0.68,1.16,6
HCPCS,J7050,NS 100 ML,403.0,403.0,21.36,483.6,30
HCPCS,J7050,NS 250 ML,505.0,505.0,26.77,606.0,30
HCPCS,J7050,NS 50 ML,403.0,403.0,21.36,483.6,30
HCPCS,J7060,5% dextrose/water (500 ml = 1 unit) ,,,1.81,3.09,6
HCPCS,J7060,D5W 100 ML,403.0,403.0,21.36,483.6,30
HCPCS,J7060,D5W 250 ML,541.19,541.19,28.68,649.43,30
HCPCS,J7060,D5W 50 ML,403.0,403.0,21.36,483.6,30
HCPCS,J7060,D5W 500 ML,448.0,448.0,23.74,537.6,30
HCPCS,J7070,D5W 1000ML,505.0,505.0,26.77,606.0,30
HCPCS,J7070,"Infusion, d5w, 1000 cc ",505.0,505.0,2.98,5.07,6
HCPCS,J7100,"Infusion, dextran 40, 500 ml ",,,642.05,642.05,5
HCPCS,J7110,"Infusion, dextran 75, 500 ml ",,,,,0
HCPCS,J7120,LACTATED RINGERS 1000 ML,435.5,435.5,5.3,925.2,90
HCPCS,J7120,"Ringers lactate infusion, up to 1000 cc ",,,2.52,4.29,6
HCPCS,J7121,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,9.98,9.98,5
HCPCS,J7121,D5LR 500 ML,7.75,7.75,0.41,9.3,30
HCPCS,J7121,D5LRS UP TO 1000 ML,37.0,37.0,1.96,44.4,30
HCPCS,J7131,23.4% NACL 30 ML INJ,65.83,65.83,3.49,79.0,30
HCPCS,J7131,"Hypertonic saline solution, 1 ml ",65.83,65.83,0.17,0.17,5
HCPCS,J7165,BALFAXAR 640 U IX INJ,3392.0,3392.0,291.71,4070.4,29
HCPCS,J7165,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",3392.0,3392.0,2.84,2.84,5
HCPCS,J7168,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.38,3.38,5
HCPCS,J7169,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,216.41,216.41,5
HCPCS,J7170,"Injection, emicizumab-kxwh, 0.5 mg ",,,53.97,91.81,6
HCPCS,J7171,"Injection, adamts13, recombinant-krhn, 10 iu ",,,34.51,58.71,6
HCPCS,J7172,"Injection, marstacimab-hncq, 0.5 mg ",,,48.68,82.81,6
HCPCS,J7173,"Injection, concizumab-mtci, 0.5 mg ",,,80.97,137.73,6
HCPCS,J7174,"Injection, fitusiran, 0.04 mg ",,,128.65,218.84,6
HCPCS,J7175,"Injection, factor x, (human), 1 i.u. ",,,9.65,16.42,6
HCPCS,J7176,"Injection, human fibrinogen - chmt (fesilty), 1 mg ",,,,,0
HCPCS,J7177,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,1.2,2.05,6
HCPCS,J7178,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,1.47,2.51,6
HCPCS,J7179,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,1.78,3.02,6
HCPCS,J7180,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,10.46,17.79,6
HCPCS,J7181,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,17.78,30.24,6
HCPCS,J7182,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,1.37,2.33,6
HCPCS,J7182,NOVOEIGHT 1000 U INJ,9331.2,9331.2,802.48,11197.44,29
HCPCS,J7182,NOVOEIGHT 1500 U INJ,16442.0,16442.0,1414.01,19730.4,29
HCPCS,J7182,NOVOEIGHT 2000 U INJ,18325.44,18325.44,1575.99,21990.53,29
HCPCS,J7182,NOVOEIGHT 500 U INJ,4570.56,4570.56,393.07,5484.67,29
HCPCS,J7183,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,1.28,2.18,6
HCPCS,J7185,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,1.45,2.46,6
HCPCS,J7186,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,1.21,2.06,6
HCPCS,J7187,HUMATE-P 1200 U VWF:RCO,11817.92,11817.92,1016.34,14181.5,29
HCPCS,J7187,HUMATE-P PER IU VWF:RCO,12.0,12.0,1.03,14.4,29
HCPCS,J7187,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,1.45,2.46,6
HCPCS,J7188,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,3.14,5.35,6
HCPCS,J7189,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,2.56,4.36,6
HCPCS,J7189,NOVOSEVEN RT 1 MG INJ,23142.0,23142.0,1990.21,27770.4,29
HCPCS,J7189,NOVOSEVEN RT 2 MG INJ,46280.0,46280.0,3980.08,55536.0,29
HCPCS,J7189,NOVOSEVEN RT 5 MG INJ,115745.0,115745.0,9954.07,138894.0,29
HCPCS,J7190,"Factor viii (antihemophilic factor, human) per i.u. ",,,1.35,2.29,6
HCPCS,J7191,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,9.01,9.01,5
HCPCS,J7192,FAC VIII RECOMB 1U NOS,11.0,11.0,0.95,13.2,29
HCPCS,J7192,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",11.0,11.0,1.52,2.59,6
HCPCS,J7193,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,1.33,2.26,6
HCPCS,J7194,FAC IX COMPLEX 1 UNIT,9.0,9.0,0.77,10.8,29
HCPCS,J7194,"Factor ix, complex, per i.u. ",9.0,9.0,1.65,2.81,6
HCPCS,J7195,BENEFIX 1 U INJ,4.28,4.28,0.37,5.14,29
HCPCS,J7195,BENEFIX 1000 U INJ,4630.0,4630.0,398.18,5556.0,29
HCPCS,J7195,BENEFIX 500 U INJ,2492.0,2492.0,214.31,2990.4,29
HCPCS,J7195,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,1.78,3.04,6
HCPCS,J7196,"Injection, antithrombin recombinant, 50 i.u. ",,,,,0
HCPCS,J7197,"Antithrombin iii (human), per i.u. ",10063.0,10063.0,3.98,6.77,6
HCPCS,J7197,THROMBATE III 500 U INJ,10063.0,10063.0,865.42,12075.6,29
HCPCS,J7198,"Anti-inhibitor, per i.u. ",,,2.35,3.99,6
HCPCS,J7199,"Hemophilia clotting factor, not otherwise classified ",,,,,0
HCPCS,J7200,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,1.69,2.87,6
HCPCS,J7201,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,3.47,5.91,6
HCPCS,J7202,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,5.16,8.78,6
HCPCS,J7203,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,4.37,7.43,6
HCPCS,J7204,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,2.16,3.68,6
HCPCS,J7205,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,2.39,4.06,6
HCPCS,J7207,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,2.08,3.53,6
HCPCS,J7208,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,2.58,4.39,6
HCPCS,J7209,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",9.98,9.98,1.14,1.95,6
HCPCS,J7209,NUWIQ 1 U INJ,9.98,9.98,0.86,11.98,29
HCPCS,J7210,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,1.52,2.59,6
HCPCS,J7211,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,1.51,2.57,6
HCPCS,J7212,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,2.13,3.63,6
HCPCS,J7213,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,1.91,3.25,6
HCPCS,J7214,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,4.36,7.41,6
HCPCS,J7294,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,4792.69,4792.69,5
HCPCS,J7295,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,309.03,309.03,5
HCPCS,J7296,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,2519.43,2519.43,5
HCPCS,J7297,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,1937.07,1937.07,5
HCPCS,J7298,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,2519.43,2519.43,5
HCPCS,J7299,Intrauterine copper contraceptive (miudella) ,,,2350.26,2350.26,5
HCPCS,J7300,Intrauterine copper contraceptive (paragard) ,,,2349.6,2349.6,5
HCPCS,J7301,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,2097.84,2097.84,5
HCPCS,J7304,"Contraceptive supply, hormone containing patch, each ",,,,,0
HCPCS,J7306,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,640.4,640.4,5
HCPCS,J7307,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,2525.21,2525.21,5
HCPCS,J7308,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,378.32,643.53,6
HCPCS,J7311,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,328.63,559.0,6
HCPCS,J7312,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,197.68,336.25,6
HCPCS,J7313,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,494.52,841.19,6
HCPCS,J7314,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,513.99,874.32,6
HCPCS,J7315,"Mitomycin, ophthalmic, 0.2 mg ",,,,,0
HCPCS,J7316,"Injection, ocriplasmin, 0.125 mg ",,,,,0
HCPCS,J7318,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,6.53,11.1,6
HCPCS,J7320,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,3.57,6.07,6
HCPCS,J7321,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,72.2,122.81,6
HCPCS,J7322,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,17.59,29.91,6
HCPCS,J7323,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,102.41,174.21,6
HCPCS,J7324,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,105.82,180.0,6
HCPCS,J7325,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,6.75,11.48,6
HCPCS,J7326,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,510.99,869.2,6
HCPCS,J7327,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,635.68,1081.31,6
HCPCS,J7328,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,0.66,1.12,6
HCPCS,J7329,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,3.17,5.4,6
HCPCS,J7330,"Autologous cultured chondrocytes, implant ",,,138148.31,138148.31,5
HCPCS,J7331,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,3.03,5.15,6
HCPCS,J7332,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,10.23,17.41,6
HCPCS,J7336,"Capsaicin 8% patch, per square centimeter ",,,3.32,5.64,6
HCPCS,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,236.72,402.67,6
HCPCS,J7342,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,56.07,56.07,5
HCPCS,J7345,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,1.72,2.92,6
HCPCS,J7351,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,207.6,353.13,6
HCPCS,J7352,"Afamelanotide implant, 1 mg ",,,4856.64,4856.64,5
HCPCS,J7353,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,113.4,113.4,5
HCPCS,J7354,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,647.06,1100.67,6
HCPCS,J7355,"Injection, travoprost, intracameral implant, 1 microgram ",,,190.97,324.85,6
HCPCS,J7356,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,0.68,1.16,6
HCPCS,J7402,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,11.01,18.73,6
HCPCS,J7500,AZATHIOPRINE 50 MG PO,43.0,43.0,2.28,51.6,30
HCPCS,J7500,"Azathioprine, oral, 50 mg ",43.0,43.0,0.17,0.3,6
HCPCS,J7501,"Azathioprine, parenteral, 100 mg ",,,420.35,420.35,5
HCPCS,J7502,CYCLOSP MOD 100 MG PO,90.0,90.0,4.77,108.0,30
HCPCS,J7502,CYCLOSPORINE 100 MG PO,119.0,119.0,6.31,142.8,30
HCPCS,J7502,"Cyclosporine, oral, 100 mg ",,,1.39,2.36,6
HCPCS,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,1.8,3.07,6
HCPCS,J7504,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,5133.66,8732.51,6
HCPCS,J7507,TACROLIMUS IMM 0.5 MG PO,106.0,106.0,5.62,127.2,30
HCPCS,J7507,TACROLIMUS IMM 1 MG PO,62.0,62.0,3.29,74.4,30
HCPCS,J7507,TACROLIMUS IMM 5 MG PO,22.0,22.0,1.17,26.4,30
HCPCS,J7507,"Tacrolimus, immediate release, oral, 1 mg ",,,0.22,0.38,6
HCPCS,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,0.57,0.97,6
HCPCS,J7509,"Methylprednisolone oral, per 4 mg ",,,0.14,0.23,6
HCPCS,J7510,PREDNISOLON 15MG/5ML LIQ,2.5,2.5,0.13,3.0,30
HCPCS,J7510,"Prednisolone oral, per 5 mg ",2.5,2.5,0.72,1.22,6
HCPCS,J7511,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,992.43,1688.15,6
HCPCS,J7512,PREDNISON 5MG/5ML LIQ PO,8.0,8.0,0.42,9.6,30
HCPCS,J7512,PREDNISONE 10 MG PO,43.0,43.0,2.28,51.6,44
HCPCS,J7512,PREDNISONE 20 MG PO,37.0,37.0,1.96,44.4,44
HCPCS,J7512,PREDNISONE 5 MG PO,43.0,43.0,2.28,51.6,44
HCPCS,J7512,PREDNISONE 50 MG PO,37.0,37.0,1.96,44.4,44
HCPCS,J7512,PREDNISONE IR/DR 1 MG PO,37.0,37.0,1.96,44.4,44
HCPCS,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,0.01,3.65,6
HCPCS,J7514,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,2.18,3.71,6
HCPCS,J7515,CYCLOSP MOD 25 MG PO,56.0,56.0,2.97,67.2,30
HCPCS,J7515,"Cyclosporine, oral, 25 mg ",56.0,56.0,0.61,1.04,6
HCPCS,J7516,"Injection, cyclosporine, 250 mg ",,,71.97,122.43,6
HCPCS,J7517,MYCOPHENOLATE 250 MG PO,70.0,70.0,3.71,84.0,30
HCPCS,J7517,"Mycophenolate mofetil, oral, 250 mg ",70.0,70.0,0.14,0.23,6
HCPCS,J7518,"Mycophenolic acid, oral, 180 mg ",,,0.31,0.53,6
HCPCS,J7519,"Injection, mycophenolate mofetil, 10 mg ",,,0.39,0.66,6
HCPCS,J7520,SIROLIMUS 1 MG PO,81.0,81.0,4.29,97.2,30
HCPCS,J7520,"Sirolimus, oral, 1 mg ",81.0,81.0,1.23,2.1,6
HCPCS,J7521,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,1.24,2.11,6
HCPCS,J7525,TACROLIMUS 5 MG INJ,2134.0,2134.0,183.52,2560.8,29
HCPCS,J7525,"Tacrolimus, parenteral, 5 mg ",2134.0,2134.0,252.16,428.93,6
HCPCS,J7527,"Everolimus, oral, 0.25 mg ",,,1.2,2.05,6
HCPCS,J7528,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.3,0.51,6
HCPCS,J7599,"Immunosuppressive drug, not otherwise classified ",,,,,0
HCPCS,J7601,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,50.56,86.0,6
HCPCS,J7604,"Acetylcysteine, inhalation solution, compounded product, administered through dme, unit dose form, per gram ",,,,,0
HCPCS,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,0.71,1.2,6
HCPCS,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,1.73,2.94,6
HCPCS,J7607,"Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0.5 mg ",,,,,0
HCPCS,J7608,ACETYLCYSTN 10% 4 ML INH,20.0,20.0,1.06,24.0,30
HCPCS,J7608,ACETYLCYSTN 20% 30ML INH,328.6,328.6,17.42,394.32,30
HCPCS,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,8.28,14.09,6
HCPCS,J7608,INH ACETYLCYST NONCMP 1G,108.0,108.0,5.72,129.6,30
HCPCS,J7608,INH ACETYLCYSTN 10% 4ML,72.0,72.0,3.82,86.4,30
HCPCS,J7608,INH ACETYLCYSTN 20% 10ML,183.0,183.0,9.7,219.6,30
HCPCS,J7608,INH ACETYLCYSTN 20% 30ML,186.0,186.0,9.86,223.2,30
HCPCS,J7608,INH ACETYLCYSTN 20% 4ML,153.0,153.0,8.11,183.6,30
HCPCS,J7609,"Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg ",,,,,0
HCPCS,J7610,"Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg ",,,,,0
HCPCS,J7611,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.23,0.4,6
HCPCS,J7612,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.31,0.53,6
HCPCS,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.08,0.13,6
HCPCS,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.09,0.15,6
HCPCS,J7615,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,3.3,3.3,5
HCPCS,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.2,0.35,6
HCPCS,J7622,"Beclomethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,,,0
HCPCS,J7624,"Betamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,,,0
HCPCS,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,1.07,1.82,6
HCPCS,J7627,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,7.72,7.72,5
HCPCS,J7628,"Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,,,0
HCPCS,J7629,"Bitolterol mesylate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,,,0
HCPCS,J7631,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,0.79,1.34,6
HCPCS,J7632,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.54,0.54,5
HCPCS,J7633,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram ",,,,,0
HCPCS,J7634,"Budesonide, inhalation solution, compounded product, administered through dme, concentrated form, per 0.25 milligram ",,,,,0
HCPCS,J7635,"Atropine, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,,,0
HCPCS,J7636,"Atropine, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,,,0
HCPCS,J7637,"Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,,,0
HCPCS,J7638,"Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,,,0
HCPCS,J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",694.0,694.0,53.51,91.03,6
HCPCS,J7639,INH DORNASEALFA UD 2.5MG,694.0,694.0,36.78,832.8,30
HCPCS,J7640,"Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms ",,,,,0
HCPCS,J7641,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,17.08,17.08,5
HCPCS,J7642,"Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,,,0
HCPCS,J7643,"Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,,,0
HCPCS,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,0.43,0.73,6
HCPCS,J7645,"Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,,,0
HCPCS,J7647,"Isoetharine hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,,,0
HCPCS,J7648,"Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram ",,,,,0
HCPCS,J7649,"Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,,,0
HCPCS,J7650,"Isoetharine hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,,,0
HCPCS,J7657,"Isoproterenol hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,,,0
HCPCS,J7658,"Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram ",,,,,0
HCPCS,J7659,"Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,,,0
HCPCS,J7660,"Isoproterenol hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,,,0
HCPCS,J7665,"Mannitol, administered through an inhaler, 5 mg ",,,1.95,1.95,5
HCPCS,J7667,"Metaproterenol sulfate, inhalation solution, compounded product, concentrated form, per 10 milligrams ",,,,,0
HCPCS,J7668,"Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 10 milligrams ",,,,,0
HCPCS,J7669,"Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,,,0
HCPCS,J7670,"Metaproterenol sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,,,0
HCPCS,J7674,INH METHACHOLINE 1 MG,290.0,290.0,15.37,348.0,30
HCPCS,J7674,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",290.0,290.0,1.8,1.8,5
HCPCS,J7676,"Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mg ",,,,,0
HCPCS,J7677,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.19,0.33,6
HCPCS,J7680,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,21.5,21.5,5
HCPCS,J7681,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,21.5,21.5,5
HCPCS,J7682,TOBRAMYCIN NC 300 MG INH,15.75,15.75,0.83,18.9,30
HCPCS,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",15.75,15.75,7.54,12.82,6
HCPCS,J7683,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,7.72,7.72,5
HCPCS,J7684,"Triamcinolone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,,,0
HCPCS,J7685,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,98.65,98.65,5
HCPCS,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,765.5,1302.15,6
HCPCS,J7699,"Noc drugs, inhalation solution administered through dme ",19973.0,19973.0,,,0
HCPCS,J7699,RIBAVIRIN 6 GM INH,19973.0,19973.0,1058.57,23967.6,30
HCPCS,J7799,"Noc drugs, other than inhalation drugs, administered through dme ",,,,,0
HCPCS,J7999,CMPD CARDIOPLEGIA,531.19,531.19,28.15,637.43,30
HCPCS,J7999,CMPD CLONAZ 0.1 MG/ML PO,8.625,8.625,0.45,10.5,88
HCPCS,J7999,CMPD CLONID 10 MCG/ML PO,3.8,3.8,0.2,4.56,44
HCPCS,J7999,CMPD CUST TPN NICU 250ML,2800.0,2800.0,148.4,3360.0,30
HCPCS,J7999,CMPD CYC TRO PHE OPHTH,28.88,28.88,1.53,34.66,30
HCPCS,J7999,CMPD EPI 5 MG 250B,210.5,210.5,11.16,252.6,30
HCPCS,J7999,CMPD FLECAINID 20MG/MLPO,1.93,1.93,0.1,2.32,44
HCPCS,J7999,CMPD INDOMET 100MG SUPP,1592.0,1592.0,84.38,1910.4,44
HCPCS,J7999,CMPD INSU DRIP 100U 100B,117.0,117.0,6.2,140.4,44
HCPCS,J7999,CMPD LACTULOSE ENEMA,2.2,2.2,0.12,2.64,43
HCPCS,J7999,CMPD LETS KIT,8.78,8.78,0.47,10.54,30
HCPCS,J7999,CMPD MAGIC MOUTHWASH 5ML,8.5,8.5,0.45,10.2,44
HCPCS,J7999,CMPD MIDZLM 50MG 50B,453.0,453.0,24.01,543.6,30
HCPCS,J7999,CMPD MITOMYCIN OPHTHAL,124.0,124.0,6.57,148.8,30
HCPCS,J7999,CMPD MORPH 0.4MG/ML PO,0.15,0.15,0.008,0.18,44
HCPCS,J7999,CMPD MORPH 100MG 100B,10.0,10.0,0.53,12.0,30
HCPCS,J7999,CMPD NEOSTG 3MG 3S,253.0,253.0,13.41,303.6,30
HCPCS,J7999,CMPD NITROGLY1000MCG 10S,122.0,122.0,6.47,146.4,30
HCPCS,J7999,CMPD NOREPI 8MG 250B,31.0,31.0,1.64,37.2,30
HCPCS,J7999,CMPD OXYTOCIN 30U 500B,83.0,83.0,4.4,99.6,30
HCPCS,J7999,CMPD PCNGK 2.5MU/D5W 50B,54.65,54.65,2.9,65.58,30
HCPCS,J7999,CMPD PT SPEC INJ NOC,1053.54,1053.54,55.84,1264.25,30
HCPCS,J7999,CMPD PT SPEC TPN NOC,3128.0,3128.0,165.78,3753.6,30
HCPCS,J7999,CMPD RIFAMPIN 25MG/ML PO,1.6,1.6,0.08,1.92,44
HCPCS,J7999,CMPD ROPIVCN 0.2% 100C,798.0,798.0,42.29,957.6,30
HCPCS,J7999,CMPD ROPIVCN 0.2% 400Q,798.0,798.0,42.29,957.6,30
HCPCS,J7999,CMPD ROPIVCN 0.2% 600Q,842.4,842.4,44.65,1010.88,30
HCPCS,J7999,CMPD TOBRA BONE CEMENT,10.34,10.34,0.55,12.41,30
HCPCS,J7999,CMPD TPN SOLUTION,266.0,266.0,14.1,319.2,30
HCPCS,J7999,CMPD URSODIOL 20MG/ML PO,1.2,1.2,0.06,1.44,44
HCPCS,J7999,CMPD VANCO 1.5G 500B,267.0,267.0,14.15,320.4,30
HCPCS,J7999,CMPD VANCOMYCIN OPHTHAL,1.65,1.65,0.09,1.98,30
HCPCS,J7999,CMPD VANCOMYCIN TOPICAL,20.0,20.0,1.06,24.0,30
HCPCS,J7999,CMPD ZINC SUL 5MG/ML PO,2.8,2.8,0.15,3.36,44
HCPCS,J7999,CMPDHYDROXUREA100MG/MLPO,21.0,21.0,1.11,25.2,44
HCPCS,J7999,"Compounded drug, not otherwise classified ",,,,,0
HCPCS,J8498,"Antiemetic drug, rectal/suppository, not otherwise specified ",,,,,0
HCPCS,J8499,ALBENDAZOLE 200 MG PO,81.0,81.0,4.29,97.2,30
HCPCS,J8499,ALVIMOPAN 12MG PO,668.0,668.0,35.4,801.6,30
HCPCS,J8499,BIKTARVY PO,389.0,389.0,20.62,466.8,44
HCPCS,J8499,BUPROPION SR 150 MG PO,31.0,31.0,1.64,37.2,44
HCPCS,J8499,CHLOROQUINE 500 MG PO,75.0,75.0,3.98,90.0,44
HCPCS,J8499,DAPAGLIFLOZIN 10 MG PO,60.0,60.0,3.18,72.0,30
HCPCS,J8499,DIAZOXIDE 50MG/ML PO30ML,111.0,111.0,5.88,133.2,30
HCPCS,J8499,ELTROMBOPAG 50 MG PO,28.47,28.47,1.51,34.16,30
HCPCS,J8499,ERYTHRMYCN 200/5 PO100ML,33.0,33.0,1.75,39.6,30
HCPCS,J8499,FAMOTIDNE 40MG/5MLPO50ML,486.0,486.0,25.76,583.2,30
HCPCS,J8499,FIDAXOMICIN 200 MG PO,1177.0,1177.0,62.38,1412.4,30
HCPCS,J8499,FLUCYTOSINE 500 MG PO,87.0,87.0,4.61,104.4,30
HCPCS,J8499,HYDROXYCHLOROQN 200MG PO,50.0,50.0,2.65,60.0,44
HCPCS,J8499,IVERMECTIN 3 MG PO,156.0,156.0,8.27,187.2,44
HCPCS,J8499,LINAGLIPTIN 5 MG PO,25.0,25.0,1.32,30.0,44
HCPCS,J8499,LINEZOLID 600MG PO,21.25,21.25,1.13,25.5,30
HCPCS,J8499,NALOXEGOL 12.5 MG PO,78.48,78.48,4.16,94.18,30
HCPCS,J8499,NALOXEGOL 25 MG PO,78.48,78.48,4.16,94.18,30
HCPCS,J8499,NIMODIPINE 30 MG/5 ML PO,189.0,189.0,10.02,226.8,44
HCPCS,J8499,NIMODIPINE 60 MG/10ML PO,718.0,718.0,38.05,861.6,44
HCPCS,J8499,OSELTAMIVR 6MG/ML PO60ML,5.0,5.0,0.27,6.0,30
HCPCS,J8499,PRAZIQUANTEL 600 MG PO,445.0,445.0,23.59,534.0,44
HCPCS,J8499,PYRIMETHAMINE 25 MG PO,3783.0,3783.0,200.5,4539.6,30
HCPCS,J8499,"Prescription drug, oral, non chemotherapeutic, nos ",,,,,0
HCPCS,J8499,RITONAVIR 100 MG PO,20.41,20.41,1.08,24.49,44
HCPCS,J8499,STRIBILD PO,513.0,513.0,27.19,615.6,44
HCPCS,J8499,SYMTUZA PO,140.0,140.0,7.42,168.0,30
HCPCS,J8499,TERBUTALINE 2.5 MG PO,29.0,29.0,1.54,34.8,44
HCPCS,J8499,TERBUTALINE 5 MG PO,29.0,29.0,1.54,34.8,44
HCPCS,J8499,TOLVAPTAN 15MG PO,2225.0,2225.0,117.92,2670.0,30
HCPCS,J8499,VALGANCICLOVIR 50MG/MLPO,65.0,65.0,3.44,78.0,44
HCPCS,J8501,"Aprepitant, oral, 5 mg ",,,2.32,3.94,6
HCPCS,J8502,"Injection, aprepitant (aponvie), 1 mg ",,,1.89,3.22,6
HCPCS,J8510,"Busulfan; oral, 2 mg ",,,16.7,16.7,5
HCPCS,J8515,CABERGOLINE 0.5 MG PO,11.0,11.0,0.58,13.2,30
HCPCS,J8515,"Cabergoline, oral, 0.25 mg ",11.0,11.0,0.15,0.25,6
HCPCS,J8522,"Capecitabine, oral, 50 mg ",,,0.03,0.05,6
HCPCS,J8530,CYCLOPHOSPHAMIDE 25MG PO,97.0,97.0,5.14,116.4,30
HCPCS,J8530,CYCLOPHOSPHAMIDE 50MG PO,144.0,144.0,7.63,172.8,30
HCPCS,J8530,"Cyclophosphamide; oral, 25 mg ",,,1.6,2.72,6
HCPCS,J8540,DEXAMETHASONE 0.5 MG PO,31.0,31.0,1.64,37.2,30
HCPCS,J8540,DEXAMETHASONE 0.75 MG PO,31.0,31.0,1.64,37.2,30
HCPCS,J8540,DEXAMETHASONE 1 MG PO,25.0,25.0,1.32,30.0,30
HCPCS,J8540,DEXAMETHASONE 1.5 MG PO,32.0,32.0,1.7,38.4,30
HCPCS,J8540,DEXAMETHASONE 4 MG PO,32.0,32.0,1.7,38.4,30
HCPCS,J8540,"Dexamethasone, oral, 0.25 mg ",,,0.03,0.05,6
HCPCS,J8541,"Dexamethasone (hemady), oral, 0.25 mg ",,,0.71,0.71,5
HCPCS,J8560,ETOPOSIDE 50 MG PO,411.0,411.0,21.78,493.2,30
HCPCS,J8560,"Etoposide; oral, 50 mg ",411.0,411.0,84.23,143.29,6
HCPCS,J8565,"Gefitinib, oral, 250 mg ",,,480.15,480.15,5
HCPCS,J8597,"Antiemetic drug, oral, not otherwise specified ",,,,,0
HCPCS,J8600,MELPHALAN 2 MG PO,70.0,70.0,3.71,84.0,30
HCPCS,J8600,"Melphalan; oral, 2 mg ",70.0,70.0,7.72,7.72,5
HCPCS,J8610,METHOTREXATE 2.5 MG PO,117.0,117.0,6.2,140.4,30
HCPCS,J8610,"Methotrexate; oral, 2.5 mg ",117.0,117.0,0.14,0.23,6
HCPCS,J8611,"Methotrexate (jylamvo), oral, 2.5 mg ",,,18.15,30.87,6
HCPCS,J8612,"Methotrexate (xatmep), oral, 2.5 mg ",,,21.63,36.8,6
HCPCS,J8655,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,385.86,656.35,6
HCPCS,J8670,"Rolapitant, oral, 1 mg ",,,7.28,7.28,5
HCPCS,J8700,"Temozolomide, oral, 5 mg ",,,0.39,0.66,6
HCPCS,J8705,"Topotecan, oral, 0.25 mg ",,,121.46,206.61,6
HCPCS,J8999,DASATINIB 140 MG PO,160.0,160.0,8.48,192.0,30
HCPCS,J8999,ERLOTINIB 150 MG PO,1170.0,1170.0,62.01,1404.0,44
HCPCS,J8999,"Prescription drug, oral, chemotherapeutic, nos ",,,,,0
HCPCS,J9000,DOXORUBICIN 10 MG INJ,264.0,264.0,13.99,316.8,30
HCPCS,J9000,DOXORUBICIN 20 MG INJ,411.0,411.0,21.78,493.2,30
HCPCS,J9000,DOXORUBICIN 50 MG INJ,593.0,593.0,31.43,711.6,30
HCPCS,J9000,"Injection, doxorubicin hydrochloride, 10 mg ",,,2.65,4.5,6
HCPCS,J9003,"Leuprolide injectable (camcevi etm), 1 mg ",,,,,0
HCPCS,J9011,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,49.97,85.01,6
HCPCS,J9015,"Injection, aldesleukin, per single use vial ",,,5509.14,5509.14,5
HCPCS,J9017,"Injection, arsenic trioxide, 1 mg ",,,6.26,10.64,6
HCPCS,J9021,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,54.6,92.88,6
HCPCS,J9022,ATEZOLIZUMAB 1200 MG INJ,25237.15,25237.15,2170.39,30284.58,29
HCPCS,J9022,"Injection, atezolizumab, 10 mg ",25237.15,25237.15,91.18,155.1,6
HCPCS,J9023,"Injection, avelumab, 10 mg ",,,102.38,174.16,6
HCPCS,J9024,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,30.99,52.72,6
HCPCS,J9025,AZACITIDINE 100 MG INJ,117.28,117.28,6.22,140.74,30
HCPCS,J9025,"Injection, azacitidine, 1 mg ",117.28,117.28,0.4,0.68,6
HCPCS,J9026,"Injection, tarlatamab-dlle, 1 mg ",,,1520.69,2586.74,6
HCPCS,J9027,"Injection, clofarabine, 1 mg ",,,10.61,18.05,6
HCPCS,J9028,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,91.76,156.09,6
HCPCS,J9029,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,62353.83,106065.8,6
HCPCS,J9030,"Bcg live intravesical instillation, 1 mg ",,,3.29,5.59,6
HCPCS,J9032,"Injection, belinostat, 10 mg ",,,51.52,87.63,6
HCPCS,J9033,BENDAMUS HCL 100 MG INJ,19679.0,19679.0,1692.39,23614.8,29
HCPCS,J9033,"Injection, bendamustine hydrochloride, 1 mg ",19679.0,19679.0,2.1,3.56,6
HCPCS,J9034,"Injection, bendamustine hcl (bendeka), 1 mg ",,,12.51,21.29,6
HCPCS,J9035,BEVACIZUMAB 10 MG INJJW,731.0,731.0,62.87,877.2,29
HCPCS,J9035,BEVACIZUMAB 100 MG INJ,6040.0,6040.0,519.44,7248.0,29
HCPCS,J9035,BEVACIZUMAB 400 MG INJ,13548.0,13548.0,1165.13,16257.6,29
HCPCS,J9035,"Injection, bevacizumab, 10 mg ",,,72.13,122.69,6
HCPCS,J9036,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,13.52,23.0,6
HCPCS,J9038,"Injection, axatilimab-csfr, 0.1 mg ",,,53.98,91.82,6
HCPCS,J9039,"Injection, blinatumomab, 1 microgram ",,,159.04,270.53,6
HCPCS,J9040,BLEOMYCIN SULF 15 U INJ,2577.0,2577.0,136.58,3092.4,30
HCPCS,J9040,"Injection, bleomycin sulfate, 15 units ",2577.0,2577.0,16.1,27.39,6
HCPCS,J9041,BORTEZOMIB 3.5 MG INJ,2577.0,2577.0,136.58,3092.4,30
HCPCS,J9041,"Injection, bortezomib, 0.1 mg ",2577.0,2577.0,2.18,3.71,6
HCPCS,J9042,BRENTUXIMAB 50 MG INJ,10470.0,10470.0,900.42,12564.0,29
HCPCS,J9042,"Injection, brentuximab vedotin, 1 mg ",10470.0,10470.0,260.67,443.4,6
HCPCS,J9043,"Injection, cabazitaxel, 1 mg ",,,224.12,381.23,6
HCPCS,J9045,CARBOPLATIN 150 MG MDV,97.0,97.0,5.14,116.4,30
HCPCS,J9045,CARBOPLATIN 450 MG MDV,253.0,253.0,13.41,303.6,30
HCPCS,J9045,CARBOPLATIN 50 MG INJ,747.0,747.0,39.59,896.4,30
HCPCS,J9045,CARBOPLATIN 600 MG MDV,353.0,353.0,18.71,423.6,30
HCPCS,J9045,"Injection, carboplatin, 50 mg ",,,2.85,4.85,6
HCPCS,J9046,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,5.71,5.71,5
HCPCS,J9047,"Injection, carfilzomib, 1 mg ",,,54.55,92.8,6
HCPCS,J9048,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,11.5,11.5,5
HCPCS,J9049,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,1.22,2.08,6
HCPCS,J9050,"Injection, carmustine, 100 mg ",,,234.55,398.97,6
HCPCS,J9051,"Injection, bortezomib (maia), not therapeutically equivalent to j9041, 0.1 mg ",,,,,0
HCPCS,J9052,"Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg ",,,,,0
HCPCS,J9053,"Injection, belantamab mafodotin-blmf, 0.1 mg ",,,,,0
HCPCS,J9054,"Injection, bortezomib (boruzu), 0.1 mg ",,,24.65,41.93,6
HCPCS,J9055,CETUXIMAB 100 MG INJ,5235.0,5235.0,450.21,6282.0,29
HCPCS,J9055,"Injection, cetuximab, 10 mg ",5235.0,5235.0,78.05,132.76,6
HCPCS,J9056,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,30.79,52.37,6
HCPCS,J9057,"Injection, copanlisib, 1 mg ",,,,,0
HCPCS,J9060,CISPLATIN 100MG MDV,182.0,182.0,9.65,218.4,30
HCPCS,J9060,CISPLATIN 10MG INJ,353.0,353.0,18.71,423.6,30
HCPCS,J9060,CISPLATIN 200MG MDV,385.0,385.0,20.41,462.0,30
HCPCS,J9060,CISPLATIN 50MG MDV,80.0,80.0,4.24,96.0,30
HCPCS,J9060,"Injection, cisplatin, powder or solution, 10 mg ",,,2.1,3.58,6
HCPCS,J9061,"Injection, amivantamab-vmjw, 2 mg ",,,21.95,37.34,6
HCPCS,J9062,"Injection, amivantamab 5 mg and hyaluronidase-lpuj ",,,,,0
HCPCS,J9063,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",60825.0,60825.0,69.0,117.36,6
HCPCS,J9063,MIRVETUX-GYNX 100 MG INJ,60825.0,60825.0,5230.95,72990.0,29
HCPCS,J9064,"Injection, cabazitaxel (sandoz), not therapeutically equivalent to j9043, 1 mg ",,,,,0
HCPCS,J9065,"Injection, cladribine, per 1 mg ",,,8.47,14.4,6
HCPCS,J9071,"Injection, cyclophosphamide (auromedics), 5 mg ",,,0.5,0.86,6
HCPCS,J9072,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,8.83,15.02,6
HCPCS,J9073,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,0.48,0.83,6
HCPCS,J9074,"Injection, cyclophosphamide (sandoz), 5 mg ",,,3.54,6.02,6
HCPCS,J9075,CYCLOPHOS NOS 1 G INJ,1297.32,1297.32,111.57,1556.78,29
HCPCS,J9075,CYCLOPHOS NOS 2 G INJ,1105.0,1105.0,95.03,1326.0,29
HCPCS,J9075,CYCLOPHOS NOS 500 MGINJ,648.68,648.68,55.79,778.42,29
HCPCS,J9075,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,0.75,1.27,6
HCPCS,J9076,"Injection, cyclophosphamide (baxter), 5 mg ",,,3.61,6.14,6
HCPCS,J9100,CYTARABINE 2000 MG INJ,1108.0,1108.0,58.72,1329.6,30
HCPCS,J9100,"Injection, cytarabine, 100 mg ",1108.0,1108.0,0.78,1.32,6
HCPCS,J9118,"Injection, calaspargase pegol-mknl, 10 units ",,,79.62,135.43,6
HCPCS,J9119,CEMIPLIMAB-RWLC 350MGINJ,39992.0,39992.0,3439.31,47990.4,29
HCPCS,J9119,"Injection, cemiplimab-rwlc, 1 mg ",39992.0,39992.0,28.87,49.1,6
HCPCS,J9120,DACTINOMYCIN 0.5 MG INJ,5581.0,5581.0,479.97,6697.2,29
HCPCS,J9120,"Injection, dactinomycin, 0.5 mg ",5581.0,5581.0,327.54,557.16,6
HCPCS,J9130,DACARBAZINE 100 MG INJ,220.0,220.0,11.66,264.0,30
HCPCS,J9130,"Dacarbazine, 100 mg ",220.0,220.0,3.73,6.35,6
HCPCS,J9144,DARAT 1800MG/HYALU-FIHJ,22682.0,22682.0,1950.65,27218.4,29
HCPCS,J9144,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",22682.0,22682.0,53.38,90.8,6
HCPCS,J9145,"Injection, daratumumab, 10 mg ",,,68.65,116.77,6
HCPCS,J9150,"Injection, daunorubicin, 10 mg ",,,24.01,40.84,6
HCPCS,J9153,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,253.36,430.98,6
HCPCS,J9155,"Injection, degarelix, 1 mg ",,,4.33,7.36,6
HCPCS,J9161,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,23.96,23.96,5
HCPCS,J9171,DOCETAXEL 80 MG INJ,710.0,710.0,37.63,852.0,30
HCPCS,J9171,"Injection, docetaxel, 1 mg ",710.0,710.0,0.54,0.92,6
HCPCS,J9172,"Injection, docetaxel (docivyx), 1 mg ",,,49.09,83.51,6
HCPCS,J9173,DURVALUMAB 500 MG INJ,4046.95,4046.95,348.04,4856.34,29
HCPCS,J9173,"Injection, durvalumab, 10 mg ",4046.95,4046.95,83.57,142.15,6
HCPCS,J9174,"Injection, docetaxel (beizray), 1 mg ",,,76.05,76.05,5
HCPCS,J9175,"Injection, elliotts' b solution, 1 ml ",,,19.04,19.04,5
HCPCS,J9176,"Injection, elotuzumab, 1 mg ",,,7.8,13.27,6
HCPCS,J9177,ENFORT V-EJFV 20 MG INJ,11236.0,11236.0,966.3,13483.2,29
HCPCS,J9177,ENFORT V-EJFV 30 MG INJ,16854.0,16854.0,1449.44,20224.8,29
HCPCS,J9177,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,35.61,60.57,6
HCPCS,J9178,"Injection, epirubicin hcl, 2 mg ",,,1.72,2.92,6
HCPCS,J9179,"Injection, eribulin mesylate, 0.1 mg ",,,74.46,126.65,6
HCPCS,J9181,ETOPOSIDE 10 MG INJ,14.0,14.0,0.74,16.8,30
HCPCS,J9181,ETOPOSIDE 100 MG INJ,44.45,44.45,2.36,53.34,30
HCPCS,J9181,ETOPOSIDE 100 MG MDV,796.0,796.0,42.19,955.2,30
HCPCS,J9181,"Injection, etoposide, 10 mg ",,,0.87,1.49,6
HCPCS,J9183,"Gemcitabine intravesical system, 225 mg ",,,70895.65,120595.63,6
HCPCS,J9184,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,398.13,677.23,6
HCPCS,J9185,FLUDARABINE PHOS 50MGINJ,3358.0,3358.0,177.97,4029.6,30
HCPCS,J9185,"Injection, fludarabine phosphate, 50 mg ",3358.0,3358.0,211.2,359.25,6
HCPCS,J9190,FLUOROURACIL 500 MG INJ,214.0,214.0,7.58,342.0,60
HCPCS,J9190,FLUOROURACIL 5000 MG MDV,126.0,126.0,6.68,151.2,30
HCPCS,J9190,"Injection, fluorouracil, 500 mg ",,,2.0,3.4,6
HCPCS,J9196,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,5.13,8.73,6
HCPCS,J9198,"Injection, gemcitabine hydrochloride, (infugem), 100 mg ",,,,,0
HCPCS,J9200,FLOXURIDINE 500 MG INJ,1135.0,1135.0,97.61,1362.0,29
HCPCS,J9200,"Injection, floxuridine, 500 mg ",1135.0,1135.0,4123.44,7014.1,6
HCPCS,J9201,GEMCITABINE NOS 1 G INJ,3131.5,3131.5,8.48,7323.6,60
HCPCS,J9201,GEMCITBIN NOS 200 MG INJ,1221.0,1221.0,64.71,1465.2,30
HCPCS,J9201,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,3.14,5.35,6
HCPCS,J9202,GOSERELIN IMP 3.6 MG,4127.0,4127.0,218.73,4952.4,30
HCPCS,J9202,"Goserelin acetate implant, per 3.6 mg ",4127.0,4127.0,2227.38,2227.38,5
HCPCS,J9203,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,232.96,396.28,6
HCPCS,J9204,"Injection, mogamulizumab-kpkc, 1 mg ",,,245.87,418.23,6
HCPCS,J9205,"Injection, irinotecan liposome, 1 mg ",,,64.38,109.51,6
HCPCS,J9206,IRINOTECAN 100 MG INJ,1404.0,1404.0,74.41,1684.8,30
HCPCS,J9206,"Injection, irinotecan, 20 mg ",1404.0,1404.0,1.48,2.52,6
HCPCS,J9207,"Injection, ixabepilone, 1 mg ",,,135.56,230.59,6
HCPCS,J9208,IFOSFAMIDE 1 G INJ,1452.0,1452.0,76.96,1742.4,30
HCPCS,J9208,"Injection, ifosfamide, 1 gram ",1452.0,1452.0,23.94,40.72,6
HCPCS,J9209,"Injection, mesna, 200 mg ",277.0,277.0,1.29,2.19,6
HCPCS,J9209,MESNA 200 MG INJ,277.0,277.0,14.68,332.4,30
HCPCS,J9210,"Injection, emapalumab-lzsg, 1 mg ",,,372.62,633.83,6
HCPCS,J9211,IDARUBICIN 10 MG INJ,4589.0,4589.0,243.22,5506.8,30
HCPCS,J9211,"Injection, idarubicin hydrochloride, 5 mg ",4589.0,4589.0,38.57,65.6,6
HCPCS,J9213,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,57.87,57.87,5
HCPCS,J9214,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,21.5,21.5,5
HCPCS,J9215,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,59.63,59.63,5
HCPCS,J9216,"Injection, interferon, gamma 1-b, 3 million units ",,,17403.36,17403.36,5
HCPCS,J9217,LEUPRO DEPOT 7.5 MG INJ,15654.0,15654.0,1346.24,18784.8,29
HCPCS,J9217,"Leuprolide acetate (for depot suspension), 7.5 mg ",15654.0,15654.0,170.91,290.73,6
HCPCS,J9218,"Leuprolide acetate, per 1 mg ",,,249.98,249.98,5
HCPCS,J9219,"Leuprolide acetate implant, 65 mg ",,,,,0
HCPCS,J9220,"Injection, indigotindisulfonate sodium, 1 mg ",,,15.35,15.35,5
HCPCS,J9223,"Injection, lurbinectedin, 0.1 mg ",,,205.74,349.97,6
HCPCS,J9223,LURBINECTEDIN 0.1MGINJJW,405.5,405.5,34.87,486.6,29
HCPCS,J9223,LURBINECTEDIN 4 MG INJ,16220.0,16220.0,1394.92,19464.0,29
HCPCS,J9225,"Histrelin implant (vantas), 50 mg ",,,7770.72,7770.72,5
HCPCS,J9226,"Histrelin implant (supprelin la), 50 mg ",,,39938.2,67936.16,6
HCPCS,J9227,"Injection, isatuximab-irfc, 10 mg ",,,81.07,137.91,6
HCPCS,J9228,IPILIMUMAB 50 MG INJ,8574.32,8574.32,737.39,10289.18,29
HCPCS,J9228,"Injection, ipilimumab, 1 mg ",8574.32,8574.32,181.55,308.83,6
HCPCS,J9229,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,2732.27,4647.67,6
HCPCS,J9230,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,216.03,216.03,5
HCPCS,J9232,"Injection, docetaxel (hospira), not therapeutically equivalent to J9171, 1 mg ",,,,,0
HCPCS,J9245,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",1934.0,1934.0,117.05,199.11,6
HCPCS,J9245,MELPHALAN 50 MG INJ NOC,1934.0,1934.0,166.32,2320.8,29
HCPCS,J9246,"Injection, melphalan (evomela), 1 mg ",,,18.85,32.06,6
HCPCS,J9248,"Injection, melphalan (hepzato), 1 mg ",,,771.15,1311.75,6
HCPCS,J9249,"Injection, melphalan (apotex), 1 mg ",,,106.89,106.89,5
HCPCS,J9255,"Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg ",,,,,0
HCPCS,J9256,"Injection, nipocalimab-aahu, 3 mg ",,,31.69,53.91,6
HCPCS,J9260,"Injection, methotrexate sodium, 50 mg ",,,2.6,4.42,6
HCPCS,J9260,METHOTREXATE 1 G INJ,136.0,136.0,7.21,163.2,30
HCPCS,J9260,METHOTREXATE 50 MG MDV,96.83,96.83,5.13,116.2,30
HCPCS,J9261,"Injection, nelarabine, 50 mg ",,,51.13,86.97,6
HCPCS,J9262,"Injection, omacetaxine mepesuccinate, 0.01 mg ",,,,,0
HCPCS,J9263,"Injection, oxaliplatin, 0.5 mg ",,,0.08,0.13,6
HCPCS,J9263,OXALIPLATIN 100 MG INJ,1972.0,1972.0,104.52,2366.4,30
HCPCS,J9263,OXALIPLATIN 50 MG INJ,71.0,71.0,3.76,85.2,30
HCPCS,J9264,"Injection, paclitaxel protein-bound particles, 1 mg ",1562.88,1562.88,5.84,9.93,6
HCPCS,J9264,PACLITAX-PROTEIN100MGINJ,1562.88,1562.88,134.41,1875.46,29
HCPCS,J9266,"Injection, pegaspargase, per single dose vial ",,,27571.38,46899.7,6
HCPCS,J9267,"Injection, paclitaxel, 1 mg ",,,0.15,0.25,6
HCPCS,J9267,PACLITAXEL 1 MG INJ,2.0,2.0,0.11,2.4,30
HCPCS,J9267,PACLITAXEL 100 MG MDV,165.0,165.0,8.74,198.0,30
HCPCS,J9267,PACLITAXEL 30 MG MDV,60.0,60.0,3.18,72.0,30
HCPCS,J9267,PACLITAXEL 300 MG MDV,471.0,471.0,24.96,565.2,30
HCPCS,J9268,"Injection, pentostatin, 10 mg ",,,2547.54,4333.44,6
HCPCS,J9269,"Injection, tagraxofusp-erzs, 10 micrograms ",,,346.56,589.51,6
HCPCS,J9271,"Injection, pembrolizumab, 1 mg ",22754.72,22754.72,59.41,101.06,6
HCPCS,J9271,PEMBROLIZUMAB 100 MG INJ,22754.72,22754.72,1956.91,27305.66,29
HCPCS,J9272,DOSTARLIM-GXLY 500MG INJ,97464.35,97464.35,8381.93,116957.22,29
HCPCS,J9272,"Injection, dostarlimab-gxly, 10 mg ",97464.35,97464.35,239.67,407.68,6
HCPCS,J9273,"Injection, tisotumab vedotin-tftv, 1 mg ",5885.0,5885.0,190.24,323.6,6
HCPCS,J9273,TISOTUMAB-TFTV 40 MG INJ,5885.0,5885.0,506.11,7062.0,29
HCPCS,J9274,"Injection, tebentafusp-tebn, 1 microgram ",,,215.82,367.11,6
HCPCS,J9275,"Injection, cosibelimab-ipdl, 2 mg ",,,37.82,37.82,5
HCPCS,J9276,"Injection, zanidatamab-hrii, 2 mg ",,,24.25,41.25,6
HCPCS,J9277,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,31.17,53.01,6
HCPCS,J9278,"Injection, carboplatin (avyxa), 1 mg ",,,5.08,8.65,6
HCPCS,J9280,"Injection, mitomycin, 5 mg ",,,27.61,46.96,6
HCPCS,J9280,MITOMYCIN 20 MG INJ,1313.0,1313.0,112.92,1575.6,29
HCPCS,J9280,MITOMYCIN 40 MG INJ,8037.0,8037.0,691.18,9644.4,29
HCPCS,J9280,MITOMYCIN 5 MG INJ,302.0,302.0,25.97,362.4,29
HCPCS,J9280,MITOMYCIN 5 MG INJJW,615.0,615.0,52.89,738.0,29
HCPCS,J9281,"Mitomycin pyelocalyceal instillation, 1 mg ",,,313.47,533.23,6
HCPCS,J9282,"Mitomycin, intravesical instillation, 1 mg ",,,269.98,459.24,6
HCPCS,J9285,"Injection, olaratumab, 10 mg ",,,,,0
HCPCS,J9286,"Injection, glofitamab-gxbm, 2.5 mg ",,,2755.46,4687.12,6
HCPCS,J9289,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,26.9,45.75,6
HCPCS,J9292,"Injection, pemetrexed dipotassium, 10 mg ",,,79.56,135.33,6
HCPCS,J9293,"Injection, mitoxantrone hydrochloride, per 5 mg ",2060.0,2060.0,37.45,63.71,6
HCPCS,J9293,MITOXANTRONE 5 MG INJ,2060.0,2060.0,177.16,2472.0,29
HCPCS,J9294,505HS PEMETREX 500MG INJ,576.0,576.0,49.54,691.2,29
HCPCS,J9294,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",576.0,576.0,5.04,8.58,6
HCPCS,J9295,"Injection, necitumumab, 1 mg ",,,5.56,9.45,6
HCPCS,J9296,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,9.37,15.94,6
HCPCS,J9297,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,1.42,2.41,6
HCPCS,J9298,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,195.71,332.9,6
HCPCS,J9299,"Injection, nivolumab, 1 mg ",7374.14,7374.14,32.61,55.47,6
HCPCS,J9299,NIVOLUMAB 240 MG INJ,7374.14,7374.14,634.18,8848.97,29
HCPCS,J9301,"Injection, obinutuzumab, 10 mg ",78972.0,78972.0,79.36,134.99,6
HCPCS,J9301,OBINUTUZUMAB 1000 MG INJ,78972.0,78972.0,6791.59,94766.4,29
HCPCS,J9302,"Injection, ofatumumab, 10 mg ",194.38,194.38,102.68,102.68,5
HCPCS,J9302,OFATUMUMAB 10 MG INJJW,194.38,194.38,16.72,233.26,29
HCPCS,J9303,"Injection, panitumumab, 10 mg ",,,169.16,287.74,6
HCPCS,J9303,PANITUMUMAB 100 MG INJ,16012.0,16012.0,1377.03,19214.4,29
HCPCS,J9303,PANITUMUMAB 400 MG INJ,35572.0,35572.0,3059.19,42686.4,29
HCPCS,J9304,"Injection, pemetrexed (pemfexy), 10 mg ",170.87,170.87,7.75,13.18,6
HCPCS,J9304,PEMFEXY 10 MG INJ,170.87,170.87,14.69,205.04,29
HCPCS,J9305,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,3.92,6.67,6
HCPCS,J9305,PEMETREXED NOS 10MGINJJW,10.0,10.0,0.86,12.0,29
HCPCS,J9305,PEMETREXED NOS 500MG INJ,500.49,500.49,43.04,600.59,29
HCPCS,J9306,"Injection, pertuzumab, 1 mg ",54053.39,54053.39,16.51,28.08,6
HCPCS,J9306,PERTUZUMAB 420 MG INJ,54053.39,54053.39,4648.59,64864.07,29
HCPCS,J9307,"Injection, pralatrexate, 1 mg ",,,380.94,647.99,6
HCPCS,J9308,"Injection, ramucirumab, 5 mg ",505.0,505.0,73.21,124.53,6
HCPCS,J9308,RAMUCIRUMAB 100 MG INJ,505.0,505.0,43.43,606.0,29
HCPCS,J9309,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,133.11,226.43,6
HCPCS,J9311,"Injection, rituximab 10 mg and hyaluronidase ",,,35.19,59.86,6
HCPCS,J9312,"Injection, rituximab, 10 mg ",51022.0,51022.0,71.94,122.36,6
HCPCS,J9312,RITUXIMAB 500 MG INJ,51022.0,51022.0,4387.89,61226.4,29
HCPCS,J9313,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,38.59,38.59,5
HCPCS,J9314,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,10.66,18.13,6
HCPCS,J9316,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,58.42,99.38,6
HCPCS,J9316,PERTU/TRASTU/HYALU1200MG,13024.68,13024.68,1120.12,15629.62,29
HCPCS,J9316,PERTU/TRASTU/HYALU1800MG,63988.18,63988.18,5502.98,76785.82,29
HCPCS,J9317,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,35.7,60.72,6
HCPCS,J9318,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,27.66,47.06,6
HCPCS,J9319,"Injection, romidepsin, lyophilized, 0.1 mg ",,,29.88,50.82,6
HCPCS,J9320,"Injection, streptozocin, 1 gram ",,,289.33,289.33,5
HCPCS,J9321,"Injection, epcoritamab-bysp, 0.16 mg ",,,55.21,93.92,6
HCPCS,J9322,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,17.49,17.49,5
HCPCS,J9323,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.54,0.54,5
HCPCS,J9324,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,68.37,116.29,6
HCPCS,J9325,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",15840.0,15840.0,71.72,122.0,6
HCPCS,J9325,TALIMOGE 100 MIL PFU INJ,15840.0,15840.0,1362.24,19008.0,29
HCPCS,J9326,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,141.61,240.88,6
HCPCS,J9328,"Injection, temozolomide, 1 mg ",,,10.09,17.16,6
HCPCS,J9329,"Injection, tislelizumab-jsgr, 1mg ",,,56.52,96.15,6
HCPCS,J9330,"Injection, temsirolimus, 1 mg ",,,29.18,49.63,6
HCPCS,J9331,"Injection, sirolimus protein-bound particles, 1 mg ",,,84.5,143.73,6
HCPCS,J9332,"Injection, efgartigimod alfa-fcab, 2mg ",,,31.63,53.81,6
HCPCS,J9333,"Injection, rozanolixizumab-noli, 1 mg ",,,22.7,38.61,6
HCPCS,J9334,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,33.3,56.64,6
HCPCS,J9341,"Injection, thiotepa (tepylute), 1 mg ",,,37.39,63.61,6
HCPCS,J9342,"Injection, thiotepa, not otherwise specified, 1 mg ",,,5.57,9.47,6
HCPCS,J9345,"Injection, retifanlimab-dlwr, 1 mg ",,,29.49,50.16,6
HCPCS,J9347,"Injection, tremelimumab-actl, 1 mg ",,,138.93,236.33,6
HCPCS,J9348,"Injection, naxitamab-gqgk, 1 mg ",,,665.51,1132.05,6
HCPCS,J9349,"Injection, tafasitamab-cxix, 2 mg ",,,13.74,23.38,6
HCPCS,J9350,"Injection, mosunetuzumab-axgb, 1 mg ",,,634.9,1079.99,6
HCPCS,J9351,"Injection, topotecan, 0.1 mg ",212.1,212.1,2.05,3.48,6
HCPCS,J9351,TOPOTECAN 4 MG INJ,212.1,212.1,11.24,254.52,30
HCPCS,J9352,"Injection, trabectedin, 0.1 mg ",3302.97,3302.97,379.34,645.27,6
HCPCS,J9352,TRABECTEDIN 1 MG INJ,3302.97,3302.97,284.06,3963.56,29
HCPCS,J9353,"Injection, margetuximab-cmkb, 5 mg ",,,51.67,87.9,6
HCPCS,J9354,"Injection, ado-trastuzumab emtansine, 1 mg ",,,40.93,69.63,6
HCPCS,J9355,"Injection, trastuzumab, excludes biosimilar, 10 mg ",14290.71,14290.71,71.23,121.16,6
HCPCS,J9355,TRASTUZUMAB 150 MG INJ,14290.71,14290.71,1229.0,17148.85,29
HCPCS,J9356,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,58.11,98.85,6
HCPCS,J9357,"Injection, valrubicin, intravesical, 200 mg ",,,1232.4,2096.36,6
HCPCS,J9358,FAM-TRAS-NXKI 100 MG INJ,25752.75,25752.75,2214.74,30903.3,29
HCPCS,J9358,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",25752.75,25752.75,30.32,51.58,6
HCPCS,J9359,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,214.85,365.46,6
HCPCS,J9360,"Injection, vinblastine sulfate, 1 mg ",21.0,21.0,5.0,8.5,6
HCPCS,J9360,VINBLASTINE 1 MG INJ,21.0,21.0,1.11,25.2,30
HCPCS,J9361,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,227.7,227.7,5
HCPCS,J9370,VINCRISTINE SULFATE 1MG,539.0,539.0,28.57,646.8,30
HCPCS,J9370,"Vincristine sulfate, 1 mg ",539.0,539.0,7.87,13.38,6
HCPCS,J9376,"Injection, pozelimab-bbfg, 1 mg ",,,151.35,151.35,5
HCPCS,J9380,"Injection, teclistamab-cqyv, 0.5 mg ",,,33.46,56.93,6
HCPCS,J9381,"Injection, teplizumab-mzwv, 5 mcg ",,,37.24,63.34,6
HCPCS,J9382,"Injection, zenocutuzumab-zbco, 1 mg ",,,32.56,55.39,6
HCPCS,J9390,"Injection, vinorelbine tartrate, 10 mg ",,,4.82,8.2,6
HCPCS,J9393,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,68.76,68.76,5
HCPCS,J9394,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,26.3,44.73,6
HCPCS,J9395,"Injection, fulvestrant, 25 mg ",,,4.79,8.15,6
HCPCS,J9400,"Injection, ziv-aflibercept, 1 mg ",,,8.35,14.21,6
HCPCS,J9600,"Injection, porfimer sodium, 75 mg ",,,46179.54,46179.54,5
HCPCS,J9601,"Injection, linvoseltamab-gcpt, 1 mg ",,,96.52,164.18,6
HCPCS,J9999,CARMUSTINE WAFERS 8/BOX,89245.0,89245.0,4729.98,107094.0,30
HCPCS,J9999,"Not otherwise classified, antineoplastic drugs ",89245.0,89245.0,,,0
HCPCS,K0001,Standard wheelchair ,,,30.14,94.76,33
HCPCS,K0001,Standard wheelchair Trauma,,,74.57,74.57,6
HCPCS,K0002,Standard hemi (low seat) wheelchair ,,,52.51,165.1,33
HCPCS,K0002,Standard hemi (low seat) wheelchair Trauma,,,129.91,129.91,6
HCPCS,K0003,Lightweight wheelchair ,,,45.58,143.32,33
HCPCS,K0003,Lightweight wheelchair Trauma,,,112.78,112.78,6
HCPCS,K0004,"High strength, lightweight wheelchair ",,,56.21,176.75,33
HCPCS,K0004,"High strength, lightweight wheelchair Trauma",,,139.08,139.08,6
HCPCS,K0005,Ultralightweight wheelchair ,,,2555.72,8036.02,33
HCPCS,K0005,Ultralightweight wheelchair Trauma,,,6323.42,6323.42,6
HCPCS,K0006,Heavy duty wheelchair ,,,83.11,261.32,33
HCPCS,K0006,Heavy duty wheelchair Trauma,,,205.63,205.63,6
HCPCS,K0007,Extra heavy duty wheelchair ,,,117.16,368.38,33
HCPCS,K0007,Extra heavy duty wheelchair Trauma,,,289.87,289.87,6
HCPCS,K0009,Other manual wheelchair/base ,,,98.8,310.67,33
HCPCS,K0009,Other manual wheelchair/base Trauma,,,244.46,244.46,6
HCPCS,K0010,Standard - weight frame motorized/power wheelchair ,,,500.55,1573.89,33
HCPCS,K0010,Standard - weight frame motorized/power wheelchair Trauma,,,1238.47,1238.47,6
HCPCS,K0011,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ",,,670.25,2107.49,33
HCPCS,K0011,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking Trauma",,,1658.35,1658.35,6
HCPCS,K0012,Lightweight portable motorized/power wheelchair ,,,411.15,1292.8,33
HCPCS,K0012,Lightweight portable motorized/power wheelchair Trauma,,,1017.29,1017.29,6
HCPCS,K0015,"Detachable, non-adjustable height armrest, replacement only, each ",,,17.02,53.53,33
HCPCS,K0015,"Detachable, non-adjustable height armrest, replacement only, each Trauma",,,42.12,42.12,6
HCPCS,K0017,"Detachable, adjustable height armrest, base, replacement only, each ",,,57.23,179.95,33
HCPCS,K0017,"Detachable, adjustable height armrest, base, replacement only, each Trauma",,,141.6,141.6,6
HCPCS,K0018,"Detachable, adjustable height armrest, upper portion, replacement only, each ",,,32.35,101.72,33
HCPCS,K0018,"Detachable, adjustable height armrest, upper portion, replacement only, each Trauma",,,80.04,80.04,6
HCPCS,K0019,"Arm pad, replacement only, each ",,,15.29,48.07,33
HCPCS,K0019,"Arm pad, replacement only, each Trauma",,,37.82,37.82,6
HCPCS,K0020,"Fixed, adjustable height armrest, pair ",,,55.36,174.06,33
HCPCS,K0020,"Fixed, adjustable height armrest, pair Trauma",,,136.97,136.97,6
HCPCS,K0037,"High mount flip-up footrest, each ",,,53.84,169.31,33
HCPCS,K0037,"High mount flip-up footrest, each Trauma",,,133.22,133.22,6
HCPCS,K0038,"Leg strap, each ",,,28.61,89.94,33
HCPCS,K0038,"Leg strap, each Trauma",,,70.78,70.78,6
HCPCS,K0039,"Leg strap, h style, each ",,,61.42,193.13,33
HCPCS,K0039,"Leg strap, h style, each Trauma",,,151.97,151.97,6
HCPCS,K0040,"Adjustable angle footplate, each ",,,63.51,199.68,33
HCPCS,K0040,"Adjustable angle footplate, each Trauma",,,157.13,157.13,6
HCPCS,K0041,"Large size footplate, each ",,,58.69,184.56,33
HCPCS,K0041,"Large size footplate, each Trauma",,,145.22,145.22,6
HCPCS,K0042,"Standard size footplate, replacement only, each ",,,37.69,118.52,33
HCPCS,K0042,"Standard size footplate, replacement only, each Trauma",,,93.26,93.26,6
HCPCS,K0043,"Footrest, lower extension tube, replacement only, each ",,,23.25,73.11,33
HCPCS,K0043,"Footrest, lower extension tube, replacement only, each Trauma",,,57.53,57.53,6
HCPCS,K0044,"Footrest, upper hanger bracket, replacement only, each ",,,19.83,62.34,33
HCPCS,K0044,"Footrest, upper hanger bracket, replacement only, each Trauma",,,49.06,49.06,6
HCPCS,K0045,"Footrest, complete assembly, replacement only, each ",,,66.6,209.41,33
HCPCS,K0045,"Footrest, complete assembly, replacement only, each Trauma",,,164.78,164.78,6
HCPCS,K0046,"Elevating legrest, lower extension tube, replacement only, each ",,,23.25,73.11,33
HCPCS,K0046,"Elevating legrest, lower extension tube, replacement only, each Trauma",,,57.53,57.53,6
HCPCS,K0047,"Elevating legrest, upper hanger bracket, replacement only, each ",,,82.77,260.26,33
HCPCS,K0047,"Elevating legrest, upper hanger bracket, replacement only, each Trauma",,,204.79,204.79,6
HCPCS,K0050,"Ratchet assembly, replacement only ",,,38.4,120.75,33
HCPCS,K0050,"Ratchet assembly, replacement only Trauma",,,95.02,95.02,6
HCPCS,K0051,"Cam release assembly, footrest or legrest, replacement only, each ",,,60.75,191.02,33
HCPCS,K0051,"Cam release assembly, footrest or legrest, replacement only, each Trauma",,,150.31,150.31,6
HCPCS,K0052,"Swingaway, detachable footrests, replacement only, each ",,,85.53,268.95,33
HCPCS,K0052,"Swingaway, detachable footrests, replacement only, each Trauma",,,211.63,211.63,6
HCPCS,K0053,"Elevating footrests, articulating (telescoping), each ",,,99.29,312.2,33
HCPCS,K0053,"Elevating footrests, articulating (telescoping), each Trauma",,,245.66,245.66,6
HCPCS,K0056,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair ",,,113.52,356.94,33
HCPCS,K0056,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair Trauma",,,280.87,280.87,6
HCPCS,K0065,"Spoke protectors, each ",,,54.04,169.92,33
HCPCS,K0065,"Spoke protectors, each Trauma",,,133.7,133.7,6
HCPCS,K0069,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ",,,112.25,352.95,33
HCPCS,K0069,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each Trauma",,,277.73,277.73,6
HCPCS,K0070,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each ",,,19.76,62.13,33
HCPCS,K0070,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each Trauma",,,48.89,48.89,6
HCPCS,K0071,"Front caster assembly, complete, with pneumatic tire, replacement only, each ",,,127.59,401.2,33
HCPCS,K0071,"Front caster assembly, complete, with pneumatic tire, replacement only, each Trauma",,,315.7,315.7,6
HCPCS,K0072,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ",,,79.99,251.5,33
HCPCS,K0072,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each Trauma",,,197.9,197.9,6
HCPCS,K0073,"Caster pin lock, each ",,,41.65,130.97,33
HCPCS,K0073,"Caster pin lock, each Trauma",,,103.06,103.06,6
HCPCS,K0077,"Front caster assembly, complete, with solid tire, replacement only, each ",,,65.06,204.56,33
HCPCS,K0077,"Front caster assembly, complete, with solid tire, replacement only, each Trauma",,,160.97,160.97,6
HCPCS,K0098,"Drive belt for power wheelchair, replacement only ",,,28.14,88.48,33
HCPCS,K0098,"Drive belt for power wheelchair, replacement only Trauma",,,69.62,69.62,6
HCPCS,K0105,"Iv hanger, each ",,,117.48,369.39,33
HCPCS,K0105,"Iv hanger, each Trauma",,,290.66,290.66,6
HCPCS,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base) ",,,13.19,41.48,33
HCPCS,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base) Trauma",,,32.64,32.64,6
HCPCS,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) ",,,335.17,1053.9,33
HCPCS,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) Trauma",,,829.3,829.3,6
HCPCS,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each ",,,3.37,10.58,33
HCPCS,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each Trauma",,,8.33,8.33,6
HCPCS,K0601,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ",,,1.52,4.79,33
HCPCS,K0601,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each Trauma",,,3.77,3.77,6
HCPCS,K0602,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ",,,8.61,27.08,33
HCPCS,K0602,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each Trauma",,,21.31,21.31,6
HCPCS,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ",,,0.78,2.44,33
HCPCS,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each Trauma",,,1.92,1.92,6
HCPCS,K0604,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ",,,8.3,26.11,33
HCPCS,K0604,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each Trauma",,,20.54,20.54,6
HCPCS,K0605,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ",,,19.84,62.37,33
HCPCS,K0605,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each Trauma",,,49.08,49.08,6
HCPCS,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ",,,3481.23,10946.15,33
HCPCS,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type Trauma",,,8613.36,8613.36,6
HCPCS,K0607,"Replacement battery for automated external defibrillator, garment type only, each ",,,26.86,84.45,33
HCPCS,K0607,"Replacement battery for automated external defibrillator, garment type only, each Trauma",,,66.46,66.46,6
HCPCS,K0608,"Replacement garment for use with automated external defibrillator, each ",,,167.56,526.86,33
HCPCS,K0608,"Replacement garment for use with automated external defibrillator, each Trauma",,,414.58,414.58,6
HCPCS,K0609,"Replacement electrodes for use with automated external defibrillator, garment type only, each ",,,1114.32,3503.78,33
HCPCS,K0609,"Replacement electrodes for use with automated external defibrillator, garment type only, each Trauma",,,2757.07,2757.07,6
HCPCS,K0672,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ",,,101.62,319.52,33
HCPCS,K0672,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each Trauma",,,251.42,251.42,6
HCPCS,K0730,Controlled dose inhalation drug delivery system ,,,238.32,749.35,33
HCPCS,K0730,Controlled dose inhalation drug delivery system Trauma,,,589.66,589.66,6
HCPCS,K0733,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ",,,33.25,104.55,33
HCPCS,K0733,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,82.27,82.27,6
HCPCS,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ",,,46.5,146.22,33
HCPCS,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing Trauma",,,115.06,115.06,6
HCPCS,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ",,,19.51,61.34,33
HCPCS,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes Trauma",,,48.26,48.26,6
HCPCS,K0800,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ",,,1026.5,3227.66,33
HCPCS,K0800,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds Trauma",,,2539.8,2539.8,6
HCPCS,K0801,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ",,,1844.94,5801.1,33
HCPCS,K0801,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds Trauma",,,4564.8,4564.8,6
HCPCS,K0802,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ",,,2440.96,7675.17,33
HCPCS,K0802,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds Trauma",,,6039.48,6039.48,6
HCPCS,K0806,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ",,,1696.37,5333.93,33
HCPCS,K0806,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds Trauma",,,4197.19,4197.19,6
HCPCS,K0807,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ",,,2628.95,8266.29,33
HCPCS,K0807,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds Trauma",,,6504.62,6504.62,6
HCPCS,K0808,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ",,,4063.93,12778.34,33
HCPCS,K0808,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds Trauma",,,10055.09,10055.09,6
HCPCS,K0813,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,312.01,981.06,33
HCPCS,K0813,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds Trauma",,,771.98,771.98,6
HCPCS,K0814,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,327.0,1028.19,33
HCPCS,K0814,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,809.06,809.06,6
HCPCS,K0815,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ",,,363.33,1142.44,33
HCPCS,K0815,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds Trauma",,,898.97,898.97,6
HCPCS,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,339.31,1066.89,33
HCPCS,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,839.52,839.52,6
HCPCS,K0820,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,319.12,1003.42,33
HCPCS,K0820,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,789.58,789.58,6
HCPCS,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ",,,339.64,1067.93,33
HCPCS,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,840.34,840.34,6
HCPCS,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,363.7,1143.6,33
HCPCS,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,899.88,899.88,6
HCPCS,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,339.8,1068.45,33
HCPCS,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,840.74,840.74,6
HCPCS,K0824,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,529.86,1666.06,33
HCPCS,K0824,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,1311.0,1311.0,6
HCPCS,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,479.78,1508.59,33
HCPCS,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,1187.09,1187.09,6
HCPCS,K0826,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,885.53,2784.41,33
HCPCS,K0826,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,2191.01,2191.01,6
HCPCS,K0827,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,779.58,2451.25,33
HCPCS,K0827,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds Trauma",,,1928.86,1928.86,6
HCPCS,K0828,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1032.29,3245.87,33
HCPCS,K0828,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,2554.13,2554.13,6
HCPCS,K0829,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ",,,1035.45,3255.78,33
HCPCS,K0829,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more Trauma",,,2561.93,2561.93,6
HCPCS,K0835,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,435.87,1370.52,33
HCPCS,K0835,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,1078.44,1078.44,6
HCPCS,K0836,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,452.09,1421.51,33
HCPCS,K0836,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,1118.57,1118.57,6
HCPCS,K0837,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,559.05,1757.84,33
HCPCS,K0837,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,1383.22,1383.22,6
HCPCS,K0838,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,495.51,1558.03,33
HCPCS,K0838,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,1225.99,1225.99,6
HCPCS,K0839,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,742.61,2335.02,33
HCPCS,K0839,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,1837.39,1837.39,6
HCPCS,K0840,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1140.15,3585.0,33
HCPCS,K0840,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,2820.98,2820.98,6
HCPCS,K0841,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,491.19,1544.46,33
HCPCS,K0841,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,1215.31,1215.31,6
HCPCS,K0842,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ",,,490.47,1542.2,33
HCPCS,K0842,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,1213.54,1213.54,6
HCPCS,K0843,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,582.25,1830.79,33
HCPCS,K0843,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,1440.62,1440.62,6
HCPCS,K0848,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,944.45,2969.66,33
HCPCS,K0848,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,2336.78,2336.78,6
HCPCS,K0849,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ",,,908.03,2855.14,33
HCPCS,K0849,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,2246.66,2246.66,6
HCPCS,K0850,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1095.5,3444.61,33
HCPCS,K0850,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,2710.51,2710.51,6
HCPCS,K0851,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ",,,1053.34,3312.06,33
HCPCS,K0851,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,2606.21,2606.21,6
HCPCS,K0852,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1265.79,3980.07,33
HCPCS,K0852,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,3131.86,3131.86,6
HCPCS,K0853,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ",,,1300.29,4088.56,33
HCPCS,K0853,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds Trauma",,,3217.22,3217.22,6
HCPCS,K0854,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,1722.61,5416.46,33
HCPCS,K0854,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,4262.14,4262.14,6
HCPCS,K0855,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ",,,1627.25,5116.62,33
HCPCS,K0855,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more Trauma",,,4026.19,4026.19,6
HCPCS,K0856,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1013.74,3187.52,33
HCPCS,K0856,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,2508.22,2508.22,6
HCPCS,K0857,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ",,,1034.07,3251.45,33
HCPCS,K0857,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,2558.52,2558.52,6
HCPCS,K0858,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ",,,1257.76,3954.81,33
HCPCS,K0858,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds Trauma",,,3111.98,3111.98,6
HCPCS,K0859,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ",,,1199.53,3771.72,33
HCPCS,K0859,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,2967.91,2967.91,6
HCPCS,K0860,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1796.89,5650.0,33
HCPCS,K0860,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,4445.9,4445.9,6
HCPCS,K0861,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ",,,1015.38,3192.68,33
HCPCS,K0861,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,2512.27,2512.27,6
HCPCS,K0862,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ",,,1257.76,3954.81,33
HCPCS,K0862,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,3111.98,3111.98,6
HCPCS,K0863,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ",,,1796.89,5650.0,33
HCPCS,K0863,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,4445.9,4445.9,6
HCPCS,K0864,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ",,,2138.29,6723.48,33
HCPCS,K0864,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,5290.61,5290.61,6
HCPCS,K1007,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,92228.57,289997.05,39
HCPCS,L0112,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ",,,1677.51,5274.64,33
HCPCS,L0112,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated Trauma",,,4150.54,4150.54,6
HCPCS,L0113,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ",,,341.81,1074.76,33
HCPCS,L0113,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment Trauma",,,845.71,845.71,6
HCPCS,L0120,COLLAR CERV SM 3 1/2IN,134.0,134.0,17.96,160.8,24
HCPCS,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ",134.0,134.0,33.53,105.44,33
HCPCS,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) Trauma",,,82.97,82.97,6
HCPCS,L0130,"Cervical, flexible, thermoplastic collar, molded to patient ",,,242.47,762.41,33
HCPCS,L0130,"Cervical, flexible, thermoplastic collar, molded to patient Trauma",,,599.93,599.93,6
HCPCS,L0140,"Cervical, semi-rigid, adjustable (plastic collar) ",,,83.66,263.06,33
HCPCS,L0140,"Cervical, semi-rigid, adjustable (plastic collar) Trauma",,,207.0,207.0,6
HCPCS,L0150,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ",,,139.52,438.71,33
HCPCS,L0150,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) Trauma",,,345.22,345.22,6
HCPCS,L0160,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ",,,198.67,624.67,33
HCPCS,L0160,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf Trauma",,,491.54,491.54,6
HCPCS,L0170,"Cervical, collar, molded to patient model ",,,840.65,2643.28,33
HCPCS,L0170,"Cervical, collar, molded to patient model Trauma",,,2079.96,2079.96,6
HCPCS,L0172,COLLAR CERV 1 22-33IN,761.0,761.0,101.97,913.2,24
HCPCS,L0172,COLLAR CERV 4 35-45IN,761.0,761.0,101.97,913.2,24
HCPCS,L0172,COLLAR CERV LG 5.25IN,680.0,680.0,91.12,816.0,24
HCPCS,L0172,COLLAR CERV MED 5.25IN,680.0,680.0,91.12,816.0,24
HCPCS,L0172,COLLAR CERV PED 5 37-48I,761.0,761.0,101.97,913.2,24
HCPCS,L0172,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ",,,170.45,535.95,33
HCPCS,L0172,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf Trauma",,,421.73,421.73,6
HCPCS,L0174,COLLAR CERV PED SZ1,1350.0,1350.0,180.9,1620.0,24
HCPCS,L0174,COLLAR MIAMI JR PED 0,1483.0,1483.0,198.72,1779.6,24
HCPCS,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ",,,306.2,962.79,33
HCPCS,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf Trauma",,,757.61,757.61,6
HCPCS,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable ",,,416.42,1309.37,33
HCPCS,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable Trauma",,,1030.32,1030.32,6
HCPCS,L0190,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) ",,,626.87,1971.09,33
HCPCS,L0190,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) Trauma",,,1551.02,1551.02,6
HCPCS,L0200,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension ",,,575.62,1809.93,33
HCPCS,L0200,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension Trauma",,,1424.21,1424.21,6
HCPCS,L0220,"Thoracic, rib belt, custom fabricated ",,,136.51,429.23,33
HCPCS,L0220,"Thoracic, rib belt, custom fabricated Trauma",,,337.75,337.75,6
HCPCS,L0450,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,140.75,442.55,39
HCPCS,L0454,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,415.68,1307.05,39
HCPCS,L0455,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,261.29,821.58,39
HCPCS,L0456,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,1192.05,3748.21,39
HCPCS,L0457,BRACE ORTH UNV 3,2994.0,2994.0,401.2,3592.8,24
HCPCS,L0457,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",2994.0,2994.0,749.29,2356.0,39
HCPCS,L0458,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1068.92,3361.04,39
HCPCS,L0460,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,1203.16,3783.13,39
HCPCS,L0462,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,1496.52,4705.54,39
HCPCS,L0464,BRACE LMBR TLSO ATE PTE,2564.0,2564.0,343.58,3076.8,24
HCPCS,L0464,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",2564.0,2564.0,1781.54,5601.75,39
HCPCS,L0466,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,458.1,1440.42,39
HCPCS,L0467,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,293.04,921.4,39
HCPCS,L0468,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,574.4,1806.09,39
HCPCS,L0469,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,373.38,1174.04,39
HCPCS,L0470,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,817.71,2571.15,39
HCPCS,L0472,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,513.29,1613.94,39
HCPCS,L0480,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,1587.18,4990.62,39
HCPCS,L0482,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1819.52,5721.16,39
HCPCS,L0484,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,2121.51,6670.72,39
HCPCS,L0486,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2101.6,6608.13,39
HCPCS,L0488,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,1203.16,3783.13,39
HCPCS,L0490,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,339.02,1066.01,39
HCPCS,L0491,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,920.45,2894.21,39
HCPCS,L0492,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,596.54,1875.72,39
HCPCS,L0621,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,74.2,233.32,39
HCPCS,L0622,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated ",,,289.8,911.22,33
HCPCS,L0622,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated Trauma",,,717.02,717.02,6
HCPCS,L0623,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,133.02,418.25,39
HCPCS,L0625,BRACE ORTH UNV LMBR BRTH,2564.0,2564.0,343.58,3076.8,24
HCPCS,L0625,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,41.52,130.54,39
HCPCS,L0625,SUPPORT LMBR BACK 2XL,1310.0,1310.0,175.54,1572.0,24
HCPCS,L0626,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,93.43,293.78,39
HCPCS,L0627,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,492.69,1549.19,39
HCPCS,L0628,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,63.21,198.77,39
HCPCS,L0630,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,194.07,610.21,39
HCPCS,L0631,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,1230.42,3868.83,39
HCPCS,L0633,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,343.7,1080.71,39
HCPCS,L0635,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,1274.48,4007.39,39
HCPCS,L0636,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,1880.61,5913.25,39
HCPCS,L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1631.64,5130.4,39
HCPCS,L0638,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,1580.78,4970.49,39
HCPCS,L0639,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,1631.64,5130.4,39
HCPCS,L0640,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,1254.17,3943.53,39
HCPCS,L0641,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,58.73,184.68,39
HCPCS,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,309.75,973.96,39
HCPCS,L0643,BRACE LMBR POS WO LAT SM,1795.0,1795.0,240.53,2154.0,24
HCPCS,L0643,BRACE LMBR POS WO LAT XL,1795.0,1795.0,240.53,2154.0,24
HCPCS,L0643,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,122.04,383.72,39
HCPCS,L0648,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,773.57,2432.34,39
HCPCS,L0649,BRACE LMBR POS W/ LAT LG,2564.0,2564.0,343.58,3076.8,24
HCPCS,L0649,BRACE LMBR POS W/ LAT SM,2564.0,2564.0,343.58,3076.8,24
HCPCS,L0649,BRACE LMBR POS W/ LAT XL,2564.0,2564.0,343.58,3076.8,24
HCPCS,L0649,BRACE LMBR POS W/LAT MED,2564.0,2564.0,343.58,3076.8,24
HCPCS,L0649,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,216.09,679.45,39
HCPCS,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,895.07,2814.39,39
HCPCS,L0651,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,895.07,2814.39,39
HCPCS,L0700,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) ",,,2580.5,8113.95,33
HCPCS,L0700,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) Trauma",,,6384.74,6384.74,6
HCPCS,L0710,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ",,,2816.78,8856.9,33
HCPCS,L0710,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) Trauma",,,6969.36,6969.36,6
HCPCS,L0720,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,2197.96,6911.12,39
HCPCS,L0810,"Halo procedure, cervical halo incorporated into jacket vest ",,,2992.44,9409.22,33
HCPCS,L0810,"Halo procedure, cervical halo incorporated into jacket vest Trauma",,,7403.98,7403.98,6
HCPCS,L0820,"Halo procedure, cervical halo incorporated into plaster body jacket ",,,2420.74,7611.61,33
HCPCS,L0820,"Halo procedure, cervical halo incorporated into plaster body jacket Trauma",,,5989.46,5989.46,6
HCPCS,L0830,"Halo procedure, cervical halo incorporated into milwaukee type orthosis ",,,3495.3,10990.37,33
HCPCS,L0830,"Halo procedure, cervical halo incorporated into milwaukee type orthosis Trauma",,,8648.16,8648.16,6
HCPCS,L0859,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ",,,1357.89,4269.66,33
HCPCS,L0859,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material Trauma",,,3359.74,3359.74,6
HCPCS,L0861,"Addition to halo procedure, replacement liner/interface material ",,,258.33,812.28,33
HCPCS,L0861,"Addition to halo procedure, replacement liner/interface material Trauma",,,639.17,639.17,6
HCPCS,L0970,"Tlso, corset front ",,,127.4,400.59,33
HCPCS,L0970,"Tlso, corset front Trauma",,,315.22,315.22,6
HCPCS,L0972,"Lso, corset front ",,,130.22,409.46,33
HCPCS,L0972,"Lso, corset front Trauma",,,322.2,322.2,6
HCPCS,L0974,"Tlso, full corset ",,,266.08,836.65,33
HCPCS,L0974,"Tlso, full corset Trauma",,,658.34,658.34,6
HCPCS,L0976,"Lso, full corset ",,,237.64,747.22,33
HCPCS,L0976,"Lso, full corset Trauma",,,587.98,587.98,6
HCPCS,L0978,Axillary crutch extension ,,,214.56,674.66,33
HCPCS,L0978,Axillary crutch extension Trauma,,,530.88,530.88,6
HCPCS,L0980,"Peroneal straps, prefabricated, off-the-shelf, pair ",,,19.47,61.21,33
HCPCS,L0980,"Peroneal straps, prefabricated, off-the-shelf, pair Trauma",,,48.17,48.17,6
HCPCS,L0982,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ",,,21.21,66.7,33
HCPCS,L0982,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) Trauma",,,52.49,52.49,6
HCPCS,L0984,"Protective body sock, prefabricated, off-the-shelf, each ",,,67.68,212.8,33
HCPCS,L0984,"Protective body sock, prefabricated, off-the-shelf, each Trauma",,,167.45,167.45,6
HCPCS,L1000,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model ",,,2262.98,7115.56,33
HCPCS,L1000,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model Trauma",,,5599.13,5599.13,6
HCPCS,L1005,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment ",,,3836.17,12062.17,33
HCPCS,L1005,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment Trauma",,,9491.54,9491.54,6
HCPCS,L1006,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,1269.82,3992.72,39
HCPCS,L1010,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling ",,,91.13,286.55,33
HCPCS,L1010,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling Trauma",,,225.48,225.48,6
HCPCS,L1020,"Addition to ctlso or scoliosis orthosis, kyphosis pad ",,,124.52,391.53,33
HCPCS,L1020,"Addition to ctlso or scoliosis orthosis, kyphosis pad Trauma",,,308.09,308.09,6
HCPCS,L1025,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating ",,,141.52,445.0,33
HCPCS,L1025,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating Trauma",,,350.16,350.16,6
HCPCS,L1030,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad ",,,94.55,297.28,33
HCPCS,L1030,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad Trauma",,,233.93,233.93,6
HCPCS,L1040,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad ",,,113.8,357.83,33
HCPCS,L1040,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad Trauma",,,281.57,281.57,6
HCPCS,L1050,"Addition to ctlso or scoliosis orthosis, sternal pad ",,,98.51,309.76,33
HCPCS,L1050,"Addition to ctlso or scoliosis orthosis, sternal pad Trauma",,,243.74,243.74,6
HCPCS,L1060,"Addition to ctlso or scoliosis orthosis, thoracic pad ",,,111.13,349.44,33
HCPCS,L1060,"Addition to ctlso or scoliosis orthosis, thoracic pad Trauma",,,274.97,274.97,6
HCPCS,L1070,"Addition to ctlso or scoliosis orthosis, trapezius sling ",,,113.64,357.31,33
HCPCS,L1070,"Addition to ctlso or scoliosis orthosis, trapezius sling Trauma",,,281.16,281.16,6
HCPCS,L1080,"Addition to ctlso or scoliosis orthosis, outrigger ",,,78.73,247.57,33
HCPCS,L1080,"Addition to ctlso or scoliosis orthosis, outrigger Trauma",,,194.81,194.81,6
HCPCS,L1085,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions ",,,218.73,687.74,33
HCPCS,L1085,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions Trauma",,,541.18,541.18,6
HCPCS,L1090,"Addition to ctlso or scoliosis orthosis, lumbar sling ",,,102.17,321.26,33
HCPCS,L1090,"Addition to ctlso or scoliosis orthosis, lumbar sling Trauma",,,252.79,252.79,6
HCPCS,L1100,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather ",,,180.36,567.12,33
HCPCS,L1100,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather Trauma",,,446.26,446.26,6
HCPCS,L1110,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model ",,,305.49,960.57,33
HCPCS,L1110,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model Trauma",,,755.86,755.86,6
HCPCS,L1120,"Addition to ctlso, scoliosis orthosis, cover for upright, each ",,,48.66,152.99,33
HCPCS,L1120,"Addition to ctlso, scoliosis orthosis, cover for upright, each Trauma",,,120.38,120.38,6
HCPCS,L1200,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only ",,,1937.12,6090.94,33
HCPCS,L1200,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only Trauma",,,4792.87,4792.87,6
HCPCS,L1210,"Addition to tlso, (low profile), lateral thoracic extension ",,,291.66,917.07,33
HCPCS,L1210,"Addition to tlso, (low profile), lateral thoracic extension Trauma",,,721.63,721.63,6
HCPCS,L1220,"Addition to tlso, (low profile), anterior thoracic extension ",,,246.94,776.47,33
HCPCS,L1220,"Addition to tlso, (low profile), anterior thoracic extension Trauma",,,610.99,610.99,6
HCPCS,L1230,"Addition to tlso, (low profile), milwaukee type superstructure ",,,633.62,1992.32,33
HCPCS,L1230,"Addition to tlso, (low profile), milwaukee type superstructure Trauma",,,1567.73,1567.73,6
HCPCS,L1240,"Addition to tlso, (low profile), lumbar derotation pad ",,,109.04,342.85,33
HCPCS,L1240,"Addition to tlso, (low profile), lumbar derotation pad Trauma",,,269.78,269.78,6
HCPCS,L1250,"Addition to tlso, (low profile), anterior asis pad ",,,107.37,337.6,33
HCPCS,L1250,"Addition to tlso, (low profile), anterior asis pad Trauma",,,265.66,265.66,6
HCPCS,L1260,"Addition to tlso, (low profile), anterior thoracic derotation pad ",,,110.36,347.0,33
HCPCS,L1260,"Addition to tlso, (low profile), anterior thoracic derotation pad Trauma",,,273.05,273.05,6
HCPCS,L1270,"Addition to tlso, (low profile), abdominal pad ",,,110.23,346.6,33
HCPCS,L1270,"Addition to tlso, (low profile), abdominal pad Trauma",,,272.74,272.74,6
HCPCS,L1280,"Addition to tlso, (low profile), rib gusset (elastic), each ",,,98.25,308.93,33
HCPCS,L1280,"Addition to tlso, (low profile), rib gusset (elastic), each Trauma",,,243.1,243.1,6
HCPCS,L1290,"Addition to tlso, (low profile), lateral trochanteric pad ",,,111.39,350.23,33
HCPCS,L1290,"Addition to tlso, (low profile), lateral trochanteric pad Trauma",,,275.59,275.59,6
HCPCS,L1300,"Other scoliosis procedure, body jacket molded to patient model ",,,1861.94,5854.57,33
HCPCS,L1300,"Other scoliosis procedure, body jacket molded to patient model Trauma",,,4606.87,4606.87,6
HCPCS,L1310,"Other scoliosis procedure, post-operative body jacket ",,,1915.93,6024.33,33
HCPCS,L1310,"Other scoliosis procedure, post-operative body jacket Trauma",,,4740.46,4740.46,6
HCPCS,L1600,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,143.64,451.64,39
HCPCS,L1610,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,48.94,153.87,39
HCPCS,L1620,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,161.15,506.7,39
HCPCS,L1630,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated ",,,192.3,604.66,33
HCPCS,L1630,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated Trauma",,,475.8,475.8,6
HCPCS,L1640,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated ",,,514.33,1617.23,33
HCPCS,L1640,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated Trauma",,,1272.58,1272.58,6
HCPCS,L1650,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment ",,,272.75,857.63,33
HCPCS,L1650,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment Trauma",,,674.86,674.86,6
HCPCS,L1652,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,427.27,1343.46,39
HCPCS,L1653,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf ",,,427.27,1343.46,33
HCPCS,L1653,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf Trauma",,,1057.15,1057.15,6
HCPCS,L1660,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment ",,,190.76,599.81,33
HCPCS,L1660,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment Trauma",,,471.98,471.98,6
HCPCS,L1680,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated ",,,1568.3,4931.24,33
HCPCS,L1680,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated Trauma",,,3880.32,3880.32,6
HCPCS,L1681,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,2220.33,6981.45,39
HCPCS,L1685,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated ",,,1654.81,5203.27,33
HCPCS,L1685,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated Trauma",,,4094.38,4094.38,6
HCPCS,L1686,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment ",,,1110.16,3490.72,33
HCPCS,L1686,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment Trauma",,,2746.8,2746.8,6
HCPCS,L1690,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment ",,,2317.71,7287.64,33
HCPCS,L1690,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment Trauma",,,5734.54,5734.54,6
HCPCS,L1700,"Legg perthes orthosis, (toronto type), custom fabricated ",,,1928.19,6062.85,33
HCPCS,L1700,"Legg perthes orthosis, (toronto type), custom fabricated Trauma",,,4770.77,4770.77,6
HCPCS,L1710,"Legg perthes orthosis, (newington type), custom fabricated ",,,2266.45,7126.48,33
HCPCS,L1710,"Legg perthes orthosis, (newington type), custom fabricated Trauma",,,5607.72,5607.72,6
HCPCS,L1720,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated ",,,1674.23,5264.33,33
HCPCS,L1720,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated Trauma",,,4142.42,4142.42,6
HCPCS,L1730,"Legg perthes orthosis, (scottish rite type), custom fabricated ",,,1263.15,3971.77,33
HCPCS,L1730,"Legg perthes orthosis, (scottish rite type), custom fabricated Trauma",,,3125.33,3125.33,6
HCPCS,L1755,"Legg perthes orthosis, (patten bottom type), custom fabricated ",,,1838.58,5781.09,33
HCPCS,L1755,"Legg perthes orthosis, (patten bottom type), custom fabricated Trauma",,,4549.06,4549.06,6
HCPCS,L1810,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,145.1,456.25,33
HCPCS,L1810,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Trauma",,,359.02,359.02,6
HCPCS,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf ",,,83.14,261.42,33
HCPCS,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf Trauma",,,205.7,205.7,6
HCPCS,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,144.52,454.42,39
HCPCS,L1821,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf ",,,144.52,454.42,33
HCPCS,L1821,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf Trauma",,,357.58,357.58,6
HCPCS,L1830,IMMOB KNEE 12IN LG,263.0,263.0,35.24,315.6,24
HCPCS,L1830,IMOB ORTH KN UNIV 16IN,293.0,293.0,39.26,351.6,24
HCPCS,L1830,IMOB ORTH KNEE 24IN,383.0,383.0,51.32,459.6,24
HCPCS,L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf ",,,74.91,235.55,33
HCPCS,L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf Trauma",,,185.35,185.35,6
HCPCS,L1831,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment ",,,352.73,1109.1,33
HCPCS,L1831,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment Trauma",,,872.74,872.74,6
HCPCS,L1832,BRACE ORTH 17-27IN,1812.0,1812.0,242.81,2174.4,24
HCPCS,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",1812.0,1812.0,903.56,2841.11,39
HCPCS,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf ",,,539.62,1696.75,33
HCPCS,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf Trauma",,,1335.14,1335.14,6
HCPCS,L1834,"Knee orthosis, without knee joint, rigid, custom fabricated ",,,1063.03,3342.53,33
HCPCS,L1834,"Knee orthosis, without knee joint, rigid, custom fabricated Trauma",,,2630.18,2630.18,6
HCPCS,L1836,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf ",,,105.92,333.06,33
HCPCS,L1836,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf Trauma",,,262.08,262.08,6
HCPCS,L1840,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated ",,,1117.43,3513.57,33
HCPCS,L1840,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated Trauma",,,2764.78,2764.78,6
HCPCS,L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1075.4,3381.41,39
HCPCS,L1844,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1863.44,5859.26,39
HCPCS,L1845,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,1122.62,3529.89,39
HCPCS,L1846,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,1424.41,4478.8,39
HCPCS,L1847,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,689.4,2167.7,39
HCPCS,L1848,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf ",,,689.4,2167.7,33
HCPCS,L1848,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf Trauma",,,1705.73,1705.73,6
HCPCS,L1850,"Knee orthosis, swedish type, prefabricated, off-the-shelf ",,,243.95,767.07,33
HCPCS,L1850,"Knee orthosis, swedish type, prefabricated, off-the-shelf Trauma",,,603.6,603.6,6
HCPCS,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,712.25,2239.55,39
HCPCS,L1852,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,679.48,2136.49,39
HCPCS,L1860,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) ",,,1244.43,3912.91,33
HCPCS,L1860,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) Trauma",,,3079.01,3079.01,6
HCPCS,L1900,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated ",,,337.14,1060.09,33
HCPCS,L1900,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated Trauma",,,834.17,834.17,6
HCPCS,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf ",,,91.56,287.89,33
HCPCS,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf Trauma",,,226.54,226.54,6
HCPCS,L1904,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated ",,,524.15,1648.1,33
HCPCS,L1904,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated Trauma",,,1296.86,1296.86,6
HCPCS,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf ",,,153.18,481.66,33
HCPCS,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf Trauma",,,379.01,379.01,6
HCPCS,L1907,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated ",,,674.41,2120.57,33
HCPCS,L1907,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated Trauma",,,1668.65,1668.65,6
HCPCS,L1910,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment ",,,298.08,937.26,33
HCPCS,L1910,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment Trauma",,,737.52,737.52,6
HCPCS,L1920,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated ",,,389.68,1225.28,33
HCPCS,L1920,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated Trauma",,,964.15,964.15,6
HCPCS,L1930,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment ",,,263.68,829.11,33
HCPCS,L1930,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment Trauma",,,652.42,652.42,6
HCPCS,L1932,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,1069.54,3362.99,39
HCPCS,L1933,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf ",,,1069.54,3362.99,33
HCPCS,L1933,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf Trauma",,,2646.29,2646.29,6
HCPCS,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated ",,,595.9,1873.71,33
HCPCS,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated Trauma",,,1474.39,1474.39,6
HCPCS,L1945,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated ",,,1094.31,3440.86,33
HCPCS,L1945,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated Trauma",,,2707.56,2707.56,6
HCPCS,L1950,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated ",,,830.24,2610.56,33
HCPCS,L1950,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated Trauma",,,2054.21,2054.21,6
HCPCS,L1951,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,1006.58,3165.02,39
HCPCS,L1952,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf ",,,1006.58,3165.02,33
HCPCS,L1952,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf Trauma",,,2490.5,2490.5,6
HCPCS,L1960,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated ",,,617.84,1942.7,33
HCPCS,L1960,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated Trauma",,,1528.68,1528.68,6
HCPCS,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated ",,,913.84,2873.4,33
HCPCS,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated Trauma",,,2261.04,2261.04,6
HCPCS,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment ",,,561.79,1766.47,33
HCPCS,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment Trauma",,,1390.01,1390.01,6
HCPCS,L1980,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated ",,,409.08,1286.28,33
HCPCS,L1980,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated Trauma",,,1012.15,1012.15,6
HCPCS,L1990,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated ",,,525.6,1652.67,33
HCPCS,L1990,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated Trauma",,,1300.46,1300.46,6
HCPCS,L2000,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ",,,1130.57,3554.9,33
HCPCS,L2000,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated Trauma",,,2797.3,2797.3,6
HCPCS,L2005,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated ",,,4911.34,15442.88,33
HCPCS,L2005,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated Trauma",,,12151.78,12151.78,6
HCPCS,L2006,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,38197.05,120104.12,39
HCPCS,L2010,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated ",,,1030.63,3240.63,33
HCPCS,L2010,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated Trauma",,,2550.0,2550.0,6
HCPCS,L2020,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated ",,,1301.52,4092.4,33
HCPCS,L2020,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated Trauma",,,3220.25,3220.25,6
HCPCS,L2030,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated ",,,1129.19,3550.54,33
HCPCS,L2030,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated Trauma",,,2793.86,2793.86,6
HCPCS,L2034,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated ",,,2461.02,7738.25,33
HCPCS,L2034,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated Trauma",,,6089.11,6089.11,6
HCPCS,L2035,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ",,,207.64,652.88,33
HCPCS,L2035,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment Trauma",,,513.74,513.74,6
HCPCS,L2036,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,2068.03,6502.57,33
HCPCS,L2036,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated Trauma",,,5116.78,5116.78,6
HCPCS,L2037,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ",,,1905.82,5992.52,33
HCPCS,L2037,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated Trauma",,,4715.42,4715.42,6
HCPCS,L2038,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ",,,1593.65,5010.97,33
HCPCS,L2038,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated Trauma",,,3943.06,3943.06,6
HCPCS,L2040,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ",,,203.55,640.04,33
HCPCS,L2040,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated Trauma",,,503.64,503.64,6
HCPCS,L2050,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ",,,542.1,1704.55,33
HCPCS,L2050,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated Trauma",,,1341.29,1341.29,6
HCPCS,L2060,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,695.76,2187.7,33
HCPCS,L2060,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated Trauma",,,1721.47,1721.47,6
HCPCS,L2070,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated ",,,199.87,628.45,33
HCPCS,L2070,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated Trauma",,,494.52,494.52,6
HCPCS,L2080,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated ",,,426.27,1340.32,33
HCPCS,L2080,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated Trauma",,,1054.68,1054.68,6
HCPCS,L2090,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated ",,,525.38,1651.97,33
HCPCS,L2090,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated Trauma",,,1299.91,1299.91,6
HCPCS,L2106,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,757.87,2383.0,33
HCPCS,L2106,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated Trauma",,,1875.14,1875.14,6
HCPCS,L2108,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ",,,1190.95,3744.73,33
HCPCS,L2108,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated Trauma",,,2946.67,2946.67,6
HCPCS,L2112,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ",,,565.49,1778.09,33
HCPCS,L2112,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment Trauma",,,1399.15,1399.15,6
HCPCS,L2114,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,646.98,2034.32,33
HCPCS,L2114,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment Trauma",,,1600.78,1600.78,6
HCPCS,L2116,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ",,,852.4,2680.22,33
HCPCS,L2116,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment Trauma",,,2109.02,2109.02,6
HCPCS,L2126,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ",,,1516.67,4768.92,33
HCPCS,L2126,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated Trauma",,,3752.59,3752.59,6
HCPCS,L2128,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ",,,1911.33,6009.84,33
HCPCS,L2128,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated Trauma",,,4729.06,4729.06,6
HCPCS,L2132,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment ",,,899.17,2827.29,33
HCPCS,L2132,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment Trauma",,,2224.75,2224.75,6
HCPCS,L2134,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ",,,1078.07,3389.8,33
HCPCS,L2134,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment Trauma",,,2667.38,2667.38,6
HCPCS,L2136,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ",,,1318.18,4144.8,33
HCPCS,L2136,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment Trauma",,,3261.48,3261.48,6
HCPCS,L2180,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ",,,130.54,410.47,33
HCPCS,L2180,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints Trauma",,,322.99,322.99,6
HCPCS,L2182,"Addition to lower extremity fracture orthosis, drop lock knee joint ",,,102.17,321.26,33
HCPCS,L2182,"Addition to lower extremity fracture orthosis, drop lock knee joint Trauma",,,252.79,252.79,6
HCPCS,L2184,"Addition to lower extremity fracture orthosis, limited motion knee joint ",,,184.11,578.89,33
HCPCS,L2184,"Addition to lower extremity fracture orthosis, limited motion knee joint Trauma",,,455.52,455.52,6
HCPCS,L2186,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type ",,,204.0,641.45,33
HCPCS,L2186,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type Trauma",,,504.74,504.74,6
HCPCS,L2188,"Addition to lower extremity fracture orthosis, quadrilateral brim ",,,445.1,1399.55,33
HCPCS,L2188,"Addition to lower extremity fracture orthosis, quadrilateral brim Trauma",,,1101.29,1101.29,6
HCPCS,L2190,"Addition to lower extremity fracture orthosis, waist belt ",,,115.6,363.5,33
HCPCS,L2190,"Addition to lower extremity fracture orthosis, waist belt Trauma",,,286.03,286.03,6
HCPCS,L2192,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt ",,,397.44,1249.68,33
HCPCS,L2192,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt Trauma",,,983.35,983.35,6
HCPCS,L2200,"Addition to lower extremity, limited ankle motion, each joint ",,,52.99,166.62,33
HCPCS,L2200,"Addition to lower extremity, limited ankle motion, each joint Trauma",,,131.11,131.11,6
HCPCS,L2210,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ",,,85.98,270.35,33
HCPCS,L2210,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint Trauma",,,212.74,212.74,6
HCPCS,L2220,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ",,,98.74,310.46,33
HCPCS,L2220,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint Trauma",,,244.3,244.3,6
HCPCS,L2221,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source ",,,1745.44,5488.23,33
HCPCS,L2221,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source Trauma",,,4318.61,4318.61,6
HCPCS,L2230,"Addition to lower extremity, split flat caliper stirrups and plate attachment ",,,85.52,268.92,33
HCPCS,L2230,"Addition to lower extremity, split flat caliper stirrups and plate attachment Trauma",,,211.61,211.61,6
HCPCS,L2232,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ",,,115.8,364.11,33
HCPCS,L2232,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only Trauma",,,286.51,286.51,6
HCPCS,L2240,"Addition to lower extremity, round caliper and plate attachment ",,,93.23,293.14,33
HCPCS,L2240,"Addition to lower extremity, round caliper and plate attachment Trauma",,,230.66,230.66,6
HCPCS,L2250,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ",,,396.06,1245.35,33
HCPCS,L2250,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment Trauma",,,979.94,979.94,6
HCPCS,L2260,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) ",,,223.44,702.57,33
HCPCS,L2260,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) Trauma",,,552.84,552.84,6
HCPCS,L2265,"Addition to lower extremity, long tongue stirrup ",,,131.27,412.76,33
HCPCS,L2265,"Addition to lower extremity, long tongue stirrup Trauma",,,324.79,324.79,6
HCPCS,L2270,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ",,,59.86,188.22,33
HCPCS,L2270,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad Trauma",,,148.1,148.1,6
HCPCS,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ",,,145.66,457.99,33
HCPCS,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined Trauma",,,360.38,360.38,6
HCPCS,L2280,"Addition to lower extremity, molded inner boot ",,,541.1,1701.38,33
HCPCS,L2280,"Addition to lower extremity, molded inner boot Trauma",,,1338.79,1338.79,6
HCPCS,L2300,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ",,,305.44,960.41,33
HCPCS,L2300,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable Trauma",,,755.74,755.74,6
HCPCS,L2310,"Addition to lower extremity, abduction bar-straight ",,,137.13,431.18,33
HCPCS,L2310,"Addition to lower extremity, abduction bar-straight Trauma",,,339.29,339.29,6
HCPCS,L2320,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ",,,229.35,721.14,33
HCPCS,L2320,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only Trauma",,,567.46,567.46,6
HCPCS,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ",,,437.67,1376.19,33
HCPCS,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only Trauma",,,1082.9,1082.9,6
HCPCS,L2335,"Addition to lower extremity, anterior swing band ",,,257.47,809.56,33
HCPCS,L2335,"Addition to lower extremity, anterior swing band Trauma",,,637.03,637.03,6
HCPCS,L2340,"Addition to lower extremity, pre-tibial shell, molded to patient model ",,,607.57,1910.4,33
HCPCS,L2340,"Addition to lower extremity, pre-tibial shell, molded to patient model Trauma",,,1503.26,1503.26,6
HCPCS,L2350,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ",,,993.2,3122.96,33
HCPCS,L2350,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) Trauma",,,2457.41,2457.41,6
HCPCS,L2360,"Addition to lower extremity, extended steel shank ",,,57.67,181.32,33
HCPCS,L2360,"Addition to lower extremity, extended steel shank Trauma",,,142.68,142.68,6
HCPCS,L2370,"Addition to lower extremity, patten bottom ",,,286.13,899.69,33
HCPCS,L2370,"Addition to lower extremity, patten bottom Trauma",,,707.95,707.95,6
HCPCS,L2375,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup ",,,125.94,396.01,33
HCPCS,L2375,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup Trauma",,,311.62,311.62,6
HCPCS,L2380,"Addition to lower extremity, torsion control, straight knee joint, each joint ",,,137.23,431.48,33
HCPCS,L2380,"Addition to lower extremity, torsion control, straight knee joint, each joint Trauma",,,339.53,339.53,6
HCPCS,L2385,"Addition to lower extremity, straight knee joint, heavy duty, each joint ",,,149.3,469.46,33
HCPCS,L2385,"Addition to lower extremity, straight knee joint, heavy duty, each joint Trauma",,,369.41,369.41,6
HCPCS,L2387,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ",,,202.61,637.08,33
HCPCS,L2387,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint Trauma",,,501.31,501.31,6
HCPCS,L2390,"Addition to lower extremity, offset knee joint, each joint ",,,122.02,383.66,33
HCPCS,L2390,"Addition to lower extremity, offset knee joint, each joint Trauma",,,301.9,301.9,6
HCPCS,L2395,"Addition to lower extremity, offset knee joint, heavy duty, each joint ",,,186.29,585.75,33
HCPCS,L2395,"Addition to lower extremity, offset knee joint, heavy duty, each joint Trauma",,,460.92,460.92,6
HCPCS,L2397,"Addition to lower extremity orthosis, suspension sleeve ",,,130.64,410.77,33
HCPCS,L2397,"Addition to lower extremity orthosis, suspension sleeve Trauma",,,323.23,323.23,6
HCPCS,L2405,"Addition to knee joint, drop lock, each ",,,104.51,328.61,33
HCPCS,L2405,"Addition to knee joint, drop lock, each Trauma",,,258.58,258.58,6
HCPCS,L2415,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint ",,,145.6,457.8,33
HCPCS,L2415,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint Trauma",,,360.24,360.24,6
HCPCS,L2425,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint ",,,171.81,540.22,33
HCPCS,L2425,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint Trauma",,,425.09,425.09,6
HCPCS,L2430,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint ",,,171.81,540.22,33
HCPCS,L2430,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint Trauma",,,425.09,425.09,6
HCPCS,L2492,"Addition to knee joint, lift loop for drop lock ring ",,,113.66,357.4,33
HCPCS,L2492,"Addition to knee joint, lift loop for drop lock ring Trauma",,,281.23,281.23,6
HCPCS,L2500,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ",,,351.64,1105.69,33
HCPCS,L2500,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring Trauma",,,870.05,870.05,6
HCPCS,L2510,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ",,,941.48,2960.33,33
HCPCS,L2510,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model Trauma",,,2329.44,2329.44,6
HCPCS,L2520,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ",,,513.5,1614.61,33
HCPCS,L2520,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted Trauma",,,1270.51,1270.51,6
HCPCS,L2525,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ",,,1761.68,5539.32,33
HCPCS,L2525,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model Trauma",,,4358.81,4358.81,6
HCPCS,L2526,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ",,,949.56,2985.74,33
HCPCS,L2526,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted Trauma",,,2349.43,2349.43,6
HCPCS,L2530,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded ",,,261.89,823.47,33
HCPCS,L2530,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded Trauma",,,647.98,647.98,6
HCPCS,L2540,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ",,,471.26,1481.78,33
HCPCS,L2540,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model Trauma",,,1165.99,1165.99,6
HCPCS,L2550,"Addition to lower extremity, thigh/weight bearing, high roll cuff ",,,320.14,1006.62,33
HCPCS,L2550,"Addition to lower extremity, thigh/weight bearing, high roll cuff Trauma",,,792.1,792.1,6
HCPCS,L2570,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ",,,707.89,2225.83,33
HCPCS,L2570,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each Trauma",,,1751.47,1751.47,6
HCPCS,L2580,"Addition to lower extremity, pelvic control, pelvic sling ",,,671.04,2109.96,33
HCPCS,L2580,"Addition to lower extremity, pelvic control, pelvic sling Trauma",,,1660.3,1660.3,6
HCPCS,L2600,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ",,,228.93,719.83,33
HCPCS,L2600,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each Trauma",,,566.42,566.42,6
HCPCS,L2610,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ",,,270.7,851.16,33
HCPCS,L2610,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each Trauma",,,669.77,669.77,6
HCPCS,L2620,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each ",,,298.03,937.11,33
HCPCS,L2620,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each Trauma",,,737.4,737.4,6
HCPCS,L2622,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ",,,341.82,1074.79,33
HCPCS,L2622,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each Trauma",,,845.74,845.74,6
HCPCS,L2624,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ",,,464.69,1461.13,33
HCPCS,L2624,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each Trauma",,,1149.74,1149.74,6
HCPCS,L2627,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ",,,1914.51,6019.85,33
HCPCS,L2627,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables Trauma",,,4736.93,4736.93,6
HCPCS,L2628,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ",,,2248.93,7071.36,33
HCPCS,L2628,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables Trauma",,,5564.35,5564.35,6
HCPCS,L2630,"Addition to lower extremity, pelvic control, band and belt, unilateral ",,,276.01,867.88,33
HCPCS,L2630,"Addition to lower extremity, pelvic control, band and belt, unilateral Trauma",,,682.92,682.92,6
HCPCS,L2640,"Addition to lower extremity, pelvic control, band and belt, bilateral ",,,374.58,1177.82,33
HCPCS,L2640,"Addition to lower extremity, pelvic control, band and belt, bilateral Trauma",,,926.81,926.81,6
HCPCS,L2650,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ",,,133.76,420.59,33
HCPCS,L2650,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each Trauma",,,330.96,330.96,6
HCPCS,L2660,"Addition to lower extremity, thoracic control, thoracic band ",,,207.74,653.22,33
HCPCS,L2660,"Addition to lower extremity, thoracic control, thoracic band Trauma",,,514.01,514.01,6
HCPCS,L2670,"Addition to lower extremity, thoracic control, paraspinal uprights ",,,190.14,597.86,33
HCPCS,L2670,"Addition to lower extremity, thoracic control, paraspinal uprights Trauma",,,470.45,470.45,6
HCPCS,L2680,"Addition to lower extremity, thoracic control, lateral support uprights ",,,174.43,548.45,33
HCPCS,L2680,"Addition to lower extremity, thoracic control, lateral support uprights Trauma",,,431.57,431.57,6
HCPCS,L2750,"Addition to lower extremity orthosis, plating chrome or nickel, per bar ",,,93.17,292.95,33
HCPCS,L2750,"Addition to lower extremity orthosis, plating chrome or nickel, per bar Trauma",,,230.52,230.52,6
HCPCS,L2755,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only ",,,156.65,492.54,33
HCPCS,L2755,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only Trauma",,,387.58,387.58,6
HCPCS,L2760,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ",,,67.73,212.95,33
HCPCS,L2760,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) Trauma",,,167.57,167.57,6
HCPCS,L2768,"Orthotic side bar disconnect device, per bar ",,,156.17,491.05,33
HCPCS,L2768,"Orthotic side bar disconnect device, per bar Trauma",,,386.4,386.4,6
HCPCS,L2780,"Addition to lower extremity orthosis, non-corrosive finish, per bar ",,,80.11,251.9,33
HCPCS,L2780,"Addition to lower extremity orthosis, non-corrosive finish, per bar Trauma",,,198.22,198.22,6
HCPCS,L2785,"Addition to lower extremity orthosis, drop lock retainer, each ",,,47.1,148.11,33
HCPCS,L2785,"Addition to lower extremity orthosis, drop lock retainer, each Trauma",,,116.54,116.54,6
HCPCS,L2795,"Addition to lower extremity orthosis, knee control, full kneecap ",,,94.72,297.83,33
HCPCS,L2795,"Addition to lower extremity orthosis, knee control, full kneecap Trauma",,,234.36,234.36,6
HCPCS,L2800,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ",,,118.89,373.84,33
HCPCS,L2800,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only Trauma",,,294.17,294.17,6
HCPCS,L2810,"Addition to lower extremity orthosis, knee control, condylar pad ",,,87.06,273.74,33
HCPCS,L2810,"Addition to lower extremity orthosis, knee control, condylar pad Trauma",,,215.4,215.4,6
HCPCS,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ",,,96.8,304.36,33
HCPCS,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section Trauma",,,239.5,239.5,6
HCPCS,L2830,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ",,,108.84,342.24,33
HCPCS,L2830,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section Trauma",,,269.3,269.3,6
HCPCS,L2840,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ",,,60.76,191.05,33
HCPCS,L2840,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each Trauma",,,150.34,150.34,6
HCPCS,L2850,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ",,,69.02,217.01,33
HCPCS,L2850,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each Trauma",,,170.76,170.76,6
HCPCS,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each ",,,376.52,1183.89,33
HCPCS,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each Trauma",,,931.58,931.58,6
HCPCS,L3001,"Foot, insert, removable, molded to patient model, spenco, each ",,,158.53,498.46,33
HCPCS,L3001,"Foot, insert, removable, molded to patient model, spenco, each Trauma",,,392.23,392.23,6
HCPCS,L3002,"Foot, insert, removable, molded to patient model, plastazote or equal, each ",,,193.56,608.63,33
HCPCS,L3002,"Foot, insert, removable, molded to patient model, plastazote or equal, each Trauma",,,478.92,478.92,6
HCPCS,L3003,"Foot, insert, removable, molded to patient model, silicone gel, each ",,,208.83,656.63,33
HCPCS,L3003,"Foot, insert, removable, molded to patient model, silicone gel, each Trauma",,,516.7,516.7,6
HCPCS,L3010,"Foot, insert, removable, molded to patient model, longitudinal arch support, each ",,,208.83,656.63,33
HCPCS,L3010,"Foot, insert, removable, molded to patient model, longitudinal arch support, each Trauma",,,516.7,516.7,6
HCPCS,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each ",,,237.8,747.71,33
HCPCS,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each Trauma",,,588.36,588.36,6
HCPCS,L3030,"Foot, insert, removable, formed to patient foot, each ",,,91.48,287.65,33
HCPCS,L3030,"Foot, insert, removable, formed to patient foot, each Trauma",,,226.34,226.34,6
HCPCS,L3031,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each ",,,146.78,461.53,33
HCPCS,L3031,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each Trauma",,,363.17,363.17,6
HCPCS,L3040,"Foot, arch support, removable, premolded, longitudinal, each ",,,56.41,177.36,33
HCPCS,L3040,"Foot, arch support, removable, premolded, longitudinal, each Trauma",,,139.56,139.56,6
HCPCS,L3050,"Foot, arch support, removable, premolded, metatarsal, each ",,,56.41,177.36,33
HCPCS,L3050,"Foot, arch support, removable, premolded, metatarsal, each Trauma",,,139.56,139.56,6
HCPCS,L3060,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each ",,,88.41,277.98,33
HCPCS,L3060,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each Trauma",,,218.74,218.74,6
HCPCS,L3070,"Foot, arch support, non-removable attached to shoe, longitudinal, each ",,,38.1,119.8,33
HCPCS,L3070,"Foot, arch support, non-removable attached to shoe, longitudinal, each Trauma",,,94.27,94.27,6
HCPCS,L3080,"Foot, arch support, non-removable attached to shoe, metatarsal, each ",,,38.1,119.8,33
HCPCS,L3080,"Foot, arch support, non-removable attached to shoe, metatarsal, each Trauma",,,94.27,94.27,6
HCPCS,L3090,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each ",,,48.8,153.45,33
HCPCS,L3090,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each Trauma",,,120.74,120.74,6
HCPCS,L3100,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf ",,,51.81,162.9,33
HCPCS,L3100,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf Trauma",,,128.18,128.18,6
HCPCS,L3140,"Foot, abduction rotation bar, including shoes ",,,106.73,335.59,33
HCPCS,L3140,"Foot, abduction rotation bar, including shoes Trauma",,,264.07,264.07,6
HCPCS,L3150,"Foot, abduction rotation bar, without shoes ",,,97.56,306.77,33
HCPCS,L3150,"Foot, abduction rotation bar, without shoes Trauma",,,241.39,241.39,6
HCPCS,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each ",,,60.98,191.75,33
HCPCS,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each Trauma",,,150.89,150.89,6
HCPCS,L3224,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) ",,,65.54,206.09,33
HCPCS,L3224,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) Trauma",,,162.17,162.17,6
HCPCS,L3225,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) ",,,75.4,237.08,33
HCPCS,L3225,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) Trauma",,,186.55,186.55,6
HCPCS,L3300,"Lift, elevation, heel, tapered to metatarsals, per inch ",,,62.48,196.45,33
HCPCS,L3300,"Lift, elevation, heel, tapered to metatarsals, per inch Trauma",,,154.58,154.58,6
HCPCS,L3310,"Lift, elevation, heel and sole, neoprene, per inch ",,,97.56,306.77,33
HCPCS,L3310,"Lift, elevation, heel and sole, neoprene, per inch Trauma",,,241.39,241.39,6
HCPCS,L3330,"Lift, elevation, metal extension (skate) ",,,678.3,2132.8,33
HCPCS,L3330,"Lift, elevation, metal extension (skate) Trauma",,,1678.27,1678.27,6
HCPCS,L3332,"Lift, elevation, inside shoe, tapered, up to one-half inch ",,,88.41,277.98,33
HCPCS,L3332,"Lift, elevation, inside shoe, tapered, up to one-half inch Trauma",,,218.74,218.74,6
HCPCS,L3334,"Lift, elevation, heel, per inch ",,,45.72,143.75,33
HCPCS,L3334,"Lift, elevation, heel, per inch Trauma",,,113.11,113.11,6
HCPCS,L3340,"Heel wedge, sach ",,,102.17,321.26,33
HCPCS,L3340,"Heel wedge, sach Trauma",,,252.79,252.79,6
HCPCS,L3350,Heel wedge ,,,27.41,86.19,33
HCPCS,L3350,Heel wedge Trauma,,,67.82,67.82,6
HCPCS,L3360,"Sole wedge, outside sole ",,,42.68,134.2,33
HCPCS,L3360,"Sole wedge, outside sole Trauma",,,105.6,105.6,6
HCPCS,L3370,"Sole wedge, between sole ",,,59.46,186.96,33
HCPCS,L3370,"Sole wedge, between sole Trauma",,,147.12,147.12,6
HCPCS,L3380,Clubfoot wedge ,,,59.46,186.96,33
HCPCS,L3380,Clubfoot wedge Trauma,,,147.12,147.12,6
HCPCS,L3390,Outflare wedge ,,,59.46,186.96,33
HCPCS,L3390,Outflare wedge Trauma,,,147.12,147.12,6
HCPCS,L3400,"Metatarsal bar wedge, rocker ",,,48.8,153.45,33
HCPCS,L3400,"Metatarsal bar wedge, rocker Trauma",,,120.74,120.74,6
HCPCS,L3410,"Metatarsal bar wedge, between sole ",,,111.3,349.96,33
HCPCS,L3410,"Metatarsal bar wedge, between sole Trauma",,,275.38,275.38,6
HCPCS,L3420,"Full sole and heel wedge, between sole ",,,65.52,206.03,33
HCPCS,L3420,"Full sole and heel wedge, between sole Trauma",,,162.12,162.12,6
HCPCS,L3430,"Heel, counter, plastic reinforced ",,,192.06,603.9,33
HCPCS,L3430,"Heel, counter, plastic reinforced Trauma",,,475.2,475.2,6
HCPCS,L3440,"Heel, counter, leather reinforced ",,,91.48,287.65,33
HCPCS,L3440,"Heel, counter, leather reinforced Trauma",,,226.34,226.34,6
HCPCS,L3450,"Heel, sach cushion type ",,,126.49,397.72,33
HCPCS,L3450,"Heel, sach cushion type Trauma",,,312.96,312.96,6
HCPCS,L3455,"Heel, new leather, standard ",,,48.8,153.45,33
HCPCS,L3455,"Heel, new leather, standard Trauma",,,120.74,120.74,6
HCPCS,L3460,"Heel, new rubber, standard ",,,41.14,129.35,33
HCPCS,L3460,"Heel, new rubber, standard Trauma",,,101.78,101.78,6
HCPCS,L3465,"Heel, thomas with wedge ",,,70.11,220.45,33
HCPCS,L3465,"Heel, thomas with wedge Trauma",,,173.47,173.47,6
HCPCS,L3470,"Heel, thomas extended to ball ",,,74.68,234.82,33
HCPCS,L3470,"Heel, thomas extended to ball Trauma",,,184.78,184.78,6
HCPCS,L3480,"Heel, pad and depression for spur ",,,74.68,234.82,33
HCPCS,L3480,"Heel, pad and depression for spur Trauma",,,184.78,184.78,6
HCPCS,L3500,"Orthopedic shoe addition, insole, leather ",,,35.09,110.35,33
HCPCS,L3500,"Orthopedic shoe addition, insole, leather Trauma",,,86.83,86.83,6
HCPCS,L3510,"Orthopedic shoe addition, insole, rubber ",,,35.09,110.35,33
HCPCS,L3510,"Orthopedic shoe addition, insole, rubber Trauma",,,86.83,86.83,6
HCPCS,L3520,"Orthopedic shoe addition, insole, felt covered with leather ",,,38.1,119.8,33
HCPCS,L3520,"Orthopedic shoe addition, insole, felt covered with leather Trauma",,,94.27,94.27,6
HCPCS,L3530,"Orthopedic shoe addition, sole, half ",,,38.1,119.8,33
HCPCS,L3530,"Orthopedic shoe addition, sole, half Trauma",,,94.27,94.27,6
HCPCS,L3540,"Orthopedic shoe addition, sole, full ",,,60.98,191.75,33
HCPCS,L3540,"Orthopedic shoe addition, sole, full Trauma",,,150.89,150.89,6
HCPCS,L3550,"Orthopedic shoe addition, toe tap standard ",,,10.69,33.61,33
HCPCS,L3550,"Orthopedic shoe addition, toe tap standard Trauma",,,26.45,26.45,6
HCPCS,L3560,"Orthopedic shoe addition, toe tap, horseshoe ",,,27.41,86.19,33
HCPCS,L3560,"Orthopedic shoe addition, toe tap, horseshoe Trauma",,,67.82,67.82,6
HCPCS,L3570,"Orthopedic shoe addition, special extension to instep (leather with eyelets) ",,,102.17,321.26,33
HCPCS,L3570,"Orthopedic shoe addition, special extension to instep (leather with eyelets) Trauma",,,252.79,252.79,6
HCPCS,L3580,"Orthopedic shoe addition, convert instep to velcro closure ",,,77.74,244.43,33
HCPCS,L3580,"Orthopedic shoe addition, convert instep to velcro closure Trauma",,,192.34,192.34,6
HCPCS,L3590,"Orthopedic shoe addition, convert firm shoe counter to soft counter ",,,64.03,201.33,33
HCPCS,L3590,"Orthopedic shoe addition, convert firm shoe counter to soft counter Trauma",,,158.42,158.42,6
HCPCS,L3595,"Orthopedic shoe addition, march bar ",,,50.29,158.14,33
HCPCS,L3595,"Orthopedic shoe addition, march bar Trauma",,,124.44,124.44,6
HCPCS,L3600,"Transfer of an orthosis from one shoe to another, caliper plate, existing ",,,91.48,287.65,33
HCPCS,L3600,"Transfer of an orthosis from one shoe to another, caliper plate, existing Trauma",,,226.34,226.34,6
HCPCS,L3610,"Transfer of an orthosis from one shoe to another, caliper plate, new ",,,120.4,378.57,33
HCPCS,L3610,"Transfer of an orthosis from one shoe to another, caliper plate, new Trauma",,,297.89,297.89,6
HCPCS,L3620,"Transfer of an orthosis from one shoe to another, solid stirrup, existing ",,,91.48,287.65,33
HCPCS,L3620,"Transfer of an orthosis from one shoe to another, solid stirrup, existing Trauma",,,226.34,226.34,6
HCPCS,L3630,"Transfer of an orthosis from one shoe to another, solid stirrup, new ",,,120.4,378.57,33
HCPCS,L3630,"Transfer of an orthosis from one shoe to another, solid stirrup, new Trauma",,,297.89,297.89,6
HCPCS,L3640,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ",,,51.81,162.9,33
HCPCS,L3640,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes Trauma",,,128.18,128.18,6
HCPCS,L3650,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ",,,65.29,205.3,33
HCPCS,L3650,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf Trauma",,,161.54,161.54,6
HCPCS,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ",,,112.1,352.49,33
HCPCS,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf Trauma",,,277.37,277.37,6
HCPCS,L3670,IMOB ORTH 18.5X9.5IN,144.0,144.0,19.3,172.8,24
HCPCS,L3670,IMOB ORTH LG 9X18IN,151.0,151.0,20.23,181.2,24
HCPCS,L3670,IMOB SHDR ADJ STRP XL,199.0,199.0,26.67,238.8,24
HCPCS,L3670,IMOB SHLDR ADJ STRP MED,187.0,187.0,25.06,224.4,24
HCPCS,L3670,STRAP CLAVICLE MEDIUM,225.0,225.0,30.15,270.0,24
HCPCS,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ",,,156.25,491.29,33
HCPCS,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf Trauma",,,386.59,386.59,6
HCPCS,L3671,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,982.84,3090.38,33
HCPCS,L3671,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2431.78,2431.78,6
HCPCS,L3674,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,1289.35,4054.15,39
HCPCS,L3675,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ",,,191.42,601.89,33
HCPCS,L3675,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf Trauma",,,473.62,473.62,6
HCPCS,L3702,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,314.98,990.4,33
HCPCS,L3702,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,779.33,779.33,6
HCPCS,L3710,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ",,,158.17,497.33,33
HCPCS,L3710,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf Trauma",,,391.34,391.34,6
HCPCS,L3720,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ",,,789.0,2480.87,33
HCPCS,L3720,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated Trauma",,,1952.16,1952.16,6
HCPCS,L3730,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ",,,1038.63,3265.79,33
HCPCS,L3730,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated Trauma",,,2569.8,2569.8,6
HCPCS,L3740,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ",,,1167.26,3670.25,33
HCPCS,L3740,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated Trauma",,,2888.06,2888.06,6
HCPCS,L3760,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,545.48,1715.17,39
HCPCS,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ",,,545.48,1715.17,33
HCPCS,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf Trauma",,,1349.64,1349.64,6
HCPCS,L3762,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ",,,117.3,368.84,33
HCPCS,L3762,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf Trauma",,,290.23,290.23,6
HCPCS,L3763,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,866.03,2723.07,33
HCPCS,L3763,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2142.74,2142.74,6
HCPCS,L3764,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,863.67,2715.66,33
HCPCS,L3764,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2136.91,2136.91,6
HCPCS,L3765,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1398.64,4397.8,33
HCPCS,L3765,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,3460.56,3460.56,6
HCPCS,L3766,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1481.08,4657.01,33
HCPCS,L3766,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,3664.54,3664.54,6
HCPCS,L3806,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,495.48,1557.94,39
HCPCS,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,272.75,857.63,33
HCPCS,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Traum",,,674.86,674.86,6
HCPCS,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ",,,364.32,1145.55,33
HCPCS,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment Trauma",,,901.42,901.42,6
HCPCS,L3809,BRACE ORT XS8IN 5-6IN,162.0,162.0,21.71,194.4,24
HCPCS,L3809,BRACE ORTH XS 8IN 5-6IN,162.0,162.0,21.71,194.4,24
HCPCS,L3809,BRACE WRIST UNIV LFT 8IN,178.0,178.0,23.85,213.6,24
HCPCS,L3809,BRACE WRIST UNIV LT 10IN,258.0,258.0,34.57,309.6,24
HCPCS,L3809,BRACE WRIST UNIV RT 10IN,258.0,258.0,34.57,309.6,24
HCPCS,L3809,BRACE WRIST UNIV RT 8IN,178.0,178.0,23.85,213.6,24
HCPCS,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ",,,272.75,857.63,33
HCPCS,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type Trauma",,,674.86,674.86,6
HCPCS,L3900,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated ",,,1704.0,5357.93,33
HCPCS,L3900,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated Trauma",,,4216.08,4216.08,6
HCPCS,L3901,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated ",,,1910.63,6007.65,33
HCPCS,L3901,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated Trauma",,,4727.33,4727.33,6
HCPCS,L3904,"Wrist hand finger orthosis, external powered, electric, custom fabricated ",,,3889.52,12229.92,33
HCPCS,L3904,"Wrist hand finger orthosis, external powered, electric, custom fabricated Trauma",,,9623.54,9623.54,6
HCPCS,L3905,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1081.75,3401.39,33
HCPCS,L3905,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2676.5,2676.5,6
HCPCS,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,460.15,1446.86,33
HCPCS,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,1138.51,1138.51,6
HCPCS,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf ",,,65.35,205.48,33
HCPCS,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf Trauma",,,161.69,161.69,6
HCPCS,L3912,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf ",,,104.83,329.61,33
HCPCS,L3912,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf Trauma",,,259.37,259.37,6
HCPCS,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,295.44,928.97,33
HCPCS,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,730.99,730.99,6
HCPCS,L3915,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,579.85,1823.23,39
HCPCS,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf ",,,579.85,1823.23,33
HCPCS,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf Trauma",,,1434.67,1434.67,6
HCPCS,L3917,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ",,,115.23,362.31,33
HCPCS,L3917,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Trauma",,,285.1,285.1,6
HCPCS,L3918,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf ",,,115.23,362.31,33
HCPCS,L3918,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf Trauma",,,285.1,285.1,6
HCPCS,L3919,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,295.44,928.97,33
HCPCS,L3919,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,730.99,730.99,6
HCPCS,L3921,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,350.34,1101.6,33
HCPCS,L3921,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,866.83,866.83,6
HCPCS,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,94.88,298.32,39
HCPCS,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf ",,,94.88,298.32,33
HCPCS,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf Trauma",,,234.74,234.74,6
HCPCS,L3925,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf ",,,57.61,181.14,33
HCPCS,L3925,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf Trauma",,,142.54,142.54,6
HCPCS,L3927,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,38.16,119.99,39
HCPCS,L3929,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,91.83,288.74,39
HCPCS,L3930,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf ",,,91.83,288.74,33
HCPCS,L3930,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf Trauma",,,227.21,227.21,6
HCPCS,L3931,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment ",,,222.14,698.48,33
HCPCS,L3931,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment Tr",,,549.62,549.62,6
HCPCS,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment ",,,232.72,731.76,33
HCPCS,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment Trauma",,,575.81,575.81,6
HCPCS,L3935,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment ",,,241.02,757.83,33
HCPCS,L3935,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment Trauma",,,596.33,596.33,6
HCPCS,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ",,,899.1,2827.08,33
HCPCS,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment Trauma",,,2224.58,2224.58,6
HCPCS,L3961,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1832.65,5762.46,33
HCPCS,L3961,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,4534.39,4534.39,6
HCPCS,L3962,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment ",,,936.17,2943.62,33
HCPCS,L3962,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment Trauma",,,2316.29,2316.29,6
HCPCS,L3967,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,2163.74,6803.51,39
HCPCS,L3971,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,2053.85,6457.98,39
HCPCS,L3973,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,2163.74,6803.51,39
HCPCS,L3975,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ",,,1832.65,5762.46,33
HCPCS,L3975,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,4534.39,4534.39,6
HCPCS,L3976,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,1832.65,5762.46,39
HCPCS,L3977,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,2053.85,6457.98,39
HCPCS,L3978,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,2163.74,6803.51,39
HCPCS,L3980,BRACE HUM ORTH MD/RT,2564.0,2564.0,220.5,3076.8,48
HCPCS,L3980,BRACE HUM SHLDR 14-17IN,1719.0,1719.0,230.35,2062.8,24
HCPCS,L3980,BRACE HUMERAL XLG,969.0,969.0,129.85,1162.8,24
HCPCS,L3980,HUMERAL CUFF LARGE,953.0,953.0,127.7,1143.6,24
HCPCS,L3980,HUMERAL CUFF MED,923.0,923.0,123.68,1107.6,24
HCPCS,L3980,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ",,,337.2,1060.27,33
HCPCS,L3980,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment Trauma",,,834.31,834.31,6
HCPCS,L3981,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ",,,1097.94,3452.3,33
HCPCS,L3981,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments T",,,2716.56,2716.56,6
HCPCS,L3982,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ",,,416.6,1309.91,33
HCPCS,L3982,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment Trauma",,,1030.75,1030.75,6
HCPCS,L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ",,,444.69,1398.24,33
HCPCS,L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment Trauma",,,1100.26,1100.26,6
HCPCS,L3995,"Addition to upper extremity orthosis, sock, fracture or equal, each ",,,37.3,117.27,33
HCPCS,L3995,"Addition to upper extremity orthosis, sock, fracture or equal, each Trauma",,,92.28,92.28,6
HCPCS,L4000,Replace girdle for spinal orthosis (ctlso or so) ,,,1454.1,4572.16,33
HCPCS,L4000,Replace girdle for spinal orthosis (ctlso or so) Trauma,,,3597.77,3597.77,6
HCPCS,L4010,Replace trilateral socket brim ,,,818.27,2572.92,33
HCPCS,L4010,Replace trilateral socket brim Trauma,,,2024.59,2024.59,6
HCPCS,L4020,"Replace quadrilateral socket brim, molded to patient model ",,,1022.1,3213.82,33
HCPCS,L4020,"Replace quadrilateral socket brim, molded to patient model Trauma",,,2528.9,2528.9,6
HCPCS,L4030,"Replace quadrilateral socket brim, custom fitted ",,,562.76,1769.52,33
HCPCS,L4030,"Replace quadrilateral socket brim, custom fitted Trauma",,,1392.41,1392.41,6
HCPCS,L4040,"Replace molded thigh lacer, for custom fabricated orthosis only ",,,455.0,1430.66,33
HCPCS,L4040,"Replace molded thigh lacer, for custom fabricated orthosis only Trauma",,,1125.77,1125.77,6
HCPCS,L4045,"Replace non-molded thigh lacer, for custom fabricated orthosis only ",,,365.63,1149.67,33
HCPCS,L4045,"Replace non-molded thigh lacer, for custom fabricated orthosis only Trauma",,,904.66,904.66,6
HCPCS,L4050,"Replace molded calf lacer, for custom fabricated orthosis only ",,,460.17,1446.92,33
HCPCS,L4050,"Replace molded calf lacer, for custom fabricated orthosis only Trauma",,,1138.56,1138.56,6
HCPCS,L4055,"Replace non-molded calf lacer, for custom fabricated orthosis only ",,,297.98,936.96,33
HCPCS,L4055,"Replace non-molded calf lacer, for custom fabricated orthosis only Trauma",,,737.28,737.28,6
HCPCS,L4060,Replace high roll cuff ,,,354.23,1113.83,33
HCPCS,L4060,Replace high roll cuff Trauma,,,876.46,876.46,6
HCPCS,L4070,Replace proximal and distal upright for kafo ,,,337.95,1062.62,33
HCPCS,L4070,Replace proximal and distal upright for kafo Trauma,,,836.16,836.16,6
HCPCS,L4080,"Replace metal bands kafo, proximal thigh ",,,119.15,374.63,33
HCPCS,L4080,"Replace metal bands kafo, proximal thigh Trauma",,,294.79,294.79,6
HCPCS,L4090,"Replace metal bands kafo-afo, calf or distal thigh ",,,105.46,331.6,33
HCPCS,L4090,"Replace metal bands kafo-afo, calf or distal thigh Trauma",,,260.93,260.93,6
HCPCS,L4100,"Replace leather cuff kafo, proximal thigh ",,,118.95,374.02,33
HCPCS,L4100,"Replace leather cuff kafo, proximal thigh Trauma",,,294.31,294.31,6
HCPCS,L4110,"Replace leather cuff kafo-afo, calf or distal thigh ",,,94.53,297.22,33
HCPCS,L4110,"Replace leather cuff kafo-afo, calf or distal thigh Trauma",,,233.88,233.88,6
HCPCS,L4130,Replace pretibial shell ,,,650.56,2045.57,33
HCPCS,L4130,Replace pretibial shell Trauma,,,1609.63,1609.63,6
HCPCS,L4205,"Repair of orthotic device, labor component, per 15 minutes ",,,29.05,91.35,33
HCPCS,L4205,"Repair of orthotic device, labor component, per 15 minutes Trauma",,,71.88,71.88,6
HCPCS,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf ",,,117.21,368.53,33
HCPCS,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf Trauma",,,289.99,289.99,6
HCPCS,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,327.92,1031.08,39
HCPCS,L4361,BOOT WALK AIR RCKR MED,1102.0,1102.0,147.67,1322.4,24
HCPCS,L4361,BOOT WALK AIR RCKR SMALL,1102.0,1102.0,147.67,1322.4,24
HCPCS,L4361,BOOT WALK AIR RCKR XL,1102.0,1102.0,147.67,1322.4,24
HCPCS,L4361,BRACE ANKL SM TALL,791.0,791.0,105.99,949.2,48
HCPCS,L4361,BRACE ANKL WLK LG TALL,791.0,791.0,105.99,949.2,24
HCPCS,L4361,BRACE ANKL XL TALL,791.0,791.0,105.99,949.2,24
HCPCS,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,327.92,1031.08,33
HCPCS,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf Trauma",,,811.34,811.34,6
HCPCS,L4370,"Pneumatic full leg splint, prefabricated, off-the-shelf ",,,210.43,661.67,33
HCPCS,L4370,"Pneumatic full leg splint, prefabricated, off-the-shelf Trauma",,,520.66,520.66,6
HCPCS,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,190.01,597.46,39
HCPCS,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf ",,,190.01,597.46,33
HCPCS,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf Trauma",,,470.14,470.14,6
HCPCS,L4392,"Replacement, soft interface material, static afo ",,,28.23,88.75,33
HCPCS,L4392,"Replacement, soft interface material, static afo Trauma",,,69.84,69.84,6
HCPCS,L4394,"Replace soft interface material, foot drop splint ",,,20.6,64.78,33
HCPCS,L4394,"Replace soft interface material, foot drop splint Trauma",,,50.98,50.98,6
HCPCS,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,201.19,632.6,39
HCPCS,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf ",,,201.19,632.6,33
HCPCS,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf Trauma",,,497.78,497.78,6
HCPCS,L4398,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf ",,,92.59,291.12,33
HCPCS,L4398,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf Trauma",,,229.08,229.08,6
HCPCS,L4631,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,1788.62,5624.02,39
HCPCS,L5000,"Partial foot, shoe insert with longitudinal arch, toe filler ",,,628.46,1976.09,33
HCPCS,L5000,"Partial foot, shoe insert with longitudinal arch, toe filler Trauma",,,1554.96,1554.96,6
HCPCS,L5010,"Partial foot, molded socket, ankle height, with toe filler ",,,1517.89,4772.73,33
HCPCS,L5010,"Partial foot, molded socket, ankle height, with toe filler Trauma",,,3755.59,3755.59,6
HCPCS,L5020,"Partial foot, molded socket, tibial tubercle height, with toe filler ",,,2577.68,8105.07,33
HCPCS,L5020,"Partial foot, molded socket, tibial tubercle height, with toe filler Trauma",,,6377.76,6377.76,6
HCPCS,L5050,"Ankle, symes, molded socket, sach foot ",,,2851.38,8965.69,33
HCPCS,L5050,"Ankle, symes, molded socket, sach foot Trauma",,,7054.97,7054.97,6
HCPCS,L5060,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot ",,,3279.94,10313.21,33
HCPCS,L5060,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot Trauma",,,8115.31,8115.31,6
HCPCS,L5100,"Below knee, molded socket, shin, sach foot ",,,2857.68,8985.48,33
HCPCS,L5100,"Below knee, molded socket, shin, sach foot Trauma",,,7070.54,7070.54,6
HCPCS,L5105,"Below knee, plastic socket, joints and thigh lacer, sach foot ",,,4125.38,12971.56,33
HCPCS,L5105,"Below knee, plastic socket, joints and thigh lacer, sach foot Trauma",,,10207.13,10207.13,6
HCPCS,L5150,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot ",,,4170.2,13112.5,33
HCPCS,L5150,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot Trauma",,,10318.03,10318.03,6
HCPCS,L5160,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot ",,,4535.84,14262.17,33
HCPCS,L5160,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot Trauma",,,11222.69,11222.69,6
HCPCS,L5200,"Above knee, molded socket, single axis constant friction knee, shin, sach foot ",,,4343.72,13658.08,33
HCPCS,L5200,"Above knee, molded socket, single axis constant friction knee, shin, sach foot Trauma",,,10747.34,10747.34,6
HCPCS,L5210,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each ",,,2881.61,9060.73,33
HCPCS,L5210,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each Trauma",,,7129.75,7129.75,6
HCPCS,L5220,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each ",,,3275.48,10299.18,33
HCPCS,L5220,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each Trauma",,,8104.27,8104.27,6
HCPCS,L5230,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot ",,,4517.52,14204.58,33
HCPCS,L5230,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot Trauma",,,11177.38,11177.38,6
HCPCS,L5250,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,6161.51,19373.81,33
HCPCS,L5250,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot Trauma",,,15244.97,15244.97,6
HCPCS,L5270,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot ",,,6134.17,19287.86,33
HCPCS,L5270,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot Trauma",,,15177.34,15177.34,6
HCPCS,L5280,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot ",,,6087.2,19140.15,33
HCPCS,L5280,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot Trauma",,,15061.1,15061.1,6
HCPCS,L5301,"Below knee, molded socket, shin, sach foot, endoskeletal system ",,,3266.52,10271.03,33
HCPCS,L5301,"Below knee, molded socket, shin, sach foot, endoskeletal system Trauma",,,8082.12,8082.12,6
HCPCS,L5312,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system ",,,4675.81,14702.28,33
HCPCS,L5312,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system Trauma",,,11569.01,11569.01,6
HCPCS,L5321,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee ",,,4734.9,14888.09,33
HCPCS,L5321,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee Trauma",,,11715.22,11715.22,6
HCPCS,L5331,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,6033.24,18970.48,33
HCPCS,L5331,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Trauma",,,14927.59,14927.59,6
HCPCS,L5341,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot ",,,6280.63,19748.38,33
HCPCS,L5341,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Trauma",,,15539.71,15539.71,6
HCPCS,L5400,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee ",,,1617.2,5085.02,33
HCPCS,L5400,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee Trauma",,,4001.33,4001.33,6
HCPCS,L5410,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment ",,,496.16,1560.11,33
HCPCS,L5410,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment Trauma",,,1227.62,1227.62,6
HCPCS,L5420,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation ",,,1981.83,6231.52,33
HCPCS,L5420,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation Trauma",,,4903.49,4903.49,6
HCPCS,L5430,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment ",,,597.59,1879.01,33
HCPCS,L5430,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment Traum",,,1478.57,1478.57,6
HCPCS,L5450,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee ",,,486.15,1528.63,33
HCPCS,L5450,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee Trauma",,,1202.86,1202.86,6
HCPCS,L5460,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee ",,,647.72,2036.64,33
HCPCS,L5460,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee Trauma",,,1602.6,1602.6,6
HCPCS,L5500,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,1525.16,4795.61,33
HCPCS,L5500,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Trauma",,,3773.59,3773.59,6
HCPCS,L5505,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed ",,,2109.36,6632.53,33
HCPCS,L5505,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Trauma",,,5219.04,5219.04,6
HCPCS,L5510,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,1728.87,5436.14,33
HCPCS,L5510,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model Trauma",,,4277.62,4277.62,6
HCPCS,L5520,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,1707.71,5369.62,33
HCPCS,L5520,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed Trauma",,,4225.27,4225.27,6
HCPCS,L5530,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2051.12,6449.41,33
HCPCS,L5530,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model Trauma",,,5074.94,5074.94,6
HCPCS,L5535,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket ",,,2013.81,6332.07,33
HCPCS,L5535,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket Trauma",,,4982.62,4982.62,6
HCPCS,L5540,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model ",,,2149.36,6758.28,33
HCPCS,L5540,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model Trauma",,,5317.99,5317.99,6
HCPCS,L5560,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model ",,,2308.05,7257.26,33
HCPCS,L5560,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model Trauma",,,5710.63,5710.63,6
HCPCS,L5570,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed ",,,2399.55,7544.97,33
HCPCS,L5570,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed Trauma",,,5937.02,5937.02,6
HCPCS,L5580,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model ",,,2801.3,8808.22,33
HCPCS,L5580,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model Trauma",,,6931.06,6931.06,6
HCPCS,L5585,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket ",,,3447.46,10839.94,33
HCPCS,L5585,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket Trauma",,,8529.79,8529.79,6
HCPCS,L5590,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model ",,,2854.72,8976.18,33
HCPCS,L5590,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model Trauma",,,7063.22,7063.22,6
HCPCS,L5595,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model ",,,5043.25,15857.65,33
HCPCS,L5595,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model Trauma",,,12478.15,12478.15,6
HCPCS,L5600,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model ",,,5421.26,17046.24,33
HCPCS,L5600,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model Trauma",,,13413.43,13413.43,6
HCPCS,L5610,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system ",,,2458.62,7730.71,33
HCPCS,L5610,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system Trauma",,,6083.18,6083.18,6
HCPCS,L5611,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control ",,,1913.3,6016.03,33
HCPCS,L5611,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control Trauma",,,4733.93,4733.93,6
HCPCS,L5613,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control ",,,2991.39,9405.93,33
HCPCS,L5613,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control Trauma",,,7401.38,7401.38,6
HCPCS,L5614,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control ",,,2026.46,6371.85,33
HCPCS,L5614,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control Trauma",,,5013.91,5013.91,6
HCPCS,L5615,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control ",,,6636.69,20867.95,33
HCPCS,L5615,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control Trauma",,,16420.68,16420.68,6
HCPCS,L5616,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control ",,,1616.52,5082.89,33
HCPCS,L5616,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control Trauma",,,3999.65,3999.65,6
HCPCS,L5617,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each ",,,671.91,2112.7,33
HCPCS,L5617,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each Trauma",,,1662.46,1662.46,6
HCPCS,L5618,"Addition to lower extremity, test socket, symes ",,,355.47,1117.7,33
HCPCS,L5618,"Addition to lower extremity, test socket, symes Trauma",,,879.5,879.5,6
HCPCS,L5620,"Addition to lower extremity, test socket, below knee ",,,330.15,1038.1,33
HCPCS,L5620,"Addition to lower extremity, test socket, below knee Trauma",,,816.86,816.86,6
HCPCS,L5622,"Addition to lower extremity, test socket, knee disarticulation ",,,430.51,1353.65,33
HCPCS,L5622,"Addition to lower extremity, test socket, knee disarticulation Trauma",,,1065.17,1065.17,6
HCPCS,L5624,"Addition to lower extremity, test socket, above knee ",,,431.73,1357.49,33
HCPCS,L5624,"Addition to lower extremity, test socket, above knee Trauma",,,1068.19,1068.19,6
HCPCS,L5626,"Addition to lower extremity, test socket, hip disarticulation ",,,566.19,1780.29,33
HCPCS,L5626,"Addition to lower extremity, test socket, hip disarticulation Trauma",,,1400.88,1400.88,6
HCPCS,L5628,"Addition to lower extremity, test socket, hemipelvectomy ",,,605.41,1903.6,33
HCPCS,L5628,"Addition to lower extremity, test socket, hemipelvectomy Trauma",,,1497.91,1497.91,6
HCPCS,L5629,"Addition to lower extremity, below knee, acrylic socket ",,,377.39,1186.63,33
HCPCS,L5629,"Addition to lower extremity, below knee, acrylic socket Trauma",,,933.74,933.74,6
HCPCS,L5630,"Addition to lower extremity, symes type, expandable wall socket ",,,532.96,1675.79,33
HCPCS,L5630,"Addition to lower extremity, symes type, expandable wall socket Trauma",,,1318.66,1318.66,6
HCPCS,L5631,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket ",,,521.77,1640.63,33
HCPCS,L5631,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket Trauma",,,1290.98,1290.98,6
HCPCS,L5632,"Addition to lower extremity, symes type, 'ptb' brim design socket ",,,291.2,915.64,33
HCPCS,L5632,"Addition to lower extremity, symes type, 'ptb' brim design socket Trauma",,,720.5,720.5,6
HCPCS,L5634,"Addition to lower extremity, symes type, posterior opening (canadian) socket ",,,361.23,1135.82,33
HCPCS,L5634,"Addition to lower extremity, symes type, posterior opening (canadian) socket Trauma",,,893.76,893.76,6
HCPCS,L5636,"Addition to lower extremity, symes type, medial opening socket ",,,302.58,951.42,33
HCPCS,L5636,"Addition to lower extremity, symes type, medial opening socket Trauma",,,748.66,748.66,6
HCPCS,L5637,"Addition to lower extremity, below knee, total contact ",,,343.06,1078.69,33
HCPCS,L5637,"Addition to lower extremity, below knee, total contact Trauma",,,848.81,848.81,6
HCPCS,L5638,"Addition to lower extremity, below knee, leather socket ",,,597.6,1879.04,33
HCPCS,L5638,"Addition to lower extremity, below knee, leather socket Trauma",,,1478.59,1478.59,6
HCPCS,L5639,"Addition to lower extremity, below knee, wood socket ",,,1331.42,4186.43,33
HCPCS,L5639,"Addition to lower extremity, below knee, wood socket Trauma",,,3294.24,3294.24,6
HCPCS,L5640,"Addition to lower extremity, knee disarticulation, leather socket ",,,759.35,2387.63,33
HCPCS,L5640,"Addition to lower extremity, knee disarticulation, leather socket Trauma",,,1878.79,1878.79,6
HCPCS,L5642,"Addition to lower extremity, above knee, leather socket ",,,735.75,2313.42,33
HCPCS,L5642,"Addition to lower extremity, above knee, leather socket Trauma",,,1820.4,1820.4,6
HCPCS,L5643,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame ",,,1848.3,5811.65,33
HCPCS,L5643,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame Trauma",,,4573.1,4573.1,6
HCPCS,L5644,"Addition to lower extremity, above knee, wood socket ",,,701.4,2205.42,33
HCPCS,L5644,"Addition to lower extremity, above knee, wood socket Trauma",,,1735.42,1735.42,6
HCPCS,L5645,"Addition to lower extremity, below knee, flexible inner socket, external frame ",,,947.51,2979.27,33
HCPCS,L5645,"Addition to lower extremity, below knee, flexible inner socket, external frame Trauma",,,2344.34,2344.34,6
HCPCS,L5646,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket ",,,650.65,2045.85,33
HCPCS,L5646,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket Trauma",,,1609.85,1609.85,6
HCPCS,L5647,"Addition to lower extremity, below knee suction socket ",,,944.62,2970.21,33
HCPCS,L5647,"Addition to lower extremity, below knee suction socket Trauma",,,2337.22,2337.22,6
HCPCS,L5648,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket ",,,781.83,2458.33,33
HCPCS,L5648,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket Trauma",,,1934.42,1934.42,6
HCPCS,L5649,"Addition to lower extremity, ischial containment/narrow m-l socket ",,,2833.03,8907.98,33
HCPCS,L5649,"Addition to lower extremity, ischial containment/narrow m-l socket Trauma",,,7009.56,7009.56,6
HCPCS,L5650,"Additions to lower extremity, total contact, above knee or knee disarticulation socket ",,,579.73,1822.86,33
HCPCS,L5650,"Additions to lower extremity, total contact, above knee or knee disarticulation socket Trauma",,,1434.38,1434.38,6
HCPCS,L5651,"Addition to lower extremity, above knee, flexible inner socket, external frame ",,,1426.11,4484.17,33
HCPCS,L5651,"Addition to lower extremity, above knee, flexible inner socket, external frame Trauma",,,3528.53,3528.53,6
HCPCS,L5652,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket ",,,517.74,1627.94,33
HCPCS,L5652,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket Trauma",,,1281.0,1281.0,6
HCPCS,L5653,"Addition to lower extremity, knee disarticulation, expandable wall socket ",,,691.13,2173.16,33
HCPCS,L5653,"Addition to lower extremity, knee disarticulation, expandable wall socket Trauma",,,1710.02,1710.02,6
HCPCS,L5654,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) ",,,393.84,1238.36,33
HCPCS,L5654,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,974.45,974.45,6
HCPCS,L5655,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) ",,,333.76,1049.44,33
HCPCS,L5655,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,825.79,825.79,6
HCPCS,L5656,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) ",,,447.72,1407.79,33
HCPCS,L5656,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,1107.77,1107.77,6
HCPCS,L5657,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials ",,,297.13,934.28,33
HCPCS,L5657,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials Trauma",,,735.17,735.17,6
HCPCS,L5658,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) ",,,431.78,1357.65,33
HCPCS,L5658,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,1068.31,1068.31,6
HCPCS,L5661,"Addition to lower extremity, socket insert, multi-durometer symes ",,,722.66,2272.28,33
HCPCS,L5661,"Addition to lower extremity, socket insert, multi-durometer symes Trauma",,,1788.02,1788.02,6
HCPCS,L5665,"Addition to lower extremity, socket insert, multi-durometer, below knee ",,,608.03,1911.86,33
HCPCS,L5665,"Addition to lower extremity, socket insert, multi-durometer, below knee Trauma",,,1504.42,1504.42,6
HCPCS,L5666,"Addition to lower extremity, below knee, cuff suspension ",,,83.12,261.35,33
HCPCS,L5666,"Addition to lower extremity, below knee, cuff suspension Trauma",,,205.66,205.66,6
HCPCS,L5668,"Addition  to lower extremity, below knee, molded distal cushion ",,,134.08,421.6,33
HCPCS,L5668,"Addition  to lower extremity, below knee, molded distal cushion Trauma",,,331.75,331.75,6
HCPCS,L5670,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) ",,,322.23,1013.21,33
HCPCS,L5670,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) Trauma",,,797.28,797.28,6
HCPCS,L5671,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert ",,,682.86,2147.14,33
HCPCS,L5671,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert Trauma",,,1689.55,1689.55,6
HCPCS,L5672,"Addition to lower extremity, below knee, removable medial brim suspension ",,,354.11,1113.43,33
HCPCS,L5672,"Addition to lower extremity, below knee, removable medial brim suspension Trauma",,,876.14,876.14,6
HCPCS,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,844.39,2655.06,39
HCPCS,L5676,"Additions to lower extremity, below knee, knee joints, single axis, pair ",,,430.32,1353.07,33
HCPCS,L5676,"Additions to lower extremity, below knee, knee joints, single axis, pair Trauma",,,1064.71,1064.71,6
HCPCS,L5677,"Additions to lower extremity, below knee, knee joints, polycentric, pair ",,,585.51,1841.04,33
HCPCS,L5677,"Additions to lower extremity, below knee, knee joints, polycentric, pair Trauma",,,1448.69,1448.69,6
HCPCS,L5678,"Additions to lower extremity, below knee, joint covers, pair ",,,47.15,148.26,33
HCPCS,L5678,"Additions to lower extremity, below knee, joint covers, pair Trauma",,,116.66,116.66,6
HCPCS,L5679,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,703.63,2212.44,39
HCPCS,L5680,"Addition to lower extremity, below knee, thigh lacer, nonmolded ",,,393.6,1237.6,33
HCPCS,L5680,"Addition to lower extremity, below knee, thigh lacer, nonmolded Trauma",,,973.85,973.85,6
HCPCS,L5681,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,1579.65,4966.96,39
HCPCS,L5682,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded ",,,742.66,2335.17,33
HCPCS,L5682,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded Trauma",,,1837.51,1837.51,6
HCPCS,L5683,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,1579.65,4966.96,39
HCPCS,L5684,"Addition to lower extremity, below knee, fork strap ",,,57.16,179.74,33
HCPCS,L5684,"Addition to lower extremity, below knee, fork strap Trauma",,,141.43,141.43,6
HCPCS,L5685,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each ",,,153.81,483.64,33
HCPCS,L5685,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each Trauma",,,380.57,380.57,6
HCPCS,L5686,"Addition to lower extremity, below knee, back check (extension control) ",,,60.67,190.78,33
HCPCS,L5686,"Addition to lower extremity, below knee, back check (extension control) Trauma",,,150.12,150.12,6
HCPCS,L5688,"Addition to lower extremity, below knee, waist belt, webbing ",,,72.54,228.08,33
HCPCS,L5688,"Addition to lower extremity, below knee, waist belt, webbing Trauma",,,179.47,179.47,6
HCPCS,L5690,"Addition to lower extremity, below knee, waist belt, padded and lined ",,,116.21,365.39,33
HCPCS,L5690,"Addition to lower extremity, below knee, waist belt, padded and lined Trauma",,,287.52,287.52,6
HCPCS,L5692,"Addition to lower extremity, above knee, pelvic control belt, light ",,,157.79,496.14,33
HCPCS,L5692,"Addition to lower extremity, above knee, pelvic control belt, light Trauma",,,390.41,390.41,6
HCPCS,L5694,"Addition to lower extremity, above knee, pelvic control belt, padded and lined ",,,215.44,677.4,33
HCPCS,L5694,"Addition to lower extremity, above knee, pelvic control belt, padded and lined Trauma",,,533.04,533.04,6
HCPCS,L5695,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each ",,,198.86,625.28,33
HCPCS,L5695,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each Trauma",,,492.02,492.02,6
HCPCS,L5696,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint ",,,219.71,690.86,33
HCPCS,L5696,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint Trauma",,,543.62,543.62,6
HCPCS,L5697,"Addition to lower extremity, above knee or knee disarticulation, pelvic band ",,,95.33,299.75,33
HCPCS,L5697,"Addition to lower extremity, above knee or knee disarticulation, pelvic band Trauma",,,235.87,235.87,6
HCPCS,L5698,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage ",,,155.88,490.13,33
HCPCS,L5698,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage Trauma",,,385.68,385.68,6
HCPCS,L5699,"All lower extremity prostheses, shoulder harness ",,,280.82,883.01,33
HCPCS,L5699,"All lower extremity prostheses, shoulder harness Trauma",,,694.82,694.82,6
HCPCS,L5700,"Replacement, socket, below knee, molded to patient model ",,,3402.47,10698.48,33
HCPCS,L5700,"Replacement, socket, below knee, molded to patient model Trauma",,,8418.48,8418.48,6
HCPCS,L5701,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model ",,,4086.12,12848.09,33
HCPCS,L5701,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model Trauma",,,10109.98,10109.98,6
HCPCS,L5702,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model ",,,5169.52,16254.67,33
HCPCS,L5702,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model Trauma",,,12790.56,12790.56,6
HCPCS,L5703,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only ",,,2675.29,8411.99,33
HCPCS,L5703,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only Trauma",,,6619.27,6619.27,6
HCPCS,L5704,"Custom shaped protective cover, below knee ",,,636.53,2001.47,33
HCPCS,L5704,"Custom shaped protective cover, below knee Trauma",,,1574.93,1574.93,6
HCPCS,L5705,"Custom shaped protective cover, above knee ",,,1137.37,3576.28,33
HCPCS,L5705,"Custom shaped protective cover, above knee Trauma",,,2814.12,2814.12,6
HCPCS,L5706,"Custom shaped protective cover, knee disarticulation ",,,1114.91,3505.64,33
HCPCS,L5706,"Custom shaped protective cover, knee disarticulation Trauma",,,2758.54,2758.54,6
HCPCS,L5707,"Custom shaped protective cover, hip disarticulation ",,,1469.82,4621.6,33
HCPCS,L5707,"Custom shaped protective cover, hip disarticulation Trauma",,,3636.67,3636.67,6
HCPCS,L5710,"Addition, exoskeletal knee-shin system, single axis, manual lock ",,,444.12,1396.47,33
HCPCS,L5710,"Addition, exoskeletal knee-shin system, single axis, manual lock Trauma",,,1098.86,1098.86,6
HCPCS,L5711,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,620.68,1951.63,33
HCPCS,L5711,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material Trauma",,,1535.71,1535.71,6
HCPCS,L5712,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,520.07,1635.26,33
HCPCS,L5712,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) Trauma",,,1286.76,1286.76,6
HCPCS,L5714,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control ",,,534.19,1679.67,33
HCPCS,L5714,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control Trauma",,,1321.7,1321.7,6
HCPCS,L5716,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,865.51,2721.45,33
HCPCS,L5716,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock Trauma",,,2141.47,2141.47,6
HCPCS,L5718,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control ",,,1081.8,3401.54,33
HCPCS,L5718,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control Trauma",,,2676.62,2676.62,6
HCPCS,L5722,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,1142.87,3593.57,33
HCPCS,L5722,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control Trauma",,,2827.73,2827.73,6
HCPCS,L5724,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control ",,,1792.46,5636.1,33
HCPCS,L5724,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control Trauma",,,4434.96,4434.96,6
HCPCS,L5726,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control ",,,2065.77,6495.46,33
HCPCS,L5726,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control Trauma",,,5111.18,5111.18,6
HCPCS,L5728,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,2825.7,8884.92,33
HCPCS,L5728,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control Trauma",,,6991.42,6991.42,6
HCPCS,L5780,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control ",,,1359.6,4275.03,33
HCPCS,L5780,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control Trauma",,,3363.96,3363.96,6
HCPCS,L5781,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system ",,,4804.97,15108.42,33
HCPCS,L5781,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system Trauma",,,11888.59,11888.59,6
HCPCS,L5782,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty ",,,5065.54,15927.74,33
HCPCS,L5782,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty Trauma",,,12533.3,12533.3,6
HCPCS,L5783,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3055.57,9607.71,33
HCPCS,L5783,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) Trauma",,,7560.17,7560.17,6
HCPCS,L5785,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,764.26,2403.09,33
HCPCS,L5785,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,1890.96,1890.96,6
HCPCS,L5790,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,853.85,2684.79,33
HCPCS,L5790,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,2112.62,2112.62,6
HCPCS,L5795,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1700.03,5345.46,33
HCPCS,L5795,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) Trauma",,,4206.26,4206.26,6
HCPCS,L5810,"Addition, endoskeletal knee-shin system, single axis, manual lock ",,,578.16,1817.92,33
HCPCS,L5810,"Addition, endoskeletal knee-shin system, single axis, manual lock Trauma",,,1430.5,1430.5,6
HCPCS,L5811,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ",,,866.07,2723.22,33
HCPCS,L5811,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material Trauma",,,2142.86,2142.86,6
HCPCS,L5812,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ",,,671.3,2110.78,33
HCPCS,L5812,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) Trauma",,,1660.94,1660.94,6
HCPCS,L5814,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ",,,4459.95,14023.56,33
HCPCS,L5814,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock Trauma",,,11034.94,11034.94,6
HCPCS,L5816,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ",,,1016.02,3194.69,33
HCPCS,L5816,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock Trauma",,,2513.86,2513.86,6
HCPCS,L5818,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ",,,1140.4,3585.79,33
HCPCS,L5818,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control Trauma",,,2821.61,2821.61,6
HCPCS,L5822,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ",,,2022.23,6358.55,33
HCPCS,L5822,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control Trauma",,,5003.45,5003.45,6
HCPCS,L5824,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ",,,1821.14,5726.25,33
HCPCS,L5824,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control Trauma",,,4505.9,4505.9,6
HCPCS,L5826,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ",,,3750.23,11791.97,33
HCPCS,L5826,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame Trauma",,,9278.93,9278.93,6
HCPCS,L5827,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping ",,,6797.27,21372.88,33
HCPCS,L5827,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping Trauma",,,16818.0,16818.0,6
HCPCS,L5828,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ",,,3353.47,10544.43,33
HCPCS,L5828,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control Trauma",,,8297.26,8297.26,6
HCPCS,L5830,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ",,,2253.36,7085.3,33
HCPCS,L5830,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control Trauma",,,5575.32,5575.32,6
HCPCS,L5840,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ",,,4166.46,13100.73,33
HCPCS,L5840,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control Trauma",,,10308.77,10308.77,6
HCPCS,L5841,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ",,,2784.36,8754.93,33
HCPCS,L5841,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control Trauma",,,6889.13,6889.13,6
HCPCS,L5845,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ",,,2152.48,6768.1,33
HCPCS,L5845,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable Trauma",,,5325.72,5325.72,6
HCPCS,L5848,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ",,,1291.32,4060.34,33
HCPCS,L5848,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability Trauma",,,3195.02,3195.02,6
HCPCS,L5850,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ",,,151.91,477.66,33
HCPCS,L5850,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist Trauma",,,375.86,375.86,6
HCPCS,L5855,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ",,,408.21,1283.53,33
HCPCS,L5855,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist Trauma",,,1009.99,1009.99,6
HCPCS,L5856,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ",,,28828.4,90646.0,33
HCPCS,L5856,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type Trauma",,,71328.0,71328.0,6
HCPCS,L5857,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ",,,10229.33,32164.39,33
HCPCS,L5857,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type Trauma",,,25309.68,25309.68,6
HCPCS,L5858,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ",,,22318.73,70177.45,33
HCPCS,L5858,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type Trauma",,,55221.6,55221.6,6
HCPCS,L5859,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ",,,17424.11,54787.15,33
HCPCS,L5859,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) Trauma",,,43111.2,43111.2,6
HCPCS,L5910,"Addition, endoskeletal system, below knee, alignable system ",,,430.09,1352.34,33
HCPCS,L5910,"Addition, endoskeletal system, below knee, alignable system Trauma",,,1064.14,1064.14,6
HCPCS,L5920,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system ",,,630.09,1981.22,33
HCPCS,L5920,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system Trauma",,,1558.99,1558.99,6
HCPCS,L5925,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ",,,532.03,1672.86,33
HCPCS,L5925,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock Trauma",,,1316.35,1316.35,6
HCPCS,L5926,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ",,,676.49,2127.1,33
HCPCS,L5926,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type Trauma",,,1673.78,1673.78,6
HCPCS,L5930,"Addition, endoskeletal system, high activity knee control frame ",,,4042.06,12709.56,33
HCPCS,L5930,"Addition, endoskeletal system, high activity knee control frame Trauma",,,10000.97,10000.97,6
HCPCS,L5940,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ",,,595.68,1873.0,33
HCPCS,L5940,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,1473.84,1473.84,6
HCPCS,L5950,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ",,,931.37,2928.55,33
HCPCS,L5950,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,2304.43,2304.43,6
HCPCS,L5960,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ",,,1144.81,3599.67,33
HCPCS,L5960,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) Trauma",,,2832.53,2832.53,6
HCPCS,L5961,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ",,,5458.97,17164.79,33
HCPCS,L5961,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control Trauma",,,13506.72,13506.72,6
HCPCS,L5962,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system ",,,753.42,2369.0,33
HCPCS,L5962,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system Trauma",,,1864.13,1864.13,6
HCPCS,L5964,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system ",,,1112.14,3496.95,33
HCPCS,L5964,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system Trauma",,,2751.7,2751.7,6
HCPCS,L5966,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ",,,1417.14,4455.96,33
HCPCS,L5966,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system Trauma",,,3506.33,3506.33,6
HCPCS,L5968,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature ",,,4363.94,13721.68,33
HCPCS,L5968,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature Trauma",,,10797.38,10797.38,6
HCPCS,L5970,"All lower extremity prostheses, foot, external keel, sach foot ",,,241.17,758.32,33
HCPCS,L5970,"All lower extremity prostheses, foot, external keel, sach foot Trauma",,,596.71,596.71,6
HCPCS,L5971,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only ",,,241.17,758.32,33
HCPCS,L5971,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only Trauma",,,596.71,596.71,6
HCPCS,L5972,"All lower extremity prostheses, foot, flexible keel ",,,450.51,1416.54,33
HCPCS,L5972,"All lower extremity prostheses, foot, flexible keel Trauma",,,1114.66,1114.66,6
HCPCS,L5973,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source ",,,20660.9,64964.69,33
HCPCS,L5973,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source Trauma",,,51119.76,51119.76,6
HCPCS,L5974,"All lower extremity prostheses, foot, single axis ankle/foot ",,,276.73,870.13,33
HCPCS,L5974,"All lower extremity prostheses, foot, single axis ankle/foot Trauma",,,684.7,684.7,6
HCPCS,L5975,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot ",,,556.76,1750.64,33
HCPCS,L5975,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot Trauma",,,1377.55,1377.55,6
HCPCS,L5976,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) ",,,665.04,2091.11,33
HCPCS,L5976,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) Trauma",,,1645.46,1645.46,6
HCPCS,L5978,"All lower extremity prostheses, foot, multiaxial ankle/foot ",,,346.55,1089.67,33
HCPCS,L5978,"All lower extremity prostheses, foot, multiaxial ankle/foot Trauma",,,857.45,857.45,6
HCPCS,L5979,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system ",,,2709.64,8519.99,33
HCPCS,L5979,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system Trauma",,,6704.26,6704.26,6
HCPCS,L5980,"All lower extremity prostheses, flex foot system ",,,4402.98,13844.41,33
HCPCS,L5980,"All lower extremity prostheses, flex foot system Trauma",,,10893.96,10893.96,6
HCPCS,L5981,"All lower extremity prostheses, flex-walk system or equal ",,,3557.01,11184.41,33
HCPCS,L5981,"All lower extremity prostheses, flex-walk system or equal Trauma",,,8800.85,8800.85,6
HCPCS,L5982,"All exoskeletal lower extremity prostheses, axial rotation unit ",,,686.52,2158.64,33
HCPCS,L5982,"All exoskeletal lower extremity prostheses, axial rotation unit Trauma",,,1698.6,1698.6,6
HCPCS,L5984,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability ",,,676.49,2127.1,33
HCPCS,L5984,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability Trauma",,,1673.78,1673.78,6
HCPCS,L5985,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon ",,,339.09,1066.22,33
HCPCS,L5985,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon Trauma",,,838.99,838.99,6
HCPCS,L5986,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) ",,,752.52,2366.16,33
HCPCS,L5986,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) Trauma",,,1861.9,1861.9,6
HCPCS,L5987,"All lower extremity prosthesis, shank foot system with vertical loading pylon ",,,8638.89,27163.51,33
HCPCS,L5987,"All lower extremity prosthesis, shank foot system with vertical loading pylon Trauma",,,21374.57,21374.57,6
HCPCS,L5988,"Addition to lower limb prosthesis, vertical shock reducing pylon feature ",,,2398.99,7543.23,33
HCPCS,L5988,"Addition to lower limb prosthesis, vertical shock reducing pylon feature Trauma",,,5935.66,5935.66,6
HCPCS,L5990,"Addition to lower extremity prosthesis, user adjustable heel height ",,,2178.66,6850.42,33
HCPCS,L5990,"Addition to lower extremity prosthesis, user adjustable heel height Trauma",,,5390.5,5390.5,6
HCPCS,L5991,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector ",,,11402.35,35852.75,33
HCPCS,L5991,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector Trauma",,,28212.0,28212.0,6
HCPCS,L5992,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only ",,,123.3,387.69,33
HCPCS,L5992,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only Trauma",,,305.06,305.06,6
HCPCS,L6026,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,5936.32,18665.76,39
HCPCS,L6028,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,1675.92,5269.64,39
HCPCS,L6029,"Upper extremity addition, test socket/interface, partial hand including fingers ",,,275.51,866.29,33
HCPCS,L6029,"Upper extremity addition, test socket/interface, partial hand including fingers Trauma",,,681.67,681.67,6
HCPCS,L6030,"Upper extremity addition, external frame, partial hand including fingers ",,,684.98,2153.79,33
HCPCS,L6030,"Upper extremity addition, external frame, partial hand including fingers Trauma",,,1694.78,1694.78,6
HCPCS,L6031,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ",,,1554.8,4888.81,33
HCPCS,L6031,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power Trauma",,,3846.94,3846.94,6
HCPCS,L6032,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ",,,368.08,1157.35,33
HCPCS,L6032,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) Trauma",,,910.7,910.7,6
HCPCS,L6033,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ",,,442.26,1390.62,33
HCPCS,L6033,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material Trauma",,,1094.26,1094.26,6
HCPCS,L6034,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,332.83,1046.52,39
HCPCS,L6035,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,1437.74,4520.74,39
HCPCS,L6036,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,1437.74,4520.74,39
HCPCS,L6037,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ",,,1450.49,4560.82,33
HCPCS,L6037,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers Trauma",,,3588.84,3588.84,6
HCPCS,L6038,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ",,,329.31,1035.47,33
HCPCS,L6038,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material Trauma",,,814.8,814.8,6
HCPCS,L6039,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,2114.42,6648.42,39
HCPCS,L6050,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad ",,,2255.83,7093.08,33
HCPCS,L6050,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad Trauma",,,5581.44,5581.44,6
HCPCS,L6055,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad ",,,3144.06,9885.97,33
HCPCS,L6055,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad Trauma",,,7779.12,7779.12,6
HCPCS,L6100,"Below elbow, molded socket, flexible elbow hinge, triceps pad ",,,2285.5,7186.38,33
HCPCS,L6100,"Below elbow, molded socket, flexible elbow hinge, triceps pad Trauma",,,5654.86,5654.86,6
HCPCS,L6110,"Below elbow, molded socket, (muenster or northwestern suspension types) ",,,2424.17,7622.38,33
HCPCS,L6110,"Below elbow, molded socket, (muenster or northwestern suspension types) Trauma",,,5997.94,5997.94,6
HCPCS,L6120,"Below elbow, molded double wall split socket, step-up hinges, half cuff ",,,2825.02,8882.79,33
HCPCS,L6120,"Below elbow, molded double wall split socket, step-up hinges, half cuff Trauma",,,6989.74,6989.74,6
HCPCS,L6130,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff ",,,3074.14,9666.12,33
HCPCS,L6130,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff Trauma",,,7606.13,7606.13,6
HCPCS,L6200,"Elbow disarticulation, molded socket, outside locking hinge, forearm ",,,3239.65,10186.54,33
HCPCS,L6200,"Elbow disarticulation, molded socket, outside locking hinge, forearm Trauma",,,8015.64,8015.64,6
HCPCS,L6205,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm ",,,4324.42,13597.42,33
HCPCS,L6205,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm Trauma",,,10699.61,10699.61,6
HCPCS,L6250,"Above elbow, molded double wall socket, internal locking elbow, forearm ",,,3394.41,10673.14,33
HCPCS,L6250,"Above elbow, molded double wall socket, internal locking elbow, forearm Trauma",,,8398.54,8398.54,6
HCPCS,L6300,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,4424.26,13911.32,33
HCPCS,L6300,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm Trauma",,,10946.62,10946.62,6
HCPCS,L6310,"Shoulder disarticulation, passive restoration (complete prosthesis) ",,,3820.15,12011.82,33
HCPCS,L6310,"Shoulder disarticulation, passive restoration (complete prosthesis) Trauma",,,9451.92,9451.92,6
HCPCS,L6320,"Shoulder disarticulation, passive restoration (shoulder cap only) ",,,2086.85,6561.74,33
HCPCS,L6320,"Shoulder disarticulation, passive restoration (shoulder cap only) Trauma",,,5163.34,5163.34,6
HCPCS,L6350,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm ",,,4651.43,14625.63,33
HCPCS,L6350,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm Trauma",,,11508.7,11508.7,6
HCPCS,L6360,"Interscapular thoracic, passive restoration (complete prosthesis) ",,,4183.21,13153.4,33
HCPCS,L6360,"Interscapular thoracic, passive restoration (complete prosthesis) Trauma",,,10350.22,10350.22,6
HCPCS,L6370,"Interscapular thoracic, passive restoration (shoulder cap only) ",,,2503.11,7870.62,33
HCPCS,L6370,"Interscapular thoracic, passive restoration (shoulder cap only) Trauma",,,6193.27,6193.27,6
HCPCS,L6380,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow ",,,1450.49,4560.82,33
HCPCS,L6380,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow Tra",,,3588.84,3588.84,6
HCPCS,L6382,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow ",,,2182.2,6861.55,33
HCPCS,L6382,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow Trau",,,5399.26,5399.26,6
HCPCS,L6384,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,3018.85,9492.27,39
HCPCS,L6386,"Immediate post surgical or early fitting, each additional cast change and realignment ",,,476.89,1499.5,33
HCPCS,L6386,"Immediate post surgical or early fitting, each additional cast change and realignment Trauma",,,1179.94,1179.94,6
HCPCS,L6388,"Immediate post surgical or early fitting, application of rigid dressing only ",,,522.06,1641.54,33
HCPCS,L6388,"Immediate post surgical or early fitting, application of rigid dressing only Trauma",,,1291.7,1291.7,6
HCPCS,L6400,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,2755.52,8664.26,33
HCPCS,L6400,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,6817.78,6817.78,6
HCPCS,L6450,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3681.32,11575.3,33
HCPCS,L6450,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,9108.43,9108.43,6
HCPCS,L6500,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,3851.38,12110.02,33
HCPCS,L6500,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,9529.2,9529.2,6
HCPCS,L6550,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,4629.43,14556.46,33
HCPCS,L6550,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,11454.26,11454.26,6
HCPCS,L6570,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ",,,5197.62,16343.03,33
HCPCS,L6570,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,12860.09,12860.09,6
HCPCS,L6580,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,1984.35,6239.45,39
HCPCS,L6582,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,1797.28,5651.25,39
HCPCS,L6584,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,2818.62,8862.66,39
HCPCS,L6586,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ",,,2637.76,8293.99,33
HCPCS,L6586,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed Tra",,,6526.42,6526.42,6
HCPCS,L6588,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,3465.96,10898.11,39
HCPCS,L6590,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,3292.11,10351.49,39
HCPCS,L6600,"Upper extremity additions, polycentric hinge, pair ",,,222.75,700.4,33
HCPCS,L6600,"Upper extremity additions, polycentric hinge, pair Trauma",,,551.14,551.14,6
HCPCS,L6605,"Upper extremity additions, single pivot hinge, pair ",,,219.95,691.59,33
HCPCS,L6605,"Upper extremity additions, single pivot hinge, pair Trauma",,,544.2,544.2,6
HCPCS,L6610,"Upper extremity additions, flexible metal hinge, pair ",,,211.21,664.11,33
HCPCS,L6610,"Upper extremity additions, flexible metal hinge, pair Trauma",,,522.58,522.58,6
HCPCS,L6611,"Addition to upper extremity prosthesis, external powered, additional switch, any type ",,,494.41,1554.58,33
HCPCS,L6611,"Addition to upper extremity prosthesis, external powered, additional switch, any type Trauma",,,1223.28,1223.28,6
HCPCS,L6615,"Upper extremity addition, disconnect locking wrist unit ",,,227.57,715.56,33
HCPCS,L6615,"Upper extremity addition, disconnect locking wrist unit Trauma",,,563.06,563.06,6
HCPCS,L6616,"Upper extremity addition, additional disconnect insert for locking wrist unit, each ",,,84.32,265.14,33
HCPCS,L6616,"Upper extremity addition, additional disconnect insert for locking wrist unit, each Trauma",,,208.63,208.63,6
HCPCS,L6620,"Upper extremity addition, flexion/extension wrist unit, with or without friction ",,,364.13,1144.94,33
HCPCS,L6620,"Upper extremity addition, flexion/extension wrist unit, with or without friction Trauma",,,900.94,900.94,6
HCPCS,L6621,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device ",,,2746.76,8636.72,33
HCPCS,L6621,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device Trauma",,,6796.1,6796.1,6
HCPCS,L6623,"Upper extremity addition, spring assisted rotational wrist unit with latch release ",,,1015.67,3193.59,33
HCPCS,L6623,"Upper extremity addition, spring assisted rotational wrist unit with latch release Trauma",,,2512.99,2512.99,6
HCPCS,L6624,"Upper extremity addition, flexion/extension and rotation wrist unit ",,,4522.62,14220.59,33
HCPCS,L6624,"Upper extremity addition, flexion/extension and rotation wrist unit Trauma",,,11189.98,11189.98,6
HCPCS,L6625,"Upper extremity addition, rotation wrist unit with cable lock ",,,721.63,2269.05,33
HCPCS,L6625,"Upper extremity addition, rotation wrist unit with cable lock Trauma",,,1785.48,1785.48,6
HCPCS,L6628,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal ",,,568.89,1788.76,33
HCPCS,L6628,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal Trauma",,,1407.55,1407.55,6
HCPCS,L6629,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal ",,,173.74,546.29,33
HCPCS,L6629,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal Trauma",,,429.86,429.86,6
HCPCS,L6630,"Upper extremity addition, stainless steel, any wrist ",,,255.93,804.74,33
HCPCS,L6630,"Upper extremity addition, stainless steel, any wrist Trauma",,,633.24,633.24,6
HCPCS,L6632,"Upper extremity addition, latex suspension sleeve, each ",,,88.89,279.5,33
HCPCS,L6632,"Upper extremity addition, latex suspension sleeve, each Trauma",,,219.94,219.94,6
HCPCS,L6635,"Upper extremity addition, lift assist for elbow ",,,209.16,657.67,33
HCPCS,L6635,"Upper extremity addition, lift assist for elbow Trauma",,,517.51,517.51,6
HCPCS,L6637,"Upper extremity addition, nudge control elbow lock ",,,446.12,1402.76,33
HCPCS,L6637,"Upper extremity addition, nudge control elbow lock Trauma",,,1103.81,1103.81,6
HCPCS,L6638,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow ",,,3003.1,9442.74,33
HCPCS,L6638,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow Trauma",,,7430.35,7430.35,6
HCPCS,L6640,"Upper extremity additions, shoulder abduction joint, pair ",,,396.33,1246.2,33
HCPCS,L6640,"Upper extremity additions, shoulder abduction joint, pair Trauma",,,980.62,980.62,6
HCPCS,L6641,"Upper extremity addition, excursion amplifier, pulley type ",,,190.51,599.02,33
HCPCS,L6641,"Upper extremity addition, excursion amplifier, pulley type Trauma",,,471.36,471.36,6
HCPCS,L6642,"Upper extremity addition, excursion amplifier, lever type ",,,258.22,811.94,33
HCPCS,L6642,"Upper extremity addition, excursion amplifier, lever type Trauma",,,638.9,638.9,6
HCPCS,L6645,"Upper extremity addition, shoulder flexion-abduction joint, each ",,,476.63,1498.68,33
HCPCS,L6645,"Upper extremity addition, shoulder flexion-abduction joint, each Trauma",,,1179.29,1179.29,6
HCPCS,L6646,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system ",,,3787.6,11909.46,33
HCPCS,L6646,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system Trauma",,,9371.38,9371.38,6
HCPCS,L6647,"Upper extremity addition, shoulder lock mechanism, body powered actuator ",,,623.55,1960.63,33
HCPCS,L6647,"Upper extremity addition, shoulder lock mechanism, body powered actuator Trauma",,,1542.79,1542.79,6
HCPCS,L6648,"Upper extremity addition, shoulder lock mechanism, external powered actuator ",,,3906.35,12282.84,33
HCPCS,L6648,"Upper extremity addition, shoulder lock mechanism, external powered actuator Trauma",,,9665.18,9665.18,6
HCPCS,L6650,"Upper extremity addition, shoulder universal joint, each ",,,494.86,1555.99,33
HCPCS,L6650,"Upper extremity addition, shoulder universal joint, each Trauma",,,1224.38,1224.38,6
HCPCS,L6655,"Upper extremity addition, standard control cable, extra ",,,97.25,305.79,33
HCPCS,L6655,"Upper extremity addition, standard control cable, extra Trauma",,,240.62,240.62,6
HCPCS,L6660,"Upper extremity addition, heavy duty control cable ",,,109.0,342.73,33
HCPCS,L6660,"Upper extremity addition, heavy duty control cable Trauma",,,269.69,269.69,6
HCPCS,L6665,"Upper extremity addition, teflon, or equal, cable lining ",,,54.69,171.96,33
HCPCS,L6665,"Upper extremity addition, teflon, or equal, cable lining Trauma",,,135.31,135.31,6
HCPCS,L6670,"Upper extremity addition, hook to hand, cable adapter ",,,60.47,190.14,33
HCPCS,L6670,"Upper extremity addition, hook to hand, cable adapter Trauma",,,149.62,149.62,6
HCPCS,L6672,"Upper extremity addition, harness, chest or shoulder, saddle type ",,,239.97,754.54,33
HCPCS,L6672,"Upper extremity addition, harness, chest or shoulder, saddle type Trauma",,,593.74,593.74,6
HCPCS,L6675,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design ",,,142.61,448.41,33
HCPCS,L6675,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design Trauma",,,352.85,352.85,6
HCPCS,L6676,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design ",,,164.85,518.35,33
HCPCS,L6676,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design Trauma",,,407.88,407.88,6
HCPCS,L6677,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow ",,,356.28,1120.26,33
HCPCS,L6677,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow Trauma",,,881.52,881.52,6
HCPCS,L6680,"Upper extremity addition, test socket, wrist disarticulation or below elbow ",,,275.51,866.29,33
HCPCS,L6680,"Upper extremity addition, test socket, wrist disarticulation or below elbow Trauma",,,681.67,681.67,6
HCPCS,L6682,"Upper extremity addition, test socket, elbow disarticulation or above elbow ",,,304.62,957.82,33
HCPCS,L6682,"Upper extremity addition, test socket, elbow disarticulation or above elbow Trauma",,,753.7,753.7,6
HCPCS,L6684,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic ",,,413.94,1301.56,33
HCPCS,L6684,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic Trauma",,,1024.18,1024.18,6
HCPCS,L6686,"Upper extremity addition, suction socket ",,,934.76,2939.19,33
HCPCS,L6686,"Upper extremity addition, suction socket Trauma",,,2312.81,2312.81,6
HCPCS,L6687,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation ",,,684.98,2153.79,33
HCPCS,L6687,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation Trauma",,,1694.78,1694.78,6
HCPCS,L6688,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation ",,,680.83,2140.76,33
HCPCS,L6688,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation Trauma",,,1684.54,1684.54,6
HCPCS,L6689,"Upper extremity addition, frame type socket, shoulder disarticulation ",,,815.73,2564.93,33
HCPCS,L6689,"Upper extremity addition, frame type socket, shoulder disarticulation Trauma",,,2018.3,2018.3,6
HCPCS,L6690,"Upper extremity addition, frame type socket, interscapular-thoracic ",,,888.92,2795.05,33
HCPCS,L6690,"Upper extremity addition, frame type socket, interscapular-thoracic Trauma",,,2199.38,2199.38,6
HCPCS,L6691,"Upper extremity addition, removable insert, each ",,,411.43,1293.66,33
HCPCS,L6691,"Upper extremity addition, removable insert, each Trauma",,,1017.96,1017.96,6
HCPCS,L6692,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each ",,,664.09,2088.12,33
HCPCS,L6692,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each Trauma",,,1643.11,1643.11,6
HCPCS,L6693,"Upper extremity addition, locking elbow, forearm counterbalance ",,,3409.29,10719.93,33
HCPCS,L6693,"Upper extremity addition, locking elbow, forearm counterbalance Trauma",,,8435.35,8435.35,6
HCPCS,L6694,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,844.39,2655.06,39
HCPCS,L6695,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,703.63,2212.44,39
HCPCS,L6696,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,1579.65,4966.96,39
HCPCS,L6697,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,1579.65,4966.96,39
HCPCS,L6698,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert ",,,682.86,2147.14,33
HCPCS,L6698,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert Trauma",,,1689.55,1689.55,6
HCPCS,L6700,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ",,,28624.89,90006.11,33
HCPCS,L6700,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement Trauma",,,70824.48,70824.48,6
HCPCS,L6703,"Terminal device, passive hand/mitt, any material, any size ",,,431.72,1357.46,33
HCPCS,L6703,"Terminal device, passive hand/mitt, any material, any size Trauma",,,1068.17,1068.17,6
HCPCS,L6704,"Terminal device, sport/recreational/work attachment, any material, any size ",,,695.45,2186.73,33
HCPCS,L6704,"Terminal device, sport/recreational/work attachment, any material, any size Trauma",,,1720.7,1720.7,6
HCPCS,L6706,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ",,,414.35,1302.84,33
HCPCS,L6706,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined Trauma",,,1025.18,1025.18,6
HCPCS,L6707,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ",,,1527.24,4802.13,33
HCPCS,L6707,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined Trauma",,,3778.73,3778.73,6
HCPCS,L6708,"Terminal device, hand, mechanical, voluntary opening, any material, any size ",,,998.39,3139.27,33
HCPCS,L6708,"Terminal device, hand, mechanical, voluntary opening, any material, any size Trauma",,,2470.25,2470.25,6
HCPCS,L6709,"Terminal device, hand, mechanical, voluntary closing, any material, any size ",,,1438.72,4523.82,33
HCPCS,L6709,"Terminal device, hand, mechanical, voluntary closing, any material, any size Trauma",,,3559.73,3559.73,6
HCPCS,L6711,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ",,,807.36,2538.61,33
HCPCS,L6711,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric Trauma",,,1997.59,1997.59,6
HCPCS,L6712,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ",,,1486.54,4674.19,33
HCPCS,L6712,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric Trauma",,,3678.05,3678.05,6
HCPCS,L6713,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ",,,1876.11,5899.1,33
HCPCS,L6713,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric Trauma",,,4641.91,4641.91,6
HCPCS,L6714,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ",,,1589.12,4996.72,33
HCPCS,L6714,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric Trauma",,,3931.85,3931.85,6
HCPCS,L6715,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ",,,3791.38,11921.35,33
HCPCS,L6715,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement Trauma",,,9380.74,9380.74,6
HCPCS,L6721,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ",,,2824.47,8881.05,33
HCPCS,L6721,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined Trauma",,,6988.37,6988.37,6
HCPCS,L6722,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined ",,,2434.88,7656.08,33
HCPCS,L6722,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined Trauma",,,6024.46,6024.46,6
HCPCS,L6805,"Addition to terminal device, modifier wrist unit ",,,404.03,1270.42,33
HCPCS,L6805,"Addition to terminal device, modifier wrist unit Trauma",,,999.67,999.67,6
HCPCS,L6810,"Addition to terminal device, precision pinch device ",,,229.0,720.04,33
HCPCS,L6810,"Addition to terminal device, precision pinch device Trauma",,,566.59,566.59,6
HCPCS,L6880,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ",,,28692.31,90218.08,33
HCPCS,L6880,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) Trauma",,,70991.28,70991.28,6
HCPCS,L6881,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device ",,,4909.49,15437.06,33
HCPCS,L6881,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device Trauma",,,12147.19,12147.19,6
HCPCS,L6882,"Microprocessor control feature, addition to upper limb prosthetic terminal device ",,,3724.15,11709.96,33
HCPCS,L6882,"Microprocessor control feature, addition to upper limb prosthetic terminal device Trauma",,,9214.39,9214.39,6
HCPCS,L6883,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ",,,1884.45,5925.33,33
HCPCS,L6883,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power Trauma",,,4662.55,4662.55,6
HCPCS,L6884,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ",,,2796.94,8794.49,33
HCPCS,L6884,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power Trauma",,,6920.26,6920.26,6
HCPCS,L6885,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ",,,4183.21,13153.4,33
HCPCS,L6885,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power Trauma",,,10350.22,10350.22,6
HCPCS,L6890,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ",,,201.98,635.1,33
HCPCS,L6890,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment Trauma",,,499.75,499.75,6
HCPCS,L6895,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ",,,743.04,2336.36,33
HCPCS,L6895,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated Trauma",,,1838.45,1838.45,6
HCPCS,L6900,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ",,,2120.44,6667.36,33
HCPCS,L6900,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining Trauma",,,5246.45,5246.45,6
HCPCS,L6905,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ",,,2108.39,6629.48,33
HCPCS,L6905,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining Trauma",,,5216.64,5216.64,6
HCPCS,L6910,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ",,,1802.88,5668.85,33
HCPCS,L6910,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining Trauma",,,4460.74,4460.74,6
HCPCS,L6915,"Hand restoration (shading, and measurements included), replacement glove for above ",,,908.99,2858.15,33
HCPCS,L6915,"Hand restoration (shading, and measurements included), replacement glove for above Trauma",,,2249.04,2249.04,6
HCPCS,L6920,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ",,,7925.18,24919.38,33
HCPCS,L6920,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device Trauma",,,19608.7,19608.7,6
HCPCS,L6925,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,10668.64,33545.73,39
HCPCS,L6930,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ",,,7974.33,25073.93,33
HCPCS,L6930,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device Trauma",,,19730.3,19730.3,6
HCPCS,L6935,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ",,,10834.22,34066.36,33
HCPCS,L6935,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device Trauma",,,26806.32,26806.32,6
HCPCS,L6940,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,10418.96,32760.66,39
HCPCS,L6945,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,12730.76,40029.72,39
HCPCS,L6950,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,11842.63,37237.14,39
HCPCS,L6955,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,14183.15,44596.49,39
HCPCS,L6960,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,16066.01,50516.85,39
HCPCS,L6965,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,17134.95,53877.94,39
HCPCS,L6970,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,17854.89,56141.65,39
HCPCS,L6975,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,19527.56,61401.07,39
HCPCS,L7007,"Electric hand, switch or myoelectric controlled, adult ",,,4086.34,12848.8,33
HCPCS,L7007,"Electric hand, switch or myoelectric controlled, adult Trauma",,,10110.53,10110.53,6
HCPCS,L7008,"Electric hand, switch or myoelectric, controlled, pediatric ",,,6431.46,20222.63,33
HCPCS,L7008,"Electric hand, switch or myoelectric, controlled, pediatric Trauma",,,15912.89,15912.89,6
HCPCS,L7009,"Electric hook, switch or myoelectric controlled, adult ",,,4169.35,13109.82,33
HCPCS,L7009,"Electric hook, switch or myoelectric controlled, adult Trauma",,,10315.92,10315.92,6
HCPCS,L7040,"Prehensile actuator, switch controlled ",,,3347.83,10526.68,33
HCPCS,L7040,"Prehensile actuator, switch controlled Trauma",,,8283.29,8283.29,6
HCPCS,L7045,"Electric hook, switch or myoelectric controlled, pediatric ",,,1919.43,6035.31,33
HCPCS,L7045,"Electric hook, switch or myoelectric controlled, pediatric Trauma",,,4749.1,4749.1,6
HCPCS,L7170,"Electronic elbow, hosmer or equal, switch controlled ",,,8837.74,27788.76,33
HCPCS,L7170,"Electronic elbow, hosmer or equal, switch controlled Trauma",,,21866.57,21866.57,6
HCPCS,L7180,"Electronic elbow, microprocessor sequential control of elbow and terminal device ",,,38792.82,121977.43,33
HCPCS,L7180,"Electronic elbow, microprocessor sequential control of elbow and terminal device Trauma",,,95982.24,95982.24,6
HCPCS,L7181,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device ",,,48117.24,151296.47,33
HCPCS,L7181,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device Trauma",,,119052.96,119052.96,6
HCPCS,L7185,"Electronic elbow, adolescent, variety village or equal, switch controlled ",,,8727.4,27441.83,33
HCPCS,L7185,"Electronic elbow, adolescent, variety village or equal, switch controlled Trauma",,,21593.57,21593.57,6
HCPCS,L7186,"Electronic elbow, child, variety village or equal, switch controlled ",,,10504.23,33028.75,33
HCPCS,L7186,"Electronic elbow, child, variety village or equal, switch controlled Trauma",,,25989.84,25989.84,6
HCPCS,L7190,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ",,,9166.75,28823.29,33
HCPCS,L7190,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled Trauma",,,22680.62,22680.62,6
HCPCS,L7191,"Electronic elbow, child, variety village or equal, myoelectronically controlled ",,,10976.33,34513.19,33
HCPCS,L7191,"Electronic elbow, child, variety village or equal, myoelectronically controlled Trauma",,,27157.92,27157.92,6
HCPCS,L7259,"Electronic wrist rotator, any type ",,,3795.21,11933.4,33
HCPCS,L7259,"Electronic wrist rotator, any type Trauma",,,9390.22,9390.22,6
HCPCS,L7360,"Six volt battery, each ",,,283.37,891.0,33
HCPCS,L7360,"Six volt battery, each Trauma",,,701.11,701.11,6
HCPCS,L7362,"Battery charger, six volt, each ",,,297.53,935.53,33
HCPCS,L7362,"Battery charger, six volt, each Trauma",,,736.15,736.15,6
HCPCS,L7364,"Twelve volt battery, each ",,,473.2,1487.91,33
HCPCS,L7364,"Twelve volt battery, each Trauma",,,1170.82,1170.82,6
HCPCS,L7366,"Battery charger, twelve volt, each ",,,637.42,2004.25,33
HCPCS,L7366,"Battery charger, twelve volt, each Trauma",,,1577.11,1577.11,6
HCPCS,L7367,"Lithium ion battery, rechargeable, replacement ",,,467.51,1470.01,33
HCPCS,L7367,"Lithium ion battery, rechargeable, replacement Trauma",,,1156.73,1156.73,6
HCPCS,L7368,"Lithium ion battery charger, replacement only ",,,606.09,1905.73,33
HCPCS,L7368,"Lithium ion battery charger, replacement only Trauma",,,1499.59,1499.59,6
HCPCS,L7400,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,368.08,1157.35,33
HCPCS,L7400,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) Trauma",,,910.7,910.7,6
HCPCS,L7401,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) ",,,412.07,1295.67,33
HCPCS,L7401,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) Trauma",,,1019.54,1019.54,6
HCPCS,L7402,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) ",,,444.94,1399.03,33
HCPCS,L7402,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) Trauma",,,1100.88,1100.88,6
HCPCS,L7403,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material ",,,442.26,1390.62,33
HCPCS,L7403,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material Trauma",,,1094.26,1094.26,6
HCPCS,L7404,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material ",,,667.43,2098.61,33
HCPCS,L7404,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material Trauma",,,1651.37,1651.37,6
HCPCS,L7405,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material ",,,872.94,2744.82,33
HCPCS,L7405,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material Trauma",,,2159.86,2159.86,6
HCPCS,L7406,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) ",,,3055.57,9607.71,33
HCPCS,L7406,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) Trauma",,,7560.17,7560.17,6
HCPCS,L7520,"Repair prosthetic device, labor component, per 15 minutes ",,,39.45,124.04,33
HCPCS,L7520,"Repair prosthetic device, labor component, per 15 minutes Trauma",,,97.61,97.61,6
HCPCS,L7700,"Gasket or seal, for use with prosthetic socket insert, any type, each ",,,134.02,421.42,33
HCPCS,L7700,"Gasket or seal, for use with prosthetic socket insert, any type, each Trauma",,,331.61,331.61,6
HCPCS,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type ",,,52.23,164.24,33
HCPCS,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type Trauma",,,129.24,129.24,6
HCPCS,L8001,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type ",,,150.62,473.6,33
HCPCS,L8001,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type Trauma",,,372.67,372.67,6
HCPCS,L8002,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type ",,,198.15,623.05,33
HCPCS,L8002,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type Trauma",,,490.27,490.27,6
HCPCS,L8015,"External breast prosthesis garment, with mastectomy form, post mastectomy ",,,71.96,226.28,33
HCPCS,L8015,"External breast prosthesis garment, with mastectomy form, post mastectomy Trauma",,,178.06,178.06,6
HCPCS,L8020,"Breast prosthesis, mastectomy form ",,,270.74,851.29,33
HCPCS,L8020,"Breast prosthesis, mastectomy form Trauma",,,669.86,669.86,6
HCPCS,L8030,"Breast prosthesis, silicone or equal, without integral adhesive ",,,391.61,1231.35,33
HCPCS,L8030,"Breast prosthesis, silicone or equal, without integral adhesive Trauma",,,968.93,968.93,6
HCPCS,L8031,"Breast prosthesis, silicone or equal, with integral adhesive ",,,391.61,1231.35,33
HCPCS,L8031,"Breast prosthesis, silicone or equal, with integral adhesive Trauma",,,968.93,968.93,6
HCPCS,L8032,"Nipple prosthesis, prefabricated, reusable, any type, each ",,,47.04,147.89,33
HCPCS,L8032,"Nipple prosthesis, prefabricated, reusable, any type, each Trauma",,,116.38,116.38,6
HCPCS,L8035,"Custom breast prosthesis, post mastectomy, molded to patient model ",,,4399.59,13833.76,33
HCPCS,L8035,"Custom breast prosthesis, post mastectomy, molded to patient model Trauma",,,10885.58,10885.58,6
HCPCS,L8040,"Nasal prosthesis, provided by a non-physician ",,,2902.75,9127.22,33
HCPCS,L8040,"Nasal prosthesis, provided by a non-physician Trauma",,,7182.07,7182.07,6
HCPCS,L8041,"Midfacial prosthesis, provided by a non-physician ",,,3498.73,11001.17,33
HCPCS,L8041,"Midfacial prosthesis, provided by a non-physician Trauma",,,8656.66,8656.66,6
HCPCS,L8042,"Orbital prosthesis, provided by a non-physician ",,,3931.12,12360.73,33
HCPCS,L8042,"Orbital prosthesis, provided by a non-physician Trauma",,,9726.48,9726.48,6
HCPCS,L8043,"Upper facial prosthesis, provided by a non-physician ",,,4402.88,13844.1,33
HCPCS,L8043,"Upper facial prosthesis, provided by a non-physician Trauma",,,10893.72,10893.72,6
HCPCS,L8044,"Hemi-facial prosthesis, provided by a non-physician ",,,4874.59,15327.32,33
HCPCS,L8044,"Hemi-facial prosthesis, provided by a non-physician Trauma",,,12060.84,12060.84,6
HCPCS,L8045,"Auricular prosthesis, provided by a non-physician ",,,3052.61,9598.41,33
HCPCS,L8045,"Auricular prosthesis, provided by a non-physician Trauma",,,7552.85,7552.85,6
HCPCS,L8046,"Partial facial prosthesis, provided by a non-physician ",,,3144.91,9888.65,33
HCPCS,L8046,"Partial facial prosthesis, provided by a non-physician Trauma",,,7781.23,7781.23,6
HCPCS,L8047,"Nasal septal prosthesis, provided by a non-physician ",,,1611.74,5067.85,33
HCPCS,L8047,"Nasal septal prosthesis, provided by a non-physician Trauma",,,3987.82,3987.82,6
HCPCS,L8300,"Truss, single with standard pad ",,,115.66,363.68,33
HCPCS,L8300,"Truss, single with standard pad Trauma",,,286.18,286.18,6
HCPCS,L8310,"Truss, double with standard pads ",,,177.83,559.16,33
HCPCS,L8310,"Truss, double with standard pads Trauma",,,439.99,439.99,6
HCPCS,L8320,"Truss, addition to standard pad, water pad ",,,77.67,244.21,33
HCPCS,L8320,"Truss, addition to standard pad, water pad Trauma",,,192.17,192.17,6
HCPCS,L8330,"Truss, addition to standard pad, scrotal pad ",,,77.0,242.11,33
HCPCS,L8330,"Truss, addition to standard pad, scrotal pad Trauma",,,190.51,190.51,6
HCPCS,L8400,"Prosthetic sheath, below knee, each ",,,22.51,70.79,33
HCPCS,L8400,"Prosthetic sheath, below knee, each Trauma",,,55.7,55.7,6
HCPCS,L8410,"Prosthetic sheath, above knee, each ",,,25.61,80.52,33
HCPCS,L8410,"Prosthetic sheath, above knee, each Trauma",,,63.36,63.36,6
HCPCS,L8415,"Prosthetic sheath, upper limb, each ",,,25.45,80.03,33
HCPCS,L8415,"Prosthetic sheath, upper limb, each Trauma",,,62.98,62.98,6
HCPCS,L8417,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ",,,90.31,283.95,33
HCPCS,L8417,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each Trauma",,,223.44,223.44,6
HCPCS,L8420,"Prosthetic sock, multiple ply, below knee, each ",,,29.75,93.54,33
HCPCS,L8420,"Prosthetic sock, multiple ply, below knee, each Trauma",,,73.61,73.61,6
HCPCS,L8430,"Prosthetic sock, multiple ply, above knee, each ",,,32.74,102.94,33
HCPCS,L8430,"Prosthetic sock, multiple ply, above knee, each Trauma",,,81.0,81.0,6
HCPCS,L8435,"Prosthetic sock, multiple ply, upper limb, each ",,,29.36,92.32,33
HCPCS,L8435,"Prosthetic sock, multiple ply, upper limb, each Trauma",,,72.65,72.65,6
HCPCS,L8440,"Prosthetic shrinker, below knee, each ",,,62.25,195.75,33
HCPCS,L8440,"Prosthetic shrinker, below knee, each Trauma",,,154.03,154.03,6
HCPCS,L8460,"Prosthetic shrinker, above knee, each ",,,86.65,272.46,33
HCPCS,L8460,"Prosthetic shrinker, above knee, each Trauma",,,214.39,214.39,6
HCPCS,L8465,"Prosthetic shrinker, upper limb, each ",,,77.23,242.84,33
HCPCS,L8465,"Prosthetic shrinker, upper limb, each Trauma",,,191.09,191.09,6
HCPCS,L8470,"Prosthetic sock, single ply, fitting, below knee, each ",,,7.92,24.92,33
HCPCS,L8470,"Prosthetic sock, single ply, fitting, below knee, each Trauma",,,19.61,19.61,6
HCPCS,L8480,"Prosthetic sock, single ply, fitting, above knee, each ",,,10.93,34.37,33
HCPCS,L8480,"Prosthetic sock, single ply, fitting, above knee, each Trauma",,,27.05,27.05,6
HCPCS,L8485,"Prosthetic sock, single ply, fitting, upper limb, each ",,,13.21,41.54,33
HCPCS,L8485,"Prosthetic sock, single ply, fitting, upper limb, each Trauma",,,32.69,32.69,6
HCPCS,L8500,"Artificial larynx, any type ",,,783.71,2464.25,33
HCPCS,L8500,"Artificial larynx, any type Trauma",,,1939.08,1939.08,6
HCPCS,L8501,Tracheostomy speaking valve ,,,174.04,547.23,33
HCPCS,L8501,Tracheostomy speaking valve Trauma,,,430.61,430.61,6
HCPCS,L8501,VALVE SPEAK 15MM 22MM,2564.0,2564.0,343.58,3076.8,24
HCPCS,L8501,VALVE SPEAK 15MM 23MM,2564.0,2564.0,343.58,3076.8,24
HCPCS,L8507,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each ",,,50.3,158.17,33
HCPCS,L8507,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each Trauma",,,124.46,124.46,6
HCPCS,L8509,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type ",,,131.16,412.42,33
HCPCS,L8509,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type Trauma",,,324.53,324.53,6
HCPCS,L8510,Voice amplifier ,,,303.47,954.22,33
HCPCS,L8510,Voice amplifier Trauma,,,750.86,750.86,6
HCPCS,L8511,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each ",,,87.35,274.65,33
HCPCS,L8511,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each Trauma",,,216.12,216.12,6
HCPCS,L8512,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 ",,,2.62,8.23,33
HCPCS,L8512,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 Trauma",,,6.48,6.48,6
HCPCS,L8513,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each ",,,6.28,19.73,33
HCPCS,L8513,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each Trauma",,,15.53,15.53,6
HCPCS,L8514,"Tracheoesophageal puncture dilator, replacement only, each ",,,113.24,356.06,33
HCPCS,L8514,"Tracheoesophageal puncture dilator, replacement only, each Trauma",,,280.18,280.18,6
HCPCS,L8515,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each ",,,75.8,238.33,33
HCPCS,L8515,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each Trauma",,,187.54,187.54,6
HCPCS,L8600,"Implantable breast prosthesis, silicone or equal ",,,741.54,2331.63,33
HCPCS,L8600,"Implantable breast prosthesis, silicone or equal Trauma",,,1834.73,1834.73,6
HCPCS,L8603,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies ",,,520.8,1637.58,33
HCPCS,L8603,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies Trauma",,,1288.58,1288.58,6
HCPCS,L8605,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,860.14,2704.56,38
HCPCS,L8605,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies Trauma",,,2128.18,2128.18,6
HCPCS,L8606,AGENT BULK URTH 2.5ML,990.0,990.0,158.4,1188.0,19
HCPCS,L8606,IMPLANT URO MATERIAL 1ML,504.0,504.0,80.64,604.8,19
HCPCS,L8606,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ",,,273.38,859.61,33
HCPCS,L8606,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies Trauma",,,676.42,676.42,6
HCPCS,L8607,IMPL GEL VOC CRD INJ 1ML,5941.0,5941.0,796.09,7129.2,24
HCPCS,L8607,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,51.53,162.02,38
HCPCS,L8607,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies Trauma",,,127.49,127.49,6
HCPCS,L8607,KIT INJ ORAL NDL 1CC,5941.0,5941.0,796.09,7129.2,24
HCPCS,L8609,Artificial cornea ,,,7824.33,24602.28,33
HCPCS,L8609,Artificial cornea Trauma,,,19359.17,19359.17,6
HCPCS,L8610,Ocular implant ,,,760.66,2391.78,33
HCPCS,L8610,Ocular implant Trauma,,,1882.06,1882.06,6
HCPCS,L8612,Aqueous shunt ,,,802.25,2522.53,33
HCPCS,L8612,Aqueous shunt Trauma,,,1984.94,1984.94,6
HCPCS,L8613,Ossicula implant ,,,359.16,1129.32,33
HCPCS,L8613,Ossicula implant Trauma,,,888.65,888.65,6
HCPCS,L8614,"Cochlear device, includes all internal and external components ",40200.0,40200.0,22734.76,71485.6,33
HCPCS,L8614,"Cochlear device, includes all internal and external components Trauma",,,56250.96,56250.96,6
HCPCS,L8614,NUCLEUS FRDM W/CRV,40200.0,40200.0,6432.0,48240.0,19
HCPCS,L8615,"Headset/headpiece for use with cochlear implant device, replacement ",,,541.62,1703.03,33
HCPCS,L8615,"Headset/headpiece for use with cochlear implant device, replacement Trauma",,,1340.09,1340.09,6
HCPCS,L8616,"Microphone for use with cochlear implant device, replacement ",,,126.16,396.68,33
HCPCS,L8616,"Microphone for use with cochlear implant device, replacement Trauma",,,312.14,312.14,6
HCPCS,L8617,"Transmitting coil for use with cochlear implant device, replacement ",,,110.23,346.6,33
HCPCS,L8617,"Transmitting coil for use with cochlear implant device, replacement Trauma",,,272.74,272.74,6
HCPCS,L8618,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement ",,,31.49,99.0,33
HCPCS,L8618,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement Trauma",,,77.9,77.9,6
HCPCS,L8619,"Cochlear implant, external speech processor and controller, integrated system, replacement ",,,9752.38,30664.7,33
HCPCS,L8619,"Cochlear implant, external speech processor and controller, integrated system, replacement Trauma",,,24129.6,24129.6,6
HCPCS,L8621,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each ",,,0.75,2.35,33
HCPCS,L8621,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each Trauma",,,1.85,1.85,6
HCPCS,L8622,"Alkaline battery for use with cochlear implant device, any size, replacement, each ",,,0.39,1.22,33
HCPCS,L8622,"Alkaline battery for use with cochlear implant device, any size, replacement, each Trauma",,,0.96,0.96,6
HCPCS,L8623,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each ",,,77.67,244.21,33
HCPCS,L8623,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each Trauma",,,192.17,192.17,6
HCPCS,L8624,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each ",,,193.63,608.84,33
HCPCS,L8624,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each Trauma",,,479.09,479.09,6
HCPCS,L8625,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each ",,,226.8,713.12,33
HCPCS,L8625,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each Trauma",,,561.14,561.14,6
HCPCS,L8627,"Cochlear implant, external speech processor, component, replacement ",,,8266.76,25993.41,33
HCPCS,L8627,"Cochlear implant, external speech processor, component, replacement Trauma",,,20453.83,20453.83,6
HCPCS,L8628,"Cochlear implant, external controller component, replacement ",,,1485.62,4671.29,33
HCPCS,L8628,"Cochlear implant, external controller component, replacement Trauma",,,3675.77,3675.77,6
HCPCS,L8629,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement ",,,215.02,676.09,33
HCPCS,L8629,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement Trauma",,,532.01,532.01,6
HCPCS,L8630,Metacarpophalangeal joint implant ,,,400.09,1258.0,33
HCPCS,L8630,Metacarpophalangeal joint implant Trauma,,,989.9,989.9,6
HCPCS,L8631,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,2684.97,8442.43,39
HCPCS,L8641,Metatarsal joint implant ,,,434.24,1365.39,33
HCPCS,L8641,Metatarsal joint implant Trauma,,,1074.41,1074.41,6
HCPCS,L8642,Hallux implant ,,,356.46,1120.81,33
HCPCS,L8642,Hallux implant Trauma,,,881.95,881.95,6
HCPCS,L8658,"Interphalangeal joint spacer, silicone or equal, each ",,,372.52,1171.32,33
HCPCS,L8658,"Interphalangeal joint spacer, silicone or equal, each Trauma",,,921.7,921.7,6
HCPCS,L8659,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size ",,,2317.3,7286.36,33
HCPCS,L8659,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size Trauma",,,5733.53,5733.53,6
HCPCS,L8670,"Vascular graft material, synthetic, implant ",,,661.05,2078.54,33
HCPCS,L8670,"Vascular graft material, synthetic, implant Trauma",,,1635.58,1635.58,6
HCPCS,L8678,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month ",,,12.84,40.38,33
HCPCS,L8678,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month Trauma",,,31.78,31.78,6
HCPCS,L8679,"Implantable neurostimulator, pulse generator, any type ",,,10020.29,31507.11,33
HCPCS,L8679,"Implantable neurostimulator, pulse generator, any type Trauma",,,24792.48,24792.48,6
HCPCS,L8681,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only ",,,1356.38,4264.91,33
HCPCS,L8681,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only Trauma",,,3355.99,3355.99,6
HCPCS,L8682,Implantable neurostimulator radiofrequency receiver ,,,7159.3,22511.2,33
HCPCS,L8682,Implantable neurostimulator radiofrequency receiver Trauma,,,17713.73,17713.73,6
HCPCS,L8683,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver ,,,6301.8,19814.93,33
HCPCS,L8683,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver Trauma,,,15592.08,15592.08,6
HCPCS,L8684,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement ",,,827.55,2602.08,33
HCPCS,L8684,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement Trauma",,,2047.54,2047.54,6
HCPCS,L8689,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only ",,,2071.44,6513.31,33
HCPCS,L8689,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only Trauma",,,5125.22,5125.22,6
HCPCS,L8690,"Auditory osseointegrated device, includes all internal and external components ",,,5712.82,17963.01,33
HCPCS,L8690,"Auditory osseointegrated device, includes all internal and external components Trauma",,,14134.82,14134.82,6
HCPCS,L8691,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each ",,,2068.13,6502.87,33
HCPCS,L8691,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each Trauma",,,5117.02,5117.02,6
HCPCS,L8693,"Auditory osseointegrated device abutment, any length, replacement only ",,,1820.95,5725.67,33
HCPCS,L8693,"Auditory osseointegrated device abutment, any length, replacement only Trauma",,,4505.45,4505.45,6
HCPCS,L8694,"Auditory osseointegrated device, transducer/actuator, replacement only, each ",,,1134.13,3566.09,33
HCPCS,L8694,"Auditory osseointegrated device, transducer/actuator, replacement only, each Trauma",,,2806.1,2806.1,6
HCPCS,L8695,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only ",,,19.99,62.86,33
HCPCS,L8695,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only Trauma",,,49.46,49.46,6
HCPCS,L8696,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each ",,,260.31,818.5,33
HCPCS,L8696,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each Trauma",,,644.06,644.06,6
HCPCS,L8701,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,33921.0,106658.8,33
HCPCS,L8701,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated Trauma",,,83928.24,83928.24,6
HCPCS,L8702,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ",,,66737.65,209845.18,33
HCPCS,L8702,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated Trau",,,165124.08,165124.08,6
HCPCS,M0249,TOCILIZUMAB INF 1ST DOSE,780.0,780.0,67.08,936.0,48
HCPCS,M0250,TOCILIZUMAB INF 2ND DOSE,623.0,623.0,53.58,747.6,48
HCPCS,P2028,"Cephalin floculation, blood ",,,4.9,15.1,47
HCPCS,P2028,"Cephalin floculation, blood Trauma",,,11.88,11.88,6
HCPCS,P2029,"Congo red, blood ",,,4.9,15.1,47
HCPCS,P2029,"Congo red, blood Trauma",,,11.88,11.88,6
HCPCS,P2031,Hair analysis (excluding arsenic) ,,,4.9,15.1,46
HCPCS,P2031,Hair analysis (excluding arsenic) Trauma,,,11.88,11.88,6
HCPCS,P2033,"Thymol turbidity, blood ",,,4.9,15.1,47
HCPCS,P2033,"Thymol turbidity, blood Trauma",,,11.88,11.88,6
HCPCS,P2038,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.9,15.1,47
HCPCS,P2038,"Mucoprotein, blood (seromucoid) (medical necessity procedure) Trauma",,,11.88,11.88,6
HCPCS,P3000,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,56.55,47
HCPCS,P3000,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision Trauma",,,44.5,44.5,6
HCPCS,P3001,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,5
HCPCS,P3001,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician SCHEDULED",,,28.5,29.1,3
HCPCS,P7001,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,11
HCPCS,P9010,WB FOR TRANSFUS PER UNIT,686.0,686.0,59.0,823.2,48
HCPCS,P9011,SPLIT PROD SPECIFY AMT,3202.45,3202.45,275.41,3842.94,48
HCPCS,P9012,CRYOPRECIPITATE,266.0,266.0,22.88,319.2,48
HCPCS,P9012,CRYOPRECIPITATE POOLED,266.0,266.0,22.88,319.2,48
HCPCS,P9016,PRBC LR,427.0,427.0,36.72,512.4,144
HCPCS,P9017,FFP,386.0,386.0,18.49,668.4,144
HCPCS,P9017,FFP APH 250ML,557.0,557.0,47.9,668.4,48
HCPCS,P9019,PLTS CONC,184.0,184.0,15.82,220.8,144
HCPCS,P9021,PRBC,403.0,403.0,34.66,483.6,48
HCPCS,P9022,PRBC WASH,356.0,356.0,30.62,427.2,48
HCPCS,P9022,PRBC WASH IRR,1001.0,1001.0,86.09,1201.2,48
HCPCS,P9022,PRBC WASH LR IRR,1068.0,1068.0,91.85,1281.6,48
HCPCS,P9031,PLT CONC LR,410.0,410.0,35.26,492.0,48
HCPCS,P9033,PLTS PLD 5D LR IR EAUNIT,615.0,615.0,52.89,738.0,48
HCPCS,P9034,PLTS PHERESIS EACH UNIT,1091.0,1091.0,93.83,1309.2,144
HCPCS,P9035,PLTS PHERESIS LR EA UNIT,1391.0,1391.0,119.63,1669.2,48
HCPCS,P9036,PLTS PH IRRADIATED EA UN,1130.0,1130.0,97.18,1356.0,48
HCPCS,P9037,PLTS PH LR IRR EA UNIT,1583.0,1583.0,136.14,1899.6,48
HCPCS,P9038,RBC IRRADIATED EACH UNIT,1370.0,1370.0,117.82,1644.0,48
HCPCS,P9039,RBC DEGLYCEROLIZED EA UN,174.0,174.0,14.96,208.8,48
HCPCS,P9040,RBC LEUKOREDUC IRR EA UN,871.0,871.0,74.91,1045.2,48
HCPCS,P9041,ALBUMIN INF 5% 1ML INJ,1.1,1.1,0.06,1.32,30
HCPCS,P9041,"Infusion, albumin (human), 5%, 50 ml ",1.1,1.1,10.3,17.52,6
HCPCS,P9043,"Infusion, plasma protein fraction (human), 5%, 50 ml ",,,,,0
HCPCS,P9044,PLASMA CRYO REDUCED,130.0,130.0,11.18,156.0,43
HCPCS,P9044,"Plasma, cryoprecipitate reduced, each unit ",130.0,130.0,,,0
HCPCS,P9045,ALBUMIN INF 5% 250ML,303.98,303.98,26.14,364.78,29
HCPCS,P9045,"Infusion, albumin (human), 5%, 250 ml ",303.98,303.98,51.49,87.58,6
HCPCS,P9046,"Infusion, albumin (human), 25%, 20 ml ",,,20.59,35.03,6
HCPCS,P9047,ALBUMIN INF 25% 100 ML,572.21,572.21,30.33,686.65,30
HCPCS,P9047,ALBUMIN INF 25% 1ML INJ,5.6,5.6,0.3,6.72,30
HCPCS,P9047,ALBUMIN INF 25% 50 ML,525.0,525.0,27.82,630.0,30
HCPCS,P9047,"Infusion, albumin (human), 25%, 50 ml ",,,51.49,87.58,6
HCPCS,P9048,"Infusion, plasma protein fraction (human), 5%, 250 ml ",,,,,0
HCPCS,P9051,WB LR CMV NEG,575.0,575.0,49.45,690.0,48
HCPCS,P9056,WB PHERESIS IRR EA UNIT,752.0,752.0,64.67,902.4,48
HCPCS,P9057,RBC FRZ/DEG/WSH L/R IRRD,662.0,662.0,56.93,794.4,48
HCPCS,P9073,PLATELETS PATH RED EA UN,737.0,737.0,63.38,884.4,48
HCPCS,P9100,PATHOGEN TEST PLATELETS,207.0,207.0,17.8,248.4,39
HCPCS,P9100,Pathogen(s) test for platelets ,,,33.84,33.84,5
HCPCS,P9612,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,28.49,47
HCPCS,P9612,"Catheterization for collection of specimen, single patient, all places of service Trauma",,,22.42,22.42,6
HCPCS,P9615,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,28.49,46
HCPCS,P9615,Catheterization for collection of specimen(s) (multiple patients) Trauma,,,22.42,22.42,6
HCPCS,Q0035,Cardiokymography SCHEDULED,,,11.4,11.64,3
HCPCS,Q0083,"Chemotherapy administration by other than infusion technique only (e.g., subcutaneous, intramuscular, push), per visit ",,,,,0
HCPCS,Q0084,"Chemotherapy administration by infusion technique only, per visit ",,,,,0
HCPCS,Q0085,"Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit ",,,,,0
HCPCS,Q0091,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,11
HCPCS,Q0091,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory SCHEDULED",,,21.85,22.31,3
HCPCS,Q0111,SMEAR WET PREP WO STAIN,87.0,87.0,7.48,104.4,31
HCPCS,Q0111,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",87.0,87.0,15.15,56.55,47
HCPCS,Q0111,"Wet mounts, including preparations of vaginal, cervical or skin specimens Trauma",,,44.5,44.5,6
HCPCS,Q0112,All potassium hydroxide (koh) preparations ,,,5.77,17.78,47
HCPCS,Q0112,All potassium hydroxide (koh) preparations Trauma,,,13.99,13.99,6
HCPCS,Q0113,Pinworm examinations ,,,4.23,13.02,47
HCPCS,Q0113,Pinworm examinations Trauma,,,10.25,10.25,6
HCPCS,Q0114,Fern test ,,,9.64,29.71,47
HCPCS,Q0114,Fern test Trauma,,,23.38,23.38,6
HCPCS,Q0115,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,24.75,76.25,47
HCPCS,Q0115,"Post-coital direct, qualitative examinations of vaginal or cervical mucous Trauma",,,60.0,60.0,6
HCPCS,Q0138,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.22,0.38,6
HCPCS,Q0139,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.22,0.38,6
HCPCS,Q0144,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,21.5,21.5,5
HCPCS,Q0155,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,6.42,6.42,5
HCPCS,Q0161,CHLORPROMAZINE 25 MG PO,36.0,36.0,1.91,43.2,30
HCPCS,Q0161,CHLORPROMAZINE 50 MG PO,44.0,44.0,2.33,52.8,30
HCPCS,Q0161,"Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed",,,,,0
HCPCS,Q0162,ONDANSETRON 4 MG PO,254.0,254.0,13.46,304.8,30
HCPCS,Q0162,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",254.0,254.0,0.02,0.03,6
HCPCS,Q0163,DIPHENHYDRAMINE 50 MG PO,1.0,1.0,0.05,1.2,30
HCPCS,Q0163,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",1.0,1.0,2.28,2.28,5
HCPCS,Q0164,PROCHLORPER MAL 10 MG PO,56.0,56.0,2.97,67.2,30
HCPCS,Q0164,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",56.0,56.0,1.29,1.29,5
HCPCS,Q0166,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,97.43,97.43,5
HCPCS,Q0167,DRONABINOL 2.5 MG PO,113.0,113.0,5.99,135.6,30
HCPCS,Q0167,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",113.0,113.0,1.6,2.72,6
HCPCS,Q0169,PROMETHAZINE 25 MG PO,46.0,46.0,2.44,55.2,30
HCPCS,Q0169,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",46.0,46.0,0.48,0.48,5
HCPCS,Q0173,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.11,1.11,5
HCPCS,Q0175,PERPHENAZINE 2 MG PO,42.0,42.0,2.23,50.4,30
HCPCS,Q0175,PERPHENAZINE 4 MG PO,33.0,33.0,1.75,39.6,30
HCPCS,Q0175,PERPHENAZINE 8 MG PO,44.0,44.0,2.33,52.8,30
HCPCS,Q0175,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.11,1.11,5
HCPCS,Q0177,HYDROXYZINE PAM 25 MG PO,45.0,45.0,1.8,67.2,60
HCPCS,Q0177,HYDROXYZINE PAM 50 MG PO,68.0,68.0,3.6,81.6,30
HCPCS,Q0177,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,3.3,3.3,5
HCPCS,Q0180,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,94.25,94.25,5
HCPCS,Q0181,"Unspecified oral dosage form, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for a iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour do",,,,,0
HCPCS,Q0224,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,7021.83,11944.35,6
HCPCS,Q0234,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ",,,,,0
HCPCS,Q0234,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical Trauma",,,,,0
HCPCS,Q0235,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
HCPCS,Q0237,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,4.77,8.12,6
HCPCS,Q0238,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,5.41,9.21,6
HCPCS,Q0238,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent Trauma",,,,,0
HCPCS,Q0249,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,7.34,12.49,6
HCPCS,Q0477,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,931.72,2929.65,33
HCPCS,Q0477,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,2305.3,2305.3,6
HCPCS,Q0478,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type ",,,220.67,693.88,33
HCPCS,Q0478,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type Trauma",,,546.0,546.0,6
HCPCS,Q0479,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,14389.95,45246.75,33
HCPCS,Q0479,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,35604.0,35604.0,6
HCPCS,Q0480,"Driver for use with pneumatic ventricular assist device, replacement only ",,,108157.91,340084.15,33
HCPCS,Q0480,"Driver for use with pneumatic ventricular assist device, replacement only Trauma",,,267607.2,267607.2,6
HCPCS,Q0481,KIT HRTMT 3 CONTROLLER,42746.0,42746.0,3676.16,51295.2,48
HCPCS,Q0481,"Microprocessor control unit for use with electric ventricular assist device, replacement only ",42746.0,42746.0,17450.01,54868.58,33
HCPCS,Q0481,"Microprocessor control unit for use with electric ventricular assist device, replacement only Trauma",,,43175.28,43175.28,6
HCPCS,Q0482,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only ",,,5465.67,17185.87,33
HCPCS,Q0482,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only Trauma",,,13523.3,13523.3,6
HCPCS,Q0483,"Monitor/display module for use with electric ventricular assist device, replacement only ",,,22516.03,70797.82,33
HCPCS,Q0483,"Monitor/display module for use with electric ventricular assist device, replacement only Trauma",,,55709.76,55709.76,6
HCPCS,Q0484,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,4372.56,13748.76,33
HCPCS,Q0484,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,10818.7,10818.7,6
HCPCS,Q0485,"Monitor control cable for use with electric ventricular assist device, replacement only ",,,422.15,1327.39,33
HCPCS,Q0485,"Monitor control cable for use with electric ventricular assist device, replacement only Trauma",,,1044.5,1044.5,6
HCPCS,Q0486,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only ",,,351.34,1104.74,33
HCPCS,Q0486,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,869.3,869.3,6
HCPCS,Q0487,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only ",,,409.92,1288.93,33
HCPCS,Q0487,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only Trauma",,,1014.24,1014.24,6
HCPCS,Q0489,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only ",,,19520.18,61377.9,33
HCPCS,Q0489,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,48297.36,48297.36,6
HCPCS,Q0490,"Emergency power source for use with electric ventricular assist device, replacement only ",,,844.36,2654.93,33
HCPCS,Q0490,"Emergency power source for use with electric ventricular assist device, replacement only Trauma",,,2089.13,2089.13,6
HCPCS,Q0491,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only ",,,1327.38,4173.71,33
HCPCS,Q0491,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,3284.23,3284.23,6
HCPCS,Q0492,"Emergency power supply cable for use with electric ventricular assist device, replacement only ",,,106.97,336.35,33
HCPCS,Q0492,"Emergency power supply cable for use with electric ventricular assist device, replacement only Trauma",,,264.67,264.67,6
HCPCS,Q0493,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only ",,,304.43,957.24,33
HCPCS,Q0493,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,753.24,753.24,6
HCPCS,Q0494,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,257.63,810.08,33
HCPCS,Q0494,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,637.44,637.44,6
HCPCS,Q0495,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,5016.24,15772.71,33
HCPCS,Q0495,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,12411.31,12411.31,6
HCPCS,Q0496,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1800.42,5661.1,33
HCPCS,Q0496,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,4454.64,4454.64,6
HCPCS,Q0497,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,562.15,1767.6,33
HCPCS,Q0497,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,1390.9,1390.9,6
HCPCS,Q0498,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,616.82,1939.49,33
HCPCS,Q0498,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,1526.16,1526.16,6
HCPCS,Q0499,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only ",,,200.42,630.19,33
HCPCS,Q0499,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only Trauma",,,495.89,495.89,6
HCPCS,Q0500,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,36.67,115.29,33
HCPCS,Q0500,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,90.72,90.72,6
HCPCS,Q0501,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,613.28,1928.36,33
HCPCS,Q0501,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,1517.4,1517.4,6
HCPCS,Q0502,"Mobility cart for pneumatic ventricular assist device, replacement only ",,,780.78,2455.04,33
HCPCS,Q0502,"Mobility cart for pneumatic ventricular assist device, replacement only Trauma",,,1931.83,1931.83,6
HCPCS,Q0503,"Battery for pneumatic ventricular assist device, replacement only, each ",,,1561.59,4910.16,33
HCPCS,Q0503,"Battery for pneumatic ventricular assist device, replacement only, each Trauma",,,3863.74,3863.74,6
HCPCS,Q0504,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type ",,,824.0,2590.91,33
HCPCS,Q0504,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type Trauma",,,2038.75,2038.75,6
HCPCS,Q0506,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only ",,,1025.72,3225.19,33
HCPCS,Q0506,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,2537.86,2537.86,6
HCPCS,Q0508,CABLE MODULAR LVAD DVC,38471.0,38471.0,2038.96,46165.2,25
HCPCS,Q0515,"Injection, sermorelin acetate, 1 microgram ",,,2.21,2.21,5
HCPCS,Q2004,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,23.69,23.69,5
HCPCS,Q2009,FOSPHEN PE 100 MG INJ,352.0,352.0,18.66,422.4,30
HCPCS,Q2009,FOSPHEN PE 25 MG/ML INJ,88.0,88.0,4.66,105.6,30
HCPCS,Q2009,FOSPHEN PE 500 MG INJ,608.0,608.0,32.22,729.6,30
HCPCS,Q2009,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,2.19,2.19,5
HCPCS,Q2026,"Injection, radiesse, 0.1 ml ",,,576.16,576.16,5
HCPCS,Q2028,"Injection, sculptra, 0.5 mg ",,,3.56,3.56,5
HCPCS,Q2034,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) ",,,,,0
HCPCS,Q2034,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) Trauma",,,,,0
HCPCS,Q2035,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,42.47,42.47,5
HCPCS,Q2035,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) Trauma",,,,,0
HCPCS,Q2036,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ",,,,,0
HCPCS,Q2036,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) Trauma",,,,,0
HCPCS,Q2037,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,20.39,20.39,5
HCPCS,Q2037,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) Trauma",,,,,0
HCPCS,Q2038,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,92.3,92.3,5
HCPCS,Q2038,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) Trauma",,,,,0
HCPCS,Q2039,"Influenza virus vaccine, not otherwise specified ",,,,,0
HCPCS,Q2039,"Influenza virus vaccine, not otherwise specified Trauma",,,,,0
HCPCS,Q2041,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,515893.53,877551.05,6
HCPCS,Q2042,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,595755.57,1013398.34,6
HCPCS,Q2043,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,54581.12,92844.16,6
HCPCS,Q2049,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,492.92,492.92,5
HCPCS,Q2050,DOXORUB LIPOSOM 20MG INJ,2594.4,2594.4,223.12,3113.28,29
HCPCS,Q2050,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",2594.4,2594.4,69.7,118.57,6
HCPCS,Q2052,"Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig) ",,,,,0
HCPCS,Q2053,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,474612.27,807329.49,6
HCPCS,Q2054,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,545393.17,927730.39,6
HCPCS,Q2055,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,542987.57,923638.78,6
HCPCS,Q2056,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,570840.15,971016.44,6
HCPCS,Q2057,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,747501.4,1271523.0,6
HCPCS,Q2058,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,459112.5,459112.5,5
HCPCS,Q3001,"Radioelements for brachytherapy, any type, each ",,,101.95,101.95,5
HCPCS,Q3014,Telehealth originating site facility fee ,,,30.89,30.89,1
HCPCS,Q3027,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,299.9,299.9,5
HCPCS,Q3028,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,83.64,83.64,5
HCPCS,Q4001,"Casting supplies, body cast adult, with or without head, plaster ",,,60.49,190.2,33
HCPCS,Q4001,"Casting supplies, body cast adult, with or without head, plaster Trauma",,,149.66,149.66,6
HCPCS,Q4002,"Cast supplies, body cast adult, with or without head, fiberglass ",,,228.57,718.7,33
HCPCS,Q4002,"Cast supplies, body cast adult, with or without head, fiberglass Trauma",,,565.54,565.54,6
HCPCS,Q4003,"Cast supplies, shoulder cast, adult (11 years +), plaster ",,,43.44,136.58,33
HCPCS,Q4003,"Cast supplies, shoulder cast, adult (11 years +), plaster Trauma",,,107.47,107.47,6
HCPCS,Q4004,"Cast supplies, shoulder cast, adult (11 years +), fiberglass ",,,150.38,472.84,33
HCPCS,Q4004,"Cast supplies, shoulder cast, adult (11 years +), fiberglass Trauma",,,372.07,372.07,6
HCPCS,Q4005,"Cast supplies, long arm cast, adult (11 years +), plaster ",,,16.01,50.36,33
HCPCS,Q4005,"Cast supplies, long arm cast, adult (11 years +), plaster Trauma",,,39.62,39.62,6
HCPCS,Q4006,"Cast supplies, long arm cast, adult (11 years +), fiberglass ",,,36.08,113.46,33
HCPCS,Q4006,"Cast supplies, long arm cast, adult (11 years +), fiberglass Trauma",,,89.28,89.28,6
HCPCS,Q4007,"Cast supplies, long arm cast, pediatric (0-10 years), plaster ",,,8.0,25.16,33
HCPCS,Q4007,"Cast supplies, long arm cast, pediatric (0-10 years), plaster Trauma",,,19.8,19.8,6
HCPCS,Q4008,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ",,,18.03,56.7,33
HCPCS,Q4008,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass Trauma",,,44.62,44.62,6
HCPCS,Q4009,"Cast supplies, short arm cast, adult (11 years +), plaster ",,,10.7,33.64,33
HCPCS,Q4009,"Cast supplies, short arm cast, adult (11 years +), plaster Trauma",,,26.47,26.47,6
HCPCS,Q4010,"Cast supplies, short arm cast, adult (11 years +), fiberglass ",,,24.06,75.64,33
HCPCS,Q4010,"Cast supplies, short arm cast, adult (11 years +), fiberglass Trauma",,,59.52,59.52,6
HCPCS,Q4011,"Cast supplies, short arm cast, pediatric (0-10 years), plaster ",,,5.33,16.77,33
HCPCS,Q4011,"Cast supplies, short arm cast, pediatric (0-10 years), plaster Trauma",,,13.2,13.2,6
HCPCS,Q4012,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ",,,12.06,37.91,33
HCPCS,Q4012,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass Trauma",,,29.83,29.83,6
HCPCS,Q4013,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ",,,19.47,61.21,33
HCPCS,Q4013,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster Trauma",,,48.17,48.17,6
HCPCS,Q4014,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ",,,32.82,103.21,33
HCPCS,Q4014,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass Trauma",,,81.22,81.22,6
HCPCS,Q4015,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ",,,9.75,30.65,33
HCPCS,Q4015,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster Trauma",,,24.12,24.12,6
HCPCS,Q4016,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ",,,16.4,51.58,33
HCPCS,Q4016,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass Trauma",,,40.58,40.58,6
HCPCS,Q4017,"Cast supplies, long arm splint, adult (11 years +), plaster ",,,11.25,35.38,33
HCPCS,Q4017,"Cast supplies, long arm splint, adult (11 years +), plaster Trauma",,,27.84,27.84,6
HCPCS,Q4018,"Cast supplies, long arm splint, adult (11 years +), fiberglass ",,,17.93,56.36,33
HCPCS,Q4018,"Cast supplies, long arm splint, adult (11 years +), fiberglass Trauma",,,44.35,44.35,6
HCPCS,Q4019,"Cast supplies, long arm splint, pediatric (0-10 years), plaster ",,,5.63,17.69,33
HCPCS,Q4019,"Cast supplies, long arm splint, pediatric (0-10 years), plaster Trauma",,,13.92,13.92,6
HCPCS,Q4020,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ",,,9.0,28.3,33
HCPCS,Q4020,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass Trauma",,,22.27,22.27,6
HCPCS,Q4021,"Cast supplies, short arm splint, adult (11 years +), plaster ",,,8.33,26.2,33
HCPCS,Q4021,"Cast supplies, short arm splint, adult (11 years +), plaster Trauma",,,20.62,20.62,6
HCPCS,Q4022,"Cast supplies, short arm splint, adult (11 years +), fiberglass ",,,15.04,47.27,33
HCPCS,Q4022,"Cast supplies, short arm splint, adult (11 years +), fiberglass Trauma",,,37.2,37.2,6
HCPCS,Q4023,"Cast supplies, short arm splint, pediatric (0-10 years), plaster ",,,4.18,13.15,33
HCPCS,Q4023,"Cast supplies, short arm splint, pediatric (0-10 years), plaster Trauma",,,10.34,10.34,6
HCPCS,Q4024,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ",,,7.53,23.67,33
HCPCS,Q4024,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass Trauma",,,18.62,18.62,6
HCPCS,Q4025,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ",,,46.68,146.77,33
HCPCS,Q4025,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster Trauma",,,115.49,115.49,6
HCPCS,Q4026,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ",,,145.81,458.48,33
HCPCS,Q4026,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass Trauma",,,360.77,360.77,6
HCPCS,Q4027,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ",,,23.36,73.44,33
HCPCS,Q4027,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster Trauma",,,57.79,57.79,6
HCPCS,Q4028,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ",,,72.94,229.36,33
HCPCS,Q4028,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass Trauma",,,180.48,180.48,6
HCPCS,Q4029,"Cast supplies, long leg cast, adult (11 years +), plaster ",,,35.72,112.3,33
HCPCS,Q4029,"Cast supplies, long leg cast, adult (11 years +), plaster Trauma",,,88.37,88.37,6
HCPCS,Q4030,"Cast supplies, long leg cast, adult (11 years +), fiberglass ",,,94.01,295.61,33
HCPCS,Q4030,"Cast supplies, long leg cast, adult (11 years +), fiberglass Trauma",,,232.61,232.61,6
HCPCS,Q4031,"Cast supplies, long leg cast, pediatric (0-10 years), plaster ",,,17.84,56.09,33
HCPCS,Q4031,"Cast supplies, long leg cast, pediatric (0-10 years), plaster Trauma",,,44.14,44.14,6
HCPCS,Q4032,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ",,,47.01,147.8,33
HCPCS,Q4032,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass Trauma",,,116.3,116.3,6
HCPCS,Q4033,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster ",,,33.32,104.77,33
HCPCS,Q4033,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster Trauma",,,82.44,82.44,6
HCPCS,Q4034,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ",,,82.83,260.44,33
HCPCS,Q4034,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass Trauma",,,204.94,204.94,6
HCPCS,Q4035,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ",,,16.65,52.37,33
HCPCS,Q4035,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster Trauma",,,41.21,41.21,6
HCPCS,Q4036,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ",,,41.45,130.33,33
HCPCS,Q4036,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass Trauma",,,102.55,102.55,6
HCPCS,Q4037,"Cast supplies, short leg cast, adult (11 years +), plaster ",,,20.29,63.81,33
HCPCS,Q4037,"Cast supplies, short leg cast, adult (11 years +), plaster Trauma",,,50.21,50.21,6
HCPCS,Q4038,"Cast supplies, short leg cast, adult (11 years +), fiberglass ",,,50.91,160.06,33
HCPCS,Q4038,"Cast supplies, short leg cast, adult (11 years +), fiberglass Trauma",,,125.95,125.95,6
HCPCS,Q4039,"Cast supplies, short leg cast, pediatric (0-10 years), plaster ",,,10.19,32.02,33
HCPCS,Q4039,"Cast supplies, short leg cast, pediatric (0-10 years), plaster Trauma",,,25.2,25.2,6
HCPCS,Q4040,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ",,,25.44,80.0,33
HCPCS,Q4040,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass Trauma",,,62.95,62.95,6
HCPCS,Q4041,"Cast supplies, long leg splint, adult (11 years +), plaster ",,,24.72,77.71,33
HCPCS,Q4041,"Cast supplies, long leg splint, adult (11 years +), plaster Trauma",,,61.15,61.15,6
HCPCS,Q4042,"Cast supplies, long leg splint, adult (11 years +), fiberglass ",,,42.19,132.64,33
HCPCS,Q4042,"Cast supplies, long leg splint, adult (11 years +), fiberglass Trauma",,,104.38,104.38,6
HCPCS,Q4043,"Cast supplies, long leg splint, pediatric (0-10 years), plaster ",,,12.36,38.86,33
HCPCS,Q4043,"Cast supplies, long leg splint, pediatric (0-10 years), plaster Trauma",,,30.58,30.58,6
HCPCS,Q4044,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ",,,21.13,66.43,33
HCPCS,Q4044,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass Trauma",,,52.27,52.27,6
HCPCS,Q4045,"Cast supplies, short leg splint, adult (11 years +), plaster ",,,14.35,45.11,33
HCPCS,Q4045,"Cast supplies, short leg splint, adult (11 years +), plaster Trauma",,,35.5,35.5,6
HCPCS,Q4046,"Cast supplies, short leg splint, adult (11 years +), fiberglass ",,,23.08,72.56,33
HCPCS,Q4046,"Cast supplies, short leg splint, adult (11 years +), fiberglass Trauma",,,57.1,57.1,6
HCPCS,Q4047,"Cast supplies, short leg splint, pediatric (0-10 years), plaster ",,,7.14,22.45,33
HCPCS,Q4047,"Cast supplies, short leg splint, pediatric (0-10 years), plaster Trauma",,,17.66,17.66,6
HCPCS,Q4048,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ",,,11.54,36.3,33
HCPCS,Q4048,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass Trauma",,,28.56,28.56,6
HCPCS,Q4049,"Finger splint, static ",,,2.6,8.17,33
HCPCS,Q4049,"Finger splint, static Trauma",,,6.43,6.43,6
HCPCS,Q4074,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,262.33,262.33,5
HCPCS,Q4081,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,0.71,1.2,6
HCPCS,Q4082,"Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap) ",,,,,0
HCPCS,Q4101,APLIGRAF 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4101,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4102,OASIS WOUND MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4102,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4103,OASIS BURN MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4103,OASIS BURN MTX 140 SQCM,12239.0,12239.0,648.67,14686.8,30
HCPCS,Q4103,OASIS BURN MTX 600 SQCM,48825.0,48825.0,2587.72,58590.0,30
HCPCS,Q4103,OASIS BURN MTX 70 SQCM,6120.0,6120.0,324.36,7344.0,30
HCPCS,Q4103,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4104,INTEGRA BMWD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4104,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4105,INTEGRA DRT OMNIGF 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4105,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4107,GRAFTJACKET 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4107,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4108,INTEGRA MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4108,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4110,PRIMATRIX 120 SQCM,29988.0,29988.0,1589.36,35985.6,30
HCPCS,Q4110,PRIMATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4110,PRIMATRIX 250 SQCM,35000.0,35000.0,1855.0,42000.0,30
HCPCS,Q4110,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4111,GAMMAGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4111,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4113,"Graftjacket xpress, injectable, 1 cc ",,,3295.88,3295.88,5
HCPCS,Q4114,INTEGRA FLOW INJ 3 ML,26264.0,26264.0,1391.99,31516.8,30
HCPCS,Q4114,"Integra flowable wound matrix, injectable, 1 cc ",26264.0,26264.0,4670.82,4670.82,5
HCPCS,Q4115,ALLOSKIN 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4115,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4116,ALLODERM 132 SQCM,42066.5,42066.5,2112.1,53138.4,90
HCPCS,Q4116,ALLODERM 164 SQCM,55013.0,55013.0,2915.69,66015.6,60
HCPCS,Q4116,ALLODERM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4116,ALLODERM 240 SQCM,70343.0,70343.0,3728.18,84411.6,30
HCPCS,Q4116,ALLODERM 320 SQCM,96614.0,96614.0,3196.54,128822.4,120
HCPCS,Q4116,ALLODERM 327 SQCM,116756.5,116756.5,6096.64,142178.4,60
HCPCS,Q4116,ALLODERM 77 SQCM,25830.0,25830.0,1368.99,30996.0,30
HCPCS,Q4116,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4117,HYALOMATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4117,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4118,MATRISTEM 100 MG,1792.0,1792.0,94.98,2150.4,30
HCPCS,Q4118,MATRISTEM 1000 MG,14931.0,14931.0,791.34,17917.2,30
HCPCS,Q4118,MATRISTEM 200 MG,3584.0,3584.0,189.95,4300.8,30
HCPCS,Q4118,MATRISTEM 500 MG,8157.0,8157.0,432.32,9788.4,60
HCPCS,Q4118,MATRISTEM 60 MG,858.0,858.0,45.47,1029.6,30
HCPCS,Q4118,"Matristem micromatrix, 1 mg ",,,13.08,13.08,5
HCPCS,Q4121,THERASKIN 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4121,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4122,DERMACELL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4122,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4123,ALLOSKIN RT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4123,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4124,OASIS TRI-LAYER 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4124,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4125,ARTHROFLEX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4125,ARTHROFLEX 28 SQ CM,7614.0,7614.0,328.39,10838.4,40
HCPCS,Q4125,ARTHROFLEX 28 SQCM,4250.0,4250.0,225.25,5100.0,20
HCPCS,Q4125,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4126,MEMOD DERM TRZ INT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4126,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4127,TALYMED 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4127,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4128,FLEX  ALLOPATCH HD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4128,FLEXHD 128 SQCM,24094.0,24094.0,1276.98,28912.8,30
HCPCS,Q4128,FLEXHD 220 SQCM,25452.0,25452.0,1348.96,30542.4,30
HCPCS,Q4128,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4130,STRATTICE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4130,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4132,GRAFIX PL CORE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4132,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4133,GRAFIX PL PRIME 12 SQCM,8566.0,8566.0,454.0,10279.2,30
HCPCS,Q4133,GRAFIX STRAVIX PL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4133,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4134,HMATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4134,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4135,MEDISKIN 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4135,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4136,EZDERM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4136,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4137,AMNIOEXCEL 100 SQCM,35617.0,35617.0,1887.7,42740.4,30
HCPCS,Q4137,AMNIOEXCEL BIODEXC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4137,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4138,BIODDRYFLEX 16 SQCM,9792.0,9792.0,518.98,11750.4,30
HCPCS,Q4138,BIODDRYFLEX 32 SQCM,26208.0,26208.0,1389.02,31449.6,30
HCPCS,Q4138,BIODFENCE DRYFLEX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4138,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4140,BIODEFENCE 32 SQCM,30576.0,30576.0,1620.53,36691.2,30
HCPCS,Q4140,BIODEFENCE G3 36 SQCM,37100.0,37100.0,1966.3,44520.0,30
HCPCS,Q4140,BIODFENCE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4140,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4141,ALLOSKIN AC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4141,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4142,XCM BIOLGIC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4142,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4143,REPRIZA 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4143,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4145,"Epifix, injectable, 1 mg ",,,31.96,31.96,5
HCPCS,Q4146,TENSIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4146,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4147,ARCHITECT PX FX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4147,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4148,CLARIX CORD 1K 12 SQCM,10325.0,10325.0,547.23,12390.0,30
HCPCS,Q4148,CLARIX CORD 1K 18 SQCM,14700.0,14700.0,779.1,17640.0,30
HCPCS,Q4148,CLARIX CORD 1K 2.25 SQCM,4095.0,4095.0,217.03,4914.0,30
HCPCS,Q4148,CLARIX CORD 1K 24 SQCM,17850.0,17850.0,946.05,21420.0,30
HCPCS,Q4148,CLARIX CORD 1K 6.25 SQCM,7700.0,7700.0,408.1,9240.0,30
HCPCS,Q4148,NEOX CLARIX CORD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4148,NEOX CORD 1K 12 SQCM,10325.0,10325.0,547.23,12390.0,30
HCPCS,Q4148,NEOX CORD 1K 24 SQCM,17850.0,17850.0,946.05,21420.0,30
HCPCS,Q4148,NEOX CORD RT 18 SQCM,14700.0,14700.0,779.1,17640.0,30
HCPCS,Q4148,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4149,"Excellagen, 0.1 cc ",,,287.1,287.1,5
HCPCS,Q4150,ALLOWRAP DS DRY 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4150,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4151,AMNIOBAND GUARDIAN 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4151,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4152,DERMAPURE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4152,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4153,DERMAVEST PLURIVST 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4153,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4154,BIOVANCE 16 SQCM,15575.0,15575.0,825.48,18690.0,30
HCPCS,Q4154,BIOVANCE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4154,BIOVANCE 36 SQCM,29358.0,29358.0,1555.97,35229.6,30
HCPCS,Q4154,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4155,"Neoxflo or clarixflo, 1 mg ",,,56.27,56.27,5
HCPCS,Q4156,CLARIX 100 16 SQCM,8750.0,8750.0,463.75,10500.0,30
HCPCS,Q4156,NEOX 100 16 SQCM,8750.0,8750.0,463.75,10500.0,30
HCPCS,Q4156,NEOX100 CLARIX100 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4156,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4157,REVITALON 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4157,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4158,KERECIS OMEGA3 126 SQCM,13720.0,13720.0,727.16,16464.0,30
HCPCS,Q4158,KERECIS OMEGA3 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4158,KERECIS OMEGA3 252 SQCM,26950.0,26950.0,1428.35,32340.0,30
HCPCS,Q4158,KERECIS OMEGA3 540 SQCM,56700.0,56700.0,3005.1,68040.0,30
HCPCS,Q4158,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4159,AFFINITY 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4159,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4160,NUSHIELD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4160,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4161,BIOCONNEKT MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4161,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4162,"Woundex flow, bioskin flow, 0.5 cc ",,,4235.01,4235.01,5
HCPCS,Q4163,WOUNDEX BIOSKIN 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4163,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4164,HELICOLL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4164,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4165,KERAMATRIX KERASOR 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4165,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4166,CYTAL 150 SQCM,8107.5,8107.5,199.92,14931.6,60
HCPCS,Q4166,CYTAL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4166,CYTAL 25 SQCM,7749.0,7749.0,410.7,9298.8,30
HCPCS,Q4166,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4167,TRUSKIN 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4167,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4169,ARTACENT WOUND 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4169,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4170,CYGNUS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4170,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4171,INTERFYL 1500 MG,14630.0,14630.0,775.39,17556.0,30
HCPCS,Q4171,"Interfyl, 1 mg ",14630.0,14630.0,64.27,64.27,5
HCPCS,Q4173,PALINGEN XPLUS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4173,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4174,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,2378.48,2378.48,5
HCPCS,Q4175,MIRODERM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4175,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4176,NEOPATCH/THERION 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4176,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4177,"Floweramnioflo, 0.1 cc ",,,297.0,297.0,5
HCPCS,Q4178,FLOWERAMNIOPATCH 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4178,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4179,FLOWERDERM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4179,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4180,REVITA 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4180,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4181,AMNIO WOUND 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4181,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4182,TRANSCYTE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4182,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4183,SURGIGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4183,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4184,CELLESTA CELLE DUO 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4184,CELLESTA DUO 24 SQCM,12075.0,12075.0,639.98,14490.0,30
HCPCS,Q4184,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4186,EPIFIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4186,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4187,EPICORD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4187,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4188,AMNIOARMOR 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4188,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4190,ARTACENT AC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4190,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4191,RESTORIGIN 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4191,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4193,COLL-E-DERM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4193,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4194,NOVACHOR 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4194,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4195,PURAPLY 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4195,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4196,PURAPLY AM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4196,PURAPLYAM 54 SQCM,35910.0,35910.0,1903.23,43092.0,30
HCPCS,Q4196,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4197,PURAPLY XT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4197,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4198,GENESIS AMNIOTIC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4198,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4199,CYGNUS MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4199,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4200,SKIN TE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4200,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4201,MATRION 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4201,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4203,DERMA-GIDE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4203,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4204,XWRAP 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4204,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4205,MEMBRA GRAFT WRAP 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4205,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4208,NOVAFIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4208,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4209,SURGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4209,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4211,AMNION BIO AXOBIO 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4211,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4213,"Ascent, 0.5 mg ",,,113.75,113.75,5
HCPCS,Q4214,CELLESTA CORD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4214,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4216,ARTACENT CORD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4216,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4217,WOUNDFIX  BIOWOUND 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4217,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4218,SURGICORD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4218,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4219,SURGIGRAFT-DUAL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4219,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4220,BELLACEL SUREDERM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4220,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4221,AMNIOWRAP2 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4221,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4222,PROGENAMATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4222,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4224,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,109.23,209.98,6
HCPCS,Q4225,AMNIOBIND 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4225,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4227,AMNIOCORE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4227,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4229,COGENEX AMNIO 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4229,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4232,CORPLEX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4232,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4234,XCELLERATE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4234,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4235,AMNIOREP/ALTIPLY 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4235,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4236,CAREPATCH 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4236,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4237,CRYO-CORD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4237,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4238,DERM-MAXX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4238,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4239,AMNIOMAXX/LITE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4239,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4246,"Coretext or protext, per cc ",,,5313.0,5313.0,5
HCPCS,Q4247,AMNIOTEXT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4247,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4248,DERMACYTE AMNIO 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4248,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4249,AMNIPLY TOP ONLY 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4249,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4250,AMNIOAMP-MP 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4250,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4251,VIM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4251,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4252,VENDAJE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4252,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4253,ZENITH AMNIOTIC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4253,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4254,NOVAFIX DL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4254,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4255,REGUARD TOP ONLY 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4255,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4256,MLG-COMPLETE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4256,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4257,RELESE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4257,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4258,ENVERSE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4258,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4259,CELERA DUAL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4259,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4260,SIGNATURE APATCH 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4260,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4261,TAG 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4261,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4262,DUAL LAYER IMPAX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4262,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4263,SURGRAFT TL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4263,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4264,COCOON MEMBRANE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4264,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4265,NEOSTIM TL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4265,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4266,NEOSTIM MEMBRANE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4266,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4267,NEOSTIM DL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4267,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4268,SURGRAFT FT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4268,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4269,SURGRAFT XT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4269,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4270,COMPLETE SL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4270,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4271,COMPLETE FT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4271,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4272,ESANO A 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4272,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4273,ESANO AAA 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4273,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4274,ESANO AC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4274,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4275,ESANO ACA 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4275,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4276,ORION 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4276,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4278,EPIEFFECT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4278,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4279,VENDAJE AC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4279,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4280,XCELL AMNIO MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4280,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4281,BARRERA SL/DL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4281,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4282,CYGNUS DUAL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4282,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4283,BIOVANCE TRI 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4283,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4284,DERMABIND SL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4284,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4285,NUDYN DL/DL MESH 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4285,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4286,NUDYN SL/SLW 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4286,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4287,DERMABIND DL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4287,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4288,DERMABIND CH 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4288,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4289,REVOSHIELD+ AMNIO 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4289,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4290,MEM WRAP HYDR 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4290,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4291,LAMELLAS XT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4291,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4292,LAMELLAS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4292,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4293,ACESSO DL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4293,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4294,AMNIO QUADCORE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4294,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4295,AMNIO TRICORE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4295,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4296,REBOUND 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4296,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4297,EMERGE MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4297,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4298,AMNIOCORE PRO 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4298,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4299,AMNICORE PRO+ 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4299,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4300,ACESSO TL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4300,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4301,ACTIVATE MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4301,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4302,COMPLETE ACA 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4302,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4303,COMPLETE AA 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4303,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4304,GRAFIX PLUS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4304,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4305,AMER AM AC TRI 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4305,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4306,AMER AM AC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4306,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4307,AMER AM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4307,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4308,SANOPELLIS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4308,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4309,VIA MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4309,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4310,"Procenta, per 100 mg ",,,9801.5,9801.5,5
HCPCS,Q4311,ACESSO 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4311,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4312,ACESSO AC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4312,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4313,DERMABIND FM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4313,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4314,REEVA FT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4314,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4315,REGENELINK 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4315,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4316,AMCHOPLAST 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4316,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4317,VITOGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4317,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4318,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4318,EGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4319,SANOGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4319,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4320,PELLOGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4320,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4321,RENOGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4321,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4322,CAREGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4322,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4323,ALLOPLY 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4323,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4324,AMNIOTX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4324,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4325,ACAPATCH 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4325,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4326,WOUNDPLUS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4326,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4327,DUOAMNION 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4327,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4328,MOST 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4328,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4329,SINGLAY 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4329,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4330,TOTAL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4330,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4331,AXOLOTL GRAFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4331,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4332,AXOLOTL DUAL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4332,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4333,ARDEOGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4333,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4334,AMNIOPLAST 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4334,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4335,AMNIOPLAST 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4335,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4336,ARTECENT C 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4336,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4337,ARTECENT TRID 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4337,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4338,ARTRACENT VELOS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4338,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4339,ARTACENT VERICL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4339,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4340,SIMPLIGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4340,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4341,SIMPLEMAX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4341,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4342,THERAMEND 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4342,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4343,DRMACYT AC MTRX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4343,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4344,TRI MEMBR WRAP 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4344,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4345,MTRX HD ALGRFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4345,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4346,SHLTR DM MTRX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4346,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4347,RAMPART DL MTRX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4347,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4348,SENTRY SL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4348,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4349,MANTLE DL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4349,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4350,PALISDE DM MTRX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4350,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4351,ENCLOSE TL MTRX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4351,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4352,OVERLAY SL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4352,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4353,XCEED TL MATRIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4353,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4354,PALIGN DL YR MEMB 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4354,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4355,ABIMD XPLS MEM HYD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4355,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4356,ABIMND MEM HYDRO 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4356,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4357,XWRAP PLUS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4357,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4358,XWRAP DUAL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4358,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4359,CHLORIPLY 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4359,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4360,AMCHOPLAST FD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4360,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4361,EPIXPRESS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4361,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4362,CYGNUS DISK 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4362,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4363,AMN BRGN MEM HYDRO 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4363,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4364,AMN BRGN XPLS HYDR 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4364,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4365,AMN BRGN DLYR MEM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4365,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4366,DLYR AMN BRGN XMEM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4366,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4367,AMNIOCORE SL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4367,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4368,AMCHOTHICK 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4368,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4369,AMNIOPLAST  1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4369,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4370,AEROGUARD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4370,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4371,NEOGUARD SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4371,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4372,AMCHOPLAST EX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4372,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4373,MEM WRAP LIFE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4373,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4375,DUOGRAFT AC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4375,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4376,DUOGRAFT AA 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4376,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4377,TRIGRAFT FT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4377,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4378,RENEW FT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4378,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4379,AMNIODEFEND FT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4379,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4380,ADVOGRAFT ONE 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4380,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4382,ADVOGRAFT DUAL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4382,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4383,AXOLOTL ULTRA 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4383,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4384,AXOLOTL DL UL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4384,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4385,APOLLO FT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4385,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4386,ACESSO TRIFACA 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4386,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4387,NEOTHELIUM FT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4387,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4388,NEOTHELIUM FL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4388,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4389,NEOTHELIUM FL+ 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4389,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4390,ASCENDION 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4390,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4391,AMNIOPLAST DBL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4391,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4392,GRAFIX DUO 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4392,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4393,SURGRAFT AC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4393,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4394,SURGRAFT ACA 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4394,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4395,ACELAGRAFT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4395,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4396,NATALIN 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4396,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4397,SUMMIT AAA 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4397,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4398,SUMMIT AC 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4398,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4399,SUMMIT FX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4399,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4400,POLYGON3 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4400,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4401,ABSOLV3 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4401,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4402,XWRAP 2.0 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4402,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4403,XWRAP DL PLS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4403,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4404,XWRAP HYD PLS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4404,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4405,XWRAP FEN PLS 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4405,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4406,XWRAP FEN 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4406,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4407,XWRAP TRIB 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4407,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4408,XWRAP HYD 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4408,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4409,AMNIOMF3X 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4409,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4410,AMCHOMDL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4410,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4411,AMNIOMF4X 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4411,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4412,CHRIOFIX 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4412,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4413,CYGNUS SOL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4413,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4414,SIMPLICHOR 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4414,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4415,ALEXIG STL 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4415,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4416,ALEXIG TLT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4416,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4417,ALEXIG DLT 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4417,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4418,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4419,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4420,NUFORM 1SQCM,1.0,1.0,0.05,1.2,30
HCPCS,Q4420,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,5
HCPCS,Q4421,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4422,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4423,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4424,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4425,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4426,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4427,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4428,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4429,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4431,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4432,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4432,510K SKN SUB NOS,32928.0,32928.0,1745.18,39513.6,60
HCPCS,Q4433,361 HCT P SKN NOS,8044.5,8044.5,0.69,31450.8,330
HCPCS,Q4433,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4435,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4436,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4437,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4438,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4439,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q4440,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,5
HCPCS,Q5098,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,104.33,104.33,5
HCPCS,Q5099,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,2.98,5.3,6
HCPCS,Q5100,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,3.11,5.53,6
HCPCS,Q5101,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.34,0.58,6
HCPCS,Q5101,ZARXIO BS 300 MCG INJ,1059.36,1059.36,91.1,1271.23,29
HCPCS,Q5101,ZARXIO BS 480 MCG INJ,434.21,434.21,37.34,521.05,29
HCPCS,Q5103,INFLECTRA BS 100 MG INJ,535.56,535.56,46.06,642.67,29
HCPCS,Q5103,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",535.56,535.56,25.26,42.97,6
HCPCS,Q5104,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",1579.6,1579.6,26.0,44.22,6
HCPCS,Q5104,RENFLEXIS BS 100 MG INJ,1579.6,1579.6,135.85,1895.52,29
HCPCS,Q5105,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,0.77,1.3,6
HCPCS,Q5105,RETACRIT BS 10000U ESRD,965.0,965.0,51.15,1158.0,30
HCPCS,Q5105,RETACRIT BS 100U ESRD,10.0,10.0,0.53,12.0,30
HCPCS,Q5105,RETACRIT BS 2000U ESRD,193.0,193.0,10.23,231.6,30
HCPCS,Q5105,RETACRIT BS 3000U ESRD,272.07,272.07,14.42,326.48,30
HCPCS,Q5105,RETACRIT BS 40000U ESRD,1451.4,1451.4,76.92,1741.68,30
HCPCS,Q5105,RETACRIT BS 4000U ESRD,386.0,386.0,20.46,463.2,30
HCPCS,Q5106,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,7.64,13.0,6
HCPCS,Q5106,RETACRIT BS 10000U NESRD,965.0,965.0,82.99,1158.0,29
HCPCS,Q5106,RETACRIT BS 1000U NESRD,97.0,97.0,8.34,116.4,29
HCPCS,Q5106,RETACRIT BS 2000U NESRD,193.0,193.0,16.6,231.6,29
HCPCS,Q5106,RETACRIT BS 3000U NESRD,272.07,272.07,23.4,326.48,29
HCPCS,Q5106,RETACRIT BS 4000U NESRD,386.0,386.0,33.2,463.2,29
HCPCS,Q5107,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,23.03,39.17,6
HCPCS,Q5107,MVASI BS 100 MG INJ,3262.0,3262.0,280.53,3914.4,29
HCPCS,Q5107,MVASI BS 400 MG INJ,24226.0,24226.0,2083.44,29071.2,29
HCPCS,Q5108,FULPHILA BS 6 MG INJ,7094.0,7094.0,610.08,8512.8,29
HCPCS,Q5108,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",7094.0,7094.0,77.11,131.18,6
HCPCS,Q5110,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.27,0.46,6
HCPCS,Q5111,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",4028.88,4028.88,131.81,224.22,6
HCPCS,Q5111,UDENYCA BS 6 MG INJ,4028.88,4028.88,346.48,4834.66,29
HCPCS,Q5112,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,28.92,49.19,6
HCPCS,Q5113,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,54.34,92.43,6
HCPCS,Q5114,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,34.71,59.04,6
HCPCS,Q5115,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,30.34,51.61,6
HCPCS,Q5115,TRUXIMA BS 100 MG INJ,7753.69,7753.69,666.82,9304.43,29
HCPCS,Q5115,TRUXIMA BS 500 MG INJ,18813.48,18813.48,1617.96,22576.18,29
HCPCS,Q5116,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",4477.89,4477.89,10.12,17.21,6
HCPCS,Q5116,TRAZIMERA BS 150 MG INJ,4477.89,4477.89,385.1,5373.47,29
HCPCS,Q5117,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",1312.47,1312.47,54.69,93.03,6
HCPCS,Q5117,KANJINTI BS 10 MG INJ,1312.47,1312.47,112.87,1574.96,29
HCPCS,Q5118,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,25.07,42.65,6
HCPCS,Q5118,ZIRABEV BS 100 MG INJ,898.7,898.7,77.29,1078.44,29
HCPCS,Q5118,ZIRABEV BS 400 MG INJ,5873.0,5873.0,505.08,7047.6,29
HCPCS,Q5119,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,13.28,22.59,6
HCPCS,Q5119,RUXIENCE BS 100 MG INJ,531.72,531.72,45.73,638.06,29
HCPCS,Q5119,RUXIENCE BS 500 MG INJ,8009.0,8009.0,688.77,9610.8,29
HCPCS,Q5120,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,116.05,197.41,6
HCPCS,Q5121,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,27.2,46.27,6
HCPCS,Q5122,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",9469.08,9469.08,129.31,219.96,6
HCPCS,Q5122,NYVEPRIA BS 6 MG INJ,9469.08,9469.08,814.34,11362.9,29
HCPCS,Q5123,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,19.65,33.43,6
HCPCS,Q5124,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,68.77,116.99,6
HCPCS,Q5125,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.31,0.53,6
HCPCS,Q5126,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,50.04,85.12,6
HCPCS,Q5127,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,153.51,261.13,6
HCPCS,Q5128,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,80.98,137.74,6
HCPCS,Q5129,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,33.61,57.17,6
HCPCS,Q5130,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,108.77,185.01,6
HCPCS,Q5133,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,5.1,8.68,6
HCPCS,Q5134,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,23.59,40.13,6
HCPCS,Q5135,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,4.31,7.33,6
HCPCS,Q5136,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,27.07,46.05,6
HCPCS,Q5137,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,364.11,364.11,5
HCPCS,Q5138,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,4.4,7.49,6
HCPCS,Q5140,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,94.23,94.23,5
HCPCS,Q5141,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,36.3,36.3,5
HCPCS,Q5142,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,43.46,43.46,5
HCPCS,Q5143,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,133.62,133.62,5
HCPCS,Q5145,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,32.11,32.11,5
HCPCS,Q5146,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,36.73,62.49,6
HCPCS,Q5147,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,796.76,1355.31,6
HCPCS,Q5148,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,1.0,1.7,6
HCPCS,Q5151,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,30.97,52.68,6
HCPCS,Q5152,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,40.54,68.95,6
HCPCS,Q5156,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,4.5,7.66,6
HCPCS,Q5157,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,25.42,43.25,6
HCPCS,Q5158,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,28.91,49.17,6
HCPCS,Q5159,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,32.18,32.18,5
HCPCS,Q5160,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,139.23,139.23,5
HCPCS,Q5161,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,51.66,51.66,5
HCPCS,Q5162,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,15.36,26.14,6
HCPCS,Q9950,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,17.58,29.9,6
HCPCS,Q9955,"Injection, perflexane lipid microspheres, per ml ",,,,,0
HCPCS,Q9956,"Injection, octafluoropropane microspheres, per ml ",,,38.76,65.93,6
HCPCS,Q9957,"Injection, perflutren lipid microspheres, per ml ",,,38.76,65.93,6
HCPCS,Q9957,PERFLUT LPDMCS 1.5ML INJ,2965.5,2965.5,157.17,3558.6,30
HCPCS,Q9957,PERFLUTRN LPDMCS 1ML INJ,1977.0,1977.0,104.78,2372.4,30
HCPCS,Q9958,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.08,0.13,6
HCPCS,Q9961,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.25,0.43,6
HCPCS,Q9963,GASTROGRAFIN 37% 120 ML,324.0,324.0,17.17,388.8,29
HCPCS,Q9963,GASTROGRAFN PO 367 30ML,81.0,81.0,4.29,97.2,29
HCPCS,Q9963,HOCM 350-399 IC 1ML,25.0,25.0,1.32,30.0,29
HCPCS,Q9963,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.21,0.36,6
HCPCS,Q9965,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.13,1.91,6
HCPCS,Q9966,LOCM 200-299 IC 50ML,113.0,113.0,5.99,135.6,29
HCPCS,Q9966,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",113.0,113.0,0.42,0.71,6
HCPCS,Q9967,ISOVUE 300 50 ML INJ,201.0,201.0,10.65,241.2,29
HCPCS,Q9967,ISOVUE 370 100 ML INJ,67.0,67.0,3.55,80.4,29
HCPCS,Q9967,ISOVUE 370 50 ML INJ,254.0,254.0,13.46,304.8,29
HCPCS,Q9967,LOCM 300-399 IC 100ML,98.0,98.0,5.19,117.6,29
HCPCS,Q9967,LOCM 300-399 IC 150ML,135.0,135.0,7.16,162.0,29
HCPCS,Q9967,LOCM 300-399 IC 1ML,6.0,6.0,0.32,7.2,29
HCPCS,Q9967,LOCM 300-399 IC 200ML,153.42,153.42,8.13,184.1,29
HCPCS,Q9967,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.15,0.25,6
HCPCS,Q9967,OMNIPAQUE 300 100 ML,58.0,58.0,3.07,69.6,29
HCPCS,Q9967,OMNIPAQUE 300 50 ML INJ,253.0,253.0,13.41,303.6,29
HCPCS,Q9967,OMNIPAQUE PO 350 100ML,628.0,628.0,33.28,753.6,29
HCPCS,Q9968,INDOCYANINE-GN 25 MG INJ,1125.0,1125.0,96.75,1350.0,29
HCPCS,Q9968,ISOSULFAN BLUE 50 MG INJ,1559.0,1559.0,134.07,1870.8,29
HCPCS,Q9968,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,16.98,16.98,5
HCPCS,Q9968,METHYLENE BLUE 50 MG INJ,136.1,136.1,11.7,163.32,29
HCPCS,Q9982,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3207.62,3207.62,5
HCPCS,Q9983,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,2614.71,2614.71,5
HCPCS,Q9991,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,1936.66,3294.32,6
HCPCS,Q9992,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,1936.66,3294.32,6
HCPCS,Q9997,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,4.39,7.47,6
HCPCS,Q9998,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,10.81,19.39,6
HCPCS,Q9999,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,12.89,23.18,6
HCPCS,S0012,"Butorphanol tartrate, nasal spray, 25 mg ",,,,,0
HCPCS,S0014,"Tacrine hydrochloride, 10 mg ",,,,,0
HCPCS,S0021,"Injection, cefoperazone sodium, 1 gram ",,,,,0
HCPCS,S0023,"Injection, cimetidine hydrochloride, 300 mg ",,,,,0
HCPCS,S0034,"Injection, ofloxacin, 400 mg ",,,,,0
HCPCS,S0040,"Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams ",,,,,0
HCPCS,S0078,"Injection, fosphenytoin sodium, 750 mg ",,,,,0
HCPCS,S0081,"Injection, piperacillin sodium, 500 mg ",,,,,0
HCPCS,S0088,"Imatinib, 100 mg ",,,,,0
HCPCS,S0090,SILDENAFIL CIT 10 MG INJ,1082.0,1082.0,57.35,1298.4,30
HCPCS,S0090,"Sildenafil citrate, 25 mg ",1082.0,1082.0,,,0
HCPCS,S0091,"Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166) ",,,,,0
HCPCS,S0092,"Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump) ",,,,,0
HCPCS,S0093,"Injection, morphine sulfate, 500 mg (loading dose for infusion pump) ",,,,,0
HCPCS,S0104,ZIDOVUDINE 100 MG PO,67.0,67.0,3.55,80.4,30
HCPCS,S0104,ZIDOVUDINE 300 MG PO,100.0,100.0,5.3,120.0,30
HCPCS,S0104,"Zidovudine, oral, 100 mg ",,,,,0
HCPCS,S0106,"Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets ",,,,,0
HCPCS,S0108,MERCAPTOPURINE 50 MG PO,83.0,83.0,4.4,99.6,30
HCPCS,S0108,"Mercaptopurine, oral, 50 mg ",83.0,83.0,,,0
HCPCS,S0109,METHADONE 1 MG/ML PO,1.0,1.0,0.05,1.2,30
HCPCS,S0109,METHADONE 10 MG PO,29.0,29.0,1.54,34.8,30
HCPCS,S0109,METHADONE 100 MG/10ML PO,27.0,27.0,1.43,32.4,30
HCPCS,S0109,METHADONE 40 MG PO,21.0,21.0,1.11,25.2,30
HCPCS,S0109,METHADONE 5 MG PO,29.0,29.0,1.54,34.8,30
HCPCS,S0109,METHADONE 5 MG/5 ML PO,1.0,1.0,0.05,1.2,30
HCPCS,S0109,"Methadone, oral, 5 mg ",,,,,0
HCPCS,S0117,"Tretinoin, topical, 5 grams ",,,,,0
HCPCS,S0119,"Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) ",,,,,0
HCPCS,S0122,"Injection, menotropins, 75 iu ",,,,,0
HCPCS,S0126,"Injection, follitropin alfa, 75 iu ",,,,,0
HCPCS,S0128,"Injection, follitropin beta, 75 iu ",,,,,0
HCPCS,S0132,"Injection, ganirelix acetate, 250 mcg ",,,,,0
HCPCS,S0136,CLOZAPINE 100 MG PO,10.25,10.25,0.54,12.3,30
HCPCS,S0136,CLOZAPINE 25 MG PO,8.75,8.75,0.46,10.5,30
HCPCS,S0136,CLOZAPINE 50 MG PO,23.0,23.0,1.22,27.6,30
HCPCS,S0136,"Clozapine, 25 mg ",,,,,0
HCPCS,S0137,"Didanosine (ddi), 25 mg ",,,,,0
HCPCS,S0138,FINASTERIDE 5 MG PO,74.0,74.0,3.92,88.8,30
HCPCS,S0138,"Finasteride, 5 mg ",74.0,74.0,,,0
HCPCS,S0139,MINOXIDIL 10 MG PO,45.0,45.0,2.38,54.0,30
HCPCS,S0139,"Minoxidil, 10 mg ",45.0,45.0,,,0
HCPCS,S0140,SAQUINAVIR 500 MG PO,98.0,98.0,5.19,117.6,30
HCPCS,S0140,"Saquinavir, 200 mg ",98.0,98.0,,,0
HCPCS,S0142,"Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg ",,,,,0
HCPCS,S0145,"Injection, pegylated interferon alfa-2a, 180 mcg per ml ",4899.08,4899.08,,,0
HCPCS,S0145,PEGINT ALFA2A 180MCG INJ,4899.08,4899.08,259.65,5878.9,30
HCPCS,S0148,"Injection, pegylated interferon alfa-2b, 10 mcg ",,,,,0
HCPCS,S0156,EXEMESTANE 25 MG PO,143.0,143.0,7.58,171.6,30
HCPCS,S0156,"Exemestane, 25 mg ",143.0,143.0,,,0
HCPCS,S0157,"Becaplermin gel 0.01%, 0.5 gm ",,,,,0
HCPCS,S0160,"Dextroamphetamine sulfate, 5 mg ",,,,,0
HCPCS,S0169,CALCITROL 0.25 MCG PO,45.0,45.0,2.38,54.0,30
HCPCS,S0170,ANASTROZOLE 1 MG PO,122.0,122.0,6.47,146.4,30
HCPCS,S0170,"Anastrozole, oral, 1 mg ",122.0,122.0,,,0
HCPCS,S0172,CHLORAMBUCIL 2 MG PO,67.0,67.0,3.55,80.4,30
HCPCS,S0172,"Chlorambucil, oral, 2 mg ",67.0,67.0,,,0
HCPCS,S0174,"Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180) ",,,,,0
HCPCS,S0175,FLUTAMIDE 125 MG PO,67.0,67.0,3.55,80.4,30
HCPCS,S0175,"Flutamide, oral, 125 mg ",67.0,67.0,,,0
HCPCS,S0176,HYDROXYUREA 1 G PO,235.0,235.0,12.46,282.0,30
HCPCS,S0176,HYDROXYUREA 500 MG PO,52.0,52.0,2.76,62.4,30
HCPCS,S0176,"Hydroxyurea, oral, 500 mg ",,,,,0
HCPCS,S0177,"Levamisole hydrochloride, oral, 50 mg ",,,,,0
HCPCS,S0178,"Lomustine, oral, 10 mg ",,,,,0
HCPCS,S0179,MEGESTROL ACE 400 MG LIQ,290.0,290.0,15.37,348.0,30
HCPCS,S0179,MEGESTROL ACET 20 MG PO,29.0,29.0,1.54,34.8,30
HCPCS,S0179,MEGESTROL ACET 40 MG PO,45.0,45.0,2.38,54.0,30
HCPCS,S0179,"Megestrol acetate, oral, 20 mg ",,,,,0
HCPCS,S0182,"Procarbazine hydrochloride, oral, 50 mg ",,,,,0
HCPCS,S0183,"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164) ",,,,,0
HCPCS,S0187,TAMOXIFEN 10 MG PO,61.0,61.0,3.23,73.2,30
HCPCS,S0187,"Tamoxifen citrate, oral, 10 mg ",61.0,61.0,,,0
HCPCS,S0190,"Mifepristone, oral, 200 mg ",,,,,0
HCPCS,S0191,MISOPROSTOL 100 MCG PO,29.0,29.0,1.54,34.8,30
HCPCS,S0191,MISOPROSTOL 200 MCG PO,53.0,53.0,2.81,63.6,30
HCPCS,S0191,MISOPROSTOL 25 MCG PO,1.0,1.0,0.05,1.2,30
HCPCS,S0191,"Misoprostol, oral, 200 mcg ",,,,,0
HCPCS,S3620,"Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis;  hydroxyprogest",,,175.23,175.23,1
HCPCS,S3630,"Eosinophil count, blood, direct ",,,,,0
HCPCS,S3645,Hiv-1 antibody testing of oral mucosal transudate ,,,,,0
HCPCS,S3650,"Saliva test, hormone level; during menopause ",,,,,0
HCPCS,S3652,"Saliva test, hormone level; to assess preterm labor risk ",,,,,0
HCPCS,S3655,Antisperm antibodies test (immunobead) ,,,,,0
HCPCS,S3722,"Dose optimization by area under the curve (auc) analysis, for infusional 5-fluorouracil ",,,,,0
HCPCS,S3800,Genetic testing for amyotrophic lateral sclerosis (als) ,,,,,0
HCPCS,S3840,Dna analysis for germline mutations of the ret proto-oncogene for susceptibility to multiple endocrine neoplasia type 2 ,,,,,0
HCPCS,S3841,Genetic testing for retinoblastoma ,,,,,0
HCPCS,S3842,Genetic testing for von hippel-lindau disease ,,,,,0
HCPCS,S3844,"Dna analysis of the connexin 26 gene (gjb2) for susceptibility to congenital, profound deafness ",,,,,0
HCPCS,S3845,Genetic testing for alpha-thalassemia ,,,,,0
HCPCS,S3846,Genetic testing for hemoglobin e beta-thalassemia ,,,,,0
HCPCS,S3849,Genetic testing for niemann-pick disease ,,,,,0
HCPCS,S3850,Genetic testing for sickle cell anemia ,,,,,0
HCPCS,S3852,Dna analysis for apoe epsilon 4 allele for susceptibility to alzheimer's disease ,,,,,0
HCPCS,S3853,Genetic testing for myotonic muscular dystrophy ,,,,,0
HCPCS,S3854,Gene expression profiling panel for use in the management of breast cancer treatment ,,,,,0
HCPCS,S3861,"Genetic testing, sodium channel, voltage-gated, type v, alpha subunit (scn5a) and variants for suspected brugada syndrome ",,,,,0
HCPCS,S3865,Comprehensive gene sequence analysis for hypertrophic cardiomyopathy ,,,,,0
HCPCS,S3866,Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (hcm) in an individual with a known hcm mutation in the family ,,,,,0
HCPCS,S3870,"Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability ",,,,,0
HCPCS,S4990,"Nicotine patches, legend ",,,,,0
HCPCS,S4993,Contraceptive pills for birth control ,145.0,145.0,,,0
HCPCS,S4993,ULIPRISTAL 30 MG PO,145.0,145.0,7.68,174.0,30
HCPCS,S4995,Smoking cessation gum ,,,,,0
HCPCS,S5000,ACETIC2%/HYDROC1% OTIC,430.0,430.0,22.79,516.0,30
HCPCS,S5000,ACYCLOVIR 5% TOP 15 GM,1365.0,1365.0,72.34,1638.0,30
HCPCS,S5000,ATROPINE OPHTHAL,215.0,215.0,11.39,258.0,30
HCPCS,S5000,BRIMONIDINE 0.2% OPH,383.0,383.0,20.3,459.6,30
HCPCS,S5000,CIPROFLOXACIN 0.3% OPH,505.0,505.0,8.11,1028.4,60
HCPCS,S5000,CORTISPORIN TC OTIC 10ML,703.0,703.0,37.26,843.6,30
HCPCS,S5000,DESMOPRES 0.01% SPR 5 ML,2082.0,2082.0,110.35,2498.4,30
HCPCS,S5000,DIAZEPAM 10MG RECTAL GEL,2742.0,2742.0,145.33,3290.4,30
HCPCS,S5000,DIAZEPM 2.5MG RECTAL GEL,3278.0,3278.0,173.73,3933.6,30
HCPCS,S5000,DINOPROSTONE 10MG SUPP,1879.0,1879.0,99.59,2254.8,30
HCPCS,S5000,ESTROGEN CONJ TOP 30GM,1048.0,1048.0,55.54,1257.6,30
HCPCS,S5000,FLUTICASONE NASAL,13.35,13.35,0.71,16.02,30
HCPCS,S5000,HYDROCORT 10% TOP 15GM,1295.0,1295.0,68.64,1554.0,30
HCPCS,S5000,LINEZOL 100MG/5ML LIQPO,60.0,60.0,3.18,72.0,30
HCPCS,S5000,MAFENIDE 50GM PKT,1227.0,1227.0,65.03,1472.4,30
HCPCS,S5000,MAXITROL 3.5 GM OP,18.0,18.0,0.95,21.6,30
HCPCS,S5000,MINER/PETR/PHEN RECTAL,17.75,17.75,0.94,21.3,30
HCPCS,S5000,MOXIFLOXACIN 0.5% OPHTH,13.44,13.44,0.71,16.13,30
HCPCS,S5000,MUPIROCIN TOPICAL,515.0,515.0,27.3,618.0,30
HCPCS,S5000,NEOMYC/POLYMYX/DEXAM OPH,13.0,13.0,0.69,15.6,30
HCPCS,S5000,OFLOXACIN OTIC,1606.0,1606.0,85.12,1927.2,30
HCPCS,S5000,SULFACETAMIDE OPHTH,68.0,68.0,3.6,81.6,30
HCPCS,S5000,TACROLIMUS 0.1% TOPICAL,207.68,207.68,11.01,249.22,30
HCPCS,S5000,TALC POWD SPR 4GM,1568.0,1568.0,83.1,1881.6,30
HCPCS,S5000,TALC STERILE POWD 2GM,777.0,777.0,41.18,932.4,30
HCPCS,S5000,TALC STERILE POWD 5GM,609.0,609.0,32.28,730.8,30
HCPCS,S5000,TIMOLOL OPHTHAL,482.5,482.5,24.27,608.4,60
HCPCS,S5000,TOBR0.3%/DEX0.1%2.5MLOPH,183.4,183.4,9.72,220.08,30
HCPCS,S5000,TOBR0.3%/DEX0.1%3.5G OPH,1223.64,1223.64,64.85,1468.37,30
HCPCS,S5000,TOBRAMY/DEXAMET OPHTHAL,2736.0,2736.0,145.01,3283.2,30
HCPCS,S5000,TOBRAMYCIN OPHTHAL,521.5,521.5,0.9,1231.2,60
HCPCS,S5000,TRIAMCINOLONE TOPICAL,298.0,298.0,3.82,652.8,90
HCPCS,S5000,TRIFLURIDINE 1% 7.5ML OP,1520.0,1520.0,80.56,1824.0,30
HCPCS,S5001,INH INOMAX PER HR,2729.0,2729.0,144.64,3274.8,30
HCPCS,S5010,"5% dextrose and 0.45% normal saline, 1000 ml ",,,,,0
HCPCS,S5010,D5NS0.45 1000 ML,761.0,761.0,40.33,913.2,30
HCPCS,S5010,D5NS0.45 500 ML,761.0,761.0,40.33,913.2,30
HCPCS,S5012,"5% dextrose with potassium chloride, 1000 ml ",,,,,0
HCPCS,S5012,D5/KCL 1000 ML,761.0,761.0,40.33,913.2,60
HCPCS,S5550,"Insulin, rapid onset, 5 units ",,,,,0
HCPCS,S8035,Magnetic source imaging ,,,,,0
HCPCS,S8037,Magnetic resonance cholangiopancreatography (mrcp) ,,,,,0
HCPCS,S8040,Topographic brain mapping ,,,,,0
HCPCS,S8042,"Magnetic resonance imaging (mri), low-field ",,,1116.0,2118.0,5
HCPCS,S8085,Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence detection system (non-dedicated pet scan) ,,,2792.0,4814.0,5
HCPCS,S8092,"Electron beam computed tomography (also known as ultrafast ct, cine ct) ",,,,,0
HCPCS,S8490,"Insulin syringes (100 syringes, any size) ",,,,,0
HCPCS,S8940,"Equestrian/hippotherapy, per session ",,,161.44,161.44,1
HCPCS,S9024,Paranasal sinus ultrasound ,,,,,0
HCPCS,S9034,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,7360.0,16454.0,70
HCPCS,S9122,"Home health aide or certified nurse assistant, providing care in the home; per hour ",,,55.01,55.01,1
HCPCS,S9123,"Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) ",,,193.72,193.72,1
HCPCS,S9124,"Nursing care, in the home; by licensed practical nurse, per hour ",,,170.58,170.58,1
HCPCS,S9480,"Intensive outpatient psychiatric services, per diem ",,,979.0,1349.0,10
HCPCS,S9900,"Services by a journal-listed christian science practitioner for the purpose of healing, per diem ",,,186.55,186.55,1
HCPCS,U0001,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.56,109.56,47
HCPCS,U0001,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel Trauma,,,86.21,86.21,6
HCPCS,U0002,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",50.0,50.0,50.8,156.5,47
HCPCS,U0002,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc Trauma",,,123.14,123.14,6
HCPCS,U0002,COVID-19 NON CDC TEST,50.0,50.0,4.3,60.0,31
HCPCS,V2020,"Frames, purchases ",,,95.71,300.94,33
HCPCS,V2020,"Frames, purchases Trauma",,,236.81,236.81,6
HCPCS,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens ",,,46.52,146.28,33
HCPCS,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens Trauma",,,115.1,115.1,6
HCPCS,V2101,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,49.01,154.12,33
HCPCS,V2101,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens Trauma",,,121.27,121.27,6
HCPCS,V2102,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,69.53,218.62,33
HCPCS,V2102,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens Trauma",,,172.03,172.03,6
HCPCS,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,40.38,126.97,33
HCPCS,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens Trauma",,,99.91,99.91,6
HCPCS,V2104,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,44.74,140.67,33
HCPCS,V2104,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,110.69,110.69,6
HCPCS,V2105,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,54.78,172.23,33
HCPCS,V2105,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,135.53,135.53,6
HCPCS,V2106,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,55.58,174.76,33
HCPCS,V2106,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Trauma",,,137.52,137.52,6
HCPCS,V2107,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens ",,,58.41,183.67,33
HCPCS,V2107,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens Trauma",,,144.53,144.53,6
HCPCS,V2108,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,56.66,178.15,33
HCPCS,V2108,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,140.18,140.18,6
HCPCS,V2109,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,65.13,204.78,33
HCPCS,V2109,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,161.14,161.14,6
HCPCS,V2110,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens ",,,76.01,239.0,33
HCPCS,V2110,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens Trauma",,,188.06,188.06,6
HCPCS,V2111,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,67.0,210.66,33
HCPCS,V2111,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Trauma",,,165.77,165.77,6
HCPCS,V2112,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens ",,,66.12,207.89,33
HCPCS,V2112,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens Trauma",,,163.58,163.58,6
HCPCS,V2113,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,91.33,287.16,33
HCPCS,V2113,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,225.96,225.96,6
HCPCS,V2114,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens ",,,80.79,254.03,33
HCPCS,V2114,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens Trauma",,,199.9,199.9,6
HCPCS,V2115,"Lenticular, (myodisc), per lens, single vision ",,,87.84,276.21,33
HCPCS,V2115,"Lenticular, (myodisc), per lens, single vision Trauma",,,217.34,217.34,6
HCPCS,V2118,"Aniseikonic lens, single vision ",,,87.09,273.83,33
HCPCS,V2118,"Aniseikonic lens, single vision Trauma",,,215.47,215.47,6
HCPCS,V2121,"Lenticular lens, per lens, single ",,,89.91,282.7,33
HCPCS,V2121,"Lenticular lens, per lens, single Trauma",,,222.46,222.46,6
HCPCS,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens ",,,60.89,191.45,33
HCPCS,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens Trauma",,,150.65,150.65,6
HCPCS,V2201,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,66.36,208.65,33
HCPCS,V2201,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens Trauma",,,164.18,164.18,6
HCPCS,V2202,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens ",,,78.08,245.52,33
HCPCS,V2202,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens Trauma",,,193.2,193.2,6
HCPCS,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens ",,,61.42,193.13,33
HCPCS,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens Trauma",,,151.97,151.97,6
HCPCS,V2204,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,66.61,209.44,33
HCPCS,V2204,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,164.81,164.81,6
HCPCS,V2205,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,73.08,229.79,33
HCPCS,V2205,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,180.82,180.82,6
HCPCS,V2206,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,88.98,279.78,33
HCPCS,V2206,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Trauma",,,220.15,220.15,6
HCPCS,V2207,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens ",,,74.26,233.51,33
HCPCS,V2207,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens Trauma",,,183.74,183.74,6
HCPCS,V2208,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,75.17,236.38,33
HCPCS,V2208,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,186.0,186.0,6
HCPCS,V2209,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,82.68,259.98,33
HCPCS,V2209,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,204.58,204.58,6
HCPCS,V2210,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,106.38,334.49,33
HCPCS,V2210,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens Trauma",,,263.21,263.21,6
HCPCS,V2211,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,90.7,285.21,33
HCPCS,V2211,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Trauma",,,224.42,224.42,6
HCPCS,V2212,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,98.72,310.4,33
HCPCS,V2212,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens Trauma",,,244.25,244.25,6
HCPCS,V2213,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,101.23,318.3,33
HCPCS,V2213,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,250.46,250.46,6
HCPCS,V2214,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens ",,,108.48,341.11,33
HCPCS,V2214,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens Trauma",,,268.42,268.42,6
HCPCS,V2215,"Lenticular (myodisc), per lens, bifocal ",,,117.41,369.17,33
HCPCS,V2215,"Lenticular (myodisc), per lens, bifocal Trauma",,,290.5,290.5,6
HCPCS,V2218,"Aniseikonic, per lens, bifocal ",,,120.12,377.68,33
HCPCS,V2218,"Aniseikonic, per lens, bifocal Trauma",,,297.19,297.19,6
HCPCS,V2219,Bifocal seg width over 28 mm ,,,52.87,166.26,33
HCPCS,V2219,Bifocal seg width over 28 mm Trauma,,,130.82,130.82,6
HCPCS,V2220,Bifocal add over 3.25d ,,,42.88,134.84,33
HCPCS,V2220,Bifocal add over 3.25d Trauma,,,106.1,106.1,6
HCPCS,V2221,"Lenticular lens, per lens, bifocal ",,,114.57,360.24,33
HCPCS,V2221,"Lenticular lens, per lens, bifocal Trauma",,,283.46,283.46,6
HCPCS,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens ",,,79.06,248.61,33
HCPCS,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens Trauma",,,195.62,195.62,6
HCPCS,V2301,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens ",,,91.68,288.29,33
HCPCS,V2301,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens Trauma",,,226.85,226.85,6
HCPCS,V2302,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens ",,,100.43,315.8,33
HCPCS,V2302,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens Trauma",,,248.5,248.5,6
HCPCS,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens ",,,83.22,261.66,33
HCPCS,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens Trauma",,,205.9,205.9,6
HCPCS,V2304,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens ",,,87.09,273.83,33
HCPCS,V2304,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens Trauma",,,215.47,215.47,6
HCPCS,V2305,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens ",,,106.8,335.8,33
HCPCS,V2305,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens Trauma",,,264.24,264.24,6
HCPCS,V2306,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens ",,,99.58,313.11,33
HCPCS,V2306,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Trauma",,,246.38,246.38,6
HCPCS,V2307,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens ",,,98.74,310.46,33
HCPCS,V2307,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens Trauma",,,244.3,244.3,6
HCPCS,V2308,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens ",,,105.36,331.29,33
HCPCS,V2308,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,260.69,260.69,6
HCPCS,V2309,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,123.25,387.53,33
HCPCS,V2309,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,304.94,304.94,6
HCPCS,V2310,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens ",,,135.58,426.3,33
HCPCS,V2310,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens Trauma",,,335.45,335.45,6
HCPCS,V2311,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens ",,,129.13,406.02,33
HCPCS,V2311,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Trauma",,,319.49,319.49,6
HCPCS,V2312,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens ",,,113.82,357.89,33
HCPCS,V2312,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens Trauma",,,281.62,281.62,6
HCPCS,V2313,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens ",,,155.36,488.49,33
HCPCS,V2313,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,384.38,384.38,6
HCPCS,V2314,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens ",,,170.18,535.09,33
HCPCS,V2314,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens Trauma",,,421.06,421.06,6
HCPCS,V2315,"Lenticular, (myodisc), per lens, trifocal ",,,188.93,594.05,33
HCPCS,V2315,"Lenticular, (myodisc), per lens, trifocal Trauma",,,467.45,467.45,6
HCPCS,V2318,"Aniseikonic lens, trifocal ",,,174.19,547.72,33
HCPCS,V2318,"Aniseikonic lens, trifocal Trauma",,,430.99,430.99,6
HCPCS,V2319,Trifocal seg width over 28 mm ,,,58.98,185.44,33
HCPCS,V2319,Trifocal seg width over 28 mm Trauma,,,145.92,145.92,6
HCPCS,V2320,Trifocal add over 3.25d ,,,62.22,195.63,33
HCPCS,V2320,Trifocal add over 3.25d Trauma,,,153.94,153.94,6
HCPCS,V2321,"Lenticular lens, per lens, trifocal ",,,186.22,585.54,33
HCPCS,V2321,"Lenticular lens, per lens, trifocal Trauma",,,460.75,460.75,6
HCPCS,V2410,"Variable asphericity lens, single vision, full field, glass or plastic, per lens ",,,106.48,334.8,33
HCPCS,V2410,"Variable asphericity lens, single vision, full field, glass or plastic, per lens Trauma",,,263.45,263.45,6
HCPCS,V2430,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens ",,,138.61,435.84,33
HCPCS,V2430,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens Trauma",,,342.96,342.96,6
HCPCS,V2500,"Contact lens, pmma, spherical, per lens ",,,96.52,303.47,33
HCPCS,V2500,"Contact lens, pmma, spherical, per lens Trauma",,,238.8,238.8,6
HCPCS,V2501,"Contact lens, pmma, toric or prism ballast, per lens ",,,147.02,462.29,33
HCPCS,V2501,"Contact lens, pmma, toric or prism ballast, per lens Trauma",,,363.77,363.77,6
HCPCS,V2502,"Contact lens, pmma, bifocal, per lens ",,,181.12,569.5,33
HCPCS,V2502,"Contact lens, pmma, bifocal, per lens Trauma",,,448.13,448.13,6
HCPCS,V2503,"Contact lens, pmma, color vision deficiency, per lens ",,,173.3,544.91,33
HCPCS,V2503,"Contact lens, pmma, color vision deficiency, per lens Trauma",,,428.78,428.78,6
HCPCS,V2510,"Contact lens, gas permeable, spherical, per lens ",,,131.76,414.28,33
HCPCS,V2510,"Contact lens, gas permeable, spherical, per lens Trauma",,,325.99,325.99,6
HCPCS,V2511,"Contact lens, gas permeable, toric, prism ballast, per lens ",,,189.31,595.27,33
HCPCS,V2511,"Contact lens, gas permeable, toric, prism ballast, per lens Trauma",,,468.41,468.41,6
HCPCS,V2512,"Contact lens, gas permeable, bifocal, per lens ",,,223.7,703.39,33
HCPCS,V2512,"Contact lens, gas permeable, bifocal, per lens Trauma",,,553.49,553.49,6
HCPCS,V2513,"Contact lens, gas permeable, extended wear, per lens ",,,187.81,590.54,33
HCPCS,V2513,"Contact lens, gas permeable, extended wear, per lens Trauma",,,464.69,464.69,6
HCPCS,V2520,"Contact lens, hydrophilic, spherical, per lens ",,,123.84,389.39,33
HCPCS,V2520,"Contact lens, hydrophilic, spherical, per lens Trauma",,,306.41,306.41,6
HCPCS,V2521,"Contact lens, hydrophilic, toric, or prism ballast, per lens ",,,215.61,677.95,33
HCPCS,V2521,"Contact lens, hydrophilic, toric, or prism ballast, per lens Trauma",,,533.47,533.47,6
HCPCS,V2522,"Contact lens, hydrophilic, bifocal, per lens ",,,209.84,659.81,33
HCPCS,V2522,"Contact lens, hydrophilic, bifocal, per lens Trauma",,,519.19,519.19,6
HCPCS,V2523,"Contact lens, hydrophilic, extended wear, per lens ",,,178.82,562.27,33
HCPCS,V2523,"Contact lens, hydrophilic, extended wear, per lens Trauma",,,442.44,442.44,6
HCPCS,V2524,"Contact lens, hydrophilic, spherical, photochromic additive, per lens ",,,149.82,471.07,33
HCPCS,V2524,"Contact lens, hydrophilic, spherical, photochromic additive, per lens Trauma",,,370.68,370.68,6
HCPCS,V2530,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) ",,,264.86,832.8,33
HCPCS,V2530,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) Trauma",,,655.32,655.32,6
HCPCS,V2531,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) ",,,650.2,2044.45,33
HCPCS,V2531,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) Trauma",,,1608.74,1608.74,6
HCPCS,V2623,"Prosthetic eye, plastic, custom ",,,1065.96,3351.74,33
HCPCS,V2623,"Prosthetic eye, plastic, custom Trauma",,,2637.43,2637.43,6
HCPCS,V2624,Polishing/resurfacing of ocular prosthesis ,,,72.29,227.32,33
HCPCS,V2624,Polishing/resurfacing of ocular prosthesis Trauma,,,178.87,178.87,6
HCPCS,V2625,Enlargement of ocular prosthesis ,,,468.28,1472.42,33
HCPCS,V2625,Enlargement of ocular prosthesis Trauma,,,1158.62,1158.62,6
HCPCS,V2626,Reduction of ocular prosthesis ,,,297.09,934.15,33
HCPCS,V2626,Reduction of ocular prosthesis Trauma,,,735.07,735.07,6
HCPCS,V2627,Scleral cover shell ,,,1700.84,5347.99,33
HCPCS,V2627,Scleral cover shell Trauma,,,4208.26,4208.26,6
HCPCS,V2628,Fabrication and fitting of ocular conformer ,,,388.87,1222.74,33
HCPCS,V2628,Fabrication and fitting of ocular conformer Trauma,,,962.16,962.16,6
HCPCS,V2630,Anterior chamber intraocular lens ,,,141.36,444.48,33
HCPCS,V2630,Anterior chamber intraocular lens Trauma,,,349.75,349.75,6
HCPCS,V2630,LENS IOL +15.5 DIOP,170.0,170.0,17.51,204.0,31
HCPCS,V2630,LENS IOL +17.5 DIOP,170.0,170.0,17.51,204.0,31
HCPCS,V2630,LENS IOL +18.0 DIOP,2564.0,2564.0,264.09,3076.8,31
HCPCS,V2630,LENS IOL +20.5 DIOP,170.0,170.0,17.51,204.0,31
HCPCS,V2631,Iris supported intraocular lens ,,,141.36,444.48,33
HCPCS,V2631,Iris supported intraocular lens Trauma,,,349.75,349.75,6
HCPCS,V2632,LENS IOL +09.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +09.5 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +10.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +10.5 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +11.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +11.5 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +12.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +12.5 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +13.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +13.5 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +14.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +14.5 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +15.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +15.5 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +16.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +16.5 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +17.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +17.5 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +18.0 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +18.5 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +19.0 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +19.5 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +20.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +20.5 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +21.0 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +21.5 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +22.0 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +22.5 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +23.0 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +23.5 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +24.0 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +24.5 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +25.0 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +25.5 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +26.0 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +26.5 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +27.0 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +27.5 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +28.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +28.5 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +29.0 DIOP,268.0,268.0,27.6,321.6,62
HCPCS,V2632,LENS IOL +30.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +6.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +6.5 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +7.0 DIOP,855.0,855.0,88.06,1026.0,31
HCPCS,V2632,LENS IOL +8.0 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,LENS IOL +8.5 DIOP,268.0,268.0,27.6,321.6,31
HCPCS,V2632,Posterior chamber intraocular lens ,,,141.36,444.48,33
HCPCS,V2632,Posterior chamber intraocular lens Trauma,,,349.75,349.75,6
HCPCS,V2700,"Balance lens, per lens ",,,52.02,163.57,33
HCPCS,V2700,"Balance lens, per lens Trauma",,,128.71,128.71,6
HCPCS,V2710,"Slab off prism, glass or plastic, per lens ",,,76.14,239.42,33
HCPCS,V2710,"Slab off prism, glass or plastic, per lens Trauma",,,188.4,188.4,6
HCPCS,V2715,"Prism, per lens ",,,13.8,43.4,33
HCPCS,V2715,"Prism, per lens Trauma",,,34.15,34.15,6
HCPCS,V2718,"Press-on lens, fresnell prism, per lens ",,,33.9,106.6,33
HCPCS,V2718,"Press-on lens, fresnell prism, per lens Trauma",,,83.88,83.88,6
HCPCS,V2730,"Special base curve, glass or plastic, per lens ",,,25.04,78.72,33
HCPCS,V2730,"Special base curve, glass or plastic, per lens Trauma",,,61.94,61.94,6
HCPCS,V2744,"Tint, photochromatic, per lens ",,,25.98,81.68,33
HCPCS,V2744,"Tint, photochromatic, per lens Trauma",,,64.27,64.27,6
HCPCS,V2745,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens ",,,14.72,46.3,33
HCPCS,V2745,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens Trauma",,,36.43,36.43,6
HCPCS,V2750,"Anti-reflective coating, per lens ",,,30.22,95.01,33
HCPCS,V2750,"Anti-reflective coating, per lens Trauma",,,74.76,74.76,6
HCPCS,V2755,"U-v lens, per lens ",,,21.84,68.69,33
HCPCS,V2755,"U-v lens, per lens Trauma",,,54.05,54.05,6
HCPCS,V2760,"Scratch resistant coating, per lens ",,,19.02,59.81,33
HCPCS,V2760,"Scratch resistant coating, per lens Trauma",,,47.06,47.06,6
HCPCS,V2762,"Polarization, any lens material, per lens ",,,71.6,225.12,33
HCPCS,V2762,"Polarization, any lens material, per lens Trauma",,,177.14,177.14,6
HCPCS,V2770,"Occluder lens, per lens ",,,24.55,77.2,33
HCPCS,V2770,"Occluder lens, per lens Trauma",,,60.74,60.74,6
HCPCS,V2780,"Oversize lens, per lens ",,,19.84,62.37,33
HCPCS,V2780,"Oversize lens, per lens Trauma",,,49.08,49.08,6
HCPCS,V2782,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens ",,,77.29,243.02,33
HCPCS,V2782,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens Trauma",,,191.23,191.23,6
HCPCS,V2783,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens ",,,87.15,274.04,33
HCPCS,V2783,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens Trauma",,,215.64,215.64,6
HCPCS,V2784,"Lens, polycarbonate or equal, any index, per lens ",,,56.68,178.21,33
HCPCS,V2784,"Lens, polycarbonate or equal, any index, per lens Trauma",,,140.23,140.23,6
HCPCS,V2790,GRAFT AMNIO TISS 10X5CM,12000.0,12000.0,636.0,14400.0,20
HCPCS,V5010,Assessment for hearing aid ,,,351.13,351.13,1
HCPCS,V5011,Fitting/orientation/checking of hearing aid ,,,790.04,790.04,1
HCPCS,V5014,Repair/modification of a hearing aid ,,,307.24,307.24,1
HCPCS,V5020,Conformity evaluation ,,,430.13,430.13,1
HCPCS,c1713,PEG THRD LCK 2.3X19MM,168.0,168.0,8.9,201.6,20
HCPCS,c1713,PLATE 12HL STR LCK BN,1390.0,1390.0,73.67,1668.0,20
HCPCS,c1713,PLATE BN 2H 2.7/3.5X73MM,1932.0,1932.0,102.4,2318.4,20
HCPCS,c1713,PLATE BN 4HL,916.0,916.0,48.55,1099.2,20
HCPCS,c1713,PLATE BN 4HL 79MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,c1713,PLATE BN 5HL 91MM,1300.0,1300.0,68.9,1560.0,20
HCPCS,c1713,PLATE BN SS L76MM LCP,718.0,718.0,38.05,861.6,20
HCPCS,c1713,PLATE BN STD 4HL,916.0,916.0,48.55,1099.2,20
HCPCS,c1713,PLATE BN W TI 4 HL,916.0,916.0,48.55,1099.2,20
HCPCS,c1713,PLATE TIB SS 4H 105MM,1738.0,1738.0,92.11,2085.6,20
HCPCS,c1713,SCREW BN 10.5MM 100MM,1790.0,1790.0,94.87,2148.0,20
HCPCS,c1713,SCREW BN 2.3MM 12MM,316.0,316.0,16.75,379.2,20
HCPCS,c1713,SCREW BN 2.4MM 4MM 16MM,98.0,98.0,5.19,117.6,20
HCPCS,c1713,SCREW BN 2.7MM 10MM LCK,230.0,230.0,12.19,276.0,20
HCPCS,c1713,SCREW BN 2.7MM 14MM,253.0,253.0,13.41,303.6,20
HCPCS,c1713,SCREW BN 2.7MM 28MM SS,247.0,247.0,13.09,296.4,20
HCPCS,c1713,SCREW BN 2.7MM 38MM SS,247.0,247.0,13.09,296.4,20
HCPCS,c1713,SCREW BN 2.7MM 42MM,247.0,247.0,13.09,296.4,20
HCPCS,c1713,SCREW BN 2.7X28MM,77.0,77.0,4.08,92.4,20
HCPCS,c1713,SCREW BN 3.5MM 16MM,171.0,171.0,9.01,636.0,60
HCPCS,c1713,SCREW BN 3.5MM 26MM,70.0,70.0,3.71,84.0,20
HCPCS,c1713,SCREW BN 3MM 30MM CPTR,591.0,591.0,31.32,709.2,20
HCPCS,c1713,SCREW BN 4.5MM 24MM,200.0,200.0,10.6,240.0,20
HCPCS,c1713,SCREW BN 4MM 3.3MM 28MM,269.0,269.0,14.26,322.8,20
HCPCS,c1713,SCREW BN 4MM 34MM 11.5MM,294.0,294.0,15.58,352.8,20
HCPCS,c1713,SCREW BN 5MM 14MM,441.0,441.0,23.37,529.2,20
HCPCS,c1713,SCREW BN 5MM 3.5MM 85MM,429.0,429.0,22.74,514.8,20
HCPCS,c1713,SCREW BN 5MM 35MM,429.0,429.0,22.74,514.8,20
HCPCS,c1713,SCREW BN 5MM 4.3MM 60MM,269.0,269.0,14.26,322.8,20
HCPCS,c1713,SCREW BN CORT 3.5X30MM,70.0,70.0,3.71,84.0,20
HCPCS,c1713,SCREW BN LCK 3.5MM 12MM,356.0,356.0,18.87,427.2,20
HCPCS,c1713,SCREW BN LCK 3.5MM 16MM,356.0,356.0,18.87,427.2,20
HCPCS,c1713,SCREW BN LPRO 5X4.3X27MM,362.0,362.0,19.19,434.4,20
HCPCS,c1713,SCREW BN NLCK 3.5MM 10MM,180.0,180.0,9.54,216.0,20
HCPCS,c1713,SCREW BN NLCK 3.5MM 14MM,180.0,180.0,9.54,216.0,20
HCPCS,c1713,SCREW BN NLCK 3.5MM 22MM,180.0,180.0,9.54,216.0,20
HCPCS,c1713,SCREW BN SLFTP 2.7X24MM,71.0,71.0,3.76,85.2,20
HCPCS,c1713,SCREW BN STRL LCK 5X30MM,269.0,269.0,14.26,322.8,20
HCPCS,c1713,SCREW CANN LCK 5X75MM,409.0,409.0,21.68,490.8,20
HCPCS,c1725,CATH BLNDL 7X40MM 75CM,2564.0,2564.0,135.89,3076.8,49
HCPCS,c1776,HEAD FEM HIP +2.5MM 36MM,1400.0,1400.0,74.2,1680.0,20
HCPCS,c1776,INSERT ARTC PST 3-4X18MM,1100.0,1100.0,58.3,1320.0,20
HCPCS,c1776,INSERT TIB KN X3 2 11MM,1900.0,1900.0,100.7,2280.0,20
HCPCS,c1777,LEAD PCNG 65CM,9500.0,9500.0,503.5,11400.0,20
HCPCS,c1778,LEAD NRSTM 5MM 60CM,4389.0,4389.0,232.62,5266.8,20
HCPCS,c1874,STENT EPRSTH 6MM 15CM,8234.0,8234.0,436.4,9880.8,20
HCPCS,c1874,STENT EPRSTH 7MM 5.0CM,6228.0,6228.0,330.08,7473.6,20
ICD,02HA0QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02HA0QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02HA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02HA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02HA3QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02HA3QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02HA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02HA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02HA4QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02HA4QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02PA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02PA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02PA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02PA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02PA4RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02PA4RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02RK0JZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02RK0JZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02RL0JZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02RL0JZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02WA0QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02WA0QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02WA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02WA0RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02WA3QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02WA3QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02WA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02WA3RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02WA4QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02WA4QZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,02WA4RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,3185.0,283381.0,2
ICD,02WA4RZ,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,3185.0,283381.0,2
ICD,0D16079,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D16079,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D16079,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1607A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1607A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1607A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1607B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1607B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1607B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1607L,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1607L,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1607L,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D160J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D160J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D160J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D160JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D160JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D160JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D160JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D160JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D160JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D160JL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D160JL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D160JL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D160K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D160K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D160K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D160KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D160KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D160KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D160KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D160KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D160KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D160KL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D160KL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D160KL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D160Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D160Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D160Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D160ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D160ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D160ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D160ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D160ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D160ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D160ZL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D160ZL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D160ZL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D16479,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D16479,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D16479,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1647A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1647A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1647A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1647B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1647B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1647B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1647L,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1647L,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1647L,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D164J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D164J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D164J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D164JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D164JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D164JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D164JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D164JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D164JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D164JL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D164JL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D164JL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D164K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D164K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D164K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D164KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D164KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D164KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D164KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D164KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D164KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D164KL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D164KL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D164KL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D164Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D164Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D164Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D164ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D164ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D164ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D164ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D164ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D164ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D164ZL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D164ZL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D164ZL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D16879,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D16879,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D16879,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1687A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1687A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1687A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1687B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1687B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1687B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1687L,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1687L,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1687L,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D168J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D168J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D168J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D168JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D168JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D168JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D168JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D168JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D168JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D168JL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D168JL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D168JL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D168K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D168K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D168K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D168KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D168KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D168KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D168KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D168KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D168KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D168KL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D168KL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D168KL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D168Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D168Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D168Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D168ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D168ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D168ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D168ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D168ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D168ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D168ZL,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D168ZL,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D168ZL,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D19079,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D19079,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D19079,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1907A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1907A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1907A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1907B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1907B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1907B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D190J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D190J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D190J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D190JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D190JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D190JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D190JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D190JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D190JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D190K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D190K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D190K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D190KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D190KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D190KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D190KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D190KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D190KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D190Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D190Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D190Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D190ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D190ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D190ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D190ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D190ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D190ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D19479,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D19479,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D19479,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1947A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1947A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1947A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1947B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1947B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1947B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D194J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D194J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D194J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D194JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D194JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D194JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D194JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D194JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D194JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D194K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D194K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D194K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D194KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D194KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D194KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D194KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D194KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D194KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D194Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D194Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D194Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D194ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D194ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D194ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D194ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D194ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D194ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D19879,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D19879,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D19879,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1987A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1987A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1987A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1987B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1987B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1987B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D198J9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D198J9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D198J9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D198JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D198JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D198JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D198JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D198JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D198JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D198K9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D198K9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D198K9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D198KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D198KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D198KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D198KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D198KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D198KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D198Z9,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D198Z9,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D198Z9,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D198ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D198ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D198ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D198ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D198ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D198ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A07A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A07A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A07A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A07B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A07B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A07B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A0JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A0JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A0JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A0JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A0JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A0JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A0KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A0KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A0KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A0KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A0KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A0KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A0ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A0ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A0ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A0ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A0ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A0ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A47A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A47A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A47A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A47B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A47B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A47B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A4JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A4JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A4JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A4JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A4JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A4JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A4KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A4KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A4KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A4KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A4KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A4KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A4ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A4ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A4ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A4ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A4ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A4ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A87A,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A87A,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A87A,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A87B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A87B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A87B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A8JA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A8JA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A8JA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A8JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A8JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A8JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A8KA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A8KA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A8KA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A8KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A8KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A8KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A8ZA,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A8ZA,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A8ZA,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A8ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A8ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A8ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1A8ZH,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1A8ZH,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1A8ZH,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1B07B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1B07B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1B07B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1B0JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1B0JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1B0JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1B0KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1B0KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1B0KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1B0ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1B0ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1B0ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1B47B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1B47B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1B47B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1B4JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1B4JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1B4JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1B4KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1B4KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1B4KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1B4ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1B4ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1B4ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1B87B,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1B87B,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1B87B,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1B8JB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1B8JB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1B8JB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1B8KB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1B8KB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1B8KB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1B8ZB,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1B8ZB,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1B8ZB,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D1B8ZH,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D1B8ZH,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D1B8ZH,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D760DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D760DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D760DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D760ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D760ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D760ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D763DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D763DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D763DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D763ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D763ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D763ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D764DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D764DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D764DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0D764ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0D764ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0D764ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DB60Z3,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DB60Z3,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DB60Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DB60ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DB60ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DB60ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DB63Z3,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DB63Z3,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DB63Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DB63ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DB63ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DB63ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DB64Z3,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DB64Z3,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DB64Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DB67Z3,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DB67Z3,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DB67Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DB67ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DB67ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DB67ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DB68Z3,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DB68Z3,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DB68Z3,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DH60DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DH60DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DH60DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DH63DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DH63DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DH63DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DH64DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DH64DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DH64DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL60CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL60CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL60CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL60DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL60DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL60DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL60ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL60ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL60ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL63CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL63CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL63CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL63DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL63DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL63DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL63ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL63ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL63ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL64CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL64CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL64CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL64DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL64DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL64DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL64ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL64ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL64ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL67DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL67DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL67DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL67ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL67ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL67ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL68DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL68DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL68DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL68ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL68ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL68ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL70CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL70CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL70CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL70DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL70DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL70DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL70ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL70ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL70ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL73CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL73CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL73CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL73DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL73DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL73DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL73ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL73ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL73ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL74CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL74CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL74CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL74DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL74DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL74DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL74ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL74ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL74ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL77DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL77DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL77DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL77ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL77ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL77ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL78DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL78DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL78DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DL78ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DL78ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DL78ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DP643Z,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DP643Z,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DP643Z,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DP64CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DP64CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DP64CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DQ60ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DQ60ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DQ60ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DQ63ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DQ63ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DQ63ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DQ64ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DQ64ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DQ64ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DQ67ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DQ67ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DQ67ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DQ68ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DQ68ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DQ68ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DV60CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DV60CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DV60CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DV60DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DV60DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DV60DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DV60ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DV60ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DV60ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DV63CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DV63CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DV63CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DV63DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DV63DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DV63DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DV63ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DV63ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DV63ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DV64CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DV64CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DV64CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DV64DZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DV64DZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DV64DZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DV64ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DV64ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DV64ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DV67ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DV67ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DV67ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DV68ZZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DV68ZZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DV68ZZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DW643Z,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DW643Z,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DW643Z,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0DW64CZ,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,0DW64CZ,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,0DW64CZ,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,0TF3XZZ,URINARY STONES WITH MCC ,,,3185.0,16982.0,2
ICD,0TF3XZZ,URINARY STONES WITHOUT MCC ,,,3185.0,16982.0,2
ICD,0TF4XZZ,URINARY STONES WITH MCC ,,,3185.0,16982.0,2
ICD,0TF4XZZ,URINARY STONES WITHOUT MCC ,,,3185.0,16982.0,2
ICD,0TF6XZZ,URINARY STONES WITH MCC ,,,3185.0,16982.0,2
ICD,0TF6XZZ,URINARY STONES WITHOUT MCC ,,,3185.0,16982.0,2
ICD,0TF7XZZ,URINARY STONES WITH MCC ,,,3185.0,16982.0,2
ICD,0TF7XZZ,URINARY STONES WITHOUT MCC ,,,3185.0,16982.0,2
ICD,0TFBXZZ,URINARY STONES WITH MCC ,,,3185.0,16982.0,2
ICD,0TFBXZZ,URINARY STONES WITHOUT MCC ,,,3185.0,16982.0,2
ICD,0TFCXZZ,URINARY STONES WITH MCC ,,,3185.0,16982.0,2
ICD,0TFCXZZ,URINARY STONES WITHOUT MCC ,,,3185.0,16982.0,2
ICD,0WFRXZZ,URINARY STONES WITH MCC ,,,3185.0,16982.0,2
ICD,0WFRXZZ,URINARY STONES WITHOUT MCC ,,,3185.0,16982.0,2
ICD,3E0G3GC,O.R. PROCEDURES FOR OBESITY WITH CC ,,,2866.0,33962.0,2
ICD,3E0G3GC,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,2866.0,33962.0,2
ICD,3E0G3GC,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,2866.0,33962.0,2
ICD,4A023N6,Endomyocardial biopsy ,,,3700.0,3700.0,1
ICD,4A023N6,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,3700.0,3700.0,1
ICD,4A023N7,Endomyocardial biopsy ,,,3700.0,3700.0,1
ICD,4A023N7,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,3700.0,3700.0,1
ICD,4A023N8,Endomyocardial biopsy ,,,3700.0,3700.0,1
ICD,4A023N8,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,3700.0,3700.0,1
ICD,HZ2ZZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ2ZZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ2ZZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ2ZZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ30ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ30ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ30ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ30ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ31ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ31ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ31ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ31ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ32ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ32ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ32ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ32ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ33ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ33ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ33ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ33ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ34ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ34ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ34ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ34ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ35ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ35ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ35ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ35ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ36ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ36ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ36ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ36ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ37ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ37ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ37ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ37ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ38ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ38ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ38ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ38ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ39ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ39ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ39ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ39ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ3BZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ3BZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ3BZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ3BZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ50ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ50ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ50ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ50ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ51ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ51ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ51ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ51ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ52ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ52ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ52ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ52ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ53ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ53ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ53ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ53ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ54ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ54ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ54ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ54ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ55ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ55ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ55ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ55ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ56ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ56ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ56ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ56ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ57ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ57ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ57ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ57ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ58ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ58ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ58ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ58ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ59ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ59ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ59ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ59ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ5BZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ5BZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ5BZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ5BZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ5CZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ5CZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ5CZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ5CZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ5DZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ5DZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ5DZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ5DZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ63ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ63ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ63ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ63ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ80ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ80ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ80ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ80ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ81ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ81ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ81ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ81ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ82ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ82ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ82ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ82ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ83ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ83ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ83ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ83ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ84ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ84ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ84ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ84ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ85ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ85ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ85ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ85ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ86ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ86ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ86ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ86ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ87ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ87ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ87ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ87ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ88ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ88ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ88ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ88ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ89ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ89ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ89ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ89ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ90ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ90ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ90ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ90ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ91ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ91ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ91ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ91ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ92ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ92ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ92ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ92ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ93ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ93ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ93ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ93ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ94ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ94ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ94ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ94ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ95ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ95ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ95ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ95ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ96ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ96ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ96ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ96ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ97ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ97ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ97ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ97ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ98ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ98ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ98ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ98ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ99ZZZ,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ99ZZZ,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,HZ99ZZZ,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,50
ICD,HZ99ZZZ,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,50
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3185.0,3185.0,1
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3185.0,3185.0,1
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3185.0,3185.0,1
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3185.0,3185.0,1
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3185.0,3185.0,1
ICD,O4700,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3185.0,3185.0,1
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3185.0,3185.0,1
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3185.0,3185.0,1
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3185.0,3185.0,1
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3185.0,3185.0,1
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3185.0,3185.0,1
ICD,O4702,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3185.0,3185.0,1
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3185.0,3185.0,1
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3185.0,3185.0,1
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3185.0,3185.0,1
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3185.0,3185.0,1
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3185.0,3185.0,1
ICD,O4703,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3185.0,3185.0,1
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3185.0,3185.0,1
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3185.0,3185.0,1
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3185.0,3185.0,1
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3185.0,3185.0,1
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3185.0,3185.0,1
ICD,O471,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3185.0,3185.0,1
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,3185.0,3185.0,1
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,3185.0,3185.0,1
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,3185.0,3185.0,1
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3185.0,3185.0,1
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,3185.0,3185.0,1
ICD,O479,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,3185.0,3185.0,1
ICD,Z372,"Twins, both liveborn ",,,690.0,690.0,1
ICD,Z373,"Twins, one liveborn and one stillborn ",,,690.0,690.0,1
ICD,Z374,"Twins, both stillborn ",,,690.0,690.0,1
ICD,Z377,"Other multiple births, all stillborn ",,,690.0,690.0,1
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,418.0,555896.88,361
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Trauma,,,304419.72,635310.72,18
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,418.0,397171.8,361
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Trauma,,,125506.97,261927.6,18
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH ",,,418.0,616633.8,333
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH Trauma",,,231548.47,483231.6,18
MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC ",,,418.0,370095.96,333
MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC Trauma",,,152513.0,318288.0,18
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT ,,,418.0,352822.81,333
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT Trauma,,,114560.23,239082.22,18
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC ,,,418.0,352822.81,333
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC Trauma,,,53749.3,112172.45,18
MS-DRG,007,LUNG TRANSPLANT ,,,418.0,292822.13,333
MS-DRG,007,LUNG TRANSPLANT Trauma,,,142853.57,298129.2,18
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT ,,,418.0,179685.12,333
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT Trauma,,,64120.43,133816.56,18
MS-DRG,010,PANCREAS TRANSPLANT ,,,418.0,177879.04,239
MS-DRG,010,PANCREAS TRANSPLANT Trauma,,,80960.14,168960.29,18
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC ",,,418.0,114143.8,245
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC Trauma",,,62507.32,130450.06,18
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC ",,,418.0,100488.29,245
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC Trauma",,,49236.85,102755.16,18
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC ",,,418.0,100488.29,245
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC Trauma",,,34936.33,72910.61,18
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT ,,,418.0,347127.65,238
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT Trauma,,,132860.88,277274.88,18
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC ,,,418.0,347127.65,238
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Trauma,,,67604.99,141088.68,18
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC ,,,418.0,347127.65,238
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Trauma,,,62273.65,129962.4,18
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,418.0,852598.53,236
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Trauma,,,466899.19,974398.32,18
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,418.0,179685.12,239
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS Trauma,,,80519.61,168040.92,18
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC ,,,418.0,222160.34,212
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC Trauma,,,88389.07,184464.14,18
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC ,,,418.0,222160.34,212
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC Trauma,,,60789.15,126864.31,18
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ ,,,418.0,222160.34,212
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ Trauma,,,38104.7,79522.85,18
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI ,,,418.0,137160.67,212
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Trauma,,,65467.74,136628.33,18
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI ,,,418.0,137160.67,212
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI Trauma,,,45977.38,95952.79,18
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC ,,,418.0,117259.92,214
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC Trauma,,,52781.42,110152.54,18
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC ,,,418.0,117259.92,214
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC Trauma,,,37373.71,77997.31,18
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC ,,,418.0,109564.85,214
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC Trauma,,,31089.5,64882.44,18
MS-DRG,028,SPINAL PROCEDURES WITH MCC ,,,418.0,124991.01,211
MS-DRG,028,SPINAL PROCEDURES WITH MCC Trauma,,,68447.46,142846.87,18
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS ,,,418.0,94002.39,211
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS Trauma,,,40614.95,84761.64,18
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC ,,,418.0,74917.0,212
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC Trauma,,,27577.07,57552.14,18
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC ,,,418.0,95087.75,247
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC Trauma,,,52071.86,108671.71,18
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC ,,,418.0,74917.0,247
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC Trauma,,,26888.95,56116.08,18
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC ,,,418.0,74917.0,247
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC Trauma,,,21871.67,45645.22,18
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC ,,,418.0,98068.0,214
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC Trauma,,,45535.78,95031.19,18
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC ,,,418.0,98068.0,214
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC Trauma,,,29670.38,61920.79,18
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC ,,,418.0,98068.0,308
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC Trauma,,,24871.75,51906.26,18
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC ,,,418.0,74917.0,308
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC Trauma,,,39334.11,82088.57,18
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC ,,,418.0,74917.0,308
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC Trauma,,,21439.71,44743.75,18
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC ,,,418.0,74917.0,308
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC Trauma,,,16647.5,34742.62,18
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC ",,,418.0,82966.36,308
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC Trauma",,,45433.96,94818.7,18
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE ",,,418.0,74917.0,308
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE Trauma",,,27614.59,57630.46,18
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC ",,,418.0,74917.0,308
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC Trauma",,,22566.22,47094.72,18
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC ,,,418.0,43798.25,338
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC Trauma,,,23462.28,48964.75,18
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC ,,,418.0,43798.25,338
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC Trauma,,,14543.49,30351.62,18
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC ,,,418.0,37277.67,338
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC Trauma,,,20413.96,42603.05,18
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC ,,,418.0,28731.16,338
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC Trauma,,,14976.51,31255.32,18
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC ,,,418.0,52861.49,338
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC Trauma,,,28947.96,60413.14,18
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC ,,,418.0,32750.49,338
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC Trauma,,,17934.79,37429.13,18
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC ,,,418.0,40851.66,338
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC Trauma,,,22371.15,46687.61,18
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC ,,,418.0,31679.87,338
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC Trauma,,,17348.5,36205.56,18
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC ,,,418.0,30121.87,338
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC Trauma,,,13906.81,29022.91,18
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,418.0,69144.93,338
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Trauma",,,33599.76,70121.23,18
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,418.0,69144.93,338
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Trauma",,,22882.41,47754.6,18
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,418.0,69144.93,338
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A Trauma",,,19094.52,39849.43,18
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC ,,,418.0,74917.0,213
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC Trauma,,,25602.74,53431.8,18
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS ,,,418.0,74917.0,213
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS Trauma,,,14876.83,31047.29,18
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC ,,,418.0,74917.0,213
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC Trauma,,,11383.69,23757.27,18
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC ,,,418.0,74917.0,213
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC Trauma,,,19790.14,41301.17,18
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC ,,,418.0,74917.0,213
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC Trauma,,,13313.01,27783.67,18
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC ,,,418.0,74917.0,213
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC Trauma,,,12609.88,26316.26,18
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC ,,,418.0,39976.73,244
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC Trauma,,,21892.02,45687.7,18
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC ,,,418.0,27820.43,244
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC Trauma,,,15045.1,31398.48,18
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC ,,,418.0,22192.95,244
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC Trauma,,,12153.28,25363.37,18
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC ,,,418.0,38792.59,244
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC Trauma,,,21243.56,44334.38,18
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC ,,,418.0,27567.62,244
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC Trauma,,,15096.56,31505.86,18
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC ,,,418.0,44922.78,338
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC Trauma,,,24600.57,51340.32,18
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC ,,,418.0,40438.38,338
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC Trauma,,,12892.85,26906.81,18
MS-DRG,077,HYPERTENSIVE ENCEPHALOPATHY WITH MCC ,,,7000.0,13000.0,94
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC ,,,418.0,42818.71,244
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC Trauma,,,23448.34,48935.66,18
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC ,,,418.0,34580.16,244
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC Trauma,,,13647.43,28481.59,18
MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC ,,,418.0,52127.5,244
MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC Trauma,,,28546.01,59574.29,18
MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC ,,,418.0,48136.54,244
MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC Trauma,,,19008.78,39670.49,18
MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC ,,,418.0,48136.54,244
MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC Trauma,,,14292.67,29828.18,18
MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC ,,,418.0,51859.37,244
MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC Trauma,,,28399.18,59267.86,18
MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC ,,,418.0,32889.44,244
MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC Trauma,,,18010.89,37587.94,18
MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC ,,,418.0,25472.0,244
MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC Trauma,,,13852.14,28908.82,18
MS-DRG,088,CONCUSSION WITH MCC ,,,418.0,33850.47,244
MS-DRG,088,CONCUSSION WITH MCC Trauma,,,18537.16,38686.25,18
MS-DRG,089,CONCUSSION WITH CC ,,,418.0,28894.66,244
MS-DRG,089,CONCUSSION WITH CC Trauma,,,15823.26,33022.46,18
MS-DRG,090,CONCUSSION WITHOUT CC/MCC ,,,418.0,23504.31,244
MS-DRG,090,CONCUSSION WITHOUT CC/MCC Trauma,,,12871.41,26862.07,18
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC ,,,418.0,41765.7,244
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC Trauma,,,22871.69,47732.23,18
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC ,,,418.0,30032.64,244
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC Trauma,,,15012.95,31331.38,18
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC ,,,418.0,22977.8,244
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC Trauma,,,12583.08,26260.34,18
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC ,,,418.0,76276.39,244
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC Trauma,,,41770.4,87173.02,18
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC ,,,418.0,57874.07,244
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC Trauma,,,31692.94,66141.79,18
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC ,,,418.0,57874.07,244
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC Trauma,,,31692.94,66141.79,18
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC ,,,418.0,78084.91,244
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC Trauma,,,42760.78,89239.9,18
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC ,,,418.0,52309.53,244
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC Trauma,,,28645.69,59782.32,18
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC ,,,418.0,43342.88,244
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC Trauma,,,18650.78,38923.37,18
MS-DRG,100,SEIZURES WITH MCC ,,,418.0,45300.53,244
MS-DRG,100,SEIZURES WITH MCC Trauma,,,24807.43,51772.03,18
MS-DRG,101,SEIZURES WITHOUT MCC ,,,418.0,25058.4,244
MS-DRG,101,SEIZURES WITHOUT MCC Trauma,,,13722.46,28638.17,18
MS-DRG,102,HEADACHES WITH MCC ,,,418.0,29331.12,244
MS-DRG,102,HEADACHES WITH MCC Trauma,,,16062.28,33521.28,18
MS-DRG,103,HEADACHES WITHOUT MCC ,,,418.0,23760.72,338
MS-DRG,103,HEADACHES WITHOUT MCC Trauma,,,13011.82,27155.11,18
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC ,,,418.0,53409.53,339
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC Trauma,,,29248.08,61039.46,18
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,418.0,33873.97,339
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC Trauma,,,18550.03,38713.1,18
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,418.0,37434.24,339
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT Trauma,,,20499.7,42781.99,18
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,418.0,42781.52,339
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC Trauma,,,23427.97,48893.16,18
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,418.0,28626.51,339
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC Trauma,,,15676.42,32716.01,18
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,418.0,30161.0,244
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC Trauma,,,16516.74,34469.71,18
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,418.0,22772.3,244
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC Trauma,,,12470.54,26025.48,18
MS-DRG,123,NEUROLOGICAL EYE DISORDERS ,,,418.0,23022.83,244
MS-DRG,123,NEUROLOGICAL EYE DISORDERS Trauma,,,12607.74,26311.8,18
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,418.0,33288.74,244
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT Trauma,,,18229.55,38044.27,18
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,418.0,22419.98,244
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC Trauma,,,12277.61,25622.83,18
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,418.0,49864.9,245
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC Trauma,,,27306.97,56988.46,18
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,418.0,27264.24,245
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC Trauma,,,14930.42,31159.13,18
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC ,,,418.0,36618.06,245
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC Trauma,,,20052.75,41849.21,18
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC ,,,418.0,24737.39,245
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC Trauma,,,13546.67,28271.3,18
MS-DRG,139,SALIVARY GLAND PROCEDURES ,,,418.0,31578.08,245
MS-DRG,139,SALIVARY GLAND PROCEDURES Trauma,,,17292.76,36089.23,18
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,418.0,90875.69,245
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC Trauma,,,49765.26,103857.94,18
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,418.0,88433.39,245
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC Trauma,,,27425.95,57236.76,18
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,418.0,88433.39,245
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC Trauma,,,21158.88,44157.67,18
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,418.0,80723.31,247
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC Trauma",,,44205.62,92255.21,18
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,418.0,41309.65,247
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC Trauma",,,22621.95,47211.02,18
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,418.0,36200.0,247
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC Trauma",,,16934.76,35342.11,18
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,418.0,48835.37,338
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC Trauma",,,26743.18,55811.86,18
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,418.0,32278.79,338
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC Trauma",,,17676.48,36890.04,18
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,418.0,30057.26,338
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC Trauma",,,12591.66,26278.25,18
MS-DRG,149,DYSEQUILIBRIUM ,,,418.0,22102.9,338
MS-DRG,149,DYSEQUILIBRIUM Trauma,,,12103.97,25260.46,18
MS-DRG,150,EPISTAXIS WITH MCC ,,,418.0,33453.15,338
MS-DRG,150,EPISTAXIS WITH MCC Trauma,,,18319.58,38232.17,18
MS-DRG,151,EPISTAXIS WITHOUT MCC ,,,418.0,21758.42,338
MS-DRG,151,EPISTAXIS WITHOUT MCC Trauma,,,11915.32,24866.76,18
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC ,,,418.0,30530.93,338
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC Trauma,,,16719.32,34892.5,18
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC ,,,418.0,21840.63,338
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC Trauma,,,11960.34,24960.72,18
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,418.0,37994.02,338
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC Trauma",,,20806.25,43421.74,18
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,418.0,25330.45,338
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC Trauma",,,13871.44,28949.09,18
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,418.0,20918.75,338
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC Trauma",,,11455.51,23907.15,18
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC ,,,418.0,40994.54,338
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC Trauma,,,22449.39,46850.9,18
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC ,,,418.0,25199.31,338
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC Trauma,,,13799.62,28799.21,18
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,418.0,21259.33,338
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC Trauma,,,11642.01,24296.38,18
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC ,,,418.0,95113.2,339
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC Trauma,,,52085.8,108700.8,18
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC ,,,418.0,91614.8,339
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC Trauma,,,31101.29,64907.04,18
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,418.0,91614.8,339
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC Trauma,,,24565.2,51266.5,18
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,418.0,80549.11,339
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC Trauma,,,44110.23,92056.13,18
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,418.0,78959.92,339
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC Trauma,,,23377.6,48788.04,18
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,418.0,51487.17,339
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,18693.65,39012.84,18
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,418.0,94611.6,245
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY Trauma,,,35950.3,75026.71,18
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,418.0,45530.49,244
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE Trauma,,,18770.83,39173.9,18
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC ,,,418.0,45530.49,244
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC Trauma,,,12676.33,26454.96,18
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,418.0,59517.62,244
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC Trauma,,,20797.68,43403.86,18
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,418.0,59517.62,244
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC Trauma,,,14509.18,30280.03,18
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,418.0,44265.92,244
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC Trauma,,,12140.41,25336.51,18
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC ,,,418.0,41957.52,244
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC Trauma,,,22976.74,47951.45,18
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC ,,,418.0,34638.61,244
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC Trauma,,,15527.44,32405.09,18
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,418.0,34638.61,244
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC Trauma,,,12127.56,25309.68,18
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC ,,,418.0,37336.38,244
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC Trauma,,,20446.11,42670.15,18
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC ,,,418.0,28219.4,244
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC Trauma,,,15453.48,32250.74,18
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,418.0,22785.99,244
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC Trauma,,,12478.04,26041.13,18
MS-DRG,186,PLEURAL EFFUSION WITH MCC ,,,418.0,37896.16,244
MS-DRG,186,PLEURAL EFFUSION WITH MCC Trauma,,,20752.66,43309.9,18
MS-DRG,187,PLEURAL EFFUSION WITH CC ,,,418.0,34447.85,244
MS-DRG,187,PLEURAL EFFUSION WITH CC Trauma,,,14649.6,30573.07,18
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC ,,,418.0,30032.64,244
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC Trauma,,,11735.26,24490.97,18
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,418.0,55616.24,244
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE Trauma,,,17289.54,36082.51,18
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,418.0,33130.98,244
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC Trauma,,,15920.8,33226.01,18
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,418.0,33130.98,338
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC Trauma,,,13083.63,27304.97,18
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,418.0,33130.98,338
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC Trauma,,,10929.23,22808.84,18
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,418.0,37100.0,338
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC Trauma,,,18136.29,37849.66,18
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,418.0,37100.0,338
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC Trauma,,,12685.98,26475.1,18
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,418.0,37100.0,338
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC Trauma,,,10784.53,22506.85,18
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC ,,,418.0,44329.72,338
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC Trauma,,,24275.8,50662.54,18
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC ,,,418.0,34198.63,338
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC Trauma,,,14220.85,29678.3,18
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,418.0,26586.63,338
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC Trauma,,,11724.54,24468.6,18
MS-DRG,199,PNEUMOTHORAX WITH MCC ,,,418.0,41920.33,338
MS-DRG,199,PNEUMOTHORAX WITH MCC Trauma,,,22956.37,47908.94,18
MS-DRG,200,PNEUMOTHORAX WITH CC ,,,418.0,40133.78,338
MS-DRG,200,PNEUMOTHORAX WITH CC Trauma,,,15830.76,33038.11,18
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC ,,,418.0,27063.53,338
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC Trauma,,,11712.75,24444.0,18
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,418.0,26401.07,244
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC Trauma,,,14457.73,30172.66,18
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,418.0,22156.04,244
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC Trauma,,,11229.35,23435.16,18
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS ,,,418.0,24835.93,244
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS Trauma,,,12702.06,26508.65,18
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,418.0,43229.74,244
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC Trauma,,,23673.43,49405.42,18
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,418.0,25811.94,244
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC Trauma,,,14135.11,29499.36,18
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,418.0,133336.83,244
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS Trauma,,,73017.79,152384.95,18
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,418.0,97709.94,244
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS Trauma,,,33509.71,69933.31,18
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES ,,,418.0,348256.84,343
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES Trauma,,,125367.59,261636.72,18
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,418.0,331392.9,306
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES Trauma,,,120601.07,251689.2,18
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,418.0,175589.9,343
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES Trauma,,,65216.94,136104.91,18
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT ,,,418.0,358382.59,306
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT Trauma,,,110771.27,231174.82,18
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,418.0,233497.0,308
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Trauma,,,108904.11,227278.15,18
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,418.0,233497.0,308
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Trauma,,,74524.81,155530.03,18
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,418.0,233497.0,308
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Trauma,,,74524.81,155530.03,18
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,418.0,195032.2,308
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Trauma,,,86347.21,180202.87,18
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,418.0,195032.2,308
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Trauma,,,61207.17,127736.71,18
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,418.0,195032.2,308
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Trauma,,,58070.96,121191.58,18
MS-DRG,222,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,1455.0,30500.0,96
MS-DRG,223,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,1455.0,30500.0,96
MS-DRG,224,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,1455.0,30500.0,96
MS-DRG,225,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,1455.0,30500.0,96
MS-DRG,226,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,1455.0,28000.0,96
MS-DRG,227,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,1455.0,28000.0,96
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,418.0,147080.27,308
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC Trauma,,,57076.29,119115.74,18
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,418.0,147080.27,308
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC Trauma,,,37805.65,78898.75,18
MS-DRG,230,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,1455.0,30100.0,96
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC ,,,418.0,226729.39,306
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC Trauma,,,94403.18,197015.33,18
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,418.0,226729.39,306
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC Trauma,,,69029.46,144061.49,18
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,418.0,190601.61,308
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC Trauma,,,85992.43,179462.47,18
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,418.0,145218.81,308
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC Trauma,,,62599.49,130642.42,18
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,418.0,156855.26,214
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC Trauma,,,66950.1,139721.95,18
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,418.0,111229.4,214
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC Trauma,,,48945.31,102146.74,18
MS-DRG,237,MAJOR CARDIOVASC PROCEDURES W MCC ,,,1455.0,26200.0,2
MS-DRG,238,MAJOR CARDIOVASC PROCEDURES W/O MCC ,,,1455.0,26200.0,2
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,418.0,103723.26,245
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC Trauma,,,56800.83,118540.87,18
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,418.0,77981.5,245
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC Trauma,,,34600.85,72210.48,18
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,418.0,77981.5,245
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC Trauma,,,18886.59,39415.49,18
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,418.0,75568.0,243
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC Trauma,,,38269.76,79867.32,18
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,418.0,75568.0,243
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC Trauma,,,26887.89,56113.85,18
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,418.0,75568.0,245
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC Trauma,,,23421.54,48879.74,18
MS-DRG,245,AICD GENERATOR PROCEDURES ,,,418.0,96690.76,245
MS-DRG,245,AICD GENERATOR PROCEDURES Trauma,,,52949.7,110503.73,18
MS-DRG,246,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ AR ,,,1455.0,7950.0,2
MS-DRG,247,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC ,,,1455.0,7950.0,2
MS-DRG,248,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4 ,,,1455.0,7950.0,2
MS-DRG,249,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC ,,,1455.0,7950.0,2
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,418.0,66638.0,214
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC Trauma,,,27440.95,57268.08,18
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,418.0,66638.0,214
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC Trauma,,,20066.68,41878.3,18
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC ,,,418.0,95248.5,214
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC Trauma,,,41437.05,86477.33,18
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC ,,,418.0,95248.5,214
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC Trauma,,,31868.73,66508.66,18
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,418.0,63754.37,214
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC Trauma,,,23145.01,48302.64,18
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,418.0,60187.58,245
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC Trauma,,,32959.86,68785.8,18
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,418.0,58206.9,245
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC Trauma,,,22246.81,46428.12,18
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,418.0,58206.9,339
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC Trauma,,,15754.67,32879.3,18
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,418.0,68891.59,339
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC Trauma,,,37726.35,78733.25,18
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,418.0,59148.4,339
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC Trauma,,,25721.72,53680.1,18
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,418.0,71058.29,339
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC Trauma,,,38912.87,81209.47,18
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,418.0,44394.32,339
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC Trauma,,,24311.17,50736.36,18
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,418.0,39964.56,339
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC Trauma,,,21517.96,44907.05,18
MS-DRG,263,VEIN LIGATION AND STRIPPING ,,,418.0,67233.77,339
MS-DRG,263,VEIN LIGATION AND STRIPPING Trauma,,,36818.49,76838.59,18
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,418.0,72776.78,339
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES Trauma,,,39853.95,83173.46,18
MS-DRG,265,AICD LEAD PROCEDURES ,,,418.0,95402.34,339
MS-DRG,265,AICD LEAD PROCEDURES Trauma,,,42829.38,89383.06,18
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,418.0,276665.86,308
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC Trauma,,,69734.75,145533.38,18
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,418.0,207736.31,308
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC Trauma,,,55076.24,114941.71,18
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,418.0,153895.0,238
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC Trauma,,,77768.2,162298.85,18
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,418.0,96305.0,238
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC Trauma,,,49314.01,102916.2,18
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,418.0,115687.0,238
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC Trauma,,,60601.58,126472.87,18
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,418.0,101897.46,144
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC Trauma,,,42165.91,87998.42,18
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,418.0,93098.0,144
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC Trauma,,,31412.12,65555.74,18
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,418.0,88139.44,142
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC Trauma,,,48266.83,100730.78,18
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,418.0,71819.66,144
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC Trauma,,,39329.82,82079.62,18
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,418.0,216477.49,142
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC Trauma,,,80474.6,167946.98,18
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,418.0,124957.75,140
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR Trauma,,,68429.24,142808.86,18
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,418.0,107940.0,140
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC Trauma,,,53551.0,111758.62,18
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,418.0,137237.59,142
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Trauma,,,63708.85,132957.6,18
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,418.0,98476.06,142
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Trauma,,,42702.9,89119.1,18
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,418.0,54419.36,143
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC Trauma",,,21241.42,44329.92,18
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,418.0,54419.36,143
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC Trauma",,,13899.3,29007.24,18
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,418.0,40819.91,143
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC Trauma",,,11798.49,24622.94,18
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,418.0,46161.74,244
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC Trauma",,,25279.05,52756.27,18
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,418.0,42164.47,244
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC Trauma",,,11467.3,23931.75,18
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,418.0,42164.47,338
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC Trauma",,,10467.27,21844.74,18
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,418.0,50702.61,237
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC Trauma",,,27765.71,57945.84,18
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,418.0,28336.83,235
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC Trauma",,,15517.79,32384.95,18
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,418.0,91799.4,338
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC Trauma,,,33054.19,68982.65,18
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,418.0,91799.4,338
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC Trauma,,,22343.27,46629.43,18
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,418.0,91799.4,338
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC Trauma,,,14012.92,29244.36,18
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC ,,,418.0,37560.0,235
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC Trauma,,,17808.31,37165.18,18
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC ,,,418.0,37560.0,235
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC Trauma,,,13147.95,27439.2,18
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,418.0,37560.0,235
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC Trauma,,,10114.63,21108.8,18
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,418.0,52917.88,244
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC Trauma",,,20789.1,43385.95,18
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,418.0,52917.88,244
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC Trauma",,,10843.49,22629.88,18
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,418.0,52917.88,244
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC Trauma",,,8925.96,18628.09,18
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,418.0,46072.0,143
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC Trauma,,,21547.96,44969.66,18
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,418.0,46072.0,143
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC Trauma,,,15489.92,32326.8,18
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,418.0,46072.0,143
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC Trauma,,,11762.05,24546.89,18
MS-DRG,302,ATHEROSCLEROSIS WITH MCC ,,,418.0,30812.78,338
MS-DRG,302,ATHEROSCLEROSIS WITH MCC Trauma,,,16873.66,35214.6,18
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC ,,,418.0,21688.36,338
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC Trauma,,,11263.65,23506.74,18
MS-DRG,304,HYPERTENSION WITH MCC ,,,418.0,30683.6,338
MS-DRG,304,HYPERTENSION WITH MCC Trauma,,,16802.93,35066.98,18
MS-DRG,305,HYPERTENSION WITHOUT MCC ,,,418.0,22171.4,338
MS-DRG,305,HYPERTENSION WITHOUT MCC Trauma,,,12141.48,25338.74,18
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,418.0,38234.76,338
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC Trauma,,,20938.08,43696.87,18
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,418.0,25265.86,338
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC Trauma,,,13836.06,28875.26,18
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,418.0,30957.61,338
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC Trauma,,,16952.98,35380.13,18
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,418.0,25032.84,338
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC Trauma,,,11933.55,24904.8,18
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,418.0,19995.0,336
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC Trauma,,,10115.71,21111.04,18
MS-DRG,311,ANGINA PECTORIS ,,,418.0,21211.46,338
MS-DRG,311,ANGINA PECTORIS Trauma,,,11571.27,24148.73,18
MS-DRG,312,SYNCOPE AND COLLAPSE ,,,418.0,24451.64,338
MS-DRG,312,SYNCOPE AND COLLAPSE Trauma,,,13390.19,27944.74,18
MS-DRG,313,CHEST PAIN ,,,418.0,31708.0,233
MS-DRG,313,CHEST PAIN Trauma,,,11765.27,24553.61,18
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,418.0,48205.14,338
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC Trauma,,,26398.05,55091.59,18
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,418.0,34337.09,338
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC Trauma,,,14373.06,29995.94,18
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,418.0,26075.88,244
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC Trauma,,,11359.04,23705.83,18
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,418.0,190343.16,142
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION Trauma,,,75716.69,158017.44,18
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,418.0,74526.25,249
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE Trauma,,,30010.16,62629.9,18
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,418.0,98706.0,144
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC Trauma,,,51883.23,108278.04,18
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,418.0,66638.0,144
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC Trauma,,,29829.01,62251.85,18
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,418.0,66638.0,142
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A Trauma,,,33210.68,69309.24,18
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,418.0,66638.0,144
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC Trauma,,,22944.57,47884.32,18
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,418.0,127379.52,142
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC Trauma,,,50430.88,105247.06,18
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,418.0,91337.88,142
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC Trauma,,,37821.73,78932.3,18
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,418.0,81359.82,142
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE Trauma,,,38458.4,80261.02,18
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,418.0,105009.2,245
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC Trauma",,,57505.04,120010.51,18
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,418.0,82692.08,245
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC Trauma",,,30245.95,63121.99,18
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,418.0,55080.87,245
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC Trauma",,,21222.12,44289.65,18
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,418.0,97358.21,142
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Trauma,,,53315.21,111266.52,18
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,418.0,54494.0,140
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Trauma,,,29742.2,62070.67,18
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,418.0,64825.1,142
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Trauma,,,22086.03,46092.58,18
MS-DRG,332,RECTAL RESECTION WITH MCC ,,,418.0,94614.68,245
MS-DRG,332,RECTAL RESECTION WITH MCC Trauma,,,42856.18,89438.98,18
MS-DRG,333,RECTAL RESECTION WITH CC ,,,418.0,94614.68,245
MS-DRG,333,RECTAL RESECTION WITH CC Trauma,,,29152.68,60840.38,18
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC ,,,418.0,69951.05,339
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC Trauma,,,21603.7,45085.99,18
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC ,,,418.0,77284.39,339
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC Trauma,,,42322.4,88325.02,18
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC ,,,418.0,72077.12,339
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC Trauma,,,26649.93,55617.24,18
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,418.0,48921.12,339
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC Trauma,,,20500.77,42784.22,18
MS-DRG,338,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,13000.0,94
MS-DRG,339,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,13000.0,94
MS-DRG,340,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,13000.0,94
MS-DRG,341,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,13000.0,94
MS-DRG,342,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,13000.0,94
MS-DRG,343,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,13000.0,94
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,418.0,57944.54,339
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Trauma,,,31731.54,66222.34,18
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,418.0,43256.73,339
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Trauma,,,20176.01,42106.46,18
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,418.0,33820.19,245
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Trauma,,,16762.19,34981.97,18
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC ,,,418.0,52323.24,245
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC Trauma,,,28653.2,59797.99,18
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC ,,,418.0,33008.85,245
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC Trauma,,,18076.27,37724.4,18
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,418.0,24432.07,245
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC Trauma,,,13379.47,27922.37,18
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,418.0,56165.38,245
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC Trauma,,,30757.23,64189.01,18
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,418.0,37230.69,245
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC Trauma,,,20388.24,42549.36,18
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,418.0,30249.09,245
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC Trauma,,,16564.98,34570.39,18
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,418.0,64192.17,339
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC Trauma,,,35152.85,73362.48,18
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,418.0,40321.22,339
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC Trauma,,,22080.67,46081.39,18
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,418.0,33717.37,339
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC Trauma,,,18464.27,38534.14,18
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,418.0,93371.23,339
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC Trauma,,,51131.86,106709.98,18
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,418.0,84953.52,339
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC Trauma,,,28973.69,60466.82,18
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,418.0,71674.06,339
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,19031.28,39717.46,18
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,418.0,105798.84,343
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC Trauma,,,40904.35,85365.6,18
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,418.0,74283.18,343
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC Trauma,,,29925.48,62453.18,18
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,418.0,38549.89,244
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC Trauma,,,21110.65,44057.02,18
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,418.0,34232.48,244
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC Trauma,,,14768.56,30821.35,18
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,418.0,34232.48,338
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC Trauma,,,11559.48,24124.13,18
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,418.0,42096.47,338
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC Trauma,,,23052.83,48110.26,18
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,418.0,41161.43,244
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC Trauma,,,14991.51,31286.64,18
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,418.0,41161.43,244
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC Trauma,,,11844.59,24719.14,18
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC ,,,418.0,49252.27,338
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC Trauma,,,26971.48,56288.3,18
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC ,,,418.0,33069.45,338
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC Trauma,,,17013.01,35505.41,18
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,418.0,29543.43,244
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC Trauma,,,13955.04,29123.57,18
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,418.0,43171.02,338
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC Trauma,,,23641.27,49338.31,18
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,418.0,27915.81,244
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC Trauma,,,14559.56,30385.18,18
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,418.0,21743.75,244
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC Trauma,,,10804.9,22549.36,18
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC ,,,418.0,45797.68,244
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC Trauma,,,25079.68,52340.21,18
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC ,,,418.0,28663.47,338
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC Trauma,,,15661.41,32684.69,18
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,418.0,28663.47,244
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC Trauma,,,12629.17,26356.54,18
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,418.0,34416.12,244
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC Trauma,,,18846.92,39332.71,18
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,418.0,24122.81,244
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC Trauma,,,13210.11,27568.92,18
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,418.0,38362.0,244
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC Trauma,,,21007.76,43842.29,18
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC ,,,418.0,30383.4,244
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC Trauma,,,14512.4,30286.75,18
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,418.0,30383.4,244
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC Trauma,,,11350.47,23687.93,18
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,418.0,36297.07,244
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC Trauma,,,19876.97,41482.37,18
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,418.0,23331.37,244
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC Trauma,,,12513.41,26114.95,18
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,418.0,19995.0,244
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC Trauma,,,9878.83,20616.69,18
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,418.0,32216.14,244
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC Trauma",,,17642.17,36818.45,18
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,418.0,34703.0,268
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC Trauma",,,12404.08,25886.78,18
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,418.0,38694.73,338
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC Trauma,,,21189.97,44222.54,18
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,418.0,28238.87,338
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC Trauma,,,14077.23,29378.57,18
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,418.0,22063.73,244
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Trauma,,,11004.26,22965.42,18
MS-DRG,397,APPENDIX PROCEDURES WITH MCC ,,,418.0,69123.39,245
MS-DRG,397,APPENDIX PROCEDURES WITH MCC Trauma,,,29717.54,62019.22,18
MS-DRG,398,APPENDIX PROCEDURES WITH CC ,,,418.0,46561.21,245
MS-DRG,398,APPENDIX PROCEDURES WITH CC Trauma,,,20271.41,42305.54,18
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,418.0,34247.86,245
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC Trauma,,,16317.38,34053.67,18
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,418.0,127995.0,234
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Trauma,,,47141.4,98382.05,18
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,418.0,137234.51,245
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC Trauma",,,62683.1,130816.9,18
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,418.0,137234.51,339
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC Trauma",,,35133.56,73322.21,18
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,418.0,124416.56,339
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC Trauma",,,27838.6,58097.95,18
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,418.0,86504.23,339
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Trauma,,,42265.59,88206.46,18
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,418.0,86504.23,245
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Trauma,,,27385.21,57151.75,18
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,418.0,65240.47,245
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Trauma,,,21065.64,43963.08,18
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,418.0,72046.72,245
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC Trauma,,,39454.15,82339.1,18
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,418.0,69917.2,245
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC Trauma,,,26583.48,55478.57,18
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,418.0,49148.8,245
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC Trauma,,,21845.94,45591.53,18
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,418.0,77121.93,245
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC Trauma,,,42233.44,88139.35,18
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,418.0,52474.82,339
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC Trauma,,,26199.76,54677.76,18
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,418.0,35072.44,245
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC Trauma,,,18660.43,38943.5,18
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,418.0,54100.45,144
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC Trauma,,,29626.44,61829.09,18
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,418.0,46976.58,144
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC Trauma,,,22179.28,46287.19,18
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,418.0,34124.5,142
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC Trauma,,,18687.22,38999.42,18
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,418.0,80861.38,245
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC Trauma,,,40566.72,84660.98,18
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,418.0,80861.38,245
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC Trauma,,,22671.26,47313.94,18
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,418.0,71932.51,245
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC Trauma,,,19048.43,39753.24,18
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,418.0,88677.67,245
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC Trauma,,,48561.58,101345.9,18
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,418.0,83458.2,339
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC Trauma,,,27498.83,57388.87,18
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,418.0,83458.2,245
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,20128.85,42008.04,18
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,418.0,322307.11,142
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Trauma,,,122177.84,254979.84,18
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,418.0,148679.92,140
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Trauma,,,81419.95,169919.9,18
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,418.0,127995.0,140
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Trauma,,,64306.93,134205.77,18
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,418.0,256623.58,142
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC Trauma,,,100616.64,209982.55,18
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,418.0,127995.0,140
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC Trauma,,,65862.18,137451.5,18
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,418.0,45915.11,244
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC Trauma,,,25143.99,52474.42,18
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,418.0,35890.87,244
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC Trauma,,,15368.8,32074.01,18
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,418.0,35890.87,244
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC Trauma,,,11684.89,24385.85,18
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,418.0,43341.29,244
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC Trauma,,,23734.52,49532.9,18
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,418.0,31807.96,244
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC Trauma,,,16171.61,33749.45,18
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,418.0,31807.96,244
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC Trauma,,,13194.03,27535.37,18
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,418.0,39299.53,242
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC Trauma,,,21521.17,44913.74,18
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,418.0,23856.63,336
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC Trauma,,,13064.34,27264.72,18
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,418.0,19995.0,336
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC Trauma,,,10708.43,22348.04,18
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,418.0,42519.25,338
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC Trauma",,,23284.35,48593.42,18
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,418.0,32977.14,338
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC Trauma",,,14394.49,30040.68,18
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,418.0,23799.05,338
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C Trauma",,,11547.69,24099.53,18
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,418.0,40096.14,244
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC Trauma,,,21957.41,45824.16,18
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC ,,,418.0,28812.44,244
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC Trauma,,,15778.24,32928.5,18
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,418.0,23584.55,244
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC Trauma,,,12915.35,26953.78,18
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,418.0,138169.35,142
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL Trauma,,,75664.17,157907.83,18
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,418.0,133560.0,142
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Trauma,,,49502.66,103309.9,18
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,418.0,133560.0,142
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY Trauma,,,61172.87,127665.12,18
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,418.0,133560.0,142
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Trauma,,,38672.77,80708.4,18
MS-DRG,453,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC ,,,1195.0,13300.0,2
MS-DRG,454,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC ,,,1195.0,13300.0,2
MS-DRG,455,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC ,,,1195.0,13300.0,2
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,418.0,171869.73,142
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Trauma",,,94119.14,196422.55,18
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,418.0,156113.76,142
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Trauma",,,67962.99,141835.8,18
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,418.0,131608.0,140
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Trauma",,,48771.66,101784.34,18
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,418.0,115492.36,236
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC Trauma,,,63245.81,131991.26,18
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,418.0,83846.0,140
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC Trauma,,,32559.0,67949.21,18
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,418.0,118946.94,245
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Trauma,,,65137.61,135939.36,18
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,418.0,71064.85,245
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Trauma,,,37432.66,78120.34,18
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,418.0,71064.85,245
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Trauma,,,23595.18,49242.12,18
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,418.0,109276.04,144
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC Trauma,,,59841.64,124886.9,18
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,418.0,76417.3,142
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC Trauma,,,41847.57,87334.06,18
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,418.0,61177.96,236
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC Trauma,,,33502.21,69917.66,18
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,418.0,66760.11,142
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC Trauma,,,36559.11,76297.27,18
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,418.0,57784.0,142
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Trauma,,,24722.76,51595.32,18
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC ,,,418.0,101902.98,236
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC Trauma,,,55804.01,116460.55,18
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC ,,,418.0,74917.0,236
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC Trauma,,,35625.53,74348.93,18
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,418.0,74917.0,142
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC Trauma,,,30214.88,63057.14,18
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,418.0,91415.92,339
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC Trauma,,,50061.1,104475.34,18
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,418.0,60766.8,245
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC Trauma,,,28439.9,59352.84,18
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,418.0,60766.8,339
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC Trauma,,,16697.88,34847.76,18
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,418.0,75008.05,339
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Trauma,,,41075.84,85723.49,18
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,418.0,55525.34,339
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Trauma,,,30406.74,63457.54,18
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,418.0,47890.39,339
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Trauma,,,23972.47,50029.51,18
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,418.0,64393.77,237
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC Trauma,,,35263.25,73592.88,18
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,418.0,62511.35,237
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC Trauma,,,26497.72,55299.6,18
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,418.0,57784.0,238
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC Trauma,,,21529.75,44931.65,18
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,418.0,61645.75,340
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES Trauma,,,33758.39,70452.29,18
MS-DRG,484,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,1195.0,13000.0,95
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,418.0,78950.69,339
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC Trauma,,,38637.41,80634.6,18
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,418.0,78950.69,339
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC Trauma,,,26461.29,55223.57,18
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,418.0,49241.11,245
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Trauma,,,20835.19,43482.14,18
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,418.0,42014.26,339
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC Trauma,,,23007.81,48016.3,18
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,418.0,38090.78,245
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Trauma,,,16018.34,33429.58,18
MS-DRG,490,BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DISC DEVICE/NEUROSTIM ,,,1195.0,9000.0,2
MS-DRG,491,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,1195.0,13000.0,96
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,418.0,79255.34,245
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC Trauma",,,43401.74,90577.54,18
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,418.0,57030.5,339
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC Trauma",,,31230.99,65177.71,18
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,418.0,56193.0,339
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC Trauma",,,25554.51,53331.14,18
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,418.0,78356.96,339
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Trauma,,,42909.77,89550.82,18
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,418.0,55951.61,339
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Trauma,,,23382.96,48799.22,18
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,418.0,31041.78,339
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Trauma,,,16999.07,35476.32,18
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,418.0,66439.11,339
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC Trauma,,,36383.32,75930.41,18
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,418.0,46827.21,339
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT Trauma,,,25643.47,53516.81,18
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC ,,,418.0,69335.89,339
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC Trauma,,,37969.65,79241.02,18
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC ,,,418.0,41607.15,339
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC Trauma,,,22784.87,47551.03,18
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,418.0,33734.99,339
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC Trauma,,,18473.92,38554.27,18
MS-DRG,503,FOOT PROCEDURES WITH MCC ,,,418.0,62021.55,339
MS-DRG,503,FOOT PROCEDURES WITH MCC Trauma,,,33964.18,70881.77,18
MS-DRG,504,FOOT PROCEDURES WITH CC ,,,418.0,43977.42,339
MS-DRG,504,FOOT PROCEDURES WITH CC Trauma,,,24082.87,50259.91,18
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC ,,,418.0,42482.06,245
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC Trauma,,,23263.98,48550.92,18
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES ,,,418.0,33799.58,339
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES Trauma,,,18509.3,38628.1,18
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,418.0,42748.25,339
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC Trauma,,,23409.76,48855.14,18
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,418.0,37730.8,245
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC Trauma,,,20279.97,42323.42,18
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,418.0,66511.54,245
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC Trauma",,,36422.98,76013.18,18
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,418.0,56193.0,245
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC Trauma",,,26335.89,54961.85,18
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,418.0,56193.0,339
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ Trauma",,,21791.27,45477.43,18
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,418.0,38205.4,339
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC Trauma",,,20922.01,43663.32,18
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,418.0,27401.24,339
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC Trauma",,,15005.44,31315.7,18
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,418.0,69768.45,339
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC Trauma,,,38206.53,79735.37,18
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,418.0,48066.17,339
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC Trauma,,,26321.95,54932.76,18
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,418.0,47616.0,339
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC Trauma,,,20519.0,42822.26,18
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,418.0,94236.23,238
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST Trauma,,,44105.94,92047.18,18
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,418.0,74917.0,238
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC Trauma,,,25486.99,53190.24,18
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,418.0,74917.0,236
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC Trauma,,,20060.26,41864.88,18
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,418.0,63569.75,140
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC Trauma,,,34812.01,72651.14,18
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,418.0,57784.0,140
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC Trauma,,,26746.4,55818.58,18
MS-DRG,533,FRACTURES OF FEMUR WITH MCC ,,,418.0,43493.64,338
MS-DRG,533,FRACTURES OF FEMUR WITH MCC Trauma,,,20851.27,43515.7,18
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC ,,,418.0,43493.64,338
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC Trauma,,,12688.12,26479.56,18
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC ,,,418.0,32958.68,338
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC Trauma,,,17789.02,37124.9,18
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,418.0,32958.68,338
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC Trauma,,,12704.2,26513.11,18
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,418.0,26070.3,338
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC Trauma",,,14276.59,29794.63,18
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,418.0,21490.29,338
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC Trauma",,,11768.49,24560.33,18
MS-DRG,539,OSTEOMYELITIS WITH MCC ,,,418.0,50677.97,338
MS-DRG,539,OSTEOMYELITIS WITH MCC Trauma,,,25160.07,52507.97,18
MS-DRG,540,OSTEOMYELITIS WITH CC ,,,418.0,50677.97,338
MS-DRG,540,OSTEOMYELITIS WITH CC Trauma,,,17942.29,37444.78,18
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC ,,,418.0,50677.97,338
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC Trauma,,,12487.69,26061.26,18
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,418.0,41967.3,338
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Trauma,,,22982.09,47962.63,18
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,418.0,28515.78,338
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Trauma,,,15066.54,31443.22,18
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,418.0,28515.78,338
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Trauma,,,12136.12,25327.56,18
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,418.0,55965.74,338
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC Trauma,,,30647.9,63960.84,18
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC ,,,418.0,29967.23,338
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC Trauma,,,16410.63,34248.26,18
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,418.0,23758.77,338
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC Trauma,,,13010.75,27152.88,18
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC ,,,418.0,45185.05,338
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC Trauma,,,24744.19,51640.06,18
MS-DRG,549,SEPTIC ARTHRITIS WITH CC ,,,418.0,44804.36,338
MS-DRG,549,SEPTIC ARTHRITIS WITH CC Trauma,,,16987.28,35451.72,18
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,418.0,44804.36,338
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC Trauma,,,13416.98,28000.66,18
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC ,,,418.0,40197.93,338
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC Trauma,,,22013.15,45940.49,18
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,418.0,26207.31,338
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC Trauma,,,14351.62,29951.21,18
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,418.0,32764.18,338
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC Trauma,,,17942.29,37444.78,18
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,418.0,23639.36,338
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC Trauma,,,12945.37,27016.42,18
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,418.0,33263.29,338
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Trauma,,,18215.61,38015.18,18
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,418.0,23649.15,338
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC Trauma,,,12950.72,27027.6,18
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,418.0,36494.75,338
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC Trauma",,,19985.22,41708.28,18
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,418.0,24874.42,338
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC Trauma",,,13621.7,28427.9,18
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,418.0,43893.25,244
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Trauma",,,24036.78,50163.72,18
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,418.0,29432.91,244
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Trauma",,,16118.02,33637.61,18
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,418.0,24229.8,244
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Trauma",,,12664.55,26430.36,18
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,418.0,35279.29,244
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Trauma",,,19319.61,40319.18,18
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,418.0,24919.42,244
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Trauma",,,13646.35,28479.34,18
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,418.0,37604.53,244
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC Trauma,,,20592.96,42976.61,18
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,418.0,26463.72,244
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC Trauma,,,14492.04,30244.25,18
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,418.0,22057.9,244
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC Trauma,,,12079.32,25209.02,18
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC ,,,418.0,74375.49,339
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC Trauma,,,35571.94,74237.09,18
MS-DRG,571,SKIN DEBRIDEMENT WITH CC ,,,418.0,74375.49,245
MS-DRG,571,SKIN DEBRIDEMENT WITH CC Trauma,,,22156.77,46240.22,18
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,418.0,67068.09,245
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC Trauma,,,16334.53,34089.46,18
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,418.0,135620.98,339
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC Trauma,,,74268.63,154995.41,18
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,418.0,75336.89,245
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC Trauma,,,41255.92,86099.3,18
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,418.0,67068.09,245
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Trauma,,,23309.0,48644.88,18
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,418.0,103322.02,245
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC Trauma,,,56581.1,118082.3,18
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,418.0,59273.53,339
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC Trauma,,,32459.31,67741.18,18
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,418.0,38833.7,339
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Trauma,,,21266.08,44381.38,18
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,418.0,70778.4,339
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC Trauma",,,38759.6,80889.6,18
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,418.0,41213.74,245
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC Trauma",,,22569.43,47101.42,18
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,418.0,35637.46,245
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC Trauma",,,19515.75,40728.53,18
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,418.0,45100.9,245
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC Trauma,,,24698.11,51543.89,18
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,418.0,41143.28,245
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC Trauma,,,22530.85,47020.9,18
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,418.0,49291.43,245
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC Trauma",,,26992.93,56333.06,18
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,418.0,45149.83,245
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC Trauma",,,24724.91,51599.81,18
MS-DRG,592,SKIN ULCERS WITH MCC ,,,418.0,45271.17,244
MS-DRG,592,SKIN ULCERS WITH MCC Trauma,,,24791.35,51738.48,18
MS-DRG,593,SKIN ULCERS WITH CC ,,,418.0,38804.6,244
MS-DRG,593,SKIN ULCERS WITH CC Trauma,,,16763.26,34984.2,18
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC ,,,418.0,38804.6,244
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC Trauma,,,13338.73,27837.36,18
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC ,,,418.0,48899.97,244
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC Trauma,,,26778.56,55885.68,18
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC ,,,418.0,28579.53,244
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC Trauma,,,15650.69,32662.32,18
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC ,,,418.0,40021.76,244
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC Trauma,,,21916.68,45739.15,18
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC ,,,418.0,31897.19,244
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC Trauma,,,16173.75,33753.91,18
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,418.0,30398.78,244
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Trauma,,,12294.76,25658.64,18
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,418.0,27779.01,244
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC Trauma,,,15212.31,31747.44,18
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,418.0,19995.0,244
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Trauma,,,10532.65,21981.19,18
MS-DRG,602,CELLULITIS WITH MCC ,,,418.0,35210.78,244
MS-DRG,602,CELLULITIS WITH MCC Trauma,,,19282.1,40240.9,18
MS-DRG,603,CELLULITIS WITHOUT MCC ,,,418.0,34703.0,174
MS-DRG,603,CELLULITIS WITHOUT MCC Trauma,,,13382.68,27929.06,18
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,418.0,36205.07,244
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC Trauma",,,19826.59,41377.22,18
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,418.0,25320.67,244
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC Trauma",,,13866.08,28937.9,18
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC ,,,418.0,37009.52,244
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC Trauma,,,20267.12,42296.59,18
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC ,,,418.0,25132.76,244
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC Trauma,,,13763.18,28723.15,18
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,418.0,82233.63,245
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC Trauma,,,27540.64,57476.11,18
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,418.0,82233.63,245
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC Trauma,,,19046.29,39748.78,18
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,418.0,100669.82,245
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Trauma",,,41427.42,86457.22,18
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,418.0,100669.82,245
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Trauma",,,24094.66,50284.51,18
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,418.0,100669.82,245
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Trauma",,,19249.94,40173.79,18
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,418.0,65006.63,514
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC Trauma,,,34996.36,73035.89,18
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC ,,,418.0,65006.63,514
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC Trauma,,,21200.69,44244.91,18
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,418.0,65006.63,514
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC Trauma,,,20215.67,42189.22,18
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,418.0,77055.38,245
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Trauma",,,42197.0,88063.3,18
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,418.0,73154.0,245
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Trauma",,,23275.77,48575.52,18
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,418.0,73154.0,245
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Trauma",,,17466.4,36451.61,18
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,418.0,66503.7,245
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC Trauma",,,36418.69,76004.23,18
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,418.0,40933.75,245
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC Trauma",,,20119.2,41987.9,18
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,418.0,33390.5,245
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC Trauma",,,18285.28,38160.58,18
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,418.0,80335.77,245
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC Trauma",,,43993.4,91812.31,18
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,418.0,71163.31,245
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC Trauma",,,27401.29,57185.3,18
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,418.0,55259.33,245
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC Trauma",,,19691.54,41095.39,18
MS-DRG,637,DIABETES WITH MCC ,,,418.0,35512.2,244
MS-DRG,637,DIABETES WITH MCC Trauma,,,19447.16,40585.37,18
MS-DRG,638,DIABETES WITH CC ,,,418.0,24933.13,244
MS-DRG,638,DIABETES WITH CC Trauma,,,13653.86,28495.01,18
MS-DRG,639,DIABETES WITHOUT CC/MCC ,,,418.0,22934.47,244
MS-DRG,639,DIABETES WITHOUT CC/MCC Trauma,,,10706.29,22343.56,18
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,418.0,33533.39,244
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M Trauma",,,18363.52,38323.87,18
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,418.0,22623.53,244
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU Trauma",,,12389.08,25855.46,18
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM ,,,418.0,35226.43,244
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM Trauma,,,19290.66,40258.78,18
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC ,,,418.0,39610.75,244
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC Trauma,,,21691.6,45269.42,18
MS-DRG,644,ENDOCRINE DISORDERS WITH CC ,,,418.0,28761.93,244
MS-DRG,644,ENDOCRINE DISORDERS WITH CC Trauma,,,15034.39,31376.11,18
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,418.0,22429.76,244
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC Trauma,,,12282.97,25634.02,18
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,418.0,142354.31,239
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Trauma,,,54439.56,113613.0,18
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,418.0,142354.31,239
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Trauma,,,43768.31,91342.56,18
MS-DRG,652,KIDNEY TRANSPLANT ,,,418.0,142354.31,243
MS-DRG,652,KIDNEY TRANSPLANT Trauma,,,38663.13,80688.26,18
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC ,,,418.0,109099.89,245
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC Trauma,,,59745.18,124685.59,18
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC ,,,418.0,102940.5,245
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC Trauma,,,34052.06,71065.18,18
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,418.0,102940.5,245
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC Trauma,,,26734.6,55793.95,18
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,418.0,84938.14,245
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC Trauma,,,38173.3,79666.01,18
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,418.0,84938.14,245
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC Trauma,,,23662.71,49383.05,18
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,418.0,84938.14,245
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC Trauma,,,20680.85,43160.04,18
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,418.0,62526.73,245
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC Trauma,,,31282.43,65285.06,18
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,418.0,62526.73,245
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC Trauma,,,18214.54,38012.95,18
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,418.0,45822.78,245
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC Trauma,,,15145.86,31608.74,18
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC ,,,418.0,67314.01,245
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC Trauma,,,36862.43,76930.3,18
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC ,,,418.0,37146.52,245
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC Trauma,,,20342.14,42453.17,18
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,418.0,27882.75,245
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC Trauma,,,15269.12,31866.0,18
MS-DRG,665,PROSTATECTOMY WITH MCC ,,,418.0,68482.51,245
MS-DRG,665,PROSTATECTOMY WITH MCC Trauma,,,37502.33,78265.73,18
MS-DRG,666,PROSTATECTOMY WITH CC ,,,418.0,41630.65,245
MS-DRG,666,PROSTATECTOMY WITH CC Trauma,,,22797.74,47577.89,18
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC ,,,418.0,29491.13,245
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC Trauma,,,15904.72,33192.46,18
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC ,,,418.0,64544.47,245
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC Trauma,,,35345.78,73765.1,18
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC ,,,418.0,37768.94,245
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC Trauma,,,20682.99,43164.5,18
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,418.0,26520.48,245
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC Trauma,,,14523.12,30309.12,18
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC ,,,418.0,42525.13,245
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC Trauma,,,23287.57,48600.14,18
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,418.0,28520.81,245
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC Trauma,,,15618.54,32595.22,18
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,418.0,89628.92,245
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC Trauma,,,49082.51,102433.06,18
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,418.0,85338.12,245
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC Trauma,,,29114.1,60759.86,18
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,418.0,85338.12,245
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC Trauma,,,21641.22,45164.28,18
MS-DRG,682,RENAL FAILURE WITH MCC ,,,418.0,40644.53,244
MS-DRG,682,RENAL FAILURE WITH MCC Trauma,,,19921.98,41576.3,18
MS-DRG,683,RENAL FAILURE WITH CC ,,,418.0,34703.0,174
MS-DRG,683,RENAL FAILURE WITH CC Trauma,,,13435.2,28038.67,18
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC ,,,418.0,40644.53,244
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC Trauma,,,10482.28,21876.05,18
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,418.0,42695.39,244
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC Trauma,,,23380.81,48794.74,18
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,418.0,28355.79,244
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC Trauma,,,15278.76,31886.11,18
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,418.0,22860.37,244
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC Trauma,,,12518.77,26126.14,18
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,418.0,37100.0,174
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC Trauma,,,16484.58,34402.61,18
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,418.0,34703.0,174
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC Trauma,,,12724.57,26555.62,18
MS-DRG,693,URINARY STONES WITH MCC ,,,418.0,33707.58,258
MS-DRG,693,URINARY STONES WITH MCC Trauma,,,18458.91,38522.95,18
MS-DRG,694,URINARY STONES WITHOUT MCC ,,,418.0,22692.05,258
MS-DRG,694,URINARY STONES WITHOUT MCC Trauma,,,12426.6,25933.78,18
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,418.0,29779.34,244
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC Trauma,,,16307.74,34033.54,18
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,418.0,20877.65,244
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,11433.0,23860.17,18
MS-DRG,697,URETHRAL STRICTURE ,,,418.0,28487.53,244
MS-DRG,697,URETHRAL STRICTURE Trauma,,,15600.31,32557.18,18
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,418.0,39773.18,244
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC Trauma,,,21780.55,45455.06,18
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,418.0,27258.38,244
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC Trauma,,,14927.21,31152.43,18
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,418.0,24343.64,244
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC Trauma,,,11442.65,23880.3,18
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,418.0,55490.09,144
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC Trauma,,,25488.06,53192.47,18
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,418.0,44567.0,142
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC Trauma,,,20492.21,42766.34,18
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC ,,,418.0,52939.78,245
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC Trauma,,,28990.83,60502.61,18
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC ,,,418.0,34817.37,245
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC Trauma,,,19066.65,39791.28,18
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC ,,,418.0,48177.74,245
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC Trauma,,,26383.05,55060.27,18
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC ,,,418.0,28916.18,245
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC Trauma,,,15835.05,33047.06,18
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,418.0,36817.7,245
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC Trauma,,,20162.08,42077.38,18
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,418.0,28088.26,245
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC Trauma,,,15381.66,32100.86,18
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,418.0,51182.15,245
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC Trauma,,,28028.32,58493.88,18
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,418.0,36183.55,245
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC Trauma,,,19814.8,41352.62,18
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,418.0,44394.32,245
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC Trauma,,,24311.17,50736.36,18
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,418.0,33680.2,245
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC Trauma,,,18443.92,38491.66,18
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,418.0,42812.85,244
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23445.13,48928.97,18
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,418.0,29757.82,244
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,16295.95,34008.94,18
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,418.0,20225.88,244
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11076.08,23115.29,18
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,418.0,30296.07,244
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC Trauma,,,16590.7,34624.08,18
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,418.0,21523.55,244
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC Trauma,,,11786.71,24598.34,18
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,418.0,36416.46,244
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Trauma,,,19942.35,41618.81,18
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,418.0,23269.45,244
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC Trauma,,,12742.79,26593.66,18
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,418.0,28113.71,244
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC Trauma,,,15395.6,32129.95,18
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,418.0,20544.91,244
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Trauma,,,11250.79,23479.9,18
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,418.0,73495.52,245
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC Trauma",,,26878.24,56093.71,18
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,418.0,73495.52,245
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC Trauma",,,18469.63,38545.32,18
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,418.0,77354.84,245
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC Trauma,,,42360.99,88405.54,18
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,418.0,64929.71,245
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC Trauma,,,26134.37,54541.3,18
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,418.0,64929.71,245
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC Trauma,,,19788.0,41296.7,18
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,418.0,77517.3,245
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC Trauma,,,42449.95,88591.2,18
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,418.0,42810.87,245
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC Trauma,,,23444.05,48926.71,18
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,418.0,41959.0,142
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT Trauma,,,19333.55,40348.27,18
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,418.0,43304.12,142
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC Trauma,,,23714.16,49490.42,18
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,418.0,41959.0,142
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Trauma,,,17346.35,36201.07,18
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,418.0,47498.56,245
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC Trauma",,,26011.11,54284.06,18
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,418.0,29656.03,245
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC Trauma",,,16240.21,33892.61,18
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,418.0,41391.86,245
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC Trauma",,,22666.97,47304.98,18
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,418.0,24218.71,245
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC Trauma",,,13262.63,27678.53,18
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,418.0,44299.0,142
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Trauma,,,18917.67,39480.36,18
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,418.0,58720.73,245
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC Trauma,,,31568.62,65882.33,18
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,418.0,58720.73,245
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,19866.25,41460.0,18
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,418.0,43439.17,244
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23788.12,49644.77,18
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,418.0,28683.27,244
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,15707.5,32780.88,18
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,418.0,26191.66,244
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,14343.05,29933.33,18
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,418.0,35418.24,244
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,19395.7,40477.99,18
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,418.0,26553.74,244
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,14541.34,30347.14,18
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,418.0,23414.45,244
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11160.75,23292.0,18
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,418.0,27111.57,244
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC Trauma,,,14846.81,30984.65,18
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,418.0,19995.0,244
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC Trauma,,,10162.87,21209.46,18
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,418.0,39226.12,153
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C Trauma,,,15533.87,32418.5,18
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,418.0,40466.06,245
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES Trauma,,,22159.98,46246.92,18
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,418.0,27017.63,245
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Trauma",,,14795.37,30877.3,18
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,418.0,20206.31,244
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES Trauma,,,11065.36,23092.92,18
MS-DRG,779,ABORTION WITHOUT D&C ,,,418.0,23858.58,244
MS-DRG,779,ABORTION WITHOUT D&C Trauma,,,13065.41,27266.95,18
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,418.0,55445.1,151
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC Trauma,,,30362.79,63365.83,18
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,418.0,28141.09,151
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC Trauma,,,15410.6,32161.25,18
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,418.0,26138.81,151
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Trauma,,,14314.11,29872.92,18
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,418.0,39677.3,151
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC Trauma,,,21728.04,45345.48,18
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,418.0,29250.88,151
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC Trauma,,,16018.34,33429.58,18
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,418.0,26158.38,151
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC Trauma,,,14324.83,29895.29,18
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,418.0,42666.04,125
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY Trauma",,,23364.73,48761.18,18
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,418.0,123722.7,125
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE Trauma",,,67752.91,141397.37,18
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS ,,,418.0,86837.84,125
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS Trauma,,,47554.05,99243.24,18
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,418.0,55329.62,125
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS Trauma,,,30299.56,63233.86,18
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,418.0,89002.58,125
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS Trauma,,,48739.51,101717.23,18
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,418.0,36279.45,125
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS Trauma,,,19867.32,41462.23,18
MS-DRG,795,NORMAL NEWBORN ,,,365.0,11302.66,125
MS-DRG,795,NORMAL NEWBORN Trauma,,,6189.55,12917.32,18
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,418.0,30233.43,153
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC Trauma,,,16556.4,34552.49,18
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,418.0,26972.61,153
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC Trauma,,,14770.72,30825.84,18
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,418.0,26125.11,153
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC Trauma,,,14306.61,29857.27,18
MS-DRG,799,SPLENIC PROCEDURES WITH MCC ,,,418.0,99959.08,245
MS-DRG,799,SPLENIC PROCEDURES WITH MCC Trauma,,,52590.64,109754.38,18
MS-DRG,800,SPLENIC PROCEDURES WITH CC ,,,418.0,99959.08,245
MS-DRG,800,SPLENIC PROCEDURES WITH CC Trauma,,,34160.32,71291.11,18
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,418.0,46785.82,245
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC Trauma,,,24508.4,51147.96,18
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,418.0,85371.85,245
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC Trauma,,,46751.25,97567.82,18
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,418.0,43775.82,245
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Trauma,,,23972.47,50029.51,18
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,418.0,33932.68,245
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC Trauma,,,18582.18,38780.21,18
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,418.0,28514.93,151
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC Trauma,,,15615.32,32588.5,18
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,418.0,22149.88,151
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC Trauma,,,12129.69,25314.14,18
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,418.0,20587.97,151
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC Trauma,,,11274.37,23529.11,18
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,418.0,50606.7,244
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Trauma,,,27713.19,57836.23,18
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,418.0,39069.21,244
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Trauma,,,17616.45,36764.76,18
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,418.0,39069.21,244
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Trauma,,,15265.9,31859.28,18
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC ,,,418.0,34878.04,244
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC Trauma,,,19099.88,39860.62,18
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,418.0,25363.72,244
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC Trauma,,,13889.65,28987.1,18
MS-DRG,813,COAGULATION DISORDERS ,,,418.0,37246.36,244
MS-DRG,813,COAGULATION DISORDERS Trauma,,,20396.81,42567.26,18
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,418.0,49017.4,244
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC Trauma,,,26842.86,56019.89,18
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,418.0,30004.95,244
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC Trauma,,,14916.49,31130.06,18
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,418.0,22297.57,244
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC Trauma,,,10822.05,22585.15,18
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,418.0,52049.21,248
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC Trauma,,,28503.14,59484.82,18
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,418.0,30080.76,248
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC Trauma,,,16472.8,34378.01,18
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,418.0,24222.64,248
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,13264.78,27683.02,18
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,418.0,122182.33,245
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC Trauma,,,66909.37,139636.94,18
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,418.0,104137.37,245
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC Trauma,,,28042.26,58522.97,18
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,418.0,39663.03,245
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,16952.98,35380.13,18
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,418.0,97129.2,245
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC Trauma,,,53189.8,111004.8,18
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,418.0,59465.31,245
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC Trauma,,,28331.65,59126.93,18
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,418.0,33803.49,245
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC Trauma,,,18511.43,38632.56,18
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,418.0,98949.46,245
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Trauma,,,54186.61,113085.1,18
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,418.0,77849.19,245
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Trauma,,,28820.41,60146.95,18
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,418.0,52687.12,245
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Trauma,,,22310.05,46560.1,18
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,418.0,69241.93,245
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Trauma,,,37918.2,79133.64,18
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,418.0,36849.02,245
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Trauma,,,20179.22,42113.16,18
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,418.0,30928.25,247
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC Trauma,,,16936.9,35346.58,18
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,418.0,21515.72,247
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC Trauma,,,11782.42,24589.39,18
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,418.0,19995.0,247
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,9652.67,20144.7,18
MS-DRG,834,ACUTE LEUKEMIA WITH MCC ,,,418.0,114844.51,244
MS-DRG,834,ACUTE LEUKEMIA WITH MCC Trauma,,,62891.04,131250.86,18
MS-DRG,835,ACUTE LEUKEMIA WITH CC ,,,418.0,71612.52,244
MS-DRG,835,ACUTE LEUKEMIA WITH CC Trauma,,,26404.48,55105.01,18
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,418.0,32020.26,244
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,17119.12,35726.86,18
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,418.0,101425.42,244
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT Trauma,,,55542.49,115914.77,18
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,418.0,79184.52,244
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE Trauma,,,26421.63,55140.79,18
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,418.0,79184.52,244
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,19524.33,40746.43,18
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,418.0,70707.94,244
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC Trauma,,,38721.02,80809.08,18
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,418.0,41515.26,244
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC Trauma,,,21534.04,44940.6,18
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,418.0,28001.96,244
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,14877.89,31049.52,18
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,418.0,46435.77,244
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Trauma,,,25429.11,53069.45,18
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,418.0,32167.94,244
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Trauma,,,17096.61,35679.89,18
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,418.0,27638.89,244
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Trauma,,,13175.81,27497.35,18
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,418.0,58134.38,244
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Trauma,,,31835.5,66439.3,18
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,418.0,32997.11,244
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Trauma,,,18069.85,37710.98,18
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,418.0,24017.11,244
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,13152.23,27448.13,18
MS-DRG,849,RADIOTHERAPY ,,,418.0,60424.41,244
MS-DRG,849,RADIOTHERAPY Trauma,,,33089.56,69056.47,18
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,418.0,283431.74,245
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES Trauma,,,96864.12,202151.21,18
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,418.0,104054.03,245
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Trauma,,,56981.97,118918.9,18
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,418.0,102417.44,245
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC Trauma,,,25464.47,53143.25,18
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,418.0,102417.44,245
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,20095.62,41938.68,18
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,418.0,102417.44,245
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC Trauma,,,52802.86,110197.27,18
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,418.0,102417.44,245
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC Trauma,,,27001.49,56350.94,18
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,418.0,102417.44,245
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,18977.69,39605.62,18
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,418.0,43086.86,244
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC Trauma,,,23595.18,49242.12,18
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,418.0,30835.69,244
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC Trauma,,,14743.92,30769.92,18
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS ,,,418.0,28629.62,244
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS Trauma,,,13562.74,28304.86,18
MS-DRG,865,VIRAL ILLNESS WITH MCC ,,,418.0,36717.89,244
MS-DRG,865,VIRAL ILLNESS WITH MCC Trauma,,,20107.42,41963.3,18
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC ,,,418.0,24412.5,244
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC Trauma,,,13368.75,27900.0,18
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,418.0,48361.72,244
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC Trauma,,,26483.8,55270.54,18
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,418.0,40629.14,244
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC Trauma,,,15099.76,31512.55,18
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,418.0,40629.14,244
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC Trauma,,,11869.24,24770.59,18
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,418.0,142675.01,141
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS Trauma,,,78131.55,163057.15,18
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,418.0,46227.0,141
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC Trauma,,,24868.53,51899.54,18
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,418.0,46227.0,141
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC Trauma,,,15016.17,31338.1,18
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,418.0,83038.77,127
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS Trauma,,,45473.61,94901.45,18
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,418.0,26185.78,126
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION Trauma,,,14339.83,29926.61,18
MS-DRG,881,DEPRESSIVE NEUROSES ,,,418.0,25808.03,126
MS-DRG,881,DEPRESSIVE NEUROSES Trauma,,,14132.97,29494.9,18
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE ,,,418.0,28409.24,126
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE Trauma,,,15557.44,32467.7,18
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,418.0,45877.92,126
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL Trauma,,,25123.62,52431.91,18
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,418.0,38882.63,126
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY Trauma,,,21292.87,44437.3,18
MS-DRG,885,PSYCHOSES ,,,418.0,34731.25,126
MS-DRG,885,PSYCHOSES Trauma,,,19019.49,39692.86,18
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,418.0,48011.36,126
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS Trauma,,,26291.93,54870.12,18
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES ,,,418.0,28352.48,126
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES Trauma,,,15526.36,32402.83,18
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,418.0,19995.0,240
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA Trauma",,,10660.2,22247.38,18
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,418.0,35099.21,240
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY Trauma",,,19221.0,40113.38,18
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,418.0,41548.44,240
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC Trauma",,,22752.72,47483.93,18
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,418.0,24670.84,240
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC Trauma",,,13510.22,28195.25,18
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,418.0,89531.06,245
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Trauma,,,49028.92,102321.22,18
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,418.0,62831.33,245
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC Trauma,,,24568.42,51273.22,18
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,418.0,62831.33,245
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC Trauma,,,16584.26,34610.64,18
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,418.0,79284.7,245
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC Trauma,,,43417.81,90611.09,18
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,418.0,50782.58,245
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC Trauma,,,19947.7,41629.99,18
MS-DRG,906,HAND PROCEDURES FOR INJURIES ,,,418.0,45838.78,245
MS-DRG,906,HAND PROCEDURES FOR INJURIES Trauma,,,25102.19,52387.18,18
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,418.0,82537.71,245
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC Trauma,,,45199.22,94328.81,18
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,418.0,55822.38,245
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC Trauma,,,25433.39,53078.38,18
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,418.0,45662.79,245
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC Trauma,,,18118.08,37811.64,18
MS-DRG,913,TRAUMATIC INJURY WITH MCC ,,,418.0,39385.65,244
MS-DRG,913,TRAUMATIC INJURY WITH MCC Trauma,,,21568.33,45012.17,18
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC ,,,418.0,24723.7,244
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC Trauma,,,13539.17,28255.66,18
MS-DRG,915,ALLERGIC REACTIONS WITH MCC ,,,418.0,40305.57,244
MS-DRG,915,ALLERGIC REACTIONS WITH MCC Trauma,,,22072.1,46063.51,18
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC ,,,418.0,20433.35,244
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC Trauma,,,11189.69,23352.4,18
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,418.0,38089.93,244
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC Trauma,,,20858.77,43531.34,18
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,418.0,24167.83,244
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC Trauma,,,13234.76,27620.38,18
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC ,,,418.0,43225.83,244
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC Trauma,,,23671.29,49400.95,18
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC ,,,418.0,27009.8,244
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC Trauma,,,14791.08,30868.34,18
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,418.0,22977.54,244
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Trauma,,,11426.57,23846.75,18
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,418.0,41632.61,244
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC Trauma",,,22798.81,47580.12,18
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,418.0,27311.21,244
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC Trauma",,,14956.14,31212.82,18
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,418.0,434299.55,240
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT Trauma,,,232891.56,486034.56,18
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,418.0,147781.54,240
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC Trauma,,,80927.98,168893.18,18
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,418.0,70431.96,240
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC Trauma,,,38569.88,80493.67,18
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,418.0,83612.26,239
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT Trauma,,,45787.66,95556.86,18
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,418.0,50659.56,239
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY Trauma,,,27742.14,57896.64,18
MS-DRG,935,NON-EXTENSIVE BURNS ,,,418.0,47711.9,239
MS-DRG,935,NON-EXTENSIVE BURNS Trauma,,,26127.94,54527.88,18
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,418.0,78411.77,245
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC Trauma,,,42939.78,89613.46,18
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,418.0,53131.6,245
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC Trauma,,,29095.87,60721.82,18
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,418.0,47079.69,245
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ Trauma,,,25781.74,53805.36,18
MS-DRG,945,REHABILITATION WITH CC/MCC ,,,418.0,65855.83,217
MS-DRG,945,REHABILITATION WITH CC/MCC Trauma,,,20646.55,43088.45,18
MS-DRG,946,REHABILITATION WITHOUT CC/MCC ,,,418.0,65855.83,217
MS-DRG,946,REHABILITATION WITHOUT CC/MCC Trauma,,,16339.89,34100.64,18
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC ,,,418.0,32237.69,244
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC Trauma,,,17653.97,36843.07,18
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC ,,,418.0,23060.02,244
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,12628.1,26354.3,18
MS-DRG,949,AFTERCARE WITH CC/MCC ,,,418.0,30677.72,244
MS-DRG,949,AFTERCARE WITH CC/MCC Trauma,,,16799.71,35060.26,18
MS-DRG,950,AFTERCARE WITHOUT CC/MCC ,,,418.0,19995.0,244
MS-DRG,950,AFTERCARE WITHOUT CC/MCC Trauma,,,10775.96,22488.96,18
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,418.0,22189.88,244
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS Trauma,,,10007.45,20885.11,18
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,418.0,215289.85,245
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Trauma,,,76194.73,159015.1,18
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,418.0,100368.29,245
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Trauma",,,44381.41,92622.07,18
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,418.0,156534.48,245
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,85721.26,178896.55,18
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,418.0,152618.51,245
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,49214.34,102708.19,18
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,418.0,152618.51,245
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,35604.09,74304.19,18
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,418.0,62780.0,244
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,33350.01,69600.02,18
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,418.0,56379.28,244
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,20475.05,42730.54,18
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,418.0,56379.28,244
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,14128.68,29485.94,18
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,418.0,138695.99,245
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC Trauma,,,69658.64,145374.55,18
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,418.0,138695.99,245
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC Trauma,,,32316.76,67443.67,18
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,418.0,63879.0,244
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC Trauma,,,34981.36,73004.57,18
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,418.0,63609.76,244
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC Trauma,,,17928.36,37415.71,18
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,418.0,63609.76,244
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC Trauma,,,13723.52,28640.4,18
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,418.0,36330.85,244
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION Trauma,,,17957.3,37476.1,18
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,418.0,111386.31,245
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,54336.67,113398.27,18
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,418.0,111386.31,245
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,30399.24,63441.89,18
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,418.0,111386.31,245
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,22419.38,46788.26,18
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,418.0,74495.25,245
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,40795.02,85137.43,18
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,418.0,53724.0,245
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,21664.8,45213.5,18
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,418.0,53724.0,245
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,16901.54,35272.78,18
MS-DRG,998,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,995.0,30768.0,109
MS-DRG,998,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS Trauma,,,4048.01,8448.02,18
MS-DRG,999,UNGROUPABLE ,,,995.0,30768.0,109
MS-DRG,999,UNGROUPABLE Trauma,,,4048.01,8448.02,18
RC,100, All-inclusive room and board plus ancillary  ,,,6650.0,21045.0,4
RC,100,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,100,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,100,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,100,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,100,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,100,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,100,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,100,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,100,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,13046.0,19995.0,4
RC,100,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,12362.1,19995.0,4
RC,100,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,100,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,100,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,100,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,100,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,100,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,100,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,100,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,100,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,100,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,100,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,100,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,100,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,100,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,100,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,100,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,100,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,100,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,100,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,100,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,100,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,100,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,100,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,100,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,100,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,100,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,100,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,100,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,100,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,100,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,100,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,100,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,100,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,100,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,100,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,100,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,100,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,100,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,100,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,100,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,100,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,100,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,100,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,100,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,100,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,100,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,100,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,100,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,100,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,100,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,100,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,100,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,100,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,100,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,100,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,100,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,100,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,100,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,100,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,100,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,100,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,100,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,100,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,100,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,100,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,100,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,100,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,100,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,100,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,100,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,100,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,100,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,100,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,100,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,100,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,100,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,100,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,100,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,100,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,100,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,100,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,100,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,100,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,100,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,100,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,100,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,100,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,100,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,100,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,100,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,100,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,100,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,100,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,100,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,100,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,100,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,100,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,100,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,100,CHEST PAIN ,,,7000.0,11662.96,2
RC,100,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,100,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,100,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,100,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,100,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,100,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,100,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,100,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,100,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,100,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,100,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,100,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,100,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,100,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,100,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,100,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,100,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,100,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,100,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,100,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,100,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,100,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,100,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,100,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,100,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,100,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,100,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,100,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,100,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,100,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,100,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,100,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,100,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,100,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,100,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,100,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,100,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,100,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,100,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,100,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,100,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,100,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,100,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,100,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,100,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,100,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,100,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,100,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,100,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,100,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,100,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,100,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,100,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,100,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,100,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,100,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,100,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,100,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,100,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,100,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,100,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,100,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,100,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,100,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,100,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,100,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,100,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,100,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,100,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,100,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,100,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,100,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,100,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,100,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,100,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,7000.0,20321.45,5
RC,100,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,100,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,100,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,100,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,100,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,100,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,100,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,100,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,100,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,100,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,100,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,100,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,100,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,100,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,100,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,100,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,100,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,100,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,100,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,100,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,100,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,100,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,100,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,100,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,100,HEADACHES WITH MCC ,,,13046.0,19995.0,4
RC,100,HEADACHES WITHOUT MCC ,,,7000.0,19995.0,5
RC,100,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,100,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,100,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,100,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,100,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,100,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,100,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,100,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,100,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,100,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,100,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,100,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,100,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,100,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,100,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,100,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,100,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,100,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,100,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,100,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,100,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,100,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,100,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,100,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,100,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,100,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,100,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,100,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,100,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,100,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,100,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,100,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,100,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,100,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,100,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,7000.0,23224.25,5
RC,100,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,100,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,100,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,100,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,100,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,100,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,100,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,100,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,100,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,100,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,100,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,100,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,100,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,100,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,100,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,100,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,100,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,100,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,100,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,100,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,100,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,100,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,100,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,100,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,100,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,100,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,100,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,100,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,100,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,100,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,100,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,100,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,100,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,100,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,100,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,100,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,100,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,100,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,100,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,100,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,100,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,100,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,100,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,100,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,100,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,100,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,100,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,100,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,100,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,100,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,100,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,100,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,100,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,100,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,100,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,100,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,100,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,100,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,100,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,100,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,100,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,100,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,100,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,100,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,100,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,100,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,100,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,100,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,100,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,100,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,100,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,100,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,100,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,100,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,100,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,100,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,100,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,100,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,100,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,100,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,100,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,100,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,100,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,100,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,100,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,100,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,100,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,100,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,100,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,100,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,100,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,100,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,100,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,100,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,100,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,100,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,100,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,100,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,100,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,100,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,100,NEUROLOGICAL EYE DISORDERS ,,,12498.1,19995.0,4
RC,100,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,100,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,100,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,100,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,100,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,100,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,100,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,100,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,100,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,100,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,100,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,100,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,100,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,100,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,100,ORBITAL PROCEDURES WITH CC/MCC ,,,7000.0,28993.75,5
RC,100,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,100,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,100,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,100,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,100,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,100,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,100,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,100,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,100,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,100,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,100,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,100,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,100,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,100,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,100,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,100,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,100,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,100,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,100,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,100,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,100,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13046.0,19995.0,4
RC,100,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,19995.0,4
RC,100,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,100,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,100,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,100,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,100,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,100,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,100,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,100,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,100,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,100,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,100,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,100,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,100,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,100,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,100,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,100,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,100,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,100,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,100,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,100,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,100,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,100,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,100,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,100,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,100,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,100,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,100,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,100,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,100,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,100,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,100,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,100,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,100,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,100,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,100,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,100,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,100,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,100,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,100,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,100,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,100,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,100,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,100,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,100,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,100,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,100,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,100,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,100,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,100,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,100,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,100,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,100,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,100,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,100,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,100,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,100,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,100,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,100,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,100,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,100,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,100,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,100,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,100,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,100,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,100,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,100,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,100,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,100,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,100,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,100,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,100,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,100,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,100,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,100,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,100,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,100,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,100,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,100,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,100,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,100,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,100,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,100,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,100,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,100,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,100,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,100,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,100,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,100,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,100,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,100,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,100,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,100,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,100,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,100,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,100,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,100,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,100,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,100,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,100,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,100,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,100,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,100,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,100,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,100,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,100,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,100,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,100,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,PSYCHOSES ,,,18854.11,18854.11,1
RC,100,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,100,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,100,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,100,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,100,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,100,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,100,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,100,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,100,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,100,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,100,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,100,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,100,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,100,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,100,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,100,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,100,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,100,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,100,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,100,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,100,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,100,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,100,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,100,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,100,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,100,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,100,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,100,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,100,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,100,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,100,SEIZURES WITHOUT MCC ,,,13046.0,19995.0,4
RC,100,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,100,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,100,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,100,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,100,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,100,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,100,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,100,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,100,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,100,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,100,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,100,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,100,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,100,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,100,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,100,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,100,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,100,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,100,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,100,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,100,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,100,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,100,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,100,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,100,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,100,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,100,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,100,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,100,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,100,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,100,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,100,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,100,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,100,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,100,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,100,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,100,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,100,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,100,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,100,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,100,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,100,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,100,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,100,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,100,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,100,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,100,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,100,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,100,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,100,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,100,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,100,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,100,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,100,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,100,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,100,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,100,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,100,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,100,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,100,UNGROUPABLE ,,,4012.81,4012.81,1
RC,100,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,100,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,100,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,100,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,100,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,100,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,100,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,100,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,100,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,100,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,100,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,100,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,100,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,100,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,100,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,100,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,100,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,100,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,100,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,100,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,100,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,100,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,100,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,100,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,100,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,100,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,100,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,100,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,100,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,100,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,100,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101, All-inclusive room and board    ,,,6650.0,21045.0,4
RC,101,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,101,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,101,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,101,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,101,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,101,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,101,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,101,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,101,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,13046.0,19995.0,4
RC,101,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,12362.1,19995.0,4
RC,101,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,101,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,101,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,101,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,101,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,101,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,101,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,101,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,101,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,101,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,101,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,101,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,101,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,101,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,101,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,101,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,101,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,101,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,101,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,101,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,101,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,101,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,101,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,101,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,101,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,101,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,101,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,101,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,101,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,101,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,101,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,101,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,101,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,101,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,101,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,101,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,101,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,101,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,101,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,101,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,101,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,101,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,101,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,101,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,101,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,101,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,101,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,101,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,101,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,101,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,101,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,101,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,101,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,101,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,101,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,101,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,101,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,101,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,101,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,101,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,101,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,101,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,101,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,101,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,101,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,101,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,101,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,101,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,101,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,101,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,101,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,101,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,101,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,101,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,101,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,101,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,101,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,101,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,101,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,101,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,101,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,101,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,101,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,101,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,101,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,101,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,101,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,101,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,101,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,101,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,101,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,101,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,101,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,101,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,101,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,101,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,101,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,101,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,101,CHEST PAIN ,,,7000.0,11662.96,2
RC,101,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,101,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,101,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,101,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,101,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,101,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,101,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,101,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,101,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,101,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,101,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,101,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,101,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,101,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,101,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,101,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,101,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,101,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,101,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,101,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,101,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,101,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,101,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,101,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,101,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,101,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,101,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,101,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,101,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,101,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,101,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,101,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,101,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,101,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,101,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,101,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,101,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,101,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,101,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,101,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,101,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,101,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,101,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,101,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,101,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,101,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,101,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,101,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,101,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,101,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,101,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,101,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,101,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,101,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,101,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,101,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,101,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,101,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,101,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,101,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,101,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,101,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,101,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,101,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,101,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,101,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,101,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,101,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,101,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,101,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,101,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,101,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,101,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,101,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,101,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,7000.0,20321.45,5
RC,101,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,101,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,101,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,101,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,101,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,101,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,101,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,101,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,101,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,101,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,101,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,101,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,101,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,101,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,101,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,101,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,101,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,101,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,101,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,101,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,101,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,101,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,101,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,101,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,101,HEADACHES WITH MCC ,,,13046.0,19995.0,4
RC,101,HEADACHES WITHOUT MCC ,,,7000.0,19995.0,5
RC,101,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,101,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,101,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,101,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,101,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,101,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,101,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,101,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,101,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,101,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,101,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,101,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,101,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,101,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,101,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,101,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,101,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,101,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,101,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,101,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,101,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,101,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,101,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,101,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,101,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,101,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,101,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,101,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,101,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,101,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,101,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,101,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,101,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,101,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,101,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,7000.0,23224.25,5
RC,101,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,101,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,101,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,101,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,101,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,101,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,101,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,101,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,101,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,101,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,101,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,101,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,101,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,101,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,101,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,101,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,101,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,101,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,101,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,101,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,101,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,101,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,101,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,101,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,101,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,101,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,101,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,101,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,101,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,101,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,101,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,101,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,101,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,101,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,101,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,101,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,101,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,101,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,101,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,101,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,101,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,101,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,101,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,101,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,101,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,101,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,101,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,101,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,101,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,101,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,101,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,101,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,101,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,101,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,101,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,101,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,101,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,101,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,101,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,101,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,101,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,101,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,101,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,101,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,101,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,101,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,101,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,101,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,101,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,101,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,101,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,101,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,101,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,101,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,101,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,101,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,101,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,101,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,101,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,101,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,101,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,101,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,101,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,101,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,101,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,101,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,101,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,101,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,101,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,101,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,101,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,101,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,101,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,101,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,101,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,101,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,101,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,101,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,101,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,101,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,101,NEUROLOGICAL EYE DISORDERS ,,,12498.1,19995.0,4
RC,101,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,101,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,101,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,101,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,101,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,101,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,101,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,101,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,101,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,101,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,101,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,101,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,101,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,101,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,101,ORBITAL PROCEDURES WITH CC/MCC ,,,7000.0,28993.75,5
RC,101,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,101,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,101,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,101,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,101,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,101,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,101,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,101,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,101,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,101,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,101,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,101,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,101,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,101,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,101,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,101,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,101,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,101,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,101,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,101,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,101,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13046.0,19995.0,4
RC,101,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,19995.0,4
RC,101,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,101,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,101,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,101,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,101,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,101,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,101,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,101,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,101,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,101,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,101,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,101,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,101,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,101,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,101,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,101,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,101,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,101,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,101,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,101,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,101,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,101,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,101,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,101,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,101,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,101,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,101,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,101,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,101,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,101,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,101,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,101,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,101,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,101,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,101,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,101,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,101,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,101,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,101,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,101,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,101,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,101,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,101,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,101,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,101,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,101,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,101,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,101,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,101,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,101,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,101,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,101,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,101,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,101,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,101,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,101,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,101,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,101,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,101,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,101,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,101,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,101,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,101,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,101,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,101,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,101,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,101,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,101,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,101,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,101,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,101,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,101,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,101,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,101,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,101,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,101,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,101,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,101,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,101,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,101,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,101,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,101,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,101,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,101,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,101,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,101,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,101,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,101,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,101,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,101,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,101,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,101,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,101,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,101,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,101,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,101,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,101,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,101,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,101,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,101,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,101,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,101,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,101,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,101,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,101,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,101,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,101,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,PSYCHOSES ,,,18854.11,18854.11,1
RC,101,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,101,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,101,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,101,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,101,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,101,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,101,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,101,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,101,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,101,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,101,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,101,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,101,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,101,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,101,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,101,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,101,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,101,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,101,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,101,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,101,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,101,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,101,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,101,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,101,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,101,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,101,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,101,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,101,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,101,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,101,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,101,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,101,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,101,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,101,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,101,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,101,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,101,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,101,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,101,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,101,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,101,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,101,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,101,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,101,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,101,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,101,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,101,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,101,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,101,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,101,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,101,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,101,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,101,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,101,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,101,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,101,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,101,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,101,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,101,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,101,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,101,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,101,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,101,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,101,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,101,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,101,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,101,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,101,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,101,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,101,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,101,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,101,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,101,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,101,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,101,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,101,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,101,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,101,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,101,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,101,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,101,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,101,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,101,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,101,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,101,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,101,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,101,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,101,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,101,UNGROUPABLE ,,,4012.81,4012.81,1
RC,101,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,101,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,101,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,101,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,101,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,101,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,101,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,101,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,101,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,101,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,101,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,101,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,101,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,101,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,101,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,101,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,101,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,101,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,101,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,101,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,101,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,101,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,101,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,101,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,101,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,101,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,101,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,101,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,101,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,101,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,101,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110, Room & Board - Private (One Bed) General Classification  ,,,6650.0,21045.0,4
RC,110,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,110,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,110,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,110,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,110,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,110,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,110,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,110,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,110,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,13046.0,19995.0,4
RC,110,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,12362.1,19995.0,4
RC,110,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,110,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,110,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,110,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,110,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,110,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,110,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,110,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,110,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,110,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,110,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,110,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,110,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,110,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,110,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,110,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,110,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,110,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,110,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,110,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,110,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,110,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,110,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,110,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,110,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,110,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,110,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,110,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,110,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,110,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,110,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,110,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,110,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,110,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,110,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,110,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,110,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,110,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,110,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,110,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,110,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,110,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,110,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,110,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,110,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,110,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,110,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,110,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,110,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,110,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,110,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,110,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,110,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,110,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,110,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,110,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,110,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,110,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,110,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,110,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,110,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,110,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,110,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,110,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,110,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,110,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,110,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,110,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,110,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,110,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,110,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,110,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,110,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,110,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,110,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,110,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,110,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,110,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,110,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,110,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,110,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,110,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,110,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,110,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,110,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,110,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,110,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,110,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,110,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,110,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,110,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,110,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,110,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,110,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,110,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,110,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,110,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,110,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,110,CHEST PAIN ,,,7000.0,11662.96,2
RC,110,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,110,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,110,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,110,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,110,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,110,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,110,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,110,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,110,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,110,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,110,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,110,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,110,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,110,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,110,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,110,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,110,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,110,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,110,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,110,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,110,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,110,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,110,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,110,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,110,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,110,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,110,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,110,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,110,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,110,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,110,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,110,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,110,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,110,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,110,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,110,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,110,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,110,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,110,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,110,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,110,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,110,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,110,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,110,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,110,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,110,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,110,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,110,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,110,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,110,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,110,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,110,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,110,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,110,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,110,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,110,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,110,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,110,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,110,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,110,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,110,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,110,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,110,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,110,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,110,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,110,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,110,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,110,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,110,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,110,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,110,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,110,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,110,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,110,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,110,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,7000.0,20321.45,5
RC,110,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,110,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,110,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,110,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,110,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,110,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,110,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,110,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,110,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,110,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,110,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,110,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,110,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,110,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,110,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,110,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,110,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,110,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,110,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,110,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,110,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,110,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,110,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,110,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,110,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,110,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,110,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,110,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,110,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,110,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,110,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,110,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,110,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,110,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,110,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,110,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,110,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,110,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,110,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,110,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,110,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,110,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,110,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,110,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,110,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,110,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,110,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,110,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,110,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,110,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,110,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,110,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,110,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,110,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,110,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,110,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,110,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,110,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,110,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,7000.0,23224.25,5
RC,110,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,110,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,110,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,110,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,110,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,110,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,110,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,110,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,110,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,110,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,110,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,110,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,110,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,110,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,110,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,110,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,110,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,110,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,110,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,110,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,110,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,110,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,110,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,110,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,110,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,110,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,110,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,110,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,110,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,110,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,110,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,110,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,110,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,110,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,110,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,110,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,110,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,110,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,110,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,110,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,110,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,110,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,110,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,110,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,110,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,110,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,110,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,110,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,110,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,110,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,110,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,110,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,110,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,110,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,110,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,110,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,110,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,110,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,110,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,110,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,110,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,110,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,110,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,110,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,110,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,110,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,110,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,110,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,110,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,110,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,110,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,110,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,110,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,110,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,110,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,110,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,110,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,110,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,110,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,110,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,110,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,110,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,110,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,110,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,110,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,110,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,110,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,110,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,110,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,110,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,110,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,110,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,110,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,110,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,110,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,110,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,110,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,110,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,110,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,110,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,110,NEUROLOGICAL EYE DISORDERS ,,,12498.1,19995.0,4
RC,110,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,110,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,110,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,110,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,110,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,110,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,110,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,110,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,110,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,110,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,110,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,110,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,110,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,110,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,110,ORBITAL PROCEDURES WITH CC/MCC ,,,7000.0,28993.75,5
RC,110,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,110,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,110,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,110,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,110,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,110,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,110,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,110,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,110,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,110,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,110,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,110,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,110,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,110,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,110,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,110,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,110,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,110,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,110,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,110,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,110,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13046.0,19995.0,4
RC,110,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,19995.0,4
RC,110,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,110,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,110,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,110,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,110,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,110,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,110,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,110,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,110,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,110,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,110,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,110,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,110,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,110,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,110,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,110,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,110,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,110,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,110,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,110,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,110,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,110,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,110,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,110,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,110,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,110,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,110,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,110,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,110,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,110,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,110,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,110,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,110,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,110,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,110,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,110,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,110,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,110,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,110,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,110,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,110,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,110,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,110,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,110,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,110,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,110,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,110,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,110,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,110,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,110,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,110,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,110,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,110,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,110,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,110,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,110,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,110,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,110,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,110,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,110,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,110,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,110,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,110,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,110,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,110,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,110,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,110,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,110,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,110,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,110,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,110,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,110,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,110,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,110,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,110,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,110,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,110,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,110,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,110,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,110,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,110,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,110,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,110,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,110,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,110,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,110,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,110,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,110,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,110,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,110,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,110,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,110,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,110,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,110,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,110,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,110,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,110,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,110,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,110,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,110,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,110,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,110,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,110,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,110,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,110,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,110,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,110,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,PSYCHOSES ,,,18854.11,18854.11,1
RC,110,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,110,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,110,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,110,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,110,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,110,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,110,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,110,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,110,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,110,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,110,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,110,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,110,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,110,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,110,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,110,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,110,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,110,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,110,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,110,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,110,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,110,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,110,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,110,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,110,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,110,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,110,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,110,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,110,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,110,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,110,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,110,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,110,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,110,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,110,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,110,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,110,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,110,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,110,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,110,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,110,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,110,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,110,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,110,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,110,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,110,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,110,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,110,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,110,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,110,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,110,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,110,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,110,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,110,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,110,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,110,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,110,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,110,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,110,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,110,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,110,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,110,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,110,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,110,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,110,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,110,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,110,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,110,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,110,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,110,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,110,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,110,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,110,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,110,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,110,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,110,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,110,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,110,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,110,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,110,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,110,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,110,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,110,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,110,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,110,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,110,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,110,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,110,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,110,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,110,UNGROUPABLE ,,,4012.81,4012.81,1
RC,110,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,110,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,110,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,110,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,110,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,110,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,110,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,110,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,110,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,110,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,110,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,110,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,110,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,110,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,110,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,110,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,110,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,110,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,110,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,110,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,110,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,110,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,110,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,110,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,110,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,110,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,110,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,110,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,110,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,110,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,110,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111, Room & Board - Private (One Bed) Medical/Surgical/GYN  ,,,6650.0,21045.0,4
RC,111,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,111,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,111,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,111,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,111,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,111,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,111,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,111,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,111,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,13046.0,19995.0,4
RC,111,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,12362.1,19995.0,4
RC,111,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,111,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,111,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,111,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,111,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,111,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,111,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,111,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,111,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,111,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,111,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,111,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,111,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,111,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,111,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,111,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,111,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,111,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,111,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,111,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,111,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,111,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,111,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,111,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,111,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,111,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,111,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,111,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,111,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,111,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,111,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,111,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,111,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,111,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,111,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,111,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,111,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,111,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,111,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,111,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,111,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,111,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,111,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,111,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,111,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,111,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,111,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,111,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,111,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,111,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,111,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,111,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,111,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,111,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,111,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,111,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,111,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,111,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,111,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,111,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,111,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,111,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,111,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,111,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,111,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,111,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,111,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,111,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,111,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,111,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,111,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,111,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,111,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,111,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,111,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,111,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,111,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,111,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,111,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,111,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,111,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,111,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,111,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,111,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,111,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,111,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,111,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,111,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,111,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,111,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,111,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,111,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,111,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,111,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,111,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,111,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,111,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,111,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,111,CHEST PAIN ,,,7000.0,11662.96,2
RC,111,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,111,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,111,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,111,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,111,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,111,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,111,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,111,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,111,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,111,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,111,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,111,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,111,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,111,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,111,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,111,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,111,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,111,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,111,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,111,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,111,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,111,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,111,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,111,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,111,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,111,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,111,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,111,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,111,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,111,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,111,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,111,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,111,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,111,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,111,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,111,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,111,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,111,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,111,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,111,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,111,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,111,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,111,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,111,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,111,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,111,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,111,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,111,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,111,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,111,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,111,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,111,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,111,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,111,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,111,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,111,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,111,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,111,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,111,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,111,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,111,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,111,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,111,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,111,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,111,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,111,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,111,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,111,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,111,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,111,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,111,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,111,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,111,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,111,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,111,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,7000.0,20321.45,5
RC,111,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,111,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,111,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,111,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,111,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,111,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,111,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,111,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,111,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,111,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,111,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,111,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,111,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,111,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,111,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,111,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,111,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,111,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,111,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,111,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,111,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,111,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,111,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,111,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,111,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,111,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,111,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,111,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,111,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,111,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,111,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,111,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,111,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,111,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,111,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,111,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,111,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,111,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,111,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,111,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,111,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,111,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,111,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,111,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,111,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,111,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,111,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,111,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,111,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,111,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,111,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,111,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,111,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,111,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,111,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,111,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,111,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,111,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,111,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,7000.0,23224.25,5
RC,111,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,111,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,111,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,111,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,111,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,111,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,111,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,111,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,111,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,111,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,111,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,111,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,111,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,111,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,111,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,111,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,111,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,111,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,111,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,111,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,111,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,111,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,111,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,111,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,111,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,111,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,111,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,111,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,111,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,111,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,111,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,111,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,111,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,111,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,111,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,111,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,111,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,111,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,111,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,111,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,111,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,111,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,111,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,111,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,111,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,111,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,111,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,111,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,111,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,111,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,111,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,111,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,111,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,111,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,111,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,111,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,111,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,111,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,111,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,111,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,111,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,111,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,111,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,111,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,111,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,111,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,111,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,111,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,111,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,111,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,111,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,111,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,111,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,111,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,111,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,111,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,111,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,111,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,111,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,111,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,111,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,111,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,111,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,111,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,111,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,111,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,111,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,111,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,111,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,111,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,111,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,111,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,111,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,111,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,111,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,111,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,111,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,111,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,111,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,111,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,111,NEUROLOGICAL EYE DISORDERS ,,,12498.1,19995.0,4
RC,111,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,111,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,111,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,111,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,111,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,111,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,111,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,111,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,111,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,111,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,111,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,111,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,111,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,111,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,111,ORBITAL PROCEDURES WITH CC/MCC ,,,7000.0,28993.75,5
RC,111,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,111,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,111,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,111,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,111,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,111,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,111,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,111,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,111,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,111,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,111,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,111,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,111,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,111,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,111,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,111,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,111,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,111,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,111,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,111,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,111,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13046.0,19995.0,4
RC,111,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,19995.0,4
RC,111,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,111,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,111,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,111,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,111,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,111,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,111,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,111,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,111,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,111,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,111,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,111,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,111,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,111,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,111,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,111,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,111,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,111,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,111,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,111,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,111,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,111,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,111,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,111,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,111,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,111,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,111,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,111,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,111,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,111,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,111,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,111,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,111,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,111,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,111,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,111,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,111,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,111,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,111,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,111,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,111,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,111,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,111,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,111,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,111,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,111,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,111,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,111,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,111,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,111,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,111,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,111,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,111,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,111,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,111,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,111,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,111,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,111,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,111,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,111,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,111,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,111,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,111,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,111,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,111,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,111,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,111,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,111,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,111,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,111,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,111,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,111,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,111,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,111,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,111,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,111,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,111,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,111,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,111,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,111,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,111,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,111,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,111,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,111,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,111,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,111,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,111,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,111,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,111,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,111,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,111,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,111,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,111,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,111,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,111,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,111,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,111,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,111,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,111,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,111,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,111,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,111,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,111,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,111,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,111,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,111,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,111,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,PSYCHOSES ,,,18854.11,18854.11,1
RC,111,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,111,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,111,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,111,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,111,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,111,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,111,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,111,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,111,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,111,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,111,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,111,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,111,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,111,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,111,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,111,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,111,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,111,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,111,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,111,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,111,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,111,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,111,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,111,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,111,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,111,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,111,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,111,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,111,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,111,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,111,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,111,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,111,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,111,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,111,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,111,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,111,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,111,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,111,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,111,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,111,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,111,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,111,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,111,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,111,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,111,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,111,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,111,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,111,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,111,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,111,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,111,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,111,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,111,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,111,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,111,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,111,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,111,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,111,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,111,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,111,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,111,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,111,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,111,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,111,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,111,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,111,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,111,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,111,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,111,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,111,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,111,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,111,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,111,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,111,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,111,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,111,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,111,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,111,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,111,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,111,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,111,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,111,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,111,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,111,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,111,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,111,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,111,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,111,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,111,UNGROUPABLE ,,,4012.81,4012.81,1
RC,111,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,111,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,111,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,111,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,111,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,111,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,111,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,111,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,111,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,111,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,111,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,111,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,111,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,111,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,111,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,111,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,111,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,111,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,111,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,111,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,111,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,111,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,111,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,111,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,111,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,111,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,111,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,111,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,111,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,111,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,111,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112, Room & Board - Private (One Bed) Obstetrics (OB)  ,,,6650.0,21045.0,4
RC,112,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,112,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,112,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,112,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,112,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,112,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,112,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,112,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,112,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,13046.0,19995.0,4
RC,112,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,12362.1,19995.0,4
RC,112,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,112,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,112,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,112,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,112,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,112,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,112,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,112,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,112,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,112,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,112,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,112,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,112,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,112,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,112,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,112,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,112,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,112,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,112,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,112,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,112,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,112,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,112,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,112,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,112,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,112,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,112,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,112,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,112,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,112,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,112,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,112,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,112,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,112,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,112,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,112,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,112,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,112,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,112,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,112,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,112,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,112,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,112,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,112,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,112,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,112,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,112,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,112,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,112,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,112,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,112,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,112,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,112,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,112,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,112,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,112,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,112,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,112,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,112,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,112,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,112,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,112,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,112,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,112,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,112,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,112,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,112,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,112,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,112,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,112,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,112,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,112,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,112,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,112,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,112,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,112,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,112,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,112,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,112,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,112,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,112,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,112,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,112,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,112,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,112,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,112,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,112,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,112,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,112,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,112,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,112,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,112,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,112,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,112,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,112,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,112,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,112,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,112,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,112,CHEST PAIN ,,,7000.0,11662.96,2
RC,112,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,112,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,112,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,112,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,112,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,112,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,112,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,112,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,112,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,112,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,112,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,112,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,112,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,112,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,112,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,112,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,112,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,112,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,112,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,112,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,112,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,112,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,112,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,112,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,112,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,112,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,112,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,112,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,112,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,112,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,112,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,112,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,112,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,112,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,112,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,112,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,112,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,112,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,112,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,112,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,112,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,112,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,112,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,112,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,112,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,112,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,112,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,112,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,112,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,112,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,112,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,112,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,112,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,112,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,112,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,112,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,112,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,112,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,112,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,112,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,112,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,112,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,112,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,112,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,112,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,112,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,112,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,112,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,112,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,112,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,112,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,112,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,112,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,112,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,112,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,7000.0,20321.45,5
RC,112,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,112,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,112,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,112,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,112,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,112,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,112,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,112,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,112,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,112,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,112,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,112,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,112,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,112,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,112,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,112,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,112,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,112,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,112,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,112,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,112,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,112,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,112,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,112,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,112,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,112,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,112,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,112,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,112,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,112,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,112,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,112,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,112,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,112,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,112,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,112,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,112,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,112,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,112,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,112,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,112,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,112,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,112,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,112,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,112,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,112,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,112,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,112,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,112,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,112,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,112,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,112,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,112,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,112,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,112,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,112,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,112,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,112,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,112,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,7000.0,23224.25,5
RC,112,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,112,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,112,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,112,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,112,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,112,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,112,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,112,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,112,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,112,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,112,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,112,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,112,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,112,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,112,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,112,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,112,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,112,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,112,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,112,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,112,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,112,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,112,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,112,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,112,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,112,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,112,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,112,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,112,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,112,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,112,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,112,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,112,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,112,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,112,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,112,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,112,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,112,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,112,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,112,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,112,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,112,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,112,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,112,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,112,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,112,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,112,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,112,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,112,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,112,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,112,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,112,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,112,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,112,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,112,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,112,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,112,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,112,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,112,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,112,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,112,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,112,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,112,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,112,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,112,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,112,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,112,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,112,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,112,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,112,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,112,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,112,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,112,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,112,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,112,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,112,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,112,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,112,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,112,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,112,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,112,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,112,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,112,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,112,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,112,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,112,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,112,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,112,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,112,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,112,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,112,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,112,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,112,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,112,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,112,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,112,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,112,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,112,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,112,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,112,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,112,NEUROLOGICAL EYE DISORDERS ,,,12498.1,19995.0,4
RC,112,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,112,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,112,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,112,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,112,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,112,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,112,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,112,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,112,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,112,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,112,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,112,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,112,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,112,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,112,ORBITAL PROCEDURES WITH CC/MCC ,,,7000.0,28993.75,5
RC,112,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,112,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,112,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,112,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,112,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,112,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,112,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,112,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,112,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,112,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,112,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,112,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,112,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,112,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,112,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,112,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,112,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,112,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,112,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,112,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,112,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13046.0,19995.0,4
RC,112,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,19995.0,4
RC,112,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,112,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,112,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,112,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,112,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,112,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,112,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,112,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,112,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,112,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,112,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,112,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,112,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,112,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,112,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,112,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,112,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,112,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,112,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,112,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,112,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,112,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,112,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,112,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,112,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,112,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,112,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,112,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,112,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,112,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,112,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,112,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,112,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,112,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,112,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,112,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,112,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,112,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,112,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,112,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,112,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,112,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,112,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,112,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,112,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,112,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,112,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,112,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,112,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,112,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,112,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,112,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,112,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,112,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,112,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,112,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,112,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,112,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,112,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,112,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,112,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,112,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,112,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,112,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,112,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,112,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,112,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,112,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,112,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,112,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,112,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,112,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,112,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,112,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,112,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,112,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,112,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,112,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,112,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,112,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,112,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,112,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,112,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,112,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,112,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,112,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,112,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,112,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,112,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,112,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,112,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,112,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,112,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,112,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,112,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,112,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,112,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,112,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,112,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,112,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,112,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,112,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,112,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,112,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,112,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,112,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,112,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,PSYCHOSES ,,,18854.11,18854.11,1
RC,112,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,112,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,112,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,112,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,112,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,112,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,112,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,112,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,112,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,112,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,112,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,112,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,112,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,112,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,112,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,112,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,112,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,112,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,112,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,112,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,112,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,112,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,112,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,112,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,112,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,112,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,112,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,112,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,112,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,112,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,112,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,112,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,112,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,112,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,112,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,112,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,112,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,112,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,112,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,112,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,112,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,112,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,112,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,112,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,112,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,112,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,112,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,112,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,112,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,112,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,112,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,112,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,112,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,112,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,112,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,112,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,112,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,112,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,112,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,112,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,112,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,112,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,112,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,112,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,112,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,112,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,112,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,112,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,112,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,112,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,112,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,112,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,112,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,112,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,112,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,112,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,112,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,112,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,112,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,112,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,112,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,112,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,112,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,112,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,112,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,112,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,112,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,112,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,112,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,112,UNGROUPABLE ,,,4012.81,4012.81,1
RC,112,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,112,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,112,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,112,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,112,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,112,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,112,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,112,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,112,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,112,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,112,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,112,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,112,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,112,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,112,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,112,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,112,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,112,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,112,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,112,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,112,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,112,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,112,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,112,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,112,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,112,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,112,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,112,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,112,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,112,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,112,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113, Room & Board - Private (One Bed) Pediatric  ,,,6650.0,21045.0,4
RC,113,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,113,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,113,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,113,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,113,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,113,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,113,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,113,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,113,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,13046.0,19995.0,4
RC,113,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,12362.1,19995.0,4
RC,113,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,113,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,113,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,113,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,113,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,113,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,113,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,113,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,113,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,113,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,113,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,113,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,113,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,113,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,113,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,113,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,113,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,113,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,113,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,113,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,113,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,113,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,113,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,113,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,113,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,113,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,113,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,113,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,113,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,113,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,113,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,113,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,113,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,113,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,113,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,113,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,113,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,113,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,113,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,113,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,113,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,113,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,113,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,113,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,113,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,113,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,113,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,113,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,113,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,113,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,113,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,113,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,113,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,113,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,113,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,113,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,113,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,113,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,113,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,113,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,113,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,113,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,113,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,113,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,113,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,113,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,113,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,113,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,113,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,113,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,113,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,113,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,113,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,113,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,113,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,113,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,113,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,113,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,113,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,113,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,113,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,113,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,113,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,113,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,113,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,113,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,113,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,113,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,113,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,113,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,113,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,113,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,113,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,113,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,113,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,113,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,113,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,113,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,113,CHEST PAIN ,,,7000.0,11662.96,2
RC,113,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,113,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,113,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,113,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,113,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,113,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,113,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,113,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,113,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,113,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,113,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,113,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,113,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,113,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,113,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,113,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,113,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,113,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,113,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,113,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,113,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,113,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,113,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,113,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,113,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,113,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,113,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,113,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,113,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,113,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,113,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,113,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,113,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,113,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,113,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,113,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,113,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,113,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,113,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,113,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,113,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,113,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,113,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,113,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,113,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,113,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,113,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,113,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,113,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,113,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,113,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,113,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,113,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,113,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,113,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,113,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,113,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,113,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,113,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,113,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,113,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,113,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,113,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,113,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,113,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,113,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,113,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,113,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,113,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,113,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,113,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,113,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,113,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,113,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,113,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,7000.0,20321.45,5
RC,113,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,113,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,113,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,113,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,113,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,113,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,113,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,113,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,113,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,113,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,113,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,113,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,113,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,113,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,113,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,113,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,113,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,113,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,113,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,113,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,113,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,113,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,113,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,113,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,113,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,113,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,113,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,113,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,113,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,113,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,113,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,113,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,113,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,113,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,113,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,113,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,113,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,113,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,113,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,113,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,113,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,113,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,113,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,113,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,113,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,113,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,113,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,113,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,113,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,113,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,113,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,113,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,113,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,113,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,113,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,113,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,113,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,113,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,113,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,7000.0,23224.25,5
RC,113,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,113,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,113,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,113,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,113,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,113,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,113,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,113,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,113,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,113,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,113,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,113,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,113,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,113,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,113,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,113,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,113,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,113,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,113,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,113,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,113,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,113,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,113,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,113,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,113,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,113,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,113,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,113,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,113,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,113,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,113,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,113,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,113,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,113,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,113,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,113,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,113,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,113,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,113,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,113,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,113,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,113,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,113,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,113,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,113,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,113,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,113,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,113,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,113,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,113,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,113,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,113,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,113,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,113,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,113,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,113,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,113,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,113,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,113,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,113,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,113,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,113,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,113,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,113,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,113,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,113,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,113,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,113,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,113,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,113,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,113,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,113,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,113,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,113,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,113,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,113,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,113,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,113,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,113,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,113,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,113,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,113,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,113,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,113,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,113,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,113,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,113,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,113,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,113,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,113,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,113,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,113,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,113,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,113,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,113,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,113,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,113,NEUROLOGICAL EYE DISORDERS ,,,12498.1,19995.0,4
RC,113,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,113,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,113,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,113,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,113,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,113,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,113,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,113,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,113,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,113,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,113,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,113,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,113,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,113,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,113,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,113,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,113,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,113,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,113,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,113,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,113,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,113,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,113,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,113,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,113,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,113,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,113,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,113,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,113,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,113,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,113,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,113,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,113,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,113,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,113,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13046.0,19995.0,4
RC,113,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,19995.0,4
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,113,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,113,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,113,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,113,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,113,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,113,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,113,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,113,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,113,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,113,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,113,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,113,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,113,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,113,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,113,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,113,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,113,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,113,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,113,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,113,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,113,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,113,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,113,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,113,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,113,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,113,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,113,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,113,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,113,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,113,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,113,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,113,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,113,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,113,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,113,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,113,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,113,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,113,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,113,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,113,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,113,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,113,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,113,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,113,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,113,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,113,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,113,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,113,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,113,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,113,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,113,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,113,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,113,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,113,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,113,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,113,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,113,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,113,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,113,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,113,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,113,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,113,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,113,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,113,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,113,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,113,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,113,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,113,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,113,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,113,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,113,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,113,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,113,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,113,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,113,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,113,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,113,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,113,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,113,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,113,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,113,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,113,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,113,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,113,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,113,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,113,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,113,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,113,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,113,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,113,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,113,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,113,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,113,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,113,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,113,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,113,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,113,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,113,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,PSYCHOSES ,,,18854.11,18854.11,1
RC,113,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,113,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,113,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,113,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,113,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,113,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,113,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,113,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,113,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,113,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,113,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,113,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,113,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,113,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,113,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,113,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,113,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,113,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,113,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,113,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,113,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,113,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,113,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,113,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,113,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,113,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,113,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,113,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,113,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,113,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,113,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,113,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,113,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,113,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,113,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,113,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,113,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,113,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,113,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,113,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,113,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,113,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,113,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,113,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,113,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,113,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,113,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,113,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,113,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,113,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,113,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,113,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,113,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,113,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,113,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,113,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,113,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,113,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,113,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,113,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,113,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,113,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,113,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,113,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,113,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,113,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,113,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,113,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,113,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,113,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,113,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,113,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,113,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,113,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,113,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,113,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,113,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,113,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,113,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,113,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,113,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,113,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,113,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,113,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,113,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,113,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,113,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,113,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,113,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,113,UNGROUPABLE ,,,4012.81,4012.81,1
RC,113,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,113,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,113,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,113,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,113,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,113,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,113,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,113,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,113,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,113,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,113,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,113,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,113,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,113,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,113,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,113,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,113,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,113,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,113,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,113,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,113,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,113,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,113,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,113,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,113,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,113,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,113,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,114, Room & Board - Private (One Bed) Psychiatric  ,,,768.0,7700.0,18
RC,114, Room & Board - Private (One Bed) Psychiatric  Adolescent,,,1103.0,2002.0,2
RC,114, Room & Board - Private (One Bed) Psychiatric  Adult,,,2002.0,2002.0,1
RC,114, Room & Board - Private (One Bed) Psychiatric  Adult/Geriatric,,,1103.0,1103.0,1
RC,114, Room & Board - Private (One Bed) Psychiatric  Children,,,110.0,110.0,1
RC,114, Room & Board - Private (One Bed) Psychiatric  Dual Diagnosis,,,1095.0,1095.0,1
RC,114, Room & Board - Private (One Bed) Psychiatric  Dual Diagnosis Adult,,,1542.0,1542.0,1
RC,114, Room & Board - Private (One Bed) Psychiatric  Dual Diagnosis Geriatric,,,1542.0,1542.0,1
RC,114, Room & Board - Private (One Bed) Psychiatric  Mental Health Adult,,,1542.0,1542.0,1
RC,114, Room & Board - Private (One Bed) Psychiatric  Mental Health Geriatric,,,1095.0,1542.0,2
RC,114,ABDOMINAL PAIN Mental Health Geriatric,,,2635.66,7047.61,4
RC,114,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,114,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,3702.72,28784.47,4
RC,114,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,114,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,2242.46,17090.96,4
RC,114,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,114,ACUTE AND SUBACUTE ENDOCARDITIS Mental Health Geriatric,,,4893.54,10995.89,4
RC,114,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,2
RC,114,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,2
RC,114,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,13891.07,2
RC,114,ACUTE ANXIETY AND STRESS SYNDROMES Mental Health Geriatric,,,2084.42,8187.18,4
RC,114,ACUTE BRONCHITIS AND RELATED SYMPTOMS Mental Health Geriatric,,,2278.74,6575.59,4
RC,114,ACUTE KIDNEY INJURY Mental Health Geriatric,,,2220.78,11029.24,4
RC,114,ACUTE LEUKEMIA Mental Health Geriatric,,,5508.16,28731.24,4
RC,114,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,114,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,114,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,114,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,114,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,16373.11,16373.11,1
RC,114,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,12362.1,12362.1,1
RC,114,ACUTE MYOCARDIAL INFARCTION Mental Health Geriatric,,,2757.83,9679.51,4
RC,114,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,114,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,114,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,114,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,114,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,114,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,10376.25,2
RC,114,ADJUSTMENT DISORDERS Mental Health Geriatric,,,1255.91,4788.05,4
RC,114,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,114,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,114,ADRENAL PROCEDURES Mental Health Geriatric,,,5539.85,22565.1,4
RC,114,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,114,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,114,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,114,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,114,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,114,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,114,AICD LEAD PROCEDURES ,,,7000.0,42456.95,2
RC,114,ALCOHOL ABUSE AND DEPENDENCE Mental Health Geriatric,,,1816.32,11673.88,4
RC,114,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Mental Health Geriatric,,,2482.63,12366.46,4
RC,114,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,114,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,114,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,114,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,114,ALCOHOLIC LIVER DISEASE Mental Health Geriatric,,,2777.02,11993.27,4
RC,114,ALLERGIC REACTIONS Mental Health Geriatric,,,1679.96,9832.96,4
RC,114,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,114,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,114,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,114,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,114,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,114,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,114,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,2
RC,114,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,16552.69,2
RC,114,AMPUTATION OF LOWER LIMB EXCEPT TOES Mental Health Geriatric,,,5075.34,18151.91,4
RC,114,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,114,ANAL AND PERINEAL PROCEDURES Mental Health Geriatric,,,4001.23,12198.84,4
RC,114,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,114,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,114,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,114,ANGINA PECTORIS ,,,7000.0,11470.65,2
RC,114,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Mental Health Geriatric,,,2611.9,8536.61,4
RC,114,ANTEPARTUM WITH O.R. PROCEDURE Mental Health Geriatric,,,3635.87,33162.16,4
RC,114,ANTEPARTUM WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,1888.04,19048.75,4
RC,114,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,114,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,114,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4738.85,14783.63,4
RC,114,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,114,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,114,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,114,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4518.7,11733.92,4
RC,114,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,114,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,114,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,114,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,114,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,114,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,114,ASTHMA Mental Health Geriatric,,,1890.12,7638.46,4
RC,114,ATHEROSCLEROSIS WITH MCC ,,,7000.0,16726.93,2
RC,114,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,11165.7,2
RC,114,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,114,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,114,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,114,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,114,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,114,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,114,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,114,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,114,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,114,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,4
RC,114,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,2
RC,114,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,2
RC,114,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,2
RC,114,BIPOLAR DISORDERS Mental Health Geriatric,,,1954.33,9294.65,4
RC,114,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,17786.27,2
RC,114,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,12832.8,2
RC,114,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Mental Health Geriatric,,,2084.84,8686.72,4
RC,114,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,114,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,114,BREAST PROCEDURES EXCEPT MASTECTOMY Mental Health Geriatric,,,6096.08,13840.03,4
RC,114,BRONCHIOLITIS AND RSV PNEUMONIA Mental Health Geriatric,,,1490.66,8742.59,4
RC,114,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,114,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,114,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Mental Health Geriatric,,,7711.42,54670.03,4
RC,114,CARDIAC ARREST AND SHOCK Mental Health Geriatric,,,2168.23,8679.62,4
RC,114,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,114,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,114,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,114,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Mental Health Geriatric,,,2105.69,7950.35,4
RC,114,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,11829.78,2
RC,114,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,16805.56,2
RC,114,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,10027.74,2
RC,114,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Mental Health Geriatric,,,4513.27,11613.83,4
RC,114,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Mental Health Geriatric,,,4599.17,14592.66,4
RC,114,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,2
RC,114,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,13715.75,2
RC,114,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,114,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,114,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,114,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,114,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,114,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,114,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,114,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Mental Health Geriatric,,,6071.06,16574.51,4
RC,114,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,2
RC,114,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,2
RC,114,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,2
RC,114,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,2
RC,114,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,2
RC,114,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Mental Health Geriatric,,,2933.38,11131.4,4
RC,114,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,6
RC,114,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,6
RC,114,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,18216.95,42315.24,4
RC,114,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,15944.89,37783.63,4
RC,114,CARDIOMYOPATHY Mental Health Geriatric,,,2638.16,9900.1,4
RC,114,CELLULITIS AND OTHER SKIN INFECTIONS Mental Health Geriatric,,,2129.46,8912.71,4
RC,114,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,114,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,114,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,114,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,114,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,114,CESAREAN SECTION WITH STERILIZATION Mental Health Geriatric,,,3676.69,33015.34,4
RC,114,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,114,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,114,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,114,CESAREAN SECTION WITHOUT STERILIZATION Mental Health Geriatric,,,3661.31,27084.84,4
RC,114,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,114,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,114,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,114,CHEMOTHERAPY FOR ACUTE LEUKEMIA Mental Health Geriatric,,,3722.28,25182.41,4
RC,114,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,114,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,114,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,114,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,114,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,114,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,114,CHEST PAIN ,,,7000.0,11662.96,2
RC,114,CHEST PAIN Mental Health Geriatric,,,2681.94,6640.22,4
RC,114,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,2
RC,114,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,114,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,114,CHOLECYSTECTOMY Mental Health Geriatric,,,5312.18,15261.89,4
RC,114,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,114,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,114,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,114,CHRONIC KIDNEY DISEASE Mental Health Geriatric,,,2368.8,10315.81,4
RC,114,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Mental Health Geriatric,,,2320.85,7413.29,4
RC,114,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12969.86,2
RC,114,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,15782.35,15782.35,1
RC,114,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10834.2,2
RC,114,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,114,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,114,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,114,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,114,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,114,COAGULATION AND PLATELET DISORDERS Mental Health Geriatric,,,3574.67,12456.53,4
RC,114,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,114,COCAINE ABUSE AND DEPENDENCE Mental Health Geriatric,,,1670.38,9330.52,4
RC,114,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,114,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,114,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,2
RC,114,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,15525.23,2
RC,114,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,114,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,114,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,114,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,114,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,114,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,2
RC,114,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,114,CONNECTIVE TISSUE DISORDERS Mental Health Geriatric,,,3409.14,13897.99,4
RC,114,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,16267.93,2
RC,114,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,2
RC,114,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,12897.62,2
RC,114,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Mental Health Geriatric",,,3276.12,10005.59,4
RC,114,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,17145.76,32891.75,4
RC,114,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,2
RC,114,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,2
RC,114,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,2
RC,114,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,2
RC,114,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,14471.32,28532.34,4
RC,114,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,114,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,114,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,114,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,114,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,114,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,114,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,11337.8,30993.71,4
RC,114,CYSTIC FIBROSIS - PULMONARY DISEASE Mental Health Geriatric,,,4778.04,11731.0,4
RC,114,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,114,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,114,DEFIBRILLATOR IMPLANTS Mental Health Geriatric,,,14403.35,27697.57,4
RC,114,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,13679.62,2
RC,114,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,2
RC,114,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,11540.78,2
RC,114,DENTAL DISEASES AND DISORDERS Mental Health Geriatric,,,2160.31,10567.66,4
RC,114,DEPRESSIVE DISORDERS Mental Health Geriatric,,,1652.45,9282.14,4
RC,114,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,114,DIABETES Mental Health Geriatric,,,2335.44,8629.16,4
RC,114,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,114,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,114,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,114,DIGESTIVE MALIGNANCY Mental Health Geriatric,,,3626.8,10922.08,4
RC,114,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,16865.07,2
RC,114,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,2
RC,114,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,114,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Mental Health Geriatric,,,3892.4,12235.94,4
RC,114,DISORDERS OF GALLBLADDER AND BILIARY TRACT Mental Health Geriatric,,,2699.87,10077.3,4
RC,114,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Mental Health Geriatric,,,2080.68,15327.77,4
RC,114,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,14269.32,2
RC,114,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,2
RC,114,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,11447.28,2
RC,114,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Mental Health Geriatric,,,2418.0,11676.37,4
RC,114,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12950.74,2
RC,114,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,114,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,10615.32,2
RC,114,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,114,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,114,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,114,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,114,DIVERTICULITIS AND DIVERTICULOSIS Mental Health Geriatric,,,2331.28,9403.48,4
RC,114,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Mental Health Geriatric,,,11271.5,30024.67,4
RC,114,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Mental Health Geriatric,,,17455.56,42924.85,4
RC,114,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Mental Health Geriatric",,,1200.04,8311.02,4
RC,114,DYSEQUILIBRIUM ,,,7000.0,11998.72,2
RC,114,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,17522.77,2
RC,114,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,2
RC,114,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,12482.17,2
RC,114,EATING DISORDERS Mental Health Geriatric,,,4798.48,16985.22,4
RC,114,ELECTIVE HIP JOINT REPLACEMENT Mental Health Geriatric,,,6259.54,16820.94,4
RC,114,ELECTIVE KNEE JOINT REPLACEMENT Mental Health Geriatric,,,6143.2,15420.76,4
RC,114,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,114,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,114,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,114,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,2
RC,114,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,2
RC,114,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,2
RC,114,EPISTAXIS WITH MCC ,,,7000.0,18160.28,2
RC,114,EPISTAXIS WITHOUT MCC ,,,7000.0,11811.71,2
RC,114,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,114,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,12296.22,2
RC,114,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,8813.89,31255.98,4
RC,114,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,114,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,114,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,7148.51,24255.91,4
RC,114,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,6883.74,21139.9,4
RC,114,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,114,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,114,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,114,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Mental Health Geriatric,,,23840.2,106648.52,4
RC,114,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,3618.04,12891.01,4
RC,114,EXTERNAL HEART ASSIST DEVICES Mental Health Geriatric,,,20680.4,36380.94,4
RC,114,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,7000.0,20321.45,2
RC,114,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,114,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Mental Health Geriatric,,,2302.92,8809.72,4
RC,114,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Mental Health Geriatric,,,3110.17,10324.15,4
RC,114,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,114,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Mental Health Geriatric,,,5097.86,21578.14,4
RC,114,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,114,FEVER AND INFLAMMATORY CONDITIONS Mental Health Geriatric,,,2026.88,6681.5,4
RC,114,FOOT AND TOE PROCEDURES Mental Health Geriatric,,,4416.53,14491.75,4
RC,114,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,2
RC,114,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,2
RC,114,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,114,FRACTURE OF FEMUR Mental Health Geriatric,,,2343.78,7153.1,4
RC,114,FRACTURE OF PELVIS OR DISLOCATION OF HIP Mental Health Geriatric,,,2601.47,9079.08,4
RC,114,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,114,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Mental Health Geriatric",,,2796.61,9488.54,4
RC,114,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,2
RC,114,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,12577.79,2
RC,114,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,17634.33,2
RC,114,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,12593.73,2
RC,114,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,114,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,114,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,114,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,114,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,114,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,2
RC,114,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,114,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,114,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,114,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,114,GASTROINTESTINAL VASCULAR INSUFFICIENCY Mental Health Geriatric,,,2731.56,9029.04,4
RC,114,GENDER RELATED PROCEDURES Mental Health Geriatric,,,9202.08,50815.57,4
RC,114,GENETIC DISORDERS Mental Health Geriatric,,,3283.21,22763.58,4
RC,114,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Mental Health Geriatric,,,4464.9,16153.79,4
RC,114,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6299.57,21106.96,4
RC,114,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Mental Health Geriatric,,,4667.14,18697.72,4
RC,114,HAND AND WRIST PROCEDURES Mental Health Geriatric,,,4471.57,12957.3,4
RC,114,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,2
RC,114,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,14874.96,2
RC,114,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,114,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,114,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,114,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,114,HEART FAILURE Mental Health Geriatric,,,2395.49,10730.69,4
RC,114,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Mental Health Geriatric,,,2424.25,9936.37,4
RC,114,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Mental Health Geriatric,,,2337.53,11125.56,4
RC,114,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,114,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,114,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,114,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,2
RC,114,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,2
RC,114,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,18303.71,2
RC,114,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Mental Health Geriatric",,,5531.51,18000.54,4
RC,114,HIP AND FEMUR FRACTURE REPAIR Mental Health Geriatric,,,5960.15,14309.95,4
RC,114,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,114,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,114,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,114,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,114,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,114,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,114,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,114,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI Mental Health Geriatric,,,4029.17,9171.65,4
RC,114,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,114,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,114,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,114,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Mental Health Geriatric,,,3596.35,15694.7,4
RC,114,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Mental Health Geriatric,,,3618.04,8646.26,4
RC,114,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,114,HOSPICE AND PALLIATIVE CARE Mental Health Geriatric,,,858.54,1030.33,4
RC,114,HYPERTENSION Mental Health Geriatric,,,2711.14,8817.23,4
RC,114,HYPERTENSION WITH MCC ,,,7000.0,16656.81,2
RC,114,HYPERTENSION WITHOUT MCC ,,,7000.0,12035.9,2
RC,114,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Mental Health Geriatric,,,1940.57,6751.56,4
RC,114,IMPLANTABLE HEART ASSIST SYSTEMS Mental Health Geriatric,,,59825.44,115367.76,4
RC,114,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,114,INBORN ERRORS OF METABOLISM Mental Health Geriatric,,,3171.05,24774.62,4
RC,114,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,114,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,114,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,114,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Mental Health Geriatric,,,6146.12,20729.6,4
RC,114,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,114,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,114,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,114,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,114,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,114,INFLAMMATORY BOWEL DISEASE Mental Health Geriatric,,,2700.71,9128.7,4
RC,114,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,114,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,114,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,114,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,114,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,114,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,114,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Mental Health Geriatric",,,4785.97,14410.86,4
RC,114,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Mental Health Geriatric",,,8040.83,21099.46,4
RC,114,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Mental Health Geriatric,,,1878.44,10436.32,4
RC,114,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Mental Health Geriatric,,,3045.96,9763.32,4
RC,114,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,14097.19,2
RC,114,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,2
RC,114,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,11622.58,2
RC,114,INTESTINAL OBSTRUCTION Mental Health Geriatric,,,2154.48,8511.59,4
RC,114,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,7000.0,23224.25,2
RC,114,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,7000.0,15540.1,2
RC,114,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,114,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,114,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,114,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,114,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,114,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,114,KIDNEY AND URINARY TRACT INFECTIONS Mental Health Geriatric,,,2340.44,6933.36,4
RC,114,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,114,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,114,KIDNEY AND URINARY TRACT MALIGNANCY Mental Health Geriatric,,,3405.8,11039.66,4
RC,114,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,114,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,114,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,114,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6300.4,20013.67,4
RC,114,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Mental Health Geriatric,,,6031.87,17287.94,4
RC,114,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,114,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,114,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,114,KIDNEY TRANSPLANT Mental Health Geriatric,,,21479.32,39941.86,4
RC,114,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,114,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,114,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Mental Health Geriatric,,,6428.82,18339.12,4
RC,114,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,2
RC,114,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,2
RC,114,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,114,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,2
RC,114,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,114,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,114,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,114,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,114,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,114,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,6
RC,114,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,2
RC,114,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,2
RC,114,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,2
RC,114,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,114,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,2
RC,114,LOWER VASCULAR PROCEDURES Mental Health Geriatric,,,7223.57,21188.69,4
RC,114,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Mental Health Geriatric,,,3049.7,10853.7,4
RC,114,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,114,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,114,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,114,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,114,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,114,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,114,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,114,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,114,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,114,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Mental Health Geriatric",,,3615.12,16950.61,4
RC,114,MAJOR ABDOMINAL VASCULAR PROCEDURES Mental Health Geriatric,,,11805.22,25457.2,4
RC,114,MAJOR BILIARY TRACT PROCEDURES Mental Health Geriatric,,,7103.89,22027.63,4
RC,114,MAJOR BLADDER PROCEDURES Mental Health Geriatric,,,9317.17,25508.48,4
RC,114,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,114,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,114,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,114,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Mental Health Geriatric,,,14909.98,67535.18,4
RC,114,MAJOR CHEST AND RESPIRATORY TRAUMA Mental Health Geriatric,,,3146.45,10866.2,4
RC,114,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,2
RC,114,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,2
RC,114,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,2
RC,114,MAJOR CHEST TRAUMA WITH CC ,,,15319.1,15319.1,1
RC,114,MAJOR CHEST TRAUMA WITH MCC ,,,20268.32,20268.32,1
RC,114,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,12369.54,1
RC,114,MAJOR ESOPHAGEAL DISORDERS Mental Health Geriatric,,,3091.4,11085.53,4
RC,114,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,114,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,114,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,11458.96,2
RC,114,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Mental Health Geriatric,,,2515.57,9344.27,4
RC,114,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,114,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,2
RC,114,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,114,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,27187.46,27187.46,1
RC,114,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,49332.52,49332.52,1
RC,114,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,20974.89,20974.89,1
RC,114,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Mental Health Geriatric,,,2559.36,12508.64,4
RC,114,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,114,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,114,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,114,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,114,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,2
RC,114,MAJOR LARGE BOWEL PROCEDURES Mental Health Geriatric,,,6569.76,18460.46,4
RC,114,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,114,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,114,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,7350.32,31025.82,4
RC,114,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Mental Health Geriatric",,,8471.98,25798.27,4
RC,114,MAJOR RESPIRATORY AND CHEST PROCEDURES Mental Health Geriatric,,,8431.94,27193.45,4
RC,114,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Mental Health Geriatric,,,2564.77,8897.7,4
RC,114,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,2
RC,114,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,114,MAJOR SKIN DISORDERS Mental Health Geriatric,,,2103.19,14003.48,4
RC,114,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,114,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,114,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,114,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,114,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,114,MAJOR SMALL BOWEL PROCEDURES Mental Health Geriatric,,,5318.44,20640.79,4
RC,114,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,6927.11,24108.3,4
RC,114,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,18348.35,2
RC,114,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Mental Health Geriatric,,,2300.0,9983.06,4
RC,114,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Mental Health Geriatric",,,2659.01,10825.34,4
RC,114,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Mental Health Geriatric",,,2839.98,10809.5,4
RC,114,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Mental Health Geriatric",,,2551.85,9096.59,4
RC,114,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Mental Health Geriatric",,,2973.82,10011.0,4
RC,114,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Mental Health Geriatric,,,3295.72,9999.32,4
RC,114,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,114,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,114,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,114,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,114,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,114,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,114,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Mental Health Geriatric",,,3113.93,9292.57,4
RC,114,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,114,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,114,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,114,MALIGNANT BREAST DISORDERS Mental Health Geriatric,,,3655.56,10300.8,4
RC,114,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,114,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,114,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,114,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Mental Health Geriatric",,,2273.74,9630.73,4
RC,114,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,114,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,114,MASTECTOMY PROCEDURES Mental Health Geriatric,,,7114.32,12817.62,4
RC,114,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,2
RC,114,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,14226.82,2
RC,114,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Mental Health Geriatric,,,2426.76,8609.99,4
RC,114,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,114,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,114,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,4096.3,25977.16,4
RC,114,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,114,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,114,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,114,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,114,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,114,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,2
RC,114,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,2
RC,114,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,114,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,114,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,114,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,5179.16,19144.28,4
RC,114,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,5159.57,17171.6,4
RC,114,MOUTH PROCEDURES WITH CC/MCC ,,,19878.37,19878.37,1
RC,114,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13428.87,13428.87,1
RC,114,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,16800.08,36867.55,4
RC,114,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,114,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,114,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,114,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,4092.96,14277.84,4
RC,114,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,9194.16,28054.08,4
RC,114,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Mental Health Geriatric,,,4066.28,11988.68,4
RC,114,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,114,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,114,NEONATAL AFTERCARE Mental Health Geriatric,,,5633.24,44950.49,4
RC,114,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,7726.02,50058.36,4
RC,114,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,27073.79,67834.15,4
RC,114,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,10356.25,29543.5,4
RC,114,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,17573.15,47769.19,4
RC,114,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,8072.1,44339.21,4
RC,114,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,7171.45,44786.2,4
RC,114,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5584.04,27744.68,4
RC,114,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,11563.38,39863.88,4
RC,114,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,19181.82,112697.08,4
RC,114,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,5242.97,23530.38,4
RC,114,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,2731.14,33224.9,4
RC,114,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5353.46,29141.95,4
RC,114,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,6839.95,21704.47,4
RC,114,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Mental Health Geriatric",,,982.19,18303.86,4
RC,114,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,5460.2,99215.64,4
RC,114,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,32629.9,92243.09,4
RC,114,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,74907.61,153134.29,4
RC,114,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Mental Health Geriatric",,,1737.5,70556.12,4
RC,114,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,3378.28,20747.11,4
RC,114,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,1000.73,36671.99,4
RC,114,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Mental Health Geriatric,,,12543.67,94599.38,4
RC,114,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Mental Health Geriatric,,,4650.04,105280.87,4
RC,114,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,1467.73,11772.28,4
RC,114,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Mental Health Geriatric,,,2622.31,22253.63,4
RC,114,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Mental Health Geriatric",,,721.26,9426.34,4
RC,114,NEONATE WITH ECMO Mental Health Geriatric,,,90705.72,229024.7,4
RC,114,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,114,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Mental Health Geriatric",,,450.32,3814.01,4
RC,114,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Mental Health Geriatric",,,1363.91,7107.65,4
RC,114,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,114,NEPHRITIS AND NEPHROSIS Mental Health Geriatric,,,2592.71,13427.23,4
RC,114,NEUROLOGICAL EYE DISORDERS ,,,12498.1,12498.1,1
RC,114,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,114,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Mental Health Geriatric,,,7064.28,16337.26,4
RC,114,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Mental Health Geriatric,,,9228.77,17424.29,4
RC,114,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,114,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4617.52,16856.38,4
RC,114,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,4145.51,15976.57,4
RC,114,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,114,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,114,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,114,NON-HYPOVOLEMIC SODIUM DISORDERS Mental Health Geriatric,,,2255.8,8345.21,4
RC,114,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,114,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,114,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,114,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,114,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,114,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,114,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,114,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,114,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,114,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,114,OBSESSIVE COMPULSIVE DISORDERS Mental Health Geriatric,,,2730.73,6283.31,4
RC,114,OPIOID ABUSE AND DEPENDENCE Mental Health Geriatric,,,1426.03,8843.9,4
RC,114,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,114,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Mental Health Geriatric,,,2652.34,13346.76,4
RC,114,OSTEOMYELITIS WITH CC ,,,7000.0,17786.27,2
RC,114,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,2
RC,114,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,12379.1,2
RC,114,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Mental Health Geriatric",,,3255.7,10627.28,4
RC,114,OTHER AFTERCARE AND CONVALESCENCE Mental Health Geriatric,,,3557.58,7655.96,4
RC,114,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Mental Health Geriatric,,,2743.24,9428.92,4
RC,114,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,2484.3,9045.3,4
RC,114,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,114,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,114,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,114,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,114,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,114,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,114,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Mental Health Geriatric",,,3280.72,10182.79,4
RC,114,OTHER BLADDER PROCEDURES Mental Health Geriatric,,,4784.3,13658.65,4
RC,114,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Mental Health Geriatric,,,11152.67,33576.41,4
RC,114,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,114,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,2
RC,114,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,2
RC,114,OTHER CHEMOTHERAPY Mental Health Geriatric,,,3204.83,12944.8,4
RC,114,OTHER CIRCULATORY SYSTEM DIAGNOSES Mental Health Geriatric,,,2562.28,9553.18,4
RC,114,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,14248.07,2
RC,114,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,2
RC,114,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,114,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,2
RC,114,OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,2749.08,9455.18,4
RC,114,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Mental Health Geriatric,,,5387.23,18505.08,4
RC,114,OTHER DIGESTIVE SYSTEM DIAGNOSES Mental Health Geriatric,,,2691.12,9194.58,4
RC,114,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,13954.82,2
RC,114,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,2
RC,114,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,114,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,2
RC,114,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,2
RC,114,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18865.79,2
RC,114,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,18071.03,18071.03,1
RC,114,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,12170.85,1
RC,114,OTHER DISORDERS OF THE LIVER Mental Health Geriatric,,,2763.67,10730.69,4
RC,114,OTHER DRUG ABUSE AND DEPENDENCE Mental Health Geriatric,,,1639.52,8949.4,4
RC,114,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,13750.82,2
RC,114,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,2
RC,114,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,11355.89,2
RC,114,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,22425.24,22425.24,1
RC,114,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,43821.22,43821.22,1
RC,114,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,16787.5,16787.5,1
RC,114,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES Mental Health Geriatric",,,2470.13,10938.35,4
RC,114,OTHER ENDOCRINE DISORDERS Mental Health Geriatric,,,2704.04,9937.62,4
RC,114,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,114,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,114,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,114,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,114,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,114,OTHER ESOPHAGEAL DISORDERS Mental Health Geriatric,,,2849.15,9704.11,4
RC,114,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,114,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,4104.64,16897.25,4
RC,114,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,114,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,114,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Mental Health Geriatric",,,2300.83,7803.98,4
RC,114,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,2
RC,114,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,2
RC,114,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,114,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,114,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Mental Health Geriatric",,,5974.74,20509.86,4
RC,114,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,114,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,114,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,114,OTHER INFECTIOUS AND PARASITIC DISEASES Mental Health Geriatric,,,2385.48,11118.47,4
RC,114,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Mental Health Geriatric",,,2090.27,11114.3,4
RC,114,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,114,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,114,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,114,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,114,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,114,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Mental Health Geriatric",,,2438.86,9560.68,4
RC,114,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,114,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,114,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,114,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6418.4,19647.98,4
RC,114,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6941.7,20009.92,4
RC,114,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,114,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,114,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,114,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,5554.44,21288.76,4
RC,114,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,114,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,114,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,114,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,114,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,114,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,114,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,114,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Mental Health Geriatric,,,2109.02,10332.49,4
RC,114,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,114,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,114,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,2625.65,9000.28,4
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,2
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,2
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,2
RC,114,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Mental Health Geriatric,,,5559.44,16956.46,4
RC,114,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,114,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Mental Health Geriatric,,,2177.83,8479.9,4
RC,114,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,114,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,114,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,114,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,5883.01,26789.41,4
RC,114,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,114,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,114,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,114,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,114,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,114,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,114,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Mental Health Geriatric,,,6209.09,18271.15,4
RC,114,OTHER PNEUMONIA Mental Health Geriatric,,,2071.5,7610.1,4
RC,114,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Mental Health Geriatric",,,5840.9,19514.14,4
RC,114,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,5686.2,26151.44,4
RC,114,OTHER RESPIRATORY AND CHEST PROCEDURES Mental Health Geriatric,,,6613.96,21314.62,4
RC,114,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,2535.59,9889.67,4
RC,114,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,114,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,114,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,2
RC,114,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,2
RC,114,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18531.1,2
RC,114,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Mental Health Geriatric,,,6813.68,18268.66,4
RC,114,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Mental Health Geriatric",,,2314.6,10255.34,4
RC,114,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,114,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,2
RC,114,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,114,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Mental Health Geriatric",,,3804.01,14920.39,4
RC,114,OTHER SMALL AND LARGE BOWEL PROCEDURES Mental Health Geriatric,,,5328.02,16891.4,4
RC,114,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,3964.96,18121.88,4
RC,114,OTHER UPPER VASCULAR PROCEDURES Mental Health Geriatric,,,7956.6,18872.84,4
RC,114,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,114,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,114,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,114,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,16573.94,2
RC,114,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,11856.34,2
RC,114,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,2
RC,114,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,114,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,2
RC,114,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,2320.43,13546.49,4
RC,114,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,6
RC,114,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,114,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,114,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,114,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,114,"PENIS, TESTES AND SCROTAL PROCEDURES Mental Health Geriatric",,,4627.52,17795.4,4
RC,114,PEPTIC ULCER AND GASTRITIS Mental Health Geriatric,,,3183.55,11294.86,4
RC,114,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,114,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,114,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Mental Health Geriatric,,,8073.35,17504.35,4
RC,114,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Mental Health Geriatric,,,8745.08,19770.16,4
RC,114,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,114,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,114,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,114,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,114,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,2
RC,114,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,2
RC,114,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,114,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Mental Health Geriatric,,,15987.0,31019.15,4
RC,114,PERIPHERAL AND OTHER VASCULAR DISORDERS Mental Health Geriatric,,,2715.3,10134.01,4
RC,114,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,114,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,114,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,114,PERITONEAL ADHESIOLYSIS Mental Health Geriatric,,,5846.74,17678.23,4
RC,114,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,2
RC,114,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,2
RC,114,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,2
RC,114,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,9196.67,25239.96,4
RC,114,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,114,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,114,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,6516.38,17521.86,4
RC,114,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,114,PERSONALITY DISORDERS Mental Health Geriatric,,,1858.01,12289.32,4
RC,114,PLEURAL EFFUSION WITH CC ,,,14522.21,14522.21,1
RC,114,PLEURAL EFFUSION WITH MCC ,,,20572.2,20572.2,1
RC,114,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,11633.21,1
RC,114,PNEUMOTHORAX WITH CC ,,,7000.0,15693.1,2
RC,114,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,2
RC,114,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,11610.9,2
RC,114,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,114,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,114,POISONING OF MEDICINAL AGENTS Mental Health Geriatric,,,1818.4,8746.75,4
RC,114,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Mental Health Geriatric",,,5171.66,20634.95,4
RC,114,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Mental Health Geriatric",,,2777.84,11662.2,4
RC,114,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,114,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,114,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,114,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,114,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,114,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,114,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,114,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Mental Health Geriatric,,,1691.02,18371.86,4
RC,114,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,2890.94,35669.74,4
RC,114,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,114,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,114,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,114,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Mental Health Geriatric",,,6735.3,34803.13,4
RC,114,PROCEDURES FOR OBESITY Mental Health Geriatric,,,4893.96,19469.52,4
RC,114,PROSTATECTOMY PROCEDURES Mental Health Geriatric,,,6523.06,17066.53,4
RC,114,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,114,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,114,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,114,PSYCHOSES ,,,18854.11,18854.11,1
RC,114,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,17139.19,17139.19,1
RC,114,PULMONARY EMBOLISM Mental Health Geriatric,,,2487.64,9381.38,4
RC,114,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,18607.6,18607.6,1
RC,114,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,12566.11,1
RC,114,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,114,RADIOTHERAPY Mental Health Geriatric,,,4977.77,16606.2,4
RC,114,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,114,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,114,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,2
RC,114,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,114,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,114,REHABILITATION Mental Health Geriatric,,,5069.51,10543.48,4
RC,114,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,114,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,114,RENAL DIALYSIS ACCESS PROCEDURES Mental Health Geriatric,,,5507.33,17744.11,4
RC,114,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,114,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,114,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,114,RESPIRATORY FAILURE Mental Health Geriatric,,,2603.56,9425.16,4
RC,114,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,14383.02,14383.02,1
RC,114,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,20616.83,20616.83,1
RC,114,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,12034.84,1
RC,114,RESPIRATORY MALIGNANCY Mental Health Geriatric,,,3833.2,9562.34,4
RC,114,RESPIRATORY NEOPLASMS WITH CC ,,,15392.42,15392.42,1
RC,114,RESPIRATORY NEOPLASMS WITH MCC ,,,22776.94,22776.94,1
RC,114,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,12022.1,1
RC,114,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,114,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,2443.44,9335.93,4
RC,114,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,114,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Mental Health Geriatric,,,11574.22,24502.75,4
RC,114,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,114,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,114,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,114,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,114,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,114,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,114,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,114,SALIVARY GLAND PROCEDURES ,,,17142.39,17142.39,1
RC,114,SCHIZOAFFECTIVE DISORDERS Mental Health Geriatric,,,3416.64,11589.23,4
RC,114,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Mental Health Geriatric,,,2710.72,11570.47,4
RC,114,SEPTIC ARTHRITIS WITH CC ,,,7000.0,16839.57,2
RC,114,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,2
RC,114,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,13300.31,2
RC,114,SEPTICEMIA AND DISSEMINATED INFECTIONS Mental Health Geriatric,,,2882.09,12019.13,4
RC,114,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,114,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,114,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,114,SHOULDER AND ELBOW JOINT REPLACEMENT Mental Health Geriatric,,,7387.85,17263.76,4
RC,114,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,114,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,114,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,2
RC,114,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Mental Health Geriatric",,,5687.87,17656.55,4
RC,114,SICKLE CELL ANEMIA CRISIS Mental Health Geriatric,,,2684.03,11244.82,4
RC,114,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,18057.21,2
RC,114,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,12838.11,2
RC,114,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,114,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,114,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Mental Health Geriatric",,,2438.86,7633.45,4
RC,114,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,12575.67,2
RC,114,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,17978.59,2
RC,114,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,10690.76,2
RC,114,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,114,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,12561.18,24951.83,4
RC,114,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,114,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,114,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,27069.52,27069.52,1
RC,114,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,14800.59,14800.59,1
RC,114,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,114,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,2
RC,114,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,114,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,2
RC,114,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,114,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,2
RC,114,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,6869.15,28797.12,4
RC,114,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Mental Health Geriatric,,,7449.14,26071.39,4
RC,114,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,114,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,2
RC,114,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,114,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,114,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,114,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,114,SKIN ULCERS Mental Health Geriatric,,,2420.09,9142.87,4
RC,114,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,114,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,114,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,114,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,2
RC,114,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,2
RC,114,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,18313.28,2
RC,114,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Mental Health Geriatric,,,7699.33,22736.05,4
RC,114,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,114,SPLENIC PROCEDURES Mental Health Geriatric,,,6878.32,19399.48,4
RC,114,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,114,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,114,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,114,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,14152.45,2
RC,114,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,11666.16,2
RC,114,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,114,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,114,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,114,SYNCOPE AND COLLAPSE ,,,7000.0,13273.75,2
RC,114,SYNCOPE AND COLLAPSE Mental Health Geriatric,,,3013.02,7550.89,4
RC,114,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Mental Health Geriatric",,,5003.21,15544.6,4
RC,114,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19811.43,2
RC,114,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,13503.25,2
RC,114,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,114,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,114,THYROID DISORDERS Mental Health Geriatric,,,2426.76,9912.18,4
RC,114,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Mental Health Geriatric",,,4986.95,23891.48,4
RC,114,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,114,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,114,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,114,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Mental Health Geriatric,,,2164.91,11372.82,4
RC,114,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,114,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,114,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,114,TRANSURETHRAL PROSTATECTOMY Mental Health Geriatric,,,3827.35,12827.21,4
RC,114,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,114,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,114,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,114,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,114,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,114,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,114,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,114,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,35637.69,35637.69,1
RC,114,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,114,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,114,UNGROUPABLE ,,,4012.81,4012.81,1
RC,114,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,114,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,114,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,15617.67,2
RC,114,URETHRAL AND TRANSURETHRAL PROCEDURES Mental Health Geriatric,,,4298.53,13173.3,4
RC,114,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,114,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,114,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,114,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Mental Health Geriatric,,,2026.06,10006.0,4
RC,114,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,114,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,114,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,114,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,114,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,114,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,114,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,114,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,114,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,114,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,114,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,114,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,114,VAGINAL DELIVERY Mental Health Geriatric,,,2199.86,13169.48,4
RC,114,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Mental Health Geriatric,,,2482.09,27141.0,4
RC,114,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,114,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Mental Health Geriatric,,,3580.84,17223.0,4
RC,114,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,114,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,114,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,114,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,114,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,114,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,114,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,2
RC,114,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Mental Health Geriatric,,,5907.61,16377.29,4
RC,114,VIRAL ILLNESS Mental Health Geriatric,,,1901.8,9350.52,4
RC,114,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,114,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,114,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,114,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,114,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,114,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,115, Room & Board - Private (One Bed) Hospice  ,,,2440.0,7700.0,3
RC,115,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,115,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,115,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,115,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,115,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,115,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,115,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,115,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,115,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,115,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,115,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,115,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,115,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,115,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,115,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,115,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,115,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,115,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,115,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,115,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,115,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,115,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,115,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,115,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,115,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,115,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,115,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,115,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,115,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,115,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,115,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,115,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,115,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,115,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,115,CHEST PAIN ,,,7000.0,7000.0,1
RC,115,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,115,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,115,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,115,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,115,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,115,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,115,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,115,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,115,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,115,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,115,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,115,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,7000.0,1
RC,115,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,7000.0,1
RC,115,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,115,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,115,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,115,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,115,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,115,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,115,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,DYSEQUILIBRIUM ,,,7000.0,7000.0,1
RC,115,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,7000.0,1
RC,115,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,7000.0,1
RC,115,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,115,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,115,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,115,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,EPISTAXIS WITH MCC ,,,7000.0,7000.0,1
RC,115,EPISTAXIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,115,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,115,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,115,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,115,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,115,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,115,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,115,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,115,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,115,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,115,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,115,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,115,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,115,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,115,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,115,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,115,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,115,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,115,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,115,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,115,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,115,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,115,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,115,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,115,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,115,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,115,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,115,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,115,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,115,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,115,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,115,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,115,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,115,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,115,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,115,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,115,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,115,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,115,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,115,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,115,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,115,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,115,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,115,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,115,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,115,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,115,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,115,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,7000.0,1
RC,115,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,7000.0,1
RC,115,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,115,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,115,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,115,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,115,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,115,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,115,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,115,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,115,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,115,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,115,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,7000.0,1
RC,115,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,115,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,115,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,115,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,115,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,115,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,115,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,115,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,115,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,REHABILITATION WITH CC/MCC ,,,1793.0,4112.0,3
RC,115,REHABILITATION WITHOUT CC/MCC ,,,1793.0,4112.0,3
RC,115,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,115,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,115,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,115,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,115,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,115,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,115,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,115,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,115,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,115,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,115,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,115,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,115,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,115,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,115,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,115,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,115,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,115,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,115,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,115,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,116, Room & Board - Private (One Bed) Detoxification  ,,,1103.0,7700.0,7
RC,116, Room & Board - Private (One Bed) Detoxification  Adult/Geriatric,,,1103.0,1136.0,2
RC,116,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,116,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,116,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,116,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,2
RC,116,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,2
RC,116,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,13891.07,2
RC,116,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,116,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,116,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,116,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,116,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,16373.11,16373.11,1
RC,116,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,12362.1,12362.1,1
RC,116,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,116,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,116,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,116,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,116,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,116,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,10376.25,2
RC,116,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,116,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,116,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,116,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,116,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,116,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,116,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,116,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,116,AICD LEAD PROCEDURES ,,,7000.0,42456.95,2
RC,116,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,116,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,116,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,116,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,116,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,116,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,116,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,116,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,116,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,116,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,116,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,2
RC,116,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,16552.69,2
RC,116,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,116,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,116,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,116,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,116,ANGINA PECTORIS ,,,7000.0,11470.65,2
RC,116,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,116,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,116,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,116,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,116,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,116,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,116,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,116,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,116,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,116,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,116,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,116,ATHEROSCLEROSIS WITH MCC ,,,7000.0,16726.93,2
RC,116,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,11165.7,2
RC,116,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,116,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,116,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,116,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,116,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,116,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,116,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,116,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,116,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,116,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,116,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,116,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,116,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,116,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,4
RC,116,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,2
RC,116,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,2
RC,116,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,2
RC,116,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,17786.27,2
RC,116,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,12832.8,2
RC,116,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,116,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,116,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,116,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,116,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,116,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,116,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,116,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,11829.78,2
RC,116,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,16805.56,2
RC,116,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,10027.74,2
RC,116,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,2
RC,116,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,13715.75,2
RC,116,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,116,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,116,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,116,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,116,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,116,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,116,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,116,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,2
RC,116,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,2
RC,116,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,2
RC,116,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,2
RC,116,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,2
RC,116,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,6
RC,116,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,6
RC,116,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,116,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,116,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,116,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,116,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,116,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,116,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,116,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,116,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,116,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,116,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,116,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,116,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,116,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,116,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,116,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,116,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,116,CHEST PAIN ,,,7000.0,11662.96,2
RC,116,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,2
RC,116,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,116,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,116,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,116,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,116,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,116,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12969.86,2
RC,116,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,15782.35,15782.35,1
RC,116,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10834.2,2
RC,116,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,116,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,116,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,116,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,116,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,116,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,116,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,116,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,116,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,2
RC,116,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,15525.23,2
RC,116,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,116,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,116,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,116,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,116,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,116,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,2
RC,116,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,116,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,16267.93,2
RC,116,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,2
RC,116,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,12897.62,2
RC,116,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,2
RC,116,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,2
RC,116,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,2
RC,116,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,2
RC,116,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,116,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,116,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,116,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,116,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,116,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,116,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,116,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,116,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,13679.62,2
RC,116,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,2
RC,116,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,11540.78,2
RC,116,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,116,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,116,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,116,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,116,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,16865.07,2
RC,116,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,2
RC,116,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,116,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,14269.32,2
RC,116,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,2
RC,116,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,11447.28,2
RC,116,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12950.74,2
RC,116,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,116,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,10615.32,2
RC,116,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,116,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,116,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,116,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,116,DYSEQUILIBRIUM ,,,7000.0,11998.72,2
RC,116,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,17522.77,2
RC,116,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,2
RC,116,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,12482.17,2
RC,116,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,116,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,116,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,116,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,2
RC,116,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,2
RC,116,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,2
RC,116,EPISTAXIS WITH MCC ,,,7000.0,18160.28,2
RC,116,EPISTAXIS WITHOUT MCC ,,,7000.0,11811.71,2
RC,116,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,116,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,12296.22,2
RC,116,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,116,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,116,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,116,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,116,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,116,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,116,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,116,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,116,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,2
RC,116,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,2
RC,116,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,116,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,116,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,2
RC,116,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,12577.79,2
RC,116,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,17634.33,2
RC,116,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,12593.73,2
RC,116,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,116,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,116,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,116,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,116,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,116,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,2
RC,116,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,116,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,116,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,116,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,116,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,2
RC,116,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,14874.96,2
RC,116,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,116,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,116,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,116,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,116,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,116,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,116,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,116,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,2
RC,116,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,2
RC,116,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,18303.71,2
RC,116,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,116,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,116,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,116,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,116,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,116,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,116,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,116,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,116,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,116,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,116,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,116,HYPERTENSION WITH MCC ,,,7000.0,16656.81,2
RC,116,HYPERTENSION WITHOUT MCC ,,,7000.0,12035.9,2
RC,116,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,116,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,116,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,116,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,116,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,116,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,116,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,116,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,116,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,116,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,116,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,116,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,116,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,116,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,116,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,116,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,14097.19,2
RC,116,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,2
RC,116,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,11622.58,2
RC,116,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,7000.0,15540.1,2
RC,116,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,116,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,116,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,116,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,116,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,116,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,116,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,116,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,116,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,116,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,116,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,116,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,116,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,116,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,116,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,116,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,116,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,2
RC,116,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,2
RC,116,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,116,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,2
RC,116,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,116,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,116,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,116,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,116,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,116,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,6
RC,116,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,2
RC,116,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,2
RC,116,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,2
RC,116,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,116,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,2
RC,116,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,116,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,116,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,116,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,116,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,116,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,116,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,116,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,116,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,116,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,116,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,116,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,116,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,2
RC,116,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,2
RC,116,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,2
RC,116,MAJOR CHEST TRAUMA WITH CC ,,,15319.1,15319.1,1
RC,116,MAJOR CHEST TRAUMA WITH MCC ,,,20268.32,20268.32,1
RC,116,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,12369.54,1
RC,116,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,116,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,116,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,11458.96,2
RC,116,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,116,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,2
RC,116,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,116,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,27187.46,27187.46,1
RC,116,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,49332.52,49332.52,1
RC,116,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,20974.89,20974.89,1
RC,116,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,116,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,116,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,116,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,116,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,2
RC,116,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,116,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,116,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,2
RC,116,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,116,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,116,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,116,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,116,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,116,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,116,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,18348.35,2
RC,116,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,116,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,116,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,116,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,116,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,116,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,116,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,116,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,116,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,116,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,116,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,116,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,116,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,116,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,116,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,2
RC,116,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,14226.82,2
RC,116,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,116,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,116,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,116,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,116,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,116,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,116,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,116,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,2
RC,116,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,2
RC,116,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,116,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,116,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,116,MOUTH PROCEDURES WITH CC/MCC ,,,19878.37,19878.37,1
RC,116,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13428.87,13428.87,1
RC,116,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,116,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,116,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,116,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,116,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,116,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,116,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,116,NEUROLOGICAL EYE DISORDERS ,,,12498.1,12498.1,1
RC,116,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,116,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,116,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,116,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,116,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,116,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,116,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,116,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,116,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,116,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,116,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,116,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,116,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,116,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,116,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,116,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,116,OSTEOMYELITIS WITH CC ,,,7000.0,17786.27,2
RC,116,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,2
RC,116,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,12379.1,2
RC,116,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,116,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,116,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,116,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,116,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,116,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,116,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,116,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,2
RC,116,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,2
RC,116,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,14248.07,2
RC,116,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,2
RC,116,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,116,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,2
RC,116,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,13954.82,2
RC,116,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,2
RC,116,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,116,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,2
RC,116,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,2
RC,116,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18865.79,2
RC,116,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,18071.03,18071.03,1
RC,116,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,12170.85,1
RC,116,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,13750.82,2
RC,116,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,2
RC,116,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,11355.89,2
RC,116,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,22425.24,22425.24,1
RC,116,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,43821.22,43821.22,1
RC,116,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,16787.5,16787.5,1
RC,116,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,116,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,116,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,116,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,116,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,116,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,116,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,116,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,116,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,2
RC,116,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,2
RC,116,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,116,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,116,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,116,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,116,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,116,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,116,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,116,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,116,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,116,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,116,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,116,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,116,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,116,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,116,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,116,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,116,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,116,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,116,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,116,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,116,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,116,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,116,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,116,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,116,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,116,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,116,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,116,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,116,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,116,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,2
RC,116,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,2
RC,116,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,2
RC,116,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,116,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,116,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,116,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,116,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,116,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,116,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,116,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,116,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,116,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,116,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,116,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,116,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,2
RC,116,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,2
RC,116,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18531.1,2
RC,116,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,116,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,2
RC,116,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,116,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,116,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,116,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,116,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,16573.94,2
RC,116,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,11856.34,2
RC,116,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,2
RC,116,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,116,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,2
RC,116,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,6
RC,116,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,116,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,116,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,116,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,116,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,116,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,116,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,116,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,116,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,116,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,116,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,2
RC,116,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,2
RC,116,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,116,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,116,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,116,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,116,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,2
RC,116,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,2
RC,116,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,2
RC,116,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,116,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,116,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,116,PLEURAL EFFUSION WITH CC ,,,14522.21,14522.21,1
RC,116,PLEURAL EFFUSION WITH MCC ,,,20572.2,20572.2,1
RC,116,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,11633.21,1
RC,116,PNEUMOTHORAX WITH CC ,,,7000.0,15693.1,2
RC,116,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,2
RC,116,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,11610.9,2
RC,116,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,116,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,116,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,116,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,116,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,116,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,116,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,116,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,116,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,116,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,116,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,116,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,116,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,116,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,116,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,116,PSYCHOSES ,,,18854.11,18854.11,1
RC,116,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,17139.19,17139.19,1
RC,116,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,18607.6,18607.6,1
RC,116,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,12566.11,1
RC,116,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,116,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,116,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,116,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,2
RC,116,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,116,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,116,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,116,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,116,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,116,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,116,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,116,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,14383.02,14383.02,1
RC,116,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,20616.83,20616.83,1
RC,116,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,12034.84,1
RC,116,RESPIRATORY NEOPLASMS WITH CC ,,,15392.42,15392.42,1
RC,116,RESPIRATORY NEOPLASMS WITH MCC ,,,22776.94,22776.94,1
RC,116,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,12022.1,1
RC,116,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,116,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,116,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,116,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,116,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,116,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,116,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,116,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,116,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,116,SALIVARY GLAND PROCEDURES ,,,17142.39,17142.39,1
RC,116,SEPTIC ARTHRITIS WITH CC ,,,7000.0,16839.57,2
RC,116,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,2
RC,116,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,13300.31,2
RC,116,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,116,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,116,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,116,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,116,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,116,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,2
RC,116,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,18057.21,2
RC,116,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,12838.11,2
RC,116,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,116,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,116,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,12575.67,2
RC,116,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,17978.59,2
RC,116,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,10690.76,2
RC,116,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,116,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,116,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,116,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,27069.52,27069.52,1
RC,116,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,14800.59,14800.59,1
RC,116,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,116,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,2
RC,116,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,116,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,2
RC,116,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,116,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,2
RC,116,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,116,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,2
RC,116,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,116,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,116,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,116,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,116,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,116,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,116,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,116,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,2
RC,116,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,2
RC,116,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,18313.28,2
RC,116,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,116,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,116,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,116,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,116,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,14152.45,2
RC,116,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,11666.16,2
RC,116,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,116,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,116,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,116,SYNCOPE AND COLLAPSE ,,,7000.0,13273.75,2
RC,116,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19811.43,2
RC,116,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,13503.25,2
RC,116,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,116,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,116,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,116,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,116,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,116,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,116,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,116,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,116,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,116,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,116,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,116,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,116,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,116,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,116,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,116,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,35637.69,35637.69,1
RC,116,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,116,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,116,UNGROUPABLE ,,,4012.81,4012.81,1
RC,116,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,116,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,116,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,15617.67,2
RC,116,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,116,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,116,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,116,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,116,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,116,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,116,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,116,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,116,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,116,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,116,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,116,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,116,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,116,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,116,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,116,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,116,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,116,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,116,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,116,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,116,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,116,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,116,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,2
RC,116,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,116,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,116,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,116,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,116,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,116,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,117, Room & Board - Private (One Bed) Oncology  ,,,6650.0,21045.0,4
RC,117,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,117,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,117,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,117,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,117,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,117,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,117,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,117,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,117,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,13046.0,19995.0,4
RC,117,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,12362.1,19995.0,4
RC,117,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,117,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,117,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,117,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,117,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,117,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,117,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,117,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,117,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,117,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,117,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,117,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,117,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,117,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,117,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,117,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,117,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,117,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,117,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,117,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,117,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,117,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,117,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,117,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,117,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,117,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,117,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,117,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,117,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,117,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,117,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,117,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,117,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,117,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,117,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,117,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,117,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,117,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,117,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,117,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,117,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,117,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,117,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,117,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,117,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,117,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,117,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,117,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,117,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,117,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,117,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,117,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,117,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,117,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,117,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,117,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,117,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,117,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,117,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,117,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,117,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,117,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,117,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,117,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,117,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,117,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,117,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,117,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,117,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,117,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,117,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,117,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,117,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,117,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,117,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,117,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,117,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,117,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,117,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,117,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,117,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,117,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,117,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,117,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,117,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,117,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,117,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,117,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,117,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,117,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,117,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,117,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,117,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,117,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,117,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,117,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,117,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,117,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,117,CHEST PAIN ,,,7000.0,11662.96,2
RC,117,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,117,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,117,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,117,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,117,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,117,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,117,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,117,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,117,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,117,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,117,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,117,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,117,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,117,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,117,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,117,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,117,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,117,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,117,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,117,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,117,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,117,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,117,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,117,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,117,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,117,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,117,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,117,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,117,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,117,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,117,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,117,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,117,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,117,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,117,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,117,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,117,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,117,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,117,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,117,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,117,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,117,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,117,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,117,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,117,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,117,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,117,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,117,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,117,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,117,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,117,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,117,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,117,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,117,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,117,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,117,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,117,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,117,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,117,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,117,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,117,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,117,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,117,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,117,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,117,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,117,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,117,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,117,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,117,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,117,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,117,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,117,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,117,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,117,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,117,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,117,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,117,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,117,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,117,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,117,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,117,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,117,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,117,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,117,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,117,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,117,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,117,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,117,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,117,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,117,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,117,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,117,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,117,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,117,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,117,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,117,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,117,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,117,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,117,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,117,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,117,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,117,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,117,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,117,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,117,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,117,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,117,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,117,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,117,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,117,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,117,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,117,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,117,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,117,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,117,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,117,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,117,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,117,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,117,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,117,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,117,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,117,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,117,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,117,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,117,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,117,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,117,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,117,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,117,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,117,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,117,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,117,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,117,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,117,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,117,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,117,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,117,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,117,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,117,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,117,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,117,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,117,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,117,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,117,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,117,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,117,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,117,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,117,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,117,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,117,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,117,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,117,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,117,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,117,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,117,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,117,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,117,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,117,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,117,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,117,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,117,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,117,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,117,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,117,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,117,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,117,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,117,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,117,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,117,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,117,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,117,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,117,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,117,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,117,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,117,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,117,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,117,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,117,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,117,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,117,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,117,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,117,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,117,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,117,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,117,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,117,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,117,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,117,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,117,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,117,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,117,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,117,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,117,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,117,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,117,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,117,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,117,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,117,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,117,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,117,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,117,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,117,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,117,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,117,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,117,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,117,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,117,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,117,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,117,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,117,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,117,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,117,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,117,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,117,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,117,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,117,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,117,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,117,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,117,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,117,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,117,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,117,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,117,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,117,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,117,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,117,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,117,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,117,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,117,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,117,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,117,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,117,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,117,NEUROLOGICAL EYE DISORDERS ,,,12498.1,19995.0,4
RC,117,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,117,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,117,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,117,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,117,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,117,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,117,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,117,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,117,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,117,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,117,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,117,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,117,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,117,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,117,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,117,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,117,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,117,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,117,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,117,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,117,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,117,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,117,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,117,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,117,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,117,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,117,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,117,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,117,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,117,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,117,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,117,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,117,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,117,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,117,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13046.0,19995.0,4
RC,117,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,19995.0,4
RC,117,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,117,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,117,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,117,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,117,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,117,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,117,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,117,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,117,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,117,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,117,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,117,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,117,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,117,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,117,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,117,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,117,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,117,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,117,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,117,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,117,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,117,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,117,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,117,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,117,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,117,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,117,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,117,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,117,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,117,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,117,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,117,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,117,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,117,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,117,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,117,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,117,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,117,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,117,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,117,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,117,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,117,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,117,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,117,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,117,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,117,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,117,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,117,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,117,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,117,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,117,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,117,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,117,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,117,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,117,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,117,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,117,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,117,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,117,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,117,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,117,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,117,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,117,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,117,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,117,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,117,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,117,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,117,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,117,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,117,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,117,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,117,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,117,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,117,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,117,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,117,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,117,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,117,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,117,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,117,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,117,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,117,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,117,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,117,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,117,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,117,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,117,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,117,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,117,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,117,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,117,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,117,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,117,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,117,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,117,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,117,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,117,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,117,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,117,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,117,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,117,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,117,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,117,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,117,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,117,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,117,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,117,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,PSYCHOSES ,,,18854.11,18854.11,1
RC,117,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,117,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,117,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,117,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,117,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,117,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,117,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,117,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,117,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,117,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,117,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,117,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,117,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,117,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,117,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,117,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,117,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,117,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,117,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,117,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,117,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,117,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,117,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,117,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,117,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,117,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,117,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,117,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,117,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,117,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,117,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,117,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,117,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,117,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,117,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,117,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,117,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,117,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,117,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,117,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,117,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,117,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,117,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,117,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,117,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,117,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,117,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,117,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,117,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,117,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,117,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,117,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,117,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,117,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,117,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,117,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,117,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,117,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,117,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,117,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,117,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,117,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,117,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,117,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,117,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,117,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,117,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,117,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,117,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,117,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,117,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,117,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,117,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,117,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,117,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,117,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,117,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,117,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,117,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,117,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,117,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,117,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,117,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,117,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,117,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,117,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,117,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,117,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,117,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,117,UNGROUPABLE ,,,4012.81,4012.81,1
RC,117,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,117,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,117,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,117,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,117,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,117,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,117,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,117,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,117,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,117,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,117,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,117,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,117,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,117,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,117,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,117,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,117,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,117,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,117,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,117,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,117,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,117,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,117,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,117,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,117,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,117,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,117,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,117,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,117,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,117,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,117,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,118, Room & Board - Private (One Bed) Rehabilitation  ,,,1000.0,7700.0,19
RC,118,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13637.47,13637.47,1
RC,118,ABORTION WITHOUT D&C ,,,12042.9,12042.9,1
RC,118,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,13217.59,13217.59,1
RC,118,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,20594.67,2
RC,118,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,30467.34,2
RC,118,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,12916.26,2
RC,118,ACUTE LEUKEMIA WITH CC ,,,24338.05,24338.05,1
RC,118,ACUTE LEUKEMIA WITH MCC ,,,57969.13,57969.13,1
RC,118,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,89283.45,89283.45,1
RC,118,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,15779.36,15779.36,1
RC,118,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,15224.12,15224.12,1
RC,118,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,11494.59,11494.59,1
RC,118,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,12811.53,12811.53,1
RC,118,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,19579.05,19579.05,1
RC,118,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,10875.13,10875.13,1
RC,118,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,10569.86,10569.86,1
RC,118,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,23300.69,23300.69,1
RC,118,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,9648.09,2
RC,118,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,25385.28,25385.28,1
RC,118,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,17555.71,17555.71,1
RC,118,AFTERCARE WITH CC/MCC ,,,15484.95,15484.95,1
RC,118,AFTERCARE WITHOUT CC/MCC ,,,9932.62,9932.62,1
RC,118,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,14856.61,14856.61,1
RC,118,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,22155.64,22155.64,1
RC,118,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,11673.41,11673.41,1
RC,118,AICD GENERATOR PROCEDURES ,,,48805.81,48805.81,1
RC,118,AICD LEAD PROCEDURES ,,,7000.0,39477.52,2
RC,118,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,17716.74,17716.74,1
RC,118,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,20972.07,20972.07,1
RC,118,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,12452.9,12452.9,1
RC,118,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,9825.92,9825.92,1
RC,118,ALLERGIC REACTIONS WITH MCC ,,,20344.72,20344.72,1
RC,118,ALLERGIC REACTIONS WITHOUT MCC ,,,10313.98,10313.98,1
RC,118,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,31892.96,31892.96,1
RC,118,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,52355.55,52355.55,1
RC,118,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,17408.51,17408.51,1
RC,118,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,26214.17,26214.17,1
RC,118,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,46143.27,2
RC,118,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,15391.09,2
RC,118,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,17743.42,38185.27,3
RC,118,ANAL AND STOMAL PROCEDURES WITH CC ,,,16661.61,16661.61,1
RC,118,ANAL AND STOMAL PROCEDURES WITH MCC ,,,26410.78,26410.78,1
RC,118,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,12332.38,12332.38,1
RC,118,ANGINA PECTORIS ,,,7000.0,10665.69,2
RC,118,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,71681.99,2
RC,118,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,45454.65,2
RC,118,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,118,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,118,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,118,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,118,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,118,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,118,APPENDIX PROCEDURES WITH CC ,,,18684.95,18684.95,1
RC,118,APPENDIX PROCEDURES WITH MCC ,,,27391.82,27391.82,1
RC,118,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,15040.37,15040.37,1
RC,118,ATHEROSCLEROSIS WITH MCC ,,,7000.0,15553.12,2
RC,118,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,10382.15,2
RC,118,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,118,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,118,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,118,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,118,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,118,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,23492.36,2
RC,118,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,40654.17,2
RC,118,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,18490.32,2
RC,118,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,24234.3,24234.3,1
RC,118,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,15292.3,15292.3,1
RC,118,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,10864.27,10864.27,1
RC,118,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,58296.14,2
RC,118,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,30010.9,30010.9,1
RC,118,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,38957.85,4
RC,118,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,28027.08,2
RC,118,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,37861.21,2
RC,118,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,22096.37,2
RC,118,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,16538.11,2
RC,118,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,11932.25,2
RC,118,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,24880.44,24880.44,1
RC,118,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,22789.92,22789.92,1
RC,118,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13326.26,13326.26,1
RC,118,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,10350.53,10350.53,1
RC,118,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,9994.87,9994.87,1
RC,118,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,19162.13,19162.13,1
RC,118,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8227.41,8227.41,1
RC,118,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,10999.62,2
RC,118,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,15626.22,2
RC,118,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,9324.04,2
RC,118,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,19299.45,2
RC,118,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,12753.24,2
RC,118,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,74176.58,74176.58,1
RC,118,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,118,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,118,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,63073.91,63073.91,1
RC,118,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,118,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,118,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,49360.06,49360.06,1
RC,118,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,34773.85,2
RC,118,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,23708.71,2
RC,118,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,22408.56,2
RC,118,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,35867.52,2
RC,118,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,19833.95,2
RC,118,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,100381.18,6
RC,118,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,79589.6,6
RC,118,CELLULITIS WITH MCC ,,,17773.06,17773.06,1
RC,118,CELLULITIS WITHOUT MCC ,,,12335.34,12335.34,1
RC,118,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,32837.44,2
RC,118,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,51436.74,2
RC,118,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,27850.24,27850.24,1
RC,118,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,14204.55,14204.55,1
RC,118,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,27986.58,27986.58,1
RC,118,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,13193.87,13193.87,1
RC,118,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,14764.73,14764.73,1
RC,118,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,20027.59,20027.59,1
RC,118,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,13203.75,13203.75,1
RC,118,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,51195.69,51195.69,1
RC,118,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,24353.85,24353.85,1
RC,118,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,17996.34,17996.34,1
RC,118,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,16655.68,16655.68,1
RC,118,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,29344.02,29344.02,1
RC,118,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,12122.92,12122.92,1
RC,118,CHEST PAIN ,,,7000.0,10844.51,2
RC,118,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,24149.34,2
RC,118,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,38928.21,38928.21,1
RC,118,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,17200.05,17200.05,1
RC,118,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,24503.03,24503.03,1
RC,118,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,36366.44,36366.44,1
RC,118,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,20136.26,20136.26,1
RC,118,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12059.69,2
RC,118,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,14674.82,14674.82,1
RC,118,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10073.9,2
RC,118,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,25592.75,2
RC,118,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,14303.35,2
RC,118,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,14166.02,14166.02,1
RC,118,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,23176.2,23176.2,1
RC,118,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,10770.42,10770.42,1
RC,118,COAGULATION DISORDERS ,,,18800.54,18800.54,1
RC,118,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,92742.29,92742.29,1
RC,118,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,60707.75,60707.75,1
RC,118,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,115556.22,2
RC,118,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,14435.74,2
RC,118,COMPLICATED PEPTIC ULCER WITH MCC ,,,23116.93,23116.93,1
RC,118,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,11640.8,11640.8,1
RC,118,COMPLICATIONS OF TREATMENT WITH CC ,,,13633.52,13633.52,1
RC,118,COMPLICATIONS OF TREATMENT WITH MCC ,,,21818.75,21818.75,1
RC,118,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,10532.31,10532.31,1
RC,118,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,111162.73,2
RC,118,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,69791.04,69791.04,1
RC,118,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,15126.32,2
RC,118,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,28249.37,2
RC,118,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,11992.52,2
RC,118,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,79262.59,2
RC,118,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,57700.4,2
RC,118,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,87015.1,2
RC,118,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,63627.16,2
RC,118,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,61710.53,61710.53,1
RC,118,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,45114.81,45114.81,1
RC,118,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,46484.12,46484.12,1
RC,118,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,34861.77,34861.77,1
RC,118,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,35448.62,35448.62,1
RC,118,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,70231.67,70231.67,1
RC,118,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,23975.46,23975.46,1
RC,118,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,14969.24,14969.24,1
RC,118,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,12719.65,2
RC,118,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,20692.48,2
RC,118,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,10730.9,2
RC,118,DEPRESSIVE NEUROSES ,,,13026.91,13026.91,1
RC,118,DIABETES WITH CC ,,,12585.3,12585.3,1
RC,118,DIABETES WITH MCC ,,,17925.2,17925.2,1
RC,118,DIABETES WITHOUT CC/MCC ,,,9868.41,9868.41,1
RC,118,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,15681.56,2
RC,118,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,24860.67,2
RC,118,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,12862.91,12862.91,1
RC,118,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,13267.97,2
RC,118,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,21462.1,2
RC,118,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,10643.96,2
RC,118,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12041.92,2
RC,118,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,19836.9,19836.9,1
RC,118,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,9870.38,2
RC,118,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,23157.43,23157.43,1
RC,118,DISORDERS OF THE BILIARY TRACT WITH CC ,,,14543.42,14543.42,1
RC,118,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,20239.0,20239.0,1
RC,118,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,11904.58,11904.58,1
RC,118,DYSEQUILIBRIUM ,,,7000.0,11156.7,2
RC,118,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,16293.1,2
RC,118,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,24650.24,2
RC,118,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,11606.23,2
RC,118,ENDOCRINE DISORDERS WITH CC ,,,13857.78,13857.78,1
RC,118,ENDOCRINE DISORDERS WITH MCC ,,,19994.0,19994.0,1
RC,118,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,11321.69,11321.69,1
RC,118,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,60113.0,2
RC,118,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,64277.24,2
RC,118,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,50765.92,2
RC,118,EPISTAXIS WITH MCC ,,,7000.0,16885.87,2
RC,118,EPISTAXIS WITHOUT MCC ,,,7000.0,10982.82,2
RC,118,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,16261.48,16261.48,1
RC,118,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,11433.33,2
RC,118,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,214665.26,214665.26,1
RC,118,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,42204.28,42204.28,1
RC,118,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,28020.17,28020.17,1
RC,118,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,50084.24,50084.24,1
RC,118,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,20664.82,20664.82,1
RC,118,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,62450.5,62450.5,1
RC,118,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,17437.16,17437.16,1
RC,118,FEVER AND INFLAMMATORY CONDITIONS ,,,12501.31,12501.31,1
RC,118,FOOT PROCEDURES WITH CC ,,,7000.0,22198.13,2
RC,118,FOOT PROCEDURES WITH MCC ,,,7000.0,31306.11,2
RC,118,FOOT PROCEDURES WITHOUT CC/MCC ,,,21443.32,21443.32,1
RC,118,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,12578.37,17807.64,2
RC,118,FRACTURES OF FEMUR WITH MCC ,,,7000.0,19219.43,2
RC,118,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,11695.14,2
RC,118,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,16396.83,2
RC,118,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,11709.96,2
RC,118,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,44925.11,44925.11,1
RC,118,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,74594.49,74594.49,1
RC,118,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,35551.37,35551.37,1
RC,118,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,25571.02,25571.02,1
RC,118,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13420.12,13420.12,1
RC,118,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,21791.09,2
RC,118,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,9959.3,9959.3,1
RC,118,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,11534.1,11534.1,1
RC,118,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,18321.38,18321.38,1
RC,118,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9105.7,9105.7,1
RC,118,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,19284.63,2
RC,118,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,13831.1,2
RC,118,HAND PROCEDURES FOR INJURIES ,,,23137.67,23137.67,1
RC,118,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,12118.98,2
RC,118,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,16414.62,2
RC,118,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,9323.05,2
RC,118,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,20896.99,20896.99,1
RC,118,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,37391.93,37391.93,1
RC,118,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,17557.68,17557.68,1
RC,118,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,20352.61,2
RC,118,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,32401.76,2
RC,118,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,17019.24,2
RC,118,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,24423.99,2
RC,118,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,32503.52,2
RC,118,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,19844.81,2
RC,118,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,32087.59,32087.59,1
RC,118,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,24653.2,24653.2,1
RC,118,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,64207.09,64207.09,1
RC,118,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,29787.62,29787.62,1
RC,118,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,16525.27,16525.27,1
RC,118,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,32243.68,32243.68,1
RC,118,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,12649.51,12649.51,1
RC,118,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,16551.94,16551.94,1
RC,118,HYPERTENSION WITH MCC ,,,7000.0,15487.91,2
RC,118,HYPERTENSION WITHOUT MCC ,,,7000.0,11191.28,2
RC,118,INBORN AND OTHER DISORDERS OF METABOLISM ,,,17780.96,17780.96,1
RC,118,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13403.32,13403.32,1
RC,118,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17877.78,17877.78,1
RC,118,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10287.3,10287.3,1
RC,118,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,23471.6,23471.6,1
RC,118,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,52522.51,52522.51,1
RC,118,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18522.92,18522.92,1
RC,118,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,18381.64,18381.64,1
RC,118,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,11745.53,11745.53,1
RC,118,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13376.65,13376.65,1
RC,118,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,19363.68,19363.68,1
RC,118,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,10462.17,10462.17,1
RC,118,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,18792.63,18792.63,1
RC,118,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,28350.15,28350.15,1
RC,118,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,15268.59,15268.59,1
RC,118,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,13107.92,2
RC,118,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,22375.95,2
RC,118,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,10806.97,2
RC,118,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,21810.85,21810.85,1
RC,118,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,35185.82,35185.82,1
RC,118,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,19062.35,19062.35,1
RC,118,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,16789.05,16789.05,1
RC,118,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,28834.24,28834.24,1
RC,118,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13960.53,13960.53,1
RC,118,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,15194.49,15194.49,1
RC,118,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,11728.73,11728.73,1
RC,118,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,14083.03,14083.03,1
RC,118,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,21551.01,21551.01,1
RC,118,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,11539.04,11539.04,1
RC,118,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,15031.48,15031.48,1
RC,118,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,10538.24,10538.24,1
RC,118,KIDNEY TRANSPLANT ,,,35637.32,35637.32,1
RC,118,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,50179.08,50179.08,1
RC,118,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,40342.96,40342.96,1
RC,118,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,24390.41,2
RC,118,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,35613.62,2
RC,118,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,19204.61,19204.61,1
RC,118,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,21207.2,2
RC,118,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,14764.73,14764.73,1
RC,118,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,20443.51,20443.51,1
RC,118,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,27307.85,27307.85,1
RC,118,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,17224.75,17224.75,1
RC,118,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,40908.08,40908.08,1
RC,118,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,39551.61,6
RC,118,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,33535.93,2
RC,118,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,23636.59,2
RC,118,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,28786.82,2
RC,118,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,40005.08,40005.08,1
RC,118,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,23554.59,2
RC,118,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,25847.64,25847.64,1
RC,118,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,61672.98,61672.98,1
RC,118,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,15626.22,15626.22,1
RC,118,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,19848.76,19848.76,1
RC,118,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,35690.68,35690.68,1
RC,118,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,26114.39,26114.39,1
RC,118,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,49027.12,49027.12,1
RC,118,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,17062.71,17062.71,1
RC,118,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13713.54,13713.54,1
RC,118,MAJOR BLADDER PROCEDURES WITH CC ,,,31387.12,31387.12,1
RC,118,MAJOR BLADDER PROCEDURES WITH MCC ,,,55069.47,55069.47,1
RC,118,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,24642.33,24642.33,1
RC,118,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,28667.28,2
RC,118,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,48009.52,2
RC,118,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,22642.7,2
RC,118,MAJOR CHEST TRAUMA WITH CC ,,,14244.08,14244.08,1
RC,118,MAJOR CHEST TRAUMA WITH MCC ,,,18845.98,18845.98,1
RC,118,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,11501.5,11501.5,1
RC,118,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13612.76,13612.76,1
RC,118,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,19458.52,19458.52,1
RC,118,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,10654.82,2
RC,118,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13818.27,13818.27,1
RC,118,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,21248.7,2
RC,118,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,10917.62,10917.62,1
RC,118,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,25279.57,25279.57,1
RC,118,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,45870.59,45870.59,1
RC,118,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,19502.97,19502.97,1
RC,118,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,14071.18,25544.34,3
RC,118,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,33697.96,33697.96,1
RC,118,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,22787.93,22787.93,1
RC,118,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,118,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,31116.43,2
RC,118,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,23493.34,23493.34,1
RC,118,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,18888.47,18888.47,1
RC,118,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,21577.69,2
RC,118,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,18692.85,18692.85,1
RC,118,MAJOR SKIN DISORDERS WITH MCC ,,,24682.84,24682.84,1
RC,118,MAJOR SKIN DISORDERS WITHOUT MCC ,,,14425.86,14425.86,1
RC,118,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,27414.55,27414.55,1
RC,118,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,49142.71,49142.71,1
RC,118,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,20357.55,20357.55,1
RC,118,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,17060.74,2
RC,118,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,14906.01,14906.01,1
RC,118,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,21877.03,21877.03,1
RC,118,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,12161.45,12161.45,1
RC,118,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14478.22,14478.22,1
RC,118,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,21926.44,21926.44,1
RC,118,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13220.55,13220.55,1
RC,118,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,15020.61,15020.61,1
RC,118,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,21610.29,21610.29,1
RC,118,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10209.25,10209.25,1
RC,118,MALIGNANT BREAST DISORDERS WITH CC ,,,14907.98,14907.98,1
RC,118,MALIGNANT BREAST DISORDERS WITH MCC ,,,20201.46,20201.46,1
RC,118,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,11332.57,11332.57,1
RC,118,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,22765.22,22765.22,1
RC,118,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,20767.56,20767.56,1
RC,118,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,20290.38,2
RC,118,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,13228.45,2
RC,118,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13684.89,13684.89,1
RC,118,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,9367.51,9367.51,1
RC,118,MINOR BLADDER PROCEDURES WITH CC ,,,18750.15,18750.15,1
RC,118,MINOR BLADDER PROCEDURES WITH MCC ,,,33977.55,33977.55,1
RC,118,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,14074.15,14074.15,1
RC,118,MINOR SKIN DISORDERS WITH MCC ,,,18680.99,18680.99,1
RC,118,MINOR SKIN DISORDERS WITHOUT MCC ,,,12686.06,12686.06,1
RC,118,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,18597.02,2
RC,118,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,29248.2,2
RC,118,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,15450.37,15450.37,1
RC,118,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,16926.38,16926.38,1
RC,118,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,11419.5,11419.5,1
RC,118,MOUTH PROCEDURES WITH CC/MCC ,,,18483.4,18483.4,1
RC,118,MOUTH PROCEDURES WITHOUT CC/MCC ,,,12486.49,12486.49,1
RC,118,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,59274.21,112616.1,3
RC,118,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,69742.63,69742.63,1
RC,118,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,45628.54,45628.54,1
RC,118,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,20564.04,49945.92,3
RC,118,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,18599.98,34950.69,2
RC,118,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,18312.49,18312.49,1
RC,118,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,21536.19,21536.19,1
RC,118,NEUROLOGICAL EYE DISORDERS ,,,11621.05,11621.05,1
RC,118,NEUROSES EXCEPT DEPRESSIVE ,,,14339.9,14339.9,1
RC,118,NON-EXTENSIVE BURNS ,,,24083.15,24083.15,1
RC,118,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,19969.3,19969.3,1
RC,118,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,37602.37,37602.37,1
RC,118,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,15578.81,15578.81,1
RC,118,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,14021.79,14021.79,1
RC,118,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,9708.36,9708.36,1
RC,118,NORMAL NEWBORN ,,,5705.15,5705.15,1
RC,118,O.R. PROCEDURES FOR OBESITY WITH CC ,,,19541.5,19541.5,1
RC,118,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,32257.52,32257.52,1
RC,118,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,18633.57,18633.57,1
RC,118,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,26818.81,26818.81,1
RC,118,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,39579.28,39579.28,1
RC,118,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,23764.03,23764.03,1
RC,118,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,41914.81,41914.81,1
RC,118,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,19626.47,19626.47,1
RC,118,OSTEOMYELITIS WITH CC ,,,7000.0,16538.11,2
RC,118,OSTEOMYELITIS WITH MCC ,,,7000.0,23191.02,2
RC,118,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,11510.39,2
RC,118,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,15183.62,15183.62,1
RC,118,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,26272.46,26272.46,1
RC,118,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,12226.67,12226.67,1
RC,118,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,10860.31,10860.31,1
RC,118,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,15611.4,15611.4,1
RC,118,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,8897.24,8897.24,1
RC,118,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,118,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,52609.45,2
RC,118,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,34846.95,2
RC,118,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,13248.21,2
RC,118,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,24332.12,2
RC,118,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10470.07,10470.07,1
RC,118,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,36734.95,2
RC,118,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,12975.53,2
RC,118,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19531.62,2
RC,118,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10143.06,10143.06,1
RC,118,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,26706.18,2
RC,118,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,47130.24,2
RC,118,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,17541.88,2
RC,118,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,16802.89,16802.89,1
RC,118,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,11316.75,11316.75,1
RC,118,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,12785.85,2
RC,118,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,19177.93,2
RC,118,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,10558.99,2
RC,118,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,20851.54,20851.54,1
RC,118,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,40746.05,40746.05,1
RC,118,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,15609.43,15609.43,1
RC,118,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,25256.84,25256.84,1
RC,118,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,40550.44,40550.44,1
RC,118,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,18150.46,18150.46,1
RC,118,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,47822.8,47822.8,1
RC,118,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,27494.57,27494.57,1
RC,118,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9224.26,9224.26,1
RC,118,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,29098.03,29098.03,1
RC,118,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,18311.5,18311.5,1
RC,118,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,102102.21,2
RC,118,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,25346.75,2
RC,118,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,44761.11,44761.11,1
RC,118,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,18553.55,18553.55,1
RC,118,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13918.04,13918.04,1
RC,118,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,24411.15,24411.15,1
RC,118,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,10940.34,10940.34,1
RC,118,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,21014.55,21014.55,1
RC,118,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13785.66,13785.66,1
RC,118,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13758.99,13758.99,1
RC,118,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,20075.99,20075.99,1
RC,118,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,10547.13,10547.13,1
RC,118,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,26835.61,26835.61,1
RC,118,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,45241.27,45241.27,1
RC,118,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,19947.56,19947.56,1
RC,118,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,38865.97,38865.97,1
RC,118,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,55858.85,2
RC,118,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,28953.78,28953.78,1
RC,118,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,14190.73,14190.73,1
RC,118,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10370.29,10370.29,1
RC,118,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,22408.56,22408.56,1
RC,118,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,17000.48,17000.48,1
RC,118,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,25834.8,25834.8,1
RC,118,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,18264.08,18264.08,1
RC,118,OTHER MENTAL DISORDER DIAGNOSES ,,,14311.25,14311.25,1
RC,118,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,18872.65,18872.65,1
RC,118,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,30740.01,30740.01,1
RC,118,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13022.96,13022.96,1
RC,118,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13357.88,13357.88,1
RC,118,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,18981.34,18981.34,1
RC,118,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11133.99,11133.99,1
RC,118,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,24261.97,2
RC,118,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,35216.45,2
RC,118,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,18913.17,2
RC,118,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,12144.66,23439.01,3
RC,118,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,23442.95,23442.95,1
RC,118,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,41661.89,41661.89,1
RC,118,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,16700.14,16700.14,1
RC,118,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,45362.78,45362.78,1
RC,118,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,79012.64,79012.64,1
RC,118,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,32817.68,32817.68,1
RC,118,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,22096.37,22096.37,1
RC,118,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,43092.46,43092.46,1
RC,118,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,17127.93,17127.93,1
RC,118,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,21820.73,21820.73,1
RC,118,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13028.88,13028.88,1
RC,118,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,21548.05,2
RC,118,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,40658.12,2
RC,118,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,17230.67,2
RC,118,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,20803.13,20803.13,1
RC,118,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,35726.24,2
RC,118,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,17988.43,17988.43,1
RC,118,OTHER VASCULAR PROCEDURES WITH CC ,,,29374.66,29374.66,1
RC,118,OTHER VASCULAR PROCEDURES WITH MCC ,,,38194.15,38194.15,1
RC,118,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,21333.67,21333.67,1
RC,118,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,15410.85,2
RC,118,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,11024.32,2
RC,118,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,32383.98,2
RC,118,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,57777.46,57777.46,1
RC,118,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,25659.93,2
RC,118,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,21183.5,6
RC,118,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,24774.72,24774.72,1
RC,118,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,17024.18,17024.18,1
RC,118,PENIS PROCEDURES WITH CC/MCC ,,,26721.99,26721.99,1
RC,118,PENIS PROCEDURES WITHOUT CC/MCC ,,,17574.48,17574.48,1
RC,118,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,44489.43,44489.43,1
RC,118,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,36251.83,36251.83,1
RC,118,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,30611.58,30611.58,1
RC,118,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,21148.91,21148.91,1
RC,118,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,25293.4,25293.4,1
RC,118,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,18496.25,18496.25,1
RC,118,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,37703.14,2
RC,118,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,27583.49,2
RC,118,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,27661.54,27661.54,1
RC,118,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,14277.67,14277.67,1
RC,118,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,19861.6,19861.6,1
RC,118,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,10841.54,10841.54,1
RC,118,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,24564.28,2
RC,118,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,39010.22,2
RC,118,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,18896.37,2
RC,118,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,24783.62,24783.62,1
RC,118,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,35274.73,35274.73,1
RC,118,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,21588.55,21588.55,1
RC,118,PLEURAL EFFUSION WITH CC ,,,13503.11,13503.11,1
RC,118,PLEURAL EFFUSION WITH MCC ,,,19128.54,19128.54,1
RC,118,PLEURAL EFFUSION WITHOUT CC/MCC ,,,10816.84,10816.84,1
RC,118,PNEUMOTHORAX WITH CC ,,,7000.0,14591.83,2
RC,118,PNEUMOTHORAX WITH MCC ,,,7000.0,21159.78,2
RC,118,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,10796.1,2
RC,118,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,19226.34,19226.34,1
RC,118,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,12199.0,12199.0,1
RC,118,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,21748.6,21748.6,1
RC,118,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13590.05,13590.05,1
RC,118,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,24888.33,24888.33,1
RC,118,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,48670.46,48670.46,1
RC,118,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,17492.48,17492.48,1
RC,118,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,20425.72,20425.72,1
RC,118,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10199.37,10199.37,1
RC,118,PREMATURITY WITH MAJOR PROBLEMS ,,,43832.43,43832.43,1
RC,118,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,27928.29,27928.29,1
RC,118,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,3731.21,3731.21,1
RC,118,PROSTATECTOMY WITH CC ,,,21013.57,21013.57,1
RC,118,PROSTATECTOMY WITH MCC ,,,34567.36,34567.36,1
RC,118,PROSTATECTOMY WITHOUT CC/MCC ,,,14660.0,14660.0,1
RC,118,PSYCHOSES ,,,17531.01,17531.01,1
RC,118,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,15936.44,15936.44,1
RC,118,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,17301.81,17301.81,1
RC,118,PULMONARY EMBOLISM WITHOUT MCC ,,,11684.27,11684.27,1
RC,118,RADIOTHERAPY ,,,30499.94,30499.94,1
RC,118,RECTAL RESECTION WITH CC ,,,26871.17,26871.17,1
RC,118,RECTAL RESECTION WITH MCC ,,,39502.21,39502.21,1
RC,118,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,19912.98,2
RC,118,RED BLOOD CELL DISORDERS WITH MCC ,,,17605.11,17605.11,1
RC,118,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,12802.64,12802.64,1
RC,118,REHABILITATION WITH CC/MCC ,,,1793.0,19030.73,4
RC,118,REHABILITATION WITHOUT CC/MCC ,,,1793.0,15061.12,4
RC,118,RENAL FAILURE WITH CC ,,,12383.75,12383.75,1
RC,118,RENAL FAILURE WITH MCC ,,,18362.87,18362.87,1
RC,118,RENAL FAILURE WITHOUT CC/MCC ,,,9661.92,9661.92,1
RC,118,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13373.68,13373.68,1
RC,118,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,19170.04,19170.04,1
RC,118,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,11190.29,11190.29,1
RC,118,RESPIRATORY NEOPLASMS WITH CC ,,,14312.25,14312.25,1
RC,118,RESPIRATORY NEOPLASMS WITH MCC ,,,21178.56,21178.56,1
RC,118,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,11178.44,11178.44,1
RC,118,RESPIRATORY SIGNS AND SYMPTOMS ,,,11707.99,11707.99,1
RC,118,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,30887.21,30887.21,1
RC,118,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,67303.35,67303.35,1
RC,118,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13749.11,13749.11,1
RC,118,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,24742.12,24742.12,1
RC,118,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,9975.11,9975.11,1
RC,118,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,38572.54,38572.54,1
RC,118,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,55158.38,55158.38,1
RC,118,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,30880.3,2
RC,118,SALIVARY GLAND PROCEDURES ,,,15939.41,15939.41,1
RC,118,SEPTIC ARTHRITIS WITH CC ,,,7000.0,15657.84,2
RC,118,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,22807.69,2
RC,118,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,12366.96,2
RC,118,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,72016.91,72016.91,1
RC,118,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,22922.3,22922.3,1
RC,118,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,13840.99,13840.99,1
RC,118,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,24274.82,24274.82,1
RC,118,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,33572.49,33572.49,1
RC,118,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,20085.87,2
RC,118,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,16790.04,2
RC,118,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,11937.19,2
RC,118,SIGNS AND SYMPTOMS WITH MCC ,,,16272.36,16272.36,1
RC,118,SIGNS AND SYMPTOMS WITHOUT MCC ,,,11639.82,11639.82,1
RC,118,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,11693.17,2
RC,118,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,16716.93,2
RC,118,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,9940.53,2
RC,118,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,43452.07,2
RC,118,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,56385.43,56385.43,1
RC,118,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,35646.21,35646.21,1
RC,118,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,25169.9,25169.9,1
RC,118,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13761.95,13761.95,1
RC,118,SKIN DEBRIDEMENT WITH CC ,,,20422.77,20422.77,1
RC,118,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,32788.05,2
RC,118,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,15056.18,15056.18,1
RC,118,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,29919.02,2
RC,118,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,52153.02,52153.02,1
RC,118,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,19601.77,2
RC,118,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,38027.19,38027.19,1
RC,118,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,68456.31,2
RC,118,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,21484.82,21484.82,1
RC,118,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,16099.46,38894.62,3
RC,118,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,40019.9,40019.9,1
RC,118,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,18386.58,18386.58,1
RC,118,SKIN ULCERS WITH CC ,,,15451.36,15451.36,1
RC,118,SKIN ULCERS WITH MCC ,,,22851.16,22851.16,1
RC,118,SKIN ULCERS WITHOUT CC/MCC ,,,12294.83,12294.83,1
RC,118,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,21001.71,2
RC,118,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,34998.12,2
RC,118,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,17028.14,2
RC,118,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,44954.75,86753.29,3
RC,118,SPLENIC PROCEDURES WITH CC ,,,31486.91,31486.91,1
RC,118,SPLENIC PROCEDURES WITH MCC ,,,48474.85,48474.85,1
RC,118,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,22590.35,22590.35,1
RC,118,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,13159.3,2
RC,118,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,10847.48,2
RC,118,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,27878.88,27878.88,1
RC,118,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,53004.64,53004.64,1
RC,118,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,19561.26,19561.26,1
RC,118,SYNCOPE AND COLLAPSE ,,,7000.0,12342.26,2
RC,118,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,18421.16,2
RC,118,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,12555.66,2
RC,118,TESTES PROCEDURES WITH CC/MCC ,,,24318.29,24318.29,1
RC,118,TESTES PROCEDURES WITHOUT CC/MCC ,,,14595.79,14595.79,1
RC,118,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,18544.66,18544.66,1
RC,118,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,33568.54,33568.54,1
RC,118,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,16854.25,16854.25,1
RC,118,TRANSURETHRAL PROCEDURES WITH CC ,,,19064.32,19064.32,1
RC,118,TRANSURETHRAL PROCEDURES WITH MCC ,,,32579.59,32579.59,1
RC,118,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13386.53,13386.53,1
RC,118,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,18584.17,18584.17,1
RC,118,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,14177.88,14177.88,1
RC,118,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,18274.94,18274.94,1
RC,118,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,12780.91,12780.91,1
RC,118,TRAUMATIC INJURY WITH MCC ,,,19880.37,19880.37,1
RC,118,TRAUMATIC INJURY WITHOUT MCC ,,,12479.58,12479.58,1
RC,118,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,39360.94,58722.94,2
RC,118,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,33136.8,33136.8,1
RC,118,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,17371.95,17371.95,1
RC,118,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,12176.27,12176.27,1
RC,118,UNGROUPABLE ,,,3731.21,3731.21,1
RC,118,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,20505.75,20505.75,1
RC,118,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,30380.4,30380.4,1
RC,118,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,14521.69,2
RC,118,URETHRAL PROCEDURES WITH CC/MCC ,,,21465.06,21465.06,1
RC,118,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.22,14396.22,1
RC,118,URETHRAL STRICTURE ,,,14379.42,14379.42,1
RC,118,URINARY STONES WITH MCC ,,,17014.3,17014.3,1
RC,118,URINARY STONES WITHOUT MCC ,,,11454.08,11454.08,1
RC,118,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,21858.27,21858.27,1
RC,118,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,15988.81,15988.81,1
RC,118,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,21609.3,21609.3,1
RC,118,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,39127.78,39127.78,1
RC,118,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,17820.49,17820.49,1
RC,118,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,24089.07,24089.07,1
RC,118,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,39045.78,39045.78,1
RC,118,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,18239.38,18239.38,1
RC,118,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,20893.03,20893.03,1
RC,118,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,12224.68,12224.68,1
RC,118,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,14318.17,14318.17,1
RC,118,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,13614.75,13614.75,1
RC,118,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,15260.68,15260.68,1
RC,118,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,13186.96,13186.96,1
RC,118,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,11180.41,11180.41,1
RC,118,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,14393.25,14393.25,1
RC,118,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,10392.02,10392.02,1
RC,118,VEIN LIGATION AND STRIPPING ,,,7000.0,33937.04,2
RC,118,VIRAL ILLNESS WITH MCC ,,,18533.79,18533.79,1
RC,118,VIRAL ILLNESS WITHOUT MCC ,,,12322.5,12322.5,1
RC,118,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,21748.6,60039.88,3
RC,118,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,22645.67,22645.67,1
RC,118,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,45191.87,45191.87,1
RC,118,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,15286.37,15286.37,1
RC,119, Room & Board - Private (One Bed) Other  ,,,6650.0,21045.0,4
RC,119,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,3
RC,119,ABORTION WITHOUT D&C ,,,13046.0,19995.0,3
RC,119,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,19995.0,4
RC,119,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,19995.0,4
RC,119,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,ACUTE LEUKEMIA WITH CC ,,,13046.0,19995.0,3
RC,119,ACUTE LEUKEMIA WITH MCC ,,,13046.0,19995.0,3
RC,119,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,19995.0,3
RC,119,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,13046.0,19995.0,3
RC,119,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,19995.0,3
RC,119,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,119,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,AFTERCARE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,3
RC,119,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,19995.0,3
RC,119,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,AICD GENERATOR PROCEDURES ,,,13046.0,19995.0,3
RC,119,AICD LEAD PROCEDURES ,,,7000.0,19995.0,4
RC,119,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,3
RC,119,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,19995.0,3
RC,119,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,3
RC,119,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,13046.0,19995.0,3
RC,119,ALLERGIC REACTIONS WITH MCC ,,,13046.0,19995.0,3
RC,119,ALLERGIC REACTIONS WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,19995.0,3
RC,119,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,19995.0,3
RC,119,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,3
RC,119,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,119,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,119,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,4
RC,119,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,19995.0,9
RC,119,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,ANGINA PECTORIS ,,,7000.0,19995.0,4
RC,119,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,119,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,119,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,119,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,119,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,119,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,119,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,119,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,119,APPENDIX PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,APPENDIX PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,4
RC,119,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,119,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,119,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,119,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,119,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,119,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,3
RC,119,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,119,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,19995.0,10
RC,119,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,19995.0,4
RC,119,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,4
RC,119,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,4
RC,119,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,4
RC,119,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,19995.0,3
RC,119,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,13046.0,19995.0,3
RC,119,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,19995.0,3
RC,119,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,4
RC,119,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,119,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,119,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,4
RC,119,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,119,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,119,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,119,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,119,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,19995.0,4
RC,119,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,19995.0,4
RC,119,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,19995.0,4
RC,119,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,19995.0,4
RC,119,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,19995.0,9
RC,119,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,19995.0,9
RC,119,CELLULITIS WITH MCC ,,,13046.0,19995.0,3
RC,119,CELLULITIS WITHOUT MCC ,,,13046.0,13046.0,1
RC,119,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,119,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,119,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,19995.0,3
RC,119,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,19995.0,3
RC,119,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,119,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,119,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,CHEST PAIN ,,,7000.0,7000.0,1
RC,119,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,19995.0,4
RC,119,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,19995.0,3
RC,119,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,19995.0,3
RC,119,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,19995.0,3
RC,119,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,4
RC,119,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,3
RC,119,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,119,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,119,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,3
RC,119,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,19995.0,3
RC,119,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,COAGULATION DISORDERS ,,,13046.0,19995.0,3
RC,119,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,19995.0,4
RC,119,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,4
RC,119,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,3
RC,119,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,3
RC,119,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,19995.0,3
RC,119,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,19995.0,3
RC,119,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,4
RC,119,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,119,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,19995.0,3
RC,119,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,19995.0,3
RC,119,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,19995.0,3
RC,119,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,19995.0,3
RC,119,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,19995.0,2
RC,119,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,19995.0,2
RC,119,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,19995.0,3
RC,119,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,19995.0,3
RC,119,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,4
RC,119,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,19995.0,4
RC,119,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,DIABETES WITH CC ,,,13046.0,19995.0,3
RC,119,DIABETES WITH MCC ,,,13046.0,19995.0,3
RC,119,DIABETES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,4
RC,119,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,19995.0,4
RC,119,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,4
RC,119,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,19995.0,4
RC,119,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,4
RC,119,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,4
RC,119,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,19995.0,3
RC,119,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,3
RC,119,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,19995.0,3
RC,119,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,DYSEQUILIBRIUM ,,,7000.0,19995.0,4
RC,119,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,4
RC,119,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,19995.0,4
RC,119,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,119,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,119,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,119,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,19995.0,4
RC,119,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,19995.0,3
RC,119,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,19995.0,3
RC,119,EPISTAXIS WITH MCC ,,,7000.0,19995.0,4
RC,119,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,119,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,3
RC,119,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,2
RC,119,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,19995.0,3
RC,119,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,19995.0,3
RC,119,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,119,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,119,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,3
RC,119,FOOT PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,119,FOOT PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,119,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,6
RC,119,FRACTURES OF FEMUR WITH MCC ,,,7000.0,19995.0,4
RC,119,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,4
RC,119,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,4
RC,119,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,119,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,19995.0,3
RC,119,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,3
RC,119,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,19995.0,4
RC,119,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,13046.0,19995.0,3
RC,119,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,3
RC,119,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,19995.0,4
RC,119,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,119,HAND PROCEDURES FOR INJURIES ,,,13046.0,19995.0,3
RC,119,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,119,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,119,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,119,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,19995.0,4
RC,119,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,19995.0,4
RC,119,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,119,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,119,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,119,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,3
RC,119,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,19995.0,3
RC,119,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,3
RC,119,HYPERTENSION WITH MCC ,,,7000.0,19995.0,4
RC,119,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,4
RC,119,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,3
RC,119,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,119,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,119,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,3
RC,119,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,3
RC,119,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,19995.0,3
RC,119,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,4
RC,119,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,19995.0,4
RC,119,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,19995.0,3
RC,119,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,19995.0,3
RC,119,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,3
RC,119,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,19995.0,3
RC,119,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,13046.0,1
RC,119,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,13046.0,13046.0,1
RC,119,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,3
RC,119,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,19995.0,3
RC,119,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,3
RC,119,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,KIDNEY TRANSPLANT ,,,13046.0,19995.0,3
RC,119,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,19995.0,3
RC,119,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,19995.0,4
RC,119,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,19995.0,4
RC,119,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,19995.0,4
RC,119,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,19995.0,3
RC,119,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,19995.0,12
RC,119,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,19995.0,4
RC,119,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,19995.0,4
RC,119,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,19995.0,4
RC,119,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,19995.0,3
RC,119,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,119,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,19995.0,3
RC,119,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,19995.0,3
RC,119,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,119,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,119,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,119,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,119,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,119,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,119,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,3
RC,119,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,19995.0,4
RC,119,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,19995.0,9
RC,119,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,119,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,19995.0,4
RC,119,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,19995.0,4
RC,119,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,119,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,4
RC,119,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,3
RC,119,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,19995.0,3
RC,119,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,119,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,119,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,119,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,119,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,119,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,119,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,19995.0,4
RC,119,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,4
RC,119,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,119,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,119,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,119,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,3
RC,119,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,13046.0,19995.0,3
RC,119,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,19995.0,9
RC,119,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,19995.0,6
RC,119,NEUROLOGICAL EYE DISORDERS ,,,13046.0,19995.0,3
RC,119,NON-EXTENSIVE BURNS ,,,13046.0,19995.0,3
RC,119,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,119,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,119,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,19995.0,3
RC,119,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,19995.0,3
RC,119,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,19995.0,3
RC,119,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,4
RC,119,OSTEOMYELITIS WITH MCC ,,,7000.0,19995.0,4
RC,119,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,119,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,19995.0,3
RC,119,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,19995.0,3
RC,119,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,4
RC,119,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19995.0,4
RC,119,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,19995.0,4
RC,119,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,4
RC,119,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19995.0,4
RC,119,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,119,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,119,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13046.0,19995.0,3
RC,119,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,4
RC,119,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,19995.0,4
RC,119,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,119,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,119,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,119,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,119,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,119,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,13046.0,19995.0,3
RC,119,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,19995.0,3
RC,119,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,119,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,119,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,119,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,19995.0,3
RC,119,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,3
RC,119,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,119,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,119,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,119,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,119,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,119,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,119,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,119,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,119,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,119,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,19995.0,4
RC,119,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,19995.0,9
RC,119,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,19995.0,3
RC,119,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,19995.0,3
RC,119,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,119,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,119,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,19995.0,3
RC,119,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,19995.0,3
RC,119,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,119,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,119,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,119,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,119,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,19995.0,4
RC,119,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,19995.0,2
RC,119,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,19995.0,2
RC,119,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,19995.0,2
RC,119,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,4
RC,119,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,4
RC,119,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,19995.0,4
RC,119,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,119,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,119,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,19995.0,12
RC,119,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,19995.0,3
RC,119,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,19995.0,2
RC,119,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,2
RC,119,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,19995.0,4
RC,119,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,19995.0,4
RC,119,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,19995.0,3
RC,119,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,19995.0,4
RC,119,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,19995.0,4
RC,119,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,19995.0,3
RC,119,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,19995.0,3
RC,119,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,3
RC,119,PLEURAL EFFUSION WITH MCC ,,,13046.0,19995.0,3
RC,119,PLEURAL EFFUSION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,4
RC,119,PNEUMOTHORAX WITH MCC ,,,7000.0,19995.0,4
RC,119,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,19995.0,3
RC,119,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,19995.0,3
RC,119,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,19995.0,3
RC,119,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,13046.0,19995.0,3
RC,119,PROSTATECTOMY WITH CC ,,,13046.0,19995.0,3
RC,119,PROSTATECTOMY WITH MCC ,,,13046.0,19995.0,3
RC,119,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,3
RC,119,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,3
RC,119,PULMONARY EMBOLISM WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,RADIOTHERAPY ,,,13046.0,19995.0,3
RC,119,RECTAL RESECTION WITH CC ,,,13046.0,19995.0,3
RC,119,RECTAL RESECTION WITH MCC ,,,13046.0,19995.0,3
RC,119,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,119,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,RENAL FAILURE WITH CC ,,,13046.0,13046.0,1
RC,119,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,3
RC,119,RENAL FAILURE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,3
RC,119,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,19995.0,3
RC,119,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,3
RC,119,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,19995.0,3
RC,119,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,RESPIRATORY SIGNS AND SYMPTOMS ,,,13046.0,19995.0,3
RC,119,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,19995.0,3
RC,119,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,19995.0,3
RC,119,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,119,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,119,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,119,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,3
RC,119,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,4
RC,119,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,19995.0,4
RC,119,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,119,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,119,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,19995.0,4
RC,119,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,4
RC,119,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,4
RC,119,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,3
RC,119,SIGNS AND SYMPTOMS WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,4
RC,119,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,4
RC,119,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,119,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,SKIN DEBRIDEMENT WITH CC ,,,13046.0,19995.0,3
RC,119,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,19995.0,4
RC,119,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,19995.0,4
RC,119,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,19995.0,3
RC,119,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,19995.0,3
RC,119,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,19995.0,4
RC,119,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,19995.0,9
RC,119,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,SKIN ULCERS WITH CC ,,,13046.0,19995.0,3
RC,119,SKIN ULCERS WITH MCC ,,,13046.0,19995.0,3
RC,119,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,119,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,119,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,SPLENIC PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,SPLENIC PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,4
RC,119,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,119,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,119,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,119,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,4
RC,119,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,4
RC,119,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,4
RC,119,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,119,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,119,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,119,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,119,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,3
RC,119,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,3
RC,119,TRAUMATIC INJURY WITH MCC ,,,13046.0,19995.0,3
RC,119,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,19995.0,3
RC,119,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,3
RC,119,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,119,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,119,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,119,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,119,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,URETHRAL STRICTURE ,,,13046.0,19995.0,3
RC,119,URINARY STONES WITH MCC ,,,13046.0,19995.0,3
RC,119,URINARY STONES WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,19995.0,3
RC,119,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,19995.0,3
RC,119,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,19995.0,3
RC,119,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,19995.0,3
RC,119,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,119,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,19995.0,3
RC,119,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,119,VEIN LIGATION AND STRIPPING ,,,7000.0,19995.0,4
RC,119,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,3
RC,119,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,3
RC,119,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,19995.0,9
RC,119,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,19995.0,3
RC,119,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,19995.0,3
RC,119,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,120, Room & Board - Semi-private (Two Beds) General Classification  ,,,6650.0,21045.0,4
RC,120,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,120,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,120,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,120,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,120,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,120,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,120,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,120,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,120,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,13046.0,19995.0,4
RC,120,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,12362.1,19995.0,4
RC,120,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,120,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,120,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,120,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,120,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,120,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,120,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,120,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,120,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,120,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,120,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,120,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,120,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,120,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,120,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,120,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,120,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,120,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,120,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,120,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,120,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,120,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,120,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,120,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,120,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,120,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,120,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,120,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,120,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,120,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,120,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,120,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,120,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,120,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,120,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,120,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,120,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,120,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,120,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,120,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,120,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,120,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,120,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,120,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,120,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,120,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,120,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,120,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,120,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,120,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,120,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,120,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,120,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,120,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,120,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,120,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,120,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,120,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,120,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,120,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,120,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,120,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,120,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,120,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,120,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,120,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,120,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,120,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,120,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,120,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,120,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,120,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,120,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,120,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,120,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,120,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,120,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,120,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,120,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,120,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,120,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,120,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,120,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,120,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,120,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,120,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,120,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,120,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,120,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,120,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,120,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,120,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,120,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,120,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,120,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,120,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,120,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,120,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,120,CHEST PAIN ,,,7000.0,11662.96,2
RC,120,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,120,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,120,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,120,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,120,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,120,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,120,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,120,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,120,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,120,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,120,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,120,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,120,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,120,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,120,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,120,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,120,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,120,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,120,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,120,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,120,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,120,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,120,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,120,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,120,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,120,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,120,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,120,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,120,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,120,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,120,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,120,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,120,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,120,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,120,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,120,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,120,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,120,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,120,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,120,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,120,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,120,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,120,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,120,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,120,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,120,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,120,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,120,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,120,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,120,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,120,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,120,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,120,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,120,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,120,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,120,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,120,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,120,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,120,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,120,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,120,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,120,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,120,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,120,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,120,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,120,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,120,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,120,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,120,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,120,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,120,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,120,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,120,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,120,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,120,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,120,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,120,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,120,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,120,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,120,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,120,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,120,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,120,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,120,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,120,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,120,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,120,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,120,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,120,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,120,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,120,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,120,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,120,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,120,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,120,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,120,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,120,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,120,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,120,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,120,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,120,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,120,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,120,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,120,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,120,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,120,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,120,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,120,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,120,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,120,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,120,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,120,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,120,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,120,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,120,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,120,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,120,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,120,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,120,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,120,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,120,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,120,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,120,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,120,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,120,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,120,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,120,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,120,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,120,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,120,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,120,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,120,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,120,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,120,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,120,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,120,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,120,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,120,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,120,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,120,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,120,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,120,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,120,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,120,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,120,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,120,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,120,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,120,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,120,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,120,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,120,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,120,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,120,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,120,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,120,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,120,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,120,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,120,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,120,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,120,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,120,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,120,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,120,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,120,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,120,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,120,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,120,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,120,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,120,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,120,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,120,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,120,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,120,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,120,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,120,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,120,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,120,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,120,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,120,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,120,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,120,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,120,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,120,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,120,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,120,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,120,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,120,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,120,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,120,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,120,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,120,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,120,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,120,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,120,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,120,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,120,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,120,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,120,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,120,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,120,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,120,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,120,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,120,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,120,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,120,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,120,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,120,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,120,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,120,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,120,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,120,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,120,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,120,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,120,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,120,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,120,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,120,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,120,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,120,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,120,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,120,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,120,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,120,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,120,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,120,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,120,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,120,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,120,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,120,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,120,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,120,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,120,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,120,NEUROLOGICAL EYE DISORDERS ,,,12498.1,19995.0,4
RC,120,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,120,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,120,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,120,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,120,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,120,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,120,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,120,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,120,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,120,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,120,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,120,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,120,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,120,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,120,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,120,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,120,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,120,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,120,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,120,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,120,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,120,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,120,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,120,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,120,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,120,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,120,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,120,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,120,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,120,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,120,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,120,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,120,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,120,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,120,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13046.0,19995.0,4
RC,120,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,19995.0,4
RC,120,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,120,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,120,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,120,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,120,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,120,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,120,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,120,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,120,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,120,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,120,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,120,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,120,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,120,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,120,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,120,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,120,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,120,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,120,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,120,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,120,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,120,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,120,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,120,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,120,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,120,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,120,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,120,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,120,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,120,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,120,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,120,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,120,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,120,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,120,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,120,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,120,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,120,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,120,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,120,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,120,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,120,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,120,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,120,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,120,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,120,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,120,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,120,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,120,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,120,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,120,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,120,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,120,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,120,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,120,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,120,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,120,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,120,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,120,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,120,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,120,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,120,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,120,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,120,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,120,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,120,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,120,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,120,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,120,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,120,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,120,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,120,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,120,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,120,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,120,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,120,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,120,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,120,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,120,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,120,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,120,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,120,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,120,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,120,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,120,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,120,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,120,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,120,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,120,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,120,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,120,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,120,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,120,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,120,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,120,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,120,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,120,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,120,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,120,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,120,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,120,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,120,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,120,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,120,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,120,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,120,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,120,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,PSYCHOSES ,,,18854.11,18854.11,1
RC,120,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,120,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,120,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,120,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,120,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,120,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,120,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,120,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,120,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,120,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,120,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,120,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,120,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,120,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,120,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,120,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,120,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,120,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,120,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,120,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,120,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,120,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,120,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,120,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,120,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,120,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,120,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,120,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,120,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,120,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,120,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,120,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,120,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,120,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,120,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,120,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,120,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,120,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,120,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,120,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,120,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,120,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,120,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,120,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,120,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,120,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,120,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,120,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,120,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,120,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,120,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,120,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,120,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,120,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,120,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,120,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,120,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,120,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,120,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,120,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,120,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,120,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,120,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,120,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,120,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,120,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,120,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,120,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,120,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,120,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,120,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,120,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,120,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,120,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,120,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,120,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,120,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,120,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,120,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,120,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,120,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,120,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,120,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,120,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,120,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,120,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,120,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,120,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,120,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,120,UNGROUPABLE ,,,4012.81,4012.81,1
RC,120,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,120,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,120,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,120,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,120,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,120,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,120,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,120,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,120,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,120,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,120,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,120,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,120,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,120,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,120,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,120,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,120,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,120,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,120,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,120,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,120,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,120,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,120,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,120,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,120,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,120,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,120,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,120,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,120,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,120,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,120,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121, Room & Board - Semi-private (Two Beds) Medical/Surgical/GYN  ,,,6650.0,21045.0,4
RC,121,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,121,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,121,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,121,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,121,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,121,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,121,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,121,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,121,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,12362.1,19995.0,4
RC,121,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,121,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,121,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,121,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,121,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,121,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,121,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,121,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,121,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,121,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,121,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,121,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,121,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,121,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,121,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,121,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,121,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,121,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,121,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,121,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,121,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,121,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,121,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,121,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,121,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,121,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,121,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,121,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,121,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,121,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,121,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,121,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,121,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,121,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,121,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,121,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,121,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,121,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,121,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,121,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,121,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,121,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,121,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,121,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,121,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,121,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,121,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,121,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,121,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,121,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,121,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,121,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,121,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,121,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,121,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,121,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,121,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,121,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,121,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,121,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,121,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,121,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,121,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,121,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,121,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,121,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,121,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,121,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,121,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,121,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,121,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,121,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,121,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,121,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,121,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,121,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,121,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,121,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,121,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,121,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,121,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,121,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,121,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,121,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,121,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,121,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,121,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,121,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,121,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,121,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,121,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,121,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,121,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,121,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,121,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,121,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,121,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,121,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,121,CHEST PAIN ,,,7000.0,11662.96,2
RC,121,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,121,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,121,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,121,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,121,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,121,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,121,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,121,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,121,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,121,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,121,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,121,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,121,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,121,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,121,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,121,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,121,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,121,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,121,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,121,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,121,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,121,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,121,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,121,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,121,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,121,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,121,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,121,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,121,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,121,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,121,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,121,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,121,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,121,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,121,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,121,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,121,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,121,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,121,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,121,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,121,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,121,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,121,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,121,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,121,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,121,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,121,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,121,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,121,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,121,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,121,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,121,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,121,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,121,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,121,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,121,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,121,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,121,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,121,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,121,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,121,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,121,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,121,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,121,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,121,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,121,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,121,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,121,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,121,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,121,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,121,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,121,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,121,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,121,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,121,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,121,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,121,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,121,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,121,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,121,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,121,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,121,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,121,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,121,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,121,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,121,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,121,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,121,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,121,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,121,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,121,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,121,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,121,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,121,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,121,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,121,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,121,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,121,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,121,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,121,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,121,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,121,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,121,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,121,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,121,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,121,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,121,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,121,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,121,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,121,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,121,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,121,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,121,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,121,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,121,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,121,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,121,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,121,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,121,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,121,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,121,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,121,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,121,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,121,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,121,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,121,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,121,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,121,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,121,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,121,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,121,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,121,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,121,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,121,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,121,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,121,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,121,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,121,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,121,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,121,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,121,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,121,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,121,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,121,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,121,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,121,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,121,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,121,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,121,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,121,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,121,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,121,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,121,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,121,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,121,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,121,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,121,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,121,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,121,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,121,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,121,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,121,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,121,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,121,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,121,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,121,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,121,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,121,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,121,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,121,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,121,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,121,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,121,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,121,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,121,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,121,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,121,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,121,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,121,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,121,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,121,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,121,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,121,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,121,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,121,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,121,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,121,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,121,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,121,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,121,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,121,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,121,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,121,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,121,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,121,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,121,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,121,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,121,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,121,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,121,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,121,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,121,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,121,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,121,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,121,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,121,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,121,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,121,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,121,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,121,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,121,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,121,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,121,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,121,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,121,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,121,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,121,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,121,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,121,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,121,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,121,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,121,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,121,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,121,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,121,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,121,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,121,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,121,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,121,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,121,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,121,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,121,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,121,NEUROLOGICAL EYE DISORDERS ,,,12498.1,19995.0,4
RC,121,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,121,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,121,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,121,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,121,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,121,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,121,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,121,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,121,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,121,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,121,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,121,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,121,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,121,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,121,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,121,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,121,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,121,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,121,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,121,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,121,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,121,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,121,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,121,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,121,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,121,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,121,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,121,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,121,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,121,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,121,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,121,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,121,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,121,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,121,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13046.0,19995.0,4
RC,121,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,19995.0,4
RC,121,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,121,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,121,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,121,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,121,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,121,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,121,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,121,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,121,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,121,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,121,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,121,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,121,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,121,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,121,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,121,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,121,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,121,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,121,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,121,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,121,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,121,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,121,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,121,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,121,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,121,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,121,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,121,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,121,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,121,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,121,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,121,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,121,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,121,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,121,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,121,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,121,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,121,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,121,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,121,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,121,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,121,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,121,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,121,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,121,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,121,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,121,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,121,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,121,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,121,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,121,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,121,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,121,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,121,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,121,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,121,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,121,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,121,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,121,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,121,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,121,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,121,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,121,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,121,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,121,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,121,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,121,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,121,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,121,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,121,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,121,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,121,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,121,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,121,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,121,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,121,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,121,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,121,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,121,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,121,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,121,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,121,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,121,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,121,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,121,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,121,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,121,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,121,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,121,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,121,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,121,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,121,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,121,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,121,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,121,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,121,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,121,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,121,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,121,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,121,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,121,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,121,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,121,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,121,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,121,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,121,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,121,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,PSYCHOSES ,,,18854.11,18854.11,1
RC,121,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,121,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,121,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,121,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,121,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,121,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,121,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,121,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,121,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,121,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,121,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,121,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,121,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,121,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,121,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,121,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,121,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,121,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,121,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,121,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,121,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,121,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,121,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,121,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,121,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,121,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,121,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,121,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,121,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,121,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,121,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,121,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,121,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,121,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,121,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,121,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,121,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,121,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,121,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,121,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,121,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,121,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,121,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,121,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,121,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,121,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,121,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,121,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,121,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,121,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,121,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,121,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,121,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,121,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,121,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,121,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,121,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,121,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,121,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,121,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,121,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,121,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,121,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,121,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,121,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,121,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,121,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,121,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,121,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,121,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,121,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,121,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,121,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,121,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,121,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,121,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,121,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,121,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,121,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,121,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,121,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,121,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,121,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,121,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,121,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,121,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,121,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,121,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,121,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,121,UNGROUPABLE ,,,4012.81,4012.81,1
RC,121,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,121,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,121,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,121,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,121,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,121,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,121,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,121,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,121,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,121,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,121,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,121,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,121,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,121,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,121,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,121,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,121,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,121,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,121,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,121,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,121,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,121,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,121,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,121,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,121,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,121,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,121,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,121,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,121,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,121,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,121,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122, Room & Board - Semi-private (Two Beds) Obstetrics (OB)  ,,,6650.0,21045.0,4
RC,122,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,122,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,122,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,122,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,122,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,122,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,122,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,122,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,122,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,122,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,122,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,122,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,122,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,122,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,122,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,122,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,122,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,122,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,122,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,122,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,122,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,122,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,122,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,122,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,122,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,122,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,122,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,122,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,122,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,122,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,122,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,122,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,122,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,122,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,122,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,122,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,122,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,122,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,122,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,122,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,122,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,122,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,122,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,122,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,122,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,122,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,122,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,122,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,122,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,122,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,122,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,122,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,122,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,122,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,122,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,122,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,122,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,122,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,122,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,122,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,122,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,122,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,122,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,122,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,122,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,122,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,122,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,122,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,122,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,122,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,122,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,122,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,122,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,122,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,122,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,122,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,122,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,122,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,122,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,122,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,122,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,122,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,122,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,122,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,122,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,122,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,122,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,122,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,122,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,122,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,122,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,122,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,122,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,122,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,122,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,122,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,122,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,122,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,122,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,122,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,122,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,122,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,122,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,122,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,122,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,122,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,122,CHEST PAIN ,,,7000.0,11662.96,2
RC,122,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,122,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,122,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,122,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,122,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,122,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,122,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,122,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,122,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,122,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,122,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,122,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,122,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,122,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,122,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,122,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,122,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,122,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,122,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,122,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,122,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,122,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,122,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,122,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,122,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,122,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,122,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,122,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,122,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,122,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,122,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,122,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,122,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,122,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,122,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,122,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,122,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,122,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,122,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,122,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,122,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,122,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,122,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,122,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,122,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,122,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,122,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,122,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,122,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,122,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,122,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,122,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,122,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,122,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,122,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,122,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,122,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,122,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,122,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,122,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,122,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,122,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,122,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,122,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,122,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,122,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,122,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,122,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,122,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,122,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,122,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,122,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,122,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,122,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,122,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,122,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,122,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,122,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,122,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,122,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,122,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,122,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,122,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,122,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,122,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,122,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,122,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,122,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,122,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,122,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,122,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,122,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,122,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,122,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,122,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,122,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,122,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,122,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,122,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,122,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,122,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,122,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,122,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,122,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,122,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,122,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,122,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,122,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,122,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,122,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,122,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,122,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,122,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,122,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,122,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,122,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,122,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,122,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,122,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,122,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,122,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,122,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,122,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,122,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,122,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,122,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,122,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,122,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,122,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,122,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,122,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,122,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,122,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,122,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,122,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,122,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,122,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,122,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,122,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,122,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,122,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,122,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,122,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,122,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,122,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,122,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,122,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,122,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,122,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,122,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,122,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,122,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,122,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,122,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,122,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,122,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,122,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,122,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,122,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,122,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,122,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,122,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,122,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,122,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,122,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,122,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,122,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,122,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,122,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,122,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,122,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,122,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,122,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,122,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,122,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,122,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,122,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,122,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,122,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,122,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,122,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,122,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,122,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,122,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,122,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,122,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,122,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,122,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,122,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,122,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,122,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,122,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,122,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,122,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,122,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,122,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,122,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,122,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,122,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,122,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,122,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,122,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,122,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,122,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,122,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,122,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,122,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,122,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,122,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,122,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,122,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,122,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,122,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,122,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,122,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,122,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,122,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,122,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,122,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,122,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,122,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,122,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,122,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,122,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,122,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,122,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,122,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,122,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,122,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,122,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,122,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,122,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,122,NEUROLOGICAL EYE DISORDERS ,,,12498.1,19995.0,4
RC,122,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,122,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,122,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,122,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,122,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,122,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,122,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,122,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,122,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,122,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,122,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,122,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,122,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,122,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,122,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,122,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,122,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,122,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,122,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,122,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,122,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,122,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,122,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,122,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,122,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,122,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,122,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,122,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,122,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,122,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,122,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,122,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,122,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,122,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,122,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13046.0,19995.0,4
RC,122,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,19995.0,4
RC,122,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,122,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,122,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,122,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,122,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,122,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,122,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,122,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,122,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,122,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,122,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,122,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,122,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,122,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,122,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,122,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,122,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,122,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,122,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,122,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,122,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,122,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,122,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,122,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,122,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,122,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,122,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,122,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,122,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,122,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,122,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,122,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,122,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,122,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,122,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,122,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,122,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,122,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,122,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,122,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,122,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,122,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,122,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,122,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,122,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,122,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,122,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,122,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,122,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,122,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,122,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,122,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,122,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,122,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,122,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,122,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,122,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,122,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,122,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,122,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,122,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,122,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,122,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,122,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,122,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,122,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,122,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,122,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,122,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,122,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,122,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,122,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,122,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,122,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,122,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,122,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,122,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,122,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,122,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,122,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,122,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,122,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,122,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,122,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,122,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,122,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,122,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,122,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,122,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,122,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,122,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,122,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,122,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,122,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,122,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,122,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,122,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,122,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,122,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,122,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,122,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,122,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,122,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,122,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,122,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,122,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,122,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,PSYCHOSES ,,,18854.11,18854.11,1
RC,122,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,122,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,122,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,122,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,122,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,122,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,122,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,122,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,122,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,122,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,122,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,122,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,122,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,122,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,122,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,122,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,122,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,122,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,122,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,122,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,122,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,122,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,122,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,122,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,122,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,122,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,122,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,122,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,122,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,122,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,122,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,122,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,122,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,122,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,122,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,122,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,122,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,122,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,122,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,122,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,122,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,122,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,122,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,122,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,122,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,122,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,122,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,122,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,122,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,122,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,122,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,122,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,122,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,122,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,122,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,122,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,122,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,122,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,122,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,122,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,122,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,122,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,122,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,122,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,122,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,122,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,122,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,122,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,122,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,122,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,122,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,122,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,122,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,122,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,122,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,122,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,122,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,122,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,122,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,122,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,122,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,122,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,122,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,122,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,122,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,122,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,122,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,122,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,122,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,122,UNGROUPABLE ,,,4012.81,4012.81,1
RC,122,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,122,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,122,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,122,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,122,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,122,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,122,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,122,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,122,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,122,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,122,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,122,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,122,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,122,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,122,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,122,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,122,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,122,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,122,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,122,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,122,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,122,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,122,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,122,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,122,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,122,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,122,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,122,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,122,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,122,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,122,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123, Room & Board - Semi-private (Two Beds) Pediatric  ,,,6650.0,21045.0,4
RC,123,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,123,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,123,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,123,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,123,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,123,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,123,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,123,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,123,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,123,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,123,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,123,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,123,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,123,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,123,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,123,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,123,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,123,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,123,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,123,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,123,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,123,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,123,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,123,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,123,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,123,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,123,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,123,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,123,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,123,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,123,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,123,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,123,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,123,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,123,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,123,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,123,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,123,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,123,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,123,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,123,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,123,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,123,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,123,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,123,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,123,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,123,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,123,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,123,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,123,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,123,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,123,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,123,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,123,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,123,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,123,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,123,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,123,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,123,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,123,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,123,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,123,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,123,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,123,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,123,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,123,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,123,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,123,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,123,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,123,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,123,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,123,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,123,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,123,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,123,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,123,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,123,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,123,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,123,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,123,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,123,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,123,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,123,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,123,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,123,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,123,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,123,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,123,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,123,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,123,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,123,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,123,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,123,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,123,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,123,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,123,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,123,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,123,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,123,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,123,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,123,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,123,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,123,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,123,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,123,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,123,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,123,CHEST PAIN ,,,7000.0,11662.96,2
RC,123,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,123,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,123,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,123,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,123,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,123,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,123,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,123,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,123,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,123,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,123,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,123,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,123,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,123,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,123,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,123,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,123,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,123,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,123,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,123,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,123,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,123,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,123,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,123,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,123,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,123,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,123,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,123,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,123,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,123,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,123,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,123,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,123,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,123,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,123,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,123,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,123,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,123,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,123,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,123,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,123,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,123,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,123,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,123,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,123,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,123,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,123,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,123,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,123,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,123,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,123,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,123,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,123,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,123,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,123,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,123,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,123,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,123,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,123,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,123,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,123,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,123,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,123,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,123,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,123,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,123,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,123,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,123,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,123,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,123,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,123,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,123,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,123,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,123,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,123,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,123,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,123,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,123,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,123,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,123,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,123,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,123,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,123,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,123,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,123,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,123,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,123,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,123,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,123,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,123,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,123,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,123,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,123,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,123,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,123,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,123,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,123,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,123,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,123,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,123,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,123,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,123,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,123,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,123,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,123,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,123,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,123,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,123,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,123,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,123,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,123,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,123,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,123,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,123,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,123,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,123,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,123,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,123,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,123,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,123,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,123,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,123,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,123,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,123,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,123,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,123,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,123,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,123,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,123,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,123,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,123,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,123,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,123,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,123,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,123,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,123,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,123,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,123,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,123,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,123,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,123,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,123,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,123,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,123,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,123,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,123,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,123,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,123,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,123,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,123,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,123,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,123,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,123,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,123,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,123,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,123,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,123,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,123,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,123,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,123,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,123,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,123,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,123,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,123,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,123,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,123,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,123,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,123,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,123,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,123,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,123,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,123,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,123,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,123,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,123,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,123,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,123,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,123,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,123,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,123,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,123,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,123,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,123,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,123,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,123,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,123,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,123,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,123,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,123,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,123,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,123,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,123,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,123,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,123,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,123,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,123,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,123,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,123,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,123,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,123,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,123,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,123,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,123,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,123,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,123,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,123,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,123,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,123,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,123,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,123,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,123,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,123,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,123,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,123,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,123,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,123,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,123,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,123,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,123,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,123,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,123,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,123,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,123,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,123,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,123,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,123,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,123,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,123,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,123,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,123,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,123,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,123,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,123,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,123,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,123,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,123,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,123,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,123,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,123,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,123,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,123,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,123,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,123,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,123,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,123,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,123,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,123,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,123,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,123,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,123,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,123,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,123,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,123,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,123,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,123,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,123,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,123,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,123,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,123,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,123,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,123,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,123,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,123,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,13046.0,19995.0,4
RC,123,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,19995.0,4
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,123,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,123,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,123,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,123,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,123,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,123,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,123,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,123,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,123,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,123,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,123,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,123,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,123,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,123,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,123,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,123,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,123,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,123,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,123,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,123,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,123,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,123,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,123,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,123,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,123,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,123,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,123,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,123,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,123,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,123,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,123,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,123,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,123,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,123,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,123,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,123,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,123,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,123,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,123,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,123,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,123,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,123,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,123,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,123,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,123,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,123,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,123,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,123,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,123,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,123,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,123,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,123,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,123,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,123,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,123,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,123,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,123,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,123,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,123,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,123,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,123,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,123,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,123,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,123,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,123,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,123,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,123,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,123,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,123,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,123,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,123,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,123,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,123,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,123,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,123,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,123,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,123,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,123,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,123,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,123,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,123,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,123,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,123,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,123,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,123,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,123,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,123,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,123,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,123,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,123,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,123,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,123,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,123,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,123,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,123,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,123,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,123,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,123,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,PSYCHOSES ,,,18854.11,18854.11,1
RC,123,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,123,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,123,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,123,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,123,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,123,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,123,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,123,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,123,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,123,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,123,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,123,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,123,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,123,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,123,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,123,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,123,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,123,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,123,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,123,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,123,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,123,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,123,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,123,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,123,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,123,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,123,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,123,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,123,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,123,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,123,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,123,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,123,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,123,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,123,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,123,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,123,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,123,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,123,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,123,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,123,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,123,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,123,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,123,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,123,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,123,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,123,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,123,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,123,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,123,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,123,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,123,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,123,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,123,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,123,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,123,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,123,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,123,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,123,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,123,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,123,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,123,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,123,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,123,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,123,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,123,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,123,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,123,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,123,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,123,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,123,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,123,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,123,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,123,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,123,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,123,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,123,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,123,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,123,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,123,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,123,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,123,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,123,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,123,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,123,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,123,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,123,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,123,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,123,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,123,UNGROUPABLE ,,,4012.81,4012.81,1
RC,123,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,123,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,123,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,123,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,123,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,123,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,123,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,123,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,123,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,123,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,123,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,123,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,123,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,123,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,123,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,123,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,123,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,123,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,123,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,123,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,123,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,123,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,123,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,123,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,123,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,123,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  ,,,768.0,7700.0,18
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Adolescent,,,1103.0,2002.0,2
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Adult,,,2002.0,2002.0,1
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Adult/Geriatric,,,1103.0,1103.0,1
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Children,,,110.0,110.0,1
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Dual Diagnosis,,,1095.0,1095.0,1
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Dual Diagnosis Adult,,,1542.0,1542.0,1
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Dual Diagnosis Geriatric,,,1542.0,1542.0,1
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Mental Health Adult,,,1542.0,1542.0,1
RC,124, Room & Board - Semi-private (Two Beds) Psychiatric  Mental Health Geriatric,,,1095.0,1542.0,2
RC,124,ABDOMINAL PAIN Mental Health Geriatric,,,2635.66,7047.61,4
RC,124,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,124,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,3702.72,28784.47,4
RC,124,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,124,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,2242.46,17090.96,4
RC,124,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,124,ACUTE AND SUBACUTE ENDOCARDITIS Mental Health Geriatric,,,4893.54,10995.89,4
RC,124,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,2
RC,124,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,2
RC,124,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,13891.07,2
RC,124,ACUTE ANXIETY AND STRESS SYNDROMES Mental Health Geriatric,,,2084.42,8187.18,4
RC,124,ACUTE BRONCHITIS AND RELATED SYMPTOMS Mental Health Geriatric,,,2278.74,6575.59,4
RC,124,ACUTE KIDNEY INJURY Mental Health Geriatric,,,2220.78,11029.24,4
RC,124,ACUTE LEUKEMIA Mental Health Geriatric,,,5508.16,28731.24,4
RC,124,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,124,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,124,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,124,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,124,ACUTE MYOCARDIAL INFARCTION Mental Health Geriatric,,,2757.83,9679.51,4
RC,124,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,124,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,124,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,124,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,124,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,124,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,10376.25,2
RC,124,ADJUSTMENT DISORDERS Mental Health Geriatric,,,1255.91,4788.05,4
RC,124,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,124,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,124,ADRENAL PROCEDURES Mental Health Geriatric,,,5539.85,22565.1,4
RC,124,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,124,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,124,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,124,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,124,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,124,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,124,AICD LEAD PROCEDURES ,,,7000.0,42456.95,2
RC,124,ALCOHOL ABUSE AND DEPENDENCE Mental Health Geriatric,,,1816.32,11673.88,4
RC,124,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Mental Health Geriatric,,,2482.63,12366.46,4
RC,124,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,124,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,124,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,124,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,124,ALCOHOLIC LIVER DISEASE Mental Health Geriatric,,,2777.02,11993.27,4
RC,124,ALLERGIC REACTIONS Mental Health Geriatric,,,1679.96,9832.96,4
RC,124,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,124,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,124,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,124,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,124,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,124,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,124,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,2
RC,124,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,16552.69,2
RC,124,AMPUTATION OF LOWER LIMB EXCEPT TOES Mental Health Geriatric,,,5075.34,18151.91,4
RC,124,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,124,ANAL AND PERINEAL PROCEDURES Mental Health Geriatric,,,4001.23,12198.84,4
RC,124,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,124,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,124,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,124,ANGINA PECTORIS ,,,7000.0,11470.65,2
RC,124,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Mental Health Geriatric,,,2611.9,8536.61,4
RC,124,ANTEPARTUM WITH O.R. PROCEDURE Mental Health Geriatric,,,3635.87,33162.16,4
RC,124,ANTEPARTUM WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,1888.04,19048.75,4
RC,124,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,124,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,124,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4738.85,14783.63,4
RC,124,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,124,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,124,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,124,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4518.7,11733.92,4
RC,124,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,124,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,124,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,124,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,124,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,124,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,124,ASTHMA Mental Health Geriatric,,,1890.12,7638.46,4
RC,124,ATHEROSCLEROSIS WITH MCC ,,,7000.0,16726.93,2
RC,124,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,11165.7,2
RC,124,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,124,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,124,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,124,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,124,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,124,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,124,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,124,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,124,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,124,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,4
RC,124,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,2
RC,124,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,2
RC,124,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,2
RC,124,BIPOLAR DISORDERS Mental Health Geriatric,,,1954.33,9294.65,4
RC,124,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,17786.27,2
RC,124,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,12832.8,2
RC,124,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD Mental Health Geriatric,,,2084.84,8686.72,4
RC,124,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,124,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,124,BREAST PROCEDURES EXCEPT MASTECTOMY Mental Health Geriatric,,,6096.08,13840.03,4
RC,124,BRONCHIOLITIS AND RSV PNEUMONIA Mental Health Geriatric,,,1490.66,8742.59,4
RC,124,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,124,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,124,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Mental Health Geriatric,,,7711.42,54670.03,4
RC,124,CARDIAC ARREST AND SHOCK Mental Health Geriatric,,,2168.23,8679.62,4
RC,124,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,124,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,124,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,124,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Mental Health Geriatric,,,2105.69,7950.35,4
RC,124,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,11829.78,2
RC,124,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,16805.56,2
RC,124,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,10027.74,2
RC,124,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Mental Health Geriatric,,,4513.27,11613.83,4
RC,124,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Mental Health Geriatric,,,4599.17,14592.66,4
RC,124,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,2
RC,124,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,13715.75,2
RC,124,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,124,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,124,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,124,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,124,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,124,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,124,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,124,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Mental Health Geriatric,,,6071.06,16574.51,4
RC,124,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,2
RC,124,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,2
RC,124,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,2
RC,124,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,2
RC,124,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,2
RC,124,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Mental Health Geriatric,,,2933.38,11131.4,4
RC,124,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,6
RC,124,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,6
RC,124,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,18216.95,42315.24,4
RC,124,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,15944.89,37783.63,4
RC,124,CARDIOMYOPATHY Mental Health Geriatric,,,2638.16,9900.1,4
RC,124,CELLULITIS AND OTHER SKIN INFECTIONS Mental Health Geriatric,,,2129.46,8912.71,4
RC,124,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,124,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,124,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,124,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,124,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,124,CESAREAN SECTION WITH STERILIZATION Mental Health Geriatric,,,3676.69,33015.34,4
RC,124,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,124,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,124,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,124,CESAREAN SECTION WITHOUT STERILIZATION Mental Health Geriatric,,,3661.31,27084.84,4
RC,124,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,124,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,124,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,124,CHEMOTHERAPY FOR ACUTE LEUKEMIA Mental Health Geriatric,,,3722.28,25182.41,4
RC,124,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,124,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,124,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,124,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,124,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,124,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,124,CHEST PAIN ,,,7000.0,11662.96,2
RC,124,CHEST PAIN Mental Health Geriatric,,,2681.94,6640.22,4
RC,124,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,2
RC,124,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,124,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,124,CHOLECYSTECTOMY Mental Health Geriatric,,,5312.18,15261.89,4
RC,124,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,124,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,124,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,124,CHRONIC KIDNEY DISEASE Mental Health Geriatric,,,2368.8,10315.81,4
RC,124,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Mental Health Geriatric,,,2320.85,7413.29,4
RC,124,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12969.86,2
RC,124,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,15782.35,15782.35,1
RC,124,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10834.2,2
RC,124,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,124,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,124,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,124,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,124,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,124,COAGULATION AND PLATELET DISORDERS Mental Health Geriatric,,,3574.67,12456.53,4
RC,124,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,124,COCAINE ABUSE AND DEPENDENCE Mental Health Geriatric,,,1670.38,9330.52,4
RC,124,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,124,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,124,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,2
RC,124,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,15525.23,2
RC,124,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,124,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,124,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,124,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,124,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,124,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,2
RC,124,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,124,CONNECTIVE TISSUE DISORDERS Mental Health Geriatric,,,3409.14,13897.99,4
RC,124,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,16267.93,2
RC,124,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,2
RC,124,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,12897.62,2
RC,124,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Mental Health Geriatric",,,3276.12,10005.59,4
RC,124,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,17145.76,32891.75,4
RC,124,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,2
RC,124,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,2
RC,124,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,2
RC,124,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,2
RC,124,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,14471.32,28532.34,4
RC,124,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,124,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,124,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,124,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,124,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,124,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,124,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,11337.8,30993.71,4
RC,124,CYSTIC FIBROSIS - PULMONARY DISEASE Mental Health Geriatric,,,4778.04,11731.0,4
RC,124,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,124,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,124,DEFIBRILLATOR IMPLANTS Mental Health Geriatric,,,14403.35,27697.57,4
RC,124,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,13679.62,2
RC,124,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,2
RC,124,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,11540.78,2
RC,124,DEPRESSIVE DISORDERS Mental Health Geriatric,,,1652.45,9282.14,4
RC,124,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,124,DIABETES Mental Health Geriatric,,,2335.44,8629.16,4
RC,124,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,124,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,124,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,124,DIGESTIVE MALIGNANCY Mental Health Geriatric,,,3626.8,10922.08,4
RC,124,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,16865.07,2
RC,124,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,2
RC,124,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,124,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Mental Health Geriatric,,,3892.4,12235.94,4
RC,124,DISORDERS OF GALLBLADDER AND BILIARY TRACT Mental Health Geriatric,,,2699.87,10077.3,4
RC,124,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Mental Health Geriatric,,,2080.68,15327.77,4
RC,124,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,14269.32,2
RC,124,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,2
RC,124,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,11447.28,2
RC,124,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Mental Health Geriatric,,,2418.0,11676.37,4
RC,124,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12950.74,2
RC,124,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,124,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,10615.32,2
RC,124,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,124,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,124,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,124,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,124,DIVERTICULITIS AND DIVERTICULOSIS Mental Health Geriatric,,,2331.28,9403.48,4
RC,124,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Mental Health Geriatric,,,11271.5,30024.67,4
RC,124,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Mental Health Geriatric,,,17455.56,42924.85,4
RC,124,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Mental Health Geriatric",,,1200.04,8311.02,4
RC,124,DYSEQUILIBRIUM ,,,7000.0,11998.72,2
RC,124,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,17522.77,2
RC,124,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,2
RC,124,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,12482.17,2
RC,124,EATING DISORDERS Mental Health Geriatric,,,4798.48,16985.22,4
RC,124,ELECTIVE HIP JOINT REPLACEMENT Mental Health Geriatric,,,6259.54,16820.94,4
RC,124,ELECTIVE KNEE JOINT REPLACEMENT Mental Health Geriatric,,,6143.2,15420.76,4
RC,124,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,124,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,124,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,124,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,2
RC,124,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,2
RC,124,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,2
RC,124,EPISTAXIS WITH MCC ,,,7000.0,18160.28,2
RC,124,EPISTAXIS WITHOUT MCC ,,,7000.0,11811.71,2
RC,124,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,124,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,12296.22,2
RC,124,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,8813.89,31255.98,4
RC,124,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,124,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,124,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,7148.51,24255.91,4
RC,124,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,6883.74,21139.9,4
RC,124,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,124,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,124,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,124,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Mental Health Geriatric,,,23840.2,106648.52,4
RC,124,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,3618.04,12891.01,4
RC,124,EXTERNAL HEART ASSIST DEVICES Mental Health Geriatric,,,20680.4,36380.94,4
RC,124,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,124,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Mental Health Geriatric,,,2302.92,8809.72,4
RC,124,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Mental Health Geriatric,,,3110.17,10324.15,4
RC,124,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,124,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Mental Health Geriatric,,,5097.86,21578.14,4
RC,124,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,124,FEVER AND INFLAMMATORY CONDITIONS Mental Health Geriatric,,,2026.88,6681.5,4
RC,124,FOOT AND TOE PROCEDURES Mental Health Geriatric,,,4416.53,14491.75,4
RC,124,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,2
RC,124,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,2
RC,124,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,124,FRACTURE OF FEMUR Mental Health Geriatric,,,2343.78,7153.1,4
RC,124,FRACTURE OF PELVIS OR DISLOCATION OF HIP Mental Health Geriatric,,,2601.47,9079.08,4
RC,124,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,124,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Mental Health Geriatric",,,2796.61,9488.54,4
RC,124,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,2
RC,124,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,12577.79,2
RC,124,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,17634.33,2
RC,124,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,12593.73,2
RC,124,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,124,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,124,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,124,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,124,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,124,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,2
RC,124,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,124,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,124,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,124,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,124,GASTROINTESTINAL VASCULAR INSUFFICIENCY Mental Health Geriatric,,,2731.56,9029.04,4
RC,124,GENDER RELATED PROCEDURES Mental Health Geriatric,,,9202.08,50815.57,4
RC,124,GENETIC DISORDERS Mental Health Geriatric,,,3283.21,22763.58,4
RC,124,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Mental Health Geriatric,,,4464.9,16153.79,4
RC,124,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6299.57,21106.96,4
RC,124,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Mental Health Geriatric,,,4667.14,18697.72,4
RC,124,HAND AND WRIST PROCEDURES Mental Health Geriatric,,,4471.57,12957.3,4
RC,124,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,2
RC,124,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,14874.96,2
RC,124,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,124,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,124,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,124,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,124,HEART FAILURE Mental Health Geriatric,,,2395.49,10730.69,4
RC,124,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Mental Health Geriatric,,,2424.25,9936.37,4
RC,124,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Mental Health Geriatric,,,2337.53,11125.56,4
RC,124,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,124,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,124,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,124,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,2
RC,124,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,2
RC,124,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,18303.71,2
RC,124,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Mental Health Geriatric",,,5531.51,18000.54,4
RC,124,HIP AND FEMUR FRACTURE REPAIR Mental Health Geriatric,,,5960.15,14309.95,4
RC,124,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,124,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,124,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,124,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,124,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,124,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,124,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,124,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI Mental Health Geriatric,,,4029.17,9171.65,4
RC,124,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,124,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,124,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,124,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Mental Health Geriatric,,,3596.35,15694.7,4
RC,124,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Mental Health Geriatric,,,3618.04,8646.26,4
RC,124,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,124,HOSPICE AND PALLIATIVE CARE Mental Health Geriatric,,,858.54,1030.33,4
RC,124,HYPERTENSION Mental Health Geriatric,,,2711.14,8817.23,4
RC,124,HYPERTENSION WITH MCC ,,,7000.0,16656.81,2
RC,124,HYPERTENSION WITHOUT MCC ,,,7000.0,12035.9,2
RC,124,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Mental Health Geriatric,,,1940.57,6751.56,4
RC,124,IMPLANTABLE HEART ASSIST SYSTEMS Mental Health Geriatric,,,59825.44,115367.76,4
RC,124,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,124,INBORN ERRORS OF METABOLISM Mental Health Geriatric,,,3171.05,24774.62,4
RC,124,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,124,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,124,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,124,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Mental Health Geriatric,,,6146.12,20729.6,4
RC,124,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,124,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,124,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,124,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,124,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,124,INFLAMMATORY BOWEL DISEASE Mental Health Geriatric,,,2700.71,9128.7,4
RC,124,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,124,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,124,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,124,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,124,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,124,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,124,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Mental Health Geriatric",,,4785.97,14410.86,4
RC,124,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Mental Health Geriatric",,,8040.83,21099.46,4
RC,124,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Mental Health Geriatric,,,1878.44,10436.32,4
RC,124,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Mental Health Geriatric,,,3045.96,9763.32,4
RC,124,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,14097.19,2
RC,124,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,2
RC,124,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,11622.58,2
RC,124,INTESTINAL OBSTRUCTION Mental Health Geriatric,,,2154.48,8511.59,4
RC,124,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,124,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,124,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,124,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,124,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,124,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,124,KIDNEY AND URINARY TRACT INFECTIONS Mental Health Geriatric,,,2340.44,6933.36,4
RC,124,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,124,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,124,KIDNEY AND URINARY TRACT MALIGNANCY Mental Health Geriatric,,,3405.8,11039.66,4
RC,124,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,124,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,124,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,124,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6300.4,20013.67,4
RC,124,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Mental Health Geriatric,,,6031.87,17287.94,4
RC,124,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,124,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,124,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,124,KIDNEY TRANSPLANT Mental Health Geriatric,,,21479.32,39941.86,4
RC,124,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,124,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,124,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Mental Health Geriatric,,,6428.82,18339.12,4
RC,124,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,2
RC,124,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,2
RC,124,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,124,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,2
RC,124,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,124,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,124,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,124,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,124,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,124,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,6
RC,124,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,2
RC,124,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,2
RC,124,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,2
RC,124,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,124,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,2
RC,124,LOWER VASCULAR PROCEDURES Mental Health Geriatric,,,7223.57,21188.69,4
RC,124,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Mental Health Geriatric,,,3049.7,10853.7,4
RC,124,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,124,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,124,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,124,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,124,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,124,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,124,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,124,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,124,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,124,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Mental Health Geriatric",,,3615.12,16950.61,4
RC,124,MAJOR ABDOMINAL VASCULAR PROCEDURES Mental Health Geriatric,,,11805.22,25457.2,4
RC,124,MAJOR BILIARY TRACT PROCEDURES Mental Health Geriatric,,,7103.89,22027.63,4
RC,124,MAJOR BLADDER PROCEDURES Mental Health Geriatric,,,9317.17,25508.48,4
RC,124,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,124,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,124,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,124,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Mental Health Geriatric,,,14909.98,67535.18,4
RC,124,MAJOR CHEST AND RESPIRATORY TRAUMA Mental Health Geriatric,,,3146.45,10866.2,4
RC,124,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,2
RC,124,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,2
RC,124,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,2
RC,124,MAJOR CHEST TRAUMA WITH CC ,,,15319.1,15319.1,1
RC,124,MAJOR CHEST TRAUMA WITH MCC ,,,20268.32,20268.32,1
RC,124,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,12369.54,1
RC,124,MAJOR ESOPHAGEAL DISORDERS Mental Health Geriatric,,,3091.4,11085.53,4
RC,124,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,124,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,124,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,11458.96,2
RC,124,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Mental Health Geriatric,,,2515.57,9344.27,4
RC,124,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,124,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,2
RC,124,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,124,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,27187.46,27187.46,1
RC,124,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,49332.52,49332.52,1
RC,124,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,20974.89,20974.89,1
RC,124,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Mental Health Geriatric,,,2559.36,12508.64,4
RC,124,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,124,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,124,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,124,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,124,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,2
RC,124,MAJOR LARGE BOWEL PROCEDURES Mental Health Geriatric,,,6569.76,18460.46,4
RC,124,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,124,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,124,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,7350.32,31025.82,4
RC,124,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Mental Health Geriatric",,,8471.98,25798.27,4
RC,124,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Mental Health Geriatric,,,2564.77,8897.7,4
RC,124,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,2
RC,124,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,124,MAJOR SKIN DISORDERS Mental Health Geriatric,,,2103.19,14003.48,4
RC,124,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,124,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,124,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,124,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,124,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,124,MAJOR SMALL BOWEL PROCEDURES Mental Health Geriatric,,,5318.44,20640.79,4
RC,124,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,6927.11,24108.3,4
RC,124,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,18348.35,2
RC,124,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Mental Health Geriatric,,,2300.0,9983.06,4
RC,124,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Mental Health Geriatric",,,2659.01,10825.34,4
RC,124,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Mental Health Geriatric",,,2839.98,10809.5,4
RC,124,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Mental Health Geriatric",,,2551.85,9096.59,4
RC,124,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Mental Health Geriatric",,,2973.82,10011.0,4
RC,124,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Mental Health Geriatric,,,3295.72,9999.32,4
RC,124,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,124,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,124,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,124,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,124,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,124,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,124,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Mental Health Geriatric",,,3113.93,9292.57,4
RC,124,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,124,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,124,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,124,MALIGNANT BREAST DISORDERS Mental Health Geriatric,,,3655.56,10300.8,4
RC,124,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,124,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,124,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,124,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Mental Health Geriatric",,,2273.74,9630.73,4
RC,124,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,124,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,124,MASTECTOMY PROCEDURES Mental Health Geriatric,,,7114.32,12817.62,4
RC,124,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,2
RC,124,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,14226.82,2
RC,124,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Mental Health Geriatric,,,2426.76,8609.99,4
RC,124,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,124,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,124,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,4096.3,25977.16,4
RC,124,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,124,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,124,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,124,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,124,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,124,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,2
RC,124,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,2
RC,124,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,124,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,124,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,124,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,5179.16,19144.28,4
RC,124,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,5159.57,17171.6,4
RC,124,MOUTH PROCEDURES WITH CC/MCC ,,,19878.37,19878.37,1
RC,124,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13428.87,13428.87,1
RC,124,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,16800.08,36867.55,4
RC,124,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,124,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,124,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,124,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,4092.96,14277.84,4
RC,124,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,9194.16,28054.08,4
RC,124,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Mental Health Geriatric,,,4066.28,11988.68,4
RC,124,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,124,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,124,NEONATAL AFTERCARE Mental Health Geriatric,,,5633.24,44950.49,4
RC,124,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,7726.02,50058.36,4
RC,124,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,27073.79,67834.15,4
RC,124,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,10356.25,29543.5,4
RC,124,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,17573.15,47769.19,4
RC,124,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,8072.1,44339.21,4
RC,124,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,7171.45,44786.2,4
RC,124,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5584.04,27744.68,4
RC,124,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,11563.38,39863.88,4
RC,124,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,19181.82,112697.08,4
RC,124,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,5242.97,23530.38,4
RC,124,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,2731.14,33224.9,4
RC,124,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5353.46,29141.95,4
RC,124,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,6839.95,21704.47,4
RC,124,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Mental Health Geriatric",,,982.19,18303.86,4
RC,124,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,5460.2,99215.64,4
RC,124,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,32629.9,92243.09,4
RC,124,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,74907.61,153134.29,4
RC,124,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Mental Health Geriatric",,,1737.5,70556.12,4
RC,124,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,3378.28,20747.11,4
RC,124,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,1000.73,36671.99,4
RC,124,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Mental Health Geriatric,,,12543.67,94599.38,4
RC,124,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Mental Health Geriatric,,,4650.04,105280.87,4
RC,124,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,1467.73,11772.28,4
RC,124,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Mental Health Geriatric,,,2622.31,22253.63,4
RC,124,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Mental Health Geriatric",,,721.26,9426.34,4
RC,124,NEONATE WITH ECMO Mental Health Geriatric,,,90705.72,229024.7,4
RC,124,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,124,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Mental Health Geriatric",,,450.32,3814.01,4
RC,124,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Mental Health Geriatric",,,1363.91,7107.65,4
RC,124,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,124,NEPHRITIS AND NEPHROSIS Mental Health Geriatric,,,2592.71,13427.23,4
RC,124,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,124,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Mental Health Geriatric,,,7064.28,16337.26,4
RC,124,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Mental Health Geriatric,,,9228.77,17424.29,4
RC,124,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,124,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4617.52,16856.38,4
RC,124,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,4145.51,15976.57,4
RC,124,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,124,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,124,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,124,NON-HYPOVOLEMIC SODIUM DISORDERS Mental Health Geriatric,,,2255.8,8345.21,4
RC,124,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,124,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,124,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,124,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,124,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,124,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,124,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,124,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,124,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,124,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,124,OBSESSIVE COMPULSIVE DISORDERS Mental Health Geriatric,,,2730.73,6283.31,4
RC,124,OPIOID ABUSE AND DEPENDENCE Mental Health Geriatric,,,1426.03,8843.9,4
RC,124,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,124,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Mental Health Geriatric,,,2652.34,13346.76,4
RC,124,OSTEOMYELITIS WITH CC ,,,7000.0,17786.27,2
RC,124,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,2
RC,124,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,12379.1,2
RC,124,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Mental Health Geriatric",,,3255.7,10627.28,4
RC,124,OTHER AFTERCARE AND CONVALESCENCE Mental Health Geriatric,,,3557.58,7655.96,4
RC,124,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Mental Health Geriatric,,,2743.24,9428.92,4
RC,124,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,2484.3,9045.3,4
RC,124,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,124,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,124,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,124,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,124,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,124,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,124,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Mental Health Geriatric",,,3280.72,10182.79,4
RC,124,OTHER BLADDER PROCEDURES Mental Health Geriatric,,,4784.3,13658.65,4
RC,124,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Mental Health Geriatric,,,11152.67,33576.41,4
RC,124,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,124,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,2
RC,124,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,2
RC,124,OTHER CHEMOTHERAPY Mental Health Geriatric,,,3204.83,12944.8,4
RC,124,OTHER CIRCULATORY SYSTEM DIAGNOSES Mental Health Geriatric,,,2562.28,9553.18,4
RC,124,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,14248.07,2
RC,124,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,2
RC,124,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,124,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,2
RC,124,OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,2749.08,9455.18,4
RC,124,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Mental Health Geriatric,,,5387.23,18505.08,4
RC,124,OTHER DIGESTIVE SYSTEM DIAGNOSES Mental Health Geriatric,,,2691.12,9194.58,4
RC,124,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,13954.82,2
RC,124,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,2
RC,124,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,124,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,2
RC,124,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,2
RC,124,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18865.79,2
RC,124,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,12170.85,12170.85,1
RC,124,OTHER DISORDERS OF THE LIVER Mental Health Geriatric,,,2763.67,10730.69,4
RC,124,OTHER DRUG ABUSE AND DEPENDENCE Mental Health Geriatric,,,1639.52,8949.4,4
RC,124,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,13750.82,2
RC,124,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,2
RC,124,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,11355.89,2
RC,124,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,22425.24,22425.24,1
RC,124,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,43821.22,43821.22,1
RC,124,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,16787.5,16787.5,1
RC,124,OTHER ENDOCRINE DISORDERS Mental Health Geriatric,,,2704.04,9937.62,4
RC,124,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,124,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,124,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,124,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,124,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,124,OTHER ESOPHAGEAL DISORDERS Mental Health Geriatric,,,2849.15,9704.11,4
RC,124,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,124,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,4104.64,16897.25,4
RC,124,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,124,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,124,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Mental Health Geriatric",,,2300.83,7803.98,4
RC,124,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,2
RC,124,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,2
RC,124,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,124,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,124,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Mental Health Geriatric",,,5974.74,20509.86,4
RC,124,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,124,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,124,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,124,OTHER INFECTIOUS AND PARASITIC DISEASES Mental Health Geriatric,,,2385.48,11118.47,4
RC,124,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Mental Health Geriatric",,,2090.27,11114.3,4
RC,124,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,124,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,124,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,124,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,124,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,124,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Mental Health Geriatric",,,2438.86,9560.68,4
RC,124,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,124,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,124,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,124,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6418.4,19647.98,4
RC,124,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6941.7,20009.92,4
RC,124,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,124,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,124,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,124,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,5554.44,21288.76,4
RC,124,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,124,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,124,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,124,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,124,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,124,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,124,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,124,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Mental Health Geriatric,,,2109.02,10332.49,4
RC,124,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,124,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,124,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,2625.65,9000.28,4
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,2
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,2
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,2
RC,124,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Mental Health Geriatric,,,5559.44,16956.46,4
RC,124,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,124,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Mental Health Geriatric,,,2177.83,8479.9,4
RC,124,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,124,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,124,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,124,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,5883.01,26789.41,4
RC,124,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,124,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,124,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,124,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,124,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,124,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,124,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Mental Health Geriatric,,,6209.09,18271.15,4
RC,124,OTHER PNEUMONIA Mental Health Geriatric,,,2071.5,7610.1,4
RC,124,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Mental Health Geriatric",,,5840.9,19514.14,4
RC,124,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,5686.2,26151.44,4
RC,124,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,2535.59,9889.67,4
RC,124,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,124,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,124,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,2
RC,124,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,2
RC,124,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18531.1,2
RC,124,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Mental Health Geriatric,,,6813.68,18268.66,4
RC,124,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Mental Health Geriatric",,,2314.6,10255.34,4
RC,124,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,124,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,2
RC,124,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,124,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Mental Health Geriatric",,,3804.01,14920.39,4
RC,124,OTHER SMALL AND LARGE BOWEL PROCEDURES Mental Health Geriatric,,,5328.02,16891.4,4
RC,124,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,3964.96,18121.88,4
RC,124,OTHER UPPER VASCULAR PROCEDURES Mental Health Geriatric,,,7956.6,18872.84,4
RC,124,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,124,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,124,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,124,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,16573.94,2
RC,124,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,11856.34,2
RC,124,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,2
RC,124,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,124,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,2
RC,124,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,2320.43,13546.49,4
RC,124,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,6
RC,124,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,124,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,124,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,124,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,124,"PENIS, TESTES AND SCROTAL PROCEDURES Mental Health Geriatric",,,4627.52,17795.4,4
RC,124,PEPTIC ULCER AND GASTRITIS Mental Health Geriatric,,,3183.55,11294.86,4
RC,124,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,124,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,124,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Mental Health Geriatric,,,8073.35,17504.35,4
RC,124,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Mental Health Geriatric,,,8745.08,19770.16,4
RC,124,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,124,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,124,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,124,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,124,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,2
RC,124,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,2
RC,124,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,124,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Mental Health Geriatric,,,15987.0,31019.15,4
RC,124,PERIPHERAL AND OTHER VASCULAR DISORDERS Mental Health Geriatric,,,2715.3,10134.01,4
RC,124,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,124,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,124,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,124,PERITONEAL ADHESIOLYSIS Mental Health Geriatric,,,5846.74,17678.23,4
RC,124,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,2
RC,124,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,2
RC,124,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,2
RC,124,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,9196.67,25239.96,4
RC,124,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,124,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,124,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,6516.38,17521.86,4
RC,124,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,124,PERSONALITY DISORDERS Mental Health Geriatric,,,1858.01,12289.32,4
RC,124,PLEURAL EFFUSION WITH CC ,,,14522.21,14522.21,1
RC,124,PLEURAL EFFUSION WITH MCC ,,,20572.2,20572.2,1
RC,124,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,11633.21,1
RC,124,PNEUMOTHORAX WITH CC ,,,7000.0,15693.1,2
RC,124,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,2
RC,124,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,11610.9,2
RC,124,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,124,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,124,POISONING OF MEDICINAL AGENTS Mental Health Geriatric,,,1818.4,8746.75,4
RC,124,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Mental Health Geriatric",,,5171.66,20634.95,4
RC,124,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Mental Health Geriatric",,,2777.84,11662.2,4
RC,124,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,124,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,124,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,124,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,124,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,124,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,124,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,124,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Mental Health Geriatric,,,1691.02,18371.86,4
RC,124,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,2890.94,35669.74,4
RC,124,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,124,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,124,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,124,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Mental Health Geriatric",,,6735.3,34803.13,4
RC,124,PROCEDURES FOR OBESITY Mental Health Geriatric,,,4893.96,19469.52,4
RC,124,PROSTATECTOMY PROCEDURES Mental Health Geriatric,,,6523.06,17066.53,4
RC,124,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,124,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,124,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,124,PSYCHOSES ,,,18854.11,18854.11,1
RC,124,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,17139.19,17139.19,1
RC,124,PULMONARY EMBOLISM Mental Health Geriatric,,,2487.64,9381.38,4
RC,124,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,18607.6,18607.6,1
RC,124,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,12566.11,1
RC,124,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,124,RADIOTHERAPY Mental Health Geriatric,,,4977.77,16606.2,4
RC,124,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,124,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,124,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,2
RC,124,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,124,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,124,REHABILITATION Mental Health Geriatric,,,5069.51,10543.48,4
RC,124,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,124,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,124,RENAL DIALYSIS ACCESS PROCEDURES Mental Health Geriatric,,,5507.33,17744.11,4
RC,124,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,124,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,124,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,124,RESPIRATORY FAILURE Mental Health Geriatric,,,2603.56,9425.16,4
RC,124,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,14383.02,14383.02,1
RC,124,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,20616.83,20616.83,1
RC,124,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,12034.84,1
RC,124,RESPIRATORY MALIGNANCY Mental Health Geriatric,,,3833.2,9562.34,4
RC,124,RESPIRATORY NEOPLASMS WITH CC ,,,15392.42,15392.42,1
RC,124,RESPIRATORY NEOPLASMS WITH MCC ,,,22776.94,22776.94,1
RC,124,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,12022.1,1
RC,124,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,124,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,2443.44,9335.93,4
RC,124,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,124,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS Mental Health Geriatric,,,11574.22,24502.75,4
RC,124,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,124,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,124,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,124,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,124,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,124,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,124,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,124,SALIVARY GLAND PROCEDURES ,,,17142.39,17142.39,1
RC,124,SCHIZOAFFECTIVE DISORDERS Mental Health Geriatric,,,3416.64,11589.23,4
RC,124,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Mental Health Geriatric,,,2710.72,11570.47,4
RC,124,SEPTIC ARTHRITIS WITH CC ,,,7000.0,16839.57,2
RC,124,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,2
RC,124,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,13300.31,2
RC,124,SEPTICEMIA AND DISSEMINATED INFECTIONS Mental Health Geriatric,,,2882.09,12019.13,4
RC,124,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,124,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,124,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,124,SHOULDER AND ELBOW JOINT REPLACEMENT Mental Health Geriatric,,,7387.85,17263.76,4
RC,124,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,124,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,124,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,2
RC,124,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Mental Health Geriatric",,,5687.87,17656.55,4
RC,124,SICKLE CELL ANEMIA CRISIS Mental Health Geriatric,,,2684.03,11244.82,4
RC,124,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,18057.21,2
RC,124,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,12838.11,2
RC,124,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,124,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,124,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Mental Health Geriatric",,,2438.86,7633.45,4
RC,124,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,12575.67,2
RC,124,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,17978.59,2
RC,124,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,10690.76,2
RC,124,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,124,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,12561.18,24951.83,4
RC,124,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,124,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,124,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,27069.52,27069.52,1
RC,124,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,14800.59,14800.59,1
RC,124,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,124,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,2
RC,124,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,124,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,2
RC,124,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,124,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,2
RC,124,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,6869.15,28797.12,4
RC,124,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Mental Health Geriatric,,,7449.14,26071.39,4
RC,124,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,124,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,2
RC,124,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,124,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,124,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,124,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,124,SKIN ULCERS Mental Health Geriatric,,,2420.09,9142.87,4
RC,124,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,124,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,124,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,124,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,2
RC,124,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,2
RC,124,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,18313.28,2
RC,124,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Mental Health Geriatric,,,7699.33,22736.05,4
RC,124,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,124,SPLENIC PROCEDURES Mental Health Geriatric,,,6878.32,19399.48,4
RC,124,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,124,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,124,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,124,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,14152.45,2
RC,124,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,11666.16,2
RC,124,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,124,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,124,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,124,SYNCOPE AND COLLAPSE ,,,7000.0,13273.75,2
RC,124,SYNCOPE AND COLLAPSE Mental Health Geriatric,,,3013.02,7550.89,4
RC,124,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Mental Health Geriatric",,,5003.21,15544.6,4
RC,124,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19811.43,2
RC,124,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,13503.25,2
RC,124,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,124,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,124,THYROID DISORDERS Mental Health Geriatric,,,2426.76,9912.18,4
RC,124,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Mental Health Geriatric",,,4986.95,23891.48,4
RC,124,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,124,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,124,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,124,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Mental Health Geriatric,,,2164.91,11372.82,4
RC,124,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,124,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,124,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,124,TRANSURETHRAL PROSTATECTOMY Mental Health Geriatric,,,3827.35,12827.21,4
RC,124,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,124,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,124,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,124,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,124,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,124,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,124,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,124,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,35637.69,35637.69,1
RC,124,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,124,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,124,UNGROUPABLE ,,,4012.81,4012.81,1
RC,124,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,124,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,124,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,15617.67,2
RC,124,URETHRAL AND TRANSURETHRAL PROCEDURES Mental Health Geriatric,,,4298.53,13173.3,4
RC,124,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,124,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,124,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,124,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Mental Health Geriatric,,,2026.06,10006.0,4
RC,124,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,124,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,124,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,124,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,124,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,124,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,124,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,124,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,124,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,124,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,124,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,124,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,124,VAGINAL DELIVERY Mental Health Geriatric,,,2199.86,13169.48,4
RC,124,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Mental Health Geriatric,,,2482.09,27141.0,4
RC,124,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,124,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Mental Health Geriatric,,,3580.84,17223.0,4
RC,124,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,124,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,124,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,124,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,124,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,124,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,124,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,2
RC,124,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Mental Health Geriatric,,,5907.61,16377.29,4
RC,124,VIRAL ILLNESS Mental Health Geriatric,,,1901.8,9350.52,4
RC,124,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,124,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,124,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,124,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,124,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,124,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,125, Room & Board - Semi-private (Two Beds) Hospice  ,,,2440.0,7700.0,3
RC,125,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,125,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,125,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,125,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,125,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,125,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,125,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,125,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,125,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,125,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,125,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,125,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,125,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,125,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,125,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,125,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,125,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,125,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,125,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,125,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,125,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,125,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,125,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,125,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,125,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,125,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,125,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,125,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,125,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,125,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,125,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,125,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,125,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,125,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,125,CHEST PAIN ,,,7000.0,7000.0,1
RC,125,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,125,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,125,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,125,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,125,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,125,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,125,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,125,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,125,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,125,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,125,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,125,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,7000.0,1
RC,125,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,7000.0,1
RC,125,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,125,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,125,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,125,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,125,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,125,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,125,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,DYSEQUILIBRIUM ,,,7000.0,7000.0,1
RC,125,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,7000.0,1
RC,125,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,7000.0,1
RC,125,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,125,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,125,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,125,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,EPISTAXIS WITH MCC ,,,7000.0,7000.0,1
RC,125,EPISTAXIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,125,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,125,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,125,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,125,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,125,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,125,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,125,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,125,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,125,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,125,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,125,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,125,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,125,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,125,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,125,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,125,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,125,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,125,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,125,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,125,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,125,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,125,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,125,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,125,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,125,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,125,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,125,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,125,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,125,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,125,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,125,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,125,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,125,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,125,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,125,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,125,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,125,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,125,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,125,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,125,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,125,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,125,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,125,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,125,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,125,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,125,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,7000.0,1
RC,125,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,7000.0,1
RC,125,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,125,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,125,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,125,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,125,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,125,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,125,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,125,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,125,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,125,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,125,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,7000.0,1
RC,125,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,125,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,125,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,125,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,125,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,125,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,125,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,125,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,125,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,REHABILITATION WITH CC/MCC ,,,1793.0,4112.0,3
RC,125,REHABILITATION WITHOUT CC/MCC ,,,1793.0,4112.0,3
RC,125,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,125,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,125,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,125,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,125,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,125,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,125,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,125,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,125,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,125,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,125,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,125,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,125,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,125,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,125,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,125,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,125,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,125,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,125,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,125,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,126, Room & Board - Semi-private (Two Beds) Detoxification  ,,,1103.0,7700.0,7
RC,126, Room & Board - Semi-private (Two Beds) Detoxification  Adult/Geriatric,,,1103.0,1136.0,2
RC,126,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,126,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,126,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,126,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,2
RC,126,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,2
RC,126,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,13891.07,2
RC,126,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,126,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,126,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,126,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,126,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,126,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,126,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,126,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,126,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,126,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,10376.25,2
RC,126,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,126,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,126,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,126,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,126,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,126,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,126,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,126,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,126,AICD LEAD PROCEDURES ,,,7000.0,42456.95,2
RC,126,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,126,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,126,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,126,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,126,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,126,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,126,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,126,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,126,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,126,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,126,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,2
RC,126,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,16552.69,2
RC,126,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,126,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,126,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,126,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,126,ANGINA PECTORIS ,,,7000.0,11470.65,2
RC,126,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,126,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,126,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,126,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,126,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,126,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,126,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,126,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,126,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,126,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,126,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,126,ATHEROSCLEROSIS WITH MCC ,,,7000.0,16726.93,2
RC,126,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,11165.7,2
RC,126,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,126,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,126,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,126,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,126,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,126,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,126,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,126,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,126,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,126,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,126,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,126,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,126,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,126,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,4
RC,126,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,2
RC,126,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,2
RC,126,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,2
RC,126,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,17786.27,2
RC,126,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,12832.8,2
RC,126,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,126,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,126,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,126,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,126,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,126,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,126,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,126,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,11829.78,2
RC,126,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,16805.56,2
RC,126,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,10027.74,2
RC,126,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,2
RC,126,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,13715.75,2
RC,126,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,126,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,126,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,126,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,126,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,126,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,126,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,126,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,2
RC,126,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,2
RC,126,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,2
RC,126,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,2
RC,126,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,2
RC,126,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,6
RC,126,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,6
RC,126,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,126,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,126,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,126,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,126,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,126,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,126,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,126,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,126,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,126,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,126,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,126,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,126,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,126,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,126,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,126,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,126,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,126,CHEST PAIN ,,,7000.0,11662.96,2
RC,126,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,2
RC,126,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,126,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,126,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,126,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,126,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,126,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12969.86,2
RC,126,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,15782.35,15782.35,1
RC,126,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10834.2,2
RC,126,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,126,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,126,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,126,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,126,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,126,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,126,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,126,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,126,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,2
RC,126,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,15525.23,2
RC,126,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,126,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,126,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,126,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,126,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,126,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,2
RC,126,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,126,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,16267.93,2
RC,126,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,2
RC,126,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,12897.62,2
RC,126,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,2
RC,126,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,2
RC,126,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,2
RC,126,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,2
RC,126,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,126,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,126,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,126,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,126,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,126,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,126,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,126,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,126,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,13679.62,2
RC,126,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,2
RC,126,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,11540.78,2
RC,126,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,126,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,126,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,126,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,126,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,16865.07,2
RC,126,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,2
RC,126,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,126,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,14269.32,2
RC,126,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,2
RC,126,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,11447.28,2
RC,126,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12950.74,2
RC,126,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,126,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,10615.32,2
RC,126,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,126,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,126,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,126,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,126,DYSEQUILIBRIUM ,,,7000.0,11998.72,2
RC,126,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,17522.77,2
RC,126,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,2
RC,126,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,12482.17,2
RC,126,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,126,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,126,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,126,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,2
RC,126,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,2
RC,126,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,2
RC,126,EPISTAXIS WITH MCC ,,,7000.0,18160.28,2
RC,126,EPISTAXIS WITHOUT MCC ,,,7000.0,11811.71,2
RC,126,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,126,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,12296.22,2
RC,126,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,126,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,126,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,126,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,126,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,126,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,126,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,126,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,126,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,2
RC,126,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,2
RC,126,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,126,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,126,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,2
RC,126,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,12577.79,2
RC,126,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,17634.33,2
RC,126,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,12593.73,2
RC,126,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,126,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,126,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,126,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,126,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,126,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,2
RC,126,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,126,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,126,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,126,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,126,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,2
RC,126,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,14874.96,2
RC,126,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,126,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,126,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,126,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,126,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,126,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,126,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,126,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,2
RC,126,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,2
RC,126,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,18303.71,2
RC,126,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,126,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,126,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,126,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,126,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,126,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,126,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,126,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,126,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,126,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,126,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,126,HYPERTENSION WITH MCC ,,,7000.0,16656.81,2
RC,126,HYPERTENSION WITHOUT MCC ,,,7000.0,12035.9,2
RC,126,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,126,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,126,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,126,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,126,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,126,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,126,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,126,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,126,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,126,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,126,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,126,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,126,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,126,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,126,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,126,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,14097.19,2
RC,126,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,2
RC,126,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,11622.58,2
RC,126,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,126,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,126,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,126,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,126,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,126,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,126,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,126,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,126,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,126,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,126,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,126,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,126,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,126,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,126,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,126,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,126,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,2
RC,126,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,2
RC,126,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,126,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,2
RC,126,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,126,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,126,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,126,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,126,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,126,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,6
RC,126,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,2
RC,126,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,2
RC,126,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,2
RC,126,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,126,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,2
RC,126,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,126,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,126,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,126,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,126,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,126,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,126,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,126,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,126,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,126,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,126,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,126,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,126,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,2
RC,126,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,2
RC,126,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,2
RC,126,MAJOR CHEST TRAUMA WITH CC ,,,15319.1,15319.1,1
RC,126,MAJOR CHEST TRAUMA WITH MCC ,,,20268.32,20268.32,1
RC,126,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,12369.54,1
RC,126,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,126,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,126,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,11458.96,2
RC,126,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,126,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,2
RC,126,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,126,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,27187.46,27187.46,1
RC,126,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,49332.52,49332.52,1
RC,126,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,20974.89,20974.89,1
RC,126,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,126,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,126,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,126,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,126,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,2
RC,126,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,126,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,126,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,2
RC,126,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,126,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,126,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,126,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,126,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,126,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,126,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,18348.35,2
RC,126,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,126,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,126,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,126,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,126,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,126,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,126,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,126,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,126,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,126,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,126,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,126,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,126,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,126,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,126,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,2
RC,126,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,14226.82,2
RC,126,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,126,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,126,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,126,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,126,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,126,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,126,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,126,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,2
RC,126,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,2
RC,126,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,126,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,126,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,126,MOUTH PROCEDURES WITH CC/MCC ,,,19878.37,19878.37,1
RC,126,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13428.87,13428.87,1
RC,126,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,126,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,126,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,126,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,126,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,126,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,126,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,126,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,126,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,126,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,126,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,126,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,126,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,126,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,126,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,126,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,126,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,126,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,126,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,126,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,126,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,126,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,126,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,126,OSTEOMYELITIS WITH CC ,,,7000.0,17786.27,2
RC,126,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,2
RC,126,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,12379.1,2
RC,126,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,126,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,126,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,126,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,126,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,126,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,126,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,126,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,2
RC,126,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,2
RC,126,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,14248.07,2
RC,126,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,2
RC,126,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,126,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,2
RC,126,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,13954.82,2
RC,126,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,2
RC,126,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,126,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,2
RC,126,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,2
RC,126,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18865.79,2
RC,126,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,13750.82,2
RC,126,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,2
RC,126,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,11355.89,2
RC,126,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,22425.24,22425.24,1
RC,126,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,43821.22,43821.22,1
RC,126,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,16787.5,16787.5,1
RC,126,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,126,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,126,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,126,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,126,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,126,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,126,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,126,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,126,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,2
RC,126,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,2
RC,126,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,126,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,126,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,126,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,126,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,126,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,126,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,126,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,126,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,126,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,126,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,126,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,126,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,126,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,126,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,126,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,126,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,126,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,126,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,126,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,126,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,126,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,126,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,126,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,126,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,126,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,126,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,126,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,126,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,126,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,2
RC,126,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,2
RC,126,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,2
RC,126,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,126,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,126,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,126,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,126,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,126,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,126,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,126,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,126,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,126,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,126,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,126,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,126,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,2
RC,126,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,2
RC,126,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18531.1,2
RC,126,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,126,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,2
RC,126,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,126,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,126,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,126,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,126,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,16573.94,2
RC,126,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,11856.34,2
RC,126,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,2
RC,126,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,126,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,2
RC,126,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,6
RC,126,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,126,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,126,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,126,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,126,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,126,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,126,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,126,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,126,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,126,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,126,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,2
RC,126,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,2
RC,126,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,126,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,126,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,126,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,126,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,2
RC,126,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,2
RC,126,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,2
RC,126,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,126,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,126,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,126,PLEURAL EFFUSION WITH CC ,,,14522.21,14522.21,1
RC,126,PLEURAL EFFUSION WITH MCC ,,,20572.2,20572.2,1
RC,126,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,11633.21,1
RC,126,PNEUMOTHORAX WITH CC ,,,7000.0,15693.1,2
RC,126,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,2
RC,126,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,11610.9,2
RC,126,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,126,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,126,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,126,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,126,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,126,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,126,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,126,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,126,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,126,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,126,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,126,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,126,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,126,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,126,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,126,PSYCHOSES ,,,18854.11,18854.11,1
RC,126,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,17139.19,17139.19,1
RC,126,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,18607.6,18607.6,1
RC,126,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,12566.11,1
RC,126,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,126,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,126,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,126,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,2
RC,126,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,126,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,126,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,126,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,126,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,126,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,126,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,126,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,14383.02,14383.02,1
RC,126,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,20616.83,20616.83,1
RC,126,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,12034.84,1
RC,126,RESPIRATORY NEOPLASMS WITH CC ,,,15392.42,15392.42,1
RC,126,RESPIRATORY NEOPLASMS WITH MCC ,,,22776.94,22776.94,1
RC,126,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,12022.1,1
RC,126,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,126,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,126,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,126,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,126,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,126,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,126,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,126,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,126,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,126,SALIVARY GLAND PROCEDURES ,,,17142.39,17142.39,1
RC,126,SEPTIC ARTHRITIS WITH CC ,,,7000.0,16839.57,2
RC,126,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,2
RC,126,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,13300.31,2
RC,126,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,126,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,126,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,126,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,126,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,126,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,2
RC,126,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,18057.21,2
RC,126,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,12838.11,2
RC,126,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,126,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,126,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,12575.67,2
RC,126,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,17978.59,2
RC,126,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,10690.76,2
RC,126,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,126,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,126,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,126,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,27069.52,27069.52,1
RC,126,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,14800.59,14800.59,1
RC,126,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,126,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,2
RC,126,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,126,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,2
RC,126,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,126,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,2
RC,126,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,126,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,2
RC,126,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,126,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,126,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,126,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,126,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,126,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,126,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,126,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,2
RC,126,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,2
RC,126,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,18313.28,2
RC,126,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,126,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,126,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,126,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,126,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,14152.45,2
RC,126,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,11666.16,2
RC,126,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,126,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,126,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,126,SYNCOPE AND COLLAPSE ,,,7000.0,13273.75,2
RC,126,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19811.43,2
RC,126,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,13503.25,2
RC,126,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,126,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,126,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,126,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,126,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,126,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,126,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,126,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,126,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,126,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,126,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,126,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,126,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,126,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,126,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,126,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,35637.69,35637.69,1
RC,126,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,126,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,126,UNGROUPABLE ,,,4012.81,4012.81,1
RC,126,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,126,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,126,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,15617.67,2
RC,126,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,126,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,126,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,126,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,126,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,126,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,126,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,126,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,126,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,126,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,126,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,126,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,126,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,126,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,126,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,126,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,126,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,126,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,126,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,126,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,126,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,126,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,126,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,2
RC,126,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,126,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,126,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,126,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,126,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,126,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,127, Room & Board - Semi-private (Two Beds) Oncology  ,,,6650.0,21045.0,4
RC,127,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,127,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,127,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,127,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,127,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,127,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,127,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,127,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,127,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,127,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,127,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,127,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,127,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,127,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,127,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,127,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,127,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,127,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,127,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,127,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,127,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,127,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,127,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,127,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,127,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,127,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,127,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,127,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,127,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,127,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,127,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,127,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,127,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,127,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,127,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,127,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,127,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,127,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,127,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,127,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,127,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,127,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,127,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,127,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,127,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,127,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,127,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,127,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,127,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,127,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,127,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,127,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,127,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,127,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,127,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,127,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,127,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,127,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,127,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,127,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,127,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,127,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,127,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,127,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,127,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,127,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,127,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,127,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,127,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,127,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,127,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,127,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,127,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,127,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,127,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,127,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,127,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,127,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,127,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,127,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,127,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,127,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,127,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,127,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,127,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,127,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,127,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,127,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,127,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,127,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,127,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,127,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,127,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,127,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,127,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,127,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,127,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,127,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,127,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,127,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,127,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,127,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,127,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,127,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,127,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,127,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,127,CHEST PAIN ,,,7000.0,11662.96,2
RC,127,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,127,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,127,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,127,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,127,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,127,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,127,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,127,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,127,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,127,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,127,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,127,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,127,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,127,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,127,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,127,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,127,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,127,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,127,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,127,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,127,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,127,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,127,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,127,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,127,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,127,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,127,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,127,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,127,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,127,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,127,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,127,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,127,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,127,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,127,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,127,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,127,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,127,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,127,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,127,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,127,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,127,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,127,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,127,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,127,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,127,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,127,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,127,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,127,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,127,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,127,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,127,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,127,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,127,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,127,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,127,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,127,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,127,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,127,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,127,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,127,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,127,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,127,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,127,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,127,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,127,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,127,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,127,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,127,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,127,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,127,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,127,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,127,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,127,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,127,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,127,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,127,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,127,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,127,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,127,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,127,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,127,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,127,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,127,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,127,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,127,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,127,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,127,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,127,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,127,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,127,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,127,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,127,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,127,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,127,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,127,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,127,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,127,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,127,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,127,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,127,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,127,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,127,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,127,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,127,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,127,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,127,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,127,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,127,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,127,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,127,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,127,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,127,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,127,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,127,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,127,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,127,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,127,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,127,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,127,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,127,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,127,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,127,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,127,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,127,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,127,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,127,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,127,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,127,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,127,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,127,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,127,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,127,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,127,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,127,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,127,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,127,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,127,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,127,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,127,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,127,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,127,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,127,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,127,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,127,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,127,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,127,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,127,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,127,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,127,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,127,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,127,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,127,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,127,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,127,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,127,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,127,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,127,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,127,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,127,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,127,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,127,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,127,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,127,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,127,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,127,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,127,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,127,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,127,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,127,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,127,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,127,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,127,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,127,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,127,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,127,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,127,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,127,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,127,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,127,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,127,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,127,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,127,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,127,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,127,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,127,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,127,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,127,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,127,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,127,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,127,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,127,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,127,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,127,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,127,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,127,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,127,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,127,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,127,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,127,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,127,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,127,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,127,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,127,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,127,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,127,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,127,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,127,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,127,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,127,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,127,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,127,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,127,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,127,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,127,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,127,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,127,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,127,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,127,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,127,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,127,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,127,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,127,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,127,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,127,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,127,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,127,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,127,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,127,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,127,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,127,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,127,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,127,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,127,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,127,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,127,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,127,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,127,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,127,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,127,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,127,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,127,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,127,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,127,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,127,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,127,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,127,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,127,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,127,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,127,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,127,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,127,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,127,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,127,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,127,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,127,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,127,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,127,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,127,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,127,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,127,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,127,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,127,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,127,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,127,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,127,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,127,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,127,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,127,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,127,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,127,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,127,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,127,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,127,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,127,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,127,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,127,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,127,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,127,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,127,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,127,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,127,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,127,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,127,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,127,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,127,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,127,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,127,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,127,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,127,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,127,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,127,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,127,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,127,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,127,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,127,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,127,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,127,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,127,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,127,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,127,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,127,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,127,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,127,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,127,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,127,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,127,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,127,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,127,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,127,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,127,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,127,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,127,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,127,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,127,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,127,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,127,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,127,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,127,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,127,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,127,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,127,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,127,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,127,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,127,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,127,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,127,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,127,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,127,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,127,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,127,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,127,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,127,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,127,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,127,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,127,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,127,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,127,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,127,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,127,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,127,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,127,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,127,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,127,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,127,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,127,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,127,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,127,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,127,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,127,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,127,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,127,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,127,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,127,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,127,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,127,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,127,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,127,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,127,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,127,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,127,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,127,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,127,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,127,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,127,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,127,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,127,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,127,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,127,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,127,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,127,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,127,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,127,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,PSYCHOSES ,,,18854.11,18854.11,1
RC,127,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,127,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,127,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,127,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,127,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,127,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,127,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,127,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,127,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,127,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,127,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,127,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,127,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,127,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,127,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,127,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,127,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,127,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,127,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,127,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,127,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,127,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,127,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,127,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,127,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,127,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,127,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,127,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,127,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,127,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,127,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,127,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,127,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,127,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,127,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,127,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,127,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,127,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,127,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,127,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,127,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,127,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,127,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,127,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,127,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,127,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,127,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,127,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,127,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,127,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,127,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,127,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,127,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,127,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,127,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,127,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,127,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,127,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,127,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,127,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,127,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,127,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,127,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,127,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,127,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,127,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,127,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,127,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,127,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,127,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,127,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,127,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,127,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,127,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,127,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,127,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,127,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,127,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,127,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,127,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,127,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,127,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,127,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,127,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,127,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,127,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,127,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,127,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,127,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,127,UNGROUPABLE ,,,4012.81,4012.81,1
RC,127,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,127,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,127,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,127,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,127,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,127,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,127,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,127,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,127,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,127,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,127,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,127,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,127,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,127,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,127,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,127,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,127,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,127,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,127,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,127,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,127,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,127,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,127,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,127,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,127,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,127,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,127,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,127,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,127,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,127,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,127,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,128, Room & Board - Semi-private (Two Beds) Rehabilitation  ,,,1000.0,7700.0,19
RC,128,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13637.47,13637.47,1
RC,128,ABORTION WITHOUT D&C ,,,12042.9,12042.9,1
RC,128,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,13217.59,13217.59,1
RC,128,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,20594.67,2
RC,128,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,30467.34,2
RC,128,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,12916.26,2
RC,128,ACUTE LEUKEMIA WITH CC ,,,24338.05,24338.05,1
RC,128,ACUTE LEUKEMIA WITH MCC ,,,57969.13,57969.13,1
RC,128,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,89283.45,89283.45,1
RC,128,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,15779.36,15779.36,1
RC,128,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,12811.53,12811.53,1
RC,128,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,19579.05,19579.05,1
RC,128,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,10875.13,10875.13,1
RC,128,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,10569.86,10569.86,1
RC,128,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,23300.69,23300.69,1
RC,128,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,9648.09,2
RC,128,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,25385.28,25385.28,1
RC,128,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,17555.71,17555.71,1
RC,128,AFTERCARE WITH CC/MCC ,,,15484.95,15484.95,1
RC,128,AFTERCARE WITHOUT CC/MCC ,,,9932.62,9932.62,1
RC,128,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,14856.61,14856.61,1
RC,128,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,22155.64,22155.64,1
RC,128,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,11673.41,11673.41,1
RC,128,AICD GENERATOR PROCEDURES ,,,48805.81,48805.81,1
RC,128,AICD LEAD PROCEDURES ,,,7000.0,39477.52,2
RC,128,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,17716.74,17716.74,1
RC,128,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,20972.07,20972.07,1
RC,128,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,12452.9,12452.9,1
RC,128,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,9825.92,9825.92,1
RC,128,ALLERGIC REACTIONS WITH MCC ,,,20344.72,20344.72,1
RC,128,ALLERGIC REACTIONS WITHOUT MCC ,,,10313.98,10313.98,1
RC,128,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,31892.96,31892.96,1
RC,128,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,52355.55,52355.55,1
RC,128,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,17408.51,17408.51,1
RC,128,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,26214.17,26214.17,1
RC,128,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,46143.27,2
RC,128,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,15391.09,2
RC,128,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,17743.42,38185.27,3
RC,128,ANAL AND STOMAL PROCEDURES WITH CC ,,,16661.61,16661.61,1
RC,128,ANAL AND STOMAL PROCEDURES WITH MCC ,,,26410.78,26410.78,1
RC,128,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,12332.38,12332.38,1
RC,128,ANGINA PECTORIS ,,,7000.0,10665.69,2
RC,128,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,71681.99,2
RC,128,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,45454.65,2
RC,128,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,128,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,128,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,128,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,128,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,128,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,128,APPENDIX PROCEDURES WITH CC ,,,18684.95,18684.95,1
RC,128,APPENDIX PROCEDURES WITH MCC ,,,27391.82,27391.82,1
RC,128,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,15040.37,15040.37,1
RC,128,ATHEROSCLEROSIS WITH MCC ,,,7000.0,15553.12,2
RC,128,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,10382.15,2
RC,128,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,128,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,128,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,128,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,128,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,128,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,23492.36,2
RC,128,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,40654.17,2
RC,128,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,18490.32,2
RC,128,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,24234.3,24234.3,1
RC,128,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,15292.3,15292.3,1
RC,128,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,10864.27,10864.27,1
RC,128,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,58296.14,2
RC,128,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,30010.9,30010.9,1
RC,128,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,38957.85,4
RC,128,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,28027.08,2
RC,128,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,37861.21,2
RC,128,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,22096.37,2
RC,128,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,16538.11,2
RC,128,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,11932.25,2
RC,128,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,24880.44,24880.44,1
RC,128,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,22789.92,22789.92,1
RC,128,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13326.26,13326.26,1
RC,128,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,10350.53,10350.53,1
RC,128,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,9994.87,9994.87,1
RC,128,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,19162.13,19162.13,1
RC,128,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8227.41,8227.41,1
RC,128,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,10999.62,2
RC,128,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,15626.22,2
RC,128,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,9324.04,2
RC,128,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,19299.45,2
RC,128,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,12753.24,2
RC,128,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,74176.58,74176.58,1
RC,128,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,128,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,128,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,63073.91,63073.91,1
RC,128,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,128,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,128,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,49360.06,49360.06,1
RC,128,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,34773.85,2
RC,128,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,23708.71,2
RC,128,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,22408.56,2
RC,128,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,35867.52,2
RC,128,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,19833.95,2
RC,128,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,100381.18,6
RC,128,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,79589.6,6
RC,128,CELLULITIS WITH MCC ,,,17773.06,17773.06,1
RC,128,CELLULITIS WITHOUT MCC ,,,12335.34,12335.34,1
RC,128,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,32837.44,2
RC,128,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,51436.74,2
RC,128,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,27850.24,27850.24,1
RC,128,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,14204.55,14204.55,1
RC,128,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,27986.58,27986.58,1
RC,128,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,13193.87,13193.87,1
RC,128,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,14764.73,14764.73,1
RC,128,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,20027.59,20027.59,1
RC,128,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,13203.75,13203.75,1
RC,128,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,51195.69,51195.69,1
RC,128,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,24353.85,24353.85,1
RC,128,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,17996.34,17996.34,1
RC,128,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,16655.68,16655.68,1
RC,128,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,29344.02,29344.02,1
RC,128,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,12122.92,12122.92,1
RC,128,CHEST PAIN ,,,7000.0,10844.51,2
RC,128,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,24149.34,2
RC,128,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,38928.21,38928.21,1
RC,128,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,17200.05,17200.05,1
RC,128,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,24503.03,24503.03,1
RC,128,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,36366.44,36366.44,1
RC,128,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,20136.26,20136.26,1
RC,128,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12059.69,2
RC,128,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,14674.82,14674.82,1
RC,128,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10073.9,2
RC,128,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,25592.75,2
RC,128,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,14303.35,2
RC,128,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,14166.02,14166.02,1
RC,128,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,23176.2,23176.2,1
RC,128,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,10770.42,10770.42,1
RC,128,COAGULATION DISORDERS ,,,18800.54,18800.54,1
RC,128,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,92742.29,92742.29,1
RC,128,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,60707.75,60707.75,1
RC,128,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,115556.22,2
RC,128,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,14435.74,2
RC,128,COMPLICATED PEPTIC ULCER WITH MCC ,,,23116.93,23116.93,1
RC,128,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,11640.8,11640.8,1
RC,128,COMPLICATIONS OF TREATMENT WITH CC ,,,13633.52,13633.52,1
RC,128,COMPLICATIONS OF TREATMENT WITH MCC ,,,21818.75,21818.75,1
RC,128,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,10532.31,10532.31,1
RC,128,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,111162.73,2
RC,128,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,69791.04,69791.04,1
RC,128,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,15126.32,2
RC,128,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,28249.37,2
RC,128,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,11992.52,2
RC,128,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,79262.59,2
RC,128,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,57700.4,2
RC,128,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,87015.1,2
RC,128,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,63627.16,2
RC,128,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,61710.53,61710.53,1
RC,128,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,45114.81,45114.81,1
RC,128,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,46484.12,46484.12,1
RC,128,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,34861.77,34861.77,1
RC,128,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,35448.62,35448.62,1
RC,128,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,70231.67,70231.67,1
RC,128,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,23975.46,23975.46,1
RC,128,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,14969.24,14969.24,1
RC,128,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,12719.65,2
RC,128,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,20692.48,2
RC,128,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,10730.9,2
RC,128,DEPRESSIVE NEUROSES ,,,13026.91,13026.91,1
RC,128,DIABETES WITH CC ,,,12585.3,12585.3,1
RC,128,DIABETES WITH MCC ,,,17925.2,17925.2,1
RC,128,DIABETES WITHOUT CC/MCC ,,,9868.41,9868.41,1
RC,128,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,15681.56,2
RC,128,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,24860.67,2
RC,128,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,12862.91,12862.91,1
RC,128,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,13267.97,2
RC,128,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,21462.1,2
RC,128,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,10643.96,2
RC,128,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12041.92,2
RC,128,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,19836.9,19836.9,1
RC,128,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,9870.38,2
RC,128,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,23157.43,23157.43,1
RC,128,DISORDERS OF THE BILIARY TRACT WITH CC ,,,14543.42,14543.42,1
RC,128,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,20239.0,20239.0,1
RC,128,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,11904.58,11904.58,1
RC,128,DYSEQUILIBRIUM ,,,7000.0,11156.7,2
RC,128,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,16293.1,2
RC,128,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,24650.24,2
RC,128,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,11606.23,2
RC,128,ENDOCRINE DISORDERS WITH CC ,,,13857.78,13857.78,1
RC,128,ENDOCRINE DISORDERS WITH MCC ,,,19994.0,19994.0,1
RC,128,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,11321.69,11321.69,1
RC,128,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,60113.0,2
RC,128,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,64277.24,2
RC,128,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,50765.92,2
RC,128,EPISTAXIS WITH MCC ,,,7000.0,16885.87,2
RC,128,EPISTAXIS WITHOUT MCC ,,,7000.0,10982.82,2
RC,128,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,16261.48,16261.48,1
RC,128,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,11433.33,2
RC,128,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,214665.26,214665.26,1
RC,128,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,42204.28,42204.28,1
RC,128,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,28020.17,28020.17,1
RC,128,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,50084.24,50084.24,1
RC,128,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,20664.82,20664.82,1
RC,128,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,62450.5,62450.5,1
RC,128,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,17437.16,17437.16,1
RC,128,FEVER AND INFLAMMATORY CONDITIONS ,,,12501.31,12501.31,1
RC,128,FOOT PROCEDURES WITH CC ,,,7000.0,22198.13,2
RC,128,FOOT PROCEDURES WITH MCC ,,,7000.0,31306.11,2
RC,128,FOOT PROCEDURES WITHOUT CC/MCC ,,,21443.32,21443.32,1
RC,128,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,12578.37,17807.64,2
RC,128,FRACTURES OF FEMUR WITH MCC ,,,7000.0,19219.43,2
RC,128,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,11695.14,2
RC,128,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,16396.83,2
RC,128,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,11709.96,2
RC,128,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,44925.11,44925.11,1
RC,128,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,74594.49,74594.49,1
RC,128,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,35551.37,35551.37,1
RC,128,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,25571.02,25571.02,1
RC,128,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13420.12,13420.12,1
RC,128,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,21791.09,2
RC,128,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,9959.3,9959.3,1
RC,128,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,11534.1,11534.1,1
RC,128,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,18321.38,18321.38,1
RC,128,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9105.7,9105.7,1
RC,128,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,19284.63,2
RC,128,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,13831.1,2
RC,128,HAND PROCEDURES FOR INJURIES ,,,23137.67,23137.67,1
RC,128,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,12118.98,2
RC,128,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,16414.62,2
RC,128,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,9323.05,2
RC,128,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,20896.99,20896.99,1
RC,128,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,37391.93,37391.93,1
RC,128,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,17557.68,17557.68,1
RC,128,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,20352.61,2
RC,128,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,32401.76,2
RC,128,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,17019.24,2
RC,128,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,24423.99,2
RC,128,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,32503.52,2
RC,128,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,19844.81,2
RC,128,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,32087.59,32087.59,1
RC,128,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,24653.2,24653.2,1
RC,128,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,64207.09,64207.09,1
RC,128,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,29787.62,29787.62,1
RC,128,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,16525.27,16525.27,1
RC,128,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,32243.68,32243.68,1
RC,128,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,12649.51,12649.51,1
RC,128,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,16551.94,16551.94,1
RC,128,HYPERTENSION WITH MCC ,,,7000.0,15487.91,2
RC,128,HYPERTENSION WITHOUT MCC ,,,7000.0,11191.28,2
RC,128,INBORN AND OTHER DISORDERS OF METABOLISM ,,,17780.96,17780.96,1
RC,128,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13403.32,13403.32,1
RC,128,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17877.78,17877.78,1
RC,128,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10287.3,10287.3,1
RC,128,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,23471.6,23471.6,1
RC,128,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,52522.51,52522.51,1
RC,128,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18522.92,18522.92,1
RC,128,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,18381.64,18381.64,1
RC,128,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,11745.53,11745.53,1
RC,128,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13376.65,13376.65,1
RC,128,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,19363.68,19363.68,1
RC,128,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,10462.17,10462.17,1
RC,128,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,18792.63,18792.63,1
RC,128,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,28350.15,28350.15,1
RC,128,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,15268.59,15268.59,1
RC,128,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,13107.92,2
RC,128,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,22375.95,2
RC,128,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,10806.97,2
RC,128,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,21810.85,21810.85,1
RC,128,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,35185.82,35185.82,1
RC,128,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,19062.35,19062.35,1
RC,128,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,16789.05,16789.05,1
RC,128,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,28834.24,28834.24,1
RC,128,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13960.53,13960.53,1
RC,128,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,15194.49,15194.49,1
RC,128,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,11728.73,11728.73,1
RC,128,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,14083.03,14083.03,1
RC,128,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,21551.01,21551.01,1
RC,128,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,11539.04,11539.04,1
RC,128,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,15031.48,15031.48,1
RC,128,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,10538.24,10538.24,1
RC,128,KIDNEY TRANSPLANT ,,,35637.32,35637.32,1
RC,128,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,50179.08,50179.08,1
RC,128,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,40342.96,40342.96,1
RC,128,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,24390.41,2
RC,128,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,35613.62,2
RC,128,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,19204.61,19204.61,1
RC,128,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,21207.2,2
RC,128,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,14764.73,14764.73,1
RC,128,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,20443.51,20443.51,1
RC,128,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,27307.85,27307.85,1
RC,128,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,17224.75,17224.75,1
RC,128,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,40908.08,40908.08,1
RC,128,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,39551.61,6
RC,128,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,33535.93,2
RC,128,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,23636.59,2
RC,128,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,28786.82,2
RC,128,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,40005.08,40005.08,1
RC,128,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,23554.59,2
RC,128,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,25847.64,25847.64,1
RC,128,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,61672.98,61672.98,1
RC,128,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,15626.22,15626.22,1
RC,128,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,19848.76,19848.76,1
RC,128,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,35690.68,35690.68,1
RC,128,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,26114.39,26114.39,1
RC,128,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,49027.12,49027.12,1
RC,128,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,17062.71,17062.71,1
RC,128,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13713.54,13713.54,1
RC,128,MAJOR BLADDER PROCEDURES WITH CC ,,,31387.12,31387.12,1
RC,128,MAJOR BLADDER PROCEDURES WITH MCC ,,,55069.47,55069.47,1
RC,128,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,24642.33,24642.33,1
RC,128,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,28667.28,2
RC,128,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,48009.52,2
RC,128,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,22642.7,2
RC,128,MAJOR CHEST TRAUMA WITH CC ,,,14244.08,14244.08,1
RC,128,MAJOR CHEST TRAUMA WITH MCC ,,,18845.98,18845.98,1
RC,128,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,11501.5,11501.5,1
RC,128,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13612.76,13612.76,1
RC,128,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,19458.52,19458.52,1
RC,128,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,10654.82,2
RC,128,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13818.27,13818.27,1
RC,128,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,21248.7,2
RC,128,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,10917.62,10917.62,1
RC,128,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,25279.57,25279.57,1
RC,128,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,45870.59,45870.59,1
RC,128,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,19502.97,19502.97,1
RC,128,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,14071.18,25544.34,3
RC,128,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,33697.96,33697.96,1
RC,128,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,22787.93,22787.93,1
RC,128,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,128,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,31116.43,2
RC,128,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,23493.34,23493.34,1
RC,128,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,18888.47,18888.47,1
RC,128,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,21577.69,2
RC,128,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,18692.85,18692.85,1
RC,128,MAJOR SKIN DISORDERS WITH MCC ,,,24682.84,24682.84,1
RC,128,MAJOR SKIN DISORDERS WITHOUT MCC ,,,14425.86,14425.86,1
RC,128,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,27414.55,27414.55,1
RC,128,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,49142.71,49142.71,1
RC,128,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,20357.55,20357.55,1
RC,128,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,17060.74,2
RC,128,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,14906.01,14906.01,1
RC,128,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,21877.03,21877.03,1
RC,128,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,12161.45,12161.45,1
RC,128,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14478.22,14478.22,1
RC,128,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,21926.44,21926.44,1
RC,128,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13220.55,13220.55,1
RC,128,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,15020.61,15020.61,1
RC,128,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,21610.29,21610.29,1
RC,128,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10209.25,10209.25,1
RC,128,MALIGNANT BREAST DISORDERS WITH CC ,,,14907.98,14907.98,1
RC,128,MALIGNANT BREAST DISORDERS WITH MCC ,,,20201.46,20201.46,1
RC,128,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,11332.57,11332.57,1
RC,128,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,22765.22,22765.22,1
RC,128,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,20767.56,20767.56,1
RC,128,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,20290.38,2
RC,128,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,13228.45,2
RC,128,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13684.89,13684.89,1
RC,128,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,9367.51,9367.51,1
RC,128,MINOR BLADDER PROCEDURES WITH CC ,,,18750.15,18750.15,1
RC,128,MINOR BLADDER PROCEDURES WITH MCC ,,,33977.55,33977.55,1
RC,128,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,14074.15,14074.15,1
RC,128,MINOR SKIN DISORDERS WITH MCC ,,,18680.99,18680.99,1
RC,128,MINOR SKIN DISORDERS WITHOUT MCC ,,,12686.06,12686.06,1
RC,128,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,18597.02,2
RC,128,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,29248.2,2
RC,128,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,15450.37,15450.37,1
RC,128,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,16926.38,16926.38,1
RC,128,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,11419.5,11419.5,1
RC,128,MOUTH PROCEDURES WITH CC/MCC ,,,18483.4,18483.4,1
RC,128,MOUTH PROCEDURES WITHOUT CC/MCC ,,,12486.49,12486.49,1
RC,128,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,59274.21,112616.1,3
RC,128,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,69742.63,69742.63,1
RC,128,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,45628.54,45628.54,1
RC,128,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,20564.04,49945.92,3
RC,128,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,18599.98,34950.69,2
RC,128,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,18312.49,18312.49,1
RC,128,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,21536.19,21536.19,1
RC,128,NEUROSES EXCEPT DEPRESSIVE ,,,14339.9,14339.9,1
RC,128,NON-EXTENSIVE BURNS ,,,24083.15,24083.15,1
RC,128,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,19969.3,19969.3,1
RC,128,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,37602.37,37602.37,1
RC,128,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,15578.81,15578.81,1
RC,128,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,14021.79,14021.79,1
RC,128,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,9708.36,9708.36,1
RC,128,NORMAL NEWBORN ,,,5705.15,5705.15,1
RC,128,O.R. PROCEDURES FOR OBESITY WITH CC ,,,19541.5,19541.5,1
RC,128,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,32257.52,32257.52,1
RC,128,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,18633.57,18633.57,1
RC,128,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,26818.81,26818.81,1
RC,128,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,39579.28,39579.28,1
RC,128,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,23764.03,23764.03,1
RC,128,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,41914.81,41914.81,1
RC,128,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,19626.47,19626.47,1
RC,128,OSTEOMYELITIS WITH CC ,,,7000.0,16538.11,2
RC,128,OSTEOMYELITIS WITH MCC ,,,7000.0,23191.02,2
RC,128,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,11510.39,2
RC,128,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,15183.62,15183.62,1
RC,128,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,26272.46,26272.46,1
RC,128,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,12226.67,12226.67,1
RC,128,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,10860.31,10860.31,1
RC,128,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,15611.4,15611.4,1
RC,128,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,8897.24,8897.24,1
RC,128,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,128,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,52609.45,2
RC,128,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,34846.95,2
RC,128,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,13248.21,2
RC,128,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,24332.12,2
RC,128,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10470.07,10470.07,1
RC,128,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,36734.95,2
RC,128,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,12975.53,2
RC,128,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19531.62,2
RC,128,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10143.06,10143.06,1
RC,128,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,26706.18,2
RC,128,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,47130.24,2
RC,128,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,17541.88,2
RC,128,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,12785.85,2
RC,128,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,19177.93,2
RC,128,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,10558.99,2
RC,128,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,20851.54,20851.54,1
RC,128,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,40746.05,40746.05,1
RC,128,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,15609.43,15609.43,1
RC,128,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,25256.84,25256.84,1
RC,128,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,40550.44,40550.44,1
RC,128,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,18150.46,18150.46,1
RC,128,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,47822.8,47822.8,1
RC,128,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,27494.57,27494.57,1
RC,128,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9224.26,9224.26,1
RC,128,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,29098.03,29098.03,1
RC,128,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,18311.5,18311.5,1
RC,128,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,102102.21,2
RC,128,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,25346.75,2
RC,128,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,44761.11,44761.11,1
RC,128,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,18553.55,18553.55,1
RC,128,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13918.04,13918.04,1
RC,128,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,24411.15,24411.15,1
RC,128,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,10940.34,10940.34,1
RC,128,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,21014.55,21014.55,1
RC,128,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13785.66,13785.66,1
RC,128,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13758.99,13758.99,1
RC,128,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,20075.99,20075.99,1
RC,128,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,10547.13,10547.13,1
RC,128,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,26835.61,26835.61,1
RC,128,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,45241.27,45241.27,1
RC,128,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,19947.56,19947.56,1
RC,128,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,38865.97,38865.97,1
RC,128,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,55858.85,2
RC,128,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,28953.78,28953.78,1
RC,128,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,14190.73,14190.73,1
RC,128,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10370.29,10370.29,1
RC,128,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,22408.56,22408.56,1
RC,128,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,17000.48,17000.48,1
RC,128,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,25834.8,25834.8,1
RC,128,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,18264.08,18264.08,1
RC,128,OTHER MENTAL DISORDER DIAGNOSES ,,,14311.25,14311.25,1
RC,128,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,18872.65,18872.65,1
RC,128,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,30740.01,30740.01,1
RC,128,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13022.96,13022.96,1
RC,128,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13357.88,13357.88,1
RC,128,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,18981.34,18981.34,1
RC,128,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11133.99,11133.99,1
RC,128,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,24261.97,2
RC,128,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,35216.45,2
RC,128,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,18913.17,2
RC,128,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,12144.66,23439.01,3
RC,128,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,23442.95,23442.95,1
RC,128,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,41661.89,41661.89,1
RC,128,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,16700.14,16700.14,1
RC,128,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,45362.78,45362.78,1
RC,128,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,79012.64,79012.64,1
RC,128,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,32817.68,32817.68,1
RC,128,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,22096.37,22096.37,1
RC,128,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,43092.46,43092.46,1
RC,128,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,17127.93,17127.93,1
RC,128,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,21820.73,21820.73,1
RC,128,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13028.88,13028.88,1
RC,128,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,21548.05,2
RC,128,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,40658.12,2
RC,128,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,17230.67,2
RC,128,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,20803.13,20803.13,1
RC,128,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,35726.24,2
RC,128,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,17988.43,17988.43,1
RC,128,OTHER VASCULAR PROCEDURES WITH CC ,,,29374.66,29374.66,1
RC,128,OTHER VASCULAR PROCEDURES WITH MCC ,,,38194.15,38194.15,1
RC,128,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,21333.67,21333.67,1
RC,128,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,15410.85,2
RC,128,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,11024.32,2
RC,128,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,32383.98,2
RC,128,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,57777.46,57777.46,1
RC,128,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,25659.93,2
RC,128,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,21183.5,6
RC,128,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,24774.72,24774.72,1
RC,128,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,17024.18,17024.18,1
RC,128,PENIS PROCEDURES WITH CC/MCC ,,,26721.99,26721.99,1
RC,128,PENIS PROCEDURES WITHOUT CC/MCC ,,,17574.48,17574.48,1
RC,128,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,44489.43,44489.43,1
RC,128,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,36251.83,36251.83,1
RC,128,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,30611.58,30611.58,1
RC,128,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,21148.91,21148.91,1
RC,128,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,25293.4,25293.4,1
RC,128,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,18496.25,18496.25,1
RC,128,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,37703.14,2
RC,128,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,27583.49,2
RC,128,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,27661.54,27661.54,1
RC,128,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,14277.67,14277.67,1
RC,128,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,19861.6,19861.6,1
RC,128,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,10841.54,10841.54,1
RC,128,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,24564.28,2
RC,128,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,39010.22,2
RC,128,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,18896.37,2
RC,128,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,24783.62,24783.62,1
RC,128,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,35274.73,35274.73,1
RC,128,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,21588.55,21588.55,1
RC,128,PLEURAL EFFUSION WITH CC ,,,13503.11,13503.11,1
RC,128,PLEURAL EFFUSION WITH MCC ,,,19128.54,19128.54,1
RC,128,PLEURAL EFFUSION WITHOUT CC/MCC ,,,10816.84,10816.84,1
RC,128,PNEUMOTHORAX WITH CC ,,,7000.0,14591.83,2
RC,128,PNEUMOTHORAX WITH MCC ,,,7000.0,21159.78,2
RC,128,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,10796.1,2
RC,128,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,19226.34,19226.34,1
RC,128,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,12199.0,12199.0,1
RC,128,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,21748.6,21748.6,1
RC,128,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13590.05,13590.05,1
RC,128,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,24888.33,24888.33,1
RC,128,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,48670.46,48670.46,1
RC,128,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,17492.48,17492.48,1
RC,128,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,20425.72,20425.72,1
RC,128,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10199.37,10199.37,1
RC,128,PREMATURITY WITH MAJOR PROBLEMS ,,,43832.43,43832.43,1
RC,128,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,27928.29,27928.29,1
RC,128,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,3731.21,3731.21,1
RC,128,PROSTATECTOMY WITH CC ,,,21013.57,21013.57,1
RC,128,PROSTATECTOMY WITH MCC ,,,34567.36,34567.36,1
RC,128,PROSTATECTOMY WITHOUT CC/MCC ,,,14660.0,14660.0,1
RC,128,PSYCHOSES ,,,17531.01,17531.01,1
RC,128,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,15936.44,15936.44,1
RC,128,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,17301.81,17301.81,1
RC,128,PULMONARY EMBOLISM WITHOUT MCC ,,,11684.27,11684.27,1
RC,128,RADIOTHERAPY ,,,30499.94,30499.94,1
RC,128,RECTAL RESECTION WITH CC ,,,26871.17,26871.17,1
RC,128,RECTAL RESECTION WITH MCC ,,,39502.21,39502.21,1
RC,128,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,19912.98,2
RC,128,RED BLOOD CELL DISORDERS WITH MCC ,,,17605.11,17605.11,1
RC,128,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,12802.64,12802.64,1
RC,128,REHABILITATION WITH CC/MCC ,,,1793.0,19030.73,4
RC,128,REHABILITATION WITHOUT CC/MCC ,,,1793.0,15061.12,4
RC,128,RENAL FAILURE WITH CC ,,,12383.75,12383.75,1
RC,128,RENAL FAILURE WITH MCC ,,,18362.87,18362.87,1
RC,128,RENAL FAILURE WITHOUT CC/MCC ,,,9661.92,9661.92,1
RC,128,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13373.68,13373.68,1
RC,128,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,19170.04,19170.04,1
RC,128,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,11190.29,11190.29,1
RC,128,RESPIRATORY NEOPLASMS WITH CC ,,,14312.25,14312.25,1
RC,128,RESPIRATORY NEOPLASMS WITH MCC ,,,21178.56,21178.56,1
RC,128,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,11178.44,11178.44,1
RC,128,RESPIRATORY SIGNS AND SYMPTOMS ,,,11707.99,11707.99,1
RC,128,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,30887.21,30887.21,1
RC,128,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,67303.35,67303.35,1
RC,128,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13749.11,13749.11,1
RC,128,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,24742.12,24742.12,1
RC,128,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,9975.11,9975.11,1
RC,128,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,38572.54,38572.54,1
RC,128,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,55158.38,55158.38,1
RC,128,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,30880.3,2
RC,128,SALIVARY GLAND PROCEDURES ,,,15939.41,15939.41,1
RC,128,SEPTIC ARTHRITIS WITH CC ,,,7000.0,15657.84,2
RC,128,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,22807.69,2
RC,128,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,12366.96,2
RC,128,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,72016.91,72016.91,1
RC,128,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,22922.3,22922.3,1
RC,128,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,13840.99,13840.99,1
RC,128,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,24274.82,24274.82,1
RC,128,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,33572.49,33572.49,1
RC,128,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,20085.87,2
RC,128,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,16790.04,2
RC,128,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,11937.19,2
RC,128,SIGNS AND SYMPTOMS WITH MCC ,,,16272.36,16272.36,1
RC,128,SIGNS AND SYMPTOMS WITHOUT MCC ,,,11639.82,11639.82,1
RC,128,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,11693.17,2
RC,128,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,16716.93,2
RC,128,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,9940.53,2
RC,128,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,43452.07,2
RC,128,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,56385.43,56385.43,1
RC,128,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,35646.21,35646.21,1
RC,128,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,25169.9,25169.9,1
RC,128,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13761.95,13761.95,1
RC,128,SKIN DEBRIDEMENT WITH CC ,,,20422.77,20422.77,1
RC,128,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,32788.05,2
RC,128,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,15056.18,15056.18,1
RC,128,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,29919.02,2
RC,128,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,52153.02,52153.02,1
RC,128,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,19601.77,2
RC,128,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,38027.19,38027.19,1
RC,128,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,68456.31,2
RC,128,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,21484.82,21484.82,1
RC,128,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,16099.46,38894.62,3
RC,128,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,40019.9,40019.9,1
RC,128,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,18386.58,18386.58,1
RC,128,SKIN ULCERS WITH CC ,,,15451.36,15451.36,1
RC,128,SKIN ULCERS WITH MCC ,,,22851.16,22851.16,1
RC,128,SKIN ULCERS WITHOUT CC/MCC ,,,12294.83,12294.83,1
RC,128,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,21001.71,2
RC,128,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,34998.12,2
RC,128,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,17028.14,2
RC,128,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,44954.75,86753.29,3
RC,128,SPLENIC PROCEDURES WITH CC ,,,31486.91,31486.91,1
RC,128,SPLENIC PROCEDURES WITH MCC ,,,48474.85,48474.85,1
RC,128,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,22590.35,22590.35,1
RC,128,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,13159.3,2
RC,128,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,10847.48,2
RC,128,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,27878.88,27878.88,1
RC,128,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,53004.64,53004.64,1
RC,128,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,19561.26,19561.26,1
RC,128,SYNCOPE AND COLLAPSE ,,,7000.0,12342.26,2
RC,128,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,18421.16,2
RC,128,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,12555.66,2
RC,128,TESTES PROCEDURES WITH CC/MCC ,,,24318.29,24318.29,1
RC,128,TESTES PROCEDURES WITHOUT CC/MCC ,,,14595.79,14595.79,1
RC,128,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,18544.66,18544.66,1
RC,128,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,33568.54,33568.54,1
RC,128,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,16854.25,16854.25,1
RC,128,TRANSURETHRAL PROCEDURES WITH CC ,,,19064.32,19064.32,1
RC,128,TRANSURETHRAL PROCEDURES WITH MCC ,,,32579.59,32579.59,1
RC,128,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13386.53,13386.53,1
RC,128,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,18584.17,18584.17,1
RC,128,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,14177.88,14177.88,1
RC,128,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,18274.94,18274.94,1
RC,128,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,12780.91,12780.91,1
RC,128,TRAUMATIC INJURY WITH MCC ,,,19880.37,19880.37,1
RC,128,TRAUMATIC INJURY WITHOUT MCC ,,,12479.58,12479.58,1
RC,128,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,39360.94,58722.94,2
RC,128,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,33136.8,33136.8,1
RC,128,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,17371.95,17371.95,1
RC,128,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,12176.27,12176.27,1
RC,128,UNGROUPABLE ,,,3731.21,3731.21,1
RC,128,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,20505.75,20505.75,1
RC,128,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,30380.4,30380.4,1
RC,128,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,14521.69,2
RC,128,URETHRAL PROCEDURES WITH CC/MCC ,,,21465.06,21465.06,1
RC,128,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.22,14396.22,1
RC,128,URETHRAL STRICTURE ,,,14379.42,14379.42,1
RC,128,URINARY STONES WITH MCC ,,,17014.3,17014.3,1
RC,128,URINARY STONES WITHOUT MCC ,,,11454.08,11454.08,1
RC,128,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,21858.27,21858.27,1
RC,128,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,15988.81,15988.81,1
RC,128,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,21609.3,21609.3,1
RC,128,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,39127.78,39127.78,1
RC,128,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,17820.49,17820.49,1
RC,128,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,24089.07,24089.07,1
RC,128,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,39045.78,39045.78,1
RC,128,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,18239.38,18239.38,1
RC,128,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,20893.03,20893.03,1
RC,128,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,12224.68,12224.68,1
RC,128,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,14318.17,14318.17,1
RC,128,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,13614.75,13614.75,1
RC,128,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,15260.68,15260.68,1
RC,128,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,13186.96,13186.96,1
RC,128,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,11180.41,11180.41,1
RC,128,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,14393.25,14393.25,1
RC,128,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,10392.02,10392.02,1
RC,128,VEIN LIGATION AND STRIPPING ,,,7000.0,33937.04,2
RC,128,VIRAL ILLNESS WITH MCC ,,,18533.79,18533.79,1
RC,128,VIRAL ILLNESS WITHOUT MCC ,,,12322.5,12322.5,1
RC,128,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,21748.6,60039.88,3
RC,128,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,22645.67,22645.67,1
RC,128,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,45191.87,45191.87,1
RC,128,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,15286.37,15286.37,1
RC,129, Room & Board - Semi-private (Two Beds) Other  ,,,6650.0,21045.0,4
RC,129,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,3
RC,129,ABORTION WITHOUT D&C ,,,13046.0,19995.0,3
RC,129,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,19995.0,4
RC,129,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,19995.0,4
RC,129,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,ACUTE LEUKEMIA WITH CC ,,,13046.0,19995.0,3
RC,129,ACUTE LEUKEMIA WITH MCC ,,,13046.0,19995.0,3
RC,129,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,19995.0,3
RC,129,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,13046.0,19995.0,3
RC,129,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,19995.0,3
RC,129,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,129,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,AFTERCARE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,3
RC,129,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,19995.0,3
RC,129,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,AICD GENERATOR PROCEDURES ,,,13046.0,19995.0,3
RC,129,AICD LEAD PROCEDURES ,,,7000.0,19995.0,4
RC,129,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,3
RC,129,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,19995.0,3
RC,129,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,3
RC,129,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,13046.0,19995.0,3
RC,129,ALLERGIC REACTIONS WITH MCC ,,,13046.0,19995.0,3
RC,129,ALLERGIC REACTIONS WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,19995.0,3
RC,129,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,19995.0,3
RC,129,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,3
RC,129,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,129,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,129,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,4
RC,129,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,19995.0,9
RC,129,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,ANGINA PECTORIS ,,,7000.0,19995.0,4
RC,129,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,129,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,129,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,129,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,129,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,129,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,129,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,129,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,129,APPENDIX PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,APPENDIX PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,4
RC,129,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,129,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,129,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,129,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,129,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,129,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,3
RC,129,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,129,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,19995.0,10
RC,129,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,19995.0,4
RC,129,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,4
RC,129,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,4
RC,129,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,4
RC,129,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,19995.0,3
RC,129,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,13046.0,19995.0,3
RC,129,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,19995.0,3
RC,129,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,4
RC,129,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,129,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,129,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,4
RC,129,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,129,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,129,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,129,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,129,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,19995.0,4
RC,129,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,19995.0,4
RC,129,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,19995.0,4
RC,129,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,19995.0,4
RC,129,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,19995.0,9
RC,129,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,19995.0,9
RC,129,CELLULITIS WITH MCC ,,,13046.0,19995.0,3
RC,129,CELLULITIS WITHOUT MCC ,,,13046.0,13046.0,1
RC,129,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,129,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,129,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,19995.0,3
RC,129,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,19995.0,3
RC,129,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,129,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,129,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,CHEST PAIN ,,,7000.0,7000.0,1
RC,129,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,19995.0,4
RC,129,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,19995.0,3
RC,129,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,19995.0,3
RC,129,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,19995.0,3
RC,129,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,4
RC,129,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,3
RC,129,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,129,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,129,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,3
RC,129,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,19995.0,3
RC,129,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,COAGULATION DISORDERS ,,,13046.0,19995.0,3
RC,129,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,19995.0,4
RC,129,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,4
RC,129,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,3
RC,129,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,3
RC,129,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,19995.0,3
RC,129,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,19995.0,3
RC,129,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,4
RC,129,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,129,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,19995.0,3
RC,129,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,19995.0,3
RC,129,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,19995.0,3
RC,129,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,19995.0,3
RC,129,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,19995.0,2
RC,129,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,19995.0,2
RC,129,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,19995.0,3
RC,129,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,19995.0,3
RC,129,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,4
RC,129,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,19995.0,4
RC,129,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,DIABETES WITH CC ,,,13046.0,19995.0,3
RC,129,DIABETES WITH MCC ,,,13046.0,19995.0,3
RC,129,DIABETES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,4
RC,129,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,19995.0,4
RC,129,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,4
RC,129,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,19995.0,4
RC,129,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,4
RC,129,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,4
RC,129,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,19995.0,3
RC,129,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,3
RC,129,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,19995.0,3
RC,129,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,DYSEQUILIBRIUM ,,,7000.0,19995.0,4
RC,129,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,4
RC,129,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,19995.0,4
RC,129,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,129,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,129,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,129,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,19995.0,4
RC,129,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,19995.0,3
RC,129,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,19995.0,3
RC,129,EPISTAXIS WITH MCC ,,,7000.0,19995.0,4
RC,129,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,129,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,3
RC,129,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,2
RC,129,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,19995.0,3
RC,129,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,19995.0,3
RC,129,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,129,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,129,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,3
RC,129,FOOT PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,129,FOOT PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,129,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,6
RC,129,FRACTURES OF FEMUR WITH MCC ,,,7000.0,19995.0,4
RC,129,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,4
RC,129,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,4
RC,129,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,129,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,19995.0,3
RC,129,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,3
RC,129,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,19995.0,4
RC,129,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,13046.0,19995.0,3
RC,129,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,3
RC,129,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,19995.0,4
RC,129,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,129,HAND PROCEDURES FOR INJURIES ,,,13046.0,19995.0,3
RC,129,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,129,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,129,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,129,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,19995.0,4
RC,129,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,19995.0,4
RC,129,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,129,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,129,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,129,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,3
RC,129,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,19995.0,3
RC,129,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,3
RC,129,HYPERTENSION WITH MCC ,,,7000.0,19995.0,4
RC,129,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,4
RC,129,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,3
RC,129,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,129,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,129,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,3
RC,129,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,3
RC,129,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,19995.0,3
RC,129,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,4
RC,129,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,19995.0,4
RC,129,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,19995.0,3
RC,129,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,19995.0,3
RC,129,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,3
RC,129,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,19995.0,3
RC,129,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,13046.0,1
RC,129,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,13046.0,13046.0,1
RC,129,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,3
RC,129,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,19995.0,3
RC,129,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,3
RC,129,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,KIDNEY TRANSPLANT ,,,13046.0,19995.0,3
RC,129,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,19995.0,3
RC,129,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,19995.0,4
RC,129,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,19995.0,4
RC,129,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,19995.0,4
RC,129,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,19995.0,3
RC,129,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,19995.0,12
RC,129,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,19995.0,4
RC,129,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,19995.0,4
RC,129,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,19995.0,4
RC,129,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,19995.0,3
RC,129,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,129,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,19995.0,3
RC,129,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,19995.0,3
RC,129,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,129,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,129,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,129,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,129,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,129,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,129,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,3
RC,129,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,19995.0,4
RC,129,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,19995.0,9
RC,129,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,129,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,19995.0,4
RC,129,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,19995.0,4
RC,129,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,129,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,4
RC,129,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,3
RC,129,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,19995.0,3
RC,129,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,129,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,129,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,129,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,129,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,129,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,129,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,19995.0,4
RC,129,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,4
RC,129,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,129,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,129,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,129,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,3
RC,129,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,13046.0,19995.0,3
RC,129,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,19995.0,9
RC,129,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,19995.0,6
RC,129,NON-EXTENSIVE BURNS ,,,13046.0,19995.0,3
RC,129,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,129,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,129,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,19995.0,3
RC,129,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,19995.0,3
RC,129,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,19995.0,3
RC,129,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,4
RC,129,OSTEOMYELITIS WITH MCC ,,,7000.0,19995.0,4
RC,129,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,129,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,19995.0,3
RC,129,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,19995.0,3
RC,129,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,4
RC,129,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19995.0,4
RC,129,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,19995.0,4
RC,129,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,4
RC,129,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19995.0,4
RC,129,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,129,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,129,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,4
RC,129,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,19995.0,4
RC,129,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,129,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,129,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,129,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,129,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,129,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,13046.0,19995.0,3
RC,129,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,19995.0,3
RC,129,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,129,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,129,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,129,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,19995.0,3
RC,129,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,3
RC,129,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,129,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,129,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,129,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,129,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,129,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,129,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,129,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,129,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,129,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,19995.0,4
RC,129,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,19995.0,9
RC,129,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,19995.0,3
RC,129,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,19995.0,3
RC,129,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,129,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,129,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,19995.0,3
RC,129,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,19995.0,3
RC,129,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,129,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,129,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,129,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,129,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,19995.0,4
RC,129,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,19995.0,2
RC,129,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,19995.0,2
RC,129,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,19995.0,2
RC,129,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,4
RC,129,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,4
RC,129,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,19995.0,4
RC,129,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,129,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,129,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,19995.0,12
RC,129,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,19995.0,3
RC,129,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,19995.0,2
RC,129,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,2
RC,129,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,19995.0,4
RC,129,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,19995.0,4
RC,129,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,19995.0,3
RC,129,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,19995.0,4
RC,129,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,19995.0,4
RC,129,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,19995.0,3
RC,129,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,19995.0,3
RC,129,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,3
RC,129,PLEURAL EFFUSION WITH MCC ,,,13046.0,19995.0,3
RC,129,PLEURAL EFFUSION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,4
RC,129,PNEUMOTHORAX WITH MCC ,,,7000.0,19995.0,4
RC,129,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,19995.0,3
RC,129,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,19995.0,3
RC,129,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,19995.0,3
RC,129,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,13046.0,19995.0,3
RC,129,PROSTATECTOMY WITH CC ,,,13046.0,19995.0,3
RC,129,PROSTATECTOMY WITH MCC ,,,13046.0,19995.0,3
RC,129,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,3
RC,129,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,3
RC,129,PULMONARY EMBOLISM WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,RADIOTHERAPY ,,,13046.0,19995.0,3
RC,129,RECTAL RESECTION WITH CC ,,,13046.0,19995.0,3
RC,129,RECTAL RESECTION WITH MCC ,,,13046.0,19995.0,3
RC,129,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,129,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,RENAL FAILURE WITH CC ,,,13046.0,13046.0,1
RC,129,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,3
RC,129,RENAL FAILURE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,3
RC,129,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,19995.0,3
RC,129,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,3
RC,129,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,19995.0,3
RC,129,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,RESPIRATORY SIGNS AND SYMPTOMS ,,,13046.0,19995.0,3
RC,129,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,19995.0,3
RC,129,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,19995.0,3
RC,129,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,129,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,129,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,129,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,3
RC,129,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,4
RC,129,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,19995.0,4
RC,129,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,129,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,129,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,19995.0,4
RC,129,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,4
RC,129,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,4
RC,129,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,3
RC,129,SIGNS AND SYMPTOMS WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,4
RC,129,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,4
RC,129,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,129,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,SKIN DEBRIDEMENT WITH CC ,,,13046.0,19995.0,3
RC,129,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,19995.0,4
RC,129,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,19995.0,4
RC,129,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,19995.0,3
RC,129,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,19995.0,3
RC,129,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,19995.0,4
RC,129,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,19995.0,9
RC,129,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,SKIN ULCERS WITH CC ,,,13046.0,19995.0,3
RC,129,SKIN ULCERS WITH MCC ,,,13046.0,19995.0,3
RC,129,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,129,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,129,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,SPLENIC PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,SPLENIC PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,4
RC,129,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,129,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,129,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,129,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,4
RC,129,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,4
RC,129,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,4
RC,129,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,129,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,129,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,129,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,129,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,3
RC,129,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,3
RC,129,TRAUMATIC INJURY WITH MCC ,,,13046.0,19995.0,3
RC,129,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,19995.0,3
RC,129,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,3
RC,129,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,129,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,129,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,129,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,129,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,URETHRAL STRICTURE ,,,13046.0,19995.0,3
RC,129,URINARY STONES WITH MCC ,,,13046.0,19995.0,3
RC,129,URINARY STONES WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,19995.0,3
RC,129,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,19995.0,3
RC,129,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,19995.0,3
RC,129,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,19995.0,3
RC,129,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,129,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,19995.0,3
RC,129,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,129,VEIN LIGATION AND STRIPPING ,,,7000.0,19995.0,4
RC,129,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,3
RC,129,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,3
RC,129,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,19995.0,9
RC,129,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,19995.0,3
RC,129,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,19995.0,3
RC,129,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,130, Room & Board - Three and Four Beds General Classification  ,,,6650.0,21045.0,4
RC,130,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,130,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,130,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,130,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,130,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,130,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,130,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,130,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,130,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,130,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,130,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,130,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,130,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,130,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,130,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,130,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,130,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,130,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,130,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,130,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,130,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,130,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,130,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,130,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,130,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,130,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,130,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,130,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,130,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,130,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,130,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,130,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,130,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,130,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,130,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,130,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,130,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,130,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,130,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,130,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,130,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,130,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,130,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,130,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,130,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,130,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,130,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,130,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,130,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,130,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,130,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,130,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,130,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,130,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,130,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,130,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,130,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,130,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,130,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,130,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,130,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,130,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,130,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,130,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,130,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,130,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,130,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,130,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,130,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,130,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,130,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,130,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,130,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,130,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,130,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,130,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,130,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,130,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,130,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,130,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,130,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,130,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,130,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,130,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,130,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,130,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,130,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,130,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,130,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,130,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,130,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,130,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,130,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,130,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,130,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,130,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,130,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,130,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,130,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,130,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,130,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,130,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,130,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,130,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,130,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,130,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,130,CHEST PAIN ,,,7000.0,11662.96,2
RC,130,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,130,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,130,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,130,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,130,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,130,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,130,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,130,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,130,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,130,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,130,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,130,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,130,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,130,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,130,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,130,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,130,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,130,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,130,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,130,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,130,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,130,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,130,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,130,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,130,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,130,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,130,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,130,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,130,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,130,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,130,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,130,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,130,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,130,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,130,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,130,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,130,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,130,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,130,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,130,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,130,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,130,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,130,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,130,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,130,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,130,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,130,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,130,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,130,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,130,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,130,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,130,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,130,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,130,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,130,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,130,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,130,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,130,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,130,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,130,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,130,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,130,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,130,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,130,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,130,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,130,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,130,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,130,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,130,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,130,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,130,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,130,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,130,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,130,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,130,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,130,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,130,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,130,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,130,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,130,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,130,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,130,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,130,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,130,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,130,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,130,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,130,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,130,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,130,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,130,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,130,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,130,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,130,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,130,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,130,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,130,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,130,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,130,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,130,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,130,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,130,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,130,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,130,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,130,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,130,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,130,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,130,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,130,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,130,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,130,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,130,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,130,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,130,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,130,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,130,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,130,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,130,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,130,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,130,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,130,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,130,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,130,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,130,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,130,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,130,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,130,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,130,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,130,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,130,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,130,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,130,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,130,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,130,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,130,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,130,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,130,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,130,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,130,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,130,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,130,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,130,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,130,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,130,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,130,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,130,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,130,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,130,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,130,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,130,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,130,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,130,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,130,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,130,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,130,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,130,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,130,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,130,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,130,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,130,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,130,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,130,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,130,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,130,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,130,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,130,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,130,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,130,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,130,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,130,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,130,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,130,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,130,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,130,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,130,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,130,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,130,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,130,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,130,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,130,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,130,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,130,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,130,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,130,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,130,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,130,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,130,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,130,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,130,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,130,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,130,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,130,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,130,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,130,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,130,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,130,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,130,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,130,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,130,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,130,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,130,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,130,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,130,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,130,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,130,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,130,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,130,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,130,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,130,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,130,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,130,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,130,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,130,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,130,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,130,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,130,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,130,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,130,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,130,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,130,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,130,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,130,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,130,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,130,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,130,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,130,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,130,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,130,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,130,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,130,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,130,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,130,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,130,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,130,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,130,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,130,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,130,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,130,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,130,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,130,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,130,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,130,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,130,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,130,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,130,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,130,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,130,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,130,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,130,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,130,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,130,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,130,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,130,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,130,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,130,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,130,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,130,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,130,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,130,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,130,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,130,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,130,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,130,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,130,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,130,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,130,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,130,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,130,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,130,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,130,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,130,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,130,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,130,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,130,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,130,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,130,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,130,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,130,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,130,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,130,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,130,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,130,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,130,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,130,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,130,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,130,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,130,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,130,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,130,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,130,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,130,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,130,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,130,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,130,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,130,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,130,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,130,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,130,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,130,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,130,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,130,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,130,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,130,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,130,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,130,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,130,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,130,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,130,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,130,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,130,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,130,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,130,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,130,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,130,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,130,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,130,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,130,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,130,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,130,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,130,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,130,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,130,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,130,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,130,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,130,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,130,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,130,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,130,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,130,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,130,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,130,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,130,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,130,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,130,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,130,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,130,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,130,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,130,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,130,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,130,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,130,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,130,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,130,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,130,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,130,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,130,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,130,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,130,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,130,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,130,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,130,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,130,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,130,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,130,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,130,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,130,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,130,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,130,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,130,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,130,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,130,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,130,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,130,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,130,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,130,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,130,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,130,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,130,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,130,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,130,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,130,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,130,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,130,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,130,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,PSYCHOSES ,,,18854.11,18854.11,1
RC,130,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,130,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,130,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,130,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,130,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,130,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,130,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,130,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,130,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,130,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,130,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,130,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,130,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,130,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,130,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,130,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,130,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,130,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,130,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,130,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,130,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,130,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,130,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,130,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,130,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,130,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,130,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,130,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,130,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,130,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,130,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,130,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,130,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,130,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,130,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,130,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,130,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,130,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,130,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,130,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,130,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,130,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,130,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,130,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,130,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,130,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,130,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,130,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,130,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,130,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,130,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,130,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,130,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,130,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,130,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,130,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,130,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,130,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,130,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,130,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,130,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,130,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,130,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,130,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,130,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,130,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,130,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,130,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,130,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,130,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,130,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,130,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,130,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,130,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,130,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,130,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,130,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,130,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,130,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,130,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,130,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,130,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,130,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,130,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,130,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,130,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,130,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,130,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,130,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,130,UNGROUPABLE ,,,4012.81,4012.81,1
RC,130,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,130,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,130,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,130,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,130,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,130,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,130,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,130,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,130,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,130,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,130,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,130,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,130,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,130,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,130,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,130,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,130,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,130,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,130,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,130,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,130,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,130,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,130,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,130,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,130,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,130,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,130,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,130,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,130,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,130,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,130,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131, Room & Board - Three and Four Beds Medical/Surgical/GYN  ,,,6650.0,21045.0,4
RC,131,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,131,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,131,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,131,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,131,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,131,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,131,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,131,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,131,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,131,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,131,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,131,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,131,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,131,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,131,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,131,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,131,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,131,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,131,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,131,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,131,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,131,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,131,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,131,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,131,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,131,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,131,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,131,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,131,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,131,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,131,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,131,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,131,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,131,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,131,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,131,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,131,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,131,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,131,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,131,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,131,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,131,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,131,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,131,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,131,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,131,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,131,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,131,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,131,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,131,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,131,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,131,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,131,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,131,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,131,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,131,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,131,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,131,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,131,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,131,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,131,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,131,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,131,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,131,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,131,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,131,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,131,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,131,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,131,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,131,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,131,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,131,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,131,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,131,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,131,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,131,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,131,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,131,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,131,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,131,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,131,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,131,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,131,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,131,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,131,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,131,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,131,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,131,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,131,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,131,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,131,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,131,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,131,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,131,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,131,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,131,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,131,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,131,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,131,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,131,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,131,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,131,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,131,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,131,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,131,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,131,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,131,CHEST PAIN ,,,7000.0,11662.96,2
RC,131,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,131,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,131,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,131,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,131,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,131,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,131,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,131,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,131,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,131,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,131,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,131,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,131,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,131,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,131,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,131,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,131,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,131,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,131,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,131,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,131,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,131,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,131,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,131,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,131,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,131,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,131,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,131,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,131,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,131,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,131,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,131,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,131,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,131,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,131,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,131,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,131,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,131,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,131,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,131,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,131,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,131,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,131,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,131,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,131,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,131,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,131,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,131,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,131,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,131,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,131,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,131,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,131,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,131,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,131,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,131,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,131,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,131,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,131,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,131,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,131,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,131,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,131,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,131,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,131,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,131,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,131,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,131,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,131,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,131,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,131,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,131,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,131,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,131,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,131,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,131,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,131,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,131,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,131,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,131,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,131,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,131,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,131,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,131,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,131,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,131,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,131,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,131,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,131,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,131,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,131,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,131,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,131,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,131,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,131,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,131,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,131,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,131,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,131,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,131,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,131,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,131,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,131,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,131,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,131,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,131,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,131,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,131,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,131,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,131,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,131,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,131,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,131,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,131,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,131,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,131,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,131,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,131,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,131,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,131,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,131,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,131,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,131,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,131,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,131,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,131,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,131,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,131,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,131,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,131,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,131,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,131,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,131,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,131,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,131,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,131,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,131,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,131,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,131,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,131,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,131,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,131,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,131,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,131,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,131,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,131,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,131,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,131,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,131,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,131,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,131,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,131,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,131,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,131,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,131,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,131,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,131,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,131,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,131,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,131,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,131,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,131,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,131,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,131,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,131,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,131,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,131,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,131,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,131,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,131,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,131,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,131,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,131,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,131,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,131,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,131,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,131,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,131,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,131,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,131,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,131,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,131,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,131,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,131,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,131,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,131,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,131,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,131,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,131,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,131,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,131,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,131,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,131,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,131,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,131,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,131,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,131,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,131,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,131,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,131,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,131,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,131,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,131,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,131,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,131,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,131,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,131,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,131,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,131,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,131,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,131,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,131,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,131,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,131,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,131,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,131,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,131,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,131,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,131,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,131,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,131,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,131,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,131,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,131,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,131,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,131,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,131,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,131,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,131,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,131,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,131,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,131,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,131,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,131,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,131,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,131,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,131,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,131,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,131,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,131,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,131,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,131,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,131,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,131,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,131,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,131,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,131,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,131,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,131,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,131,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,131,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,131,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,131,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,131,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,131,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,131,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,131,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,131,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,131,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,131,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,131,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,131,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,131,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,131,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,131,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,131,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,131,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,131,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,131,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,131,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,131,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,131,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,131,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,131,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,131,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,131,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,131,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,131,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,131,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,131,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,131,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,131,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,131,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,131,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,131,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,131,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,131,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,131,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,131,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,131,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,131,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,131,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,131,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,131,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,131,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,131,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,131,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,131,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,131,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,131,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,131,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,131,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,131,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,131,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,131,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,131,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,131,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,131,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,131,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,131,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,131,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,131,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,131,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,131,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,131,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,131,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,131,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,131,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,131,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,131,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,131,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,131,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,131,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,131,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,131,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,131,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,131,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,131,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,131,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,131,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,131,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,131,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,131,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,131,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,131,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,131,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,131,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,131,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,131,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,131,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,131,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,131,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,131,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,131,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,131,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,131,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,131,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,131,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,131,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,131,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,131,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,131,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,131,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,131,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,131,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,131,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,131,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,131,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,131,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,131,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,131,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,131,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,131,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,131,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,131,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,131,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,131,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,131,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,131,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,131,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,131,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,131,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,131,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,PSYCHOSES ,,,18854.11,18854.11,1
RC,131,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,131,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,131,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,131,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,131,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,131,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,131,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,131,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,131,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,131,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,131,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,131,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,131,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,131,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,131,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,131,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,131,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,131,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,131,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,131,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,131,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,131,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,131,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,131,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,131,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,131,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,131,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,131,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,131,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,131,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,131,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,131,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,131,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,131,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,131,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,131,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,131,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,131,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,131,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,131,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,131,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,131,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,131,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,131,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,131,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,131,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,131,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,131,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,131,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,131,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,131,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,131,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,131,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,131,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,131,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,131,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,131,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,131,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,131,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,131,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,131,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,131,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,131,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,131,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,131,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,131,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,131,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,131,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,131,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,131,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,131,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,131,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,131,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,131,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,131,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,131,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,131,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,131,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,131,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,131,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,131,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,131,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,131,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,131,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,131,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,131,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,131,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,131,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,131,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,131,UNGROUPABLE ,,,4012.81,4012.81,1
RC,131,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,131,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,131,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,131,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,131,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,131,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,131,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,131,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,131,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,131,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,131,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,131,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,131,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,131,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,131,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,131,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,131,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,131,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,131,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,131,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,131,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,131,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,131,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,131,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,131,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,131,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,131,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,131,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,131,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,131,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,131,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132, Room & Board - Three and Four Beds Obstetrics (OB)  ,,,6650.0,21045.0,4
RC,132,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,132,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,132,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,132,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,132,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,132,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,132,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,132,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,132,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,132,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,132,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,132,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,132,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,132,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,132,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,132,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,132,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,132,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,132,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,132,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,132,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,132,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,132,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,132,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,132,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,132,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,132,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,132,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,132,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,132,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,132,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,132,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,132,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,132,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,132,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,132,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,132,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,132,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,132,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,132,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,132,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,132,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,132,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,132,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,132,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,132,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,132,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,132,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,132,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,132,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,132,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,132,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,132,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,132,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,132,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,132,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,132,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,132,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,132,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,132,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,132,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,132,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,132,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,132,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,132,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,132,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,132,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,132,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,132,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,132,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,132,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,132,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,132,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,132,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,132,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,132,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,132,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,132,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,132,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,132,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,132,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,132,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,132,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,132,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,132,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,132,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,132,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,132,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,132,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,132,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,132,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,132,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,132,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,132,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,132,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,132,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,132,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,132,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,132,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,132,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,132,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,132,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,132,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,132,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,132,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,132,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,132,CHEST PAIN ,,,7000.0,11662.96,2
RC,132,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,132,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,132,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,132,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,132,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,132,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,132,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,132,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,132,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,132,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,132,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,132,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,132,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,132,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,132,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,132,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,132,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,132,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,132,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,132,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,132,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,132,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,132,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,132,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,132,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,132,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,132,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,132,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,132,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,132,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,132,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,132,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,132,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,132,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,132,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,132,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,132,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,132,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,132,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,132,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,132,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,132,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,132,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,132,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,132,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,132,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,132,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,132,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,132,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,132,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,132,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,132,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,132,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,132,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,132,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,132,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,132,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,132,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,132,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,132,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,132,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,132,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,132,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,132,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,132,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,132,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,132,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,132,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,132,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,132,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,132,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,132,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,132,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,132,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,132,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,132,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,132,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,132,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,132,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,132,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,132,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,132,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,132,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,132,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,132,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,132,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,132,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,132,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,132,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,132,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,132,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,132,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,132,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,132,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,132,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,132,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,132,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,132,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,132,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,132,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,132,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,132,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,132,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,132,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,132,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,132,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,132,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,132,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,132,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,132,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,132,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,132,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,132,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,132,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,132,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,132,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,132,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,132,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,132,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,132,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,132,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,132,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,132,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,132,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,132,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,132,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,132,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,132,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,132,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,132,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,132,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,132,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,132,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,132,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,132,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,132,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,132,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,132,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,132,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,132,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,132,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,132,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,132,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,132,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,132,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,132,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,132,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,132,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,132,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,132,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,132,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,132,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,132,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,132,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,132,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,132,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,132,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,132,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,132,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,132,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,132,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,132,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,132,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,132,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,132,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,132,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,132,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,132,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,132,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,132,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,132,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,132,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,132,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,132,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,132,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,132,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,132,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,132,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,132,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,132,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,132,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,132,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,132,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,132,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,132,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,132,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,132,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,132,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,132,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,132,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,132,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,132,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,132,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,132,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,132,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,132,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,132,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,132,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,132,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,132,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,132,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,132,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,132,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,132,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,132,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,132,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,132,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,132,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,132,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,132,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,132,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,132,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,132,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,132,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,132,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,132,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,132,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,132,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,132,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,132,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,132,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,132,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,132,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,132,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,132,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,132,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,132,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,132,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,132,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,132,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,132,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,132,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,132,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,132,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,132,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,132,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,132,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,132,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,132,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,132,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,132,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,132,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,132,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,132,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,132,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,132,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,132,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,132,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,132,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,132,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,132,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,132,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,132,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,132,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,132,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,132,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,132,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,132,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,132,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,132,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,132,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,132,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,132,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,132,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,132,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,132,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,132,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,132,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,132,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,132,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,132,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,132,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,132,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,132,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,132,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,132,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,132,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,132,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,132,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,132,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,132,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,132,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,132,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,132,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,132,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,132,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,132,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,132,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,132,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,132,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,132,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,132,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,132,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,132,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,132,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,132,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,132,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,132,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,132,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,132,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,132,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,132,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,132,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,132,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,132,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,132,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,132,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,132,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,132,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,132,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,132,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,132,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,132,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,132,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,132,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,132,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,132,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,132,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,132,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,132,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,132,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,132,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,132,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,132,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,132,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,132,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,132,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,132,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,132,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,132,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,132,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,132,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,132,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,132,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,132,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,132,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,132,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,132,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,132,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,132,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,132,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,132,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,132,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,132,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,132,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,132,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,132,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,132,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,132,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,132,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,132,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,132,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,132,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,132,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,132,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,132,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,132,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,132,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,132,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,132,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,132,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,132,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,132,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,132,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,132,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,132,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,132,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,132,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,132,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,132,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,132,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,132,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,132,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,PSYCHOSES ,,,18854.11,18854.11,1
RC,132,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,132,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,132,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,132,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,132,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,132,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,132,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,132,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,132,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,132,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,132,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,132,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,132,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,132,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,132,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,132,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,132,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,132,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,132,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,132,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,132,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,132,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,132,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,132,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,132,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,132,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,132,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,132,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,132,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,132,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,132,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,132,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,132,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,132,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,132,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,132,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,132,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,132,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,132,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,132,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,132,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,132,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,132,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,132,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,132,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,132,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,132,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,132,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,132,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,132,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,132,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,132,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,132,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,132,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,132,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,132,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,132,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,132,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,132,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,132,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,132,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,132,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,132,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,132,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,132,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,132,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,132,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,132,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,132,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,132,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,132,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,132,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,132,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,132,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,132,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,132,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,132,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,132,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,132,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,132,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,132,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,132,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,132,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,132,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,132,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,132,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,132,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,132,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,132,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,132,UNGROUPABLE ,,,4012.81,4012.81,1
RC,132,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,132,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,132,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,132,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,132,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,132,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,132,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,132,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,132,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,132,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,132,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,132,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,132,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,132,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,132,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,132,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,132,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,132,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,132,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,132,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,132,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,132,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,132,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,132,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,132,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,132,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,132,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,132,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,132,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,132,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,132,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133, Room & Board - Three and Four Beds Pediatric  ,,,6650.0,21045.0,4
RC,133,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,133,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,133,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,133,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,133,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,133,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,133,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,133,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,133,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,133,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,133,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,133,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,133,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,133,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,133,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,133,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,133,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,133,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,133,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,133,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,133,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,133,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,133,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,133,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,133,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,133,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,133,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,133,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,133,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,133,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,133,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,133,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,133,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,133,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,133,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,133,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,133,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,133,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,133,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,133,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,133,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,133,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,133,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,133,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,133,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,133,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,133,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,133,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,133,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,133,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,133,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,133,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,133,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,133,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,133,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,133,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,133,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,133,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,133,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,133,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,133,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,133,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,133,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,133,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,133,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,133,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,133,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,133,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,133,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,133,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,133,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,133,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,133,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,133,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,133,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,133,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,133,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,133,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,133,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,133,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,133,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,133,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,133,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,133,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,133,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,133,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,133,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,133,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,133,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,133,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,133,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,133,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,133,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,133,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,133,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,133,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,133,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,133,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,133,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,133,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,133,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,133,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,133,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,133,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,133,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,133,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,133,CHEST PAIN ,,,7000.0,11662.96,2
RC,133,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,133,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,133,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,133,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,133,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,133,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,133,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,133,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,133,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,133,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,133,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,133,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,133,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,133,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,133,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,133,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,133,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,133,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,133,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,133,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,133,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,133,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,133,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,133,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,133,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,133,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,133,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,133,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,133,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,133,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,133,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,133,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,133,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,133,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,133,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,133,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,133,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,133,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,133,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,133,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,133,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,133,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,133,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,133,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,133,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,133,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,133,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,133,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,133,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,133,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,133,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,133,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,133,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,133,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,133,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,133,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,133,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,133,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,133,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,133,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,133,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,133,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,133,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,133,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,133,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,133,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,133,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,133,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,133,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,133,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,133,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,133,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,133,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,133,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,133,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,133,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,133,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,133,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,133,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,133,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,133,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,133,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,133,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,133,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,133,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,133,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,133,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,133,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,133,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,133,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,133,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,133,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,133,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,133,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,133,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,133,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,133,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,133,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,133,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,133,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,133,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,133,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,133,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,133,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,133,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,133,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,133,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,133,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,133,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,133,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,133,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,133,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,133,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,133,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,133,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,133,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,133,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,133,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,133,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,133,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,133,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,133,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,133,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,133,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,133,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,133,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,133,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,133,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,133,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,133,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,133,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,133,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,133,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,133,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,133,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,133,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,133,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,133,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,133,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,133,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,133,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,133,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,133,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,133,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,133,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,133,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,133,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,133,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,133,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,133,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,133,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,133,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,133,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,133,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,133,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,133,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,133,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,133,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,133,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,133,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,133,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,133,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,133,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,133,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,133,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,133,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,133,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,133,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,133,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,133,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,133,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,133,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,133,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,133,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,133,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,133,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,133,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,133,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,133,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,133,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,133,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,133,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,133,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,133,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,133,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,133,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,133,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,133,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,133,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,133,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,133,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,133,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,133,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,133,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,133,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,133,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,133,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,133,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,133,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,133,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,133,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,133,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,133,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,133,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,133,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,133,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,133,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,133,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,133,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,133,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,133,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,133,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,133,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,133,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,133,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,133,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,133,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,133,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,133,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,133,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,133,MOUTH PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,4
RC,133,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,133,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,133,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,133,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,133,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,133,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,133,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,133,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,133,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,133,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,133,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,133,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,133,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,133,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,133,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,133,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,133,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,133,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,133,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,133,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,133,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,133,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,133,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,133,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,133,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,133,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,133,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,133,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,133,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,133,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,133,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,133,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,133,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,133,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,133,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,133,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,133,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,133,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,133,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,133,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,133,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,133,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,133,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,133,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,133,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,133,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,133,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,133,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,133,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,133,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,133,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,133,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,133,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,133,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,133,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,133,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,133,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,133,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,133,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,133,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,133,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,133,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,133,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,133,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,133,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,133,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,133,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,133,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,133,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,133,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,133,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,133,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,133,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,133,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,133,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,133,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,133,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,133,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,133,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,133,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,133,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,133,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,133,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,133,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,133,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,133,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,133,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,133,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,133,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,133,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,133,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,133,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,133,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,133,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,133,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,133,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,133,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,133,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,133,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,133,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,133,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,133,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,133,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,133,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,133,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,133,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,133,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,133,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,133,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,133,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,133,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,133,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,133,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,133,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,133,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,133,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,133,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,133,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,133,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,133,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,133,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,133,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,133,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,133,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,133,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,133,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,133,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,133,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,133,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,133,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,133,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,133,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,133,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,133,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,133,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,133,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,133,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,133,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,133,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,133,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,PSYCHOSES ,,,18854.11,18854.11,1
RC,133,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,133,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,133,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,133,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,133,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,133,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,133,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,133,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,133,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,133,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,133,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,133,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,133,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,133,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,133,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,133,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,133,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,133,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,133,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,133,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,133,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,133,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,133,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,133,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,133,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,133,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,133,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,133,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,133,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,133,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,133,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,133,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,133,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,133,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,133,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,133,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,133,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,133,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,133,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,133,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,133,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,133,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,133,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,133,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,133,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,133,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,133,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,133,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,13046.0,27069.52,4
RC,133,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,133,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,133,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,133,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,133,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,133,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,133,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,133,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,133,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,133,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,133,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,133,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,133,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,133,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,133,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,133,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,133,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,133,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,133,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,133,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,133,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,133,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,133,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,133,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,133,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,133,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,133,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,133,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,133,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,133,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,133,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,133,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,133,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,133,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,133,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,133,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,133,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,133,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,133,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,133,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,133,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,133,UNGROUPABLE ,,,4012.81,4012.81,1
RC,133,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,133,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,133,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,133,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,133,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,133,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,133,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,133,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,133,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,133,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,133,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,133,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,133,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,133,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,133,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,133,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,133,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,133,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,133,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,133,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,133,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,133,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,133,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,133,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,133,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,133,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,133,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,134, Room & Board - Three and Four Beds Psychiatriac  ,,,768.0,7700.0,18
RC,134, Room & Board - Three and Four Beds Psychiatriac  Adolescent,,,1103.0,2002.0,2
RC,134, Room & Board - Three and Four Beds Psychiatriac  Adult,,,2002.0,2002.0,1
RC,134, Room & Board - Three and Four Beds Psychiatriac  Adult/Geriatric,,,1103.0,1103.0,1
RC,134, Room & Board - Three and Four Beds Psychiatriac  Children,,,110.0,110.0,1
RC,134, Room & Board - Three and Four Beds Psychiatriac  Dual Diagnosis,,,1095.0,1095.0,1
RC,134, Room & Board - Three and Four Beds Psychiatriac  Dual Diagnosis Adult,,,1542.0,1542.0,1
RC,134, Room & Board - Three and Four Beds Psychiatriac  Dual Diagnosis Geriatric,,,1542.0,1542.0,1
RC,134, Room & Board - Three and Four Beds Psychiatriac  Mental Health Adult,,,1542.0,1542.0,1
RC,134, Room & Board - Three and Four Beds Psychiatriac  Mental Health Geriatric,,,1095.0,1542.0,2
RC,134,ABDOMINAL PAIN Mental Health Geriatric,,,2635.66,7047.61,4
RC,134,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,134,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,3702.72,28784.47,4
RC,134,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,134,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,2242.46,17090.96,4
RC,134,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,134,ACUTE AND SUBACUTE ENDOCARDITIS Mental Health Geriatric,,,4893.54,10995.89,4
RC,134,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,2
RC,134,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,2
RC,134,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,13891.07,2
RC,134,ACUTE ANXIETY AND STRESS SYNDROMES Mental Health Geriatric,,,2084.42,8187.18,4
RC,134,ACUTE BRONCHITIS AND RELATED SYMPTOMS Mental Health Geriatric,,,2278.74,6575.59,4
RC,134,ACUTE KIDNEY INJURY Mental Health Geriatric,,,2220.78,11029.24,4
RC,134,ACUTE LEUKEMIA Mental Health Geriatric,,,5508.16,28731.24,4
RC,134,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,134,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,134,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,134,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,134,ACUTE MYOCARDIAL INFARCTION Mental Health Geriatric,,,2757.83,9679.51,4
RC,134,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,134,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,134,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,134,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,134,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,134,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,10376.25,2
RC,134,ADJUSTMENT DISORDERS Mental Health Geriatric,,,1255.91,4788.05,4
RC,134,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,134,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,134,ADRENAL PROCEDURES Mental Health Geriatric,,,5539.85,22565.1,4
RC,134,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,134,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,134,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,134,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,134,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,134,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,134,AICD LEAD PROCEDURES ,,,7000.0,42456.95,2
RC,134,ALCOHOL ABUSE AND DEPENDENCE Mental Health Geriatric,,,1816.32,11673.88,4
RC,134,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Mental Health Geriatric,,,2482.63,12366.46,4
RC,134,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,134,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,134,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,134,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,134,ALCOHOLIC LIVER DISEASE Mental Health Geriatric,,,2777.02,11993.27,4
RC,134,ALLERGIC REACTIONS Mental Health Geriatric,,,1679.96,9832.96,4
RC,134,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,134,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,134,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,134,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,134,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,134,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,134,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,2
RC,134,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,16552.69,2
RC,134,AMPUTATION OF LOWER LIMB EXCEPT TOES Mental Health Geriatric,,,5075.34,18151.91,4
RC,134,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,134,ANAL AND PERINEAL PROCEDURES Mental Health Geriatric,,,4001.23,12198.84,4
RC,134,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,134,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,134,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,134,ANGINA PECTORIS ,,,7000.0,11470.65,2
RC,134,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Mental Health Geriatric,,,2611.9,8536.61,4
RC,134,ANTEPARTUM WITH O.R. PROCEDURE Mental Health Geriatric,,,3635.87,33162.16,4
RC,134,ANTEPARTUM WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,1888.04,19048.75,4
RC,134,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,134,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,134,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4738.85,14783.63,4
RC,134,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,134,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,134,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,134,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4518.7,11733.92,4
RC,134,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,134,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,134,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,134,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,134,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,134,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,134,ASTHMA Mental Health Geriatric,,,1890.12,7638.46,4
RC,134,ATHEROSCLEROSIS WITH MCC ,,,7000.0,16726.93,2
RC,134,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,11165.7,2
RC,134,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,134,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,134,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,134,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,134,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,134,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,134,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,134,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,134,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,134,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,4
RC,134,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,2
RC,134,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,2
RC,134,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,2
RC,134,BIPOLAR DISORDERS Mental Health Geriatric,,,1954.33,9294.65,4
RC,134,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,17786.27,2
RC,134,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,12832.8,2
RC,134,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,134,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,134,BREAST PROCEDURES EXCEPT MASTECTOMY Mental Health Geriatric,,,6096.08,13840.03,4
RC,134,BRONCHIOLITIS AND RSV PNEUMONIA Mental Health Geriatric,,,1490.66,8742.59,4
RC,134,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,134,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,134,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Mental Health Geriatric,,,7711.42,54670.03,4
RC,134,CARDIAC ARREST AND SHOCK Mental Health Geriatric,,,2168.23,8679.62,4
RC,134,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,134,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,134,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,134,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Mental Health Geriatric,,,2105.69,7950.35,4
RC,134,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,11829.78,2
RC,134,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,16805.56,2
RC,134,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,10027.74,2
RC,134,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Mental Health Geriatric,,,4513.27,11613.83,4
RC,134,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Mental Health Geriatric,,,4599.17,14592.66,4
RC,134,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,2
RC,134,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,13715.75,2
RC,134,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,134,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,134,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,134,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,134,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,134,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,134,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,134,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Mental Health Geriatric,,,6071.06,16574.51,4
RC,134,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,2
RC,134,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,2
RC,134,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,2
RC,134,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,2
RC,134,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,2
RC,134,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Mental Health Geriatric,,,2933.38,11131.4,4
RC,134,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,6
RC,134,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,6
RC,134,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,18216.95,42315.24,4
RC,134,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,15944.89,37783.63,4
RC,134,CARDIOMYOPATHY Mental Health Geriatric,,,2638.16,9900.1,4
RC,134,CELLULITIS AND OTHER SKIN INFECTIONS Mental Health Geriatric,,,2129.46,8912.71,4
RC,134,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,134,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,134,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,134,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,134,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,134,CESAREAN SECTION WITH STERILIZATION Mental Health Geriatric,,,3676.69,33015.34,4
RC,134,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,134,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,134,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,134,CESAREAN SECTION WITHOUT STERILIZATION Mental Health Geriatric,,,3661.31,27084.84,4
RC,134,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,134,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,134,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,134,CHEMOTHERAPY FOR ACUTE LEUKEMIA Mental Health Geriatric,,,3722.28,25182.41,4
RC,134,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,134,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,134,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,134,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,134,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,134,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,134,CHEST PAIN ,,,7000.0,11662.96,2
RC,134,CHEST PAIN Mental Health Geriatric,,,2681.94,6640.22,4
RC,134,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,2
RC,134,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,134,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,134,CHOLECYSTECTOMY Mental Health Geriatric,,,5312.18,15261.89,4
RC,134,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,134,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,134,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,134,CHRONIC KIDNEY DISEASE Mental Health Geriatric,,,2368.8,10315.81,4
RC,134,CHRONIC OBSTRUCTIVE PULMONARY DISEASE Mental Health Geriatric,,,2320.85,7413.29,4
RC,134,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12969.86,2
RC,134,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,15782.35,15782.35,1
RC,134,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10834.2,2
RC,134,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,134,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,134,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,134,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,134,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,134,COAGULATION AND PLATELET DISORDERS Mental Health Geriatric,,,3574.67,12456.53,4
RC,134,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,134,COCAINE ABUSE AND DEPENDENCE Mental Health Geriatric,,,1670.38,9330.52,4
RC,134,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,134,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,134,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,2
RC,134,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,15525.23,2
RC,134,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,134,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,134,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,134,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,134,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,134,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,2
RC,134,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,134,CONNECTIVE TISSUE DISORDERS Mental Health Geriatric,,,3409.14,13897.99,4
RC,134,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,16267.93,2
RC,134,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,2
RC,134,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,12897.62,2
RC,134,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Mental Health Geriatric",,,3276.12,10005.59,4
RC,134,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,17145.76,32891.75,4
RC,134,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,2
RC,134,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,2
RC,134,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,2
RC,134,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,2
RC,134,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,14471.32,28532.34,4
RC,134,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,134,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,134,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,134,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,134,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,134,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,134,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,11337.8,30993.71,4
RC,134,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,134,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,134,DEFIBRILLATOR IMPLANTS Mental Health Geriatric,,,14403.35,27697.57,4
RC,134,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,13679.62,2
RC,134,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,2
RC,134,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,11540.78,2
RC,134,DEPRESSIVE DISORDERS Mental Health Geriatric,,,1652.45,9282.14,4
RC,134,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,134,DIABETES Mental Health Geriatric,,,2335.44,8629.16,4
RC,134,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,134,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,134,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,134,DIGESTIVE MALIGNANCY Mental Health Geriatric,,,3626.8,10922.08,4
RC,134,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,16865.07,2
RC,134,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,2
RC,134,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,134,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Mental Health Geriatric,,,3892.4,12235.94,4
RC,134,DISORDERS OF GALLBLADDER AND BILIARY TRACT Mental Health Geriatric,,,2699.87,10077.3,4
RC,134,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Mental Health Geriatric,,,2080.68,15327.77,4
RC,134,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,14269.32,2
RC,134,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,2
RC,134,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,11447.28,2
RC,134,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Mental Health Geriatric,,,2418.0,11676.37,4
RC,134,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12950.74,2
RC,134,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,134,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,10615.32,2
RC,134,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,134,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,134,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,134,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,134,DIVERTICULITIS AND DIVERTICULOSIS Mental Health Geriatric,,,2331.28,9403.48,4
RC,134,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Mental Health Geriatric,,,11271.5,30024.67,4
RC,134,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Mental Health Geriatric,,,17455.56,42924.85,4
RC,134,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Mental Health Geriatric",,,1200.04,8311.02,4
RC,134,DYSEQUILIBRIUM ,,,7000.0,11998.72,2
RC,134,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,17522.77,2
RC,134,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,2
RC,134,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,12482.17,2
RC,134,EATING DISORDERS Mental Health Geriatric,,,4798.48,16985.22,4
RC,134,ELECTIVE HIP JOINT REPLACEMENT Mental Health Geriatric,,,6259.54,16820.94,4
RC,134,ELECTIVE KNEE JOINT REPLACEMENT Mental Health Geriatric,,,6143.2,15420.76,4
RC,134,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,134,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,134,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,134,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,2
RC,134,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,2
RC,134,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,2
RC,134,EPISTAXIS WITH MCC ,,,7000.0,18160.28,2
RC,134,EPISTAXIS WITHOUT MCC ,,,7000.0,11811.71,2
RC,134,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,134,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,12296.22,2
RC,134,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,8813.89,31255.98,4
RC,134,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,134,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,134,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,7148.51,24255.91,4
RC,134,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,6883.74,21139.9,4
RC,134,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,134,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,134,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,134,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Mental Health Geriatric,,,23840.2,106648.52,4
RC,134,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,3618.04,12891.01,4
RC,134,EXTERNAL HEART ASSIST DEVICES Mental Health Geriatric,,,20680.4,36380.94,4
RC,134,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,134,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Mental Health Geriatric,,,2302.92,8809.72,4
RC,134,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Mental Health Geriatric,,,3110.17,10324.15,4
RC,134,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,134,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Mental Health Geriatric,,,5097.86,21578.14,4
RC,134,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,134,FEVER AND INFLAMMATORY CONDITIONS Mental Health Geriatric,,,2026.88,6681.5,4
RC,134,FOOT AND TOE PROCEDURES Mental Health Geriatric,,,4416.53,14491.75,4
RC,134,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,2
RC,134,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,2
RC,134,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,134,FRACTURE OF FEMUR Mental Health Geriatric,,,2343.78,7153.1,4
RC,134,FRACTURE OF PELVIS OR DISLOCATION OF HIP Mental Health Geriatric,,,2601.47,9079.08,4
RC,134,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,134,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Mental Health Geriatric",,,2796.61,9488.54,4
RC,134,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,2
RC,134,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,12577.79,2
RC,134,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,17634.33,2
RC,134,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,12593.73,2
RC,134,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,134,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,134,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,134,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,134,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,134,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,2
RC,134,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,134,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,134,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,134,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,134,GASTROINTESTINAL VASCULAR INSUFFICIENCY Mental Health Geriatric,,,2731.56,9029.04,4
RC,134,GENDER RELATED PROCEDURES Mental Health Geriatric,,,9202.08,50815.57,4
RC,134,GENETIC DISORDERS Mental Health Geriatric,,,3283.21,22763.58,4
RC,134,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Mental Health Geriatric,,,4464.9,16153.79,4
RC,134,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6299.57,21106.96,4
RC,134,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Mental Health Geriatric,,,4667.14,18697.72,4
RC,134,HAND AND WRIST PROCEDURES Mental Health Geriatric,,,4471.57,12957.3,4
RC,134,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,2
RC,134,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,14874.96,2
RC,134,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,134,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,134,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,134,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,134,HEART FAILURE Mental Health Geriatric,,,2395.49,10730.69,4
RC,134,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Mental Health Geriatric,,,2424.25,9936.37,4
RC,134,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Mental Health Geriatric,,,2337.53,11125.56,4
RC,134,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,134,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,134,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,134,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,2
RC,134,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,2
RC,134,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,18303.71,2
RC,134,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Mental Health Geriatric",,,5531.51,18000.54,4
RC,134,HIP AND FEMUR FRACTURE REPAIR Mental Health Geriatric,,,5960.15,14309.95,4
RC,134,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,134,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,134,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,134,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,134,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,134,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,134,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,134,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI Mental Health Geriatric,,,4029.17,9171.65,4
RC,134,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,134,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,134,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,134,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Mental Health Geriatric,,,3596.35,15694.7,4
RC,134,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Mental Health Geriatric,,,3618.04,8646.26,4
RC,134,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,134,HOSPICE AND PALLIATIVE CARE Mental Health Geriatric,,,858.54,1030.33,4
RC,134,HYPERTENSION Mental Health Geriatric,,,2711.14,8817.23,4
RC,134,HYPERTENSION WITH MCC ,,,7000.0,16656.81,2
RC,134,HYPERTENSION WITHOUT MCC ,,,7000.0,12035.9,2
RC,134,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Mental Health Geriatric,,,1940.57,6751.56,4
RC,134,IMPLANTABLE HEART ASSIST SYSTEMS Mental Health Geriatric,,,59825.44,115367.76,4
RC,134,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,134,INBORN ERRORS OF METABOLISM Mental Health Geriatric,,,3171.05,24774.62,4
RC,134,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,134,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,134,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,134,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Mental Health Geriatric,,,6146.12,20729.6,4
RC,134,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,134,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,134,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,134,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,134,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,134,INFLAMMATORY BOWEL DISEASE Mental Health Geriatric,,,2700.71,9128.7,4
RC,134,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,134,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,134,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,134,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,134,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,134,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,134,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Mental Health Geriatric",,,4785.97,14410.86,4
RC,134,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Mental Health Geriatric",,,8040.83,21099.46,4
RC,134,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Mental Health Geriatric,,,1878.44,10436.32,4
RC,134,INTERSTITIAL AND ALVEOLAR LUNG DISEASES Mental Health Geriatric,,,3045.96,9763.32,4
RC,134,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,14097.19,2
RC,134,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,2
RC,134,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,11622.58,2
RC,134,INTESTINAL OBSTRUCTION Mental Health Geriatric,,,2154.48,8511.59,4
RC,134,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,134,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,134,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,134,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,134,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,134,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,134,KIDNEY AND URINARY TRACT INFECTIONS Mental Health Geriatric,,,2340.44,6933.36,4
RC,134,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,134,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,134,KIDNEY AND URINARY TRACT MALIGNANCY Mental Health Geriatric,,,3405.8,11039.66,4
RC,134,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,134,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,134,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,134,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6300.4,20013.67,4
RC,134,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Mental Health Geriatric,,,6031.87,17287.94,4
RC,134,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,134,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,134,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,134,KIDNEY TRANSPLANT Mental Health Geriatric,,,21479.32,39941.86,4
RC,134,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,134,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,134,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Mental Health Geriatric,,,6428.82,18339.12,4
RC,134,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,2
RC,134,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,2
RC,134,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,134,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,2
RC,134,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,134,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,134,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,134,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,134,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,134,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,6
RC,134,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,2
RC,134,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,2
RC,134,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,2
RC,134,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,134,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,2
RC,134,LOWER VASCULAR PROCEDURES Mental Health Geriatric,,,7223.57,21188.69,4
RC,134,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Mental Health Geriatric,,,3049.7,10853.7,4
RC,134,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,134,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,134,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,134,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,134,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,134,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,134,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,134,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,134,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,134,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Mental Health Geriatric",,,3615.12,16950.61,4
RC,134,MAJOR ABDOMINAL VASCULAR PROCEDURES Mental Health Geriatric,,,11805.22,25457.2,4
RC,134,MAJOR BILIARY TRACT PROCEDURES Mental Health Geriatric,,,7103.89,22027.63,4
RC,134,MAJOR BLADDER PROCEDURES Mental Health Geriatric,,,9317.17,25508.48,4
RC,134,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,134,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,134,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,134,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Mental Health Geriatric,,,14909.98,67535.18,4
RC,134,MAJOR CHEST AND RESPIRATORY TRAUMA Mental Health Geriatric,,,3146.45,10866.2,4
RC,134,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,2
RC,134,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,2
RC,134,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,2
RC,134,MAJOR CHEST TRAUMA WITH CC ,,,15319.1,15319.1,1
RC,134,MAJOR CHEST TRAUMA WITH MCC ,,,20268.32,20268.32,1
RC,134,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,12369.54,1
RC,134,MAJOR ESOPHAGEAL DISORDERS Mental Health Geriatric,,,3091.4,11085.53,4
RC,134,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,134,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,134,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,11458.96,2
RC,134,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Mental Health Geriatric,,,2515.57,9344.27,4
RC,134,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,134,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,2
RC,134,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,134,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,27187.46,27187.46,1
RC,134,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,49332.52,49332.52,1
RC,134,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,20974.89,20974.89,1
RC,134,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Mental Health Geriatric,,,2559.36,12508.64,4
RC,134,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,134,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,134,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,134,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,134,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,2
RC,134,MAJOR LARGE BOWEL PROCEDURES Mental Health Geriatric,,,6569.76,18460.46,4
RC,134,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,134,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,134,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,7350.32,31025.82,4
RC,134,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Mental Health Geriatric",,,8471.98,25798.27,4
RC,134,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS Mental Health Geriatric,,,2564.77,8897.7,4
RC,134,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,2
RC,134,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,134,MAJOR SKIN DISORDERS Mental Health Geriatric,,,2103.19,14003.48,4
RC,134,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,134,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,134,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,134,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,134,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,134,MAJOR SMALL BOWEL PROCEDURES Mental Health Geriatric,,,5318.44,20640.79,4
RC,134,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,6927.11,24108.3,4
RC,134,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,18348.35,2
RC,134,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Mental Health Geriatric,,,2300.0,9983.06,4
RC,134,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Mental Health Geriatric",,,2659.01,10825.34,4
RC,134,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Mental Health Geriatric",,,2839.98,10809.5,4
RC,134,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Mental Health Geriatric",,,2551.85,9096.59,4
RC,134,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Mental Health Geriatric",,,2973.82,10011.0,4
RC,134,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Mental Health Geriatric,,,3295.72,9999.32,4
RC,134,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,134,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,134,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,134,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,134,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,134,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,134,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Mental Health Geriatric",,,3113.93,9292.57,4
RC,134,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,134,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,134,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,134,MALIGNANT BREAST DISORDERS Mental Health Geriatric,,,3655.56,10300.8,4
RC,134,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,134,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,134,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,134,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Mental Health Geriatric",,,2273.74,9630.73,4
RC,134,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,134,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,134,MASTECTOMY PROCEDURES Mental Health Geriatric,,,7114.32,12817.62,4
RC,134,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,2
RC,134,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,14226.82,2
RC,134,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Mental Health Geriatric,,,2426.76,8609.99,4
RC,134,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,134,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,134,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,4096.3,25977.16,4
RC,134,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,134,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,134,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,134,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,134,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,134,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,2
RC,134,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,2
RC,134,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,134,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,134,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,134,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,5179.16,19144.28,4
RC,134,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,5159.57,17171.6,4
RC,134,MOUTH PROCEDURES WITH CC/MCC ,,,19878.37,19878.37,1
RC,134,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13428.87,13428.87,1
RC,134,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,16800.08,36867.55,4
RC,134,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,134,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,134,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,134,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,4092.96,14277.84,4
RC,134,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,9194.16,28054.08,4
RC,134,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Mental Health Geriatric,,,4066.28,11988.68,4
RC,134,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,134,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,134,NEONATAL AFTERCARE Mental Health Geriatric,,,5633.24,44950.49,4
RC,134,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,7726.02,50058.36,4
RC,134,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,27073.79,67834.15,4
RC,134,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,10356.25,29543.5,4
RC,134,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,17573.15,47769.19,4
RC,134,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,8072.1,44339.21,4
RC,134,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,7171.45,44786.2,4
RC,134,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5584.04,27744.68,4
RC,134,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,11563.38,39863.88,4
RC,134,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,19181.82,112697.08,4
RC,134,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,5242.97,23530.38,4
RC,134,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,2731.14,33224.9,4
RC,134,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5353.46,29141.95,4
RC,134,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,6839.95,21704.47,4
RC,134,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Mental Health Geriatric",,,982.19,18303.86,4
RC,134,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,5460.2,99215.64,4
RC,134,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,32629.9,92243.09,4
RC,134,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,74907.61,153134.29,4
RC,134,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Mental Health Geriatric",,,1737.5,70556.12,4
RC,134,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,3378.28,20747.11,4
RC,134,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,1000.73,36671.99,4
RC,134,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Mental Health Geriatric,,,12543.67,94599.38,4
RC,134,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Mental Health Geriatric,,,4650.04,105280.87,4
RC,134,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,1467.73,11772.28,4
RC,134,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Mental Health Geriatric,,,2622.31,22253.63,4
RC,134,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Mental Health Geriatric",,,721.26,9426.34,4
RC,134,NEONATE WITH ECMO Mental Health Geriatric,,,90705.72,229024.7,4
RC,134,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,134,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Mental Health Geriatric",,,450.32,3814.01,4
RC,134,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Mental Health Geriatric",,,1363.91,7107.65,4
RC,134,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,134,NEPHRITIS AND NEPHROSIS Mental Health Geriatric,,,2592.71,13427.23,4
RC,134,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,134,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Mental Health Geriatric,,,7064.28,16337.26,4
RC,134,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Mental Health Geriatric,,,9228.77,17424.29,4
RC,134,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,134,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4617.52,16856.38,4
RC,134,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,4145.51,15976.57,4
RC,134,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,134,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,134,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,134,NON-HYPOVOLEMIC SODIUM DISORDERS Mental Health Geriatric,,,2255.8,8345.21,4
RC,134,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,134,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,134,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,134,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,134,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,134,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,134,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,134,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,134,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,134,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,134,OBSESSIVE COMPULSIVE DISORDERS Mental Health Geriatric,,,2730.73,6283.31,4
RC,134,OPIOID ABUSE AND DEPENDENCE Mental Health Geriatric,,,1426.03,8843.9,4
RC,134,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,134,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Mental Health Geriatric,,,2652.34,13346.76,4
RC,134,OSTEOMYELITIS WITH CC ,,,7000.0,17786.27,2
RC,134,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,2
RC,134,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,12379.1,2
RC,134,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Mental Health Geriatric",,,3255.7,10627.28,4
RC,134,OTHER AFTERCARE AND CONVALESCENCE Mental Health Geriatric,,,3557.58,7655.96,4
RC,134,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Mental Health Geriatric,,,2743.24,9428.92,4
RC,134,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,2484.3,9045.3,4
RC,134,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,134,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,134,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,134,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,134,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,134,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,134,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Mental Health Geriatric",,,3280.72,10182.79,4
RC,134,OTHER BLADDER PROCEDURES Mental Health Geriatric,,,4784.3,13658.65,4
RC,134,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Mental Health Geriatric,,,11152.67,33576.41,4
RC,134,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,134,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,2
RC,134,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,2
RC,134,OTHER CHEMOTHERAPY Mental Health Geriatric,,,3204.83,12944.8,4
RC,134,OTHER CIRCULATORY SYSTEM DIAGNOSES Mental Health Geriatric,,,2562.28,9553.18,4
RC,134,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,14248.07,2
RC,134,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,2
RC,134,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,134,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,2
RC,134,OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,2749.08,9455.18,4
RC,134,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Mental Health Geriatric,,,5387.23,18505.08,4
RC,134,OTHER DIGESTIVE SYSTEM DIAGNOSES Mental Health Geriatric,,,2691.12,9194.58,4
RC,134,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,13954.82,2
RC,134,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,2
RC,134,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,134,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,2
RC,134,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,2
RC,134,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18865.79,2
RC,134,OTHER DISORDERS OF THE LIVER Mental Health Geriatric,,,2763.67,10730.69,4
RC,134,OTHER DRUG ABUSE AND DEPENDENCE Mental Health Geriatric,,,1639.52,8949.4,4
RC,134,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,13750.82,2
RC,134,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,2
RC,134,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,11355.89,2
RC,134,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,22425.24,22425.24,1
RC,134,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,43821.22,43821.22,1
RC,134,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,16787.5,16787.5,1
RC,134,OTHER ENDOCRINE DISORDERS Mental Health Geriatric,,,2704.04,9937.62,4
RC,134,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,134,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,134,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,134,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,134,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,134,OTHER ESOPHAGEAL DISORDERS Mental Health Geriatric,,,2849.15,9704.11,4
RC,134,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,134,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,4104.64,16897.25,4
RC,134,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,134,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,134,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Mental Health Geriatric",,,2300.83,7803.98,4
RC,134,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,2
RC,134,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,2
RC,134,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,134,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,134,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Mental Health Geriatric",,,5974.74,20509.86,4
RC,134,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,134,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,134,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,134,OTHER INFECTIOUS AND PARASITIC DISEASES Mental Health Geriatric,,,2385.48,11118.47,4
RC,134,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Mental Health Geriatric",,,2090.27,11114.3,4
RC,134,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,134,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,134,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,134,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,134,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,134,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Mental Health Geriatric",,,2438.86,9560.68,4
RC,134,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,134,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,134,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,134,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6418.4,19647.98,4
RC,134,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6941.7,20009.92,4
RC,134,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,134,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,134,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,134,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,5554.44,21288.76,4
RC,134,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,134,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,134,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,134,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,134,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,134,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,134,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,134,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Mental Health Geriatric,,,2109.02,10332.49,4
RC,134,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,134,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,134,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,2625.65,9000.28,4
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,2
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,2
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,2
RC,134,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Mental Health Geriatric,,,5559.44,16956.46,4
RC,134,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,134,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Mental Health Geriatric,,,2177.83,8479.9,4
RC,134,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,134,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,134,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,134,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,5883.01,26789.41,4
RC,134,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,134,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,134,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,134,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,134,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,134,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,134,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Mental Health Geriatric,,,6209.09,18271.15,4
RC,134,OTHER PNEUMONIA Mental Health Geriatric,,,2071.5,7610.1,4
RC,134,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Mental Health Geriatric",,,5840.9,19514.14,4
RC,134,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,5686.2,26151.44,4
RC,134,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,2535.59,9889.67,4
RC,134,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,134,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,134,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,2
RC,134,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,2
RC,134,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18531.1,2
RC,134,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Mental Health Geriatric,,,6813.68,18268.66,4
RC,134,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Mental Health Geriatric",,,2314.6,10255.34,4
RC,134,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,134,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,2
RC,134,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,134,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Mental Health Geriatric",,,3804.01,14920.39,4
RC,134,OTHER SMALL AND LARGE BOWEL PROCEDURES Mental Health Geriatric,,,5328.02,16891.4,4
RC,134,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,3964.96,18121.88,4
RC,134,OTHER UPPER VASCULAR PROCEDURES Mental Health Geriatric,,,7956.6,18872.84,4
RC,134,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,134,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,134,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,134,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,16573.94,2
RC,134,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,11856.34,2
RC,134,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,2
RC,134,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,134,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,2
RC,134,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,2320.43,13546.49,4
RC,134,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,6
RC,134,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,134,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,134,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,134,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,134,"PENIS, TESTES AND SCROTAL PROCEDURES Mental Health Geriatric",,,4627.52,17795.4,4
RC,134,PEPTIC ULCER AND GASTRITIS Mental Health Geriatric,,,3183.55,11294.86,4
RC,134,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,134,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,134,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Mental Health Geriatric,,,8073.35,17504.35,4
RC,134,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Mental Health Geriatric,,,8745.08,19770.16,4
RC,134,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,134,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,134,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,134,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,134,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,2
RC,134,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,2
RC,134,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,134,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Mental Health Geriatric,,,15987.0,31019.15,4
RC,134,PERIPHERAL AND OTHER VASCULAR DISORDERS Mental Health Geriatric,,,2715.3,10134.01,4
RC,134,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,134,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,134,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,134,PERITONEAL ADHESIOLYSIS Mental Health Geriatric,,,5846.74,17678.23,4
RC,134,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,2
RC,134,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,2
RC,134,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,2
RC,134,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,9196.67,25239.96,4
RC,134,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,134,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,134,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,6516.38,17521.86,4
RC,134,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,134,PERSONALITY DISORDERS Mental Health Geriatric,,,1858.01,12289.32,4
RC,134,PLEURAL EFFUSION WITH CC ,,,14522.21,14522.21,1
RC,134,PLEURAL EFFUSION WITH MCC ,,,20572.2,20572.2,1
RC,134,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,11633.21,1
RC,134,PNEUMOTHORAX WITH CC ,,,7000.0,15693.1,2
RC,134,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,2
RC,134,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,11610.9,2
RC,134,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,134,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,134,POISONING OF MEDICINAL AGENTS Mental Health Geriatric,,,1818.4,8746.75,4
RC,134,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Mental Health Geriatric",,,5171.66,20634.95,4
RC,134,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Mental Health Geriatric",,,2777.84,11662.2,4
RC,134,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,134,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,134,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,134,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,134,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,134,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,134,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,134,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Mental Health Geriatric,,,1691.02,18371.86,4
RC,134,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,2890.94,35669.74,4
RC,134,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,134,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,134,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,134,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Mental Health Geriatric",,,6735.3,34803.13,4
RC,134,PROCEDURES FOR OBESITY Mental Health Geriatric,,,4893.96,19469.52,4
RC,134,PROSTATECTOMY PROCEDURES Mental Health Geriatric,,,6523.06,17066.53,4
RC,134,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,134,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,134,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,134,PSYCHOSES ,,,18854.11,18854.11,1
RC,134,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,17139.19,17139.19,1
RC,134,PULMONARY EMBOLISM Mental Health Geriatric,,,2487.64,9381.38,4
RC,134,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,18607.6,18607.6,1
RC,134,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,12566.11,1
RC,134,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,134,RADIOTHERAPY Mental Health Geriatric,,,4977.77,16606.2,4
RC,134,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,134,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,134,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,2
RC,134,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,134,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,134,REHABILITATION Mental Health Geriatric,,,5069.51,10543.48,4
RC,134,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,134,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,134,RENAL DIALYSIS ACCESS PROCEDURES Mental Health Geriatric,,,5507.33,17744.11,4
RC,134,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,134,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,134,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,134,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,14383.02,14383.02,1
RC,134,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,20616.83,20616.83,1
RC,134,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,12034.84,1
RC,134,RESPIRATORY MALIGNANCY Mental Health Geriatric,,,3833.2,9562.34,4
RC,134,RESPIRATORY NEOPLASMS WITH CC ,,,15392.42,15392.42,1
RC,134,RESPIRATORY NEOPLASMS WITH MCC ,,,22776.94,22776.94,1
RC,134,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,12022.1,1
RC,134,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,134,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,2443.44,9335.93,4
RC,134,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,134,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,134,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,134,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,134,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,134,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,134,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,134,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,134,SALIVARY GLAND PROCEDURES ,,,17142.39,17142.39,1
RC,134,SCHIZOAFFECTIVE DISORDERS Mental Health Geriatric,,,3416.64,11589.23,4
RC,134,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Mental Health Geriatric,,,2710.72,11570.47,4
RC,134,SEPTIC ARTHRITIS WITH CC ,,,7000.0,16839.57,2
RC,134,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,2
RC,134,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,13300.31,2
RC,134,SEPTICEMIA AND DISSEMINATED INFECTIONS Mental Health Geriatric,,,2882.09,12019.13,4
RC,134,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,134,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,134,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,134,SHOULDER AND ELBOW JOINT REPLACEMENT Mental Health Geriatric,,,7387.85,17263.76,4
RC,134,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,134,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,134,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,2
RC,134,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Mental Health Geriatric",,,5687.87,17656.55,4
RC,134,SICKLE CELL ANEMIA CRISIS Mental Health Geriatric,,,2684.03,11244.82,4
RC,134,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,18057.21,2
RC,134,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,12838.11,2
RC,134,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,134,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,134,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Mental Health Geriatric",,,2438.86,7633.45,4
RC,134,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,12575.67,2
RC,134,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,17978.59,2
RC,134,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,10690.76,2
RC,134,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,134,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,12561.18,24951.83,4
RC,134,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,134,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,134,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,27069.52,27069.52,1
RC,134,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,14800.59,14800.59,1
RC,134,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,134,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,2
RC,134,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,134,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,2
RC,134,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,134,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,2
RC,134,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,6869.15,28797.12,4
RC,134,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Mental Health Geriatric,,,7449.14,26071.39,4
RC,134,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,134,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,2
RC,134,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,134,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,134,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,134,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,134,SKIN ULCERS Mental Health Geriatric,,,2420.09,9142.87,4
RC,134,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,134,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,134,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,134,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,2
RC,134,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,2
RC,134,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,18313.28,2
RC,134,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Mental Health Geriatric,,,7699.33,22736.05,4
RC,134,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,134,SPLENIC PROCEDURES Mental Health Geriatric,,,6878.32,19399.48,4
RC,134,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,134,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,134,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,134,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,14152.45,2
RC,134,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,11666.16,2
RC,134,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,134,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,134,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,134,SYNCOPE AND COLLAPSE ,,,7000.0,13273.75,2
RC,134,SYNCOPE AND COLLAPSE Mental Health Geriatric,,,3013.02,7550.89,4
RC,134,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Mental Health Geriatric",,,5003.21,15544.6,4
RC,134,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19811.43,2
RC,134,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,13503.25,2
RC,134,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,134,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,134,THYROID DISORDERS Mental Health Geriatric,,,2426.76,9912.18,4
RC,134,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Mental Health Geriatric",,,4986.95,23891.48,4
RC,134,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,134,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,134,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,134,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Mental Health Geriatric,,,2164.91,11372.82,4
RC,134,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,134,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,134,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,134,TRANSURETHRAL PROSTATECTOMY Mental Health Geriatric,,,3827.35,12827.21,4
RC,134,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,134,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,134,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,134,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,134,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,134,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,134,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,134,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,35637.69,35637.69,1
RC,134,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,134,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,134,UNGROUPABLE ,,,4012.81,4012.81,1
RC,134,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,134,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,134,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,15617.67,2
RC,134,URETHRAL AND TRANSURETHRAL PROCEDURES Mental Health Geriatric,,,4298.53,13173.3,4
RC,134,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,134,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,134,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,134,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Mental Health Geriatric,,,2026.06,10006.0,4
RC,134,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,134,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,134,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,134,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,134,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,134,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,134,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,134,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,134,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,134,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,134,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,134,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,134,VAGINAL DELIVERY Mental Health Geriatric,,,2199.86,13169.48,4
RC,134,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Mental Health Geriatric,,,2482.09,27141.0,4
RC,134,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,134,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Mental Health Geriatric,,,3580.84,17223.0,4
RC,134,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,134,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,134,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,134,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,134,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,134,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,134,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,2
RC,134,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Mental Health Geriatric,,,5907.61,16377.29,4
RC,134,VIRAL ILLNESS Mental Health Geriatric,,,1901.8,9350.52,4
RC,134,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,134,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,134,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,134,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,134,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,134,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,135, Room & Board - Three and Four Beds Hospice  ,,,2440.0,7700.0,3
RC,135,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,135,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,135,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,135,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,135,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,135,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,135,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,135,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,135,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,135,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,135,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,135,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,135,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,135,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,135,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,135,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,135,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,135,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,135,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,135,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,135,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,135,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,135,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,135,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,135,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,135,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,135,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,135,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,135,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,135,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,135,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,135,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,135,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,135,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,135,CHEST PAIN ,,,7000.0,7000.0,1
RC,135,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,135,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,135,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,135,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,135,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,135,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,135,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,135,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,135,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,135,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,135,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,135,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,7000.0,1
RC,135,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,7000.0,1
RC,135,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,135,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,135,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,135,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,135,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,135,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,135,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,DYSEQUILIBRIUM ,,,7000.0,7000.0,1
RC,135,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,7000.0,1
RC,135,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,7000.0,1
RC,135,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,135,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,135,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,135,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,EPISTAXIS WITH MCC ,,,7000.0,7000.0,1
RC,135,EPISTAXIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,135,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,135,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,135,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,135,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,135,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,135,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,135,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,135,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,135,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,135,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,135,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,135,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,135,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,135,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,135,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,135,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,135,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,135,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,135,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,135,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,135,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,135,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,135,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,135,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,135,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,135,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,135,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,135,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,135,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,135,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,135,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,135,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,135,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,135,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,135,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,135,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,135,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,135,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,135,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,135,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,135,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,135,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,135,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,135,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,135,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,135,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,7000.0,1
RC,135,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,7000.0,1
RC,135,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,135,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,135,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,135,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,135,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,135,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,135,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,135,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,135,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,135,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,135,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,7000.0,1
RC,135,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,135,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,135,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,135,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,135,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,135,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,135,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,135,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,135,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,REHABILITATION WITH CC/MCC ,,,1793.0,4112.0,3
RC,135,REHABILITATION WITHOUT CC/MCC ,,,1793.0,4112.0,3
RC,135,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,135,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,135,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,135,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,135,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,135,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,135,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,135,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,135,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,135,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,135,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,135,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,135,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,135,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,135,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,135,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,135,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,135,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,135,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,135,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,136, Room & Board - Three and Four Beds Detoxification  ,,,1103.0,7700.0,7
RC,136, Room & Board - Three and Four Beds Detoxification  Adult/Geriatric,,,1103.0,1136.0,2
RC,136,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,136,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,136,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,136,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,2
RC,136,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,2
RC,136,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,13891.07,2
RC,136,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,136,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,136,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,136,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,136,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,136,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,136,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,136,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,136,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,136,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,10376.25,2
RC,136,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,136,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,136,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,136,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,136,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,136,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,136,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,136,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,136,AICD LEAD PROCEDURES ,,,7000.0,42456.95,2
RC,136,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,136,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,136,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,136,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,136,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,136,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,136,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,136,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,136,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,136,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,136,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,2
RC,136,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,16552.69,2
RC,136,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,136,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,136,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,136,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,136,ANGINA PECTORIS ,,,7000.0,11470.65,2
RC,136,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,136,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,136,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,136,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,136,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,136,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,136,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,136,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,136,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,136,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,136,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,136,ATHEROSCLEROSIS WITH MCC ,,,7000.0,16726.93,2
RC,136,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,11165.7,2
RC,136,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,136,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,136,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,136,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,136,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,136,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,136,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,136,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,136,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,136,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,136,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,136,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,136,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,136,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,4
RC,136,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,2
RC,136,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,2
RC,136,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,2
RC,136,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,17786.27,2
RC,136,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,12832.8,2
RC,136,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,136,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,136,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,136,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,136,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,136,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,136,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,136,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,11829.78,2
RC,136,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,16805.56,2
RC,136,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,10027.74,2
RC,136,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,2
RC,136,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,13715.75,2
RC,136,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,136,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,136,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,136,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,136,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,136,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,136,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,136,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,2
RC,136,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,2
RC,136,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,2
RC,136,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,2
RC,136,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,2
RC,136,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,6
RC,136,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,6
RC,136,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,136,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,136,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,136,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,136,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,136,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,136,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,136,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,136,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,136,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,136,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,136,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,136,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,136,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,136,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,136,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,136,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,136,CHEST PAIN ,,,7000.0,11662.96,2
RC,136,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,2
RC,136,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,136,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,136,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,136,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,136,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,136,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12969.86,2
RC,136,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,15782.35,15782.35,1
RC,136,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10834.2,2
RC,136,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,136,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,136,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,136,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,136,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,136,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,136,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,136,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,136,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,2
RC,136,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,15525.23,2
RC,136,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,136,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,136,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,136,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,136,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,136,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,2
RC,136,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,136,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,16267.93,2
RC,136,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,2
RC,136,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,12897.62,2
RC,136,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,2
RC,136,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,2
RC,136,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,2
RC,136,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,2
RC,136,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,136,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,136,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,136,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,136,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,136,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,136,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,136,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,136,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,13679.62,2
RC,136,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,2
RC,136,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,11540.78,2
RC,136,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,136,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,136,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,136,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,136,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,16865.07,2
RC,136,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,2
RC,136,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,136,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,14269.32,2
RC,136,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,2
RC,136,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,11447.28,2
RC,136,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12950.74,2
RC,136,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,136,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,10615.32,2
RC,136,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,136,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,136,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,136,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,136,DYSEQUILIBRIUM ,,,7000.0,11998.72,2
RC,136,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,17522.77,2
RC,136,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,2
RC,136,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,12482.17,2
RC,136,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,136,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,136,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,136,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,2
RC,136,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,2
RC,136,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,2
RC,136,EPISTAXIS WITH MCC ,,,7000.0,18160.28,2
RC,136,EPISTAXIS WITHOUT MCC ,,,7000.0,11811.71,2
RC,136,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,136,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,12296.22,2
RC,136,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,136,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,136,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,136,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,136,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,136,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,136,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,136,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,136,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,2
RC,136,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,2
RC,136,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,136,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,136,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,2
RC,136,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,12577.79,2
RC,136,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,17634.33,2
RC,136,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,12593.73,2
RC,136,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,136,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,136,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,136,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,136,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,136,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,2
RC,136,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,136,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,136,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,136,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,136,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,2
RC,136,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,14874.96,2
RC,136,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,136,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,136,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,136,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,136,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,136,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,136,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,136,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,2
RC,136,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,2
RC,136,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,18303.71,2
RC,136,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,136,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,136,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,136,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,136,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,136,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,136,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,136,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,136,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,136,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,136,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,136,HYPERTENSION WITH MCC ,,,7000.0,16656.81,2
RC,136,HYPERTENSION WITHOUT MCC ,,,7000.0,12035.9,2
RC,136,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,136,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,136,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,136,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,136,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,136,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,136,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,136,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,136,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,136,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,136,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,136,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,136,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,136,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,136,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,136,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,14097.19,2
RC,136,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,2
RC,136,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,11622.58,2
RC,136,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,136,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,136,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,136,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,136,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,136,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,136,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,136,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,136,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,136,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,136,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,136,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,136,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,136,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,136,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,136,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,136,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,2
RC,136,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,2
RC,136,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,136,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,2
RC,136,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,136,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,136,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,136,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,136,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,136,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,6
RC,136,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,2
RC,136,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,2
RC,136,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,2
RC,136,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,136,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,2
RC,136,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,136,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,136,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,136,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,136,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,136,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,136,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,136,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,136,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,136,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,136,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,136,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,136,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,2
RC,136,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,2
RC,136,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,2
RC,136,MAJOR CHEST TRAUMA WITH CC ,,,15319.1,15319.1,1
RC,136,MAJOR CHEST TRAUMA WITH MCC ,,,20268.32,20268.32,1
RC,136,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,12369.54,1
RC,136,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,136,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,136,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,11458.96,2
RC,136,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,136,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,2
RC,136,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,136,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,27187.46,27187.46,1
RC,136,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,49332.52,49332.52,1
RC,136,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,20974.89,20974.89,1
RC,136,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,136,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,136,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,136,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,136,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,2
RC,136,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,136,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,136,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,2
RC,136,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,136,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,136,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,136,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,136,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,136,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,136,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,18348.35,2
RC,136,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,136,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,136,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,136,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,136,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,136,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,136,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,136,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,136,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,136,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,136,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,136,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,136,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,136,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,136,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,2
RC,136,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,14226.82,2
RC,136,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,136,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,136,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,136,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,136,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,136,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,136,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,136,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,2
RC,136,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,2
RC,136,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,136,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,136,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,136,MOUTH PROCEDURES WITH CC/MCC ,,,19878.37,19878.37,1
RC,136,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13428.87,13428.87,1
RC,136,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,136,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,136,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,136,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,136,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,136,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,136,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,136,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,136,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,136,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,136,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,136,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,136,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,136,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,136,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,136,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,136,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,136,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,136,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,136,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,136,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,136,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,136,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,136,OSTEOMYELITIS WITH CC ,,,7000.0,17786.27,2
RC,136,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,2
RC,136,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,12379.1,2
RC,136,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,136,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,136,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,136,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,136,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,136,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,136,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,136,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,2
RC,136,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,2
RC,136,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,14248.07,2
RC,136,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,2
RC,136,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,136,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,2
RC,136,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,13954.82,2
RC,136,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,2
RC,136,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,136,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,2
RC,136,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,2
RC,136,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18865.79,2
RC,136,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,13750.82,2
RC,136,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,2
RC,136,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,11355.89,2
RC,136,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,22425.24,22425.24,1
RC,136,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,43821.22,43821.22,1
RC,136,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,16787.5,16787.5,1
RC,136,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,136,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,136,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,136,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,136,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,136,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,136,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,136,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,136,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,2
RC,136,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,2
RC,136,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,136,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,136,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,136,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,136,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,136,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,136,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,136,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,136,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,136,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,136,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,136,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,136,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,136,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,136,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,136,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,136,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,136,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,136,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,136,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,136,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,136,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,136,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,136,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,136,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,136,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,136,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,136,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,136,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,136,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,2
RC,136,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,2
RC,136,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,2
RC,136,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,136,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,136,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,136,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,136,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,136,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,136,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,136,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,136,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,136,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,136,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,136,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,136,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,2
RC,136,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,2
RC,136,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18531.1,2
RC,136,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,136,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,2
RC,136,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,136,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,136,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,136,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,136,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,16573.94,2
RC,136,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,11856.34,2
RC,136,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,2
RC,136,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,136,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,2
RC,136,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,6
RC,136,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,136,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,136,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,136,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,136,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,136,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,136,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,136,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,136,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,136,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,136,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,2
RC,136,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,2
RC,136,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,136,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,136,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,136,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,136,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,2
RC,136,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,2
RC,136,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,2
RC,136,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,136,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,136,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,136,PLEURAL EFFUSION WITH CC ,,,14522.21,14522.21,1
RC,136,PLEURAL EFFUSION WITH MCC ,,,20572.2,20572.2,1
RC,136,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,11633.21,1
RC,136,PNEUMOTHORAX WITH CC ,,,7000.0,15693.1,2
RC,136,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,2
RC,136,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,11610.9,2
RC,136,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,136,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,136,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,136,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,136,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,136,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,136,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,136,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,136,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,136,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,136,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,136,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,136,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,136,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,136,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,136,PSYCHOSES ,,,18854.11,18854.11,1
RC,136,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,17139.19,17139.19,1
RC,136,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,18607.6,18607.6,1
RC,136,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,12566.11,1
RC,136,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,136,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,136,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,136,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,2
RC,136,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,136,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,136,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,136,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,136,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,136,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,136,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,136,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,14383.02,14383.02,1
RC,136,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,20616.83,20616.83,1
RC,136,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,12034.84,1
RC,136,RESPIRATORY NEOPLASMS WITH CC ,,,15392.42,15392.42,1
RC,136,RESPIRATORY NEOPLASMS WITH MCC ,,,22776.94,22776.94,1
RC,136,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,12022.1,1
RC,136,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,136,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,136,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,136,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,136,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,136,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,136,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,136,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,136,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,136,SALIVARY GLAND PROCEDURES ,,,17142.39,17142.39,1
RC,136,SEPTIC ARTHRITIS WITH CC ,,,7000.0,16839.57,2
RC,136,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,2
RC,136,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,13300.31,2
RC,136,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,136,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,136,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,136,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,136,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,136,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,2
RC,136,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,18057.21,2
RC,136,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,12838.11,2
RC,136,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,136,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,136,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,12575.67,2
RC,136,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,17978.59,2
RC,136,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,10690.76,2
RC,136,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,136,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,136,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,136,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,136,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,2
RC,136,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,136,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,2
RC,136,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,136,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,2
RC,136,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,136,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,2
RC,136,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,136,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,136,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,136,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,136,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,136,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,136,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,136,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,2
RC,136,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,2
RC,136,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,18313.28,2
RC,136,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,136,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,136,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,136,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,136,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,14152.45,2
RC,136,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,11666.16,2
RC,136,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,136,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,136,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,136,SYNCOPE AND COLLAPSE ,,,7000.0,13273.75,2
RC,136,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19811.43,2
RC,136,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,13503.25,2
RC,136,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,136,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,136,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,136,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,136,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,136,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,136,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,136,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,136,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,136,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,136,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,136,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,136,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,136,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,136,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,136,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,35637.69,35637.69,1
RC,136,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,136,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,136,UNGROUPABLE ,,,4012.81,4012.81,1
RC,136,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,136,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,136,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,15617.67,2
RC,136,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,136,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,136,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,136,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,136,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,136,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,136,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,136,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,136,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,136,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,136,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,136,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,136,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,136,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,136,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,136,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,136,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,136,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,136,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,136,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,136,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,136,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,136,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,2
RC,136,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,136,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,136,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,136,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,136,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,136,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,137, Room & Board - Three and Four Beds Oncology  ,,,6650.0,21045.0,4
RC,137,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,137,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,137,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,137,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,137,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,137,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,137,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,137,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,137,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,137,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,137,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,137,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,137,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,137,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,137,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,137,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,137,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,137,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,137,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,137,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,137,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,137,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,137,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,137,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,137,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,137,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,137,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,137,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,137,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,137,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,137,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,137,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,137,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,137,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,137,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,137,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,137,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,137,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,137,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,137,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,137,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,137,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,137,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,137,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,137,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,137,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,137,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,137,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,137,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,137,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,137,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,137,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,137,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,137,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,137,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,137,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,137,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,137,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,137,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,137,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,137,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,137,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,137,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,137,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,137,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,137,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,137,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,137,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,137,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,137,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,137,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,137,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,137,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,137,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,137,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,137,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,137,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,137,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,137,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,137,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,137,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,137,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,137,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,137,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,137,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,137,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,137,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,137,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,137,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,137,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,137,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,137,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,137,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,137,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,137,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,137,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,137,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,137,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,137,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,137,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,137,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,137,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,137,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,137,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,137,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,137,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,137,CHEST PAIN ,,,7000.0,11662.96,2
RC,137,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,137,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,137,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,137,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,137,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,137,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,137,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,137,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,137,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,137,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,137,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,137,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,137,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,137,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,137,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,137,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,137,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,137,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,137,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,137,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,137,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,137,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,137,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,137,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,137,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,137,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,137,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,137,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,137,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,137,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,137,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,137,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,137,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,137,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,137,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,137,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,137,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,137,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,137,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,137,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,137,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,137,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,137,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,137,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,137,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,137,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,137,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,137,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,137,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,137,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,137,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,137,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,137,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,137,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,137,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,137,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,137,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,137,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,137,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,137,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,137,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,137,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,137,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,137,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,137,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,137,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,137,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,137,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,137,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,137,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,137,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,137,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,137,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,137,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,137,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,137,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,137,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,137,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,137,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,137,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,137,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,137,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,137,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,137,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,137,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,137,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,137,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,137,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,137,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,137,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,137,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,137,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,137,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,137,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,137,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,137,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,137,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,137,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,137,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,137,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,137,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,137,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,137,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,137,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,137,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,137,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,137,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,137,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,137,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,137,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,137,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,137,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,137,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,137,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,137,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,137,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,137,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,137,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,137,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,137,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,137,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,137,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,137,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,137,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,137,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,137,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,137,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,137,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,137,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,137,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,137,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,137,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,137,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,137,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,137,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,137,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,137,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,137,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,137,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,137,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,137,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,137,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,137,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,137,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,137,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,137,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,137,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,137,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,137,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,137,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,137,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,137,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,137,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,137,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,137,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,137,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,137,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,137,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,137,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,137,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,137,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,137,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,137,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,137,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,137,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,137,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,137,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,137,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,137,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,137,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,137,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,137,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,137,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,137,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,137,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,137,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,137,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,137,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,137,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,137,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,137,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,137,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,137,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,49332.52,4
RC,137,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,137,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,137,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,137,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,137,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,137,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,137,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,137,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,137,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,137,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,137,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,137,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,137,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,137,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,137,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,137,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,137,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,137,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,137,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,137,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,137,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,137,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,137,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,137,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,137,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,137,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,137,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,137,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,137,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,137,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,137,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,137,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,137,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,137,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,137,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,137,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,137,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,137,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,137,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,137,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,137,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,137,MOUTH PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,137,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,137,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,137,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,137,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,137,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,137,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,137,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,137,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,137,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,137,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,137,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,137,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,137,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,137,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,137,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,137,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,137,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,137,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,137,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,137,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,137,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,137,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,137,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,137,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,137,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,137,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,137,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,137,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,137,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,137,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,137,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,137,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,137,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,137,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,137,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,137,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,137,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,137,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,137,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,137,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,137,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,137,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,137,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,137,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,137,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,137,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,137,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,137,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,137,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,137,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,137,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,137,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,137,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,137,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,137,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,137,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,137,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,137,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,137,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,137,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,137,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,137,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,137,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,137,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,137,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,137,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,137,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,137,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,137,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,137,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,137,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,137,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,137,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,137,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,137,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,137,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,137,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,137,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,137,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,137,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,137,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,137,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,137,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,137,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,137,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,137,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,137,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,137,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,137,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,137,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,137,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,137,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,137,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,137,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,137,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,137,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,137,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,137,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,137,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,137,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,137,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,137,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,137,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,137,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,137,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,137,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,137,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,137,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,137,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,137,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,137,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,137,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,137,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,137,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,137,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,137,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,137,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,137,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,137,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,137,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,137,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,137,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,137,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,137,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,137,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,137,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,137,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,137,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,137,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,137,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,137,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,137,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,137,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,137,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,137,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,137,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,137,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,137,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,137,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,137,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,137,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,137,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,137,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,137,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,137,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,137,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,137,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,PSYCHOSES ,,,18854.11,18854.11,1
RC,137,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,137,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,137,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,137,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,137,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,137,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,137,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,137,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,137,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,137,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,137,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,137,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,137,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,137,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,137,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,137,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,137,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,137,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,137,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,137,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,137,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,137,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,137,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,137,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,137,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,137,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,137,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,137,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,137,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,137,SALIVARY GLAND PROCEDURES ,,,13046.0,19995.0,4
RC,137,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,137,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,137,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,137,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,137,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,137,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,137,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,137,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,137,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,137,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,137,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,137,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,137,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,137,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,137,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,137,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,137,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,137,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,137,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,137,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,137,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,137,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,137,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,137,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,137,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,137,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,137,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,137,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,137,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,137,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,137,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,137,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,137,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,137,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,137,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,137,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,137,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,137,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,137,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,137,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,137,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,137,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,137,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,137,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,137,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,137,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,137,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,137,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,137,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,137,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,137,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,137,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,137,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,137,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,137,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,137,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,137,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,137,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,137,UNGROUPABLE ,,,4012.81,4012.81,1
RC,137,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,137,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,137,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,137,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,137,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,137,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,137,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,137,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,137,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,137,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,137,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,137,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,137,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,137,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,137,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,137,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,137,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,137,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,137,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,137,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,137,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,137,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,137,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,137,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,137,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,137,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,137,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,137,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,137,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,137,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,137,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,138, Room & Board - Three and Four Beds Rehabilitation  ,,,1000.0,7700.0,19
RC,138,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13637.47,13637.47,1
RC,138,ABORTION WITHOUT D&C ,,,12042.9,12042.9,1
RC,138,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,13217.59,13217.59,1
RC,138,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,20594.67,2
RC,138,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,30467.34,2
RC,138,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,12916.26,2
RC,138,ACUTE LEUKEMIA WITH CC ,,,24338.05,24338.05,1
RC,138,ACUTE LEUKEMIA WITH MCC ,,,57969.13,57969.13,1
RC,138,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,89283.45,89283.45,1
RC,138,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,15779.36,15779.36,1
RC,138,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,12811.53,12811.53,1
RC,138,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,19579.05,19579.05,1
RC,138,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,10875.13,10875.13,1
RC,138,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,10569.86,10569.86,1
RC,138,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,23300.69,23300.69,1
RC,138,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,9648.09,2
RC,138,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,25385.28,25385.28,1
RC,138,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,17555.71,17555.71,1
RC,138,AFTERCARE WITH CC/MCC ,,,15484.95,15484.95,1
RC,138,AFTERCARE WITHOUT CC/MCC ,,,9932.62,9932.62,1
RC,138,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,14856.61,14856.61,1
RC,138,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,22155.64,22155.64,1
RC,138,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,11673.41,11673.41,1
RC,138,AICD GENERATOR PROCEDURES ,,,48805.81,48805.81,1
RC,138,AICD LEAD PROCEDURES ,,,7000.0,39477.52,2
RC,138,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,17716.74,17716.74,1
RC,138,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,20972.07,20972.07,1
RC,138,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,12452.9,12452.9,1
RC,138,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,9825.92,9825.92,1
RC,138,ALLERGIC REACTIONS WITH MCC ,,,20344.72,20344.72,1
RC,138,ALLERGIC REACTIONS WITHOUT MCC ,,,10313.98,10313.98,1
RC,138,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,31892.96,31892.96,1
RC,138,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,52355.55,52355.55,1
RC,138,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,17408.51,17408.51,1
RC,138,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,26214.17,26214.17,1
RC,138,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,46143.27,2
RC,138,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,15391.09,2
RC,138,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,17743.42,38185.27,3
RC,138,ANAL AND STOMAL PROCEDURES WITH CC ,,,16661.61,16661.61,1
RC,138,ANAL AND STOMAL PROCEDURES WITH MCC ,,,26410.78,26410.78,1
RC,138,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,12332.38,12332.38,1
RC,138,ANGINA PECTORIS ,,,7000.0,10665.69,2
RC,138,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,71681.99,2
RC,138,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,45454.65,2
RC,138,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,138,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,138,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,138,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,138,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,138,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,138,APPENDIX PROCEDURES WITH CC ,,,18684.95,18684.95,1
RC,138,APPENDIX PROCEDURES WITH MCC ,,,27391.82,27391.82,1
RC,138,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,15040.37,15040.37,1
RC,138,ATHEROSCLEROSIS WITH MCC ,,,7000.0,15553.12,2
RC,138,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,10382.15,2
RC,138,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,138,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,138,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,138,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,138,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,138,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,23492.36,2
RC,138,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,40654.17,2
RC,138,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,18490.32,2
RC,138,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,24234.3,24234.3,1
RC,138,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,15292.3,15292.3,1
RC,138,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,10864.27,10864.27,1
RC,138,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,58296.14,2
RC,138,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,30010.9,30010.9,1
RC,138,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,38957.85,4
RC,138,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,28027.08,2
RC,138,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,37861.21,2
RC,138,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,22096.37,2
RC,138,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,16538.11,2
RC,138,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,11932.25,2
RC,138,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,24880.44,24880.44,1
RC,138,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,22789.92,22789.92,1
RC,138,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13326.26,13326.26,1
RC,138,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,10350.53,10350.53,1
RC,138,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,9994.87,9994.87,1
RC,138,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,19162.13,19162.13,1
RC,138,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8227.41,8227.41,1
RC,138,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,10999.62,2
RC,138,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,15626.22,2
RC,138,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,9324.04,2
RC,138,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,19299.45,2
RC,138,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,12753.24,2
RC,138,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,74176.58,74176.58,1
RC,138,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,138,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,138,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,63073.91,63073.91,1
RC,138,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,138,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,138,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,49360.06,49360.06,1
RC,138,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,34773.85,2
RC,138,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,23708.71,2
RC,138,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,22408.56,2
RC,138,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,35867.52,2
RC,138,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,19833.95,2
RC,138,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,100381.18,6
RC,138,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,79589.6,6
RC,138,CELLULITIS WITH MCC ,,,17773.06,17773.06,1
RC,138,CELLULITIS WITHOUT MCC ,,,12335.34,12335.34,1
RC,138,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,32837.44,2
RC,138,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,51436.74,2
RC,138,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,27850.24,27850.24,1
RC,138,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,14204.55,14204.55,1
RC,138,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,27986.58,27986.58,1
RC,138,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,13193.87,13193.87,1
RC,138,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,14764.73,14764.73,1
RC,138,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,20027.59,20027.59,1
RC,138,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,13203.75,13203.75,1
RC,138,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,51195.69,51195.69,1
RC,138,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,24353.85,24353.85,1
RC,138,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,17996.34,17996.34,1
RC,138,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,16655.68,16655.68,1
RC,138,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,29344.02,29344.02,1
RC,138,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,12122.92,12122.92,1
RC,138,CHEST PAIN ,,,7000.0,10844.51,2
RC,138,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,24149.34,2
RC,138,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,38928.21,38928.21,1
RC,138,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,17200.05,17200.05,1
RC,138,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,24503.03,24503.03,1
RC,138,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,36366.44,36366.44,1
RC,138,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,20136.26,20136.26,1
RC,138,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12059.69,2
RC,138,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,14674.82,14674.82,1
RC,138,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10073.9,2
RC,138,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,25592.75,2
RC,138,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,14303.35,2
RC,138,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,14166.02,14166.02,1
RC,138,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,23176.2,23176.2,1
RC,138,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,10770.42,10770.42,1
RC,138,COAGULATION DISORDERS ,,,18800.54,18800.54,1
RC,138,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,92742.29,92742.29,1
RC,138,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,60707.75,60707.75,1
RC,138,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,115556.22,2
RC,138,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,14435.74,2
RC,138,COMPLICATED PEPTIC ULCER WITH MCC ,,,23116.93,23116.93,1
RC,138,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,11640.8,11640.8,1
RC,138,COMPLICATIONS OF TREATMENT WITH CC ,,,13633.52,13633.52,1
RC,138,COMPLICATIONS OF TREATMENT WITH MCC ,,,21818.75,21818.75,1
RC,138,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,10532.31,10532.31,1
RC,138,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,111162.73,2
RC,138,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,69791.04,69791.04,1
RC,138,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,15126.32,2
RC,138,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,28249.37,2
RC,138,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,11992.52,2
RC,138,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,79262.59,2
RC,138,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,57700.4,2
RC,138,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,87015.1,2
RC,138,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,63627.16,2
RC,138,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,61710.53,61710.53,1
RC,138,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,45114.81,45114.81,1
RC,138,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,46484.12,46484.12,1
RC,138,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,34861.77,34861.77,1
RC,138,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,35448.62,35448.62,1
RC,138,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,70231.67,70231.67,1
RC,138,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,23975.46,23975.46,1
RC,138,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,14969.24,14969.24,1
RC,138,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,12719.65,2
RC,138,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,20692.48,2
RC,138,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,10730.9,2
RC,138,DEPRESSIVE NEUROSES ,,,13026.91,13026.91,1
RC,138,DIABETES WITH CC ,,,12585.3,12585.3,1
RC,138,DIABETES WITH MCC ,,,17925.2,17925.2,1
RC,138,DIABETES WITHOUT CC/MCC ,,,9868.41,9868.41,1
RC,138,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,15681.56,2
RC,138,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,24860.67,2
RC,138,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,12862.91,12862.91,1
RC,138,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,13267.97,2
RC,138,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,21462.1,2
RC,138,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,10643.96,2
RC,138,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12041.92,2
RC,138,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,19836.9,19836.9,1
RC,138,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,9870.38,2
RC,138,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,23157.43,23157.43,1
RC,138,DISORDERS OF THE BILIARY TRACT WITH CC ,,,14543.42,14543.42,1
RC,138,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,20239.0,20239.0,1
RC,138,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,11904.58,11904.58,1
RC,138,DYSEQUILIBRIUM ,,,7000.0,11156.7,2
RC,138,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,16293.1,2
RC,138,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,24650.24,2
RC,138,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,11606.23,2
RC,138,ENDOCRINE DISORDERS WITH CC ,,,13857.78,13857.78,1
RC,138,ENDOCRINE DISORDERS WITH MCC ,,,19994.0,19994.0,1
RC,138,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,11321.69,11321.69,1
RC,138,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,60113.0,2
RC,138,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,64277.24,2
RC,138,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,50765.92,2
RC,138,EPISTAXIS WITH MCC ,,,7000.0,16885.87,2
RC,138,EPISTAXIS WITHOUT MCC ,,,7000.0,10982.82,2
RC,138,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,16261.48,16261.48,1
RC,138,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,11433.33,2
RC,138,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,214665.26,214665.26,1
RC,138,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,42204.28,42204.28,1
RC,138,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,28020.17,28020.17,1
RC,138,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,50084.24,50084.24,1
RC,138,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,20664.82,20664.82,1
RC,138,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,62450.5,62450.5,1
RC,138,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,17437.16,17437.16,1
RC,138,FEVER AND INFLAMMATORY CONDITIONS ,,,12501.31,12501.31,1
RC,138,FOOT PROCEDURES WITH CC ,,,7000.0,22198.13,2
RC,138,FOOT PROCEDURES WITH MCC ,,,7000.0,31306.11,2
RC,138,FOOT PROCEDURES WITHOUT CC/MCC ,,,21443.32,21443.32,1
RC,138,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,12578.37,17807.64,2
RC,138,FRACTURES OF FEMUR WITH MCC ,,,7000.0,19219.43,2
RC,138,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,11695.14,2
RC,138,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,16396.83,2
RC,138,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,11709.96,2
RC,138,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,44925.11,44925.11,1
RC,138,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,74594.49,74594.49,1
RC,138,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,35551.37,35551.37,1
RC,138,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,25571.02,25571.02,1
RC,138,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13420.12,13420.12,1
RC,138,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,21791.09,2
RC,138,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,9959.3,9959.3,1
RC,138,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,11534.1,11534.1,1
RC,138,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,18321.38,18321.38,1
RC,138,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9105.7,9105.7,1
RC,138,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,19284.63,2
RC,138,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,13831.1,2
RC,138,HAND PROCEDURES FOR INJURIES ,,,23137.67,23137.67,1
RC,138,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,12118.98,2
RC,138,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,16414.62,2
RC,138,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,9323.05,2
RC,138,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,20896.99,20896.99,1
RC,138,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,37391.93,37391.93,1
RC,138,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,17557.68,17557.68,1
RC,138,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,20352.61,2
RC,138,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,32401.76,2
RC,138,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,17019.24,2
RC,138,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,24423.99,2
RC,138,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,32503.52,2
RC,138,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,19844.81,2
RC,138,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,32087.59,32087.59,1
RC,138,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,24653.2,24653.2,1
RC,138,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,64207.09,64207.09,1
RC,138,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,29787.62,29787.62,1
RC,138,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,16525.27,16525.27,1
RC,138,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,32243.68,32243.68,1
RC,138,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,12649.51,12649.51,1
RC,138,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,16551.94,16551.94,1
RC,138,HYPERTENSION WITH MCC ,,,7000.0,15487.91,2
RC,138,HYPERTENSION WITHOUT MCC ,,,7000.0,11191.28,2
RC,138,INBORN AND OTHER DISORDERS OF METABOLISM ,,,17780.96,17780.96,1
RC,138,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13403.32,13403.32,1
RC,138,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17877.78,17877.78,1
RC,138,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10287.3,10287.3,1
RC,138,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,23471.6,23471.6,1
RC,138,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,52522.51,52522.51,1
RC,138,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18522.92,18522.92,1
RC,138,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,18381.64,18381.64,1
RC,138,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,11745.53,11745.53,1
RC,138,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13376.65,13376.65,1
RC,138,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,19363.68,19363.68,1
RC,138,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,10462.17,10462.17,1
RC,138,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,18792.63,18792.63,1
RC,138,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,28350.15,28350.15,1
RC,138,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,15268.59,15268.59,1
RC,138,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,13107.92,2
RC,138,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,22375.95,2
RC,138,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,10806.97,2
RC,138,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,21810.85,21810.85,1
RC,138,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,35185.82,35185.82,1
RC,138,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,19062.35,19062.35,1
RC,138,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,16789.05,16789.05,1
RC,138,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,28834.24,28834.24,1
RC,138,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13960.53,13960.53,1
RC,138,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,15194.49,15194.49,1
RC,138,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,11728.73,11728.73,1
RC,138,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,14083.03,14083.03,1
RC,138,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,21551.01,21551.01,1
RC,138,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,11539.04,11539.04,1
RC,138,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,15031.48,15031.48,1
RC,138,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,10538.24,10538.24,1
RC,138,KIDNEY TRANSPLANT ,,,35637.32,35637.32,1
RC,138,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,50179.08,50179.08,1
RC,138,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,40342.96,40342.96,1
RC,138,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,24390.41,2
RC,138,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,35613.62,2
RC,138,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,19204.61,19204.61,1
RC,138,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,21207.2,2
RC,138,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,14764.73,14764.73,1
RC,138,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,20443.51,20443.51,1
RC,138,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,27307.85,27307.85,1
RC,138,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,17224.75,17224.75,1
RC,138,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,40908.08,40908.08,1
RC,138,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,39551.61,6
RC,138,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,33535.93,2
RC,138,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,23636.59,2
RC,138,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,28786.82,2
RC,138,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,40005.08,40005.08,1
RC,138,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,23554.59,2
RC,138,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,25847.64,25847.64,1
RC,138,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,61672.98,61672.98,1
RC,138,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,15626.22,15626.22,1
RC,138,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,19848.76,19848.76,1
RC,138,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,35690.68,35690.68,1
RC,138,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,26114.39,26114.39,1
RC,138,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,49027.12,49027.12,1
RC,138,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,17062.71,17062.71,1
RC,138,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13713.54,13713.54,1
RC,138,MAJOR BLADDER PROCEDURES WITH CC ,,,31387.12,31387.12,1
RC,138,MAJOR BLADDER PROCEDURES WITH MCC ,,,55069.47,55069.47,1
RC,138,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,24642.33,24642.33,1
RC,138,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,28667.28,2
RC,138,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,48009.52,2
RC,138,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,22642.7,2
RC,138,MAJOR CHEST TRAUMA WITH CC ,,,14244.08,14244.08,1
RC,138,MAJOR CHEST TRAUMA WITH MCC ,,,18845.98,18845.98,1
RC,138,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,11501.5,11501.5,1
RC,138,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13612.76,13612.76,1
RC,138,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,19458.52,19458.52,1
RC,138,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,10654.82,2
RC,138,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13818.27,13818.27,1
RC,138,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,21248.7,2
RC,138,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,10917.62,10917.62,1
RC,138,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,25279.57,25279.57,1
RC,138,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,45870.59,45870.59,1
RC,138,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,19502.97,19502.97,1
RC,138,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,14071.18,25544.34,3
RC,138,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,33697.96,33697.96,1
RC,138,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,22787.93,22787.93,1
RC,138,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,138,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,31116.43,2
RC,138,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,23493.34,23493.34,1
RC,138,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,18888.47,18888.47,1
RC,138,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,21577.69,2
RC,138,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,18692.85,18692.85,1
RC,138,MAJOR SKIN DISORDERS WITH MCC ,,,24682.84,24682.84,1
RC,138,MAJOR SKIN DISORDERS WITHOUT MCC ,,,14425.86,14425.86,1
RC,138,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,27414.55,27414.55,1
RC,138,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,49142.71,49142.71,1
RC,138,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,20357.55,20357.55,1
RC,138,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,17060.74,2
RC,138,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,14906.01,14906.01,1
RC,138,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,21877.03,21877.03,1
RC,138,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,12161.45,12161.45,1
RC,138,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14478.22,14478.22,1
RC,138,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,21926.44,21926.44,1
RC,138,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13220.55,13220.55,1
RC,138,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,15020.61,15020.61,1
RC,138,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,21610.29,21610.29,1
RC,138,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10209.25,10209.25,1
RC,138,MALIGNANT BREAST DISORDERS WITH CC ,,,14907.98,14907.98,1
RC,138,MALIGNANT BREAST DISORDERS WITH MCC ,,,20201.46,20201.46,1
RC,138,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,11332.57,11332.57,1
RC,138,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,22765.22,22765.22,1
RC,138,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,20767.56,20767.56,1
RC,138,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,20290.38,2
RC,138,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,13228.45,2
RC,138,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13684.89,13684.89,1
RC,138,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,9367.51,9367.51,1
RC,138,MINOR BLADDER PROCEDURES WITH CC ,,,18750.15,18750.15,1
RC,138,MINOR BLADDER PROCEDURES WITH MCC ,,,33977.55,33977.55,1
RC,138,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,14074.15,14074.15,1
RC,138,MINOR SKIN DISORDERS WITH MCC ,,,18680.99,18680.99,1
RC,138,MINOR SKIN DISORDERS WITHOUT MCC ,,,12686.06,12686.06,1
RC,138,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,18597.02,2
RC,138,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,29248.2,2
RC,138,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,15450.37,15450.37,1
RC,138,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,16926.38,16926.38,1
RC,138,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,11419.5,11419.5,1
RC,138,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,59274.21,112616.1,3
RC,138,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,69742.63,69742.63,1
RC,138,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,45628.54,45628.54,1
RC,138,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,20564.04,49945.92,3
RC,138,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,18599.98,34950.69,2
RC,138,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,18312.49,18312.49,1
RC,138,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,21536.19,21536.19,1
RC,138,NEUROSES EXCEPT DEPRESSIVE ,,,14339.9,14339.9,1
RC,138,NON-EXTENSIVE BURNS ,,,24083.15,24083.15,1
RC,138,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,19969.3,19969.3,1
RC,138,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,37602.37,37602.37,1
RC,138,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,15578.81,15578.81,1
RC,138,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,14021.79,14021.79,1
RC,138,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,9708.36,9708.36,1
RC,138,NORMAL NEWBORN ,,,5705.15,5705.15,1
RC,138,O.R. PROCEDURES FOR OBESITY WITH CC ,,,19541.5,19541.5,1
RC,138,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,32257.52,32257.52,1
RC,138,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,18633.57,18633.57,1
RC,138,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,26818.81,26818.81,1
RC,138,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,39579.28,39579.28,1
RC,138,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,23764.03,23764.03,1
RC,138,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,41914.81,41914.81,1
RC,138,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,19626.47,19626.47,1
RC,138,OSTEOMYELITIS WITH CC ,,,7000.0,16538.11,2
RC,138,OSTEOMYELITIS WITH MCC ,,,7000.0,23191.02,2
RC,138,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,11510.39,2
RC,138,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,15183.62,15183.62,1
RC,138,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,26272.46,26272.46,1
RC,138,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,12226.67,12226.67,1
RC,138,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,10860.31,10860.31,1
RC,138,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,15611.4,15611.4,1
RC,138,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,8897.24,8897.24,1
RC,138,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,138,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,52609.45,2
RC,138,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,34846.95,2
RC,138,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,13248.21,2
RC,138,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,24332.12,2
RC,138,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10470.07,10470.07,1
RC,138,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,36734.95,2
RC,138,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,12975.53,2
RC,138,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19531.62,2
RC,138,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10143.06,10143.06,1
RC,138,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,26706.18,2
RC,138,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,47130.24,2
RC,138,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,17541.88,2
RC,138,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,12785.85,2
RC,138,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,19177.93,2
RC,138,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,10558.99,2
RC,138,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,20851.54,20851.54,1
RC,138,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,40746.05,40746.05,1
RC,138,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,15609.43,15609.43,1
RC,138,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,25256.84,25256.84,1
RC,138,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,40550.44,40550.44,1
RC,138,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,18150.46,18150.46,1
RC,138,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,47822.8,47822.8,1
RC,138,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,27494.57,27494.57,1
RC,138,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9224.26,9224.26,1
RC,138,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,29098.03,29098.03,1
RC,138,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,18311.5,18311.5,1
RC,138,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,102102.21,2
RC,138,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,25346.75,2
RC,138,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,44761.11,44761.11,1
RC,138,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,18553.55,18553.55,1
RC,138,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13918.04,13918.04,1
RC,138,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,24411.15,24411.15,1
RC,138,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,10940.34,10940.34,1
RC,138,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,21014.55,21014.55,1
RC,138,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13785.66,13785.66,1
RC,138,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13758.99,13758.99,1
RC,138,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,20075.99,20075.99,1
RC,138,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,10547.13,10547.13,1
RC,138,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,26835.61,26835.61,1
RC,138,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,45241.27,45241.27,1
RC,138,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,19947.56,19947.56,1
RC,138,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,38865.97,38865.97,1
RC,138,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,55858.85,2
RC,138,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,28953.78,28953.78,1
RC,138,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,14190.73,14190.73,1
RC,138,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10370.29,10370.29,1
RC,138,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,22408.56,22408.56,1
RC,138,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,17000.48,17000.48,1
RC,138,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,25834.8,25834.8,1
RC,138,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,18264.08,18264.08,1
RC,138,OTHER MENTAL DISORDER DIAGNOSES ,,,14311.25,14311.25,1
RC,138,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,18872.65,18872.65,1
RC,138,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,30740.01,30740.01,1
RC,138,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13022.96,13022.96,1
RC,138,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13357.88,13357.88,1
RC,138,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,18981.34,18981.34,1
RC,138,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11133.99,11133.99,1
RC,138,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,24261.97,2
RC,138,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,35216.45,2
RC,138,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,18913.17,2
RC,138,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,12144.66,23439.01,3
RC,138,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,23442.95,23442.95,1
RC,138,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,41661.89,41661.89,1
RC,138,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,16700.14,16700.14,1
RC,138,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,45362.78,45362.78,1
RC,138,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,79012.64,79012.64,1
RC,138,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,32817.68,32817.68,1
RC,138,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,22096.37,22096.37,1
RC,138,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,43092.46,43092.46,1
RC,138,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,17127.93,17127.93,1
RC,138,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,21820.73,21820.73,1
RC,138,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13028.88,13028.88,1
RC,138,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,21548.05,2
RC,138,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,40658.12,2
RC,138,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,17230.67,2
RC,138,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,20803.13,20803.13,1
RC,138,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,35726.24,2
RC,138,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,17988.43,17988.43,1
RC,138,OTHER VASCULAR PROCEDURES WITH CC ,,,29374.66,29374.66,1
RC,138,OTHER VASCULAR PROCEDURES WITH MCC ,,,38194.15,38194.15,1
RC,138,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,21333.67,21333.67,1
RC,138,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,15410.85,2
RC,138,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,11024.32,2
RC,138,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,32383.98,2
RC,138,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,57777.46,57777.46,1
RC,138,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,25659.93,2
RC,138,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,21183.5,6
RC,138,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,24774.72,24774.72,1
RC,138,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,17024.18,17024.18,1
RC,138,PENIS PROCEDURES WITH CC/MCC ,,,26721.99,26721.99,1
RC,138,PENIS PROCEDURES WITHOUT CC/MCC ,,,17574.48,17574.48,1
RC,138,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,44489.43,44489.43,1
RC,138,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,36251.83,36251.83,1
RC,138,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,30611.58,30611.58,1
RC,138,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,21148.91,21148.91,1
RC,138,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,25293.4,25293.4,1
RC,138,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,18496.25,18496.25,1
RC,138,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,37703.14,2
RC,138,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,27583.49,2
RC,138,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,27661.54,27661.54,1
RC,138,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,14277.67,14277.67,1
RC,138,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,19861.6,19861.6,1
RC,138,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,10841.54,10841.54,1
RC,138,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,24564.28,2
RC,138,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,39010.22,2
RC,138,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,18896.37,2
RC,138,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,24783.62,24783.62,1
RC,138,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,35274.73,35274.73,1
RC,138,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,21588.55,21588.55,1
RC,138,PLEURAL EFFUSION WITH CC ,,,13503.11,13503.11,1
RC,138,PLEURAL EFFUSION WITH MCC ,,,19128.54,19128.54,1
RC,138,PLEURAL EFFUSION WITHOUT CC/MCC ,,,10816.84,10816.84,1
RC,138,PNEUMOTHORAX WITH CC ,,,7000.0,14591.83,2
RC,138,PNEUMOTHORAX WITH MCC ,,,7000.0,21159.78,2
RC,138,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,10796.1,2
RC,138,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,19226.34,19226.34,1
RC,138,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,12199.0,12199.0,1
RC,138,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,21748.6,21748.6,1
RC,138,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13590.05,13590.05,1
RC,138,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,24888.33,24888.33,1
RC,138,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,48670.46,48670.46,1
RC,138,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,17492.48,17492.48,1
RC,138,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,20425.72,20425.72,1
RC,138,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10199.37,10199.37,1
RC,138,PREMATURITY WITH MAJOR PROBLEMS ,,,43832.43,43832.43,1
RC,138,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,27928.29,27928.29,1
RC,138,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,3731.21,3731.21,1
RC,138,PROSTATECTOMY WITH CC ,,,21013.57,21013.57,1
RC,138,PROSTATECTOMY WITH MCC ,,,34567.36,34567.36,1
RC,138,PROSTATECTOMY WITHOUT CC/MCC ,,,14660.0,14660.0,1
RC,138,PSYCHOSES ,,,17531.01,17531.01,1
RC,138,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,15936.44,15936.44,1
RC,138,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,17301.81,17301.81,1
RC,138,PULMONARY EMBOLISM WITHOUT MCC ,,,11684.27,11684.27,1
RC,138,RADIOTHERAPY ,,,30499.94,30499.94,1
RC,138,RECTAL RESECTION WITH CC ,,,26871.17,26871.17,1
RC,138,RECTAL RESECTION WITH MCC ,,,39502.21,39502.21,1
RC,138,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,19912.98,2
RC,138,RED BLOOD CELL DISORDERS WITH MCC ,,,17605.11,17605.11,1
RC,138,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,12802.64,12802.64,1
RC,138,REHABILITATION WITH CC/MCC ,,,1793.0,19030.73,4
RC,138,REHABILITATION WITHOUT CC/MCC ,,,1793.0,15061.12,4
RC,138,RENAL FAILURE WITH CC ,,,12383.75,12383.75,1
RC,138,RENAL FAILURE WITH MCC ,,,18362.87,18362.87,1
RC,138,RENAL FAILURE WITHOUT CC/MCC ,,,9661.92,9661.92,1
RC,138,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13373.68,13373.68,1
RC,138,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,19170.04,19170.04,1
RC,138,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,11190.29,11190.29,1
RC,138,RESPIRATORY NEOPLASMS WITH CC ,,,14312.25,14312.25,1
RC,138,RESPIRATORY NEOPLASMS WITH MCC ,,,21178.56,21178.56,1
RC,138,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,11178.44,11178.44,1
RC,138,RESPIRATORY SIGNS AND SYMPTOMS ,,,11707.99,11707.99,1
RC,138,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,30887.21,30887.21,1
RC,138,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,67303.35,67303.35,1
RC,138,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13749.11,13749.11,1
RC,138,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,24742.12,24742.12,1
RC,138,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,9975.11,9975.11,1
RC,138,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,38572.54,38572.54,1
RC,138,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,55158.38,55158.38,1
RC,138,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,30880.3,2
RC,138,SALIVARY GLAND PROCEDURES ,,,15939.41,15939.41,1
RC,138,SEPTIC ARTHRITIS WITH CC ,,,7000.0,15657.84,2
RC,138,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,22807.69,2
RC,138,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,12366.96,2
RC,138,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,72016.91,72016.91,1
RC,138,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,22922.3,22922.3,1
RC,138,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,13840.99,13840.99,1
RC,138,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,24274.82,24274.82,1
RC,138,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,33572.49,33572.49,1
RC,138,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,20085.87,2
RC,138,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,16790.04,2
RC,138,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,11937.19,2
RC,138,SIGNS AND SYMPTOMS WITH MCC ,,,16272.36,16272.36,1
RC,138,SIGNS AND SYMPTOMS WITHOUT MCC ,,,11639.82,11639.82,1
RC,138,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,11693.17,2
RC,138,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,16716.93,2
RC,138,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,9940.53,2
RC,138,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,43452.07,2
RC,138,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,56385.43,56385.43,1
RC,138,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,35646.21,35646.21,1
RC,138,SKIN DEBRIDEMENT WITH CC ,,,20422.77,20422.77,1
RC,138,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,32788.05,2
RC,138,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,15056.18,15056.18,1
RC,138,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,29919.02,2
RC,138,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,52153.02,52153.02,1
RC,138,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,19601.77,2
RC,138,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,38027.19,38027.19,1
RC,138,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,68456.31,2
RC,138,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,21484.82,21484.82,1
RC,138,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,16099.46,38894.62,3
RC,138,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,40019.9,40019.9,1
RC,138,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,18386.58,18386.58,1
RC,138,SKIN ULCERS WITH CC ,,,15451.36,15451.36,1
RC,138,SKIN ULCERS WITH MCC ,,,22851.16,22851.16,1
RC,138,SKIN ULCERS WITHOUT CC/MCC ,,,12294.83,12294.83,1
RC,138,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,21001.71,2
RC,138,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,34998.12,2
RC,138,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,17028.14,2
RC,138,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,44954.75,86753.29,3
RC,138,SPLENIC PROCEDURES WITH CC ,,,31486.91,31486.91,1
RC,138,SPLENIC PROCEDURES WITH MCC ,,,48474.85,48474.85,1
RC,138,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,22590.35,22590.35,1
RC,138,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,13159.3,2
RC,138,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,10847.48,2
RC,138,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,27878.88,27878.88,1
RC,138,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,53004.64,53004.64,1
RC,138,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,19561.26,19561.26,1
RC,138,SYNCOPE AND COLLAPSE ,,,7000.0,12342.26,2
RC,138,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,18421.16,2
RC,138,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,12555.66,2
RC,138,TESTES PROCEDURES WITH CC/MCC ,,,24318.29,24318.29,1
RC,138,TESTES PROCEDURES WITHOUT CC/MCC ,,,14595.79,14595.79,1
RC,138,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,18544.66,18544.66,1
RC,138,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,33568.54,33568.54,1
RC,138,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,16854.25,16854.25,1
RC,138,TRANSURETHRAL PROCEDURES WITH CC ,,,19064.32,19064.32,1
RC,138,TRANSURETHRAL PROCEDURES WITH MCC ,,,32579.59,32579.59,1
RC,138,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13386.53,13386.53,1
RC,138,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,18584.17,18584.17,1
RC,138,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,14177.88,14177.88,1
RC,138,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,18274.94,18274.94,1
RC,138,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,12780.91,12780.91,1
RC,138,TRAUMATIC INJURY WITH MCC ,,,19880.37,19880.37,1
RC,138,TRAUMATIC INJURY WITHOUT MCC ,,,12479.58,12479.58,1
RC,138,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,39360.94,58722.94,2
RC,138,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,33136.8,33136.8,1
RC,138,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,17371.95,17371.95,1
RC,138,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,12176.27,12176.27,1
RC,138,UNGROUPABLE ,,,3731.21,3731.21,1
RC,138,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,20505.75,20505.75,1
RC,138,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,30380.4,30380.4,1
RC,138,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,14521.69,2
RC,138,URETHRAL PROCEDURES WITH CC/MCC ,,,21465.06,21465.06,1
RC,138,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.22,14396.22,1
RC,138,URETHRAL STRICTURE ,,,14379.42,14379.42,1
RC,138,URINARY STONES WITH MCC ,,,17014.3,17014.3,1
RC,138,URINARY STONES WITHOUT MCC ,,,11454.08,11454.08,1
RC,138,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,21858.27,21858.27,1
RC,138,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,15988.81,15988.81,1
RC,138,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,21609.3,21609.3,1
RC,138,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,39127.78,39127.78,1
RC,138,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,17820.49,17820.49,1
RC,138,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,24089.07,24089.07,1
RC,138,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,39045.78,39045.78,1
RC,138,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,18239.38,18239.38,1
RC,138,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,20893.03,20893.03,1
RC,138,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,12224.68,12224.68,1
RC,138,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,14318.17,14318.17,1
RC,138,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,13614.75,13614.75,1
RC,138,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,15260.68,15260.68,1
RC,138,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,13186.96,13186.96,1
RC,138,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,11180.41,11180.41,1
RC,138,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,14393.25,14393.25,1
RC,138,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,10392.02,10392.02,1
RC,138,VEIN LIGATION AND STRIPPING ,,,7000.0,33937.04,2
RC,138,VIRAL ILLNESS WITH MCC ,,,18533.79,18533.79,1
RC,138,VIRAL ILLNESS WITHOUT MCC ,,,12322.5,12322.5,1
RC,138,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,21748.6,60039.88,3
RC,138,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,22645.67,22645.67,1
RC,138,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,45191.87,45191.87,1
RC,138,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,15286.37,15286.37,1
RC,139, Room & Board - Three and Four Beds Other  ,,,6650.0,21045.0,4
RC,139,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,3
RC,139,ABORTION WITHOUT D&C ,,,13046.0,19995.0,3
RC,139,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,19995.0,4
RC,139,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,19995.0,4
RC,139,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,ACUTE LEUKEMIA WITH CC ,,,13046.0,19995.0,3
RC,139,ACUTE LEUKEMIA WITH MCC ,,,13046.0,19995.0,3
RC,139,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,19995.0,3
RC,139,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,13046.0,19995.0,3
RC,139,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,19995.0,3
RC,139,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,139,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,AFTERCARE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,3
RC,139,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,19995.0,3
RC,139,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,AICD GENERATOR PROCEDURES ,,,13046.0,19995.0,3
RC,139,AICD LEAD PROCEDURES ,,,7000.0,19995.0,4
RC,139,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,3
RC,139,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,19995.0,3
RC,139,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,3
RC,139,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,13046.0,19995.0,3
RC,139,ALLERGIC REACTIONS WITH MCC ,,,13046.0,19995.0,3
RC,139,ALLERGIC REACTIONS WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,19995.0,3
RC,139,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,19995.0,3
RC,139,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,3
RC,139,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,139,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,139,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,4
RC,139,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,19995.0,9
RC,139,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,ANGINA PECTORIS ,,,7000.0,19995.0,4
RC,139,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,139,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,139,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,139,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,139,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,139,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,139,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,139,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,139,APPENDIX PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,APPENDIX PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,4
RC,139,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,139,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,139,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,139,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,139,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,139,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,3
RC,139,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,139,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,19995.0,10
RC,139,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,19995.0,4
RC,139,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,4
RC,139,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,4
RC,139,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,4
RC,139,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,19995.0,3
RC,139,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,13046.0,19995.0,3
RC,139,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,19995.0,3
RC,139,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,4
RC,139,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,139,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,139,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,4
RC,139,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,139,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,139,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,139,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,139,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,19995.0,4
RC,139,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,19995.0,4
RC,139,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,19995.0,4
RC,139,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,19995.0,4
RC,139,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,19995.0,9
RC,139,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,19995.0,9
RC,139,CELLULITIS WITH MCC ,,,13046.0,19995.0,3
RC,139,CELLULITIS WITHOUT MCC ,,,13046.0,13046.0,1
RC,139,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,139,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,139,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,19995.0,3
RC,139,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,19995.0,3
RC,139,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,139,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,139,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,CHEST PAIN ,,,7000.0,7000.0,1
RC,139,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,19995.0,4
RC,139,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,19995.0,3
RC,139,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,19995.0,3
RC,139,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,19995.0,3
RC,139,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,4
RC,139,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,3
RC,139,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,139,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,139,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,3
RC,139,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,19995.0,3
RC,139,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,COAGULATION DISORDERS ,,,13046.0,19995.0,3
RC,139,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,19995.0,4
RC,139,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,4
RC,139,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,3
RC,139,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,3
RC,139,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,19995.0,3
RC,139,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,19995.0,3
RC,139,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,4
RC,139,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,139,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,19995.0,3
RC,139,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,19995.0,3
RC,139,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,19995.0,3
RC,139,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,19995.0,3
RC,139,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,19995.0,2
RC,139,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,19995.0,2
RC,139,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,19995.0,3
RC,139,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,19995.0,3
RC,139,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,4
RC,139,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,19995.0,4
RC,139,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,DIABETES WITH CC ,,,13046.0,19995.0,3
RC,139,DIABETES WITH MCC ,,,13046.0,19995.0,3
RC,139,DIABETES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,4
RC,139,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,19995.0,4
RC,139,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,4
RC,139,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,19995.0,4
RC,139,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,4
RC,139,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,4
RC,139,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,19995.0,3
RC,139,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,3
RC,139,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,19995.0,3
RC,139,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,DYSEQUILIBRIUM ,,,7000.0,19995.0,4
RC,139,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,4
RC,139,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,19995.0,4
RC,139,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,139,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,139,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,139,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,19995.0,4
RC,139,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,19995.0,3
RC,139,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,19995.0,3
RC,139,EPISTAXIS WITH MCC ,,,7000.0,19995.0,4
RC,139,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,139,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,3
RC,139,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,2
RC,139,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,19995.0,3
RC,139,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,19995.0,3
RC,139,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,139,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,139,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,3
RC,139,FOOT PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,139,FOOT PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,139,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,6
RC,139,FRACTURES OF FEMUR WITH MCC ,,,7000.0,19995.0,4
RC,139,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,4
RC,139,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,4
RC,139,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,139,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,19995.0,3
RC,139,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,3
RC,139,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,19995.0,4
RC,139,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,13046.0,19995.0,3
RC,139,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,3
RC,139,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,19995.0,4
RC,139,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,139,HAND PROCEDURES FOR INJURIES ,,,13046.0,19995.0,3
RC,139,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,139,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,139,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,139,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,19995.0,4
RC,139,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,19995.0,4
RC,139,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,139,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,139,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,139,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,3
RC,139,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,19995.0,3
RC,139,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,3
RC,139,HYPERTENSION WITH MCC ,,,7000.0,19995.0,4
RC,139,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,4
RC,139,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,3
RC,139,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,139,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,139,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,3
RC,139,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,3
RC,139,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,19995.0,3
RC,139,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,4
RC,139,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,19995.0,4
RC,139,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,19995.0,3
RC,139,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,19995.0,3
RC,139,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,3
RC,139,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,19995.0,3
RC,139,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,13046.0,1
RC,139,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,13046.0,13046.0,1
RC,139,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,3
RC,139,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,19995.0,3
RC,139,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,3
RC,139,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,KIDNEY TRANSPLANT ,,,13046.0,19995.0,3
RC,139,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,19995.0,3
RC,139,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,19995.0,4
RC,139,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,19995.0,4
RC,139,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,19995.0,4
RC,139,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,19995.0,3
RC,139,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,19995.0,12
RC,139,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,19995.0,4
RC,139,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,19995.0,4
RC,139,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,19995.0,4
RC,139,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,19995.0,3
RC,139,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,139,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,19995.0,3
RC,139,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,19995.0,3
RC,139,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,139,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,139,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,139,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,139,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,139,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,139,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,3
RC,139,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,19995.0,4
RC,139,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,19995.0,9
RC,139,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,139,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,19995.0,4
RC,139,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,19995.0,4
RC,139,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,139,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,4
RC,139,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,3
RC,139,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,19995.0,3
RC,139,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,139,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,139,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,139,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,139,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,139,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,139,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,19995.0,4
RC,139,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,4
RC,139,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,139,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,139,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,139,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,3
RC,139,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,13046.0,19995.0,3
RC,139,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,19995.0,9
RC,139,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,19995.0,6
RC,139,NON-EXTENSIVE BURNS ,,,13046.0,19995.0,3
RC,139,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,139,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,139,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,19995.0,3
RC,139,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,19995.0,3
RC,139,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,19995.0,3
RC,139,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,4
RC,139,OSTEOMYELITIS WITH MCC ,,,7000.0,19995.0,4
RC,139,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,139,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,19995.0,3
RC,139,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,19995.0,3
RC,139,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,4
RC,139,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19995.0,4
RC,139,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,19995.0,4
RC,139,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,4
RC,139,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19995.0,4
RC,139,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,139,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,139,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,4
RC,139,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,19995.0,4
RC,139,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,139,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,139,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,139,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,139,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,139,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,13046.0,19995.0,3
RC,139,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,19995.0,3
RC,139,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,139,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,139,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,139,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,19995.0,3
RC,139,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,3
RC,139,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,139,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,139,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,139,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,139,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,139,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,139,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,139,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,139,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,139,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,19995.0,4
RC,139,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,19995.0,9
RC,139,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,19995.0,3
RC,139,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,19995.0,3
RC,139,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,139,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,139,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,19995.0,3
RC,139,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,19995.0,3
RC,139,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,139,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,139,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,139,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,139,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,19995.0,4
RC,139,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,19995.0,2
RC,139,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,19995.0,2
RC,139,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,19995.0,2
RC,139,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,4
RC,139,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,4
RC,139,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,19995.0,4
RC,139,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,139,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,139,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,19995.0,12
RC,139,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,19995.0,3
RC,139,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,19995.0,2
RC,139,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,2
RC,139,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,19995.0,4
RC,139,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,19995.0,4
RC,139,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,19995.0,3
RC,139,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,19995.0,4
RC,139,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,19995.0,4
RC,139,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,19995.0,3
RC,139,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,19995.0,3
RC,139,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,3
RC,139,PLEURAL EFFUSION WITH MCC ,,,13046.0,19995.0,3
RC,139,PLEURAL EFFUSION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,4
RC,139,PNEUMOTHORAX WITH MCC ,,,7000.0,19995.0,4
RC,139,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,19995.0,3
RC,139,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,19995.0,3
RC,139,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,19995.0,3
RC,139,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,13046.0,19995.0,3
RC,139,PROSTATECTOMY WITH CC ,,,13046.0,19995.0,3
RC,139,PROSTATECTOMY WITH MCC ,,,13046.0,19995.0,3
RC,139,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,3
RC,139,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,3
RC,139,PULMONARY EMBOLISM WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,RADIOTHERAPY ,,,13046.0,19995.0,3
RC,139,RECTAL RESECTION WITH CC ,,,13046.0,19995.0,3
RC,139,RECTAL RESECTION WITH MCC ,,,13046.0,19995.0,3
RC,139,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,139,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,RENAL FAILURE WITH CC ,,,13046.0,13046.0,1
RC,139,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,3
RC,139,RENAL FAILURE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,3
RC,139,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,19995.0,3
RC,139,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,3
RC,139,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,19995.0,3
RC,139,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,RESPIRATORY SIGNS AND SYMPTOMS ,,,13046.0,19995.0,3
RC,139,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,19995.0,3
RC,139,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,19995.0,3
RC,139,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,139,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,139,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,139,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,4
RC,139,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,19995.0,4
RC,139,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,139,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,139,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,19995.0,4
RC,139,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,4
RC,139,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,4
RC,139,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,3
RC,139,SIGNS AND SYMPTOMS WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,4
RC,139,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,4
RC,139,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,139,SKIN DEBRIDEMENT WITH CC ,,,13046.0,19995.0,3
RC,139,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,19995.0,4
RC,139,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,19995.0,4
RC,139,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,19995.0,3
RC,139,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,19995.0,3
RC,139,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,19995.0,4
RC,139,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,19995.0,9
RC,139,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,SKIN ULCERS WITH CC ,,,13046.0,19995.0,3
RC,139,SKIN ULCERS WITH MCC ,,,13046.0,19995.0,3
RC,139,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,139,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,139,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,SPLENIC PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,SPLENIC PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,4
RC,139,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,139,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,139,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,139,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,4
RC,139,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,4
RC,139,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,4
RC,139,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,139,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,139,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,139,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,139,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,3
RC,139,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,3
RC,139,TRAUMATIC INJURY WITH MCC ,,,13046.0,19995.0,3
RC,139,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,19995.0,3
RC,139,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,3
RC,139,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,139,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,139,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,139,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,139,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,URETHRAL STRICTURE ,,,13046.0,19995.0,3
RC,139,URINARY STONES WITH MCC ,,,13046.0,19995.0,3
RC,139,URINARY STONES WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,19995.0,3
RC,139,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,19995.0,3
RC,139,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,19995.0,3
RC,139,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,19995.0,3
RC,139,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,139,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,19995.0,3
RC,139,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,139,VEIN LIGATION AND STRIPPING ,,,7000.0,19995.0,4
RC,139,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,3
RC,139,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,3
RC,139,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,19995.0,9
RC,139,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,19995.0,3
RC,139,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,19995.0,3
RC,139,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,140, Room & Board - Deluxe Private General Classification  ,,,6650.0,21045.0,4
RC,140,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,140,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,140,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,140,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,140,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,140,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,140,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,140,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,140,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,140,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,140,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,140,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,140,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,140,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,140,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,140,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,140,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,140,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,140,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,140,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,140,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,140,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,140,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,140,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,140,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,140,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,140,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,140,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,140,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,140,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,140,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,140,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,140,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,140,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,140,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,140,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,140,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,140,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,140,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,140,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,140,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,140,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,140,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,140,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,140,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,140,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,140,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,140,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,140,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,140,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,140,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,140,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,140,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,140,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,140,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,140,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,140,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,140,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,140,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,140,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,140,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,140,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,140,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,140,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,140,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,140,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,140,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,140,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,140,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,140,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,140,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,140,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,140,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,140,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,140,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,140,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,140,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,140,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,140,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,140,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,140,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,140,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,140,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,140,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,140,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,140,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,140,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,140,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,140,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,140,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,140,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,140,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,140,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,140,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,140,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,140,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,140,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,140,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,140,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,140,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,140,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,140,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,140,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,140,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,140,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,140,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,140,CHEST PAIN ,,,7000.0,11662.96,2
RC,140,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,140,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,140,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,140,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,140,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,140,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,140,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,140,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,140,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,140,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,140,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,140,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,140,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,140,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,140,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,140,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,140,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,140,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,140,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,140,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,140,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,140,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,140,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,140,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,140,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,140,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,140,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,140,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,140,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,140,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,140,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,140,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,140,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,140,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,140,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,140,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,140,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,140,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,140,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,140,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,140,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,140,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,140,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,140,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,140,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,140,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,140,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,140,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,140,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,140,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,140,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,140,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,140,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,140,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,140,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,140,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,140,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,140,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,140,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,140,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,140,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,140,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,140,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,140,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,140,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,140,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,140,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,140,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,140,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,140,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,140,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,140,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,140,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,140,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,140,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,140,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,140,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,140,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,140,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,140,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,140,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,140,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,140,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,140,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,140,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,140,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,140,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,140,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,140,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,140,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,140,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,140,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,140,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,140,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,140,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,140,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,140,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,140,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,140,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,140,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,140,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,140,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,140,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,140,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,140,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,140,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,140,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,140,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,140,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,140,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,140,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,140,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,140,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,140,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,140,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,140,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,140,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,140,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,140,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,140,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,140,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,140,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,140,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,140,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,140,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,140,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,140,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,140,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,140,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,140,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,140,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,140,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,140,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,140,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,140,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,140,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,140,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,140,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,140,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,140,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,140,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,140,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,140,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,140,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,140,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,140,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,140,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,140,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,140,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,140,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,140,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,140,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,140,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,140,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,140,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,140,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,140,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,140,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,140,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,140,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,140,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,140,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,140,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,140,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,140,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,140,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,140,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,140,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,140,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,140,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,140,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,140,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,140,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,140,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,140,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,140,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,140,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,140,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,140,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,140,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,140,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,140,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,13046.0,27187.46,4
RC,140,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,140,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,140,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,140,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,140,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,140,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,140,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,140,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,140,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,140,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,140,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,140,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,140,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,140,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,140,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,140,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,140,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,140,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,140,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,140,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,140,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,140,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,140,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,140,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,140,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,140,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,140,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,140,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,140,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,140,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,140,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,140,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,140,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,140,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,140,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,140,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,140,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,140,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,140,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,140,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,140,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,140,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,140,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,140,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,140,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,140,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,140,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,140,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,140,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,140,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,140,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,140,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,140,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,140,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,140,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,140,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,140,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,140,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,140,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,140,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,140,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,140,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,140,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,140,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,140,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,140,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,140,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,140,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,140,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,140,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,140,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,140,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,140,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,140,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,140,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,140,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,140,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,140,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,140,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,140,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,140,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,140,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,140,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,140,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,140,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,140,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,140,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,140,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,140,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,140,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,140,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,140,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,140,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,140,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,140,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,140,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,140,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,140,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,140,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,140,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,140,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,140,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,140,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,140,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,140,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,140,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,140,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,140,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,140,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,140,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,140,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,140,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,140,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,140,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,140,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,140,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,140,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,140,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,140,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,140,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,140,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,140,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,140,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,140,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,140,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,140,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,140,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,140,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,140,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,140,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,140,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,140,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,140,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,140,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,140,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,140,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,140,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,140,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,140,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,140,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,140,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,140,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,140,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,140,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,140,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,140,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,140,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,140,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,140,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,140,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,140,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,140,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,140,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,140,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,140,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,140,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,140,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,140,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,140,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,140,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,140,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,140,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,140,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,140,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,140,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,140,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,140,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,140,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,140,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,140,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,140,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,140,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,140,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,140,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,140,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,140,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,140,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,140,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,140,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,140,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,140,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,140,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,140,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,140,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,140,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,140,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,140,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,140,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,140,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,PSYCHOSES ,,,18854.11,18854.11,1
RC,140,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,140,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,140,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,140,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,140,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,140,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,140,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,140,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,140,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,140,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,140,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,140,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,140,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,140,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,140,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,140,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,140,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,140,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,140,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,140,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,140,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,140,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,140,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,140,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,140,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,140,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,140,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,140,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,140,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,140,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,140,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,140,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,140,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,140,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,140,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,140,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,140,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,140,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,140,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,140,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,140,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,140,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,140,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,140,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,140,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,140,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,140,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,140,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,140,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,140,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,140,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,140,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,140,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,140,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,140,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,140,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,140,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,140,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,140,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,140,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,140,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,140,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,140,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,140,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,140,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,140,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,140,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,140,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,140,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,140,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,140,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,140,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,140,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,140,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,140,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,140,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,140,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,140,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,140,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,140,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,140,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,140,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,140,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,140,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,140,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,140,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,140,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,140,UNGROUPABLE ,,,4012.81,4012.81,1
RC,140,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,140,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,140,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,140,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,140,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,140,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,140,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,140,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,140,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,140,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,140,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,140,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,140,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,140,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,140,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,140,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,140,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,140,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,140,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,140,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,140,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,140,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,140,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,140,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,140,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,140,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,140,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,140,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,140,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,140,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,140,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141, Room & Board - Deluxe Private Medical/Surgical/GYN  ,,,6650.0,21045.0,4
RC,141,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,141,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,141,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,141,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,141,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,141,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,141,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,141,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,141,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,141,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,141,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,141,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,141,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,141,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,141,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,141,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,141,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,141,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,141,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,141,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,141,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,141,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,141,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,141,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,141,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,141,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,141,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,141,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,141,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,141,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,141,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,141,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,141,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,141,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,141,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,141,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,141,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,141,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,141,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,141,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,141,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,141,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,141,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,141,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,141,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,141,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,141,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,141,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,141,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,141,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,141,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,141,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,141,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,141,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,141,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,141,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,141,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,141,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,141,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,141,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,141,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,141,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,141,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,141,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,141,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,141,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,141,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,141,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,141,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,141,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,141,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,141,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,141,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,141,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,141,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,141,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,141,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,141,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,141,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,141,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,141,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,141,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,141,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,141,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,141,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,141,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,141,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,141,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,141,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,141,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,141,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,141,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,141,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,141,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,141,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,141,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,141,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,141,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,141,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,141,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,141,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,141,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,141,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,141,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,141,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,141,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,141,CHEST PAIN ,,,7000.0,11662.96,2
RC,141,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,141,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,141,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,141,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,141,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,141,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,141,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,141,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,141,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,141,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,141,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,141,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,141,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,141,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,141,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,141,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,141,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,141,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,141,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,141,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,141,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,141,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,141,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,141,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,141,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,141,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,141,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,141,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,141,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,141,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,141,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,141,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,141,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,141,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,141,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,141,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,141,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,141,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,141,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,141,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,141,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,141,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,141,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,141,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,141,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,141,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,141,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,141,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,141,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,141,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,141,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,141,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,141,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,141,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,141,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,141,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,141,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,141,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,141,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,141,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,141,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,141,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,141,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,141,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,141,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,141,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,141,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,141,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,141,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,141,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,141,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,141,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,141,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,141,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,141,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,141,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,141,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,141,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,141,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,141,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,141,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,141,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,141,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,141,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,141,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,141,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,141,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,141,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,141,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,141,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,141,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,141,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,141,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,141,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,141,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,141,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,141,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,141,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,141,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,141,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,141,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,141,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,141,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,141,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,141,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,141,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,141,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,141,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,141,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,141,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,141,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,141,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,141,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,141,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,141,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,141,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,141,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,141,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,141,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,141,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,141,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,141,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,141,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,141,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,141,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,141,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,141,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,141,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,141,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,141,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,141,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,141,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,141,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,141,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,141,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,141,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,141,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,141,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,141,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,141,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,141,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,141,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,141,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,141,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,141,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,141,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,141,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,141,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,141,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,141,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,141,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,141,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,141,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,141,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,141,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,141,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,141,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,141,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,141,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,141,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,141,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,141,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,141,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,141,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,141,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,141,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,141,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,141,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,141,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,141,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,141,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,141,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,141,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,141,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,141,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,141,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,141,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,141,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,141,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,141,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,141,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,141,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,13046.0,20974.89,4
RC,141,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,141,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,141,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,141,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,141,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,141,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,141,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,141,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,141,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,141,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,141,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,141,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,141,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,141,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,141,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,141,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,141,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,141,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,141,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,141,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,141,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,141,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,141,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,141,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,141,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,141,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,141,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,141,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,141,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,141,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,141,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,141,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,141,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,141,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,141,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,141,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,141,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,141,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,141,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,141,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,141,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,141,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,141,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,141,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,141,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,141,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,141,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,141,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,141,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,141,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,141,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,141,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,141,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,141,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,141,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,141,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,141,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,141,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,141,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,141,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,141,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,141,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,141,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,141,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,141,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,141,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,141,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,141,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,141,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,141,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,141,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,141,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,141,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,141,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,141,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,141,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,141,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,141,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,141,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,141,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,141,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,141,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,141,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,141,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,141,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,141,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,141,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,141,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,141,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,141,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,141,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,141,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,141,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,141,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,141,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,141,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,141,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,141,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,141,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,141,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,141,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,141,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,141,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,141,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,141,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,141,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,141,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,141,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,141,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,141,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,141,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,141,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,141,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,141,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,141,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,141,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,141,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,141,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,141,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,141,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,141,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,141,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,141,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,141,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,141,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,141,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,141,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,141,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,141,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,141,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,141,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,141,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,141,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,141,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,141,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,141,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,141,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,141,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,141,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,141,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,141,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,141,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,141,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,141,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,141,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,141,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,141,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,141,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,141,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,141,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,141,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,141,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,141,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,141,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,141,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,141,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,141,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,141,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,141,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,141,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,141,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,141,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,141,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,141,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,141,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,141,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,141,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,141,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,141,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,141,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,141,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,141,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,141,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,141,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,141,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,141,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,141,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,141,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,141,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,141,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,141,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,141,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,141,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,141,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,141,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,141,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,141,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,141,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,PSYCHOSES ,,,18854.11,18854.11,1
RC,141,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,141,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,141,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,141,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,141,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,141,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,141,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,141,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,141,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,141,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,141,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,141,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,141,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,141,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,141,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,141,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,141,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,141,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,141,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,141,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,141,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,141,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,141,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,141,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,141,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,141,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,141,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,141,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,141,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,141,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,141,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,141,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,141,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,141,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,141,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,141,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,141,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,141,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,141,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,141,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,141,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,141,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,141,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,141,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,141,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,141,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,141,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,141,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,141,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,141,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,141,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,141,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,141,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,141,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,141,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,141,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,141,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,141,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,141,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,141,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,141,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,141,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,141,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,141,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,141,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,141,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,141,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,141,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,141,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,141,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,141,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,141,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,141,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,141,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,141,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,141,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,141,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,141,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,141,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,141,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,141,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,141,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,141,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,141,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,141,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,141,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,141,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,141,UNGROUPABLE ,,,4012.81,4012.81,1
RC,141,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,141,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,141,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,141,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,141,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,141,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,141,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,141,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,141,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,141,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,141,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,141,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,141,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,141,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,141,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,141,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,141,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,141,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,141,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,141,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,141,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,141,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,141,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,141,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,141,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,141,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,141,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,141,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,141,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,141,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,141,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142, Room & Board - Deluxe Private Obstetrics (OB)  ,,,6650.0,21045.0,4
RC,142,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,142,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,142,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,142,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,142,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,142,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,142,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,142,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,142,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,142,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,142,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,142,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,142,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,142,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,142,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,142,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,142,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,142,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,142,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,142,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,142,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,142,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,142,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,142,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,142,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,142,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,142,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,142,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,142,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,142,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,142,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,142,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,142,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,142,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,142,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,142,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,142,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,142,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,142,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,142,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,142,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,142,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,142,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,142,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,142,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,142,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,142,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,142,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,142,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,142,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,142,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,142,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,142,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,142,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,142,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,142,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,142,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,142,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,142,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,142,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,142,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,142,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,142,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,142,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,142,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,142,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,142,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,142,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,142,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,142,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,142,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,142,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,142,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,142,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,142,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,142,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,142,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,142,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,142,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,142,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,142,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,142,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,142,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,142,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,142,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,142,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,142,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,142,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,142,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,142,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,142,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,142,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,142,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,142,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,142,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,142,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,142,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,142,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,142,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,142,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,142,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,142,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,142,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,142,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,142,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,142,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,142,CHEST PAIN ,,,7000.0,11662.96,2
RC,142,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,142,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,142,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,142,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,142,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,142,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,142,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,142,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,142,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,142,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,142,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,142,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,142,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,142,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,142,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,142,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,142,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,142,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,142,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,142,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,142,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,142,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,142,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,142,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,142,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,142,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,142,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,142,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,142,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,142,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,142,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,142,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,142,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,142,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,142,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,142,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,142,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,142,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,142,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,142,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,142,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,142,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,142,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,142,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,142,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,142,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,142,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,142,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,142,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,142,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,142,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,142,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,142,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,142,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,142,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,142,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,142,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,142,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,142,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,142,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,142,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,142,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,142,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,142,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,142,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,142,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,142,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,142,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,142,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,142,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,142,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,142,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,142,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,142,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,142,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,142,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,142,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,142,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,142,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,142,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,142,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,142,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,142,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,142,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,142,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,142,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,142,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,142,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,142,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,142,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,142,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,142,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,142,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,142,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,142,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,142,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,142,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,142,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,142,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,142,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,142,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,142,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,142,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,142,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,142,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,142,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,142,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,142,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,142,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,142,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,142,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,142,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,142,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,142,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,142,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,142,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,142,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,142,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,142,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,142,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,142,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,142,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,142,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,142,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,142,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,142,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,142,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,142,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,142,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,142,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,142,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,142,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,142,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,142,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,142,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,142,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,142,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,142,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,142,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,142,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,142,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,142,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,142,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,142,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,142,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,142,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,142,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,142,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,142,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,142,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,142,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,142,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,142,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,142,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,142,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,142,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,142,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,142,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,142,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,142,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,142,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,142,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,142,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,142,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,142,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,142,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,142,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,142,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,142,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,142,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,142,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,142,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,142,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,142,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,142,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,142,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,142,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,142,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,142,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,142,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,142,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,142,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,142,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,142,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,142,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,142,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,142,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,142,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,142,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,142,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,142,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,142,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,142,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,142,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,142,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,142,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,142,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,142,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,142,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,142,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,142,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,142,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,142,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,142,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,142,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,142,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,142,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,142,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,142,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,142,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,142,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,142,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,142,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,142,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,142,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,142,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,142,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,142,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,142,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,142,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,142,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,142,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,142,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,142,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,142,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,142,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,142,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,142,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,142,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,142,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,142,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,142,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,142,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,142,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,142,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,142,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,142,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,142,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,142,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,142,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,142,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,142,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,142,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,142,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,142,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,142,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,142,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,142,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,142,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,142,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,142,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,142,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,142,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,142,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,142,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,142,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,142,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,142,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,142,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,142,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,142,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,142,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,142,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,142,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,142,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,142,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,142,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,13046.0,43821.22,4
RC,142,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,142,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,142,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,142,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,142,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,142,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,142,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,142,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,142,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,142,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,142,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,142,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,142,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,142,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,142,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,142,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,142,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,142,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,142,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,142,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,142,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,142,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,142,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,142,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,142,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,142,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,142,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,142,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,142,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,142,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,142,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,142,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,142,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,142,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,142,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,142,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,142,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,142,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,142,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,142,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,142,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,142,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,142,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,142,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,142,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,142,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,142,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,142,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,142,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,142,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,142,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,142,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,142,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,142,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,142,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,142,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,142,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,142,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,142,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,142,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,142,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,142,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,142,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,142,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,142,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,142,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,142,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,142,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,142,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,142,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,142,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,142,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,142,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,142,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,142,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,142,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,142,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,142,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,142,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,142,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,142,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,142,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,142,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,142,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,142,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,142,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,142,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,142,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,142,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,142,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,142,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,142,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,142,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,142,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,142,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,142,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,142,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,142,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,142,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,142,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,142,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,142,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,PSYCHOSES ,,,18854.11,18854.11,1
RC,142,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,142,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,142,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,142,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,142,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,142,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,142,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,142,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,142,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,142,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,142,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,142,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,142,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,142,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,142,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,142,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,142,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,142,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,142,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,142,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,142,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,142,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,142,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,142,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,142,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,142,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,142,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,142,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,142,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,142,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,142,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,142,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,142,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,142,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,142,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,142,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,142,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,142,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,142,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,142,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,142,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,142,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,142,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,142,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,142,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,142,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,142,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,142,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,142,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,142,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,142,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,142,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,142,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,142,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,142,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,142,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,142,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,142,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,142,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,142,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,142,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,142,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,142,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,142,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,142,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,142,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,142,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,142,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,142,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,142,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,142,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,142,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,142,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,142,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,142,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,142,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,142,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,142,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,142,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,142,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,142,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,142,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,142,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,142,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,142,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,142,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,142,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,142,UNGROUPABLE ,,,4012.81,4012.81,1
RC,142,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,142,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,142,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,142,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,142,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,142,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,142,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,142,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,142,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,142,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,142,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,142,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,142,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,142,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,142,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,142,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,142,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,142,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,142,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,142,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,142,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,142,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,142,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,142,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,142,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,142,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,142,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,142,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,142,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,142,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,142,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143, Room & Board - Deluxe Private Pediatric  ,,,6650.0,21045.0,4
RC,143,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,143,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,143,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,143,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,143,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,143,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,143,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,143,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,143,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,143,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,143,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,143,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,143,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,143,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,143,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,143,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,143,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,143,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,143,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,143,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,143,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,143,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,143,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,143,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,143,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,143,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,143,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,143,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,143,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,143,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,143,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,143,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,143,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,143,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,143,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,143,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,143,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,143,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,143,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,143,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,143,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,143,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,143,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,143,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,143,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,143,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,143,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,143,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,143,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,143,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,143,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,143,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,143,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,143,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,143,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,143,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,143,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,143,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,143,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,143,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,143,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,143,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,143,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,143,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,143,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,143,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,143,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,143,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,143,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,143,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,143,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,143,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,143,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,143,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,143,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,143,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,143,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,143,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,143,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,143,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,143,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,143,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,143,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,143,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,143,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,143,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,143,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,143,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,143,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,143,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,143,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,143,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,143,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,143,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,143,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,143,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,143,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,143,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,143,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,143,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,143,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,143,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,143,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,143,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,143,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,143,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,143,CHEST PAIN ,,,7000.0,11662.96,2
RC,143,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,143,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,143,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,143,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,143,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,143,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,143,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,143,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,143,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,143,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,143,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,143,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,143,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,143,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,143,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,143,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,143,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,143,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,143,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,143,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,143,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,143,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,143,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,143,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,143,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,143,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,143,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,143,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,143,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,143,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,143,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,143,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,143,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,143,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,143,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,143,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,143,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,143,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,143,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,143,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,143,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,143,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,143,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,143,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,143,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,143,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,143,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,143,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,143,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,143,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,143,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,143,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,143,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,143,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,143,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,143,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,143,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,19995.0,5
RC,143,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,5
RC,143,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,143,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,143,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,143,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,143,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,143,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,143,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,143,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,143,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,143,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,143,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,143,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,143,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,143,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,143,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,143,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,143,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,143,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,143,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,143,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,143,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,143,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,143,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,143,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,143,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,143,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,143,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,143,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,143,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,143,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,143,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,143,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,143,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,143,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,143,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,143,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,143,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,143,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,143,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,143,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,143,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,143,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,143,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,143,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,143,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,143,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,143,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,143,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,143,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,143,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,143,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,143,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,143,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,143,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,143,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,143,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,143,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,143,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,143,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,143,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,143,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,143,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,143,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,143,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,143,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,143,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,143,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,143,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,143,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,143,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,143,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,143,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,143,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,143,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,143,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,143,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,143,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,143,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,143,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,143,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,143,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,143,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,143,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,143,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,143,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,143,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,143,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,143,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,143,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,143,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,143,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,143,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,143,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,143,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,143,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,143,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,143,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,143,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,143,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,143,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,143,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,143,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,143,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,143,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,143,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,143,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,143,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,143,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,143,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,143,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,143,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,143,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,143,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,143,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,143,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,143,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,143,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,143,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,143,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,143,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,143,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,143,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,143,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,143,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,143,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,143,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,143,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,143,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,143,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,143,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,143,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,143,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,143,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,143,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,143,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,143,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,143,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,143,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,143,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,143,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,143,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,143,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,143,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,143,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,143,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,143,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,143,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,143,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,143,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,143,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,143,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,143,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,143,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,143,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,143,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,143,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,143,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,143,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,143,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,143,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,143,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,143,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,143,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,143,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,143,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,143,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,143,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,143,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,143,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,143,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,143,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,143,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,143,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,143,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,143,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,143,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,143,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,143,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,143,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,143,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,143,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,143,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,143,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,143,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,143,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,143,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,143,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,143,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,143,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,143,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,143,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,143,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,143,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,143,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,143,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,143,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,143,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,143,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,143,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,143,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,143,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,13046.0,22425.24,4
RC,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,143,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,143,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,143,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,143,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,143,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,143,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,143,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,143,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,143,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,143,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,143,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,143,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,143,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,143,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,143,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,143,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,143,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,143,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,143,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,143,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,143,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,143,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,143,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,143,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,143,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,143,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,143,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,143,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,143,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,143,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,143,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,143,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,143,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,143,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,143,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,143,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,143,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,143,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,143,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,143,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,143,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,143,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,143,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,143,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,143,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,143,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,143,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,143,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,143,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,143,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,143,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,143,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,143,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,143,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,143,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,143,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,143,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,143,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,143,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,143,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,143,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,143,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,143,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,143,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,143,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,143,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,143,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,143,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,143,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,143,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,143,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,143,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,143,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,143,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,143,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,143,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,143,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,143,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,143,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,143,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,143,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,143,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,143,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,143,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,143,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,143,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,143,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,143,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,143,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,143,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,143,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,143,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,143,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,143,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,143,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,143,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,143,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,PSYCHOSES ,,,18854.11,18854.11,1
RC,143,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,143,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,143,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,143,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,143,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,143,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,143,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,143,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,143,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,143,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,143,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,143,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,143,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,143,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,143,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,143,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,143,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,143,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,143,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,143,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,143,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,143,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,143,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,143,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,143,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,143,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,143,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,143,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,143,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,143,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,143,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,143,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,143,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,143,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,143,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,143,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,143,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,143,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,143,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,143,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,143,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,143,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,143,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,143,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,143,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,143,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,143,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,143,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,143,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,143,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,143,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,143,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,143,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,143,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,143,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,143,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,143,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,143,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,143,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,143,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,143,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,143,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,143,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,143,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,143,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,143,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,143,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,143,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,143,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,143,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,143,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,143,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,143,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,143,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,143,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,143,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,143,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,143,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,143,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,143,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,143,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,143,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,143,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,143,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,143,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,143,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,143,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,143,UNGROUPABLE ,,,4012.81,4012.81,1
RC,143,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,143,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,143,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,143,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,143,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,143,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,143,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,143,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,143,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,143,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,143,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,143,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,143,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,143,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,143,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,143,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,143,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,143,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,143,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,143,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,143,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,143,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,143,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,143,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,143,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,143,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,143,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,144, Room & Board - Deluxe Private Psychiatric  ,,,768.0,7700.0,18
RC,144, Room & Board - Deluxe Private Psychiatric  Adolescent,,,1103.0,2002.0,2
RC,144, Room & Board - Deluxe Private Psychiatric  Adult,,,2002.0,2002.0,1
RC,144, Room & Board - Deluxe Private Psychiatric  Adult/Geriatric,,,1103.0,1103.0,1
RC,144, Room & Board - Deluxe Private Psychiatric  Children,,,110.0,110.0,1
RC,144, Room & Board - Deluxe Private Psychiatric  Dual Diagnosis,,,1095.0,1095.0,1
RC,144, Room & Board - Deluxe Private Psychiatric  Dual Diagnosis Adult,,,1542.0,1542.0,1
RC,144, Room & Board - Deluxe Private Psychiatric  Dual Diagnosis Geriatric,,,1542.0,1542.0,1
RC,144, Room & Board - Deluxe Private Psychiatric  Mental Health Adult,,,1542.0,1542.0,1
RC,144, Room & Board - Deluxe Private Psychiatric  Mental Health Geriatric,,,1095.0,1542.0,2
RC,144,ABDOMINAL PAIN Mental Health Geriatric,,,2635.66,7047.61,4
RC,144,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,144,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,3702.72,28784.47,4
RC,144,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,144,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,2242.46,17090.96,4
RC,144,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,144,ACUTE AND SUBACUTE ENDOCARDITIS Mental Health Geriatric,,,4893.54,10995.89,4
RC,144,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,2
RC,144,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,2
RC,144,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,13891.07,2
RC,144,ACUTE ANXIETY AND STRESS SYNDROMES Mental Health Geriatric,,,2084.42,8187.18,4
RC,144,ACUTE BRONCHITIS AND RELATED SYMPTOMS Mental Health Geriatric,,,2278.74,6575.59,4
RC,144,ACUTE KIDNEY INJURY Mental Health Geriatric,,,2220.78,11029.24,4
RC,144,ACUTE LEUKEMIA Mental Health Geriatric,,,5508.16,28731.24,4
RC,144,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,144,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,144,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,144,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,144,ACUTE MYOCARDIAL INFARCTION Mental Health Geriatric,,,2757.83,9679.51,4
RC,144,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,144,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,144,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,144,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,144,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,144,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,10376.25,2
RC,144,ADJUSTMENT DISORDERS Mental Health Geriatric,,,1255.91,4788.05,4
RC,144,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,144,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,144,ADRENAL PROCEDURES Mental Health Geriatric,,,5539.85,22565.1,4
RC,144,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,144,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,144,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,144,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,144,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,144,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,144,AICD LEAD PROCEDURES ,,,7000.0,42456.95,2
RC,144,ALCOHOL ABUSE AND DEPENDENCE Mental Health Geriatric,,,1816.32,11673.88,4
RC,144,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Mental Health Geriatric,,,2482.63,12366.46,4
RC,144,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,144,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,144,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,144,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,144,ALCOHOLIC LIVER DISEASE Mental Health Geriatric,,,2777.02,11993.27,4
RC,144,ALLERGIC REACTIONS Mental Health Geriatric,,,1679.96,9832.96,4
RC,144,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,144,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,144,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,144,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,144,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,144,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,144,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,2
RC,144,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,16552.69,2
RC,144,AMPUTATION OF LOWER LIMB EXCEPT TOES Mental Health Geriatric,,,5075.34,18151.91,4
RC,144,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,144,ANAL AND PERINEAL PROCEDURES Mental Health Geriatric,,,4001.23,12198.84,4
RC,144,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,144,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,144,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,144,ANGINA PECTORIS ,,,7000.0,11470.65,2
RC,144,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Mental Health Geriatric,,,2611.9,8536.61,4
RC,144,ANTEPARTUM WITH O.R. PROCEDURE Mental Health Geriatric,,,3635.87,33162.16,4
RC,144,ANTEPARTUM WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,1888.04,19048.75,4
RC,144,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,144,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,144,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4738.85,14783.63,4
RC,144,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,144,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,144,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,144,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4518.7,11733.92,4
RC,144,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,144,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,144,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,144,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,144,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,144,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,144,ATHEROSCLEROSIS WITH MCC ,,,7000.0,16726.93,2
RC,144,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,11165.7,2
RC,144,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,144,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,144,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,144,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,144,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,144,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,144,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,144,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,144,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,144,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,4
RC,144,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,2
RC,144,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,2
RC,144,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,2
RC,144,BIPOLAR DISORDERS Mental Health Geriatric,,,1954.33,9294.65,4
RC,144,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,17786.27,2
RC,144,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,12832.8,2
RC,144,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,144,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,144,BREAST PROCEDURES EXCEPT MASTECTOMY Mental Health Geriatric,,,6096.08,13840.03,4
RC,144,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,144,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,144,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Mental Health Geriatric,,,7711.42,54670.03,4
RC,144,CARDIAC ARREST AND SHOCK Mental Health Geriatric,,,2168.23,8679.62,4
RC,144,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,144,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,144,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,144,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Mental Health Geriatric,,,2105.69,7950.35,4
RC,144,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,11829.78,2
RC,144,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,16805.56,2
RC,144,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,10027.74,2
RC,144,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Mental Health Geriatric,,,4513.27,11613.83,4
RC,144,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Mental Health Geriatric,,,4599.17,14592.66,4
RC,144,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,2
RC,144,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,13715.75,2
RC,144,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,144,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,144,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,144,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,144,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,144,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,144,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,144,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Mental Health Geriatric,,,6071.06,16574.51,4
RC,144,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,2
RC,144,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,2
RC,144,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,2
RC,144,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,2
RC,144,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,2
RC,144,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Mental Health Geriatric,,,2933.38,11131.4,4
RC,144,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,6
RC,144,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,6
RC,144,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,18216.95,42315.24,4
RC,144,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,15944.89,37783.63,4
RC,144,CARDIOMYOPATHY Mental Health Geriatric,,,2638.16,9900.1,4
RC,144,CELLULITIS AND OTHER SKIN INFECTIONS Mental Health Geriatric,,,2129.46,8912.71,4
RC,144,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,144,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,144,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,144,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,144,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,144,CESAREAN SECTION WITH STERILIZATION Mental Health Geriatric,,,3676.69,33015.34,4
RC,144,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,144,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,144,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,144,CESAREAN SECTION WITHOUT STERILIZATION Mental Health Geriatric,,,3661.31,27084.84,4
RC,144,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,144,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,144,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,144,CHEMOTHERAPY FOR ACUTE LEUKEMIA Mental Health Geriatric,,,3722.28,25182.41,4
RC,144,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,144,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,144,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,144,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,144,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,144,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,144,CHEST PAIN ,,,7000.0,11662.96,2
RC,144,CHEST PAIN Mental Health Geriatric,,,2681.94,6640.22,4
RC,144,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,2
RC,144,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,144,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,144,CHOLECYSTECTOMY Mental Health Geriatric,,,5312.18,15261.89,4
RC,144,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,144,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,144,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,144,CHRONIC KIDNEY DISEASE Mental Health Geriatric,,,2368.8,10315.81,4
RC,144,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12969.86,2
RC,144,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,15782.35,15782.35,1
RC,144,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10834.2,2
RC,144,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,144,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,144,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,144,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,144,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,144,COAGULATION AND PLATELET DISORDERS Mental Health Geriatric,,,3574.67,12456.53,4
RC,144,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,144,COCAINE ABUSE AND DEPENDENCE Mental Health Geriatric,,,1670.38,9330.52,4
RC,144,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,144,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,144,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,2
RC,144,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,15525.23,2
RC,144,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,144,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,144,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,144,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,144,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,144,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,2
RC,144,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,144,CONNECTIVE TISSUE DISORDERS Mental Health Geriatric,,,3409.14,13897.99,4
RC,144,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,16267.93,2
RC,144,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,2
RC,144,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,12897.62,2
RC,144,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Mental Health Geriatric",,,3276.12,10005.59,4
RC,144,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,17145.76,32891.75,4
RC,144,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,2
RC,144,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,2
RC,144,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,2
RC,144,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,2
RC,144,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,14471.32,28532.34,4
RC,144,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,144,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,144,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,144,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,144,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,144,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,144,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,11337.8,30993.71,4
RC,144,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,144,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,144,DEFIBRILLATOR IMPLANTS Mental Health Geriatric,,,14403.35,27697.57,4
RC,144,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,13679.62,2
RC,144,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,2
RC,144,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,11540.78,2
RC,144,DEPRESSIVE DISORDERS Mental Health Geriatric,,,1652.45,9282.14,4
RC,144,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,144,DIABETES Mental Health Geriatric,,,2335.44,8629.16,4
RC,144,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,144,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,144,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,144,DIGESTIVE MALIGNANCY Mental Health Geriatric,,,3626.8,10922.08,4
RC,144,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,16865.07,2
RC,144,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,2
RC,144,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,144,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Mental Health Geriatric,,,3892.4,12235.94,4
RC,144,DISORDERS OF GALLBLADDER AND BILIARY TRACT Mental Health Geriatric,,,2699.87,10077.3,4
RC,144,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Mental Health Geriatric,,,2080.68,15327.77,4
RC,144,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,14269.32,2
RC,144,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,2
RC,144,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,11447.28,2
RC,144,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Mental Health Geriatric,,,2418.0,11676.37,4
RC,144,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12950.74,2
RC,144,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,144,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,10615.32,2
RC,144,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,144,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,144,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,144,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,144,DIVERTICULITIS AND DIVERTICULOSIS Mental Health Geriatric,,,2331.28,9403.48,4
RC,144,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Mental Health Geriatric,,,11271.5,30024.67,4
RC,144,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Mental Health Geriatric,,,17455.56,42924.85,4
RC,144,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Mental Health Geriatric",,,1200.04,8311.02,4
RC,144,DYSEQUILIBRIUM ,,,7000.0,11998.72,2
RC,144,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,17522.77,2
RC,144,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,26510.63,2
RC,144,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,12482.17,2
RC,144,EATING DISORDERS Mental Health Geriatric,,,4798.48,16985.22,4
RC,144,ELECTIVE HIP JOINT REPLACEMENT Mental Health Geriatric,,,6259.54,16820.94,4
RC,144,ELECTIVE KNEE JOINT REPLACEMENT Mental Health Geriatric,,,6143.2,15420.76,4
RC,144,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,144,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,144,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,144,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,2
RC,144,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,2
RC,144,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,2
RC,144,EPISTAXIS WITH MCC ,,,7000.0,18160.28,2
RC,144,EPISTAXIS WITHOUT MCC ,,,7000.0,11811.71,2
RC,144,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,144,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,12296.22,2
RC,144,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,8813.89,31255.98,4
RC,144,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,144,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,144,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,7148.51,24255.91,4
RC,144,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,6883.74,21139.9,4
RC,144,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,144,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,144,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,144,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Mental Health Geriatric,,,23840.2,106648.52,4
RC,144,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,3618.04,12891.01,4
RC,144,EXTERNAL HEART ASSIST DEVICES Mental Health Geriatric,,,20680.4,36380.94,4
RC,144,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,144,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Mental Health Geriatric,,,2302.92,8809.72,4
RC,144,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Mental Health Geriatric,,,3110.17,10324.15,4
RC,144,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,144,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Mental Health Geriatric,,,5097.86,21578.14,4
RC,144,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,144,FEVER AND INFLAMMATORY CONDITIONS Mental Health Geriatric,,,2026.88,6681.5,4
RC,144,FOOT AND TOE PROCEDURES Mental Health Geriatric,,,4416.53,14491.75,4
RC,144,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,2
RC,144,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,2
RC,144,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,144,FRACTURE OF FEMUR Mental Health Geriatric,,,2343.78,7153.1,4
RC,144,FRACTURE OF PELVIS OR DISLOCATION OF HIP Mental Health Geriatric,,,2601.47,9079.08,4
RC,144,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,144,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Mental Health Geriatric",,,2796.61,9488.54,4
RC,144,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,2
RC,144,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,12577.79,2
RC,144,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,17634.33,2
RC,144,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,12593.73,2
RC,144,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,144,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,144,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,144,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,144,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,144,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,2
RC,144,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,144,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,144,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,144,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,144,GASTROINTESTINAL VASCULAR INSUFFICIENCY Mental Health Geriatric,,,2731.56,9029.04,4
RC,144,GENDER RELATED PROCEDURES Mental Health Geriatric,,,9202.08,50815.57,4
RC,144,GENETIC DISORDERS Mental Health Geriatric,,,3283.21,22763.58,4
RC,144,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Mental Health Geriatric,,,4464.9,16153.79,4
RC,144,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6299.57,21106.96,4
RC,144,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Mental Health Geriatric,,,4667.14,18697.72,4
RC,144,HAND AND WRIST PROCEDURES Mental Health Geriatric,,,4471.57,12957.3,4
RC,144,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,2
RC,144,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,14874.96,2
RC,144,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,144,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,144,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,144,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,144,HEART FAILURE Mental Health Geriatric,,,2395.49,10730.69,4
RC,144,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Mental Health Geriatric,,,2424.25,9936.37,4
RC,144,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Mental Health Geriatric,,,2337.53,11125.56,4
RC,144,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,144,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,144,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,144,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,2
RC,144,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,2
RC,144,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,18303.71,2
RC,144,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Mental Health Geriatric",,,5531.51,18000.54,4
RC,144,HIP AND FEMUR FRACTURE REPAIR Mental Health Geriatric,,,5960.15,14309.95,4
RC,144,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,144,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,144,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,144,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,144,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,144,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,144,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,144,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI Mental Health Geriatric,,,4029.17,9171.65,4
RC,144,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,144,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,144,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,144,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Mental Health Geriatric,,,3596.35,15694.7,4
RC,144,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Mental Health Geriatric,,,3618.04,8646.26,4
RC,144,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,144,HOSPICE AND PALLIATIVE CARE Mental Health Geriatric,,,858.54,1030.33,4
RC,144,HYPERTENSION Mental Health Geriatric,,,2711.14,8817.23,4
RC,144,HYPERTENSION WITH MCC ,,,7000.0,16656.81,2
RC,144,HYPERTENSION WITHOUT MCC ,,,7000.0,12035.9,2
RC,144,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Mental Health Geriatric,,,1940.57,6751.56,4
RC,144,IMPLANTABLE HEART ASSIST SYSTEMS Mental Health Geriatric,,,59825.44,115367.76,4
RC,144,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,144,INBORN ERRORS OF METABOLISM Mental Health Geriatric,,,3171.05,24774.62,4
RC,144,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,144,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,144,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,144,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Mental Health Geriatric,,,6146.12,20729.6,4
RC,144,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,144,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,144,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,144,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,144,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,144,INFLAMMATORY BOWEL DISEASE Mental Health Geriatric,,,2700.71,9128.7,4
RC,144,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,144,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,144,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,144,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,144,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,144,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,144,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Mental Health Geriatric",,,4785.97,14410.86,4
RC,144,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Mental Health Geriatric",,,8040.83,21099.46,4
RC,144,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Mental Health Geriatric,,,1878.44,10436.32,4
RC,144,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,14097.19,2
RC,144,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,2
RC,144,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,11622.58,2
RC,144,INTESTINAL OBSTRUCTION Mental Health Geriatric,,,2154.48,8511.59,4
RC,144,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,144,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,144,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,144,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,144,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,144,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,144,KIDNEY AND URINARY TRACT INFECTIONS Mental Health Geriatric,,,2340.44,6933.36,4
RC,144,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,144,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,144,KIDNEY AND URINARY TRACT MALIGNANCY Mental Health Geriatric,,,3405.8,11039.66,4
RC,144,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,144,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,144,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,144,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6300.4,20013.67,4
RC,144,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Mental Health Geriatric,,,6031.87,17287.94,4
RC,144,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,144,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,144,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,144,KIDNEY TRANSPLANT Mental Health Geriatric,,,21479.32,39941.86,4
RC,144,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,144,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,144,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Mental Health Geriatric,,,6428.82,18339.12,4
RC,144,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,2
RC,144,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,2
RC,144,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,144,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,2
RC,144,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,144,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,144,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,144,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,144,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,144,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,6
RC,144,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,2
RC,144,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,2
RC,144,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,2
RC,144,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,144,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,2
RC,144,LOWER VASCULAR PROCEDURES Mental Health Geriatric,,,7223.57,21188.69,4
RC,144,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Mental Health Geriatric,,,3049.7,10853.7,4
RC,144,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,144,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,144,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,144,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,144,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,144,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,144,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,144,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,144,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,144,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Mental Health Geriatric",,,3615.12,16950.61,4
RC,144,MAJOR ABDOMINAL VASCULAR PROCEDURES Mental Health Geriatric,,,11805.22,25457.2,4
RC,144,MAJOR BILIARY TRACT PROCEDURES Mental Health Geriatric,,,7103.89,22027.63,4
RC,144,MAJOR BLADDER PROCEDURES Mental Health Geriatric,,,9317.17,25508.48,4
RC,144,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,144,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,144,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,144,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Mental Health Geriatric,,,14909.98,67535.18,4
RC,144,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,2
RC,144,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,2
RC,144,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,2
RC,144,MAJOR CHEST TRAUMA WITH CC ,,,15319.1,15319.1,1
RC,144,MAJOR CHEST TRAUMA WITH MCC ,,,20268.32,20268.32,1
RC,144,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,12369.54,1
RC,144,MAJOR ESOPHAGEAL DISORDERS Mental Health Geriatric,,,3091.4,11085.53,4
RC,144,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,144,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,144,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,11458.96,2
RC,144,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Mental Health Geriatric,,,2515.57,9344.27,4
RC,144,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,144,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,2
RC,144,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,144,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Mental Health Geriatric,,,2559.36,12508.64,4
RC,144,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,144,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,144,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,144,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,144,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,2
RC,144,MAJOR LARGE BOWEL PROCEDURES Mental Health Geriatric,,,6569.76,18460.46,4
RC,144,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,144,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,144,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,7350.32,31025.82,4
RC,144,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Mental Health Geriatric",,,8471.98,25798.27,4
RC,144,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,2
RC,144,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,144,MAJOR SKIN DISORDERS Mental Health Geriatric,,,2103.19,14003.48,4
RC,144,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,144,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,144,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,144,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,144,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,144,MAJOR SMALL BOWEL PROCEDURES Mental Health Geriatric,,,5318.44,20640.79,4
RC,144,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,6927.11,24108.3,4
RC,144,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,18348.35,2
RC,144,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Mental Health Geriatric,,,2300.0,9983.06,4
RC,144,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Mental Health Geriatric",,,2659.01,10825.34,4
RC,144,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Mental Health Geriatric",,,2839.98,10809.5,4
RC,144,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Mental Health Geriatric",,,2551.85,9096.59,4
RC,144,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Mental Health Geriatric",,,2973.82,10011.0,4
RC,144,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Mental Health Geriatric,,,3295.72,9999.32,4
RC,144,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,144,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,144,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,144,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,144,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,144,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,144,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Mental Health Geriatric",,,3113.93,9292.57,4
RC,144,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,144,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,144,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,144,MALIGNANT BREAST DISORDERS Mental Health Geriatric,,,3655.56,10300.8,4
RC,144,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,144,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,144,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,144,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Mental Health Geriatric",,,2273.74,9630.73,4
RC,144,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,144,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,144,MASTECTOMY PROCEDURES Mental Health Geriatric,,,7114.32,12817.62,4
RC,144,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,2
RC,144,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,14226.82,2
RC,144,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Mental Health Geriatric,,,2426.76,8609.99,4
RC,144,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,144,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,144,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,4096.3,25977.16,4
RC,144,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,144,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,144,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,144,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,144,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,144,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,2
RC,144,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,2
RC,144,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,144,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,144,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,144,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,5179.16,19144.28,4
RC,144,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,5159.57,17171.6,4
RC,144,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,16800.08,36867.55,4
RC,144,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,144,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,144,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,144,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,4092.96,14277.84,4
RC,144,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,9194.16,28054.08,4
RC,144,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Mental Health Geriatric,,,4066.28,11988.68,4
RC,144,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,144,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,144,NEONATAL AFTERCARE Mental Health Geriatric,,,5633.24,44950.49,4
RC,144,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,7726.02,50058.36,4
RC,144,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,27073.79,67834.15,4
RC,144,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,10356.25,29543.5,4
RC,144,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,17573.15,47769.19,4
RC,144,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,8072.1,44339.21,4
RC,144,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,7171.45,44786.2,4
RC,144,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5584.04,27744.68,4
RC,144,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,11563.38,39863.88,4
RC,144,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,19181.82,112697.08,4
RC,144,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,5242.97,23530.38,4
RC,144,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,2731.14,33224.9,4
RC,144,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5353.46,29141.95,4
RC,144,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,6839.95,21704.47,4
RC,144,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Mental Health Geriatric",,,982.19,18303.86,4
RC,144,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,5460.2,99215.64,4
RC,144,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,32629.9,92243.09,4
RC,144,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,74907.61,153134.29,4
RC,144,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Mental Health Geriatric",,,1737.5,70556.12,4
RC,144,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,3378.28,20747.11,4
RC,144,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,1000.73,36671.99,4
RC,144,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Mental Health Geriatric,,,12543.67,94599.38,4
RC,144,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Mental Health Geriatric,,,4650.04,105280.87,4
RC,144,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,1467.73,11772.28,4
RC,144,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Mental Health Geriatric,,,2622.31,22253.63,4
RC,144,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Mental Health Geriatric",,,721.26,9426.34,4
RC,144,NEONATE WITH ECMO Mental Health Geriatric,,,90705.72,229024.7,4
RC,144,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,144,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Mental Health Geriatric",,,450.32,3814.01,4
RC,144,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Mental Health Geriatric",,,1363.91,7107.65,4
RC,144,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,144,NEPHRITIS AND NEPHROSIS Mental Health Geriatric,,,2592.71,13427.23,4
RC,144,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,144,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Mental Health Geriatric,,,7064.28,16337.26,4
RC,144,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Mental Health Geriatric,,,9228.77,17424.29,4
RC,144,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,144,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4617.52,16856.38,4
RC,144,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,4145.51,15976.57,4
RC,144,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,144,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,144,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,144,NON-HYPOVOLEMIC SODIUM DISORDERS Mental Health Geriatric,,,2255.8,8345.21,4
RC,144,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,144,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,144,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,144,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,144,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,144,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,144,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,144,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,144,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,144,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,144,OBSESSIVE COMPULSIVE DISORDERS Mental Health Geriatric,,,2730.73,6283.31,4
RC,144,OPIOID ABUSE AND DEPENDENCE Mental Health Geriatric,,,1426.03,8843.9,4
RC,144,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,144,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Mental Health Geriatric,,,2652.34,13346.76,4
RC,144,OSTEOMYELITIS WITH CC ,,,7000.0,17786.27,2
RC,144,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,2
RC,144,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,12379.1,2
RC,144,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Mental Health Geriatric",,,3255.7,10627.28,4
RC,144,OTHER AFTERCARE AND CONVALESCENCE Mental Health Geriatric,,,3557.58,7655.96,4
RC,144,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Mental Health Geriatric,,,2743.24,9428.92,4
RC,144,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,2484.3,9045.3,4
RC,144,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,144,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,144,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,144,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,144,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,144,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,144,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Mental Health Geriatric",,,3280.72,10182.79,4
RC,144,OTHER BLADDER PROCEDURES Mental Health Geriatric,,,4784.3,13658.65,4
RC,144,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Mental Health Geriatric,,,11152.67,33576.41,4
RC,144,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,144,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,2
RC,144,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,2
RC,144,OTHER CHEMOTHERAPY Mental Health Geriatric,,,3204.83,12944.8,4
RC,144,OTHER CIRCULATORY SYSTEM DIAGNOSES Mental Health Geriatric,,,2562.28,9553.18,4
RC,144,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,14248.07,2
RC,144,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,2
RC,144,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,144,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,2
RC,144,OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,2749.08,9455.18,4
RC,144,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Mental Health Geriatric,,,5387.23,18505.08,4
RC,144,OTHER DIGESTIVE SYSTEM DIAGNOSES Mental Health Geriatric,,,2691.12,9194.58,4
RC,144,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,13954.82,2
RC,144,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,2
RC,144,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,144,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,2
RC,144,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,2
RC,144,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18865.79,2
RC,144,OTHER DISORDERS OF THE LIVER Mental Health Geriatric,,,2763.67,10730.69,4
RC,144,OTHER DRUG ABUSE AND DEPENDENCE Mental Health Geriatric,,,1639.52,8949.4,4
RC,144,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,13750.82,2
RC,144,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,2
RC,144,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,11355.89,2
RC,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,16787.5,16787.5,1
RC,144,OTHER ENDOCRINE DISORDERS Mental Health Geriatric,,,2704.04,9937.62,4
RC,144,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,144,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,144,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,144,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,144,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,144,OTHER ESOPHAGEAL DISORDERS Mental Health Geriatric,,,2849.15,9704.11,4
RC,144,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,144,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,4104.64,16897.25,4
RC,144,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,144,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,144,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Mental Health Geriatric",,,2300.83,7803.98,4
RC,144,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,2
RC,144,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,2
RC,144,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,144,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,144,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Mental Health Geriatric",,,5974.74,20509.86,4
RC,144,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,144,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,144,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,144,OTHER INFECTIOUS AND PARASITIC DISEASES Mental Health Geriatric,,,2385.48,11118.47,4
RC,144,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Mental Health Geriatric",,,2090.27,11114.3,4
RC,144,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,144,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,144,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,144,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,144,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,144,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Mental Health Geriatric",,,2438.86,9560.68,4
RC,144,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,144,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,144,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,144,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6418.4,19647.98,4
RC,144,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6941.7,20009.92,4
RC,144,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,144,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,144,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,144,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,5554.44,21288.76,4
RC,144,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,144,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,144,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,144,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,144,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,144,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,144,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,144,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Mental Health Geriatric,,,2109.02,10332.49,4
RC,144,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,144,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,144,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,2625.65,9000.28,4
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,2
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,2
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,2
RC,144,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Mental Health Geriatric,,,5559.44,16956.46,4
RC,144,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,144,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Mental Health Geriatric,,,2177.83,8479.9,4
RC,144,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,144,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,144,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,144,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,5883.01,26789.41,4
RC,144,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,144,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,144,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,144,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,144,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,144,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,144,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Mental Health Geriatric,,,6209.09,18271.15,4
RC,144,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Mental Health Geriatric",,,5840.9,19514.14,4
RC,144,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,5686.2,26151.44,4
RC,144,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,144,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,144,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,2
RC,144,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,2
RC,144,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18531.1,2
RC,144,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Mental Health Geriatric,,,6813.68,18268.66,4
RC,144,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Mental Health Geriatric",,,2314.6,10255.34,4
RC,144,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,144,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,2
RC,144,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,144,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Mental Health Geriatric",,,3804.01,14920.39,4
RC,144,OTHER SMALL AND LARGE BOWEL PROCEDURES Mental Health Geriatric,,,5328.02,16891.4,4
RC,144,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,3964.96,18121.88,4
RC,144,OTHER UPPER VASCULAR PROCEDURES Mental Health Geriatric,,,7956.6,18872.84,4
RC,144,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,144,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,144,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,144,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,16573.94,2
RC,144,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,11856.34,2
RC,144,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,2
RC,144,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,144,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,2
RC,144,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,2320.43,13546.49,4
RC,144,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,6
RC,144,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,144,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,144,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,144,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,144,"PENIS, TESTES AND SCROTAL PROCEDURES Mental Health Geriatric",,,4627.52,17795.4,4
RC,144,PEPTIC ULCER AND GASTRITIS Mental Health Geriatric,,,3183.55,11294.86,4
RC,144,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,144,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,144,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Mental Health Geriatric,,,8073.35,17504.35,4
RC,144,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Mental Health Geriatric,,,8745.08,19770.16,4
RC,144,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,144,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,144,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,144,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,144,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,2
RC,144,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,2
RC,144,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,144,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Mental Health Geriatric,,,15987.0,31019.15,4
RC,144,PERIPHERAL AND OTHER VASCULAR DISORDERS Mental Health Geriatric,,,2715.3,10134.01,4
RC,144,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,144,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,144,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,144,PERITONEAL ADHESIOLYSIS Mental Health Geriatric,,,5846.74,17678.23,4
RC,144,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,2
RC,144,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,2
RC,144,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,2
RC,144,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,9196.67,25239.96,4
RC,144,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,144,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,144,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,6516.38,17521.86,4
RC,144,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,144,PERSONALITY DISORDERS Mental Health Geriatric,,,1858.01,12289.32,4
RC,144,PLEURAL EFFUSION WITH CC ,,,14522.21,14522.21,1
RC,144,PLEURAL EFFUSION WITH MCC ,,,20572.2,20572.2,1
RC,144,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,11633.21,1
RC,144,PNEUMOTHORAX WITH CC ,,,7000.0,15693.1,2
RC,144,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,2
RC,144,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,11610.9,2
RC,144,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,144,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,144,POISONING OF MEDICINAL AGENTS Mental Health Geriatric,,,1818.4,8746.75,4
RC,144,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Mental Health Geriatric",,,5171.66,20634.95,4
RC,144,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Mental Health Geriatric",,,2777.84,11662.2,4
RC,144,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,144,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,144,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,144,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,144,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,144,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,144,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,144,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Mental Health Geriatric,,,1691.02,18371.86,4
RC,144,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,2890.94,35669.74,4
RC,144,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,144,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,144,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,144,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Mental Health Geriatric",,,6735.3,34803.13,4
RC,144,PROCEDURES FOR OBESITY Mental Health Geriatric,,,4893.96,19469.52,4
RC,144,PROSTATECTOMY PROCEDURES Mental Health Geriatric,,,6523.06,17066.53,4
RC,144,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,144,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,144,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,144,PSYCHOSES ,,,18854.11,18854.11,1
RC,144,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,17139.19,17139.19,1
RC,144,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,18607.6,18607.6,1
RC,144,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,12566.11,1
RC,144,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,144,RADIOTHERAPY Mental Health Geriatric,,,4977.77,16606.2,4
RC,144,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,144,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,144,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,2
RC,144,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,144,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,144,REHABILITATION Mental Health Geriatric,,,5069.51,10543.48,4
RC,144,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,144,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,144,RENAL DIALYSIS ACCESS PROCEDURES Mental Health Geriatric,,,5507.33,17744.11,4
RC,144,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,144,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,144,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,144,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,14383.02,14383.02,1
RC,144,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,20616.83,20616.83,1
RC,144,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,12034.84,1
RC,144,RESPIRATORY NEOPLASMS WITH CC ,,,15392.42,15392.42,1
RC,144,RESPIRATORY NEOPLASMS WITH MCC ,,,22776.94,22776.94,1
RC,144,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,12022.1,1
RC,144,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,144,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES Mental Health Geriatric",,,2443.44,9335.93,4
RC,144,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,144,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,144,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,144,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,144,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,144,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,144,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,144,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,144,SCHIZOAFFECTIVE DISORDERS Mental Health Geriatric,,,3416.64,11589.23,4
RC,144,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Mental Health Geriatric,,,2710.72,11570.47,4
RC,144,SEPTIC ARTHRITIS WITH CC ,,,7000.0,16839.57,2
RC,144,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,2
RC,144,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,13300.31,2
RC,144,SEPTICEMIA AND DISSEMINATED INFECTIONS Mental Health Geriatric,,,2882.09,12019.13,4
RC,144,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,144,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,144,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,144,SHOULDER AND ELBOW JOINT REPLACEMENT Mental Health Geriatric,,,7387.85,17263.76,4
RC,144,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,144,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,144,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,2
RC,144,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Mental Health Geriatric",,,5687.87,17656.55,4
RC,144,SICKLE CELL ANEMIA CRISIS Mental Health Geriatric,,,2684.03,11244.82,4
RC,144,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,18057.21,2
RC,144,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,12838.11,2
RC,144,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,144,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,144,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Mental Health Geriatric",,,2438.86,7633.45,4
RC,144,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,12575.67,2
RC,144,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,17978.59,2
RC,144,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,10690.76,2
RC,144,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,144,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,12561.18,24951.83,4
RC,144,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,144,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,144,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,144,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,2
RC,144,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,144,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,2
RC,144,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,144,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,2
RC,144,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,6869.15,28797.12,4
RC,144,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Mental Health Geriatric,,,7449.14,26071.39,4
RC,144,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,144,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,2
RC,144,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,144,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,144,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,144,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,144,SKIN ULCERS Mental Health Geriatric,,,2420.09,9142.87,4
RC,144,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,144,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,144,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,144,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,2
RC,144,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,2
RC,144,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,18313.28,2
RC,144,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Mental Health Geriatric,,,7699.33,22736.05,4
RC,144,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,144,SPLENIC PROCEDURES Mental Health Geriatric,,,6878.32,19399.48,4
RC,144,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,144,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,144,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,144,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,14152.45,2
RC,144,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,11666.16,2
RC,144,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,144,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,144,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,144,SYNCOPE AND COLLAPSE ,,,7000.0,13273.75,2
RC,144,SYNCOPE AND COLLAPSE Mental Health Geriatric,,,3013.02,7550.89,4
RC,144,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Mental Health Geriatric",,,5003.21,15544.6,4
RC,144,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19811.43,2
RC,144,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,13503.25,2
RC,144,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,144,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,144,THYROID DISORDERS Mental Health Geriatric,,,2426.76,9912.18,4
RC,144,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Mental Health Geriatric",,,4986.95,23891.48,4
RC,144,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,144,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,144,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,144,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Mental Health Geriatric,,,2164.91,11372.82,4
RC,144,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,144,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,144,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,144,TRANSURETHRAL PROSTATECTOMY Mental Health Geriatric,,,3827.35,12827.21,4
RC,144,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,144,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,144,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,144,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,144,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,144,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,144,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,144,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,35637.69,35637.69,1
RC,144,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,144,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,144,UNGROUPABLE ,,,4012.81,4012.81,1
RC,144,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,144,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,144,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,15617.67,2
RC,144,URETHRAL AND TRANSURETHRAL PROCEDURES Mental Health Geriatric,,,4298.53,13173.3,4
RC,144,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,144,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,144,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,144,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Mental Health Geriatric,,,2026.06,10006.0,4
RC,144,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,144,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,144,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,144,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,144,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,144,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,144,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,144,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,144,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,144,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,144,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,144,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,144,VAGINAL DELIVERY Mental Health Geriatric,,,2199.86,13169.48,4
RC,144,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Mental Health Geriatric,,,2482.09,27141.0,4
RC,144,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,144,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Mental Health Geriatric,,,3580.84,17223.0,4
RC,144,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,144,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,144,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,144,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,144,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,144,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,144,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,2
RC,144,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Mental Health Geriatric,,,5907.61,16377.29,4
RC,144,VIRAL ILLNESS Mental Health Geriatric,,,1901.8,9350.52,4
RC,144,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,144,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,144,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,144,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,144,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,144,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,145, Room & Board - Deluxe Private Hospice  ,,,2440.0,7700.0,3
RC,145,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,145,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,145,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,145,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,145,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,145,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,145,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,145,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,145,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,145,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,145,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,145,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,145,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,145,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,145,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,145,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,145,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,145,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,145,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,145,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,145,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,145,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,145,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,145,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,145,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,145,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,145,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,145,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,145,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,145,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,145,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,145,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,145,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,145,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,145,CHEST PAIN ,,,7000.0,7000.0,1
RC,145,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,145,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,145,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,145,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,145,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,145,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,145,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,145,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,145,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,145,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,145,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,145,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,7000.0,1
RC,145,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,7000.0,1
RC,145,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,145,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,145,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,145,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,145,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,145,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,145,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,DYSEQUILIBRIUM ,,,7000.0,7000.0,1
RC,145,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,7000.0,1
RC,145,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC ",,,7000.0,7000.0,1
RC,145,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,145,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,145,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,145,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,EPISTAXIS WITH MCC ,,,7000.0,7000.0,1
RC,145,EPISTAXIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,145,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,145,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,145,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,145,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,145,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,145,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,145,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,145,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,145,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,145,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,145,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,145,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,145,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,145,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,145,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,145,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,145,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,145,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,145,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,145,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,145,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,145,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,145,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,145,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,145,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,145,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,145,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,145,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,145,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,145,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,145,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,145,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,145,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,145,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,145,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,145,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,145,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,145,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,145,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,145,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,145,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,145,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,145,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,145,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,145,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,145,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,7000.0,1
RC,145,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,7000.0,1
RC,145,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,145,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,145,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,145,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,145,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,145,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,145,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,145,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,145,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,145,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,145,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,7000.0,1
RC,145,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,145,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,145,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,145,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,145,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,145,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,145,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,145,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,145,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,REHABILITATION WITH CC/MCC ,,,1793.0,4112.0,3
RC,145,REHABILITATION WITHOUT CC/MCC ,,,1793.0,4112.0,3
RC,145,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,145,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,145,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,145,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,145,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,145,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,145,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,145,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,145,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,145,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,145,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,145,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,145,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,145,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,145,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,145,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,145,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,145,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,145,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,145,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,146, Room & Board - Deluxe Private Detoxification  ,,,1103.0,7700.0,7
RC,146, Room & Board - Deluxe Private Detoxification  Adult/Geriatric,,,1103.0,1136.0,2
RC,146,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,146,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,146,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,146,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,2
RC,146,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,2
RC,146,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,13891.07,2
RC,146,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,146,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,146,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,146,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,146,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,146,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,146,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,146,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,146,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,146,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,10376.25,2
RC,146,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,146,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,146,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,146,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,146,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,146,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,146,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,146,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,146,AICD LEAD PROCEDURES ,,,7000.0,42456.95,2
RC,146,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,146,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,146,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,146,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,146,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,146,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,146,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,146,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,146,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,146,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,146,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,2
RC,146,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,16552.69,2
RC,146,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,146,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,146,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,146,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,146,ANGINA PECTORIS ,,,7000.0,11470.65,2
RC,146,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,146,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,146,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,146,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,146,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,146,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,146,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,146,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,146,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,146,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,146,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,146,ATHEROSCLEROSIS WITH MCC ,,,7000.0,16726.93,2
RC,146,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,11165.7,2
RC,146,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,146,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,146,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,146,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,146,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,146,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,146,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,146,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,146,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,146,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,146,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,146,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,146,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,146,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,4
RC,146,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,2
RC,146,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,2
RC,146,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,2
RC,146,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,17786.27,2
RC,146,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,12832.8,2
RC,146,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,146,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,146,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,146,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,146,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,146,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,146,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,146,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,11829.78,2
RC,146,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,16805.56,2
RC,146,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,10027.74,2
RC,146,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,2
RC,146,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,13715.75,2
RC,146,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,146,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,146,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,146,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,146,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,146,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,146,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,146,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,2
RC,146,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,2
RC,146,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,2
RC,146,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,2
RC,146,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,2
RC,146,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,6
RC,146,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,6
RC,146,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,146,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,146,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,146,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,146,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,146,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,146,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,146,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,146,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,146,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,146,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,146,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,146,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,146,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,146,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,146,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,146,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,146,CHEST PAIN ,,,7000.0,11662.96,2
RC,146,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,2
RC,146,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,146,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,146,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,146,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,146,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,146,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12969.86,2
RC,146,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,15782.35,15782.35,1
RC,146,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10834.2,2
RC,146,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,146,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,146,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,146,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,146,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,146,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,146,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,146,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,146,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,2
RC,146,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,15525.23,2
RC,146,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,146,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,146,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,146,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,146,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,146,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,2
RC,146,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,146,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,16267.93,2
RC,146,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,2
RC,146,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,12897.62,2
RC,146,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,2
RC,146,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,2
RC,146,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,2
RC,146,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,2
RC,146,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,146,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,146,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,146,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,146,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,146,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,146,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,146,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,146,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,13679.62,2
RC,146,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,2
RC,146,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,11540.78,2
RC,146,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,146,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,146,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,146,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,146,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,16865.07,2
RC,146,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,2
RC,146,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,146,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,14269.32,2
RC,146,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,2
RC,146,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,11447.28,2
RC,146,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12950.74,2
RC,146,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,146,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,10615.32,2
RC,146,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,146,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,146,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,146,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,146,DYSEQUILIBRIUM ,,,7000.0,11998.72,2
RC,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC ",,,7000.0,17522.77,2
RC,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,12482.17,2
RC,146,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,146,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,146,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,146,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,2
RC,146,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,2
RC,146,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,2
RC,146,EPISTAXIS WITH MCC ,,,7000.0,18160.28,2
RC,146,EPISTAXIS WITHOUT MCC ,,,7000.0,11811.71,2
RC,146,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,146,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,12296.22,2
RC,146,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,146,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,146,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,146,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,146,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,146,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,146,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,146,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,146,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,2
RC,146,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,2
RC,146,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,146,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,146,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,2
RC,146,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,12577.79,2
RC,146,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,17634.33,2
RC,146,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,12593.73,2
RC,146,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,146,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,146,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,146,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,146,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,146,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,2
RC,146,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,146,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,146,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,146,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,146,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,2
RC,146,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,14874.96,2
RC,146,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,146,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,146,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,146,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,146,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,146,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,146,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,146,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,2
RC,146,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,2
RC,146,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,18303.71,2
RC,146,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,146,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,146,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,146,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,146,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,146,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,146,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,146,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,146,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,146,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,146,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,146,HYPERTENSION WITH MCC ,,,7000.0,16656.81,2
RC,146,HYPERTENSION WITHOUT MCC ,,,7000.0,12035.9,2
RC,146,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,146,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,146,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,146,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,146,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,146,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,146,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,146,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,146,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,146,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,146,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,146,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,146,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,146,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,146,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,146,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,14097.19,2
RC,146,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,2
RC,146,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,11622.58,2
RC,146,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,146,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,146,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,146,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,146,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,146,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,146,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,146,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,146,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,146,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,146,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,146,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,146,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,146,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,146,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,146,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,146,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,2
RC,146,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,2
RC,146,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,146,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,2
RC,146,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,146,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,146,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,146,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,146,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,146,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,6
RC,146,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,2
RC,146,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,2
RC,146,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,2
RC,146,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,146,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,2
RC,146,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,146,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,146,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,146,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,146,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,146,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,146,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,146,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,146,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,146,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,146,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,146,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,146,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,2
RC,146,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,2
RC,146,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,2
RC,146,MAJOR CHEST TRAUMA WITH CC ,,,15319.1,15319.1,1
RC,146,MAJOR CHEST TRAUMA WITH MCC ,,,20268.32,20268.32,1
RC,146,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,12369.54,1
RC,146,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,146,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,146,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,11458.96,2
RC,146,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,146,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,2
RC,146,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,146,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,146,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,146,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,146,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,146,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,2
RC,146,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,146,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,146,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,2
RC,146,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,146,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,146,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,146,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,146,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,146,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,146,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,18348.35,2
RC,146,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,146,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,146,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,146,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,146,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,146,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,146,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,146,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,146,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,146,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,146,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,146,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,146,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,146,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,146,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,2
RC,146,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,14226.82,2
RC,146,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,146,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,146,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,146,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,146,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,146,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,146,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,146,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,2
RC,146,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,2
RC,146,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,146,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,146,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,146,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,146,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,146,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,146,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,146,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,146,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,146,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,146,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,146,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,146,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,146,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,146,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,146,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,146,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,146,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,146,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,146,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,146,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,146,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,146,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,146,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,146,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,146,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,146,OSTEOMYELITIS WITH CC ,,,7000.0,17786.27,2
RC,146,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,2
RC,146,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,12379.1,2
RC,146,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,146,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,146,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,146,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,146,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,146,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,146,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,146,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,2
RC,146,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,2
RC,146,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,14248.07,2
RC,146,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,2
RC,146,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,146,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,2
RC,146,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,13954.82,2
RC,146,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,2
RC,146,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,146,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,2
RC,146,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,2
RC,146,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18865.79,2
RC,146,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,13750.82,2
RC,146,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,2
RC,146,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,11355.89,2
RC,146,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,146,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,146,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,146,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,146,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,146,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,146,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,146,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,146,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,2
RC,146,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,2
RC,146,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,146,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,146,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,146,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,146,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,146,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,146,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,146,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,146,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,146,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,146,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,146,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,146,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,146,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,146,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,146,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,146,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,146,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,146,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,146,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,146,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,146,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,146,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,146,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,146,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,146,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,146,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,146,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,146,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,146,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,2
RC,146,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,2
RC,146,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,2
RC,146,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,146,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,146,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,146,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,146,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,146,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,146,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,146,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,146,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,146,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,146,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,146,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,146,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,2
RC,146,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,2
RC,146,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18531.1,2
RC,146,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,146,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,2
RC,146,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,146,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,146,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,146,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,146,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,16573.94,2
RC,146,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,11856.34,2
RC,146,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,2
RC,146,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,146,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,2
RC,146,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,6
RC,146,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,146,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,146,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,146,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,146,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,146,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,146,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,146,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,146,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,146,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,146,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,2
RC,146,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,2
RC,146,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,146,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,146,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,146,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,146,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,2
RC,146,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,2
RC,146,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,2
RC,146,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,146,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,146,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,146,PLEURAL EFFUSION WITH CC ,,,14522.21,14522.21,1
RC,146,PLEURAL EFFUSION WITH MCC ,,,20572.2,20572.2,1
RC,146,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,11633.21,1
RC,146,PNEUMOTHORAX WITH CC ,,,7000.0,15693.1,2
RC,146,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,2
RC,146,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,11610.9,2
RC,146,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,146,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,146,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,146,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,146,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,146,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,146,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,146,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,146,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,146,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,146,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,146,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,146,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,146,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,146,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,146,PSYCHOSES ,,,18854.11,18854.11,1
RC,146,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,17139.19,17139.19,1
RC,146,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,18607.6,18607.6,1
RC,146,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,12566.11,1
RC,146,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,146,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,146,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,146,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,2
RC,146,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,146,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,146,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,146,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,146,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,146,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,146,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,146,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,14383.02,14383.02,1
RC,146,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,20616.83,20616.83,1
RC,146,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,12034.84,1
RC,146,RESPIRATORY NEOPLASMS WITH CC ,,,15392.42,15392.42,1
RC,146,RESPIRATORY NEOPLASMS WITH MCC ,,,22776.94,22776.94,1
RC,146,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,12022.1,1
RC,146,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,146,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,146,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,146,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,146,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,146,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,146,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,146,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,146,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,146,SEPTIC ARTHRITIS WITH CC ,,,7000.0,16839.57,2
RC,146,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,2
RC,146,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,13300.31,2
RC,146,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,146,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,146,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,146,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,146,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,146,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,2
RC,146,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,18057.21,2
RC,146,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,12838.11,2
RC,146,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,146,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,146,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,12575.67,2
RC,146,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,17978.59,2
RC,146,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,10690.76,2
RC,146,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,146,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,146,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,146,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,146,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,2
RC,146,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,146,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,2
RC,146,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,146,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,2
RC,146,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,146,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,2
RC,146,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,146,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,146,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,146,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,146,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,146,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,146,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,146,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,2
RC,146,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,2
RC,146,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,18313.28,2
RC,146,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,146,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,146,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,146,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,146,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,14152.45,2
RC,146,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,11666.16,2
RC,146,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,146,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,146,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,146,SYNCOPE AND COLLAPSE ,,,7000.0,13273.75,2
RC,146,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19811.43,2
RC,146,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,13503.25,2
RC,146,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,146,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,146,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,146,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,146,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,146,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,146,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,146,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,146,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,146,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,146,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,146,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,146,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,146,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,146,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,146,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,35637.69,35637.69,1
RC,146,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,146,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,146,UNGROUPABLE ,,,4012.81,4012.81,1
RC,146,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,146,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,146,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,15617.67,2
RC,146,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,146,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,146,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,146,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,146,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,146,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,146,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,146,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,146,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,146,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,146,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,146,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,146,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,146,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,146,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,146,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,146,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,146,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,146,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,146,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,146,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,146,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,146,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,2
RC,146,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,146,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,146,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,146,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,146,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,146,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,147, Room & Board - Deluxe Private Oncology  ,,,6650.0,21045.0,4
RC,147,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,147,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,147,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,147,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,147,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,147,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,147,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,147,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,147,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,147,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,147,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,147,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,147,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,147,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,147,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,147,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,147,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,147,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,147,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,147,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,147,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,147,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,147,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,147,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,147,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,147,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,147,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,147,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,147,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,147,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,147,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,147,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,147,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,147,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,147,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,147,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,147,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,147,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,147,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,147,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,147,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,147,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,147,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,147,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,147,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,147,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,147,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,147,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,147,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,147,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,147,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,147,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,147,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,147,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,147,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,147,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,147,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,147,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,147,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,147,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,147,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,147,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,147,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,147,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,147,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,147,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,147,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,147,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,147,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,147,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,147,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,147,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,147,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,147,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,147,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,147,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,147,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,147,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,147,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,147,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,147,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,147,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,147,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,147,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,147,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,147,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,147,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,147,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,147,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,147,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,147,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,147,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,147,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,147,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,147,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,147,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,147,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,147,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,147,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,147,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,147,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,147,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,147,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,147,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,147,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,147,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,147,CHEST PAIN ,,,7000.0,11662.96,2
RC,147,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,147,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,147,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,147,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,147,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,147,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,147,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,147,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,147,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,147,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,147,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,147,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,147,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,147,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,147,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,147,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,147,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,147,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,147,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,147,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,147,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,147,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,147,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,147,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,147,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,147,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,147,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,147,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,147,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,147,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,147,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,147,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,147,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,147,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,147,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,147,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,147,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,147,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,147,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,147,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,147,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,147,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,147,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,147,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,147,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,147,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,147,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,147,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,147,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,147,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,147,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,147,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,147,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,147,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,147,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,147,DYSEQUILIBRIUM ,,,7000.0,19995.0,5
RC,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,147,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,147,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,147,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,147,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,147,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,147,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,147,EPISTAXIS WITH MCC ,,,7000.0,19995.0,5
RC,147,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,147,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,147,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,147,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,147,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,147,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,147,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,147,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,147,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,147,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,147,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,147,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,147,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,147,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,147,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,147,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,147,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,147,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,147,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,147,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,147,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,147,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,147,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,147,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,147,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,147,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,147,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,147,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,147,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,147,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,147,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,147,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,147,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,147,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,147,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,147,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,147,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,147,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,147,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,147,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,147,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,147,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,147,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,147,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,147,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,147,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,147,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,147,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,147,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,147,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,147,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,147,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,147,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,147,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,147,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,147,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,147,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,147,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,147,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,147,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,147,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,147,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,147,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,147,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,147,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,147,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,147,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,147,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,147,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,147,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,147,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,147,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,147,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,147,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,147,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,147,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,147,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,147,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,147,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,147,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,147,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,147,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,147,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,147,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,147,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,147,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,147,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,147,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,147,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,147,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,147,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,147,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,147,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,147,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,147,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,147,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,147,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,147,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,147,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,147,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,147,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,147,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,147,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,147,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,147,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,147,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,147,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,147,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,147,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,147,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,147,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,147,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,147,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,147,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,147,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,147,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,147,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,147,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,147,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,147,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,147,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,147,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,147,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,147,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,147,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,147,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,147,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,147,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,147,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,147,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,147,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,147,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,147,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,147,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,147,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,147,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,147,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,147,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,147,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,147,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,147,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,147,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,147,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,147,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,147,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,147,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,147,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,147,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,147,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,147,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,147,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,147,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,147,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,147,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,147,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,147,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,147,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,147,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,147,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,147,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,147,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,147,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,147,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,147,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,147,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,147,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,147,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,147,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,147,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,147,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,147,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,147,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,147,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,147,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,147,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,147,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,147,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,147,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,147,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,147,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,147,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,147,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,147,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,147,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,147,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,147,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,147,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,147,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,147,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,147,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,147,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,147,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,147,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,147,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,147,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,147,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,147,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,147,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,147,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,147,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,147,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,147,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,147,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,147,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,147,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,147,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,147,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,147,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,147,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,147,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,147,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,147,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,147,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,147,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,147,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,147,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,147,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,147,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,147,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,147,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,147,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,147,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,147,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,147,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,147,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,147,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,147,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,147,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,147,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,147,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,147,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,147,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,147,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,147,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,147,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,147,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,147,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,147,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,147,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,147,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,147,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,147,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,147,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,147,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,147,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,147,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,147,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,147,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,147,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,147,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,147,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,147,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,147,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,147,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,147,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,147,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,147,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,147,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,147,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,147,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,147,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,147,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,147,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,147,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,147,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,147,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,147,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,147,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,147,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,147,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,147,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,147,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,147,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,147,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,147,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,147,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,147,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,147,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,147,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,147,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,147,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,147,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,147,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,147,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,147,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,147,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,147,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,147,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,147,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,147,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,147,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,147,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,147,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,147,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,147,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,147,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,147,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,147,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,147,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,147,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,PSYCHOSES ,,,18854.11,18854.11,1
RC,147,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,147,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,147,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,147,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,147,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,147,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,147,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,147,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,147,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,147,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,147,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,147,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,147,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,147,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,147,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,147,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,147,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,147,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,147,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,147,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,147,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,147,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,147,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,147,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,147,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,147,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,147,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,147,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,147,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,147,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,147,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,147,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,147,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,147,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,147,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,147,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,147,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,147,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,147,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,147,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,147,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,147,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,147,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,147,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,147,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,147,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,147,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,147,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,147,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,147,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,147,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,147,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,147,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,147,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,147,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,147,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,147,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,147,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,147,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,147,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,147,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,147,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,147,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,147,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,147,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,147,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,147,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,147,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,147,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,147,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,147,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,147,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,147,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,147,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,147,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,147,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,147,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,147,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,147,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,147,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,147,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,147,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,147,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,147,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,147,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,147,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,147,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,147,UNGROUPABLE ,,,4012.81,4012.81,1
RC,147,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,147,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,147,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,147,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,147,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,147,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,147,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,147,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,147,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,147,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,147,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,147,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,147,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,147,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,147,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,147,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,147,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,147,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,147,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,147,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,147,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,147,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,147,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,147,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,147,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,147,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,147,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,147,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,147,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,147,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,147,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,148, Room & Board - Deluxe Private Rehabilitation  ,,,1000.0,7700.0,19
RC,148,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13637.47,13637.47,1
RC,148,ABORTION WITHOUT D&C ,,,12042.9,12042.9,1
RC,148,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,13217.59,13217.59,1
RC,148,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,20594.67,2
RC,148,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,30467.34,2
RC,148,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,12916.26,2
RC,148,ACUTE LEUKEMIA WITH CC ,,,24338.05,24338.05,1
RC,148,ACUTE LEUKEMIA WITH MCC ,,,57969.13,57969.13,1
RC,148,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,89283.45,89283.45,1
RC,148,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,15779.36,15779.36,1
RC,148,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,12811.53,12811.53,1
RC,148,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,19579.05,19579.05,1
RC,148,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,10875.13,10875.13,1
RC,148,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,10569.86,10569.86,1
RC,148,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,23300.69,23300.69,1
RC,148,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,9648.09,2
RC,148,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,25385.28,25385.28,1
RC,148,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,17555.71,17555.71,1
RC,148,AFTERCARE WITH CC/MCC ,,,15484.95,15484.95,1
RC,148,AFTERCARE WITHOUT CC/MCC ,,,9932.62,9932.62,1
RC,148,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,14856.61,14856.61,1
RC,148,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,22155.64,22155.64,1
RC,148,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,11673.41,11673.41,1
RC,148,AICD GENERATOR PROCEDURES ,,,48805.81,48805.81,1
RC,148,AICD LEAD PROCEDURES ,,,7000.0,39477.52,2
RC,148,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,17716.74,17716.74,1
RC,148,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,20972.07,20972.07,1
RC,148,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,12452.9,12452.9,1
RC,148,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,9825.92,9825.92,1
RC,148,ALLERGIC REACTIONS WITH MCC ,,,20344.72,20344.72,1
RC,148,ALLERGIC REACTIONS WITHOUT MCC ,,,10313.98,10313.98,1
RC,148,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,31892.96,31892.96,1
RC,148,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,52355.55,52355.55,1
RC,148,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,17408.51,17408.51,1
RC,148,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,26214.17,26214.17,1
RC,148,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,46143.27,2
RC,148,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,15391.09,2
RC,148,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,17743.42,38185.27,3
RC,148,ANAL AND STOMAL PROCEDURES WITH CC ,,,16661.61,16661.61,1
RC,148,ANAL AND STOMAL PROCEDURES WITH MCC ,,,26410.78,26410.78,1
RC,148,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,12332.38,12332.38,1
RC,148,ANGINA PECTORIS ,,,7000.0,10665.69,2
RC,148,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,71681.99,2
RC,148,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,45454.65,2
RC,148,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,148,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,148,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,148,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,148,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,148,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,148,APPENDIX PROCEDURES WITH CC ,,,18684.95,18684.95,1
RC,148,APPENDIX PROCEDURES WITH MCC ,,,27391.82,27391.82,1
RC,148,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,15040.37,15040.37,1
RC,148,ATHEROSCLEROSIS WITH MCC ,,,7000.0,15553.12,2
RC,148,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,10382.15,2
RC,148,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,148,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,148,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,148,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,148,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,148,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,23492.36,2
RC,148,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,40654.17,2
RC,148,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,18490.32,2
RC,148,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,24234.3,24234.3,1
RC,148,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,15292.3,15292.3,1
RC,148,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,10864.27,10864.27,1
RC,148,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,58296.14,2
RC,148,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,30010.9,30010.9,1
RC,148,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,38957.85,4
RC,148,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,28027.08,2
RC,148,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,37861.21,2
RC,148,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,22096.37,2
RC,148,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,16538.11,2
RC,148,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,11932.25,2
RC,148,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,24880.44,24880.44,1
RC,148,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,22789.92,22789.92,1
RC,148,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13326.26,13326.26,1
RC,148,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,10350.53,10350.53,1
RC,148,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,9994.87,9994.87,1
RC,148,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,19162.13,19162.13,1
RC,148,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8227.41,8227.41,1
RC,148,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,10999.62,2
RC,148,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,15626.22,2
RC,148,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,9324.04,2
RC,148,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,19299.45,2
RC,148,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,12753.24,2
RC,148,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,74176.58,74176.58,1
RC,148,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,148,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,148,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,63073.91,63073.91,1
RC,148,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,148,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,148,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,49360.06,49360.06,1
RC,148,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,34773.85,2
RC,148,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,23708.71,2
RC,148,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,22408.56,2
RC,148,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,35867.52,2
RC,148,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,19833.95,2
RC,148,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,100381.18,6
RC,148,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,79589.6,6
RC,148,CELLULITIS WITH MCC ,,,17773.06,17773.06,1
RC,148,CELLULITIS WITHOUT MCC ,,,12335.34,12335.34,1
RC,148,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,32837.44,2
RC,148,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,51436.74,2
RC,148,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,27850.24,27850.24,1
RC,148,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,14204.55,14204.55,1
RC,148,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,27986.58,27986.58,1
RC,148,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,13193.87,13193.87,1
RC,148,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,14764.73,14764.73,1
RC,148,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,20027.59,20027.59,1
RC,148,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,13203.75,13203.75,1
RC,148,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,51195.69,51195.69,1
RC,148,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,24353.85,24353.85,1
RC,148,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,17996.34,17996.34,1
RC,148,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,16655.68,16655.68,1
RC,148,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,29344.02,29344.02,1
RC,148,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,12122.92,12122.92,1
RC,148,CHEST PAIN ,,,7000.0,10844.51,2
RC,148,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,24149.34,2
RC,148,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,38928.21,38928.21,1
RC,148,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,17200.05,17200.05,1
RC,148,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,24503.03,24503.03,1
RC,148,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,36366.44,36366.44,1
RC,148,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,20136.26,20136.26,1
RC,148,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12059.69,2
RC,148,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,14674.82,14674.82,1
RC,148,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10073.9,2
RC,148,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,25592.75,2
RC,148,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,14303.35,2
RC,148,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,14166.02,14166.02,1
RC,148,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,23176.2,23176.2,1
RC,148,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,10770.42,10770.42,1
RC,148,COAGULATION DISORDERS ,,,18800.54,18800.54,1
RC,148,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,92742.29,92742.29,1
RC,148,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,60707.75,60707.75,1
RC,148,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,115556.22,2
RC,148,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,14435.74,2
RC,148,COMPLICATED PEPTIC ULCER WITH MCC ,,,23116.93,23116.93,1
RC,148,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,11640.8,11640.8,1
RC,148,COMPLICATIONS OF TREATMENT WITH CC ,,,13633.52,13633.52,1
RC,148,COMPLICATIONS OF TREATMENT WITH MCC ,,,21818.75,21818.75,1
RC,148,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,10532.31,10532.31,1
RC,148,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,111162.73,2
RC,148,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,69791.04,69791.04,1
RC,148,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,15126.32,2
RC,148,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,28249.37,2
RC,148,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,11992.52,2
RC,148,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,79262.59,2
RC,148,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,57700.4,2
RC,148,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,87015.1,2
RC,148,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,63627.16,2
RC,148,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,61710.53,61710.53,1
RC,148,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,45114.81,45114.81,1
RC,148,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,46484.12,46484.12,1
RC,148,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,34861.77,34861.77,1
RC,148,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,35448.62,35448.62,1
RC,148,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,70231.67,70231.67,1
RC,148,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,23975.46,23975.46,1
RC,148,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,14969.24,14969.24,1
RC,148,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,12719.65,2
RC,148,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,20692.48,2
RC,148,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,10730.9,2
RC,148,DEPRESSIVE NEUROSES ,,,13026.91,13026.91,1
RC,148,DIABETES WITH CC ,,,12585.3,12585.3,1
RC,148,DIABETES WITH MCC ,,,17925.2,17925.2,1
RC,148,DIABETES WITHOUT CC/MCC ,,,9868.41,9868.41,1
RC,148,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,15681.56,2
RC,148,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,24860.67,2
RC,148,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,12862.91,12862.91,1
RC,148,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,13267.97,2
RC,148,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,21462.1,2
RC,148,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,10643.96,2
RC,148,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12041.92,2
RC,148,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,19836.9,19836.9,1
RC,148,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,9870.38,2
RC,148,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,23157.43,23157.43,1
RC,148,DISORDERS OF THE BILIARY TRACT WITH CC ,,,14543.42,14543.42,1
RC,148,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,20239.0,20239.0,1
RC,148,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,11904.58,11904.58,1
RC,148,DYSEQUILIBRIUM ,,,7000.0,11156.7,2
RC,148,ENDOCRINE DISORDERS WITH CC ,,,13857.78,13857.78,1
RC,148,ENDOCRINE DISORDERS WITH MCC ,,,19994.0,19994.0,1
RC,148,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,11321.69,11321.69,1
RC,148,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,60113.0,2
RC,148,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,64277.24,2
RC,148,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,50765.92,2
RC,148,EPISTAXIS WITH MCC ,,,7000.0,16885.87,2
RC,148,EPISTAXIS WITHOUT MCC ,,,7000.0,10982.82,2
RC,148,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,16261.48,16261.48,1
RC,148,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,11433.33,2
RC,148,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,214665.26,214665.26,1
RC,148,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,42204.28,42204.28,1
RC,148,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,28020.17,28020.17,1
RC,148,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,50084.24,50084.24,1
RC,148,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,20664.82,20664.82,1
RC,148,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,62450.5,62450.5,1
RC,148,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,17437.16,17437.16,1
RC,148,FEVER AND INFLAMMATORY CONDITIONS ,,,12501.31,12501.31,1
RC,148,FOOT PROCEDURES WITH CC ,,,7000.0,22198.13,2
RC,148,FOOT PROCEDURES WITH MCC ,,,7000.0,31306.11,2
RC,148,FOOT PROCEDURES WITHOUT CC/MCC ,,,21443.32,21443.32,1
RC,148,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,12578.37,17807.64,2
RC,148,FRACTURES OF FEMUR WITH MCC ,,,7000.0,19219.43,2
RC,148,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,11695.14,2
RC,148,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,16396.83,2
RC,148,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,11709.96,2
RC,148,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,44925.11,44925.11,1
RC,148,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,74594.49,74594.49,1
RC,148,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,35551.37,35551.37,1
RC,148,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,25571.02,25571.02,1
RC,148,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13420.12,13420.12,1
RC,148,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,21791.09,2
RC,148,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,9959.3,9959.3,1
RC,148,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,11534.1,11534.1,1
RC,148,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,18321.38,18321.38,1
RC,148,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9105.7,9105.7,1
RC,148,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,19284.63,2
RC,148,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,13831.1,2
RC,148,HAND PROCEDURES FOR INJURIES ,,,23137.67,23137.67,1
RC,148,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,12118.98,2
RC,148,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,16414.62,2
RC,148,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,9323.05,2
RC,148,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,20896.99,20896.99,1
RC,148,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,37391.93,37391.93,1
RC,148,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,17557.68,17557.68,1
RC,148,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,20352.61,2
RC,148,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,32401.76,2
RC,148,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,17019.24,2
RC,148,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,24423.99,2
RC,148,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,32503.52,2
RC,148,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,19844.81,2
RC,148,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,32087.59,32087.59,1
RC,148,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,24653.2,24653.2,1
RC,148,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,64207.09,64207.09,1
RC,148,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,29787.62,29787.62,1
RC,148,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,16525.27,16525.27,1
RC,148,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,32243.68,32243.68,1
RC,148,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,12649.51,12649.51,1
RC,148,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,16551.94,16551.94,1
RC,148,HYPERTENSION WITH MCC ,,,7000.0,15487.91,2
RC,148,HYPERTENSION WITHOUT MCC ,,,7000.0,11191.28,2
RC,148,INBORN AND OTHER DISORDERS OF METABOLISM ,,,17780.96,17780.96,1
RC,148,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13403.32,13403.32,1
RC,148,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17877.78,17877.78,1
RC,148,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10287.3,10287.3,1
RC,148,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,23471.6,23471.6,1
RC,148,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,52522.51,52522.51,1
RC,148,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18522.92,18522.92,1
RC,148,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,18381.64,18381.64,1
RC,148,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,11745.53,11745.53,1
RC,148,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13376.65,13376.65,1
RC,148,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,19363.68,19363.68,1
RC,148,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,10462.17,10462.17,1
RC,148,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,18792.63,18792.63,1
RC,148,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,28350.15,28350.15,1
RC,148,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,15268.59,15268.59,1
RC,148,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,13107.92,2
RC,148,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,22375.95,2
RC,148,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,10806.97,2
RC,148,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,21810.85,21810.85,1
RC,148,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,35185.82,35185.82,1
RC,148,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,19062.35,19062.35,1
RC,148,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,16789.05,16789.05,1
RC,148,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,28834.24,28834.24,1
RC,148,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13960.53,13960.53,1
RC,148,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,15194.49,15194.49,1
RC,148,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,11728.73,11728.73,1
RC,148,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,14083.03,14083.03,1
RC,148,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,21551.01,21551.01,1
RC,148,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,11539.04,11539.04,1
RC,148,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,15031.48,15031.48,1
RC,148,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,10538.24,10538.24,1
RC,148,KIDNEY TRANSPLANT ,,,35637.32,35637.32,1
RC,148,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,50179.08,50179.08,1
RC,148,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,40342.96,40342.96,1
RC,148,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,24390.41,2
RC,148,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,35613.62,2
RC,148,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,19204.61,19204.61,1
RC,148,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,21207.2,2
RC,148,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,14764.73,14764.73,1
RC,148,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,20443.51,20443.51,1
RC,148,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,27307.85,27307.85,1
RC,148,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,17224.75,17224.75,1
RC,148,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,40908.08,40908.08,1
RC,148,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,39551.61,6
RC,148,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,33535.93,2
RC,148,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,23636.59,2
RC,148,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,28786.82,2
RC,148,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,40005.08,40005.08,1
RC,148,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,23554.59,2
RC,148,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,25847.64,25847.64,1
RC,148,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,61672.98,61672.98,1
RC,148,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,15626.22,15626.22,1
RC,148,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,19848.76,19848.76,1
RC,148,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,35690.68,35690.68,1
RC,148,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,26114.39,26114.39,1
RC,148,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,49027.12,49027.12,1
RC,148,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,17062.71,17062.71,1
RC,148,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13713.54,13713.54,1
RC,148,MAJOR BLADDER PROCEDURES WITH CC ,,,31387.12,31387.12,1
RC,148,MAJOR BLADDER PROCEDURES WITH MCC ,,,55069.47,55069.47,1
RC,148,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,24642.33,24642.33,1
RC,148,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,28667.28,2
RC,148,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,48009.52,2
RC,148,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,22642.7,2
RC,148,MAJOR CHEST TRAUMA WITH CC ,,,14244.08,14244.08,1
RC,148,MAJOR CHEST TRAUMA WITH MCC ,,,18845.98,18845.98,1
RC,148,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,11501.5,11501.5,1
RC,148,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13612.76,13612.76,1
RC,148,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,19458.52,19458.52,1
RC,148,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,10654.82,2
RC,148,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13818.27,13818.27,1
RC,148,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,21248.7,2
RC,148,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,10917.62,10917.62,1
RC,148,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,14071.18,25544.34,3
RC,148,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,33697.96,33697.96,1
RC,148,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,22787.93,22787.93,1
RC,148,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,148,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,31116.43,2
RC,148,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,23493.34,23493.34,1
RC,148,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,18888.47,18888.47,1
RC,148,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,21577.69,2
RC,148,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,18692.85,18692.85,1
RC,148,MAJOR SKIN DISORDERS WITH MCC ,,,24682.84,24682.84,1
RC,148,MAJOR SKIN DISORDERS WITHOUT MCC ,,,14425.86,14425.86,1
RC,148,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,27414.55,27414.55,1
RC,148,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,49142.71,49142.71,1
RC,148,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,20357.55,20357.55,1
RC,148,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,17060.74,2
RC,148,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,14906.01,14906.01,1
RC,148,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,21877.03,21877.03,1
RC,148,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,12161.45,12161.45,1
RC,148,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14478.22,14478.22,1
RC,148,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,21926.44,21926.44,1
RC,148,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13220.55,13220.55,1
RC,148,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,15020.61,15020.61,1
RC,148,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,21610.29,21610.29,1
RC,148,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10209.25,10209.25,1
RC,148,MALIGNANT BREAST DISORDERS WITH CC ,,,14907.98,14907.98,1
RC,148,MALIGNANT BREAST DISORDERS WITH MCC ,,,20201.46,20201.46,1
RC,148,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,11332.57,11332.57,1
RC,148,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,22765.22,22765.22,1
RC,148,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,20767.56,20767.56,1
RC,148,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,20290.38,2
RC,148,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,13228.45,2
RC,148,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13684.89,13684.89,1
RC,148,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,9367.51,9367.51,1
RC,148,MINOR BLADDER PROCEDURES WITH CC ,,,18750.15,18750.15,1
RC,148,MINOR BLADDER PROCEDURES WITH MCC ,,,33977.55,33977.55,1
RC,148,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,14074.15,14074.15,1
RC,148,MINOR SKIN DISORDERS WITH MCC ,,,18680.99,18680.99,1
RC,148,MINOR SKIN DISORDERS WITHOUT MCC ,,,12686.06,12686.06,1
RC,148,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,18597.02,2
RC,148,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,29248.2,2
RC,148,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,15450.37,15450.37,1
RC,148,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,16926.38,16926.38,1
RC,148,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,11419.5,11419.5,1
RC,148,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,59274.21,112616.1,3
RC,148,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,69742.63,69742.63,1
RC,148,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,45628.54,45628.54,1
RC,148,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,20564.04,49945.92,3
RC,148,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,18599.98,34950.69,2
RC,148,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,18312.49,18312.49,1
RC,148,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,21536.19,21536.19,1
RC,148,NEUROSES EXCEPT DEPRESSIVE ,,,14339.9,14339.9,1
RC,148,NON-EXTENSIVE BURNS ,,,24083.15,24083.15,1
RC,148,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,19969.3,19969.3,1
RC,148,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,37602.37,37602.37,1
RC,148,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,15578.81,15578.81,1
RC,148,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,14021.79,14021.79,1
RC,148,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,9708.36,9708.36,1
RC,148,NORMAL NEWBORN ,,,5705.15,5705.15,1
RC,148,O.R. PROCEDURES FOR OBESITY WITH CC ,,,19541.5,19541.5,1
RC,148,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,32257.52,32257.52,1
RC,148,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,18633.57,18633.57,1
RC,148,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,26818.81,26818.81,1
RC,148,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,39579.28,39579.28,1
RC,148,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,23764.03,23764.03,1
RC,148,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,41914.81,41914.81,1
RC,148,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,19626.47,19626.47,1
RC,148,OSTEOMYELITIS WITH CC ,,,7000.0,16538.11,2
RC,148,OSTEOMYELITIS WITH MCC ,,,7000.0,23191.02,2
RC,148,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,11510.39,2
RC,148,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,15183.62,15183.62,1
RC,148,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,26272.46,26272.46,1
RC,148,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,12226.67,12226.67,1
RC,148,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,10860.31,10860.31,1
RC,148,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,15611.4,15611.4,1
RC,148,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,8897.24,8897.24,1
RC,148,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,148,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,52609.45,2
RC,148,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,34846.95,2
RC,148,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,13248.21,2
RC,148,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,24332.12,2
RC,148,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10470.07,10470.07,1
RC,148,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,36734.95,2
RC,148,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,12975.53,2
RC,148,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19531.62,2
RC,148,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10143.06,10143.06,1
RC,148,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,26706.18,2
RC,148,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,47130.24,2
RC,148,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,17541.88,2
RC,148,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,12785.85,2
RC,148,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,19177.93,2
RC,148,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,10558.99,2
RC,148,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,25256.84,25256.84,1
RC,148,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,40550.44,40550.44,1
RC,148,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,18150.46,18150.46,1
RC,148,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,47822.8,47822.8,1
RC,148,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,27494.57,27494.57,1
RC,148,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9224.26,9224.26,1
RC,148,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,29098.03,29098.03,1
RC,148,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,18311.5,18311.5,1
RC,148,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,102102.21,2
RC,148,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,25346.75,2
RC,148,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,44761.11,44761.11,1
RC,148,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,18553.55,18553.55,1
RC,148,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13918.04,13918.04,1
RC,148,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,24411.15,24411.15,1
RC,148,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,10940.34,10940.34,1
RC,148,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,21014.55,21014.55,1
RC,148,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13785.66,13785.66,1
RC,148,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13758.99,13758.99,1
RC,148,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,20075.99,20075.99,1
RC,148,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,10547.13,10547.13,1
RC,148,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,26835.61,26835.61,1
RC,148,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,45241.27,45241.27,1
RC,148,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,19947.56,19947.56,1
RC,148,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,38865.97,38865.97,1
RC,148,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,55858.85,2
RC,148,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,28953.78,28953.78,1
RC,148,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,14190.73,14190.73,1
RC,148,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10370.29,10370.29,1
RC,148,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,22408.56,22408.56,1
RC,148,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,17000.48,17000.48,1
RC,148,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,25834.8,25834.8,1
RC,148,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,18264.08,18264.08,1
RC,148,OTHER MENTAL DISORDER DIAGNOSES ,,,14311.25,14311.25,1
RC,148,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,18872.65,18872.65,1
RC,148,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,30740.01,30740.01,1
RC,148,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13022.96,13022.96,1
RC,148,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13357.88,13357.88,1
RC,148,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,18981.34,18981.34,1
RC,148,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11133.99,11133.99,1
RC,148,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,24261.97,2
RC,148,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,35216.45,2
RC,148,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,18913.17,2
RC,148,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,12144.66,23439.01,3
RC,148,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,23442.95,23442.95,1
RC,148,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,41661.89,41661.89,1
RC,148,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,16700.14,16700.14,1
RC,148,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,45362.78,45362.78,1
RC,148,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,79012.64,79012.64,1
RC,148,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,32817.68,32817.68,1
RC,148,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,22096.37,22096.37,1
RC,148,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,43092.46,43092.46,1
RC,148,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,17127.93,17127.93,1
RC,148,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,21820.73,21820.73,1
RC,148,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13028.88,13028.88,1
RC,148,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,21548.05,2
RC,148,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,40658.12,2
RC,148,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,17230.67,2
RC,148,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,20803.13,20803.13,1
RC,148,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,35726.24,2
RC,148,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,17988.43,17988.43,1
RC,148,OTHER VASCULAR PROCEDURES WITH CC ,,,29374.66,29374.66,1
RC,148,OTHER VASCULAR PROCEDURES WITH MCC ,,,38194.15,38194.15,1
RC,148,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,21333.67,21333.67,1
RC,148,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,15410.85,2
RC,148,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,11024.32,2
RC,148,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,32383.98,2
RC,148,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,57777.46,57777.46,1
RC,148,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,25659.93,2
RC,148,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,21183.5,6
RC,148,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,24774.72,24774.72,1
RC,148,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,17024.18,17024.18,1
RC,148,PENIS PROCEDURES WITH CC/MCC ,,,26721.99,26721.99,1
RC,148,PENIS PROCEDURES WITHOUT CC/MCC ,,,17574.48,17574.48,1
RC,148,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,44489.43,44489.43,1
RC,148,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,36251.83,36251.83,1
RC,148,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,30611.58,30611.58,1
RC,148,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,21148.91,21148.91,1
RC,148,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,25293.4,25293.4,1
RC,148,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,18496.25,18496.25,1
RC,148,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,37703.14,2
RC,148,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,27583.49,2
RC,148,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,27661.54,27661.54,1
RC,148,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,14277.67,14277.67,1
RC,148,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,19861.6,19861.6,1
RC,148,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,10841.54,10841.54,1
RC,148,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,24564.28,2
RC,148,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,39010.22,2
RC,148,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,18896.37,2
RC,148,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,24783.62,24783.62,1
RC,148,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,35274.73,35274.73,1
RC,148,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,21588.55,21588.55,1
RC,148,PLEURAL EFFUSION WITH CC ,,,13503.11,13503.11,1
RC,148,PLEURAL EFFUSION WITH MCC ,,,19128.54,19128.54,1
RC,148,PLEURAL EFFUSION WITHOUT CC/MCC ,,,10816.84,10816.84,1
RC,148,PNEUMOTHORAX WITH CC ,,,7000.0,14591.83,2
RC,148,PNEUMOTHORAX WITH MCC ,,,7000.0,21159.78,2
RC,148,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,10796.1,2
RC,148,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,19226.34,19226.34,1
RC,148,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,12199.0,12199.0,1
RC,148,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,21748.6,21748.6,1
RC,148,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13590.05,13590.05,1
RC,148,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,24888.33,24888.33,1
RC,148,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,48670.46,48670.46,1
RC,148,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,17492.48,17492.48,1
RC,148,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,20425.72,20425.72,1
RC,148,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10199.37,10199.37,1
RC,148,PREMATURITY WITH MAJOR PROBLEMS ,,,43832.43,43832.43,1
RC,148,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,27928.29,27928.29,1
RC,148,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,3731.21,3731.21,1
RC,148,PROSTATECTOMY WITH CC ,,,21013.57,21013.57,1
RC,148,PROSTATECTOMY WITH MCC ,,,34567.36,34567.36,1
RC,148,PROSTATECTOMY WITHOUT CC/MCC ,,,14660.0,14660.0,1
RC,148,PSYCHOSES ,,,17531.01,17531.01,1
RC,148,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,15936.44,15936.44,1
RC,148,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,17301.81,17301.81,1
RC,148,PULMONARY EMBOLISM WITHOUT MCC ,,,11684.27,11684.27,1
RC,148,RADIOTHERAPY ,,,30499.94,30499.94,1
RC,148,RECTAL RESECTION WITH CC ,,,26871.17,26871.17,1
RC,148,RECTAL RESECTION WITH MCC ,,,39502.21,39502.21,1
RC,148,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,19912.98,2
RC,148,RED BLOOD CELL DISORDERS WITH MCC ,,,17605.11,17605.11,1
RC,148,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,12802.64,12802.64,1
RC,148,REHABILITATION WITH CC/MCC ,,,1793.0,19030.73,4
RC,148,REHABILITATION WITHOUT CC/MCC ,,,1793.0,15061.12,4
RC,148,RENAL FAILURE WITH CC ,,,12383.75,12383.75,1
RC,148,RENAL FAILURE WITH MCC ,,,18362.87,18362.87,1
RC,148,RENAL FAILURE WITHOUT CC/MCC ,,,9661.92,9661.92,1
RC,148,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13373.68,13373.68,1
RC,148,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,19170.04,19170.04,1
RC,148,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,11190.29,11190.29,1
RC,148,RESPIRATORY NEOPLASMS WITH CC ,,,14312.25,14312.25,1
RC,148,RESPIRATORY NEOPLASMS WITH MCC ,,,21178.56,21178.56,1
RC,148,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,11178.44,11178.44,1
RC,148,RESPIRATORY SIGNS AND SYMPTOMS ,,,11707.99,11707.99,1
RC,148,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,30887.21,30887.21,1
RC,148,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,67303.35,67303.35,1
RC,148,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13749.11,13749.11,1
RC,148,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,24742.12,24742.12,1
RC,148,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,9975.11,9975.11,1
RC,148,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,38572.54,38572.54,1
RC,148,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,55158.38,55158.38,1
RC,148,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,30880.3,2
RC,148,SEPTIC ARTHRITIS WITH CC ,,,7000.0,15657.84,2
RC,148,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,22807.69,2
RC,148,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,12366.96,2
RC,148,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,72016.91,72016.91,1
RC,148,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,22922.3,22922.3,1
RC,148,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,13840.99,13840.99,1
RC,148,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,24274.82,24274.82,1
RC,148,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,33572.49,33572.49,1
RC,148,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,20085.87,2
RC,148,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,16790.04,2
RC,148,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,11937.19,2
RC,148,SIGNS AND SYMPTOMS WITH MCC ,,,16272.36,16272.36,1
RC,148,SIGNS AND SYMPTOMS WITHOUT MCC ,,,11639.82,11639.82,1
RC,148,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,11693.17,2
RC,148,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,16716.93,2
RC,148,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,9940.53,2
RC,148,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,43452.07,2
RC,148,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,56385.43,56385.43,1
RC,148,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,35646.21,35646.21,1
RC,148,SKIN DEBRIDEMENT WITH CC ,,,20422.77,20422.77,1
RC,148,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,32788.05,2
RC,148,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,15056.18,15056.18,1
RC,148,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,29919.02,2
RC,148,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,52153.02,52153.02,1
RC,148,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,19601.77,2
RC,148,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,38027.19,38027.19,1
RC,148,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,68456.31,2
RC,148,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,21484.82,21484.82,1
RC,148,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,16099.46,38894.62,3
RC,148,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,40019.9,40019.9,1
RC,148,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,18386.58,18386.58,1
RC,148,SKIN ULCERS WITH CC ,,,15451.36,15451.36,1
RC,148,SKIN ULCERS WITH MCC ,,,22851.16,22851.16,1
RC,148,SKIN ULCERS WITHOUT CC/MCC ,,,12294.83,12294.83,1
RC,148,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,21001.71,2
RC,148,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,34998.12,2
RC,148,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,17028.14,2
RC,148,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,44954.75,86753.29,3
RC,148,SPLENIC PROCEDURES WITH CC ,,,31486.91,31486.91,1
RC,148,SPLENIC PROCEDURES WITH MCC ,,,48474.85,48474.85,1
RC,148,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,22590.35,22590.35,1
RC,148,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,13159.3,2
RC,148,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,10847.48,2
RC,148,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,27878.88,27878.88,1
RC,148,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,53004.64,53004.64,1
RC,148,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,19561.26,19561.26,1
RC,148,SYNCOPE AND COLLAPSE ,,,7000.0,12342.26,2
RC,148,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,18421.16,2
RC,148,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,12555.66,2
RC,148,TESTES PROCEDURES WITH CC/MCC ,,,24318.29,24318.29,1
RC,148,TESTES PROCEDURES WITHOUT CC/MCC ,,,14595.79,14595.79,1
RC,148,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,18544.66,18544.66,1
RC,148,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,33568.54,33568.54,1
RC,148,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,16854.25,16854.25,1
RC,148,TRANSURETHRAL PROCEDURES WITH CC ,,,19064.32,19064.32,1
RC,148,TRANSURETHRAL PROCEDURES WITH MCC ,,,32579.59,32579.59,1
RC,148,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13386.53,13386.53,1
RC,148,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,18584.17,18584.17,1
RC,148,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,14177.88,14177.88,1
RC,148,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,18274.94,18274.94,1
RC,148,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,12780.91,12780.91,1
RC,148,TRAUMATIC INJURY WITH MCC ,,,19880.37,19880.37,1
RC,148,TRAUMATIC INJURY WITHOUT MCC ,,,12479.58,12479.58,1
RC,148,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,39360.94,58722.94,2
RC,148,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,33136.8,33136.8,1
RC,148,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,17371.95,17371.95,1
RC,148,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,12176.27,12176.27,1
RC,148,UNGROUPABLE ,,,3731.21,3731.21,1
RC,148,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,20505.75,20505.75,1
RC,148,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,30380.4,30380.4,1
RC,148,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,14521.69,2
RC,148,URETHRAL PROCEDURES WITH CC/MCC ,,,21465.06,21465.06,1
RC,148,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.22,14396.22,1
RC,148,URETHRAL STRICTURE ,,,14379.42,14379.42,1
RC,148,URINARY STONES WITH MCC ,,,17014.3,17014.3,1
RC,148,URINARY STONES WITHOUT MCC ,,,11454.08,11454.08,1
RC,148,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,21858.27,21858.27,1
RC,148,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,15988.81,15988.81,1
RC,148,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,21609.3,21609.3,1
RC,148,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,39127.78,39127.78,1
RC,148,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,17820.49,17820.49,1
RC,148,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,24089.07,24089.07,1
RC,148,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,39045.78,39045.78,1
RC,148,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,18239.38,18239.38,1
RC,148,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,20893.03,20893.03,1
RC,148,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,12224.68,12224.68,1
RC,148,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,14318.17,14318.17,1
RC,148,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,13614.75,13614.75,1
RC,148,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,15260.68,15260.68,1
RC,148,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,13186.96,13186.96,1
RC,148,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,11180.41,11180.41,1
RC,148,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,14393.25,14393.25,1
RC,148,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,10392.02,10392.02,1
RC,148,VEIN LIGATION AND STRIPPING ,,,7000.0,33937.04,2
RC,148,VIRAL ILLNESS WITH MCC ,,,18533.79,18533.79,1
RC,148,VIRAL ILLNESS WITHOUT MCC ,,,12322.5,12322.5,1
RC,148,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,21748.6,60039.88,3
RC,148,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,22645.67,22645.67,1
RC,148,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,45191.87,45191.87,1
RC,148,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,15286.37,15286.37,1
RC,149, Room & Board - Deluxe Private Other  ,,,6650.0,21045.0,4
RC,149,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,3
RC,149,ABORTION WITHOUT D&C ,,,13046.0,19995.0,3
RC,149,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,19995.0,4
RC,149,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,19995.0,4
RC,149,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,ACUTE LEUKEMIA WITH CC ,,,13046.0,19995.0,3
RC,149,ACUTE LEUKEMIA WITH MCC ,,,13046.0,19995.0,3
RC,149,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,19995.0,3
RC,149,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,13046.0,19995.0,3
RC,149,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,19995.0,3
RC,149,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,149,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,AFTERCARE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,3
RC,149,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,19995.0,3
RC,149,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,149,AICD GENERATOR PROCEDURES ,,,13046.0,19995.0,3
RC,149,AICD LEAD PROCEDURES ,,,7000.0,19995.0,4
RC,149,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,3
RC,149,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,19995.0,3
RC,149,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,3
RC,149,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,13046.0,19995.0,3
RC,149,ALLERGIC REACTIONS WITH MCC ,,,13046.0,19995.0,3
RC,149,ALLERGIC REACTIONS WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,19995.0,3
RC,149,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,19995.0,3
RC,149,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,3
RC,149,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,149,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,149,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,4
RC,149,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,19995.0,9
RC,149,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,ANGINA PECTORIS ,,,7000.0,19995.0,4
RC,149,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,149,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,149,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,149,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,149,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,149,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,149,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,149,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,149,APPENDIX PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,APPENDIX PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,4
RC,149,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,149,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,149,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,149,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,149,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,149,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,3
RC,149,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,149,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,19995.0,10
RC,149,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,19995.0,4
RC,149,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,4
RC,149,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,4
RC,149,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,4
RC,149,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,19995.0,3
RC,149,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,149,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,13046.0,19995.0,3
RC,149,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,19995.0,3
RC,149,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,149,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,4
RC,149,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,149,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,149,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,4
RC,149,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,149,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,149,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,149,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,149,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,19995.0,4
RC,149,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,19995.0,4
RC,149,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,19995.0,4
RC,149,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,19995.0,4
RC,149,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,19995.0,9
RC,149,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,19995.0,9
RC,149,CELLULITIS WITH MCC ,,,13046.0,19995.0,3
RC,149,CELLULITIS WITHOUT MCC ,,,13046.0,13046.0,1
RC,149,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,149,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,149,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,19995.0,3
RC,149,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,19995.0,3
RC,149,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,149,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,149,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,CHEST PAIN ,,,7000.0,7000.0,1
RC,149,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,19995.0,4
RC,149,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,19995.0,3
RC,149,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,19995.0,3
RC,149,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,19995.0,3
RC,149,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,4
RC,149,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,3
RC,149,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,149,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,149,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,3
RC,149,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,19995.0,3
RC,149,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,COAGULATION DISORDERS ,,,13046.0,19995.0,3
RC,149,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,19995.0,4
RC,149,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,4
RC,149,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,3
RC,149,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,3
RC,149,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,19995.0,3
RC,149,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,19995.0,3
RC,149,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,4
RC,149,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,149,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,19995.0,3
RC,149,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,19995.0,3
RC,149,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,19995.0,3
RC,149,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,19995.0,3
RC,149,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,19995.0,2
RC,149,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,19995.0,2
RC,149,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,19995.0,3
RC,149,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,19995.0,3
RC,149,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,149,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,4
RC,149,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,19995.0,4
RC,149,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,DIABETES WITH CC ,,,13046.0,19995.0,3
RC,149,DIABETES WITH MCC ,,,13046.0,19995.0,3
RC,149,DIABETES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,4
RC,149,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,19995.0,4
RC,149,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,4
RC,149,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,19995.0,4
RC,149,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,4
RC,149,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,4
RC,149,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,19995.0,3
RC,149,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,3
RC,149,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,19995.0,3
RC,149,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,149,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,149,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,19995.0,4
RC,149,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,19995.0,3
RC,149,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,19995.0,3
RC,149,EPISTAXIS WITH MCC ,,,7000.0,19995.0,4
RC,149,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,149,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,3
RC,149,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,2
RC,149,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,19995.0,3
RC,149,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,19995.0,3
RC,149,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,149,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,149,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,3
RC,149,FOOT PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,149,FOOT PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,149,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,6
RC,149,FRACTURES OF FEMUR WITH MCC ,,,7000.0,19995.0,4
RC,149,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,4
RC,149,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,4
RC,149,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,149,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,19995.0,3
RC,149,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,3
RC,149,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,19995.0,4
RC,149,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,13046.0,19995.0,3
RC,149,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,3
RC,149,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,19995.0,4
RC,149,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,149,HAND PROCEDURES FOR INJURIES ,,,13046.0,19995.0,3
RC,149,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,149,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,149,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,149,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,19995.0,4
RC,149,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,19995.0,4
RC,149,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,149,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,149,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,149,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,3
RC,149,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,19995.0,3
RC,149,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,3
RC,149,HYPERTENSION WITH MCC ,,,7000.0,19995.0,4
RC,149,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,4
RC,149,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,3
RC,149,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,149,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,149,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,149,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,3
RC,149,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,3
RC,149,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,19995.0,3
RC,149,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,4
RC,149,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,19995.0,4
RC,149,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,19995.0,3
RC,149,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,19995.0,3
RC,149,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,3
RC,149,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,19995.0,3
RC,149,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,13046.0,1
RC,149,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,13046.0,13046.0,1
RC,149,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,3
RC,149,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,19995.0,3
RC,149,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,3
RC,149,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,KIDNEY TRANSPLANT ,,,13046.0,19995.0,3
RC,149,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,19995.0,3
RC,149,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,19995.0,4
RC,149,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,19995.0,4
RC,149,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,19995.0,4
RC,149,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,19995.0,3
RC,149,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,19995.0,12
RC,149,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,19995.0,4
RC,149,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,19995.0,4
RC,149,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,19995.0,4
RC,149,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,19995.0,3
RC,149,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,149,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,19995.0,3
RC,149,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,19995.0,3
RC,149,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,149,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,149,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,149,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,149,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,149,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,149,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,3
RC,149,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,19995.0,4
RC,149,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,19995.0,9
RC,149,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,149,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,19995.0,4
RC,149,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,19995.0,4
RC,149,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,149,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,4
RC,149,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,3
RC,149,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,19995.0,3
RC,149,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,149,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,149,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,149,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,149,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,149,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,149,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,149,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,149,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,19995.0,4
RC,149,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,4
RC,149,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,149,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,149,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,149,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,3
RC,149,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,13046.0,19995.0,3
RC,149,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,19995.0,9
RC,149,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,19995.0,6
RC,149,NON-EXTENSIVE BURNS ,,,13046.0,19995.0,3
RC,149,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,149,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,149,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,19995.0,3
RC,149,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,19995.0,3
RC,149,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,19995.0,3
RC,149,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,4
RC,149,OSTEOMYELITIS WITH MCC ,,,7000.0,19995.0,4
RC,149,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,149,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,19995.0,3
RC,149,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,19995.0,3
RC,149,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,4
RC,149,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19995.0,4
RC,149,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,19995.0,4
RC,149,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,4
RC,149,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19995.0,4
RC,149,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,149,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,149,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,4
RC,149,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,19995.0,4
RC,149,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,149,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,149,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,149,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,149,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,13046.0,19995.0,3
RC,149,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,19995.0,3
RC,149,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,149,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,149,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,149,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,19995.0,3
RC,149,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,3
RC,149,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,149,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,149,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,149,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,149,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,149,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,149,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,149,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,149,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,149,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,19995.0,4
RC,149,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,19995.0,9
RC,149,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,19995.0,3
RC,149,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,19995.0,3
RC,149,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,149,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,149,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,19995.0,3
RC,149,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,19995.0,3
RC,149,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,149,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,149,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,149,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,149,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,19995.0,4
RC,149,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,149,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,19995.0,2
RC,149,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,19995.0,2
RC,149,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,19995.0,2
RC,149,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,4
RC,149,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,4
RC,149,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,19995.0,4
RC,149,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,149,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,149,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,19995.0,12
RC,149,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,19995.0,3
RC,149,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,149,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,19995.0,2
RC,149,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,2
RC,149,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,19995.0,4
RC,149,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,19995.0,4
RC,149,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,19995.0,3
RC,149,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,19995.0,4
RC,149,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,19995.0,4
RC,149,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,19995.0,3
RC,149,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,19995.0,3
RC,149,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,3
RC,149,PLEURAL EFFUSION WITH MCC ,,,13046.0,19995.0,3
RC,149,PLEURAL EFFUSION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,4
RC,149,PNEUMOTHORAX WITH MCC ,,,7000.0,19995.0,4
RC,149,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,19995.0,3
RC,149,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,19995.0,3
RC,149,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,19995.0,3
RC,149,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,13046.0,19995.0,3
RC,149,PROSTATECTOMY WITH CC ,,,13046.0,19995.0,3
RC,149,PROSTATECTOMY WITH MCC ,,,13046.0,19995.0,3
RC,149,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,3
RC,149,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,3
RC,149,PULMONARY EMBOLISM WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,RADIOTHERAPY ,,,13046.0,19995.0,3
RC,149,RECTAL RESECTION WITH CC ,,,13046.0,19995.0,3
RC,149,RECTAL RESECTION WITH MCC ,,,13046.0,19995.0,3
RC,149,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,149,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,RENAL FAILURE WITH CC ,,,13046.0,13046.0,1
RC,149,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,3
RC,149,RENAL FAILURE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,3
RC,149,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,19995.0,3
RC,149,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,3
RC,149,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,19995.0,3
RC,149,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,RESPIRATORY SIGNS AND SYMPTOMS ,,,13046.0,19995.0,3
RC,149,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,19995.0,3
RC,149,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,19995.0,3
RC,149,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,149,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,149,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,149,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,4
RC,149,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,19995.0,4
RC,149,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,149,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,149,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,19995.0,4
RC,149,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,4
RC,149,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,4
RC,149,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,3
RC,149,SIGNS AND SYMPTOMS WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,4
RC,149,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,4
RC,149,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,149,SKIN DEBRIDEMENT WITH CC ,,,13046.0,19995.0,3
RC,149,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,19995.0,4
RC,149,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,19995.0,4
RC,149,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,19995.0,3
RC,149,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,19995.0,3
RC,149,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,19995.0,4
RC,149,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,19995.0,9
RC,149,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,SKIN ULCERS WITH CC ,,,13046.0,19995.0,3
RC,149,SKIN ULCERS WITH MCC ,,,13046.0,19995.0,3
RC,149,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,149,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,149,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,SPLENIC PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,SPLENIC PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,4
RC,149,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,149,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,149,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,149,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,149,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,4
RC,149,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,4
RC,149,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,4
RC,149,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,149,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,149,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,149,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,149,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,149,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,3
RC,149,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,3
RC,149,TRAUMATIC INJURY WITH MCC ,,,13046.0,19995.0,3
RC,149,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,19995.0,3
RC,149,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,3
RC,149,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,149,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,149,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,149,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,149,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,URETHRAL STRICTURE ,,,13046.0,19995.0,3
RC,149,URINARY STONES WITH MCC ,,,13046.0,19995.0,3
RC,149,URINARY STONES WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,19995.0,3
RC,149,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,19995.0,3
RC,149,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,19995.0,3
RC,149,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,19995.0,3
RC,149,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,149,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,19995.0,3
RC,149,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,149,VEIN LIGATION AND STRIPPING ,,,7000.0,19995.0,4
RC,149,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,3
RC,149,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,3
RC,149,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,19995.0,9
RC,149,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,19995.0,3
RC,149,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,19995.0,3
RC,149,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,150, Room & Board - Ward General Classification  ,,,6650.0,21045.0,4
RC,150,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,150,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,150,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,150,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,150,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,150,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,150,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,150,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,150,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,150,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,150,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,150,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,150,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,150,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,150,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,150,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,150,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,150,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,150,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,150,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,150,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,150,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,150,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,150,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,150,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,150,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,150,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,150,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,150,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,150,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,150,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,150,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,150,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,150,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,150,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,150,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,150,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,150,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,150,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,150,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,150,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,150,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,150,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,150,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,150,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,150,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,150,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,150,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,150,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,150,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,150,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,150,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,150,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,150,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,150,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,150,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,150,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,150,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,150,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,150,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,150,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,150,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,150,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,150,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,150,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,150,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,150,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,150,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,150,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,150,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,150,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,150,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,150,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,150,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,150,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,150,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,150,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,150,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,150,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,150,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,150,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,150,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,150,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,150,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,150,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,150,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,150,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,150,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,150,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,150,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,150,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,150,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,150,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,150,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,150,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,150,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,150,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,150,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,150,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,150,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,150,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,150,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,150,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,150,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,150,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,150,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,150,CHEST PAIN ,,,7000.0,11662.96,2
RC,150,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,150,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,150,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,150,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,150,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,150,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,150,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,150,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,150,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,150,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,150,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,150,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,150,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,150,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,150,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,150,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,150,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,150,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,150,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,150,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,150,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,150,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,150,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,150,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,150,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,150,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,150,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,150,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,150,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,150,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,150,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,150,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,150,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,150,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,150,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,150,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,150,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,150,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,150,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,150,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,150,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,150,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,150,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,150,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,150,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,150,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,150,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,150,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,150,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,150,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,150,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,150,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,150,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,150,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,150,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,150,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,150,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,150,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,150,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,150,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,150,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,150,EPISTAXIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,150,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,150,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,150,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,150,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,150,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,150,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,150,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,150,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,150,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,150,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,150,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,150,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,150,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,150,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,150,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,150,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,150,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,150,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,150,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,150,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,150,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,150,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,150,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,150,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,150,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,150,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,150,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,150,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,150,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,150,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,150,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,150,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,150,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,150,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,150,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,150,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,150,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,150,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,150,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,150,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,150,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,150,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,150,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,150,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,150,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,150,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,150,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,150,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,150,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,150,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,150,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,150,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,150,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,150,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,150,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,150,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,150,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,150,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,150,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,150,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,150,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,150,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,150,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,150,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,150,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,150,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,150,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,150,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,150,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,150,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,150,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,150,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,150,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,150,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,150,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,150,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,150,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,150,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,150,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,150,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,150,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,150,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,150,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,150,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,150,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,150,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,150,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,150,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,150,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,150,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,150,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,150,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,150,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,150,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,150,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,150,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,150,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,150,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,150,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,150,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,150,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,150,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,150,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,150,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,150,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,150,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,150,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,150,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,150,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,150,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,150,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,150,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,150,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,150,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,150,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,150,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,150,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,150,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,150,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,150,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,150,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,150,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,150,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,150,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,150,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,150,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,150,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,150,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,150,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,150,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,150,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,150,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,150,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,150,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,150,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,150,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,150,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,150,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,150,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,150,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,150,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,150,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,150,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,150,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,150,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,150,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,150,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,150,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,150,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,150,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,150,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,150,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,150,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,150,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,150,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,150,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,150,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,150,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,150,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,150,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,150,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,150,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,150,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,150,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,150,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,150,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,150,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,150,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,150,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,150,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,150,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,150,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,150,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,150,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,150,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,150,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,150,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,150,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,150,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,150,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,150,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,150,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,150,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,150,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,150,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,150,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,150,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,150,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,150,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,150,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,150,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,150,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,150,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,150,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,150,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,150,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,150,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,150,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,150,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,150,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,150,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,150,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,150,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,150,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,150,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,150,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,150,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,150,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,150,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,150,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,150,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,150,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,150,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,150,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,150,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,150,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,150,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,150,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,150,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,150,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,150,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,150,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,150,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,150,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,150,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,150,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,150,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,150,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,150,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,150,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,150,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,150,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,150,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,150,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,150,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,150,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,150,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,150,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,150,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,150,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,150,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,150,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,150,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,150,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,150,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,150,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,150,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,150,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,150,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,150,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,150,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,150,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,150,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,150,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,150,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,150,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,150,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,150,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,150,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,150,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,150,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,150,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,150,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,150,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,150,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,150,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,150,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,150,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,150,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,150,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,150,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,150,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,150,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,150,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,150,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,150,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,150,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,150,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,150,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,150,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,150,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,150,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,150,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,150,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,150,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,150,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,150,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,150,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,150,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,150,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,150,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,150,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,150,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,150,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,150,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,150,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,150,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,150,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,150,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,PSYCHOSES ,,,18854.11,18854.11,1
RC,150,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,150,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,150,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,150,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,150,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,150,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,150,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,150,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,150,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,150,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,150,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,150,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,150,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,150,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,150,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,150,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,150,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,150,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,150,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,150,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,150,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,150,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,150,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,150,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,150,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,150,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,150,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,150,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,150,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,150,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,150,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,150,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,150,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,150,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,150,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,150,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,150,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,150,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,150,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,150,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,150,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,150,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,150,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,150,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,150,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,150,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,150,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,150,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,150,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,150,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,150,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,150,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,150,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,150,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,150,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,150,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,150,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,150,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,150,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,150,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,150,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,150,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,150,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,150,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,150,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,150,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,150,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,150,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,150,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,150,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,150,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,150,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,150,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,150,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,150,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,150,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,150,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,150,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,150,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,150,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,150,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,150,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,150,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,150,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,150,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,150,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,150,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,150,UNGROUPABLE ,,,4012.81,4012.81,1
RC,150,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,150,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,150,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,150,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,150,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,150,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,150,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,150,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,150,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,150,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,150,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,150,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,150,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,150,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,150,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,150,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,150,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,150,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,150,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,150,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,150,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,150,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,150,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,150,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,150,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,150,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,150,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,150,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,150,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,150,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,150,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151, Room & Board - Ward Medical/Surgical/GYN  ,,,6650.0,21045.0,4
RC,151,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,151,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,151,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,151,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,151,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,151,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,151,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,151,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,151,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,151,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,151,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,151,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,151,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,151,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,151,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,151,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,151,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,151,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,151,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,151,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,151,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,151,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,151,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,151,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,151,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,151,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,151,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,151,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,151,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,151,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,151,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,151,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,151,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,151,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,151,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,151,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,151,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,151,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,151,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,151,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,151,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,151,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,151,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,151,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,151,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,151,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,151,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,151,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,151,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,151,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,151,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,151,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,151,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,151,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,151,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,151,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,151,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,151,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,151,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,151,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,151,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,151,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,151,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,151,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,151,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,151,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,151,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,151,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,151,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,151,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,151,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,151,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,151,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,151,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,151,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,151,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,151,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,151,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,151,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,151,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,151,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,151,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,151,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,151,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,151,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,151,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,151,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,151,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,151,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,151,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,151,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,151,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,151,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,151,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,151,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,151,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,151,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,151,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,151,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,151,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,151,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,151,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,151,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,151,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,151,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,151,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,151,CHEST PAIN ,,,7000.0,11662.96,2
RC,151,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,151,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,151,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,151,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,151,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,151,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,151,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,151,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,151,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,151,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,151,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,151,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,151,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,151,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,151,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,151,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,151,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,151,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,151,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,151,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,151,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,151,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,151,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,151,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,151,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,151,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,151,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,151,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,151,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,151,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,151,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,151,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,151,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,151,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,151,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,151,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,151,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,151,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,151,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,151,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,151,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,151,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,151,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,151,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,151,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,151,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,151,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,151,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,151,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,151,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,151,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,151,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,151,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,151,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,151,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,151,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,151,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,151,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,151,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,151,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,151,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,151,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,151,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,151,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,151,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,151,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,151,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,151,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,151,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,151,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,151,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,151,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,151,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,151,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,151,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,151,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,151,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,151,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,151,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,151,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,151,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,151,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,151,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,151,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,151,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,151,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,151,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,151,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,151,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,151,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,151,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,151,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,151,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,151,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,151,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,151,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,151,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,151,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,151,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,151,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,151,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,151,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,151,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,151,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,151,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,151,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,151,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,151,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,151,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,151,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,151,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,151,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,151,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,151,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,151,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,151,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,151,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,151,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,151,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,151,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,151,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,151,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,151,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,151,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,151,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,151,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,151,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,151,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,151,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,151,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,151,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,151,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,151,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,151,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,151,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,151,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,151,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,151,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,151,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,151,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,151,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,151,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,151,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,151,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,151,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,151,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,151,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,151,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,151,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,151,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,151,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,151,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,151,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,151,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,151,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,151,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,151,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,151,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,151,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,151,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,151,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,151,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,151,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,151,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,151,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,151,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,151,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,151,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,151,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,151,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,151,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,151,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,151,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,151,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,151,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,151,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,151,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,151,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,151,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,151,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,151,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,151,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,151,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,151,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,151,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,151,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,151,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,151,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,151,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,151,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,151,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,151,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,151,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,151,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,151,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,151,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,151,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,151,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,151,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,151,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,151,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,151,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,151,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,151,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,151,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,151,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,151,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,151,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,151,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,151,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,151,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,151,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,151,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,151,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,151,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,151,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,151,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,151,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,151,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,151,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,151,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,151,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,151,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,151,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,151,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,151,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,151,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,151,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,151,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,151,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,151,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,151,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,151,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,151,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,151,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,151,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,151,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,151,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,151,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,151,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,151,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,151,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,151,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,151,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,151,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,151,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,151,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,151,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,151,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,151,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,151,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,151,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,151,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,151,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,151,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,151,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,151,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,151,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,151,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,151,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,151,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,151,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,151,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,151,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,151,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,151,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,151,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,151,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,151,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,151,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,151,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,151,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,151,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,151,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,151,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,151,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,151,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,151,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,151,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,151,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,151,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,151,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,151,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,151,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,151,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,151,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,151,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,151,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,151,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,151,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,151,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,151,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,151,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,151,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,151,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,151,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,151,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,151,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,151,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,151,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,151,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,151,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,151,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,151,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,151,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,151,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,151,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,151,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,151,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,151,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,151,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,151,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,151,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,151,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,151,OTITIS MEDIA AND URI WITH MCC ,,,7000.0,19995.0,5
RC,151,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,151,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,151,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,151,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,151,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,151,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,151,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,151,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,151,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,151,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,151,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,151,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,151,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,151,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,151,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,151,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,151,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,151,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,151,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,151,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,151,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,151,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,151,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,151,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,151,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,151,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,151,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,151,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,151,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,151,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,151,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,151,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,151,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,151,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,151,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,151,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,151,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,151,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,151,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,151,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,151,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,151,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,151,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,151,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,151,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,PSYCHOSES ,,,18854.11,18854.11,1
RC,151,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,151,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,151,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,151,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,151,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,151,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,151,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,151,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,151,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,151,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,151,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,151,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,151,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,151,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,151,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,151,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,151,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,151,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,151,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,151,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,151,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,151,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,151,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,151,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,151,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,151,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,151,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,151,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,151,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,151,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,151,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,151,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,151,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,151,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,151,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,151,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,151,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,151,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,151,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,151,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,151,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,151,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,151,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,151,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,151,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,151,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,151,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,151,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,151,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,151,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,151,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,151,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,151,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,151,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,151,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,151,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,151,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,151,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,151,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,151,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,151,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,151,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,151,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,151,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,151,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,151,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,151,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,151,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,151,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,151,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,151,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,151,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,151,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,151,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,151,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,151,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,151,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,151,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,151,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,151,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,151,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,151,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,151,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,151,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,151,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,151,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,151,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,151,UNGROUPABLE ,,,4012.81,4012.81,1
RC,151,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,151,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,151,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,151,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,151,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,151,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,151,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,151,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,151,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,151,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,151,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,151,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,151,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,151,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,151,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,151,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,151,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,151,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,151,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,151,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,151,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,151,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,151,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,151,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,151,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,151,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,151,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,151,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,151,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,151,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,151,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152, Room & Board - Ward Obstetrics (OB)  ,,,6650.0,21045.0,4
RC,152,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,152,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,152,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,152,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,152,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,152,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,152,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,152,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,152,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,152,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,152,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,152,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,152,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,152,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,152,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,152,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,152,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,152,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,152,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,152,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,152,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,152,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,152,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,152,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,152,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,152,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,152,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,152,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,152,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,152,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,152,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,152,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,152,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,152,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,152,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,152,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,152,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,152,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,152,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,152,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,152,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,152,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,152,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,152,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,152,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,152,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,152,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,152,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,152,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,152,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,152,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,152,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,152,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,152,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,152,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,152,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,152,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,152,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,152,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,152,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,152,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,152,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,152,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,152,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,152,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,152,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,152,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,152,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,152,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,152,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,152,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,152,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,152,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,152,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,152,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,152,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,152,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,152,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,152,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,152,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,152,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,152,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,152,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,152,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,152,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,152,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,152,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,152,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,152,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,152,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,152,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,152,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,152,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,152,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,152,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,152,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,152,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,152,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,152,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,152,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,152,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,152,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,152,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,152,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,152,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,152,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,152,CHEST PAIN ,,,7000.0,11662.96,2
RC,152,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,152,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,152,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,152,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,152,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,152,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,152,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,152,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,152,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,152,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,152,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,152,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,152,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,152,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,152,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,152,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,152,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,152,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,152,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,152,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,152,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,152,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,152,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,152,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,152,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,152,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,152,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,152,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,152,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,152,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,152,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,152,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,152,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,152,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,152,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,152,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,152,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,152,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,152,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,152,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,152,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,152,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,152,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,152,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,152,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,152,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,152,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,152,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,152,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,152,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,152,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,152,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,152,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,152,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,152,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,152,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,152,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,152,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,152,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,152,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,152,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,152,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,152,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,152,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,152,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,152,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,152,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,152,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,152,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,152,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,152,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,152,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,152,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,152,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,152,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,152,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,152,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,152,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,152,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,152,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,152,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,152,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,152,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,152,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,152,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,152,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,152,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,152,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,152,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,152,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,152,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,152,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,152,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,152,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,152,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,152,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,152,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,152,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,152,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,152,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,152,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,152,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,152,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,152,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,152,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,152,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,152,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,152,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,152,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,152,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,152,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,152,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,152,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,152,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,152,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,152,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,152,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,152,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,152,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,152,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,152,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,152,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,152,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,152,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,152,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,152,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,152,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,152,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,152,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,152,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,152,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,152,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,152,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,152,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,152,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,152,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,152,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,152,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,152,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,152,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,152,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,152,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,152,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,152,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,152,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,152,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,152,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,152,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,152,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,152,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,152,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,152,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,152,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,152,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,152,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,152,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,152,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,152,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,152,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,152,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,152,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,152,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,152,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,152,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,152,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,152,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,152,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,152,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,152,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,152,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,152,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,152,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,152,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,152,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,152,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,152,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,152,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,152,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,152,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,152,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,152,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,152,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,152,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,152,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,152,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,152,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,152,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,152,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,152,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,152,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,152,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,152,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,152,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,152,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,152,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,152,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,152,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,152,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,152,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,152,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,152,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,152,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,152,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,152,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,152,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,152,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,152,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,152,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,152,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,152,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,152,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,152,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,152,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,152,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,152,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,152,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,152,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,152,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,152,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,152,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,152,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,152,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,152,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,152,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,152,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,152,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,152,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,152,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,152,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,152,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,152,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,152,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,152,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,152,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,152,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,152,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,152,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,152,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,152,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,152,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,152,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,152,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,152,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,152,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,152,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,152,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,152,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,152,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,152,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,152,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,152,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,152,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,152,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,152,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,152,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,152,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,152,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,152,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,152,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,152,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,152,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,152,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,152,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,152,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,152,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,152,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,152,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,152,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,152,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,152,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,152,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,152,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,152,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,152,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,152,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,152,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,152,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,152,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,152,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,152,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,152,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,152,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,152,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,152,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,152,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,152,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,152,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,152,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,152,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,152,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,152,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,152,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,152,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,152,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,152,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,152,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,152,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,152,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,152,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,152,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,152,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,152,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,152,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,152,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,152,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,152,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,152,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,152,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,152,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,152,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,152,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,152,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,152,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,152,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,152,OTITIS MEDIA AND URI WITHOUT MCC ,,,7000.0,19995.0,5
RC,152,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,152,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,152,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,152,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,152,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,152,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,152,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,152,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,152,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,152,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,152,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,152,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,152,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,152,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,152,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,152,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,152,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,152,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,152,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,152,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,152,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,152,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,152,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,152,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,152,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,152,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,152,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,152,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,152,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,152,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,152,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,152,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,152,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,152,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,152,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,152,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,152,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,152,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,152,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,152,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,152,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,152,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,152,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,152,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,PSYCHOSES ,,,18854.11,18854.11,1
RC,152,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,152,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,152,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,152,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,152,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,152,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,152,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,152,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,152,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,152,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,152,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,152,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,152,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,152,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,152,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,152,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,152,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,152,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,152,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,152,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,152,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,152,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,152,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,152,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,152,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,152,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,152,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,152,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,152,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,152,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,152,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,152,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,152,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,152,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,152,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,152,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,152,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,152,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,152,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,152,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,152,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,152,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,152,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,152,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,152,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,152,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,152,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,152,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,152,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,152,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,152,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,152,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,152,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,152,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,152,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,152,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,152,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,152,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,152,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,152,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,152,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,152,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,152,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,152,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,152,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,152,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,152,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,152,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,152,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,152,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,152,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,152,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,152,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,152,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,152,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,152,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,152,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,152,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,152,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,152,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,152,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,152,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,152,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,152,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,152,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,152,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,152,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,152,UNGROUPABLE ,,,4012.81,4012.81,1
RC,152,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,152,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,152,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,152,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,152,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,152,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,152,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,152,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,152,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,152,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,152,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,152,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,152,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,152,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,152,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,152,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,152,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,152,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,152,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,152,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,152,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,152,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,152,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,152,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,152,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,152,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,152,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,152,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,152,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,152,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,152,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153, Room & Board - Ward Pediatric  ,,,6650.0,21045.0,4
RC,153,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,153,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,153,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,153,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,153,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,153,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,153,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,153,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,153,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,153,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,153,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,153,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,153,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,153,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,153,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,153,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,153,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,153,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,153,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,153,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,153,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,153,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,153,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,153,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,153,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,153,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,153,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,153,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,153,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,153,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,153,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,153,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,153,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,153,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,153,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,153,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,153,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,153,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,153,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,153,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,153,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,153,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,153,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,153,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,153,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,153,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,153,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,153,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,153,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,153,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,153,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,153,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,153,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,153,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,153,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,153,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,153,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,153,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,153,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,153,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,153,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,153,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,153,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,153,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,153,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,153,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,153,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,153,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,153,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,153,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,153,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,153,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,153,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,153,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,153,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,153,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,153,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,153,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,153,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,153,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,153,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,153,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,153,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,153,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,153,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,153,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,153,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,153,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,153,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,153,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,153,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,153,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,153,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,153,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,153,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,153,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,153,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,153,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,153,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,153,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,153,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,153,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,153,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,153,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,153,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,153,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,153,CHEST PAIN ,,,7000.0,11662.96,2
RC,153,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,153,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,153,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,153,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,153,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,153,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,153,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,153,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,153,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,153,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,153,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,153,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,153,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,153,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,153,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,153,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,153,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,153,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,153,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,153,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,153,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,153,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,153,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,153,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,153,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,153,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,153,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,153,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,153,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,153,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,153,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,153,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,153,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,153,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,153,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,153,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,153,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,153,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,153,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,153,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,5
RC,153,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,153,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,153,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,153,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,153,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,153,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,153,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,153,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,153,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,153,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,153,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,153,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,153,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,153,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,153,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,153,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,153,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,153,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,153,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,153,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,153,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,153,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,153,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,153,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,153,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,153,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,153,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,153,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,153,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,153,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,153,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,153,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,153,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,153,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,153,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,153,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,153,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,153,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,153,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,153,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,153,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,153,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,153,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,153,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,153,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,153,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,153,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,153,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,153,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,153,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,153,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,153,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,153,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,153,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,153,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,153,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,153,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,153,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,153,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,153,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,153,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,153,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,153,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,153,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,153,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,153,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,153,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,153,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,153,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,153,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,153,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,153,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,153,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,153,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,153,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,153,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,153,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,153,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,153,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,153,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,153,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,153,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,153,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,153,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,153,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,153,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,153,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,153,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,153,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,153,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,153,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,153,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,153,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,153,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,153,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,153,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,153,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,153,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,153,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,153,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,153,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,153,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,153,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,153,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,153,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,153,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,153,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,153,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,153,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,153,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,153,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,153,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,153,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,153,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,153,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,153,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,153,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,153,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,153,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,153,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,153,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,153,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,153,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,153,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,153,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,153,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,153,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,153,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,153,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,153,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,153,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,153,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,153,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,153,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,153,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,153,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,153,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,153,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,153,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,153,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,153,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,153,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,153,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,153,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,153,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,153,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,153,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,153,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,153,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,153,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,153,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,153,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,153,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,153,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,153,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,153,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,153,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,153,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,153,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,153,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,153,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,153,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,153,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,153,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,153,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,153,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,153,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,153,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,153,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,153,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,153,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,153,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,153,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,153,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,153,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,153,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,153,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,153,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,153,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,153,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,153,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,153,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,153,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,153,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,153,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,153,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,153,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,153,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,153,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,153,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,153,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,153,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,153,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,153,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,153,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,153,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,153,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,153,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,153,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,153,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,153,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,153,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,153,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,153,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,153,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,153,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,153,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,153,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,153,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,153,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,153,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,153,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,153,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,19995.0,5
RC,153,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,7000.0,20625.32,5
RC,153,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,153,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,153,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,153,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,153,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,153,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,153,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,153,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,153,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,153,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,153,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,153,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,153,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,153,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,153,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,153,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,153,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,153,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,153,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,153,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,153,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,153,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,153,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,153,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,153,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,153,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,153,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,153,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,153,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,153,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,153,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,153,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,153,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,153,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,153,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,153,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,153,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,153,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,153,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,153,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,153,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,153,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,153,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,153,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,153,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,153,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,153,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,153,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,153,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,153,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,153,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,153,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,153,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,153,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,153,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,153,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,153,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,153,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,153,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,153,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,153,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,153,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,153,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,153,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,153,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,153,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,153,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,153,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,153,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,153,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,153,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,153,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,153,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,153,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,153,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,153,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,153,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,153,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,153,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,153,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,153,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,153,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,153,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,153,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,153,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,153,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,153,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,153,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,153,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,153,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,153,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,153,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,153,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,153,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,153,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,153,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,PSYCHOSES ,,,18854.11,18854.11,1
RC,153,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,153,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,153,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,153,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,153,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,153,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,153,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,153,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,153,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,153,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,153,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,153,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,153,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,153,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,153,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,153,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,153,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,153,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,153,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,153,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,153,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,153,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,153,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,153,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,153,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,153,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,153,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,153,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,153,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,153,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,153,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,153,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,153,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,153,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,153,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,153,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,153,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,153,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,153,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,153,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,153,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,153,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,153,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,153,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,153,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,153,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,153,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,153,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,153,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,153,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,153,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,153,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,153,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,153,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,153,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,153,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,153,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,153,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,153,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,153,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,153,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,153,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,153,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,153,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,153,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,153,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,153,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,153,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,153,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,153,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,153,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,153,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,153,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,153,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,153,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,153,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,153,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,153,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,153,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,153,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,153,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,153,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,153,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,153,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,153,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,153,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,153,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,153,UNGROUPABLE ,,,4012.81,4012.81,1
RC,153,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,153,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,153,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,153,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,153,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,153,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,153,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,153,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,153,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,153,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,153,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,153,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,153,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,153,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,153,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,153,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,153,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,153,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,153,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,153,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,153,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,153,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,153,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,153,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,153,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,153,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,153,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,154, Room & Board - Ward Psychiatric  ,,,768.0,7700.0,18
RC,154, Room & Board - Ward Psychiatric  Adolescent,,,1103.0,2002.0,2
RC,154, Room & Board - Ward Psychiatric  Adult,,,2002.0,2002.0,1
RC,154, Room & Board - Ward Psychiatric  Adult/Geriatric,,,1103.0,1103.0,1
RC,154, Room & Board - Ward Psychiatric  Children,,,110.0,110.0,1
RC,154, Room & Board - Ward Psychiatric  Dual Diagnosis,,,1095.0,1095.0,1
RC,154, Room & Board - Ward Psychiatric  Dual Diagnosis Adult,,,1542.0,1542.0,1
RC,154, Room & Board - Ward Psychiatric  Dual Diagnosis Geriatric,,,1542.0,1542.0,1
RC,154, Room & Board - Ward Psychiatric  Mental Health Adult,,,1542.0,1542.0,1
RC,154, Room & Board - Ward Psychiatric  Mental Health Geriatric,,,1095.0,1542.0,2
RC,154,ABDOMINAL PAIN Mental Health Geriatric,,,2635.66,7047.61,4
RC,154,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,154,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,3702.72,28784.47,4
RC,154,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,154,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,2242.46,17090.96,4
RC,154,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,154,ACUTE AND SUBACUTE ENDOCARDITIS Mental Health Geriatric,,,4893.54,10995.89,4
RC,154,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,2
RC,154,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,2
RC,154,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,13891.07,2
RC,154,ACUTE ANXIETY AND STRESS SYNDROMES Mental Health Geriatric,,,2084.42,8187.18,4
RC,154,ACUTE KIDNEY INJURY Mental Health Geriatric,,,2220.78,11029.24,4
RC,154,ACUTE LEUKEMIA Mental Health Geriatric,,,5508.16,28731.24,4
RC,154,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,154,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,154,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,154,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,154,ACUTE MYOCARDIAL INFARCTION Mental Health Geriatric,,,2757.83,9679.51,4
RC,154,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,154,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,154,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,154,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,154,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,154,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,10376.25,2
RC,154,ADJUSTMENT DISORDERS Mental Health Geriatric,,,1255.91,4788.05,4
RC,154,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,154,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,154,ADRENAL PROCEDURES Mental Health Geriatric,,,5539.85,22565.1,4
RC,154,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,154,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,154,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,154,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,154,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,154,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,154,AICD LEAD PROCEDURES ,,,7000.0,42456.95,2
RC,154,ALCOHOL ABUSE AND DEPENDENCE Mental Health Geriatric,,,1816.32,11673.88,4
RC,154,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Mental Health Geriatric,,,2482.63,12366.46,4
RC,154,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,154,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,154,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,154,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,154,ALCOHOLIC LIVER DISEASE Mental Health Geriatric,,,2777.02,11993.27,4
RC,154,ALLERGIC REACTIONS Mental Health Geriatric,,,1679.96,9832.96,4
RC,154,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,154,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,154,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,154,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,154,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,154,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,154,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,2
RC,154,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,16552.69,2
RC,154,AMPUTATION OF LOWER LIMB EXCEPT TOES Mental Health Geriatric,,,5075.34,18151.91,4
RC,154,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,154,ANAL AND PERINEAL PROCEDURES Mental Health Geriatric,,,4001.23,12198.84,4
RC,154,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,154,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,154,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,154,ANGINA PECTORIS ,,,7000.0,11470.65,2
RC,154,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS Mental Health Geriatric,,,2611.9,8536.61,4
RC,154,ANTEPARTUM WITH O.R. PROCEDURE Mental Health Geriatric,,,3635.87,33162.16,4
RC,154,ANTEPARTUM WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,1888.04,19048.75,4
RC,154,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,154,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,154,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4738.85,14783.63,4
RC,154,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,154,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,154,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,154,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4518.7,11733.92,4
RC,154,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,154,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,154,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,154,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,154,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,154,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,154,ATHEROSCLEROSIS WITH MCC ,,,7000.0,16726.93,2
RC,154,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,11165.7,2
RC,154,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,154,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,154,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,154,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,154,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,154,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,154,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,154,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,154,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,154,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,4
RC,154,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,2
RC,154,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,2
RC,154,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,2
RC,154,BIPOLAR DISORDERS Mental Health Geriatric,,,1954.33,9294.65,4
RC,154,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,17786.27,2
RC,154,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,12832.8,2
RC,154,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,154,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,154,BREAST PROCEDURES EXCEPT MASTECTOMY Mental Health Geriatric,,,6096.08,13840.03,4
RC,154,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,154,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,154,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Mental Health Geriatric,,,7711.42,54670.03,4
RC,154,CARDIAC ARREST AND SHOCK Mental Health Geriatric,,,2168.23,8679.62,4
RC,154,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,154,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,154,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,154,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS Mental Health Geriatric,,,2105.69,7950.35,4
RC,154,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,11829.78,2
RC,154,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,16805.56,2
RC,154,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,10027.74,2
RC,154,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE Mental Health Geriatric,,,4513.27,11613.83,4
RC,154,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS Mental Health Geriatric,,,4599.17,14592.66,4
RC,154,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,2
RC,154,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,13715.75,2
RC,154,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,154,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,154,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,154,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,154,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,154,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,154,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,154,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT Mental Health Geriatric,,,6071.06,16574.51,4
RC,154,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,2
RC,154,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,2
RC,154,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,2
RC,154,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,2
RC,154,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,2
RC,154,CARDIAC STRUCTURAL AND VALVULAR DISORDERS Mental Health Geriatric,,,2933.38,11131.4,4
RC,154,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,6
RC,154,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,6
RC,154,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,18216.95,42315.24,4
RC,154,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,15944.89,37783.63,4
RC,154,CARDIOMYOPATHY Mental Health Geriatric,,,2638.16,9900.1,4
RC,154,CELLULITIS AND OTHER SKIN INFECTIONS Mental Health Geriatric,,,2129.46,8912.71,4
RC,154,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,154,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,154,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,154,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,154,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,154,CESAREAN SECTION WITH STERILIZATION Mental Health Geriatric,,,3676.69,33015.34,4
RC,154,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,154,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,154,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,154,CESAREAN SECTION WITHOUT STERILIZATION Mental Health Geriatric,,,3661.31,27084.84,4
RC,154,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,154,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,154,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,154,CHEMOTHERAPY FOR ACUTE LEUKEMIA Mental Health Geriatric,,,3722.28,25182.41,4
RC,154,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,154,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,154,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,154,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,154,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,154,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,154,CHEST PAIN ,,,7000.0,11662.96,2
RC,154,CHEST PAIN Mental Health Geriatric,,,2681.94,6640.22,4
RC,154,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,2
RC,154,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,154,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,154,CHOLECYSTECTOMY Mental Health Geriatric,,,5312.18,15261.89,4
RC,154,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,154,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,154,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,154,CHRONIC KIDNEY DISEASE Mental Health Geriatric,,,2368.8,10315.81,4
RC,154,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12969.86,2
RC,154,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,15782.35,15782.35,1
RC,154,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10834.2,2
RC,154,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,154,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,154,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,154,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,154,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,154,COAGULATION AND PLATELET DISORDERS Mental Health Geriatric,,,3574.67,12456.53,4
RC,154,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,154,COCAINE ABUSE AND DEPENDENCE Mental Health Geriatric,,,1670.38,9330.52,4
RC,154,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,154,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,154,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,2
RC,154,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,15525.23,2
RC,154,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,154,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,154,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,154,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,154,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,154,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,2
RC,154,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,154,CONNECTIVE TISSUE DISORDERS Mental Health Geriatric,,,3409.14,13897.99,4
RC,154,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,16267.93,2
RC,154,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,2
RC,154,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,12897.62,2
RC,154,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Mental Health Geriatric",,,3276.12,10005.59,4
RC,154,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,17145.76,32891.75,4
RC,154,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,2
RC,154,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,2
RC,154,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,2
RC,154,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,2
RC,154,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,14471.32,28532.34,4
RC,154,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,154,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,154,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,154,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,154,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,154,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,154,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,11337.8,30993.71,4
RC,154,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,154,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,154,DEFIBRILLATOR IMPLANTS Mental Health Geriatric,,,14403.35,27697.57,4
RC,154,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,13679.62,2
RC,154,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,2
RC,154,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,11540.78,2
RC,154,DEPRESSIVE DISORDERS Mental Health Geriatric,,,1652.45,9282.14,4
RC,154,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,154,DIABETES Mental Health Geriatric,,,2335.44,8629.16,4
RC,154,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,154,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,154,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,154,DIGESTIVE MALIGNANCY Mental Health Geriatric,,,3626.8,10922.08,4
RC,154,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,16865.07,2
RC,154,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,2
RC,154,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,154,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Mental Health Geriatric,,,3892.4,12235.94,4
RC,154,DISORDERS OF GALLBLADDER AND BILIARY TRACT Mental Health Geriatric,,,2699.87,10077.3,4
RC,154,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Mental Health Geriatric,,,2080.68,15327.77,4
RC,154,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,14269.32,2
RC,154,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,2
RC,154,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,11447.28,2
RC,154,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Mental Health Geriatric,,,2418.0,11676.37,4
RC,154,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12950.74,2
RC,154,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,154,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,10615.32,2
RC,154,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,154,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,154,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,154,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,154,DIVERTICULITIS AND DIVERTICULOSIS Mental Health Geriatric,,,2331.28,9403.48,4
RC,154,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Mental Health Geriatric,,,11271.5,30024.67,4
RC,154,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Mental Health Geriatric,,,17455.56,42924.85,4
RC,154,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Mental Health Geriatric",,,1200.04,8311.02,4
RC,154,EATING DISORDERS Mental Health Geriatric,,,4798.48,16985.22,4
RC,154,ELECTIVE HIP JOINT REPLACEMENT Mental Health Geriatric,,,6259.54,16820.94,4
RC,154,ELECTIVE KNEE JOINT REPLACEMENT Mental Health Geriatric,,,6143.2,15420.76,4
RC,154,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,154,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,154,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,154,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,2
RC,154,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,2
RC,154,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,2
RC,154,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,154,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,12296.22,2
RC,154,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,8813.89,31255.98,4
RC,154,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,154,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,154,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,7148.51,24255.91,4
RC,154,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,6883.74,21139.9,4
RC,154,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,154,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,154,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,154,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Mental Health Geriatric,,,23840.2,106648.52,4
RC,154,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,3618.04,12891.01,4
RC,154,EXTERNAL HEART ASSIST DEVICES Mental Health Geriatric,,,20680.4,36380.94,4
RC,154,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,154,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Mental Health Geriatric,,,2302.92,8809.72,4
RC,154,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Mental Health Geriatric,,,3110.17,10324.15,4
RC,154,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,154,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Mental Health Geriatric,,,5097.86,21578.14,4
RC,154,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,154,FEVER AND INFLAMMATORY CONDITIONS Mental Health Geriatric,,,2026.88,6681.5,4
RC,154,FOOT AND TOE PROCEDURES Mental Health Geriatric,,,4416.53,14491.75,4
RC,154,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,2
RC,154,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,2
RC,154,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,154,FRACTURE OF FEMUR Mental Health Geriatric,,,2343.78,7153.1,4
RC,154,FRACTURE OF PELVIS OR DISLOCATION OF HIP Mental Health Geriatric,,,2601.47,9079.08,4
RC,154,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,154,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Mental Health Geriatric",,,2796.61,9488.54,4
RC,154,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,2
RC,154,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,12577.79,2
RC,154,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,17634.33,2
RC,154,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,12593.73,2
RC,154,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,154,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,154,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,154,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,154,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,154,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,2
RC,154,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,154,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,154,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,154,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,154,GASTROINTESTINAL VASCULAR INSUFFICIENCY Mental Health Geriatric,,,2731.56,9029.04,4
RC,154,GENDER RELATED PROCEDURES Mental Health Geriatric,,,9202.08,50815.57,4
RC,154,GENETIC DISORDERS Mental Health Geriatric,,,3283.21,22763.58,4
RC,154,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Mental Health Geriatric,,,4464.9,16153.79,4
RC,154,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6299.57,21106.96,4
RC,154,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Mental Health Geriatric,,,4667.14,18697.72,4
RC,154,HAND AND WRIST PROCEDURES Mental Health Geriatric,,,4471.57,12957.3,4
RC,154,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,2
RC,154,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,14874.96,2
RC,154,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,154,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,154,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,154,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,154,HEART FAILURE Mental Health Geriatric,,,2395.49,10730.69,4
RC,154,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Mental Health Geriatric,,,2424.25,9936.37,4
RC,154,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Mental Health Geriatric,,,2337.53,11125.56,4
RC,154,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,154,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,154,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,154,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,2
RC,154,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,2
RC,154,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,18303.71,2
RC,154,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Mental Health Geriatric",,,5531.51,18000.54,4
RC,154,HIP AND FEMUR FRACTURE REPAIR Mental Health Geriatric,,,5960.15,14309.95,4
RC,154,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,154,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,154,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,154,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,154,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,154,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,154,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,154,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI Mental Health Geriatric,,,4029.17,9171.65,4
RC,154,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,154,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,154,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,154,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Mental Health Geriatric,,,3596.35,15694.7,4
RC,154,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Mental Health Geriatric,,,3618.04,8646.26,4
RC,154,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,154,HOSPICE AND PALLIATIVE CARE Mental Health Geriatric,,,858.54,1030.33,4
RC,154,HYPERTENSION Mental Health Geriatric,,,2711.14,8817.23,4
RC,154,HYPERTENSION WITH MCC ,,,7000.0,16656.81,2
RC,154,HYPERTENSION WITHOUT MCC ,,,7000.0,12035.9,2
RC,154,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Mental Health Geriatric,,,1940.57,6751.56,4
RC,154,IMPLANTABLE HEART ASSIST SYSTEMS Mental Health Geriatric,,,59825.44,115367.76,4
RC,154,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,154,INBORN ERRORS OF METABOLISM Mental Health Geriatric,,,3171.05,24774.62,4
RC,154,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,154,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,154,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,154,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Mental Health Geriatric,,,6146.12,20729.6,4
RC,154,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,154,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,154,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,154,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,154,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,154,INFLAMMATORY BOWEL DISEASE Mental Health Geriatric,,,2700.71,9128.7,4
RC,154,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,154,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,154,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,154,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,154,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,154,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,154,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Mental Health Geriatric",,,4785.97,14410.86,4
RC,154,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES Mental Health Geriatric",,,8040.83,21099.46,4
RC,154,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Mental Health Geriatric,,,1878.44,10436.32,4
RC,154,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,14097.19,2
RC,154,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,2
RC,154,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,11622.58,2
RC,154,INTESTINAL OBSTRUCTION Mental Health Geriatric,,,2154.48,8511.59,4
RC,154,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,154,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,154,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,154,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,154,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,154,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,154,KIDNEY AND URINARY TRACT INFECTIONS Mental Health Geriatric,,,2340.44,6933.36,4
RC,154,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,154,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,154,KIDNEY AND URINARY TRACT MALIGNANCY Mental Health Geriatric,,,3405.8,11039.66,4
RC,154,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,154,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,154,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,154,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6300.4,20013.67,4
RC,154,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Mental Health Geriatric,,,6031.87,17287.94,4
RC,154,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,154,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,154,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,154,KIDNEY TRANSPLANT Mental Health Geriatric,,,21479.32,39941.86,4
RC,154,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,154,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,154,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Mental Health Geriatric,,,6428.82,18339.12,4
RC,154,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,2
RC,154,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,2
RC,154,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,154,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,2
RC,154,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,154,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,154,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,154,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,154,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,154,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,6
RC,154,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,2
RC,154,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,2
RC,154,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,2
RC,154,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,154,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,2
RC,154,LOWER VASCULAR PROCEDURES Mental Health Geriatric,,,7223.57,21188.69,4
RC,154,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Mental Health Geriatric,,,3049.7,10853.7,4
RC,154,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,154,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,154,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,154,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,154,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,154,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,154,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,154,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,154,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,154,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Mental Health Geriatric",,,3615.12,16950.61,4
RC,154,MAJOR ABDOMINAL VASCULAR PROCEDURES Mental Health Geriatric,,,11805.22,25457.2,4
RC,154,MAJOR BILIARY TRACT PROCEDURES Mental Health Geriatric,,,7103.89,22027.63,4
RC,154,MAJOR BLADDER PROCEDURES Mental Health Geriatric,,,9317.17,25508.48,4
RC,154,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,154,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,154,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,154,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY Mental Health Geriatric,,,14909.98,67535.18,4
RC,154,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,2
RC,154,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,2
RC,154,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,2
RC,154,MAJOR CHEST TRAUMA WITH CC ,,,15319.1,15319.1,1
RC,154,MAJOR CHEST TRAUMA WITH MCC ,,,20268.32,20268.32,1
RC,154,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,12369.54,1
RC,154,MAJOR ESOPHAGEAL DISORDERS Mental Health Geriatric,,,3091.4,11085.53,4
RC,154,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,154,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,154,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,11458.96,2
RC,154,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Mental Health Geriatric,,,2515.57,9344.27,4
RC,154,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,154,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,2
RC,154,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,154,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Mental Health Geriatric,,,2559.36,12508.64,4
RC,154,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,154,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,154,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,154,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,154,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,2
RC,154,MAJOR LARGE BOWEL PROCEDURES Mental Health Geriatric,,,6569.76,18460.46,4
RC,154,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,154,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,154,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,7350.32,31025.82,4
RC,154,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Mental Health Geriatric",,,8471.98,25798.27,4
RC,154,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,2
RC,154,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,154,MAJOR SKIN DISORDERS Mental Health Geriatric,,,2103.19,14003.48,4
RC,154,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,154,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,154,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,154,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,154,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,154,MAJOR SMALL BOWEL PROCEDURES Mental Health Geriatric,,,5318.44,20640.79,4
RC,154,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,6927.11,24108.3,4
RC,154,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,18348.35,2
RC,154,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Mental Health Geriatric,,,2300.0,9983.06,4
RC,154,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Mental Health Geriatric",,,2659.01,10825.34,4
RC,154,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Mental Health Geriatric",,,2839.98,10809.5,4
RC,154,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Mental Health Geriatric",,,2551.85,9096.59,4
RC,154,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Mental Health Geriatric",,,2973.82,10011.0,4
RC,154,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Mental Health Geriatric,,,3295.72,9999.32,4
RC,154,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,154,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,154,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,154,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,154,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,154,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,154,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Mental Health Geriatric",,,3113.93,9292.57,4
RC,154,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,154,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,154,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,154,MALIGNANT BREAST DISORDERS Mental Health Geriatric,,,3655.56,10300.8,4
RC,154,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,154,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,154,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,154,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Mental Health Geriatric",,,2273.74,9630.73,4
RC,154,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,154,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,154,MASTECTOMY PROCEDURES Mental Health Geriatric,,,7114.32,12817.62,4
RC,154,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,2
RC,154,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,14226.82,2
RC,154,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Mental Health Geriatric,,,2426.76,8609.99,4
RC,154,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,154,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,154,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,4096.3,25977.16,4
RC,154,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,154,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,154,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,154,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,154,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,154,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,2
RC,154,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,2
RC,154,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,154,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,154,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,154,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,5179.16,19144.28,4
RC,154,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,5159.57,17171.6,4
RC,154,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,16800.08,36867.55,4
RC,154,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,154,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,154,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,154,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,4092.96,14277.84,4
RC,154,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,9194.16,28054.08,4
RC,154,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Mental Health Geriatric,,,4066.28,11988.68,4
RC,154,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,154,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,154,NEONATAL AFTERCARE Mental Health Geriatric,,,5633.24,44950.49,4
RC,154,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,7726.02,50058.36,4
RC,154,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,27073.79,67834.15,4
RC,154,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,10356.25,29543.5,4
RC,154,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,17573.15,47769.19,4
RC,154,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,8072.1,44339.21,4
RC,154,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,7171.45,44786.2,4
RC,154,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5584.04,27744.68,4
RC,154,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,11563.38,39863.88,4
RC,154,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,19181.82,112697.08,4
RC,154,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,5242.97,23530.38,4
RC,154,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,2731.14,33224.9,4
RC,154,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5353.46,29141.95,4
RC,154,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,6839.95,21704.47,4
RC,154,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Mental Health Geriatric",,,982.19,18303.86,4
RC,154,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,5460.2,99215.64,4
RC,154,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,32629.9,92243.09,4
RC,154,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,74907.61,153134.29,4
RC,154,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Mental Health Geriatric",,,1737.5,70556.12,4
RC,154,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,3378.28,20747.11,4
RC,154,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,1000.73,36671.99,4
RC,154,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Mental Health Geriatric,,,12543.67,94599.38,4
RC,154,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Mental Health Geriatric,,,4650.04,105280.87,4
RC,154,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,1467.73,11772.28,4
RC,154,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Mental Health Geriatric,,,2622.31,22253.63,4
RC,154,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Mental Health Geriatric",,,721.26,9426.34,4
RC,154,NEONATE WITH ECMO Mental Health Geriatric,,,90705.72,229024.7,4
RC,154,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,154,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Mental Health Geriatric",,,450.32,3814.01,4
RC,154,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Mental Health Geriatric",,,1363.91,7107.65,4
RC,154,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,154,NEPHRITIS AND NEPHROSIS Mental Health Geriatric,,,2592.71,13427.23,4
RC,154,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,154,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Mental Health Geriatric,,,7064.28,16337.26,4
RC,154,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Mental Health Geriatric,,,9228.77,17424.29,4
RC,154,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,154,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4617.52,16856.38,4
RC,154,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,4145.51,15976.57,4
RC,154,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,154,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,154,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,154,NON-HYPOVOLEMIC SODIUM DISORDERS Mental Health Geriatric,,,2255.8,8345.21,4
RC,154,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,154,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,154,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,154,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,154,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,154,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,154,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,154,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,154,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,154,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,154,OBSESSIVE COMPULSIVE DISORDERS Mental Health Geriatric,,,2730.73,6283.31,4
RC,154,OPIOID ABUSE AND DEPENDENCE Mental Health Geriatric,,,1426.03,8843.9,4
RC,154,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,154,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Mental Health Geriatric,,,2652.34,13346.76,4
RC,154,OSTEOMYELITIS WITH CC ,,,7000.0,17786.27,2
RC,154,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,2
RC,154,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,12379.1,2
RC,154,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Mental Health Geriatric",,,3255.7,10627.28,4
RC,154,OTHER AFTERCARE AND CONVALESCENCE Mental Health Geriatric,,,3557.58,7655.96,4
RC,154,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Mental Health Geriatric,,,2743.24,9428.92,4
RC,154,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,2484.3,9045.3,4
RC,154,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,154,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,154,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,154,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,154,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,154,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,154,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Mental Health Geriatric",,,3280.72,10182.79,4
RC,154,OTHER BLADDER PROCEDURES Mental Health Geriatric,,,4784.3,13658.65,4
RC,154,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES Mental Health Geriatric,,,11152.67,33576.41,4
RC,154,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,154,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,2
RC,154,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,2
RC,154,OTHER CHEMOTHERAPY Mental Health Geriatric,,,3204.83,12944.8,4
RC,154,OTHER CIRCULATORY SYSTEM DIAGNOSES Mental Health Geriatric,,,2562.28,9553.18,4
RC,154,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,14248.07,2
RC,154,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,2
RC,154,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,154,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,2
RC,154,OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,2749.08,9455.18,4
RC,154,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Mental Health Geriatric,,,5387.23,18505.08,4
RC,154,OTHER DIGESTIVE SYSTEM DIAGNOSES Mental Health Geriatric,,,2691.12,9194.58,4
RC,154,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,13954.82,2
RC,154,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,2
RC,154,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,154,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,2
RC,154,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,2
RC,154,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18865.79,2
RC,154,OTHER DISORDERS OF THE LIVER Mental Health Geriatric,,,2763.67,10730.69,4
RC,154,OTHER DRUG ABUSE AND DEPENDENCE Mental Health Geriatric,,,1639.52,8949.4,4
RC,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,7000.0,13750.82,2
RC,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,11355.89,2
RC,154,OTHER ENDOCRINE DISORDERS Mental Health Geriatric,,,2704.04,9937.62,4
RC,154,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,154,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,154,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,154,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,154,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,154,OTHER ESOPHAGEAL DISORDERS Mental Health Geriatric,,,2849.15,9704.11,4
RC,154,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,154,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,4104.64,16897.25,4
RC,154,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,154,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,154,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Mental Health Geriatric",,,2300.83,7803.98,4
RC,154,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,2
RC,154,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,2
RC,154,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,154,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,154,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Mental Health Geriatric",,,5974.74,20509.86,4
RC,154,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,154,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,154,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,154,OTHER INFECTIOUS AND PARASITIC DISEASES Mental Health Geriatric,,,2385.48,11118.47,4
RC,154,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Mental Health Geriatric",,,2090.27,11114.3,4
RC,154,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,154,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,154,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,154,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,154,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,154,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Mental Health Geriatric",,,2438.86,9560.68,4
RC,154,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,154,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,154,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,154,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6418.4,19647.98,4
RC,154,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6941.7,20009.92,4
RC,154,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,154,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,154,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,154,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,5554.44,21288.76,4
RC,154,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,154,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,154,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,154,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,154,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,154,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,154,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,154,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Mental Health Geriatric,,,2109.02,10332.49,4
RC,154,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,154,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,154,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,2625.65,9000.28,4
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,2
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,2
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,2
RC,154,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Mental Health Geriatric,,,5559.44,16956.46,4
RC,154,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,154,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Mental Health Geriatric,,,2177.83,8479.9,4
RC,154,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,154,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,154,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,154,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,5883.01,26789.41,4
RC,154,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,154,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,154,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,154,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,154,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,154,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,154,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES Mental Health Geriatric,,,6209.09,18271.15,4
RC,154,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Mental Health Geriatric",,,5840.9,19514.14,4
RC,154,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,5686.2,26151.44,4
RC,154,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,154,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,154,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,2
RC,154,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,2
RC,154,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18531.1,2
RC,154,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Mental Health Geriatric,,,6813.68,18268.66,4
RC,154,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Mental Health Geriatric",,,2314.6,10255.34,4
RC,154,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,154,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,2
RC,154,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,154,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Mental Health Geriatric",,,3804.01,14920.39,4
RC,154,OTHER SMALL AND LARGE BOWEL PROCEDURES Mental Health Geriatric,,,5328.02,16891.4,4
RC,154,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,3964.96,18121.88,4
RC,154,OTHER UPPER VASCULAR PROCEDURES Mental Health Geriatric,,,7956.6,18872.84,4
RC,154,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,154,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,154,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,154,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,2
RC,154,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,154,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,2
RC,154,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,2320.43,13546.49,4
RC,154,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,6
RC,154,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,154,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,154,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,154,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,154,"PENIS, TESTES AND SCROTAL PROCEDURES Mental Health Geriatric",,,4627.52,17795.4,4
RC,154,PEPTIC ULCER AND GASTRITIS Mental Health Geriatric,,,3183.55,11294.86,4
RC,154,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,154,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,154,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI Mental Health Geriatric,,,8073.35,17504.35,4
RC,154,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI Mental Health Geriatric,,,8745.08,19770.16,4
RC,154,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,154,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,154,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,154,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,154,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,2
RC,154,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,2
RC,154,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,154,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES Mental Health Geriatric,,,15987.0,31019.15,4
RC,154,PERIPHERAL AND OTHER VASCULAR DISORDERS Mental Health Geriatric,,,2715.3,10134.01,4
RC,154,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,154,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,154,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,154,PERITONEAL ADHESIOLYSIS Mental Health Geriatric,,,5846.74,17678.23,4
RC,154,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,2
RC,154,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,2
RC,154,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,2
RC,154,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,9196.67,25239.96,4
RC,154,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,154,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,154,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK Mental Health Geriatric",,,6516.38,17521.86,4
RC,154,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,154,PERSONALITY DISORDERS Mental Health Geriatric,,,1858.01,12289.32,4
RC,154,PLEURAL EFFUSION WITH CC ,,,14522.21,14522.21,1
RC,154,PLEURAL EFFUSION WITH MCC ,,,20572.2,20572.2,1
RC,154,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,11633.21,1
RC,154,PNEUMOTHORAX WITH CC ,,,7000.0,15693.1,2
RC,154,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,2
RC,154,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,11610.9,2
RC,154,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,154,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,154,POISONING OF MEDICINAL AGENTS Mental Health Geriatric,,,1818.4,8746.75,4
RC,154,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Mental Health Geriatric",,,5171.66,20634.95,4
RC,154,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Mental Health Geriatric",,,2777.84,11662.2,4
RC,154,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,154,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,154,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,154,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,154,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,154,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,154,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,154,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Mental Health Geriatric,,,1691.02,18371.86,4
RC,154,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,2890.94,35669.74,4
RC,154,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,154,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,154,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,154,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Mental Health Geriatric",,,6735.3,34803.13,4
RC,154,PROCEDURES FOR OBESITY Mental Health Geriatric,,,4893.96,19469.52,4
RC,154,PROSTATECTOMY PROCEDURES Mental Health Geriatric,,,6523.06,17066.53,4
RC,154,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,154,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,154,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,154,PSYCHOSES ,,,18854.11,18854.11,1
RC,154,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,17139.19,17139.19,1
RC,154,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,18607.6,18607.6,1
RC,154,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,12566.11,1
RC,154,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,154,RADIOTHERAPY Mental Health Geriatric,,,4977.77,16606.2,4
RC,154,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,154,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,154,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,2
RC,154,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,154,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,154,REHABILITATION Mental Health Geriatric,,,5069.51,10543.48,4
RC,154,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,154,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,154,RENAL DIALYSIS ACCESS PROCEDURES Mental Health Geriatric,,,5507.33,17744.11,4
RC,154,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,154,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,154,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,154,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,14383.02,14383.02,1
RC,154,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,20616.83,20616.83,1
RC,154,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,12034.84,1
RC,154,RESPIRATORY NEOPLASMS WITH CC ,,,15392.42,15392.42,1
RC,154,RESPIRATORY NEOPLASMS WITH MCC ,,,22776.94,22776.94,1
RC,154,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,12022.1,1
RC,154,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,154,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,154,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,154,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,154,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,154,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,154,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,154,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,154,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,154,SCHIZOAFFECTIVE DISORDERS Mental Health Geriatric,,,3416.64,11589.23,4
RC,154,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Mental Health Geriatric,,,2710.72,11570.47,4
RC,154,SEPTIC ARTHRITIS WITH CC ,,,7000.0,16839.57,2
RC,154,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,2
RC,154,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,13300.31,2
RC,154,SEPTICEMIA AND DISSEMINATED INFECTIONS Mental Health Geriatric,,,2882.09,12019.13,4
RC,154,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,154,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,154,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,154,SHOULDER AND ELBOW JOINT REPLACEMENT Mental Health Geriatric,,,7387.85,17263.76,4
RC,154,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,154,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,154,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,2
RC,154,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Mental Health Geriatric",,,5687.87,17656.55,4
RC,154,SICKLE CELL ANEMIA CRISIS Mental Health Geriatric,,,2684.03,11244.82,4
RC,154,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,18057.21,2
RC,154,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,12838.11,2
RC,154,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,154,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,154,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Mental Health Geriatric",,,2438.86,7633.45,4
RC,154,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,12575.67,2
RC,154,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,17978.59,2
RC,154,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,10690.76,2
RC,154,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,154,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,12561.18,24951.83,4
RC,154,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,154,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,154,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,154,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,2
RC,154,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,154,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,2
RC,154,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,154,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,2
RC,154,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,6869.15,28797.12,4
RC,154,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Mental Health Geriatric,,,7449.14,26071.39,4
RC,154,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,154,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,2
RC,154,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,154,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,154,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,154,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,154,SKIN ULCERS Mental Health Geriatric,,,2420.09,9142.87,4
RC,154,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,154,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,154,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,154,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,2
RC,154,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,2
RC,154,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,18313.28,2
RC,154,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Mental Health Geriatric,,,7699.33,22736.05,4
RC,154,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,154,SPLENIC PROCEDURES Mental Health Geriatric,,,6878.32,19399.48,4
RC,154,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,154,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,154,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,154,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,14152.45,2
RC,154,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,11666.16,2
RC,154,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,154,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,154,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,154,SYNCOPE AND COLLAPSE ,,,7000.0,13273.75,2
RC,154,SYNCOPE AND COLLAPSE Mental Health Geriatric,,,3013.02,7550.89,4
RC,154,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Mental Health Geriatric",,,5003.21,15544.6,4
RC,154,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19811.43,2
RC,154,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,13503.25,2
RC,154,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,154,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,154,THYROID DISORDERS Mental Health Geriatric,,,2426.76,9912.18,4
RC,154,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Mental Health Geriatric",,,4986.95,23891.48,4
RC,154,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,154,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,154,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,154,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Mental Health Geriatric,,,2164.91,11372.82,4
RC,154,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,154,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,154,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,154,TRANSURETHRAL PROSTATECTOMY Mental Health Geriatric,,,3827.35,12827.21,4
RC,154,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,154,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,154,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,154,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,154,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,154,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,154,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,154,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,35637.69,35637.69,1
RC,154,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,154,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,154,UNGROUPABLE ,,,4012.81,4012.81,1
RC,154,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,154,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,154,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,15617.67,2
RC,154,URETHRAL AND TRANSURETHRAL PROCEDURES Mental Health Geriatric,,,4298.53,13173.3,4
RC,154,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,154,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,154,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,154,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Mental Health Geriatric,,,2026.06,10006.0,4
RC,154,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,154,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,154,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,154,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,154,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,154,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,154,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,154,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,154,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,154,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,154,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,154,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,154,VAGINAL DELIVERY Mental Health Geriatric,,,2199.86,13169.48,4
RC,154,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Mental Health Geriatric,,,2482.09,27141.0,4
RC,154,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,154,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Mental Health Geriatric,,,3580.84,17223.0,4
RC,154,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,154,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,154,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,154,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,154,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,154,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,154,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,2
RC,154,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Mental Health Geriatric,,,5907.61,16377.29,4
RC,154,VIRAL ILLNESS Mental Health Geriatric,,,1901.8,9350.52,4
RC,154,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,154,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,154,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,154,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,154,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,154,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,155, Room & Board - Ward Hospice  ,,,2440.0,7700.0,3
RC,155,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,155,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,155,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,155,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,155,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,155,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,155,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,155,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,155,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,155,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,155,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,155,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,155,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,155,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,155,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,155,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,155,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,155,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,155,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,155,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,155,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,155,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,155,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,155,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,155,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,155,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,155,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,155,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,155,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,155,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,155,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,155,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,155,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,155,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,155,CHEST PAIN ,,,7000.0,7000.0,1
RC,155,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,155,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,155,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,155,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,155,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,155,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,155,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,155,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,155,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,155,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,155,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,155,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,7000.0,1
RC,155,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,7000.0,1
RC,155,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,155,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,155,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,155,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,155,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,155,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,155,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,155,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,155,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,155,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,155,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,155,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,155,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,155,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,155,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,155,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,155,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,155,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,155,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,155,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,155,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,155,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,155,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,155,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,155,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,155,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,155,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,155,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,155,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,155,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,155,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,155,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,155,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,155,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,155,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,155,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,155,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,155,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,155,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,155,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,155,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,155,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,155,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,155,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,155,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,155,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,155,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,155,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,155,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,155,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,155,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,155,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,155,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,155,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,155,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,155,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,155,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,155,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,155,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,155,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,155,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,155,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,155,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,155,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,155,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,155,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,155,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,155,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,155,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,155,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,155,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,155,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,155,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,REHABILITATION WITH CC/MCC ,,,1793.0,4112.0,3
RC,155,REHABILITATION WITHOUT CC/MCC ,,,1793.0,4112.0,3
RC,155,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,155,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,155,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,155,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,155,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,155,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,155,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,155,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,155,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,155,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,155,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,155,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,155,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,155,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,155,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,155,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,155,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,155,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,155,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,155,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,156, Room & Board - Ward Detoxification  ,,,1103.0,7700.0,7
RC,156, Room & Board - Ward Detoxification  Adult/Geriatric,,,1103.0,1136.0,2
RC,156,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,156,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,156,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,156,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,2
RC,156,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,2
RC,156,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,13891.07,2
RC,156,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,156,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,156,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,156,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,156,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,156,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,156,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,156,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,156,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,156,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,10376.25,2
RC,156,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,156,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,156,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,156,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,156,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,156,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,156,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,156,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,156,AICD LEAD PROCEDURES ,,,7000.0,42456.95,2
RC,156,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,156,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,156,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,156,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,156,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,156,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,156,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,156,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,156,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,156,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,156,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,2
RC,156,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,16552.69,2
RC,156,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,156,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,156,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,156,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,156,ANGINA PECTORIS ,,,7000.0,11470.65,2
RC,156,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,156,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,156,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,156,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,156,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,156,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,156,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,156,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,156,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,156,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,156,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,156,ATHEROSCLEROSIS WITH MCC ,,,7000.0,16726.93,2
RC,156,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,11165.7,2
RC,156,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,156,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,156,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,156,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,156,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,156,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,156,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,156,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,156,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,156,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,156,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,156,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,156,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,156,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,4
RC,156,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,2
RC,156,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,2
RC,156,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,2
RC,156,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,17786.27,2
RC,156,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,12832.8,2
RC,156,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,156,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,156,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,156,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,156,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,156,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,156,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,156,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,11829.78,2
RC,156,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,16805.56,2
RC,156,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,10027.74,2
RC,156,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,2
RC,156,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,13715.75,2
RC,156,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,156,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,156,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,156,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,156,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,156,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,156,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,156,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,2
RC,156,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,2
RC,156,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,2
RC,156,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,2
RC,156,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,2
RC,156,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,6
RC,156,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,6
RC,156,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,156,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,156,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,156,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,156,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,156,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,156,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,156,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,156,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,156,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,156,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,156,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,156,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,156,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,156,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,156,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,156,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,156,CHEST PAIN ,,,7000.0,11662.96,2
RC,156,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,2
RC,156,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,156,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,156,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,156,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,156,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,156,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12969.86,2
RC,156,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,15782.35,15782.35,1
RC,156,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10834.2,2
RC,156,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,156,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,156,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,156,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,156,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,156,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,156,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,156,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,156,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,2
RC,156,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,15525.23,2
RC,156,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,156,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,156,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,156,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,156,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,156,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,2
RC,156,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,156,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,16267.93,2
RC,156,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,2
RC,156,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,12897.62,2
RC,156,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,2
RC,156,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,2
RC,156,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,2
RC,156,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,2
RC,156,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,156,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,156,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,156,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,156,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,156,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,156,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,156,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,156,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,13679.62,2
RC,156,DENTAL AND ORAL DISEASES WITH MCC ,,,7000.0,22254.18,2
RC,156,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,11540.78,2
RC,156,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,156,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,156,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,156,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,156,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,16865.07,2
RC,156,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,2
RC,156,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,156,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,14269.32,2
RC,156,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,2
RC,156,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,11447.28,2
RC,156,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12950.74,2
RC,156,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,156,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,10615.32,2
RC,156,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,156,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,156,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,156,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,156,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,156,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,156,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,156,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,2
RC,156,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,2
RC,156,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,2
RC,156,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,156,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,12296.22,2
RC,156,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,156,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,156,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,156,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,156,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,156,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,156,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,156,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,156,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,2
RC,156,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,2
RC,156,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,156,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,156,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,2
RC,156,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,12577.79,2
RC,156,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,17634.33,2
RC,156,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,12593.73,2
RC,156,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,156,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,156,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,156,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,156,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,156,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,2
RC,156,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,156,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,156,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,156,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,156,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,2
RC,156,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,14874.96,2
RC,156,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,156,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,156,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,156,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,156,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,156,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,156,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,156,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,2
RC,156,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,2
RC,156,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,18303.71,2
RC,156,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,156,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,156,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,156,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,156,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,156,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,156,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,156,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,156,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,156,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,156,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,156,HYPERTENSION WITH MCC ,,,7000.0,16656.81,2
RC,156,HYPERTENSION WITHOUT MCC ,,,7000.0,12035.9,2
RC,156,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,156,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,156,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,156,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,156,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,156,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,156,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,156,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,156,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,156,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,156,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,156,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,156,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,156,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,156,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,156,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,14097.19,2
RC,156,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,2
RC,156,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,11622.58,2
RC,156,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,156,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,156,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,156,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,156,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,156,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,156,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,156,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,156,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,156,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,156,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,156,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,156,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,156,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,156,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,156,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,156,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,2
RC,156,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,2
RC,156,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,156,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,2
RC,156,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,156,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,156,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,156,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,156,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,156,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,6
RC,156,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,2
RC,156,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,2
RC,156,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,2
RC,156,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,156,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,2
RC,156,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,156,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,156,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,156,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,156,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,156,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,156,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,156,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,156,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,156,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,156,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,156,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,156,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,2
RC,156,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,2
RC,156,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,2
RC,156,MAJOR CHEST TRAUMA WITH CC ,,,15319.1,15319.1,1
RC,156,MAJOR CHEST TRAUMA WITH MCC ,,,20268.32,20268.32,1
RC,156,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,12369.54,1
RC,156,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,156,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,156,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,11458.96,2
RC,156,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,156,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,2
RC,156,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,156,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,156,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,156,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,156,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,156,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,2
RC,156,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,156,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,156,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,2
RC,156,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,156,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,156,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,156,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,156,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,156,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,156,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,18348.35,2
RC,156,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,156,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,156,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,156,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,156,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,156,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,156,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,156,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,156,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,156,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,156,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,156,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,156,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,156,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,156,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,2
RC,156,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,14226.82,2
RC,156,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,156,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,156,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,156,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,156,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,156,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,156,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,156,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,2
RC,156,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,2
RC,156,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,156,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,156,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,156,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,156,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,156,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,156,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,156,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,156,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,156,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,156,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,156,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,156,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,156,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,156,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,156,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,156,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,156,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,156,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,156,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,156,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,156,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,156,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,156,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,156,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,156,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,156,OSTEOMYELITIS WITH CC ,,,7000.0,17786.27,2
RC,156,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,2
RC,156,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,12379.1,2
RC,156,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,156,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,156,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,156,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,156,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,156,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,156,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,156,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,2
RC,156,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,2
RC,156,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,14248.07,2
RC,156,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,2
RC,156,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,156,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,2
RC,156,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,13954.82,2
RC,156,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,2
RC,156,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,156,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,2
RC,156,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,2
RC,156,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18865.79,2
RC,156,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,156,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,156,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,156,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,156,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,156,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,156,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,156,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,156,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,2
RC,156,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,2
RC,156,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,156,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,156,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,156,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,156,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,156,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,156,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,156,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,156,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,156,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,156,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,156,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,156,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,156,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,156,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,156,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,156,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,156,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,156,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,156,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,156,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,156,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,156,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,156,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,156,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,156,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,156,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,156,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,156,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,156,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,2
RC,156,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,2
RC,156,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,2
RC,156,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,156,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,156,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,156,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,156,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,156,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,156,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,156,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,156,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,156,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,156,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,156,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,156,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,2
RC,156,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,2
RC,156,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18531.1,2
RC,156,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,156,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,2
RC,156,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,156,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,156,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,156,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,156,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,2
RC,156,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,156,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,2
RC,156,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,6
RC,156,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,156,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,156,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,156,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,156,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,156,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,156,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,156,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,156,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,156,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,156,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,2
RC,156,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,2
RC,156,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,156,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,156,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,156,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,156,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,2
RC,156,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,2
RC,156,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,2
RC,156,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,156,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,156,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,156,PLEURAL EFFUSION WITH CC ,,,14522.21,14522.21,1
RC,156,PLEURAL EFFUSION WITH MCC ,,,20572.2,20572.2,1
RC,156,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,11633.21,1
RC,156,PNEUMOTHORAX WITH CC ,,,7000.0,15693.1,2
RC,156,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,2
RC,156,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,11610.9,2
RC,156,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,156,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,156,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,156,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,156,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,156,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,156,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,156,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,156,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,156,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,156,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,156,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,156,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,156,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,156,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,156,PSYCHOSES ,,,18854.11,18854.11,1
RC,156,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,17139.19,17139.19,1
RC,156,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,18607.6,18607.6,1
RC,156,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,12566.11,1
RC,156,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,156,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,156,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,156,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,2
RC,156,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,156,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,156,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,156,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,156,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,156,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,156,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,156,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,14383.02,14383.02,1
RC,156,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,20616.83,20616.83,1
RC,156,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,12034.84,1
RC,156,RESPIRATORY NEOPLASMS WITH CC ,,,15392.42,15392.42,1
RC,156,RESPIRATORY NEOPLASMS WITH MCC ,,,22776.94,22776.94,1
RC,156,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,12022.1,1
RC,156,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,156,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,156,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,156,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,156,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,156,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,156,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,156,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,156,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,156,SEPTIC ARTHRITIS WITH CC ,,,7000.0,16839.57,2
RC,156,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,2
RC,156,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,13300.31,2
RC,156,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,156,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,156,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,156,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,156,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,156,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,2
RC,156,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,18057.21,2
RC,156,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,12838.11,2
RC,156,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,156,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,156,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,12575.67,2
RC,156,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,17978.59,2
RC,156,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,10690.76,2
RC,156,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,156,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,156,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,156,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,156,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,2
RC,156,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,156,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,2
RC,156,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,156,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,2
RC,156,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,156,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,2
RC,156,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,156,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,156,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,156,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,156,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,156,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,156,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,156,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,2
RC,156,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,2
RC,156,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,18313.28,2
RC,156,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,156,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,156,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,156,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,156,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,14152.45,2
RC,156,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,11666.16,2
RC,156,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,156,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,156,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,156,SYNCOPE AND COLLAPSE ,,,7000.0,13273.75,2
RC,156,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19811.43,2
RC,156,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,13503.25,2
RC,156,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,156,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,156,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,156,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,156,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,156,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,156,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,156,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,156,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,156,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,156,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,156,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,156,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,156,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,156,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,156,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,35637.69,35637.69,1
RC,156,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,156,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,156,UNGROUPABLE ,,,4012.81,4012.81,1
RC,156,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,156,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,156,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,15617.67,2
RC,156,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,156,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,156,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,156,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,156,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,156,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,156,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,156,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,156,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,156,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,156,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,156,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,156,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,156,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,156,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,156,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,156,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,156,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,156,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,156,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,156,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,156,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,156,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,2
RC,156,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,156,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,156,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,156,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,156,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,156,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,157, Room & Board - Ward Oncology  ,,,6650.0,21045.0,4
RC,157,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,157,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,157,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,157,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,157,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,157,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,157,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,157,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,157,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,157,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,157,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,157,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,157,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,157,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,157,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,157,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,157,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,157,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,157,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,157,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,157,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,157,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,157,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,157,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,157,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,157,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,157,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,157,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,157,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,157,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,157,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,157,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,157,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,157,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,157,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,157,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,157,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,157,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,157,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,157,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,157,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,157,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,157,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,157,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,157,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,157,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,157,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,157,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,157,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,157,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,157,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,157,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,157,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,157,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,157,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,157,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,157,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,157,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,157,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,157,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,157,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,157,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,157,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,157,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,157,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,157,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,157,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,157,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,157,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,157,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,157,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,157,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,157,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,157,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,157,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,157,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,157,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,157,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,157,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,157,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,157,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,157,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,157,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,157,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,157,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,157,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,157,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,157,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,157,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,157,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,157,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,157,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,157,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,157,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,157,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,157,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,157,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,157,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,157,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,157,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,157,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,157,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,157,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,157,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,157,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,157,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,157,CHEST PAIN ,,,7000.0,11662.96,2
RC,157,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,157,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,157,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,157,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,157,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,157,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,157,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,157,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,157,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,157,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,157,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,157,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,157,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,157,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,157,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,157,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,157,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,157,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,157,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,157,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,157,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,157,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,157,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,157,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,157,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,157,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,157,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,157,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,157,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,157,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,157,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,157,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,157,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,157,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,157,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,157,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,157,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,157,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,157,DENTAL AND ORAL DISEASES WITH CC ,,,7000.0,19995.0,5
RC,157,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,157,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,157,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,157,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,157,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,157,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,157,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,157,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,157,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,157,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,157,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,157,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,157,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,157,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,157,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,157,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,157,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,157,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,157,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,157,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,157,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,157,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,157,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,157,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,157,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,157,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,157,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,157,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,157,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,157,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,157,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,157,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,157,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,157,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,157,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,157,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,157,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,157,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,157,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,157,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,157,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,157,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,157,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,157,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,157,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,157,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,157,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,157,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,157,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,157,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,157,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,157,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,157,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,157,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,157,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,157,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,157,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,157,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,157,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,157,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,157,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,157,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,157,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,157,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,157,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,157,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,157,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,157,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,157,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,157,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,157,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,157,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,157,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,157,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,157,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,157,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,157,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,157,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,157,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,157,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,157,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,157,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,157,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,157,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,157,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,157,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,157,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,157,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,157,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,157,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,157,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,157,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,157,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,157,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,157,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,157,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,157,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,157,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,157,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,157,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,157,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,157,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,157,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,157,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,157,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,157,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,157,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,157,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,157,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,157,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,157,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,157,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,157,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,157,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,157,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,157,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,157,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,157,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,157,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,157,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,157,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,157,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,157,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,157,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,157,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,157,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,157,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,157,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,157,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,157,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,157,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,157,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,157,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,157,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,157,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,157,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,157,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,157,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,157,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,157,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,157,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,157,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,157,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,157,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,157,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,157,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,157,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,157,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,157,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,157,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,157,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,157,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,157,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,157,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,157,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,157,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,157,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,157,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,157,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,157,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,157,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,157,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,157,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,157,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,157,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,157,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,157,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,157,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,157,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,157,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,157,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,157,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,157,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,157,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,157,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,157,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,157,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,157,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,157,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,157,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,157,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,157,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,157,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,157,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,157,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,157,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,157,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,157,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,157,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,157,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,157,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,157,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,157,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,157,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,157,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,157,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,157,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,157,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,157,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,157,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,157,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,157,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,157,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,157,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,157,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,157,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,157,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,157,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,157,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,157,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,157,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,157,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,157,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,157,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,157,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,157,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,157,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,157,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,157,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,157,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,157,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,157,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,157,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,157,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,157,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,157,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,157,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,157,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,157,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,157,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,157,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,157,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,157,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,157,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,157,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,157,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,157,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,157,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,157,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,157,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,157,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,157,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,157,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,157,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,157,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,157,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,157,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,157,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,157,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,157,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,157,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,157,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,157,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,157,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,157,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,157,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,157,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,157,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,157,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,157,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,157,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,157,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,157,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,157,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,157,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,157,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,157,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,157,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,157,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,157,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,157,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,157,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,157,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,157,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,157,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,157,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,157,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,157,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,157,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,157,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,157,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,157,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,157,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,157,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,157,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,157,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,157,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,157,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,157,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,157,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,157,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,157,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,157,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,157,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,157,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,157,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,157,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,157,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,157,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,157,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,157,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,157,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,157,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,157,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,157,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,157,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,157,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,157,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,157,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,157,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,157,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,157,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,157,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,157,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,157,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,PSYCHOSES ,,,18854.11,18854.11,1
RC,157,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,157,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,157,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,157,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,157,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,157,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,157,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,157,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,157,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,157,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,157,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,157,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,157,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,157,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,157,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,157,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,157,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,157,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,157,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,157,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,157,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,157,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,157,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,157,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,157,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,157,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,157,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,157,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,157,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,157,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,157,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,157,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,157,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,157,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,157,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,157,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,157,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,157,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,157,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,157,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,157,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,157,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,157,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,157,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,157,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,157,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,157,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,157,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,157,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,157,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,157,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,157,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,157,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,157,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,157,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,157,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,157,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,157,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,157,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,157,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,157,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,157,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,157,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,157,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,157,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,157,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,157,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,157,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,157,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,157,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,157,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,157,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,157,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,157,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,157,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,157,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,157,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,157,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,157,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,157,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,157,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,157,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,157,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,157,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,157,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,157,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,157,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,157,UNGROUPABLE ,,,4012.81,4012.81,1
RC,157,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,157,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,157,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,157,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,157,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,157,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,157,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,157,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,157,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,157,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,157,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,157,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,157,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,157,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,157,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,157,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,157,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,157,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,157,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,157,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,157,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,157,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,157,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,157,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,157,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,157,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,157,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,157,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,157,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,157,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,157,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,158, Room & Board - Ward Rehabilitation  ,,,1000.0,7700.0,19
RC,158,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13637.47,13637.47,1
RC,158,ABORTION WITHOUT D&C ,,,12042.9,12042.9,1
RC,158,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,13217.59,13217.59,1
RC,158,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,20594.67,2
RC,158,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,30467.34,2
RC,158,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,12916.26,2
RC,158,ACUTE LEUKEMIA WITH CC ,,,24338.05,24338.05,1
RC,158,ACUTE LEUKEMIA WITH MCC ,,,57969.13,57969.13,1
RC,158,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,89283.45,89283.45,1
RC,158,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,15779.36,15779.36,1
RC,158,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,12811.53,12811.53,1
RC,158,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,19579.05,19579.05,1
RC,158,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,10875.13,10875.13,1
RC,158,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,10569.86,10569.86,1
RC,158,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,23300.69,23300.69,1
RC,158,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,9648.09,2
RC,158,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,25385.28,25385.28,1
RC,158,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,17555.71,17555.71,1
RC,158,AFTERCARE WITH CC/MCC ,,,15484.95,15484.95,1
RC,158,AFTERCARE WITHOUT CC/MCC ,,,9932.62,9932.62,1
RC,158,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,14856.61,14856.61,1
RC,158,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,22155.64,22155.64,1
RC,158,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,11673.41,11673.41,1
RC,158,AICD GENERATOR PROCEDURES ,,,48805.81,48805.81,1
RC,158,AICD LEAD PROCEDURES ,,,7000.0,39477.52,2
RC,158,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,17716.74,17716.74,1
RC,158,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,20972.07,20972.07,1
RC,158,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,12452.9,12452.9,1
RC,158,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,9825.92,9825.92,1
RC,158,ALLERGIC REACTIONS WITH MCC ,,,20344.72,20344.72,1
RC,158,ALLERGIC REACTIONS WITHOUT MCC ,,,10313.98,10313.98,1
RC,158,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,31892.96,31892.96,1
RC,158,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,52355.55,52355.55,1
RC,158,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,17408.51,17408.51,1
RC,158,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,26214.17,26214.17,1
RC,158,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,46143.27,2
RC,158,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,15391.09,2
RC,158,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,17743.42,38185.27,3
RC,158,ANAL AND STOMAL PROCEDURES WITH CC ,,,16661.61,16661.61,1
RC,158,ANAL AND STOMAL PROCEDURES WITH MCC ,,,26410.78,26410.78,1
RC,158,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,12332.38,12332.38,1
RC,158,ANGINA PECTORIS ,,,7000.0,10665.69,2
RC,158,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,71681.99,2
RC,158,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,45454.65,2
RC,158,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,158,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,158,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,158,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,158,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,158,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,158,APPENDIX PROCEDURES WITH CC ,,,18684.95,18684.95,1
RC,158,APPENDIX PROCEDURES WITH MCC ,,,27391.82,27391.82,1
RC,158,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,15040.37,15040.37,1
RC,158,ATHEROSCLEROSIS WITH MCC ,,,7000.0,15553.12,2
RC,158,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,10382.15,2
RC,158,Alcohol and/or drug services; acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,158,Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,158,Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) ,,,2198.0,3225.0,230
RC,158,Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) ,,,2198.0,3225.0,230
RC,158,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,158,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,23492.36,2
RC,158,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,40654.17,2
RC,158,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,18490.32,2
RC,158,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,24234.3,24234.3,1
RC,158,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,15292.3,15292.3,1
RC,158,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,10864.27,10864.27,1
RC,158,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,58296.14,2
RC,158,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,30010.9,30010.9,1
RC,158,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,38957.85,4
RC,158,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,28027.08,2
RC,158,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,37861.21,2
RC,158,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,22096.37,2
RC,158,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,16538.11,2
RC,158,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,11932.25,2
RC,158,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,24880.44,24880.44,1
RC,158,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,22789.92,22789.92,1
RC,158,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13326.26,13326.26,1
RC,158,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,10350.53,10350.53,1
RC,158,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,9994.87,9994.87,1
RC,158,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,19162.13,19162.13,1
RC,158,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8227.41,8227.41,1
RC,158,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,10999.62,2
RC,158,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,15626.22,2
RC,158,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,9324.04,2
RC,158,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,19299.45,2
RC,158,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,12753.24,2
RC,158,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,74176.58,74176.58,1
RC,158,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,158,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,158,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,63073.91,63073.91,1
RC,158,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,158,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,158,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,49360.06,49360.06,1
RC,158,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,34773.85,2
RC,158,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,23708.71,2
RC,158,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,22408.56,2
RC,158,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,35867.52,2
RC,158,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,19833.95,2
RC,158,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,100381.18,6
RC,158,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,79589.6,6
RC,158,CELLULITIS WITH MCC ,,,17773.06,17773.06,1
RC,158,CELLULITIS WITHOUT MCC ,,,12335.34,12335.34,1
RC,158,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,32837.44,2
RC,158,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,51436.74,2
RC,158,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,27850.24,27850.24,1
RC,158,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,14204.55,14204.55,1
RC,158,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,27986.58,27986.58,1
RC,158,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,13193.87,13193.87,1
RC,158,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,14764.73,14764.73,1
RC,158,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,20027.59,20027.59,1
RC,158,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,13203.75,13203.75,1
RC,158,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,51195.69,51195.69,1
RC,158,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,24353.85,24353.85,1
RC,158,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,17996.34,17996.34,1
RC,158,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,16655.68,16655.68,1
RC,158,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,29344.02,29344.02,1
RC,158,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,12122.92,12122.92,1
RC,158,CHEST PAIN ,,,7000.0,10844.51,2
RC,158,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,24149.34,2
RC,158,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,38928.21,38928.21,1
RC,158,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,17200.05,17200.05,1
RC,158,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,24503.03,24503.03,1
RC,158,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,36366.44,36366.44,1
RC,158,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,20136.26,20136.26,1
RC,158,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12059.69,2
RC,158,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,14674.82,14674.82,1
RC,158,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10073.9,2
RC,158,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,25592.75,2
RC,158,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,14303.35,2
RC,158,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,14166.02,14166.02,1
RC,158,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,23176.2,23176.2,1
RC,158,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,10770.42,10770.42,1
RC,158,COAGULATION DISORDERS ,,,18800.54,18800.54,1
RC,158,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,92742.29,92742.29,1
RC,158,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,60707.75,60707.75,1
RC,158,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,115556.22,2
RC,158,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,14435.74,2
RC,158,COMPLICATED PEPTIC ULCER WITH MCC ,,,23116.93,23116.93,1
RC,158,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,11640.8,11640.8,1
RC,158,COMPLICATIONS OF TREATMENT WITH CC ,,,13633.52,13633.52,1
RC,158,COMPLICATIONS OF TREATMENT WITH MCC ,,,21818.75,21818.75,1
RC,158,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,10532.31,10532.31,1
RC,158,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,111162.73,2
RC,158,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,69791.04,69791.04,1
RC,158,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,15126.32,2
RC,158,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,28249.37,2
RC,158,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,11992.52,2
RC,158,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,79262.59,2
RC,158,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,57700.4,2
RC,158,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,87015.1,2
RC,158,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,63627.16,2
RC,158,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,61710.53,61710.53,1
RC,158,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,45114.81,45114.81,1
RC,158,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,46484.12,46484.12,1
RC,158,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,34861.77,34861.77,1
RC,158,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,35448.62,35448.62,1
RC,158,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,70231.67,70231.67,1
RC,158,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,23975.46,23975.46,1
RC,158,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,14969.24,14969.24,1
RC,158,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,7000.0,10730.9,2
RC,158,DEPRESSIVE NEUROSES ,,,13026.91,13026.91,1
RC,158,DIABETES WITH CC ,,,12585.3,12585.3,1
RC,158,DIABETES WITH MCC ,,,17925.2,17925.2,1
RC,158,DIABETES WITHOUT CC/MCC ,,,9868.41,9868.41,1
RC,158,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,15681.56,2
RC,158,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,24860.67,2
RC,158,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,12862.91,12862.91,1
RC,158,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,13267.97,2
RC,158,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,21462.1,2
RC,158,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,10643.96,2
RC,158,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12041.92,2
RC,158,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,19836.9,19836.9,1
RC,158,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,9870.38,2
RC,158,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,23157.43,23157.43,1
RC,158,DISORDERS OF THE BILIARY TRACT WITH CC ,,,14543.42,14543.42,1
RC,158,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,20239.0,20239.0,1
RC,158,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,11904.58,11904.58,1
RC,158,ENDOCRINE DISORDERS WITH CC ,,,13857.78,13857.78,1
RC,158,ENDOCRINE DISORDERS WITH MCC ,,,19994.0,19994.0,1
RC,158,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,11321.69,11321.69,1
RC,158,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,60113.0,2
RC,158,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,64277.24,2
RC,158,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,50765.92,2
RC,158,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,16261.48,16261.48,1
RC,158,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,11433.33,2
RC,158,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,214665.26,214665.26,1
RC,158,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,42204.28,42204.28,1
RC,158,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,28020.17,28020.17,1
RC,158,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,50084.24,50084.24,1
RC,158,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,20664.82,20664.82,1
RC,158,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,62450.5,62450.5,1
RC,158,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,17437.16,17437.16,1
RC,158,FEVER AND INFLAMMATORY CONDITIONS ,,,12501.31,12501.31,1
RC,158,FOOT PROCEDURES WITH CC ,,,7000.0,22198.13,2
RC,158,FOOT PROCEDURES WITH MCC ,,,7000.0,31306.11,2
RC,158,FOOT PROCEDURES WITHOUT CC/MCC ,,,21443.32,21443.32,1
RC,158,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,12578.37,17807.64,2
RC,158,FRACTURES OF FEMUR WITH MCC ,,,7000.0,19219.43,2
RC,158,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,11695.14,2
RC,158,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,16396.83,2
RC,158,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,11709.96,2
RC,158,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,44925.11,44925.11,1
RC,158,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,74594.49,74594.49,1
RC,158,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,35551.37,35551.37,1
RC,158,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,25571.02,25571.02,1
RC,158,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13420.12,13420.12,1
RC,158,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,21791.09,2
RC,158,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,9959.3,9959.3,1
RC,158,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,11534.1,11534.1,1
RC,158,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,18321.38,18321.38,1
RC,158,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9105.7,9105.7,1
RC,158,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,19284.63,2
RC,158,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,13831.1,2
RC,158,HAND PROCEDURES FOR INJURIES ,,,23137.67,23137.67,1
RC,158,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,12118.98,2
RC,158,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,16414.62,2
RC,158,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,9323.05,2
RC,158,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,20896.99,20896.99,1
RC,158,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,37391.93,37391.93,1
RC,158,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,17557.68,17557.68,1
RC,158,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,20352.61,2
RC,158,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,32401.76,2
RC,158,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,17019.24,2
RC,158,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,24423.99,2
RC,158,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,32503.52,2
RC,158,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,19844.81,2
RC,158,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,32087.59,32087.59,1
RC,158,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,24653.2,24653.2,1
RC,158,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,64207.09,64207.09,1
RC,158,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,29787.62,29787.62,1
RC,158,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,16525.27,16525.27,1
RC,158,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,32243.68,32243.68,1
RC,158,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,12649.51,12649.51,1
RC,158,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,16551.94,16551.94,1
RC,158,HYPERTENSION WITH MCC ,,,7000.0,15487.91,2
RC,158,HYPERTENSION WITHOUT MCC ,,,7000.0,11191.28,2
RC,158,INBORN AND OTHER DISORDERS OF METABOLISM ,,,17780.96,17780.96,1
RC,158,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13403.32,13403.32,1
RC,158,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,17877.78,17877.78,1
RC,158,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10287.3,10287.3,1
RC,158,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,23471.6,23471.6,1
RC,158,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,52522.51,52522.51,1
RC,158,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18522.92,18522.92,1
RC,158,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,18381.64,18381.64,1
RC,158,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,11745.53,11745.53,1
RC,158,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13376.65,13376.65,1
RC,158,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,19363.68,19363.68,1
RC,158,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,10462.17,10462.17,1
RC,158,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,18792.63,18792.63,1
RC,158,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,28350.15,28350.15,1
RC,158,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,15268.59,15268.59,1
RC,158,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,13107.92,2
RC,158,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,22375.95,2
RC,158,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,10806.97,2
RC,158,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,21810.85,21810.85,1
RC,158,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,35185.82,35185.82,1
RC,158,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,19062.35,19062.35,1
RC,158,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,16789.05,16789.05,1
RC,158,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,28834.24,28834.24,1
RC,158,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13960.53,13960.53,1
RC,158,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,15194.49,15194.49,1
RC,158,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,11728.73,11728.73,1
RC,158,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,14083.03,14083.03,1
RC,158,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,21551.01,21551.01,1
RC,158,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,11539.04,11539.04,1
RC,158,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,15031.48,15031.48,1
RC,158,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,10538.24,10538.24,1
RC,158,KIDNEY TRANSPLANT ,,,35637.32,35637.32,1
RC,158,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,50179.08,50179.08,1
RC,158,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,40342.96,40342.96,1
RC,158,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,24390.41,2
RC,158,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,35613.62,2
RC,158,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,19204.61,19204.61,1
RC,158,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,21207.2,2
RC,158,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,14764.73,14764.73,1
RC,158,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,20443.51,20443.51,1
RC,158,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,27307.85,27307.85,1
RC,158,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,17224.75,17224.75,1
RC,158,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,40908.08,40908.08,1
RC,158,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,39551.61,6
RC,158,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,33535.93,2
RC,158,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,23636.59,2
RC,158,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,28786.82,2
RC,158,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,40005.08,40005.08,1
RC,158,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,23554.59,2
RC,158,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,25847.64,25847.64,1
RC,158,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,61672.98,61672.98,1
RC,158,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,15626.22,15626.22,1
RC,158,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,19848.76,19848.76,1
RC,158,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,35690.68,35690.68,1
RC,158,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,26114.39,26114.39,1
RC,158,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,49027.12,49027.12,1
RC,158,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,17062.71,17062.71,1
RC,158,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13713.54,13713.54,1
RC,158,MAJOR BLADDER PROCEDURES WITH CC ,,,31387.12,31387.12,1
RC,158,MAJOR BLADDER PROCEDURES WITH MCC ,,,55069.47,55069.47,1
RC,158,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,24642.33,24642.33,1
RC,158,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,28667.28,2
RC,158,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,48009.52,2
RC,158,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,22642.7,2
RC,158,MAJOR CHEST TRAUMA WITH CC ,,,14244.08,14244.08,1
RC,158,MAJOR CHEST TRAUMA WITH MCC ,,,18845.98,18845.98,1
RC,158,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,11501.5,11501.5,1
RC,158,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13612.76,13612.76,1
RC,158,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,19458.52,19458.52,1
RC,158,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,10654.82,2
RC,158,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13818.27,13818.27,1
RC,158,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,21248.7,2
RC,158,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,10917.62,10917.62,1
RC,158,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,14071.18,25544.34,3
RC,158,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,33697.96,33697.96,1
RC,158,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,22787.93,22787.93,1
RC,158,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,158,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,31116.43,2
RC,158,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,23493.34,23493.34,1
RC,158,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,18888.47,18888.47,1
RC,158,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,21577.69,2
RC,158,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,18692.85,18692.85,1
RC,158,MAJOR SKIN DISORDERS WITH MCC ,,,24682.84,24682.84,1
RC,158,MAJOR SKIN DISORDERS WITHOUT MCC ,,,14425.86,14425.86,1
RC,158,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,27414.55,27414.55,1
RC,158,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,49142.71,49142.71,1
RC,158,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,20357.55,20357.55,1
RC,158,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,17060.74,2
RC,158,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,14906.01,14906.01,1
RC,158,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,21877.03,21877.03,1
RC,158,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,12161.45,12161.45,1
RC,158,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14478.22,14478.22,1
RC,158,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,21926.44,21926.44,1
RC,158,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13220.55,13220.55,1
RC,158,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,15020.61,15020.61,1
RC,158,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,21610.29,21610.29,1
RC,158,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10209.25,10209.25,1
RC,158,MALIGNANT BREAST DISORDERS WITH CC ,,,14907.98,14907.98,1
RC,158,MALIGNANT BREAST DISORDERS WITH MCC ,,,20201.46,20201.46,1
RC,158,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,11332.57,11332.57,1
RC,158,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,22765.22,22765.22,1
RC,158,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,20767.56,20767.56,1
RC,158,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,20290.38,2
RC,158,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,13228.45,2
RC,158,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13684.89,13684.89,1
RC,158,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,9367.51,9367.51,1
RC,158,MINOR BLADDER PROCEDURES WITH CC ,,,18750.15,18750.15,1
RC,158,MINOR BLADDER PROCEDURES WITH MCC ,,,33977.55,33977.55,1
RC,158,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,14074.15,14074.15,1
RC,158,MINOR SKIN DISORDERS WITH MCC ,,,18680.99,18680.99,1
RC,158,MINOR SKIN DISORDERS WITHOUT MCC ,,,12686.06,12686.06,1
RC,158,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,18597.02,2
RC,158,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,29248.2,2
RC,158,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,15450.37,15450.37,1
RC,158,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,16926.38,16926.38,1
RC,158,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,11419.5,11419.5,1
RC,158,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,59274.21,112616.1,3
RC,158,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,69742.63,69742.63,1
RC,158,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,45628.54,45628.54,1
RC,158,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,20564.04,49945.92,3
RC,158,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,18599.98,34950.69,2
RC,158,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,18312.49,18312.49,1
RC,158,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,21536.19,21536.19,1
RC,158,NEUROSES EXCEPT DEPRESSIVE ,,,14339.9,14339.9,1
RC,158,NON-EXTENSIVE BURNS ,,,24083.15,24083.15,1
RC,158,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,19969.3,19969.3,1
RC,158,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,37602.37,37602.37,1
RC,158,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,15578.81,15578.81,1
RC,158,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,14021.79,14021.79,1
RC,158,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,9708.36,9708.36,1
RC,158,NORMAL NEWBORN ,,,5705.15,5705.15,1
RC,158,O.R. PROCEDURES FOR OBESITY WITH CC ,,,19541.5,19541.5,1
RC,158,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,32257.52,32257.52,1
RC,158,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,18633.57,18633.57,1
RC,158,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,26818.81,26818.81,1
RC,158,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,39579.28,39579.28,1
RC,158,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,23764.03,23764.03,1
RC,158,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,41914.81,41914.81,1
RC,158,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,19626.47,19626.47,1
RC,158,OSTEOMYELITIS WITH CC ,,,7000.0,16538.11,2
RC,158,OSTEOMYELITIS WITH MCC ,,,7000.0,23191.02,2
RC,158,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,11510.39,2
RC,158,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,15183.62,15183.62,1
RC,158,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,26272.46,26272.46,1
RC,158,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,12226.67,12226.67,1
RC,158,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,10860.31,10860.31,1
RC,158,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,15611.4,15611.4,1
RC,158,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,8897.24,8897.24,1
RC,158,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,158,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,52609.45,2
RC,158,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,34846.95,2
RC,158,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,13248.21,2
RC,158,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,24332.12,2
RC,158,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10470.07,10470.07,1
RC,158,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,36734.95,2
RC,158,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,12975.53,2
RC,158,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19531.62,2
RC,158,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10143.06,10143.06,1
RC,158,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,26706.18,2
RC,158,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,47130.24,2
RC,158,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,17541.88,2
RC,158,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,25256.84,25256.84,1
RC,158,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,40550.44,40550.44,1
RC,158,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,18150.46,18150.46,1
RC,158,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,47822.8,47822.8,1
RC,158,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,27494.57,27494.57,1
RC,158,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9224.26,9224.26,1
RC,158,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,29098.03,29098.03,1
RC,158,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,18311.5,18311.5,1
RC,158,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,102102.21,2
RC,158,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,25346.75,2
RC,158,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,44761.11,44761.11,1
RC,158,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,18553.55,18553.55,1
RC,158,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13918.04,13918.04,1
RC,158,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,24411.15,24411.15,1
RC,158,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,10940.34,10940.34,1
RC,158,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,21014.55,21014.55,1
RC,158,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13785.66,13785.66,1
RC,158,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13758.99,13758.99,1
RC,158,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,20075.99,20075.99,1
RC,158,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,10547.13,10547.13,1
RC,158,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,26835.61,26835.61,1
RC,158,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,45241.27,45241.27,1
RC,158,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,19947.56,19947.56,1
RC,158,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,38865.97,38865.97,1
RC,158,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,55858.85,2
RC,158,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,28953.78,28953.78,1
RC,158,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,14190.73,14190.73,1
RC,158,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10370.29,10370.29,1
RC,158,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,22408.56,22408.56,1
RC,158,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,17000.48,17000.48,1
RC,158,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,25834.8,25834.8,1
RC,158,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,18264.08,18264.08,1
RC,158,OTHER MENTAL DISORDER DIAGNOSES ,,,14311.25,14311.25,1
RC,158,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,18872.65,18872.65,1
RC,158,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,30740.01,30740.01,1
RC,158,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13022.96,13022.96,1
RC,158,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13357.88,13357.88,1
RC,158,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,18981.34,18981.34,1
RC,158,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11133.99,11133.99,1
RC,158,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,24261.97,2
RC,158,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,35216.45,2
RC,158,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,18913.17,2
RC,158,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,12144.66,23439.01,3
RC,158,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,23442.95,23442.95,1
RC,158,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,41661.89,41661.89,1
RC,158,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,16700.14,16700.14,1
RC,158,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,45362.78,45362.78,1
RC,158,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,79012.64,79012.64,1
RC,158,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,32817.68,32817.68,1
RC,158,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,22096.37,22096.37,1
RC,158,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,43092.46,43092.46,1
RC,158,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,17127.93,17127.93,1
RC,158,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,21820.73,21820.73,1
RC,158,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13028.88,13028.88,1
RC,158,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,21548.05,2
RC,158,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,40658.12,2
RC,158,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,17230.67,2
RC,158,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,20803.13,20803.13,1
RC,158,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,35726.24,2
RC,158,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,17988.43,17988.43,1
RC,158,OTHER VASCULAR PROCEDURES WITH CC ,,,29374.66,29374.66,1
RC,158,OTHER VASCULAR PROCEDURES WITH MCC ,,,38194.15,38194.15,1
RC,158,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,21333.67,21333.67,1
RC,158,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,32383.98,2
RC,158,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,57777.46,57777.46,1
RC,158,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,25659.93,2
RC,158,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,21183.5,6
RC,158,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,24774.72,24774.72,1
RC,158,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,17024.18,17024.18,1
RC,158,PENIS PROCEDURES WITH CC/MCC ,,,26721.99,26721.99,1
RC,158,PENIS PROCEDURES WITHOUT CC/MCC ,,,17574.48,17574.48,1
RC,158,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,44489.43,44489.43,1
RC,158,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,36251.83,36251.83,1
RC,158,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,30611.58,30611.58,1
RC,158,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,21148.91,21148.91,1
RC,158,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,25293.4,25293.4,1
RC,158,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,18496.25,18496.25,1
RC,158,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,37703.14,2
RC,158,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,27583.49,2
RC,158,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,27661.54,27661.54,1
RC,158,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,14277.67,14277.67,1
RC,158,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,19861.6,19861.6,1
RC,158,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,10841.54,10841.54,1
RC,158,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,24564.28,2
RC,158,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,39010.22,2
RC,158,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,18896.37,2
RC,158,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,24783.62,24783.62,1
RC,158,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,35274.73,35274.73,1
RC,158,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,21588.55,21588.55,1
RC,158,PLEURAL EFFUSION WITH CC ,,,13503.11,13503.11,1
RC,158,PLEURAL EFFUSION WITH MCC ,,,19128.54,19128.54,1
RC,158,PLEURAL EFFUSION WITHOUT CC/MCC ,,,10816.84,10816.84,1
RC,158,PNEUMOTHORAX WITH CC ,,,7000.0,14591.83,2
RC,158,PNEUMOTHORAX WITH MCC ,,,7000.0,21159.78,2
RC,158,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,10796.1,2
RC,158,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,19226.34,19226.34,1
RC,158,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,12199.0,12199.0,1
RC,158,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,21748.6,21748.6,1
RC,158,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13590.05,13590.05,1
RC,158,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,24888.33,24888.33,1
RC,158,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,48670.46,48670.46,1
RC,158,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,17492.48,17492.48,1
RC,158,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,20425.72,20425.72,1
RC,158,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10199.37,10199.37,1
RC,158,PREMATURITY WITH MAJOR PROBLEMS ,,,43832.43,43832.43,1
RC,158,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,27928.29,27928.29,1
RC,158,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,3731.21,3731.21,1
RC,158,PROSTATECTOMY WITH CC ,,,21013.57,21013.57,1
RC,158,PROSTATECTOMY WITH MCC ,,,34567.36,34567.36,1
RC,158,PROSTATECTOMY WITHOUT CC/MCC ,,,14660.0,14660.0,1
RC,158,PSYCHOSES ,,,17531.01,17531.01,1
RC,158,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,15936.44,15936.44,1
RC,158,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,17301.81,17301.81,1
RC,158,PULMONARY EMBOLISM WITHOUT MCC ,,,11684.27,11684.27,1
RC,158,RADIOTHERAPY ,,,30499.94,30499.94,1
RC,158,RECTAL RESECTION WITH CC ,,,26871.17,26871.17,1
RC,158,RECTAL RESECTION WITH MCC ,,,39502.21,39502.21,1
RC,158,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,19912.98,2
RC,158,RED BLOOD CELL DISORDERS WITH MCC ,,,17605.11,17605.11,1
RC,158,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,12802.64,12802.64,1
RC,158,REHABILITATION WITH CC/MCC ,,,1793.0,19030.73,4
RC,158,REHABILITATION WITHOUT CC/MCC ,,,1793.0,15061.12,4
RC,158,RENAL FAILURE WITH CC ,,,12383.75,12383.75,1
RC,158,RENAL FAILURE WITH MCC ,,,18362.87,18362.87,1
RC,158,RENAL FAILURE WITHOUT CC/MCC ,,,9661.92,9661.92,1
RC,158,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13373.68,13373.68,1
RC,158,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,19170.04,19170.04,1
RC,158,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,11190.29,11190.29,1
RC,158,RESPIRATORY NEOPLASMS WITH CC ,,,14312.25,14312.25,1
RC,158,RESPIRATORY NEOPLASMS WITH MCC ,,,21178.56,21178.56,1
RC,158,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,11178.44,11178.44,1
RC,158,RESPIRATORY SIGNS AND SYMPTOMS ,,,11707.99,11707.99,1
RC,158,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,30887.21,30887.21,1
RC,158,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,67303.35,67303.35,1
RC,158,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13749.11,13749.11,1
RC,158,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,24742.12,24742.12,1
RC,158,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,9975.11,9975.11,1
RC,158,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,38572.54,38572.54,1
RC,158,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,55158.38,55158.38,1
RC,158,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,30880.3,2
RC,158,SEPTIC ARTHRITIS WITH CC ,,,7000.0,15657.84,2
RC,158,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,22807.69,2
RC,158,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,12366.96,2
RC,158,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,72016.91,72016.91,1
RC,158,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,22922.3,22922.3,1
RC,158,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,13840.99,13840.99,1
RC,158,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,24274.82,24274.82,1
RC,158,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,33572.49,33572.49,1
RC,158,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,20085.87,2
RC,158,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,16790.04,2
RC,158,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,11937.19,2
RC,158,SIGNS AND SYMPTOMS WITH MCC ,,,16272.36,16272.36,1
RC,158,SIGNS AND SYMPTOMS WITHOUT MCC ,,,11639.82,11639.82,1
RC,158,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,11693.17,2
RC,158,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,16716.93,2
RC,158,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,9940.53,2
RC,158,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,43452.07,2
RC,158,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,56385.43,56385.43,1
RC,158,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,35646.21,35646.21,1
RC,158,SKIN DEBRIDEMENT WITH CC ,,,20422.77,20422.77,1
RC,158,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,32788.05,2
RC,158,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,15056.18,15056.18,1
RC,158,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,29919.02,2
RC,158,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,52153.02,52153.02,1
RC,158,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,19601.77,2
RC,158,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,38027.19,38027.19,1
RC,158,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,68456.31,2
RC,158,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,21484.82,21484.82,1
RC,158,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,16099.46,38894.62,3
RC,158,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,40019.9,40019.9,1
RC,158,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,18386.58,18386.58,1
RC,158,SKIN ULCERS WITH CC ,,,15451.36,15451.36,1
RC,158,SKIN ULCERS WITH MCC ,,,22851.16,22851.16,1
RC,158,SKIN ULCERS WITHOUT CC/MCC ,,,12294.83,12294.83,1
RC,158,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,21001.71,2
RC,158,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,34998.12,2
RC,158,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,17028.14,2
RC,158,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,44954.75,86753.29,3
RC,158,SPLENIC PROCEDURES WITH CC ,,,31486.91,31486.91,1
RC,158,SPLENIC PROCEDURES WITH MCC ,,,48474.85,48474.85,1
RC,158,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,22590.35,22590.35,1
RC,158,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,13159.3,2
RC,158,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,10847.48,2
RC,158,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,27878.88,27878.88,1
RC,158,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,53004.64,53004.64,1
RC,158,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,19561.26,19561.26,1
RC,158,SYNCOPE AND COLLAPSE ,,,7000.0,12342.26,2
RC,158,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,18421.16,2
RC,158,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,12555.66,2
RC,158,TESTES PROCEDURES WITH CC/MCC ,,,24318.29,24318.29,1
RC,158,TESTES PROCEDURES WITHOUT CC/MCC ,,,14595.79,14595.79,1
RC,158,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,18544.66,18544.66,1
RC,158,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,33568.54,33568.54,1
RC,158,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,16854.25,16854.25,1
RC,158,TRANSURETHRAL PROCEDURES WITH CC ,,,19064.32,19064.32,1
RC,158,TRANSURETHRAL PROCEDURES WITH MCC ,,,32579.59,32579.59,1
RC,158,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13386.53,13386.53,1
RC,158,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,18584.17,18584.17,1
RC,158,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,14177.88,14177.88,1
RC,158,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,18274.94,18274.94,1
RC,158,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,12780.91,12780.91,1
RC,158,TRAUMATIC INJURY WITH MCC ,,,19880.37,19880.37,1
RC,158,TRAUMATIC INJURY WITHOUT MCC ,,,12479.58,12479.58,1
RC,158,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,39360.94,58722.94,2
RC,158,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,33136.8,33136.8,1
RC,158,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,17371.95,17371.95,1
RC,158,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,12176.27,12176.27,1
RC,158,UNGROUPABLE ,,,3731.21,3731.21,1
RC,158,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,20505.75,20505.75,1
RC,158,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,30380.4,30380.4,1
RC,158,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,14521.69,2
RC,158,URETHRAL PROCEDURES WITH CC/MCC ,,,21465.06,21465.06,1
RC,158,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.22,14396.22,1
RC,158,URETHRAL STRICTURE ,,,14379.42,14379.42,1
RC,158,URINARY STONES WITH MCC ,,,17014.3,17014.3,1
RC,158,URINARY STONES WITHOUT MCC ,,,11454.08,11454.08,1
RC,158,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,21858.27,21858.27,1
RC,158,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,15988.81,15988.81,1
RC,158,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,21609.3,21609.3,1
RC,158,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,39127.78,39127.78,1
RC,158,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,17820.49,17820.49,1
RC,158,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,24089.07,24089.07,1
RC,158,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,39045.78,39045.78,1
RC,158,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,18239.38,18239.38,1
RC,158,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,20893.03,20893.03,1
RC,158,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,12224.68,12224.68,1
RC,158,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,14318.17,14318.17,1
RC,158,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,13614.75,13614.75,1
RC,158,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,15260.68,15260.68,1
RC,158,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,13186.96,13186.96,1
RC,158,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,11180.41,11180.41,1
RC,158,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,14393.25,14393.25,1
RC,158,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,10392.02,10392.02,1
RC,158,VEIN LIGATION AND STRIPPING ,,,7000.0,33937.04,2
RC,158,VIRAL ILLNESS WITH MCC ,,,18533.79,18533.79,1
RC,158,VIRAL ILLNESS WITHOUT MCC ,,,12322.5,12322.5,1
RC,158,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,21748.6,60039.88,3
RC,158,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,22645.67,22645.67,1
RC,158,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,45191.87,45191.87,1
RC,158,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,15286.37,15286.37,1
RC,159, Room & Board - Ward Other  ,,,6650.0,21045.0,4
RC,159,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,3
RC,159,ABORTION WITHOUT D&C ,,,13046.0,19995.0,3
RC,159,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,19995.0,4
RC,159,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,19995.0,4
RC,159,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,ACUTE LEUKEMIA WITH CC ,,,13046.0,19995.0,3
RC,159,ACUTE LEUKEMIA WITH MCC ,,,13046.0,19995.0,3
RC,159,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,19995.0,3
RC,159,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,13046.0,19995.0,3
RC,159,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,19995.0,3
RC,159,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,159,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,AFTERCARE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,3
RC,159,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,19995.0,3
RC,159,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,159,AICD GENERATOR PROCEDURES ,,,13046.0,19995.0,3
RC,159,AICD LEAD PROCEDURES ,,,7000.0,19995.0,4
RC,159,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,3
RC,159,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,19995.0,3
RC,159,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,3
RC,159,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,13046.0,19995.0,3
RC,159,ALLERGIC REACTIONS WITH MCC ,,,13046.0,19995.0,3
RC,159,ALLERGIC REACTIONS WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,19995.0,3
RC,159,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,19995.0,3
RC,159,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,3
RC,159,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,159,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,159,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,4
RC,159,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,19995.0,9
RC,159,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,ANGINA PECTORIS ,,,7000.0,19995.0,4
RC,159,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,159,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,159,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,159,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,159,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,159,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,159,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,159,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,159,APPENDIX PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,APPENDIX PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,4
RC,159,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,159,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,159,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,159,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,159,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,159,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,3
RC,159,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,159,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,19995.0,10
RC,159,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,19995.0,4
RC,159,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,4
RC,159,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,4
RC,159,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,4
RC,159,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,19995.0,3
RC,159,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,159,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,13046.0,19995.0,3
RC,159,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,19995.0,3
RC,159,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,159,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,4
RC,159,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,159,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,159,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,4
RC,159,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,159,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,159,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,159,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,159,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,19995.0,4
RC,159,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,19995.0,4
RC,159,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,19995.0,4
RC,159,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,19995.0,4
RC,159,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,19995.0,9
RC,159,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,19995.0,9
RC,159,CELLULITIS WITH MCC ,,,13046.0,19995.0,3
RC,159,CELLULITIS WITHOUT MCC ,,,13046.0,13046.0,1
RC,159,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,159,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,159,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,19995.0,3
RC,159,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,19995.0,3
RC,159,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,159,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,159,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,CHEST PAIN ,,,7000.0,7000.0,1
RC,159,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,19995.0,4
RC,159,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,19995.0,3
RC,159,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,19995.0,3
RC,159,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,19995.0,3
RC,159,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,4
RC,159,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,3
RC,159,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,159,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,159,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,3
RC,159,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,19995.0,3
RC,159,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,COAGULATION DISORDERS ,,,13046.0,19995.0,3
RC,159,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,19995.0,4
RC,159,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,4
RC,159,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,3
RC,159,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,3
RC,159,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,19995.0,3
RC,159,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,19995.0,3
RC,159,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,4
RC,159,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,19995.0,4
RC,159,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,19995.0,3
RC,159,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,19995.0,3
RC,159,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,19995.0,3
RC,159,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,19995.0,3
RC,159,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,19995.0,2
RC,159,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,19995.0,2
RC,159,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,19995.0,3
RC,159,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,19995.0,3
RC,159,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,159,DIABETES WITH CC ,,,13046.0,19995.0,3
RC,159,DIABETES WITH MCC ,,,13046.0,19995.0,3
RC,159,DIABETES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,4
RC,159,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,19995.0,4
RC,159,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,4
RC,159,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,19995.0,4
RC,159,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,4
RC,159,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,4
RC,159,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,19995.0,3
RC,159,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,3
RC,159,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,19995.0,3
RC,159,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,159,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,159,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,19995.0,4
RC,159,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,19995.0,3
RC,159,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,19995.0,3
RC,159,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,3
RC,159,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,2
RC,159,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,19995.0,3
RC,159,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,19995.0,3
RC,159,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,159,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,159,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,3
RC,159,FOOT PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,159,FOOT PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,159,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,6
RC,159,FRACTURES OF FEMUR WITH MCC ,,,7000.0,19995.0,4
RC,159,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,4
RC,159,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,4
RC,159,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,4
RC,159,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,19995.0,3
RC,159,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,3
RC,159,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,19995.0,4
RC,159,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,13046.0,19995.0,3
RC,159,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,3
RC,159,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,19995.0,4
RC,159,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,159,HAND PROCEDURES FOR INJURIES ,,,13046.0,19995.0,3
RC,159,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,159,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,159,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,159,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,19995.0,4
RC,159,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,19995.0,4
RC,159,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,159,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,159,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,159,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,3
RC,159,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,19995.0,3
RC,159,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,3
RC,159,HYPERTENSION WITH MCC ,,,7000.0,19995.0,4
RC,159,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,4
RC,159,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,3
RC,159,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,159,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,159,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,159,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,3
RC,159,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,3
RC,159,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,19995.0,3
RC,159,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,4
RC,159,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,19995.0,4
RC,159,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,19995.0,3
RC,159,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,19995.0,3
RC,159,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,3
RC,159,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,19995.0,3
RC,159,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,13046.0,1
RC,159,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,13046.0,13046.0,1
RC,159,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,3
RC,159,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,19995.0,3
RC,159,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,3
RC,159,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,KIDNEY TRANSPLANT ,,,13046.0,19995.0,3
RC,159,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,19995.0,3
RC,159,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,19995.0,4
RC,159,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,19995.0,4
RC,159,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,19995.0,4
RC,159,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,19995.0,3
RC,159,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,19995.0,12
RC,159,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,19995.0,4
RC,159,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,19995.0,4
RC,159,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,19995.0,4
RC,159,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,19995.0,3
RC,159,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,159,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,19995.0,3
RC,159,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,19995.0,3
RC,159,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,159,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,159,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,159,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,159,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,159,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,159,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,3
RC,159,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,19995.0,4
RC,159,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,19995.0,9
RC,159,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,159,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,19995.0,4
RC,159,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,19995.0,4
RC,159,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,159,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,4
RC,159,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,3
RC,159,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,19995.0,3
RC,159,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,159,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,159,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,159,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,3
RC,159,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,3
RC,159,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,159,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,159,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,159,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,19995.0,4
RC,159,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,4
RC,159,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,159,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,159,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,159,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,3
RC,159,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,13046.0,19995.0,3
RC,159,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,19995.0,9
RC,159,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,19995.0,6
RC,159,NON-EXTENSIVE BURNS ,,,13046.0,19995.0,3
RC,159,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,19995.0,3
RC,159,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,19995.0,3
RC,159,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,19995.0,3
RC,159,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,19995.0,3
RC,159,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,19995.0,3
RC,159,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,4
RC,159,OSTEOMYELITIS WITH MCC ,,,7000.0,19995.0,4
RC,159,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,159,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,19995.0,3
RC,159,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,19995.0,3
RC,159,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,4
RC,159,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19995.0,4
RC,159,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,19995.0,4
RC,159,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,4
RC,159,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,19995.0,4
RC,159,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,159,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,159,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,159,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,159,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,159,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,13046.0,19995.0,3
RC,159,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,19995.0,3
RC,159,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,159,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,159,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,159,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,19995.0,3
RC,159,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,3
RC,159,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,159,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,159,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,159,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,159,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,159,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,3
RC,159,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,159,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,159,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,159,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,19995.0,4
RC,159,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,19995.0,9
RC,159,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,19995.0,3
RC,159,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,19995.0,3
RC,159,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,19995.0,3
RC,159,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,19995.0,3
RC,159,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,19995.0,3
RC,159,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,19995.0,3
RC,159,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,19995.0,3
RC,159,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,159,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,159,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,159,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,19995.0,4
RC,159,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,159,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,19995.0,2
RC,159,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,19995.0,2
RC,159,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,19995.0,2
RC,159,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,19995.0,4
RC,159,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,159,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,159,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,19995.0,12
RC,159,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,19995.0,3
RC,159,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,159,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,19995.0,2
RC,159,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,2
RC,159,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,19995.0,4
RC,159,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,19995.0,4
RC,159,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,19995.0,3
RC,159,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,19995.0,4
RC,159,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,19995.0,4
RC,159,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,19995.0,3
RC,159,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,19995.0,3
RC,159,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,3
RC,159,PLEURAL EFFUSION WITH MCC ,,,13046.0,19995.0,3
RC,159,PLEURAL EFFUSION WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,4
RC,159,PNEUMOTHORAX WITH MCC ,,,7000.0,19995.0,4
RC,159,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,19995.0,3
RC,159,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,19995.0,3
RC,159,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,19995.0,3
RC,159,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,13046.0,19995.0,3
RC,159,PROSTATECTOMY WITH CC ,,,13046.0,19995.0,3
RC,159,PROSTATECTOMY WITH MCC ,,,13046.0,19995.0,3
RC,159,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,3
RC,159,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,3
RC,159,PULMONARY EMBOLISM WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,RADIOTHERAPY ,,,13046.0,19995.0,3
RC,159,RECTAL RESECTION WITH CC ,,,13046.0,19995.0,3
RC,159,RECTAL RESECTION WITH MCC ,,,13046.0,19995.0,3
RC,159,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,159,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,RENAL FAILURE WITH CC ,,,13046.0,13046.0,1
RC,159,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,3
RC,159,RENAL FAILURE WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,3
RC,159,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,19995.0,3
RC,159,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,3
RC,159,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,19995.0,3
RC,159,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,RESPIRATORY SIGNS AND SYMPTOMS ,,,13046.0,19995.0,3
RC,159,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,19995.0,3
RC,159,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,19995.0,3
RC,159,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,159,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,159,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,159,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,4
RC,159,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,19995.0,4
RC,159,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,159,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,159,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,19995.0,4
RC,159,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,4
RC,159,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,4
RC,159,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,3
RC,159,SIGNS AND SYMPTOMS WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,4
RC,159,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,4
RC,159,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,159,SKIN DEBRIDEMENT WITH CC ,,,13046.0,19995.0,3
RC,159,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,19995.0,4
RC,159,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,19995.0,4
RC,159,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,19995.0,3
RC,159,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,19995.0,3
RC,159,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,19995.0,4
RC,159,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,19995.0,9
RC,159,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,SKIN ULCERS WITH CC ,,,13046.0,19995.0,3
RC,159,SKIN ULCERS WITH MCC ,,,13046.0,19995.0,3
RC,159,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,19995.0,4
RC,159,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,19995.0,4
RC,159,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,SPLENIC PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,SPLENIC PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,4
RC,159,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,4
RC,159,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,159,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,159,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,159,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,4
RC,159,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,4
RC,159,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,4
RC,159,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,3
RC,159,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,19995.0,3
RC,159,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,159,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,19995.0,3
RC,159,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,19995.0,3
RC,159,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,3
RC,159,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,3
RC,159,TRAUMATIC INJURY WITH MCC ,,,13046.0,19995.0,3
RC,159,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,19995.0,3
RC,159,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,3
RC,159,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,19995.0,3
RC,159,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,19995.0,3
RC,159,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,4
RC,159,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,19995.0,3
RC,159,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,URETHRAL STRICTURE ,,,13046.0,19995.0,3
RC,159,URINARY STONES WITH MCC ,,,13046.0,19995.0,3
RC,159,URINARY STONES WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,19995.0,3
RC,159,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,19995.0,3
RC,159,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,19995.0,3
RC,159,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,19995.0,3
RC,159,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,159,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,19995.0,3
RC,159,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,3
RC,159,VEIN LIGATION AND STRIPPING ,,,7000.0,19995.0,4
RC,159,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,3
RC,159,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,3
RC,159,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,19995.0,9
RC,159,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,19995.0,3
RC,159,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,19995.0,3
RC,159,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,3
RC,160, Room & Board - Other General Classification  ,,,6650.0,21045.0,4
RC,160,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,160,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,160,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,160,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,160,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,160,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,160,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,160,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,160,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,160,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,160,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,160,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,160,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,160,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,160,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,160,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,160,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,160,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,160,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,160,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,160,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,160,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,160,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,160,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,160,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,160,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,160,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,160,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,160,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,160,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,160,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,160,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,160,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,160,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,160,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,160,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,160,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,160,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,160,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,160,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,160,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,160,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,160,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,160,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,160,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,160,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,160,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,160,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,160,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,160,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,160,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,160,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,160,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,160,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,160,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,160,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,160,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,160,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,160,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,160,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,160,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,160,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,160,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,160,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,160,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,160,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,160,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,160,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,160,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,160,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,160,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,160,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,160,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,160,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,160,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,160,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,160,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,160,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,160,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,160,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,160,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,160,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,160,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,160,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,160,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,160,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,160,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,160,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,160,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,160,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,160,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,160,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,160,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,160,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,160,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,160,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,160,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,160,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,160,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,160,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,160,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,160,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,160,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,160,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,160,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,160,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,160,CHEST PAIN ,,,7000.0,11662.96,2
RC,160,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,160,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,160,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,160,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,160,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,160,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,160,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,160,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,160,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,160,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,160,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,160,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,160,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,160,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,160,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,160,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,160,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,160,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,160,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,160,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,160,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,160,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,160,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,160,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,160,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,160,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,160,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,160,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,160,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,160,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,160,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,160,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,160,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,160,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,160,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,160,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,160,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,160,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,160,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,160,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,160,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,160,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,160,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,160,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,160,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,160,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,160,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,160,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,160,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,160,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,160,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,160,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,160,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,160,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,160,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,160,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,160,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,160,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,160,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,160,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,160,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,160,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,160,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,160,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,160,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,160,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,160,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,160,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,160,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,160,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,160,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,160,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,160,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,160,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,160,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,160,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,160,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,160,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,160,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,160,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,160,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,160,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,160,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,160,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,160,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,160,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,160,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,160,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,160,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,160,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,160,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,160,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,160,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,160,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,160,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,160,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,160,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,160,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,160,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,160,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,160,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,160,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,160,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,160,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,160,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,160,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,160,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,160,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,160,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,160,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,160,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,160,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,160,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,160,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,160,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,160,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,160,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,160,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,160,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,160,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,160,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,160,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,160,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,160,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,160,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,160,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,160,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,160,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,160,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,160,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,160,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,160,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,160,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,160,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,160,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,160,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,160,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,160,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,160,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,160,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,160,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,160,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,160,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,160,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,160,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,160,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,160,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,160,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,160,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,160,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,160,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,160,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,160,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,160,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,160,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,160,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,160,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,160,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,160,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,160,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,160,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,160,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,160,MAJOR CHEST PROCEDURES WITH CC ,,,7000.0,30830.84,5
RC,160,MAJOR CHEST PROCEDURES WITH MCC ,,,7000.0,51632.88,5
RC,160,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,160,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,160,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,160,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,160,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,160,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,160,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,160,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,160,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,160,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,160,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,160,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,160,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,160,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,160,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,160,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,160,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,160,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,160,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,160,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,160,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,160,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,160,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,160,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,160,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,160,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,160,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,160,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,160,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,160,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,160,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,160,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,160,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,160,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,160,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,160,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,160,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,160,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,160,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,160,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,160,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,160,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,160,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,160,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,160,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,160,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,160,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,160,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,160,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,160,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,160,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,160,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,160,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,160,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,160,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,160,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,160,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,160,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,160,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,160,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,160,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,160,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,160,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,160,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,160,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,160,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,160,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,160,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,160,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,160,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,160,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,160,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,160,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,160,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,160,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,160,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,160,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,160,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,160,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,160,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,160,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,160,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,160,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,160,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,160,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,160,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,160,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,160,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,160,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,160,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,160,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,160,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,160,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,160,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,160,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,160,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,160,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,160,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,160,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,160,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,160,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,160,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,160,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,160,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,160,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,160,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,160,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,160,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,160,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,160,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,160,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,160,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,160,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,160,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,160,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,160,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,160,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,160,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,160,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,160,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,160,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,160,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,160,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,160,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,160,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,160,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,160,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,160,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,160,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,160,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,160,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,160,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,160,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,160,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,160,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,160,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,160,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,160,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,160,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,160,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,160,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,160,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,160,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,160,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,160,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,160,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,160,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,160,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,160,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,160,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,160,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,160,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,160,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,160,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,160,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,160,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,160,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,160,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,160,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,160,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,160,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,160,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,160,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,160,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,160,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,160,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,160,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,160,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,160,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,160,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,160,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,160,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,160,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,160,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,160,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,160,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,160,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,160,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,160,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,160,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,160,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,160,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,160,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,160,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,160,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,160,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,160,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,160,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,160,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,PSYCHOSES ,,,18854.11,18854.11,1
RC,160,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,160,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,160,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,160,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,160,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,160,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,160,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,160,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,160,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,160,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,160,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,160,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,160,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,160,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,160,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,160,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,160,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,160,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,160,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,160,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,160,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,160,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,160,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,160,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,160,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,160,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,160,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,160,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,160,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,160,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,160,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,160,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,160,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,160,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,160,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,160,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,160,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,160,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,160,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,160,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,160,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,160,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,160,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,160,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,160,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,160,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,160,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,160,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,160,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,160,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,160,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,160,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,160,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,160,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,160,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,160,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,160,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,160,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,160,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,160,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,160,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,160,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,160,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,160,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,160,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,160,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,160,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,160,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,160,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,160,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,160,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,160,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,160,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,160,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,160,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,160,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,160,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,160,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,160,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,160,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,160,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,160,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,160,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,160,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,160,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,160,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,160,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,160,UNGROUPABLE ,,,4012.81,4012.81,1
RC,160,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,160,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,160,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,160,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,160,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,160,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,160,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,160,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,160,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,160,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,160,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,160,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,160,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,160,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,160,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,160,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,160,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,160,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,160,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,160,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,160,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,160,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,160,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,160,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,160,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,160,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,160,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,160,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,160,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,160,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,160,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164, Room & Board - Other Sterile Environment  ,,,6650.0,21045.0,4
RC,164,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,164,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,164,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,164,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,164,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,164,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,164,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,164,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,164,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,164,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,164,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,164,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,164,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,164,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,164,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,164,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,164,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,164,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,164,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,164,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,164,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,164,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,164,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,164,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,164,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,164,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,164,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,164,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,164,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,164,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,164,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,164,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,164,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,164,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,164,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,164,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,164,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,164,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,164,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,164,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,164,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,164,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,164,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,164,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,164,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,164,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,164,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,164,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,164,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,164,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,164,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,164,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,164,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,164,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,164,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,164,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,164,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,164,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,164,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,164,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,164,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,164,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,164,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,164,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,164,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,164,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,164,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,164,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,164,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,164,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,164,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,164,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,164,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,164,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,164,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,164,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,164,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,164,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,164,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,164,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,164,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,164,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,164,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,164,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,164,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,164,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,164,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,164,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,164,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,164,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,164,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,164,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,164,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,164,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,164,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,164,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,164,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,164,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,164,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,164,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,164,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,164,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,164,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,164,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,164,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,164,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,164,CHEST PAIN ,,,7000.0,11662.96,2
RC,164,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,164,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,164,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,164,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,164,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,164,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,164,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,164,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,164,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,164,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,164,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,164,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,164,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,164,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,164,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,164,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,164,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,164,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,164,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,164,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,164,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,164,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,164,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,164,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,164,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,164,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,164,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,164,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,164,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,164,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,164,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,164,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,164,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,164,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,164,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,164,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,164,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,164,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,164,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,164,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,164,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,164,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,164,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,164,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,164,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,164,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,164,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,164,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,164,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,164,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,164,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,164,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,164,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,164,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,164,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,164,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,164,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,164,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,164,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,164,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,164,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,164,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,164,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,164,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,164,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,164,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,164,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,164,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,164,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,164,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,164,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,164,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,164,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,164,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,164,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,164,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,164,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,164,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,164,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,164,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,164,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,164,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,164,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,164,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,164,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,164,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,164,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,164,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,164,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,164,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,164,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,164,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,164,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,164,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,164,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,164,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,164,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,164,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,164,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,164,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,164,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,164,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,164,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,164,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,164,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,164,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,164,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,164,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,164,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,164,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,164,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,164,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,164,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,164,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,164,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,164,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,164,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,164,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,164,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,164,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,164,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,164,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,164,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,164,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,164,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,164,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,164,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,164,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,164,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,164,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,164,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,164,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,164,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,164,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,164,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,164,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,164,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,164,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,164,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,164,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,164,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,164,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,164,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,164,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,164,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,164,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,164,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,164,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,164,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,164,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,164,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,164,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,164,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,164,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,164,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,164,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,164,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,164,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,164,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,164,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,164,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,164,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,164,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,7000.0,24351.59,5
RC,164,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,164,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,164,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,164,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,164,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,164,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,164,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,164,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,164,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,164,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,164,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,164,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,164,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,164,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,164,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,164,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,164,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,164,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,164,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,164,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,164,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,164,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,164,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,164,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,164,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,164,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,164,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,164,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,164,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,164,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,164,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,164,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,164,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,164,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,164,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,164,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,164,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,164,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,164,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,164,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,164,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,164,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,164,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,164,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,164,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,164,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,164,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,164,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,164,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,164,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,164,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,164,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,164,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,164,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,164,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,164,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,164,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,164,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,164,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,164,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,164,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,164,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,164,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,164,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,164,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,164,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,164,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,164,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,164,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,164,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,164,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,164,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,164,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,164,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,164,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,164,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,164,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,164,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,164,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,164,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,164,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,164,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,164,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,164,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,164,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,164,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,164,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,164,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,164,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,164,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,164,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,164,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,164,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,164,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,164,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,164,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,164,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,164,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,164,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,164,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,164,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,164,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,164,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,164,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,164,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,164,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,164,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,164,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,164,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,164,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,164,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,164,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,164,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,164,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,164,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,164,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,164,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,164,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,164,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,164,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,164,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,164,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,164,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,164,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,164,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,164,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,164,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,164,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,164,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,164,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,164,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,164,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,164,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,164,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,164,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,164,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,164,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,23174.32,5
RC,164,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,43726.66,5
RC,164,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,164,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,164,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,164,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,164,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,164,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,164,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,164,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,164,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,164,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,164,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,164,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,164,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,164,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,164,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,164,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,164,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,164,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,164,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,164,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,164,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,164,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,164,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,164,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,164,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,164,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,164,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,164,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,164,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,164,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,164,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,164,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,164,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,164,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,164,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,164,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,164,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,164,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,164,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,164,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,164,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,164,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,164,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,164,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,164,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,164,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,164,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,164,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,164,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,164,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,PSYCHOSES ,,,18854.11,18854.11,1
RC,164,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,164,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,164,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,164,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,164,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,164,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,164,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,164,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,164,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,164,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,164,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,164,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,164,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,164,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,164,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,164,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,164,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,164,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,164,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,164,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,164,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,164,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,164,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,164,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,164,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,164,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,164,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,164,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,164,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,164,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,164,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,164,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,164,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,164,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,164,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,164,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,164,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,164,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,164,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,164,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,164,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,164,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,164,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,164,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,164,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,164,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,164,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,164,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,164,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,164,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,164,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,164,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,164,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,164,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,164,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,164,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,164,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,164,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,164,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,164,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,164,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,164,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,164,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,164,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,164,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,164,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,164,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,164,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,164,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,164,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,164,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,164,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,164,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,164,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,164,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,164,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,164,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,164,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,164,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,164,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,164,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,164,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,164,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,164,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,164,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,164,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,164,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,164,UNGROUPABLE ,,,4012.81,4012.81,1
RC,164,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,164,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,164,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,164,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,164,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,164,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,164,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,164,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,164,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,164,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,164,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,164,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,164,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,164,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,164,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,164,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,164,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,164,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,164,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,164,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,164,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,164,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,164,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,164,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,164,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,164,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,164,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,164,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,164,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,164,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,164,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167, Room & Board - Other Self Care  ,,,6650.0,21045.0,4
RC,167,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,167,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,167,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,167,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,167,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,167,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,167,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,167,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,167,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,167,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,167,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,167,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,167,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,167,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,167,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,167,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,167,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,167,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,167,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,167,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,167,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,167,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,167,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,167,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,167,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,167,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,167,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,167,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,167,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,167,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,167,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,167,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,167,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,167,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,167,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,167,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,167,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,167,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,167,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,167,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,167,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,167,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,167,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,167,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,167,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,167,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,167,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,167,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,167,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,167,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,167,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,167,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,167,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,167,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,167,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,167,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,167,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,167,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,167,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,167,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,167,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,167,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,167,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,167,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,167,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,167,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,167,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,167,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,167,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,167,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,167,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,167,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,167,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,167,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,167,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,167,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,167,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,167,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,167,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,167,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,167,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,167,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,167,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,167,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,167,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,167,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,167,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,167,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,167,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,167,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,167,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,167,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,167,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,167,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,167,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,167,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,167,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,167,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,167,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,167,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,167,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,167,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,167,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,167,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,167,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,167,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,167,CHEST PAIN ,,,7000.0,11662.96,2
RC,167,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,167,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,167,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,167,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,167,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,167,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,167,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,167,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,167,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,167,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,167,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,167,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,167,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,167,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,167,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,167,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,167,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,167,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,167,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,167,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,167,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,167,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,167,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,167,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,167,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,167,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,167,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,167,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,167,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,167,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,167,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,167,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,167,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,167,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,167,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,167,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,167,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,167,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,167,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,167,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,167,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,167,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,167,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,167,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,167,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,167,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,167,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,167,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,167,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,167,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,167,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,167,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,167,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,167,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,167,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,167,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,167,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,167,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,167,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,167,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,167,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,167,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,167,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,167,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,167,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,167,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,167,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,167,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,167,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,167,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,167,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,167,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,167,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,167,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,167,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,167,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,167,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,167,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,167,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,167,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,167,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,167,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,167,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,167,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,167,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,167,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,167,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,167,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,167,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,167,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,167,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,167,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,167,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,167,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,167,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,167,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,167,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,167,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,167,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,167,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,167,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,167,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,167,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,167,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,167,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,167,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,167,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,167,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,167,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,167,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,167,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,167,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,167,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,167,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,167,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,167,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,167,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,167,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,167,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,167,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,167,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,167,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,167,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,167,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,167,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,167,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,167,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,167,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,167,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,167,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,167,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,167,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,167,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,167,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,167,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,167,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,167,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,167,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,167,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,167,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,167,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,167,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,167,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,167,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,167,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,167,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,167,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,167,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,167,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,167,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,167,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,167,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,167,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,167,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,167,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,167,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,167,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,167,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,167,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,167,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,167,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,167,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,167,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,167,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,167,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,167,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,167,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,167,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,167,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,167,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,167,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,167,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,167,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,167,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,167,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,167,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,167,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,167,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,167,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,167,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,167,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,167,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,167,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,167,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,167,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,167,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,167,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,167,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,167,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,167,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,167,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,167,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,167,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,167,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,167,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,167,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,167,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,167,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,167,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,167,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,167,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,167,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,167,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,167,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,167,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,167,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,167,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,167,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,167,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,167,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,167,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,167,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,167,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,167,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,167,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,167,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,167,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,167,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,167,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,167,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,167,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,167,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,167,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,167,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,167,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,167,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,167,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,167,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,167,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,167,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,167,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,167,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,167,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,167,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,167,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,167,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,167,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,167,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,167,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,167,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,167,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,167,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,167,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,167,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,167,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,167,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,167,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,167,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,167,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,167,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,167,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,167,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,167,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,167,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,167,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,167,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,167,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,167,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,167,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,167,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,167,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,167,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,167,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,167,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,167,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,167,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,167,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,167,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,167,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,167,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,167,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,167,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,167,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,167,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,167,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,167,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,167,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,167,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,167,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,167,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,167,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,167,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,167,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,167,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,167,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,167,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,167,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,167,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,167,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,167,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,167,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,167,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,167,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,167,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,167,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,167,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,167,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,167,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,167,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,167,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,167,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,167,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,167,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,167,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,167,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,167,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,167,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,167,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,167,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,167,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,167,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,167,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,167,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,167,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,167,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,167,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,167,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,167,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,167,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,167,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,167,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,167,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,167,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,167,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,167,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,167,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,167,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,167,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,167,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,167,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,167,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,167,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,167,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,167,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,167,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,167,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,167,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,167,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,167,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,167,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,167,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,167,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,167,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,167,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,167,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,167,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,167,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,PSYCHOSES ,,,18854.11,18854.11,1
RC,167,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,167,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,167,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,167,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,167,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,167,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,167,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,167,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,167,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,167,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,167,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,167,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,167,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,167,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,167,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,167,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,167,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,167,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,167,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,167,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,167,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,167,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,167,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,167,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,167,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,167,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,167,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,167,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,167,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,167,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,167,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,167,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,167,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,167,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,167,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,167,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,167,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,167,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,167,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,167,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,167,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,167,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,167,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,167,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,167,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,167,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,167,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,167,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,167,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,167,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,167,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,167,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,167,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,167,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,167,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,167,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,167,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,167,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,167,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,167,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,167,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,167,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,167,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,167,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,167,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,167,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,167,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,167,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,167,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,167,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,167,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,167,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,167,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,167,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,167,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,167,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,167,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,167,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,167,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,167,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,167,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,167,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,167,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,167,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,167,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,167,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,167,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,167,UNGROUPABLE ,,,4012.81,4012.81,1
RC,167,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,167,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,167,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,167,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,167,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,167,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,167,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,167,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,167,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,167,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,167,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,167,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,167,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,167,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,167,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,167,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,167,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,167,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,167,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,167,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,167,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,167,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,167,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,167,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,167,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,167,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,167,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,167,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,167,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,167,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,167,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169, Room & Board - Other Other  ,,,6650.0,21045.0,4
RC,169,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,13046.0,19995.0,4
RC,169,ABORTION WITHOUT D&C ,,,12951.8,19995.0,4
RC,169,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,169,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,5
RC,169,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,5
RC,169,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,ACUTE LEUKEMIA WITH CC ,,,13046.0,26174.88,4
RC,169,ACUTE LEUKEMIA WITH MCC ,,,13046.0,62344.16,4
RC,169,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,13046.0,96021.82,4
RC,169,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,169,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,169,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,169,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,19995.0,4
RC,169,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,13046.0,25059.23,4
RC,169,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,169,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,13046.0,27301.15,4
RC,169,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,AFTERCARE WITH CC/MCC ,,,13046.0,19995.0,4
RC,169,AFTERCARE WITHOUT CC/MCC ,,,10682.26,19995.0,4
RC,169,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,13046.0,19995.0,4
RC,169,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,13046.0,23827.77,4
RC,169,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,19995.0,4
RC,169,AICD GENERATOR PROCEDURES ,,,13046.0,52489.27,4
RC,169,AICD LEAD PROCEDURES ,,,7000.0,42456.95,5
RC,169,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,13046.0,19995.0,4
RC,169,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,13046.0,22554.87,4
RC,169,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13046.0,19995.0,4
RC,169,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,19995.0,4
RC,169,ALLERGIC REACTIONS WITH MCC ,,,13046.0,21880.17,4
RC,169,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,19995.0,4
RC,169,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,13046.0,34299.98,4
RC,169,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,13046.0,56306.91,4
RC,169,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,13046.0,19995.0,4
RC,169,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,13046.0,28192.6,4
RC,169,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,5
RC,169,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,19995.0,5
RC,169,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,13046.0,41067.18,12
RC,169,ANAL AND STOMAL PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,169,ANAL AND STOMAL PROCEDURES WITH MCC ,,,13046.0,28404.05,4
RC,169,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,ANGINA PECTORIS ,,,7000.0,19995.0,5
RC,169,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,169,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,169,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,169,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,169,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,169,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,169,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,169,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,169,APPENDIX PROCEDURES WITH CC ,,,13046.0,20095.13,4
RC,169,APPENDIX PROCEDURES WITH MCC ,,,13046.0,29459.13,4
RC,169,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,ATHEROSCLEROSIS WITH MCC ,,,7000.0,19995.0,5
RC,169,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,169,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,169,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,169,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,169,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,169,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,169,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,13046.0,19995.0,4
RC,169,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,19995.0,4
RC,169,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,169,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,169,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,13
RC,169,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,5
RC,169,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,5
RC,169,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,5
RC,169,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,19995.0,5
RC,169,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,19995.0,5
RC,169,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,13046.0,26758.21,4
RC,169,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,24509.91,4
RC,169,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,13046.0,19995.0,4
RC,169,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,19995.0,4
RC,169,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,19995.0,4
RC,169,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13046.0,20608.33,4
RC,169,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,19995.0,4
RC,169,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,169,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,19995.0,5
RC,169,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,5
RC,169,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,19995.0,5
RC,169,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,169,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,169,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,169,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,169,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,169,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,169,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,169,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,5
RC,169,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,5
RC,169,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,5
RC,169,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,5
RC,169,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,5
RC,169,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,12
RC,169,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,12
RC,169,CELLULITIS WITH MCC ,,,13046.0,19995.0,4
RC,169,CELLULITIS WITHOUT MCC ,,,13046.0,13266.31,2
RC,169,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,169,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,169,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,169,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,169,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,169,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,169,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,169,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,169,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,169,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,13046.0,55059.51,4
RC,169,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,13046.0,26191.88,4
RC,169,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,13046.0,19995.0,4
RC,169,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,13046.0,31558.67,4
RC,169,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,19995.0,4
RC,169,CHEST PAIN ,,,7000.0,11662.96,2
RC,169,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,5
RC,169,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,13046.0,41866.19,4
RC,169,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13046.0,26352.32,4
RC,169,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,13046.0,39111.07,4
RC,169,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,13046.0,21655.98,4
RC,169,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,19995.0,5
RC,169,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,13046.0,19995.0,4
RC,169,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,169,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,169,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,13046.0,19995.0,4
RC,169,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,13046.0,24925.35,4
RC,169,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,19995.0,4
RC,169,COAGULATION DISORDERS ,,,13046.0,20219.45,4
RC,169,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,169,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,169,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,5
RC,169,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,19995.0,5
RC,169,COMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,24861.6,4
RC,169,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,19995.0,4
RC,169,COMPLICATIONS OF TREATMENT WITH CC ,,,13046.0,19995.0,4
RC,169,COMPLICATIONS OF TREATMENT WITH MCC ,,,13046.0,23465.45,4
RC,169,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,19995.0,4
RC,169,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,4
RC,169,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,169,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,19995.0,5
RC,169,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,5
RC,169,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,4
RC,169,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,4
RC,169,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,4
RC,169,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,4
RC,169,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,16602.0,66367.93,3
RC,169,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,16602.0,48519.7,3
RC,169,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,169,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,169,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,169,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,13046.0,75532.17,4
RC,169,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,13046.0,25784.93,4
RC,169,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,169,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,169,DIABETES WITH CC ,,,13046.0,19995.0,4
RC,169,DIABETES WITH MCC ,,,13046.0,19995.0,4
RC,169,DIABETES WITHOUT CC/MCC ,,,10613.19,19995.0,4
RC,169,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,169,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,5
RC,169,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,19995.0,5
RC,169,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,5
RC,169,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,19995.0,5
RC,169,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,19995.0,5
RC,169,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,13046.0,21334.03,4
RC,169,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,169,DISORDERS OF THE BILIARY TRACT WITH CC ,,,13046.0,19995.0,4
RC,169,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,13046.0,21766.48,4
RC,169,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,19995.0,4
RC,169,ENDOCRINE DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,169,ENDOCRINE DISORDERS WITH MCC ,,,13046.0,21502.98,4
RC,169,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,19995.0,4
RC,169,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,5
RC,169,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,4
RC,169,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,4
RC,169,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,13046.0,19995.0,4
RC,169,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,13046.0,3
RC,169,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,13046.0,230866.42,4
RC,169,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,13046.0,45389.51,4
RC,169,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,30134.9,4
RC,169,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,53864.18,4
RC,169,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,22224.43,4
RC,169,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,169,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,169,FEVER AND INFLAMMATORY CONDITIONS ,,,13046.0,19995.0,4
RC,169,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,5
RC,169,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,5
RC,169,FOOT PROCEDURES WITHOUT CC/MCC ,,,13046.0,23061.69,4
RC,169,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13046.0,19995.0,8
RC,169,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,5
RC,169,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,19995.0,5
RC,169,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,19995.0,5
RC,169,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,19995.0,5
RC,169,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,169,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,13046.0,80224.26,4
RC,169,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,13046.0,38234.49,4
RC,169,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,13046.0,27500.9,4
RC,169,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,13046.0,19995.0,4
RC,169,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,5
RC,169,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,19995.0,4
RC,169,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,19995.0,4
RC,169,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,13046.0,19995.0,4
RC,169,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,19995.0,4
RC,169,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,5
RC,169,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,169,HAND PROCEDURES FOR INJURIES ,,,13046.0,24883.91,4
RC,169,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,169,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,169,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,169,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,13046.0,22474.12,4
RC,169,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,13046.0,40213.97,4
RC,169,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,5
RC,169,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,5
RC,169,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,169,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,169,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,169,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,169,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,169,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,13046.0,69052.91,4
RC,169,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,13046.0,32035.74,4
RC,169,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,13046.0,19995.0,4
RC,169,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,13046.0,34677.17,4
RC,169,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,13046.0,19995.0,4
RC,169,HYPERTENSION WITH MCC ,,,7000.0,19995.0,5
RC,169,HYPERTENSION WITHOUT MCC ,,,7000.0,19995.0,5
RC,169,INBORN AND OTHER DISORDERS OF METABOLISM ,,,13046.0,19995.0,4
RC,169,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,169,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,19995.0,4
RC,169,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,19995.0,4
RC,169,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,13046.0,25243.04,4
RC,169,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,56486.48,4
RC,169,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,13046.0,19995.0,4
RC,169,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,19995.0,4
RC,169,INFLAMMATORY BOWEL DISEASE WITH CC ,,,13046.0,19995.0,4
RC,169,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,13046.0,20825.09,4
RC,169,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,19995.0,4
RC,169,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,13046.0,20210.95,4
RC,169,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,13046.0,30489.78,4
RC,169,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,19995.0,5
RC,169,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,5
RC,169,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,13046.0,23456.95,4
RC,169,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,13046.0,37841.35,4
RC,169,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13046.0,20501.02,4
RC,169,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,13046.0,19995.0,4
RC,169,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13046.0,31010.41,4
RC,169,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,13046.0,16341.24,2
RC,169,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,13046.0,2
RC,169,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,169,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,13046.0,23177.5,4
RC,169,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,19995.0,4
RC,169,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,169,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,19995.0,4
RC,169,KIDNEY TRANSPLANT ,,,13046.0,38326.93,4
RC,169,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,13046.0,53966.17,4
RC,169,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,13046.0,43387.72,4
RC,169,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,5
RC,169,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,5
RC,169,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,20654.02,4
RC,169,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,5
RC,169,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,169,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,169,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,169,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,13046.0,43995.48,4
RC,169,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,15
RC,169,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,5
RC,169,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,5
RC,169,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,5
RC,169,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,13046.0,43024.33,4
RC,169,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,5
RC,169,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,13046.0,27798.41,4
RC,169,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,13046.0,66327.55,4
RC,169,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,13046.0,21346.78,4
RC,169,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,13046.0,38384.31,4
RC,169,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,13046.0,28085.29,4
RC,169,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,13046.0,52727.28,4
RC,169,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,MAJOR BLADDER PROCEDURES WITH CC ,,,13046.0,33755.96,4
RC,169,MAJOR BLADDER PROCEDURES WITH MCC ,,,13046.0,59225.66,4
RC,169,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,26502.13,4
RC,169,MAJOR CHEST TRAUMA WITH CC ,,,13046.0,19995.0,4
RC,169,MAJOR CHEST TRAUMA WITH MCC ,,,13046.0,20268.32,4
RC,169,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,19995.0,4
RC,169,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,169,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,13046.0,20927.08,4
RC,169,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,13046.0,19995.0,4
RC,169,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,5
RC,169,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,19995.0,4
RC,169,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,13046.0,27472.21,12
RC,169,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,169,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,169,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,169,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,5
RC,169,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,169,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,169,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,5
RC,169,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,13046.0,20103.63,4
RC,169,MAJOR SKIN DISORDERS WITH MCC ,,,13046.0,26545.7,4
RC,169,MAJOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,169,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,169,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,169,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,169,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,19995.0,5
RC,169,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,13046.0,19995.0,4
RC,169,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,13046.0,23528.13,4
RC,169,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,169,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23581.26,4
RC,169,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,169,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,13046.0,19995.0,4
RC,169,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,13046.0,23241.26,4
RC,169,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,19995.0,4
RC,169,MALIGNANT BREAST DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,169,MALIGNANT BREAST DISORDERS WITH MCC ,,,13046.0,21726.1,4
RC,169,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,19995.0,4
RC,169,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,13046.0,24483.35,4
RC,169,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,22334.93,4
RC,169,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,5
RC,169,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,19995.0,5
RC,169,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,169,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,19995.0,4
RC,169,MINOR BLADDER PROCEDURES WITH CC ,,,13046.0,20165.25,4
RC,169,MINOR BLADDER PROCEDURES WITH MCC ,,,13046.0,36541.89,4
RC,169,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,MINOR SKIN DISORDERS WITH MCC ,,,13046.0,20090.88,4
RC,169,MINOR SKIN DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,169,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,5
RC,169,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,5
RC,169,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,13046.0,19995.0,4
RC,169,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,19995.0,4
RC,169,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,169,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,169,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,169,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,13046.0,53715.42,12
RC,169,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,13046.0,37588.48,8
RC,169,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,169,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,169,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,169,NON-EXTENSIVE BURNS ,,,13046.0,25900.74,4
RC,169,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,13046.0,21476.41,4
RC,169,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,13046.0,40440.28,4
RC,169,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,13046.0,19995.0,4
RC,169,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,19995.0,4
RC,169,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,169,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,169,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,169,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,169,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,13046.0,28842.87,4
RC,169,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,13046.0,42566.39,4
RC,169,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,13046.0,25557.55,4
RC,169,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,169,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,169,OSTEOMYELITIS WITH CC ,,,7000.0,19995.0,5
RC,169,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,5
RC,169,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,13046.0,19995.0,4
RC,169,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,13046.0,28255.29,4
RC,169,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,19995.0,4
RC,169,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,13046.0,19995.0,4
RC,169,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,19995.0,4
RC,169,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,169,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,4
RC,169,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,4
RC,169,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,169,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,5
RC,169,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,19995.0,4
RC,169,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,5
RC,169,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,19995.0,5
RC,169,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,5
RC,169,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,19995.0,4
RC,169,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,5
RC,169,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,5
RC,169,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,13046.0,27163.02,4
RC,169,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,13046.0,43610.85,4
RC,169,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,169,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,169,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,169,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,19995.0,4
RC,169,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,13046.0,31294.11,4
RC,169,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,4
RC,169,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,5
RC,169,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,13046.0,48139.3,4
RC,169,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,169,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,13046.0,26253.5,4
RC,169,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,19995.0,4
RC,169,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,13046.0,22600.56,4
RC,169,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,13046.0,19995.0,4
RC,169,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,169,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,13046.0,21591.16,4
RC,169,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,19995.0,4
RC,169,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,13046.0,28860.94,4
RC,169,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,13046.0,48655.7,4
RC,169,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,13046.0,21453.03,4
RC,169,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,169,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,169,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,169,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,13046.0,19995.0,4
RC,169,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,19995.0,4
RC,169,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,13046.0,24099.77,4
RC,169,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,13046.0,27784.59,4
RC,169,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,169,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,20297.0,4
RC,169,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,33060.01,4
RC,169,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,13046.0,19995.0,4
RC,169,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,13046.0,20413.89,4
RC,169,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,19995.0,4
RC,169,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,5
RC,169,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,5
RC,169,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,5
RC,169,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13046.0,25207.99,12
RC,169,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,13046.0,25212.23,4
RC,169,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,13046.0,44806.18,4
RC,169,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,13046.0,48786.39,4
RC,169,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,13046.0,84975.86,4
RC,169,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,13046.0,35294.49,4
RC,169,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,13046.0,23764.02,4
RC,169,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,13046.0,46344.72,4
RC,169,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,13046.0,23467.57,4
RC,169,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,13046.0,19995.0,4
RC,169,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,13046.0,22373.17,4
RC,169,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,5
RC,169,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,169,OTHER VASCULAR PROCEDURES WITH CC ,,,16602.0,31591.61,3
RC,169,OTHER VASCULAR PROCEDURES WITH MCC ,,,16602.0,41076.73,3
RC,169,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,16602.0,22943.75,3
RC,169,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,5
RC,169,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,13046.0,62138.03,4
RC,169,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,5
RC,169,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,15
RC,169,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,13046.0,26644.51,4
RC,169,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,169,PENIS PROCEDURES WITH CC/MCC ,,,13046.0,28738.74,4
RC,169,PENIS PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,169,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,169,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,169,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,169,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,16602.0,27202.34,3
RC,169,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,16602.0,19995.0,3
RC,169,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,5
RC,169,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,5
RC,169,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,13046.0,29749.2,4
RC,169,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,169,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,169,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,169,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,5
RC,169,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,5
RC,169,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,5
RC,169,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,13046.0,26654.08,4
RC,169,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,13046.0,37936.98,4
RC,169,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,13046.0,23217.88,4
RC,169,PLEURAL EFFUSION WITH CC ,,,13046.0,19995.0,4
RC,169,PLEURAL EFFUSION WITH MCC ,,,13046.0,20572.2,4
RC,169,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,19995.0,4
RC,169,PNEUMOTHORAX WITH CC ,,,7000.0,19995.0,5
RC,169,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,5
RC,169,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,13046.0,20677.39,4
RC,169,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13046.0,19995.0,4
RC,169,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,13046.0,23390.01,4
RC,169,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,13046.0,19995.0,4
RC,169,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,13046.0,26766.7,4
RC,169,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,13046.0,52343.7,4
RC,169,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,13046.0,21967.29,4
RC,169,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,19995.0,4
RC,169,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,169,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,169,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,169,PROSTATECTOMY WITH CC ,,,13046.0,22599.5,4
RC,169,PROSTATECTOMY WITH MCC ,,,13046.0,37176.22,4
RC,169,PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,PSYCHOSES ,,,18854.11,18854.11,1
RC,169,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,13046.0,19995.0,4
RC,169,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,13046.0,19995.0,4
RC,169,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,19995.0,4
RC,169,RADIOTHERAPY ,,,13046.0,32801.82,4
RC,169,RECTAL RESECTION WITH CC ,,,13046.0,28899.18,4
RC,169,RECTAL RESECTION WITH MCC ,,,13046.0,42483.51,4
RC,169,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,5
RC,169,RED BLOOD CELL DISORDERS WITH MCC ,,,13046.0,19995.0,4
RC,169,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13046.0,19995.0,4
RC,169,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,169,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,169,RENAL FAILURE WITH CC ,,,13046.0,13318.37,2
RC,169,RENAL FAILURE WITH MCC ,,,13046.0,19995.0,4
RC,169,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,19995.0,4
RC,169,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,13046.0,19995.0,4
RC,169,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,13046.0,20616.83,4
RC,169,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,19995.0,4
RC,169,RESPIRATORY NEOPLASMS WITH CC ,,,13046.0,19995.0,4
RC,169,RESPIRATORY NEOPLASMS WITH MCC ,,,13046.0,22776.94,4
RC,169,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,19995.0,4
RC,169,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,19995.0,4
RC,169,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,13046.0,33218.32,4
RC,169,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,13046.0,72382.85,4
RC,169,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,13046.0,19995.0,4
RC,169,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,13046.0,26609.45,4
RC,169,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,19995.0,4
RC,169,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,169,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,169,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,169,SEPTIC ARTHRITIS WITH CC ,,,7000.0,19995.0,5
RC,169,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,5
RC,169,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,169,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,169,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,169,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,13046.0,26106.88,4
RC,169,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,13046.0,36106.26,4
RC,169,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,5
RC,169,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,19995.0,5
RC,169,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,19995.0,5
RC,169,SIGNS AND SYMPTOMS WITH MCC ,,,13046.0,19995.0,4
RC,169,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,19995.0,4
RC,169,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,19995.0,5
RC,169,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,19995.0,5
RC,169,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,169,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,169,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,169,SKIN DEBRIDEMENT WITH CC ,,,13046.0,21964.11,4
RC,169,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,5
RC,169,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,5
RC,169,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13046.0,56089.09,4
RC,169,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,5
RC,169,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13046.0,40897.17,4
RC,169,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,5
RC,169,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13046.0,23106.32,4
RC,169,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,13046.0,41830.07,12
RC,169,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,13046.0,43040.27,4
RC,169,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,SKIN ULCERS WITH CC ,,,13046.0,19995.0,4
RC,169,SKIN ULCERS WITH MCC ,,,13046.0,24575.78,4
RC,169,SKIN ULCERS WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,5
RC,169,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,5
RC,169,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,169,SPLENIC PROCEDURES WITH CC ,,,13046.0,33863.28,4
RC,169,SPLENIC PROCEDURES WITH MCC ,,,13046.0,52133.33,4
RC,169,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,13046.0,24295.28,4
RC,169,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,19995.0,5
RC,169,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,19995.0,5
RC,169,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,13046.0,29982.95,4
RC,169,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,13046.0,57004.99,4
RC,169,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,21037.58,4
RC,169,SYNCOPE AND COLLAPSE ,,,7000.0,19995.0,5
RC,169,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19995.0,5
RC,169,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,19995.0,5
RC,169,TESTES PROCEDURES WITH CC/MCC ,,,13046.0,26153.63,4
RC,169,TESTES PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,13046.0,19995.0,4
RC,169,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,13046.0,36102.01,4
RC,169,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,169,TRANSURETHRAL PROCEDURES WITH CC ,,,13046.0,20503.14,4
RC,169,TRANSURETHRAL PROCEDURES WITH MCC ,,,13046.0,35038.42,4
RC,169,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,13046.0,19995.0,4
RC,169,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,13046.0,19995.0,4
RC,169,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13046.0,19995.0,4
RC,169,TRAUMATIC INJURY WITH MCC ,,,13046.0,21380.78,4
RC,169,TRAUMATIC INJURY WITHOUT MCC ,,,13046.0,19995.0,4
RC,169,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,169,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,13046.0,35637.69,4
RC,169,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,13046.0,19995.0,4
RC,169,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13046.0,19995.0,4
RC,169,UNGROUPABLE ,,,4012.81,4012.81,1
RC,169,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13046.0,22053.36,4
RC,169,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,13046.0,32673.25,4
RC,169,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,19995.0,5
RC,169,URETHRAL PROCEDURES WITH CC/MCC ,,,13046.0,23085.07,4
RC,169,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,URETHRAL STRICTURE ,,,13046.0,19995.0,4
RC,169,URINARY STONES WITH MCC ,,,13046.0,19995.0,4
RC,169,URINARY STONES WITHOUT MCC ,,,12318.54,19995.0,4
RC,169,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,169,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,169,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,13046.0,23240.19,4
RC,169,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,13046.0,42080.82,4
RC,169,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,169,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,13046.0,25907.12,4
RC,169,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,13046.0,41992.63,4
RC,169,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,169,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,13046.0,22469.87,4
RC,169,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13046.0,19995.0,4
RC,169,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,169,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,169,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,169,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,169,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,169,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,169,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,169,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,5
RC,169,VIRAL ILLNESS WITH MCC ,,,13046.0,19995.0,4
RC,169,VIRAL ILLNESS WITHOUT MCC ,,,13046.0,19995.0,4
RC,169,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,13046.0,64571.2,12
RC,169,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,13046.0,24354.78,4
RC,169,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,13046.0,48602.58,4
RC,169,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,13046.0,19995.0,4
RC,170, Nursery General Classification  ,,,248.0,7700.0,11
RC,170,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,170,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,170,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,170,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,170,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,170,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,170,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,170,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,170,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,170,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,170,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,170,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,170,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,170,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,170,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,170,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,170,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,170,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,170,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,170,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,170,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,170,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,170,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,170,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,170,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,170,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,170,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,170,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,170,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,170,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,170,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,170,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,170,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,170,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,170,CHEST PAIN ,,,7000.0,7000.0,1
RC,170,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,170,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,170,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,170,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,170,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,170,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,170,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,170,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,170,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,170,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,170,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,170,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,170,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,170,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,170,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,170,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,170,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,170,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,170,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,170,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,170,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,170,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,170,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,170,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,170,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,170,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,170,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,170,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,170,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,170,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,170,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,170,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,170,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,170,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,170,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,170,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,170,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,170,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,170,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,170,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,170,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,170,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,170,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,170,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,170,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,170,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,170,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,170,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,170,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,170,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,170,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,170,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,170,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,170,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,170,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,170,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,170,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,170,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,170,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,170,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,170,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,170,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,170,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,170,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,170,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,170,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,170,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,170,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,170,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,170,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,170,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,170,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,170,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,170,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,170,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,170,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,170,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,170,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,170,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,170,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,170,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,170,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,170,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,170,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,170,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,170,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,170,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,170,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,170,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,170,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,170,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,170,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,170,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,170,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,170,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,170,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,170,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,170,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,171, Nursery Newborn - Level I  ,,,248.0,7700.0,11
RC,171,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,171,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,171,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,171,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,171,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,171,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,171,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,171,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,171,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,171,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,171,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,171,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,171,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,171,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,171,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,171,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,171,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,171,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,171,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,171,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,171,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,171,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,171,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,171,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,171,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,171,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,171,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,171,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,171,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,171,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,171,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,171,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,171,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,171,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,171,CHEST PAIN ,,,7000.0,7000.0,1
RC,171,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,171,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,171,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,171,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,171,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,171,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,171,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,171,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,171,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,171,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,171,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,171,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,171,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,171,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,171,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,171,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,171,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,171,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,171,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,171,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,171,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,171,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,171,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,171,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,171,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,171,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,171,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,171,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,171,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,171,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,171,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,171,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,171,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,171,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,171,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,171,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,171,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,171,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,171,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,171,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,171,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,171,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,171,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,171,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,171,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,171,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,171,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,171,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,171,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,171,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,171,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,171,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,171,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,171,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,171,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,171,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,171,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,171,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,171,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,171,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,171,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,171,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,171,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,171,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,171,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,171,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,171,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,171,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,171,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,171,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,171,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,171,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,171,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,171,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,171,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,171,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,171,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,171,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,171,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,171,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,171,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,171,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,171,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,171,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,171,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,171,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,171,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,171,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,171,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,171,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,171,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,171,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,171,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,171,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,171,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,171,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,171,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,171,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,172, Nursery Newborn - Level II  ,,,1490.0,8227.0,12
RC,172,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,172,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,172,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,172,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,2
RC,172,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,2
RC,172,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,13891.07,2
RC,172,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,172,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,172,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,172,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,172,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,172,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,172,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,172,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,172,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,172,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,10376.25,2
RC,172,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,172,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,172,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,172,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,172,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,172,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,172,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,172,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,172,AICD LEAD PROCEDURES ,,,7000.0,42456.95,2
RC,172,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,172,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,172,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,172,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,172,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,172,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,172,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,172,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,172,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,172,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,172,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,2
RC,172,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,16552.69,2
RC,172,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,172,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,172,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,172,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,172,ANGINA PECTORIS ,,,7000.0,11470.65,2
RC,172,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,172,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,172,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,172,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,172,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,172,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,172,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,172,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,172,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,172,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,172,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,172,ATHEROSCLEROSIS WITH MCC ,,,7000.0,16726.93,2
RC,172,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,11165.7,2
RC,172,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,172,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,172,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,172,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,172,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,172,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,172,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,172,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,172,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,172,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,4
RC,172,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,2
RC,172,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,2
RC,172,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,2
RC,172,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,17786.27,2
RC,172,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,12832.8,2
RC,172,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,172,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,172,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,172,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,172,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,172,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,172,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,172,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,11829.78,2
RC,172,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,16805.56,2
RC,172,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,10027.74,2
RC,172,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,2
RC,172,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,13715.75,2
RC,172,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,172,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,172,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,172,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,172,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,172,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,172,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,172,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,2
RC,172,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,2
RC,172,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,2
RC,172,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,2
RC,172,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,2
RC,172,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,6
RC,172,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,6
RC,172,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,172,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,172,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,172,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,172,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,172,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,172,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,172,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,172,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,172,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,172,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,172,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,172,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,172,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,172,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,172,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,172,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,172,CHEST PAIN ,,,7000.0,11662.96,2
RC,172,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,2
RC,172,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,172,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,172,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,172,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,172,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,172,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12969.86,2
RC,172,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,15782.35,15782.35,1
RC,172,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10834.2,2
RC,172,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,172,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,172,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,172,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,172,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,172,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,172,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,172,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,172,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,2
RC,172,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,15525.23,2
RC,172,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,172,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,172,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,172,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,172,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,172,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,2
RC,172,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,172,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,16267.93,2
RC,172,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,2
RC,172,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,12897.62,2
RC,172,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,2
RC,172,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,2
RC,172,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,2
RC,172,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,2
RC,172,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,172,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,172,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,172,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,172,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,172,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,172,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,172,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,172,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,172,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,172,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,172,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,172,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,16865.07,2
RC,172,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,2
RC,172,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,172,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,14269.32,2
RC,172,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,2
RC,172,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,11447.28,2
RC,172,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12950.74,2
RC,172,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,172,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,10615.32,2
RC,172,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,172,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,172,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,172,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,172,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,172,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,172,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,172,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,2
RC,172,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,2
RC,172,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,2
RC,172,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,172,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,12296.22,2
RC,172,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,172,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,172,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,172,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,172,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,172,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,172,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,172,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,172,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,2
RC,172,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,2
RC,172,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,172,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,172,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,2
RC,172,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,12577.79,2
RC,172,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,17634.33,2
RC,172,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,12593.73,2
RC,172,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,172,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,172,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,172,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,172,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,172,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,2
RC,172,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,172,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,172,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,172,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,172,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,2
RC,172,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,14874.96,2
RC,172,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,172,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,172,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,172,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,172,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,172,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,172,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,172,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,2
RC,172,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,2
RC,172,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,18303.71,2
RC,172,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,172,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,172,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,172,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,172,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,172,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,172,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,172,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,172,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,172,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,172,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,172,HYPERTENSION WITH MCC ,,,7000.0,16656.81,2
RC,172,HYPERTENSION WITHOUT MCC ,,,7000.0,12035.9,2
RC,172,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,172,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,172,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,172,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,172,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,172,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,172,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,172,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,172,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,172,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,172,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,172,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,172,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,172,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,172,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,172,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,14097.19,2
RC,172,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,2
RC,172,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,11622.58,2
RC,172,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,172,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,172,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,172,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,172,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,172,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,172,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,172,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,172,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,172,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,172,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,172,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,172,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,172,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,172,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,172,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,172,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,2
RC,172,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,2
RC,172,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,172,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,2
RC,172,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,172,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,172,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,172,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,172,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,172,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,6
RC,172,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,2
RC,172,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,2
RC,172,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,2
RC,172,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,172,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,2
RC,172,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,172,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,172,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,172,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,172,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,172,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,172,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,172,MAJOR CHEST TRAUMA WITH CC ,,,15319.1,15319.1,1
RC,172,MAJOR CHEST TRAUMA WITH MCC ,,,20268.32,20268.32,1
RC,172,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,12369.54,1
RC,172,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,172,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,172,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,11458.96,2
RC,172,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,172,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,2
RC,172,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,172,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,172,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,172,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,172,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,172,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,2
RC,172,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,172,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,172,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,2
RC,172,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,172,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,172,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,172,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,172,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,172,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,172,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,18348.35,2
RC,172,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,172,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,172,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,172,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,172,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,172,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,172,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,172,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,172,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,172,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,172,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,172,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,172,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,172,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,172,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,2
RC,172,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,14226.82,2
RC,172,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,172,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,172,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,172,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,172,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,172,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,172,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,172,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,2
RC,172,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,2
RC,172,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,172,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,172,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,172,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,172,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,172,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,172,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,172,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,172,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,172,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,172,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,172,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,172,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,172,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,172,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,172,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,172,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,172,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,172,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,172,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,172,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,172,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,172,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,172,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,172,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,172,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,172,OSTEOMYELITIS WITH CC ,,,7000.0,17786.27,2
RC,172,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,2
RC,172,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,12379.1,2
RC,172,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,172,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,172,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,172,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,172,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,172,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,172,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,172,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,2
RC,172,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,2
RC,172,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,14248.07,2
RC,172,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,2
RC,172,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,172,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,2
RC,172,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,13954.82,2
RC,172,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,2
RC,172,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,172,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,2
RC,172,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,2
RC,172,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18865.79,2
RC,172,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,172,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,172,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,172,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,172,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,172,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,172,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,172,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,172,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,2
RC,172,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,2
RC,172,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,172,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,172,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,172,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,172,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,172,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,172,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,172,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,172,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,172,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,172,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,172,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,172,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,172,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,172,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,172,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,172,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,172,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,172,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,172,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,172,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,172,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,172,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,172,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,172,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,172,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,2
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,2
RC,172,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,2
RC,172,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,172,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,172,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,172,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,172,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,172,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,172,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,172,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,172,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,172,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,172,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,172,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,172,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,172,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,2
RC,172,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,172,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,172,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,172,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,172,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,2
RC,172,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,172,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,2
RC,172,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,6
RC,172,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,172,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,172,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,172,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,172,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,172,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,172,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,172,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,172,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,172,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,172,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,2
RC,172,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,2
RC,172,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,172,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,172,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,172,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,172,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,2
RC,172,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,2
RC,172,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,2
RC,172,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,172,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,172,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,172,PLEURAL EFFUSION WITH CC ,,,14522.21,14522.21,1
RC,172,PLEURAL EFFUSION WITH MCC ,,,20572.2,20572.2,1
RC,172,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,11633.21,1
RC,172,PNEUMOTHORAX WITH CC ,,,7000.0,15693.1,2
RC,172,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,2
RC,172,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,11610.9,2
RC,172,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,172,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,172,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,172,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,172,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,172,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,172,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,172,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,172,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,172,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,172,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,172,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,172,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,172,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,172,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,172,PSYCHOSES ,,,18854.11,18854.11,1
RC,172,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,17139.19,17139.19,1
RC,172,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,18607.6,18607.6,1
RC,172,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,12566.11,1
RC,172,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,172,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,172,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,172,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,2
RC,172,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,172,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,172,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,172,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,172,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,172,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,172,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,172,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,14383.02,14383.02,1
RC,172,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,20616.83,20616.83,1
RC,172,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,12034.84,1
RC,172,RESPIRATORY NEOPLASMS WITH CC ,,,15392.42,15392.42,1
RC,172,RESPIRATORY NEOPLASMS WITH MCC ,,,22776.94,22776.94,1
RC,172,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,12022.1,1
RC,172,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,172,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,172,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,172,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,172,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,172,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,172,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,172,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,172,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,172,SEPTIC ARTHRITIS WITH CC ,,,7000.0,16839.57,2
RC,172,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,2
RC,172,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,13300.31,2
RC,172,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,172,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,172,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,172,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,172,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,172,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,2
RC,172,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,18057.21,2
RC,172,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,12838.11,2
RC,172,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,172,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,172,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,12575.67,2
RC,172,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,17978.59,2
RC,172,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,10690.76,2
RC,172,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,172,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,172,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,172,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,172,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,2
RC,172,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,172,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,2
RC,172,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,172,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,2
RC,172,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,172,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,2
RC,172,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,172,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,172,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,172,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,172,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,172,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,172,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,172,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,2
RC,172,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,2
RC,172,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,18313.28,2
RC,172,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,172,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,172,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,172,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,172,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,14152.45,2
RC,172,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,11666.16,2
RC,172,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,172,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,172,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,172,SYNCOPE AND COLLAPSE ,,,7000.0,13273.75,2
RC,172,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19811.43,2
RC,172,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,13503.25,2
RC,172,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,172,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,172,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,172,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,172,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,172,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,172,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,172,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,172,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,172,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,172,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,172,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,172,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,172,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,172,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,172,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,35637.69,35637.69,1
RC,172,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,172,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,172,UNGROUPABLE ,,,4012.81,4012.81,1
RC,172,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,172,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,172,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,15617.67,2
RC,172,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,172,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,172,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,172,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,172,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,172,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,172,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,172,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,172,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,172,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,172,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,172,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,172,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,172,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,172,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,172,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,172,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,172,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,172,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,2
RC,172,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,172,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,172,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,172,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,172,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,172,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,173, Nursery Newborn - Level III  ,,,4053.0,8227.0,11
RC,173,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,173,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,173,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,173,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,22148.98,2
RC,173,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,32766.76,2
RC,173,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,13891.07,2
RC,173,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,173,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,173,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,173,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,173,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,173,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,173,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,173,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,173,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,173,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,10376.25,2
RC,173,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,173,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,173,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,173,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,173,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,173,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,173,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,173,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,173,AICD LEAD PROCEDURES ,,,7000.0,42456.95,2
RC,173,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,173,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,173,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,173,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,173,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,173,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,173,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,173,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,173,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,173,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,173,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,49625.78,2
RC,173,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,16552.69,2
RC,173,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,173,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,173,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,173,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,173,ANGINA PECTORIS ,,,7000.0,11470.65,2
RC,173,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,77091.95,2
RC,173,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,48885.19,2
RC,173,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,173,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,173,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,173,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,173,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,173,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,173,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,173,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,173,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,173,ATHEROSCLEROSIS WITH MCC ,,,7000.0,16726.93,2
RC,173,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,11165.7,2
RC,173,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,173,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,25265.36,2
RC,173,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,43722.41,2
RC,173,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,19885.82,2
RC,173,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,173,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,173,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,173,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,62695.85,2
RC,173,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,173,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,41898.07,4
RC,173,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,30142.33,2
RC,173,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,40718.66,2
RC,173,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,23764.02,2
RC,173,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,17786.27,2
RC,173,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,12832.8,2
RC,173,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,173,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,173,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,173,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,173,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,173,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,173,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,173,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,11829.78,2
RC,173,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,16805.56,2
RC,173,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,10027.74,2
RC,173,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,20756.01,2
RC,173,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,13715.75,2
RC,173,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,173,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,173,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,173,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,173,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,173,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,173,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,173,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,37398.29,2
RC,173,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,25498.05,2
RC,173,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,24099.77,2
RC,173,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,38574.5,2
RC,173,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,21330.85,2
RC,173,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,107957.12,6
RC,173,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,85596.36,6
RC,173,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,173,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,173,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,35315.74,2
RC,173,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,55318.76,2
RC,173,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,173,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,173,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,173,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,173,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,173,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,173,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,173,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,173,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,173,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,173,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,173,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,173,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,173,CHEST PAIN ,,,7000.0,11662.96,2
RC,173,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,25971.94,2
RC,173,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,173,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,173,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,173,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,173,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,173,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,12969.86,2
RC,173,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC ,,,15782.35,15782.35,1
RC,173,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,10834.2,2
RC,173,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,27524.27,2
RC,173,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,15382.85,2
RC,173,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,173,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,173,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,173,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,173,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,173,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,173,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,124277.44,2
RC,173,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,15525.23,2
RC,173,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,173,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,173,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,173,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,173,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,173,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,119552.37,2
RC,173,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,173,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,16267.93,2
RC,173,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,30381.4,2
RC,173,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,12897.62,2
RC,173,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,85244.67,2
RC,173,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,62055.15,2
RC,173,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,93582.28,2
RC,173,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,68429.21,2
RC,173,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,173,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,173,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,173,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,173,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,173,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,173,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,173,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,173,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,173,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,173,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,173,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,173,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,16865.07,2
RC,173,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,26736.94,2
RC,173,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,173,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,14269.32,2
RC,173,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,23081.88,2
RC,173,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,11447.28,2
RC,173,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,12950.74,2
RC,173,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,173,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,10615.32,2
RC,173,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,173,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,173,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,173,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,173,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,173,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,173,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,173,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,64649.83,2
RC,173,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,69128.36,2
RC,173,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,54597.31,2
RC,173,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,173,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,12296.22,2
RC,173,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,173,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,173,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,173,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,173,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,173,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,173,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,173,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,173,FOOT PROCEDURES WITH CC ,,,7000.0,23873.46,2
RC,173,FOOT PROCEDURES WITH MCC ,,,7000.0,33668.84,2
RC,173,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,173,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,173,FRACTURES OF FEMUR WITH MCC ,,,7000.0,20669.96,2
RC,173,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,12577.79,2
RC,173,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,17634.33,2
RC,173,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,12593.73,2
RC,173,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,173,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,173,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,173,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,173,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,173,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,23435.7,2
RC,173,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,173,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,173,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,173,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,173,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,20740.08,2
RC,173,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,14874.96,2
RC,173,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,173,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,13033.62,2
RC,173,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,17653.46,2
RC,173,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,10026.68,2
RC,173,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,173,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,173,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,173,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,21888.66,2
RC,173,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,34847.18,2
RC,173,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,18303.71,2
RC,173,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,26267.31,2
RC,173,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,34956.62,2
RC,173,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,21342.53,2
RC,173,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,173,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,173,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,173,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,173,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,173,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,173,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,173,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,173,HYPERTENSION WITH MCC ,,,7000.0,16656.81,2
RC,173,HYPERTENSION WITHOUT MCC ,,,7000.0,12035.9,2
RC,173,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,173,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,173,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,173,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,173,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,173,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,173,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,173,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,173,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,173,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,173,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,173,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,173,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,173,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,173,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,173,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,14097.19,2
RC,173,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,24064.7,2
RC,173,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,11622.58,2
RC,173,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,173,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,173,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,173,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,173,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,173,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,173,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,173,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,173,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,173,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,173,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,173,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,173,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,173,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,173,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,173,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,173,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,26231.19,2
RC,173,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,38301.43,2
RC,173,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,173,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,22807.74,2
RC,173,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,173,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,173,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,173,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,173,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,173,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,42536.64,6
RC,173,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,36066.94,2
RC,173,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,25420.48,2
RC,173,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,30959.41,2
RC,173,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,173,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,25332.29,2
RC,173,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,173,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,173,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,173,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,173,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,173,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,173,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,173,MAJOR CHEST TRAUMA WITH CC ,,,15319.1,15319.1,1
RC,173,MAJOR CHEST TRAUMA WITH MCC ,,,20268.32,20268.32,1
RC,173,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,12369.54,12369.54,1
RC,173,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,173,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,173,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,11458.96,2
RC,173,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,173,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,22852.37,2
RC,173,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,173,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,173,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,173,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,173,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,173,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,33464.84,2
RC,173,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,173,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,173,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,23206.19,2
RC,173,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,173,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,173,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,173,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,173,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,173,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,173,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,18348.35,2
RC,173,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,173,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,173,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,173,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,173,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,173,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,173,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,173,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,173,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,173,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,173,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,173,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,173,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,173,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,173,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,21821.73,2
RC,173,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,14226.82,2
RC,173,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,173,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,173,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,173,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,173,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,173,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,173,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,173,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,20000.57,2
RC,173,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,31455.61,2
RC,173,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,173,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,173,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,173,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,173,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,173,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,173,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,173,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,173,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,173,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,173,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,173,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,173,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,173,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,173,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,173,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,173,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,173,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,173,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,173,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,173,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,173,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,173,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,173,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,173,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,173,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,173,OSTEOMYELITIS WITH CC ,,,7000.0,17786.27,2
RC,173,OSTEOMYELITIS WITH MCC ,,,7000.0,24941.28,2
RC,173,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,12379.1,2
RC,173,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,173,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,173,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,173,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,173,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,173,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,173,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,173,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,56579.98,2
RC,173,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,37476.91,2
RC,173,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,14248.07,2
RC,173,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,26168.51,2
RC,173,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,173,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,39507.4,2
RC,173,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,13954.82,2
RC,173,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,21005.71,2
RC,173,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,173,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,28721.74,2
RC,173,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,50687.24,2
RC,173,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,18865.79,2
RC,173,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,173,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,173,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,173,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,173,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,173,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,173,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,173,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,173,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,109808.04,2
RC,173,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,27259.71,2
RC,173,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,173,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,173,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,173,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,173,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,173,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,173,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,173,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,173,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,173,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,173,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,173,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,173,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,173,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,173,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,60074.61,2
RC,173,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,173,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,173,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,173,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,173,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,173,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,173,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,173,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,173,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,173,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,173,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,26093.06,2
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,37874.3,2
RC,173,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,20340.58,2
RC,173,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,173,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,173,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,173,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,173,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,173,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,173,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,173,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,173,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,173,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,173,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,173,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,173,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,173,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,38422.56,2
RC,173,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,173,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,173,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,173,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,173,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,34828.05,2
RC,173,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,173,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,27596.53,2
RC,173,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,22782.25,6
RC,173,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,173,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,173,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,173,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,173,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,173,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,173,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,173,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,173,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,173,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,173,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,40548.66,2
RC,173,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,29665.26,2
RC,173,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,173,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,173,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,173,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,173,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,26418.19,2
RC,173,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,41954.38,2
RC,173,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,20322.51,2
RC,173,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,173,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,173,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,173,PLEURAL EFFUSION WITH CC ,,,14522.21,14522.21,1
RC,173,PLEURAL EFFUSION WITH MCC ,,,20572.2,20572.2,1
RC,173,PLEURAL EFFUSION WITHOUT CC/MCC ,,,11633.21,11633.21,1
RC,173,PNEUMOTHORAX WITH CC ,,,7000.0,15693.1,2
RC,173,PNEUMOTHORAX WITH MCC ,,,7000.0,22756.75,2
RC,173,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,11610.9,2
RC,173,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,173,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,173,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,173,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,173,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,173,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,173,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,173,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,173,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,173,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,173,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,173,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,173,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,173,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,173,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,173,PSYCHOSES ,,,18854.11,18854.11,1
RC,173,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,17139.19,17139.19,1
RC,173,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,18607.6,18607.6,1
RC,173,PULMONARY EMBOLISM WITHOUT MCC ,,,12566.11,12566.11,1
RC,173,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,173,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,173,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,173,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,21415.85,2
RC,173,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,173,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,173,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,173,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,173,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,173,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,173,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,173,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC ,,,14383.02,14383.02,1
RC,173,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC ,,,20616.83,20616.83,1
RC,173,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC ,,,12034.84,12034.84,1
RC,173,RESPIRATORY NEOPLASMS WITH CC ,,,15392.42,15392.42,1
RC,173,RESPIRATORY NEOPLASMS WITH MCC ,,,22776.94,22776.94,1
RC,173,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,12022.1,12022.1,1
RC,173,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,173,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,173,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,173,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,173,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,173,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,173,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,173,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,173,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,33210.89,2
RC,173,SEPTIC ARTHRITIS WITH CC ,,,7000.0,16839.57,2
RC,173,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,24529.03,2
RC,173,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,13300.31,2
RC,173,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,173,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,173,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,173,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,173,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,173,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,21601.78,2
RC,173,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,18057.21,2
RC,173,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,12838.11,2
RC,173,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,173,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,173,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,12575.67,2
RC,173,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,17978.59,2
RC,173,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,10690.76,2
RC,173,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,46731.47,2
RC,173,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,173,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,173,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,173,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,35262.62,2
RC,173,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,173,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,32177.06,2
RC,173,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,173,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,21081.15,2
RC,173,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,173,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,73622.82,2
RC,173,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,173,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,173,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,173,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,173,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,173,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,173,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,173,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,22586.74,2
RC,173,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,37639.48,2
RC,173,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,18313.28,2
RC,173,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,173,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,173,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,173,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,173,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,14152.45,2
RC,173,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,11666.16,2
RC,173,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,173,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,173,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,173,SYNCOPE AND COLLAPSE ,,,7000.0,13273.75,2
RC,173,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,19811.43,2
RC,173,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,13503.25,2
RC,173,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,173,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,173,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,173,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,173,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,173,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,173,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,173,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,173,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,173,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,173,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,173,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,173,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,173,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,173,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,173,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,173,UNGROUPABLE ,,,4012.81,4012.81,1
RC,173,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,173,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,173,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,15617.67,2
RC,173,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,173,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,173,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,173,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,173,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,173,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,173,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,173,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,173,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,173,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,173,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,173,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,173,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,173,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,173,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,173,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,173,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,173,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,173,VEIN LIGATION AND STRIPPING ,,,7000.0,36498.33,2
RC,173,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,173,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,173,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,173,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,173,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,173,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,174, Nursery Newborn - Level IV  ,,,4053.0,7700.0,6
RC,174,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,174,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,174,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,174,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,174,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,174,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,174,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,174,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,174,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,174,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,174,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,174,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,174,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,174,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,174,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,174,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,174,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,174,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,174,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,174,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,174,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,174,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,174,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,174,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,174,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,174,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,174,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,174,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,174,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,174,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,174,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,174,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,174,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,174,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,174,CHEST PAIN ,,,7000.0,7000.0,1
RC,174,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,174,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,174,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,174,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,174,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,174,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,174,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,174,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,174,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,174,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,174,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,174,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,174,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,174,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,174,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,174,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,174,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,174,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,174,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,174,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,174,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,174,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,174,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,174,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,174,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,174,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,174,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,174,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,174,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,174,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,174,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,174,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,174,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,174,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,174,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,174,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,174,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,174,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,174,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,174,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,174,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,174,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,174,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,174,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,174,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,174,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,174,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,174,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,174,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,174,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,174,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,174,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,174,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,174,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,174,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,174,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,174,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,174,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,174,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,174,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,174,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,174,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,174,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,174,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,174,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,174,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,174,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,174,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,174,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,174,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,174,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,174,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,174,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,174,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,174,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,174,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,174,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,174,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,174,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,174,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,174,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,174,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,174,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,174,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,174,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,174,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,174,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,174,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,174,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,174,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,174,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,174,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,174,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,174,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,174,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,174,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,179, Nursery Other Nursery  ,,,248.0,7700.0,11
RC,179,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,179,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,179,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,179,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,179,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,179,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,179,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,179,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,179,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,179,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,179,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,179,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,179,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,179,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,179,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,179,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,179,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,179,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,179,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,179,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,179,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,179,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,179,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,179,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,179,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,179,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,179,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,179,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,179,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,179,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,179,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,179,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,179,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,179,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,179,CHEST PAIN ,,,7000.0,7000.0,1
RC,179,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,179,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,179,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,179,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,179,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,179,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,179,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,179,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,179,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,179,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,179,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,179,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,179,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,179,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,179,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,179,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,179,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,179,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,179,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,179,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,179,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,179,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,179,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,179,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,179,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,179,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,179,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,179,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,179,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,179,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,179,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,179,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,179,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,179,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,179,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,179,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,179,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,179,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,179,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,179,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,179,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,179,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,179,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,179,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,179,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,179,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,179,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,179,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,179,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,179,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,179,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,179,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,179,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,179,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,179,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,179,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,179,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,179,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,179,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,179,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,179,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,179,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,179,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,179,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,179,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,179,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,179,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,179,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,179,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,179,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,179,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,179,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,179,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,179,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,179,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,179,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,179,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,179,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,179,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,179,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,179,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,179,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,179,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,179,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,179,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,179,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,179,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,179,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,179,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,179,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,179,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,179,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,179,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,179,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,179,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,179,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,179,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,179,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,180, Leave of Absence General Classification   ,,,6650.0,7700.0,2
RC,180,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,180,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,180,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,180,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,180,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,180,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,180,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,180,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,180,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,180,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,180,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,180,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,180,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,180,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,180,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,180,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,180,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,180,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,180,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,180,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,180,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,180,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,180,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,180,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,180,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,180,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,180,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,180,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,180,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,180,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,180,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,180,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,180,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,180,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,180,CHEST PAIN ,,,7000.0,7000.0,1
RC,180,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,180,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,180,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,180,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,180,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,180,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,180,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,180,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,180,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,180,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,180,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,180,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,180,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,180,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,180,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,180,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,180,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,180,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,180,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,180,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,180,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,180,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,180,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,180,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,180,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,180,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,180,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,180,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,180,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,180,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,180,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,180,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,180,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,180,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,180,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,180,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,180,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,180,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,180,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,180,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,180,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,180,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,180,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,180,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,180,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,180,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,180,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,180,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,180,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,180,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,180,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,180,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,180,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,180,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,180,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,180,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,180,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,180,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,180,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,180,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,180,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,180,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,180,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,180,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,180,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,180,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,180,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,180,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,180,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,180,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,180,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,180,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,180,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,180,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,180,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,180,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,180,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,180,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,180,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,180,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,180,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,180,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,180,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,180,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,180,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,180,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,180,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,180,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,180,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,180,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,180,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,180,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,180,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,180,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,180,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,180,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,180,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,180,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,182, Leave of Absence Patient Convenience  ,,,6650.0,7700.0,2
RC,182,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,182,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,182,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,182,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,182,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,182,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,182,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,182,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,182,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,182,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,182,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,182,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,182,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,182,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,182,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,182,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,182,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,182,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,182,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,182,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,182,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,182,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,182,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,182,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,182,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,182,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,182,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,182,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,182,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,182,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,182,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,182,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,182,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,182,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,182,CHEST PAIN ,,,7000.0,7000.0,1
RC,182,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,182,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,182,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,182,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,182,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,182,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,182,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,182,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,182,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,182,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,182,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,182,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,182,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,182,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,182,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,182,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,182,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,182,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,182,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,182,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,182,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,182,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,182,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,182,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,182,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,182,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,182,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,182,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,182,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,182,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,182,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,182,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,182,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,182,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,182,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,182,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,182,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,182,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,182,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,182,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,182,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,182,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,182,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,182,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,182,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,182,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,182,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,182,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,182,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,182,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,182,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,182,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,182,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,182,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,182,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,182,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,182,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,182,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,182,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,182,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,182,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,182,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,182,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,182,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,182,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,182,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,182,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,182,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,182,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,182,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,182,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,182,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,182,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,182,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,182,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,182,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,182,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,182,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,182,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,182,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,182,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,182,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,182,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,182,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,182,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,182,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,182,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,182,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,182,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,182,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,182,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,182,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,182,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,182,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,182,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,182,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,182,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,182,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,183, Leave of Absence Therapeutic Leave  ,,,6650.0,7700.0,2
RC,183,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,183,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,183,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,183,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,183,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,183,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,183,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,183,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,183,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,183,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,183,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,183,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,183,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,183,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,183,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,183,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,183,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,183,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,183,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,183,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,183,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,183,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,183,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,183,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,183,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,183,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,183,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,183,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,183,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,183,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,183,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,183,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,183,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,183,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,183,CHEST PAIN ,,,7000.0,7000.0,1
RC,183,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,183,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,183,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,183,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,183,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,183,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,183,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,183,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,183,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,183,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,183,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,183,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,183,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,183,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,183,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,183,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,183,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,183,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,183,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,183,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,183,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,183,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,183,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,183,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,183,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,183,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,183,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,183,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,183,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,183,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,183,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,183,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,183,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,183,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,183,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,183,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,183,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,183,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,183,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,183,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,183,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,183,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,183,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,183,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,183,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,183,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,183,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,183,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,183,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,183,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,183,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,183,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,183,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,183,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,183,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,183,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,183,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,183,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,183,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,183,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,183,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,183,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,183,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,183,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,183,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,183,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,183,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,183,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,183,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,183,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,183,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,183,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,183,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,183,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,183,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,183,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,183,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,183,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,183,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,183,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,183,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,183,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,183,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,183,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,183,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,183,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,183,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,183,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,183,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,183,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,183,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,183,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,183,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,183,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,183,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,183,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,183,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,183,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,185, Leave of Absence Nursing Home (for Hospitalization)  ,,,6650.0,7700.0,2
RC,185,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,185,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,185,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,185,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,185,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,185,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,185,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,185,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,185,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,185,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,185,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,185,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,185,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,185,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,185,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,185,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,185,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,185,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,185,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,185,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,185,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,185,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,185,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,185,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,185,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,185,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,185,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,185,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,185,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,185,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,185,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,185,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,185,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,185,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,185,CHEST PAIN ,,,7000.0,7000.0,1
RC,185,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,185,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,185,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,185,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,185,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,185,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,185,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,185,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,185,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,185,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,185,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,185,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,185,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,185,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,185,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,185,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,185,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,185,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,185,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,185,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,185,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,185,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,185,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,185,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,185,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,185,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,185,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,185,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,185,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,185,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,185,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,185,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,185,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,185,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,185,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,185,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,185,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,185,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,185,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,185,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,185,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,185,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,185,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,185,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,185,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,185,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,185,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,185,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,185,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,185,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,185,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,185,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,185,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,185,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,185,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,185,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,185,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,185,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,185,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,185,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,185,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,185,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,185,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,185,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,185,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,185,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,185,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,185,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,185,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,185,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,185,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,185,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,185,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,185,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,185,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,185,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,185,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,185,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,185,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,185,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,185,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,185,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,185,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,185,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,185,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,185,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,185,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,185,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,185,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,185,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,185,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,185,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,185,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,185,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,185,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,185,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,185,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,185,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,189, Leave of Absence Other LOA  ,,,6650.0,7700.0,2
RC,189,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,189,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,189,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,189,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,189,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,189,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,189,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,189,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,189,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,189,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,189,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,189,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,189,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,189,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,189,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,189,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,189,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,189,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,189,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,189,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,189,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,189,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,189,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,189,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,189,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,189,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,189,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,189,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,189,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,189,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,189,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,189,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,189,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,189,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,189,CHEST PAIN ,,,7000.0,7000.0,1
RC,189,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,189,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,189,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,189,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,189,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,189,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,189,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,189,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,189,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,189,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,189,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,189,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,189,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,189,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,189,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,189,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,189,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,189,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,189,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,189,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,189,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,189,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,189,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,189,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,189,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,189,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,189,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,189,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,189,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,189,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,189,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,189,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,189,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,189,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,189,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,189,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,189,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,189,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,189,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,189,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,189,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,189,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,189,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,189,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,189,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,189,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,189,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,189,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,189,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,189,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,189,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,189,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,189,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,189,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,189,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,189,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,189,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,189,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,189,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,189,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,189,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,189,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,189,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,189,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,189,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,189,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,189,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,189,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,189,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,189,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,189,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,189,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,189,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,189,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,189,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,189,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,189,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,189,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,189,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,189,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,189,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,189,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,189,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,189,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,189,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,189,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,189,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,189,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,189,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,189,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,189,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,189,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,189,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,189,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,189,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,189,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,189,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,189,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,190, Subacute Care General Classification  ,,,900.0,7700.0,13
RC,190,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,190,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,190,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,190,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,190,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,190,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,190,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,190,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,190,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,190,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,190,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,190,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,190,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,190,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,190,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,190,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,190,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,190,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,190,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,190,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,190,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,190,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,190,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,190,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,190,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,190,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,190,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,190,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,190,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,190,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,190,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,190,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,190,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,190,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,190,CHEST PAIN ,,,7000.0,7000.0,1
RC,190,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC ,,,7000.0,7000.0,1
RC,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,190,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,190,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,190,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,190,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,190,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,190,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,190,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,190,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,190,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,190,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,190,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,190,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,190,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,190,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,190,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,190,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,190,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,190,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,190,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,190,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,190,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,190,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,190,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,190,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,190,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,190,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,190,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,190,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,190,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,190,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,190,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,190,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,190,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,190,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,190,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,190,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,190,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,190,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,190,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,190,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,190,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,190,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,190,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,190,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,190,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,190,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,190,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,190,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,190,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,190,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,190,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,190,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,190,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,190,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,190,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,190,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,190,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,190,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,190,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,190,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,190,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,190,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,190,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,190,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,190,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,190,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,190,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,190,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,190,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,190,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,190,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,190,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,190,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,190,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,190,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,190,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,REHABILITATION WITH CC/MCC ,,,1793.0,4112.0,3
RC,190,REHABILITATION WITHOUT CC/MCC ,,,1793.0,4112.0,3
RC,190,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,190,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,190,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,190,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,190,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,190,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,190,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,190,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,190,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,190,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,190,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,190,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,190,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,190,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,190,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,190,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,190,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,190,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,190,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,190,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,191, Subacute Care - Level I  ,,,900.0,7700.0,13
RC,191,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,191,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,191,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,191,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,191,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,191,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,191,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,191,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,191,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,191,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,191,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,191,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,191,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,191,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,191,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,191,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,191,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,191,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,191,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,191,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,191,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,191,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,191,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,191,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,191,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,191,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,191,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,191,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,191,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,191,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,191,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,191,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,191,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,191,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,191,CHEST PAIN ,,,7000.0,7000.0,1
RC,191,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,191,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,191,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,191,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,191,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,191,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,191,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,191,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,191,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,191,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,191,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,191,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,191,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,191,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,191,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,191,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,191,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,191,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,191,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,191,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,191,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,191,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,191,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,191,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,191,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,191,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,191,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,191,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,191,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,191,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,191,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,191,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,191,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,191,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,191,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,191,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,191,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,191,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,191,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,191,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,191,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,191,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,191,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,191,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,191,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,191,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,191,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,191,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,191,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,191,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,191,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,191,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,191,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,191,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,191,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,191,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,191,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,191,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,191,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,191,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,191,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,191,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,191,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,191,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,191,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,191,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,191,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,191,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,191,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,191,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,191,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,191,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,191,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,191,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,191,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,191,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,191,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,REHABILITATION WITH CC/MCC ,,,1793.0,4112.0,3
RC,191,REHABILITATION WITHOUT CC/MCC ,,,1793.0,4112.0,3
RC,191,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,191,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,191,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,191,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,191,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,191,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,191,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,191,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,191,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,191,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,191,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,191,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,191,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,191,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,191,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,191,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,191,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,191,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,191,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,191,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,192, Subacute Care - Level II  ,,,900.0,7700.0,13
RC,192,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,192,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,192,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,192,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,192,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,192,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,192,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,192,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,192,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,192,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,192,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,192,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,192,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,192,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,192,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,192,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,192,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,192,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,192,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,192,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,192,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,192,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,192,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,192,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,192,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,192,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,192,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,192,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,192,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,192,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,192,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,192,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,192,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,192,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,192,CHEST PAIN ,,,7000.0,7000.0,1
RC,192,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,192,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,192,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,192,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,192,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,192,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,192,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,192,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,192,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,192,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,192,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,192,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,192,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,192,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,192,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,192,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,192,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,192,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,192,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,192,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,192,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,192,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,192,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,192,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,192,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,192,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,192,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,192,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,192,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,192,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,192,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,192,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,192,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,192,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,192,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,192,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,192,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,192,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,192,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,192,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,192,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,192,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,192,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,192,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,192,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,192,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,192,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,192,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,192,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,192,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,192,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,192,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,192,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,192,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,192,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,192,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,192,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,192,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,192,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,192,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,192,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,192,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,192,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,192,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,192,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,192,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,192,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,192,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,192,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,192,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,192,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,192,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,192,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,192,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,192,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,192,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,192,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,192,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,REHABILITATION WITH CC/MCC ,,,1793.0,4112.0,3
RC,192,REHABILITATION WITHOUT CC/MCC ,,,1793.0,4112.0,3
RC,192,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,192,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,192,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,192,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,192,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,192,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,192,SIMPLE PNEUMONIA AND PLEURISY WITH MCC ,,,7000.0,7000.0,1
RC,192,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,192,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,192,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,192,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,192,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,192,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,192,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,192,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,192,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,192,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,192,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,192,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,192,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,193, Subacute Care - Level III  ,,,900.0,7700.0,13
RC,193,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,193,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,193,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,193,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,193,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,193,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,193,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,193,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,193,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,193,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,193,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,193,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,193,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,193,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,193,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,193,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,193,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,193,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,193,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,193,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,193,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,193,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,193,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,193,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,193,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,193,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,193,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,193,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,193,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,193,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,193,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,193,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,193,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,193,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,193,CHEST PAIN ,,,7000.0,7000.0,1
RC,193,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,193,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,193,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,193,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,193,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,193,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,193,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,193,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,193,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,193,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,193,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,193,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,193,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,193,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,193,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,193,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,193,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,193,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,193,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,193,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,193,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,193,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,193,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,193,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,193,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,193,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,193,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,193,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,193,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,193,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,193,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,193,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,193,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,193,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,193,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,193,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,193,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,193,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,193,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,193,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,193,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,193,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,193,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,193,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,193,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,193,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,193,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,193,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,193,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,193,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,193,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,193,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,193,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,193,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,193,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,193,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,193,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,193,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,193,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,193,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,193,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,193,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,193,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,193,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,193,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,193,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,193,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,193,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,193,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,193,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,193,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,193,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,193,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,193,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,193,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,193,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,193,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,193,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,REHABILITATION WITH CC/MCC ,,,1793.0,4112.0,3
RC,193,REHABILITATION WITHOUT CC/MCC ,,,1793.0,4112.0,3
RC,193,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,193,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,193,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,193,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,193,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,193,SIMPLE PNEUMONIA AND PLEURISY WITH CC ,,,7000.0,7000.0,1
RC,193,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,193,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,193,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,193,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,193,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,193,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,193,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,193,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,193,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,193,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,193,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,193,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,193,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,194, Subacute Care - Level IV  ,,,900.0,7700.0,13
RC,194,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,194,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,194,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,194,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,194,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,194,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,194,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,194,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,194,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,194,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,194,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,194,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,194,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,194,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,194,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,194,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,194,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,194,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,194,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,194,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,194,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,194,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,194,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,194,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,194,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,194,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,194,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,194,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,194,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,194,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,194,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,194,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,194,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,194,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,194,CHEST PAIN ,,,7000.0,7000.0,1
RC,194,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,194,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,194,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,194,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,194,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,194,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,194,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,194,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,194,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,194,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,194,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,194,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,194,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,194,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,194,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,194,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,194,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,194,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,194,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,194,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,194,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,194,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,194,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,194,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,194,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,194,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,194,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,194,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,194,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,194,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,194,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,194,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,194,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,194,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,INTERSTITIAL LUNG DISEASE WITH CC ,,,7000.0,7000.0,1
RC,194,INTERSTITIAL LUNG DISEASE WITH MCC ,,,7000.0,7000.0,1
RC,194,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,194,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,194,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,194,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,194,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,194,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,194,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,194,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,194,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,194,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,194,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,194,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,194,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,194,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,194,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,194,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,194,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,194,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,194,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,194,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,194,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,194,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,194,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,194,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,194,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,194,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,194,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,194,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,194,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,194,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,194,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,194,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,194,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,194,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,194,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,194,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,194,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,194,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,194,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,194,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,194,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,194,PNEUMOTHORAX WITH MCC ,,,7000.0,7000.0,1
RC,194,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,REHABILITATION WITH CC/MCC ,,,1793.0,4112.0,3
RC,194,REHABILITATION WITHOUT CC/MCC ,,,1793.0,4112.0,3
RC,194,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,194,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,194,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,194,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,194,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,194,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,194,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,194,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,194,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,194,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,194,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,194,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,194,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,194,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,194,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,194,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,194,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,194,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,199, Subacute Care Other Subacute Care  ,,,900.0,7700.0,13
RC,199,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,7000.0,7000.0,1
RC,199,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,7000.0,7000.0,1
RC,199,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,199,AICD LEAD PROCEDURES ,,,7000.0,7000.0,1
RC,199,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,199,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,7000.0,7000.0,1
RC,199,ANGINA PECTORIS ,,,7000.0,7000.0,1
RC,199,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,7000.0,7000.0,1
RC,199,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,199,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,199,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,7000.0,7000.0,1
RC,199,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,7000.0,7000.0,1
RC,199,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,ATHEROSCLEROSIS WITH MCC ,,,7000.0,7000.0,1
RC,199,ATHEROSCLEROSIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,7000.0,7000.0,1
RC,199,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,199,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,7000.0,7000.0,1
RC,199,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,7000.0,7000.0,1
RC,199,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,7000.0,7000.0,1
RC,199,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,7000.0,7000.0,1
RC,199,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,199,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,7000.0,7000.0,1
RC,199,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,199,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,199,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,199,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,7000.0,7000.0,2
RC,199,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,7000.0,7000.0,2
RC,199,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,7000.0,7000.0,1
RC,199,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,199,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,7000.0,7000.0,1
RC,199,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,7000.0,7000.0,1
RC,199,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,7000.0,7000.0,3
RC,199,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,7000.0,7000.0,3
RC,199,CERVICAL SPINAL FUSION WITH CC ,,,7000.0,7000.0,1
RC,199,CERVICAL SPINAL FUSION WITH MCC ,,,7000.0,7000.0,1
RC,199,CHEST PAIN ,,,7000.0,7000.0,1
RC,199,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,7000.0,7000.0,1
RC,199,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,7000.0,7000.0,1
RC,199,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,7000.0,7000.0,1
RC,199,COMPLEX AORTIC ARCH PROCEDURES ,,,7000.0,7000.0,1
RC,199,COMPLICATED PEPTIC ULCER WITH CC ,,,7000.0,7000.0,1
RC,199,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,7000.0,7000.0,1
RC,199,CONNECTIVE TISSUE DISORDERS WITH CC ,,,7000.0,7000.0,1
RC,199,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,7000.0,7000.0,1
RC,199,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,7000.0,7000.0,1
RC,199,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,CORONARY BYPASS WITH PTCA WITH MCC ,,,7000.0,7000.0,1
RC,199,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,DIGESTIVE MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,199,DIGESTIVE MALIGNANCY WITH MCC ,,,7000.0,7000.0,1
RC,199,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,7000.0,7000.0,1
RC,199,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,7000.0,7000.0,1
RC,199,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,7000.0,7000.0,1
RC,199,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,7000.0,7000.0,1
RC,199,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,7000.0,7000.0,1
RC,199,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,199,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,7000.0,7000.0,1
RC,199,FOOT PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,199,FOOT PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,199,FRACTURES OF FEMUR WITH MCC ,,,7000.0,7000.0,1
RC,199,FRACTURES OF FEMUR WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,FRACTURES OF HIP AND PELVIS WITH MCC ,,,7000.0,7000.0,1
RC,199,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,7000.0,7000.0,1
RC,199,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,7000.0,7000.0,1
RC,199,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,199,HEART FAILURE AND SHOCK WITH CC ,,,7000.0,7000.0,1
RC,199,HEART FAILURE AND SHOCK WITH MCC ,,,7000.0,7000.0,1
RC,199,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,7000.0,7000.0,1
RC,199,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,7000.0,7000.0,1
RC,199,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,7000.0,7000.0,1
RC,199,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,7000.0,7000.0,1
RC,199,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,HYPERTENSION WITH MCC ,,,7000.0,7000.0,1
RC,199,HYPERTENSION WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,7000.0,7000.0,1
RC,199,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,7000.0,7000.0,1
RC,199,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,7000.0,7000.0,1
RC,199,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,7000.0,7000.0,3
RC,199,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,7000.0,7000.0,1
RC,199,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,7000.0,7000.0,1
RC,199,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,7000.0,7000.0,1
RC,199,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,199,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,7000.0,7000.0,1
RC,199,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,7000.0,7000.0,1
RC,199,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,7000.0,7000.0,1
RC,199,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,7000.0,7000.0,1
RC,199,MAJOR THUMB OR JOINT PROCEDURES ,,,7000.0,7000.0,1
RC,199,MEDICAL BACK PROBLEMS WITH MCC ,,,7000.0,7000.0,1
RC,199,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,199,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,199,OSTEOMYELITIS WITH CC ,,,7000.0,7000.0,1
RC,199,OSTEOMYELITIS WITH MCC ,,,7000.0,7000.0,1
RC,199,OSTEOMYELITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,7000.0,7000.0,1
RC,199,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,199,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,199,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,199,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,7000.0,7000.0,1
RC,199,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,7000.0,7000.0,1
RC,199,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,7000.0,7000.0,1
RC,199,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,199,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,199,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,OTHER HEART ASSIST SYSTEM IMPLANT ,,,7000.0,7000.0,1
RC,199,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,199,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,199,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,199,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,199,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,7000.0,7000.0,1
RC,199,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,7000.0,7000.0,1
RC,199,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,7000.0,7000.0,1
RC,199,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,199,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,7000.0,7000.0,3
RC,199,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,7000.0,7000.0,1
RC,199,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,PERITONEAL ADHESIOLYSIS WITH CC ,,,7000.0,7000.0,1
RC,199,PERITONEAL ADHESIOLYSIS WITH MCC ,,,7000.0,7000.0,1
RC,199,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,PNEUMOTHORAX WITH CC ,,,7000.0,7000.0,1
RC,199,PNEUMOTHORAX WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,RECTAL RESECTION WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,REHABILITATION WITH CC/MCC ,,,1793.0,4112.0,3
RC,199,REHABILITATION WITHOUT CC/MCC ,,,1793.0,4112.0,3
RC,199,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,SEPTIC ARTHRITIS WITH CC ,,,7000.0,7000.0,1
RC,199,SEPTIC ARTHRITIS WITH MCC ,,,7000.0,7000.0,1
RC,199,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,7000.0,7000.0,1
RC,199,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,7000.0,7000.0,1
RC,199,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,7000.0,7000.0,1
RC,199,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,7000.0,7000.0,1
RC,199,SKIN DEBRIDEMENT WITH MCC ,,,7000.0,7000.0,1
RC,199,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,7000.0,7000.0,1
RC,199,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,7000.0,7000.0,1
RC,199,SOFT TISSUE PROCEDURES WITH CC ,,,7000.0,7000.0,1
RC,199,SOFT TISSUE PROCEDURES WITH MCC ,,,7000.0,7000.0,1
RC,199,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7000.0,7000.0,1
RC,199,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,7000.0,7000.0,1
RC,199,SYNCOPE AND COLLAPSE ,,,7000.0,7000.0,1
RC,199,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,7000.0,7000.0,1
RC,199,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,7000.0,7000.0,1
RC,199,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,7000.0,7000.0,1
RC,199,VEIN LIGATION AND STRIPPING ,,,7000.0,7000.0,1
RC,200, Intensive Care Unit General Classification  ,,,1490.0,14300.0,3
RC,200,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,200,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,200,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,200,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,22148.98,2
RC,200,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,32766.76,2
RC,200,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13891.07,2
RC,200,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,200,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,200,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,200,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,200,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,200,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,200,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,200,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,200,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,200,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,10376.25,13000.0,2
RC,200,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,200,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,200,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,200,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,200,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,200,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,200,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,200,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,200,AICD LEAD PROCEDURES ,,,13000.0,42456.95,2
RC,200,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,200,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,200,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,200,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,200,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,200,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,200,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,200,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,200,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,200,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,200,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,49625.78,2
RC,200,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,16552.69,2
RC,200,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,200,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,200,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,200,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,200,ANGINA PECTORIS ,,,11470.65,13000.0,2
RC,200,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,77091.95,2
RC,200,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,48885.19,2
RC,200,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,200,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,200,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,200,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,200,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,200,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,200,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,200,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,200,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,200,ATHEROSCLEROSIS WITH MCC ,,,13000.0,16726.93,2
RC,200,ATHEROSCLEROSIS WITHOUT MCC ,,,11165.7,13000.0,2
RC,200,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,200,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,25265.36,2
RC,200,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,43722.41,2
RC,200,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,19885.82,2
RC,200,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,200,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,200,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,200,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,62695.85,2
RC,200,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,200,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,41898.07,4
RC,200,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,30142.33,2
RC,200,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,40718.66,2
RC,200,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,23764.02,2
RC,200,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,17786.27,2
RC,200,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,12832.8,13000.0,2
RC,200,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,200,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,200,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,200,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,200,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,200,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,200,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,200,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,11829.78,13000.0,2
RC,200,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,16805.56,2
RC,200,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,10027.74,13000.0,2
RC,200,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,20756.01,2
RC,200,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13715.75,2
RC,200,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,200,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,200,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,200,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,200,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,200,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,200,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,200,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,37398.29,2
RC,200,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,25498.05,2
RC,200,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,24099.77,2
RC,200,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,38574.5,2
RC,200,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,21330.85,2
RC,200,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,107957.12,6
RC,200,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,85596.36,6
RC,200,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,200,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,200,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,35315.74,2
RC,200,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,55318.76,2
RC,200,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,200,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,200,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,200,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,200,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,200,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,200,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,200,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,200,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,200,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,200,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,200,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,200,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,200,CHEST PAIN ,,,11662.96,13000.0,2
RC,200,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,25971.94,2
RC,200,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,200,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,200,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,200,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,200,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,200,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,27524.27,2
RC,200,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,15382.85,2
RC,200,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,200,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,200,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,200,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,200,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,200,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,200,COMPLEX AORTIC ARCH PROCEDURES ,,,13000.0,124277.44,2
RC,200,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,15525.23,2
RC,200,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,200,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,200,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,200,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,200,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,200,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,13000.0,119552.37,2
RC,200,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,200,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,16267.93,2
RC,200,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,30381.4,2
RC,200,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,12897.62,13000.0,2
RC,200,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,85244.67,2
RC,200,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,62055.15,2
RC,200,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,93582.28,2
RC,200,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,68429.21,2
RC,200,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,200,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,200,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,200,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,200,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,200,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,200,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,200,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,200,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,200,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,200,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,200,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,200,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,16865.07,2
RC,200,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,26736.94,2
RC,200,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,200,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,14269.32,2
RC,200,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,23081.88,2
RC,200,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11447.28,13000.0,2
RC,200,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,12950.74,13000.0,2
RC,200,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,200,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10615.32,13000.0,2
RC,200,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,200,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,200,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,200,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,200,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,200,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,200,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,200,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,13000.0,64649.83,2
RC,200,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,69128.36,2
RC,200,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,54597.31,2
RC,200,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,200,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,12296.22,13000.0,2
RC,200,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,200,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,200,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,200,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,200,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,200,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,200,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,200,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,200,FOOT PROCEDURES WITH CC ,,,13000.0,23873.46,2
RC,200,FOOT PROCEDURES WITH MCC ,,,13000.0,33668.84,2
RC,200,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,200,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,200,FRACTURES OF FEMUR WITH MCC ,,,13000.0,20669.96,2
RC,200,FRACTURES OF FEMUR WITHOUT MCC ,,,12577.79,13000.0,2
RC,200,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,17634.33,2
RC,200,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,12593.73,13000.0,2
RC,200,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,200,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,200,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,200,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,200,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,200,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,23435.7,2
RC,200,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,200,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,200,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,200,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,200,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,20740.08,2
RC,200,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,14874.96,2
RC,200,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,200,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13033.62,2
RC,200,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,17653.46,2
RC,200,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,10026.68,13000.0,2
RC,200,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,200,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,200,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,200,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,21888.66,2
RC,200,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,34847.18,2
RC,200,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,18303.71,2
RC,200,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,26267.31,2
RC,200,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,34956.62,2
RC,200,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,21342.53,2
RC,200,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,200,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,200,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,200,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,200,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,200,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,200,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,200,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,200,HYPERTENSION WITH MCC ,,,13000.0,16656.81,2
RC,200,HYPERTENSION WITHOUT MCC ,,,12035.9,13000.0,2
RC,200,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,200,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,200,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,200,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,200,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,200,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,200,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,200,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,200,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,200,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,200,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,200,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,200,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,200,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,200,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,200,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,200,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,200,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,200,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,200,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,200,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,200,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,200,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,200,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,200,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,200,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,200,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,200,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,200,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,200,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,200,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,200,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,26231.19,2
RC,200,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,38301.43,2
RC,200,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,200,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,22807.74,2
RC,200,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,200,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,200,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,200,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,200,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,200,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,42536.64,6
RC,200,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,36066.94,2
RC,200,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,25420.48,2
RC,200,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,30959.41,2
RC,200,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,200,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,25332.29,2
RC,200,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,200,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,200,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,200,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,200,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,200,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,200,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,200,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,200,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,200,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,200,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,200,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,200,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,200,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,200,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11458.96,13000.0,2
RC,200,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,200,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,22852.37,2
RC,200,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,200,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,200,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,200,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,200,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,200,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,33464.84,2
RC,200,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,200,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,200,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,23206.19,2
RC,200,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,200,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,200,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,200,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,200,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,200,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,200,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,18348.35,2
RC,200,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,200,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,200,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,200,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,200,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,200,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,200,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,200,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,200,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,200,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,200,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,200,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,200,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,200,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,200,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,21821.73,2
RC,200,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,14226.82,2
RC,200,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,200,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,200,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,200,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,200,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,200,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,200,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,200,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,20000.57,2
RC,200,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,31455.61,2
RC,200,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,200,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,200,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,200,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,200,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,200,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,200,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,200,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,200,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,200,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,200,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,200,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,200,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,200,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,200,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,200,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,200,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,200,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,200,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,200,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,200,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,200,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,200,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,200,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,200,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,200,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,200,OSTEOMYELITIS WITH CC ,,,13000.0,17786.27,2
RC,200,OSTEOMYELITIS WITH MCC ,,,13000.0,24941.28,2
RC,200,OSTEOMYELITIS WITHOUT CC/MCC ,,,12379.1,13000.0,2
RC,200,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,200,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,200,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,200,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,200,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,200,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,200,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,200,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,56579.98,2
RC,200,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,37476.91,2
RC,200,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,14248.07,2
RC,200,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,26168.51,2
RC,200,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,200,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,39507.4,2
RC,200,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13954.82,2
RC,200,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,21005.71,2
RC,200,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,200,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,28721.74,2
RC,200,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,50687.24,2
RC,200,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,18865.79,2
RC,200,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,200,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,200,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,200,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,200,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,200,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,200,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,200,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,200,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,109808.04,2
RC,200,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,27259.71,2
RC,200,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,200,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,200,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,200,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,200,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,200,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,200,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,200,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,200,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,200,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,200,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,200,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,200,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,200,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,200,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,60074.61,2
RC,200,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,200,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,200,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,200,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,200,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,200,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,200,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,200,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,200,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,200,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,200,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,200,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,200,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,200,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,200,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,26093.06,2
RC,200,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,37874.3,2
RC,200,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,20340.58,2
RC,200,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,200,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,200,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,200,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,200,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,200,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,200,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,200,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,200,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,200,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,200,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,200,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,200,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,200,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,38422.56,2
RC,200,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,200,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,200,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,200,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,200,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,34828.05,2
RC,200,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,200,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,27596.53,2
RC,200,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,12030.59,22782.25,6
RC,200,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,200,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,200,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,200,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,200,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,200,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,200,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,200,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,200,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,200,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,200,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,40548.66,2
RC,200,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,29665.26,2
RC,200,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,200,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,200,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,200,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,200,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,26418.19,2
RC,200,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,41954.38,2
RC,200,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,20322.51,2
RC,200,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,200,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,200,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,200,PNEUMOTHORAX WITHOUT CC/MCC ,,,11610.9,13000.0,2
RC,200,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,200,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,200,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,200,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,200,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,200,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,200,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,200,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,200,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,200,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,200,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,200,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,200,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,200,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,200,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,200,PSYCHOSES ,,,18854.11,18854.11,1
RC,200,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,200,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,200,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,200,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,21415.85,2
RC,200,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,200,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,200,REHABILITATION WITH CC/MCC ,,,13046.0,21045.0,6
RC,200,REHABILITATION WITHOUT CC/MCC ,,,13046.0,21045.0,6
RC,200,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,200,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,200,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,200,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,200,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,200,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,200,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,200,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,200,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,200,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,200,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,200,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,33210.89,2
RC,200,SEPTIC ARTHRITIS WITH CC ,,,13000.0,16839.57,2
RC,200,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,24529.03,2
RC,200,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13300.31,2
RC,200,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,200,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,200,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,200,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,200,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,200,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,21601.78,2
RC,200,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,18057.21,2
RC,200,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,12838.11,13000.0,2
RC,200,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,200,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,200,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,46731.47,2
RC,200,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,200,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,200,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,200,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,35262.62,2
RC,200,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,200,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,32177.06,2
RC,200,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,200,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,21081.15,2
RC,200,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,200,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,73622.82,2
RC,200,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,200,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,200,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,200,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,200,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,200,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,200,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,200,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,22586.74,2
RC,200,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,37639.48,2
RC,200,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,18313.28,2
RC,200,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,200,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,200,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,200,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,200,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,14152.45,2
RC,200,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11666.16,13000.0,2
RC,200,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,200,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,200,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,200,SYNCOPE AND COLLAPSE ,,,13000.0,13273.75,2
RC,200,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,19811.43,2
RC,200,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13503.25,2
RC,200,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,200,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,200,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,200,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,200,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,200,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,200,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,200,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,200,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,200,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,200,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,200,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,200,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,200,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,200,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,200,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,200,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,200,UNGROUPABLE ,,,4012.81,4012.81,1
RC,200,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,200,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,200,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,15617.67,2
RC,200,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,200,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,200,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,200,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,200,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,200,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,200,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,200,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,200,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,200,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,200,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,200,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,200,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,200,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,200,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,200,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,200,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,200,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,200,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,200,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,200,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,200,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,200,VEIN LIGATION AND STRIPPING ,,,13000.0,36498.33,2
RC,200,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,200,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,200,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,200,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,200,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,200,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,201, Intensive Care Unit Surgical  ,,,1490.0,14300.0,3
RC,201,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,201,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,201,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,201,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,22148.98,2
RC,201,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,32766.76,2
RC,201,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13891.07,2
RC,201,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,201,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,201,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,201,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,201,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,201,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,201,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,201,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,201,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,201,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,10376.25,13000.0,2
RC,201,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,201,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,201,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,201,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,201,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,201,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,201,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,201,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,201,AICD LEAD PROCEDURES ,,,13000.0,42456.95,2
RC,201,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,201,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,201,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,201,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,201,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,201,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,201,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,201,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,201,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,201,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,201,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,49625.78,2
RC,201,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,16552.69,2
RC,201,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,201,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,201,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,201,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,201,ANGINA PECTORIS ,,,11470.65,13000.0,2
RC,201,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,77091.95,2
RC,201,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,48885.19,2
RC,201,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,201,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,201,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,201,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,201,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,201,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,201,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,201,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,201,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,201,ATHEROSCLEROSIS WITH MCC ,,,13000.0,16726.93,2
RC,201,ATHEROSCLEROSIS WITHOUT MCC ,,,11165.7,13000.0,2
RC,201,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,201,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,25265.36,2
RC,201,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,43722.41,2
RC,201,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,19885.82,2
RC,201,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,201,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,201,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,201,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,62695.85,2
RC,201,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,201,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,41898.07,4
RC,201,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,30142.33,2
RC,201,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,40718.66,2
RC,201,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,23764.02,2
RC,201,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,17786.27,2
RC,201,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,12832.8,13000.0,2
RC,201,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,201,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,201,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,14332.01,14332.01,1
RC,201,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,201,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,201,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,201,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,201,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,11829.78,13000.0,2
RC,201,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,16805.56,2
RC,201,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,10027.74,13000.0,2
RC,201,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,20756.01,2
RC,201,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13715.75,2
RC,201,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,201,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,201,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,201,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,201,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,201,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,201,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,201,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,37398.29,2
RC,201,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,25498.05,2
RC,201,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,24099.77,2
RC,201,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,38574.5,2
RC,201,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,21330.85,2
RC,201,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,107957.12,6
RC,201,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,85596.36,6
RC,201,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,201,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,201,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,35315.74,2
RC,201,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,55318.76,2
RC,201,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,201,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,201,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,201,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,201,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,201,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,201,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,201,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,201,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,201,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,201,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,201,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,201,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,201,CHEST PAIN ,,,11662.96,13000.0,2
RC,201,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,25971.94,2
RC,201,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,201,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,201,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,201,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,201,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,201,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,27524.27,2
RC,201,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,15382.85,2
RC,201,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,201,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,201,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,201,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,201,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,201,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,201,COMPLEX AORTIC ARCH PROCEDURES ,,,13000.0,124277.44,2
RC,201,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,15525.23,2
RC,201,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,201,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,201,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,201,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,201,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,201,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,13000.0,119552.37,2
RC,201,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,201,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,16267.93,2
RC,201,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,30381.4,2
RC,201,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,12897.62,13000.0,2
RC,201,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,85244.67,2
RC,201,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,62055.15,2
RC,201,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,93582.28,2
RC,201,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,68429.21,2
RC,201,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,201,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,201,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,201,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,201,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,201,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,201,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,201,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,201,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,201,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,201,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,201,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,201,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,16865.07,2
RC,201,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,26736.94,2
RC,201,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,201,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,14269.32,2
RC,201,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,23081.88,2
RC,201,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11447.28,13000.0,2
RC,201,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,12950.74,13000.0,2
RC,201,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,201,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10615.32,13000.0,2
RC,201,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,201,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,201,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,201,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,201,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,201,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,201,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,201,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,13000.0,64649.83,2
RC,201,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,69128.36,2
RC,201,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,54597.31,2
RC,201,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,201,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,12296.22,13000.0,2
RC,201,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,201,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,201,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,201,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,201,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,201,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,201,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,201,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,201,FOOT PROCEDURES WITH CC ,,,13000.0,23873.46,2
RC,201,FOOT PROCEDURES WITH MCC ,,,13000.0,33668.84,2
RC,201,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,201,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,201,FRACTURES OF FEMUR WITH MCC ,,,13000.0,20669.96,2
RC,201,FRACTURES OF FEMUR WITHOUT MCC ,,,12577.79,13000.0,2
RC,201,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,17634.33,2
RC,201,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,12593.73,13000.0,2
RC,201,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,201,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,201,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,201,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,201,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,201,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,23435.7,2
RC,201,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,201,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,201,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,201,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,201,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,20740.08,2
RC,201,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,14874.96,2
RC,201,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,201,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13033.62,2
RC,201,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,17653.46,2
RC,201,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,10026.68,13000.0,2
RC,201,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,201,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,201,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,201,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,21888.66,2
RC,201,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,34847.18,2
RC,201,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,18303.71,2
RC,201,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,26267.31,2
RC,201,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,34956.62,2
RC,201,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,21342.53,2
RC,201,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,201,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,201,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,201,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,201,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,201,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,201,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,201,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,201,HYPERTENSION WITH MCC ,,,13000.0,16656.81,2
RC,201,HYPERTENSION WITHOUT MCC ,,,12035.9,13000.0,2
RC,201,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,201,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,201,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,201,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,201,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,201,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,201,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,201,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,201,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,201,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,201,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,201,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,201,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,201,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,201,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,201,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,201,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,201,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,201,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,201,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,201,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,201,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,201,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,201,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,201,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,201,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,201,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,201,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,201,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,201,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,201,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,201,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,26231.19,2
RC,201,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,38301.43,2
RC,201,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,201,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,22807.74,2
RC,201,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,201,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,201,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,201,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,201,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,201,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,42536.64,6
RC,201,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,36066.94,2
RC,201,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,25420.48,2
RC,201,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,30959.41,2
RC,201,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,201,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,25332.29,2
RC,201,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,201,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,201,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,201,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,201,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,201,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,201,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,201,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,201,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,201,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,201,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,201,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,201,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,201,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,201,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11458.96,13000.0,2
RC,201,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,201,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,22852.37,2
RC,201,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,201,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,201,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,201,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,201,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,201,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,33464.84,2
RC,201,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,201,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,201,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,23206.19,2
RC,201,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,201,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,201,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,201,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,201,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,201,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,201,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,18348.35,2
RC,201,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,201,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,201,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,201,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,201,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,201,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,201,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,201,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,201,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,201,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,201,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,201,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,201,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,201,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,201,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,21821.73,2
RC,201,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,14226.82,2
RC,201,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,201,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,201,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,201,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,201,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,201,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,201,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,201,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,20000.57,2
RC,201,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,31455.61,2
RC,201,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,201,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,201,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,201,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,201,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,201,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,201,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,201,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,201,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,201,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,201,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,201,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,201,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,201,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,201,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,201,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,201,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,201,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,201,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,201,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,201,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,201,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,201,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,201,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,201,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,201,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,201,OSTEOMYELITIS WITH CC ,,,13000.0,17786.27,2
RC,201,OSTEOMYELITIS WITH MCC ,,,13000.0,24941.28,2
RC,201,OSTEOMYELITIS WITHOUT CC/MCC ,,,12379.1,13000.0,2
RC,201,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,201,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,201,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,201,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,201,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,201,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,201,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,201,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,56579.98,2
RC,201,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,37476.91,2
RC,201,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,14248.07,2
RC,201,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,26168.51,2
RC,201,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,201,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,39507.4,2
RC,201,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13954.82,2
RC,201,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,21005.71,2
RC,201,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,201,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,28721.74,2
RC,201,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,50687.24,2
RC,201,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,18865.79,2
RC,201,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,201,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,201,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,201,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,201,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,201,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,201,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,201,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,201,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,109808.04,2
RC,201,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,27259.71,2
RC,201,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,201,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,201,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,201,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,201,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,201,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,201,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,201,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,201,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,201,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,201,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,201,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,201,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,201,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,201,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,60074.61,2
RC,201,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,201,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,201,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,201,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,201,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,201,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,201,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,201,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,201,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,201,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,201,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,26093.06,2
RC,201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,37874.3,2
RC,201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,20340.58,2
RC,201,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,201,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,201,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,201,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,201,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,201,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,201,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,201,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,201,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,201,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,201,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,201,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,201,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,201,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,38422.56,2
RC,201,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,201,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,201,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,201,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,201,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,34828.05,2
RC,201,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,201,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,27596.53,2
RC,201,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,12030.59,22782.25,6
RC,201,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,201,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,201,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,201,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,201,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,201,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,201,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,201,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,201,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,201,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,201,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,40548.66,2
RC,201,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,29665.26,2
RC,201,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,201,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,201,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,201,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,201,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,26418.19,2
RC,201,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,41954.38,2
RC,201,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,20322.51,2
RC,201,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,201,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,201,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,201,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,201,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,201,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,201,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,201,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,201,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,201,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,201,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,201,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,201,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,201,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,201,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,201,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,201,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,201,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,201,PSYCHOSES ,,,18854.11,18854.11,1
RC,201,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,201,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,201,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,201,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,21415.85,2
RC,201,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,201,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,201,REHABILITATION WITH CC/MCC ,,,13046.0,21045.0,6
RC,201,REHABILITATION WITHOUT CC/MCC ,,,13046.0,21045.0,6
RC,201,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,201,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,201,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,201,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,201,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,201,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,201,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,201,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,201,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,201,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,201,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,201,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,33210.89,2
RC,201,SEPTIC ARTHRITIS WITH CC ,,,13000.0,16839.57,2
RC,201,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,24529.03,2
RC,201,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13300.31,2
RC,201,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,201,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,201,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,201,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,201,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,201,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,21601.78,2
RC,201,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,18057.21,2
RC,201,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,12838.11,13000.0,2
RC,201,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,201,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,201,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,46731.47,2
RC,201,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,201,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,201,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,201,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,35262.62,2
RC,201,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,201,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,32177.06,2
RC,201,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,201,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,21081.15,2
RC,201,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,201,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,73622.82,2
RC,201,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,201,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,201,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,201,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,201,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,201,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,201,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,201,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,22586.74,2
RC,201,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,37639.48,2
RC,201,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,18313.28,2
RC,201,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,201,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,201,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,201,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,201,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,14152.45,2
RC,201,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11666.16,13000.0,2
RC,201,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,201,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,201,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,201,SYNCOPE AND COLLAPSE ,,,13000.0,13273.75,2
RC,201,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,19811.43,2
RC,201,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13503.25,2
RC,201,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,201,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,201,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,201,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,201,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,201,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,201,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,201,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,201,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,201,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,201,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,201,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,201,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,201,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,201,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,201,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,201,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,201,UNGROUPABLE ,,,4012.81,4012.81,1
RC,201,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,201,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,201,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,15617.67,2
RC,201,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,201,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,201,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,201,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,201,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,201,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,201,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,201,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,201,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,201,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,201,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,201,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,201,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,201,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,201,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,201,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,201,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,201,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,201,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,201,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,201,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,201,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,201,VEIN LIGATION AND STRIPPING ,,,13000.0,36498.33,2
RC,201,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,201,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,201,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,201,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,201,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,201,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,202, Intensive Care Unit Medical  ,,,1490.0,14300.0,3
RC,202,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,202,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,202,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,202,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,22148.98,2
RC,202,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,32766.76,2
RC,202,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13891.07,2
RC,202,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,202,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,202,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,202,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,202,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,202,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,202,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,202,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,202,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,202,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,10376.25,13000.0,2
RC,202,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,202,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,202,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,202,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,202,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,202,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,202,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,202,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,202,AICD LEAD PROCEDURES ,,,13000.0,42456.95,2
RC,202,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,202,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,202,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,202,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,202,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,202,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,202,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,202,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,202,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,202,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,202,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,49625.78,2
RC,202,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,16552.69,2
RC,202,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,202,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,202,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,202,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,202,ANGINA PECTORIS ,,,11470.65,13000.0,2
RC,202,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,77091.95,2
RC,202,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,48885.19,2
RC,202,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,202,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,202,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,202,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,202,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,202,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,202,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,202,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,202,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,202,ATHEROSCLEROSIS WITH MCC ,,,13000.0,16726.93,2
RC,202,ATHEROSCLEROSIS WITHOUT MCC ,,,11165.7,13000.0,2
RC,202,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,202,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,25265.36,2
RC,202,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,43722.41,2
RC,202,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,19885.82,2
RC,202,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,202,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,202,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,202,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,62695.85,2
RC,202,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,202,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,41898.07,4
RC,202,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,30142.33,2
RC,202,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,40718.66,2
RC,202,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,23764.02,2
RC,202,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,17786.27,2
RC,202,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,12832.8,13000.0,2
RC,202,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,202,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,202,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,11131.7,11131.7,1
RC,202,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,202,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,202,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,202,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,11829.78,13000.0,2
RC,202,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,16805.56,2
RC,202,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,10027.74,13000.0,2
RC,202,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,20756.01,2
RC,202,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13715.75,2
RC,202,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,202,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,202,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,202,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,202,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,202,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,202,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,202,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,37398.29,2
RC,202,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,25498.05,2
RC,202,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,24099.77,2
RC,202,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,38574.5,2
RC,202,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,21330.85,2
RC,202,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,107957.12,6
RC,202,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,85596.36,6
RC,202,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,202,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,202,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,35315.74,2
RC,202,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,55318.76,2
RC,202,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,202,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,202,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,202,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,202,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,202,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,202,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,202,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,202,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,202,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,202,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,202,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,202,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,202,CHEST PAIN ,,,11662.96,13000.0,2
RC,202,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,25971.94,2
RC,202,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,202,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,202,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,202,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,202,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,202,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,27524.27,2
RC,202,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,15382.85,2
RC,202,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,202,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,202,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,202,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,202,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,202,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,202,COMPLEX AORTIC ARCH PROCEDURES ,,,13000.0,124277.44,2
RC,202,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,15525.23,2
RC,202,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,202,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,202,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,202,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,202,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,202,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,13000.0,119552.37,2
RC,202,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,202,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,16267.93,2
RC,202,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,30381.4,2
RC,202,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,12897.62,13000.0,2
RC,202,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,85244.67,2
RC,202,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,62055.15,2
RC,202,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,93582.28,2
RC,202,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,68429.21,2
RC,202,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,202,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,202,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,202,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,202,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,202,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,202,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,202,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,202,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,202,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,202,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,202,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,202,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,16865.07,2
RC,202,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,26736.94,2
RC,202,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,202,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,14269.32,2
RC,202,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,23081.88,2
RC,202,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11447.28,13000.0,2
RC,202,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,12950.74,13000.0,2
RC,202,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,202,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10615.32,13000.0,2
RC,202,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,202,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,202,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,202,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,202,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,202,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,202,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,202,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,13000.0,64649.83,2
RC,202,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,69128.36,2
RC,202,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,54597.31,2
RC,202,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,202,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,12296.22,13000.0,2
RC,202,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,202,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,202,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,202,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,202,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,202,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,202,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,202,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,202,FOOT PROCEDURES WITH CC ,,,13000.0,23873.46,2
RC,202,FOOT PROCEDURES WITH MCC ,,,13000.0,33668.84,2
RC,202,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,202,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,202,FRACTURES OF FEMUR WITH MCC ,,,13000.0,20669.96,2
RC,202,FRACTURES OF FEMUR WITHOUT MCC ,,,12577.79,13000.0,2
RC,202,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,17634.33,2
RC,202,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,12593.73,13000.0,2
RC,202,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,202,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,202,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,202,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,202,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,202,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,23435.7,2
RC,202,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,202,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,202,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,202,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,202,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,20740.08,2
RC,202,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,14874.96,2
RC,202,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,202,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13033.62,2
RC,202,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,17653.46,2
RC,202,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,10026.68,13000.0,2
RC,202,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,202,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,202,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,202,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,21888.66,2
RC,202,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,34847.18,2
RC,202,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,18303.71,2
RC,202,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,26267.31,2
RC,202,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,34956.62,2
RC,202,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,21342.53,2
RC,202,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,202,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,202,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,202,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,202,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,202,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,202,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,202,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,202,HYPERTENSION WITH MCC ,,,13000.0,16656.81,2
RC,202,HYPERTENSION WITHOUT MCC ,,,12035.9,13000.0,2
RC,202,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,202,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,202,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,202,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,202,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,202,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,202,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,202,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,202,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,202,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,202,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,202,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,202,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,202,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,202,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,202,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,202,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,202,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,202,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,202,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,202,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,202,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,202,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,202,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,202,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,202,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,202,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,202,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,202,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,202,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,202,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,202,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,26231.19,2
RC,202,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,38301.43,2
RC,202,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,202,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,22807.74,2
RC,202,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,202,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,202,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,202,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,202,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,202,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,42536.64,6
RC,202,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,36066.94,2
RC,202,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,25420.48,2
RC,202,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,30959.41,2
RC,202,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,202,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,25332.29,2
RC,202,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,202,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,202,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,202,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,202,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,202,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,202,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,202,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,202,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,202,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,202,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,202,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,202,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,202,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,202,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11458.96,13000.0,2
RC,202,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,202,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,22852.37,2
RC,202,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,202,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,202,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,202,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,202,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,202,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,33464.84,2
RC,202,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,202,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,202,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,23206.19,2
RC,202,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,202,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,202,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,202,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,202,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,202,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,202,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,18348.35,2
RC,202,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,202,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,202,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,202,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,202,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,202,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,202,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,202,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,202,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,202,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,202,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,202,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,202,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,202,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,202,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,21821.73,2
RC,202,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,14226.82,2
RC,202,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,202,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,202,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,202,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,202,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,202,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,202,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,202,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,20000.57,2
RC,202,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,31455.61,2
RC,202,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,202,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,202,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,202,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,202,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,202,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,202,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,202,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,202,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,202,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,202,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,202,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,202,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,202,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,202,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,202,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,202,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,202,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,202,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,202,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,202,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,202,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,202,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,202,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,202,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,202,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,202,OSTEOMYELITIS WITH CC ,,,13000.0,17786.27,2
RC,202,OSTEOMYELITIS WITH MCC ,,,13000.0,24941.28,2
RC,202,OSTEOMYELITIS WITHOUT CC/MCC ,,,12379.1,13000.0,2
RC,202,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,202,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,202,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,202,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,202,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,202,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,202,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,202,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,56579.98,2
RC,202,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,37476.91,2
RC,202,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,14248.07,2
RC,202,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,26168.51,2
RC,202,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,202,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,39507.4,2
RC,202,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13954.82,2
RC,202,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,21005.71,2
RC,202,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,202,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,28721.74,2
RC,202,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,50687.24,2
RC,202,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,18865.79,2
RC,202,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,202,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,202,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,202,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,202,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,202,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,202,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,202,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,202,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,109808.04,2
RC,202,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,27259.71,2
RC,202,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,202,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,202,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,202,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,202,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,202,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,202,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,202,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,202,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,202,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,202,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,202,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,202,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,202,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,202,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,60074.61,2
RC,202,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,202,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,202,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,202,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,202,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,202,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,202,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,202,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,202,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,202,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,202,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,26093.06,2
RC,202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,37874.3,2
RC,202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,20340.58,2
RC,202,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,202,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,202,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,202,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,202,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,202,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,202,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,202,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,202,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,202,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,202,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,202,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,202,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,202,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,38422.56,2
RC,202,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,202,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,202,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,202,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,202,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,34828.05,2
RC,202,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,202,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,27596.53,2
RC,202,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,12030.59,22782.25,6
RC,202,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,202,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,202,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,202,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,202,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,202,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,202,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,202,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,202,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,202,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,202,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,40548.66,2
RC,202,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,29665.26,2
RC,202,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,202,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,202,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,202,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,202,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,26418.19,2
RC,202,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,41954.38,2
RC,202,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,20322.51,2
RC,202,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,202,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,202,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,202,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,202,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,202,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,202,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,202,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,202,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,202,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,202,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,202,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,202,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,202,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,202,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,202,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,202,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,202,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,202,PSYCHOSES ,,,18854.11,18854.11,1
RC,202,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,202,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,202,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,202,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,21415.85,2
RC,202,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,202,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,202,REHABILITATION WITH CC/MCC ,,,13046.0,21045.0,6
RC,202,REHABILITATION WITHOUT CC/MCC ,,,13046.0,21045.0,6
RC,202,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,202,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,202,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,202,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,202,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,202,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,202,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,202,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,202,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,202,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,202,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,202,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,33210.89,2
RC,202,SEPTIC ARTHRITIS WITH CC ,,,13000.0,16839.57,2
RC,202,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,24529.03,2
RC,202,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13300.31,2
RC,202,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,202,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,202,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,202,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,202,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,202,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,21601.78,2
RC,202,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,18057.21,2
RC,202,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,12838.11,13000.0,2
RC,202,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,202,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,202,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,46731.47,2
RC,202,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,202,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,202,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,202,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,35262.62,2
RC,202,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,202,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,32177.06,2
RC,202,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,202,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,21081.15,2
RC,202,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,202,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,73622.82,2
RC,202,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,202,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,202,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,202,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,202,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,202,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,202,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,202,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,22586.74,2
RC,202,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,37639.48,2
RC,202,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,18313.28,2
RC,202,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,202,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,202,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,202,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,202,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,14152.45,2
RC,202,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11666.16,13000.0,2
RC,202,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,202,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,202,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,202,SYNCOPE AND COLLAPSE ,,,13000.0,13273.75,2
RC,202,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,19811.43,2
RC,202,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13503.25,2
RC,202,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,202,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,202,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,202,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,202,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,202,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,202,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,202,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,202,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,202,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,202,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,202,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,202,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,202,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,202,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,202,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,202,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,202,UNGROUPABLE ,,,4012.81,4012.81,1
RC,202,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,202,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,202,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,15617.67,2
RC,202,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,202,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,202,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,202,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,202,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,202,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,202,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,202,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,202,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,202,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,202,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,202,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,202,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,202,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,202,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,202,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,202,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,202,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,202,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,202,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,202,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,202,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,202,VEIN LIGATION AND STRIPPING ,,,13000.0,36498.33,2
RC,202,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,202,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,202,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,202,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,202,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,202,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,203, Intersive Care Unit Pediatric  ,,,4116.0,14300.0,5
RC,203,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,203,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,203,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,203,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,22148.98,2
RC,203,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,32766.76,2
RC,203,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13891.07,2
RC,203,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,203,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,203,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,203,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,203,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,203,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,203,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,203,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,203,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,203,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,10376.25,13000.0,2
RC,203,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,203,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,203,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,203,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,203,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,203,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,203,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,203,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,203,AICD LEAD PROCEDURES ,,,13000.0,42456.95,2
RC,203,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,203,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,203,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,203,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,203,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,203,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,203,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,203,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,203,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,203,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,203,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,49625.78,2
RC,203,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,16552.69,2
RC,203,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,203,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,203,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,203,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,203,ANGINA PECTORIS ,,,11470.65,13000.0,2
RC,203,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,77091.95,2
RC,203,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,48885.19,2
RC,203,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,203,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,203,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,203,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,203,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,203,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,203,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,203,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,203,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,203,ATHEROSCLEROSIS WITH MCC ,,,13000.0,16726.93,2
RC,203,ATHEROSCLEROSIS WITHOUT MCC ,,,11165.7,13000.0,2
RC,203,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,203,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,25265.36,2
RC,203,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,43722.41,2
RC,203,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,19885.82,2
RC,203,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,203,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,203,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,203,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,62695.85,2
RC,203,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,203,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,41898.07,4
RC,203,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,30142.33,2
RC,203,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,40718.66,2
RC,203,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,23764.02,2
RC,203,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,17786.27,2
RC,203,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,12832.8,13000.0,2
RC,203,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,203,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,203,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,203,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,203,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,203,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,11829.78,13000.0,2
RC,203,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,16805.56,2
RC,203,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,10027.74,13000.0,2
RC,203,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,20756.01,2
RC,203,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13715.75,2
RC,203,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,203,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,203,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,203,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,203,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,203,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,203,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,203,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,37398.29,2
RC,203,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,25498.05,2
RC,203,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,24099.77,2
RC,203,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,38574.5,2
RC,203,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,21330.85,2
RC,203,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,107957.12,6
RC,203,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,85596.36,6
RC,203,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,203,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,203,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,35315.74,2
RC,203,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,55318.76,2
RC,203,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,203,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,203,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,203,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,203,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,203,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,203,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,203,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,203,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,203,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,203,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,203,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,203,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,203,CHEST PAIN ,,,11662.96,13000.0,2
RC,203,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,25971.94,2
RC,203,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,203,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,203,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,203,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,203,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,203,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,27524.27,2
RC,203,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,15382.85,2
RC,203,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,203,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,203,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,203,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,203,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,203,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,203,COMPLEX AORTIC ARCH PROCEDURES ,,,13000.0,124277.44,2
RC,203,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,15525.23,2
RC,203,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,203,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,203,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,203,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,203,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,203,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,13000.0,119552.37,2
RC,203,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,203,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,16267.93,2
RC,203,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,30381.4,2
RC,203,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,12897.62,13000.0,2
RC,203,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,85244.67,2
RC,203,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,62055.15,2
RC,203,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,93582.28,2
RC,203,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,68429.21,2
RC,203,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,203,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,203,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,203,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,203,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,203,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,203,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,203,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,203,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,203,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,203,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,203,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,203,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,16865.07,2
RC,203,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,26736.94,2
RC,203,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,203,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,14269.32,2
RC,203,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,23081.88,2
RC,203,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11447.28,13000.0,2
RC,203,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,12950.74,13000.0,2
RC,203,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,203,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10615.32,13000.0,2
RC,203,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,203,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,203,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,203,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,203,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,203,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,203,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,203,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,13000.0,64649.83,2
RC,203,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,69128.36,2
RC,203,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,54597.31,2
RC,203,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,203,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,12296.22,13000.0,2
RC,203,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,203,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,203,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,203,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,203,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,203,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,203,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,203,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,203,FOOT PROCEDURES WITH CC ,,,13000.0,23873.46,2
RC,203,FOOT PROCEDURES WITH MCC ,,,13000.0,33668.84,2
RC,203,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,203,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,203,FRACTURES OF FEMUR WITH MCC ,,,13000.0,20669.96,2
RC,203,FRACTURES OF FEMUR WITHOUT MCC ,,,12577.79,13000.0,2
RC,203,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,17634.33,2
RC,203,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,12593.73,13000.0,2
RC,203,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,203,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,203,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,203,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,203,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,203,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,23435.7,2
RC,203,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,203,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,203,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,203,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,203,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,20740.08,2
RC,203,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,14874.96,2
RC,203,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,203,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13033.62,2
RC,203,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,17653.46,2
RC,203,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,10026.68,13000.0,2
RC,203,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,203,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,203,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,203,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,21888.66,2
RC,203,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,34847.18,2
RC,203,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,18303.71,2
RC,203,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,26267.31,2
RC,203,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,34956.62,2
RC,203,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,21342.53,2
RC,203,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,203,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,203,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,203,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,203,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,203,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,203,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,203,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,203,HYPERTENSION WITH MCC ,,,13000.0,16656.81,2
RC,203,HYPERTENSION WITHOUT MCC ,,,12035.9,13000.0,2
RC,203,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,203,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,203,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,203,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,203,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,203,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,203,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,203,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,203,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,203,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,203,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,203,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,203,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,203,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,203,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,203,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,203,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,203,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,203,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,203,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,203,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,203,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,203,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,203,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,203,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,203,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,203,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,203,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,203,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,203,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,203,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,203,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,26231.19,2
RC,203,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,38301.43,2
RC,203,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,203,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,22807.74,2
RC,203,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,203,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,203,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,203,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,203,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,203,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,42536.64,6
RC,203,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,36066.94,2
RC,203,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,25420.48,2
RC,203,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,30959.41,2
RC,203,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,203,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,25332.29,2
RC,203,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,203,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,203,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,203,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,203,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,203,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,203,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,203,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,203,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,203,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11458.96,13000.0,2
RC,203,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,203,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,22852.37,2
RC,203,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,203,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,203,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,203,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,203,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,203,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,33464.84,2
RC,203,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,203,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,203,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,23206.19,2
RC,203,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,203,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,203,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,203,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,203,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,203,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,203,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,18348.35,2
RC,203,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,203,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,203,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,203,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,203,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,203,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,203,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,203,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,203,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,203,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,203,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,203,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,203,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,203,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,203,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,21821.73,2
RC,203,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,14226.82,2
RC,203,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,203,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,203,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,203,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,203,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,203,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,203,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,203,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,20000.57,2
RC,203,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,31455.61,2
RC,203,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,203,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,203,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,203,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,203,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,203,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,203,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,203,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,203,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,203,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,203,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,203,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,203,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,203,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,203,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,203,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,203,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,203,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,203,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,203,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,203,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,203,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,203,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,203,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,203,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,203,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,203,OSTEOMYELITIS WITH CC ,,,13000.0,17786.27,2
RC,203,OSTEOMYELITIS WITH MCC ,,,13000.0,24941.28,2
RC,203,OSTEOMYELITIS WITHOUT CC/MCC ,,,12379.1,13000.0,2
RC,203,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,203,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,203,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,203,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,203,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,203,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,203,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,203,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,56579.98,2
RC,203,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,37476.91,2
RC,203,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,14248.07,2
RC,203,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,26168.51,2
RC,203,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,203,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,39507.4,2
RC,203,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13954.82,2
RC,203,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,21005.71,2
RC,203,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,203,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,28721.74,2
RC,203,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,50687.24,2
RC,203,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,18865.79,2
RC,203,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,203,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,203,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,203,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,203,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,203,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,203,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,203,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,203,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,109808.04,2
RC,203,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,27259.71,2
RC,203,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,203,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,203,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,203,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,203,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,203,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,203,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,203,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,203,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,203,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,203,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,203,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,203,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,203,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,203,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,60074.61,2
RC,203,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,203,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,203,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,203,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,203,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,203,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,203,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,203,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,203,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,203,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,203,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,26093.06,2
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,37874.3,2
RC,203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,20340.58,2
RC,203,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,203,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,203,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,203,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,203,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,203,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,203,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,203,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,203,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,203,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,203,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,203,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,203,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,203,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,38422.56,2
RC,203,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,203,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,203,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,203,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,203,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,34828.05,2
RC,203,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,203,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,27596.53,2
RC,203,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,12030.59,22782.25,6
RC,203,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,203,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,203,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,203,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,203,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,203,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,203,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,203,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,203,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,203,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,203,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,40548.66,2
RC,203,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,29665.26,2
RC,203,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,203,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,203,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,203,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,203,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,26418.19,2
RC,203,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,41954.38,2
RC,203,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,20322.51,2
RC,203,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,203,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,203,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,203,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,203,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,203,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,203,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,203,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,203,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,203,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,203,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,203,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,203,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,203,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,203,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,203,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,203,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,203,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,203,PSYCHOSES ,,,18854.11,18854.11,1
RC,203,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,203,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,203,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,203,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,21415.85,2
RC,203,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,203,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,203,REHABILITATION WITH CC/MCC ,,,13046.0,21045.0,6
RC,203,REHABILITATION WITHOUT CC/MCC ,,,13046.0,21045.0,6
RC,203,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,203,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,203,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,203,RESPIRATORY SIGNS AND SYMPTOMS ,,,12591.61,12591.61,1
RC,203,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,203,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,203,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,203,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,203,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,203,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,203,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,203,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,33210.89,2
RC,203,SEPTIC ARTHRITIS WITH CC ,,,13000.0,16839.57,2
RC,203,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,24529.03,2
RC,203,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13300.31,2
RC,203,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,203,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,203,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,203,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,203,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,203,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,21601.78,2
RC,203,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,18057.21,2
RC,203,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,12838.11,13000.0,2
RC,203,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,203,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,203,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,46731.47,2
RC,203,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,203,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,203,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,203,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,35262.62,2
RC,203,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,203,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,32177.06,2
RC,203,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,203,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,21081.15,2
RC,203,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,203,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,73622.82,2
RC,203,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,203,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,203,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,203,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,203,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,203,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,203,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,203,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,22586.74,2
RC,203,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,37639.48,2
RC,203,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,18313.28,2
RC,203,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,203,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,203,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,203,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,203,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,14152.45,2
RC,203,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11666.16,13000.0,2
RC,203,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,203,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,203,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,203,SYNCOPE AND COLLAPSE ,,,13000.0,13273.75,2
RC,203,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,19811.43,2
RC,203,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13503.25,2
RC,203,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,203,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,203,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,203,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,203,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,203,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,203,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,203,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,203,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,203,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,203,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,203,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,203,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,203,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,203,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,203,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,203,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,203,UNGROUPABLE ,,,4012.81,4012.81,1
RC,203,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,203,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,203,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,15617.67,2
RC,203,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,203,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,203,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,203,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,203,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,203,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,203,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,203,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,203,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,203,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,203,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,203,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,203,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,203,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,203,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,203,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,203,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,203,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,203,VEIN LIGATION AND STRIPPING ,,,13000.0,36498.33,2
RC,203,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,203,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,203,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,203,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,203,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,203,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,204, Intensive Care Unit Psychiatric  ,,,768.0,14300.0,17
RC,204, Intensive Care Unit Psychiatric  Adolescent,,,2002.0,2002.0,1
RC,204, Intensive Care Unit Psychiatric  Adult,,,2002.0,2002.0,1
RC,204, Intensive Care Unit Psychiatric  Dual Diagnosis,,,1095.0,1095.0,1
RC,204, Intensive Care Unit Psychiatric  Dual Diagnosis Adult,,,1542.0,1542.0,1
RC,204, Intensive Care Unit Psychiatric  Dual Diagnosis Geriatric,,,1542.0,1542.0,1
RC,204, Intensive Care Unit Psychiatric  Mental Health Adult,,,1542.0,1542.0,1
RC,204, Intensive Care Unit Psychiatric  Mental Health Geriatric,,,1095.0,1542.0,2
RC,204,ABDOMINAL PAIN Mental Health Geriatric,,,2635.66,7047.61,4
RC,204,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,204,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,3702.72,28784.47,4
RC,204,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,204,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Mental Health Geriatric",,,2242.46,17090.96,4
RC,204,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,204,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,22148.98,2
RC,204,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,32766.76,2
RC,204,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13891.07,2
RC,204,ACUTE ANXIETY AND STRESS SYNDROMES Mental Health Geriatric,,,2084.42,8187.18,4
RC,204,ACUTE KIDNEY INJURY Mental Health Geriatric,,,2220.78,11029.24,4
RC,204,ACUTE LEUKEMIA Mental Health Geriatric,,,5508.16,28731.24,4
RC,204,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,204,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,204,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,204,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,204,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,204,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,204,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,204,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,204,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,204,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,10376.25,13000.0,2
RC,204,ADJUSTMENT DISORDERS Mental Health Geriatric,,,1255.91,4788.05,4
RC,204,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,204,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,204,ADRENAL PROCEDURES Mental Health Geriatric,,,5539.85,22565.1,4
RC,204,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,204,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,204,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,204,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,204,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,204,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,204,AICD LEAD PROCEDURES ,,,13000.0,42456.95,2
RC,204,ALCOHOL ABUSE AND DEPENDENCE Mental Health Geriatric,,,1816.32,11673.88,4
RC,204,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY Mental Health Geriatric,,,2482.63,12366.46,4
RC,204,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,204,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,204,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,204,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,204,ALCOHOLIC LIVER DISEASE Mental Health Geriatric,,,2777.02,11993.27,4
RC,204,ALLERGIC REACTIONS Mental Health Geriatric,,,1679.96,9832.96,4
RC,204,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,204,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,204,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,204,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,204,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,204,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,204,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,49625.78,2
RC,204,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,16552.69,2
RC,204,AMPUTATION OF LOWER LIMB EXCEPT TOES Mental Health Geriatric,,,5075.34,18151.91,4
RC,204,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,204,ANAL AND PERINEAL PROCEDURES Mental Health Geriatric,,,4001.23,12198.84,4
RC,204,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,204,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,204,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,204,ANGINA PECTORIS ,,,11470.65,13000.0,2
RC,204,ANTEPARTUM WITH O.R. PROCEDURE Mental Health Geriatric,,,3635.87,33162.16,4
RC,204,ANTEPARTUM WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,1888.04,19048.75,4
RC,204,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,77091.95,2
RC,204,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,48885.19,2
RC,204,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4738.85,14783.63,4
RC,204,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,204,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,204,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,204,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4518.7,11733.92,4
RC,204,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,204,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,204,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,204,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,204,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,204,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,204,ATHEROSCLEROSIS WITH MCC ,,,13000.0,16726.93,2
RC,204,ATHEROSCLEROSIS WITHOUT MCC ,,,11165.7,13000.0,2
RC,204,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,204,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,25265.36,2
RC,204,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,43722.41,2
RC,204,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,19885.82,2
RC,204,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,204,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,204,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,204,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,62695.85,2
RC,204,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,204,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,41898.07,4
RC,204,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,30142.33,2
RC,204,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,40718.66,2
RC,204,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,23764.02,2
RC,204,BIPOLAR DISORDERS Mental Health Geriatric,,,1954.33,9294.65,4
RC,204,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,17786.27,2
RC,204,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,12832.8,13000.0,2
RC,204,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,204,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,204,BREAST PROCEDURES EXCEPT MASTECTOMY Mental Health Geriatric,,,6096.08,13840.03,4
RC,204,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS Mental Health Geriatric,,,7711.42,54670.03,4
RC,204,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,204,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,204,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,204,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,11829.78,13000.0,2
RC,204,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,16805.56,2
RC,204,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,10027.74,13000.0,2
RC,204,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,20756.01,2
RC,204,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13715.75,2
RC,204,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,204,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,204,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,204,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,204,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,204,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,204,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,204,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,37398.29,2
RC,204,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,25498.05,2
RC,204,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,24099.77,2
RC,204,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,38574.5,2
RC,204,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,21330.85,2
RC,204,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,107957.12,6
RC,204,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,85596.36,6
RC,204,CARDIOMYOPATHY Mental Health Geriatric,,,2638.16,9900.1,4
RC,204,CELLULITIS AND OTHER SKIN INFECTIONS Mental Health Geriatric,,,2129.46,8912.71,4
RC,204,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,204,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,204,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,35315.74,2
RC,204,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,55318.76,2
RC,204,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,204,CESAREAN SECTION WITH STERILIZATION Mental Health Geriatric,,,3676.69,33015.34,4
RC,204,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,204,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,204,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,204,CESAREAN SECTION WITHOUT STERILIZATION Mental Health Geriatric,,,3661.31,27084.84,4
RC,204,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,204,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,204,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,204,CHEMOTHERAPY FOR ACUTE LEUKEMIA Mental Health Geriatric,,,3722.28,25182.41,4
RC,204,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,204,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,204,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,204,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,204,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,204,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,204,CHEST PAIN ,,,11662.96,13000.0,2
RC,204,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,25971.94,2
RC,204,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,204,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,204,CHOLECYSTECTOMY Mental Health Geriatric,,,5312.18,15261.89,4
RC,204,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,204,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,204,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,204,CHRONIC KIDNEY DISEASE Mental Health Geriatric,,,2368.8,10315.81,4
RC,204,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,27524.27,2
RC,204,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,15382.85,2
RC,204,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,204,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,204,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,204,COAGULATION AND PLATELET DISORDERS Mental Health Geriatric,,,3574.67,12456.53,4
RC,204,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,204,COCAINE ABUSE AND DEPENDENCE Mental Health Geriatric,,,1670.38,9330.52,4
RC,204,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,204,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,204,COMPLEX AORTIC ARCH PROCEDURES ,,,13000.0,124277.44,2
RC,204,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,15525.23,2
RC,204,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,204,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,204,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,204,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,204,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,204,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,13000.0,119552.37,2
RC,204,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,204,CONNECTIVE TISSUE DISORDERS Mental Health Geriatric,,,3409.14,13897.99,4
RC,204,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,16267.93,2
RC,204,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,30381.4,2
RC,204,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,12897.62,13000.0,2
RC,204,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE Mental Health Geriatric",,,3276.12,10005.59,4
RC,204,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,85244.67,2
RC,204,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,62055.15,2
RC,204,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,93582.28,2
RC,204,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,68429.21,2
RC,204,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,204,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,204,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,204,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,204,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,204,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,204,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,11337.8,30993.71,4
RC,204,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,204,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,204,DEPRESSIVE DISORDERS Mental Health Geriatric,,,1652.45,9282.14,4
RC,204,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,204,DIABETES Mental Health Geriatric,,,2335.44,8629.16,4
RC,204,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,204,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,204,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,204,DIGESTIVE MALIGNANCY Mental Health Geriatric,,,3626.8,10922.08,4
RC,204,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,16865.07,2
RC,204,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,26736.94,2
RC,204,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,204,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES Mental Health Geriatric,,,3892.4,12235.94,4
RC,204,DISORDERS OF GALLBLADDER AND BILIARY TRACT Mental Health Geriatric,,,2699.87,10077.3,4
RC,204,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT Mental Health Geriatric,,,2080.68,15327.77,4
RC,204,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,14269.32,2
RC,204,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,23081.88,2
RC,204,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11447.28,13000.0,2
RC,204,DISORDERS OF PANCREAS EXCEPT MALIGNANCY Mental Health Geriatric,,,2418.0,11676.37,4
RC,204,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,12950.74,13000.0,2
RC,204,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,204,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10615.32,13000.0,2
RC,204,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,204,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,204,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,204,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,204,DIVERTICULITIS AND DIVERTICULOSIS Mental Health Geriatric,,,2331.28,9403.48,4
RC,204,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK Mental Health Geriatric,,,11271.5,30024.67,4
RC,204,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK Mental Health Geriatric,,,17455.56,42924.85,4
RC,204,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE Mental Health Geriatric",,,1200.04,8311.02,4
RC,204,EATING DISORDERS Mental Health Geriatric,,,4798.48,16985.22,4
RC,204,ELECTIVE HIP JOINT REPLACEMENT Mental Health Geriatric,,,6259.54,16820.94,4
RC,204,ELECTIVE KNEE JOINT REPLACEMENT Mental Health Geriatric,,,6143.2,15420.76,4
RC,204,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,204,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,204,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,204,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,13000.0,64649.83,2
RC,204,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,69128.36,2
RC,204,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,54597.31,2
RC,204,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,204,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,12296.22,13000.0,2
RC,204,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,8813.89,31255.98,4
RC,204,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,204,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,204,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,7148.51,24255.91,4
RC,204,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,6883.74,21139.9,4
RC,204,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,204,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,204,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,204,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT Mental Health Geriatric,,,23840.2,106648.52,4
RC,204,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,3618.04,12891.01,4
RC,204,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,204,FEMALE REPRODUCTIVE SYSTEM INFECTIONS Mental Health Geriatric,,,2302.92,8809.72,4
RC,204,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY Mental Health Geriatric,,,3110.17,10324.15,4
RC,204,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,204,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Mental Health Geriatric,,,5097.86,21578.14,4
RC,204,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,204,FEVER AND INFLAMMATORY CONDITIONS Mental Health Geriatric,,,2026.88,6681.5,4
RC,204,FOOT AND TOE PROCEDURES Mental Health Geriatric,,,4416.53,14491.75,4
RC,204,FOOT PROCEDURES WITH CC ,,,13000.0,23873.46,2
RC,204,FOOT PROCEDURES WITH MCC ,,,13000.0,33668.84,2
RC,204,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,204,FRACTURE OF FEMUR Mental Health Geriatric,,,2343.78,7153.1,4
RC,204,FRACTURE OF PELVIS OR DISLOCATION OF HIP Mental Health Geriatric,,,2601.47,9079.08,4
RC,204,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,204,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK Mental Health Geriatric",,,2796.61,9488.54,4
RC,204,FRACTURES OF FEMUR WITH MCC ,,,13000.0,20669.96,2
RC,204,FRACTURES OF FEMUR WITHOUT MCC ,,,12577.79,13000.0,2
RC,204,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,17634.33,2
RC,204,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,12593.73,13000.0,2
RC,204,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,204,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,204,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,204,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,204,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,204,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,23435.7,2
RC,204,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,204,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,204,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,204,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,204,GASTROINTESTINAL VASCULAR INSUFFICIENCY Mental Health Geriatric,,,2731.56,9029.04,4
RC,204,GENDER RELATED PROCEDURES Mental Health Geriatric,,,9202.08,50815.57,4
RC,204,GENETIC DISORDERS Mental Health Geriatric,,,3283.21,22763.58,4
RC,204,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA Mental Health Geriatric,,,4464.9,16153.79,4
RC,204,GYNECOLOGIC PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6299.57,21106.96,4
RC,204,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY Mental Health Geriatric,,,4667.14,18697.72,4
RC,204,HAND AND WRIST PROCEDURES Mental Health Geriatric,,,4471.57,12957.3,4
RC,204,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,20740.08,2
RC,204,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,14874.96,2
RC,204,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,204,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13033.62,2
RC,204,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,17653.46,2
RC,204,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,10026.68,13000.0,2
RC,204,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION Mental Health Geriatric,,,2424.25,9936.37,4
RC,204,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS Mental Health Geriatric,,,2337.53,11125.56,4
RC,204,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,204,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,204,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,204,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,21888.66,2
RC,204,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,34847.18,2
RC,204,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,18303.71,2
RC,204,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL Mental Health Geriatric",,,5531.51,18000.54,4
RC,204,HIP AND FEMUR FRACTURE REPAIR Mental Health Geriatric,,,5960.15,14309.95,4
RC,204,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,26267.31,2
RC,204,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,34956.62,2
RC,204,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,21342.53,2
RC,204,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,204,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,204,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,204,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,204,HIV WITH MAJOR HIV RELATED CONDITION OR MULTIPLE HIV SIGNIFICANT RELATED CONDITI Mental Health Geriatric,,,4029.17,9171.65,4
RC,204,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,204,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,204,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,204,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS Mental Health Geriatric,,,3596.35,15694.7,4
RC,204,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS Mental Health Geriatric,,,3618.04,8646.26,4
RC,204,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,204,HOSPICE AND PALLIATIVE CARE Mental Health Geriatric,,,858.54,1030.33,4
RC,204,HYPERTENSION WITH MCC ,,,13000.0,16656.81,2
RC,204,HYPERTENSION WITHOUT MCC ,,,12035.9,13000.0,2
RC,204,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS Mental Health Geriatric,,,1940.57,6751.56,4
RC,204,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,204,INBORN ERRORS OF METABOLISM Mental Health Geriatric,,,3171.05,24774.62,4
RC,204,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,204,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,204,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,204,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE Mental Health Geriatric,,,6146.12,20729.6,4
RC,204,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,204,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,204,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,204,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,204,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,204,INFLAMMATORY BOWEL DISEASE Mental Health Geriatric,,,2700.71,9128.7,4
RC,204,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,204,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,204,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,204,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,204,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,204,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,204,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES Mental Health Geriatric",,,4785.97,14410.86,4
RC,204,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE Mental Health Geriatric,,,1878.44,10436.32,4
RC,204,INTESTINAL OBSTRUCTION Mental Health Geriatric,,,2154.48,8511.59,4
RC,204,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,204,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,204,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,204,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,204,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,204,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,204,KIDNEY AND URINARY TRACT INFECTIONS Mental Health Geriatric,,,2340.44,6933.36,4
RC,204,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,204,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,204,KIDNEY AND URINARY TRACT MALIGNANCY Mental Health Geriatric,,,3405.8,11039.66,4
RC,204,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,204,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,204,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,204,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY Mental Health Geriatric,,,6300.4,20013.67,4
RC,204,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY Mental Health Geriatric,,,6031.87,17287.94,4
RC,204,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,204,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,204,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,204,KIDNEY TRANSPLANT Mental Health Geriatric,,,21479.32,39941.86,4
RC,204,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,204,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,204,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT Mental Health Geriatric,,,6428.82,18339.12,4
RC,204,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,26231.19,2
RC,204,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,38301.43,2
RC,204,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,204,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,22807.74,2
RC,204,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,204,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,204,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,204,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,204,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,204,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,42536.64,6
RC,204,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,36066.94,2
RC,204,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,25420.48,2
RC,204,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,30959.41,2
RC,204,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,204,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,25332.29,2
RC,204,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR Mental Health Geriatric,,,3049.7,10853.7,4
RC,204,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,204,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,204,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,204,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,204,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,204,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,204,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,204,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,204,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,204,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA Mental Health Geriatric",,,3615.12,16950.61,4
RC,204,MAJOR BILIARY TRACT PROCEDURES Mental Health Geriatric,,,7103.89,22027.63,4
RC,204,MAJOR BLADDER PROCEDURES Mental Health Geriatric,,,9317.17,25508.48,4
RC,204,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,204,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,204,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,204,MAJOR ESOPHAGEAL DISORDERS Mental Health Geriatric,,,3091.4,11085.53,4
RC,204,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,204,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,204,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11458.96,13000.0,2
RC,204,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS Mental Health Geriatric,,,2515.57,9344.27,4
RC,204,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,204,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,22852.37,2
RC,204,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,204,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULA Mental Health Geriatric,,,2559.36,12508.64,4
RC,204,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,204,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,204,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,204,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,204,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,33464.84,2
RC,204,MAJOR LARGE BOWEL PROCEDURES Mental Health Geriatric,,,6569.76,18460.46,4
RC,204,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,204,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,204,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,7350.32,31025.82,4
RC,204,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES Mental Health Geriatric",,,8471.98,25798.27,4
RC,204,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,23206.19,2
RC,204,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,204,MAJOR SKIN DISORDERS Mental Health Geriatric,,,2103.19,14003.48,4
RC,204,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,204,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,204,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,204,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,204,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,204,MAJOR SMALL BOWEL PROCEDURES Mental Health Geriatric,,,5318.44,20640.79,4
RC,204,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,6927.11,24108.3,4
RC,204,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,18348.35,2
RC,204,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY Mental Health Geriatric,,,2300.0,9983.06,4
RC,204,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE Mental Health Geriatric",,,2659.01,10825.34,4
RC,204,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE Mental Health Geriatric",,,2839.98,10809.5,4
RC,204,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE Mental Health Geriatric",,,2551.85,9096.59,4
RC,204,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE Mental Health Geriatric",,,2973.82,10011.0,4
RC,204,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS Mental Health Geriatric,,,3295.72,9999.32,4
RC,204,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,204,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,204,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,204,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,204,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,204,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,204,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM Mental Health Geriatric",,,3113.93,9292.57,4
RC,204,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,204,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,204,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,204,MALIGNANT BREAST DISORDERS Mental Health Geriatric,,,3655.56,10300.8,4
RC,204,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,204,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,204,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,204,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS Mental Health Geriatric",,,2273.74,9630.73,4
RC,204,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,204,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,204,MASTECTOMY PROCEDURES Mental Health Geriatric,,,7114.32,12817.62,4
RC,204,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,21821.73,2
RC,204,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,14226.82,2
RC,204,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS Mental Health Geriatric,,,2426.76,8609.99,4
RC,204,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,204,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,204,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,4096.3,25977.16,4
RC,204,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,204,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,204,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,204,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,204,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,204,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,20000.57,2
RC,204,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,31455.61,2
RC,204,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,204,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,204,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,204,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,5179.16,19144.28,4
RC,204,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,5159.57,17171.6,4
RC,204,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,16800.08,36867.55,4
RC,204,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,204,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,204,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,204,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE Mental Health Geriatric,,,4092.96,14277.84,4
RC,204,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Mental Health Geriatric,,,9194.16,28054.08,4
RC,204,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALI Mental Health Geriatric,,,4066.28,11988.68,4
RC,204,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,204,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,204,NEONATAL AFTERCARE Mental Health Geriatric,,,5633.24,44950.49,4
RC,204,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,7726.02,50058.36,4
RC,204,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,27073.79,67834.15,4
RC,204,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION Mental Health Geriatric,,,10356.25,29543.5,4
RC,204,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,17573.15,47769.19,4
RC,204,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,8072.1,44339.21,4
RC,204,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,7171.45,44786.2,4
RC,204,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5584.04,27744.68,4
RC,204,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,11563.38,39863.88,4
RC,204,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,19181.82,112697.08,4
RC,204,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,5242.97,23530.38,4
RC,204,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,2731.14,33224.9,4
RC,204,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,5353.46,29141.95,4
RC,204,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER Mental Health Geriatric,,,6839.95,21704.47,4
RC,204,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBL Mental Health Geriatric",,,982.19,18303.86,4
RC,204,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,5460.2,99215.64,4
RC,204,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE Mental Health Geriatric,,,32629.9,92243.09,4
RC,204,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE Mental Health Geriatric,,,74907.61,153134.29,4
RC,204,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL Mental Health Geriatric",,,1737.5,70556.12,4
RC,204,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION Mental Health Geriatric,,,3378.28,20747.11,4
RC,204,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY Mental Health Geriatric,,,1000.73,36671.99,4
RC,204,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE Mental Health Geriatric,,,12543.67,94599.38,4
RC,204,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE Mental Health Geriatric,,,4650.04,105280.87,4
RC,204,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION Mental Health Geriatric,,,1467.73,11772.28,4
RC,204,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MA Mental Health Geriatric,,,2622.31,22253.63,4
RC,204,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM Mental Health Geriatric",,,721.26,9426.34,4
RC,204,NEONATE WITH ECMO Mental Health Geriatric,,,90705.72,229024.7,4
RC,204,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,204,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE Mental Health Geriatric",,,450.32,3814.01,4
RC,204,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE Mental Health Geriatric",,,1363.91,7107.65,4
RC,204,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,204,NEPHRITIS AND NEPHROSIS Mental Health Geriatric,,,2592.71,13427.23,4
RC,204,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,204,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT Mental Health Geriatric,,,7064.28,16337.26,4
RC,204,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT Mental Health Geriatric,,,9228.77,17424.29,4
RC,204,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,204,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS Mental Health Geriatric,,,4617.52,16856.38,4
RC,204,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,4145.51,15976.57,4
RC,204,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,204,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,204,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,204,NON-HYPOVOLEMIC SODIUM DISORDERS Mental Health Geriatric,,,2255.8,8345.21,4
RC,204,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,204,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,204,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,204,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,204,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,204,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,204,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,204,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,204,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,204,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,204,OBSESSIVE COMPULSIVE DISORDERS Mental Health Geriatric,,,2730.73,6283.31,4
RC,204,OPIOID ABUSE AND DEPENDENCE Mental Health Geriatric,,,1426.03,8843.9,4
RC,204,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,204,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES Mental Health Geriatric,,,2652.34,13346.76,4
RC,204,OSTEOMYELITIS WITH CC ,,,13000.0,17786.27,2
RC,204,OSTEOMYELITIS WITH MCC ,,,13000.0,24941.28,2
RC,204,OSTEOMYELITIS WITHOUT CC/MCC ,,,12379.1,13000.0,2
RC,204,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS Mental Health Geriatric",,,3255.7,10627.28,4
RC,204,OTHER AFTERCARE AND CONVALESCENCE Mental Health Geriatric,,,3557.58,7655.96,4
RC,204,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE Mental Health Geriatric,,,2743.24,9428.92,4
RC,204,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,2484.3,9045.3,4
RC,204,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,204,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,204,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,204,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,204,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,204,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,204,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES Mental Health Geriatric",,,3280.72,10182.79,4
RC,204,OTHER BLADDER PROCEDURES Mental Health Geriatric,,,4784.3,13658.65,4
RC,204,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,204,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,56579.98,2
RC,204,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,37476.91,2
RC,204,OTHER CHEMOTHERAPY Mental Health Geriatric,,,3204.83,12944.8,4
RC,204,OTHER CIRCULATORY SYSTEM DIAGNOSES Mental Health Geriatric,,,2562.28,9553.18,4
RC,204,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,14248.07,2
RC,204,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,26168.51,2
RC,204,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,204,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,39507.4,2
RC,204,OTHER COMPLICATIONS OF TREATMENT Mental Health Geriatric,,,2749.08,9455.18,4
RC,204,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES Mental Health Geriatric,,,5387.23,18505.08,4
RC,204,OTHER DIGESTIVE SYSTEM DIAGNOSES Mental Health Geriatric,,,2691.12,9194.58,4
RC,204,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13954.82,2
RC,204,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,21005.71,2
RC,204,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,204,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,28721.74,2
RC,204,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,50687.24,2
RC,204,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,18865.79,2
RC,204,OTHER DISORDERS OF THE LIVER Mental Health Geriatric,,,2763.67,10730.69,4
RC,204,OTHER DRUG ABUSE AND DEPENDENCE Mental Health Geriatric,,,1639.52,8949.4,4
RC,204,OTHER ENDOCRINE DISORDERS Mental Health Geriatric,,,2704.04,9937.62,4
RC,204,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,204,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,204,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,204,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,204,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,204,OTHER ESOPHAGEAL DISORDERS Mental Health Geriatric,,,2849.15,9704.11,4
RC,204,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,204,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,4104.64,16897.25,4
RC,204,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,204,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,204,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING Mental Health Geriatric",,,2300.83,7803.98,4
RC,204,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,109808.04,2
RC,204,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,27259.71,2
RC,204,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,204,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,204,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES Mental Health Geriatric",,,5974.74,20509.86,4
RC,204,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,204,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,204,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,204,OTHER INFECTIOUS AND PARASITIC DISEASES Mental Health Geriatric,,,2385.48,11118.47,4
RC,204,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES Mental Health Geriatric",,,2090.27,11114.3,4
RC,204,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,204,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,204,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,204,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,204,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,204,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS Mental Health Geriatric",,,2438.86,9560.68,4
RC,204,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,204,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,204,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,204,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6418.4,19647.98,4
RC,204,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES Mental Health Geriatric",,,6941.7,20009.92,4
RC,204,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,204,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,60074.61,2
RC,204,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,204,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES Mental Health Geriatric,,,5554.44,21288.76,4
RC,204,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,204,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,204,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,204,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,204,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,204,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,204,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,204,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS Mental Health Geriatric,,,2109.02,10332.49,4
RC,204,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,204,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,204,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,2625.65,9000.28,4
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,26093.06,2
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,37874.3,2
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,20340.58,2
RC,204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES Mental Health Geriatric,,,5559.44,16956.46,4
RC,204,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,204,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS Mental Health Geriatric,,,2177.83,8479.9,4
RC,204,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,204,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,204,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,204,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS Mental Health Geriatric",,,5883.01,26789.41,4
RC,204,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,204,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,204,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,204,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,204,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,204,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,204,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS Mental Health Geriatric",,,5840.9,19514.14,4
RC,204,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS Mental Health Geriatric,,,5686.2,26151.44,4
RC,204,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,23467.57,23467.57,1
RC,204,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,14012.2,14012.2,1
RC,204,OTHER SIGNIFICANT HIP AND FEMUR SURGERY Mental Health Geriatric,,,6813.68,18268.66,4
RC,204,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS Mental Health Geriatric",,,2314.6,10255.34,4
RC,204,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,204,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,38422.56,2
RC,204,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,204,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES Mental Health Geriatric",,,3804.01,14920.39,4
RC,204,OTHER SMALL AND LARGE BOWEL PROCEDURES Mental Health Geriatric,,,5328.02,16891.4,4
RC,204,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES Mental Health Geriatric",,,3964.96,18121.88,4
RC,204,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,204,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,204,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,204,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,34828.05,2
RC,204,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,204,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,27596.53,2
RC,204,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT Mental Health Geriatric,,,2320.43,13546.49,4
RC,204,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,12030.59,22782.25,6
RC,204,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,204,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,204,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,204,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,204,"PENIS, TESTES AND SCROTAL PROCEDURES Mental Health Geriatric",,,4627.52,17795.4,4
RC,204,PEPTIC ULCER AND GASTRITIS Mental Health Geriatric,,,3183.55,11294.86,4
RC,204,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,204,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,204,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,204,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,204,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,204,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,204,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,40548.66,2
RC,204,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,29665.26,2
RC,204,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,204,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,204,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,204,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,204,PERITONEAL ADHESIOLYSIS Mental Health Geriatric,,,5846.74,17678.23,4
RC,204,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,26418.19,2
RC,204,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,41954.38,2
RC,204,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,20322.51,2
RC,204,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,204,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,204,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,204,PERSONALITY DISORDERS Mental Health Geriatric,,,1858.01,12289.32,4
RC,204,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,204,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,204,POISONING OF MEDICINAL AGENTS Mental Health Geriatric,,,1818.4,8746.75,4
RC,204,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE Mental Health Geriatric",,,5171.66,20634.95,4
RC,204,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS Mental Health Geriatric",,,2777.84,11662.2,4
RC,204,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,204,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,204,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,204,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,204,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,204,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,204,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,204,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE Mental Health Geriatric,,,1691.02,18371.86,4
RC,204,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE Mental Health Geriatric,,,2890.94,35669.74,4
RC,204,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,204,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,204,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,204,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEAL Mental Health Geriatric",,,6735.3,34803.13,4
RC,204,PROCEDURES FOR OBESITY Mental Health Geriatric,,,4893.96,19469.52,4
RC,204,PROSTATECTOMY PROCEDURES Mental Health Geriatric,,,6523.06,17066.53,4
RC,204,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,204,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,204,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,204,PSYCHOSES ,,,18854.11,18854.11,1
RC,204,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,204,RADIOTHERAPY Mental Health Geriatric,,,4977.77,16606.2,4
RC,204,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,204,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,204,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,21415.85,2
RC,204,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,204,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,204,REHABILITATION Mental Health Geriatric,,,5069.51,10543.48,4
RC,204,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,204,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,204,RENAL DIALYSIS ACCESS PROCEDURES Mental Health Geriatric,,,5507.33,17744.11,4
RC,204,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,204,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,204,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,204,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,204,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,204,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,204,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,204,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,204,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,204,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,204,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,33210.89,2
RC,204,SCHIZOAFFECTIVE DISORDERS Mental Health Geriatric,,,3416.64,11589.23,4
RC,204,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS Mental Health Geriatric,,,2710.72,11570.47,4
RC,204,SEPTIC ARTHRITIS WITH CC ,,,13000.0,16839.57,2
RC,204,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,24529.03,2
RC,204,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13300.31,2
RC,204,SEPTICEMIA AND DISSEMINATED INFECTIONS Mental Health Geriatric,,,2882.09,12019.13,4
RC,204,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,204,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,204,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,204,SHOULDER AND ELBOW JOINT REPLACEMENT Mental Health Geriatric,,,7387.85,17263.76,4
RC,204,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,204,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,204,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,21601.78,2
RC,204,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT Mental Health Geriatric",,,5687.87,17656.55,4
RC,204,SICKLE CELL ANEMIA CRISIS Mental Health Geriatric,,,2684.03,11244.82,4
RC,204,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,18057.21,2
RC,204,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,12838.11,13000.0,2
RC,204,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,204,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,204,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS Mental Health Geriatric",,,2438.86,7633.45,4
RC,204,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,46731.47,2
RC,204,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Mental Health Geriatric,,,12561.18,24951.83,4
RC,204,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,204,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,204,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,204,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,35262.62,2
RC,204,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,204,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,32177.06,2
RC,204,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,204,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,21081.15,2
RC,204,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES Mental Health Geriatric,,,6869.15,28797.12,4
RC,204,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES Mental Health Geriatric,,,7449.14,26071.39,4
RC,204,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,204,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,73622.82,2
RC,204,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,204,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,204,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,204,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,204,SKIN ULCERS Mental Health Geriatric,,,2420.09,9142.87,4
RC,204,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,204,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,204,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,204,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,22586.74,2
RC,204,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,37639.48,2
RC,204,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,18313.28,2
RC,204,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES Mental Health Geriatric,,,7699.33,22736.05,4
RC,204,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,204,SPLENIC PROCEDURES Mental Health Geriatric,,,6878.32,19399.48,4
RC,204,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,204,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,204,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,204,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,14152.45,2
RC,204,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11666.16,13000.0,2
RC,204,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,204,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,204,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,204,SYNCOPE AND COLLAPSE ,,,13000.0,13273.75,2
RC,204,SYNCOPE AND COLLAPSE Mental Health Geriatric,,,3013.02,7550.89,4
RC,204,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES Mental Health Geriatric",,,5003.21,15544.6,4
RC,204,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,19811.43,2
RC,204,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13503.25,2
RC,204,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,204,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,204,THYROID DISORDERS Mental Health Geriatric,,,2426.76,9912.18,4
RC,204,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES Mental Health Geriatric",,,4986.95,23891.48,4
RC,204,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,204,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,204,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,204,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES Mental Health Geriatric,,,2164.91,11372.82,4
RC,204,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,204,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,204,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,204,TRANSURETHRAL PROSTATECTOMY Mental Health Geriatric,,,3827.35,12827.21,4
RC,204,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,204,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,204,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,204,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,204,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,204,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,204,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,204,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,204,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,204,UNGROUPABLE ,,,4012.81,4012.81,1
RC,204,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,204,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,204,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,15617.67,2
RC,204,URETHRAL AND TRANSURETHRAL PROCEDURES Mental Health Geriatric,,,4298.53,13173.3,4
RC,204,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,204,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,204,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,204,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION Mental Health Geriatric,,,2026.06,10006.0,4
RC,204,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,204,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,204,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,204,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,204,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,204,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,204,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,204,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,204,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,204,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,204,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,204,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,204,VAGINAL DELIVERY Mental Health Geriatric,,,2199.86,13169.48,4
RC,204,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C Mental Health Geriatric,,,2482.09,27141.0,4
RC,204,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,204,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C Mental Health Geriatric,,,3580.84,17223.0,4
RC,204,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,204,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,204,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,204,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,204,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,204,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,204,VEIN LIGATION AND STRIPPING ,,,13000.0,36498.33,2
RC,204,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES Mental Health Geriatric,,,5907.61,16377.29,4
RC,204,VIRAL ILLNESS Mental Health Geriatric,,,1901.8,9350.52,4
RC,204,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,204,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,204,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,204,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,204,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,204,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,206, Intensive Care Unit Intermediate ICU  ,,,1455.0,21045.0,8
RC,206,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,206,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,206,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,206,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,22148.98,2
RC,206,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,32766.76,2
RC,206,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13891.07,2
RC,206,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,206,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,206,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,206,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,206,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,206,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,206,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,206,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,206,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,206,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,10376.25,13000.0,2
RC,206,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,206,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,206,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,206,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,206,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,206,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,206,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,206,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,206,AICD LEAD PROCEDURES ,,,13000.0,42456.95,2
RC,206,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,206,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,206,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,206,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,206,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,206,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,206,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,206,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,206,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,206,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,206,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,49625.78,2
RC,206,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,16552.69,2
RC,206,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,206,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,206,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,206,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,206,ANGINA PECTORIS ,,,11470.65,13000.0,2
RC,206,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,77091.95,2
RC,206,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,48885.19,2
RC,206,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,206,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,206,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,206,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,206,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,206,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,206,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,206,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,206,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,206,ATHEROSCLEROSIS WITH MCC ,,,13000.0,16726.93,2
RC,206,ATHEROSCLEROSIS WITHOUT MCC ,,,11165.7,13000.0,2
RC,206,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,206,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,25265.36,2
RC,206,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,43722.41,2
RC,206,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,19885.82,2
RC,206,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,206,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,206,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,206,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,62695.85,2
RC,206,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,206,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,41898.07,4
RC,206,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,30142.33,2
RC,206,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,40718.66,2
RC,206,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,23764.02,2
RC,206,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,17786.27,2
RC,206,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,12832.8,13000.0,2
RC,206,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,206,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,206,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,206,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,206,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,206,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,11829.78,13000.0,2
RC,206,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,16805.56,2
RC,206,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,10027.74,13000.0,2
RC,206,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,20756.01,2
RC,206,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13715.75,2
RC,206,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,206,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,206,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,206,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,206,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,206,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,206,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,206,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,37398.29,2
RC,206,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,25498.05,2
RC,206,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,24099.77,2
RC,206,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,38574.5,2
RC,206,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,21330.85,2
RC,206,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,107957.12,6
RC,206,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,85596.36,6
RC,206,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,206,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,206,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,35315.74,2
RC,206,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,55318.76,2
RC,206,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,206,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,206,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,206,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,206,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,206,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,206,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,206,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,206,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,206,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,206,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,206,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,206,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,206,CHEST PAIN ,,,11662.96,13000.0,2
RC,206,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,25971.94,2
RC,206,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,206,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,206,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,206,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,206,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,206,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,27524.27,2
RC,206,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,15382.85,2
RC,206,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,206,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,206,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,206,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,206,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,206,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,206,COMPLEX AORTIC ARCH PROCEDURES ,,,13000.0,124277.44,2
RC,206,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,15525.23,2
RC,206,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,206,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,206,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,206,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,206,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,206,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,13000.0,119552.37,2
RC,206,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,206,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,16267.93,2
RC,206,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,30381.4,2
RC,206,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,12897.62,13000.0,2
RC,206,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,85244.67,2
RC,206,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,62055.15,2
RC,206,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,93582.28,2
RC,206,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,68429.21,2
RC,206,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,206,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,206,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,206,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,206,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,206,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,206,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,206,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,206,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,206,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,206,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,206,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,206,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,16865.07,2
RC,206,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,26736.94,2
RC,206,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,206,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,14269.32,2
RC,206,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,23081.88,2
RC,206,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11447.28,13000.0,2
RC,206,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,12950.74,13000.0,2
RC,206,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,206,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10615.32,13000.0,2
RC,206,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,206,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,206,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,206,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,206,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,206,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,206,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,206,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,13000.0,64649.83,2
RC,206,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,69128.36,2
RC,206,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,54597.31,2
RC,206,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,206,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,12296.22,13000.0,2
RC,206,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,206,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,206,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,206,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,206,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,206,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,206,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,206,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,206,FOOT PROCEDURES WITH CC ,,,13000.0,23873.46,2
RC,206,FOOT PROCEDURES WITH MCC ,,,13000.0,33668.84,2
RC,206,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,206,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,206,FRACTURES OF FEMUR WITH MCC ,,,13000.0,20669.96,2
RC,206,FRACTURES OF FEMUR WITHOUT MCC ,,,12577.79,13000.0,2
RC,206,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,17634.33,2
RC,206,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,12593.73,13000.0,2
RC,206,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,206,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,206,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,206,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,206,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,206,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,23435.7,2
RC,206,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,206,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,206,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,206,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,206,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,20740.08,2
RC,206,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,14874.96,2
RC,206,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,206,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13033.62,2
RC,206,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,17653.46,2
RC,206,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,10026.68,13000.0,2
RC,206,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,206,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,206,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,206,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,21888.66,2
RC,206,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,34847.18,2
RC,206,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,18303.71,2
RC,206,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,26267.31,2
RC,206,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,34956.62,2
RC,206,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,21342.53,2
RC,206,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,206,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,206,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,206,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,206,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,206,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,206,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,206,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,206,HYPERTENSION WITH MCC ,,,13000.0,16656.81,2
RC,206,HYPERTENSION WITHOUT MCC ,,,12035.9,13000.0,2
RC,206,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,206,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,206,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,206,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,206,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,206,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,206,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,206,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,206,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,206,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,206,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,206,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,206,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,206,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,206,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,206,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,206,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,206,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,206,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,206,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,206,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,206,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,206,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,206,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,206,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,206,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,206,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,206,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,206,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,206,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,206,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,206,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,26231.19,2
RC,206,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,38301.43,2
RC,206,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,206,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,22807.74,2
RC,206,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,206,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,206,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,206,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,206,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,206,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,42536.64,6
RC,206,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,36066.94,2
RC,206,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,25420.48,2
RC,206,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,30959.41,2
RC,206,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,206,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,25332.29,2
RC,206,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,206,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,206,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,206,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,206,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,206,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,206,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,206,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,206,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,206,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,206,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,206,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,206,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,206,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,206,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11458.96,13000.0,2
RC,206,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,206,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,22852.37,2
RC,206,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,206,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,206,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,206,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,206,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,206,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,33464.84,2
RC,206,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,206,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,206,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,23206.19,2
RC,206,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,206,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,206,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,206,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,206,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,206,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,206,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,18348.35,2
RC,206,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,206,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,206,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,206,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,206,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,206,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,206,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,206,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,206,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,206,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,206,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,206,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,206,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,206,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,206,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,21821.73,2
RC,206,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,14226.82,2
RC,206,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,206,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,206,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,206,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,206,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,206,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,206,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,206,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,20000.57,2
RC,206,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,31455.61,2
RC,206,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,206,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,206,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,206,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,206,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,206,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,206,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,206,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,206,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,206,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,206,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,206,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,206,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,206,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,206,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,206,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,206,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,206,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,206,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,206,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,206,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,206,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,206,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,206,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,206,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,206,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,206,OSTEOMYELITIS WITH CC ,,,13000.0,17786.27,2
RC,206,OSTEOMYELITIS WITH MCC ,,,13000.0,24941.28,2
RC,206,OSTEOMYELITIS WITHOUT CC/MCC ,,,12379.1,13000.0,2
RC,206,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,206,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,206,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,206,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,206,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,206,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,206,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,206,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,56579.98,2
RC,206,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,37476.91,2
RC,206,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,14248.07,2
RC,206,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,26168.51,2
RC,206,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,206,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,39507.4,2
RC,206,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13954.82,2
RC,206,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,21005.71,2
RC,206,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,206,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,28721.74,2
RC,206,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,50687.24,2
RC,206,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,18865.79,2
RC,206,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,206,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,206,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,206,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,206,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,206,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,206,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,206,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,206,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,109808.04,2
RC,206,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,27259.71,2
RC,206,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,206,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,206,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,206,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,206,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,206,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,206,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,206,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,206,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,206,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,206,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,206,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,206,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,206,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,206,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,60074.61,2
RC,206,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,206,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,206,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,206,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,206,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,206,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,206,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,206,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,206,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,206,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,206,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,206,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,206,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,206,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,206,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,26093.06,2
RC,206,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,37874.3,2
RC,206,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,20340.58,2
RC,206,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,206,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,206,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,206,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,206,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,206,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,206,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,206,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,206,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,206,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,206,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,206,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,38422.56,2
RC,206,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,206,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,206,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,206,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,206,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,34828.05,2
RC,206,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,206,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,27596.53,2
RC,206,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,12030.59,22782.25,6
RC,206,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,206,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,206,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,206,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,206,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,206,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,206,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,206,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,206,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,206,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,206,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,40548.66,2
RC,206,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,29665.26,2
RC,206,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,206,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,206,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,206,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,206,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,26418.19,2
RC,206,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,41954.38,2
RC,206,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,20322.51,2
RC,206,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,206,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,206,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,206,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,206,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,206,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,206,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,206,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,206,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,206,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,206,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,206,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,206,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,206,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,206,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,206,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,206,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,206,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,206,PSYCHOSES ,,,18854.11,18854.11,1
RC,206,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,206,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,206,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,206,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,21415.85,2
RC,206,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,206,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,206,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,206,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,206,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,206,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,206,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,206,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,33218.32,33218.32,1
RC,206,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,72382.85,72382.85,1
RC,206,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,206,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,206,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,206,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,206,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,206,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,33210.89,2
RC,206,SEPTIC ARTHRITIS WITH CC ,,,13000.0,16839.57,2
RC,206,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,24529.03,2
RC,206,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13300.31,2
RC,206,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,206,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,206,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,206,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,206,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,206,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,21601.78,2
RC,206,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,18057.21,2
RC,206,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,12838.11,13000.0,2
RC,206,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,206,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,206,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,46731.47,2
RC,206,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,206,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,206,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,206,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,35262.62,2
RC,206,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,206,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,32177.06,2
RC,206,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,206,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,21081.15,2
RC,206,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,206,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,73622.82,2
RC,206,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,206,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,206,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,206,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,206,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,206,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,206,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,206,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,22586.74,2
RC,206,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,37639.48,2
RC,206,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,18313.28,2
RC,206,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,206,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,206,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,206,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,206,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,14152.45,2
RC,206,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11666.16,13000.0,2
RC,206,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,206,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,206,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,206,SYNCOPE AND COLLAPSE ,,,13000.0,13273.75,2
RC,206,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,19811.43,2
RC,206,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13503.25,2
RC,206,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,206,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,206,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,206,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,206,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,206,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,206,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,206,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,206,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,206,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,206,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,206,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,206,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,206,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,206,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,206,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,206,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,206,UNGROUPABLE ,,,4012.81,4012.81,1
RC,206,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,206,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,206,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,15617.67,2
RC,206,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,206,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,206,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,206,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,206,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,206,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,206,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,206,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,206,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,206,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,206,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,206,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,206,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,206,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,206,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,206,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,206,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,206,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,206,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,206,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,206,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,206,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,206,VEIN LIGATION AND STRIPPING ,,,13000.0,36498.33,2
RC,206,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,206,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,206,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,206,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,206,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,206,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,207, Intensive Care Unit Burn Care  ,,,7500.0,14300.0,5
RC,207,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,13000.0,1
RC,207,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,13000.0,1
RC,207,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,13000.0,13000.0,1
RC,207,AICD LEAD PROCEDURES ,,,13000.0,13000.0,1
RC,207,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,13000.0,1
RC,207,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,13000.0,1
RC,207,ANGINA PECTORIS ,,,13000.0,13000.0,1
RC,207,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,13000.0,1
RC,207,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,207,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,207,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,207,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,207,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,ATHEROSCLEROSIS WITH MCC ,,,13000.0,13000.0,1
RC,207,ATHEROSCLEROSIS WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,207,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,13000.0,1
RC,207,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,13000.0,1
RC,207,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,13000.0,1
RC,207,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,13000.0,1
RC,207,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,13000.0,1
RC,207,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,13000.0,1
RC,207,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,13000.0,1
RC,207,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,13000.0,13000.0,1
RC,207,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,13000.0,1
RC,207,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,13000.0,1
RC,207,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,207,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,207,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,207,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,13000.0,1
RC,207,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,13000.0,1
RC,207,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,13000.0,1
RC,207,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,13000.0,3
RC,207,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,13000.0,3
RC,207,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,13000.0,1
RC,207,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,13000.0,1
RC,207,CHEST PAIN ,,,13000.0,13000.0,1
RC,207,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,13000.0,1
RC,207,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,13000.0,1
RC,207,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,13000.0,1
RC,207,COMPLEX AORTIC ARCH PROCEDURES ,,,13000.0,13000.0,1
RC,207,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,13000.0,1
RC,207,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,13000.0,13000.0,1
RC,207,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,13000.0,1
RC,207,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,13000.0,1
RC,207,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,13000.0,1
RC,207,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,13000.0,1
RC,207,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,13000.0,1
RC,207,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,13000.0,1
RC,207,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,13000.0,1
RC,207,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,13000.0,1
RC,207,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,13000.0,13000.0,1
RC,207,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,13000.0,13000.0,1
RC,207,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,13000.0,13000.0,1
RC,207,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,207,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,13000.0,13000.0,1
RC,207,FOOT PROCEDURES WITH CC ,,,13000.0,13000.0,1
RC,207,FOOT PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,207,FRACTURES OF FEMUR WITH MCC ,,,13000.0,13000.0,1
RC,207,FRACTURES OF FEMUR WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,13000.0,1
RC,207,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,13000.0,1
RC,207,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,13000.0,1
RC,207,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,13000.0,1
RC,207,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13000.0,1
RC,207,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,13000.0,1
RC,207,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,13000.0,1
RC,207,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,13000.0,1
RC,207,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,13000.0,1
RC,207,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,13000.0,1
RC,207,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,HYPERTENSION WITH MCC ,,,13000.0,13000.0,1
RC,207,HYPERTENSION WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,13000.0,1
RC,207,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,13000.0,1
RC,207,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,13000.0,1
RC,207,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,13000.0,3
RC,207,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,13000.0,1
RC,207,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,13000.0,1
RC,207,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,13000.0,1
RC,207,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,13000.0,1
RC,207,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,13000.0,1
RC,207,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,207,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,13000.0,1
RC,207,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,13000.0,1
RC,207,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,13000.0,1
RC,207,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,13000.0,1
RC,207,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,13000.0,1
RC,207,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,207,OSTEOMYELITIS WITH CC ,,,13000.0,13000.0,1
RC,207,OSTEOMYELITIS WITH MCC ,,,13000.0,13000.0,1
RC,207,OSTEOMYELITIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,207,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,207,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,13000.0,1
RC,207,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,13000.0,1
RC,207,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,13000.0,1
RC,207,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13000.0,1
RC,207,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,13000.0,1
RC,207,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,13000.0,1
RC,207,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,207,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,13000.0,1
RC,207,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,13000.0,1
RC,207,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,207,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,13000.0,1
RC,207,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,207,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,13000.0,1
RC,207,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,13000.0,1
RC,207,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,13000.0,1
RC,207,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,13000.0,1
RC,207,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,13000.0,13000.0,3
RC,207,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,13000.0,1
RC,207,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,13000.0,1
RC,207,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,13000.0,1
RC,207,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,SEPTIC ARTHRITIS WITH CC ,,,13000.0,13000.0,1
RC,207,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,13000.0,1
RC,207,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,13000.0,1
RC,207,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,13000.0,1
RC,207,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,13000.0,13000.0,1
RC,207,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,13000.0,1
RC,207,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,13000.0,1
RC,207,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,13000.0,1
RC,207,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,13000.0,1
RC,207,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,13000.0,1
RC,207,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,207,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,13000.0,1
RC,207,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,13000.0,13000.0,1
RC,207,SYNCOPE AND COLLAPSE ,,,13000.0,13000.0,1
RC,207,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,13000.0,1
RC,207,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13000.0,1
RC,207,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,207,VEIN LIGATION AND STRIPPING ,,,13000.0,13000.0,1
RC,208, Intensive Care Unit Trauma  ,,,6000.0,14300.0,9
RC,208,17-hydroxypregnenolone Trauma,,,54.74,54.74,2
RC,208,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc Trauma",,,123.14,123.14,2
RC,208,510K Skin Substitute Produ Trauma,,,311.89,311.89,2
RC,208,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain Trauma",,,720.0,720.0,2
RC,208,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Trauma",,,14795.37,30877.3,4
RC,208,ABORTION WITHOUT D&C Trauma,,,13065.41,27266.95,4
RC,208,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) Trauma,,,208.7,208.7,2
RC,208,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) Trauma,,,187.82,187.82,2
RC,208,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) Trauma,,,78.29,78.29,2
RC,208,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION Trauma,,,14339.83,29926.61,4
RC,208,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,13000.0,1
RC,208,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC Trauma,,,22343.27,46629.43,4
RC,208,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,13000.0,1
RC,208,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC Trauma,,,33054.19,68982.65,4
RC,208,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC Trauma,,,14012.92,29244.36,4
RC,208,ACUTE LEUKEMIA WITH CC Trauma,,,26404.48,55105.01,4
RC,208,ACUTE LEUKEMIA WITH MCC Trauma,,,62891.04,131250.86,4
RC,208,ACUTE LEUKEMIA WITH OTHER PROCEDURES Trauma,,,96864.12,202151.21,4
RC,208,ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,17119.12,35726.86,4
RC,208,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC Trauma",,,13899.3,29007.24,4
RC,208,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC Trauma",,,21241.42,44329.92,4
RC,208,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC Trauma",,,11798.49,24622.94,4
RC,208,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC Trauma",,,11467.3,23931.75,4
RC,208,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC Trauma",,,25279.05,52756.27,4
RC,208,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,13000.0,13000.0,1
RC,208,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC Trauma",,,10467.27,21844.74,4
RC,208,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC Trauma,,,27540.64,57476.11,4
RC,208,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC Trauma,,,19046.29,39748.78,4
RC,208,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) Trauma",,,659.59,659.59,2
RC,208,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,AFTERCARE WITH CC/MCC Trauma,,,16799.71,35060.26,4
RC,208,AFTERCARE WITHOUT CC/MCC Trauma,,,10775.96,22488.96,4
RC,208,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Trauma",,,16118.02,33637.61,4
RC,208,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Trauma",,,24036.78,50163.72,4
RC,208,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Trauma",,,12664.55,26430.36,4
RC,208,AICD GENERATOR PROCEDURES Trauma,,,52949.7,110503.73,4
RC,208,AICD LEAD PROCEDURES ,,,13000.0,13000.0,1
RC,208,AICD LEAD PROCEDURES Trauma,,,42829.38,89383.06,4
RC,208,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY Trauma",,,19221.0,40113.38,4
RC,208,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC Trauma",,,22752.72,47483.93,4
RC,208,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC Trauma",,,13510.22,28195.25,4
RC,208,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA Trauma",,,10660.2,22247.38,4
RC,208,ALLERGIC REACTIONS WITH MCC Trauma,,,22072.1,46063.51,4
RC,208,ALLERGIC REACTIONS WITHOUT MCC Trauma,,,11189.69,23352.4,4
RC,208,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC Trauma,,,34600.85,72210.48,4
RC,208,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC Trauma,,,56800.83,118540.87,4
RC,208,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC Trauma,,,18886.59,39415.49,4
RC,208,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC Trauma,,,28439.9,59352.84,4
RC,208,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,13000.0,1
RC,208,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC Trauma,,,50061.1,104475.34,4
RC,208,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,13000.0,1
RC,208,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC Trauma,,,16697.88,34847.76,4
RC,208,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH Trauma",,,19249.94,86457.22,12
RC,208,ANAL AND STOMAL PROCEDURES WITH CC Trauma,,,18076.27,37724.4,4
RC,208,ANAL AND STOMAL PROCEDURES WITH MCC Trauma,,,28653.2,59797.99,4
RC,208,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC Trauma,,,13379.47,27922.37,4
RC,208,ANGINA PECTORIS ,,,13000.0,13000.0,1
RC,208,ANGINA PECTORIS Trauma,,,11571.27,24148.73,4
RC,208,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,13000.0,1
RC,208,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC Trauma,,,77768.2,162298.85,4
RC,208,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC Trauma,,,49314.01,102916.2,4
RC,208,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants Trauma",,,480.0,480.0,2
RC,208,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence Trauma",,,1872.0,1872.0,2
RC,208,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants Trauma",,,672.0,672.0,2
RC,208,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,208,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,208,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,208,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,208,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,APPENDIX PROCEDURES WITH CC Trauma,,,20271.41,42305.54,4
RC,208,APPENDIX PROCEDURES WITH MCC Trauma,,,29717.54,62019.22,4
RC,208,APPENDIX PROCEDURES WITHOUT CC/MCC Trauma,,,16317.38,34053.67,4
RC,208,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) Trauma",,,328.8,328.8,2
RC,208,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence Trauma",,,723.24,723.24,2
RC,208,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant Trauma",,,444.48,444.48,2
RC,208,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) Trauma",,,113.4,113.4,2
RC,208,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence Trauma",,,1623.6,1623.6,2
RC,208,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,580.56,580.56,2
RC,208,ATHEROSCLEROSIS WITH MCC ,,,13000.0,13000.0,1
RC,208,ATHEROSCLEROSIS WITH MCC Trauma,,,16873.66,35214.6,4
RC,208,ATHEROSCLEROSIS WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,ATHEROSCLEROSIS WITHOUT MCC Trauma,,,11263.65,23506.74,4
RC,208,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,Abatacept injection Trauma,,,110.06,110.06,2
RC,208,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,35092.32,35092.32,2
RC,208,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,29301.36,29301.36,2
RC,208,"Above elbow, molded double wall socket, internal locking elbow, forearm Trauma",,,8398.54,8398.54,2
RC,208,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,9529.2,9529.2,2
RC,208,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot Trauma",,,11177.38,11177.38,2
RC,208,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee Trauma",,,11715.22,11715.22,2
RC,208,"Above knee, molded socket, single axis constant friction knee, shin, sach foot Trauma",,,10747.34,10747.34,2
RC,208,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each Trauma",,,8104.27,8104.27,2
RC,208,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each Trauma",,,7129.75,7129.75,2
RC,208,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each Trauma",,,2107.34,2107.34,2
RC,208,"Accessory for speech generating device, electromyographic sensor Trauma",,,10778.4,10778.4,2
RC,208,"Accessory to custom gradient compression garment, silicone band, any size Trauma",,,50.06,50.06,2
RC,208,"Accessory, arm trough, with or without hand support, each Trauma",,,241.82,241.82,2
RC,208,Acetaminophen Trauma,,,44.74,44.74,2
RC,208,Acetylcholine receptor (AChR); binding antibody Trauma,,,44.16,44.16,2
RC,208,Acetylcholine receptor (AChR); blocking antibody Trauma,,,44.16,44.16,2
RC,208,Acetylcholine receptor (AChR); modulating antibody Trauma,,,28.92,28.92,2
RC,208,Acetylcholinesterase Trauma,,,29.5,29.5,2
RC,208,"Actin (smooth muscle) antibody (ASMA), each Trauma",,,28.92,28.92,2
RC,208,Activated Protein C (APC) resistance assay Trauma,,,36.77,36.77,2
RC,208,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,114.31,114.31,2
RC,208,"Acylcarnitines; qualitative, each specimen Trauma",,,39.58,39.58,2
RC,208,"Acylcarnitines; quantitative, each specimen Trauma",,,40.49,40.49,2
RC,208,Adalimumab Trauma,,,92.57,92.57,2
RC,208,"Addition  to lower extremity, below knee, molded distal cushion Trauma",,,331.75,331.75,2
RC,208,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling Trauma",,,225.48,225.48,2
RC,208,"Addition to ctlso or scoliosis orthosis, kyphosis pad Trauma",,,308.09,308.09,2
RC,208,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating Trauma",,,350.16,350.16,2
RC,208,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad Trauma",,,233.93,233.93,2
RC,208,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad Trauma",,,281.57,281.57,2
RC,208,"Addition to ctlso or scoliosis orthosis, lumbar sling Trauma",,,252.79,252.79,2
RC,208,"Addition to ctlso or scoliosis orthosis, outrigger Trauma",,,194.81,194.81,2
RC,208,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions Trauma",,,541.18,541.18,2
RC,208,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather Trauma",,,446.26,446.26,2
RC,208,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model Trauma",,,755.86,755.86,2
RC,208,"Addition to ctlso or scoliosis orthosis, sternal pad Trauma",,,243.74,243.74,2
RC,208,"Addition to ctlso or scoliosis orthosis, thoracic pad Trauma",,,274.97,274.97,2
RC,208,"Addition to ctlso or scoliosis orthosis, trapezius sling Trauma",,,281.16,281.16,2
RC,208,"Addition to ctlso, scoliosis orthosis, cover for upright, each Trauma",,,120.38,120.38,2
RC,208,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability Trauma",,,3195.02,3195.02,2
RC,208,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material Trauma",,,3359.74,3359.74,2
RC,208,"Addition to halo procedure, replacement liner/interface material Trauma",,,639.17,639.17,2
RC,208,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint Trauma",,,425.09,425.09,2
RC,208,"Addition to knee joint, drop lock, each Trauma",,,258.58,258.58,2
RC,208,"Addition to knee joint, lift loop for drop lock ring Trauma",,,281.23,281.23,2
RC,208,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint Trauma",,,425.09,425.09,2
RC,208,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint Trauma",,,360.24,360.24,2
RC,208,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens Trauma",,,36.43,36.43,2
RC,208,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type Trauma",,,504.74,504.74,2
RC,208,"Addition to lower extremity fracture orthosis, drop lock knee joint Trauma",,,252.79,252.79,2
RC,208,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt Trauma",,,983.35,983.35,2
RC,208,"Addition to lower extremity fracture orthosis, limited motion knee joint Trauma",,,455.52,455.52,2
RC,208,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints Trauma",,,322.99,322.99,2
RC,208,"Addition to lower extremity fracture orthosis, quadrilateral brim Trauma",,,1101.29,1101.29,2
RC,208,"Addition to lower extremity fracture orthosis, waist belt Trauma",,,286.03,286.03,2
RC,208,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source Trauma",,,4318.61,4318.61,2
RC,208,"Addition to lower extremity orthosis, drop lock retainer, each Trauma",,,116.54,116.54,2
RC,208,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) Trauma",,,167.57,167.57,2
RC,208,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each Trauma",,,170.76,170.76,2
RC,208,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only Trauma",,,387.58,387.58,2
RC,208,"Addition to lower extremity orthosis, knee control, condylar pad Trauma",,,215.4,215.4,2
RC,208,"Addition to lower extremity orthosis, knee control, full kneecap Trauma",,,234.36,234.36,2
RC,208,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only Trauma",,,294.17,294.17,2
RC,208,"Addition to lower extremity orthosis, non-corrosive finish, per bar Trauma",,,198.22,198.22,2
RC,208,"Addition to lower extremity orthosis, plating chrome or nickel, per bar Trauma",,,230.52,230.52,2
RC,208,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each Trauma",,,251.42,251.42,2
RC,208,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only Trauma",,,286.51,286.51,2
RC,208,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section Trauma",,,269.3,269.3,2
RC,208,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section Trauma",,,239.5,239.5,2
RC,208,"Addition to lower extremity orthosis, suspension sleeve Trauma",,,323.23,323.23,2
RC,208,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each Trauma",,,150.34,150.34,2
RC,208,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector Trauma",,,28212.0,28212.0,2
RC,208,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each Trauma",,,380.57,380.57,2
RC,208,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type Trauma",,,55221.6,55221.6,2
RC,208,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type Trauma",,,71328.0,71328.0,2
RC,208,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type Trauma",,,25309.68,25309.68,2
RC,208,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) Trauma",,,43111.2,43111.2,2
RC,208,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type Trauma",,,1673.78,1673.78,2
RC,208,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials Trauma",,,735.17,735.17,2
RC,208,"Addition to lower extremity prosthesis, user adjustable heel height Trauma",,,5390.5,5390.5,2
RC,208,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable Trauma",,,755.74,755.74,2
RC,208,"Addition to lower extremity, abduction bar-straight Trauma",,,339.29,339.29,2
RC,208,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket Trauma",,,1290.98,1290.98,2
RC,208,"Addition to lower extremity, above knee or knee disarticulation, pelvic band Trauma",,,235.87,235.87,2
RC,208,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint Trauma",,,543.62,543.62,2
RC,208,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage Trauma",,,385.68,385.68,2
RC,208,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket Trauma",,,1934.42,1934.42,2
RC,208,"Addition to lower extremity, above knee, flexible inner socket, external frame Trauma",,,3528.53,3528.53,2
RC,208,"Addition to lower extremity, above knee, leather socket Trauma",,,1820.4,1820.4,2
RC,208,"Addition to lower extremity, above knee, pelvic control belt, light Trauma",,,390.41,390.41,2
RC,208,"Addition to lower extremity, above knee, pelvic control belt, padded and lined Trauma",,,533.04,533.04,2
RC,208,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each Trauma",,,492.02,492.02,2
RC,208,"Addition to lower extremity, above knee, wood socket Trauma",,,1735.42,1735.42,2
RC,208,"Addition to lower extremity, anterior swing band Trauma",,,637.03,637.03,2
RC,208,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert Trauma",,,1689.55,1689.55,2
RC,208,"Addition to lower extremity, below knee suction socket Trauma",,,2337.22,2337.22,2
RC,208,"Addition to lower extremity, below knee, acrylic socket Trauma",,,933.74,933.74,2
RC,208,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket Trauma",,,1609.85,1609.85,2
RC,208,"Addition to lower extremity, below knee, back check (extension control) Trauma",,,150.12,150.12,2
RC,208,"Addition to lower extremity, below knee, cuff suspension Trauma",,,205.66,205.66,2
RC,208,"Addition to lower extremity, below knee, flexible inner socket, external frame Trauma",,,2344.34,2344.34,2
RC,208,"Addition to lower extremity, below knee, fork strap Trauma",,,141.43,141.43,2
RC,208,"Addition to lower extremity, below knee, leather socket Trauma",,,1478.59,1478.59,2
RC,208,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) Trauma",,,797.28,797.28,2
RC,208,"Addition to lower extremity, below knee, removable medial brim suspension Trauma",,,876.14,876.14,2
RC,208,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded Trauma",,,1837.51,1837.51,2
RC,208,"Addition to lower extremity, below knee, thigh lacer, nonmolded Trauma",,,973.85,973.85,2
RC,208,"Addition to lower extremity, below knee, total contact Trauma",,,848.81,848.81,2
RC,208,"Addition to lower extremity, below knee, waist belt, padded and lined Trauma",,,287.52,287.52,2
RC,208,"Addition to lower extremity, below knee, waist belt, webbing Trauma",,,179.47,179.47,2
RC,208,"Addition to lower extremity, below knee, wood socket Trauma",,,3294.24,3294.24,2
RC,208,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,1740.94,2089.22,4
RC,208,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,3908.42,3908.42,2
RC,208,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,3908.42,3908.42,2
RC,208,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint Trauma",,,244.3,244.3,2
RC,208,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint Trauma",,,212.74,212.74,2
RC,208,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control Trauma",,,4733.93,4733.93,2
RC,208,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system Trauma",,,6083.18,6083.18,2
RC,208,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control Trauma",,,3999.65,3999.65,2
RC,208,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control Trauma",,,7401.38,7401.38,2
RC,208,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control Trauma",,,5013.91,5013.91,2
RC,208,"Addition to lower extremity, extended steel shank Trauma",,,142.68,142.68,2
RC,208,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment Trauma",,,979.94,979.94,2
RC,208,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame Trauma",,,4573.1,4573.1,2
RC,208,"Addition to lower extremity, ischial containment/narrow m-l socket Trauma",,,7009.56,7009.56,2
RC,208,"Addition to lower extremity, knee disarticulation, expandable wall socket Trauma",,,1710.02,1710.02,2
RC,208,"Addition to lower extremity, knee disarticulation, leather socket Trauma",,,1878.79,1878.79,2
RC,208,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only Trauma",,,1082.9,1082.9,2
RC,208,"Addition to lower extremity, limited ankle motion, each joint Trauma",,,131.11,131.11,2
RC,208,"Addition to lower extremity, long tongue stirrup Trauma",,,324.79,324.79,2
RC,208,"Addition to lower extremity, molded inner boot Trauma",,,1338.79,1338.79,2
RC,208,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only Trauma",,,567.46,567.46,2
RC,208,"Addition to lower extremity, offset knee joint, each joint Trauma",,,301.9,301.9,2
RC,208,"Addition to lower extremity, offset knee joint, heavy duty, each joint Trauma",,,460.92,460.92,2
RC,208,"Addition to lower extremity, patten bottom Trauma",,,707.95,707.95,2
RC,208,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each Trauma",,,330.96,330.96,2
RC,208,"Addition to lower extremity, pelvic control, band and belt, bilateral Trauma",,,926.81,926.81,2
RC,208,"Addition to lower extremity, pelvic control, band and belt, unilateral Trauma",,,682.92,682.92,2
RC,208,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each Trauma",,,845.74,845.74,2
RC,208,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each Trauma",,,1149.74,1149.74,2
RC,208,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each Trauma",,,669.77,669.77,2
RC,208,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each Trauma",,,1751.47,1751.47,2
RC,208,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each Trauma",,,566.42,566.42,2
RC,208,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each Trauma",,,737.4,737.4,2
RC,208,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables Trauma",,,5564.35,5564.35,2
RC,208,"Addition to lower extremity, pelvic control, pelvic sling Trauma",,,1660.3,1660.3,2
RC,208,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables Trauma",,,4736.93,4736.93,2
RC,208,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint Trauma",,,501.31,501.31,2
RC,208,"Addition to lower extremity, pre-tibial shell, molded to patient model Trauma",,,1503.26,1503.26,2
RC,208,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) Trauma",,,2457.41,2457.41,2
RC,208,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each Trauma",,,1662.46,1662.46,2
RC,208,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) Trauma",,,552.84,552.84,2
RC,208,"Addition to lower extremity, round caliper and plate attachment Trauma",,,230.66,230.66,2
RC,208,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,1068.31,1068.31,2
RC,208,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,825.79,825.79,2
RC,208,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,1107.77,1107.77,2
RC,208,"Addition to lower extremity, socket insert, multi-durometer symes Trauma",,,1788.02,1788.02,2
RC,208,"Addition to lower extremity, socket insert, multi-durometer, below knee Trauma",,,1504.42,1504.42,2
RC,208,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,974.45,974.45,2
RC,208,"Addition to lower extremity, split flat caliper stirrups and plate attachment Trauma",,,211.61,211.61,2
RC,208,"Addition to lower extremity, straight knee joint, heavy duty, each joint Trauma",,,369.41,369.41,2
RC,208,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket Trauma",,,1281.0,1281.0,2
RC,208,"Addition to lower extremity, symes type, 'ptb' brim design socket Trauma",,,720.5,720.5,2
RC,208,"Addition to lower extremity, symes type, expandable wall socket Trauma",,,1318.66,1318.66,2
RC,208,"Addition to lower extremity, symes type, medial opening socket Trauma",,,748.66,748.66,2
RC,208,"Addition to lower extremity, symes type, posterior opening (canadian) socket Trauma",,,893.76,893.76,2
RC,208,"Addition to lower extremity, test socket, above knee Trauma",,,1068.19,1068.19,2
RC,208,"Addition to lower extremity, test socket, below knee Trauma",,,816.86,816.86,2
RC,208,"Addition to lower extremity, test socket, hemipelvectomy Trauma",,,1497.91,1497.91,2
RC,208,"Addition to lower extremity, test socket, hip disarticulation Trauma",,,1400.88,1400.88,2
RC,208,"Addition to lower extremity, test socket, knee disarticulation Trauma",,,1065.17,1065.17,2
RC,208,"Addition to lower extremity, test socket, symes Trauma",,,879.5,879.5,2
RC,208,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded Trauma",,,647.98,647.98,2
RC,208,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring Trauma",,,870.05,870.05,2
RC,208,"Addition to lower extremity, thigh/weight bearing, high roll cuff Trauma",,,792.1,792.1,2
RC,208,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model Trauma",,,4358.81,4358.81,2
RC,208,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted Trauma",,,2349.43,2349.43,2
RC,208,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model Trauma",,,1165.99,1165.99,2
RC,208,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted Trauma",,,1270.51,1270.51,2
RC,208,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model Trauma",,,2329.44,2329.44,2
RC,208,"Addition to lower extremity, thoracic control, lateral support uprights Trauma",,,431.57,431.57,2
RC,208,"Addition to lower extremity, thoracic control, paraspinal uprights Trauma",,,470.45,470.45,2
RC,208,"Addition to lower extremity, thoracic control, thoracic band Trauma",,,514.01,514.01,2
RC,208,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup Trauma",,,311.62,311.62,2
RC,208,"Addition to lower extremity, torsion control, straight knee joint, each joint Trauma",,,339.53,339.53,2
RC,208,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) Trauma",,,7560.17,7560.17,2
RC,208,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad Trauma",,,148.1,148.1,2
RC,208,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined Trauma",,,360.38,360.38,2
RC,208,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature Trauma",,,10797.38,10797.38,2
RC,208,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system Trauma",,,11888.59,11888.59,2
RC,208,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty Trauma",,,12533.3,12533.3,2
RC,208,"Addition to lower limb prosthesis, vertical shock reducing pylon feature Trauma",,,5935.66,5935.66,2
RC,208,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material Trauma",,,814.8,814.8,2
RC,208,"Addition to terminal device, modifier wrist unit Trauma",,,999.67,999.67,2
RC,208,"Addition to terminal device, precision pinch device Trauma",,,566.59,566.59,2
RC,208,"Addition to tlso, (low profile), abdominal pad Trauma",,,272.74,272.74,2
RC,208,"Addition to tlso, (low profile), anterior asis pad Trauma",,,265.66,265.66,2
RC,208,"Addition to tlso, (low profile), anterior thoracic derotation pad Trauma",,,273.05,273.05,2
RC,208,"Addition to tlso, (low profile), anterior thoracic extension Trauma",,,610.99,610.99,2
RC,208,"Addition to tlso, (low profile), lateral thoracic extension Trauma",,,721.63,721.63,2
RC,208,"Addition to tlso, (low profile), lateral trochanteric pad Trauma",,,275.59,275.59,2
RC,208,"Addition to tlso, (low profile), lumbar derotation pad Trauma",,,269.78,269.78,2
RC,208,"Addition to tlso, (low profile), milwaukee type superstructure Trauma",,,1567.73,1567.73,2
RC,208,"Addition to tlso, (low profile), rib gusset (elastic), each Trauma",,,243.1,243.1,2
RC,208,"Addition to upper extremity orthosis, sock, fracture or equal, each Trauma",,,92.28,92.28,2
RC,208,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material Trauma",,,1651.37,1651.37,2
RC,208,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) Trauma",,,1019.54,1019.54,2
RC,208,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,2089.22,2089.22,2
RC,208,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,1740.94,1740.94,2
RC,208,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,3908.42,3908.42,2
RC,208,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,3908.42,3908.42,2
RC,208,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material Trauma",,,1094.26,1094.26,2
RC,208,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) Trauma",,,910.7,910.7,2
RC,208,"Addition to upper extremity prosthesis, external powered, additional switch, any type Trauma",,,1223.28,1223.28,2
RC,208,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated Trauma",,,1838.45,1838.45,2
RC,208,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment Trauma",,,499.75,499.75,2
RC,208,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert Trauma",,,1689.55,1689.55,2
RC,208,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material Trauma",,,1094.26,1094.26,2
RC,208,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) Trauma",,,910.7,910.7,2
RC,208,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material Trauma",,,2159.86,2159.86,2
RC,208,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) Trauma",,,1100.88,1100.88,2
RC,208,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) Trauma",,,7560.17,7560.17,2
RC,208,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control Trauma",,,16420.68,16420.68,2
RC,208,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control Trauma",,,2821.61,2821.61,2
RC,208,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock Trauma",,,11034.94,11034.94,2
RC,208,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock Trauma",,,2513.86,2513.86,2
RC,208,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control Trauma",,,6889.13,6889.13,2
RC,208,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control Trauma",,,8297.26,8297.26,2
RC,208,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control Trauma",,,4505.9,4505.9,2
RC,208,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) Trauma",,,1660.94,1660.94,2
RC,208,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame Trauma",,,9278.93,9278.93,2
RC,208,"Addition, endoskeletal knee-shin system, single axis, manual lock Trauma",,,1430.5,1430.5,2
RC,208,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material Trauma",,,2142.86,2142.86,2
RC,208,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control Trauma",,,5003.45,5003.45,2
RC,208,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control Trauma",,,5575.32,5575.32,2
RC,208,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control Trauma",,,10308.77,10308.77,2
RC,208,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system Trauma",,,1558.99,1558.99,2
RC,208,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist Trauma",,,375.86,375.86,2
RC,208,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system Trauma",,,2751.7,2751.7,2
RC,208,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock Trauma",,,1316.35,1316.35,2
RC,208,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,2304.43,2304.43,2
RC,208,"Addition, endoskeletal system, below knee, alignable system Trauma",,,1064.14,1064.14,2
RC,208,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system Trauma",,,1864.13,1864.13,2
RC,208,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,1473.84,1473.84,2
RC,208,"Addition, endoskeletal system, high activity knee control frame Trauma",,,10000.97,10000.97,2
RC,208,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system Trauma",,,3506.33,3506.33,2
RC,208,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist Trauma",,,1009.99,1009.99,2
RC,208,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) Trauma",,,2832.53,2832.53,2
RC,208,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control Trauma",,,13506.72,13506.72,2
RC,208,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable Trauma",,,5325.72,5325.72,2
RC,208,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control Trauma",,,2676.62,2676.62,2
RC,208,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock Trauma",,,2141.47,2141.47,2
RC,208,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control Trauma",,,5111.18,5111.18,2
RC,208,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control Trauma",,,6991.42,6991.42,2
RC,208,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control Trauma",,,4434.96,4434.96,2
RC,208,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) Trauma",,,1286.76,1286.76,2
RC,208,"Addition, exoskeletal knee-shin system, single axis, manual lock Trauma",,,1098.86,1098.86,2
RC,208,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control Trauma",,,2827.73,2827.73,2
RC,208,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control Trauma",,,3363.96,3363.96,2
RC,208,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control Trauma",,,1321.7,1321.7,2
RC,208,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,2112.62,2112.62,2
RC,208,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,1890.96,1890.96,2
RC,208,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) Trauma",,,4206.26,4206.26,2
RC,208,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material Trauma",,,1535.71,1535.71,2
RC,208,"Additions to lower extremity, below knee, joint covers, pair Trauma",,,116.66,116.66,2
RC,208,"Additions to lower extremity, below knee, knee joints, polycentric, pair Trauma",,,1448.69,1448.69,2
RC,208,"Additions to lower extremity, below knee, knee joints, single axis, pair Trauma",,,1064.71,1064.71,2
RC,208,"Additions to lower extremity, total contact, above knee or knee disarticulation socket Trauma",,,1434.38,1434.38,2
RC,208,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) Trauma",,,61.92,61.92,2
RC,208,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each Trauma",,,4.7,4.7,2
RC,208,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each Trauma",,,1.1,1.1,2
RC,208,Adhesive or non-adhesive; disk or foam pad Trauma,,,3.82,3.82,2
RC,208,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce Trauma",,,4.15,4.15,2
RC,208,"Adhesive remover, wipes, any type, each Trauma",,,0.84,0.84,2
RC,208,"Adhesive skin support attachment for use with external breast prosthesis, each Trauma",,,18.26,18.26,2
RC,208,"Adhesive, liquid or equal, any type, per oz Trauma",,,9.0,9.0,2
RC,208,"Adjunctive, non-implanted continuous glucose monitor or receiver Trauma",,,574.13,574.13,2
RC,208,"Adjustable angle footplate, each Trauma",,,157.13,157.13,2
RC,208,"Administration set, with small volume filtered pneumatic nebulizer Trauma",,,22.97,22.97,2
RC,208,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable Trauma",,,4.54,4.54,2
RC,208,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable Trauma",,,36.05,36.05,2
RC,208,Adrenocorticotropic hormone (ACTH) Trauma,,,92.69,92.69,2
RC,208,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,201.41,222.77,4
RC,208,"Aerosol compressor, adjustable pressure, light duty for intermittent use Trauma",,,94.66,94.66,2
RC,208,"Aerosol mask, used with dme nebulizer Trauma",,,3.94,3.94,2
RC,208,"Afamelanotide implant, 1 m Trauma",,,7064.21,7064.21,2
RC,208,Agalsidase beta injection Trauma,,,558.53,558.53,2
RC,208,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen Trauma",,,16.75,16.75,2
RC,208,Air fluidized bed Trauma,,,9818.42,9818.42,2
RC,208,Air pressure mattress Trauma,,,54.07,54.07,2
RC,208,"Air pressure pad for mattress, standard mattress length and width Trauma",,,50.69,50.69,2
RC,208,"Albumin (human), 25%, 20 m Trauma",,,51.19,51.19,2
RC,208,"Albumin (human), 25%, 50ml Trauma",,,127.98,127.98,2
RC,208,"Albumin (human), 5%, 250 m Trauma",,,127.39,127.39,2
RC,208,"Albumin (human),5%, 50ml Trauma",,,25.48,25.48,2
RC,208,Albumin; ischemia modified Trauma,,,81.46,81.46,2
RC,208,"Albumin; other source, quantitative, each specimen Trauma",,,18.67,18.67,2
RC,208,"Albumin; serum, plasma or whole blood Trauma",,,11.88,11.88,2
RC,208,"Albumin; urine (eg, microalbumin), quantitative Trauma",,,13.87,13.87,2
RC,208,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Trauma",,,14.95,14.95,2
RC,208,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) Trauma",,,41.45,41.45,2
RC,208,Alcohol (ethanol); breath Trauma,,,72.0,72.0,2
RC,208,Aldesleukin injection Trauma,,,8013.29,8013.29,2
RC,208,Aldolase Trauma,,,23.3,23.3,2
RC,208,Aldosterone Trauma,,,97.8,97.8,2
RC,208,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) Trauma",,,301.2,301.2,2
RC,208,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing Trauma",,,25.18,25.18,2
RC,208,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Trauma",,,56.26,56.26,2
RC,208,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches Trauma",,,18.05,18.05,2
RC,208,"Alkaline battery for use with cochlear implant device, any size, replacement, each Trauma",,,0.96,0.96,2
RC,208,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon Trauma",,,838.99,838.99,2
RC,208,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability Trauma",,,1673.78,1673.78,2
RC,208,"All exoskeletal lower extremity prostheses, axial rotation unit Trauma",,,1698.6,1698.6,2
RC,208,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) Trauma",,,1645.46,1645.46,2
RC,208,"All lower extremity prostheses, flex foot system Trauma",,,10893.96,10893.96,2
RC,208,"All lower extremity prostheses, flex-walk system or equal Trauma",,,8800.85,8800.85,2
RC,208,"All lower extremity prostheses, foot, external keel, sach foot Trauma",,,596.71,596.71,2
RC,208,"All lower extremity prostheses, foot, flexible keel Trauma",,,1114.66,1114.66,2
RC,208,"All lower extremity prostheses, foot, multiaxial ankle/foot Trauma",,,857.45,857.45,2
RC,208,"All lower extremity prostheses, foot, single axis ankle/foot Trauma",,,684.7,684.7,2
RC,208,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) Trauma",,,1861.9,1861.9,2
RC,208,"All lower extremity prostheses, shoulder harness Trauma",,,694.82,694.82,2
RC,208,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot Trauma",,,1377.55,1377.55,2
RC,208,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only Trauma",,,305.06,305.06,2
RC,208,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system Trauma",,,6704.26,6704.26,2
RC,208,"All lower extremity prosthesis, shank foot system with vertical loading pylon Trauma",,,21374.57,21374.57,2
RC,208,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only Trauma",,,596.71,596.71,2
RC,208,All potassium hydroxide (koh) preparations Trauma,,,13.99,13.99,2
RC,208,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Trauma",,,19.13,19.13,2
RC,208,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Trauma",,,12.53,12.53,2
RC,208,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Trauma",,,43.03,43.03,2
RC,208,"Allergen specific IgG quantitative or semiquantitative, each allergen Trauma",,,18.77,18.77,2
RC,208,Alpha 1 proteinase inhibit Trauma,,,12.32,12.32,2
RC,208,Alpha-1-antitrypsin; phenotype Trauma,,,34.7,34.7,2
RC,208,Alpha-1-antitrypsin; total Trauma,,,32.26,32.26,2
RC,208,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) Trauma,,,154.58,154.58,2
RC,208,Alpha-fetoprotein (AFP); amniotic fluid Trauma,,,40.8,40.8,2
RC,208,Alpha-fetoprotein (AFP); serum Trauma,,,40.25,40.25,2
RC,208,Alteplase recombinant Trauma,,,236.61,236.61,2
RC,208,Altuviiio per factor viii Trauma,,,11.12,11.12,2
RC,208,Aluminum Trauma,,,61.15,61.15,2
RC,208,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater Trauma",,,52.63,52.63,2
RC,208,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours Trauma",,,35.47,35.47,2
RC,208,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient Trauma",,,742.39,742.39,2
RC,208,Amikacin Trauma,,,36.19,36.19,2
RC,208,"Amines, vaginal fluid, qualitative Trauma",,,14.38,14.38,2
RC,208,"Amino acids, 2 to 5 amino acids, quantitative, each specimen Trauma",,,47.06,47.06,2
RC,208,"Amino acids, 6 or more amino acids, quantitative, each specimen Trauma",,,40.49,40.49,2
RC,208,"Amino acids; multiple, qualitative, each specimen Trauma",,,33.29,33.29,2
RC,208,"Amino acids; single, qualitative, each specimen Trauma",,,34.03,34.03,2
RC,208,"Amino acids; single, quantitative, each specimen Trauma",,,55.15,55.15,2
RC,208,Aminolevulinic acid hcl to Trauma,,,934.27,934.27,2
RC,208,"Aminolevulinic acid, 10% g Trauma",,,4.44,4.44,2
RC,208,"Aminolevulinic acid, delta (ALA) Trauma",,,39.48,39.48,2
RC,208,Amiodarone Trauma,,,44.74,44.74,2
RC,208,Ammonia Trauma,,,34.97,34.97,2
RC,208,Amniotic fluid scan (spectrophotometric) Trauma,,,22.44,22.44,2
RC,208,Amphotericin b liposome in Trauma,,,47.63,47.63,2
RC,208,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests Trauma",,,340.34,340.34,2
RC,208,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests Trauma",,,294.62,294.62,2
RC,208,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest Trauma",,,284.86,284.86,2
RC,208,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,259.7,259.7,2
RC,208,"Amputee wheelchair, fixed full length arms, swing away detachable footrest Trauma",,,252.96,252.96,2
RC,208,"Amputee wheelchair, fixed full length arms, without footrests or legrest Trauma",,,233.02,233.02,2
RC,208,Amylase Trauma,,,15.55,15.55,2
RC,208,Ancillary Outpatient Servi Trauma,,,34905.38,34905.38,2
RC,208,Androstanediol glucuronide Trauma,,,69.19,69.19,2
RC,208,Androstenedione Trauma,,,70.27,70.27,2
RC,208,Androsterone Trauma,,,61.32,61.32,2
RC,208,Angiotensin I - converting enzyme (ACE) Trauma,,,35.04,35.04,2
RC,208,Angiotensin II Trauma,,,49.25,49.25,2
RC,208,"Animal inoculation, small animal, with observation and dissection Trauma",,,40.42,40.42,2
RC,208,"Aniseikonic lens, single vision Trauma",,,215.47,215.47,2
RC,208,"Aniseikonic lens, trifocal Trauma",,,430.99,430.99,2
RC,208,"Aniseikonic, per lens, bifocal Trauma",,,297.19,297.19,2
RC,208,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf Trauma",,,289.99,289.99,2
RC,208,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated Trauma",,,1300.46,1300.46,2
RC,208,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated Trauma",,,2946.67,2946.67,2
RC,208,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated Trauma",,,1875.14,1875.14,2
RC,208,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment Trauma",,,2109.02,2109.02,2
RC,208,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment Trauma",,,1600.78,1600.78,2
RC,208,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment Trauma",,,1399.15,1399.15,2
RC,208,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf Trauma",,,379.01,379.01,2
RC,208,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment Trauma",,,1390.01,1390.01,2
RC,208,"Ankle foot orthosis, plastic or other material, custom fabricated Trauma",,,1474.39,1474.39,2
RC,208,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment Trauma",,,652.42,652.42,2
RC,208,"Ankle foot orthosis, plastic with ankle joint, custom fabricated Trauma",,,2261.04,2261.04,2
RC,208,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated Trauma",,,2707.56,2707.56,2
RC,208,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated Trauma",,,1528.68,1528.68,2
RC,208,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment Trauma",,,737.52,737.52,2
RC,208,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,2646.29,2646.29,2
RC,208,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf Trauma",,,2646.29,2646.29,2
RC,208,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated Trauma",,,1012.15,1012.15,2
RC,208,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated Trauma",,,964.15,964.15,2
RC,208,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,2490.5,2490.5,2
RC,208,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf Trauma",,,2490.5,2490.5,2
RC,208,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated Trauma",,,2054.21,2054.21,2
RC,208,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated Trauma",,,834.17,834.17,2
RC,208,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,4425.46,4425.46,2
RC,208,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated Trauma",,,1296.86,1296.86,2
RC,208,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf Trauma",,,226.54,226.54,2
RC,208,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated Trauma",,,1668.65,1668.65,2
RC,208,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot Trauma",,,8115.31,8115.31,2
RC,208,"Ankle, symes, molded socket, sach foot Trauma",,,7054.97,7054.97,2
RC,208,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only Trauma",,,6619.27,6619.27,2
RC,208,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Trauma",,,353.02,353.02,2
RC,208,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit Trauma",,,447.34,447.34,2
RC,208,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each Trauma",,,644.06,644.06,2
RC,208,Anterior chamber intraocular lens Trauma,,,349.75,349.75,2
RC,208,Anti-inhibitor Trauma,,,5.87,5.87,2
RC,208,Anti-mullerian hormone (AMH) Trauma,,,92.69,92.69,2
RC,208,Anti-phosphatidylserine (phospholipid) antibody Trauma,,,38.57,38.57,2
RC,208,"Anti-reflective coating, per lens Trauma",,,74.76,74.76,2
RC,208,Antibody identification; leukocyte antibodies Trauma,,,36.12,36.12,2
RC,208,Antibody identification; platelet antibodies Trauma,,,44.09,44.09,2
RC,208,Antibody identification; platelet associated immunoglobulin assay Trauma,,,29.9,29.9,2
RC,208,"Antibody screen, RBC, each serum technique Trauma",,,23.45,23.45,2
RC,208,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,196.51,229.25,4
RC,208,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,777.0,781.92,4
RC,208,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,154.06,154.06,2
RC,208,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I Trauma",,,858.14,858.14,2
RC,208,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II Trauma",,,775.1,775.1,2
RC,208,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,154.06,154.06,2
RC,208,Antibody; Aspergillus Trauma,,,36.12,36.12,2
RC,208,Antibody; Bartonella Trauma,,,24.43,24.43,2
RC,208,Antibody; Blastomyces Trauma,,,30.96,30.96,2
RC,208,Antibody; Bordetella Trauma,,,31.66,31.66,2
RC,208,Antibody; Borrelia (relapsing fever) Trauma,,,32.11,32.11,2
RC,208,Antibody; Borrelia burgdorferi (Lyme disease) Trauma,,,40.87,40.87,2
RC,208,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) Trauma",,,37.18,37.18,2
RC,208,Antibody; Brucella Trauma,,,21.43,21.43,2
RC,208,Antibody; Campylobacter Trauma,,,31.49,31.49,2
RC,208,Antibody; Candida Trauma,,,28.82,28.82,2
RC,208,Antibody; Chlamydia Trauma,,,28.37,28.37,2
RC,208,"Antibody; Chlamydia, IgM Trauma",,,30.43,30.43,2
RC,208,Antibody; Coccidioides Trauma,,,27.53,27.53,2
RC,208,Antibody; Coxiella burnetii (Q fever) Trauma,,,29.09,29.09,2
RC,208,Antibody; Cryptococcus Trauma,,,34.58,34.58,2
RC,208,Antibody; Diphtheria Trauma,,,36.5,36.5,2
RC,208,Antibody; Ehrlichia Trauma,,,24.43,24.43,2
RC,208,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) Trauma",,,31.49,31.49,2
RC,208,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) Trauma",,,36.7,36.7,2
RC,208,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) Trauma",,,43.54,43.54,2
RC,208,Antibody; Francisella tularensis Trauma,,,33.98,33.98,2
RC,208,Antibody; Giardia lamblia Trauma,,,35.33,35.33,2
RC,208,Antibody; HIV-1 Trauma,,,21.34,21.34,2
RC,208,"Antibody; HIV-1 and HIV-2, single result Trauma",,,32.9,32.9,2
RC,208,Antibody; HIV-2 Trauma,,,32.45,32.45,2
RC,208,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) Trauma",,,46.44,46.44,2
RC,208,Antibody; HTLV-I Trauma,,,21.82,21.82,2
RC,208,Antibody; HTLV-II Trauma,,,33.6,33.6,2
RC,208,Antibody; Haemophilus influenza Trauma,,,38.02,38.02,2
RC,208,Antibody; Helicobacter pylori Trauma,,,40.44,40.44,2
RC,208,Antibody; JC (John Cunningham) virus Trauma,,,40.54,40.54,2
RC,208,Antibody; Legionella Trauma,,,36.72,36.72,2
RC,208,Antibody; Leishmania Trauma,,,29.4,29.4,2
RC,208,Antibody; Leptospira Trauma,,,38.88,38.88,2
RC,208,Antibody; Listeria monocytogenes Trauma,,,31.66,31.66,2
RC,208,Antibody; Neisseria meningitidis Trauma,,,31.66,31.66,2
RC,208,Antibody; Nocardia Trauma,,,38.38,38.38,2
RC,208,Antibody; Plasmodium (malaria) Trauma,,,31.66,31.66,2
RC,208,Antibody; Rickettsia Trauma,,,46.44,46.44,2
RC,208,Antibody; Salmonella Trauma,,,31.66,31.66,2
RC,208,Antibody; Shigella Trauma,,,58.75,58.75,2
RC,208,Antibody; Toxoplasma Trauma,,,34.54,34.54,2
RC,208,"Antibody; Toxoplasma, IgM Trauma",,,34.58,34.58,2
RC,208,Antibody; Treponema pallidum Trauma,,,31.78,31.78,2
RC,208,Antibody; Trichinella Trauma,,,30.14,30.14,2
RC,208,Antibody; West Nile virus Trauma,,,34.54,34.54,2
RC,208,"Antibody; West Nile virus, IgM Trauma",,,40.44,40.44,2
RC,208,Antibody; Yersinia Trauma,,,31.66,31.66,2
RC,208,"Antibody; Zika virus, IgM Trauma",,,40.44,40.44,2
RC,208,Antibody; actinomyces Trauma,,,24.43,24.43,2
RC,208,Antibody; adenovirus Trauma,,,30.89,30.89,2
RC,208,"Antibody; bacterium, not elsewhere specified Trauma",,,30.91,30.91,2
RC,208,Antibody; cytomegalovirus (CMV) Trauma,,,34.54,34.54,2
RC,208,"Antibody; cytomegalovirus (CMV), IgM Trauma",,,40.44,40.44,2
RC,208,"Antibody; encephalitis, California (La Crosse) Trauma",,,31.66,31.66,2
RC,208,"Antibody; encephalitis, Eastern equine Trauma",,,31.66,31.66,2
RC,208,"Antibody; encephalitis, St. Louis Trauma",,,31.66,31.66,2
RC,208,"Antibody; encephalitis, Western equine Trauma",,,31.66,31.66,2
RC,208,"Antibody; enterovirus (eg, coxsackie, echo, polio) Trauma",,,31.27,31.27,2
RC,208,"Antibody; fungus, not elsewhere specified Trauma",,,29.4,29.4,2
RC,208,"Antibody; helminth, not elsewhere specified Trauma",,,31.22,31.22,2
RC,208,"Antibody; hepatitis, delta agent Trauma",,,41.18,41.18,2
RC,208,"Antibody; herpes simplex, non-specific type test Trauma",,,34.54,34.54,2
RC,208,"Antibody; herpes simplex, type 1 Trauma",,,31.66,31.66,2
RC,208,"Antibody; herpes simplex, type 2 Trauma",,,46.44,46.44,2
RC,208,Antibody; histoplasma Trauma,,,33.1,33.1,2
RC,208,Antibody; influenza virus Trauma,,,32.52,32.52,2
RC,208,Antibody; lymphocytic choriomeningitis Trauma,,,30.89,30.89,2
RC,208,Antibody; mucormycosis Trauma,,,36.0,36.0,2
RC,208,Antibody; mumps Trauma,,,31.32,31.32,2
RC,208,Antibody; mycoplasma Trauma,,,31.78,31.78,2
RC,208,Antibody; parvovirus Trauma,,,36.07,36.07,2
RC,208,"Antibody; protozoa, not elsewhere specified Trauma",,,29.74,29.74,2
RC,208,Antibody; respiratory syncytial virus Trauma,,,38.14,38.14,2
RC,208,Antibody; rotavirus Trauma,,,43.75,43.75,2
RC,208,Antibody; rubella Trauma,,,34.54,34.54,2
RC,208,Antibody; rubeola Trauma,,,30.91,30.91,2
RC,208,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Trauma,,,101.11,101.11,2
RC,208,Antibody; tetanus Trauma,,,35.52,35.52,2
RC,208,Antibody; varicella-zoster Trauma,,,30.91,30.91,2
RC,208,"Antibody; virus, not elsewhere specified Trauma",,,30.91,30.91,2
RC,208,"Antihuman globulin test (Coombs test); direct, each antiserum Trauma",,,12.94,12.94,2
RC,208,"Antihuman globulin test (Coombs test); indirect, each antibody titer Trauma",,,12.43,12.43,2
RC,208,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Trauma",,,13.73,13.73,2
RC,208,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody Trauma",,,28.92,28.92,2
RC,208,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody Trauma",,,28.92,28.92,2
RC,208,Antinuclear antibodies (ANA); Trauma,,,29.02,29.02,2
RC,208,Antinuclear antibodies (ANA); titer Trauma,,,26.78,26.78,2
RC,208,Antistreptolysin 0; screen Trauma,,,13.85,13.85,2
RC,208,Antistreptolysin 0; titer Trauma,,,17.52,17.52,2
RC,208,Antithymocyte globuln rabb Trauma,,,2538.7,2538.7,2
RC,208,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,3240.46,3240.46,2
RC,208,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,1209.6,1209.6,2
RC,208,"Apnea monitor, without recording feature Trauma",,,815.09,815.09,2
RC,208,"Apolipoprotein, each Trauma",,,50.62,50.62,2
RC,208,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. Trauma",,,46.08,46.08,2
RC,208,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Trauma",,,87.05,87.05,2
RC,208,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes Trauma",,,35.54,35.54,2
RC,208,"Application of a modality to 1 or more areas; diathermy (eg, microwave) Trauma",,,19.34,19.34,2
RC,208,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Trauma",,,32.63,37.08,4
RC,208,Application of a modality to 1 or more areas; infrared Trauma,,,17.69,17.69,2
RC,208,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Trauma",,,42.16,47.9,6
RC,208,Application of a modality to 1 or more areas; paraffin bath Trauma,,,16.01,16.01,2
RC,208,"Application of a modality to 1 or more areas; traction, mechanical Trauma",,,31.93,36.29,4
RC,208,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes Trauma",,,32.02,36.38,6
RC,208,Application of a modality to 1 or more areas; ultraviolet Trauma,,,21.79,21.79,2
RC,208,Application of a modality to 1 or more areas; vasopneumatic devices Trauma,,,26.97,30.65,6
RC,208,Application of a modality to 1 or more areas; whirlpool Trauma,,,35.08,39.86,6
RC,208,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each Trauma",,,28.92,28.92,2
RC,208,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Trauma,,,27.67,27.67,2
RC,208,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Trauma",,,90.55,90.55,2
RC,208,Aqueous shunt Trauma,,,1984.94,1984.94,2
RC,208,Argatroban nonesrd (accord Trauma,,,4.36,4.36,2
RC,208,Aripirazole lauroxil 1 mg Trauma,,,8.54,8.54,2
RC,208,"Arm pad, replacement only, each Trauma",,,37.82,37.82,2
RC,208,"Arm rest, each Trauma",,,60.31,60.31,2
RC,208,Arsenic Trauma,,,45.53,45.53,2
RC,208,Artificial cornea Trauma,,,19359.17,19359.17,2
RC,208,"Artificial larynx, any type Trauma",,,1939.08,1939.08,2
RC,208,"Ascorbic acid (Vitamin C), blood Trauma",,,23.74,23.74,2
RC,208,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,5876.54,5876.54,2
RC,208,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,243.05,243.05,2
RC,208,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,93.46,93.46,2
RC,208,"Atomic absorption spectroscopy, each analyte Trauma",,,38.16,38.16,2
RC,208,"Auditory osseointegrated device abutment, any length, replacement only Trauma",,,4505.45,4505.45,2
RC,208,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each Trauma",,,5117.02,5117.02,2
RC,208,"Auditory osseointegrated device, includes all internal and external components Trauma",,,14134.82,14134.82,2
RC,208,"Auditory osseointegrated device, transducer/actuator, replacement only, each Trauma",,,2806.1,2806.1,2
RC,208,"Auricular prosthesis, provided by a non-physician Trauma",,,7552.85,7552.85,2
RC,208,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score Trauma",,,2017.56,2017.56,2
RC,208,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type Trauma",,,8613.36,8613.36,2
RC,208,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device Trauma",,,12147.19,12147.19,2
RC,208,Axicabtagene ciloleucel ca Trauma,,,1350002.16,1350002.16,2
RC,208,Axillary crutch extension Trauma,,,530.88,530.88,2
RC,208,Azathioprine parenteral Trauma,,,611.42,611.42,2
RC,208,Aztreonam/avibactam 10 mg Trauma,,,4.26,4.26,2
RC,208,"B cells, total count Trauma",,,90.55,90.55,2
RC,208,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,208,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,13000.0,1
RC,208,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC Trauma,,,25486.99,53190.24,4
RC,208,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,13000.0,1
RC,208,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST Trauma,,,44105.94,92047.18,4
RC,208,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC Trauma,,,20060.26,41864.88,4
RC,208,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) Trauma",,,227.98,227.98,2
RC,208,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative Trauma",,,393.5,393.5,2
RC,208,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative Trauma",,,347.62,347.62,2
RC,208,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative Trauma",,,515.09,515.09,2
RC,208,BEHAVIORAL AND DEVELOPMENTAL DISORDERS Trauma,,,26291.93,54870.12,4
RC,208,BENIGN PROSTATIC HYPERTROPHY WITH MCC Trauma,,,16590.7,34624.08,4
RC,208,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC Trauma,,,11786.71,24598.34,4
RC,208,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,13000.0,1
RC,208,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC Trauma,,,63245.81,131991.26,4
RC,208,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC Trauma,,,32559.0,67949.21,4
RC,208,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,13000.0,1
RC,208,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH Trauma,,,21065.64,88206.46,12
RC,208,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,13000.0,1
RC,208,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Trauma,,,30406.74,63457.54,4
RC,208,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,13000.0,1
RC,208,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Trauma,,,41075.84,85723.49,4
RC,208,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Trauma,,,23972.47,50029.51,4
RC,208,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant Trauma",,,94.34,94.34,2
RC,208,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,13000.0,1
RC,208,BONE DISEASES AND ARTHROPATHIES WITH MCC Trauma,,,17942.29,37444.78,4
RC,208,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC Trauma,,,12945.37,27016.42,4
RC,208,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) Trauma",,,420.96,420.96,2
RC,208,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Trauma",,,723.24,723.24,2
RC,208,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Trauma",,,678.91,678.91,2
RC,208,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Trauma",,,900.6,900.6,2
RC,208,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants Trauma",,,1056.0,1056.0,2
RC,208,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,1402.15,1402.15,2
RC,208,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Trauma",,,1123.2,1123.2,2
RC,208,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,4379.71,4379.71,2
RC,208,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Trauma",,,678.91,678.91,2
RC,208,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Trauma",,,444.29,444.29,2
RC,208,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Trauma",,,900.6,900.6,2
RC,208,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC Trauma",,,26992.93,56333.06,4
RC,208,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC Trauma",,,24724.91,51599.81,4
RC,208,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) Trauma",,,420.96,420.96,2
RC,208,Baclofen 10 MG injection Trauma,,,446.65,446.65,2
RC,208,"Balance lens, per lens Trauma",,,128.71,128.71,2
RC,208,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,32.95,32.95,2
RC,208,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,20.3,20.3,2
RC,208,"Battery charger, six volt, each Trauma",,,736.15,736.15,2
RC,208,"Battery charger, twelve volt, each Trauma",,,1577.11,1577.11,2
RC,208,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,1390.9,1390.9,2
RC,208,"Battery for pneumatic ventricular assist device, replacement only, each Trauma",,,3863.74,3863.74,2
RC,208,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,2537.86,2537.86,2
RC,208,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,4454.64,4454.64,2
RC,208,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,12411.31,12411.31,2
RC,208,Bcg live intravesical 1mg Trauma,,,8.1,8.1,2
RC,208,"Bed cradle, any type Trauma",,,91.61,91.61,2
RC,208,"Bed pan, fracture, metal or plastic Trauma",,,34.1,34.1,2
RC,208,"Bed pan, standard, metal or plastic Trauma",,,40.92,40.92,2
RC,208,"Bed side rails, full length Trauma",,,348.62,348.62,2
RC,208,"Bed side rails, half length Trauma",,,32.98,32.98,2
RC,208,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each Trauma",,,33.22,33.22,2
RC,208,"Bedside drainage bottle with or without tubing, rigid or expandable, each Trauma",,,77.18,77.18,2
RC,208,Behavioral and qualitative analysis of voice and resonance Trauma,,,270.98,270.98,2
RC,208,Belatacept injection Trauma,,,9.32,9.32,2
RC,208,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device Trauma",,,26806.32,26806.32,2
RC,208,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device Trauma",,,19730.3,19730.3,2
RC,208,"Below elbow, molded double wall split socket, step-up hinges, half cuff Trauma",,,6989.74,6989.74,2
RC,208,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff Trauma",,,7606.13,7606.13,2
RC,208,"Below elbow, molded socket, (muenster or northwestern suspension types) Trauma",,,5997.94,5997.94,2
RC,208,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,6817.78,6817.78,2
RC,208,"Below elbow, molded socket, flexible elbow hinge, triceps pad Trauma",,,5654.86,5654.86,2
RC,208,"Below knee, molded socket, shin, sach foot Trauma",,,7070.54,7070.54,2
RC,208,"Below knee, molded socket, shin, sach foot, endoskeletal system Trauma",,,8082.12,8082.12,2
RC,208,"Below knee, plastic socket, joints and thigh lacer, sach foot Trauma",,,10207.13,10207.13,2
RC,208,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only Trauma",,,495.89,495.89,2
RC,208,"Beta 2 Glycoprotein I antibody, each Trauma",,,61.08,61.08,2
RC,208,Beta-2 microglobulin Trauma,,,38.83,38.83,2
RC,208,Beta-amyloid; 1-40 (Abeta 40) Trauma,,,309.41,309.41,2
RC,208,Beta-amyloid; 1-42 (Abeta 42) Trauma,,,309.41,309.41,2
RC,208,Bevacizumab injection Trauma,,,179.58,179.58,2
RC,208,Bifocal add over 3.25d Trauma,,,106.1,106.1,2
RC,208,Bifocal seg width over 28 mm Trauma,,,130.82,130.82,2
RC,208,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,228194.4,228194.4,2
RC,208,Bile acids; cholylglycine Trauma,,,63.79,63.79,2
RC,208,Bile acids; total Trauma,,,41.09,41.09,2
RC,208,"Bilirubin, total, transcutaneous Trauma",,,12.05,12.05,2
RC,208,Bilirubin; direct Trauma,,,12.05,12.05,2
RC,208,"Bilirubin; feces, qualitative Trauma",,,10.94,10.94,2
RC,208,Bilirubin; total Trauma,,,12.05,12.05,2
RC,208,Biofeedback training by any modality Trauma,,,90.18,102.48,4
RC,208,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,73.67,83.71,4
RC,208,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,183.3,208.3,4
RC,208,"Biotinidase, each specimen Trauma",,,40.49,40.49,2
RC,208,Bleeding time Trauma,,,11.57,11.57,2
RC,208,Blood component/product no Trauma,,,84.77,84.77,2
RC,208,Blood count; automated differential WBC count Trauma,,,15.53,15.53,2
RC,208,"Blood count; blood smear, microscopic examination with manual differential WBC count Trauma",,,9.12,9.12,2
RC,208,"Blood count; blood smear, microscopic examination without manual differential WBC count Trauma",,,8.23,8.23,2
RC,208,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Trauma",,,15.53,15.53,2
RC,208,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Trauma",,,18.65,18.65,2
RC,208,Blood count; hematocrit (Hct) Trauma,,,5.69,5.69,2
RC,208,Blood count; hemoglobin (Hgb) Trauma,,,5.69,5.69,2
RC,208,"Blood count; leukocyte (WBC), automated Trauma",,,6.1,6.1,2
RC,208,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Trauma",,,10.34,10.34,2
RC,208,"Blood count; manual differential WBC count, buffy coat Trauma",,,12.17,12.17,2
RC,208,"Blood count; platelet, automated Trauma",,,10.75,10.75,2
RC,208,"Blood count; red blood cell (RBC), automated Trauma",,,7.25,7.25,2
RC,208,"Blood count; reticulocyte, automated Trauma",,,9.58,9.58,2
RC,208,"Blood count; reticulocyte, manual Trauma",,,10.34,10.34,2
RC,208,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,13.37,13.37,2
RC,208,Blood count; spun microhematocrit Trauma,,,16.8,16.8,2
RC,208,Blood glucose monitor with integrated lancing/blood sample Trauma,,,644.9,644.9,2
RC,208,Blood glucose monitor with integrated voice synthesizer Trauma,,,1869.89,1869.89,2
RC,208,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips Trauma",,,19.97,19.97,2
RC,208,Blood split unit Trauma,,,374.02,374.02,2
RC,208,"Blood typing, serologic; ABO Trauma",,,7.18,7.18,2
RC,208,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each Trauma",,,9.19,9.19,2
RC,208,"Blood typing, serologic; Rh (D) Trauma",,,7.18,7.18,2
RC,208,"Blood typing, serologic; Rh phenotyping, complete Trauma",,,18.6,18.6,2
RC,208,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Trauma",,,39.22,39.22,2
RC,208,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Trauma",,,15.24,15.24,2
RC,208,"Blood, l/r, cmv-neg Trauma",,,363.79,363.79,2
RC,208,"Blood, l/r, froz/degly/was Trauma",,,636.46,636.46,2
RC,208,"Blood, l/r, irradiated Trauma",,,202.92,202.92,2
RC,208,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations Trauma",,,38.21,38.21,2
RC,208,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening Trauma",,,10.15,10.15,2
RC,208,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,10.51,10.51,2
RC,208,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources Trauma",,,12.77,12.77,2
RC,208,"Brachy linear, non-str,P-1 Trauma",,,214.56,214.56,2
RC,208,"Brachytx planar, p-103 Trauma",,,11.26,11.26,2
RC,208,"Brachytx, NS, Non-HDRIr-19 Trauma",,,2180.88,2180.88,2
RC,208,"Brachytx, non-str, Gold-19 Trauma",,,1232.57,1232.57,2
RC,208,"Brachytx, non-str, HA, I-1 Trauma",,,417.74,417.74,2
RC,208,"Brachytx, non-str, HA, P-1 Trauma",,,256.2,256.2,2
RC,208,"Brachytx, non-str, HDR Ir- Trauma",,,857.98,857.98,2
RC,208,"Brachytx, non-str,Yttrium- Trauma",,,42650.42,42650.42,2
RC,208,"Brachytx, non-stranded, NO Trauma",,,87.94,87.94,2
RC,208,"Brachytx, non-stranded,C-1 Trauma",,,239.52,239.52,2
RC,208,"Brachytx, non-stranded,I-1 Trauma",,,87.94,87.94,2
RC,208,"Brachytx, non-stranded,P-1 Trauma",,,154.75,154.75,2
RC,208,"Brachytx, stranded, C-131 Trauma",,,285.86,285.86,2
RC,208,"Brachytx, stranded, I-125 Trauma",,,84.62,84.62,2
RC,208,"Brachytx, stranded, NOS Trauma",,,84.62,84.62,2
RC,208,"Brachytx, stranded, P-103 Trauma",,,211.82,211.82,2
RC,208,Bradykinin Trauma,,,12.38,12.38,2
RC,208,"Brake attachment for wheeled walker, replacement, each Trauma",,,44.9,44.9,2
RC,208,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type Trauma",,,490.27,490.27,2
RC,208,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type Trauma",,,372.67,372.67,2
RC,208,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type Trauma",,,129.24,129.24,2
RC,208,"Breast prosthesis, mastectomy form Trauma",,,669.86,669.86,2
RC,208,"Breast prosthesis, silicone or equal, with integral adhesive Trauma",,,968.93,968.93,2
RC,208,"Breast prosthesis, silicone or equal, without integral adhesive Trauma",,,968.93,968.93,2
RC,208,"Breast pump, manual, any type Trauma",,,100.94,100.94,2
RC,208,Breathing circuits Trauma,,,25.87,25.87,2
RC,208,Brentuximab vedotin inj Trauma,,,670.1,670.1,2
RC,208,Brexucabtagene car pos t Trauma,,,1224249.36,1224249.36,2
RC,208,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,35.42,35.42,2
RC,208,Buprenorph xr 100 mg or le Trauma,,,4963.57,4963.57,2
RC,208,Buprenorphine xr over 100 Trauma,,,4963.57,4963.57,2
RC,208,"C-1 esterase, berinert Trauma",,,190.23,190.23,2
RC,208,C-peptide Trauma,,,49.94,49.94,2
RC,208,C-reactive protein; Trauma,,,12.43,12.43,2
RC,208,C-reactive protein; high sensitivity (hsCRP) Trauma,,,31.08,31.08,2
RC,208,C1 esterase inhibitor inj Trauma,,,160.21,160.21,2
RC,208,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence Trauma",,,2031.05,2031.05,2
RC,208,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant Trauma",,,444.48,444.48,2
RC,208,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 Trauma",,,291.91,291.91,2
RC,208,"CARDIAC ARREST, UNEXPLAINED WITH CC Trauma",,,10843.49,22629.88,4
RC,208,"CARDIAC ARREST, UNEXPLAINED WITH MCC Trauma",,,20789.1,43385.95,4
RC,208,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC Trauma",,,8925.96,18628.09,4
RC,208,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,13000.0,13000.0,1
RC,208,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC Trauma,,,11933.55,24904.8,4
RC,208,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,13000.0,1
RC,208,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC Trauma,,,16952.98,35380.13,4
RC,208,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC Trauma,,,10115.71,21111.04,4
RC,208,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,13000.0,1
RC,208,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC Trauma,,,20938.08,43696.87,4
RC,208,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC Trauma,,,13836.06,28875.26,4
RC,208,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC Trauma,,,80474.6,167946.98,4
RC,208,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,208,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,208,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR Trauma,,,68429.24,142808.86,4
RC,208,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,208,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC Trauma,,,53551.0,111758.62,4
RC,208,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,13000.0,1
RC,208,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC Trauma,,,37726.35,78733.25,4
RC,208,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC Trauma,,,25721.72,53680.1,4
RC,208,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,13000.0,1
RC,208,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC Trauma,,,24311.17,50736.36,4
RC,208,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,13000.0,1
RC,208,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC Trauma,,,38912.87,81209.47,4
RC,208,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC Trauma,,,21517.96,44907.05,4
RC,208,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,13000.0,3
RC,208,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Trauma,,,74524.81,227278.15,12
RC,208,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,13000.0,3
RC,208,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER Trauma,,,58070.96,180202.87,12
RC,208,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed Trauma",,,497.54,497.54,2
RC,208,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence Trauma",,,580.56,580.56,2
RC,208,CELLULITIS WITH MCC Trauma,,,19282.1,40240.9,4
RC,208,CELLULITIS WITHOUT MCC Trauma,,,13382.68,27929.06,4
RC,208,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,13000.0,1
RC,208,CERVICAL SPINAL FUSION WITH CC Trauma,,,35625.53,74348.93,4
RC,208,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,13000.0,1
RC,208,CERVICAL SPINAL FUSION WITH MCC Trauma,,,55804.01,116460.55,4
RC,208,CERVICAL SPINAL FUSION WITHOUT CC/MCC Trauma,,,30214.88,63057.14,4
RC,208,CESAREAN SECTION WITH STERILIZATION WITH CC Trauma,,,15410.6,32161.25,4
RC,208,CESAREAN SECTION WITH STERILIZATION WITH MCC Trauma,,,30362.79,63365.83,4
RC,208,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Trauma,,,14314.11,29872.92,4
RC,208,CESAREAN SECTION WITHOUT STERILIZATION WITH CC Trauma,,,16018.34,33429.58,4
RC,208,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC Trauma,,,21728.04,45345.48,4
RC,208,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC Trauma,,,14324.83,29895.29,4
RC,208,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) Trauma",,,1335.84,1335.84,2
RC,208,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants Trauma",,,1044.17,1044.17,2
RC,208,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence Trauma",,,1197.6,1197.6,2
RC,208,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) Trauma",,,405.0,405.0,2
RC,208,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants Trauma",,,233.33,233.33,2
RC,208,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT Trauma,,,55542.49,115914.77,4
RC,208,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE Trauma,,,26421.63,55140.79,4
RC,208,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,19524.33,40746.43,4
RC,208,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Trauma,,,18069.85,37710.98,4
RC,208,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Trauma,,,31835.5,66439.3,4
RC,208,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,13152.23,27448.13,4
RC,208,CHEST PAIN ,,,13000.0,13000.0,1
RC,208,CHEST PAIN Trauma,,,11765.27,24553.61,4
RC,208,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,13000.0,1
RC,208,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC Trauma,,,26199.76,54677.76,4
RC,208,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC Trauma,,,42233.44,88139.35,4
RC,208,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC Trauma,,,18660.43,38943.5,4
RC,208,CHOLECYSTECTOMY WITH C.D.E. WITH CC Trauma,,,26583.48,55478.57,4
RC,208,CHOLECYSTECTOMY WITH C.D.E. WITH MCC Trauma,,,39454.15,82339.1,4
RC,208,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC Trauma,,,21845.94,45591.53,4
RC,208,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,13000.0,1
RC,208,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC Trauma",,,27765.71,57945.84,4
RC,208,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,13000.0,1
RC,208,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC Trauma",,,15517.79,32384.95,4
RC,208,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC Trauma,,,15368.8,32074.01,4
RC,208,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC Trauma,,,25143.99,52474.42,4
RC,208,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC Trauma,,,11684.89,24385.85,4
RC,208,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,COAGULATION DISORDERS Trauma,,,20396.81,42567.26,4
RC,208,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC Trauma,,,100616.64,209982.55,4
RC,208,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC Trauma,,,65862.18,137451.5,4
RC,208,COMPLEX AORTIC ARCH PROCEDURES ,,,13000.0,13000.0,1
RC,208,COMPLEX AORTIC ARCH PROCEDURES Trauma,,,125367.59,261636.72,4
RC,208,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,13000.0,1
RC,208,COMPLICATED PEPTIC ULCER WITH CC Trauma,,,15661.41,32684.69,4
RC,208,COMPLICATED PEPTIC ULCER WITH MCC Trauma,,,25079.68,52340.21,4
RC,208,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC Trauma,,,12629.17,26356.54,4
RC,208,COMPLICATIONS OF TREATMENT WITH CC Trauma,,,14791.08,30868.34,4
RC,208,COMPLICATIONS OF TREATMENT WITH MCC Trauma,,,23671.29,49400.95,4
RC,208,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Trauma,,,11426.57,23846.75,4
RC,208,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,13000.0,13000.0,1
RC,208,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES Trauma,,,120601.07,251689.2,4
RC,208,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION Trauma,,,75716.69,158017.44,4
RC,208,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,13000.0,1
RC,208,CONNECTIVE TISSUE DISORDERS WITH CC Trauma,,,16410.63,34248.26,4
RC,208,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,13000.0,1
RC,208,CONNECTIVE TISSUE DISORDERS WITH MCC Trauma,,,30647.9,63960.84,4
RC,208,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC Trauma,,,13010.75,27152.88,4
RC,208,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,13000.0,1
RC,208,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC Trauma,,,85992.43,179462.47,4
RC,208,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC Trauma,,,62599.49,130642.42,4
RC,208,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,13000.0,1
RC,208,CORONARY BYPASS WITH PTCA WITH MCC Trauma,,,94403.18,197015.33,4
RC,208,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,CORONARY BYPASS WITH PTCA WITHOUT MCC Trauma,,,69029.46,144061.49,4
RC,208,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC Trauma,,,66950.1,139721.95,4
RC,208,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC Trauma,,,48945.31,102146.74,4
RC,208,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC Trauma,,,50430.88,105247.06,4
RC,208,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC Trauma,,,37821.73,78932.3,4
RC,208,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE Trauma,,,38458.4,80261.02,4
RC,208,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Trauma,,,76194.73,159015.1,4
RC,208,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Trauma",,,659.59,659.59,2
RC,208,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) Trauma",,,444.48,444.48,2
RC,208,CT and CTA with Contrast C Trauma,,,1076.68,1076.68,2
RC,208,CT and CTA without Contras Trauma,,,554.58,554.58,2
RC,208,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) Trauma",,,699.26,699.26,2
RC,208,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) Trauma",,,419.54,419.54,2
RC,208,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) Trauma",,,1082.18,1082.18,2
RC,208,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) Trauma",,,419.54,419.54,2
RC,208,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) Trauma",,,419.54,419.54,2
RC,208,Cabazitaxel injection Trauma,,,560.95,560.95,2
RC,208,Cadmium Trauma,,,56.74,56.74,2
RC,208,Caffeine Trauma,,,92.57,92.57,2
RC,208,Calcitonin Trauma,,,64.3,64.3,2
RC,208,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) Trauma",,,192.89,192.89,2
RC,208,Calcium; after calcium infusion test Trauma,,,32.02,32.02,2
RC,208,Calcium; ionized Trauma,,,32.83,32.83,2
RC,208,Calcium; total Trauma,,,12.38,12.38,2
RC,208,"Calcium; urine quantitative, timed specimen Trauma",,,14.47,14.47,2
RC,208,Calculus; X-ray diffraction Trauma,,,30.05,30.05,2
RC,208,Calculus; infrared spectroscopy Trauma,,,30.96,30.96,2
RC,208,Calculus; qualitative analysis Trauma,,,27.79,27.79,2
RC,208,"Calculus; quantitative analysis, chemical Trauma",,,30.89,30.89,2
RC,208,"Calprotectin, fecal Trauma",,,47.11,47.11,2
RC,208,"Cam release assembly, footrest or legrest, replacement only, each Trauma",,,150.31,150.31,2
RC,208,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day Trauma",,,89.57,101.78,4
RC,208,"Cane, includes canes of all materials, adjustable or fixed, with tip Trauma",,,72.1,72.1,2
RC,208,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips Trauma",,,168.0,168.0,2
RC,208,"Canister, disposable, used with suction pump, each Trauma",,,25.2,25.2,2
RC,208,"Canister, non-disposable, used with suction pump, each Trauma",,,96.14,96.14,2
RC,208,"Cannula, nasal Trauma",,,2.5,2.5,2
RC,208,"Cantharidin top, applicato Trauma",,,1668.5,1668.5,2
RC,208,"Capecitabine, oral, 50 mg Trauma",,,0.19,0.19,2
RC,208,Capsaicin 8% patch Trauma,,,8.42,8.42,2
RC,208,"Carbamazepine; -10,11-epoxide Trauma",,,44.74,44.74,2
RC,208,Carbamazepine; free Trauma,,,31.8,31.8,2
RC,208,Carbamazepine; total Trauma,,,34.97,34.97,2
RC,208,Carbidopa levodopa ent 100 Trauma,,,586.79,586.79,2
RC,208,Carbohydrate deficient transferrin Trauma,,,43.34,43.34,2
RC,208,Carbon dioxide (bicarbonate) Trauma,,,11.71,11.71,2
RC,208,Carboxyhemoglobin; qualitative Trauma,,,33.77,33.77,2
RC,208,Carboxyhemoglobin; quantitative Trauma,,,29.57,29.57,2
RC,208,Carcinoembryonic antigen (CEA) Trauma,,,45.5,45.5,2
RC,208,Cardiac Rehabilitation Trauma,,,323.08,323.08,2
RC,208,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,1403.76,1403.76,2
RC,208,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,1403.76,1403.76,2
RC,208,"Cardiolipin (phospholipid) antibody, each Ig class Trauma",,,61.08,61.08,2
RC,208,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,7776.0,7776.0,2
RC,208,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,63.31,129.74,4
RC,208,Carmustine injection Trauma,,,576.03,576.03,2
RC,208,"Carnitine (total and free), quantitative, each specimen Trauma",,,40.49,40.49,2
RC,208,Carotene Trauma,,,22.13,22.13,2
RC,208,"Cast supplies, body cast adult, with or without head, fiberglass Trauma",,,565.54,565.54,2
RC,208,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass Trauma",,,81.22,81.22,2
RC,208,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster Trauma",,,48.17,48.17,2
RC,208,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass Trauma",,,40.58,40.58,2
RC,208,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster Trauma",,,24.12,24.12,2
RC,208,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass Trauma",,,360.77,360.77,2
RC,208,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster Trauma",,,115.49,115.49,2
RC,208,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass Trauma",,,180.48,180.48,2
RC,208,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster Trauma",,,57.79,57.79,2
RC,208,"Cast supplies, long arm cast, adult (11 years +), fiberglass Trauma",,,89.28,89.28,2
RC,208,"Cast supplies, long arm cast, adult (11 years +), plaster Trauma",,,39.62,39.62,2
RC,208,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass Trauma",,,44.62,44.62,2
RC,208,"Cast supplies, long arm cast, pediatric (0-10 years), plaster Trauma",,,19.8,19.8,2
RC,208,"Cast supplies, long arm splint, adult (11 years +), fiberglass Trauma",,,44.35,44.35,2
RC,208,"Cast supplies, long arm splint, adult (11 years +), plaster Trauma",,,27.84,27.84,2
RC,208,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass Trauma",,,22.27,22.27,2
RC,208,"Cast supplies, long arm splint, pediatric (0-10 years), plaster Trauma",,,13.92,13.92,2
RC,208,"Cast supplies, long leg cast, adult (11 years +), fiberglass Trauma",,,232.61,232.61,2
RC,208,"Cast supplies, long leg cast, adult (11 years +), plaster Trauma",,,88.37,88.37,2
RC,208,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass Trauma",,,116.3,116.3,2
RC,208,"Cast supplies, long leg cast, pediatric (0-10 years), plaster Trauma",,,44.14,44.14,2
RC,208,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass Trauma",,,204.94,204.94,2
RC,208,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster Trauma",,,82.44,82.44,2
RC,208,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass Trauma",,,102.55,102.55,2
RC,208,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster Trauma",,,41.21,41.21,2
RC,208,"Cast supplies, long leg splint, adult (11 years +), fiberglass Trauma",,,104.38,104.38,2
RC,208,"Cast supplies, long leg splint, adult (11 years +), plaster Trauma",,,61.15,61.15,2
RC,208,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass Trauma",,,52.27,52.27,2
RC,208,"Cast supplies, long leg splint, pediatric (0-10 years), plaster Trauma",,,30.58,30.58,2
RC,208,"Cast supplies, short arm cast, adult (11 years +), fiberglass Trauma",,,59.52,59.52,2
RC,208,"Cast supplies, short arm cast, adult (11 years +), plaster Trauma",,,26.47,26.47,2
RC,208,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass Trauma",,,29.83,29.83,2
RC,208,"Cast supplies, short arm cast, pediatric (0-10 years), plaster Trauma",,,13.2,13.2,2
RC,208,"Cast supplies, short arm splint, adult (11 years +), fiberglass Trauma",,,37.2,37.2,2
RC,208,"Cast supplies, short arm splint, adult (11 years +), plaster Trauma",,,20.62,20.62,2
RC,208,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass Trauma",,,18.62,18.62,2
RC,208,"Cast supplies, short arm splint, pediatric (0-10 years), plaster Trauma",,,10.34,10.34,2
RC,208,"Cast supplies, short leg cast, adult (11 years +), fiberglass Trauma",,,125.95,125.95,2
RC,208,"Cast supplies, short leg cast, adult (11 years +), plaster Trauma",,,50.21,50.21,2
RC,208,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass Trauma",,,62.95,62.95,2
RC,208,"Cast supplies, short leg cast, pediatric (0-10 years), plaster Trauma",,,25.2,25.2,2
RC,208,"Cast supplies, short leg splint, adult (11 years +), fiberglass Trauma",,,57.1,57.1,2
RC,208,"Cast supplies, short leg splint, adult (11 years +), plaster Trauma",,,35.5,35.5,2
RC,208,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass Trauma",,,28.56,28.56,2
RC,208,"Cast supplies, short leg splint, pediatric (0-10 years), plaster Trauma",,,17.66,17.66,2
RC,208,"Cast supplies, shoulder cast, adult (11 years +), fiberglass Trauma",,,372.07,372.07,2
RC,208,"Cast supplies, shoulder cast, adult (11 years +), plaster Trauma",,,107.47,107.47,2
RC,208,"Caster pin lock, each Trauma",,,103.06,103.06,2
RC,208,"Casting supplies, body cast adult, with or without head, plaster Trauma",,,149.66,149.66,2
RC,208,Catecholamines; blood Trauma,,,69.79,69.79,2
RC,208,Catecholamines; fractionated Trauma,,,60.6,60.6,2
RC,208,Catecholamines; total urine Trauma,,,65.52,65.52,2
RC,208,Cathepsin-D Trauma,,,43.34,43.34,2
RC,208,Catheterization for collection of specimen(s) (multiple patients) Trauma,,,22.42,22.42,2
RC,208,"Catheterization for collection of specimen, single patient, all places of service Trauma",,,22.42,22.42,2
RC,208,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel Trauma,,,86.21,86.21,2
RC,208,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; Trauma",,,11.33,11.33,2
RC,208,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count Trauma",,,13.44,13.44,2
RC,208,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); Trauma",,,601.87,601.87,2
RC,208,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) Trauma",,,326.06,326.06,2
RC,208,"Cephalin floculation, blood Trauma",,,11.88,11.88,2
RC,208,Ceruloplasmin Trauma,,,25.78,25.78,2
RC,208,Cervical head harness/halter Trauma,,,67.87,67.87,2
RC,208,"Cervical traction device, with inflatable air bladder(s) Trauma",,,52.63,52.63,2
RC,208,Cervical traction equipment not requiring additional stand or frame Trauma,,,169.06,169.06,2
RC,208,"Cervical, collar, molded to patient model Trauma",,,2079.96,2079.96,2
RC,208,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf Trauma",,,421.73,421.73,2
RC,208,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf Trauma",,,757.61,757.61,2
RC,208,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) Trauma",,,82.97,82.97,2
RC,208,"Cervical, flexible, thermoplastic collar, molded to patient Trauma",,,599.93,599.93,2
RC,208,"Cervical, multiple post collar, occipital/mandibular supports, adjustable Trauma",,,1030.32,1030.32,2
RC,208,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) Trauma",,,1551.02,1551.02,2
RC,208,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension Trauma",,,1424.21,1424.21,2
RC,208,"Cervical, semi-rigid, adjustable (plastic collar) Trauma",,,207.0,207.0,2
RC,208,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) Trauma",,,345.22,345.22,2
RC,208,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf Trauma",,,491.54,491.54,2
RC,208,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model Trauma",,,5599.13,5599.13,2
RC,208,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) Trauma",,,6384.74,6384.74,2
RC,208,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,5438.26,5438.26,2
RC,208,Cetuximab injection Trauma,,,196.0,196.0,2
RC,208,Chemiluminescent assay Trauma,,,33.89,33.89,2
RC,208,"Chemotaxis assay, specify method Trauma",,,38.38,38.38,2
RC,208,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,625.9,625.9,2
RC,208,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection Trauma",,,497.9,497.9,2
RC,208,Chinstrap used with positive airway pressure device Trauma,,,31.97,31.97,2
RC,208,Chloramphenicol Trauma,,,30.41,30.41,2
RC,208,Chloride; blood Trauma,,,11.04,11.04,2
RC,208,Chloride; other source Trauma,,,12.0,12.0,2
RC,208,Chloride; urine Trauma,,,13.8,13.8,2
RC,208,"Chlorinated hydrocarbons, screen Trauma",,,14.42,14.42,2
RC,208,"Cholesterol, serum or whole blood, total Trauma",,,10.44,10.44,2
RC,208,Choline c-11 Trauma,,,6039.43,6039.43,2
RC,208,Cholinesterase; RBC Trauma,,,23.54,23.54,2
RC,208,Cholinesterase; serum Trauma,,,18.89,18.89,2
RC,208,"Chondroitin B sulfate, quantitative Trauma",,,49.56,49.56,2
RC,208,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) Trauma",,,134.14,134.14,2
RC,208,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) Trauma,,,123.94,123.94,2
RC,208,Chromium Trauma,,,48.67,48.67,2
RC,208,Chromogenic substrate assay Trauma,,,28.54,28.54,2
RC,208,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Trauma",,,415.61,415.61,2
RC,208,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) Trauma",,,415.61,415.61,2
RC,208,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) Trauma",,,415.61,415.61,2
RC,208,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Trauma",,,452.57,452.57,2
RC,208,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding Trauma",,,416.78,416.78,2
RC,208,"Chromosome analysis; additional cells counted, each study Trauma",,,64.58,64.58,2
RC,208,Chromosome analysis; additional high resolution study Trauma,,,82.63,82.63,2
RC,208,"Chromosome analysis; additional karyotypes, each study Trauma",,,80.33,80.33,2
RC,208,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) Trauma",,,164.64,164.64,2
RC,208,Chromosome analysis; analyze 20-25 cells Trauma,,,347.06,347.06,2
RC,208,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding Trauma",,,301.18,301.18,2
RC,208,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding Trauma",,,360.7,360.7,2
RC,208,"Chromosome analysis; count 5 cells, 1 karyotype, with banding Trauma",,,634.42,634.42,2
RC,208,Cidofovir injection Trauma,,,1285.76,1285.76,2
RC,208,Ciltacabtagene car-pos t Trauma,,,1411146.72,1411146.72,2
RC,208,Citrate Trauma,,,66.72,66.72,2
RC,208,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each Trauma",,,15.53,15.53,2
RC,208,Clinic Visits and Related Trauma,,,333.68,333.68,2
RC,208,"Clot lysis time, whole blood dilution Trauma",,,48.89,48.89,2
RC,208,Clot retraction Trauma,,,39.12,39.12,2
RC,208,"Clotting inhibitors or anticoagulants; antithrombin III, activity Trauma",,,28.44,28.44,2
RC,208,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay Trauma",,,25.94,25.94,2
RC,208,"Clotting inhibitors or anticoagulants; protein C, activity Trauma",,,33.22,33.22,2
RC,208,"Clotting inhibitors or anticoagulants; protein C, antigen Trauma",,,28.82,28.82,2
RC,208,"Clotting inhibitors or anticoagulants; protein S, free Trauma",,,36.77,36.77,2
RC,208,"Clotting inhibitors or anticoagulants; protein S, total Trauma",,,27.86,27.86,2
RC,208,"Clotting; factor II, prothrombin, specific Trauma",,,31.15,31.15,2
RC,208,Clotting; factor IX (PTC or Christmas) Trauma,,,45.7,45.7,2
RC,208,"Clotting; factor V (AcG or proaccelerin), labile factor Trauma",,,42.36,42.36,2
RC,208,"Clotting; factor VII (proconvertin, stable factor) Trauma",,,42.96,42.96,2
RC,208,"Clotting; factor VIII (AHG), 1-stage Trauma",,,42.96,42.96,2
RC,208,Clotting; factor VIII related antigen Trauma,,,49.01,49.01,2
RC,208,"Clotting; factor VIII, VW factor antigen Trauma",,,55.06,55.06,2
RC,208,"Clotting; factor VIII, VW factor, ristocetin cofactor Trauma",,,55.06,55.06,2
RC,208,"Clotting; factor VIII, von Willebrand factor, multimetric analysis Trauma",,,55.06,55.06,2
RC,208,Clotting; factor X (Stuart-Prower) Trauma,,,42.96,42.96,2
RC,208,Clotting; factor XI (PTA) Trauma,,,42.96,42.96,2
RC,208,Clotting; factor XII (Hageman) Trauma,,,46.44,46.44,2
RC,208,Clotting; factor XIII (fibrin stabilizing) Trauma,,,39.22,39.22,2
RC,208,"Clotting; factor XIII (fibrin stabilizing), screen solubility Trauma",,,21.86,21.86,2
RC,208,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) Trauma,,,45.43,45.43,2
RC,208,Clotting; prekallikrein assay (Fletcher factor assay) Trauma,,,45.43,45.43,2
RC,208,Clozapine Trauma,,,48.36,48.36,2
RC,208,Clubfoot wedge Trauma,,,147.12,147.12,2
RC,208,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte Trauma",,,74.06,74.06,2
RC,208,Coagulation time; Lee and White Trauma,,,11.26,11.26,2
RC,208,Coagulation time; activated Trauma,,,10.27,10.27,2
RC,208,Coagulation time; other methods Trauma,,,10.78,10.78,2
RC,208,Cochlear Implant Procedure Trauma,,,82637.02,82637.02,2
RC,208,"Cochlear device, includes all internal and external components Trauma",,,56250.96,56250.96,2
RC,208,"Cochlear implant, external controller component, replacement Trauma",,,3675.77,3675.77,2
RC,208,"Cochlear implant, external speech processor and controller, integrated system, replacement Trauma",,,24129.6,24129.6,2
RC,208,"Cochlear implant, external speech processor, component, replacement Trauma",,,20453.83,20453.83,2
RC,208,Cold agglutinin; screen Trauma,,,19.37,19.37,2
RC,208,Cold agglutinin; titer Trauma,,,19.34,19.34,2
RC,208,"Collagen based wound filler, dry form, sterile, per gram of collagen Trauma",,,105.94,105.94,2
RC,208,"Collagen based wound filler, gel/paste, per gram of collagen Trauma",,,7.8,7.8,2
RC,208,"Collagen cross links, any method Trauma",,,44.83,44.83,2
RC,208,"Collagen dressing wound filler, sterile, per 6 inches Trauma",,,21.14,21.14,2
RC,208,"Collagen dressing, sterile, size 16 sq. in. or less, each Trauma",,,71.93,71.93,2
RC,208,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each Trauma",,,71.93,71.93,2
RC,208,"Collagen dressing, sterile, size more than 48 sq. in., each Trauma",,,650.93,650.93,2
RC,208,Collection of venous blood by venipuncture Trauma,,,22.42,22.42,2
RC,208,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) Trauma,,,27.22,27.22,2
RC,208,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous Trauma",,,43.32,43.32,2
RC,208,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,57.82,57.82,2
RC,208,"Combination oral/nasal mask, used with continuous positive airway pressure device, each Trauma",,,368.83,368.83,2
RC,208,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment Trauma",,,5734.54,5734.54,2
RC,208,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,1390.75,1390.75,2
RC,208,"Commode chair with integrated seat lift mechanism, electric, any type Trauma",,,484.8,484.8,2
RC,208,"Commode chair with integrated seat lift mechanism, non-electric, any type Trauma",,,89.09,89.09,2
RC,208,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each Trauma",,,361.2,361.2,2
RC,208,"Commode chair, mobile or stationary, with detachable arms Trauma",,,37.73,37.73,2
RC,208,"Commode chair, mobile or stationary, with fixed arms Trauma",,,163.8,163.8,2
RC,208,"Commode seat, wheelchair Trauma",,,61.3,61.3,2
RC,208,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,79.73,79.73,2
RC,208,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,731.54,731.54,2
RC,208,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,559.37,559.37,2
RC,208,"Complement fixation tests, each antigen Trauma",,,24.02,24.02,2
RC,208,"Complement; antigen, each component Trauma",,,28.8,28.8,2
RC,208,"Complement; functional activity, each component Trauma",,,28.8,28.8,2
RC,208,Complement; total hemolytic (CH50) Trauma,,,48.77,48.77,2
RC,208,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) Trauma",,,15.53,15.53,2
RC,208,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count Trauma",,,18.65,18.65,2
RC,208,Complex GI Procedures Trauma,,,15215.31,15215.31,2
RC,208,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type Trauma",,,504.82,504.82,2
RC,208,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,11.52,11.52,2
RC,208,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,21.26,21.26,2
RC,208,Comprehensive Observation Trauma,,,6555.15,6555.15,2
RC,208,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,25.34,25.34,2
RC,208,"Compressor, air power source for equipment which is not self-contained or cylinder driven Trauma",,,124.75,124.75,2
RC,208,"Concentration (any type), for infectious agents Trauma",,,16.03,16.03,2
RC,208,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz Trauma",,,17.64,17.64,2
RC,208,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard Trauma",,,1.92,1.92,2
RC,208,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard Trauma",,,0.96,0.96,2
RC,208,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard Trauma",,,0.55,0.55,2
RC,208,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard Trauma",,,2.33,2.33,2
RC,208,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard Trauma",,,1.32,1.32,2
RC,208,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard Trauma",,,1.08,1.08,2
RC,208,"Congo red, blood Trauma",,,11.88,11.88,2
RC,208,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Trauma",,,25.13,25.13,2
RC,208,"Contact lens, gas permeable, bifocal, per lens Trauma",,,553.49,553.49,2
RC,208,"Contact lens, gas permeable, extended wear, per lens Trauma",,,464.69,464.69,2
RC,208,"Contact lens, gas permeable, spherical, per lens Trauma",,,325.99,325.99,2
RC,208,"Contact lens, gas permeable, toric, prism ballast, per lens Trauma",,,468.41,468.41,2
RC,208,"Contact lens, hydrophilic, bifocal, per lens Trauma",,,519.19,519.19,2
RC,208,"Contact lens, hydrophilic, extended wear, per lens Trauma",,,442.44,442.44,2
RC,208,"Contact lens, hydrophilic, spherical, per lens Trauma",,,306.41,306.41,2
RC,208,"Contact lens, hydrophilic, spherical, photochromic additive, per lens Trauma",,,370.68,370.68,2
RC,208,"Contact lens, hydrophilic, toric, or prism ballast, per lens Trauma",,,533.47,533.47,2
RC,208,"Contact lens, pmma, bifocal, per lens Trauma",,,448.13,448.13,2
RC,208,"Contact lens, pmma, color vision deficiency, per lens Trauma",,,428.78,428.78,2
RC,208,"Contact lens, pmma, spherical, per lens Trauma",,,238.8,238.8,2
RC,208,"Contact lens, pmma, toric or prism ballast, per lens Trauma",,,363.77,363.77,2
RC,208,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) Trauma",,,655.32,655.32,2
RC,208,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) Trauma",,,1608.74,1608.74,2
RC,208,"Continent device, stoma absorptive cover for continent stoma Trauma",,,2.21,2.21,2
RC,208,Continent device; catheter for continent stoma Trauma,,,34.61,34.61,2
RC,208,Continuous passive motion exercise device for use on knee only Trauma,,,77.81,77.81,2
RC,208,Continuous positive airway pressure (cpap) device Trauma,,,124.66,124.66,2
RC,208,Controlled dose inhalation drug delivery system Trauma,,,589.66,589.66,2
RC,208,Copper Trauma,,,29.78,29.78,2
RC,208,Copper cu 64 dotatate diag Trauma,,,1426.27,1426.27,2
RC,208,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score Trauma",,,2520.0,2520.0,2
RC,208,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet Trauma",,,48.43,48.43,2
RC,208,Corticosterone Trauma,,,54.05,54.05,2
RC,208,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) Trauma,,,1923.89,1923.89,2
RC,208,Cortisol; free Trauma,,,40.1,40.1,2
RC,208,Cortisol; total Trauma,,,39.12,39.12,2
RC,208,"Cough stimulating device, alternating positive and negative airway pressure Trauma",,,1346.35,1346.35,2
RC,208,"Coupling gel or paste, for use with ultrasound device, per oz Trauma",,,0.31,0.31,2
RC,208,Covid-19 Vaccine Administr Trauma,,,101.85,101.85,2
RC,208,Covid-19 convalescent plas Trauma,,,1632.07,1632.07,2
RC,208,Cr51 chromate Trauma,,,4603.1,4603.1,2
RC,208,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated Trauma",,,4150.54,4150.54,2
RC,208,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment Trauma",,,845.71,845.71,2
RC,208,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month Trauma",,,98.57,98.57,2
RC,208,"Cranial electrotherapy stimulation (ces) system, any type Trauma",,,125.71,125.71,2
RC,208,Creatine Trauma,,,11.14,11.14,2
RC,208,"Creatine kinase (CK), (CPK); MB fraction only Trauma",,,27.72,27.72,2
RC,208,"Creatine kinase (CK), (CPK); isoenzymes Trauma",,,32.14,32.14,2
RC,208,"Creatine kinase (CK), (CPK); isoforms Trauma",,,28.49,28.49,2
RC,208,"Creatine kinase (CK), (CPK); total Trauma",,,15.62,15.62,2
RC,208,Creatinine; blood Trauma,,,12.29,12.29,2
RC,208,Creatinine; clearance Trauma,,,22.7,22.7,2
RC,208,Creatinine; other source Trauma,,,12.43,12.43,2
RC,208,Critical Care Trauma,,,2070.25,2070.25,2
RC,208,Crotalidae Poly Immune Fab Trauma,,,4576.57,4576.57,2
RC,208,"Crutch attachment, walker, each Trauma",,,172.34,172.34,2
RC,208,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips Trauma",,,154.8,154.8,2
RC,208,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip Trauma",,,61.46,61.46,2
RC,208,"Crutch, underarm, articulating, spring assisted, each Trauma",,,65.88,65.88,2
RC,208,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each Trauma",,,80.69,80.69,2
RC,208,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips Trauma",,,142.44,142.44,2
RC,208,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips Trauma",,,107.59,107.59,2
RC,208,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips Trauma",,,248.57,248.57,2
RC,208,Cryo fib comp path redu ea Trauma,,,1318.27,1318.27,2
RC,208,Cryofibrinogen Trauma,,,33.94,33.94,2
RC,208,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) Trauma",,,15.53,15.53,2
RC,208,Cryoprecipitate each unit Trauma,,,172.68,172.68,2
RC,208,Cryoprecipitatereducedplas Trauma,,,316.92,316.92,2
RC,208,"Cryopreservation, freezing and storage of cells, each cell line Trauma",,,31.37,31.37,2
RC,208,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) Trauma",,,17.59,17.59,2
RC,208,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) Trauma",,,6969.36,6969.36,2
RC,208,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Trauma",,,19.39,19.39,2
RC,208,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Trauma",,,19.39,19.39,2
RC,208,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates Trauma",,,20.69,20.69,2
RC,208,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates Trauma",,,22.73,22.73,2
RC,208,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Trauma",,,24.77,24.77,2
RC,208,"Culture, bacterial; quantitative colony count, urine Trauma",,,19.37,19.37,2
RC,208,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Trauma",,,23.74,23.74,2
RC,208,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Trauma",,,23.18,23.18,2
RC,208,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate Trauma",,,22.66,22.66,2
RC,208,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species Trauma",,,22.66,22.66,2
RC,208,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine Trauma",,,19.42,19.42,2
RC,208,"Culture, chlamydia, any source Trauma",,,47.04,47.04,2
RC,208,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood Trauma",,,49.1,49.1,2
RC,208,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) Trauma",,,20.18,20.18,2
RC,208,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail Trauma",,,18.5,18.5,2
RC,208,"Culture, fungi, definitive identification, each organism; mold Trauma",,,24.77,24.77,2
RC,208,"Culture, fungi, definitive identification, each organism; yeast Trauma",,,24.77,24.77,2
RC,208,"Culture, mycobacterial, definitive identification, each isolate Trauma",,,35.06,35.06,2
RC,208,"Culture, mycoplasma, any source Trauma",,,36.94,36.94,2
RC,208,"Culture, presumptive, pathogenic organisms, screening only; Trauma",,,15.91,15.91,2
RC,208,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Trauma",,,64.97,64.97,2
RC,208,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates Trauma",,,25.92,25.92,2
RC,208,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Trauma",,,30.05,30.05,2
RC,208,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed Trauma",,,84.22,84.22,2
RC,208,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed Trauma",,,48.12,48.12,2
RC,208,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) Trauma",,,276.86,276.86,2
RC,208,"Culture, typing; identification by pulse field gel typing Trauma",,,18.58,18.58,2
RC,208,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,523.34,523.34,2
RC,208,"Culture, typing; immunofluorescent method, each antiserum Trauma",,,13.37,13.37,2
RC,208,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Trauma",,,12.43,12.43,2
RC,208,"Culture, typing; other methods Trauma",,,18.58,18.58,2
RC,208,"Cushion for use on nasal mask interface, replacement only, each Trauma",,,57.72,57.72,2
RC,208,"Custom breast prosthesis, post mastectomy, molded to patient model Trauma",,,10885.58,10885.58,2
RC,208,"Custom shaped protective cover, above knee Trauma",,,2814.12,2814.12,2
RC,208,"Custom shaped protective cover, below knee Trauma",,,1574.93,1574.93,2
RC,208,"Custom shaped protective cover, hip disarticulation Trauma",,,3636.67,3636.67,2
RC,208,"Custom shaped protective cover, knee disarticulation Trauma",,,2758.54,2758.54,2
RC,208,Cyanide Trauma,,,46.56,46.56,2
RC,208,Cyanocobalamin (Vitamin B-12); Trauma,,,36.19,36.19,2
RC,208,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Trauma,,,34.37,34.37,2
RC,208,"Cyclic citrullinated peptide (CCP), antibody Trauma",,,31.08,31.08,2
RC,208,Cyclosporine Trauma,,,43.32,43.32,2
RC,208,Cystatin C Trauma,,,44.45,44.45,2
RC,208,"Cystine and homocystine, urine, qualitative Trauma",,,22.92,22.92,2
RC,208,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis Trau",,,2875.06,2875.06,2
RC,208,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,2784.0,2784.0,2
RC,208,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,2160.0,2160.0,2
RC,208,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) Trauma",,,3032.47,3032.47,2
RC,208,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) Trauma",,,4471.73,4471.73,2
RC,208,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities Trauma",,,2784.0,2784.0,2
RC,208,Cytomegalovirus imm IV /vi Trauma,,,4461.17,4461.17,2
RC,208,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Trauma",,,121.34,121.34,2
RC,208,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision Trauma",,,44.5,44.5,2
RC,208,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Trauma",,,48.62,48.62,2
RC,208,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision Trauma",,,60.89,60.89,2
RC,208,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision Trauma",,,55.3,55.3,2
RC,208,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,63.86,63.86,2
RC,208,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision Trauma",,,44.5,44.5,2
RC,208,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision Trauma",,,44.5,44.5,2
RC,208,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision Trauma",,,44.5,44.5,2
RC,208,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision Trauma",,,101.33,101.33,2
RC,208,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,35.16,35.16,2
RC,208,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision Trauma",,,44.5,44.5,2
RC,208,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision Trauma",,,66.34,66.34,2
RC,208,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Trauma",,,57.67,57.67,2
RC,208,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC Trauma",,,26011.11,54284.06,4
RC,208,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC Trauma",,,16240.21,33892.61,4
RC,208,DEPRESSIVE NEUROSES Trauma,,,14132.97,29494.9,4
RC,208,DIABETES WITH CC Trauma,,,13653.86,28495.01,4
RC,208,DIABETES WITH MCC Trauma,,,19447.16,40585.37,4
RC,208,DIABETES WITHOUT CC/MCC Trauma,,,10706.29,22343.56,4
RC,208,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,13000.0,1
RC,208,DIGESTIVE MALIGNANCY WITH CC Trauma,,,17013.01,35505.41,4
RC,208,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,13000.0,1
RC,208,DIGESTIVE MALIGNANCY WITH MCC Trauma,,,26971.48,56288.3,4
RC,208,DIGESTIVE MALIGNANCY WITHOUT CC/MCC Trauma,,,13955.04,29123.57,4
RC,208,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,13000.0,1
RC,208,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC Trauma",,,14394.49,30040.68,4
RC,208,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,13000.0,1
RC,208,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC Trauma",,,23284.35,48593.42,4
RC,208,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,13000.0,13000.0,1
RC,208,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C Trauma",,,11547.69,24099.53,4
RC,208,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,13000.0,13000.0,1
RC,208,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC Trauma,,,13064.34,27264.72,4
RC,208,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC Trauma,,,21521.17,44913.74,4
RC,208,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC Trauma,,,10708.43,22348.04,4
RC,208,DISORDERS OF PERSONALITY AND IMPULSE CONTROL Trauma,,,25123.62,52431.91,4
RC,208,DISORDERS OF THE BILIARY TRACT WITH CC Trauma,,,15778.24,32928.5,4
RC,208,DISORDERS OF THE BILIARY TRACT WITH MCC Trauma,,,21957.41,45824.16,4
RC,208,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC Trauma,,,12915.35,26953.78,4
RC,208,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed Trauma",,,669.6,669.6,2
RC,208,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) Trauma",,,659.59,659.59,2
RC,208,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles Trauma",,,328.8,328.8,2
RC,208,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) Trauma",,,419.54,419.54,2
RC,208,Dactinomycin injection Trauma,,,737.79,737.79,2
RC,208,"Daratumumab, hyaluronidase Trauma",,,136.92,136.92,2
RC,208,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Trauma",,,25.78,25.78,2
RC,208,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Trauma",,,27.12,27.12,2
RC,208,"Datopotamab deruxtecan, 1 Trauma",,,126.0,126.0,2
RC,208,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,124.87,257.18,4
RC,208,Dehydroepiandrosterone (DHEA) Trauma,,,60.65,60.65,2
RC,208,Dehydroepiandrosterone-sulfate (DHEA-S) Trauma,,,53.35,53.35,2
RC,208,Dental Procedures Trauma,,,1620.27,1620.27,2
RC,208,"Deoxycortisol, 11- Trauma",,,70.27,70.27,2
RC,208,"Deoxyribonuclease, antibody Trauma",,,31.8,31.8,2
RC,208,Deoxyribonucleic acid (DNA) antibody; native or double stranded Trauma,,,32.98,32.98,2
RC,208,Deoxyribonucleic acid (DNA) antibody; single stranded Trauma,,,29.06,29.06,2
RC,208,"Desoxycorticosterone, 11- Trauma",,,74.35,74.35,2
RC,208,"Detachable, adjustable height armrest, base, replacement only, each Trauma",,,141.6,141.6,2
RC,208,"Detachable, adjustable height armrest, upper portion, replacement only, each Trauma",,,80.04,80.04,2
RC,208,"Detachable, non-adjustable height armrest, replacement only, each Trauma",,,42.12,42.12,2
RC,208,Dexametha opth insert 0.1 Trauma,,,216.05,216.05,2
RC,208,Dexamethasone intra implan Trauma,,,488.77,488.77,2
RC,208,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) Trauma",,,388.51,388.51,2
RC,208,Dexrazoxane HCl injection Trauma,,,99.46,99.46,2
RC,208,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes Trauma",,,40.42,40.42,2
RC,208,"Diabetes outpatient self-management training services, individual, per 30 minutes Trauma",,,141.17,141.17,2
RC,208,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) Trauma",,,31.7,31.7,2
RC,208,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Trauma",,,278.59,278.59,2
RC,208,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Trauma",,,216.48,216.48,2
RC,208,Dialysis Trauma,,,1720.09,1720.09,2
RC,208,Dibucaine number Trauma,,,29.4,29.4,2
RC,208,Digoxin; free Trauma,,,31.87,31.87,2
RC,208,Digoxin; total Trauma,,,31.87,31.87,2
RC,208,Dihydrotestosterone (DHT) Trauma,,,70.27,70.27,2
RC,208,"Disposable external urethral clamp or compression device, with pad and/or pouch, each Trauma",,,1.68,1.68,2
RC,208,"Docetaxel (docivyx), 1 mg Trauma",,,111.09,111.09,2
RC,208,"Dome and mouthpiece, used with small volume ultrasonic nebulizer Trauma",,,22.34,22.34,2
RC,208,Doxorubicin inj 10mg Trauma,,,279.85,279.85,2
RC,208,"Drive belt for power wheelchair, replacement only Trauma",,,69.62,69.62,2
RC,208,"Driver for use with pneumatic ventricular assist device, replacement only Trauma",,,267607.2,267607.2,2
RC,208,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis Trauma",,,2200.99,2200.99,2
RC,208,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,274.63,592.61,8
RC,208,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,149.14,149.14,2
RC,208,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,149.14,149.14,2
RC,208,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,30.24,30.24,2
RC,208,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,41.14,41.14,2
RC,208,Dry pressure mattress Trauma,,,485.18,485.18,2
RC,208,"Dry pressure pad for mattress, standard mattress length and width Trauma",,,88.68,88.68,2
RC,208,"Dynamic adjustable ankle extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,2
RC,208,"Dynamic adjustable ankle extension only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,208,"Dynamic adjustable ankle flexion only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,208,"Dynamic adjustable elbow extension and flexion device, includes soft interface material Trauma",,,356.14,356.14,2
RC,208,"Dynamic adjustable elbow extension only device, includes soft interface material Trauma",,,356.14,356.14,2
RC,208,"Dynamic adjustable elbow flexion only device, includes soft interface material Trauma",,,356.14,356.14,2
RC,208,"Dynamic adjustable finger extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,2
RC,208,"Dynamic adjustable finger extension only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,208,"Dynamic adjustable finger flexion only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,208,"Dynamic adjustable forearm pronation/supination device, includes soft interface material Trauma",,,1117.8,1117.8,2
RC,208,"Dynamic adjustable knee extension and flexion device, includes soft interface material Trauma",,,362.23,362.23,2
RC,208,"Dynamic adjustable knee extension only device, includes soft interface material Trauma",,,362.23,362.23,2
RC,208,"Dynamic adjustable knee flexion only device, includes soft interface material Trauma",,,362.23,362.23,2
RC,208,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material Trauma",,,1242.24,1242.24,2
RC,208,"Dynamic adjustable toe extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,2
RC,208,"Dynamic adjustable toe extension only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,208,"Dynamic adjustable toe flexion only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,208,"Dynamic adjustable wrist extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,2
RC,208,"Dynamic adjustable wrist extension only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,208,"Dynamic adjustable wrist flexion only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,208,"Dynamic knee, extension/flexion device with active resistance control Trauma",,,294.12,294.12,2
RC,208,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) Trauma",,,778.99,778.99,2
RC,208,ENDOCRINE DISORDERS WITH CC Trauma,,,15034.39,31376.11,4
RC,208,ENDOCRINE DISORDERS WITH MCC Trauma,,,21691.6,45269.42,4
RC,208,ENDOCRINE DISORDERS WITHOUT CC/MCC Trauma,,,12282.97,25634.02,4
RC,208,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,13000.0,13000.0,1
RC,208,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES Trauma,,,65216.94,136104.91,4
RC,208,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,208,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC Trauma,,,69734.75,145533.38,4
RC,208,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC Trauma,,,55076.24,114941.71,4
RC,208,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC Trauma",,,17642.17,36818.45,4
RC,208,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,13000.0,13000.0,1
RC,208,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC Trauma",,,12404.08,25886.78,4
RC,208,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT Trauma,,,232891.56,486034.56,4
RC,208,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT Trauma,,,45787.66,95556.86,4
RC,208,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,30399.24,63441.89,4
RC,208,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,54336.67,113398.27,4
RC,208,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,22419.38,46788.26,4
RC,208,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE Trauma",,,67752.91,141397.37,4
RC,208,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) Trauma",,,420.96,420.96,2
RC,208,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence Trauma",,,678.91,678.91,2
RC,208,Ecallantide injection Trauma,,,1430.27,1430.27,2
RC,208,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative Trauma",,,27.67,27.67,2
RC,208,"Elastase, pancreatic (EL-1), fecal; quantitative Trauma",,,55.13,55.13,2
RC,208,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,31498.8,31498.8,2
RC,208,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,25778.88,25778.88,2
RC,208,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm Trauma",,,10699.61,10699.61,2
RC,208,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,9108.43,9108.43,2
RC,208,"Elbow disarticulation, molded socket, outside locking hinge, forearm Trauma",,,8015.64,8015.64,2
RC,208,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,1349.64,1349.64,2
RC,208,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf Trauma",,,1349.64,1349.64,2
RC,208,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated Trauma",,,2888.06,2888.06,2
RC,208,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated Trauma",,,2569.8,2569.8,2
RC,208,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated Trauma",,,1952.16,1952.16,2
RC,208,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf Trauma",,,391.34,391.34,2
RC,208,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf Trauma",,,290.23,290.23,2
RC,208,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,779.33,779.33,2
RC,208,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,3664.54,3664.54,2
RC,208,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,3460.56,3460.56,2
RC,208,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2136.91,2136.91,2
RC,208,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2142.74,2142.74,2
RC,208,"Electric hand, switch or myoelectric controlled, adult Trauma",,,10110.53,10110.53,2
RC,208,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) Trauma",,,70991.28,70991.28,2
RC,208,"Electric hand, switch or myoelectric, controlled, pediatric Trauma",,,15912.89,15912.89,2
RC,208,"Electric heat pad, moist Trauma",,,205.97,205.97,2
RC,208,"Electric heat pad, standard Trauma",,,94.94,94.94,2
RC,208,"Electric hook, switch or myoelectric controlled, adult Trauma",,,10315.92,10315.92,2
RC,208,"Electric hook, switch or myoelectric controlled, pediatric Trauma",,,4749.1,4749.1,2
RC,208,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care Trauma",,,28.43,32.3,6
RC,208,"Electrical stimulation device used for cancer treatment, includes all accessories, any type Trauma",,,39323.28,39323.28,2
RC,208,Electrical stimulation to aid bone healing; noninvasive (nonoperative) Trauma,,,254.95,254.95,2
RC,208,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,26.23,29.81,6
RC,208,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month Trauma",,,31.78,31.78,2
RC,208,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) Trauma",,,31.78,31.78,2
RC,208,Electrode for external lower extremity nerve stimulator for restless legs syndrome Trauma,,,15.22,15.22,2
RC,208,"Electrodes, (e.g., apnea monitor), per pair Trauma",,,36.98,36.98,2
RC,208,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) Trauma,,,16.82,16.82,2
RC,208,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,27.7,27.7,2
RC,208,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled Trauma",,,22680.62,22680.62,2
RC,208,"Electronic elbow, adolescent, variety village or equal, switch controlled Trauma",,,21593.57,21593.57,2
RC,208,"Electronic elbow, child, variety village or equal, myoelectronically controlled Trauma",,,27157.92,27157.92,2
RC,208,"Electronic elbow, child, variety village or equal, switch controlled Trauma",,,25989.84,25989.84,2
RC,208,"Electronic elbow, hosmer or equal, switch controlled Trauma",,,21866.57,21866.57,2
RC,208,"Electronic elbow, microprocessor sequential control of elbow and terminal device Trauma",,,95982.24,95982.24,2
RC,208,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device Trauma",,,119052.96,119052.96,2
RC,208,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type Trauma",,,89.09,89.09,2
RC,208,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type Trauma",,,1695.31,1695.31,2
RC,208,"Electronic wrist rotator, any type Trauma",,,9390.22,9390.22,2
RC,208,"Electrophoretic technique, not elsewhere specified Trauma",,,147.6,147.6,2
RC,208,"Elevating footrests, articulating (telescoping), each Trauma",,,245.66,245.66,2
RC,208,"Elevating leg rests, pair (for use with capped rental wheelchair base) Trauma",,,32.64,32.64,2
RC,208,"Elevating legrest, lower extension tube, replacement only, each Trauma",,,57.53,57.53,2
RC,208,"Elevating legrest, upper hanger bracket, replacement only, each Trauma",,,204.79,204.79,2
RC,208,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,637.44,637.44,2
RC,208,"Emergency power source for use with electric ventricular assist device, replacement only Trauma",,,2089.13,2089.13,2
RC,208,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,3284.23,3284.23,2
RC,208,"Emergency power supply cable for use with electric ventricular assist device, replacement only Trauma",,,264.67,264.67,2
RC,208,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,753.24,753.24,2
RC,208,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,165.41,165.41,2
RC,208,"Endomysial antibody (EMA), each immunoglobulin (Ig) class Trauma",,,29.02,29.02,2
RC,208,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source Trauma",,,51119.76,51119.76,2
RC,208,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping Trauma",,,16818.0,16818.0,2
RC,208,Enlargement of ocular prosthesis Trauma,,,1158.62,1158.62,2
RC,208,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen Trauma",,,53.21,53.21,2
RC,208,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen Trauma",,,105.67,105.67,2
RC,208,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,5876.54,5876.54,2
RC,208,Eptifibatide injection Trauma,,,9.28,9.28,2
RC,208,Erythropoietin Trauma,,,45.1,45.1,2
RC,208,"Estradiol; free, direct measurement (eg, equilibrium dialysis) Trauma",,,67.06,67.06,2
RC,208,Estradiol; total Trauma,,,67.06,67.06,2
RC,208,Estriol Trauma,,,58.03,58.03,2
RC,208,Estrogens; fractionated Trauma,,,77.52,77.52,2
RC,208,Estrogens; total Trauma,,,52.08,52.08,2
RC,208,Estrone Trauma,,,59.88,59.88,2
RC,208,Ethosuximide Trauma,,,39.22,39.22,2
RC,208,Ethylene glycol Trauma,,,35.76,35.76,2
RC,208,Etiocholanolone Trauma,,,62.98,62.98,2
RC,208,Etoposide oral 50 mg Trauma,,,211.33,211.33,2
RC,208,Euflexxa inj per dose Trauma,,,235.53,235.53,2
RC,208,Euglobulin lysis Trauma,,,20.18,20.18,2
RC,208,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,117.02,117.02,2
RC,208,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour Trauma",,,300.53,300.53,2
RC,208,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech Trauma,,,176.09,176.09,2
RC,208,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen Tra",,,235.46,235.46,2
RC,208,Evaluation of oral and pharyngeal swallowing function Trauma,,,208.87,208.87,2
RC,208,"Evaluation of speech fluency (eg, stuttering, cluttering) Trauma",,,326.78,326.78,2
RC,208,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); Trauma",,,278.02,278.02,2
RC,208,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) Tr",,,554.35,554.35,2
RC,208,Everolimus Trauma,,,32.95,32.95,2
RC,208,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only Trauma",,,35.09,35.09,2
RC,208,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) Trauma",,,768.0,768.0,2
RC,208,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Trauma",,,11472.0,11472.0,2
RC,208,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) T",,,28800.0,28800.0,2
RC,208,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each Trauma",,,10.87,10.87,2
RC,208,"External ambulatory infusion pump, insulin Trauma",,,1338.6,1338.6,2
RC,208,"External breast prosthesis garment, with mastectomy form, post mastectomy Trauma",,,178.06,178.06,2
RC,208,External defibrillator with integrated electrocardiogram analysis Trauma,,,1039.92,1039.92,2
RC,208,"External lower extremity nerve stimulator for restless legs syndrome, each Trauma",,,581.28,581.28,2
RC,208,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only Trauma",,,49.46,49.46,2
RC,208,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only Trauma",,,5125.22,5125.22,2
RC,208,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each Trauma",,,561.14,561.14,2
RC,208,External upper limb tremor stimulator of the peripheral nerves of the wrist Trauma,,,1075.99,1075.99,2
RC,208,"External urethral clamp or compression device (not to be used for catheter clamp), each Trauma",,,156.07,156.07,2
RC,208,"External urinary catheter; non-disposable, for use with suction pump, per month Trauma",,,217.54,217.54,2
RC,208,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month Trauma",,,1012.32,1012.32,2
RC,208,Extra heavy duty wheelchair Trauma,,,289.87,289.87,2
RC,208,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody Trauma",,,43.03,43.03,2
RC,208,Extremity belt/harness Trauma,,,128.86,128.86,2
RC,208,"Eye pad, sterile, each Trauma",,,1.27,1.27,2
RC,208,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant Trauma",,,157.66,157.66,2
RC,208,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant Trauma",,,176.09,176.09,2
RC,208,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence Trauma",,,1440.0,1440.0,2
RC,208,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) Trauma",,,87.89,87.89,2
RC,208,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Trauma,,,18917.67,39480.36,4
RC,208,FEVER AND INFLAMMATORY CONDITIONS Trauma,,,13562.74,28304.86,4
RC,208,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) Trauma",,,397.22,397.22,2
RC,208,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) Trauma",,,199.2,199.2,2
RC,208,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,107.74,107.74,2
RC,208,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,136.9,136.9,2
RC,208,FOOT PROCEDURES WITH CC ,,,13000.0,13000.0,1
RC,208,FOOT PROCEDURES WITH CC Trauma,,,24082.87,50259.91,4
RC,208,FOOT PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,208,FOOT PROCEDURES WITH MCC Trauma,,,33964.18,70881.77,4
RC,208,FOOT PROCEDURES WITHOUT CC/MCC Trauma,,,23263.98,48550.92,4
RC,208,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT Trauma",,,13646.35,40319.18,8
RC,208,FRACTURES OF FEMUR WITH MCC ,,,13000.0,13000.0,1
RC,208,FRACTURES OF FEMUR WITH MCC Trauma,,,20851.27,43515.7,4
RC,208,FRACTURES OF FEMUR WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,FRACTURES OF FEMUR WITHOUT MCC Trauma,,,12688.12,26479.56,4
RC,208,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,13000.0,1
RC,208,FRACTURES OF HIP AND PELVIS WITH MCC Trauma,,,17789.02,37124.9,4
RC,208,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,FRACTURES OF HIP AND PELVIS WITHOUT MCC Trauma,,,12704.2,26513.11,4
RC,208,FULL TERM NEONATE WITH MAJOR PROBLEMS Trauma,,,48739.51,101717.23,4
RC,208,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC Trauma,,,80927.98,168893.18,4
RC,208,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC Trauma,,,38569.88,80493.67,4
RC,208,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY Trauma,,,27742.14,57896.64,4
RC,208,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) Trauma",,,659.59,659.59,2
RC,208,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles Trauma",,,328.8,328.8,2
RC,208,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence Trauma",,,659.59,659.59,2
RC,208,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Trauma",,,444.48,444.48,2
RC,208,Fabrication and fitting of ocular conformer Trauma,,,962.16,962.16,2
RC,208,"Face mask interface, replacement for full face mask, each Trauma",,,102.89,102.89,2
RC,208,Face tent Trauma,,,6.17,6.17,2
RC,208,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour Trauma",,,70.37,70.37,2
RC,208,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour Trauma",,,292.27,292.27,2
RC,208,Factor IX non-recombinant Trauma,,,3.37,3.37,2
RC,208,Factor inhibitor test Trauma,,,30.89,30.89,2
RC,208,Factor ix complex Trauma,,,4.19,4.19,2
RC,208,Factor ix idelvion inj Trauma,,,13.22,13.22,2
RC,208,Factor ix recomb gly rebin Trauma,,,11.22,11.22,2
RC,208,Factor ix recombinant nos Trauma,,,4.47,4.47,2
RC,208,Factor viia recomb sevenfa Trauma,,,5.27,5.27,2
RC,208,Factor viii Trauma,,,2.99,2.99,2
RC,208,Factor viii recombinant Trauma,,,3.79,3.79,2
RC,208,"Fat differential, feces, quantitative Trauma",,,55.13,55.13,2
RC,208,"Fat or lipids, feces; qualitative Trauma",,,12.24,12.24,2
RC,208,"Fat or lipids, feces; quantitative Trauma",,,40.32,40.32,2
RC,208,"Fat stain, feces, urine, or respiratory secretions Trauma",,,14.11,14.11,2
RC,208,"Fatty acids, nonesterified Trauma",,,45.05,45.05,2
RC,208,FecalÂmicrobiota jslm 1 m Trauma,,,157.45,157.45,2
RC,208,Felbamate Trauma,,,44.74,44.74,2
RC,208,"Female external urinary collection cup, with or without ring attachment, per day Trauma",,,20.64,20.64,2
RC,208,"Female external urinary collection device; meatal cup, each Trauma",,,144.55,144.55,2
RC,208,"Female external urinary collection device; pouch, each Trauma",,,33.74,33.74,2
RC,208,Fern test Trauma,,,23.38,23.38,2
RC,208,Ferritin Trauma,,,32.71,32.71,2
RC,208,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy Trauma",,,1908.0,1908.0,2
RC,208,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 Trauma",,,1821.72,1821.72,2
RC,208,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood Trauma",,,1821.72,1821.72,2
RC,208,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score Trauma",,,166.85,166.85,2
RC,208,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,368.4,368.4,2
RC,208,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score Trauma",,,133.3,133.3,2
RC,208,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score Trauma",,,3569.69,3569.69,2
RC,208,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score Trauma",,,130.32,130.32,2
RC,208,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative Trauma",,,154.58,154.58,2
RC,208,Fetal lung maturity assessment; fluorescence polarization Trauma,,,45.38,45.38,2
RC,208,Fetal lung maturity assessment; foam stability test Trauma,,,45.38,45.38,2
RC,208,Fetal lung maturity assessment; lamellar body density Trauma,,,46.37,46.37,2
RC,208,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Trauma,,,52.78,52.78,2
RC,208,"Fibrin degradation products, D-dimer; qualitative or semiquantitative Trauma",,,23.33,23.33,2
RC,208,"Fibrin degradation products, D-dimer; quantitative Trauma",,,24.43,24.43,2
RC,208,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative Trauma",,,24.43,24.43,2
RC,208,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative Trauma",,,16.54,16.54,2
RC,208,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Trauma,,,193.1,193.1,2
RC,208,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Trauma,,,29.83,29.83,2
RC,208,Fibrinogen; activity Trauma,,,23.33,23.33,2
RC,208,Fibrinogen; antigen Trauma,,,34.7,34.7,2
RC,208,"Fibrinolysins or coagulopathy screen, interpretation and report Trauma",,,37.15,37.15,2
RC,208,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin Trauma,,,18.5,18.5,2
RC,208,Fibrinolytic factors and inhibitors; plasmin Trauma,,,18.5,18.5,2
RC,208,Fibrinolytic factors and inhibitors; plasminogen activator Trauma,,,41.26,41.26,2
RC,208,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Trauma",,,24.43,24.43,2
RC,208,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay Trauma",,,15.67,15.67,2
RC,208,"Filter for use in a tracheostoma heat and moisture exchange system, each Trauma",,,2.33,2.33,2
RC,208,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each Trauma",,,4.82,4.82,2
RC,208,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each Trauma",,,8.54,8.54,2
RC,208,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each Trauma",,,38.81,38.81,2
RC,208,"Filter, disposable, used with aerosol compressor or ultrasonic generator Trauma",,,1.75,1.75,2
RC,208,"Filter, disposable, used with positive airway pressure device Trauma",,,6.19,6.19,2
RC,208,"Filter, non disposable, used with positive airway pressure device Trauma",,,18.17,18.17,2
RC,208,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator Trauma",,,9.82,9.82,2
RC,208,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,90.72,90.72,2
RC,208,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment Trauma",,,596.33,596.33,2
RC,208,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf Trauma",,,142.54,142.54,2
RC,208,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,94.42,94.42,2
RC,208,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment Trauma",,,575.81,575.81,2
RC,208,"Finger splint, static Trauma",,,6.43,6.43,2
RC,208,"Fixed, adjustable height armrest, pair Trauma",,,136.97,136.97,2
RC,208,Flebogamma injection Trauma,,,217.78,217.78,2
RC,208,Flecainide Trauma,,,44.74,44.74,2
RC,208,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; Trauma,,,573.96,573.96,2
RC,208,Flexible endoscopic evaluation of swallowing by cine or video recording; Trauma,,,500.9,500.9,2
RC,208,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; Trauma",,,381.94,381.94,2
RC,208,Florbetaben f18 diagnostic Trauma,,,3803.21,3803.21,2
RC,208,Flortaucipir inj 1 millicu Trauma,,,890.4,890.4,2
RC,208,Flotufolastat f18 diag 1 m Trauma,,,1746.14,1746.14,2
RC,208,Floxuridine injection Trauma,,,10551.58,10551.58,2
RC,208,Fluciclovine f-18 Trauma,,,773.45,773.45,2
RC,208,Fluocinol acet intravit im Trauma,,,1239.37,1239.37,2
RC,208,Fluocinolone acetonide imp Trauma,,,813.13,813.13,2
RC,208,"Fluorescent noninfectious agent antibody; screen, each antibody Trauma",,,28.92,28.92,2
RC,208,"Fluorescent noninfectious agent antibody; titer, each antibody Trauma",,,28.92,28.92,2
RC,208,Fluoride Trauma,,,44.5,44.5,2
RC,208,Fluorodopa f-18 diag per m Trauma,,,2053.32,2053.32,2
RC,208,Fluoroestradiol F 18 Trauma,,,1105.01,1105.01,2
RC,208,Flutemetamol f18 diagnosti Trauma,,,4665.62,4665.62,2
RC,208,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,33.22,33.22,2
RC,208,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,25.56,25.56,2
RC,208,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,68.16,68.16,2
RC,208,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Trauma",,,35.23,35.23,2
RC,208,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,100.46,100.46,2
RC,208,Folic acid; RBC Trauma,,,42.36,42.36,2
RC,208,Folic acid; serum Trauma,,,35.28,35.28,2
RC,208,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf Trauma",,,229.08,229.08,2
RC,208,"Foot rest, for use with commode chair, each Trauma",,,226.54,226.54,2
RC,208,"Foot, abduction rotation bar, including shoes Trauma",,,264.07,264.07,2
RC,208,"Foot, abduction rotation bar, without shoes Trauma",,,241.39,241.39,2
RC,208,"Foot, arch support, non-removable attached to shoe, longitudinal, each Trauma",,,94.27,94.27,2
RC,208,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each Trauma",,,120.74,120.74,2
RC,208,"Foot, arch support, non-removable attached to shoe, metatarsal, each Trauma",,,94.27,94.27,2
RC,208,"Foot, arch support, removable, premolded, longitudinal, each Trauma",,,139.56,139.56,2
RC,208,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each Trauma",,,218.74,218.74,2
RC,208,"Foot, arch support, removable, premolded, metatarsal, each Trauma",,,139.56,139.56,2
RC,208,"Foot, insert, removable, formed to patient foot, each Trauma",,,226.34,226.34,2
RC,208,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each Trauma",,,931.58,931.58,2
RC,208,"Foot, insert, removable, molded to patient model, longitudinal arch support, each Trauma",,,516.7,516.7,2
RC,208,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each Trauma",,,588.36,588.36,2
RC,208,"Foot, insert, removable, molded to patient model, plastazote or equal, each Trauma",,,478.92,478.92,2
RC,208,"Foot, insert, removable, molded to patient model, silicone gel, each Trauma",,,516.7,516.7,2
RC,208,"Foot, insert, removable, molded to patient model, spenco, each Trauma",,,392.23,392.23,2
RC,208,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each Trauma",,,363.17,363.17,2
RC,208,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each Trauma",,,150.89,150.89,2
RC,208,"Footrest, complete assembly, replacement only, each Trauma",,,164.78,164.78,2
RC,208,"Footrest, lower extension tube, replacement only, each Trauma",,,57.53,57.53,2
RC,208,"Footrest, upper hanger bracket, replacement only, each Trauma",,,49.06,49.06,2
RC,208,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe Trauma",,,217.51,217.51,2
RC,208,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe Trauma",,,652.32,652.32,2
RC,208,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe Trauma",,,109.9,109.9,2
RC,208,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe Trauma",,,109.9,109.9,2
RC,208,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe Trauma",,,109.9,109.9,2
RC,208,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe Trauma",,,109.9,109.9,2
RC,208,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,132.38,132.38,2
RC,208,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,88.7,88.7,2
RC,208,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,132.38,132.38,2
RC,208,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe Trauma",,,109.9,109.9,2
RC,208,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) Trauma,,,274.73,274.73,2
RC,208,Fosphenytoin inj pe Trauma,,,1.6,1.6,2
RC,208,Fr frz plasma donor retest Trauma,,,127.8,127.8,2
RC,208,"Fracture frame, attached to bed, includes weights Trauma",,,157.87,157.87,2
RC,208,"Fracture frame, attachments for complex cervical traction Trauma",,,1705.34,1705.34,2
RC,208,"Fracture frame, attachments for complex pelvic traction Trauma",,,1763.16,1763.16,2
RC,208,"Fracture frame, free standing, includes weights Trauma",,,156.24,156.24,2
RC,208,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) Trauma",,,175.25,175.25,2
RC,208,"Frames, purchases Trauma",,,236.81,236.81,2
RC,208,"Front caster assembly, complete, with pneumatic tire, replacement only, each Trauma",,,315.7,315.7,2
RC,208,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each Trauma",,,197.9,197.9,2
RC,208,"Front caster assembly, complete, with solid tire, replacement only, each Trauma",,,160.97,160.97,2
RC,208,"Frozen plasma, pooled, sd Trauma",,,134.3,134.3,2
RC,208,"Fructose, semen Trauma",,,41.62,41.62,2
RC,208,"Full face mask used with positive airway pressure device, each Trauma",,,265.32,265.32,2
RC,208,"Full sole and heel wedge, between sole Trauma",,,162.12,162.12,2
RC,208,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest Trauma",,,318.46,318.46,2
RC,208,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests Trauma",,,366.48,366.48,2
RC,208,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests Trauma",,,296.14,296.14,2
RC,208,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,3785.14,3785.14,2
RC,208,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) Trauma",,,140.38,140.38,2
RC,208,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) Trauma",,,419.54,419.54,2
RC,208,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence Trauma",,,1440.0,1440.0,2
RC,208,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) Trauma",,,900.6,900.6,2
RC,208,GASTROINTESTINAL HEMORRHAGE WITH CC Trauma,,,14559.56,30385.18,4
RC,208,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,13000.0,1
RC,208,GASTROINTESTINAL HEMORRHAGE WITH MCC Trauma,,,23641.27,49338.31,4
RC,208,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC Trauma,,,10804.9,22549.36,4
RC,208,GASTROINTESTINAL OBSTRUCTION WITH CC Trauma,,,12513.41,26114.95,4
RC,208,GASTROINTESTINAL OBSTRUCTION WITH MCC Trauma,,,19876.97,41482.37,4
RC,208,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC Trauma,,,9878.83,20616.69,4
RC,208,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) Trauma",,,113.4,113.4,2
RC,208,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence Trauma",,,242.69,242.69,2
RC,208,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants Trauma",,,147.65,147.65,2
RC,208,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») Trauma",,,84.0,84.0,2
RC,208,"Gabapentin, whole blood, serum, or plasma Trauma",,,52.01,52.01,2
RC,208,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only Trauma",,,2828.78,2828.78,2
RC,208,"Galactokinase, RBC Trauma",,,51.55,51.55,2
RC,208,Galactose Trauma,,,26.88,26.88,2
RC,208,Galactose-1-phosphate uridyl transferase; quantitative Trauma,,,50.57,50.57,2
RC,208,Galactose-1-phosphate uridyl transferase; screen Trauma,,,28.18,28.18,2
RC,208,Galectin-3 Trauma,,,106.2,106.2,2
RC,208,Gallium ga-68 Trauma,,,119.11,119.11,2
RC,208,Gallium ga-68 dotatoc Trauma,,,8.66,8.66,2
RC,208,Gallium ga-68 psma-11 ucsf Trauma,,,1320.31,1320.31,2
RC,208,"Gallium ga-68 psma-11, ucl Trauma",,,872.4,872.4,2
RC,208,Gallium gozellix 1 millicu Trauma,,,2811.12,2811.12,2
RC,208,Gallium illuccix 1 millicu Trauma,,,1148.45,1148.45,2
RC,208,Gallium locametz 1 millicu Trauma,,,870.0,870.0,2
RC,208,Galsulfase injection Trauma,,,1262.32,1262.32,2
RC,208,Gammagard liquid/erc inj Trauma,,,118.33,118.33,2
RC,208,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each Trauma",,,22.32,22.32,2
RC,208,Gammaglobulin (immunoglobulin); IgE Trauma,,,39.5,39.5,2
RC,208,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each Trauma",,,19.25,19.25,2
RC,208,Gammaplex IVIG Trauma,,,159.05,159.05,2
RC,208,Gamunex-C/Gammaked Trauma,,,117.63,117.63,2
RC,208,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Trauma",,,23.45,23.45,2
RC,208,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); Trauma",,,62.57,62.57,2
RC,208,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry Trauma",,,189.05,189.05,2
RC,208,"Gases, blood, pH only Trauma",,,26.4,26.4,2
RC,208,"Gasket or seal, for use with prosthetic socket insert, any type, each Trauma",,,331.61,331.61,2
RC,208,"Gastric acid analysis, includes pH if performed, each specimen Trauma",,,16.1,16.1,2
RC,208,"Gastric suction pump, home model, portable or stationary, electric Trauma",,,162.24,162.24,2
RC,208,Gastrin Trauma,,,42.31,42.31,2
RC,208,Gastrin after secretin stimulation Trauma,,,42.46,42.46,2
RC,208,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,7.3,7.3,2
RC,208,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,8.3,8.3,2
RC,208,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,12.31,12.31,2
RC,208,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing Trauma",,,15.98,15.98,2
RC,208,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing Trauma",,,23.47,23.47,2
RC,208,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing Trauma",,,65.59,65.59,2
RC,208,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard Trauma",,,6.53,6.53,2
RC,208,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,12.31,12.31,2
RC,208,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,0.12,0.12,2
RC,208,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,3.26,3.26,2
RC,208,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,0.36,0.36,2
RC,208,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,8.86,8.86,2
RC,208,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,1.39,1.39,2
RC,208,"Gel or gel-like pressure pad for mattress, standard mattress length and width Trauma",,,518.04,518.04,2
RC,208,Gel pressure mattress Trauma,,,90.5,90.5,2
RC,208,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each Trauma",,,187.54,187.54,2
RC,208,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 Trauma",,,6.48,6.48,2
RC,208,Gemcitabine intravesical s Trauma,,,175162.18,175162.18,2
RC,208,Gemtuzumab ozogamicin inj Trauma,,,593.69,593.69,2
RC,208,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,932.45,932.45,2
RC,208,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware Trauma",,,488.69,488.69,2
RC,208,"General use wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,253.85,253.85,2
RC,208,"General use wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,118.18,118.18,2
RC,208,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,5876.54,5876.54,2
RC,208,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) Trauma",,,5610.36,5610.36,2
RC,208,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Trauma",,,12074.88,12074.88,2
RC,208,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,6503.88,6503.88,2
RC,208,Gentamicin Trauma,,,39.31,39.31,2
RC,208,"Genvisc 850, inj, 1mg Trauma",,,9.14,9.14,2
RC,208,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class Trauma",,,28.92,28.92,2
RC,208,Glucagon Trauma,,,34.3,34.3,2
RC,208,Glucagon hydrochloride Trauma,,,281.59,281.59,2
RC,208,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) Trauma,,,110.57,110.57,2
RC,208,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) Trauma",,,121.2,121.2,2
RC,208,Glucagon tolerance test Trauma,,,42.65,42.65,2
RC,208,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use Trauma",,,7.87,7.87,2
RC,208,"Glucose, body fluid, other than blood Trauma",,,9.43,9.43,2
RC,208,Glucose-6-phosphate dehydrogenase (G6PD); quantitative Trauma,,,23.28,23.28,2
RC,208,Glucose-6-phosphate dehydrogenase (G6PD); screen Trauma,,,14.52,14.52,2
RC,208,"Glucose; blood, reagent strip Trauma",,,12.1,12.1,2
RC,208,Glucose; post glucose dose (includes glucose) Trauma,,,11.4,11.4,2
RC,208,"Glucose; quantitative, blood (except reagent strip) Trauma",,,9.43,9.43,2
RC,208,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) Trauma",,,30.89,30.89,2
RC,208,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) Trauma",,,9.41,9.41,2
RC,208,"Glucosidase, beta Trauma",,,51.55,51.55,2
RC,208,Glutamate dehydrogenase Trauma,,,31.56,31.56,2
RC,208,"Glutamyltransferase, gamma (GGT) Trauma",,,17.28,17.28,2
RC,208,Glutathione Trauma,,,37.08,37.08,2
RC,208,"Glutathione reductase, RBC Trauma",,,22.66,22.66,2
RC,208,Glycated protein Trauma,,,40.22,40.22,2
RC,208,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) Trauma,,,356.18,356.18,2
RC,208,"Gonadotropin, chorionic (hCG); free beta chain Trauma",,,36.7,36.7,2
RC,208,"Gonadotropin, chorionic (hCG); qualitative Trauma",,,18.05,18.05,2
RC,208,"Gonadotropin, chorionic (hCG); quantitative Trauma",,,36.12,36.12,2
RC,208,Gonadotropin; follicle stimulating hormone (FSH) Trauma,,,44.59,44.59,2
RC,208,Gonadotropin; luteinizing hormone (LH) Trauma,,,44.45,44.45,2
RC,208,"Gradient  compression arm sleeve and glove combination, each Trauma",,,247.32,247.32,2
RC,208,"Gradient  compression arm sleeve, custom, heavy weight, each Trauma",,,387.67,387.67,2
RC,208,"Gradient  compression arm sleeve, custom, medium weight, each Trauma",,,468.38,468.38,2
RC,208,"Gradient  compression arm sleeve, each Trauma",,,190.92,190.92,2
RC,208,"Gradient  compression glove, custom, heavy weight, each Trauma",,,746.3,746.3,2
RC,208,"Gradient compression arm sleeve and glove combination, custom, each Trauma",,,763.18,763.18,2
RC,208,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each Trauma",,,3.72,3.72,2
RC,208,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each Trauma",,,1.8,1.8,2
RC,208,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each Trauma",,,4.08,4.08,2
RC,208,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each Trauma",,,84.12,84.12,2
RC,208,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each Trauma",,,82.75,82.75,2
RC,208,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each Trauma",,,0.43,0.43,2
RC,208,"Gradient compression bandaging supply, high density foam pad, any size or shape, each Trauma",,,8.28,8.28,2
RC,208,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each Trauma",,,12.07,12.07,2
RC,208,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each Trauma",,,7.37,7.37,2
RC,208,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each Trauma",,,5.66,5.66,2
RC,208,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each Trauma",,,3.31,3.31,2
RC,208,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each Trauma",,,3.77,3.77,2
RC,208,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each Trauma",,,11.21,11.21,2
RC,208,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each Trauma",,,3.0,3.0,2
RC,208,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each Trauma",,,12.5,12.5,2
RC,208,"Gradient compression garment, arm, padded, for nighttime use, custom, each Trauma",,,1749.65,1749.65,2
RC,208,"Gradient compression garment, arm, padded, for nighttime use, each Trauma",,,737.42,737.42,2
RC,208,"Gradient compression garment, bra, for nighttime use, custom, each Trauma",,,2527.3,2527.3,2
RC,208,"Gradient compression garment, bra, for nighttime use, each Trauma",,,1599.41,1599.41,2
RC,208,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each Trauma",,,3058.68,3058.68,2
RC,208,"Gradient compression garment, full leg and foot, padded, for nighttime use, each Trauma",,,1663.34,1663.34,2
RC,208,"Gradient compression garment, genital region, custom, each Trauma",,,1634.02,1634.02,2
RC,208,"Gradient compression garment, genital region, each Trauma",,,271.87,271.87,2
RC,208,"Gradient compression garment, glove, padded, for nighttime use, custom, each Trauma",,,1204.2,1204.2,2
RC,208,"Gradient compression garment, glove, padded, for nighttime use, each Trauma",,,303.48,303.48,2
RC,208,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each Trauma",,,1857.36,1857.36,2
RC,208,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each Trauma",,,920.02,920.02,2
RC,208,"Gradient compression garment, neck/head, custom, each Trauma",,,1921.01,1921.01,2
RC,208,"Gradient compression garment, neck/head, each Trauma",,,611.4,611.4,2
RC,208,"Gradient compression garment, toe caps, custom, each Trauma",,,598.63,598.63,2
RC,208,"Gradient compression garment, toe caps, each Trauma",,,252.26,252.26,2
RC,208,"Gradient compression garment, torso and shoulder, each Trauma",,,399.02,399.02,2
RC,208,"Gradient compression garment, torso/shoulder, custom, each Trauma",,,2272.18,2272.18,2
RC,208,"Gradient compression gauntlet, custom, each Trauma",,,421.08,421.08,2
RC,208,"Gradient compression gauntlet, each Trauma",,,116.83,116.83,2
RC,208,"Gradient compression glove, custom, medium weight, each Trauma",,,751.82,751.82,2
RC,208,"Gradient compression glove, each Trauma",,,175.18,175.18,2
RC,208,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each Trauma",,,543.31,543.31,2
RC,208,"Gradient compression stocking, below knee, 18-30 mmhg, each Trauma",,,93.77,93.77,2
RC,208,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each Trauma",,,543.31,543.31,2
RC,208,"Gradient compression stocking, below knee, 30-40 mmhg, each Trauma",,,139.13,139.13,2
RC,208,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each Trauma",,,147.98,147.98,2
RC,208,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each Trauma",,,543.31,543.31,2
RC,208,"Gradient compression stocking, below knee, 40 mmhg or greater, each Trauma",,,191.33,191.33,2
RC,208,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each Trauma",,,208.51,208.51,2
RC,208,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each Trauma",,,177.48,177.48,2
RC,208,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each Trauma",,,210.41,210.41,2
RC,208,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each Trauma",,,246.36,246.36,2
RC,208,"Gradient compression stocking, garter belt Trauma",,,93.36,93.36,2
RC,208,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each Trauma",,,744.6,744.6,2
RC,208,"Gradient compression stocking, thigh length, 18-30 mmhg, each Trauma",,,131.66,131.66,2
RC,208,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each Trauma",,,744.6,744.6,2
RC,208,"Gradient compression stocking, thigh length, 30-40 mmhg, each Trauma",,,150.36,150.36,2
RC,208,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each Trauma",,,768.41,768.41,2
RC,208,"Gradient compression stocking, thigh length, 40 mmhg or greater, each Trauma",,,173.11,173.11,2
RC,208,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each Trauma",,,2436.89,2436.89,2
RC,208,"Gradient compression stocking, waist length, 18-30 mmhg, each Trauma",,,234.86,234.86,2
RC,208,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each Trauma",,,2436.89,2436.89,2
RC,208,"Gradient compression stocking, waist length, 30-40 mmhg, each Trauma",,,280.03,280.03,2
RC,208,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each Trauma",,,2625.07,2625.07,2
RC,208,"Gradient compression stocking, waist length, 40 mmhg or greater, each Trauma",,,331.7,331.7,2
RC,208,"Gradient compression wrap with adjustable straps, above knee, each Trauma",,,455.04,455.04,2
RC,208,"Gradient compression wrap with adjustable straps, arm, each Trauma",,,585.29,585.29,2
RC,208,"Gradient compression wrap with adjustable straps, below knee, each Trauma",,,384.31,384.31,2
RC,208,"Gradient compression wrap with adjustable straps, foot, each Trauma",,,175.61,175.61,2
RC,208,"Gradient compression wrap with adjustable straps, full leg, each Trauma",,,1340.62,1340.62,2
RC,208,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each Trauma",,,291.38,291.38,2
RC,208,"Gradient pressure wrap with adjustable straps, bra, each Trauma",,,231.05,231.05,2
RC,208,"Gravity assisted traction device, any type Trauma",,,148.44,148.44,2
RC,208,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,55.51,55.51,2
RC,208,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) Trauma",,,160.08,160.08,2
RC,208,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) Trauma,,,310.39,310.39,2
RC,208,"Growth hormone, human (HGH) (somatotropin) Trauma",,,40.01,40.01,2
RC,208,"Growth hormone, human (HGH), antibody Trauma",,,37.78,37.78,2
RC,208,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) Trauma",,,181.44,181.44,2
RC,208,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,13000.0,1
RC,208,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC Trauma",,,20922.01,43663.32,4
RC,208,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,13000.0,1
RC,208,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC Trauma",,,15005.44,31315.7,4
RC,208,HAND PROCEDURES FOR INJURIES Trauma,,,25102.19,52387.18,4
RC,208,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,245.42,245.42,2
RC,208,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants Trauma",,,485.76,485.76,2
RC,208,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence Trauma",,,1440.0,1440.0,2
RC,208,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant Trauma",,,900.6,900.6,2
RC,208,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) Trauma",,,419.54,419.54,2
RC,208,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) Trauma",,,485.76,485.76,2
RC,208,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence Trauma",,,778.99,778.99,2
RC,208,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) Trauma",,,900.6,900.6,2
RC,208,HCT/P Skin Substitute Prod Trauma,,,311.89,311.89,2
RC,208,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13000.0,1
RC,208,HEART FAILURE AND SHOCK WITH CC Trauma,,,13147.95,27439.2,4
RC,208,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,13000.0,1
RC,208,HEART FAILURE AND SHOCK WITH MCC Trauma,,,17808.31,37165.18,4
RC,208,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,HEART FAILURE AND SHOCK WITHOUT CC/MCC Trauma,,,10114.63,21108.8,4
RC,208,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC Trauma,,,22671.26,47313.94,4
RC,208,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC Trauma,,,40566.72,84660.98,4
RC,208,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC Trauma,,,19048.43,39753.24,4
RC,208,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,13000.0,1
RC,208,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC Trauma,,,22080.67,46081.39,4
RC,208,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,13000.0,1
RC,208,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC Trauma,,,35152.85,73362.48,4
RC,208,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC Trauma,,,18464.27,38534.14,4
RC,208,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) Trauma",,,123.48,123.48,2
RC,208,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) Trauma",,,156.86,156.86,2
RC,208,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,13000.0,1
RC,208,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC Trauma,,,26497.72,55299.6,4
RC,208,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,13000.0,1
RC,208,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC Trauma,,,35263.25,73592.88,4
RC,208,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC Trauma,,,21529.75,44931.65,4
RC,208,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC Trauma,,,34812.01,72651.14,4
RC,208,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC Trauma,,,26746.4,55818.58,4
RC,208,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC Trauma,,,69658.64,145374.55,4
RC,208,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC Trauma,,,32316.76,67443.67,4
RC,208,HIV WITH MAJOR RELATED CONDITION WITH CC Trauma,,,17928.36,37415.71,4
RC,208,HIV WITH MAJOR RELATED CONDITION WITH MCC Trauma,,,34981.36,73004.57,4
RC,208,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC Trauma,,,13723.52,28640.4,4
RC,208,HIV WITH OR WITHOUT OTHER RELATED CONDITION Trauma,,,17957.3,37476.1,4
RC,208,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 Trauma",,,829.37,829.37,2
RC,208,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 Trauma",,,965.09,965.09,2
RC,208,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) Trauma",,,970.85,970.85,2
RC,208,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) Trauma",,,804.91,804.91,2
RC,208,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each Trauma",,,407.76,407.76,2
RC,208,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each Trauma",,,425.4,425.4,2
RC,208,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) Trauma",,,968.62,968.62,2
RC,208,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Trauma",,,178.39,178.39,2
RC,208,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Trauma",,,305.83,305.83,2
RC,208,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each Trauma",,,261.91,261.91,2
RC,208,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Trauma",,,296.83,296.83,2
RC,208,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 Trauma",,,529.78,529.78,2
RC,208,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Trauma",,,227.38,227.38,2
RC,208,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Trauma",,,293.33,293.33,2
RC,208,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen Trauma",,,61.94,61.94,2
RC,208,"HLA typing; A, B, or C, multiple antigens Trauma",,,139.2,139.2,2
RC,208,"HLA typing; DR/DQ, multiple antigens Trauma",,,254.74,254.74,2
RC,208,"HLA typing; DR/DQ, single antigen Trauma",,,72.41,72.41,2
RC,208,"HLA typing; lymphocyte culture, mixed (MLC) Trauma",,,87.74,87.74,2
RC,208,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) Trauma",,,659.59,659.59,2
RC,208,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,HYPERTENSION WITH MCC ,,,13000.0,13000.0,1
RC,208,HYPERTENSION WITH MCC Trauma,,,16802.93,35066.98,4
RC,208,HYPERTENSION WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,HYPERTENSION WITHOUT MCC Trauma,,,12141.48,25338.74,4
RC,208,Hair analysis (excluding arsenic) Trauma,,,11.88,11.88,2
RC,208,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf Trauma",,,128.18,128.18,2
RC,208,Hallux implant Trauma,,,881.95,881.95,2
RC,208,"Halo procedure, cervical halo incorporated into jacket vest Trauma",,,7403.98,7403.98,2
RC,208,"Halo procedure, cervical halo incorporated into milwaukee type orthosis Trauma",,,8648.16,8648.16,2
RC,208,"Halo procedure, cervical halo incorporated into plaster body jacket Trauma",,,5989.46,5989.46,2
RC,208,Haloperidol Trauma,,,37.87,37.87,2
RC,208,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf Trauma",,,259.37,259.37,2
RC,208,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,227.21,227.21,2
RC,208,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf Trauma",,,227.21,227.21,2
RC,208,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,866.83,866.83,2
RC,208,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,730.99,730.99,2
RC,208,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,234.74,234.74,2
RC,208,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf Trauma",,,234.74,234.74,2
RC,208,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Trauma",,,285.1,285.1,2
RC,208,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf Trauma",,,285.1,285.1,2
RC,208,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,730.99,730.99,2
RC,208,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining Trauma",,,5216.64,5216.64,2
RC,208,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining Trauma",,,4460.74,4460.74,2
RC,208,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining Trauma",,,5246.45,5246.45,2
RC,208,"Hand restoration (shading, and measurements included), replacement glove for above Trauma",,,2249.04,2249.04,2
RC,208,Haptoglobin; phenotypes Trauma,,,64.54,64.54,2
RC,208,Haptoglobin; quantitative Trauma,,,30.19,30.19,2
RC,208,Headgear used with positive airway pressure device Trauma,,,54.94,54.94,2
RC,208,"Headset/headpiece for use with cochlear implant device, replacement Trauma",,,1340.09,1340.09,2
RC,208,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,1630.97,1630.97,2
RC,208,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,3900.0,3900.0,2
RC,208,"Heat lamp, with stand, includes bulb, or infrared element Trauma",,,564.19,564.19,2
RC,208,"Heat lamp, without stand (table model), includes bulb, or infrared element Trauma",,,230.5,230.5,2
RC,208,Heavy duty wheelchair Trauma,,,205.63,205.63,2
RC,208,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests Trauma",,,381.6,381.6,2
RC,208,"Heavy duty wheelchair, fixed full length arms, elevating legrest Trauma",,,353.14,353.14,2
RC,208,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,365.21,365.21,2
RC,208,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes Trauma",,,50.26,50.26,2
RC,208,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified Trauma",,,52.7,52.7,2
RC,208,"Heel loop/holder, any type, with or without ankle strap, each Trauma",,,39.26,39.26,2
RC,208,"Heel or elbow protector, each Trauma",,,31.61,31.61,2
RC,208,Heel wedge Trauma,,,67.82,67.82,2
RC,208,"Heel wedge, sach Trauma",,,252.79,252.79,2
RC,208,"Heel, counter, leather reinforced Trauma",,,226.34,226.34,2
RC,208,"Heel, counter, plastic reinforced Trauma",,,475.2,475.2,2
RC,208,"Heel, new leather, standard Trauma",,,120.74,120.74,2
RC,208,"Heel, new rubber, standard Trauma",,,101.78,101.78,2
RC,208,"Heel, pad and depression for spur Trauma",,,184.78,184.78,2
RC,208,"Heel, sach cushion type Trauma",,,312.96,312.96,2
RC,208,"Heel, thomas extended to ball Trauma",,,184.78,184.78,2
RC,208,"Heel, thomas with wedge Trauma",,,173.47,173.47,2
RC,208,Heinz bodies; direct Trauma,,,10.08,10.08,2
RC,208,"Heinz bodies; induced, acetyl phenylhydrazine Trauma",,,16.37,16.37,2
RC,208,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Trauma",,,161.66,161.66,2
RC,208,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) Trauma",,,161.66,161.66,2
RC,208,Helicobacter pylori; drug administration Trauma,,,18.86,18.86,2
RC,208,"Helmet, protective, hard, prefabricated, includes all components and accessories Trauma",,,524.57,524.57,2
RC,208,"Helmet, protective, soft, prefabricated, includes all components and accessories Trauma",,,524.57,524.57,2
RC,208,Hemagglutination inhibition test (HAI) Trauma,,,19.66,19.66,2
RC,208,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,1822.87,1822.87,4
RC,208,"Hemi-facial prosthesis, provided by a non-physician Trauma",,,12060.84,12060.84,2
RC,208,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests Trauma",,,285.19,285.19,2
RC,208,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest Trauma",,,228.91,228.91,2
RC,208,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Trauma",,,15539.71,15539.71,2
RC,208,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot Trauma",,,15061.1,15061.1,2
RC,208,"Hemoglobin (Hgb), quantitative, transcutaneous Trauma",,,12.05,12.05,2
RC,208,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) Trauma",,,43.34,43.34,2
RC,208,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) Trauma",,,30.89,30.89,2
RC,208,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) Trauma",,,18.55,18.55,2
RC,208,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette Trauma",,,22.46,22.46,2
RC,208,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin Trauma",,,22.49,22.49,2
RC,208,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Trauma",,,22.49,22.49,2
RC,208,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) Trauma,,,32.02,32.02,2
RC,208,"Hemoglobin; F (fetal), chemical Trauma",,,25.78,25.78,2
RC,208,"Hemoglobin; F (fetal), qualitative Trauma",,,19.2,19.2,2
RC,208,"Hemoglobin; by copper sulfate method, non-automated Trauma",,,9.62,9.62,2
RC,208,Hemoglobin; glycosylated (A1C) Trauma,,,23.3,23.3,2
RC,208,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Trauma,,,23.3,23.3,2
RC,208,"Hemoglobin; methemoglobin, qualitative Trauma",,,15.58,15.58,2
RC,208,"Hemoglobin; methemoglobin, quantitative Trauma",,,19.68,19.68,2
RC,208,Hemoglobin; plasma Trauma,,,17.54,17.54,2
RC,208,"Hemoglobin; sulfhemoglobin, quantitative Trauma",,,21.12,21.12,2
RC,208,Hemoglobin; thermolabile Trauma,,,21.6,21.6,2
RC,208,"Hemoglobin; unstable, screen Trauma",,,22.73,22.73,2
RC,208,Hemoglobin; urine Trauma,,,9.48,9.48,2
RC,208,"Hemolysin, acid Trauma",,,21.29,21.29,2
RC,208,"Hemolysins and agglutinins; auto, screen, each Trauma",,,21.05,21.05,2
RC,208,Hemolysins and agglutinins; incubated Trauma,,,29.06,29.06,2
RC,208,"Hemosiderin, qualitative Trauma",,,11.4,11.4,2
RC,208,Hepagam b im injection Trauma,,,157.46,157.46,2
RC,208,Heparin assay Trauma,,,31.42,31.42,2
RC,208,Heparin neutralization Trauma,,,28.42,28.42,2
RC,208,Heparin-protamine tolerance test Trauma,,,31.42,31.42,2
RC,208,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,19.61,19.61,2
RC,208,Hepatitis A antibody (HAAb) Trauma,,,29.74,29.74,2
RC,208,"Hepatitis A antibody (HAAb), IgM antibody Trauma",,,27.02,27.02,2
RC,208,Hepatitis B core antibody (HBcAb); IgM antibody Trauma,,,28.25,28.25,2
RC,208,Hepatitis B core antibody (HBcAb); total Trauma,,,28.92,28.92,2
RC,208,Hepatitis B surface antibody (HBsAb) Trauma,,,25.78,25.78,2
RC,208,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
RC,208,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use Trauma",,,,,0
RC,208,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use Trauma",,,,,0
RC,208,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
RC,208,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
RC,208,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use Trauma",,,,,0
RC,208,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
RC,208,Hepatitis Be antibody (HBeAb) Trauma,,,27.77,27.77,2
RC,208,Hepatitis C antibody; Trauma,,,34.25,34.25,2
RC,208,"Hepatitis C antibody; confirmatory test (eg, immunoblot) Trauma",,,37.18,37.18,2
RC,208,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,67.85,67.85,2
RC,208,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) Trauma",,,111.24,111.24,2
RC,208,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,3129.48,3129.48,2
RC,208,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,1403.76,1403.76,2
RC,208,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,3129.48,3129.48,2
RC,208,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,3129.48,3129.48,2
RC,208,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,1403.76,1403.76,2
RC,208,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,1434.98,1434.98,2
RC,208,Heterophile antibodies; screening Trauma,,,12.43,12.43,2
RC,208,Heterophile antibodies; titer Trauma,,,15.53,15.53,2
RC,208,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Trauma,,,17.69,17.69,2
RC,208,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,20.16,20.16,2
RC,208,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each Trauma",,,98.3,98.3,2
RC,208,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each Trauma",,,148.78,148.78,2
RC,208,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each Trauma",,,3636.29,3636.29,2
RC,208,"High mount flip-up footrest, each Trauma",,,133.22,133.22,2
RC,208,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests Trauma",,,438.34,438.34,2
RC,208,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests Trauma",,,367.87,367.87,2
RC,208,"High strength, lightweight wheelchair Trauma",,,139.08,139.08,2
RC,208,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Trauma",,,14927.59,14927.59,2
RC,208,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot Trauma",,,15244.97,15244.97,2
RC,208,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot Trauma",,,15177.34,15177.34,2
RC,208,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated Trauma",,,503.64,503.64,2
RC,208,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated Trauma",,,1721.47,1721.47,2
RC,208,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated Trauma",,,1341.29,1341.29,2
RC,208,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated Trauma",,,494.52,494.52,2
RC,208,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated Trauma",,,1299.91,1299.91,2
RC,208,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated Trauma",,,1054.68,1054.68,2
RC,208,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated Trauma",,,4094.38,4094.38,2
RC,208,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment Trauma",,,2746.8,2746.8,2
RC,208,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated Trauma",,,3880.32,3880.32,2
RC,208,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,121.08,121.08,2
RC,208,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,398.71,398.71,2
RC,208,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,355.39,355.39,2
RC,208,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated Trauma",,,475.8,475.8,2
RC,208,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment Trauma",,,674.86,674.86,2
RC,208,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated Trauma",,,1272.58,1272.58,2
RC,208,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment Trauma",,,471.98,471.98,2
RC,208,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,5493.6,5493.6,2
RC,208,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,1057.15,1057.15,2
RC,208,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf Trauma",,,1057.15,1057.15,2
RC,208,Histamine Trauma,,,70.87,70.87,2
RC,208,"Hiv antigen/antibody, combination assay, screening Trauma",,,57.79,57.79,2
RC,208,"Hiv prep, ftc/taf 200/25mg Trauma",,,171.42,171.42,2
RC,208,"Hiv prep, ftc/tdf 200/300m Trauma",,,1.09,1.09,2
RC,208,"Hiv prep, inj, cabotegravi Trauma",,,17.51,17.51,2
RC,208,"Hiv prep, inj, lenacapavir Trauma",,,38.59,38.59,2
RC,208,"Hiv prep, oral lenacapavir Trauma",,,1490.18,1490.18,2
RC,208,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,1526.16,1526.16,2
RC,208,Home blood glucose monitor Trauma,,,228.55,228.55,2
RC,208,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge Trauma,,,130.85,130.85,2
RC,208,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) Trauma",,,3264.79,3264.79,2
RC,208,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) Trauma",,,3264.79,3264.79,2
RC,208,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions Trauma",,,3489.19,3489.19,2
RC,208,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,3788.83,3788.83,2
RC,208,Homocysteine Trauma,,,43.01,43.01,2
RC,208,"Homogenization, tissue, for culture Trauma",,,14.11,14.11,2
RC,208,Homovanillic acid (HVA) Trauma,,,53.78,53.78,2
RC,208,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress Trauma",,,1505.04,1505.04,2
RC,208,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress Trauma",,,1448.86,1448.86,2
RC,208,"Hospital bed, fixed height, with any type side rails, with mattress Trauma",,,184.68,184.68,2
RC,208,"Hospital bed, fixed height, with any type side rails, without mattress Trauma",,,170.69,170.69,2
RC,208,"Hospital bed, fixed height, without side rails, with mattress Trauma",,,169.44,169.44,2
RC,208,"Hospital bed, fixed height, without side rails, without mattress Trauma",,,129.0,129.0,2
RC,208,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress Trauma",,,513.41,513.41,2
RC,208,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress Trauma",,,503.81,503.81,2
RC,208,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress Trauma",,,187.58,187.58,2
RC,208,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress Trauma",,,186.86,186.86,2
RC,208,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress Trauma",,,187.25,187.25,2
RC,208,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress Trauma",,,186.86,186.86,2
RC,208,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress Trauma",,,441.62,441.62,2
RC,208,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress Trauma",,,384.26,384.26,2
RC,208,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress Trauma",,,344.57,344.57,2
RC,208,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress Trauma",,,304.06,304.06,2
RC,208,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress Trauma",,,187.06,187.06,2
RC,208,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress Trauma",,,178.01,178.01,2
RC,208,"Hospital bed, variable height, hi-lo, without side rails, with mattress Trauma",,,179.5,179.5,2
RC,208,"Hospital bed, variable height, hi-lo, without side rails, without mattress Trauma",,,163.66,163.66,2
RC,208,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each Trauma",,,9.82,9.82,2
RC,208,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each Trauma",,,16.03,16.03,2
RC,208,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,293.33,293.33,2
RC,208,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) Trau",,,293.33,293.33,2
RC,208,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,293.33,293.33,2
RC,208,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,293.33,293.33,2
RC,208,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,293.33,293.33,2
RC,208,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,293.33,293.33,2
RC,208,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,293.33,293.33,2
RC,208,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,293.33,293.33,2
RC,208,Human epididymis protein 4 (HE4) Trauma,,,49.94,49.94,2
RC,208,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) Trauma",,,87.67,87.67,2
RC,208,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution Trauma",,,262.78,262.78,2
RC,208,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery Trauma",,,171.48,171.48,2
RC,208,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery Trauma",,,448.03,448.03,2
RC,208,"Humidifier, heated, used with positive airway pressure device Trauma",,,417.19,417.19,2
RC,208,"Humidifier, non-heated, used with positive airway pressure device Trauma",,,221.35,221.35,2
RC,208,"Hyaluronan, hymo or hymo o Trauma",,,43.51,43.51,2
RC,208,"Hydrocollator unit, includes pads Trauma",,,1129.92,1129.92,2
RC,208,"Hydrocollator unit, portable Trauma",,,1538.57,1538.57,2
RC,208,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,27.05,27.05,2
RC,208,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,22.39,22.39,2
RC,208,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,78.0,78.0,2
RC,208,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,57.53,57.53,2
RC,208,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,93.19,93.19,2
RC,208,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram Trauma",,,8.78,8.78,2
RC,208,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce Trauma",,,41.88,41.88,2
RC,208,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,24.86,24.86,2
RC,208,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,20.71,20.71,2
RC,208,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,33.98,33.98,2
RC,208,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,42.14,42.14,2
RC,208,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Trauma",,,81.34,81.34,2
RC,208,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,134.38,134.38,2
RC,208,"Hydrogel dressing, wound filler, gel, per fluid ounce Trauma",,,55.56,55.56,2
RC,208,Hydroxychloroquine Trauma,,,44.74,44.74,2
RC,208,"Hydroxycorticosteroids, 17- (17-OHCS) Trauma",,,42.96,42.96,2
RC,208,"Hydroxyindolacetic acid, 5-(HIAA) Trauma",,,30.96,30.96,2
RC,208,"Hydroxyprogesterone, 17-d Trauma",,,65.21,65.21,2
RC,208,Hydroxyproline; free Trauma,,,54.36,54.36,2
RC,208,Hydroxyproline; total Trauma,,,58.32,58.32,2
RC,208,Hyperbaric Oxygen Trauma,,,344.89,344.89,2
RC,208,"I125 iothalamate, dx Trauma",,,1559.14,1559.14,2
RC,208,"I125 serum albumin, dx Trauma",,,1125.74,1125.74,2
RC,208,"I131 iodobenguate, dx Trauma",,,2287.22,2287.22,2
RC,208,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) Trauma",,,463.8,463.8,2
RC,208,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) Trauma",,,709.9,709.9,2
RC,208,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant Trauma",,,176.09,176.09,2
RC,208,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis Trauma",,,706.85,706.85,2
RC,208,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,475.18,475.18,2
RC,208,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) Trauma",,,164.52,164.52,2
RC,208,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative Trauma",,,497.54,497.54,2
RC,208,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Trauma",,,414.55,414.55,2
RC,208,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) Trauma",,,94.34,94.34,2
RC,208,INBORN AND OTHER DISORDERS OF METABOLISM Trauma,,,19290.66,40258.78,4
RC,208,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,14541.34,30347.14,4
RC,208,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,19395.7,40477.99,4
RC,208,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11160.75,23292.0,4
RC,208,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC Trauma,,,25464.47,53143.25,4
RC,208,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Trauma,,,56981.97,118918.9,4
RC,208,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,20095.62,41938.68,4
RC,208,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Trauma,,,19942.35,41618.81,4
RC,208,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC Trauma,,,12742.79,26593.66,4
RC,208,INFLAMMATORY BOWEL DISEASE WITH CC Trauma,,,14512.4,30286.75,4
RC,208,INFLAMMATORY BOWEL DISEASE WITH MCC Trauma,,,21007.76,43842.29,4
RC,208,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC Trauma,,,11350.47,23687.93,4
RC,208,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC Trauma,,,20388.24,42549.36,4
RC,208,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC Trauma,,,30757.23,64189.01,4
RC,208,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC Trauma,,,16564.98,34570.39,4
RC,208,Ibuprofen injection Trauma,,,7.8,7.8,2
RC,208,Ibutilide fumarate injecti Trauma,,,422.14,422.14,2
RC,208,Idecabtagene vicleucel car Trauma,,,1363146.72,1363146.72,2
RC,208,Idursulfase injection Trauma,,,1368.1,1368.1,2
RC,208,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow Trau",,,5399.26,5399.26,2
RC,208,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,7469.33,7469.33,2
RC,208,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment Traum",,,1478.57,1478.57,2
RC,208,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow Tra",,,3588.84,3588.84,2
RC,208,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation Trauma",,,4903.49,4903.49,2
RC,208,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment Trauma",,,1227.62,1227.62,2
RC,208,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee Trauma",,,4001.33,4001.33,2
RC,208,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee Trauma",,,1602.6,1602.6,2
RC,208,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee Trauma",,,1202.86,1202.86,2
RC,208,"Immediate post surgical or early fitting, application of rigid dressing only Trauma",,,1291.7,1291.7,2
RC,208,"Immediate post surgical or early fitting, each additional cast change and realignment Trauma",,,1179.94,1179.94,2
RC,208,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers Trauma",,,3588.84,3588.84,2
RC,208,Immersion external heater for nebulizer Trauma,,,391.3,391.3,2
RC,208,Immune complex assay Trauma,,,58.49,58.49,2
RC,208,"Immune globulin, powder Trauma",,,194.31,194.31,2
RC,208,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method Trauma",,,27.67,27.67,2
RC,208,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) Trauma",,,23.14,23.14,2
RC,208,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) Trauma",,,44.16,44.16,2
RC,208,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified Trauma",,,41.45,41.45,2
RC,208,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); Trauma",,,43.42,43.42,2
RC,208,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,108.67,108.67,2
RC,208,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified Trauma",,,35.98,35.98,2
RC,208,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each Trauma",,,49.94,49.94,2
RC,208,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Trauma",,,61.37,61.37,2
RC,208,"Immunoassay for tumor antigen, quantitative; CA 125 Trauma",,,49.94,49.94,2
RC,208,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) Trauma",,,49.94,49.94,2
RC,208,"Immunoassay for tumor antigen, quantitative; CA 19-9 Trauma",,,49.94,49.94,2
RC,208,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody Trauma",,,28.75,28.75,2
RC,208,Immunodiffusion; not elsewhere specified Trauma,,,33.72,33.72,2
RC,208,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Trauma",,,55.51,55.51,2
RC,208,Immunoelectrophoresis; serum Trauma,,,71.81,71.81,2
RC,208,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) Trauma",,,70.44,70.44,2
RC,208,Immunofixation electrophoresis; serum Trauma,,,53.62,53.62,2
RC,208,"Immunoglobulin light chains (ie, kappa, lambda), free, each Trauma",,,41.45,41.45,2
RC,208,"Implantable breast prosthesis, silicone or equal Trauma",,,1834.73,1834.73,2
RC,208,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement Trauma",,,1616.14,1616.14,2
RC,208,Implantable neurostimulator radiofrequency receiver Trauma,,,17713.73,17713.73,2
RC,208,"Implantable neurostimulator, pulse generator, any type Trauma",,,24792.48,24792.48,2
RC,208,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) Trauma",,,27314.16,27314.16,2
RC,208,Implantation Wireless PA P Trauma,,,71888.21,71888.21,2
RC,208,Implantation of Drug Infus Trauma,,,45172.63,45172.63,2
RC,208,In111 capromab Trauma,,,4152.7,4152.7,2
RC,208,In111 oxyquinoline Trauma,,,1995.5,1995.5,2
RC,208,In111 pentetate Trauma,,,1789.49,1789.49,2
RC,208,Incobotulinumtoxin A Trauma,,,12.68,12.68,2
RC,208,"Incontinence supply, urethral insert, any type, each Trauma",,,4.92,4.92,2
RC,208,Indigotindisulfonate sod 1 Trauma,,,22.32,22.32,2
RC,208,Indium in-111 auto wbc Trauma,,,2647.66,2647.66,2
RC,208,Indium in-111 pentetreotid Trauma,,,4802.26,4802.26,2
RC,208,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each Trauma",,,54.74,54.74,2
RC,208,"Indwelling catheter; foley type, three way for continuous irrigation, each Trauma",,,66.98,66.98,2
RC,208,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each Trauma",,,41.95,41.95,2
RC,208,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each Trauma",,,108.6,108.6,2
RC,208,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each Trauma",,,834.6,834.6,2
RC,208,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening Trauma",,,46.97,46.97,2
RC,208,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening Trauma",,,43.9,43.9,2
RC,208,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening Trauma",,,28.75,28.75,2
RC,208,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,24.79,168.7,62
RC,208,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis Trauma",,,84.7,84.7,2
RC,208,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A Trauma",,,38.4,38.4,2
RC,208,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies Trauma",,,78.65,78.65,2
RC,208,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza Trauma",,,39.72,39.72,2
RC,208,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae Trauma",,,58.94,58.94,2
RC,208,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A Trauma",,,39.67,39.67,2
RC,208,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B Trauma",,,30.55,30.55,2
RC,208,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis Trauma",,,36.7,36.7,2
RC,208,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Trauma",,,52.22,52.22,2
RC,208,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified Trauma",,,38.57,38.57,2
RC,208,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus Trauma",,,31.44,31.44,2
RC,208,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Trauma",,,99.31,99.31,2
RC,208,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,178.75,178.75,2
RC,208,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum Trauma",,,28.75,28.75,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis Trauma,,,28.75,28.75,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis Trauma,,,28.75,28.75,2
RC,208,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) Trauma",,,32.21,32.21,2
RC,208,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) Trauma",,,32.21,32.21,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Trauma,,,28.75,28.75,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Trauma,,,28.75,28.75,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Trauma,,,37.44,37.44,2
RC,208,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type Trauma",,,39.43,39.43,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Trauma,,,28.75,28.75,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; Rubeola Trauma,,,145.92,145.92,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Trauma,,,29.23,29.23,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus Trauma,,,32.21,32.21,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; adenovirus Trauma,,,34.63,34.63,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium Trauma,,,28.75,28.75,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; giardia Trauma,,,32.66,32.66,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; influenza A virus Trauma,,,38.57,38.57,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; influenza B virus Trauma,,,29.4,29.4,2
RC,208,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Trauma",,,38.64,38.64,2
RC,208,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus Trauma,,,32.21,32.21,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Trauma",,,168.48,168.48,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique Trauma",,,104.81,104.81,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism Trauma",,,72.07,72.07,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Trauma",,,102.82,102.82,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification Trauma",,,102.82,102.82,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Trauma",,,48.12,48.12,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Trauma",,,48.12,48.12,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Trauma",,,133.78,133.78,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Trauma",,,48.12,48.12,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Trauma",,,102.82,102.82,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique Trauma",,,168.43,168.43,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Trauma",,,54.6,54.6,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Trauma",,,128.33,128.33,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique Trauma",,,89.45,89.45,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Trauma",,,48.12,48.12,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Trauma",,,100.22,100.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Trauma",,,52.61,52.61,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Trauma",,,204.24,204.24,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Trauma",,,52.61,52.61,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed Trauma",,,140.69,140.69,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Trauma",,,48.12,48.12,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Trauma",,,102.82,102.82,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Trauma",,,139.2,139.2,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Trauma",,,100.22,100.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) Trauma",,,168.48,168.48,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed Trauma",,,97.32,97.32,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique Trauma",,,48.12,48.12,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Trauma",,,100.22,100.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique Trauma",,,65.5,65.5,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Trauma",,,102.82,102.82,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique Trauma",,,115.78,115.78,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Trauma",,,48.12,48.12,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Trauma",,,102.82,102.82,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Trauma",,,100.03,100.03,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Trauma",,,64.51,64.51,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Trauma",,,102.82,102.82,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique Trauma",,,184.25,184.25,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Trauma",,,48.12,48.12,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Trauma",,,726.29,726.29,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Trauma",,,64.51,64.51,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Trauma",,,102.82,102.82,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each Trauma",,,123.14,123.14,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Trauma",,,48.12,48.12,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Trauma",,,100.22,100.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique Trauma",,,48.12,48.12,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique Trauma",,,123.14,123.14,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,1000.27,1000.27,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Trauma",,,72.07,72.07,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Trauma",,,102.82,102.82,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,307.9,1000.27,6
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification Trauma",,,102.82,102.82,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Trauma",,,74.93,74.93,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Trauma",,,102.82,102.82,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed Trauma",,,102.82,102.82,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Trauma",,,94.22,94.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Trauma",,,71.52,71.52,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification Trauma",,,100.22,100.22,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,70.13,229.92,4
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype Trauma",,,123.14,123.14,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets Trauma",,,1631.45,1631.45,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique Trauma",,,168.48,168.48,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,342.31,1000.27,6
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,342.31,342.31,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique Trauma",,,123.14,123.14,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,342.31,342.31,2
RC,208,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique Trauma",,,84.22,84.22,2
RC,208,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,84.22,84.22,2
RC,208,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics Trauma,,,312.84,312.84,2
RC,208,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Trauma",,,29.33,29.33,2
RC,208,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) Trauma",,,308.95,308.95,2
RC,208,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions Trauma",,,617.88,617.88,2
RC,208,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus Trauma,,,617.88,617.88,2
RC,208,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus Trauma,,,617.88,617.88,2
RC,208,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus Trauma,,,617.88,617.88,2
RC,208,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,617.88,617.88,2
RC,208,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,62.57,62.57,2
RC,208,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested Trauma",,,1172.78,1172.78,2
RC,208,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,631.18,631.18,2
RC,208,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,631.18,631.18,2
RC,208,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,342.31,342.31,2
RC,208,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,173.26,173.26,2
RC,208,Infliximab Trauma,,,92.57,92.57,2
RC,208,Infliximab not biosimil 10 Trauma,,,75.55,75.55,2
RC,208,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, not otherwise specified Trauma",,,,,0
RC,208,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use Trauma",,,,,0
RC,208,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) Trauma",,,,,0
RC,208,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) Trauma",,,,,0
RC,208,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) Trauma",,,,,0
RC,208,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) Trauma",,,,,0
RC,208,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) Trauma",,,,,0
RC,208,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use Trauma",,,,,0
RC,208,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) Trauma",,,28002.0,28002.0,2
RC,208,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) Trauma",,,829.3,829.3,2
RC,208,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) Trauma",,,14684.95,14684.95,2
RC,208,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) Trauma",,,117.77,117.77,2
RC,208,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,5876.54,5876.54,2
RC,208,Inhibin A Trauma,,,37.42,37.42,2
RC,208,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Trauma",,,5219.04,5219.04,2
RC,208,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Trauma",,,3773.59,3773.59,2
RC,208,Inj  ogivri 10 mg Trauma,,,76.67,76.67,2
RC,208,Inj allopurinol sodium 1 m Trauma,,,9.78,9.78,2
RC,208,Inj amivantamab 5mg hyalur Trauma,,,97.78,97.78,2
RC,208,"Inj andexxa, 10 mg Trauma",,,314.79,314.79,2
RC,208,Inj anifrolumab-fnia 1mg Trauma,,,44.42,44.42,2
RC,208,Inj avacincaptad pegol 0.1 Trauma,,,247.69,247.69,2
RC,208,Inj aval alfa-nqpt 4mg Trauma,,,201.47,201.47,2
RC,208,Inj axatilimab-csfr 0.1 mg Trauma,,,135.51,135.51,2
RC,208,Inj belantamab mafodot blm Trauma,,,87.0,87.0,2
RC,208,Inj bimatoprost itc imp 1m Trauma,,,513.01,513.01,2
RC,208,"Inj brixadi, more than 7 d Trauma",,,4133.53,4133.53,2
RC,208,Inj ceftobipole medocarl 3 Trauma,,,2.64,2.64,2
RC,208,Inj ceftolozane tazobactam Trauma,,,24.09,24.09,2
RC,208,Inj cladribine per 1 mg Trauma,,,19.65,19.65,2
RC,208,"Inj cosibelimab-ipdl, 2 mg Trauma",,,53.46,53.46,2
RC,208,Inj crizanlizumab-tmca 5mg Trauma,,,311.85,311.85,2
RC,208,Inj cutaquig 100 mg Trauma,,,33.67,33.67,2
RC,208,"Inj cuvitru, 100 mg Trauma",,,43.55,43.55,2
RC,208,Inj cyclophos dr reddys 5 Trauma,,,1.2,1.2,2
RC,208,Inj cyclophos frindovyx 5 Trauma,,,21.41,21.41,2
RC,208,Inj cyclophosphamd auromed Trauma,,,1.18,1.18,2
RC,208,"Inj daunorubicin, cytarabi Trauma",,,654.93,654.93,2
RC,208,Inj daxibotulinumtoxina-la Trauma,,,7.36,7.36,2
RC,208,Inj delandistrogene mox ro Trauma,,,7960552.8,7960552.8,2
RC,208,Inj depemokimab-ulaa 1 mg Trauma,,,642.72,642.72,2
RC,208,Inj efgart-alfa 2mg hya-qv Trauma,,,82.22,82.22,2
RC,208,Inj efgartigimod 2mg Trauma,,,78.13,78.13,2
RC,208,Inj eflapegrastim-xnst 0.1 Trauma,,,92.55,92.55,2
RC,208,Inj elivaldogene autotemec Trauma,,,7632000.0,7632000.0,2
RC,208,Inj enfort vedo-ejfv 0.25m Trauma,,,87.98,87.98,2
RC,208,Inj epcoritamab-bysp 0.16 Trauma,,,139.18,139.18,2
RC,208,Inj estrogen conjugate Trauma,,,963.61,963.61,2
RC,208,Inj fam-trastu deru-nxki 1 Trauma,,,78.9,78.9,2
RC,208,Inj fensolvi 0.25 mg Trauma,,,348.75,348.75,2
RC,208,Inj ferric carboxymaltos 1 Trauma,,,2.72,2.72,2
RC,208,Inj fosfomycin disodium 20 Trauma,,,1.5,1.5,2
RC,208,"Inj fosnetupitant, palonos Trauma",,,1209.24,1209.24,2
RC,208,Inj gemcitabin (avyxa) 200 Trauma,,,960.8,960.8,2
RC,208,Inj givosiran 0.5 mg Trauma,,,290.2,290.2,2
RC,208,"Inj glofitamab gxbm, 2.5 m Trauma",,,6875.23,6875.23,2
RC,208,Inj glucagon (gvoke) 0.01 Trauma,,,4.32,4.32,2
RC,208,"Inj glucagon hcl, freseniu Trauma",,,310.27,310.27,2
RC,208,Inj herzuma 10 mg Trauma,,,131.86,131.86,2
RC,208,Inj hydroxocobalamin iv 25 Trauma,,,13.07,13.07,2
RC,208,Inj inotuzumab ozogam 0.1 Trauma,,,6895.45,6895.45,2
RC,208,Inj irinotecan liposome 1 Trauma,,,158.07,158.07,2
RC,208,Inj lenacapavir (hiv tx) 1 Trauma,,,55.05,55.05,2
RC,208,Inj leu acet lutr dpt 7.5 Trauma,,,1649.49,1649.49,2
RC,208,Inj linvoseltamab-gcpt 1 m Trauma,,,238.33,238.33,2
RC,208,Inj lon tesirin-lpyl 0.075 Trauma,,,543.86,543.86,2
RC,208,Inj luspatercept-aamt 0.25 Trauma,,,104.43,104.43,2
RC,208,Inj luxturna 1 billion vec Trauma,,,7367.13,7367.13,2
RC,208,Inj meloxicam (azurity) 1m Trauma,,,2.54,2.54,2
RC,208,Inj melpha hydroch nos 50 Trauma,,,251.76,251.76,2
RC,208,Inj melphalan (hepzato) 1 Trauma,,,1923.55,1923.55,2
RC,208,"Inj mogamulizumab-kpkc, 1 Trauma",,,620.49,620.49,2
RC,208,"Inj mosunetuzumab-axgb, 1 Trauma",,,1618.79,1618.79,2
RC,208,Inj mvasi 10 mg Trauma,,,58.88,58.88,2
RC,208,Inj nivol relatlimab 3mg/1 Trauma,,,493.23,493.23,2
RC,208,Inj nivolumab 2 mg hyaluro Trauma,,,67.54,67.54,2
RC,208,Inj olipudase alfa-rpcp 1m Trauma,,,971.87,971.87,2
RC,208,Inj onase abepar-brve trea Trauma,,,6394147.2,6394147.2,2
RC,208,Inj onase abepar-xioi trea Trauma,,,6432091.2,6432091.2,2
RC,208,Inj ontruzant 10 mg Trauma,,,50.37,50.37,2
RC,208,Inj pegfilgrast ex bio 0.5 Trauma,,,343.76,343.76,2
RC,208,Inj pegfilgrastim-bmez 0.5 Trauma,,,317.03,317.03,2
RC,208,Inj pemetrexed (accord) 10 Trauma,,,23.37,23.37,2
RC,208,Inj pemetrexed (bluepoint) Trauma,,,25.44,25.44,2
RC,208,Inj pemetrexed (teva) 10mg Trauma,,,26.37,26.37,2
RC,208,"Inj pemetrexed, hospira 10 Trauma",,,7.06,7.06,2
RC,208,Inj plasminogen tvmh 1mg Trauma,,,92.21,92.21,2
RC,208,"Inj pozelimab-bbfg, 1 mg Trauma",,,220.15,220.15,2
RC,208,Inj recombin esperoct per Trauma,,,5.51,5.51,2
RC,208,Inj retacrit non-esrd use Trauma,,,19.12,19.12,2
RC,208,Inj risankizumab-rzaaÂ1 m Trauma,,,34.87,34.87,2
RC,208,"Inj rituximab, hyaluronida Trauma",,,87.33,87.33,2
RC,208,Inj roctavian ml 2x10^13vc Trauma,,,30128.9,30128.9,2
RC,208,Inj romidepsin lyophil 0.1 Trauma,,,73.71,73.71,2
RC,208,Inj romidepsin non-lyo 0.1 Trauma,,,80.61,80.61,2
RC,208,Inj rozanolixizum-noli 1 m Trauma,,,56.61,56.61,2
RC,208,"Inj ruxience, 10 mg Trauma",,,38.78,38.78,2
RC,208,Inj sebelipase alfa 1 mg Trauma,,,1295.04,1295.04,2
RC,208,Inj secukinumab intrav 1mg Trauma,,,43.76,43.76,2
RC,208,Inj sirolimus prot part 1 Trauma,,,218.47,218.47,2
RC,208,Inj talimogene laherparepv Trauma,,,185.61,185.61,2
RC,208,Inj talquetamab-tgvs 0.25 Trauma,,,184.13,184.13,2
RC,208,Inj teclistamab cqyv 0.5 m Trauma,,,84.78,84.78,2
RC,208,Inj teplizumab mzwv 5 mcg Trauma,,,94.12,94.12,2
RC,208,"Inj tezepelumab-ekko, 1mg Trauma",,,43.01,43.01,2
RC,208,Inj thiotepa nos 1 mg Trauma,,,11.83,11.83,2
RC,208,"Inj tisotu vedotin-tftv, 1 Trauma",,,470.69,470.69,2
RC,208,Inj tofersen intrathec 1 m Trauma,,,395.56,395.56,2
RC,208,Inj travoprost intra impl Trauma,,,472.19,472.19,2
RC,208,Inj triamcinolone ace xr 1 Trauma,,,46.27,46.27,2
RC,208,Inj truxima 10 mg Trauma,,,82.95,82.95,2
RC,208,"Inj ublituximab-xiiy, 1 mg Trauma",,,173.37,173.37,2
RC,208,Inj ustekinumab-aauz 1 mg Trauma,,,31.57,31.57,2
RC,208,"Inj ustekinumab-aekn, 1 mg Trauma",,,25.27,25.27,2
RC,208,"Inj ustekinumab-kfce, 1 mg Trauma",,,7.9,7.9,2
RC,208,"Inj ustekinumab-srlf, 1 mg Trauma",,,27.72,27.72,2
RC,208,"Inj ustekinumab-stba, 1 mg Trauma",,,7.38,7.38,2
RC,208,Inj velmanase alfa-tycv 1 Trauma,,,1150.06,1150.06,2
RC,208,Inj xipere 1 mg Trauma,,,114.65,114.65,2
RC,208,Inj yimmugo 100 mg Trauma,,,57.95,57.95,2
RC,208,Inj zenocutuzumab-zbco 1 m Trauma,,,81.27,81.27,2
RC,208,Inj zopapogene per ther do Trauma,,,292560.0,292560.0,2
RC,208,"Inj, Ado-trastuzumab Emt 1 Trauma",,,104.7,104.7,2
RC,208,"Inj, abilify asimtufii, 1 Trauma",,,14.84,14.84,2
RC,208,"Inj, adzynma, 10 iu Trauma",,,86.91,86.91,2
RC,208,"Inj, aflibercept hd, 1 mg Trauma",,,716.84,716.84,2
RC,208,"Inj, afstyla, 1 i.u. Trauma",,,3.89,3.89,2
RC,208,"Inj, alyglo, 500 mg Trauma",,,291.71,291.71,2
RC,208,"Inj, alymsys, 10 mg Trauma",,,191.87,191.87,2
RC,208,"Inj, amisulpride, 1 mg Trauma",,,22.97,22.97,2
RC,208,"Inj, amivantamab-vmjw Trauma",,,55.73,55.73,2
RC,208,"Inj, artesunate, 1mg Trauma",,,124.39,124.39,2
RC,208,"Inj, aspara, rylaze, 0.1 m Trauma",,,140.88,140.88,2
RC,208,"Inj, atezolizumab,10 mg Trauma",,,231.71,231.71,2
RC,208,"Inj, atidarsagene autotemc Trauma",,,10812000.0,10812000.0,2
RC,208,"Inj, bendamustine hcl, 1mg Trauma",,,7.1,7.1,2
RC,208,"Inj, betibeglogene autotem Trauma",,,7032624.0,7032624.0,2
RC,208,"Inj, bezlotoxumab, 10 mg Trauma",,,95.58,95.58,2
RC,208,"Inj, bortezomib freseniusk Trauma",,,16.73,16.73,2
RC,208,"Inj, bortezomib, dr. reddy Trauma",,,8.3,8.3,2
RC,208,"Inj, brixadi, 7 days or le Trauma",,,1033.38,1033.38,2
RC,208,"Inj, brolucizumab-dbll, 1 Trauma",,,863.31,863.31,2
RC,208,"Inj, bupivacaine liposome Trauma",,,3.49,3.49,2
RC,208,"Inj, cabote rilpivir 2mg 3 Trauma",,,59.2,59.2,2
RC,208,"Inj, carboplatin (avyxa) Trauma",,,12.49,12.49,2
RC,208,"Inj, carboprost, 0.1 mg Trauma",,,39.3,39.3,2
RC,208,"Inj, cefiderocol, 10 mg Trauma",,,6.12,6.12,2
RC,208,"Inj, cimerli, 0.1 mg Trauma",,,198.07,198.07,2
RC,208,"Inj, cipaglucosidase, 5 mg Trauma",,,231.12,231.12,2
RC,208,"Inj, clevidipine, 1 mg Trauma",,,6.81,6.81,2
RC,208,"Inj, crovalimab-akkz, 10 m Trauma",,,1323.63,1323.63,2
RC,208,"Inj, cyclophos (baxter) 5m Trauma",,,10.53,10.53,2
RC,208,"Inj, cyclophosphamd, sando Trauma",,,8.25,8.25,2
RC,208,"Inj, cyclophosphamide, nos Trauma",,,1.38,1.38,2
RC,208,"Inj, denosumab Trauma",,,72.24,72.24,2
RC,208,"Inj, denosumab-bmwo, 1 mg Trauma",,,62.35,62.35,2
RC,208,"Inj, denosumab-bnht, 1 mg Trauma",,,69.16,69.16,2
RC,208,"Inj, denosumab-kyqq, 1 mg Trauma",,,33.6,33.6,2
RC,208,"Inj, denosumab-nxxp, 1 mg Trauma",,,37.58,37.58,2
RC,208,"Inj, denosumab-qbde, 1 mg Trauma",,,9.89,9.89,2
RC,208,"Inj, docetaxel (beizray) 1 Trauma",,,112.34,112.34,2
RC,208,"Inj, donanemab-azbt, 2 mg Trauma",,,10.0,10.0,2
RC,208,"Inj, dostarlimab-gxly, 10 Trauma",,,603.12,603.12,2
RC,208,"Inj, durolane 1 mg Trauma",,,14.97,14.97,2
RC,208,"Inj, eculizumab-aagh, 2 mg Trauma",,,76.27,76.27,2
RC,208,"Inj, eculizumab-aeeb, 2 mg Trauma",,,98.8,98.8,2
RC,208,"Inj, elahere, 1 mg Trauma",,,172.78,172.78,2
RC,208,"Inj, elranatamab-bcmm, 1 m Trauma",,,461.96,461.96,2
RC,208,"Inj, etelcalcetide, 0.1 mg Trauma",,,5.92,5.92,2
RC,208,"Inj, eteplirsen, 10 mg Trauma",,,401.82,401.82,2
RC,208,"Inj, ethacrynate sod, 1 mg Trauma",,,29.82,29.82,2
RC,208,"Inj, evinacumab-dgnb, 5 mg Trauma",,,474.32,474.32,2
RC,208,"Inj, exagamglogene autotem Trauma",,,5522176.8,5522176.8,2
RC,208,"Inj, faricimab-svoa, 0.1mg Trauma",,,77.71,77.71,2
RC,208,"Inj, focinvez, 1mg Trauma",,,5.89,5.89,2
RC,208,"Inj, fosaprepitant (teva) Trauma",,,0.09,0.09,2
RC,208,"Inj, fosdenopterin, 0.1mg Trauma",,,42.57,42.57,2
RC,208,"Inj, fulvestrant (freseniu Trauma",,,65.07,65.07,2
RC,208,"Inj, fulvestrant (teva) Trauma",,,100.01,100.01,2
RC,208,"Inj, fylnetra, 0.5 mg Trauma",,,252.26,252.26,2
RC,208,"Inj, granisetron, xr, 0.1 Trauma",,,7.72,7.72,2
RC,208,"Inj, hemgenix, per tx dose Trauma",,,8859480.0,8859480.0,2
RC,208,"Inj, hercessi, 10 mg Trauma",,,77.9,77.9,2
RC,208,"Inj, human-lans, per i.u Trauma",,,4.16,4.16,2
RC,208,"Inj, imm glob bivigam, 500 Trauma",,,194.98,194.98,2
RC,208,"Inj, invega hafyera/trinza Trauma",,,31.83,31.83,2
RC,208,"Inj, invega sustenna, 1 mg Trauma",,,37.03,37.03,2
RC,208,"Inj, isoniazid, 1 mg Trauma",,,0.73,0.73,2
RC,208,"Inj, ixinity, 1 i.u. Trauma",,,4.65,4.65,2
RC,208,"Inj, jobevne, 10 mg Trauma",,,197.37,197.37,2
RC,208,"Inj, kovaltry, 1 i.u. Trauma",,,3.83,3.83,2
RC,208,"Inj, lanreotide acetate Trauma",,,89.83,89.83,2
RC,208,"Inj, lanreotide, (cipla) 1 Trauma",,,48.79,48.79,2
RC,208,"Inj, leucovorin cal (avyxa Trauma",,,6.18,6.18,2
RC,208,"Inj, levothyroxine, freska Trauma",,,16.41,16.41,2
RC,208,"Inj, liothyronine, 1 mcg Trauma",,,96.3,96.3,2
RC,208,"Inj, lovotibeglogene autot Trauma",,,7764729.6,7764729.6,2
RC,208,"Inj, magtrace per study do Trauma",,,3009.6,3009.6,2
RC,208,"Inj, melphalan (apotex) 1 Trauma",,,155.47,155.47,2
RC,208,"Inj, mirikizumab-mrkz, 1 m Trauma",,,78.38,78.38,2
RC,208,"Inj, motixafortide, 0.25 m Trauma",,,63.55,63.55,2
RC,208,"Inj, nipocalimab-aahu, 3 m Trauma",,,78.16,78.16,2
RC,208,"Inj, nithiodote, 3mg / 125 Trauma",,,5.2,5.2,2
RC,208,"Inj, nogapendekin pmln 1 m Trauma",,,226.33,226.33,2
RC,208,"Inj, nusinersen, 0.1mg Trauma",,,3200.28,3200.28,2
RC,208,"Inj, nyposi 1 mcg Trauma",,,2.48,2.48,2
RC,208,"Inj, nyvepria Trauma",,,328.59,328.59,2
RC,208,"Inj, palonosetron (posfrea Trauma",,,132.55,132.55,2
RC,208,"Inj, panzyga, 500 mg Trauma",,,171.23,171.23,2
RC,208,"Inj, pasireotide long acti Trauma",,,1480.1,1480.1,2
RC,208,"Inj, pedmark, 100 mg Trauma",,,232.27,232.27,2
RC,208,"Inj, pegcetacoplan, 1mg Trauma",,,357.47,357.47,2
RC,208,"Inj, pegulicianine, 1 mg Trauma",,,90.02,90.02,2
RC,208,"Inj, pemrydi rtu, 10 mg Trauma",,,163.04,163.04,2
RC,208,"Inj, polatuzumab vedotin 1 Trauma",,,344.67,344.67,2
RC,208,"Inj, posaconazole, 1 mg Trauma",,,0.82,0.82,2
RC,208,"Inj, qivigy, 100mg Trauma",,,71.0,71.0,2
RC,208,"Inj, releuko 1 mcg Trauma",,,0.75,0.75,2
RC,208,"Inj, remdesivir, 1 mg Trauma",,,18.03,18.03,2
RC,208,"Inj, retifanlimab-dlwr, 1 Trauma",,,74.35,74.35,2
RC,208,"Inj, rezafungin, 1 mg Trauma",,,26.4,26.4,2
RC,208,"Inj, rimabotulinumtoxinB Trauma",,,31.89,31.89,2
RC,208,"Inj, romiplostim 1 microgr Trauma",,,27.88,27.88,2
RC,208,"Inj, rykindo, 0.5 mg Trauma",,,31.27,31.27,2
RC,208,"Inj, sculptra, 0.5mg Trauma",,,5.18,5.18,2
RC,208,"Inj, sezaby, 1 mg Trauma",,,2.68,2.68,2
RC,208,"Inj, sod thiosulfate (hope Trauma",,,2.02,2.02,2
RC,208,"Inj, spesolimab-sbzo, 1 mg Trauma",,,157.75,157.75,2
RC,208,"Inj, stimufend, 0.5 mg Trauma",,,344.82,344.82,2
RC,208,"Inj, susvimo 0.1 mg Trauma",,,179.51,179.51,2
RC,208,"Inj, sutimlimab-jome, 10 m Trauma",,,47.14,47.14,2
RC,208,"Inj, taliglucerase alfa 10 Trauma",,,102.42,102.42,2
RC,208,"Inj, tarlatamab-dlle, 1 mg Trauma",,,3869.81,3869.81,2
RC,208,"Inj, tebentafusp-tebn, 1 m Trauma",,,547.21,547.21,2
RC,208,"Inj, tislelizumab-jsgr Trauma",,,139.61,139.61,2
RC,208,"Inj, tocilizumab-anoh, 1 m Trauma",,,11.26,11.26,2
RC,208,"Inj, tofidence, 1 mg Trauma",,,12.03,12.03,2
RC,208,"Inj, toripalimab-tpzi, 1 m Trauma",,,98.14,98.14,2
RC,208,"Inj, tremelimumab-actl, 1 Trauma",,,352.55,352.55,2
RC,208,"Inj, treosulfan, 50 mg Trauma",,,77.59,77.59,2
RC,208,"Inj, trivisc 1 mg Trauma",,,7.29,7.29,2
RC,208,"Inj, tyenne, 1 mg Trauma",,,9.73,9.73,2
RC,208,"Inj, tyruko, 1 mg Trauma",,,58.79,58.79,2
RC,208,"Inj, uzedy, 1 mg Trauma",,,62.83,62.83,2
RC,208,"Inj, vasopressin (baxter) Trauma",,,4.21,4.21,2
RC,208,"Inj, vegzelma, 10 mg Trauma",,,56.75,56.75,2
RC,208,"Inj, vivimusta, 1 mg Trauma",,,71.79,71.79,2
RC,208,"Inj, vutrisiran, 1 mg Trauma",,,12030.24,12030.24,2
RC,208,"Inj, wezlana, iv, 1 mg Trauma",,,5.65,5.65,2
RC,208,"Inj, ziv-aflibercept, 1mg Trauma",,,20.82,20.82,2
RC,208,"Inj, zolbetuximab-clzb, 2 Trauma",,,81.42,81.42,2
RC,208,"Inj. (ani), up to 40 units Trauma",,,8819.23,8819.23,2
RC,208,Inj. acthar gel to 40 unit Trauma,,,9920.28,9920.28,2
RC,208,Inj. asceniv Trauma,,,1221.93,1221.93,2
RC,208,"Inj. avsola, 10 mg Trauma",,,73.99,73.99,2
RC,208,Inj. belrapzo/bendamustine Trauma,,,27.84,27.84,2
RC,208,"Inj. byooviz, 0.1 mg Trauma",,,578.33,578.33,2
RC,208,Inj. calaspargase pegol-mk Trauma,,,205.89,205.89,2
RC,208,Inj. cetirizine hcl 0.5mg Trauma,,,41.17,41.17,2
RC,208,"Inj. concizumab-mtci, 0.5 Trauma",,,206.78,206.78,2
RC,208,"Inj. denosumab-bbdz, 1 mg Trauma",,,66.4,66.4,2
RC,208,Inj. eptinezumab-jjmr 1 mg Trauma,,,50.64,50.64,2
RC,208,Inj. fe derisomaltose 10 m Trauma,,,50.58,50.58,2
RC,208,"Inj. ferumoxytol, 1 mg Trauma",,,0.97,0.97,2
RC,208,"Inj. herceptin hylecta, 10 Trauma",,,140.03,140.03,2
RC,208,"Inj. inebilizumab-cdon, 1 Trauma",,,1225.56,1225.56,2
RC,208,Inj. isatuximab-irfc 10 mg Trauma,,,211.58,211.58,2
RC,208,Inj. jivi 1 iu Trauma,,,6.61,6.61,2
RC,208,"Inj. lumasiran, 0.5 mg Trauma",,,808.74,808.74,2
RC,208,"Inj. lurbinectedin, 0.1 mg Trauma",,,518.28,518.28,2
RC,208,"Inj. margetuximab-cmkb, 5 Trauma",,,135.46,135.46,2
RC,208,"Inj. naxitamab-gqgk, 1 mg Trauma",,,1643.76,1643.76,2
RC,208,Inj. pemetrexed nos 10mg Trauma,,,16.68,16.68,2
RC,208,"Inj. pemetrexed, 10 mg Trauma",,,19.19,19.19,2
RC,208,Inj. remestemcel-l-rknd/ t Trauma,,,488783.52,488783.52,2
RC,208,"Inj. riabni, 10 mg Trauma",,,44.48,44.48,2
RC,208,Inj. romosozumab-aqqg 1 mg Trauma,,,30.56,30.56,2
RC,208,Inj. tagraxofusp-erzs 10 m Trauma,,,858.05,858.05,2
RC,208,Inj. teprotumumab-trbw 10 Trauma,,,911.76,911.76,2
RC,208,"Inj. xembify, 100 mg Trauma",,,36.58,36.58,2
RC,208,"Inj., aprepitant, 1 mg Trauma",,,3.82,3.82,2
RC,208,"Inj., aristada initio, 1 m Trauma",,,8.31,8.31,2
RC,208,"Inj., benralizumab, 1 mg Trauma",,,397.35,397.35,2
RC,208,"Inj., cemiplimab-rwlc, 1 m Trauma",,,71.2,71.2,2
RC,208,"Inj., cerliponase alfa 1 m Trauma",,,296.11,296.11,2
RC,208,"Inj., durvalumab, 10 mg Trauma",,,211.08,211.08,2
RC,208,"Inj., emapalumab-lzsg, 1 m Trauma",,,942.67,942.67,2
RC,208,"Inj., emicizumab-kxwh 0.5 Trauma",,,139.28,139.28,2
RC,208,"Inj., eravacycline, 1 mg Trauma",,,3.31,3.31,2
RC,208,"Inj., evomela, 1 mg Trauma",,,43.31,43.31,2
RC,208,"Inj., fibryga, 1 mg Trauma",,,2.96,2.96,2
RC,208,"Inj., guselkumab, 1 mg Trauma",,,160.61,160.61,2
RC,208,"Inj., ibalizumab-uiyk, 10 Trauma",,,190.83,190.83,2
RC,208,"Inj., kanjinti, 10 mg Trauma",,,145.25,145.25,2
RC,208,"Inj., lanadelumab-flyo, 1 Trauma",,,211.72,211.72,2
RC,208,"Inj., lumoxiti, 0.01 mg Trauma",,,56.15,56.15,2
RC,208,"Inj., meropenem, vaborbact Trauma",,,5.33,5.33,2
RC,208,"Inj., omadacycline, 1 mg Trauma",,,10.05,10.05,2
RC,208,"Inj., patisiran, 0.1 mg Trauma",,,242.46,242.46,2
RC,208,"Inj., perseris, 0.5 mg Trauma",,,29.29,29.29,2
RC,208,"Inj., plazomicin, 5 mg Trauma",,,8.45,8.45,2
RC,208,"Inj., ravulizumab-cwvz 10 Trauma",,,544.61,544.61,2
RC,208,"Inj., rituximab, 10 mg Trauma",,,175.87,175.87,2
RC,208,"Inj., tafasitamab-cxix Trauma",,,34.63,34.63,2
RC,208,"Inj., tildrakizumab, 1 mg Trauma",,,298.26,298.26,2
RC,208,"Inj., trazimera, 10 mg Trauma",,,31.28,31.28,2
RC,208,"Inj., triluron, 1 mg Trauma",,,25.03,25.03,2
RC,208,"Inj., triptorelin xr 3.75 Trauma",,,9167.84,9167.84,2
RC,208,"Inj., vestronidase alfa-vj Trauma",,,699.69,699.69,2
RC,208,"Inj., yutiq, 0.01 mg Trauma",,,1271.73,1271.73,2
RC,208,"Inj., zirabev, 10 mg Trauma",,,62.13,62.13,2
RC,208,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies Trauma",,,127.49,127.49,2
RC,208,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies Trauma",,,1288.58,1288.58,2
RC,208,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies Trauma",,,2128.18,2128.18,2
RC,208,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies Trauma",,,676.42,676.42,2
RC,208,Injection fitusiran 0.04 m Trauma,,,314.88,314.88,2
RC,208,Injection trabectedin 0.1m Trauma,,,985.15,985.15,2
RC,208,"Injection, Carfilzomib, 1 Trauma",,,144.7,144.7,2
RC,208,"Injection, avelumab, 10 mg Trauma",,,260.73,260.73,2
RC,208,"Injection, blinatumomab Trauma",,,414.96,414.96,2
RC,208,"Injection, burosumab-twza Trauma",,,1232.09,1232.09,2
RC,208,"Injection, cangrelor Trauma",,,48.66,48.66,2
RC,208,"Injection, caplacizumab-yh Trauma",,,2014.01,2014.01,2
RC,208,"Injection, casimersen, 10 Trauma",,,398.81,398.81,2
RC,208,"Injection, daratumumab 10 Trauma",,,177.05,177.05,2
RC,208,"Injection, edaravone, 1 mg Trauma",,,15.51,15.51,2
RC,208,"Injection, elotuzumab, 1mg Trauma",,,19.65,19.65,2
RC,208,"Injection, fulphila Trauma",,,160.86,160.86,2
RC,208,"Injection, glucarpidase Trauma",,,1077.85,1077.85,2
RC,208,"Injection, imetelstat, 1 m Trauma",,,142.87,142.87,2
RC,208,"Injection, inclisiran, 1 m Trauma",,,30.97,30.97,2
RC,208,"Injection, isavuconazonium Trauma",,,2.46,2.46,2
RC,208,"Injection, ixabepilone Trauma",,,335.41,335.41,2
RC,208,"Injection, mepolizumab, 1m Trauma",,,77.47,77.47,2
RC,208,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
RC,208,"Injection, necitumumab, 1 Trauma",,,13.75,13.75,2
RC,208,"Injection, nivolumab Trauma",,,82.13,82.13,2
RC,208,"Injection, ocrelizumab Trauma",,,146.33,146.33,2
RC,208,"Injection, oritavancin 10 Trauma",,,113.78,113.78,2
RC,208,"Injection, pegloticase Trauma",,,9430.41,9430.41,2
RC,208,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,,,0
RC,208,"Injection, peramivir Trauma",,,4.03,4.03,2
RC,208,"Injection, renflexis Trauma",,,63.88,63.88,2
RC,208,"Injection, reslizumab Trauma",,,28.15,28.15,2
RC,208,"Injection, ruconest Trauma",,,90.8,90.8,2
RC,208,"Injection, siltuximab Trauma",,,417.76,417.76,2
RC,208,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,,,0
RC,208,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent Trauma",,,,,0
RC,208,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,,,0
RC,208,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical Trauma",,,,,0
RC,208,"Injection, trilaciclib, 1m Trauma",,,13.11,13.11,2
RC,208,"Injection, udenyca 0.5 mg Trauma",,,357.92,357.92,2
RC,208,"Injection,onabotulinumtoxi Trauma",,,15.61,15.61,2
RC,208,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each Trauma",,,216.12,216.12,2
RC,208,Insertion tray with drainage bag but without catheter Trauma,,,34.34,34.34,2
RC,208,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation Trauma",,,82.56,82.56,2
RC,208,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) Trauma",,,73.51,73.51,2
RC,208,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone Trauma",,,76.68,76.68,2
RC,208,Insertion tray without drainage bag and without catheter (accessories only) Trauma,,,22.46,22.46,2
RC,208,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation Trauma",,,53.86,53.86,2
RC,208,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) Trauma",,,43.06,43.06,2
RC,208,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone Trauma",,,61.68,61.68,2
RC,208,Inst tauro 1.35mg/hep 100u Trauma,,,10.1,10.1,2
RC,208,"Instill adstiladrin, tx do Trauma",,,154395.86,154395.86,2
RC,208,"Instill, bupivac and melox Trauma",,,2.03,2.03,2
RC,208,Insulin antibodies Trauma,,,51.38,51.38,2
RC,208,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) Trauma,,,684.07,684.07,2
RC,208,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) Trauma,,,247.2,247.2,2
RC,208,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) Trauma,,,397.46,397.46,2
RC,208,Insulin; free Trauma,,,31.08,31.08,2
RC,208,Insulin; total Trauma,,,27.43,27.43,2
RC,208,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests Trauma",,,81.84,81.84,2
RC,208,Intensive Outpatient (3 se Trauma,,,313.36,783.48,4
RC,208,Intensive Outpatient (4 or Trauma,,,410.61,1026.51,4
RC,208,"Interface for cough stimulating device, includes all components, replacement only Trauma",,,47.69,47.69,2
RC,208,Interleukin-6 (IL-6) Trauma,,,41.45,41.45,2
RC,208,"Intermittent urinary catheter, with insertion supplies Trauma",,,23.93,23.93,2
RC,208,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each Trauma",,,18.67,18.67,2
RC,208,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each Trauma",,,18.67,18.67,2
RC,208,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies Trauma",,,23.93,23.93,2
RC,208,"Intermittent urinary catheter; straight tip, hydrophilic coating, each Trauma",,,6.19,6.19,2
RC,208,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each Trauma",,,6.19,6.19,2
RC,208,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size Trauma",,,5733.53,5733.53,2
RC,208,"Interphalangeal joint spacer, silicone or equal, each Trauma",,,921.7,921.7,2
RC,208,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,12860.09,12860.09,2
RC,208,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm Trauma",,,11508.7,11508.7,2
RC,208,"Interscapular thoracic, passive restoration (complete prosthesis) Trauma",,,10350.22,10350.22,2
RC,208,"Interscapular thoracic, passive restoration (shoulder cap only) Trauma",,,6193.27,6193.27,2
RC,208,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,48315.6,48315.6,2
RC,208,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,44177.04,44177.04,2
RC,208,Intrinsic factor Trauma,,,47.57,47.57,2
RC,208,Intrinsic factor antibodies Trauma,,,36.19,36.19,2
RC,208,Iodine I-125 sodium iodide Trauma,,,951.17,951.17,2
RC,208,Iodine i-123 iobenguane Trauma,,,5562.0,5562.0,2
RC,208,Iodine i-123 ioflupane Trauma,,,3330.58,3330.58,2
RC,208,Ipilimumab injection Trauma,,,457.04,457.04,2
RC,208,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source Trauma",,,375.43,375.43,2
RC,208,Iris supported intraocular lens Trauma,,,349.75,349.75,2
RC,208,Iron Trauma,,,15.53,15.53,2
RC,208,Iron binding capacity Trauma,,,20.98,20.98,2
RC,208,"Iron stain, peripheral blood Trauma",,,16.51,16.51,2
RC,208,"Irrigation supply; sleeve, disposable, per month Trauma",,,56.35,56.35,2
RC,208,"Irrigation supply; sleeve, reusable, per month Trauma",,,56.35,56.35,2
RC,208,"Irrigation syringe, bulb or piston, each Trauma",,,9.65,9.65,2
RC,208,"Irrigation tray with bulb or piston syringe, any purpose Trauma",,,18.26,18.26,2
RC,208,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each Trauma",,,25.92,25.92,2
RC,208,Islet cell antibody Trauma,,,56.57,56.57,2
RC,208,Isocitric dehydrogenase (IDH) Trauma,,,21.24,21.24,2
RC,208,Itraconazole Trauma,,,65.06,65.06,2
RC,208,"Iv hanger, each Trauma",,,290.66,290.66,2
RC,208,Iv pole Trauma,,,440.93,440.93,2
RC,208,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant Trauma",,,219.98,219.98,2
RC,208,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) Trauma",,,444.48,444.48,2
RC,208,Jaw motion rehabilitation system Trauma,,,117.96,117.96,2
RC,208,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC Trauma,,,23662.71,49383.05,4
RC,208,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC Trauma,,,38173.3,79666.01,4
RC,208,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC Trauma,,,20680.85,43160.04,4
RC,208,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC Trauma,,,18214.54,38012.95,4
RC,208,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC Trauma,,,31282.43,65285.06,4
RC,208,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC Trauma,,,15145.86,31608.74,4
RC,208,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC Trauma,,,16484.58,34402.61,4
RC,208,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC Trauma,,,12724.57,26555.62,4
RC,208,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC Trauma,,,15278.76,31886.11,4
RC,208,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC Trauma,,,23380.81,48794.74,4
RC,208,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC Trauma,,,12518.77,26126.14,4
RC,208,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC Trauma,,,16307.74,34033.54,4
RC,208,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,11433.0,23860.17,4
RC,208,KIDNEY TRANSPLANT Trauma,,,38663.13,80688.26,4
RC,208,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC Trauma,,,54439.56,113613.0,4
RC,208,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC Trauma,,,43768.31,91342.56,4
RC,208,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,790.82,790.82,2
RC,208,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) Trauma",,,299.69,299.69,2
RC,208,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,13000.0,1
RC,208,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC Trauma,,,26461.29,55223.57,4
RC,208,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,13000.0,1
RC,208,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC Trauma,,,38637.41,80634.6,4
RC,208,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Trauma,,,20835.19,43482.14,4
RC,208,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,13000.0,1
RC,208,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC Trauma,,,23007.81,48016.3,4
RC,208,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC Trauma,,,16018.34,33429.58,4
RC,208,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) Trauma",,,463.8,463.8,2
RC,208,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) Trauma",,,463.8,463.8,2
RC,208,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment Trauma",,,3261.48,3261.48,2
RC,208,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment Trauma",,,2667.38,2667.38,2
RC,208,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment Trauma",,,2224.75,2224.75,2
RC,208,"Ketogenic steroids, fractionation Trauma",,,37.13,37.13,2
RC,208,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative Trauma",,,10.85,10.85,2
RC,208,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative Trauma",,,19.61,19.61,2
RC,208,Ketorolac tromethamine inj Trauma,,,0.69,0.69,2
RC,208,"Ketosteroids, 17- (17-KS); fractionation Trauma",,,68.4,68.4,2
RC,208,"Ketosteroids, 17- (17-KS); total Trauma",,,30.72,30.72,2
RC,208,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,94508.16,94508.16,2
RC,208,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated Trauma",,,12151.78,12151.78,2
RC,208,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated Trauma",,,3220.25,3220.25,2
RC,208,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated Trauma",,,2793.86,2793.86,2
RC,208,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated Trauma",,,4729.06,4729.06,2
RC,208,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated Trauma",,,3752.59,3752.59,2
RC,208,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated Trauma",,,5116.78,5116.78,2
RC,208,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated Trauma",,,6089.11,6089.11,2
RC,208,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated Trauma",,,4715.42,4715.42,2
RC,208,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment Trauma",,,513.74,513.74,2
RC,208,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated Trauma",,,3943.06,3943.06,2
RC,208,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated Trauma",,,2550.0,2550.0,2
RC,208,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated Trauma",,,2797.3,2797.3,2
RC,208,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot Trauma",,,11222.69,11222.69,2
RC,208,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot Trauma",,,10318.03,10318.03,2
RC,208,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system Trauma",,,11569.01,11569.01,2
RC,208,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,1681.18,1681.18,2
RC,208,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,1762.27,1762.27,2
RC,208,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,2235.62,2235.62,2
RC,208,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf Trauma",,,1335.14,1335.14,2
RC,208,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated Trauma",,,2764.78,2764.78,2
RC,208,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,1705.73,1705.73,2
RC,208,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf Trauma",,,1705.73,1705.73,2
RC,208,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,3524.3,3524.3,2
RC,208,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,2777.62,2777.62,2
RC,208,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,357.58,357.58,2
RC,208,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf Trauma",,,357.58,357.58,2
RC,208,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Trauma",,,359.02,359.02,2
RC,208,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf Trauma",,,205.7,205.7,2
RC,208,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf Trauma",,,185.35,185.35,2
RC,208,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment Trauma",,,872.74,872.74,2
RC,208,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) Trauma",,,3079.01,3079.01,2
RC,208,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf Trauma",,,262.08,262.08,2
RC,208,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,4610.57,4610.57,2
RC,208,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,2660.78,2660.78,2
RC,208,"Knee orthosis, swedish type, prefabricated, off-the-shelf Trauma",,,603.6,603.6,2
RC,208,"Knee orthosis, without knee joint, rigid, custom fabricated Trauma",,,2630.18,2630.18,2
RC,208,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC Trauma,,,22179.28,46287.19,4
RC,208,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC Trauma,,,29626.44,61829.09,4
RC,208,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC Trauma,,,18687.22,38999.42,4
RC,208,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Trauma",,,44381.41,92622.07,4
RC,208,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,13000.0,3
RC,208,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT Trauma,,,16999.07,89550.82,12
RC,208,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,13000.0,1
RC,208,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC Trauma,,,36383.32,75930.41,4
RC,208,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,13000.0,1
RC,208,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT Trauma,,,25643.47,53516.81,4
RC,208,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,13000.0,1
RC,208,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC Trauma",,,31230.99,65177.71,4
RC,208,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC Trauma",,,43401.74,90577.54,4
RC,208,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,13000.0,1
RC,208,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC Trauma",,,25554.51,53331.14,4
RC,208,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC Trauma,,,28042.26,58522.97,4
RC,208,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC Trauma,,,66909.37,139636.94,4
RC,208,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,16952.98,35380.13,4
RC,208,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC Trauma,,,21534.04,44940.6,4
RC,208,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC Trauma,,,38721.02,80809.08,4
RC,208,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC Trauma,,,28331.65,59126.93,4
RC,208,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC Trauma,,,53189.8,111004.8,4
RC,208,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC Trauma,,,18511.43,38632.56,4
RC,208,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,14877.89,31049.52,4
RC,208,Lacosamide Trauma,,,65.06,65.06,2
RC,208,Lactate (lactic acid) Trauma,,,27.77,27.77,2
RC,208,"Lactate dehydrogenase (LD), (LDH); Trauma",,,14.5,14.5,2
RC,208,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation Trauma",,,30.7,30.7,2
RC,208,"Lactoferrin, fecal; qualitative Trauma",,,47.28,47.28,2
RC,208,"Lactoferrin, fecal; quantitative Trauma",,,47.11,47.11,2
RC,208,"Lactogen, human placental (HPL) human chorionic somatomammotropin Trauma",,,48.53,48.53,2
RC,208,"Lactose, urine, qualitative Trauma",,,27.0,27.0,2
RC,208,"Lambswool sheepskin pad, any size Trauma",,,149.78,149.78,2
RC,208,Lamotrigine Trauma,,,31.8,31.8,2
RC,208,"Lancets, per box of 100 Trauma",,,3.41,3.41,2
RC,208,"Large size footplate, each Trauma",,,145.22,145.22,2
RC,208,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor Trauma",,,31.97,31.97,2
RC,208,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor Trauma",,,10.01,10.01,2
RC,208,Laronidase injection Trauma,,,99.57,99.57,2
RC,208,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) Trauma",,,226.97,226.97,2
RC,208,Laser Eye Procedures Trauma,,,1378.44,1378.44,2
RC,208,Lead Trauma,,,29.06,29.06,2
RC,208,"Lead wires, (e.g., apnea monitor), per pair Trauma",,,32.35,32.35,2
RC,208,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only Trauma",,,1014.24,1014.24,2
RC,208,"Lecanemab-irmb, for iv inj Trauma",,,3.22,3.22,2
RC,208,Leflunomide Trauma,,,92.57,92.57,2
RC,208,"Leg extensions for walker, per set of four (4) Trauma",,,64.66,64.66,2
RC,208,"Leg strap, each Trauma",,,70.78,70.78,2
RC,208,"Leg strap, h style, each Trauma",,,151.97,151.97,2
RC,208,"Leg strap; foam or fabric, replacement only, per set Trauma",,,27.55,27.55,2
RC,208,"Leg strap; latex, replacement only, per set Trauma",,,16.1,16.1,2
RC,208,"Legg perthes orthosis, (newington type), custom fabricated Trauma",,,5607.72,5607.72,2
RC,208,"Legg perthes orthosis, (patten bottom type), custom fabricated Trauma",,,4549.06,4549.06,2
RC,208,"Legg perthes orthosis, (scottish rite type), custom fabricated Trauma",,,3125.33,3125.33,2
RC,208,"Legg perthes orthosis, (toronto type), custom fabricated Trauma",,,4770.77,4770.77,2
RC,208,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated Trauma",,,4142.42,4142.42,2
RC,208,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens Trauma",,,191.23,191.23,2
RC,208,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens Trauma",,,215.64,215.64,2
RC,208,"Lens, polycarbonate or equal, any index, per lens Trauma",,,140.23,140.23,2
RC,208,"Lenticular (myodisc), per lens, bifocal Trauma",,,290.5,290.5,2
RC,208,"Lenticular lens, per lens, bifocal Trauma",,,283.46,283.46,2
RC,208,"Lenticular lens, per lens, single Trauma",,,222.46,222.46,2
RC,208,"Lenticular lens, per lens, trifocal Trauma",,,460.75,460.75,2
RC,208,"Lenticular, (myodisc), per lens, single vision Trauma",,,217.34,217.34,2
RC,208,"Lenticular, (myodisc), per lens, trifocal Trauma",,,467.45,467.45,2
RC,208,Leucine aminopeptidase (LAP) Trauma,,,23.54,23.54,2
RC,208,Leukocyte alkaline phosphatase with count Trauma,,,20.64,20.64,2
RC,208,"Leukocyte assessment, fecal, qualitative or semiquantitative Trauma",,,10.25,10.25,2
RC,208,Leukocyte histamine release test (LHR) Trauma,,,29.9,29.9,2
RC,208,Leukocyte phagocytosis Trauma,,,24.94,24.94,2
RC,208,Leuprolide acetate Trauma,,,4419.03,4419.03,2
RC,208,Leuprolide acetate suspnsi Trauma,,,384.82,384.82,2
RC,208,"Leuprolide inj, camcevi, 1 Trauma",,,100.94,100.94,2
RC,208,Level 1 Abdominal/Peritone Trauma,,,8973.45,8973.45,2
RC,208,Level 1 Airway Endoscopy Trauma,,,500.27,500.27,2
RC,208,Level 1 Blood Product Exch Trauma,,,1105.7,1105.7,2
RC,208,Level 1 Breast/Lymphatic S Trauma,,,9813.13,9813.13,2
RC,208,Level 1 Diagnostic Tests a Trauma,,,322.49,322.49,2
RC,208,Level 1 Drug Administratio Trauma,,,117.36,117.36,2
RC,208,Level 1 ENT Procedures Trauma,,,593.61,593.61,2
RC,208,Level 1 Electronic Analysi Trauma,,,93.54,93.54,2
RC,208,Level 1 Electrophysiologic Trauma,,,3051.48,3051.48,2
RC,208,Level 1 Endovascular Proce Trauma,,,8125.15,8125.15,2
RC,208,Level 1 Excision/ Biopsy/ Trauma,,,1774.77,1774.77,2
RC,208,"Level 1 Extraocular, Repai Trauma",,,795.5,795.5,2
RC,208,Level 1 Gynecologic Proced Trauma,,,506.7,506.7,2
RC,208,Level 1 Health and Behavio Trauma,,,93.91,93.91,2
RC,208,Level 1 ICD and Similar Pr Trauma,,,55748.4,55748.4,2
RC,208,Level 1 Imaging with Contr Trauma,,,439.6,439.6,2
RC,208,Level 1 Imaging without Co Trauma,,,218.11,218.11,2
RC,208,Level 1 Intraocular Proced Trauma,,,5784.03,5784.03,2
RC,208,Level 1 Laparoscopy and Re Trauma,,,15151.72,15151.72,2
RC,208,Level 1 Lower GI Procedure Trauma,,,2330.72,2330.72,2
RC,208,Level 1 Minor Procedures Trauma,,,72.49,72.49,2
RC,208,Level 1 Musculoskeletal Pr Trauma,,,618.21,618.21,2
RC,208,Level 1 Nerve Injections Trauma,,,769.3,769.3,2
RC,208,Level 1 Nerve Procedures Trauma,,,4894.06,4894.06,2
RC,208,Level 1 Neurostimulator an Trauma,,,8762.18,8762.18,2
RC,208,Level 1 Nuclear Medicine a Trauma,,,1001.93,1001.93,2
RC,208,Level 1 Pacemaker and Simi Trauma,,,9365.83,9365.83,2
RC,208,Level 1 Pathology Trauma,,,130.6,130.6,2
RC,208,Level 1 Radiation Therapy Trauma,,,255.71,255.71,2
RC,208,Level 1 Skin Procedures Trauma,,,502.84,502.84,2
RC,208,Level 1 Strapping and Cast Trauma,,,407.27,407.27,2
RC,208,Level 1 Therapeutic Radiat Trauma,,,336.86,336.86,2
RC,208,Level 1 Type A ED Visits Trauma,,,211.34,211.34,2
RC,208,Level 1 Type B ED Visits Trauma,,,186.29,186.29,2
RC,208,Level 1 Upper GI Procedure Trauma,,,2273.15,2273.15,2
RC,208,Level 1 Urology and Relate Trauma,,,626.19,626.19,2
RC,208,Level 1 Vascular Procedure Trauma,,,1572.19,1572.19,2
RC,208,Level 2 Abdominal/Peritone Trauma,,,16225.14,16225.14,2
RC,208,Level 2 Airway Endoscopy Trauma,,,980.25,980.25,2
RC,208,Level 2 Blood Product Exch Trauma,,,3903.33,3903.33,2
RC,208,Level 2 Breast/Lymphatic S Trauma,,,16642.05,16642.05,2
RC,208,Level 2 Diagnostic Tests a Trauma,,,541.16,541.16,2
RC,208,Level 2 Drug Administratio Trauma,,,180.45,180.45,2
RC,208,Level 2 ENT Procedures Trauma,,,1351.7,1351.7,2
RC,208,Level 2 Electronic Analysi Trauma,,,238.27,238.27,2
RC,208,Level 2 Electrophysiologic Trauma,,,19548.06,19548.06,2
RC,208,Level 2 Endovascular Proce Trauma,,,14264.59,14264.59,2
RC,208,Level 2 Excision/ Biopsy/ Trauma,,,4139.35,4139.35,2
RC,208,"Level 2 Extraocular, Repai Trauma",,,2498.45,2498.45,2
RC,208,Level 2 Gynecologic Proced Trauma,,,763.73,763.73,2
RC,208,Level 2 Health and Behavio Trauma,,,254.61,254.61,2
RC,208,Level 2 ICD and Similar Pr Trauma,,,78668.95,78668.95,2
RC,208,Level 2 Imaging with Contr Trauma,,,874.37,874.37,2
RC,208,Level 2 Imaging without Co Trauma,,,262.02,262.02,2
RC,208,Level 2 Intraocular Proced Trauma,,,10359.47,10359.47,2
RC,208,Level 2 Laparoscopy and Re Trauma,,,26641.22,26641.22,2
RC,208,Level 2 Lower GI Procedure Trauma,,,2999.1,2999.1,2
RC,208,Level 2 Minor Procedures Trauma,,,93.61,93.61,2
RC,208,Level 2 Musculoskeletal Pr Trauma,,,4030.06,4030.06,2
RC,208,Level 2 Nerve Injections Trauma,,,1769.13,1769.13,2
RC,208,Level 2 Nerve Procedures Trauma,,,8561.79,8561.79,2
RC,208,Level 2 Neurostimulator an Trauma,,,15972.44,15972.44,2
RC,208,Level 2 Nuclear Medicine a Trauma,,,1360.83,1360.83,2
RC,208,Level 2 Pacemaker and Simi Trauma,,,20740.36,20740.36,2
RC,208,Level 2 Pathology Trauma,,,426.99,426.99,2
RC,208,Level 2 Radiation Therapy Trauma,,,966.66,966.66,2
RC,208,Level 2 Skin Procedures Trauma,,,1018.84,1018.84,2
RC,208,Level 2 Strapping and Cast Trauma,,,700.98,700.98,2
RC,208,Level 2 Therapeutic Radiat Trauma,,,938.42,938.42,2
RC,208,Level 2 Type A ED Visits Trauma,,,384.82,384.82,2
RC,208,Level 2 Type B ED Visits Trauma,,,232.8,232.8,2
RC,208,Level 2 Upper GI Procedure Trauma,,,4809.3,4809.3,2
RC,208,Level 2 Urology and Relate Trauma,,,1747.61,1747.61,2
RC,208,Level 2 Vascular Procedure Trauma,,,3945.26,3945.26,2
RC,208,Level 3 Airway Endoscopy Trauma,,,4460.9,4460.9,2
RC,208,Level 3 Blood Product Exch Trauma,,,10916.06,10916.06,2
RC,208,Level 3 Breast/Lymphatic S Trauma,,,20484.72,20484.72,2
RC,208,Level 3 Diagnostic Tests a Trauma,,,935.23,935.23,2
RC,208,Level 3 Drug Administratio Trauma,,,533.09,533.09,2
RC,208,Level 3 ENT Procedures Trauma,,,3888.69,3888.69,2
RC,208,Level 3 Electronic Analysi Trauma,,,769.77,769.77,2
RC,208,Level 3 Electrophysiologic Trauma,,,65508.53,65508.53,2
RC,208,Level 3 Endovascular Proce Trauma,,,28932.84,28932.84,2
RC,208,Level 3 Excision/ Biopsy/ Trauma,,,7280.0,7280.0,2
RC,208,"Level 3 Extraocular, Repai Trauma",,,5958.62,5958.62,2
RC,208,Level 3 Gynecologic Proced Trauma,,,2308.4,2308.4,2
RC,208,Level 3 Health and Behavio Trauma,,,444.85,444.85,2
RC,208,Level 3 Imaging with Contr Trauma,,,1964.72,1964.72,2
RC,208,Level 3 Imaging without Co Trauma,,,598.0,598.0,2
RC,208,Level 3 Intraocular Proced Trauma,,,13336.62,13336.62,2
RC,208,Level 3 Lower GI Procedure Trauma,,,6956.55,6956.55,2
RC,208,Level 3 Minor Procedures Trauma,,,147.85,147.85,2
RC,208,Level 3 Musculoskeletal Pr Trauma,,,8200.51,8200.51,2
RC,208,Level 3 Nerve Injections Trauma,,,2216.73,2216.73,2
RC,208,Level 3 Nerve Procedures Trauma,,,21994.65,21994.65,2
RC,208,Level 3 Neurostimulator an Trauma,,,27926.59,27926.59,2
RC,208,Level 3 Nuclear Medicine a Trauma,,,3244.74,3244.74,2
RC,208,Level 3 Pacemaker and Simi Trauma,,,26195.52,26195.52,2
RC,208,Level 3 Pathology Trauma,,,898.36,898.36,2
RC,208,Level 3 Radiation Therapy Trauma,,,1384.82,1384.82,2
RC,208,Level 3 Skin Procedures Trauma,,,1852.31,1852.31,2
RC,208,Level 3 Therapeutic Radiat Trauma,,,3469.0,3469.0,2
RC,208,Level 3 Type A ED Visits Trauma,,,684.16,684.16,2
RC,208,Level 3 Type B ED Visits Trauma,,,430.8,430.8,2
RC,208,Level 3 Upper GI Procedure Trauma,,,9662.85,9662.85,2
RC,208,Level 3 Urology and Relate Trauma,,,5239.07,5239.07,2
RC,208,Level 3 Vascular Procedure Trauma,,,7913.5,7913.5,2
RC,208,Level 4 Airway Endoscopy Trauma,,,9344.24,9344.24,2
RC,208,Level 4 Blood Product Exch Trauma,,,157647.14,157647.14,2
RC,208,Level 4 Breast/Lymphatic S Trauma,,,34538.78,34538.78,2
RC,208,Level 4 Diagnostic Tests a Trauma,,,2152.23,2152.23,2
RC,208,Level 4 Drug Administratio Trauma,,,827.84,827.84,2
RC,208,Level 4 ENT Procedures Trauma,,,8309.43,8309.43,2
RC,208,Level 4 Endovascular Proce Trauma,,,45944.02,45944.02,2
RC,208,"Level 4 Extraocular, Repai Trauma",,,9853.14,9853.14,2
RC,208,Level 4 Gynecologic Proced Trauma,,,8113.11,8113.11,2
RC,208,Level 4 Imaging without Co Trauma,,,1369.46,1369.46,2
RC,208,Level 4 Intraocular Proced Trauma,,,36356.21,36356.21,2
RC,208,Level 4 Minor Procedures Trauma,,,333.45,333.45,2
RC,208,Level 4 Musculoskeletal Pr Trauma,,,18186.03,18186.03,2
RC,208,Level 4 Neurostimulator an Trauma,,,48621.91,48621.91,2
RC,208,Level 4 Nuclear Medicine a Trauma,,,3583.84,3583.84,2
RC,208,Level 4 Pacemaker and Simi Trauma,,,48274.99,48274.99,2
RC,208,Level 4 Pathology Trauma,,,2019.25,2019.25,2
RC,208,Level 4 Radiation Therapy Trauma,,,1745.55,1745.55,2
RC,208,Level 4 Skin Procedures Trauma,,,5171.14,5171.14,2
RC,208,Level 4 Type A ED Visits Trauma,,,1045.77,1045.77,2
RC,208,Level 4 Type B ED Visits Trauma,,,662.42,662.42,2
RC,208,Level 4 Urology and Relate Trauma,,,8834.55,8834.55,2
RC,208,Level 4 Vascular Procedure Trauma,,,13946.1,13946.1,2
RC,208,Level 5 Airway Endoscopy Trauma,,,17687.9,17687.9,2
RC,208,Level 5 ENT Procedures Trauma,,,14836.69,14836.69,2
RC,208,Level 5 Gynecologic Proced Trauma,,,12537.49,12537.49,2
RC,208,Level 5 Intraocular Proced Trauma,,,34969.87,34969.87,2
RC,208,Level 5 Minor Procedures Trauma,,,1119.61,1119.61,2
RC,208,Level 5 Musculoskeletal Pr Trauma,,,32177.21,32177.21,2
RC,208,Level 5 Neurostimulator an Trauma,,,77337.72,77337.72,2
RC,208,Level 5 Radiation Therapy Trauma,,,3132.19,3132.19,2
RC,208,Level 5 Skin Procedures Trauma,,,8881.53,8881.53,2
RC,208,Level 5 Type A ED Visits Trauma,,,1492.56,1492.56,2
RC,208,Level 5 Type B ED Visits Trauma,,,1029.38,1029.38,2
RC,208,Level 5 Urology and Relate Trauma,,,13438.11,13438.11,2
RC,208,Level 6 Gynecologic Proced Trauma,,,18585.08,18585.08,2
RC,208,Level 6 Intraocular Proced Trauma,,,41255.28,41255.28,2
RC,208,Level 6 Musculoskeletal Pr Trauma,,,43944.48,43944.48,2
RC,208,Level 6 Radiation Therapy Trauma,,,4481.34,4481.34,2
RC,208,Level 6 Urology and Relate Trauma,,,23725.5,23725.5,2
RC,208,Level 7 Musculoskeletal Pr Trauma,,,68005.18,68005.18,2
RC,208,Level 7 Radiation Therapy Trauma,,,18459.41,18459.41,2
RC,208,Level 7 Urology and Relate Trauma,,,33066.36,33066.36,2
RC,208,Level 8 Urology and Relate Trauma,,,51945.26,51945.26,2
RC,208,Levetiracetam Trauma,,,31.8,31.8,2
RC,208,Lidocaine Trauma,,,35.26,35.26,2
RC,208,"Lift, elevation, heel and sole, neoprene, per inch Trauma",,,241.39,241.39,2
RC,208,"Lift, elevation, heel, per inch Trauma",,,113.11,113.11,2
RC,208,"Lift, elevation, heel, tapered to metatarsals, per inch Trauma",,,154.58,154.58,2
RC,208,"Lift, elevation, inside shoe, tapered, up to one-half inch Trauma",,,218.74,218.74,2
RC,208,"Lift, elevation, metal extension (skate) Trauma",,,1678.27,1678.27,2
RC,208,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard Trauma",,,6.0,6.0,2
RC,208,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Trauma",,,6.0,6.0,2
RC,208,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard Trauma",,,3.94,3.94,2
RC,208,Lightweight portable motorized/power wheelchair Trauma,,,1017.29,1017.29,2
RC,208,Lightweight wheelchair Trauma,,,112.78,112.78,2
RC,208,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest Trauma",,,299.54,299.54,2
RC,208,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,229.51,229.51,2
RC,208,Lipase Trauma,,,16.54,16.54,2
RC,208,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Trauma",,,32.14,32.14,2
RC,208,Lipoprotein (a) Trauma,,,34.37,34.37,2
RC,208,"Lipoprotein, blood; electrophoretic separation and quantitation Trauma",,,27.02,27.02,2
RC,208,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) Trauma",,,81.26,81.26,2
RC,208,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed Trauma",,,82.06,82.06,2
RC,208,"Lipoprotein, direct measurement; LDL cholesterol Trauma",,,25.2,25.2,2
RC,208,"Lipoprotein, direct measurement; VLDL cholesterol Trauma",,,30.6,30.6,2
RC,208,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) Trauma",,,19.66,19.66,2
RC,208,"Lipoprotein, direct measurement; small dense LDL cholesterol Trauma",,,82.06,82.06,2
RC,208,Lipoprotein-associated phospholipase A2 (Lp-PLA2) Trauma,,,111.14,111.14,2
RC,208,Lithium Trauma,,,15.86,15.86,2
RC,208,"Lithium ion battery charger, replacement only Trauma",,,1499.59,1499.59,2
RC,208,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each Trauma",,,192.17,192.17,2
RC,208,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each Trauma",,,479.09,479.09,2
RC,208,"Lithium ion battery, rechargeable, replacement Trauma",,,1156.73,1156.73,2
RC,208,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,422.86,422.86,2
RC,208,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day Trauma",,,992.95,992.95,2
RC,208,"Lso, corset front Trauma",,,322.2,322.2,2
RC,208,"Lso, full corset Trauma",,,587.98,587.98,2
RC,208,"Lubricant, individual sterile packet, each Trauma",,,0.36,0.36,2
RC,208,"Lubricant, per ounce Trauma",,,4.85,4.85,2
RC,208,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,102.72,102.72,2
RC,208,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,766.39,1219.03,4
RC,208,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,145.32,231.17,4
RC,208,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,4653.05,4653.05,2
RC,208,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,156.41,156.41,2
RC,208,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,1913.98,3044.33,4
RC,208,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,301.94,480.17,4
RC,208,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,3153.36,3153.36,2
RC,208,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,2214.6,4037.04,6
RC,208,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,2214.6,2214.6,2
RC,208,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,3911.21,4037.04,4
RC,208,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,534.65,850.39,4
RC,208,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device Trauma",,,3751.44,3751.44,2
RC,208,Luteinizing releasing factor (LRH) Trauma,,,41.26,41.26,2
RC,208,Lutetium lu 177 dotatat th Trauma,,,840.5,840.5,2
RC,208,Lutetium lu 177 vipivotide Trauma,,,641.56,641.56,2
RC,208,Lymphocyte immune globulin Trauma,,,13317.51,13317.51,2
RC,208,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis Trauma",,,117.67,117.67,2
RC,208,"Lymphocytotoxicity assay, visual crossmatch; with titration Trauma",,,454.82,454.82,2
RC,208,"Lymphocytotoxicity assay, visual crossmatch; without titration Trauma",,,114.22,114.22,2
RC,208,MAJOR BLADDER PROCEDURES WITH CC Trauma,,,34052.06,71065.18,4
RC,208,MAJOR BLADDER PROCEDURES WITH MCC Trauma,,,59745.18,124685.59,4
RC,208,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC Trauma,,,26734.6,55793.95,4
RC,208,MAJOR ESOPHAGEAL DISORDERS WITH CC Trauma,,,14768.56,30821.35,4
RC,208,MAJOR ESOPHAGEAL DISORDERS WITH MCC Trauma,,,21110.65,44057.02,4
RC,208,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC Trauma,,,11559.48,24124.13,4
RC,208,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC Trauma,,,14991.51,31286.64,4
RC,208,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,13000.0,1
RC,208,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC Trauma,,,23052.83,48110.26,4
RC,208,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC Trauma,,,11844.59,24719.14,4
RC,208,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Trauma,,,15265.9,57836.23,12
RC,208,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC Trauma,,,36559.11,76297.27,4
RC,208,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Trauma,,,24722.76,51595.32,4
RC,208,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,208,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,13000.0,1
RC,208,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES Trauma,,,33758.39,70452.29,4
RC,208,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC Trauma,,,25488.06,53192.47,4
RC,208,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC Trauma,,,20492.21,42766.34,4
RC,208,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,13000.0,1
RC,208,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC Trauma,,,23409.76,48855.14,4
RC,208,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC Trauma,,,20279.97,42323.42,4
RC,208,MAJOR SKIN DISORDERS WITH MCC Trauma,,,26778.56,55885.68,4
RC,208,MAJOR SKIN DISORDERS WITHOUT MCC Trauma,,,15650.69,32662.32,4
RC,208,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Trauma,,,29742.2,62070.67,4
RC,208,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Trauma,,,53315.21,111266.52,4
RC,208,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Trauma,,,22086.03,46092.58,4
RC,208,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,13000.0,1
RC,208,MAJOR THUMB OR JOINT PROCEDURES Trauma,,,18509.3,38628.1,4
RC,208,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC Trauma,,,16171.61,33749.45,4
RC,208,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC Trauma,,,23734.52,49532.9,4
RC,208,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC Trauma,,,13194.03,27535.37,4
RC,208,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,15707.5,32780.88,4
RC,208,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23788.12,49644.77,4
RC,208,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,14343.05,29933.33,4
RC,208,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,16295.95,34008.94,4
RC,208,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23445.13,48928.97,4
RC,208,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11076.08,23115.29,4
RC,208,MALIGNANT BREAST DISORDERS WITH CC Trauma,,,16173.75,33753.91,4
RC,208,MALIGNANT BREAST DISORDERS WITH MCC Trauma,,,21916.68,45739.15,4
RC,208,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Trauma,,,12294.76,25658.64,4
RC,208,MASTECTOMY FOR MALIGNANCY WITH CC/MCC Trauma,,,24698.11,51543.89,4
RC,208,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC Trauma,,,22530.85,47020.9,4
RC,208,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) Trauma",,,94.34,94.34,2
RC,208,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants Trauma",,,360.0,360.0,2
RC,208,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Trauma",,,1266.89,1266.89,2
RC,208,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Trauma",,,288.0,288.0,2
RC,208,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,13000.0,1
RC,208,MEDICAL BACK PROBLEMS WITH MCC Trauma,,,22013.15,45940.49,4
RC,208,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,MEDICAL BACK PROBLEMS WITHOUT MCC Trauma,,,14351.62,29951.21,4
RC,208,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC Trauma,,,14846.81,30984.65,4
RC,208,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC Trauma,,,10162.87,21209.46,4
RC,208,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis Trauma",,,299.14,299.14,2
RC,208,MINOR BLADDER PROCEDURES WITH CC Trauma,,,20342.14,42453.17,4
RC,208,MINOR BLADDER PROCEDURES WITH MCC Trauma,,,36862.43,76930.3,4
RC,208,MINOR BLADDER PROCEDURES WITHOUT CC/MCC Trauma,,,15269.12,31866.0,4
RC,208,MINOR SKIN DISORDERS WITH MCC Trauma,,,20267.12,42296.59,4
RC,208,MINOR SKIN DISORDERS WITHOUT MCC Trauma,,,13763.18,28723.15,4
RC,208,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,13000.0,1
RC,208,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC Trauma,,,20176.01,42106.46,4
RC,208,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,208,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC Trauma,,,31731.54,66222.34,4
RC,208,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC Trauma,,,16762.19,34981.97,4
RC,208,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M Trauma",,,18363.52,38323.87,4
RC,208,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU Trauma",,,12389.08,25855.46,4
RC,208,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,485.76,485.76,2
RC,208,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,1620.96,1620.96,2
RC,208,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,794.4,794.4,2
RC,208,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis Trauma",,,461.57,461.57,2
RC,208,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) Trauma",,,360.79,360.79,2
RC,208,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 Trauma",,,444.48,444.48,2
RC,208,MRI and MRA with Contrast Trauma,,,2127.07,2127.07,2
RC,208,MRI and MRA without Contra Trauma,,,1319.42,1319.42,2
RC,208,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,511.92,511.92,2
RC,208,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,916.08,916.08,2
RC,208,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,810.55,810.55,2
RC,208,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,571.2,571.2,2
RC,208,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,1540.44,1540.44,2
RC,208,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,739.2,739.2,2
RC,208,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) Trauma",,,156.82,156.82,2
RC,208,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT Trauma,,,64306.93,254979.84,12
RC,208,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL Trauma,,,75664.17,157907.83,4
RC,208,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Trauma,,,49502.66,103309.9,4
RC,208,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant Trauma",,,420.96,420.96,2
RC,208,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Trauma,,,22310.05,113085.1,12
RC,208,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Trauma,,,20179.22,79133.64,8
RC,208,Macroscopic examination; arthropod Trauma,,,10.25,10.25,2
RC,208,Macroscopic examination; parasite Trauma,,,10.34,10.34,2
RC,208,Magnesium Trauma,,,16.08,16.08,2
RC,208,Malate dehydrogenase Trauma,,,17.69,17.69,2
RC,208,"Male external catheter with integral collection chamber, any type, each Trauma",,,36.89,36.89,2
RC,208,"Male external catheter, with or without adhesive, disposable, each Trauma",,,6.89,6.89,2
RC,208,Manganese Trauma,,,63.96,63.96,2
RC,208,Manipulation Therapy Trauma,,,54.12,54.12,2
RC,208,"Manual adult size wheelchair, includes tilt in space Trauma",,,809.26,809.26,2
RC,208,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes Trauma",,,60.76,69.05,6
RC,208,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type Trauma",,,385.01,385.01,2
RC,208,"Manual wheelchair accessory, adapter for amputee, each Trauma",,,126.98,126.98,2
RC,208,"Manual wheelchair accessory, anti-rollback device, each Trauma",,,215.04,215.04,2
RC,208,"Manual wheelchair accessory, anti-tipping device, each Trauma",,,92.04,92.04,2
RC,208,"Manual wheelchair accessory, caster fork, any size, replacement only, each Trauma",,,114.1,114.1,2
RC,208,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each Trauma",,,53.57,53.57,2
RC,208,"Manual wheelchair accessory, foam caster tire, any size, each Trauma",,,116.95,116.95,2
RC,208,"Manual wheelchair accessory, foam filled caster tire, any size, each Trauma",,,116.95,116.95,2
RC,208,"Manual wheelchair accessory, foam filled propulsion tire, any size, each Trauma",,,132.14,132.14,2
RC,208,"Manual wheelchair accessory, foam propulsion tire, any size, each Trauma",,,132.14,132.14,2
RC,208,"Manual wheelchair accessory, gear reduction drive wheel, each Trauma",,,615.19,615.19,2
RC,208,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each Trauma",,,212.69,212.69,2
RC,208,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each Trauma",,,102.67,102.67,2
RC,208,"Manual wheelchair accessory, headrest extension, each Trauma",,,203.86,203.86,2
RC,208,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each Trauma",,,85.82,85.82,2
RC,208,"Manual wheelchair accessory, lever-activated, wheel drive, pair Trauma",,,984.48,984.48,2
RC,208,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches Trauma",,,1280.83,1280.83,2
RC,208,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches Trauma",,,2211.22,2211.22,2
RC,208,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches Trauma",,,1325.98,1325.98,2
RC,208,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches Trauma",,,943.44,943.44,2
RC,208,"Manual wheelchair accessory, one-arm drive attachment, each Trauma",,,121.27,121.27,2
RC,208,"Manual wheelchair accessory, pneumatic caster tire, any size, each Trauma",,,91.42,91.42,2
RC,208,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each Trauma",,,100.99,100.99,2
RC,208,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control Trauma",,,831.17,831.17,2
RC,208,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control Trauma",,,653.45,653.45,2
RC,208,"Manual wheelchair accessory, power assist system Trauma",,,1663.78,1663.78,2
RC,208,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each Trauma",,,276.96,276.96,2
RC,208,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each Trauma",,,77.21,77.21,2
RC,208,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each Trauma",,,65.3,65.3,2
RC,208,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each Trauma",,,86.9,86.9,2
RC,208,"Manual wheelchair accessory, solid seat insert Trauma",,,241.46,241.46,2
RC,208,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware Trauma",,,418.54,418.54,2
RC,208,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each Trauma",,,29.62,29.62,2
RC,208,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each Trauma",,,18.0,18.0,2
RC,208,"Manual wheelchair accessory, wheel braking system and lock, complete, each Trauma",,,276.38,276.38,2
RC,208,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each Trauma",,,112.56,112.56,2
RC,208,"Manual wheelchair accessory, wheel lock brake extension (handle), each Trauma",,,59.09,59.09,2
RC,208,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen Trauma",,,57.86,57.86,2
RC,208,"Mattress, foam rubber Trauma",,,427.58,427.58,2
RC,208,"Mattress, innerspring Trauma",,,380.76,380.76,2
RC,208,"Meat fibers, feces Trauma",,,11.64,11.64,2
RC,208,"Mechanical fragility, RBC Trauma",,,20.64,20.64,2
RC,208,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,36.5,36.5,2
RC,208,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes Trauma",,,36.5,36.5,2
RC,208,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes Trauma",,,77.57,77.57,2
RC,208,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes Trauma",,,67.13,67.13,2
RC,208,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,67.13,67.13,2
RC,208,Mental Health Services Com Trauma,,,1026.51,1026.51,2
RC,208,"Mercury, quantitative Trauma",,,39.02,39.02,2
RC,208,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,6643.22,6643.22,2
RC,208,Metacarpophalangeal joint implant Trauma,,,989.9,989.9,2
RC,208,Metanephrines Trauma,,,40.66,40.66,2
RC,208,"Metatarsal bar wedge, between sole Trauma",,,275.38,275.38,2
RC,208,"Metatarsal bar wedge, rocker Trauma",,,120.74,120.74,2
RC,208,Metatarsal joint implant Trauma,,,1074.41,1074.41,2
RC,208,Methemalbumin Trauma,,,25.78,25.78,2
RC,208,Methotrexate Trauma,,,92.57,92.57,2
RC,208,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Trauma,,,218.78,218.78,2
RC,208,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Trauma",,,53.95,53.95,2
RC,208,"Microphone for use with cochlear implant device, replacement Trauma",,,312.14,312.14,2
RC,208,"Microprocessor control feature, addition to upper limb prosthetic terminal device Trauma",,,9214.39,9214.39,2
RC,208,"Microprocessor control unit for use with electric ventricular assist device, replacement only Trauma",,,43175.28,43175.28,2
RC,208,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only Trauma",,,13523.3,13523.3,2
RC,208,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,836.54,836.54,2
RC,208,"Microsomal antibodies (eg, thyroid or liver-kidney), each Trauma",,,34.92,34.92,2
RC,208,"Midfacial prosthesis, provided by a non-physician Trauma",,,8656.66,8656.66,2
RC,208,"Mitochondrial antibody (eg, M2), each Trauma",,,61.08,61.08,2
RC,208,Mitomycin instillation Trauma,,,791.85,791.85,2
RC,208,Mitomycin intravesical ins Trauma,,,658.42,658.42,2
RC,208,Mitoxantrone hydrochl Trauma,,,71.28,71.28,2
RC,208,"Mobility cart for pneumatic ventricular assist device, replacement only Trauma",,,1931.83,1931.83,2
RC,208,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,6.0,6.0,2
RC,208,"Molecular cytogenetics; DNA probe, each (eg, FISH) Trauma",,,51.41,51.41,2
RC,208,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Trauma",,,83.54,83.54,2
RC,208,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Trauma",,,97.68,97.68,2
RC,208,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Trauma",,,122.86,122.86,2
RC,208,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells Trauma",,,101.71,101.71,2
RC,208,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,153.5,153.5,2
RC,208,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,328.8,328.8,2
RC,208,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,360.79,360.79,2
RC,208,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,444.48,444.48,2
RC,208,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,659.59,659.59,2
RC,208,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,723.24,723.24,2
RC,208,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,678.91,678.91,2
RC,208,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,2031.05,2031.05,2
RC,208,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,4800.0,4800.0,2
RC,208,Mometasone sinus sinuva Trauma,,,27.23,27.23,2
RC,208,"Monitor control cable for use with electric ventricular assist device, replacement only Trauma",,,1044.5,1044.5,2
RC,208,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,869.3,869.3,2
RC,208,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,10818.7,10818.7,2
RC,208,"Monitor/display module for use with electric ventricular assist device, replacement only Trauma",,,55709.76,55709.76,2
RC,208,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen Trauma",,,64.27,64.27,2
RC,208,Monthly supplies for use of device coded at e0733 Trauma,,,98.57,98.57,2
RC,208,Motion fluoroscopic evaluation of swallowing function by cine or video recording Trauma,,,230.3,230.3,2
RC,208,Mouth piece Trauma,,,10.61,10.61,2
RC,208,"Mucin, synovial fluid (Ropes test) Trauma",,,14.06,14.06,2
RC,208,"Mucopolysaccharides, acid, quantitative Trauma",,,68.4,68.4,2
RC,208,"Mucoprotein, blood (seromucoid) (medical necessity procedure) Trauma",,,11.88,11.88,2
RC,208,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs Trauma",,,2505.72,2505.72,2
RC,208,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs Trauma",,,1760.18,1760.18,2
RC,208,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,14.16,49.85,4
RC,208,"Multipositional patient support system, with integrated lift, patient accessible controls Trauma",,,2938.87,2938.87,2
RC,208,Muramidase Trauma,,,45.0,45.0,2
RC,208,Muscle-specific kinase (MuSK) antibody Trauma,,,44.16,44.16,2
RC,208,Mycophenolate (mycophenolic acid) Trauma,,,43.32,43.32,2
RC,208,"Myelin basic protein, cerebrospinal fluid Trauma",,,41.28,41.28,2
RC,208,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each Trauma",,,28.92,28.92,2
RC,208,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Trauma",,,90.55,90.55,2
RC,208,Myeloperoxidase (MPO) Trauma,,,122.06,122.06,2
RC,208,Myoglobin Trauma,,,31.01,31.01,2
RC,208,NEONATE WITH OTHER SIGNIFICANT PROBLEMS Trauma,,,19867.32,41462.23,4
RC,208,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY Trauma",,,23364.73,48761.18,4
RC,208,NEUROSES EXCEPT DEPRESSIVE Trauma,,,15557.44,32467.7,4
RC,208,NON-EXTENSIVE BURNS Trauma,,,26127.94,54527.88,4
RC,208,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,21664.8,45213.5,4
RC,208,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,40795.02,85137.43,4
RC,208,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,16901.54,35272.78,4
RC,208,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC Trauma,,,15212.31,31747.44,4
RC,208,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC Trauma,,,10532.65,21981.19,4
RC,208,NORMAL NEWBORN Trauma,,,6189.55,12917.32,4
RC,208,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants Trauma",,,591.65,591.65,2
RC,208,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) Trauma",,,709.9,709.9,2
RC,208,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis Trauma",,,1243.87,1243.87,2
RC,208,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis Trauma",,,497.54,497.54,2
RC,208,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis Trauma",,,497.54,497.54,2
RC,208,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis Trauma",,,497.54,497.54,2
RC,208,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) Trauma",,,699.26,699.26,2
RC,208,"Naltrexone, depot form Trauma",,,10.86,10.86,2
RC,208,"Narrowing device, wheelchair Trauma",,,535.73,535.73,2
RC,208,"Narsoplimab-wuug, 1 mg Trauma",,,245.9,245.9,2
RC,208,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap Trauma",,,167.4,167.4,2
RC,208,"Nasal pillows for combination oral/nasal mask, replacement only, pair Trauma",,,46.08,46.08,2
RC,208,"Nasal prosthesis, provided by a non-physician Trauma",,,7182.07,7182.07,2
RC,208,"Nasal septal prosthesis, provided by a non-physician Trauma",,,3987.82,3987.82,2
RC,208,Nasal smear for eosinophils Trauma,,,13.9,13.9,2
RC,208,Natalizumab injection Trauma,,,58.57,58.57,2
RC,208,Natriuretic peptide Trauma,,,94.22,94.22,2
RC,208,"Natural killer (NK) cells, total count Trauma",,,90.55,90.55,2
RC,208,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter Trauma",,,395.16,395.16,2
RC,208,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen Trauma",,,375.14,375.14,2
RC,208,"Nebulizer, ultrasonic, large volume Trauma",,,346.13,346.13,2
RC,208,"Nebulizer, with compressor Trauma",,,17.66,17.66,2
RC,208,"Nebulizer, with compressor and heater Trauma",,,89.28,89.28,2
RC,208,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,104.57,125.26,4
RC,208,"Negative pressure wound therapy electrical pump, stationary or portable Trauma",,,2116.66,2116.66,2
RC,208,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,923.78,999.43,4
RC,208,Nelarabine injection Trauma,,,156.98,156.98,2
RC,208,"Nephelometry, each analyte not elsewhere specified Trauma",,,32.64,32.64,2
RC,208,Neurofilament light chain (NfL) Trauma,,,278.95,278.95,2
RC,208,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller Trauma",,,126.74,126.74,2
RC,208,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each Trauma",,,7428.29,7428.29,2
RC,208,Neuromuscular stimulator for scoliosis Trauma,,,313.22,313.22,2
RC,208,"Neuromuscular stimulator, electronic shock unit Trauma",,,306.19,306.19,2
RC,208,Neurostim integ rechg Trauma,,,,,0
RC,208,"Neutralization test, viral Trauma",,,40.58,40.58,2
RC,208,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen Trauma",,,101.11,101.11,2
RC,208,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer Trauma",,,191.06,191.06,2
RC,208,Nickel Trauma,,,58.82,58.82,2
RC,208,"Nipple prosthesis, prefabricated, reusable, any type, each Trauma",,,116.38,116.38,2
RC,208,Nitroblue tetrazolium dye test (NTD) Trauma,,,32.66,32.66,2
RC,208,Nivestym Trauma,,,0.77,0.77,2
RC,208,"Non-adjunctive, non-implanted continuous glucose monitor or receiver Trauma",,,723.05,723.05,2
RC,208,"Non-implanted pelvic floor electrical stimulator, complete system Trauma",,,178.85,178.85,2
RC,208,Non-invasive vagus nerve stimulator Trauma,,,125.71,125.71,2
RC,208,Non-pneumatic compression controller with sequential calibrated gradient pressure Trauma,,,1813.27,1813.27,2
RC,208,Non-pneumatic compression controller without calibrated gradient pressure Trauma,,,314.14,314.14,2
RC,208,"Non-pneumatic sequential compression garment, full arm Trauma",,,151.13,151.13,2
RC,208,"Non-pneumatic sequential compression garment, full leg Trauma",,,110.74,110.74,2
RC,208,"Non-pneumatic sequential compression garment, half leg Trauma",,,59.54,59.54,2
RC,208,"Non-pneumatic sequential compression garment, trunk Trauma",,,197.64,197.64,2
RC,208,"Non-pneumatic, non-sequential, peristaltic wave compression pump Trauma",,,195.67,195.67,2
RC,208,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm Trauma",,,431.06,431.06,2
RC,208,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg Trauma",,,466.56,466.56,2
RC,208,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm Trauma",,,353.06,353.06,2
RC,208,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg Trauma",,,472.32,472.32,2
RC,208,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes Trauma",,,58.51,58.51,2
RC,208,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes Trauma",,,87.26,87.26,2
RC,208,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes Trauma",,,31.25,31.25,2
RC,208,Nonpowered advanced pressure reducing mattress Trauma,,,603.72,603.72,2
RC,208,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width Trauma",,,603.72,603.72,2
RC,208,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,5144.64,5144.64,2
RC,208,"Normal, low and high calibrator solution / chips Trauma",,,8.11,8.11,2
RC,208,"Nuclear Matrix Protein 22 (NMP22), qualitative Trauma",,,52.27,52.27,2
RC,208,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,7977.6,7977.6,2
RC,208,Nucleotidase 5'- Trauma,,,26.76,26.76,2
RC,208,O.R. PROCEDURES FOR OBESITY WITH CC Trauma,,,21200.69,44244.91,4
RC,208,O.R. PROCEDURES FOR OBESITY WITH MCC Trauma,,,34996.36,73035.89,4
RC,208,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC Trauma,,,20215.67,42189.22,4
RC,208,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC Trauma,,,29095.87,60721.82,4
RC,208,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC Trauma,,,42939.78,89613.46,4
RC,208,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ Trauma,,,25781.74,53805.36,4
RC,208,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS Trauma,,,45473.61,94901.45,4
RC,208,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY Trauma,,,21292.87,44437.3,4
RC,208,OSTEOMYELITIS WITH CC ,,,13000.0,13000.0,1
RC,208,OSTEOMYELITIS WITH CC Trauma,,,17942.29,37444.78,4
RC,208,OSTEOMYELITIS WITH MCC ,,,13000.0,13000.0,1
RC,208,OSTEOMYELITIS WITH MCC Trauma,,,25160.07,52507.97,4
RC,208,OSTEOMYELITIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,OSTEOMYELITIS WITHOUT CC/MCC Trauma,,,12487.69,26061.26,4
RC,208,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC Trauma,,,16472.8,34378.01,4
RC,208,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC Trauma,,,28503.14,59484.82,4
RC,208,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,13264.78,27683.02,4
RC,208,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC Trauma,,,11782.42,24589.39,4
RC,208,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC Trauma,,,16936.9,35346.58,4
RC,208,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,9652.67,20144.7,4
RC,208,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,208,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,208,OTHER CARDIOTHORACIC PROCEDURES WITH MCC Trauma,,,57076.29,119115.74,4
RC,208,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC Trauma,,,37805.65,78898.75,4
RC,208,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,13000.0,1
RC,208,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC Trauma,,,14373.06,29995.94,4
RC,208,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,13000.0,1
RC,208,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC Trauma,,,26398.05,55091.59,4
RC,208,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC Trauma,,,11359.04,23705.83,4
RC,208,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,13000.0,1
RC,208,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES Trauma,,,39853.95,83173.46,4
RC,208,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13000.0,1
RC,208,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC Trauma,,,14077.23,29378.57,4
RC,208,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,13000.0,1
RC,208,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC Trauma,,,21189.97,44222.54,4
RC,208,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Trauma,,,11004.26,22965.42,4
RC,208,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,13000.0,1
RC,208,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC Trauma,,,28973.69,60466.82,4
RC,208,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,208,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC Trauma,,,51131.86,106709.98,4
RC,208,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,19031.28,39717.46,4
RC,208,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC Trauma",,,27401.29,57185.3,4
RC,208,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC Trauma",,,43993.4,91812.31,4
RC,208,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC Trauma",,,19691.54,41095.39,4
RC,208,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC Trauma,,,51883.23,108278.04,4
RC,208,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC Trauma,,,29829.01,62251.85,4
RC,208,OTHER FACTORS INFLUENCING HEALTH STATUS Trauma,,,10007.45,20885.11,4
RC,208,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC Trauma,,,31568.62,65882.33,4
RC,208,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,19866.25,41460.0,4
RC,208,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,13000.0,1
RC,208,OTHER HEART ASSIST SYSTEM IMPLANT Trauma,,,110771.27,231174.82,4
RC,208,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,13000.0,1
RC,208,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC Trauma,,,27498.83,57388.87,4
RC,208,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC Trauma,,,48561.58,101345.9,4
RC,208,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,20128.85,42008.04,4
RC,208,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC Trauma,,,15099.76,31512.55,4
RC,208,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC Trauma,,,26483.8,55270.54,4
RC,208,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC Trauma,,,11869.24,24770.59,4
RC,208,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC Trauma",,,22798.81,47580.12,4
RC,208,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC Trauma",,,14956.14,31212.82,4
RC,208,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC Trauma,,,14927.21,31152.43,4
RC,208,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC Trauma,,,21780.55,45455.06,4
RC,208,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC Trauma,,,11442.65,23880.3,4
RC,208,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC Trauma,,,29114.1,60759.86,4
RC,208,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC Trauma,,,49082.51,102433.06,4
RC,208,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC Trauma,,,21641.22,45164.28,4
RC,208,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC Trauma,,,42165.91,87998.42,4
RC,208,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,208,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC Trauma,,,60601.58,126472.87,4
RC,208,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC Trauma,,,31412.12,65555.74,4
RC,208,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC Trauma,,,15395.6,32129.95,4
RC,208,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Trauma,,,11250.79,23479.9,4
RC,208,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC Trauma,,,24311.17,50736.36,4
RC,208,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC Trauma,,,18443.92,38491.66,4
RC,208,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC Trauma,,,28028.32,58493.88,4
RC,208,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC Trauma,,,19814.8,41352.62,4
RC,208,OTHER MENTAL DISORDER DIAGNOSES Trauma,,,15526.36,32402.83,4
RC,208,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,20475.05,42730.54,4
RC,208,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,33350.01,69600.02,4
RC,208,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,14128.68,29485.94,4
RC,208,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC Trauma,,,14492.04,30244.25,4
RC,208,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC Trauma,,,20592.96,42976.61,4
RC,208,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC Trauma,,,12079.32,25209.02,4
RC,208,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,13000.0,1
RC,208,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC Trauma,,,26321.95,54932.76,4
RC,208,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,208,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC Trauma,,,38206.53,79735.37,4
RC,208,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,13000.0,1
RC,208,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC Trauma,,,20519.0,42822.26,4
RC,208,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Trauma,,,13175.81,53069.45,12
RC,208,OTHER O.R. PROCEDURES FOR INJURIES WITH CC Trauma,,,25433.39,53078.38,4
RC,208,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC Trauma,,,45199.22,94328.81,4
RC,208,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC Trauma,,,18118.08,37811.64,4
RC,208,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,49214.34,102708.19,4
RC,208,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,85721.26,178896.55,4
RC,208,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,35604.09,74304.19,4
RC,208,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Trauma,,,23972.47,50029.51,4
RC,208,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC Trauma,,,46751.25,97567.82,4
RC,208,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC Trauma,,,18582.18,38780.21,4
RC,208,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC Trauma",,,22569.43,47101.42,4
RC,208,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,13000.0,1
RC,208,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC Trauma",,,38759.6,80889.6,4
RC,208,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC Trauma",,,19515.75,40728.53,4
RC,208,OTHER VASCULAR PROCEDURES WITH CC Trauma,,,31868.73,66508.66,4
RC,208,OTHER VASCULAR PROCEDURES WITH MCC Trauma,,,41437.05,86477.33,4
RC,208,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC Trauma,,,23145.01,48302.64,4
RC,208,Obecbtge autol up to 400 m Trauma,,,667800.0,667800.0,2
RC,208,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,179.66,179.66,2
RC,208,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,114.74,114.74,2
RC,208,"Occluder lens, per lens Trauma",,,60.74,60.74,2
RC,208,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,217.64,247.32,4
RC,208,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,217.64,247.32,4
RC,208,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,217.64,247.32,4
RC,208,Octagam injection Trauma,,,112.93,112.93,2
RC,208,Ocular implant Trauma,,,1882.06,1882.06,2
RC,208,Ofatumumab injection Trauma,,,149.36,149.36,2
RC,208,Oligoclonal immune (oligoclonal bands) Trauma,,,65.74,65.74,2
RC,208,Omalizumab injection Trauma,,,111.81,111.81,2
RC,208,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,6024.5,6024.5,2
RC,208,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,9295.2,9295.2,2
RC,208,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,9295.2,9295.2,2
RC,208,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score Trauma",,,9295.2,9295.2,2
RC,208,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,9295.2,9295.2,2
RC,208,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,9295.2,9295.2,2
RC,208,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,7478.4,7478.4,2
RC,208,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,1221.29,1221.29,2
RC,208,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,17263.2,17263.2,2
RC,208,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,426.14,426.14,2
RC,208,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,1390.7,1390.7,2
RC,208,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,1824.0,1824.0,2
RC,208,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival Trauma",,,6890.4,6890.4,2
RC,208,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score Trauma",,,2152.8,2152.8,2
RC,208,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score Trauma",,,625.2,625.2,2
RC,208,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,9295.2,9295.2,2
RC,208,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score Trauma",,,9295.2,9295.2,2
RC,208,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,4872.0,4872.0,2
RC,208,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) Trauma",,,8640.0,8640.0,2
RC,208,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores Trauma",,,1248.0,1248.0,2
RC,208,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,9000.0,9000.0,2
RC,208,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,18662.4,18662.4,2
RC,208,Oncoprotein; HER-2/neu Trauma,,,154.58,154.58,2
RC,208,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) Trauma,,,154.58,154.58,2
RC,208,One way chest drain valve Trauma,,,139.1,139.1,2
RC,208,"Oral and/or oropharyngeal suction catheter, each Trauma",,,12.53,12.53,2
RC,208,Oral busulfan Trauma,,,24.29,24.29,2
RC,208,"Oral cushion for combination oral/nasal mask, replacement only, each Trauma",,,103.13,103.13,2
RC,208,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,252.89,252.89,2
RC,208,"Oral interface used with positive airway pressure device, each Trauma",,,254.93,254.93,2
RC,208,"Oral interface used with respiratory suction pump, each Trauma",,,413.54,413.54,2
RC,208,Oral methotrexate (jylamvo Trauma,,,39.52,39.52,2
RC,208,Oral methotrexate (xatmep) Trauma,,,55.0,55.0,2
RC,208,"Oral netupitant, palonoset Trauma",,,1137.69,1137.69,2
RC,208,"Orbital prosthesis, provided by a non-physician Trauma",,,9726.48,9726.48,2
RC,208,"Organic acid, single, quantitative Trauma",,,50.9,50.9,2
RC,208,"Organic acids; qualitative, each specimen Trauma",,,39.48,39.48,2
RC,208,"Organic acids; total, quantitative, each specimen Trauma",,,56.64,56.64,2
RC,208,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) Trauma",,,186.55,186.55,2
RC,208,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) Trauma",,,162.17,162.17,2
RC,208,"Orthopedic shoe addition, convert firm shoe counter to soft counter Trauma",,,158.42,158.42,2
RC,208,"Orthopedic shoe addition, convert instep to velcro closure Trauma",,,192.34,192.34,2
RC,208,"Orthopedic shoe addition, insole, felt covered with leather Trauma",,,94.27,94.27,2
RC,208,"Orthopedic shoe addition, insole, leather Trauma",,,86.83,86.83,2
RC,208,"Orthopedic shoe addition, insole, rubber Trauma",,,86.83,86.83,2
RC,208,"Orthopedic shoe addition, march bar Trauma",,,124.44,124.44,2
RC,208,"Orthopedic shoe addition, sole, full Trauma",,,150.89,150.89,2
RC,208,"Orthopedic shoe addition, sole, half Trauma",,,94.27,94.27,2
RC,208,"Orthopedic shoe addition, special extension to instep (leather with eyelets) Trauma",,,252.79,252.79,2
RC,208,"Orthopedic shoe addition, toe tap standard Trauma",,,26.45,26.45,2
RC,208,"Orthopedic shoe addition, toe tap, horseshoe Trauma",,,67.82,67.82,2
RC,208,"Orthotic side bar disconnect device, per bar Trauma",,,386.4,386.4,2
RC,208,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,100.95,114.72,6
RC,208,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes Trauma",,,109.82,124.8,4
RC,208,Orthovisc inj per dose Trauma,,,240.79,240.79,2
RC,208,"Oscillatory positive expiratory pressure device, non-electric, any type, each Trauma",,,126.34,126.34,2
RC,208,Osmolality; blood Trauma,,,15.86,15.86,2
RC,208,Osmolality; urine Trauma,,,16.37,16.37,2
RC,208,"Osmotic fragility, RBC; incubated Trauma",,,32.06,32.06,2
RC,208,"Osmotic fragility, RBC; unincubated Trauma",,,17.93,17.93,2
RC,208,Ossicula implant Trauma,,,888.65,888.65,2
RC,208,Osteocalcin (bone g1a protein) Trauma,,,71.64,71.64,2
RC,208,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications Trauma",,,13394.26,13394.26,2
RC,208,"Osteogenesis stimulator, electrical, non-invasive, spinal applications Trauma",,,13307.52,13307.52,2
RC,208,"Osteogenesis stimulator, electrical, surgically implanted Trauma",,,826.73,826.73,2
RC,208,"Osteogenesis stimulator, low intensity ultrasound, non-invasive Trauma",,,11058.29,11058.29,2
RC,208,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each Trauma",,,0.36,0.36,2
RC,208,Ostomy accessory; convex insert Trauma,,,6.67,6.67,2
RC,208,Ostomy belt with peristomal hernia support Trauma,,,138.46,138.46,2
RC,208,"Ostomy belt, each Trauma",,,25.18,25.18,2
RC,208,"Ostomy clamp, any type, replacement only, each Trauma",,,8.11,8.11,2
RC,208,"Ostomy deodorant for use in ostomy pouch, solid, per tablet Trauma",,,0.12,0.12,2
RC,208,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce Trauma",,,8.86,8.86,2
RC,208,"Ostomy faceplate equivalent, silicone ring, each Trauma",,,32.86,32.86,2
RC,208,"Ostomy faceplate, each Trauma",,,62.78,62.78,2
RC,208,"Ostomy filter, any type, each Trauma",,,0.86,0.86,2
RC,208,Ostomy irrigation set Trauma,,,142.08,142.08,2
RC,208,"Ostomy irrigation supply; bag, each Trauma",,,47.28,47.28,2
RC,208,"Ostomy irrigation supply; cone/catheter, with or without brush Trauma",,,41.95,41.95,2
RC,208,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each Trauma",,,7.68,7.68,2
RC,208,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each Trauma",,,12.74,12.74,2
RC,208,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each Trauma",,,9.43,9.43,2
RC,208,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each Trauma",,,6.14,6.14,2
RC,208,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each Trauma",,,6.34,6.34,2
RC,208,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each Trauma",,,5.9,5.9,2
RC,208,"Ostomy pouch, closed; for use on faceplate, each Trauma",,,5.71,5.71,2
RC,208,"Ostomy pouch, closed; with barrier attached (1 piece), each Trauma",,,7.06,7.06,2
RC,208,"Ostomy pouch, closed; without barrier attached (1 piece), each Trauma",,,5.09,5.09,2
RC,208,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each Trauma",,,6.19,6.19,2
RC,208,"Ostomy pouch, drainable, for use on faceplate, plastic, each Trauma",,,14.66,14.66,2
RC,208,"Ostomy pouch, drainable, for use on faceplate, rubber, each Trauma",,,105.17,105.17,2
RC,208,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each Trauma",,,18.84,18.84,2
RC,208,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each Trauma",,,9.26,9.26,2
RC,208,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each Trauma",,,19.7,19.7,2
RC,208,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each Trauma",,,21.22,21.22,2
RC,208,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each Trauma",,,16.27,16.27,2
RC,208,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each Trauma",,,14.9,14.9,2
RC,208,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each Trauma",,,32.83,32.83,2
RC,208,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each Trauma",,,32.83,32.83,2
RC,208,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each Trauma",,,15.98,15.98,2
RC,208,"Ostomy pouch, drainable, with faceplate attached, plastic, each Trauma",,,58.73,58.73,2
RC,208,"Ostomy pouch, drainable, with faceplate attached, rubber, each Trauma",,,162.74,162.74,2
RC,208,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each Trauma",,,9.26,9.26,2
RC,208,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each Trauma",,,9.34,9.34,2
RC,208,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each Trauma",,,9.55,9.55,2
RC,208,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each Trauma",,,12.24,12.24,2
RC,208,"Ostomy pouch, drainable; with barrier attached, (1 piece), each Trauma",,,12.1,12.1,2
RC,208,"Ostomy pouch, drainable; without barrier attached (1 piece), each Trauma",,,7.1,7.1,2
RC,208,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each Trauma",,,84.22,84.22,2
RC,208,"Ostomy pouch, urinary, for use on faceplate, plastic, each Trauma",,,15.82,15.82,2
RC,208,"Ostomy pouch, urinary, for use on faceplate, rubber, each Trauma",,,96.41,96.41,2
RC,208,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each Trauma",,,28.22,28.22,2
RC,208,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each Trauma",,,24.17,24.17,2
RC,208,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each Trauma",,,30.91,30.91,2
RC,208,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each Trauma",,,29.14,29.14,2
RC,208,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each Trauma",,,22.3,22.3,2
RC,208,"Ostomy pouch, urinary, with faceplate attached, plastic, each Trauma",,,51.36,51.36,2
RC,208,"Ostomy pouch, urinary, with faceplate attached, rubber, each Trauma",,,127.68,127.68,2
RC,208,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each Trauma",,,27.96,27.96,2
RC,208,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each Trauma",,,9.38,9.38,2
RC,208,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each Trauma",,,11.47,11.47,2
RC,208,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each Trauma",,,12.86,12.86,2
RC,208,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each Trauma",,,12.26,12.26,2
RC,208,"Ostomy pouch, urinary; with barrier attached (1 piece), each Trauma",,,20.57,20.57,2
RC,208,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each Trauma",,,21.22,21.22,2
RC,208,"Ostomy pouch, urinary; without barrier attached (1 piece), each Trauma",,,10.27,10.27,2
RC,208,"Ostomy ring, each Trauma",,,5.74,5.74,2
RC,208,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz Trauma",,,8.3,8.3,2
RC,208,"Ostomy skin barrier, non-pectin based, paste, per ounce Trauma",,,11.69,11.69,2
RC,208,"Ostomy skin barrier, pectin-based, paste, per ounce Trauma",,,19.58,19.58,2
RC,208,"Ostomy skin barrier, powder, per oz Trauma",,,12.48,12.48,2
RC,208,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each Trauma",,,17.42,17.42,2
RC,208,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each Trauma",,,17.42,17.42,2
RC,208,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each Trauma",,,14.38,14.38,2
RC,208,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each Trauma",,,33.77,33.77,2
RC,208,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each Trauma",,,21.22,21.22,2
RC,208,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each Trauma",,,30.91,30.91,2
RC,208,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each Trauma",,,21.46,21.46,2
RC,208,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each Trauma",,,16.82,16.82,2
RC,208,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each Trauma",,,20.52,20.52,2
RC,208,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each Trauma",,,29.95,29.95,2
RC,208,"Ostomy vent, any type, each Trauma",,,4.42,4.42,2
RC,208,Other manual wheelchair/base Trauma,,,244.46,244.46,2
RC,208,"Other scoliosis procedure, body jacket molded to patient model Trauma",,,4606.87,4606.87,2
RC,208,"Other scoliosis procedure, post-operative body jacket Trauma",,,4740.46,4740.46,2
RC,208,Outflare wedge Trauma,,,147.12,147.12,2
RC,208,"Ova and parasites, direct smears, concentration and identification Trauma",,,21.36,21.36,2
RC,208,"Oversize lens, per lens Trauma",,,49.08,49.08,2
RC,208,"Ovulation tests, by visual color comparison methods for human luteinizing hormone Trauma",,,30.48,30.48,2
RC,208,Oxalate Trauma,,,34.68,34.68,2
RC,208,Oxcarbazepine Trauma,,,31.8,31.8,2
RC,208,Oxygen and water vapor enriching system with heated delivery Trauma,,,329.78,329.78,2
RC,208,Oxygen and water vapor enriching system without heated delivery Trauma,,,258.17,258.17,2
RC,208,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each Trauma",,,240.5,240.5,2
RC,208,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate Trauma",,,240.5,240.5,2
RC,208,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence Trauma",,,1623.6,1623.6,2
RC,208,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant Trauma",,,723.24,723.24,2
RC,208,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,13000.0,1
RC,208,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC Trauma",,,35133.56,73322.21,4
RC,208,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC Trauma",,,62683.1,130816.9,4
RC,208,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,13000.0,1
RC,208,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC Trauma",,,27838.6,58097.95,4
RC,208,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,13000.0,13000.0,3
RC,208,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Trauma,,,12136.12,47962.63,12
RC,208,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) Trauma",,,612.12,612.12,2
RC,208,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) Trauma",,,790.82,790.82,2
RC,208,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC Trauma",,,26878.24,56093.71,4
RC,208,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC Trauma",,,18469.63,38545.32,4
RC,208,PENIS PROCEDURES WITH CC/MCC Trauma,,,28990.83,60502.61,4
RC,208,PENIS PROCEDURES WITHOUT CC/MCC Trauma,,,19066.65,39791.28,4
RC,208,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC Trauma,,,48266.83,100730.78,4
RC,208,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC Trauma,,,39329.82,82079.62,4
RC,208,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A Trauma,,,33210.68,69309.24,4
RC,208,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC Trauma,,,22944.57,47884.32,4
RC,208,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC Trauma,,,27440.95,57268.08,4
RC,208,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC Trauma,,,20066.68,41878.3,4
RC,208,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,13000.0,1
RC,208,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC Trauma,,,40904.35,85365.6,4
RC,208,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC Trauma,,,29925.48,62453.18,4
RC,208,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE Trauma,,,30010.16,62629.9,4
RC,208,PERIPHERAL VASCULAR DISORDERS WITH CC Trauma,,,15489.92,32326.8,4
RC,208,PERIPHERAL VASCULAR DISORDERS WITH MCC Trauma,,,21547.96,44969.66,4
RC,208,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC Trauma,,,11762.05,24546.89,4
RC,208,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,13000.0,1
RC,208,PERITONEAL ADHESIOLYSIS WITH CC Trauma,,,26649.93,55617.24,4
RC,208,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,13000.0,1
RC,208,PERITONEAL ADHESIOLYSIS WITH MCC Trauma,,,42322.4,88325.02,4
RC,208,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC Trauma,,,20500.77,42784.22,4
RC,208,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC Trauma,,,26887.89,56113.85,4
RC,208,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC Trauma,,,38269.76,79867.32,4
RC,208,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC Trauma,,,23421.54,48879.74,4
RC,208,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) Trauma",,,659.59,659.59,2
RC,208,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) Trauma",,,699.26,699.26,2
RC,208,PMA Skin Substitute Produc Trauma,,,311.89,311.89,2
RC,208,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,497.54,497.54,2
RC,208,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,497.54,497.54,2
RC,208,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis Trauma",,,1820.06,1820.06,2
RC,208,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis Trauma",,,1846.99,1846.99,2
RC,208,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant Trauma",,,111.84,111.84,2
RC,208,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,488.4,488.4,2
RC,208,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,1623.6,1623.6,2
RC,208,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,794.4,794.4,2
RC,208,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC Trauma,,,20858.77,43531.34,4
RC,208,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC Trauma,,,13234.76,27620.38,4
RC,208,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC Trauma,,,23595.18,49242.12,4
RC,208,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC Trauma,,,14743.92,30769.92,4
RC,208,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC Trauma,,,27001.49,56350.94,4
RC,208,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC Trauma,,,52802.86,110197.27,4
RC,208,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,18977.69,39605.62,4
RC,208,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES Trauma,,,22159.98,46246.92,4
RC,208,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES Trauma,,,11065.36,23092.92,4
RC,208,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,PREMATURITY WITH MAJOR PROBLEMS Trauma,,,47554.05,99243.24,4
RC,208,PREMATURITY WITHOUT MAJOR PROBLEMS Trauma,,,30299.56,63233.86,4
RC,208,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS Trauma,,,4048.01,8448.02,4
RC,208,PROSTATECTOMY WITH CC Trauma,,,22797.74,47577.89,4
RC,208,PROSTATECTOMY WITH MCC Trauma,,,37502.33,78265.73,4
RC,208,PROSTATECTOMY WITHOUT CC/MCC Trauma,,,15904.72,33192.46,4
RC,208,PSYCHOSES Trauma,,,19019.49,39692.86,4
RC,208,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant Trauma",,,720.0,720.0,2
RC,208,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis Trauma",,,1440.0,1440.0,2
RC,208,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant Trauma",,,111.84,111.84,2
RC,208,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems Trauma",,,1637.62,1637.62,2
RC,208,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) Trauma",,,813.53,813.53,2
RC,208,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard Trauma",,,6.38,6.38,2
RC,208,"Pad for water circulating heat unit, for replacement only Trauma",,,289.56,289.56,2
RC,208,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard Trauma",,,2.33,2.33,2
RC,208,"Pail or pan for use with commode chair, replacement only Trauma",,,30.31,30.31,2
RC,208,Panitumumab injection Trauma,,,437.25,437.25,2
RC,208,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) Trauma",,,58.99,58.99,2
RC,208,"Paraffin, per pound Trauma",,,11.66,11.66,2
RC,208,Parathormone (parathyroid hormone) Trauma,,,99.07,99.07,2
RC,208,"Parenteral infusion pump, stationary, single or multi-channel Trauma",,,881.95,881.95,2
RC,208,Partial Hospitalization (3 Trauma,,,313.36,783.48,4
RC,208,Partial Hospitalization (4 Trauma,,,410.61,1026.51,4
RC,208,"Partial facial prosthesis, provided by a non-physician Trauma",,,7781.23,7781.23,2
RC,208,"Partial foot, molded socket, ankle height, with toe filler Trauma",,,3755.59,3755.59,2
RC,208,"Partial foot, molded socket, tibial tubercle height, with toe filler Trauma",,,6377.76,6377.76,2
RC,208,"Partial foot, shoe insert with longitudinal arch, toe filler Trauma",,,1554.96,1554.96,2
RC,208,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,823.49,823.49,2
RC,208,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,4146.6,4146.6,2
RC,208,"Particle agglutination; screen, each antibody Trauma",,,27.7,27.7,2
RC,208,"Particle agglutination; titer, each antibody Trauma",,,25.54,25.54,2
RC,208,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,5231.54,5231.54,2
RC,208,Pathogen reduced plasma po Trauma,,,133.87,133.87,2
RC,208,Pathogen reduced plasma si Trauma,,,706.75,706.75,2
RC,208,"Patient lift, electric with seat or sling Trauma",,,347.76,347.76,2
RC,208,"Patient lift, fixed system, includes all components/accessories Trauma",,,324.31,324.31,2
RC,208,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) Trauma",,,177.77,177.77,2
RC,208,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories Trauma",,,324.31,324.31,2
RC,208,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only Trauma",,,3355.99,3355.99,2
RC,208,"Peak expiratory flow rate meter, hand held Trauma",,,81.34,81.34,2
RC,208,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure Trauma",,,767.78,767.78,2
RC,208,Pegaspargase injection Trauma,,,71193.5,71193.5,2
RC,208,Pegunigalsidase alfa-iwxj Trauma,,,541.6,541.6,2
RC,208,Pelvic belt/harness/boot Trauma,,,133.34,133.34,2
RC,208,Pembrolizumab 1mg berahyal Trauma,,,76.66,76.66,2
RC,208,Peng benzathine/procaine i Trauma,,,46.86,46.86,2
RC,208,"Penile contracture device, manual, greater than 3 lbs traction force Trauma",,,351.65,351.65,2
RC,208,Pentostatin injection Trauma,,,6475.17,6475.17,2
RC,208,"Percussor, electric or pneumatic, home model Trauma",,,127.78,127.78,2
RC,208,"Percutaneous catheter/tube anchoring device, adhesive skin attachment Trauma",,,38.64,38.64,2
RC,208,"Perianal fecal collection pouch with adhesive, each Trauma",,,24.5,24.5,2
RC,208,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) Trauma",,,105.58,105.58,2
RC,208,"Peroneal straps, prefabricated, off-the-shelf, pair Trauma",,,48.17,48.17,2
RC,208,"Pertuzu, trastuzu, 10 mg Trauma",,,143.75,143.75,2
RC,208,"Pessary, reusable, non rubber, any type Trauma",,,175.1,175.1,2
RC,208,"Pessary, reusable, rubber, any type Trauma",,,70.42,70.42,2
RC,208,Phenobarbital Trauma,,,36.72,36.72,2
RC,208,"Phenylalanine (PKU), blood Trauma",,,13.2,13.2,2
RC,208,Phenylep ketorolac opth so Trauma,,,231.13,231.13,2
RC,208,"Phenylketones, qualitative Trauma",,,9.55,9.55,2
RC,208,Phenytoin; free Trauma,,,33.02,33.02,2
RC,208,Phenytoin; total Trauma,,,31.8,31.8,2
RC,208,"Phosphatase, acid; prostatic Trauma",,,23.18,23.18,2
RC,208,"Phosphatase, acid; total Trauma",,,18.34,18.34,2
RC,208,"Phosphatase, alkaline; Trauma",,,12.43,12.43,2
RC,208,"Phosphatase, alkaline; heat stable (total not included) Trauma",,,19.82,19.82,2
RC,208,"Phosphatase, alkaline; isoenzymes Trauma",,,35.47,35.47,2
RC,208,Phosphatidylglycerol Trauma,,,39.65,39.65,2
RC,208,"Phosphogluconate, 6-, dehydrogenase, RBC Trauma",,,22.66,22.66,2
RC,208,Phosphohexose isomerase Trauma,,,25.75,25.75,2
RC,208,Phospholipid neutralization; hexagonal phospholipid Trauma,,,43.15,43.15,2
RC,208,Phospholipid neutralization; platelet Trauma,,,43.15,43.15,2
RC,208,Phosphorus inorganic (phosphate); Trauma,,,11.38,11.38,2
RC,208,Phosphorus inorganic (phosphate); urine Trauma,,,13.87,13.87,2
RC,208,Phototherapy (bilirubin) light with photometer Trauma,,,182.06,182.06,2
RC,208,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes Trauma",,,73.92,84.0,6
RC,208,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,211.77,240.65,4
RC,208,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,211.77,240.65,4
RC,208,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,211.77,240.65,4
RC,208,"Piflu f-18, dia 1 millicur Trauma",,,831.58,831.58,2
RC,208,"Pillow for use on nasal cannula type interface, replacement only, pair Trauma",,,46.46,46.46,2
RC,208,"Pinworm exam (eg, cellophane tape prep) Trauma",,,10.25,10.25,2
RC,208,Pinworm examinations Trauma,,,10.25,10.25,2
RC,208,Plaelet rich plasma unit Trauma,,,1343.5,1343.5,2
RC,208,Plasma 1 donor frz w/in 8 Trauma,,,206.35,206.35,2
RC,208,Plasma cryo redu path each Trauma,,,321.02,321.02,2
RC,208,"Plasma protein fract,5%,50 Trauma",,,19.46,19.46,2
RC,208,"Plasma, frz between 8-24ho Trauma",,,177.05,177.05,2
RC,208,"Plasmaprotein fract,5%,250 Trauma",,,84.77,84.77,2
RC,208,Plate pheres leukoredu irr Trauma,,,1633.46,1633.46,2
RC,208,Platelet pheres leukoreduc Trauma,,,1227.82,1227.82,2
RC,208,Platelet pheresis irradiat Trauma,,,2277.91,2277.91,2
RC,208,"Platelet, aggregation (in vitro), each agent Trauma",,,59.78,59.78,2
RC,208,Platelets leukocytes reduc Trauma,,,346.22,346.22,2
RC,208,Platelets leukoreduced irr Trauma,,,455.02,455.02,2
RC,208,Platelets pheresis path re Trauma,,,1457.83,1457.83,2
RC,208,"Platelets, each unit Trauma",,,127.61,127.61,2
RC,208,"Platelets, hla-m, l/r, uni Trauma",,,1699.34,1699.34,2
RC,208,"Platelets, irradiated Trauma",,,943.13,943.13,2
RC,208,"Platelets, pheresis Trauma",,,741.5,741.5,2
RC,208,"Platform attachment, forearm crutch, each Trauma",,,201.77,201.77,2
RC,208,"Platform attachment, walker, each Trauma",,,142.85,142.85,2
RC,208,"Platforms for home blood glucose monitor, 50 per box Trauma",,,13.39,13.39,2
RC,208,Plerixafor injection Trauma,,,68.37,68.37,2
RC,208,"Plt, aph/pher, l/r, cmv-ne Trauma",,,601.18,601.18,2
RC,208,"Plt, pher, l/r cmv-neg, ir Trauma",,,1208.28,1208.28,2
RC,208,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) Trauma",,,1315.27,1315.27,2
RC,208,"Pneumatic compressor, non-segmental home model Trauma",,,2277.05,2277.05,2
RC,208,"Pneumatic compressor, segmental home model with calibrated gradient pressure Trauma",,,18132.74,18132.74,2
RC,208,"Pneumatic compressor, segmental home model without calibrated gradient pressure Trauma",,,3141.24,3141.24,2
RC,208,"Pneumatic full leg splint, prefabricated, off-the-shelf Trauma",,,520.66,520.66,2
RC,208,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use Trauma",,,,,0
RC,208,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use Trauma",,,,,0
RC,208,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use Trauma",,,,,0
RC,208,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use Trauma",,,,,0
RC,208,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use Trauma",,,,,0
RC,208,"Pneumococcal, Influenza, H Trauma",,,90.4,90.4,2
RC,208,"Polarization, any lens material, per lens Trauma",,,177.14,177.14,2
RC,208,Polishing/resurfacing of ocular prosthesis Trauma,,,178.87,178.87,2
RC,208,"Porphobilinogen, urine; qualitative Trauma",,,13.97,13.97,2
RC,208,"Porphobilinogen, urine; quantitative Trauma",,,20.26,20.26,2
RC,208,"Porphyrins, feces, quantitative Trauma",,,93.86,93.86,2
RC,208,"Porphyrins, urine; qualitative Trauma",,,32.06,32.06,2
RC,208,"Porphyrins, urine; quantitation and fractionation Trauma",,,35.3,35.3,2
RC,208,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing Trauma",,,115.06,115.06,2
RC,208,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing Trauma",,,53.14,53.14,2
RC,208,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,115.06,115.06,2
RC,208,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing Trauma",,,115.06,115.06,2
RC,208,"Portable oxygen concentrator, rental Trauma",,,115.06,115.06,2
RC,208,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit Trauma",,,148.46,148.46,2
RC,208,"Portable oxygen contents, liquid, 1 month's supply = 1 unit Trauma",,,148.46,148.46,2
RC,208,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) Trauma",,,222.7,222.7,2
RC,208,Posaconazole Trauma,,,65.06,65.06,2
RC,208,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,1340.09,1340.09,2
RC,208,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware Trauma",,,1147.22,1147.22,2
RC,208,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,1320.65,1320.65,2
RC,208,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware Trauma",,,918.62,918.62,2
RC,208,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,1396.15,1396.15,2
RC,208,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware Trauma",,,1038.91,1038.91,2
RC,208,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,990.72,990.72,2
RC,208,"Positioning wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,616.42,616.42,2
RC,208,"Post-coital direct, qualitative examinations of vaginal or cervical mucous Trauma",,,60.0,60.0,2
RC,208,Posterior chamber intraocular lens Trauma,,,349.75,349.75,2
RC,208,Postural drainage board Trauma,,,66.72,66.72,2
RC,208,"Potassium; serum, plasma or whole blood Trauma",,,11.42,11.42,2
RC,208,Potassium; urine Trauma,,,11.35,11.35,2
RC,208,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type Trauma",,,2038.75,2038.75,2
RC,208,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type Trauma",,,546.0,546.0,2
RC,208,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,35604.0,35604.0,2
RC,208,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,2305.3,2305.3,2
RC,208,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number Trauma,,,6575.71,6575.71,2
RC,208,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds Trauma",,,4564.8,4564.8,2
RC,208,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds Trauma",,,2539.8,2539.8,2
RC,208,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds Trauma",,,6039.48,6039.48,2
RC,208,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds Trauma",,,6504.62,6504.62,2
RC,208,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds Trauma",,,4197.19,4197.19,2
RC,208,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds Trauma",,,10055.09,10055.09,2
RC,208,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,48297.36,48297.36,2
RC,208,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote Trauma",,,306.19,306.19,2
RC,208,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,82.27,82.27,2
RC,208,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each Trauma",,,356.38,356.38,2
RC,208,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) Trauma",,,334.63,334.63,2
RC,208,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each Trauma",,,1101.7,1101.7,2
RC,208,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each Trauma",,,489.02,489.02,2
RC,208,"Power wheelchair accessory, breath tube kit for sip and puff interface Trauma",,,102.36,102.36,2
RC,208,"Power wheelchair accessory, caster fork, any size, replacement only, each Trauma",,,154.3,154.3,2
RC,208,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each Trauma",,,128.3,128.3,2
RC,208,"Power wheelchair accessory, chin cup for chin control interface Trauma",,,129.17,129.17,2
RC,208,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each Trauma",,,170.5,170.5,2
RC,208,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,325.68,325.68,2
RC,208,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,657.22,657.22,2
RC,208,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface Trauma",,,2060.28,2060.28,2
RC,208,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only Trauma",,,372.84,372.84,2
RC,208,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue Trauma",,,138.12,138.12,2
RC,208,"Power wheelchair accessory, foam caster tire, any size, replacement only, each Trauma",,,79.85,79.85,2
RC,208,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each Trauma",,,142.85,142.85,2
RC,208,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each Trauma",,,148.01,148.01,2
RC,208,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each Trauma",,,317.11,317.11,2
RC,208,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each Trauma",,,314.62,314.62,2
RC,208,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,432.67,432.67,2
RC,208,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each Trauma",,,406.34,406.34,2
RC,208,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,491.18,491.18,2
RC,208,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware Trauma",,,415.73,415.73,2
RC,208,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware Trauma",,,442.51,442.51,2
RC,208,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware Trauma",,,231.24,231.24,2
RC,208,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware Trauma",,,663.29,663.29,2
RC,208,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,150.07,150.07,2
RC,208,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each Trauma",,,105.41,105.41,2
RC,208,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,520.66,520.66,2
RC,208,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware Trauma",,,770.09,770.09,2
RC,208,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,1008.79,1008.79,2
RC,208,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware Trauma",,,1460.78,1460.78,2
RC,208,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each Trauma",,,360.17,360.17,2
RC,208,"Power wheelchair accessory, lithium-based battery, each Trauma",,,1268.76,1268.76,2
RC,208,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only Trauma",,,201.72,201.72,2
RC,208,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches Trauma",,,1532.28,1532.28,2
RC,208,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches Trauma",,,2451.65,2451.65,2
RC,208,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches Trauma",,,1225.66,1225.66,2
RC,208,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches Trauma",,,1838.69,1838.69,2
RC,208,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each Trauma",,,182.28,182.28,2
RC,208,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each Trauma",,,176.54,176.54,2
RC,208,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware Trauma",,,397.08,397.08,2
RC,208,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each Trauma",,,50.9,50.9,2
RC,208,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each Trauma",,,122.93,122.93,2
RC,208,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each Trauma",,,123.62,123.62,2
RC,208,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated Trauma",,,203.78,203.78,2
RC,208,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each Trauma",,,131.26,131.26,2
RC,208,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each Trauma",,,54.7,54.7,2
RC,208,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each Trauma",,,343.99,343.99,2
RC,208,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,229.06,229.06,2
RC,208,"Power wheelchair component, actuator, replacement only Trauma",,,168.34,168.34,2
RC,208,"Power wheelchair component, drive wheel gear box, replacement only Trauma",,,112.13,112.13,2
RC,208,"Power wheelchair component, drive wheel motor, replacement only Trauma",,,120.02,120.02,2
RC,208,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only Trauma",,,159.1,159.1,2
RC,208,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,839.52,839.52,2
RC,208,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,809.06,809.06,2
RC,208,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds Trauma",,,771.98,771.98,2
RC,208,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds Trauma",,,898.97,898.97,2
RC,208,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more Trauma",,,2561.93,2561.93,2
RC,208,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,2820.98,2820.98,2
RC,208,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,2554.13,2554.13,2
RC,208,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,1187.09,1187.09,2
RC,208,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,1440.62,1440.62,2
RC,208,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,1225.99,1225.99,2
RC,208,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,1383.22,1383.22,2
RC,208,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,1311.0,1311.0,2
RC,208,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,840.74,840.74,2
RC,208,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,1213.54,1213.54,2
RC,208,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,1215.31,1215.31,2
RC,208,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,840.34,840.34,2
RC,208,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,789.58,789.58,2
RC,208,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,1118.57,1118.57,2
RC,208,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,1078.44,1078.44,2
RC,208,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,899.88,899.88,2
RC,208,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds Trauma",,,1928.86,1928.86,2
RC,208,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,1837.39,1837.39,2
RC,208,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,2191.01,2191.01,2
RC,208,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more Trauma",,,4026.19,4026.19,2
RC,208,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,5290.61,5290.61,2
RC,208,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,4262.14,4262.14,2
RC,208,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,2606.21,2606.21,2
RC,208,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,3111.98,3111.98,2
RC,208,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,2967.91,2967.91,2
RC,208,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds Trauma",,,3111.98,3111.98,2
RC,208,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,2710.51,2710.51,2
RC,208,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,2246.66,2246.66,2
RC,208,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,2512.27,2512.27,2
RC,208,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,2558.52,2558.52,2
RC,208,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,2508.22,2508.22,2
RC,208,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,2336.78,2336.78,2
RC,208,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds Trauma",,,3217.22,3217.22,2
RC,208,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,4445.9,4445.9,2
RC,208,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,4445.9,4445.9,2
RC,208,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,3131.86,3131.86,2
RC,208,Powered air flotation bed (low air loss therapy) Trauma,,,2075.59,2075.59,2
RC,208,"Powered air overlay for mattress, standard mattress length and width Trauma",,,603.72,603.72,2
RC,208,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty Trauma",,,47.45,47.45,2
RC,208,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty Trauma",,,47.45,47.45,2
RC,208,Powered pressure-reducing air mattress Trauma,,,603.72,603.72,2
RC,208,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated Trauma",,,83928.24,83928.24,2
RC,208,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated Trau",,,165124.08,165124.08,2
RC,208,Pralatrexate injection Trauma,,,926.69,926.69,2
RC,208,Prealbumin Trauma,,,35.02,35.02,2
RC,208,Pregnancy-associated plasma protein-A (PAPP-A) Trauma,,,36.12,36.12,2
RC,208,Pregnanediol Trauma,,,51.05,51.05,2
RC,208,Pregnanetriol Trauma,,,50.52,50.52,2
RC,208,Pregnenolone Trauma,,,49.61,49.61,2
RC,208,"Prehensile actuator, switch controlled Trauma",,,8283.29,8283.29,2
RC,208,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model Trauma",,,7063.22,7063.22,2
RC,208,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model Trauma",,,6931.06,6931.06,2
RC,208,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket Trauma",,,8529.79,8529.79,2
RC,208,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed Trauma",,,5937.02,5937.02,2
RC,208,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model Trauma",,,5710.63,5710.63,2
RC,208,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket Trauma",,,4982.62,4982.62,2
RC,208,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model Trauma",,,5317.99,5317.99,2
RC,208,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model Trauma",,,4277.62,4277.62,2
RC,208,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed Trauma",,,4225.27,4225.27,2
RC,208,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model Trauma",,,5074.94,5074.94,2
RC,208,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,6973.9,6973.9,2
RC,208,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed Tra",,,6526.42,6526.42,2
RC,208,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model Trauma",,,13413.43,13413.43,2
RC,208,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model Trauma",,,12478.15,12478.15,2
RC,208,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,8575.56,8575.56,2
RC,208,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,8145.43,8145.43,2
RC,208,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,4909.73,4909.73,2
RC,208,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,4446.89,4446.89,2
RC,208,"Press-on lens, fresnell prism, per lens Trauma",,,83.88,83.88,2
RC,208,Primidone Trauma,,,39.82,39.82,2
RC,208,"Prism, per lens Trauma",,,34.15,34.15,2
RC,208,Procainamide hcl injection Trauma,,,708.87,708.87,2
RC,208,Procainamide; Trauma,,,144.0,144.0,2
RC,208,"Procainamide; with metabolites (eg, n-acetyl procainamide) Trauma",,,40.2,40.2,2
RC,208,Procalcitonin (PCT) Trauma,,,65.33,65.33,2
RC,208,Progesterone Trauma,,,50.06,50.06,2
RC,208,Proinsulin Trauma,,,64.06,64.06,2
RC,208,Prolactin Trauma,,,46.51,46.51,2
RC,208,"Prostaglandin, each Trauma",,,100.25,100.25,2
RC,208,Prostate cancer screening; prostate specific antigen test (psa) Trauma,,,46.34,46.34,2
RC,208,Prostate specific antigen (PSA); complexed (direct measurement) Trauma,,,44.14,44.14,2
RC,208,Prostate specific antigen (PSA); free Trauma,,,44.14,44.14,2
RC,208,Prostate specific antigen (PSA); total Trauma,,,44.14,44.14,2
RC,208,"Prosthesis, dual mob cmc1 Trauma",,,,,0
RC,208,"Prosthetic eye, plastic, custom Trauma",,,2637.43,2637.43,2
RC,208,"Prosthetic sheath, above knee, each Trauma",,,63.36,63.36,2
RC,208,"Prosthetic sheath, below knee, each Trauma",,,55.7,55.7,2
RC,208,"Prosthetic sheath, upper limb, each Trauma",,,62.98,62.98,2
RC,208,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each Trauma",,,223.44,223.44,2
RC,208,"Prosthetic shrinker, above knee, each Trauma",,,214.39,214.39,2
RC,208,"Prosthetic shrinker, below knee, each Trauma",,,154.03,154.03,2
RC,208,"Prosthetic shrinker, upper limb, each Trauma",,,191.09,191.09,2
RC,208,"Prosthetic sock, multiple ply, above knee, each Trauma",,,81.0,81.0,2
RC,208,"Prosthetic sock, multiple ply, below knee, each Trauma",,,73.61,73.61,2
RC,208,"Prosthetic sock, multiple ply, upper limb, each Trauma",,,72.65,72.65,2
RC,208,"Prosthetic sock, single ply, fitting, above knee, each Trauma",,,27.05,27.05,2
RC,208,"Prosthetic sock, single ply, fitting, below knee, each Trauma",,,19.61,19.61,2
RC,208,"Prosthetic sock, single ply, fitting, upper limb, each Trauma",,,32.69,32.69,2
RC,208,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,3557.3,3557.3,2
RC,208,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Trauma",,,100.51,100.51,2
RC,208,"Protective body sock, prefabricated, off-the-shelf, each Trauma",,,167.45,167.45,2
RC,208,"Protein analysis of tissue by Western Blot, with interpretation and report; Trauma",,,53.35,53.35,2
RC,208,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each Trauma",,,62.93,62.93,2
RC,208,"Protein, total, by refractometry, any source Trauma",,,13.46,13.46,2
RC,208,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) Trauma",,,9.6,9.6,2
RC,208,"Protein, total, except by refractometry; serum, plasma or whole blood Trauma",,,8.81,8.81,2
RC,208,"Protein, total, except by refractometry; urine Trauma",,,8.81,8.81,2
RC,208,"Protein; Western Blot, with interpretation and report, blood or other body fluid Trauma",,,40.87,40.87,2
RC,208,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each Trauma",,,70.1,70.1,2
RC,208,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) Trauma",,,42.79,42.79,2
RC,208,"Protein; electrophoretic fractionation and quantitation, serum Trauma",,,25.78,25.78,2
RC,208,Prothrombin complex kcentr Trauma,,,4.83,4.83,2
RC,208,Prothrombin time; Trauma,,,10.3,10.3,2
RC,208,"Prothrombin time; substitution, plasma fractions, each Trauma",,,9.46,9.46,2
RC,208,"Protoporphyrin, RBC; quantitative Trauma",,,34.44,34.44,2
RC,208,"Protoporphyrin, RBC; screen Trauma",,,23.38,23.38,2
RC,208,Pulmonary Treatment Trauma,,,548.82,548.82,2
RC,208,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,12983.04,12983.04,2
RC,208,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid Trauma,,,969.72,969.72,2
RC,208,"Pump for alternating pressure pad, for replacement only Trauma",,,58.87,58.87,2
RC,208,Pump for water circulating pad Trauma,,,128.64,128.64,2
RC,208,Pyridoxal phosphate (Vitamin B-6) Trauma,,,67.44,67.44,2
RC,208,Pyruvate Trauma,,,34.75,34.75,2
RC,208,Pyruvate kinase Trauma,,,22.66,22.66,2
RC,208,"Quantitation of therapeutic drug, not elsewhere specified Trauma",,,44.74,44.74,2
RC,208,Quinidine Trauma,,,35.04,35.04,2
RC,208,Quinine Trauma,,,27.91,27.91,2
RC,208,RADIOTHERAPY Trauma,,,33089.56,69056.47,4
RC,208,RBC deglycerolized Trauma,,,751.2,751.2,2
RC,208,RBC irradiated Trauma,,,348.53,348.53,2
RC,208,RBC leukocytes reduced Trauma,,,443.78,443.78,2
RC,208,RBC leukoreduced irradiate Trauma,,,636.98,636.98,2
RC,208,"RBC, frz/deg/wsh, l/r, irr Trauma",,,1014.46,1014.46,2
RC,208,"RBC, l/r, cmv-neg, irrad Trauma",,,598.56,598.56,2
RC,208,RECTAL RESECTION WITH CC Trauma,,,29152.68,60840.38,4
RC,208,RECTAL RESECTION WITH MCC Trauma,,,42856.18,89438.98,4
RC,208,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,RECTAL RESECTION WITHOUT CC/MCC Trauma,,,21603.7,45085.99,4
RC,208,RED BLOOD CELL DISORDERS WITH MCC Trauma,,,19099.88,39860.62,4
RC,208,RED BLOOD CELL DISORDERS WITHOUT MCC Trauma,,,13889.65,28987.1,4
RC,208,REHABILITATION WITH CC/MCC Trauma,,,20646.55,43088.45,4
RC,208,REHABILITATION WITHOUT CC/MCC Trauma,,,16339.89,34100.64,4
RC,208,RENAL FAILURE WITH CC Trauma,,,13435.2,28038.67,4
RC,208,RENAL FAILURE WITH MCC Trauma,,,19921.98,41576.3,4
RC,208,RENAL FAILURE WITHOUT CC/MCC Trauma,,,10482.28,21876.05,4
RC,208,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC Trauma,,,14916.49,31130.06,4
RC,208,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC Trauma,,,26842.86,56019.89,4
RC,208,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC Trauma,,,10822.05,22585.15,4
RC,208,REVISION OF HIP OR KNEE REPLACEMENT WITH CC Trauma,,,41847.57,87334.06,4
RC,208,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC Trauma,,,59841.64,124886.9,4
RC,208,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC Trauma,,,33502.21,69917.66,4
RC,208,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) Trauma",,,790.82,790.82,2
RC,208,Rabies ig ht&sol human im/ Trauma,,,583.68,583.68,2
RC,208,"Rabies ig, heat treated Trauma",,,845.86,845.86,2
RC,208,"Rabies ig, im/sc Trauma",,,674.84,674.84,2
RC,208,"Rabies vaccine, id Trauma",,,568.46,568.46,2
RC,208,"Rabies vaccine, im Trauma",,,796.74,796.74,2
RC,208,Radiation tx delivery lvl Trauma,,,195.0,960.3,6
RC,208,Radiesse injection Trauma,,,838.06,838.06,2
RC,208,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver Trauma,,,15592.08,15592.08,2
RC,208,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement Trauma",,,2047.54,2047.54,2
RC,208,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) Trauma,,,65.76,65.76,2
RC,208,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Trauma",,,54.24,54.24,2
RC,208,Ranibizumab injection Trauma,,,122.62,122.62,2
RC,208,Rasburicase Trauma,,,929.89,929.89,2
RC,208,"Ratchet assembly, replacement only Trauma",,,95.02,95.02,2
RC,208,Rbc o2 co2 reduced Trauma,,,1227.82,1227.82,2
RC,208,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,148.81,169.1,4
RC,208,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,146.62,166.61,4
RC,208,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each Trauma",,,48.89,48.89,2
RC,208,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each Trauma",,,277.73,277.73,2
RC,208,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Trauma",,,170.95,170.95,2
RC,208,Receptor assay; estrogen Trauma,,,210.91,210.91,2
RC,208,Receptor assay; non-endocrine (specify receptor) Trauma,,,87.77,87.77,2
RC,208,Receptor assay; progesterone Trauma,,,155.71,155.71,2
RC,208,"Reclining back, addition to pediatric size wheelchair Trauma",,,124.94,124.94,2
RC,208,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each Trauma",,,33.7,33.7,2
RC,208,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each Trauma",,,4055.35,4055.35,2
RC,208,Red blood cells unit Trauma,,,361.37,361.37,2
RC,208,Reduction of ocular prosthesis Trauma,,,735.07,735.07,2
RC,208,Regulator Trauma,,,96.86,96.86,2
RC,208,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors Trauma",,,3834.38,3834.38,2
RC,208,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,33.14,33.14,2
RC,208,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,129.7,129.7,2
RC,208,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,131.38,131.38,2
RC,208,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment Trauma",,,56.62,56.62,2
RC,208,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,105.05,136.73,4
RC,208,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,20.83,20.83,2
RC,208,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Trauma",,,502.37,502.37,2
RC,208,Renin Trauma,,,52.78,52.78,2
RC,208,"Repair of orthotic device, labor component, per 15 minutes Trauma",,,71.88,71.88,2
RC,208,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes Trauma",,,48.26,48.26,2
RC,208,"Repair prosthetic device, labor component, per 15 minutes Trauma",,,97.61,97.61,2
RC,208,Replace girdle for spinal orthosis (ctlso or so) Trauma,,,3597.77,3597.77,2
RC,208,Replace high roll cuff Trauma,,,876.46,876.46,2
RC,208,"Replace leather cuff kafo, proximal thigh Trauma",,,294.31,294.31,2
RC,208,"Replace leather cuff kafo-afo, calf or distal thigh Trauma",,,233.88,233.88,2
RC,208,"Replace metal bands kafo, proximal thigh Trauma",,,294.79,294.79,2
RC,208,"Replace metal bands kafo-afo, calf or distal thigh Trauma",,,260.93,260.93,2
RC,208,"Replace molded calf lacer, for custom fabricated orthosis only Trauma",,,1138.56,1138.56,2
RC,208,"Replace molded thigh lacer, for custom fabricated orthosis only Trauma",,,1125.77,1125.77,2
RC,208,"Replace non-molded calf lacer, for custom fabricated orthosis only Trauma",,,737.28,737.28,2
RC,208,"Replace non-molded thigh lacer, for custom fabricated orthosis only Trauma",,,904.66,904.66,2
RC,208,Replace pretibial shell Trauma,,,1609.63,1609.63,2
RC,208,Replace proximal and distal upright for kafo Trauma,,,836.16,836.16,2
RC,208,"Replace quadrilateral socket brim, custom fitted Trauma",,,1392.41,1392.41,2
RC,208,"Replace quadrilateral socket brim, molded to patient model Trauma",,,2528.9,2528.9,2
RC,208,"Replace soft interface material, foot drop splint Trauma",,,50.98,50.98,2
RC,208,Replace trilateral socket brim Trauma,,,2024.59,2024.59,2
RC,208,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient Trauma",,,21.31,21.31,2
RC,208,"Replacement battery for automated external defibrillator, garment type only, each Trauma",,,66.46,66.46,2
RC,208,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each Trauma",,,1.92,1.92,2
RC,208,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each Trauma",,,12.74,12.74,2
RC,208,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each Trauma",,,20.54,20.54,2
RC,208,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each Trauma",,,49.08,49.08,2
RC,208,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each Trauma",,,3.77,3.77,2
RC,208,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each Trauma",,,21.31,21.31,2
RC,208,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,1.22,1.22,2
RC,208,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,5.66,5.66,2
RC,208,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,2.4,2.4,2
RC,208,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,2.78,2.78,2
RC,208,"Replacement bulb/lamp for ultraviolet light therapy system, each Trauma",,,140.38,140.38,2
RC,208,"Replacement cover for wheelchair seat cushion or back cushion, each Trauma",,,147.07,147.07,2
RC,208,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 Trauma",,,34.44,34.44,2
RC,208,"Replacement diaphragm/faceplate for tracheostoma valve, each Trauma",,,170.76,170.76,2
RC,208,"Replacement electrodes for use with automated external defibrillator, garment type only, each Trauma",,,2757.07,2757.07,2
RC,208,"Replacement garment for use with automated external defibrillator, each Trauma",,,414.58,414.58,2
RC,208,"Replacement lens shield cartridge for use with laser skin piercing device, each Trauma",,,43.66,43.66,2
RC,208,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 Trauma",,,69.19,69.19,2
RC,208,"Replacement pad for infrared heating pad system, each Trauma",,,98.26,98.26,2
RC,208,Replacement pad for use with medically necessary alternating pressure pad owned by patient Trauma,,,151.97,151.97,2
RC,208,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power Trauma",,,6920.26,6920.26,2
RC,208,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power Trauma",,,4662.55,4662.55,2
RC,208,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power Trauma",,,10350.22,10350.22,2
RC,208,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power Trauma",,,3846.94,3846.94,2
RC,208,"Replacement soft interface material, dynamic adjustable extension/flexion device Trauma",,,279.6,279.6,2
RC,208,Replacement soft interface material/cuffs for bi-directional static progressive stretch device Trauma,,,359.95,359.95,2
RC,208,"Replacement, handgrip, cane, crutch, or walker, each Trauma",,,9.53,9.53,2
RC,208,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model Trauma",,,10109.98,10109.98,2
RC,208,"Replacement, socket, below knee, molded to patient model Trauma",,,8418.48,8418.48,2
RC,208,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model Trauma",,,12790.56,12790.56,2
RC,208,"Replacement, soft interface material, static afo Trauma",,,69.84,69.84,2
RC,208,"Replacement, tip, cane, crutch, walker, each. Trauma",,,5.28,5.28,2
RC,208,Reptilase test Trauma,,,23.64,23.64,2
RC,208,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer Trauma",,,133.54,133.54,2
RC,208,"Residual limb support system for wheelchair, any type Trauma",,,53.81,53.81,2
RC,208,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,791.69,791.69,2
RC,208,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,1196.81,1196.81,2
RC,208,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,321.46,321.46,2
RC,208,"Respiratory suction pump, home model, portable or stationary, electric Trauma",,,156.6,156.6,2
RC,208,Resuscitation and Cardiove Trauma,,,1656.5,1656.5,2
RC,208,Reticulated platelet assay Trauma,,,85.78,85.78,2
RC,208,"Revakinagene, per implant Trauma",,,627791.28,627791.28,2
RC,208,Rh ig minidose im Trauma,,,192.0,192.0,2
RC,208,Rheumatoid factor; qualitative Trauma,,,14.74,14.74,2
RC,208,Rheumatoid factor; quantitative Trauma,,,13.61,13.61,2
RC,208,Riboflavin (Vitamin B-2) Trauma,,,48.58,48.58,2
RC,208,Riboflavin epioxa/hd<=2ml Trauma,,,97026.0,97026.0,2
RC,208,"Risperidone, long acting Trauma",,,26.65,26.65,2
RC,208,Rocking bed with or without side rails Trauma,,,996.72,996.72,2
RC,208,"Rollabout chair, any and all types with casters 5 or greater Trauma",,,126.36,126.36,2
RC,208,Rsv mab im 50mg Trauma,,,1048.2,1048.2,2
RC,208,Rufinamide Trauma,,,65.06,65.06,2
RC,208,Russell viper venom time (includes venom); diluted Trauma,,,22.99,22.99,2
RC,208,Russell viper venom time (includes venom); undiluted Trauma,,,41.98,41.98,2
RC,208,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Trauma",,,460.8,460.8,2
RC,208,SEPTIC ARTHRITIS WITH CC ,,,13000.0,13000.0,1
RC,208,SEPTIC ARTHRITIS WITH CC Trauma,,,16987.28,35451.72,4
RC,208,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,13000.0,1
RC,208,SEPTIC ARTHRITIS WITH MCC Trauma,,,24744.19,51640.06,4
RC,208,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,SEPTIC ARTHRITIS WITHOUT CC/MCC Trauma,,,13416.98,28000.66,4
RC,208,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS Trauma,,,78131.55,163057.15,4
RC,208,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC Trauma,,,24868.53,51899.54,4
RC,208,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC Trauma,,,15016.17,31338.1,4
RC,208,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) Trauma",,,104.76,104.76,2
RC,208,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) Trauma",,,463.8,463.8,2
RC,208,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC Trauma",,,26335.89,54961.85,4
RC,208,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC Trauma",,,36422.98,76013.18,4
RC,208,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,13000.0,1
RC,208,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ Trauma",,,21791.27,45477.43,4
RC,208,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,13000.0,1
RC,208,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Trauma,,,18215.61,38015.18,4
RC,208,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,13000.0,13000.0,1
RC,208,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC Trauma,,,12950.72,27027.6,4
RC,208,SIGNS AND SYMPTOMS WITH MCC Trauma,,,17653.97,36843.07,4
RC,208,SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,12628.1,26354.3,4
RC,208,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,13000.0,1
RC,208,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL Trauma,,,47141.4,98382.05,4
RC,208,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY Trauma,,,61172.87,127665.12,4
RC,208,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Trauma,,,38672.77,80708.4,4
RC,208,SKIN DEBRIDEMENT WITH CC Trauma,,,22156.77,46240.22,4
RC,208,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,13000.0,1
RC,208,SKIN DEBRIDEMENT WITH MCC Trauma,,,35571.94,74237.09,4
RC,208,SKIN DEBRIDEMENT WITHOUT CC/MCC Trauma,,,16334.53,34089.46,4
RC,208,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,13000.0,1
RC,208,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC Trauma,,,32459.31,67741.18,4
RC,208,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC Trauma,,,56581.1,118082.3,4
RC,208,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Trauma,,,21266.08,44381.38,4
RC,208,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC Trauma,,,41255.92,86099.3,4
RC,208,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,13000.0,1
RC,208,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC Trauma,,,74268.63,154995.41,4
RC,208,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC Trauma,,,23309.0,48644.88,4
RC,208,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR Trauma",,,17466.4,88063.3,12
RC,208,SKIN GRAFTS FOR INJURIES WITH CC/MCC Trauma,,,43417.81,90611.09,4
RC,208,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC Trauma,,,19947.7,41629.99,4
RC,208,SKIN ULCERS WITH CC Trauma,,,16763.26,34984.2,4
RC,208,SKIN ULCERS WITH MCC Trauma,,,24791.35,51738.48,4
RC,208,SKIN ULCERS WITHOUT CC/MCC Trauma,,,13338.73,27837.36,4
RC,208,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) Trauma",,,419.54,419.54,2
RC,208,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,328.8,328.8,2
RC,208,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence Trauma",,,723.24,723.24,2
RC,208,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) Trauma",,,444.48,444.48,2
RC,208,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) Trauma",,,112.8,112.8,2
RC,208,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis Trauma",,,122.57,122.57,2
RC,208,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,13000.0,1
RC,208,SOFT TISSUE PROCEDURES WITH CC Trauma,,,22784.87,47551.03,4
RC,208,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,13000.0,1
RC,208,SOFT TISSUE PROCEDURES WITH MCC Trauma,,,37969.65,79241.02,4
RC,208,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,SOFT TISSUE PROCEDURES WITHOUT CC/MCC Trauma,,,18473.92,38554.27,4
RC,208,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX Trauma",,,48771.66,196422.55,12
RC,208,SPLENIC PROCEDURES WITH CC Trauma,,,34160.32,71291.11,4
RC,208,SPLENIC PROCEDURES WITH MCC Trauma,,,52590.64,109754.38,4
RC,208,SPLENIC PROCEDURES WITHOUT CC/MCC Trauma,,,24508.4,51147.96,4
RC,208,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,13000.0,1
RC,208,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC Trauma",,,14276.59,29794.63,4
RC,208,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,13000.0,13000.0,1
RC,208,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC Trauma",,,11768.49,24560.33,4
RC,208,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) Trauma",,,420.96,420.96,2
RC,208,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC Trauma",,,30245.95,63121.99,4
RC,208,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC Trauma",,,57505.04,120010.51,4
RC,208,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC Trauma",,,21222.12,44289.65,4
RC,208,SYNCOPE AND COLLAPSE ,,,13000.0,13000.0,1
RC,208,SYNCOPE AND COLLAPSE Trauma,,,13390.19,27944.74,4
RC,208,Sacituzumab govitecan-hziy Trauma,,,90.34,90.34,2
RC,208,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated Trauma",,,717.02,717.02,2
RC,208,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,183.6,183.6,2
RC,208,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,329.11,329.11,2
RC,208,"Safety enclosure frame/canopy for use with hospital bed, any type Trauma",,,622.85,622.85,2
RC,208,"Safety vest, wheelchair Trauma",,,96.1,96.1,2
RC,208,Salicylate Trauma,,,44.74,44.74,2
RC,208,Sargramostim injection Trauma,,,149.94,149.94,2
RC,208,Scafld endovas resrb drg e Trauma,,,,,0
RC,208,Scleral cover shell Trauma,,,4208.26,4208.26,2
RC,208,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,3141.82,3141.82,2
RC,208,"Scratch resistant coating, per lens Trauma",,,47.06,47.06,2
RC,208,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision Trauma",,,44.5,44.5,2
RC,208,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening Trauma",,,76.66,76.66,2
RC,208,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision Trauma",,,48.62,48.62,2
RC,208,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,64.92,64.92,2
RC,208,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,63.58,63.58,2
RC,208,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,105.53,105.53,2
RC,208,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) Trauma",,,58.42,58.42,2
RC,208,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Trauma",,,229.01,229.01,2
RC,208,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision Trauma",,,44.5,44.5,2
RC,208,"Seat attachment, walker Trauma",,,48.19,48.19,2
RC,208,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair Trauma",,,280.87,280.87,2
RC,208,"Seat lift mechanism, electric, any type Trauma",,,777.96,777.96,2
RC,208,"Seat lift mechanism, non-electric, any type Trauma",,,774.46,774.46,2
RC,208,"Sedimentation rate, erythrocyte; automated Trauma",,,6.48,6.48,2
RC,208,"Sedimentation rate, erythrocyte; non-automated Trauma",,,10.25,10.25,2
RC,208,"Segmental gradient pressure pneumatic appliance, full arm Trauma",,,1103.81,1103.81,2
RC,208,"Segmental gradient pressure pneumatic appliance, full leg Trauma",,,1420.66,1420.66,2
RC,208,"Segmental gradient pressure pneumatic appliance, half leg Trauma",,,917.18,917.18,2
RC,208,"Segmental pneumatic appliance for use with pneumatic compressor, chest Trauma",,,185.69,185.69,2
RC,208,"Segmental pneumatic appliance for use with pneumatic compressor, full arm Trauma",,,1511.38,1511.38,2
RC,208,"Segmental pneumatic appliance for use with pneumatic compressor, full leg Trauma",,,1107.38,1107.38,2
RC,208,"Segmental pneumatic appliance for use with pneumatic compressor, half leg Trauma",,,595.34,595.34,2
RC,208,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest Trauma",,,429.96,429.96,2
RC,208,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk Trauma",,,4299.53,4299.53,2
RC,208,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest Trauma",,,429.96,429.96,2
RC,208,"Segmental pneumatic appliance for use with pneumatic compressor, trunk Trauma",,,197.64,197.64,2
RC,208,Selenium Trauma,,,61.27,61.27,2
RC,208,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard Trauma",,,4.78,4.78,2
RC,208,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard Trauma",,,2.69,2.69,2
RC,208,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard Trauma",,,2.16,2.16,2
RC,208,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,70.98,80.66,6
RC,208,Semen analysis; motility and count (not including Huhner test) Trauma,,,20.66,20.66,2
RC,208,Semen analysis; presence and/or motility of sperm excluding huhner Trauma,,,15.6,15.6,2
RC,208,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Trauma,,,23.62,23.62,2
RC,208,"Semen analysis; sperm presence and motility of sperm, if performed Trauma",,,28.92,28.92,2
RC,208,"Semen analysis; volume, count, motility, and differential Trauma",,,29.54,29.54,2
RC,208,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) Trauma",,,37.2,37.2,2
RC,208,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest Trauma",,,295.51,295.51,2
RC,208,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests Trauma",,,301.78,301.78,2
RC,208,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes Trauma",,,133.31,151.49,4
RC,208,Serotonin Trauma,,,74.35,74.35,2
RC,208,Serum bactericidal titer (Schlichter test) Trauma,,,36.05,36.05,2
RC,208,Serum screening for cytotoxic percent reactive antibody (PRA); quick method Trauma,,,71.23,71.23,2
RC,208,Serum screening for cytotoxic percent reactive antibody (PRA); standard method Trauma,,,188.76,188.76,2
RC,208,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative Trauma",,,123.43,123.43,2
RC,208,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,208,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Tr",,,,,0
RC,208,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Tra",,,,,0
RC,208,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Tr",,,,,0
RC,208,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,,,0
RC,208,Sex chromatin identification; Barr bodies Trauma,,,43.15,43.15,2
RC,208,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Trauma",,,19.18,19.18,2
RC,208,Sex hormone binding globulin (SHBG) Trauma,,,52.15,52.15,2
RC,208,"Shock absorber for manual wheelchair, each Trauma",,,351.26,351.26,2
RC,208,"Shock absorber for power wheelchair, each Trauma",,,320.45,320.45,2
RC,208,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,42395.76,42395.76,2
RC,208,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,39750.96,39750.96,2
RC,208,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,11454.26,11454.26,2
RC,208,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm Trauma",,,10946.62,10946.62,2
RC,208,"Shoulder disarticulation, passive restoration (complete prosthesis) Trauma",,,9451.92,9451.92,2
RC,208,"Shoulder disarticulation, passive restoration (shoulder cap only) Trauma",,,5163.34,5163.34,2
RC,208,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,5353.58,5353.58,2
RC,208,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,4534.39,4534.39,2
RC,208,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,5081.69,5081.69,2
RC,208,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,4534.39,4534.39,2
RC,208,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,5353.58,5353.58,2
RC,208,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,5353.58,5353.58,2
RC,208,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment Trauma",,,2224.58,2224.58,2
RC,208,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment Trauma",,,2316.29,2316.29,2
RC,208,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,5081.69,5081.69,2
RC,208,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,4534.39,4534.39,2
RC,208,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,3190.15,3190.15,2
RC,208,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf Trauma",,,386.59,386.59,2
RC,208,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf Trauma",,,277.37,277.37,2
RC,208,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf Trauma",,,161.54,161.54,2
RC,208,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2431.78,2431.78,2
RC,208,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf Trauma",,,473.62,473.62,2
RC,208,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,1517.4,1517.4,2
RC,208,Sialic acid Trauma,,,32.26,32.26,2
RC,208,"Sickling of RBC, reduction Trauma",,,13.22,13.22,2
RC,208,Silica Trauma,,,60.5,60.5,2
RC,208,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,3557.3,3557.3,2
RC,208,Sipuleucel-T auto CD54+ Trauma,,,134237.83,134237.83,2
RC,208,Sirolimus Trauma,,,32.95,32.95,2
RC,208,Sitz bath chair Trauma,,,498.36,498.36,2
RC,208,"Sitz type bath or equipment, portable, used with or without commode Trauma",,,80.14,80.14,2
RC,208,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s Trauma",,,75.07,75.07,2
RC,208,"Six volt battery, each Trauma",,,701.11,701.11,2
RC,208,"Skin barrier, wipes or swabs, each Trauma",,,0.84,0.84,2
RC,208,"Skin barrier; solid, 4 x 4 or equivalent; each Trauma",,,11.66,11.66,2
RC,208,"Skin barrier; solid, 6 x 6 or equivalent, each Trauma",,,21.67,21.67,2
RC,208,"Skin barrier; solid, 8 x 8 or equivalent, each Trauma",,,43.92,43.92,2
RC,208,"Skin piercing device for collection of capillary blood, laser, each Trauma",,,299.02,299.02,2
RC,208,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth Trauma",,,1173.34,1173.34,2
RC,208,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth Trauma",,,948.07,948.07,2
RC,208,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,767.86,767.86,2
RC,208,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,620.47,620.47,2
RC,208,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth Trauma",,,1179.84,1179.84,2
RC,208,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth Trauma",,,933.0,933.0,2
RC,208,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,432.84,432.84,2
RC,208,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,316.22,316.22,2
RC,208,"Slab off prism, glass or plastic, per lens Trauma",,,188.4,188.4,2
RC,208,"Sling or seat, patient lift, canvas or nylon Trauma",,,239.45,239.45,2
RC,208,Slings Trauma,,,26.35,26.35,2
RC,208,"Small volume nonfiltered pneumatic nebulizer, disposable Trauma",,,3.82,3.82,2
RC,208,Smallpox&monkeypox vac 0.5 Trauma,,,0.02,0.02,2
RC,208,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types Trauma",,,10.25,10.25,2
RC,208,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites Trauma",,,43.15,43.15,2
RC,208,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types Trauma",,,12.94,12.94,2
RC,208,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) Trauma",,,14.38,14.38,2
RC,208,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) Trauma",,,13.97,13.97,2
RC,208,Sodium; other source Trauma,,,11.66,11.66,2
RC,208,"Sodium; serum, plasma or whole blood Trauma",,,11.54,11.54,2
RC,208,Sodium; urine Trauma,,,12.14,12.14,2
RC,208,"Sole wedge, between sole Trauma",,,147.12,147.12,2
RC,208,"Sole wedge, outside sole Trauma",,,105.6,105.6,2
RC,208,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,1434.98,1434.98,2
RC,208,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis Trauma",,,1434.98,1434.98,2
RC,208,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,2869.99,2869.99,2
RC,208,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,7892.42,7892.42,2
RC,208,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability Trau",,,3228.74,3228.74,2
RC,208,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,7174.92,7174.92,2
RC,208,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability Trauma",,,2511.24,2511.24,2
RC,208,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability Trauma",,,2152.49,2152.49,2
RC,208,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,7007.04,7007.04,4
RC,208,Somatomedin Trauma,,,51.02,51.02,2
RC,208,Somatostatin Trauma,,,43.87,43.87,2
RC,208,Special back height for wheelchair Trauma,,,81.48,81.48,2
RC,208,"Special base curve, glass or plastic, per lens Trauma",,,61.94,61.94,2
RC,208,Special height arms for wheelchair Trauma,,,949.15,949.15,2
RC,208,"Special wheelchair seat depth and/or width, by construction Trauma",,,1285.97,1285.97,2
RC,208,"Special wheelchair seat depth, by upholstery Trauma",,,357.79,357.79,2
RC,208,Special wheelchair seat height from floor Trauma,,,1681.61,1681.61,2
RC,208,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,4.08,4.08,2
RC,208,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,6.82,6.82,2
RC,208,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,10.42,10.42,2
RC,208,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,11.14,11.14,2
RC,208,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,21.67,21.67,2
RC,208,Specific gravity (except urine) Trauma,,,7.87,7.87,2
RC,208,"Spectrophotometry, analyte not elsewhere specified Trauma",,,19.44,19.44,2
RC,208,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time Trauma",,,5395.32,5395.32,2
RC,208,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time Trauma",,,7911.05,7911.05,2
RC,208,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time Trauma",,,4090.01,4090.01,2
RC,208,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time Trauma",,,1337.52,1337.52,2
RC,208,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access Trauma",,,23149.66,23149.66,2
RC,208,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device Trauma",,,12233.16,12233.16,2
RC,208,"Speech volume modulation system, any type, including all components and accessories Trauma",,,587.62,587.62,2
RC,208,Sperm antibodies Trauma,,,25.61,25.61,2
RC,208,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) Trauma",,,47.02,47.02,2
RC,208,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Trauma",,,24.91,24.91,2
RC,208,Sperm evaluation; hamster penetration test Trauma,,,47.02,47.02,2
RC,208,"Sphere, bifocal, plano to plus or minus 4.00d, per lens Trauma",,,150.65,150.65,2
RC,208,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens Trauma",,,164.18,164.18,2
RC,208,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens Trauma",,,193.2,193.2,2
RC,208,"Sphere, single vision, plano to plus or minus 4.00, per lens Trauma",,,115.1,115.1,2
RC,208,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens Trauma",,,121.27,121.27,2
RC,208,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens Trauma",,,172.03,172.03,2
RC,208,"Sphere, trifocal, plano to plus or minus 4.00d, per lens Trauma",,,195.62,195.62,2
RC,208,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens Trauma",,,226.85,226.85,2
RC,208,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens Trauma",,,248.5,248.5,2
RC,208,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens Trauma",,,151.97,151.97,2
RC,208,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,164.81,164.81,2
RC,208,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,180.82,180.82,2
RC,208,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Trauma",,,220.15,220.15,2
RC,208,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,186.0,186.0,2
RC,208,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,204.58,204.58,2
RC,208,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens Trauma",,,263.21,263.21,2
RC,208,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens Trauma",,,183.74,183.74,2
RC,208,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Trauma",,,224.42,224.42,2
RC,208,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens Trauma",,,244.25,244.25,2
RC,208,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,250.46,250.46,2
RC,208,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens Trauma",,,268.42,268.42,2
RC,208,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens Trauma",,,99.91,99.91,2
RC,208,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,110.69,110.69,2
RC,208,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,135.53,135.53,2
RC,208,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Trauma",,,137.52,137.52,2
RC,208,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens Trauma",,,188.06,188.06,2
RC,208,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens Trauma",,,144.53,144.53,2
RC,208,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,161.14,161.14,2
RC,208,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,140.18,140.18,2
RC,208,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Trauma",,,165.77,165.77,2
RC,208,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens Trauma",,,163.58,163.58,2
RC,208,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,225.96,225.96,2
RC,208,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens Trauma",,,199.9,199.9,2
RC,208,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens Trauma",,,205.9,205.9,2
RC,208,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens Trauma",,,215.47,215.47,2
RC,208,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens Trauma",,,264.24,264.24,2
RC,208,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Trauma",,,246.38,246.38,2
RC,208,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens Trauma",,,244.3,244.3,2
RC,208,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,260.69,260.69,2
RC,208,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,304.94,304.94,2
RC,208,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens Trauma",,,335.45,335.45,2
RC,208,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Trauma",,,319.49,319.49,2
RC,208,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens Trauma",,,281.62,281.62,2
RC,208,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,384.38,384.38,2
RC,208,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens Trauma",,,421.06,421.06,2
RC,208,"Spoke protectors, each Trauma",,,133.7,133.7,2
RC,208,"Spring-powered device for lancet, each Trauma",,,5.09,5.09,2
RC,208,Sr89 strontium Trauma,,,9951.2,9951.2,2
RC,208,Stand/rack Trauma,,,73.01,73.01,2
RC,208,Standard - weight frame motorized/power wheelchair Trauma,,,1238.47,1238.47,2
RC,208,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking Trauma",,,1658.35,1658.35,2
RC,208,Standard hemi (low seat) wheelchair Trauma,,,129.91,129.91,2
RC,208,"Standard size footplate, replacement only, each Trauma",,,93.26,93.26,2
RC,208,Standard wheelchair Trauma,,,74.57,74.57,2
RC,208,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,256.2,256.2,2
RC,208,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,497.78,497.78,2
RC,208,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf Trauma",,,497.78,497.78,2
RC,208,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,217.34,217.34,2
RC,208,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,217.34,217.34,2
RC,208,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories Trauma",,,331.54,331.54,2
RC,208,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories Trauma",,,426.53,426.53,2
RC,208,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,403.9,403.9,2
RC,208,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories Trauma",,,435.55,435.55,2
RC,208,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,419.98,419.98,2
RC,208,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories Trauma",,,1549.37,1549.37,2
RC,208,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing Trauma",,,240.5,240.5,2
RC,208,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing Trauma",,,240.5,240.5,2
RC,208,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit Trauma",,,163.87,163.87,2
RC,208,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit Trauma",,,163.87,163.87,2
RC,208,"Stem cells (ie, CD34), total count Trauma",,,186.67,186.67,2
RC,208,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml Trauma",,,1.39,1.39,2
RC,208,"Sterile water/saline, 500 ml Trauma",,,10.73,10.73,2
RC,208,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) Trauma",,,52.49,52.49,2
RC,208,Stoma cap Trauma,,,4.92,4.92,2
RC,208,"Stoma plug or seal, any type Trauma",,,11.33,11.33,2
RC,208,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Trauma",,,220.87,220.87,2
RC,208,"Streptokinase, antibody Trauma",,,30.38,30.38,2
RC,208,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system Trauma",,,156.6,156.6,2
RC,208,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Trauma",,,13.2,13.2,2
RC,208,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen Trauma",,,27.67,27.67,2
RC,208,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen Trauma",,,13.2,13.2,2
RC,208,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen Trauma",,,27.67,27.67,2
RC,208,"Sugars, chromatographic, TLC or paper chromatography Trauma",,,93.6,93.6,2
RC,208,"Sulfate, urine Trauma",,,13.18,13.18,2
RC,208,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month Trauma",,,100.13,100.13,2
RC,208,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist Trauma,,,1264.44,1264.44,2
RC,208,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) Trauma",,,327.29,327.29,2
RC,208,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each Trauma",,,8.33,8.33,2
RC,208,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each Trauma",,,8.33,8.33,2
RC,208,"Supplies for maintenance of insulin infusion catheter, per week Trauma",,,62.09,62.09,2
RC,208,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) Trauma",,,62.09,62.09,2
RC,208,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service Trauma",,,673.7,673.7,2
RC,208,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service Trauma",,,655.87,655.87,2
RC,208,"Surgical dressing holder, non-reusable, each Trauma",,,11.28,11.28,2
RC,208,"Surgical dressing holder, reusable, each Trauma",,,45.53,45.53,2
RC,208,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Trauma",,,11.4,11.4,2
RC,208,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate Trauma",,,84.22,84.22,2
RC,208,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Trauma",,,17.95,17.95,2
RC,208,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme Trauma",,,11.4,11.4,2
RC,208,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Trauma",,,15.94,15.94,2
RC,208,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate Trauma",,,20.76,20.76,2
RC,208,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) Trauma",,,96.41,96.41,2
RC,208,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Trauma",,,17.54,17.54,2
RC,208,"Suzetrigine, orl, 1mg Trauma",,,0.75,0.75,2
RC,208,"Swingaway, detachable footrests, replacement only, each Trauma",,,211.63,211.63,2
RC,208,Synthetic sheepskin pad Trauma,,,72.14,72.14,2
RC,208,Synvisc or synvisc-one Trauma,,,14.44,14.44,2
RC,208,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) Trauma",,,10.25,10.25,2
RC,208,"Syphilis test, non-treponemal antibody; quantitative Trauma",,,10.56,10.56,2
RC,208,"T cells; absolute CD4 and CD8 count, including ratio Trauma",,,112.75,112.75,2
RC,208,T cells; absolute CD4 count Trauma,,,64.27,64.27,2
RC,208,T cells; total count Trauma,,,90.55,90.55,2
RC,208,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,208,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,13000.0,1
RC,208,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC Trauma",,,19985.22,41708.28,4
RC,208,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13000.0,1
RC,208,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC Trauma",,,13621.7,28427.9,4
RC,208,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) Trauma",,,444.48,444.48,2
RC,208,TESTES PROCEDURES WITH CC/MCC Trauma,,,26383.05,55060.27,4
RC,208,TESTES PROCEDURES WITHOUT CC/MCC Trauma,,,15835.05,33047.06,4
RC,208,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) Trauma",,,328.8,328.8,2
RC,208,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC Trauma",,,20119.2,41987.9,4
RC,208,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC Trauma",,,36418.69,76004.23,4
RC,208,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC Trauma",,,18285.28,38160.58,4
RC,208,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence Trauma",,,1540.44,1540.44,2
RC,208,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Trauma",,,739.2,739.2,2
RC,208,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) Trauma",,,790.82,790.82,2
RC,208,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) Trauma",,,419.54,419.54,2
RC,208,TRANSURETHRAL PROCEDURES WITH CC Trauma,,,20682.99,43164.5,4
RC,208,TRANSURETHRAL PROCEDURES WITH MCC Trauma,,,35345.78,73765.1,4
RC,208,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC Trauma,,,14523.12,30309.12,4
RC,208,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC Trauma,,,20162.08,42077.38,4
RC,208,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC Trauma,,,15381.66,32100.86,4
RC,208,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC Trauma",,,19826.59,41377.22,4
RC,208,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC Trauma",,,13866.08,28937.9,4
RC,208,TRAUMATIC INJURY WITH MCC Trauma,,,21568.33,45012.17,4
RC,208,TRAUMATIC INJURY WITHOUT MCC Trauma,,,13539.17,28255.66,4
RC,208,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) T",,,501.41,501.41,2
RC,208,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) Trauma",,,119.02,119.02,2
RC,208,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Trauma",,,483.6,483.6,2
RC,208,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) Trauma",,,419.54,419.54,2
RC,208,Tacrolimus Trauma,,,32.95,32.95,2
RC,208,Tacrolimus injection Trauma,,,643.62,643.62,2
RC,208,"Tape, non-waterproof, per 18 square inches Trauma",,,0.24,0.24,2
RC,208,"Tape, waterproof, per 18 square inches Trauma",,,1.2,1.2,2
RC,208,"Tau, phosphorylated (eg, pTau 181, pTau 217), each Trauma",,,309.41,309.41,2
RC,208,"Tau, total (tTau) Trauma",,,309.41,309.41,2
RC,208,Tc-99m graphite crucible Trauma,,,788.64,788.64,2
RC,208,Tc99m bicisate Trauma,,,1861.25,1861.25,2
RC,208,Tc99m succimer Trauma,,,1583.83,1583.83,2
RC,208,Technetium tc-99m auto wbc Trauma,,,2241.91,2241.91,2
RC,208,Telavancin injection Trauma,,,17.96,17.96,2
RC,208,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,34.58,86.71,6
RC,208,Telisotuzumab vedotin-tllv Trauma,,,350.54,350.54,2
RC,208,Temozolomide injection Trauma,,,24.98,24.98,2
RC,208,Tenecteplase injection Trauma,,,521.81,521.81,2
RC,208,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment Trauma",,,9491.54,9491.54,2
RC,208,"Terminal device, hand, mechanical, voluntary closing, any material, any size Trauma",,,3559.73,3559.73,2
RC,208,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric Trauma",,,3931.85,3931.85,2
RC,208,"Terminal device, hand, mechanical, voluntary opening, any material, any size Trauma",,,2470.25,2470.25,2
RC,208,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric Trauma",,,4641.91,4641.91,2
RC,208,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined Trauma",,,6024.46,6024.46,2
RC,208,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined Trauma",,,6988.37,6988.37,2
RC,208,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined Trauma",,,3778.73,3778.73,2
RC,208,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric Trauma",,,3678.05,3678.05,2
RC,208,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined Trauma",,,1025.18,1025.18,2
RC,208,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric Trauma",,,1997.59,1997.59,2
RC,208,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement Trauma",,,9380.74,9380.74,2
RC,208,"Terminal device, passive hand/mitt, any material, any size Trauma",,,1068.17,1068.17,2
RC,208,"Terminal device, sport/recreational/work attachment, any material, any size Trauma",,,1720.7,1720.7,2
RC,208,Testosterone pellet 75 mg Trauma,,,174.72,174.72,2
RC,208,Testosterone undecanoate 1 Trauma,,,5.16,5.16,2
RC,208,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) Trauma",,,123.07,123.07,2
RC,208,Testosterone; free Trauma,,,61.13,61.13,2
RC,208,Testosterone; total Trauma,,,61.94,61.94,2
RC,208,"Thawing and expansion of frozen cells, each aliquot Trauma",,,29.02,29.02,2
RC,208,Theophylline Trauma,,,33.94,33.94,2
RC,208,Therapeutic Nuclear Medici Trauma,,,584.8,584.8,2
RC,208,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes Trauma",,,76.88,87.36,6
RC,208,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,48.81,55.46,6
RC,208,"Therapeutic procedure(s), group (2 or more individuals) Trauma",,,39.87,45.31,6
RC,208,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Trauma",,,81.16,92.23,6
RC,208,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) Trauma",,,63.63,72.31,4
RC,208,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) Trauma",,,65.39,74.3,4
RC,208,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,71.58,81.34,6
RC,208,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility Trauma",,,63.63,72.31,6
RC,208,"Therapeutic services for the use of speech-generating device, including programming and modification Trauma",,,252.46,252.46,2
RC,208,Thiamine (Vitamin B-1) Trauma,,,50.95,50.95,2
RC,208,Thiocyanate Trauma,,,27.91,27.91,2
RC,208,Thiopurine S-methyltransferase (TPMT) Trauma,,,53.21,53.21,2
RC,208,"Thoracic, rib belt, custom fabricated Trauma",,,337.75,337.75,2
RC,208,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only Trauma",,,4792.87,4792.87,2
RC,208,Thrombin time; plasma Trauma,,,13.85,13.85,2
RC,208,Thrombin time; titer Trauma,,,16.44,16.44,2
RC,208,Thrombomodulin Trauma,,,41.45,41.45,2
RC,208,"Thromboplastin inhibition, tissue Trauma",,,23.11,23.11,2
RC,208,"Thromboplastin time, partial (PTT); plasma or whole blood Trauma",,,14.42,14.42,2
RC,208,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each Trauma",,,15.53,15.53,2
RC,208,"Thromboxane metabolite(s), including thromboxane if performed, urine Trauma",,,84.26,84.26,2
RC,208,"Thymol turbidity, blood Trauma",,,11.88,11.88,2
RC,208,Thyroglobulin Trauma,,,38.54,38.54,2
RC,208,Thyroglobulin antibody Trauma,,,38.18,38.18,2
RC,208,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) Trauma,,,15.53,15.53,2
RC,208,Thyroid stimulating hormone (TSH) Trauma,,,40.32,40.32,2
RC,208,Thyroid stimulating immune globulins (TSI) Trauma,,,122.06,122.06,2
RC,208,Thyrotropin injection Trauma,,,5180.79,5180.79,2
RC,208,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) Trauma,,,120.98,120.98,2
RC,208,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) Trauma,,,161.3,161.3,2
RC,208,Thyroxine binding globulin (TBG) Trauma,,,35.47,35.47,2
RC,208,Thyroxine; free Trauma,,,21.65,21.65,2
RC,208,"Thyroxine; requiring elution (eg, neonatal) Trauma",,,15.53,15.53,2
RC,208,Thyroxine; total Trauma,,,16.49,16.49,2
RC,208,Tiagabine Trauma,,,65.06,65.06,2
RC,208,"Tint, photochromatic, per lens Trauma",,,64.27,64.27,2
RC,208,Tisagenlecleucel car-pos t Trauma,,,1468063.68,1468063.68,2
RC,208,"Tissue culture for neoplastic disorders; bone marrow, blood cells Trauma",,,345.0,345.0,2
RC,208,Tissue culture for neoplastic disorders; solid tumor Trauma,,,354.05,354.05,2
RC,208,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Trauma,,,360.72,360.72,2
RC,208,Tissue culture for non-neoplastic disorders; lymphocyte Trauma,,,279.58,279.58,2
RC,208,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Trauma,,,337.75,337.75,2
RC,208,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) Trauma",,,10.25,10.25,2
RC,208,"Tissue transglutaminase, each immunoglobulin (Ig) class Trauma",,,27.67,27.67,2
RC,208,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,1028.5,1028.5,2
RC,208,"Tlso, corset front Trauma",,,315.22,315.22,2
RC,208,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,646.49,646.49,2
RC,208,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,1853.9,2949.41,4
RC,208,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,348.24,348.24,2
RC,208,"Tlso, full corset Trauma",,,658.34,658.34,2
RC,208,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,725.04,1133.45,4
RC,208,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,1475.98,1475.98,2
RC,208,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,2277.41,2277.41,2
RC,208,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,838.82,838.82,2
RC,208,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,923.83,1421.18,4
RC,208,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,1269.98,1269.98,2
RC,208,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,4407.94,4407.94,2
RC,208,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,3702.72,3702.72,2
RC,208,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,2644.75,2976.89,4
RC,208,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2976.89,4501.9,4
RC,208,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,3927.05,3927.05,2
RC,208,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,2023.2,2023.2,2
RC,208,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,5199.84,5199.84,2
RC,208,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,5249.09,5249.09,2
RC,208,Tobramycin Trauma,,,38.71,38.71,2
RC,208,Tocilizumab injection Trauma,,,12.98,12.98,2
RC,208,Tocopherol alpha (Vitamin E) Trauma,,,34.03,34.03,2
RC,208,"Toe loop/holder, any type, each Trauma",,,49.78,49.78,2
RC,208,Topi adm prad zami per tre Trauma,,,7885879.2,7885879.2,2
RC,208,Topiramate Trauma,,,28.61,28.61,2
RC,208,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Trauma",,,47.38,47.38,2
RC,208,"Tracheal suction catheter, any type other than closed system, each Trauma",,,9.02,9.02,2
RC,208,"Tracheal suction catheter, closed system, each Trauma",,,56.11,56.11,2
RC,208,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type Trauma",,,324.53,324.53,2
RC,208,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each Trauma",,,124.46,124.46,2
RC,208,"Tracheoesophageal puncture dilator, replacement only, each Trauma",,,280.18,280.18,2
RC,208,"Tracheostoma filter, any type, any size, each Trauma",,,1.22,1.22,2
RC,208,"Tracheostoma stent/stud/button, each Trauma",,,264.79,264.79,2
RC,208,"Tracheostoma valve, including diaphragm, each Trauma",,,359.18,359.18,2
RC,208,Tracheostomy care kit for established tracheostomy Trauma,,,15.91,15.91,2
RC,208,Tracheostomy care kit for new tracheostomy Trauma,,,23.69,23.69,2
RC,208,"Tracheostomy cleaning brush, each Trauma",,,9.26,9.26,2
RC,208,"Tracheostomy mask, each Trauma",,,7.06,7.06,2
RC,208,Tracheostomy speaking valve Trauma,,,430.61,430.61,2
RC,208,"Tracheostomy tube collar/holder, each Trauma",,,11.59,11.59,2
RC,208,"Tracheostomy, inner cannula Trauma",,,22.42,22.42,2
RC,208,"Tracheostomy/laryngectomy tube plug/stop, each Trauma",,,12.24,12.24,2
RC,208,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each Trauma",,,160.9,160.9,2
RC,208,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each Trauma",,,162.38,162.38,2
RC,208,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each Trauma",,,154.46,154.46,2
RC,208,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible Trauma",,,176.28,176.28,2
RC,208,"Traction equipment, overdoor, cervical Trauma",,,127.73,127.73,2
RC,208,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) Trauma",,,338.16,338.16,2
RC,208,"Traction frame, attached to footboard, pelvic traction Trauma",,,350.02,350.02,2
RC,208,"Traction frame, attached to headboard, cervical traction Trauma",,,250.61,250.61,2
RC,208,"Traction stand, free standing, cervical traction Trauma",,,359.3,359.3,2
RC,208,"Traction stand, free standing, extremity traction Trauma",,,429.38,429.38,2
RC,208,"Traction stand, free standing, pelvic traction, (e.g., buck's) Trauma",,,372.55,372.55,2
RC,208,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,14687.81,14687.81,2
RC,208,Transcortin (cortisol binding globulin) Trauma,,,43.2,43.2,2
RC,208,"Transcutaneous electrical joint stimulation device system, includes all accessories Trauma",,,376.08,376.08,2
RC,208,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation Trauma",,,221.62,221.62,2
RC,208,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation Trauma",,,219.34,219.34,2
RC,208,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve Trauma,,,125.71,125.71,2
RC,208,Transcutaneous tibial nerve stimulator Trauma,,,125.71,125.71,2
RC,208,"Transfer device, any type, each Trauma",,,147.5,147.5,2
RC,208,"Transfer of an orthosis from one shoe to another, caliper plate, existing Trauma",,,226.34,226.34,2
RC,208,"Transfer of an orthosis from one shoe to another, caliper plate, new Trauma",,,297.89,297.89,2
RC,208,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes Trauma",,,128.18,128.18,2
RC,208,"Transfer of an orthosis from one shoe to another, solid stirrup, existing Trauma",,,226.34,226.34,2
RC,208,"Transfer of an orthosis from one shoe to another, solid stirrup, new Trauma",,,297.89,297.89,2
RC,208,Transferase; alanine amino (ALT) (SGPT) Trauma,,,12.72,12.72,2
RC,208,Transferase; aspartate amino (AST) (SGOT) Trauma,,,12.43,12.43,2
RC,208,Transferrin Trauma,,,30.62,30.62,2
RC,208,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement Trauma",,,77.9,77.9,2
RC,208,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement Trauma",,,532.01,532.01,2
RC,208,"Transmitting coil for use with cochlear implant device, replacement Trauma",,,272.74,272.74,2
RC,208,"Transparent film, sterile, 16 sq. in. or less, each dressing Trauma",,,5.23,5.23,2
RC,208,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Trauma",,,14.74,14.74,2
RC,208,"Transparent film, sterile, more than 48 sq. in., each dressing Trauma",,,37.42,37.42,2
RC,208,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,7776.0,7776.0,2
RC,208,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,1537.75,1537.75,2
RC,208,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds Trauma",,,97.1,97.1,2
RC,208,"Transport chair, adult size, patient weight capacity up to and including 300 pounds Trauma",,,45.7,45.7,2
RC,208,"Transport chair, pediatric size Trauma",,,311.21,311.21,2
RC,208,"Transtracheal oxygen catheter, each Trauma",,,171.46,171.46,2
RC,208,"Trapeze bar, free standing, complete with grab bar Trauma",,,63.19,63.19,2
RC,208,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar Trauma",,,127.25,127.25,2
RC,208,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar Trauma",,,255.38,255.38,2
RC,208,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar Trauma",,,33.48,33.48,2
RC,208,Trauma Response with Criti Trauma,,,3340.63,3340.63,2
RC,208,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals Trauma",,,60.19,60.19,2
RC,208,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual Trauma",,,187.18,187.18,2
RC,208,Treatment of swallowing dysfunction and/or oral function for feeding Trauma,,,207.07,207.07,2
RC,208,Trifocal add over 3.25d Trauma,,,153.94,153.94,2
RC,208,Trifocal seg width over 28 mm Trauma,,,145.92,145.92,2
RC,208,Triglycerides Trauma,,,13.78,13.78,2
RC,208,Triiodothyronine T3; free Trauma,,,40.66,40.66,2
RC,208,Triiodothyronine T3; reverse Trauma,,,37.82,37.82,2
RC,208,Triiodothyronine T3; total (TT-3) Trauma,,,34.03,34.03,2
RC,208,Triptorelin pamoate Trauma,,,1119.28,1119.28,2
RC,208,"Troponin, qualitative Trauma",,,24.22,24.22,2
RC,208,"Troponin, quantitative Trauma",,,29.93,29.93,2
RC,208,"Truss, addition to standard pad, scrotal pad Trauma",,,190.51,190.51,2
RC,208,"Truss, addition to standard pad, water pad Trauma",,,192.17,192.17,2
RC,208,"Truss, double with standard pads Trauma",,,439.99,439.99,2
RC,208,"Truss, single with standard pad Trauma",,,286.18,286.18,2
RC,208,Trypsin; duodenal fluid Trauma,,,17.28,17.28,2
RC,208,"Trypsin; feces, qualitative Trauma",,,17.52,17.52,2
RC,208,"Trypsin; feces, quantitative, 24-hour collection Trauma",,,23.83,23.83,2
RC,208,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension Trauma",,,240.0,240.0,2
RC,208,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Trauma",,,148.75,148.75,2
RC,208,"Tubing (oxygen), per foot Trauma",,,0.19,0.19,2
RC,208,Tubing used with positive airway pressure device Trauma,,,35.45,35.45,2
RC,208,Tubing with integrated heating element for use with positive airway pressure device Trauma,,,118.46,118.46,2
RC,208,"Tubing, used with suction pump, each Trauma",,,11.16,11.16,2
RC,208,"Tubular dressing with or without elastic, any width, per linear yard Trauma",,,3.89,3.89,2
RC,208,"Twelve volt battery, each Trauma",,,1170.82,1170.82,2
RC,208,Tyrosine Trauma,,,25.51,25.51,2
RC,208,"U-v lens, per lens Trauma",,,54.05,54.05,2
RC,208,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) Trauma",,,463.8,463.8,2
RC,208,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) Tr",,,561.6,561.6,2
RC,208,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES Trauma,,,42702.9,132957.6,8
RC,208,UNCOMPLICATED PEPTIC ULCER WITH MCC Trauma,,,18846.92,39332.71,4
RC,208,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC Trauma,,,13210.11,27568.92,4
RC,208,UNGROUPABLE Trauma,,,4048.01,8448.02,4
RC,208,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC Trauma,,,22246.81,46428.12,4
RC,208,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC Trauma,,,32959.86,68785.8,4
RC,208,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,208,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC Trauma,,,15754.67,32879.3,4
RC,208,URETHRAL PROCEDURES WITH CC/MCC Trauma,,,23287.57,48600.14,4
RC,208,URETHRAL PROCEDURES WITHOUT CC/MCC Trauma,,,15618.54,32595.22,4
RC,208,URETHRAL STRICTURE Trauma,,,15600.31,32557.18,4
RC,208,URINARY STONES WITH MCC Trauma,,,18458.91,38522.95,4
RC,208,URINARY STONES WITHOUT MCC Trauma,,,12426.6,25933.78,4
RC,208,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC Trauma,,,23714.16,49490.42,4
RC,208,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Trauma,,,17346.35,36201.07,4
RC,208,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC Trauma,,,23444.05,48926.71,4
RC,208,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC Trauma,,,42449.95,88591.2,4
RC,208,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT Trauma,,,19333.55,40348.27,4
RC,208,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC Trauma,,,26134.37,54541.3,4
RC,208,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC Trauma,,,42360.99,88405.54,4
RC,208,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC Trauma,,,19788.0,41296.7,4
RC,208,Ultralightweight wheelchair Trauma,,,6323.42,6323.42,2
RC,208,Ultrasonic/electronic aerosol generator with small volume nebulizer Trauma,,,126.72,126.72,2
RC,208,Ultrasound Composite Trauma,,,737.34,737.34,2
RC,208,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel Trauma",,,3859.44,3859.44,2
RC,208,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel Trauma",,,4757.59,4757.59,2
RC,208,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less Trauma",,,3073.46,3073.46,2
RC,208,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection Trauma",,,15142.99,15142.99,2
RC,208,"Underarm pad, crutch, replacement, each Trauma",,,14.86,14.86,2
RC,208,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow Trauma",,,7430.35,7430.35,2
RC,208,"Upper extremity addition, additional disconnect insert for locking wrist unit, each Trauma",,,208.63,208.63,2
RC,208,"Upper extremity addition, disconnect locking wrist unit Trauma",,,563.06,563.06,2
RC,208,"Upper extremity addition, excursion amplifier, lever type Trauma",,,638.9,638.9,2
RC,208,"Upper extremity addition, excursion amplifier, pulley type Trauma",,,471.36,471.36,2
RC,208,"Upper extremity addition, external frame, partial hand including fingers Trauma",,,1694.78,1694.78,2
RC,208,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement Trauma",,,70824.48,70824.48,2
RC,208,"Upper extremity addition, flexion/extension and rotation wrist unit Trauma",,,11189.98,11189.98,2
RC,208,"Upper extremity addition, flexion/extension wrist unit, with or without friction Trauma",,,900.94,900.94,2
RC,208,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation Trauma",,,1684.54,1684.54,2
RC,208,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation Trauma",,,1694.78,1694.78,2
RC,208,"Upper extremity addition, frame type socket, interscapular-thoracic Trauma",,,2199.38,2199.38,2
RC,208,"Upper extremity addition, frame type socket, shoulder disarticulation Trauma",,,2018.3,2018.3,2
RC,208,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design Trauma",,,407.88,407.88,2
RC,208,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design Trauma",,,352.85,352.85,2
RC,208,"Upper extremity addition, harness, chest or shoulder, saddle type Trauma",,,593.74,593.74,2
RC,208,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow Trauma",,,881.52,881.52,2
RC,208,"Upper extremity addition, heavy duty control cable Trauma",,,269.69,269.69,2
RC,208,"Upper extremity addition, hook to hand, cable adapter Trauma",,,149.62,149.62,2
RC,208,"Upper extremity addition, latex suspension sleeve, each Trauma",,,219.94,219.94,2
RC,208,"Upper extremity addition, lift assist for elbow Trauma",,,517.51,517.51,2
RC,208,"Upper extremity addition, locking elbow, forearm counterbalance Trauma",,,8435.35,8435.35,2
RC,208,"Upper extremity addition, nudge control elbow lock Trauma",,,1103.81,1103.81,2
RC,208,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal Trauma",,,1407.55,1407.55,2
RC,208,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal Trauma",,,429.86,429.86,2
RC,208,"Upper extremity addition, removable insert, each Trauma",,,1017.96,1017.96,2
RC,208,"Upper extremity addition, rotation wrist unit with cable lock Trauma",,,1785.48,1785.48,2
RC,208,"Upper extremity addition, shoulder flexion-abduction joint, each Trauma",,,1179.29,1179.29,2
RC,208,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system Trauma",,,9371.38,9371.38,2
RC,208,"Upper extremity addition, shoulder lock mechanism, body powered actuator Trauma",,,1542.79,1542.79,2
RC,208,"Upper extremity addition, shoulder lock mechanism, external powered actuator Trauma",,,9665.18,9665.18,2
RC,208,"Upper extremity addition, shoulder universal joint, each Trauma",,,1224.38,1224.38,2
RC,208,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each Trauma",,,1643.11,1643.11,2
RC,208,"Upper extremity addition, spring assisted rotational wrist unit with latch release Trauma",,,2512.99,2512.99,2
RC,208,"Upper extremity addition, stainless steel, any wrist Trauma",,,633.24,633.24,2
RC,208,"Upper extremity addition, standard control cable, extra Trauma",,,240.62,240.62,2
RC,208,"Upper extremity addition, suction socket Trauma",,,2312.81,2312.81,2
RC,208,"Upper extremity addition, teflon, or equal, cable lining Trauma",,,135.31,135.31,2
RC,208,"Upper extremity addition, test socket, elbow disarticulation or above elbow Trauma",,,753.7,753.7,2
RC,208,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic Trauma",,,1024.18,1024.18,2
RC,208,"Upper extremity addition, test socket, wrist disarticulation or below elbow Trauma",,,681.67,681.67,2
RC,208,"Upper extremity addition, test socket/interface, partial hand including fingers Trauma",,,681.67,681.67,2
RC,208,"Upper extremity additions, flexible metal hinge, pair Trauma",,,522.58,522.58,2
RC,208,"Upper extremity additions, polycentric hinge, pair Trauma",,,551.14,551.14,2
RC,208,"Upper extremity additions, shoulder abduction joint, pair Trauma",,,980.62,980.62,2
RC,208,"Upper extremity additions, single pivot hinge, pair Trauma",,,544.2,544.2,2
RC,208,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment Trauma",,,834.31,834.31,2
RC,208,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments T",,,2716.56,2716.56,2
RC,208,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment Trauma",,,1030.75,1030.75,2
RC,208,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment Trauma",,,1100.26,1100.26,2
RC,208,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device Trauma",,,6796.1,6796.1,2
RC,208,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories Trauma",,,4895.14,4895.14,2
RC,208,"Upper facial prosthesis, provided by a non-physician Trauma",,,10893.72,10893.72,2
RC,208,"Urea breath test, C-14 (isotopic); acquisition for analysis Trauma",,,26.54,26.54,2
RC,208,"Urea breath test, C-14 (isotopic); analysis Trauma",,,226.58,226.58,2
RC,208,"Urea nitrogen, clearance Trauma",,,17.28,17.28,2
RC,208,"Urea nitrogen, urine Trauma",,,13.34,13.34,2
RC,208,Urea nitrogen; quantitative Trauma,,,9.48,9.48,2
RC,208,"Urea nitrogen; semiquantitative (eg, reagent strip test) Trauma",,,12.31,12.31,2
RC,208,Uric acid; blood Trauma,,,10.85,10.85,2
RC,208,Uric acid; other source Trauma,,,12.19,12.19,2
RC,208,"Urinal; female, jug-type, any material Trauma",,,28.3,28.3,2
RC,208,"Urinal; male, jug-type, any material Trauma",,,26.42,26.42,2
RC,208,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,5.4,7.61,4
RC,208,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,8.35,9.65,4
RC,208,Urinalysis; 2 or 3 glass test Trauma,,,11.28,11.28,2
RC,208,"Urinalysis; bacteriuria screen, except by culture or dipstick Trauma",,,71.95,71.95,2
RC,208,Urinalysis; microscopic only Trauma,,,7.32,7.32,2
RC,208,"Urinalysis; qualitative or semiquantitative, except immunoassays Trauma",,,5.21,5.21,2
RC,208,"Urinary catheter anchoring device, adhesive skin attachment, each Trauma",,,7.58,7.58,2
RC,208,"Urinary catheter anchoring device, leg strap, each Trauma",,,16.82,16.82,2
RC,208,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each Trauma",,,118.44,118.44,2
RC,208,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each Trauma",,,22.7,22.7,2
RC,208,"Urinary suspensory with leg bag, with or without tube, each Trauma",,,118.54,118.54,2
RC,208,"Urine pregnancy test, by visual color comparison methods Trauma",,,20.66,20.66,2
RC,208,"Urobilinogen, feces, quantitative Trauma",,,40.32,40.32,2
RC,208,"Urobilinogen, urine; qualitative Trauma",,,10.73,10.73,2
RC,208,"Urobilinogen, urine; quantitative, timed specimen Trauma",,,22.92,22.92,2
RC,208,"Urobilinogen, urine; semiquantitative Trauma",,,14.52,14.52,2
RC,208,"Ustekinumab, iv inject,1 m Trauma",,,27.25,27.25,2
RC,208,Ustekinumab-ttwe iv inj 1 Trauma,,,20.52,20.52,2
RC,208,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC Trauma",,,22666.97,47304.98,4
RC,208,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC Trauma",,,13262.63,27678.53,4
RC,208,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C Trauma,,,15533.87,32418.5,4
RC,208,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC Trauma,,,14770.72,30825.84,4
RC,208,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC Trauma,,,16556.4,34552.49,4
RC,208,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC Trauma,,,14306.61,29857.27,4
RC,208,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC Trauma,,,12129.69,25314.14,4
RC,208,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC Trauma,,,15615.32,32588.5,4
RC,208,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC Trauma,,,11274.37,23529.11,4
RC,208,VEIN LIGATION AND STRIPPING ,,,13000.0,13000.0,1
RC,208,VEIN LIGATION AND STRIPPING Trauma,,,36818.49,76838.59,4
RC,208,VIRAL ILLNESS WITH MCC Trauma,,,20107.42,41963.3,4
RC,208,VIRAL ILLNESS WITHOUT MCC Trauma,,,13368.75,27900.0,4
RC,208,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) Trauma",,,211.68,211.68,2
RC,208,Vaccinia vrs vac 0.3 ml pe Trauma,,,0.02,0.02,2
RC,208,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each Trauma",,,145.51,145.51,2
RC,208,Valproic acid (dipropylacetic acid); free Trauma,,,32.5,32.5,2
RC,208,Valproic acid (dipropylacetic acid); total Trauma,,,32.5,32.5,2
RC,208,Vancomycin Trauma,,,32.5,32.5,2
RC,208,"Vanillylmandelic acid (VMA), urine Trauma",,,37.2,37.2,2
RC,208,"Vaporizer, room type Trauma",,,88.78,88.78,2
RC,208,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens Trauma",,,342.96,342.96,2
RC,208,"Variable asphericity lens, single vision, full field, glass or plastic, per lens Trauma",,,263.45,263.45,2
RC,208,Variable concentration mask Trauma,,,2.06,2.06,2
RC,208,"Varicella-zoster ig, im Trauma",,,5994.56,5994.56,2
RC,208,"Vascular graft material, synthetic, implant Trauma",,,1635.58,1635.58,2
RC,208,Vasoactive intestinal peptide (VIP) Trauma,,,84.79,84.79,2
RC,208,"Vasopressin (antidiuretic hormone, ADH) Trauma",,,81.46,81.46,2
RC,208,Vedolizumab Trauma,,,92.57,92.57,2
RC,208,Velaglucerase alfa Trauma,,,942.82,942.82,2
RC,208,Ventilation Initiation and Trauma,,,1548.35,1548.35,2
RC,208,Vert dev motion-preserv Trauma,,,,,0
RC,208,Very long chain fatty acids Trauma,,,47.4,47.4,2
RC,208,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software Trauma",,,1619.45,1619.45,2
RC,208,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus Trauma",,,46.94,46.94,2
RC,208,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) Trauma",,,81.26,81.26,2
RC,208,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Trauma",,,46.94,46.94,2
RC,208,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect Trauma",,,62.57,62.57,2
RC,208,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate Trauma",,,48.48,48.48,2
RC,208,Viscosity Trauma,,,28.01,28.01,2
RC,208,Vitamin A Trauma,,,27.86,27.86,2
RC,208,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Trauma",,,92.4,92.4,2
RC,208,"Vitamin D; 25 hydroxy, includes fraction(s), if performed Trauma",,,71.04,71.04,2
RC,208,Vitamin K Trauma,,,32.93,32.93,2
RC,208,"Vitamin, not otherwise specified Trauma",,,40.94,40.94,2
RC,208,Voice amplifier Trauma,,,750.86,750.86,2
RC,208,"Volatiles (eg, acetic anhydride, diethylether) Trauma",,,41.06,41.06,2
RC,208,"Voltage-gated calcium channel antibody, each Trauma",,,28.92,28.92,2
RC,208,"Volume measurement for timed collection, each Trauma",,,8.74,8.74,2
RC,208,Vonvendi inj 1 iu vwf:rco Trauma,,,4.35,4.35,2
RC,208,Voriconazole Trauma,,,65.06,65.06,2
RC,208,"Vyjuvek 5x10^9pfu/ml, 0.1 Trauma",,,2477.85,2477.85,2
RC,208,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE Trauma,,,23595.18,135939.36,12
RC,208,WOUND DEBRIDEMENTS FOR INJURIES WITH CC Trauma,,,24568.42,51273.22,4
RC,208,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Trauma,,,49028.92,102321.22,4
RC,208,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC Trauma,,,16584.26,34610.64,4
RC,208,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat Trauma",,,82.46,82.46,2
RC,208,"Walker, folding (pickup), adjustable or fixed height Trauma",,,138.29,138.29,2
RC,208,"Walker, folding, wheeled, adjustable or fixed height Trauma",,,146.14,146.14,2
RC,208,"Walker, heavy duty, multiple braking system, variable wheel resistance Trauma",,,1217.35,1217.35,2
RC,208,"Walker, heavy duty, wheeled, rigid or folding, any type Trauma",,,37.66,37.66,2
RC,208,"Walker, heavy duty, without wheels, rigid or folding, any type, each Trauma",,,252.72,252.72,2
RC,208,"Walker, rigid (pickup), adjustable or fixed height Trauma",,,137.69,137.69,2
RC,208,"Walker, rigid, wheeled, adjustable or fixed height Trauma",,,146.14,146.14,2
RC,208,"Walker, with trunk support, adjustable or fixed height, any type Trauma",,,86.45,86.45,2
RC,208,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,470.14,470.14,2
RC,208,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf Trauma",,,470.14,470.14,2
RC,208,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,811.34,811.34,2
RC,208,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf Trauma",,,811.34,811.34,2
RC,208,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) Trauma",,,289.73,289.73,2
RC,208,Washed red blood cells uni Trauma,,,884.59,884.59,2
RC,208,"Water chamber for humidifier, used with positive airway pressure device, replacement, each Trauma",,,40.82,40.82,2
RC,208,Water circulating heat pad with pump Trauma,,,1443.36,1443.36,2
RC,208,"Water collection device, used with large volume nebulizer Trauma",,,8.88,8.88,2
RC,208,Water pressure mattress Trauma,,,58.94,58.94,2
RC,208,"Water pressure pad for mattress, standard mattress length and width Trauma",,,75.82,75.82,2
RC,208,Water seal drainage container and tubing for use with implanted chest tube Trauma,,,261.43,261.43,2
RC,208,"Water, distilled, used with large volume nebulizer, 1000 ml Trauma",,,0.98,0.98,2
RC,208,"Wet mounts, including preparations of vaginal, cervical or skin specimens Trauma",,,44.5,44.5,2
RC,208,"Wheel attachment, rigid pick-up walker, per pair Trauma",,,60.94,60.94,2
RC,208,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm Trauma",,,827.76,827.76,2
RC,208,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control Trauma",,,497.83,497.83,2
RC,208,"Wheelchair accessory, addition to mobile arm support, supinator Trauma",,,403.32,403.32,2
RC,208,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each Trauma",,,333.94,333.94,2
RC,208,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair Trauma",,,333.94,333.94,2
RC,208,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each Trauma",,,169.39,169.39,2
RC,208,"Wheelchair accessory, back upholstery, replacement only, each Trauma",,,138.12,138.12,2
RC,208,"Wheelchair accessory, bearings, any type, replacement only, each Trauma",,,15.53,15.53,2
RC,208,"Wheelchair accessory, calf rest/pad, replacement only, each Trauma",,,76.18,76.18,2
RC,208,"Wheelchair accessory, crutch and cane holder, each Trauma",,,130.1,130.1,2
RC,208,"Wheelchair accessory, cylinder tank carrier, each Trauma",,,237.41,237.41,2
RC,208,"Wheelchair accessory, dynamic positioning hardware for back Trauma",,,392.38,392.38,2
RC,208,"Wheelchair accessory, elevating leg rest, complete assembly, each Trauma",,,223.49,223.49,2
RC,208,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot Trauma",,,159.82,159.82,2
RC,208,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each Trauma",,,42.5,42.5,2
RC,208,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each Trauma",,,224.06,224.06,2
RC,208,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each Trauma",,,224.06,224.06,2
RC,208,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each Trauma",,,1185.62,1185.62,2
RC,208,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each Trauma",,,112.34,112.34,2
RC,208,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type Trauma",,,41.26,41.26,2
RC,208,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type Trauma",,,41.26,41.26,2
RC,208,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface Trauma",,,41.26,41.26,2
RC,208,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other Trauma",,,41.26,41.26,2
RC,208,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each Trauma",,,355.46,355.46,2
RC,208,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each Trauma",,,74.28,74.28,2
RC,208,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction Trauma",,,2395.7,2395.7,2
RC,208,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction Trauma",,,2457.34,2457.34,2
RC,208,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction Trauma",,,1903.08,1903.08,2
RC,208,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction Trauma",,,1430.93,1430.93,2
RC,208,"Wheelchair accessory, power seating system, recline only, with power shear reduction Trauma",,,1553.66,1553.66,2
RC,208,"Wheelchair accessory, power seating system, recline only, without shear reduction Trauma",,,1294.56,1294.56,2
RC,208,"Wheelchair accessory, power seating system, tilt only Trauma",,,1112.26,1112.26,2
RC,208,"Wheelchair accessory, seat lift mechanism Trauma",,,62.3,62.3,2
RC,208,"Wheelchair accessory, seat upholstery, replacement only, each Trauma",,,124.73,124.73,2
RC,208,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Trauma",,,1844.81,1844.81,2
RC,208,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type Trauma",,,2854.44,2854.44,2
RC,208,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) Trauma",,,2815.22,2815.22,2
RC,208,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining Trauma",,,2230.27,2230.27,2
RC,208,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support Trauma",,,1897.87,1897.87,2
RC,208,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware Trauma",,,215.35,215.35,2
RC,208,"Wheelchair accessory, tray, each Trauma",,,226.8,226.8,2
RC,208,"Wheelchair accessory, ventilator tray, fixed Trauma",,,108.91,108.91,2
RC,208,"Wheelchair accessory, ventilator tray, gimbaled Trauma",,,343.54,343.54,2
RC,208,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes Trauma",,,67.96,77.23,4
RC,208,"Wheelchair with detachable arms, elevating legrests Trauma",,,235.94,235.94,2
RC,208,"Wheelchair with detachable arms, footrests Trauma",,,215.18,215.18,2
RC,208,"Wheelchair with fixed arm, elevating legrests Trauma",,,197.02,197.02,2
RC,208,"Wheelchair with fixed arm, footrests Trauma",,,138.14,138.14,2
RC,208,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests Trauma",,,237.46,237.46,2
RC,208,"Wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,183.22,183.22,2
RC,208,"Wheelchair, pediatric size, folding, adjustable, with seating system Trauma",,,560.52,560.52,2
RC,208,"Wheelchair, pediatric size, folding, adjustable, without seating system Trauma",,,560.52,560.52,2
RC,208,"Wheelchair, pediatric size, rigid, adjustable, with seating system Trauma",,,635.33,635.33,2
RC,208,"Wheelchair, pediatric size, rigid, adjustable, without seating system Trauma",,,565.37,565.37,2
RC,208,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system Trauma",,,731.47,731.47,2
RC,208,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system Trauma",,,659.78,659.78,2
RC,208,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system Trauma",,,757.82,757.82,2
RC,208,"Whirlpool, non-portable (built-in type) Trauma",,,6243.14,6243.14,2
RC,208,Whole blood for transfusio Trauma,,,455.62,455.62,2
RC,208,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,3088.8,3088.8,2
RC,208,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed Trauma",,,2246.4,2246.4,2
RC,208,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests Trauma",,,373.63,373.63,2
RC,208,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests Trauma",,,321.31,321.31,2
RC,208,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories Trauma",,,75.24,75.24,2
RC,208,"Wound pouch, each Trauma",,,47.66,47.66,2
RC,208,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,26396.64,26396.64,2
RC,208,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device Trauma",,,19608.7,19608.7,2
RC,208,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad Trauma",,,7779.12,7779.12,2
RC,208,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad Trauma",,,5581.44,5581.44,2
RC,208,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated Trauma",,,4727.33,4727.33,2
RC,208,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated Trauma",,,4216.08,4216.08,2
RC,208,"Wrist hand finger orthosis, external powered, electric, custom fabricated Trauma",,,9623.54,9623.54,2
RC,208,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,1225.92,1225.92,2
RC,208,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment Tr",,,549.62,549.62,2
RC,208,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment Trauma",,,901.42,901.42,2
RC,208,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Traum",,,674.86,674.86,2
RC,208,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type Trauma",,,674.86,674.86,2
RC,208,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,1434.67,1434.67,2
RC,208,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf Trauma",,,1434.67,1434.67,2
RC,208,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2676.5,2676.5,2
RC,208,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,1138.51,1138.51,2
RC,208,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf Trauma",,,161.69,161.69,2
RC,208,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,2193.6,2193.6,2
RC,208,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,2193.6,2193.6,2
RC,208,"Xylose absorption test, blood and/or urine Trauma",,,30.98,30.98,2
RC,208,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) Trauma",,,463.8,463.8,2
RC,208,Zinc Trauma,,,27.34,27.34,2
RC,208,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each Trauma",,,1.85,1.85,2
RC,208,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Trauma",,,4.3,4.3,2
RC,208,Zonisamide Trauma,,,31.8,31.8,2
RC,208,"b-Hexosaminidase, each assay Trauma",,,40.49,40.49,2
RC,208,lisocabtagene car pos t Trauma,,,1390969.44,1390969.44,2
RC,208,"pH; body fluid, not otherwise specified Trauma",,,8.59,8.59,2
RC,208,pH; exhaled breath condensate Trauma,,,8.59,8.59,2
RC,209, Intensive Care Unit Other Intensive Care  ,,,1490.0,14300.0,3
RC,209,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,209,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,209,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,209,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,22148.98,2
RC,209,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,32766.76,2
RC,209,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13891.07,2
RC,209,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,209,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,209,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,209,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,209,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,209,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,209,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,209,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,209,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,209,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,10376.25,13000.0,2
RC,209,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,209,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,209,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,209,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,209,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,209,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,209,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,209,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,209,AICD LEAD PROCEDURES ,,,13000.0,42456.95,2
RC,209,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,209,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,209,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,209,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,209,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,209,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,209,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,209,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,209,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,209,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,209,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,49625.78,2
RC,209,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,16552.69,2
RC,209,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,209,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,209,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,209,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,209,ANGINA PECTORIS ,,,11470.65,13000.0,2
RC,209,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,77091.95,2
RC,209,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,48885.19,2
RC,209,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,209,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,209,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,209,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,209,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,209,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,209,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,209,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,209,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,209,ATHEROSCLEROSIS WITH MCC ,,,13000.0,16726.93,2
RC,209,ATHEROSCLEROSIS WITHOUT MCC ,,,11165.7,13000.0,2
RC,209,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,209,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,25265.36,2
RC,209,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,43722.41,2
RC,209,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,19885.82,2
RC,209,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,209,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,209,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,209,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,62695.85,2
RC,209,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,209,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,41898.07,4
RC,209,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,30142.33,2
RC,209,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,40718.66,2
RC,209,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,23764.02,2
RC,209,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,17786.27,2
RC,209,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,12832.8,13000.0,2
RC,209,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,209,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,209,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,209,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,209,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,209,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,11829.78,13000.0,2
RC,209,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,16805.56,2
RC,209,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,10027.74,13000.0,2
RC,209,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,20756.01,2
RC,209,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13715.75,2
RC,209,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,209,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,209,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,209,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,209,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,209,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,209,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,209,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,37398.29,2
RC,209,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,25498.05,2
RC,209,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,24099.77,2
RC,209,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,38574.5,2
RC,209,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,21330.85,2
RC,209,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,107957.12,6
RC,209,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,85596.36,6
RC,209,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,209,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,209,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,35315.74,2
RC,209,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,55318.76,2
RC,209,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,209,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,209,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,209,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,209,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,209,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,209,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,209,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,209,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,209,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,209,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,209,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,209,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,209,CHEST PAIN ,,,11662.96,13000.0,2
RC,209,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,25971.94,2
RC,209,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,209,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,209,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,209,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,209,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,209,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,27524.27,2
RC,209,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,15382.85,2
RC,209,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,209,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,209,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,209,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,209,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,209,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,209,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,15525.23,2
RC,209,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,209,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,209,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,209,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,209,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,209,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,13000.0,119552.37,2
RC,209,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,209,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,16267.93,2
RC,209,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,30381.4,2
RC,209,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,12897.62,13000.0,2
RC,209,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,85244.67,2
RC,209,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,62055.15,2
RC,209,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,93582.28,2
RC,209,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,68429.21,2
RC,209,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,209,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,209,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,209,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,209,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,209,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,209,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,209,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,209,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,209,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,209,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,209,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,209,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,16865.07,2
RC,209,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,26736.94,2
RC,209,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,209,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,14269.32,2
RC,209,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,23081.88,2
RC,209,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11447.28,13000.0,2
RC,209,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,12950.74,13000.0,2
RC,209,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,209,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10615.32,13000.0,2
RC,209,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,209,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,209,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,209,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,209,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,209,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,209,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,209,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,13000.0,64649.83,2
RC,209,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,69128.36,2
RC,209,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,54597.31,2
RC,209,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,209,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,12296.22,13000.0,2
RC,209,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,209,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,209,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,209,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,209,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,209,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,209,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,209,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,209,FOOT PROCEDURES WITH CC ,,,13000.0,23873.46,2
RC,209,FOOT PROCEDURES WITH MCC ,,,13000.0,33668.84,2
RC,209,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,209,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,209,FRACTURES OF FEMUR WITH MCC ,,,13000.0,20669.96,2
RC,209,FRACTURES OF FEMUR WITHOUT MCC ,,,12577.79,13000.0,2
RC,209,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,17634.33,2
RC,209,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,12593.73,13000.0,2
RC,209,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,209,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,209,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,209,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,209,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,209,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,23435.7,2
RC,209,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,209,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,209,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,209,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,209,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,20740.08,2
RC,209,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,14874.96,2
RC,209,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,209,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13033.62,2
RC,209,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,17653.46,2
RC,209,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,10026.68,13000.0,2
RC,209,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,209,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,209,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,209,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,21888.66,2
RC,209,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,34847.18,2
RC,209,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,18303.71,2
RC,209,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,26267.31,2
RC,209,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,34956.62,2
RC,209,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,21342.53,2
RC,209,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,209,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,209,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,209,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,209,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,209,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,209,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,209,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,209,HYPERTENSION WITH MCC ,,,13000.0,16656.81,2
RC,209,HYPERTENSION WITHOUT MCC ,,,12035.9,13000.0,2
RC,209,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,209,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,209,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,209,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,209,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,209,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,209,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,209,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,209,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,209,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,209,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,209,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,209,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,209,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,209,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,209,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,209,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,209,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,209,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,209,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,209,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,209,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,209,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,209,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,209,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,209,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,209,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,209,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,209,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,209,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,209,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,209,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,26231.19,2
RC,209,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,38301.43,2
RC,209,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,209,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,22807.74,2
RC,209,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,209,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,209,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,209,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,209,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,209,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,42536.64,6
RC,209,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,36066.94,2
RC,209,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,25420.48,2
RC,209,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,30959.41,2
RC,209,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,209,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,25332.29,2
RC,209,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,209,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,209,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,209,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,209,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,209,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,209,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,209,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,209,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,209,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,209,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,209,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,209,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,209,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,209,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11458.96,13000.0,2
RC,209,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,209,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,22852.37,2
RC,209,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,209,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,209,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,209,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,209,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,209,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,33464.84,2
RC,209,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,209,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,209,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,23206.19,2
RC,209,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,209,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,209,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,209,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,209,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,209,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,209,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,18348.35,2
RC,209,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,209,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,209,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,209,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,209,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,209,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,209,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,209,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,209,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,209,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,209,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,209,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,209,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,209,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,209,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,21821.73,2
RC,209,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,14226.82,2
RC,209,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,209,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,209,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,209,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,209,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,209,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,209,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,209,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,20000.57,2
RC,209,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,31455.61,2
RC,209,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,209,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,209,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,209,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,209,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,209,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,209,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,209,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,209,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,209,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,209,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,209,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,209,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,209,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,209,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,209,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,209,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,209,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,209,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,209,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,209,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,209,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,209,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,209,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,209,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,209,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,209,OSTEOMYELITIS WITH CC ,,,13000.0,17786.27,2
RC,209,OSTEOMYELITIS WITH MCC ,,,13000.0,24941.28,2
RC,209,OSTEOMYELITIS WITHOUT CC/MCC ,,,12379.1,13000.0,2
RC,209,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,209,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,209,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,209,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,209,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,209,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,209,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,209,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,56579.98,2
RC,209,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,37476.91,2
RC,209,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,14248.07,2
RC,209,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,26168.51,2
RC,209,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,209,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,39507.4,2
RC,209,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13954.82,2
RC,209,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,21005.71,2
RC,209,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,209,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,28721.74,2
RC,209,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,50687.24,2
RC,209,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,18865.79,2
RC,209,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,209,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,209,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,209,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,209,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,209,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,209,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,209,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,209,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,109808.04,2
RC,209,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,27259.71,2
RC,209,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,209,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,209,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,209,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,209,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,209,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,209,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,209,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,209,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,209,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,209,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,209,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,209,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,209,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,209,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,60074.61,2
RC,209,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,209,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,209,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,209,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,209,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,209,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,209,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,209,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,209,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,209,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,209,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,209,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,209,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,209,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,209,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,26093.06,2
RC,209,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,37874.3,2
RC,209,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,20340.58,2
RC,209,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,209,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,209,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,209,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,209,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,209,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,209,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,209,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,209,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,209,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,209,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,209,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,38422.56,2
RC,209,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,209,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,209,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,209,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,209,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,34828.05,2
RC,209,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,209,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,27596.53,2
RC,209,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,12030.59,22782.25,6
RC,209,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,209,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,209,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,209,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,209,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,209,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,209,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,209,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,209,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,209,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,209,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,40548.66,2
RC,209,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,29665.26,2
RC,209,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,209,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,209,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,209,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,209,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,26418.19,2
RC,209,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,41954.38,2
RC,209,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,20322.51,2
RC,209,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,209,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,209,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,209,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,209,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,209,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,209,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,209,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,209,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,209,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,209,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,209,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,209,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,209,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,209,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,209,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,209,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,209,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,209,PSYCHOSES ,,,18854.11,18854.11,1
RC,209,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,209,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,209,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,209,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,21415.85,2
RC,209,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,209,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,209,REHABILITATION WITH CC/MCC ,,,13046.0,21045.0,6
RC,209,REHABILITATION WITHOUT CC/MCC ,,,13046.0,21045.0,6
RC,209,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,209,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,209,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,209,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,209,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,209,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,209,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,209,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,209,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,33210.89,2
RC,209,SEPTIC ARTHRITIS WITH CC ,,,13000.0,16839.57,2
RC,209,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,24529.03,2
RC,209,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13300.31,2
RC,209,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,209,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,209,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,209,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,209,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,209,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,21601.78,2
RC,209,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,18057.21,2
RC,209,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,12838.11,13000.0,2
RC,209,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,209,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,209,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,46731.47,2
RC,209,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,209,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,209,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,209,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,35262.62,2
RC,209,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,209,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,32177.06,2
RC,209,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,209,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,21081.15,2
RC,209,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,209,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,73622.82,2
RC,209,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,209,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,209,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,209,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,209,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,209,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,209,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,209,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,22586.74,2
RC,209,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,37639.48,2
RC,209,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,18313.28,2
RC,209,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,209,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,209,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,209,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,209,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,14152.45,2
RC,209,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11666.16,13000.0,2
RC,209,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,209,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,209,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,209,SYNCOPE AND COLLAPSE ,,,13000.0,13273.75,2
RC,209,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,19811.43,2
RC,209,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13503.25,2
RC,209,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,209,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,209,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,209,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,209,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,209,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,209,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,209,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,209,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,209,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,209,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,209,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,209,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,209,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,209,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,209,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,209,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,209,UNGROUPABLE ,,,4012.81,4012.81,1
RC,209,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,209,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,209,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,15617.67,2
RC,209,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,209,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,209,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,209,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,209,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,209,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,209,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,209,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,209,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,209,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,209,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,209,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,209,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,209,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,209,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,209,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,209,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,209,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,209,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,209,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,209,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,209,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,209,VEIN LIGATION AND STRIPPING ,,,13000.0,36498.33,2
RC,209,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,209,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,209,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,209,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,209,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,209,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,210, Coronary Care Unit General Classification  ,,,1490.0,14300.0,3
RC,210,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,210,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,210,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,210,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,22148.98,2
RC,210,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,32766.76,2
RC,210,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13891.07,2
RC,210,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,210,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,210,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,210,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,210,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,210,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,210,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,210,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,210,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,210,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,10376.25,13000.0,2
RC,210,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,210,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,210,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,210,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,210,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,210,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,210,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,210,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,210,AICD LEAD PROCEDURES ,,,13000.0,42456.95,2
RC,210,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,210,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,210,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,210,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,210,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,210,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,210,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,210,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,210,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,210,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,210,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,49625.78,2
RC,210,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,16552.69,2
RC,210,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,210,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,210,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,210,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,210,ANGINA PECTORIS ,,,11470.65,13000.0,2
RC,210,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,77091.95,2
RC,210,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,48885.19,2
RC,210,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,210,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,210,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,210,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,210,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,210,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,210,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,210,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,210,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,210,ATHEROSCLEROSIS WITH MCC ,,,13000.0,16726.93,2
RC,210,ATHEROSCLEROSIS WITHOUT MCC ,,,11165.7,13000.0,2
RC,210,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,210,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,25265.36,2
RC,210,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,43722.41,2
RC,210,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,19885.82,2
RC,210,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,210,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,210,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,210,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,62695.85,2
RC,210,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,210,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,41898.07,4
RC,210,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,30142.33,2
RC,210,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,40718.66,2
RC,210,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,23764.02,2
RC,210,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,17786.27,2
RC,210,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,12832.8,13000.0,2
RC,210,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,210,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,210,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,210,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,210,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,210,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,11829.78,13000.0,2
RC,210,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,16805.56,2
RC,210,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,10027.74,13000.0,2
RC,210,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,20756.01,2
RC,210,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13715.75,2
RC,210,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,210,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,210,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,210,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,210,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,210,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,210,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,210,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,37398.29,2
RC,210,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,25498.05,2
RC,210,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,24099.77,2
RC,210,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,38574.5,2
RC,210,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,21330.85,2
RC,210,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,107957.12,6
RC,210,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,85596.36,6
RC,210,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,210,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,210,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,35315.74,2
RC,210,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,55318.76,2
RC,210,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,210,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,210,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,210,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,210,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,210,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,210,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,210,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,210,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,210,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,210,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,210,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,210,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,210,CHEST PAIN ,,,11662.96,13000.0,2
RC,210,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,25971.94,2
RC,210,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,210,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,210,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,210,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,210,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,210,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,27524.27,2
RC,210,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,15382.85,2
RC,210,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,210,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,210,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,210,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,210,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,210,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,210,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,15525.23,2
RC,210,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,210,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,210,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,210,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,210,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,210,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,13000.0,119552.37,2
RC,210,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,210,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,16267.93,2
RC,210,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,30381.4,2
RC,210,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,12897.62,13000.0,2
RC,210,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,85244.67,2
RC,210,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,62055.15,2
RC,210,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,93582.28,2
RC,210,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,68429.21,2
RC,210,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,210,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,210,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,210,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,210,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,210,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,210,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,210,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,210,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,210,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,210,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,210,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,210,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,16865.07,2
RC,210,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,26736.94,2
RC,210,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,210,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,14269.32,2
RC,210,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,23081.88,2
RC,210,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11447.28,13000.0,2
RC,210,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,12950.74,13000.0,2
RC,210,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,210,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10615.32,13000.0,2
RC,210,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,210,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,210,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,210,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,210,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,210,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,210,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,210,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,13000.0,64649.83,2
RC,210,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,69128.36,2
RC,210,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,54597.31,2
RC,210,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,210,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,12296.22,13000.0,2
RC,210,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,210,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,210,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,210,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,210,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,210,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,210,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,210,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,210,FOOT PROCEDURES WITH CC ,,,13000.0,23873.46,2
RC,210,FOOT PROCEDURES WITH MCC ,,,13000.0,33668.84,2
RC,210,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,210,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,210,FRACTURES OF FEMUR WITH MCC ,,,13000.0,20669.96,2
RC,210,FRACTURES OF FEMUR WITHOUT MCC ,,,12577.79,13000.0,2
RC,210,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,17634.33,2
RC,210,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,12593.73,13000.0,2
RC,210,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,210,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,210,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,210,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,210,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,210,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,23435.7,2
RC,210,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,210,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,210,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,210,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,210,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,20740.08,2
RC,210,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,14874.96,2
RC,210,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,210,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13033.62,2
RC,210,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,17653.46,2
RC,210,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,10026.68,13000.0,2
RC,210,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,210,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,210,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,210,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,21888.66,2
RC,210,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,34847.18,2
RC,210,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,18303.71,2
RC,210,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,26267.31,2
RC,210,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,34956.62,2
RC,210,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,21342.53,2
RC,210,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,210,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,210,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,210,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,210,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,210,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,210,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,210,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,210,HYPERTENSION WITH MCC ,,,13000.0,16656.81,2
RC,210,HYPERTENSION WITHOUT MCC ,,,12035.9,13000.0,2
RC,210,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,210,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,210,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,210,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,210,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,210,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,210,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,210,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,210,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,210,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,210,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,210,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,210,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,210,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,210,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,210,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,210,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,210,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,210,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,210,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,210,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,210,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,210,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,210,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,210,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,210,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,210,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,210,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,210,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,210,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,210,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,210,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,26231.19,2
RC,210,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,38301.43,2
RC,210,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,210,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,22807.74,2
RC,210,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,210,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,210,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,210,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,210,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,210,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,42536.64,6
RC,210,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,36066.94,2
RC,210,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,25420.48,2
RC,210,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,30959.41,2
RC,210,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,210,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,25332.29,2
RC,210,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,210,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,210,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,210,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,210,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,210,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,210,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,210,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,210,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,210,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,210,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,210,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,210,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,210,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,210,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11458.96,13000.0,2
RC,210,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,210,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,22852.37,2
RC,210,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,210,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,210,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,210,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,210,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,210,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,33464.84,2
RC,210,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,210,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,210,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,23206.19,2
RC,210,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,210,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,210,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,210,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,210,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,210,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,210,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,18348.35,2
RC,210,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,210,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,210,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,210,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,210,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,210,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,210,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,210,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,210,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,210,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,210,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,210,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,210,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,210,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,210,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,21821.73,2
RC,210,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,14226.82,2
RC,210,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,210,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,210,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,210,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,210,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,210,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,210,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,210,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,20000.57,2
RC,210,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,31455.61,2
RC,210,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,210,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,210,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,210,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,210,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,210,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,210,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,210,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,210,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,210,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,210,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,210,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,210,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,210,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,210,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,210,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,210,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,210,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,210,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,210,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,210,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,210,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,210,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,210,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,210,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,210,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,210,OSTEOMYELITIS WITH CC ,,,13000.0,17786.27,2
RC,210,OSTEOMYELITIS WITH MCC ,,,13000.0,24941.28,2
RC,210,OSTEOMYELITIS WITHOUT CC/MCC ,,,12379.1,13000.0,2
RC,210,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,210,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,210,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,210,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,210,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,210,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,210,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,210,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,56579.98,2
RC,210,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,37476.91,2
RC,210,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,14248.07,2
RC,210,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,26168.51,2
RC,210,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,210,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,39507.4,2
RC,210,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13954.82,2
RC,210,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,21005.71,2
RC,210,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,210,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,28721.74,2
RC,210,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,50687.24,2
RC,210,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,18865.79,2
RC,210,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,210,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,210,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,210,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,210,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,210,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,210,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,210,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,210,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,109808.04,2
RC,210,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,27259.71,2
RC,210,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,210,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,210,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,210,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,210,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,210,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,210,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,210,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,210,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,210,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,210,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,210,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,210,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,210,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,210,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,60074.61,2
RC,210,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,210,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,210,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,210,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,210,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,210,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,210,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,210,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,210,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,210,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,210,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,210,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,210,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,210,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,210,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,26093.06,2
RC,210,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,37874.3,2
RC,210,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,20340.58,2
RC,210,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,210,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,210,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,210,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,210,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,210,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,210,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,210,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,210,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,210,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,210,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,210,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,38422.56,2
RC,210,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,210,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,210,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,210,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,210,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,34828.05,2
RC,210,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,210,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,27596.53,2
RC,210,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,12030.59,22782.25,6
RC,210,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,210,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,210,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,210,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,210,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,210,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,210,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,210,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,210,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,210,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,210,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,40548.66,2
RC,210,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,29665.26,2
RC,210,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,210,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,210,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,210,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,210,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,26418.19,2
RC,210,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,41954.38,2
RC,210,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,20322.51,2
RC,210,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,210,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,210,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,210,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,210,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,210,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,210,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,210,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,210,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,210,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,210,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,210,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,210,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,210,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,210,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,210,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,210,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,210,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,210,PSYCHOSES ,,,18854.11,18854.11,1
RC,210,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,210,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,210,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,210,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,21415.85,2
RC,210,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,210,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,210,REHABILITATION WITH CC/MCC ,,,13046.0,21045.0,6
RC,210,REHABILITATION WITHOUT CC/MCC ,,,13046.0,21045.0,6
RC,210,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,210,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,210,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,210,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,210,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,210,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,210,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,210,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,210,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,33210.89,2
RC,210,SEPTIC ARTHRITIS WITH CC ,,,13000.0,16839.57,2
RC,210,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,24529.03,2
RC,210,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13300.31,2
RC,210,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,210,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,210,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,210,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,210,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,210,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,21601.78,2
RC,210,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,18057.21,2
RC,210,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,12838.11,13000.0,2
RC,210,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,210,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,210,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,46731.47,2
RC,210,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,210,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,210,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,210,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,35262.62,2
RC,210,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,210,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,32177.06,2
RC,210,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,210,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,21081.15,2
RC,210,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,210,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,73622.82,2
RC,210,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,210,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,210,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,210,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,210,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,210,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,210,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,210,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,22586.74,2
RC,210,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,37639.48,2
RC,210,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,18313.28,2
RC,210,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,210,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,210,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,210,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,210,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,14152.45,2
RC,210,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11666.16,13000.0,2
RC,210,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,210,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,210,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,210,SYNCOPE AND COLLAPSE ,,,13000.0,13273.75,2
RC,210,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,19811.43,2
RC,210,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13503.25,2
RC,210,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,210,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,210,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,210,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,210,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,210,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,210,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,210,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,210,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,210,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,210,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,210,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,210,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,210,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,210,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,210,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,210,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,210,UNGROUPABLE ,,,4012.81,4012.81,1
RC,210,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,210,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,210,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,15617.67,2
RC,210,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,210,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,210,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,210,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,210,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,210,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,210,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,210,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,210,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,210,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,210,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,210,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,210,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,210,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,210,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,210,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,210,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,210,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,210,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,210,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,210,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,210,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,210,VEIN LIGATION AND STRIPPING ,,,13000.0,36498.33,2
RC,210,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,210,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,210,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,210,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,210,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,210,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,2101, Alternative Therapy Services Acupuncture  ,,,,,0
RC,2103, Alternative Therapy Services Massage  ,,,,,0
RC,211, Coronary Care Unit Myocardial Infarction  ,,,1490.0,14300.0,3
RC,211,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,211,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,211,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,211,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,22148.98,2
RC,211,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,32766.76,2
RC,211,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13891.07,2
RC,211,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,211,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,211,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,211,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,211,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,211,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,211,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,211,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,211,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,211,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,10376.25,13000.0,2
RC,211,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,211,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,211,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,211,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,211,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,211,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,211,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,211,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,211,AICD LEAD PROCEDURES ,,,13000.0,42456.95,2
RC,211,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,211,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,211,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,211,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,211,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,211,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,211,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,211,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,211,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,211,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,211,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,49625.78,2
RC,211,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,16552.69,2
RC,211,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,211,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,211,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,211,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,211,ANGINA PECTORIS ,,,11470.65,13000.0,2
RC,211,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,77091.95,2
RC,211,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,48885.19,2
RC,211,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,211,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,211,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,211,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,211,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,211,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,211,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,211,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,211,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,211,ATHEROSCLEROSIS WITH MCC ,,,13000.0,16726.93,2
RC,211,ATHEROSCLEROSIS WITHOUT MCC ,,,11165.7,13000.0,2
RC,211,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,211,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,25265.36,2
RC,211,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,43722.41,2
RC,211,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,19885.82,2
RC,211,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,211,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,211,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,211,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,62695.85,2
RC,211,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,211,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,41898.07,4
RC,211,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,30142.33,2
RC,211,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,40718.66,2
RC,211,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,23764.02,2
RC,211,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,17786.27,2
RC,211,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,12832.8,13000.0,2
RC,211,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,211,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,211,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,211,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,211,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,211,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,11829.78,13000.0,2
RC,211,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,16805.56,2
RC,211,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,10027.74,13000.0,2
RC,211,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,20756.01,2
RC,211,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13715.75,2
RC,211,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,211,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,211,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,211,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,211,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,211,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,211,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,211,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,37398.29,2
RC,211,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,25498.05,2
RC,211,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,24099.77,2
RC,211,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,38574.5,2
RC,211,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,21330.85,2
RC,211,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,107957.12,6
RC,211,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,85596.36,6
RC,211,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,211,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,211,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,35315.74,2
RC,211,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,55318.76,2
RC,211,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,211,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,211,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,211,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,211,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,211,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,211,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,211,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,211,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,211,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,211,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,211,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,211,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,211,CHEST PAIN ,,,11662.96,13000.0,2
RC,211,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,25971.94,2
RC,211,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,211,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,211,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,211,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,211,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,211,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,27524.27,2
RC,211,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,15382.85,2
RC,211,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,211,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,211,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,211,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,211,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,211,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,211,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,15525.23,2
RC,211,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,211,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,211,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,211,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,211,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,211,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,13000.0,119552.37,2
RC,211,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,211,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,16267.93,2
RC,211,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,30381.4,2
RC,211,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,12897.62,13000.0,2
RC,211,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,85244.67,2
RC,211,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,62055.15,2
RC,211,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,93582.28,2
RC,211,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,68429.21,2
RC,211,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,211,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,211,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,211,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,211,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,211,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,211,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,211,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,211,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,211,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,211,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,211,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,211,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,16865.07,2
RC,211,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,26736.94,2
RC,211,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,211,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,14269.32,2
RC,211,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,23081.88,2
RC,211,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11447.28,13000.0,2
RC,211,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,12950.74,13000.0,2
RC,211,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,211,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10615.32,13000.0,2
RC,211,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,211,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,211,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,211,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,211,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,211,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,211,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,211,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,13000.0,64649.83,2
RC,211,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,69128.36,2
RC,211,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,54597.31,2
RC,211,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,211,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,12296.22,13000.0,2
RC,211,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,211,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,211,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,211,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,211,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,211,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,211,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,211,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,211,FOOT PROCEDURES WITH CC ,,,13000.0,23873.46,2
RC,211,FOOT PROCEDURES WITH MCC ,,,13000.0,33668.84,2
RC,211,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,211,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,211,FRACTURES OF FEMUR WITH MCC ,,,13000.0,20669.96,2
RC,211,FRACTURES OF FEMUR WITHOUT MCC ,,,12577.79,13000.0,2
RC,211,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,17634.33,2
RC,211,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,12593.73,13000.0,2
RC,211,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,211,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,211,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,211,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,211,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,211,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,23435.7,2
RC,211,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,211,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,211,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,211,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,211,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,20740.08,2
RC,211,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,14874.96,2
RC,211,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,211,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13033.62,2
RC,211,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,17653.46,2
RC,211,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,10026.68,13000.0,2
RC,211,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,211,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,211,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,211,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,21888.66,2
RC,211,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,34847.18,2
RC,211,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,18303.71,2
RC,211,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,26267.31,2
RC,211,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,34956.62,2
RC,211,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,21342.53,2
RC,211,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,211,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,211,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,211,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,211,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,211,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,211,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,211,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,211,HYPERTENSION WITH MCC ,,,13000.0,16656.81,2
RC,211,HYPERTENSION WITHOUT MCC ,,,12035.9,13000.0,2
RC,211,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,211,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,211,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,211,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,211,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,211,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,211,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,211,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,211,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,211,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,211,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,211,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,211,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,211,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,211,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,211,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,211,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,211,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,211,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,211,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,211,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,211,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,211,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,211,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,211,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,211,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,211,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,211,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,211,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,211,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,211,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,211,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,26231.19,2
RC,211,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,38301.43,2
RC,211,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,211,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,22807.74,2
RC,211,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,211,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,211,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,211,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,211,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,211,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,42536.64,6
RC,211,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,36066.94,2
RC,211,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,25420.48,2
RC,211,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,30959.41,2
RC,211,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,211,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,25332.29,2
RC,211,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,211,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,211,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,211,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,211,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,211,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,211,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,211,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,211,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,211,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,211,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,211,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,211,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,211,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,211,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11458.96,13000.0,2
RC,211,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,211,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,22852.37,2
RC,211,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,211,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,211,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,211,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,211,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,211,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,33464.84,2
RC,211,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,211,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,211,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,23206.19,2
RC,211,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,211,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,211,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,211,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,211,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,211,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,211,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,18348.35,2
RC,211,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,211,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,211,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,211,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,211,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,211,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,211,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,211,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,211,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,211,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,211,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,211,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,211,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,211,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,211,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,21821.73,2
RC,211,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,14226.82,2
RC,211,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,211,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,211,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,211,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,211,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,211,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,211,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,211,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,20000.57,2
RC,211,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,31455.61,2
RC,211,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,211,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,211,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,211,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,211,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,211,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,211,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,211,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,211,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,211,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,211,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,211,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,211,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,211,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,211,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,211,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,211,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,211,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,211,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,211,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,211,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,211,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,211,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,211,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,211,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,211,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,211,OSTEOMYELITIS WITH CC ,,,13000.0,17786.27,2
RC,211,OSTEOMYELITIS WITH MCC ,,,13000.0,24941.28,2
RC,211,OSTEOMYELITIS WITHOUT CC/MCC ,,,12379.1,13000.0,2
RC,211,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,211,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,211,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,211,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,211,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,211,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,211,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,211,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,56579.98,2
RC,211,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,37476.91,2
RC,211,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,14248.07,2
RC,211,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,26168.51,2
RC,211,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,211,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,39507.4,2
RC,211,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13954.82,2
RC,211,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,21005.71,2
RC,211,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,211,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,28721.74,2
RC,211,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,50687.24,2
RC,211,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,18865.79,2
RC,211,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,211,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,211,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,211,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,211,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,211,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,211,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,211,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,211,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,109808.04,2
RC,211,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,27259.71,2
RC,211,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,211,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,211,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,211,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,211,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,211,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,211,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,211,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,211,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,211,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,211,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,211,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,211,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,211,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,211,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,60074.61,2
RC,211,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,211,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,211,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,211,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,211,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,211,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,211,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,211,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,211,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,211,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,211,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,211,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,211,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,211,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,211,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,26093.06,2
RC,211,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,37874.3,2
RC,211,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,20340.58,2
RC,211,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,211,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,211,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,211,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,211,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,211,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,211,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,211,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,211,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,211,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,211,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,211,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,38422.56,2
RC,211,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,211,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,211,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,211,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,211,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,34828.05,2
RC,211,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,211,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,27596.53,2
RC,211,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,12030.59,22782.25,6
RC,211,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,211,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,211,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,211,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,211,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,211,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,211,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,211,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,211,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,211,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,211,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,40548.66,2
RC,211,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,29665.26,2
RC,211,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,211,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,211,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,211,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,211,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,26418.19,2
RC,211,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,41954.38,2
RC,211,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,20322.51,2
RC,211,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,211,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,211,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,211,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,211,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,211,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,211,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,211,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,211,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,211,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,211,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,211,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,211,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,211,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,211,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,211,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,211,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,211,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,211,PSYCHOSES ,,,18854.11,18854.11,1
RC,211,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,211,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,211,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,211,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,21415.85,2
RC,211,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,211,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,211,REHABILITATION WITH CC/MCC ,,,13046.0,21045.0,6
RC,211,REHABILITATION WITHOUT CC/MCC ,,,13046.0,21045.0,6
RC,211,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,211,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,211,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,211,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,211,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,211,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,211,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,211,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,211,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,33210.89,2
RC,211,SEPTIC ARTHRITIS WITH CC ,,,13000.0,16839.57,2
RC,211,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,24529.03,2
RC,211,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13300.31,2
RC,211,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,211,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,211,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,211,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,211,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,211,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,21601.78,2
RC,211,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,18057.21,2
RC,211,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,12838.11,13000.0,2
RC,211,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,211,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,211,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,46731.47,2
RC,211,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,211,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,211,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,211,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,35262.62,2
RC,211,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,211,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,32177.06,2
RC,211,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,211,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,21081.15,2
RC,211,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,211,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,73622.82,2
RC,211,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,211,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,211,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,211,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,211,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,211,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,211,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,211,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,22586.74,2
RC,211,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,37639.48,2
RC,211,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,18313.28,2
RC,211,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,211,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,211,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,211,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,211,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,14152.45,2
RC,211,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11666.16,13000.0,2
RC,211,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,211,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,211,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,211,SYNCOPE AND COLLAPSE ,,,13000.0,13273.75,2
RC,211,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,19811.43,2
RC,211,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13503.25,2
RC,211,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,211,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,211,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,211,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,211,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,211,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,211,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,211,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,211,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,211,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,211,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,211,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,211,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,211,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,211,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,211,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,211,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,211,UNGROUPABLE ,,,4012.81,4012.81,1
RC,211,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,211,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,211,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,15617.67,2
RC,211,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,211,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,211,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,211,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,211,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,211,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,211,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,211,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,211,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,211,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,211,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,211,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,211,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,211,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,211,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,211,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,211,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,211,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,211,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,211,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,211,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,211,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,211,VEIN LIGATION AND STRIPPING ,,,13000.0,36498.33,2
RC,211,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,211,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,211,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,211,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,211,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,211,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,212, Coronary Care Unit Pulmonary Care  ,,,1490.0,14300.0,3
RC,212,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,212,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,212,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,212,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,22148.98,2
RC,212,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,32766.76,2
RC,212,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13891.07,2
RC,212,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,212,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,212,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,212,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,212,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,212,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,212,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,212,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,212,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,212,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,10376.25,13000.0,2
RC,212,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,212,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,212,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,212,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,212,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,212,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,212,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,212,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,212,AICD LEAD PROCEDURES ,,,13000.0,42456.95,2
RC,212,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,212,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,212,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,212,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,212,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,212,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,212,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,212,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,212,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,212,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,212,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,49625.78,2
RC,212,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,16552.69,2
RC,212,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,212,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,212,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,212,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,212,ANGINA PECTORIS ,,,11470.65,13000.0,2
RC,212,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,77091.95,2
RC,212,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,48885.19,2
RC,212,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,212,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,212,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,212,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,212,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,212,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,212,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,212,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,212,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,212,ATHEROSCLEROSIS WITH MCC ,,,13000.0,16726.93,2
RC,212,ATHEROSCLEROSIS WITHOUT MCC ,,,11165.7,13000.0,2
RC,212,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,212,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,25265.36,2
RC,212,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,43722.41,2
RC,212,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,19885.82,2
RC,212,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,212,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,212,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,212,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,62695.85,2
RC,212,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,212,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,41898.07,4
RC,212,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,30142.33,2
RC,212,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,40718.66,2
RC,212,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,23764.02,2
RC,212,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,17786.27,2
RC,212,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,12832.8,13000.0,2
RC,212,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,212,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,212,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,212,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,212,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,212,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,11829.78,13000.0,2
RC,212,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,16805.56,2
RC,212,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,10027.74,13000.0,2
RC,212,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,20756.01,2
RC,212,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13715.75,2
RC,212,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,212,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,212,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,212,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,212,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,212,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,212,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,212,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,37398.29,2
RC,212,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,25498.05,2
RC,212,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,24099.77,2
RC,212,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,38574.5,2
RC,212,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,21330.85,2
RC,212,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,107957.12,6
RC,212,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,85596.36,6
RC,212,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,212,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,212,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,35315.74,2
RC,212,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,55318.76,2
RC,212,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,212,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,212,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,212,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,212,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,212,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,212,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,212,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,212,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,212,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,212,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,212,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,212,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,212,CHEST PAIN ,,,11662.96,13000.0,2
RC,212,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,25971.94,2
RC,212,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,212,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,212,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,212,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,212,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,212,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,27524.27,2
RC,212,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,15382.85,2
RC,212,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,212,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,212,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,212,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,212,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,212,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,212,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,15525.23,2
RC,212,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,212,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,212,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,212,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,212,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,212,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,212,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,16267.93,2
RC,212,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,30381.4,2
RC,212,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,12897.62,13000.0,2
RC,212,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,85244.67,2
RC,212,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,62055.15,2
RC,212,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,93582.28,2
RC,212,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,68429.21,2
RC,212,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,212,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,212,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,212,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,212,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,212,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,212,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,212,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,212,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,212,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,212,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,212,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,212,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,16865.07,2
RC,212,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,26736.94,2
RC,212,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,212,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,14269.32,2
RC,212,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,23081.88,2
RC,212,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11447.28,13000.0,2
RC,212,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,12950.74,13000.0,2
RC,212,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,212,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10615.32,13000.0,2
RC,212,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,212,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,212,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,212,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,212,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,212,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,212,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,212,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,13000.0,64649.83,2
RC,212,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,69128.36,2
RC,212,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,54597.31,2
RC,212,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,212,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,12296.22,13000.0,2
RC,212,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,212,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,212,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,212,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,212,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,212,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,212,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,212,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,212,FOOT PROCEDURES WITH CC ,,,13000.0,23873.46,2
RC,212,FOOT PROCEDURES WITH MCC ,,,13000.0,33668.84,2
RC,212,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,212,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,212,FRACTURES OF FEMUR WITH MCC ,,,13000.0,20669.96,2
RC,212,FRACTURES OF FEMUR WITHOUT MCC ,,,12577.79,13000.0,2
RC,212,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,17634.33,2
RC,212,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,12593.73,13000.0,2
RC,212,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,212,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,212,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,212,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,212,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,212,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,23435.7,2
RC,212,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,212,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,212,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,212,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,212,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,20740.08,2
RC,212,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,14874.96,2
RC,212,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,212,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13033.62,2
RC,212,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,17653.46,2
RC,212,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,10026.68,13000.0,2
RC,212,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,212,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,212,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,212,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,21888.66,2
RC,212,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,34847.18,2
RC,212,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,18303.71,2
RC,212,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,26267.31,2
RC,212,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,34956.62,2
RC,212,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,21342.53,2
RC,212,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,212,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,212,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,212,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,212,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,212,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,212,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,212,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,212,HYPERTENSION WITH MCC ,,,13000.0,16656.81,2
RC,212,HYPERTENSION WITHOUT MCC ,,,12035.9,13000.0,2
RC,212,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,212,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,212,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,212,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,212,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,212,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,212,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,212,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,212,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,212,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,212,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,212,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,212,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,212,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,212,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,212,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,212,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,212,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,212,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,212,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,212,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,212,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,212,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,212,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,212,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,212,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,212,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,212,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,212,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,212,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,212,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,212,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,26231.19,2
RC,212,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,38301.43,2
RC,212,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,212,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,22807.74,2
RC,212,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,212,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,212,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,212,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,212,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,212,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,42536.64,6
RC,212,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,36066.94,2
RC,212,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,25420.48,2
RC,212,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,30959.41,2
RC,212,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,212,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,25332.29,2
RC,212,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,212,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,212,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,212,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,212,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,212,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,212,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,212,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,212,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,212,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,212,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,212,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,212,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,212,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,212,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11458.96,13000.0,2
RC,212,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,212,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,22852.37,2
RC,212,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,212,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,212,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,212,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,212,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,212,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,33464.84,2
RC,212,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,212,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,212,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,23206.19,2
RC,212,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,212,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,212,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,212,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,212,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,212,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,212,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,18348.35,2
RC,212,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,212,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,212,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,212,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,212,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,212,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,212,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,212,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,212,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,212,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,212,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,212,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,212,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,212,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,212,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,21821.73,2
RC,212,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,14226.82,2
RC,212,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,212,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,212,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,212,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,212,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,212,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,212,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,212,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,20000.57,2
RC,212,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,31455.61,2
RC,212,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,212,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,212,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,212,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,212,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,212,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,212,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,212,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,212,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,212,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,212,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,212,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,212,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,212,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,212,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,212,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,212,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,212,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,212,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,212,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,212,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,212,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,212,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,212,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,212,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,212,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,212,OSTEOMYELITIS WITH CC ,,,13000.0,17786.27,2
RC,212,OSTEOMYELITIS WITH MCC ,,,13000.0,24941.28,2
RC,212,OSTEOMYELITIS WITHOUT CC/MCC ,,,12379.1,13000.0,2
RC,212,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,212,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,212,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,212,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,212,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,212,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,212,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,212,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,56579.98,2
RC,212,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,37476.91,2
RC,212,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,14248.07,2
RC,212,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,26168.51,2
RC,212,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,212,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,39507.4,2
RC,212,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13954.82,2
RC,212,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,21005.71,2
RC,212,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,212,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,28721.74,2
RC,212,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,50687.24,2
RC,212,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,18865.79,2
RC,212,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,212,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,212,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,212,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,212,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,212,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,212,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,212,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,212,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,109808.04,2
RC,212,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,27259.71,2
RC,212,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,212,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,212,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,212,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,212,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,212,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,212,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,212,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,212,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,212,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,212,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,212,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,212,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,212,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,212,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,60074.61,2
RC,212,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,212,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,212,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,212,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,212,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,212,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,212,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,212,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,212,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,212,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,212,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,212,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,212,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,212,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,212,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,26093.06,2
RC,212,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,37874.3,2
RC,212,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,20340.58,2
RC,212,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,212,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,212,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,212,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,212,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,212,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,212,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,212,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,212,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,212,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,212,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,212,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,38422.56,2
RC,212,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,212,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,212,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,212,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,212,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,34828.05,2
RC,212,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,212,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,27596.53,2
RC,212,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,12030.59,22782.25,6
RC,212,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,212,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,212,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,212,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,212,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,212,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,212,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,212,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,212,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,212,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,212,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,40548.66,2
RC,212,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,29665.26,2
RC,212,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,212,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,212,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,212,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,212,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,26418.19,2
RC,212,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,41954.38,2
RC,212,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,20322.51,2
RC,212,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,212,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,212,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,212,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,212,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,212,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,212,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,212,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,212,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,212,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,212,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,212,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,212,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,212,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,212,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,212,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,212,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,212,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,212,PSYCHOSES ,,,18854.11,18854.11,1
RC,212,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,212,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,212,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,212,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,21415.85,2
RC,212,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,212,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,212,REHABILITATION WITH CC/MCC ,,,13046.0,21045.0,6
RC,212,REHABILITATION WITHOUT CC/MCC ,,,13046.0,21045.0,6
RC,212,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,212,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,212,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,212,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,212,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,212,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,212,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,212,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,212,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,33210.89,2
RC,212,SEPTIC ARTHRITIS WITH CC ,,,13000.0,16839.57,2
RC,212,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,24529.03,2
RC,212,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13300.31,2
RC,212,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,212,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,212,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,212,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,212,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,212,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,21601.78,2
RC,212,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,18057.21,2
RC,212,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,12838.11,13000.0,2
RC,212,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,212,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,212,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,46731.47,2
RC,212,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,212,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,212,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,212,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,35262.62,2
RC,212,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,212,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,32177.06,2
RC,212,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,212,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,21081.15,2
RC,212,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,212,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,73622.82,2
RC,212,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,212,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,212,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,212,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,212,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,212,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,212,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,212,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,22586.74,2
RC,212,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,37639.48,2
RC,212,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,18313.28,2
RC,212,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,212,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,212,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,212,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,212,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,14152.45,2
RC,212,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11666.16,13000.0,2
RC,212,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,212,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,212,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,212,SYNCOPE AND COLLAPSE ,,,13000.0,13273.75,2
RC,212,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,19811.43,2
RC,212,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13503.25,2
RC,212,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,212,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,212,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,212,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,212,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,212,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,212,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,212,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,212,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,212,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,212,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,212,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,212,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,212,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,212,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,212,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,212,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,212,UNGROUPABLE ,,,4012.81,4012.81,1
RC,212,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,212,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,212,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,15617.67,2
RC,212,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,212,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,212,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,212,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,212,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,212,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,212,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,212,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,212,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,212,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,212,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,212,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,212,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,212,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,212,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,212,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,212,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,212,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,212,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,212,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,212,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,212,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,212,VEIN LIGATION AND STRIPPING ,,,13000.0,36498.33,2
RC,212,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,212,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,212,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,212,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,212,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,212,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,213, Coronary Care Unit Heart Transplant  ,,,1490.0,14300.0,3
RC,213,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,213,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,213,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,213,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,22148.98,2
RC,213,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,32766.76,2
RC,213,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13891.07,2
RC,213,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,213,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,213,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,213,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,213,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,213,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,213,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,213,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,213,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,213,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,10376.25,13000.0,2
RC,213,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,213,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,213,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,213,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,213,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,213,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,213,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,213,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,213,AICD LEAD PROCEDURES ,,,13000.0,42456.95,2
RC,213,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,213,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,213,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,213,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,213,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,213,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,213,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,213,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,213,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,213,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,213,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,49625.78,2
RC,213,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,16552.69,2
RC,213,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,213,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,213,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,213,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,213,ANGINA PECTORIS ,,,11470.65,13000.0,2
RC,213,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,77091.95,2
RC,213,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,48885.19,2
RC,213,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,213,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,213,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,213,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,213,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,213,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,213,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,213,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,213,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,213,ATHEROSCLEROSIS WITH MCC ,,,13000.0,16726.93,2
RC,213,ATHEROSCLEROSIS WITHOUT MCC ,,,11165.7,13000.0,2
RC,213,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,213,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,25265.36,2
RC,213,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,43722.41,2
RC,213,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,19885.82,2
RC,213,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,213,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,213,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,213,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,62695.85,2
RC,213,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,213,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,41898.07,4
RC,213,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,30142.33,2
RC,213,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,40718.66,2
RC,213,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,23764.02,2
RC,213,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,17786.27,2
RC,213,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,12832.8,13000.0,2
RC,213,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,213,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,213,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,213,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,213,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,213,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,11829.78,13000.0,2
RC,213,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,16805.56,2
RC,213,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,10027.74,13000.0,2
RC,213,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,20756.01,2
RC,213,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13715.75,2
RC,213,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,213,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,213,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,213,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,213,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,213,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,213,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,213,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,37398.29,2
RC,213,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,25498.05,2
RC,213,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,24099.77,2
RC,213,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,38574.5,2
RC,213,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,21330.85,2
RC,213,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,107957.12,6
RC,213,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,85596.36,6
RC,213,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,213,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,213,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,35315.74,2
RC,213,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,55318.76,2
RC,213,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,213,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,213,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,213,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,213,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,213,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,213,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,213,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,213,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,213,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,213,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,213,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,213,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,213,CHEST PAIN ,,,11662.96,13000.0,2
RC,213,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,25971.94,2
RC,213,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,213,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,213,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,213,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,213,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,213,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,27524.27,2
RC,213,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,15382.85,2
RC,213,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,213,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,213,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,213,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,213,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,213,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,213,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,15525.23,2
RC,213,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,213,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,213,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,213,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,213,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,213,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,213,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,16267.93,2
RC,213,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,30381.4,2
RC,213,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,12897.62,13000.0,2
RC,213,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,85244.67,2
RC,213,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,62055.15,2
RC,213,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,93582.28,2
RC,213,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,68429.21,2
RC,213,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,213,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,213,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,213,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,213,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,213,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,213,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,213,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,213,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,213,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,213,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,213,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,213,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,16865.07,2
RC,213,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,26736.94,2
RC,213,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,213,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,14269.32,2
RC,213,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,23081.88,2
RC,213,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11447.28,13000.0,2
RC,213,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,12950.74,13000.0,2
RC,213,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,213,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10615.32,13000.0,2
RC,213,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,213,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,213,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,213,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,213,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,213,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,213,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,213,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,69128.36,2
RC,213,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,54597.31,2
RC,213,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,213,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,12296.22,13000.0,2
RC,213,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,213,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,213,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,213,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,213,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,213,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,213,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,213,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,213,FOOT PROCEDURES WITH CC ,,,13000.0,23873.46,2
RC,213,FOOT PROCEDURES WITH MCC ,,,13000.0,33668.84,2
RC,213,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,213,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,213,FRACTURES OF FEMUR WITH MCC ,,,13000.0,20669.96,2
RC,213,FRACTURES OF FEMUR WITHOUT MCC ,,,12577.79,13000.0,2
RC,213,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,17634.33,2
RC,213,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,12593.73,13000.0,2
RC,213,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,213,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,213,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,213,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,213,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,213,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,23435.7,2
RC,213,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,213,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,213,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,213,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,213,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,20740.08,2
RC,213,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,14874.96,2
RC,213,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,213,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13033.62,2
RC,213,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,17653.46,2
RC,213,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,10026.68,13000.0,2
RC,213,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,213,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,213,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,213,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,21888.66,2
RC,213,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,34847.18,2
RC,213,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,18303.71,2
RC,213,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,26267.31,2
RC,213,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,34956.62,2
RC,213,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,21342.53,2
RC,213,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,213,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,213,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,213,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,213,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,213,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,213,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,213,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,213,HYPERTENSION WITH MCC ,,,13000.0,16656.81,2
RC,213,HYPERTENSION WITHOUT MCC ,,,12035.9,13000.0,2
RC,213,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,213,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,213,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,213,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,213,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,213,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,213,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,213,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,213,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,213,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,213,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,213,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,213,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,213,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,213,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,213,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,213,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,213,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,213,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,213,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,213,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,213,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,213,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,213,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,213,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,213,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,213,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,213,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,213,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,213,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,213,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,213,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,26231.19,2
RC,213,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,38301.43,2
RC,213,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,213,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,22807.74,2
RC,213,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,213,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,213,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,213,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,213,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,213,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,42536.64,6
RC,213,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,36066.94,2
RC,213,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,25420.48,2
RC,213,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,30959.41,2
RC,213,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,213,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,25332.29,2
RC,213,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,213,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,213,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,213,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,213,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,213,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,213,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,213,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,213,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,213,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,213,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,213,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,213,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,213,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,213,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11458.96,13000.0,2
RC,213,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,213,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,22852.37,2
RC,213,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,213,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,213,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,213,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,213,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,213,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,33464.84,2
RC,213,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,213,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,213,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,23206.19,2
RC,213,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,213,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,213,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,213,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,213,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,213,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,213,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,18348.35,2
RC,213,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,213,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,213,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,213,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,213,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,213,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,213,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,213,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,213,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,213,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,213,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,213,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,213,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,213,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,213,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,21821.73,2
RC,213,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,14226.82,2
RC,213,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,213,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,213,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,213,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,213,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,213,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,213,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,213,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,20000.57,2
RC,213,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,31455.61,2
RC,213,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,213,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,213,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,213,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,213,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,213,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,213,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,213,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,213,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,213,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,213,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,213,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,213,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,213,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,213,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,213,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,213,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,213,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,213,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,213,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,213,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,213,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,213,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,213,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,213,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,213,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,213,OSTEOMYELITIS WITH CC ,,,13000.0,17786.27,2
RC,213,OSTEOMYELITIS WITH MCC ,,,13000.0,24941.28,2
RC,213,OSTEOMYELITIS WITHOUT CC/MCC ,,,12379.1,13000.0,2
RC,213,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,213,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,213,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,213,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,213,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,213,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,213,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,213,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,56579.98,2
RC,213,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,37476.91,2
RC,213,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,14248.07,2
RC,213,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,26168.51,2
RC,213,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,213,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,39507.4,2
RC,213,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13954.82,2
RC,213,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,21005.71,2
RC,213,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,213,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,28721.74,2
RC,213,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,50687.24,2
RC,213,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,18865.79,2
RC,213,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,213,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,213,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,213,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,213,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,213,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,213,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,213,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,213,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,109808.04,2
RC,213,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,27259.71,2
RC,213,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,213,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,213,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,213,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,213,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,213,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,213,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,213,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,213,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,213,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,213,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,213,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,213,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,213,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,213,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,60074.61,2
RC,213,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,213,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,213,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,213,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,213,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,213,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,213,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,213,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,213,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,213,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,213,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,213,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,213,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,213,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,213,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,26093.06,2
RC,213,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,37874.3,2
RC,213,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,20340.58,2
RC,213,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,213,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,213,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,213,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,213,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,213,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,213,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,213,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,213,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,213,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,213,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,213,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,38422.56,2
RC,213,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,213,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,213,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,213,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,213,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,34828.05,2
RC,213,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,213,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,27596.53,2
RC,213,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,12030.59,22782.25,6
RC,213,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,213,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,213,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,213,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,213,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,213,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,213,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,213,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,213,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,213,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,213,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,40548.66,2
RC,213,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,29665.26,2
RC,213,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,213,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,213,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,213,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,213,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,26418.19,2
RC,213,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,41954.38,2
RC,213,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,20322.51,2
RC,213,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,213,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,213,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,213,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,213,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,213,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,213,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,213,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,213,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,213,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,213,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,213,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,213,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,213,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,213,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,213,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,213,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,213,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,213,PSYCHOSES ,,,18854.11,18854.11,1
RC,213,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,213,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,213,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,213,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,21415.85,2
RC,213,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,213,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,213,REHABILITATION WITH CC/MCC ,,,13046.0,21045.0,6
RC,213,REHABILITATION WITHOUT CC/MCC ,,,13046.0,21045.0,6
RC,213,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,213,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,213,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,213,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,213,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,213,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,213,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,213,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,213,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,33210.89,2
RC,213,SEPTIC ARTHRITIS WITH CC ,,,13000.0,16839.57,2
RC,213,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,24529.03,2
RC,213,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13300.31,2
RC,213,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,213,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,213,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,213,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,213,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,213,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,21601.78,2
RC,213,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,18057.21,2
RC,213,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,12838.11,13000.0,2
RC,213,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,213,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,213,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,46731.47,2
RC,213,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,213,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,213,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,213,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,35262.62,2
RC,213,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,213,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,32177.06,2
RC,213,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,213,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,21081.15,2
RC,213,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,213,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,73622.82,2
RC,213,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,213,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,213,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,213,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,213,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,213,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,213,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,213,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,22586.74,2
RC,213,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,37639.48,2
RC,213,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,18313.28,2
RC,213,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,213,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,213,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,213,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,213,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,14152.45,2
RC,213,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11666.16,13000.0,2
RC,213,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,213,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,213,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,213,SYNCOPE AND COLLAPSE ,,,13000.0,13273.75,2
RC,213,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,19811.43,2
RC,213,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13503.25,2
RC,213,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,213,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,213,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,213,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,213,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,213,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,213,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,213,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,213,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,213,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,213,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,213,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,213,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,213,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,213,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,213,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,213,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,213,UNGROUPABLE ,,,4012.81,4012.81,1
RC,213,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,213,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,213,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,15617.67,2
RC,213,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,213,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,213,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,213,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,213,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,213,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,213,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,213,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,213,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,213,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,213,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,213,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,213,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,213,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,213,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,213,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,213,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,213,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,213,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,213,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,213,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,213,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,213,VEIN LIGATION AND STRIPPING ,,,13000.0,36498.33,2
RC,213,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,213,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,213,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,213,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,213,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,213,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,214, Coronary Care Unit Intermediate CCU  ,,,1455.0,21045.0,8
RC,214,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,214,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,214,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,214,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,22148.98,2
RC,214,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,32766.76,2
RC,214,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13891.07,2
RC,214,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,214,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,214,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,214,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,214,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,214,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,214,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,214,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,214,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,214,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,10376.25,13000.0,2
RC,214,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,214,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,214,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,214,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,214,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,214,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,214,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,214,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,214,AICD LEAD PROCEDURES ,,,13000.0,42456.95,2
RC,214,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,214,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,214,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,214,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,214,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,214,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,214,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,214,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,214,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,214,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,214,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,49625.78,2
RC,214,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,16552.69,2
RC,214,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,214,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,214,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,214,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,214,ANGINA PECTORIS ,,,11470.65,13000.0,2
RC,214,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,77091.95,2
RC,214,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,48885.19,2
RC,214,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,214,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,214,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,214,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,214,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,214,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,214,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,214,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,214,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,214,ATHEROSCLEROSIS WITH MCC ,,,13000.0,16726.93,2
RC,214,ATHEROSCLEROSIS WITHOUT MCC ,,,11165.7,13000.0,2
RC,214,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,214,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,25265.36,2
RC,214,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,43722.41,2
RC,214,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,19885.82,2
RC,214,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,214,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,214,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,214,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,62695.85,2
RC,214,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,214,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,41898.07,4
RC,214,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,30142.33,2
RC,214,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,40718.66,2
RC,214,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,23764.02,2
RC,214,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,17786.27,2
RC,214,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,12832.8,13000.0,2
RC,214,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,214,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,214,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,214,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,214,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,214,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,11829.78,13000.0,2
RC,214,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,16805.56,2
RC,214,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,10027.74,13000.0,2
RC,214,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,20756.01,2
RC,214,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13715.75,2
RC,214,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,214,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,214,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,214,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,214,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,214,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,214,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,214,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,37398.29,2
RC,214,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,25498.05,2
RC,214,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,24099.77,2
RC,214,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,38574.5,2
RC,214,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,21330.85,2
RC,214,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,13000.0,107957.12,6
RC,214,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,85596.36,6
RC,214,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,214,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,214,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,35315.74,2
RC,214,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,55318.76,2
RC,214,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,214,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,214,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,214,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,214,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,214,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,214,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,214,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,214,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,214,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,214,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,214,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,214,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,214,CHEST PAIN ,,,11662.96,13000.0,2
RC,214,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,25971.94,2
RC,214,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,214,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,214,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,214,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,214,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,214,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,27524.27,2
RC,214,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,15382.85,2
RC,214,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,214,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,214,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,214,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,214,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,214,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,214,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,15525.23,2
RC,214,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,214,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,214,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,214,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,214,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,214,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,214,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,16267.93,2
RC,214,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,30381.4,2
RC,214,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,12897.62,13000.0,2
RC,214,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,85244.67,2
RC,214,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,62055.15,2
RC,214,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,93582.28,2
RC,214,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,68429.21,2
RC,214,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,214,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,214,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,214,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,214,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,214,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,214,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,214,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,214,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,214,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,214,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,214,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,214,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,16865.07,2
RC,214,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,26736.94,2
RC,214,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,214,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,14269.32,2
RC,214,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,23081.88,2
RC,214,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11447.28,13000.0,2
RC,214,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,12950.74,13000.0,2
RC,214,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,214,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10615.32,13000.0,2
RC,214,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,214,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,214,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,214,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,214,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,214,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,214,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,214,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,69128.36,2
RC,214,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,54597.31,2
RC,214,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,214,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,12296.22,13000.0,2
RC,214,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,214,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,214,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,214,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,214,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,214,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,214,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,214,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,214,FOOT PROCEDURES WITH CC ,,,13000.0,23873.46,2
RC,214,FOOT PROCEDURES WITH MCC ,,,13000.0,33668.84,2
RC,214,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,214,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,214,FRACTURES OF FEMUR WITH MCC ,,,13000.0,20669.96,2
RC,214,FRACTURES OF FEMUR WITHOUT MCC ,,,12577.79,13000.0,2
RC,214,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,17634.33,2
RC,214,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,12593.73,13000.0,2
RC,214,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,214,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,214,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,214,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,214,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,214,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,23435.7,2
RC,214,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,214,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,214,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,214,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,214,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,20740.08,2
RC,214,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,14874.96,2
RC,214,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,214,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13033.62,2
RC,214,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,17653.46,2
RC,214,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,10026.68,13000.0,2
RC,214,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,214,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,214,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,214,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,21888.66,2
RC,214,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,34847.18,2
RC,214,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,18303.71,2
RC,214,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,26267.31,2
RC,214,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,34956.62,2
RC,214,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,21342.53,2
RC,214,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,214,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,214,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,214,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,214,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,214,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,214,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,214,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,214,HYPERTENSION WITH MCC ,,,13000.0,16656.81,2
RC,214,HYPERTENSION WITHOUT MCC ,,,12035.9,13000.0,2
RC,214,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,214,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,214,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,214,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,214,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,214,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,214,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,214,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,214,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,214,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,214,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,214,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,214,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,214,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,214,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,214,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,214,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,214,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,214,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,214,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,214,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,214,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,214,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,214,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,214,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,214,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,214,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,214,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,214,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,214,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,214,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,214,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,26231.19,2
RC,214,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,38301.43,2
RC,214,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,214,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,22807.74,2
RC,214,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,214,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,214,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,214,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,214,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,214,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,42536.64,6
RC,214,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,36066.94,2
RC,214,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,25420.48,2
RC,214,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,30959.41,2
RC,214,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,214,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,25332.29,2
RC,214,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,214,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,214,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,214,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,214,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,214,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,214,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,214,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,214,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,214,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,214,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,214,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,214,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,214,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,214,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11458.96,13000.0,2
RC,214,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,214,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,22852.37,2
RC,214,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,214,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,214,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,214,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,214,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,214,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,33464.84,2
RC,214,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,214,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,214,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,23206.19,2
RC,214,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,214,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,214,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,214,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,214,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,214,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,214,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,18348.35,2
RC,214,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,214,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,214,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,214,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,214,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,214,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,214,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,214,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,214,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,214,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,214,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,214,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,214,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,214,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,214,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,21821.73,2
RC,214,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,14226.82,2
RC,214,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,214,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,214,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,214,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,214,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,214,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,214,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,214,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,20000.57,2
RC,214,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,31455.61,2
RC,214,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,214,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,214,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,214,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,214,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,214,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,214,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,214,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,214,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,214,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,214,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,214,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,214,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,214,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,214,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,214,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,214,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,214,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,214,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,214,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,214,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,214,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,214,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,214,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,214,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,214,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,214,OSTEOMYELITIS WITH CC ,,,13000.0,17786.27,2
RC,214,OSTEOMYELITIS WITH MCC ,,,13000.0,24941.28,2
RC,214,OSTEOMYELITIS WITHOUT CC/MCC ,,,12379.1,13000.0,2
RC,214,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,214,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,214,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,214,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,214,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,214,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,214,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,214,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,56579.98,2
RC,214,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,37476.91,2
RC,214,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,14248.07,2
RC,214,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,26168.51,2
RC,214,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,214,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,39507.4,2
RC,214,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13954.82,2
RC,214,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,21005.71,2
RC,214,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,214,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,28721.74,2
RC,214,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,50687.24,2
RC,214,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,18865.79,2
RC,214,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,214,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,214,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,214,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,214,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,214,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,214,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,214,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,214,OTHER HEART ASSIST SYSTEM IMPLANT ,,,13000.0,109808.04,2
RC,214,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,27259.71,2
RC,214,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,214,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,214,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,214,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,214,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,214,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,214,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,214,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,214,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,214,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,214,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,214,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,214,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,214,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,214,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,60074.61,2
RC,214,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,214,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,214,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,214,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,214,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,214,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,214,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,214,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,214,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,214,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,214,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,214,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,214,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,214,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,214,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,26093.06,2
RC,214,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,37874.3,2
RC,214,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,20340.58,2
RC,214,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,214,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,214,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,214,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,214,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,214,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,214,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,214,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,214,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,214,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,214,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,214,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,38422.56,2
RC,214,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,214,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,214,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,214,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,214,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,34828.05,2
RC,214,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,214,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,27596.53,2
RC,214,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,12030.59,22782.25,6
RC,214,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,214,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,214,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,214,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,214,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,214,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,214,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,214,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,214,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,214,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,214,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,40548.66,2
RC,214,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,29665.26,2
RC,214,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,214,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,214,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,214,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,214,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,26418.19,2
RC,214,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,41954.38,2
RC,214,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,20322.51,2
RC,214,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,214,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,214,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,214,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,214,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,214,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,214,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,214,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,214,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,214,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,214,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,214,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,214,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,214,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,214,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,214,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,214,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,214,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,214,PSYCHOSES ,,,18854.11,18854.11,1
RC,214,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,214,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,214,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,214,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,21415.85,2
RC,214,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,214,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,214,REHABILITATION WITH CC/MCC ,,,20467.01,20467.01,1
RC,214,REHABILITATION WITHOUT CC/MCC ,,,16197.8,16197.8,1
RC,214,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,214,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,214,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,214,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,214,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,214,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,214,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,214,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,214,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,33210.89,2
RC,214,SEPTIC ARTHRITIS WITH CC ,,,13000.0,16839.57,2
RC,214,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,24529.03,2
RC,214,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13300.31,2
RC,214,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,214,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,214,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,214,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,214,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,214,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,21601.78,2
RC,214,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,18057.21,2
RC,214,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,12838.11,13000.0,2
RC,214,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,214,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,214,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,46731.47,2
RC,214,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,214,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,214,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,214,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,35262.62,2
RC,214,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,214,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,32177.06,2
RC,214,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,214,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,21081.15,2
RC,214,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,214,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,73622.82,2
RC,214,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,214,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,214,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,214,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,214,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,214,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,214,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,214,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,22586.74,2
RC,214,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,37639.48,2
RC,214,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,18313.28,2
RC,214,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,214,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,214,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,214,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,214,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,14152.45,2
RC,214,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11666.16,13000.0,2
RC,214,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,214,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,214,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,214,SYNCOPE AND COLLAPSE ,,,13000.0,13273.75,2
RC,214,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,19811.43,2
RC,214,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13503.25,2
RC,214,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,214,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,214,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,214,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,214,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,214,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,214,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,214,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,214,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,214,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,214,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,214,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,214,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,214,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,214,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,214,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,214,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,214,UNGROUPABLE ,,,4012.81,4012.81,1
RC,214,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,214,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,214,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,15617.67,2
RC,214,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,214,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,214,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,214,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,214,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,214,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,214,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,214,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,214,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,214,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,214,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,214,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,214,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,214,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,214,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,214,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,214,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,214,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,214,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,214,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,214,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,214,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,214,VEIN LIGATION AND STRIPPING ,,,13000.0,36498.33,2
RC,214,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,214,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,214,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,214,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,214,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,214,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,219, Coronary Care Unit Other Coronary CCU  ,,,1490.0,14300.0,3
RC,219,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,14666.72,14666.72,1
RC,219,ABORTION WITHOUT D&C ,,,12951.8,12951.8,1
RC,219,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,14215.14,14215.14,1
RC,219,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13000.0,22148.98,2
RC,219,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,13000.0,32766.76,2
RC,219,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,13000.0,13891.07,2
RC,219,ACUTE LEUKEMIA WITH CC ,,,26174.88,26174.88,1
RC,219,ACUTE LEUKEMIA WITH MCC ,,,62344.16,62344.16,1
RC,219,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,96021.82,96021.82,1
RC,219,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,16970.26,16970.26,1
RC,219,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,13778.44,13778.44,1
RC,219,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,21056.71,21056.71,1
RC,219,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,11695.9,11695.9,1
RC,219,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,11367.58,11367.58,1
RC,219,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,25059.23,25059.23,1
RC,219,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,10376.25,13000.0,2
RC,219,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,27301.15,27301.15,1
RC,219,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,18880.67,18880.67,1
RC,219,AFTERCARE WITH CC/MCC ,,,16653.62,16653.62,1
RC,219,AFTERCARE WITHOUT CC/MCC ,,,10682.26,10682.26,1
RC,219,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,15977.86,15977.86,1
RC,219,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,23827.77,23827.77,1
RC,219,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,12554.42,12554.42,1
RC,219,AICD GENERATOR PROCEDURES ,,,52489.27,52489.27,1
RC,219,AICD LEAD PROCEDURES ,,,13000.0,42456.95,2
RC,219,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,19053.86,19053.86,1
RC,219,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,22554.87,22554.87,1
RC,219,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC ",,,13392.74,13392.74,1
RC,219,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,10567.5,10567.5,1
RC,219,ALLERGIC REACTIONS WITH MCC ,,,21880.17,21880.17,1
RC,219,ALLERGIC REACTIONS WITHOUT MCC ,,,11092.39,11092.39,1
RC,219,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,34299.98,34299.98,1
RC,219,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,56306.91,56306.91,1
RC,219,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,18722.36,18722.36,1
RC,219,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,28192.6,28192.6,1
RC,219,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,49625.78,2
RC,219,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,13000.0,16552.69,2
RC,219,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,19082.55,41067.18,3
RC,219,ANAL AND STOMAL PROCEDURES WITH CC ,,,17919.09,17919.09,1
RC,219,ANAL AND STOMAL PROCEDURES WITH MCC ,,,28404.05,28404.05,1
RC,219,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,13263.12,13263.12,1
RC,219,ANGINA PECTORIS ,,,11470.65,13000.0,2
RC,219,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13000.0,77091.95,2
RC,219,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,13000.0,48885.19,2
RC,219,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,219,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,219,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,219,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC ,,,13000.0,13000.0,1
RC,219,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC ,,,13000.0,13000.0,1
RC,219,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,13000.0,13000.0,1
RC,219,APPENDIX PROCEDURES WITH CC ,,,20095.13,20095.13,1
RC,219,APPENDIX PROCEDURES WITH MCC ,,,29459.13,29459.13,1
RC,219,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,16175.49,16175.49,1
RC,219,ATHEROSCLEROSIS WITH MCC ,,,13000.0,16726.93,2
RC,219,ATHEROSCLEROSIS WITHOUT MCC ,,,11165.7,13000.0,2
RC,219,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,13000.0,13000.0,1
RC,219,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,13000.0,25265.36,2
RC,219,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,13000.0,43722.41,2
RC,219,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13000.0,19885.82,2
RC,219,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,26063.31,26063.31,1
RC,219,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,16446.44,16446.44,1
RC,219,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,11684.21,11684.21,1
RC,219,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,13000.0,62695.85,2
RC,219,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,32275.87,32275.87,1
RC,219,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,13000.0,41898.07,4
RC,219,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,13000.0,30142.33,2
RC,219,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,40718.66,2
RC,219,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,13000.0,23764.02,2
RC,219,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,13000.0,17786.27,2
RC,219,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,12832.8,13000.0,2
RC,219,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,26758.21,26758.21,1
RC,219,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,24509.91,24509.91,1
RC,219,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,10749.19,10749.19,1
RC,219,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,20608.33,20608.33,1
RC,219,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,8848.34,8848.34,1
RC,219,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,11829.78,13000.0,2
RC,219,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,13000.0,16805.56,2
RC,219,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,10027.74,13000.0,2
RC,219,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,13000.0,20756.01,2
RC,219,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,13000.0,13715.75,2
RC,219,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,79774.82,79774.82,1
RC,219,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK ",,,13000.0,13000.0,2
RC,219,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SH ",,,13000.0,13000.0,2
RC,219,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,67834.21,67834.21,1
RC,219,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,13000.0,13000.0,1
RC,219,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,13000.0,13000.0,1
RC,219,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,53085.34,53085.34,1
RC,219,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,13000.0,37398.29,2
RC,219,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,13000.0,25498.05,2
RC,219,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,13000.0,24099.77,2
RC,219,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,13000.0,38574.5,2
RC,219,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,21330.85,2
RC,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,13000.0,60674.94,4
RC,219,CELLULITIS WITH MCC ,,,19114.43,19114.43,1
RC,219,CELLULITIS WITHOUT MCC ,,,13266.31,13266.31,1
RC,219,CERVICAL SPINAL FUSION WITH CC ,,,13000.0,35315.74,2
RC,219,CERVICAL SPINAL FUSION WITH MCC ,,,13000.0,55318.76,2
RC,219,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,29952.14,29952.14,1
RC,219,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,15276.59,15276.59,1
RC,219,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,30098.77,30098.77,1
RC,219,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,14189.64,14189.64,1
RC,219,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,15879.05,15879.05,1
RC,219,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC ,,,21539.1,21539.1,1
RC,219,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,14200.26,14200.26,1
RC,219,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,55059.51,55059.51,1
RC,219,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,26191.88,26191.88,1
RC,219,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,19354.56,19354.56,1
RC,219,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,17912.72,17912.72,1
RC,219,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,31558.67,31558.67,1
RC,219,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,13037.86,13037.86,1
RC,219,CHEST PAIN ,,,11662.96,13000.0,2
RC,219,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,13000.0,25971.94,2
RC,219,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,41866.19,41866.19,1
RC,219,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,18498.16,18498.16,1
RC,219,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,26352.32,26352.32,1
RC,219,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,39111.07,39111.07,1
RC,219,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,21655.98,21655.98,1
RC,219,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,13000.0,27524.27,2
RC,219,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,13000.0,15382.85,2
RC,219,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC ,,,15235.15,15235.15,1
RC,219,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC ,,,24925.35,24925.35,1
RC,219,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC ,,,11583.28,11583.28,1
RC,219,COAGULATION DISORDERS ,,,20219.45,20219.45,1
RC,219,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,99741.71,99741.71,1
RC,219,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,65289.46,65289.46,1
RC,219,COMPLICATED PEPTIC ULCER WITH CC ,,,13000.0,15525.23,2
RC,219,COMPLICATED PEPTIC ULCER WITH MCC ,,,24861.6,24861.6,1
RC,219,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,12519.35,12519.35,1
RC,219,COMPLICATIONS OF TREATMENT WITH CC ,,,14662.46,14662.46,1
RC,219,COMPLICATIONS OF TREATMENT WITH MCC ,,,23465.45,23465.45,1
RC,219,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC ,,,11327.21,11327.21,1
RC,219,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,75058.28,75058.28,1
RC,219,CONNECTIVE TISSUE DISORDERS WITH CC ,,,13000.0,16267.93,2
RC,219,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,13000.0,30381.4,2
RC,219,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,12897.62,13000.0,2
RC,219,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,13000.0,85244.67,2
RC,219,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,13000.0,62055.15,2
RC,219,CORONARY BYPASS WITH PTCA WITH MCC ,,,13000.0,93582.28,2
RC,219,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,13000.0,68429.21,2
RC,219,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,66367.93,66367.93,1
RC,219,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,48519.7,48519.7,1
RC,219,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,49992.35,49992.35,1
RC,219,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,37492.84,37492.84,1
RC,219,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,38123.98,38123.98,1
RC,219,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,75532.17,75532.17,1
RC,219,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,25784.93,25784.93,1
RC,219,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,16098.99,16098.99,1
RC,219,DEPRESSIVE NEUROSES ,,,14010.08,14010.08,1
RC,219,DIABETES WITH CC ,,,13535.13,13535.13,1
RC,219,DIABETES WITH MCC ,,,19278.05,19278.05,1
RC,219,DIABETES WITHOUT CC/MCC ,,,10613.19,10613.19,1
RC,219,DIGESTIVE MALIGNANCY WITH CC ,,,13000.0,16865.07,2
RC,219,DIGESTIVE MALIGNANCY WITH MCC ,,,13000.0,26736.94,2
RC,219,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,13833.69,13833.69,1
RC,219,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,13000.0,14269.32,2
RC,219,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,13000.0,23081.88,2
RC,219,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11447.28,13000.0,2
RC,219,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,12950.74,13000.0,2
RC,219,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC ,,,21334.03,21334.03,1
RC,219,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,10615.32,13000.0,2
RC,219,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,24905.16,24905.16,1
RC,219,DISORDERS OF THE BILIARY TRACT WITH CC ,,,15641.04,15641.04,1
RC,219,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,21766.48,21766.48,1
RC,219,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,12803.04,12803.04,1
RC,219,ENDOCRINE DISORDERS WITH CC ,,,14903.65,14903.65,1
RC,219,ENDOCRINE DISORDERS WITH MCC ,,,21502.98,21502.98,1
RC,219,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,12176.16,12176.16,1
RC,219,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,13000.0,69128.36,2
RC,219,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,13000.0,54597.31,2
RC,219,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,17488.76,17488.76,1
RC,219,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,12296.22,13000.0,2
RC,219,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,230866.42,230866.42,1
RC,219,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,45389.51,45389.51,1
RC,219,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,30134.9,30134.9,1
RC,219,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,53864.18,53864.18,1
RC,219,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,22224.43,22224.43,1
RC,219,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,67163.75,67163.75,1
RC,219,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,18753.17,18753.17,1
RC,219,FEVER AND INFLAMMATORY CONDITIONS ,,,13444.81,13444.81,1
RC,219,FOOT PROCEDURES WITH CC ,,,13000.0,23873.46,2
RC,219,FOOT PROCEDURES WITH MCC ,,,13000.0,33668.84,2
RC,219,FOOT PROCEDURES WITHOUT CC/MCC ,,,23061.69,23061.69,1
RC,219,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,13527.68,19151.61,2
RC,219,FRACTURES OF FEMUR WITH MCC ,,,13000.0,20669.96,2
RC,219,FRACTURES OF FEMUR WITHOUT MCC ,,,12577.79,13000.0,2
RC,219,FRACTURES OF HIP AND PELVIS WITH MCC ,,,13000.0,17634.33,2
RC,219,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,12593.73,13000.0,2
RC,219,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,48315.69,48315.69,1
RC,219,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,80224.26,80224.26,1
RC,219,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,38234.49,38234.49,1
RC,219,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,27500.9,27500.9,1
RC,219,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,14432.96,14432.96,1
RC,219,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,13000.0,23435.7,2
RC,219,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,10710.94,10710.94,1
RC,219,GASTROINTESTINAL OBSTRUCTION WITH CC ,,,12404.6,12404.6,1
RC,219,GASTROINTESTINAL OBSTRUCTION WITH MCC ,,,19704.12,19704.12,1
RC,219,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC ,,,9792.93,9792.93,1
RC,219,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,13000.0,20740.08,2
RC,219,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,13000.0,14874.96,2
RC,219,HAND PROCEDURES FOR INJURIES ,,,24883.91,24883.91,1
RC,219,HEART FAILURE AND SHOCK WITH CC ,,,13000.0,13033.62,2
RC,219,HEART FAILURE AND SHOCK WITH MCC ,,,13000.0,17653.46,2
RC,219,HEART FAILURE AND SHOCK WITHOUT CC/MCC ,,,10026.68,13000.0,2
RC,219,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,22474.12,22474.12,1
RC,219,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,40213.97,40213.97,1
RC,219,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,18882.79,18882.79,1
RC,219,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13000.0,21888.66,2
RC,219,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,13000.0,34847.18,2
RC,219,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,13000.0,18303.71,2
RC,219,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,13000.0,26267.31,2
RC,219,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,13000.0,34956.62,2
RC,219,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13000.0,21342.53,2
RC,219,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,34509.29,34509.29,1
RC,219,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,26513.82,26513.82,1
RC,219,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,69052.91,69052.91,1
RC,219,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,32035.74,32035.74,1
RC,219,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,17772.46,17772.46,1
RC,219,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,34677.17,34677.17,1
RC,219,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,13604.19,13604.19,1
RC,219,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,17801.15,17801.15,1
RC,219,HYPERTENSION WITH MCC ,,,13000.0,16656.81,2
RC,219,HYPERTENSION WITHOUT MCC ,,,12035.9,13000.0,2
RC,219,INBORN AND OTHER DISORDERS OF METABOLISM ,,,19122.92,19122.92,1
RC,219,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,14414.89,14414.89,1
RC,219,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,19227.05,19227.05,1
RC,219,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,11063.7,11063.7,1
RC,219,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,25243.04,25243.04,1
RC,219,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,56486.48,56486.48,1
RC,219,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,19920.87,19920.87,1
RC,219,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,19768.93,19768.93,1
RC,219,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,12631.99,12631.99,1
RC,219,INFLAMMATORY BOWEL DISEASE WITH CC ,,,14386.21,14386.21,1
RC,219,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,20825.09,20825.09,1
RC,219,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,11251.77,11251.77,1
RC,219,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,20210.95,20210.95,1
RC,219,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,30489.78,30489.78,1
RC,219,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,16420.94,16420.94,1
RC,219,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,23456.95,23456.95,1
RC,219,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,37841.35,37841.35,1
RC,219,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,20501.02,20501.02,1
RC,219,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,18056.15,18056.15,1
RC,219,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,31010.41,31010.41,1
RC,219,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,15014.15,15014.15,1
RC,219,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,16341.24,16341.24,1
RC,219,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,12613.92,12613.92,1
RC,219,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,15145.9,15145.9,1
RC,219,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,23177.5,23177.5,1
RC,219,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,12409.91,12409.91,1
RC,219,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,16165.93,16165.93,1
RC,219,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,11333.58,11333.58,1
RC,219,KIDNEY TRANSPLANT ,,,38326.93,38326.93,1
RC,219,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,53966.17,53966.17,1
RC,219,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,43387.72,43387.72,1
RC,219,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13000.0,26231.19,2
RC,219,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,13000.0,38301.43,2
RC,219,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,20654.02,20654.02,1
RC,219,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,13000.0,22807.74,2
RC,219,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,15879.05,15879.05,1
RC,219,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,21986.42,21986.42,1
RC,219,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,29368.82,29368.82,1
RC,219,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,18524.73,18524.73,1
RC,219,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,43995.48,43995.48,1
RC,219,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,13000.0,42536.64,6
RC,219,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,13000.0,36066.94,2
RC,219,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,13000.0,25420.48,2
RC,219,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,13000.0,30959.41,2
RC,219,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC ",,,43024.33,43024.33,1
RC,219,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,13000.0,25332.29,2
RC,219,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,27798.41,27798.41,1
RC,219,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,66327.55,66327.55,1
RC,219,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,16805.56,16805.56,1
RC,219,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC ,,,21346.78,21346.78,1
RC,219,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC ,,,38384.31,38384.31,1
RC,219,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,28085.29,28085.29,1
RC,219,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,52727.28,52727.28,1
RC,219,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,18350.47,18350.47,1
RC,219,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC ,,,14748.52,14748.52,1
RC,219,MAJOR BLADDER PROCEDURES WITH CC ,,,33755.96,33755.96,1
RC,219,MAJOR BLADDER PROCEDURES WITH MCC ,,,59225.66,59225.66,1
RC,219,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,26502.13,26502.13,1
RC,219,MAJOR ESOPHAGEAL DISORDERS WITH CC ,,,14640.14,14640.14,1
RC,219,MAJOR ESOPHAGEAL DISORDERS WITH MCC ,,,20927.08,20927.08,1
RC,219,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11458.96,13000.0,2
RC,219,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC ,,,14861.15,14861.15,1
RC,219,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,13000.0,22852.37,2
RC,219,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC ,,,11741.59,11741.59,1
RC,219,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,15133.16,27472.21,3
RC,219,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,36241.2,36241.2,1
RC,219,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,24507.78,24507.78,1
RC,219,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,13000.0,13000.0,1
RC,219,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,13000.0,33464.84,2
RC,219,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,25266.42,25266.42,1
RC,219,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,20314.01,20314.01,1
RC,219,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,13000.0,23206.19,2
RC,219,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,20103.63,20103.63,1
RC,219,MAJOR SKIN DISORDERS WITH MCC ,,,26545.7,26545.7,1
RC,219,MAJOR SKIN DISORDERS WITHOUT MCC ,,,15514.6,15514.6,1
RC,219,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,29483.57,29483.57,1
RC,219,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,52851.6,52851.6,1
RC,219,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,21893.97,21893.97,1
RC,219,MAJOR THUMB OR JOINT PROCEDURES ,,,13000.0,18348.35,2
RC,219,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC ,,,16030.99,16030.99,1
RC,219,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC ,,,23528.13,23528.13,1
RC,219,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC ,,,13079.3,13079.3,1
RC,219,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,15570.92,15570.92,1
RC,219,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,23581.26,23581.26,1
RC,219,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,14218.33,14218.33,1
RC,219,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,16154.24,16154.24,1
RC,219,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,23241.26,23241.26,1
RC,219,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,10979.76,10979.76,1
RC,219,MALIGNANT BREAST DISORDERS WITH CC ,,,16033.11,16033.11,1
RC,219,MALIGNANT BREAST DISORDERS WITH MCC ,,,21726.1,21726.1,1
RC,219,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,12187.85,12187.85,1
RC,219,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,24483.35,24483.35,1
RC,219,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,22334.93,22334.93,1
RC,219,MEDICAL BACK PROBLEMS WITH MCC ,,,13000.0,21821.73,2
RC,219,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,13000.0,14226.82,2
RC,219,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,14717.71,14717.71,1
RC,219,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,10074.49,10074.49,1
RC,219,MINOR BLADDER PROCEDURES WITH CC ,,,20165.25,20165.25,1
RC,219,MINOR BLADDER PROCEDURES WITH MCC ,,,36541.89,36541.89,1
RC,219,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,15136.35,15136.35,1
RC,219,MINOR SKIN DISORDERS WITH MCC ,,,20090.88,20090.88,1
RC,219,MINOR SKIN DISORDERS WITHOUT MCC ,,,13643.5,13643.5,1
RC,219,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,13000.0,20000.57,2
RC,219,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,13000.0,31455.61,2
RC,219,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,16616.43,16616.43,1
RC,219,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,18203.84,18203.84,1
RC,219,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,12281.35,12281.35,1
RC,219,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,63747.74,121115.42,3
RC,219,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,75006.22,75006.22,1
RC,219,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,49072.2,49072.2,1
RC,219,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,22116.05,53715.42,3
RC,219,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,20003.75,37588.48,2
RC,219,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,19694.56,19694.56,1
RC,219,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,23161.56,23161.56,1
RC,219,NEUROSES EXCEPT DEPRESSIVE ,,,15422.16,15422.16,1
RC,219,NON-EXTENSIVE BURNS ,,,25900.74,25900.74,1
RC,219,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,21476.41,21476.41,1
RC,219,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,40440.28,40440.28,1
RC,219,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,16754.57,16754.57,1
RC,219,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,15080.03,15080.03,1
RC,219,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,10441.06,10441.06,1
RC,219,NORMAL NEWBORN ,,,6135.73,6135.73,1
RC,219,O.R. PROCEDURES FOR OBESITY WITH CC ,,,21016.33,21016.33,1
RC,219,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,34692.05,34692.05,1
RC,219,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,20039.88,20039.88,1
RC,219,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,28842.87,28842.87,1
RC,219,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,42566.39,42566.39,1
RC,219,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,25557.55,25557.55,1
RC,219,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,45078.19,45078.19,1
RC,219,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,21107.72,21107.72,1
RC,219,OSTEOMYELITIS WITH CC ,,,13000.0,17786.27,2
RC,219,OSTEOMYELITIS WITH MCC ,,,13000.0,24941.28,2
RC,219,OSTEOMYELITIS WITHOUT CC/MCC ,,,12379.1,13000.0,2
RC,219,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,16329.55,16329.55,1
RC,219,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,28255.29,28255.29,1
RC,219,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,13149.43,13149.43,1
RC,219,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,11679.96,11679.96,1
RC,219,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,16789.62,16789.62,1
RC,219,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,9568.73,9568.73,1
RC,219,OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC ,,,13000.0,13000.0,1
RC,219,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,13000.0,56579.98,2
RC,219,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,13000.0,37476.91,2
RC,219,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,13000.0,14248.07,2
RC,219,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,13000.0,26168.51,2
RC,219,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11260.27,11260.27,1
RC,219,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,13000.0,39507.4,2
RC,219,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,13000.0,13954.82,2
RC,219,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,13000.0,21005.71,2
RC,219,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,10908.57,10908.57,1
RC,219,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,13000.0,28721.74,2
RC,219,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,13000.0,50687.24,2
RC,219,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,13000.0,18865.79,2
RC,219,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,27163.02,27163.02,1
RC,219,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,43610.85,43610.85,1
RC,219,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,19520.31,19520.31,1
RC,219,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,51432.07,51432.07,1
RC,219,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,29569.63,29569.63,1
RC,219,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,9920.43,9920.43,1
RC,219,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,31294.11,31294.11,1
RC,219,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,19693.5,19693.5,1
RC,219,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,13000.0,27259.71,2
RC,219,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,48139.3,48139.3,1
RC,219,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,19953.82,19953.82,1
RC,219,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,14968.46,14968.46,1
RC,219,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,26253.5,26253.5,1
RC,219,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,11766.03,11766.03,1
RC,219,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,22600.56,22600.56,1
RC,219,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,14826.09,14826.09,1
RC,219,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,14797.41,14797.41,1
RC,219,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,21591.16,21591.16,1
RC,219,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,11343.14,11343.14,1
RC,219,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,28860.94,28860.94,1
RC,219,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,48655.7,48655.7,1
RC,219,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,21453.03,21453.03,1
RC,219,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,41799.25,41799.25,1
RC,219,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,13000.0,60074.61,2
RC,219,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,31138.97,31138.97,1
RC,219,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,15261.73,15261.73,1
RC,219,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,11152.95,11152.95,1
RC,219,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,24099.77,24099.77,1
RC,219,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,18283.54,18283.54,1
RC,219,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,27784.59,27784.59,1
RC,219,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,19642.5,19642.5,1
RC,219,OTHER MENTAL DISORDER DIAGNOSES ,,,15391.35,15391.35,1
RC,219,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,20297.0,20297.0,1
RC,219,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,33060.01,33060.01,1
RC,219,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,14005.82,14005.82,1
RC,219,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC ,,,14366.02,14366.02,1
RC,219,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC ,,,20413.89,20413.89,1
RC,219,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC ,,,11974.29,11974.29,1
RC,219,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,13000.0,26093.06,2
RC,219,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,13000.0,37874.3,2
RC,219,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,13000.0,20340.58,2
RC,219,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,13061.24,25207.99,3
RC,219,OTHER O.R. PROCEDURES FOR INJURIES WITH CC ,,,25212.23,25212.23,1
RC,219,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC ,,,44806.18,44806.18,1
RC,219,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC ,,,17960.53,17960.53,1
RC,219,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,48786.39,48786.39,1
RC,219,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,84975.86,84975.86,1
RC,219,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,35294.49,35294.49,1
RC,219,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,23764.02,23764.02,1
RC,219,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,46344.72,46344.72,1
RC,219,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,18420.6,18420.6,1
RC,219,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,22373.17,22373.17,1
RC,219,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,13000.0,38422.56,2
RC,219,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,19346.05,19346.05,1
RC,219,OTHER VASCULAR PROCEDURES WITH CC ,,,31591.61,31591.61,1
RC,219,OTHER VASCULAR PROCEDURES WITH MCC ,,,41076.73,41076.73,1
RC,219,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,22943.75,22943.75,1
RC,219,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,13000.0,34828.05,2
RC,219,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,62138.03,62138.03,1
RC,219,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,13000.0,27596.53,2
RC,219,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,12030.59,22782.25,6
RC,219,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,26644.51,26644.51,1
RC,219,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,18309.03,18309.03,1
RC,219,PENIS PROCEDURES WITH CC/MCC ,,,28738.74,28738.74,1
RC,219,PENIS PROCEDURES WITHOUT CC/MCC ,,,18900.86,18900.86,1
RC,219,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,47847.12,47847.12,1
RC,219,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,38987.82,38987.82,1
RC,219,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,32921.89,32921.89,1
RC,219,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,22745.05,22745.05,1
RC,219,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,27202.34,27202.34,1
RC,219,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,19892.19,19892.19,1
RC,219,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,13000.0,40548.66,2
RC,219,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,13000.0,29665.26,2
RC,219,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,29749.2,29749.2,1
RC,219,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,15355.23,15355.23,1
RC,219,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,21360.59,21360.59,1
RC,219,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,11659.77,11659.77,1
RC,219,PERITONEAL ADHESIOLYSIS WITH CC ,,,13000.0,26418.19,2
RC,219,PERITONEAL ADHESIOLYSIS WITH MCC ,,,13000.0,41954.38,2
RC,219,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,13000.0,20322.51,2
RC,219,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,26654.08,26654.08,1
RC,219,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,37936.98,37936.98,1
RC,219,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,23217.88,23217.88,1
RC,219,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC ,,,20677.39,20677.39,1
RC,219,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC ,,,13119.68,13119.68,1
RC,219,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,23390.01,23390.01,1
RC,219,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,14615.71,14615.71,1
RC,219,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC ,,,26766.7,26766.7,1
RC,219,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC ,,,52343.7,52343.7,1
RC,219,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,18812.67,18812.67,1
RC,219,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,21967.29,21967.29,1
RC,219,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,10969.14,10969.14,1
RC,219,PREMATURITY WITH MAJOR PROBLEMS ,,,47140.54,47140.54,1
RC,219,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,30036.08,30036.08,1
RC,219,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS ,,,4012.81,4012.81,1
RC,219,PROSTATECTOMY WITH CC ,,,22599.5,22599.5,1
RC,219,PROSTATECTOMY WITH MCC ,,,37176.22,37176.22,1
RC,219,PROSTATECTOMY WITHOUT CC/MCC ,,,15766.42,15766.42,1
RC,219,PSYCHOSES ,,,18854.11,18854.11,1
RC,219,RADIOTHERAPY ,,,32801.82,32801.82,1
RC,219,RECTAL RESECTION WITH CC ,,,28899.18,28899.18,1
RC,219,RECTAL RESECTION WITH MCC ,,,42483.51,42483.51,1
RC,219,RECTAL RESECTION WITHOUT CC/MCC ,,,13000.0,21415.85,2
RC,219,RED BLOOD CELL DISORDERS WITH MCC ,,,18933.79,18933.79,1
RC,219,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,13768.87,13768.87,1
RC,219,REHABILITATION WITH CC/MCC ,,,13046.0,21045.0,6
RC,219,REHABILITATION WITHOUT CC/MCC ,,,13046.0,21045.0,6
RC,219,RENAL FAILURE WITH CC ,,,13318.37,13318.37,1
RC,219,RENAL FAILURE WITH MCC ,,,19748.74,19748.74,1
RC,219,RENAL FAILURE WITHOUT CC/MCC ,,,10391.13,10391.13,1
RC,219,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,14786.78,14786.78,1
RC,219,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,26609.45,26609.45,1
RC,219,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,10727.94,10727.94,1
RC,219,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,41483.68,41483.68,1
RC,219,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,59321.28,59321.28,1
RC,219,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,13000.0,33210.89,2
RC,219,SEPTIC ARTHRITIS WITH CC ,,,13000.0,16839.57,2
RC,219,SEPTIC ARTHRITIS WITH MCC ,,,13000.0,24529.03,2
RC,219,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,13000.0,13300.31,2
RC,219,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,77452.15,77452.15,1
RC,219,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,24652.28,24652.28,1
RC,219,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,14885.6,14885.6,1
RC,219,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,26106.88,26106.88,1
RC,219,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,36106.26,36106.26,1
RC,219,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,13000.0,21601.78,2
RC,219,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,13000.0,18057.21,2
RC,219,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,12838.11,13000.0,2
RC,219,SIGNS AND SYMPTOMS WITH MCC ,,,17500.46,17500.46,1
RC,219,SIGNS AND SYMPTOMS WITHOUT MCC ,,,12518.29,12518.29,1
RC,219,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,13000.0,46731.47,2
RC,219,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,60640.93,60640.93,1
RC,219,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,38336.49,38336.49,1
RC,219,SKIN DEBRIDEMENT WITH CC ,,,21964.11,21964.11,1
RC,219,SKIN DEBRIDEMENT WITH MCC ,,,13000.0,35262.62,2
RC,219,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,16192.49,16192.49,1
RC,219,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,13000.0,32177.06,2
RC,219,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,56089.09,56089.09,1
RC,219,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13000.0,21081.15,2
RC,219,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,40897.17,40897.17,1
RC,219,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,13000.0,73622.82,2
RC,219,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,23106.32,23106.32,1
RC,219,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,17314.51,41830.07,3
RC,219,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,43040.27,43040.27,1
RC,219,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,19774.25,19774.25,1
RC,219,SKIN ULCERS WITH CC ,,,16617.49,16617.49,1
RC,219,SKIN ULCERS WITH MCC ,,,24575.78,24575.78,1
RC,219,SKIN ULCERS WITHOUT CC/MCC ,,,13222.75,13222.75,1
RC,219,SOFT TISSUE PROCEDURES WITH CC ,,,13000.0,22586.74,2
RC,219,SOFT TISSUE PROCEDURES WITH MCC ,,,13000.0,37639.48,2
RC,219,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,13000.0,18313.28,2
RC,219,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,48347.56,93300.71,3
RC,219,SPLENIC PROCEDURES WITH CC ,,,33863.28,33863.28,1
RC,219,SPLENIC PROCEDURES WITH MCC ,,,52133.33,52133.33,1
RC,219,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,24295.28,24295.28,1
RC,219,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,13000.0,14152.45,2
RC,219,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11666.16,13000.0,2
RC,219,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,29982.95,29982.95,1
RC,219,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,57004.99,57004.99,1
RC,219,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,21037.58,21037.58,1
RC,219,SYNCOPE AND COLLAPSE ,,,13000.0,13273.75,2
RC,219,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,13000.0,19811.43,2
RC,219,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,13000.0,13503.25,2
RC,219,TESTES PROCEDURES WITH CC/MCC ,,,26153.63,26153.63,1
RC,219,TESTES PROCEDURES WITHOUT CC/MCC ,,,15697.36,15697.36,1
RC,219,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,19944.25,19944.25,1
RC,219,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,36102.01,36102.01,1
RC,219,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,18126.27,18126.27,1
RC,219,TRANSURETHRAL PROCEDURES WITH CC ,,,20503.14,20503.14,1
RC,219,TRANSURETHRAL PROCEDURES WITH MCC ,,,35038.42,35038.42,1
RC,219,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,14396.83,14396.83,1
RC,219,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,19986.75,19986.75,1
RC,219,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,15247.91,15247.91,1
RC,219,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,19654.18,19654.18,1
RC,219,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,13745.5,13745.5,1
RC,219,TRAUMATIC INJURY WITH MCC ,,,21380.78,21380.78,1
RC,219,TRAUMATIC INJURY WITHOUT MCC ,,,13421.44,13421.44,1
RC,219,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,42331.57,63154.86,2
RC,219,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,18683.04,18683.04,1
RC,219,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,13095.24,13095.24,1
RC,219,UNGROUPABLE ,,,4012.81,4012.81,1
RC,219,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,22053.36,22053.36,1
RC,219,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,32673.25,32673.25,1
RC,219,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,13000.0,15617.67,2
RC,219,URETHRAL PROCEDURES WITH CC/MCC ,,,23085.07,23085.07,1
RC,219,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,15482.73,15482.73,1
RC,219,URETHRAL STRICTURE ,,,15464.66,15464.66,1
RC,219,URINARY STONES WITH MCC ,,,18298.4,18298.4,1
RC,219,URINARY STONES WITHOUT MCC ,,,12318.54,12318.54,1
RC,219,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,23507.95,23507.95,1
RC,219,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,17195.51,17195.51,1
RC,219,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,23240.19,23240.19,1
RC,219,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,42080.82,42080.82,1
RC,219,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,19165.43,19165.43,1
RC,219,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,25907.12,25907.12,1
RC,219,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,41992.63,41992.63,1
RC,219,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,19615.93,19615.93,1
RC,219,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,22469.87,22469.87,1
RC,219,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,13147.3,13147.3,1
RC,219,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,15398.79,15398.79,1
RC,219,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,14642.27,14642.27,1
RC,219,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,16412.43,16412.43,1
RC,219,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC ,,,14182.2,14182.2,1
RC,219,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,12024.22,12024.22,1
RC,219,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,15479.54,15479.54,1
RC,219,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,11176.33,11176.33,1
RC,219,VEIN LIGATION AND STRIPPING ,,,13000.0,36498.33,2
RC,219,VIRAL ILLNESS WITH MCC ,,,19932.57,19932.57,1
RC,219,VIRAL ILLNESS WITHOUT MCC ,,,13252.5,13252.5,1
RC,219,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,23390.01,64571.2,3
RC,219,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,24354.78,24354.78,1
RC,219,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,48602.58,48602.58,1
RC,219,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,16440.05,16440.05,1
RC,230, Incremental Nursing Charge General Classification  ,,,,,0
RC,231, Incremental Nursing Charge Nursery  ,,,,,0
RC,232, Incremental Nursing Charge OB  ,,,,,0
RC,233, Incremental Nursing Charge ICU  ,,,,,0
RC,234, Incremental Nursing Charge CCU  ,,,,,0
RC,235, Incremental Nursing Charge Hospice  ,,,,,0
RC,239, Incremental Nursing Charge Other  ,,,,,0
RC,240, All Inclusive Ancillary General Classification  ,,,,,0
RC,241, All Inclusive Ancillary Basic  ,,,,,0
RC,242, All Inclusive Ancillary Comprehensive  ,,,,,0
RC,243, All Inclusive Ancillary Specialty  ,,,,,0
RC,249, All Inclusive Ancillary Other  ,,,,,0
RC,250, Pharmacy General Classification  ,,,,,0
RC,251, Pharmacy Generic Drugs  ,,,,,0
RC,252, Pharmacy  ,,,,,0
RC,253, Pharmacy  ,,,,,0
RC,254, Pharmacy  ,,,,,0
RC,255, Pharmacy  ,,,,,0
RC,256, Pharmacy  ,,,,,0
RC,257, Pharmacy  ,,,,,0
RC,258, Pharmacy  ,,,,,0
RC,259, Pharmacy  ,,,,,0
RC,260, IV Therapy General Classification  ,,,,,0
RC,261, IV Therapy Infusion Pump  ,,,,,0
RC,262, IV Therapy/Pharmacy Services  ,,,,,0
RC,263, IV Therapy/Drug/Supply/Delivery  ,,,,,0
RC,264, IV Therapy/Supplies  ,,,,,0
RC,269, IV Therapy Other  ,,,,,0
RC,270, Medical/Surgical Supplies and Devices General Classification  ,,,,,0
RC,271, Medical/Surgical Supplies and Devices Non-Sterile Supply  ,,,,,0
RC,272, Medical/Surgical Supplies and Devices Sterile Supply  ,,,,,0
RC,274, Medical/Surgical Supplies and Devices Prosthetic/Orthotic Devices  ,,,,,0
RC,275, Medical/Surgical Supplies and Devices Pacemaker  ,,,,,0
RC,276, Medical/Surgical Supplies and Devices Intraocular Lens  ,,,,,0
RC,277, Medical/Surgical Supplies and Devices Oxygen - Take Home  ,,,,,0
RC,278, Medical/Surgical Supplies and Devices Other Implant  ,,,,,0
RC,278,"Brachytherapy source, non-stranded, yttrium-90, per source ",32000.0,32000.0,40000.0,40000.0,1
RC,279, Medical/Surgical Supplies and Devices Other Supplies/Devices  ,,,,,0
RC,280, Oncology General Classification  ,,,1911.0,1911.0,1
RC,289, Oncology Other  ,,,1911.0,1911.0,1
RC,300, Laboratory General Classification  ,,,,,0
RC,300,17-hydroxypregnenolone ,,,22.81,22.81,1
RC,300,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,1
RC,300,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,1
RC,300,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,1
RC,300,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,1
RC,300,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,1
RC,300,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,1
RC,300,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,1
RC,300,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,1
RC,300,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,1
RC,300,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,1
RC,300,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,300,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,1
RC,300,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,1
RC,300,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,1
RC,300,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,1
RC,300,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,Acetaminophen ,,,18.64,18.64,1
RC,300,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,1
RC,300,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,1
RC,300,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,1
RC,300,Acetylcholinesterase ,,,12.29,12.29,1
RC,300,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,1
RC,300,Activated Protein C (APC) resistance assay ,,,15.32,15.32,1
RC,300,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,1
RC,300,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,1
RC,300,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,1
RC,300,Adalimumab ,,,38.57,38.57,1
RC,300,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,1
RC,300,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,1
RC,300,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,1
RC,300,Albumin; ischemia modified ,,,33.94,33.94,1
RC,300,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,1
RC,300,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,1
RC,300,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,1
RC,300,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,1
RC,300,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,1
RC,300,Alcohol (ethanol); breath ,,,30.0,30.0,1
RC,300,Aldolase ,,,9.71,9.71,1
RC,300,Aldosterone ,,,40.75,40.75,1
RC,300,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,1
RC,300,All potassium hydroxide (koh) preparations ,,,5.83,5.83,1
RC,300,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,1
RC,300,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,1
RC,300,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,1
RC,300,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,1
RC,300,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,1
RC,300,Alpha-1-antitrypsin; total ,,,13.44,13.44,1
RC,300,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,1
RC,300,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,1
RC,300,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,1
RC,300,Aluminum ,,,25.48,25.48,1
RC,300,Amikacin ,,,15.08,15.08,1
RC,300,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,1
RC,300,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,1
RC,300,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,1
RC,300,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,1
RC,300,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,1
RC,300,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,1
RC,300,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,1
RC,300,Amiodarone ,,,18.64,18.64,1
RC,300,Ammonia ,,,14.57,14.57,1
RC,300,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,1
RC,300,Amylase ,,,6.48,6.48,1
RC,300,Androstanediol glucuronide ,,,28.83,28.83,1
RC,300,Androstenedione ,,,29.28,29.28,1
RC,300,Androsterone ,,,25.55,25.55,1
RC,300,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,1
RC,300,Angiotensin II ,,,20.52,20.52,1
RC,300,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,1
RC,300,Anti-mullerian hormone (AMH) ,,,38.62,38.62,1
RC,300,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,1
RC,300,"Antibody elution (RBC), each elution ",,,149.16,149.16,1
RC,300,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,1
RC,300,Antibody identification; leukocyte antibodies ,,,15.05,15.05,1
RC,300,Antibody identification; platelet antibodies ,,,18.37,18.37,1
RC,300,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,1
RC,300,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,1
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,2
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,2
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,1
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,1
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,1
RC,300,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,1
RC,300,Antibody; Aspergillus ,,,15.05,15.05,1
RC,300,Antibody; Bartonella ,,,10.18,10.18,1
RC,300,Antibody; Blastomyces ,,,12.9,12.9,1
RC,300,Antibody; Bordetella ,,,13.19,13.19,1
RC,300,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,1
RC,300,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,1
RC,300,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,1
RC,300,Antibody; Brucella ,,,8.93,8.93,1
RC,300,Antibody; Campylobacter ,,,13.12,13.12,1
RC,300,Antibody; Candida ,,,12.01,12.01,1
RC,300,Antibody; Chlamydia ,,,11.82,11.82,1
RC,300,"Antibody; Chlamydia, IgM ",,,12.68,12.68,1
RC,300,Antibody; Coccidioides ,,,11.47,11.47,1
RC,300,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,1
RC,300,Antibody; Cryptococcus ,,,14.41,14.41,1
RC,300,Antibody; Diphtheria ,,,15.21,15.21,1
RC,300,Antibody; Ehrlichia ,,,10.18,10.18,1
RC,300,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,1
RC,300,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,1
RC,300,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,1
RC,300,Antibody; Francisella tularensis ,,,14.16,14.16,1
RC,300,Antibody; Giardia lamblia ,,,14.72,14.72,1
RC,300,Antibody; HIV-1 ,,,8.89,8.89,1
RC,300,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,1
RC,300,Antibody; HIV-2 ,,,13.52,13.52,1
RC,300,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,1
RC,300,Antibody; HTLV-I ,,,9.09,9.09,1
RC,300,Antibody; HTLV-II ,,,14.0,14.0,1
RC,300,Antibody; Haemophilus influenza ,,,15.84,15.84,1
RC,300,Antibody; Helicobacter pylori ,,,16.85,16.85,1
RC,300,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,1
RC,300,Antibody; Legionella ,,,15.3,15.3,1
RC,300,Antibody; Leishmania ,,,12.25,12.25,1
RC,300,Antibody; Leptospira ,,,16.2,16.2,1
RC,300,Antibody; Listeria monocytogenes ,,,13.19,13.19,1
RC,300,Antibody; Neisseria meningitidis ,,,13.19,13.19,1
RC,300,Antibody; Nocardia ,,,15.99,15.99,1
RC,300,Antibody; Plasmodium (malaria) ,,,13.19,13.19,1
RC,300,Antibody; Rickettsia ,,,19.35,19.35,1
RC,300,Antibody; Salmonella ,,,13.19,13.19,1
RC,300,Antibody; Shigella ,,,24.48,24.48,1
RC,300,Antibody; Toxoplasma ,,,14.39,14.39,1
RC,300,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,1
RC,300,Antibody; Treponema pallidum ,,,13.24,13.24,1
RC,300,Antibody; Trichinella ,,,12.56,12.56,1
RC,300,Antibody; West Nile virus ,,,14.39,14.39,1
RC,300,"Antibody; West Nile virus, IgM ",,,16.85,16.85,1
RC,300,Antibody; Yersinia ,,,13.19,13.19,1
RC,300,"Antibody; Zika virus, IgM ",,,16.85,16.85,1
RC,300,Antibody; actinomyces ,,,10.18,10.18,1
RC,300,Antibody; adenovirus ,,,12.87,12.87,1
RC,300,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,1
RC,300,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,1
RC,300,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,1
RC,300,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,1
RC,300,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,1
RC,300,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,1
RC,300,"Antibody; encephalitis, Western equine ",,,13.19,13.19,1
RC,300,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,1
RC,300,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,1
RC,300,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,1
RC,300,"Antibody; hepatitis, delta agent ",,,17.16,17.16,1
RC,300,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,1
RC,300,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,1
RC,300,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,1
RC,300,Antibody; histoplasma ,,,13.79,13.79,1
RC,300,Antibody; influenza virus ,,,13.55,13.55,1
RC,300,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,1
RC,300,Antibody; mucormycosis ,,,15.0,15.0,1
RC,300,Antibody; mumps ,,,13.05,13.05,1
RC,300,Antibody; mycoplasma ,,,13.24,13.24,1
RC,300,Antibody; parvovirus ,,,15.03,15.03,1
RC,300,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,1
RC,300,Antibody; respiratory syncytial virus ,,,15.89,15.89,1
RC,300,Antibody; rotavirus ,,,18.23,18.23,1
RC,300,Antibody; rubella ,,,14.39,14.39,1
RC,300,Antibody; rubeola ,,,12.88,12.88,1
RC,300,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,1
RC,300,Antibody; tetanus ,,,14.8,14.8,1
RC,300,Antibody; varicella-zoster ,,,12.88,12.88,1
RC,300,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,1
RC,300,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,1
RC,300,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,1
RC,300,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,1
RC,300,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,1
RC,300,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,1
RC,300,Antinuclear antibodies (ANA); ,,,12.09,12.09,1
RC,300,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,1
RC,300,Antistreptolysin 0; screen ,,,5.77,5.77,1
RC,300,Antistreptolysin 0; titer ,,,7.3,7.3,1
RC,300,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,1
RC,300,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,1
RC,300,"Apolipoprotein, each ",,,21.09,21.09,1
RC,300,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,300,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,1
RC,300,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,300,Arsenic ,,,18.97,18.97,1
RC,300,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,1
RC,300,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,1
RC,300,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,1
RC,300,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,1
RC,300,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,1
RC,300,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,1
RC,300,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,1
RC,300,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,1
RC,300,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,1
RC,300,"B cells, total count ",,,37.73,37.73,1
RC,300,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,1
RC,300,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,1
RC,300,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,1
RC,300,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,1
RC,300,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,1
RC,300,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,1
RC,300,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,1
RC,300,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,1
RC,300,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,300,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,1
RC,300,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,1
RC,300,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,1
RC,300,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,1
RC,300,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,1
RC,300,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,1
RC,300,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,300,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,1
RC,300,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,1
RC,300,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,1
RC,300,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,1
RC,300,Beta-2 microglobulin ,,,16.18,16.18,1
RC,300,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,1
RC,300,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,1
RC,300,Bile acids; cholylglycine ,,,26.58,26.58,1
RC,300,Bile acids; total ,,,17.12,17.12,1
RC,300,"Bilirubin, total, transcutaneous ",,,5.02,5.02,1
RC,300,Bilirubin; direct ,,,5.02,5.02,1
RC,300,"Bilirubin; feces, qualitative ",,,4.56,4.56,1
RC,300,Bilirubin; total ,,,5.02,5.02,1
RC,300,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,1
RC,300,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,1
RC,300,"Biotinidase, each specimen ",,,16.87,16.87,1
RC,300,Bleeding time ,,,4.82,4.82,1
RC,300,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,1
RC,300,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,1
RC,300,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,1
RC,300,Blood count; automated differential WBC count ,,,6.47,6.47,1
RC,300,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,1
RC,300,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,1
RC,300,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,1
RC,300,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,1
RC,300,Blood count; hematocrit (Hct) ,,,2.37,2.37,1
RC,300,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,1
RC,300,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,1
RC,300,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,1
RC,300,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,1
RC,300,"Blood count; platelet, automated ",,,4.48,4.48,1
RC,300,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,1
RC,300,"Blood count; reticulocyte, automated ",,,3.99,3.99,1
RC,300,"Blood count; reticulocyte, manual ",,,4.31,4.31,1
RC,300,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,1
RC,300,Blood count; spun microhematocrit ,,,7.0,7.0,1
RC,300,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,1
RC,300,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,1
RC,300,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,1
RC,300,"Blood typing, serologic; ABO ",,,2.99,2.99,1
RC,300,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,1
RC,300,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,1
RC,300,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,1
RC,300,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,1
RC,300,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,1
RC,300,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,1
RC,300,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,1
RC,300,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,1
RC,300,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,1
RC,300,"Bone marrow, smear interpretation ",,,656.15,656.15,1
RC,300,Bradykinin ,,,5.16,5.16,1
RC,300,C-peptide ,,,20.81,20.81,1
RC,300,C-reactive protein; ,,,5.18,5.18,1
RC,300,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,1
RC,300,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,1
RC,300,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,1
RC,300,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,1
RC,300,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,1
RC,300,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,1
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,1
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,1
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,1
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,1
RC,300,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,1
RC,300,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,300,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,300,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,1
RC,300,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,1
RC,300,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,1
RC,300,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,1
RC,300,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,1
RC,300,Cadmium ,,,23.64,23.64,1
RC,300,Caffeine ,,,38.57,38.57,1
RC,300,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,1
RC,300,Calcitonin ,,,26.79,26.79,1
RC,300,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,1
RC,300,Calcium; after calcium infusion test ,,,13.34,13.34,1
RC,300,Calcium; ionized ,,,13.68,13.68,1
RC,300,Calcium; total ,,,5.16,5.16,1
RC,300,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,1
RC,300,Calculus; X-ray diffraction ,,,12.52,12.52,1
RC,300,Calculus; infrared spectroscopy ,,,12.9,12.9,1
RC,300,Calculus; qualitative analysis ,,,11.58,11.58,1
RC,300,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,1
RC,300,"Calprotectin, fecal ",,,19.63,19.63,1
RC,300,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,1
RC,300,Carbamazepine; free ,,,13.25,13.25,1
RC,300,Carbamazepine; total ,,,14.57,14.57,1
RC,300,Carbohydrate deficient transferrin ,,,18.06,18.06,1
RC,300,Carbon dioxide (bicarbonate) ,,,4.88,4.88,1
RC,300,Carboxyhemoglobin; qualitative ,,,14.07,14.07,1
RC,300,Carboxyhemoglobin; quantitative ,,,12.32,12.32,1
RC,300,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,1
RC,300,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,1
RC,300,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,1
RC,300,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,1
RC,300,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,1
RC,300,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,1
RC,300,Carotene ,,,9.22,9.22,1
RC,300,Catecholamines; blood ,,,29.08,29.08,1
RC,300,Catecholamines; fractionated ,,,25.25,25.25,1
RC,300,Catecholamines; total urine ,,,27.3,27.3,1
RC,300,Cathepsin-D ,,,18.06,18.06,1
RC,300,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,1
RC,300,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,1
RC,300,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,1
RC,300,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,1
RC,300,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,1
RC,300,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,1
RC,300,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,1
RC,300,"Cephalin floculation, blood ",,,4.95,4.95,1
RC,300,Ceruloplasmin ,,,10.74,10.74,1
RC,300,Chemiluminescent assay ,,,14.12,14.12,1
RC,300,"Chemotaxis assay, specify method ",,,15.99,15.99,1
RC,300,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,1
RC,300,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,1
RC,300,Chloramphenicol ,,,12.67,12.67,1
RC,300,Chloride; blood ,,,4.6,4.6,1
RC,300,Chloride; other source ,,,5.0,5.0,1
RC,300,Chloride; urine ,,,5.75,5.75,1
RC,300,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,1
RC,300,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,1
RC,300,Cholinesterase; RBC ,,,9.81,9.81,1
RC,300,Cholinesterase; serum ,,,7.87,7.87,1
RC,300,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,1
RC,300,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,1
RC,300,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,1
RC,300,Chromium ,,,20.28,20.28,1
RC,300,Chromogenic substrate assay ,,,11.89,11.89,1
RC,300,Citrate ,,,27.8,27.8,1
RC,300,"Clot lysis time, whole blood dilution ",,,20.37,20.37,1
RC,300,Clot retraction ,,,16.3,16.3,1
RC,300,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,1
RC,300,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,1
RC,300,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,1
RC,300,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,1
RC,300,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,1
RC,300,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,1
RC,300,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,1
RC,300,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,1
RC,300,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,1
RC,300,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,1
RC,300,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,1
RC,300,Clotting; factor VIII related antigen ,,,20.42,20.42,1
RC,300,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,1
RC,300,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,1
RC,300,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,1
RC,300,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,1
RC,300,Clotting; factor XI (PTA) ,,,17.9,17.9,1
RC,300,Clotting; factor XII (Hageman) ,,,19.35,19.35,1
RC,300,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,1
RC,300,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,1
RC,300,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,1
RC,300,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,1
RC,300,Clozapine ,,,20.15,20.15,1
RC,300,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,1
RC,300,Coagulation time; Lee and White ,,,4.69,4.69,1
RC,300,Coagulation time; activated ,,,4.28,4.28,1
RC,300,Coagulation time; other methods ,,,4.49,4.49,1
RC,300,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,1
RC,300,Cold agglutinin; screen ,,,8.07,8.07,1
RC,300,Cold agglutinin; titer ,,,8.06,8.06,1
RC,300,"Collagen cross links, any method ",,,18.68,18.68,1
RC,300,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,1
RC,300,Collection of venous blood by venipuncture ,45.0,45.0,3.0,3.0,1
RC,300,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,1
RC,300,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,1
RC,300,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,1
RC,300,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,1
RC,300,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,1
RC,300,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,1
RC,300,Compatibility test each unit; electronic ,,,149.16,149.16,1
RC,300,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,1
RC,300,Compatibility test each unit; incubation technique ,,,149.16,149.16,1
RC,300,"Complement fixation tests, each antigen ",,,10.01,10.01,1
RC,300,"Complement; antigen, each component ",,,12.0,12.0,1
RC,300,"Complement; functional activity, each component ",,,12.0,12.0,1
RC,300,Complement; total hemolytic (CH50) ,,,20.32,20.32,1
RC,300,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,1
RC,300,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,1
RC,300,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,1
RC,300,"Concentration (any type), for infectious agents ",,,6.68,6.68,1
RC,300,"Congo red, blood ",,,4.95,4.95,1
RC,300,Copper ,,,12.41,12.41,1
RC,300,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,1
RC,300,Corticosterone ,,,22.52,22.52,1
RC,300,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,1
RC,300,Cortisol; free ,,,16.71,16.71,1
RC,300,Cortisol; total ,,,16.3,16.3,1
RC,300,Creatine ,,,4.64,4.64,1
RC,300,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,1
RC,300,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,1
RC,300,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,1
RC,300,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,1
RC,300,Creatinine; blood ,,,5.12,5.12,1
RC,300,Creatinine; clearance ,,,9.46,9.46,1
RC,300,Creatinine; other source ,,,5.18,5.18,1
RC,300,Cryofibrinogen ,,,14.14,14.14,1
RC,300,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,1
RC,300,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,1
RC,300,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,1
RC,300,Cryopreservation; embryo(s) ,,,656.15,656.15,1
RC,300,Cryopreservation; sperm ,,,149.16,149.16,1
RC,300,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,1
RC,300,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,1
RC,300,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,1
RC,300,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,1
RC,300,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,300,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,300,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,1
RC,300,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,1
RC,300,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,1
RC,300,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,1
RC,300,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,1
RC,300,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,1
RC,300,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,1
RC,300,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,1
RC,300,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,1
RC,300,"Culture, chlamydia, any source ",,,19.6,19.6,1
RC,300,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,1
RC,300,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,1
RC,300,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,1
RC,300,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,1
RC,300,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,1
RC,300,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,1
RC,300,"Culture, mycoplasma, any source ",,,15.39,15.39,1
RC,300,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,1
RC,300,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,1
RC,300,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,1
RC,300,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,1
RC,300,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,1
RC,300,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,1
RC,300,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,1
RC,300,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,1
RC,300,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,1
RC,300,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,1
RC,300,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,1
RC,300,"Culture, typing; other methods ",,,7.74,7.74,1
RC,300,Cyanide ,,,19.4,19.4,1
RC,300,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,1
RC,300,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,1
RC,300,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,1
RC,300,Cyclosporine ,,,18.05,18.05,1
RC,300,Cystatin C ,,,18.52,18.52,1
RC,300,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,1
RC,300,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,1
RC,300,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,1
RC,300,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,1
RC,300,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,300,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,300,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,1
RC,300,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,300,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,300,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,1
RC,300,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,1
RC,300,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,1
RC,300,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,1
RC,300,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,1
RC,300,"Deoxycortisol, 11- ",,,29.28,29.28,1
RC,300,"Deoxyribonuclease, antibody ",,,13.25,13.25,1
RC,300,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,1
RC,300,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,1
RC,300,"Desoxycorticosterone, 11- ",,,30.98,30.98,1
RC,300,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,1
RC,300,Dibucaine number ,,,12.25,12.25,1
RC,300,Digoxin; free ,,,13.28,13.28,1
RC,300,Digoxin; total ,,,13.28,13.28,1
RC,300,Dihydrotestosterone (DHT) ,,,29.28,29.28,1
RC,300,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,1
RC,300,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,4
RC,300,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,1
RC,300,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,1
RC,300,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,1
RC,300,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,1
RC,300,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,1
RC,300,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,1
RC,300,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,1
RC,300,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,1
RC,300,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,1
RC,300,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,1
RC,300,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,1
RC,300,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,1
RC,300,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,1
RC,300,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,1
RC,300,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,1
RC,300,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,1
RC,300,Erythropoietin ,,,18.79,18.79,1
RC,300,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,1
RC,300,Estradiol; total ,,,27.94,27.94,1
RC,300,Estriol ,,,24.18,24.18,1
RC,300,Estrogens; fractionated ,,,32.3,32.3,1
RC,300,Estrogens; total ,,,21.7,21.7,1
RC,300,Estrone ,,,24.95,24.95,1
RC,300,Ethosuximide ,,,16.34,16.34,1
RC,300,Ethylene glycol ,,,14.9,14.9,1
RC,300,Etiocholanolone ,,,26.24,26.24,1
RC,300,Euglobulin lysis ,,,8.41,8.41,1
RC,300,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,1
RC,300,Everolimus ,,,13.73,13.73,1
RC,300,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,1
RC,300,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,1
RC,300,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,1
RC,300,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,1
RC,300,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,1
RC,300,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,1
RC,300,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,1
RC,300,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,1
RC,300,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,1
RC,300,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,1
RC,300,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,1
RC,300,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,1
RC,300,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,1
RC,300,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,300,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,300,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,300,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,300,Factor inhibitor test ,,,12.87,12.87,1
RC,300,"Fat differential, feces, quantitative ",,,22.97,22.97,1
RC,300,"Fat or lipids, feces; qualitative ",,,5.1,5.1,1
RC,300,"Fat or lipids, feces; quantitative ",,,16.8,16.8,1
RC,300,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,1
RC,300,"Fatty acids, nonesterified ",,,18.77,18.77,1
RC,300,Felbamate ,,,18.64,18.64,1
RC,300,Fern test ,,,9.74,9.74,1
RC,300,Ferritin ,,,13.63,13.63,1
RC,300,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,1
RC,300,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,1
RC,300,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,1
RC,300,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,1
RC,300,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,1
RC,300,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,1
RC,300,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,1
RC,300,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,1
RC,300,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,1
RC,300,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,1
RC,300,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,1
RC,300,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,1
RC,300,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,1
RC,300,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,1
RC,300,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,1
RC,300,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,1
RC,300,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,1
RC,300,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,1
RC,300,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,1
RC,300,Fibrinogen; activity ,,,9.72,9.72,1
RC,300,Fibrinogen; antigen ,,,14.46,14.46,1
RC,300,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,1
RC,300,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,1
RC,300,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,1
RC,300,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,1
RC,300,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,1
RC,300,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,1
RC,300,Flecainide ,,,18.64,18.64,1
RC,300,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,1
RC,300,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,1
RC,300,Fluoride ,,,18.54,18.54,1
RC,300,Folic acid; RBC ,,,17.65,17.65,1
RC,300,Folic acid; serum ,,,14.7,14.7,1
RC,300,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,1
RC,300,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,1
RC,300,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,1
RC,300,"Frozen blood, each unit; thawing ",,,291.26,291.26,1
RC,300,"Fructose, semen ",,,17.34,17.34,1
RC,300,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,1
RC,300,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,1
RC,300,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,300,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,1
RC,300,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,1
RC,300,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,1
RC,300,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,1
RC,300,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,1
RC,300,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,1
RC,300,"Galactokinase, RBC ",,,21.48,21.48,1
RC,300,Galactose ,,,11.2,11.2,1
RC,300,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,1
RC,300,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,1
RC,300,Galectin-3 ,,,44.25,44.25,1
RC,300,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,1
RC,300,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,1
RC,300,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,1
RC,300,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,1
RC,300,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,1
RC,300,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,1
RC,300,"Gases, blood, pH only ",,,11.0,11.0,1
RC,300,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,1
RC,300,Gastrin ,,,17.63,17.63,1
RC,300,Gastrin after secretin stimulation ,,,17.69,17.69,1
RC,300,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,1
RC,300,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,1
RC,300,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,1
RC,300,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,1
RC,300,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,1
RC,300,Gentamicin ,,,16.38,16.38,1
RC,300,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,300,Glucagon ,,,14.29,14.29,1
RC,300,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,1
RC,300,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,1
RC,300,Glucagon tolerance test ,,,17.77,17.77,1
RC,300,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,1
RC,300,"Glucose, body fluid, other than blood ",,,3.93,3.93,1
RC,300,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,1
RC,300,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,1
RC,300,"Glucose; blood, reagent strip ",,,5.04,5.04,1
RC,300,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,1
RC,300,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,1
RC,300,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,1
RC,300,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,1
RC,300,"Glucosidase, beta ",,,21.48,21.48,1
RC,300,Glutamate dehydrogenase ,,,13.15,13.15,1
RC,300,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,1
RC,300,Glutathione ,,,15.45,15.45,1
RC,300,"Glutathione reductase, RBC ",,,9.44,9.44,1
RC,300,Glycated protein ,,,16.76,16.76,1
RC,300,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,1
RC,300,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,1
RC,300,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,1
RC,300,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,1
RC,300,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,1
RC,300,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,1
RC,300,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,1
RC,300,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,1
RC,300,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,1
RC,300,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,1
RC,300,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,1
RC,300,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,1
RC,300,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,300,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,300,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,1
RC,300,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,1
RC,300,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,1
RC,300,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,1
RC,300,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,1
RC,300,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,1
RC,300,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,1
RC,300,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,1
RC,300,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,1
RC,300,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,1
RC,300,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,1
RC,300,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,1
RC,300,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,1
RC,300,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,1
RC,300,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,1
RC,300,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,1
RC,300,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,1
RC,300,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,1
RC,300,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,1
RC,300,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,1
RC,300,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,1
RC,300,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,1
RC,300,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,1
RC,300,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,1
RC,300,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,1
RC,300,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,1
RC,300,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,300,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,Hair analysis (excluding arsenic) ,,,4.95,4.95,1
RC,300,Haloperidol ,,,15.78,15.78,1
RC,300,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,1
RC,300,Haptoglobin; phenotypes ,,,26.89,26.89,1
RC,300,Haptoglobin; quantitative ,,,12.58,12.58,1
RC,300,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,1
RC,300,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,1
RC,300,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,1
RC,300,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,1
RC,300,Heinz bodies; direct ,,,4.2,4.2,1
RC,300,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,1
RC,300,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,300,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,300,Helicobacter pylori; drug administration ,,,7.86,7.86,1
RC,300,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,1
RC,300,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,2
RC,300,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,1
RC,300,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,1
RC,300,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,1
RC,300,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,1
RC,300,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,1
RC,300,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,1
RC,300,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,1
RC,300,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,1
RC,300,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,1
RC,300,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,1
RC,300,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,1
RC,300,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,1
RC,300,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,1
RC,300,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,1
RC,300,Hemoglobin; plasma ,,,7.31,7.31,1
RC,300,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,1
RC,300,Hemoglobin; thermolabile ,,,9.0,9.0,1
RC,300,"Hemoglobin; unstable, screen ",,,9.47,9.47,1
RC,300,Hemoglobin; urine ,,,3.95,3.95,1
RC,300,"Hemolysin, acid ",,,8.87,8.87,1
RC,300,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,1
RC,300,Hemolysins and agglutinins; incubated ,,,12.11,12.11,1
RC,300,"Hemosiderin, qualitative ",,,4.75,4.75,1
RC,300,Heparin assay ,,,13.09,13.09,1
RC,300,Heparin neutralization ,,,11.84,11.84,1
RC,300,Heparin-protamine tolerance test ,,,13.09,13.09,1
RC,300,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,1
RC,300,Hepatitis A antibody (HAAb) ,,,12.39,12.39,1
RC,300,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,1
RC,300,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,1
RC,300,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,1
RC,300,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,1
RC,300,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,1
RC,300,Hepatitis C antibody; ,,,14.27,14.27,1
RC,300,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,1
RC,300,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,1
RC,300,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,1
RC,300,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,1
RC,300,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,1
RC,300,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,1
RC,300,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,1
RC,300,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,1
RC,300,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,1
RC,300,Heterophile antibodies; screening ,,,5.18,5.18,1
RC,300,Heterophile antibodies; titer ,,,6.47,6.47,1
RC,300,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,1
RC,300,Histamine ,,,29.53,29.53,1
RC,300,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,1
RC,300,Homocysteine ,,,17.92,17.92,1
RC,300,"Homogenization, tissue, for culture ",,,5.88,5.88,1
RC,300,Homovanillic acid (HVA) ,,,22.41,22.41,1
RC,300,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,300,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,1
RC,300,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,1
RC,300,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,1
RC,300,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,300,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,1
RC,300,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,1
RC,300,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,1
RC,300,Human epididymis protein 4 (HE4) ,,,20.81,20.81,1
RC,300,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,1
RC,300,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,1
RC,300,Hydroxychloroquine ,,,18.64,18.64,1
RC,300,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,1
RC,300,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,1
RC,300,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,1
RC,300,Hydroxyproline; free ,,,22.65,22.65,1
RC,300,Hydroxyproline; total ,,,24.3,24.3,1
RC,300,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,1
RC,300,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,1
RC,300,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,1
RC,300,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,1
RC,300,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,1
RC,300,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,1
RC,300,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,1
RC,300,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,1
RC,300,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,1
RC,300,Immune complex assay ,,,24.37,24.37,1
RC,300,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,1
RC,300,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,1
RC,300,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,1
RC,300,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,1
RC,300,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,1
RC,300,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,1
RC,300,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,1
RC,300,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,1
RC,300,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,1
RC,300,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,1
RC,300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,1
RC,300,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,1
RC,300,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,1
RC,300,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,1
RC,300,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,1
RC,300,Immunoelectrophoresis; serum ,,,29.92,29.92,1
RC,300,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,1
RC,300,Immunofixation electrophoresis; serum ,,,22.34,22.34,1
RC,300,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,1
RC,300,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,1
RC,300,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,1
RC,300,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,1
RC,300,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,1
RC,300,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,1
RC,300,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,1
RC,300,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,1
RC,300,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,31
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,1
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,1
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,1
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,1
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,1
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,1
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,1
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,1
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,1
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,1
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,1
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,1
RC,300,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,1
RC,300,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,1
RC,300,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,300,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,1
RC,300,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,1
RC,300,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,1
RC,300,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,2
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,3
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,1
RC,300,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,1
RC,300,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,1
RC,300,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,1
RC,300,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,1
RC,300,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,1
RC,300,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,1
RC,300,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,1
RC,300,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,1
RC,300,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,1
RC,300,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,1
RC,300,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,1
RC,300,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,1
RC,300,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,1
RC,300,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,1
RC,300,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,1
RC,300,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,1
RC,300,Infliximab ,,,38.57,38.57,1
RC,300,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,1
RC,300,Inhibin A ,,,15.59,15.59,1
RC,300,Insemination of oocytes ,,,149.16,149.16,1
RC,300,Insulin antibodies ,,,21.41,21.41,1
RC,300,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,1
RC,300,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,1
RC,300,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,1
RC,300,Insulin; free ,,,12.95,12.95,1
RC,300,Insulin; total ,,,11.43,11.43,1
RC,300,Interleukin-6 (IL-6) ,,,17.27,17.27,1
RC,300,Intrinsic factor ,,,19.82,19.82,1
RC,300,Intrinsic factor antibodies ,,,15.08,15.08,1
RC,300,Iron ,,,6.47,6.47,1
RC,300,Iron binding capacity ,,,8.74,8.74,1
RC,300,"Iron stain, peripheral blood ",,,6.88,6.88,1
RC,300,"Irradiation of blood product, each unit ",,,33.84,33.84,1
RC,300,Islet cell antibody ,,,23.57,23.57,1
RC,300,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,1
RC,300,Itraconazole ,,,27.11,27.11,1
RC,300,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,1
RC,300,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,1
RC,300,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,1
RC,300,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,1
RC,300,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,1
RC,300,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,1
RC,300,"Ketogenic steroids, fractionation ",,,15.47,15.47,1
RC,300,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,1
RC,300,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,1
RC,300,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,1
RC,300,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,1
RC,300,Lacosamide ,,,27.11,27.11,1
RC,300,Lactate (lactic acid) ,,,11.57,11.57,1
RC,300,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,1
RC,300,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,1
RC,300,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,1
RC,300,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,1
RC,300,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,1
RC,300,"Lactose, urine, qualitative ",,,11.25,11.25,1
RC,300,Lamotrigine ,,,13.25,13.25,1
RC,300,Lead ,,,12.11,12.11,1
RC,300,Leflunomide ,,,38.57,38.57,1
RC,300,Leucine aminopeptidase (LAP) ,,,9.81,9.81,1
RC,300,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,1
RC,300,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,1
RC,300,Leukocyte histamine release test (LHR) ,,,12.46,12.46,1
RC,300,Leukocyte phagocytosis ,,,10.39,10.39,1
RC,300,Leukocyte transfusion ,,,149.16,149.16,1
RC,300,Levetiracetam ,,,13.25,13.25,1
RC,300,Lidocaine ,,,14.69,14.69,1
RC,300,Lipase ,,,6.89,6.89,1
RC,300,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,1
RC,300,Lipoprotein (a) ,,,14.32,14.32,1
RC,300,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,1
RC,300,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,1
RC,300,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,1
RC,300,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,1
RC,300,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,1
RC,300,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,1
RC,300,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,1
RC,300,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,1
RC,300,Lithium ,,,6.61,6.61,1
RC,300,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,1
RC,300,Luteinizing releasing factor (LRH) ,,,17.19,17.19,1
RC,300,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,1
RC,300,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,1
RC,300,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,1
RC,300,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,1
RC,300,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,1
RC,300,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,1
RC,300,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,1
RC,300,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,1
RC,300,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,300,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,1
RC,300,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,300,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,1
RC,300,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,1
RC,300,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,1
RC,300,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,1
RC,300,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,1
RC,300,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,1
RC,300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,1
RC,300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,1
RC,300,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,1
RC,300,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,1
RC,300,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,1
RC,300,Macroscopic examination; arthropod ,,,4.27,4.27,1
RC,300,Macroscopic examination; parasite ,,,4.31,4.31,1
RC,300,Magnesium ,,,6.7,6.7,1
RC,300,Malate dehydrogenase ,,,7.37,7.37,1
RC,300,Manganese ,,,26.65,26.65,1
RC,300,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,1
RC,300,"Meat fibers, feces ",,,4.85,4.85,1
RC,300,"Mechanical fragility, RBC ",,,8.6,8.6,1
RC,300,"Mercury, quantitative ",,,16.26,16.26,1
RC,300,Metanephrines ,,,16.94,16.94,1
RC,300,Methemalbumin ,,,10.74,10.74,1
RC,300,Methotrexate ,,,38.57,38.57,1
RC,300,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,1
RC,300,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,1
RC,300,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,1
RC,300,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,1
RC,300,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,1
RC,300,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,1
RC,300,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,1
RC,300,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,1
RC,300,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,1
RC,300,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,1
RC,300,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,1
RC,300,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,1
RC,300,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,1
RC,300,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,1
RC,300,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,1
RC,300,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,1
RC,300,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,300,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,1
RC,300,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,300,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,1
RC,300,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,1
RC,300,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,1
RC,300,Muramidase ,,,18.75,18.75,1
RC,300,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,1
RC,300,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,1
RC,300,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,1
RC,300,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,300,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,300,Myeloperoxidase (MPO) ,,,50.86,50.86,1
RC,300,Myoglobin ,,,12.92,12.92,1
RC,300,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,1
RC,300,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,1
RC,300,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,1
RC,300,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,300,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,300,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,300,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,1
RC,300,Nasal smear for eosinophils ,,,5.79,5.79,1
RC,300,Natriuretic peptide ,,,39.26,39.26,1
RC,300,"Natural killer (NK) cells, total count ",,,37.73,37.73,1
RC,300,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,1
RC,300,Neurofilament light chain (NfL) ,,,116.23,116.23,1
RC,300,"Neutralization test, viral ",,,16.91,16.91,1
RC,300,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,1
RC,300,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,1
RC,300,Nickel ,,,24.51,24.51,1
RC,300,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,1
RC,300,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,1
RC,300,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,1
RC,300,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,1
RC,300,Nucleotidase 5'- ,,,11.15,11.15,1
RC,300,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,1
RC,300,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,1
RC,300,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,1
RC,300,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,1
RC,300,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,1
RC,300,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,1
RC,300,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,1
RC,300,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,1
RC,300,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,1
RC,300,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,1
RC,300,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,1
RC,300,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,1
RC,300,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,1
RC,300,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,1
RC,300,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,1
RC,300,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,1
RC,300,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,1
RC,300,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,1
RC,300,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,1
RC,300,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,1
RC,300,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,1
RC,300,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,1
RC,300,Oncoprotein; HER-2/neu ,,,64.41,64.41,1
RC,300,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,1
RC,300,Oocyte identification from follicular fluid ,,,149.16,149.16,1
RC,300,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,1
RC,300,"Organic acid, single, quantitative ",,,21.21,21.21,1
RC,300,"Organic acids; qualitative, each specimen ",,,16.45,16.45,1
RC,300,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,1
RC,300,Osmolality; blood ,,,6.61,6.61,1
RC,300,Osmolality; urine ,,,6.82,6.82,1
RC,300,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,1
RC,300,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,1
RC,300,Osteocalcin (bone g1a protein) ,,,29.85,29.85,1
RC,300,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,1
RC,300,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,1
RC,300,Oxalate ,,,14.45,14.45,1
RC,300,Oxcarbazepine ,,,13.25,13.25,1
RC,300,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,1
RC,300,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,1
RC,300,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,1
RC,300,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,1
RC,300,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,1
RC,300,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,1
RC,300,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,1
RC,300,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,1
RC,300,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,1
RC,300,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,1
RC,300,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,300,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,1
RC,300,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,1
RC,300,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,1
RC,300,Parathormone (parathyroid hormone) ,,,41.28,41.28,1
RC,300,"Particle agglutination; screen, each antibody ",,,11.54,11.54,1
RC,300,"Particle agglutination; titer, each antibody ",,,10.64,10.64,1
RC,300,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,1
RC,300,Phencyclidine (PCP) ,,,41.52,41.52,1
RC,300,Phenobarbital ,,,15.3,15.3,1
RC,300,"Phenylalanine (PKU), blood ",,,5.5,5.5,1
RC,300,"Phenylketones, qualitative ",,,3.98,3.98,1
RC,300,Phenytoin; free ,,,13.76,13.76,1
RC,300,Phenytoin; total ,,,13.25,13.25,1
RC,300,"Phosphatase, acid; prostatic ",,,9.66,9.66,1
RC,300,"Phosphatase, acid; total ",,,7.64,7.64,1
RC,300,"Phosphatase, alkaline; ",,,5.18,5.18,1
RC,300,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,1
RC,300,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,1
RC,300,Phosphatidylglycerol ,,,16.52,16.52,1
RC,300,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,1
RC,300,Phosphohexose isomerase ,,,10.73,10.73,1
RC,300,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,1
RC,300,Phospholipid neutralization; platelet ,,,17.98,17.98,1
RC,300,Phosphorus inorganic (phosphate); ,,,4.74,4.74,1
RC,300,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,1
RC,300,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,1
RC,300,Pinworm examinations ,,,4.27,4.27,1
RC,300,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,1
RC,300,Pooling of platelets or other blood products ,,,149.16,149.16,1
RC,300,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,1
RC,300,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,1
RC,300,"Porphyrins, feces, quantitative ",,,39.11,39.11,1
RC,300,"Porphyrins, urine; qualitative ",,,13.36,13.36,1
RC,300,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,1
RC,300,Posaconazole ,,,27.11,27.11,1
RC,300,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,1
RC,300,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,1
RC,300,Potassium; urine ,,,4.73,4.73,1
RC,300,Prealbumin ,,,14.59,14.59,1
RC,300,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,1
RC,300,Pregnanediol ,,,21.27,21.27,1
RC,300,Pregnanetriol ,,,21.05,21.05,1
RC,300,Pregnenolone ,,,20.67,20.67,1
RC,300,Preparation of embryo for transfer (any method) ,,,49.76,49.76,1
RC,300,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,1
RC,300,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,1
RC,300,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,1
RC,300,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,1
RC,300,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,1
RC,300,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,1
RC,300,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,1
RC,300,Primidone ,,,16.59,16.59,1
RC,300,Procainamide; ,,,60.0,60.0,1
RC,300,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,1
RC,300,Procalcitonin (PCT) ,,,27.22,27.22,1
RC,300,Progesterone ,,,20.86,20.86,1
RC,300,Proinsulin ,,,26.69,26.69,1
RC,300,Prolactin ,,,19.38,19.38,1
RC,300,"Prostaglandin, each ",,,41.77,41.77,1
RC,300,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,1
RC,300,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,1
RC,300,Prostate specific antigen (PSA); free ,,,18.39,18.39,1
RC,300,Prostate specific antigen (PSA); total ,,,18.39,18.39,1
RC,300,"Protein, total, by refractometry, any source ",,,5.61,5.61,1
RC,300,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,1
RC,300,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,1
RC,300,"Protein, total, except by refractometry; urine ",,,3.67,3.67,1
RC,300,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,1
RC,300,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,1
RC,300,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,1
RC,300,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,1
RC,300,Prothrombin time; ,,,4.29,4.29,1
RC,300,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,1
RC,300,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,1
RC,300,"Protoporphyrin, RBC; screen ",,,9.74,9.74,1
RC,300,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,1
RC,300,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,1
RC,300,Pyruvate ,,,14.48,14.48,1
RC,300,Pyruvate kinase ,,,9.44,9.44,1
RC,300,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,1
RC,300,Quinidine ,,,14.6,14.6,1
RC,300,Quinine ,,,11.63,11.63,1
RC,300,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,1
RC,300,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,1
RC,300,Receptor assay; estrogen ,,,87.88,87.88,1
RC,300,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,1
RC,300,Receptor assay; progesterone ,,,64.88,64.88,1
RC,300,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,1
RC,300,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,1
RC,300,Renin ,,,21.99,21.99,1
RC,300,Reptilase test ,,,9.85,9.85,1
RC,300,Reticulated platelet assay ,,,35.74,35.74,1
RC,300,Rheumatoid factor; qualitative ,,,6.14,6.14,1
RC,300,Rheumatoid factor; quantitative ,,,5.67,5.67,1
RC,300,Riboflavin (Vitamin B-2) ,,,20.24,20.24,1
RC,300,Rufinamide ,,,27.11,27.11,1
RC,300,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,1
RC,300,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,1
RC,300,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,1
RC,300,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,1
RC,300,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,1
RC,300,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,1
RC,300,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,1
RC,300,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,300,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,1
RC,300,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,1
RC,300,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,1
RC,300,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,1
RC,300,Salicylate ,,,18.64,18.64,1
RC,300,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,1
RC,300,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,1
RC,300,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,1
RC,300,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,1
RC,300,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,1
RC,300,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,1
RC,300,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,1
RC,300,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,1
RC,300,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,1
RC,300,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,1
RC,300,Selenium ,,,25.53,25.53,1
RC,300,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,1
RC,300,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,1
RC,300,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,1
RC,300,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,1
RC,300,Serotonin ,,,30.98,30.98,1
RC,300,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,1
RC,300,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,1
RC,300,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,1
RC,300,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,1
RC,300,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,1
RC,300,Sialic acid ,,,13.44,13.44,1
RC,300,"Sickling of RBC, reduction ",,,5.51,5.51,1
RC,300,Silica ,,,25.21,25.21,1
RC,300,Sirolimus ,,,13.73,13.73,1
RC,300,Skin test; candida ,,,24.67,24.67,1
RC,300,Skin test; histoplasmosis ,,,55.66,55.66,1
RC,300,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,1
RC,300,"Skin test; unlisted antigen, each ",,,24.67,24.67,1
RC,300,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,1
RC,300,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,1
RC,300,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,1
RC,300,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,1
RC,300,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,1
RC,300,Sodium; other source ,,,4.86,4.86,1
RC,300,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,1
RC,300,Sodium; urine ,,,5.06,5.06,1
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,1
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,1
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,1
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,1
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,1
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,1
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,1
RC,300,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,1
RC,300,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,2
RC,300,Somatomedin ,,,21.26,21.26,1
RC,300,Somatostatin ,,,18.28,18.28,1
RC,300,Specific gravity (except urine) ,,,3.28,3.28,1
RC,300,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,1
RC,300,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,1
RC,300,Sperm evaluation; hamster penetration test ,,,19.59,19.59,1
RC,300,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,1
RC,300,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,1
RC,300,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,300,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,300,"Splitting of blood or blood products, each unit ",,,149.16,149.16,1
RC,300,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",585.0,585.0,149.16,149.16,1
RC,300,"Stem cells (ie, CD34), total count ",,,77.78,77.78,1
RC,300,Storage (per year); embryo(s) ,,,149.16,149.16,1
RC,300,Storage (per year); oocyte(s) ,,,291.26,291.26,1
RC,300,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,300,Storage (per year); sperm/semen ,,,149.16,149.16,1
RC,300,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,1
RC,300,"Streptokinase, antibody ",,,12.66,12.66,1
RC,300,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,1
RC,300,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,1
RC,300,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,1
RC,300,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,1
RC,300,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,1
RC,300,"Sulfate, urine ",,,5.49,5.49,1
RC,300,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,1
RC,300,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,1
RC,300,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,1
RC,300,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,1
RC,300,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,1
RC,300,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,1
RC,300,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,1
RC,300,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,1
RC,300,Sweat collection by iontophoresis ,,,49.76,49.76,1
RC,300,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,1
RC,300,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,1
RC,300,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,1
RC,300,T cells; absolute CD4 count ,,,26.78,26.78,1
RC,300,T cells; total count ,,,37.73,37.73,1
RC,300,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,300,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,1
RC,300,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,1
RC,300,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,1
RC,300,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,1
RC,300,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,1
RC,300,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,1
RC,300,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,1
RC,300,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,1
RC,300,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,1
RC,300,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,1
RC,300,Tacrolimus ,,,13.73,13.73,1
RC,300,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,1
RC,300,"Tau, total (tTau) ",,,128.92,128.92,1
RC,300,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,1
RC,300,Testosterone; free ,,,25.47,25.47,1
RC,300,Testosterone; total ,,,25.81,25.81,1
RC,300,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,1
RC,300,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,1
RC,300,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,300,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,1
RC,300,Theophylline ,,,14.14,14.14,1
RC,300,Thiamine (Vitamin B-1) ,,,21.23,21.23,1
RC,300,Thiocyanate ,,,11.63,11.63,1
RC,300,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,1
RC,300,Thrombin time; plasma ,,,5.77,5.77,1
RC,300,Thrombin time; titer ,,,6.85,6.85,1
RC,300,Thrombomodulin ,,,17.27,17.27,1
RC,300,"Thromboplastin inhibition, tissue ",,,9.63,9.63,1
RC,300,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,1
RC,300,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,1
RC,300,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,1
RC,300,"Thymol turbidity, blood ",,,4.95,4.95,1
RC,300,Thyroglobulin ,,,16.06,16.06,1
RC,300,Thyroglobulin antibody ,,,15.91,15.91,1
RC,300,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,1
RC,300,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,1
RC,300,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,1
RC,300,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,1
RC,300,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,1
RC,300,Thyroxine binding globulin (TBG) ,,,14.78,14.78,1
RC,300,Thyroxine; free ,,,9.02,9.02,1
RC,300,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,1
RC,300,Thyroxine; total ,,,6.87,6.87,1
RC,300,Tiagabine ,,,27.11,27.11,1
RC,300,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,1
RC,300,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,300,Tobramycin ,,,16.13,16.13,1
RC,300,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,1
RC,300,Topiramate ,,,11.92,11.92,1
RC,300,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,1
RC,300,Transcortin (cortisol binding globulin) ,,,18.0,18.0,1
RC,300,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,1
RC,300,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,1
RC,300,Transferrin ,,,12.76,12.76,1
RC,300,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,1
RC,300,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,1
RC,300,Triglycerides ,,,5.74,5.74,1
RC,300,Triiodothyronine T3; free ,,,16.94,16.94,1
RC,300,Triiodothyronine T3; reverse ,,,15.76,15.76,1
RC,300,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,1
RC,300,"Troponin, qualitative ",,,10.09,10.09,1
RC,300,"Troponin, quantitative ",,,12.47,12.47,1
RC,300,Trypsin; duodenal fluid ,,,7.2,7.2,1
RC,300,"Trypsin; feces, qualitative ",,,7.3,7.3,1
RC,300,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,1
RC,300,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,1
RC,300,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,1
RC,300,Tyrosine ,,,10.63,10.63,1
RC,300,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,1
RC,300,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,1
RC,300,Unlisted miscellaneous pathology test ,,,49.76,49.76,1
RC,300,Unlisted transfusion medicine procedure ,,,24.67,24.67,1
RC,300,"Urea nitrogen, clearance ",,,7.2,7.2,1
RC,300,"Urea nitrogen, urine ",,,5.56,5.56,1
RC,300,Urea nitrogen; quantitative ,,,3.95,3.95,1
RC,300,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,1
RC,300,Uric acid; blood ,,,4.52,4.52,1
RC,300,Uric acid; other source ,,,5.08,5.08,1
RC,300,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,2
RC,300,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,2
RC,300,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,1
RC,300,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,1
RC,300,Urinalysis; microscopic only ,,,3.05,3.05,1
RC,300,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,1
RC,300,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,1
RC,300,"Urobilinogen, feces, quantitative ",,,16.8,16.8,1
RC,300,"Urobilinogen, urine; qualitative ",,,4.47,4.47,1
RC,300,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,1
RC,300,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,1
RC,300,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,1
RC,300,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,1
RC,300,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,1
RC,300,Vancomycin ,,,13.54,13.54,1
RC,300,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,1
RC,300,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,1
RC,300,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,1
RC,300,Vedolizumab ,,,38.57,38.57,1
RC,300,Very long chain fatty acids ,,,19.75,19.75,1
RC,300,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,1
RC,300,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,1
RC,300,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,1
RC,300,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,1
RC,300,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,1
RC,300,Viscosity ,,,11.67,11.67,1
RC,300,Vitamin A ,,,11.61,11.61,1
RC,300,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,1
RC,300,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,1
RC,300,Vitamin K ,,,13.72,13.72,1
RC,300,"Vitamin, not otherwise specified ",,,17.06,17.06,1
RC,300,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,1
RC,300,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,1
RC,300,"Volume measurement for timed collection, each ",,,3.64,3.64,1
RC,300,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,1
RC,300,Voriconazole ,,,27.11,27.11,1
RC,300,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,1
RC,300,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,1
RC,300,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,1
RC,300,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,1
RC,300,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,1
RC,300,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,1
RC,300,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,1
RC,300,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,1
RC,300,Zinc ,,,11.39,11.39,1
RC,300,Zonisamide ,,,13.25,13.25,1
RC,300,"b-Hexosaminidase, each assay ",,,16.87,16.87,1
RC,300,"pH; body fluid, not otherwise specified ",,,3.58,3.58,1
RC,300,pH; exhaled breath condensate ,,,3.58,3.58,1
RC,301, Laboratory Chemistry  ,,,,,0
RC,301,17-hydroxypregnenolone ,,,22.81,22.81,1
RC,301,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,1
RC,301,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,1
RC,301,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,1
RC,301,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,1
RC,301,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,1
RC,301,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,1
RC,301,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,1
RC,301,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,1
RC,301,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,1
RC,301,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,1
RC,301,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,301,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,1
RC,301,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,1
RC,301,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,1
RC,301,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,1
RC,301,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,Acetaminophen ,1588.0,1588.0,18.64,18.64,1
RC,301,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,1
RC,301,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,1
RC,301,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,1
RC,301,Acetylcholinesterase ,,,12.29,12.29,1
RC,301,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,1
RC,301,Activated Protein C (APC) resistance assay ,,,15.32,15.32,1
RC,301,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,1
RC,301,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,1
RC,301,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,1
RC,301,Adalimumab ,,,38.57,38.57,1
RC,301,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,1
RC,301,Albumin; ischemia modified ,,,33.94,33.94,1
RC,301,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,1
RC,301,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,1
RC,301,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,1
RC,301,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,1
RC,301,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",90.0,90.0,17.27,17.27,1
RC,301,Alcohol (ethanol); breath ,,,30.0,30.0,1
RC,301,Aldosterone ,,,40.75,40.75,1
RC,301,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,1
RC,301,All potassium hydroxide (koh) preparations ,,,5.83,5.83,1
RC,301,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,1
RC,301,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,1
RC,301,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,1
RC,301,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,1
RC,301,Alpha-1-antitrypsin; total ,,,13.44,13.44,1
RC,301,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,1
RC,301,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,1
RC,301,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,1
RC,301,Amikacin ,,,15.08,15.08,1
RC,301,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,1
RC,301,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,1
RC,301,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,1
RC,301,Ammonia ,,,14.57,14.57,1
RC,301,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,1
RC,301,Amylase ,,,6.48,6.48,1
RC,301,Androsterone ,,,25.55,25.55,1
RC,301,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,1
RC,301,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,1
RC,301,Anti-mullerian hormone (AMH) ,122.0,122.0,38.62,38.62,1
RC,301,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,1
RC,301,"Antibody elution (RBC), each elution ",,,149.16,149.16,1
RC,301,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,1
RC,301,Antibody identification; leukocyte antibodies ,,,15.05,15.05,1
RC,301,Antibody identification; platelet antibodies ,,,18.37,18.37,1
RC,301,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,1
RC,301,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,1
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,2
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,2
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,1
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,1
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,1
RC,301,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,1
RC,301,Antibody; Aspergillus ,,,15.05,15.05,1
RC,301,Antibody; Bartonella ,,,10.18,10.18,1
RC,301,Antibody; Blastomyces ,,,12.9,12.9,1
RC,301,Antibody; Bordetella ,,,13.19,13.19,1
RC,301,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,1
RC,301,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,1
RC,301,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,1
RC,301,Antibody; Brucella ,,,8.93,8.93,1
RC,301,Antibody; Campylobacter ,,,13.12,13.12,1
RC,301,Antibody; Candida ,,,12.01,12.01,1
RC,301,Antibody; Chlamydia ,,,11.82,11.82,1
RC,301,"Antibody; Chlamydia, IgM ",,,12.68,12.68,1
RC,301,Antibody; Coccidioides ,,,11.47,11.47,1
RC,301,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,1
RC,301,Antibody; Cryptococcus ,,,14.41,14.41,1
RC,301,Antibody; Diphtheria ,,,15.21,15.21,1
RC,301,Antibody; Ehrlichia ,,,10.18,10.18,1
RC,301,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,1
RC,301,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,1
RC,301,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,1
RC,301,Antibody; Francisella tularensis ,,,14.16,14.16,1
RC,301,Antibody; Giardia lamblia ,,,14.72,14.72,1
RC,301,Antibody; HIV-1 ,,,8.89,8.89,1
RC,301,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,1
RC,301,Antibody; HIV-2 ,,,13.52,13.52,1
RC,301,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,1
RC,301,Antibody; HTLV-I ,,,9.09,9.09,1
RC,301,Antibody; HTLV-II ,,,14.0,14.0,1
RC,301,Antibody; Haemophilus influenza ,,,15.84,15.84,1
RC,301,Antibody; Helicobacter pylori ,,,16.85,16.85,1
RC,301,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,1
RC,301,Antibody; Legionella ,,,15.3,15.3,1
RC,301,Antibody; Leishmania ,,,12.25,12.25,1
RC,301,Antibody; Leptospira ,,,16.2,16.2,1
RC,301,Antibody; Listeria monocytogenes ,,,13.19,13.19,1
RC,301,Antibody; Neisseria meningitidis ,,,13.19,13.19,1
RC,301,Antibody; Nocardia ,,,15.99,15.99,1
RC,301,Antibody; Plasmodium (malaria) ,,,13.19,13.19,1
RC,301,Antibody; Rickettsia ,,,19.35,19.35,1
RC,301,Antibody; Salmonella ,,,13.19,13.19,1
RC,301,Antibody; Shigella ,,,24.48,24.48,1
RC,301,Antibody; Toxoplasma ,,,14.39,14.39,1
RC,301,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,1
RC,301,Antibody; Treponema pallidum ,,,13.24,13.24,1
RC,301,Antibody; Trichinella ,,,12.56,12.56,1
RC,301,Antibody; West Nile virus ,,,14.39,14.39,1
RC,301,"Antibody; West Nile virus, IgM ",,,16.85,16.85,1
RC,301,Antibody; Yersinia ,,,13.19,13.19,1
RC,301,"Antibody; Zika virus, IgM ",,,16.85,16.85,1
RC,301,Antibody; actinomyces ,,,10.18,10.18,1
RC,301,Antibody; adenovirus ,,,12.87,12.87,1
RC,301,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,1
RC,301,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,1
RC,301,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,1
RC,301,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,1
RC,301,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,1
RC,301,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,1
RC,301,"Antibody; encephalitis, Western equine ",,,13.19,13.19,1
RC,301,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,1
RC,301,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,1
RC,301,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,1
RC,301,"Antibody; hepatitis, delta agent ",,,17.16,17.16,1
RC,301,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,1
RC,301,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,1
RC,301,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,1
RC,301,Antibody; histoplasma ,,,13.79,13.79,1
RC,301,Antibody; influenza virus ,,,13.55,13.55,1
RC,301,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,1
RC,301,Antibody; mucormycosis ,,,15.0,15.0,1
RC,301,Antibody; mumps ,,,13.05,13.05,1
RC,301,Antibody; mycoplasma ,,,13.24,13.24,1
RC,301,Antibody; parvovirus ,,,15.03,15.03,1
RC,301,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,1
RC,301,Antibody; respiratory syncytial virus ,,,15.89,15.89,1
RC,301,Antibody; rotavirus ,,,18.23,18.23,1
RC,301,Antibody; rubella ,,,14.39,14.39,1
RC,301,Antibody; rubeola ,,,12.88,12.88,1
RC,301,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,1
RC,301,Antibody; tetanus ,,,14.8,14.8,1
RC,301,Antibody; varicella-zoster ,,,12.88,12.88,1
RC,301,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,1
RC,301,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,1
RC,301,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,1
RC,301,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,1
RC,301,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,1
RC,301,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,1
RC,301,Antinuclear antibodies (ANA); ,,,12.09,12.09,1
RC,301,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,1
RC,301,Antistreptolysin 0; screen ,,,5.77,5.77,1
RC,301,Antistreptolysin 0; titer ,,,7.3,7.3,1
RC,301,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,1
RC,301,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,1
RC,301,"Apolipoprotein, each ",,,21.09,21.09,1
RC,301,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,301,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,1
RC,301,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,301,Arsenic ,,,18.97,18.97,1
RC,301,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,1
RC,301,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,1
RC,301,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,1
RC,301,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,1
RC,301,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,1
RC,301,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,1
RC,301,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,1
RC,301,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,1
RC,301,"B cells, total count ",,,37.73,37.73,1
RC,301,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,1
RC,301,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,1
RC,301,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,1
RC,301,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,1
RC,301,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,1
RC,301,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,1
RC,301,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,1
RC,301,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,1
RC,301,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,301,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,1
RC,301,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,1
RC,301,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,1
RC,301,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,1
RC,301,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,1
RC,301,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,1
RC,301,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,301,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,1
RC,301,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,1
RC,301,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,1
RC,301,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,1
RC,301,Beta-2 microglobulin ,,,16.18,16.18,1
RC,301,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,1
RC,301,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,1
RC,301,Bile acids; cholylglycine ,,,26.58,26.58,1
RC,301,"Bilirubin, total, transcutaneous ",,,5.02,5.02,1
RC,301,Bilirubin; direct ,,,5.02,5.02,1
RC,301,"Bilirubin; feces, qualitative ",,,4.56,4.56,1
RC,301,Bilirubin; total ,,,5.02,5.02,1
RC,301,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,1
RC,301,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,1
RC,301,"Biotinidase, each specimen ",,,16.87,16.87,1
RC,301,Bleeding time ,,,4.82,4.82,1
RC,301,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,1
RC,301,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,1
RC,301,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,1
RC,301,Blood count; automated differential WBC count ,,,6.47,6.47,1
RC,301,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,1
RC,301,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,1
RC,301,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,1
RC,301,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,1
RC,301,Blood count; hematocrit (Hct) ,,,2.37,2.37,1
RC,301,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,1
RC,301,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,1
RC,301,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,1
RC,301,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,1
RC,301,"Blood count; platelet, automated ",,,4.48,4.48,1
RC,301,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,1
RC,301,"Blood count; reticulocyte, automated ",,,3.99,3.99,1
RC,301,"Blood count; reticulocyte, manual ",,,4.31,4.31,1
RC,301,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,1
RC,301,Blood count; spun microhematocrit ,,,7.0,7.0,1
RC,301,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,1
RC,301,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,1
RC,301,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,1
RC,301,"Blood typing, serologic; ABO ",,,2.99,2.99,1
RC,301,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,1
RC,301,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,1
RC,301,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,1
RC,301,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,1
RC,301,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,1
RC,301,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",82.0,82.0,15.92,15.92,1
RC,301,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,1
RC,301,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,1
RC,301,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,1
RC,301,"Bone marrow, smear interpretation ",,,656.15,656.15,1
RC,301,Bradykinin ,,,5.16,5.16,1
RC,301,C-reactive protein; ,,,5.18,5.18,1
RC,301,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,1
RC,301,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,1
RC,301,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,1
RC,301,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,1
RC,301,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,1
RC,301,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,1
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,1
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,1
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,1
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,1
RC,301,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,1
RC,301,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,301,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,301,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,1
RC,301,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,1
RC,301,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,1
RC,301,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,1
RC,301,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,1
RC,301,Cadmium ,,,23.64,23.64,1
RC,301,Caffeine ,,,38.57,38.57,1
RC,301,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,1
RC,301,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,1
RC,301,Calcium; after calcium infusion test ,,,13.34,13.34,1
RC,301,Calcium; ionized ,,,13.68,13.68,1
RC,301,Calcium; total ,,,5.16,5.16,1
RC,301,Calculus; X-ray diffraction ,,,12.52,12.52,1
RC,301,Calculus; infrared spectroscopy ,110.0,110.0,12.9,12.9,1
RC,301,Calculus; qualitative analysis ,,,11.58,11.58,1
RC,301,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,1
RC,301,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,1
RC,301,Carbamazepine; free ,,,13.25,13.25,1
RC,301,Carbamazepine; total ,,,14.57,14.57,1
RC,301,Carbohydrate deficient transferrin ,,,18.06,18.06,1
RC,301,Carboxyhemoglobin; qualitative ,,,14.07,14.07,1
RC,301,Carboxyhemoglobin; quantitative ,465.0,465.0,12.32,12.32,1
RC,301,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,1
RC,301,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,1
RC,301,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,1
RC,301,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,1
RC,301,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,1
RC,301,Carotene ,,,9.22,9.22,1
RC,301,Catecholamines; fractionated ,,,25.25,25.25,1
RC,301,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,1
RC,301,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,1
RC,301,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,1
RC,301,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,1
RC,301,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,1
RC,301,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,1
RC,301,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,1
RC,301,"Cephalin floculation, blood ",,,4.95,4.95,1
RC,301,Ceruloplasmin ,,,10.74,10.74,1
RC,301,Chemiluminescent assay ,,,14.12,14.12,1
RC,301,"Chemotaxis assay, specify method ",,,15.99,15.99,1
RC,301,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,1
RC,301,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,1
RC,301,Chloramphenicol ,,,12.67,12.67,1
RC,301,Chloride; blood ,,,4.6,4.6,1
RC,301,Chloride; urine ,,,5.75,5.75,1
RC,301,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,1
RC,301,Cholinesterase; serum ,,,7.87,7.87,1
RC,301,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,1
RC,301,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,1
RC,301,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,1
RC,301,Chromogenic substrate assay ,,,11.89,11.89,1
RC,301,"Clot lysis time, whole blood dilution ",,,20.37,20.37,1
RC,301,Clot retraction ,,,16.3,16.3,1
RC,301,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,1
RC,301,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,1
RC,301,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,1
RC,301,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,1
RC,301,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,1
RC,301,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,1
RC,301,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,1
RC,301,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,1
RC,301,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,1
RC,301,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,1
RC,301,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,1
RC,301,Clotting; factor VIII related antigen ,,,20.42,20.42,1
RC,301,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,1
RC,301,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,1
RC,301,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,1
RC,301,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,1
RC,301,Clotting; factor XI (PTA) ,,,17.9,17.9,1
RC,301,Clotting; factor XII (Hageman) ,,,19.35,19.35,1
RC,301,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,1
RC,301,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,1
RC,301,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,1
RC,301,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,1
RC,301,Clozapine ,,,20.15,20.15,1
RC,301,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,1
RC,301,Coagulation time; Lee and White ,,,4.69,4.69,1
RC,301,Coagulation time; activated ,,,4.28,4.28,1
RC,301,Coagulation time; other methods ,,,4.49,4.49,1
RC,301,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,1
RC,301,Cold agglutinin; screen ,,,8.07,8.07,1
RC,301,Cold agglutinin; titer ,,,8.06,8.06,1
RC,301,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,1
RC,301,Collection of venous blood by venipuncture ,,,3.0,3.0,1
RC,301,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,1
RC,301,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,1
RC,301,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,1
RC,301,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,1
RC,301,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,1
RC,301,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,1
RC,301,Compatibility test each unit; electronic ,,,149.16,149.16,1
RC,301,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,1
RC,301,Compatibility test each unit; incubation technique ,,,149.16,149.16,1
RC,301,"Complement fixation tests, each antigen ",,,10.01,10.01,1
RC,301,"Complement; antigen, each component ",,,12.0,12.0,1
RC,301,"Complement; functional activity, each component ",,,12.0,12.0,1
RC,301,Complement; total hemolytic (CH50) ,,,20.32,20.32,1
RC,301,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,1
RC,301,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,1
RC,301,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,1
RC,301,"Concentration (any type), for infectious agents ",,,6.68,6.68,1
RC,301,"Congo red, blood ",,,4.95,4.95,1
RC,301,Copper ,,,12.41,12.41,1
RC,301,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,1
RC,301,Corticosterone ,,,22.52,22.52,1
RC,301,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,1
RC,301,Cortisol; total ,,,16.3,16.3,1
RC,301,Creatine ,,,4.64,4.64,1
RC,301,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,1
RC,301,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,1
RC,301,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,1
RC,301,Creatinine; blood ,,,5.12,5.12,1
RC,301,Creatinine; clearance ,,,9.46,9.46,1
RC,301,Creatinine; other source ,,,5.18,5.18,1
RC,301,Cryofibrinogen ,,,14.14,14.14,1
RC,301,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,1
RC,301,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,1
RC,301,Cryopreservation; embryo(s) ,,,656.15,656.15,1
RC,301,Cryopreservation; sperm ,,,149.16,149.16,1
RC,301,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,1
RC,301,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,1
RC,301,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,1
RC,301,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,1
RC,301,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,301,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,301,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,1
RC,301,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,1
RC,301,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,1
RC,301,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,1
RC,301,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,1
RC,301,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,1
RC,301,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,1
RC,301,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,1
RC,301,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,1
RC,301,"Culture, chlamydia, any source ",,,19.6,19.6,1
RC,301,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,1
RC,301,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,1
RC,301,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,1
RC,301,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,1
RC,301,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,1
RC,301,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,1
RC,301,"Culture, mycoplasma, any source ",,,15.39,15.39,1
RC,301,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,1
RC,301,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,1
RC,301,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,1
RC,301,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,1
RC,301,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,1
RC,301,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,1
RC,301,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,1
RC,301,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,1
RC,301,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,1
RC,301,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,1
RC,301,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,1
RC,301,"Culture, typing; other methods ",,,7.74,7.74,1
RC,301,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,1
RC,301,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,1
RC,301,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,1
RC,301,Cyclosporine ,,,18.05,18.05,1
RC,301,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,1
RC,301,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,1
RC,301,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,1
RC,301,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,1
RC,301,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,301,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,301,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,1
RC,301,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,301,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,301,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,1
RC,301,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,1
RC,301,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,1
RC,301,"Deoxyribonuclease, antibody ",,,13.25,13.25,1
RC,301,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,1
RC,301,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,1
RC,301,"Desoxycorticosterone, 11- ",,,30.98,30.98,1
RC,301,Digoxin; free ,,,13.28,13.28,1
RC,301,Digoxin; total ,,,13.28,13.28,1
RC,301,Dihydrotestosterone (DHT) ,,,29.28,29.28,1
RC,301,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,1
RC,301,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,4
RC,301,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,1
RC,301,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,1
RC,301,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,1
RC,301,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,1
RC,301,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,1
RC,301,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,1
RC,301,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,1
RC,301,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,1
RC,301,"Elastase, pancreatic (EL-1), fecal; quantitative ",250.0,250.0,22.97,22.97,1
RC,301,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,1
RC,301,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,1
RC,301,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,1
RC,301,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,1
RC,301,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,1
RC,301,Estrogens; fractionated ,,,32.3,32.3,1
RC,301,Estrone ,,,24.95,24.95,1
RC,301,Etiocholanolone ,,,26.24,26.24,1
RC,301,Euglobulin lysis ,,,8.41,8.41,1
RC,301,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",675.0,675.0,98.11,98.11,1
RC,301,Everolimus ,,,13.73,13.73,1
RC,301,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,1
RC,301,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,1
RC,301,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,1
RC,301,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,1
RC,301,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,1
RC,301,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,1
RC,301,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,1
RC,301,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,1
RC,301,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,1
RC,301,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,1
RC,301,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,1
RC,301,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,1
RC,301,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,1
RC,301,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,301,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,301,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,301,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,301,Factor inhibitor test ,,,12.87,12.87,1
RC,301,"Fat differential, feces, quantitative ",,,22.97,22.97,1
RC,301,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,1
RC,301,Fern test ,,,9.74,9.74,1
RC,301,Ferritin ,,,13.63,13.63,1
RC,301,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,1
RC,301,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,1
RC,301,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,1
RC,301,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,1
RC,301,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,1
RC,301,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,1
RC,301,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,1
RC,301,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,1
RC,301,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,1
RC,301,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,1
RC,301,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,1
RC,301,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,1
RC,301,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,1
RC,301,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,1
RC,301,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,1
RC,301,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,1
RC,301,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,1
RC,301,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,1
RC,301,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,1
RC,301,Fibrinogen; activity ,,,9.72,9.72,1
RC,301,Fibrinogen; antigen ,,,14.46,14.46,1
RC,301,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,1
RC,301,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,1
RC,301,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,1
RC,301,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,1
RC,301,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,1
RC,301,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,1
RC,301,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,1
RC,301,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,1
RC,301,Fluoride ,,,18.54,18.54,1
RC,301,Folic acid; serum ,,,14.7,14.7,1
RC,301,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,1
RC,301,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,1
RC,301,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,1
RC,301,"Frozen blood, each unit; thawing ",,,291.26,291.26,1
RC,301,"Fructose, semen ",,,17.34,17.34,1
RC,301,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,1
RC,301,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,1
RC,301,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,301,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,1
RC,301,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,1
RC,301,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,1
RC,301,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,1
RC,301,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,1
RC,301,"Gabapentin, whole blood, serum, or plasma ",913.0,913.0,21.67,21.67,1
RC,301,Galactose ,,,11.2,11.2,1
RC,301,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,1
RC,301,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,1
RC,301,Galectin-3 ,,,44.25,44.25,1
RC,301,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,1
RC,301,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,1
RC,301,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,1
RC,301,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,1
RC,301,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,1
RC,301,"Gases, blood, pH only ",,,11.0,11.0,1
RC,301,"Gastric acid analysis, includes pH if performed, each specimen ",982.0,982.0,6.71,6.71,1
RC,301,Gastrin after secretin stimulation ,,,17.69,17.69,1
RC,301,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,1
RC,301,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,1
RC,301,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,1
RC,301,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,1
RC,301,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,1
RC,301,Gentamicin ,,,16.38,16.38,1
RC,301,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,301,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,1
RC,301,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,1
RC,301,Glucagon tolerance test ,,,17.77,17.77,1
RC,301,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,1
RC,301,"Glucose, body fluid, other than blood ",,,3.93,3.93,1
RC,301,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,1
RC,301,"Glucose; blood, reagent strip ",,,5.04,5.04,1
RC,301,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,1
RC,301,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,1
RC,301,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,1
RC,301,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,1
RC,301,Glutamate dehydrogenase ,,,13.15,13.15,1
RC,301,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,1
RC,301,Glutathione ,,,15.45,15.45,1
RC,301,"Glutathione reductase, RBC ",,,9.44,9.44,1
RC,301,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,1
RC,301,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,1
RC,301,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,1
RC,301,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,1
RC,301,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,1
RC,301,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,1
RC,301,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,1
RC,301,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,1
RC,301,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,1
RC,301,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,1
RC,301,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,1
RC,301,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,1
RC,301,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,301,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,301,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,1
RC,301,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,1
RC,301,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,1
RC,301,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,1
RC,301,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,1
RC,301,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,1
RC,301,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,1
RC,301,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,1
RC,301,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,1
RC,301,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,1
RC,301,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,1
RC,301,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,1
RC,301,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,1
RC,301,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,1
RC,301,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,1
RC,301,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,1
RC,301,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,1
RC,301,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,1
RC,301,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,1
RC,301,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,1
RC,301,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,1
RC,301,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,1
RC,301,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,1
RC,301,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,1
RC,301,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,1
RC,301,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,1
RC,301,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,301,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,Hair analysis (excluding arsenic) ,,,4.95,4.95,1
RC,301,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,1
RC,301,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,1
RC,301,Haptoglobin; phenotypes ,,,26.89,26.89,1
RC,301,Haptoglobin; quantitative ,,,12.58,12.58,1
RC,301,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,1
RC,301,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,1
RC,301,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,1
RC,301,Heinz bodies; direct ,,,4.2,4.2,1
RC,301,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,1
RC,301,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,301,Helicobacter pylori; drug administration ,,,7.86,7.86,1
RC,301,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,1
RC,301,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,2
RC,301,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,1
RC,301,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,1
RC,301,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,1
RC,301,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,1
RC,301,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,1
RC,301,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,1
RC,301,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,1
RC,301,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,1
RC,301,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,1
RC,301,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,1
RC,301,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,1
RC,301,Hemoglobin; thermolabile ,,,9.0,9.0,1
RC,301,"Hemoglobin; unstable, screen ",,,9.47,9.47,1
RC,301,Hemoglobin; urine ,,,3.95,3.95,1
RC,301,"Hemolysin, acid ",,,8.87,8.87,1
RC,301,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,1
RC,301,Hemolysins and agglutinins; incubated ,,,12.11,12.11,1
RC,301,"Hemosiderin, qualitative ",,,4.75,4.75,1
RC,301,Heparin assay ,,,13.09,13.09,1
RC,301,Heparin neutralization ,,,11.84,11.84,1
RC,301,Heparin-protamine tolerance test ,,,13.09,13.09,1
RC,301,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,1
RC,301,Hepatitis A antibody (HAAb) ,,,12.39,12.39,1
RC,301,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,1
RC,301,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,1
RC,301,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,1
RC,301,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,1
RC,301,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,1
RC,301,Hepatitis C antibody; ,,,14.27,14.27,1
RC,301,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,1
RC,301,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,1
RC,301,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,1
RC,301,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,1
RC,301,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,1
RC,301,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,1
RC,301,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,1
RC,301,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,1
RC,301,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,1
RC,301,Heterophile antibodies; screening ,,,5.18,5.18,1
RC,301,Heterophile antibodies; titer ,,,6.47,6.47,1
RC,301,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,1
RC,301,Histamine ,,,29.53,29.53,1
RC,301,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,1
RC,301,Homocysteine ,,,17.92,17.92,1
RC,301,"Homogenization, tissue, for culture ",,,5.88,5.88,1
RC,301,Homovanillic acid (HVA) ,,,22.41,22.41,1
RC,301,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,301,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,1
RC,301,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,1
RC,301,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,1
RC,301,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,301,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,1
RC,301,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,1
RC,301,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,1
RC,301,Human epididymis protein 4 (HE4) ,,,20.81,20.81,1
RC,301,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,1
RC,301,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,1
RC,301,Hydroxychloroquine ,,,18.64,18.64,1
RC,301,Hydroxyproline; free ,,,22.65,22.65,1
RC,301,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,1
RC,301,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,1
RC,301,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,1
RC,301,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,1
RC,301,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,1
RC,301,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,1
RC,301,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,1
RC,301,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,1
RC,301,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,1
RC,301,Immune complex assay ,,,24.37,24.37,1
RC,301,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,1
RC,301,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,1
RC,301,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,1
RC,301,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,1
RC,301,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,1
RC,301,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,1
RC,301,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,1
RC,301,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,1
RC,301,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,1
RC,301,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,1
RC,301,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,1
RC,301,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,1
RC,301,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,1
RC,301,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,1
RC,301,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,1
RC,301,Immunoelectrophoresis; serum ,,,29.92,29.92,1
RC,301,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,1
RC,301,Immunofixation electrophoresis; serum ,,,22.34,22.34,1
RC,301,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,1
RC,301,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,1
RC,301,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,1
RC,301,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,1
RC,301,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,1
RC,301,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,1
RC,301,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,1
RC,301,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,1
RC,301,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,31
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,1
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,1
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,1
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,1
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,1
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,1
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,1
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,1
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,1
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,1
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,1
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,1
RC,301,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,1
RC,301,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,1
RC,301,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,301,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,1
RC,301,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,1
RC,301,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,1
RC,301,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,2
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,3
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,1
RC,301,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,1
RC,301,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,1
RC,301,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,1
RC,301,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,1
RC,301,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,1
RC,301,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,1
RC,301,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,1
RC,301,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,1
RC,301,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,1
RC,301,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,1
RC,301,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,1
RC,301,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,1
RC,301,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,1
RC,301,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,1
RC,301,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,1
RC,301,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,1
RC,301,Infliximab ,,,38.57,38.57,1
RC,301,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,1
RC,301,Inhibin A ,,,15.59,15.59,1
RC,301,Insemination of oocytes ,,,149.16,149.16,1
RC,301,Insulin antibodies ,,,21.41,21.41,1
RC,301,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,1
RC,301,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,1
RC,301,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,1
RC,301,Insulin; free ,,,12.95,12.95,1
RC,301,Insulin; total ,,,11.43,11.43,1
RC,301,Intrinsic factor ,,,19.82,19.82,1
RC,301,Intrinsic factor antibodies ,,,15.08,15.08,1
RC,301,Iron ,,,6.47,6.47,1
RC,301,Iron binding capacity ,,,8.74,8.74,1
RC,301,"Iron stain, peripheral blood ",,,6.88,6.88,1
RC,301,"Irradiation of blood product, each unit ",,,33.84,33.84,1
RC,301,Islet cell antibody ,,,23.57,23.57,1
RC,301,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,1
RC,301,Itraconazole ,,,27.11,27.11,1
RC,301,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,1
RC,301,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,1
RC,301,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,1
RC,301,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,1
RC,301,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,1
RC,301,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,1
RC,301,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",593.0,593.0,4.52,4.52,1
RC,301,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,1
RC,301,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,1
RC,301,Lacosamide ,,,27.11,27.11,1
RC,301,Lactate (lactic acid) ,,,11.57,11.57,1
RC,301,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,1
RC,301,"Lactoferrin, fecal; quantitative ",106.0,106.0,19.63,19.63,1
RC,301,"Lactose, urine, qualitative ",,,11.25,11.25,1
RC,301,Lamotrigine ,377.0,377.0,13.25,13.25,1
RC,301,Lead ,,,12.11,12.11,1
RC,301,Leflunomide ,,,38.57,38.57,1
RC,301,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,1
RC,301,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,1
RC,301,Leukocyte histamine release test (LHR) ,,,12.46,12.46,1
RC,301,Leukocyte phagocytosis ,,,10.39,10.39,1
RC,301,Leukocyte transfusion ,,,149.16,149.16,1
RC,301,Levetiracetam ,,,13.25,13.25,1
RC,301,Lipase ,,,6.89,6.89,1
RC,301,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,1
RC,301,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,1
RC,301,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,1
RC,301,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,1
RC,301,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,1
RC,301,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,1
RC,301,Lithium ,,,6.61,6.61,1
RC,301,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,1
RC,301,Luteinizing releasing factor (LRH) ,,,17.19,17.19,1
RC,301,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,1
RC,301,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,1
RC,301,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,1
RC,301,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,1
RC,301,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,1
RC,301,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,1
RC,301,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,1
RC,301,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,1
RC,301,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,301,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,1
RC,301,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,301,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,1
RC,301,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,1
RC,301,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,1
RC,301,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,1
RC,301,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,1
RC,301,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,1
RC,301,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,1
RC,301,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,1
RC,301,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,1
RC,301,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,1
RC,301,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,1
RC,301,Macroscopic examination; arthropod ,,,4.27,4.27,1
RC,301,Macroscopic examination; parasite ,,,4.31,4.31,1
RC,301,Magnesium ,,,6.7,6.7,1
RC,301,Malate dehydrogenase ,,,7.37,7.37,1
RC,301,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,1
RC,301,"Meat fibers, feces ",,,4.85,4.85,1
RC,301,"Mechanical fragility, RBC ",,,8.6,8.6,1
RC,301,"Mercury, quantitative ",,,16.26,16.26,1
RC,301,Metanephrines ,,,16.94,16.94,1
RC,301,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,1
RC,301,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,1
RC,301,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,1
RC,301,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,1
RC,301,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,1
RC,301,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,1
RC,301,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,1
RC,301,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,1
RC,301,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,1
RC,301,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,1
RC,301,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,1
RC,301,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,1
RC,301,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,1
RC,301,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,1
RC,301,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,1
RC,301,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,1
RC,301,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,301,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,1
RC,301,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,301,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,1
RC,301,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,1
RC,301,Muramidase ,,,18.75,18.75,1
RC,301,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,1
RC,301,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,1
RC,301,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,301,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,301,Myeloperoxidase (MPO) ,,,50.86,50.86,1
RC,301,Myoglobin ,,,12.92,12.92,1
RC,301,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,1
RC,301,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,1
RC,301,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,1
RC,301,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,301,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,301,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,301,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,1
RC,301,Nasal smear for eosinophils ,,,5.79,5.79,1
RC,301,Natriuretic peptide ,,,39.26,39.26,1
RC,301,"Natural killer (NK) cells, total count ",,,37.73,37.73,1
RC,301,Neurofilament light chain (NfL) ,,,116.23,116.23,1
RC,301,"Neutralization test, viral ",,,16.91,16.91,1
RC,301,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,1
RC,301,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,1
RC,301,Nickel ,,,24.51,24.51,1
RC,301,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,1
RC,301,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,1
RC,301,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,1
RC,301,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,1
RC,301,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,1
RC,301,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,1
RC,301,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,1
RC,301,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,1
RC,301,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,1
RC,301,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,1
RC,301,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,1
RC,301,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,1
RC,301,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,1
RC,301,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,1
RC,301,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,1
RC,301,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,1
RC,301,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,1
RC,301,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,1
RC,301,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,1
RC,301,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,1
RC,301,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,1
RC,301,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,1
RC,301,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,1
RC,301,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,1
RC,301,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,1
RC,301,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,1
RC,301,Oncoprotein; HER-2/neu ,,,64.41,64.41,1
RC,301,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,1
RC,301,Oocyte identification from follicular fluid ,,,149.16,149.16,1
RC,301,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,1
RC,301,"Organic acid, single, quantitative ",,,21.21,21.21,1
RC,301,"Organic acids; qualitative, each specimen ",,,16.45,16.45,1
RC,301,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,1
RC,301,Osmolality; blood ,,,6.61,6.61,1
RC,301,Osmolality; urine ,,,6.82,6.82,1
RC,301,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,1
RC,301,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,1
RC,301,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,1
RC,301,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,1
RC,301,Oxcarbazepine ,,,13.25,13.25,1
RC,301,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,1
RC,301,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,1
RC,301,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,1
RC,301,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,1
RC,301,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,1
RC,301,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,1
RC,301,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,1
RC,301,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,1
RC,301,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,1
RC,301,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,1
RC,301,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,301,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,1
RC,301,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,1
RC,301,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,1
RC,301,Parathormone (parathyroid hormone) ,,,41.28,41.28,1
RC,301,"Particle agglutination; screen, each antibody ",,,11.54,11.54,1
RC,301,"Particle agglutination; titer, each antibody ",,,10.64,10.64,1
RC,301,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,1
RC,301,Phencyclidine (PCP) ,,,41.52,41.52,1
RC,301,Phenobarbital ,,,15.3,15.3,1
RC,301,"Phenylalanine (PKU), blood ",,,5.5,5.5,1
RC,301,"Phenylketones, qualitative ",,,3.98,3.98,1
RC,301,Phenytoin; total ,,,13.25,13.25,1
RC,301,"Phosphatase, alkaline; ",,,5.18,5.18,1
RC,301,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,1
RC,301,Phosphatidylglycerol ,,,16.52,16.52,1
RC,301,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,1
RC,301,Phosphohexose isomerase ,,,10.73,10.73,1
RC,301,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,1
RC,301,Phospholipid neutralization; platelet ,,,17.98,17.98,1
RC,301,Phosphorus inorganic (phosphate); ,,,4.74,4.74,1
RC,301,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,1
RC,301,Pinworm examinations ,,,4.27,4.27,1
RC,301,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,1
RC,301,Pooling of platelets or other blood products ,,,149.16,149.16,1
RC,301,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,1
RC,301,"Porphyrins, feces, quantitative ",,,39.11,39.11,1
RC,301,Posaconazole ,,,27.11,27.11,1
RC,301,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,1
RC,301,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,1
RC,301,Potassium; urine ,,,4.73,4.73,1
RC,301,Prealbumin ,,,14.59,14.59,1
RC,301,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,1
RC,301,Pregnanetriol ,,,21.05,21.05,1
RC,301,Preparation of embryo for transfer (any method) ,,,49.76,49.76,1
RC,301,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,1
RC,301,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,1
RC,301,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,1
RC,301,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,1
RC,301,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,1
RC,301,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,1
RC,301,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,1
RC,301,Procalcitonin (PCT) ,393.0,393.0,27.22,27.22,1
RC,301,Prolactin ,,,19.38,19.38,1
RC,301,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,1
RC,301,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,1
RC,301,Prostate specific antigen (PSA); free ,,,18.39,18.39,1
RC,301,Prostate specific antigen (PSA); total ,,,18.39,18.39,1
RC,301,"Protein, total, by refractometry, any source ",,,5.61,5.61,1
RC,301,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,1
RC,301,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,1
RC,301,"Protein, total, except by refractometry; urine ",,,3.67,3.67,1
RC,301,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,1
RC,301,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,1
RC,301,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,1
RC,301,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,1
RC,301,Prothrombin time; ,,,4.29,4.29,1
RC,301,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,1
RC,301,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,1
RC,301,"Protoporphyrin, RBC; screen ",,,9.74,9.74,1
RC,301,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,1
RC,301,Pyruvate kinase ,,,9.44,9.44,1
RC,301,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,1
RC,301,Quinine ,,,11.63,11.63,1
RC,301,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,1
RC,301,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,1
RC,301,Receptor assay; progesterone ,,,64.88,64.88,1
RC,301,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,1
RC,301,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,1
RC,301,Reptilase test ,,,9.85,9.85,1
RC,301,Reticulated platelet assay ,,,35.74,35.74,1
RC,301,Rheumatoid factor; qualitative ,,,6.14,6.14,1
RC,301,Rheumatoid factor; quantitative ,,,5.67,5.67,1
RC,301,Rufinamide ,,,27.11,27.11,1
RC,301,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,1
RC,301,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,1
RC,301,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,1
RC,301,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,1
RC,301,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,1
RC,301,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,1
RC,301,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,1
RC,301,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,301,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,1
RC,301,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,1
RC,301,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,1
RC,301,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,1
RC,301,Salicylate ,130.0,130.0,18.64,18.64,1
RC,301,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,1
RC,301,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,1
RC,301,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,1
RC,301,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,1
RC,301,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,1
RC,301,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,1
RC,301,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,1
RC,301,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,1
RC,301,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,1
RC,301,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,1
RC,301,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,1
RC,301,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,1
RC,301,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,1
RC,301,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,1
RC,301,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,1
RC,301,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,1
RC,301,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,1
RC,301,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,1
RC,301,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,1
RC,301,"Sickling of RBC, reduction ",,,5.51,5.51,1
RC,301,Silica ,,,25.21,25.21,1
RC,301,Sirolimus ,,,13.73,13.73,1
RC,301,Skin test; candida ,,,24.67,24.67,1
RC,301,Skin test; histoplasmosis ,,,55.66,55.66,1
RC,301,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,1
RC,301,"Skin test; unlisted antigen, each ",,,24.67,24.67,1
RC,301,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,1
RC,301,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,1
RC,301,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,1
RC,301,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,1
RC,301,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,1
RC,301,Sodium; other source ,222.0,222.0,4.86,4.86,1
RC,301,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,1
RC,301,Sodium; urine ,,,5.06,5.06,1
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,1
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,1
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,1
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,1
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,1
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,1
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,1
RC,301,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,1
RC,301,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,2
RC,301,Somatomedin ,,,21.26,21.26,1
RC,301,Somatostatin ,,,18.28,18.28,1
RC,301,Specific gravity (except urine) ,,,3.28,3.28,1
RC,301,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,1
RC,301,Sperm antibodies ,,,10.67,10.67,1
RC,301,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,1
RC,301,Sperm evaluation; hamster penetration test ,,,19.59,19.59,1
RC,301,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,1
RC,301,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,1
RC,301,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,301,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,301,"Splitting of blood or blood products, each unit ",,,149.16,149.16,1
RC,301,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,1
RC,301,"Stem cells (ie, CD34), total count ",,,77.78,77.78,1
RC,301,Storage (per year); embryo(s) ,,,149.16,149.16,1
RC,301,Storage (per year); oocyte(s) ,,,291.26,291.26,1
RC,301,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,301,Storage (per year); sperm/semen ,,,149.16,149.16,1
RC,301,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,1
RC,301,"Streptokinase, antibody ",,,12.66,12.66,1
RC,301,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,1
RC,301,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,1
RC,301,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,1
RC,301,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,1
RC,301,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,1
RC,301,"Sulfate, urine ",,,5.49,5.49,1
RC,301,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,1
RC,301,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,1
RC,301,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,1
RC,301,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,1
RC,301,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,1
RC,301,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,1
RC,301,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,1
RC,301,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,1
RC,301,Sweat collection by iontophoresis ,,,49.76,49.76,1
RC,301,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,1
RC,301,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,1
RC,301,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,1
RC,301,T cells; absolute CD4 count ,,,26.78,26.78,1
RC,301,T cells; total count ,,,37.73,37.73,1
RC,301,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,301,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,1
RC,301,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,1
RC,301,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,1
RC,301,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,1
RC,301,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,1
RC,301,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,1
RC,301,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,1
RC,301,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,1
RC,301,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,1
RC,301,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,1
RC,301,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",208.0,208.0,128.92,128.92,1
RC,301,"Tau, total (tTau) ",208.0,208.0,128.92,128.92,1
RC,301,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,1
RC,301,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,1
RC,301,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,1
RC,301,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,301,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,1
RC,301,Thiamine (Vitamin B-1) ,,,21.23,21.23,1
RC,301,Thiopurine S-methyltransferase (TPMT) ,73.0,73.0,22.17,22.17,1
RC,301,Thrombin time; plasma ,,,5.77,5.77,1
RC,301,Thrombin time; titer ,,,6.85,6.85,1
RC,301,Thrombomodulin ,,,17.27,17.27,1
RC,301,"Thromboplastin inhibition, tissue ",,,9.63,9.63,1
RC,301,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,1
RC,301,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,1
RC,301,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,1
RC,301,"Thymol turbidity, blood ",,,4.95,4.95,1
RC,301,Thyroglobulin antibody ,,,15.91,15.91,1
RC,301,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,1
RC,301,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,1
RC,301,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,1
RC,301,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,1
RC,301,Thyroxine; free ,,,9.02,9.02,1
RC,301,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,1
RC,301,Thyroxine; total ,,,6.87,6.87,1
RC,301,Tiagabine ,,,27.11,27.11,1
RC,301,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,1
RC,301,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,301,Tobramycin ,,,16.13,16.13,1
RC,301,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,1
RC,301,Transcortin (cortisol binding globulin) ,,,18.0,18.0,1
RC,301,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,1
RC,301,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,1
RC,301,Transferrin ,,,12.76,12.76,1
RC,301,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,1
RC,301,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,1
RC,301,Triglycerides ,,,5.74,5.74,1
RC,301,Triiodothyronine T3; free ,,,16.94,16.94,1
RC,301,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,1
RC,301,"Troponin, qualitative ",,,10.09,10.09,1
RC,301,"Troponin, quantitative ",,,12.47,12.47,1
RC,301,Trypsin; duodenal fluid ,,,7.2,7.2,1
RC,301,"Trypsin; feces, qualitative ",,,7.3,7.3,1
RC,301,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,1
RC,301,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,1
RC,301,Tyrosine ,,,10.63,10.63,1
RC,301,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,1
RC,301,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,1
RC,301,Unlisted miscellaneous pathology test ,,,49.76,49.76,1
RC,301,Unlisted transfusion medicine procedure ,,,24.67,24.67,1
RC,301,"Urea nitrogen, clearance ",,,7.2,7.2,1
RC,301,"Urea nitrogen, urine ",,,5.56,5.56,1
RC,301,Urea nitrogen; quantitative ,,,3.95,3.95,1
RC,301,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,1
RC,301,Uric acid; blood ,,,4.52,4.52,1
RC,301,Uric acid; other source ,,,5.08,5.08,1
RC,301,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,2
RC,301,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,2
RC,301,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,1
RC,301,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,1
RC,301,Urinalysis; microscopic only ,,,3.05,3.05,1
RC,301,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,1
RC,301,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,1
RC,301,"Urobilinogen, feces, quantitative ",,,16.8,16.8,1
RC,301,"Urobilinogen, urine; qualitative ",,,4.47,4.47,1
RC,301,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,1
RC,301,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,1
RC,301,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,1
RC,301,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,1
RC,301,Vancomycin ,,,13.54,13.54,1
RC,301,Vedolizumab ,,,38.57,38.57,1
RC,301,Very long chain fatty acids ,,,19.75,19.75,1
RC,301,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,1
RC,301,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,1
RC,301,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,1
RC,301,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,1
RC,301,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,1
RC,301,Viscosity ,,,11.67,11.67,1
RC,301,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,1
RC,301,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,1
RC,301,Vitamin K ,273.0,273.0,13.72,13.72,1
RC,301,"Vitamin, not otherwise specified ",74.0,74.0,17.06,17.06,1
RC,301,"Volatiles (eg, acetic anhydride, diethylether) ",43.0,43.0,17.11,17.11,1
RC,301,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,1
RC,301,"Volume measurement for timed collection, each ",,,3.64,3.64,1
RC,301,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,1
RC,301,Voriconazole ,122.0,122.0,27.11,27.11,1
RC,301,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,1
RC,301,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,1
RC,301,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,1
RC,301,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,1
RC,301,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,1
RC,301,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,1
RC,301,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,1
RC,301,Zonisamide ,305.0,305.0,13.25,13.25,1
RC,301,"b-Hexosaminidase, each assay ",,,16.87,16.87,1
RC,301,"pH; body fluid, not otherwise specified ",,,3.58,3.58,1
RC,301,pH; exhaled breath condensate ,,,3.58,3.58,1
RC,302, Laboratory Immunology   ,,,,,0
RC,302,17-hydroxypregnenolone ,,,22.81,22.81,1
RC,302,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,1
RC,302,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,1
RC,302,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,1
RC,302,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,1
RC,302,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,1
RC,302,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,1
RC,302,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,1
RC,302,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,1
RC,302,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,1
RC,302,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,1
RC,302,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,302,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,1
RC,302,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,1
RC,302,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,1
RC,302,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,1
RC,302,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,Acetaminophen ,,,18.64,18.64,1
RC,302,Acetylcholine receptor (AChR); binding antibody ,218.0,218.0,18.4,18.4,1
RC,302,Acetylcholine receptor (AChR); blocking antibody ,185.0,185.0,18.4,18.4,1
RC,302,Acetylcholine receptor (AChR); modulating antibody ,120.0,120.0,12.05,12.05,1
RC,302,Acetylcholinesterase ,,,12.29,12.29,1
RC,302,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,1
RC,302,Activated Protein C (APC) resistance assay ,,,15.32,15.32,1
RC,302,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,1
RC,302,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,1
RC,302,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,1
RC,302,Adalimumab ,,,38.57,38.57,1
RC,302,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,1
RC,302,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,1
RC,302,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,1
RC,302,Albumin; ischemia modified ,,,33.94,33.94,1
RC,302,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,1
RC,302,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,1
RC,302,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,1
RC,302,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,1
RC,302,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,1
RC,302,Alcohol (ethanol); breath ,,,30.0,30.0,1
RC,302,Aldolase ,,,9.71,9.71,1
RC,302,Aldosterone ,,,40.75,40.75,1
RC,302,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,1
RC,302,All potassium hydroxide (koh) preparations ,,,5.83,5.83,1
RC,302,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",125.0,125.0,17.93,17.93,1
RC,302,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,1
RC,302,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,1
RC,302,Alpha-1-antitrypsin; total ,,,13.44,13.44,1
RC,302,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,1
RC,302,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,1
RC,302,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,1
RC,302,Aluminum ,,,25.48,25.48,1
RC,302,Amikacin ,,,15.08,15.08,1
RC,302,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,1
RC,302,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,1
RC,302,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,1
RC,302,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,1
RC,302,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,1
RC,302,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,1
RC,302,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,1
RC,302,Amiodarone ,,,18.64,18.64,1
RC,302,Ammonia ,,,14.57,14.57,1
RC,302,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,1
RC,302,Amylase ,,,6.48,6.48,1
RC,302,Androstanediol glucuronide ,,,28.83,28.83,1
RC,302,Androstenedione ,,,29.28,29.28,1
RC,302,Androsterone ,,,25.55,25.55,1
RC,302,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,1
RC,302,Angiotensin II ,,,20.52,20.52,1
RC,302,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,1
RC,302,Anti-mullerian hormone (AMH) ,,,38.62,38.62,1
RC,302,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,1
RC,302,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,1
RC,302,Antibody identification; platelet antibodies ,,,18.37,18.37,1
RC,302,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,1
RC,302,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,1
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,2
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,2
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,1
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,1
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,1
RC,302,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,1
RC,302,Antibody; Aspergillus ,,,15.05,15.05,1
RC,302,Antibody; Bartonella ,,,10.18,10.18,1
RC,302,Antibody; Bordetella ,,,13.19,13.19,1
RC,302,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,1
RC,302,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,1
RC,302,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,1
RC,302,Antibody; Brucella ,,,8.93,8.93,1
RC,302,Antibody; Campylobacter ,,,13.12,13.12,1
RC,302,Antibody; Chlamydia ,,,11.82,11.82,1
RC,302,"Antibody; Chlamydia, IgM ",,,12.68,12.68,1
RC,302,Antibody; Coccidioides ,,,11.47,11.47,1
RC,302,Antibody; Cryptococcus ,,,14.41,14.41,1
RC,302,Antibody; Diphtheria ,,,15.21,15.21,1
RC,302,Antibody; Ehrlichia ,,,10.18,10.18,1
RC,302,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,1
RC,302,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,1
RC,302,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,1
RC,302,Antibody; Francisella tularensis ,,,14.16,14.16,1
RC,302,Antibody; Giardia lamblia ,,,14.72,14.72,1
RC,302,Antibody; HIV-1 ,,,8.89,8.89,1
RC,302,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,1
RC,302,Antibody; HIV-2 ,,,13.52,13.52,1
RC,302,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,1
RC,302,Antibody; HTLV-I ,,,9.09,9.09,1
RC,302,Antibody; HTLV-II ,,,14.0,14.0,1
RC,302,Antibody; Haemophilus influenza ,,,15.84,15.84,1
RC,302,Antibody; Helicobacter pylori ,,,16.85,16.85,1
RC,302,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,1
RC,302,Antibody; Legionella ,,,15.3,15.3,1
RC,302,Antibody; Leishmania ,,,12.25,12.25,1
RC,302,Antibody; Neisseria meningitidis ,,,13.19,13.19,1
RC,302,Antibody; Nocardia ,,,15.99,15.99,1
RC,302,Antibody; Plasmodium (malaria) ,,,13.19,13.19,1
RC,302,Antibody; Rickettsia ,,,19.35,19.35,1
RC,302,Antibody; Shigella ,,,24.48,24.48,1
RC,302,Antibody; Treponema pallidum ,,,13.24,13.24,1
RC,302,Antibody; West Nile virus ,,,14.39,14.39,1
RC,302,"Antibody; West Nile virus, IgM ",,,16.85,16.85,1
RC,302,Antibody; Yersinia ,,,13.19,13.19,1
RC,302,"Antibody; Zika virus, IgM ",,,16.85,16.85,1
RC,302,Antibody; actinomyces ,,,10.18,10.18,1
RC,302,"Antibody; bacterium, not elsewhere specified ",125.0,125.0,12.88,12.88,1
RC,302,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,1
RC,302,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,1
RC,302,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,1
RC,302,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,1
RC,302,"Antibody; hepatitis, delta agent ",146.0,146.0,17.16,17.16,1
RC,302,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,1
RC,302,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,1
RC,302,Antibody; histoplasma ,,,13.79,13.79,1
RC,302,Antibody; influenza virus ,,,13.55,13.55,1
RC,302,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,1
RC,302,Antibody; mucormycosis ,,,15.0,15.0,1
RC,302,Antibody; mumps ,,,13.05,13.05,1
RC,302,Antibody; mycoplasma ,,,13.24,13.24,1
RC,302,Antibody; parvovirus ,,,15.03,15.03,1
RC,302,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,1
RC,302,Antibody; rotavirus ,,,18.23,18.23,1
RC,302,Antibody; rubella ,,,14.39,14.39,1
RC,302,Antibody; rubeola ,,,12.88,12.88,1
RC,302,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,1
RC,302,Antibody; tetanus ,,,14.8,14.8,1
RC,302,Antibody; varicella-zoster ,,,12.88,12.88,1
RC,302,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,1
RC,302,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,1
RC,302,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,1
RC,302,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,1
RC,302,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,1
RC,302,Antinuclear antibodies (ANA); ,,,12.09,12.09,1
RC,302,Antistreptolysin 0; titer ,62.0,62.0,7.3,7.3,1
RC,302,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,1
RC,302,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,1
RC,302,"Apolipoprotein, each ",,,21.09,21.09,1
RC,302,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",40.0,40.0,12.05,12.05,1
RC,302,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,200.0,200.0,11.53,11.53,1
RC,302,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,302,Arsenic ,,,18.97,18.97,1
RC,302,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,1
RC,302,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,1
RC,302,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,1
RC,302,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,1
RC,302,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,1
RC,302,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,1
RC,302,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,1
RC,302,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,1
RC,302,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,1
RC,302,"B cells, total count ",478.0,478.0,37.73,37.73,1
RC,302,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,1
RC,302,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,1
RC,302,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,1
RC,302,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,1
RC,302,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,1
RC,302,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,1
RC,302,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,1
RC,302,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,1
RC,302,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,302,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,1
RC,302,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,1
RC,302,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,1
RC,302,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,1
RC,302,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,1
RC,302,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,1
RC,302,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,302,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,1
RC,302,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,1
RC,302,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,1
RC,302,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,1
RC,302,Beta-2 microglobulin ,,,16.18,16.18,1
RC,302,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,1
RC,302,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,1
RC,302,Bile acids; cholylglycine ,,,26.58,26.58,1
RC,302,Bile acids; total ,,,17.12,17.12,1
RC,302,"Bilirubin, total, transcutaneous ",,,5.02,5.02,1
RC,302,Bilirubin; direct ,,,5.02,5.02,1
RC,302,"Bilirubin; feces, qualitative ",,,4.56,4.56,1
RC,302,Bilirubin; total ,,,5.02,5.02,1
RC,302,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,1
RC,302,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,1
RC,302,"Biotinidase, each specimen ",,,16.87,16.87,1
RC,302,Bleeding time ,,,4.82,4.82,1
RC,302,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,1
RC,302,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,1
RC,302,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,1
RC,302,Blood count; automated differential WBC count ,,,6.47,6.47,1
RC,302,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,1
RC,302,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,1
RC,302,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,1
RC,302,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,1
RC,302,Blood count; hematocrit (Hct) ,,,2.37,2.37,1
RC,302,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,1
RC,302,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,1
RC,302,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,1
RC,302,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,1
RC,302,"Blood count; platelet, automated ",,,4.48,4.48,1
RC,302,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,1
RC,302,"Blood count; reticulocyte, automated ",,,3.99,3.99,1
RC,302,"Blood count; reticulocyte, manual ",,,4.31,4.31,1
RC,302,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,1
RC,302,Blood count; spun microhematocrit ,,,7.0,7.0,1
RC,302,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,1
RC,302,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,1
RC,302,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,1
RC,302,"Blood typing, serologic; ABO ",,,2.99,2.99,1
RC,302,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,1
RC,302,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,1
RC,302,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,1
RC,302,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,1
RC,302,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,1
RC,302,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,1
RC,302,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,1
RC,302,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,1
RC,302,"Bone marrow, smear interpretation ",,,656.15,656.15,1
RC,302,Bradykinin ,,,5.16,5.16,1
RC,302,C-peptide ,,,20.81,20.81,1
RC,302,C-reactive protein; ,,,5.18,5.18,1
RC,302,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,1
RC,302,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,1
RC,302,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,1
RC,302,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,1
RC,302,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,1
RC,302,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,1
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,1
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,1
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,1
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,1
RC,302,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,1
RC,302,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,302,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,302,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,1
RC,302,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,1
RC,302,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,1
RC,302,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,1
RC,302,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,1
RC,302,Cadmium ,,,23.64,23.64,1
RC,302,Caffeine ,,,38.57,38.57,1
RC,302,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,1
RC,302,Calcitonin ,,,26.79,26.79,1
RC,302,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,1
RC,302,Calcium; after calcium infusion test ,,,13.34,13.34,1
RC,302,Calcium; ionized ,,,13.68,13.68,1
RC,302,Calcium; total ,,,5.16,5.16,1
RC,302,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,1
RC,302,Calculus; X-ray diffraction ,,,12.52,12.52,1
RC,302,Calculus; infrared spectroscopy ,,,12.9,12.9,1
RC,302,Calculus; qualitative analysis ,,,11.58,11.58,1
RC,302,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,1
RC,302,"Calprotectin, fecal ",,,19.63,19.63,1
RC,302,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,1
RC,302,Carbamazepine; free ,,,13.25,13.25,1
RC,302,Carbamazepine; total ,,,14.57,14.57,1
RC,302,Carbohydrate deficient transferrin ,,,18.06,18.06,1
RC,302,Carbon dioxide (bicarbonate) ,,,4.88,4.88,1
RC,302,Carboxyhemoglobin; qualitative ,,,14.07,14.07,1
RC,302,Carboxyhemoglobin; quantitative ,,,12.32,12.32,1
RC,302,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,1
RC,302,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,1
RC,302,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,1
RC,302,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,1
RC,302,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,1
RC,302,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,1
RC,302,Carotene ,,,9.22,9.22,1
RC,302,Catecholamines; blood ,,,29.08,29.08,1
RC,302,Catecholamines; fractionated ,,,25.25,25.25,1
RC,302,Catecholamines; total urine ,,,27.3,27.3,1
RC,302,Cathepsin-D ,,,18.06,18.06,1
RC,302,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,1
RC,302,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,1
RC,302,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,1
RC,302,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,1
RC,302,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,1
RC,302,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,1
RC,302,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,1
RC,302,"Cephalin floculation, blood ",,,4.95,4.95,1
RC,302,Ceruloplasmin ,,,10.74,10.74,1
RC,302,Chemiluminescent assay ,,,14.12,14.12,1
RC,302,"Chemotaxis assay, specify method ",,,15.99,15.99,1
RC,302,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,1
RC,302,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,1
RC,302,Chloramphenicol ,,,12.67,12.67,1
RC,302,Chloride; blood ,,,4.6,4.6,1
RC,302,Chloride; other source ,,,5.0,5.0,1
RC,302,Chloride; urine ,,,5.75,5.75,1
RC,302,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,1
RC,302,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,1
RC,302,Cholinesterase; RBC ,,,9.81,9.81,1
RC,302,Cholinesterase; serum ,,,7.87,7.87,1
RC,302,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,1
RC,302,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,1
RC,302,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,1
RC,302,Chromium ,,,20.28,20.28,1
RC,302,Chromogenic substrate assay ,,,11.89,11.89,1
RC,302,Citrate ,,,27.8,27.8,1
RC,302,"Clot lysis time, whole blood dilution ",,,20.37,20.37,1
RC,302,Clot retraction ,,,16.3,16.3,1
RC,302,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,1
RC,302,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,1
RC,302,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,1
RC,302,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,1
RC,302,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,1
RC,302,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,1
RC,302,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,1
RC,302,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,1
RC,302,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,1
RC,302,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,1
RC,302,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,1
RC,302,Clotting; factor VIII related antigen ,,,20.42,20.42,1
RC,302,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,1
RC,302,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,1
RC,302,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,1
RC,302,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,1
RC,302,Clotting; factor XI (PTA) ,,,17.9,17.9,1
RC,302,Clotting; factor XII (Hageman) ,,,19.35,19.35,1
RC,302,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,1
RC,302,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,1
RC,302,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,1
RC,302,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,1
RC,302,Clozapine ,,,20.15,20.15,1
RC,302,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,1
RC,302,Coagulation time; Lee and White ,,,4.69,4.69,1
RC,302,Coagulation time; activated ,,,4.28,4.28,1
RC,302,Coagulation time; other methods ,,,4.49,4.49,1
RC,302,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,1
RC,302,Cold agglutinin; screen ,,,8.07,8.07,1
RC,302,Cold agglutinin; titer ,,,8.06,8.06,1
RC,302,"Collagen cross links, any method ",,,18.68,18.68,1
RC,302,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,1
RC,302,Collection of venous blood by venipuncture ,,,3.0,3.0,1
RC,302,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,1
RC,302,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,1
RC,302,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,1
RC,302,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,1
RC,302,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,1
RC,302,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,1
RC,302,Compatibility test each unit; electronic ,690.0,690.0,149.16,149.16,1
RC,302,"Complement fixation tests, each antigen ",,,10.01,10.01,1
RC,302,"Complement; antigen, each component ",,,12.0,12.0,1
RC,302,"Complement; functional activity, each component ",,,12.0,12.0,1
RC,302,Complement; total hemolytic (CH50) ,,,20.32,20.32,1
RC,302,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,1
RC,302,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,1
RC,302,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,1
RC,302,"Concentration (any type), for infectious agents ",,,6.68,6.68,1
RC,302,"Congo red, blood ",,,4.95,4.95,1
RC,302,Copper ,,,12.41,12.41,1
RC,302,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,1
RC,302,Corticosterone ,,,22.52,22.52,1
RC,302,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,1
RC,302,Cortisol; free ,,,16.71,16.71,1
RC,302,Cortisol; total ,,,16.3,16.3,1
RC,302,Creatine ,,,4.64,4.64,1
RC,302,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,1
RC,302,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,1
RC,302,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,1
RC,302,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,1
RC,302,Creatinine; blood ,,,5.12,5.12,1
RC,302,Creatinine; clearance ,,,9.46,9.46,1
RC,302,Creatinine; other source ,,,5.18,5.18,1
RC,302,Cryofibrinogen ,,,14.14,14.14,1
RC,302,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,1
RC,302,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,1
RC,302,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,1
RC,302,Cryopreservation; embryo(s) ,,,656.15,656.15,1
RC,302,Cryopreservation; sperm ,,,149.16,149.16,1
RC,302,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,1
RC,302,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,1
RC,302,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,1
RC,302,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,1
RC,302,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,302,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,302,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,1
RC,302,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,1
RC,302,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,1
RC,302,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,1
RC,302,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,1
RC,302,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,1
RC,302,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,1
RC,302,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,1
RC,302,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,1
RC,302,"Culture, chlamydia, any source ",,,19.6,19.6,1
RC,302,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,1
RC,302,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,1
RC,302,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,1
RC,302,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,1
RC,302,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,1
RC,302,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,1
RC,302,"Culture, mycoplasma, any source ",,,15.39,15.39,1
RC,302,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,1
RC,302,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,1
RC,302,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,1
RC,302,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,1
RC,302,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,1
RC,302,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,1
RC,302,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,1
RC,302,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,1
RC,302,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,1
RC,302,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,1
RC,302,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,1
RC,302,"Culture, typing; other methods ",,,7.74,7.74,1
RC,302,Cyanide ,,,19.4,19.4,1
RC,302,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,1
RC,302,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,1
RC,302,Cyclosporine ,,,18.05,18.05,1
RC,302,Cystatin C ,,,18.52,18.52,1
RC,302,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,1
RC,302,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,1
RC,302,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,1
RC,302,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,1
RC,302,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,302,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,302,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,1
RC,302,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,302,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,302,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,1
RC,302,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,1
RC,302,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,1
RC,302,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,1
RC,302,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,1
RC,302,"Deoxycortisol, 11- ",,,29.28,29.28,1
RC,302,"Deoxyribonuclease, antibody ",100.0,100.0,13.25,13.25,1
RC,302,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,1
RC,302,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,1
RC,302,"Desoxycorticosterone, 11- ",,,30.98,30.98,1
RC,302,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,1
RC,302,Dibucaine number ,,,12.25,12.25,1
RC,302,Digoxin; free ,,,13.28,13.28,1
RC,302,Digoxin; total ,,,13.28,13.28,1
RC,302,Dihydrotestosterone (DHT) ,,,29.28,29.28,1
RC,302,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,1
RC,302,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,4
RC,302,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,1
RC,302,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,1
RC,302,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,1
RC,302,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,1
RC,302,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,1
RC,302,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,1
RC,302,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,1
RC,302,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,1
RC,302,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,1
RC,302,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,1
RC,302,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,1
RC,302,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,1
RC,302,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,1
RC,302,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,1
RC,302,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,1
RC,302,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,1
RC,302,Erythropoietin ,,,18.79,18.79,1
RC,302,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,1
RC,302,Estradiol; total ,,,27.94,27.94,1
RC,302,Estriol ,,,24.18,24.18,1
RC,302,Estrogens; fractionated ,,,32.3,32.3,1
RC,302,Estrogens; total ,,,21.7,21.7,1
RC,302,Estrone ,,,24.95,24.95,1
RC,302,Ethosuximide ,,,16.34,16.34,1
RC,302,Ethylene glycol ,,,14.9,14.9,1
RC,302,Etiocholanolone ,,,26.24,26.24,1
RC,302,Euglobulin lysis ,,,8.41,8.41,1
RC,302,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,1
RC,302,Everolimus ,,,13.73,13.73,1
RC,302,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,1
RC,302,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,1
RC,302,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,1
RC,302,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,1
RC,302,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,1
RC,302,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,1
RC,302,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,1
RC,302,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,1
RC,302,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,1
RC,302,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,1
RC,302,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,1
RC,302,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,1
RC,302,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,1
RC,302,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,302,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,302,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,302,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,302,Factor inhibitor test ,,,12.87,12.87,1
RC,302,"Fat differential, feces, quantitative ",,,22.97,22.97,1
RC,302,"Fat or lipids, feces; qualitative ",,,5.1,5.1,1
RC,302,"Fat or lipids, feces; quantitative ",,,16.8,16.8,1
RC,302,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,1
RC,302,"Fatty acids, nonesterified ",,,18.77,18.77,1
RC,302,Felbamate ,,,18.64,18.64,1
RC,302,Fern test ,,,9.74,9.74,1
RC,302,Ferritin ,,,13.63,13.63,1
RC,302,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,1
RC,302,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,1
RC,302,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,1
RC,302,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,1
RC,302,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,1
RC,302,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,1
RC,302,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,1
RC,302,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,1
RC,302,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,1
RC,302,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,1
RC,302,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,1
RC,302,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,1
RC,302,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,1
RC,302,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,1
RC,302,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,1
RC,302,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,1
RC,302,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,1
RC,302,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,1
RC,302,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,1
RC,302,Fibrinogen; activity ,,,9.72,9.72,1
RC,302,Fibrinogen; antigen ,,,14.46,14.46,1
RC,302,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,1
RC,302,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,1
RC,302,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,1
RC,302,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,1
RC,302,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,1
RC,302,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,1
RC,302,Flecainide ,,,18.64,18.64,1
RC,302,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,1
RC,302,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,1
RC,302,Fluoride ,,,18.54,18.54,1
RC,302,Folic acid; RBC ,,,17.65,17.65,1
RC,302,Folic acid; serum ,,,14.7,14.7,1
RC,302,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,1
RC,302,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,1
RC,302,"Frozen blood, each unit; thawing ",,,291.26,291.26,1
RC,302,"Fructose, semen ",,,17.34,17.34,1
RC,302,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,1
RC,302,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,1
RC,302,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,302,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,1
RC,302,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,1
RC,302,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,1
RC,302,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,1
RC,302,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,1
RC,302,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,1
RC,302,"Galactokinase, RBC ",,,21.48,21.48,1
RC,302,Galactose ,,,11.2,11.2,1
RC,302,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,1
RC,302,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,1
RC,302,Galectin-3 ,,,44.25,44.25,1
RC,302,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,1
RC,302,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,1
RC,302,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,1
RC,302,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,1
RC,302,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,1
RC,302,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,1
RC,302,"Gases, blood, pH only ",,,11.0,11.0,1
RC,302,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,1
RC,302,Gastrin ,,,17.63,17.63,1
RC,302,Gastrin after secretin stimulation ,,,17.69,17.69,1
RC,302,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,1
RC,302,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,1
RC,302,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,1
RC,302,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,1
RC,302,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,1
RC,302,Gentamicin ,,,16.38,16.38,1
RC,302,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,302,Glucagon ,,,14.29,14.29,1
RC,302,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,1
RC,302,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,1
RC,302,Glucagon tolerance test ,,,17.77,17.77,1
RC,302,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,1
RC,302,"Glucose, body fluid, other than blood ",,,3.93,3.93,1
RC,302,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,1
RC,302,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,1
RC,302,"Glucose; blood, reagent strip ",,,5.04,5.04,1
RC,302,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,1
RC,302,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,1
RC,302,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,1
RC,302,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,1
RC,302,"Glucosidase, beta ",,,21.48,21.48,1
RC,302,Glutamate dehydrogenase ,,,13.15,13.15,1
RC,302,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,1
RC,302,Glutathione ,,,15.45,15.45,1
RC,302,"Glutathione reductase, RBC ",,,9.44,9.44,1
RC,302,Glycated protein ,,,16.76,16.76,1
RC,302,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,1
RC,302,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,1
RC,302,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,1
RC,302,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,1
RC,302,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,1
RC,302,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,1
RC,302,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,1
RC,302,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,1
RC,302,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,1
RC,302,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,1
RC,302,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,1
RC,302,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,302,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,302,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,1
RC,302,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,1
RC,302,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,1
RC,302,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,1
RC,302,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,1
RC,302,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,1
RC,302,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,1
RC,302,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,1
RC,302,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,1
RC,302,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,1
RC,302,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,1
RC,302,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,1
RC,302,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,1
RC,302,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,1
RC,302,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,1
RC,302,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,1
RC,302,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,1
RC,302,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,1
RC,302,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,1
RC,302,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,1
RC,302,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,1
RC,302,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,1
RC,302,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,1
RC,302,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,1
RC,302,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,1
RC,302,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,302,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,Hair analysis (excluding arsenic) ,,,4.95,4.95,1
RC,302,Haloperidol ,,,15.78,15.78,1
RC,302,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,1
RC,302,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,1
RC,302,Haptoglobin; phenotypes ,,,26.89,26.89,1
RC,302,Haptoglobin; quantitative ,,,12.58,12.58,1
RC,302,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,1
RC,302,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,1
RC,302,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,1
RC,302,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,1
RC,302,Heinz bodies; direct ,,,4.2,4.2,1
RC,302,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,1
RC,302,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,302,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,302,Helicobacter pylori; drug administration ,,,7.86,7.86,1
RC,302,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,1
RC,302,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,2
RC,302,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,1
RC,302,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,1
RC,302,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,1
RC,302,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,1
RC,302,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,1
RC,302,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,1
RC,302,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,1
RC,302,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,1
RC,302,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,1
RC,302,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,1
RC,302,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,1
RC,302,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,1
RC,302,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,1
RC,302,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,1
RC,302,Hemoglobin; plasma ,,,7.31,7.31,1
RC,302,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,1
RC,302,Hemoglobin; thermolabile ,,,9.0,9.0,1
RC,302,"Hemoglobin; unstable, screen ",,,9.47,9.47,1
RC,302,Hemoglobin; urine ,,,3.95,3.95,1
RC,302,"Hemolysin, acid ",,,8.87,8.87,1
RC,302,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,1
RC,302,Hemolysins and agglutinins; incubated ,507.0,507.0,12.11,12.11,1
RC,302,"Hemosiderin, qualitative ",,,4.75,4.75,1
RC,302,Heparin assay ,,,13.09,13.09,1
RC,302,Heparin neutralization ,,,11.84,11.84,1
RC,302,Heparin-protamine tolerance test ,,,13.09,13.09,1
RC,302,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,1
RC,302,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,1
RC,302,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,1
RC,302,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,1
RC,302,Hepatitis C antibody; ,,,14.27,14.27,1
RC,302,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,1
RC,302,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,1
RC,302,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,1
RC,302,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,1
RC,302,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,1
RC,302,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,1
RC,302,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,1
RC,302,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,1
RC,302,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,1
RC,302,Heterophile antibodies; screening ,,,5.18,5.18,1
RC,302,Heterophile antibodies; titer ,,,6.47,6.47,1
RC,302,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,1
RC,302,Histamine ,,,29.53,29.53,1
RC,302,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,1
RC,302,Homocysteine ,,,17.92,17.92,1
RC,302,"Homogenization, tissue, for culture ",,,5.88,5.88,1
RC,302,Homovanillic acid (HVA) ,,,22.41,22.41,1
RC,302,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,302,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,1
RC,302,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,1
RC,302,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,1
RC,302,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,302,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,1
RC,302,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,1
RC,302,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,1
RC,302,Human epididymis protein 4 (HE4) ,,,20.81,20.81,1
RC,302,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,1
RC,302,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,1
RC,302,Hydroxychloroquine ,,,18.64,18.64,1
RC,302,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,1
RC,302,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,1
RC,302,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,1
RC,302,Hydroxyproline; free ,,,22.65,22.65,1
RC,302,Hydroxyproline; total ,,,24.3,24.3,1
RC,302,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,1
RC,302,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,1
RC,302,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,1
RC,302,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,1
RC,302,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,1
RC,302,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,1
RC,302,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,1
RC,302,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,1
RC,302,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,1
RC,302,Immune complex assay ,,,24.37,24.37,1
RC,302,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,1
RC,302,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,1
RC,302,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,1
RC,302,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,1
RC,302,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,1
RC,302,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,1
RC,302,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,1
RC,302,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,1
RC,302,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,1
RC,302,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,1
RC,302,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,1
RC,302,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,1
RC,302,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",100.0,100.0,11.98,11.98,1
RC,302,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,1
RC,302,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,1
RC,302,Immunoelectrophoresis; serum ,,,29.92,29.92,1
RC,302,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,1
RC,302,Immunofixation electrophoresis; serum ,,,22.34,22.34,1
RC,302,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,1
RC,302,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,1
RC,302,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,1
RC,302,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,1
RC,302,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,1
RC,302,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,1
RC,302,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,1
RC,302,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",87.0,87.0,11.98,11.98,1
RC,302,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,31
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,1
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,1
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,1
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,1
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,1
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,1
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,1
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,1
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,1
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,1
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,1
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,1
RC,302,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,1
RC,302,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,1
RC,302,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,302,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,1
RC,302,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,1
RC,302,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,1
RC,302,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,2
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,3
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,1
RC,302,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,1
RC,302,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,1
RC,302,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,1
RC,302,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,1
RC,302,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,1
RC,302,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,1
RC,302,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,1
RC,302,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,1
RC,302,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,1
RC,302,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,1
RC,302,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,1
RC,302,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,1
RC,302,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,1
RC,302,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,1
RC,302,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,1
RC,302,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,1
RC,302,Infliximab ,,,38.57,38.57,1
RC,302,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,1
RC,302,Inhibin A ,,,15.59,15.59,1
RC,302,Insemination of oocytes ,,,149.16,149.16,1
RC,302,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,1
RC,302,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,1
RC,302,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,1
RC,302,Insulin; free ,,,12.95,12.95,1
RC,302,Insulin; total ,,,11.43,11.43,1
RC,302,Interleukin-6 (IL-6) ,,,17.27,17.27,1
RC,302,Intrinsic factor ,,,19.82,19.82,1
RC,302,Iron ,,,6.47,6.47,1
RC,302,Iron binding capacity ,,,8.74,8.74,1
RC,302,"Iron stain, peripheral blood ",,,6.88,6.88,1
RC,302,Islet cell antibody ,,,23.57,23.57,1
RC,302,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,1
RC,302,Itraconazole ,,,27.11,27.11,1
RC,302,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,1
RC,302,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,1
RC,302,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,1
RC,302,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,1
RC,302,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,1
RC,302,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,1
RC,302,"Ketogenic steroids, fractionation ",,,15.47,15.47,1
RC,302,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,1
RC,302,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,1
RC,302,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,1
RC,302,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,1
RC,302,Lacosamide ,,,27.11,27.11,1
RC,302,Lactate (lactic acid) ,,,11.57,11.57,1
RC,302,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,1
RC,302,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,1
RC,302,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,1
RC,302,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,1
RC,302,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,1
RC,302,"Lactose, urine, qualitative ",,,11.25,11.25,1
RC,302,Lamotrigine ,,,13.25,13.25,1
RC,302,Lead ,,,12.11,12.11,1
RC,302,Leflunomide ,,,38.57,38.57,1
RC,302,Leucine aminopeptidase (LAP) ,,,9.81,9.81,1
RC,302,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,1
RC,302,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,1
RC,302,Leukocyte histamine release test (LHR) ,,,12.46,12.46,1
RC,302,Leukocyte phagocytosis ,,,10.39,10.39,1
RC,302,Leukocyte transfusion ,,,149.16,149.16,1
RC,302,Levetiracetam ,,,13.25,13.25,1
RC,302,Lidocaine ,,,14.69,14.69,1
RC,302,Lipase ,,,6.89,6.89,1
RC,302,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,1
RC,302,Lipoprotein (a) ,,,14.32,14.32,1
RC,302,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,1
RC,302,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,1
RC,302,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,1
RC,302,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,1
RC,302,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,1
RC,302,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,1
RC,302,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,1
RC,302,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,1
RC,302,Lithium ,,,6.61,6.61,1
RC,302,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,1
RC,302,Luteinizing releasing factor (LRH) ,,,17.19,17.19,1
RC,302,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,1
RC,302,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,1
RC,302,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,1
RC,302,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,1
RC,302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,1
RC,302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,1
RC,302,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,1
RC,302,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,1
RC,302,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,302,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,1
RC,302,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,302,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,1
RC,302,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,1
RC,302,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,1
RC,302,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,1
RC,302,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,1
RC,302,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,1
RC,302,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,1
RC,302,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,1
RC,302,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,1
RC,302,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,1
RC,302,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,1
RC,302,Macroscopic examination; arthropod ,,,4.27,4.27,1
RC,302,Macroscopic examination; parasite ,,,4.31,4.31,1
RC,302,Magnesium ,,,6.7,6.7,1
RC,302,Malate dehydrogenase ,,,7.37,7.37,1
RC,302,Manganese ,,,26.65,26.65,1
RC,302,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,1
RC,302,"Meat fibers, feces ",,,4.85,4.85,1
RC,302,"Mechanical fragility, RBC ",,,8.6,8.6,1
RC,302,"Mercury, quantitative ",,,16.26,16.26,1
RC,302,Metanephrines ,,,16.94,16.94,1
RC,302,Methemalbumin ,,,10.74,10.74,1
RC,302,Methotrexate ,,,38.57,38.57,1
RC,302,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,1
RC,302,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,1
RC,302,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,1
RC,302,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,1
RC,302,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,1
RC,302,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,1
RC,302,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,1
RC,302,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,1
RC,302,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,1
RC,302,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,1
RC,302,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,1
RC,302,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,1
RC,302,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,1
RC,302,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,1
RC,302,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,1
RC,302,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,1
RC,302,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,302,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,1
RC,302,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,302,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,1
RC,302,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,1
RC,302,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,1
RC,302,Muramidase ,,,18.75,18.75,1
RC,302,Muscle-specific kinase (MuSK) antibody ,2539.0,2539.0,18.4,18.4,1
RC,302,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,1
RC,302,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,1
RC,302,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,302,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,302,Myeloperoxidase (MPO) ,,,50.86,50.86,1
RC,302,Myoglobin ,,,12.92,12.92,1
RC,302,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,1
RC,302,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,1
RC,302,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,1
RC,302,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,302,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,302,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,302,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,1
RC,302,Nasal smear for eosinophils ,,,5.79,5.79,1
RC,302,Natriuretic peptide ,,,39.26,39.26,1
RC,302,"Natural killer (NK) cells, total count ",185.0,185.0,37.73,37.73,1
RC,302,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,1
RC,302,Neurofilament light chain (NfL) ,,,116.23,116.23,1
RC,302,"Neutralization test, viral ",,,16.91,16.91,1
RC,302,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,1
RC,302,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,1
RC,302,Nickel ,,,24.51,24.51,1
RC,302,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,1
RC,302,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,1
RC,302,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,1
RC,302,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,1
RC,302,Nucleotidase 5'- ,,,11.15,11.15,1
RC,302,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,1
RC,302,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,1
RC,302,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,1
RC,302,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,1
RC,302,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,1
RC,302,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,1
RC,302,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,1
RC,302,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,1
RC,302,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,1
RC,302,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,1
RC,302,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,1
RC,302,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,1
RC,302,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,1
RC,302,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,1
RC,302,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,1
RC,302,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,1
RC,302,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,1
RC,302,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,1
RC,302,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,1
RC,302,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,1
RC,302,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,1
RC,302,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,1
RC,302,Oncoprotein; HER-2/neu ,,,64.41,64.41,1
RC,302,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,1
RC,302,Oocyte identification from follicular fluid ,,,149.16,149.16,1
RC,302,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,1
RC,302,"Organic acid, single, quantitative ",,,21.21,21.21,1
RC,302,"Organic acids; qualitative, each specimen ",,,16.45,16.45,1
RC,302,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,1
RC,302,Osmolality; blood ,,,6.61,6.61,1
RC,302,Osmolality; urine ,,,6.82,6.82,1
RC,302,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,1
RC,302,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,1
RC,302,Osteocalcin (bone g1a protein) ,,,29.85,29.85,1
RC,302,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,1
RC,302,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,1
RC,302,Oxalate ,,,14.45,14.45,1
RC,302,Oxcarbazepine ,,,13.25,13.25,1
RC,302,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,1
RC,302,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,1
RC,302,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,1
RC,302,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,1
RC,302,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,1
RC,302,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,1
RC,302,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,1
RC,302,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,1
RC,302,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,1
RC,302,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,1
RC,302,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,302,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,1
RC,302,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,1
RC,302,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,1
RC,302,Parathormone (parathyroid hormone) ,,,41.28,41.28,1
RC,302,"Particle agglutination; titer, each antibody ",,,10.64,10.64,1
RC,302,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,1
RC,302,Phencyclidine (PCP) ,,,41.52,41.52,1
RC,302,Phenobarbital ,,,15.3,15.3,1
RC,302,"Phenylalanine (PKU), blood ",,,5.5,5.5,1
RC,302,"Phenylketones, qualitative ",,,3.98,3.98,1
RC,302,Phenytoin; free ,,,13.76,13.76,1
RC,302,Phenytoin; total ,,,13.25,13.25,1
RC,302,"Phosphatase, acid; prostatic ",,,9.66,9.66,1
RC,302,"Phosphatase, acid; total ",,,7.64,7.64,1
RC,302,"Phosphatase, alkaline; ",,,5.18,5.18,1
RC,302,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,1
RC,302,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,1
RC,302,Phosphatidylglycerol ,,,16.52,16.52,1
RC,302,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,1
RC,302,Phosphohexose isomerase ,,,10.73,10.73,1
RC,302,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,1
RC,302,Phospholipid neutralization; platelet ,,,17.98,17.98,1
RC,302,Phosphorus inorganic (phosphate); ,,,4.74,4.74,1
RC,302,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,1
RC,302,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,1
RC,302,Pinworm examinations ,,,4.27,4.27,1
RC,302,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,1
RC,302,Pooling of platelets or other blood products ,,,149.16,149.16,1
RC,302,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,1
RC,302,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,1
RC,302,"Porphyrins, feces, quantitative ",,,39.11,39.11,1
RC,302,"Porphyrins, urine; qualitative ",,,13.36,13.36,1
RC,302,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,1
RC,302,Posaconazole ,,,27.11,27.11,1
RC,302,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,1
RC,302,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,1
RC,302,Potassium; urine ,,,4.73,4.73,1
RC,302,Prealbumin ,,,14.59,14.59,1
RC,302,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,1
RC,302,Pregnanediol ,,,21.27,21.27,1
RC,302,Pregnanetriol ,,,21.05,21.05,1
RC,302,Pregnenolone ,,,20.67,20.67,1
RC,302,Preparation of embryo for transfer (any method) ,,,49.76,49.76,1
RC,302,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",1200.0,1200.0,149.16,149.16,1
RC,302,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",1200.0,1200.0,33.84,33.84,1
RC,302,Pretreatment of serum for use in RBC antibody identification; by dilution ,1200.0,1200.0,24.67,24.67,1
RC,302,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,1
RC,302,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",1200.0,1200.0,149.16,149.16,1
RC,302,Primidone ,,,16.59,16.59,1
RC,302,Procainamide; ,,,60.0,60.0,1
RC,302,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,1
RC,302,Procalcitonin (PCT) ,,,27.22,27.22,1
RC,302,Progesterone ,,,20.86,20.86,1
RC,302,Proinsulin ,,,26.69,26.69,1
RC,302,Prolactin ,,,19.38,19.38,1
RC,302,"Prostaglandin, each ",,,41.77,41.77,1
RC,302,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,1
RC,302,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,1
RC,302,Prostate specific antigen (PSA); free ,,,18.39,18.39,1
RC,302,Prostate specific antigen (PSA); total ,,,18.39,18.39,1
RC,302,"Protein, total, by refractometry, any source ",,,5.61,5.61,1
RC,302,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,1
RC,302,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,1
RC,302,"Protein, total, except by refractometry; urine ",,,3.67,3.67,1
RC,302,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,1
RC,302,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,1
RC,302,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,1
RC,302,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,1
RC,302,Prothrombin time; ,,,4.29,4.29,1
RC,302,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,1
RC,302,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,1
RC,302,"Protoporphyrin, RBC; screen ",,,9.74,9.74,1
RC,302,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,1
RC,302,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,1
RC,302,Pyruvate ,,,14.48,14.48,1
RC,302,Pyruvate kinase ,,,9.44,9.44,1
RC,302,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,1
RC,302,Quinidine ,,,14.6,14.6,1
RC,302,Quinine ,,,11.63,11.63,1
RC,302,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,1
RC,302,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,1
RC,302,Receptor assay; estrogen ,,,87.88,87.88,1
RC,302,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,1
RC,302,Receptor assay; progesterone ,,,64.88,64.88,1
RC,302,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,1
RC,302,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,1
RC,302,Renin ,,,21.99,21.99,1
RC,302,Reptilase test ,,,9.85,9.85,1
RC,302,Reticulated platelet assay ,,,35.74,35.74,1
RC,302,Rheumatoid factor; qualitative ,,,6.14,6.14,1
RC,302,Rheumatoid factor; quantitative ,62.0,62.0,5.67,5.67,1
RC,302,Riboflavin (Vitamin B-2) ,,,20.24,20.24,1
RC,302,Rufinamide ,,,27.11,27.11,1
RC,302,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,1
RC,302,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,1
RC,302,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,1
RC,302,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,1
RC,302,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,1
RC,302,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,1
RC,302,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,1
RC,302,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,302,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,1
RC,302,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,1
RC,302,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,1
RC,302,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,1
RC,302,Salicylate ,,,18.64,18.64,1
RC,302,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,1
RC,302,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,1
RC,302,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,1
RC,302,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,1
RC,302,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,1
RC,302,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,1
RC,302,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,1
RC,302,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,1
RC,302,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,1
RC,302,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,1
RC,302,Selenium ,,,25.53,25.53,1
RC,302,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,1
RC,302,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,1
RC,302,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,1
RC,302,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,1
RC,302,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,1
RC,302,Serotonin ,,,30.98,30.98,1
RC,302,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,1
RC,302,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,1
RC,302,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,1
RC,302,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,1
RC,302,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,1
RC,302,Sialic acid ,,,13.44,13.44,1
RC,302,"Sickling of RBC, reduction ",,,5.51,5.51,1
RC,302,Silica ,,,25.21,25.21,1
RC,302,Sirolimus ,,,13.73,13.73,1
RC,302,Skin test; candida ,,,24.67,24.67,1
RC,302,Skin test; histoplasmosis ,,,55.66,55.66,1
RC,302,"Skin test; tuberculosis, intradermal ",207.0,207.0,24.67,24.67,1
RC,302,"Skin test; unlisted antigen, each ",,,24.67,24.67,1
RC,302,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,1
RC,302,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,1
RC,302,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,1
RC,302,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,1
RC,302,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,1
RC,302,Sodium; other source ,,,4.86,4.86,1
RC,302,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,1
RC,302,Sodium; urine ,,,5.06,5.06,1
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,1
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,1
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,1
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,1
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,1
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,1
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,1
RC,302,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,1
RC,302,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,2
RC,302,Somatomedin ,,,21.26,21.26,1
RC,302,Somatostatin ,,,18.28,18.28,1
RC,302,Specific gravity (except urine) ,,,3.28,3.28,1
RC,302,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,1
RC,302,Sperm antibodies ,,,10.67,10.67,1
RC,302,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,1
RC,302,Sperm evaluation; hamster penetration test ,,,19.59,19.59,1
RC,302,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,1
RC,302,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,1
RC,302,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,302,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,302,"Splitting of blood or blood products, each unit ",,,149.16,149.16,1
RC,302,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,1
RC,302,"Stem cells (ie, CD34), total count ",,,77.78,77.78,1
RC,302,Storage (per year); embryo(s) ,,,149.16,149.16,1
RC,302,Storage (per year); oocyte(s) ,,,291.26,291.26,1
RC,302,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,302,Storage (per year); sperm/semen ,,,149.16,149.16,1
RC,302,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,1
RC,302,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,1
RC,302,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,1
RC,302,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,1
RC,302,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,1
RC,302,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,1
RC,302,"Sulfate, urine ",,,5.49,5.49,1
RC,302,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,1
RC,302,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,1
RC,302,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,1
RC,302,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,1
RC,302,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,1
RC,302,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,1
RC,302,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,1
RC,302,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,1
RC,302,Sweat collection by iontophoresis ,,,49.76,49.76,1
RC,302,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,1
RC,302,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,1
RC,302,T cells; absolute CD4 count ,,,26.78,26.78,1
RC,302,T cells; total count ,593.0,593.0,37.73,37.73,1
RC,302,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,302,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,1
RC,302,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,1
RC,302,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,1
RC,302,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,1
RC,302,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,1
RC,302,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,1
RC,302,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,1
RC,302,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,1
RC,302,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,1
RC,302,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,1
RC,302,Tacrolimus ,,,13.73,13.73,1
RC,302,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,1
RC,302,"Tau, total (tTau) ",,,128.92,128.92,1
RC,302,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,1
RC,302,Testosterone; free ,,,25.47,25.47,1
RC,302,Testosterone; total ,,,25.81,25.81,1
RC,302,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,1
RC,302,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,1
RC,302,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,302,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,1
RC,302,Theophylline ,,,14.14,14.14,1
RC,302,Thiamine (Vitamin B-1) ,,,21.23,21.23,1
RC,302,Thiocyanate ,,,11.63,11.63,1
RC,302,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,1
RC,302,Thrombin time; plasma ,,,5.77,5.77,1
RC,302,Thrombin time; titer ,,,6.85,6.85,1
RC,302,Thrombomodulin ,,,17.27,17.27,1
RC,302,"Thromboplastin inhibition, tissue ",,,9.63,9.63,1
RC,302,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,1
RC,302,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,1
RC,302,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,1
RC,302,"Thymol turbidity, blood ",,,4.95,4.95,1
RC,302,Thyroglobulin ,,,16.06,16.06,1
RC,302,Thyroglobulin antibody ,,,15.91,15.91,1
RC,302,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,1
RC,302,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,1
RC,302,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,1
RC,302,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,1
RC,302,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,1
RC,302,Thyroxine binding globulin (TBG) ,,,14.78,14.78,1
RC,302,Thyroxine; free ,,,9.02,9.02,1
RC,302,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,1
RC,302,Thyroxine; total ,,,6.87,6.87,1
RC,302,Tiagabine ,,,27.11,27.11,1
RC,302,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,1
RC,302,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,302,Tobramycin ,,,16.13,16.13,1
RC,302,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,1
RC,302,Topiramate ,,,11.92,11.92,1
RC,302,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,1
RC,302,Transcortin (cortisol binding globulin) ,,,18.0,18.0,1
RC,302,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,1
RC,302,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,1
RC,302,Transferrin ,,,12.76,12.76,1
RC,302,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,1
RC,302,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,1
RC,302,Triglycerides ,,,5.74,5.74,1
RC,302,Triiodothyronine T3; free ,,,16.94,16.94,1
RC,302,Triiodothyronine T3; reverse ,,,15.76,15.76,1
RC,302,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,1
RC,302,"Troponin, qualitative ",,,10.09,10.09,1
RC,302,"Troponin, quantitative ",,,12.47,12.47,1
RC,302,Trypsin; duodenal fluid ,,,7.2,7.2,1
RC,302,"Trypsin; feces, qualitative ",,,7.3,7.3,1
RC,302,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,1
RC,302,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,1
RC,302,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",478.0,478.0,61.98,61.98,1
RC,302,Tyrosine ,,,10.63,10.63,1
RC,302,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,1
RC,302,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,1
RC,302,Unlisted miscellaneous pathology test ,,,49.76,49.76,1
RC,302,Unlisted transfusion medicine procedure ,,,24.67,24.67,1
RC,302,"Urea nitrogen, clearance ",,,7.2,7.2,1
RC,302,"Urea nitrogen, urine ",,,5.56,5.56,1
RC,302,Urea nitrogen; quantitative ,,,3.95,3.95,1
RC,302,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,1
RC,302,Uric acid; blood ,,,4.52,4.52,1
RC,302,Uric acid; other source ,,,5.08,5.08,1
RC,302,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,2
RC,302,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,2
RC,302,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,1
RC,302,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,1
RC,302,Urinalysis; microscopic only ,,,3.05,3.05,1
RC,302,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,1
RC,302,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,1
RC,302,"Urobilinogen, feces, quantitative ",,,16.8,16.8,1
RC,302,"Urobilinogen, urine; qualitative ",,,4.47,4.47,1
RC,302,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,1
RC,302,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,1
RC,302,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,1
RC,302,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,1
RC,302,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,1
RC,302,Vancomycin ,,,13.54,13.54,1
RC,302,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,1
RC,302,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,1
RC,302,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,1
RC,302,Vedolizumab ,,,38.57,38.57,1
RC,302,Very long chain fatty acids ,,,19.75,19.75,1
RC,302,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,1
RC,302,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,1
RC,302,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,1
RC,302,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,1
RC,302,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,1
RC,302,Viscosity ,,,11.67,11.67,1
RC,302,Vitamin A ,,,11.61,11.61,1
RC,302,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,1
RC,302,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,1
RC,302,Vitamin K ,,,13.72,13.72,1
RC,302,"Vitamin, not otherwise specified ",,,17.06,17.06,1
RC,302,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,1
RC,302,"Voltage-gated calcium channel antibody, each ",200.0,200.0,18.4,18.4,1
RC,302,"Volume measurement for timed collection, each ",,,3.64,3.64,1
RC,302,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,1
RC,302,Voriconazole ,,,27.11,27.11,1
RC,302,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,1
RC,302,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,1
RC,302,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,1
RC,302,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,1
RC,302,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,1
RC,302,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,1
RC,302,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,1
RC,302,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,1
RC,302,Zinc ,,,11.39,11.39,1
RC,302,Zonisamide ,,,13.25,13.25,1
RC,302,"b-Hexosaminidase, each assay ",,,16.87,16.87,1
RC,302,"pH; body fluid, not otherwise specified ",,,3.58,3.58,1
RC,302,pH; exhaled breath condensate ,,,3.58,3.58,1
RC,303, Laboratory Renal Patient (Home)  ,,,,,0
RC,303,17-hydroxypregnenolone ,,,22.81,22.81,1
RC,303,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,1
RC,303,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,1
RC,303,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,1
RC,303,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,1
RC,303,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,1
RC,303,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,1
RC,303,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,1
RC,303,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,1
RC,303,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,1
RC,303,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,1
RC,303,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,303,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,1
RC,303,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,1
RC,303,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,1
RC,303,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,1
RC,303,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,Acetaminophen ,,,18.64,18.64,1
RC,303,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,1
RC,303,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,1
RC,303,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,1
RC,303,Acetylcholinesterase ,,,12.29,12.29,1
RC,303,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,1
RC,303,Activated Protein C (APC) resistance assay ,,,15.32,15.32,1
RC,303,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,1
RC,303,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,1
RC,303,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,1
RC,303,Adalimumab ,,,38.57,38.57,1
RC,303,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,1
RC,303,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,1
RC,303,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,1
RC,303,Albumin; ischemia modified ,,,33.94,33.94,1
RC,303,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,1
RC,303,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,1
RC,303,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,1
RC,303,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,1
RC,303,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,1
RC,303,Alcohol (ethanol); breath ,,,30.0,30.0,1
RC,303,Aldolase ,,,9.71,9.71,1
RC,303,Aldosterone ,,,40.75,40.75,1
RC,303,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,1
RC,303,All potassium hydroxide (koh) preparations ,,,5.83,5.83,1
RC,303,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,1
RC,303,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,1
RC,303,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,1
RC,303,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,1
RC,303,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,1
RC,303,Alpha-1-antitrypsin; total ,,,13.44,13.44,1
RC,303,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,1
RC,303,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,1
RC,303,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,1
RC,303,Aluminum ,,,25.48,25.48,1
RC,303,Amikacin ,,,15.08,15.08,1
RC,303,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,1
RC,303,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,1
RC,303,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,1
RC,303,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,1
RC,303,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,1
RC,303,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,1
RC,303,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,1
RC,303,Amiodarone ,,,18.64,18.64,1
RC,303,Ammonia ,,,14.57,14.57,1
RC,303,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,1
RC,303,Amylase ,,,6.48,6.48,1
RC,303,Androstanediol glucuronide ,,,28.83,28.83,1
RC,303,Androstenedione ,,,29.28,29.28,1
RC,303,Androsterone ,,,25.55,25.55,1
RC,303,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,1
RC,303,Angiotensin II ,,,20.52,20.52,1
RC,303,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,1
RC,303,Anti-mullerian hormone (AMH) ,,,38.62,38.62,1
RC,303,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,1
RC,303,"Antibody elution (RBC), each elution ",,,149.16,149.16,1
RC,303,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,1
RC,303,Antibody identification; leukocyte antibodies ,,,15.05,15.05,1
RC,303,Antibody identification; platelet antibodies ,,,18.37,18.37,1
RC,303,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,1
RC,303,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,1
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,2
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,2
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,1
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,1
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,1
RC,303,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,1
RC,303,Antibody; Aspergillus ,,,15.05,15.05,1
RC,303,Antibody; Bartonella ,,,10.18,10.18,1
RC,303,Antibody; Blastomyces ,,,12.9,12.9,1
RC,303,Antibody; Bordetella ,,,13.19,13.19,1
RC,303,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,1
RC,303,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,1
RC,303,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,1
RC,303,Antibody; Brucella ,,,8.93,8.93,1
RC,303,Antibody; Campylobacter ,,,13.12,13.12,1
RC,303,Antibody; Candida ,,,12.01,12.01,1
RC,303,Antibody; Chlamydia ,,,11.82,11.82,1
RC,303,"Antibody; Chlamydia, IgM ",,,12.68,12.68,1
RC,303,Antibody; Coccidioides ,,,11.47,11.47,1
RC,303,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,1
RC,303,Antibody; Cryptococcus ,,,14.41,14.41,1
RC,303,Antibody; Diphtheria ,,,15.21,15.21,1
RC,303,Antibody; Ehrlichia ,,,10.18,10.18,1
RC,303,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,1
RC,303,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,1
RC,303,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,1
RC,303,Antibody; Francisella tularensis ,,,14.16,14.16,1
RC,303,Antibody; Giardia lamblia ,,,14.72,14.72,1
RC,303,Antibody; HIV-1 ,,,8.89,8.89,1
RC,303,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,1
RC,303,Antibody; HIV-2 ,,,13.52,13.52,1
RC,303,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,1
RC,303,Antibody; HTLV-I ,,,9.09,9.09,1
RC,303,Antibody; HTLV-II ,,,14.0,14.0,1
RC,303,Antibody; Haemophilus influenza ,,,15.84,15.84,1
RC,303,Antibody; Helicobacter pylori ,,,16.85,16.85,1
RC,303,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,1
RC,303,Antibody; Legionella ,,,15.3,15.3,1
RC,303,Antibody; Leishmania ,,,12.25,12.25,1
RC,303,Antibody; Leptospira ,,,16.2,16.2,1
RC,303,Antibody; Listeria monocytogenes ,,,13.19,13.19,1
RC,303,Antibody; Neisseria meningitidis ,,,13.19,13.19,1
RC,303,Antibody; Nocardia ,,,15.99,15.99,1
RC,303,Antibody; Plasmodium (malaria) ,,,13.19,13.19,1
RC,303,Antibody; Rickettsia ,,,19.35,19.35,1
RC,303,Antibody; Salmonella ,,,13.19,13.19,1
RC,303,Antibody; Shigella ,,,24.48,24.48,1
RC,303,Antibody; Toxoplasma ,,,14.39,14.39,1
RC,303,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,1
RC,303,Antibody; Treponema pallidum ,,,13.24,13.24,1
RC,303,Antibody; Trichinella ,,,12.56,12.56,1
RC,303,Antibody; West Nile virus ,,,14.39,14.39,1
RC,303,"Antibody; West Nile virus, IgM ",,,16.85,16.85,1
RC,303,Antibody; Yersinia ,,,13.19,13.19,1
RC,303,"Antibody; Zika virus, IgM ",,,16.85,16.85,1
RC,303,Antibody; actinomyces ,,,10.18,10.18,1
RC,303,Antibody; adenovirus ,,,12.87,12.87,1
RC,303,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,1
RC,303,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,1
RC,303,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,1
RC,303,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,1
RC,303,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,1
RC,303,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,1
RC,303,"Antibody; encephalitis, Western equine ",,,13.19,13.19,1
RC,303,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,1
RC,303,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,1
RC,303,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,1
RC,303,"Antibody; hepatitis, delta agent ",,,17.16,17.16,1
RC,303,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,1
RC,303,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,1
RC,303,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,1
RC,303,Antibody; histoplasma ,,,13.79,13.79,1
RC,303,Antibody; influenza virus ,,,13.55,13.55,1
RC,303,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,1
RC,303,Antibody; mucormycosis ,,,15.0,15.0,1
RC,303,Antibody; mumps ,,,13.05,13.05,1
RC,303,Antibody; mycoplasma ,,,13.24,13.24,1
RC,303,Antibody; parvovirus ,,,15.03,15.03,1
RC,303,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,1
RC,303,Antibody; respiratory syncytial virus ,,,15.89,15.89,1
RC,303,Antibody; rotavirus ,,,18.23,18.23,1
RC,303,Antibody; rubella ,,,14.39,14.39,1
RC,303,Antibody; rubeola ,,,12.88,12.88,1
RC,303,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,1
RC,303,Antibody; tetanus ,,,14.8,14.8,1
RC,303,Antibody; varicella-zoster ,,,12.88,12.88,1
RC,303,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,1
RC,303,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,1
RC,303,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,1
RC,303,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,1
RC,303,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,1
RC,303,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,1
RC,303,Antinuclear antibodies (ANA); ,,,12.09,12.09,1
RC,303,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,1
RC,303,Antistreptolysin 0; screen ,,,5.77,5.77,1
RC,303,Antistreptolysin 0; titer ,,,7.3,7.3,1
RC,303,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,1
RC,303,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,1
RC,303,"Apolipoprotein, each ",,,21.09,21.09,1
RC,303,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,303,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,1
RC,303,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,303,Arsenic ,,,18.97,18.97,1
RC,303,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,1
RC,303,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,1
RC,303,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,1
RC,303,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,1
RC,303,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,1
RC,303,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,1
RC,303,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,1
RC,303,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,1
RC,303,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,1
RC,303,"B cells, total count ",,,37.73,37.73,1
RC,303,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,1
RC,303,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,1
RC,303,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,1
RC,303,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,1
RC,303,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,1
RC,303,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,1
RC,303,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,1
RC,303,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,1
RC,303,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,303,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,1
RC,303,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,1
RC,303,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,1
RC,303,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,1
RC,303,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,1
RC,303,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,1
RC,303,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,303,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,1
RC,303,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,1
RC,303,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,1
RC,303,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,1
RC,303,Beta-2 microglobulin ,,,16.18,16.18,1
RC,303,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,1
RC,303,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,1
RC,303,Bile acids; cholylglycine ,,,26.58,26.58,1
RC,303,Bile acids; total ,,,17.12,17.12,1
RC,303,"Bilirubin, total, transcutaneous ",,,5.02,5.02,1
RC,303,Bilirubin; direct ,,,5.02,5.02,1
RC,303,"Bilirubin; feces, qualitative ",,,4.56,4.56,1
RC,303,Bilirubin; total ,,,5.02,5.02,1
RC,303,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,1
RC,303,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,1
RC,303,"Biotinidase, each specimen ",,,16.87,16.87,1
RC,303,Bleeding time ,,,4.82,4.82,1
RC,303,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,1
RC,303,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,1
RC,303,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,1
RC,303,Blood count; automated differential WBC count ,,,6.47,6.47,1
RC,303,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,1
RC,303,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,1
RC,303,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,1
RC,303,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,1
RC,303,Blood count; hematocrit (Hct) ,,,2.37,2.37,1
RC,303,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,1
RC,303,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,1
RC,303,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,1
RC,303,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,1
RC,303,"Blood count; platelet, automated ",,,4.48,4.48,1
RC,303,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,1
RC,303,"Blood count; reticulocyte, automated ",,,3.99,3.99,1
RC,303,"Blood count; reticulocyte, manual ",,,4.31,4.31,1
RC,303,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,1
RC,303,Blood count; spun microhematocrit ,,,7.0,7.0,1
RC,303,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,1
RC,303,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,1
RC,303,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,1
RC,303,"Blood typing, serologic; ABO ",,,2.99,2.99,1
RC,303,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,1
RC,303,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,1
RC,303,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,1
RC,303,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,1
RC,303,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,1
RC,303,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,1
RC,303,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,1
RC,303,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,1
RC,303,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,1
RC,303,"Bone marrow, smear interpretation ",,,656.15,656.15,1
RC,303,Bradykinin ,,,5.16,5.16,1
RC,303,C-peptide ,,,20.81,20.81,1
RC,303,C-reactive protein; ,,,5.18,5.18,1
RC,303,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,1
RC,303,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,1
RC,303,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,1
RC,303,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,1
RC,303,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,1
RC,303,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,1
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,1
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,1
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,1
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,1
RC,303,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,1
RC,303,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,303,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,303,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,1
RC,303,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,1
RC,303,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,1
RC,303,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,1
RC,303,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,1
RC,303,Cadmium ,,,23.64,23.64,1
RC,303,Caffeine ,,,38.57,38.57,1
RC,303,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,1
RC,303,Calcitonin ,,,26.79,26.79,1
RC,303,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,1
RC,303,Calcium; after calcium infusion test ,,,13.34,13.34,1
RC,303,Calcium; ionized ,,,13.68,13.68,1
RC,303,Calcium; total ,,,5.16,5.16,1
RC,303,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,1
RC,303,Calculus; X-ray diffraction ,,,12.52,12.52,1
RC,303,Calculus; infrared spectroscopy ,,,12.9,12.9,1
RC,303,Calculus; qualitative analysis ,,,11.58,11.58,1
RC,303,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,1
RC,303,"Calprotectin, fecal ",,,19.63,19.63,1
RC,303,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,1
RC,303,Carbamazepine; free ,,,13.25,13.25,1
RC,303,Carbamazepine; total ,,,14.57,14.57,1
RC,303,Carbohydrate deficient transferrin ,,,18.06,18.06,1
RC,303,Carbon dioxide (bicarbonate) ,,,4.88,4.88,1
RC,303,Carboxyhemoglobin; qualitative ,,,14.07,14.07,1
RC,303,Carboxyhemoglobin; quantitative ,,,12.32,12.32,1
RC,303,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,1
RC,303,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,1
RC,303,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,1
RC,303,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,1
RC,303,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,1
RC,303,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,1
RC,303,Carotene ,,,9.22,9.22,1
RC,303,Catecholamines; blood ,,,29.08,29.08,1
RC,303,Catecholamines; fractionated ,,,25.25,25.25,1
RC,303,Catecholamines; total urine ,,,27.3,27.3,1
RC,303,Cathepsin-D ,,,18.06,18.06,1
RC,303,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,1
RC,303,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,1
RC,303,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,1
RC,303,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,1
RC,303,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,1
RC,303,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,1
RC,303,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,1
RC,303,"Cephalin floculation, blood ",,,4.95,4.95,1
RC,303,Ceruloplasmin ,,,10.74,10.74,1
RC,303,Chemiluminescent assay ,,,14.12,14.12,1
RC,303,"Chemotaxis assay, specify method ",,,15.99,15.99,1
RC,303,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,1
RC,303,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,1
RC,303,Chloramphenicol ,,,12.67,12.67,1
RC,303,Chloride; blood ,,,4.6,4.6,1
RC,303,Chloride; other source ,,,5.0,5.0,1
RC,303,Chloride; urine ,,,5.75,5.75,1
RC,303,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,1
RC,303,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,1
RC,303,Cholinesterase; RBC ,,,9.81,9.81,1
RC,303,Cholinesterase; serum ,,,7.87,7.87,1
RC,303,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,1
RC,303,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,1
RC,303,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,1
RC,303,Chromium ,,,20.28,20.28,1
RC,303,Chromogenic substrate assay ,,,11.89,11.89,1
RC,303,Citrate ,,,27.8,27.8,1
RC,303,"Clot lysis time, whole blood dilution ",,,20.37,20.37,1
RC,303,Clot retraction ,,,16.3,16.3,1
RC,303,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,1
RC,303,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,1
RC,303,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,1
RC,303,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,1
RC,303,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,1
RC,303,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,1
RC,303,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,1
RC,303,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,1
RC,303,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,1
RC,303,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,1
RC,303,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,1
RC,303,Clotting; factor VIII related antigen ,,,20.42,20.42,1
RC,303,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,1
RC,303,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,1
RC,303,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,1
RC,303,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,1
RC,303,Clotting; factor XI (PTA) ,,,17.9,17.9,1
RC,303,Clotting; factor XII (Hageman) ,,,19.35,19.35,1
RC,303,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,1
RC,303,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,1
RC,303,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,1
RC,303,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,1
RC,303,Clozapine ,,,20.15,20.15,1
RC,303,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,1
RC,303,Coagulation time; Lee and White ,,,4.69,4.69,1
RC,303,Coagulation time; activated ,,,4.28,4.28,1
RC,303,Coagulation time; other methods ,,,4.49,4.49,1
RC,303,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,1
RC,303,Cold agglutinin; screen ,,,8.07,8.07,1
RC,303,Cold agglutinin; titer ,,,8.06,8.06,1
RC,303,"Collagen cross links, any method ",,,18.68,18.68,1
RC,303,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,1
RC,303,Collection of venous blood by venipuncture ,,,3.0,3.0,1
RC,303,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,1
RC,303,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,1
RC,303,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,1
RC,303,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,1
RC,303,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,1
RC,303,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,1
RC,303,Compatibility test each unit; electronic ,,,149.16,149.16,1
RC,303,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,1
RC,303,Compatibility test each unit; incubation technique ,,,149.16,149.16,1
RC,303,"Complement fixation tests, each antigen ",,,10.01,10.01,1
RC,303,"Complement; antigen, each component ",,,12.0,12.0,1
RC,303,"Complement; functional activity, each component ",,,12.0,12.0,1
RC,303,Complement; total hemolytic (CH50) ,,,20.32,20.32,1
RC,303,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,1
RC,303,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,1
RC,303,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,1
RC,303,"Concentration (any type), for infectious agents ",,,6.68,6.68,1
RC,303,"Congo red, blood ",,,4.95,4.95,1
RC,303,Copper ,,,12.41,12.41,1
RC,303,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,1
RC,303,Corticosterone ,,,22.52,22.52,1
RC,303,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,1
RC,303,Cortisol; free ,,,16.71,16.71,1
RC,303,Cortisol; total ,,,16.3,16.3,1
RC,303,Creatine ,,,4.64,4.64,1
RC,303,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,1
RC,303,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,1
RC,303,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,1
RC,303,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,1
RC,303,Creatinine; blood ,,,5.12,5.12,1
RC,303,Creatinine; clearance ,,,9.46,9.46,1
RC,303,Creatinine; other source ,,,5.18,5.18,1
RC,303,Cryofibrinogen ,,,14.14,14.14,1
RC,303,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,1
RC,303,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,1
RC,303,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,1
RC,303,Cryopreservation; embryo(s) ,,,656.15,656.15,1
RC,303,Cryopreservation; sperm ,,,149.16,149.16,1
RC,303,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,1
RC,303,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,1
RC,303,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,1
RC,303,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,1
RC,303,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,303,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,303,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,1
RC,303,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,1
RC,303,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,1
RC,303,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,1
RC,303,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,1
RC,303,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,1
RC,303,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,1
RC,303,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,1
RC,303,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,1
RC,303,"Culture, chlamydia, any source ",,,19.6,19.6,1
RC,303,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,1
RC,303,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,1
RC,303,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,1
RC,303,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,1
RC,303,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,1
RC,303,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,1
RC,303,"Culture, mycoplasma, any source ",,,15.39,15.39,1
RC,303,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,1
RC,303,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,1
RC,303,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,1
RC,303,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,1
RC,303,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,1
RC,303,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,1
RC,303,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,1
RC,303,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,1
RC,303,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,1
RC,303,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,1
RC,303,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,1
RC,303,"Culture, typing; other methods ",,,7.74,7.74,1
RC,303,Cyanide ,,,19.4,19.4,1
RC,303,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,1
RC,303,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,1
RC,303,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,1
RC,303,Cyclosporine ,,,18.05,18.05,1
RC,303,Cystatin C ,,,18.52,18.52,1
RC,303,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,1
RC,303,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,1
RC,303,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,1
RC,303,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,1
RC,303,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,303,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,303,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,1
RC,303,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,303,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,303,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,1
RC,303,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,1
RC,303,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,1
RC,303,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,1
RC,303,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,1
RC,303,"Deoxycortisol, 11- ",,,29.28,29.28,1
RC,303,"Deoxyribonuclease, antibody ",,,13.25,13.25,1
RC,303,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,1
RC,303,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,1
RC,303,"Desoxycorticosterone, 11- ",,,30.98,30.98,1
RC,303,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,1
RC,303,Dibucaine number ,,,12.25,12.25,1
RC,303,Digoxin; free ,,,13.28,13.28,1
RC,303,Digoxin; total ,,,13.28,13.28,1
RC,303,Dihydrotestosterone (DHT) ,,,29.28,29.28,1
RC,303,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,1
RC,303,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,4
RC,303,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,1
RC,303,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,1
RC,303,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,1
RC,303,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,1
RC,303,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,1
RC,303,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,1
RC,303,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,1
RC,303,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,1
RC,303,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,1
RC,303,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,1
RC,303,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,1
RC,303,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,1
RC,303,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,1
RC,303,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,1
RC,303,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,1
RC,303,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,1
RC,303,Erythropoietin ,,,18.79,18.79,1
RC,303,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,1
RC,303,Estradiol; total ,,,27.94,27.94,1
RC,303,Estriol ,,,24.18,24.18,1
RC,303,Estrogens; fractionated ,,,32.3,32.3,1
RC,303,Estrogens; total ,,,21.7,21.7,1
RC,303,Estrone ,,,24.95,24.95,1
RC,303,Ethosuximide ,,,16.34,16.34,1
RC,303,Ethylene glycol ,,,14.9,14.9,1
RC,303,Etiocholanolone ,,,26.24,26.24,1
RC,303,Euglobulin lysis ,,,8.41,8.41,1
RC,303,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,1
RC,303,Everolimus ,,,13.73,13.73,1
RC,303,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,1
RC,303,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,1
RC,303,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,1
RC,303,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,1
RC,303,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,1
RC,303,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,1
RC,303,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,1
RC,303,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,1
RC,303,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,1
RC,303,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,1
RC,303,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,1
RC,303,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,1
RC,303,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,1
RC,303,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,303,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,303,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,303,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,303,Factor inhibitor test ,,,12.87,12.87,1
RC,303,"Fat differential, feces, quantitative ",,,22.97,22.97,1
RC,303,"Fat or lipids, feces; qualitative ",,,5.1,5.1,1
RC,303,"Fat or lipids, feces; quantitative ",,,16.8,16.8,1
RC,303,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,1
RC,303,"Fatty acids, nonesterified ",,,18.77,18.77,1
RC,303,Felbamate ,,,18.64,18.64,1
RC,303,Fern test ,,,9.74,9.74,1
RC,303,Ferritin ,,,13.63,13.63,1
RC,303,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,1
RC,303,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,1
RC,303,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,1
RC,303,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,1
RC,303,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,1
RC,303,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,1
RC,303,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,1
RC,303,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,1
RC,303,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,1
RC,303,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,1
RC,303,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,1
RC,303,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,1
RC,303,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,1
RC,303,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,1
RC,303,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,1
RC,303,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,1
RC,303,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,1
RC,303,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,1
RC,303,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,1
RC,303,Fibrinogen; activity ,,,9.72,9.72,1
RC,303,Fibrinogen; antigen ,,,14.46,14.46,1
RC,303,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,1
RC,303,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,1
RC,303,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,1
RC,303,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,1
RC,303,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,1
RC,303,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,1
RC,303,Flecainide ,,,18.64,18.64,1
RC,303,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,1
RC,303,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,1
RC,303,Fluoride ,,,18.54,18.54,1
RC,303,Folic acid; RBC ,,,17.65,17.65,1
RC,303,Folic acid; serum ,,,14.7,14.7,1
RC,303,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,1
RC,303,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,1
RC,303,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,1
RC,303,"Frozen blood, each unit; thawing ",,,291.26,291.26,1
RC,303,"Fructose, semen ",,,17.34,17.34,1
RC,303,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,1
RC,303,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,1
RC,303,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,303,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,1
RC,303,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,1
RC,303,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,1
RC,303,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,1
RC,303,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,1
RC,303,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,1
RC,303,"Galactokinase, RBC ",,,21.48,21.48,1
RC,303,Galactose ,,,11.2,11.2,1
RC,303,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,1
RC,303,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,1
RC,303,Galectin-3 ,,,44.25,44.25,1
RC,303,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,1
RC,303,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,1
RC,303,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,1
RC,303,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,1
RC,303,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,1
RC,303,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,1
RC,303,"Gases, blood, pH only ",,,11.0,11.0,1
RC,303,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,1
RC,303,Gastrin ,,,17.63,17.63,1
RC,303,Gastrin after secretin stimulation ,,,17.69,17.69,1
RC,303,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,1
RC,303,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,1
RC,303,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,1
RC,303,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,1
RC,303,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,1
RC,303,Gentamicin ,,,16.38,16.38,1
RC,303,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,303,Glucagon ,,,14.29,14.29,1
RC,303,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,1
RC,303,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,1
RC,303,Glucagon tolerance test ,,,17.77,17.77,1
RC,303,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,1
RC,303,"Glucose, body fluid, other than blood ",,,3.93,3.93,1
RC,303,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,1
RC,303,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,1
RC,303,"Glucose; blood, reagent strip ",,,5.04,5.04,1
RC,303,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,1
RC,303,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,1
RC,303,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,1
RC,303,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,1
RC,303,"Glucosidase, beta ",,,21.48,21.48,1
RC,303,Glutamate dehydrogenase ,,,13.15,13.15,1
RC,303,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,1
RC,303,Glutathione ,,,15.45,15.45,1
RC,303,"Glutathione reductase, RBC ",,,9.44,9.44,1
RC,303,Glycated protein ,,,16.76,16.76,1
RC,303,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,1
RC,303,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,1
RC,303,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,1
RC,303,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,1
RC,303,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,1
RC,303,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,1
RC,303,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,1
RC,303,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,1
RC,303,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,1
RC,303,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,1
RC,303,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,1
RC,303,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,1
RC,303,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,303,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,303,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,1
RC,303,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,1
RC,303,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,1
RC,303,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,1
RC,303,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,1
RC,303,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,1
RC,303,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,1
RC,303,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,1
RC,303,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,1
RC,303,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,1
RC,303,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,1
RC,303,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,1
RC,303,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,1
RC,303,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,1
RC,303,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,1
RC,303,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,1
RC,303,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,1
RC,303,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,1
RC,303,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,1
RC,303,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,1
RC,303,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,1
RC,303,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,1
RC,303,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,1
RC,303,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,1
RC,303,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,1
RC,303,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,1
RC,303,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,303,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,Hair analysis (excluding arsenic) ,,,4.95,4.95,1
RC,303,Haloperidol ,,,15.78,15.78,1
RC,303,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,1
RC,303,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,1
RC,303,Haptoglobin; phenotypes ,,,26.89,26.89,1
RC,303,Haptoglobin; quantitative ,,,12.58,12.58,1
RC,303,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,1
RC,303,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,1
RC,303,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,1
RC,303,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,1
RC,303,Heinz bodies; direct ,,,4.2,4.2,1
RC,303,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,1
RC,303,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,303,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,303,Helicobacter pylori; drug administration ,,,7.86,7.86,1
RC,303,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,1
RC,303,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,2
RC,303,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,1
RC,303,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,1
RC,303,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,1
RC,303,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,1
RC,303,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,1
RC,303,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,1
RC,303,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,1
RC,303,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,1
RC,303,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,1
RC,303,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,1
RC,303,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,1
RC,303,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,1
RC,303,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,1
RC,303,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,1
RC,303,Hemoglobin; plasma ,,,7.31,7.31,1
RC,303,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,1
RC,303,Hemoglobin; thermolabile ,,,9.0,9.0,1
RC,303,"Hemoglobin; unstable, screen ",,,9.47,9.47,1
RC,303,Hemoglobin; urine ,,,3.95,3.95,1
RC,303,"Hemolysin, acid ",,,8.87,8.87,1
RC,303,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,1
RC,303,Hemolysins and agglutinins; incubated ,,,12.11,12.11,1
RC,303,"Hemosiderin, qualitative ",,,4.75,4.75,1
RC,303,Heparin assay ,,,13.09,13.09,1
RC,303,Heparin neutralization ,,,11.84,11.84,1
RC,303,Heparin-protamine tolerance test ,,,13.09,13.09,1
RC,303,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,1
RC,303,Hepatitis A antibody (HAAb) ,,,12.39,12.39,1
RC,303,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,1
RC,303,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,1
RC,303,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,1
RC,303,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,1
RC,303,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,1
RC,303,Hepatitis C antibody; ,,,14.27,14.27,1
RC,303,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,1
RC,303,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,1
RC,303,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,1
RC,303,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,1
RC,303,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,1
RC,303,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,1
RC,303,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,1
RC,303,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,1
RC,303,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,1
RC,303,Heterophile antibodies; screening ,,,5.18,5.18,1
RC,303,Heterophile antibodies; titer ,,,6.47,6.47,1
RC,303,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,1
RC,303,Histamine ,,,29.53,29.53,1
RC,303,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,1
RC,303,Homocysteine ,,,17.92,17.92,1
RC,303,"Homogenization, tissue, for culture ",,,5.88,5.88,1
RC,303,Homovanillic acid (HVA) ,,,22.41,22.41,1
RC,303,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,303,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,1
RC,303,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,1
RC,303,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,1
RC,303,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,303,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,1
RC,303,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,1
RC,303,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,1
RC,303,Human epididymis protein 4 (HE4) ,,,20.81,20.81,1
RC,303,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,1
RC,303,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,1
RC,303,Hydroxychloroquine ,,,18.64,18.64,1
RC,303,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,1
RC,303,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,1
RC,303,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,1
RC,303,Hydroxyproline; free ,,,22.65,22.65,1
RC,303,Hydroxyproline; total ,,,24.3,24.3,1
RC,303,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,1
RC,303,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,1
RC,303,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,1
RC,303,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,1
RC,303,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,1
RC,303,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,1
RC,303,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,1
RC,303,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,1
RC,303,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,1
RC,303,Immune complex assay ,,,24.37,24.37,1
RC,303,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,1
RC,303,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,1
RC,303,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,1
RC,303,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,1
RC,303,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,1
RC,303,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,1
RC,303,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,1
RC,303,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,1
RC,303,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,1
RC,303,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,1
RC,303,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,1
RC,303,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,1
RC,303,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,1
RC,303,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,1
RC,303,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,1
RC,303,Immunoelectrophoresis; serum ,,,29.92,29.92,1
RC,303,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,1
RC,303,Immunofixation electrophoresis; serum ,,,22.34,22.34,1
RC,303,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,1
RC,303,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,1
RC,303,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,1
RC,303,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,1
RC,303,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,1
RC,303,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,1
RC,303,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,1
RC,303,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,1
RC,303,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,31
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,1
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,1
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,1
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,1
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,1
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,1
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,1
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,1
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,1
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,1
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,1
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,1
RC,303,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,1
RC,303,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,1
RC,303,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,303,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,1
RC,303,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,1
RC,303,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,1
RC,303,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,2
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,3
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,1
RC,303,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,1
RC,303,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,1
RC,303,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,1
RC,303,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,1
RC,303,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,1
RC,303,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,1
RC,303,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,1
RC,303,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,1
RC,303,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,1
RC,303,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,1
RC,303,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,1
RC,303,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,1
RC,303,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,1
RC,303,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,1
RC,303,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,1
RC,303,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,1
RC,303,Infliximab ,,,38.57,38.57,1
RC,303,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,1
RC,303,Inhibin A ,,,15.59,15.59,1
RC,303,Insemination of oocytes ,,,149.16,149.16,1
RC,303,Insulin antibodies ,,,21.41,21.41,1
RC,303,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,1
RC,303,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,1
RC,303,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,1
RC,303,Insulin; free ,,,12.95,12.95,1
RC,303,Insulin; total ,,,11.43,11.43,1
RC,303,Interleukin-6 (IL-6) ,,,17.27,17.27,1
RC,303,Intrinsic factor ,,,19.82,19.82,1
RC,303,Intrinsic factor antibodies ,,,15.08,15.08,1
RC,303,Iron ,,,6.47,6.47,1
RC,303,Iron binding capacity ,,,8.74,8.74,1
RC,303,"Iron stain, peripheral blood ",,,6.88,6.88,1
RC,303,"Irradiation of blood product, each unit ",,,33.84,33.84,1
RC,303,Islet cell antibody ,,,23.57,23.57,1
RC,303,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,1
RC,303,Itraconazole ,,,27.11,27.11,1
RC,303,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,1
RC,303,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,1
RC,303,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,1
RC,303,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,1
RC,303,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,1
RC,303,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,1
RC,303,"Ketogenic steroids, fractionation ",,,15.47,15.47,1
RC,303,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,1
RC,303,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,1
RC,303,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,1
RC,303,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,1
RC,303,Lacosamide ,,,27.11,27.11,1
RC,303,Lactate (lactic acid) ,,,11.57,11.57,1
RC,303,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,1
RC,303,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,1
RC,303,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,1
RC,303,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,1
RC,303,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,1
RC,303,"Lactose, urine, qualitative ",,,11.25,11.25,1
RC,303,Lamotrigine ,,,13.25,13.25,1
RC,303,Lead ,,,12.11,12.11,1
RC,303,Leflunomide ,,,38.57,38.57,1
RC,303,Leucine aminopeptidase (LAP) ,,,9.81,9.81,1
RC,303,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,1
RC,303,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,1
RC,303,Leukocyte histamine release test (LHR) ,,,12.46,12.46,1
RC,303,Leukocyte phagocytosis ,,,10.39,10.39,1
RC,303,Leukocyte transfusion ,,,149.16,149.16,1
RC,303,Levetiracetam ,,,13.25,13.25,1
RC,303,Lidocaine ,,,14.69,14.69,1
RC,303,Lipase ,,,6.89,6.89,1
RC,303,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,1
RC,303,Lipoprotein (a) ,,,14.32,14.32,1
RC,303,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,1
RC,303,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,1
RC,303,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,1
RC,303,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,1
RC,303,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,1
RC,303,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,1
RC,303,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,1
RC,303,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,1
RC,303,Lithium ,,,6.61,6.61,1
RC,303,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,1
RC,303,Luteinizing releasing factor (LRH) ,,,17.19,17.19,1
RC,303,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,1
RC,303,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,1
RC,303,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,1
RC,303,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,1
RC,303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,1
RC,303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,1
RC,303,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,1
RC,303,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,1
RC,303,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,303,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,1
RC,303,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,303,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,1
RC,303,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,1
RC,303,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,1
RC,303,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,1
RC,303,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,1
RC,303,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,1
RC,303,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,1
RC,303,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,1
RC,303,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,1
RC,303,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,1
RC,303,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,1
RC,303,Macroscopic examination; arthropod ,,,4.27,4.27,1
RC,303,Macroscopic examination; parasite ,,,4.31,4.31,1
RC,303,Magnesium ,,,6.7,6.7,1
RC,303,Malate dehydrogenase ,,,7.37,7.37,1
RC,303,Manganese ,,,26.65,26.65,1
RC,303,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,1
RC,303,"Meat fibers, feces ",,,4.85,4.85,1
RC,303,"Mechanical fragility, RBC ",,,8.6,8.6,1
RC,303,"Mercury, quantitative ",,,16.26,16.26,1
RC,303,Metanephrines ,,,16.94,16.94,1
RC,303,Methemalbumin ,,,10.74,10.74,1
RC,303,Methotrexate ,,,38.57,38.57,1
RC,303,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,1
RC,303,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,1
RC,303,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,1
RC,303,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,1
RC,303,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,1
RC,303,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,1
RC,303,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,1
RC,303,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,1
RC,303,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,1
RC,303,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,1
RC,303,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,1
RC,303,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,1
RC,303,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,1
RC,303,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,1
RC,303,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,1
RC,303,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,1
RC,303,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,303,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,1
RC,303,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,303,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,1
RC,303,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,1
RC,303,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,1
RC,303,Muramidase ,,,18.75,18.75,1
RC,303,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,1
RC,303,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,1
RC,303,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,1
RC,303,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,303,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,303,Myeloperoxidase (MPO) ,,,50.86,50.86,1
RC,303,Myoglobin ,,,12.92,12.92,1
RC,303,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,1
RC,303,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,1
RC,303,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,1
RC,303,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,303,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,303,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,303,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,1
RC,303,Nasal smear for eosinophils ,,,5.79,5.79,1
RC,303,Natriuretic peptide ,,,39.26,39.26,1
RC,303,"Natural killer (NK) cells, total count ",,,37.73,37.73,1
RC,303,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,1
RC,303,Neurofilament light chain (NfL) ,,,116.23,116.23,1
RC,303,"Neutralization test, viral ",,,16.91,16.91,1
RC,303,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,1
RC,303,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,1
RC,303,Nickel ,,,24.51,24.51,1
RC,303,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,1
RC,303,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,1
RC,303,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,1
RC,303,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,1
RC,303,Nucleotidase 5'- ,,,11.15,11.15,1
RC,303,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,1
RC,303,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,1
RC,303,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,1
RC,303,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,1
RC,303,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,1
RC,303,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,1
RC,303,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,1
RC,303,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,1
RC,303,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,1
RC,303,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,1
RC,303,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,1
RC,303,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,1
RC,303,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,1
RC,303,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,1
RC,303,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,1
RC,303,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,1
RC,303,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,1
RC,303,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,1
RC,303,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,1
RC,303,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,1
RC,303,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,1
RC,303,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,1
RC,303,Oncoprotein; HER-2/neu ,,,64.41,64.41,1
RC,303,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,1
RC,303,Oocyte identification from follicular fluid ,,,149.16,149.16,1
RC,303,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,1
RC,303,"Organic acid, single, quantitative ",,,21.21,21.21,1
RC,303,"Organic acids; qualitative, each specimen ",,,16.45,16.45,1
RC,303,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,1
RC,303,Osmolality; blood ,,,6.61,6.61,1
RC,303,Osmolality; urine ,,,6.82,6.82,1
RC,303,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,1
RC,303,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,1
RC,303,Osteocalcin (bone g1a protein) ,,,29.85,29.85,1
RC,303,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,1
RC,303,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,1
RC,303,Oxalate ,,,14.45,14.45,1
RC,303,Oxcarbazepine ,,,13.25,13.25,1
RC,303,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,1
RC,303,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,1
RC,303,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,1
RC,303,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,1
RC,303,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,1
RC,303,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,1
RC,303,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,1
RC,303,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,1
RC,303,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,1
RC,303,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,1
RC,303,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,303,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,1
RC,303,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,1
RC,303,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,1
RC,303,Parathormone (parathyroid hormone) ,,,41.28,41.28,1
RC,303,"Particle agglutination; screen, each antibody ",,,11.54,11.54,1
RC,303,"Particle agglutination; titer, each antibody ",,,10.64,10.64,1
RC,303,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,1
RC,303,Phencyclidine (PCP) ,,,41.52,41.52,1
RC,303,Phenobarbital ,,,15.3,15.3,1
RC,303,"Phenylalanine (PKU), blood ",,,5.5,5.5,1
RC,303,"Phenylketones, qualitative ",,,3.98,3.98,1
RC,303,Phenytoin; free ,,,13.76,13.76,1
RC,303,Phenytoin; total ,,,13.25,13.25,1
RC,303,"Phosphatase, acid; prostatic ",,,9.66,9.66,1
RC,303,"Phosphatase, acid; total ",,,7.64,7.64,1
RC,303,"Phosphatase, alkaline; ",,,5.18,5.18,1
RC,303,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,1
RC,303,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,1
RC,303,Phosphatidylglycerol ,,,16.52,16.52,1
RC,303,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,1
RC,303,Phosphohexose isomerase ,,,10.73,10.73,1
RC,303,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,1
RC,303,Phospholipid neutralization; platelet ,,,17.98,17.98,1
RC,303,Phosphorus inorganic (phosphate); ,,,4.74,4.74,1
RC,303,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,1
RC,303,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,1
RC,303,Pinworm examinations ,,,4.27,4.27,1
RC,303,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,1
RC,303,Pooling of platelets or other blood products ,,,149.16,149.16,1
RC,303,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,1
RC,303,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,1
RC,303,"Porphyrins, feces, quantitative ",,,39.11,39.11,1
RC,303,"Porphyrins, urine; qualitative ",,,13.36,13.36,1
RC,303,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,1
RC,303,Posaconazole ,,,27.11,27.11,1
RC,303,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,1
RC,303,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,1
RC,303,Potassium; urine ,,,4.73,4.73,1
RC,303,Prealbumin ,,,14.59,14.59,1
RC,303,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,1
RC,303,Pregnanediol ,,,21.27,21.27,1
RC,303,Pregnanetriol ,,,21.05,21.05,1
RC,303,Pregnenolone ,,,20.67,20.67,1
RC,303,Preparation of embryo for transfer (any method) ,,,49.76,49.76,1
RC,303,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,1
RC,303,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,1
RC,303,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,1
RC,303,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,1
RC,303,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,1
RC,303,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,1
RC,303,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,1
RC,303,Primidone ,,,16.59,16.59,1
RC,303,Procainamide; ,,,60.0,60.0,1
RC,303,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,1
RC,303,Procalcitonin (PCT) ,,,27.22,27.22,1
RC,303,Progesterone ,,,20.86,20.86,1
RC,303,Proinsulin ,,,26.69,26.69,1
RC,303,Prolactin ,,,19.38,19.38,1
RC,303,"Prostaglandin, each ",,,41.77,41.77,1
RC,303,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,1
RC,303,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,1
RC,303,Prostate specific antigen (PSA); free ,,,18.39,18.39,1
RC,303,Prostate specific antigen (PSA); total ,,,18.39,18.39,1
RC,303,"Protein, total, by refractometry, any source ",,,5.61,5.61,1
RC,303,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,1
RC,303,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,1
RC,303,"Protein, total, except by refractometry; urine ",,,3.67,3.67,1
RC,303,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,1
RC,303,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,1
RC,303,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,1
RC,303,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,1
RC,303,Prothrombin time; ,,,4.29,4.29,1
RC,303,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,1
RC,303,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,1
RC,303,"Protoporphyrin, RBC; screen ",,,9.74,9.74,1
RC,303,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,1
RC,303,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,1
RC,303,Pyruvate ,,,14.48,14.48,1
RC,303,Pyruvate kinase ,,,9.44,9.44,1
RC,303,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,1
RC,303,Quinidine ,,,14.6,14.6,1
RC,303,Quinine ,,,11.63,11.63,1
RC,303,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,1
RC,303,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,1
RC,303,Receptor assay; estrogen ,,,87.88,87.88,1
RC,303,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,1
RC,303,Receptor assay; progesterone ,,,64.88,64.88,1
RC,303,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,1
RC,303,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,1
RC,303,Renin ,,,21.99,21.99,1
RC,303,Reptilase test ,,,9.85,9.85,1
RC,303,Reticulated platelet assay ,,,35.74,35.74,1
RC,303,Rheumatoid factor; qualitative ,,,6.14,6.14,1
RC,303,Rheumatoid factor; quantitative ,,,5.67,5.67,1
RC,303,Riboflavin (Vitamin B-2) ,,,20.24,20.24,1
RC,303,Rufinamide ,,,27.11,27.11,1
RC,303,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,1
RC,303,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,1
RC,303,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,1
RC,303,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,1
RC,303,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,1
RC,303,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,1
RC,303,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,1
RC,303,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,303,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,1
RC,303,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,1
RC,303,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,1
RC,303,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,1
RC,303,Salicylate ,,,18.64,18.64,1
RC,303,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,1
RC,303,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,1
RC,303,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,1
RC,303,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,1
RC,303,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,1
RC,303,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,1
RC,303,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,1
RC,303,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,1
RC,303,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,1
RC,303,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,1
RC,303,Selenium ,,,25.53,25.53,1
RC,303,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,1
RC,303,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,1
RC,303,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,1
RC,303,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,1
RC,303,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,1
RC,303,Serotonin ,,,30.98,30.98,1
RC,303,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,1
RC,303,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,1
RC,303,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,1
RC,303,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,1
RC,303,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,1
RC,303,Sialic acid ,,,13.44,13.44,1
RC,303,"Sickling of RBC, reduction ",,,5.51,5.51,1
RC,303,Silica ,,,25.21,25.21,1
RC,303,Sirolimus ,,,13.73,13.73,1
RC,303,Skin test; candida ,,,24.67,24.67,1
RC,303,Skin test; histoplasmosis ,,,55.66,55.66,1
RC,303,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,1
RC,303,"Skin test; unlisted antigen, each ",,,24.67,24.67,1
RC,303,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,1
RC,303,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,1
RC,303,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,1
RC,303,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,1
RC,303,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,1
RC,303,Sodium; other source ,,,4.86,4.86,1
RC,303,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,1
RC,303,Sodium; urine ,,,5.06,5.06,1
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,1
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,1
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,1
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,1
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,1
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,1
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,1
RC,303,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,1
RC,303,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,2
RC,303,Somatomedin ,,,21.26,21.26,1
RC,303,Somatostatin ,,,18.28,18.28,1
RC,303,Specific gravity (except urine) ,,,3.28,3.28,1
RC,303,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,1
RC,303,Sperm antibodies ,,,10.67,10.67,1
RC,303,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,1
RC,303,Sperm evaluation; hamster penetration test ,,,19.59,19.59,1
RC,303,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,1
RC,303,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,1
RC,303,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,303,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,303,"Splitting of blood or blood products, each unit ",,,149.16,149.16,1
RC,303,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,1
RC,303,"Stem cells (ie, CD34), total count ",,,77.78,77.78,1
RC,303,Storage (per year); embryo(s) ,,,149.16,149.16,1
RC,303,Storage (per year); oocyte(s) ,,,291.26,291.26,1
RC,303,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,303,Storage (per year); sperm/semen ,,,149.16,149.16,1
RC,303,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,1
RC,303,"Streptokinase, antibody ",,,12.66,12.66,1
RC,303,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,1
RC,303,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,1
RC,303,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,1
RC,303,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,1
RC,303,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,1
RC,303,"Sulfate, urine ",,,5.49,5.49,1
RC,303,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,1
RC,303,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,1
RC,303,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,1
RC,303,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,1
RC,303,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,1
RC,303,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,1
RC,303,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,1
RC,303,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,1
RC,303,Sweat collection by iontophoresis ,,,49.76,49.76,1
RC,303,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,1
RC,303,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,1
RC,303,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,1
RC,303,T cells; absolute CD4 count ,,,26.78,26.78,1
RC,303,T cells; total count ,,,37.73,37.73,1
RC,303,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,303,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,1
RC,303,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,1
RC,303,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,1
RC,303,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,1
RC,303,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,1
RC,303,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,1
RC,303,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,1
RC,303,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,1
RC,303,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,1
RC,303,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,1
RC,303,Tacrolimus ,,,13.73,13.73,1
RC,303,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,1
RC,303,"Tau, total (tTau) ",,,128.92,128.92,1
RC,303,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,1
RC,303,Testosterone; free ,,,25.47,25.47,1
RC,303,Testosterone; total ,,,25.81,25.81,1
RC,303,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,1
RC,303,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,1
RC,303,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,303,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,1
RC,303,Theophylline ,,,14.14,14.14,1
RC,303,Thiamine (Vitamin B-1) ,,,21.23,21.23,1
RC,303,Thiocyanate ,,,11.63,11.63,1
RC,303,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,1
RC,303,Thrombin time; plasma ,,,5.77,5.77,1
RC,303,Thrombin time; titer ,,,6.85,6.85,1
RC,303,Thrombomodulin ,,,17.27,17.27,1
RC,303,"Thromboplastin inhibition, tissue ",,,9.63,9.63,1
RC,303,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,1
RC,303,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,1
RC,303,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,1
RC,303,"Thymol turbidity, blood ",,,4.95,4.95,1
RC,303,Thyroglobulin ,,,16.06,16.06,1
RC,303,Thyroglobulin antibody ,,,15.91,15.91,1
RC,303,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,1
RC,303,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,1
RC,303,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,1
RC,303,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,1
RC,303,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,1
RC,303,Thyroxine binding globulin (TBG) ,,,14.78,14.78,1
RC,303,Thyroxine; free ,,,9.02,9.02,1
RC,303,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,1
RC,303,Thyroxine; total ,,,6.87,6.87,1
RC,303,Tiagabine ,,,27.11,27.11,1
RC,303,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,1
RC,303,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,303,Tobramycin ,,,16.13,16.13,1
RC,303,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,1
RC,303,Topiramate ,,,11.92,11.92,1
RC,303,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,1
RC,303,Transcortin (cortisol binding globulin) ,,,18.0,18.0,1
RC,303,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,1
RC,303,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,1
RC,303,Transferrin ,,,12.76,12.76,1
RC,303,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,1
RC,303,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,1
RC,303,Triglycerides ,,,5.74,5.74,1
RC,303,Triiodothyronine T3; free ,,,16.94,16.94,1
RC,303,Triiodothyronine T3; reverse ,,,15.76,15.76,1
RC,303,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,1
RC,303,"Troponin, qualitative ",,,10.09,10.09,1
RC,303,"Troponin, quantitative ",,,12.47,12.47,1
RC,303,Trypsin; duodenal fluid ,,,7.2,7.2,1
RC,303,"Trypsin; feces, qualitative ",,,7.3,7.3,1
RC,303,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,1
RC,303,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,1
RC,303,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,1
RC,303,Tyrosine ,,,10.63,10.63,1
RC,303,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,1
RC,303,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,1
RC,303,Unlisted miscellaneous pathology test ,,,49.76,49.76,1
RC,303,Unlisted transfusion medicine procedure ,,,24.67,24.67,1
RC,303,"Urea nitrogen, clearance ",,,7.2,7.2,1
RC,303,"Urea nitrogen, urine ",,,5.56,5.56,1
RC,303,Urea nitrogen; quantitative ,,,3.95,3.95,1
RC,303,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,1
RC,303,Uric acid; blood ,,,4.52,4.52,1
RC,303,Uric acid; other source ,,,5.08,5.08,1
RC,303,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,2
RC,303,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,2
RC,303,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,1
RC,303,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,1
RC,303,Urinalysis; microscopic only ,,,3.05,3.05,1
RC,303,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,1
RC,303,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,1
RC,303,"Urobilinogen, feces, quantitative ",,,16.8,16.8,1
RC,303,"Urobilinogen, urine; qualitative ",,,4.47,4.47,1
RC,303,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,1
RC,303,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,1
RC,303,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,1
RC,303,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,1
RC,303,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,1
RC,303,Vancomycin ,,,13.54,13.54,1
RC,303,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,1
RC,303,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,1
RC,303,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,1
RC,303,Vedolizumab ,,,38.57,38.57,1
RC,303,Very long chain fatty acids ,,,19.75,19.75,1
RC,303,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,1
RC,303,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,1
RC,303,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,1
RC,303,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,1
RC,303,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,1
RC,303,Viscosity ,,,11.67,11.67,1
RC,303,Vitamin A ,,,11.61,11.61,1
RC,303,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,1
RC,303,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,1
RC,303,Vitamin K ,,,13.72,13.72,1
RC,303,"Vitamin, not otherwise specified ",,,17.06,17.06,1
RC,303,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,1
RC,303,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,1
RC,303,"Volume measurement for timed collection, each ",,,3.64,3.64,1
RC,303,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,1
RC,303,Voriconazole ,,,27.11,27.11,1
RC,303,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,1
RC,303,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,1
RC,303,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,1
RC,303,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,1
RC,303,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,1
RC,303,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,1
RC,303,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,1
RC,303,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,1
RC,303,Zinc ,,,11.39,11.39,1
RC,303,Zonisamide ,,,13.25,13.25,1
RC,303,"b-Hexosaminidase, each assay ",,,16.87,16.87,1
RC,303,"pH; body fluid, not otherwise specified ",,,3.58,3.58,1
RC,303,pH; exhaled breath condensate ,,,3.58,3.58,1
RC,304, Laboratory Non-Routine Dialysis  ,,,,,0
RC,304,17-hydroxypregnenolone ,,,22.81,22.81,1
RC,304,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,1
RC,304,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,1
RC,304,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,1
RC,304,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,1
RC,304,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,1
RC,304,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,1
RC,304,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,1
RC,304,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,1
RC,304,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,1
RC,304,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,1
RC,304,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,304,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,1
RC,304,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,1
RC,304,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,1
RC,304,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,1
RC,304,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,Acetaminophen ,,,18.64,18.64,1
RC,304,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,1
RC,304,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,1
RC,304,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,1
RC,304,Acetylcholinesterase ,,,12.29,12.29,1
RC,304,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,1
RC,304,Activated Protein C (APC) resistance assay ,,,15.32,15.32,1
RC,304,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,1
RC,304,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,1
RC,304,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,1
RC,304,Adalimumab ,,,38.57,38.57,1
RC,304,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,1
RC,304,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,1
RC,304,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,1
RC,304,Albumin; ischemia modified ,,,33.94,33.94,1
RC,304,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,1
RC,304,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,1
RC,304,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,1
RC,304,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,1
RC,304,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,1
RC,304,Alcohol (ethanol); breath ,,,30.0,30.0,1
RC,304,Aldolase ,,,9.71,9.71,1
RC,304,Aldosterone ,,,40.75,40.75,1
RC,304,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,1
RC,304,All potassium hydroxide (koh) preparations ,,,5.83,5.83,1
RC,304,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,1
RC,304,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,1
RC,304,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,1
RC,304,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,1
RC,304,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,1
RC,304,Alpha-1-antitrypsin; total ,,,13.44,13.44,1
RC,304,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,1
RC,304,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,1
RC,304,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,1
RC,304,Aluminum ,,,25.48,25.48,1
RC,304,Amikacin ,,,15.08,15.08,1
RC,304,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,1
RC,304,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,1
RC,304,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,1
RC,304,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,1
RC,304,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,1
RC,304,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,1
RC,304,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,1
RC,304,Amiodarone ,,,18.64,18.64,1
RC,304,Ammonia ,,,14.57,14.57,1
RC,304,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,1
RC,304,Amylase ,,,6.48,6.48,1
RC,304,Androstanediol glucuronide ,,,28.83,28.83,1
RC,304,Androstenedione ,,,29.28,29.28,1
RC,304,Androsterone ,,,25.55,25.55,1
RC,304,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,1
RC,304,Angiotensin II ,,,20.52,20.52,1
RC,304,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,1
RC,304,Anti-mullerian hormone (AMH) ,,,38.62,38.62,1
RC,304,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,1
RC,304,"Antibody elution (RBC), each elution ",,,149.16,149.16,1
RC,304,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,1
RC,304,Antibody identification; leukocyte antibodies ,,,15.05,15.05,1
RC,304,Antibody identification; platelet antibodies ,,,18.37,18.37,1
RC,304,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,1
RC,304,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,1
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,2
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,2
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,1
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,1
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,1
RC,304,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,1
RC,304,Antibody; Aspergillus ,,,15.05,15.05,1
RC,304,Antibody; Bartonella ,,,10.18,10.18,1
RC,304,Antibody; Blastomyces ,,,12.9,12.9,1
RC,304,Antibody; Bordetella ,,,13.19,13.19,1
RC,304,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,1
RC,304,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,1
RC,304,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,1
RC,304,Antibody; Brucella ,,,8.93,8.93,1
RC,304,Antibody; Campylobacter ,,,13.12,13.12,1
RC,304,Antibody; Candida ,,,12.01,12.01,1
RC,304,Antibody; Chlamydia ,,,11.82,11.82,1
RC,304,"Antibody; Chlamydia, IgM ",,,12.68,12.68,1
RC,304,Antibody; Coccidioides ,,,11.47,11.47,1
RC,304,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,1
RC,304,Antibody; Cryptococcus ,,,14.41,14.41,1
RC,304,Antibody; Diphtheria ,,,15.21,15.21,1
RC,304,Antibody; Ehrlichia ,,,10.18,10.18,1
RC,304,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,1
RC,304,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,1
RC,304,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,1
RC,304,Antibody; Francisella tularensis ,,,14.16,14.16,1
RC,304,Antibody; Giardia lamblia ,,,14.72,14.72,1
RC,304,Antibody; HIV-1 ,,,8.89,8.89,1
RC,304,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,1
RC,304,Antibody; HIV-2 ,,,13.52,13.52,1
RC,304,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,1
RC,304,Antibody; HTLV-I ,,,9.09,9.09,1
RC,304,Antibody; HTLV-II ,,,14.0,14.0,1
RC,304,Antibody; Haemophilus influenza ,,,15.84,15.84,1
RC,304,Antibody; Helicobacter pylori ,,,16.85,16.85,1
RC,304,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,1
RC,304,Antibody; Legionella ,,,15.3,15.3,1
RC,304,Antibody; Leishmania ,,,12.25,12.25,1
RC,304,Antibody; Leptospira ,,,16.2,16.2,1
RC,304,Antibody; Listeria monocytogenes ,,,13.19,13.19,1
RC,304,Antibody; Neisseria meningitidis ,,,13.19,13.19,1
RC,304,Antibody; Nocardia ,,,15.99,15.99,1
RC,304,Antibody; Plasmodium (malaria) ,,,13.19,13.19,1
RC,304,Antibody; Rickettsia ,,,19.35,19.35,1
RC,304,Antibody; Salmonella ,,,13.19,13.19,1
RC,304,Antibody; Shigella ,,,24.48,24.48,1
RC,304,Antibody; Toxoplasma ,,,14.39,14.39,1
RC,304,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,1
RC,304,Antibody; Treponema pallidum ,,,13.24,13.24,1
RC,304,Antibody; Trichinella ,,,12.56,12.56,1
RC,304,Antibody; West Nile virus ,,,14.39,14.39,1
RC,304,"Antibody; West Nile virus, IgM ",,,16.85,16.85,1
RC,304,Antibody; Yersinia ,,,13.19,13.19,1
RC,304,"Antibody; Zika virus, IgM ",,,16.85,16.85,1
RC,304,Antibody; actinomyces ,,,10.18,10.18,1
RC,304,Antibody; adenovirus ,,,12.87,12.87,1
RC,304,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,1
RC,304,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,1
RC,304,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,1
RC,304,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,1
RC,304,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,1
RC,304,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,1
RC,304,"Antibody; encephalitis, Western equine ",,,13.19,13.19,1
RC,304,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,1
RC,304,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,1
RC,304,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,1
RC,304,"Antibody; hepatitis, delta agent ",,,17.16,17.16,1
RC,304,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,1
RC,304,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,1
RC,304,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,1
RC,304,Antibody; histoplasma ,,,13.79,13.79,1
RC,304,Antibody; influenza virus ,,,13.55,13.55,1
RC,304,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,1
RC,304,Antibody; mucormycosis ,,,15.0,15.0,1
RC,304,Antibody; mumps ,,,13.05,13.05,1
RC,304,Antibody; mycoplasma ,,,13.24,13.24,1
RC,304,Antibody; parvovirus ,,,15.03,15.03,1
RC,304,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,1
RC,304,Antibody; respiratory syncytial virus ,,,15.89,15.89,1
RC,304,Antibody; rotavirus ,,,18.23,18.23,1
RC,304,Antibody; rubella ,,,14.39,14.39,1
RC,304,Antibody; rubeola ,,,12.88,12.88,1
RC,304,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,1
RC,304,Antibody; tetanus ,,,14.8,14.8,1
RC,304,Antibody; varicella-zoster ,,,12.88,12.88,1
RC,304,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,1
RC,304,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,1
RC,304,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,1
RC,304,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,1
RC,304,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,1
RC,304,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,1
RC,304,Antinuclear antibodies (ANA); ,,,12.09,12.09,1
RC,304,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,1
RC,304,Antistreptolysin 0; screen ,,,5.77,5.77,1
RC,304,Antistreptolysin 0; titer ,,,7.3,7.3,1
RC,304,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,1
RC,304,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,1
RC,304,"Apolipoprotein, each ",,,21.09,21.09,1
RC,304,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,304,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,1
RC,304,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,304,Arsenic ,,,18.97,18.97,1
RC,304,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,1
RC,304,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,1
RC,304,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,1
RC,304,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,1
RC,304,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,1
RC,304,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,1
RC,304,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,1
RC,304,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,1
RC,304,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,1
RC,304,"B cells, total count ",,,37.73,37.73,1
RC,304,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,1
RC,304,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,1
RC,304,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,1
RC,304,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,1
RC,304,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,1
RC,304,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,1
RC,304,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,1
RC,304,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,1
RC,304,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,304,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,1
RC,304,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,1
RC,304,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,1
RC,304,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,1
RC,304,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,1
RC,304,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,1
RC,304,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,304,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,1
RC,304,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,1
RC,304,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,1
RC,304,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,1
RC,304,Beta-2 microglobulin ,,,16.18,16.18,1
RC,304,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,1
RC,304,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,1
RC,304,Bile acids; cholylglycine ,,,26.58,26.58,1
RC,304,Bile acids; total ,,,17.12,17.12,1
RC,304,"Bilirubin, total, transcutaneous ",,,5.02,5.02,1
RC,304,Bilirubin; direct ,,,5.02,5.02,1
RC,304,"Bilirubin; feces, qualitative ",,,4.56,4.56,1
RC,304,Bilirubin; total ,,,5.02,5.02,1
RC,304,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,1
RC,304,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,1
RC,304,"Biotinidase, each specimen ",,,16.87,16.87,1
RC,304,Bleeding time ,,,4.82,4.82,1
RC,304,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,1
RC,304,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,1
RC,304,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,1
RC,304,Blood count; automated differential WBC count ,,,6.47,6.47,1
RC,304,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,1
RC,304,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,1
RC,304,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,1
RC,304,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,1
RC,304,Blood count; hematocrit (Hct) ,,,2.37,2.37,1
RC,304,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,1
RC,304,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,1
RC,304,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,1
RC,304,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,1
RC,304,"Blood count; platelet, automated ",,,4.48,4.48,1
RC,304,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,1
RC,304,"Blood count; reticulocyte, automated ",,,3.99,3.99,1
RC,304,"Blood count; reticulocyte, manual ",,,4.31,4.31,1
RC,304,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,1
RC,304,Blood count; spun microhematocrit ,,,7.0,7.0,1
RC,304,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,1
RC,304,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,1
RC,304,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,1
RC,304,"Blood typing, serologic; ABO ",,,2.99,2.99,1
RC,304,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,1
RC,304,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,1
RC,304,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,1
RC,304,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,1
RC,304,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,1
RC,304,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,1
RC,304,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,1
RC,304,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,1
RC,304,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,1
RC,304,"Bone marrow, smear interpretation ",,,656.15,656.15,1
RC,304,Bradykinin ,,,5.16,5.16,1
RC,304,C-peptide ,,,20.81,20.81,1
RC,304,C-reactive protein; ,,,5.18,5.18,1
RC,304,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,1
RC,304,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,1
RC,304,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,1
RC,304,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,1
RC,304,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,1
RC,304,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,1
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,1
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,1
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,1
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,1
RC,304,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,1
RC,304,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,304,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,304,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,1
RC,304,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,1
RC,304,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,1
RC,304,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,1
RC,304,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,1
RC,304,Cadmium ,,,23.64,23.64,1
RC,304,Caffeine ,,,38.57,38.57,1
RC,304,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,1
RC,304,Calcitonin ,,,26.79,26.79,1
RC,304,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,1
RC,304,Calcium; after calcium infusion test ,,,13.34,13.34,1
RC,304,Calcium; ionized ,,,13.68,13.68,1
RC,304,Calcium; total ,,,5.16,5.16,1
RC,304,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,1
RC,304,Calculus; X-ray diffraction ,,,12.52,12.52,1
RC,304,Calculus; infrared spectroscopy ,,,12.9,12.9,1
RC,304,Calculus; qualitative analysis ,,,11.58,11.58,1
RC,304,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,1
RC,304,"Calprotectin, fecal ",,,19.63,19.63,1
RC,304,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,1
RC,304,Carbamazepine; free ,,,13.25,13.25,1
RC,304,Carbamazepine; total ,,,14.57,14.57,1
RC,304,Carbohydrate deficient transferrin ,,,18.06,18.06,1
RC,304,Carbon dioxide (bicarbonate) ,,,4.88,4.88,1
RC,304,Carboxyhemoglobin; qualitative ,,,14.07,14.07,1
RC,304,Carboxyhemoglobin; quantitative ,,,12.32,12.32,1
RC,304,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,1
RC,304,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,1
RC,304,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,1
RC,304,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,1
RC,304,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,1
RC,304,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,1
RC,304,Carotene ,,,9.22,9.22,1
RC,304,Catecholamines; blood ,,,29.08,29.08,1
RC,304,Catecholamines; fractionated ,,,25.25,25.25,1
RC,304,Catecholamines; total urine ,,,27.3,27.3,1
RC,304,Cathepsin-D ,,,18.06,18.06,1
RC,304,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,1
RC,304,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,1
RC,304,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,1
RC,304,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,1
RC,304,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,1
RC,304,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,1
RC,304,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,1
RC,304,"Cephalin floculation, blood ",,,4.95,4.95,1
RC,304,Ceruloplasmin ,,,10.74,10.74,1
RC,304,Chemiluminescent assay ,,,14.12,14.12,1
RC,304,"Chemotaxis assay, specify method ",,,15.99,15.99,1
RC,304,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,1
RC,304,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,1
RC,304,Chloramphenicol ,,,12.67,12.67,1
RC,304,Chloride; blood ,,,4.6,4.6,1
RC,304,Chloride; other source ,,,5.0,5.0,1
RC,304,Chloride; urine ,,,5.75,5.75,1
RC,304,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,1
RC,304,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,1
RC,304,Cholinesterase; RBC ,,,9.81,9.81,1
RC,304,Cholinesterase; serum ,,,7.87,7.87,1
RC,304,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,1
RC,304,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,1
RC,304,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,1
RC,304,Chromium ,,,20.28,20.28,1
RC,304,Chromogenic substrate assay ,,,11.89,11.89,1
RC,304,Citrate ,,,27.8,27.8,1
RC,304,"Clot lysis time, whole blood dilution ",,,20.37,20.37,1
RC,304,Clot retraction ,,,16.3,16.3,1
RC,304,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,1
RC,304,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,1
RC,304,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,1
RC,304,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,1
RC,304,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,1
RC,304,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,1
RC,304,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,1
RC,304,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,1
RC,304,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,1
RC,304,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,1
RC,304,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,1
RC,304,Clotting; factor VIII related antigen ,,,20.42,20.42,1
RC,304,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,1
RC,304,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,1
RC,304,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,1
RC,304,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,1
RC,304,Clotting; factor XI (PTA) ,,,17.9,17.9,1
RC,304,Clotting; factor XII (Hageman) ,,,19.35,19.35,1
RC,304,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,1
RC,304,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,1
RC,304,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,1
RC,304,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,1
RC,304,Clozapine ,,,20.15,20.15,1
RC,304,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,1
RC,304,Coagulation time; Lee and White ,,,4.69,4.69,1
RC,304,Coagulation time; activated ,,,4.28,4.28,1
RC,304,Coagulation time; other methods ,,,4.49,4.49,1
RC,304,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,1
RC,304,Cold agglutinin; screen ,,,8.07,8.07,1
RC,304,Cold agglutinin; titer ,,,8.06,8.06,1
RC,304,"Collagen cross links, any method ",,,18.68,18.68,1
RC,304,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,1
RC,304,Collection of venous blood by venipuncture ,,,3.0,3.0,1
RC,304,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,1
RC,304,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,1
RC,304,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,1
RC,304,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,1
RC,304,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,1
RC,304,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,1
RC,304,Compatibility test each unit; electronic ,,,149.16,149.16,1
RC,304,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,1
RC,304,Compatibility test each unit; incubation technique ,,,149.16,149.16,1
RC,304,"Complement fixation tests, each antigen ",,,10.01,10.01,1
RC,304,"Complement; antigen, each component ",,,12.0,12.0,1
RC,304,"Complement; functional activity, each component ",,,12.0,12.0,1
RC,304,Complement; total hemolytic (CH50) ,,,20.32,20.32,1
RC,304,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,1
RC,304,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,1
RC,304,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,1
RC,304,"Concentration (any type), for infectious agents ",,,6.68,6.68,1
RC,304,"Congo red, blood ",,,4.95,4.95,1
RC,304,Copper ,,,12.41,12.41,1
RC,304,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,1
RC,304,Corticosterone ,,,22.52,22.52,1
RC,304,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,1
RC,304,Cortisol; free ,,,16.71,16.71,1
RC,304,Cortisol; total ,,,16.3,16.3,1
RC,304,Creatine ,,,4.64,4.64,1
RC,304,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,1
RC,304,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,1
RC,304,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,1
RC,304,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,1
RC,304,Creatinine; blood ,,,5.12,5.12,1
RC,304,Creatinine; clearance ,,,9.46,9.46,1
RC,304,Creatinine; other source ,,,5.18,5.18,1
RC,304,Cryofibrinogen ,,,14.14,14.14,1
RC,304,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,1
RC,304,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,1
RC,304,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,1
RC,304,Cryopreservation; embryo(s) ,,,656.15,656.15,1
RC,304,Cryopreservation; sperm ,,,149.16,149.16,1
RC,304,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,1
RC,304,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,1
RC,304,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,1
RC,304,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,1
RC,304,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,304,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,304,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,1
RC,304,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,1
RC,304,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,1
RC,304,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,1
RC,304,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,1
RC,304,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,1
RC,304,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,1
RC,304,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,1
RC,304,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,1
RC,304,"Culture, chlamydia, any source ",,,19.6,19.6,1
RC,304,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,1
RC,304,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,1
RC,304,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,1
RC,304,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,1
RC,304,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,1
RC,304,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,1
RC,304,"Culture, mycoplasma, any source ",,,15.39,15.39,1
RC,304,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,1
RC,304,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,1
RC,304,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,1
RC,304,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,1
RC,304,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,1
RC,304,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,1
RC,304,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,1
RC,304,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,1
RC,304,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,1
RC,304,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,1
RC,304,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,1
RC,304,"Culture, typing; other methods ",,,7.74,7.74,1
RC,304,Cyanide ,,,19.4,19.4,1
RC,304,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,1
RC,304,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,1
RC,304,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,1
RC,304,Cyclosporine ,,,18.05,18.05,1
RC,304,Cystatin C ,,,18.52,18.52,1
RC,304,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,1
RC,304,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,1
RC,304,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,1
RC,304,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,1
RC,304,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,304,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,304,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,1
RC,304,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,304,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,304,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,1
RC,304,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,1
RC,304,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,1
RC,304,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,1
RC,304,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,1
RC,304,"Deoxycortisol, 11- ",,,29.28,29.28,1
RC,304,"Deoxyribonuclease, antibody ",,,13.25,13.25,1
RC,304,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,1
RC,304,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,1
RC,304,"Desoxycorticosterone, 11- ",,,30.98,30.98,1
RC,304,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,1
RC,304,Dibucaine number ,,,12.25,12.25,1
RC,304,Digoxin; free ,,,13.28,13.28,1
RC,304,Digoxin; total ,,,13.28,13.28,1
RC,304,Dihydrotestosterone (DHT) ,,,29.28,29.28,1
RC,304,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,1
RC,304,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,4
RC,304,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,1
RC,304,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,1
RC,304,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,1
RC,304,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,1
RC,304,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,1
RC,304,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,1
RC,304,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,1
RC,304,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,1
RC,304,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,1
RC,304,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,1
RC,304,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,1
RC,304,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,1
RC,304,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,1
RC,304,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,1
RC,304,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,1
RC,304,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,1
RC,304,Erythropoietin ,,,18.79,18.79,1
RC,304,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,1
RC,304,Estradiol; total ,,,27.94,27.94,1
RC,304,Estriol ,,,24.18,24.18,1
RC,304,Estrogens; fractionated ,,,32.3,32.3,1
RC,304,Estrogens; total ,,,21.7,21.7,1
RC,304,Estrone ,,,24.95,24.95,1
RC,304,Ethosuximide ,,,16.34,16.34,1
RC,304,Ethylene glycol ,,,14.9,14.9,1
RC,304,Etiocholanolone ,,,26.24,26.24,1
RC,304,Euglobulin lysis ,,,8.41,8.41,1
RC,304,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,1
RC,304,Everolimus ,,,13.73,13.73,1
RC,304,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,1
RC,304,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,1
RC,304,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,1
RC,304,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,1
RC,304,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,1
RC,304,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,1
RC,304,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,1
RC,304,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,1
RC,304,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,1
RC,304,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,1
RC,304,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,1
RC,304,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,1
RC,304,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,1
RC,304,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,304,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,304,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,304,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,304,Factor inhibitor test ,,,12.87,12.87,1
RC,304,"Fat differential, feces, quantitative ",,,22.97,22.97,1
RC,304,"Fat or lipids, feces; qualitative ",,,5.1,5.1,1
RC,304,"Fat or lipids, feces; quantitative ",,,16.8,16.8,1
RC,304,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,1
RC,304,"Fatty acids, nonesterified ",,,18.77,18.77,1
RC,304,Felbamate ,,,18.64,18.64,1
RC,304,Fern test ,,,9.74,9.74,1
RC,304,Ferritin ,,,13.63,13.63,1
RC,304,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,1
RC,304,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,1
RC,304,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,1
RC,304,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,1
RC,304,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,1
RC,304,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,1
RC,304,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,1
RC,304,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,1
RC,304,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,1
RC,304,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,1
RC,304,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,1
RC,304,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,1
RC,304,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,1
RC,304,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,1
RC,304,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,1
RC,304,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,1
RC,304,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,1
RC,304,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,1
RC,304,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,1
RC,304,Fibrinogen; activity ,,,9.72,9.72,1
RC,304,Fibrinogen; antigen ,,,14.46,14.46,1
RC,304,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,1
RC,304,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,1
RC,304,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,1
RC,304,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,1
RC,304,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,1
RC,304,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,1
RC,304,Flecainide ,,,18.64,18.64,1
RC,304,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,1
RC,304,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,1
RC,304,Fluoride ,,,18.54,18.54,1
RC,304,Folic acid; RBC ,,,17.65,17.65,1
RC,304,Folic acid; serum ,,,14.7,14.7,1
RC,304,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,1
RC,304,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,1
RC,304,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,1
RC,304,"Frozen blood, each unit; thawing ",,,291.26,291.26,1
RC,304,"Fructose, semen ",,,17.34,17.34,1
RC,304,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,1
RC,304,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,1
RC,304,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,304,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,1
RC,304,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,1
RC,304,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,1
RC,304,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,1
RC,304,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,1
RC,304,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,1
RC,304,"Galactokinase, RBC ",,,21.48,21.48,1
RC,304,Galactose ,,,11.2,11.2,1
RC,304,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,1
RC,304,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,1
RC,304,Galectin-3 ,,,44.25,44.25,1
RC,304,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,1
RC,304,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,1
RC,304,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,1
RC,304,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,1
RC,304,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,1
RC,304,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,1
RC,304,"Gases, blood, pH only ",,,11.0,11.0,1
RC,304,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,1
RC,304,Gastrin ,,,17.63,17.63,1
RC,304,Gastrin after secretin stimulation ,,,17.69,17.69,1
RC,304,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,1
RC,304,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,1
RC,304,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,1
RC,304,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,1
RC,304,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,1
RC,304,Gentamicin ,,,16.38,16.38,1
RC,304,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,304,Glucagon ,,,14.29,14.29,1
RC,304,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,1
RC,304,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,1
RC,304,Glucagon tolerance test ,,,17.77,17.77,1
RC,304,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,1
RC,304,"Glucose, body fluid, other than blood ",,,3.93,3.93,1
RC,304,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,1
RC,304,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,1
RC,304,"Glucose; blood, reagent strip ",,,5.04,5.04,1
RC,304,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,1
RC,304,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,1
RC,304,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,1
RC,304,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,1
RC,304,"Glucosidase, beta ",,,21.48,21.48,1
RC,304,Glutamate dehydrogenase ,,,13.15,13.15,1
RC,304,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,1
RC,304,Glutathione ,,,15.45,15.45,1
RC,304,"Glutathione reductase, RBC ",,,9.44,9.44,1
RC,304,Glycated protein ,,,16.76,16.76,1
RC,304,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,1
RC,304,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,1
RC,304,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,1
RC,304,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,1
RC,304,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,1
RC,304,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,1
RC,304,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,1
RC,304,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,1
RC,304,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,1
RC,304,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,1
RC,304,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,1
RC,304,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,1
RC,304,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,304,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,304,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,1
RC,304,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,1
RC,304,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,1
RC,304,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,1
RC,304,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,1
RC,304,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,1
RC,304,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,1
RC,304,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,1
RC,304,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,1
RC,304,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,1
RC,304,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,1
RC,304,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,1
RC,304,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,1
RC,304,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,1
RC,304,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,1
RC,304,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,1
RC,304,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,1
RC,304,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,1
RC,304,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,1
RC,304,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,1
RC,304,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,1
RC,304,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,1
RC,304,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,1
RC,304,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,1
RC,304,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,1
RC,304,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,1
RC,304,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,304,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,Hair analysis (excluding arsenic) ,,,4.95,4.95,1
RC,304,Haloperidol ,,,15.78,15.78,1
RC,304,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,1
RC,304,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,1
RC,304,Haptoglobin; phenotypes ,,,26.89,26.89,1
RC,304,Haptoglobin; quantitative ,,,12.58,12.58,1
RC,304,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,1
RC,304,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,1
RC,304,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,1
RC,304,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,1
RC,304,Heinz bodies; direct ,,,4.2,4.2,1
RC,304,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,1
RC,304,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,304,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,304,Helicobacter pylori; drug administration ,,,7.86,7.86,1
RC,304,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,1
RC,304,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,2
RC,304,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,1
RC,304,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,1
RC,304,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,1
RC,304,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,1
RC,304,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,1
RC,304,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,1
RC,304,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,1
RC,304,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,1
RC,304,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,1
RC,304,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,1
RC,304,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,1
RC,304,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,1
RC,304,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,1
RC,304,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,1
RC,304,Hemoglobin; plasma ,,,7.31,7.31,1
RC,304,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,1
RC,304,Hemoglobin; thermolabile ,,,9.0,9.0,1
RC,304,"Hemoglobin; unstable, screen ",,,9.47,9.47,1
RC,304,Hemoglobin; urine ,,,3.95,3.95,1
RC,304,"Hemolysin, acid ",,,8.87,8.87,1
RC,304,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,1
RC,304,Hemolysins and agglutinins; incubated ,,,12.11,12.11,1
RC,304,"Hemosiderin, qualitative ",,,4.75,4.75,1
RC,304,Heparin assay ,,,13.09,13.09,1
RC,304,Heparin neutralization ,,,11.84,11.84,1
RC,304,Heparin-protamine tolerance test ,,,13.09,13.09,1
RC,304,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,1
RC,304,Hepatitis A antibody (HAAb) ,,,12.39,12.39,1
RC,304,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,1
RC,304,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,1
RC,304,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,1
RC,304,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,1
RC,304,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,1
RC,304,Hepatitis C antibody; ,,,14.27,14.27,1
RC,304,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,1
RC,304,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,1
RC,304,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,1
RC,304,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,1
RC,304,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,1
RC,304,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,1
RC,304,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,1
RC,304,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,1
RC,304,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,1
RC,304,Heterophile antibodies; screening ,,,5.18,5.18,1
RC,304,Heterophile antibodies; titer ,,,6.47,6.47,1
RC,304,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,1
RC,304,Histamine ,,,29.53,29.53,1
RC,304,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,1
RC,304,Homocysteine ,,,17.92,17.92,1
RC,304,"Homogenization, tissue, for culture ",,,5.88,5.88,1
RC,304,Homovanillic acid (HVA) ,,,22.41,22.41,1
RC,304,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,304,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,1
RC,304,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,1
RC,304,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,1
RC,304,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,304,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,1
RC,304,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,1
RC,304,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,1
RC,304,Human epididymis protein 4 (HE4) ,,,20.81,20.81,1
RC,304,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,1
RC,304,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,1
RC,304,Hydroxychloroquine ,,,18.64,18.64,1
RC,304,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,1
RC,304,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,1
RC,304,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,1
RC,304,Hydroxyproline; free ,,,22.65,22.65,1
RC,304,Hydroxyproline; total ,,,24.3,24.3,1
RC,304,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,1
RC,304,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,1
RC,304,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,1
RC,304,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,1
RC,304,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,1
RC,304,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,1
RC,304,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,1
RC,304,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,1
RC,304,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,1
RC,304,Immune complex assay ,,,24.37,24.37,1
RC,304,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,1
RC,304,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,1
RC,304,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,1
RC,304,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,1
RC,304,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,1
RC,304,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,1
RC,304,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,1
RC,304,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,1
RC,304,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,1
RC,304,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,1
RC,304,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,1
RC,304,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,1
RC,304,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,1
RC,304,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,1
RC,304,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,1
RC,304,Immunoelectrophoresis; serum ,,,29.92,29.92,1
RC,304,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,1
RC,304,Immunofixation electrophoresis; serum ,,,22.34,22.34,1
RC,304,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,1
RC,304,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,1
RC,304,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,1
RC,304,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,1
RC,304,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,1
RC,304,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,1
RC,304,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,1
RC,304,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,1
RC,304,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,31
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,1
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,1
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,1
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,1
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,1
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,1
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,1
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,1
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,1
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,1
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,1
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,1
RC,304,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,1
RC,304,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,1
RC,304,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,304,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,1
RC,304,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,1
RC,304,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,1
RC,304,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,2
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,3
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,1
RC,304,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,1
RC,304,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,1
RC,304,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,1
RC,304,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,1
RC,304,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,1
RC,304,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,1
RC,304,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,1
RC,304,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,1
RC,304,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,1
RC,304,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,1
RC,304,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,1
RC,304,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,1
RC,304,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,1
RC,304,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,1
RC,304,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,1
RC,304,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,1
RC,304,Infliximab ,,,38.57,38.57,1
RC,304,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,1
RC,304,Inhibin A ,,,15.59,15.59,1
RC,304,Insemination of oocytes ,,,149.16,149.16,1
RC,304,Insulin antibodies ,,,21.41,21.41,1
RC,304,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,1
RC,304,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,1
RC,304,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,1
RC,304,Insulin; free ,,,12.95,12.95,1
RC,304,Insulin; total ,,,11.43,11.43,1
RC,304,Interleukin-6 (IL-6) ,,,17.27,17.27,1
RC,304,Intrinsic factor ,,,19.82,19.82,1
RC,304,Intrinsic factor antibodies ,,,15.08,15.08,1
RC,304,Iron ,,,6.47,6.47,1
RC,304,Iron binding capacity ,,,8.74,8.74,1
RC,304,"Iron stain, peripheral blood ",,,6.88,6.88,1
RC,304,"Irradiation of blood product, each unit ",,,33.84,33.84,1
RC,304,Islet cell antibody ,,,23.57,23.57,1
RC,304,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,1
RC,304,Itraconazole ,,,27.11,27.11,1
RC,304,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,1
RC,304,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,1
RC,304,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,1
RC,304,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,1
RC,304,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,1
RC,304,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,1
RC,304,"Ketogenic steroids, fractionation ",,,15.47,15.47,1
RC,304,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,1
RC,304,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,1
RC,304,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,1
RC,304,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,1
RC,304,Lacosamide ,,,27.11,27.11,1
RC,304,Lactate (lactic acid) ,,,11.57,11.57,1
RC,304,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,1
RC,304,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,1
RC,304,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,1
RC,304,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,1
RC,304,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,1
RC,304,"Lactose, urine, qualitative ",,,11.25,11.25,1
RC,304,Lamotrigine ,,,13.25,13.25,1
RC,304,Lead ,,,12.11,12.11,1
RC,304,Leflunomide ,,,38.57,38.57,1
RC,304,Leucine aminopeptidase (LAP) ,,,9.81,9.81,1
RC,304,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,1
RC,304,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,1
RC,304,Leukocyte histamine release test (LHR) ,,,12.46,12.46,1
RC,304,Leukocyte phagocytosis ,,,10.39,10.39,1
RC,304,Leukocyte transfusion ,,,149.16,149.16,1
RC,304,Levetiracetam ,,,13.25,13.25,1
RC,304,Lidocaine ,,,14.69,14.69,1
RC,304,Lipase ,,,6.89,6.89,1
RC,304,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,1
RC,304,Lipoprotein (a) ,,,14.32,14.32,1
RC,304,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,1
RC,304,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,1
RC,304,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,1
RC,304,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,1
RC,304,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,1
RC,304,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,1
RC,304,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,1
RC,304,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,1
RC,304,Lithium ,,,6.61,6.61,1
RC,304,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,1
RC,304,Luteinizing releasing factor (LRH) ,,,17.19,17.19,1
RC,304,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,1
RC,304,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,1
RC,304,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,1
RC,304,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,1
RC,304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,1
RC,304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,1
RC,304,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,1
RC,304,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,1
RC,304,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,304,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,1
RC,304,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,304,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,1
RC,304,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,1
RC,304,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,1
RC,304,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,1
RC,304,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,1
RC,304,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,1
RC,304,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,1
RC,304,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,1
RC,304,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,1
RC,304,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,1
RC,304,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,1
RC,304,Macroscopic examination; arthropod ,,,4.27,4.27,1
RC,304,Macroscopic examination; parasite ,,,4.31,4.31,1
RC,304,Magnesium ,,,6.7,6.7,1
RC,304,Malate dehydrogenase ,,,7.37,7.37,1
RC,304,Manganese ,,,26.65,26.65,1
RC,304,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,1
RC,304,"Meat fibers, feces ",,,4.85,4.85,1
RC,304,"Mechanical fragility, RBC ",,,8.6,8.6,1
RC,304,"Mercury, quantitative ",,,16.26,16.26,1
RC,304,Metanephrines ,,,16.94,16.94,1
RC,304,Methemalbumin ,,,10.74,10.74,1
RC,304,Methotrexate ,,,38.57,38.57,1
RC,304,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,1
RC,304,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,1
RC,304,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,1
RC,304,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,1
RC,304,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,1
RC,304,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,1
RC,304,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,1
RC,304,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,1
RC,304,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,1
RC,304,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,1
RC,304,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,1
RC,304,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,1
RC,304,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,1
RC,304,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,1
RC,304,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,1
RC,304,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,1
RC,304,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,304,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,1
RC,304,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,304,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,1
RC,304,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,1
RC,304,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,1
RC,304,Muramidase ,,,18.75,18.75,1
RC,304,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,1
RC,304,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,1
RC,304,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,1
RC,304,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,304,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,304,Myeloperoxidase (MPO) ,,,50.86,50.86,1
RC,304,Myoglobin ,,,12.92,12.92,1
RC,304,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,1
RC,304,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,1
RC,304,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,1
RC,304,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,304,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,304,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,304,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,1
RC,304,Nasal smear for eosinophils ,,,5.79,5.79,1
RC,304,Natriuretic peptide ,,,39.26,39.26,1
RC,304,"Natural killer (NK) cells, total count ",,,37.73,37.73,1
RC,304,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,1
RC,304,Neurofilament light chain (NfL) ,,,116.23,116.23,1
RC,304,"Neutralization test, viral ",,,16.91,16.91,1
RC,304,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,1
RC,304,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,1
RC,304,Nickel ,,,24.51,24.51,1
RC,304,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,1
RC,304,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,1
RC,304,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,1
RC,304,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,1
RC,304,Nucleotidase 5'- ,,,11.15,11.15,1
RC,304,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,1
RC,304,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,1
RC,304,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,1
RC,304,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,1
RC,304,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,1
RC,304,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,1
RC,304,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,1
RC,304,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,1
RC,304,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,1
RC,304,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,1
RC,304,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,1
RC,304,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,1
RC,304,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,1
RC,304,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,1
RC,304,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,1
RC,304,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,1
RC,304,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,1
RC,304,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,1
RC,304,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,1
RC,304,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,1
RC,304,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,1
RC,304,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,1
RC,304,Oncoprotein; HER-2/neu ,,,64.41,64.41,1
RC,304,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,1
RC,304,Oocyte identification from follicular fluid ,,,149.16,149.16,1
RC,304,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,1
RC,304,"Organic acid, single, quantitative ",,,21.21,21.21,1
RC,304,"Organic acids; qualitative, each specimen ",,,16.45,16.45,1
RC,304,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,1
RC,304,Osmolality; blood ,,,6.61,6.61,1
RC,304,Osmolality; urine ,,,6.82,6.82,1
RC,304,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,1
RC,304,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,1
RC,304,Osteocalcin (bone g1a protein) ,,,29.85,29.85,1
RC,304,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,1
RC,304,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,1
RC,304,Oxalate ,,,14.45,14.45,1
RC,304,Oxcarbazepine ,,,13.25,13.25,1
RC,304,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,1
RC,304,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,1
RC,304,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,1
RC,304,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,1
RC,304,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,1
RC,304,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,1
RC,304,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,1
RC,304,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,1
RC,304,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,1
RC,304,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,1
RC,304,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,304,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,1
RC,304,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,1
RC,304,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,1
RC,304,Parathormone (parathyroid hormone) ,,,41.28,41.28,1
RC,304,"Particle agglutination; screen, each antibody ",,,11.54,11.54,1
RC,304,"Particle agglutination; titer, each antibody ",,,10.64,10.64,1
RC,304,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,1
RC,304,Phencyclidine (PCP) ,,,41.52,41.52,1
RC,304,Phenobarbital ,,,15.3,15.3,1
RC,304,"Phenylalanine (PKU), blood ",,,5.5,5.5,1
RC,304,"Phenylketones, qualitative ",,,3.98,3.98,1
RC,304,Phenytoin; free ,,,13.76,13.76,1
RC,304,Phenytoin; total ,,,13.25,13.25,1
RC,304,"Phosphatase, acid; prostatic ",,,9.66,9.66,1
RC,304,"Phosphatase, acid; total ",,,7.64,7.64,1
RC,304,"Phosphatase, alkaline; ",,,5.18,5.18,1
RC,304,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,1
RC,304,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,1
RC,304,Phosphatidylglycerol ,,,16.52,16.52,1
RC,304,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,1
RC,304,Phosphohexose isomerase ,,,10.73,10.73,1
RC,304,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,1
RC,304,Phospholipid neutralization; platelet ,,,17.98,17.98,1
RC,304,Phosphorus inorganic (phosphate); ,,,4.74,4.74,1
RC,304,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,1
RC,304,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,1
RC,304,Pinworm examinations ,,,4.27,4.27,1
RC,304,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,1
RC,304,Pooling of platelets or other blood products ,,,149.16,149.16,1
RC,304,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,1
RC,304,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,1
RC,304,"Porphyrins, feces, quantitative ",,,39.11,39.11,1
RC,304,"Porphyrins, urine; qualitative ",,,13.36,13.36,1
RC,304,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,1
RC,304,Posaconazole ,,,27.11,27.11,1
RC,304,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,1
RC,304,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,1
RC,304,Potassium; urine ,,,4.73,4.73,1
RC,304,Prealbumin ,,,14.59,14.59,1
RC,304,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,1
RC,304,Pregnanediol ,,,21.27,21.27,1
RC,304,Pregnanetriol ,,,21.05,21.05,1
RC,304,Pregnenolone ,,,20.67,20.67,1
RC,304,Preparation of embryo for transfer (any method) ,,,49.76,49.76,1
RC,304,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,1
RC,304,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,1
RC,304,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,1
RC,304,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,1
RC,304,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,1
RC,304,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,1
RC,304,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,1
RC,304,Primidone ,,,16.59,16.59,1
RC,304,Procainamide; ,,,60.0,60.0,1
RC,304,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,1
RC,304,Procalcitonin (PCT) ,,,27.22,27.22,1
RC,304,Progesterone ,,,20.86,20.86,1
RC,304,Proinsulin ,,,26.69,26.69,1
RC,304,Prolactin ,,,19.38,19.38,1
RC,304,"Prostaglandin, each ",,,41.77,41.77,1
RC,304,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,1
RC,304,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,1
RC,304,Prostate specific antigen (PSA); free ,,,18.39,18.39,1
RC,304,Prostate specific antigen (PSA); total ,,,18.39,18.39,1
RC,304,"Protein, total, by refractometry, any source ",,,5.61,5.61,1
RC,304,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,1
RC,304,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,1
RC,304,"Protein, total, except by refractometry; urine ",,,3.67,3.67,1
RC,304,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,1
RC,304,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,1
RC,304,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,1
RC,304,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,1
RC,304,Prothrombin time; ,,,4.29,4.29,1
RC,304,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,1
RC,304,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,1
RC,304,"Protoporphyrin, RBC; screen ",,,9.74,9.74,1
RC,304,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,1
RC,304,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,1
RC,304,Pyruvate ,,,14.48,14.48,1
RC,304,Pyruvate kinase ,,,9.44,9.44,1
RC,304,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,1
RC,304,Quinidine ,,,14.6,14.6,1
RC,304,Quinine ,,,11.63,11.63,1
RC,304,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,1
RC,304,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,1
RC,304,Receptor assay; estrogen ,,,87.88,87.88,1
RC,304,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,1
RC,304,Receptor assay; progesterone ,,,64.88,64.88,1
RC,304,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,1
RC,304,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,1
RC,304,Renin ,,,21.99,21.99,1
RC,304,Reptilase test ,,,9.85,9.85,1
RC,304,Reticulated platelet assay ,,,35.74,35.74,1
RC,304,Rheumatoid factor; qualitative ,,,6.14,6.14,1
RC,304,Rheumatoid factor; quantitative ,,,5.67,5.67,1
RC,304,Riboflavin (Vitamin B-2) ,,,20.24,20.24,1
RC,304,Rufinamide ,,,27.11,27.11,1
RC,304,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,1
RC,304,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,1
RC,304,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,1
RC,304,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,1
RC,304,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,1
RC,304,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,1
RC,304,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,1
RC,304,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,304,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,1
RC,304,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,1
RC,304,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,1
RC,304,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,1
RC,304,Salicylate ,,,18.64,18.64,1
RC,304,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,1
RC,304,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,1
RC,304,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,1
RC,304,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,1
RC,304,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,1
RC,304,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,1
RC,304,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,1
RC,304,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,1
RC,304,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,1
RC,304,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,1
RC,304,Selenium ,,,25.53,25.53,1
RC,304,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,1
RC,304,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,1
RC,304,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,1
RC,304,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,1
RC,304,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,1
RC,304,Serotonin ,,,30.98,30.98,1
RC,304,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,1
RC,304,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,1
RC,304,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,1
RC,304,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,1
RC,304,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,1
RC,304,Sialic acid ,,,13.44,13.44,1
RC,304,"Sickling of RBC, reduction ",,,5.51,5.51,1
RC,304,Silica ,,,25.21,25.21,1
RC,304,Sirolimus ,,,13.73,13.73,1
RC,304,Skin test; candida ,,,24.67,24.67,1
RC,304,Skin test; histoplasmosis ,,,55.66,55.66,1
RC,304,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,1
RC,304,"Skin test; unlisted antigen, each ",,,24.67,24.67,1
RC,304,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,1
RC,304,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,1
RC,304,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,1
RC,304,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,1
RC,304,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,1
RC,304,Sodium; other source ,,,4.86,4.86,1
RC,304,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,1
RC,304,Sodium; urine ,,,5.06,5.06,1
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,1
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,1
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,1
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,1
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,1
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,1
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,1
RC,304,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,1
RC,304,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,2
RC,304,Somatomedin ,,,21.26,21.26,1
RC,304,Somatostatin ,,,18.28,18.28,1
RC,304,Specific gravity (except urine) ,,,3.28,3.28,1
RC,304,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,1
RC,304,Sperm antibodies ,,,10.67,10.67,1
RC,304,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,1
RC,304,Sperm evaluation; hamster penetration test ,,,19.59,19.59,1
RC,304,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,1
RC,304,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,1
RC,304,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,304,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,304,"Splitting of blood or blood products, each unit ",,,149.16,149.16,1
RC,304,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,1
RC,304,"Stem cells (ie, CD34), total count ",,,77.78,77.78,1
RC,304,Storage (per year); embryo(s) ,,,149.16,149.16,1
RC,304,Storage (per year); oocyte(s) ,,,291.26,291.26,1
RC,304,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,304,Storage (per year); sperm/semen ,,,149.16,149.16,1
RC,304,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,1
RC,304,"Streptokinase, antibody ",,,12.66,12.66,1
RC,304,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,1
RC,304,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,1
RC,304,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,1
RC,304,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,1
RC,304,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,1
RC,304,"Sulfate, urine ",,,5.49,5.49,1
RC,304,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,1
RC,304,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,1
RC,304,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,1
RC,304,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,1
RC,304,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,1
RC,304,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,1
RC,304,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,1
RC,304,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,1
RC,304,Sweat collection by iontophoresis ,,,49.76,49.76,1
RC,304,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,1
RC,304,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,1
RC,304,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,1
RC,304,T cells; absolute CD4 count ,,,26.78,26.78,1
RC,304,T cells; total count ,,,37.73,37.73,1
RC,304,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,304,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,1
RC,304,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,1
RC,304,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,1
RC,304,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,1
RC,304,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,1
RC,304,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,1
RC,304,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,1
RC,304,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,1
RC,304,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,1
RC,304,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,1
RC,304,Tacrolimus ,,,13.73,13.73,1
RC,304,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,1
RC,304,"Tau, total (tTau) ",,,128.92,128.92,1
RC,304,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,1
RC,304,Testosterone; free ,,,25.47,25.47,1
RC,304,Testosterone; total ,,,25.81,25.81,1
RC,304,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,1
RC,304,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,1
RC,304,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,304,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,1
RC,304,Theophylline ,,,14.14,14.14,1
RC,304,Thiamine (Vitamin B-1) ,,,21.23,21.23,1
RC,304,Thiocyanate ,,,11.63,11.63,1
RC,304,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,1
RC,304,Thrombin time; plasma ,,,5.77,5.77,1
RC,304,Thrombin time; titer ,,,6.85,6.85,1
RC,304,Thrombomodulin ,,,17.27,17.27,1
RC,304,"Thromboplastin inhibition, tissue ",,,9.63,9.63,1
RC,304,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,1
RC,304,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,1
RC,304,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,1
RC,304,"Thymol turbidity, blood ",,,4.95,4.95,1
RC,304,Thyroglobulin ,,,16.06,16.06,1
RC,304,Thyroglobulin antibody ,,,15.91,15.91,1
RC,304,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,1
RC,304,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,1
RC,304,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,1
RC,304,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,1
RC,304,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,1
RC,304,Thyroxine binding globulin (TBG) ,,,14.78,14.78,1
RC,304,Thyroxine; free ,,,9.02,9.02,1
RC,304,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,1
RC,304,Thyroxine; total ,,,6.87,6.87,1
RC,304,Tiagabine ,,,27.11,27.11,1
RC,304,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,1
RC,304,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,304,Tobramycin ,,,16.13,16.13,1
RC,304,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,1
RC,304,Topiramate ,,,11.92,11.92,1
RC,304,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,1
RC,304,Transcortin (cortisol binding globulin) ,,,18.0,18.0,1
RC,304,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,1
RC,304,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,1
RC,304,Transferrin ,,,12.76,12.76,1
RC,304,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,1
RC,304,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,1
RC,304,Triglycerides ,,,5.74,5.74,1
RC,304,Triiodothyronine T3; free ,,,16.94,16.94,1
RC,304,Triiodothyronine T3; reverse ,,,15.76,15.76,1
RC,304,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,1
RC,304,"Troponin, qualitative ",,,10.09,10.09,1
RC,304,"Troponin, quantitative ",,,12.47,12.47,1
RC,304,Trypsin; duodenal fluid ,,,7.2,7.2,1
RC,304,"Trypsin; feces, qualitative ",,,7.3,7.3,1
RC,304,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,1
RC,304,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,1
RC,304,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,1
RC,304,Tyrosine ,,,10.63,10.63,1
RC,304,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,1
RC,304,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,1
RC,304,Unlisted miscellaneous pathology test ,,,49.76,49.76,1
RC,304,Unlisted transfusion medicine procedure ,,,24.67,24.67,1
RC,304,"Urea nitrogen, clearance ",,,7.2,7.2,1
RC,304,"Urea nitrogen, urine ",,,5.56,5.56,1
RC,304,Urea nitrogen; quantitative ,,,3.95,3.95,1
RC,304,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,1
RC,304,Uric acid; blood ,,,4.52,4.52,1
RC,304,Uric acid; other source ,,,5.08,5.08,1
RC,304,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,2
RC,304,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,2
RC,304,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,1
RC,304,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,1
RC,304,Urinalysis; microscopic only ,,,3.05,3.05,1
RC,304,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,1
RC,304,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,1
RC,304,"Urobilinogen, feces, quantitative ",,,16.8,16.8,1
RC,304,"Urobilinogen, urine; qualitative ",,,4.47,4.47,1
RC,304,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,1
RC,304,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,1
RC,304,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,1
RC,304,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,1
RC,304,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,1
RC,304,Vancomycin ,,,13.54,13.54,1
RC,304,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,1
RC,304,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,1
RC,304,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,1
RC,304,Vedolizumab ,,,38.57,38.57,1
RC,304,Very long chain fatty acids ,,,19.75,19.75,1
RC,304,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,1
RC,304,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,1
RC,304,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,1
RC,304,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,1
RC,304,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,1
RC,304,Viscosity ,,,11.67,11.67,1
RC,304,Vitamin A ,,,11.61,11.61,1
RC,304,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,1
RC,304,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,1
RC,304,Vitamin K ,,,13.72,13.72,1
RC,304,"Vitamin, not otherwise specified ",,,17.06,17.06,1
RC,304,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,1
RC,304,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,1
RC,304,"Volume measurement for timed collection, each ",,,3.64,3.64,1
RC,304,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,1
RC,304,Voriconazole ,,,27.11,27.11,1
RC,304,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,1
RC,304,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,1
RC,304,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,1
RC,304,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,1
RC,304,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,1
RC,304,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,1
RC,304,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,1
RC,304,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,1
RC,304,Zinc ,,,11.39,11.39,1
RC,304,Zonisamide ,,,13.25,13.25,1
RC,304,"b-Hexosaminidase, each assay ",,,16.87,16.87,1
RC,304,"pH; body fluid, not otherwise specified ",,,3.58,3.58,1
RC,304,pH; exhaled breath condensate ,,,3.58,3.58,1
RC,305, Laboratory Hematology  ,,,,,0
RC,305,17-hydroxypregnenolone ,,,22.81,22.81,1
RC,305,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,1
RC,305,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,1
RC,305,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,1
RC,305,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,1
RC,305,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,1
RC,305,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,1
RC,305,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,1
RC,305,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,1
RC,305,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,1
RC,305,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,1
RC,305,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,305,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,1
RC,305,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,1
RC,305,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,1
RC,305,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,1
RC,305,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,Acetaminophen ,,,18.64,18.64,1
RC,305,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,1
RC,305,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,1
RC,305,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,1
RC,305,Acetylcholinesterase ,,,12.29,12.29,1
RC,305,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,1
RC,305,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,1
RC,305,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,1
RC,305,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,1
RC,305,Adalimumab ,,,38.57,38.57,1
RC,305,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,1
RC,305,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,1
RC,305,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,1
RC,305,Albumin; ischemia modified ,,,33.94,33.94,1
RC,305,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,1
RC,305,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,1
RC,305,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,1
RC,305,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,1
RC,305,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,1
RC,305,Alcohol (ethanol); breath ,,,30.0,30.0,1
RC,305,Aldolase ,,,9.71,9.71,1
RC,305,Aldosterone ,,,40.75,40.75,1
RC,305,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,1
RC,305,All potassium hydroxide (koh) preparations ,,,5.83,5.83,1
RC,305,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,1
RC,305,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,1
RC,305,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,1
RC,305,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,1
RC,305,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,1
RC,305,Alpha-1-antitrypsin; total ,,,13.44,13.44,1
RC,305,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,1
RC,305,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,1
RC,305,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,1
RC,305,Aluminum ,,,25.48,25.48,1
RC,305,Amikacin ,,,15.08,15.08,1
RC,305,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,1
RC,305,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,1
RC,305,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,1
RC,305,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,1
RC,305,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,1
RC,305,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,1
RC,305,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,1
RC,305,Amiodarone ,,,18.64,18.64,1
RC,305,Ammonia ,,,14.57,14.57,1
RC,305,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,1
RC,305,Amylase ,,,6.48,6.48,1
RC,305,Androstanediol glucuronide ,,,28.83,28.83,1
RC,305,Androstenedione ,,,29.28,29.28,1
RC,305,Androsterone ,,,25.55,25.55,1
RC,305,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,1
RC,305,Angiotensin II ,,,20.52,20.52,1
RC,305,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,1
RC,305,Anti-mullerian hormone (AMH) ,,,38.62,38.62,1
RC,305,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,1
RC,305,"Antibody elution (RBC), each elution ",,,149.16,149.16,1
RC,305,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,1
RC,305,Antibody identification; leukocyte antibodies ,,,15.05,15.05,1
RC,305,Antibody identification; platelet antibodies ,,,18.37,18.37,1
RC,305,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,1
RC,305,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,1
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,2
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,2
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,1
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,1
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,1
RC,305,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,1
RC,305,Antibody; Aspergillus ,,,15.05,15.05,1
RC,305,Antibody; Bartonella ,,,10.18,10.18,1
RC,305,Antibody; Blastomyces ,,,12.9,12.9,1
RC,305,Antibody; Bordetella ,,,13.19,13.19,1
RC,305,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,1
RC,305,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,1
RC,305,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,1
RC,305,Antibody; Brucella ,,,8.93,8.93,1
RC,305,Antibody; Campylobacter ,,,13.12,13.12,1
RC,305,Antibody; Candida ,,,12.01,12.01,1
RC,305,Antibody; Chlamydia ,,,11.82,11.82,1
RC,305,"Antibody; Chlamydia, IgM ",,,12.68,12.68,1
RC,305,Antibody; Coccidioides ,,,11.47,11.47,1
RC,305,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,1
RC,305,Antibody; Cryptococcus ,,,14.41,14.41,1
RC,305,Antibody; Diphtheria ,,,15.21,15.21,1
RC,305,Antibody; Ehrlichia ,,,10.18,10.18,1
RC,305,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,1
RC,305,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,1
RC,305,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,1
RC,305,Antibody; Francisella tularensis ,,,14.16,14.16,1
RC,305,Antibody; Giardia lamblia ,,,14.72,14.72,1
RC,305,Antibody; HIV-1 ,,,8.89,8.89,1
RC,305,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,1
RC,305,Antibody; HIV-2 ,,,13.52,13.52,1
RC,305,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,1
RC,305,Antibody; HTLV-I ,,,9.09,9.09,1
RC,305,Antibody; HTLV-II ,,,14.0,14.0,1
RC,305,Antibody; Haemophilus influenza ,,,15.84,15.84,1
RC,305,Antibody; Helicobacter pylori ,,,16.85,16.85,1
RC,305,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,1
RC,305,Antibody; Legionella ,,,15.3,15.3,1
RC,305,Antibody; Leishmania ,,,12.25,12.25,1
RC,305,Antibody; Leptospira ,,,16.2,16.2,1
RC,305,Antibody; Listeria monocytogenes ,,,13.19,13.19,1
RC,305,Antibody; Neisseria meningitidis ,,,13.19,13.19,1
RC,305,Antibody; Nocardia ,,,15.99,15.99,1
RC,305,Antibody; Plasmodium (malaria) ,,,13.19,13.19,1
RC,305,Antibody; Rickettsia ,,,19.35,19.35,1
RC,305,Antibody; Salmonella ,,,13.19,13.19,1
RC,305,Antibody; Shigella ,,,24.48,24.48,1
RC,305,Antibody; Toxoplasma ,,,14.39,14.39,1
RC,305,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,1
RC,305,Antibody; Treponema pallidum ,,,13.24,13.24,1
RC,305,Antibody; Trichinella ,,,12.56,12.56,1
RC,305,Antibody; West Nile virus ,,,14.39,14.39,1
RC,305,"Antibody; West Nile virus, IgM ",,,16.85,16.85,1
RC,305,Antibody; Yersinia ,,,13.19,13.19,1
RC,305,"Antibody; Zika virus, IgM ",,,16.85,16.85,1
RC,305,Antibody; actinomyces ,,,10.18,10.18,1
RC,305,Antibody; adenovirus ,,,12.87,12.87,1
RC,305,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,1
RC,305,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,1
RC,305,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,1
RC,305,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,1
RC,305,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,1
RC,305,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,1
RC,305,"Antibody; encephalitis, Western equine ",,,13.19,13.19,1
RC,305,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,1
RC,305,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,1
RC,305,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,1
RC,305,"Antibody; hepatitis, delta agent ",,,17.16,17.16,1
RC,305,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,1
RC,305,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,1
RC,305,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,1
RC,305,Antibody; histoplasma ,,,13.79,13.79,1
RC,305,Antibody; influenza virus ,,,13.55,13.55,1
RC,305,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,1
RC,305,Antibody; mucormycosis ,,,15.0,15.0,1
RC,305,Antibody; mumps ,,,13.05,13.05,1
RC,305,Antibody; mycoplasma ,,,13.24,13.24,1
RC,305,Antibody; parvovirus ,,,15.03,15.03,1
RC,305,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,1
RC,305,Antibody; respiratory syncytial virus ,,,15.89,15.89,1
RC,305,Antibody; rotavirus ,,,18.23,18.23,1
RC,305,Antibody; rubella ,,,14.39,14.39,1
RC,305,Antibody; rubeola ,,,12.88,12.88,1
RC,305,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,1
RC,305,Antibody; tetanus ,,,14.8,14.8,1
RC,305,Antibody; varicella-zoster ,,,12.88,12.88,1
RC,305,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,1
RC,305,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,1
RC,305,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,1
RC,305,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,1
RC,305,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,1
RC,305,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,1
RC,305,Antinuclear antibodies (ANA); ,,,12.09,12.09,1
RC,305,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,1
RC,305,Antistreptolysin 0; screen ,,,5.77,5.77,1
RC,305,Antistreptolysin 0; titer ,,,7.3,7.3,1
RC,305,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,1
RC,305,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,1
RC,305,"Apolipoprotein, each ",,,21.09,21.09,1
RC,305,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,305,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,1
RC,305,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,305,Arsenic ,,,18.97,18.97,1
RC,305,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,1
RC,305,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,1
RC,305,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,1
RC,305,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,1
RC,305,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,1
RC,305,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,1
RC,305,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,1
RC,305,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,1
RC,305,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,1
RC,305,"B cells, total count ",,,37.73,37.73,1
RC,305,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,1
RC,305,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,1
RC,305,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,1
RC,305,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,1
RC,305,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,1
RC,305,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,1
RC,305,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,1
RC,305,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,1
RC,305,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,305,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,1
RC,305,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,1
RC,305,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,1
RC,305,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,1
RC,305,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,1
RC,305,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,1
RC,305,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,305,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,1
RC,305,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,1
RC,305,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,1
RC,305,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,1
RC,305,Beta-2 microglobulin ,,,16.18,16.18,1
RC,305,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,1
RC,305,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,1
RC,305,Bile acids; cholylglycine ,,,26.58,26.58,1
RC,305,Bile acids; total ,,,17.12,17.12,1
RC,305,"Bilirubin, total, transcutaneous ",,,5.02,5.02,1
RC,305,Bilirubin; direct ,,,5.02,5.02,1
RC,305,"Bilirubin; feces, qualitative ",,,4.56,4.56,1
RC,305,Bilirubin; total ,,,5.02,5.02,1
RC,305,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,1
RC,305,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,1
RC,305,"Biotinidase, each specimen ",,,16.87,16.87,1
RC,305,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,1
RC,305,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,1
RC,305,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,1
RC,305,Blood count; automated differential WBC count ,,,6.47,6.47,1
RC,305,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,1
RC,305,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,1
RC,305,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,1
RC,305,Blood count; hematocrit (Hct) ,,,2.37,2.37,1
RC,305,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,1
RC,305,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,1
RC,305,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,1
RC,305,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,1
RC,305,"Blood count; platelet, automated ",,,4.48,4.48,1
RC,305,"Blood count; reticulocyte, automated ",,,3.99,3.99,1
RC,305,"Blood count; reticulocyte, manual ",,,4.31,4.31,1
RC,305,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",175.0,175.0,5.57,5.57,1
RC,305,Blood count; spun microhematocrit ,,,7.0,7.0,1
RC,305,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,1
RC,305,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,1
RC,305,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,1
RC,305,"Blood typing, serologic; ABO ",,,2.99,2.99,1
RC,305,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,1
RC,305,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,1
RC,305,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,1
RC,305,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,1
RC,305,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,1
RC,305,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,1
RC,305,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,1
RC,305,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,1
RC,305,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,1
RC,305,"Bone marrow, smear interpretation ",,,656.15,656.15,1
RC,305,Bradykinin ,,,5.16,5.16,1
RC,305,C-peptide ,,,20.81,20.81,1
RC,305,C-reactive protein; ,,,5.18,5.18,1
RC,305,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,1
RC,305,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,1
RC,305,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,1
RC,305,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,1
RC,305,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,1
RC,305,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,1
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,1
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,1
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,1
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,1
RC,305,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,1
RC,305,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,305,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,305,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,1
RC,305,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,1
RC,305,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,1
RC,305,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,1
RC,305,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,1
RC,305,Cadmium ,,,23.64,23.64,1
RC,305,Caffeine ,,,38.57,38.57,1
RC,305,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,1
RC,305,Calcitonin ,,,26.79,26.79,1
RC,305,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,1
RC,305,Calcium; after calcium infusion test ,,,13.34,13.34,1
RC,305,Calcium; ionized ,,,13.68,13.68,1
RC,305,Calcium; total ,,,5.16,5.16,1
RC,305,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,1
RC,305,Calculus; X-ray diffraction ,,,12.52,12.52,1
RC,305,Calculus; infrared spectroscopy ,,,12.9,12.9,1
RC,305,Calculus; qualitative analysis ,,,11.58,11.58,1
RC,305,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,1
RC,305,"Calprotectin, fecal ",,,19.63,19.63,1
RC,305,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,1
RC,305,Carbamazepine; free ,,,13.25,13.25,1
RC,305,Carbamazepine; total ,,,14.57,14.57,1
RC,305,Carbohydrate deficient transferrin ,,,18.06,18.06,1
RC,305,Carbon dioxide (bicarbonate) ,,,4.88,4.88,1
RC,305,Carboxyhemoglobin; qualitative ,,,14.07,14.07,1
RC,305,Carboxyhemoglobin; quantitative ,,,12.32,12.32,1
RC,305,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,1
RC,305,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,1
RC,305,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,1
RC,305,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,1
RC,305,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,1
RC,305,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,1
RC,305,Carotene ,,,9.22,9.22,1
RC,305,Catecholamines; blood ,,,29.08,29.08,1
RC,305,Catecholamines; fractionated ,,,25.25,25.25,1
RC,305,Catecholamines; total urine ,,,27.3,27.3,1
RC,305,Cathepsin-D ,,,18.06,18.06,1
RC,305,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,1
RC,305,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,1
RC,305,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,1
RC,305,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,1
RC,305,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,1
RC,305,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,1
RC,305,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,1
RC,305,"Cephalin floculation, blood ",,,4.95,4.95,1
RC,305,Ceruloplasmin ,,,10.74,10.74,1
RC,305,Chemiluminescent assay ,,,14.12,14.12,1
RC,305,"Chemotaxis assay, specify method ",,,15.99,15.99,1
RC,305,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,1
RC,305,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,1
RC,305,Chloramphenicol ,,,12.67,12.67,1
RC,305,Chloride; blood ,,,4.6,4.6,1
RC,305,Chloride; other source ,,,5.0,5.0,1
RC,305,Chloride; urine ,,,5.75,5.75,1
RC,305,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,1
RC,305,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,1
RC,305,Cholinesterase; RBC ,,,9.81,9.81,1
RC,305,Cholinesterase; serum ,,,7.87,7.87,1
RC,305,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,1
RC,305,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,1
RC,305,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,1
RC,305,Chromium ,,,20.28,20.28,1
RC,305,Chromogenic substrate assay ,,,11.89,11.89,1
RC,305,Citrate ,,,27.8,27.8,1
RC,305,"Clot lysis time, whole blood dilution ",,,20.37,20.37,1
RC,305,Clot retraction ,,,16.3,16.3,1
RC,305,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,1
RC,305,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,1
RC,305,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,1
RC,305,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,1
RC,305,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,1
RC,305,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,1
RC,305,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,1
RC,305,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,1
RC,305,"Clotting; factor VIII, VW factor antigen ",271.0,271.0,22.94,22.94,1
RC,305,Clotting; factor XII (Hageman) ,,,19.35,19.35,1
RC,305,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,1
RC,305,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,1
RC,305,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,1
RC,305,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,1
RC,305,Clozapine ,,,20.15,20.15,1
RC,305,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",240.0,240.0,30.86,30.86,1
RC,305,Coagulation time; Lee and White ,,,4.69,4.69,1
RC,305,Coagulation time; activated ,,,4.28,4.28,1
RC,305,Coagulation time; other methods ,,,4.49,4.49,1
RC,305,Cold agglutinin; screen ,,,8.07,8.07,1
RC,305,Cold agglutinin; titer ,,,8.06,8.06,1
RC,305,"Collagen cross links, any method ",,,18.68,18.68,1
RC,305,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,1
RC,305,Collection of venous blood by venipuncture ,,,3.0,3.0,1
RC,305,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,1
RC,305,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,1
RC,305,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,1
RC,305,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,1
RC,305,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,1
RC,305,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,1
RC,305,Compatibility test each unit; electronic ,,,149.16,149.16,1
RC,305,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,1
RC,305,Compatibility test each unit; incubation technique ,,,149.16,149.16,1
RC,305,"Complement fixation tests, each antigen ",,,10.01,10.01,1
RC,305,"Complement; antigen, each component ",,,12.0,12.0,1
RC,305,"Complement; functional activity, each component ",,,12.0,12.0,1
RC,305,Complement; total hemolytic (CH50) ,,,20.32,20.32,1
RC,305,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,1
RC,305,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,1
RC,305,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,1
RC,305,"Concentration (any type), for infectious agents ",,,6.68,6.68,1
RC,305,"Congo red, blood ",,,4.95,4.95,1
RC,305,Copper ,,,12.41,12.41,1
RC,305,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,1
RC,305,Corticosterone ,,,22.52,22.52,1
RC,305,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,1
RC,305,Cortisol; free ,,,16.71,16.71,1
RC,305,Cortisol; total ,,,16.3,16.3,1
RC,305,Creatine ,,,4.64,4.64,1
RC,305,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,1
RC,305,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,1
RC,305,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,1
RC,305,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,1
RC,305,Creatinine; blood ,,,5.12,5.12,1
RC,305,Creatinine; clearance ,,,9.46,9.46,1
RC,305,Creatinine; other source ,,,5.18,5.18,1
RC,305,Cryofibrinogen ,,,14.14,14.14,1
RC,305,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,1
RC,305,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,1
RC,305,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,1
RC,305,Cryopreservation; embryo(s) ,,,656.15,656.15,1
RC,305,Cryopreservation; sperm ,,,149.16,149.16,1
RC,305,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,1
RC,305,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,1
RC,305,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,1
RC,305,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,1
RC,305,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,305,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,305,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,1
RC,305,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,1
RC,305,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,1
RC,305,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,1
RC,305,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,1
RC,305,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,1
RC,305,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,1
RC,305,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,1
RC,305,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,1
RC,305,"Culture, chlamydia, any source ",,,19.6,19.6,1
RC,305,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,1
RC,305,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,1
RC,305,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,1
RC,305,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,1
RC,305,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,1
RC,305,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,1
RC,305,"Culture, mycoplasma, any source ",,,15.39,15.39,1
RC,305,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,1
RC,305,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,1
RC,305,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,1
RC,305,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,1
RC,305,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,1
RC,305,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,1
RC,305,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,1
RC,305,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,1
RC,305,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,1
RC,305,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,1
RC,305,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,1
RC,305,"Culture, typing; other methods ",,,7.74,7.74,1
RC,305,Cyanide ,,,19.4,19.4,1
RC,305,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,1
RC,305,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,1
RC,305,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,1
RC,305,Cyclosporine ,,,18.05,18.05,1
RC,305,Cystatin C ,,,18.52,18.52,1
RC,305,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,1
RC,305,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,1
RC,305,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,1
RC,305,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,1
RC,305,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,305,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,305,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,1
RC,305,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,305,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,305,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,1
RC,305,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,1
RC,305,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,1
RC,305,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,1
RC,305,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,1
RC,305,"Deoxycortisol, 11- ",,,29.28,29.28,1
RC,305,"Deoxyribonuclease, antibody ",,,13.25,13.25,1
RC,305,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,1
RC,305,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,1
RC,305,"Desoxycorticosterone, 11- ",,,30.98,30.98,1
RC,305,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,1
RC,305,Dibucaine number ,,,12.25,12.25,1
RC,305,Digoxin; free ,,,13.28,13.28,1
RC,305,Digoxin; total ,,,13.28,13.28,1
RC,305,Dihydrotestosterone (DHT) ,,,29.28,29.28,1
RC,305,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,1
RC,305,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,4
RC,305,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,1
RC,305,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,1
RC,305,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,1
RC,305,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,1
RC,305,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,1
RC,305,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,1
RC,305,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,1
RC,305,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,1
RC,305,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,1
RC,305,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,1
RC,305,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,1
RC,305,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,1
RC,305,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,1
RC,305,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,1
RC,305,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,1
RC,305,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,1
RC,305,Erythropoietin ,,,18.79,18.79,1
RC,305,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,1
RC,305,Estradiol; total ,,,27.94,27.94,1
RC,305,Estriol ,,,24.18,24.18,1
RC,305,Estrogens; fractionated ,,,32.3,32.3,1
RC,305,Estrogens; total ,,,21.7,21.7,1
RC,305,Estrone ,,,24.95,24.95,1
RC,305,Ethosuximide ,,,16.34,16.34,1
RC,305,Ethylene glycol ,,,14.9,14.9,1
RC,305,Etiocholanolone ,,,26.24,26.24,1
RC,305,Euglobulin lysis ,,,8.41,8.41,1
RC,305,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,1
RC,305,Everolimus ,,,13.73,13.73,1
RC,305,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,1
RC,305,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,1
RC,305,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,1
RC,305,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,1
RC,305,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,1
RC,305,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,1
RC,305,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,1
RC,305,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,1
RC,305,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,1
RC,305,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,1
RC,305,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,1
RC,305,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,1
RC,305,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,1
RC,305,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,305,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,305,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,305,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,305,Factor inhibitor test ,,,12.87,12.87,1
RC,305,"Fat differential, feces, quantitative ",,,22.97,22.97,1
RC,305,"Fat or lipids, feces; qualitative ",,,5.1,5.1,1
RC,305,"Fat or lipids, feces; quantitative ",,,16.8,16.8,1
RC,305,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,1
RC,305,"Fatty acids, nonesterified ",,,18.77,18.77,1
RC,305,Felbamate ,,,18.64,18.64,1
RC,305,Fern test ,,,9.74,9.74,1
RC,305,Ferritin ,,,13.63,13.63,1
RC,305,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,1
RC,305,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,1
RC,305,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,1
RC,305,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,1
RC,305,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,1
RC,305,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,1
RC,305,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,1
RC,305,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,1
RC,305,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,1
RC,305,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,1
RC,305,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,1
RC,305,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,1
RC,305,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,1
RC,305,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,1
RC,305,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,1
RC,305,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,1
RC,305,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,1
RC,305,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,1
RC,305,Fibrinogen; activity ,,,9.72,9.72,1
RC,305,"Fibrinolysins or coagulopathy screen, interpretation and report ",50.0,50.0,15.48,15.48,1
RC,305,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,1
RC,305,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,1
RC,305,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,1
RC,305,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,1
RC,305,Flecainide ,,,18.64,18.64,1
RC,305,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,1
RC,305,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,1
RC,305,Fluoride ,,,18.54,18.54,1
RC,305,Folic acid; RBC ,,,17.65,17.65,1
RC,305,Folic acid; serum ,,,14.7,14.7,1
RC,305,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,1
RC,305,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,1
RC,305,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,1
RC,305,"Frozen blood, each unit; thawing ",,,291.26,291.26,1
RC,305,"Fructose, semen ",,,17.34,17.34,1
RC,305,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,1
RC,305,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,1
RC,305,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,305,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,1
RC,305,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,1
RC,305,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,1
RC,305,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,1
RC,305,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,1
RC,305,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,1
RC,305,"Galactokinase, RBC ",,,21.48,21.48,1
RC,305,Galactose ,,,11.2,11.2,1
RC,305,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,1
RC,305,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,1
RC,305,Galectin-3 ,,,44.25,44.25,1
RC,305,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,1
RC,305,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,1
RC,305,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,1
RC,305,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,1
RC,305,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,1
RC,305,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,1
RC,305,"Gases, blood, pH only ",,,11.0,11.0,1
RC,305,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,1
RC,305,Gastrin ,,,17.63,17.63,1
RC,305,Gastrin after secretin stimulation ,,,17.69,17.69,1
RC,305,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,1
RC,305,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,1
RC,305,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,1
RC,305,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,1
RC,305,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,1
RC,305,Gentamicin ,,,16.38,16.38,1
RC,305,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,305,Glucagon ,,,14.29,14.29,1
RC,305,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,1
RC,305,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,1
RC,305,Glucagon tolerance test ,,,17.77,17.77,1
RC,305,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,1
RC,305,"Glucose, body fluid, other than blood ",,,3.93,3.93,1
RC,305,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,1
RC,305,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,1
RC,305,"Glucose; blood, reagent strip ",,,5.04,5.04,1
RC,305,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,1
RC,305,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,1
RC,305,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,1
RC,305,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,1
RC,305,"Glucosidase, beta ",,,21.48,21.48,1
RC,305,Glutamate dehydrogenase ,,,13.15,13.15,1
RC,305,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,1
RC,305,Glutathione ,,,15.45,15.45,1
RC,305,"Glutathione reductase, RBC ",,,9.44,9.44,1
RC,305,Glycated protein ,,,16.76,16.76,1
RC,305,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,1
RC,305,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,1
RC,305,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,1
RC,305,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,1
RC,305,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,1
RC,305,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,1
RC,305,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,1
RC,305,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,1
RC,305,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,1
RC,305,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,1
RC,305,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,1
RC,305,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,1
RC,305,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,305,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,305,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,1
RC,305,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,1
RC,305,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,1
RC,305,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,1
RC,305,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,1
RC,305,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,1
RC,305,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,1
RC,305,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,1
RC,305,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,1
RC,305,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,1
RC,305,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,1
RC,305,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,1
RC,305,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,1
RC,305,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,1
RC,305,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,1
RC,305,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,1
RC,305,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,1
RC,305,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,1
RC,305,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,1
RC,305,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,1
RC,305,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,1
RC,305,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,1
RC,305,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,1
RC,305,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,1
RC,305,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,1
RC,305,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,1
RC,305,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,305,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,Hair analysis (excluding arsenic) ,,,4.95,4.95,1
RC,305,Haloperidol ,,,15.78,15.78,1
RC,305,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,1
RC,305,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,1
RC,305,Haptoglobin; phenotypes ,,,26.89,26.89,1
RC,305,Haptoglobin; quantitative ,,,12.58,12.58,1
RC,305,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,1
RC,305,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,1
RC,305,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,1
RC,305,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,1
RC,305,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,1
RC,305,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,305,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,305,Helicobacter pylori; drug administration ,,,7.86,7.86,1
RC,305,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,1
RC,305,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,2
RC,305,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,1
RC,305,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,1
RC,305,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,1
RC,305,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,1
RC,305,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,1
RC,305,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,1
RC,305,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,1
RC,305,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,1
RC,305,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,1
RC,305,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,1
RC,305,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,1
RC,305,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,1
RC,305,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,1
RC,305,Hemoglobin; plasma ,,,7.31,7.31,1
RC,305,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,1
RC,305,Hemoglobin; thermolabile ,,,9.0,9.0,1
RC,305,"Hemoglobin; unstable, screen ",,,9.47,9.47,1
RC,305,Hemoglobin; urine ,,,3.95,3.95,1
RC,305,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,1
RC,305,Hemolysins and agglutinins; incubated ,,,12.11,12.11,1
RC,305,"Hemosiderin, qualitative ",,,4.75,4.75,1
RC,305,Heparin assay ,,,13.09,13.09,1
RC,305,Heparin neutralization ,,,11.84,11.84,1
RC,305,Heparin-protamine tolerance test ,,,13.09,13.09,1
RC,305,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,1
RC,305,Hepatitis A antibody (HAAb) ,,,12.39,12.39,1
RC,305,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,1
RC,305,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,1
RC,305,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,1
RC,305,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,1
RC,305,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,1
RC,305,Hepatitis C antibody; ,,,14.27,14.27,1
RC,305,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,1
RC,305,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,1
RC,305,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,1
RC,305,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,1
RC,305,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,1
RC,305,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,1
RC,305,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,1
RC,305,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,1
RC,305,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,1
RC,305,Heterophile antibodies; screening ,,,5.18,5.18,1
RC,305,Heterophile antibodies; titer ,,,6.47,6.47,1
RC,305,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,1
RC,305,Histamine ,,,29.53,29.53,1
RC,305,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,1
RC,305,Homocysteine ,,,17.92,17.92,1
RC,305,"Homogenization, tissue, for culture ",,,5.88,5.88,1
RC,305,Homovanillic acid (HVA) ,,,22.41,22.41,1
RC,305,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,305,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,1
RC,305,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,1
RC,305,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,1
RC,305,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,305,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,1
RC,305,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,1
RC,305,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,1
RC,305,Human epididymis protein 4 (HE4) ,,,20.81,20.81,1
RC,305,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,1
RC,305,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,1
RC,305,Hydroxychloroquine ,,,18.64,18.64,1
RC,305,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,1
RC,305,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,1
RC,305,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,1
RC,305,Hydroxyproline; free ,,,22.65,22.65,1
RC,305,Hydroxyproline; total ,,,24.3,24.3,1
RC,305,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,1
RC,305,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,1
RC,305,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,1
RC,305,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,1
RC,305,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,1
RC,305,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,1
RC,305,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,1
RC,305,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,1
RC,305,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,1
RC,305,Immune complex assay ,,,24.37,24.37,1
RC,305,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,1
RC,305,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,1
RC,305,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,1
RC,305,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,1
RC,305,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,1
RC,305,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,1
RC,305,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,1
RC,305,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,1
RC,305,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,1
RC,305,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,1
RC,305,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,1
RC,305,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,1
RC,305,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,1
RC,305,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,1
RC,305,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,1
RC,305,Immunoelectrophoresis; serum ,,,29.92,29.92,1
RC,305,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,1
RC,305,Immunofixation electrophoresis; serum ,,,22.34,22.34,1
RC,305,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,1
RC,305,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,1
RC,305,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,1
RC,305,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,1
RC,305,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,1
RC,305,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,1
RC,305,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,1
RC,305,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,1
RC,305,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,31
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,1
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,1
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,1
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,1
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,1
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,1
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,1
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,1
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,1
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,1
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,1
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,1
RC,305,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,1
RC,305,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,1
RC,305,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,305,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,1
RC,305,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,1
RC,305,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,1
RC,305,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,2
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,3
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,1
RC,305,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,1
RC,305,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,1
RC,305,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,1
RC,305,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,1
RC,305,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,1
RC,305,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,1
RC,305,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,1
RC,305,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,1
RC,305,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,1
RC,305,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,1
RC,305,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,1
RC,305,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,1
RC,305,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,1
RC,305,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,1
RC,305,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,1
RC,305,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,1
RC,305,Infliximab ,,,38.57,38.57,1
RC,305,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,1
RC,305,Inhibin A ,,,15.59,15.59,1
RC,305,Insemination of oocytes ,,,149.16,149.16,1
RC,305,Insulin antibodies ,,,21.41,21.41,1
RC,305,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,1
RC,305,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,1
RC,305,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,1
RC,305,Insulin; free ,,,12.95,12.95,1
RC,305,Insulin; total ,,,11.43,11.43,1
RC,305,Interleukin-6 (IL-6) ,,,17.27,17.27,1
RC,305,Intrinsic factor ,,,19.82,19.82,1
RC,305,Intrinsic factor antibodies ,,,15.08,15.08,1
RC,305,Iron ,,,6.47,6.47,1
RC,305,Iron binding capacity ,,,8.74,8.74,1
RC,305,"Iron stain, peripheral blood ",,,6.88,6.88,1
RC,305,"Irradiation of blood product, each unit ",,,33.84,33.84,1
RC,305,Islet cell antibody ,,,23.57,23.57,1
RC,305,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,1
RC,305,Itraconazole ,,,27.11,27.11,1
RC,305,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,1
RC,305,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,1
RC,305,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,1
RC,305,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,1
RC,305,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,1
RC,305,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,1
RC,305,"Ketogenic steroids, fractionation ",,,15.47,15.47,1
RC,305,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,1
RC,305,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,1
RC,305,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,1
RC,305,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,1
RC,305,Lacosamide ,,,27.11,27.11,1
RC,305,Lactate (lactic acid) ,,,11.57,11.57,1
RC,305,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,1
RC,305,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,1
RC,305,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,1
RC,305,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,1
RC,305,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,1
RC,305,"Lactose, urine, qualitative ",,,11.25,11.25,1
RC,305,Lamotrigine ,,,13.25,13.25,1
RC,305,Lead ,,,12.11,12.11,1
RC,305,Leflunomide ,,,38.57,38.57,1
RC,305,Leucine aminopeptidase (LAP) ,,,9.81,9.81,1
RC,305,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,1
RC,305,Leukocyte histamine release test (LHR) ,,,12.46,12.46,1
RC,305,Leukocyte phagocytosis ,,,10.39,10.39,1
RC,305,Leukocyte transfusion ,,,149.16,149.16,1
RC,305,Levetiracetam ,,,13.25,13.25,1
RC,305,Lidocaine ,,,14.69,14.69,1
RC,305,Lipase ,,,6.89,6.89,1
RC,305,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,1
RC,305,Lipoprotein (a) ,,,14.32,14.32,1
RC,305,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,1
RC,305,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,1
RC,305,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,1
RC,305,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,1
RC,305,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,1
RC,305,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,1
RC,305,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,1
RC,305,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,1
RC,305,Lithium ,,,6.61,6.61,1
RC,305,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,1
RC,305,Luteinizing releasing factor (LRH) ,,,17.19,17.19,1
RC,305,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,1
RC,305,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,1
RC,305,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,1
RC,305,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,1
RC,305,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,1
RC,305,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,1
RC,305,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,1
RC,305,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,1
RC,305,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,305,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,1
RC,305,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,305,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,1
RC,305,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,1
RC,305,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,1
RC,305,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,1
RC,305,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,1
RC,305,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,1
RC,305,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,1
RC,305,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,1
RC,305,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,1
RC,305,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,1
RC,305,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,1
RC,305,Macroscopic examination; arthropod ,,,4.27,4.27,1
RC,305,Macroscopic examination; parasite ,,,4.31,4.31,1
RC,305,Magnesium ,,,6.7,6.7,1
RC,305,Malate dehydrogenase ,,,7.37,7.37,1
RC,305,Manganese ,,,26.65,26.65,1
RC,305,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,1
RC,305,"Meat fibers, feces ",,,4.85,4.85,1
RC,305,"Mercury, quantitative ",,,16.26,16.26,1
RC,305,Metanephrines ,,,16.94,16.94,1
RC,305,Methemalbumin ,,,10.74,10.74,1
RC,305,Methotrexate ,,,38.57,38.57,1
RC,305,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,1
RC,305,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,1
RC,305,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,1
RC,305,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,1
RC,305,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,1
RC,305,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,1
RC,305,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,1
RC,305,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,1
RC,305,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,1
RC,305,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,1
RC,305,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,1
RC,305,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,1
RC,305,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,1
RC,305,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,1
RC,305,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,1
RC,305,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,1
RC,305,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,305,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,1
RC,305,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,305,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,1
RC,305,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,1
RC,305,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,1
RC,305,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,1
RC,305,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,1
RC,305,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,1
RC,305,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,305,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,305,Myeloperoxidase (MPO) ,,,50.86,50.86,1
RC,305,Myoglobin ,,,12.92,12.92,1
RC,305,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,1
RC,305,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,1
RC,305,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,1
RC,305,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,305,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,305,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,305,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,1
RC,305,Nasal smear for eosinophils ,,,5.79,5.79,1
RC,305,Natriuretic peptide ,,,39.26,39.26,1
RC,305,"Natural killer (NK) cells, total count ",,,37.73,37.73,1
RC,305,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,1
RC,305,Neurofilament light chain (NfL) ,,,116.23,116.23,1
RC,305,"Neutralization test, viral ",,,16.91,16.91,1
RC,305,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,1
RC,305,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,1
RC,305,Nickel ,,,24.51,24.51,1
RC,305,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,1
RC,305,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,1
RC,305,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,1
RC,305,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,1
RC,305,Nucleotidase 5'- ,,,11.15,11.15,1
RC,305,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,1
RC,305,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,1
RC,305,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,1
RC,305,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,1
RC,305,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,1
RC,305,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,1
RC,305,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,1
RC,305,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,1
RC,305,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,1
RC,305,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,1
RC,305,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,1
RC,305,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,1
RC,305,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,1
RC,305,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,1
RC,305,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,1
RC,305,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,1
RC,305,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,1
RC,305,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,1
RC,305,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,1
RC,305,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,1
RC,305,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,1
RC,305,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,1
RC,305,Oncoprotein; HER-2/neu ,,,64.41,64.41,1
RC,305,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,1
RC,305,Oocyte identification from follicular fluid ,,,149.16,149.16,1
RC,305,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,1
RC,305,"Organic acid, single, quantitative ",,,21.21,21.21,1
RC,305,"Organic acids; qualitative, each specimen ",,,16.45,16.45,1
RC,305,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,1
RC,305,Osmolality; blood ,,,6.61,6.61,1
RC,305,Osmolality; urine ,,,6.82,6.82,1
RC,305,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,1
RC,305,Osteocalcin (bone g1a protein) ,,,29.85,29.85,1
RC,305,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,1
RC,305,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,1
RC,305,Oxalate ,,,14.45,14.45,1
RC,305,Oxcarbazepine ,,,13.25,13.25,1
RC,305,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,1
RC,305,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,1
RC,305,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,1
RC,305,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,1
RC,305,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,1
RC,305,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,1
RC,305,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,1
RC,305,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,1
RC,305,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,1
RC,305,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,1
RC,305,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,305,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,1
RC,305,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,1
RC,305,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,1
RC,305,Parathormone (parathyroid hormone) ,,,41.28,41.28,1
RC,305,"Particle agglutination; screen, each antibody ",,,11.54,11.54,1
RC,305,"Particle agglutination; titer, each antibody ",,,10.64,10.64,1
RC,305,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,1
RC,305,Phencyclidine (PCP) ,,,41.52,41.52,1
RC,305,Phenobarbital ,,,15.3,15.3,1
RC,305,"Phenylalanine (PKU), blood ",,,5.5,5.5,1
RC,305,"Phenylketones, qualitative ",,,3.98,3.98,1
RC,305,Phenytoin; free ,,,13.76,13.76,1
RC,305,Phenytoin; total ,,,13.25,13.25,1
RC,305,"Phosphatase, acid; prostatic ",,,9.66,9.66,1
RC,305,"Phosphatase, acid; total ",,,7.64,7.64,1
RC,305,"Phosphatase, alkaline; ",,,5.18,5.18,1
RC,305,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,1
RC,305,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,1
RC,305,Phosphatidylglycerol ,,,16.52,16.52,1
RC,305,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,1
RC,305,Phosphohexose isomerase ,,,10.73,10.73,1
RC,305,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,1
RC,305,Phospholipid neutralization; platelet ,,,17.98,17.98,1
RC,305,Phosphorus inorganic (phosphate); ,,,4.74,4.74,1
RC,305,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,1
RC,305,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,1
RC,305,Pinworm examinations ,,,4.27,4.27,1
RC,305,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,1
RC,305,Pooling of platelets or other blood products ,,,149.16,149.16,1
RC,305,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,1
RC,305,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,1
RC,305,"Porphyrins, feces, quantitative ",,,39.11,39.11,1
RC,305,"Porphyrins, urine; qualitative ",,,13.36,13.36,1
RC,305,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,1
RC,305,Posaconazole ,,,27.11,27.11,1
RC,305,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,1
RC,305,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,1
RC,305,Potassium; urine ,,,4.73,4.73,1
RC,305,Prealbumin ,,,14.59,14.59,1
RC,305,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,1
RC,305,Pregnanediol ,,,21.27,21.27,1
RC,305,Pregnanetriol ,,,21.05,21.05,1
RC,305,Pregnenolone ,,,20.67,20.67,1
RC,305,Preparation of embryo for transfer (any method) ,,,49.76,49.76,1
RC,305,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,1
RC,305,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,1
RC,305,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,1
RC,305,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,1
RC,305,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,1
RC,305,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,1
RC,305,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,1
RC,305,Primidone ,,,16.59,16.59,1
RC,305,Procainamide; ,,,60.0,60.0,1
RC,305,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,1
RC,305,Procalcitonin (PCT) ,,,27.22,27.22,1
RC,305,Progesterone ,,,20.86,20.86,1
RC,305,Proinsulin ,,,26.69,26.69,1
RC,305,Prolactin ,,,19.38,19.38,1
RC,305,"Prostaglandin, each ",,,41.77,41.77,1
RC,305,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,1
RC,305,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,1
RC,305,Prostate specific antigen (PSA); free ,,,18.39,18.39,1
RC,305,Prostate specific antigen (PSA); total ,,,18.39,18.39,1
RC,305,"Protein, total, by refractometry, any source ",,,5.61,5.61,1
RC,305,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,1
RC,305,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,1
RC,305,"Protein, total, except by refractometry; urine ",,,3.67,3.67,1
RC,305,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,1
RC,305,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,1
RC,305,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,1
RC,305,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,1
RC,305,Prothrombin time; ,,,4.29,4.29,1
RC,305,"Prothrombin time; substitution, plasma fractions, each ",1500.0,1500.0,3.94,3.94,1
RC,305,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,1
RC,305,"Protoporphyrin, RBC; screen ",,,9.74,9.74,1
RC,305,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,1
RC,305,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,1
RC,305,Pyruvate ,,,14.48,14.48,1
RC,305,Pyruvate kinase ,,,9.44,9.44,1
RC,305,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,1
RC,305,Quinidine ,,,14.6,14.6,1
RC,305,Quinine ,,,11.63,11.63,1
RC,305,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,1
RC,305,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,1
RC,305,Receptor assay; estrogen ,,,87.88,87.88,1
RC,305,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,1
RC,305,Receptor assay; progesterone ,,,64.88,64.88,1
RC,305,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,1
RC,305,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,1
RC,305,Renin ,,,21.99,21.99,1
RC,305,Reticulated platelet assay ,,,35.74,35.74,1
RC,305,Rheumatoid factor; qualitative ,,,6.14,6.14,1
RC,305,Rheumatoid factor; quantitative ,,,5.67,5.67,1
RC,305,Riboflavin (Vitamin B-2) ,,,20.24,20.24,1
RC,305,Rufinamide ,,,27.11,27.11,1
RC,305,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,1
RC,305,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,1
RC,305,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,1
RC,305,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,1
RC,305,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,1
RC,305,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,1
RC,305,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,305,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,1
RC,305,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,1
RC,305,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,1
RC,305,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,1
RC,305,Salicylate ,,,18.64,18.64,1
RC,305,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,1
RC,305,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,1
RC,305,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,1
RC,305,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,1
RC,305,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,1
RC,305,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,1
RC,305,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,1
RC,305,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,1
RC,305,"Sedimentation rate, erythrocyte; automated ",973.0,973.0,2.7,2.7,1
RC,305,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,1
RC,305,Selenium ,,,25.53,25.53,1
RC,305,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,1
RC,305,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,1
RC,305,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,1
RC,305,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,1
RC,305,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,1
RC,305,Serotonin ,,,30.98,30.98,1
RC,305,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,1
RC,305,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,1
RC,305,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,1
RC,305,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,1
RC,305,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,1
RC,305,Sialic acid ,,,13.44,13.44,1
RC,305,"Sickling of RBC, reduction ",,,5.51,5.51,1
RC,305,Silica ,,,25.21,25.21,1
RC,305,Sirolimus ,,,13.73,13.73,1
RC,305,Skin test; candida ,,,24.67,24.67,1
RC,305,Skin test; histoplasmosis ,,,55.66,55.66,1
RC,305,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,1
RC,305,"Skin test; unlisted antigen, each ",,,24.67,24.67,1
RC,305,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,1
RC,305,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,1
RC,305,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,1
RC,305,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,1
RC,305,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,1
RC,305,Sodium; other source ,,,4.86,4.86,1
RC,305,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,1
RC,305,Sodium; urine ,,,5.06,5.06,1
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,1
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,1
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,1
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,1
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,1
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,1
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,1
RC,305,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,1
RC,305,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,2
RC,305,Somatomedin ,,,21.26,21.26,1
RC,305,Somatostatin ,,,18.28,18.28,1
RC,305,Specific gravity (except urine) ,,,3.28,3.28,1
RC,305,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,1
RC,305,Sperm antibodies ,,,10.67,10.67,1
RC,305,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,1
RC,305,Sperm evaluation; hamster penetration test ,,,19.59,19.59,1
RC,305,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,1
RC,305,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,1
RC,305,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,305,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,305,"Splitting of blood or blood products, each unit ",,,149.16,149.16,1
RC,305,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,1
RC,305,"Stem cells (ie, CD34), total count ",,,77.78,77.78,1
RC,305,Storage (per year); embryo(s) ,,,149.16,149.16,1
RC,305,Storage (per year); oocyte(s) ,,,291.26,291.26,1
RC,305,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,305,Storage (per year); sperm/semen ,,,149.16,149.16,1
RC,305,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,1
RC,305,"Streptokinase, antibody ",,,12.66,12.66,1
RC,305,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,1
RC,305,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,1
RC,305,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,1
RC,305,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,1
RC,305,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,1
RC,305,"Sulfate, urine ",,,5.49,5.49,1
RC,305,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,1
RC,305,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,1
RC,305,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,1
RC,305,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,1
RC,305,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,1
RC,305,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,1
RC,305,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,1
RC,305,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,1
RC,305,Sweat collection by iontophoresis ,,,49.76,49.76,1
RC,305,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,1
RC,305,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,1
RC,305,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,1
RC,305,T cells; absolute CD4 count ,,,26.78,26.78,1
RC,305,T cells; total count ,,,37.73,37.73,1
RC,305,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,305,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,1
RC,305,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,1
RC,305,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,1
RC,305,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,1
RC,305,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,1
RC,305,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,1
RC,305,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,1
RC,305,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,1
RC,305,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,1
RC,305,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,1
RC,305,Tacrolimus ,,,13.73,13.73,1
RC,305,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,1
RC,305,"Tau, total (tTau) ",,,128.92,128.92,1
RC,305,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,1
RC,305,Testosterone; free ,,,25.47,25.47,1
RC,305,Testosterone; total ,,,25.81,25.81,1
RC,305,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,1
RC,305,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,1
RC,305,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,305,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,1
RC,305,Theophylline ,,,14.14,14.14,1
RC,305,Thiamine (Vitamin B-1) ,,,21.23,21.23,1
RC,305,Thiocyanate ,,,11.63,11.63,1
RC,305,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,1
RC,305,Thrombin time; plasma ,,,5.77,5.77,1
RC,305,Thrombin time; titer ,,,6.85,6.85,1
RC,305,Thrombomodulin ,,,17.27,17.27,1
RC,305,"Thromboplastin inhibition, tissue ",,,9.63,9.63,1
RC,305,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,1
RC,305,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,1
RC,305,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,1
RC,305,"Thymol turbidity, blood ",,,4.95,4.95,1
RC,305,Thyroglobulin ,,,16.06,16.06,1
RC,305,Thyroglobulin antibody ,,,15.91,15.91,1
RC,305,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,1
RC,305,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,1
RC,305,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,1
RC,305,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,1
RC,305,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,1
RC,305,Thyroxine binding globulin (TBG) ,,,14.78,14.78,1
RC,305,Thyroxine; free ,,,9.02,9.02,1
RC,305,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,1
RC,305,Thyroxine; total ,,,6.87,6.87,1
RC,305,Tiagabine ,,,27.11,27.11,1
RC,305,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,1
RC,305,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,305,Tobramycin ,,,16.13,16.13,1
RC,305,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,1
RC,305,Topiramate ,,,11.92,11.92,1
RC,305,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,1
RC,305,Transcortin (cortisol binding globulin) ,,,18.0,18.0,1
RC,305,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,1
RC,305,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,1
RC,305,Transferrin ,,,12.76,12.76,1
RC,305,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,1
RC,305,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,1
RC,305,Triglycerides ,,,5.74,5.74,1
RC,305,Triiodothyronine T3; free ,,,16.94,16.94,1
RC,305,Triiodothyronine T3; reverse ,,,15.76,15.76,1
RC,305,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,1
RC,305,"Troponin, qualitative ",,,10.09,10.09,1
RC,305,"Troponin, quantitative ",,,12.47,12.47,1
RC,305,Trypsin; duodenal fluid ,,,7.2,7.2,1
RC,305,"Trypsin; feces, qualitative ",,,7.3,7.3,1
RC,305,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,1
RC,305,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,1
RC,305,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,1
RC,305,Tyrosine ,,,10.63,10.63,1
RC,305,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,1
RC,305,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,1
RC,305,Unlisted miscellaneous pathology test ,,,49.76,49.76,1
RC,305,Unlisted transfusion medicine procedure ,,,24.67,24.67,1
RC,305,"Urea nitrogen, clearance ",,,7.2,7.2,1
RC,305,"Urea nitrogen, urine ",,,5.56,5.56,1
RC,305,Urea nitrogen; quantitative ,,,3.95,3.95,1
RC,305,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,1
RC,305,Uric acid; blood ,,,4.52,4.52,1
RC,305,Uric acid; other source ,,,5.08,5.08,1
RC,305,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,2
RC,305,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,2
RC,305,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,1
RC,305,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,1
RC,305,Urinalysis; microscopic only ,,,3.05,3.05,1
RC,305,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,1
RC,305,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,1
RC,305,"Urobilinogen, feces, quantitative ",,,16.8,16.8,1
RC,305,"Urobilinogen, urine; qualitative ",,,4.47,4.47,1
RC,305,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,1
RC,305,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,1
RC,305,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,1
RC,305,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,1
RC,305,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,1
RC,305,Vancomycin ,,,13.54,13.54,1
RC,305,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,1
RC,305,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,1
RC,305,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,1
RC,305,Vedolizumab ,,,38.57,38.57,1
RC,305,Very long chain fatty acids ,,,19.75,19.75,1
RC,305,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,1
RC,305,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,1
RC,305,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,1
RC,305,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,1
RC,305,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,1
RC,305,Vitamin A ,,,11.61,11.61,1
RC,305,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,1
RC,305,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,1
RC,305,Vitamin K ,,,13.72,13.72,1
RC,305,"Vitamin, not otherwise specified ",,,17.06,17.06,1
RC,305,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,1
RC,305,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,1
RC,305,"Volume measurement for timed collection, each ",,,3.64,3.64,1
RC,305,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,1
RC,305,Voriconazole ,,,27.11,27.11,1
RC,305,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,1
RC,305,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,1
RC,305,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,1
RC,305,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,1
RC,305,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,1
RC,305,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,1
RC,305,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,1
RC,305,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,1
RC,305,Zinc ,,,11.39,11.39,1
RC,305,Zonisamide ,,,13.25,13.25,1
RC,305,"b-Hexosaminidase, each assay ",,,16.87,16.87,1
RC,305,"pH; body fluid, not otherwise specified ",,,3.58,3.58,1
RC,305,pH; exhaled breath condensate ,,,3.58,3.58,1
RC,306, Laboratory Bacteriology & Microbiology  ,,,,,0
RC,306,17-hydroxypregnenolone ,,,22.81,22.81,1
RC,306,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",50.0,50.0,51.31,51.31,1
RC,306,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,1
RC,306,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,1
RC,306,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,1
RC,306,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,1
RC,306,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,1
RC,306,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,1
RC,306,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,1
RC,306,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,1
RC,306,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,1
RC,306,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,306,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,1
RC,306,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,1
RC,306,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,1
RC,306,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,1
RC,306,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,Acetaminophen ,,,18.64,18.64,1
RC,306,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,1
RC,306,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,1
RC,306,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,1
RC,306,Acetylcholinesterase ,,,12.29,12.29,1
RC,306,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,1
RC,306,Activated Protein C (APC) resistance assay ,,,15.32,15.32,1
RC,306,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,1
RC,306,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,1
RC,306,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,1
RC,306,Adalimumab ,,,38.57,38.57,1
RC,306,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,1
RC,306,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,1
RC,306,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,1
RC,306,Albumin; ischemia modified ,,,33.94,33.94,1
RC,306,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,1
RC,306,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,1
RC,306,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,1
RC,306,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,1
RC,306,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,1
RC,306,Alcohol (ethanol); breath ,,,30.0,30.0,1
RC,306,Aldolase ,,,9.71,9.71,1
RC,306,Aldosterone ,,,40.75,40.75,1
RC,306,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,1
RC,306,All potassium hydroxide (koh) preparations ,,,5.83,5.83,1
RC,306,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,1
RC,306,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,1
RC,306,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,1
RC,306,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,1
RC,306,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,1
RC,306,Alpha-1-antitrypsin; total ,,,13.44,13.44,1
RC,306,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,1
RC,306,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,1
RC,306,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,1
RC,306,Aluminum ,,,25.48,25.48,1
RC,306,Amikacin ,,,15.08,15.08,1
RC,306,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,1
RC,306,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,1
RC,306,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,1
RC,306,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,1
RC,306,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,1
RC,306,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,1
RC,306,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,1
RC,306,Amiodarone ,,,18.64,18.64,1
RC,306,Ammonia ,,,14.57,14.57,1
RC,306,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,1
RC,306,Amylase ,,,6.48,6.48,1
RC,306,Androstanediol glucuronide ,,,28.83,28.83,1
RC,306,Androstenedione ,,,29.28,29.28,1
RC,306,Androsterone ,,,25.55,25.55,1
RC,306,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,1
RC,306,Angiotensin II ,,,20.52,20.52,1
RC,306,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,1
RC,306,Anti-mullerian hormone (AMH) ,,,38.62,38.62,1
RC,306,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,1
RC,306,"Antibody elution (RBC), each elution ",,,149.16,149.16,1
RC,306,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,1
RC,306,Antibody identification; leukocyte antibodies ,,,15.05,15.05,1
RC,306,Antibody identification; platelet antibodies ,,,18.37,18.37,1
RC,306,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,1
RC,306,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,1
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,2
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,2
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,1
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,1
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,1
RC,306,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,1
RC,306,Antibody; Aspergillus ,,,15.05,15.05,1
RC,306,Antibody; Bartonella ,,,10.18,10.18,1
RC,306,Antibody; Blastomyces ,,,12.9,12.9,1
RC,306,Antibody; Bordetella ,,,13.19,13.19,1
RC,306,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,1
RC,306,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,1
RC,306,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,1
RC,306,Antibody; Brucella ,,,8.93,8.93,1
RC,306,Antibody; Campylobacter ,,,13.12,13.12,1
RC,306,Antibody; Candida ,,,12.01,12.01,1
RC,306,Antibody; Chlamydia ,,,11.82,11.82,1
RC,306,"Antibody; Chlamydia, IgM ",,,12.68,12.68,1
RC,306,Antibody; Coccidioides ,,,11.47,11.47,1
RC,306,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,1
RC,306,Antibody; Cryptococcus ,,,14.41,14.41,1
RC,306,Antibody; Diphtheria ,,,15.21,15.21,1
RC,306,Antibody; Ehrlichia ,,,10.18,10.18,1
RC,306,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,1
RC,306,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,1
RC,306,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,1
RC,306,Antibody; Francisella tularensis ,,,14.16,14.16,1
RC,306,Antibody; Giardia lamblia ,,,14.72,14.72,1
RC,306,Antibody; HIV-1 ,,,8.89,8.89,1
RC,306,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,1
RC,306,Antibody; HIV-2 ,,,13.52,13.52,1
RC,306,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,1
RC,306,Antibody; HTLV-I ,,,9.09,9.09,1
RC,306,Antibody; HTLV-II ,,,14.0,14.0,1
RC,306,Antibody; Haemophilus influenza ,,,15.84,15.84,1
RC,306,Antibody; Helicobacter pylori ,,,16.85,16.85,1
RC,306,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,1
RC,306,Antibody; Legionella ,,,15.3,15.3,1
RC,306,Antibody; Leishmania ,,,12.25,12.25,1
RC,306,Antibody; Leptospira ,,,16.2,16.2,1
RC,306,Antibody; Listeria monocytogenes ,,,13.19,13.19,1
RC,306,Antibody; Neisseria meningitidis ,,,13.19,13.19,1
RC,306,Antibody; Nocardia ,,,15.99,15.99,1
RC,306,Antibody; Plasmodium (malaria) ,,,13.19,13.19,1
RC,306,Antibody; Rickettsia ,,,19.35,19.35,1
RC,306,Antibody; Salmonella ,,,13.19,13.19,1
RC,306,Antibody; Shigella ,,,24.48,24.48,1
RC,306,Antibody; Toxoplasma ,,,14.39,14.39,1
RC,306,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,1
RC,306,Antibody; Treponema pallidum ,,,13.24,13.24,1
RC,306,Antibody; Trichinella ,,,12.56,12.56,1
RC,306,Antibody; West Nile virus ,,,14.39,14.39,1
RC,306,"Antibody; West Nile virus, IgM ",,,16.85,16.85,1
RC,306,Antibody; Yersinia ,,,13.19,13.19,1
RC,306,"Antibody; Zika virus, IgM ",,,16.85,16.85,1
RC,306,Antibody; actinomyces ,,,10.18,10.18,1
RC,306,Antibody; adenovirus ,,,12.87,12.87,1
RC,306,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,1
RC,306,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,1
RC,306,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,1
RC,306,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,1
RC,306,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,1
RC,306,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,1
RC,306,"Antibody; encephalitis, Western equine ",,,13.19,13.19,1
RC,306,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,1
RC,306,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,1
RC,306,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,1
RC,306,"Antibody; hepatitis, delta agent ",,,17.16,17.16,1
RC,306,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,1
RC,306,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,1
RC,306,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,1
RC,306,Antibody; histoplasma ,,,13.79,13.79,1
RC,306,Antibody; influenza virus ,,,13.55,13.55,1
RC,306,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,1
RC,306,Antibody; mucormycosis ,,,15.0,15.0,1
RC,306,Antibody; mumps ,,,13.05,13.05,1
RC,306,Antibody; mycoplasma ,,,13.24,13.24,1
RC,306,Antibody; parvovirus ,,,15.03,15.03,1
RC,306,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,1
RC,306,Antibody; respiratory syncytial virus ,,,15.89,15.89,1
RC,306,Antibody; rotavirus ,,,18.23,18.23,1
RC,306,Antibody; rubella ,,,14.39,14.39,1
RC,306,Antibody; rubeola ,,,12.88,12.88,1
RC,306,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,1
RC,306,Antibody; tetanus ,,,14.8,14.8,1
RC,306,Antibody; varicella-zoster ,,,12.88,12.88,1
RC,306,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,1
RC,306,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,1
RC,306,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,1
RC,306,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,1
RC,306,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,1
RC,306,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,1
RC,306,Antinuclear antibodies (ANA); ,,,12.09,12.09,1
RC,306,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,1
RC,306,Antistreptolysin 0; screen ,,,5.77,5.77,1
RC,306,Antistreptolysin 0; titer ,,,7.3,7.3,1
RC,306,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,1
RC,306,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,1
RC,306,"Apolipoprotein, each ",,,21.09,21.09,1
RC,306,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,306,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,1
RC,306,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,306,Arsenic ,,,18.97,18.97,1
RC,306,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,1
RC,306,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,1
RC,306,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,1
RC,306,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,1
RC,306,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,1
RC,306,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,1
RC,306,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,1
RC,306,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,1
RC,306,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,1
RC,306,"B cells, total count ",,,37.73,37.73,1
RC,306,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,1
RC,306,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,1
RC,306,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,1
RC,306,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,1
RC,306,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,1
RC,306,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,1
RC,306,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,1
RC,306,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,1
RC,306,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,306,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,1
RC,306,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,1
RC,306,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,1
RC,306,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,1
RC,306,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,1
RC,306,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,1
RC,306,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,306,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,1
RC,306,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,1
RC,306,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,1
RC,306,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,1
RC,306,Beta-2 microglobulin ,,,16.18,16.18,1
RC,306,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,1
RC,306,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,1
RC,306,Bile acids; cholylglycine ,,,26.58,26.58,1
RC,306,Bile acids; total ,,,17.12,17.12,1
RC,306,"Bilirubin, total, transcutaneous ",,,5.02,5.02,1
RC,306,Bilirubin; direct ,,,5.02,5.02,1
RC,306,"Bilirubin; feces, qualitative ",,,4.56,4.56,1
RC,306,Bilirubin; total ,,,5.02,5.02,1
RC,306,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,1
RC,306,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,1
RC,306,"Biotinidase, each specimen ",,,16.87,16.87,1
RC,306,Bleeding time ,,,4.82,4.82,1
RC,306,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,1
RC,306,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,1
RC,306,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,1
RC,306,Blood count; automated differential WBC count ,,,6.47,6.47,1
RC,306,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,1
RC,306,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,1
RC,306,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,1
RC,306,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,1
RC,306,Blood count; hematocrit (Hct) ,,,2.37,2.37,1
RC,306,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,1
RC,306,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,1
RC,306,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,1
RC,306,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,1
RC,306,"Blood count; platelet, automated ",,,4.48,4.48,1
RC,306,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,1
RC,306,"Blood count; reticulocyte, automated ",,,3.99,3.99,1
RC,306,"Blood count; reticulocyte, manual ",,,4.31,4.31,1
RC,306,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,1
RC,306,Blood count; spun microhematocrit ,,,7.0,7.0,1
RC,306,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,1
RC,306,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,1
RC,306,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,1
RC,306,"Blood typing, serologic; ABO ",,,2.99,2.99,1
RC,306,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,1
RC,306,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,1
RC,306,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,1
RC,306,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,1
RC,306,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,1
RC,306,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,1
RC,306,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,1
RC,306,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,1
RC,306,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,1
RC,306,"Bone marrow, smear interpretation ",,,656.15,656.15,1
RC,306,Bradykinin ,,,5.16,5.16,1
RC,306,C-peptide ,,,20.81,20.81,1
RC,306,C-reactive protein; ,,,5.18,5.18,1
RC,306,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,1
RC,306,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,1
RC,306,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,1
RC,306,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,1
RC,306,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,1
RC,306,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,1
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,1
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,1
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,1
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,1
RC,306,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,1
RC,306,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,306,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,306,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,1
RC,306,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,1
RC,306,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,1
RC,306,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,1
RC,306,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,1
RC,306,Cadmium ,,,23.64,23.64,1
RC,306,Caffeine ,,,38.57,38.57,1
RC,306,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,1
RC,306,Calcitonin ,,,26.79,26.79,1
RC,306,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,1
RC,306,Calcium; after calcium infusion test ,,,13.34,13.34,1
RC,306,Calcium; ionized ,,,13.68,13.68,1
RC,306,Calcium; total ,,,5.16,5.16,1
RC,306,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,1
RC,306,Calculus; X-ray diffraction ,,,12.52,12.52,1
RC,306,Calculus; infrared spectroscopy ,,,12.9,12.9,1
RC,306,Calculus; qualitative analysis ,,,11.58,11.58,1
RC,306,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,1
RC,306,"Calprotectin, fecal ",,,19.63,19.63,1
RC,306,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,1
RC,306,Carbamazepine; free ,,,13.25,13.25,1
RC,306,Carbamazepine; total ,,,14.57,14.57,1
RC,306,Carbohydrate deficient transferrin ,,,18.06,18.06,1
RC,306,Carbon dioxide (bicarbonate) ,,,4.88,4.88,1
RC,306,Carboxyhemoglobin; qualitative ,,,14.07,14.07,1
RC,306,Carboxyhemoglobin; quantitative ,,,12.32,12.32,1
RC,306,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,1
RC,306,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,1
RC,306,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,1
RC,306,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,1
RC,306,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,1
RC,306,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,1
RC,306,Carotene ,,,9.22,9.22,1
RC,306,Catecholamines; blood ,,,29.08,29.08,1
RC,306,Catecholamines; fractionated ,,,25.25,25.25,1
RC,306,Catecholamines; total urine ,,,27.3,27.3,1
RC,306,Cathepsin-D ,,,18.06,18.06,1
RC,306,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,1
RC,306,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,1
RC,306,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,1
RC,306,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,1
RC,306,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,1
RC,306,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,1
RC,306,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,1
RC,306,"Cephalin floculation, blood ",,,4.95,4.95,1
RC,306,Ceruloplasmin ,,,10.74,10.74,1
RC,306,Chemiluminescent assay ,,,14.12,14.12,1
RC,306,"Chemotaxis assay, specify method ",,,15.99,15.99,1
RC,306,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,1
RC,306,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,1
RC,306,Chloramphenicol ,,,12.67,12.67,1
RC,306,Chloride; blood ,,,4.6,4.6,1
RC,306,Chloride; other source ,,,5.0,5.0,1
RC,306,Chloride; urine ,,,5.75,5.75,1
RC,306,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,1
RC,306,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,1
RC,306,Cholinesterase; RBC ,,,9.81,9.81,1
RC,306,Cholinesterase; serum ,,,7.87,7.87,1
RC,306,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,1
RC,306,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,1
RC,306,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,1
RC,306,Chromium ,,,20.28,20.28,1
RC,306,Chromogenic substrate assay ,,,11.89,11.89,1
RC,306,Citrate ,,,27.8,27.8,1
RC,306,"Clot lysis time, whole blood dilution ",,,20.37,20.37,1
RC,306,Clot retraction ,,,16.3,16.3,1
RC,306,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,1
RC,306,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,1
RC,306,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,1
RC,306,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,1
RC,306,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,1
RC,306,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,1
RC,306,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,1
RC,306,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,1
RC,306,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,1
RC,306,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,1
RC,306,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,1
RC,306,Clotting; factor VIII related antigen ,,,20.42,20.42,1
RC,306,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,1
RC,306,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,1
RC,306,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,1
RC,306,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,1
RC,306,Clotting; factor XI (PTA) ,,,17.9,17.9,1
RC,306,Clotting; factor XII (Hageman) ,,,19.35,19.35,1
RC,306,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,1
RC,306,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,1
RC,306,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,1
RC,306,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,1
RC,306,Clozapine ,,,20.15,20.15,1
RC,306,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,1
RC,306,Coagulation time; Lee and White ,,,4.69,4.69,1
RC,306,Coagulation time; activated ,,,4.28,4.28,1
RC,306,Coagulation time; other methods ,,,4.49,4.49,1
RC,306,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,1
RC,306,Cold agglutinin; screen ,,,8.07,8.07,1
RC,306,Cold agglutinin; titer ,,,8.06,8.06,1
RC,306,"Collagen cross links, any method ",,,18.68,18.68,1
RC,306,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,1
RC,306,Collection of venous blood by venipuncture ,,,3.0,3.0,1
RC,306,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,1
RC,306,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,1
RC,306,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,1
RC,306,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,1
RC,306,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,1
RC,306,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,1
RC,306,Compatibility test each unit; electronic ,,,149.16,149.16,1
RC,306,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,1
RC,306,Compatibility test each unit; incubation technique ,,,149.16,149.16,1
RC,306,"Complement fixation tests, each antigen ",,,10.01,10.01,1
RC,306,"Complement; antigen, each component ",,,12.0,12.0,1
RC,306,"Complement; functional activity, each component ",,,12.0,12.0,1
RC,306,Complement; total hemolytic (CH50) ,,,20.32,20.32,1
RC,306,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,1
RC,306,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,1
RC,306,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,1
RC,306,"Concentration (any type), for infectious agents ",,,6.68,6.68,1
RC,306,"Congo red, blood ",,,4.95,4.95,1
RC,306,Copper ,,,12.41,12.41,1
RC,306,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,1
RC,306,Corticosterone ,,,22.52,22.52,1
RC,306,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,1
RC,306,Cortisol; free ,,,16.71,16.71,1
RC,306,Cortisol; total ,,,16.3,16.3,1
RC,306,Creatine ,,,4.64,4.64,1
RC,306,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,1
RC,306,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,1
RC,306,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,1
RC,306,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,1
RC,306,Creatinine; blood ,,,5.12,5.12,1
RC,306,Creatinine; clearance ,,,9.46,9.46,1
RC,306,Creatinine; other source ,,,5.18,5.18,1
RC,306,Cryofibrinogen ,,,14.14,14.14,1
RC,306,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,1
RC,306,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,1
RC,306,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,1
RC,306,Cryopreservation; embryo(s) ,,,656.15,656.15,1
RC,306,Cryopreservation; sperm ,,,149.16,149.16,1
RC,306,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,1
RC,306,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,1
RC,306,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,1
RC,306,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,1
RC,306,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,306,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,306,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,1
RC,306,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,1
RC,306,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,1
RC,306,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,1
RC,306,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",50.0,50.0,9.89,9.89,1
RC,306,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,1
RC,306,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,1
RC,306,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,1
RC,306,"Culture, chlamydia, any source ",,,19.6,19.6,1
RC,306,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,1
RC,306,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,1
RC,306,"Culture, fungi, definitive identification, each organism; mold ",211.0,211.0,10.32,10.32,1
RC,306,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,1
RC,306,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,1
RC,306,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,1
RC,306,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,1
RC,306,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,1
RC,306,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",211.0,211.0,35.09,35.09,1
RC,306,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,1
RC,306,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",70.0,70.0,115.36,115.36,1
RC,306,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,1
RC,306,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,1
RC,306,"Culture, typing; immunofluorescent method, each antiserum ",211.0,211.0,5.57,5.57,1
RC,306,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,1
RC,306,"Culture, typing; other methods ",70.0,70.0,7.74,7.74,1
RC,306,Cyanide ,,,19.4,19.4,1
RC,306,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,1
RC,306,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,1
RC,306,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,1
RC,306,Cyclosporine ,,,18.05,18.05,1
RC,306,Cystatin C ,,,18.52,18.52,1
RC,306,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,1
RC,306,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,1
RC,306,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,1
RC,306,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,1
RC,306,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,306,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,306,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,1
RC,306,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,306,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,306,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,1
RC,306,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,1
RC,306,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,1
RC,306,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,1
RC,306,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,1
RC,306,"Deoxycortisol, 11- ",,,29.28,29.28,1
RC,306,"Deoxyribonuclease, antibody ",,,13.25,13.25,1
RC,306,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,1
RC,306,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,1
RC,306,"Desoxycorticosterone, 11- ",,,30.98,30.98,1
RC,306,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,1
RC,306,Dibucaine number ,,,12.25,12.25,1
RC,306,Digoxin; free ,,,13.28,13.28,1
RC,306,Digoxin; total ,,,13.28,13.28,1
RC,306,Dihydrotestosterone (DHT) ,,,29.28,29.28,1
RC,306,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,1
RC,306,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,4
RC,306,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,1
RC,306,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,1
RC,306,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,1
RC,306,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,1
RC,306,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,1
RC,306,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,1
RC,306,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,1
RC,306,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,1
RC,306,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,1
RC,306,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,1
RC,306,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,1
RC,306,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,1
RC,306,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,1
RC,306,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,1
RC,306,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,1
RC,306,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,1
RC,306,Erythropoietin ,,,18.79,18.79,1
RC,306,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,1
RC,306,Estradiol; total ,,,27.94,27.94,1
RC,306,Estriol ,,,24.18,24.18,1
RC,306,Estrogens; fractionated ,,,32.3,32.3,1
RC,306,Estrogens; total ,,,21.7,21.7,1
RC,306,Estrone ,,,24.95,24.95,1
RC,306,Ethosuximide ,,,16.34,16.34,1
RC,306,Ethylene glycol ,,,14.9,14.9,1
RC,306,Etiocholanolone ,,,26.24,26.24,1
RC,306,Euglobulin lysis ,,,8.41,8.41,1
RC,306,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,1
RC,306,Everolimus ,,,13.73,13.73,1
RC,306,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,1
RC,306,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,1
RC,306,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,1
RC,306,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,1
RC,306,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,1
RC,306,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,1
RC,306,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,1
RC,306,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,1
RC,306,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,1
RC,306,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,1
RC,306,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,1
RC,306,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,1
RC,306,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,1
RC,306,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,306,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,306,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,306,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,306,Factor inhibitor test ,,,12.87,12.87,1
RC,306,"Fat differential, feces, quantitative ",,,22.97,22.97,1
RC,306,"Fat or lipids, feces; qualitative ",,,5.1,5.1,1
RC,306,"Fat or lipids, feces; quantitative ",,,16.8,16.8,1
RC,306,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,1
RC,306,"Fatty acids, nonesterified ",,,18.77,18.77,1
RC,306,Felbamate ,,,18.64,18.64,1
RC,306,Fern test ,,,9.74,9.74,1
RC,306,Ferritin ,,,13.63,13.63,1
RC,306,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,1
RC,306,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,1
RC,306,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,1
RC,306,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,1
RC,306,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,1
RC,306,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,1
RC,306,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,1
RC,306,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,1
RC,306,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,1
RC,306,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,1
RC,306,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,1
RC,306,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,1
RC,306,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,1
RC,306,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,1
RC,306,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,1
RC,306,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,1
RC,306,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,1
RC,306,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,1
RC,306,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,1
RC,306,Fibrinogen; activity ,,,9.72,9.72,1
RC,306,Fibrinogen; antigen ,,,14.46,14.46,1
RC,306,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,1
RC,306,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,1
RC,306,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,1
RC,306,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,1
RC,306,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,1
RC,306,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,1
RC,306,Flecainide ,,,18.64,18.64,1
RC,306,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,1
RC,306,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,1
RC,306,Fluoride ,,,18.54,18.54,1
RC,306,Folic acid; RBC ,,,17.65,17.65,1
RC,306,Folic acid; serum ,,,14.7,14.7,1
RC,306,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,1
RC,306,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,1
RC,306,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,1
RC,306,"Frozen blood, each unit; thawing ",,,291.26,291.26,1
RC,306,"Fructose, semen ",,,17.34,17.34,1
RC,306,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,1
RC,306,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,1
RC,306,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,306,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,1
RC,306,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,1
RC,306,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,1
RC,306,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,1
RC,306,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,1
RC,306,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,1
RC,306,"Galactokinase, RBC ",,,21.48,21.48,1
RC,306,Galactose ,,,11.2,11.2,1
RC,306,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,1
RC,306,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,1
RC,306,Galectin-3 ,,,44.25,44.25,1
RC,306,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,1
RC,306,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,1
RC,306,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,1
RC,306,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,1
RC,306,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,1
RC,306,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,1
RC,306,"Gases, blood, pH only ",,,11.0,11.0,1
RC,306,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,1
RC,306,Gastrin ,,,17.63,17.63,1
RC,306,Gastrin after secretin stimulation ,,,17.69,17.69,1
RC,306,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,1
RC,306,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,1
RC,306,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,1
RC,306,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,1
RC,306,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,1
RC,306,Gentamicin ,,,16.38,16.38,1
RC,306,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,306,Glucagon ,,,14.29,14.29,1
RC,306,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,1
RC,306,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,1
RC,306,Glucagon tolerance test ,,,17.77,17.77,1
RC,306,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,1
RC,306,"Glucose, body fluid, other than blood ",,,3.93,3.93,1
RC,306,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,1
RC,306,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,1
RC,306,"Glucose; blood, reagent strip ",,,5.04,5.04,1
RC,306,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,1
RC,306,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,1
RC,306,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,1
RC,306,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,1
RC,306,"Glucosidase, beta ",,,21.48,21.48,1
RC,306,Glutamate dehydrogenase ,,,13.15,13.15,1
RC,306,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,1
RC,306,Glutathione ,,,15.45,15.45,1
RC,306,"Glutathione reductase, RBC ",,,9.44,9.44,1
RC,306,Glycated protein ,,,16.76,16.76,1
RC,306,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,1
RC,306,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,1
RC,306,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,1
RC,306,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,1
RC,306,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,1
RC,306,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,1
RC,306,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,1
RC,306,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,1
RC,306,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,1
RC,306,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,1
RC,306,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,1
RC,306,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,1
RC,306,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,306,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,306,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,1
RC,306,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,1
RC,306,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,1
RC,306,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,1
RC,306,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,1
RC,306,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,1
RC,306,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,1
RC,306,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,1
RC,306,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,1
RC,306,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,1
RC,306,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,1
RC,306,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,1
RC,306,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,1
RC,306,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,1
RC,306,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,1
RC,306,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,1
RC,306,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,1
RC,306,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,1
RC,306,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,1
RC,306,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,1
RC,306,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,1
RC,306,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,1
RC,306,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,1
RC,306,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,1
RC,306,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,1
RC,306,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,1
RC,306,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,306,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,Hair analysis (excluding arsenic) ,,,4.95,4.95,1
RC,306,Haloperidol ,,,15.78,15.78,1
RC,306,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,1
RC,306,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,1
RC,306,Haptoglobin; phenotypes ,,,26.89,26.89,1
RC,306,Haptoglobin; quantitative ,,,12.58,12.58,1
RC,306,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,1
RC,306,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,1
RC,306,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,1
RC,306,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,1
RC,306,Heinz bodies; direct ,,,4.2,4.2,1
RC,306,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,1
RC,306,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,306,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,306,Helicobacter pylori; drug administration ,,,7.86,7.86,1
RC,306,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,1
RC,306,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,2
RC,306,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,1
RC,306,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,1
RC,306,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,1
RC,306,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,1
RC,306,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,1
RC,306,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,1
RC,306,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,1
RC,306,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,1
RC,306,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,1
RC,306,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,1
RC,306,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,1
RC,306,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,1
RC,306,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,1
RC,306,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,1
RC,306,Hemoglobin; plasma ,,,7.31,7.31,1
RC,306,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,1
RC,306,Hemoglobin; thermolabile ,,,9.0,9.0,1
RC,306,"Hemoglobin; unstable, screen ",,,9.47,9.47,1
RC,306,Hemoglobin; urine ,,,3.95,3.95,1
RC,306,"Hemolysin, acid ",,,8.87,8.87,1
RC,306,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,1
RC,306,Hemolysins and agglutinins; incubated ,,,12.11,12.11,1
RC,306,"Hemosiderin, qualitative ",,,4.75,4.75,1
RC,306,Heparin assay ,,,13.09,13.09,1
RC,306,Heparin neutralization ,,,11.84,11.84,1
RC,306,Heparin-protamine tolerance test ,,,13.09,13.09,1
RC,306,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,1
RC,306,Hepatitis A antibody (HAAb) ,,,12.39,12.39,1
RC,306,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,1
RC,306,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,1
RC,306,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,1
RC,306,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,1
RC,306,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,1
RC,306,Hepatitis C antibody; ,,,14.27,14.27,1
RC,306,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,1
RC,306,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,1
RC,306,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,1
RC,306,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,1
RC,306,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,1
RC,306,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,1
RC,306,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,1
RC,306,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,1
RC,306,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,1
RC,306,Heterophile antibodies; screening ,,,5.18,5.18,1
RC,306,Heterophile antibodies; titer ,,,6.47,6.47,1
RC,306,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,1
RC,306,Histamine ,,,29.53,29.53,1
RC,306,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,1
RC,306,Homocysteine ,,,17.92,17.92,1
RC,306,"Homogenization, tissue, for culture ",170.0,170.0,5.88,5.88,1
RC,306,Homovanillic acid (HVA) ,,,22.41,22.41,1
RC,306,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,306,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,1
RC,306,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,1
RC,306,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,1
RC,306,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,306,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,1
RC,306,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,1
RC,306,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,1
RC,306,Human epididymis protein 4 (HE4) ,,,20.81,20.81,1
RC,306,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,1
RC,306,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,1
RC,306,Hydroxychloroquine ,,,18.64,18.64,1
RC,306,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,1
RC,306,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,1
RC,306,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,1
RC,306,Hydroxyproline; free ,,,22.65,22.65,1
RC,306,Hydroxyproline; total ,,,24.3,24.3,1
RC,306,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,1
RC,306,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,1
RC,306,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,1
RC,306,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,1
RC,306,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,1
RC,306,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,1
RC,306,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,1
RC,306,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,1
RC,306,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,1
RC,306,Immune complex assay ,,,24.37,24.37,1
RC,306,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,1
RC,306,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,1
RC,306,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,1
RC,306,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,1
RC,306,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,1
RC,306,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,1
RC,306,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,1
RC,306,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,1
RC,306,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,1
RC,306,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,1
RC,306,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,1
RC,306,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,1
RC,306,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,1
RC,306,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,1
RC,306,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,1
RC,306,Immunoelectrophoresis; serum ,,,29.92,29.92,1
RC,306,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,1
RC,306,Immunofixation electrophoresis; serum ,,,22.34,22.34,1
RC,306,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,1
RC,306,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,1
RC,306,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,1
RC,306,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,1
RC,306,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,1
RC,306,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,1
RC,306,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,1
RC,306,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,1
RC,306,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",294.0,294.0,10.33,73.62,25
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,1
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,1
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",119.0,119.0,32.77,32.77,1
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,1
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,1
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,1
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,1
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,1
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,1
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,1
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,1
RC,306,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,1
RC,306,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,1
RC,306,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,306,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,306,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,1
RC,306,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,1
RC,306,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,1
RC,306,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,1
RC,306,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,1
RC,306,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,1
RC,306,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,1
RC,306,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,1
RC,306,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,1
RC,306,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",910.0,910.0,70.18,70.18,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",70.0,70.0,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",70.0,70.0,76.77,76.77,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",105.0,105.0,51.17,51.17,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",325.0,325.0,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",207.0,207.0,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",1218.0,1218.0,416.78,416.78,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",250.0,250.0,128.29,416.78,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",159.0,159.0,29.22,95.8,2
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",1120.0,1120.0,51.31,51.31,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",966.0,966.0,142.63,416.78,3
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",70.0,70.0,51.31,51.31,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,1
RC,306,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,1
RC,306,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,1
RC,306,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,650.0,650.0,130.35,130.35,1
RC,306,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,1
RC,306,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,1
RC,306,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,1
RC,306,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,1372.0,1372.0,257.45,257.45,1
RC,306,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,1
RC,306,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,1
RC,306,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",2500.0,2500.0,26.07,26.07,1
RC,306,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",2500.0,2500.0,488.66,488.66,1
RC,306,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,1
RC,306,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,1
RC,306,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,1
RC,306,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,1
RC,306,Infliximab ,,,38.57,38.57,1
RC,306,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,1
RC,306,Inhibin A ,,,15.59,15.59,1
RC,306,Insemination of oocytes ,,,149.16,149.16,1
RC,306,Insulin antibodies ,,,21.41,21.41,1
RC,306,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,1
RC,306,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,1
RC,306,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,1
RC,306,Insulin; free ,,,12.95,12.95,1
RC,306,Insulin; total ,,,11.43,11.43,1
RC,306,Interleukin-6 (IL-6) ,,,17.27,17.27,1
RC,306,Intrinsic factor ,,,19.82,19.82,1
RC,306,Intrinsic factor antibodies ,,,15.08,15.08,1
RC,306,Iron ,,,6.47,6.47,1
RC,306,Iron binding capacity ,,,8.74,8.74,1
RC,306,"Iron stain, peripheral blood ",,,6.88,6.88,1
RC,306,"Irradiation of blood product, each unit ",,,33.84,33.84,1
RC,306,Islet cell antibody ,,,23.57,23.57,1
RC,306,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,1
RC,306,Itraconazole ,,,27.11,27.11,1
RC,306,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,1
RC,306,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,1
RC,306,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,1
RC,306,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,1
RC,306,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,1
RC,306,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,1
RC,306,"Ketogenic steroids, fractionation ",,,15.47,15.47,1
RC,306,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,1
RC,306,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,1
RC,306,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,1
RC,306,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,1
RC,306,Lacosamide ,,,27.11,27.11,1
RC,306,Lactate (lactic acid) ,,,11.57,11.57,1
RC,306,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,1
RC,306,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,1
RC,306,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,1
RC,306,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,1
RC,306,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,1
RC,306,"Lactose, urine, qualitative ",,,11.25,11.25,1
RC,306,Lamotrigine ,,,13.25,13.25,1
RC,306,Lead ,,,12.11,12.11,1
RC,306,Leflunomide ,,,38.57,38.57,1
RC,306,Leucine aminopeptidase (LAP) ,,,9.81,9.81,1
RC,306,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,1
RC,306,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,1
RC,306,Leukocyte histamine release test (LHR) ,,,12.46,12.46,1
RC,306,Leukocyte phagocytosis ,,,10.39,10.39,1
RC,306,Leukocyte transfusion ,,,149.16,149.16,1
RC,306,Levetiracetam ,,,13.25,13.25,1
RC,306,Lidocaine ,,,14.69,14.69,1
RC,306,Lipase ,,,6.89,6.89,1
RC,306,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,1
RC,306,Lipoprotein (a) ,,,14.32,14.32,1
RC,306,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,1
RC,306,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,1
RC,306,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,1
RC,306,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,1
RC,306,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,1
RC,306,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,1
RC,306,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,1
RC,306,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,1
RC,306,Lithium ,,,6.61,6.61,1
RC,306,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,1
RC,306,Luteinizing releasing factor (LRH) ,,,17.19,17.19,1
RC,306,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,1
RC,306,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,1
RC,306,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,1
RC,306,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,1
RC,306,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,1
RC,306,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,1
RC,306,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,1
RC,306,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,1
RC,306,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,306,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,1
RC,306,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,306,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,1
RC,306,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,1
RC,306,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,1
RC,306,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,1
RC,306,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,1
RC,306,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,1
RC,306,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,1
RC,306,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,1
RC,306,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,1
RC,306,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,1
RC,306,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,1
RC,306,Macroscopic examination; arthropod ,,,4.27,4.27,1
RC,306,Magnesium ,,,6.7,6.7,1
RC,306,Malate dehydrogenase ,,,7.37,7.37,1
RC,306,Manganese ,,,26.65,26.65,1
RC,306,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,1
RC,306,"Meat fibers, feces ",,,4.85,4.85,1
RC,306,"Mechanical fragility, RBC ",,,8.6,8.6,1
RC,306,"Mercury, quantitative ",,,16.26,16.26,1
RC,306,Metanephrines ,,,16.94,16.94,1
RC,306,Methemalbumin ,,,10.74,10.74,1
RC,306,Methotrexate ,,,38.57,38.57,1
RC,306,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,1
RC,306,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,1
RC,306,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,1
RC,306,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,1
RC,306,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,1
RC,306,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,1
RC,306,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,1
RC,306,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,1
RC,306,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,1
RC,306,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,1
RC,306,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,1
RC,306,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,1
RC,306,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,1
RC,306,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,1
RC,306,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,1
RC,306,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,1
RC,306,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,306,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,1
RC,306,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,306,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,1
RC,306,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,1
RC,306,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,1
RC,306,Muramidase ,,,18.75,18.75,1
RC,306,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,1
RC,306,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,1
RC,306,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,1
RC,306,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,306,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,306,Myeloperoxidase (MPO) ,,,50.86,50.86,1
RC,306,Myoglobin ,,,12.92,12.92,1
RC,306,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,1
RC,306,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,1
RC,306,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,1
RC,306,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,306,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,306,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,306,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,1
RC,306,Nasal smear for eosinophils ,,,5.79,5.79,1
RC,306,Natriuretic peptide ,,,39.26,39.26,1
RC,306,"Natural killer (NK) cells, total count ",,,37.73,37.73,1
RC,306,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,1
RC,306,Neurofilament light chain (NfL) ,,,116.23,116.23,1
RC,306,"Neutralization test, viral ",,,16.91,16.91,1
RC,306,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,1
RC,306,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,1
RC,306,Nickel ,,,24.51,24.51,1
RC,306,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,1
RC,306,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,1
RC,306,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,1
RC,306,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,1
RC,306,Nucleotidase 5'- ,,,11.15,11.15,1
RC,306,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,1
RC,306,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,1
RC,306,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,1
RC,306,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,1
RC,306,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,1
RC,306,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,1
RC,306,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,1
RC,306,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,1
RC,306,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,1
RC,306,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,1
RC,306,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,1
RC,306,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,1
RC,306,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,1
RC,306,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,1
RC,306,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,1
RC,306,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,1
RC,306,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,1
RC,306,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,1
RC,306,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,1
RC,306,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,1
RC,306,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,1
RC,306,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,1
RC,306,Oncoprotein; HER-2/neu ,,,64.41,64.41,1
RC,306,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,1
RC,306,Oocyte identification from follicular fluid ,,,149.16,149.16,1
RC,306,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,1
RC,306,"Organic acid, single, quantitative ",,,21.21,21.21,1
RC,306,"Organic acids; qualitative, each specimen ",,,16.45,16.45,1
RC,306,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,1
RC,306,Osmolality; blood ,,,6.61,6.61,1
RC,306,Osmolality; urine ,,,6.82,6.82,1
RC,306,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,1
RC,306,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,1
RC,306,Osteocalcin (bone g1a protein) ,,,29.85,29.85,1
RC,306,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,1
RC,306,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,1
RC,306,Oxalate ,,,14.45,14.45,1
RC,306,Oxcarbazepine ,,,13.25,13.25,1
RC,306,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,1
RC,306,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,1
RC,306,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,1
RC,306,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,1
RC,306,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,1
RC,306,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,1
RC,306,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,1
RC,306,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,1
RC,306,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,1
RC,306,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,1
RC,306,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,306,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,1
RC,306,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,1
RC,306,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,1
RC,306,Parathormone (parathyroid hormone) ,,,41.28,41.28,1
RC,306,"Particle agglutination; screen, each antibody ",,,11.54,11.54,1
RC,306,"Particle agglutination; titer, each antibody ",,,10.64,10.64,1
RC,306,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,1
RC,306,Phencyclidine (PCP) ,,,41.52,41.52,1
RC,306,Phenobarbital ,,,15.3,15.3,1
RC,306,"Phenylalanine (PKU), blood ",,,5.5,5.5,1
RC,306,"Phenylketones, qualitative ",,,3.98,3.98,1
RC,306,Phenytoin; free ,,,13.76,13.76,1
RC,306,Phenytoin; total ,,,13.25,13.25,1
RC,306,"Phosphatase, acid; prostatic ",,,9.66,9.66,1
RC,306,"Phosphatase, acid; total ",,,7.64,7.64,1
RC,306,"Phosphatase, alkaline; ",,,5.18,5.18,1
RC,306,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,1
RC,306,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,1
RC,306,Phosphatidylglycerol ,,,16.52,16.52,1
RC,306,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,1
RC,306,Phosphohexose isomerase ,,,10.73,10.73,1
RC,306,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,1
RC,306,Phospholipid neutralization; platelet ,,,17.98,17.98,1
RC,306,Phosphorus inorganic (phosphate); ,,,4.74,4.74,1
RC,306,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,1
RC,306,Pinworm examinations ,,,4.27,4.27,1
RC,306,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,1
RC,306,Pooling of platelets or other blood products ,,,149.16,149.16,1
RC,306,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,1
RC,306,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,1
RC,306,"Porphyrins, feces, quantitative ",,,39.11,39.11,1
RC,306,"Porphyrins, urine; qualitative ",,,13.36,13.36,1
RC,306,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,1
RC,306,Posaconazole ,,,27.11,27.11,1
RC,306,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,1
RC,306,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,1
RC,306,Potassium; urine ,,,4.73,4.73,1
RC,306,Prealbumin ,,,14.59,14.59,1
RC,306,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,1
RC,306,Pregnanediol ,,,21.27,21.27,1
RC,306,Pregnanetriol ,,,21.05,21.05,1
RC,306,Pregnenolone ,,,20.67,20.67,1
RC,306,Preparation of embryo for transfer (any method) ,,,49.76,49.76,1
RC,306,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,1
RC,306,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,1
RC,306,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,1
RC,306,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,1
RC,306,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,1
RC,306,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,1
RC,306,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,1
RC,306,Primidone ,,,16.59,16.59,1
RC,306,Procainamide; ,,,60.0,60.0,1
RC,306,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,1
RC,306,Procalcitonin (PCT) ,,,27.22,27.22,1
RC,306,Progesterone ,,,20.86,20.86,1
RC,306,Proinsulin ,,,26.69,26.69,1
RC,306,Prolactin ,,,19.38,19.38,1
RC,306,"Prostaglandin, each ",,,41.77,41.77,1
RC,306,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,1
RC,306,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,1
RC,306,Prostate specific antigen (PSA); free ,,,18.39,18.39,1
RC,306,Prostate specific antigen (PSA); total ,,,18.39,18.39,1
RC,306,"Protein, total, by refractometry, any source ",,,5.61,5.61,1
RC,306,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,1
RC,306,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,1
RC,306,"Protein, total, except by refractometry; urine ",,,3.67,3.67,1
RC,306,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,1
RC,306,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,1
RC,306,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,1
RC,306,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,1
RC,306,Prothrombin time; ,,,4.29,4.29,1
RC,306,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,1
RC,306,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,1
RC,306,"Protoporphyrin, RBC; screen ",,,9.74,9.74,1
RC,306,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,1
RC,306,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,1
RC,306,Pyruvate ,,,14.48,14.48,1
RC,306,Pyruvate kinase ,,,9.44,9.44,1
RC,306,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,1
RC,306,Quinidine ,,,14.6,14.6,1
RC,306,Quinine ,,,11.63,11.63,1
RC,306,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,1
RC,306,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,1
RC,306,Receptor assay; estrogen ,,,87.88,87.88,1
RC,306,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,1
RC,306,Receptor assay; progesterone ,,,64.88,64.88,1
RC,306,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,1
RC,306,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,1
RC,306,Renin ,,,21.99,21.99,1
RC,306,Reptilase test ,,,9.85,9.85,1
RC,306,Reticulated platelet assay ,,,35.74,35.74,1
RC,306,Rheumatoid factor; qualitative ,,,6.14,6.14,1
RC,306,Rheumatoid factor; quantitative ,,,5.67,5.67,1
RC,306,Riboflavin (Vitamin B-2) ,,,20.24,20.24,1
RC,306,Rufinamide ,,,27.11,27.11,1
RC,306,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,1
RC,306,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,1
RC,306,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,1
RC,306,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,1
RC,306,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,1
RC,306,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,1
RC,306,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,1
RC,306,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,306,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,1
RC,306,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,1
RC,306,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,1
RC,306,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,1
RC,306,Salicylate ,,,18.64,18.64,1
RC,306,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,1
RC,306,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,1
RC,306,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,1
RC,306,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,1
RC,306,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,1
RC,306,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,1
RC,306,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,1
RC,306,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,1
RC,306,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,1
RC,306,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,1
RC,306,Selenium ,,,25.53,25.53,1
RC,306,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,1
RC,306,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,1
RC,306,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,1
RC,306,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,1
RC,306,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,1
RC,306,Serotonin ,,,30.98,30.98,1
RC,306,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,1
RC,306,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,1
RC,306,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,1
RC,306,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,1
RC,306,Sialic acid ,,,13.44,13.44,1
RC,306,"Sickling of RBC, reduction ",,,5.51,5.51,1
RC,306,Silica ,,,25.21,25.21,1
RC,306,Sirolimus ,,,13.73,13.73,1
RC,306,Skin test; candida ,,,24.67,24.67,1
RC,306,Skin test; histoplasmosis ,,,55.66,55.66,1
RC,306,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,1
RC,306,"Skin test; unlisted antigen, each ",,,24.67,24.67,1
RC,306,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,1
RC,306,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",554.0,554.0,17.98,17.98,1
RC,306,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,1
RC,306,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,1
RC,306,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,1
RC,306,Sodium; other source ,,,4.86,4.86,1
RC,306,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,1
RC,306,Sodium; urine ,,,5.06,5.06,1
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,1
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,1
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,1
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,1
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,1
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,1
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,1
RC,306,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,1
RC,306,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,2
RC,306,Somatomedin ,,,21.26,21.26,1
RC,306,Somatostatin ,,,18.28,18.28,1
RC,306,Specific gravity (except urine) ,,,3.28,3.28,1
RC,306,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,1
RC,306,Sperm antibodies ,,,10.67,10.67,1
RC,306,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,1
RC,306,Sperm evaluation; hamster penetration test ,,,19.59,19.59,1
RC,306,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,1
RC,306,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,1
RC,306,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,306,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,306,"Splitting of blood or blood products, each unit ",,,149.16,149.16,1
RC,306,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,1
RC,306,"Stem cells (ie, CD34), total count ",,,77.78,77.78,1
RC,306,Storage (per year); embryo(s) ,,,149.16,149.16,1
RC,306,Storage (per year); oocyte(s) ,,,291.26,291.26,1
RC,306,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,306,Storage (per year); sperm/semen ,,,149.16,149.16,1
RC,306,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,1
RC,306,"Streptokinase, antibody ",,,12.66,12.66,1
RC,306,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,1
RC,306,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,1
RC,306,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,1
RC,306,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,1
RC,306,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,1
RC,306,"Sulfate, urine ",,,5.49,5.49,1
RC,306,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,1
RC,306,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,1
RC,306,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,1
RC,306,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",283.0,283.0,4.75,4.75,1
RC,306,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",62.0,62.0,6.64,6.64,1
RC,306,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,1
RC,306,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,1
RC,306,Sweat collection by iontophoresis ,,,49.76,49.76,1
RC,306,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,1
RC,306,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,1
RC,306,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,1
RC,306,T cells; absolute CD4 count ,,,26.78,26.78,1
RC,306,T cells; total count ,,,37.73,37.73,1
RC,306,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,306,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,1
RC,306,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,1
RC,306,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,1
RC,306,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,1
RC,306,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,1
RC,306,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,1
RC,306,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,1
RC,306,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,1
RC,306,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,1
RC,306,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,1
RC,306,Tacrolimus ,,,13.73,13.73,1
RC,306,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,1
RC,306,"Tau, total (tTau) ",,,128.92,128.92,1
RC,306,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,1
RC,306,Testosterone; free ,,,25.47,25.47,1
RC,306,Testosterone; total ,,,25.81,25.81,1
RC,306,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,1
RC,306,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,1
RC,306,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,306,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,1
RC,306,Theophylline ,,,14.14,14.14,1
RC,306,Thiamine (Vitamin B-1) ,,,21.23,21.23,1
RC,306,Thiocyanate ,,,11.63,11.63,1
RC,306,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,1
RC,306,Thrombin time; plasma ,,,5.77,5.77,1
RC,306,Thrombin time; titer ,,,6.85,6.85,1
RC,306,Thrombomodulin ,,,17.27,17.27,1
RC,306,"Thromboplastin inhibition, tissue ",,,9.63,9.63,1
RC,306,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,1
RC,306,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,1
RC,306,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,1
RC,306,"Thymol turbidity, blood ",,,4.95,4.95,1
RC,306,Thyroglobulin ,,,16.06,16.06,1
RC,306,Thyroglobulin antibody ,,,15.91,15.91,1
RC,306,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,1
RC,306,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,1
RC,306,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,1
RC,306,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,1
RC,306,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,1
RC,306,Thyroxine binding globulin (TBG) ,,,14.78,14.78,1
RC,306,Thyroxine; free ,,,9.02,9.02,1
RC,306,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,1
RC,306,Thyroxine; total ,,,6.87,6.87,1
RC,306,Tiagabine ,,,27.11,27.11,1
RC,306,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",554.0,554.0,4.27,4.27,1
RC,306,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,306,Tobramycin ,,,16.13,16.13,1
RC,306,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,1
RC,306,Topiramate ,,,11.92,11.92,1
RC,306,Transcortin (cortisol binding globulin) ,,,18.0,18.0,1
RC,306,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,1
RC,306,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,1
RC,306,Transferrin ,,,12.76,12.76,1
RC,306,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,1
RC,306,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,1
RC,306,Triglycerides ,,,5.74,5.74,1
RC,306,Triiodothyronine T3; free ,,,16.94,16.94,1
RC,306,Triiodothyronine T3; reverse ,,,15.76,15.76,1
RC,306,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,1
RC,306,"Troponin, qualitative ",,,10.09,10.09,1
RC,306,"Troponin, quantitative ",,,12.47,12.47,1
RC,306,Trypsin; duodenal fluid ,,,7.2,7.2,1
RC,306,"Trypsin; feces, qualitative ",,,7.3,7.3,1
RC,306,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,1
RC,306,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,1
RC,306,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,1
RC,306,Tyrosine ,,,10.63,10.63,1
RC,306,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,1
RC,306,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,1
RC,306,Unlisted miscellaneous pathology test ,,,49.76,49.76,1
RC,306,Unlisted transfusion medicine procedure ,,,24.67,24.67,1
RC,306,"Urea nitrogen, clearance ",,,7.2,7.2,1
RC,306,"Urea nitrogen, urine ",,,5.56,5.56,1
RC,306,Urea nitrogen; quantitative ,,,3.95,3.95,1
RC,306,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,1
RC,306,Uric acid; blood ,,,4.52,4.52,1
RC,306,Uric acid; other source ,,,5.08,5.08,1
RC,306,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,2
RC,306,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,2
RC,306,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,1
RC,306,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,1
RC,306,Urinalysis; microscopic only ,,,3.05,3.05,1
RC,306,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,1
RC,306,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,1
RC,306,"Urobilinogen, feces, quantitative ",,,16.8,16.8,1
RC,306,"Urobilinogen, urine; qualitative ",,,4.47,4.47,1
RC,306,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,1
RC,306,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,1
RC,306,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,1
RC,306,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,1
RC,306,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,1
RC,306,Vancomycin ,,,13.54,13.54,1
RC,306,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,1
RC,306,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,1
RC,306,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,1
RC,306,Vedolizumab ,,,38.57,38.57,1
RC,306,Very long chain fatty acids ,,,19.75,19.75,1
RC,306,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",250.0,250.0,19.56,19.56,1
RC,306,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",218.0,218.0,33.86,33.86,1
RC,306,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,1
RC,306,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,1
RC,306,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",250.0,250.0,20.2,20.2,1
RC,306,Viscosity ,,,11.67,11.67,1
RC,306,Vitamin A ,,,11.61,11.61,1
RC,306,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,1
RC,306,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,1
RC,306,Vitamin K ,,,13.72,13.72,1
RC,306,"Vitamin, not otherwise specified ",,,17.06,17.06,1
RC,306,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,1
RC,306,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,1
RC,306,"Volume measurement for timed collection, each ",,,3.64,3.64,1
RC,306,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,1
RC,306,Voriconazole ,,,27.11,27.11,1
RC,306,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,1
RC,306,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",87.0,87.0,15.15,15.15,1
RC,306,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,1
RC,306,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,1
RC,306,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,1
RC,306,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,1
RC,306,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,1
RC,306,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,1
RC,306,Zinc ,,,11.39,11.39,1
RC,306,Zonisamide ,,,13.25,13.25,1
RC,306,"b-Hexosaminidase, each assay ",,,16.87,16.87,1
RC,306,"pH; body fluid, not otherwise specified ",,,3.58,3.58,1
RC,306,pH; exhaled breath condensate ,,,3.58,3.58,1
RC,307, Laboratory Urology  ,,,,,0
RC,307,17-hydroxypregnenolone ,,,22.81,22.81,1
RC,307,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,1
RC,307,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,1
RC,307,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,1
RC,307,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,1
RC,307,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,1
RC,307,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,1
RC,307,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,1
RC,307,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,1
RC,307,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,1
RC,307,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,1
RC,307,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,307,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,1
RC,307,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,1
RC,307,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,1
RC,307,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,1
RC,307,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,Acetaminophen ,,,18.64,18.64,1
RC,307,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,1
RC,307,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,1
RC,307,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,1
RC,307,Acetylcholinesterase ,,,12.29,12.29,1
RC,307,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,1
RC,307,Activated Protein C (APC) resistance assay ,,,15.32,15.32,1
RC,307,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,1
RC,307,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,1
RC,307,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,1
RC,307,Adalimumab ,,,38.57,38.57,1
RC,307,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,1
RC,307,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,1
RC,307,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,1
RC,307,Albumin; ischemia modified ,,,33.94,33.94,1
RC,307,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,1
RC,307,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,1
RC,307,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,1
RC,307,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,1
RC,307,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,1
RC,307,Alcohol (ethanol); breath ,,,30.0,30.0,1
RC,307,Aldolase ,,,9.71,9.71,1
RC,307,Aldosterone ,,,40.75,40.75,1
RC,307,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,1
RC,307,All potassium hydroxide (koh) preparations ,,,5.83,5.83,1
RC,307,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,1
RC,307,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,1
RC,307,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,1
RC,307,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,1
RC,307,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,1
RC,307,Alpha-1-antitrypsin; total ,,,13.44,13.44,1
RC,307,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,1
RC,307,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,1
RC,307,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,1
RC,307,Aluminum ,,,25.48,25.48,1
RC,307,Amikacin ,,,15.08,15.08,1
RC,307,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,1
RC,307,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,1
RC,307,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,1
RC,307,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,1
RC,307,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,1
RC,307,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,1
RC,307,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,1
RC,307,Amiodarone ,,,18.64,18.64,1
RC,307,Ammonia ,,,14.57,14.57,1
RC,307,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,1
RC,307,Amylase ,,,6.48,6.48,1
RC,307,Androstanediol glucuronide ,,,28.83,28.83,1
RC,307,Androstenedione ,,,29.28,29.28,1
RC,307,Androsterone ,,,25.55,25.55,1
RC,307,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,1
RC,307,Angiotensin II ,,,20.52,20.52,1
RC,307,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,1
RC,307,Anti-mullerian hormone (AMH) ,,,38.62,38.62,1
RC,307,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,1
RC,307,"Antibody elution (RBC), each elution ",,,149.16,149.16,1
RC,307,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,1
RC,307,Antibody identification; leukocyte antibodies ,,,15.05,15.05,1
RC,307,Antibody identification; platelet antibodies ,,,18.37,18.37,1
RC,307,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,1
RC,307,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,1
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,2
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,2
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,1
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,1
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,1
RC,307,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,1
RC,307,Antibody; Aspergillus ,,,15.05,15.05,1
RC,307,Antibody; Bartonella ,,,10.18,10.18,1
RC,307,Antibody; Blastomyces ,,,12.9,12.9,1
RC,307,Antibody; Bordetella ,,,13.19,13.19,1
RC,307,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,1
RC,307,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,1
RC,307,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,1
RC,307,Antibody; Brucella ,,,8.93,8.93,1
RC,307,Antibody; Campylobacter ,,,13.12,13.12,1
RC,307,Antibody; Candida ,,,12.01,12.01,1
RC,307,Antibody; Chlamydia ,,,11.82,11.82,1
RC,307,"Antibody; Chlamydia, IgM ",,,12.68,12.68,1
RC,307,Antibody; Coccidioides ,,,11.47,11.47,1
RC,307,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,1
RC,307,Antibody; Cryptococcus ,,,14.41,14.41,1
RC,307,Antibody; Diphtheria ,,,15.21,15.21,1
RC,307,Antibody; Ehrlichia ,,,10.18,10.18,1
RC,307,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,1
RC,307,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,1
RC,307,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,1
RC,307,Antibody; Francisella tularensis ,,,14.16,14.16,1
RC,307,Antibody; Giardia lamblia ,,,14.72,14.72,1
RC,307,Antibody; HIV-1 ,,,8.89,8.89,1
RC,307,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,1
RC,307,Antibody; HIV-2 ,,,13.52,13.52,1
RC,307,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,1
RC,307,Antibody; HTLV-I ,,,9.09,9.09,1
RC,307,Antibody; HTLV-II ,,,14.0,14.0,1
RC,307,Antibody; Haemophilus influenza ,,,15.84,15.84,1
RC,307,Antibody; Helicobacter pylori ,,,16.85,16.85,1
RC,307,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,1
RC,307,Antibody; Legionella ,,,15.3,15.3,1
RC,307,Antibody; Leishmania ,,,12.25,12.25,1
RC,307,Antibody; Leptospira ,,,16.2,16.2,1
RC,307,Antibody; Listeria monocytogenes ,,,13.19,13.19,1
RC,307,Antibody; Neisseria meningitidis ,,,13.19,13.19,1
RC,307,Antibody; Nocardia ,,,15.99,15.99,1
RC,307,Antibody; Plasmodium (malaria) ,,,13.19,13.19,1
RC,307,Antibody; Rickettsia ,,,19.35,19.35,1
RC,307,Antibody; Salmonella ,,,13.19,13.19,1
RC,307,Antibody; Shigella ,,,24.48,24.48,1
RC,307,Antibody; Toxoplasma ,,,14.39,14.39,1
RC,307,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,1
RC,307,Antibody; Treponema pallidum ,,,13.24,13.24,1
RC,307,Antibody; Trichinella ,,,12.56,12.56,1
RC,307,Antibody; West Nile virus ,,,14.39,14.39,1
RC,307,"Antibody; West Nile virus, IgM ",,,16.85,16.85,1
RC,307,Antibody; Yersinia ,,,13.19,13.19,1
RC,307,"Antibody; Zika virus, IgM ",,,16.85,16.85,1
RC,307,Antibody; actinomyces ,,,10.18,10.18,1
RC,307,Antibody; adenovirus ,,,12.87,12.87,1
RC,307,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,1
RC,307,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,1
RC,307,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,1
RC,307,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,1
RC,307,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,1
RC,307,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,1
RC,307,"Antibody; encephalitis, Western equine ",,,13.19,13.19,1
RC,307,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,1
RC,307,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,1
RC,307,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,1
RC,307,"Antibody; hepatitis, delta agent ",,,17.16,17.16,1
RC,307,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,1
RC,307,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,1
RC,307,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,1
RC,307,Antibody; histoplasma ,,,13.79,13.79,1
RC,307,Antibody; influenza virus ,,,13.55,13.55,1
RC,307,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,1
RC,307,Antibody; mucormycosis ,,,15.0,15.0,1
RC,307,Antibody; mumps ,,,13.05,13.05,1
RC,307,Antibody; mycoplasma ,,,13.24,13.24,1
RC,307,Antibody; parvovirus ,,,15.03,15.03,1
RC,307,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,1
RC,307,Antibody; respiratory syncytial virus ,,,15.89,15.89,1
RC,307,Antibody; rotavirus ,,,18.23,18.23,1
RC,307,Antibody; rubella ,,,14.39,14.39,1
RC,307,Antibody; rubeola ,,,12.88,12.88,1
RC,307,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,1
RC,307,Antibody; tetanus ,,,14.8,14.8,1
RC,307,Antibody; varicella-zoster ,,,12.88,12.88,1
RC,307,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,1
RC,307,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,1
RC,307,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,1
RC,307,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,1
RC,307,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,1
RC,307,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,1
RC,307,Antinuclear antibodies (ANA); ,,,12.09,12.09,1
RC,307,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,1
RC,307,Antistreptolysin 0; screen ,,,5.77,5.77,1
RC,307,Antistreptolysin 0; titer ,,,7.3,7.3,1
RC,307,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,1
RC,307,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,1
RC,307,"Apolipoprotein, each ",,,21.09,21.09,1
RC,307,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,307,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,1
RC,307,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,307,Arsenic ,,,18.97,18.97,1
RC,307,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,1
RC,307,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,1
RC,307,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,1
RC,307,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,1
RC,307,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,1
RC,307,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,1
RC,307,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,1
RC,307,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,1
RC,307,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,1
RC,307,"B cells, total count ",,,37.73,37.73,1
RC,307,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,1
RC,307,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,1
RC,307,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,1
RC,307,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,1
RC,307,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,1
RC,307,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,1
RC,307,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,1
RC,307,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,1
RC,307,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,307,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,1
RC,307,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,1
RC,307,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,1
RC,307,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,1
RC,307,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,1
RC,307,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,1
RC,307,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,307,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,1
RC,307,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,1
RC,307,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,1
RC,307,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,1
RC,307,Beta-2 microglobulin ,,,16.18,16.18,1
RC,307,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,1
RC,307,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,1
RC,307,Bile acids; cholylglycine ,,,26.58,26.58,1
RC,307,Bile acids; total ,,,17.12,17.12,1
RC,307,"Bilirubin, total, transcutaneous ",,,5.02,5.02,1
RC,307,Bilirubin; direct ,,,5.02,5.02,1
RC,307,"Bilirubin; feces, qualitative ",,,4.56,4.56,1
RC,307,Bilirubin; total ,,,5.02,5.02,1
RC,307,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,1
RC,307,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,1
RC,307,"Biotinidase, each specimen ",,,16.87,16.87,1
RC,307,Bleeding time ,,,4.82,4.82,1
RC,307,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,1
RC,307,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,1
RC,307,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,1
RC,307,Blood count; automated differential WBC count ,,,6.47,6.47,1
RC,307,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,1
RC,307,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,1
RC,307,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,1
RC,307,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,1
RC,307,Blood count; hematocrit (Hct) ,,,2.37,2.37,1
RC,307,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,1
RC,307,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,1
RC,307,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,1
RC,307,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,1
RC,307,"Blood count; platelet, automated ",,,4.48,4.48,1
RC,307,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,1
RC,307,"Blood count; reticulocyte, automated ",,,3.99,3.99,1
RC,307,"Blood count; reticulocyte, manual ",,,4.31,4.31,1
RC,307,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,1
RC,307,Blood count; spun microhematocrit ,,,7.0,7.0,1
RC,307,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,1
RC,307,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,1
RC,307,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,1
RC,307,"Blood typing, serologic; ABO ",,,2.99,2.99,1
RC,307,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,1
RC,307,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,1
RC,307,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,1
RC,307,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,1
RC,307,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,1
RC,307,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,1
RC,307,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,1
RC,307,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,1
RC,307,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,1
RC,307,"Bone marrow, smear interpretation ",,,656.15,656.15,1
RC,307,Bradykinin ,,,5.16,5.16,1
RC,307,C-peptide ,,,20.81,20.81,1
RC,307,C-reactive protein; ,,,5.18,5.18,1
RC,307,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,1
RC,307,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,1
RC,307,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,1
RC,307,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,1
RC,307,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,1
RC,307,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,1
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,1
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,1
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,1
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,1
RC,307,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,1
RC,307,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,307,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,307,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,1
RC,307,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,1
RC,307,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,1
RC,307,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,1
RC,307,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,1
RC,307,Cadmium ,,,23.64,23.64,1
RC,307,Caffeine ,,,38.57,38.57,1
RC,307,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,1
RC,307,Calcitonin ,,,26.79,26.79,1
RC,307,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,1
RC,307,Calcium; after calcium infusion test ,,,13.34,13.34,1
RC,307,Calcium; ionized ,,,13.68,13.68,1
RC,307,Calcium; total ,,,5.16,5.16,1
RC,307,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,1
RC,307,Calculus; X-ray diffraction ,,,12.52,12.52,1
RC,307,Calculus; infrared spectroscopy ,,,12.9,12.9,1
RC,307,Calculus; qualitative analysis ,,,11.58,11.58,1
RC,307,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,1
RC,307,"Calprotectin, fecal ",,,19.63,19.63,1
RC,307,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,1
RC,307,Carbamazepine; free ,,,13.25,13.25,1
RC,307,Carbamazepine; total ,,,14.57,14.57,1
RC,307,Carbohydrate deficient transferrin ,,,18.06,18.06,1
RC,307,Carbon dioxide (bicarbonate) ,,,4.88,4.88,1
RC,307,Carboxyhemoglobin; qualitative ,,,14.07,14.07,1
RC,307,Carboxyhemoglobin; quantitative ,,,12.32,12.32,1
RC,307,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,1
RC,307,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,1
RC,307,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,1
RC,307,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,1
RC,307,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,1
RC,307,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,1
RC,307,Carotene ,,,9.22,9.22,1
RC,307,Catecholamines; blood ,,,29.08,29.08,1
RC,307,Catecholamines; fractionated ,,,25.25,25.25,1
RC,307,Catecholamines; total urine ,,,27.3,27.3,1
RC,307,Cathepsin-D ,,,18.06,18.06,1
RC,307,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,1
RC,307,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,1
RC,307,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,1
RC,307,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,1
RC,307,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,1
RC,307,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,1
RC,307,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,1
RC,307,"Cephalin floculation, blood ",,,4.95,4.95,1
RC,307,Ceruloplasmin ,,,10.74,10.74,1
RC,307,Chemiluminescent assay ,,,14.12,14.12,1
RC,307,"Chemotaxis assay, specify method ",,,15.99,15.99,1
RC,307,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,1
RC,307,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,1
RC,307,Chloramphenicol ,,,12.67,12.67,1
RC,307,Chloride; blood ,,,4.6,4.6,1
RC,307,Chloride; other source ,,,5.0,5.0,1
RC,307,Chloride; urine ,,,5.75,5.75,1
RC,307,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,1
RC,307,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,1
RC,307,Cholinesterase; RBC ,,,9.81,9.81,1
RC,307,Cholinesterase; serum ,,,7.87,7.87,1
RC,307,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,1
RC,307,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,1
RC,307,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,1
RC,307,Chromium ,,,20.28,20.28,1
RC,307,Chromogenic substrate assay ,,,11.89,11.89,1
RC,307,Citrate ,,,27.8,27.8,1
RC,307,"Clot lysis time, whole blood dilution ",,,20.37,20.37,1
RC,307,Clot retraction ,,,16.3,16.3,1
RC,307,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,1
RC,307,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,1
RC,307,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,1
RC,307,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,1
RC,307,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,1
RC,307,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,1
RC,307,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,1
RC,307,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,1
RC,307,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,1
RC,307,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,1
RC,307,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,1
RC,307,Clotting; factor VIII related antigen ,,,20.42,20.42,1
RC,307,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,1
RC,307,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,1
RC,307,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,1
RC,307,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,1
RC,307,Clotting; factor XI (PTA) ,,,17.9,17.9,1
RC,307,Clotting; factor XII (Hageman) ,,,19.35,19.35,1
RC,307,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,1
RC,307,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,1
RC,307,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,1
RC,307,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,1
RC,307,Clozapine ,,,20.15,20.15,1
RC,307,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,1
RC,307,Coagulation time; Lee and White ,,,4.69,4.69,1
RC,307,Coagulation time; activated ,,,4.28,4.28,1
RC,307,Coagulation time; other methods ,,,4.49,4.49,1
RC,307,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,1
RC,307,Cold agglutinin; screen ,,,8.07,8.07,1
RC,307,Cold agglutinin; titer ,,,8.06,8.06,1
RC,307,"Collagen cross links, any method ",,,18.68,18.68,1
RC,307,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,1
RC,307,Collection of venous blood by venipuncture ,,,3.0,3.0,1
RC,307,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,1
RC,307,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,1
RC,307,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,1
RC,307,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,1
RC,307,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,1
RC,307,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,1
RC,307,Compatibility test each unit; electronic ,,,149.16,149.16,1
RC,307,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,1
RC,307,Compatibility test each unit; incubation technique ,,,149.16,149.16,1
RC,307,"Complement fixation tests, each antigen ",,,10.01,10.01,1
RC,307,"Complement; antigen, each component ",,,12.0,12.0,1
RC,307,"Complement; functional activity, each component ",,,12.0,12.0,1
RC,307,Complement; total hemolytic (CH50) ,,,20.32,20.32,1
RC,307,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,1
RC,307,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,1
RC,307,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,1
RC,307,"Concentration (any type), for infectious agents ",,,6.68,6.68,1
RC,307,"Congo red, blood ",,,4.95,4.95,1
RC,307,Copper ,,,12.41,12.41,1
RC,307,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,1
RC,307,Corticosterone ,,,22.52,22.52,1
RC,307,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,1
RC,307,Cortisol; free ,,,16.71,16.71,1
RC,307,Cortisol; total ,,,16.3,16.3,1
RC,307,Creatine ,,,4.64,4.64,1
RC,307,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,1
RC,307,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,1
RC,307,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,1
RC,307,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,1
RC,307,Creatinine; blood ,,,5.12,5.12,1
RC,307,Creatinine; clearance ,,,9.46,9.46,1
RC,307,Creatinine; other source ,,,5.18,5.18,1
RC,307,Cryofibrinogen ,,,14.14,14.14,1
RC,307,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,1
RC,307,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,1
RC,307,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,1
RC,307,Cryopreservation; embryo(s) ,,,656.15,656.15,1
RC,307,Cryopreservation; sperm ,,,149.16,149.16,1
RC,307,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,1
RC,307,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,1
RC,307,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,1
RC,307,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,1
RC,307,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,307,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,307,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,1
RC,307,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,1
RC,307,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,1
RC,307,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,1
RC,307,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,1
RC,307,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,1
RC,307,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,1
RC,307,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,1
RC,307,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,1
RC,307,"Culture, chlamydia, any source ",,,19.6,19.6,1
RC,307,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,1
RC,307,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,1
RC,307,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,1
RC,307,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,1
RC,307,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,1
RC,307,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,1
RC,307,"Culture, mycoplasma, any source ",,,15.39,15.39,1
RC,307,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,1
RC,307,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,1
RC,307,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,1
RC,307,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,1
RC,307,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,1
RC,307,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,1
RC,307,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,1
RC,307,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,1
RC,307,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,1
RC,307,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,1
RC,307,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,1
RC,307,"Culture, typing; other methods ",,,7.74,7.74,1
RC,307,Cyanide ,,,19.4,19.4,1
RC,307,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,1
RC,307,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,1
RC,307,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,1
RC,307,Cyclosporine ,,,18.05,18.05,1
RC,307,Cystatin C ,,,18.52,18.52,1
RC,307,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,1
RC,307,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,1
RC,307,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,1
RC,307,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,1
RC,307,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,307,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,307,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,1
RC,307,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,307,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,307,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,1
RC,307,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,1
RC,307,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,1
RC,307,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,1
RC,307,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,1
RC,307,"Deoxycortisol, 11- ",,,29.28,29.28,1
RC,307,"Deoxyribonuclease, antibody ",,,13.25,13.25,1
RC,307,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,1
RC,307,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,1
RC,307,"Desoxycorticosterone, 11- ",,,30.98,30.98,1
RC,307,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,1
RC,307,Dibucaine number ,,,12.25,12.25,1
RC,307,Digoxin; free ,,,13.28,13.28,1
RC,307,Digoxin; total ,,,13.28,13.28,1
RC,307,Dihydrotestosterone (DHT) ,,,29.28,29.28,1
RC,307,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,1
RC,307,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,4
RC,307,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,1
RC,307,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,1
RC,307,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,1
RC,307,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,1
RC,307,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,1
RC,307,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,1
RC,307,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,1
RC,307,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,1
RC,307,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,1
RC,307,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,1
RC,307,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,1
RC,307,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,1
RC,307,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,1
RC,307,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,1
RC,307,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,1
RC,307,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,1
RC,307,Erythropoietin ,,,18.79,18.79,1
RC,307,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,1
RC,307,Estradiol; total ,,,27.94,27.94,1
RC,307,Estriol ,,,24.18,24.18,1
RC,307,Estrogens; fractionated ,,,32.3,32.3,1
RC,307,Estrogens; total ,,,21.7,21.7,1
RC,307,Estrone ,,,24.95,24.95,1
RC,307,Ethosuximide ,,,16.34,16.34,1
RC,307,Ethylene glycol ,,,14.9,14.9,1
RC,307,Etiocholanolone ,,,26.24,26.24,1
RC,307,Euglobulin lysis ,,,8.41,8.41,1
RC,307,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,1
RC,307,Everolimus ,,,13.73,13.73,1
RC,307,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,1
RC,307,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,1
RC,307,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,1
RC,307,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,1
RC,307,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,1
RC,307,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,1
RC,307,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,1
RC,307,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,1
RC,307,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,1
RC,307,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,1
RC,307,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,1
RC,307,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,1
RC,307,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,1
RC,307,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,307,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,307,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,307,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,307,Factor inhibitor test ,,,12.87,12.87,1
RC,307,"Fat differential, feces, quantitative ",,,22.97,22.97,1
RC,307,"Fat or lipids, feces; qualitative ",,,5.1,5.1,1
RC,307,"Fat or lipids, feces; quantitative ",,,16.8,16.8,1
RC,307,"Fat stain, feces, urine, or respiratory secretions ",,,5.88,5.88,1
RC,307,"Fatty acids, nonesterified ",,,18.77,18.77,1
RC,307,Felbamate ,,,18.64,18.64,1
RC,307,Fern test ,,,9.74,9.74,1
RC,307,Ferritin ,,,13.63,13.63,1
RC,307,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,1
RC,307,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,1
RC,307,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,1
RC,307,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,1
RC,307,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,1
RC,307,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,1
RC,307,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,1
RC,307,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,1
RC,307,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,1
RC,307,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,1
RC,307,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,1
RC,307,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,1
RC,307,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,1
RC,307,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,1
RC,307,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,1
RC,307,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,1
RC,307,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,1
RC,307,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,1
RC,307,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,1
RC,307,Fibrinogen; activity ,,,9.72,9.72,1
RC,307,Fibrinogen; antigen ,,,14.46,14.46,1
RC,307,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,1
RC,307,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,1
RC,307,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,1
RC,307,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,1
RC,307,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,1
RC,307,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,1
RC,307,Flecainide ,,,18.64,18.64,1
RC,307,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,1
RC,307,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,1
RC,307,Fluoride ,,,18.54,18.54,1
RC,307,Folic acid; RBC ,,,17.65,17.65,1
RC,307,Folic acid; serum ,,,14.7,14.7,1
RC,307,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,1
RC,307,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,1
RC,307,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,1
RC,307,"Frozen blood, each unit; thawing ",,,291.26,291.26,1
RC,307,"Fructose, semen ",,,17.34,17.34,1
RC,307,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,1
RC,307,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,1
RC,307,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,307,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,1
RC,307,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,1
RC,307,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,1
RC,307,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,1
RC,307,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,1
RC,307,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,1
RC,307,"Galactokinase, RBC ",,,21.48,21.48,1
RC,307,Galactose ,,,11.2,11.2,1
RC,307,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,1
RC,307,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,1
RC,307,Galectin-3 ,,,44.25,44.25,1
RC,307,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,1
RC,307,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,1
RC,307,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,1
RC,307,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,1
RC,307,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,1
RC,307,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,1
RC,307,"Gases, blood, pH only ",,,11.0,11.0,1
RC,307,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,1
RC,307,Gastrin ,,,17.63,17.63,1
RC,307,Gastrin after secretin stimulation ,,,17.69,17.69,1
RC,307,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,1
RC,307,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,1
RC,307,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,1
RC,307,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,1
RC,307,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,1
RC,307,Gentamicin ,,,16.38,16.38,1
RC,307,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,307,Glucagon ,,,14.29,14.29,1
RC,307,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,1
RC,307,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,1
RC,307,Glucagon tolerance test ,,,17.77,17.77,1
RC,307,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,1
RC,307,"Glucose, body fluid, other than blood ",,,3.93,3.93,1
RC,307,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,1
RC,307,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,1
RC,307,"Glucose; blood, reagent strip ",,,5.04,5.04,1
RC,307,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,1
RC,307,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,1
RC,307,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,1
RC,307,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,1
RC,307,"Glucosidase, beta ",,,21.48,21.48,1
RC,307,Glutamate dehydrogenase ,,,13.15,13.15,1
RC,307,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,1
RC,307,Glutathione ,,,15.45,15.45,1
RC,307,"Glutathione reductase, RBC ",,,9.44,9.44,1
RC,307,Glycated protein ,,,16.76,16.76,1
RC,307,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,1
RC,307,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,1
RC,307,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,1
RC,307,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,1
RC,307,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,1
RC,307,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,1
RC,307,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,1
RC,307,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,1
RC,307,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,1
RC,307,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,1
RC,307,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,1
RC,307,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,1
RC,307,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,307,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,307,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,1
RC,307,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,1
RC,307,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,1
RC,307,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,1
RC,307,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,1
RC,307,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,1
RC,307,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,1
RC,307,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,1
RC,307,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,1
RC,307,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,1
RC,307,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,1
RC,307,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,1
RC,307,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,1
RC,307,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,1
RC,307,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,1
RC,307,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,1
RC,307,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,1
RC,307,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,1
RC,307,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,1
RC,307,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,1
RC,307,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,1
RC,307,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,1
RC,307,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,1
RC,307,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,1
RC,307,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,1
RC,307,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,1
RC,307,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,307,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,Hair analysis (excluding arsenic) ,,,4.95,4.95,1
RC,307,Haloperidol ,,,15.78,15.78,1
RC,307,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,1
RC,307,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,1
RC,307,Haptoglobin; phenotypes ,,,26.89,26.89,1
RC,307,Haptoglobin; quantitative ,,,12.58,12.58,1
RC,307,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,1
RC,307,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,1
RC,307,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,1
RC,307,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,1
RC,307,Heinz bodies; direct ,,,4.2,4.2,1
RC,307,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,1
RC,307,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,307,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,307,Helicobacter pylori; drug administration ,,,7.86,7.86,1
RC,307,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,1
RC,307,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,2
RC,307,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,1
RC,307,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,1
RC,307,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,1
RC,307,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,1
RC,307,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,1
RC,307,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,1
RC,307,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,1
RC,307,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,1
RC,307,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,1
RC,307,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,1
RC,307,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,1
RC,307,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,1
RC,307,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,1
RC,307,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,1
RC,307,Hemoglobin; plasma ,,,7.31,7.31,1
RC,307,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,1
RC,307,Hemoglobin; thermolabile ,,,9.0,9.0,1
RC,307,"Hemoglobin; unstable, screen ",,,9.47,9.47,1
RC,307,Hemoglobin; urine ,,,3.95,3.95,1
RC,307,"Hemolysin, acid ",,,8.87,8.87,1
RC,307,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,1
RC,307,Hemolysins and agglutinins; incubated ,,,12.11,12.11,1
RC,307,"Hemosiderin, qualitative ",,,4.75,4.75,1
RC,307,Heparin assay ,,,13.09,13.09,1
RC,307,Heparin neutralization ,,,11.84,11.84,1
RC,307,Heparin-protamine tolerance test ,,,13.09,13.09,1
RC,307,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,1
RC,307,Hepatitis A antibody (HAAb) ,,,12.39,12.39,1
RC,307,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,1
RC,307,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,1
RC,307,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,1
RC,307,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,1
RC,307,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,1
RC,307,Hepatitis C antibody; ,,,14.27,14.27,1
RC,307,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,1
RC,307,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,1
RC,307,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,1
RC,307,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,1
RC,307,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,1
RC,307,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,1
RC,307,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,1
RC,307,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,1
RC,307,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,1
RC,307,Heterophile antibodies; screening ,,,5.18,5.18,1
RC,307,Heterophile antibodies; titer ,,,6.47,6.47,1
RC,307,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,1
RC,307,Histamine ,,,29.53,29.53,1
RC,307,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,1
RC,307,Homocysteine ,,,17.92,17.92,1
RC,307,"Homogenization, tissue, for culture ",,,5.88,5.88,1
RC,307,Homovanillic acid (HVA) ,,,22.41,22.41,1
RC,307,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,307,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,1
RC,307,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,1
RC,307,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,1
RC,307,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,307,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,1
RC,307,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,1
RC,307,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,1
RC,307,Human epididymis protein 4 (HE4) ,,,20.81,20.81,1
RC,307,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,1
RC,307,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,1
RC,307,Hydroxychloroquine ,,,18.64,18.64,1
RC,307,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,1
RC,307,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,1
RC,307,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,1
RC,307,Hydroxyproline; free ,,,22.65,22.65,1
RC,307,Hydroxyproline; total ,,,24.3,24.3,1
RC,307,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,1
RC,307,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,1
RC,307,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,1
RC,307,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,1
RC,307,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,1
RC,307,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,1
RC,307,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,1
RC,307,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,1
RC,307,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,1
RC,307,Immune complex assay ,,,24.37,24.37,1
RC,307,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,1
RC,307,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,1
RC,307,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,1
RC,307,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,1
RC,307,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,1
RC,307,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,1
RC,307,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,1
RC,307,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,1
RC,307,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,1
RC,307,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,1
RC,307,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,1
RC,307,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,1
RC,307,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,1
RC,307,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,1
RC,307,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,1
RC,307,Immunoelectrophoresis; serum ,,,29.92,29.92,1
RC,307,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,1
RC,307,Immunofixation electrophoresis; serum ,,,22.34,22.34,1
RC,307,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,1
RC,307,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,1
RC,307,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,1
RC,307,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,1
RC,307,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,1
RC,307,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,1
RC,307,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,1
RC,307,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,1
RC,307,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,31
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,1
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,1
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,1
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,1
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,1
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,1
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,1
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,1
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,1
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,1
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,1
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,1
RC,307,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,1
RC,307,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,1
RC,307,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,307,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,1
RC,307,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,1
RC,307,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,1
RC,307,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,2
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,3
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,1
RC,307,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,1
RC,307,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,1
RC,307,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,1
RC,307,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,1
RC,307,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,1
RC,307,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,1
RC,307,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,1
RC,307,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,1
RC,307,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,1
RC,307,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,1
RC,307,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,1
RC,307,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,1
RC,307,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,1
RC,307,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,1
RC,307,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,1
RC,307,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,1
RC,307,Infliximab ,,,38.57,38.57,1
RC,307,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,1
RC,307,Inhibin A ,,,15.59,15.59,1
RC,307,Insemination of oocytes ,,,149.16,149.16,1
RC,307,Insulin antibodies ,,,21.41,21.41,1
RC,307,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,1
RC,307,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,1
RC,307,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,1
RC,307,Insulin; free ,,,12.95,12.95,1
RC,307,Insulin; total ,,,11.43,11.43,1
RC,307,Interleukin-6 (IL-6) ,,,17.27,17.27,1
RC,307,Intrinsic factor ,,,19.82,19.82,1
RC,307,Intrinsic factor antibodies ,,,15.08,15.08,1
RC,307,Iron ,,,6.47,6.47,1
RC,307,Iron binding capacity ,,,8.74,8.74,1
RC,307,"Iron stain, peripheral blood ",,,6.88,6.88,1
RC,307,"Irradiation of blood product, each unit ",,,33.84,33.84,1
RC,307,Islet cell antibody ,,,23.57,23.57,1
RC,307,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,1
RC,307,Itraconazole ,,,27.11,27.11,1
RC,307,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,1
RC,307,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,1
RC,307,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,1
RC,307,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,1
RC,307,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,1
RC,307,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,1
RC,307,"Ketogenic steroids, fractionation ",,,15.47,15.47,1
RC,307,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,1
RC,307,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,1
RC,307,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,1
RC,307,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,1
RC,307,Lacosamide ,,,27.11,27.11,1
RC,307,Lactate (lactic acid) ,,,11.57,11.57,1
RC,307,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,1
RC,307,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,1
RC,307,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,1
RC,307,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,1
RC,307,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,1
RC,307,"Lactose, urine, qualitative ",,,11.25,11.25,1
RC,307,Lamotrigine ,,,13.25,13.25,1
RC,307,Lead ,,,12.11,12.11,1
RC,307,Leflunomide ,,,38.57,38.57,1
RC,307,Leucine aminopeptidase (LAP) ,,,9.81,9.81,1
RC,307,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,1
RC,307,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,1
RC,307,Leukocyte histamine release test (LHR) ,,,12.46,12.46,1
RC,307,Leukocyte phagocytosis ,,,10.39,10.39,1
RC,307,Leukocyte transfusion ,,,149.16,149.16,1
RC,307,Levetiracetam ,,,13.25,13.25,1
RC,307,Lidocaine ,,,14.69,14.69,1
RC,307,Lipase ,,,6.89,6.89,1
RC,307,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,1
RC,307,Lipoprotein (a) ,,,14.32,14.32,1
RC,307,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,1
RC,307,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,1
RC,307,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,1
RC,307,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,1
RC,307,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,1
RC,307,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,1
RC,307,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,1
RC,307,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,1
RC,307,Lithium ,,,6.61,6.61,1
RC,307,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,1
RC,307,Luteinizing releasing factor (LRH) ,,,17.19,17.19,1
RC,307,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,1
RC,307,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,1
RC,307,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,1
RC,307,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,1
RC,307,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,1
RC,307,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,1
RC,307,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,1
RC,307,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,1
RC,307,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,307,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,1
RC,307,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,307,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,1
RC,307,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,1
RC,307,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,1
RC,307,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,1
RC,307,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,1
RC,307,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,1
RC,307,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,1
RC,307,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,1
RC,307,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,1
RC,307,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,1
RC,307,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,1
RC,307,Macroscopic examination; arthropod ,,,4.27,4.27,1
RC,307,Macroscopic examination; parasite ,,,4.31,4.31,1
RC,307,Magnesium ,,,6.7,6.7,1
RC,307,Malate dehydrogenase ,,,7.37,7.37,1
RC,307,Manganese ,,,26.65,26.65,1
RC,307,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,1
RC,307,"Meat fibers, feces ",,,4.85,4.85,1
RC,307,"Mechanical fragility, RBC ",,,8.6,8.6,1
RC,307,"Mercury, quantitative ",,,16.26,16.26,1
RC,307,Metanephrines ,,,16.94,16.94,1
RC,307,Methemalbumin ,,,10.74,10.74,1
RC,307,Methotrexate ,,,38.57,38.57,1
RC,307,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,1
RC,307,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,1
RC,307,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,1
RC,307,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,1
RC,307,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,1
RC,307,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,1
RC,307,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,1
RC,307,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,1
RC,307,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,1
RC,307,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,1
RC,307,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,1
RC,307,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,1
RC,307,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,1
RC,307,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,1
RC,307,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,1
RC,307,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,1
RC,307,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,307,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,1
RC,307,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,307,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,1
RC,307,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,1
RC,307,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,1
RC,307,Muramidase ,,,18.75,18.75,1
RC,307,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,1
RC,307,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,1
RC,307,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,1
RC,307,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,307,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,307,Myeloperoxidase (MPO) ,,,50.86,50.86,1
RC,307,Myoglobin ,,,12.92,12.92,1
RC,307,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,1
RC,307,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,1
RC,307,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,1
RC,307,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,307,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,307,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,307,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,1
RC,307,Nasal smear for eosinophils ,,,5.79,5.79,1
RC,307,Natriuretic peptide ,,,39.26,39.26,1
RC,307,"Natural killer (NK) cells, total count ",,,37.73,37.73,1
RC,307,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,1
RC,307,Neurofilament light chain (NfL) ,,,116.23,116.23,1
RC,307,"Neutralization test, viral ",,,16.91,16.91,1
RC,307,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,1
RC,307,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,1
RC,307,Nickel ,,,24.51,24.51,1
RC,307,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,1
RC,307,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,1
RC,307,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,1
RC,307,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,1
RC,307,Nucleotidase 5'- ,,,11.15,11.15,1
RC,307,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,1
RC,307,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,1
RC,307,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,1
RC,307,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,1
RC,307,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,1
RC,307,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,1
RC,307,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,1
RC,307,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,1
RC,307,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,1
RC,307,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,1
RC,307,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,1
RC,307,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,1
RC,307,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,1
RC,307,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,1
RC,307,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,1
RC,307,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,1
RC,307,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,1
RC,307,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,1
RC,307,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,1
RC,307,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,1
RC,307,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,1
RC,307,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,1
RC,307,Oncoprotein; HER-2/neu ,,,64.41,64.41,1
RC,307,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,1
RC,307,Oocyte identification from follicular fluid ,,,149.16,149.16,1
RC,307,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,1
RC,307,"Organic acid, single, quantitative ",,,21.21,21.21,1
RC,307,"Organic acids; qualitative, each specimen ",,,16.45,16.45,1
RC,307,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,1
RC,307,Osmolality; blood ,,,6.61,6.61,1
RC,307,Osmolality; urine ,,,6.82,6.82,1
RC,307,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,1
RC,307,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,1
RC,307,Osteocalcin (bone g1a protein) ,,,29.85,29.85,1
RC,307,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,1
RC,307,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,1
RC,307,Oxalate ,,,14.45,14.45,1
RC,307,Oxcarbazepine ,,,13.25,13.25,1
RC,307,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,1
RC,307,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,1
RC,307,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,1
RC,307,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,1
RC,307,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,1
RC,307,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,1
RC,307,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,1
RC,307,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,1
RC,307,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,1
RC,307,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,1
RC,307,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,307,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,1
RC,307,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,1
RC,307,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,1
RC,307,Parathormone (parathyroid hormone) ,,,41.28,41.28,1
RC,307,"Particle agglutination; screen, each antibody ",,,11.54,11.54,1
RC,307,"Particle agglutination; titer, each antibody ",,,10.64,10.64,1
RC,307,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,1
RC,307,Phencyclidine (PCP) ,,,41.52,41.52,1
RC,307,Phenobarbital ,,,15.3,15.3,1
RC,307,"Phenylalanine (PKU), blood ",,,5.5,5.5,1
RC,307,"Phenylketones, qualitative ",,,3.98,3.98,1
RC,307,Phenytoin; free ,,,13.76,13.76,1
RC,307,Phenytoin; total ,,,13.25,13.25,1
RC,307,"Phosphatase, acid; prostatic ",,,9.66,9.66,1
RC,307,"Phosphatase, acid; total ",,,7.64,7.64,1
RC,307,"Phosphatase, alkaline; ",,,5.18,5.18,1
RC,307,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,1
RC,307,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,1
RC,307,Phosphatidylglycerol ,,,16.52,16.52,1
RC,307,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,1
RC,307,Phosphohexose isomerase ,,,10.73,10.73,1
RC,307,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,1
RC,307,Phospholipid neutralization; platelet ,,,17.98,17.98,1
RC,307,Phosphorus inorganic (phosphate); ,,,4.74,4.74,1
RC,307,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,1
RC,307,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,1
RC,307,Pinworm examinations ,,,4.27,4.27,1
RC,307,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,1
RC,307,Pooling of platelets or other blood products ,,,149.16,149.16,1
RC,307,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,1
RC,307,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,1
RC,307,"Porphyrins, feces, quantitative ",,,39.11,39.11,1
RC,307,"Porphyrins, urine; qualitative ",,,13.36,13.36,1
RC,307,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,1
RC,307,Posaconazole ,,,27.11,27.11,1
RC,307,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,1
RC,307,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,1
RC,307,Potassium; urine ,,,4.73,4.73,1
RC,307,Prealbumin ,,,14.59,14.59,1
RC,307,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,1
RC,307,Pregnanediol ,,,21.27,21.27,1
RC,307,Pregnanetriol ,,,21.05,21.05,1
RC,307,Pregnenolone ,,,20.67,20.67,1
RC,307,Preparation of embryo for transfer (any method) ,,,49.76,49.76,1
RC,307,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,1
RC,307,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,1
RC,307,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,1
RC,307,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,1
RC,307,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,1
RC,307,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,1
RC,307,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,1
RC,307,Primidone ,,,16.59,16.59,1
RC,307,Procainamide; ,,,60.0,60.0,1
RC,307,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,1
RC,307,Procalcitonin (PCT) ,,,27.22,27.22,1
RC,307,Progesterone ,,,20.86,20.86,1
RC,307,Proinsulin ,,,26.69,26.69,1
RC,307,Prolactin ,,,19.38,19.38,1
RC,307,"Prostaglandin, each ",,,41.77,41.77,1
RC,307,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,1
RC,307,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,1
RC,307,Prostate specific antigen (PSA); free ,,,18.39,18.39,1
RC,307,Prostate specific antigen (PSA); total ,,,18.39,18.39,1
RC,307,"Protein, total, by refractometry, any source ",,,5.61,5.61,1
RC,307,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,1
RC,307,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,1
RC,307,"Protein, total, except by refractometry; urine ",,,3.67,3.67,1
RC,307,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,1
RC,307,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,1
RC,307,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,1
RC,307,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,1
RC,307,Prothrombin time; ,,,4.29,4.29,1
RC,307,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,1
RC,307,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,1
RC,307,"Protoporphyrin, RBC; screen ",,,9.74,9.74,1
RC,307,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,1
RC,307,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,1
RC,307,Pyruvate ,,,14.48,14.48,1
RC,307,Pyruvate kinase ,,,9.44,9.44,1
RC,307,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,1
RC,307,Quinidine ,,,14.6,14.6,1
RC,307,Quinine ,,,11.63,11.63,1
RC,307,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,1
RC,307,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,1
RC,307,Receptor assay; estrogen ,,,87.88,87.88,1
RC,307,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,1
RC,307,Receptor assay; progesterone ,,,64.88,64.88,1
RC,307,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,1
RC,307,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,1
RC,307,Renin ,,,21.99,21.99,1
RC,307,Reptilase test ,,,9.85,9.85,1
RC,307,Reticulated platelet assay ,,,35.74,35.74,1
RC,307,Rheumatoid factor; qualitative ,,,6.14,6.14,1
RC,307,Rheumatoid factor; quantitative ,,,5.67,5.67,1
RC,307,Riboflavin (Vitamin B-2) ,,,20.24,20.24,1
RC,307,Rufinamide ,,,27.11,27.11,1
RC,307,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,1
RC,307,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,1
RC,307,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,1
RC,307,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,1
RC,307,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,1
RC,307,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,1
RC,307,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,1
RC,307,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,307,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,1
RC,307,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,1
RC,307,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,1
RC,307,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,1
RC,307,Salicylate ,,,18.64,18.64,1
RC,307,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,1
RC,307,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,1
RC,307,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,1
RC,307,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,1
RC,307,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,1
RC,307,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,1
RC,307,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,1
RC,307,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,1
RC,307,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,1
RC,307,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,1
RC,307,Selenium ,,,25.53,25.53,1
RC,307,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,1
RC,307,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,1
RC,307,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,1
RC,307,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,1
RC,307,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,1
RC,307,Serotonin ,,,30.98,30.98,1
RC,307,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,1
RC,307,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,1
RC,307,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,1
RC,307,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,1
RC,307,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,1
RC,307,Sialic acid ,,,13.44,13.44,1
RC,307,"Sickling of RBC, reduction ",,,5.51,5.51,1
RC,307,Silica ,,,25.21,25.21,1
RC,307,Sirolimus ,,,13.73,13.73,1
RC,307,Skin test; candida ,,,24.67,24.67,1
RC,307,Skin test; histoplasmosis ,,,55.66,55.66,1
RC,307,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,1
RC,307,"Skin test; unlisted antigen, each ",,,24.67,24.67,1
RC,307,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,1
RC,307,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,1
RC,307,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,1
RC,307,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,1
RC,307,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,1
RC,307,Sodium; other source ,,,4.86,4.86,1
RC,307,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,1
RC,307,Sodium; urine ,,,5.06,5.06,1
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,1
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,1
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,1
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,1
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,1
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,1
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,1
RC,307,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,1
RC,307,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,2
RC,307,Somatomedin ,,,21.26,21.26,1
RC,307,Somatostatin ,,,18.28,18.28,1
RC,307,Specific gravity (except urine) ,,,3.28,3.28,1
RC,307,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,1
RC,307,Sperm antibodies ,,,10.67,10.67,1
RC,307,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,1
RC,307,Sperm evaluation; hamster penetration test ,,,19.59,19.59,1
RC,307,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,1
RC,307,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,1
RC,307,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,307,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,307,"Splitting of blood or blood products, each unit ",,,149.16,149.16,1
RC,307,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,1
RC,307,"Stem cells (ie, CD34), total count ",,,77.78,77.78,1
RC,307,Storage (per year); embryo(s) ,,,149.16,149.16,1
RC,307,Storage (per year); oocyte(s) ,,,291.26,291.26,1
RC,307,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,307,Storage (per year); sperm/semen ,,,149.16,149.16,1
RC,307,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,1
RC,307,"Streptokinase, antibody ",,,12.66,12.66,1
RC,307,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,1
RC,307,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,1
RC,307,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,1
RC,307,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,1
RC,307,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,1
RC,307,"Sulfate, urine ",,,5.49,5.49,1
RC,307,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,1
RC,307,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,1
RC,307,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,1
RC,307,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,1
RC,307,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,1
RC,307,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,1
RC,307,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,1
RC,307,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,1
RC,307,Sweat collection by iontophoresis ,,,49.76,49.76,1
RC,307,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,1
RC,307,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,1
RC,307,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,1
RC,307,T cells; absolute CD4 count ,,,26.78,26.78,1
RC,307,T cells; total count ,,,37.73,37.73,1
RC,307,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,307,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,1
RC,307,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,1
RC,307,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,1
RC,307,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,1
RC,307,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,1
RC,307,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,1
RC,307,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,1
RC,307,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,1
RC,307,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,1
RC,307,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,1
RC,307,Tacrolimus ,,,13.73,13.73,1
RC,307,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,1
RC,307,"Tau, total (tTau) ",,,128.92,128.92,1
RC,307,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,1
RC,307,Testosterone; free ,,,25.47,25.47,1
RC,307,Testosterone; total ,,,25.81,25.81,1
RC,307,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,1
RC,307,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,1
RC,307,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,307,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,1
RC,307,Theophylline ,,,14.14,14.14,1
RC,307,Thiamine (Vitamin B-1) ,,,21.23,21.23,1
RC,307,Thiocyanate ,,,11.63,11.63,1
RC,307,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,1
RC,307,Thrombin time; plasma ,,,5.77,5.77,1
RC,307,Thrombin time; titer ,,,6.85,6.85,1
RC,307,Thrombomodulin ,,,17.27,17.27,1
RC,307,"Thromboplastin inhibition, tissue ",,,9.63,9.63,1
RC,307,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,1
RC,307,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,1
RC,307,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,1
RC,307,"Thymol turbidity, blood ",,,4.95,4.95,1
RC,307,Thyroglobulin ,,,16.06,16.06,1
RC,307,Thyroglobulin antibody ,,,15.91,15.91,1
RC,307,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,1
RC,307,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,1
RC,307,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,1
RC,307,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,1
RC,307,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,1
RC,307,Thyroxine binding globulin (TBG) ,,,14.78,14.78,1
RC,307,Thyroxine; free ,,,9.02,9.02,1
RC,307,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,1
RC,307,Thyroxine; total ,,,6.87,6.87,1
RC,307,Tiagabine ,,,27.11,27.11,1
RC,307,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,1
RC,307,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,307,Tobramycin ,,,16.13,16.13,1
RC,307,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,1
RC,307,Topiramate ,,,11.92,11.92,1
RC,307,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,1
RC,307,Transcortin (cortisol binding globulin) ,,,18.0,18.0,1
RC,307,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,1
RC,307,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,1
RC,307,Transferrin ,,,12.76,12.76,1
RC,307,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,1
RC,307,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,1
RC,307,Triglycerides ,,,5.74,5.74,1
RC,307,Triiodothyronine T3; free ,,,16.94,16.94,1
RC,307,Triiodothyronine T3; reverse ,,,15.76,15.76,1
RC,307,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,1
RC,307,"Troponin, qualitative ",,,10.09,10.09,1
RC,307,"Troponin, quantitative ",,,12.47,12.47,1
RC,307,Trypsin; duodenal fluid ,,,7.2,7.2,1
RC,307,"Trypsin; feces, qualitative ",,,7.3,7.3,1
RC,307,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,1
RC,307,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,1
RC,307,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,1
RC,307,Tyrosine ,,,10.63,10.63,1
RC,307,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,1
RC,307,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,1
RC,307,Unlisted miscellaneous pathology test ,,,49.76,49.76,1
RC,307,Unlisted transfusion medicine procedure ,,,24.67,24.67,1
RC,307,"Urea nitrogen, clearance ",,,7.2,7.2,1
RC,307,"Urea nitrogen, urine ",,,5.56,5.56,1
RC,307,Urea nitrogen; quantitative ,,,3.95,3.95,1
RC,307,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,1
RC,307,Uric acid; blood ,,,4.52,4.52,1
RC,307,Uric acid; other source ,,,5.08,5.08,1
RC,307,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,2
RC,307,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,4.02,4.02,1
RC,307,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,1
RC,307,Urinalysis; microscopic only ,,,3.05,3.05,1
RC,307,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,1
RC,307,"Urobilinogen, feces, quantitative ",,,16.8,16.8,1
RC,307,"Urobilinogen, urine; qualitative ",,,4.47,4.47,1
RC,307,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,1
RC,307,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,1
RC,307,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,1
RC,307,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,1
RC,307,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,1
RC,307,Vancomycin ,,,13.54,13.54,1
RC,307,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,1
RC,307,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,1
RC,307,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,1
RC,307,Vedolizumab ,,,38.57,38.57,1
RC,307,Very long chain fatty acids ,,,19.75,19.75,1
RC,307,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,1
RC,307,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,1
RC,307,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,1
RC,307,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,1
RC,307,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,1
RC,307,Viscosity ,,,11.67,11.67,1
RC,307,Vitamin A ,,,11.61,11.61,1
RC,307,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,1
RC,307,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,1
RC,307,Vitamin K ,,,13.72,13.72,1
RC,307,"Vitamin, not otherwise specified ",,,17.06,17.06,1
RC,307,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,1
RC,307,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,1
RC,307,"Volume measurement for timed collection, each ",470.0,470.0,3.64,3.64,1
RC,307,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,1
RC,307,Voriconazole ,,,27.11,27.11,1
RC,307,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,1
RC,307,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,1
RC,307,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,1
RC,307,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,1
RC,307,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,1
RC,307,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,1
RC,307,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,1
RC,307,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,1
RC,307,Zinc ,,,11.39,11.39,1
RC,307,Zonisamide ,,,13.25,13.25,1
RC,307,"b-Hexosaminidase, each assay ",,,16.87,16.87,1
RC,307,"pH; body fluid, not otherwise specified ",,,3.58,3.58,1
RC,307,pH; exhaled breath condensate ,,,3.58,3.58,1
RC,309, Laboratory Other  ,,,,,0
RC,309,17-hydroxypregnenolone ,,,22.81,22.81,1
RC,309,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,1
RC,309,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain ",,,300.0,300.0,1
RC,309,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) ,,,86.96,86.96,1
RC,309,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) ,,,78.26,78.26,1
RC,309,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) ,,,32.62,32.62,1
RC,309,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) ",,,274.83,274.83,1
RC,309,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants ",,,200.0,200.0,1
RC,309,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence ",,,780.0,780.0,1
RC,309,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants ",,,280.0,280.0,1
RC,309,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) ",,,137.0,137.0,1
RC,309,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,309,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant ",,,185.2,185.2,1
RC,309,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) ",,,47.25,47.25,1
RC,309,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence ",,,676.5,676.5,1
RC,309,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,241.9,241.9,1
RC,309,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,Acetaminophen ,,,18.64,18.64,1
RC,309,Acetylcholine receptor (AChR); binding antibody ,,,18.4,18.4,1
RC,309,Acetylcholine receptor (AChR); blocking antibody ,,,18.4,18.4,1
RC,309,Acetylcholine receptor (AChR); modulating antibody ,,,12.05,12.05,1
RC,309,Acetylcholinesterase ,,,12.29,12.29,1
RC,309,"Actin (smooth muscle) antibody (ASMA), each ",,,11.53,11.53,1
RC,309,Activated Protein C (APC) resistance assay ,,,15.32,15.32,1
RC,309,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,47.63,47.63,1
RC,309,"Acylcarnitines; qualitative, each specimen ",,,16.49,16.49,1
RC,309,"Acylcarnitines; quantitative, each specimen ",,,16.87,16.87,1
RC,309,Adalimumab ,,,38.57,38.57,1
RC,309,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) ",,,25.8,25.8,1
RC,309,Adrenocorticotropic hormone (ACTH) ,,,38.62,38.62,1
RC,309,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen ",,,6.98,6.98,1
RC,309,Albumin; ischemia modified ,,,33.94,33.94,1
RC,309,"Albumin; other source, quantitative, each specimen ",,,7.78,7.78,1
RC,309,"Albumin; serum, plasma or whole blood ",,,4.95,4.95,1
RC,309,"Albumin; urine (eg, microalbumin), quantitative ",,,5.78,5.78,1
RC,309,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) ",,,6.23,6.23,1
RC,309,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) ",,,17.27,17.27,1
RC,309,Alcohol (ethanol); breath ,,,30.0,30.0,1
RC,309,Aldolase ,,,9.71,9.71,1
RC,309,Aldosterone ,,,40.75,40.75,1
RC,309,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) ",,,125.5,125.5,1
RC,309,All potassium hydroxide (koh) preparations ,,,5.83,5.83,1
RC,309,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) ",,,7.97,7.97,1
RC,309,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each ",,,5.22,5.22,1
RC,309,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each ",,,17.93,17.93,1
RC,309,"Allergen specific IgG quantitative or semiquantitative, each allergen ",,,7.82,7.82,1
RC,309,Alpha-1-antitrypsin; phenotype ,,,14.46,14.46,1
RC,309,Alpha-1-antitrypsin; total ,,,13.44,13.44,1
RC,309,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) ,,,64.41,64.41,1
RC,309,Alpha-fetoprotein (AFP); amniotic fluid ,,,17.0,17.0,1
RC,309,Alpha-fetoprotein (AFP); serum ,,,16.77,16.77,1
RC,309,Aluminum ,,,25.48,25.48,1
RC,309,Amikacin ,,,15.08,15.08,1
RC,309,"Amines, vaginal fluid, qualitative ",,,5.99,5.99,1
RC,309,"Amino acids, 2 to 5 amino acids, quantitative, each specimen ",,,19.61,19.61,1
RC,309,"Amino acids, 6 or more amino acids, quantitative, each specimen ",,,16.87,16.87,1
RC,309,"Amino acids; multiple, qualitative, each specimen ",,,13.87,13.87,1
RC,309,"Amino acids; single, qualitative, each specimen ",,,14.18,14.18,1
RC,309,"Amino acids; single, quantitative, each specimen ",,,22.98,22.98,1
RC,309,"Aminolevulinic acid, delta (ALA) ",,,16.45,16.45,1
RC,309,Amiodarone ,,,18.64,18.64,1
RC,309,Ammonia ,,,14.57,14.57,1
RC,309,Amniotic fluid scan (spectrophotometric) ,,,9.35,9.35,1
RC,309,Amylase ,,,6.48,6.48,1
RC,309,Androstanediol glucuronide ,,,28.83,28.83,1
RC,309,Androstenedione ,,,29.28,29.28,1
RC,309,Androsterone ,,,25.55,25.55,1
RC,309,Angiotensin I - converting enzyme (ACE) ,,,14.6,14.6,1
RC,309,Angiotensin II ,,,20.52,20.52,1
RC,309,"Animal inoculation, small animal, with observation and dissection ",,,16.84,16.84,1
RC,309,Anti-mullerian hormone (AMH) ,,,38.62,38.62,1
RC,309,Anti-phosphatidylserine (phospholipid) antibody ,,,16.07,16.07,1
RC,309,"Antibody elution (RBC), each elution ",,,149.16,149.16,1
RC,309,"Antibody identification, RBC antibodies, each panel for each serum technique ",,,291.26,291.26,1
RC,309,Antibody identification; leukocyte antibodies ,,,15.05,15.05,1
RC,309,Antibody identification; platelet antibodies ,,,18.37,18.37,1
RC,309,Antibody identification; platelet associated immunoglobulin assay ,,,12.46,12.46,1
RC,309,"Antibody screen, RBC, each serum technique ",,,9.77,9.77,1
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,81.88,95.52,2
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,323.75,325.8,2
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,64.19,64.19,1
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I ",,,357.56,357.56,1
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II ",,,322.96,322.96,1
RC,309,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,64.19,64.19,1
RC,309,Antibody; Aspergillus ,,,15.05,15.05,1
RC,309,Antibody; Bartonella ,,,10.18,10.18,1
RC,309,Antibody; Blastomyces ,,,12.9,12.9,1
RC,309,Antibody; Bordetella ,,,13.19,13.19,1
RC,309,Antibody; Borrelia (relapsing fever) ,,,13.38,13.38,1
RC,309,Antibody; Borrelia burgdorferi (Lyme disease) ,,,17.03,17.03,1
RC,309,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) ",,,15.49,15.49,1
RC,309,Antibody; Brucella ,,,8.93,8.93,1
RC,309,Antibody; Campylobacter ,,,13.12,13.12,1
RC,309,Antibody; Candida ,,,12.01,12.01,1
RC,309,Antibody; Chlamydia ,,,11.82,11.82,1
RC,309,"Antibody; Chlamydia, IgM ",,,12.68,12.68,1
RC,309,Antibody; Coccidioides ,,,11.47,11.47,1
RC,309,Antibody; Coxiella burnetii (Q fever) ,,,12.12,12.12,1
RC,309,Antibody; Cryptococcus ,,,14.41,14.41,1
RC,309,Antibody; Diphtheria ,,,15.21,15.21,1
RC,309,Antibody; Ehrlichia ,,,10.18,10.18,1
RC,309,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) ",,,13.12,13.12,1
RC,309,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) ",,,15.29,15.29,1
RC,309,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) ",,,18.14,18.14,1
RC,309,Antibody; Francisella tularensis ,,,14.16,14.16,1
RC,309,Antibody; Giardia lamblia ,,,14.72,14.72,1
RC,309,Antibody; HIV-1 ,,,8.89,8.89,1
RC,309,"Antibody; HIV-1 and HIV-2, single result ",,,13.71,13.71,1
RC,309,Antibody; HIV-2 ,,,13.52,13.52,1
RC,309,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) ",,,19.35,19.35,1
RC,309,Antibody; HTLV-I ,,,9.09,9.09,1
RC,309,Antibody; HTLV-II ,,,14.0,14.0,1
RC,309,Antibody; Haemophilus influenza ,,,15.84,15.84,1
RC,309,Antibody; Helicobacter pylori ,,,16.85,16.85,1
RC,309,Antibody; JC (John Cunningham) virus ,,,16.89,16.89,1
RC,309,Antibody; Legionella ,,,15.3,15.3,1
RC,309,Antibody; Leishmania ,,,12.25,12.25,1
RC,309,Antibody; Leptospira ,,,16.2,16.2,1
RC,309,Antibody; Listeria monocytogenes ,,,13.19,13.19,1
RC,309,Antibody; Neisseria meningitidis ,,,13.19,13.19,1
RC,309,Antibody; Nocardia ,,,15.99,15.99,1
RC,309,Antibody; Plasmodium (malaria) ,,,13.19,13.19,1
RC,309,Antibody; Rickettsia ,,,19.35,19.35,1
RC,309,Antibody; Salmonella ,,,13.19,13.19,1
RC,309,Antibody; Shigella ,,,24.48,24.48,1
RC,309,Antibody; Toxoplasma ,,,14.39,14.39,1
RC,309,"Antibody; Toxoplasma, IgM ",,,14.41,14.41,1
RC,309,Antibody; Treponema pallidum ,,,13.24,13.24,1
RC,309,Antibody; Trichinella ,,,12.56,12.56,1
RC,309,Antibody; West Nile virus ,,,14.39,14.39,1
RC,309,"Antibody; West Nile virus, IgM ",,,16.85,16.85,1
RC,309,Antibody; Yersinia ,,,13.19,13.19,1
RC,309,"Antibody; Zika virus, IgM ",,,16.85,16.85,1
RC,309,Antibody; actinomyces ,,,10.18,10.18,1
RC,309,Antibody; adenovirus ,,,12.87,12.87,1
RC,309,"Antibody; bacterium, not elsewhere specified ",,,12.88,12.88,1
RC,309,Antibody; cytomegalovirus (CMV) ,,,14.39,14.39,1
RC,309,"Antibody; cytomegalovirus (CMV), IgM ",,,16.85,16.85,1
RC,309,"Antibody; encephalitis, California (La Crosse) ",,,13.19,13.19,1
RC,309,"Antibody; encephalitis, Eastern equine ",,,13.19,13.19,1
RC,309,"Antibody; encephalitis, St. Louis ",,,13.19,13.19,1
RC,309,"Antibody; encephalitis, Western equine ",,,13.19,13.19,1
RC,309,"Antibody; enterovirus (eg, coxsackie, echo, polio) ",,,13.03,13.03,1
RC,309,"Antibody; fungus, not elsewhere specified ",,,12.25,12.25,1
RC,309,"Antibody; helminth, not elsewhere specified ",,,13.01,13.01,1
RC,309,"Antibody; hepatitis, delta agent ",,,17.16,17.16,1
RC,309,"Antibody; herpes simplex, non-specific type test ",,,14.39,14.39,1
RC,309,"Antibody; herpes simplex, type 1 ",,,13.19,13.19,1
RC,309,"Antibody; herpes simplex, type 2 ",,,19.35,19.35,1
RC,309,Antibody; histoplasma ,,,13.79,13.79,1
RC,309,Antibody; influenza virus ,,,13.55,13.55,1
RC,309,Antibody; lymphocytic choriomeningitis ,,,12.87,12.87,1
RC,309,Antibody; mucormycosis ,,,15.0,15.0,1
RC,309,Antibody; mumps ,,,13.05,13.05,1
RC,309,Antibody; mycoplasma ,,,13.24,13.24,1
RC,309,Antibody; parvovirus ,,,15.03,15.03,1
RC,309,"Antibody; protozoa, not elsewhere specified ",,,12.39,12.39,1
RC,309,Antibody; respiratory syncytial virus ,,,15.89,15.89,1
RC,309,Antibody; rotavirus ,,,18.23,18.23,1
RC,309,Antibody; rubella ,,,14.39,14.39,1
RC,309,Antibody; rubeola ,,,12.88,12.88,1
RC,309,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ,,,42.13,42.13,1
RC,309,Antibody; tetanus ,,,14.8,14.8,1
RC,309,Antibody; varicella-zoster ,,,12.88,12.88,1
RC,309,"Antibody; virus, not elsewhere specified ",,,12.88,12.88,1
RC,309,"Antihuman globulin test (Coombs test); direct, each antiserum ",,,5.39,5.39,1
RC,309,"Antihuman globulin test (Coombs test); indirect, each antibody titer ",,,5.18,5.18,1
RC,309,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell ",,,5.72,5.72,1
RC,309,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody ",,,12.05,12.05,1
RC,309,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody ",,,12.05,12.05,1
RC,309,Antinuclear antibodies (ANA); ,,,12.09,12.09,1
RC,309,Antinuclear antibodies (ANA); titer ,,,11.16,11.16,1
RC,309,Antistreptolysin 0; screen ,,,5.77,5.77,1
RC,309,Antistreptolysin 0; titer ,,,7.3,7.3,1
RC,309,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,1350.19,1350.19,1
RC,309,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,504.0,504.0,1
RC,309,"Apolipoprotein, each ",,,21.09,21.09,1
RC,309,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,309,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) ,,,11.53,11.53,1
RC,309,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,309,Arsenic ,,,18.97,18.97,1
RC,309,"Ascorbic acid (Vitamin C), blood ",,,9.89,9.89,1
RC,309,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,2448.56,2448.56,1
RC,309,"Assisted embryo hatching, microtechniques (any method) ",,,149.16,149.16,1
RC,309,"Assisted oocyte fertilization, microtechnique; greater than 10 oocytes ",,,149.16,149.16,1
RC,309,"Assisted oocyte fertilization, microtechnique; less than or equal to 10 oocytes ",,,656.15,656.15,1
RC,309,"Atomic absorption spectroscopy, each analyte ",,,15.9,15.9,1
RC,309,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score ",,,840.65,840.65,1
RC,309,"Autologous blood or component, collection processing and storage; intra- or postoperative salvage ",,,656.15,656.15,1
RC,309,"Autologous blood or component, collection processing and storage; predeposited ",,,149.16,149.16,1
RC,309,"B cells, total count ",,,37.73,37.73,1
RC,309,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) ",,,94.99,94.99,1
RC,309,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative ",,,163.96,163.96,1
RC,309,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative ",,,144.84,144.84,1
RC,309,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative ",,,214.62,214.62,1
RC,309,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant ",,,39.31,39.31,1
RC,309,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) ",,,175.4,175.4,1
RC,309,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,301.35,301.35,1
RC,309,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,282.88,282.88,1
RC,309,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,309,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants ",,,440.0,440.0,1
RC,309,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,584.23,584.23,1
RC,309,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,468.0,468.0,1
RC,309,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,1824.88,1824.88,1
RC,309,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) ",,,282.88,282.88,1
RC,309,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis ",,,185.12,185.12,1
RC,309,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant ",,,375.25,375.25,1
RC,309,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) ",,,175.4,175.4,1
RC,309,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,13.73,13.73,1
RC,309,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,8.46,8.46,1
RC,309,"Beta 2 Glycoprotein I antibody, each ",,,25.45,25.45,1
RC,309,Beta-2 microglobulin ,,,16.18,16.18,1
RC,309,Beta-amyloid; 1-40 (Abeta 40) ,,,128.92,128.92,1
RC,309,Beta-amyloid; 1-42 (Abeta 42) ,,,128.92,128.92,1
RC,309,Bile acids; cholylglycine ,,,26.58,26.58,1
RC,309,Bile acids; total ,,,17.12,17.12,1
RC,309,"Bilirubin, total, transcutaneous ",,,5.02,5.02,1
RC,309,Bilirubin; direct ,,,5.02,5.02,1
RC,309,"Bilirubin; feces, qualitative ",,,4.56,4.56,1
RC,309,Bilirubin; total ,,,5.02,5.02,1
RC,309,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos ",,,149.16,149.16,1
RC,309,"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos ",,,149.16,149.16,1
RC,309,"Biotinidase, each specimen ",,,16.87,16.87,1
RC,309,Bleeding time ,,,4.82,4.82,1
RC,309,"Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report ",,,49.76,49.76,1
RC,309,"Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report ",,,24.67,24.67,1
RC,309,"Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report ",,,149.16,149.16,1
RC,309,Blood count; automated differential WBC count ,,,6.47,6.47,1
RC,309,"Blood count; blood smear, microscopic examination with manual differential WBC count ",,,3.8,3.8,1
RC,309,"Blood count; blood smear, microscopic examination without manual differential WBC count ",,,3.43,3.43,1
RC,309,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) ",,,6.47,6.47,1
RC,309,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count ",,,7.77,7.77,1
RC,309,Blood count; hematocrit (Hct) ,,,2.37,2.37,1
RC,309,Blood count; hemoglobin (Hgb) ,,,2.37,2.37,1
RC,309,"Blood count; leukocyte (WBC), automated ",,,2.54,2.54,1
RC,309,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each ",,,4.31,4.31,1
RC,309,"Blood count; manual differential WBC count, buffy coat ",,,5.07,5.07,1
RC,309,"Blood count; platelet, automated ",,,4.48,4.48,1
RC,309,"Blood count; red blood cell (RBC), automated ",,,3.02,3.02,1
RC,309,"Blood count; reticulocyte, automated ",,,3.99,3.99,1
RC,309,"Blood count; reticulocyte, manual ",,,4.31,4.31,1
RC,309,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,5.57,5.57,1
RC,309,Blood count; spun microhematocrit ,,,7.0,7.0,1
RC,309,"Blood smear, peripheral, interpretation by physician with written report ",,,24.77,24.77,1
RC,309,"Blood typing, for paternity testing, per individual; ABO, Rh and MN ",,,26.52,26.52,1
RC,309,"Blood typing, for paternity testing, per individual; each additional antigen system ",,,23.03,23.03,1
RC,309,"Blood typing, serologic; ABO ",,,2.99,2.99,1
RC,309,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each ",,,3.83,3.83,1
RC,309,"Blood typing, serologic; Rh (D) ",,,2.99,2.99,1
RC,309,"Blood typing, serologic; Rh phenotyping, complete ",,,7.75,7.75,1
RC,309,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened ",,,16.34,16.34,1
RC,309,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test ",,,6.35,6.35,1
RC,309,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations ",,,15.92,15.92,1
RC,309,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening ",,,4.23,4.23,1
RC,309,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,4.38,4.38,1
RC,309,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources ",,,5.32,5.32,1
RC,309,"Bone marrow, smear interpretation ",,,656.15,656.15,1
RC,309,Bradykinin ,,,5.16,5.16,1
RC,309,C-peptide ,,,20.81,20.81,1
RC,309,C-reactive protein; ,,,5.18,5.18,1
RC,309,C-reactive protein; high sensitivity (hsCRP) ,,,12.95,12.95,1
RC,309,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence ",,,846.27,846.27,1
RC,309,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant ",,,185.2,185.2,1
RC,309,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 ",,,121.63,121.63,1
RC,309,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed ",,,207.31,207.31,1
RC,309,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence ",,,241.9,241.9,1
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) ",,,556.6,556.6,1
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants ",,,435.07,435.07,1
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence ",,,499.0,499.0,1
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) ",,,168.75,168.75,1
RC,309,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants ",,,97.22,97.22,1
RC,309,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,309,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,309,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) ",,,291.36,291.36,1
RC,309,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) ",,,174.81,174.81,1
RC,309,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) ",,,450.91,450.91,1
RC,309,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) ",,,174.81,174.81,1
RC,309,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) ",,,174.81,174.81,1
RC,309,Cadmium ,,,23.64,23.64,1
RC,309,Caffeine ,,,38.57,38.57,1
RC,309,"Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report ",,,149.16,149.16,1
RC,309,Calcitonin ,,,26.79,26.79,1
RC,309,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) ",,,80.37,80.37,1
RC,309,Calcium; after calcium infusion test ,,,13.34,13.34,1
RC,309,Calcium; ionized ,,,13.68,13.68,1
RC,309,Calcium; total ,,,5.16,5.16,1
RC,309,"Calcium; urine quantitative, timed specimen ",,,6.03,6.03,1
RC,309,Calculus; X-ray diffraction ,,,12.52,12.52,1
RC,309,Calculus; infrared spectroscopy ,,,12.9,12.9,1
RC,309,Calculus; qualitative analysis ,,,11.58,11.58,1
RC,309,"Calculus; quantitative analysis, chemical ",,,12.87,12.87,1
RC,309,"Calprotectin, fecal ",,,19.63,19.63,1
RC,309,"Carbamazepine; -10,11-epoxide ",,,18.64,18.64,1
RC,309,Carbamazepine; free ,,,13.25,13.25,1
RC,309,Carbamazepine; total ,,,14.57,14.57,1
RC,309,Carbohydrate deficient transferrin ,,,18.06,18.06,1
RC,309,Carbon dioxide (bicarbonate) ,,,4.88,4.88,1
RC,309,Carboxyhemoglobin; qualitative ,,,14.07,14.07,1
RC,309,Carboxyhemoglobin; quantitative ,,,12.32,12.32,1
RC,309,Carcinoembryonic antigen (CEA) ,,,18.96,18.96,1
RC,309,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,584.9,584.9,1
RC,309,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,584.9,584.9,1
RC,309,"Cardiolipin (phospholipid) antibody, each Ig class ",,,25.45,25.45,1
RC,309,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,3240.0,3240.0,1
RC,309,"Carnitine (total and free), quantitative, each specimen ",,,16.87,16.87,1
RC,309,Carotene ,,,9.22,9.22,1
RC,309,Catecholamines; blood ,,,29.08,29.08,1
RC,309,Catecholamines; fractionated ,,,25.25,25.25,1
RC,309,Catecholamines; total urine ,,,27.3,27.3,1
RC,309,Cathepsin-D ,,,18.06,18.06,1
RC,309,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,1
RC,309,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,1
RC,309,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,1
RC,309,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; ",,,4.72,4.72,1
RC,309,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count ",,,5.6,5.6,1
RC,309,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); ",,,250.78,250.78,1
RC,309,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) ",,,135.86,135.86,1
RC,309,"Cephalin floculation, blood ",,,4.95,4.95,1
RC,309,Ceruloplasmin ,,,10.74,10.74,1
RC,309,Chemiluminescent assay ,,,14.12,14.12,1
RC,309,"Chemotaxis assay, specify method ",,,15.99,15.99,1
RC,309,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,260.79,260.79,1
RC,309,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection ",,,207.46,207.46,1
RC,309,Chloramphenicol ,,,12.67,12.67,1
RC,309,Chloride; blood ,,,4.6,4.6,1
RC,309,Chloride; other source ,,,5.0,5.0,1
RC,309,Chloride; urine ,,,5.75,5.75,1
RC,309,"Chlorinated hydrocarbons, screen ",,,6.01,6.01,1
RC,309,"Cholesterol, serum or whole blood, total ",,,4.35,4.35,1
RC,309,Cholinesterase; RBC ,,,9.81,9.81,1
RC,309,Cholinesterase; serum ,,,7.87,7.87,1
RC,309,"Chondroitin B sulfate, quantitative ",,,20.65,20.65,1
RC,309,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) ",,,55.89,55.89,1
RC,309,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) ,,,51.64,51.64,1
RC,309,Chromium ,,,20.28,20.28,1
RC,309,Chromogenic substrate assay ,,,11.89,11.89,1
RC,309,Citrate ,,,27.8,27.8,1
RC,309,"Clot lysis time, whole blood dilution ",,,20.37,20.37,1
RC,309,Clot retraction ,,,16.3,16.3,1
RC,309,"Clotting inhibitors or anticoagulants; antithrombin III, activity ",,,11.85,11.85,1
RC,309,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay ",,,10.81,10.81,1
RC,309,"Clotting inhibitors or anticoagulants; protein C, activity ",,,13.84,13.84,1
RC,309,"Clotting inhibitors or anticoagulants; protein C, antigen ",,,12.01,12.01,1
RC,309,"Clotting inhibitors or anticoagulants; protein S, free ",,,15.32,15.32,1
RC,309,"Clotting inhibitors or anticoagulants; protein S, total ",,,11.61,11.61,1
RC,309,"Clotting; factor II, prothrombin, specific ",,,12.98,12.98,1
RC,309,Clotting; factor IX (PTC or Christmas) ,,,19.04,19.04,1
RC,309,"Clotting; factor V (AcG or proaccelerin), labile factor ",,,17.65,17.65,1
RC,309,"Clotting; factor VII (proconvertin, stable factor) ",,,17.9,17.9,1
RC,309,"Clotting; factor VIII (AHG), 1-stage ",,,17.9,17.9,1
RC,309,Clotting; factor VIII related antigen ,,,20.42,20.42,1
RC,309,"Clotting; factor VIII, VW factor antigen ",,,22.94,22.94,1
RC,309,"Clotting; factor VIII, VW factor, ristocetin cofactor ",,,22.94,22.94,1
RC,309,"Clotting; factor VIII, von Willebrand factor, multimetric analysis ",,,22.94,22.94,1
RC,309,Clotting; factor X (Stuart-Prower) ,,,17.9,17.9,1
RC,309,Clotting; factor XI (PTA) ,,,17.9,17.9,1
RC,309,Clotting; factor XII (Hageman) ,,,19.35,19.35,1
RC,309,Clotting; factor XIII (fibrin stabilizing) ,,,16.34,16.34,1
RC,309,"Clotting; factor XIII (fibrin stabilizing), screen solubility ",,,9.11,9.11,1
RC,309,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) ,,,18.93,18.93,1
RC,309,Clotting; prekallikrein assay (Fletcher factor assay) ,,,18.93,18.93,1
RC,309,Clozapine ,,,20.15,20.15,1
RC,309,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte ",,,30.86,30.86,1
RC,309,Coagulation time; Lee and White ,,,4.69,4.69,1
RC,309,Coagulation time; activated ,,,4.28,4.28,1
RC,309,Coagulation time; other methods ,,,4.49,4.49,1
RC,309,"Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day ",,,19.89,19.89,1
RC,309,Cold agglutinin; screen ,,,8.07,8.07,1
RC,309,Cold agglutinin; titer ,,,8.06,8.06,1
RC,309,"Collagen cross links, any method ",,,18.68,18.68,1
RC,309,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,3.14,3.14,1
RC,309,Collection of venous blood by venipuncture ,,,3.0,3.0,1
RC,309,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,1
RC,309,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,24.09,24.09,1
RC,309,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,579.48,579.48,1
RC,309,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,304.81,304.81,1
RC,309,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,233.07,233.07,1
RC,309,Compatibility test each unit; antiglobulin technique ,,,149.16,149.16,1
RC,309,Compatibility test each unit; electronic ,,,149.16,149.16,1
RC,309,Compatibility test each unit; immediate spin technique ,,,149.16,149.16,1
RC,309,Compatibility test each unit; incubation technique ,,,149.16,149.16,1
RC,309,"Complement fixation tests, each antigen ",,,10.01,10.01,1
RC,309,"Complement; antigen, each component ",,,12.0,12.0,1
RC,309,"Complement; functional activity, each component ",,,12.0,12.0,1
RC,309,Complement; total hemolytic (CH50) ,,,20.32,20.32,1
RC,309,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,1
RC,309,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,1
RC,309,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,10.56,10.56,1
RC,309,"Concentration (any type), for infectious agents ",,,6.68,6.68,1
RC,309,"Congo red, blood ",,,4.95,4.95,1
RC,309,Copper ,,,12.41,12.41,1
RC,309,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score ",,,1050.0,1050.0,1
RC,309,Corticosterone ,,,22.52,22.52,1
RC,309,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) ,,,801.62,801.62,1
RC,309,Cortisol; free ,,,16.71,16.71,1
RC,309,Cortisol; total ,,,16.3,16.3,1
RC,309,Creatine ,,,4.64,4.64,1
RC,309,"Creatine kinase (CK), (CPK); MB fraction only ",,,11.55,11.55,1
RC,309,"Creatine kinase (CK), (CPK); isoenzymes ",,,13.39,13.39,1
RC,309,"Creatine kinase (CK), (CPK); isoforms ",,,11.87,11.87,1
RC,309,"Creatine kinase (CK), (CPK); total ",,,6.51,6.51,1
RC,309,Creatinine; blood ,,,5.12,5.12,1
RC,309,Creatinine; clearance ,,,9.46,9.46,1
RC,309,Creatinine; other source ,,,5.18,5.18,1
RC,309,Cryofibrinogen ,,,14.14,14.14,1
RC,309,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) ",,,6.47,6.47,1
RC,309,"Cryopreservation, mature oocyte(s) ",,,149.16,149.16,1
RC,309,"Cryopreservation, reproductive tissue, testicular ",,,49.76,49.76,1
RC,309,Cryopreservation; embryo(s) ,,,656.15,656.15,1
RC,309,Cryopreservation; sperm ,,,149.16,149.16,1
RC,309,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) ",,,7.33,7.33,1
RC,309,"Culture of oocyte(s)/embryo(s), less than 4 days; ",,,149.16,149.16,1
RC,309,"Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos ",,,149.16,149.16,1
RC,309,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,1
RC,309,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,309,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate ",,,8.08,8.08,1
RC,309,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates ",,,8.62,8.62,1
RC,309,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates ",,,9.47,9.47,1
RC,309,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) ",,,10.32,10.32,1
RC,309,"Culture, bacterial; quantitative colony count, urine ",,,8.07,8.07,1
RC,309,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.89,9.89,1
RC,309,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool ",,,9.66,9.66,1
RC,309,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate ",,,9.44,9.44,1
RC,309,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species ",,,9.44,9.44,1
RC,309,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine ",,,8.09,8.09,1
RC,309,"Culture, chlamydia, any source ",,,19.6,19.6,1
RC,309,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood ",,,20.46,20.46,1
RC,309,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) ",,,8.41,8.41,1
RC,309,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail ",,,7.71,7.71,1
RC,309,"Culture, fungi, definitive identification, each organism; mold ",,,10.32,10.32,1
RC,309,"Culture, fungi, definitive identification, each organism; yeast ",,,10.32,10.32,1
RC,309,"Culture, mycobacterial, definitive identification, each isolate ",,,14.61,14.61,1
RC,309,"Culture, mycoplasma, any source ",,,15.39,15.39,1
RC,309,"Culture, presumptive, pathogenic organisms, screening only; ",,,6.63,6.63,1
RC,309,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart ",,,27.07,27.07,1
RC,309,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates ",,,10.8,10.8,1
RC,309,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method ",,,12.52,12.52,1
RC,309,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed ",,,35.09,35.09,1
RC,309,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed ",,,20.05,20.05,1
RC,309,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) ",,,115.36,115.36,1
RC,309,"Culture, typing; identification by pulse field gel typing ",,,7.74,7.74,1
RC,309,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,218.06,218.06,1
RC,309,"Culture, typing; immunofluorescent method, each antiserum ",,,5.57,5.57,1
RC,309,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum ",,,5.18,5.18,1
RC,309,"Culture, typing; other methods ",,,7.74,7.74,1
RC,309,Cyanide ,,,19.4,19.4,1
RC,309,Cyanocobalamin (Vitamin B-12); ,,,15.08,15.08,1
RC,309,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity ,,,14.32,14.32,1
RC,309,"Cyclic citrullinated peptide (CCP), antibody ",,,12.95,12.95,1
RC,309,Cyclosporine ,,,18.05,18.05,1
RC,309,Cystatin C ,,,18.52,18.52,1
RC,309,"Cystine and homocystine, urine, qualitative ",,,9.55,9.55,1
RC,309,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis ",,,1160.0,1160.0,1
RC,309,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,1160.0,1160.0,1
RC,309,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,900.0,900.0,1
RC,309,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,309,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) ",,,1263.53,1263.53,1
RC,309,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed ",,,279.0,279.0,1
RC,309,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,309,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,309,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) ",,,174.81,174.81,1
RC,309,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection ",,,10.74,10.74,1
RC,309,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection ",,,11.3,11.3,1
RC,309,Dehydroepiandrosterone (DHEA) ,,,25.27,25.27,1
RC,309,Dehydroepiandrosterone-sulfate (DHEA-S) ,,,22.23,22.23,1
RC,309,"Deoxycortisol, 11- ",,,29.28,29.28,1
RC,309,"Deoxyribonuclease, antibody ",,,13.25,13.25,1
RC,309,Deoxyribonucleic acid (DNA) antibody; native or double stranded ,,,13.74,13.74,1
RC,309,Deoxyribonucleic acid (DNA) antibody; single stranded ,,,12.11,12.11,1
RC,309,"Desoxycorticosterone, 11- ",,,30.98,30.98,1
RC,309,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) ",,,161.88,161.88,1
RC,309,Dibucaine number ,,,12.25,12.25,1
RC,309,Digoxin; free ,,,13.28,13.28,1
RC,309,Digoxin; total ,,,13.28,13.28,1
RC,309,Dihydrotestosterone (DHT) ,,,29.28,29.28,1
RC,309,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis ",,,917.08,917.08,1
RC,309,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,4
RC,309,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,1
RC,309,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,62.14,62.14,1
RC,309,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,12.6,12.6,1
RC,309,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,17.14,17.14,1
RC,309,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) ",,,324.58,324.58,1
RC,309,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) ",,,175.4,175.4,1
RC,309,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence ",,,282.88,282.88,1
RC,309,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative ",,,11.53,11.53,1
RC,309,"Elastase, pancreatic (EL-1), fecal; quantitative ",,,22.97,22.97,1
RC,309,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) ,,,7.01,7.01,1
RC,309,"Electrophoretic technique, not elsewhere specified ",,,61.5,61.5,1
RC,309,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,68.92,68.92,1
RC,309,"Endomysial antibody (EMA), each immunoglobulin (Ig) class ",,,12.09,12.09,1
RC,309,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen ",,,22.17,22.17,1
RC,309,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen ",,,44.03,44.03,1
RC,309,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,2448.56,2448.56,1
RC,309,Erythropoietin ,,,18.79,18.79,1
RC,309,"Estradiol; free, direct measurement (eg, equilibrium dialysis) ",,,27.94,27.94,1
RC,309,Estradiol; total ,,,27.94,27.94,1
RC,309,Estriol ,,,24.18,24.18,1
RC,309,Estrogens; fractionated ,,,32.3,32.3,1
RC,309,Estrogens; total ,,,21.7,21.7,1
RC,309,Estrone ,,,24.95,24.95,1
RC,309,Ethosuximide ,,,16.34,16.34,1
RC,309,Ethylene glycol ,,,14.9,14.9,1
RC,309,Etiocholanolone ,,,26.24,26.24,1
RC,309,Euglobulin lysis ,,,8.41,8.41,1
RC,309,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen ",,,98.11,98.11,1
RC,309,Everolimus ,,,13.73,13.73,1
RC,309,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,320.0,320.0,1
RC,309,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,4780.0,4780.0,1
RC,309,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) ",,,12000.0,12000.0,1
RC,309,"Extended culture of oocyte(s)/embryo(s), 4-7 days ",,,656.15,656.15,1
RC,309,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody ",,,17.93,17.93,1
RC,309,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant ",,,65.69,65.69,1
RC,309,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant ",,,73.37,73.37,1
RC,309,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence ",,,600.0,600.0,1
RC,309,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) ",,,36.62,36.62,1
RC,309,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) ",,,165.51,165.51,1
RC,309,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) ",,,83.0,83.0,1
RC,309,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,44.89,44.89,1
RC,309,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,57.04,57.04,1
RC,309,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,309,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles ",,,137.0,137.0,1
RC,309,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence ",,,274.83,274.83,1
RC,309,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) ",,,185.2,185.2,1
RC,309,Factor inhibitor test ,,,12.87,12.87,1
RC,309,"Fat differential, feces, quantitative ",,,22.97,22.97,1
RC,309,"Fat or lipids, feces; qualitative ",,,5.1,5.1,1
RC,309,"Fat or lipids, feces; quantitative ",,,16.8,16.8,1
RC,309,"Fatty acids, nonesterified ",,,18.77,18.77,1
RC,309,Felbamate ,,,18.64,18.64,1
RC,309,Fern test ,,,9.74,9.74,1
RC,309,Ferritin ,,,13.63,13.63,1
RC,309,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy ",,,795.0,795.0,1
RC,309,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 ",,,759.05,759.05,1
RC,309,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood ",,,759.05,759.05,1
RC,309,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score ",,,69.52,69.52,1
RC,309,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,153.5,153.5,1
RC,309,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,55.54,55.54,1
RC,309,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score ",,,1487.37,1487.37,1
RC,309,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score ",,,54.3,54.3,1
RC,309,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative ",,,64.41,64.41,1
RC,309,Fetal lung maturity assessment; fluorescence polarization ,,,18.91,18.91,1
RC,309,Fetal lung maturity assessment; foam stability test ,,,18.91,18.91,1
RC,309,Fetal lung maturity assessment; lamellar body density ,,,19.32,19.32,1
RC,309,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio ,,,21.99,21.99,1
RC,309,"Fibrin degradation products, D-dimer; qualitative or semiquantitative ",,,9.72,9.72,1
RC,309,"Fibrin degradation products, D-dimer; quantitative ",,,10.18,10.18,1
RC,309,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative ",,,10.18,10.18,1
RC,309,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative ",,,6.89,6.89,1
RC,309,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation ,,,80.46,80.46,1
RC,309,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative ,,,12.43,12.43,1
RC,309,Fibrinogen; activity ,,,9.72,9.72,1
RC,309,Fibrinogen; antigen ,,,14.46,14.46,1
RC,309,"Fibrinolysins or coagulopathy screen, interpretation and report ",,,15.48,15.48,1
RC,309,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin ,,,7.71,7.71,1
RC,309,Fibrinolytic factors and inhibitors; plasmin ,,,7.71,7.71,1
RC,309,Fibrinolytic factors and inhibitors; plasminogen activator ,,,17.19,17.19,1
RC,309,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay ",,,10.18,10.18,1
RC,309,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay ",,,6.53,6.53,1
RC,309,Flecainide ,,,18.64,18.64,1
RC,309,"Fluorescent noninfectious agent antibody; screen, each antibody ",,,12.05,12.05,1
RC,309,"Fluorescent noninfectious agent antibody; titer, each antibody ",,,12.05,12.05,1
RC,309,Fluoride ,,,18.54,18.54,1
RC,309,Folic acid; RBC ,,,17.65,17.65,1
RC,309,Folic acid; serum ,,,14.7,14.7,1
RC,309,"Fresh frozen plasma, thawing, each unit ",,,149.16,149.16,1
RC,309,"Frozen blood, each unit; freezing (includes preparation) ",,,291.26,291.26,1
RC,309,"Frozen blood, each unit; freezing (includes preparation) and thawing ",,,33.84,33.84,1
RC,309,"Frozen blood, each unit; thawing ",,,291.26,291.26,1
RC,309,"Fructose, semen ",,,17.34,17.34,1
RC,309,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) ",,,58.49,58.49,1
RC,309,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) ",,,174.81,174.81,1
RC,309,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,309,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) ",,,375.25,375.25,1
RC,309,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) ",,,47.25,47.25,1
RC,309,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence ",,,101.12,101.12,1
RC,309,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants ",,,61.52,61.52,1
RC,309,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») ",,,35.0,35.0,1
RC,309,"Gabapentin, whole blood, serum, or plasma ",,,21.67,21.67,1
RC,309,"Galactokinase, RBC ",,,21.48,21.48,1
RC,309,Galactose ,,,11.2,11.2,1
RC,309,Galactose-1-phosphate uridyl transferase; quantitative ,,,21.07,21.07,1
RC,309,Galactose-1-phosphate uridyl transferase; screen ,,,11.74,11.74,1
RC,309,Galectin-3 ,,,44.25,44.25,1
RC,309,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each ",,,9.3,9.3,1
RC,309,Gammaglobulin (immunoglobulin); IgE ,,,16.46,16.46,1
RC,309,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each ",,,8.02,8.02,1
RC,309,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry ",,,9.77,9.77,1
RC,309,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); ",,,26.07,26.07,1
RC,309,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry ",,,78.77,78.77,1
RC,309,"Gases, blood, pH only ",,,11.0,11.0,1
RC,309,"Gastric acid analysis, includes pH if performed, each specimen ",,,6.71,6.71,1
RC,309,Gastrin ,,,17.63,17.63,1
RC,309,Gastrin after secretin stimulation ,,,17.69,17.69,1
RC,309,"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004)",,,45.36,45.36,1
RC,309,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,2448.56,2448.56,1
RC,309,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) ",,,2337.65,2337.65,1
RC,309,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis ",,,5031.2,5031.2,1
RC,309,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,2709.95,2709.95,1
RC,309,Gentamicin ,,,16.38,16.38,1
RC,309,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,309,Glucagon ,,,14.29,14.29,1
RC,309,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) ,,,46.07,46.07,1
RC,309,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) ",,,50.5,50.5,1
RC,309,Glucagon tolerance test ,,,17.77,17.77,1
RC,309,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use ",,,3.28,3.28,1
RC,309,"Glucose, body fluid, other than blood ",,,3.93,3.93,1
RC,309,Glucose-6-phosphate dehydrogenase (G6PD); quantitative ,,,9.7,9.7,1
RC,309,Glucose-6-phosphate dehydrogenase (G6PD); screen ,,,6.05,6.05,1
RC,309,"Glucose; blood, reagent strip ",,,5.04,5.04,1
RC,309,Glucose; post glucose dose (includes glucose) ,,,4.75,4.75,1
RC,309,"Glucose; quantitative, blood (except reagent strip) ",,,3.93,3.93,1
RC,309,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) ",,,12.87,12.87,1
RC,309,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) ",,,3.92,3.92,1
RC,309,"Glucosidase, beta ",,,21.48,21.48,1
RC,309,Glutamate dehydrogenase ,,,13.15,13.15,1
RC,309,"Glutamyltransferase, gamma (GGT) ",,,7.2,7.2,1
RC,309,Glutathione ,,,15.45,15.45,1
RC,309,"Glutathione reductase, RBC ",,,9.44,9.44,1
RC,309,Glycated protein ,,,16.76,16.76,1
RC,309,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) ,,,148.41,148.41,1
RC,309,"Gonadotropin, chorionic (hCG); free beta chain ",,,15.29,15.29,1
RC,309,"Gonadotropin, chorionic (hCG); qualitative ",,,7.52,7.52,1
RC,309,"Gonadotropin, chorionic (hCG); quantitative ",,,15.05,15.05,1
RC,309,Gonadotropin; follicle stimulating hormone (FSH) ,,,18.58,18.58,1
RC,309,Gonadotropin; luteinizing hormone (LH) ,,,18.52,18.52,1
RC,309,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) ",,,66.7,66.7,1
RC,309,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) ,,,129.33,129.33,1
RC,309,"Growth hormone, human (HGH) (somatotropin) ",,,16.67,16.67,1
RC,309,"Growth hormone, human (HGH), antibody ",,,15.74,15.74,1
RC,309,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) ",,,75.6,75.6,1
RC,309,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,102.26,102.26,1
RC,309,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,309,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence ",,,600.0,600.0,1
RC,309,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant ",,,375.25,375.25,1
RC,309,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) ",,,174.81,174.81,1
RC,309,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) ",,,202.4,202.4,1
RC,309,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence ",,,324.58,324.58,1
RC,309,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) ",,,375.25,375.25,1
RC,309,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) ",,,51.45,51.45,1
RC,309,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) ",,,65.36,65.36,1
RC,309,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 ",,,345.57,345.57,1
RC,309,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 ",,,402.12,402.12,1
RC,309,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) ",,,404.52,404.52,1
RC,309,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) ",,,335.38,335.38,1
RC,309,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each ",,,169.9,169.9,1
RC,309,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each ",,,177.25,177.25,1
RC,309,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) ",,,403.59,403.59,1
RC,309,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each ",,,74.33,74.33,1
RC,309,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each ",,,127.43,127.43,1
RC,309,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each ",,,109.13,109.13,1
RC,309,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,123.68,123.68,1
RC,309,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 ",,,220.74,220.74,1
RC,309,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each ",,,94.74,94.74,1
RC,309,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each ",,,122.22,122.22,1
RC,309,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen ",,,25.81,25.81,1
RC,309,"HLA typing; A, B, or C, multiple antigens ",,,58.0,58.0,1
RC,309,"HLA typing; DR/DQ, multiple antigens ",,,106.14,106.14,1
RC,309,"HLA typing; DR/DQ, single antigen ",,,30.17,30.17,1
RC,309,"HLA typing; lymphocyte culture, mixed (MLC) ",,,36.56,36.56,1
RC,309,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) ",,,274.83,274.83,1
RC,309,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,Hair analysis (excluding arsenic) ,,,4.95,4.95,1
RC,309,Haloperidol ,,,15.78,15.78,1
RC,309,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,1
RC,309,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,1
RC,309,Haptoglobin; phenotypes ,,,26.89,26.89,1
RC,309,Haptoglobin; quantitative ,,,12.58,12.58,1
RC,309,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,679.57,679.57,1
RC,309,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,1625.0,1625.0,1
RC,309,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes ",,,20.94,20.94,1
RC,309,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified ",,,21.96,21.96,1
RC,309,Heinz bodies; direct ,,,4.2,4.2,1
RC,309,"Heinz bodies; induced, acetyl phenylhydrazine ",,,6.82,6.82,1
RC,309,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,309,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) ",,,67.36,67.36,1
RC,309,Helicobacter pylori; drug administration ,,,7.86,7.86,1
RC,309,Hemagglutination inhibition test (HAI) ,,,8.19,8.19,1
RC,309,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,759.53,759.53,2
RC,309,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) ",,,18.06,18.06,1
RC,309,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) ",,,12.87,12.87,1
RC,309,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) ",,,7.73,7.73,1
RC,309,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette ",,,9.36,9.36,1
RC,309,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin ",,,9.37,9.37,1
RC,309,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin ",,,9.37,9.37,1
RC,309,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) ,,,13.34,13.34,1
RC,309,"Hemoglobin; F (fetal), chemical ",,,10.74,10.74,1
RC,309,"Hemoglobin; F (fetal), qualitative ",,,8.0,8.0,1
RC,309,"Hemoglobin; by copper sulfate method, non-automated ",,,4.01,4.01,1
RC,309,Hemoglobin; glycosylated (A1C) ,,,9.71,9.71,1
RC,309,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use ,,,9.71,9.71,1
RC,309,"Hemoglobin; methemoglobin, qualitative ",,,6.49,6.49,1
RC,309,"Hemoglobin; methemoglobin, quantitative ",,,8.2,8.2,1
RC,309,Hemoglobin; plasma ,,,7.31,7.31,1
RC,309,"Hemoglobin; sulfhemoglobin, quantitative ",,,8.8,8.8,1
RC,309,Hemoglobin; thermolabile ,,,9.0,9.0,1
RC,309,"Hemoglobin; unstable, screen ",,,9.47,9.47,1
RC,309,Hemoglobin; urine ,,,3.95,3.95,1
RC,309,"Hemolysin, acid ",,,8.87,8.87,1
RC,309,"Hemolysins and agglutinins; auto, screen, each ",,,8.77,8.77,1
RC,309,Hemolysins and agglutinins; incubated ,,,12.11,12.11,1
RC,309,"Hemosiderin, qualitative ",,,4.75,4.75,1
RC,309,Heparin assay ,,,13.09,13.09,1
RC,309,Heparin neutralization ,,,11.84,11.84,1
RC,309,Heparin-protamine tolerance test ,,,13.09,13.09,1
RC,309,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,8.17,8.17,1
RC,309,Hepatitis A antibody (HAAb) ,,,12.39,12.39,1
RC,309,"Hepatitis A antibody (HAAb), IgM antibody ",,,11.26,11.26,1
RC,309,Hepatitis B core antibody (HBcAb); IgM antibody ,,,11.77,11.77,1
RC,309,Hepatitis B core antibody (HBcAb); total ,,,12.05,12.05,1
RC,309,Hepatitis B surface antibody (HBsAb) ,,,10.74,10.74,1
RC,309,Hepatitis Be antibody (HBeAb) ,,,11.57,11.57,1
RC,309,Hepatitis C antibody; ,,,14.27,14.27,1
RC,309,"Hepatitis C antibody; confirmatory test (eg, immunoblot) ",,,15.49,15.49,1
RC,309,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,1
RC,309,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,1
RC,309,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,679.05,679.05,1
RC,309,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,584.9,584.9,1
RC,309,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,584.9,584.9,1
RC,309,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,438.93,438.93,1
RC,309,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,584.9,584.9,1
RC,309,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,597.91,597.91,1
RC,309,Heterophile antibodies; screening ,,,5.18,5.18,1
RC,309,Heterophile antibodies; titer ,,,6.47,6.47,1
RC,309,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney ,,,7.37,7.37,1
RC,309,Histamine ,,,29.53,29.53,1
RC,309,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,1
RC,309,Homocysteine ,,,17.92,17.92,1
RC,309,"Homogenization, tissue, for culture ",,,5.88,5.88,1
RC,309,Homovanillic acid (HVA) ,,,22.41,22.41,1
RC,309,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,309,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) ",,,122.22,122.22,1
RC,309,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,122.22,122.22,1
RC,309,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,122.22,122.22,1
RC,309,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,122.22,122.22,1
RC,309,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,122.22,122.22,1
RC,309,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,122.22,122.22,1
RC,309,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,122.22,122.22,1
RC,309,Human epididymis protein 4 (HE4) ,,,20.81,20.81,1
RC,309,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) ",,,36.53,36.53,1
RC,309,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution ",,,109.49,109.49,1
RC,309,Hydroxychloroquine ,,,18.64,18.64,1
RC,309,"Hydroxycorticosteroids, 17- (17-OHCS) ",,,17.9,17.9,1
RC,309,"Hydroxyindolacetic acid, 5-(HIAA) ",,,12.9,12.9,1
RC,309,"Hydroxyprogesterone, 17-d ",,,27.17,27.17,1
RC,309,Hydroxyproline; free ,,,22.65,22.65,1
RC,309,Hydroxyproline; total ,,,24.3,24.3,1
RC,309,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) ",,,193.25,193.25,1
RC,309,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) ",,,295.79,295.79,1
RC,309,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant ",,,73.37,73.37,1
RC,309,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis ",,,294.52,294.52,1
RC,309,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,197.99,197.99,1
RC,309,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) ",,,68.55,68.55,1
RC,309,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative ",,,207.31,207.31,1
RC,309,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,172.73,172.73,1
RC,309,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) ",,,39.31,39.31,1
RC,309,Immune complex assay ,,,24.37,24.37,1
RC,309,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method ",,,11.53,11.53,1
RC,309,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) ",,,9.64,9.64,1
RC,309,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) ",,,18.4,18.4,1
RC,309,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ",,,17.27,17.27,1
RC,309,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); ",,,18.09,18.09,1
RC,309,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,45.28,45.28,1
RC,309,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified ",,,14.99,14.99,1
RC,309,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each ",,,20.81,20.81,1
RC,309,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) ",,,25.57,25.57,1
RC,309,"Immunoassay for tumor antigen, quantitative; CA 125 ",,,20.81,20.81,1
RC,309,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) ",,,20.81,20.81,1
RC,309,"Immunoassay for tumor antigen, quantitative; CA 19-9 ",,,20.81,20.81,1
RC,309,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody ",,,11.98,11.98,1
RC,309,Immunodiffusion; not elsewhere specified ,,,14.05,14.05,1
RC,309,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration ",,,23.13,23.13,1
RC,309,Immunoelectrophoresis; serum ,,,29.92,29.92,1
RC,309,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) ",,,29.35,29.35,1
RC,309,Immunofixation electrophoresis; serum ,,,22.34,22.34,1
RC,309,"Immunoglobulin light chains (ie, kappa, lambda), free, each ",,,17.27,17.27,1
RC,309,"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,65.25,65.25,1
RC,309,"Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure ",,,291.26,291.26,1
RC,309,"In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) ",,,109.56,109.56,1
RC,309,"In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure ",,,291.26,291.26,1
RC,309,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,1
RC,309,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,1
RC,309,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,1
RC,309,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,10.33,73.62,31
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis ",,,35.29,35.29,1
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A ",,,16.0,16.0,1
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies ",,,32.77,32.77,1
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza ",,,16.55,16.55,1
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae ",,,24.56,24.56,1
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A ",,,16.53,16.53,1
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B ",,,12.73,12.73,1
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis ",,,15.29,15.29,1
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus ",,,21.76,21.76,1
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified ",,,16.07,16.07,1
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus ",,,13.1,13.1,1
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») ",,,41.52,41.52,1
RC,309,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,74.48,74.48,1
RC,309,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum ",,,11.98,11.98,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis ,,,11.98,11.98,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis ,,,11.98,11.98,1
RC,309,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,309,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) ",,,13.42,13.42,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 ,,,11.98,11.98,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 ,,,11.98,11.98,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila ,,,15.6,15.6,1
RC,309,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type ",,,16.43,16.43,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii ,,,11.98,11.98,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; Rubeola ,,,60.8,60.8,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum ,,,12.18,12.18,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus ,,,13.42,13.42,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; adenovirus ,,,14.43,14.43,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium ,,,11.98,11.98,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; giardia ,,,13.61,13.61,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; influenza A virus ,,,16.07,16.07,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; influenza B virus ,,,12.25,12.25,1
RC,309,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism ",,,16.1,16.1,1
RC,309,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus ,,,13.42,13.42,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique ",,,70.2,70.2,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique ",,,43.67,43.67,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism ",,,30.03,30.03,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism ",,,42.84,42.84,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification ",,,42.84,42.84,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique ",,,20.05,20.05,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique ",,,20.05,20.05,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification ",,,55.74,55.74,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification ",,,42.84,42.84,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique ",,,70.18,70.18,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique ",,,22.75,22.75,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification ",,,53.47,53.47,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique ",,,37.27,37.27,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique ",,,20.05,20.05,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification ",,,41.76,41.76,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique ",,,21.92,21.92,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed ",,,85.1,85.1,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique ",,,21.92,21.92,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed ",,,58.62,58.62,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique ",,,20.05,20.05,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification ",,,42.84,42.84,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique ",,,58.0,58.0,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification ",,,41.76,41.76,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) ",,,70.2,70.2,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed ",,,40.55,40.55,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique ",,,20.05,20.05,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification ",,,41.76,41.76,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique ",,,27.29,27.29,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification ",,,42.84,42.84,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique ",,,48.24,48.24,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique ",,,20.05,20.05,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification ",,,42.84,42.84,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique ",,,41.68,41.68,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique ",,,26.88,26.88,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification ",,,42.84,42.84,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique ",,,76.77,76.77,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique ",,,20.05,20.05,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification ",,,302.62,302.62,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique ",,,26.88,26.88,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification ",,,42.84,42.84,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each ",,,51.17,51.17,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique ",,,20.05,20.05,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification ",,,41.76,41.76,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique ",,,20.05,20.05,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique ",,,51.31,51.31,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,416.78,416.78,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique ",,,30.03,30.03,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification ",,,42.84,42.84,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,128.29,416.78,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification ",,,42.84,42.84,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique ",,,31.22,31.22,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed ",,,42.84,42.84,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed ",,,42.84,42.84,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique ",,,39.26,39.26,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique ",,,29.8,29.8,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification ",,,41.76,41.76,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,29.22,95.8,2
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype ",,,51.31,51.31,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets ",,,679.77,679.77,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique ",,,70.2,70.2,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,142.63,416.78,3
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,142.71,142.71,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique ",,,51.31,51.31,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,142.71,142.71,1
RC,309,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,1
RC,309,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,1
RC,309,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics ,,,130.35,130.35,1
RC,309,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) ",,,12.22,12.22,1
RC,309,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) ",,,128.73,128.73,1
RC,309,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions ",,,257.45,257.45,1
RC,309,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus ,,,257.45,257.45,1
RC,309,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus ,,,257.45,257.45,1
RC,309,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus ,,,257.45,257.45,1
RC,309,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,257.45,257.45,1
RC,309,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,26.07,26.07,1
RC,309,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested ",,,488.66,488.66,1
RC,309,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,262.99,262.99,1
RC,309,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,262.99,262.99,1
RC,309,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,142.63,142.63,1
RC,309,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,72.19,72.19,1
RC,309,Infliximab ,,,38.57,38.57,1
RC,309,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,2448.56,2448.56,1
RC,309,Inhibin A ,,,15.59,15.59,1
RC,309,Insemination of oocytes ,,,149.16,149.16,1
RC,309,Insulin antibodies ,,,21.41,21.41,1
RC,309,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) ,,,285.03,285.03,1
RC,309,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) ,,,103.0,103.0,1
RC,309,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) ,,,165.61,165.61,1
RC,309,Insulin; free ,,,12.95,12.95,1
RC,309,Insulin; total ,,,11.43,11.43,1
RC,309,Interleukin-6 (IL-6) ,,,17.27,17.27,1
RC,309,Intrinsic factor ,,,19.82,19.82,1
RC,309,Intrinsic factor antibodies ,,,15.08,15.08,1
RC,309,Iron ,,,6.47,6.47,1
RC,309,Iron binding capacity ,,,8.74,8.74,1
RC,309,"Iron stain, peripheral blood ",,,6.88,6.88,1
RC,309,"Irradiation of blood product, each unit ",,,33.84,33.84,1
RC,309,Islet cell antibody ,,,23.57,23.57,1
RC,309,Isocitric dehydrogenase (IDH) ,,,8.85,8.85,1
RC,309,Itraconazole ,,,27.11,27.11,1
RC,309,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant ",,,91.66,91.66,1
RC,309,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) ",,,185.2,185.2,1
RC,309,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,329.51,329.51,1
RC,309,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) ",,,124.87,124.87,1
RC,309,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) ",,,193.25,193.25,1
RC,309,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) ",,,193.25,193.25,1
RC,309,"Ketogenic steroids, fractionation ",,,15.47,15.47,1
RC,309,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative ",,,4.52,4.52,1
RC,309,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative ",,,8.17,8.17,1
RC,309,"Ketosteroids, 17- (17-KS); fractionation ",,,28.5,28.5,1
RC,309,"Ketosteroids, 17- (17-KS); total ",,,12.8,12.8,1
RC,309,Lacosamide ,,,27.11,27.11,1
RC,309,Lactate (lactic acid) ,,,11.57,11.57,1
RC,309,"Lactate dehydrogenase (LD), (LDH); ",,,6.04,6.04,1
RC,309,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation ",,,12.79,12.79,1
RC,309,"Lactoferrin, fecal; qualitative ",,,19.7,19.7,1
RC,309,"Lactoferrin, fecal; quantitative ",,,19.63,19.63,1
RC,309,"Lactogen, human placental (HPL) human chorionic somatomammotropin ",,,20.22,20.22,1
RC,309,"Lactose, urine, qualitative ",,,11.25,11.25,1
RC,309,Lamotrigine ,,,13.25,13.25,1
RC,309,Lead ,,,12.11,12.11,1
RC,309,Leflunomide ,,,38.57,38.57,1
RC,309,Leucine aminopeptidase (LAP) ,,,9.81,9.81,1
RC,309,Leukocyte alkaline phosphatase with count ,,,8.6,8.6,1
RC,309,"Leukocyte assessment, fecal, qualitative or semiquantitative ",,,4.27,4.27,1
RC,309,Leukocyte histamine release test (LHR) ,,,12.46,12.46,1
RC,309,Leukocyte phagocytosis ,,,10.39,10.39,1
RC,309,Leukocyte transfusion ,,,149.16,149.16,1
RC,309,Levetiracetam ,,,13.25,13.25,1
RC,309,Lidocaine ,,,14.69,14.69,1
RC,309,Lipase ,,,6.89,6.89,1
RC,309,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) ",,,13.39,13.39,1
RC,309,Lipoprotein (a) ,,,14.32,14.32,1
RC,309,"Lipoprotein, blood; electrophoretic separation and quantitation ",,,11.26,11.26,1
RC,309,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) ",,,33.86,33.86,1
RC,309,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed ",,,34.19,34.19,1
RC,309,"Lipoprotein, direct measurement; LDL cholesterol ",,,10.5,10.5,1
RC,309,"Lipoprotein, direct measurement; VLDL cholesterol ",,,12.75,12.75,1
RC,309,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) ",,,8.19,8.19,1
RC,309,"Lipoprotein, direct measurement; small dense LDL cholesterol ",,,34.19,34.19,1
RC,309,Lipoprotein-associated phospholipase A2 (Lp-PLA2) ,,,46.31,46.31,1
RC,309,Lithium ,,,6.61,6.61,1
RC,309,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,176.19,176.19,1
RC,309,Luteinizing releasing factor (LRH) ,,,17.19,17.19,1
RC,309,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis ",,,49.03,49.03,1
RC,309,"Lymphocytotoxicity assay, visual crossmatch; with titration ",,,189.51,189.51,1
RC,309,"Lymphocytotoxicity assay, visual crossmatch; without titration ",,,47.59,47.59,1
RC,309,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) ",,,39.31,39.31,1
RC,309,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants ",,,150.0,150.0,1
RC,309,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis ",,,527.87,527.87,1
RC,309,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant ",,,120.0,120.0,1
RC,309,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis ",,,124.64,124.64,1
RC,309,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,202.4,202.4,1
RC,309,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,675.4,675.4,1
RC,309,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,309,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis ",,,192.32,192.32,1
RC,309,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) ",,,150.33,150.33,1
RC,309,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 ",,,185.2,185.2,1
RC,309,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,213.3,213.3,1
RC,309,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,381.7,381.7,1
RC,309,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,337.73,337.73,1
RC,309,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,238.0,238.0,1
RC,309,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,641.85,641.85,1
RC,309,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,308.0,308.0,1
RC,309,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) ",,,65.34,65.34,1
RC,309,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant ",,,175.4,175.4,1
RC,309,Macroscopic examination; arthropod ,,,4.27,4.27,1
RC,309,Macroscopic examination; parasite ,,,4.31,4.31,1
RC,309,Magnesium ,,,6.7,6.7,1
RC,309,Malate dehydrogenase ,,,7.37,7.37,1
RC,309,Manganese ,,,26.65,26.65,1
RC,309,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen ",,,24.11,24.11,1
RC,309,"Meat fibers, feces ",,,4.85,4.85,1
RC,309,"Mechanical fragility, RBC ",,,8.6,8.6,1
RC,309,"Mercury, quantitative ",,,16.26,16.26,1
RC,309,Metanephrines ,,,16.94,16.94,1
RC,309,Methemalbumin ,,,10.74,10.74,1
RC,309,Methotrexate ,,,38.57,38.57,1
RC,309,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) ,,,91.16,91.16,1
RC,309,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity ",,,22.48,22.48,1
RC,309,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,348.56,348.56,1
RC,309,"Microsomal antibodies (eg, thyroid or liver-kidney), each ",,,14.55,14.55,1
RC,309,"Mitochondrial antibody (eg, M2), each ",,,25.45,25.45,1
RC,309,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,63.96,63.96,1
RC,309,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,137.0,137.0,1
RC,309,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,150.33,150.33,1
RC,309,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,185.2,185.2,1
RC,309,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,274.83,274.83,1
RC,309,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,301.35,301.35,1
RC,309,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,282.88,282.88,1
RC,309,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,846.27,846.27,1
RC,309,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,2000.0,2000.0,1
RC,309,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen ",,,26.78,26.78,1
RC,309,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary pr",,,85.84,85.84,1
RC,309,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,309,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each additional single probe stain procedure (List separately in add",,,47.11,47.11,1
RC,309,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure ",,,149.16,149.16,1
RC,309,"Mucin, synovial fluid (Ropes test) ",,,5.86,5.86,1
RC,309,"Mucopolysaccharides, acid, quantitative ",,,28.5,28.5,1
RC,309,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,1
RC,309,Muramidase ,,,18.75,18.75,1
RC,309,Muscle-specific kinase (MuSK) antibody ,,,18.4,18.4,1
RC,309,Mycophenolate (mycophenolic acid) ,,,18.05,18.05,1
RC,309,"Myelin basic protein, cerebrospinal fluid ",,,17.2,17.2,1
RC,309,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each ",,,12.05,12.05,1
RC,309,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each ",,,12.05,12.05,1
RC,309,Myeloperoxidase (MPO) ,,,50.86,50.86,1
RC,309,Myoglobin ,,,12.92,12.92,1
RC,309,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants ",,,246.52,246.52,1
RC,309,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) ",,,295.79,295.79,1
RC,309,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis ",,,518.28,518.28,1
RC,309,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,309,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,309,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis ",,,207.31,207.31,1
RC,309,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) ",,,291.36,291.36,1
RC,309,Nasal smear for eosinophils ,,,5.79,5.79,1
RC,309,Natriuretic peptide ,,,39.26,39.26,1
RC,309,"Natural killer (NK) cells, total count ",,,37.73,37.73,1
RC,309,"Nephelometry, each analyte not elsewhere specified ",,,13.6,13.6,1
RC,309,Neurofilament light chain (NfL) ,,,116.23,116.23,1
RC,309,"Neutralization test, viral ",,,16.91,16.91,1
RC,309,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen ",,,42.22,42.22,1
RC,309,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer ",,,105.38,105.38,1
RC,309,Nickel ,,,24.51,24.51,1
RC,309,Nitroblue tetrazolium dye test (NTD) ,,,13.61,13.61,1
RC,309,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,2143.6,2143.6,1
RC,309,"Nuclear Matrix Protein 22 (NMP22), qualitative ",,,21.78,21.78,1
RC,309,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,3324.0,3324.0,1
RC,309,Nucleotidase 5'- ,,,11.15,11.15,1
RC,309,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,74.86,74.86,1
RC,309,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,47.81,47.81,1
RC,309,Oligoclonal immune (oligoclonal bands) ,,,27.39,27.39,1
RC,309,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,2510.21,2510.21,1
RC,309,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,3873.0,3873.0,1
RC,309,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score ",,,3873.0,3873.0,1
RC,309,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,3873.0,3873.0,1
RC,309,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,3873.0,3873.0,1
RC,309,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,3116.0,3116.0,1
RC,309,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,508.87,508.87,1
RC,309,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,7193.0,7193.0,1
RC,309,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,177.56,177.56,1
RC,309,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,579.46,579.46,1
RC,309,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,760.0,760.0,1
RC,309,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival ",,,2871.0,2871.0,1
RC,309,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score ",,,897.0,897.0,1
RC,309,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score ",,,260.5,260.5,1
RC,309,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,3873.0,3873.0,1
RC,309,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,2030.0,2030.0,1
RC,309,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) ",,,3600.0,3600.0,1
RC,309,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores ",,,520.0,520.0,1
RC,309,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3750.0,3750.0,1
RC,309,Oncoprotein; HER-2/neu ,,,64.41,64.41,1
RC,309,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) ,,,64.41,64.41,1
RC,309,Oocyte identification from follicular fluid ,,,149.16,149.16,1
RC,309,"Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session ",,,49.2,49.2,1
RC,309,"Organic acid, single, quantitative ",,,21.21,21.21,1
RC,309,"Organic acids; qualitative, each specimen ",,,16.45,16.45,1
RC,309,"Organic acids; total, quantitative, each specimen ",,,23.6,23.6,1
RC,309,Osmolality; blood ,,,6.61,6.61,1
RC,309,Osmolality; urine ,,,6.82,6.82,1
RC,309,"Osmotic fragility, RBC; incubated ",,,13.36,13.36,1
RC,309,"Osmotic fragility, RBC; unincubated ",,,7.47,7.47,1
RC,309,Osteocalcin (bone g1a protein) ,,,29.85,29.85,1
RC,309,"Ova and parasites, direct smears, concentration and identification ",,,8.9,8.9,1
RC,309,"Ovulation tests, by visual color comparison methods for human luteinizing hormone ",,,12.7,12.7,1
RC,309,Oxalate ,,,14.45,14.45,1
RC,309,Oxcarbazepine ,,,13.25,13.25,1
RC,309,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) ",,,255.05,255.05,1
RC,309,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) ",,,329.51,329.51,1
RC,309,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) ",,,291.36,291.36,1
RC,309,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,207.31,207.31,1
RC,309,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,207.31,207.31,1
RC,309,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis ",,,758.36,758.36,1
RC,309,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis ",,,769.58,769.58,1
RC,309,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant ",,,46.6,46.6,1
RC,309,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants ",,,203.5,203.5,1
RC,309,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis ",,,676.5,676.5,1
RC,309,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants ",,,331.0,331.0,1
RC,309,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant ",,,300.0,300.0,1
RC,309,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis ",,,600.0,600.0,1
RC,309,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant ",,,46.6,46.6,1
RC,309,Parathormone (parathyroid hormone) ,,,41.28,41.28,1
RC,309,"Particle agglutination; screen, each antibody ",,,11.54,11.54,1
RC,309,"Particle agglutination; titer, each antibody ",,,10.64,10.64,1
RC,309,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) ",,,43.99,43.99,1
RC,309,Phencyclidine (PCP) ,,,41.52,41.52,1
RC,309,Phenobarbital ,,,15.3,15.3,1
RC,309,"Phenylalanine (PKU), blood ",,,5.5,5.5,1
RC,309,"Phenylketones, qualitative ",,,3.98,3.98,1
RC,309,Phenytoin; free ,,,13.76,13.76,1
RC,309,Phenytoin; total ,,,13.25,13.25,1
RC,309,"Phosphatase, acid; prostatic ",,,9.66,9.66,1
RC,309,"Phosphatase, acid; total ",,,7.64,7.64,1
RC,309,"Phosphatase, alkaline; ",,,5.18,5.18,1
RC,309,"Phosphatase, alkaline; heat stable (total not included) ",,,8.26,8.26,1
RC,309,"Phosphatase, alkaline; isoenzymes ",,,14.78,14.78,1
RC,309,Phosphatidylglycerol ,,,16.52,16.52,1
RC,309,"Phosphogluconate, 6-, dehydrogenase, RBC ",,,9.44,9.44,1
RC,309,Phosphohexose isomerase ,,,10.73,10.73,1
RC,309,Phospholipid neutralization; hexagonal phospholipid ,,,17.98,17.98,1
RC,309,Phospholipid neutralization; platelet ,,,17.98,17.98,1
RC,309,Phosphorus inorganic (phosphate); ,,,4.74,4.74,1
RC,309,Phosphorus inorganic (phosphate); urine ,,,5.78,5.78,1
RC,309,"Pinworm exam (eg, cellophane tape prep) ",,,4.27,4.27,1
RC,309,Pinworm examinations ,,,4.27,4.27,1
RC,309,"Platelet, aggregation (in vitro), each agent ",,,24.91,24.91,1
RC,309,Pooling of platelets or other blood products ,,,149.16,149.16,1
RC,309,"Porphobilinogen, urine; qualitative ",,,5.82,5.82,1
RC,309,"Porphobilinogen, urine; quantitative ",,,8.44,8.44,1
RC,309,"Porphyrins, feces, quantitative ",,,39.11,39.11,1
RC,309,"Porphyrins, urine; qualitative ",,,13.36,13.36,1
RC,309,"Porphyrins, urine; quantitation and fractionation ",,,14.71,14.71,1
RC,309,Posaconazole ,,,27.11,27.11,1
RC,309,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,1
RC,309,"Potassium; serum, plasma or whole blood ",,,4.76,4.76,1
RC,309,Potassium; urine ,,,4.73,4.73,1
RC,309,Prealbumin ,,,14.59,14.59,1
RC,309,Pregnancy-associated plasma protein-A (PAPP-A) ,,,15.05,15.05,1
RC,309,Pregnanediol ,,,21.27,21.27,1
RC,309,Pregnanetriol ,,,21.05,21.05,1
RC,309,Pregnenolone ,,,20.67,20.67,1
RC,309,Preparation of embryo for transfer (any method) ,,,49.76,49.76,1
RC,309,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation ",,,149.16,149.16,1
RC,309,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each ",,,33.84,33.84,1
RC,309,"Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each ",,,291.26,291.26,1
RC,309,"Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption ",,,33.84,33.84,1
RC,309,Pretreatment of serum for use in RBC antibody identification; by dilution ,,,24.67,24.67,1
RC,309,"Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each ",,,270.22,270.22,1
RC,309,"Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each ",,,149.16,149.16,1
RC,309,Primidone ,,,16.59,16.59,1
RC,309,Procainamide; ,,,60.0,60.0,1
RC,309,"Procainamide; with metabolites (eg, n-acetyl procainamide) ",,,16.75,16.75,1
RC,309,Procalcitonin (PCT) ,,,27.22,27.22,1
RC,309,Progesterone ,,,20.86,20.86,1
RC,309,Proinsulin ,,,26.69,26.69,1
RC,309,Prolactin ,,,19.38,19.38,1
RC,309,"Prostaglandin, each ",,,41.77,41.77,1
RC,309,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,1
RC,309,Prostate specific antigen (PSA); complexed (direct measurement) ,,,18.39,18.39,1
RC,309,Prostate specific antigen (PSA); free ,,,18.39,18.39,1
RC,309,Prostate specific antigen (PSA); total ,,,18.39,18.39,1
RC,309,"Protein, total, by refractometry, any source ",,,5.61,5.61,1
RC,309,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) ",,,4.0,4.0,1
RC,309,"Protein, total, except by refractometry; serum, plasma or whole blood ",,,3.67,3.67,1
RC,309,"Protein, total, except by refractometry; urine ",,,3.67,3.67,1
RC,309,"Protein; Western Blot, with interpretation and report, blood or other body fluid ",,,17.03,17.03,1
RC,309,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each ",,,29.21,29.21,1
RC,309,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) ",,,17.83,17.83,1
RC,309,"Protein; electrophoretic fractionation and quantitation, serum ",,,10.74,10.74,1
RC,309,Prothrombin time; ,,,4.29,4.29,1
RC,309,"Prothrombin time; substitution, plasma fractions, each ",,,3.94,3.94,1
RC,309,"Protoporphyrin, RBC; quantitative ",,,14.35,14.35,1
RC,309,"Protoporphyrin, RBC; screen ",,,9.74,9.74,1
RC,309,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,5500.0,5500.0,1
RC,309,Pyridoxal phosphate (Vitamin B-6) ,,,28.1,28.1,1
RC,309,Pyruvate ,,,14.48,14.48,1
RC,309,Pyruvate kinase ,,,9.44,9.44,1
RC,309,"Quantitation of therapeutic drug, not elsewhere specified ",,,18.64,18.64,1
RC,309,Quinidine ,,,14.6,14.6,1
RC,309,Quinine ,,,11.63,11.63,1
RC,309,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) ",,,329.51,329.51,1
RC,309,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) ",,,71.23,71.23,1
RC,309,Receptor assay; estrogen ,,,87.88,87.88,1
RC,309,Receptor assay; non-endocrine (specify receptor) ,,,36.57,36.57,1
RC,309,Receptor assay; progesterone ,,,64.88,64.88,1
RC,309,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,8.68,8.68,1
RC,309,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) ",,,209.32,209.32,1
RC,309,Renin ,,,21.99,21.99,1
RC,309,Reptilase test ,,,9.85,9.85,1
RC,309,Reticulated platelet assay ,,,35.74,35.74,1
RC,309,Rheumatoid factor; qualitative ,,,6.14,6.14,1
RC,309,Rheumatoid factor; quantitative ,,,5.67,5.67,1
RC,309,Riboflavin (Vitamin B-2) ,,,20.24,20.24,1
RC,309,Rufinamide ,,,27.11,27.11,1
RC,309,Russell viper venom time (includes venom); diluted ,,,9.58,9.58,1
RC,309,Russell viper venom time (includes venom); undiluted ,,,17.49,17.49,1
RC,309,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis ",,,192.0,192.0,1
RC,309,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) ",,,43.65,43.65,1
RC,309,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) ",,,193.25,193.25,1
RC,309,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) ",,,174.81,174.81,1
RC,309,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,137.0,137.0,1
RC,309,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence ",,,301.35,301.35,1
RC,309,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) ",,,185.2,185.2,1
RC,309,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) ",,,47.0,47.0,1
RC,309,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis ",,,51.07,51.07,1
RC,309,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) ",,,175.4,175.4,1
RC,309,Salicylate ,,,18.64,18.64,1
RC,309,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,1
RC,309,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,1
RC,309,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,1
RC,309,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,1
RC,309,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,1
RC,309,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,1
RC,309,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,1
RC,309,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,1
RC,309,"Sedimentation rate, erythrocyte; automated ",,,2.7,2.7,1
RC,309,"Sedimentation rate, erythrocyte; non-automated ",,,4.27,4.27,1
RC,309,Selenium ,,,25.53,25.53,1
RC,309,Semen analysis; motility and count (not including Huhner test) ,,,8.61,8.61,1
RC,309,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,1
RC,309,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) ,,,9.84,9.84,1
RC,309,"Semen analysis; sperm presence and motility of sperm, if performed ",,,12.05,12.05,1
RC,309,"Semen analysis; volume, count, motility, and differential ",,,12.31,12.31,1
RC,309,Serotonin ,,,30.98,30.98,1
RC,309,Serum bactericidal titer (Schlichter test) ,,,15.02,15.02,1
RC,309,Serum screening for cytotoxic percent reactive antibody (PRA); quick method ,,,29.68,29.68,1
RC,309,Serum screening for cytotoxic percent reactive antibody (PRA); standard method ,,,78.65,78.65,1
RC,309,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative ",,,42.22,42.22,1
RC,309,Sex hormone binding globulin (SHBG) ,,,21.73,21.73,1
RC,309,Sialic acid ,,,13.44,13.44,1
RC,309,"Sickling of RBC, reduction ",,,5.51,5.51,1
RC,309,Silica ,,,25.21,25.21,1
RC,309,Sirolimus ,,,13.73,13.73,1
RC,309,Skin test; candida ,,,24.67,24.67,1
RC,309,Skin test; histoplasmosis ,,,55.66,55.66,1
RC,309,"Skin test; tuberculosis, intradermal ",,,24.67,24.67,1
RC,309,"Skin test; unlisted antigen, each ",,,24.67,24.67,1
RC,309,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types ",,,4.27,4.27,1
RC,309,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites ",,,17.98,17.98,1
RC,309,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types ",,,5.39,5.39,1
RC,309,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) ",,,5.99,5.99,1
RC,309,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) ",,,5.82,5.82,1
RC,309,Sodium; other source ,,,4.86,4.86,1
RC,309,"Sodium; serum, plasma or whole blood ",,,4.81,4.81,1
RC,309,Sodium; urine ,,,5.06,5.06,1
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,597.91,597.91,1
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis ",,,597.91,597.91,1
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,1195.83,1195.83,1
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,3288.51,3288.51,1
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability ",,,1345.31,1345.31,1
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,2989.55,2989.55,1
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability ",,,1046.35,1046.35,1
RC,309,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability ",,,896.87,896.87,1
RC,309,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,2919.6,2919.6,2
RC,309,Somatomedin ,,,21.26,21.26,1
RC,309,Somatostatin ,,,18.28,18.28,1
RC,309,Specific gravity (except urine) ,,,3.28,3.28,1
RC,309,"Spectrophotometry, analyte not elsewhere specified ",,,8.1,8.1,1
RC,309,Sperm antibodies ,,,10.67,10.67,1
RC,309,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test ",,,10.38,10.38,1
RC,309,Sperm evaluation; hamster penetration test ,,,19.59,19.59,1
RC,309,Sperm identification from aspiration (other than seminal fluid) ,,,49.76,49.76,1
RC,309,"Sperm identification from testis tissue, fresh or cryopreserved ",,,49.76,49.76,1
RC,309,"Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,309,"Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis ",,,49.76,49.76,1
RC,309,"Splitting of blood or blood products, each unit ",,,149.16,149.16,1
RC,309,"Sputum, obtaining specimen, aerosol induced technique (separate procedure) ",,,149.16,149.16,1
RC,309,"Stem cells (ie, CD34), total count ",,,77.78,77.78,1
RC,309,Storage (per year); embryo(s) ,,,149.16,149.16,1
RC,309,Storage (per year); oocyte(s) ,,,291.26,291.26,1
RC,309,"Storage (per year); reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,309,Storage (per year); sperm/semen ,,,149.16,149.16,1
RC,309,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative ",,,92.03,92.03,1
RC,309,"Streptokinase, antibody ",,,12.66,12.66,1
RC,309,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen ",,,5.5,5.5,1
RC,309,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen ",,,11.53,11.53,1
RC,309,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen ",,,5.5,5.5,1
RC,309,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen ",,,11.53,11.53,1
RC,309,"Sugars, chromatographic, TLC or paper chromatography ",,,39.0,39.0,1
RC,309,"Sulfate, urine ",,,5.49,5.49,1
RC,309,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) ",,,4.75,4.75,1
RC,309,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate ",,,35.09,35.09,1
RC,309,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) ",,,7.48,7.48,1
RC,309,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme ",,,4.75,4.75,1
RC,309,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent ",,,6.64,6.64,1
RC,309,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate ",,,8.65,8.65,1
RC,309,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) ",,,40.17,40.17,1
RC,309,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent ",,,7.31,7.31,1
RC,309,Sweat collection by iontophoresis ,,,49.76,49.76,1
RC,309,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) ",,,4.27,4.27,1
RC,309,"Syphilis test, non-treponemal antibody; quantitative ",,,4.4,4.4,1
RC,309,"T cells; absolute CD4 and CD8 count, including ratio ",,,46.98,46.98,1
RC,309,T cells; absolute CD4 count ,,,26.78,26.78,1
RC,309,T cells; total count ,,,37.73,37.73,1
RC,309,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles ",,,137.0,137.0,1
RC,309,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) ",,,185.2,185.2,1
RC,309,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) ",,,137.0,137.0,1
RC,309,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence ",,,641.85,641.85,1
RC,309,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant ",,,308.0,308.0,1
RC,309,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) ",,,329.51,329.51,1
RC,309,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) ",,,174.81,174.81,1
RC,309,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) ",,,208.92,208.92,1
RC,309,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) ",,,49.59,49.59,1
RC,309,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) ",,,201.5,201.5,1
RC,309,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) ",,,174.81,174.81,1
RC,309,Tacrolimus ,,,13.73,13.73,1
RC,309,"Tau, phosphorylated (eg, pTau 181, pTau 217), each ",,,128.92,128.92,1
RC,309,"Tau, total (tTau) ",,,128.92,128.92,1
RC,309,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) ",,,51.28,51.28,1
RC,309,Testosterone; free ,,,25.47,25.47,1
RC,309,Testosterone; total ,,,25.81,25.81,1
RC,309,Thawing of cryopreserved; embryo(s) ,,,149.16,149.16,1
RC,309,"Thawing of cryopreserved; oocytes, each aliquot ",,,149.16,149.16,1
RC,309,"Thawing of cryopreserved; reproductive tissue, testicular/ovarian ",,,149.16,149.16,1
RC,309,"Thawing of cryopreserved; sperm/semen, each aliquot ",,,49.76,49.76,1
RC,309,Theophylline ,,,14.14,14.14,1
RC,309,Thiamine (Vitamin B-1) ,,,21.23,21.23,1
RC,309,Thiocyanate ,,,11.63,11.63,1
RC,309,Thiopurine S-methyltransferase (TPMT) ,,,22.17,22.17,1
RC,309,Thrombin time; plasma ,,,5.77,5.77,1
RC,309,Thrombin time; titer ,,,6.85,6.85,1
RC,309,Thrombomodulin ,,,17.27,17.27,1
RC,309,"Thromboplastin inhibition, tissue ",,,9.63,9.63,1
RC,309,"Thromboplastin time, partial (PTT); plasma or whole blood ",,,6.01,6.01,1
RC,309,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each ",,,6.47,6.47,1
RC,309,"Thromboxane metabolite(s), including thromboxane if performed, urine ",,,35.11,35.11,1
RC,309,"Thymol turbidity, blood ",,,4.95,4.95,1
RC,309,Thyroglobulin ,,,16.06,16.06,1
RC,309,Thyroglobulin antibody ,,,15.91,15.91,1
RC,309,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) ,,,6.47,6.47,1
RC,309,Thyroid stimulating hormone (TSH) ,,,16.8,16.8,1
RC,309,Thyroid stimulating immune globulins (TSI) ,,,50.86,50.86,1
RC,309,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) ,,,50.41,50.41,1
RC,309,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) ,,,67.21,67.21,1
RC,309,Thyroxine binding globulin (TBG) ,,,14.78,14.78,1
RC,309,Thyroxine; free ,,,9.02,9.02,1
RC,309,"Thyroxine; requiring elution (eg, neonatal) ",,,6.47,6.47,1
RC,309,Thyroxine; total ,,,6.87,6.87,1
RC,309,Tiagabine ,,,27.11,27.11,1
RC,309,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) ",,,4.27,4.27,1
RC,309,"Tissue transglutaminase, each immunoglobulin (Ig) class ",,,11.53,11.53,1
RC,309,Tobramycin ,,,16.13,16.13,1
RC,309,Tocopherol alpha (Vitamin E) ,,,14.18,14.18,1
RC,309,Topiramate ,,,11.92,11.92,1
RC,309,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) ",,,19.74,19.74,1
RC,309,Transcortin (cortisol binding globulin) ,,,18.0,18.0,1
RC,309,Transferase; alanine amino (ALT) (SGPT) ,,,5.3,5.3,1
RC,309,Transferase; aspartate amino (AST) (SGOT) ,,,5.18,5.18,1
RC,309,Transferrin ,,,12.76,12.76,1
RC,309,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,3240.0,3240.0,1
RC,309,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,640.73,640.73,1
RC,309,Triglycerides ,,,5.74,5.74,1
RC,309,Triiodothyronine T3; free ,,,16.94,16.94,1
RC,309,Triiodothyronine T3; reverse ,,,15.76,15.76,1
RC,309,Triiodothyronine T3; total (TT-3) ,,,14.18,14.18,1
RC,309,"Troponin, qualitative ",,,10.09,10.09,1
RC,309,"Troponin, quantitative ",,,12.47,12.47,1
RC,309,Trypsin; duodenal fluid ,,,7.2,7.2,1
RC,309,"Trypsin; feces, qualitative ",,,7.3,7.3,1
RC,309,"Trypsin; feces, quantitative, 24-hour collection ",,,9.93,9.93,1
RC,309,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension ",,,100.0,100.0,1
RC,309,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon ",,,61.98,61.98,1
RC,309,Tyrosine ,,,10.63,10.63,1
RC,309,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) ",,,193.25,193.25,1
RC,309,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) ",,,234.0,234.0,1
RC,309,Unlisted miscellaneous pathology test ,,,49.76,49.76,1
RC,309,Unlisted transfusion medicine procedure ,,,24.67,24.67,1
RC,309,"Urea nitrogen, clearance ",,,7.2,7.2,1
RC,309,"Urea nitrogen, urine ",,,5.56,5.56,1
RC,309,Urea nitrogen; quantitative ,,,3.95,3.95,1
RC,309,"Urea nitrogen; semiquantitative (eg, reagent strip test) ",,,5.13,5.13,1
RC,309,Uric acid; blood ,,,4.52,4.52,1
RC,309,Uric acid; other source ,,,5.08,5.08,1
RC,309,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,2.25,3.17,2
RC,309,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,3.48,4.02,2
RC,309,Urinalysis; 2 or 3 glass test ,,,4.7,4.7,1
RC,309,"Urinalysis; bacteriuria screen, except by culture or dipstick ",,,29.98,29.98,1
RC,309,Urinalysis; microscopic only ,,,3.05,3.05,1
RC,309,"Urinalysis; qualitative or semiquantitative, except immunoassays ",,,2.17,2.17,1
RC,309,"Urine pregnancy test, by visual color comparison methods ",,,8.61,8.61,1
RC,309,"Urobilinogen, feces, quantitative ",,,16.8,16.8,1
RC,309,"Urobilinogen, urine; qualitative ",,,4.47,4.47,1
RC,309,"Urobilinogen, urine; quantitative, timed specimen ",,,9.55,9.55,1
RC,309,"Urobilinogen, urine; semiquantitative ",,,6.05,6.05,1
RC,309,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) ",,,88.2,88.2,1
RC,309,Valproic acid (dipropylacetic acid); free ,,,13.54,13.54,1
RC,309,Valproic acid (dipropylacetic acid); total ,,,13.54,13.54,1
RC,309,Vancomycin ,,,13.54,13.54,1
RC,309,"Vanillylmandelic acid (VMA), urine ",,,15.5,15.5,1
RC,309,Vasoactive intestinal peptide (VIP) ,,,35.33,35.33,1
RC,309,"Vasopressin (antidiuretic hormone, ADH) ",,,33.94,33.94,1
RC,309,Vedolizumab ,,,38.57,38.57,1
RC,309,Very long chain fatty acids ,,,19.75,19.75,1
RC,309,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus ",,,19.56,19.56,1
RC,309,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) ",,,33.86,33.86,1
RC,309,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection ",,,19.56,19.56,1
RC,309,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect ",,,26.07,26.07,1
RC,309,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate ",,,20.2,20.2,1
RC,309,Viscosity ,,,11.67,11.67,1
RC,309,Vitamin A ,,,11.61,11.61,1
RC,309,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed ",,,38.5,38.5,1
RC,309,"Vitamin D; 25 hydroxy, includes fraction(s), if performed ",,,29.6,29.6,1
RC,309,Vitamin K ,,,13.72,13.72,1
RC,309,"Vitamin, not otherwise specified ",,,17.06,17.06,1
RC,309,"Volatiles (eg, acetic anhydride, diethylether) ",,,17.11,17.11,1
RC,309,"Voltage-gated calcium channel antibody, each ",,,18.4,18.4,1
RC,309,"Volume measurement for timed collection, each ",,,3.64,3.64,1
RC,309,"Volume reduction of blood or blood product (eg, red blood cells or platelets), each unit ",,,149.16,149.16,1
RC,309,Voriconazole ,,,27.11,27.11,1
RC,309,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,1
RC,309,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,1
RC,309,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,1287.0,1287.0,1
RC,309,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed ",,,936.0,936.0,1
RC,309,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,914.0,914.0,1
RC,309,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,914.0,914.0,1
RC,309,"Xylose absorption test, blood and/or urine ",,,12.91,12.91,1
RC,309,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) ",,,193.25,193.25,1
RC,309,Zinc ,,,11.39,11.39,1
RC,309,Zonisamide ,,,13.25,13.25,1
RC,309,"b-Hexosaminidase, each assay ",,,16.87,16.87,1
RC,309,"pH; body fluid, not otherwise specified ",,,3.58,3.58,1
RC,309,pH; exhaled breath condensate ,,,3.58,3.58,1
RC,310, Laboratory Pathology General Classification  ,,,,,0
RC,310,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,1
RC,310,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,1
RC,310,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,1
RC,310,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,1
RC,310,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,1
RC,310,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,1
RC,310,Chromosome analysis; additional high resolution study ,,,34.43,34.43,1
RC,310,"Chromosome analysis; additional karyotypes, each study ",,,33.47,33.47,1
RC,310,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,1
RC,310,Chromosome analysis; analyze 20-25 cells ,,,144.61,144.61,1
RC,310,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,1
RC,310,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,1
RC,310,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,1
RC,310,Consultation and report on referred material requiring preparation of slides ,,,49.76,49.76,1
RC,310,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,1
RC,310,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,1
RC,310,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,1
RC,310,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,1
RC,310,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,1
RC,310,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,1
RC,310,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,1
RC,310,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,1
RC,310,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,1
RC,310,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,1
RC,310,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,1
RC,310,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,1
RC,310,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,1
RC,310,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,7.33,1
RC,310,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,149.16,149.16,1
RC,310,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,49.76,1
RC,310,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,24.67,1
RC,310,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,1
RC,310,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,1
RC,310,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,1
RC,310,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,1
RC,310,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,1
RC,310,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,1
RC,310,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,1
RC,310,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,1
RC,310,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,1
RC,310,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,1
RC,310,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,1
RC,310,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,1
RC,310,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,1
RC,310,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,49.76,1
RC,310,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,24.67,1
RC,310,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,24.67,1
RC,310,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,1
RC,310,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,1
RC,310,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,49.76,1
RC,310,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,23.03,1
RC,310,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,1
RC,310,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,1
RC,310,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,1
RC,310,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,1
RC,310,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,1
RC,310,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",121.0,121.0,81.3,81.3,1
RC,310,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,1
RC,310,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,1
RC,310,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,1
RC,310,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,1
RC,310,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,1
RC,310,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,1
RC,310,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,1
RC,310,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,1
RC,310,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,21.42,21.42,1
RC,310,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,1
RC,310,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,1
RC,310,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,51.19,51.19,1
RC,310,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,1
RC,310,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,1
RC,310,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,1
RC,310,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",248.0,248.0,291.26,291.26,1
RC,310,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",252.0,252.0,149.16,149.16,1
RC,310,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",341.0,341.0,291.26,291.26,1
RC,310,Morphometric analysis; nerve ,,,49.76,49.76,1
RC,310,Morphometric analysis; skeletal muscle ,,,149.16,149.16,1
RC,310,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,1
RC,310,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,1
RC,310,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,1
RC,310,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,1
RC,310,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,1
RC,310,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,1
RC,310,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,1
RC,310,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,1
RC,310,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,1
RC,310,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,1
RC,310,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,1
RC,310,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,1
RC,310,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,1
RC,310,Necropsy (autopsy); coroner's call ,,,58.62,58.62,1
RC,310,Necropsy (autopsy); forensic examination ,,,584.46,584.46,1
RC,310,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,1
RC,310,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,1
RC,310,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,1
RC,310,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,1
RC,310,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,1
RC,310,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,1
RC,310,Pathogen(s) test for platelets ,,,33.84,33.84,1
RC,310,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,1
RC,310,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,1
RC,310,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,1
RC,310,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,1
RC,310,Pathology consultation during surgery; ,,,33.84,33.84,1
RC,310,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,1
RC,310,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,1
RC,310,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,1
RC,310,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,1
RC,310,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,1
RC,310,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,1
RC,310,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,1
RC,310,Sex chromatin identification; Barr bodies ,,,17.98,17.98,1
RC,310,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,1
RC,310,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,1
RC,310,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,1
RC,310,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,1
RC,310,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,1
RC,310,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,1
RC,310,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,143.75,143.75,1
RC,310,Tissue culture for neoplastic disorders; solid tumor ,,,147.52,147.52,1
RC,310,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,1
RC,310,Tissue culture for non-neoplastic disorders; lymphocyte ,,,116.49,116.49,1
RC,310,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,140.73,140.73,1
RC,310,Unlisted cytogenetic study ,,,49.76,49.76,1
RC,310,Unlisted cytopathology procedure ,,,49.76,49.76,1
RC,310,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,1
RC,310,Unlisted surgical pathology procedure ,,,49.76,49.76,1
RC,311, Laboratory Pathology Cytology  ,,,,,0
RC,311,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,1
RC,311,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,1
RC,311,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,1
RC,311,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,1
RC,311,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,1
RC,311,Chromosome analysis; additional high resolution study ,,,34.43,34.43,1
RC,311,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,1
RC,311,Chromosome analysis; analyze 20-25 cells ,389.0,389.0,144.61,144.61,1
RC,311,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,1
RC,311,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,1
RC,311,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,1
RC,311,Consultation and report on referred material requiring preparation of slides ,,,49.76,49.76,1
RC,311,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,1
RC,311,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,1
RC,311,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,1
RC,311,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,1
RC,311,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,1
RC,311,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,1
RC,311,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,1
RC,311,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,1
RC,311,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,1
RC,311,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,1
RC,311,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,1
RC,311,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,1
RC,311,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,1
RC,311,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",25.0,25.0,7.33,7.33,1
RC,311,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,1
RC,311,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,1
RC,311,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,1
RC,311,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,1
RC,311,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,1
RC,311,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,1
RC,311,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,1
RC,311,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,1
RC,311,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,1
RC,311,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,1
RC,311,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,1
RC,311,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,1
RC,311,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,1
RC,311,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,1
RC,311,"Electron microscopy, diagnostic ",,,656.15,656.15,1
RC,311,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,1
RC,311,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,1
RC,311,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,1
RC,311,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,1
RC,311,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,1
RC,311,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,1
RC,311,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,81.3,1
RC,311,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,291.26,291.26,1
RC,311,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,1
RC,311,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,149.16,1
RC,311,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,1
RC,311,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,24.67,1
RC,311,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,1
RC,311,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,1
RC,311,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,1
RC,311,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,656.15,656.15,1
RC,311,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,1
RC,311,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,1
RC,311,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,1
RC,311,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,1
RC,311,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,1
RC,311,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,1
RC,311,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,1
RC,311,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,1
RC,311,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,291.26,291.26,1
RC,311,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,149.16,149.16,1
RC,311,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,291.26,291.26,1
RC,311,Morphometric analysis; nerve ,,,49.76,49.76,1
RC,311,Morphometric analysis; skeletal muscle ,,,149.16,149.16,1
RC,311,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,149.16,149.16,1
RC,311,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,1
RC,311,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,1
RC,311,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,1
RC,311,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,1
RC,311,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,1
RC,311,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,1
RC,311,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,1
RC,311,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,1
RC,311,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,1
RC,311,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,1
RC,311,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,1
RC,311,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,1
RC,311,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,1
RC,311,Necropsy (autopsy); coroner's call ,,,58.62,58.62,1
RC,311,Necropsy (autopsy); forensic examination ,,,584.46,584.46,1
RC,311,Nerve teasing preparations ,,,656.15,656.15,1
RC,311,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,1
RC,311,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,1
RC,311,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,1
RC,311,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,1
RC,311,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,1
RC,311,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,1
RC,311,Pathogen(s) test for platelets ,,,33.84,33.84,1
RC,311,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,1
RC,311,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,1
RC,311,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,1
RC,311,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,1
RC,311,Pathology consultation during surgery; ,,,33.84,33.84,1
RC,311,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,19.19,1
RC,311,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,1
RC,311,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,24.08,1
RC,311,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,149.16,149.16,1
RC,311,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,1
RC,311,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,1
RC,311,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,1
RC,311,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,1
RC,311,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,1
RC,311,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,1
RC,311,Sex chromatin identification; Barr bodies ,,,17.98,17.98,1
RC,311,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,1
RC,311,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,1
RC,311,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,1
RC,311,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,656.15,656.15,1
RC,311,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,79.91,1
RC,311,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,1
RC,311,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,1
RC,311,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,1
RC,311,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,143.75,143.75,1
RC,311,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,1
RC,311,Tissue culture for non-neoplastic disorders; lymphocyte ,1231.0,1231.0,116.49,116.49,1
RC,311,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,140.73,140.73,1
RC,311,Unlisted cytogenetic study ,,,49.76,49.76,1
RC,311,Unlisted cytopathology procedure ,,,49.76,49.76,1
RC,311,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,1
RC,311,Unlisted surgical pathology procedure ,,,49.76,49.76,1
RC,312, Laboratory Pathology Histology  ,,,,,0
RC,312,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,1
RC,312,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,1
RC,312,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,1
RC,312,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,1
RC,312,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,1
RC,312,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,1
RC,312,Chromosome analysis; additional high resolution study ,,,34.43,34.43,1
RC,312,"Chromosome analysis; additional karyotypes, each study ",,,33.47,33.47,1
RC,312,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,1
RC,312,Chromosome analysis; analyze 20-25 cells ,,,144.61,144.61,1
RC,312,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,1
RC,312,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,1
RC,312,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,1
RC,312,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,1
RC,312,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,1
RC,312,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,1
RC,312,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,1
RC,312,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,1
RC,312,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,1
RC,312,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,1
RC,312,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,1
RC,312,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,1
RC,312,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,1
RC,312,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,1
RC,312,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,1
RC,312,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,7.33,1
RC,312,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,149.16,149.16,1
RC,312,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,49.76,1
RC,312,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,24.67,1
RC,312,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,1
RC,312,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,1
RC,312,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,1
RC,312,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,1
RC,312,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,1
RC,312,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,1
RC,312,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,1
RC,312,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,1
RC,312,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,1
RC,312,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,1
RC,312,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,1
RC,312,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,1
RC,312,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,1
RC,312,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,49.76,1
RC,312,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,24.67,1
RC,312,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,24.67,1
RC,312,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,1
RC,312,"Electron microscopy, diagnostic ",,,656.15,656.15,1
RC,312,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,1
RC,312,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,49.76,1
RC,312,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,23.03,1
RC,312,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,1
RC,312,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,1
RC,312,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,1
RC,312,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,1
RC,312,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,1
RC,312,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,81.3,1
RC,312,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,291.26,291.26,1
RC,312,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,1
RC,312,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,149.16,1
RC,312,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,1
RC,312,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,24.67,1
RC,312,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,1
RC,312,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,1
RC,312,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,1
RC,312,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,656.15,656.15,1
RC,312,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,1
RC,312,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,1
RC,312,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,1
RC,312,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,21.42,21.42,1
RC,312,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,1
RC,312,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,1
RC,312,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,51.19,51.19,1
RC,312,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,1
RC,312,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,1
RC,312,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,1
RC,312,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,291.26,291.26,1
RC,312,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,149.16,149.16,1
RC,312,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,291.26,291.26,1
RC,312,Morphometric analysis; nerve ,,,49.76,49.76,1
RC,312,Morphometric analysis; skeletal muscle ,,,149.16,149.16,1
RC,312,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,149.16,149.16,1
RC,312,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,1
RC,312,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,1
RC,312,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,1
RC,312,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,1
RC,312,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,1
RC,312,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,1
RC,312,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,1
RC,312,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,1
RC,312,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,1
RC,312,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,1
RC,312,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,1
RC,312,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,1
RC,312,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,1
RC,312,Necropsy (autopsy); coroner's call ,,,58.62,58.62,1
RC,312,Necropsy (autopsy); forensic examination ,,,584.46,584.46,1
RC,312,Nerve teasing preparations ,,,656.15,656.15,1
RC,312,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,1
RC,312,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,1
RC,312,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,1
RC,312,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,1
RC,312,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,1
RC,312,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,1
RC,312,Pathogen(s) test for platelets ,,,33.84,33.84,1
RC,312,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,1
RC,312,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,1
RC,312,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,1
RC,312,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,1
RC,312,Pathology consultation during surgery; ,,,33.84,33.84,1
RC,312,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,19.19,1
RC,312,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,1
RC,312,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,24.08,1
RC,312,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,149.16,149.16,1
RC,312,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,1
RC,312,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,1
RC,312,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,1
RC,312,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,1
RC,312,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,1
RC,312,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,1
RC,312,Sex chromatin identification; Barr bodies ,,,17.98,17.98,1
RC,312,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,1
RC,312,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,1
RC,312,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,1
RC,312,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,656.15,656.15,1
RC,312,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,79.91,1
RC,312,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,1
RC,312,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,1
RC,312,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,1
RC,312,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,143.75,143.75,1
RC,312,Tissue culture for neoplastic disorders; solid tumor ,,,147.52,147.52,1
RC,312,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,1
RC,312,Tissue culture for non-neoplastic disorders; lymphocyte ,,,116.49,116.49,1
RC,312,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,140.73,140.73,1
RC,312,Unlisted cytogenetic study ,,,49.76,49.76,1
RC,312,Unlisted cytopathology procedure ,,,49.76,49.76,1
RC,312,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,1
RC,312,Unlisted surgical pathology procedure ,,,49.76,49.76,1
RC,314, Laboratory Pathology Biopsy  ,,,,,0
RC,314,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,1
RC,314,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,1
RC,314,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,1
RC,314,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,1
RC,314,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,1
RC,314,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,1
RC,314,Chromosome analysis; additional high resolution study ,,,34.43,34.43,1
RC,314,"Chromosome analysis; additional karyotypes, each study ",,,33.47,33.47,1
RC,314,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,1
RC,314,Chromosome analysis; analyze 20-25 cells ,,,144.61,144.61,1
RC,314,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,1
RC,314,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,1
RC,314,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,1
RC,314,Consultation and report on referred material requiring preparation of slides ,,,49.76,49.76,1
RC,314,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,1
RC,314,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,1
RC,314,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,1
RC,314,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,1
RC,314,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,1
RC,314,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,1
RC,314,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,1
RC,314,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,1
RC,314,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,1
RC,314,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,1
RC,314,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,1
RC,314,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,1
RC,314,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,1
RC,314,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,7.33,1
RC,314,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,149.16,149.16,1
RC,314,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,49.76,1
RC,314,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,24.67,1
RC,314,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,1
RC,314,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,1
RC,314,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,1
RC,314,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,1
RC,314,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,1
RC,314,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,1
RC,314,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,1
RC,314,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,1
RC,314,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,1
RC,314,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,1
RC,314,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,1
RC,314,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,1
RC,314,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,1
RC,314,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,49.76,1
RC,314,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,24.67,1
RC,314,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,24.67,1
RC,314,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,1
RC,314,"Electron microscopy, diagnostic ",,,656.15,656.15,1
RC,314,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,1
RC,314,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,49.76,1
RC,314,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,23.03,1
RC,314,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,1
RC,314,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,1
RC,314,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,1
RC,314,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,1
RC,314,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,1
RC,314,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,81.3,1
RC,314,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,291.26,291.26,1
RC,314,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,1
RC,314,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,149.16,1
RC,314,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,1
RC,314,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,24.67,1
RC,314,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,1
RC,314,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,1
RC,314,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,1
RC,314,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,656.15,656.15,1
RC,314,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,1
RC,314,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,1
RC,314,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,1
RC,314,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,21.42,21.42,1
RC,314,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,1
RC,314,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,1
RC,314,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,51.19,51.19,1
RC,314,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,1
RC,314,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,1
RC,314,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,1
RC,314,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,291.26,291.26,1
RC,314,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,149.16,149.16,1
RC,314,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,291.26,291.26,1
RC,314,Morphometric analysis; nerve ,,,49.76,49.76,1
RC,314,Morphometric analysis; skeletal muscle ,,,149.16,149.16,1
RC,314,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,149.16,149.16,1
RC,314,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,1
RC,314,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,1
RC,314,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,1
RC,314,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,1
RC,314,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,1
RC,314,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,1
RC,314,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,1
RC,314,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,1
RC,314,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,1
RC,314,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,1
RC,314,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,1
RC,314,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,1
RC,314,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,1
RC,314,Necropsy (autopsy); coroner's call ,,,58.62,58.62,1
RC,314,Necropsy (autopsy); forensic examination ,,,584.46,584.46,1
RC,314,Nerve teasing preparations ,,,656.15,656.15,1
RC,314,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,1
RC,314,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,1
RC,314,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,1
RC,314,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,1
RC,314,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,1
RC,314,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,1
RC,314,Pathogen(s) test for platelets ,,,33.84,33.84,1
RC,314,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,1
RC,314,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,1
RC,314,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,1
RC,314,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,1
RC,314,Pathology consultation during surgery; ,,,33.84,33.84,1
RC,314,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,19.19,1
RC,314,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,1
RC,314,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,24.08,1
RC,314,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,149.16,149.16,1
RC,314,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,1
RC,314,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,1
RC,314,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,1
RC,314,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,1
RC,314,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,1
RC,314,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,1
RC,314,Sex chromatin identification; Barr bodies ,,,17.98,17.98,1
RC,314,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,1
RC,314,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,1
RC,314,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,1
RC,314,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,656.15,656.15,1
RC,314,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,79.91,1
RC,314,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,1
RC,314,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,1
RC,314,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,1
RC,314,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,143.75,143.75,1
RC,314,Tissue culture for neoplastic disorders; solid tumor ,,,147.52,147.52,1
RC,314,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,1
RC,314,Tissue culture for non-neoplastic disorders; lymphocyte ,,,116.49,116.49,1
RC,314,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,140.73,140.73,1
RC,314,Unlisted cytogenetic study ,,,49.76,49.76,1
RC,314,Unlisted cytopathology procedure ,,,49.76,49.76,1
RC,314,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,1
RC,314,Unlisted surgical pathology procedure ,,,49.76,49.76,1
RC,319, Laboratory Pathology Other  ,,,,,0
RC,319,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells ",,,173.17,173.17,1
RC,319,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) ",,,173.17,173.17,1
RC,319,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) ",,,173.17,173.17,1
RC,319,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding ",,,188.57,188.57,1
RC,319,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding ",,,173.66,173.66,1
RC,319,"Chromosome analysis; additional cells counted, each study ",,,26.91,26.91,1
RC,319,Chromosome analysis; additional high resolution study ,,,34.43,34.43,1
RC,319,"Chromosome analysis; additional karyotypes, each study ",,,33.47,33.47,1
RC,319,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) ",,,68.6,68.6,1
RC,319,Chromosome analysis; analyze 20-25 cells ,,,144.61,144.61,1
RC,319,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding ",,,125.49,125.49,1
RC,319,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding ",,,150.29,150.29,1
RC,319,"Chromosome analysis; count 5 cells, 1 karyotype, with banding ",,,264.34,264.34,1
RC,319,Consultation and report on referred material requiring preparation of slides ,,,49.76,49.76,1
RC,319,Consultation and report on referred slides prepared elsewhere ,,,33.84,33.84,1
RC,319,"Consultation, comprehensive, with review of records and specimens, with report on referred material ",,,149.16,149.16,1
RC,319,"Cryopreservation, freezing and storage of cells, each cell line ",,,13.07,13.07,1
RC,319,"Cytogenetics and molecular cytogenetics, interpretation and report ",,,33.85,33.85,1
RC,319,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities ",,,1160.0,1160.0,1
RC,319,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision ",,,50.56,50.56,1
RC,319,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision ",,,16.0,16.0,1
RC,319,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision ",,,20.26,20.26,1
RC,319,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision ",,,25.37,25.37,1
RC,319,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision ",,,23.04,23.04,1
RC,319,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,26.61,26.61,1
RC,319,"Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician ",,,21.98,21.98,1
RC,319,"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique) ",,,33.84,33.84,1
RC,319,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in additi",,,7.33,7.33,1
RC,319,"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site ",,,149.16,149.16,1
RC,319,"Cytopathology, evaluation of fine needle aspirate; interpretation and report ",,,49.76,49.76,1
RC,319,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation ",,,24.67,24.67,1
RC,319,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation ",,,33.84,33.84,1
RC,319,"Cytopathology, forensic (eg, sperm) ",,,49.76,49.76,1
RC,319,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual ",,,149.16,149.16,1
RC,319,"Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology ",,,291.26,291.26,1
RC,319,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal ",,,49.76,49.76,1
RC,319,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision ",,,15.15,15.15,1
RC,319,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision ",,,15.15,15.15,1
RC,319,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision ",,,15.15,15.15,1
RC,319,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision ",,,42.22,42.22,1
RC,319,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,14.65,14.65,1
RC,319,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision ",,,15.15,15.15,1
RC,319,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision ",,,27.64,27.64,1
RC,319,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision ",,,24.03,24.03,1
RC,319,"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains ",,,49.76,49.76,1
RC,319,"Cytopathology, smears, any other source; preparation, screening and interpretation ",,,24.67,24.67,1
RC,319,"Cytopathology, smears, any other source; screening and interpretation ",,,24.67,24.67,1
RC,319,Decalcification procedure (List separately in addition to code for surgical pathology examination) ,,,8.72,8.72,1
RC,319,"Electron microscopy, diagnostic ",,,656.15,656.15,1
RC,319,"Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis) ",,,24.67,24.67,1
RC,319,"Flow cytometry, cell cycle or DNA analysis ",,,49.76,49.76,1
RC,319,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker) ",,,23.03,23.03,1
RC,319,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker ",,,291.26,291.26,1
RC,319,"Flow cytometry, interpretation; 16 or more markers ",,,85.14,85.14,1
RC,319,"Flow cytometry, interpretation; 2 to 8 markers ",,,36.64,36.64,1
RC,319,"Flow cytometry, interpretation; 9 to 15 markers ",,,62.81,62.81,1
RC,319,"Hemoglobin (Hgb), quantitative, transcutaneous ",,,5.02,5.02,1
RC,319,"Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) ",,,81.3,81.3,1
RC,319,"Immunofluorescence, per specimen; initial single antibody stain procedure ",,,291.26,291.26,1
RC,319,"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure ",,,149.16,149.16,1
RC,319,"In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure ",,,149.16,149.16,1
RC,319,"Level I - Surgical pathology, gross examination only ",,,24.67,24.67,1
RC,319,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydro",,,24.67,24.67,1
RC,319,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartho",,,49.76,49.76,1
RC,319,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, ",,,49.76,49.76,1
RC,319,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, ",,,291.26,291.26,1
RC,319,"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, pa",,,656.15,656.15,1
RC,319,"Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies), each tissue preparation (eg, a single lymph node) ",,,8.03,8.03,1
RC,319,"Microdissection (ie, sample preparation of microscopically identified target); laser capture ",,,78.86,78.86,1
RC,319,"Microdissection (ie, sample preparation of microscopically identified target); manual ",,,180.05,180.05,1
RC,319,"Molecular cytogenetics; DNA probe, each (eg, FISH) ",,,21.42,21.42,1
RC,319,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) ",,,34.81,34.81,1
RC,319,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) ",,,40.7,40.7,1
RC,319,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells ",,,51.19,51.19,1
RC,319,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells ",,,42.38,42.38,1
RC,319,Molecular pathology procedure; physician interpretation and report ,,,3.14,3.14,1
RC,319,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure ",,,291.26,291.26,1
RC,319,"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure ",,,291.26,291.26,1
RC,319,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual",,,149.16,149.16,1
RC,319,"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using ",,,291.26,291.26,1
RC,319,Morphometric analysis; nerve ,,,49.76,49.76,1
RC,319,Morphometric analysis; skeletal muscle ,,,149.16,149.16,1
RC,319,"Morphometric analysis; tumor (eg, DNA ploidy) ",,,149.16,149.16,1
RC,319,"Necropsy (autopsy), gross and microscopic; infant with brain ",,,210.41,210.41,1
RC,319,"Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain ",,,210.41,210.41,1
RC,319,"Necropsy (autopsy), gross and microscopic; with brain ",,,350.68,350.68,1
RC,319,"Necropsy (autopsy), gross and microscopic; with brain and spinal cord ",,,374.05,374.05,1
RC,319,"Necropsy (autopsy), gross and microscopic; without CNS ",,,362.54,362.54,1
RC,319,"Necropsy (autopsy), gross examination only; infant with brain ",,,210.41,210.41,1
RC,319,"Necropsy (autopsy), gross examination only; macerated stillborn ",,,269.03,269.03,1
RC,319,"Necropsy (autopsy), gross examination only; stillborn or newborn with brain ",,,192.96,192.96,1
RC,319,"Necropsy (autopsy), gross examination only; with brain ",,,245.65,245.65,1
RC,319,"Necropsy (autopsy), gross examination only; with brain and spinal cord ",,,257.16,257.16,1
RC,319,"Necropsy (autopsy), gross examination only; without CNS ",,,210.41,210.41,1
RC,319,"Necropsy (autopsy), limited, gross and/or microscopic; regional ",,,105.38,105.38,1
RC,319,"Necropsy (autopsy), limited, gross and/or microscopic; single organ ",,,93.51,93.51,1
RC,319,Necropsy (autopsy); coroner's call ,,,58.62,58.62,1
RC,319,Necropsy (autopsy); forensic examination ,,,584.46,584.46,1
RC,319,Nerve teasing preparations ,,,656.15,656.15,1
RC,319,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,3873.0,3873.0,1
RC,319,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score ",,,3873.0,3873.0,1
RC,319,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,7776.0,7776.0,1
RC,319,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence ",,,676.5,676.5,1
RC,319,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant ",,,301.35,301.35,1
RC,319,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) ",,,274.83,274.83,1
RC,319,Pathogen(s) test for platelets ,,,33.84,33.84,1
RC,319,"Pathology clinical consultation; for a clinical problem, with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection, 5-",,,50.75,50.75,1
RC,319,"Pathology clinical consultation; for a highly complex clinical problem, with comprehensive review of patient's history and medical records and high level of medical decision making When using time for",,,152.32,152.32,1
RC,319,"Pathology clinical consultation; for a moderately complex clinical problem, with review of patient's history and medical records and moderate level of medical decision making When using time for code ",,,152.32,152.32,1
RC,319,"Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure) ",,,43.26,43.26,1
RC,319,Pathology consultation during surgery; ,,,33.84,33.84,1
RC,319,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure) ",,,19.19,19.19,1
RC,319,"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site ",,,656.15,656.15,1
RC,319,Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) ,,,24.08,24.08,1
RC,319,"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen ",,,149.16,149.16,1
RC,319,"Protein analysis of tissue by Western Blot, with interpretation and report; ",,,22.23,22.23,1
RC,319,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each ",,,26.22,26.22,1
RC,319,"Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician ",,,21.98,21.98,1
RC,319,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician ",,,21.98,21.98,1
RC,319,"Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician ",,,21.98,21.98,1
RC,319,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) ",,,15.5,15.5,1
RC,319,Sex chromatin identification; Barr bodies ,,,17.98,17.98,1
RC,319,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks ",,,7.99,7.99,1
RC,319,"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver) ",,,49.76,49.76,1
RC,319,"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistoche",,,33.84,33.84,1
RC,319,"Special stain including interpretation and report; Group III, for enzyme constituents ",,,656.15,656.15,1
RC,319,Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) ,,,79.91,79.91,1
RC,319,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) ",,,19.59,19.59,1
RC,319,"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method ",,,291.26,291.26,1
RC,319,"Thawing and expansion of frozen cells, each aliquot ",,,12.09,12.09,1
RC,319,"Tissue culture for neoplastic disorders; bone marrow, blood cells ",,,143.75,143.75,1
RC,319,Tissue culture for neoplastic disorders; solid tumor ,,,147.52,147.52,1
RC,319,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells ,,,150.3,150.3,1
RC,319,Tissue culture for non-neoplastic disorders; lymphocyte ,,,116.49,116.49,1
RC,319,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy ,,,140.73,140.73,1
RC,319,Unlisted cytogenetic study ,,,49.76,49.76,1
RC,319,Unlisted cytopathology procedure ,,,49.76,49.76,1
RC,319,Unlisted reproductive medicine laboratory procedure ,,,49.76,49.76,1
RC,319,Unlisted surgical pathology procedure ,,,49.76,49.76,1
RC,320, Radiology - Diagnostic General Classification  ,,,292.0,819.0,10
RC,320,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,149.69,149.69,1
RC,320,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,265.98,265.98,1
RC,320,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,4864.82,4864.82,1
RC,320,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Angiography, internal mammary, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,320,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Angiography, spinal, selective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,320,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,320,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,320,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,Bone age studies ,,,185.25,185.25,1
RC,320,"Bone length studies (orthoroentgenogram, scanogram) ",,,185.25,185.25,1
RC,320,"Cephalogram, orthodontic ",,,137.53,137.53,1
RC,320,"Cineradiography/videoradiography, except where specifically included ",,,185.25,185.25,1
RC,320,"Cisternography, positive contrast, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,320,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,529.38,529.38,1
RC,320,"Corpora cavernosography, radiological supervision and interpretation ",,,185.25,185.25,1
RC,320,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,625.8,625.8,1
RC,320,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,391.22,391.22,1
RC,320,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,137.53,137.53,1
RC,320,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,185.25,185.25,1
RC,320,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,185.25,185.25,1
RC,320,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,391.22,391.22,1
RC,320,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Hysterosalpingography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,320,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,920.75,920.75,1
RC,320,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,137.53,137.53,1
RC,320,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,215.68,215.68,1
RC,320,"Myelography, posterior fossa, radiological supervision and interpretation ",,,625.8,625.8,1
RC,320,Non-ophthalmic fluorescent vascular angiography ,,,625.8,625.8,1
RC,320,"Orthopantogram (eg, panoramic x-ray) ",,,137.53,137.53,1
RC,320,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,391.22,391.22,1
RC,320,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,820.91,820.91,1
RC,320,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1615.85,1615.85,1
RC,320,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,137.53,137.53,1
RC,320,"Radiologic examination, abdomen; 1 view ",,,137.53,137.53,1
RC,320,"Radiologic examination, abdomen; 2 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, abdomen; 3 or more views ",,,185.25,185.25,1
RC,320,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,820.91,820.91,1
RC,320,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,320,"Radiologic examination, ankle; 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, ankle; complete, minimum of 3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, chest; 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, chest; 3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, chest; 4 or more views ",,,185.25,185.25,1
RC,320,"Radiologic examination, chest; single view ",,,137.53,137.53,1
RC,320,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,185.25,185.25,1
RC,320,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,320,"Radiologic examination, elbow; 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, elbow; complete, minimum of 3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,303.54,303.54,1
RC,320,"Radiologic examination, eye, for detection of foreign body ",,,137.53,137.53,1
RC,320,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, facial bones; less than 3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, femur; 1 view ",,,137.53,137.53,1
RC,320,"Radiologic examination, femur; minimum 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, finger(s), minimum of 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, foot; 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, foot; complete, minimum of 3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, hand; 2 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, hand; minimum of 3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,320,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,137.53,137.53,1
RC,320,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, internal auditory meati, complete ",,,820.91,820.91,1
RC,320,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,320,"Radiologic examination, knee; 1 or 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, knee; 3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,137.53,137.53,1
RC,320,"Radiologic examination, knee; complete, 4 or more views ",,,185.25,185.25,1
RC,320,"Radiologic examination, mandible; complete, minimum of 4 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, mandible; partial, less than 4 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,185.25,185.25,1
RC,320,"Radiologic examination, mastoids; less than 3 views per side ",,,185.25,185.25,1
RC,320,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, osseous survey, infant ",,,185.25,185.25,1
RC,320,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,185.25,185.25,1
RC,320,"Radiologic examination, pelvis; 1 or 2 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,320,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,820.91,820.91,1
RC,320,"Radiologic examination, ribs, bilateral; 3 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, ribs, unilateral; 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, sacroiliac joints; 3 or more views ",,,185.25,185.25,1
RC,320,"Radiologic examination, sacroiliac joints; less than 3 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, salivary gland for calculus ",,,137.53,137.53,1
RC,320,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,320,"Radiologic examination, shoulder; 1 view ",,,137.53,137.53,1
RC,320,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, skull; complete, minimum of 4 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, skull; less than 4 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,320,"Radiologic examination, spine, cervical; 2 or 3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, spine, cervical; 4 or 5 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, spine, cervical; 6 or more views ",,,185.25,185.25,1
RC,320,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,137.53,137.53,1
RC,320,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, spine, single view, specify level ",,,137.53,137.53,1
RC,320,"Radiologic examination, spine; thoracic, 2 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, spine; thoracic, 3 views ",,,185.25,185.25,1
RC,320,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, teeth; complete, full mouth ",,,391.22,391.22,1
RC,320,"Radiologic examination, teeth; partial examination, less than full mouth ",,,391.22,391.22,1
RC,320,"Radiologic examination, teeth; single view ",,,137.53,137.53,1
RC,320,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,137.53,137.53,1
RC,320,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,137.53,137.53,1
RC,320,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,320,"Radiologic examination, wrist; 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination, wrist; complete, minimum of 3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,137.53,137.53,1
RC,320,"Radiologic examination; calcaneus, minimum of 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination; clavicle, complete ",,,137.53,137.53,1
RC,320,"Radiologic examination; forearm, 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination; humerus, minimum of 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination; neck, soft tissue ",,,137.53,137.53,1
RC,320,Radiologic examination; optic foramina ,,,137.53,137.53,1
RC,320,"Radiologic examination; orbits, complete, minimum of 4 views ",,,185.25,185.25,1
RC,320,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,137.53,137.53,1
RC,320,"Radiologic examination; scapula, complete ",,,185.25,185.25,1
RC,320,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,137.53,137.53,1
RC,320,"Radiologic examination; sternum, minimum of 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination; tibia and fibula, 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination; toe(s), minimum of 2 views ",,,137.53,137.53,1
RC,320,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,185.25,185.25,1
RC,320,"Radiological examination, surgical specimen ",,,820.91,820.91,1
RC,320,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,185.25,185.25,1
RC,320,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,185.25,185.25,1
RC,320,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,320,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,303.54,303.54,1
RC,320,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,17.65,17.65,1
RC,320,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,140.44,140.44,1
RC,320,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,140.44,140.44,1
RC,320,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,70.6,70.6,1
RC,320,Unlisted diagnostic radiographic procedure ,,,137.53,137.53,1
RC,320,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,137.53,137.53,1
RC,320,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,391.22,391.22,1
RC,320,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,303.54,303.54,1
RC,320,"Urography, antegrade, radiological supervision and interpretation ",,,625.8,625.8,1
RC,320,"Urography, retrograde, with or without KUB ",,,625.8,625.8,1
RC,320,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,320,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,320,"Venography, orbital, radiological supervision and interpretation ",,,920.75,920.75,1
RC,320,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,320,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,137.53,137.53,1
RC,321, Radiology - Diagnostic Angiocardiology  ,,,292.0,984.0,10
RC,321,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,149.69,149.69,1
RC,321,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,265.98,265.98,1
RC,321,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,4864.82,4864.82,1
RC,321,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Angiography, internal mammary, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,321,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Angiography, spinal, selective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,321,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,321,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,321,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,Bone age studies ,,,185.25,185.25,1
RC,321,"Bone length studies (orthoroentgenogram, scanogram) ",,,185.25,185.25,1
RC,321,"Cephalogram, orthodontic ",,,137.53,137.53,1
RC,321,"Cholecystography, oral contrast ",,,303.54,303.54,1
RC,321,"Cineradiography/videoradiography, except where specifically included ",,,185.25,185.25,1
RC,321,"Cisternography, positive contrast, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,321,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,391.22,391.22,1
RC,321,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,529.38,529.38,1
RC,321,"Corpora cavernosography, radiological supervision and interpretation ",,,185.25,185.25,1
RC,321,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,625.8,625.8,1
RC,321,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,391.22,391.22,1
RC,321,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,3048.08,3048.08,1
RC,321,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,321,"Discography, lumbar, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,321,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,137.53,137.53,1
RC,321,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,185.25,185.25,1
RC,321,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,185.25,185.25,1
RC,321,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,391.22,391.22,1
RC,321,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Hysterosalpingography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,321,"Joint survey, single view, 2 or more joints (specify) ",,,185.25,185.25,1
RC,321,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,321,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,920.75,920.75,1
RC,321,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,137.53,137.53,1
RC,321,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,215.68,215.68,1
RC,321,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,321,"Myelography, cervical, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,321,"Myelography, lumbosacral, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,321,"Myelography, posterior fossa, radiological supervision and interpretation ",,,625.8,625.8,1
RC,321,"Myelography, thoracic, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,321,Non-ophthalmic fluorescent vascular angiography ,,,625.8,625.8,1
RC,321,"Orthopantogram (eg, panoramic x-ray) ",,,137.53,137.53,1
RC,321,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,391.22,391.22,1
RC,321,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,820.91,820.91,1
RC,321,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1615.85,1615.85,1
RC,321,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,137.53,137.53,1
RC,321,"Radiologic examination, abdomen; 1 view ",,,137.53,137.53,1
RC,321,"Radiologic examination, abdomen; 2 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, abdomen; 3 or more views ",,,185.25,185.25,1
RC,321,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,820.91,820.91,1
RC,321,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,321,"Radiologic examination, ankle; 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, ankle; complete, minimum of 3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, chest; 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, chest; 3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, chest; 4 or more views ",,,185.25,185.25,1
RC,321,"Radiologic examination, chest; single view ",,,137.53,137.53,1
RC,321,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,303.54,303.54,1
RC,321,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,321,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,185.25,185.25,1
RC,321,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,321,"Radiologic examination, elbow; 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, elbow; complete, minimum of 3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,303.54,303.54,1
RC,321,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,321,"Radiologic examination, eye, for detection of foreign body ",,,137.53,137.53,1
RC,321,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, facial bones; less than 3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, femur; 1 view ",,,137.53,137.53,1
RC,321,"Radiologic examination, femur; minimum 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, finger(s), minimum of 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, foot; 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, foot; complete, minimum of 3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, hand; 2 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, hand; minimum of 3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,321,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,137.53,137.53,1
RC,321,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, internal auditory meati, complete ",,,820.91,820.91,1
RC,321,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,321,"Radiologic examination, knee; 1 or 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, knee; 3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,137.53,137.53,1
RC,321,"Radiologic examination, knee; complete, 4 or more views ",,,185.25,185.25,1
RC,321,"Radiologic examination, mandible; complete, minimum of 4 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, mandible; partial, less than 4 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,185.25,185.25,1
RC,321,"Radiologic examination, mastoids; less than 3 views per side ",,,185.25,185.25,1
RC,321,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, osseous survey, infant ",,,185.25,185.25,1
RC,321,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,185.25,185.25,1
RC,321,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,185.25,185.25,1
RC,321,"Radiologic examination, pelvis; 1 or 2 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,321,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,820.91,820.91,1
RC,321,"Radiologic examination, ribs, bilateral; 3 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, ribs, unilateral; 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, sacroiliac joints; 3 or more views ",,,185.25,185.25,1
RC,321,"Radiologic examination, sacroiliac joints; less than 3 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, salivary gland for calculus ",,,137.53,137.53,1
RC,321,"Radiologic examination, sella turcica ",,,137.53,137.53,1
RC,321,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,321,"Radiologic examination, shoulder; 1 view ",,,137.53,137.53,1
RC,321,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,185.25,185.25,1
RC,321,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, skull; complete, minimum of 4 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, skull; less than 4 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,303.54,303.54,1
RC,321,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,321,"Radiologic examination, spine, cervical; 2 or 3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, spine, cervical; 4 or 5 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, spine, cervical; 6 or more views ",,,185.25,185.25,1
RC,321,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,137.53,137.53,1
RC,321,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, spine, single view, specify level ",,,137.53,137.53,1
RC,321,"Radiologic examination, spine; thoracic, 2 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, spine; thoracic, 3 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,185.25,185.25,1
RC,321,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,321,"Radiologic examination, teeth; complete, full mouth ",,,391.22,391.22,1
RC,321,"Radiologic examination, teeth; partial examination, less than full mouth ",,,391.22,391.22,1
RC,321,"Radiologic examination, teeth; single view ",,,137.53,137.53,1
RC,321,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,137.53,137.53,1
RC,321,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,137.53,137.53,1
RC,321,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,303.54,303.54,1
RC,321,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,321,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,321,"Radiologic examination, wrist; 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination, wrist; complete, minimum of 3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,137.53,137.53,1
RC,321,"Radiologic examination; calcaneus, minimum of 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination; clavicle, complete ",,,137.53,137.53,1
RC,321,"Radiologic examination; forearm, 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination; humerus, minimum of 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination; neck, soft tissue ",,,137.53,137.53,1
RC,321,Radiologic examination; optic foramina ,,,137.53,137.53,1
RC,321,"Radiologic examination; orbits, complete, minimum of 4 views ",,,185.25,185.25,1
RC,321,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,137.53,137.53,1
RC,321,"Radiologic examination; scapula, complete ",,,185.25,185.25,1
RC,321,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,137.53,137.53,1
RC,321,"Radiologic examination; sternum, minimum of 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination; tibia and fibula, 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination; toe(s), minimum of 2 views ",,,137.53,137.53,1
RC,321,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,185.25,185.25,1
RC,321,"Radiological examination, surgical specimen ",,,820.91,820.91,1
RC,321,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,185.25,185.25,1
RC,321,"Sialography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,321,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,185.25,185.25,1
RC,321,"Splenoportography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,321,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,303.54,303.54,1
RC,321,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,17.65,17.65,1
RC,321,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,140.44,140.44,1
RC,321,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,140.44,140.44,1
RC,321,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,70.6,70.6,1
RC,321,Unlisted diagnostic radiographic procedure ,,,137.53,137.53,1
RC,321,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,137.53,137.53,1
RC,321,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,391.22,391.22,1
RC,321,"Urethrocystography, voiding, radiological supervision and interpretation ",,,391.22,391.22,1
RC,321,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,303.54,303.54,1
RC,321,"Urography, antegrade, radiological supervision and interpretation ",,,625.8,625.8,1
RC,321,"Urography, infusion, drip technique and/or bolus technique; ",,,303.54,303.54,1
RC,321,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,303.54,303.54,1
RC,321,"Urography, retrograde, with or without KUB ",,,625.8,625.8,1
RC,321,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,321,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,321,"Venography, epidural, radiological supervision and interpretation ",,,920.75,920.75,1
RC,321,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,321,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,321,"Venography, orbital, radiological supervision and interpretation ",,,920.75,920.75,1
RC,321,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,321,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,321,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,137.53,137.53,1
RC,322, Radiology - Diagnostic Arthrography  ,,,292.0,984.0,10
RC,322,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,149.69,149.69,1
RC,322,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,265.98,265.98,1
RC,322,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,4864.82,4864.82,1
RC,322,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Angiography, internal mammary, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,322,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Angiography, spinal, selective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,322,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,322,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,322,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,Bone age studies ,,,185.25,185.25,1
RC,322,"Bone length studies (orthoroentgenogram, scanogram) ",,,185.25,185.25,1
RC,322,"Cephalogram, orthodontic ",,,137.53,137.53,1
RC,322,"Cholecystography, oral contrast ",,,303.54,303.54,1
RC,322,"Cineradiography/videoradiography, except where specifically included ",,,185.25,185.25,1
RC,322,"Cisternography, positive contrast, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,322,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,391.22,391.22,1
RC,322,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,529.38,529.38,1
RC,322,"Corpora cavernosography, radiological supervision and interpretation ",,,185.25,185.25,1
RC,322,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,625.8,625.8,1
RC,322,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,391.22,391.22,1
RC,322,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,3048.08,3048.08,1
RC,322,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,322,"Discography, lumbar, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,322,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,137.53,137.53,1
RC,322,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,185.25,185.25,1
RC,322,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,185.25,185.25,1
RC,322,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,391.22,391.22,1
RC,322,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Hysterosalpingography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,322,"Joint survey, single view, 2 or more joints (specify) ",,,185.25,185.25,1
RC,322,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,322,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,920.75,920.75,1
RC,322,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,137.53,137.53,1
RC,322,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,215.68,215.68,1
RC,322,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,322,"Myelography, cervical, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,322,"Myelography, lumbosacral, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,322,"Myelography, posterior fossa, radiological supervision and interpretation ",,,625.8,625.8,1
RC,322,"Myelography, thoracic, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,322,Non-ophthalmic fluorescent vascular angiography ,,,625.8,625.8,1
RC,322,"Orthopantogram (eg, panoramic x-ray) ",,,137.53,137.53,1
RC,322,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,391.22,391.22,1
RC,322,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,820.91,820.91,1
RC,322,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1615.85,1615.85,1
RC,322,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,137.53,137.53,1
RC,322,"Radiologic examination, abdomen; 1 view ",,,137.53,137.53,1
RC,322,"Radiologic examination, abdomen; 2 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, abdomen; 3 or more views ",,,185.25,185.25,1
RC,322,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,820.91,820.91,1
RC,322,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,322,"Radiologic examination, ankle; 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, ankle; complete, minimum of 3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, chest; 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, chest; 3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, chest; 4 or more views ",,,185.25,185.25,1
RC,322,"Radiologic examination, chest; single view ",,,137.53,137.53,1
RC,322,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,303.54,303.54,1
RC,322,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,322,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,185.25,185.25,1
RC,322,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,322,"Radiologic examination, elbow; 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, elbow; complete, minimum of 3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,303.54,303.54,1
RC,322,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,322,"Radiologic examination, eye, for detection of foreign body ",,,137.53,137.53,1
RC,322,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, facial bones; less than 3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, femur; 1 view ",,,137.53,137.53,1
RC,322,"Radiologic examination, femur; minimum 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, finger(s), minimum of 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, foot; 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, foot; complete, minimum of 3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, hand; 2 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, hand; minimum of 3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,322,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,137.53,137.53,1
RC,322,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, internal auditory meati, complete ",,,820.91,820.91,1
RC,322,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,322,"Radiologic examination, knee; 1 or 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, knee; 3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,137.53,137.53,1
RC,322,"Radiologic examination, knee; complete, 4 or more views ",,,185.25,185.25,1
RC,322,"Radiologic examination, mandible; complete, minimum of 4 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, mandible; partial, less than 4 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,185.25,185.25,1
RC,322,"Radiologic examination, mastoids; less than 3 views per side ",,,185.25,185.25,1
RC,322,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, osseous survey, infant ",,,185.25,185.25,1
RC,322,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,185.25,185.25,1
RC,322,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,185.25,185.25,1
RC,322,"Radiologic examination, pelvis; 1 or 2 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,322,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,820.91,820.91,1
RC,322,"Radiologic examination, ribs, bilateral; 3 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, ribs, unilateral; 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, sacroiliac joints; 3 or more views ",,,185.25,185.25,1
RC,322,"Radiologic examination, sacroiliac joints; less than 3 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, salivary gland for calculus ",,,137.53,137.53,1
RC,322,"Radiologic examination, sella turcica ",,,137.53,137.53,1
RC,322,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,322,"Radiologic examination, shoulder; 1 view ",,,137.53,137.53,1
RC,322,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,185.25,185.25,1
RC,322,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, skull; complete, minimum of 4 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, skull; less than 4 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,303.54,303.54,1
RC,322,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,322,"Radiologic examination, spine, cervical; 2 or 3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, spine, cervical; 4 or 5 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, spine, cervical; 6 or more views ",,,185.25,185.25,1
RC,322,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,137.53,137.53,1
RC,322,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, spine, single view, specify level ",,,137.53,137.53,1
RC,322,"Radiologic examination, spine; thoracic, 2 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, spine; thoracic, 3 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,185.25,185.25,1
RC,322,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,322,"Radiologic examination, teeth; complete, full mouth ",,,391.22,391.22,1
RC,322,"Radiologic examination, teeth; partial examination, less than full mouth ",,,391.22,391.22,1
RC,322,"Radiologic examination, teeth; single view ",,,137.53,137.53,1
RC,322,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,137.53,137.53,1
RC,322,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,137.53,137.53,1
RC,322,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,303.54,303.54,1
RC,322,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,322,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,322,"Radiologic examination, wrist; 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination, wrist; complete, minimum of 3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,137.53,137.53,1
RC,322,"Radiologic examination; calcaneus, minimum of 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination; clavicle, complete ",,,137.53,137.53,1
RC,322,"Radiologic examination; forearm, 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination; humerus, minimum of 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination; neck, soft tissue ",,,137.53,137.53,1
RC,322,Radiologic examination; optic foramina ,,,137.53,137.53,1
RC,322,"Radiologic examination; orbits, complete, minimum of 4 views ",,,185.25,185.25,1
RC,322,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,137.53,137.53,1
RC,322,"Radiologic examination; scapula, complete ",,,185.25,185.25,1
RC,322,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,137.53,137.53,1
RC,322,"Radiologic examination; sternum, minimum of 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination; tibia and fibula, 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination; toe(s), minimum of 2 views ",,,137.53,137.53,1
RC,322,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,185.25,185.25,1
RC,322,"Radiological examination, surgical specimen ",,,820.91,820.91,1
RC,322,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,185.25,185.25,1
RC,322,"Sialography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,322,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,185.25,185.25,1
RC,322,"Splenoportography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,322,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,303.54,303.54,1
RC,322,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,17.65,17.65,1
RC,322,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,140.44,140.44,1
RC,322,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,140.44,140.44,1
RC,322,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,70.6,70.6,1
RC,322,Unlisted diagnostic radiographic procedure ,,,137.53,137.53,1
RC,322,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,137.53,137.53,1
RC,322,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,391.22,391.22,1
RC,322,"Urethrocystography, voiding, radiological supervision and interpretation ",,,391.22,391.22,1
RC,322,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,303.54,303.54,1
RC,322,"Urography, antegrade, radiological supervision and interpretation ",,,625.8,625.8,1
RC,322,"Urography, infusion, drip technique and/or bolus technique; ",,,303.54,303.54,1
RC,322,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,303.54,303.54,1
RC,322,"Urography, retrograde, with or without KUB ",,,625.8,625.8,1
RC,322,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,322,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,322,"Venography, epidural, radiological supervision and interpretation ",,,920.75,920.75,1
RC,322,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,322,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,322,"Venography, orbital, radiological supervision and interpretation ",,,920.75,920.75,1
RC,322,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,322,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,322,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,137.53,137.53,1
RC,323, Radiology - Diagnostic Arteriography  ,,,292.0,344.0,3
RC,323,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,149.69,149.69,1
RC,323,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,265.98,265.98,1
RC,323,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,4864.82,4864.82,1
RC,323,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Angiography, internal mammary, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,323,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Angiography, spinal, selective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,323,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,323,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,323,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,Bone age studies ,,,185.25,185.25,1
RC,323,"Bone length studies (orthoroentgenogram, scanogram) ",,,185.25,185.25,1
RC,323,"Cephalogram, orthodontic ",,,137.53,137.53,1
RC,323,"Cholecystography, oral contrast ",,,303.54,303.54,1
RC,323,"Cineradiography/videoradiography, except where specifically included ",,,185.25,185.25,1
RC,323,"Cisternography, positive contrast, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,323,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,391.22,391.22,1
RC,323,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,529.38,529.38,1
RC,323,"Corpora cavernosography, radiological supervision and interpretation ",,,185.25,185.25,1
RC,323,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,625.8,625.8,1
RC,323,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,391.22,391.22,1
RC,323,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,3048.08,3048.08,1
RC,323,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,323,"Discography, lumbar, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,323,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,137.53,137.53,1
RC,323,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,185.25,185.25,1
RC,323,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,185.25,185.25,1
RC,323,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,391.22,391.22,1
RC,323,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Hysterosalpingography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,323,"Joint survey, single view, 2 or more joints (specify) ",,,185.25,185.25,1
RC,323,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,323,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,920.75,920.75,1
RC,323,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,137.53,137.53,1
RC,323,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,215.68,215.68,1
RC,323,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,323,"Myelography, cervical, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,323,"Myelography, lumbosacral, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,323,"Myelography, posterior fossa, radiological supervision and interpretation ",,,625.8,625.8,1
RC,323,"Myelography, thoracic, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,323,Non-ophthalmic fluorescent vascular angiography ,,,625.8,625.8,1
RC,323,"Orthopantogram (eg, panoramic x-ray) ",,,137.53,137.53,1
RC,323,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,391.22,391.22,1
RC,323,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,820.91,820.91,1
RC,323,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1615.85,1615.85,1
RC,323,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,137.53,137.53,1
RC,323,"Radiologic examination, abdomen; 1 view ",,,137.53,137.53,1
RC,323,"Radiologic examination, abdomen; 2 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, abdomen; 3 or more views ",,,185.25,185.25,1
RC,323,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,820.91,820.91,1
RC,323,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,323,"Radiologic examination, ankle; 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, ankle; complete, minimum of 3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, chest; 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, chest; 3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, chest; 4 or more views ",,,185.25,185.25,1
RC,323,"Radiologic examination, chest; single view ",,,137.53,137.53,1
RC,323,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,303.54,303.54,1
RC,323,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,323,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,185.25,185.25,1
RC,323,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,323,"Radiologic examination, elbow; 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, elbow; complete, minimum of 3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,303.54,303.54,1
RC,323,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,323,"Radiologic examination, eye, for detection of foreign body ",,,137.53,137.53,1
RC,323,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, facial bones; less than 3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, femur; 1 view ",,,137.53,137.53,1
RC,323,"Radiologic examination, femur; minimum 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, finger(s), minimum of 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, foot; 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, foot; complete, minimum of 3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, hand; 2 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, hand; minimum of 3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,323,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,137.53,137.53,1
RC,323,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, internal auditory meati, complete ",,,820.91,820.91,1
RC,323,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,323,"Radiologic examination, knee; 1 or 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, knee; 3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,137.53,137.53,1
RC,323,"Radiologic examination, knee; complete, 4 or more views ",,,185.25,185.25,1
RC,323,"Radiologic examination, mandible; complete, minimum of 4 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, mandible; partial, less than 4 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,185.25,185.25,1
RC,323,"Radiologic examination, mastoids; less than 3 views per side ",,,185.25,185.25,1
RC,323,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, osseous survey, infant ",,,185.25,185.25,1
RC,323,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,185.25,185.25,1
RC,323,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,185.25,185.25,1
RC,323,"Radiologic examination, pelvis; 1 or 2 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,323,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,820.91,820.91,1
RC,323,"Radiologic examination, ribs, bilateral; 3 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, ribs, unilateral; 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, sacroiliac joints; 3 or more views ",,,185.25,185.25,1
RC,323,"Radiologic examination, sacroiliac joints; less than 3 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, salivary gland for calculus ",,,137.53,137.53,1
RC,323,"Radiologic examination, sella turcica ",,,137.53,137.53,1
RC,323,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,323,"Radiologic examination, shoulder; 1 view ",,,137.53,137.53,1
RC,323,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,185.25,185.25,1
RC,323,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, skull; complete, minimum of 4 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, skull; less than 4 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,303.54,303.54,1
RC,323,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,323,"Radiologic examination, spine, cervical; 2 or 3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, spine, cervical; 4 or 5 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, spine, cervical; 6 or more views ",,,185.25,185.25,1
RC,323,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,137.53,137.53,1
RC,323,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, spine, single view, specify level ",,,137.53,137.53,1
RC,323,"Radiologic examination, spine; thoracic, 2 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, spine; thoracic, 3 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,185.25,185.25,1
RC,323,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,323,"Radiologic examination, teeth; complete, full mouth ",,,391.22,391.22,1
RC,323,"Radiologic examination, teeth; partial examination, less than full mouth ",,,391.22,391.22,1
RC,323,"Radiologic examination, teeth; single view ",,,137.53,137.53,1
RC,323,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,137.53,137.53,1
RC,323,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,137.53,137.53,1
RC,323,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,303.54,303.54,1
RC,323,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,323,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,323,"Radiologic examination, wrist; 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination, wrist; complete, minimum of 3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,137.53,137.53,1
RC,323,"Radiologic examination; calcaneus, minimum of 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination; clavicle, complete ",,,137.53,137.53,1
RC,323,"Radiologic examination; forearm, 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination; humerus, minimum of 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination; neck, soft tissue ",,,137.53,137.53,1
RC,323,Radiologic examination; optic foramina ,,,137.53,137.53,1
RC,323,"Radiologic examination; orbits, complete, minimum of 4 views ",,,185.25,185.25,1
RC,323,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,137.53,137.53,1
RC,323,"Radiologic examination; scapula, complete ",,,185.25,185.25,1
RC,323,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,137.53,137.53,1
RC,323,"Radiologic examination; sternum, minimum of 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination; tibia and fibula, 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination; toe(s), minimum of 2 views ",,,137.53,137.53,1
RC,323,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,185.25,185.25,1
RC,323,"Radiological examination, surgical specimen ",,,820.91,820.91,1
RC,323,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,185.25,185.25,1
RC,323,"Sialography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,323,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,185.25,185.25,1
RC,323,"Splenoportography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,323,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,303.54,303.54,1
RC,323,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,17.65,17.65,1
RC,323,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,140.44,140.44,1
RC,323,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,140.44,140.44,1
RC,323,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,70.6,70.6,1
RC,323,Unlisted diagnostic radiographic procedure ,,,137.53,137.53,1
RC,323,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,137.53,137.53,1
RC,323,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,391.22,391.22,1
RC,323,"Urethrocystography, voiding, radiological supervision and interpretation ",,,391.22,391.22,1
RC,323,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,303.54,303.54,1
RC,323,"Urography, antegrade, radiological supervision and interpretation ",,,625.8,625.8,1
RC,323,"Urography, infusion, drip technique and/or bolus technique; ",,,303.54,303.54,1
RC,323,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,303.54,303.54,1
RC,323,"Urography, retrograde, with or without KUB ",,,625.8,625.8,1
RC,323,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,323,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,323,"Venography, epidural, radiological supervision and interpretation ",,,920.75,920.75,1
RC,323,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,323,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,323,"Venography, orbital, radiological supervision and interpretation ",,,920.75,920.75,1
RC,323,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,323,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,323,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,137.53,137.53,1
RC,324, Radiology - Diagnostic Chest X-Ray  ,,,269.0,409.0,10
RC,324,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,149.69,149.69,1
RC,324,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,265.98,265.98,1
RC,324,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,4864.82,4864.82,1
RC,324,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Angiography, internal mammary, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,324,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Angiography, spinal, selective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,324,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,324,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,324,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,Bone age studies ,,,185.25,185.25,1
RC,324,"Bone length studies (orthoroentgenogram, scanogram) ",,,185.25,185.25,1
RC,324,"Cephalogram, orthodontic ",,,137.53,137.53,1
RC,324,"Cholecystography, oral contrast ",,,303.54,303.54,1
RC,324,"Cineradiography/videoradiography, except where specifically included ",,,185.25,185.25,1
RC,324,"Cisternography, positive contrast, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,324,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,391.22,391.22,1
RC,324,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,529.38,529.38,1
RC,324,"Corpora cavernosography, radiological supervision and interpretation ",,,185.25,185.25,1
RC,324,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,625.8,625.8,1
RC,324,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,391.22,391.22,1
RC,324,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,3048.08,3048.08,1
RC,324,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,324,"Discography, lumbar, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,324,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,137.53,137.53,1
RC,324,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,185.25,185.25,1
RC,324,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,185.25,185.25,1
RC,324,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,391.22,391.22,1
RC,324,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Hysterosalpingography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,324,"Joint survey, single view, 2 or more joints (specify) ",,,185.25,185.25,1
RC,324,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,324,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,920.75,920.75,1
RC,324,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,137.53,137.53,1
RC,324,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,215.68,215.68,1
RC,324,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,324,"Myelography, cervical, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,324,"Myelography, lumbosacral, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,324,"Myelography, posterior fossa, radiological supervision and interpretation ",,,625.8,625.8,1
RC,324,"Myelography, thoracic, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,324,Non-ophthalmic fluorescent vascular angiography ,,,625.8,625.8,1
RC,324,"Orthopantogram (eg, panoramic x-ray) ",,,137.53,137.53,1
RC,324,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,391.22,391.22,1
RC,324,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,820.91,820.91,1
RC,324,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1615.85,1615.85,1
RC,324,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,137.53,137.53,1
RC,324,"Radiologic examination, abdomen; 1 view ",,,137.53,137.53,1
RC,324,"Radiologic examination, abdomen; 2 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, abdomen; 3 or more views ",,,185.25,185.25,1
RC,324,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,820.91,820.91,1
RC,324,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,324,"Radiologic examination, ankle; 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, ankle; complete, minimum of 3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, chest; 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, chest; 3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, chest; 4 or more views ",,,185.25,185.25,1
RC,324,"Radiologic examination, chest; single view ",,,137.53,137.53,1
RC,324,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,303.54,303.54,1
RC,324,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,324,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,185.25,185.25,1
RC,324,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,324,"Radiologic examination, elbow; 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, elbow; complete, minimum of 3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,303.54,303.54,1
RC,324,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,324,"Radiologic examination, eye, for detection of foreign body ",,,137.53,137.53,1
RC,324,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, facial bones; less than 3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, femur; 1 view ",,,137.53,137.53,1
RC,324,"Radiologic examination, femur; minimum 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, finger(s), minimum of 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, foot; 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, foot; complete, minimum of 3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, hand; 2 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, hand; minimum of 3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,324,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,137.53,137.53,1
RC,324,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, internal auditory meati, complete ",,,820.91,820.91,1
RC,324,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,324,"Radiologic examination, knee; 1 or 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, knee; 3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,137.53,137.53,1
RC,324,"Radiologic examination, knee; complete, 4 or more views ",,,185.25,185.25,1
RC,324,"Radiologic examination, mandible; complete, minimum of 4 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, mandible; partial, less than 4 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,185.25,185.25,1
RC,324,"Radiologic examination, mastoids; less than 3 views per side ",,,185.25,185.25,1
RC,324,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, osseous survey, infant ",,,185.25,185.25,1
RC,324,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,185.25,185.25,1
RC,324,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,185.25,185.25,1
RC,324,"Radiologic examination, pelvis; 1 or 2 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,324,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,820.91,820.91,1
RC,324,"Radiologic examination, ribs, bilateral; 3 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, ribs, unilateral; 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, sacroiliac joints; 3 or more views ",,,185.25,185.25,1
RC,324,"Radiologic examination, sacroiliac joints; less than 3 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, salivary gland for calculus ",,,137.53,137.53,1
RC,324,"Radiologic examination, sella turcica ",,,137.53,137.53,1
RC,324,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,324,"Radiologic examination, shoulder; 1 view ",,,137.53,137.53,1
RC,324,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,185.25,185.25,1
RC,324,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, skull; complete, minimum of 4 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, skull; less than 4 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,303.54,303.54,1
RC,324,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,324,"Radiologic examination, spine, cervical; 2 or 3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, spine, cervical; 4 or 5 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, spine, cervical; 6 or more views ",,,185.25,185.25,1
RC,324,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,137.53,137.53,1
RC,324,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, spine, single view, specify level ",,,137.53,137.53,1
RC,324,"Radiologic examination, spine; thoracic, 2 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, spine; thoracic, 3 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,185.25,185.25,1
RC,324,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,324,"Radiologic examination, teeth; complete, full mouth ",,,391.22,391.22,1
RC,324,"Radiologic examination, teeth; partial examination, less than full mouth ",,,391.22,391.22,1
RC,324,"Radiologic examination, teeth; single view ",,,137.53,137.53,1
RC,324,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,137.53,137.53,1
RC,324,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,137.53,137.53,1
RC,324,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,303.54,303.54,1
RC,324,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,324,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,324,"Radiologic examination, wrist; 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination, wrist; complete, minimum of 3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,137.53,137.53,1
RC,324,"Radiologic examination; calcaneus, minimum of 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination; clavicle, complete ",,,137.53,137.53,1
RC,324,"Radiologic examination; forearm, 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination; humerus, minimum of 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination; neck, soft tissue ",,,137.53,137.53,1
RC,324,Radiologic examination; optic foramina ,,,137.53,137.53,1
RC,324,"Radiologic examination; orbits, complete, minimum of 4 views ",,,185.25,185.25,1
RC,324,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,137.53,137.53,1
RC,324,"Radiologic examination; scapula, complete ",,,185.25,185.25,1
RC,324,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,137.53,137.53,1
RC,324,"Radiologic examination; sternum, minimum of 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination; tibia and fibula, 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination; toe(s), minimum of 2 views ",,,137.53,137.53,1
RC,324,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,185.25,185.25,1
RC,324,"Radiological examination, surgical specimen ",,,820.91,820.91,1
RC,324,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,185.25,185.25,1
RC,324,"Sialography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,324,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,185.25,185.25,1
RC,324,"Splenoportography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,324,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,303.54,303.54,1
RC,324,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,17.65,17.65,1
RC,324,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,140.44,140.44,1
RC,324,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,140.44,140.44,1
RC,324,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,70.6,70.6,1
RC,324,Unlisted diagnostic radiographic procedure ,,,137.53,137.53,1
RC,324,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,137.53,137.53,1
RC,324,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,391.22,391.22,1
RC,324,"Urethrocystography, voiding, radiological supervision and interpretation ",,,391.22,391.22,1
RC,324,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,303.54,303.54,1
RC,324,"Urography, antegrade, radiological supervision and interpretation ",,,625.8,625.8,1
RC,324,"Urography, infusion, drip technique and/or bolus technique; ",,,303.54,303.54,1
RC,324,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,303.54,303.54,1
RC,324,"Urography, retrograde, with or without KUB ",,,625.8,625.8,1
RC,324,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,324,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,324,"Venography, epidural, radiological supervision and interpretation ",,,920.75,920.75,1
RC,324,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,324,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,324,"Venography, orbital, radiological supervision and interpretation ",,,920.75,920.75,1
RC,324,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,324,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,324,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,137.53,137.53,1
RC,329, Radiology Diagnostic Other  ,,,292.0,819.0,10
RC,329,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,149.69,149.69,1
RC,329,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,265.98,265.98,1
RC,329,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,4864.82,4864.82,1
RC,329,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Angiography, internal mammary, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,329,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Angiography, spinal, selective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,329,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,329,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,329,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,Bone age studies ,,,185.25,185.25,1
RC,329,"Bone length studies (orthoroentgenogram, scanogram) ",,,185.25,185.25,1
RC,329,"Cephalogram, orthodontic ",,,137.53,137.53,1
RC,329,"Cholecystography, oral contrast ",,,303.54,303.54,1
RC,329,"Cineradiography/videoradiography, except where specifically included ",,,185.25,185.25,1
RC,329,"Cisternography, positive contrast, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,329,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,391.22,391.22,1
RC,329,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,529.38,529.38,1
RC,329,"Corpora cavernosography, radiological supervision and interpretation ",,,185.25,185.25,1
RC,329,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,625.8,625.8,1
RC,329,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,391.22,391.22,1
RC,329,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,3048.08,3048.08,1
RC,329,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,329,"Discography, lumbar, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,329,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,137.53,137.53,1
RC,329,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,185.25,185.25,1
RC,329,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,185.25,185.25,1
RC,329,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,391.22,391.22,1
RC,329,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Hysterosalpingography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,329,"Joint survey, single view, 2 or more joints (specify) ",,,185.25,185.25,1
RC,329,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,329,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,920.75,920.75,1
RC,329,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,137.53,137.53,1
RC,329,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,215.68,215.68,1
RC,329,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,329,"Myelography, cervical, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,329,"Myelography, lumbosacral, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,329,"Myelography, posterior fossa, radiological supervision and interpretation ",,,625.8,625.8,1
RC,329,"Myelography, thoracic, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,329,Non-ophthalmic fluorescent vascular angiography ,,,625.8,625.8,1
RC,329,"Orthopantogram (eg, panoramic x-ray) ",,,137.53,137.53,1
RC,329,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,391.22,391.22,1
RC,329,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,820.91,820.91,1
RC,329,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1615.85,1615.85,1
RC,329,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,137.53,137.53,1
RC,329,"Radiologic examination, abdomen; 1 view ",,,137.53,137.53,1
RC,329,"Radiologic examination, abdomen; 2 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, abdomen; 3 or more views ",,,185.25,185.25,1
RC,329,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,820.91,820.91,1
RC,329,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,329,"Radiologic examination, ankle; 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, ankle; complete, minimum of 3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, chest; 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, chest; 3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, chest; 4 or more views ",,,185.25,185.25,1
RC,329,"Radiologic examination, chest; single view ",,,137.53,137.53,1
RC,329,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,303.54,303.54,1
RC,329,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,329,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,185.25,185.25,1
RC,329,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,329,"Radiologic examination, elbow; 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, elbow; complete, minimum of 3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,303.54,303.54,1
RC,329,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,329,"Radiologic examination, eye, for detection of foreign body ",,,137.53,137.53,1
RC,329,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, facial bones; less than 3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, femur; 1 view ",,,137.53,137.53,1
RC,329,"Radiologic examination, femur; minimum 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, finger(s), minimum of 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, foot; 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, foot; complete, minimum of 3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, hand; 2 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, hand; minimum of 3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,329,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,137.53,137.53,1
RC,329,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, internal auditory meati, complete ",,,820.91,820.91,1
RC,329,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,329,"Radiologic examination, knee; 1 or 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, knee; 3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,137.53,137.53,1
RC,329,"Radiologic examination, knee; complete, 4 or more views ",,,185.25,185.25,1
RC,329,"Radiologic examination, mandible; complete, minimum of 4 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, mandible; partial, less than 4 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,185.25,185.25,1
RC,329,"Radiologic examination, mastoids; less than 3 views per side ",,,185.25,185.25,1
RC,329,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, osseous survey, infant ",,,185.25,185.25,1
RC,329,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,185.25,185.25,1
RC,329,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,185.25,185.25,1
RC,329,"Radiologic examination, pelvis; 1 or 2 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,329,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,820.91,820.91,1
RC,329,"Radiologic examination, ribs, bilateral; 3 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, ribs, unilateral; 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, sacroiliac joints; 3 or more views ",,,185.25,185.25,1
RC,329,"Radiologic examination, sacroiliac joints; less than 3 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, salivary gland for calculus ",,,137.53,137.53,1
RC,329,"Radiologic examination, sella turcica ",,,137.53,137.53,1
RC,329,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,329,"Radiologic examination, shoulder; 1 view ",,,137.53,137.53,1
RC,329,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,185.25,185.25,1
RC,329,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, skull; complete, minimum of 4 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, skull; less than 4 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,303.54,303.54,1
RC,329,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,329,"Radiologic examination, spine, cervical; 2 or 3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, spine, cervical; 4 or 5 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, spine, cervical; 6 or more views ",,,185.25,185.25,1
RC,329,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,137.53,137.53,1
RC,329,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, spine, single view, specify level ",,,137.53,137.53,1
RC,329,"Radiologic examination, spine; thoracic, 2 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, spine; thoracic, 3 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,185.25,185.25,1
RC,329,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,329,"Radiologic examination, teeth; complete, full mouth ",,,391.22,391.22,1
RC,329,"Radiologic examination, teeth; partial examination, less than full mouth ",,,391.22,391.22,1
RC,329,"Radiologic examination, teeth; single view ",,,137.53,137.53,1
RC,329,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,137.53,137.53,1
RC,329,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,137.53,137.53,1
RC,329,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,303.54,303.54,1
RC,329,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,329,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,329,"Radiologic examination, wrist; 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination, wrist; complete, minimum of 3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,137.53,137.53,1
RC,329,"Radiologic examination; calcaneus, minimum of 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination; clavicle, complete ",,,137.53,137.53,1
RC,329,"Radiologic examination; forearm, 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination; humerus, minimum of 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination; neck, soft tissue ",,,137.53,137.53,1
RC,329,Radiologic examination; optic foramina ,,,137.53,137.53,1
RC,329,"Radiologic examination; orbits, complete, minimum of 4 views ",,,185.25,185.25,1
RC,329,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,137.53,137.53,1
RC,329,"Radiologic examination; scapula, complete ",,,185.25,185.25,1
RC,329,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,137.53,137.53,1
RC,329,"Radiologic examination; sternum, minimum of 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination; tibia and fibula, 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination; toe(s), minimum of 2 views ",,,137.53,137.53,1
RC,329,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,185.25,185.25,1
RC,329,"Radiological examination, surgical specimen ",,,820.91,820.91,1
RC,329,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,185.25,185.25,1
RC,329,"Sialography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,329,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,185.25,185.25,1
RC,329,"Splenoportography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,329,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,303.54,303.54,1
RC,329,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,17.65,17.65,1
RC,329,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,140.44,140.44,1
RC,329,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,140.44,140.44,1
RC,329,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,70.6,70.6,1
RC,329,Unlisted diagnostic radiographic procedure ,,,137.53,137.53,1
RC,329,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,137.53,137.53,1
RC,329,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,391.22,391.22,1
RC,329,"Urethrocystography, voiding, radiological supervision and interpretation ",,,391.22,391.22,1
RC,329,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,303.54,303.54,1
RC,329,"Urography, antegrade, radiological supervision and interpretation ",,,625.8,625.8,1
RC,329,"Urography, infusion, drip technique and/or bolus technique; ",,,303.54,303.54,1
RC,329,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,303.54,303.54,1
RC,329,"Urography, retrograde, with or without KUB ",,,625.8,625.8,1
RC,329,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,329,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,329,"Venography, epidural, radiological supervision and interpretation ",,,920.75,920.75,1
RC,329,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,329,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,329,"Venography, orbital, radiological supervision and interpretation ",,,920.75,920.75,1
RC,329,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,329,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,329,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,137.53,137.53,1
RC,330, Radiology - Therapeutic and/or Chemotherapy Administration General Classification  ,,,1911.0,1911.0,1
RC,331, Radiology - Therapeutic and/or Chemotherapy Administration Chemotherapy Admin - Injected  ,,,4245.0,4245.0,1
RC,332, Radiology - Therapeutic and/or Chemotherapy Administration Chemotherapy Admin - Oral  ,,,4245.0,4245.0,1
RC,333, Radiology - Therapeutic and/or Chemotherapy Administration Radiation Therapy  ,,,1911.0,4200.0,2
RC,333,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,7027.0,65000.0,2
RC,333,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based ",,,7027.0,65000.0,2
RC,333,"Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based ",,,7027.0,65000.0,2
RC,333,"Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions ",,,7027.0,21000.0,2
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,7027.0,65000.0,2
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,7027.0,65000.0,2
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,7027.0,65000.0,2
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,7027.0,65000.0,2
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,7027.0,65000.0,2
RC,333,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,7027.0,65000.0,2
RC,335, Radiology - Therapeutic and/or Chemotherapy Administration Chemotherapy Admin - IV  ,,,4245.0,4245.0,1
RC,339, Radiology - Therapeutic and/or Chemotherapy Administration Other   ,,,1911.0,1911.0,1
RC,340, Nuclear Medicine General Classification  ,,,1962.0,2250.0,3
RC,340,Acute gastrointestinal blood loss imaging ,,,641.1,641.1,1
RC,340,"Acute venous thrombosis imaging, peptide ",,,2220.1,2220.1,1
RC,340,"Adrenal imaging, cortex and/or medulla ",,,2220.1,2220.1,1
RC,340,Bone and/or joint imaging; 3 phase study ,,,641.1,641.1,1
RC,340,Bone and/or joint imaging; limited area ,,,641.1,641.1,1
RC,340,Bone and/or joint imaging; multiple areas ,,,641.1,641.1,1
RC,340,Bone and/or joint imaging; whole body ,,,641.1,641.1,1
RC,340,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,26.1,26.1,1
RC,340,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,36.77,36.77,1
RC,340,Bone marrow imaging; limited area ,,,641.1,641.1,1
RC,340,Bone marrow imaging; multiple areas ,,,641.1,641.1,1
RC,340,Bone marrow imaging; whole body ,,,641.1,641.1,1
RC,340,"Brain imaging, less than 4 static views; ",,,641.1,641.1,1
RC,340,"Brain imaging, less than 4 static views; with vascular flow ",,,641.1,641.1,1
RC,340,"Brain imaging, minimum 4 static views; ",,,831.98,831.98,1
RC,340,"Brain imaging, minimum 4 static views; with vascular flow ",,,831.98,831.98,1
RC,340,"Brain imaging, vascular flow only ",,,831.98,831.98,1
RC,340,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",,,831.98,831.98,1
RC,340,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",,,831.98,831.98,1
RC,340,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",,,641.1,641.1,1
RC,340,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",,,641.1,641.1,1
RC,340,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",,,641.1,641.1,1
RC,340,Cardiac shunt detection ,,,641.1,641.1,1
RC,340,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",,,831.98,831.98,1
RC,340,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",,,831.98,831.98,1
RC,340,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",,,831.98,831.98,1
RC,340,Cerebrospinal fluid leakage detection and localization ,,,2220.1,2220.1,1
RC,340,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,831.98,831.98,1
RC,340,Esophageal motility ,,,641.1,641.1,1
RC,340,"Gastric emptying imaging study (eg, solid, liquid, or both); ",,,641.1,641.1,1
RC,340,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",,,831.98,831.98,1
RC,340,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",,,641.1,641.1,1
RC,340,Gastric mucosa imaging ,,,641.1,641.1,1
RC,340,Gastroesophageal reflux study ,,,641.1,641.1,1
RC,340,Gastrointestinal protein loss ,,,641.1,641.1,1
RC,340,"Hepatobiliary system imaging, including gallbladder when present; ",,,641.1,641.1,1
RC,340,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",,,831.98,831.98,1
RC,340,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",,,641.1,641.1,1
RC,340,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",,,641.1,641.1,1
RC,340,"Kidney function study, non-imaging radioisotopic study ",,,641.1,641.1,1
RC,340,Kidney imaging morphology; ,,,641.1,641.1,1
RC,340,Kidney imaging morphology; with vascular flow ,,,641.1,641.1,1
RC,340,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,831.98,831.98,1
RC,340,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",,,831.98,831.98,1
RC,340,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,831.98,831.98,1
RC,340,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",,,641.1,641.1,1
RC,340,Liver and spleen imaging; static only ,,,641.1,641.1,1
RC,340,Liver and spleen imaging; with vascular flow ,,,641.1,641.1,1
RC,340,Liver imaging; static only ,,,831.98,831.98,1
RC,340,Liver imaging; with vascular flow ,,,831.98,831.98,1
RC,340,Lymphatics and lymph nodes imaging ,,,831.98,831.98,1
RC,340,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",,,641.1,641.1,1
RC,340,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",,,831.98,831.98,1
RC,340,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",,,831.98,831.98,1
RC,340,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",,,2220.1,2220.1,1
RC,340,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",,,2220.1,2220.1,1
RC,340,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",,,2220.1,2220.1,2
RC,340,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",,,641.1,641.1,1
RC,340,"Parathyroid planar imaging (including subtraction, when performed); ",,,641.1,641.1,1
RC,340,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",,,641.1,641.1,1
RC,340,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",,,831.98,831.98,1
RC,340,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",,,641.1,641.1,1
RC,340,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,2220.1,2220.1,1
RC,340,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,2220.1,2220.1,1
RC,340,Platelet survival study ,,,641.1,641.1,1
RC,340,"Pulmonary perfusion imaging (eg, particulate) ",,,641.1,641.1,1
RC,340,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",,,831.98,831.98,1
RC,340,"Pulmonary ventilation imaging (eg, aerosol or gas) ",,,641.1,641.1,1
RC,340,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",,,831.98,831.98,1
RC,340,"Quantitative differential pulmonary perfusion, including imaging when performed ",,,641.1,641.1,1
RC,340,Radiopharmaceutical dacryocystography ,,,641.1,641.1,1
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",,,641.1,641.1,1
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",,,641.1,641.1,1
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",,,2220.1,2220.1,1
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",,,2220.1,2220.1,1
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,2220.1,2516.58,2
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",,,2220.1,2220.1,1
RC,340,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",,,2220.1,2220.1,1
RC,340,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,424.35,424.35,1
RC,340,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",,,424.35,424.35,1
RC,340,"Radiopharmaceutical therapy, by intra-articular administration ",,,424.35,424.35,1
RC,340,"Radiopharmaceutical therapy, by intracavitary administration ",,,424.35,424.35,1
RC,340,"Radiopharmaceutical therapy, by intravenous administration ",,,424.35,424.35,1
RC,340,"Radiopharmaceutical therapy, by oral administration ",,,424.35,424.35,1
RC,340,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",,,424.35,424.35,1
RC,340,"Radiopharmaceutical therapy, unlisted procedure ",,,424.35,424.35,1
RC,340,Red cell survival study ,,,641.1,641.1,1
RC,340,Red cell volume determination (separate procedure); multiple samplings ,,,831.98,831.98,1
RC,340,Red cell volume determination (separate procedure); single sampling ,,,641.1,641.1,1
RC,340,Salivary gland function study ,,,641.1,641.1,1
RC,340,Salivary gland imaging; ,,,641.1,641.1,1
RC,340,Salivary gland imaging; with serial images ,,,641.1,641.1,1
RC,340,"Spleen imaging only, with or without vascular flow ",,,641.1,641.1,1
RC,340,Testicular imaging with vascular flow ,,,641.1,641.1,1
RC,340,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",,,641.1,641.1,1
RC,340,Thyroid carcinoma metastases imaging; whole body ,,,831.98,831.98,1
RC,340,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",,,641.1,641.1,1
RC,340,"Thyroid imaging (including vascular flow, when performed); ",,,641.1,641.1,1
RC,340,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,641.1,641.1,1
RC,340,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,641.1,641.1,1
RC,340,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,340,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,340,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,340,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,340,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,340,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,340,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,340,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,340,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,340,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,18.8,18.8,1
RC,340,"Urea breath test, C-14 (isotopic); analysis ",,,160.5,160.5,1
RC,340,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,,,641.1,641.1,1
RC,340,"Venous thrombosis imaging, venogram; bilateral ",,,641.1,641.1,1
RC,340,"Venous thrombosis imaging, venogram; unilateral ",,,831.98,831.98,1
RC,340,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,831.98,831.98,1
RC,341, Nuclear Medicine Diagnostic  ,,,1962.0,2250.0,3
RC,341,"Adrenal imaging, cortex and/or medulla ",,,2220.1,2220.1,1
RC,341,Bone and/or joint imaging; multiple areas ,,,641.1,641.1,1
RC,341,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,26.1,26.1,1
RC,341,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,36.77,36.77,1
RC,341,Bone marrow imaging; limited area ,,,641.1,641.1,1
RC,341,Bone marrow imaging; multiple areas ,,,641.1,641.1,1
RC,341,Bone marrow imaging; whole body ,,,641.1,641.1,1
RC,341,"Brain imaging, less than 4 static views; ",,,641.1,641.1,1
RC,341,"Brain imaging, less than 4 static views; with vascular flow ",,,641.1,641.1,1
RC,341,"Brain imaging, minimum 4 static views; ",,,831.98,831.98,1
RC,341,"Brain imaging, vascular flow only ",,,831.98,831.98,1
RC,341,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",,,831.98,831.98,1
RC,341,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",,,641.1,641.1,1
RC,341,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",,,641.1,641.1,1
RC,341,Cardiac shunt detection ,,,641.1,641.1,1
RC,341,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",,,831.98,831.98,1
RC,341,Cerebrospinal fluid leakage detection and localization ,,,2220.1,2220.1,1
RC,341,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,831.98,831.98,1
RC,341,Esophageal motility ,,,641.1,641.1,1
RC,341,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",,,831.98,831.98,1
RC,341,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",,,641.1,641.1,1
RC,341,Gastric mucosa imaging ,,,641.1,641.1,1
RC,341,Gastroesophageal reflux study ,,,641.1,641.1,1
RC,341,Gastrointestinal protein loss ,,,641.1,641.1,1
RC,341,"Hepatobiliary system imaging, including gallbladder when present; ",8021.0,8021.0,641.1,641.1,1
RC,341,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",8021.0,8021.0,831.98,831.98,1
RC,341,"Kidney function study, non-imaging radioisotopic study ",,,641.1,641.1,1
RC,341,Kidney imaging morphology; with vascular flow ,,,641.1,641.1,1
RC,341,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,831.98,831.98,1
RC,341,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,831.98,831.98,1
RC,341,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",,,641.1,641.1,1
RC,341,Liver and spleen imaging; with vascular flow ,,,641.1,641.1,1
RC,341,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",,,831.98,831.98,1
RC,341,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",,,831.98,831.98,1
RC,341,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",,,641.1,641.1,1
RC,341,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",2079.0,2079.0,641.1,641.1,1
RC,341,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",,,831.98,831.98,1
RC,341,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,2220.1,2220.1,1
RC,341,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,2220.1,2220.1,1
RC,341,Platelet survival study ,,,641.1,641.1,1
RC,341,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",11255.0,11255.0,831.98,831.98,1
RC,341,"Pulmonary ventilation imaging (eg, aerosol or gas) ",11255.0,11255.0,641.1,641.1,1
RC,341,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",8571.0,8571.0,831.98,831.98,1
RC,341,"Quantitative differential pulmonary perfusion, including imaging when performed ",8990.0,8990.0,641.1,641.1,1
RC,341,Radiopharmaceutical dacryocystography ,,,641.1,641.1,1
RC,341,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,2220.1,2516.58,2
RC,341,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",,,2220.1,2220.1,1
RC,341,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,424.35,424.35,1
RC,341,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",,,424.35,424.35,1
RC,341,"Radiopharmaceutical therapy, by intra-articular administration ",,,424.35,424.35,1
RC,341,"Radiopharmaceutical therapy, by intracavitary administration ",,,424.35,424.35,1
RC,341,"Radiopharmaceutical therapy, by intravenous administration ",,,424.35,424.35,1
RC,341,"Radiopharmaceutical therapy, by oral administration ",,,424.35,424.35,1
RC,341,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",,,424.35,424.35,1
RC,341,"Radiopharmaceutical therapy, unlisted procedure ",,,424.35,424.35,1
RC,341,Red cell survival study ,,,641.1,641.1,1
RC,341,Red cell volume determination (separate procedure); multiple samplings ,,,831.98,831.98,1
RC,341,Red cell volume determination (separate procedure); single sampling ,,,641.1,641.1,1
RC,341,Salivary gland imaging; ,,,641.1,641.1,1
RC,341,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",,,641.1,641.1,1
RC,341,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",,,641.1,641.1,1
RC,341,"Thyroid imaging (including vascular flow, when performed); ",972.0,972.0,641.1,641.1,1
RC,341,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",1508.0,1508.0,641.1,641.1,1
RC,341,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",735.0,735.0,641.1,641.1,1
RC,341,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,341,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,341,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,341,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,341,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,341,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,341,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,341,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,341,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,341,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,18.8,18.8,1
RC,341,"Urea breath test, C-14 (isotopic); analysis ",,,160.5,160.5,1
RC,341,"Venous thrombosis imaging, venogram; unilateral ",,,831.98,831.98,1
RC,341,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,831.98,831.98,1
RC,342, Nuclear Medicine Therapeutic  ,,,1962.0,2250.0,3
RC,342,Acute gastrointestinal blood loss imaging ,,,641.1,641.1,1
RC,342,"Acute venous thrombosis imaging, peptide ",,,2220.1,2220.1,1
RC,342,"Adrenal imaging, cortex and/or medulla ",,,2220.1,2220.1,1
RC,342,Bone and/or joint imaging; 3 phase study ,,,641.1,641.1,1
RC,342,Bone and/or joint imaging; limited area ,,,641.1,641.1,1
RC,342,Bone and/or joint imaging; multiple areas ,,,641.1,641.1,1
RC,342,Bone and/or joint imaging; whole body ,,,641.1,641.1,1
RC,342,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,26.1,26.1,1
RC,342,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,36.77,36.77,1
RC,342,Bone marrow imaging; limited area ,,,641.1,641.1,1
RC,342,Bone marrow imaging; multiple areas ,,,641.1,641.1,1
RC,342,Bone marrow imaging; whole body ,,,641.1,641.1,1
RC,342,"Brain imaging, less than 4 static views; ",,,641.1,641.1,1
RC,342,"Brain imaging, less than 4 static views; with vascular flow ",,,641.1,641.1,1
RC,342,"Brain imaging, minimum 4 static views; ",,,831.98,831.98,1
RC,342,"Brain imaging, minimum 4 static views; with vascular flow ",,,831.98,831.98,1
RC,342,"Brain imaging, vascular flow only ",,,831.98,831.98,1
RC,342,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",,,831.98,831.98,1
RC,342,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",,,831.98,831.98,1
RC,342,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",,,641.1,641.1,1
RC,342,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",,,641.1,641.1,1
RC,342,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",,,641.1,641.1,1
RC,342,Cardiac shunt detection ,,,641.1,641.1,1
RC,342,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",,,831.98,831.98,1
RC,342,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",,,831.98,831.98,1
RC,342,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",,,831.98,831.98,1
RC,342,Cerebrospinal fluid leakage detection and localization ,,,2220.1,2220.1,1
RC,342,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,831.98,831.98,1
RC,342,Esophageal motility ,,,641.1,641.1,1
RC,342,"Gastric emptying imaging study (eg, solid, liquid, or both); ",,,641.1,641.1,1
RC,342,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",,,831.98,831.98,1
RC,342,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",,,641.1,641.1,1
RC,342,Gastric mucosa imaging ,,,641.1,641.1,1
RC,342,Gastroesophageal reflux study ,,,641.1,641.1,1
RC,342,Gastrointestinal protein loss ,,,641.1,641.1,1
RC,342,"Hepatobiliary system imaging, including gallbladder when present; ",,,641.1,641.1,1
RC,342,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",,,831.98,831.98,1
RC,342,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",,,641.1,641.1,1
RC,342,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",,,641.1,641.1,1
RC,342,"Kidney function study, non-imaging radioisotopic study ",,,641.1,641.1,1
RC,342,Kidney imaging morphology; ,,,641.1,641.1,1
RC,342,Kidney imaging morphology; with vascular flow ,,,641.1,641.1,1
RC,342,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,831.98,831.98,1
RC,342,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",,,831.98,831.98,1
RC,342,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,831.98,831.98,1
RC,342,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",,,641.1,641.1,1
RC,342,Liver and spleen imaging; static only ,,,641.1,641.1,1
RC,342,Liver and spleen imaging; with vascular flow ,,,641.1,641.1,1
RC,342,Liver imaging; static only ,,,831.98,831.98,1
RC,342,Liver imaging; with vascular flow ,,,831.98,831.98,1
RC,342,Lymphatics and lymph nodes imaging ,,,831.98,831.98,1
RC,342,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",,,641.1,641.1,1
RC,342,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",,,831.98,831.98,1
RC,342,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",,,831.98,831.98,1
RC,342,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",,,2220.1,2220.1,1
RC,342,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",,,2220.1,2220.1,1
RC,342,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",,,2220.1,2220.1,2
RC,342,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",,,641.1,641.1,1
RC,342,"Parathyroid planar imaging (including subtraction, when performed); ",,,641.1,641.1,1
RC,342,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",,,641.1,641.1,1
RC,342,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",,,831.98,831.98,1
RC,342,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",,,641.1,641.1,1
RC,342,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,2220.1,2220.1,1
RC,342,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,2220.1,2220.1,1
RC,342,Platelet survival study ,,,641.1,641.1,1
RC,342,"Pulmonary perfusion imaging (eg, particulate) ",,,641.1,641.1,1
RC,342,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",,,831.98,831.98,1
RC,342,"Pulmonary ventilation imaging (eg, aerosol or gas) ",,,641.1,641.1,1
RC,342,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",,,831.98,831.98,1
RC,342,"Quantitative differential pulmonary perfusion, including imaging when performed ",,,641.1,641.1,1
RC,342,Radiopharmaceutical dacryocystography ,,,641.1,641.1,1
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",,,641.1,641.1,1
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",,,641.1,641.1,1
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",,,2220.1,2220.1,1
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",,,2220.1,2220.1,1
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,2220.1,2516.58,2
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",,,2220.1,2220.1,1
RC,342,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",,,2220.1,2220.1,1
RC,342,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,424.35,424.35,1
RC,342,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",,,424.35,424.35,1
RC,342,"Radiopharmaceutical therapy, by intra-articular administration ",,,424.35,424.35,1
RC,342,"Radiopharmaceutical therapy, by intracavitary administration ",,,424.35,424.35,1
RC,342,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",,,424.35,424.35,1
RC,342,"Radiopharmaceutical therapy, unlisted procedure ",,,424.35,424.35,1
RC,342,Red cell survival study ,,,641.1,641.1,1
RC,342,Red cell volume determination (separate procedure); multiple samplings ,,,831.98,831.98,1
RC,342,Red cell volume determination (separate procedure); single sampling ,,,641.1,641.1,1
RC,342,Salivary gland function study ,,,641.1,641.1,1
RC,342,Salivary gland imaging; ,,,641.1,641.1,1
RC,342,Salivary gland imaging; with serial images ,,,641.1,641.1,1
RC,342,"Spleen imaging only, with or without vascular flow ",,,641.1,641.1,1
RC,342,Testicular imaging with vascular flow ,,,641.1,641.1,1
RC,342,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",,,641.1,641.1,1
RC,342,Thyroid carcinoma metastases imaging; whole body ,,,831.98,831.98,1
RC,342,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",,,641.1,641.1,1
RC,342,"Thyroid imaging (including vascular flow, when performed); ",,,641.1,641.1,1
RC,342,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,641.1,641.1,1
RC,342,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,641.1,641.1,1
RC,342,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,342,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,342,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,342,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,342,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,342,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,342,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,342,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,342,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,342,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,18.8,18.8,1
RC,342,"Urea breath test, C-14 (isotopic); analysis ",,,160.5,160.5,1
RC,342,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,,,641.1,641.1,1
RC,342,"Venous thrombosis imaging, venogram; bilateral ",,,641.1,641.1,1
RC,342,"Venous thrombosis imaging, venogram; unilateral ",,,831.98,831.98,1
RC,342,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,831.98,831.98,1
RC,343, Nuclear Medicine Diagnostic Radiopharmaceuticals  ,,,,,0
RC,343,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,9.98,9.98,1
RC,343,5% dextrose/normal saline (500 ml = 1 unit) ,,,2.13,2.13,1
RC,343,5% dextrose/water (500 ml = 1 unit) ,,,3.09,3.09,1
RC,343,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,Ac5 advanced wound system (ac5) ,,,9900.0,9900.0,1
RC,343,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,14.09,14.09,1
RC,343,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Afamelanotide implant, 1 mg ",,,4856.64,4856.64,1
RC,343,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1271523.0,1271523.0,1
RC,343,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.4,0.4,1
RC,343,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.13,0.13,1
RC,343,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.35,0.35,1
RC,343,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.92,2.92,1
RC,343,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,643.53,643.53,1
RC,343,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,113.4,113.4,1
RC,343,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,191.5,191.5,1
RC,343,"Anti-inhibitor, per i.u. ",,,3.99,3.99,1
RC,343,"Antithrombin iii (human), per i.u. ",,,6.77,6.77,1
RC,343,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Aprepitant, oral, 5 mg ",,,3.94,3.94,1
RC,343,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.2,1.2,1
RC,343,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Ascent, 0.5 mg ",,,113.75,113.75,1
RC,343,"Autologous cultured chondrocytes, implant ",,,138148.31,138148.31,1
RC,343,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,877551.05,877551.05,1
RC,343,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Azathioprine, oral, 50 mg ",,,0.3,0.3,1
RC,343,"Azathioprine, parenteral, 100 mg ",,,420.35,420.35,1
RC,343,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,21.5,21.5,1
RC,343,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,374.72,374.72,1
RC,343,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,374.72,374.72,1
RC,343,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Bcg live intravesical instillation, 1 mg ",,,5.59,5.59,1
RC,343,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1657.56,1657.56,1
RC,343,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Biobrane, per square centimeter ",,,209.78,209.78,1
RC,343,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,807329.49,807329.49,1
RC,343,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,7.72,7.72,1
RC,343,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,1.82,1.82,1
RC,343,"Buprenorphine, oral, 1 mg ",,,2.06,2.06,1
RC,343,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,31.19,31.19,1
RC,343,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,15.66,15.66,1
RC,343,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,16.47,16.47,1
RC,343,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,9.62,9.62,1
RC,343,"Busulfan; oral, 2 mg ",,,16.7,16.7,1
RC,343,"Cabergoline, oral, 0.25 mg ",,,0.25,0.25,1
RC,343,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.05,0.05,1
RC,343,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,1100.67,1100.67,1
RC,343,"Capecitabine, oral, 50 mg ",,,0.05,0.05,1
RC,343,"Capsaicin 8% patch, per square centimeter ",,,5.64,5.64,1
RC,343,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,402.67,402.67,1
RC,343,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,680.63,680.63,1
RC,343,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.97,0.97,1
RC,343,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,4152.11,4152.11,1
RC,343,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,257.93,257.93,1
RC,343,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",41.0,41.0,3164.63,3164.63,1
RC,343,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,971016.44,971016.44,1
RC,343,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,1.63,1.63,1
RC,343,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,337.84,337.84,1
RC,343,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,2.21,2.21,1
RC,343,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,980.56,980.56,1
RC,343,"Coretext or protext, per cc ",,,5313.0,5313.0,1
RC,343,"Corplex p or theracor p or allacor p, per milligram ",,,188.91,188.91,1
RC,343,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,81.26,81.26,1
RC,343,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.54,0.54,1
RC,343,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,1.34,1.34,1
RC,343,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Cyclophosphamide; oral, 25 mg ",,,2.72,2.72,1
RC,343,"Cyclosporine, oral, 100 mg ",,,2.36,2.36,1
RC,343,"Cyclosporine, oral, 25 mg ",,,1.04,1.04,1
RC,343,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,3582.93,3582.93,1
RC,343,"Dacarbazine, 100 mg ",,,6.35,6.35,1
RC,343,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,130.68,130.68,1
RC,343,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dexamethasone (hemady), oral, 0.25 mg ",,,0.71,0.71,1
RC,343,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,152.71,152.71,1
RC,343,"Dexamethasone, oral, 0.25 mg ",,,0.05,0.05,1
RC,343,"Dexmedetomidine, oral, 1 mcg ",,,1.45,1.45,1
RC,343,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,2.28,2.28,1
RC,343,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,30.31,30.31,1
RC,343,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,129.84,129.84,1
RC,343,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,233.1,233.1,1
RC,343,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,218.96,218.96,1
RC,343,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,329.88,329.88,1
RC,343,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,61.12,61.12,1
RC,343,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,94.25,94.25,1
RC,343,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,91.03,91.03,1
RC,343,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,6.42,6.42,1
RC,343,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,2.72,2.72,1
RC,343,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Edetate disodium, per 150 mg ",,,0.54,0.54,1
RC,343,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,117.88,117.88,1
RC,343,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,0.81,0.81,1
RC,343,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,86.0,86.0,1
RC,343,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Epifix, injectable, 1 mg ",,,31.96,31.96,1
RC,343,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Esketamine, nasal spray, 1 mg ",,,31.65,31.65,1
RC,343,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,309.03,309.03,1
RC,343,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,2525.21,2525.21,1
RC,343,"Etoposide; oral, 50 mg ",,,143.29,143.29,1
RC,343,"Everolimus, oral, 0.25 mg ",,,2.05,2.05,1
RC,343,"Excellagen, 0.1 cc ",,,287.1,287.1,1
RC,343,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,2.26,2.26,1
RC,343,"Factor ix, complex, per i.u. ",,,2.81,2.81,1
RC,343,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,4.36,4.36,1
RC,343,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,3.63,3.63,1
RC,343,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,9.01,9.01,1
RC,343,"Factor viii (antihemophilic factor, human) per i.u. ",,,2.29,2.29,1
RC,343,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,2.59,2.59,1
RC,343,"Fecal microbiota, live - jslm, 1 ml ",,,106.13,106.13,1
RC,343,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.05,0.05,1
RC,343,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,2614.71,2614.71,1
RC,343,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3012.31,3012.31,1
RC,343,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,612.15,612.15,1
RC,343,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1107.51,1107.51,1
RC,343,"Floweramnioflo, 0.1 cc ",,,297.0,297.0,1
RC,343,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,531.75,531.75,1
RC,343,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,17.08,17.08,1
RC,343,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,711.5,711.5,1
RC,343,"Fluorodopa f-18, diagnostic, per millicurie ",,,1411.66,1411.66,1
RC,343,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,759.69,759.69,1
RC,343,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,874.5,874.5,1
RC,343,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3207.62,3207.62,1
RC,343,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,2.94,2.94,1
RC,343,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,2538.39,2538.39,1
RC,343,"Foundation drs+ duo, per square centimeter ",,,209.78,209.78,1
RC,343,"Foundation drs+ solo, per square centimeter ",,,209.78,209.78,1
RC,343,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,1932.65,1932.65,1
RC,343,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,789.56,789.56,1
RC,343,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,598.13,598.13,1
RC,343,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,599.78,599.78,1
RC,343,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,907.71,907.71,1
RC,343,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,81.89,81.89,1
RC,343,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,5.96,5.96,1
RC,343,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Gefitinib, oral, 250 mg ",,,480.15,480.15,1
RC,343,"Gemcitabine intravesical system, 225 mg ",,,120595.63,120595.63,1
RC,343,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Goserelin acetate implant, per 3.6 mg ",,,2227.38,2227.38,1
RC,343,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Graftjacket xpress, injectable, 1 cc ",,,3295.88,3295.88,1
RC,343,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,97.43,97.43,1
RC,343,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,542.19,542.19,1
RC,343,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,62.07,62.07,1
RC,343,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,26.93,26.93,1
RC,343,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,279.87,279.87,1
RC,343,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,121.65,121.65,1
RC,343,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,70.97,70.97,1
RC,343,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,51.81,51.81,1
RC,343,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,82.12,82.12,1
RC,343,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,231.35,231.35,1
RC,343,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,121.8,121.8,1
RC,343,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,292.97,292.97,1
RC,343,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,124.0,124.0,1
RC,343,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,124.0,124.0,1
RC,343,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,271.29,271.29,1
RC,343,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,271.29,271.29,1
RC,343,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,54.78,54.78,1
RC,343,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.43,0.43,1
RC,343,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.36,0.36,1
RC,343,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.13,0.13,1
RC,343,"Histrelin implant (supprelin la), 50 mg ",,,67936.16,67936.16,1
RC,343,"Histrelin implant (vantas), 50 mg ",,,7770.72,7770.72,1
RC,343,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,651.35,651.35,1
RC,343,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,186.83,186.83,1
RC,343,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.98,209.98,1
RC,343,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,237.11,237.11,1
RC,343,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,11.1,11.1,1
RC,343,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,174.21,174.21,1
RC,343,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,869.2,869.2,1
RC,343,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.12,1.12,1
RC,343,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,122.81,122.81,1
RC,343,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,29.91,29.91,1
RC,343,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,1081.31,1081.31,1
RC,343,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,180.0,180.0,1
RC,343,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,5.15,5.15,1
RC,343,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.48,11.48,1
RC,343,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,17.41,17.41,1
RC,343,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,5.4,5.4,1
RC,343,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,6.07,6.07,1
RC,343,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,3.3,3.3,1
RC,343,"Hypertonic saline solution, 1 ml ",,,0.17,0.17,1
RC,343,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,923638.78,923638.78,1
RC,343,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,262.33,262.33,1
RC,343,"Immune globulin (Ig), human, for intramuscular use ",,,197.13,197.13,1
RC,343,"Immune globulin (IgIV), human, for intravenous use ",,,157.92,157.92,1
RC,343,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,39.9,39.9,1
RC,343,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,6782.57,6782.57,1
RC,343,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,7915.66,7915.66,1
RC,343,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",29295.0,29295.0,1820.26,1820.26,1
RC,343,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,2766.04,2766.04,1
RC,343,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,161.96,161.96,1
RC,343,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,161.96,161.96,1
RC,343,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,42.47,42.47,1
RC,343,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,20.39,20.39,1
RC,343,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,92.3,92.3,1
RC,343,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,18.2,18.2,1
RC,343,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,36.42,36.42,1
RC,343,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,22.08,22.08,1
RC,343,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,38.31,38.31,1
RC,343,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,161.96,161.96,1
RC,343,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,81.68,81.68,1
RC,343,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,49.02,49.02,1
RC,343,"Infusion, albumin (human), 25%, 20 ml ",,,35.03,35.03,1
RC,343,"Infusion, albumin (human), 25%, 50 ml ",,,87.58,87.58,1
RC,343,"Infusion, albumin (human), 5%, 250 ml ",,,87.58,87.58,1
RC,343,"Infusion, albumin (human), 5%, 50 ml ",,,17.52,17.52,1
RC,343,"Infusion, d5w, 1000 cc ",,,5.07,5.07,1
RC,343,"Infusion, dextran 40, 500 ml ",,,642.05,642.05,1
RC,343,"Infusion, normal saline solution , 1000 cc ",,,3.61,3.61,1
RC,343,"Infusion, normal saline solution, 250 cc ",,,1.16,1.16,1
RC,343,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,2.24,2.24,1
RC,343,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,103.82,103.82,1
RC,343,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,1733.72,1733.72,1
RC,343,"Injection abciximab, 10 mg ",,,951.77,951.77,1
RC,343,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,7.43,7.43,1
RC,343,"Injection fluconazole, 200 mg ",,,6.39,6.39,1
RC,343,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,73.79,73.79,1
RC,343,"Injection, abobotulinumtoxina, 5 units ",,,14.69,14.69,1
RC,343,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,1
RC,343,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,1
RC,343,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.1,0.1,1
RC,343,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.15,0.15,1
RC,343,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.08,0.08,1
RC,343,"Injection, acetazolamide sodium, up to 500 mg ",,,40.19,40.19,1
RC,343,"Injection, acetylcysteine, 100 mg ",,,0.84,0.84,1
RC,343,"Injection, acyclovir, 5 mg ",,,0.03,0.03,1
RC,343,"Injection, adalimumab, 1 mg ",,,269.25,269.25,1
RC,343,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,36.3,36.3,1
RC,343,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,133.62,133.62,1
RC,343,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,32.11,32.11,1
RC,343,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,94.23,94.23,1
RC,343,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,43.46,43.46,1
RC,343,"Injection, adamts13, recombinant-krhn, 10 iu ",,,58.71,58.71,1
RC,343,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,0.79,0.79,1
RC,343,"Injection, ado-trastuzumab emtansine, 1 mg ",,,69.63,69.63,1
RC,343,"Injection, aflibercept hd, 1 mg ",,,496.95,496.95,1
RC,343,"Injection, aflibercept, 1 mg ",,,1207.62,1207.62,1
RC,343,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,1355.31,1355.31,1
RC,343,"Injection, agalsidase beta, 1 mg ",,,375.51,375.51,1
RC,343,"Injection, aldesleukin, per single use vial ",,,5509.14,5509.14,1
RC,343,"Injection, alemtuzumab, 1 mg ",,,4026.69,4026.69,1
RC,343,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,342.39,342.39,1
RC,343,"Injection, allopurinol sodium, 1 mg ",,,6.29,6.29,1
RC,343,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,9.34,9.34,1
RC,343,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,8.48,8.48,1
RC,343,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,0.79,0.79,1
RC,343,"Injection, alteplase recombinant, 1 mg ",,,156.9,156.9,1
RC,343,"Injection, amifostine, 500 mg ",,,722.52,722.52,1
RC,343,"Injection, amikacin sulfate, 100 mg ",,,1.01,1.01,1
RC,343,"Injection, aminocaproic acid, 1 gram ",,,2.59,2.59,1
RC,343,"Injection, aminophyllin, up to 250 mg ",,,18.69,18.69,1
RC,343,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,4.11,4.11,1
RC,343,"Injection, amiodarone hydrochloride, 30 mg ",,,0.64,0.64,1
RC,343,"Injection, amisulpride, 1 mg ",,,15.77,15.77,1
RC,343,"Injection, amivantamab-vmjw, 2 mg ",,,37.34,37.34,1
RC,343,"Injection, amobarbital, up to 125 mg ",,,19.29,19.29,1
RC,343,"Injection, amphotericin b lipid complex, 10 mg ",,,30.86,30.86,1
RC,343,"Injection, amphotericin b liposome, 10 mg ",,,37.64,37.64,1
RC,343,"Injection, amphotericin b, 50 mg ",,,73.14,73.14,1
RC,343,"Injection, ampicillin sodium, 500 mg ",,,1.06,1.06,1
RC,343,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,2.23,2.23,1
RC,343,"Injection, anidulafungin, 1 mg ",,,0.81,0.81,1
RC,343,"Injection, anifrolumab-fnia, 1 mg ",,,30.21,30.21,1
RC,343,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,2.06,2.06,1
RC,343,"Injection, apomorphine hydrochloride, 1 mg ",,,71.15,71.15,1
RC,343,"Injection, aprepitant (aponvie), 1 mg ",,,3.22,3.22,1
RC,343,"Injection, aprepitant, 1 mg ",,,2.79,2.79,1
RC,343,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.0,3.0,1
RC,343,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,7.84,7.84,1
RC,343,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,2.28,2.28,1
RC,343,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,2.28,2.28,1
RC,343,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,1.67,1.67,1
RC,343,"Injection, argatroban, 1 mg (for non-esrd use) ",,,1.67,1.67,1
RC,343,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,9.93,9.93,1
RC,343,"Injection, aripiprazole (abilify maintena), 1 mg ",,,12.0,12.0,1
RC,343,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,5.36,5.36,1
RC,343,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,5.48,5.48,1
RC,343,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.54,0.54,1
RC,343,"Injection, arsenic trioxide, 1 mg ",,,10.64,10.64,1
RC,343,"Injection, artesunate, 1 mg ",,,85.52,85.52,1
RC,343,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,92.88,92.88,1
RC,343,"Injection, atezolizumab, 10 mg ",,,155.1,155.1,1
RC,343,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,52.72,52.72,1
RC,343,"Injection, atidarsagene autotemcel, per treatment ",,,7433250.0,7433250.0,1
RC,343,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.02,0.02,1
RC,343,"Injection, atropine sulfate, 0.01 mg ",,,0.17,0.17,1
RC,343,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.17,0.17,1
RC,343,"Injection, avacincaptad pegol, 0.1 mg ",,,170.61,170.61,1
RC,343,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,133.98,133.98,1
RC,343,"Injection, avelumab, 10 mg ",,,174.16,174.16,1
RC,343,"Injection, axatilimab-csfr, 0.1 mg ",,,91.82,91.82,1
RC,343,"Injection, azacitidine, 1 mg ",,,0.68,0.68,1
RC,343,"Injection, azithromycin, 500 mg ",,,3.2,3.2,1
RC,343,"Injection, aztreonam, 100 mg ",,,3.78,3.78,1
RC,343,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,2.77,2.77,1
RC,343,"Injection, baclofen, 10 mg ",,,293.78,293.78,1
RC,343,"Injection, baclofen, 50 mcg for intrathecal trial ",,,89.66,89.66,1
RC,343,"Injection, basiliximab, 20 mg ",,,7940.31,7940.31,1
RC,343,"Injection, belatacept, 1 mg ",,,6.42,6.42,1
RC,343,"Injection, belimumab, 10 mg ",,,94.36,94.36,1
RC,343,"Injection, belinostat, 10 mg ",,,87.63,87.63,1
RC,343,"Injection, bendamustine hcl (bendeka), 1 mg ",,,21.29,21.29,1
RC,343,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,52.37,52.37,1
RC,343,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,23.0,23.0,1
RC,343,"Injection, bendamustine hydrochloride, 1 mg ",,,3.56,3.56,1
RC,343,"Injection, benralizumab, 1 mg ",,,269.54,269.54,1
RC,343,"Injection, benztropine mesylate, per 1 mg ",,,22.31,22.31,1
RC,343,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,11.5,11.5,1
RC,343,"Injection, betibeglogene autotemcel, per treatment ",,,4848228.0,4848228.0,1
RC,343,"Injection, bevacizumab, 0.25 mg ",,,3.07,3.07,1
RC,343,"Injection, bevacizumab, 10 mg ",,,122.69,122.69,1
RC,343,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,57.17,57.17,1
RC,343,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,39.17,39.17,1
RC,343,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,42.65,42.65,1
RC,343,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,85.12,85.12,1
RC,343,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,139.23,139.23,1
RC,343,"Injection, bezlotoxumab, 10 mg ",,,65.72,65.72,1
RC,343,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,353.13,353.13,1
RC,343,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.21,0.21,1
RC,343,"Injection, bivalirudin, 1 mg ",,,0.2,0.2,1
RC,343,"Injection, bleomycin sulfate, 15 units ",,,27.39,27.39,1
RC,343,"Injection, blinatumomab, 1 microgram ",,,270.53,270.53,1
RC,343,"Injection, bortezomib (boruzu), 0.1 mg ",,,41.93,41.93,1
RC,343,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,5.71,5.71,1
RC,343,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,11.5,11.5,1
RC,343,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,2.08,2.08,1
RC,343,"Injection, bortezomib, 0.1 mg ",,,3.71,3.71,1
RC,343,"Injection, brentuximab vedotin, 1 mg ",,,443.4,443.4,1
RC,343,"Injection, brolucizumab-dbll, 1 mg ",,,582.57,582.57,1
RC,343,"Injection, brompheniramine maleate, per 10 mg ",,,0.54,0.54,1
RC,343,"Injection, bumetanide, 0.5 mg ",,,0.78,0.78,1
RC,343,"Injection, bupivacaine liposome, 1 mg ",,,2.33,2.33,1
RC,343,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,343,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2753.59,2753.59,1
RC,343,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,688.4,688.4,1
RC,343,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,3294.32,3294.32,1
RC,343,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,3294.32,3294.32,1
RC,343,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,6.88,6.88,1
RC,343,"Injection, burosumab-twza 1 mg ",,,822.89,822.89,1
RC,343,"Injection, butorphanol tartrate, 1 mg ",,,10.15,10.15,1
RC,343,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,24.92,24.92,1
RC,343,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,125.48,125.48,1
RC,343,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,108.08,108.08,1
RC,343,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,60.52,60.52,1
RC,343,"Injection, cabazitaxel, 1 mg ",,,381.23,381.23,1
RC,343,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,39.9,39.9,1
RC,343,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,11.8,11.8,1
RC,343,"Injection, caffeine citrate, 5 mg ",,,3.0,3.0,1
RC,343,"Injection, calaspargase pegol-mknl, 10 units ",,,135.43,135.43,1
RC,343,"Injection, calcitonin salmon, up to 400 units ",,,2364.78,2364.78,1
RC,343,"Injection, calcitriol, 0.1 mcg ",,,1.96,1.96,1
RC,343,"Injection, calcium chloride, 2 mg ",,,0.05,0.05,1
RC,343,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.12,0.12,1
RC,343,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.05,0.05,1
RC,343,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,18.74,18.74,1
RC,343,"Injection, canakinumab, 1 mg ",,,246.79,246.79,1
RC,343,"Injection, cangrelor, 1 mg ",,,33.03,33.03,1
RC,343,"Injection, caplacizumab-yhdp, 1 mg ",,,1322.08,1322.08,1
RC,343,"Injection, carboplatin (avyxa), 1 mg ",,,8.65,8.65,1
RC,343,"Injection, carboplatin, 50 mg ",,,4.85,4.85,1
RC,343,"Injection, carboprost tromethamine, 0.1 mg ",,,25.67,25.67,1
RC,343,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,2069.1,2069.1,1
RC,343,"Injection, carfilzomib, 1 mg ",,,92.8,92.8,1
RC,343,"Injection, carmustine, 100 mg ",,,398.97,398.97,1
RC,343,"Injection, casimersen, 10 mg ",,,274.23,274.23,1
RC,343,"Injection, caspofungin acetate, 5 mg ",,,5.91,5.91,1
RC,343,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,2.05,2.05,1
RC,343,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.4,1.4,1
RC,343,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.22,1.22,1
RC,343,"Injection, cefazolin sodium, 500 mg ",,,1.4,1.4,1
RC,343,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,8.07,8.07,1
RC,343,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,9.75,9.75,1
RC,343,"Injection, cefepime hydrochloride, 500 mg ",,,2.1,2.1,1
RC,343,"Injection, cefiderocol, 10 mg ",,,3.99,3.99,1
RC,343,"Injection, cefotaxime sodium, per gm ",,,12.13,12.13,1
RC,343,"Injection, cefotetan disodium, 10 mg ",,,0.48,0.48,1
RC,343,"Injection, cefoxitin sodium, 1 gm ",,,5.87,5.87,1
RC,343,"Injection, ceftaroline fosamil, 10 mg ",,,7.01,7.01,1
RC,343,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,172.84,172.84,1
RC,343,"Injection, ceftazidime, per 500 mg ",,,2.33,2.33,1
RC,343,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,1.82,1.82,1
RC,343,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,14.59,14.59,1
RC,343,"Injection, ceftriaxone sodium, per 250 mg ",,,0.71,0.71,1
RC,343,"Injection, cemiplimab-rwlc, 1 mg ",,,49.1,49.1,1
RC,343,"Injection, cerliponase alfa, 1 mg ",,,199.93,199.93,1
RC,343,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,6.25,6.25,1
RC,343,"Injection, cetirizine hydrochloride, 0.5 mg ",,,27.92,27.92,1
RC,343,"Injection, cetuximab, 10 mg ",,,132.76,132.76,1
RC,343,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,96.33,96.33,1
RC,343,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,34.17,34.17,1
RC,343,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.07,0.07,1
RC,343,"Injection, chlorothiazide sodium, per 500 mg ",,,77.42,77.42,1
RC,343,"Injection, chlorpromazine hcl, up to 50 mg ",,,34.58,34.58,1
RC,343,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,25.03,25.03,1
RC,343,"Injection, cidofovir, 375 mg ",,,925.3,925.3,1
RC,343,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,10.43,10.43,1
RC,343,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,152.46,152.46,1
RC,343,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,1.25,1.25,1
RC,343,"Injection, cisplatin, powder or solution, 10 mg ",,,3.58,3.58,1
RC,343,"Injection, cladribine, per 1 mg ",,,14.4,14.4,1
RC,343,"Injection, clevidipine butyrate, 1 mg ",,,4.69,4.69,1
RC,343,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,3.83,3.83,1
RC,343,"Injection, clindamycin phosphate, 300 mg ",,,3.07,3.07,1
RC,343,"Injection, clofarabine, 1 mg ",,,18.05,18.05,1
RC,343,"Injection, clonidine hydrochloride, 1 mg ",,,29.57,29.57,1
RC,343,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,3.25,3.25,1
RC,343,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,216.41,216.41,1
RC,343,"Injection, codeine phosphate, per 30 mg ",,,1.65,1.65,1
RC,343,"Injection, colistimethate sodium, up to 150 mg ",,,23.55,23.55,1
RC,343,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,129.28,129.28,1
RC,343,"Injection, concizumab-mtci, 0.5 mg ",,,137.73,137.73,1
RC,343,"Injection, corticotropin (acthar gel), up to 40 units ",,,6755.53,6755.53,1
RC,343,"Injection, corticotropin (ani), up to 40 units ",,,5892.73,5892.73,1
RC,343,"Injection, cosibelimab-ipdl, 2 mg ",,,37.82,37.82,1
RC,343,"Injection, cosyntropin, 0.25 mg ",,,26.83,26.83,1
RC,343,"Injection, crizanlizumab-tmca, 5 mg ",,,214.4,214.4,1
RC,343,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,2613.6,2613.6,1
RC,343,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,3037.68,3037.68,1
RC,343,"Injection, crovalimab-akkz, 10 mg ",,,909.99,909.99,1
RC,343,"Injection, cyclophosphamide (auromedics), 5 mg ",,,0.86,0.86,1
RC,343,"Injection, cyclophosphamide (baxter), 5 mg ",,,6.14,6.14,1
RC,343,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,0.83,0.83,1
RC,343,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,15.02,15.02,1
RC,343,"Injection, cyclophosphamide (sandoz), 5 mg ",,,6.02,6.02,1
RC,343,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,1.27,1.27,1
RC,343,"Injection, cyclosporine, 250 mg ",,,122.43,122.43,1
RC,343,"Injection, cytarabine, 100 mg ",,,1.32,1.32,1
RC,343,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2984.21,2984.21,1
RC,343,"Injection, dactinomycin, 0.5 mg ",,,557.16,557.16,1
RC,343,"Injection, dalbavancin, 5 mg ",,,24.75,24.75,1
RC,343,"Injection, dalteparin sodium, per 2500 iu ",,,26.17,26.17,1
RC,343,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.1,0.1,1
RC,343,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.08,0.08,1
RC,343,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.05,0.05,1
RC,343,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.08,0.08,1
RC,343,"Injection, daptomycin, 1 mg ",,,0.05,0.05,1
RC,343,"Injection, daratumumab, 10 mg ",,,116.77,116.77,1
RC,343,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,90.8,90.8,1
RC,343,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,5.07,5.07,1
RC,343,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,5.07,5.07,1
RC,343,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,85.01,85.01,1
RC,343,"Injection, daunorubicin, 10 mg ",,,40.84,40.84,1
RC,343,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.1,5.1,1
RC,343,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.11,1.11,1
RC,343,"Injection, decitabine, 1 mg ",,,1.65,1.65,1
RC,343,"Injection, deferoxamine mesylate, 500 mg ",,,14.16,14.16,1
RC,343,"Injection, degarelix, 1 mg ",,,7.36,7.36,1
RC,343,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,5480271.03,5480271.03,1
RC,343,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,23.96,23.96,1
RC,343,"Injection, denosumab, 1 mg ",,,48.69,48.69,1
RC,343,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,46.05,46.05,1
RC,343,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,43.25,43.25,1
RC,343,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,49.17,49.17,1
RC,343,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,32.18,32.18,1
RC,343,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,51.66,51.66,1
RC,343,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,26.14,26.14,1
RC,343,"Injection, depo-estradiol cypionate, up to 5 mg ",,,85.5,85.5,1
RC,343,"Injection, desmopressin acetate, per 1 mcg ",,,5.63,5.63,1
RC,343,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,4.47,4.47,1
RC,343,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.18,0.18,1
RC,343,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,336.25,336.25,1
RC,343,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,82.07,82.07,1
RC,343,"Injection, diazepam, up to 5 mg ",,,14.04,14.04,1
RC,343,"Injection, diazoxide, up to 300 mg ",,,167.54,167.54,1
RC,343,"Injection, dicyclomine hcl, up to 20 mg ",,,15.46,15.46,1
RC,343,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.46,0.46,1
RC,343,"Injection, digoxin immune fab (ovine), per vial ",,,8525.53,8525.53,1
RC,343,"Injection, digoxin, up to 0.5 mg ",,,17.11,17.11,1
RC,343,"Injection, dihydroergotamine mesylate, per 1 mg ",,,90.57,90.57,1
RC,343,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.3,0.3,1
RC,343,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.07,0.07,1
RC,343,"Injection, dimenhydrinate, up to 50 mg ",,,12.74,12.74,1
RC,343,"Injection, diphenhydramine hcl, up to 50 mg ",,,1.14,1.14,1
RC,343,"Injection, dipyridamole, per 10 mg ",,,13.88,13.88,1
RC,343,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,1235.82,1235.82,1
RC,343,"Injection, dobutamine hydrochloride, per 250 mg ",,,13.0,13.0,1
RC,343,"Injection, docetaxel (beizray), 1 mg ",,,76.05,76.05,1
RC,343,"Injection, docetaxel (docivyx), 1 mg ",,,83.51,83.51,1
RC,343,"Injection, docetaxel, 1 mg ",,,0.92,0.92,1
RC,343,"Injection, dolasetron mesylate, 10 mg ",,,6.06,6.06,1
RC,343,"Injection, donanemab-azbt, 2 mg ",,,6.83,6.83,1
RC,343,"Injection, dopamine hcl, 40 mg ",,,1.32,1.32,1
RC,343,"Injection, dostarlimab-gxly, 10 mg ",,,407.68,407.68,1
RC,343,"Injection, doxercalciferol, 1 mcg ",,,0.51,0.51,1
RC,343,"Injection, doxorubicin hydrochloride, 10 mg ",,,4.5,4.5,1
RC,343,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,492.92,492.92,1
RC,343,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,118.57,118.57,1
RC,343,"Injection, doxycycline hyclate, 1 mg ",,,0.15,0.15,1
RC,343,"Injection, droperidol, up to 5 mg ",,,11.9,11.9,1
RC,343,"Injection, durvalumab, 10 mg ",,,142.15,142.15,1
RC,343,"Injection, ecallantide, 1 mg ",,,954.94,954.94,1
RC,343,"Injection, eculizumab, 2 mg ",,,73.76,73.76,1
RC,343,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,52.68,52.68,1
RC,343,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,68.95,68.95,1
RC,343,"Injection, edaravone, 1 mg ",,,25.05,25.05,1
RC,343,"Injection, edetate calcium disodium, up to 1000 mg ",,,10069.74,10069.74,1
RC,343,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,227.7,227.7,1
RC,343,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,56.64,56.64,1
RC,343,"Injection, efgartigimod alfa-fcab, 2mg ",,,53.81,53.81,1
RC,343,"Injection, eflapegrastim-xnst, 0.1 mg ",,,64.28,64.28,1
RC,343,"Injection, elivaldogene autotemcel, per treatment ",,,5247000.0,5247000.0,1
RC,343,"Injection, elliotts' b solution, 1 ml ",,,19.04,19.04,1
RC,343,"Injection, elosulfase alfa, 1 mg ",,,514.72,514.72,1
RC,343,"Injection, elotuzumab, 1 mg ",,,13.27,13.27,1
RC,343,"Injection, elranatamab-bcmm, 1 mg ",,,308.2,308.2,1
RC,343,"Injection, emapalumab-lzsg, 1 mg ",,,633.83,633.83,1
RC,343,"Injection, emicizumab-kxwh, 0.5 mg ",,,91.81,91.81,1
RC,343,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,60.57,60.57,1
RC,343,"Injection, enfuvirtide, 1 mg ",,,0.54,0.54,1
RC,343,"Injection, enoxaparin sodium, 10 mg ",,,0.89,0.89,1
RC,343,"Injection, epcoritamab-bysp, 0.16 mg ",,,93.92,93.92,1
RC,343,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,1.44,1.44,1
RC,343,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,1.39,1.39,1
RC,343,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,0.71,0.71,1
RC,343,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,1.78,1.78,1
RC,343,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,4.75,4.75,1
RC,343,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,1.52,1.52,1
RC,343,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.5,0.5,1
RC,343,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.51,0.51,1
RC,343,"Injection, epirubicin hcl, 2 mg ",,,2.92,2.92,1
RC,343,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,12.06,12.06,1
RC,343,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.2,1.2,1
RC,343,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,1.3,1.3,1
RC,343,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,13.0,13.0,1
RC,343,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,1.7,1.7,1
RC,343,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.7,1.7,1
RC,343,"Injection, epoprostenol, 0.5 mg ",,,24.55,24.55,1
RC,343,"Injection, eptifibatide, 5 mg ",,,5.38,5.38,1
RC,343,"Injection, eptinezumab-jjmr, 1 mg ",,,33.91,33.91,1
RC,343,"Injection, eravacycline, 1 mg ",,,2.13,2.13,1
RC,343,"Injection, eribulin mesylate, 0.1 mg ",,,126.65,126.65,1
RC,343,"Injection, ertapenem sodium, 500 mg ",,,11.91,11.91,1
RC,343,"Injection, erythromycin lactobionate, per 500 mg ",,,150.53,150.53,1
RC,343,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.33,0.33,1
RC,343,"Injection, esmolol hydrochloride, 10 mg ",,,0.4,0.4,1
RC,343,"Injection, esomeprazole sodium, 1 mg ",,,2.1,2.1,1
RC,343,"Injection, estradiol valerate, up to 10 mg ",,,11.86,11.86,1
RC,343,"Injection, estrogen conjugated, per 25 mg ",,,646.34,646.34,1
RC,343,"Injection, estrone, per 1 mg ",,,0.54,0.54,1
RC,343,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,2119.95,2119.95,1
RC,343,"Injection, etelcalcetide, 0.1 mg ",,,3.89,3.89,1
RC,343,"Injection, eteplirsen, 10 mg ",,,276.39,276.39,1
RC,343,"Injection, ethacrynate sodium, 1 mg ",,,30.15,30.15,1
RC,343,"Injection, ethanolamine oleate, 100 mg ",,,855.74,855.74,1
RC,343,"Injection, etoposide, 10 mg ",,,1.49,1.49,1
RC,343,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,6090892.5,6090892.5,1
RC,343,"Injection, evinacumab-dgnb, 5mg ",,,326.09,326.09,1
RC,343,"Injection, exagamglogene autotemcel, per treatment ",,,3847800.0,3847800.0,1
RC,343,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,3.04,3.04,1
RC,343,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,2.87,2.87,1
RC,343,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,8.78,8.78,1
RC,343,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,5.91,5.91,1
RC,343,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,2.46,2.46,1
RC,343,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,5.35,5.35,1
RC,343,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,4.06,4.06,1
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,2.59,2.59,1
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,2.57,2.57,1
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,2.33,2.33,1
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.95,1.95,1
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,3.53,3.53,1
RC,343,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,4.39,4.39,1
RC,343,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,3.68,3.68,1
RC,343,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,7.41,7.41,1
RC,343,"Injection, factor x, (human), 1 i.u. ",,,16.42,16.42,1
RC,343,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,17.79,17.79,1
RC,343,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,30.24,30.24,1
RC,343,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,51.58,51.58,1
RC,343,"Injection, famotidine, 0.25 mg ",,,0.02,0.02,1
RC,343,"Injection, faricimab-svoa, 0.1 mg ",,,54.24,54.24,1
RC,343,"Injection, fentanyl citrate, 0.1 mg ",,,1.91,1.91,1
RC,343,"Injection, ferric carboxymaltose, 1 mg ",,,1.82,1.82,1
RC,343,"Injection, ferric derisomaltose, 10 mg ",,,36.18,36.18,1
RC,343,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.38,0.38,1
RC,343,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.38,0.38,1
RC,343,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.68,1.68,1
RC,343,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.46,0.46,1
RC,343,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.53,0.53,1
RC,343,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.58,0.58,1
RC,343,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,1.7,1.7,1
RC,343,"Injection, fitusiran, 0.04 mg ",,,218.84,218.84,1
RC,343,"Injection, floxuridine, 500 mg ",,,7014.1,7014.1,1
RC,343,"Injection, fludarabine phosphate, 50 mg ",,,359.25,359.25,1
RC,343,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,841.19,841.19,1
RC,343,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,559.0,559.0,1
RC,343,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,874.32,874.32,1
RC,343,"Injection, fluorouracil, 500 mg ",,,3.4,3.4,1
RC,343,"Injection, fluphenazine decanoate, up to 25 mg ",,,9.22,9.22,1
RC,343,"Injection, fluphenazine hcl, 1.25 mg ",,,12.13,12.13,1
RC,343,"Injection, folic acid, 0.1 mg ",,,0.08,0.08,1
RC,343,"Injection, fomepizole, 15 mg ",,,10.79,10.79,1
RC,343,"Injection, fondaparinux sodium, 0.5 mg ",,,1.32,1.32,1
RC,343,"Injection, fosaprepitant (focinvez), 1 mg ",,,4.21,4.21,1
RC,343,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.07,0.07,1
RC,343,"Injection, fosaprepitant, 1 mg ",,,0.18,0.18,1
RC,343,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,1.16,1.16,1
RC,343,"Injection, foscarnet sodium, per 1000 mg ",,,13.79,13.79,1
RC,343,"Injection, fosdenopterin, 0.1 mg ",,,29.02,29.02,1
RC,343,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,864.9,864.9,1
RC,343,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,2.19,2.19,1
RC,343,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,7.01,7.01,1
RC,343,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,44.73,44.73,1
RC,343,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,68.76,68.76,1
RC,343,"Injection, fulvestrant, 25 mg ",,,8.15,8.15,1
RC,343,"Injection, furosemide (furoscix), 20 mg ",,,485.4,485.4,1
RC,343,"Injection, furosemide, 1 mg ",,,0.03,0.03,1
RC,343,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.84,2.84,1
RC,343,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.95,2.95,1
RC,343,"Injection, gadobutrol, 0.1 ml ",,,0.5,0.5,1
RC,343,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,2.39,2.39,1
RC,343,"Injection, gadopiclenol, 1 ml ",,,5.31,5.31,1
RC,343,"Injection, gadoterate meglumine, 0.1 ml ",,,0.15,0.15,1
RC,343,"Injection, gadoteridol, (prohance multipack), per ml ",,,2.29,2.29,1
RC,343,"Injection, gadoxetate disodium, 1 ml ",,,24.3,24.3,1
RC,343,"Injection, galsulfase, 1 mg ",,,847.44,847.44,1
RC,343,"Injection, gamma globulin, intramuscular, 1 cc ",,,80.77,80.77,1
RC,343,"Injection, gamma globulin, intramuscular, over 10 cc ",,,264.48,264.48,1
RC,343,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,99.0,99.0,1
RC,343,"Injection, ganciclovir sodium, 500 mg ",,,56.18,56.18,1
RC,343,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.18,3.18,1
RC,343,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,8.73,8.73,1
RC,343,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,677.23,677.23,1
RC,343,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,5.35,5.35,1
RC,343,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,396.28,396.28,1
RC,343,"Injection, givosiran, 0.5 mg ",,,199.62,199.62,1
RC,343,"Injection, glatiramer acetate, 20 mg ",,,427.81,427.81,1
RC,343,"Injection, glofitamab-gxbm, 2.5 mg ",,,4687.12,4687.12,1
RC,343,"Injection, glucagon (gvoke), 0.01 mg ",,,3.91,3.91,1
RC,343,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,222.75,222.75,1
RC,343,"Injection, glucagon hydrochloride, per 1 mg ",,,241.44,241.44,1
RC,343,"Injection, glucarpidase, 10 units ",,,741.02,741.02,1
RC,343,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.21,2.21,1
RC,343,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,2.23,2.23,1
RC,343,"Injection, glycopyrrolate, 0.1 mg ",,,0.61,0.61,1
RC,343,"Injection, gold sodium thiomalate, up to 50 mg ",,,22.59,22.59,1
RC,343,"Injection, golimumab, 1 mg, for intravenous use ",,,18.63,18.63,1
RC,343,"Injection, golodirsen, 10 mg ",,,316.8,316.8,1
RC,343,"Injection, granisetron hydrochloride, 100 mcg ",,,0.26,0.26,1
RC,343,"Injection, granisetron, extended-release, 0.1 mg ",,,6.4,6.4,1
RC,343,"Injection, guselkumab, 1 mg ",,,111.89,111.89,1
RC,343,"Injection, haloperidol decanoate, per 50 mg ",,,10.02,10.02,1
RC,343,"Injection, haloperidol, up to 5 mg ",,,1.3,1.3,1
RC,343,"Injection, hemin, 1 mg ",,,58.26,58.26,1
RC,343,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,1.9,1.9,1
RC,343,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.03,0.03,1
RC,343,"Injection, heparin sodium, per 1000 units ",,,0.36,0.36,1
RC,343,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,115.88,115.88,1
RC,343,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,115.88,115.88,1
RC,343,"Injection, histrelin acetate, 10 micrograms ",,,1.65,1.65,1
RC,343,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,2.05,2.05,1
RC,343,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,2.51,2.51,1
RC,343,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.54,0.54,1
RC,343,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,181.32,181.32,1
RC,343,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.59,0.59,1
RC,343,"Injection, hyaluronidase, up to 150 units ",,,52.06,52.06,1
RC,343,"Injection, hydralazine hcl, up to 20 mg ",,,7.08,7.08,1
RC,343,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,36.53,36.53,1
RC,343,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,343,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.02,0.02,1
RC,343,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,8.98,8.98,1
RC,343,"Injection, hydroxyzine hcl, up to 25 mg ",,,25.03,25.03,1
RC,343,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,15.43,15.43,1
RC,343,"Injection, ibalizumab-uiyk, 10 mg ",,,128.17,128.17,1
RC,343,"Injection, ibandronate sodium, 1 mg ",,,14.95,14.95,1
RC,343,"Injection, ibuprofen, 100 mg ",,,5.25,5.25,1
RC,343,"Injection, ibutilide fumarate, 1 mg ",,,361.71,361.71,1
RC,343,"Injection, icatibant, 1 mg ",,,518.38,518.38,1
RC,343,"Injection, idarubicin hydrochloride, 5 mg ",,,65.6,65.6,1
RC,343,"Injection, idursulfase, 1 mg ",,,921.06,921.06,1
RC,343,"Injection, ifosfamide, 1 gram ",,,40.72,40.72,1
RC,343,"Injection, iloprost, 0.1 mcg ",,,9.42,9.42,1
RC,343,"Injection, imetelstat, 1 mg ",,,95.98,95.98,1
RC,343,"Injection, imiglucerase, 10 units ",,,70.67,70.67,1
RC,343,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,4.29,4.29,1
RC,343,"Injection, immune globulin (alyglo), 500 mg ",,,203.16,203.16,1
RC,343,"Injection, immune globulin (asceniv), 500 mg ",,,826.53,826.53,1
RC,343,"Injection, immune globulin (bivigam), 500 mg ",,,131.08,131.08,1
RC,343,"Injection, immune globulin (cutaquig), 100 mg ",,,22.98,22.98,1
RC,343,"Injection, immune globulin (cuvitru), 100 mg ",,,29.01,29.01,1
RC,343,"Injection, immune globulin (hizentra), 100 mg ",,,23.96,23.96,1
RC,343,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,121.82,121.82,1
RC,343,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,81.72,81.72,1
RC,343,"Injection, immune globulin (xembify), 100 mg ",,,25.36,25.36,1
RC,343,"Injection, immune globulin (yimmugo), 100 mg ",,,40.13,40.13,1
RC,343,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,149.72,149.72,1
RC,343,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,80.98,80.98,1
RC,343,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,106.67,106.67,1
RC,343,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,82.05,82.05,1
RC,343,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,77.62,77.62,1
RC,343,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,132.66,132.66,1
RC,343,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,31.02,31.02,1
RC,343,"Injection, inclisiran, 1 mg ",,,20.81,20.81,1
RC,343,"Injection, incobotulinumtoxin a, 1 unit ",,,8.73,8.73,1
RC,343,"Injection, indigotindisulfonate sodium, 1 mg ",,,15.35,15.35,1
RC,343,"Injection, inebilizumab-cdon, 1 mg ",,,817.66,817.66,1
RC,343,"Injection, infliximab, excludes biosimilar, 10 mg ",,,51.22,51.22,1
RC,343,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,44.22,44.22,1
RC,343,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,46.27,46.27,1
RC,343,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,551.55,551.55,1
RC,343,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,42.97,42.97,1
RC,343,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,4647.67,4647.67,1
RC,343,"Injection, insulin, per 5 units ",,,0.81,0.81,1
RC,343,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,299.9,299.9,1
RC,343,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,83.64,83.64,1
RC,343,"Injection, interferon beta-1a, 30 mcg ",,,5832.21,5832.21,1
RC,343,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,992.52,992.52,1
RC,343,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,57.87,57.87,1
RC,343,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,21.5,21.5,1
RC,343,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,59.63,59.63,1
RC,343,"Injection, interferon, gamma 1-b, 3 million units ",,,17403.36,17403.36,1
RC,343,"Injection, ipilimumab, 1 mg ",,,308.83,308.83,1
RC,343,"Injection, irinotecan liposome, 1 mg ",,,109.51,109.51,1
RC,343,"Injection, irinotecan, 20 mg ",,,2.52,2.52,1
RC,343,"Injection, iron dextran, 50 mg ",,,29.88,29.88,1
RC,343,"Injection, iron sucrose, 1 mg ",,,0.36,0.36,1
RC,343,"Injection, isatuximab-irfc, 10 mg ",,,137.91,137.91,1
RC,343,"Injection, isavuconazonium, 1 mg ",,,1.67,1.67,1
RC,343,"Injection, isoniazid, 1 mg ",,,0.5,0.5,1
RC,343,"Injection, itraconazole, 50 mg ",,,1549.73,1549.73,1
RC,343,"Injection, ixabepilone, 1 mg ",,,230.59,230.59,1
RC,343,"Injection, ketorolac tromethamine, per 15 mg ",,,0.56,0.56,1
RC,343,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,1.49,1.49,1
RC,343,"Injection, labetalol hydrochloride, 5 mg ",,,0.43,0.43,1
RC,343,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,143.3,143.3,1
RC,343,"Injection, lanreotide, (cipla), 1 mg ",,,53.11,53.11,1
RC,343,"Injection, lanreotide, 1 mg ",,,58.94,58.94,1
RC,343,"Injection, laronidase, 0.1 mg ",,,65.92,65.92,1
RC,343,"Injection, lefamulin, 1 mg ",,,1.35,1.35,1
RC,343,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,36.8,36.8,1
RC,343,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,26.57,26.57,1
RC,343,"Injection, leucovorin calcium, per 50 mg ",,,5.92,5.92,1
RC,343,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2913.19,2913.19,1
RC,343,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,232.17,232.17,1
RC,343,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,1144.37,1144.37,1
RC,343,"Injection, levetiracetam, 10 mg ",,,0.05,0.05,1
RC,343,"Injection, levocarnitine, per 1 gm ",,,38.1,38.1,1
RC,343,"Injection, levofloxacin, 250 mg ",,,3.56,3.56,1
RC,343,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,2.13,2.13,1
RC,343,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.08,0.08,1
RC,343,"Injection, levorphanol tartrate, up to 2 mg ",,,4.97,4.97,1
RC,343,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,11.48,11.48,1
RC,343,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,10.43,10.43,1
RC,343,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,12.23,12.23,1
RC,343,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.02,0.02,1
RC,343,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.07,0.07,1
RC,343,"Injection, lidocaine hydrochloride, 1 mg ",,,0.08,0.08,1
RC,343,"Injection, lincomycin hcl, up to 300 mg ",,,7.79,7.79,1
RC,343,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,44.27,44.27,1
RC,343,"Injection, linezolid, 200 mg ",,,4.09,4.09,1
RC,343,"Injection, linvoseltamab-gcpt, 1 mg ",,,164.18,164.18,1
RC,343,"Injection, liothyronine, 1 mcg ",,,64.83,64.83,1
RC,343,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,430.98,430.98,1
RC,343,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,365.46,365.46,1
RC,343,"Injection, lorazepam, 2 mg ",,,2.74,2.74,1
RC,343,"Injection, lovotibeglogene autotemcel, per treatment ",,,5354879.29,5354879.29,1
RC,343,"Injection, lumasiran, 0.5 mg ",,,540.74,540.74,1
RC,343,"Injection, lurbinectedin, 0.1 mg ",,,349.97,349.97,1
RC,343,"Injection, luspatercept-aamt, 0.25 mg ",,,70.54,70.54,1
RC,343,"Injection, magnesium sulfate, per 500 mg ",,,0.71,0.71,1
RC,343,"Injection, mannitol, 250 mg ",,,0.08,0.08,1
RC,343,"Injection, margetuximab-cmkb, 5 mg ",,,87.9,87.9,1
RC,343,"Injection, marstacimab-hncq, 0.5 mg ",,,82.81,82.81,1
RC,343,"Injection, mecasermin, 1 mg ",,,763.93,763.93,1
RC,343,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,216.03,216.03,1
RC,343,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.79,0.79,1
RC,343,"Injection, meloxicam (azurity), 1 mg ",,,1.75,1.75,1
RC,343,"Injection, melphalan (apotex), 1 mg ",,,106.89,106.89,1
RC,343,"Injection, melphalan (evomela), 1 mg ",,,32.06,32.06,1
RC,343,"Injection, melphalan (hepzato), 1 mg ",,,1311.75,1311.75,1
RC,343,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,199.11,199.11,1
RC,343,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,12.67,12.67,1
RC,343,"Injection, meperidine hydrochloride, per 100 mg ",,,14.55,14.55,1
RC,343,"Injection, mepivacaine hydrochloride, per 10 ml ",,,6.15,6.15,1
RC,343,"Injection, mepolizumab, 1 mg ",,,52.5,52.5,1
RC,343,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,3.25,3.25,1
RC,343,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,2.44,2.44,1
RC,343,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,3.58,3.58,1
RC,343,"Injection, meropenem, 100 mg ",,,0.61,0.61,1
RC,343,"Injection, mesna, 200 mg ",,,2.19,2.19,1
RC,343,"Injection, methadone hcl, up to 10 mg ",,,24.27,24.27,1
RC,343,"Injection, methocarbamol, up to 10 ml ",,,6.93,6.93,1
RC,343,"Injection, methotrexate sodium, 50 mg ",,,4.42,4.42,1
RC,343,"Injection, methyldopate hcl, up to 250 mg ",,,15.99,15.99,1
RC,343,"Injection, methylergonovine maleate, up to 0.2 mg ",,,35.66,35.66,1
RC,343,"Injection, methylnaltrexone, 0.1 mg ",,,3.47,3.47,1
RC,343,"Injection, methylprednisolone acetate, 1 mg ",,,0.18,0.18,1
RC,343,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.4,0.4,1
RC,343,"Injection, metoclopramide hcl, up to 10 mg ",,,1.57,1.57,1
RC,343,"Injection, metoprolol tartrate, 1 mg ",,,0.21,0.21,1
RC,343,"Injection, metronidazole, 10 mg ",,,0.05,0.05,1
RC,343,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.61,0.61,1
RC,343,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.36,0.36,1
RC,343,"Injection, micafungin sodium, 1 mg ",,,0.43,0.43,1
RC,343,"Injection, midazolam hydrochloride, per 1 mg ",,,0.28,0.28,1
RC,343,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.23,0.23,1
RC,343,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.26,0.26,1
RC,343,"Injection, milrinone lactate, 5 mg ",,,1.95,1.95,1
RC,343,"Injection, minocycline hydrochloride, 1 mg ",,,4.39,4.39,1
RC,343,"Injection, mirikizumab-mrkz, 1 mg ",,,69.45,69.45,1
RC,343,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,117.36,117.36,1
RC,343,"Injection, mitomycin, 5 mg ",,,46.96,46.96,1
RC,343,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,63.71,63.71,1
RC,343,"Injection, mogamulizumab-kpkc, 1 mg ",,,418.23,418.23,1
RC,343,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,13.76,13.76,1
RC,343,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,20.05,20.05,1
RC,343,"Injection, morphine sulfate, up to 10 mg ",,,7.34,7.34,1
RC,343,"Injection, mosunetuzumab-axgb, 1 mg ",,,1079.99,1079.99,1
RC,343,"Injection, motixafortide, 0.25 mg ",,,43.69,43.69,1
RC,343,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,38.59,38.59,1
RC,343,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,10.96,10.96,1
RC,343,"Injection, moxifloxacin, 100 mg ",,,14.42,14.42,1
RC,343,"Injection, mycophenolate mofetil, 10 mg ",,,0.66,0.66,1
RC,343,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.25,0.25,1
RC,343,"Injection, nafcillin sodium, 20 mg ",,,0.08,0.08,1
RC,343,"Injection, nalbuphine hydrochloride, per 10 mg ",,,5.64,5.64,1
RC,343,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.25,0.25,1
RC,343,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.12,0.12,1
RC,343,"Injection, naltrexone, depot form, 1 mg ",,,7.01,7.01,1
RC,343,"Injection, nandrolone decanoate, up to 50 mg ",,,6.62,6.62,1
RC,343,"Injection, natalizumab, 1 mg ",,,40.13,40.13,1
RC,343,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,40.13,40.13,1
RC,343,"Injection, naxitamab-gqgk, 1 mg ",,,1132.05,1132.05,1
RC,343,"Injection, necitumumab, 1 mg ",,,9.45,9.45,1
RC,343,"Injection, nelarabine, 50 mg ",,,86.97,86.97,1
RC,343,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,1.4,1.4,1
RC,343,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,2.33,2.33,1
RC,343,"Injection, nesiritide, 0.1 mg ",,,49.6,49.6,1
RC,343,"Injection, nicardipine, 0.1 mg ",,,0.12,0.12,1
RC,343,"Injection, nipocalimab-aahu, 3 mg ",,,53.91,53.91,1
RC,343,"Injection, nitroglycerin, 5 mg ",,,2.76,2.76,1
RC,343,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,332.9,332.9,1
RC,343,"Injection, nivolumab, 1 mg ",,,55.47,55.47,1
RC,343,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,45.75,45.75,1
RC,343,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,156.09,156.09,1
RC,343,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,16.98,16.98,1
RC,343,"Injection, nusinersen, 0.1 mg ",,,2121.54,2121.54,1
RC,343,"Injection, obinutuzumab, 10 mg ",,,134.99,134.99,1
RC,343,"Injection, ocrelizumab, 1 mg ",,,98.34,98.34,1
RC,343,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,77.2,77.2,1
RC,343,"Injection, octafluoropropane microspheres, per ml ",,,65.93,65.93,1
RC,343,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,310.78,310.78,1
RC,343,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,1.02,1.02,1
RC,343,"Injection, ofatumumab, 10 mg ",,,102.68,102.68,1
RC,343,"Injection, olanzapine, 0.5 mg ",,,1.17,1.17,1
RC,343,"Injection, olanzapine, long-acting, 1 mg ",,,5.26,5.26,1
RC,343,"Injection, olipudase alfa-rpcp, 1 mg ",,,652.74,652.74,1
RC,343,"Injection, omadacycline, 1 mg ",,,6.81,6.81,1
RC,343,"Injection, omalizumab, 5 mg ",,,69.0,69.0,1
RC,343,"Injection, onabotulinumtoxina, 1 unit ",,,10.74,10.74,1
RC,343,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,4395977.17,4395977.17,1
RC,343,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,4268693.98,4268693.98,1
RC,343,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.15,0.15,1
RC,343,"Injection, oprelvekin, 5 mg ",,,407.83,407.83,1
RC,343,"Injection, oritavancin (kimyrsa), 10 mg ",,,72.14,72.14,1
RC,343,"Injection, oritavancin (orbactiv), 10 mg ",,,47.14,47.14,1
RC,343,"Injection, orphenadrine citrate, up to 60 mg ",,,13.56,13.56,1
RC,343,"Injection, oxacillin sodium, up to 250 mg ",,,1.4,1.4,1
RC,343,"Injection, oxaliplatin, 0.5 mg ",,,0.13,0.13,1
RC,343,"Injection, oxymorphone hcl, up to 1 mg ",,,3.86,3.86,1
RC,343,"Injection, oxytocin, up to 10 units ",,,4.47,4.47,1
RC,343,"Injection, paclitaxel protein-bound particles, 1 mg ",,,9.93,9.93,1
RC,343,"Injection, paclitaxel, 1 mg ",,,0.25,0.25,1
RC,343,"Injection, palifermin, 50 micrograms ",,,60.59,60.59,1
RC,343,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,23.91,23.91,1
RC,343,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,21.37,21.37,1
RC,343,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,24.88,24.88,1
RC,343,"Injection, palonosetron hcl, 25 mcg ",,,1.07,1.07,1
RC,343,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,91.23,91.23,1
RC,343,"Injection, pamidronate disodium, per 30 mg ",,,20.49,20.49,1
RC,343,"Injection, panitumumab, 10 mg ",,,287.74,287.74,1
RC,343,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,6.24,6.24,1
RC,343,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,15.81,15.81,1
RC,343,"Injection, pantoprazole sodium, 40 mg ",,,14.19,14.19,1
RC,343,"Injection, papaverine hcl, up to 60 mg ",,,75.8,75.8,1
RC,343,"Injection, paricalcitol, 1 mcg ",,,1.68,1.68,1
RC,343,"Injection, pasireotide long acting, 1 mg ",,,983.9,983.9,1
RC,343,"Injection, patisiran, 0.1 mg ",,,166.49,166.49,1
RC,343,"Injection, pegaspargase, per single dose vial ",,,46899.7,46899.7,1
RC,343,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,243.89,243.89,1
RC,343,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,210.18,210.18,1
RC,343,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,219.96,219.96,1
RC,343,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,197.41,197.41,1
RC,343,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,224.22,224.22,1
RC,343,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,261.13,261.13,1
RC,343,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,131.18,131.18,1
RC,343,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,185.01,185.01,1
RC,343,"Injection, pegloticase, 1 mg ",,,6310.46,6310.46,1
RC,343,"Injection, pegulicianine, 1 mg ",,,61.89,61.89,1
RC,343,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,368.61,368.61,1
RC,343,"Injection, pembrolizumab, 1 mg ",,,101.06,101.06,1
RC,343,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,53.01,53.01,1
RC,343,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,15.94,15.94,1
RC,343,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,17.49,17.49,1
RC,343,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,8.58,8.58,1
RC,343,"Injection, pemetrexed (pemfexy), 10 mg ",,,13.18,13.18,1
RC,343,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,116.29,116.29,1
RC,343,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,2.41,2.41,1
RC,343,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,18.13,18.13,1
RC,343,"Injection, pemetrexed dipotassium, 10 mg ",,,135.33,135.33,1
RC,343,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.54,0.54,1
RC,343,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,6.67,6.67,1
RC,343,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,11944.35,11944.35,1
RC,343,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,32.21,32.21,1
RC,343,"Injection, penicillin g benzathine, 100,000 units ",,,51.93,51.93,1
RC,343,"Injection, penicillin g potassium, up to 600,000 units ",,,1.12,1.12,1
RC,343,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,16.53,16.53,1
RC,343,"Injection, pentamidine isethionate, 1 mg ",,,0.26,0.26,1
RC,343,"Injection, pentazocine, 30 mg ",,,45.19,45.19,1
RC,343,"Injection, pentobarbital sodium, per 50 mg ",,,60.79,60.79,1
RC,343,"Injection, pentostatin, 10 mg ",,,4333.44,4333.44,1
RC,343,"Injection, peramivir, 1 mg ",,,2.77,2.77,1
RC,343,"Injection, perflutren lipid microspheres, per ml ",,,65.93,65.93,1
RC,343,"Injection, pertuzumab, 1 mg ",,,28.08,28.08,1
RC,343,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,99.38,99.38,1
RC,343,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.86,1.86,1
RC,343,"Injection, phenobarbital sodium, up to 120 mg ",,,39.02,39.02,1
RC,343,"Injection, phentolamine mesylate, up to 5 mg ",,,424.79,424.79,1
RC,343,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.25,0.25,1
RC,343,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.21,0.21,1
RC,343,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.02,0.02,1
RC,343,"Injection, phenytoin sodium, per 50 mg ",,,0.69,0.69,1
RC,343,"Injection, phytonadione (vitamin k), per 1 mg ",,,5.21,5.21,1
RC,343,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.8,1.8,1
RC,343,"Injection, plasminogen, human-tvmh, 1 mg ",,,63.34,63.34,1
RC,343,"Injection, plazomicin, 5 mg ",,,5.79,5.79,1
RC,343,"Injection, plerixafor, 1 mg ",,,54.02,54.02,1
RC,343,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,226.43,226.43,1
RC,343,"Injection, porfimer sodium, 75 mg ",,,46179.54,46179.54,1
RC,343,"Injection, posaconazole, 1 mg ",,,0.58,0.58,1
RC,343,"Injection, potassium chloride, per 2 meq ",,,0.21,0.21,1
RC,343,"Injection, pozelimab-bbfg, 1 mg ",,,151.35,151.35,1
RC,343,"Injection, pralatrexate, 1 mg ",,,647.99,647.99,1
RC,343,"Injection, pralidoxime chloride, up to 1 gm ",,,171.67,171.67,1
RC,343,"Injection, procainamide hcl, up to 1 gm ",,,354.44,354.44,1
RC,343,"Injection, prochlorperazine, up to 10 mg ",,,5.49,5.49,1
RC,343,"Injection, progesterone, per 50 mg ",,,1.09,1.09,1
RC,343,"Injection, promethazine hcl, up to 50 mg ",,,5.51,5.51,1
RC,343,"Injection, propofol, 10 mg ",,,0.15,0.15,1
RC,343,"Injection, propranolol hcl, up to 1 mg ",,,19.19,19.19,1
RC,343,"Injection, protamine sulfate, per 10 mg ",,,2.76,2.76,1
RC,343,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,24.83,24.83,1
RC,343,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,2.84,2.84,1
RC,343,"Injection, pyridoxine hcl, 100 mg ",,,24.59,24.59,1
RC,343,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,194.55,194.55,1
RC,343,"Injection, radiesse, 0.1 ml ",,,576.16,576.16,1
RC,343,"Injection, ramucirumab, 5 mg ",,,124.53,124.53,1
RC,343,"Injection, ranibizumab, 0.1 mg ",,,111.95,111.95,1
RC,343,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,125.73,125.73,1
RC,343,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,137.74,137.74,1
RC,343,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,116.99,116.99,1
RC,343,"Injection, rasburicase, 0.5 mg ",,,630.61,630.61,1
RC,343,"Injection, ravulizumab-cwvz, 10 mg ",,,369.07,369.07,1
RC,343,"Injection, regadenoson, 0.1 mg ",,,4.79,4.79,1
RC,343,"Injection, remdesivir, 1 mg ",,,11.39,11.39,1
RC,343,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,334477.41,334477.41,1
RC,343,"Injection, remimazolam, 1 mg ",,,4.6,4.6,1
RC,343,"Injection, reslizumab, 1 mg ",,,19.02,19.02,1
RC,343,"Injection, reteplase, 18.1 mg ",,,4792.56,4792.56,1
RC,343,"Injection, retifanlimab-dlwr, 1 mg ",,,50.16,50.16,1
RC,343,"Injection, rezafungin, 1 mg ",,,17.8,17.8,1
RC,343,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,130.19,130.19,1
RC,343,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,45.41,45.41,1
RC,343,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,56.53,56.53,1
RC,343,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,8.0,8.0,1
RC,343,"Injection, rifampin, 1 mg ",,,0.28,0.28,1
RC,343,"Injection, rilonacept, 1 mg ",,,56.03,56.03,1
RC,343,"Injection, rimabotulinumtoxinb, 100 units ",,,21.91,21.91,1
RC,343,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,24.09,24.09,1
RC,343,"Injection, risperidone (risperdal consta), 0.5 mg ",,,17.82,17.82,1
RC,343,"Injection, risperidone (rykindo), 0.5 mg ",,,21.5,21.5,1
RC,343,"Injection, risperidone (uzedy), 1 mg ",,,41.51,41.51,1
RC,343,"Injection, risperidone, (perseris), 0.5 mg ",,,20.08,20.08,1
RC,343,"Injection, rituximab 10 mg and hyaluronidase ",,,59.86,59.86,1
RC,343,"Injection, rituximab, 10 mg ",,,122.36,122.36,1
RC,343,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,51.61,51.61,1
RC,343,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,33.43,33.43,1
RC,343,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,22.59,22.59,1
RC,343,"Injection, romidepsin, lyophilized, 0.1 mg ",,,50.82,50.82,1
RC,343,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,47.06,47.06,1
RC,343,"Injection, romiplostim, 1 microgram ",,,18.33,18.33,1
RC,343,"Injection, romosozumab-aqqg, 1 mg ",,,20.11,20.11,1
RC,343,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.08,0.08,1
RC,343,"Injection, rozanolixizumab-noli, 1 mg ",,,38.61,38.61,1
RC,343,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,60.72,60.72,1
RC,343,"Injection, sargramostim (gm-csf), 50 mcg ",,,102.12,102.12,1
RC,343,"Injection, sculptra, 0.5 mg ",,,3.56,3.56,1
RC,343,"Injection, sebelipase alfa, 1 mg ",,,891.3,891.3,1
RC,343,"Injection, secretin, synthetic, human, 1 microgram ",,,66.38,66.38,1
RC,343,"Injection, secukinumab, intravenous, 1 mg ",,,29.77,29.77,1
RC,343,"Injection, sermorelin acetate, 1 microgram ",,,2.21,2.21,1
RC,343,"Injection, siltuximab, 10 mg ",,,287.23,287.23,1
RC,343,"Injection, sincalide, 5 micrograms ",,,178.53,178.53,1
RC,343,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.73,143.73,1
RC,343,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,3.94,3.94,1
RC,343,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,3.58,3.58,1
RC,343,"Injection, sodium thiosulfate (hope), 100 mg ",,,1.45,1.45,1
RC,343,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,157.49,157.49,1
RC,343,"Injection, somatropin, 1 mg ",,,272.56,272.56,1
RC,343,"Injection, spesolimab-sbzo, 1 mg ",,,108.45,108.45,1
RC,343,"Injection, sterile cefuroxime sodium, per 750 mg ",,,3.28,3.28,1
RC,343,"Injection, streptomycin, up to 1 gm ",,,66.43,66.43,1
RC,343,"Injection, streptozocin, 1 gram ",,,289.33,289.33,1
RC,343,"Injection, succinylcholine chloride, up to 20 mg ",,,2.46,2.46,1
RC,343,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.07,0.07,1
RC,343,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,29.9,29.9,1
RC,343,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,293.16,293.16,1
RC,343,"Injection, sutimlimab-jome, 10 mg ",,,32.41,32.41,1
RC,343,"Injection, tafasitamab-cxix, 2 mg ",,,23.38,23.38,1
RC,343,"Injection, tagraxofusp-erzs, 10 micrograms ",,,589.51,589.51,1
RC,343,"Injection, taliglucerase alfa, 10 units ",,,67.09,67.09,1
RC,343,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,122.0,122.0,1
RC,343,"Injection, talquetamab-tgvs, 0.25 mg ",,,123.55,123.55,1
RC,343,"Injection, tarlatamab-dlle, 1 mg ",,,2586.74,2586.74,1
RC,343,"Injection, tbo-filgrastim, 1 microgram ",,,0.41,0.41,1
RC,343,"Injection, tebentafusp-tebn, 1 microgram ",,,367.11,367.11,1
RC,343,"Injection, teclistamab-cqyv, 0.5 mg ",,,56.93,56.93,1
RC,343,"Injection, tedizolid phosphate, 1 mg ",,,3.23,3.23,1
RC,343,"Injection, telavancin, 10 mg ",,,11.6,11.6,1
RC,343,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,240.88,240.88,1
RC,343,"Injection, temozolomide, 1 mg ",,,17.16,17.16,1
RC,343,"Injection, temsirolimus, 1 mg ",,,49.63,49.63,1
RC,343,"Injection, tenecteplase, 1 mg ",,,325.78,325.78,1
RC,343,"Injection, teplizumab-mzwv, 5 mcg ",,,63.34,63.34,1
RC,343,"Injection, teprotumumab-trbw, 10 mg ",,,607.05,607.05,1
RC,343,"Injection, terbutaline sulfate, up to 1 mg ",,,4.88,4.88,1
RC,343,"Injection, teriparatide, 10 mcg ",,,130.53,130.53,1
RC,343,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.23,0.23,1
RC,343,"Injection, testosterone cypionate, 1 mg ",,,0.03,0.03,1
RC,343,"Injection, testosterone enanthate, 1 mg ",,,0.08,0.08,1
RC,343,"Injection, testosterone undecanoate, 1 mg ",,,3.51,3.51,1
RC,343,"Injection, tetanus immune globulin, human, up to 250 units ",,,920.9,920.9,1
RC,343,"Injection, tezepelumab-ekko, 1 mg ",,,29.01,29.01,1
RC,343,"Injection, thiamine hcl, 100 mg ",,,2.56,2.56,1
RC,343,"Injection, thiotepa (tepylute), 1 mg ",,,63.61,63.61,1
RC,343,"Injection, thiotepa, not otherwise specified, 1 mg ",,,9.47,9.47,1
RC,343,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,3506.81,3506.81,1
RC,343,"Injection, tigecycline, 1 mg ",,,0.94,0.94,1
RC,343,"Injection, tildrakizumab, 1 mg ",,,195.03,195.03,1
RC,343,"Injection, tirofiban hcl, 0.25 mg ",,,5.26,5.26,1
RC,343,"Injection, tislelizumab-jsgr, 1mg ",,,96.15,96.15,1
RC,343,"Injection, tisotumab vedotin-tftv, 1 mg ",,,323.6,323.6,1
RC,343,"Injection, tobramycin sulfate, up to 80 mg ",,,3.33,3.33,1
RC,343,"Injection, tocilizumab, 1 mg ",,,9.12,9.12,1
RC,343,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,12.49,12.49,1
RC,343,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,7.33,7.33,1
RC,343,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,9.21,9.21,1
RC,343,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,7.66,7.66,1
RC,343,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,8.12,8.12,1
RC,343,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,8.68,8.68,1
RC,343,"Injection, tofersen, 1 mg ",,,264.02,264.02,1
RC,343,"Injection, topotecan, 0.1 mg ",,,3.48,3.48,1
RC,343,"Injection, toripalimab-tpzi, 1 mg ",,,65.98,65.98,1
RC,343,"Injection, trabectedin, 0.1 mg ",,,645.27,645.27,1
RC,343,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.2,0.2,1
RC,343,"Injection, tranexamic acid, 5 mg ",,,0.21,0.21,1
RC,343,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,98.85,98.85,1
RC,343,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,121.16,121.16,1
RC,343,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,93.03,93.03,1
RC,343,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,59.04,59.04,1
RC,343,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,49.19,49.19,1
RC,343,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,92.43,92.43,1
RC,343,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,17.21,17.21,1
RC,343,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,62.49,62.49,1
RC,343,"Injection, travoprost, intracameral implant, 1 microgram ",,,324.85,324.85,1
RC,343,"Injection, tremelimumab-actl, 1 mg ",,,236.33,236.33,1
RC,343,"Injection, treosulfan, 50 mg ",,,52.16,52.16,1
RC,343,"Injection, treprostinil, 1 mg ",,,91.06,91.06,1
RC,343,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,78.84,78.84,1
RC,343,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.49,1.49,1
RC,343,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,30.99,30.99,1
RC,343,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,30.76,30.76,1
RC,343,"Injection, triamcinolone diacetate, per 5 mg ",,,0.54,0.54,1
RC,343,"Injection, triamcinolone hexacetonide, per 5 mg ",,,16.09,16.09,1
RC,343,"Injection, trilaciclib, 1mg ",,,9.06,9.06,1
RC,343,"Injection, trimethobenzamide hcl, up to 200 mg ",,,94.41,94.41,1
RC,343,"Injection, triptorelin pamoate, 3.75 mg ",,,774.48,774.48,1
RC,343,"Injection, triptorelin, extended-release, 3.75 mg ",,,6144.2,6144.2,1
RC,343,"Injection, ublituximab-xiiy, 1mg ",,,113.44,113.44,1
RC,343,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,23.18,23.18,1
RC,343,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,19.39,19.39,1
RC,343,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,7.49,7.49,1
RC,343,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,364.11,364.11,1
RC,343,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,5.53,5.53,1
RC,343,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,104.33,104.33,1
RC,343,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,5.3,5.3,1
RC,343,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,7.47,7.47,1
RC,343,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,20713.62,20713.62,1
RC,343,"Injection, valproate sodium, 5 mg ",,,0.07,0.07,1
RC,343,"Injection, valrubicin, intravesical, 200 mg ",,,2096.36,2096.36,1
RC,343,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.02,0.02,1
RC,343,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,343,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.26,0.26,1
RC,343,"Injection, vancomycin hydrochloride, 10 mg ",,,0.05,0.05,1
RC,343,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,1.39,1.39,1
RC,343,"Injection, vasopressin (baxter), 1 unit ",,,2.52,2.52,1
RC,343,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,1.95,1.95,1
RC,343,"Injection, vasopressin, 1 unit ",,,0.87,0.87,1
RC,343,"Injection, vedolizumab, intravenous, 1 mg ",,,34.62,34.62,1
RC,343,"Injection, velaglucerase alfa, 100 units ",,,640.46,640.46,1
RC,343,"Injection, velmanase alfa-tycv, 1 mg ",,,767.63,767.63,1
RC,343,"Injection, verteporfin, 0.1 mg ",,,19.09,19.09,1
RC,343,"Injection, vestronidase alfa-vjbk, 1 mg ",,,462.25,462.25,1
RC,343,"Injection, viltolarsen, 10 mg ",,,111.67,111.67,1
RC,343,"Injection, vinblastine sulfate, 1 mg ",,,8.5,8.5,1
RC,343,"Injection, vinorelbine tartrate, 10 mg ",,,8.2,8.2,1
RC,343,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,1.11,1.11,1
RC,343,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,3.02,3.02,1
RC,343,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,2.18,2.18,1
RC,343,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,2.46,2.46,1
RC,343,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,5065.65,5065.65,1
RC,343,"Injection, voriconazole, 10 mg ",,,1.07,1.07,1
RC,343,"Injection, vutrisiran, 1 mg ",,,8281.8,8281.8,1
RC,343,"Injection, zanidatamab-hrii, 2 mg ",,,41.25,41.25,1
RC,343,"Injection, zenocutuzumab-zbco, 1 mg ",,,55.39,55.39,1
RC,343,"Injection, ziconotide, 1 microgram ",,,17.26,17.26,1
RC,343,"Injection, zidovudine, 10 mg ",,,2.49,2.49,1
RC,343,"Injection, ziprasidone mesylate, 10 mg ",,,9.69,9.69,1
RC,343,"Injection, ziv-aflibercept, 1 mg ",,,14.21,14.21,1
RC,343,"Injection, zolbetuximab-clzb, 2 mg ",,,55.52,55.52,1
RC,343,"Injection, zoledronic acid, 1 mg ",,,50.95,50.95,1
RC,343,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,201135.0,201135.0,1
RC,343,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Innovamatrix pd, 1 mg ",,,28.1,28.1,1
RC,343,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,1.37,1.37,1
RC,343,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,56.07,56.07,1
RC,343,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,2349.8,2349.8,1
RC,343,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,8.3,8.3,1
RC,343,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,14.45,14.45,1
RC,343,"Insulin (fiasp), per 5 units ",,,1.12,1.12,1
RC,343,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,24.92,24.92,1
RC,343,"Insulin (lyumjev), per 5 units ",,,0.99,0.99,1
RC,343,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,5.16,5.16,1
RC,343,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Integra flowable wound matrix, injectable, 1 cc ",,,4670.82,4670.82,1
RC,343,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Interfyl, 1 mg ",,,64.27,64.27,1
RC,343,Intrauterine copper contraceptive (miudella) ,,,2350.26,2350.26,1
RC,343,Intrauterine copper contraceptive (paragard) ,,,2349.6,2349.6,1
RC,343,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,78.94,78.94,1
RC,343,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,358.56,358.56,1
RC,343,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,106065.8,106065.8,1
RC,343,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2289.77,2289.77,1
RC,343,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,3823.88,3823.88,1
RC,343,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,287.13,287.13,1
RC,343,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,773.95,773.95,1
RC,343,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,1071.91,1071.91,1
RC,343,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,653.93,653.93,1
RC,343,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,1430.14,1430.14,1
RC,343,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",,,39.72,39.72,1
RC,343,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,34.27,34.27,1
RC,343,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,7.16,7.16,1
RC,343,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,0.73,0.73,1
RC,343,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,23.69,23.69,1
RC,343,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,601.21,601.21,1
RC,343,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.15,0.15,1
RC,343,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.13,0.13,1
RC,343,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,2.21,2.21,1
RC,343,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,290.73,290.73,1
RC,343,"Leuprolide acetate, per 1 mg ",,,249.98,249.98,1
RC,343,"Leuprolide injectable, camcevi, 1 mg ",,,65.92,65.92,1
RC,343,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,3.3,3.3,1
RC,343,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.53,0.53,1
RC,343,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.15,0.15,1
RC,343,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,640.4,640.4,1
RC,343,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,1937.07,1937.07,1
RC,343,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,2519.43,2519.43,1
RC,343,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,2097.84,2097.84,1
RC,343,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,2519.43,2519.43,1
RC,343,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,927730.39,927730.39,1
RC,343,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.91,1.91,1
RC,343,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.71,0.71,1
RC,343,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.25,0.25,1
RC,343,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,428.34,428.34,1
RC,343,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,527.9,527.9,1
RC,343,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,8732.51,8732.51,1
RC,343,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1688.15,1688.15,1
RC,343,"Mannitol, administered through an inhaler, 5 mg ",,,1.95,1.95,1
RC,343,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Matristem micromatrix, 1 mg ",,,13.08,13.08,1
RC,343,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,193.28,193.28,1
RC,343,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,571.56,571.56,1
RC,343,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Melphalan; oral, 2 mg ",,,7.72,7.72,1
RC,343,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,349.64,349.64,1
RC,343,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,350.43,350.43,1
RC,343,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,39.12,39.12,1
RC,343,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,525.94,525.94,1
RC,343,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,498.43,498.43,1
RC,343,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,147.69,147.69,1
RC,343,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",,,447.05,447.05,1
RC,343,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,497.34,497.34,1
RC,343,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",,,1.8,1.8,1
RC,343,"Methotrexate (jylamvo), oral, 2.5 mg ",,,30.87,30.87,1
RC,343,"Methotrexate (xatmep), oral, 2.5 mg ",,,36.8,36.8,1
RC,343,"Methotrexate; oral, 2.5 mg ",,,0.23,0.23,1
RC,343,"Methylprednisolone oral, per 4 mg ",,,0.23,0.23,1
RC,343,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Microlyte painguard, per square centimeter ",,,209.78,209.78,1
RC,343,"Miglustat, oral, 65 mg ",,,70.39,70.39,1
RC,343,"Miro3d fibers, per milligram ",,,27.09,27.09,1
RC,343,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Mitomycin pyelocalyceal instillation, 1 mg ",,,533.23,533.23,1
RC,343,"Mitomycin, intravesical instillation, 1 mg ",,,459.24,459.24,1
RC,343,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,18.73,18.73,1
RC,343,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,3.71,3.71,1
RC,343,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.51,0.51,1
RC,343,"Mycophenolate mofetil, oral, 250 mg ",,,0.23,0.23,1
RC,343,"Mycophenolic acid, oral, 180 mg ",,,0.53,0.53,1
RC,343,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,38.82,38.82,1
RC,343,"Myriad morcells, 4 milligrams ",,,21.78,21.78,1
RC,343,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Neoxflo or clarixflo, 1 mg ",,,56.27,56.27,1
RC,343,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,656.35,656.35,1
RC,343,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,1321.57,1321.57,1
RC,343,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,209.98,209.98,1
RC,343,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Novashield or novogen wound matrix, per square centimeter ",,,209.78,209.78,1
RC,343,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,459112.5,459112.5,1
RC,343,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,253.69,253.69,1
RC,343,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.03,0.03,1
RC,343,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1026.23,1026.23,1
RC,343,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,2378.48,2378.48,1
RC,343,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,121.39,121.39,1
RC,343,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.11,1.11,1
RC,343,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,159.41,159.41,1
RC,343,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,571.71,571.71,1
RC,343,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,425.45,425.45,1
RC,343,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,444.36,444.36,1
RC,343,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,516.29,516.29,1
RC,343,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,568.01,568.01,1
RC,343,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,220.23,220.23,1
RC,343,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,94.41,94.41,1
RC,343,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Prednisolone oral, per 5 mg ",,,1.22,1.22,1
RC,343,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,3.65,3.65,1
RC,343,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Procenta, per 100 mg ",,,9801.5,9801.5,1
RC,343,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,1.29,1.29,1
RC,343,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.48,0.48,1
RC,343,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.38,3.38,1
RC,343,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,454.05,454.05,1
RC,343,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,399.6,399.6,1
RC,343,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,581.53,581.53,1
RC,343,"Rabies vaccine, for intradermal use ",,,390.82,390.82,1
RC,343,"Rabies vaccine, for intramuscular use ",,,520.11,520.11,1
RC,343,"Radioelements for brachytherapy, any type, each ",,,101.95,101.95,1
RC,343,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,77046.96,77046.96,1
RC,343,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,282.3,282.3,1
RC,343,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,631.62,631.62,1
RC,343,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,635.68,635.68,1
RC,343,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,631.75,631.75,1
RC,343,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,720.64,720.64,1
RC,343,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1100.88,1100.88,1
RC,343,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",,,1178.22,1178.22,1
RC,343,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1178.22,1178.22,1
RC,343,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.33,0.33,1
RC,343,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,217.01,217.01,1
RC,343,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,132.0,132.0,1
RC,343,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1096.84,1096.84,1
RC,343,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,4514.4,4514.4,1
RC,343,"Ringers lactate infusion, up to 1000 cc ",,,4.29,4.29,1
RC,343,"Rolapitant, oral, 1 mg ",,,7.28,7.28,1
RC,343,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,308.24,308.24,1
RC,343,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,203.18,203.18,1
RC,343,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,817.31,817.31,1
RC,343,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,5213.67,5213.67,1
RC,343,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,4792.69,4792.69,1
RC,343,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.17,0.17,1
RC,343,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.51,0.51,1
RC,343,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.33,0.33,1
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,333.15,333.15,1
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,242.65,242.65,1
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,266.72,266.72,1
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,156.42,156.42,1
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,108.03,108.03,1
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,277.81,277.81,1
RC,343,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,316.67,316.67,1
RC,343,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,92844.16,92844.16,1
RC,343,"Sirolimus, oral, 1 mg ",,,2.1,2.1,1
RC,343,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,209.78,209.78,1
RC,343,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.02,0.02,1
RC,343,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,446.41,446.41,1
RC,343,"Sodium phosphate p-32, therapeutic, per millicurie ",,,459.1,459.1,1
RC,343,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,6841.46,6841.46,1
RC,343,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.35,0.35,1
RC,343,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Suzetrigine, oral 1 mg ",,,0.54,0.54,1
RC,343,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,0.97,0.97,1
RC,343,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,3.07,3.07,1
RC,343,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,2.11,2.11,1
RC,343,"Tacrolimus, immediate release, oral, 1 mg ",,,0.38,0.38,1
RC,343,"Tacrolimus, parenteral, 5 mg ",,,428.93,428.93,1
RC,343,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,16.5,16.5,1
RC,343,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,1321.02,1321.02,1
RC,343,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",25259.0,25259.0,1541.31,1541.31,1
RC,343,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,179.67,179.67,1
RC,343,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,34.72,34.72,1
RC,343,"Temozolomide, oral, 5 mg ",,,0.66,0.66,1
RC,343,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,21.5,21.5,1
RC,343,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,21.5,21.5,1
RC,343,"Testosterone pellet, implant, 75 mg ",,,123.7,123.7,1
RC,343,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,63.94,63.94,1
RC,343,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,1298.2,1298.2,1
RC,343,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,65.14,65.14,1
RC,343,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1013398.34,1013398.34,1
RC,343,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,98.65,98.65,1
RC,343,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",,,12.82,12.82,1
RC,343,"Topical administration, prademagene zamikeracel, per treatment ",,,5504103.0,5504103.0,1
RC,343,"Topotecan, oral, 0.25 mg ",,,206.61,206.61,1
RC,343,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,1302.15,1302.15,1
RC,343,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,7.72,7.72,1
RC,343,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.11,1.11,1
RC,343,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,274.54,274.54,1
RC,343,"Typhoid vaccine, live, oral ",,,232.22,232.22,1
RC,343,Unlisted immune globulin ,,,706.02,706.02,1
RC,343,"Ustekinumab, for intravenous injection, 1 mg ",,,19.17,19.17,1
RC,343,"Ustekinumab, for subcutaneous injection, 1 mg ",,,672.72,672.72,1
RC,343,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.02,0.02,1
RC,343,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.23,0.23,1
RC,343,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,380.14,380.14,1
RC,343,"Varicella-zoster immune globulin, human, for intramuscular use ",,,3899.36,3899.36,1
RC,343,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Vincristine sulfate, 1 mg ",,,13.38,13.38,1
RC,343,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Woundex flow, bioskin flow, 0.5 cc ",,,4235.01,4235.01,1
RC,343,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xcellistem, 1 mg ",,,25.74,25.74,1
RC,343,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Yellow fever vaccine, live, for subcutaneous use ",,,507.54,507.54,1
RC,343,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,93760.51,93760.51,1
RC,343,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,343,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,235.88,235.88,1
RC,343,"injection, busulfan, 1 mg ",,,1.12,1.12,1
RC,344, Nuclear Medicine Therapeutic Radiopharmaceuticals  ,,,,,0
RC,344,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,9.98,9.98,1
RC,344,5% dextrose/normal saline (500 ml = 1 unit) ,,,2.13,2.13,1
RC,344,5% dextrose/water (500 ml = 1 unit) ,,,3.09,3.09,1
RC,344,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,Ac5 advanced wound system (ac5) ,,,9900.0,9900.0,1
RC,344,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,14.09,14.09,1
RC,344,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Afamelanotide implant, 1 mg ",,,4856.64,4856.64,1
RC,344,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1271523.0,1271523.0,1
RC,344,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.4,0.4,1
RC,344,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.13,0.13,1
RC,344,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.35,0.35,1
RC,344,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.92,2.92,1
RC,344,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,643.53,643.53,1
RC,344,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,113.4,113.4,1
RC,344,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,191.5,191.5,1
RC,344,"Anti-inhibitor, per i.u. ",,,3.99,3.99,1
RC,344,"Antithrombin iii (human), per i.u. ",,,6.77,6.77,1
RC,344,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Aprepitant, oral, 5 mg ",,,3.94,3.94,1
RC,344,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.2,1.2,1
RC,344,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Ascent, 0.5 mg ",,,113.75,113.75,1
RC,344,"Autologous cultured chondrocytes, implant ",,,138148.31,138148.31,1
RC,344,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,877551.05,877551.05,1
RC,344,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Azathioprine, oral, 50 mg ",,,0.3,0.3,1
RC,344,"Azathioprine, parenteral, 100 mg ",,,420.35,420.35,1
RC,344,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,21.5,21.5,1
RC,344,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,374.72,374.72,1
RC,344,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,374.72,374.72,1
RC,344,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Bcg live intravesical instillation, 1 mg ",,,5.59,5.59,1
RC,344,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1657.56,1657.56,1
RC,344,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Biobrane, per square centimeter ",,,209.78,209.78,1
RC,344,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,807329.49,807329.49,1
RC,344,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,7.72,7.72,1
RC,344,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,1.82,1.82,1
RC,344,"Buprenorphine, oral, 1 mg ",,,2.06,2.06,1
RC,344,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,31.19,31.19,1
RC,344,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,15.66,15.66,1
RC,344,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,16.47,16.47,1
RC,344,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,9.62,9.62,1
RC,344,"Busulfan; oral, 2 mg ",,,16.7,16.7,1
RC,344,"Cabergoline, oral, 0.25 mg ",,,0.25,0.25,1
RC,344,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.05,0.05,1
RC,344,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,1100.67,1100.67,1
RC,344,"Capecitabine, oral, 50 mg ",,,0.05,0.05,1
RC,344,"Capsaicin 8% patch, per square centimeter ",,,5.64,5.64,1
RC,344,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,402.67,402.67,1
RC,344,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,680.63,680.63,1
RC,344,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.97,0.97,1
RC,344,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,4152.11,4152.11,1
RC,344,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,257.93,257.93,1
RC,344,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,3164.63,3164.63,1
RC,344,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,971016.44,971016.44,1
RC,344,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,1.63,1.63,1
RC,344,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,337.84,337.84,1
RC,344,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,2.21,2.21,1
RC,344,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,980.56,980.56,1
RC,344,"Coretext or protext, per cc ",,,5313.0,5313.0,1
RC,344,"Corplex p or theracor p or allacor p, per milligram ",,,188.91,188.91,1
RC,344,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,81.26,81.26,1
RC,344,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.54,0.54,1
RC,344,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,1.34,1.34,1
RC,344,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Cyclophosphamide; oral, 25 mg ",,,2.72,2.72,1
RC,344,"Cyclosporine, oral, 100 mg ",,,2.36,2.36,1
RC,344,"Cyclosporine, oral, 25 mg ",,,1.04,1.04,1
RC,344,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,3582.93,3582.93,1
RC,344,"Dacarbazine, 100 mg ",,,6.35,6.35,1
RC,344,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,130.68,130.68,1
RC,344,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dexamethasone (hemady), oral, 0.25 mg ",,,0.71,0.71,1
RC,344,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,152.71,152.71,1
RC,344,"Dexamethasone, oral, 0.25 mg ",,,0.05,0.05,1
RC,344,"Dexmedetomidine, oral, 1 mcg ",,,1.45,1.45,1
RC,344,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,2.28,2.28,1
RC,344,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,30.31,30.31,1
RC,344,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,129.84,129.84,1
RC,344,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,233.1,233.1,1
RC,344,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,218.96,218.96,1
RC,344,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,329.88,329.88,1
RC,344,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,61.12,61.12,1
RC,344,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,94.25,94.25,1
RC,344,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,91.03,91.03,1
RC,344,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,6.42,6.42,1
RC,344,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,2.72,2.72,1
RC,344,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Edetate disodium, per 150 mg ",,,0.54,0.54,1
RC,344,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,117.88,117.88,1
RC,344,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,0.81,0.81,1
RC,344,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,86.0,86.0,1
RC,344,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Epifix, injectable, 1 mg ",,,31.96,31.96,1
RC,344,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Esketamine, nasal spray, 1 mg ",,,31.65,31.65,1
RC,344,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,309.03,309.03,1
RC,344,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,2525.21,2525.21,1
RC,344,"Etoposide; oral, 50 mg ",,,143.29,143.29,1
RC,344,"Everolimus, oral, 0.25 mg ",,,2.05,2.05,1
RC,344,"Excellagen, 0.1 cc ",,,287.1,287.1,1
RC,344,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,2.26,2.26,1
RC,344,"Factor ix, complex, per i.u. ",,,2.81,2.81,1
RC,344,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,4.36,4.36,1
RC,344,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,3.63,3.63,1
RC,344,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,9.01,9.01,1
RC,344,"Factor viii (antihemophilic factor, human) per i.u. ",,,2.29,2.29,1
RC,344,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,2.59,2.59,1
RC,344,"Fecal microbiota, live - jslm, 1 ml ",,,106.13,106.13,1
RC,344,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.05,0.05,1
RC,344,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,2614.71,2614.71,1
RC,344,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3012.31,3012.31,1
RC,344,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,612.15,612.15,1
RC,344,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1107.51,1107.51,1
RC,344,"Floweramnioflo, 0.1 cc ",,,297.0,297.0,1
RC,344,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,531.75,531.75,1
RC,344,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,17.08,17.08,1
RC,344,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,711.5,711.5,1
RC,344,"Fluorodopa f-18, diagnostic, per millicurie ",,,1411.66,1411.66,1
RC,344,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,759.69,759.69,1
RC,344,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,874.5,874.5,1
RC,344,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3207.62,3207.62,1
RC,344,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,2.94,2.94,1
RC,344,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,2538.39,2538.39,1
RC,344,"Foundation drs+ duo, per square centimeter ",,,209.78,209.78,1
RC,344,"Foundation drs+ solo, per square centimeter ",,,209.78,209.78,1
RC,344,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,37.47,37.47,1
RC,344,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,1932.65,1932.65,1
RC,344,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,789.56,789.56,1
RC,344,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,598.13,598.13,1
RC,344,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,599.78,599.78,1
RC,344,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,907.71,907.71,1
RC,344,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,81.89,81.89,1
RC,344,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,5.96,5.96,1
RC,344,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Gefitinib, oral, 250 mg ",,,480.15,480.15,1
RC,344,"Gemcitabine intravesical system, 225 mg ",,,120595.63,120595.63,1
RC,344,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Goserelin acetate implant, per 3.6 mg ",,,2227.38,2227.38,1
RC,344,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Graftjacket xpress, injectable, 1 cc ",,,3295.88,3295.88,1
RC,344,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,97.43,97.43,1
RC,344,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,542.19,542.19,1
RC,344,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,62.07,62.07,1
RC,344,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,26.93,26.93,1
RC,344,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,279.87,279.87,1
RC,344,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,121.65,121.65,1
RC,344,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,70.97,70.97,1
RC,344,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,51.81,51.81,1
RC,344,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,82.12,82.12,1
RC,344,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,231.35,231.35,1
RC,344,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,121.8,121.8,1
RC,344,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,292.97,292.97,1
RC,344,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,124.0,124.0,1
RC,344,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,124.0,124.0,1
RC,344,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,271.29,271.29,1
RC,344,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,271.29,271.29,1
RC,344,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,54.78,54.78,1
RC,344,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.43,0.43,1
RC,344,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.36,0.36,1
RC,344,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.13,0.13,1
RC,344,"Histrelin implant (supprelin la), 50 mg ",,,67936.16,67936.16,1
RC,344,"Histrelin implant (vantas), 50 mg ",,,7770.72,7770.72,1
RC,344,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,651.35,651.35,1
RC,344,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,186.83,186.83,1
RC,344,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.98,209.98,1
RC,344,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,237.11,237.11,1
RC,344,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,11.1,11.1,1
RC,344,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,174.21,174.21,1
RC,344,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,869.2,869.2,1
RC,344,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.12,1.12,1
RC,344,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,122.81,122.81,1
RC,344,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,29.91,29.91,1
RC,344,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,1081.31,1081.31,1
RC,344,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,180.0,180.0,1
RC,344,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,5.15,5.15,1
RC,344,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.48,11.48,1
RC,344,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,17.41,17.41,1
RC,344,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,5.4,5.4,1
RC,344,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,6.07,6.07,1
RC,344,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,3.3,3.3,1
RC,344,"Hypertonic saline solution, 1 ml ",,,0.17,0.17,1
RC,344,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,923638.78,923638.78,1
RC,344,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,262.33,262.33,1
RC,344,"Immune globulin (Ig), human, for intramuscular use ",,,197.13,197.13,1
RC,344,"Immune globulin (IgIV), human, for intravenous use ",,,157.92,157.92,1
RC,344,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,39.9,39.9,1
RC,344,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,2854.98,2854.98,1
RC,344,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,6782.57,6782.57,1
RC,344,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,7915.66,7915.66,1
RC,344,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,1820.26,1820.26,1
RC,344,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,1371.91,1371.91,1
RC,344,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1230.27,1230.27,1
RC,344,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,3301.55,3301.55,1
RC,344,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,2766.04,2766.04,1
RC,344,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,161.96,161.96,1
RC,344,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,161.96,161.96,1
RC,344,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,42.47,42.47,1
RC,344,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,20.39,20.39,1
RC,344,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,92.3,92.3,1
RC,344,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,18.2,18.2,1
RC,344,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,36.42,36.42,1
RC,344,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,22.08,22.08,1
RC,344,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,38.31,38.31,1
RC,344,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,161.96,161.96,1
RC,344,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,81.68,81.68,1
RC,344,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,49.02,49.02,1
RC,344,"Infusion, albumin (human), 25%, 20 ml ",,,35.03,35.03,1
RC,344,"Infusion, albumin (human), 25%, 50 ml ",,,87.58,87.58,1
RC,344,"Infusion, albumin (human), 5%, 250 ml ",,,87.58,87.58,1
RC,344,"Infusion, albumin (human), 5%, 50 ml ",,,17.52,17.52,1
RC,344,"Infusion, d5w, 1000 cc ",,,5.07,5.07,1
RC,344,"Infusion, dextran 40, 500 ml ",,,642.05,642.05,1
RC,344,"Infusion, normal saline solution , 1000 cc ",,,3.61,3.61,1
RC,344,"Infusion, normal saline solution, 250 cc ",,,1.16,1.16,1
RC,344,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,2.24,2.24,1
RC,344,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,103.82,103.82,1
RC,344,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,1733.72,1733.72,1
RC,344,"Injection abciximab, 10 mg ",,,951.77,951.77,1
RC,344,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,7.43,7.43,1
RC,344,"Injection fluconazole, 200 mg ",,,6.39,6.39,1
RC,344,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,73.79,73.79,1
RC,344,"Injection, abobotulinumtoxina, 5 units ",,,14.69,14.69,1
RC,344,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,1
RC,344,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,1
RC,344,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.1,0.1,1
RC,344,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.15,0.15,1
RC,344,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.08,0.08,1
RC,344,"Injection, acetazolamide sodium, up to 500 mg ",,,40.19,40.19,1
RC,344,"Injection, acetylcysteine, 100 mg ",,,0.84,0.84,1
RC,344,"Injection, acyclovir, 5 mg ",,,0.03,0.03,1
RC,344,"Injection, adalimumab, 1 mg ",,,269.25,269.25,1
RC,344,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,36.3,36.3,1
RC,344,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,133.62,133.62,1
RC,344,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,32.11,32.11,1
RC,344,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,94.23,94.23,1
RC,344,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,43.46,43.46,1
RC,344,"Injection, adamts13, recombinant-krhn, 10 iu ",,,58.71,58.71,1
RC,344,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,0.79,0.79,1
RC,344,"Injection, ado-trastuzumab emtansine, 1 mg ",,,69.63,69.63,1
RC,344,"Injection, aflibercept hd, 1 mg ",,,496.95,496.95,1
RC,344,"Injection, aflibercept, 1 mg ",,,1207.62,1207.62,1
RC,344,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,1355.31,1355.31,1
RC,344,"Injection, agalsidase beta, 1 mg ",,,375.51,375.51,1
RC,344,"Injection, aldesleukin, per single use vial ",,,5509.14,5509.14,1
RC,344,"Injection, alemtuzumab, 1 mg ",,,4026.69,4026.69,1
RC,344,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,342.39,342.39,1
RC,344,"Injection, allopurinol sodium, 1 mg ",,,6.29,6.29,1
RC,344,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,9.34,9.34,1
RC,344,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,8.48,8.48,1
RC,344,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,0.79,0.79,1
RC,344,"Injection, alteplase recombinant, 1 mg ",,,156.9,156.9,1
RC,344,"Injection, amifostine, 500 mg ",,,722.52,722.52,1
RC,344,"Injection, amikacin sulfate, 100 mg ",,,1.01,1.01,1
RC,344,"Injection, aminocaproic acid, 1 gram ",,,2.59,2.59,1
RC,344,"Injection, aminophyllin, up to 250 mg ",,,18.69,18.69,1
RC,344,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,4.11,4.11,1
RC,344,"Injection, amiodarone hydrochloride, 30 mg ",,,0.64,0.64,1
RC,344,"Injection, amisulpride, 1 mg ",,,15.77,15.77,1
RC,344,"Injection, amivantamab-vmjw, 2 mg ",,,37.34,37.34,1
RC,344,"Injection, amobarbital, up to 125 mg ",,,19.29,19.29,1
RC,344,"Injection, amphotericin b lipid complex, 10 mg ",,,30.86,30.86,1
RC,344,"Injection, amphotericin b liposome, 10 mg ",,,37.64,37.64,1
RC,344,"Injection, amphotericin b, 50 mg ",,,73.14,73.14,1
RC,344,"Injection, ampicillin sodium, 500 mg ",,,1.06,1.06,1
RC,344,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,2.23,2.23,1
RC,344,"Injection, anidulafungin, 1 mg ",,,0.81,0.81,1
RC,344,"Injection, anifrolumab-fnia, 1 mg ",,,30.21,30.21,1
RC,344,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,2.06,2.06,1
RC,344,"Injection, apomorphine hydrochloride, 1 mg ",,,71.15,71.15,1
RC,344,"Injection, aprepitant (aponvie), 1 mg ",,,3.22,3.22,1
RC,344,"Injection, aprepitant, 1 mg ",,,2.79,2.79,1
RC,344,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.0,3.0,1
RC,344,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,7.84,7.84,1
RC,344,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,2.28,2.28,1
RC,344,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,2.28,2.28,1
RC,344,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,1.67,1.67,1
RC,344,"Injection, argatroban, 1 mg (for non-esrd use) ",,,1.67,1.67,1
RC,344,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,9.93,9.93,1
RC,344,"Injection, aripiprazole (abilify maintena), 1 mg ",,,12.0,12.0,1
RC,344,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,5.36,5.36,1
RC,344,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,5.48,5.48,1
RC,344,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.54,0.54,1
RC,344,"Injection, arsenic trioxide, 1 mg ",,,10.64,10.64,1
RC,344,"Injection, artesunate, 1 mg ",,,85.52,85.52,1
RC,344,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,92.88,92.88,1
RC,344,"Injection, atezolizumab, 10 mg ",,,155.1,155.1,1
RC,344,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,52.72,52.72,1
RC,344,"Injection, atidarsagene autotemcel, per treatment ",,,7433250.0,7433250.0,1
RC,344,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.02,0.02,1
RC,344,"Injection, atropine sulfate, 0.01 mg ",,,0.17,0.17,1
RC,344,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.17,0.17,1
RC,344,"Injection, avacincaptad pegol, 0.1 mg ",,,170.61,170.61,1
RC,344,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,133.98,133.98,1
RC,344,"Injection, avelumab, 10 mg ",,,174.16,174.16,1
RC,344,"Injection, axatilimab-csfr, 0.1 mg ",,,91.82,91.82,1
RC,344,"Injection, azacitidine, 1 mg ",,,0.68,0.68,1
RC,344,"Injection, azithromycin, 500 mg ",,,3.2,3.2,1
RC,344,"Injection, aztreonam, 100 mg ",,,3.78,3.78,1
RC,344,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,2.77,2.77,1
RC,344,"Injection, baclofen, 10 mg ",,,293.78,293.78,1
RC,344,"Injection, baclofen, 50 mcg for intrathecal trial ",,,89.66,89.66,1
RC,344,"Injection, basiliximab, 20 mg ",,,7940.31,7940.31,1
RC,344,"Injection, belatacept, 1 mg ",,,6.42,6.42,1
RC,344,"Injection, belimumab, 10 mg ",,,94.36,94.36,1
RC,344,"Injection, belinostat, 10 mg ",,,87.63,87.63,1
RC,344,"Injection, bendamustine hcl (bendeka), 1 mg ",,,21.29,21.29,1
RC,344,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,52.37,52.37,1
RC,344,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,23.0,23.0,1
RC,344,"Injection, bendamustine hydrochloride, 1 mg ",,,3.56,3.56,1
RC,344,"Injection, benralizumab, 1 mg ",,,269.54,269.54,1
RC,344,"Injection, benztropine mesylate, per 1 mg ",,,22.31,22.31,1
RC,344,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,11.5,11.5,1
RC,344,"Injection, betibeglogene autotemcel, per treatment ",,,4848228.0,4848228.0,1
RC,344,"Injection, bevacizumab, 0.25 mg ",,,3.07,3.07,1
RC,344,"Injection, bevacizumab, 10 mg ",,,122.69,122.69,1
RC,344,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,57.17,57.17,1
RC,344,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,39.17,39.17,1
RC,344,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,42.65,42.65,1
RC,344,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,85.12,85.12,1
RC,344,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,139.23,139.23,1
RC,344,"Injection, bezlotoxumab, 10 mg ",,,65.72,65.72,1
RC,344,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,353.13,353.13,1
RC,344,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.21,0.21,1
RC,344,"Injection, bivalirudin, 1 mg ",,,0.2,0.2,1
RC,344,"Injection, bleomycin sulfate, 15 units ",,,27.39,27.39,1
RC,344,"Injection, blinatumomab, 1 microgram ",,,270.53,270.53,1
RC,344,"Injection, bortezomib (boruzu), 0.1 mg ",,,41.93,41.93,1
RC,344,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,5.71,5.71,1
RC,344,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,11.5,11.5,1
RC,344,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,2.08,2.08,1
RC,344,"Injection, bortezomib, 0.1 mg ",,,3.71,3.71,1
RC,344,"Injection, brentuximab vedotin, 1 mg ",,,443.4,443.4,1
RC,344,"Injection, brolucizumab-dbll, 1 mg ",,,582.57,582.57,1
RC,344,"Injection, brompheniramine maleate, per 10 mg ",,,0.54,0.54,1
RC,344,"Injection, bumetanide, 0.5 mg ",,,0.78,0.78,1
RC,344,"Injection, bupivacaine liposome, 1 mg ",,,2.33,2.33,1
RC,344,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,344,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2753.59,2753.59,1
RC,344,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,688.4,688.4,1
RC,344,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,3294.32,3294.32,1
RC,344,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,3294.32,3294.32,1
RC,344,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,6.88,6.88,1
RC,344,"Injection, burosumab-twza 1 mg ",,,822.89,822.89,1
RC,344,"Injection, butorphanol tartrate, 1 mg ",,,10.15,10.15,1
RC,344,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,24.92,24.92,1
RC,344,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,125.48,125.48,1
RC,344,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,108.08,108.08,1
RC,344,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,60.52,60.52,1
RC,344,"Injection, cabazitaxel, 1 mg ",,,381.23,381.23,1
RC,344,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,39.9,39.9,1
RC,344,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,11.8,11.8,1
RC,344,"Injection, caffeine citrate, 5 mg ",,,3.0,3.0,1
RC,344,"Injection, calaspargase pegol-mknl, 10 units ",,,135.43,135.43,1
RC,344,"Injection, calcitonin salmon, up to 400 units ",,,2364.78,2364.78,1
RC,344,"Injection, calcitriol, 0.1 mcg ",,,1.96,1.96,1
RC,344,"Injection, calcium chloride, 2 mg ",,,0.05,0.05,1
RC,344,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.12,0.12,1
RC,344,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.05,0.05,1
RC,344,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,18.74,18.74,1
RC,344,"Injection, canakinumab, 1 mg ",,,246.79,246.79,1
RC,344,"Injection, cangrelor, 1 mg ",,,33.03,33.03,1
RC,344,"Injection, caplacizumab-yhdp, 1 mg ",,,1322.08,1322.08,1
RC,344,"Injection, carboplatin (avyxa), 1 mg ",,,8.65,8.65,1
RC,344,"Injection, carboplatin, 50 mg ",,,4.85,4.85,1
RC,344,"Injection, carboprost tromethamine, 0.1 mg ",,,25.67,25.67,1
RC,344,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,2069.1,2069.1,1
RC,344,"Injection, carfilzomib, 1 mg ",,,92.8,92.8,1
RC,344,"Injection, carmustine, 100 mg ",,,398.97,398.97,1
RC,344,"Injection, casimersen, 10 mg ",,,274.23,274.23,1
RC,344,"Injection, caspofungin acetate, 5 mg ",,,5.91,5.91,1
RC,344,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,2.05,2.05,1
RC,344,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.4,1.4,1
RC,344,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.22,1.22,1
RC,344,"Injection, cefazolin sodium, 500 mg ",,,1.4,1.4,1
RC,344,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,8.07,8.07,1
RC,344,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,9.75,9.75,1
RC,344,"Injection, cefepime hydrochloride, 500 mg ",,,2.1,2.1,1
RC,344,"Injection, cefiderocol, 10 mg ",,,3.99,3.99,1
RC,344,"Injection, cefotaxime sodium, per gm ",,,12.13,12.13,1
RC,344,"Injection, cefotetan disodium, 10 mg ",,,0.48,0.48,1
RC,344,"Injection, cefoxitin sodium, 1 gm ",,,5.87,5.87,1
RC,344,"Injection, ceftaroline fosamil, 10 mg ",,,7.01,7.01,1
RC,344,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,172.84,172.84,1
RC,344,"Injection, ceftazidime, per 500 mg ",,,2.33,2.33,1
RC,344,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,1.82,1.82,1
RC,344,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,14.59,14.59,1
RC,344,"Injection, ceftriaxone sodium, per 250 mg ",,,0.71,0.71,1
RC,344,"Injection, cemiplimab-rwlc, 1 mg ",,,49.1,49.1,1
RC,344,"Injection, cerliponase alfa, 1 mg ",,,199.93,199.93,1
RC,344,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,6.25,6.25,1
RC,344,"Injection, cetirizine hydrochloride, 0.5 mg ",,,27.92,27.92,1
RC,344,"Injection, cetuximab, 10 mg ",,,132.76,132.76,1
RC,344,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,96.33,96.33,1
RC,344,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,34.17,34.17,1
RC,344,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.07,0.07,1
RC,344,"Injection, chlorothiazide sodium, per 500 mg ",,,77.42,77.42,1
RC,344,"Injection, chlorpromazine hcl, up to 50 mg ",,,34.58,34.58,1
RC,344,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,25.03,25.03,1
RC,344,"Injection, cidofovir, 375 mg ",,,925.3,925.3,1
RC,344,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,10.43,10.43,1
RC,344,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,152.46,152.46,1
RC,344,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,1.25,1.25,1
RC,344,"Injection, cisplatin, powder or solution, 10 mg ",,,3.58,3.58,1
RC,344,"Injection, cladribine, per 1 mg ",,,14.4,14.4,1
RC,344,"Injection, clevidipine butyrate, 1 mg ",,,4.69,4.69,1
RC,344,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,3.83,3.83,1
RC,344,"Injection, clindamycin phosphate, 300 mg ",,,3.07,3.07,1
RC,344,"Injection, clofarabine, 1 mg ",,,18.05,18.05,1
RC,344,"Injection, clonidine hydrochloride, 1 mg ",,,29.57,29.57,1
RC,344,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,3.25,3.25,1
RC,344,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,216.41,216.41,1
RC,344,"Injection, codeine phosphate, per 30 mg ",,,1.65,1.65,1
RC,344,"Injection, colistimethate sodium, up to 150 mg ",,,23.55,23.55,1
RC,344,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,129.28,129.28,1
RC,344,"Injection, concizumab-mtci, 0.5 mg ",,,137.73,137.73,1
RC,344,"Injection, corticotropin (acthar gel), up to 40 units ",,,6755.53,6755.53,1
RC,344,"Injection, corticotropin (ani), up to 40 units ",,,5892.73,5892.73,1
RC,344,"Injection, cosibelimab-ipdl, 2 mg ",,,37.82,37.82,1
RC,344,"Injection, cosyntropin, 0.25 mg ",,,26.83,26.83,1
RC,344,"Injection, crizanlizumab-tmca, 5 mg ",,,214.4,214.4,1
RC,344,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,2613.6,2613.6,1
RC,344,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,3037.68,3037.68,1
RC,344,"Injection, crovalimab-akkz, 10 mg ",,,909.99,909.99,1
RC,344,"Injection, cyclophosphamide (auromedics), 5 mg ",,,0.86,0.86,1
RC,344,"Injection, cyclophosphamide (baxter), 5 mg ",,,6.14,6.14,1
RC,344,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,0.83,0.83,1
RC,344,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,15.02,15.02,1
RC,344,"Injection, cyclophosphamide (sandoz), 5 mg ",,,6.02,6.02,1
RC,344,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,1.27,1.27,1
RC,344,"Injection, cyclosporine, 250 mg ",,,122.43,122.43,1
RC,344,"Injection, cytarabine, 100 mg ",,,1.32,1.32,1
RC,344,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2984.21,2984.21,1
RC,344,"Injection, dactinomycin, 0.5 mg ",,,557.16,557.16,1
RC,344,"Injection, dalbavancin, 5 mg ",,,24.75,24.75,1
RC,344,"Injection, dalteparin sodium, per 2500 iu ",,,26.17,26.17,1
RC,344,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.1,0.1,1
RC,344,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.08,0.08,1
RC,344,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.05,0.05,1
RC,344,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.08,0.08,1
RC,344,"Injection, daptomycin, 1 mg ",,,0.05,0.05,1
RC,344,"Injection, daratumumab, 10 mg ",,,116.77,116.77,1
RC,344,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,90.8,90.8,1
RC,344,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,5.07,5.07,1
RC,344,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,5.07,5.07,1
RC,344,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,85.01,85.01,1
RC,344,"Injection, daunorubicin, 10 mg ",,,40.84,40.84,1
RC,344,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.1,5.1,1
RC,344,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.11,1.11,1
RC,344,"Injection, decitabine, 1 mg ",,,1.65,1.65,1
RC,344,"Injection, deferoxamine mesylate, 500 mg ",,,14.16,14.16,1
RC,344,"Injection, degarelix, 1 mg ",,,7.36,7.36,1
RC,344,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,5480271.03,5480271.03,1
RC,344,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,23.96,23.96,1
RC,344,"Injection, denosumab, 1 mg ",,,48.69,48.69,1
RC,344,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,46.05,46.05,1
RC,344,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,43.25,43.25,1
RC,344,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,49.17,49.17,1
RC,344,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,32.18,32.18,1
RC,344,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,51.66,51.66,1
RC,344,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,26.14,26.14,1
RC,344,"Injection, depo-estradiol cypionate, up to 5 mg ",,,85.5,85.5,1
RC,344,"Injection, desmopressin acetate, per 1 mcg ",,,5.63,5.63,1
RC,344,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,4.47,4.47,1
RC,344,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.18,0.18,1
RC,344,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,336.25,336.25,1
RC,344,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,82.07,82.07,1
RC,344,"Injection, diazepam, up to 5 mg ",,,14.04,14.04,1
RC,344,"Injection, diazoxide, up to 300 mg ",,,167.54,167.54,1
RC,344,"Injection, dicyclomine hcl, up to 20 mg ",,,15.46,15.46,1
RC,344,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.46,0.46,1
RC,344,"Injection, digoxin immune fab (ovine), per vial ",,,8525.53,8525.53,1
RC,344,"Injection, digoxin, up to 0.5 mg ",,,17.11,17.11,1
RC,344,"Injection, dihydroergotamine mesylate, per 1 mg ",,,90.57,90.57,1
RC,344,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.3,0.3,1
RC,344,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.07,0.07,1
RC,344,"Injection, dimenhydrinate, up to 50 mg ",,,12.74,12.74,1
RC,344,"Injection, diphenhydramine hcl, up to 50 mg ",,,1.14,1.14,1
RC,344,"Injection, dipyridamole, per 10 mg ",,,13.88,13.88,1
RC,344,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,1235.82,1235.82,1
RC,344,"Injection, dobutamine hydrochloride, per 250 mg ",,,13.0,13.0,1
RC,344,"Injection, docetaxel (beizray), 1 mg ",,,76.05,76.05,1
RC,344,"Injection, docetaxel (docivyx), 1 mg ",,,83.51,83.51,1
RC,344,"Injection, docetaxel, 1 mg ",,,0.92,0.92,1
RC,344,"Injection, dolasetron mesylate, 10 mg ",,,6.06,6.06,1
RC,344,"Injection, donanemab-azbt, 2 mg ",,,6.83,6.83,1
RC,344,"Injection, dopamine hcl, 40 mg ",,,1.32,1.32,1
RC,344,"Injection, dostarlimab-gxly, 10 mg ",,,407.68,407.68,1
RC,344,"Injection, doxercalciferol, 1 mcg ",,,0.51,0.51,1
RC,344,"Injection, doxorubicin hydrochloride, 10 mg ",,,4.5,4.5,1
RC,344,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,492.92,492.92,1
RC,344,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,118.57,118.57,1
RC,344,"Injection, doxycycline hyclate, 1 mg ",,,0.15,0.15,1
RC,344,"Injection, droperidol, up to 5 mg ",,,11.9,11.9,1
RC,344,"Injection, durvalumab, 10 mg ",,,142.15,142.15,1
RC,344,"Injection, ecallantide, 1 mg ",,,954.94,954.94,1
RC,344,"Injection, eculizumab, 2 mg ",,,73.76,73.76,1
RC,344,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,52.68,52.68,1
RC,344,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,68.95,68.95,1
RC,344,"Injection, edaravone, 1 mg ",,,25.05,25.05,1
RC,344,"Injection, edetate calcium disodium, up to 1000 mg ",,,10069.74,10069.74,1
RC,344,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,227.7,227.7,1
RC,344,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,56.64,56.64,1
RC,344,"Injection, efgartigimod alfa-fcab, 2mg ",,,53.81,53.81,1
RC,344,"Injection, eflapegrastim-xnst, 0.1 mg ",,,64.28,64.28,1
RC,344,"Injection, elivaldogene autotemcel, per treatment ",,,5247000.0,5247000.0,1
RC,344,"Injection, elliotts' b solution, 1 ml ",,,19.04,19.04,1
RC,344,"Injection, elosulfase alfa, 1 mg ",,,514.72,514.72,1
RC,344,"Injection, elotuzumab, 1 mg ",,,13.27,13.27,1
RC,344,"Injection, elranatamab-bcmm, 1 mg ",,,308.2,308.2,1
RC,344,"Injection, emapalumab-lzsg, 1 mg ",,,633.83,633.83,1
RC,344,"Injection, emicizumab-kxwh, 0.5 mg ",,,91.81,91.81,1
RC,344,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,60.57,60.57,1
RC,344,"Injection, enfuvirtide, 1 mg ",,,0.54,0.54,1
RC,344,"Injection, enoxaparin sodium, 10 mg ",,,0.89,0.89,1
RC,344,"Injection, epcoritamab-bysp, 0.16 mg ",,,93.92,93.92,1
RC,344,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,1.44,1.44,1
RC,344,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,1.39,1.39,1
RC,344,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,0.71,0.71,1
RC,344,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,1.78,1.78,1
RC,344,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,4.75,4.75,1
RC,344,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,1.52,1.52,1
RC,344,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.5,0.5,1
RC,344,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.51,0.51,1
RC,344,"Injection, epirubicin hcl, 2 mg ",,,2.92,2.92,1
RC,344,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,12.06,12.06,1
RC,344,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.2,1.2,1
RC,344,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,1.3,1.3,1
RC,344,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,13.0,13.0,1
RC,344,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,1.7,1.7,1
RC,344,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.7,1.7,1
RC,344,"Injection, epoprostenol, 0.5 mg ",,,24.55,24.55,1
RC,344,"Injection, eptifibatide, 5 mg ",,,5.38,5.38,1
RC,344,"Injection, eptinezumab-jjmr, 1 mg ",,,33.91,33.91,1
RC,344,"Injection, eravacycline, 1 mg ",,,2.13,2.13,1
RC,344,"Injection, eribulin mesylate, 0.1 mg ",,,126.65,126.65,1
RC,344,"Injection, ertapenem sodium, 500 mg ",,,11.91,11.91,1
RC,344,"Injection, erythromycin lactobionate, per 500 mg ",,,150.53,150.53,1
RC,344,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.33,0.33,1
RC,344,"Injection, esmolol hydrochloride, 10 mg ",,,0.4,0.4,1
RC,344,"Injection, esomeprazole sodium, 1 mg ",,,2.1,2.1,1
RC,344,"Injection, estradiol valerate, up to 10 mg ",,,11.86,11.86,1
RC,344,"Injection, estrogen conjugated, per 25 mg ",,,646.34,646.34,1
RC,344,"Injection, estrone, per 1 mg ",,,0.54,0.54,1
RC,344,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,2119.95,2119.95,1
RC,344,"Injection, etelcalcetide, 0.1 mg ",,,3.89,3.89,1
RC,344,"Injection, eteplirsen, 10 mg ",,,276.39,276.39,1
RC,344,"Injection, ethacrynate sodium, 1 mg ",,,30.15,30.15,1
RC,344,"Injection, ethanolamine oleate, 100 mg ",,,855.74,855.74,1
RC,344,"Injection, etoposide, 10 mg ",,,1.49,1.49,1
RC,344,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,6090892.5,6090892.5,1
RC,344,"Injection, evinacumab-dgnb, 5mg ",,,326.09,326.09,1
RC,344,"Injection, exagamglogene autotemcel, per treatment ",,,3847800.0,3847800.0,1
RC,344,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,3.04,3.04,1
RC,344,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,2.87,2.87,1
RC,344,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,8.78,8.78,1
RC,344,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,5.91,5.91,1
RC,344,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,2.46,2.46,1
RC,344,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,5.35,5.35,1
RC,344,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,4.06,4.06,1
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,2.59,2.59,1
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,2.57,2.57,1
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,2.33,2.33,1
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.95,1.95,1
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,3.53,3.53,1
RC,344,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,4.39,4.39,1
RC,344,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,3.68,3.68,1
RC,344,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,7.41,7.41,1
RC,344,"Injection, factor x, (human), 1 i.u. ",,,16.42,16.42,1
RC,344,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,17.79,17.79,1
RC,344,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,30.24,30.24,1
RC,344,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,51.58,51.58,1
RC,344,"Injection, famotidine, 0.25 mg ",,,0.02,0.02,1
RC,344,"Injection, faricimab-svoa, 0.1 mg ",,,54.24,54.24,1
RC,344,"Injection, fentanyl citrate, 0.1 mg ",,,1.91,1.91,1
RC,344,"Injection, ferric carboxymaltose, 1 mg ",,,1.82,1.82,1
RC,344,"Injection, ferric derisomaltose, 10 mg ",,,36.18,36.18,1
RC,344,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.38,0.38,1
RC,344,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.38,0.38,1
RC,344,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.68,1.68,1
RC,344,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.46,0.46,1
RC,344,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.53,0.53,1
RC,344,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.58,0.58,1
RC,344,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,1.7,1.7,1
RC,344,"Injection, fitusiran, 0.04 mg ",,,218.84,218.84,1
RC,344,"Injection, floxuridine, 500 mg ",,,7014.1,7014.1,1
RC,344,"Injection, fludarabine phosphate, 50 mg ",,,359.25,359.25,1
RC,344,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,841.19,841.19,1
RC,344,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,559.0,559.0,1
RC,344,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,874.32,874.32,1
RC,344,"Injection, fluorouracil, 500 mg ",,,3.4,3.4,1
RC,344,"Injection, fluphenazine decanoate, up to 25 mg ",,,9.22,9.22,1
RC,344,"Injection, fluphenazine hcl, 1.25 mg ",,,12.13,12.13,1
RC,344,"Injection, folic acid, 0.1 mg ",,,0.08,0.08,1
RC,344,"Injection, fomepizole, 15 mg ",,,10.79,10.79,1
RC,344,"Injection, fondaparinux sodium, 0.5 mg ",,,1.32,1.32,1
RC,344,"Injection, fosaprepitant (focinvez), 1 mg ",,,4.21,4.21,1
RC,344,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.07,0.07,1
RC,344,"Injection, fosaprepitant, 1 mg ",,,0.18,0.18,1
RC,344,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,1.16,1.16,1
RC,344,"Injection, foscarnet sodium, per 1000 mg ",,,13.79,13.79,1
RC,344,"Injection, fosdenopterin, 0.1 mg ",,,29.02,29.02,1
RC,344,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,864.9,864.9,1
RC,344,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,2.19,2.19,1
RC,344,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,7.01,7.01,1
RC,344,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,44.73,44.73,1
RC,344,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,68.76,68.76,1
RC,344,"Injection, fulvestrant, 25 mg ",,,8.15,8.15,1
RC,344,"Injection, furosemide (furoscix), 20 mg ",,,485.4,485.4,1
RC,344,"Injection, furosemide, 1 mg ",,,0.03,0.03,1
RC,344,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.84,2.84,1
RC,344,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.95,2.95,1
RC,344,"Injection, gadobutrol, 0.1 ml ",,,0.5,0.5,1
RC,344,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,2.39,2.39,1
RC,344,"Injection, gadopiclenol, 1 ml ",,,5.31,5.31,1
RC,344,"Injection, gadoterate meglumine, 0.1 ml ",,,0.15,0.15,1
RC,344,"Injection, gadoteridol, (prohance multipack), per ml ",,,2.29,2.29,1
RC,344,"Injection, gadoxetate disodium, 1 ml ",,,24.3,24.3,1
RC,344,"Injection, galsulfase, 1 mg ",,,847.44,847.44,1
RC,344,"Injection, gamma globulin, intramuscular, 1 cc ",,,80.77,80.77,1
RC,344,"Injection, gamma globulin, intramuscular, over 10 cc ",,,264.48,264.48,1
RC,344,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,99.0,99.0,1
RC,344,"Injection, ganciclovir sodium, 500 mg ",,,56.18,56.18,1
RC,344,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.18,3.18,1
RC,344,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,8.73,8.73,1
RC,344,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,677.23,677.23,1
RC,344,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,5.35,5.35,1
RC,344,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,396.28,396.28,1
RC,344,"Injection, givosiran, 0.5 mg ",,,199.62,199.62,1
RC,344,"Injection, glatiramer acetate, 20 mg ",,,427.81,427.81,1
RC,344,"Injection, glofitamab-gxbm, 2.5 mg ",,,4687.12,4687.12,1
RC,344,"Injection, glucagon (gvoke), 0.01 mg ",,,3.91,3.91,1
RC,344,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,222.75,222.75,1
RC,344,"Injection, glucagon hydrochloride, per 1 mg ",,,241.44,241.44,1
RC,344,"Injection, glucarpidase, 10 units ",,,741.02,741.02,1
RC,344,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.21,2.21,1
RC,344,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,2.23,2.23,1
RC,344,"Injection, glycopyrrolate, 0.1 mg ",,,0.61,0.61,1
RC,344,"Injection, gold sodium thiomalate, up to 50 mg ",,,22.59,22.59,1
RC,344,"Injection, golimumab, 1 mg, for intravenous use ",,,18.63,18.63,1
RC,344,"Injection, golodirsen, 10 mg ",,,316.8,316.8,1
RC,344,"Injection, granisetron hydrochloride, 100 mcg ",,,0.26,0.26,1
RC,344,"Injection, granisetron, extended-release, 0.1 mg ",,,6.4,6.4,1
RC,344,"Injection, guselkumab, 1 mg ",,,111.89,111.89,1
RC,344,"Injection, haloperidol decanoate, per 50 mg ",,,10.02,10.02,1
RC,344,"Injection, haloperidol, up to 5 mg ",,,1.3,1.3,1
RC,344,"Injection, hemin, 1 mg ",,,58.26,58.26,1
RC,344,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,1.9,1.9,1
RC,344,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.03,0.03,1
RC,344,"Injection, heparin sodium, per 1000 units ",,,0.36,0.36,1
RC,344,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,115.88,115.88,1
RC,344,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,115.88,115.88,1
RC,344,"Injection, histrelin acetate, 10 micrograms ",,,1.65,1.65,1
RC,344,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,2.05,2.05,1
RC,344,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,2.51,2.51,1
RC,344,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.54,0.54,1
RC,344,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,181.32,181.32,1
RC,344,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.59,0.59,1
RC,344,"Injection, hyaluronidase, up to 150 units ",,,52.06,52.06,1
RC,344,"Injection, hydralazine hcl, up to 20 mg ",,,7.08,7.08,1
RC,344,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,36.53,36.53,1
RC,344,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,344,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.02,0.02,1
RC,344,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,8.98,8.98,1
RC,344,"Injection, hydroxyzine hcl, up to 25 mg ",,,25.03,25.03,1
RC,344,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,15.43,15.43,1
RC,344,"Injection, ibalizumab-uiyk, 10 mg ",,,128.17,128.17,1
RC,344,"Injection, ibandronate sodium, 1 mg ",,,14.95,14.95,1
RC,344,"Injection, ibuprofen, 100 mg ",,,5.25,5.25,1
RC,344,"Injection, ibutilide fumarate, 1 mg ",,,361.71,361.71,1
RC,344,"Injection, icatibant, 1 mg ",,,518.38,518.38,1
RC,344,"Injection, idarubicin hydrochloride, 5 mg ",,,65.6,65.6,1
RC,344,"Injection, idursulfase, 1 mg ",,,921.06,921.06,1
RC,344,"Injection, ifosfamide, 1 gram ",,,40.72,40.72,1
RC,344,"Injection, iloprost, 0.1 mcg ",,,9.42,9.42,1
RC,344,"Injection, imetelstat, 1 mg ",,,95.98,95.98,1
RC,344,"Injection, imiglucerase, 10 units ",,,70.67,70.67,1
RC,344,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,4.29,4.29,1
RC,344,"Injection, immune globulin (alyglo), 500 mg ",,,203.16,203.16,1
RC,344,"Injection, immune globulin (asceniv), 500 mg ",,,826.53,826.53,1
RC,344,"Injection, immune globulin (bivigam), 500 mg ",,,131.08,131.08,1
RC,344,"Injection, immune globulin (cutaquig), 100 mg ",,,22.98,22.98,1
RC,344,"Injection, immune globulin (cuvitru), 100 mg ",,,29.01,29.01,1
RC,344,"Injection, immune globulin (hizentra), 100 mg ",,,23.96,23.96,1
RC,344,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,121.82,121.82,1
RC,344,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,81.72,81.72,1
RC,344,"Injection, immune globulin (xembify), 100 mg ",,,25.36,25.36,1
RC,344,"Injection, immune globulin (yimmugo), 100 mg ",,,40.13,40.13,1
RC,344,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,149.72,149.72,1
RC,344,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,80.98,80.98,1
RC,344,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,106.67,106.67,1
RC,344,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,82.05,82.05,1
RC,344,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,77.62,77.62,1
RC,344,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,132.66,132.66,1
RC,344,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,31.02,31.02,1
RC,344,"Injection, inclisiran, 1 mg ",,,20.81,20.81,1
RC,344,"Injection, incobotulinumtoxin a, 1 unit ",,,8.73,8.73,1
RC,344,"Injection, indigotindisulfonate sodium, 1 mg ",,,15.35,15.35,1
RC,344,"Injection, inebilizumab-cdon, 1 mg ",,,817.66,817.66,1
RC,344,"Injection, infliximab, excludes biosimilar, 10 mg ",,,51.22,51.22,1
RC,344,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,44.22,44.22,1
RC,344,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,46.27,46.27,1
RC,344,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,551.55,551.55,1
RC,344,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,42.97,42.97,1
RC,344,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,4647.67,4647.67,1
RC,344,"Injection, insulin, per 5 units ",,,0.81,0.81,1
RC,344,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,299.9,299.9,1
RC,344,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,83.64,83.64,1
RC,344,"Injection, interferon beta-1a, 30 mcg ",,,5832.21,5832.21,1
RC,344,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,992.52,992.52,1
RC,344,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,57.87,57.87,1
RC,344,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,21.5,21.5,1
RC,344,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,59.63,59.63,1
RC,344,"Injection, interferon, gamma 1-b, 3 million units ",,,17403.36,17403.36,1
RC,344,"Injection, ipilimumab, 1 mg ",,,308.83,308.83,1
RC,344,"Injection, irinotecan liposome, 1 mg ",,,109.51,109.51,1
RC,344,"Injection, irinotecan, 20 mg ",,,2.52,2.52,1
RC,344,"Injection, iron dextran, 50 mg ",,,29.88,29.88,1
RC,344,"Injection, iron sucrose, 1 mg ",,,0.36,0.36,1
RC,344,"Injection, isatuximab-irfc, 10 mg ",,,137.91,137.91,1
RC,344,"Injection, isavuconazonium, 1 mg ",,,1.67,1.67,1
RC,344,"Injection, isoniazid, 1 mg ",,,0.5,0.5,1
RC,344,"Injection, itraconazole, 50 mg ",,,1549.73,1549.73,1
RC,344,"Injection, ixabepilone, 1 mg ",,,230.59,230.59,1
RC,344,"Injection, ketorolac tromethamine, per 15 mg ",,,0.56,0.56,1
RC,344,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,1.49,1.49,1
RC,344,"Injection, labetalol hydrochloride, 5 mg ",,,0.43,0.43,1
RC,344,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,143.3,143.3,1
RC,344,"Injection, lanreotide, (cipla), 1 mg ",,,53.11,53.11,1
RC,344,"Injection, lanreotide, 1 mg ",,,58.94,58.94,1
RC,344,"Injection, laronidase, 0.1 mg ",,,65.92,65.92,1
RC,344,"Injection, lefamulin, 1 mg ",,,1.35,1.35,1
RC,344,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,36.8,36.8,1
RC,344,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,26.57,26.57,1
RC,344,"Injection, leucovorin calcium, per 50 mg ",,,5.92,5.92,1
RC,344,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2913.19,2913.19,1
RC,344,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,232.17,232.17,1
RC,344,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,1144.37,1144.37,1
RC,344,"Injection, levetiracetam, 10 mg ",,,0.05,0.05,1
RC,344,"Injection, levocarnitine, per 1 gm ",,,38.1,38.1,1
RC,344,"Injection, levofloxacin, 250 mg ",,,3.56,3.56,1
RC,344,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,2.13,2.13,1
RC,344,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.08,0.08,1
RC,344,"Injection, levorphanol tartrate, up to 2 mg ",,,4.97,4.97,1
RC,344,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,11.48,11.48,1
RC,344,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,10.43,10.43,1
RC,344,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,12.23,12.23,1
RC,344,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.02,0.02,1
RC,344,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.07,0.07,1
RC,344,"Injection, lidocaine hydrochloride, 1 mg ",,,0.08,0.08,1
RC,344,"Injection, lincomycin hcl, up to 300 mg ",,,7.79,7.79,1
RC,344,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,44.27,44.27,1
RC,344,"Injection, linezolid, 200 mg ",,,4.09,4.09,1
RC,344,"Injection, linvoseltamab-gcpt, 1 mg ",,,164.18,164.18,1
RC,344,"Injection, liothyronine, 1 mcg ",,,64.83,64.83,1
RC,344,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,430.98,430.98,1
RC,344,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,365.46,365.46,1
RC,344,"Injection, lorazepam, 2 mg ",,,2.74,2.74,1
RC,344,"Injection, lovotibeglogene autotemcel, per treatment ",,,5354879.29,5354879.29,1
RC,344,"Injection, lumasiran, 0.5 mg ",,,540.74,540.74,1
RC,344,"Injection, lurbinectedin, 0.1 mg ",,,349.97,349.97,1
RC,344,"Injection, luspatercept-aamt, 0.25 mg ",,,70.54,70.54,1
RC,344,"Injection, magnesium sulfate, per 500 mg ",,,0.71,0.71,1
RC,344,"Injection, mannitol, 250 mg ",,,0.08,0.08,1
RC,344,"Injection, margetuximab-cmkb, 5 mg ",,,87.9,87.9,1
RC,344,"Injection, marstacimab-hncq, 0.5 mg ",,,82.81,82.81,1
RC,344,"Injection, mecasermin, 1 mg ",,,763.93,763.93,1
RC,344,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,216.03,216.03,1
RC,344,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.79,0.79,1
RC,344,"Injection, meloxicam (azurity), 1 mg ",,,1.75,1.75,1
RC,344,"Injection, melphalan (apotex), 1 mg ",,,106.89,106.89,1
RC,344,"Injection, melphalan (evomela), 1 mg ",,,32.06,32.06,1
RC,344,"Injection, melphalan (hepzato), 1 mg ",,,1311.75,1311.75,1
RC,344,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,199.11,199.11,1
RC,344,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,12.67,12.67,1
RC,344,"Injection, meperidine hydrochloride, per 100 mg ",,,14.55,14.55,1
RC,344,"Injection, mepivacaine hydrochloride, per 10 ml ",,,6.15,6.15,1
RC,344,"Injection, mepolizumab, 1 mg ",,,52.5,52.5,1
RC,344,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,3.25,3.25,1
RC,344,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,2.44,2.44,1
RC,344,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,3.58,3.58,1
RC,344,"Injection, meropenem, 100 mg ",,,0.61,0.61,1
RC,344,"Injection, mesna, 200 mg ",,,2.19,2.19,1
RC,344,"Injection, methadone hcl, up to 10 mg ",,,24.27,24.27,1
RC,344,"Injection, methocarbamol, up to 10 ml ",,,6.93,6.93,1
RC,344,"Injection, methotrexate sodium, 50 mg ",,,4.42,4.42,1
RC,344,"Injection, methyldopate hcl, up to 250 mg ",,,15.99,15.99,1
RC,344,"Injection, methylergonovine maleate, up to 0.2 mg ",,,35.66,35.66,1
RC,344,"Injection, methylnaltrexone, 0.1 mg ",,,3.47,3.47,1
RC,344,"Injection, methylprednisolone acetate, 1 mg ",,,0.18,0.18,1
RC,344,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.4,0.4,1
RC,344,"Injection, metoclopramide hcl, up to 10 mg ",,,1.57,1.57,1
RC,344,"Injection, metoprolol tartrate, 1 mg ",,,0.21,0.21,1
RC,344,"Injection, metronidazole, 10 mg ",,,0.05,0.05,1
RC,344,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.61,0.61,1
RC,344,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.36,0.36,1
RC,344,"Injection, micafungin sodium, 1 mg ",,,0.43,0.43,1
RC,344,"Injection, midazolam hydrochloride, per 1 mg ",,,0.28,0.28,1
RC,344,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.23,0.23,1
RC,344,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.26,0.26,1
RC,344,"Injection, milrinone lactate, 5 mg ",,,1.95,1.95,1
RC,344,"Injection, minocycline hydrochloride, 1 mg ",,,4.39,4.39,1
RC,344,"Injection, mirikizumab-mrkz, 1 mg ",,,69.45,69.45,1
RC,344,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,117.36,117.36,1
RC,344,"Injection, mitomycin, 5 mg ",,,46.96,46.96,1
RC,344,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,63.71,63.71,1
RC,344,"Injection, mogamulizumab-kpkc, 1 mg ",,,418.23,418.23,1
RC,344,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,13.76,13.76,1
RC,344,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,20.05,20.05,1
RC,344,"Injection, morphine sulfate, up to 10 mg ",,,7.34,7.34,1
RC,344,"Injection, mosunetuzumab-axgb, 1 mg ",,,1079.99,1079.99,1
RC,344,"Injection, motixafortide, 0.25 mg ",,,43.69,43.69,1
RC,344,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,38.59,38.59,1
RC,344,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,10.96,10.96,1
RC,344,"Injection, moxifloxacin, 100 mg ",,,14.42,14.42,1
RC,344,"Injection, mycophenolate mofetil, 10 mg ",,,0.66,0.66,1
RC,344,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.25,0.25,1
RC,344,"Injection, nafcillin sodium, 20 mg ",,,0.08,0.08,1
RC,344,"Injection, nalbuphine hydrochloride, per 10 mg ",,,5.64,5.64,1
RC,344,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.25,0.25,1
RC,344,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.12,0.12,1
RC,344,"Injection, naltrexone, depot form, 1 mg ",,,7.01,7.01,1
RC,344,"Injection, nandrolone decanoate, up to 50 mg ",,,6.62,6.62,1
RC,344,"Injection, natalizumab, 1 mg ",,,40.13,40.13,1
RC,344,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,40.13,40.13,1
RC,344,"Injection, naxitamab-gqgk, 1 mg ",,,1132.05,1132.05,1
RC,344,"Injection, necitumumab, 1 mg ",,,9.45,9.45,1
RC,344,"Injection, nelarabine, 50 mg ",,,86.97,86.97,1
RC,344,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,1.4,1.4,1
RC,344,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,2.33,2.33,1
RC,344,"Injection, nesiritide, 0.1 mg ",,,49.6,49.6,1
RC,344,"Injection, nicardipine, 0.1 mg ",,,0.12,0.12,1
RC,344,"Injection, nipocalimab-aahu, 3 mg ",,,53.91,53.91,1
RC,344,"Injection, nitroglycerin, 5 mg ",,,2.76,2.76,1
RC,344,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,332.9,332.9,1
RC,344,"Injection, nivolumab, 1 mg ",,,55.47,55.47,1
RC,344,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,45.75,45.75,1
RC,344,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,156.09,156.09,1
RC,344,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,16.98,16.98,1
RC,344,"Injection, nusinersen, 0.1 mg ",,,2121.54,2121.54,1
RC,344,"Injection, obinutuzumab, 10 mg ",,,134.99,134.99,1
RC,344,"Injection, ocrelizumab, 1 mg ",,,98.34,98.34,1
RC,344,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,77.2,77.2,1
RC,344,"Injection, octafluoropropane microspheres, per ml ",,,65.93,65.93,1
RC,344,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,310.78,310.78,1
RC,344,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,1.02,1.02,1
RC,344,"Injection, ofatumumab, 10 mg ",,,102.68,102.68,1
RC,344,"Injection, olanzapine, 0.5 mg ",,,1.17,1.17,1
RC,344,"Injection, olanzapine, long-acting, 1 mg ",,,5.26,5.26,1
RC,344,"Injection, olipudase alfa-rpcp, 1 mg ",,,652.74,652.74,1
RC,344,"Injection, omadacycline, 1 mg ",,,6.81,6.81,1
RC,344,"Injection, omalizumab, 5 mg ",,,69.0,69.0,1
RC,344,"Injection, onabotulinumtoxina, 1 unit ",,,10.74,10.74,1
RC,344,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,4395977.17,4395977.17,1
RC,344,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,4268693.98,4268693.98,1
RC,344,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.15,0.15,1
RC,344,"Injection, oprelvekin, 5 mg ",,,407.83,407.83,1
RC,344,"Injection, oritavancin (kimyrsa), 10 mg ",,,72.14,72.14,1
RC,344,"Injection, oritavancin (orbactiv), 10 mg ",,,47.14,47.14,1
RC,344,"Injection, orphenadrine citrate, up to 60 mg ",,,13.56,13.56,1
RC,344,"Injection, oxacillin sodium, up to 250 mg ",,,1.4,1.4,1
RC,344,"Injection, oxaliplatin, 0.5 mg ",,,0.13,0.13,1
RC,344,"Injection, oxymorphone hcl, up to 1 mg ",,,3.86,3.86,1
RC,344,"Injection, oxytocin, up to 10 units ",,,4.47,4.47,1
RC,344,"Injection, paclitaxel protein-bound particles, 1 mg ",,,9.93,9.93,1
RC,344,"Injection, paclitaxel, 1 mg ",,,0.25,0.25,1
RC,344,"Injection, palifermin, 50 micrograms ",,,60.59,60.59,1
RC,344,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,23.91,23.91,1
RC,344,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,21.37,21.37,1
RC,344,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,24.88,24.88,1
RC,344,"Injection, palonosetron hcl, 25 mcg ",,,1.07,1.07,1
RC,344,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,91.23,91.23,1
RC,344,"Injection, pamidronate disodium, per 30 mg ",,,20.49,20.49,1
RC,344,"Injection, panitumumab, 10 mg ",,,287.74,287.74,1
RC,344,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,6.24,6.24,1
RC,344,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,15.81,15.81,1
RC,344,"Injection, pantoprazole sodium, 40 mg ",,,14.19,14.19,1
RC,344,"Injection, papaverine hcl, up to 60 mg ",,,75.8,75.8,1
RC,344,"Injection, paricalcitol, 1 mcg ",,,1.68,1.68,1
RC,344,"Injection, pasireotide long acting, 1 mg ",,,983.9,983.9,1
RC,344,"Injection, patisiran, 0.1 mg ",,,166.49,166.49,1
RC,344,"Injection, pegaspargase, per single dose vial ",,,46899.7,46899.7,1
RC,344,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,243.89,243.89,1
RC,344,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,210.18,210.18,1
RC,344,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,219.96,219.96,1
RC,344,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,197.41,197.41,1
RC,344,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,224.22,224.22,1
RC,344,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,261.13,261.13,1
RC,344,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,131.18,131.18,1
RC,344,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,185.01,185.01,1
RC,344,"Injection, pegloticase, 1 mg ",,,6310.46,6310.46,1
RC,344,"Injection, pegulicianine, 1 mg ",,,61.89,61.89,1
RC,344,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,368.61,368.61,1
RC,344,"Injection, pembrolizumab, 1 mg ",,,101.06,101.06,1
RC,344,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,53.01,53.01,1
RC,344,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,15.94,15.94,1
RC,344,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,17.49,17.49,1
RC,344,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,8.58,8.58,1
RC,344,"Injection, pemetrexed (pemfexy), 10 mg ",,,13.18,13.18,1
RC,344,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,116.29,116.29,1
RC,344,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,2.41,2.41,1
RC,344,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,18.13,18.13,1
RC,344,"Injection, pemetrexed dipotassium, 10 mg ",,,135.33,135.33,1
RC,344,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.54,0.54,1
RC,344,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,6.67,6.67,1
RC,344,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,11944.35,11944.35,1
RC,344,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,32.21,32.21,1
RC,344,"Injection, penicillin g benzathine, 100,000 units ",,,51.93,51.93,1
RC,344,"Injection, penicillin g potassium, up to 600,000 units ",,,1.12,1.12,1
RC,344,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,16.53,16.53,1
RC,344,"Injection, pentamidine isethionate, 1 mg ",,,0.26,0.26,1
RC,344,"Injection, pentazocine, 30 mg ",,,45.19,45.19,1
RC,344,"Injection, pentobarbital sodium, per 50 mg ",,,60.79,60.79,1
RC,344,"Injection, pentostatin, 10 mg ",,,4333.44,4333.44,1
RC,344,"Injection, peramivir, 1 mg ",,,2.77,2.77,1
RC,344,"Injection, perflutren lipid microspheres, per ml ",,,65.93,65.93,1
RC,344,"Injection, pertuzumab, 1 mg ",,,28.08,28.08,1
RC,344,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,99.38,99.38,1
RC,344,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.86,1.86,1
RC,344,"Injection, phenobarbital sodium, up to 120 mg ",,,39.02,39.02,1
RC,344,"Injection, phentolamine mesylate, up to 5 mg ",,,424.79,424.79,1
RC,344,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.25,0.25,1
RC,344,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.21,0.21,1
RC,344,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.02,0.02,1
RC,344,"Injection, phenytoin sodium, per 50 mg ",,,0.69,0.69,1
RC,344,"Injection, phytonadione (vitamin k), per 1 mg ",,,5.21,5.21,1
RC,344,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.8,1.8,1
RC,344,"Injection, plasminogen, human-tvmh, 1 mg ",,,63.34,63.34,1
RC,344,"Injection, plazomicin, 5 mg ",,,5.79,5.79,1
RC,344,"Injection, plerixafor, 1 mg ",,,54.02,54.02,1
RC,344,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,226.43,226.43,1
RC,344,"Injection, porfimer sodium, 75 mg ",,,46179.54,46179.54,1
RC,344,"Injection, posaconazole, 1 mg ",,,0.58,0.58,1
RC,344,"Injection, potassium chloride, per 2 meq ",,,0.21,0.21,1
RC,344,"Injection, pozelimab-bbfg, 1 mg ",,,151.35,151.35,1
RC,344,"Injection, pralatrexate, 1 mg ",,,647.99,647.99,1
RC,344,"Injection, pralidoxime chloride, up to 1 gm ",,,171.67,171.67,1
RC,344,"Injection, procainamide hcl, up to 1 gm ",,,354.44,354.44,1
RC,344,"Injection, prochlorperazine, up to 10 mg ",,,5.49,5.49,1
RC,344,"Injection, progesterone, per 50 mg ",,,1.09,1.09,1
RC,344,"Injection, promethazine hcl, up to 50 mg ",,,5.51,5.51,1
RC,344,"Injection, propofol, 10 mg ",,,0.15,0.15,1
RC,344,"Injection, propranolol hcl, up to 1 mg ",,,19.19,19.19,1
RC,344,"Injection, protamine sulfate, per 10 mg ",,,2.76,2.76,1
RC,344,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,24.83,24.83,1
RC,344,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,2.84,2.84,1
RC,344,"Injection, pyridoxine hcl, 100 mg ",,,24.59,24.59,1
RC,344,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,194.55,194.55,1
RC,344,"Injection, radiesse, 0.1 ml ",,,576.16,576.16,1
RC,344,"Injection, ramucirumab, 5 mg ",,,124.53,124.53,1
RC,344,"Injection, ranibizumab, 0.1 mg ",,,111.95,111.95,1
RC,344,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,125.73,125.73,1
RC,344,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,137.74,137.74,1
RC,344,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,116.99,116.99,1
RC,344,"Injection, rasburicase, 0.5 mg ",,,630.61,630.61,1
RC,344,"Injection, ravulizumab-cwvz, 10 mg ",,,369.07,369.07,1
RC,344,"Injection, regadenoson, 0.1 mg ",,,4.79,4.79,1
RC,344,"Injection, remdesivir, 1 mg ",,,11.39,11.39,1
RC,344,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,334477.41,334477.41,1
RC,344,"Injection, remimazolam, 1 mg ",,,4.6,4.6,1
RC,344,"Injection, reslizumab, 1 mg ",,,19.02,19.02,1
RC,344,"Injection, reteplase, 18.1 mg ",,,4792.56,4792.56,1
RC,344,"Injection, retifanlimab-dlwr, 1 mg ",,,50.16,50.16,1
RC,344,"Injection, rezafungin, 1 mg ",,,17.8,17.8,1
RC,344,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,130.19,130.19,1
RC,344,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,45.41,45.41,1
RC,344,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,56.53,56.53,1
RC,344,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,8.0,8.0,1
RC,344,"Injection, rifampin, 1 mg ",,,0.28,0.28,1
RC,344,"Injection, rilonacept, 1 mg ",,,56.03,56.03,1
RC,344,"Injection, rimabotulinumtoxinb, 100 units ",,,21.91,21.91,1
RC,344,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,24.09,24.09,1
RC,344,"Injection, risperidone (risperdal consta), 0.5 mg ",,,17.82,17.82,1
RC,344,"Injection, risperidone (rykindo), 0.5 mg ",,,21.5,21.5,1
RC,344,"Injection, risperidone (uzedy), 1 mg ",,,41.51,41.51,1
RC,344,"Injection, risperidone, (perseris), 0.5 mg ",,,20.08,20.08,1
RC,344,"Injection, rituximab 10 mg and hyaluronidase ",,,59.86,59.86,1
RC,344,"Injection, rituximab, 10 mg ",,,122.36,122.36,1
RC,344,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,51.61,51.61,1
RC,344,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,33.43,33.43,1
RC,344,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,22.59,22.59,1
RC,344,"Injection, romidepsin, lyophilized, 0.1 mg ",,,50.82,50.82,1
RC,344,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,47.06,47.06,1
RC,344,"Injection, romiplostim, 1 microgram ",,,18.33,18.33,1
RC,344,"Injection, romosozumab-aqqg, 1 mg ",,,20.11,20.11,1
RC,344,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.08,0.08,1
RC,344,"Injection, rozanolixizumab-noli, 1 mg ",,,38.61,38.61,1
RC,344,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,60.72,60.72,1
RC,344,"Injection, sargramostim (gm-csf), 50 mcg ",,,102.12,102.12,1
RC,344,"Injection, sculptra, 0.5 mg ",,,3.56,3.56,1
RC,344,"Injection, sebelipase alfa, 1 mg ",,,891.3,891.3,1
RC,344,"Injection, secretin, synthetic, human, 1 microgram ",,,66.38,66.38,1
RC,344,"Injection, secukinumab, intravenous, 1 mg ",,,29.77,29.77,1
RC,344,"Injection, sermorelin acetate, 1 microgram ",,,2.21,2.21,1
RC,344,"Injection, siltuximab, 10 mg ",,,287.23,287.23,1
RC,344,"Injection, sincalide, 5 micrograms ",,,178.53,178.53,1
RC,344,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.73,143.73,1
RC,344,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,3.94,3.94,1
RC,344,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,3.58,3.58,1
RC,344,"Injection, sodium thiosulfate (hope), 100 mg ",,,1.45,1.45,1
RC,344,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,157.49,157.49,1
RC,344,"Injection, somatropin, 1 mg ",,,272.56,272.56,1
RC,344,"Injection, spesolimab-sbzo, 1 mg ",,,108.45,108.45,1
RC,344,"Injection, sterile cefuroxime sodium, per 750 mg ",,,3.28,3.28,1
RC,344,"Injection, streptomycin, up to 1 gm ",,,66.43,66.43,1
RC,344,"Injection, streptozocin, 1 gram ",,,289.33,289.33,1
RC,344,"Injection, succinylcholine chloride, up to 20 mg ",,,2.46,2.46,1
RC,344,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.07,0.07,1
RC,344,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,29.9,29.9,1
RC,344,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,293.16,293.16,1
RC,344,"Injection, sutimlimab-jome, 10 mg ",,,32.41,32.41,1
RC,344,"Injection, tafasitamab-cxix, 2 mg ",,,23.38,23.38,1
RC,344,"Injection, tagraxofusp-erzs, 10 micrograms ",,,589.51,589.51,1
RC,344,"Injection, taliglucerase alfa, 10 units ",,,67.09,67.09,1
RC,344,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,122.0,122.0,1
RC,344,"Injection, talquetamab-tgvs, 0.25 mg ",,,123.55,123.55,1
RC,344,"Injection, tarlatamab-dlle, 1 mg ",,,2586.74,2586.74,1
RC,344,"Injection, tbo-filgrastim, 1 microgram ",,,0.41,0.41,1
RC,344,"Injection, tebentafusp-tebn, 1 microgram ",,,367.11,367.11,1
RC,344,"Injection, teclistamab-cqyv, 0.5 mg ",,,56.93,56.93,1
RC,344,"Injection, tedizolid phosphate, 1 mg ",,,3.23,3.23,1
RC,344,"Injection, telavancin, 10 mg ",,,11.6,11.6,1
RC,344,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,240.88,240.88,1
RC,344,"Injection, temozolomide, 1 mg ",,,17.16,17.16,1
RC,344,"Injection, temsirolimus, 1 mg ",,,49.63,49.63,1
RC,344,"Injection, tenecteplase, 1 mg ",,,325.78,325.78,1
RC,344,"Injection, teplizumab-mzwv, 5 mcg ",,,63.34,63.34,1
RC,344,"Injection, teprotumumab-trbw, 10 mg ",,,607.05,607.05,1
RC,344,"Injection, terbutaline sulfate, up to 1 mg ",,,4.88,4.88,1
RC,344,"Injection, teriparatide, 10 mcg ",,,130.53,130.53,1
RC,344,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.23,0.23,1
RC,344,"Injection, testosterone cypionate, 1 mg ",,,0.03,0.03,1
RC,344,"Injection, testosterone enanthate, 1 mg ",,,0.08,0.08,1
RC,344,"Injection, testosterone undecanoate, 1 mg ",,,3.51,3.51,1
RC,344,"Injection, tetanus immune globulin, human, up to 250 units ",,,920.9,920.9,1
RC,344,"Injection, tezepelumab-ekko, 1 mg ",,,29.01,29.01,1
RC,344,"Injection, thiamine hcl, 100 mg ",,,2.56,2.56,1
RC,344,"Injection, thiotepa (tepylute), 1 mg ",,,63.61,63.61,1
RC,344,"Injection, thiotepa, not otherwise specified, 1 mg ",,,9.47,9.47,1
RC,344,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,3506.81,3506.81,1
RC,344,"Injection, tigecycline, 1 mg ",,,0.94,0.94,1
RC,344,"Injection, tildrakizumab, 1 mg ",,,195.03,195.03,1
RC,344,"Injection, tirofiban hcl, 0.25 mg ",,,5.26,5.26,1
RC,344,"Injection, tislelizumab-jsgr, 1mg ",,,96.15,96.15,1
RC,344,"Injection, tisotumab vedotin-tftv, 1 mg ",,,323.6,323.6,1
RC,344,"Injection, tobramycin sulfate, up to 80 mg ",,,3.33,3.33,1
RC,344,"Injection, tocilizumab, 1 mg ",,,9.12,9.12,1
RC,344,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,12.49,12.49,1
RC,344,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,7.33,7.33,1
RC,344,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,9.21,9.21,1
RC,344,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,7.66,7.66,1
RC,344,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,8.12,8.12,1
RC,344,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,8.68,8.68,1
RC,344,"Injection, tofersen, 1 mg ",,,264.02,264.02,1
RC,344,"Injection, topotecan, 0.1 mg ",,,3.48,3.48,1
RC,344,"Injection, toripalimab-tpzi, 1 mg ",,,65.98,65.98,1
RC,344,"Injection, trabectedin, 0.1 mg ",,,645.27,645.27,1
RC,344,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.2,0.2,1
RC,344,"Injection, tranexamic acid, 5 mg ",,,0.21,0.21,1
RC,344,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,98.85,98.85,1
RC,344,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,121.16,121.16,1
RC,344,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,93.03,93.03,1
RC,344,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,59.04,59.04,1
RC,344,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,49.19,49.19,1
RC,344,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,92.43,92.43,1
RC,344,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,17.21,17.21,1
RC,344,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,62.49,62.49,1
RC,344,"Injection, travoprost, intracameral implant, 1 microgram ",,,324.85,324.85,1
RC,344,"Injection, tremelimumab-actl, 1 mg ",,,236.33,236.33,1
RC,344,"Injection, treosulfan, 50 mg ",,,52.16,52.16,1
RC,344,"Injection, treprostinil, 1 mg ",,,91.06,91.06,1
RC,344,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,78.84,78.84,1
RC,344,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.49,1.49,1
RC,344,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,30.99,30.99,1
RC,344,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,30.76,30.76,1
RC,344,"Injection, triamcinolone diacetate, per 5 mg ",,,0.54,0.54,1
RC,344,"Injection, triamcinolone hexacetonide, per 5 mg ",,,16.09,16.09,1
RC,344,"Injection, trilaciclib, 1mg ",,,9.06,9.06,1
RC,344,"Injection, trimethobenzamide hcl, up to 200 mg ",,,94.41,94.41,1
RC,344,"Injection, triptorelin pamoate, 3.75 mg ",,,774.48,774.48,1
RC,344,"Injection, triptorelin, extended-release, 3.75 mg ",,,6144.2,6144.2,1
RC,344,"Injection, ublituximab-xiiy, 1mg ",,,113.44,113.44,1
RC,344,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,23.18,23.18,1
RC,344,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,19.39,19.39,1
RC,344,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,7.49,7.49,1
RC,344,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,364.11,364.11,1
RC,344,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,5.53,5.53,1
RC,344,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,104.33,104.33,1
RC,344,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,5.3,5.3,1
RC,344,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,7.47,7.47,1
RC,344,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,20713.62,20713.62,1
RC,344,"Injection, valproate sodium, 5 mg ",,,0.07,0.07,1
RC,344,"Injection, valrubicin, intravesical, 200 mg ",,,2096.36,2096.36,1
RC,344,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.02,0.02,1
RC,344,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,344,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.26,0.26,1
RC,344,"Injection, vancomycin hydrochloride, 10 mg ",,,0.05,0.05,1
RC,344,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,1.39,1.39,1
RC,344,"Injection, vasopressin (baxter), 1 unit ",,,2.52,2.52,1
RC,344,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,1.95,1.95,1
RC,344,"Injection, vasopressin, 1 unit ",,,0.87,0.87,1
RC,344,"Injection, vedolizumab, intravenous, 1 mg ",,,34.62,34.62,1
RC,344,"Injection, velaglucerase alfa, 100 units ",,,640.46,640.46,1
RC,344,"Injection, velmanase alfa-tycv, 1 mg ",,,767.63,767.63,1
RC,344,"Injection, verteporfin, 0.1 mg ",,,19.09,19.09,1
RC,344,"Injection, vestronidase alfa-vjbk, 1 mg ",,,462.25,462.25,1
RC,344,"Injection, viltolarsen, 10 mg ",,,111.67,111.67,1
RC,344,"Injection, vinblastine sulfate, 1 mg ",,,8.5,8.5,1
RC,344,"Injection, vinorelbine tartrate, 10 mg ",,,8.2,8.2,1
RC,344,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,1.11,1.11,1
RC,344,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,3.02,3.02,1
RC,344,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,2.18,2.18,1
RC,344,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,2.46,2.46,1
RC,344,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,5065.65,5065.65,1
RC,344,"Injection, voriconazole, 10 mg ",,,1.07,1.07,1
RC,344,"Injection, vutrisiran, 1 mg ",,,8281.8,8281.8,1
RC,344,"Injection, zanidatamab-hrii, 2 mg ",,,41.25,41.25,1
RC,344,"Injection, zenocutuzumab-zbco, 1 mg ",,,55.39,55.39,1
RC,344,"Injection, ziconotide, 1 microgram ",,,17.26,17.26,1
RC,344,"Injection, zidovudine, 10 mg ",,,2.49,2.49,1
RC,344,"Injection, ziprasidone mesylate, 10 mg ",,,9.69,9.69,1
RC,344,"Injection, ziv-aflibercept, 1 mg ",,,14.21,14.21,1
RC,344,"Injection, zolbetuximab-clzb, 2 mg ",,,55.52,55.52,1
RC,344,"Injection, zoledronic acid, 1 mg ",,,50.95,50.95,1
RC,344,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,201135.0,201135.0,1
RC,344,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Innovamatrix pd, 1 mg ",,,28.1,28.1,1
RC,344,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,1.37,1.37,1
RC,344,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,56.07,56.07,1
RC,344,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,2349.8,2349.8,1
RC,344,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,8.3,8.3,1
RC,344,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,14.45,14.45,1
RC,344,"Insulin (fiasp), per 5 units ",,,1.12,1.12,1
RC,344,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,24.92,24.92,1
RC,344,"Insulin (lyumjev), per 5 units ",,,0.99,0.99,1
RC,344,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,5.16,5.16,1
RC,344,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Integra flowable wound matrix, injectable, 1 cc ",,,4670.82,4670.82,1
RC,344,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Interfyl, 1 mg ",,,64.27,64.27,1
RC,344,Intrauterine copper contraceptive (miudella) ,,,2350.26,2350.26,1
RC,344,Intrauterine copper contraceptive (paragard) ,,,2349.6,2349.6,1
RC,344,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,78.94,78.94,1
RC,344,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,358.56,358.56,1
RC,344,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,106065.8,106065.8,1
RC,344,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2289.77,2289.77,1
RC,344,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,3823.88,3823.88,1
RC,344,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,167.54,167.54,1
RC,344,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,287.13,287.13,1
RC,344,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,773.95,773.95,1
RC,344,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,1071.91,1071.91,1
RC,344,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,653.93,653.93,1
RC,344,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,1572.47,1572.47,1
RC,344,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,1430.14,1430.14,1
RC,344,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",,,160.92,160.92,1
RC,344,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,34.27,34.27,1
RC,344,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,7.16,7.16,1
RC,344,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,0.73,0.73,1
RC,344,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,23.69,23.69,1
RC,344,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,601.21,601.21,1
RC,344,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.15,0.15,1
RC,344,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.13,0.13,1
RC,344,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,2.21,2.21,1
RC,344,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,290.73,290.73,1
RC,344,"Leuprolide acetate, per 1 mg ",,,249.98,249.98,1
RC,344,"Leuprolide injectable, camcevi, 1 mg ",,,65.92,65.92,1
RC,344,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,3.3,3.3,1
RC,344,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.53,0.53,1
RC,344,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.15,0.15,1
RC,344,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,640.4,640.4,1
RC,344,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,1937.07,1937.07,1
RC,344,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,2519.43,2519.43,1
RC,344,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,2097.84,2097.84,1
RC,344,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,2519.43,2519.43,1
RC,344,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,927730.39,927730.39,1
RC,344,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.91,1.91,1
RC,344,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.71,0.71,1
RC,344,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.25,0.25,1
RC,344,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,428.34,428.34,1
RC,344,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,527.9,527.9,1
RC,344,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,8732.51,8732.51,1
RC,344,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1688.15,1688.15,1
RC,344,"Mannitol, administered through an inhaler, 5 mg ",,,1.95,1.95,1
RC,344,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Matristem micromatrix, 1 mg ",,,13.08,13.08,1
RC,344,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,193.28,193.28,1
RC,344,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,571.56,571.56,1
RC,344,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Melphalan; oral, 2 mg ",,,7.72,7.72,1
RC,344,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,349.64,349.64,1
RC,344,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,350.43,350.43,1
RC,344,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,39.12,39.12,1
RC,344,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,525.94,525.94,1
RC,344,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,498.43,498.43,1
RC,344,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,147.69,147.69,1
RC,344,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",,,447.05,447.05,1
RC,344,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,497.34,497.34,1
RC,344,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",,,1.8,1.8,1
RC,344,"Methotrexate (jylamvo), oral, 2.5 mg ",,,30.87,30.87,1
RC,344,"Methotrexate (xatmep), oral, 2.5 mg ",,,36.8,36.8,1
RC,344,"Methotrexate; oral, 2.5 mg ",,,0.23,0.23,1
RC,344,"Methylprednisolone oral, per 4 mg ",,,0.23,0.23,1
RC,344,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Microlyte painguard, per square centimeter ",,,209.78,209.78,1
RC,344,"Miglustat, oral, 65 mg ",,,70.39,70.39,1
RC,344,"Miro3d fibers, per milligram ",,,27.09,27.09,1
RC,344,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Mitomycin pyelocalyceal instillation, 1 mg ",,,533.23,533.23,1
RC,344,"Mitomycin, intravesical instillation, 1 mg ",,,459.24,459.24,1
RC,344,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,18.73,18.73,1
RC,344,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,3.71,3.71,1
RC,344,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.51,0.51,1
RC,344,"Mycophenolate mofetil, oral, 250 mg ",,,0.23,0.23,1
RC,344,"Mycophenolic acid, oral, 180 mg ",,,0.53,0.53,1
RC,344,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,38.82,38.82,1
RC,344,"Myriad morcells, 4 milligrams ",,,21.78,21.78,1
RC,344,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Neoxflo or clarixflo, 1 mg ",,,56.27,56.27,1
RC,344,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,656.35,656.35,1
RC,344,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,1321.57,1321.57,1
RC,344,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,209.98,209.98,1
RC,344,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Novashield or novogen wound matrix, per square centimeter ",,,209.78,209.78,1
RC,344,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,459112.5,459112.5,1
RC,344,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,253.69,253.69,1
RC,344,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.03,0.03,1
RC,344,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1026.23,1026.23,1
RC,344,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,2378.48,2378.48,1
RC,344,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,121.39,121.39,1
RC,344,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.11,1.11,1
RC,344,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,159.41,159.41,1
RC,344,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,571.71,571.71,1
RC,344,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,425.45,425.45,1
RC,344,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,444.36,444.36,1
RC,344,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,516.29,516.29,1
RC,344,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,568.01,568.01,1
RC,344,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,220.23,220.23,1
RC,344,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,94.41,94.41,1
RC,344,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Prednisolone oral, per 5 mg ",,,1.22,1.22,1
RC,344,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,3.65,3.65,1
RC,344,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Procenta, per 100 mg ",,,9801.5,9801.5,1
RC,344,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,1.29,1.29,1
RC,344,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.48,0.48,1
RC,344,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.38,3.38,1
RC,344,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,454.05,454.05,1
RC,344,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,399.6,399.6,1
RC,344,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,581.53,581.53,1
RC,344,"Rabies vaccine, for intradermal use ",,,390.82,390.82,1
RC,344,"Rabies vaccine, for intramuscular use ",,,520.11,520.11,1
RC,344,"Radioelements for brachytherapy, any type, each ",,,101.95,101.95,1
RC,344,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,77046.96,77046.96,1
RC,344,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,282.3,282.3,1
RC,344,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,631.62,631.62,1
RC,344,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,635.68,635.68,1
RC,344,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,631.75,631.75,1
RC,344,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,720.64,720.64,1
RC,344,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1100.88,1100.88,1
RC,344,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",,,1178.22,1178.22,1
RC,344,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1178.22,1178.22,1
RC,344,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.33,0.33,1
RC,344,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,217.01,217.01,1
RC,344,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,132.0,132.0,1
RC,344,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1096.84,1096.84,1
RC,344,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,4514.4,4514.4,1
RC,344,"Ringers lactate infusion, up to 1000 cc ",,,4.29,4.29,1
RC,344,"Rolapitant, oral, 1 mg ",,,7.28,7.28,1
RC,344,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,308.24,308.24,1
RC,344,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,203.18,203.18,1
RC,344,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,817.31,817.31,1
RC,344,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,4792.69,4792.69,1
RC,344,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.17,0.17,1
RC,344,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.51,0.51,1
RC,344,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.33,0.33,1
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,333.15,333.15,1
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,242.65,242.65,1
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,266.72,266.72,1
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,156.42,156.42,1
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,108.03,108.03,1
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,277.81,277.81,1
RC,344,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,316.67,316.67,1
RC,344,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,92844.16,92844.16,1
RC,344,"Sirolimus, oral, 1 mg ",,,2.1,2.1,1
RC,344,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,209.78,209.78,1
RC,344,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.02,0.02,1
RC,344,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,446.41,446.41,1
RC,344,"Sodium phosphate p-32, therapeutic, per millicurie ",,,459.1,459.1,1
RC,344,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.35,0.35,1
RC,344,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Suzetrigine, oral 1 mg ",,,0.54,0.54,1
RC,344,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,0.97,0.97,1
RC,344,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,3.07,3.07,1
RC,344,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,2.11,2.11,1
RC,344,"Tacrolimus, immediate release, oral, 1 mg ",,,0.38,0.38,1
RC,344,"Tacrolimus, parenteral, 5 mg ",,,428.93,428.93,1
RC,344,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,16.5,16.5,1
RC,344,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,867.45,867.45,1
RC,344,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,2138.32,2138.32,1
RC,344,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,1279.61,1279.61,1
RC,344,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,1321.02,1321.02,1
RC,344,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,101.95,101.95,1
RC,344,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,1541.31,1541.31,1
RC,344,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2644.26,2644.26,1
RC,344,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,179.67,179.67,1
RC,344,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,50.14,50.14,1
RC,344,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,187.21,187.21,1
RC,344,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,106.36,106.36,1
RC,344,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",,,1308.9,1308.9,1
RC,344,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,85.98,85.98,1
RC,344,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,34.72,34.72,1
RC,344,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",,,47.39,47.39,1
RC,344,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",,,18.18,18.18,1
RC,344,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,74.96,74.96,1
RC,344,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,743.46,743.46,1
RC,344,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,1088.88,1088.88,1
RC,344,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,1239.81,1239.81,1
RC,344,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,192.89,192.89,1
RC,344,"Temozolomide, oral, 5 mg ",,,0.66,0.66,1
RC,344,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,21.5,21.5,1
RC,344,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,21.5,21.5,1
RC,344,"Testosterone pellet, implant, 75 mg ",,,123.7,123.7,1
RC,344,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,63.94,63.94,1
RC,344,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,1298.2,1298.2,1
RC,344,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,65.14,65.14,1
RC,344,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,91.49,91.49,1
RC,344,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1013398.34,1013398.34,1
RC,344,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,98.65,98.65,1
RC,344,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",,,12.82,12.82,1
RC,344,"Topical administration, prademagene zamikeracel, per treatment ",,,5504103.0,5504103.0,1
RC,344,"Topotecan, oral, 0.25 mg ",,,206.61,206.61,1
RC,344,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,1302.15,1302.15,1
RC,344,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,7.72,7.72,1
RC,344,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.11,1.11,1
RC,344,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,274.54,274.54,1
RC,344,"Typhoid vaccine, live, oral ",,,232.22,232.22,1
RC,344,Unlisted immune globulin ,,,706.02,706.02,1
RC,344,"Ustekinumab, for intravenous injection, 1 mg ",,,19.17,19.17,1
RC,344,"Ustekinumab, for subcutaneous injection, 1 mg ",,,672.72,672.72,1
RC,344,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.02,0.02,1
RC,344,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.23,0.23,1
RC,344,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,380.14,380.14,1
RC,344,"Varicella-zoster immune globulin, human, for intramuscular use ",,,3899.36,3899.36,1
RC,344,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Vincristine sulfate, 1 mg ",,,13.38,13.38,1
RC,344,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Woundex flow, bioskin flow, 0.5 cc ",,,4235.01,4235.01,1
RC,344,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xcellistem, 1 mg ",,,25.74,25.74,1
RC,344,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,505.38,505.38,1
RC,344,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Yellow fever vaccine, live, for subcutaneous use ",,,507.54,507.54,1
RC,344,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,93760.51,93760.51,1
RC,344,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,344,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,235.88,235.88,1
RC,344,"injection, busulfan, 1 mg ",,,1.12,1.12,1
RC,349, Nuclear Medicine Other  ,,,1962.0,2250.0,3
RC,349,Acute gastrointestinal blood loss imaging ,,,641.1,641.1,1
RC,349,"Acute venous thrombosis imaging, peptide ",,,2220.1,2220.1,1
RC,349,"Adrenal imaging, cortex and/or medulla ",,,2220.1,2220.1,1
RC,349,Bone and/or joint imaging; 3 phase study ,,,641.1,641.1,1
RC,349,Bone and/or joint imaging; limited area ,,,641.1,641.1,1
RC,349,Bone and/or joint imaging; multiple areas ,,,641.1,641.1,1
RC,349,Bone and/or joint imaging; whole body ,,,641.1,641.1,1
RC,349,"Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites ",,,26.1,26.1,1
RC,349,"Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry ",,,36.77,36.77,1
RC,349,Bone marrow imaging; limited area ,,,641.1,641.1,1
RC,349,Bone marrow imaging; multiple areas ,,,641.1,641.1,1
RC,349,Bone marrow imaging; whole body ,,,641.1,641.1,1
RC,349,"Brain imaging, less than 4 static views; ",,,641.1,641.1,1
RC,349,"Brain imaging, less than 4 static views; with vascular flow ",,,641.1,641.1,1
RC,349,"Brain imaging, minimum 4 static views; ",,,831.98,831.98,1
RC,349,"Brain imaging, minimum 4 static views; with vascular flow ",,,831.98,831.98,1
RC,349,"Brain imaging, vascular flow only ",,,831.98,831.98,1
RC,349,"Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantifi",,,831.98,831.98,1
RC,349,"Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantificatio",,,831.98,831.98,1
RC,349,"Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing ",,,641.1,641.1,1
RC,349,"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification",,,641.1,641.1,1
RC,349,"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative",,,641.1,641.1,1
RC,349,Cardiac shunt detection ,,,641.1,641.1,1
RC,349,"Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography ",,,831.98,831.98,1
RC,349,"Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation ",,,831.98,831.98,1
RC,349,"Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography ",,,831.98,831.98,1
RC,349,Cerebrospinal fluid leakage detection and localization ,,,2220.1,2220.1,1
RC,349,"Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without pharmacologic intervention or exercise, single or multiple determinations ",,,831.98,831.98,1
RC,349,Esophageal motility ,,,641.1,641.1,1
RC,349,"Gastric emptying imaging study (eg, solid, liquid, or both); ",,,641.1,641.1,1
RC,349,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days ",,,831.98,831.98,1
RC,349,"Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit ",,,641.1,641.1,1
RC,349,Gastric mucosa imaging ,,,641.1,641.1,1
RC,349,Gastroesophageal reflux study ,,,641.1,641.1,1
RC,349,Gastrointestinal protein loss ,,,641.1,641.1,1
RC,349,"Hepatobiliary system imaging, including gallbladder when present; ",,,641.1,641.1,1
RC,349,"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed ",,,831.98,831.98,1
RC,349,"Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma) ",,,641.1,641.1,1
RC,349,"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus) ",,,641.1,641.1,1
RC,349,"Kidney function study, non-imaging radioisotopic study ",,,641.1,641.1,1
RC,349,Kidney imaging morphology; ,,,641.1,641.1,1
RC,349,Kidney imaging morphology; with vascular flow ,,,641.1,641.1,1
RC,349,"Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,831.98,831.98,1
RC,349,"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention ",,,831.98,831.98,1
RC,349,"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic) ",,,831.98,831.98,1
RC,349,"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic) ",,,641.1,641.1,1
RC,349,Liver and spleen imaging; static only ,,,641.1,641.1,1
RC,349,Liver and spleen imaging; with vascular flow ,,,641.1,641.1,1
RC,349,Liver imaging; static only ,,,831.98,831.98,1
RC,349,Liver imaging; with vascular flow ,,,831.98,831.98,1
RC,349,Lymphatics and lymph nodes imaging ,,,831.98,831.98,1
RC,349,"Myocardial imaging, infarct avid, planar; qualitative or quantitative ",,,641.1,641.1,1
RC,349,"Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification ",,,831.98,831.98,1
RC,349,"Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique ",,,831.98,831.98,1
RC,349,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studie",,,2220.1,2220.1,1
RC,349,"Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, a",,,2220.1,2220.1,1
RC,349,"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat",,,2220.1,2220.1,2
RC,349,"Non-cardiac vascular flow imaging (ie, angiography, venography) ",,,641.1,641.1,1
RC,349,"Parathyroid planar imaging (including subtraction, when performed); ",,,641.1,641.1,1
RC,349,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT) ",,,641.1,641.1,1
RC,349,"Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization ",,,831.98,831.98,1
RC,349,"Peritoneal-venous shunt patency test (eg, for LeVeen, Denver shunt) ",,,641.1,641.1,1
RC,349,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings ",,,2220.1,2220.1,1
RC,349,"Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling ",,,2220.1,2220.1,1
RC,349,Platelet survival study ,,,641.1,641.1,1
RC,349,"Pulmonary perfusion imaging (eg, particulate) ",,,641.1,641.1,1
RC,349,"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging ",,,831.98,831.98,1
RC,349,"Pulmonary ventilation imaging (eg, aerosol or gas) ",,,641.1,641.1,1
RC,349,"Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed ",,,831.98,831.98,1
RC,349,"Quantitative differential pulmonary perfusion, including imaging when performed ",,,641.1,641.1,1
RC,349,Radiopharmaceutical dacryocystography ,,,641.1,641.1,1
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, 2 or more areas",,,641.1,641.1,1
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg",,,641.1,641.1,1
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, req",,,2220.1,2220.1,1
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, sin",,,2220.1,2220.1,1
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) wit",,,2220.1,2516.58,2
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), mi",,,2220.1,2220.1,1
RC,349,"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), si",,,2220.1,2220.1,1
RC,349,"Radiopharmaceutical therapy, by interstitial radioactive colloid administration ",,,424.35,424.35,1
RC,349,"Radiopharmaceutical therapy, by intra-arterial particulate administration ",,,424.35,424.35,1
RC,349,"Radiopharmaceutical therapy, by intra-articular administration ",,,424.35,424.35,1
RC,349,"Radiopharmaceutical therapy, by intracavitary administration ",,,424.35,424.35,1
RC,349,"Radiopharmaceutical therapy, by intravenous administration ",,,424.35,424.35,1
RC,349,"Radiopharmaceutical therapy, by oral administration ",,,424.35,424.35,1
RC,349,"Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion ",,,424.35,424.35,1
RC,349,"Radiopharmaceutical therapy, unlisted procedure ",,,424.35,424.35,1
RC,349,Red cell survival study ,,,641.1,641.1,1
RC,349,Red cell volume determination (separate procedure); multiple samplings ,,,831.98,831.98,1
RC,349,Red cell volume determination (separate procedure); single sampling ,,,641.1,641.1,1
RC,349,Salivary gland function study ,,,641.1,641.1,1
RC,349,Salivary gland imaging; ,,,641.1,641.1,1
RC,349,Salivary gland imaging; with serial images ,,,641.1,641.1,1
RC,349,"Spleen imaging only, with or without vascular flow ",,,641.1,641.1,1
RC,349,Testicular imaging with vascular flow ,,,641.1,641.1,1
RC,349,"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only) ",,,641.1,641.1,1
RC,349,Thyroid carcinoma metastases imaging; whole body ,,,831.98,831.98,1
RC,349,"Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) ",,,641.1,641.1,1
RC,349,"Thyroid imaging (including vascular flow, when performed); ",,,641.1,641.1,1
RC,349,"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,641.1,641.1,1
RC,349,"Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed) ",,,641.1,641.1,1
RC,349,"Unlisted cardiovascular procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,349,"Unlisted endocrine procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,349,"Unlisted gastrointestinal procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,349,"Unlisted genitourinary procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,349,"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,349,"Unlisted miscellaneous procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,349,"Unlisted musculoskeletal procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,349,"Unlisted nervous system procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,349,"Unlisted respiratory procedure, diagnostic nuclear medicine ",,,641.1,641.1,1
RC,349,"Urea breath test, C-14 (isotopic); acquisition for analysis ",,,18.8,18.8,1
RC,349,"Urea breath test, C-14 (isotopic); analysis ",,,160.5,160.5,1
RC,349,Ureteral reflux study (radiopharmaceutical voiding cystogram) ,,,641.1,641.1,1
RC,349,"Venous thrombosis imaging, venogram; bilateral ",,,641.1,641.1,1
RC,349,"Venous thrombosis imaging, venogram; unilateral ",,,831.98,831.98,1
RC,349,"Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) ",,,831.98,831.98,1
RC,350, CT Scan General Classification  ,,,502.0,1314.0,12
RC,350,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,879.0,2469.0,3
RC,350,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,879.0,2469.0,3
RC,350,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",16182.0,16182.0,304.64,304.64,1
RC,350,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,303.54,2469.0,4
RC,350,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,185.25,2469.0,4
RC,350,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,879.0,2469.0,4
RC,350,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",16182.0,16182.0,605.93,605.93,1
RC,350,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,625.8,2469.0,4
RC,350,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,350,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,350,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,350,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,350,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",,,303.54,2469.0,4
RC,350,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,350,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,350,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,350,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,350,"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation ",,,879.0,2469.0,3
RC,350,"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation ",,,879.0,2469.0,3
RC,350,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,625.8,2469.0,4
RC,350,"Computed tomography, abdomen and pelvis; without contrast material ",,,391.22,2469.0,4
RC,350,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,625.8,2469.0,4
RC,350,"Computed tomography, abdomen; with contrast material(s) ",,,303.54,2469.0,4
RC,350,"Computed tomography, abdomen; without contrast material ",,,185.25,2469.0,4
RC,350,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,350,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,137.53,2469.0,4
RC,350,"Computed tomography, cervical spine; with contrast material ",,,625.8,2469.0,4
RC,350,"Computed tomography, cervical spine; without contrast material ",,,185.25,2469.0,4
RC,350,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,350,"Computed tomography, head or brain; with contrast material(s) ",,,303.54,2469.0,4
RC,350,"Computed tomography, head or brain; without contrast material ",,,185.25,2469.0,4
RC,350,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,350,"Computed tomography, limited or localized follow-up study ",,,137.53,2469.0,4
RC,350,"Computed tomography, lower extremity; with contrast material(s) ",,,303.54,2469.0,4
RC,350,"Computed tomography, lower extremity; without contrast material ",,,185.25,2469.0,4
RC,350,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,350,"Computed tomography, lumbar spine; with contrast material ",,,625.8,2469.0,4
RC,350,"Computed tomography, lumbar spine; without contrast material ",,,185.25,2469.0,4
RC,350,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,350,"Computed tomography, maxillofacial area; with contrast material(s) ",,,303.54,2469.0,4
RC,350,"Computed tomography, maxillofacial area; without contrast material ",,,185.25,2469.0,4
RC,350,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,350,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,303.54,2469.0,4
RC,350,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,185.25,2469.0,4
RC,350,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,350,"Computed tomography, pelvis; with contrast material(s) ",,,303.54,2469.0,4
RC,350,"Computed tomography, pelvis; without contrast material ",,,185.25,2469.0,4
RC,350,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,350,"Computed tomography, soft tissue neck; with contrast material(s) ",,,303.54,2469.0,4
RC,350,"Computed tomography, soft tissue neck; without contrast material ",,,185.25,2469.0,4
RC,350,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,350,"Computed tomography, thoracic spine; with contrast material ",,,303.54,2469.0,4
RC,350,"Computed tomography, thoracic spine; without contrast material ",,,185.25,2469.0,4
RC,350,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,350,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,303.54,2469.0,4
RC,350,"Computed tomography, thorax, diagnostic; without contrast material ",,,185.25,2469.0,4
RC,350,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,350,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,137.53,137.53,1
RC,350,"Computed tomography, upper extremity; with contrast material(s) ",,,625.8,2469.0,4
RC,350,"Computed tomography, upper extremity; without contrast material ",,,185.25,2469.0,4
RC,350,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,350,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",,,1693.51,1693.51,1
RC,350,"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and inte",,,879.0,2469.0,3
RC,350,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,4
RC,351, CT Scan - Head Scan  ,,,502.0,1314.0,12
RC,351,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,879.0,2469.0,3
RC,351,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,879.0,2469.0,3
RC,351,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",,,304.64,304.64,1
RC,351,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,303.54,2469.0,4
RC,351,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,185.25,2469.0,4
RC,351,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,879.0,2469.0,4
RC,351,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",,,605.93,605.93,1
RC,351,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,625.8,2469.0,4
RC,351,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,351,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,351,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,351,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,351,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",,,303.54,2469.0,4
RC,351,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,351,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,351,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,351,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,351,"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation ",,,879.0,2469.0,3
RC,351,Computed tomography guidance for stereotactic localization ,,,879.0,2469.0,3
RC,351,"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation ",,,879.0,2469.0,3
RC,351,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,625.8,2469.0,4
RC,351,"Computed tomography, abdomen and pelvis; without contrast material ",,,391.22,2469.0,4
RC,351,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,625.8,2469.0,4
RC,351,"Computed tomography, abdomen; with contrast material(s) ",,,303.54,2469.0,4
RC,351,"Computed tomography, abdomen; without contrast material ",,,185.25,2469.0,4
RC,351,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,351,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,137.53,2469.0,4
RC,351,"Computed tomography, cervical spine; with contrast material ",,,625.8,2469.0,4
RC,351,"Computed tomography, cervical spine; without contrast material ",,,185.25,2469.0,4
RC,351,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,351,"Computed tomography, head or brain; with contrast material(s) ",,,303.54,2469.0,4
RC,351,"Computed tomography, head or brain; without contrast material ",,,185.25,2469.0,4
RC,351,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,351,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",,,303.54,2469.0,4
RC,351,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",,,303.54,2469.0,4
RC,351,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",,,137.53,2469.0,4
RC,351,"Computed tomography, limited or localized follow-up study ",,,137.53,2469.0,4
RC,351,"Computed tomography, lower extremity; with contrast material(s) ",,,303.54,2469.0,4
RC,351,"Computed tomography, lower extremity; without contrast material ",,,185.25,2469.0,4
RC,351,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,351,"Computed tomography, lumbar spine; with contrast material ",,,625.8,2469.0,4
RC,351,"Computed tomography, lumbar spine; without contrast material ",,,185.25,2469.0,4
RC,351,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,351,"Computed tomography, maxillofacial area; with contrast material(s) ",,,303.54,2469.0,4
RC,351,"Computed tomography, maxillofacial area; without contrast material ",,,185.25,2469.0,4
RC,351,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,351,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,303.54,2469.0,4
RC,351,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,185.25,2469.0,4
RC,351,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,351,"Computed tomography, pelvis; with contrast material(s) ",,,303.54,2469.0,4
RC,351,"Computed tomography, pelvis; without contrast material ",,,185.25,2469.0,4
RC,351,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,351,"Computed tomography, soft tissue neck; with contrast material(s) ",,,303.54,2469.0,4
RC,351,"Computed tomography, soft tissue neck; without contrast material ",,,185.25,2469.0,4
RC,351,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,351,"Computed tomography, thoracic spine; with contrast material ",,,303.54,2469.0,4
RC,351,"Computed tomography, thoracic spine; without contrast material ",,,185.25,2469.0,4
RC,351,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,351,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,303.54,2469.0,4
RC,351,"Computed tomography, thorax, diagnostic; without contrast material ",,,185.25,2469.0,4
RC,351,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,351,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,137.53,137.53,1
RC,351,"Computed tomography, upper extremity; with contrast material(s) ",,,625.8,2469.0,4
RC,351,"Computed tomography, upper extremity; without contrast material ",,,185.25,2469.0,4
RC,351,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,351,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",,,1693.51,1693.51,1
RC,351,"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and inte",,,879.0,2469.0,3
RC,351,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,4
RC,352, CT Scan - Body Scan  ,,,502.0,1314.0,12
RC,352,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,879.0,2469.0,3
RC,352,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,879.0,2469.0,3
RC,352,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",,,304.64,304.64,1
RC,352,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,303.54,2469.0,4
RC,352,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,185.25,2469.0,4
RC,352,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,879.0,2469.0,4
RC,352,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",,,605.93,605.93,1
RC,352,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,625.8,2469.0,4
RC,352,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,352,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,352,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,352,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,352,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",,,303.54,2469.0,4
RC,352,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,352,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,352,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,352,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,352,"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation ",,,879.0,2469.0,3
RC,352,Computed tomography guidance for stereotactic localization ,,,879.0,2469.0,3
RC,352,"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation ",,,879.0,2469.0,3
RC,352,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,625.8,2469.0,4
RC,352,"Computed tomography, abdomen and pelvis; without contrast material ",,,391.22,2469.0,4
RC,352,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,625.8,2469.0,4
RC,352,"Computed tomography, abdomen; with contrast material(s) ",,,303.54,2469.0,4
RC,352,"Computed tomography, abdomen; without contrast material ",,,185.25,2469.0,4
RC,352,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,352,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,137.53,2469.0,4
RC,352,"Computed tomography, cervical spine; with contrast material ",,,625.8,2469.0,4
RC,352,"Computed tomography, cervical spine; without contrast material ",,,185.25,2469.0,4
RC,352,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,352,"Computed tomography, head or brain; with contrast material(s) ",,,303.54,2469.0,4
RC,352,"Computed tomography, head or brain; without contrast material ",,,185.25,2469.0,4
RC,352,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,352,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",,,303.54,2469.0,4
RC,352,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",,,303.54,2469.0,4
RC,352,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",,,137.53,2469.0,4
RC,352,"Computed tomography, limited or localized follow-up study ",,,137.53,2469.0,4
RC,352,"Computed tomography, lower extremity; with contrast material(s) ",,,303.54,2469.0,4
RC,352,"Computed tomography, lower extremity; without contrast material ",,,185.25,2469.0,4
RC,352,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,352,"Computed tomography, lumbar spine; with contrast material ",,,625.8,2469.0,4
RC,352,"Computed tomography, lumbar spine; without contrast material ",,,185.25,2469.0,4
RC,352,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,352,"Computed tomography, maxillofacial area; with contrast material(s) ",,,303.54,2469.0,4
RC,352,"Computed tomography, maxillofacial area; without contrast material ",,,185.25,2469.0,4
RC,352,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,352,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,303.54,2469.0,4
RC,352,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,185.25,2469.0,4
RC,352,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,352,"Computed tomography, pelvis; with contrast material(s) ",,,303.54,2469.0,4
RC,352,"Computed tomography, pelvis; without contrast material ",,,185.25,2469.0,4
RC,352,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,352,"Computed tomography, soft tissue neck; with contrast material(s) ",,,303.54,2469.0,4
RC,352,"Computed tomography, soft tissue neck; without contrast material ",,,185.25,2469.0,4
RC,352,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,352,"Computed tomography, thoracic spine; with contrast material ",,,303.54,2469.0,4
RC,352,"Computed tomography, thoracic spine; without contrast material ",,,185.25,2469.0,4
RC,352,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,352,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,303.54,2469.0,4
RC,352,"Computed tomography, thorax, diagnostic; without contrast material ",,,185.25,2469.0,4
RC,352,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,352,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,137.53,137.53,1
RC,352,"Computed tomography, upper extremity; with contrast material(s) ",,,625.8,2469.0,4
RC,352,"Computed tomography, upper extremity; without contrast material ",,,185.25,2469.0,4
RC,352,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,352,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",,,1693.51,1693.51,1
RC,352,"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and inte",,,879.0,2469.0,3
RC,352,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,4
RC,359, CT Scan - Other  ,,,502.0,1314.0,12
RC,359,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,879.0,2469.0,3
RC,359,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,879.0,2469.0,3
RC,359,"Computed tomographic (CT) cerebral perfusion analysis with contrast material(s), including image postprocessing performed without concurrent CT or CT angiography of the same anatomy ",,,304.64,304.64,1
RC,359,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed ",,,303.54,2469.0,4
RC,359,"Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material ",,,185.25,2469.0,4
RC,359,"Computed tomographic (CT) colonography, screening, including image postprocessing ",,,879.0,2469.0,4
RC,359,"Computed tomographic angiography (CTA), head and neck, with contrast material(s), including noncontrast images, when performed, and image postprocessing ",,,605.93,605.93,1
RC,359,"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,625.8,2469.0,4
RC,359,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,359,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,359,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,359,"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,359,"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo",,,303.54,2469.0,4
RC,359,"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,359,"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,359,"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,359,"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing ",,,303.54,2469.0,4
RC,359,"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation ",,,879.0,2469.0,3
RC,359,Computed tomography guidance for stereotactic localization ,,,879.0,2469.0,3
RC,359,"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation ",,,879.0,2469.0,3
RC,359,"Computed tomography, abdomen and pelvis; with contrast material(s) ",,,625.8,2469.0,4
RC,359,"Computed tomography, abdomen and pelvis; without contrast material ",,,391.22,2469.0,4
RC,359,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions ",,,625.8,2469.0,4
RC,359,"Computed tomography, abdomen; with contrast material(s) ",,,303.54,2469.0,4
RC,359,"Computed tomography, abdomen; without contrast material ",,,185.25,2469.0,4
RC,359,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,359,"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine) ",,,137.53,2469.0,4
RC,359,"Computed tomography, cervical spine; with contrast material ",,,625.8,2469.0,4
RC,359,"Computed tomography, cervical spine; without contrast material ",,,185.25,2469.0,4
RC,359,"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,359,"Computed tomography, head or brain; with contrast material(s) ",,,303.54,2469.0,4
RC,359,"Computed tomography, head or brain; without contrast material ",,,185.25,2469.0,4
RC,359,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,359,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous stru",,,303.54,2469.0,4
RC,359,"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left",,,303.54,2469.0,4
RC,359,"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium ",,,137.53,2469.0,4
RC,359,"Computed tomography, limited or localized follow-up study ",,,137.53,2469.0,4
RC,359,"Computed tomography, lower extremity; with contrast material(s) ",,,303.54,2469.0,4
RC,359,"Computed tomography, lower extremity; without contrast material ",,,185.25,2469.0,4
RC,359,"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,359,"Computed tomography, lumbar spine; with contrast material ",,,625.8,2469.0,4
RC,359,"Computed tomography, lumbar spine; without contrast material ",,,185.25,2469.0,4
RC,359,"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,359,"Computed tomography, maxillofacial area; with contrast material(s) ",,,303.54,2469.0,4
RC,359,"Computed tomography, maxillofacial area; without contrast material ",,,185.25,2469.0,4
RC,359,"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,359,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) ",,,303.54,2469.0,4
RC,359,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material ",,,185.25,2469.0,4
RC,359,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,359,"Computed tomography, pelvis; with contrast material(s) ",,,303.54,2469.0,4
RC,359,"Computed tomography, pelvis; without contrast material ",,,185.25,2469.0,4
RC,359,"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,359,"Computed tomography, soft tissue neck; with contrast material(s) ",,,303.54,2469.0,4
RC,359,"Computed tomography, soft tissue neck; without contrast material ",,,185.25,2469.0,4
RC,359,"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,359,"Computed tomography, thoracic spine; with contrast material ",,,303.54,2469.0,4
RC,359,"Computed tomography, thoracic spine; without contrast material ",,,185.25,2469.0,4
RC,359,"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,359,"Computed tomography, thorax, diagnostic; with contrast material(s) ",,,303.54,2469.0,4
RC,359,"Computed tomography, thorax, diagnostic; without contrast material ",,,185.25,2469.0,4
RC,359,"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,359,"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) ",,,137.53,137.53,1
RC,359,"Computed tomography, upper extremity; with contrast material(s) ",,,625.8,2469.0,4
RC,359,"Computed tomography, upper extremity; without contrast material ",,,185.25,2469.0,4
RC,359,"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections ",,,303.54,2469.0,4
RC,359,"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and repo",,,1693.51,1693.51,1
RC,359,"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and inte",,,879.0,2469.0,3
RC,359,"Unlisted computed tomography procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,4
RC,360, Operating Room Services General Classification  ,,,2481.0,12100.0,10
RC,360,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,2050.0,13315.0,12
RC,360,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,2050.0,10719.0,11
RC,360,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,2050.0,13315.0,11
RC,360,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) Other Surgical Services",,,2850.0,2850.0,1
RC,360,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,2050.0,10719.0,11
RC,360,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra Other Surgical Services,,,2850.0,2850.0,1
RC,360,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2050.0,10719.0,11
RC,360,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap Other Surgical Services,,,2850.0,2850.0,1
RC,360,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2050.0,10719.0,11
RC,360,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap Other Surgical Services,,,2850.0,2850.0,1
RC,360,ACCESS AV DIAL GRFT FOR EVAL ,,,2820.0,5414.0,3
RC,360,ACCESS AV DIAL GRFT FOR PROC ,,,1423.0,3251.0,3
RC,360,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,11000.0,11000.0,1
RC,360,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,11000.0,11000.0,1
RC,360,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,1423.0,3251.0,3
RC,360,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,360,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) Oth",,,2850.0,2850.0,1
RC,360,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,1982.0,6802.0,11
RC,360,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance Other Surgical Services,,,2850.0,2850.0,1
RC,360,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,1982.0,6802.0,11
RC,360,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,2050.0,13315.0,11
RC,360,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,8
RC,360,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,2050.0,6802.0,8
RC,360,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,2050.0,7493.0,8
RC,360,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,2050.0,8577.0,8
RC,360,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,2050.0,19295.0,9
RC,360,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,2050.0,15007.0,11
RC,360,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,2050.0,15007.0,11
RC,360,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,2050.0,15007.0,11
RC,360,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,2050.0,15007.0,8
RC,360,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,2050.0,15007.0,8
RC,360,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,2050.0,8577.0,8
RC,360,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,2050.0,8577.0,8
RC,360,"Ablation, open, of 1 or more liver tumor(s); cryosurgical Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,2050.0,8577.0,8
RC,360,"Ablation, open, of 1 or more liver tumor(s); radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2050.0,15007.0,9
RC,360,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy Other Surgical Services",,,2850.0,2850.0,1
RC,360,Accessing and retorquing loose implant screw - per screw ,,,8577.0,8577.0,1
RC,360,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,1575.0,17341.0,6
RC,360,"Adenoidectomy, primary; age 12 or over ",,,2050.0,8727.0,11
RC,360,"Adenoidectomy, primary; age 12 or over Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Adenoidectomy, primary; younger than age 12 ",,,2050.0,8727.0,11
RC,360,"Adenoidectomy, primary; younger than age 12 Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Adenoidectomy, secondary; age 12 or over ",,,2050.0,8727.0,11
RC,360,"Adenoidectomy, secondary; age 12 or over Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Adenoidectomy, secondary; younger than age 12 ",,,2050.0,8727.0,11
RC,360,"Adenoidectomy, secondary; younger than age 12 Other Surgical Services",,,2850.0,2850.0,1
RC,360,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,360,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,2050.0,8577.0,8
RC,360,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,2050.0,8577.0,8
RC,360,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor Other",,,2850.0,2850.0,1
RC,360,Allogeneic lymphocyte infusions ,,,2050.0,6802.0,11
RC,360,Allogeneic lymphocyte infusions Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,2050.0,8727.0,11
RC,360,"Alveolectomy, including curettage of osteitis or sequestrectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Alveoloplasty, each quadrant (specify) ",,,2050.0,6802.0,11
RC,360,"Alveoloplasty, each quadrant (specify) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Amniocentesis; diagnostic ,,,1982.0,6802.0,11
RC,360,Amniocentesis; diagnostic Other Surgical Services,,,2850.0,2850.0,1
RC,360,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,1423.0,6802.0,11
RC,360,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2050.0,8577.0,8
RC,360,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,2050.0,8577.0,8
RC,360,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,Amputation of penis; complete ,,,2050.0,6802.0,11
RC,360,Amputation of penis; complete Other Surgical Services,,,2850.0,2850.0,1
RC,360,Amputation of penis; partial ,,,2050.0,10719.0,11
RC,360,Amputation of penis; partial Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,2050.0,8577.0,8
RC,360,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,2050.0,8577.0,8
RC,360,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,2050.0,8577.0,8
RC,360,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,2050.0,8577.0,8
RC,360,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,2050.0,8577.0,8
RC,360,"Anastomosis, of intrahepatic ducts and gastrointestinal tract Other Surgical Services",,,2850.0,2850.0,1
RC,360,Anastomosis; facial-hypoglossal ,,,2050.0,8577.0,8
RC,360,Anastomosis; facial-hypoglossal Other Surgical Services,,,2850.0,2850.0,1
RC,360,Anastomosis; facial-spinal accessory ,,,2050.0,8577.0,8
RC,360,Anastomosis; facial-spinal accessory Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Anoplasty, plastic operation for stricture; adult ",,,2050.0,8727.0,11
RC,360,"Anoplasty, plastic operation for stricture; adult Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anoplasty, plastic operation for stricture; infant ",,,2050.0,8577.0,8
RC,360,"Anoplasty, plastic operation for stricture; infant Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,2050.0,6802.0,11
RC,360,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Other Surgical Services",,,2850.0,2850.0,1
RC,360,Anorectal manometry ,,,1423.0,3251.0,3
RC,360,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,2143.0,2143.0,1
RC,360,Anorectal myomectomy ,,,2050.0,8727.0,11
RC,360,Anorectal myomectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1423.0,6802.0,11
RC,360,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,1423.0,6802.0,12
RC,360,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,2050.0,8727.0,11
RC,360,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anoscopy; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,360,"Anoscopy; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,2050.0,6802.0,11
RC,360,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,2050.0,6802.0,11
RC,360,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,360,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,Anoscopy; with removal of foreign body ,,,2050.0,6802.0,11
RC,360,Anoscopy; with removal of foreign body Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,2050.0,8727.0,11
RC,360,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,2050.0,8727.0,11
RC,360,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,2050.0,6802.0,11
RC,360,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,Antepartum care only; 4-6 visits ,,,2050.0,6802.0,7
RC,360,Antepartum care only; 4-6 visits Other Surgical Services,,,2850.0,2850.0,1
RC,360,Antepartum care only; 7 or more visits ,,,2050.0,6802.0,7
RC,360,Antepartum care only; 7 or more visits Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,2350.0,10719.0,9
RC,360,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,2050.0,8727.0,11
RC,360,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,2050.0,8727.0,11
RC,360,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,Appendectomy; ,,,2050.0,10719.0,11
RC,360,Appendectomy; Other Surgical Services,,,2850.0,2850.0,1
RC,360,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,2050.0,8577.0,8
RC,360,Appendectomy; for ruptured appendix with abscess or generalized peritonitis Other Surgical Services,,,2850.0,2850.0,1
RC,360,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,360,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,8577.0,8577.0,2
RC,360,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,8577.0,8577.0,2
RC,360,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1423.0,3689.0,6
RC,360,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1423.0,3251.0,3
RC,360,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1982.0,3689.0,3
RC,360,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1423.0,3251.0,3
RC,360,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2820.0,5414.0,3
RC,360,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1423.0,3251.0,3
RC,360,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1982.0,3689.0,3
RC,360,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,2050.0,6802.0,5
RC,360,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,2350.0,13315.0,9
RC,360,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,2050.0,13315.0,11
RC,360,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown ",,,2050.0,17341.0,8
RC,360,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown ",,,2050.0,17341.0,8
RC,360,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous ",,,2050.0,17341.0,8
RC,360,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Arterial puncture, withdrawal of blood for diagnosis ",,,2050.0,11462.0,8
RC,360,"Arterial puncture, withdrawal of blood for diagnosis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,2050.0,17341.0,7
RC,360,"Arteriovenous anastomosis, open; by forearm vein transposition Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,2050.0,17341.0,8
RC,360,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,2050.0,23692.0,12
RC,360,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,2050.0,23692.0,12
RC,360,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,8577.0,8577.0,1
RC,360,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,8577.0,8577.0,1
RC,360,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1423.0,3251.0,4
RC,360,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,15007.0,15007.0,1
RC,360,Artificial insemination; intra-cervical ,,,1423.0,6802.0,9
RC,360,Artificial insemination; intra-uterine ,,,1423.0,6802.0,9
RC,360,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,2050.0,6802.0,11
RC,360,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Aspiration and/or injection, thyroid cyst ",,,1982.0,6802.0,11
RC,360,"Aspiration and/or injection, thyroid cyst Other Surgical Services",,,2850.0,2850.0,1
RC,360,Aspiration of bladder; by needle ,,,1423.0,6802.0,11
RC,360,Aspiration of bladder; by needle Other Surgical Services,,,2850.0,2850.0,1
RC,360,Aspiration of bladder; by trocar or intracatheter ,,,1423.0,6802.0,11
RC,360,Aspiration of bladder; by trocar or intracatheter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Aspiration of bladder; with insertion of suprapubic catheter ,,,2050.0,8727.0,11
RC,360,Aspiration of bladder; with insertion of suprapubic catheter Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,2350.0,8727.0,8
RC,360,Axillary lymphadenectomy; complete ,,,2050.0,15007.0,11
RC,360,Axillary lymphadenectomy; complete Other Surgical Services,,,2850.0,2850.0,1
RC,360,Axillary lymphadenectomy; superficial ,,,2050.0,15007.0,11
RC,360,Axillary lymphadenectomy; superficial Other Surgical Services,,,2850.0,2850.0,1
RC,360,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,11000.0,11000.0,1
RC,360,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,11000.0,11000.0,1
RC,360,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,11000.0,11000.0,1
RC,360,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,360,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,11000.0,11000.0,1
RC,360,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,11000.0,11000.0,1
RC,360,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,11000.0,11000.0,1
RC,360,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,11000.0,11000.0,1
RC,360,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,360,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11000.0,11000.0,1
RC,360,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,11000.0,11000.0,1
RC,360,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,360,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,2050.0,6802.0,7
RC,360,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,2050.0,8577.0,8
RC,360,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,2050.0,8577.0,8
RC,360,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,2050.0,8577.0,8
RC,360,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,2050.0,8577.0,8
RC,360,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,2050.0,8577.0,8
RC,360,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,2050.0,8577.0,8
RC,360,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,2050.0,8577.0,8
RC,360,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,2050.0,6802.0,8
RC,360,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,2050.0,8577.0,9
RC,360,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,2050.0,8577.0,27
RC,360,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,2050.0,8577.0,8
RC,360,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein Other Surgical ",,,2850.0,2850.0,1
RC,360,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,2050.0,8577.0,9
RC,360,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,2050.0,23692.0,12
RC,360,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,360,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,360,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,2050.0,8577.0,8
RC,360,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,1423.0,6802.0,12
RC,360,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,1423.0,6802.0,12
RC,360,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,2050.0,8577.0,8
RC,360,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,2050.0,8577.0,8
RC,360,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,2050.0,8577.0,8
RC,360,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy Other Surgical ",,,2850.0,2850.0,1
RC,360,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,2050.0,8577.0,8
RC,360,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,1982.0,6802.0,11
RC,360,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,2050.0,10719.0,11
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,2050.0,15007.0,11
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,2050.0,15007.0,11
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,2050.0,10719.0,11
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,2050.0,15007.0,11
RC,360,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,2050.0,6802.0,11
RC,360,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,Biopsy external auditory canal ,,,2050.0,6802.0,11
RC,360,Biopsy external auditory canal Other Surgical Services,,,2850.0,2850.0,1
RC,360,Biopsy external ear ,,,1423.0,6802.0,11
RC,360,Biopsy external ear Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,2050.0,6802.0,11
RC,360,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,1982.0,6802.0,11
RC,360,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Biopsy of conjunctiva ,,,1982.0,6802.0,11
RC,360,Biopsy of conjunctiva Other Surgical Services,,,2850.0,2850.0,1
RC,360,Biopsy of cornea ,,,1982.0,6802.0,11
RC,360,Biopsy of cornea Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Biopsy of epididymis, needle ",,,1982.0,6802.0,11
RC,360,"Biopsy of epididymis, needle Other Surgical Services",,,2850.0,2850.0,1
RC,360,Biopsy of extraocular muscle ,,,2050.0,10719.0,11
RC,360,Biopsy of extraocular muscle Other Surgical Services,,,2850.0,2850.0,1
RC,360,Biopsy of floor of mouth ,,,1982.0,6802.0,11
RC,360,Biopsy of floor of mouth Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,2050.0,6802.0,11
RC,360,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Biopsy of lacrimal gland ,,,2050.0,8727.0,11
RC,360,Biopsy of lacrimal gland Other Surgical Services,,,2850.0,2850.0,1
RC,360,Biopsy of lacrimal sac ,,,2050.0,8727.0,11
RC,360,Biopsy of lacrimal sac Other Surgical Services,,,2850.0,2850.0,1
RC,360,Biopsy of lip ,,,1423.0,6802.0,11
RC,360,Biopsy of lip Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Biopsy of liver, needle; percutaneous ",,,2050.0,6802.0,11
RC,360,"Biopsy of liver, needle; percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy of liver, wedge ",,,2050.0,7493.0,8
RC,360,"Biopsy of liver, wedge Other Surgical Services",,,2850.0,2850.0,1
RC,360,Biopsy of nerve ,,,2050.0,8727.0,11
RC,360,Biopsy of nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,2050.0,8727.0,11
RC,360,"Biopsy of ovary, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy of palate, uvula ",,,1982.0,6802.0,11
RC,360,"Biopsy of palate, uvula Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,2050.0,8577.0,8
RC,360,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy of pancreas, percutaneous needle ",,,2050.0,6802.0,11
RC,360,"Biopsy of pancreas, percutaneous needle Other Surgical Services",,,2850.0,2850.0,1
RC,360,Biopsy of penis; (separate procedure) ,,,2050.0,6802.0,11
RC,360,Biopsy of penis; (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Biopsy of penis; deep structures ,,,2050.0,8727.0,11
RC,360,Biopsy of penis; deep structures Other Surgical Services,,,2850.0,2850.0,1
RC,360,Biopsy of salivary gland; incisional ,,,2050.0,8727.0,11
RC,360,Biopsy of salivary gland; incisional Other Surgical Services,,,2850.0,2850.0,1
RC,360,Biopsy of salivary gland; needle ,,,1982.0,6802.0,11
RC,360,Biopsy of salivary gland; needle Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Biopsy of spinal cord, percutaneous needle ",,,2050.0,6802.0,11
RC,360,"Biopsy of spinal cord, percutaneous needle Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy of stomach, by laparotomy ",,,2050.0,8727.0,11
RC,360,"Biopsy of stomach, by laparotomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy of testis, incisional (separate procedure) ",,,2050.0,8727.0,11
RC,360,"Biopsy of testis, incisional (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy of testis, needle (separate procedure) ",,,2050.0,6802.0,11
RC,360,"Biopsy of testis, needle (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Biopsy of tongue; anterior two-thirds ,,,1982.0,6802.0,11
RC,360,Biopsy of tongue; anterior two-thirds Other Surgical Services,,,2850.0,2850.0,1
RC,360,Biopsy of tongue; posterior one-third ,,,2050.0,6802.0,11
RC,360,Biopsy of tongue; posterior one-third Other Surgical Services,,,2850.0,2850.0,1
RC,360,Biopsy of urethra ,,,2050.0,8727.0,11
RC,360,Biopsy of urethra Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,2050.0,8727.0,11
RC,360,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Biopsy of vaginal mucosa; simple (separate procedure) ,,,1982.0,6802.0,11
RC,360,Biopsy of vaginal mucosa; simple (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,1982.0,6802.0,11
RC,360,Biopsy of vulva or perineum (separate procedure); 1 lesion Other Surgical Services,,,2850.0,2850.0,1
RC,360,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,360,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,2350.0,6802.0,9
RC,360,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,2350.0,13830.0,12
RC,360,"Biopsy or excision of lymph node(s); open, deep axillary node(s) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,2350.0,13830.0,12
RC,360,"Biopsy or excision of lymph node(s); open, deep cervical node(s) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,2350.0,13830.0,12
RC,360,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Complex Surgery",,,11754.0,11754.0,2
RC,360,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,2050.0,10719.0,8
RC,360,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,2050.0,8727.0,10
RC,360,"Biopsy or excision of lymph node(s); open, internal mammary node(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy or excision of lymph node(s); open, superficial ",,,2350.0,8727.0,9
RC,360,"Biopsy thyroid, percutaneous core needle ",,,1982.0,6802.0,11
RC,360,"Biopsy thyroid, percutaneous core needle Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,2050.0,6802.0,11
RC,360,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy, prostate, any approach, nonimaging-guided ",,,2050.0,6802.0,11
RC,360,"Biopsy, prostate, any approach, nonimaging-guided Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,8
RC,360,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,2050.0,7493.0,8
RC,360,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,2050.0,7493.0,8
RC,360,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2050.0,7493.0,8
RC,360,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,2050.0,7493.0,8
RC,360,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2050.0,7493.0,8
RC,360,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2050.0,7493.0,8
RC,360,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,2050.0,7493.0,8
RC,360,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2050.0,7493.0,8
RC,360,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,2820.0,5414.0,3
RC,360,"Biopsy, vestibule of mouth ",,,1423.0,6802.0,11
RC,360,"Biopsy, vestibule of mouth Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,2050.0,8727.0,11
RC,360,"Biopsy; nasopharynx, survey for unknown primary lesion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Biopsy; nasopharynx, visible lesion, simple ",,,2050.0,6802.0,11
RC,360,"Biopsy; nasopharynx, visible lesion, simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,Biopsy; oropharynx ,,,1982.0,6802.0,11
RC,360,Biopsy; oropharynx Other Surgical Services,,,2850.0,2850.0,1
RC,360,Bladder instillation of anticarcinogenic agent (including retention time) ,,,1423.0,6802.0,11
RC,360,Bladder instillation of anticarcinogenic agent (including retention time) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Bladder irrigation, simple, lavage and/or instillation ",,,1423.0,6802.0,11
RC,360,"Bladder irrigation, simple, lavage and/or instillation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Blepharotomy, drainage of abscess, eyelid ",,,1423.0,6802.0,11
RC,360,"Blepharotomy, drainage of abscess, eyelid Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,19295.0,19295.0,1
RC,360,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,10737.0,15007.0,4
RC,360,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,24657.0,24657.0,1
RC,360,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,24657.0,5
RC,360,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,19295.0,19295.0,1
RC,360,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,1423.0,6802.0,11
RC,360,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,2050.0,6802.0,11
RC,360,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous Other Surgical Services",,,2850.0,2850.0,1
RC,360,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,1423.0,3251.0,3
RC,360,Bone marrow harvesting for transplantation; allogeneic ,,,2050.0,9539.0,11
RC,360,Bone marrow harvesting for transplantation; allogeneic Other Surgical Services,,,2850.0,2850.0,1
RC,360,Bone marrow harvesting for transplantation; autologous ,,,2050.0,12863.0,11
RC,360,Bone marrow harvesting for transplantation; autologous Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1423.0,3251.0,4
RC,360,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,360,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,8577.0,8577.0,1
RC,360,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,360,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,8577.0,8577.0,1
RC,360,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,8577.0,8577.0,1
RC,360,Buccal/ labial frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,360,Bundle of His recording ,,,6826.0,19105.0,4
RC,360,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,2050.0,8577.0,8
RC,360,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,2050.0,8577.0,8
RC,360,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,2050.0,8577.0,8
RC,360,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery Other Surgical Services",,,2850.0,2850.0,1
RC,360,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,2050.0,8577.0,8
RC,360,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion Other Surgical Services,,,2850.0,2850.0,1
RC,360,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,2050.0,8577.0,8
RC,360,Burr hole(s) or trephine; with drainage of brain abscess or cyst Other Surgical Services,,,2850.0,2850.0,1
RC,360,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,2050.0,8577.0,8
RC,360,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,2050.0,8577.0,8
RC,360,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,2050.0,8577.0,8
RC,360,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral Other Surgical Services",,,2850.0,2850.0,1
RC,360,CERVICAL SPINAL FUSION WITH CC ,,,11000.0,11000.0,1
RC,360,CERVICAL SPINAL FUSION WITH MCC ,,,11000.0,11000.0,1
RC,360,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,1423.0,3251.0,3
RC,360,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,11000.0,11000.0,1
RC,360,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,360,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,7583.0,9539.0,3
RC,360,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,360,COMPLICATED PEPTIC ULCER WITH CC ,,,11000.0,11000.0,1
RC,360,CONNECTIVE TISSUE DISORDERS WITH CC ,,,11000.0,11000.0,1
RC,360,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,11000.0,11000.0,1
RC,360,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,360,"Cannulation, thoracic duct ",,,1423.0,6802.0,11
RC,360,"Cannulation, thoracic duct Other Surgical Services",,,2850.0,2850.0,1
RC,360,Canthoplasty (reconstruction of canthus) ,,,2050.0,8727.0,11
RC,360,Canthoplasty (reconstruction of canthus) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Canthotomy (separate procedure) ,,,2050.0,8727.0,11
RC,360,Canthotomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,2143.0,2143.0,1
RC,360,Cardioassist-method of circulatory assist; external ,,,8577.0,8577.0,1
RC,360,Cardioassist-method of circulatory assist; internal ,,,8577.0,8577.0,1
RC,360,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,1423.0,3251.0,4
RC,360,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1982.0,4009.0,4
RC,360,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1982.0,4009.0,4
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,8577.0,12038.0,5
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,8577.0,12038.0,5
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,8577.0,8577.0,3
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8577.0,8577.0,1
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,8577.0,12038.0,20
RC,360,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,8577.0,12038.0,15
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8577.0,8577.0,1
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8577.0,8577.0,1
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,13374.0,13374.0,1
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,8577.0,13374.0,15
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,13374.0,10
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,8577.0,13374.0,16
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,13374.0,5
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,8577.0,8577.0,1
RC,360,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,8577.0,8577.0,1
RC,360,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,1423.0,6802.0,9
RC,360,"Catheterization of umbilical vein for diagnosis or therapy, newborn ",,,1423.0,6802.0,11
RC,360,"Catheterization of umbilical vein for diagnosis or therapy, newborn Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2050.0,6802.0,8
RC,360,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Catheterization, umbilical artery, newborn, for diagnosis or therapy ",,,2050.0,17341.0,8
RC,360,"Catheterization, umbilical artery, newborn, for diagnosis or therapy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cautery of cervix; cryocautery, initial or repeat ",,,1423.0,6802.0,11
RC,360,"Cautery of cervix; cryocautery, initial or repeat Other Surgical Services",,,2850.0,2850.0,1
RC,360,Cautery of cervix; electro or thermal ,,,2050.0,8727.0,11
RC,360,Cautery of cervix; electro or thermal Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cautery of cervix; laser ablation ,,,2050.0,8727.0,11
RC,360,Cautery of cervix; laser ablation Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Cerclage of cervix, during pregnancy; abdominal ",,,2050.0,8577.0,8
RC,360,"Cerclage of cervix, during pregnancy; abdominal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cerclage of cervix, during pregnancy; vaginal ",,,2050.0,8727.0,11
RC,360,"Cerclage of cervix, during pregnancy; vaginal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cerclage of uterine cervix, nonobstetrical ",,,2050.0,8727.0,11
RC,360,"Cerclage of uterine cervix, nonobstetrical Other Surgical Services",,,2850.0,2850.0,1
RC,360,Cervical lymphadenectomy (complete) ,,,2050.0,8727.0,11
RC,360,Cervical lymphadenectomy (complete) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cervical lymphadenectomy (modified radical neck dissection) ,,,2050.0,7493.0,8
RC,360,Cervical lymphadenectomy (modified radical neck dissection) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,2050.0,6802.0,7
RC,360,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,2050.0,6802.0,7
RC,360,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care Other Surgical Services",,,2850.0,2850.0,1
RC,360,Cesarean delivery only; ,,,2050.0,8577.0,8
RC,360,Cesarean delivery only; Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cesarean delivery only; including postpartum care ,,,2050.0,8577.0,8
RC,360,Cesarean delivery only; including postpartum care Other Surgical Services,,,2850.0,2850.0,1
RC,360,Change of cystostomy tube; complicated ,,,1982.0,6802.0,11
RC,360,Change of cystostomy tube; complicated Other Surgical Services,,,2850.0,2850.0,1
RC,360,Change of cystostomy tube; simple ,,,1423.0,6802.0,11
RC,360,Change of cystostomy tube; simple Other Surgical Services,,,2850.0,2850.0,1
RC,360,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,2050.0,6802.0,11
RC,360,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,8577.0,8577.0,1
RC,360,Chemodenervation of eccrine glands; both axillae ,,,1423.0,6802.0,11
RC,360,Chemodenervation of eccrine glands; both axillae Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,1423.0,6802.0,11
RC,360,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Other Surgical Services",,,2850.0,2850.0,1
RC,360,Chemodenervation of extraocular muscle ,,,1423.0,6802.0,11
RC,360,Chemodenervation of extraocular muscle Other Surgical Services,,,2850.0,2850.0,1
RC,360,Chemodenervation of internal anal sphincter ,,,2050.0,6802.0,11
RC,360,Chemodenervation of internal anal sphincter Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,1982.0,6802.0,11
RC,360,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,1423.0,6802.0,11
RC,360,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,1423.0,6802.0,11
RC,360,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,1982.0,6802.0,11
RC,360,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Chemodenervation of one extremity; 1-4 muscle(s) ,,,1982.0,6802.0,11
RC,360,Chemodenervation of one extremity; 1-4 muscle(s) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Chemodenervation of one extremity; 5 or more muscles ,,,1982.0,6802.0,11
RC,360,Chemodenervation of one extremity; 5 or more muscles Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,1423.0,6802.0,11
RC,360,"Chemodenervation of parotid and submandibular salivary glands, bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,1982.0,6802.0,11
RC,360,Chemodenervation of trunk muscle(s); 1-5 muscle(s) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,1982.0,6802.0,11
RC,360,Chemodenervation of trunk muscle(s); 6 or more muscles Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,2050.0,6802.0,8
RC,360,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,2050.0,8577.0,8
RC,360,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,2050.0,8577.0,8
RC,360,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,2050.0,8577.0,8
RC,360,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cholecystectomy with exploration of common duct; ,,,2350.0,8577.0,5
RC,360,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,2350.0,8577.0,5
RC,360,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,2350.0,8577.0,5
RC,360,Cholecystectomy; ,,,2350.0,13830.0,9
RC,360,Cholecystectomy; Complex Surgery,,,11754.0,11754.0,2
RC,360,Cholecystectomy; with cholangiography ,,,2350.0,8577.0,5
RC,360,Cholecystoenterostomy; Roux-en-Y ,,,2050.0,8577.0,8
RC,360,Cholecystoenterostomy; Roux-en-Y Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,2050.0,8577.0,8
RC,360,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cholecystoenterostomy; direct ,,,2050.0,8577.0,8
RC,360,Cholecystoenterostomy; direct Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cholecystoenterostomy; with gastroenterostomy ,,,2050.0,8577.0,8
RC,360,Cholecystoenterostomy; with gastroenterostomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,2050.0,10719.0,11
RC,360,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation Other Surgical Service",,,2850.0,2850.0,1
RC,360,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,2050.0,8577.0,8
RC,360,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,2050.0,8577.0,8
RC,360,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Chorionic villus sampling, any method ",,,1982.0,6802.0,11
RC,360,"Chorionic villus sampling, any method Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Chromotubation of oviduct, including materials ",,,2350.0,10719.0,9
RC,360,Ciliary body destruction; cryotherapy ,,,2050.0,8727.0,11
RC,360,Ciliary body destruction; cryotherapy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ciliary body destruction; cyclodialysis ,,,2050.0,8727.0,11
RC,360,Ciliary body destruction; cyclodialysis Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,2050.0,8727.0,11
RC,360,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,2050.0,8727.0,11
RC,360,"Ciliary body destruction; cyclophotocoagulation, transscleral Other Surgical Services",,,2850.0,2850.0,1
RC,360,Ciliary body destruction; diathermy ,,,2050.0,6802.0,11
RC,360,Ciliary body destruction; diathermy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,2050.0,8727.0,11
RC,360,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,2350.0,8727.0,9
RC,360,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,2050.0,8727.0,11
RC,360,"Circumcision, using clamp or other device with regional dorsal penile or ring block Other Surgical Services",,,2850.0,2850.0,1
RC,360,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,1982.0,6802.0,11
RC,360,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,2050.0,8727.0,11
RC,360,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Clitoroplasty for intersex state ,,,2050.0,8727.0,11
RC,360,Clitoroplasty for intersex state Other Surgical Services,,,2850.0,2850.0,1
RC,360,Closure of anal fistula with rectal advancement flap ,,,2050.0,10719.0,11
RC,360,Closure of anal fistula with rectal advancement flap Other Surgical Services,,,2850.0,2850.0,1
RC,360,Closure of cystostomy (separate procedure) ,,,2050.0,8727.0,11
RC,360,Closure of cystostomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Closure of enteroenteric or enterocolic fistula ,,,2050.0,8577.0,8
RC,360,Closure of enteroenteric or enterocolic fistula Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Closure of enterostomy, large or small intestine; ",,,2050.0,8577.0,8
RC,360,"Closure of enterostomy, large or small intestine; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,2050.0,8577.0,8
RC,360,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,2050.0,8577.0,8
RC,360,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,2050.0,8577.0,8
RC,360,Closure of enterovesical fistula; with intestine and/or bladder resection Other Surgical Services,,,2850.0,2850.0,1
RC,360,Closure of enterovesical fistula; without intestinal or bladder resection ,,,2050.0,8577.0,8
RC,360,Closure of enterovesical fistula; without intestinal or bladder resection Other Surgical Services,,,2850.0,2850.0,1
RC,360,Closure of esophagostomy or fistula; cervical approach ,,,2050.0,8727.0,11
RC,360,Closure of esophagostomy or fistula; cervical approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,2050.0,8577.0,8
RC,360,Closure of esophagostomy or fistula; transthoracic or transabdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,Closure of gastrocolic fistula ,,,2050.0,8577.0,8
RC,360,Closure of gastrocolic fistula Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Closure of gastrostomy, surgical ",,,2050.0,8727.0,11
RC,360,"Closure of gastrostomy, surgical Other Surgical Services",,,2850.0,2850.0,1
RC,360,Closure of intestinal cutaneous fistula ,,,2050.0,8577.0,8
RC,360,Closure of intestinal cutaneous fistula Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,1423.0,6802.0,11
RC,360,"Closure of laceration, vestibule of mouth; 2.5 cm or less Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,1982.0,6802.0,11
RC,360,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex Other Surgical Services",,,2850.0,2850.0,1
RC,360,Closure of lacrimal fistula (separate procedure) ,,,1982.0,6802.0,11
RC,360,Closure of lacrimal fistula (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1982.0,6802.0,11
RC,360,Closure of nephrocutaneous or pyelocutaneous fistula Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,2050.0,8577.0,8
RC,360,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,2050.0,8577.0,8
RC,360,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,Closure of rectourethral fistula; ,,,2050.0,8577.0,8
RC,360,Closure of rectourethral fistula; Other Surgical Services,,,2850.0,2850.0,1
RC,360,Closure of rectourethral fistula; with colostomy ,,,2050.0,8577.0,8
RC,360,Closure of rectourethral fistula; with colostomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Closure of rectovaginal fistula; abdominal approach ,,,2350.0,8577.0,6
RC,360,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,2350.0,8577.0,6
RC,360,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,2350.0,8727.0,9
RC,360,Closure of rectovaginal fistula; vaginal or transanal approach ,,,2350.0,8727.0,9
RC,360,Closure of rectovesical fistula; ,,,2050.0,8577.0,8
RC,360,Closure of rectovesical fistula; Other Surgical Services,,,2850.0,2850.0,1
RC,360,Closure of rectovesical fistula; with colostomy ,,,2050.0,8577.0,8
RC,360,Closure of rectovesical fistula; with colostomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Closure of the lacrimal punctum; by plug, each ",,,1423.0,6802.0,11
RC,360,"Closure of the lacrimal punctum; by plug, each Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,1423.0,6802.0,11
RC,360,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Other Surgical Services",,,2850.0,2850.0,1
RC,360,Closure of ureterocutaneous fistula ,,,2050.0,8577.0,8
RC,360,Closure of ureterocutaneous fistula Other Surgical Services,,,2850.0,2850.0,1
RC,360,Closure of ureterovisceral fistula (including visceral repair) ,,,2050.0,8577.0,8
RC,360,Closure of ureterovisceral fistula (including visceral repair) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,2050.0,10719.0,11
RC,360,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Closure of urethrovaginal fistula; ,,,2350.0,13315.0,9
RC,360,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,2350.0,10719.0,9
RC,360,Closure of vesicouterine fistula; ,,,2050.0,8727.0,11
RC,360,Closure of vesicouterine fistula; Other Surgical Services,,,2850.0,2850.0,1
RC,360,Closure of vesicouterine fistula; with hysterectomy ,,,2050.0,8577.0,8
RC,360,Closure of vesicouterine fistula; with hysterectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Closure of vesicovaginal fistula, abdominal approach ",,,2050.0,10719.0,11
RC,360,"Closure of vesicovaginal fistula, abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,2350.0,10719.0,9
RC,360,Closure of vesicovaginal fistula; vaginal approach ,,,2350.0,10719.0,9
RC,360,"Closure postauricular fistula, mastoid (separate procedure) ",,,2050.0,8727.0,11
RC,360,"Closure postauricular fistula, mastoid (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Closure salivary fistula ,,,2050.0,6802.0,11
RC,360,Closure salivary fistula Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Closure, exstrophy of bladder ",,,2050.0,8577.0,8
RC,360,"Closure, exstrophy of bladder Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cochlear device implantation, with or without mastoidectomy ",,,2350.0,104011.0,12
RC,360,"Cochlear device implantation, with or without mastoidectomy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,2050.0,8577.0,8
RC,360,"Colectomy, partial, with removal of terminal ileum with ileocolostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colectomy, partial; abdominal and transanal approach ",,,2050.0,8577.0,8
RC,360,"Colectomy, partial; abdominal and transanal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colectomy, partial; with anastomosis ",,,2050.0,8577.0,8
RC,360,"Colectomy, partial; with anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,2050.0,8577.0,8
RC,360,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,2050.0,8577.0,8
RC,360,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,2050.0,8577.0,8
RC,360,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,2050.0,8577.0,8
RC,360,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colectomy, partial; with skin level cecostomy or colostomy ",,,2050.0,8577.0,8
RC,360,"Colectomy, partial; with skin level cecostomy or colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,2050.0,8577.0,8
RC,360,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,2050.0,8577.0,8
RC,360,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,2050.0,8577.0,8
RC,360,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,2050.0,8577.0,8
RC,360,"Colectomy, total, abdominal, with proctectomy; with ileostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,2050.0,8577.0,8
RC,360,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,2050.0,8577.0,8
RC,360,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,8577.0,8577.0,1
RC,360,Collection of blood specimen from a completely implantable venous access device ,,,2050.0,17341.0,8
RC,360,Collection of blood specimen from a completely implantable venous access device Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified ",,,2050.0,17341.0,8
RC,360,"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,2050.0,2702.0,5
RC,360,"Collection of capillary blood specimen (eg, finger, heel, ear stick) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Collection of venous blood by venipuncture ,,,2050.0,2702.0,5
RC,360,Collection of venous blood by venipuncture Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1423.0,3251.0,4
RC,360,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,11
RC,360,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,360,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy through stoma; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,360,"Colonoscopy through stoma; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy through stoma; with control of bleeding, any method ",,,2050.0,6802.0,11
RC,360,"Colonoscopy through stoma; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2050.0,6802.0,11
RC,360,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,2050.0,6802.0,11
RC,360,"Colonoscopy through stoma; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,1
RC,360,Colonoscopy through stoma; with endoscopic mucosal resection ,,,2050.0,6802.0,11
RC,360,Colonoscopy through stoma; with endoscopic mucosal resection Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,360,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,2050.0,6802.0,11
RC,360,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures Other Surgical Services",,,2850.0,2850.0,1
RC,360,Colonoscopy through stoma; with removal of foreign body(s) ,,,2050.0,6802.0,11
RC,360,Colonoscopy through stoma; with removal of foreign body(s) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2050.0,6802.0,11
RC,360,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2050.0,6802.0,11
RC,360,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,2050.0,6802.0,11
RC,360,Colonoscopy through stoma; with transendoscopic balloon dilation Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,2050.0,6802.0,12
RC,360,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with control of bleeding, any method ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; with endoscopic mucosal resection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with removal of foreign body(s) ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,2050.0,6802.0,11
RC,360,"Colonoscopy, flexible; with transendoscopic balloon dilation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,2050.0,6802.0,12
RC,360,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1982.0,4009.0,4
RC,360,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1982.0,4009.0,4
RC,360,Colorectal cancer screening; flexible sigmoidoscopy ,,,1982.0,4009.0,4
RC,360,Colostomy or skin level cecostomy; ,,,2050.0,8577.0,8
RC,360,Colostomy or skin level cecostomy; Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,2050.0,8577.0,8
RC,360,"Colotomy, for exploration, biopsy(s), or foreign body removal Other Surgical Services",,,2850.0,2850.0,1
RC,360,Colpocentesis (separate procedure) ,,,2050.0,8727.0,11
RC,360,Colpocentesis (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Colpocleisis (Le Fort type) ,,,2050.0,10719.0,11
RC,360,Colpocleisis (Le Fort type) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,2350.0,8727.0,9
RC,360,"Colpopexy, abdominal approach ",,,2350.0,8727.0,9
RC,360,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,2350.0,13315.0,9
RC,360,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,2350.0,13315.0,9
RC,360,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,7493.0,7493.0,1
RC,360,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,2350.0,8727.0,9
RC,360,Colposcopy of the cervix including upper/adjacent vagina; ,,,1423.0,6802.0,11
RC,360,Colposcopy of the cervix including upper/adjacent vagina; Other Surgical Services,,,2850.0,2850.0,1
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,1423.0,6802.0,11
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Other Surgical Services,,,2850.0,2850.0,1
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,1423.0,6802.0,11
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Other Surgical Services,,,2850.0,2850.0,1
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,1423.0,6802.0,11
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage Other Surgical Services,,,2850.0,2850.0,1
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,2050.0,8727.0,11
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Other Surgical Services,,,2850.0,2850.0,1
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,2050.0,8727.0,11
RC,360,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Colposcopy of the entire vagina, with cervix if present; ",,,1423.0,6802.0,11
RC,360,"Colposcopy of the entire vagina, with cervix if present; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,1982.0,6802.0,11
RC,360,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Other Surgical Services",,,2850.0,2850.0,1
RC,360,Colposcopy of the vulva; ,,,1423.0,6802.0,11
RC,360,Colposcopy of the vulva; Other Surgical Services,,,2850.0,2850.0,1
RC,360,Colposcopy of the vulva; with biopsy(s) ,,,1423.0,6802.0,11
RC,360,Colposcopy of the vulva; with biopsy(s) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Colpotomy; with drainage of pelvic abscess ,,,2050.0,8727.0,11
RC,360,Colpotomy; with drainage of pelvic abscess Other Surgical Services,,,2850.0,2850.0,1
RC,360,Colpotomy; with exploration ,,,2050.0,8727.0,11
RC,360,Colpotomy; with exploration Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,2350.0,10719.0,9
RC,360,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,2350.0,13315.0,9
RC,360,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,360,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,360,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,1982.0,6802.0,11
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,1982.0,6802.0,11
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,1982.0,6802.0,12
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,1982.0,6802.0,11
RC,360,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,1423.0,6802.0,11
RC,360,"Complex uroflowmetry (eg, calibrated electronic equipment) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,19105.0,4
RC,360,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,19105.0,4
RC,360,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,8
RC,360,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,20
RC,360,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,8
RC,360,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,10
RC,360,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,2050.0,6802.0,9
RC,360,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,2050.0,8727.0,11
RC,360,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,2050.0,8727.0,11
RC,360,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision Other Surgical Services",,,2850.0,2850.0,1
RC,360,Conjunctival flap; bridge or partial (separate procedure) ,,,2050.0,10719.0,11
RC,360,Conjunctival flap; bridge or partial (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,2050.0,8727.0,11
RC,360,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,2050.0,8727.0,11
RC,360,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,2050.0,10719.0,11
RC,360,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Other Surgical Services",,,2850.0,2850.0,1
RC,360,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,2050.0,10719.0,11
RC,360,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,2050.0,8727.0,11
RC,360,Conjunctivoplasty; with conjunctival graft or extensive rearrangement Other Surgical Services,,,2850.0,2850.0,1
RC,360,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,2050.0,10719.0,11
RC,360,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Other Surgical Services,,,2850.0,2850.0,1
RC,360,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,2050.0,10719.0,11
RC,360,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube Other Surgical Services,,,2850.0,2850.0,1
RC,360,Construction of artificial vagina; with graft ,,,2350.0,10719.0,9
RC,360,Construction of artificial vagina; without graft ,,,2350.0,8727.0,9
RC,360,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,2050.0,8727.0,11
RC,360,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,2050.0,8727.0,11
RC,360,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,2050.0,8577.0,8
RC,360,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Continent ileostomy (Kock procedure) (separate procedure) ,,,2050.0,8577.0,8
RC,360,Continent ileostomy (Kock procedure) (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1423.0,3251.0,4
RC,360,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,1423.0,6802.0,11
RC,360,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report ",,,2050.0,23692.0,12
RC,360,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,1423.0,6802.0,12
RC,360,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,2050.0,8577.0,8
RC,360,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,1423.0,6802.0,11
RC,360,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,2050.0,6802.0,11
RC,360,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,2050.0,7493.0,8
RC,360,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,1423.0,6802.0,11
RC,360,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,2050.0,8727.0,11
RC,360,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,2050.0,10719.0,12
RC,360,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2050.0,6802.0,11
RC,360,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,8577.0,8577.0,1
RC,360,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,1982.0,6802.0,12
RC,360,"Cordocentesis (intrauterine), any method ",,,1423.0,6802.0,11
RC,360,"Cordocentesis (intrauterine), any method Other Surgical Services",,,2850.0,2850.0,1
RC,360,Corneal relaxing incision for correction of surgically induced astigmatism ,,,1982.0,6802.0,11
RC,360,Corneal relaxing incision for correction of surgically induced astigmatism Other Surgical Services,,,2850.0,2850.0,1
RC,360,Corneal wedge resection for correction of surgically induced astigmatism ,,,2050.0,8727.0,11
RC,360,Corneal wedge resection for correction of surgically induced astigmatism Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,2350.0,8577.0,6
RC,360,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,2350.0,10719.0,9
RC,360,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,2350.0,10719.0,9
RC,360,"Correction of everted punctum, cautery ",,,1423.0,6802.0,11
RC,360,"Correction of everted punctum, cautery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,2050.0,8727.0,11
RC,360,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Correction of lid retraction ,,,2050.0,8727.0,11
RC,360,Correction of lid retraction Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,2050.0,8577.0,8
RC,360,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,1423.0,6802.0,11
RC,360,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Correction of trichiasis; epilation, by forceps only ",,,1423.0,6802.0,11
RC,360,"Correction of trichiasis; epilation, by forceps only Other Surgical Services",,,2850.0,2850.0,1
RC,360,Correction of trichiasis; incision of lid margin ,,,1982.0,6802.0,11
RC,360,Correction of trichiasis; incision of lid margin Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,2050.0,8727.0,11
RC,360,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,1423.0,6802.0,8
RC,360,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,2350.0,15007.0,8
RC,360,Craniectomy for craniosynostosis; multiple cranial sutures ,,,2050.0,8577.0,8
RC,360,Craniectomy for craniosynostosis; multiple cranial sutures Other Surgical Services,,,2850.0,2850.0,1
RC,360,Craniectomy for craniosynostosis; single cranial suture ,,,2050.0,8577.0,8
RC,360,Craniectomy for craniosynostosis; single cranial suture Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,2050.0,8577.0,8
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,2050.0,8577.0,8
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,2050.0,8577.0,8
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,2050.0,8577.0,8
RC,360,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,2050.0,8577.0,8
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,2050.0,8577.0,8
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,2050.0,8577.0,8
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,2050.0,8577.0,8
RC,360,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,2050.0,8577.0,8
RC,360,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,2050.0,8577.0,8
RC,360,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy Other Surgi",,,2850.0,2850.0,1
RC,360,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,2050.0,8577.0,8
RC,360,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy Other Su",,,2850.0,2850.0,1
RC,360,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,2050.0,8577.0,8
RC,360,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,2050.0,8577.0,8
RC,360,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,2050.0,8577.0,8
RC,360,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy or craniotomy, exploratory; supratentorial ",,,2050.0,8577.0,8
RC,360,"Craniectomy or craniotomy, exploratory; supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,360,Craniectomy or craniotomy; with excision of foreign body from brain ,,,2050.0,8577.0,8
RC,360,Craniectomy or craniotomy; with excision of foreign body from brain Other Surgical Services,,,2850.0,2850.0,1
RC,360,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,2050.0,8577.0,8
RC,360,Craniectomy or craniotomy; with treatment of penetrating wound of brain Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,2050.0,8577.0,8
RC,360,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,2050.0,8577.0,8
RC,360,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,2050.0,8577.0,8
RC,360,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,2050.0,8577.0,8
RC,360,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,2050.0,8577.0,8
RC,360,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,2050.0,8577.0,8
RC,360,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,2050.0,8577.0,8
RC,360,"Craniectomy, suboccipital; for section of 1 or more cranial nerves Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,2050.0,8577.0,8
RC,360,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,2050.0,8577.0,8
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,2050.0,8577.0,8
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,2050.0,8577.0,8
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,2050.0,8577.0,8
RC,360,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,360,Craniectomy; for osteomyelitis ,,,2050.0,8577.0,8
RC,360,Craniectomy; for osteomyelitis Other Surgical Services,,,2850.0,2850.0,1
RC,360,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2050.0,15007.0,11
RC,360,Craniectomy; with excision of tumor or other bone lesion of skull Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,2050.0,8577.0,8
RC,360,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,2050.0,8577.0,8
RC,360,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,2050.0,8577.0,8
RC,360,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa Other Surgical Serv",,,2850.0,2850.0,1
RC,360,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,2050.0,8577.0,8
RC,360,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa Other Sur",,,2850.0,2850.0,1
RC,360,Cranioplasty for skull defect with reparative brain surgery ,,,2050.0,8577.0,8
RC,360,Cranioplasty for skull defect with reparative brain surgery Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cranioplasty for skull defect; larger than 5 cm diameter ,,,2050.0,8577.0,8
RC,360,Cranioplasty for skull defect; larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cranioplasty for skull defect; up to 5 cm diameter ,,,2050.0,8577.0,8
RC,360,Cranioplasty for skull defect; up to 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,2050.0,8577.0,8
RC,360,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,2050.0,8577.0,8
RC,360,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Craniotomy for craniosynostosis; bifrontal bone flap ,,,2050.0,8577.0,8
RC,360,Craniotomy for craniosynostosis; bifrontal bone flap Other Surgical Services,,,2850.0,2850.0,1
RC,360,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,2050.0,8577.0,8
RC,360,Craniotomy for craniosynostosis; frontal or parietal bone flap Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,2050.0,8577.0,8
RC,360,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,2050.0,8577.0,8
RC,360,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniotomy for repair of encephalocele, skull base ",,,2050.0,8577.0,8
RC,360,"Craniotomy for repair of encephalocele, skull base Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,2050.0,8577.0,8
RC,360,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,2050.0,8577.0,8
RC,360,Craniotomy with elevation of bone flap; for excision of craniopharyngioma Other Surgical Services,,,2850.0,2850.0,1
RC,360,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,2050.0,8577.0,8
RC,360,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery Other Surgical Services,,,2850.0,2850.0,1
RC,360,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,2050.0,8577.0,8
RC,360,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,2050.0,8577.0,8
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,2050.0,8577.0,8
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,2050.0,8577.0,8
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,2050.0,8577.0,8
RC,360,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,2050.0,8577.0,8
RC,360,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,360,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,2050.0,8577.0,8
RC,360,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,2050.0,8577.0,8
RC,360,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,2050.0,8577.0,8
RC,360,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring Other Surgical Services",,,2850.0,2850.0,1
RC,360,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,2050.0,8577.0,8
RC,360,Craniotomy with elevation of bone flap; for transection of corpus callosum Other Surgical Services,,,2850.0,2850.0,1
RC,360,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,2050.0,17341.0,7
RC,360,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,2050.0,17341.0,8
RC,360,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,2050.0,12863.0,11
RC,360,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,2050.0,8577.0,8
RC,360,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus Ot",,,2850.0,2850.0,1
RC,360,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,2050.0,8727.0,11
RC,360,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,2050.0,8727.0,11
RC,360,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,2350.0,8727.0,9
RC,360,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,2050.0,8577.0,8
RC,360,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,2050.0,12863.0,11
RC,360,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,2050.0,8577.0,8
RC,360,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,2050.0,8577.0,8
RC,360,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,2050.0,8577.0,8
RC,360,"Creation of shunt; ventriculo-atrial, -jugular, -auricular Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,2050.0,8577.0,8
RC,360,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus Other Surgical Services",,,2850.0,2850.0,1
RC,360,Cricopharyngeal myotomy ,,,2050.0,13315.0,11
RC,360,Cricopharyngeal myotomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,2050.0,14379.0,14
RC,360,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Complex Surgery,,,11754.0,11754.0,2
RC,360,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,2050.0,6802.0,11
RC,360,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,1982.0,6802.0,11
RC,360,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Curettage, postpartum ",,,2050.0,8727.0,11
RC,360,"Curettage, postpartum Other Surgical Services",,,2850.0,2850.0,1
RC,360,Cutaneous appendico-vesicostomy ,,,2050.0,8577.0,8
RC,360,Cutaneous appendico-vesicostomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cutaneous vesicostomy ,,,2050.0,8727.0,11
RC,360,Cutaneous vesicostomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,2050.0,8577.0,8
RC,360,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,2050.0,8577.0,8
RC,360,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2050.0,8577.0,8
RC,360,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes O",,,2850.0,2850.0,1
RC,360,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,2050.0,8577.0,8
RC,360,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2050.0,8577.0,8
RC,360,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Other Surgical S",,,2850.0,2850.0,1
RC,360,"Cystectomy, complete; (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Cystectomy, complete; (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2050.0,8577.0,8
RC,360,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,2050.0,8577.0,8
RC,360,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,2050.0,8577.0,8
RC,360,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystectomy, partial; simple ",,,2050.0,8577.0,8
RC,360,"Cystectomy, partial; simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,2050.0,8727.0,11
RC,360,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2050.0,8577.0,9
RC,360,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,2050.0,10719.0,11
RC,360,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,2050.0,8727.0,11
RC,360,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystostomy, cystotomy with drainage ",,,2050.0,8727.0,11
RC,360,"Cystostomy, cystotomy with drainage Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystotomy for excision, incision, or repair of ureterocele ",,,2050.0,8727.0,11
RC,360,"Cystotomy for excision, incision, or repair of ureterocele Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,2050.0,8727.0,11
RC,360,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material Other Surgical Services",,,2850.0,2850.0,1
RC,360,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,5360.0,8727.0,3
RC,360,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,2050.0,8727.0,11
RC,360,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,1982.0,6802.0,11
RC,360,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,2050.0,10719.0,11
RC,360,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Cystotomy; for excision of bladder tumor ,,,2050.0,10719.0,11
RC,360,Cystotomy; for excision of bladder tumor Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,2050.0,8727.0,11
RC,360,Cystotomy; for simple excision of vesical neck (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2050.0,8577.0,8
RC,360,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,2350.0,15409.0,10
RC,360,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,2350.0,13830.0,12
RC,360,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Complex Surgery",,,11754.0,11754.0,2
RC,360,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,2350.0,13830.0,12
RC,360,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Complex Surgery,,,11754.0,11754.0,2
RC,360,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,2350.0,13830.0,12
RC,360,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Complex Surgery,,,11754.0,11754.0,2
RC,360,Cystourethroscopy (separate procedure) ,,,1982.0,6802.0,9
RC,360,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,2350.0,6802.0,8
RC,360,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,8577.0,8577.0,1
RC,360,Cystourethroscopy with direct vision internal urethrotomy ,,,2350.0,8727.0,8
RC,360,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,2050.0,8727.0,10
RC,360,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds Other Surgical Services",,,2850.0,2850.0,1
RC,360,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,2050.0,7493.0,8
RC,360,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,2350.0,53068.0,8
RC,360,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2050.0,7493.0,8
RC,360,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,2350.0,13830.0,12
RC,360,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Complex Surgery",,,11754.0,11754.0,2
RC,360,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,2350.0,6802.0,8
RC,360,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,2050.0,8727.0,10
RC,360,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,360,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,360,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,360,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,8577.0,8577.0,1
RC,360,"Cystourethroscopy, with biopsy(s) ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,2350.0,6802.0,8
RC,360,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,2350.0,6802.0,8
RC,360,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,1982.0,6802.0,8
RC,360,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,1982.0,6802.0,8
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,2350.0,6802.0,8
RC,360,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder Complex Surgery",,,11754.0,11754.0,2
RC,360,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2350.0,13830.0,12
RC,360,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,1423.0,6802.0,11
RC,360,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1423.0,6802.0,10
RC,360,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystourethroscopy, with insertion of permanent urethral stent ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5360.0,8727.0,4
RC,360,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,10737.0,15007.0,4
RC,360,"Cystourethroscopy, with internal urethrotomy; female ",,,2350.0,6802.0,8
RC,360,"Cystourethroscopy, with internal urethrotomy; male ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,2350.0,7493.0,5
RC,360,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,2350.0,6802.0,8
RC,360,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy, with steroid injection into stricture ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,7493.0,7493.0,1
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,7493.0,7493.0,1
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,2350.0,13830.0,12
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Complex Surgery",,,11754.0,11754.0,2
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,2350.0,13830.0,12
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion Complex Surgery",,,11754.0,11754.0,2
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2702.0,15409.0,9
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2050.0,15409.0,14
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,2350.0,13830.0,12
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,2350.0,13830.0,12
RC,360,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Complex Surgery",,,11754.0,11754.0,2
RC,360,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,2350.0,8727.0,8
RC,360,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,360,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,360,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,360,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,2350.0,8727.0,8
RC,360,DIGESTIVE MALIGNANCY WITH CC ,,,11000.0,11000.0,1
RC,360,DIGESTIVE MALIGNANCY WITH MCC ,,,11000.0,11000.0,1
RC,360,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,11000.0,11000.0,1
RC,360,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,11000.0,11000.0,1
RC,360,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11000.0,11000.0,1
RC,360,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,11000.0,11000.0,1
RC,360,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,360,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,2050.0,10719.0,11
RC,360,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,1423.0,3251.0,8
RC,360,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,2143.0,2143.0,1
RC,360,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,8577.0,8577.0,1
RC,360,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,1982.0,6802.0,11
RC,360,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,1423.0,6802.0,11
RC,360,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Declotting by thrombolytic agent of implanted vascular access device or catheter ,,,2050.0,17341.0,8
RC,360,Declotting by thrombolytic agent of implanted vascular access device or catheter Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,2050.0,13315.0,11
RC,360,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,2050.0,13315.0,11
RC,360,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,360,Decompression internal auditory canal ,,,2050.0,13315.0,11
RC,360,Decompression internal auditory canal Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Decompression of orbit only, transcranial approach ",,,2050.0,13315.0,11
RC,360,"Decompression of orbit only, transcranial approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,2050.0,10719.0,12
RC,360,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,2050.0,6802.0,9
RC,360,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,2050.0,15007.0,9
RC,360,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,2050.0,7493.0,8
RC,360,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,Decompression; plantar digital nerve ,,,2050.0,8727.0,11
RC,360,Decompression; plantar digital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,Decompression; unspecified nerve(s) (specify) ,,,2050.0,8727.0,11
RC,360,Decompression; unspecified nerve(s) (specify) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Decoronation or submergence of an erupted tooth ,,,8577.0,8577.0,1
RC,360,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,2050.0,6802.0,11
RC,360,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Deligation of ureter ,,,2050.0,8577.0,8
RC,360,Deligation of ureter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Delivery of placenta (separate procedure) ,,,2050.0,8727.0,11
RC,360,Delivery of placenta (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2820.0,5414.0,3
RC,360,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,2050.0,7493.0,8
RC,360,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction by neurolytic agent, intercostal nerve ",,,2050.0,8727.0,11
RC,360,"Destruction by neurolytic agent, intercostal nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,1423.0,6802.0,12
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,2050.0,8727.0,11
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,1423.0,6802.0,12
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,2050.0,8727.0,11
RC,360,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,2050.0,8727.0,11
RC,360,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,2050.0,8727.0,11
RC,360,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,2050.0,8727.0,11
RC,360,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,2050.0,8727.0,11
RC,360,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,1982.0,6802.0,11
RC,360,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus Other Surgical Services",,,2850.0,2850.0,1
RC,360,Destruction by neurolytic agent; other peripheral nerve or branch ,,,1982.0,6802.0,11
RC,360,Destruction by neurolytic agent; other peripheral nerve or branch Other Surgical Services,,,2850.0,2850.0,1
RC,360,Destruction by neurolytic agent; plantar common digital nerve ,,,1423.0,6802.0,11
RC,360,Destruction by neurolytic agent; plantar common digital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,Destruction by neurolytic agent; pudendal nerve ,,,1982.0,6802.0,11
RC,360,Destruction by neurolytic agent; pudendal nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,1982.0,6802.0,11
RC,360,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,2350.0,13830.0,12
RC,360,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,1982.0,6802.0,11
RC,360,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion (except excision), dentoalveolar structures ",,,2050.0,8727.0,11
RC,360,"Destruction of lesion (except excision), dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,1423.0,6802.0,10
RC,360,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization Other Surgical Services",,,2850.0,2850.0,1
RC,360,Destruction of lesion of lid margin (up to 1 cm) ,,,1982.0,6802.0,11
RC,360,Destruction of lesion of lid margin (up to 1 cm) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,2050.0,6802.0,11
RC,360,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,8727.0,11
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,6802.0,11
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,6802.0,11
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2050.0,6802.0,11
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2050.0,8727.0,11
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2050.0,8727.0,11
RC,360,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,6802.0,11
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,6802.0,11
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,6802.0,11
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2050.0,6802.0,11
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2050.0,6802.0,11
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2050.0,6802.0,11
RC,360,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,6802.0,11
RC,360,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,6802.0,11
RC,360,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion, conjunctiva ",,,2050.0,8727.0,11
RC,360,"Destruction of lesion, conjunctiva Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,2050.0,6802.0,11
RC,360,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,1982.0,13830.0,12
RC,360,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions Complex Surgery",,,11754.0,11754.0,2
RC,360,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,1982.0,13830.0,12
RC,360,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1423.0,13830.0,12
RC,360,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) Compl",,,11754.0,11754.0,2
RC,360,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1982.0,4009.0,3
RC,360,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,1423.0,13830.0,12
RC,360,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,1982.0,13830.0,12
RC,360,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,360,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,2350.0,13830.0,12
RC,360,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,2050.0,8727.0,11
RC,360,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,8727.0,11
RC,360,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,8727.0,11
RC,360,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Diagnostic bone marrow; aspiration(s) ,,,1982.0,6802.0,11
RC,360,Diagnostic bone marrow; aspiration(s) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Diagnostic bone marrow; biopsy(ies) ,,,1982.0,6802.0,11
RC,360,Diagnostic bone marrow; biopsy(ies) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,2050.0,6802.0,8
RC,360,Diagnostic bone marrow; biopsy(ies) and aspiration(s) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,8577.0,8577.0,1
RC,360,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,1423.0,6802.0,12
RC,360,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8577.0,8577.0,4
RC,360,Diaphragm or cervical cap fitting with instructions ,,,1423.0,6802.0,11
RC,360,Diaphragm or cervical cap fitting with instructions Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Dilation and catheterization of salivary duct, with or without injection ",,,1423.0,6802.0,11
RC,360,"Dilation and catheterization of salivary duct, with or without injection Other Surgical Services",,,2850.0,2850.0,1
RC,360,Dilation and curettage of cervical stump ,,,2050.0,8727.0,11
RC,360,Dilation and curettage of cervical stump Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,2050.0,8727.0,11
RC,360,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,2050.0,6802.0,11
RC,360,Dilation of anal sphincter (separate procedure) under anesthesia other than local Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Dilation of cervical canal, instrumental (separate procedure) ",,,2050.0,8727.0,11
RC,360,"Dilation of cervical canal, instrumental (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,2050.0,6802.0,11
RC,360,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Dilation of esophagus, over guide wire ",,,2050.0,6802.0,11
RC,360,"Dilation of esophagus, over guide wire Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,2050.0,10719.0,18
RC,360,Dilation of female urethra including suppository and/or instillation; initial ,,,1423.0,6802.0,11
RC,360,Dilation of female urethra including suppository and/or instillation; initial Other Surgical Services,,,2850.0,2850.0,1
RC,360,Dilation of female urethra including suppository and/or instillation; subsequent ,,,1423.0,6802.0,11
RC,360,Dilation of female urethra including suppository and/or instillation; subsequent Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,2050.0,8727.0,11
RC,360,"Dilation of female urethra, general or conduction (spinal) anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Dilation of lacrimal punctum, with or without irrigation ",,,1423.0,6802.0,11
RC,360,"Dilation of lacrimal punctum, with or without irrigation Other Surgical Services",,,2850.0,2850.0,1
RC,360,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,2050.0,6802.0,11
RC,360,Dilation of rectal stricture (separate procedure) under anesthesia other than local Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,1982.0,6802.0,11
RC,360,"Dilation of urethral stricture by passage of filiform and follower, male; initial Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,1423.0,6802.0,11
RC,360,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,1423.0,6802.0,11
RC,360,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,1423.0,6802.0,11
RC,360,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,2050.0,6802.0,11
RC,360,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,360,Dilation of vagina under anesthesia (other than local) ,,,2050.0,8727.0,11
RC,360,Dilation of vagina under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Dilation salivary duct ,,,2050.0,6802.0,11
RC,360,Dilation salivary duct Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1423.0,6802.0,9
RC,360,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,2350.0,15007.0,8
RC,360,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,2350.0,8577.0,6
RC,360,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,2350.0,8577.0,6
RC,360,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,1982.0,6802.0,11
RC,360,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,1423.0,6802.0,11
RC,360,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Discission of vitreous strands (without removal), pars plana approach ",,,2350.0,8727.0,8
RC,360,"Dissection, deep jugular node(s) ",,,2050.0,15007.0,11
RC,360,"Dissection, deep jugular node(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,2050.0,17341.0,7
RC,360,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,2050.0,13315.0,11
RC,360,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,2050.0,8577.0,8
RC,360,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,Division of stricture of rectum ,,,2050.0,8727.0,11
RC,360,Division of stricture of rectum Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,2050.0,8577.0,8
RC,360,"Donor enterectomy (including cold preservation), open; from cadaver donor Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,2050.0,8577.0,8
RC,360,"Donor enterectomy (including cold preservation), open; partial, from living donor Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,2050.0,8577.0,8
RC,360,"Donor hepatectomy (including cold preservation), from cadaver donor Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,2050.0,8577.0,8
RC,360,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,2050.0,8577.0,8
RC,360,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,2050.0,8577.0,8
RC,360,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,2050.0,8577.0,8
RC,360,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Donor nephrectomy (including cold preservation); open, from living donor ",,,2050.0,8577.0,8
RC,360,"Donor nephrectomy (including cold preservation); open, from living donor Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,2050.0,6802.0,7
RC,360,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drainage external auditory canal, abscess ",,,1423.0,6802.0,11
RC,360,"Drainage external auditory canal, abscess Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drainage external ear, abscess or hematoma; complicated ",,,2050.0,6802.0,11
RC,360,"Drainage external ear, abscess or hematoma; complicated Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drainage external ear, abscess or hematoma; simple ",,,1423.0,6802.0,11
RC,360,"Drainage external ear, abscess or hematoma; simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,Drainage of Skene's gland abscess or cyst ,,,2050.0,8727.0,11
RC,360,Drainage of Skene's gland abscess or cyst Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Drainage of abscess of palate, uvula ",,,1423.0,6802.0,11
RC,360,"Drainage of abscess of palate, uvula Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,1423.0,6802.0,11
RC,360,"Drainage of abscess, cyst, hematoma from dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,1982.0,6802.0,11
RC,360,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,1423.0,6802.0,11
RC,360,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drainage of abscess; parotid, complicated ",,,2050.0,8727.0,11
RC,360,"Drainage of abscess; parotid, complicated Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drainage of abscess; parotid, simple ",,,1982.0,6802.0,11
RC,360,"Drainage of abscess; parotid, simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,1423.0,6802.0,11
RC,360,"Drainage of abscess; submaxillary or sublingual, intraoral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drainage of abscess; submaxillary, external ",,,1423.0,6802.0,11
RC,360,"Drainage of abscess; submaxillary, external Other Surgical Services",,,2850.0,2850.0,1
RC,360,Drainage of deep periurethral abscess ,,,2050.0,8727.0,11
RC,360,Drainage of deep periurethral abscess Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,2050.0,8577.0,8
RC,360,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open Other Surgical Services",,,2850.0,2850.0,1
RC,360,Drainage of lymph node abscess or lymphadenitis; extensive ,,,2050.0,8727.0,11
RC,360,Drainage of lymph node abscess or lymphadenitis; extensive Other Surgical Services,,,2850.0,2850.0,1
RC,360,Drainage of lymph node abscess or lymphadenitis; simple ,,,2050.0,6802.0,11
RC,360,Drainage of lymph node abscess or lymphadenitis; simple Other Surgical Services,,,2850.0,2850.0,1
RC,360,Drainage of ovarian abscess; abdominal approach ,,,2050.0,10719.0,11
RC,360,Drainage of ovarian abscess; abdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Drainage of ovarian abscess; vaginal approach, open ",,,2050.0,8727.0,11
RC,360,"Drainage of ovarian abscess; vaginal approach, open Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,2050.0,8727.0,11
RC,360,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,2050.0,8727.0,11
RC,360,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,Drainage of perineal urinary extravasation; complicated ,,,2050.0,8727.0,11
RC,360,Drainage of perineal urinary extravasation; complicated Other Surgical Services,,,2850.0,2850.0,1
RC,360,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,2050.0,8727.0,11
RC,360,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Drainage of perirenal or renal abscess, open ",,,2050.0,8727.0,11
RC,360,"Drainage of perirenal or renal abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,2050.0,8577.0,8
RC,360,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,360,Drainage of perivesical or prevesical space abscess ,,,2050.0,8727.0,11
RC,360,Drainage of perivesical or prevesical space abscess Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Drainage of retroperitoneal abscess, open ",,,2050.0,8577.0,8
RC,360,"Drainage of retroperitoneal abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,360,Drainage of scrotal wall abscess ,,,2050.0,6802.0,11
RC,360,Drainage of scrotal wall abscess Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,2050.0,8577.0,8
RC,360,"Drainage of subdiaphragmatic or subphrenic abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,2050.0,6802.0,8
RC,360,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic Other Surgical Services",,,2850.0,2850.0,1
RC,360,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,2050.0,8577.0,8
RC,360,Duodenal exclusion with gastrojejunostomy for pancreatic injury Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,1423.0,6802.0,12
RC,360,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,1423.0,6802.0,11
RC,360,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Duodenal motility (manometric) study ,,,1423.0,3251.0,4
RC,360,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,2050.0,8577.0,8
RC,360,"Duodenotomy, for exploration, biopsy(s), or foreign body removal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Dural graft, spinal ",,,2050.0,8577.0,8
RC,360,"Dural graft, spinal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,2050.0,6802.0,11
RC,360,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,11000.0,11000.0,1
RC,360,Ear piercing ,,,2050.0,8577.0,8
RC,360,Ear piercing Other Surgical Services,,,2850.0,2850.0,1
RC,360,Electroejaculation ,,,1982.0,6802.0,11
RC,360,Electroejaculation Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Electrogastrography, diagnostic, transcutaneous; ",,,1423.0,3251.0,4
RC,360,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1423.0,3251.0,4
RC,360,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,1423.0,6802.0,11
RC,360,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,1423.0,6802.0,11
RC,360,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming Othe",,,2850.0,2850.0,1
RC,360,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,1423.0,6802.0,24
RC,360,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,1423.0,6802.0,12
RC,360,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1423.0,23692.0,18
RC,360,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2820.0,17341.0,7
RC,360,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1423.0,17341.0,7
RC,360,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,8
RC,360,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,2050.0,8577.0,8
RC,360,"Elevation of depressed skull fracture; compound or comminuted, extradural Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Elevation of depressed skull fracture; simple, extradural ",,,2050.0,13315.0,11
RC,360,"Elevation of depressed skull fracture; simple, extradural Other Surgical Services",,,2850.0,2850.0,1
RC,360,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,2050.0,8577.0,8
RC,360,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Embryo transfer, intrauterine ",,,1982.0,6802.0,11
RC,360,"Embryo transfer, intrauterine Other Surgical Services",,,2850.0,2850.0,1
RC,360,Endocervical curettage (not done as part of a dilation and curettage) ,,,1982.0,6802.0,11
RC,360,Endocervical curettage (not done as part of a dilation and curettage) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,1423.0,6802.0,12
RC,360,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,1423.0,6802.0,12
RC,360,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1423.0,17341.0,14
RC,360,Endolymphatic sac operation; with shunt ,,,2050.0,13315.0,11
RC,360,Endolymphatic sac operation; with shunt Other Surgical Services,,,2850.0,2850.0,1
RC,360,Endolymphatic sac operation; without shunt ,,,2050.0,13315.0,11
RC,360,Endolymphatic sac operation; without shunt Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,2350.0,13830.0,12
RC,360,"Endometrial ablation, thermal, without hysteroscopic guidance Complex Surgery",,,11754.0,11754.0,2
RC,360,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,2350.0,13830.0,13
RC,360,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Complex Surgery",,,11754.0,11754.0,2
RC,360,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,360,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,1423.0,6802.0,11
RC,360,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Endomyocardial biopsy ,,,5360.0,10719.0,4
RC,360,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,360,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,360,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,1423.0,6802.0,9
RC,360,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2050.0,15007.0,11
RC,360,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar Other",,,2850.0,2850.0,1
RC,360,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,15007.0,15007.0,1
RC,360,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,12
RC,360,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,360,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,2050.0,10719.0,11
RC,360,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,15007.0,15007.0,1
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2350.0,8727.0,9
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,2050.0,8727.0,10
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,2350.0,8727.0,9
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,2350.0,15409.0,8
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,2050.0,8727.0,10
RC,360,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,2350.0,8727.0,9
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,2050.0,8727.0,10
RC,360,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,2350.0,8727.0,9
RC,360,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,2050.0,8727.0,10
RC,360,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,2350.0,8727.0,9
RC,360,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,2050.0,8727.0,10
RC,360,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,360,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,8577.0,8577.0,1
RC,360,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,8577.0,8577.0,1
RC,360,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,360,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,7493.0,7493.0,1
RC,360,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,2050.0,11462.0,9
RC,360,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,2050.0,11462.0,9
RC,360,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2050.0,19295.0,12
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,2050.0,15007.0,18
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated ",,,2050.0,10719.0,11
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; subsequent vein(s) treated in a single extremity, each through separa",,,1423.0,6802.0,12
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated ",,,2050.0,10719.0,11
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each thro",,,1423.0,6802.0,12
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated ",,,2050.0,10719.0,10
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each throu",,,1423.0,6802.0,12
RC,360,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,2050.0,8577.0,9
RC,360,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,2050.0,8577.0,8
RC,360,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,2050.0,8577.0,8
RC,360,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,360,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,2050.0,8577.0,8
RC,360,"Enterectomy, resection of small intestine; single resection and anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Enterectomy, resection of small intestine; with enterostomy ",,,2050.0,8577.0,8
RC,360,"Enterectomy, resection of small intestine; with enterostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Enterocystoplasty, including intestinal anastomosis ",,,2050.0,8577.0,8
RC,360,"Enterocystoplasty, including intestinal anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,2050.0,8577.0,8
RC,360,Enterolysis (freeing of intestinal adhesion) (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,2050.0,8577.0,8
RC,360,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,2050.0,8577.0,8
RC,360,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Enucleation of eye; with implant, muscles attached to implant ",,,2050.0,10719.0,11
RC,360,"Enucleation of eye; with implant, muscles attached to implant Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Enucleation of eye; with implant, muscles not attached to implant ",,,2050.0,10719.0,11
RC,360,"Enucleation of eye; with implant, muscles not attached to implant Other Surgical Services",,,2850.0,2850.0,1
RC,360,Enucleation of eye; without implant ,,,2050.0,10719.0,11
RC,360,Enucleation of eye; without implant Other Surgical Services,,,2850.0,2850.0,1
RC,360,Epididymectomy; bilateral ,,,2050.0,8727.0,11
RC,360,Epididymectomy; bilateral Other Surgical Services,,,2850.0,2850.0,1
RC,360,Epididymectomy; unilateral ,,,2050.0,8727.0,11
RC,360,Epididymectomy; unilateral Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,2050.0,8727.0,11
RC,360,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,2050.0,8727.0,11
RC,360,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,Epikeratoplasty ,,,2050.0,8727.0,11
RC,360,Epikeratoplasty Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Episiotomy or vaginal repair, by other than attending ",,,2050.0,8727.0,11
RC,360,"Episiotomy or vaginal repair, by other than attending Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1423.0,3251.0,4
RC,360,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1423.0,3251.0,4
RC,360,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1423.0,3251.0,4
RC,360,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,360,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1423.0,3251.0,4
RC,360,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1423.0,3251.0,4
RC,360,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,7493.0,7493.0,1
RC,360,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,19105.0,4
RC,360,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,19105.0,4
RC,360,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,2350.0,13830.0,11
RC,360,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,2350.0,13830.0,11
RC,360,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,2350.0,13830.0,11
RC,360,Esophagogastric fundoplasty partial or complete; laparotomy ,,,2050.0,8577.0,8
RC,360,Esophagogastric fundoplasty partial or complete; laparotomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,2050.0,8577.0,8
RC,360,Esophagogastric fundoplasty partial or complete; thoracotomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,2050.0,8577.0,8
RC,360,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,2050.0,8577.0,8
RC,360,"Esophagogastric tamponade, with balloon (Sengstaken type) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2350.0,6802.0,9
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,2050.0,8727.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease Oth",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,2050.0,6802.0,8
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,2050.0,6802.0,12
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,2050.0,10719.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2350.0,10719.0,9
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,2050.0,6802.0,8
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,2050.0,6802.0,11
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,2050.0,6802.0,12
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,2050.0,6802.0,12
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,2050.0,6802.0,12
RC,360,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,2050.0,8727.0,12
RC,360,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,2050.0,8577.0,8
RC,360,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,2050.0,8577.0,8
RC,360,Esophagojejunostomy (without total gastrectomy); abdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,2050.0,8577.0,8
RC,360,Esophagojejunostomy (without total gastrectomy); thoracic approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,Esophagomyotomy (Heller type); abdominal approach ,,,2050.0,8577.0,8
RC,360,Esophagomyotomy (Heller type); abdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,Esophagomyotomy (Heller type); thoracic approach ,,,2050.0,8577.0,8
RC,360,Esophagomyotomy (Heller type); thoracic approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,2050.0,8577.0,8
RC,360,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,2050.0,8577.0,8
RC,360,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,2050.0,8577.0,8
RC,360,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,2050.0,8577.0,8
RC,360,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,2050.0,8577.0,8
RC,360,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,2050.0,8577.0,8
RC,360,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,8727.0,11
RC,360,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection Complex Surgery",,,11754.0,11754.0,2
RC,360,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with optical endomicroscopy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Esophagoscopy, flexible, transoral; with optical endomicroscopy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,10719.0,11
RC,360,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2050.0,8727.0,11
RC,360,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,2050.0,8727.0,12
RC,360,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,2050.0,6802.0,11
RC,360,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,2050.0,8577.0,8
RC,360,"Esophagostomy, fistulization of esophagus, external; cervical approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,2050.0,8577.0,8
RC,360,"Esophagostomy, fistulization of esophagus, external; thoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagotomy, cervical approach, with removal of foreign body ",,,1982.0,6802.0,11
RC,360,"Esophagotomy, cervical approach, with removal of foreign body Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagotomy, thoracic approach, with removal of foreign body ",,,2050.0,8577.0,8
RC,360,"Esophagotomy, thoracic approach, with removal of foreign body Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1423.0,3251.0,4
RC,360,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1423.0,4009.0,4
RC,360,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1423.0,3251.0,4
RC,360,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1423.0,17341.0,7
RC,360,Evisceration of ocular contents; with implant ,,,2050.0,10719.0,11
RC,360,Evisceration of ocular contents; with implant Other Surgical Services,,,2850.0,2850.0,1
RC,360,Evisceration of ocular contents; without implant ,,,2050.0,10719.0,11
RC,360,Evisceration of ocular contents; without implant Other Surgical Services,,,2850.0,2850.0,1
RC,360,Exc biopsy of saliv glands ,,,8577.0,8577.0,1
RC,360,Excavation of a tooth resulting in the determination of non-restorability ,,,8577.0,8577.0,1
RC,360,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,1982.0,6802.0,12
RC,360,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,8577.0,8577.0,1
RC,360,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,2050.0,10719.0,12
RC,360,Exchange of intraocular lens ,,,2050.0,8727.0,11
RC,360,Exchange of intraocular lens Other Surgical Services,,,2850.0,2850.0,1
RC,360,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,2050.0,6802.0,11
RC,360,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Exchange transfusion, blood; newborn ",,,1423.0,6802.0,11
RC,360,"Exchange transfusion, blood; newborn Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exchange transfusion, blood; other than newborn ",,,1423.0,6802.0,11
RC,360,"Exchange transfusion, blood; other than newborn Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,2050.0,8727.0,24
RC,360,Excision aural glomus tumor; extended (extratemporal) ,,,2050.0,8577.0,8
RC,360,Excision aural glomus tumor; extended (extratemporal) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision aural glomus tumor; transcanal ,,,2050.0,13315.0,11
RC,360,Excision aural glomus tumor; transcanal Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision aural glomus tumor; transmastoid ,,,2050.0,13315.0,11
RC,360,Excision aural glomus tumor; transmastoid Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision aural polyp ,,,2050.0,6802.0,11
RC,360,Excision aural polyp Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,2050.0,8727.0,11
RC,360,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,2050.0,13315.0,11
RC,360,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision exostosis(es), external auditory canal ",,,2050.0,8727.0,11
RC,360,"Excision exostosis(es), external auditory canal Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision external ear; complete amputation ,,,2050.0,8727.0,11
RC,360,Excision external ear; complete amputation Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision external ear; partial, simple repair ",,,2050.0,6802.0,11
RC,360,"Excision external ear; partial, simple repair Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,2050.0,8577.0,8
RC,360,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,2050.0,8577.0,8
RC,360,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of Bartholin's gland or cyst ,,,2050.0,8727.0,11
RC,360,Excision of Bartholin's gland or cyst Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,2050.0,8577.0,8
RC,360,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of Mullerian duct cyst ,,,2050.0,8727.0,11
RC,360,Excision of Mullerian duct cyst Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of ampulla of Vater ,,,2050.0,8577.0,8
RC,360,Excision of ampulla of Vater Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,2050.0,8577.0,8
RC,360,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,2050.0,8577.0,8
RC,360,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of bulbourethral gland (Cowper's gland) ,,,2050.0,8727.0,11
RC,360,Excision of bulbourethral gland (Cowper's gland) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of carotid body tumor; with excision of carotid artery ,,,2050.0,8577.0,8
RC,360,Excision of carotid body tumor; with excision of carotid artery Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of carotid body tumor; without excision of carotid artery ,,,2050.0,8577.0,8
RC,360,Excision of carotid body tumor; without excision of carotid artery Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of cervical stump, abdominal approach; ",,,2050.0,8577.0,8
RC,360,"Excision of cervical stump, abdominal approach; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,2050.0,8577.0,8
RC,360,"Excision of cervical stump, abdominal approach; with pelvic floor repair Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of cervical stump, vaginal approach; ",,,2050.0,8727.0,11
RC,360,"Excision of cervical stump, vaginal approach; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,2050.0,10719.0,11
RC,360,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,2050.0,13315.0,11
RC,360,"Excision of cervical stump, vaginal approach; with repair of enterocele Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of chalazion; multiple, different lids ",,,1423.0,6802.0,11
RC,360,"Excision of chalazion; multiple, different lids Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of chalazion; multiple, same lid ",,,1982.0,6802.0,11
RC,360,"Excision of chalazion; multiple, same lid Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of chalazion; single ,,,1423.0,6802.0,11
RC,360,Excision of chalazion; single Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,2050.0,8727.0,11
RC,360,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of choledochal cyst ,,,2050.0,8577.0,8
RC,360,Excision of choledochal cyst Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,2050.0,15007.0,11
RC,360,"Excision of cyst or adenoma of thyroid, or transection of isthmus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,2050.0,8727.0,11
RC,360,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,2050.0,8727.0,11
RC,360,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of extraparenchymal lesion of testis ,,,2050.0,8727.0,11
RC,360,Excision of extraparenchymal lesion of testis Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of fibrous tuberosities, dentoalveolar structures ",,,1982.0,6802.0,11
RC,360,"Excision of fibrous tuberosities, dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,2050.0,6802.0,11
RC,360,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,2050.0,10719.0,11
RC,360,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of hydrocele; bilateral ,,,2050.0,10719.0,11
RC,360,Excision of hydrocele; bilateral Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of hydrocele; unilateral ,,,2050.0,10719.0,11
RC,360,Excision of hydrocele; unilateral Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,2050.0,8727.0,11
RC,360,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of ileoanal reservoir with ileostomy ,,,2050.0,8577.0,8
RC,360,Excision of ileoanal reservoir with ileostomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,2050.0,10719.0,11
RC,360,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,2050.0,10719.0,11
RC,360,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of lacrimal gland tumor; frontal approach ,,,2050.0,8727.0,11
RC,360,Excision of lacrimal gland tumor; frontal approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of lacrimal gland tumor; involving osteotomy ,,,2050.0,10719.0,11
RC,360,Excision of lacrimal gland tumor; involving osteotomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of lacrimal sac (dacryocystectomy) ,,,2050.0,10719.0,11
RC,360,Excision of lacrimal sac (dacryocystectomy) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,1982.0,6802.0,11
RC,360,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of lesion of mesentery (separate procedure) ,,,2050.0,8577.0,8
RC,360,Excision of lesion of mesentery (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,2050.0,8727.0,11
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,2050.0,8727.0,11
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,2050.0,6802.0,11
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,2050.0,6802.0,11
RC,360,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,2050.0,8577.0,8
RC,360,"Excision of lesion of pancreas (eg, cyst, adenoma) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of lesion of spermatic cord (separate procedure) ,,,2050.0,8727.0,11
RC,360,Excision of lesion of spermatic cord (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of lesion of tongue with closure; anterior two-thirds ,,,2050.0,6802.0,11
RC,360,Excision of lesion of tongue with closure; anterior two-thirds Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of lesion of tongue with closure; posterior one-third ,,,2050.0,6802.0,11
RC,360,Excision of lesion of tongue with closure; posterior one-third Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of lesion of tongue with closure; with local tongue flap ,,,2050.0,8727.0,11
RC,360,Excision of lesion of tongue with closure; with local tongue flap Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of lesion of tongue without closure ,,,2050.0,6802.0,11
RC,360,Excision of lesion of tongue without closure Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,2050.0,13315.0,11
RC,360,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,2050.0,8727.0,11
RC,360,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,2050.0,6802.0,11
RC,360,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lesion, conjunctiva; over 1 cm ",,,2050.0,8727.0,11
RC,360,"Excision of lesion, conjunctiva; over 1 cm Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lesion, conjunctiva; up to 1 cm ",,,2050.0,8727.0,11
RC,360,"Excision of lesion, conjunctiva; up to 1 cm Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lesion, conjunctiva; with adjacent sclera ",,,2050.0,8727.0,11
RC,360,"Excision of lesion, conjunctiva; with adjacent sclera Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,1982.0,6802.0,11
RC,360,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,2050.0,8577.0,8
RC,360,"Excision of lesion, esophagus, with primary repair; cervical approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,2050.0,8577.0,8
RC,360,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lesion, sclera ",,,2050.0,8727.0,11
RC,360,"Excision of lesion, sclera Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of lingual frenum (frenectomy) ,,,1982.0,6802.0,11
RC,360,Excision of lingual frenum (frenectomy) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of lip; V-excision with primary direct linear closure ,,,2050.0,6802.0,11
RC,360,Excision of lip; V-excision with primary direct linear closure Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,2050.0,8727.0,11
RC,360,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,2050.0,8727.0,11
RC,360,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of lip; transverse wedge excision with primary closure ,,,2050.0,8727.0,11
RC,360,Excision of lip; transverse wedge excision with primary closure Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of local lesion of epididymis ,,,2050.0,8727.0,11
RC,360,Excision of local lesion of epididymis Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,8577.0,8577.0,1
RC,360,Excision of mucosa of vestibule of mouth as donor graft ,,,1423.0,6802.0,11
RC,360,Excision of mucosa of vestibule of mouth as donor graft Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of multiple external papillae or tags, anus ",,,2050.0,6802.0,11
RC,360,"Excision of multiple external papillae or tags, anus Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,2050.0,8727.0,11
RC,360,Excision of neurofibroma or neurolemmoma; cutaneous nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,2050.0,12863.0,11
RC,360,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,2050.0,8727.0,11
RC,360,Excision of neurofibroma or neurolemmoma; major peripheral nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,2050.0,8727.0,11
RC,360,"Excision of neuroma; cutaneous nerve, surgically identifiable Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,2050.0,8727.0,11
RC,360,"Excision of neuroma; digital nerve, 1 or both, same digit Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of neuroma; hand or foot, except digital nerve ",,,2050.0,8727.0,11
RC,360,"Excision of neuroma; hand or foot, except digital nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of neuroma; major peripheral nerve, except sciatic ",,,2050.0,8727.0,11
RC,360,"Excision of neuroma; major peripheral nerve, except sciatic Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of neuroma; sciatic nerve ,,,2050.0,12863.0,11
RC,360,Excision of neuroma; sciatic nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of osseous tuberosities, dentoalveolar structures ",,,2050.0,8727.0,11
RC,360,"Excision of osseous tuberosities, dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,2050.0,13315.0,11
RC,360,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,2050.0,13315.0,11
RC,360,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,2050.0,13315.0,11
RC,360,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,2050.0,13315.0,11
RC,360,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,2050.0,7493.0,8
RC,360,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of penile plaque (Peyronie disease); ,,,2050.0,13315.0,11
RC,360,Excision of penile plaque (Peyronie disease); Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,2050.0,13315.0,11
RC,360,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,2050.0,13315.0,11
RC,360,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of perinephric cyst ,,,2050.0,8577.0,8
RC,360,Excision of perinephric cyst Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of presacral or sacrococcygeal tumor ,,,2050.0,8577.0,8
RC,360,Excision of presacral or sacrococcygeal tumor Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,2050.0,8577.0,8
RC,360,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,2050.0,8577.0,8
RC,360,"Excision of rectal procidentia, with anastomosis; perineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,2050.0,8727.0,11
RC,360,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,2050.0,10719.0,11
RC,360,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,2050.0,8727.0,11
RC,360,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of single external papilla or tag, anus ",,,2050.0,6802.0,11
RC,360,"Excision of single external papilla or tag, anus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision of spermatocele, with or without epididymectomy ",,,2050.0,8727.0,11
RC,360,"Excision of spermatocele, with or without epididymectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of sublingual gland ,,,2050.0,8727.0,11
RC,360,Excision of sublingual gland Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of sublingual salivary cyst (ranula) ,,,2050.0,8727.0,11
RC,360,Excision of sublingual salivary cyst (ranula) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of submandibular (submaxillary) gland ,,,2050.0,13315.0,11
RC,360,Excision of submandibular (submaxillary) gland Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of thrombosed hemorrhoid, external ",,,2050.0,6802.0,11
RC,360,"Excision of thrombosed hemorrhoid, external Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of thyroglossal duct cyst or sinus; ,,,2050.0,15007.0,11
RC,360,Excision of thyroglossal duct cyst or sinus; Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of thyroglossal duct cyst or sinus; recurrent ,,,2050.0,15007.0,11
RC,360,Excision of thyroglossal duct cyst or sinus; recurrent Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of tonsil tags ,,,2050.0,8727.0,11
RC,360,Excision of tonsil tags Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,2050.0,10719.0,11
RC,360,"Excision of urachal cyst or sinus, with or without umbilical hernia repair Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision of urethral diverticulum (separate procedure); female ,,,2050.0,10719.0,11
RC,360,Excision of urethral diverticulum (separate procedure); female Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of urethral diverticulum (separate procedure); male ,,,2050.0,8727.0,11
RC,360,Excision of urethral diverticulum (separate procedure); male Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of vaginal cyst or tumor ,,,2050.0,8727.0,11
RC,360,Excision of vaginal cyst or tumor Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of vaginal septum ,,,2050.0,8727.0,11
RC,360,Excision of vaginal septum Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,2050.0,8727.0,11
RC,360,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,2050.0,10719.0,11
RC,360,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,2050.0,10719.0,11
RC,360,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,2050.0,8727.0,11
RC,360,"Excision or destruction lingual tonsil, any method (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision or destruction of lesion of pharynx, any method ",,,2050.0,8727.0,11
RC,360,"Excision or destruction of lesion of pharynx, any method Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,2050.0,7493.0,9
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,2050.0,10719.0,9
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,2050.0,7493.0,8
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less O",,,2850.0,2850.0,1
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,2050.0,7493.0,8
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm O",,,2850.0,2850.0,1
RC,360,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,2050.0,10719.0,9
RC,360,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,5360.0,8727.0,3
RC,360,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,10737.0,13315.0,3
RC,360,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,10737.0,13315.0,3
RC,360,Excision or fulguration of carcinoma of urethra ,,,2050.0,10719.0,11
RC,360,Excision or fulguration of carcinoma of urethra Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision or fulguration; Skene's glands ,,,2050.0,8727.0,11
RC,360,Excision or fulguration; Skene's glands Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision or fulguration; urethral caruncle ,,,2050.0,8727.0,11
RC,360,Excision or fulguration; urethral caruncle Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision or fulguration; urethral polyp(s), distal urethra ",,,2050.0,8727.0,11
RC,360,"Excision or fulguration; urethral polyp(s), distal urethra Other Surgical Services",,,2850.0,2850.0,1
RC,360,Excision or fulguration; urethral prolapse ,,,2050.0,8727.0,11
RC,360,Excision or fulguration; urethral prolapse Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision or transposition of pterygium; with graft ,,,2050.0,8727.0,11
RC,360,Excision or transposition of pterygium; with graft Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision or transposition of pterygium; without graft ,,,2050.0,8727.0,11
RC,360,Excision or transposition of pterygium; without graft Other Surgical Services,,,2850.0,2850.0,1
RC,360,Excision or unroofing of cyst(s) of kidney ,,,2050.0,8577.0,8
RC,360,Excision or unroofing of cyst(s) of kidney Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Excision soft tissue lesion, external auditory canal ",,,2050.0,6802.0,11
RC,360,"Excision soft tissue lesion, external auditory canal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,2050.0,8577.0,8
RC,360,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,2050.0,8577.0,8
RC,360,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision, lesion of floor of mouth ",,,2050.0,8727.0,11
RC,360,"Excision, lesion of floor of mouth Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision, lesion of palate, uvula; with local flap closure ",,,2050.0,8727.0,11
RC,360,"Excision, lesion of palate, uvula; with local flap closure Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision, lesion of palate, uvula; with simple primary closure ",,,2050.0,6802.0,11
RC,360,"Excision, lesion of palate, uvula; with simple primary closure Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision, lesion of palate, uvula; without closure ",,,2050.0,6802.0,11
RC,360,"Excision, lesion of palate, uvula; without closure Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision, local; malignant tumor of stomach ",,,2050.0,8577.0,8
RC,360,"Excision, local; malignant tumor of stomach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Excision, local; ulcer or benign tumor of stomach ",,,2050.0,8577.0,8
RC,360,"Excision, local; ulcer or benign tumor of stomach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,2050.0,8577.0,8
RC,360,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,2050.0,10719.0,11
RC,360,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,2050.0,10719.0,11
RC,360,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,2050.0,10719.0,11
RC,360,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,2050.0,8577.0,8
RC,360,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography Other Surgical Services",,,2850.0,2850.0,1
RC,360,Exploration for undescended testis (inguinal or scrotal area) ,,,2050.0,10719.0,11
RC,360,Exploration for undescended testis (inguinal or scrotal area) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Exploration for undescended testis with abdominal exploration ,,,2050.0,8727.0,11
RC,360,Exploration for undescended testis with abdominal exploration Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Exploration of epididymis, with or without biopsy ",,,2050.0,8727.0,11
RC,360,"Exploration of epididymis, with or without biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exploration of orbit (transcranial approach), with removal of lesion ",,,2050.0,8577.0,8
RC,360,"Exploration of orbit (transcranial approach), with removal of lesion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exploration, repair, and presacral drainage for rectal injury; ",,,2050.0,8577.0,8
RC,360,"Exploration, repair, and presacral drainage for rectal injury; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,2050.0,8577.0,8
RC,360,"Exploration, repair, and presacral drainage for rectal injury; with colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,2050.0,10719.0,8
RC,360,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,2050.0,10719.0,11
RC,360,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,2050.0,53068.0,10
RC,360,"Exposure of prostate, any approach, for insertion of radioactive substance; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2050.0,53068.0,7
RC,360,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2050.0,53068.0,7
RC,360,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Expression of conjunctival follicles (eg, for trachoma) ",,,1423.0,6802.0,11
RC,360,"Expression of conjunctival follicles (eg, for trachoma) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,2050.0,8577.0,8
RC,360,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,2050.0,8577.0,9
RC,360,External cannula declotting (separate procedure); with balloon catheter ,,,2050.0,17341.0,6
RC,360,External cannula declotting (separate procedure); without balloon catheter ,,,2050.0,17341.0,6
RC,360,"External cephalic version, with or without tocolysis ",,,2050.0,8727.0,11
RC,360,"External cephalic version, with or without tocolysis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"External drainage, pseudocyst of pancreas, open ",,,2050.0,8577.0,8
RC,360,"External drainage, pseudocyst of pancreas, open Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2050.0,12863.0,9
RC,360,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2050.0,12863.0,9
RC,360,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,2050.0,8727.0,12
RC,360,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,2050.0,12863.0,30
RC,360,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,1982.0,6802.0,11
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,1423.0,6802.0,11
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,2050.0,6802.0,11
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,2050.0,8727.0,11
RC,360,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Other Surgical Services",,,2850.0,2850.0,1
RC,360,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,2820.0,5414.0,3
RC,360,FOOT PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,360,FOOT PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,360,FRACTURES OF FEMUR WITH MCC ,,,11000.0,11000.0,1
RC,360,FRACTURES OF FEMUR WITHOUT MCC ,,,11000.0,11000.0,1
RC,360,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11000.0,11000.0,1
RC,360,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,11000.0,11000.0,1
RC,360,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,8577.0,8577.0,1
RC,360,Fetal contraction stress test ,,,1423.0,6802.0,11
RC,360,Fetal contraction stress test Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,1423.0,6802.0,11
RC,360,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,2050.0,8577.0,8
RC,360,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,1423.0,6802.0,11
RC,360,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation Other Surgical Services",,,2850.0,2850.0,1
RC,360,Fetal non-stress test ,,,1423.0,6802.0,11
RC,360,Fetal non-stress test Other Surgical Services,,,2850.0,2850.0,1
RC,360,Fetal scalp blood sampling ,,,1423.0,6802.0,11
RC,360,Fetal scalp blood sampling Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Fetal shunt placement, including ultrasound guidance ",,,1423.0,6802.0,11
RC,360,"Fetal shunt placement, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,1423.0,6802.0,11
RC,360,"Fetal umbilical cord occlusion, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,Fimbrioplasty ,,,2050.0,10719.0,11
RC,360,Fimbrioplasty Other Surgical Services,,,2850.0,2850.0,1
RC,360,Fine needle aspiration of orbital contents ,,,2050.0,8727.0,11
RC,360,Fine needle aspiration of orbital contents Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Fissurectomy, including sphincterotomy, when performed ",,,2050.0,8727.0,11
RC,360,"Fissurectomy, including sphincterotomy, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,2050.0,8727.0,11
RC,360,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,2050.0,8727.0,11
RC,360,Fistulization of sclera for glaucoma; thermocauterization with iridectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,2050.0,8727.0,11
RC,360,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery Other Surgical Services,,,2850.0,2850.0,1
RC,360,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,2050.0,8727.0,11
RC,360,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,2050.0,8727.0,11
RC,360,Fistulization of sclera for glaucoma; trephination with iridectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Fitting and insertion of pessary or other intravaginal support device ,,,1423.0,6802.0,11
RC,360,Fitting and insertion of pessary or other intravaginal support device Other Surgical Services,,,2850.0,2850.0,1
RC,360,Fixation of contralateral testis (separate procedure) ,,,2050.0,8727.0,11
RC,360,Fixation of contralateral testis (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,5360.0,8727.0,3
RC,360,"Follicle puncture for oocyte retrieval, any method ",,,1982.0,6802.0,11
RC,360,"Follicle puncture for oocyte retrieval, any method Other Surgical Services",,,2850.0,2850.0,1
RC,360,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,1423.0,6802.0,11
RC,360,Foreskin manipulation including lysis of preputial adhesions and stretching Other Surgical Services,,,2850.0,2850.0,1
RC,360,Free jejunum transfer with microvascular anastomosis ,,,2050.0,8577.0,8
RC,360,Free jejunum transfer with microvascular anastomosis Other Surgical Services,,,2850.0,2850.0,1
RC,360,Free omental flap with microvascular anastomosis ,,,2050.0,8577.0,8
RC,360,Free omental flap with microvascular anastomosis Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,2050.0,13315.0,11
RC,360,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Frenulotomy of penis ,,,2050.0,8727.0,11
RC,360,Frenulotomy of penis Other Surgical Services,,,2850.0,2850.0,1
RC,360,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,11000.0,11000.0,1
RC,360,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,1423.0,6802.0,11
RC,360,"Gamete, zygote, or embryo intrafallopian transfer, any method Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,2050.0,8577.0,8
RC,360,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,2050.0,8577.0,8
RC,360,"Gastrectomy, partial, distal; with formation of intestinal pouch Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,2050.0,8577.0,8
RC,360,"Gastrectomy, partial, distal; with gastroduodenostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,2050.0,8577.0,8
RC,360,"Gastrectomy, partial, distal; with gastrojejunostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,2050.0,8577.0,8
RC,360,"Gastrectomy, total; with Roux-en-Y reconstruction Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastrectomy, total; with esophagoenterostomy ",,,2050.0,8577.0,8
RC,360,"Gastrectomy, total; with esophagoenterostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,2050.0,8577.0,8
RC,360,"Gastrectomy, total; with formation of intestinal pouch, any type Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,1423.0,6802.0,11
RC,360,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,1423.0,6802.0,12
RC,360,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,1423.0,6802.0,11
RC,360,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Gastric motility (manometric) studies ,,,1423.0,3251.0,4
RC,360,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,2050.0,36598.0,11
RC,360,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,2050.0,10719.0,11
RC,360,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,2050.0,6802.0,11
RC,360,"Gastric restrictive procedure, open; removal of subcutaneous port component only Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,2050.0,10719.0,11
RC,360,"Gastric restrictive procedure, open; revision of subcutaneous port component only Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,2050.0,15007.0,8
RC,360,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,2050.0,36598.0,10
RC,360,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,2050.0,36598.0,10
RC,360,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,2050.0,36598.0,10
RC,360,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,2050.0,36598.0,12
RC,360,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty Other Surgical Services",,,2850.0,2850.0,1
RC,360,Gastroduodenostomy ,,,2050.0,8577.0,8
RC,360,Gastroduodenostomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,2050.0,8577.0,9
RC,360,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,2050.0,8577.0,8
RC,360,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty Other Surgica",,,2850.0,2850.0,1
RC,360,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2820.0,5568.0,4
RC,360,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2820.0,5568.0,4
RC,360,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2820.0,5568.0,4
RC,360,"Gastrojejunostomy; with vagotomy, any type ",,,2050.0,8577.0,8
RC,360,"Gastrojejunostomy; with vagotomy, any type Other Surgical Services",,,2850.0,2850.0,1
RC,360,Gastrojejunostomy; without vagotomy ,,,2050.0,8577.0,8
RC,360,Gastrojejunostomy; without vagotomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,2050.0,10719.0,8
RC,360,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastrostomy, open; neonatal, for feeding ",,,2050.0,6802.0,11
RC,360,"Gastrostomy, open; neonatal, for feeding Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,2050.0,8577.0,8
RC,360,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,2050.0,8727.0,11
RC,360,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,2050.0,6802.0,11
RC,360,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Gastrotomy; with exploration or foreign body removal ,,,2050.0,8577.0,8
RC,360,Gastrotomy; with exploration or foreign body removal Other Surgical Services,,,2850.0,2850.0,1
RC,360,Gastrotomy; with suture repair of bleeding ulcer ,,,2050.0,8577.0,8
RC,360,Gastrotomy; with suture repair of bleeding ulcer Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,2050.0,8577.0,8
RC,360,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gingivectomy, excision gingiva, each quadrant ",,,2050.0,8727.0,11
RC,360,"Gingivectomy, excision gingiva, each quadrant Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Gingivoplasty, each quadrant (specify) ",,,2050.0,13315.0,11
RC,360,"Gingivoplasty, each quadrant (specify) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,2050.0,8577.0,8
RC,360,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,2050.0,8577.0,8
RC,360,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,2050.0,8577.0,8
RC,360,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,2050.0,8577.0,8
RC,360,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,2050.0,8577.0,8
RC,360,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,360,Glossectomy; hemiglossectomy ,,,2050.0,8577.0,8
RC,360,Glossectomy; hemiglossectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Glossectomy; less than one-half tongue ,,,2050.0,13315.0,11
RC,360,Glossectomy; less than one-half tongue Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Glossectomy; partial, with unilateral radical neck dissection ",,,2050.0,7493.0,8
RC,360,"Glossectomy; partial, with unilateral radical neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,360,Goniotomy ,,,2050.0,8727.0,11
RC,360,Goniotomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,2050.0,8727.0,11
RC,360,Graft (Thiersch operation) for rectal incontinence and/or prolapse Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,360,"Guided tissue regeneration - resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,360,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,8577.0,8577.0,1
RC,360,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,8577.0,8577.0,1
RC,360,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,11000.0,11000.0,1
RC,360,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,360,HFenestration semicircular canal ,,,10737.0,13315.0,3
RC,360,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,11000.0,11000.0,1
RC,360,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,11000.0,11000.0,1
RC,360,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,360,HIntroduction of needle or intracatheter; retrograde brachial artery ,,,1423.0,3251.0,3
RC,360,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,5360.0,8727.0,3
RC,360,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,10737.0,72171.0,4
RC,360,HRevision fenestration operation ,,,10737.0,13315.0,3
RC,360,HTherapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion ,,,7583.0,9539.0,3
RC,360,"Harvesting conjunctival allograft, living donor ",,,2050.0,8727.0,11
RC,360,"Harvesting conjunctival allograft, living donor Other Surgical Services",,,2850.0,2850.0,1
RC,360,Hematopoietic progenitor cell (HPC); HPC boost ,,,2050.0,6802.0,11
RC,360,Hematopoietic progenitor cell (HPC); HPC boost Other Surgical Services,,,2850.0,2850.0,1
RC,360,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,2050.0,12863.0,11
RC,360,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Other Surgical Services,,,2850.0,2850.0,1
RC,360,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,2050.0,9539.0,11
RC,360,Hematopoietic progenitor cell (HPC); autologous transplantation Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,2050.0,8727.0,11
RC,360,"Hemorrhoidectomy, external, 2 or more columns/groups Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,2050.0,8727.0,11
RC,360,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,2050.0,8727.0,11
RC,360,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,2050.0,8727.0,11
RC,360,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hemorrhoidectomy, internal and external, single column/group; ",,,2050.0,8727.0,11
RC,360,"Hemorrhoidectomy, internal and external, single column/group; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,2050.0,8727.0,11
RC,360,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,2050.0,8727.0,11
RC,360,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,2050.0,8727.0,11
RC,360,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,2050.0,8727.0,11
RC,360,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,1982.0,6802.0,11
RC,360,"Hemorrhoidectomy, internal, by rubber band ligation(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,2050.0,7493.0,8
RC,360,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,2050.0,10719.0,11
RC,360,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hepatectomy, resection of liver; partial lobectomy ",,,2050.0,8577.0,8
RC,360,"Hepatectomy, resection of liver; partial lobectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hepatectomy, resection of liver; total left lobectomy ",,,2050.0,8577.0,8
RC,360,"Hepatectomy, resection of liver; total left lobectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hepatectomy, resection of liver; total right lobectomy ",,,2050.0,8577.0,8
RC,360,"Hepatectomy, resection of liver; total right lobectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hepatectomy, resection of liver; trisegmentectomy ",,,2050.0,8577.0,8
RC,360,"Hepatectomy, resection of liver; trisegmentectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,2050.0,8577.0,8
RC,360,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,2050.0,8577.0,8
RC,360,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hymenotomy, simple incision ",,,2050.0,8727.0,11
RC,360,"Hymenotomy, simple incision Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,2050.0,8577.0,8
RC,360,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,2050.0,8577.0,8
RC,360,"Hysteroplasty, repair of uterine anomaly (Strassman type) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Hysterorrhaphy of ruptured uterus ,,,2050.0,6802.0,7
RC,360,Hysterorrhaphy of ruptured uterus Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,2050.0,8577.0,8
RC,360,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Hysteroscopy, diagnostic (separate procedure) ",,,2350.0,13830.0,12
RC,360,"Hysteroscopy, diagnostic (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,2350.0,13830.0,12
RC,360,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Complex Surgery",,,11754.0,11754.0,2
RC,360,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,2350.0,13830.0,12
RC,360,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,2350.0,13830.0,12
RC,360,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,2350.0,13830.0,12
RC,360,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,2350.0,13830.0,12
RC,360,"Hysteroscopy, surgical; with removal of impacted foreign body Complex Surgery",,,11754.0,11754.0,2
RC,360,"Hysteroscopy, surgical; with removal of leiomyomata ",,,2350.0,13830.0,12
RC,360,"Hysteroscopy, surgical; with removal of leiomyomata Complex Surgery",,,11754.0,11754.0,2
RC,360,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,2350.0,13830.0,13
RC,360,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Complex Surgery",,,11754.0,11754.0,2
RC,360,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,2050.0,8727.0,11
RC,360,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) Other Surgical Services",,,2850.0,2850.0,1
RC,360,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,1423.0,3251.0,3
RC,360,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,3
RC,360,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,1423.0,3251.0,3
RC,360,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,360,INJECT SPINE CERV/THORACIC ,,,1982.0,3689.0,3
RC,360,INJECT SPINE LUMBAR/SACRAL ,,,1982.0,3689.0,3
RC,360,INJECT SPINE W/CATH CRV/THRC ,,,1982.0,3689.0,3
RC,360,INJECT SPINE W/CATH LMB/SCRL ,,,1982.0,3689.0,3
RC,360,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,360,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1982.0,3689.0,3
RC,360,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,1423.0,3251.0,3
RC,360,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1423.0,3251.0,3
RC,360,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,5360.0,8727.0,3
RC,360,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,11
RC,360,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,360,"Ileoscopy, through stoma; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,360,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,2050.0,6802.0,11
RC,360,"Ileoscopy, through stoma; with transendoscopic balloon dilation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ileostomy or jejunostomy, non-tube ",,,2050.0,8577.0,8
RC,360,"Ileostomy or jejunostomy, non-tube Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,2050.0,6802.0,11
RC,360,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,2050.0,6802.0,11
RC,360,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,2050.0,6802.0,11
RC,360,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,10737.0,13315.0,4
RC,360,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,7583.0,10719.0,4
RC,360,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,2050.0,8577.0,8
RC,360,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic Other Surgical Services",,,2850.0,2850.0,1
RC,360,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,2050.0,8577.0,8
RC,360,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Implantation of intrastromal corneal ring segments ,,,2050.0,13315.0,11
RC,360,Implantation of intrastromal corneal ring segments Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,2350.0,13315.0,8
RC,360,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,2050.0,12863.0,8
RC,360,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,19295.0,19295.0,1
RC,360,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,1423.0,6802.0,11
RC,360,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,2350.0,23350.0,8
RC,360,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,2350.0,23350.0,9
RC,360,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,2350.0,23350.0,8
RC,360,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,2050.0,13315.0,11
RC,360,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,2050.0,8577.0,8
RC,360,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2050.0,15007.0,9
RC,360,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2050.0,15007.0,9
RC,360,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2050.0,19295.0,11
RC,360,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,2050.0,15007.0,12
RC,360,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,2050.0,13315.0,12
RC,360,Incision and drainage abscess; peritonsillar ,,,1423.0,6802.0,11
RC,360,Incision and drainage abscess; peritonsillar Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,2050.0,13315.0,11
RC,360,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,2050.0,6802.0,11
RC,360,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,Incision and drainage of Bartholin's gland abscess ,,,1423.0,6802.0,11
RC,360,Incision and drainage of Bartholin's gland abscess Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Incision and drainage of appendiceal abscess, open ",,,2050.0,8577.0,8
RC,360,"Incision and drainage of appendiceal abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,2050.0,6802.0,11
RC,360,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,2050.0,8727.0,11
RC,360,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,2050.0,8727.0,11
RC,360,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,360,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,2050.0,6802.0,11
RC,360,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,2050.0,6802.0,11
RC,360,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Incision and drainage of penis, deep ",,,2050.0,8727.0,11
RC,360,"Incision and drainage of penis, deep Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Incision and drainage of submucosal abscess, rectum ",,,2050.0,6802.0,11
RC,360,"Incision and drainage of submucosal abscess, rectum Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Incision and drainage of thyroglossal duct cyst, infected ",,,1982.0,6802.0,11
RC,360,"Incision and drainage of thyroglossal duct cyst, infected Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,2050.0,8727.0,11
RC,360,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,2050.0,6802.0,11
RC,360,Incision and drainage of vaginal hematoma; obstetrical/postpartum Other Surgical Services,,,2850.0,2850.0,1
RC,360,Incision and drainage of vulva or perineal abscess ,,,1423.0,6802.0,10
RC,360,Incision and drainage of vulva or perineal abscess Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Incision and drainage, perianal abscess, superficial ",,,1982.0,6802.0,11
RC,360,"Incision and drainage, perianal abscess, superficial Other Surgical Services",,,2850.0,2850.0,1
RC,360,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,2050.0,8577.0,8
RC,360,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,2050.0,8577.0,8
RC,360,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Incision of conjunctiva, drainage of cyst ",,,1982.0,6802.0,11
RC,360,"Incision of conjunctiva, drainage of cyst Other Surgical Services",,,2850.0,2850.0,1
RC,360,Incision of labial frenum (frenotomy) ,,,1423.0,6802.0,11
RC,360,Incision of labial frenum (frenotomy) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Incision of lingual frenum (frenotomy) ,,,1982.0,6802.0,11
RC,360,Incision of lingual frenum (frenotomy) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Incision of thrombosed hemorrhoid, external ",,,1423.0,6802.0,11
RC,360,"Incision of thrombosed hemorrhoid, external Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Incision, anal septum (infant) ",,,2050.0,6802.0,11
RC,360,"Incision, anal septum (infant) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Incision, drainage of lacrimal gland ",,,1982.0,6802.0,11
RC,360,"Incision, drainage of lacrimal gland Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,1982.0,6802.0,11
RC,360,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Incisional biopsy of eyelid skin including lid margin ,,,1423.0,6802.0,11
RC,360,Incisional biopsy of eyelid skin including lid margin Other Surgical Services,,,2850.0,2850.0,1
RC,360,Indexing for osteotomy ,,,8577.0,8577.0,1
RC,360,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,2050.0,8577.0,8
RC,360,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,2050.0,8577.0,9
RC,360,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,2050.0,8577.0,9
RC,360,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,2050.0,8577.0,8
RC,360,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; O",,,2850.0,2850.0,1
RC,360,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,2050.0,8577.0,18
RC,360,"Induced abortion, by dilation and curettage ",,,2050.0,8727.0,11
RC,360,"Induced abortion, by dilation and curettage Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Induced abortion, by dilation and evacuation ",,,2050.0,8727.0,11
RC,360,"Induced abortion, by dilation and evacuation Other Surgical Services",,,2850.0,2850.0,1
RC,360,Induction of arrhythmia by electrical pacing ,,,6826.0,19105.0,4
RC,360,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,2050.0,8577.0,9
RC,360,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,2050.0,8577.0,9
RC,360,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,2050.0,8727.0,11
RC,360,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,2050.0,83613.0,9
RC,360,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1423.0,3251.0,4
RC,360,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,1423.0,6802.0,11
RC,360,Injection of air or contrast into peritoneal cavity (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Injection of contrast medium for dacryocystography ,,,1423.0,6802.0,11
RC,360,Injection of contrast medium for dacryocystography Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,1423.0,6802.0,11
RC,360,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Injection of medication or other substance into Tenon's capsule ,,,1423.0,6802.0,11
RC,360,Injection of medication or other substance into Tenon's capsule Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal v",,,2050.0,6802.0,9
RC,360,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity t",,,2050.0,6802.0,9
RC,360,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg ",,,1423.0,6802.0,11
RC,360,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg Other Surgical Services",,,2850.0,2850.0,1
RC,360,Injection of sclerosant; single incompetent vein (other than telangiectasia) ,,,1423.0,6802.0,11
RC,360,Injection of sclerosant; single incompetent vein (other than telangiectasia) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Injection of sclerosing solution, hemorrhoids ",,,1982.0,6802.0,11
RC,360,"Injection of sclerosing solution, hemorrhoids Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,2350.0,8727.0,8
RC,360,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,1423.0,6802.0,11
RC,360,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt Other Surgical Services",,,2850.0,2850.0,1
RC,360,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,1423.0,6802.0,11
RC,360,Injection procedure and placement of chain for contrast and/or chain urethrocystography Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1423.0,12038.0,8
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1423.0,12038.0,8
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1423.0,12038.0,8
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1423.0,12038.0,8
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,2143.0,2143.0,1
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,2143.0,2143.0,1
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,2143.0,2143.0,1
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,2143.0,2143.0,1
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1423.0,12038.0,8
RC,360,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1423.0,12038.0,8
RC,360,Injection procedure for Peyronie disease; ,,,1423.0,6802.0,11
RC,360,Injection procedure for Peyronie disease; Other Surgical Services,,,2850.0,2850.0,1
RC,360,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,2050.0,10719.0,11
RC,360,Injection procedure for Peyronie disease; with surgical exposure of plaque Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1982.0,6802.0,24
RC,360,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,2050.0,8727.0,11
RC,360,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,1423.0,10719.0,24
RC,360,Injection procedure for corpora cavernosography ,,,1423.0,6802.0,11
RC,360,Injection procedure for corpora cavernosography Other Surgical Services,,,2850.0,2850.0,1
RC,360,Injection procedure for cystography or voiding urethrocystography ,,,1423.0,6802.0,11
RC,360,Injection procedure for cystography or voiding urethrocystography Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Injection procedure for discography, each level; cervical or thoracic ",,,1423.0,6802.0,11
RC,360,"Injection procedure for discography, each level; cervical or thoracic Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection procedure for discography, each level; lumbar ",,,1423.0,6802.0,11
RC,360,"Injection procedure for discography, each level; lumbar Other Surgical Services",,,2850.0,2850.0,1
RC,360,Injection procedure for extremity venography (including introduction of needle or intracatheter) ,,,1423.0,6802.0,11
RC,360,Injection procedure for extremity venography (including introduction of needle or intracatheter) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,2050.0,8577.0,8
RC,360,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Injection procedure for myelography and/or computed tomography, lumbar ",,,1423.0,6802.0,11
RC,360,"Injection procedure for myelography and/or computed tomography, lumbar Other Surgical Services",,,2850.0,2850.0,1
RC,360,Injection procedure for retrograde urethrocystography ,,,1423.0,6802.0,11
RC,360,Injection procedure for retrograde urethrocystography Other Surgical Services,,,2850.0,2850.0,1
RC,360,Injection procedure for sacroiliac joint; arthrography ,,,1423.0,3251.0,4
RC,360,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1982.0,4009.0,4
RC,360,Injection procedure for sialography ,,,1423.0,6802.0,11
RC,360,Injection procedure for sialography Other Surgical Services,,,2850.0,2850.0,1
RC,360,Injection procedure for splenoportography ,,,1423.0,6802.0,11
RC,360,Injection procedure for splenoportography Other Surgical Services,,,2850.0,2850.0,1
RC,360,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,11
RC,360,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,1423.0,6802.0,11
RC,360,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1982.0,6802.0,11
RC,360,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal Other Surgical Services",,,2850.0,2850.0,1
RC,360,Injection procedure; lymphangiography ,,,1423.0,6802.0,11
RC,360,Injection procedure; lymphangiography Other Surgical Services,,,2850.0,2850.0,1
RC,360,Injection procedure; radioactive tracer for identification of sentinel node ,,,1423.0,6802.0,11
RC,360,Injection procedure; radioactive tracer for identification of sentinel node Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm ",,,1423.0,6802.0,11
RC,360,"Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk ",,,1423.0,6802.0,11
RC,360,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,2050.0,8727.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2050.0,6802.0,8
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,1423.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,1423.0,6802.0,12
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,1423.0,6802.0,12
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,1982.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,1423.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,1423.0,6802.0,11
RC,360,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,1423.0,6802.0,12
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,1982.0,6802.0,12
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,1423.0,6802.0,12
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,1423.0,6802.0,12
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,1982.0,6802.0,11
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level Othe",,,2850.0,2850.0,1
RC,360,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,1423.0,6802.0,12
RC,360,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1982.0,6802.0,48
RC,360,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1982.0,6802.0,48
RC,360,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,1982.0,6802.0,11
RC,360,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,1982.0,6802.0,11
RC,360,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection, anesthetic agent; sphenopalatine ganglion ",,,1423.0,6802.0,11
RC,360,"Injection, anesthetic agent; sphenopalatine ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,1982.0,6802.0,11
RC,360,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection, anesthetic agent; superior hypogastric plexus ",,,1982.0,6802.0,11
RC,360,"Injection, anesthetic agent; superior hypogastric plexus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,2050.0,6802.0,11
RC,360,"Injection, anterior chamber of eye (separate procedure); air or liquid Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection, anterior chamber of eye (separate procedure); medication ",,,2050.0,6802.0,11
RC,360,"Injection, anterior chamber of eye (separate procedure); medication Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection, epidural, of blood or clot patch ",,,1982.0,6802.0,11
RC,360,"Injection, epidural, of blood or clot patch Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,2050.0,8727.0,11
RC,360,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,2050.0,8727.0,11
RC,360,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,1982.0,6802.0,11
RC,360,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,4009.0,8727.0,4
RC,360,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,360,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,360,Insertion of Heyman capsules for clinical brachytherapy ,,,2350.0,8727.0,9
RC,360,Insertion of Thomas shunt (separate procedure) ,,,2050.0,17341.0,7
RC,360,Insertion of Thomas shunt (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,1982.0,6802.0,11
RC,360,"Insertion of a temporary prostatic urethral stent, including urethral measurement Other Surgical Services",,,2850.0,2850.0,1
RC,360,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,1423.0,6802.0,11
RC,360,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,2050.0,13315.0,10
RC,360,"Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) ",,,2050.0,17341.0,8
RC,360,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,2050.0,17341.0,7
RC,360,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,2050.0,17341.0,7
RC,360,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,2050.0,17341.0,7
RC,360,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2050.0,6802.0,11
RC,360,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,19295.0,19295.0,1
RC,360,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,1423.0,6802.0,11
RC,360,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,2050.0,7493.0,8
RC,360,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2050.0,6802.0,11
RC,360,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2050.0,6802.0,11
RC,360,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) ",,,2050.0,23350.0,11
RC,360,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Insertion of implants into the soft palate; minimum of three implants ,,,1982.0,5568.0,4
RC,360,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,2050.0,16982.0,15
RC,360,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Complex Surgery",,,11754.0,11754.0,2
RC,360,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,2050.0,8727.0,11
RC,360,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Other Surgical Services",,,2850.0,2850.0,1
RC,360,Insertion of intrauterine device (IUD) ,,,1423.0,6802.0,9
RC,360,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,2050.0,15007.0,12
RC,360,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,9
RC,360,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,2350.0,36087.0,8
RC,360,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,8577.0,8577.0,1
RC,360,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,8577.0,8577.0,1
RC,360,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,8577.0,8577.0,1
RC,360,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,2143.0,2143.0,1
RC,360,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,1423.0,6802.0,11
RC,360,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older ,,,2050.0,17341.0,8
RC,360,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older Other Surgical Services,,,2850.0,2850.0,1
RC,360,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age ,,,2050.0,17341.0,8
RC,360,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,2050.0,10719.0,11
RC,360,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,2050.0,10719.0,11
RC,360,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,2050.0,10719.0,11
RC,360,"Insertion of ocular implant secondary; after evisceration, in scleral shell Other Surgical Services",,,2850.0,2850.0,1
RC,360,Insertion of penile prosthesis; inflatable (self-contained) ,,,2350.0,36087.0,8
RC,360,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,2350.0,36087.0,8
RC,360,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,2050.0,23692.0,12
RC,360,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,2050.0,17341.0,8
RC,360,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,2050.0,17341.0,18
RC,360,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older ",,,2050.0,23692.0,12
RC,360,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age ",,,2050.0,17341.0,8
RC,360,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age Other Surgical Services",,,2850.0,2850.0,1
RC,360,Insertion of peritoneal-venous shunt ,,,2050.0,6802.0,11
RC,360,Insertion of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,1
RC,360,Insertion of pin-retained palatal prosthesis ,,,2050.0,6802.0,11
RC,360,Insertion of pin-retained palatal prosthesis Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,10719.0,10719.0,1
RC,360,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,2050.0,8577.0,9
RC,360,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,2050.0,6802.0,11
RC,360,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,2050.0,23350.0,11
RC,360,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Other Surgical Services",,,2850.0,2850.0,1
RC,360,Insertion of tandem cuff (dual cuff) ,,,2050.0,16982.0,15
RC,360,Insertion of tandem cuff (dual cuff) Complex Surgery,,,11754.0,11754.0,2
RC,360,Insertion of tandem cuff (dual cuff) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,1423.0,6802.0,11
RC,360,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,1423.0,6802.0,11
RC,360,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Insertion of testicular prosthesis (separate procedure) ,,,2050.0,8727.0,11
RC,360,Insertion of testicular prosthesis (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,2050.0,8577.0,9
RC,360,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,2050.0,19295.0,9
RC,360,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump ,,,2050.0,23692.0,12
RC,360,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) ",,,2050.0,17341.0,8
RC,360,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) ",,,2050.0,17341.0,8
RC,360,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) Other Surgi",,,2850.0,2850.0,1
RC,360,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,2050.0,23692.0,12
RC,360,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,2050.0,17341.0,8
RC,360,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older ",,,2050.0,23692.0,12
RC,360,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age ",,,2050.0,17341.0,8
RC,360,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,2050.0,10719.0,12
RC,360,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,2050.0,10719.0,11
RC,360,"Insertion of tunneled intraperitoneal catheter for dialysis, open Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,2050.0,15007.0,11
RC,360,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1982.0,53068.0,11
RC,360,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,8577.0,57784.0,11
RC,360,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,2050.0,72171.0,15
RC,360,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Complex Surgery",,,11754.0,11754.0,2
RC,360,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,2050.0,72171.0,15
RC,360,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Complex Surgery",,,11754.0,11754.0,2
RC,360,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,2050.0,6802.0,9
RC,360,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,2050.0,19295.0,8
RC,360,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,2350.0,72171.0,15
RC,360,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,2350.0,72171.0,12
RC,360,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver Complex Surgery",,,11754.0,11754.0,2
RC,360,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,5568.0,5568.0,1
RC,360,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,1423.0,6802.0,11
RC,360,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,2050.0,8577.0,8
RC,360,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y Other Surgical Services,,,2850.0,2850.0,1
RC,360,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,2050.0,8577.0,8
RC,360,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,1423.0,6802.0,11
RC,360,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1423.0,3251.0,4
RC,360,Intersex surgery; female to male ,,,2050.0,6802.0,7
RC,360,Intersex surgery; female to male Other Surgical Services,,,2850.0,2850.0,1
RC,360,Intersex surgery; male to female ,,,2050.0,6802.0,7
RC,360,Intersex surgery; male to female Other Surgical Services,,,2850.0,2850.0,1
RC,360,Intestinal allotransplantation; from cadaver donor ,,,2050.0,8577.0,8
RC,360,Intestinal allotransplantation; from cadaver donor Other Surgical Services,,,2850.0,2850.0,1
RC,360,Intestinal allotransplantation; from living donor ,,,2050.0,8577.0,8
RC,360,Intestinal allotransplantation; from living donor Other Surgical Services,,,2850.0,2850.0,1
RC,360,Intestinal plication (separate procedure) ,,,2050.0,8577.0,8
RC,360,Intestinal plication (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,2050.0,8577.0,8
RC,360,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction Other Surgical Services",,,2850.0,2850.0,1
RC,360,Intra-atrial pacing ,,,6826.0,19105.0,4
RC,360,Intra-atrial recording ,,,6826.0,19105.0,4
RC,360,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,19105.0,4
RC,360,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,2050.0,8727.0,11
RC,360,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,1575.0,17341.0,6
RC,360,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,8
RC,360,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1423.0,17341.0,7
RC,360,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,360,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,360,Intraoperative colonic lavage (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,2143.0,2143.0,1
RC,360,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,2143.0,2143.0,1
RC,360,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) Other Surgic",,,2850.0,2850.0,1
RC,360,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,2143.0,2143.0,1
RC,360,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,2143.0,2143.0,1
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,1982.0,6802.0,11
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,1423.0,6802.0,11
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,2050.0,8727.0,11
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,1423.0,6802.0,11
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,2050.0,6802.0,11
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,2050.0,8727.0,11
RC,360,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1423.0,3251.0,8
RC,360,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,2143.0,6802.0,7
RC,360,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,2143.0,6802.0,7
RC,360,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,1423.0,6802.0,9
RC,360,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,1423.0,6802.0,9
RC,360,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,19105.0,4
RC,360,Intraventricular pacing ,,,6826.0,19105.0,4
RC,360,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,1423.0,6802.0,8
RC,360,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,1423.0,6802.0,11
RC,360,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Introduction of catheter, aorta ",,,1423.0,6802.0,9
RC,360,"Introduction of catheter, right heart or main pulmonary artery ",,,1423.0,6802.0,11
RC,360,"Introduction of catheter, right heart or main pulmonary artery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Introduction of catheter, superior or inferior vena cava ",,,1423.0,6802.0,11
RC,360,"Introduction of catheter, superior or inferior vena cava Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,1982.0,6802.0,11
RC,360,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Introduction of needle or intracatheter, aortic, translumbar ",,,1423.0,6802.0,11
RC,360,"Introduction of needle or intracatheter, aortic, translumbar Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Introduction of needle or intracatheter, carotid or vertebral artery ",,,1423.0,6802.0,11
RC,360,"Introduction of needle or intracatheter, carotid or vertebral artery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Introduction of needle or intracatheter, upper or lower extremity artery ",,,1423.0,6802.0,9
RC,360,"Introduction of needle or intracatheter, vein ",,,1423.0,6802.0,10
RC,360,"Introduction of needle or intracatheter, vein Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,1982.0,23692.0,42
RC,360,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,2050.0,8727.0,11
RC,360,"Iridectomy, with corneoscleral or corneal section; for removal of lesion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,2050.0,8727.0,11
RC,360,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,2050.0,6802.0,11
RC,360,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,2050.0,6802.0,11
RC,360,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,2050.0,13315.0,11
RC,360,"Iridectomy, with corneoscleral or corneal section; with cyclectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,1982.0,6802.0,11
RC,360,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Iridotomy by stab incision (separate procedure); except transfixion ,,,1423.0,6802.0,11
RC,360,Iridotomy by stab incision (separate procedure); except transfixion Other Surgical Services,,,2850.0,2850.0,1
RC,360,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,2050.0,6802.0,11
RC,360,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,1982.0,6802.0,11
RC,360,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Irrigation of corpora cavernosa for priapism ,,,1423.0,6802.0,11
RC,360,Irrigation of corpora cavernosa for priapism Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,1423.0,6802.0,11
RC,360,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease Other Surgical Services",,,2850.0,2850.0,1
RC,360,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,11000.0,11000.0,1
RC,360,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,11000.0,11000.0,1
RC,360,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,11000.0,11000.0,1
RC,360,Keratomileusis ,,,2050.0,8727.0,11
RC,360,Keratomileusis Other Surgical Services,,,2850.0,2850.0,1
RC,360,Keratophakia ,,,2050.0,7493.0,10
RC,360,Keratophakia Other Surgical Services,,,2850.0,2850.0,1
RC,360,Keratoplasty (corneal transplant); anterior lamellar ,,,2050.0,13315.0,11
RC,360,Keratoplasty (corneal transplant); anterior lamellar Other Surgical Services,,,2850.0,2850.0,1
RC,360,Keratoplasty (corneal transplant); endothelial ,,,2050.0,13315.0,11
RC,360,Keratoplasty (corneal transplant); endothelial Other Surgical Services,,,2850.0,2850.0,1
RC,360,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,2050.0,13315.0,11
RC,360,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,2050.0,13315.0,11
RC,360,Keratoplasty (corneal transplant); penetrating (in aphakia) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,2050.0,13315.0,11
RC,360,Keratoplasty (corneal transplant); penetrating (in pseudophakia) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Keratoprosthesis ,,,2050.0,15007.0,11
RC,360,Keratoprosthesis Other Surgical Services,,,2850.0,2850.0,1
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,360,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,11000.0,11000.0,3
RC,360,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,11000.0,11000.0,1
RC,360,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11000.0,11000.0,1
RC,360,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,11000.0,11000.0,1
RC,360,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,360,Labyrinthectomy; transcanal ,,,2050.0,13315.0,11
RC,360,Labyrinthectomy; transcanal Other Surgical Services,,,2850.0,2850.0,1
RC,360,Labyrinthectomy; with mastoidectomy ,,,2050.0,13315.0,11
RC,360,Labyrinthectomy; with mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,2050.0,6802.0,11
RC,360,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,2350.0,19295.0,9
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,2350.0,8577.0,6
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,2350.0,19295.0,9
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,2350.0,8577.0,6
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,2350.0,8577.0,6
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,2350.0,8577.0,6
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,2350.0,19295.0,9
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,2350.0,8577.0,6
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,2350.0,8577.0,6
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,2350.0,8577.0,6
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,2350.0,19295.0,9
RC,360,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,2350.0,8577.0,6
RC,360,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,2350.0,8577.0,6
RC,360,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,2350.0,19295.0,9
RC,360,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,2350.0,8577.0,6
RC,360,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,2350.0,8577.0,6
RC,360,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,2350.0,15007.0,6
RC,360,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,2350.0,8727.0,9
RC,360,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,2350.0,15007.0,6
RC,360,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,2350.0,15007.0,6
RC,360,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,2350.0,8577.0,6
RC,360,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,2350.0,8577.0,6
RC,360,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,2350.0,19295.0,9
RC,360,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,2350.0,72171.0,12
RC,360,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,2350.0,8577.0,6
RC,360,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,2350.0,8577.0,6
RC,360,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,2350.0,8577.0,6
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,2350.0,15007.0,8
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,2350.0,15007.0,8
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,2350.0,15007.0,8
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,2350.0,15007.0,8
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,2350.0,15007.0,8
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,2350.0,15007.0,8
RC,360,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,2350.0,15007.0,8
RC,360,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,2350.0,8577.0,6
RC,360,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,2350.0,15007.0,8
RC,360,Laminectomy with rhizotomy; 1 or 2 segments ,,,2350.0,19295.0,9
RC,360,Laminectomy with rhizotomy; more than 2 segments ,,,2350.0,19295.0,9
RC,360,Laminectomy with section of spinal accessory nerve ,,,2350.0,19295.0,9
RC,360,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1423.0,15007.0,32
RC,360,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,2143.0,6802.0,10
RC,360,"Laminectomy, with release of tethered spinal cord, lumbar ",,,2350.0,19295.0,9
RC,360,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,2350.0,8577.0,5
RC,360,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,2350.0,8577.0,5
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,15007.0,15007.0,1
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,2350.0,15007.0,8
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,2350.0,10719.0,16
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,2350.0,15007.0,8
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,2350.0,15007.0,8
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,2350.0,15007.0,12
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1423.0,6802.0,8
RC,360,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,2350.0,8577.0,5
RC,360,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,2350.0,15007.0,12
RC,360,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,360,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,2350.0,15007.0,12
RC,360,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,360,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,2050.0,13830.0,14
RC,360,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2050.0,19295.0,7
RC,360,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,2050.0,15007.0,9
RC,360,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,2050.0,15007.0,8
RC,360,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) Other Surgic",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2050.0,15007.0,9
RC,360,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,2050.0,19295.0,15
RC,360,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,2050.0,19295.0,15
RC,360,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical, appendectomy ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical, appendectomy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,2050.0,8577.0,7
RC,360,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,2050.0,8577.0,7
RC,360,"Laparoscopy, surgical, colostomy or skin level cecostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,2050.0,15007.0,11
RC,360,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,2050.0,15007.0,10
RC,360,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,2350.0,13830.0,9
RC,360,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,2350.0,15007.0,9
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,2050.0,15007.0,11
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,2050.0,36598.0,10
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,2050.0,31841.0,10
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,2050.0,31841.0,10
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,2050.0,31841.0,10
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,2050.0,31841.0,10
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,2050.0,36598.0,10
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,2050.0,36598.0,10
RC,360,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,2050.0,8577.0,7
RC,360,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,2350.0,13830.0,12
RC,360,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical, splenectomy ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical, splenectomy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,2050.0,18956.0,7
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2050.0,18956.0,7
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2050.0,18956.0,7
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2050.0,18956.0,7
RC,360,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,2350.0,18956.0,5
RC,360,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,2350.0,13315.0,8
RC,360,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,2350.0,15007.0,8
RC,360,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,2350.0,18956.0,5
RC,360,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,2350.0,18956.0,9
RC,360,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2350.0,18956.0,9
RC,360,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,2350.0,18956.0,9
RC,360,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2350.0,18956.0,9
RC,360,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,2350.0,18956.0,9
RC,360,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2350.0,18956.0,9
RC,360,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,2350.0,18956.0,9
RC,360,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2350.0,18956.0,9
RC,360,"Laparoscopy, surgical; ablation of renal cysts ",,,2350.0,13830.0,12
RC,360,"Laparoscopy, surgical; ablation of renal cysts Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,2350.0,19295.0,12
RC,360,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; cholecystectomy ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; cholecystoenterostomy ",,,2350.0,11556.0,9
RC,360,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,2350.0,13315.0,8
RC,360,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,2350.0,8577.0,5
RC,360,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,2350.0,8577.0,5
RC,360,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,2350.0,8577.0,5
RC,360,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,2350.0,8577.0,5
RC,360,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,2050.0,8577.0,8
RC,360,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,2050.0,8577.0,7
RC,360,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,2350.0,8577.0,5
RC,360,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,2350.0,13830.0,9
RC,360,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,2350.0,13315.0,8
RC,360,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,2350.0,13315.0,8
RC,360,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,2050.0,8577.0,7
RC,360,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,2050.0,19295.0,11
RC,360,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,2050.0,15007.0,10
RC,360,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,2350.0,13830.0,9
RC,360,"Laparoscopy, surgical; nephrectomy with total ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,2350.0,13830.0,9
RC,360,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; orchiectomy ",,,2350.0,15007.0,8
RC,360,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,2350.0,15007.0,8
RC,360,"Laparoscopy, surgical; partial nephrectomy ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; partial nephrectomy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,2050.0,8577.0,9
RC,360,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,2050.0,8577.0,8
RC,360,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,2050.0,10719.0,8
RC,360,"Laparoscopy, surgical; proctopexy (for prolapse) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,2050.0,8577.0,8
RC,360,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; pyeloplasty ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; pyeloplasty Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,2350.0,13830.0,9
RC,360,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; repair initial inguinal hernia ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; repair initial inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; repair recurrent inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,2050.0,13315.0,11
RC,360,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,2350.0,16982.0,12
RC,360,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; transection of vagus nerves, truncal Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; ureterolithotomy ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; ureterolithotomy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,2350.0,15007.0,8
RC,360,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,2050.0,13830.0,14
RC,360,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,2350.0,15007.0,11
RC,360,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,2050.0,13830.0,14
RC,360,"Laparoscopy, surgical; with biopsy (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with biopsy (single or multiple) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,2050.0,13830.0,14
RC,360,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; with fimbrioplasty ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; with fimbrioplasty Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,2050.0,13830.0,14
RC,360,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1423.0,13830.0,14
RC,360,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1423.0,13830.0,17
RC,360,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,2050.0,13830.0,14
RC,360,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,2350.0,15007.0,12
RC,360,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2050.0,15007.0,12
RC,360,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,2050.0,6802.0,11
RC,360,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2820.0,5414.0,3
RC,360,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,10737.0,13315.0,3
RC,360,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,2350.0,13315.0,8
RC,360,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,2050.0,8577.0,9
RC,360,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,2050.0,8577.0,8
RC,360,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion Other Surgica",,,2850.0,2850.0,1
RC,360,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,2350.0,13315.0,8
RC,360,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,13374.0,13374.0,1
RC,360,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,360,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,360,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,12863.0,12863.0,1
RC,360,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,360,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,360,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,360,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,360,"Lengthening of palate, and pharyngeal flap ",,,2050.0,13315.0,11
RC,360,"Lengthening of palate, and pharyngeal flap Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Lengthening of palate, with island flap ",,,2050.0,13315.0,11
RC,360,"Lengthening of palate, with island flap Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,2350.0,10719.0,8
RC,360,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,2350.0,10719.0,8
RC,360,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,2050.0,9539.0,10
RC,360,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ligation of common iliac vein ,,,2160.0,8577.0,7
RC,360,Ligation of common iliac vein Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ligation of femoral vein ,,,2160.0,10719.0,10
RC,360,Ligation of femoral vein Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ligation of inferior vena cava ,,,2160.0,15007.0,10
RC,360,Ligation of inferior vena cava Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,2050.0,9539.0,10
RC,360,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,2350.0,10719.0,8
RC,360,Ligation of peritoneal-venous shunt ,,,2050.0,6802.0,11
RC,360,Ligation of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ligation or banding of angioaccess arteriovenous fistula ,,,2160.0,10719.0,10
RC,360,Ligation or banding of angioaccess arteriovenous fistula Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Ligation or biopsy, temporal artery ",,,2160.0,6802.0,10
RC,360,"Ligation or biopsy, temporal artery Other Surgical Services",,,2850.0,2850.0,1
RC,360,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,2050.0,8577.0,8
RC,360,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,2050.0,8577.0,9
RC,360,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,2050.0,6802.0,11
RC,360,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,2050.0,8727.0,11
RC,360,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ligation salivary duct, intraoral ",,,2050.0,8727.0,11
RC,360,"Ligation salivary duct, intraoral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ligation, direct, esophageal varices ",,,2050.0,15007.0,11
RC,360,"Ligation, direct, esophageal varices Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,2350.0,10719.0,8
RC,360,"Ligation, division, and stripping, short saphenous vein ",,,2350.0,10719.0,8
RC,360,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,2050.0,10719.0,10
RC,360,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ligation, internal jugular vein ",,,2160.0,9539.0,10
RC,360,"Ligation, internal jugular vein Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,2160.0,10719.0,7
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); abdomen Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,2160.0,8577.0,7
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); chest Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,2160.0,8577.0,7
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); extremity Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,2160.0,9539.0,10
RC,360,"Ligation, major artery (eg, post-traumatic, rupture); neck Other Surgical Services",,,2850.0,2850.0,1
RC,360,Ligation; external carotid artery ,,,2160.0,10719.0,10
RC,360,Ligation; external carotid artery Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ligation; internal or common carotid artery ,,,2160.0,10719.0,10
RC,360,Ligation; internal or common carotid artery Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,2160.0,10719.0,10
RC,360,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Other Surgical Services",,,2850.0,2850.0,1
RC,360,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,2050.0,15007.0,8
RC,360,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic Other Surgical Services,,,2850.0,2850.0,1
RC,360,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,2050.0,8577.0,8
RC,360,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Limited pharyngectomy ,,,2050.0,13315.0,11
RC,360,Limited pharyngectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Lingual frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,360,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,2350.0,15409.0,11
RC,360,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,2350.0,15409.0,11
RC,360,"Lithotripsy, extracorporeal shock wave ",,,2702.0,15409.0,9
RC,360,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,2050.0,8577.0,8
RC,360,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,2050.0,7493.0,8
RC,360,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,360,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,360,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,Lymphangiotomy or other operations on lymphatic channels ,,,2050.0,8727.0,11
RC,360,Lymphangiotomy or other operations on lymphatic channels Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,2050.0,8727.0,11
RC,360,"Lysis of adhesions (salpingolysis, ovariolysis) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Lysis of labial adhesions ,,,2050.0,8727.0,11
RC,360,Lysis of labial adhesions Other Surgical Services,,,2850.0,2850.0,1
RC,360,Lysis or excision of penile post-circumcision adhesions ,,,2050.0,8727.0,11
RC,360,Lysis or excision of penile post-circumcision adhesions Other Surgical Services,,,2850.0,2850.0,1
RC,360,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,360,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,11000.0,11000.0,1
RC,360,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,11000.0,11000.0,1
RC,360,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,11000.0,11000.0,1
RC,360,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,11000.0,11000.0,1
RC,360,MAJOR THUMB OR JOINT PROCEDURES ,,,11000.0,11000.0,1
RC,360,MEDIASTINOSCOPY INCL BIOPSY ,,,4963.0,4963.0,1
RC,360,MEDICAL BACK PROBLEMS WITH MCC ,,,11000.0,11000.0,1
RC,360,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,11000.0,11000.0,1
RC,360,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,2050.0,19295.0,8
RC,360,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed Other S",,,2850.0,2850.0,1
RC,360,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,2050.0,8577.0,8
RC,360,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,2050.0,8577.0,8
RC,360,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver Other Surgical Services",,,2850.0,2850.0,1
RC,360,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,2050.0,8577.0,8
RC,360,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing Other Surgical Services,,,2850.0,2850.0,1
RC,360,Management of liver hemorrhage; simple suture of liver wound or injury ,,,2050.0,8577.0,8
RC,360,Management of liver hemorrhage; simple suture of liver wound or injury Other Surgical Services,,,2850.0,2850.0,1
RC,360,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,2050.0,6802.0,7
RC,360,Management of recipient hematopoietic progenitor cell donor search and cell acquisition Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,1423.0,6802.0,11
RC,360,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter Other Surgical Services",,,2850.0,2850.0,1
RC,360,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,11
RC,360,Manometric studies through ureterostomy or indwelling ureteral catheter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Marsupialization of Bartholin's gland cyst ,,,2050.0,8727.0,11
RC,360,Marsupialization of Bartholin's gland cyst Other Surgical Services,,,2850.0,2850.0,1
RC,360,Marsupialization of cyst or abscess of liver ,,,2050.0,8577.0,8
RC,360,Marsupialization of cyst or abscess of liver Other Surgical Services,,,2850.0,2850.0,1
RC,360,Marsupialization of odontogenic cyst ,,,8577.0,8577.0,1
RC,360,Marsupialization of pancreatic cyst ,,,2050.0,8577.0,8
RC,360,Marsupialization of pancreatic cyst Other Surgical Services,,,2850.0,2850.0,1
RC,360,Marsupialization of sublingual salivary cyst (ranula) ,,,2050.0,8727.0,11
RC,360,Marsupialization of sublingual salivary cyst (ranula) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Marsupialization of urethral diverticulum, male or female ",,,2050.0,10719.0,11
RC,360,"Marsupialization of urethral diverticulum, male or female Other Surgical Services",,,2850.0,2850.0,1
RC,360,Mastoid obliteration (separate procedure) ,,,2350.0,13315.0,8
RC,360,Mastoidectomy; complete ,,,2050.0,8727.0,11
RC,360,Mastoidectomy; complete Other Surgical Services,,,2850.0,2850.0,1
RC,360,Mastoidectomy; modified radical ,,,2050.0,13315.0,11
RC,360,Mastoidectomy; modified radical Other Surgical Services,,,2850.0,2850.0,1
RC,360,Mastoidectomy; radical ,,,2050.0,13315.0,11
RC,360,Mastoidectomy; radical Other Surgical Services,,,2850.0,2850.0,1
RC,360,Maxillary guidance prosthesis with guide flange ,,,8577.0,8577.0,1
RC,360,Maxillary guidance prosthesis without guide flange ,,,8577.0,8577.0,1
RC,360,Maxillary impression for palatal prosthesis ,,,1423.0,6802.0,11
RC,360,Maxillary impression for palatal prosthesis Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,1423.0,6802.0,11
RC,360,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,2050.0,8727.0,11
RC,360,"Meatotomy, cutting of meatus (separate procedure); except infant Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Meatotomy, cutting of meatus (separate procedure); infant ",,,2050.0,8727.0,11
RC,360,"Meatotomy, cutting of meatus (separate procedure); infant Other Surgical Services",,,2850.0,2850.0,1
RC,360,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen ,,,2050.0,17341.0,8
RC,360,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,1982.0,6802.0,12
RC,360,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access ",,,2050.0,17341.0,8
RC,360,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,2050.0,13315.0,11
RC,360,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,2050.0,13315.0,11
RC,360,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,2050.0,8577.0,8
RC,360,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,2050.0,8577.0,8
RC,360,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Middle ear exploration through postauricular or ear canal incision ,,,2050.0,8727.0,11
RC,360,Middle ear exploration through postauricular or ear canal incision Other Surgical Services,,,2850.0,2850.0,1
RC,360,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,2050.0,8577.0,8
RC,360,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,2050.0,8727.0,11
RC,360,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Multifetal pregnancy reduction(s) (MPR) ,,,1423.0,6802.0,11
RC,360,Multifetal pregnancy reduction(s) (MPR) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,2050.0,8727.0,11
RC,360,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1982.0,6802.0,11
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) Other Sur",,,2850.0,2850.0,1
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1982.0,6802.0,11
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1982.0,6802.0,11
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1982.0,6802.0,11
RC,360,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,2050.0,10719.0,11
RC,360,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,2050.0,8727.0,11
RC,360,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,2050.0,10719.0,11
RC,360,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,Myringoplasty (surgery confined to drumhead and donor area) ,,,2050.0,8727.0,11
RC,360,Myringoplasty (surgery confined to drumhead and donor area) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Myringotomy including aspiration and/or eustachian tube inflation ,,,1423.0,6802.0,11
RC,360,Myringotomy including aspiration and/or eustachian tube inflation Other Surgical Services,,,2850.0,2850.0,1
RC,360,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,2050.0,6802.0,11
RC,360,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,1423.0,6802.0,11
RC,360,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,2050.0,12863.0,8
RC,360,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,2050.0,12863.0,8
RC,360,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,1423.0,6802.0,11
RC,360,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,2050.0,8577.0,8
RC,360,Nephrectomy with total ureterectomy and bladder cuff; through same incision Other Surgical Services,,,2850.0,2850.0,1
RC,360,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,2050.0,8577.0,8
RC,360,Nephrectomy with total ureterectomy and bladder cuff; through separate incision Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,2050.0,8577.0,8
RC,360,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,2050.0,8577.0,8
RC,360,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,2050.0,8577.0,8
RC,360,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nephrectomy, partial ",,,2050.0,8577.0,8
RC,360,"Nephrectomy, partial Other Surgical Services",,,2850.0,2850.0,1
RC,360,Nephrolithotomy; complicated by congenital kidney abnormality ,,,2050.0,8577.0,8
RC,360,Nephrolithotomy; complicated by congenital kidney abnormality Other Surgical Services,,,2850.0,2850.0,1
RC,360,Nephrolithotomy; removal of calculus ,,,2050.0,8577.0,8
RC,360,Nephrolithotomy; removal of calculus Other Surgical Services,,,2850.0,2850.0,1
RC,360,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,2050.0,8577.0,8
RC,360,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Nephrolithotomy; secondary surgical operation for calculus ,,,2050.0,8577.0,8
RC,360,Nephrolithotomy; secondary surgical operation for calculus Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Nephrorrhaphy, suture of kidney wound or injury ",,,2050.0,8577.0,8
RC,360,"Nephrorrhaphy, suture of kidney wound or injury Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nephrostomy, nephrotomy with drainage ",,,2050.0,8727.0,11
RC,360,"Nephrostomy, nephrotomy with drainage Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nephrotomy, with exploration ",,,2050.0,8577.0,8
RC,360,"Nephrotomy, with exploration Other Surgical Services",,,2850.0,2850.0,1
RC,360,Nerve dissection ,,,8577.0,8577.0,1
RC,360,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,2050.0,12863.0,11
RC,360,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,2050.0,12863.0,11
RC,360,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,2050.0,12863.0,11
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,2050.0,12863.0,11
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,2050.0,12863.0,11
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,2050.0,12863.0,11
RC,360,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,2050.0,12863.0,11
RC,360,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,2050.0,12863.0,11
RC,360,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,2050.0,12863.0,11
RC,360,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,2050.0,12863.0,11
RC,360,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Nerve pedicle transfer; first stage ,,,2050.0,12863.0,11
RC,360,Nerve pedicle transfer; first stage Other Surgical Services,,,2850.0,2850.0,1
RC,360,Nerve pedicle transfer; second stage ,,,2050.0,12863.0,11
RC,360,Nerve pedicle transfer; second stage Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,2050.0,12863.0,11
RC,360,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,8
RC,360,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,2050.0,12863.0,8
RC,360,"Nerve repair; with nerve allograft, each nerve, first strand (cable) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,2050.0,12863.0,11
RC,360,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) Other",,,2850.0,2850.0,1
RC,360,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,2050.0,8577.0,8
RC,360,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) Other Sur",,,2850.0,2850.0,1
RC,360,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,2050.0,8577.0,8
RC,360,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,2050.0,8577.0,8
RC,360,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,2050.0,8577.0,8
RC,360,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage Other Surgical Services",,,2850.0,2850.0,1
RC,360,Neuroplasty and/or transposition; cranial nerve (specify) ,,,2050.0,8727.0,11
RC,360,Neuroplasty and/or transposition; cranial nerve (specify) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,2350.0,8727.0,9
RC,360,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,2050.0,8727.0,11
RC,360,Neuroplasty and/or transposition; ulnar nerve at elbow Other Surgical Services,,,2850.0,2850.0,1
RC,360,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,2050.0,8727.0,11
RC,360,Neuroplasty and/or transposition; ulnar nerve at wrist Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,2050.0,8727.0,11
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,2050.0,8727.0,11
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,2050.0,8727.0,11
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,2050.0,8727.0,11
RC,360,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Neuroplasty; digital, 1 or both, same digit ",,,2050.0,8727.0,11
RC,360,"Neuroplasty; digital, 1 or both, same digit Other Surgical Services",,,2850.0,2850.0,1
RC,360,Neuroplasty; nerve of hand or foot ,,,2050.0,8727.0,11
RC,360,Neuroplasty; nerve of hand or foot Other Surgical Services,,,2850.0,2850.0,1
RC,360,Nocturnal penile tumescence and/or rigidity test ,,,1423.0,6802.0,11
RC,360,Nocturnal penile tumescence and/or rigidity test Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,83613.0,5
RC,360,"Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervi",,,2350.0,10719.0,9
RC,360,OSTEOMYELITIS WITH CC ,,,11000.0,11000.0,1
RC,360,OSTEOMYELITIS WITH MCC ,,,11000.0,11000.0,1
RC,360,OSTEOMYELITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,360,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,11000.0,11000.0,1
RC,360,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,11000.0,11000.0,1
RC,360,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,360,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,360,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,360,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,11000.0,11000.0,1
RC,360,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,11000.0,11000.0,1
RC,360,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,2050.0,8577.0,8
RC,360,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,2050.0,8727.0,11
RC,360,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,2050.0,10719.0,11
RC,360,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers Other Surgical Services",,,2850.0,2850.0,1
RC,360,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,2050.0,10719.0,11
RC,360,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,2050.0,13315.0,11
RC,360,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,2050.0,8577.0,8
RC,360,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,2050.0,12863.0,8
RC,360,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,2050.0,7493.0,8
RC,360,"Omentectomy, epiploectomy, resection of omentum (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Oophorectomy, partial or total, unilateral or bilateral; ",,,2050.0,10719.0,11
RC,360,"Oophorectomy, partial or total, unilateral or bilateral; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,2050.0,10719.0,12
RC,360,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,8577.0,8577.0,1
RC,360,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,2350.0,72171.0,13
RC,360,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,360,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,8577.0,8577.0,1
RC,360,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2350.0,30016.0,10
RC,360,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,360,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,8577.0,8577.0,1
RC,360,Open implantation of neurostimulator electrode array; neuromuscular ,,,2350.0,72171.0,13
RC,360,Open implantation of neurostimulator electrode array; neuromuscular Complex Surgery,,,11754.0,11754.0,2
RC,360,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,2350.0,72171.0,13
RC,360,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,360,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,2350.0,19295.0,13
RC,360,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Complex Surgery,,,11754.0,11754.0,2
RC,360,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,15007.0,15007.0,1
RC,360,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,15007.0,15007.0,1
RC,360,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,15007.0,15007.0,1
RC,360,"Operculectomy, excision pericoronal tissues ",,,1982.0,6802.0,11
RC,360,"Operculectomy, excision pericoronal tissues Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,5360.0,8727.0,4
RC,360,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,5360.0,8727.0,4
RC,360,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,2050.0,10719.0,11
RC,360,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Orbital implant (implant outside muscle cone); insertion ,,,2050.0,10719.0,11
RC,360,Orbital implant (implant outside muscle cone); insertion Other Surgical Services,,,2850.0,2850.0,1
RC,360,Orbital implant (implant outside muscle cone); removal or revision ,,,2050.0,10719.0,11
RC,360,Orbital implant (implant outside muscle cone); removal or revision Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,2050.0,8577.0,8
RC,360,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,2050.0,8577.0,8
RC,360,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration Other Surgical Servi",,,2850.0,2850.0,1
RC,360,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,2050.0,8577.0,9
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,2050.0,10719.0,11
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,2050.0,10719.0,11
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,2050.0,10719.0,11
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,2050.0,10719.0,11
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,2050.0,10719.0,11
RC,360,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,2050.0,10719.0,11
RC,360,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,2050.0,8727.0,11
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only Other Surgical Services,,,2850.0,2850.0,1
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,2050.0,10719.0,11
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Other Surgical Services,,,2850.0,2850.0,1
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,2050.0,8727.0,11
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Other Surgical Services,,,2850.0,2850.0,1
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,2050.0,8727.0,11
RC,360,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Orchiectomy, partial ",,,2050.0,8727.0,11
RC,360,"Orchiectomy, partial Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Orchiectomy, radical, for tumor; inguinal approach ",,,2050.0,10719.0,11
RC,360,"Orchiectomy, radical, for tumor; inguinal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,2050.0,10719.0,11
RC,360,"Orchiectomy, radical, for tumor; with abdominal exploration Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,2050.0,10719.0,11
RC,360,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,2050.0,10719.0,11
RC,360,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Orchiopexy, inguinal or scrotal approach ",,,2050.0,10719.0,11
RC,360,"Orchiopexy, inguinal or scrotal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,2350.0,8577.0,6
RC,360,"Other cranial decompression, posterior fossa ",,,2050.0,8577.0,8
RC,360,"Other cranial decompression, posterior fossa Other Surgical Services",,,2850.0,2850.0,1
RC,360,Otolaryngologic examination under general anesthesia ,,,1423.0,3251.0,4
RC,360,"Otoplasty, protruding ear, with or without size reduction ",,,2050.0,8727.0,11
RC,360,"Otoplasty, protruding ear, with or without size reduction Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ovarian cystectomy, unilateral or bilateral ",,,2050.0,10719.0,11
RC,360,"Ovarian cystectomy, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,11000.0,11000.0,1
RC,360,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,360,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,11000.0,11000.0,3
RC,360,PERCUT THROMBECT AV FISTULA ,,,10737.0,13315.0,3
RC,360,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,2350.0,8727.0,8
RC,360,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,2050.0,13315.0,11
RC,360,"Palatoplasty for cleft palate, soft and/or hard palate only Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,2050.0,13315.0,11
RC,360,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,2050.0,13315.0,11
RC,360,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,2050.0,13315.0,11
RC,360,Palatoplasty for cleft palate; attachment pharyngeal flap Other Surgical Services,,,2850.0,2850.0,1
RC,360,Palatoplasty for cleft palate; major revision ,,,2050.0,13315.0,11
RC,360,Palatoplasty for cleft palate; major revision Other Surgical Services,,,2850.0,2850.0,1
RC,360,Palatoplasty for cleft palate; secondary lengthening procedure ,,,2050.0,13315.0,11
RC,360,Palatoplasty for cleft palate; secondary lengthening procedure Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,2050.0,8577.0,8
RC,360,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,2050.0,8577.0,8
RC,360,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,2050.0,8577.0,8
RC,360,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,2050.0,8577.0,8
RC,360,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy Other Surgical Service",,,2850.0,2850.0,1
RC,360,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,2050.0,8577.0,8
RC,360,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy Other Surgical Serv",,,2850.0,2850.0,1
RC,360,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,2050.0,8577.0,8
RC,360,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,2050.0,8577.0,8
RC,360,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy Other Surgical Servic",,,2850.0,2850.0,1
RC,360,"Pancreatectomy, total ",,,2050.0,8577.0,8
RC,360,"Pancreatectomy, total Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,2050.0,8577.0,8
RC,360,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,2050.0,8577.0,8
RC,360,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Pancreatorrhaphy for injury ,,,2050.0,8577.0,8
RC,360,Pancreatorrhaphy for injury Other Surgical Services,,,2850.0,2850.0,1
RC,360,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,1423.0,6802.0,11
RC,360,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,2050.0,8727.0,11
RC,360,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,2050.0,8727.0,11
RC,360,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection Other Surgical Services",,,2850.0,2850.0,1
RC,360,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,360,Parathyroid autotransplantation (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Parathyroidectomy or exploration of parathyroid(s); ,,,2050.0,13315.0,11
RC,360,Parathyroidectomy or exploration of parathyroid(s); Other Surgical Services,,,2850.0,2850.0,1
RC,360,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,2050.0,13315.0,11
RC,360,Parathyroidectomy or exploration of parathyroid(s); re-exploration Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,2050.0,8577.0,8
RC,360,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,2050.0,15007.0,11
RC,360,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,2350.0,13315.0,9
RC,360,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,2350.0,13315.0,9
RC,360,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,1982.0,6802.0,11
RC,360,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,1423.0,6802.0,12
RC,360,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,1982.0,6802.0,11
RC,360,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,2050.0,13315.0,11
RC,360,"Parotid duct diversion, bilateral (Wilke type procedure); Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,2050.0,13315.0,11
RC,360,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,2050.0,13315.0,11
RC,360,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,2050.0,8577.0,8
RC,360,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,2050.0,8577.0,9
RC,360,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,2050.0,8577.0,9
RC,360,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,2050.0,8577.0,8
RC,360,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,2050.0,8577.0,9
RC,360,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,2050.0,8577.0,8
RC,360,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn ",,,2050.0,6802.0,8
RC,360,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn Other Surgical Services",,,2850.0,2850.0,1
RC,360,Partial extraction for immediate implant replacement ,,,8577.0,8577.0,1
RC,360,Partial hymenectomy or revision of hymenal ring ,,,2050.0,8727.0,11
RC,360,Partial hymenectomy or revision of hymenal ring Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2050.0,15007.0,11
RC,360,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2050.0,15007.0,11
RC,360,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,Pelvic examination under anesthesia (other than local) ,,,2050.0,8727.0,11
RC,360,Pelvic examination under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,2050.0,8577.0,9
RC,360,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,2350.0,8577.0,5
RC,360,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,2050.0,8577.0,9
RC,360,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Penile plethysmography ,,,1423.0,6802.0,11
RC,360,Penile plethysmography Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Penile revascularization, artery, with or without vein graft ",,,2050.0,8577.0,8
RC,360,"Penile revascularization, artery, with or without vein graft Other Surgical Services",,,2850.0,2850.0,1
RC,360,Penile venous occlusive procedure ,,,2050.0,10719.0,11
RC,360,Penile venous occlusive procedure Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2050.0,8577.0,9
RC,360,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,2050.0,17341.0,8
RC,360,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,2050.0,17341.0,8
RC,360,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,1982.0,6802.0,11
RC,360,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,1982.0,6802.0,11
RC,360,"Percutaneous aspiration, spinal cord cyst or syrinx Other Surgical Services",,,2850.0,2850.0,1
RC,360,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,19105.0,4
RC,360,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,19105.0,4
RC,360,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,19105.0,4
RC,360,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,8577.0,8577.0,1
RC,360,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,8577.0,8577.0,1
RC,360,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,2350.0,6802.0,5
RC,360,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,8577.0,8577.0,1
RC,360,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,2350.0,72171.0,12
RC,360,"Percutaneous implantation of neurostimulator electrode array, epidural Complex Surgery",,,11754.0,11754.0,2
RC,360,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,2350.0,72171.0,13
RC,360,Percutaneous implantation of neurostimulator electrode array; cranial nerve Complex Surgery,,,11754.0,11754.0,2
RC,360,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,2350.0,72171.0,13
RC,360,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,360,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,2350.0,72171.0,13
RC,360,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed Complex Surgery",,,11754.0,11754.0,2
RC,360,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,1982.0,8727.0,24
RC,360,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,2050.0,15409.0,22
RC,360,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,8577.0,8577.0,1
RC,360,Percutaneous portal vein catheterization by any method ,,,1423.0,6802.0,11
RC,360,Percutaneous portal vein catheterization by any method Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7583.0,10719.0,4
RC,360,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,31841.0,4
RC,360,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,31841.0,4
RC,360,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,360,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,360,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,360,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,15124.0,30016.0,6
RC,360,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,360,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,360,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,15124.0,30016.0,6
RC,360,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,360,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,360,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,24657.0,7
RC,360,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,360,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,31841.0,8
RC,360,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,31841.0,8
RC,360,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19295.0,23692.0,5
RC,360,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,17341.0,6
RC,360,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,17341.0,4
RC,360,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,360,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,8577.0,8577.0,1
RC,360,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,8577.0,8577.0,1
RC,360,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,8577.0,23692.0,5
RC,360,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,6
RC,360,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,360,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,17341.0,6
RC,360,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,360,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,31841.0,8
RC,360,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,360,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,17341.0,6
RC,360,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,17341.0,17341.0,2
RC,360,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,2143.0,17341.0,4
RC,360,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,2050.0,23692.0,41
RC,360,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,2050.0,15007.0,11
RC,360,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,8577.0,8577.0,1
RC,360,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,2050.0,13315.0,12
RC,360,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,8
RC,360,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,8
RC,360,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,31841.0,8
RC,360,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,31841.0,8
RC,360,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,31841.0,16
RC,360,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,17341.0,6
RC,360,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,31841.0,8
RC,360,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,31841.0,16
RC,360,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,31841.0,14
RC,360,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,8577.0,8577.0,1
RC,360,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,8577.0,8577.0,1
RC,360,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,8577.0,8577.0,1
RC,360,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,8577.0,8577.0,1
RC,360,"Pereyra procedure, including anterior colporrhaphy ",,,2350.0,10719.0,9
RC,360,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,8577.0,8577.0,1
RC,360,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,8577.0,8577.0,1
RC,360,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,2050.0,8727.0,11
RC,360,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Periodontal mucosal grafting ,,,2050.0,8727.0,11
RC,360,Periodontal mucosal grafting Other Surgical Services,,,2850.0,2850.0,1
RC,360,Perirectal injection of sclerosing solution for prolapse ,,,1423.0,6802.0,11
RC,360,Perirectal injection of sclerosing solution for prolapse Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Peritoneal lavage, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,360,"Peritoneal lavage, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2050.0,19295.0,8
RC,360,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,2050.0,6802.0,8
RC,360,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,2050.0,7493.0,8
RC,360,"Periurethral transperineal adjustable balloon continence device; removal, each balloon Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,2050.0,7493.0,8
RC,360,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,Petrous apicectomy including radical mastoidectomy ,,,2050.0,13315.0,11
RC,360,Petrous apicectomy including radical mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1423.0,3251.0,4
RC,360,Pharyngoesophageal repair ,,,2050.0,8577.0,8
RC,360,Pharyngoesophageal repair Other Surgical Services,,,2850.0,2850.0,1
RC,360,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,2050.0,8727.0,11
RC,360,Pharyngoplasty (plastic or reconstructive operation on pharynx) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,2050.0,8727.0,11
RC,360,"Pharyngostomy (fistulization of pharynx, external for feeding) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1423.0,3251.0,4
RC,360,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1423.0,3251.0,4
RC,360,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1423.0,3251.0,4
RC,360,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,2143.0,2143.0,1
RC,360,"Photopheresis, extracorporeal ",,,2050.0,12863.0,11
RC,360,"Photopheresis, extracorporeal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1423.0,3251.0,4
RC,360,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1423.0,3251.0,4
RC,360,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,2050.0,10719.0,12
RC,360,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1423.0,6802.0,11
RC,360,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) Other Surgical Ser",,,2850.0,2850.0,1
RC,360,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,2050.0,10719.0,11
RC,360,"Placement of amniotic membrane on the ocular surface; single layer, sutured Other Surgical Services",,,2850.0,2850.0,1
RC,360,Placement of amniotic membrane on the ocular surface; without sutures ,,,1982.0,6802.0,11
RC,360,Placement of amniotic membrane on the ocular surface; without sutures Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,2050.0,10719.0,24
RC,360,Placement of choledochal stent ,,,2050.0,8577.0,8
RC,360,Placement of choledochal stent Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,2050.0,8577.0,8
RC,360,"Placement of drains, peripancreatic, for acute pancreatitis; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,2050.0,8577.0,8
RC,360,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1982.0,4009.0,4
RC,360,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,2050.0,8577.0,9
RC,360,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,2050.0,6802.0,12
RC,360,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,2050.0,6802.0,11
RC,360,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,Placement of needle for intraosseous infusion ,,,2050.0,17341.0,8
RC,360,Placement of needle for intraosseous infusion Other Surgical Services,,,2850.0,2850.0,1
RC,360,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,2050.0,10719.0,11
RC,360,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,2050.0,8727.0,11
RC,360,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application Other Surgical Servic",,,2850.0,2850.0,1
RC,360,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,2050.0,8727.0,12
RC,360,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,2050.0,8727.0,12
RC,360,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1423.0,3251.0,4
RC,360,Placement of seton ,,,2050.0,8727.0,11
RC,360,Placement of seton Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,2050.0,15007.0,36
RC,360,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,2050.0,10719.0,36
RC,360,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,2050.0,6802.0,8
RC,360,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Plastic operation of penis for injury ,,,2350.0,10719.0,9
RC,360,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,2050.0,13315.0,11
RC,360,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra Other Surgical Services",,,2850.0,2850.0,1
RC,360,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,2050.0,13315.0,11
RC,360,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps Other Surgical Services,,,2850.0,2850.0,1
RC,360,Plastic operation on penis for epispadias distal to external sphincter; ,,,2050.0,10719.0,11
RC,360,Plastic operation on penis for epispadias distal to external sphincter; Other Surgical Services,,,2850.0,2850.0,1
RC,360,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2050.0,13315.0,11
RC,360,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder Other Surgical Services,,,2850.0,2850.0,1
RC,360,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,2050.0,10719.0,11
RC,360,Plastic operation on penis for epispadias distal to external sphincter; with incontinence Other Surgical Services,,,2850.0,2850.0,1
RC,360,Plastic operation on penis to correct angulation ,,,2050.0,13315.0,11
RC,360,Plastic operation on penis to correct angulation Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,2350.0,13315.0,9
RC,360,Plastic repair of canaliculi ,,,2050.0,8727.0,11
RC,360,Plastic repair of canaliculi Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,2050.0,13315.0,11
RC,360,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,2050.0,13315.0,11
RC,360,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,2050.0,13315.0,11
RC,360,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,2050.0,13315.0,11
RC,360,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,2050.0,13315.0,11
RC,360,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle Other Surgical Services",,,2850.0,2850.0,1
RC,360,Plastic repair of introitus ,,,2050.0,8727.0,11
RC,360,Plastic repair of introitus Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,2050.0,8727.0,11
RC,360,"Plastic repair of salivary duct, sialodochoplasty; primary or simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,2050.0,13315.0,11
RC,360,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated Other Surgical Services",,,2850.0,2850.0,1
RC,360,Plastic repair of urethrocele ,,,2350.0,8727.0,9
RC,360,"Portoenterostomy (eg, Kasai procedure) ",,,2050.0,8577.0,8
RC,360,"Portoenterostomy (eg, Kasai procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,2350.0,10719.0,9
RC,360,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,1423.0,6802.0,9
RC,360,Postpartum care only (separate procedure) ,,,2050.0,6802.0,7
RC,360,Postpartum care only (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,2050.0,6802.0,7
RC,360,"Preparation of fecal microbiota for instillation, including assessment of donor specimen Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,2050.0,8577.0,8
RC,360,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,1423.0,15007.0,24
RC,360,"Probing of lacrimal canaliculi, with or without irrigation ",,,1423.0,6802.0,11
RC,360,"Probing of lacrimal canaliculi, with or without irrigation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Probing of nasolacrimal duct, with or without irrigation; ",,,1423.0,6802.0,11
RC,360,"Probing of nasolacrimal duct, with or without irrigation; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,2050.0,8727.0,11
RC,360,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,2050.0,8727.0,11
RC,360,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,2050.0,8727.0,11
RC,360,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,2050.0,8577.0,8
RC,360,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed Other Surgical Se",,,2850.0,2850.0,1
RC,360,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,2050.0,8577.0,8
RC,360,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,2050.0,8577.0,8
RC,360,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,2050.0,8577.0,8
RC,360,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,2050.0,8577.0,8
RC,360,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,2050.0,8577.0,8
RC,360,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,2050.0,8577.0,8
RC,360,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctectomy, partial, without anastomosis, perineal approach ",,,2050.0,15007.0,10
RC,360,"Proctectomy, partial, without anastomosis, perineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,2050.0,8577.0,8
RC,360,"Proctectomy; complete, combined abdominoperineal, with colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctectomy; partial resection of rectum, transabdominal approach ",,,2050.0,8577.0,8
RC,360,"Proctectomy; partial resection of rectum, transabdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctopexy (eg, for prolapse); abdominal approach ",,,2050.0,8577.0,8
RC,360,"Proctopexy (eg, for prolapse); abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctopexy (eg, for prolapse); perineal approach ",,,2050.0,10719.0,11
RC,360,"Proctopexy (eg, for prolapse); perineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,2050.0,8577.0,8
RC,360,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,Proctoplasty; for prolapse of mucous membrane ,,,2050.0,10719.0,11
RC,360,Proctoplasty; for prolapse of mucous membrane Other Surgical Services,,,2850.0,2850.0,1
RC,360,Proctoplasty; for stenosis ,,,2050.0,8727.0,11
RC,360,Proctoplasty; for stenosis Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1982.0,6802.0,11
RC,360,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,2050.0,7493.0,10
RC,360,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) Other Surgical Service",,,2850.0,2850.0,1
RC,360,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,360,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,2050.0,6802.0,11
RC,360,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,2050.0,8727.0,11
RC,360,"Proctosigmoidoscopy, rigid; with decompression of volvulus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,2050.0,6802.0,10
RC,360,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,2050.0,8727.0,11
RC,360,"Proctosigmoidoscopy, rigid; with removal of foreign body Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,2050.0,6802.0,11
RC,360,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,2050.0,6802.0,11
RC,360,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,2050.0,6802.0,11
RC,360,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,2050.0,10719.0,11
RC,360,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,360,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,1423.0,13830.0,12
RC,360,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,1982.0,13830.0,12
RC,360,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,360,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,2050.0,8577.0,7
RC,360,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,2050.0,8577.0,7
RC,360,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages Other Surgical Se",,,2850.0,2850.0,1
RC,360,"Prostatectomy, perineal radical; ",,,2050.0,8577.0,7
RC,360,"Prostatectomy, perineal radical; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2050.0,8577.0,7
RC,360,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2050.0,8577.0,7
RC,360,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,2050.0,8577.0,7
RC,360,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,2050.0,8577.0,7
RC,360,"Prostatectomy, retropubic radical, with or without nerve sparing; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2050.0,8577.0,7
RC,360,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2050.0,8577.0,7
RC,360,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,2050.0,7493.0,10
RC,360,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,2050.0,8727.0,11
RC,360,"Prostatotomy, external drainage of prostatic abscess, any approach; simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,1982.0,6802.0,11
RC,360,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication Other Surgical Services",,,2850.0,2850.0,1
RC,360,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,1982.0,6802.0,11
RC,360,Puncture of shunt tubing or reservoir for aspiration or injection procedure Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Push transfusion, blood, 2 years or younger ",,,1423.0,6802.0,11
RC,360,"Push transfusion, blood, 2 years or younger Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,2050.0,10719.0,9
RC,360,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,2050.0,10719.0,6
RC,360,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple Other Surgical Ser",,,2850.0,2850.0,1
RC,360,"Pyelotomy; with drainage, pyelostomy ",,,2050.0,8577.0,8
RC,360,"Pyelotomy; with drainage, pyelostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,Pyelotomy; with exploration ,,,2050.0,8577.0,8
RC,360,Pyelotomy; with exploration Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,2050.0,8577.0,8
RC,360,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,2050.0,8577.0,8
RC,360,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Pyloroplasty ,,,2050.0,8577.0,8
RC,360,Pyloroplasty Other Surgical Services,,,2850.0,2850.0,1
RC,360,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,360,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,7583.0,9539.0,3
RC,360,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,9539.0,3
RC,360,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,9539.0,3
RC,360,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,5360.0,8727.0,3
RC,360,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,9539.0,3
RC,360,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,9539.0,3
RC,360,REPAIR SPIGELIAN HERNIA ,,,7583.0,9539.0,3
RC,360,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,360,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,7583.0,9539.0,3
RC,360,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,360,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,7583.0,9539.0,3
RC,360,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,3
RC,360,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,10737.0,13315.0,3
RC,360,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,360,REVISION OF MAJOR VEIN ,,,4963.0,4963.0,1
RC,360,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,360,Radial keratotomy ,,,2050.0,8727.0,11
RC,360,Radial keratotomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2350.0,8577.0,5
RC,360,Radical excision external auditory canal lesion; with neck dissection ,,,2050.0,8577.0,8
RC,360,Radical excision external auditory canal lesion; with neck dissection Other Surgical Services,,,2850.0,2850.0,1
RC,360,Radical excision external auditory canal lesion; without neck dissection ,,,2050.0,8727.0,11
RC,360,Radical excision external auditory canal lesion; without neck dissection Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,2050.0,13315.0,11
RC,360,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,2050.0,8577.0,8
RC,360,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,2050.0,8727.0,11
RC,360,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,2050.0,8577.0,8
RC,360,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) Other Surgical Se",,,2850.0,2850.0,1
RC,360,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2050.0,7493.0,8
RC,360,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,2050.0,8577.0,8
RC,360,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,Recipient nephrectomy (separate procedure) ,,,2050.0,8577.0,8
RC,360,Recipient nephrectomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Reconstruction external auditory canal for congenital atresia, single stage ",,,2050.0,13315.0,11
RC,360,"Reconstruction external auditory canal for congenital atresia, single stage Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,2050.0,13315.0,11
RC,360,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,2050.0,8727.0,11
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,2050.0,8727.0,11
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,2050.0,10719.0,11
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,2050.0,8727.0,11
RC,360,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,2050.0,8577.0,8
RC,360,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,2143.0,2143.0,1
RC,360,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1423.0,3251.0,3
RC,360,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,2050.0,8577.0,8
RC,360,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,2050.0,8577.0,8
RC,360,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Reduction of overcorrection of ptosis ,,,2050.0,8727.0,11
RC,360,Reduction of overcorrection of ptosis Other Surgical Services,,,2850.0,2850.0,1
RC,360,Reduction of procidentia (separate procedure) under anesthesia ,,,1982.0,6802.0,11
RC,360,Reduction of procidentia (separate procedure) under anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,2050.0,8727.0,11
RC,360,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,2050.0,8577.0,8
RC,360,"Reduction of volvulus, intussusception, internal hernia, by laparotomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1423.0,3251.0,4
RC,360,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1423.0,3251.0,4
RC,360,Reinsertion of ocular implant; with or without conjunctival graft ,,,2050.0,10719.0,11
RC,360,Reinsertion of ocular implant; with or without conjunctival graft Other Surgical Services,,,2850.0,2850.0,1
RC,360,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,2050.0,10719.0,11
RC,360,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant Other Surgical Services,,,2850.0,2850.0,1
RC,360,Release of encircling material (posterior segment) ,,,2350.0,13830.0,12
RC,360,Release of encircling material (posterior segment) Complex Surgery,,,11754.0,11754.0,2
RC,360,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,2050.0,8727.0,11
RC,360,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2050.0,8727.0,11
RC,360,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,2050.0,8727.0,11
RC,360,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation Other Sur",,,2850.0,2850.0,1
RC,360,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2050.0,7493.0,11
RC,360,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1982.0,7493.0,11
RC,360,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,2350.0,36087.0,8
RC,360,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1423.0,36087.0,8
RC,360,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,2050.0,6802.0,11
RC,360,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation Other Surg",,,2850.0,2850.0,1
RC,360,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,8577.0,8577.0,1
RC,360,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,2050.0,24657.0,11
RC,360,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,1982.0,6802.0,12
RC,360,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,2350.0,36087.0,8
RC,360,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1982.0,36087.0,9
RC,360,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,2050.0,8727.0,11
RC,360,"Removal foreign body from deep penile tissue (eg, plastic implant) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Removal foreign body from external auditory canal; with general anesthesia ,,,2050.0,8727.0,11
RC,360,Removal foreign body from external auditory canal; with general anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,360,Removal foreign body from external auditory canal; without general anesthesia ,,,1423.0,6802.0,11
RC,360,Removal foreign body from external auditory canal; without general anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal impacted cerumen requiring instrumentation, unilateral ",,,1423.0,6802.0,11
RC,360,"Removal impacted cerumen requiring instrumentation, unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,1423.0,6802.0,11
RC,360,"Removal impacted cerumen using irrigation/lavage, unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of Thiersch wire or suture, anal canal ",,,2050.0,6802.0,11
RC,360,"Removal of Thiersch wire or suture, anal canal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,2350.0,10719.0,8
RC,360,Removal of an indirect restoration on a natural tooth ,,,8577.0,8577.0,1
RC,360,"Removal of anal seton, other marker ",,,1982.0,6802.0,11
RC,360,"Removal of anal seton, other marker Other Surgical Services",,,2850.0,2850.0,1
RC,360,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,2050.0,10719.0,8
RC,360,Removal of baroreflex activation therapy (BAT) modulation system; lead only Other Surgical Services,,,2850.0,2850.0,1
RC,360,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,2050.0,10719.0,8
RC,360,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,2050.0,10719.0,8
RC,360,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,1982.0,6802.0,12
RC,360,"Removal of blood clot, anterior segment of eye ",,,2050.0,8727.0,11
RC,360,"Removal of blood clot, anterior segment of eye Other Surgical Services",,,2850.0,2850.0,1
RC,360,Removal of bone flap or prosthetic plate of skull ,,,2050.0,8577.0,8
RC,360,Removal of bone flap or prosthetic plate of skull Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,1423.0,6802.0,12
RC,360,Removal of cerclage suture under anesthesia (other than local) ,,,2050.0,10719.0,11
RC,360,Removal of cerclage suture under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,2050.0,8577.0,8
RC,360,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation Other Surgical Services,,,2850.0,2850.0,1
RC,360,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,2050.0,6802.0,11
RC,360,Removal of complete cerebrospinal fluid shunt system; without replacement Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,2050.0,8727.0,11
RC,360,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,1982.0,6802.0,11
RC,360,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,2350.0,10719.0,9
RC,360,Removal of embedded foreign body from dentoalveolar structures; bone ,,,2050.0,6802.0,11
RC,360,Removal of embedded foreign body from dentoalveolar structures; bone Other Surgical Services,,,2850.0,2850.0,1
RC,360,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,2050.0,8727.0,11
RC,360,Removal of embedded foreign body from dentoalveolar structures; soft tissues Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal of embedded foreign body, eyelid ",,,1423.0,6802.0,11
RC,360,"Removal of embedded foreign body, eyelid Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,2050.0,8727.0,11
RC,360,"Removal of embedded foreign body, vestibule of mouth; complicated Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of embedded foreign body, vestibule of mouth; simple ",,,1423.0,6802.0,11
RC,360,"Removal of embedded foreign body, vestibule of mouth; simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,Removal of entire lumbosubarachnoid shunt system without replacement ,,,2050.0,8727.0,11
RC,360,Removal of entire lumbosubarachnoid shunt system without replacement Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal of epithelial downgrowth, anterior chamber of eye ",,,2050.0,8727.0,11
RC,360,"Removal of epithelial downgrowth, anterior chamber of eye Other Surgical Services",,,2850.0,2850.0,1
RC,360,Removal of esophageal sphincter augmentation device ,,,2350.0,15007.0,12
RC,360,Removal of esophageal sphincter augmentation device Complex Surgery,,,11754.0,11754.0,2
RC,360,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,2050.0,6802.0,11
RC,360,Removal of fecal impaction or foreign body (separate procedure) under anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,360,Removal of foreign body from pharynx ,,,1423.0,6802.0,11
RC,360,Removal of foreign body from pharynx Other Surgical Services,,,2850.0,2850.0,1
RC,360,Removal of foreign body in scrotum ,,,2050.0,8727.0,11
RC,360,Removal of foreign body in scrotum Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal of foreign body or dacryolith, lacrimal passages ",,,1423.0,6802.0,11
RC,360,"Removal of foreign body or dacryolith, lacrimal passages Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,1423.0,6802.0,11
RC,360,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of foreign body, external eye; conjunctival superficial ",,,1423.0,6802.0,11
RC,360,"Removal of foreign body, external eye; conjunctival superficial Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of foreign body, external eye; corneal, with slit lamp ",,,1423.0,6802.0,11
RC,360,"Removal of foreign body, external eye; corneal, with slit lamp Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of foreign body, external eye; corneal, without slit lamp ",,,1423.0,6802.0,11
RC,360,"Removal of foreign body, external eye; corneal, without slit lamp Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,2050.0,8727.0,11
RC,360,"Removal of foreign body, intraocular; from anterior chamber of eye or lens Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,1423.0,6802.0,11
RC,360,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,2050.0,8727.0,11
RC,360,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction Other Surgical Services",,,2850.0,2850.0,1
RC,360,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,8577.0,8577.0,1
RC,360,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2350.0,13830.0,10
RC,360,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,360,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,360,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1423.0,3251.0,4
RC,360,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,2050.0,8727.0,11
RC,360,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Removal of implant body not requiring bone removal nor flap elevation ,,,8577.0,8577.0,1
RC,360,Removal of implanted intra-arterial infusion pump ,,,2050.0,10719.0,11
RC,360,Removal of implanted intra-arterial infusion pump Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal of implanted material, anterior segment of eye ",,,2050.0,8727.0,11
RC,360,"Removal of implanted material, anterior segment of eye Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of implanted material, posterior segment; extraocular ",,,2350.0,13830.0,12
RC,360,"Removal of implanted material, posterior segment; extraocular Complex Surgery",,,11754.0,11754.0,2
RC,360,"Removal of implanted material, posterior segment; intraocular ",,,2350.0,13830.0,12
RC,360,"Removal of implanted material, posterior segment; intraocular Complex Surgery",,,11754.0,11754.0,2
RC,360,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2050.0,15007.0,11
RC,360,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Other Surgical Services",,,2850.0,2850.0,1
RC,360,Removal of intrauterine device (IUD) ,,,1423.0,6802.0,9
RC,360,"Removal of lens material; aspiration technique, 1 or more stages ",,,2050.0,8727.0,11
RC,360,"Removal of lens material; aspiration technique, 1 or more stages Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,2050.0,6802.0,11
RC,360,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Removal of lens material; intracapsular ,,,2050.0,8727.0,11
RC,360,Removal of lens material; intracapsular Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal of lens material; intracapsular, for dislocated lens ",,,2050.0,8727.0,11
RC,360,"Removal of lens material; intracapsular, for dislocated lens Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,2050.0,13315.0,11
RC,360,"Removal of lens material; pars plana approach, with or without vitrectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,2050.0,8727.0,11
RC,360,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,1982.0,6802.0,11
RC,360,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,360,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,2350.0,10719.0,8
RC,360,Removal of non-resorbable barrier ,,,8577.0,8577.0,1
RC,360,Removal of ocular implant ,,,2050.0,10719.0,11
RC,360,Removal of ocular implant Other Surgical Services,,,2850.0,2850.0,1
RC,360,Removal of pancreatic calculus ,,,2050.0,8577.0,8
RC,360,Removal of pancreatic calculus Other Surgical Services,,,2850.0,2850.0,1
RC,360,Removal of peritoneal foreign body from peritoneal cavity ,,,2050.0,10719.0,11
RC,360,Removal of peritoneal foreign body from peritoneal cavity Other Surgical Services,,,2850.0,2850.0,1
RC,360,Removal of peritoneal-venous shunt ,,,2050.0,10719.0,11
RC,360,Removal of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,8577.0,8577.0,1
RC,360,Removal of previously implanted intrathecal or epidural catheter ,,,2050.0,8727.0,11
RC,360,Removal of previously implanted intrathecal or epidural catheter Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,2050.0,8727.0,11
RC,360,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) Other ",,,2850.0,2850.0,1
RC,360,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,2050.0,10719.0,8
RC,360,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,2350.0,8727.0,8
RC,360,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,2350.0,10719.0,8
RC,360,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,2050.0,10719.0,10
RC,360,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,8577.0,8577.0,1
RC,360,Removal of temporary anchorage device without flap ,,,8577.0,8577.0,1
RC,360,"Removal of temporary anchorage device, requiring flap ",,,8577.0,8577.0,1
RC,360,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,2143.0,6802.0,5
RC,360,"Removal of transplanted intestinal allograft, complete ",,,2050.0,8577.0,8
RC,360,"Removal of transplanted intestinal allograft, complete Other Surgical Services",,,2850.0,2850.0,1
RC,360,Removal of transplanted pancreatic allograft ,,,2050.0,6802.0,7
RC,360,Removal of transplanted pancreatic allograft Other Surgical Services,,,2850.0,2850.0,1
RC,360,Removal of transplanted renal allograft ,,,2050.0,8577.0,8
RC,360,Removal of transplanted renal allograft Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal of tumor, temporal bone ",,,2050.0,13315.0,11
RC,360,"Removal of tumor, temporal bone Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion ",,,2050.0,23692.0,12
RC,360,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal of tunneled central venous catheter, without subcutaneous port or pump ",,,2050.0,17341.0,8
RC,360,"Removal of tunneled central venous catheter, without subcutaneous port or pump Other Surgical Services",,,2850.0,2850.0,1
RC,360,Removal of tunneled intraperitoneal catheter ,,,2050.0,10719.0,11
RC,360,Removal of tunneled intraperitoneal catheter Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,2350.0,8727.0,8
RC,360,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,2350.0,8727.0,8
RC,360,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,2050.0,13315.0,11
RC,360,Removal or repair of electromagnetic bone conduction hearing device in temporal bone Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,2050.0,10719.0,11
RC,360,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,2350.0,10719.0,9
RC,360,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,360,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,2050.0,10719.0,9
RC,360,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,2050.0,10719.0,9
RC,360,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2050.0,10719.0,8
RC,360,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor Other Surgical Services",,,2850.0,2850.0,1
RC,360,Remove interim implant component ,,,8577.0,8577.0,1
RC,360,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,2050.0,8577.0,8
RC,360,"Renal allotransplantation, implantation of graft; with recipient nephrectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,2050.0,8577.0,8
RC,360,"Renal allotransplantation, implantation of graft; without recipient nephrectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Renal autotransplantation, reimplantation of kidney ",,,2050.0,8577.0,8
RC,360,"Renal autotransplantation, reimplantation of kidney Other Surgical Services",,,2850.0,2850.0,1
RC,360,Renal biopsy; by surgical exposure of kidney ,,,2050.0,8577.0,8
RC,360,Renal biopsy; by surgical exposure of kidney Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Renal biopsy; percutaneous, by trocar or needle ",,,2050.0,6802.0,11
RC,360,"Renal biopsy; percutaneous, by trocar or needle Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,11
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,11
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,2050.0,8727.0,12
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,2050.0,8727.0,12
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1982.0,6802.0,11
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor Other Surgical ",,,2850.0,2850.0,1
RC,360,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,2050.0,8727.0,12
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,11
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,11
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,2050.0,13315.0,12
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,2050.0,6802.0,12
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2050.0,6802.0,11
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Other Surgic",,,2850.0,2850.0,1
RC,360,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,1982.0,6802.0,12
RC,360,"Renal exploration, not necessitating other specific procedures ",,,2050.0,8577.0,8
RC,360,"Renal exploration, not necessitating other specific procedures Other Surgical Services",,,2850.0,2850.0,1
RC,360,Reopening of recent laparotomy ,,,2050.0,8577.0,8
RC,360,Reopening of recent laparotomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair incomplete circumcision ,,,2050.0,8727.0,11
RC,360,Repair incomplete circumcision Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Repair inguinal hernia, sliding, any age ",,,2350.0,10719.0,8
RC,360,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,2350.0,10719.0,8
RC,360,"Repair initial femoral hernia, any age; reducible ",,,2350.0,10719.0,8
RC,360,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,2350.0,10719.0,8
RC,360,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,2350.0,10719.0,8
RC,360,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,2050.0,10719.0,10
RC,360,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,2050.0,10719.0,10
RC,360,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair lip, full thickness; over one-half vertical height, or complex ",,,1982.0,6802.0,11
RC,360,"Repair lip, full thickness; over one-half vertical height, or complex Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair lip, full thickness; up to half vertical height ",,,1982.0,6802.0,11
RC,360,"Repair lip, full thickness; up to half vertical height Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair lip, full thickness; vermilion only ",,,1982.0,6802.0,11
RC,360,"Repair lip, full thickness; vermilion only Other Surgical Services",,,2850.0,2850.0,1
RC,360,Repair lumbar hernia ,,,2350.0,10719.0,8
RC,360,Repair of anal fistula with fibrin glue ,,,2050.0,8727.0,11
RC,360,Repair of anal fistula with fibrin glue Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,2050.0,10719.0,11
RC,360,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,8577.0,8577.0,1
RC,360,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,2350.0,15007.0,30
RC,360,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2350.0,15007.0,30
RC,360,"Repair of anterior palate, including vomer flap ",,,2050.0,13315.0,11
RC,360,"Repair of anterior palate, including vomer flap Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,2050.0,8727.0,11
RC,360,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,2050.0,8727.0,11
RC,360,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,2050.0,8727.0,11
RC,360,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,2050.0,10719.0,11
RC,360,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,2050.0,8727.0,11
RC,360,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,2050.0,10719.0,11
RC,360,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,2050.0,8727.0,11
RC,360,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,2050.0,17341.0,8
RC,360,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,2050.0,8577.0,8
RC,360,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,2050.0,8577.0,8
RC,360,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps Other Surgical Service",,,2850.0,2850.0,1
RC,360,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,2050.0,8577.0,8
RC,360,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,2350.0,13830.0,14
RC,360,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,2350.0,13315.0,8
RC,360,Repair of custom sleep apnea appliance ,,,8577.0,8577.0,1
RC,360,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,2050.0,8577.0,8
RC,360,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,2050.0,8577.0,8
RC,360,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,Repair of ectropion; excision tarsal wedge ,,,2050.0,8727.0,11
RC,360,Repair of ectropion; excision tarsal wedge Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,2050.0,8727.0,11
RC,360,"Repair of ectropion; extensive (eg, tarsal strip operations) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Repair of ectropion; suture ,,,2050.0,8727.0,11
RC,360,Repair of ectropion; suture Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of ectropion; thermocauterization ,,,2050.0,8727.0,11
RC,360,Repair of ectropion; thermocauterization Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Repair of encephalocele, skull vault, including cranioplasty ",,,2050.0,8577.0,8
RC,360,"Repair of encephalocele, skull vault, including cranioplasty Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of enterocele, abdominal approach (separate procedure) ",,,2350.0,8727.0,9
RC,360,"Repair of enterocele, vaginal approach (separate procedure) ",,,2350.0,8727.0,9
RC,360,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,7493.0,7493.0,1
RC,360,Repair of entropion; excision tarsal wedge ,,,2050.0,8727.0,11
RC,360,Repair of entropion; excision tarsal wedge Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,2050.0,8727.0,11
RC,360,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Repair of entropion; suture ,,,2050.0,8727.0,11
RC,360,Repair of entropion; suture Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of entropion; thermocauterization ,,,2050.0,8727.0,11
RC,360,Repair of entropion; thermocauterization Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,2050.0,8577.0,8
RC,360,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,2050.0,8577.0,8
RC,360,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,2050.0,8577.0,8
RC,360,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,2050.0,8577.0,8
RC,360,Repair of high imperforate anus without fistula; perineal or sacroperineal approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,2050.0,10719.0,11
RC,360,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,2050.0,10719.0,12
RC,360,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,2050.0,10719.0,11
RC,360,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,2050.0,8577.0,8
RC,360,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,2050.0,8577.0,8
RC,360,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2050.0,10719.0,11
RC,360,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of iris, ciliary body (as for iridodialysis) ",,,2050.0,8727.0,11
RC,360,"Repair of iris, ciliary body (as for iridodialysis) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,1423.0,6802.0,11
RC,360,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,1423.0,6802.0,11
RC,360,Repair of laceration 2.5 cm or less; posterior one-third of tongue Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,1982.0,6802.0,11
RC,360,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,2050.0,6802.0,11
RC,360,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,2050.0,8577.0,8
RC,360,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,2050.0,8727.0,11
RC,360,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,2050.0,8727.0,11
RC,360,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,2050.0,8727.0,11
RC,360,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,2050.0,8727.0,11
RC,360,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,2050.0,10719.0,11
RC,360,"Repair of laceration; cornea, nonperforating, with or without removal foreign body Other Surgical Services",,,2850.0,2850.0,1
RC,360,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,2350.0,8577.0,5
RC,360,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,2350.0,8577.0,5
RC,360,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,2050.0,8577.0,8
RC,360,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,2050.0,8577.0,8
RC,360,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of meningocele; larger than 5 cm diameter ,,,2050.0,8577.0,8
RC,360,Repair of meningocele; larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of meningocele; less than 5 cm diameter ,,,2050.0,8577.0,8
RC,360,Repair of meningocele; less than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of myelomeningocele; larger than 5 cm diameter ,,,2050.0,8577.0,8
RC,360,Repair of myelomeningocele; larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of myelomeningocele; less than 5 cm diameter ,,,2050.0,8577.0,8
RC,360,Repair of myelomeningocele; less than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of nasolabial fistula ,,,2050.0,8727.0,11
RC,360,Repair of nasolabial fistula Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of omphalocele (Gross type operation); first stage ,,,2350.0,8577.0,5
RC,360,Repair of omphalocele (Gross type operation); second stage ,,,2350.0,8577.0,5
RC,360,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,2350.0,15007.0,5
RC,360,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,2350.0,15007.0,5
RC,360,Repair of rectocele (separate procedure) ,,,2050.0,10719.0,11
RC,360,Repair of rectocele (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,2350.0,13830.0,12
RC,360,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,1982.0,13830.0,12
RC,360,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,360,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,2350.0,13830.0,12
RC,360,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,2350.0,13830.0,14
RC,360,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,2350.0,13830.0,14
RC,360,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,2050.0,8577.0,8
RC,360,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of scleral staphyloma with graft ,,,2050.0,8727.0,11
RC,360,Repair of scleral staphyloma with graft Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Repair of small omphalocele, with primary closure ",,,2350.0,10719.0,8
RC,360,"Repair of symblepharon; conjunctivoplasty, without graft ",,,2050.0,8727.0,11
RC,360,"Repair of symblepharon; conjunctivoplasty, without graft Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,2050.0,8727.0,11
RC,360,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Other Surgical Services",,,2850.0,2850.0,1
RC,360,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,2050.0,10719.0,11
RC,360,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Repair of traumatic corporeal tear(s) ,,,2350.0,8727.0,9
RC,360,Repair of tunica vaginalis hydrocele (Bottle type) ,,,2050.0,8727.0,11
RC,360,Repair of tunica vaginalis hydrocele (Bottle type) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site ",,,2050.0,17341.0,8
RC,360,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,2050.0,10719.0,11
RC,360,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule Other Surgical Services",,,2850.0,2850.0,1
RC,360,Repair oval window fistula ,,,2350.0,8727.0,8
RC,360,Repair recurrent femoral hernia; incarcerated or strangulated ,,,2350.0,10719.0,8
RC,360,Repair recurrent femoral hernia; reducible ,,,2350.0,10719.0,8
RC,360,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,2350.0,10719.0,8
RC,360,"Repair recurrent inguinal hernia, any age; reducible ",,,2350.0,10719.0,8
RC,360,Repair round window fistula ,,,2350.0,8727.0,8
RC,360,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,2050.0,8577.0,8
RC,360,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,2050.0,8577.0,8
RC,360,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,2050.0,10719.0,22
RC,360,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,2050.0,10719.0,11
RC,360,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,2050.0,10719.0,10
RC,360,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible Other Surg",,,2850.0,2850.0,1
RC,360,"Repair, laceration of diaphragm, any approach ",,,2050.0,8577.0,8
RC,360,"Repair, laceration of diaphragm, any approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair, laceration of palate; over 2 cm or complex ",,,2050.0,8727.0,11
RC,360,"Repair, laceration of palate; over 2 cm or complex Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair, laceration of palate; up to 2 cm ",,,1423.0,6802.0,11
RC,360,"Repair, laceration of palate; up to 2 cm Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,2050.0,8577.0,8
RC,360,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,2050.0,8577.0,8
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,2050.0,8577.0,8
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,2050.0,8577.0,8
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,2050.0,8577.0,8
RC,360,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,2050.0,8577.0,8
RC,360,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,2050.0,8577.0,8
RC,360,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2050.0,15007.0,9
RC,360,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2050.0,15007.0,9
RC,360,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2050.0,13315.0,11
RC,360,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,2050.0,8577.0,8
RC,360,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,360,Replacement of an implant screw ,,,8577.0,8577.0,1
RC,360,Replacement of bone flap or prosthetic plate of skull ,,,2050.0,8577.0,8
RC,360,Replacement of bone flap or prosthetic plate of skull Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,11
RC,360,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,11
RC,360,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,11
RC,360,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,2050.0,6802.0,8
RC,360,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,2050.0,6802.0,8
RC,360,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,8577.0,8577.0,1
RC,360,"Replacement or irrigation, subarachnoid/subdural catheter ",,,2050.0,8727.0,11
RC,360,"Replacement or irrigation, subarachnoid/subdural catheter Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement or irrigation, ventricular catheter ",,,2050.0,6802.0,11
RC,360,"Replacement or irrigation, ventricular catheter Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,2050.0,12863.0,11
RC,360,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,2050.0,17341.0,8
RC,360,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,2050.0,17341.0,8
RC,360,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access ",,,2050.0,17341.0,8
RC,360,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, an",,,2050.0,17341.0,9
RC,360,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access ",,,2050.0,17341.0,8
RC,360,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access ",,,2050.0,17341.0,8
RC,360,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,2050.0,17341.0,8
RC,360,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,2050.0,12863.0,11
RC,360,"Replacement, irrigation or revision of lumbosubarachnoid shunt Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,2050.0,6802.0,11
RC,360,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,2050.0,8727.0,11
RC,360,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,2050.0,10719.0,12
RC,360,Repositioning of previously placed central venous catheter under fluoroscopic guidance ,,,2050.0,17341.0,8
RC,360,Repositioning of previously placed central venous catheter under fluoroscopic guidance Other Surgical Services,,,2850.0,2850.0,1
RC,360,Reprogramming of programmable cerebrospinal shunt ,,,1423.0,6802.0,11
RC,360,Reprogramming of programmable cerebrospinal shunt Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,2050.0,10719.0,11
RC,360,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,2050.0,8577.0,9
RC,360,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,2050.0,8577.0,9
RC,360,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,2050.0,8577.0,9
RC,360,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,2050.0,13315.0,11
RC,360,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Resection of lip, more than one-fourth, without reconstruction ",,,2050.0,8727.0,11
RC,360,"Resection of lip, more than one-fourth, without reconstruction Other Surgical Services",,,2850.0,2850.0,1
RC,360,Resection of mediastinal cyst ,,,2050.0,8577.0,8
RC,360,Resection of mediastinal cyst Other Surgical Services,,,2850.0,2850.0,1
RC,360,Resection of mediastinal tumor ,,,2050.0,8577.0,8
RC,360,Resection of mediastinal tumor Other Surgical Services,,,2850.0,2850.0,1
RC,360,Resection of palate or extensive resection of lesion ,,,2050.0,8727.0,11
RC,360,Resection of palate or extensive resection of lesion Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,2050.0,8577.0,8
RC,360,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,360,Resection of scrotum ,,,2050.0,8727.0,11
RC,360,Resection of scrotum Other Surgical Services,,,2850.0,2850.0,1
RC,360,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,2050.0,8577.0,8
RC,360,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,2050.0,8577.0,8
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,2050.0,8577.0,8
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,2050.0,8577.0,8
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,2050.0,8577.0,9
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,2050.0,8577.0,8
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,2050.0,8577.0,8
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft Other Surgical ",,,2850.0,2850.0,1
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,2050.0,8577.0,8
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,2050.0,8577.0,8
RC,360,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft Other Su",,,2850.0,2850.0,1
RC,360,Resection prosthesis - Mandibular complete removable ,,,8577.0,8577.0,1
RC,360,Resection prosthesis - Mandibular partial removable ,,,8577.0,8577.0,1
RC,360,Resection prosthesis - Maxillary complete removable ,,,8577.0,8577.0,1
RC,360,Resection prosthesis - Maxillary partial removable ,,,8577.0,8577.0,1
RC,360,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,360,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,360,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,360,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,360,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,360,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,360,"Resection temporal bone, external approach ",,,2050.0,8577.0,8
RC,360,"Resection temporal bone, external approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,2050.0,8577.0,8
RC,360,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,2050.0,8577.0,8
RC,360,"Resection, diaphragm; with simple repair (eg, primary suture) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,2050.0,10719.0,12
RC,360,Retrobulbar injection; alcohol ,,,1423.0,6802.0,11
RC,360,Retrobulbar injection; alcohol Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,1423.0,6802.0,11
RC,360,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,19295.0,19295.0,1
RC,360,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,2143.0,15007.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,2143.0,19295.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,2143.0,19295.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,2143.0,30016.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,8577.0,8577.0,1
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,8577.0,8577.0,1
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,8577.0,8577.0,1
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,12760.0,14379.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,10737.0,13315.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,14839.0,16423.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,12760.0,14379.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,10737.0,13315.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,10737.0,13315.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,10737.0,13315.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,12760.0,14379.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,2143.0,15007.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,2143.0,19295.0,29
RC,360,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,2143.0,15007.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,19295.0,19295.0,1
RC,360,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,19295.0,19295.0,1
RC,360,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,19295.0,19295.0,1
RC,360,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,15007.0,15007.0,1
RC,360,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,2143.0,15007.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,2143.0,19295.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,2143.0,19295.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,2143.0,30016.0,28
RC,360,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,12760.0,14379.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,10737.0,13315.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,14839.0,16423.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,12760.0,14379.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,19295.0,19295.0,1
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,12760.0,14379.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,10737.0,13315.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,10737.0,13315.0,3
RC,360,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,10737.0,13315.0,3
RC,360,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,2050.0,10719.0,11
RC,360,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,2350.0,8577.0,6
RC,360,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,2350.0,8727.0,9
RC,360,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,2350.0,15007.0,8
RC,360,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,2350.0,15007.0,8
RC,360,Revision mastoidectomy; resulting in complete mastoidectomy ,,,2050.0,13315.0,11
RC,360,Revision mastoidectomy; resulting in complete mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,2050.0,13315.0,11
RC,360,Revision mastoidectomy; resulting in modified radical mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision mastoidectomy; resulting in radical mastoidectomy ,,,2050.0,13315.0,11
RC,360,Revision mastoidectomy; resulting in radical mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision mastoidectomy; resulting in tympanoplasty ,,,2050.0,13315.0,11
RC,360,Revision mastoidectomy; resulting in tympanoplasty Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,2050.0,8727.0,11
RC,360,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,2050.0,8727.0,11
RC,360,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,2050.0,10719.0,11
RC,360,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,2050.0,10719.0,11
RC,360,Revision of colostomy; simple (release of superficial scar) (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,2050.0,10719.0,11
RC,360,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,2050.0,8577.0,8
RC,360,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,2050.0,8577.0,8
RC,360,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,2050.0,10719.0,8
RC,360,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,2050.0,10719.0,11
RC,360,Revision of ileostomy; simple (release of superficial scar) (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision of implanted intra-arterial infusion pump ,,,2050.0,10719.0,11
RC,360,Revision of implanted intra-arterial infusion pump Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision of peritoneal-venous shunt ,,,2050.0,10719.0,11
RC,360,Revision of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,2050.0,13315.0,12
RC,360,Revision of stapedectomy or stapedotomy ,,,2350.0,13315.0,8
RC,360,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,2050.0,19295.0,12
RC,360,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,2050.0,8727.0,11
RC,360,Revision of urinary-cutaneous anastomosis (any type urostomy); Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,2050.0,8577.0,8
RC,360,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia Other Surgical Services,,,2850.0,2850.0,1
RC,360,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,2050.0,10719.0,11
RC,360,Revision or removal of cranial neurostimulator pulse generator or receiver Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,2050.0,8577.0,8
RC,360,"Revision or removal of gastric neurostimulator electrodes, antrum, open Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2350.0,10719.0,8
RC,360,Revision or removal of intracranial neurostimulator electrodes ,,,2050.0,10719.0,11
RC,360,Revision or removal of intracranial neurostimulator electrodes Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,2050.0,10719.0,8
RC,360,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator Other Surgical Services",,,2850.0,2850.0,1
RC,360,Revision or removal of peripheral neurostimulator electrode array ,,,2350.0,13830.0,13
RC,360,Revision or removal of peripheral neurostimulator electrode array Complex Surgery,,,11754.0,11754.0,2
RC,360,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2350.0,10719.0,9
RC,360,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,2050.0,8727.0,11
RC,360,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,2050.0,10719.0,8
RC,360,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,2050.0,30016.0,8
RC,360,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,2350.0,15007.0,9
RC,360,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,2350.0,19295.0,10
RC,360,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,360,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,8577.0,8577.0,1
RC,360,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,360,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2050.0,19295.0,8
RC,360,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,2050.0,17341.0,7
RC,360,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,2050.0,17341.0,7
RC,360,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,2050.0,36598.0,10
RC,360,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,13374.0,13374.0,1
RC,360,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,360,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,13374.0,13374.0,1
RC,360,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,360,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,13374.0,13374.0,1
RC,360,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,360,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,360,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,13374.0,13374.0,1
RC,360,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,360,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,360,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,13374.0,13374.0,1
RC,360,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,360,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,360,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,7583.0,9539.0,3
RC,360,Right ventricular recording ,,,6826.0,19105.0,4
RC,360,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,2050.0,6802.0,7
RC,360,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,2050.0,6802.0,7
RC,360,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,2050.0,6802.0,7
RC,360,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,2050.0,6802.0,7
RC,360,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery Other Surgical Services",,,2850.0,2850.0,1
RC,360,SEPTIC ARTHRITIS WITH CC ,,,11000.0,11000.0,1
RC,360,SEPTIC ARTHRITIS WITH MCC ,,,11000.0,11000.0,1
RC,360,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,360,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,11000.0,11000.0,1
RC,360,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,11000.0,11000.0,1
RC,360,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,11000.0,11000.0,1
RC,360,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,11000.0,11000.0,1
RC,360,SKIN DEBRIDEMENT WITH MCC ,,,11000.0,11000.0,1
RC,360,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,11000.0,11000.0,1
RC,360,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,360,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,11000.0,11000.0,1
RC,360,SOFT TISSUE PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,360,SOFT TISSUE PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,360,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,360,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,7583.0,9539.0,3
RC,360,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,11000.0,11000.0,1
RC,360,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,360,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2820.0,5414.0,3
RC,360,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2050.0,10719.0,11
RC,360,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2050.0,13315.0,11
RC,360,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Salpingostomy (salpingoneostomy) ,,,2050.0,8727.0,11
RC,360,Salpingostomy (salpingoneostomy) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Scleral reinforcement (separate procedure); with graft ,,,2050.0,8727.0,11
RC,360,Scleral reinforcement (separate procedure); with graft Other Surgical Services,,,2850.0,2850.0,1
RC,360,Scleral reinforcement (separate procedure); without graft ,,,2050.0,8727.0,11
RC,360,Scleral reinforcement (separate procedure); without graft Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,2050.0,6802.0,12
RC,360,"Scraping of cornea, diagnostic, for smear and/or culture ",,,1423.0,6802.0,11
RC,360,"Scraping of cornea, diagnostic, for smear and/or culture Other Surgical Services",,,2850.0,2850.0,1
RC,360,Scrotal exploration ,,,2050.0,8727.0,11
RC,360,Scrotal exploration Other Surgical Services,,,2850.0,2850.0,1
RC,360,Scrotoplasty; complicated ,,,2050.0,8727.0,11
RC,360,Scrotoplasty; complicated Other Surgical Services,,,2850.0,2850.0,1
RC,360,Scrotoplasty; simple ,,,2050.0,13315.0,11
RC,360,Scrotoplasty; simple Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,1423.0,6802.0,12
RC,360,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,2050.0,8577.0,9
RC,360,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,2050.0,8577.0,9
RC,360,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,2050.0,10719.0,24
RC,360,"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code",,,1423.0,6802.0,12
RC,360,"Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial seco",,,1423.0,6802.0,9
RC,360,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,1423.0,6802.0,9
RC,360,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family ",,,1423.0,6802.0,9
RC,360,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,1423.0,6802.0,9
RC,360,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family ",,,1423.0,6802.0,9
RC,360,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,1423.0,6802.0,9
RC,360,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family ",,,1423.0,6802.0,9
RC,360,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological superv",,,2350.0,10719.0,9
RC,360,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological superv",,,2350.0,15007.0,9
RC,360,"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological su",,,1423.0,6802.0,9
RC,360,"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List",,,1423.0,6802.0,9
RC,360,"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, ",,,2350.0,15007.0,9
RC,360,"Selective catheter placement, left or right pulmonary artery ",,,1423.0,6802.0,11
RC,360,"Selective catheter placement, left or right pulmonary artery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Selective catheter placement, segmental or subsegmental pulmonary artery ",,,1423.0,6802.0,11
RC,360,"Selective catheter placement, segmental or subsegmental pulmonary artery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, inc",,,2350.0,10719.0,9
RC,360,"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein) ",,,1423.0,6802.0,11
RC,360,"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus) ",,,1423.0,6802.0,11
RC,360,"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiograp",,,2350.0,15007.0,9
RC,360,Semi-precision abutment - placement ,,,8577.0,8577.0,1
RC,360,Semi-precision attachment - placement ,,,8577.0,8577.0,1
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,2050.0,8727.0,11
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,2050.0,8727.0,11
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,2050.0,8727.0,11
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,2050.0,8727.0,11
RC,360,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,1982.0,6802.0,11
RC,360,"Severing adhesions of anterior segment, laser technique (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Severing of tarsorrhaphy ,,,1982.0,6802.0,11
RC,360,Severing of tarsorrhaphy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,1982.0,6802.0,8
RC,360,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,2050.0,6802.0,11
RC,360,"Sialolithotomy; parotid, extraoral or complicated intraoral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,2050.0,8727.0,11
RC,360,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,2050.0,6802.0,11
RC,360,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1982.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,2050.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,1982.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,2050.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2050.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,1982.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,2050.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with endoscopic mucosal resection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,2050.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,2050.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,1982.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2050.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,2050.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,2050.0,6802.0,11
RC,360,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,1423.0,6802.0,11
RC,360,"Simple cystometrogram (CMG) (eg, spinal manometer) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,1423.0,6802.0,11
RC,360,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,2050.0,16982.0,15
RC,360,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,2350.0,16982.0,13
RC,360,"Sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,2050.0,8727.0,11
RC,360,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,2050.0,8727.0,11
RC,360,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,2050.0,6802.0,11
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Other Surg",,,2850.0,2850.0,1
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,2050.0,6802.0,12
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,2050.0,10719.0,11
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,2050.0,6802.0,12
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,2050.0,6802.0,12
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,2050.0,6802.0,12
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,2050.0,6802.0,11
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube Other Surgical Service",,,2850.0,2850.0,1
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,2050.0,6802.0,11
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,2050.0,6802.0,11
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,2050.0,6802.0,11
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery Other Su",,,2850.0,2850.0,1
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2050.0,6802.0,11
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,2050.0,10719.0,11
RC,360,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Snip incision of lacrimal punctum ,,,1423.0,6802.0,11
RC,360,Snip incision of lacrimal punctum Other Surgical Services,,,2850.0,2850.0,1
RC,360,Sperm washing for artificial insemination ,,,1423.0,6802.0,9
RC,360,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,2050.0,10719.0,11
RC,360,"Sphincteroplasty, anal, for incontinence or prolapse; adult Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,2050.0,8577.0,8
RC,360,"Sphincteroplasty, anal, for incontinence or prolapse; child Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,2050.0,10719.0,11
RC,360,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,2050.0,10719.0,11
RC,360,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,2050.0,6802.0,11
RC,360,"Sphincterotomy, anal, division of sphincter (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Spinal puncture, lumbar, diagnostic; ",,,1982.0,6802.0,11
RC,360,"Spinal puncture, lumbar, diagnostic; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,2050.0,6802.0,8
RC,360,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,1982.0,6802.0,11
RC,360,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,2050.0,6802.0,8
RC,360,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,Splenectomy; partial (separate procedure) ,,,2050.0,8577.0,8
RC,360,Splenectomy; partial (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Splenectomy; total (separate procedure) ,,,2050.0,8577.0,8
RC,360,Splenectomy; total (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,360,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,2050.0,10719.0,10
RC,360,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,2050.0,10719.0,10
RC,360,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,2350.0,13315.0,8
RC,360,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,2350.0,13315.0,8
RC,360,Stapes mobilization ,,,2350.0,8727.0,8
RC,360,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,2050.0,8577.0,8
RC,360,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,2050.0,8577.0,8
RC,360,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,360,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,2050.0,6802.0,11
RC,360,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,2050.0,12863.0,11
RC,360,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2050.0,13315.0,5
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2050.0,13315.0,5
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2050.0,13315.0,8
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,5
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,5
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,5
RC,360,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,2350.0,6802.0,9
RC,360,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,1423.0,6802.0,11
RC,360,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,360,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,360,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1423.0,6802.0,12
RC,360,"Strabismus surgery, any procedure, superior oblique muscle ",,,2050.0,8727.0,11
RC,360,"Strabismus surgery, any procedure, superior oblique muscle Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,2050.0,8727.0,11
RC,360,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,2050.0,8727.0,11
RC,360,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,2050.0,10719.0,11
RC,360,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,2050.0,8727.0,11
RC,360,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Subconjunctival injection ,,,1423.0,6802.0,11
RC,360,Subconjunctival injection Other Surgical Services,,,2850.0,2850.0,1
RC,360,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,2050.0,6802.0,11
RC,360,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,1982.0,6802.0,11
RC,360,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,1982.0,6802.0,11
RC,360,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,2050.0,8727.0,11
RC,360,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,2050.0,8577.0,8
RC,360,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,2050.0,6802.0,7
RC,360,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,2050.0,15007.0,24
RC,360,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2350.0,10719.0,5
RC,360,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,2050.0,6802.0,8
RC,360,Suprachoroidal space injection of pharmacologic agent (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Suprahyoid lymphadenectomy ,,,2050.0,8727.0,11
RC,360,Suprahyoid lymphadenectomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,2050.0,8577.0,8
RC,360,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,2050.0,8577.0,8
RC,360,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,2050.0,8577.0,8
RC,360,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,2050.0,8577.0,8
RC,360,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2050.0,8577.0,8
RC,360,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,2050.0,8577.0,8
RC,360,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,2050.0,8577.0,8
RC,360,"Surgery of intracranial arteriovenous malformation; dural, complex Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,2050.0,8577.0,8
RC,360,"Surgery of intracranial arteriovenous malformation; dural, simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,2050.0,8577.0,8
RC,360,"Surgery of intracranial arteriovenous malformation; infratentorial, complex Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,2050.0,8577.0,8
RC,360,"Surgery of intracranial arteriovenous malformation; infratentorial, simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,2050.0,8577.0,8
RC,360,"Surgery of intracranial arteriovenous malformation; supratentorial, complex Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,2050.0,8577.0,8
RC,360,"Surgery of intracranial arteriovenous malformation; supratentorial, simple Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,2050.0,8577.0,8
RC,360,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2050.0,8577.0,8
RC,360,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation Other Surgical Services",,,2850.0,2850.0,1
RC,360,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,8577.0,8577.0,1
RC,360,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,8577.0,8577.0,1
RC,360,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,8577.0,8577.0,1
RC,360,Surgical placement of craniofacial implant - extra oral ,,,8577.0,8577.0,1
RC,360,Surgical placement zygomatic implant ,,,8577.0,8577.0,1
RC,360,Surgical repair of root resorption - molar ,,,8577.0,8577.0,1
RC,360,Surgical repair of root resorption- premolar ,,,8577.0,8577.0,1
RC,360,Surgical repair of root resorption-anterior ,,,8577.0,8577.0,1
RC,360,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,2050.0,8727.0,11
RC,360,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Other Surgical Services,,,2850.0,2850.0,1
RC,360,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,2050.0,8727.0,11
RC,360,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Other Surgical Services,,,2850.0,2850.0,1
RC,360,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,2050.0,8727.0,11
RC,360,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,2050.0,8727.0,11
RC,360,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,2050.0,8577.0,8
RC,360,Surgical treatment of ectopic pregnancy; abdominal pregnancy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,2050.0,8577.0,8
RC,360,"Surgical treatment of ectopic pregnancy; cervical, with evacuation Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,2050.0,8577.0,8
RC,360,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,2050.0,10719.0,11
RC,360,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,2050.0,10719.0,11
RC,360,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,Suture and/or ligation of thoracic duct; abdominal approach ,,,2050.0,8577.0,8
RC,360,Suture and/or ligation of thoracic duct; abdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,Suture and/or ligation of thoracic duct; cervical approach ,,,2050.0,8577.0,8
RC,360,Suture and/or ligation of thoracic duct; cervical approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,Suture and/or ligation of thoracic duct; thoracic approach ,,,2050.0,8577.0,8
RC,360,Suture and/or ligation of thoracic duct; thoracic approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,2050.0,13315.0,11
RC,360,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,2050.0,13315.0,11
RC,360,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,2050.0,12863.0,11
RC,360,"Suture of 1 nerve; hand or foot, common sensory nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,Suture of 1 nerve; median motor thenar ,,,2050.0,12863.0,11
RC,360,Suture of 1 nerve; median motor thenar Other Surgical Services,,,2850.0,2850.0,1
RC,360,Suture of 1 nerve; ulnar motor ,,,2050.0,12863.0,11
RC,360,Suture of 1 nerve; ulnar motor Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Suture of digital nerve, hand or foot; 1 nerve ",,,2050.0,10719.0,11
RC,360,"Suture of digital nerve, hand or foot; 1 nerve Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,360,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Suture of esophageal wound or injury; cervical approach ,,,2050.0,8577.0,8
RC,360,Suture of esophageal wound or injury; cervical approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,2050.0,8577.0,8
RC,360,Suture of esophageal wound or injury; transthoracic or transabdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,360,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,2050.0,8577.0,8
RC,360,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Suture of facial nerve; extracranial ,,,2050.0,12863.0,11
RC,360,Suture of facial nerve; extracranial Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Suture of facial nerve; infratemporal, with or without grafting ",,,2050.0,12863.0,11
RC,360,"Suture of facial nerve; infratemporal, with or without grafting Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,2050.0,8727.0,11
RC,360,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,2050.0,8577.0,8
RC,360,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,2050.0,8577.0,8
RC,360,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,2050.0,12863.0,11
RC,360,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,2050.0,12863.0,11
RC,360,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition Other Surgical Services",,,2850.0,2850.0,1
RC,360,Suture of mesentery (separate procedure) ,,,2050.0,8577.0,8
RC,360,Suture of mesentery (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1423.0,6802.0,11
RC,360,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,1423.0,6802.0,11
RC,360,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1423.0,6802.0,11
RC,360,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Suture of posterior tibial nerve ,,,2050.0,12863.0,11
RC,360,Suture of posterior tibial nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,2050.0,8727.0,11
RC,360,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,2050.0,8727.0,11
RC,360,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness Other Surgical Services",,,2850.0,2850.0,1
RC,360,Suture of sciatic nerve ,,,2050.0,10719.0,11
RC,360,Suture of sciatic nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,2050.0,8577.0,8
RC,360,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,2050.0,7493.0,8
RC,360,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation Other Surgical Services",,,2850.0,2850.0,1
RC,360,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,2050.0,6802.0,11
RC,360,Suture of tongue to lip for micrognathia (Douglas type procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Suture of; brachial plexus ,,,2050.0,10719.0,11
RC,360,Suture of; brachial plexus Other Surgical Services,,,2850.0,2850.0,1
RC,360,Suture of; lumbar plexus ,,,2050.0,12863.0,11
RC,360,Suture of; lumbar plexus Other Surgical Services,,,2850.0,2850.0,1
RC,360,Suture or repair of testicular injury ,,,2050.0,8727.0,11
RC,360,Suture or repair of testicular injury Other Surgical Services,,,2850.0,2850.0,1
RC,360,Suture pharynx for wound or injury ,,,2050.0,8727.0,11
RC,360,Suture pharynx for wound or injury Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,2050.0,8577.0,8
RC,360,"Suture, secondary, of abdominal wall for evisceration or dehiscence Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sympathectomy, cervical ",,,2050.0,6802.0,11
RC,360,"Sympathectomy, cervical Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sympathectomy, cervicothoracic ",,,2050.0,6802.0,11
RC,360,"Sympathectomy, cervicothoracic Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sympathectomy, lumbar ",,,2050.0,8577.0,8
RC,360,"Sympathectomy, lumbar Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sympathectomy, thoracolumbar ",,,2050.0,8577.0,8
RC,360,"Sympathectomy, thoracolumbar Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Sympathectomy; digital arteries, each digit ",,,2050.0,8727.0,11
RC,360,"Sympathectomy; digital arteries, each digit Other Surgical Services",,,2850.0,2850.0,1
RC,360,Sympathectomy; radial artery ,,,2050.0,10719.0,11
RC,360,Sympathectomy; radial artery Other Surgical Services,,,2850.0,2850.0,1
RC,360,Sympathectomy; superficial palmar arch ,,,2050.0,10719.0,11
RC,360,Sympathectomy; superficial palmar arch Other Surgical Services,,,2850.0,2850.0,1
RC,360,Sympathectomy; ulnar artery ,,,2050.0,10719.0,11
RC,360,Sympathectomy; ulnar artery Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,2050.0,8577.0,8
RC,360,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,11000.0,11000.0,1
RC,360,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,11000.0,11000.0,1
RC,360,TRANSCATHETER THERAPY INFUSE ,,,6826.0,6826.0,1
RC,360,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,1982.0,6802.0,11
RC,360,"Temporary closure of eyelids by suture (eg, Frost suture) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Temporary transcutaneous pacing ,,,1982.0,4009.0,4
RC,360,Therapeutic apheresis; for plasma pheresis ,,,2050.0,6802.0,11
RC,360,Therapeutic apheresis; for plasma pheresis Other Surgical Services,,,2850.0,2850.0,1
RC,360,Therapeutic apheresis; for platelets ,,,2050.0,6802.0,11
RC,360,Therapeutic apheresis; for platelets Other Surgical Services,,,2850.0,2850.0,1
RC,360,Therapeutic apheresis; for red blood cells ,,,2050.0,6802.0,11
RC,360,Therapeutic apheresis; for red blood cells Other Surgical Services,,,2850.0,2850.0,1
RC,360,Therapeutic apheresis; for white blood cells ,,,2050.0,6802.0,11
RC,360,Therapeutic apheresis; for white blood cells Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion ",,,2050.0,12863.0,11
RC,360,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,8
RC,360,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) Ot",,,2850.0,2850.0,1
RC,360,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2050.0,15007.0,8
RC,360,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,360,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,360,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,360,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,360,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,360,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,2050.0,17341.0,7
RC,360,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thrombolysis, cerebral, by intravenous infusion ",,,1423.0,6802.0,9
RC,360,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,17341.0,17341.0,2
RC,360,"Thrombolysis, coronary; by intravenous infusion ",,,1423.0,17341.0,5
RC,360,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,2050.0,13315.0,11
RC,360,"Thymectomy, partial or total; transcervical approach (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thyroidectomy, including substernal thyroid; cervical approach ",,,2050.0,13315.0,11
RC,360,"Thyroidectomy, including substernal thyroid; cervical approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,2050.0,6802.0,11
RC,360,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,2050.0,13315.0,11
RC,360,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thyroidectomy, total or complete ",,,2050.0,15007.0,11
RC,360,"Thyroidectomy, total or complete Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,8577.0,8577.0,1
RC,360,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,2050.0,13315.0,11
RC,360,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,2050.0,8727.0,11
RC,360,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Tongue base suspension, permanent suture technique ",,,2050.0,13315.0,11
RC,360,"Tongue base suspension, permanent suture technique Other Surgical Services",,,2850.0,2850.0,1
RC,360,Tonsillectomy and adenoidectomy; age 12 or over ,,,2050.0,8727.0,11
RC,360,Tonsillectomy and adenoidectomy; age 12 or over Other Surgical Services,,,2850.0,2850.0,1
RC,360,Tonsillectomy and adenoidectomy; younger than age 12 ,,,2050.0,8727.0,11
RC,360,Tonsillectomy and adenoidectomy; younger than age 12 Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Tonsillectomy, primary or secondary; age 12 or over ",,,2050.0,8727.0,11
RC,360,"Tonsillectomy, primary or secondary; age 12 or over Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Tonsillectomy, primary or secondary; younger than age 12 ",,,2050.0,8727.0,11
RC,360,"Tonsillectomy, primary or secondary; younger than age 12 Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,2050.0,10719.0,7
RC,360,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,2050.0,8577.0,7
RC,360,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) Other Surg",,,2850.0,2850.0,1
RC,360,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,2350.0,8577.0,5
RC,360,Total facial nerve decompression and/or repair (may include graft) ,,,2050.0,13315.0,11
RC,360,Total facial nerve decompression and/or repair (may include graft) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,2050.0,8577.0,8
RC,360,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) Other Surgical Servi",,,2850.0,2850.0,1
RC,360,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,2050.0,8577.0,9
RC,360,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,2050.0,8577.0,8
RC,360,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) Other Surgical Ser",,,2850.0,2850.0,1
RC,360,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,2050.0,8577.0,8
RC,360,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,2050.0,8577.0,8
RC,360,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2050.0,15007.0,11
RC,360,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2050.0,15007.0,11
RC,360,"Total thyroid lobectomy, unilateral; with or without isthmusectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,Trabeculoplasty by laser surgery ,,,1982.0,6802.0,11
RC,360,Trabeculoplasty by laser surgery Other Surgical Services,,,2850.0,2850.0,1
RC,360,Trabeculotomy ab externo ,,,2050.0,8727.0,11
RC,360,Trabeculotomy ab externo Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,2050.0,8727.0,11
RC,360,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,2050.0,8727.0,11
RC,360,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transabdominal amnioinfusion, including ultrasound guidance ",,,1982.0,6802.0,11
RC,360,"Transabdominal amnioinfusion, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,360,Transcatheter biopsy ,,,2350.0,15007.0,9
RC,360,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,2143.0,2143.0,1
RC,360,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2050.0,19295.0,21
RC,360,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,2160.0,31841.0,27
RC,360,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,2350.0,31841.0,13
RC,360,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,2160.0,31841.0,15
RC,360,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,1423.0,6802.0,11
RC,360,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,2050.0,31841.0,10
RC,360,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,2050.0,31841.0,10
RC,360,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,2050.0,8577.0,8
RC,360,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,2050.0,8577.0,6
RC,360,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,2050.0,8577.0,7
RC,360,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1423.0,17341.0,7
RC,360,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,2350.0,11754.0,11
RC,360,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,2050.0,17341.0,7
RC,360,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day Other Surgical S",,,2850.0,2850.0,1
RC,360,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,2050.0,17341.0,16
RC,360,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,2050.0,17341.0,7
RC,360,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2050.0,12863.0,8
RC,360,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,2350.0,8727.0,9
RC,360,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,2050.0,8577.0,9
RC,360,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,2050.0,8577.0,9
RC,360,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,2050.0,6802.0,11
RC,360,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,2050.0,10719.0,11
RC,360,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transection or avulsion of other cranial nerve, extradural ",,,2050.0,8727.0,11
RC,360,"Transection or avulsion of other cranial nerve, extradural Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transection or avulsion of other spinal nerve, extradural ",,,2050.0,8727.0,11
RC,360,"Transection or avulsion of other spinal nerve, extradural Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transection or avulsion of; facial nerve, differential or complete ",,,2050.0,8727.0,11
RC,360,"Transection or avulsion of; facial nerve, differential or complete Other Surgical Services",,,2850.0,2850.0,1
RC,360,Transection or avulsion of; greater occipital nerve ,,,2050.0,8727.0,11
RC,360,Transection or avulsion of; greater occipital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,2050.0,6802.0,11
RC,360,Transection or avulsion of; inferior alveolar nerve by osteotomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transection or avulsion of; infraorbital nerve ,,,2050.0,6802.0,11
RC,360,Transection or avulsion of; infraorbital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transection or avulsion of; lingual nerve ,,,2050.0,8727.0,11
RC,360,Transection or avulsion of; lingual nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transection or avulsion of; mental nerve ,,,2050.0,6802.0,11
RC,360,Transection or avulsion of; mental nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transection or avulsion of; phrenic nerve ,,,2050.0,6802.0,11
RC,360,Transection or avulsion of; phrenic nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transection or avulsion of; supraorbital nerve ,,,2050.0,6802.0,11
RC,360,Transection or avulsion of; supraorbital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,2050.0,8577.0,8
RC,360,"Transection or avulsion of; vagus nerve (vagotomy), abdominal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,2050.0,8577.0,8
RC,360,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) Other Surgica",,,2850.0,2850.0,1
RC,360,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,360,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,2050.0,8577.0,8
RC,360,Transection or repositioning of aberrant renal vessels (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Transfusion, blood or blood components ",,,1423.0,6802.0,11
RC,360,"Transfusion, blood or blood components Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transfusion, intrauterine, fetal ",,,1423.0,6802.0,11
RC,360,"Transfusion, intrauterine, fetal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,1423.0,23692.0,28
RC,360,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,8577.0,8577.0,1
RC,360,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,1423.0,23692.0,29
RC,360,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,1423.0,23692.0,15
RC,360,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,2050.0,13315.0,11
RC,360,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,2050.0,13315.0,11
RC,360,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent Other Surgical Services",,,2850.0,2850.0,1
RC,360,Transmastoid antrotomy (simple mastoidectomy) ,,,2050.0,13315.0,11
RC,360,Transmastoid antrotomy (simple mastoidectomy) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,2050.0,8577.0,8
RC,360,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,2050.0,8577.0,8
RC,360,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) Other Surgical",,,2850.0,2850.0,1
RC,360,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,1423.0,6802.0,8
RC,360,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,2350.0,15007.0,8
RC,360,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,2350.0,15007.0,8
RC,360,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2050.0,15007.0,7
RC,360,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,2350.0,53068.0,12
RC,360,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,2050.0,8577.0,8
RC,360,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,1982.0,6802.0,11
RC,360,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer Other Surgical Services",,,2850.0,2850.0,1
RC,360,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,1423.0,6802.0,11
RC,360,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,,,1982.0,6802.0,11
RC,360,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,1982.0,6802.0,11
RC,360,Transplant preparation of hematopoietic progenitor cells; platelet depletion Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,,,1982.0,6802.0,11
RC,360,Transplant preparation of hematopoietic progenitor cells; red blood cell removal Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,1982.0,6802.0,11
RC,360,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,1423.0,6802.0,11
RC,360,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,1423.0,6802.0,11
RC,360,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor Other Surgical Services",,,2850.0,2850.0,1
RC,360,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,1982.0,6802.0,11
RC,360,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transplantation of pancreatic allograft ,,,2050.0,6802.0,7
RC,360,Transplantation of pancreatic allograft Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,2050.0,8727.0,11
RC,360,Transplantation of testis(es) to thigh (because of scrotal destruction) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transposition, ovary(s) ",,,2050.0,10719.0,11
RC,360,"Transposition, ovary(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Transrectal drainage of pelvic abscess ,,,2050.0,8727.0,11
RC,360,Transrectal drainage of pelvic abscess Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,2050.0,8577.0,8
RC,360,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization Othe",,,2850.0,2850.0,1
RC,360,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,2050.0,8577.0,8
RC,360,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter Other Surgical Services",,,2850.0,2850.0,1
RC,360,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,2050.0,6802.0,11
RC,360,Transurethral destruction of prostate tissue; by microwave thermotherapy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,2050.0,7493.0,8
RC,360,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,2050.0,13315.0,11
RC,360,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transurethral drainage of prostatic abscess ,,,2050.0,8727.0,10
RC,360,Transurethral drainage of prostatic abscess Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,2350.0,13830.0,14
RC,360,Transurethral incision of prostate ,,,2050.0,8727.0,10
RC,360,Transurethral incision of prostate Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,2050.0,6802.0,11
RC,360,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transurethral resection of bladder neck (separate procedure) ,,,2050.0,8727.0,10
RC,360,Transurethral resection of bladder neck (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Transurethral resection; of postoperative bladder neck contracture ,,,2350.0,8727.0,8
RC,360,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,2350.0,13315.0,8
RC,360,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,2050.0,12863.0,8
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,1423.0,6802.0,11
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,1423.0,6802.0,11
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,11
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,11
RC,360,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Transvesical ureterolithotomy ,,,2050.0,13315.0,11
RC,360,Transvesical ureterolithotomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,1982.0,13830.0,12
RC,360,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,360,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,1982.0,6802.0,12
RC,360,"Treatment of incomplete abortion, any trimester, completed surgically ",,,2050.0,8727.0,11
RC,360,"Treatment of incomplete abortion, any trimester, completed surgically Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Treatment of missed abortion, completed surgically; first trimester ",,,2050.0,8727.0,11
RC,360,"Treatment of missed abortion, completed surgically; first trimester Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Treatment of missed abortion, completed surgically; second trimester ",,,2050.0,8727.0,11
RC,360,"Treatment of missed abortion, completed surgically; second trimester Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Treatment of septic abortion, completed surgically ",,,2050.0,8577.0,8
RC,360,"Treatment of septic abortion, completed surgically Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Trimming of dystrophic nails, any number ",,,1423.0,3251.0,4
RC,360,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,2050.0,8577.0,8
RC,360,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Tubotubal anastomosis ,,,2050.0,10719.0,11
RC,360,Tubotubal anastomosis Other Surgical Services,,,2850.0,2850.0,1
RC,360,Tubouterine implantation ,,,2050.0,10719.0,11
RC,360,Tubouterine implantation Other Surgical Services,,,2850.0,2850.0,1
RC,360,Twist drill hole for subdural or ventricular puncture ,,,2050.0,8577.0,8
RC,360,Twist drill hole for subdural or ventricular puncture Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,2050.0,8577.0,8
RC,360,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,2050.0,8577.0,8
RC,360,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device Other Surgical Servic",,,2850.0,2850.0,1
RC,360,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,2050.0,8577.0,8
RC,360,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,2050.0,8577.0,36
RC,360,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,2050.0,8727.0,11
RC,360,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Other Surgical Services",,,2850.0,2850.0,1
RC,360,Tympanic neurectomy ,,,2350.0,8727.0,8
RC,360,"Tympanolysis, transcanal ",,,2050.0,13315.0,11
RC,360,"Tympanolysis, transcanal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,360,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,2350.0,13315.0,8
RC,360,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,360,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,360,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,2350.0,13315.0,8
RC,360,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,2350.0,13315.0,8
RC,360,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,360,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,2050.0,6802.0,11
RC,360,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,1423.0,6802.0,11
RC,360,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,2143.0,2143.0,1
RC,360,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,2050.0,10719.0,11
RC,360,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Unlisted cardiovascular service or procedure ,,,1423.0,3251.0,4
RC,360,Unlisted diagnostic gastroenterology procedure ,,,1423.0,3251.0,4
RC,360,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,1423.0,6802.0,11
RC,360,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted hysteroscopy procedure, uterus ",,,1423.0,13830.0,12
RC,360,"Unlisted hysteroscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted laparoscopic procedure, liver ",,,2050.0,13830.0,15
RC,360,"Unlisted laparoscopic procedure, liver Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted laparoscopic procedure, liver Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,2050.0,13830.0,14
RC,360,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted laparoscopy procedure, appendix ",,,2350.0,13830.0,12
RC,360,"Unlisted laparoscopy procedure, appendix Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted laparoscopy procedure, biliary tract ",,,2350.0,13315.0,8
RC,360,"Unlisted laparoscopy procedure, bladder ",,,2350.0,13315.0,8
RC,360,"Unlisted laparoscopy procedure, endocrine system ",,,2350.0,13315.0,8
RC,360,"Unlisted laparoscopy procedure, esophagus ",,,2350.0,13830.0,12
RC,360,"Unlisted laparoscopy procedure, esophagus Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,2350.0,13830.0,12
RC,360,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,2050.0,13315.0,10
RC,360,"Unlisted laparoscopy procedure, intestine (except rectum) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted laparoscopy procedure, lymphatic system ",,,2350.0,13830.0,12
RC,360,"Unlisted laparoscopy procedure, lymphatic system Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted laparoscopy procedure, maternity care and delivery ",,,2350.0,13830.0,12
RC,360,"Unlisted laparoscopy procedure, maternity care and delivery Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted laparoscopy procedure, oviduct, ovary ",,,2350.0,13830.0,12
RC,360,"Unlisted laparoscopy procedure, oviduct, ovary Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted laparoscopy procedure, rectum ",,,2050.0,13315.0,11
RC,360,"Unlisted laparoscopy procedure, rectum Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted laparoscopy procedure, renal ",,,2350.0,13830.0,12
RC,360,"Unlisted laparoscopy procedure, renal Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted laparoscopy procedure, spermatic cord ",,,2350.0,13315.0,8
RC,360,"Unlisted laparoscopy procedure, spleen ",,,2350.0,13830.0,12
RC,360,"Unlisted laparoscopy procedure, spleen Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted laparoscopy procedure, stomach ",,,2350.0,13830.0,12
RC,360,"Unlisted laparoscopy procedure, stomach Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted laparoscopy procedure, testis ",,,2350.0,13315.0,8
RC,360,"Unlisted laparoscopy procedure, ureter ",,,2350.0,13830.0,12
RC,360,"Unlisted laparoscopy procedure, ureter Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted laparoscopy procedure, uterus ",,,2350.0,13830.0,12
RC,360,"Unlisted laparoscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,360,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,2050.0,8577.0,8
RC,360,"Unlisted procedure, Meckel's diverticulum and the mesentery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, abdomen, peritoneum and omentum ",,,2050.0,9539.0,11
RC,360,"Unlisted procedure, abdomen, peritoneum and omentum Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, anterior segment of eye ",,,2050.0,6802.0,11
RC,360,"Unlisted procedure, anterior segment of eye Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, anus ",,,1982.0,6802.0,11
RC,360,"Unlisted procedure, anus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, biliary tract ",,,2050.0,8727.0,11
RC,360,"Unlisted procedure, biliary tract Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, colon ",,,2050.0,6802.0,11
RC,360,"Unlisted procedure, colon Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, conjunctiva ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, conjunctiva Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, dentoalveolar structures ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, diaphragm ",,,2050.0,8577.0,8
RC,360,"Unlisted procedure, diaphragm Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, endocrine system ",,,2050.0,15007.0,11
RC,360,"Unlisted procedure, endocrine system Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, esophagus ",,,2050.0,6802.0,11
RC,360,"Unlisted procedure, esophagus Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, external ear ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, external ear Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, extraocular muscle ",,,2050.0,8727.0,11
RC,360,"Unlisted procedure, extraocular muscle Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, eyelids ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, eyelids Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, female genital system (nonobstetrical) ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, female genital system (nonobstetrical) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, hemic or lymphatic system ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, hemic or lymphatic system Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, inner ear ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, inner ear Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, lacrimal system ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, lacrimal system Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, lips ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, lips Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, liver ",,,1982.0,6802.0,11
RC,360,"Unlisted procedure, liver Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, male genital system ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, male genital system Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, maternity care and delivery ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, maternity care and delivery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, mediastinum ",,,2050.0,8577.0,8
RC,360,"Unlisted procedure, mediastinum Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, middle ear ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, middle ear Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, nervous system ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, nervous system Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, orbit ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, orbit Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, palate, uvula ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, palate, uvula Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, pancreas ",,,1982.0,6802.0,11
RC,360,"Unlisted procedure, pancreas Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, pharynx, adenoids, or tonsils Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, posterior segment ",,,2050.0,6802.0,11
RC,360,"Unlisted procedure, posterior segment Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, rectum ",,,1982.0,6802.0,11
RC,360,"Unlisted procedure, rectum Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, salivary glands or ducts ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, salivary glands or ducts Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, small intestine ",,,2050.0,9539.0,11
RC,360,"Unlisted procedure, small intestine Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, stomach ",,,2050.0,6802.0,8
RC,360,"Unlisted procedure, stomach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, temporal bone, middle fossa approach ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, temporal bone, middle fossa approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, tongue, floor of mouth ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, tongue, floor of mouth Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, urinary system ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, urinary system Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, vascular injection ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, vascular injection Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, vascular surgery ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, vascular surgery Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Unlisted procedure, vestibule of mouth ",,,1423.0,6802.0,11
RC,360,"Unlisted procedure, vestibule of mouth Other Surgical Services",,,2850.0,2850.0,1
RC,360,Unlisted vascular endoscopy procedure ,,,2350.0,9539.0,9
RC,360,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,1423.0,6802.0,12
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,11
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2050.0,8727.0,11
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,2050.0,8727.0,12
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2050.0,8727.0,11
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Other Su",,,2850.0,2850.0,1
RC,360,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1982.0,6802.0,12
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,11
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2050.0,6802.0,11
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,2050.0,6802.0,11
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy Other",,,2850.0,2850.0,1
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2050.0,8727.0,11
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Other Surgical Servic",,,2850.0,2850.0,1
RC,360,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1982.0,6802.0,12
RC,360,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2050.0,8577.0,8
RC,360,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureterectomy, with bladder cuff (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Ureterectomy, with bladder cuff (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,2050.0,8577.0,8
RC,360,"Ureterocalycostomy, anastomosis of ureter to renal calyx Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureterocolon conduit, including intestine anastomosis ",,,2050.0,8577.0,8
RC,360,"Ureterocolon conduit, including intestine anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,2050.0,8577.0,8
RC,360,"Ureteroenterostomy, direct anastomosis of ureter to intestine Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,2050.0,8577.0,8
RC,360,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Ureterolithotomy; lower one-third of ureter ,,,2050.0,8577.0,8
RC,360,Ureterolithotomy; lower one-third of ureter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ureterolithotomy; middle one-third of ureter ,,,2050.0,8577.0,8
RC,360,Ureterolithotomy; middle one-third of ureter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ureterolithotomy; upper one-third of ureter ,,,2050.0,8577.0,8
RC,360,Ureterolithotomy; upper one-third of ureter Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ureterolysis for ovarian vein syndrome ,,,2050.0,8577.0,8
RC,360,Ureterolysis for ovarian vein syndrome Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,2050.0,8577.0,8
RC,360,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,2050.0,8577.0,8
RC,360,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis Other Surgical Services",,,2850.0,2850.0,1
RC,360,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,2050.0,8577.0,8
RC,360,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,2050.0,7493.0,8
RC,360,Ureteroneocystostomy; anastomosis of single ureter to bladder Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ureteroneocystostomy; with extensive ureteral tailoring ,,,2050.0,8577.0,8
RC,360,Ureteroneocystostomy; with extensive ureteral tailoring Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,2050.0,8577.0,8
RC,360,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,2050.0,8577.0,8
RC,360,"Ureteroplasty, plastic operation on ureter (eg, stricture) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,2050.0,8577.0,8
RC,360,"Ureteropyelostomy, anastomosis of ureter and renal pelvis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,2050.0,8577.0,8
RC,360,"Ureterorrhaphy, suture of ureter (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,2050.0,8577.0,8
RC,360,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureterostomy, transplantation of ureter to skin ",,,2050.0,8577.0,8
RC,360,"Ureterostomy, transplantation of ureter to skin Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ureterotomy for insertion of indwelling stent, all types ",,,2050.0,8577.0,8
RC,360,"Ureterotomy for insertion of indwelling stent, all types Other Surgical Services",,,2850.0,2850.0,1
RC,360,Ureterotomy with exploration or drainage (separate procedure) ,,,2050.0,8577.0,8
RC,360,Ureterotomy with exploration or drainage (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ureteroureterostomy ,,,2050.0,8577.0,8
RC,360,Ureteroureterostomy Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Urethrectomy, total, including cystostomy; female ",,,2050.0,10719.0,11
RC,360,"Urethrectomy, total, including cystostomy; female Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethrectomy, total, including cystostomy; male ",,,2050.0,8727.0,11
RC,360,"Urethrectomy, total, including cystostomy; male Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,2050.0,10719.0,11
RC,360,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethromeatoplasty, with mucosal advancement ",,,2050.0,10719.0,11
RC,360,"Urethromeatoplasty, with mucosal advancement Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,2050.0,8727.0,11
RC,360,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,2050.0,10719.0,11
RC,360,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia Other Surgical Services,,,2850.0,2850.0,1
RC,360,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,2050.0,10719.0,11
RC,360,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Other Surgical Services,,,2850.0,2850.0,1
RC,360,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,2050.0,13315.0,11
RC,360,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,2050.0,10719.0,11
RC,360,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,2050.0,10719.0,11
RC,360,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,2050.0,10719.0,11
RC,360,"Urethroplasty, 1-stage reconstruction of male anterior urethra Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,2050.0,10719.0,11
RC,360,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,2050.0,10719.0,11
RC,360,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethroplasty, reconstruction of female urethra ",,,2050.0,10719.0,11
RC,360,"Urethroplasty, reconstruction of female urethra Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2050.0,13315.0,11
RC,360,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,2050.0,10719.0,11
RC,360,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,2050.0,10719.0,11
RC,360,"Urethroplasty; second stage (formation of urethra), including urinary diversion Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,2050.0,8727.0,11
RC,360,"Urethrorrhaphy, suture of urethral wound or injury, female Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,2050.0,10719.0,11
RC,360,"Urethrorrhaphy, suture of urethral wound or injury; penile Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,2050.0,8727.0,11
RC,360,"Urethrorrhaphy, suture of urethral wound or injury; perineal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,2050.0,10719.0,11
RC,360,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,2050.0,8727.0,11
RC,360,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,2050.0,8727.0,11
RC,360,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,2050.0,8577.0,8
RC,360,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,360,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,Uterine evacuation and curettage for hydatidiform mole ,,,2050.0,8727.0,11
RC,360,Uterine evacuation and curettage for hydatidiform mole Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,2050.0,10719.0,8
RC,360,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,2050.0,8577.0,8
RC,360,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Uvulectomy, excision of uvula ",,,2050.0,6802.0,11
RC,360,"Uvulectomy, excision of uvula Other Surgical Services",,,2850.0,2850.0,1
RC,360,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,7583.0,9539.0,3
RC,360,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,2050.0,8727.0,11
RC,360,Vaginal delivery only (with or without episiotomy and/or forceps); Other Surgical Services,,,2850.0,2850.0,1
RC,360,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,2050.0,6802.0,7
RC,360,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,2050.0,8727.0,11
RC,360,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,2050.0,6802.0,7
RC,360,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; ",,,2350.0,10719.0,8
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,2350.0,10719.0,8
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,2350.0,10719.0,8
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,2350.0,10719.0,8
RC,360,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,2350.0,10719.0,8
RC,360,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,2350.0,13315.0,8
RC,360,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2350.0,13315.0,8
RC,360,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,2350.0,13315.0,8
RC,360,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,2350.0,13315.0,8
RC,360,"Vaginal hysterectomy, radical (Schauta type operation) ",,,2350.0,8577.0,5
RC,360,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,2350.0,10719.0,8
RC,360,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,2350.0,10719.0,8
RC,360,"Vaginectomy, complete removal of vaginal wall; ",,,2050.0,8577.0,8
RC,360,"Vaginectomy, complete removal of vaginal wall; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2050.0,10719.0,11
RC,360,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vaginectomy, partial removal of vaginal wall; ",,,2050.0,8727.0,11
RC,360,"Vaginectomy, partial removal of vaginal wall; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2050.0,8727.0,11
RC,360,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,2050.0,8727.0,11
RC,360,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) Other Su",,,2850.0,2850.0,1
RC,360,Vaginoplasty for intersex state ,,,2350.0,8727.0,9
RC,360,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,2050.0,8577.0,8
RC,360,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,2050.0,8577.0,8
RC,360,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective Other Surgical Services",,,2850.0,2850.0,1
RC,360,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,2050.0,8577.0,8
RC,360,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,8577.0,8577.0,1
RC,360,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,19295.0,19295.0,1
RC,360,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,2350.0,14379.0,9
RC,360,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,2350.0,14379.0,9
RC,360,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,2350.0,23692.0,13
RC,360,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,2350.0,14379.0,9
RC,360,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,7583.0,9539.0,3
RC,360,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,2050.0,8727.0,11
RC,360,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,1423.0,6802.0,11
RC,360,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,2050.0,8727.0,11
RC,360,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vasovasostomy, vasovasorrhaphy ",,,2050.0,8727.0,11
RC,360,"Vasovasostomy, vasovasorrhaphy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for ",,,2050.0,6802.0,8
RC,360,"Venipuncture, cutdown; age 1 or over ",,,1423.0,6802.0,10
RC,360,"Venipuncture, cutdown; age 1 or over Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Venipuncture, cutdown; younger than age 1 year ",,,1423.0,6802.0,10
RC,360,"Venipuncture, cutdown; younger than age 1 year Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein ",,,2050.0,6802.0,7
RC,360,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein Other Surgi",,,2850.0,2850.0,1
RC,360,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein ",,,2050.0,6802.0,7
RC,360,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein ",,,2050.0,6802.0,7
RC,360,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Venous anastomosis, open; caval-mesenteric ",,,2050.0,8577.0,8
RC,360,"Venous anastomosis, open; caval-mesenteric Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Venous anastomosis, open; portocaval ",,,2050.0,8577.0,8
RC,360,"Venous anastomosis, open; portocaval Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Venous anastomosis, open; renoportal ",,,2050.0,8577.0,8
RC,360,"Venous anastomosis, open; renoportal Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,2050.0,8577.0,8
RC,360,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Venous anastomosis, open; splenorenal, proximal ",,,2050.0,8577.0,8
RC,360,"Venous anastomosis, open; splenorenal, proximal Other Surgical Services",,,2850.0,2850.0,1
RC,360,Venous catheterization for selective organ blood sampling ,,,1423.0,6802.0,11
RC,360,Venous catheterization for selective organ blood sampling Other Surgical Services,,,2850.0,2850.0,1
RC,360,Ventilating tube removal requiring general anesthesia ,,,2050.0,10719.0,11
RC,360,Ventilating tube removal requiring general anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,1982.0,6802.0,11
RC,360,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment Other Surgi",,,2850.0,2850.0,1
RC,360,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,1982.0,6802.0,11
RC,360,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection Other Surgical Services",,,2850.0,2850.0,1
RC,360,Ventriculocisternostomy (Torkildsen type operation) ,,,2050.0,8577.0,8
RC,360,Ventriculocisternostomy (Torkildsen type operation) Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Ventriculocisternostomy, third ventricle; ",,,2050.0,8577.0,8
RC,360,"Ventriculocisternostomy, third ventricle; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,2050.0,8577.0,8
RC,360,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vermilionectomy (lip shave), with mucosal advancement ",,,2050.0,6802.0,11
RC,360,"Vermilionectomy (lip shave), with mucosal advancement Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,2350.0,8577.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2350.0,15007.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,2350.0,8577.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,2350.0,8577.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,2350.0,8577.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,2350.0,8577.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2350.0,8577.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,2350.0,8577.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,2350.0,8577.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,2350.0,8577.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2350.0,8577.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,2350.0,8577.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,2350.0,8577.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,2350.0,8577.0,18
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,2350.0,8577.0,12
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,2350.0,8577.0,6
RC,360,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,2350.0,8577.0,6
RC,360,"Vesiculectomy, any approach ",,,1982.0,6802.0,11
RC,360,"Vesiculectomy, any approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,Vesiculotomy; ,,,2050.0,8727.0,11
RC,360,Vesiculotomy; Other Surgical Services,,,2850.0,2850.0,1
RC,360,Vesiculotomy; complicated ,,,1982.0,6802.0,11
RC,360,Vesiculotomy; complicated Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Vestibular nerve section, transcranial approach ",,,2050.0,8577.0,8
RC,360,"Vestibular nerve section, transcranial approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vestibular nerve section, translabyrinthine approach ",,,2050.0,13315.0,11
RC,360,"Vestibular nerve section, translabyrinthine approach Other Surgical Services",,,2850.0,2850.0,1
RC,360,Vestibuloplasty; anterior ,,,2050.0,8727.0,11
RC,360,Vestibuloplasty; anterior Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,2050.0,13315.0,11
RC,360,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Vestibuloplasty; entire arch ,,,2050.0,13315.0,11
RC,360,Vestibuloplasty; entire arch Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Vestibuloplasty; posterior, bilateral ",,,2050.0,8727.0,11
RC,360,"Vestibuloplasty; posterior, bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vestibuloplasty; posterior, unilateral ",,,2050.0,8727.0,11
RC,360,"Vestibuloplasty; posterior, unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vitrectomy, mechanical, pars plana approach; ",,,2350.0,13830.0,12
RC,360,"Vitrectomy, mechanical, pars plana approach; Complex Surgery",,,11754.0,11754.0,2
RC,360,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,2350.0,13830.0,12
RC,360,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,360,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,2350.0,13830.0,12
RC,360,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,360,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,2350.0,13830.0,14
RC,360,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,2350.0,13830.0,12
RC,360,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Complex Surgery",,,11754.0,11754.0,2
RC,360,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,2350.0,13830.0,14
RC,360,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,360,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,360,Vulvectomy simple; complete ,,,2050.0,8727.0,11
RC,360,Vulvectomy simple; complete Other Surgical Services,,,2850.0,2850.0,1
RC,360,Vulvectomy simple; partial ,,,2050.0,8727.0,11
RC,360,Vulvectomy simple; partial Other Surgical Services,,,2850.0,2850.0,1
RC,360,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,2050.0,8577.0,8
RC,360,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vulvectomy, radical, complete; ",,,2050.0,19295.0,11
RC,360,"Vulvectomy, radical, complete; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,2050.0,19295.0,11
RC,360,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,2050.0,19295.0,11
RC,360,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vulvectomy, radical, partial; ",,,2050.0,10719.0,8
RC,360,"Vulvectomy, radical, partial; Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,2050.0,19295.0,11
RC,360,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,2050.0,19295.0,11
RC,360,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,360,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,2050.0,10719.0,11
RC,360,"Wedge resection or bisection of ovary, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,360,Wound closure utilizing tissue adhesive(s) only ,,,1423.0,3251.0,4
RC,361, Operating Room Services Minor Surgery  ,,,2481.0,12100.0,10
RC,361,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,2050.0,13315.0,12
RC,361,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,2050.0,10719.0,11
RC,361,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,2050.0,13315.0,11
RC,361,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) Other Surgical Services",,,2850.0,2850.0,1
RC,361,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,2050.0,10719.0,11
RC,361,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra Other Surgical Services,,,2850.0,2850.0,1
RC,361,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2050.0,10719.0,11
RC,361,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap Other Surgical Services,,,2850.0,2850.0,1
RC,361,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2050.0,10719.0,11
RC,361,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap Other Surgical Services,,,2850.0,2850.0,1
RC,361,ACCESS AV DIAL GRFT FOR EVAL ,,,2820.0,5414.0,3
RC,361,ACCESS AV DIAL GRFT FOR PROC ,,,1423.0,3251.0,3
RC,361,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,11000.0,11000.0,1
RC,361,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,11000.0,11000.0,1
RC,361,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,1423.0,3251.0,3
RC,361,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,361,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) Oth",,,2850.0,2850.0,1
RC,361,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,1982.0,6802.0,11
RC,361,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance Other Surgical Services,,,2850.0,2850.0,1
RC,361,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,1982.0,6802.0,11
RC,361,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,2050.0,13315.0,11
RC,361,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,8
RC,361,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,2050.0,6802.0,8
RC,361,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,2050.0,7493.0,8
RC,361,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,2050.0,8577.0,8
RC,361,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,2050.0,19295.0,9
RC,361,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,2050.0,15007.0,11
RC,361,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,2050.0,15007.0,11
RC,361,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,2050.0,15007.0,11
RC,361,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,2050.0,15007.0,8
RC,361,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,2050.0,15007.0,8
RC,361,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,2050.0,8577.0,8
RC,361,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,2050.0,8577.0,8
RC,361,"Ablation, open, of 1 or more liver tumor(s); cryosurgical Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,2050.0,8577.0,8
RC,361,"Ablation, open, of 1 or more liver tumor(s); radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2050.0,15007.0,9
RC,361,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy Other Surgical Services",,,2850.0,2850.0,1
RC,361,Accessing and retorquing loose implant screw - per screw ,,,8577.0,8577.0,1
RC,361,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,1575.0,17341.0,6
RC,361,"Adenoidectomy, primary; age 12 or over ",,,2050.0,8727.0,11
RC,361,"Adenoidectomy, primary; age 12 or over Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Adenoidectomy, primary; younger than age 12 ",,,2050.0,8727.0,11
RC,361,"Adenoidectomy, primary; younger than age 12 Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Adenoidectomy, secondary; age 12 or over ",,,2050.0,8727.0,11
RC,361,"Adenoidectomy, secondary; age 12 or over Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Adenoidectomy, secondary; younger than age 12 ",,,2050.0,8727.0,11
RC,361,"Adenoidectomy, secondary; younger than age 12 Other Surgical Services",,,2850.0,2850.0,1
RC,361,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,361,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,2050.0,8577.0,8
RC,361,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,2050.0,8577.0,8
RC,361,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor Other",,,2850.0,2850.0,1
RC,361,Allogeneic lymphocyte infusions ,,,2050.0,6802.0,11
RC,361,Allogeneic lymphocyte infusions Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,2050.0,8727.0,11
RC,361,"Alveolectomy, including curettage of osteitis or sequestrectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Alveoloplasty, each quadrant (specify) ",,,2050.0,6802.0,11
RC,361,"Alveoloplasty, each quadrant (specify) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Amniocentesis; diagnostic ,,,1982.0,6802.0,11
RC,361,Amniocentesis; diagnostic Other Surgical Services,,,2850.0,2850.0,1
RC,361,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,1423.0,6802.0,11
RC,361,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2050.0,8577.0,8
RC,361,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,2050.0,8577.0,8
RC,361,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,Amputation of penis; complete ,,,2050.0,6802.0,11
RC,361,Amputation of penis; complete Other Surgical Services,,,2850.0,2850.0,1
RC,361,Amputation of penis; partial ,,,2050.0,10719.0,11
RC,361,Amputation of penis; partial Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,2050.0,8577.0,8
RC,361,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,2050.0,8577.0,8
RC,361,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,2050.0,8577.0,8
RC,361,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,2050.0,8577.0,8
RC,361,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,2050.0,8577.0,8
RC,361,"Anastomosis, of intrahepatic ducts and gastrointestinal tract Other Surgical Services",,,2850.0,2850.0,1
RC,361,Anastomosis; facial-hypoglossal ,,,2050.0,8577.0,8
RC,361,Anastomosis; facial-hypoglossal Other Surgical Services,,,2850.0,2850.0,1
RC,361,Anastomosis; facial-spinal accessory ,,,2050.0,8577.0,8
RC,361,Anastomosis; facial-spinal accessory Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Anoplasty, plastic operation for stricture; adult ",,,2050.0,8727.0,11
RC,361,"Anoplasty, plastic operation for stricture; adult Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anoplasty, plastic operation for stricture; infant ",,,2050.0,8577.0,8
RC,361,"Anoplasty, plastic operation for stricture; infant Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,2050.0,6802.0,11
RC,361,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Other Surgical Services",,,2850.0,2850.0,1
RC,361,Anorectal manometry ,,,1423.0,3251.0,3
RC,361,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,2143.0,2143.0,1
RC,361,Anorectal myomectomy ,,,2050.0,8727.0,11
RC,361,Anorectal myomectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1423.0,6802.0,11
RC,361,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,1423.0,6802.0,12
RC,361,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,2050.0,8727.0,11
RC,361,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anoscopy; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,361,"Anoscopy; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,2050.0,6802.0,11
RC,361,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,2050.0,6802.0,11
RC,361,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,361,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,Anoscopy; with removal of foreign body ,,,2050.0,6802.0,11
RC,361,Anoscopy; with removal of foreign body Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,2050.0,8727.0,11
RC,361,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,2050.0,8727.0,11
RC,361,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,2050.0,6802.0,11
RC,361,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,Antepartum care only; 4-6 visits ,,,2050.0,6802.0,7
RC,361,Antepartum care only; 4-6 visits Other Surgical Services,,,2850.0,2850.0,1
RC,361,Antepartum care only; 7 or more visits ,,,2050.0,6802.0,7
RC,361,Antepartum care only; 7 or more visits Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,2350.0,10719.0,9
RC,361,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,2050.0,8727.0,11
RC,361,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,2050.0,8727.0,11
RC,361,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,Appendectomy; ,,,2050.0,10719.0,11
RC,361,Appendectomy; Other Surgical Services,,,2850.0,2850.0,1
RC,361,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,2050.0,8577.0,8
RC,361,Appendectomy; for ruptured appendix with abscess or generalized peritonitis Other Surgical Services,,,2850.0,2850.0,1
RC,361,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,361,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,8577.0,8577.0,2
RC,361,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,8577.0,8577.0,2
RC,361,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1423.0,3689.0,6
RC,361,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1423.0,3251.0,3
RC,361,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1982.0,3689.0,3
RC,361,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1423.0,3251.0,3
RC,361,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2820.0,5414.0,3
RC,361,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1423.0,3251.0,3
RC,361,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1982.0,3689.0,3
RC,361,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,2050.0,6802.0,5
RC,361,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,2350.0,13315.0,9
RC,361,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,2050.0,13315.0,11
RC,361,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown ",,,2050.0,17341.0,8
RC,361,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown ",,,2050.0,17341.0,8
RC,361,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous ",,,2050.0,17341.0,8
RC,361,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Arterial puncture, withdrawal of blood for diagnosis ",,,2050.0,11462.0,8
RC,361,"Arterial puncture, withdrawal of blood for diagnosis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,2050.0,17341.0,7
RC,361,"Arteriovenous anastomosis, open; by forearm vein transposition Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,2050.0,17341.0,8
RC,361,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,2050.0,23692.0,12
RC,361,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,2050.0,23692.0,12
RC,361,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,8577.0,8577.0,1
RC,361,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,8577.0,8577.0,1
RC,361,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1423.0,3251.0,4
RC,361,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,15007.0,15007.0,1
RC,361,Artificial insemination; intra-cervical ,,,1423.0,6802.0,9
RC,361,Artificial insemination; intra-uterine ,,,1423.0,6802.0,9
RC,361,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,2050.0,6802.0,11
RC,361,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Aspiration and/or injection, thyroid cyst ",,,1982.0,6802.0,11
RC,361,"Aspiration and/or injection, thyroid cyst Other Surgical Services",,,2850.0,2850.0,1
RC,361,Aspiration of bladder; by needle ,,,1423.0,6802.0,11
RC,361,Aspiration of bladder; by needle Other Surgical Services,,,2850.0,2850.0,1
RC,361,Aspiration of bladder; by trocar or intracatheter ,,,1423.0,6802.0,11
RC,361,Aspiration of bladder; by trocar or intracatheter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Aspiration of bladder; with insertion of suprapubic catheter ,,,2050.0,8727.0,11
RC,361,Aspiration of bladder; with insertion of suprapubic catheter Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,2350.0,8727.0,8
RC,361,Axillary lymphadenectomy; complete ,,,2050.0,15007.0,11
RC,361,Axillary lymphadenectomy; complete Other Surgical Services,,,2850.0,2850.0,1
RC,361,Axillary lymphadenectomy; superficial ,,,2050.0,15007.0,11
RC,361,Axillary lymphadenectomy; superficial Other Surgical Services,,,2850.0,2850.0,1
RC,361,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,11000.0,11000.0,1
RC,361,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,11000.0,11000.0,1
RC,361,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,11000.0,11000.0,1
RC,361,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,361,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,11000.0,11000.0,1
RC,361,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,11000.0,11000.0,1
RC,361,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,11000.0,11000.0,1
RC,361,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,11000.0,11000.0,1
RC,361,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,361,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11000.0,11000.0,1
RC,361,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,11000.0,11000.0,1
RC,361,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,361,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,2050.0,6802.0,7
RC,361,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,2050.0,8577.0,8
RC,361,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,2050.0,8577.0,8
RC,361,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,2050.0,8577.0,8
RC,361,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,2050.0,8577.0,8
RC,361,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,2050.0,8577.0,8
RC,361,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,2050.0,8577.0,8
RC,361,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,2050.0,8577.0,8
RC,361,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,2050.0,6802.0,8
RC,361,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,2050.0,8577.0,9
RC,361,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,2050.0,8577.0,27
RC,361,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,2050.0,8577.0,8
RC,361,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein Other Surgical ",,,2850.0,2850.0,1
RC,361,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,2050.0,8577.0,9
RC,361,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,2050.0,23692.0,12
RC,361,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,361,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,361,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,2050.0,8577.0,8
RC,361,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,1423.0,6802.0,12
RC,361,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,1423.0,6802.0,12
RC,361,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,2050.0,8577.0,8
RC,361,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,2050.0,8577.0,8
RC,361,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,2050.0,8577.0,8
RC,361,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy Other Surgical ",,,2850.0,2850.0,1
RC,361,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,2050.0,8577.0,8
RC,361,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,1982.0,6802.0,11
RC,361,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,2050.0,10719.0,11
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,2050.0,15007.0,11
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,2050.0,15007.0,11
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,2050.0,10719.0,11
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,2050.0,15007.0,11
RC,361,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,2050.0,6802.0,11
RC,361,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,Biopsy external auditory canal ,,,2050.0,6802.0,11
RC,361,Biopsy external auditory canal Other Surgical Services,,,2850.0,2850.0,1
RC,361,Biopsy external ear ,,,1423.0,6802.0,11
RC,361,Biopsy external ear Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,2050.0,6802.0,11
RC,361,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,1982.0,6802.0,11
RC,361,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Biopsy of conjunctiva ,,,1982.0,6802.0,11
RC,361,Biopsy of conjunctiva Other Surgical Services,,,2850.0,2850.0,1
RC,361,Biopsy of cornea ,,,1982.0,6802.0,11
RC,361,Biopsy of cornea Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Biopsy of epididymis, needle ",,,1982.0,6802.0,11
RC,361,"Biopsy of epididymis, needle Other Surgical Services",,,2850.0,2850.0,1
RC,361,Biopsy of extraocular muscle ,,,2050.0,10719.0,11
RC,361,Biopsy of extraocular muscle Other Surgical Services,,,2850.0,2850.0,1
RC,361,Biopsy of floor of mouth ,,,1982.0,6802.0,11
RC,361,Biopsy of floor of mouth Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,2050.0,6802.0,11
RC,361,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Biopsy of lacrimal gland ,,,2050.0,8727.0,11
RC,361,Biopsy of lacrimal gland Other Surgical Services,,,2850.0,2850.0,1
RC,361,Biopsy of lacrimal sac ,,,2050.0,8727.0,11
RC,361,Biopsy of lacrimal sac Other Surgical Services,,,2850.0,2850.0,1
RC,361,Biopsy of lip ,,,1423.0,6802.0,11
RC,361,Biopsy of lip Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Biopsy of liver, needle; percutaneous ",,,2050.0,6802.0,11
RC,361,"Biopsy of liver, needle; percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy of liver, wedge ",,,2050.0,7493.0,8
RC,361,"Biopsy of liver, wedge Other Surgical Services",,,2850.0,2850.0,1
RC,361,Biopsy of nerve ,,,2050.0,8727.0,11
RC,361,Biopsy of nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,2050.0,8727.0,11
RC,361,"Biopsy of ovary, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy of palate, uvula ",,,1982.0,6802.0,11
RC,361,"Biopsy of palate, uvula Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,2050.0,8577.0,8
RC,361,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy of pancreas, percutaneous needle ",,,2050.0,6802.0,11
RC,361,"Biopsy of pancreas, percutaneous needle Other Surgical Services",,,2850.0,2850.0,1
RC,361,Biopsy of penis; (separate procedure) ,,,2050.0,6802.0,11
RC,361,Biopsy of penis; (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Biopsy of penis; deep structures ,,,2050.0,8727.0,11
RC,361,Biopsy of penis; deep structures Other Surgical Services,,,2850.0,2850.0,1
RC,361,Biopsy of salivary gland; incisional ,,,2050.0,8727.0,11
RC,361,Biopsy of salivary gland; incisional Other Surgical Services,,,2850.0,2850.0,1
RC,361,Biopsy of salivary gland; needle ,,,1982.0,6802.0,11
RC,361,Biopsy of salivary gland; needle Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Biopsy of spinal cord, percutaneous needle ",,,2050.0,6802.0,11
RC,361,"Biopsy of spinal cord, percutaneous needle Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy of stomach, by laparotomy ",,,2050.0,8727.0,11
RC,361,"Biopsy of stomach, by laparotomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy of testis, incisional (separate procedure) ",,,2050.0,8727.0,11
RC,361,"Biopsy of testis, incisional (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy of testis, needle (separate procedure) ",,,2050.0,6802.0,11
RC,361,"Biopsy of testis, needle (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Biopsy of tongue; anterior two-thirds ,,,1982.0,6802.0,11
RC,361,Biopsy of tongue; anterior two-thirds Other Surgical Services,,,2850.0,2850.0,1
RC,361,Biopsy of tongue; posterior one-third ,,,2050.0,6802.0,11
RC,361,Biopsy of tongue; posterior one-third Other Surgical Services,,,2850.0,2850.0,1
RC,361,Biopsy of urethra ,,,2050.0,8727.0,11
RC,361,Biopsy of urethra Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,2050.0,8727.0,11
RC,361,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Biopsy of vaginal mucosa; simple (separate procedure) ,,,1982.0,6802.0,11
RC,361,Biopsy of vaginal mucosa; simple (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,1982.0,6802.0,11
RC,361,Biopsy of vulva or perineum (separate procedure); 1 lesion Other Surgical Services,,,2850.0,2850.0,1
RC,361,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,361,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,2350.0,6802.0,9
RC,361,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,2350.0,13830.0,12
RC,361,"Biopsy or excision of lymph node(s); open, deep axillary node(s) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,2350.0,13830.0,12
RC,361,"Biopsy or excision of lymph node(s); open, deep cervical node(s) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,2350.0,13830.0,12
RC,361,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Complex Surgery",,,11754.0,11754.0,2
RC,361,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,2050.0,10719.0,8
RC,361,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,2050.0,8727.0,10
RC,361,"Biopsy or excision of lymph node(s); open, internal mammary node(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy or excision of lymph node(s); open, superficial ",,,2350.0,8727.0,9
RC,361,"Biopsy thyroid, percutaneous core needle ",,,1982.0,6802.0,11
RC,361,"Biopsy thyroid, percutaneous core needle Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,2050.0,6802.0,11
RC,361,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy, prostate, any approach, nonimaging-guided ",,,2050.0,6802.0,11
RC,361,"Biopsy, prostate, any approach, nonimaging-guided Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,8
RC,361,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,2050.0,7493.0,8
RC,361,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,2050.0,7493.0,8
RC,361,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2050.0,7493.0,8
RC,361,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,2050.0,7493.0,8
RC,361,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2050.0,7493.0,8
RC,361,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2050.0,7493.0,8
RC,361,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,2050.0,7493.0,8
RC,361,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2050.0,7493.0,8
RC,361,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,2820.0,5414.0,3
RC,361,"Biopsy, vestibule of mouth ",,,1423.0,6802.0,11
RC,361,"Biopsy, vestibule of mouth Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,2050.0,8727.0,11
RC,361,"Biopsy; nasopharynx, survey for unknown primary lesion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Biopsy; nasopharynx, visible lesion, simple ",,,2050.0,6802.0,11
RC,361,"Biopsy; nasopharynx, visible lesion, simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,Biopsy; oropharynx ,,,1982.0,6802.0,11
RC,361,Biopsy; oropharynx Other Surgical Services,,,2850.0,2850.0,1
RC,361,Bladder instillation of anticarcinogenic agent (including retention time) ,,,1423.0,6802.0,11
RC,361,Bladder instillation of anticarcinogenic agent (including retention time) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Bladder irrigation, simple, lavage and/or instillation ",,,1423.0,6802.0,11
RC,361,"Bladder irrigation, simple, lavage and/or instillation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Blepharotomy, drainage of abscess, eyelid ",,,1423.0,6802.0,11
RC,361,"Blepharotomy, drainage of abscess, eyelid Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,19295.0,19295.0,1
RC,361,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,10737.0,15007.0,4
RC,361,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,24657.0,24657.0,1
RC,361,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,24657.0,5
RC,361,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,19295.0,19295.0,1
RC,361,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,1423.0,6802.0,11
RC,361,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,2050.0,6802.0,11
RC,361,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous Other Surgical Services",,,2850.0,2850.0,1
RC,361,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,1423.0,3251.0,3
RC,361,Bone marrow harvesting for transplantation; allogeneic ,,,2050.0,9539.0,11
RC,361,Bone marrow harvesting for transplantation; allogeneic Other Surgical Services,,,2850.0,2850.0,1
RC,361,Bone marrow harvesting for transplantation; autologous ,,,2050.0,12863.0,11
RC,361,Bone marrow harvesting for transplantation; autologous Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1423.0,3251.0,4
RC,361,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,361,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,8577.0,8577.0,1
RC,361,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,361,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,8577.0,8577.0,1
RC,361,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,8577.0,8577.0,1
RC,361,Buccal/ labial frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,361,Bundle of His recording ,,,6826.0,19105.0,4
RC,361,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,2050.0,8577.0,8
RC,361,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,2050.0,8577.0,8
RC,361,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,2050.0,8577.0,8
RC,361,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery Other Surgical Services",,,2850.0,2850.0,1
RC,361,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,2050.0,8577.0,8
RC,361,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion Other Surgical Services,,,2850.0,2850.0,1
RC,361,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,2050.0,8577.0,8
RC,361,Burr hole(s) or trephine; with drainage of brain abscess or cyst Other Surgical Services,,,2850.0,2850.0,1
RC,361,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,2050.0,8577.0,8
RC,361,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,2050.0,8577.0,8
RC,361,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,2050.0,8577.0,8
RC,361,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral Other Surgical Services",,,2850.0,2850.0,1
RC,361,CERVICAL SPINAL FUSION WITH CC ,,,11000.0,11000.0,1
RC,361,CERVICAL SPINAL FUSION WITH MCC ,,,11000.0,11000.0,1
RC,361,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,1423.0,3251.0,3
RC,361,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,11000.0,11000.0,1
RC,361,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,361,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,7583.0,9539.0,3
RC,361,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,361,COMPLICATED PEPTIC ULCER WITH CC ,,,11000.0,11000.0,1
RC,361,CONNECTIVE TISSUE DISORDERS WITH CC ,,,11000.0,11000.0,1
RC,361,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,11000.0,11000.0,1
RC,361,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,361,"Cannulation, thoracic duct ",,,1423.0,6802.0,11
RC,361,"Cannulation, thoracic duct Other Surgical Services",,,2850.0,2850.0,1
RC,361,Canthoplasty (reconstruction of canthus) ,,,2050.0,8727.0,11
RC,361,Canthoplasty (reconstruction of canthus) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Canthotomy (separate procedure) ,,,2050.0,8727.0,11
RC,361,Canthotomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,2143.0,2143.0,1
RC,361,Cardioassist-method of circulatory assist; external ,,,8577.0,8577.0,1
RC,361,Cardioassist-method of circulatory assist; internal ,,,8577.0,8577.0,1
RC,361,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,1423.0,3251.0,4
RC,361,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1982.0,4009.0,4
RC,361,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1982.0,4009.0,4
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,8577.0,12038.0,5
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,8577.0,12038.0,5
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,8577.0,8577.0,3
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8577.0,8577.0,1
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,8577.0,12038.0,20
RC,361,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,8577.0,12038.0,15
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8577.0,8577.0,1
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8577.0,8577.0,1
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,13374.0,13374.0,1
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,8577.0,13374.0,15
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,13374.0,10
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,8577.0,13374.0,16
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,13374.0,5
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,8577.0,8577.0,1
RC,361,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,8577.0,8577.0,1
RC,361,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,1423.0,6802.0,9
RC,361,"Catheterization of umbilical vein for diagnosis or therapy, newborn ",,,1423.0,6802.0,11
RC,361,"Catheterization of umbilical vein for diagnosis or therapy, newborn Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2050.0,6802.0,8
RC,361,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Catheterization, umbilical artery, newborn, for diagnosis or therapy ",,,2050.0,17341.0,8
RC,361,"Catheterization, umbilical artery, newborn, for diagnosis or therapy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cautery of cervix; cryocautery, initial or repeat ",,,1423.0,6802.0,11
RC,361,"Cautery of cervix; cryocautery, initial or repeat Other Surgical Services",,,2850.0,2850.0,1
RC,361,Cautery of cervix; electro or thermal ,,,2050.0,8727.0,11
RC,361,Cautery of cervix; electro or thermal Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cautery of cervix; laser ablation ,,,2050.0,8727.0,11
RC,361,Cautery of cervix; laser ablation Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Cerclage of cervix, during pregnancy; abdominal ",,,2050.0,8577.0,8
RC,361,"Cerclage of cervix, during pregnancy; abdominal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cerclage of cervix, during pregnancy; vaginal ",,,2050.0,8727.0,11
RC,361,"Cerclage of cervix, during pregnancy; vaginal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cerclage of uterine cervix, nonobstetrical ",,,2050.0,8727.0,11
RC,361,"Cerclage of uterine cervix, nonobstetrical Other Surgical Services",,,2850.0,2850.0,1
RC,361,Cervical lymphadenectomy (complete) ,,,2050.0,8727.0,11
RC,361,Cervical lymphadenectomy (complete) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cervical lymphadenectomy (modified radical neck dissection) ,,,2050.0,7493.0,8
RC,361,Cervical lymphadenectomy (modified radical neck dissection) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,2050.0,6802.0,7
RC,361,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,2050.0,6802.0,7
RC,361,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care Other Surgical Services",,,2850.0,2850.0,1
RC,361,Cesarean delivery only; ,,,2050.0,8577.0,8
RC,361,Cesarean delivery only; Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cesarean delivery only; including postpartum care ,,,2050.0,8577.0,8
RC,361,Cesarean delivery only; including postpartum care Other Surgical Services,,,2850.0,2850.0,1
RC,361,Change of cystostomy tube; complicated ,,,1982.0,6802.0,11
RC,361,Change of cystostomy tube; complicated Other Surgical Services,,,2850.0,2850.0,1
RC,361,Change of cystostomy tube; simple ,,,1423.0,6802.0,11
RC,361,Change of cystostomy tube; simple Other Surgical Services,,,2850.0,2850.0,1
RC,361,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,2050.0,6802.0,11
RC,361,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,8577.0,8577.0,1
RC,361,Chemodenervation of eccrine glands; both axillae ,,,1423.0,6802.0,11
RC,361,Chemodenervation of eccrine glands; both axillae Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,1423.0,6802.0,11
RC,361,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Other Surgical Services",,,2850.0,2850.0,1
RC,361,Chemodenervation of extraocular muscle ,,,1423.0,6802.0,11
RC,361,Chemodenervation of extraocular muscle Other Surgical Services,,,2850.0,2850.0,1
RC,361,Chemodenervation of internal anal sphincter ,,,2050.0,6802.0,11
RC,361,Chemodenervation of internal anal sphincter Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,1982.0,6802.0,11
RC,361,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,1423.0,6802.0,11
RC,361,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,1423.0,6802.0,11
RC,361,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,1982.0,6802.0,11
RC,361,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Chemodenervation of one extremity; 1-4 muscle(s) ,,,1982.0,6802.0,11
RC,361,Chemodenervation of one extremity; 1-4 muscle(s) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Chemodenervation of one extremity; 5 or more muscles ,,,1982.0,6802.0,11
RC,361,Chemodenervation of one extremity; 5 or more muscles Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,1423.0,6802.0,11
RC,361,"Chemodenervation of parotid and submandibular salivary glands, bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,1982.0,6802.0,11
RC,361,Chemodenervation of trunk muscle(s); 1-5 muscle(s) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,1982.0,6802.0,11
RC,361,Chemodenervation of trunk muscle(s); 6 or more muscles Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,2050.0,6802.0,8
RC,361,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,2050.0,8577.0,8
RC,361,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,2050.0,8577.0,8
RC,361,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,2050.0,8577.0,8
RC,361,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cholecystectomy with exploration of common duct; ,,,2350.0,8577.0,5
RC,361,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,2350.0,8577.0,5
RC,361,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,2350.0,8577.0,5
RC,361,Cholecystectomy; ,,,2350.0,13830.0,9
RC,361,Cholecystectomy; Complex Surgery,,,11754.0,11754.0,2
RC,361,Cholecystectomy; with cholangiography ,,,2350.0,8577.0,5
RC,361,Cholecystoenterostomy; Roux-en-Y ,,,2050.0,8577.0,8
RC,361,Cholecystoenterostomy; Roux-en-Y Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,2050.0,8577.0,8
RC,361,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cholecystoenterostomy; direct ,,,2050.0,8577.0,8
RC,361,Cholecystoenterostomy; direct Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cholecystoenterostomy; with gastroenterostomy ,,,2050.0,8577.0,8
RC,361,Cholecystoenterostomy; with gastroenterostomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,2050.0,10719.0,11
RC,361,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation Other Surgical Service",,,2850.0,2850.0,1
RC,361,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,2050.0,8577.0,8
RC,361,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,2050.0,8577.0,8
RC,361,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Chorionic villus sampling, any method ",,,1982.0,6802.0,11
RC,361,"Chorionic villus sampling, any method Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Chromotubation of oviduct, including materials ",,,2350.0,10719.0,9
RC,361,Ciliary body destruction; cryotherapy ,,,2050.0,8727.0,11
RC,361,Ciliary body destruction; cryotherapy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ciliary body destruction; cyclodialysis ,,,2050.0,8727.0,11
RC,361,Ciliary body destruction; cyclodialysis Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,2050.0,8727.0,11
RC,361,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,2050.0,8727.0,11
RC,361,"Ciliary body destruction; cyclophotocoagulation, transscleral Other Surgical Services",,,2850.0,2850.0,1
RC,361,Ciliary body destruction; diathermy ,,,2050.0,6802.0,11
RC,361,Ciliary body destruction; diathermy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,2050.0,8727.0,11
RC,361,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,2350.0,8727.0,9
RC,361,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,2050.0,8727.0,11
RC,361,"Circumcision, using clamp or other device with regional dorsal penile or ring block Other Surgical Services",,,2850.0,2850.0,1
RC,361,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,1982.0,6802.0,11
RC,361,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,2050.0,8727.0,11
RC,361,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Clitoroplasty for intersex state ,,,2050.0,8727.0,11
RC,361,Clitoroplasty for intersex state Other Surgical Services,,,2850.0,2850.0,1
RC,361,Closure of anal fistula with rectal advancement flap ,,,2050.0,10719.0,11
RC,361,Closure of anal fistula with rectal advancement flap Other Surgical Services,,,2850.0,2850.0,1
RC,361,Closure of cystostomy (separate procedure) ,,,2050.0,8727.0,11
RC,361,Closure of cystostomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Closure of enteroenteric or enterocolic fistula ,,,2050.0,8577.0,8
RC,361,Closure of enteroenteric or enterocolic fistula Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Closure of enterostomy, large or small intestine; ",,,2050.0,8577.0,8
RC,361,"Closure of enterostomy, large or small intestine; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,2050.0,8577.0,8
RC,361,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,2050.0,8577.0,8
RC,361,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,2050.0,8577.0,8
RC,361,Closure of enterovesical fistula; with intestine and/or bladder resection Other Surgical Services,,,2850.0,2850.0,1
RC,361,Closure of enterovesical fistula; without intestinal or bladder resection ,,,2050.0,8577.0,8
RC,361,Closure of enterovesical fistula; without intestinal or bladder resection Other Surgical Services,,,2850.0,2850.0,1
RC,361,Closure of esophagostomy or fistula; cervical approach ,,,2050.0,8727.0,11
RC,361,Closure of esophagostomy or fistula; cervical approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,2050.0,8577.0,8
RC,361,Closure of esophagostomy or fistula; transthoracic or transabdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,Closure of gastrocolic fistula ,,,2050.0,8577.0,8
RC,361,Closure of gastrocolic fistula Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Closure of gastrostomy, surgical ",,,2050.0,8727.0,11
RC,361,"Closure of gastrostomy, surgical Other Surgical Services",,,2850.0,2850.0,1
RC,361,Closure of intestinal cutaneous fistula ,,,2050.0,8577.0,8
RC,361,Closure of intestinal cutaneous fistula Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,1423.0,6802.0,11
RC,361,"Closure of laceration, vestibule of mouth; 2.5 cm or less Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,1982.0,6802.0,11
RC,361,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex Other Surgical Services",,,2850.0,2850.0,1
RC,361,Closure of lacrimal fistula (separate procedure) ,,,1982.0,6802.0,11
RC,361,Closure of lacrimal fistula (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1982.0,6802.0,11
RC,361,Closure of nephrocutaneous or pyelocutaneous fistula Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,2050.0,8577.0,8
RC,361,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,2050.0,8577.0,8
RC,361,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,Closure of rectourethral fistula; ,,,2050.0,8577.0,8
RC,361,Closure of rectourethral fistula; Other Surgical Services,,,2850.0,2850.0,1
RC,361,Closure of rectourethral fistula; with colostomy ,,,2050.0,8577.0,8
RC,361,Closure of rectourethral fistula; with colostomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Closure of rectovaginal fistula; abdominal approach ,,,2350.0,8577.0,6
RC,361,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,2350.0,8577.0,6
RC,361,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,2350.0,8727.0,9
RC,361,Closure of rectovaginal fistula; vaginal or transanal approach ,,,2350.0,8727.0,9
RC,361,Closure of rectovesical fistula; ,,,2050.0,8577.0,8
RC,361,Closure of rectovesical fistula; Other Surgical Services,,,2850.0,2850.0,1
RC,361,Closure of rectovesical fistula; with colostomy ,,,2050.0,8577.0,8
RC,361,Closure of rectovesical fistula; with colostomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Closure of the lacrimal punctum; by plug, each ",,,1423.0,6802.0,11
RC,361,"Closure of the lacrimal punctum; by plug, each Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,1423.0,6802.0,11
RC,361,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Other Surgical Services",,,2850.0,2850.0,1
RC,361,Closure of ureterocutaneous fistula ,,,2050.0,8577.0,8
RC,361,Closure of ureterocutaneous fistula Other Surgical Services,,,2850.0,2850.0,1
RC,361,Closure of ureterovisceral fistula (including visceral repair) ,,,2050.0,8577.0,8
RC,361,Closure of ureterovisceral fistula (including visceral repair) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,2050.0,10719.0,11
RC,361,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Closure of urethrovaginal fistula; ,,,2350.0,13315.0,9
RC,361,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,2350.0,10719.0,9
RC,361,Closure of vesicouterine fistula; ,,,2050.0,8727.0,11
RC,361,Closure of vesicouterine fistula; Other Surgical Services,,,2850.0,2850.0,1
RC,361,Closure of vesicouterine fistula; with hysterectomy ,,,2050.0,8577.0,8
RC,361,Closure of vesicouterine fistula; with hysterectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Closure of vesicovaginal fistula, abdominal approach ",,,2050.0,10719.0,11
RC,361,"Closure of vesicovaginal fistula, abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,2350.0,10719.0,9
RC,361,Closure of vesicovaginal fistula; vaginal approach ,,,2350.0,10719.0,9
RC,361,"Closure postauricular fistula, mastoid (separate procedure) ",,,2050.0,8727.0,11
RC,361,"Closure postauricular fistula, mastoid (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Closure salivary fistula ,,,2050.0,6802.0,11
RC,361,Closure salivary fistula Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Closure, exstrophy of bladder ",,,2050.0,8577.0,8
RC,361,"Closure, exstrophy of bladder Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cochlear device implantation, with or without mastoidectomy ",,,2350.0,104011.0,12
RC,361,"Cochlear device implantation, with or without mastoidectomy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,2050.0,8577.0,8
RC,361,"Colectomy, partial, with removal of terminal ileum with ileocolostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colectomy, partial; abdominal and transanal approach ",,,2050.0,8577.0,8
RC,361,"Colectomy, partial; abdominal and transanal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colectomy, partial; with anastomosis ",,,2050.0,8577.0,8
RC,361,"Colectomy, partial; with anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,2050.0,8577.0,8
RC,361,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,2050.0,8577.0,8
RC,361,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,2050.0,8577.0,8
RC,361,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,2050.0,8577.0,8
RC,361,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colectomy, partial; with skin level cecostomy or colostomy ",,,2050.0,8577.0,8
RC,361,"Colectomy, partial; with skin level cecostomy or colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,2050.0,8577.0,8
RC,361,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,2050.0,8577.0,8
RC,361,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,2050.0,8577.0,8
RC,361,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,2050.0,8577.0,8
RC,361,"Colectomy, total, abdominal, with proctectomy; with ileostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,2050.0,8577.0,8
RC,361,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,2050.0,8577.0,8
RC,361,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,8577.0,8577.0,1
RC,361,Collection of blood specimen from a completely implantable venous access device ,,,2050.0,17341.0,8
RC,361,Collection of blood specimen from a completely implantable venous access device Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified ",,,2050.0,17341.0,8
RC,361,"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,2050.0,2702.0,5
RC,361,"Collection of capillary blood specimen (eg, finger, heel, ear stick) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Collection of venous blood by venipuncture ,,,2050.0,2702.0,5
RC,361,Collection of venous blood by venipuncture Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1423.0,3251.0,4
RC,361,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,11
RC,361,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,361,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy through stoma; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,361,"Colonoscopy through stoma; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy through stoma; with control of bleeding, any method ",,,2050.0,6802.0,11
RC,361,"Colonoscopy through stoma; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2050.0,6802.0,11
RC,361,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,2050.0,6802.0,11
RC,361,"Colonoscopy through stoma; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,1
RC,361,Colonoscopy through stoma; with endoscopic mucosal resection ,,,2050.0,6802.0,11
RC,361,Colonoscopy through stoma; with endoscopic mucosal resection Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,361,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,2050.0,6802.0,11
RC,361,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures Other Surgical Services",,,2850.0,2850.0,1
RC,361,Colonoscopy through stoma; with removal of foreign body(s) ,,,2050.0,6802.0,11
RC,361,Colonoscopy through stoma; with removal of foreign body(s) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2050.0,6802.0,11
RC,361,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2050.0,6802.0,11
RC,361,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,2050.0,6802.0,11
RC,361,Colonoscopy through stoma; with transendoscopic balloon dilation Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,2050.0,6802.0,12
RC,361,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with control of bleeding, any method ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; with endoscopic mucosal resection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with removal of foreign body(s) ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,2050.0,6802.0,11
RC,361,"Colonoscopy, flexible; with transendoscopic balloon dilation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,2050.0,6802.0,12
RC,361,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1982.0,4009.0,4
RC,361,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1982.0,4009.0,4
RC,361,Colorectal cancer screening; flexible sigmoidoscopy ,,,1982.0,4009.0,4
RC,361,Colostomy or skin level cecostomy; ,,,2050.0,8577.0,8
RC,361,Colostomy or skin level cecostomy; Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,2050.0,8577.0,8
RC,361,"Colotomy, for exploration, biopsy(s), or foreign body removal Other Surgical Services",,,2850.0,2850.0,1
RC,361,Colpocentesis (separate procedure) ,,,2050.0,8727.0,11
RC,361,Colpocentesis (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Colpocleisis (Le Fort type) ,,,2050.0,10719.0,11
RC,361,Colpocleisis (Le Fort type) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,2350.0,8727.0,9
RC,361,"Colpopexy, abdominal approach ",,,2350.0,8727.0,9
RC,361,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,2350.0,13315.0,9
RC,361,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,2350.0,13315.0,9
RC,361,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,7493.0,7493.0,1
RC,361,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,2350.0,8727.0,9
RC,361,Colposcopy of the cervix including upper/adjacent vagina; ,,,1423.0,6802.0,11
RC,361,Colposcopy of the cervix including upper/adjacent vagina; Other Surgical Services,,,2850.0,2850.0,1
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,1423.0,6802.0,11
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Other Surgical Services,,,2850.0,2850.0,1
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,1423.0,6802.0,11
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Other Surgical Services,,,2850.0,2850.0,1
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,1423.0,6802.0,11
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage Other Surgical Services,,,2850.0,2850.0,1
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,2050.0,8727.0,11
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Other Surgical Services,,,2850.0,2850.0,1
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,2050.0,8727.0,11
RC,361,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Colposcopy of the entire vagina, with cervix if present; ",,,1423.0,6802.0,11
RC,361,"Colposcopy of the entire vagina, with cervix if present; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,1982.0,6802.0,11
RC,361,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Other Surgical Services",,,2850.0,2850.0,1
RC,361,Colposcopy of the vulva; ,,,1423.0,6802.0,11
RC,361,Colposcopy of the vulva; Other Surgical Services,,,2850.0,2850.0,1
RC,361,Colposcopy of the vulva; with biopsy(s) ,,,1423.0,6802.0,11
RC,361,Colposcopy of the vulva; with biopsy(s) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Colpotomy; with drainage of pelvic abscess ,,,2050.0,8727.0,11
RC,361,Colpotomy; with drainage of pelvic abscess Other Surgical Services,,,2850.0,2850.0,1
RC,361,Colpotomy; with exploration ,,,2050.0,8727.0,11
RC,361,Colpotomy; with exploration Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,2350.0,10719.0,9
RC,361,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,2350.0,13315.0,9
RC,361,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,361,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,361,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,1982.0,6802.0,11
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,1982.0,6802.0,11
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,1982.0,6802.0,12
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,1982.0,6802.0,11
RC,361,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,1423.0,6802.0,11
RC,361,"Complex uroflowmetry (eg, calibrated electronic equipment) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,19105.0,4
RC,361,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,19105.0,4
RC,361,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,8
RC,361,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,20
RC,361,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,8
RC,361,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,10
RC,361,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,2050.0,6802.0,9
RC,361,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,2050.0,8727.0,11
RC,361,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,2050.0,8727.0,11
RC,361,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision Other Surgical Services",,,2850.0,2850.0,1
RC,361,Conjunctival flap; bridge or partial (separate procedure) ,,,2050.0,10719.0,11
RC,361,Conjunctival flap; bridge or partial (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,2050.0,8727.0,11
RC,361,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,2050.0,8727.0,11
RC,361,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,2050.0,10719.0,11
RC,361,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Other Surgical Services",,,2850.0,2850.0,1
RC,361,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,2050.0,10719.0,11
RC,361,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,2050.0,8727.0,11
RC,361,Conjunctivoplasty; with conjunctival graft or extensive rearrangement Other Surgical Services,,,2850.0,2850.0,1
RC,361,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,2050.0,10719.0,11
RC,361,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Other Surgical Services,,,2850.0,2850.0,1
RC,361,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,2050.0,10719.0,11
RC,361,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube Other Surgical Services,,,2850.0,2850.0,1
RC,361,Construction of artificial vagina; with graft ,,,2350.0,10719.0,9
RC,361,Construction of artificial vagina; without graft ,,,2350.0,8727.0,9
RC,361,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,2050.0,8727.0,11
RC,361,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,2050.0,8727.0,11
RC,361,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,2050.0,8577.0,8
RC,361,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Continent ileostomy (Kock procedure) (separate procedure) ,,,2050.0,8577.0,8
RC,361,Continent ileostomy (Kock procedure) (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1423.0,3251.0,4
RC,361,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,1423.0,6802.0,11
RC,361,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report ",,,2050.0,23692.0,12
RC,361,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,1423.0,6802.0,12
RC,361,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,2050.0,8577.0,8
RC,361,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,1423.0,6802.0,11
RC,361,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,2050.0,6802.0,11
RC,361,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,2050.0,7493.0,8
RC,361,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,1423.0,6802.0,11
RC,361,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,2050.0,8727.0,11
RC,361,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,2050.0,10719.0,12
RC,361,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2050.0,6802.0,11
RC,361,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,8577.0,8577.0,1
RC,361,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,1982.0,6802.0,12
RC,361,"Cordocentesis (intrauterine), any method ",,,1423.0,6802.0,11
RC,361,"Cordocentesis (intrauterine), any method Other Surgical Services",,,2850.0,2850.0,1
RC,361,Corneal relaxing incision for correction of surgically induced astigmatism ,,,1982.0,6802.0,11
RC,361,Corneal relaxing incision for correction of surgically induced astigmatism Other Surgical Services,,,2850.0,2850.0,1
RC,361,Corneal wedge resection for correction of surgically induced astigmatism ,,,2050.0,8727.0,11
RC,361,Corneal wedge resection for correction of surgically induced astigmatism Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,2350.0,8577.0,6
RC,361,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,2350.0,10719.0,9
RC,361,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,2350.0,10719.0,9
RC,361,"Correction of everted punctum, cautery ",,,1423.0,6802.0,11
RC,361,"Correction of everted punctum, cautery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,2050.0,8727.0,11
RC,361,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Correction of lid retraction ,,,2050.0,8727.0,11
RC,361,Correction of lid retraction Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,2050.0,8577.0,8
RC,361,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,1423.0,6802.0,11
RC,361,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Correction of trichiasis; epilation, by forceps only ",,,1423.0,6802.0,11
RC,361,"Correction of trichiasis; epilation, by forceps only Other Surgical Services",,,2850.0,2850.0,1
RC,361,Correction of trichiasis; incision of lid margin ,,,1982.0,6802.0,11
RC,361,Correction of trichiasis; incision of lid margin Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,2050.0,8727.0,11
RC,361,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,1423.0,6802.0,8
RC,361,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,2350.0,15007.0,8
RC,361,Craniectomy for craniosynostosis; multiple cranial sutures ,,,2050.0,8577.0,8
RC,361,Craniectomy for craniosynostosis; multiple cranial sutures Other Surgical Services,,,2850.0,2850.0,1
RC,361,Craniectomy for craniosynostosis; single cranial suture ,,,2050.0,8577.0,8
RC,361,Craniectomy for craniosynostosis; single cranial suture Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,2050.0,8577.0,8
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,2050.0,8577.0,8
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,2050.0,8577.0,8
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,2050.0,8577.0,8
RC,361,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,2050.0,8577.0,8
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,2050.0,8577.0,8
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,2050.0,8577.0,8
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,2050.0,8577.0,8
RC,361,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,2050.0,8577.0,8
RC,361,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,2050.0,8577.0,8
RC,361,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy Other Surgi",,,2850.0,2850.0,1
RC,361,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,2050.0,8577.0,8
RC,361,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy Other Su",,,2850.0,2850.0,1
RC,361,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,2050.0,8577.0,8
RC,361,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,2050.0,8577.0,8
RC,361,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,2050.0,8577.0,8
RC,361,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy or craniotomy, exploratory; supratentorial ",,,2050.0,8577.0,8
RC,361,"Craniectomy or craniotomy, exploratory; supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,361,Craniectomy or craniotomy; with excision of foreign body from brain ,,,2050.0,8577.0,8
RC,361,Craniectomy or craniotomy; with excision of foreign body from brain Other Surgical Services,,,2850.0,2850.0,1
RC,361,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,2050.0,8577.0,8
RC,361,Craniectomy or craniotomy; with treatment of penetrating wound of brain Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,2050.0,8577.0,8
RC,361,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,2050.0,8577.0,8
RC,361,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,2050.0,8577.0,8
RC,361,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,2050.0,8577.0,8
RC,361,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,2050.0,8577.0,8
RC,361,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,2050.0,8577.0,8
RC,361,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,2050.0,8577.0,8
RC,361,"Craniectomy, suboccipital; for section of 1 or more cranial nerves Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,2050.0,8577.0,8
RC,361,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,2050.0,8577.0,8
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,2050.0,8577.0,8
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,2050.0,8577.0,8
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,2050.0,8577.0,8
RC,361,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,361,Craniectomy; for osteomyelitis ,,,2050.0,8577.0,8
RC,361,Craniectomy; for osteomyelitis Other Surgical Services,,,2850.0,2850.0,1
RC,361,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2050.0,15007.0,11
RC,361,Craniectomy; with excision of tumor or other bone lesion of skull Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,2050.0,8577.0,8
RC,361,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,2050.0,8577.0,8
RC,361,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,2050.0,8577.0,8
RC,361,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa Other Surgical Serv",,,2850.0,2850.0,1
RC,361,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,2050.0,8577.0,8
RC,361,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa Other Sur",,,2850.0,2850.0,1
RC,361,Cranioplasty for skull defect with reparative brain surgery ,,,2050.0,8577.0,8
RC,361,Cranioplasty for skull defect with reparative brain surgery Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cranioplasty for skull defect; larger than 5 cm diameter ,,,2050.0,8577.0,8
RC,361,Cranioplasty for skull defect; larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cranioplasty for skull defect; up to 5 cm diameter ,,,2050.0,8577.0,8
RC,361,Cranioplasty for skull defect; up to 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,2050.0,8577.0,8
RC,361,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,2050.0,8577.0,8
RC,361,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Craniotomy for craniosynostosis; bifrontal bone flap ,,,2050.0,8577.0,8
RC,361,Craniotomy for craniosynostosis; bifrontal bone flap Other Surgical Services,,,2850.0,2850.0,1
RC,361,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,2050.0,8577.0,8
RC,361,Craniotomy for craniosynostosis; frontal or parietal bone flap Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,2050.0,8577.0,8
RC,361,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,2050.0,8577.0,8
RC,361,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniotomy for repair of encephalocele, skull base ",,,2050.0,8577.0,8
RC,361,"Craniotomy for repair of encephalocele, skull base Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,2050.0,8577.0,8
RC,361,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,2050.0,8577.0,8
RC,361,Craniotomy with elevation of bone flap; for excision of craniopharyngioma Other Surgical Services,,,2850.0,2850.0,1
RC,361,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,2050.0,8577.0,8
RC,361,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery Other Surgical Services,,,2850.0,2850.0,1
RC,361,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,2050.0,8577.0,8
RC,361,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,2050.0,8577.0,8
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,2050.0,8577.0,8
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,2050.0,8577.0,8
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,2050.0,8577.0,8
RC,361,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,2050.0,8577.0,8
RC,361,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,361,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,2050.0,8577.0,8
RC,361,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,2050.0,8577.0,8
RC,361,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,2050.0,8577.0,8
RC,361,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring Other Surgical Services",,,2850.0,2850.0,1
RC,361,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,2050.0,8577.0,8
RC,361,Craniotomy with elevation of bone flap; for transection of corpus callosum Other Surgical Services,,,2850.0,2850.0,1
RC,361,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,2050.0,17341.0,7
RC,361,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,2050.0,17341.0,8
RC,361,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,2050.0,12863.0,11
RC,361,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,2050.0,8577.0,8
RC,361,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus Ot",,,2850.0,2850.0,1
RC,361,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,2050.0,8727.0,11
RC,361,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,2050.0,8727.0,11
RC,361,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,2350.0,8727.0,9
RC,361,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,2050.0,8577.0,8
RC,361,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,2050.0,12863.0,11
RC,361,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,2050.0,8577.0,8
RC,361,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,2050.0,8577.0,8
RC,361,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,2050.0,8577.0,8
RC,361,"Creation of shunt; ventriculo-atrial, -jugular, -auricular Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,2050.0,8577.0,8
RC,361,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus Other Surgical Services",,,2850.0,2850.0,1
RC,361,Cricopharyngeal myotomy ,,,2050.0,13315.0,11
RC,361,Cricopharyngeal myotomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,2050.0,14379.0,14
RC,361,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Complex Surgery,,,11754.0,11754.0,2
RC,361,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,2050.0,6802.0,11
RC,361,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,1982.0,6802.0,11
RC,361,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Curettage, postpartum ",,,2050.0,8727.0,11
RC,361,"Curettage, postpartum Other Surgical Services",,,2850.0,2850.0,1
RC,361,Cutaneous appendico-vesicostomy ,,,2050.0,8577.0,8
RC,361,Cutaneous appendico-vesicostomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cutaneous vesicostomy ,,,2050.0,8727.0,11
RC,361,Cutaneous vesicostomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,2050.0,8577.0,8
RC,361,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,2050.0,8577.0,8
RC,361,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2050.0,8577.0,8
RC,361,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes O",,,2850.0,2850.0,1
RC,361,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,2050.0,8577.0,8
RC,361,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2050.0,8577.0,8
RC,361,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Other Surgical S",,,2850.0,2850.0,1
RC,361,"Cystectomy, complete; (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Cystectomy, complete; (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2050.0,8577.0,8
RC,361,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,2050.0,8577.0,8
RC,361,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,2050.0,8577.0,8
RC,361,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystectomy, partial; simple ",,,2050.0,8577.0,8
RC,361,"Cystectomy, partial; simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,2050.0,8727.0,11
RC,361,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2050.0,8577.0,9
RC,361,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,2050.0,10719.0,11
RC,361,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,2050.0,8727.0,11
RC,361,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystostomy, cystotomy with drainage ",,,2050.0,8727.0,11
RC,361,"Cystostomy, cystotomy with drainage Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystotomy for excision, incision, or repair of ureterocele ",,,2050.0,8727.0,11
RC,361,"Cystotomy for excision, incision, or repair of ureterocele Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,2050.0,8727.0,11
RC,361,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material Other Surgical Services",,,2850.0,2850.0,1
RC,361,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,5360.0,8727.0,3
RC,361,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,2050.0,8727.0,11
RC,361,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,1982.0,6802.0,11
RC,361,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,2050.0,10719.0,11
RC,361,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Cystotomy; for excision of bladder tumor ,,,2050.0,10719.0,11
RC,361,Cystotomy; for excision of bladder tumor Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,2050.0,8727.0,11
RC,361,Cystotomy; for simple excision of vesical neck (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2050.0,8577.0,8
RC,361,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,2350.0,15409.0,10
RC,361,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,2350.0,13830.0,12
RC,361,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Complex Surgery",,,11754.0,11754.0,2
RC,361,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,2350.0,13830.0,12
RC,361,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Complex Surgery,,,11754.0,11754.0,2
RC,361,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,2350.0,13830.0,12
RC,361,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Complex Surgery,,,11754.0,11754.0,2
RC,361,Cystourethroscopy (separate procedure) ,,,1982.0,6802.0,9
RC,361,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,2350.0,6802.0,8
RC,361,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,8577.0,8577.0,1
RC,361,Cystourethroscopy with direct vision internal urethrotomy ,,,2350.0,8727.0,8
RC,361,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,2050.0,8727.0,10
RC,361,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds Other Surgical Services",,,2850.0,2850.0,1
RC,361,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,2050.0,7493.0,8
RC,361,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,2350.0,53068.0,8
RC,361,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2050.0,7493.0,8
RC,361,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,2350.0,13830.0,12
RC,361,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Complex Surgery",,,11754.0,11754.0,2
RC,361,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,2350.0,6802.0,8
RC,361,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,2050.0,8727.0,10
RC,361,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,361,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,361,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,361,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,8577.0,8577.0,1
RC,361,"Cystourethroscopy, with biopsy(s) ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,2350.0,6802.0,8
RC,361,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,2350.0,6802.0,8
RC,361,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,1982.0,6802.0,8
RC,361,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,1982.0,6802.0,8
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,2350.0,6802.0,8
RC,361,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder Complex Surgery",,,11754.0,11754.0,2
RC,361,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2350.0,13830.0,12
RC,361,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,1423.0,6802.0,11
RC,361,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1423.0,6802.0,10
RC,361,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystourethroscopy, with insertion of permanent urethral stent ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5360.0,8727.0,4
RC,361,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,10737.0,15007.0,4
RC,361,"Cystourethroscopy, with internal urethrotomy; female ",,,2350.0,6802.0,8
RC,361,"Cystourethroscopy, with internal urethrotomy; male ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,2350.0,7493.0,5
RC,361,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,2350.0,6802.0,8
RC,361,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy, with steroid injection into stricture ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,7493.0,7493.0,1
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,7493.0,7493.0,1
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,2350.0,13830.0,12
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Complex Surgery",,,11754.0,11754.0,2
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,2350.0,13830.0,12
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion Complex Surgery",,,11754.0,11754.0,2
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2702.0,15409.0,6
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2050.0,15409.0,14
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,2350.0,13830.0,12
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,2350.0,13830.0,12
RC,361,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Complex Surgery",,,11754.0,11754.0,2
RC,361,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,2350.0,8727.0,8
RC,361,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,361,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,361,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,361,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,2350.0,8727.0,8
RC,361,DIGESTIVE MALIGNANCY WITH CC ,,,11000.0,11000.0,1
RC,361,DIGESTIVE MALIGNANCY WITH MCC ,,,11000.0,11000.0,1
RC,361,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,11000.0,11000.0,1
RC,361,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,11000.0,11000.0,1
RC,361,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11000.0,11000.0,1
RC,361,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,11000.0,11000.0,1
RC,361,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,361,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,2050.0,10719.0,11
RC,361,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,1423.0,3251.0,8
RC,361,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,2143.0,2143.0,1
RC,361,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,8577.0,8577.0,1
RC,361,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,1982.0,6802.0,11
RC,361,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,1423.0,6802.0,11
RC,361,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Declotting by thrombolytic agent of implanted vascular access device or catheter ,,,2050.0,17341.0,8
RC,361,Declotting by thrombolytic agent of implanted vascular access device or catheter Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,2050.0,13315.0,11
RC,361,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,2050.0,13315.0,11
RC,361,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,361,Decompression internal auditory canal ,,,2050.0,13315.0,11
RC,361,Decompression internal auditory canal Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Decompression of orbit only, transcranial approach ",,,2050.0,13315.0,11
RC,361,"Decompression of orbit only, transcranial approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,2050.0,10719.0,12
RC,361,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,2050.0,6802.0,9
RC,361,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,2050.0,15007.0,9
RC,361,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,2050.0,7493.0,8
RC,361,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,Decompression; plantar digital nerve ,,,2050.0,8727.0,11
RC,361,Decompression; plantar digital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,Decompression; unspecified nerve(s) (specify) ,,,2050.0,8727.0,11
RC,361,Decompression; unspecified nerve(s) (specify) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Decoronation or submergence of an erupted tooth ,,,8577.0,8577.0,1
RC,361,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,2050.0,6802.0,11
RC,361,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Deligation of ureter ,,,2050.0,8577.0,8
RC,361,Deligation of ureter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Delivery of placenta (separate procedure) ,,,2050.0,8727.0,11
RC,361,Delivery of placenta (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2820.0,5414.0,3
RC,361,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,2050.0,7493.0,8
RC,361,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction by neurolytic agent, intercostal nerve ",,,2050.0,8727.0,11
RC,361,"Destruction by neurolytic agent, intercostal nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,1423.0,6802.0,12
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,2050.0,8727.0,11
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,1423.0,6802.0,12
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,2050.0,8727.0,11
RC,361,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,2050.0,8727.0,11
RC,361,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,2050.0,8727.0,11
RC,361,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,2050.0,8727.0,11
RC,361,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,2050.0,8727.0,11
RC,361,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,1982.0,6802.0,11
RC,361,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus Other Surgical Services",,,2850.0,2850.0,1
RC,361,Destruction by neurolytic agent; other peripheral nerve or branch ,,,1982.0,6802.0,11
RC,361,Destruction by neurolytic agent; other peripheral nerve or branch Other Surgical Services,,,2850.0,2850.0,1
RC,361,Destruction by neurolytic agent; plantar common digital nerve ,,,1423.0,6802.0,11
RC,361,Destruction by neurolytic agent; plantar common digital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,Destruction by neurolytic agent; pudendal nerve ,,,1982.0,6802.0,11
RC,361,Destruction by neurolytic agent; pudendal nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,1982.0,6802.0,11
RC,361,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,2350.0,13830.0,12
RC,361,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,1982.0,6802.0,11
RC,361,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion (except excision), dentoalveolar structures ",,,2050.0,8727.0,11
RC,361,"Destruction of lesion (except excision), dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,1423.0,6802.0,10
RC,361,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization Other Surgical Services",,,2850.0,2850.0,1
RC,361,Destruction of lesion of lid margin (up to 1 cm) ,,,1982.0,6802.0,11
RC,361,Destruction of lesion of lid margin (up to 1 cm) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,2050.0,6802.0,11
RC,361,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,8727.0,11
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,6802.0,11
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,6802.0,11
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2050.0,6802.0,11
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2050.0,8727.0,11
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2050.0,8727.0,11
RC,361,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,6802.0,11
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,6802.0,11
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,6802.0,11
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2050.0,6802.0,11
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2050.0,6802.0,11
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2050.0,6802.0,11
RC,361,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,6802.0,11
RC,361,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,6802.0,11
RC,361,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion, conjunctiva ",,,2050.0,8727.0,11
RC,361,"Destruction of lesion, conjunctiva Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,2050.0,6802.0,11
RC,361,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,1982.0,13830.0,12
RC,361,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions Complex Surgery",,,11754.0,11754.0,2
RC,361,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,1982.0,13830.0,12
RC,361,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1423.0,13830.0,12
RC,361,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) Compl",,,11754.0,11754.0,2
RC,361,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1982.0,4009.0,3
RC,361,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,1423.0,13830.0,12
RC,361,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,1982.0,13830.0,12
RC,361,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,361,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,2350.0,13830.0,12
RC,361,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,2050.0,8727.0,11
RC,361,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,8727.0,11
RC,361,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,8727.0,11
RC,361,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Diagnostic bone marrow; aspiration(s) ,,,1982.0,6802.0,11
RC,361,Diagnostic bone marrow; aspiration(s) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Diagnostic bone marrow; biopsy(ies) ,,,1982.0,6802.0,11
RC,361,Diagnostic bone marrow; biopsy(ies) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,2050.0,6802.0,8
RC,361,Diagnostic bone marrow; biopsy(ies) and aspiration(s) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,8577.0,8577.0,1
RC,361,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,1423.0,6802.0,12
RC,361,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8577.0,8577.0,4
RC,361,Diaphragm or cervical cap fitting with instructions ,,,1423.0,6802.0,11
RC,361,Diaphragm or cervical cap fitting with instructions Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Dilation and catheterization of salivary duct, with or without injection ",,,1423.0,6802.0,11
RC,361,"Dilation and catheterization of salivary duct, with or without injection Other Surgical Services",,,2850.0,2850.0,1
RC,361,Dilation and curettage of cervical stump ,,,2050.0,8727.0,11
RC,361,Dilation and curettage of cervical stump Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,2050.0,8727.0,11
RC,361,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,2050.0,6802.0,11
RC,361,Dilation of anal sphincter (separate procedure) under anesthesia other than local Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Dilation of cervical canal, instrumental (separate procedure) ",,,2050.0,8727.0,11
RC,361,"Dilation of cervical canal, instrumental (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,2050.0,6802.0,11
RC,361,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Dilation of esophagus, over guide wire ",,,2050.0,6802.0,11
RC,361,"Dilation of esophagus, over guide wire Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,2050.0,10719.0,18
RC,361,Dilation of female urethra including suppository and/or instillation; initial ,,,1423.0,6802.0,11
RC,361,Dilation of female urethra including suppository and/or instillation; initial Other Surgical Services,,,2850.0,2850.0,1
RC,361,Dilation of female urethra including suppository and/or instillation; subsequent ,,,1423.0,6802.0,11
RC,361,Dilation of female urethra including suppository and/or instillation; subsequent Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,2050.0,8727.0,11
RC,361,"Dilation of female urethra, general or conduction (spinal) anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Dilation of lacrimal punctum, with or without irrigation ",,,1423.0,6802.0,11
RC,361,"Dilation of lacrimal punctum, with or without irrigation Other Surgical Services",,,2850.0,2850.0,1
RC,361,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,2050.0,6802.0,11
RC,361,Dilation of rectal stricture (separate procedure) under anesthesia other than local Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,1982.0,6802.0,11
RC,361,"Dilation of urethral stricture by passage of filiform and follower, male; initial Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,1423.0,6802.0,11
RC,361,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,1423.0,6802.0,11
RC,361,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,1423.0,6802.0,11
RC,361,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,2050.0,6802.0,11
RC,361,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,361,Dilation of vagina under anesthesia (other than local) ,,,2050.0,8727.0,11
RC,361,Dilation of vagina under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Dilation salivary duct ,,,2050.0,6802.0,11
RC,361,Dilation salivary duct Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1423.0,6802.0,9
RC,361,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,2350.0,15007.0,8
RC,361,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,2350.0,8577.0,6
RC,361,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,2350.0,8577.0,6
RC,361,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,1982.0,6802.0,11
RC,361,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,1423.0,6802.0,11
RC,361,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Discission of vitreous strands (without removal), pars plana approach ",,,2350.0,8727.0,8
RC,361,"Dissection, deep jugular node(s) ",,,2050.0,15007.0,11
RC,361,"Dissection, deep jugular node(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,2050.0,17341.0,7
RC,361,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,2050.0,13315.0,11
RC,361,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,2050.0,8577.0,8
RC,361,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,Division of stricture of rectum ,,,2050.0,8727.0,11
RC,361,Division of stricture of rectum Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,2050.0,8577.0,8
RC,361,"Donor enterectomy (including cold preservation), open; from cadaver donor Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,2050.0,8577.0,8
RC,361,"Donor enterectomy (including cold preservation), open; partial, from living donor Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,2050.0,8577.0,8
RC,361,"Donor hepatectomy (including cold preservation), from cadaver donor Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,2050.0,8577.0,8
RC,361,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,2050.0,8577.0,8
RC,361,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,2050.0,8577.0,8
RC,361,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,2050.0,8577.0,8
RC,361,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Donor nephrectomy (including cold preservation); open, from living donor ",,,2050.0,8577.0,8
RC,361,"Donor nephrectomy (including cold preservation); open, from living donor Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,2050.0,6802.0,7
RC,361,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drainage external auditory canal, abscess ",,,1423.0,6802.0,11
RC,361,"Drainage external auditory canal, abscess Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drainage external ear, abscess or hematoma; complicated ",,,2050.0,6802.0,11
RC,361,"Drainage external ear, abscess or hematoma; complicated Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drainage external ear, abscess or hematoma; simple ",,,1423.0,6802.0,11
RC,361,"Drainage external ear, abscess or hematoma; simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,Drainage of Skene's gland abscess or cyst ,,,2050.0,8727.0,11
RC,361,Drainage of Skene's gland abscess or cyst Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Drainage of abscess of palate, uvula ",,,1423.0,6802.0,11
RC,361,"Drainage of abscess of palate, uvula Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,1423.0,6802.0,11
RC,361,"Drainage of abscess, cyst, hematoma from dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,1982.0,6802.0,11
RC,361,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,1423.0,6802.0,11
RC,361,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drainage of abscess; parotid, complicated ",,,2050.0,8727.0,11
RC,361,"Drainage of abscess; parotid, complicated Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drainage of abscess; parotid, simple ",,,1982.0,6802.0,11
RC,361,"Drainage of abscess; parotid, simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,1423.0,6802.0,11
RC,361,"Drainage of abscess; submaxillary or sublingual, intraoral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drainage of abscess; submaxillary, external ",,,1423.0,6802.0,11
RC,361,"Drainage of abscess; submaxillary, external Other Surgical Services",,,2850.0,2850.0,1
RC,361,Drainage of deep periurethral abscess ,,,2050.0,8727.0,11
RC,361,Drainage of deep periurethral abscess Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,2050.0,8577.0,8
RC,361,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open Other Surgical Services",,,2850.0,2850.0,1
RC,361,Drainage of lymph node abscess or lymphadenitis; extensive ,,,2050.0,8727.0,11
RC,361,Drainage of lymph node abscess or lymphadenitis; extensive Other Surgical Services,,,2850.0,2850.0,1
RC,361,Drainage of lymph node abscess or lymphadenitis; simple ,,,2050.0,6802.0,11
RC,361,Drainage of lymph node abscess or lymphadenitis; simple Other Surgical Services,,,2850.0,2850.0,1
RC,361,Drainage of ovarian abscess; abdominal approach ,,,2050.0,10719.0,11
RC,361,Drainage of ovarian abscess; abdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Drainage of ovarian abscess; vaginal approach, open ",,,2050.0,8727.0,11
RC,361,"Drainage of ovarian abscess; vaginal approach, open Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,2050.0,8727.0,11
RC,361,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,2050.0,8727.0,11
RC,361,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,Drainage of perineal urinary extravasation; complicated ,,,2050.0,8727.0,11
RC,361,Drainage of perineal urinary extravasation; complicated Other Surgical Services,,,2850.0,2850.0,1
RC,361,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,2050.0,8727.0,11
RC,361,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Drainage of perirenal or renal abscess, open ",,,2050.0,8727.0,11
RC,361,"Drainage of perirenal or renal abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,2050.0,8577.0,8
RC,361,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,361,Drainage of perivesical or prevesical space abscess ,,,2050.0,8727.0,11
RC,361,Drainage of perivesical or prevesical space abscess Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Drainage of retroperitoneal abscess, open ",,,2050.0,8577.0,8
RC,361,"Drainage of retroperitoneal abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,361,Drainage of scrotal wall abscess ,,,2050.0,6802.0,11
RC,361,Drainage of scrotal wall abscess Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,2050.0,8577.0,8
RC,361,"Drainage of subdiaphragmatic or subphrenic abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,2050.0,6802.0,8
RC,361,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic Other Surgical Services",,,2850.0,2850.0,1
RC,361,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,2050.0,8577.0,8
RC,361,Duodenal exclusion with gastrojejunostomy for pancreatic injury Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,1423.0,6802.0,12
RC,361,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,1423.0,6802.0,11
RC,361,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Duodenal motility (manometric) study ,,,1423.0,3251.0,4
RC,361,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,2050.0,8577.0,8
RC,361,"Duodenotomy, for exploration, biopsy(s), or foreign body removal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Dural graft, spinal ",,,2050.0,8577.0,8
RC,361,"Dural graft, spinal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,2050.0,6802.0,11
RC,361,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,11000.0,11000.0,1
RC,361,Ear piercing ,,,2050.0,8577.0,8
RC,361,Ear piercing Other Surgical Services,,,2850.0,2850.0,1
RC,361,Electroejaculation ,,,1982.0,6802.0,11
RC,361,Electroejaculation Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Electrogastrography, diagnostic, transcutaneous; ",,,1423.0,3251.0,4
RC,361,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1423.0,3251.0,4
RC,361,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,1423.0,6802.0,11
RC,361,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,1423.0,6802.0,11
RC,361,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming Othe",,,2850.0,2850.0,1
RC,361,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,1423.0,6802.0,24
RC,361,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,1423.0,6802.0,12
RC,361,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1423.0,23692.0,18
RC,361,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2820.0,17341.0,7
RC,361,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1423.0,17341.0,7
RC,361,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,8
RC,361,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,2050.0,8577.0,8
RC,361,"Elevation of depressed skull fracture; compound or comminuted, extradural Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Elevation of depressed skull fracture; simple, extradural ",,,2050.0,13315.0,11
RC,361,"Elevation of depressed skull fracture; simple, extradural Other Surgical Services",,,2850.0,2850.0,1
RC,361,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,2050.0,8577.0,8
RC,361,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Embryo transfer, intrauterine ",,,1982.0,6802.0,11
RC,361,"Embryo transfer, intrauterine Other Surgical Services",,,2850.0,2850.0,1
RC,361,Endocervical curettage (not done as part of a dilation and curettage) ,,,1982.0,6802.0,11
RC,361,Endocervical curettage (not done as part of a dilation and curettage) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,1423.0,6802.0,12
RC,361,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,1423.0,6802.0,12
RC,361,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1423.0,17341.0,14
RC,361,Endolymphatic sac operation; with shunt ,,,2050.0,13315.0,11
RC,361,Endolymphatic sac operation; with shunt Other Surgical Services,,,2850.0,2850.0,1
RC,361,Endolymphatic sac operation; without shunt ,,,2050.0,13315.0,11
RC,361,Endolymphatic sac operation; without shunt Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,2350.0,13830.0,12
RC,361,"Endometrial ablation, thermal, without hysteroscopic guidance Complex Surgery",,,11754.0,11754.0,2
RC,361,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,2350.0,13830.0,13
RC,361,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Complex Surgery",,,11754.0,11754.0,2
RC,361,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,361,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,1423.0,6802.0,11
RC,361,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Endomyocardial biopsy ,,,5360.0,10719.0,4
RC,361,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,361,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,361,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,1423.0,6802.0,9
RC,361,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2050.0,15007.0,11
RC,361,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar Other",,,2850.0,2850.0,1
RC,361,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,15007.0,15007.0,1
RC,361,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,12
RC,361,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,361,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,2050.0,10719.0,11
RC,361,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,15007.0,15007.0,1
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2350.0,8727.0,9
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,2050.0,8727.0,10
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,2350.0,8727.0,9
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,2350.0,15409.0,8
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,2050.0,8727.0,10
RC,361,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,2350.0,8727.0,9
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,2050.0,8727.0,10
RC,361,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,2350.0,8727.0,9
RC,361,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,2050.0,8727.0,10
RC,361,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,2350.0,8727.0,9
RC,361,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,2050.0,8727.0,10
RC,361,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,361,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,8577.0,8577.0,1
RC,361,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,8577.0,8577.0,1
RC,361,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,361,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,7493.0,7493.0,1
RC,361,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,2050.0,11462.0,9
RC,361,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,2050.0,11462.0,9
RC,361,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2050.0,19295.0,12
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,2050.0,15007.0,18
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated ",,,2050.0,10719.0,11
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; subsequent vein(s) treated in a single extremity, each through separa",,,1423.0,6802.0,12
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated ",,,2050.0,10719.0,11
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each thro",,,1423.0,6802.0,12
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated ",,,2050.0,10719.0,10
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each throu",,,1423.0,6802.0,12
RC,361,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,2050.0,8577.0,9
RC,361,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,2050.0,8577.0,8
RC,361,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,2050.0,8577.0,8
RC,361,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,361,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,2050.0,8577.0,8
RC,361,"Enterectomy, resection of small intestine; single resection and anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Enterectomy, resection of small intestine; with enterostomy ",,,2050.0,8577.0,8
RC,361,"Enterectomy, resection of small intestine; with enterostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Enterocystoplasty, including intestinal anastomosis ",,,2050.0,8577.0,8
RC,361,"Enterocystoplasty, including intestinal anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,2050.0,8577.0,8
RC,361,Enterolysis (freeing of intestinal adhesion) (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,2050.0,8577.0,8
RC,361,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,2050.0,8577.0,8
RC,361,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Enucleation of eye; with implant, muscles attached to implant ",,,2050.0,10719.0,11
RC,361,"Enucleation of eye; with implant, muscles attached to implant Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Enucleation of eye; with implant, muscles not attached to implant ",,,2050.0,10719.0,11
RC,361,"Enucleation of eye; with implant, muscles not attached to implant Other Surgical Services",,,2850.0,2850.0,1
RC,361,Enucleation of eye; without implant ,,,2050.0,10719.0,11
RC,361,Enucleation of eye; without implant Other Surgical Services,,,2850.0,2850.0,1
RC,361,Epididymectomy; bilateral ,,,2050.0,8727.0,11
RC,361,Epididymectomy; bilateral Other Surgical Services,,,2850.0,2850.0,1
RC,361,Epididymectomy; unilateral ,,,2050.0,8727.0,11
RC,361,Epididymectomy; unilateral Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,2050.0,8727.0,11
RC,361,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,2050.0,8727.0,11
RC,361,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,Epikeratoplasty ,,,2050.0,8727.0,11
RC,361,Epikeratoplasty Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Episiotomy or vaginal repair, by other than attending ",,,2050.0,8727.0,11
RC,361,"Episiotomy or vaginal repair, by other than attending Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1423.0,3251.0,4
RC,361,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1423.0,3251.0,4
RC,361,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1423.0,3251.0,4
RC,361,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,361,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1423.0,3251.0,4
RC,361,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1423.0,3251.0,4
RC,361,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,7493.0,7493.0,1
RC,361,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,19105.0,4
RC,361,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,19105.0,4
RC,361,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,2350.0,13830.0,11
RC,361,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,2350.0,13830.0,11
RC,361,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,2350.0,13830.0,11
RC,361,Esophagogastric fundoplasty partial or complete; laparotomy ,,,2050.0,8577.0,8
RC,361,Esophagogastric fundoplasty partial or complete; laparotomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,2050.0,8577.0,8
RC,361,Esophagogastric fundoplasty partial or complete; thoracotomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,2050.0,8577.0,8
RC,361,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,2050.0,8577.0,8
RC,361,"Esophagogastric tamponade, with balloon (Sengstaken type) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2350.0,6802.0,9
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,2050.0,8727.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease Oth",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,2050.0,6802.0,8
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,2050.0,6802.0,12
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,2050.0,10719.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2350.0,10719.0,9
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,2050.0,6802.0,8
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,2050.0,6802.0,11
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,2050.0,6802.0,12
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,2050.0,6802.0,12
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,2050.0,6802.0,12
RC,361,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,2050.0,8727.0,12
RC,361,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,2050.0,8577.0,8
RC,361,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,2050.0,8577.0,8
RC,361,Esophagojejunostomy (without total gastrectomy); abdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,2050.0,8577.0,8
RC,361,Esophagojejunostomy (without total gastrectomy); thoracic approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,Esophagomyotomy (Heller type); abdominal approach ,,,2050.0,8577.0,8
RC,361,Esophagomyotomy (Heller type); abdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,Esophagomyotomy (Heller type); thoracic approach ,,,2050.0,8577.0,8
RC,361,Esophagomyotomy (Heller type); thoracic approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,2050.0,8577.0,8
RC,361,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,2050.0,8577.0,8
RC,361,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,2050.0,8577.0,8
RC,361,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,2050.0,8577.0,8
RC,361,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,2050.0,8577.0,8
RC,361,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,2050.0,8577.0,8
RC,361,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,8727.0,11
RC,361,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection Complex Surgery",,,11754.0,11754.0,2
RC,361,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with optical endomicroscopy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Esophagoscopy, flexible, transoral; with optical endomicroscopy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,10719.0,11
RC,361,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2050.0,8727.0,11
RC,361,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,2050.0,8727.0,12
RC,361,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,2050.0,6802.0,11
RC,361,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,2050.0,8577.0,8
RC,361,"Esophagostomy, fistulization of esophagus, external; cervical approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,2050.0,8577.0,8
RC,361,"Esophagostomy, fistulization of esophagus, external; thoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagotomy, cervical approach, with removal of foreign body ",,,1982.0,6802.0,11
RC,361,"Esophagotomy, cervical approach, with removal of foreign body Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagotomy, thoracic approach, with removal of foreign body ",,,2050.0,8577.0,8
RC,361,"Esophagotomy, thoracic approach, with removal of foreign body Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1423.0,3251.0,4
RC,361,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1423.0,4009.0,4
RC,361,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1423.0,3251.0,4
RC,361,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1423.0,17341.0,7
RC,361,Evisceration of ocular contents; with implant ,,,2050.0,10719.0,11
RC,361,Evisceration of ocular contents; with implant Other Surgical Services,,,2850.0,2850.0,1
RC,361,Evisceration of ocular contents; without implant ,,,2050.0,10719.0,11
RC,361,Evisceration of ocular contents; without implant Other Surgical Services,,,2850.0,2850.0,1
RC,361,Exc biopsy of saliv glands ,,,8577.0,8577.0,1
RC,361,Excavation of a tooth resulting in the determination of non-restorability ,,,8577.0,8577.0,1
RC,361,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,1982.0,6802.0,12
RC,361,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,8577.0,8577.0,1
RC,361,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,2050.0,10719.0,12
RC,361,Exchange of intraocular lens ,,,2050.0,8727.0,11
RC,361,Exchange of intraocular lens Other Surgical Services,,,2850.0,2850.0,1
RC,361,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,2050.0,6802.0,11
RC,361,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Exchange transfusion, blood; newborn ",,,1423.0,6802.0,11
RC,361,"Exchange transfusion, blood; newborn Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exchange transfusion, blood; other than newborn ",,,1423.0,6802.0,11
RC,361,"Exchange transfusion, blood; other than newborn Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,2050.0,8727.0,24
RC,361,Excision aural glomus tumor; extended (extratemporal) ,,,2050.0,8577.0,8
RC,361,Excision aural glomus tumor; extended (extratemporal) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision aural glomus tumor; transcanal ,,,2050.0,13315.0,11
RC,361,Excision aural glomus tumor; transcanal Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision aural glomus tumor; transmastoid ,,,2050.0,13315.0,11
RC,361,Excision aural glomus tumor; transmastoid Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision aural polyp ,,,2050.0,6802.0,11
RC,361,Excision aural polyp Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,2050.0,8727.0,11
RC,361,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,2050.0,13315.0,11
RC,361,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision exostosis(es), external auditory canal ",,,2050.0,8727.0,11
RC,361,"Excision exostosis(es), external auditory canal Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision external ear; complete amputation ,,,2050.0,8727.0,11
RC,361,Excision external ear; complete amputation Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision external ear; partial, simple repair ",,,2050.0,6802.0,11
RC,361,"Excision external ear; partial, simple repair Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,2050.0,8577.0,8
RC,361,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,2050.0,8577.0,8
RC,361,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of Bartholin's gland or cyst ,,,2050.0,8727.0,11
RC,361,Excision of Bartholin's gland or cyst Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,2050.0,8577.0,8
RC,361,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of Mullerian duct cyst ,,,2050.0,8727.0,11
RC,361,Excision of Mullerian duct cyst Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of ampulla of Vater ,,,2050.0,8577.0,8
RC,361,Excision of ampulla of Vater Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,2050.0,8577.0,8
RC,361,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,2050.0,8577.0,8
RC,361,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of bulbourethral gland (Cowper's gland) ,,,2050.0,8727.0,11
RC,361,Excision of bulbourethral gland (Cowper's gland) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of carotid body tumor; with excision of carotid artery ,,,2050.0,8577.0,8
RC,361,Excision of carotid body tumor; with excision of carotid artery Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of carotid body tumor; without excision of carotid artery ,,,2050.0,8577.0,8
RC,361,Excision of carotid body tumor; without excision of carotid artery Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of cervical stump, abdominal approach; ",,,2050.0,8577.0,8
RC,361,"Excision of cervical stump, abdominal approach; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,2050.0,8577.0,8
RC,361,"Excision of cervical stump, abdominal approach; with pelvic floor repair Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of cervical stump, vaginal approach; ",,,2050.0,8727.0,11
RC,361,"Excision of cervical stump, vaginal approach; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,2050.0,10719.0,11
RC,361,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,2050.0,13315.0,11
RC,361,"Excision of cervical stump, vaginal approach; with repair of enterocele Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of chalazion; multiple, different lids ",,,1423.0,6802.0,11
RC,361,"Excision of chalazion; multiple, different lids Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of chalazion; multiple, same lid ",,,1982.0,6802.0,11
RC,361,"Excision of chalazion; multiple, same lid Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of chalazion; single ,,,1423.0,6802.0,11
RC,361,Excision of chalazion; single Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,2050.0,8727.0,11
RC,361,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of choledochal cyst ,,,2050.0,8577.0,8
RC,361,Excision of choledochal cyst Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,2050.0,15007.0,11
RC,361,"Excision of cyst or adenoma of thyroid, or transection of isthmus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,2050.0,8727.0,11
RC,361,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,2050.0,8727.0,11
RC,361,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of extraparenchymal lesion of testis ,,,2050.0,8727.0,11
RC,361,Excision of extraparenchymal lesion of testis Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of fibrous tuberosities, dentoalveolar structures ",,,1982.0,6802.0,11
RC,361,"Excision of fibrous tuberosities, dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,2050.0,6802.0,11
RC,361,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,2050.0,10719.0,11
RC,361,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of hydrocele; bilateral ,,,2050.0,10719.0,11
RC,361,Excision of hydrocele; bilateral Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of hydrocele; unilateral ,,,2050.0,10719.0,11
RC,361,Excision of hydrocele; unilateral Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,2050.0,8727.0,11
RC,361,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of ileoanal reservoir with ileostomy ,,,2050.0,8577.0,8
RC,361,Excision of ileoanal reservoir with ileostomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,2050.0,10719.0,11
RC,361,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,2050.0,10719.0,11
RC,361,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of lacrimal gland tumor; frontal approach ,,,2050.0,8727.0,11
RC,361,Excision of lacrimal gland tumor; frontal approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of lacrimal gland tumor; involving osteotomy ,,,2050.0,10719.0,11
RC,361,Excision of lacrimal gland tumor; involving osteotomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of lacrimal sac (dacryocystectomy) ,,,2050.0,10719.0,11
RC,361,Excision of lacrimal sac (dacryocystectomy) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,1982.0,6802.0,11
RC,361,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of lesion of mesentery (separate procedure) ,,,2050.0,8577.0,8
RC,361,Excision of lesion of mesentery (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,2050.0,8727.0,11
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,2050.0,8727.0,11
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,2050.0,6802.0,11
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,2050.0,6802.0,11
RC,361,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,2050.0,8577.0,8
RC,361,"Excision of lesion of pancreas (eg, cyst, adenoma) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of lesion of spermatic cord (separate procedure) ,,,2050.0,8727.0,11
RC,361,Excision of lesion of spermatic cord (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of lesion of tongue with closure; anterior two-thirds ,,,2050.0,6802.0,11
RC,361,Excision of lesion of tongue with closure; anterior two-thirds Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of lesion of tongue with closure; posterior one-third ,,,2050.0,6802.0,11
RC,361,Excision of lesion of tongue with closure; posterior one-third Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of lesion of tongue with closure; with local tongue flap ,,,2050.0,8727.0,11
RC,361,Excision of lesion of tongue with closure; with local tongue flap Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of lesion of tongue without closure ,,,2050.0,6802.0,11
RC,361,Excision of lesion of tongue without closure Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,2050.0,13315.0,11
RC,361,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,2050.0,8727.0,11
RC,361,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,2050.0,6802.0,11
RC,361,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lesion, conjunctiva; over 1 cm ",,,2050.0,8727.0,11
RC,361,"Excision of lesion, conjunctiva; over 1 cm Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lesion, conjunctiva; up to 1 cm ",,,2050.0,8727.0,11
RC,361,"Excision of lesion, conjunctiva; up to 1 cm Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lesion, conjunctiva; with adjacent sclera ",,,2050.0,8727.0,11
RC,361,"Excision of lesion, conjunctiva; with adjacent sclera Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,1982.0,6802.0,11
RC,361,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,2050.0,8577.0,8
RC,361,"Excision of lesion, esophagus, with primary repair; cervical approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,2050.0,8577.0,8
RC,361,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lesion, sclera ",,,2050.0,8727.0,11
RC,361,"Excision of lesion, sclera Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of lingual frenum (frenectomy) ,,,1982.0,6802.0,11
RC,361,Excision of lingual frenum (frenectomy) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of lip; V-excision with primary direct linear closure ,,,2050.0,6802.0,11
RC,361,Excision of lip; V-excision with primary direct linear closure Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,2050.0,8727.0,11
RC,361,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,2050.0,8727.0,11
RC,361,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of lip; transverse wedge excision with primary closure ,,,2050.0,8727.0,11
RC,361,Excision of lip; transverse wedge excision with primary closure Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of local lesion of epididymis ,,,2050.0,8727.0,11
RC,361,Excision of local lesion of epididymis Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,8577.0,8577.0,1
RC,361,Excision of mucosa of vestibule of mouth as donor graft ,,,1423.0,6802.0,11
RC,361,Excision of mucosa of vestibule of mouth as donor graft Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of multiple external papillae or tags, anus ",,,2050.0,6802.0,11
RC,361,"Excision of multiple external papillae or tags, anus Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,2050.0,8727.0,11
RC,361,Excision of neurofibroma or neurolemmoma; cutaneous nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,2050.0,12863.0,11
RC,361,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,2050.0,8727.0,11
RC,361,Excision of neurofibroma or neurolemmoma; major peripheral nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,2050.0,8727.0,11
RC,361,"Excision of neuroma; cutaneous nerve, surgically identifiable Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,2050.0,8727.0,11
RC,361,"Excision of neuroma; digital nerve, 1 or both, same digit Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of neuroma; hand or foot, except digital nerve ",,,2050.0,8727.0,11
RC,361,"Excision of neuroma; hand or foot, except digital nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of neuroma; major peripheral nerve, except sciatic ",,,2050.0,8727.0,11
RC,361,"Excision of neuroma; major peripheral nerve, except sciatic Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of neuroma; sciatic nerve ,,,2050.0,12863.0,11
RC,361,Excision of neuroma; sciatic nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of osseous tuberosities, dentoalveolar structures ",,,2050.0,8727.0,11
RC,361,"Excision of osseous tuberosities, dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,2050.0,13315.0,11
RC,361,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,2050.0,13315.0,11
RC,361,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,2050.0,13315.0,11
RC,361,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,2050.0,13315.0,11
RC,361,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,2050.0,7493.0,8
RC,361,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of penile plaque (Peyronie disease); ,,,2050.0,13315.0,11
RC,361,Excision of penile plaque (Peyronie disease); Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,2050.0,13315.0,11
RC,361,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,2050.0,13315.0,11
RC,361,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of perinephric cyst ,,,2050.0,8577.0,8
RC,361,Excision of perinephric cyst Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of presacral or sacrococcygeal tumor ,,,2050.0,8577.0,8
RC,361,Excision of presacral or sacrococcygeal tumor Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,2050.0,8577.0,8
RC,361,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,2050.0,8577.0,8
RC,361,"Excision of rectal procidentia, with anastomosis; perineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,2050.0,8727.0,11
RC,361,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,2050.0,10719.0,11
RC,361,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,2050.0,8727.0,11
RC,361,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of single external papilla or tag, anus ",,,2050.0,6802.0,11
RC,361,"Excision of single external papilla or tag, anus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision of spermatocele, with or without epididymectomy ",,,2050.0,8727.0,11
RC,361,"Excision of spermatocele, with or without epididymectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of sublingual gland ,,,2050.0,8727.0,11
RC,361,Excision of sublingual gland Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of sublingual salivary cyst (ranula) ,,,2050.0,8727.0,11
RC,361,Excision of sublingual salivary cyst (ranula) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of submandibular (submaxillary) gland ,,,2050.0,13315.0,11
RC,361,Excision of submandibular (submaxillary) gland Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of thrombosed hemorrhoid, external ",,,2050.0,6802.0,11
RC,361,"Excision of thrombosed hemorrhoid, external Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of thyroglossal duct cyst or sinus; ,,,2050.0,15007.0,11
RC,361,Excision of thyroglossal duct cyst or sinus; Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of thyroglossal duct cyst or sinus; recurrent ,,,2050.0,15007.0,11
RC,361,Excision of thyroglossal duct cyst or sinus; recurrent Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of tonsil tags ,,,2050.0,8727.0,11
RC,361,Excision of tonsil tags Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,2050.0,10719.0,11
RC,361,"Excision of urachal cyst or sinus, with or without umbilical hernia repair Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision of urethral diverticulum (separate procedure); female ,,,2050.0,10719.0,11
RC,361,Excision of urethral diverticulum (separate procedure); female Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of urethral diverticulum (separate procedure); male ,,,2050.0,8727.0,11
RC,361,Excision of urethral diverticulum (separate procedure); male Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of vaginal cyst or tumor ,,,2050.0,8727.0,11
RC,361,Excision of vaginal cyst or tumor Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of vaginal septum ,,,2050.0,8727.0,11
RC,361,Excision of vaginal septum Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,2050.0,8727.0,11
RC,361,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,2050.0,10719.0,11
RC,361,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,2050.0,10719.0,11
RC,361,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,2050.0,8727.0,11
RC,361,"Excision or destruction lingual tonsil, any method (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision or destruction of lesion of pharynx, any method ",,,2050.0,8727.0,11
RC,361,"Excision or destruction of lesion of pharynx, any method Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,2050.0,7493.0,9
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,2050.0,10719.0,9
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,2050.0,7493.0,8
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less O",,,2850.0,2850.0,1
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,2050.0,7493.0,8
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm O",,,2850.0,2850.0,1
RC,361,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,2050.0,10719.0,9
RC,361,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,5360.0,8727.0,3
RC,361,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,10737.0,13315.0,3
RC,361,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,10737.0,13315.0,3
RC,361,Excision or fulguration of carcinoma of urethra ,,,2050.0,10719.0,11
RC,361,Excision or fulguration of carcinoma of urethra Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision or fulguration; Skene's glands ,,,2050.0,8727.0,11
RC,361,Excision or fulguration; Skene's glands Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision or fulguration; urethral caruncle ,,,2050.0,8727.0,11
RC,361,Excision or fulguration; urethral caruncle Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision or fulguration; urethral polyp(s), distal urethra ",,,2050.0,8727.0,11
RC,361,"Excision or fulguration; urethral polyp(s), distal urethra Other Surgical Services",,,2850.0,2850.0,1
RC,361,Excision or fulguration; urethral prolapse ,,,2050.0,8727.0,11
RC,361,Excision or fulguration; urethral prolapse Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision or transposition of pterygium; with graft ,,,2050.0,8727.0,11
RC,361,Excision or transposition of pterygium; with graft Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision or transposition of pterygium; without graft ,,,2050.0,8727.0,11
RC,361,Excision or transposition of pterygium; without graft Other Surgical Services,,,2850.0,2850.0,1
RC,361,Excision or unroofing of cyst(s) of kidney ,,,2050.0,8577.0,8
RC,361,Excision or unroofing of cyst(s) of kidney Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Excision soft tissue lesion, external auditory canal ",,,2050.0,6802.0,11
RC,361,"Excision soft tissue lesion, external auditory canal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,2050.0,8577.0,8
RC,361,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,2050.0,8577.0,8
RC,361,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision, lesion of floor of mouth ",,,2050.0,8727.0,11
RC,361,"Excision, lesion of floor of mouth Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision, lesion of palate, uvula; with local flap closure ",,,2050.0,8727.0,11
RC,361,"Excision, lesion of palate, uvula; with local flap closure Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision, lesion of palate, uvula; with simple primary closure ",,,2050.0,6802.0,11
RC,361,"Excision, lesion of palate, uvula; with simple primary closure Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision, lesion of palate, uvula; without closure ",,,2050.0,6802.0,11
RC,361,"Excision, lesion of palate, uvula; without closure Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision, local; malignant tumor of stomach ",,,2050.0,8577.0,8
RC,361,"Excision, local; malignant tumor of stomach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Excision, local; ulcer or benign tumor of stomach ",,,2050.0,8577.0,8
RC,361,"Excision, local; ulcer or benign tumor of stomach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,2050.0,8577.0,8
RC,361,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,2050.0,10719.0,11
RC,361,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,2050.0,10719.0,11
RC,361,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,2050.0,10719.0,11
RC,361,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,2050.0,8577.0,8
RC,361,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography Other Surgical Services",,,2850.0,2850.0,1
RC,361,Exploration for undescended testis (inguinal or scrotal area) ,,,2050.0,10719.0,11
RC,361,Exploration for undescended testis (inguinal or scrotal area) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Exploration for undescended testis with abdominal exploration ,,,2050.0,8727.0,11
RC,361,Exploration for undescended testis with abdominal exploration Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Exploration of epididymis, with or without biopsy ",,,2050.0,8727.0,11
RC,361,"Exploration of epididymis, with or without biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exploration of orbit (transcranial approach), with removal of lesion ",,,2050.0,8577.0,8
RC,361,"Exploration of orbit (transcranial approach), with removal of lesion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exploration, repair, and presacral drainage for rectal injury; ",,,2050.0,8577.0,8
RC,361,"Exploration, repair, and presacral drainage for rectal injury; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,2050.0,8577.0,8
RC,361,"Exploration, repair, and presacral drainage for rectal injury; with colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,2050.0,10719.0,8
RC,361,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,2050.0,10719.0,11
RC,361,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,2050.0,53068.0,10
RC,361,"Exposure of prostate, any approach, for insertion of radioactive substance; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2050.0,53068.0,7
RC,361,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2050.0,53068.0,7
RC,361,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Expression of conjunctival follicles (eg, for trachoma) ",,,1423.0,6802.0,11
RC,361,"Expression of conjunctival follicles (eg, for trachoma) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,2050.0,8577.0,8
RC,361,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,2050.0,8577.0,9
RC,361,External cannula declotting (separate procedure); with balloon catheter ,,,2050.0,17341.0,6
RC,361,External cannula declotting (separate procedure); without balloon catheter ,,,2050.0,17341.0,6
RC,361,"External cephalic version, with or without tocolysis ",,,2050.0,8727.0,11
RC,361,"External cephalic version, with or without tocolysis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"External drainage, pseudocyst of pancreas, open ",,,2050.0,8577.0,8
RC,361,"External drainage, pseudocyst of pancreas, open Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2050.0,12863.0,9
RC,361,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2050.0,12863.0,9
RC,361,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,2050.0,8727.0,12
RC,361,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,2050.0,12863.0,30
RC,361,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,1982.0,6802.0,11
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,1423.0,6802.0,11
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,2050.0,6802.0,11
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,2050.0,8727.0,11
RC,361,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Other Surgical Services",,,2850.0,2850.0,1
RC,361,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,2820.0,5414.0,3
RC,361,FOOT PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,361,FOOT PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,361,FRACTURES OF FEMUR WITH MCC ,,,11000.0,11000.0,1
RC,361,FRACTURES OF FEMUR WITHOUT MCC ,,,11000.0,11000.0,1
RC,361,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11000.0,11000.0,1
RC,361,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,11000.0,11000.0,1
RC,361,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,8577.0,8577.0,1
RC,361,Fetal contraction stress test ,,,1423.0,6802.0,11
RC,361,Fetal contraction stress test Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,1423.0,6802.0,11
RC,361,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,2050.0,8577.0,8
RC,361,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,1423.0,6802.0,11
RC,361,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation Other Surgical Services",,,2850.0,2850.0,1
RC,361,Fetal non-stress test ,,,1423.0,6802.0,11
RC,361,Fetal non-stress test Other Surgical Services,,,2850.0,2850.0,1
RC,361,Fetal scalp blood sampling ,,,1423.0,6802.0,11
RC,361,Fetal scalp blood sampling Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Fetal shunt placement, including ultrasound guidance ",,,1423.0,6802.0,11
RC,361,"Fetal shunt placement, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,1423.0,6802.0,11
RC,361,"Fetal umbilical cord occlusion, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,Fimbrioplasty ,,,2050.0,10719.0,11
RC,361,Fimbrioplasty Other Surgical Services,,,2850.0,2850.0,1
RC,361,Fine needle aspiration of orbital contents ,,,2050.0,8727.0,11
RC,361,Fine needle aspiration of orbital contents Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Fissurectomy, including sphincterotomy, when performed ",,,2050.0,8727.0,11
RC,361,"Fissurectomy, including sphincterotomy, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,2050.0,8727.0,11
RC,361,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,2050.0,8727.0,11
RC,361,Fistulization of sclera for glaucoma; thermocauterization with iridectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,2050.0,8727.0,11
RC,361,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery Other Surgical Services,,,2850.0,2850.0,1
RC,361,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,2050.0,8727.0,11
RC,361,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,2050.0,8727.0,11
RC,361,Fistulization of sclera for glaucoma; trephination with iridectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Fitting and insertion of pessary or other intravaginal support device ,,,1423.0,6802.0,11
RC,361,Fitting and insertion of pessary or other intravaginal support device Other Surgical Services,,,2850.0,2850.0,1
RC,361,Fixation of contralateral testis (separate procedure) ,,,2050.0,8727.0,11
RC,361,Fixation of contralateral testis (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,5360.0,8727.0,3
RC,361,"Follicle puncture for oocyte retrieval, any method ",,,1982.0,6802.0,11
RC,361,"Follicle puncture for oocyte retrieval, any method Other Surgical Services",,,2850.0,2850.0,1
RC,361,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,1423.0,6802.0,11
RC,361,Foreskin manipulation including lysis of preputial adhesions and stretching Other Surgical Services,,,2850.0,2850.0,1
RC,361,Free jejunum transfer with microvascular anastomosis ,,,2050.0,8577.0,8
RC,361,Free jejunum transfer with microvascular anastomosis Other Surgical Services,,,2850.0,2850.0,1
RC,361,Free omental flap with microvascular anastomosis ,,,2050.0,8577.0,8
RC,361,Free omental flap with microvascular anastomosis Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,2050.0,13315.0,11
RC,361,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Frenulotomy of penis ,,,2050.0,8727.0,11
RC,361,Frenulotomy of penis Other Surgical Services,,,2850.0,2850.0,1
RC,361,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,11000.0,11000.0,1
RC,361,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,1423.0,6802.0,11
RC,361,"Gamete, zygote, or embryo intrafallopian transfer, any method Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,2050.0,8577.0,8
RC,361,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,2050.0,8577.0,8
RC,361,"Gastrectomy, partial, distal; with formation of intestinal pouch Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,2050.0,8577.0,8
RC,361,"Gastrectomy, partial, distal; with gastroduodenostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,2050.0,8577.0,8
RC,361,"Gastrectomy, partial, distal; with gastrojejunostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,2050.0,8577.0,8
RC,361,"Gastrectomy, total; with Roux-en-Y reconstruction Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastrectomy, total; with esophagoenterostomy ",,,2050.0,8577.0,8
RC,361,"Gastrectomy, total; with esophagoenterostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,2050.0,8577.0,8
RC,361,"Gastrectomy, total; with formation of intestinal pouch, any type Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,1423.0,6802.0,11
RC,361,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,1423.0,6802.0,12
RC,361,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,1423.0,6802.0,11
RC,361,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Gastric motility (manometric) studies ,,,1423.0,3251.0,4
RC,361,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,2050.0,36598.0,11
RC,361,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,2050.0,10719.0,11
RC,361,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,2050.0,6802.0,11
RC,361,"Gastric restrictive procedure, open; removal of subcutaneous port component only Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,2050.0,10719.0,11
RC,361,"Gastric restrictive procedure, open; revision of subcutaneous port component only Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,2050.0,15007.0,8
RC,361,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,2050.0,36598.0,10
RC,361,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,2050.0,36598.0,10
RC,361,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,2050.0,36598.0,10
RC,361,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,2050.0,36598.0,12
RC,361,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty Other Surgical Services",,,2850.0,2850.0,1
RC,361,Gastroduodenostomy ,,,2050.0,8577.0,8
RC,361,Gastroduodenostomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,2050.0,8577.0,9
RC,361,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,2050.0,8577.0,8
RC,361,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty Other Surgica",,,2850.0,2850.0,1
RC,361,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2820.0,5568.0,4
RC,361,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2820.0,5568.0,4
RC,361,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2820.0,5568.0,4
RC,361,"Gastrojejunostomy; with vagotomy, any type ",,,2050.0,8577.0,8
RC,361,"Gastrojejunostomy; with vagotomy, any type Other Surgical Services",,,2850.0,2850.0,1
RC,361,Gastrojejunostomy; without vagotomy ,,,2050.0,8577.0,8
RC,361,Gastrojejunostomy; without vagotomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,2050.0,10719.0,8
RC,361,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastrostomy, open; neonatal, for feeding ",,,2050.0,6802.0,11
RC,361,"Gastrostomy, open; neonatal, for feeding Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,2050.0,8577.0,8
RC,361,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,2050.0,8727.0,11
RC,361,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,2050.0,6802.0,11
RC,361,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Gastrotomy; with exploration or foreign body removal ,,,2050.0,8577.0,8
RC,361,Gastrotomy; with exploration or foreign body removal Other Surgical Services,,,2850.0,2850.0,1
RC,361,Gastrotomy; with suture repair of bleeding ulcer ,,,2050.0,8577.0,8
RC,361,Gastrotomy; with suture repair of bleeding ulcer Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,2050.0,8577.0,8
RC,361,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gingivectomy, excision gingiva, each quadrant ",,,2050.0,8727.0,11
RC,361,"Gingivectomy, excision gingiva, each quadrant Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Gingivoplasty, each quadrant (specify) ",,,2050.0,13315.0,11
RC,361,"Gingivoplasty, each quadrant (specify) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,2050.0,8577.0,8
RC,361,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,2050.0,8577.0,8
RC,361,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,2050.0,8577.0,8
RC,361,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,2050.0,8577.0,8
RC,361,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,2050.0,8577.0,8
RC,361,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,361,Glossectomy; hemiglossectomy ,,,2050.0,8577.0,8
RC,361,Glossectomy; hemiglossectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Glossectomy; less than one-half tongue ,,,2050.0,13315.0,11
RC,361,Glossectomy; less than one-half tongue Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Glossectomy; partial, with unilateral radical neck dissection ",,,2050.0,7493.0,8
RC,361,"Glossectomy; partial, with unilateral radical neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,361,Goniotomy ,,,2050.0,8727.0,11
RC,361,Goniotomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,2050.0,8727.0,11
RC,361,Graft (Thiersch operation) for rectal incontinence and/or prolapse Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,361,"Guided tissue regeneration - resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,361,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,8577.0,8577.0,1
RC,361,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,8577.0,8577.0,1
RC,361,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,11000.0,11000.0,1
RC,361,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,361,HFenestration semicircular canal ,,,10737.0,13315.0,3
RC,361,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,11000.0,11000.0,1
RC,361,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,11000.0,11000.0,1
RC,361,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,361,HIntroduction of needle or intracatheter; retrograde brachial artery ,,,1423.0,3251.0,3
RC,361,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,5360.0,8727.0,3
RC,361,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,10737.0,72171.0,4
RC,361,HRevision fenestration operation ,,,10737.0,13315.0,3
RC,361,HTherapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion ,,,7583.0,9539.0,3
RC,361,"Harvesting conjunctival allograft, living donor ",,,2050.0,8727.0,11
RC,361,"Harvesting conjunctival allograft, living donor Other Surgical Services",,,2850.0,2850.0,1
RC,361,Hematopoietic progenitor cell (HPC); HPC boost ,,,2050.0,6802.0,11
RC,361,Hematopoietic progenitor cell (HPC); HPC boost Other Surgical Services,,,2850.0,2850.0,1
RC,361,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,2050.0,12863.0,11
RC,361,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Other Surgical Services,,,2850.0,2850.0,1
RC,361,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,2050.0,9539.0,11
RC,361,Hematopoietic progenitor cell (HPC); autologous transplantation Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,2050.0,8727.0,11
RC,361,"Hemorrhoidectomy, external, 2 or more columns/groups Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,2050.0,8727.0,11
RC,361,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,2050.0,8727.0,11
RC,361,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,2050.0,8727.0,11
RC,361,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hemorrhoidectomy, internal and external, single column/group; ",,,2050.0,8727.0,11
RC,361,"Hemorrhoidectomy, internal and external, single column/group; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,2050.0,8727.0,11
RC,361,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,2050.0,8727.0,11
RC,361,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,2050.0,8727.0,11
RC,361,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,2050.0,8727.0,11
RC,361,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,1982.0,6802.0,11
RC,361,"Hemorrhoidectomy, internal, by rubber band ligation(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,2050.0,7493.0,8
RC,361,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,2050.0,10719.0,11
RC,361,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hepatectomy, resection of liver; partial lobectomy ",,,2050.0,8577.0,8
RC,361,"Hepatectomy, resection of liver; partial lobectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hepatectomy, resection of liver; total left lobectomy ",,,2050.0,8577.0,8
RC,361,"Hepatectomy, resection of liver; total left lobectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hepatectomy, resection of liver; total right lobectomy ",,,2050.0,8577.0,8
RC,361,"Hepatectomy, resection of liver; total right lobectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hepatectomy, resection of liver; trisegmentectomy ",,,2050.0,8577.0,8
RC,361,"Hepatectomy, resection of liver; trisegmentectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,2050.0,8577.0,8
RC,361,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,2050.0,8577.0,8
RC,361,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hymenotomy, simple incision ",,,2050.0,8727.0,11
RC,361,"Hymenotomy, simple incision Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,2050.0,8577.0,8
RC,361,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,2050.0,8577.0,8
RC,361,"Hysteroplasty, repair of uterine anomaly (Strassman type) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Hysterorrhaphy of ruptured uterus ,,,2050.0,6802.0,7
RC,361,Hysterorrhaphy of ruptured uterus Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,2050.0,8577.0,8
RC,361,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Hysteroscopy, diagnostic (separate procedure) ",,,2350.0,13830.0,12
RC,361,"Hysteroscopy, diagnostic (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,2350.0,13830.0,12
RC,361,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Complex Surgery",,,11754.0,11754.0,2
RC,361,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,2350.0,13830.0,12
RC,361,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,2350.0,13830.0,12
RC,361,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,2350.0,13830.0,12
RC,361,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,2350.0,13830.0,12
RC,361,"Hysteroscopy, surgical; with removal of impacted foreign body Complex Surgery",,,11754.0,11754.0,2
RC,361,"Hysteroscopy, surgical; with removal of leiomyomata ",,,2350.0,13830.0,12
RC,361,"Hysteroscopy, surgical; with removal of leiomyomata Complex Surgery",,,11754.0,11754.0,2
RC,361,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,2350.0,13830.0,13
RC,361,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Complex Surgery",,,11754.0,11754.0,2
RC,361,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,2050.0,8727.0,11
RC,361,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) Other Surgical Services",,,2850.0,2850.0,1
RC,361,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,1423.0,3251.0,3
RC,361,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,3
RC,361,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,1423.0,3251.0,3
RC,361,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,361,INJECT SPINE CERV/THORACIC ,,,1982.0,3689.0,3
RC,361,INJECT SPINE LUMBAR/SACRAL ,,,1982.0,3689.0,3
RC,361,INJECT SPINE W/CATH CRV/THRC ,,,1982.0,3689.0,3
RC,361,INJECT SPINE W/CATH LMB/SCRL ,,,1982.0,3689.0,3
RC,361,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,361,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1982.0,3689.0,3
RC,361,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,1423.0,3251.0,3
RC,361,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1423.0,3251.0,3
RC,361,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,5360.0,8727.0,3
RC,361,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2050.0,6802.0,11
RC,361,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,361,"Ileoscopy, through stoma; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,361,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,2050.0,6802.0,11
RC,361,"Ileoscopy, through stoma; with transendoscopic balloon dilation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ileostomy or jejunostomy, non-tube ",,,2050.0,8577.0,8
RC,361,"Ileostomy or jejunostomy, non-tube Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,2050.0,6802.0,11
RC,361,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,2050.0,6802.0,11
RC,361,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,2050.0,6802.0,11
RC,361,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,10737.0,13315.0,4
RC,361,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,7583.0,10719.0,4
RC,361,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,2050.0,8577.0,8
RC,361,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic Other Surgical Services",,,2850.0,2850.0,1
RC,361,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,2050.0,8577.0,8
RC,361,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Implantation of intrastromal corneal ring segments ,,,2050.0,13315.0,11
RC,361,Implantation of intrastromal corneal ring segments Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,2350.0,13315.0,8
RC,361,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,2050.0,12863.0,8
RC,361,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,19295.0,19295.0,1
RC,361,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,1423.0,6802.0,11
RC,361,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,2350.0,23350.0,8
RC,361,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,2350.0,23350.0,9
RC,361,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,2350.0,23350.0,8
RC,361,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,2050.0,13315.0,11
RC,361,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,2050.0,8577.0,8
RC,361,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2050.0,15007.0,9
RC,361,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2050.0,15007.0,9
RC,361,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2050.0,19295.0,11
RC,361,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,2050.0,15007.0,12
RC,361,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,2050.0,13315.0,12
RC,361,Incision and drainage abscess; peritonsillar ,,,1423.0,6802.0,11
RC,361,Incision and drainage abscess; peritonsillar Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,2050.0,13315.0,11
RC,361,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,2050.0,6802.0,11
RC,361,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,Incision and drainage of Bartholin's gland abscess ,,,1423.0,6802.0,11
RC,361,Incision and drainage of Bartholin's gland abscess Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Incision and drainage of appendiceal abscess, open ",,,2050.0,8577.0,8
RC,361,"Incision and drainage of appendiceal abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,2050.0,6802.0,11
RC,361,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,2050.0,8727.0,11
RC,361,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,2050.0,8727.0,11
RC,361,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,361,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,2050.0,6802.0,11
RC,361,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,2050.0,6802.0,11
RC,361,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Incision and drainage of penis, deep ",,,2050.0,8727.0,11
RC,361,"Incision and drainage of penis, deep Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Incision and drainage of submucosal abscess, rectum ",,,2050.0,6802.0,11
RC,361,"Incision and drainage of submucosal abscess, rectum Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Incision and drainage of thyroglossal duct cyst, infected ",,,1982.0,6802.0,11
RC,361,"Incision and drainage of thyroglossal duct cyst, infected Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,2050.0,8727.0,11
RC,361,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,2050.0,6802.0,11
RC,361,Incision and drainage of vaginal hematoma; obstetrical/postpartum Other Surgical Services,,,2850.0,2850.0,1
RC,361,Incision and drainage of vulva or perineal abscess ,,,1423.0,6802.0,10
RC,361,Incision and drainage of vulva or perineal abscess Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Incision and drainage, perianal abscess, superficial ",,,1982.0,6802.0,11
RC,361,"Incision and drainage, perianal abscess, superficial Other Surgical Services",,,2850.0,2850.0,1
RC,361,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,2050.0,8577.0,8
RC,361,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,2050.0,8577.0,8
RC,361,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Incision of conjunctiva, drainage of cyst ",,,1982.0,6802.0,11
RC,361,"Incision of conjunctiva, drainage of cyst Other Surgical Services",,,2850.0,2850.0,1
RC,361,Incision of labial frenum (frenotomy) ,,,1423.0,6802.0,11
RC,361,Incision of labial frenum (frenotomy) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Incision of lingual frenum (frenotomy) ,,,1982.0,6802.0,11
RC,361,Incision of lingual frenum (frenotomy) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Incision of thrombosed hemorrhoid, external ",,,1423.0,6802.0,11
RC,361,"Incision of thrombosed hemorrhoid, external Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Incision, anal septum (infant) ",,,2050.0,6802.0,11
RC,361,"Incision, anal septum (infant) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Incision, drainage of lacrimal gland ",,,1982.0,6802.0,11
RC,361,"Incision, drainage of lacrimal gland Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,1982.0,6802.0,11
RC,361,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Incisional biopsy of eyelid skin including lid margin ,,,1423.0,6802.0,11
RC,361,Incisional biopsy of eyelid skin including lid margin Other Surgical Services,,,2850.0,2850.0,1
RC,361,Indexing for osteotomy ,,,8577.0,8577.0,1
RC,361,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,2050.0,8577.0,8
RC,361,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,2050.0,8577.0,9
RC,361,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,2050.0,8577.0,9
RC,361,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,2050.0,8577.0,8
RC,361,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; O",,,2850.0,2850.0,1
RC,361,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,2050.0,8577.0,18
RC,361,"Induced abortion, by dilation and curettage ",,,2050.0,8727.0,11
RC,361,"Induced abortion, by dilation and curettage Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Induced abortion, by dilation and evacuation ",,,2050.0,8727.0,11
RC,361,"Induced abortion, by dilation and evacuation Other Surgical Services",,,2850.0,2850.0,1
RC,361,Induction of arrhythmia by electrical pacing ,,,6826.0,19105.0,4
RC,361,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,2050.0,8577.0,9
RC,361,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,2050.0,8577.0,9
RC,361,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,2050.0,8727.0,11
RC,361,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,2050.0,83613.0,9
RC,361,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1423.0,3251.0,4
RC,361,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,1423.0,6802.0,11
RC,361,Injection of air or contrast into peritoneal cavity (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Injection of contrast medium for dacryocystography ,,,1423.0,6802.0,11
RC,361,Injection of contrast medium for dacryocystography Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,1423.0,6802.0,11
RC,361,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Injection of medication or other substance into Tenon's capsule ,,,1423.0,6802.0,11
RC,361,Injection of medication or other substance into Tenon's capsule Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal v",,,2050.0,6802.0,9
RC,361,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity t",,,2050.0,6802.0,9
RC,361,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg ",,,1423.0,6802.0,11
RC,361,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg Other Surgical Services",,,2850.0,2850.0,1
RC,361,Injection of sclerosant; single incompetent vein (other than telangiectasia) ,,,1423.0,6802.0,11
RC,361,Injection of sclerosant; single incompetent vein (other than telangiectasia) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Injection of sclerosing solution, hemorrhoids ",,,1982.0,6802.0,11
RC,361,"Injection of sclerosing solution, hemorrhoids Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,2350.0,8727.0,8
RC,361,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,1423.0,6802.0,11
RC,361,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt Other Surgical Services",,,2850.0,2850.0,1
RC,361,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,1423.0,6802.0,11
RC,361,Injection procedure and placement of chain for contrast and/or chain urethrocystography Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1423.0,12038.0,8
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1423.0,12038.0,8
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1423.0,12038.0,8
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1423.0,12038.0,8
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,2143.0,2143.0,1
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,2143.0,2143.0,1
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,2143.0,2143.0,1
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,2143.0,2143.0,1
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1423.0,12038.0,8
RC,361,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1423.0,12038.0,8
RC,361,Injection procedure for Peyronie disease; ,,,1423.0,6802.0,11
RC,361,Injection procedure for Peyronie disease; Other Surgical Services,,,2850.0,2850.0,1
RC,361,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,2050.0,10719.0,11
RC,361,Injection procedure for Peyronie disease; with surgical exposure of plaque Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1982.0,6802.0,24
RC,361,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,2050.0,8727.0,11
RC,361,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,1423.0,10719.0,24
RC,361,Injection procedure for corpora cavernosography ,,,1423.0,6802.0,11
RC,361,Injection procedure for corpora cavernosography Other Surgical Services,,,2850.0,2850.0,1
RC,361,Injection procedure for cystography or voiding urethrocystography ,,,1423.0,6802.0,11
RC,361,Injection procedure for cystography or voiding urethrocystography Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Injection procedure for discography, each level; cervical or thoracic ",,,1423.0,6802.0,11
RC,361,"Injection procedure for discography, each level; cervical or thoracic Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection procedure for discography, each level; lumbar ",,,1423.0,6802.0,11
RC,361,"Injection procedure for discography, each level; lumbar Other Surgical Services",,,2850.0,2850.0,1
RC,361,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,2050.0,8577.0,8
RC,361,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Injection procedure for myelography and/or computed tomography, lumbar ",,,1423.0,6802.0,11
RC,361,"Injection procedure for myelography and/or computed tomography, lumbar Other Surgical Services",,,2850.0,2850.0,1
RC,361,Injection procedure for retrograde urethrocystography ,,,1423.0,6802.0,11
RC,361,Injection procedure for retrograde urethrocystography Other Surgical Services,,,2850.0,2850.0,1
RC,361,Injection procedure for sacroiliac joint; arthrography ,,,1423.0,3251.0,4
RC,361,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1982.0,4009.0,4
RC,361,Injection procedure for sialography ,,,1423.0,6802.0,11
RC,361,Injection procedure for sialography Other Surgical Services,,,2850.0,2850.0,1
RC,361,Injection procedure for splenoportography ,,,1423.0,6802.0,11
RC,361,Injection procedure for splenoportography Other Surgical Services,,,2850.0,2850.0,1
RC,361,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,11
RC,361,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,1423.0,6802.0,11
RC,361,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1982.0,6802.0,11
RC,361,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal Other Surgical Services",,,2850.0,2850.0,1
RC,361,Injection procedure; lymphangiography ,,,1423.0,6802.0,11
RC,361,Injection procedure; lymphangiography Other Surgical Services,,,2850.0,2850.0,1
RC,361,Injection procedure; radioactive tracer for identification of sentinel node ,,,1423.0,6802.0,11
RC,361,Injection procedure; radioactive tracer for identification of sentinel node Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk ",,,1423.0,6802.0,11
RC,361,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,2050.0,8727.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2050.0,6802.0,8
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,1423.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,1423.0,6802.0,12
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,1423.0,6802.0,12
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,1982.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,1423.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,1423.0,6802.0,11
RC,361,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,1423.0,6802.0,12
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,1982.0,6802.0,12
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,1423.0,6802.0,12
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,1423.0,6802.0,12
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,1982.0,6802.0,11
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level Othe",,,2850.0,2850.0,1
RC,361,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,1423.0,6802.0,12
RC,361,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1982.0,6802.0,48
RC,361,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1982.0,6802.0,48
RC,361,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,1982.0,6802.0,11
RC,361,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,1982.0,6802.0,11
RC,361,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection, anesthetic agent; sphenopalatine ganglion ",,,1423.0,6802.0,11
RC,361,"Injection, anesthetic agent; sphenopalatine ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,1982.0,6802.0,11
RC,361,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection, anesthetic agent; superior hypogastric plexus ",,,1982.0,6802.0,11
RC,361,"Injection, anesthetic agent; superior hypogastric plexus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,2050.0,6802.0,11
RC,361,"Injection, anterior chamber of eye (separate procedure); air or liquid Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection, anterior chamber of eye (separate procedure); medication ",,,2050.0,6802.0,11
RC,361,"Injection, anterior chamber of eye (separate procedure); medication Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection, epidural, of blood or clot patch ",,,1982.0,6802.0,11
RC,361,"Injection, epidural, of blood or clot patch Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,2050.0,8727.0,11
RC,361,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,2050.0,8727.0,11
RC,361,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,1982.0,6802.0,11
RC,361,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,4009.0,8727.0,4
RC,361,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,361,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,361,Insertion of Heyman capsules for clinical brachytherapy ,,,2350.0,8727.0,9
RC,361,Insertion of Thomas shunt (separate procedure) ,,,2050.0,17341.0,7
RC,361,Insertion of Thomas shunt (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,1982.0,6802.0,11
RC,361,"Insertion of a temporary prostatic urethral stent, including urethral measurement Other Surgical Services",,,2850.0,2850.0,1
RC,361,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,1423.0,6802.0,11
RC,361,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,2050.0,13315.0,10
RC,361,"Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) ",,,2050.0,17341.0,8
RC,361,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,2050.0,17341.0,7
RC,361,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,2050.0,17341.0,7
RC,361,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,2050.0,17341.0,7
RC,361,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2050.0,6802.0,11
RC,361,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,19295.0,19295.0,1
RC,361,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,1423.0,6802.0,11
RC,361,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,2050.0,7493.0,8
RC,361,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2050.0,6802.0,11
RC,361,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2050.0,6802.0,11
RC,361,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) ",,,2050.0,23350.0,11
RC,361,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Insertion of implants into the soft palate; minimum of three implants ,,,1982.0,5568.0,4
RC,361,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,2050.0,16982.0,15
RC,361,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Complex Surgery",,,11754.0,11754.0,2
RC,361,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,2050.0,8727.0,11
RC,361,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Other Surgical Services",,,2850.0,2850.0,1
RC,361,Insertion of intrauterine device (IUD) ,,,1423.0,6802.0,9
RC,361,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,2050.0,15007.0,12
RC,361,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,9
RC,361,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,2350.0,36087.0,8
RC,361,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,8577.0,8577.0,1
RC,361,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,8577.0,8577.0,1
RC,361,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,8577.0,8577.0,1
RC,361,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,2143.0,2143.0,1
RC,361,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,1423.0,6802.0,11
RC,361,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older ,,,2050.0,17341.0,8
RC,361,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older Other Surgical Services,,,2850.0,2850.0,1
RC,361,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age ,,,2050.0,17341.0,8
RC,361,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,2050.0,10719.0,11
RC,361,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,2050.0,10719.0,11
RC,361,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,2050.0,10719.0,11
RC,361,"Insertion of ocular implant secondary; after evisceration, in scleral shell Other Surgical Services",,,2850.0,2850.0,1
RC,361,Insertion of penile prosthesis; inflatable (self-contained) ,,,2350.0,36087.0,8
RC,361,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,2350.0,36087.0,8
RC,361,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,2050.0,23692.0,12
RC,361,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,2050.0,17341.0,8
RC,361,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,2050.0,17341.0,18
RC,361,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older ",,,2050.0,23692.0,12
RC,361,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age ",,,2050.0,17341.0,8
RC,361,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age Other Surgical Services",,,2850.0,2850.0,1
RC,361,Insertion of peritoneal-venous shunt ,,,2050.0,6802.0,11
RC,361,Insertion of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,1
RC,361,Insertion of pin-retained palatal prosthesis ,,,2050.0,6802.0,11
RC,361,Insertion of pin-retained palatal prosthesis Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,10719.0,10719.0,1
RC,361,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,2050.0,8577.0,9
RC,361,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,2050.0,6802.0,11
RC,361,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,2050.0,23350.0,11
RC,361,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Other Surgical Services",,,2850.0,2850.0,1
RC,361,Insertion of tandem cuff (dual cuff) ,,,2050.0,16982.0,15
RC,361,Insertion of tandem cuff (dual cuff) Complex Surgery,,,11754.0,11754.0,2
RC,361,Insertion of tandem cuff (dual cuff) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,1423.0,6802.0,11
RC,361,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,1423.0,6802.0,11
RC,361,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Insertion of testicular prosthesis (separate procedure) ,,,2050.0,8727.0,11
RC,361,Insertion of testicular prosthesis (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,2050.0,8577.0,9
RC,361,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,2050.0,19295.0,9
RC,361,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump ,,,2050.0,23692.0,12
RC,361,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) ",,,2050.0,17341.0,8
RC,361,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) ",,,2050.0,17341.0,8
RC,361,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) Other Surgi",,,2850.0,2850.0,1
RC,361,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,2050.0,23692.0,12
RC,361,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,2050.0,17341.0,8
RC,361,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older ",,,2050.0,23692.0,12
RC,361,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age ",,,2050.0,17341.0,8
RC,361,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,2050.0,10719.0,12
RC,361,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,2050.0,10719.0,11
RC,361,"Insertion of tunneled intraperitoneal catheter for dialysis, open Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,2050.0,15007.0,11
RC,361,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1982.0,53068.0,11
RC,361,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,8577.0,57784.0,11
RC,361,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,2050.0,72171.0,15
RC,361,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Complex Surgery",,,11754.0,11754.0,2
RC,361,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,2050.0,72171.0,15
RC,361,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Complex Surgery",,,11754.0,11754.0,2
RC,361,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,2050.0,6802.0,9
RC,361,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,2050.0,19295.0,8
RC,361,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,2350.0,72171.0,15
RC,361,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,2350.0,72171.0,12
RC,361,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver Complex Surgery",,,11754.0,11754.0,2
RC,361,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,5568.0,5568.0,1
RC,361,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,1423.0,6802.0,11
RC,361,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,2050.0,8577.0,8
RC,361,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y Other Surgical Services,,,2850.0,2850.0,1
RC,361,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,2050.0,8577.0,8
RC,361,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,1423.0,6802.0,11
RC,361,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1423.0,3251.0,4
RC,361,Intersex surgery; female to male ,,,2050.0,6802.0,7
RC,361,Intersex surgery; female to male Other Surgical Services,,,2850.0,2850.0,1
RC,361,Intersex surgery; male to female ,,,2050.0,6802.0,7
RC,361,Intersex surgery; male to female Other Surgical Services,,,2850.0,2850.0,1
RC,361,Intestinal allotransplantation; from cadaver donor ,,,2050.0,8577.0,8
RC,361,Intestinal allotransplantation; from cadaver donor Other Surgical Services,,,2850.0,2850.0,1
RC,361,Intestinal allotransplantation; from living donor ,,,2050.0,8577.0,8
RC,361,Intestinal allotransplantation; from living donor Other Surgical Services,,,2850.0,2850.0,1
RC,361,Intestinal plication (separate procedure) ,,,2050.0,8577.0,8
RC,361,Intestinal plication (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,2050.0,8577.0,8
RC,361,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction Other Surgical Services",,,2850.0,2850.0,1
RC,361,Intra-atrial pacing ,,,6826.0,19105.0,4
RC,361,Intra-atrial recording ,,,6826.0,19105.0,4
RC,361,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,19105.0,4
RC,361,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,2050.0,8727.0,11
RC,361,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,1575.0,17341.0,6
RC,361,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,8
RC,361,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1423.0,17341.0,7
RC,361,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,361,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,361,Intraoperative colonic lavage (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,2143.0,2143.0,1
RC,361,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,2143.0,2143.0,1
RC,361,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) Other Surgic",,,2850.0,2850.0,1
RC,361,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,2143.0,2143.0,1
RC,361,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,2143.0,2143.0,1
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,1982.0,6802.0,11
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,1423.0,6802.0,11
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,2050.0,8727.0,11
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,1423.0,6802.0,11
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,2050.0,6802.0,11
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,2050.0,8727.0,11
RC,361,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1423.0,3251.0,8
RC,361,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,2143.0,6802.0,7
RC,361,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,2143.0,6802.0,7
RC,361,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,1423.0,6802.0,9
RC,361,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,1423.0,6802.0,9
RC,361,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,19105.0,4
RC,361,Intraventricular pacing ,,,6826.0,19105.0,4
RC,361,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,1423.0,6802.0,8
RC,361,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,1423.0,6802.0,11
RC,361,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Introduction of catheter, aorta ",,,1423.0,6802.0,9
RC,361,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,1982.0,6802.0,11
RC,361,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Introduction of needle or intracatheter, aortic, translumbar ",,,1423.0,6802.0,11
RC,361,"Introduction of needle or intracatheter, aortic, translumbar Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Introduction of needle or intracatheter, carotid or vertebral artery ",,,1423.0,6802.0,11
RC,361,"Introduction of needle or intracatheter, carotid or vertebral artery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Introduction of needle or intracatheter, upper or lower extremity artery ",,,1423.0,6802.0,9
RC,361,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,1982.0,23692.0,42
RC,361,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,2050.0,8727.0,11
RC,361,"Iridectomy, with corneoscleral or corneal section; for removal of lesion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,2050.0,8727.0,11
RC,361,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,2050.0,6802.0,11
RC,361,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,2050.0,6802.0,11
RC,361,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,2050.0,13315.0,11
RC,361,"Iridectomy, with corneoscleral or corneal section; with cyclectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,1982.0,6802.0,11
RC,361,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Iridotomy by stab incision (separate procedure); except transfixion ,,,1423.0,6802.0,11
RC,361,Iridotomy by stab incision (separate procedure); except transfixion Other Surgical Services,,,2850.0,2850.0,1
RC,361,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,2050.0,6802.0,11
RC,361,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,1982.0,6802.0,11
RC,361,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Irrigation of corpora cavernosa for priapism ,,,1423.0,6802.0,11
RC,361,Irrigation of corpora cavernosa for priapism Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,1423.0,6802.0,11
RC,361,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease Other Surgical Services",,,2850.0,2850.0,1
RC,361,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,11000.0,11000.0,1
RC,361,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,11000.0,11000.0,1
RC,361,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,11000.0,11000.0,1
RC,361,Keratomileusis ,,,2050.0,8727.0,11
RC,361,Keratomileusis Other Surgical Services,,,2850.0,2850.0,1
RC,361,Keratophakia ,,,2050.0,7493.0,10
RC,361,Keratophakia Other Surgical Services,,,2850.0,2850.0,1
RC,361,Keratoplasty (corneal transplant); anterior lamellar ,,,2050.0,13315.0,11
RC,361,Keratoplasty (corneal transplant); anterior lamellar Other Surgical Services,,,2850.0,2850.0,1
RC,361,Keratoplasty (corneal transplant); endothelial ,,,2050.0,13315.0,11
RC,361,Keratoplasty (corneal transplant); endothelial Other Surgical Services,,,2850.0,2850.0,1
RC,361,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,2050.0,13315.0,11
RC,361,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,2050.0,13315.0,11
RC,361,Keratoplasty (corneal transplant); penetrating (in aphakia) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,2050.0,13315.0,11
RC,361,Keratoplasty (corneal transplant); penetrating (in pseudophakia) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Keratoprosthesis ,,,2050.0,15007.0,11
RC,361,Keratoprosthesis Other Surgical Services,,,2850.0,2850.0,1
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,361,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,361,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,11000.0,11000.0,3
RC,361,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,11000.0,11000.0,1
RC,361,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11000.0,11000.0,1
RC,361,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,11000.0,11000.0,1
RC,361,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,361,Labyrinthectomy; transcanal ,,,2050.0,13315.0,11
RC,361,Labyrinthectomy; transcanal Other Surgical Services,,,2850.0,2850.0,1
RC,361,Labyrinthectomy; with mastoidectomy ,,,2050.0,13315.0,11
RC,361,Labyrinthectomy; with mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,2050.0,6802.0,11
RC,361,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,2350.0,19295.0,9
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,2350.0,8577.0,6
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,2350.0,19295.0,9
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,2350.0,8577.0,6
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,2350.0,8577.0,6
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,2350.0,8577.0,6
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,2350.0,19295.0,9
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,2350.0,8577.0,6
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,2350.0,8577.0,6
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,2350.0,8577.0,6
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,2350.0,19295.0,9
RC,361,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,2350.0,8577.0,6
RC,361,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,2350.0,8577.0,6
RC,361,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,2350.0,19295.0,9
RC,361,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,2350.0,8577.0,6
RC,361,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,2350.0,8577.0,6
RC,361,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,2350.0,15007.0,6
RC,361,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,2350.0,8727.0,9
RC,361,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,2350.0,15007.0,6
RC,361,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,2350.0,15007.0,6
RC,361,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,2350.0,8577.0,6
RC,361,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,2350.0,8577.0,6
RC,361,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,2350.0,19295.0,9
RC,361,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,2350.0,72171.0,12
RC,361,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,2350.0,8577.0,6
RC,361,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,2350.0,8577.0,6
RC,361,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,2350.0,8577.0,6
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,2350.0,15007.0,8
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,2350.0,15007.0,8
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,2350.0,15007.0,8
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,2350.0,15007.0,8
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,2350.0,15007.0,8
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,2350.0,15007.0,8
RC,361,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,2350.0,15007.0,8
RC,361,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,2350.0,8577.0,6
RC,361,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,2350.0,15007.0,8
RC,361,Laminectomy with rhizotomy; 1 or 2 segments ,,,2350.0,19295.0,9
RC,361,Laminectomy with rhizotomy; more than 2 segments ,,,2350.0,19295.0,9
RC,361,Laminectomy with section of spinal accessory nerve ,,,2350.0,19295.0,9
RC,361,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1423.0,15007.0,32
RC,361,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,2143.0,6802.0,10
RC,361,"Laminectomy, with release of tethered spinal cord, lumbar ",,,2350.0,19295.0,9
RC,361,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,2350.0,8577.0,5
RC,361,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,2350.0,8577.0,5
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,15007.0,15007.0,1
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,2350.0,15007.0,8
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,2350.0,10719.0,16
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,2350.0,15007.0,8
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,2350.0,15007.0,8
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,2350.0,15007.0,12
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1423.0,6802.0,8
RC,361,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,2350.0,8577.0,5
RC,361,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,2350.0,15007.0,12
RC,361,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,361,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,2350.0,15007.0,12
RC,361,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,361,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,2050.0,13830.0,14
RC,361,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2050.0,19295.0,7
RC,361,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,2050.0,15007.0,9
RC,361,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,2050.0,15007.0,8
RC,361,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) Other Surgic",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2050.0,15007.0,9
RC,361,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,2050.0,19295.0,15
RC,361,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,2050.0,19295.0,15
RC,361,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical, appendectomy ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical, appendectomy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,2050.0,8577.0,7
RC,361,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,2050.0,8577.0,7
RC,361,"Laparoscopy, surgical, colostomy or skin level cecostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,2050.0,15007.0,11
RC,361,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,2050.0,15007.0,10
RC,361,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,2350.0,13830.0,9
RC,361,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,2350.0,15007.0,9
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,2050.0,15007.0,11
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,2050.0,36598.0,10
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,2050.0,31841.0,10
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,2050.0,31841.0,10
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,2050.0,31841.0,10
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,2050.0,31841.0,10
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,2050.0,36598.0,10
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,2050.0,36598.0,10
RC,361,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,2050.0,8577.0,7
RC,361,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,2350.0,13830.0,12
RC,361,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical, splenectomy ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical, splenectomy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,2050.0,18956.0,7
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2050.0,18956.0,7
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2050.0,18956.0,7
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2050.0,18956.0,7
RC,361,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,2350.0,18956.0,5
RC,361,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,2350.0,13315.0,8
RC,361,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,2350.0,15007.0,8
RC,361,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,2350.0,18956.0,5
RC,361,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,2350.0,18956.0,9
RC,361,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2350.0,18956.0,9
RC,361,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,2350.0,18956.0,9
RC,361,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2350.0,18956.0,9
RC,361,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,2350.0,18956.0,9
RC,361,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2350.0,18956.0,9
RC,361,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,2350.0,18956.0,9
RC,361,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2350.0,18956.0,9
RC,361,"Laparoscopy, surgical; ablation of renal cysts ",,,2350.0,13830.0,12
RC,361,"Laparoscopy, surgical; ablation of renal cysts Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,2350.0,19295.0,12
RC,361,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; cholecystectomy ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; cholecystoenterostomy ",,,2350.0,11556.0,9
RC,361,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,2350.0,13315.0,8
RC,361,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,2350.0,8577.0,5
RC,361,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,2350.0,8577.0,5
RC,361,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,2350.0,8577.0,5
RC,361,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,2350.0,8577.0,5
RC,361,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,2050.0,8577.0,8
RC,361,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,2050.0,8577.0,7
RC,361,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,2350.0,8577.0,5
RC,361,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,2350.0,13830.0,9
RC,361,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,2350.0,13315.0,8
RC,361,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,2350.0,13315.0,8
RC,361,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,2050.0,8577.0,7
RC,361,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,2050.0,19295.0,11
RC,361,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,2050.0,15007.0,10
RC,361,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,2350.0,13830.0,9
RC,361,"Laparoscopy, surgical; nephrectomy with total ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,2350.0,13830.0,9
RC,361,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; orchiectomy ",,,2350.0,15007.0,8
RC,361,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,2350.0,15007.0,8
RC,361,"Laparoscopy, surgical; partial nephrectomy ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; partial nephrectomy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,2050.0,8577.0,9
RC,361,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,2050.0,8577.0,8
RC,361,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,2050.0,10719.0,8
RC,361,"Laparoscopy, surgical; proctopexy (for prolapse) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,2050.0,8577.0,8
RC,361,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; pyeloplasty ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; pyeloplasty Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,2350.0,13830.0,9
RC,361,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; repair initial inguinal hernia ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; repair initial inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; repair recurrent inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,2050.0,13315.0,11
RC,361,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,2350.0,16982.0,12
RC,361,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; transection of vagus nerves, truncal Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; ureterolithotomy ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; ureterolithotomy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,2350.0,15007.0,8
RC,361,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,2050.0,13830.0,14
RC,361,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,2350.0,15007.0,11
RC,361,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,2050.0,13830.0,14
RC,361,"Laparoscopy, surgical; with biopsy (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with biopsy (single or multiple) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,2050.0,13830.0,14
RC,361,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; with fimbrioplasty ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; with fimbrioplasty Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,2050.0,13830.0,14
RC,361,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1423.0,13830.0,14
RC,361,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1423.0,13830.0,17
RC,361,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,2050.0,13830.0,14
RC,361,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,2350.0,15007.0,12
RC,361,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2050.0,15007.0,12
RC,361,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,2050.0,6802.0,11
RC,361,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2820.0,5414.0,3
RC,361,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,10737.0,13315.0,3
RC,361,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,2350.0,13315.0,8
RC,361,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,2050.0,8577.0,9
RC,361,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,2050.0,8577.0,8
RC,361,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion Other Surgica",,,2850.0,2850.0,1
RC,361,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,2350.0,13315.0,8
RC,361,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,13374.0,13374.0,1
RC,361,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,361,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,361,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,12863.0,12863.0,1
RC,361,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,361,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,361,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,361,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,361,"Lengthening of palate, and pharyngeal flap ",,,2050.0,13315.0,11
RC,361,"Lengthening of palate, and pharyngeal flap Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Lengthening of palate, with island flap ",,,2050.0,13315.0,11
RC,361,"Lengthening of palate, with island flap Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,2350.0,10719.0,8
RC,361,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,2350.0,10719.0,8
RC,361,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,2050.0,9539.0,10
RC,361,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ligation of common iliac vein ,,,2160.0,8577.0,7
RC,361,Ligation of common iliac vein Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ligation of femoral vein ,,,2160.0,10719.0,10
RC,361,Ligation of femoral vein Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ligation of inferior vena cava ,,,2160.0,15007.0,10
RC,361,Ligation of inferior vena cava Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,2050.0,9539.0,10
RC,361,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,2350.0,10719.0,8
RC,361,Ligation of peritoneal-venous shunt ,,,2050.0,6802.0,11
RC,361,Ligation of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ligation or banding of angioaccess arteriovenous fistula ,,,2160.0,10719.0,10
RC,361,Ligation or banding of angioaccess arteriovenous fistula Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Ligation or biopsy, temporal artery ",,,2160.0,6802.0,10
RC,361,"Ligation or biopsy, temporal artery Other Surgical Services",,,2850.0,2850.0,1
RC,361,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,2050.0,8577.0,8
RC,361,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,2050.0,8577.0,9
RC,361,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,2050.0,6802.0,11
RC,361,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,2050.0,8727.0,11
RC,361,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ligation salivary duct, intraoral ",,,2050.0,8727.0,11
RC,361,"Ligation salivary duct, intraoral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ligation, direct, esophageal varices ",,,2050.0,15007.0,11
RC,361,"Ligation, direct, esophageal varices Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,2350.0,10719.0,8
RC,361,"Ligation, division, and stripping, short saphenous vein ",,,2350.0,10719.0,8
RC,361,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,2050.0,10719.0,10
RC,361,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ligation, internal jugular vein ",,,2160.0,9539.0,10
RC,361,"Ligation, internal jugular vein Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,2160.0,10719.0,7
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); abdomen Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,2160.0,8577.0,7
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); chest Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,2160.0,8577.0,7
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); extremity Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,2160.0,9539.0,10
RC,361,"Ligation, major artery (eg, post-traumatic, rupture); neck Other Surgical Services",,,2850.0,2850.0,1
RC,361,Ligation; external carotid artery ,,,2160.0,10719.0,10
RC,361,Ligation; external carotid artery Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ligation; internal or common carotid artery ,,,2160.0,10719.0,10
RC,361,Ligation; internal or common carotid artery Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,2160.0,10719.0,10
RC,361,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Other Surgical Services",,,2850.0,2850.0,1
RC,361,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,2050.0,15007.0,8
RC,361,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic Other Surgical Services,,,2850.0,2850.0,1
RC,361,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,2050.0,8577.0,8
RC,361,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Limited pharyngectomy ,,,2050.0,13315.0,11
RC,361,Limited pharyngectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Lingual frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,361,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,2350.0,15409.0,11
RC,361,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,2350.0,15409.0,11
RC,361,"Lithotripsy, extracorporeal shock wave ",,,2702.0,15409.0,6
RC,361,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,2050.0,8577.0,8
RC,361,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,2050.0,7493.0,8
RC,361,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,361,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,361,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,Lymphangiotomy or other operations on lymphatic channels ,,,2050.0,8727.0,11
RC,361,Lymphangiotomy or other operations on lymphatic channels Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,2050.0,8727.0,11
RC,361,"Lysis of adhesions (salpingolysis, ovariolysis) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Lysis of labial adhesions ,,,2050.0,8727.0,11
RC,361,Lysis of labial adhesions Other Surgical Services,,,2850.0,2850.0,1
RC,361,Lysis or excision of penile post-circumcision adhesions ,,,2050.0,8727.0,11
RC,361,Lysis or excision of penile post-circumcision adhesions Other Surgical Services,,,2850.0,2850.0,1
RC,361,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,361,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,11000.0,11000.0,1
RC,361,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,11000.0,11000.0,1
RC,361,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,11000.0,11000.0,1
RC,361,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,11000.0,11000.0,1
RC,361,MAJOR THUMB OR JOINT PROCEDURES ,,,11000.0,11000.0,1
RC,361,MEDIASTINOSCOPY INCL BIOPSY ,,,4963.0,4963.0,1
RC,361,MEDICAL BACK PROBLEMS WITH MCC ,,,11000.0,11000.0,1
RC,361,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,11000.0,11000.0,1
RC,361,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,2050.0,19295.0,8
RC,361,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed Other S",,,2850.0,2850.0,1
RC,361,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,2050.0,8577.0,8
RC,361,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,2050.0,8577.0,8
RC,361,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver Other Surgical Services",,,2850.0,2850.0,1
RC,361,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,2050.0,8577.0,8
RC,361,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing Other Surgical Services,,,2850.0,2850.0,1
RC,361,Management of liver hemorrhage; simple suture of liver wound or injury ,,,2050.0,8577.0,8
RC,361,Management of liver hemorrhage; simple suture of liver wound or injury Other Surgical Services,,,2850.0,2850.0,1
RC,361,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,2050.0,6802.0,7
RC,361,Management of recipient hematopoietic progenitor cell donor search and cell acquisition Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,1423.0,6802.0,11
RC,361,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter Other Surgical Services",,,2850.0,2850.0,1
RC,361,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,11
RC,361,Manometric studies through ureterostomy or indwelling ureteral catheter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Marsupialization of Bartholin's gland cyst ,,,2050.0,8727.0,11
RC,361,Marsupialization of Bartholin's gland cyst Other Surgical Services,,,2850.0,2850.0,1
RC,361,Marsupialization of cyst or abscess of liver ,,,2050.0,8577.0,8
RC,361,Marsupialization of cyst or abscess of liver Other Surgical Services,,,2850.0,2850.0,1
RC,361,Marsupialization of odontogenic cyst ,,,8577.0,8577.0,1
RC,361,Marsupialization of pancreatic cyst ,,,2050.0,8577.0,8
RC,361,Marsupialization of pancreatic cyst Other Surgical Services,,,2850.0,2850.0,1
RC,361,Marsupialization of sublingual salivary cyst (ranula) ,,,2050.0,8727.0,11
RC,361,Marsupialization of sublingual salivary cyst (ranula) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Marsupialization of urethral diverticulum, male or female ",,,2050.0,10719.0,11
RC,361,"Marsupialization of urethral diverticulum, male or female Other Surgical Services",,,2850.0,2850.0,1
RC,361,Mastoid obliteration (separate procedure) ,,,2350.0,13315.0,8
RC,361,Mastoidectomy; complete ,,,2050.0,8727.0,11
RC,361,Mastoidectomy; complete Other Surgical Services,,,2850.0,2850.0,1
RC,361,Mastoidectomy; modified radical ,,,2050.0,13315.0,11
RC,361,Mastoidectomy; modified radical Other Surgical Services,,,2850.0,2850.0,1
RC,361,Mastoidectomy; radical ,,,2050.0,13315.0,11
RC,361,Mastoidectomy; radical Other Surgical Services,,,2850.0,2850.0,1
RC,361,Maxillary guidance prosthesis with guide flange ,,,8577.0,8577.0,1
RC,361,Maxillary guidance prosthesis without guide flange ,,,8577.0,8577.0,1
RC,361,Maxillary impression for palatal prosthesis ,,,1423.0,6802.0,11
RC,361,Maxillary impression for palatal prosthesis Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,1423.0,6802.0,11
RC,361,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,2050.0,8727.0,11
RC,361,"Meatotomy, cutting of meatus (separate procedure); except infant Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Meatotomy, cutting of meatus (separate procedure); infant ",,,2050.0,8727.0,11
RC,361,"Meatotomy, cutting of meatus (separate procedure); infant Other Surgical Services",,,2850.0,2850.0,1
RC,361,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen ,,,2050.0,17341.0,8
RC,361,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,1982.0,6802.0,12
RC,361,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access ",,,2050.0,17341.0,8
RC,361,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,2050.0,13315.0,11
RC,361,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,2050.0,13315.0,11
RC,361,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,2050.0,8577.0,8
RC,361,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,2050.0,8577.0,8
RC,361,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Middle ear exploration through postauricular or ear canal incision ,,,2050.0,8727.0,11
RC,361,Middle ear exploration through postauricular or ear canal incision Other Surgical Services,,,2850.0,2850.0,1
RC,361,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,2050.0,8577.0,8
RC,361,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,2050.0,8727.0,11
RC,361,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Multifetal pregnancy reduction(s) (MPR) ,,,1423.0,6802.0,11
RC,361,Multifetal pregnancy reduction(s) (MPR) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,2050.0,8727.0,11
RC,361,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1982.0,6802.0,11
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) Other Sur",,,2850.0,2850.0,1
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1982.0,6802.0,11
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1982.0,6802.0,11
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1982.0,6802.0,11
RC,361,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,2050.0,10719.0,11
RC,361,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,2050.0,8727.0,11
RC,361,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,2050.0,10719.0,11
RC,361,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,Myringoplasty (surgery confined to drumhead and donor area) ,,,2050.0,8727.0,11
RC,361,Myringoplasty (surgery confined to drumhead and donor area) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Myringotomy including aspiration and/or eustachian tube inflation ,,,1423.0,6802.0,11
RC,361,Myringotomy including aspiration and/or eustachian tube inflation Other Surgical Services,,,2850.0,2850.0,1
RC,361,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,2050.0,6802.0,11
RC,361,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,1423.0,6802.0,11
RC,361,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,2050.0,12863.0,8
RC,361,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,2050.0,12863.0,8
RC,361,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,1423.0,6802.0,11
RC,361,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,2050.0,8577.0,8
RC,361,Nephrectomy with total ureterectomy and bladder cuff; through same incision Other Surgical Services,,,2850.0,2850.0,1
RC,361,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,2050.0,8577.0,8
RC,361,Nephrectomy with total ureterectomy and bladder cuff; through separate incision Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,2050.0,8577.0,8
RC,361,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,2050.0,8577.0,8
RC,361,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,2050.0,8577.0,8
RC,361,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nephrectomy, partial ",,,2050.0,8577.0,8
RC,361,"Nephrectomy, partial Other Surgical Services",,,2850.0,2850.0,1
RC,361,Nephrolithotomy; complicated by congenital kidney abnormality ,,,2050.0,8577.0,8
RC,361,Nephrolithotomy; complicated by congenital kidney abnormality Other Surgical Services,,,2850.0,2850.0,1
RC,361,Nephrolithotomy; removal of calculus ,,,2050.0,8577.0,8
RC,361,Nephrolithotomy; removal of calculus Other Surgical Services,,,2850.0,2850.0,1
RC,361,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,2050.0,8577.0,8
RC,361,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Nephrolithotomy; secondary surgical operation for calculus ,,,2050.0,8577.0,8
RC,361,Nephrolithotomy; secondary surgical operation for calculus Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Nephrorrhaphy, suture of kidney wound or injury ",,,2050.0,8577.0,8
RC,361,"Nephrorrhaphy, suture of kidney wound or injury Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nephrostomy, nephrotomy with drainage ",,,2050.0,8727.0,11
RC,361,"Nephrostomy, nephrotomy with drainage Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nephrotomy, with exploration ",,,2050.0,8577.0,8
RC,361,"Nephrotomy, with exploration Other Surgical Services",,,2850.0,2850.0,1
RC,361,Nerve dissection ,,,8577.0,8577.0,1
RC,361,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,2050.0,12863.0,11
RC,361,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,2050.0,12863.0,11
RC,361,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,2050.0,12863.0,11
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,2050.0,12863.0,11
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,2050.0,12863.0,11
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,2050.0,12863.0,11
RC,361,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,2050.0,12863.0,11
RC,361,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,2050.0,12863.0,11
RC,361,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,2050.0,12863.0,11
RC,361,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,2050.0,12863.0,11
RC,361,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Nerve pedicle transfer; first stage ,,,2050.0,12863.0,11
RC,361,Nerve pedicle transfer; first stage Other Surgical Services,,,2850.0,2850.0,1
RC,361,Nerve pedicle transfer; second stage ,,,2050.0,12863.0,11
RC,361,Nerve pedicle transfer; second stage Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,2050.0,12863.0,11
RC,361,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,8
RC,361,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,2050.0,12863.0,8
RC,361,"Nerve repair; with nerve allograft, each nerve, first strand (cable) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,2050.0,12863.0,11
RC,361,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) Other",,,2850.0,2850.0,1
RC,361,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,2050.0,8577.0,8
RC,361,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) Other Sur",,,2850.0,2850.0,1
RC,361,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,2050.0,8577.0,8
RC,361,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,2050.0,8577.0,8
RC,361,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,2050.0,8577.0,8
RC,361,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage Other Surgical Services",,,2850.0,2850.0,1
RC,361,Neuroplasty and/or transposition; cranial nerve (specify) ,,,2050.0,8727.0,11
RC,361,Neuroplasty and/or transposition; cranial nerve (specify) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,2350.0,8727.0,9
RC,361,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,2050.0,8727.0,11
RC,361,Neuroplasty and/or transposition; ulnar nerve at elbow Other Surgical Services,,,2850.0,2850.0,1
RC,361,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,2050.0,8727.0,11
RC,361,Neuroplasty and/or transposition; ulnar nerve at wrist Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,2050.0,8727.0,11
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,2050.0,8727.0,11
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,2050.0,8727.0,11
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,2050.0,8727.0,11
RC,361,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Neuroplasty; digital, 1 or both, same digit ",,,2050.0,8727.0,11
RC,361,"Neuroplasty; digital, 1 or both, same digit Other Surgical Services",,,2850.0,2850.0,1
RC,361,Neuroplasty; nerve of hand or foot ,,,2050.0,8727.0,11
RC,361,Neuroplasty; nerve of hand or foot Other Surgical Services,,,2850.0,2850.0,1
RC,361,Nocturnal penile tumescence and/or rigidity test ,,,1423.0,6802.0,11
RC,361,Nocturnal penile tumescence and/or rigidity test Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,83613.0,5
RC,361,"Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervi",,,2350.0,10719.0,9
RC,361,OSTEOMYELITIS WITH CC ,,,11000.0,11000.0,1
RC,361,OSTEOMYELITIS WITH MCC ,,,11000.0,11000.0,1
RC,361,OSTEOMYELITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,361,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,11000.0,11000.0,1
RC,361,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,11000.0,11000.0,1
RC,361,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,361,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,361,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,361,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,11000.0,11000.0,1
RC,361,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,11000.0,11000.0,1
RC,361,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,2050.0,8577.0,8
RC,361,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,2050.0,8727.0,11
RC,361,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,2050.0,10719.0,11
RC,361,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers Other Surgical Services",,,2850.0,2850.0,1
RC,361,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,2050.0,10719.0,11
RC,361,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,2050.0,13315.0,11
RC,361,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,2050.0,8577.0,8
RC,361,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,2050.0,12863.0,8
RC,361,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,2050.0,7493.0,8
RC,361,"Omentectomy, epiploectomy, resection of omentum (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Oophorectomy, partial or total, unilateral or bilateral; ",,,2050.0,10719.0,11
RC,361,"Oophorectomy, partial or total, unilateral or bilateral; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,2050.0,10719.0,12
RC,361,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,8577.0,8577.0,1
RC,361,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,2350.0,72171.0,13
RC,361,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,361,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,8577.0,8577.0,1
RC,361,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2350.0,30016.0,10
RC,361,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,361,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,8577.0,8577.0,1
RC,361,Open implantation of neurostimulator electrode array; neuromuscular ,,,2350.0,72171.0,13
RC,361,Open implantation of neurostimulator electrode array; neuromuscular Complex Surgery,,,11754.0,11754.0,2
RC,361,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,2350.0,72171.0,13
RC,361,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,361,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,2350.0,19295.0,13
RC,361,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Complex Surgery,,,11754.0,11754.0,2
RC,361,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,15007.0,15007.0,1
RC,361,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,15007.0,15007.0,1
RC,361,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,15007.0,15007.0,1
RC,361,"Operculectomy, excision pericoronal tissues ",,,1982.0,6802.0,11
RC,361,"Operculectomy, excision pericoronal tissues Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,5360.0,8727.0,4
RC,361,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,5360.0,8727.0,4
RC,361,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,2050.0,10719.0,11
RC,361,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Orbital implant (implant outside muscle cone); insertion ,,,2050.0,10719.0,11
RC,361,Orbital implant (implant outside muscle cone); insertion Other Surgical Services,,,2850.0,2850.0,1
RC,361,Orbital implant (implant outside muscle cone); removal or revision ,,,2050.0,10719.0,11
RC,361,Orbital implant (implant outside muscle cone); removal or revision Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,2050.0,8577.0,8
RC,361,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,2050.0,8577.0,8
RC,361,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration Other Surgical Servi",,,2850.0,2850.0,1
RC,361,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,2050.0,8577.0,9
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,2050.0,10719.0,11
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,2050.0,10719.0,11
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,2050.0,10719.0,11
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,2050.0,10719.0,11
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,2050.0,10719.0,11
RC,361,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,2050.0,10719.0,11
RC,361,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,2050.0,8727.0,11
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only Other Surgical Services,,,2850.0,2850.0,1
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,2050.0,10719.0,11
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Other Surgical Services,,,2850.0,2850.0,1
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,2050.0,8727.0,11
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Other Surgical Services,,,2850.0,2850.0,1
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,2050.0,8727.0,11
RC,361,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Orchiectomy, partial ",,,2050.0,8727.0,11
RC,361,"Orchiectomy, partial Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Orchiectomy, radical, for tumor; inguinal approach ",,,2050.0,10719.0,11
RC,361,"Orchiectomy, radical, for tumor; inguinal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,2050.0,10719.0,11
RC,361,"Orchiectomy, radical, for tumor; with abdominal exploration Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,2050.0,10719.0,11
RC,361,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,2050.0,10719.0,11
RC,361,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Orchiopexy, inguinal or scrotal approach ",,,2050.0,10719.0,11
RC,361,"Orchiopexy, inguinal or scrotal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,2350.0,8577.0,6
RC,361,"Other cranial decompression, posterior fossa ",,,2050.0,8577.0,8
RC,361,"Other cranial decompression, posterior fossa Other Surgical Services",,,2850.0,2850.0,1
RC,361,Otolaryngologic examination under general anesthesia ,,,1423.0,3251.0,4
RC,361,"Otoplasty, protruding ear, with or without size reduction ",,,2050.0,8727.0,11
RC,361,"Otoplasty, protruding ear, with or without size reduction Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ovarian cystectomy, unilateral or bilateral ",,,2050.0,10719.0,11
RC,361,"Ovarian cystectomy, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,11000.0,11000.0,1
RC,361,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,361,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,11000.0,11000.0,3
RC,361,PERCUT THROMBECT AV FISTULA ,,,10737.0,13315.0,3
RC,361,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,2350.0,8727.0,8
RC,361,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,2050.0,13315.0,11
RC,361,"Palatoplasty for cleft palate, soft and/or hard palate only Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,2050.0,13315.0,11
RC,361,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,2050.0,13315.0,11
RC,361,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,2050.0,13315.0,11
RC,361,Palatoplasty for cleft palate; attachment pharyngeal flap Other Surgical Services,,,2850.0,2850.0,1
RC,361,Palatoplasty for cleft palate; major revision ,,,2050.0,13315.0,11
RC,361,Palatoplasty for cleft palate; major revision Other Surgical Services,,,2850.0,2850.0,1
RC,361,Palatoplasty for cleft palate; secondary lengthening procedure ,,,2050.0,13315.0,11
RC,361,Palatoplasty for cleft palate; secondary lengthening procedure Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,2050.0,8577.0,8
RC,361,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,2050.0,8577.0,8
RC,361,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,2050.0,8577.0,8
RC,361,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,2050.0,8577.0,8
RC,361,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy Other Surgical Service",,,2850.0,2850.0,1
RC,361,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,2050.0,8577.0,8
RC,361,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy Other Surgical Serv",,,2850.0,2850.0,1
RC,361,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,2050.0,8577.0,8
RC,361,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,2050.0,8577.0,8
RC,361,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy Other Surgical Servic",,,2850.0,2850.0,1
RC,361,"Pancreatectomy, total ",,,2050.0,8577.0,8
RC,361,"Pancreatectomy, total Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,2050.0,8577.0,8
RC,361,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,2050.0,8577.0,8
RC,361,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Pancreatorrhaphy for injury ,,,2050.0,8577.0,8
RC,361,Pancreatorrhaphy for injury Other Surgical Services,,,2850.0,2850.0,1
RC,361,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,1423.0,6802.0,11
RC,361,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,2050.0,8727.0,11
RC,361,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,2050.0,8727.0,11
RC,361,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection Other Surgical Services",,,2850.0,2850.0,1
RC,361,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,361,Parathyroid autotransplantation (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Parathyroidectomy or exploration of parathyroid(s); ,,,2050.0,13315.0,11
RC,361,Parathyroidectomy or exploration of parathyroid(s); Other Surgical Services,,,2850.0,2850.0,1
RC,361,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,2050.0,13315.0,11
RC,361,Parathyroidectomy or exploration of parathyroid(s); re-exploration Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,2050.0,8577.0,8
RC,361,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,2050.0,15007.0,11
RC,361,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,2350.0,13315.0,9
RC,361,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,2350.0,13315.0,9
RC,361,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,1982.0,6802.0,11
RC,361,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,1423.0,6802.0,12
RC,361,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,1982.0,6802.0,11
RC,361,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,2050.0,13315.0,11
RC,361,"Parotid duct diversion, bilateral (Wilke type procedure); Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,2050.0,13315.0,11
RC,361,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,2050.0,13315.0,11
RC,361,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,2050.0,8577.0,8
RC,361,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,2050.0,8577.0,9
RC,361,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,2050.0,8577.0,9
RC,361,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,2050.0,8577.0,8
RC,361,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,2050.0,8577.0,9
RC,361,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,2050.0,8577.0,8
RC,361,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn ",,,2050.0,6802.0,8
RC,361,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn Other Surgical Services",,,2850.0,2850.0,1
RC,361,Partial extraction for immediate implant replacement ,,,8577.0,8577.0,1
RC,361,Partial hymenectomy or revision of hymenal ring ,,,2050.0,8727.0,11
RC,361,Partial hymenectomy or revision of hymenal ring Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2050.0,15007.0,11
RC,361,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2050.0,15007.0,11
RC,361,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,Pelvic examination under anesthesia (other than local) ,,,2050.0,8727.0,11
RC,361,Pelvic examination under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,2050.0,8577.0,9
RC,361,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,2350.0,8577.0,5
RC,361,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,2050.0,8577.0,9
RC,361,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Penile plethysmography ,,,1423.0,6802.0,11
RC,361,Penile plethysmography Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Penile revascularization, artery, with or without vein graft ",,,2050.0,8577.0,8
RC,361,"Penile revascularization, artery, with or without vein graft Other Surgical Services",,,2850.0,2850.0,1
RC,361,Penile venous occlusive procedure ,,,2050.0,10719.0,11
RC,361,Penile venous occlusive procedure Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2050.0,8577.0,9
RC,361,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,2050.0,17341.0,8
RC,361,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,2050.0,17341.0,8
RC,361,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,1982.0,6802.0,11
RC,361,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,1982.0,6802.0,11
RC,361,"Percutaneous aspiration, spinal cord cyst or syrinx Other Surgical Services",,,2850.0,2850.0,1
RC,361,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,19105.0,4
RC,361,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,19105.0,4
RC,361,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,19105.0,4
RC,361,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,8577.0,8577.0,1
RC,361,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,8577.0,8577.0,1
RC,361,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,2350.0,6802.0,5
RC,361,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,8577.0,8577.0,1
RC,361,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,2350.0,72171.0,12
RC,361,"Percutaneous implantation of neurostimulator electrode array, epidural Complex Surgery",,,11754.0,11754.0,2
RC,361,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,2350.0,72171.0,13
RC,361,Percutaneous implantation of neurostimulator electrode array; cranial nerve Complex Surgery,,,11754.0,11754.0,2
RC,361,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,2350.0,72171.0,13
RC,361,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,361,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,2350.0,72171.0,13
RC,361,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed Complex Surgery",,,11754.0,11754.0,2
RC,361,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,1982.0,8727.0,24
RC,361,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,2050.0,15409.0,22
RC,361,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,8577.0,8577.0,1
RC,361,Percutaneous portal vein catheterization by any method ,,,1423.0,6802.0,11
RC,361,Percutaneous portal vein catheterization by any method Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7583.0,10719.0,4
RC,361,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,31841.0,4
RC,361,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,31841.0,4
RC,361,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,361,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,361,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,361,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,15124.0,30016.0,6
RC,361,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,361,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,361,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,15124.0,30016.0,6
RC,361,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,361,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,361,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,24657.0,7
RC,361,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,361,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,31841.0,8
RC,361,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,31841.0,8
RC,361,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19295.0,23692.0,5
RC,361,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,17341.0,6
RC,361,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,17341.0,4
RC,361,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,361,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,8577.0,8577.0,1
RC,361,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,8577.0,8577.0,1
RC,361,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,8577.0,23692.0,5
RC,361,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,6
RC,361,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,361,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,17341.0,6
RC,361,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,361,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,31841.0,8
RC,361,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,361,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,17341.0,6
RC,361,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,17341.0,17341.0,2
RC,361,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,2143.0,17341.0,4
RC,361,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,2050.0,23692.0,41
RC,361,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,2050.0,15007.0,11
RC,361,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,8577.0,8577.0,1
RC,361,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,2050.0,13315.0,12
RC,361,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,8
RC,361,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,8
RC,361,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,31841.0,8
RC,361,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,31841.0,8
RC,361,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,31841.0,16
RC,361,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,17341.0,6
RC,361,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,31841.0,8
RC,361,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,31841.0,16
RC,361,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,31841.0,14
RC,361,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,8577.0,8577.0,1
RC,361,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,8577.0,8577.0,1
RC,361,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,8577.0,8577.0,1
RC,361,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,8577.0,8577.0,1
RC,361,"Pereyra procedure, including anterior colporrhaphy ",,,2350.0,10719.0,9
RC,361,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,8577.0,8577.0,1
RC,361,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,8577.0,8577.0,1
RC,361,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,2050.0,8727.0,11
RC,361,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Periodontal mucosal grafting ,,,2050.0,8727.0,11
RC,361,Periodontal mucosal grafting Other Surgical Services,,,2850.0,2850.0,1
RC,361,Perirectal injection of sclerosing solution for prolapse ,,,1423.0,6802.0,11
RC,361,Perirectal injection of sclerosing solution for prolapse Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Peritoneal lavage, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,361,"Peritoneal lavage, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2050.0,19295.0,8
RC,361,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,2050.0,6802.0,8
RC,361,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,2050.0,7493.0,8
RC,361,"Periurethral transperineal adjustable balloon continence device; removal, each balloon Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,2050.0,7493.0,8
RC,361,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,Petrous apicectomy including radical mastoidectomy ,,,2050.0,13315.0,11
RC,361,Petrous apicectomy including radical mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1423.0,3251.0,4
RC,361,Pharyngoesophageal repair ,,,2050.0,8577.0,8
RC,361,Pharyngoesophageal repair Other Surgical Services,,,2850.0,2850.0,1
RC,361,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,2050.0,8727.0,11
RC,361,Pharyngoplasty (plastic or reconstructive operation on pharynx) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,2050.0,8727.0,11
RC,361,"Pharyngostomy (fistulization of pharynx, external for feeding) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1423.0,3251.0,4
RC,361,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1423.0,3251.0,4
RC,361,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1423.0,3251.0,4
RC,361,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,2143.0,2143.0,1
RC,361,"Photopheresis, extracorporeal ",,,2050.0,12863.0,11
RC,361,"Photopheresis, extracorporeal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1423.0,3251.0,4
RC,361,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1423.0,3251.0,4
RC,361,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,2050.0,10719.0,12
RC,361,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1423.0,6802.0,11
RC,361,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) Other Surgical Ser",,,2850.0,2850.0,1
RC,361,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,2050.0,10719.0,11
RC,361,"Placement of amniotic membrane on the ocular surface; single layer, sutured Other Surgical Services",,,2850.0,2850.0,1
RC,361,Placement of amniotic membrane on the ocular surface; without sutures ,,,1982.0,6802.0,11
RC,361,Placement of amniotic membrane on the ocular surface; without sutures Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,2050.0,10719.0,24
RC,361,Placement of choledochal stent ,,,2050.0,8577.0,8
RC,361,Placement of choledochal stent Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,2050.0,8577.0,8
RC,361,"Placement of drains, peripancreatic, for acute pancreatitis; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,2050.0,8577.0,8
RC,361,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1982.0,4009.0,4
RC,361,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,2050.0,8577.0,9
RC,361,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,2050.0,6802.0,12
RC,361,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,2050.0,6802.0,11
RC,361,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,Placement of needle for intraosseous infusion ,,,2050.0,17341.0,8
RC,361,Placement of needle for intraosseous infusion Other Surgical Services,,,2850.0,2850.0,1
RC,361,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,2050.0,10719.0,11
RC,361,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,2050.0,8727.0,11
RC,361,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application Other Surgical Servic",,,2850.0,2850.0,1
RC,361,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,2050.0,8727.0,12
RC,361,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,2050.0,8727.0,12
RC,361,Placement of seton ,,,2050.0,8727.0,11
RC,361,Placement of seton Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,2050.0,15007.0,36
RC,361,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,2050.0,10719.0,36
RC,361,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,2050.0,6802.0,8
RC,361,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Plastic operation of penis for injury ,,,2350.0,10719.0,9
RC,361,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,2050.0,13315.0,11
RC,361,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra Other Surgical Services",,,2850.0,2850.0,1
RC,361,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,2050.0,13315.0,11
RC,361,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps Other Surgical Services,,,2850.0,2850.0,1
RC,361,Plastic operation on penis for epispadias distal to external sphincter; ,,,2050.0,10719.0,11
RC,361,Plastic operation on penis for epispadias distal to external sphincter; Other Surgical Services,,,2850.0,2850.0,1
RC,361,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2050.0,13315.0,11
RC,361,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder Other Surgical Services,,,2850.0,2850.0,1
RC,361,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,2050.0,10719.0,11
RC,361,Plastic operation on penis for epispadias distal to external sphincter; with incontinence Other Surgical Services,,,2850.0,2850.0,1
RC,361,Plastic operation on penis to correct angulation ,,,2050.0,13315.0,11
RC,361,Plastic operation on penis to correct angulation Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,2350.0,13315.0,9
RC,361,Plastic repair of canaliculi ,,,2050.0,8727.0,11
RC,361,Plastic repair of canaliculi Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,2050.0,13315.0,11
RC,361,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,2050.0,13315.0,11
RC,361,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,2050.0,13315.0,11
RC,361,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,2050.0,13315.0,11
RC,361,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,2050.0,13315.0,11
RC,361,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle Other Surgical Services",,,2850.0,2850.0,1
RC,361,Plastic repair of introitus ,,,2050.0,8727.0,11
RC,361,Plastic repair of introitus Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,2050.0,8727.0,11
RC,361,"Plastic repair of salivary duct, sialodochoplasty; primary or simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,2050.0,13315.0,11
RC,361,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated Other Surgical Services",,,2850.0,2850.0,1
RC,361,Plastic repair of urethrocele ,,,2350.0,8727.0,9
RC,361,"Portoenterostomy (eg, Kasai procedure) ",,,2050.0,8577.0,8
RC,361,"Portoenterostomy (eg, Kasai procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,2350.0,10719.0,9
RC,361,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,1423.0,6802.0,9
RC,361,Postpartum care only (separate procedure) ,,,2050.0,6802.0,7
RC,361,Postpartum care only (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,2050.0,6802.0,7
RC,361,"Preparation of fecal microbiota for instillation, including assessment of donor specimen Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,2050.0,8577.0,8
RC,361,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,1423.0,15007.0,24
RC,361,"Probing of lacrimal canaliculi, with or without irrigation ",,,1423.0,6802.0,11
RC,361,"Probing of lacrimal canaliculi, with or without irrigation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Probing of nasolacrimal duct, with or without irrigation; ",,,1423.0,6802.0,11
RC,361,"Probing of nasolacrimal duct, with or without irrigation; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,2050.0,8727.0,11
RC,361,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,2050.0,8727.0,11
RC,361,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,2050.0,8727.0,11
RC,361,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,2050.0,8577.0,8
RC,361,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed Other Surgical Se",,,2850.0,2850.0,1
RC,361,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,2050.0,8577.0,8
RC,361,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,2050.0,8577.0,8
RC,361,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,2050.0,8577.0,8
RC,361,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,2050.0,8577.0,8
RC,361,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,2050.0,8577.0,8
RC,361,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,2050.0,8577.0,8
RC,361,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctectomy, partial, without anastomosis, perineal approach ",,,2050.0,15007.0,10
RC,361,"Proctectomy, partial, without anastomosis, perineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,2050.0,8577.0,8
RC,361,"Proctectomy; complete, combined abdominoperineal, with colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctectomy; partial resection of rectum, transabdominal approach ",,,2050.0,8577.0,8
RC,361,"Proctectomy; partial resection of rectum, transabdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctopexy (eg, for prolapse); abdominal approach ",,,2050.0,8577.0,8
RC,361,"Proctopexy (eg, for prolapse); abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctopexy (eg, for prolapse); perineal approach ",,,2050.0,10719.0,11
RC,361,"Proctopexy (eg, for prolapse); perineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,2050.0,8577.0,8
RC,361,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,Proctoplasty; for prolapse of mucous membrane ,,,2050.0,10719.0,11
RC,361,Proctoplasty; for prolapse of mucous membrane Other Surgical Services,,,2850.0,2850.0,1
RC,361,Proctoplasty; for stenosis ,,,2050.0,8727.0,11
RC,361,Proctoplasty; for stenosis Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1982.0,6802.0,11
RC,361,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,2050.0,7493.0,10
RC,361,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) Other Surgical Service",,,2850.0,2850.0,1
RC,361,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,361,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,2050.0,6802.0,11
RC,361,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,2050.0,8727.0,11
RC,361,"Proctosigmoidoscopy, rigid; with decompression of volvulus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,2050.0,6802.0,10
RC,361,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,2050.0,8727.0,11
RC,361,"Proctosigmoidoscopy, rigid; with removal of foreign body Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,2050.0,6802.0,11
RC,361,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,2050.0,6802.0,11
RC,361,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,2050.0,6802.0,11
RC,361,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,2050.0,10719.0,11
RC,361,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,361,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,1423.0,13830.0,12
RC,361,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,1982.0,13830.0,12
RC,361,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,361,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,2050.0,8577.0,7
RC,361,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,2050.0,8577.0,7
RC,361,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages Other Surgical Se",,,2850.0,2850.0,1
RC,361,"Prostatectomy, perineal radical; ",,,2050.0,8577.0,7
RC,361,"Prostatectomy, perineal radical; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2050.0,8577.0,7
RC,361,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2050.0,8577.0,7
RC,361,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,2050.0,8577.0,7
RC,361,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,2050.0,8577.0,7
RC,361,"Prostatectomy, retropubic radical, with or without nerve sparing; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2050.0,8577.0,7
RC,361,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2050.0,8577.0,7
RC,361,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,2050.0,7493.0,10
RC,361,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,2050.0,8727.0,11
RC,361,"Prostatotomy, external drainage of prostatic abscess, any approach; simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,1982.0,6802.0,11
RC,361,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication Other Surgical Services",,,2850.0,2850.0,1
RC,361,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,1982.0,6802.0,11
RC,361,Puncture of shunt tubing or reservoir for aspiration or injection procedure Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Push transfusion, blood, 2 years or younger ",,,1423.0,6802.0,11
RC,361,"Push transfusion, blood, 2 years or younger Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,2050.0,10719.0,9
RC,361,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,2050.0,10719.0,6
RC,361,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple Other Surgical Ser",,,2850.0,2850.0,1
RC,361,"Pyelotomy; with drainage, pyelostomy ",,,2050.0,8577.0,8
RC,361,"Pyelotomy; with drainage, pyelostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,Pyelotomy; with exploration ,,,2050.0,8577.0,8
RC,361,Pyelotomy; with exploration Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,2050.0,8577.0,8
RC,361,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,2050.0,8577.0,8
RC,361,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Pyloroplasty ,,,2050.0,8577.0,8
RC,361,Pyloroplasty Other Surgical Services,,,2850.0,2850.0,1
RC,361,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,361,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,7583.0,9539.0,3
RC,361,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,9539.0,3
RC,361,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,9539.0,3
RC,361,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,5360.0,8727.0,3
RC,361,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,9539.0,3
RC,361,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,9539.0,3
RC,361,REPAIR SPIGELIAN HERNIA ,,,7583.0,9539.0,3
RC,361,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,361,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,7583.0,9539.0,3
RC,361,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,361,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,7583.0,9539.0,3
RC,361,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,3
RC,361,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,10737.0,13315.0,3
RC,361,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,361,REVISION OF MAJOR VEIN ,,,4963.0,4963.0,1
RC,361,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,361,Radial keratotomy ,,,2050.0,8727.0,11
RC,361,Radial keratotomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2350.0,8577.0,5
RC,361,Radical excision external auditory canal lesion; with neck dissection ,,,2050.0,8577.0,8
RC,361,Radical excision external auditory canal lesion; with neck dissection Other Surgical Services,,,2850.0,2850.0,1
RC,361,Radical excision external auditory canal lesion; without neck dissection ,,,2050.0,8727.0,11
RC,361,Radical excision external auditory canal lesion; without neck dissection Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,2050.0,13315.0,11
RC,361,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,2050.0,8577.0,8
RC,361,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,2050.0,8727.0,11
RC,361,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,2050.0,8577.0,8
RC,361,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) Other Surgical Se",,,2850.0,2850.0,1
RC,361,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2050.0,7493.0,8
RC,361,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,2050.0,8577.0,8
RC,361,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,Recipient nephrectomy (separate procedure) ,,,2050.0,8577.0,8
RC,361,Recipient nephrectomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Reconstruction external auditory canal for congenital atresia, single stage ",,,2050.0,13315.0,11
RC,361,"Reconstruction external auditory canal for congenital atresia, single stage Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,2050.0,13315.0,11
RC,361,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,2050.0,8727.0,11
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,2050.0,8727.0,11
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,2050.0,10719.0,11
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,2050.0,8727.0,11
RC,361,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,2050.0,8577.0,8
RC,361,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,2143.0,2143.0,1
RC,361,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1423.0,3251.0,3
RC,361,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,2050.0,8577.0,8
RC,361,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,2050.0,8577.0,8
RC,361,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Reduction of overcorrection of ptosis ,,,2050.0,8727.0,11
RC,361,Reduction of overcorrection of ptosis Other Surgical Services,,,2850.0,2850.0,1
RC,361,Reduction of procidentia (separate procedure) under anesthesia ,,,1982.0,6802.0,11
RC,361,Reduction of procidentia (separate procedure) under anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,2050.0,8727.0,11
RC,361,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,2050.0,8577.0,8
RC,361,"Reduction of volvulus, intussusception, internal hernia, by laparotomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1423.0,3251.0,4
RC,361,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1423.0,3251.0,4
RC,361,Reinsertion of ocular implant; with or without conjunctival graft ,,,2050.0,10719.0,11
RC,361,Reinsertion of ocular implant; with or without conjunctival graft Other Surgical Services,,,2850.0,2850.0,1
RC,361,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,2050.0,10719.0,11
RC,361,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant Other Surgical Services,,,2850.0,2850.0,1
RC,361,Release of encircling material (posterior segment) ,,,2350.0,13830.0,12
RC,361,Release of encircling material (posterior segment) Complex Surgery,,,11754.0,11754.0,2
RC,361,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,2050.0,8727.0,11
RC,361,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2050.0,8727.0,11
RC,361,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,2050.0,8727.0,11
RC,361,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation Other Sur",,,2850.0,2850.0,1
RC,361,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2050.0,7493.0,11
RC,361,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1982.0,7493.0,11
RC,361,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,2350.0,36087.0,8
RC,361,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1423.0,36087.0,8
RC,361,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,2050.0,6802.0,11
RC,361,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation Other Surg",,,2850.0,2850.0,1
RC,361,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,8577.0,8577.0,1
RC,361,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,2050.0,24657.0,11
RC,361,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,1982.0,6802.0,12
RC,361,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,2350.0,36087.0,8
RC,361,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1982.0,36087.0,9
RC,361,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,2050.0,8727.0,11
RC,361,"Removal foreign body from deep penile tissue (eg, plastic implant) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Removal foreign body from external auditory canal; with general anesthesia ,,,2050.0,8727.0,11
RC,361,Removal foreign body from external auditory canal; with general anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,361,Removal foreign body from external auditory canal; without general anesthesia ,,,1423.0,6802.0,11
RC,361,Removal foreign body from external auditory canal; without general anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal impacted cerumen requiring instrumentation, unilateral ",,,1423.0,6802.0,11
RC,361,"Removal impacted cerumen requiring instrumentation, unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,1423.0,6802.0,11
RC,361,"Removal impacted cerumen using irrigation/lavage, unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of Thiersch wire or suture, anal canal ",,,2050.0,6802.0,11
RC,361,"Removal of Thiersch wire or suture, anal canal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,2350.0,10719.0,8
RC,361,Removal of an indirect restoration on a natural tooth ,,,8577.0,8577.0,1
RC,361,"Removal of anal seton, other marker ",,,1982.0,6802.0,11
RC,361,"Removal of anal seton, other marker Other Surgical Services",,,2850.0,2850.0,1
RC,361,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,2050.0,10719.0,8
RC,361,Removal of baroreflex activation therapy (BAT) modulation system; lead only Other Surgical Services,,,2850.0,2850.0,1
RC,361,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,2050.0,10719.0,8
RC,361,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,2050.0,10719.0,8
RC,361,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,1982.0,6802.0,12
RC,361,"Removal of blood clot, anterior segment of eye ",,,2050.0,8727.0,11
RC,361,"Removal of blood clot, anterior segment of eye Other Surgical Services",,,2850.0,2850.0,1
RC,361,Removal of bone flap or prosthetic plate of skull ,,,2050.0,8577.0,8
RC,361,Removal of bone flap or prosthetic plate of skull Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,1423.0,6802.0,12
RC,361,Removal of cerclage suture under anesthesia (other than local) ,,,2050.0,10719.0,11
RC,361,Removal of cerclage suture under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,2050.0,8577.0,8
RC,361,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation Other Surgical Services,,,2850.0,2850.0,1
RC,361,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,2050.0,6802.0,11
RC,361,Removal of complete cerebrospinal fluid shunt system; without replacement Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,2050.0,8727.0,11
RC,361,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,1982.0,6802.0,11
RC,361,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,2350.0,10719.0,9
RC,361,Removal of embedded foreign body from dentoalveolar structures; bone ,,,2050.0,6802.0,11
RC,361,Removal of embedded foreign body from dentoalveolar structures; bone Other Surgical Services,,,2850.0,2850.0,1
RC,361,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,2050.0,8727.0,11
RC,361,Removal of embedded foreign body from dentoalveolar structures; soft tissues Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal of embedded foreign body, eyelid ",,,1423.0,6802.0,11
RC,361,"Removal of embedded foreign body, eyelid Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,2050.0,8727.0,11
RC,361,"Removal of embedded foreign body, vestibule of mouth; complicated Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of embedded foreign body, vestibule of mouth; simple ",,,1423.0,6802.0,11
RC,361,"Removal of embedded foreign body, vestibule of mouth; simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,Removal of entire lumbosubarachnoid shunt system without replacement ,,,2050.0,8727.0,11
RC,361,Removal of entire lumbosubarachnoid shunt system without replacement Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal of epithelial downgrowth, anterior chamber of eye ",,,2050.0,8727.0,11
RC,361,"Removal of epithelial downgrowth, anterior chamber of eye Other Surgical Services",,,2850.0,2850.0,1
RC,361,Removal of esophageal sphincter augmentation device ,,,2350.0,15007.0,12
RC,361,Removal of esophageal sphincter augmentation device Complex Surgery,,,11754.0,11754.0,2
RC,361,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,2050.0,6802.0,11
RC,361,Removal of fecal impaction or foreign body (separate procedure) under anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,361,Removal of foreign body from pharynx ,,,1423.0,6802.0,11
RC,361,Removal of foreign body from pharynx Other Surgical Services,,,2850.0,2850.0,1
RC,361,Removal of foreign body in scrotum ,,,2050.0,8727.0,11
RC,361,Removal of foreign body in scrotum Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal of foreign body or dacryolith, lacrimal passages ",,,1423.0,6802.0,11
RC,361,"Removal of foreign body or dacryolith, lacrimal passages Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,1423.0,6802.0,11
RC,361,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of foreign body, external eye; conjunctival superficial ",,,1423.0,6802.0,11
RC,361,"Removal of foreign body, external eye; conjunctival superficial Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of foreign body, external eye; corneal, with slit lamp ",,,1423.0,6802.0,11
RC,361,"Removal of foreign body, external eye; corneal, with slit lamp Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of foreign body, external eye; corneal, without slit lamp ",,,1423.0,6802.0,11
RC,361,"Removal of foreign body, external eye; corneal, without slit lamp Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,2050.0,8727.0,11
RC,361,"Removal of foreign body, intraocular; from anterior chamber of eye or lens Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,1423.0,6802.0,11
RC,361,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,2050.0,8727.0,11
RC,361,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction Other Surgical Services",,,2850.0,2850.0,1
RC,361,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,8577.0,8577.0,1
RC,361,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2350.0,13830.0,10
RC,361,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,361,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,361,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1423.0,3251.0,4
RC,361,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,2050.0,8727.0,11
RC,361,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Removal of implant body not requiring bone removal nor flap elevation ,,,8577.0,8577.0,1
RC,361,Removal of implanted intra-arterial infusion pump ,,,2050.0,10719.0,11
RC,361,Removal of implanted intra-arterial infusion pump Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal of implanted material, anterior segment of eye ",,,2050.0,8727.0,11
RC,361,"Removal of implanted material, anterior segment of eye Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of implanted material, posterior segment; extraocular ",,,2350.0,13830.0,12
RC,361,"Removal of implanted material, posterior segment; extraocular Complex Surgery",,,11754.0,11754.0,2
RC,361,"Removal of implanted material, posterior segment; intraocular ",,,2350.0,13830.0,12
RC,361,"Removal of implanted material, posterior segment; intraocular Complex Surgery",,,11754.0,11754.0,2
RC,361,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2050.0,15007.0,11
RC,361,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Other Surgical Services",,,2850.0,2850.0,1
RC,361,Removal of intrauterine device (IUD) ,,,1423.0,6802.0,9
RC,361,"Removal of lens material; aspiration technique, 1 or more stages ",,,2050.0,8727.0,11
RC,361,"Removal of lens material; aspiration technique, 1 or more stages Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,2050.0,6802.0,11
RC,361,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Removal of lens material; intracapsular ,,,2050.0,8727.0,11
RC,361,Removal of lens material; intracapsular Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal of lens material; intracapsular, for dislocated lens ",,,2050.0,8727.0,11
RC,361,"Removal of lens material; intracapsular, for dislocated lens Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,2050.0,13315.0,11
RC,361,"Removal of lens material; pars plana approach, with or without vitrectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,2050.0,8727.0,11
RC,361,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,1982.0,6802.0,11
RC,361,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,361,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,2350.0,10719.0,8
RC,361,Removal of non-resorbable barrier ,,,8577.0,8577.0,1
RC,361,Removal of ocular implant ,,,2050.0,10719.0,11
RC,361,Removal of ocular implant Other Surgical Services,,,2850.0,2850.0,1
RC,361,Removal of pancreatic calculus ,,,2050.0,8577.0,8
RC,361,Removal of pancreatic calculus Other Surgical Services,,,2850.0,2850.0,1
RC,361,Removal of peritoneal foreign body from peritoneal cavity ,,,2050.0,10719.0,11
RC,361,Removal of peritoneal foreign body from peritoneal cavity Other Surgical Services,,,2850.0,2850.0,1
RC,361,Removal of peritoneal-venous shunt ,,,2050.0,10719.0,11
RC,361,Removal of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,8577.0,8577.0,1
RC,361,Removal of previously implanted intrathecal or epidural catheter ,,,2050.0,8727.0,11
RC,361,Removal of previously implanted intrathecal or epidural catheter Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,2050.0,8727.0,11
RC,361,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) Other ",,,2850.0,2850.0,1
RC,361,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,2050.0,10719.0,8
RC,361,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,2350.0,8727.0,8
RC,361,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,2350.0,10719.0,8
RC,361,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,2050.0,10719.0,10
RC,361,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,8577.0,8577.0,1
RC,361,Removal of temporary anchorage device without flap ,,,8577.0,8577.0,1
RC,361,"Removal of temporary anchorage device, requiring flap ",,,8577.0,8577.0,1
RC,361,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,2143.0,6802.0,5
RC,361,"Removal of transplanted intestinal allograft, complete ",,,2050.0,8577.0,8
RC,361,"Removal of transplanted intestinal allograft, complete Other Surgical Services",,,2850.0,2850.0,1
RC,361,Removal of transplanted pancreatic allograft ,,,2050.0,6802.0,7
RC,361,Removal of transplanted pancreatic allograft Other Surgical Services,,,2850.0,2850.0,1
RC,361,Removal of transplanted renal allograft ,,,2050.0,8577.0,8
RC,361,Removal of transplanted renal allograft Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal of tumor, temporal bone ",,,2050.0,13315.0,11
RC,361,"Removal of tumor, temporal bone Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion ",,,2050.0,23692.0,12
RC,361,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal of tunneled central venous catheter, without subcutaneous port or pump ",,,2050.0,17341.0,8
RC,361,"Removal of tunneled central venous catheter, without subcutaneous port or pump Other Surgical Services",,,2850.0,2850.0,1
RC,361,Removal of tunneled intraperitoneal catheter ,,,2050.0,10719.0,11
RC,361,Removal of tunneled intraperitoneal catheter Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,2350.0,8727.0,8
RC,361,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,2350.0,8727.0,8
RC,361,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,2050.0,13315.0,11
RC,361,Removal or repair of electromagnetic bone conduction hearing device in temporal bone Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,2050.0,10719.0,11
RC,361,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,2350.0,10719.0,9
RC,361,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,361,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,2050.0,10719.0,9
RC,361,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,2050.0,10719.0,9
RC,361,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2050.0,10719.0,8
RC,361,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor Other Surgical Services",,,2850.0,2850.0,1
RC,361,Remove interim implant component ,,,8577.0,8577.0,1
RC,361,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,2050.0,8577.0,8
RC,361,"Renal allotransplantation, implantation of graft; with recipient nephrectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,2050.0,8577.0,8
RC,361,"Renal allotransplantation, implantation of graft; without recipient nephrectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Renal autotransplantation, reimplantation of kidney ",,,2050.0,8577.0,8
RC,361,"Renal autotransplantation, reimplantation of kidney Other Surgical Services",,,2850.0,2850.0,1
RC,361,Renal biopsy; by surgical exposure of kidney ,,,2050.0,8577.0,8
RC,361,Renal biopsy; by surgical exposure of kidney Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Renal biopsy; percutaneous, by trocar or needle ",,,2050.0,6802.0,11
RC,361,"Renal biopsy; percutaneous, by trocar or needle Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,11
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,11
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,2050.0,8727.0,12
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,2050.0,8727.0,12
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1982.0,6802.0,11
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor Other Surgical ",,,2850.0,2850.0,1
RC,361,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,2050.0,8727.0,12
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,11
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,11
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,2050.0,13315.0,12
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,2050.0,6802.0,12
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2050.0,6802.0,11
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Other Surgic",,,2850.0,2850.0,1
RC,361,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,1982.0,6802.0,12
RC,361,"Renal exploration, not necessitating other specific procedures ",,,2050.0,8577.0,8
RC,361,"Renal exploration, not necessitating other specific procedures Other Surgical Services",,,2850.0,2850.0,1
RC,361,Reopening of recent laparotomy ,,,2050.0,8577.0,8
RC,361,Reopening of recent laparotomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair incomplete circumcision ,,,2050.0,8727.0,11
RC,361,Repair incomplete circumcision Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Repair inguinal hernia, sliding, any age ",,,2350.0,10719.0,8
RC,361,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,2350.0,10719.0,8
RC,361,"Repair initial femoral hernia, any age; reducible ",,,2350.0,10719.0,8
RC,361,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,2350.0,10719.0,8
RC,361,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,2350.0,10719.0,8
RC,361,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,2050.0,10719.0,10
RC,361,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,2050.0,10719.0,10
RC,361,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair lip, full thickness; over one-half vertical height, or complex ",,,1982.0,6802.0,11
RC,361,"Repair lip, full thickness; over one-half vertical height, or complex Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair lip, full thickness; up to half vertical height ",,,1982.0,6802.0,11
RC,361,"Repair lip, full thickness; up to half vertical height Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair lip, full thickness; vermilion only ",,,1982.0,6802.0,11
RC,361,"Repair lip, full thickness; vermilion only Other Surgical Services",,,2850.0,2850.0,1
RC,361,Repair lumbar hernia ,,,2350.0,10719.0,8
RC,361,Repair of anal fistula with fibrin glue ,,,2050.0,8727.0,11
RC,361,Repair of anal fistula with fibrin glue Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,2050.0,10719.0,11
RC,361,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,8577.0,8577.0,1
RC,361,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,2350.0,15007.0,30
RC,361,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2350.0,15007.0,30
RC,361,"Repair of anterior palate, including vomer flap ",,,2050.0,13315.0,11
RC,361,"Repair of anterior palate, including vomer flap Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,2050.0,8727.0,11
RC,361,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,2050.0,8727.0,11
RC,361,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,2050.0,8727.0,11
RC,361,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,2050.0,10719.0,11
RC,361,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,2050.0,8727.0,11
RC,361,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,2050.0,10719.0,11
RC,361,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,2050.0,8727.0,11
RC,361,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,2050.0,17341.0,8
RC,361,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,2050.0,8577.0,8
RC,361,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,2050.0,8577.0,8
RC,361,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps Other Surgical Service",,,2850.0,2850.0,1
RC,361,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,2050.0,8577.0,8
RC,361,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,2350.0,13830.0,14
RC,361,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,2350.0,13315.0,8
RC,361,Repair of custom sleep apnea appliance ,,,8577.0,8577.0,1
RC,361,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,2050.0,8577.0,8
RC,361,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,2050.0,8577.0,8
RC,361,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,Repair of ectropion; excision tarsal wedge ,,,2050.0,8727.0,11
RC,361,Repair of ectropion; excision tarsal wedge Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,2050.0,8727.0,11
RC,361,"Repair of ectropion; extensive (eg, tarsal strip operations) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Repair of ectropion; suture ,,,2050.0,8727.0,11
RC,361,Repair of ectropion; suture Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of ectropion; thermocauterization ,,,2050.0,8727.0,11
RC,361,Repair of ectropion; thermocauterization Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Repair of encephalocele, skull vault, including cranioplasty ",,,2050.0,8577.0,8
RC,361,"Repair of encephalocele, skull vault, including cranioplasty Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of enterocele, abdominal approach (separate procedure) ",,,2350.0,8727.0,9
RC,361,"Repair of enterocele, vaginal approach (separate procedure) ",,,2350.0,8727.0,9
RC,361,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,7493.0,7493.0,1
RC,361,Repair of entropion; excision tarsal wedge ,,,2050.0,8727.0,11
RC,361,Repair of entropion; excision tarsal wedge Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,2050.0,8727.0,11
RC,361,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Repair of entropion; suture ,,,2050.0,8727.0,11
RC,361,Repair of entropion; suture Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of entropion; thermocauterization ,,,2050.0,8727.0,11
RC,361,Repair of entropion; thermocauterization Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,2050.0,8577.0,8
RC,361,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,2050.0,8577.0,8
RC,361,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,2050.0,8577.0,8
RC,361,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,2050.0,8577.0,8
RC,361,Repair of high imperforate anus without fistula; perineal or sacroperineal approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,2050.0,10719.0,11
RC,361,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,2050.0,10719.0,12
RC,361,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,2050.0,10719.0,11
RC,361,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,2050.0,8577.0,8
RC,361,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,2050.0,8577.0,8
RC,361,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2050.0,10719.0,11
RC,361,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of iris, ciliary body (as for iridodialysis) ",,,2050.0,8727.0,11
RC,361,"Repair of iris, ciliary body (as for iridodialysis) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,1423.0,6802.0,11
RC,361,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,1423.0,6802.0,11
RC,361,Repair of laceration 2.5 cm or less; posterior one-third of tongue Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,1982.0,6802.0,11
RC,361,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,2050.0,6802.0,11
RC,361,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,2050.0,8577.0,8
RC,361,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,2050.0,8727.0,11
RC,361,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,2050.0,8727.0,11
RC,361,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,2050.0,8727.0,11
RC,361,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,2050.0,8727.0,11
RC,361,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,2050.0,10719.0,11
RC,361,"Repair of laceration; cornea, nonperforating, with or without removal foreign body Other Surgical Services",,,2850.0,2850.0,1
RC,361,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,2350.0,8577.0,5
RC,361,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,2350.0,8577.0,5
RC,361,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,2050.0,8577.0,8
RC,361,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,2050.0,8577.0,8
RC,361,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of meningocele; larger than 5 cm diameter ,,,2050.0,8577.0,8
RC,361,Repair of meningocele; larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of meningocele; less than 5 cm diameter ,,,2050.0,8577.0,8
RC,361,Repair of meningocele; less than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of myelomeningocele; larger than 5 cm diameter ,,,2050.0,8577.0,8
RC,361,Repair of myelomeningocele; larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of myelomeningocele; less than 5 cm diameter ,,,2050.0,8577.0,8
RC,361,Repair of myelomeningocele; less than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of nasolabial fistula ,,,2050.0,8727.0,11
RC,361,Repair of nasolabial fistula Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of omphalocele (Gross type operation); first stage ,,,2350.0,8577.0,5
RC,361,Repair of omphalocele (Gross type operation); second stage ,,,2350.0,8577.0,5
RC,361,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,2350.0,15007.0,5
RC,361,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,2350.0,15007.0,5
RC,361,Repair of rectocele (separate procedure) ,,,2050.0,10719.0,11
RC,361,Repair of rectocele (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,2350.0,13830.0,12
RC,361,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,1982.0,13830.0,12
RC,361,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,361,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,2350.0,13830.0,12
RC,361,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,2350.0,13830.0,14
RC,361,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,2350.0,13830.0,14
RC,361,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,2050.0,8577.0,8
RC,361,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of scleral staphyloma with graft ,,,2050.0,8727.0,11
RC,361,Repair of scleral staphyloma with graft Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Repair of small omphalocele, with primary closure ",,,2350.0,10719.0,8
RC,361,"Repair of symblepharon; conjunctivoplasty, without graft ",,,2050.0,8727.0,11
RC,361,"Repair of symblepharon; conjunctivoplasty, without graft Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,2050.0,8727.0,11
RC,361,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Other Surgical Services",,,2850.0,2850.0,1
RC,361,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,2050.0,10719.0,11
RC,361,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Repair of traumatic corporeal tear(s) ,,,2350.0,8727.0,9
RC,361,Repair of tunica vaginalis hydrocele (Bottle type) ,,,2050.0,8727.0,11
RC,361,Repair of tunica vaginalis hydrocele (Bottle type) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site ",,,2050.0,17341.0,8
RC,361,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,2050.0,10719.0,11
RC,361,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule Other Surgical Services",,,2850.0,2850.0,1
RC,361,Repair oval window fistula ,,,2350.0,8727.0,8
RC,361,Repair recurrent femoral hernia; incarcerated or strangulated ,,,2350.0,10719.0,8
RC,361,Repair recurrent femoral hernia; reducible ,,,2350.0,10719.0,8
RC,361,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,2350.0,10719.0,8
RC,361,"Repair recurrent inguinal hernia, any age; reducible ",,,2350.0,10719.0,8
RC,361,Repair round window fistula ,,,2350.0,8727.0,8
RC,361,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,2050.0,8577.0,8
RC,361,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,2050.0,8577.0,8
RC,361,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,2050.0,10719.0,22
RC,361,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,2050.0,10719.0,11
RC,361,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,2050.0,10719.0,10
RC,361,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible Other Surg",,,2850.0,2850.0,1
RC,361,"Repair, laceration of diaphragm, any approach ",,,2050.0,8577.0,8
RC,361,"Repair, laceration of diaphragm, any approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair, laceration of palate; over 2 cm or complex ",,,2050.0,8727.0,11
RC,361,"Repair, laceration of palate; over 2 cm or complex Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair, laceration of palate; up to 2 cm ",,,1423.0,6802.0,11
RC,361,"Repair, laceration of palate; up to 2 cm Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,2050.0,8577.0,8
RC,361,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,2050.0,8577.0,8
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,2050.0,8577.0,8
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,2050.0,8577.0,8
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,2050.0,8577.0,8
RC,361,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,2050.0,8577.0,8
RC,361,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,2050.0,8577.0,8
RC,361,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2050.0,15007.0,9
RC,361,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2050.0,15007.0,9
RC,361,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2050.0,13315.0,11
RC,361,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,2050.0,8577.0,8
RC,361,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,361,Replacement of an implant screw ,,,8577.0,8577.0,1
RC,361,Replacement of bone flap or prosthetic plate of skull ,,,2050.0,8577.0,8
RC,361,Replacement of bone flap or prosthetic plate of skull Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,11
RC,361,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,11
RC,361,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,11
RC,361,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,2050.0,6802.0,8
RC,361,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,2050.0,6802.0,8
RC,361,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,8577.0,8577.0,1
RC,361,"Replacement or irrigation, subarachnoid/subdural catheter ",,,2050.0,8727.0,11
RC,361,"Replacement or irrigation, subarachnoid/subdural catheter Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement or irrigation, ventricular catheter ",,,2050.0,6802.0,11
RC,361,"Replacement or irrigation, ventricular catheter Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,2050.0,12863.0,11
RC,361,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,2050.0,17341.0,8
RC,361,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,2050.0,17341.0,8
RC,361,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access ",,,2050.0,17341.0,8
RC,361,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, an",,,2050.0,17341.0,9
RC,361,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access ",,,2050.0,17341.0,8
RC,361,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access ",,,2050.0,17341.0,8
RC,361,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,2050.0,17341.0,8
RC,361,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,2050.0,12863.0,11
RC,361,"Replacement, irrigation or revision of lumbosubarachnoid shunt Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,2050.0,6802.0,11
RC,361,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,2050.0,8727.0,11
RC,361,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,2050.0,10719.0,12
RC,361,Repositioning of previously placed central venous catheter under fluoroscopic guidance ,,,2050.0,17341.0,8
RC,361,Repositioning of previously placed central venous catheter under fluoroscopic guidance Other Surgical Services,,,2850.0,2850.0,1
RC,361,Reprogramming of programmable cerebrospinal shunt ,,,1423.0,6802.0,11
RC,361,Reprogramming of programmable cerebrospinal shunt Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,2050.0,10719.0,11
RC,361,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,2050.0,8577.0,9
RC,361,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,2050.0,8577.0,9
RC,361,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,2050.0,8577.0,9
RC,361,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,2050.0,13315.0,11
RC,361,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Resection of lip, more than one-fourth, without reconstruction ",,,2050.0,8727.0,11
RC,361,"Resection of lip, more than one-fourth, without reconstruction Other Surgical Services",,,2850.0,2850.0,1
RC,361,Resection of mediastinal cyst ,,,2050.0,8577.0,8
RC,361,Resection of mediastinal cyst Other Surgical Services,,,2850.0,2850.0,1
RC,361,Resection of mediastinal tumor ,,,2050.0,8577.0,8
RC,361,Resection of mediastinal tumor Other Surgical Services,,,2850.0,2850.0,1
RC,361,Resection of palate or extensive resection of lesion ,,,2050.0,8727.0,11
RC,361,Resection of palate or extensive resection of lesion Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,2050.0,8577.0,8
RC,361,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,361,Resection of scrotum ,,,2050.0,8727.0,11
RC,361,Resection of scrotum Other Surgical Services,,,2850.0,2850.0,1
RC,361,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,2050.0,8577.0,8
RC,361,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,2050.0,8577.0,8
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,2050.0,8577.0,8
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,2050.0,8577.0,8
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,2050.0,8577.0,9
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,2050.0,8577.0,8
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,2050.0,8577.0,8
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft Other Surgical ",,,2850.0,2850.0,1
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,2050.0,8577.0,8
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,2050.0,8577.0,8
RC,361,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft Other Su",,,2850.0,2850.0,1
RC,361,Resection prosthesis - Mandibular complete removable ,,,8577.0,8577.0,1
RC,361,Resection prosthesis - Mandibular partial removable ,,,8577.0,8577.0,1
RC,361,Resection prosthesis - Maxillary complete removable ,,,8577.0,8577.0,1
RC,361,Resection prosthesis - Maxillary partial removable ,,,8577.0,8577.0,1
RC,361,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,361,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,361,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,361,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,361,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,361,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,361,"Resection temporal bone, external approach ",,,2050.0,8577.0,8
RC,361,"Resection temporal bone, external approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,2050.0,8577.0,8
RC,361,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,2050.0,8577.0,8
RC,361,"Resection, diaphragm; with simple repair (eg, primary suture) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,2050.0,10719.0,12
RC,361,Retrobulbar injection; alcohol ,,,1423.0,6802.0,11
RC,361,Retrobulbar injection; alcohol Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,1423.0,6802.0,11
RC,361,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,19295.0,19295.0,1
RC,361,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,2143.0,15007.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,2143.0,19295.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,2143.0,19295.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,2143.0,30016.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,8577.0,8577.0,1
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,8577.0,8577.0,1
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,8577.0,8577.0,1
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,12760.0,14379.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,10737.0,13315.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,14839.0,16423.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,12760.0,14379.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,10737.0,13315.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,10737.0,13315.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,10737.0,13315.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,12760.0,14379.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,2143.0,15007.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,2143.0,19295.0,29
RC,361,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,2143.0,15007.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,19295.0,19295.0,1
RC,361,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,19295.0,19295.0,1
RC,361,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,19295.0,19295.0,1
RC,361,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,15007.0,15007.0,1
RC,361,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,2143.0,15007.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,2143.0,19295.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,2143.0,19295.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,2143.0,30016.0,28
RC,361,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,12760.0,14379.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,10737.0,13315.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,14839.0,16423.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,12760.0,14379.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,19295.0,19295.0,1
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,12760.0,14379.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,10737.0,13315.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,10737.0,13315.0,3
RC,361,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,10737.0,13315.0,3
RC,361,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,2050.0,10719.0,11
RC,361,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,2350.0,8577.0,6
RC,361,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,2350.0,8727.0,9
RC,361,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,2350.0,15007.0,8
RC,361,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,2350.0,15007.0,8
RC,361,Revision mastoidectomy; resulting in complete mastoidectomy ,,,2050.0,13315.0,11
RC,361,Revision mastoidectomy; resulting in complete mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,2050.0,13315.0,11
RC,361,Revision mastoidectomy; resulting in modified radical mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision mastoidectomy; resulting in radical mastoidectomy ,,,2050.0,13315.0,11
RC,361,Revision mastoidectomy; resulting in radical mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision mastoidectomy; resulting in tympanoplasty ,,,2050.0,13315.0,11
RC,361,Revision mastoidectomy; resulting in tympanoplasty Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,2050.0,8727.0,11
RC,361,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,2050.0,8727.0,11
RC,361,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,2050.0,10719.0,11
RC,361,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,2050.0,10719.0,11
RC,361,Revision of colostomy; simple (release of superficial scar) (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,2050.0,10719.0,11
RC,361,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,2050.0,8577.0,8
RC,361,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,2050.0,8577.0,8
RC,361,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,2050.0,10719.0,8
RC,361,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,2050.0,10719.0,11
RC,361,Revision of ileostomy; simple (release of superficial scar) (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision of implanted intra-arterial infusion pump ,,,2050.0,10719.0,11
RC,361,Revision of implanted intra-arterial infusion pump Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision of peritoneal-venous shunt ,,,2050.0,10719.0,11
RC,361,Revision of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,2050.0,13315.0,12
RC,361,Revision of stapedectomy or stapedotomy ,,,2350.0,13315.0,8
RC,361,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,2050.0,19295.0,12
RC,361,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,2050.0,8727.0,11
RC,361,Revision of urinary-cutaneous anastomosis (any type urostomy); Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,2050.0,8577.0,8
RC,361,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia Other Surgical Services,,,2850.0,2850.0,1
RC,361,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,2050.0,10719.0,11
RC,361,Revision or removal of cranial neurostimulator pulse generator or receiver Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,2050.0,8577.0,8
RC,361,"Revision or removal of gastric neurostimulator electrodes, antrum, open Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2350.0,10719.0,8
RC,361,Revision or removal of intracranial neurostimulator electrodes ,,,2050.0,10719.0,11
RC,361,Revision or removal of intracranial neurostimulator electrodes Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,2050.0,10719.0,8
RC,361,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator Other Surgical Services",,,2850.0,2850.0,1
RC,361,Revision or removal of peripheral neurostimulator electrode array ,,,2350.0,13830.0,13
RC,361,Revision or removal of peripheral neurostimulator electrode array Complex Surgery,,,11754.0,11754.0,2
RC,361,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2350.0,10719.0,9
RC,361,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,2050.0,8727.0,11
RC,361,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,2050.0,10719.0,8
RC,361,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,2050.0,30016.0,8
RC,361,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,2350.0,15007.0,9
RC,361,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,2350.0,19295.0,10
RC,361,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,361,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,8577.0,8577.0,1
RC,361,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,361,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2050.0,19295.0,8
RC,361,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,2050.0,17341.0,7
RC,361,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,2050.0,17341.0,7
RC,361,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,2050.0,36598.0,10
RC,361,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,13374.0,13374.0,1
RC,361,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,361,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,13374.0,13374.0,1
RC,361,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,361,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,13374.0,13374.0,1
RC,361,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,361,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,361,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,13374.0,13374.0,1
RC,361,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,361,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,361,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,13374.0,13374.0,1
RC,361,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,361,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,361,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,7583.0,9539.0,3
RC,361,Right ventricular recording ,,,6826.0,19105.0,4
RC,361,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,2050.0,6802.0,7
RC,361,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,2050.0,6802.0,7
RC,361,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,2050.0,6802.0,7
RC,361,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,2050.0,6802.0,7
RC,361,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery Other Surgical Services",,,2850.0,2850.0,1
RC,361,SEPTIC ARTHRITIS WITH CC ,,,11000.0,11000.0,1
RC,361,SEPTIC ARTHRITIS WITH MCC ,,,11000.0,11000.0,1
RC,361,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,361,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,11000.0,11000.0,1
RC,361,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,11000.0,11000.0,1
RC,361,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,11000.0,11000.0,1
RC,361,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,11000.0,11000.0,1
RC,361,SKIN DEBRIDEMENT WITH MCC ,,,11000.0,11000.0,1
RC,361,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,11000.0,11000.0,1
RC,361,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,361,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,11000.0,11000.0,1
RC,361,SOFT TISSUE PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,361,SOFT TISSUE PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,361,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,361,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,7583.0,9539.0,3
RC,361,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,11000.0,11000.0,1
RC,361,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,361,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2820.0,5414.0,3
RC,361,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2050.0,10719.0,11
RC,361,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2050.0,13315.0,11
RC,361,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Salpingostomy (salpingoneostomy) ,,,2050.0,8727.0,11
RC,361,Salpingostomy (salpingoneostomy) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Scleral reinforcement (separate procedure); with graft ,,,2050.0,8727.0,11
RC,361,Scleral reinforcement (separate procedure); with graft Other Surgical Services,,,2850.0,2850.0,1
RC,361,Scleral reinforcement (separate procedure); without graft ,,,2050.0,8727.0,11
RC,361,Scleral reinforcement (separate procedure); without graft Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,2050.0,6802.0,12
RC,361,"Scraping of cornea, diagnostic, for smear and/or culture ",,,1423.0,6802.0,11
RC,361,"Scraping of cornea, diagnostic, for smear and/or culture Other Surgical Services",,,2850.0,2850.0,1
RC,361,Scrotal exploration ,,,2050.0,8727.0,11
RC,361,Scrotal exploration Other Surgical Services,,,2850.0,2850.0,1
RC,361,Scrotoplasty; complicated ,,,2050.0,8727.0,11
RC,361,Scrotoplasty; complicated Other Surgical Services,,,2850.0,2850.0,1
RC,361,Scrotoplasty; simple ,,,2050.0,13315.0,11
RC,361,Scrotoplasty; simple Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,1423.0,6802.0,12
RC,361,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,2050.0,8577.0,9
RC,361,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,2050.0,8577.0,9
RC,361,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,2050.0,10719.0,24
RC,361,"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code",,,1423.0,6802.0,12
RC,361,"Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial seco",,,1423.0,6802.0,9
RC,361,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,1423.0,6802.0,9
RC,361,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family ",,,1423.0,6802.0,9
RC,361,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,1423.0,6802.0,9
RC,361,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family ",,,1423.0,6802.0,9
RC,361,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,1423.0,6802.0,9
RC,361,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family ",,,1423.0,6802.0,9
RC,361,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological superv",,,2350.0,10719.0,9
RC,361,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological superv",,,2350.0,15007.0,9
RC,361,"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological su",,,1423.0,6802.0,9
RC,361,"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List",,,1423.0,6802.0,9
RC,361,"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, ",,,2350.0,15007.0,9
RC,361,"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, inc",,,2350.0,10719.0,9
RC,361,"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiograp",,,2350.0,15007.0,9
RC,361,Semi-precision abutment - placement ,,,8577.0,8577.0,1
RC,361,Semi-precision attachment - placement ,,,8577.0,8577.0,1
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,2050.0,8727.0,11
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,2050.0,8727.0,11
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,2050.0,8727.0,11
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,2050.0,8727.0,11
RC,361,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,1982.0,6802.0,11
RC,361,"Severing adhesions of anterior segment, laser technique (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Severing of tarsorrhaphy ,,,1982.0,6802.0,11
RC,361,Severing of tarsorrhaphy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,1982.0,6802.0,8
RC,361,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,2050.0,6802.0,11
RC,361,"Sialolithotomy; parotid, extraoral or complicated intraoral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,2050.0,8727.0,11
RC,361,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,2050.0,6802.0,11
RC,361,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1982.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,2050.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,1982.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,2050.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with control of bleeding, any method Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2050.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,1982.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,2050.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with endoscopic mucosal resection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,2050.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2050.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,2050.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,1982.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2050.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,2050.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,2050.0,6802.0,11
RC,361,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,1423.0,6802.0,11
RC,361,"Simple cystometrogram (CMG) (eg, spinal manometer) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,1423.0,6802.0,11
RC,361,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,2050.0,16982.0,15
RC,361,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,2350.0,16982.0,13
RC,361,"Sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,2050.0,8727.0,11
RC,361,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,2050.0,8727.0,11
RC,361,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,2050.0,6802.0,11
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Other Surg",,,2850.0,2850.0,1
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,2050.0,6802.0,12
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,2050.0,10719.0,11
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,2050.0,6802.0,12
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,2050.0,6802.0,12
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,2050.0,6802.0,11
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,2050.0,6802.0,12
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,2050.0,6802.0,11
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube Other Surgical Service",,,2850.0,2850.0,1
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,2050.0,6802.0,11
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,2050.0,6802.0,11
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,2050.0,6802.0,11
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery Other Su",,,2850.0,2850.0,1
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2050.0,6802.0,11
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,2050.0,10719.0,11
RC,361,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Snip incision of lacrimal punctum ,,,1423.0,6802.0,11
RC,361,Snip incision of lacrimal punctum Other Surgical Services,,,2850.0,2850.0,1
RC,361,Sperm washing for artificial insemination ,,,1423.0,6802.0,9
RC,361,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,2050.0,10719.0,11
RC,361,"Sphincteroplasty, anal, for incontinence or prolapse; adult Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,2050.0,8577.0,8
RC,361,"Sphincteroplasty, anal, for incontinence or prolapse; child Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,2050.0,10719.0,11
RC,361,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,2050.0,10719.0,11
RC,361,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,2050.0,6802.0,11
RC,361,"Sphincterotomy, anal, division of sphincter (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Spinal puncture, lumbar, diagnostic; ",,,1982.0,6802.0,11
RC,361,"Spinal puncture, lumbar, diagnostic; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,2050.0,6802.0,8
RC,361,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,1982.0,6802.0,11
RC,361,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,2050.0,6802.0,8
RC,361,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,Splenectomy; partial (separate procedure) ,,,2050.0,8577.0,8
RC,361,Splenectomy; partial (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Splenectomy; total (separate procedure) ,,,2050.0,8577.0,8
RC,361,Splenectomy; total (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,361,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,2050.0,10719.0,10
RC,361,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,2050.0,10719.0,10
RC,361,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,2350.0,13315.0,8
RC,361,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,2350.0,13315.0,8
RC,361,Stapes mobilization ,,,2350.0,8727.0,8
RC,361,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,2050.0,8577.0,8
RC,361,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,2050.0,8577.0,8
RC,361,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,361,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,2050.0,6802.0,11
RC,361,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,2050.0,12863.0,11
RC,361,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2050.0,13315.0,5
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2050.0,13315.0,5
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2050.0,13315.0,8
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,5
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,5
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,5
RC,361,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,2350.0,6802.0,9
RC,361,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,1423.0,6802.0,11
RC,361,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,361,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,361,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1423.0,6802.0,12
RC,361,"Strabismus surgery, any procedure, superior oblique muscle ",,,2050.0,8727.0,11
RC,361,"Strabismus surgery, any procedure, superior oblique muscle Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,2050.0,8727.0,11
RC,361,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,2050.0,8727.0,11
RC,361,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,2050.0,10719.0,11
RC,361,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,2050.0,8727.0,11
RC,361,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Subconjunctival injection ,,,1423.0,6802.0,11
RC,361,Subconjunctival injection Other Surgical Services,,,2850.0,2850.0,1
RC,361,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,2050.0,6802.0,11
RC,361,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,1982.0,6802.0,11
RC,361,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,1982.0,6802.0,11
RC,361,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,2050.0,8727.0,11
RC,361,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,2050.0,8577.0,8
RC,361,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,2050.0,6802.0,7
RC,361,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,2050.0,15007.0,24
RC,361,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2350.0,10719.0,5
RC,361,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,2050.0,6802.0,8
RC,361,Suprachoroidal space injection of pharmacologic agent (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Suprahyoid lymphadenectomy ,,,2050.0,8727.0,11
RC,361,Suprahyoid lymphadenectomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,2050.0,8577.0,8
RC,361,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,2050.0,8577.0,8
RC,361,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,2050.0,8577.0,8
RC,361,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,2050.0,8577.0,8
RC,361,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2050.0,8577.0,8
RC,361,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,2050.0,8577.0,8
RC,361,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,2050.0,8577.0,8
RC,361,"Surgery of intracranial arteriovenous malformation; dural, complex Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,2050.0,8577.0,8
RC,361,"Surgery of intracranial arteriovenous malformation; dural, simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,2050.0,8577.0,8
RC,361,"Surgery of intracranial arteriovenous malformation; infratentorial, complex Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,2050.0,8577.0,8
RC,361,"Surgery of intracranial arteriovenous malformation; infratentorial, simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,2050.0,8577.0,8
RC,361,"Surgery of intracranial arteriovenous malformation; supratentorial, complex Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,2050.0,8577.0,8
RC,361,"Surgery of intracranial arteriovenous malformation; supratentorial, simple Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,2050.0,8577.0,8
RC,361,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2050.0,8577.0,8
RC,361,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation Other Surgical Services",,,2850.0,2850.0,1
RC,361,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,8577.0,8577.0,1
RC,361,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,8577.0,8577.0,1
RC,361,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,8577.0,8577.0,1
RC,361,Surgical placement of craniofacial implant - extra oral ,,,8577.0,8577.0,1
RC,361,Surgical placement zygomatic implant ,,,8577.0,8577.0,1
RC,361,Surgical repair of root resorption - molar ,,,8577.0,8577.0,1
RC,361,Surgical repair of root resorption- premolar ,,,8577.0,8577.0,1
RC,361,Surgical repair of root resorption-anterior ,,,8577.0,8577.0,1
RC,361,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,2050.0,8727.0,11
RC,361,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Other Surgical Services,,,2850.0,2850.0,1
RC,361,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,2050.0,8727.0,11
RC,361,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Other Surgical Services,,,2850.0,2850.0,1
RC,361,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,2050.0,8727.0,11
RC,361,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,2050.0,8727.0,11
RC,361,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,2050.0,8577.0,8
RC,361,Surgical treatment of ectopic pregnancy; abdominal pregnancy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,2050.0,8577.0,8
RC,361,"Surgical treatment of ectopic pregnancy; cervical, with evacuation Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,2050.0,8577.0,8
RC,361,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,2050.0,10719.0,11
RC,361,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,2050.0,10719.0,11
RC,361,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,Suture and/or ligation of thoracic duct; abdominal approach ,,,2050.0,8577.0,8
RC,361,Suture and/or ligation of thoracic duct; abdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,Suture and/or ligation of thoracic duct; cervical approach ,,,2050.0,8577.0,8
RC,361,Suture and/or ligation of thoracic duct; cervical approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,Suture and/or ligation of thoracic duct; thoracic approach ,,,2050.0,8577.0,8
RC,361,Suture and/or ligation of thoracic duct; thoracic approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,2050.0,13315.0,11
RC,361,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,2050.0,13315.0,11
RC,361,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,2050.0,12863.0,11
RC,361,"Suture of 1 nerve; hand or foot, common sensory nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,Suture of 1 nerve; median motor thenar ,,,2050.0,12863.0,11
RC,361,Suture of 1 nerve; median motor thenar Other Surgical Services,,,2850.0,2850.0,1
RC,361,Suture of 1 nerve; ulnar motor ,,,2050.0,12863.0,11
RC,361,Suture of 1 nerve; ulnar motor Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Suture of digital nerve, hand or foot; 1 nerve ",,,2050.0,10719.0,11
RC,361,"Suture of digital nerve, hand or foot; 1 nerve Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,361,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Suture of esophageal wound or injury; cervical approach ,,,2050.0,8577.0,8
RC,361,Suture of esophageal wound or injury; cervical approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,2050.0,8577.0,8
RC,361,Suture of esophageal wound or injury; transthoracic or transabdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,361,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,2050.0,8577.0,8
RC,361,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Suture of facial nerve; extracranial ,,,2050.0,12863.0,11
RC,361,Suture of facial nerve; extracranial Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Suture of facial nerve; infratemporal, with or without grafting ",,,2050.0,12863.0,11
RC,361,"Suture of facial nerve; infratemporal, with or without grafting Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,2050.0,8727.0,11
RC,361,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,2050.0,8577.0,8
RC,361,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,2050.0,8577.0,8
RC,361,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,2050.0,12863.0,11
RC,361,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,2050.0,12863.0,11
RC,361,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition Other Surgical Services",,,2850.0,2850.0,1
RC,361,Suture of mesentery (separate procedure) ,,,2050.0,8577.0,8
RC,361,Suture of mesentery (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1423.0,6802.0,11
RC,361,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,1423.0,6802.0,11
RC,361,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1423.0,6802.0,11
RC,361,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Suture of posterior tibial nerve ,,,2050.0,12863.0,11
RC,361,Suture of posterior tibial nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,2050.0,8727.0,11
RC,361,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,2050.0,8727.0,11
RC,361,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness Other Surgical Services",,,2850.0,2850.0,1
RC,361,Suture of sciatic nerve ,,,2050.0,10719.0,11
RC,361,Suture of sciatic nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,2050.0,8577.0,8
RC,361,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,2050.0,7493.0,8
RC,361,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation Other Surgical Services",,,2850.0,2850.0,1
RC,361,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,2050.0,6802.0,11
RC,361,Suture of tongue to lip for micrognathia (Douglas type procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Suture of; brachial plexus ,,,2050.0,10719.0,11
RC,361,Suture of; brachial plexus Other Surgical Services,,,2850.0,2850.0,1
RC,361,Suture of; lumbar plexus ,,,2050.0,12863.0,11
RC,361,Suture of; lumbar plexus Other Surgical Services,,,2850.0,2850.0,1
RC,361,Suture or repair of testicular injury ,,,2050.0,8727.0,11
RC,361,Suture or repair of testicular injury Other Surgical Services,,,2850.0,2850.0,1
RC,361,Suture pharynx for wound or injury ,,,2050.0,8727.0,11
RC,361,Suture pharynx for wound or injury Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,2050.0,8577.0,8
RC,361,"Suture, secondary, of abdominal wall for evisceration or dehiscence Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sympathectomy, cervical ",,,2050.0,6802.0,11
RC,361,"Sympathectomy, cervical Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sympathectomy, cervicothoracic ",,,2050.0,6802.0,11
RC,361,"Sympathectomy, cervicothoracic Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sympathectomy, lumbar ",,,2050.0,8577.0,8
RC,361,"Sympathectomy, lumbar Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sympathectomy, thoracolumbar ",,,2050.0,8577.0,8
RC,361,"Sympathectomy, thoracolumbar Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Sympathectomy; digital arteries, each digit ",,,2050.0,8727.0,11
RC,361,"Sympathectomy; digital arteries, each digit Other Surgical Services",,,2850.0,2850.0,1
RC,361,Sympathectomy; radial artery ,,,2050.0,10719.0,11
RC,361,Sympathectomy; radial artery Other Surgical Services,,,2850.0,2850.0,1
RC,361,Sympathectomy; superficial palmar arch ,,,2050.0,10719.0,11
RC,361,Sympathectomy; superficial palmar arch Other Surgical Services,,,2850.0,2850.0,1
RC,361,Sympathectomy; ulnar artery ,,,2050.0,10719.0,11
RC,361,Sympathectomy; ulnar artery Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,2050.0,8577.0,8
RC,361,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,11000.0,11000.0,1
RC,361,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,11000.0,11000.0,1
RC,361,TRANSCATHETER THERAPY INFUSE ,,,6826.0,6826.0,1
RC,361,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,1982.0,6802.0,11
RC,361,"Temporary closure of eyelids by suture (eg, Frost suture) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Temporary transcutaneous pacing ,,,1982.0,4009.0,4
RC,361,Therapeutic apheresis; for platelets ,2132.0,2132.0,2050.0,6802.0,11
RC,361,Therapeutic apheresis; for platelets Other Surgical Services,2132.0,2132.0,2850.0,2850.0,1
RC,361,Therapeutic apheresis; for red blood cells ,6944.0,6944.0,2050.0,6802.0,11
RC,361,Therapeutic apheresis; for red blood cells Other Surgical Services,6944.0,6944.0,2850.0,2850.0,1
RC,361,Therapeutic apheresis; for white blood cells ,6944.0,6944.0,2050.0,6802.0,11
RC,361,Therapeutic apheresis; for white blood cells Other Surgical Services,6944.0,6944.0,2850.0,2850.0,1
RC,361,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion ",,,2050.0,12863.0,11
RC,361,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,8
RC,361,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) Ot",,,2850.0,2850.0,1
RC,361,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2050.0,15007.0,8
RC,361,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,361,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,361,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,361,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,361,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,361,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,2050.0,17341.0,7
RC,361,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thrombolysis, cerebral, by intravenous infusion ",,,1423.0,6802.0,9
RC,361,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,17341.0,17341.0,2
RC,361,"Thrombolysis, coronary; by intravenous infusion ",,,1423.0,17341.0,5
RC,361,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,2050.0,13315.0,11
RC,361,"Thymectomy, partial or total; transcervical approach (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thyroidectomy, including substernal thyroid; cervical approach ",,,2050.0,13315.0,11
RC,361,"Thyroidectomy, including substernal thyroid; cervical approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,2050.0,6802.0,11
RC,361,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,2050.0,13315.0,11
RC,361,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thyroidectomy, total or complete ",,,2050.0,15007.0,11
RC,361,"Thyroidectomy, total or complete Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,8577.0,8577.0,1
RC,361,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,2050.0,13315.0,11
RC,361,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,2050.0,8727.0,11
RC,361,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Tongue base suspension, permanent suture technique ",,,2050.0,13315.0,11
RC,361,"Tongue base suspension, permanent suture technique Other Surgical Services",,,2850.0,2850.0,1
RC,361,Tonsillectomy and adenoidectomy; age 12 or over ,,,2050.0,8727.0,11
RC,361,Tonsillectomy and adenoidectomy; age 12 or over Other Surgical Services,,,2850.0,2850.0,1
RC,361,Tonsillectomy and adenoidectomy; younger than age 12 ,,,2050.0,8727.0,11
RC,361,Tonsillectomy and adenoidectomy; younger than age 12 Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Tonsillectomy, primary or secondary; age 12 or over ",,,2050.0,8727.0,11
RC,361,"Tonsillectomy, primary or secondary; age 12 or over Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Tonsillectomy, primary or secondary; younger than age 12 ",,,2050.0,8727.0,11
RC,361,"Tonsillectomy, primary or secondary; younger than age 12 Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,2050.0,10719.0,7
RC,361,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,2050.0,8577.0,7
RC,361,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) Other Surg",,,2850.0,2850.0,1
RC,361,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,2350.0,8577.0,5
RC,361,Total facial nerve decompression and/or repair (may include graft) ,,,2050.0,13315.0,11
RC,361,Total facial nerve decompression and/or repair (may include graft) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,2050.0,8577.0,8
RC,361,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) Other Surgical Servi",,,2850.0,2850.0,1
RC,361,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,2050.0,8577.0,9
RC,361,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,2050.0,8577.0,8
RC,361,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) Other Surgical Ser",,,2850.0,2850.0,1
RC,361,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,2050.0,8577.0,8
RC,361,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,2050.0,8577.0,8
RC,361,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2050.0,15007.0,11
RC,361,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2050.0,15007.0,11
RC,361,"Total thyroid lobectomy, unilateral; with or without isthmusectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,Trabeculoplasty by laser surgery ,,,1982.0,6802.0,11
RC,361,Trabeculoplasty by laser surgery Other Surgical Services,,,2850.0,2850.0,1
RC,361,Trabeculotomy ab externo ,,,2050.0,8727.0,11
RC,361,Trabeculotomy ab externo Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,2050.0,8727.0,11
RC,361,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,2050.0,8727.0,11
RC,361,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transabdominal amnioinfusion, including ultrasound guidance ",,,1982.0,6802.0,11
RC,361,"Transabdominal amnioinfusion, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,361,Transcatheter biopsy ,,,2350.0,15007.0,9
RC,361,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,2143.0,2143.0,1
RC,361,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2050.0,19295.0,21
RC,361,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,2160.0,31841.0,27
RC,361,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,2350.0,31841.0,13
RC,361,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,2160.0,31841.0,15
RC,361,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,1423.0,6802.0,11
RC,361,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,2050.0,31841.0,10
RC,361,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,2050.0,31841.0,10
RC,361,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,2050.0,8577.0,8
RC,361,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,2050.0,8577.0,6
RC,361,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,2050.0,8577.0,7
RC,361,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1423.0,17341.0,7
RC,361,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,2350.0,11754.0,11
RC,361,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,2050.0,17341.0,7
RC,361,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day Other Surgical S",,,2850.0,2850.0,1
RC,361,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,2050.0,17341.0,16
RC,361,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,2050.0,17341.0,7
RC,361,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2050.0,12863.0,8
RC,361,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,2350.0,8727.0,9
RC,361,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,2050.0,8577.0,9
RC,361,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,2050.0,8577.0,9
RC,361,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,2050.0,6802.0,11
RC,361,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,2050.0,10719.0,11
RC,361,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transection or avulsion of other cranial nerve, extradural ",,,2050.0,8727.0,11
RC,361,"Transection or avulsion of other cranial nerve, extradural Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transection or avulsion of other spinal nerve, extradural ",,,2050.0,8727.0,11
RC,361,"Transection or avulsion of other spinal nerve, extradural Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transection or avulsion of; facial nerve, differential or complete ",,,2050.0,8727.0,11
RC,361,"Transection or avulsion of; facial nerve, differential or complete Other Surgical Services",,,2850.0,2850.0,1
RC,361,Transection or avulsion of; greater occipital nerve ,,,2050.0,8727.0,11
RC,361,Transection or avulsion of; greater occipital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,2050.0,6802.0,11
RC,361,Transection or avulsion of; inferior alveolar nerve by osteotomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transection or avulsion of; infraorbital nerve ,,,2050.0,6802.0,11
RC,361,Transection or avulsion of; infraorbital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transection or avulsion of; lingual nerve ,,,2050.0,8727.0,11
RC,361,Transection or avulsion of; lingual nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transection or avulsion of; mental nerve ,,,2050.0,6802.0,11
RC,361,Transection or avulsion of; mental nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transection or avulsion of; phrenic nerve ,,,2050.0,6802.0,11
RC,361,Transection or avulsion of; phrenic nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transection or avulsion of; supraorbital nerve ,,,2050.0,6802.0,11
RC,361,Transection or avulsion of; supraorbital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,2050.0,8577.0,8
RC,361,"Transection or avulsion of; vagus nerve (vagotomy), abdominal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,2050.0,8577.0,8
RC,361,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) Other Surgica",,,2850.0,2850.0,1
RC,361,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,361,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,2050.0,8577.0,8
RC,361,Transection or repositioning of aberrant renal vessels (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Transfusion, blood or blood components ",,,1423.0,6802.0,11
RC,361,"Transfusion, blood or blood components Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transfusion, intrauterine, fetal ",,,1423.0,6802.0,11
RC,361,"Transfusion, intrauterine, fetal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,1423.0,23692.0,28
RC,361,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,8577.0,8577.0,1
RC,361,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,1423.0,23692.0,29
RC,361,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,1423.0,23692.0,15
RC,361,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,2050.0,13315.0,11
RC,361,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,2050.0,13315.0,11
RC,361,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent Other Surgical Services",,,2850.0,2850.0,1
RC,361,Transmastoid antrotomy (simple mastoidectomy) ,,,2050.0,13315.0,11
RC,361,Transmastoid antrotomy (simple mastoidectomy) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,2050.0,8577.0,8
RC,361,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,2050.0,8577.0,8
RC,361,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) Other Surgical",,,2850.0,2850.0,1
RC,361,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,1423.0,6802.0,8
RC,361,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,2350.0,15007.0,8
RC,361,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,2350.0,15007.0,8
RC,361,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2050.0,15007.0,7
RC,361,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,2350.0,53068.0,12
RC,361,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,2050.0,8577.0,8
RC,361,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,1982.0,6802.0,11
RC,361,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer Other Surgical Services",,,2850.0,2850.0,1
RC,361,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,1423.0,6802.0,11
RC,361,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,,,1982.0,6802.0,11
RC,361,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,1982.0,6802.0,11
RC,361,Transplant preparation of hematopoietic progenitor cells; platelet depletion Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,,,1982.0,6802.0,11
RC,361,Transplant preparation of hematopoietic progenitor cells; red blood cell removal Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,1982.0,6802.0,11
RC,361,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,1423.0,6802.0,11
RC,361,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,1423.0,6802.0,11
RC,361,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor Other Surgical Services",,,2850.0,2850.0,1
RC,361,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,1982.0,6802.0,11
RC,361,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transplantation of pancreatic allograft ,,,2050.0,6802.0,7
RC,361,Transplantation of pancreatic allograft Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,2050.0,8727.0,11
RC,361,Transplantation of testis(es) to thigh (because of scrotal destruction) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transposition, ovary(s) ",,,2050.0,10719.0,11
RC,361,"Transposition, ovary(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Transrectal drainage of pelvic abscess ,,,2050.0,8727.0,11
RC,361,Transrectal drainage of pelvic abscess Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,2050.0,8577.0,8
RC,361,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization Othe",,,2850.0,2850.0,1
RC,361,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,2050.0,8577.0,8
RC,361,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter Other Surgical Services",,,2850.0,2850.0,1
RC,361,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,2050.0,6802.0,11
RC,361,Transurethral destruction of prostate tissue; by microwave thermotherapy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,2050.0,7493.0,8
RC,361,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,2050.0,13315.0,11
RC,361,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transurethral drainage of prostatic abscess ,,,2050.0,8727.0,10
RC,361,Transurethral drainage of prostatic abscess Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,2350.0,13830.0,14
RC,361,Transurethral incision of prostate ,,,2050.0,8727.0,10
RC,361,Transurethral incision of prostate Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,2050.0,6802.0,11
RC,361,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transurethral resection of bladder neck (separate procedure) ,,,2050.0,8727.0,10
RC,361,Transurethral resection of bladder neck (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Transurethral resection; of postoperative bladder neck contracture ,,,2350.0,8727.0,8
RC,361,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,2350.0,13315.0,8
RC,361,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,2050.0,12863.0,8
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,1423.0,6802.0,11
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,1423.0,6802.0,11
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,11
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,11
RC,361,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Transvesical ureterolithotomy ,,,2050.0,13315.0,11
RC,361,Transvesical ureterolithotomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,1982.0,13830.0,12
RC,361,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,361,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,1982.0,6802.0,12
RC,361,"Treatment of incomplete abortion, any trimester, completed surgically ",,,2050.0,8727.0,11
RC,361,"Treatment of incomplete abortion, any trimester, completed surgically Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Treatment of missed abortion, completed surgically; first trimester ",,,2050.0,8727.0,11
RC,361,"Treatment of missed abortion, completed surgically; first trimester Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Treatment of missed abortion, completed surgically; second trimester ",,,2050.0,8727.0,11
RC,361,"Treatment of missed abortion, completed surgically; second trimester Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Treatment of septic abortion, completed surgically ",,,2050.0,8577.0,8
RC,361,"Treatment of septic abortion, completed surgically Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Trimming of dystrophic nails, any number ",,,1423.0,3251.0,4
RC,361,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,2050.0,8577.0,8
RC,361,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Tubotubal anastomosis ,,,2050.0,10719.0,11
RC,361,Tubotubal anastomosis Other Surgical Services,,,2850.0,2850.0,1
RC,361,Tubouterine implantation ,,,2050.0,10719.0,11
RC,361,Tubouterine implantation Other Surgical Services,,,2850.0,2850.0,1
RC,361,Twist drill hole for subdural or ventricular puncture ,,,2050.0,8577.0,8
RC,361,Twist drill hole for subdural or ventricular puncture Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,2050.0,8577.0,8
RC,361,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,2050.0,8577.0,8
RC,361,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device Other Surgical Servic",,,2850.0,2850.0,1
RC,361,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,2050.0,8577.0,8
RC,361,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,2050.0,8577.0,36
RC,361,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,2050.0,8727.0,11
RC,361,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Other Surgical Services",,,2850.0,2850.0,1
RC,361,Tympanic neurectomy ,,,2350.0,8727.0,8
RC,361,"Tympanolysis, transcanal ",,,2050.0,13315.0,11
RC,361,"Tympanolysis, transcanal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,361,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,2350.0,13315.0,8
RC,361,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,361,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,361,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,2350.0,13315.0,8
RC,361,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,2350.0,13315.0,8
RC,361,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,361,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,2050.0,6802.0,11
RC,361,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,1423.0,6802.0,11
RC,361,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,2143.0,2143.0,1
RC,361,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,2050.0,10719.0,11
RC,361,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Unlisted cardiovascular service or procedure ,,,1423.0,3251.0,4
RC,361,Unlisted diagnostic gastroenterology procedure ,,,1423.0,3251.0,4
RC,361,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,1423.0,6802.0,11
RC,361,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted hysteroscopy procedure, uterus ",,,1423.0,13830.0,12
RC,361,"Unlisted hysteroscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted laparoscopic procedure, liver ",,,2050.0,13830.0,15
RC,361,"Unlisted laparoscopic procedure, liver Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted laparoscopic procedure, liver Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,2050.0,13830.0,14
RC,361,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted laparoscopy procedure, appendix ",,,2350.0,13830.0,12
RC,361,"Unlisted laparoscopy procedure, appendix Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted laparoscopy procedure, biliary tract ",,,2350.0,13315.0,8
RC,361,"Unlisted laparoscopy procedure, bladder ",,,2350.0,13315.0,8
RC,361,"Unlisted laparoscopy procedure, endocrine system ",,,2350.0,13315.0,8
RC,361,"Unlisted laparoscopy procedure, esophagus ",,,2350.0,13830.0,12
RC,361,"Unlisted laparoscopy procedure, esophagus Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,2350.0,13830.0,12
RC,361,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,2050.0,13315.0,10
RC,361,"Unlisted laparoscopy procedure, intestine (except rectum) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted laparoscopy procedure, lymphatic system ",,,2350.0,13830.0,12
RC,361,"Unlisted laparoscopy procedure, lymphatic system Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted laparoscopy procedure, maternity care and delivery ",,,2350.0,13830.0,12
RC,361,"Unlisted laparoscopy procedure, maternity care and delivery Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted laparoscopy procedure, oviduct, ovary ",,,2350.0,13830.0,12
RC,361,"Unlisted laparoscopy procedure, oviduct, ovary Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted laparoscopy procedure, rectum ",,,2050.0,13315.0,11
RC,361,"Unlisted laparoscopy procedure, rectum Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted laparoscopy procedure, renal ",,,2350.0,13830.0,12
RC,361,"Unlisted laparoscopy procedure, renal Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted laparoscopy procedure, spermatic cord ",,,2350.0,13315.0,8
RC,361,"Unlisted laparoscopy procedure, spleen ",,,2350.0,13830.0,12
RC,361,"Unlisted laparoscopy procedure, spleen Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted laparoscopy procedure, stomach ",,,2350.0,13830.0,12
RC,361,"Unlisted laparoscopy procedure, stomach Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted laparoscopy procedure, testis ",,,2350.0,13315.0,8
RC,361,"Unlisted laparoscopy procedure, ureter ",,,2350.0,13830.0,12
RC,361,"Unlisted laparoscopy procedure, ureter Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted laparoscopy procedure, uterus ",,,2350.0,13830.0,12
RC,361,"Unlisted laparoscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,361,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,2050.0,8577.0,8
RC,361,"Unlisted procedure, Meckel's diverticulum and the mesentery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, abdomen, peritoneum and omentum ",,,2050.0,9539.0,11
RC,361,"Unlisted procedure, abdomen, peritoneum and omentum Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, anterior segment of eye ",,,2050.0,6802.0,11
RC,361,"Unlisted procedure, anterior segment of eye Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, anus ",,,1982.0,6802.0,11
RC,361,"Unlisted procedure, anus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, biliary tract ",,,2050.0,8727.0,11
RC,361,"Unlisted procedure, biliary tract Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, colon ",,,2050.0,6802.0,11
RC,361,"Unlisted procedure, colon Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, conjunctiva ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, conjunctiva Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, dentoalveolar structures ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, dentoalveolar structures Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, diaphragm ",,,2050.0,8577.0,8
RC,361,"Unlisted procedure, diaphragm Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, endocrine system ",,,2050.0,15007.0,11
RC,361,"Unlisted procedure, endocrine system Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, esophagus ",,,2050.0,6802.0,11
RC,361,"Unlisted procedure, esophagus Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, external ear ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, external ear Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, extraocular muscle ",,,2050.0,8727.0,11
RC,361,"Unlisted procedure, extraocular muscle Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, eyelids ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, eyelids Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, female genital system (nonobstetrical) ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, female genital system (nonobstetrical) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, hemic or lymphatic system ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, hemic or lymphatic system Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, inner ear ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, inner ear Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, lacrimal system ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, lacrimal system Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, lips ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, lips Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, liver ",,,1982.0,6802.0,11
RC,361,"Unlisted procedure, liver Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, male genital system ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, male genital system Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, maternity care and delivery ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, maternity care and delivery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, mediastinum ",,,2050.0,8577.0,8
RC,361,"Unlisted procedure, mediastinum Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, middle ear ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, middle ear Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, nervous system ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, nervous system Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, orbit ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, orbit Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, palate, uvula ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, palate, uvula Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, pancreas ",,,1982.0,6802.0,11
RC,361,"Unlisted procedure, pancreas Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, pharynx, adenoids, or tonsils Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, posterior segment ",,,2050.0,6802.0,11
RC,361,"Unlisted procedure, posterior segment Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, rectum ",,,1982.0,6802.0,11
RC,361,"Unlisted procedure, rectum Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, salivary glands or ducts ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, salivary glands or ducts Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, small intestine ",,,2050.0,9539.0,11
RC,361,"Unlisted procedure, small intestine Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, stomach ",,,2050.0,6802.0,8
RC,361,"Unlisted procedure, stomach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, temporal bone, middle fossa approach ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, temporal bone, middle fossa approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, tongue, floor of mouth ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, tongue, floor of mouth Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, urinary system ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, urinary system Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, vascular injection ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, vascular injection Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, vascular surgery ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, vascular surgery Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Unlisted procedure, vestibule of mouth ",,,1423.0,6802.0,11
RC,361,"Unlisted procedure, vestibule of mouth Other Surgical Services",,,2850.0,2850.0,1
RC,361,Unlisted vascular endoscopy procedure ,,,2350.0,9539.0,9
RC,361,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,1423.0,6802.0,12
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,11
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2050.0,8727.0,11
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,2050.0,8727.0,12
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2050.0,8727.0,11
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Other Su",,,2850.0,2850.0,1
RC,361,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1982.0,6802.0,12
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,11
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2050.0,6802.0,11
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,2050.0,6802.0,11
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy Other",,,2850.0,2850.0,1
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2050.0,8727.0,11
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Other Surgical Servic",,,2850.0,2850.0,1
RC,361,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1982.0,6802.0,12
RC,361,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2050.0,8577.0,8
RC,361,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureterectomy, with bladder cuff (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Ureterectomy, with bladder cuff (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,2050.0,8577.0,8
RC,361,"Ureterocalycostomy, anastomosis of ureter to renal calyx Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureterocolon conduit, including intestine anastomosis ",,,2050.0,8577.0,8
RC,361,"Ureterocolon conduit, including intestine anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,2050.0,8577.0,8
RC,361,"Ureteroenterostomy, direct anastomosis of ureter to intestine Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,2050.0,8577.0,8
RC,361,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Ureterolithotomy; lower one-third of ureter ,,,2050.0,8577.0,8
RC,361,Ureterolithotomy; lower one-third of ureter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ureterolithotomy; middle one-third of ureter ,,,2050.0,8577.0,8
RC,361,Ureterolithotomy; middle one-third of ureter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ureterolithotomy; upper one-third of ureter ,,,2050.0,8577.0,8
RC,361,Ureterolithotomy; upper one-third of ureter Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ureterolysis for ovarian vein syndrome ,,,2050.0,8577.0,8
RC,361,Ureterolysis for ovarian vein syndrome Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,2050.0,8577.0,8
RC,361,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,2050.0,8577.0,8
RC,361,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis Other Surgical Services",,,2850.0,2850.0,1
RC,361,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,2050.0,8577.0,8
RC,361,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,2050.0,7493.0,8
RC,361,Ureteroneocystostomy; anastomosis of single ureter to bladder Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ureteroneocystostomy; with extensive ureteral tailoring ,,,2050.0,8577.0,8
RC,361,Ureteroneocystostomy; with extensive ureteral tailoring Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,2050.0,8577.0,8
RC,361,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,2050.0,8577.0,8
RC,361,"Ureteroplasty, plastic operation on ureter (eg, stricture) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,2050.0,8577.0,8
RC,361,"Ureteropyelostomy, anastomosis of ureter and renal pelvis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,2050.0,8577.0,8
RC,361,"Ureterorrhaphy, suture of ureter (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,2050.0,8577.0,8
RC,361,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureterostomy, transplantation of ureter to skin ",,,2050.0,8577.0,8
RC,361,"Ureterostomy, transplantation of ureter to skin Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ureterotomy for insertion of indwelling stent, all types ",,,2050.0,8577.0,8
RC,361,"Ureterotomy for insertion of indwelling stent, all types Other Surgical Services",,,2850.0,2850.0,1
RC,361,Ureterotomy with exploration or drainage (separate procedure) ,,,2050.0,8577.0,8
RC,361,Ureterotomy with exploration or drainage (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ureteroureterostomy ,,,2050.0,8577.0,8
RC,361,Ureteroureterostomy Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Urethrectomy, total, including cystostomy; female ",,,2050.0,10719.0,11
RC,361,"Urethrectomy, total, including cystostomy; female Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethrectomy, total, including cystostomy; male ",,,2050.0,8727.0,11
RC,361,"Urethrectomy, total, including cystostomy; male Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,2050.0,10719.0,11
RC,361,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethromeatoplasty, with mucosal advancement ",,,2050.0,10719.0,11
RC,361,"Urethromeatoplasty, with mucosal advancement Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,2050.0,8727.0,11
RC,361,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,2050.0,10719.0,11
RC,361,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia Other Surgical Services,,,2850.0,2850.0,1
RC,361,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,2050.0,10719.0,11
RC,361,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Other Surgical Services,,,2850.0,2850.0,1
RC,361,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,2050.0,13315.0,11
RC,361,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,2050.0,10719.0,11
RC,361,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,2050.0,10719.0,11
RC,361,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,2050.0,10719.0,11
RC,361,"Urethroplasty, 1-stage reconstruction of male anterior urethra Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,2050.0,10719.0,11
RC,361,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,2050.0,10719.0,11
RC,361,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethroplasty, reconstruction of female urethra ",,,2050.0,10719.0,11
RC,361,"Urethroplasty, reconstruction of female urethra Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2050.0,13315.0,11
RC,361,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,2050.0,10719.0,11
RC,361,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,2050.0,10719.0,11
RC,361,"Urethroplasty; second stage (formation of urethra), including urinary diversion Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,2050.0,8727.0,11
RC,361,"Urethrorrhaphy, suture of urethral wound or injury, female Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,2050.0,10719.0,11
RC,361,"Urethrorrhaphy, suture of urethral wound or injury; penile Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,2050.0,8727.0,11
RC,361,"Urethrorrhaphy, suture of urethral wound or injury; perineal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,2050.0,10719.0,11
RC,361,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,2050.0,8727.0,11
RC,361,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,2050.0,8727.0,11
RC,361,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,2050.0,8577.0,8
RC,361,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,361,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,Uterine evacuation and curettage for hydatidiform mole ,,,2050.0,8727.0,11
RC,361,Uterine evacuation and curettage for hydatidiform mole Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,2050.0,10719.0,8
RC,361,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,2050.0,8577.0,8
RC,361,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Uvulectomy, excision of uvula ",,,2050.0,6802.0,11
RC,361,"Uvulectomy, excision of uvula Other Surgical Services",,,2850.0,2850.0,1
RC,361,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,7583.0,9539.0,3
RC,361,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,2050.0,8727.0,11
RC,361,Vaginal delivery only (with or without episiotomy and/or forceps); Other Surgical Services,,,2850.0,2850.0,1
RC,361,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,2050.0,6802.0,7
RC,361,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,2050.0,8727.0,11
RC,361,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,2050.0,6802.0,7
RC,361,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; ",,,2350.0,10719.0,8
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,2350.0,10719.0,8
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,2350.0,10719.0,8
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,2350.0,10719.0,8
RC,361,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,2350.0,10719.0,8
RC,361,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,2350.0,13315.0,8
RC,361,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2350.0,13315.0,8
RC,361,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,2350.0,13315.0,8
RC,361,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,2350.0,13315.0,8
RC,361,"Vaginal hysterectomy, radical (Schauta type operation) ",,,2350.0,8577.0,5
RC,361,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,2350.0,10719.0,8
RC,361,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,2350.0,10719.0,8
RC,361,"Vaginectomy, complete removal of vaginal wall; ",,,2050.0,8577.0,8
RC,361,"Vaginectomy, complete removal of vaginal wall; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2050.0,10719.0,11
RC,361,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vaginectomy, partial removal of vaginal wall; ",,,2050.0,8727.0,11
RC,361,"Vaginectomy, partial removal of vaginal wall; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2050.0,8727.0,11
RC,361,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,2050.0,8727.0,11
RC,361,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) Other Su",,,2850.0,2850.0,1
RC,361,Vaginoplasty for intersex state ,,,2350.0,8727.0,9
RC,361,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,2050.0,8577.0,8
RC,361,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,2050.0,8577.0,8
RC,361,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective Other Surgical Services",,,2850.0,2850.0,1
RC,361,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,2050.0,8577.0,8
RC,361,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,8577.0,8577.0,1
RC,361,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,19295.0,19295.0,1
RC,361,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,2350.0,14379.0,9
RC,361,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,2350.0,14379.0,9
RC,361,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,2350.0,23692.0,13
RC,361,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,2350.0,14379.0,9
RC,361,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,7583.0,9539.0,3
RC,361,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,2050.0,8727.0,11
RC,361,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,1423.0,6802.0,11
RC,361,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,2050.0,8727.0,11
RC,361,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vasovasostomy, vasovasorrhaphy ",,,2050.0,8727.0,11
RC,361,"Vasovasostomy, vasovasorrhaphy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for ",174.0,174.0,2050.0,6802.0,8
RC,361,"Venipuncture, cutdown; age 1 or over ",,,1423.0,6802.0,10
RC,361,"Venipuncture, cutdown; age 1 or over Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Venipuncture, cutdown; younger than age 1 year ",,,1423.0,6802.0,10
RC,361,"Venipuncture, cutdown; younger than age 1 year Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein ",,,2050.0,6802.0,7
RC,361,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein Other Surgi",,,2850.0,2850.0,1
RC,361,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein ",,,2050.0,6802.0,7
RC,361,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein ",,,2050.0,6802.0,7
RC,361,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Venous anastomosis, open; caval-mesenteric ",,,2050.0,8577.0,8
RC,361,"Venous anastomosis, open; caval-mesenteric Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Venous anastomosis, open; portocaval ",,,2050.0,8577.0,8
RC,361,"Venous anastomosis, open; portocaval Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Venous anastomosis, open; renoportal ",,,2050.0,8577.0,8
RC,361,"Venous anastomosis, open; renoportal Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,2050.0,8577.0,8
RC,361,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Venous anastomosis, open; splenorenal, proximal ",,,2050.0,8577.0,8
RC,361,"Venous anastomosis, open; splenorenal, proximal Other Surgical Services",,,2850.0,2850.0,1
RC,361,Venous catheterization for selective organ blood sampling ,,,1423.0,6802.0,11
RC,361,Venous catheterization for selective organ blood sampling Other Surgical Services,,,2850.0,2850.0,1
RC,361,Ventilating tube removal requiring general anesthesia ,,,2050.0,10719.0,11
RC,361,Ventilating tube removal requiring general anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,1982.0,6802.0,11
RC,361,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment Other Surgi",,,2850.0,2850.0,1
RC,361,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,1982.0,6802.0,11
RC,361,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection Other Surgical Services",,,2850.0,2850.0,1
RC,361,Ventriculocisternostomy (Torkildsen type operation) ,,,2050.0,8577.0,8
RC,361,Ventriculocisternostomy (Torkildsen type operation) Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Ventriculocisternostomy, third ventricle; ",,,2050.0,8577.0,8
RC,361,"Ventriculocisternostomy, third ventricle; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,2050.0,8577.0,8
RC,361,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vermilionectomy (lip shave), with mucosal advancement ",,,2050.0,6802.0,11
RC,361,"Vermilionectomy (lip shave), with mucosal advancement Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,2350.0,8577.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2350.0,15007.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,2350.0,8577.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,2350.0,8577.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,2350.0,8577.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,2350.0,8577.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2350.0,8577.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,2350.0,8577.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,2350.0,8577.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,2350.0,8577.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2350.0,8577.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,2350.0,8577.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,2350.0,8577.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,2350.0,8577.0,18
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,2350.0,8577.0,12
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,2350.0,8577.0,6
RC,361,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,2350.0,8577.0,6
RC,361,"Vesiculectomy, any approach ",,,1982.0,6802.0,11
RC,361,"Vesiculectomy, any approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,Vesiculotomy; ,,,2050.0,8727.0,11
RC,361,Vesiculotomy; Other Surgical Services,,,2850.0,2850.0,1
RC,361,Vesiculotomy; complicated ,,,1982.0,6802.0,11
RC,361,Vesiculotomy; complicated Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Vestibular nerve section, transcranial approach ",,,2050.0,8577.0,8
RC,361,"Vestibular nerve section, transcranial approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vestibular nerve section, translabyrinthine approach ",,,2050.0,13315.0,11
RC,361,"Vestibular nerve section, translabyrinthine approach Other Surgical Services",,,2850.0,2850.0,1
RC,361,Vestibuloplasty; anterior ,,,2050.0,8727.0,11
RC,361,Vestibuloplasty; anterior Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,2050.0,13315.0,11
RC,361,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Vestibuloplasty; entire arch ,,,2050.0,13315.0,11
RC,361,Vestibuloplasty; entire arch Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Vestibuloplasty; posterior, bilateral ",,,2050.0,8727.0,11
RC,361,"Vestibuloplasty; posterior, bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vestibuloplasty; posterior, unilateral ",,,2050.0,8727.0,11
RC,361,"Vestibuloplasty; posterior, unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vitrectomy, mechanical, pars plana approach; ",,,2350.0,13830.0,12
RC,361,"Vitrectomy, mechanical, pars plana approach; Complex Surgery",,,11754.0,11754.0,2
RC,361,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,2350.0,13830.0,12
RC,361,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,361,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,2350.0,13830.0,12
RC,361,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,361,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,2350.0,13830.0,14
RC,361,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,2350.0,13830.0,12
RC,361,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Complex Surgery",,,11754.0,11754.0,2
RC,361,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,2350.0,13830.0,14
RC,361,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,361,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,361,Vulvectomy simple; complete ,,,2050.0,8727.0,11
RC,361,Vulvectomy simple; complete Other Surgical Services,,,2850.0,2850.0,1
RC,361,Vulvectomy simple; partial ,,,2050.0,8727.0,11
RC,361,Vulvectomy simple; partial Other Surgical Services,,,2850.0,2850.0,1
RC,361,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,2050.0,8577.0,8
RC,361,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vulvectomy, radical, complete; ",,,2050.0,19295.0,11
RC,361,"Vulvectomy, radical, complete; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,2050.0,19295.0,11
RC,361,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,2050.0,19295.0,11
RC,361,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vulvectomy, radical, partial; ",,,2050.0,10719.0,8
RC,361,"Vulvectomy, radical, partial; Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,2050.0,19295.0,11
RC,361,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,2050.0,19295.0,11
RC,361,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,361,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,2050.0,10719.0,11
RC,361,"Wedge resection or bisection of ovary, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,361,Wound closure utilizing tissue adhesive(s) only ,,,1423.0,3251.0,4
RC,362, Operating Room Services Organ Transplant-Other than Kidney  ,,,2481.0,12100.0,10
RC,362,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,2702.0,11883.0,5
RC,362,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,2702.0,8392.0,5
RC,362,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,2702.0,11883.0,5
RC,362,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,2702.0,8392.0,5
RC,362,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2702.0,8392.0,5
RC,362,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2702.0,8392.0,5
RC,362,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,11000.0,11000.0,1
RC,362,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,11000.0,11000.0,1
RC,362,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,1423.0,1575.0,2
RC,362,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,1982.0,6802.0,5
RC,362,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,1982.0,6802.0,5
RC,362,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,2702.0,11883.0,5
RC,362,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,2702.0,6802.0,3
RC,362,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,2702.0,6802.0,3
RC,362,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,2702.0,6802.0,3
RC,362,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,2702.0,6802.0,3
RC,362,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,2702.0,11883.0,5
RC,362,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,2702.0,11883.0,5
RC,362,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,2702.0,11883.0,5
RC,362,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,2702.0,6802.0,3
RC,362,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,2702.0,6802.0,3
RC,362,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,2702.0,6802.0,3
RC,362,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,2702.0,6802.0,3
RC,362,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,2702.0,6802.0,3
RC,362,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2702.0,11883.0,3
RC,362,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,1575.0,17341.0,4
RC,362,"Adenoidectomy, primary; age 12 or over ",,,2702.0,6802.0,5
RC,362,"Adenoidectomy, primary; younger than age 12 ",,,2702.0,6802.0,5
RC,362,"Adenoidectomy, secondary; age 12 or over ",,,2702.0,6802.0,5
RC,362,"Adenoidectomy, secondary; younger than age 12 ",,,2702.0,6802.0,5
RC,362,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,2702.0,6802.0,3
RC,362,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,2702.0,6802.0,3
RC,362,Allogeneic lymphocyte infusions ,,,2702.0,6802.0,5
RC,362,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,2702.0,6802.0,5
RC,362,"Alveoloplasty, each quadrant (specify) ",,,2702.0,6802.0,5
RC,362,Amniocentesis; diagnostic ,,,1982.0,6802.0,5
RC,362,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,1423.0,6802.0,5
RC,362,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,6802.0,3
RC,362,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,6802.0,3
RC,362,Amputation of penis; complete ,,,2702.0,6802.0,5
RC,362,Amputation of penis; partial ,,,2702.0,8392.0,5
RC,362,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,2702.0,6802.0,3
RC,362,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,2702.0,6802.0,3
RC,362,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,2702.0,6802.0,3
RC,362,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,2702.0,6802.0,3
RC,362,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,2702.0,6802.0,3
RC,362,Anastomosis; facial-hypoglossal ,,,2702.0,6802.0,3
RC,362,Anastomosis; facial-spinal accessory ,,,2702.0,6802.0,3
RC,362,"Anoplasty, plastic operation for stricture; adult ",,,2702.0,6802.0,5
RC,362,"Anoplasty, plastic operation for stricture; infant ",,,2702.0,6802.0,3
RC,362,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,2702.0,6802.0,5
RC,362,Anorectal manometry ,,,1423.0,1575.0,2
RC,362,Anorectal myomectomy ,,,2702.0,6802.0,5
RC,362,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1423.0,6802.0,5
RC,362,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,1423.0,6802.0,5
RC,362,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,2702.0,6802.0,5
RC,362,"Anoscopy; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,362,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,2702.0,6802.0,5
RC,362,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,2702.0,6802.0,5
RC,362,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,362,Anoscopy; with removal of foreign body ,,,2702.0,6802.0,5
RC,362,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,2702.0,6802.0,5
RC,362,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,2702.0,6802.0,5
RC,362,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,2702.0,6802.0,5
RC,362,Antepartum care only; 4-6 visits ,,,2702.0,6802.0,3
RC,362,Antepartum care only; 7 or more visits ,,,2702.0,6802.0,3
RC,362,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,4963.0,8392.0,5
RC,362,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,2702.0,6802.0,5
RC,362,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,2702.0,6802.0,5
RC,362,Appendectomy; ,,,2702.0,8392.0,5
RC,362,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,2702.0,6802.0,3
RC,362,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,362,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1423.0,2194.0,4
RC,362,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1423.0,1575.0,2
RC,362,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1982.0,2194.0,2
RC,362,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1423.0,1575.0,2
RC,362,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2820.0,3120.0,2
RC,362,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1423.0,1575.0,2
RC,362,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1982.0,2194.0,2
RC,362,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,362,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,4963.0,11883.0,5
RC,362,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,2702.0,11883.0,5
RC,362,"Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown ",,,6826.0,17341.0,3
RC,362,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown ",,,6826.0,17341.0,3
RC,362,"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous ",,,6826.0,17341.0,3
RC,362,"Arterial puncture, withdrawal of blood for diagnosis ",,,2702.0,6802.0,3
RC,362,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,6826.0,17341.0,3
RC,362,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,6826.0,17341.0,3
RC,362,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,6826.0,23692.0,7
RC,362,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,6826.0,23692.0,7
RC,362,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1423.0,1575.0,2
RC,362,Artificial insemination; intra-cervical ,,,1423.0,6802.0,5
RC,362,Artificial insemination; intra-uterine ,,,1423.0,6802.0,5
RC,362,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,2702.0,6802.0,5
RC,362,"Aspiration and/or injection, thyroid cyst ",,,1982.0,6802.0,5
RC,362,Aspiration of bladder; by needle ,,,1423.0,6802.0,5
RC,362,Aspiration of bladder; by trocar or intracatheter ,,,1423.0,6802.0,5
RC,362,Aspiration of bladder; with insertion of suprapubic catheter ,,,2702.0,6802.0,5
RC,362,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,4963.0,6802.0,5
RC,362,Axillary lymphadenectomy; complete ,,,2702.0,11883.0,5
RC,362,Axillary lymphadenectomy; superficial ,,,2702.0,11883.0,5
RC,362,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,11000.0,11000.0,1
RC,362,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,11000.0,11000.0,1
RC,362,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,11000.0,11000.0,1
RC,362,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,362,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,11000.0,11000.0,1
RC,362,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,11000.0,11000.0,1
RC,362,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,11000.0,11000.0,1
RC,362,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,11000.0,11000.0,1
RC,362,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,362,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11000.0,11000.0,1
RC,362,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,11000.0,11000.0,1
RC,362,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,362,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,2702.0,6802.0,3
RC,362,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,2702.0,6802.0,3
RC,362,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,2702.0,6802.0,3
RC,362,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,2702.0,6802.0,3
RC,362,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,2702.0,6802.0,3
RC,362,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,2702.0,6802.0,3
RC,362,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,2702.0,6802.0,3
RC,362,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,2702.0,6802.0,3
RC,362,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,2702.0,6802.0,3
RC,362,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,2702.0,6802.0,3
RC,362,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,2702.0,6802.0,9
RC,362,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,2702.0,6802.0,3
RC,362,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,2702.0,6802.0,3
RC,362,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,2702.0,23692.0,7
RC,362,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,2702.0,6802.0,3
RC,362,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,1423.0,6802.0,5
RC,362,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,1423.0,6802.0,5
RC,362,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,2702.0,6802.0,3
RC,362,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,2702.0,6802.0,3
RC,362,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,2702.0,6802.0,3
RC,362,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,2702.0,6802.0,3
RC,362,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,1982.0,6802.0,5
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,2702.0,11883.0,5
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,2702.0,11883.0,5
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,2702.0,6802.0,5
RC,362,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,2702.0,6802.0,5
RC,362,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,2702.0,6802.0,5
RC,362,Biopsy external auditory canal ,,,2702.0,6802.0,5
RC,362,Biopsy external ear ,,,1423.0,6802.0,5
RC,362,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,2702.0,6802.0,5
RC,362,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,1982.0,6802.0,5
RC,362,Biopsy of conjunctiva ,,,1982.0,6802.0,5
RC,362,Biopsy of cornea ,,,1982.0,6802.0,5
RC,362,"Biopsy of epididymis, needle ",,,1982.0,6802.0,5
RC,362,Biopsy of extraocular muscle ,,,2702.0,6802.0,5
RC,362,Biopsy of floor of mouth ,,,1982.0,6802.0,5
RC,362,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,2702.0,6802.0,5
RC,362,Biopsy of lacrimal gland ,,,2702.0,6802.0,5
RC,362,Biopsy of lacrimal sac ,,,2702.0,6802.0,5
RC,362,Biopsy of lip ,,,1423.0,6802.0,5
RC,362,"Biopsy of liver, needle; percutaneous ",,,2702.0,6802.0,5
RC,362,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,"Biopsy of liver, wedge ",,,2702.0,6802.0,3
RC,362,Biopsy of nerve ,,,2702.0,6802.0,5
RC,362,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Biopsy of palate, uvula ",,,1982.0,6802.0,5
RC,362,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,2702.0,6802.0,3
RC,362,"Biopsy of pancreas, percutaneous needle ",,,2702.0,6802.0,5
RC,362,Biopsy of penis; (separate procedure) ,,,2702.0,6802.0,5
RC,362,Biopsy of penis; deep structures ,,,2702.0,6802.0,5
RC,362,Biopsy of salivary gland; incisional ,,,2702.0,6802.0,5
RC,362,Biopsy of salivary gland; needle ,,,1982.0,6802.0,5
RC,362,"Biopsy of spinal cord, percutaneous needle ",,,2702.0,6802.0,5
RC,362,"Biopsy of stomach, by laparotomy ",,,2702.0,6802.0,5
RC,362,"Biopsy of testis, incisional (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Biopsy of testis, needle (separate procedure) ",,,2702.0,6802.0,5
RC,362,Biopsy of tongue; anterior two-thirds ,,,1982.0,6802.0,5
RC,362,Biopsy of tongue; posterior one-third ,,,2702.0,6802.0,5
RC,362,Biopsy of urethra ,,,2702.0,6802.0,5
RC,362,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,2702.0,6802.0,5
RC,362,Biopsy of vaginal mucosa; simple (separate procedure) ,,,1982.0,6802.0,5
RC,362,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,1982.0,6802.0,5
RC,362,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,362,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,2820.0,6802.0,5
RC,362,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,4963.0,13830.0,9
RC,362,"Biopsy or excision of lymph node(s); open, deep axillary node(s) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,4963.0,13830.0,9
RC,362,"Biopsy or excision of lymph node(s); open, deep cervical node(s) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,4963.0,13830.0,9
RC,362,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Complex Surgery",,,11754.0,11754.0,2
RC,362,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,2702.0,6802.0,3
RC,362,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,2702.0,6802.0,5
RC,362,"Biopsy or excision of lymph node(s); open, superficial ",,,4963.0,6802.0,5
RC,362,"Biopsy thyroid, percutaneous core needle ",,,1982.0,6802.0,5
RC,362,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,2702.0,6802.0,5
RC,362,"Biopsy, prostate, any approach, nonimaging-guided ",,,2702.0,6802.0,5
RC,362,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,2702.0,6802.0,3
RC,362,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,2702.0,6802.0,3
RC,362,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2702.0,6802.0,3
RC,362,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,2702.0,6802.0,3
RC,362,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2702.0,6802.0,3
RC,362,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2702.0,6802.0,3
RC,362,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,2702.0,6802.0,3
RC,362,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2702.0,6802.0,3
RC,362,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,2820.0,3120.0,2
RC,362,"Biopsy, vestibule of mouth ",,,1423.0,6802.0,5
RC,362,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,2702.0,6802.0,5
RC,362,"Biopsy; nasopharynx, visible lesion, simple ",,,2702.0,6802.0,5
RC,362,Biopsy; oropharynx ,,,1982.0,6802.0,5
RC,362,Bladder instillation of anticarcinogenic agent (including retention time) ,,,1423.0,6802.0,5
RC,362,"Bladder irrigation, simple, lavage and/or instillation ",,,1423.0,6802.0,5
RC,362,"Blepharotomy, drainage of abscess, eyelid ",,,1423.0,6802.0,5
RC,362,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,10737.0,11883.0,2
RC,362,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,12038.0,4
RC,362,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,1423.0,6802.0,5
RC,362,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,2702.0,6802.0,5
RC,362,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,1423.0,1575.0,2
RC,362,Bone marrow harvesting for transplantation; allogeneic ,,,2702.0,8392.0,5
RC,362,Bone marrow harvesting for transplantation; autologous ,,,2702.0,8392.0,5
RC,362,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1423.0,1575.0,2
RC,362,Bundle of His recording ,,,6826.0,17341.0,3
RC,362,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,2702.0,6802.0,3
RC,362,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,2702.0,6802.0,3
RC,362,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,2702.0,6802.0,3
RC,362,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,2702.0,6802.0,3
RC,362,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,2702.0,6802.0,3
RC,362,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,2702.0,6802.0,3
RC,362,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,2702.0,6802.0,3
RC,362,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,2702.0,6802.0,3
RC,362,CERVICAL SPINAL FUSION WITH CC ,,,11000.0,11000.0,1
RC,362,CERVICAL SPINAL FUSION WITH MCC ,,,11000.0,11000.0,1
RC,362,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,1423.0,1575.0,2
RC,362,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,11000.0,11000.0,1
RC,362,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,8392.0,2
RC,362,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,7583.0,8392.0,2
RC,362,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,8392.0,2
RC,362,COMPLICATED PEPTIC ULCER WITH CC ,,,11000.0,11000.0,1
RC,362,CONNECTIVE TISSUE DISORDERS WITH CC ,,,11000.0,11000.0,1
RC,362,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,11000.0,11000.0,1
RC,362,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,362,"Cannulation, thoracic duct ",,,1423.0,6802.0,5
RC,362,Canthoplasty (reconstruction of canthus) ,,,2702.0,6802.0,5
RC,362,Canthotomy (separate procedure) ,,,2702.0,6802.0,5
RC,362,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,1423.0,1575.0,2
RC,362,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1982.0,2194.0,2
RC,362,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1982.0,2194.0,2
RC,362,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,9333.0,12038.0,4
RC,362,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,9333.0,12038.0,4
RC,362,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,9333.0,12038.0,16
RC,362,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,9333.0,12038.0,12
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,9333.0,12038.0,12
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,12038.0,8
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,9333.0,12038.0,12
RC,362,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,12038.0,4
RC,362,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,1423.0,6802.0,5
RC,362,"Catheterization of umbilical vein for diagnosis or therapy, newborn ",,,1423.0,6802.0,5
RC,362,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2702.0,6802.0,3
RC,362,"Catheterization, umbilical artery, newborn, for diagnosis or therapy ",,,6826.0,17341.0,3
RC,362,"Cautery of cervix; cryocautery, initial or repeat ",,,1423.0,6802.0,5
RC,362,Cautery of cervix; electro or thermal ,,,2702.0,6802.0,5
RC,362,Cautery of cervix; laser ablation ,,,2702.0,6802.0,5
RC,362,"Cerclage of cervix, during pregnancy; abdominal ",,,2702.0,6802.0,3
RC,362,"Cerclage of cervix, during pregnancy; vaginal ",,,2702.0,6802.0,5
RC,362,"Cerclage of uterine cervix, nonobstetrical ",,,2702.0,6802.0,5
RC,362,Cervical lymphadenectomy (complete) ,,,2702.0,6802.0,5
RC,362,Cervical lymphadenectomy (modified radical neck dissection) ,,,2702.0,6802.0,3
RC,362,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,2702.0,6802.0,3
RC,362,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,2702.0,6802.0,3
RC,362,Cesarean delivery only; ,,,2702.0,6802.0,3
RC,362,Cesarean delivery only; including postpartum care ,,,2702.0,6802.0,3
RC,362,Change of cystostomy tube; complicated ,,,1982.0,6802.0,5
RC,362,Change of cystostomy tube; simple ,,,1423.0,6802.0,5
RC,362,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,2702.0,6802.0,5
RC,362,Chemodenervation of eccrine glands; both axillae ,,,1423.0,6802.0,5
RC,362,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,1423.0,6802.0,5
RC,362,Chemodenervation of extraocular muscle ,,,1423.0,6802.0,5
RC,362,Chemodenervation of internal anal sphincter ,,,2702.0,6802.0,5
RC,362,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,1982.0,6802.0,5
RC,362,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,1423.0,6802.0,5
RC,362,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,1423.0,6802.0,5
RC,362,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,1982.0,6802.0,5
RC,362,Chemodenervation of one extremity; 1-4 muscle(s) ,,,1982.0,6802.0,5
RC,362,Chemodenervation of one extremity; 5 or more muscles ,,,1982.0,6802.0,5
RC,362,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,1423.0,6802.0,5
RC,362,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,1982.0,6802.0,5
RC,362,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,1982.0,6802.0,5
RC,362,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,2702.0,6802.0,3
RC,362,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,2702.0,6802.0,3
RC,362,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,2702.0,6802.0,3
RC,362,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,2702.0,6802.0,3
RC,362,Cholecystectomy with exploration of common duct; ,,,4963.0,6802.0,3
RC,362,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,4963.0,6802.0,3
RC,362,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,4963.0,6802.0,3
RC,362,Cholecystectomy; ,,,4963.0,13830.0,7
RC,362,Cholecystectomy; Complex Surgery,,,11754.0,11754.0,2
RC,362,Cholecystectomy; with cholangiography ,,,4963.0,6802.0,3
RC,362,Cholecystoenterostomy; Roux-en-Y ,,,2702.0,6802.0,3
RC,362,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,2702.0,6802.0,3
RC,362,Cholecystoenterostomy; direct ,,,2702.0,6802.0,3
RC,362,Cholecystoenterostomy; with gastroenterostomy ,,,2702.0,6802.0,3
RC,362,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,2702.0,6802.0,5
RC,362,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,2702.0,6802.0,3
RC,362,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,2702.0,6802.0,3
RC,362,"Chorionic villus sampling, any method ",,,1982.0,6802.0,5
RC,362,"Chromotubation of oviduct, including materials ",,,4963.0,8392.0,5
RC,362,Ciliary body destruction; cryotherapy ,,,2702.0,6802.0,5
RC,362,Ciliary body destruction; cyclodialysis ,,,2702.0,6802.0,5
RC,362,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,2702.0,6802.0,5
RC,362,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,2702.0,6802.0,5
RC,362,Ciliary body destruction; diathermy ,,,2702.0,6802.0,5
RC,362,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,2702.0,6802.0,5
RC,362,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,4963.0,6802.0,5
RC,362,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,2702.0,6802.0,5
RC,362,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,1982.0,6802.0,5
RC,362,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,2702.0,6802.0,5
RC,362,Clitoroplasty for intersex state ,,,2702.0,6802.0,5
RC,362,Closure of anal fistula with rectal advancement flap ,,,2702.0,8392.0,5
RC,362,Closure of cystostomy (separate procedure) ,,,2702.0,6802.0,5
RC,362,Closure of enteroenteric or enterocolic fistula ,,,2702.0,6802.0,3
RC,362,"Closure of enterostomy, large or small intestine; ",,,2702.0,6802.0,3
RC,362,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,2702.0,6802.0,3
RC,362,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,2702.0,6802.0,3
RC,362,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,2702.0,6802.0,3
RC,362,Closure of enterovesical fistula; without intestinal or bladder resection ,,,2702.0,6802.0,3
RC,362,Closure of esophagostomy or fistula; cervical approach ,,,2702.0,6802.0,5
RC,362,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,2702.0,6802.0,3
RC,362,Closure of gastrocolic fistula ,,,2702.0,6802.0,3
RC,362,"Closure of gastrostomy, surgical ",,,2702.0,6802.0,5
RC,362,Closure of intestinal cutaneous fistula ,,,2702.0,6802.0,3
RC,362,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,1423.0,6802.0,5
RC,362,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,1982.0,6802.0,5
RC,362,Closure of lacrimal fistula (separate procedure) ,,,1982.0,6802.0,5
RC,362,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1982.0,6802.0,5
RC,362,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,2702.0,6802.0,3
RC,362,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,2702.0,6802.0,3
RC,362,Closure of rectourethral fistula; ,,,2702.0,6802.0,3
RC,362,Closure of rectourethral fistula; with colostomy ,,,2702.0,6802.0,3
RC,362,Closure of rectovaginal fistula; abdominal approach ,,,4963.0,6802.0,3
RC,362,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,4963.0,6802.0,3
RC,362,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,4963.0,6802.0,5
RC,362,Closure of rectovaginal fistula; vaginal or transanal approach ,,,4963.0,6802.0,5
RC,362,Closure of rectovesical fistula; ,,,2702.0,6802.0,3
RC,362,Closure of rectovesical fistula; with colostomy ,,,2702.0,6802.0,3
RC,362,"Closure of the lacrimal punctum; by plug, each ",,,1423.0,6802.0,5
RC,362,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,1423.0,6802.0,5
RC,362,Closure of ureterocutaneous fistula ,,,2702.0,6802.0,3
RC,362,Closure of ureterovisceral fistula (including visceral repair) ,,,2702.0,6802.0,3
RC,362,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,2702.0,8392.0,5
RC,362,Closure of urethrovaginal fistula; ,,,4963.0,11883.0,5
RC,362,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,4963.0,8392.0,5
RC,362,Closure of vesicouterine fistula; ,,,2702.0,6802.0,5
RC,362,Closure of vesicouterine fistula; with hysterectomy ,,,2702.0,6802.0,3
RC,362,"Closure of vesicovaginal fistula, abdominal approach ",,,2702.0,8392.0,5
RC,362,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,4963.0,8392.0,5
RC,362,Closure of vesicovaginal fistula; vaginal approach ,,,4963.0,8392.0,5
RC,362,"Closure postauricular fistula, mastoid (separate procedure) ",,,2702.0,6802.0,5
RC,362,Closure salivary fistula ,,,2702.0,6802.0,5
RC,362,"Closure, exstrophy of bladder ",,,2702.0,6802.0,3
RC,362,"Cochlear device implantation, with or without mastoidectomy ",,,4963.0,16738.0,9
RC,362,"Cochlear device implantation, with or without mastoidectomy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,2702.0,6802.0,3
RC,362,"Colectomy, partial; abdominal and transanal approach ",,,2702.0,6802.0,3
RC,362,"Colectomy, partial; with anastomosis ",,,2702.0,6802.0,3
RC,362,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,2702.0,6802.0,3
RC,362,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,2702.0,6802.0,3
RC,362,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,2702.0,6802.0,3
RC,362,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,2702.0,6802.0,3
RC,362,"Colectomy, partial; with skin level cecostomy or colostomy ",,,2702.0,6802.0,3
RC,362,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,2702.0,6802.0,3
RC,362,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,2702.0,6802.0,3
RC,362,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,2702.0,6802.0,3
RC,362,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,2702.0,6802.0,3
RC,362,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,2702.0,6802.0,3
RC,362,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,2702.0,6802.0,3
RC,362,Collection of blood specimen from a completely implantable venous access device ,,,2702.0,17341.0,3
RC,362,"Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified ",,,2702.0,17341.0,3
RC,362,"Collection of capillary blood specimen (eg, finger, heel, ear stick) ",,,2702.0,2702.0,1
RC,362,Collection of venous blood by venipuncture ,,,2702.0,2702.0,1
RC,362,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1423.0,1575.0,2
RC,362,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,362,"Colonoscopy through stoma; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,362,"Colonoscopy through stoma; with control of bleeding, any method ",,,2702.0,6802.0,5
RC,362,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2702.0,6802.0,5
RC,362,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,5
RC,362,Colonoscopy through stoma; with endoscopic mucosal resection ,,,2702.0,6802.0,5
RC,362,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,362,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,2702.0,6802.0,5
RC,362,Colonoscopy through stoma; with removal of foreign body(s) ,,,2702.0,6802.0,5
RC,362,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2702.0,6802.0,5
RC,362,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,5
RC,362,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,2702.0,6802.0,5
RC,362,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with control of bleeding, any method ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with removal of foreign body(s) ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,2702.0,6802.0,5
RC,362,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,2702.0,6802.0,5
RC,362,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1982.0,2194.0,2
RC,362,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1982.0,2194.0,2
RC,362,Colorectal cancer screening; flexible sigmoidoscopy ,,,1982.0,2194.0,2
RC,362,Colostomy or skin level cecostomy; ,,,2702.0,6802.0,3
RC,362,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,2702.0,6802.0,3
RC,362,Colpocentesis (separate procedure) ,,,2702.0,6802.0,5
RC,362,Colpocleisis (Le Fort type) ,,,2702.0,8392.0,5
RC,362,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,4963.0,6802.0,5
RC,362,"Colpopexy, abdominal approach ",,,4963.0,6802.0,5
RC,362,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,4963.0,11883.0,5
RC,362,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,4963.0,11883.0,5
RC,362,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,4963.0,6802.0,5
RC,362,Colposcopy of the cervix including upper/adjacent vagina; ,,,1423.0,6802.0,5
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,1423.0,6802.0,5
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,1423.0,6802.0,5
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,1423.0,6802.0,5
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,2702.0,6802.0,5
RC,362,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,2702.0,6802.0,5
RC,362,"Colposcopy of the entire vagina, with cervix if present; ",,,1423.0,6802.0,5
RC,362,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,1982.0,6802.0,5
RC,362,Colposcopy of the vulva; ,,,1423.0,6802.0,5
RC,362,Colposcopy of the vulva; with biopsy(s) ,,,1423.0,6802.0,5
RC,362,Colpotomy; with drainage of pelvic abscess ,,,2702.0,6802.0,5
RC,362,Colpotomy; with exploration ,,,2702.0,6802.0,5
RC,362,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,4963.0,8392.0,5
RC,362,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,4963.0,11883.0,5
RC,362,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,362,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,362,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,1982.0,6802.0,5
RC,362,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,1982.0,6802.0,5
RC,362,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,1982.0,6802.0,5
RC,362,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,1982.0,6802.0,5
RC,362,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,1423.0,6802.0,5
RC,362,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,17341.0,3
RC,362,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,17341.0,3
RC,362,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,7
RC,362,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,16
RC,362,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,7
RC,362,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,8
RC,362,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,2702.0,6802.0,3
RC,362,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,2702.0,6802.0,5
RC,362,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,2702.0,6802.0,5
RC,362,Conjunctival flap; bridge or partial (separate procedure) ,,,2702.0,8392.0,5
RC,362,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,2702.0,6802.0,5
RC,362,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,2702.0,6802.0,5
RC,362,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,2702.0,8392.0,5
RC,362,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,2702.0,8392.0,5
RC,362,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,2702.0,6802.0,5
RC,362,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,2702.0,6802.0,5
RC,362,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,2702.0,8392.0,5
RC,362,Construction of artificial vagina; with graft ,,,4963.0,8392.0,5
RC,362,Construction of artificial vagina; without graft ,,,4963.0,6802.0,5
RC,362,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,2702.0,6802.0,5
RC,362,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,2702.0,6802.0,5
RC,362,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,2702.0,6802.0,3
RC,362,Continent ileostomy (Kock procedure) (separate procedure) ,,,2702.0,6802.0,3
RC,362,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1423.0,1575.0,2
RC,362,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,1423.0,6802.0,5
RC,362,"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report ",,,6826.0,23692.0,7
RC,362,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,1423.0,6802.0,5
RC,362,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,2702.0,6802.0,3
RC,362,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,1423.0,6802.0,5
RC,362,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,2702.0,6802.0,5
RC,362,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,2702.0,6802.0,3
RC,362,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,1423.0,6802.0,5
RC,362,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,2702.0,6802.0,5
RC,362,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,2702.0,8392.0,5
RC,362,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,5
RC,362,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,1982.0,6802.0,5
RC,362,"Cordocentesis (intrauterine), any method ",,,1423.0,6802.0,5
RC,362,Corneal relaxing incision for correction of surgically induced astigmatism ,,,1982.0,6802.0,5
RC,362,Corneal wedge resection for correction of surgically induced astigmatism ,,,2702.0,6802.0,5
RC,362,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,4963.0,6802.0,3
RC,362,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,4963.0,8392.0,5
RC,362,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,4963.0,8392.0,5
RC,362,"Correction of everted punctum, cautery ",,,1423.0,6802.0,5
RC,362,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,2702.0,6802.0,5
RC,362,Correction of lid retraction ,,,2702.0,6802.0,5
RC,362,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,2702.0,6802.0,3
RC,362,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,1423.0,6802.0,5
RC,362,"Correction of trichiasis; epilation, by forceps only ",,,1423.0,6802.0,5
RC,362,Correction of trichiasis; incision of lid margin ,,,1982.0,6802.0,5
RC,362,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,2702.0,6802.0,5
RC,362,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,1423.0,6802.0,5
RC,362,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,4963.0,11883.0,5
RC,362,Craniectomy for craniosynostosis; multiple cranial sutures ,,,2702.0,6802.0,3
RC,362,Craniectomy for craniosynostosis; single cranial suture ,,,2702.0,6802.0,3
RC,362,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,2702.0,6802.0,3
RC,362,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,2702.0,6802.0,3
RC,362,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,2702.0,6802.0,3
RC,362,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,2702.0,6802.0,3
RC,362,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,2702.0,6802.0,3
RC,362,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,2702.0,6802.0,3
RC,362,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,2702.0,6802.0,3
RC,362,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,2702.0,6802.0,3
RC,362,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,2702.0,6802.0,3
RC,362,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,2702.0,6802.0,3
RC,362,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,2702.0,6802.0,3
RC,362,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,2702.0,6802.0,3
RC,362,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,2702.0,6802.0,3
RC,362,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,2702.0,6802.0,3
RC,362,"Craniectomy or craniotomy, exploratory; supratentorial ",,,2702.0,6802.0,3
RC,362,Craniectomy or craniotomy; with excision of foreign body from brain ,,,2702.0,6802.0,3
RC,362,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,2702.0,6802.0,3
RC,362,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,2702.0,6802.0,3
RC,362,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,2702.0,6802.0,3
RC,362,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,2702.0,6802.0,3
RC,362,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,2702.0,6802.0,3
RC,362,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,2702.0,6802.0,3
RC,362,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,2702.0,6802.0,3
RC,362,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,2702.0,6802.0,3
RC,362,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,2702.0,6802.0,3
RC,362,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,2702.0,6802.0,3
RC,362,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,2702.0,6802.0,3
RC,362,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,2702.0,6802.0,3
RC,362,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,2702.0,6802.0,3
RC,362,Craniectomy; for osteomyelitis ,,,2702.0,6802.0,3
RC,362,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2702.0,11883.0,5
RC,362,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,2702.0,6802.0,3
RC,362,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,2702.0,6802.0,3
RC,362,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,2702.0,6802.0,3
RC,362,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,2702.0,6802.0,3
RC,362,Cranioplasty for skull defect with reparative brain surgery ,,,2702.0,6802.0,3
RC,362,Cranioplasty for skull defect; larger than 5 cm diameter ,,,2702.0,6802.0,3
RC,362,Cranioplasty for skull defect; up to 5 cm diameter ,,,2702.0,6802.0,3
RC,362,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,2702.0,6802.0,3
RC,362,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,2702.0,6802.0,3
RC,362,Craniotomy for craniosynostosis; bifrontal bone flap ,,,2702.0,6802.0,3
RC,362,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,2702.0,6802.0,3
RC,362,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,2702.0,6802.0,3
RC,362,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,2702.0,6802.0,3
RC,362,"Craniotomy for repair of encephalocele, skull base ",,,2702.0,6802.0,3
RC,362,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,2702.0,6802.0,3
RC,362,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,2702.0,6802.0,3
RC,362,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,2702.0,6802.0,3
RC,362,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,2702.0,6802.0,3
RC,362,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,2702.0,6802.0,3
RC,362,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,2702.0,6802.0,3
RC,362,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,2702.0,6802.0,3
RC,362,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,2702.0,6802.0,3
RC,362,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,2702.0,6802.0,3
RC,362,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,2702.0,6802.0,3
RC,362,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,2702.0,6802.0,3
RC,362,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,2702.0,6802.0,3
RC,362,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,2702.0,6802.0,3
RC,362,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,2702.0,6802.0,3
RC,362,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,6826.0,17341.0,3
RC,362,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,6826.0,17341.0,3
RC,362,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,2702.0,8392.0,5
RC,362,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,2702.0,6802.0,3
RC,362,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,2702.0,6802.0,5
RC,362,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,2702.0,6802.0,5
RC,362,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,4963.0,6802.0,5
RC,362,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,2702.0,6802.0,3
RC,362,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,2702.0,8392.0,5
RC,362,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,2702.0,6802.0,3
RC,362,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,2702.0,6802.0,3
RC,362,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,2702.0,6802.0,3
RC,362,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,2702.0,6802.0,3
RC,362,Cricopharyngeal myotomy ,,,2702.0,11883.0,5
RC,362,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,2702.0,14122.0,9
RC,362,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Complex Surgery,,,11754.0,11754.0,2
RC,362,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,2702.0,6802.0,5
RC,362,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,1982.0,6802.0,5
RC,362,"Curettage, postpartum ",,,2702.0,6802.0,5
RC,362,Cutaneous appendico-vesicostomy ,,,2702.0,6802.0,3
RC,362,Cutaneous vesicostomy ,,,2702.0,6802.0,5
RC,362,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,2702.0,6802.0,3
RC,362,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,2702.0,6802.0,3
RC,362,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,6802.0,3
RC,362,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,2702.0,6802.0,3
RC,362,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,6802.0,3
RC,362,"Cystectomy, complete; (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,6802.0,3
RC,362,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,2702.0,6802.0,3
RC,362,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,2702.0,6802.0,3
RC,362,"Cystectomy, partial; simple ",,,2702.0,6802.0,3
RC,362,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,2702.0,6802.0,5
RC,362,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2702.0,6802.0,3
RC,362,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,2702.0,8392.0,5
RC,362,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,2702.0,6802.0,5
RC,362,"Cystostomy, cystotomy with drainage ",,,2702.0,6802.0,5
RC,362,"Cystotomy for excision, incision, or repair of ureterocele ",,,2702.0,6802.0,5
RC,362,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,2702.0,6802.0,5
RC,362,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,5360.0,5933.0,2
RC,362,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,2702.0,6802.0,5
RC,362,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,1982.0,6802.0,5
RC,362,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,2702.0,8392.0,5
RC,362,Cystotomy; for excision of bladder tumor ,,,2702.0,8392.0,5
RC,362,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,2702.0,6802.0,5
RC,362,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2702.0,6802.0,3
RC,362,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,4963.0,15409.0,7
RC,362,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,4963.0,13830.0,9
RC,362,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Complex Surgery",,,11754.0,11754.0,2
RC,362,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,4963.0,13830.0,9
RC,362,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Complex Surgery,,,11754.0,11754.0,2
RC,362,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,4963.0,13830.0,9
RC,362,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Complex Surgery,,,11754.0,11754.0,2
RC,362,Cystourethroscopy (separate procedure) ,,,1982.0,6802.0,5
RC,362,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,2820.0,6802.0,5
RC,362,Cystourethroscopy with direct vision internal urethrotomy ,,,4963.0,6802.0,5
RC,362,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,2702.0,6802.0,5
RC,362,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,2702.0,6802.0,3
RC,362,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2702.0,6802.0,3
RC,362,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,4963.0,13830.0,9
RC,362,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Complex Surgery",,,11754.0,11754.0,2
RC,362,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,2820.0,6802.0,5
RC,362,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,2702.0,6802.0,5
RC,362,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,9
RC,362,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,9
RC,362,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,9
RC,362,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Cystourethroscopy, with biopsy(s) ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,2820.0,6802.0,5
RC,362,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,2820.0,6802.0,5
RC,362,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,1982.0,6802.0,5
RC,362,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,1982.0,6802.0,5
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,2820.0,6802.0,5
RC,362,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder Complex Surgery",,,11754.0,11754.0,2
RC,362,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,4963.0,13830.0,9
RC,362,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,1423.0,6802.0,5
RC,362,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1423.0,6802.0,5
RC,362,"Cystourethroscopy, with insertion of permanent urethral stent ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5360.0,5933.0,2
RC,362,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,10737.0,11883.0,2
RC,362,"Cystourethroscopy, with internal urethrotomy; female ",,,2820.0,6802.0,5
RC,362,"Cystourethroscopy, with internal urethrotomy; male ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,4963.0,6802.0,3
RC,362,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,2820.0,6802.0,5
RC,362,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy, with steroid injection into stricture ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,4963.0,13830.0,9
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Complex Surgery",,,11754.0,11754.0,2
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,4963.0,13830.0,9
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion Complex Surgery",,,11754.0,11754.0,2
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2702.0,15409.0,5
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2702.0,15409.0,9
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,4963.0,13830.0,9
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,4963.0,13830.0,9
RC,362,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Complex Surgery",,,11754.0,11754.0,2
RC,362,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,4963.0,6802.0,5
RC,362,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,9
RC,362,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,9
RC,362,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,9
RC,362,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,4963.0,6802.0,5
RC,362,DIGESTIVE MALIGNANCY WITH CC ,,,11000.0,11000.0,1
RC,362,DIGESTIVE MALIGNANCY WITH MCC ,,,11000.0,11000.0,1
RC,362,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,11000.0,11000.0,1
RC,362,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,11000.0,11000.0,1
RC,362,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11000.0,11000.0,1
RC,362,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,11000.0,11000.0,1
RC,362,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,362,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,2702.0,8392.0,5
RC,362,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,1423.0,1575.0,4
RC,362,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,1982.0,6802.0,5
RC,362,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,1423.0,6802.0,5
RC,362,Declotting by thrombolytic agent of implanted vascular access device or catheter ,,,6826.0,17341.0,3
RC,362,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,2702.0,11883.0,5
RC,362,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,2702.0,11883.0,5
RC,362,Decompression internal auditory canal ,,,2702.0,11883.0,5
RC,362,"Decompression of orbit only, transcranial approach ",,,2702.0,11883.0,5
RC,362,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,2702.0,8392.0,5
RC,362,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,2702.0,6802.0,3
RC,362,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,2702.0,6802.0,3
RC,362,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,2702.0,6802.0,3
RC,362,Decompression; plantar digital nerve ,,,2702.0,6802.0,5
RC,362,Decompression; unspecified nerve(s) (specify) ,,,2702.0,6802.0,5
RC,362,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,2702.0,6802.0,5
RC,362,Deligation of ureter ,,,2702.0,6802.0,3
RC,362,Delivery of placenta (separate procedure) ,,,2702.0,6802.0,5
RC,362,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2820.0,3120.0,2
RC,362,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,362,"Destruction by neurolytic agent, intercostal nerve ",,,2702.0,6802.0,5
RC,362,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,1423.0,6802.0,5
RC,362,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,2702.0,6802.0,5
RC,362,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,1423.0,6802.0,5
RC,362,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,2702.0,6802.0,5
RC,362,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,2702.0,6802.0,5
RC,362,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,2702.0,6802.0,5
RC,362,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,2702.0,6802.0,5
RC,362,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,2702.0,6802.0,5
RC,362,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,1982.0,6802.0,5
RC,362,Destruction by neurolytic agent; other peripheral nerve or branch ,,,1982.0,6802.0,5
RC,362,Destruction by neurolytic agent; plantar common digital nerve ,,,1423.0,6802.0,5
RC,362,Destruction by neurolytic agent; pudendal nerve ,,,1982.0,6802.0,5
RC,362,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,1982.0,6802.0,5
RC,362,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,4963.0,13830.0,9
RC,362,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,1982.0,6802.0,5
RC,362,"Destruction of lesion (except excision), dentoalveolar structures ",,,2702.0,6802.0,5
RC,362,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,1423.0,6802.0,5
RC,362,Destruction of lesion of lid margin (up to 1 cm) ,,,1982.0,6802.0,5
RC,362,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,2702.0,6802.0,5
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,5
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,6802.0,5
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,6802.0,5
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2702.0,6802.0,5
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2702.0,6802.0,5
RC,362,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2702.0,6802.0,5
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,5
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,6802.0,5
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,6802.0,5
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2702.0,6802.0,5
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2702.0,6802.0,5
RC,362,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2702.0,6802.0,5
RC,362,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,5
RC,362,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,5
RC,362,"Destruction of lesion, conjunctiva ",,,2702.0,6802.0,5
RC,362,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,2702.0,6802.0,5
RC,362,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,1982.0,13830.0,9
RC,362,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions Complex Surgery",,,11754.0,11754.0,2
RC,362,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,1982.0,13830.0,9
RC,362,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1423.0,13830.0,9
RC,362,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) Compl",,,11754.0,11754.0,2
RC,362,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1982.0,2194.0,2
RC,362,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,1423.0,13830.0,9
RC,362,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,1982.0,13830.0,9
RC,362,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,362,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,4963.0,13830.0,9
RC,362,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,2702.0,6802.0,5
RC,362,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,5
RC,362,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,5
RC,362,Diagnostic bone marrow; aspiration(s) ,,,1982.0,6802.0,5
RC,362,Diagnostic bone marrow; biopsy(ies) ,,,1982.0,6802.0,5
RC,362,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,2702.0,6802.0,3
RC,362,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,1423.0,6802.0,5
RC,362,Diaphragm or cervical cap fitting with instructions ,,,1423.0,6802.0,5
RC,362,"Dilation and catheterization of salivary duct, with or without injection ",,,1423.0,6802.0,5
RC,362,Dilation and curettage of cervical stump ,,,2702.0,6802.0,5
RC,362,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,2702.0,6802.0,5
RC,362,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,2702.0,6802.0,5
RC,362,"Dilation of cervical canal, instrumental (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,2702.0,6802.0,5
RC,362,"Dilation of esophagus, over guide wire ",,,2702.0,6802.0,5
RC,362,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,2702.0,6802.0,6
RC,362,Dilation of female urethra including suppository and/or instillation; initial ,,,1423.0,6802.0,5
RC,362,Dilation of female urethra including suppository and/or instillation; subsequent ,,,1423.0,6802.0,5
RC,362,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,2702.0,6802.0,5
RC,362,"Dilation of lacrimal punctum, with or without irrigation ",,,1423.0,6802.0,5
RC,362,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,2702.0,6802.0,5
RC,362,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,1982.0,6802.0,5
RC,362,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,1423.0,6802.0,5
RC,362,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,1423.0,6802.0,5
RC,362,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,1423.0,6802.0,5
RC,362,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,2702.0,6802.0,5
RC,362,Dilation of vagina under anesthesia (other than local) ,,,2702.0,6802.0,5
RC,362,Dilation salivary duct ,,,2702.0,6802.0,5
RC,362,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1423.0,6802.0,5
RC,362,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,4963.0,11883.0,5
RC,362,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,4963.0,6802.0,3
RC,362,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,4963.0,6802.0,3
RC,362,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,1982.0,6802.0,5
RC,362,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,1423.0,6802.0,5
RC,362,"Discission of vitreous strands (without removal), pars plana approach ",,,4963.0,6802.0,5
RC,362,"Dissection, deep jugular node(s) ",,,2702.0,11883.0,5
RC,362,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,6826.0,17341.0,3
RC,362,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,2702.0,11883.0,5
RC,362,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,2702.0,6802.0,3
RC,362,Division of stricture of rectum ,,,2702.0,6802.0,5
RC,362,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,2702.0,6802.0,3
RC,362,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,2702.0,6802.0,3
RC,362,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,2702.0,6802.0,3
RC,362,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,2702.0,6802.0,3
RC,362,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,2702.0,6802.0,3
RC,362,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,2702.0,6802.0,3
RC,362,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,2702.0,6802.0,3
RC,362,"Donor nephrectomy (including cold preservation); open, from living donor ",,,2702.0,6802.0,3
RC,362,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,2702.0,6802.0,3
RC,362,"Drainage external auditory canal, abscess ",,,1423.0,6802.0,5
RC,362,"Drainage external ear, abscess or hematoma; complicated ",,,2702.0,6802.0,5
RC,362,"Drainage external ear, abscess or hematoma; simple ",,,1423.0,6802.0,5
RC,362,Drainage of Skene's gland abscess or cyst ,,,2702.0,6802.0,5
RC,362,"Drainage of abscess of palate, uvula ",,,1423.0,6802.0,5
RC,362,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,1423.0,6802.0,5
RC,362,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,1982.0,6802.0,5
RC,362,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,1423.0,6802.0,5
RC,362,"Drainage of abscess; parotid, complicated ",,,2702.0,6802.0,5
RC,362,"Drainage of abscess; parotid, simple ",,,1982.0,6802.0,5
RC,362,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,1423.0,6802.0,5
RC,362,"Drainage of abscess; submaxillary, external ",,,1423.0,6802.0,5
RC,362,Drainage of deep periurethral abscess ,,,2702.0,6802.0,5
RC,362,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,2702.0,6802.0,3
RC,362,Drainage of lymph node abscess or lymphadenitis; extensive ,,,2702.0,6802.0,5
RC,362,Drainage of lymph node abscess or lymphadenitis; simple ,,,2702.0,6802.0,5
RC,362,Drainage of ovarian abscess; abdominal approach ,,,2702.0,8392.0,5
RC,362,"Drainage of ovarian abscess; vaginal approach, open ",,,2702.0,6802.0,5
RC,362,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,2702.0,6802.0,5
RC,362,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,2702.0,6802.0,5
RC,362,Drainage of perineal urinary extravasation; complicated ,,,2702.0,6802.0,5
RC,362,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,2702.0,6802.0,5
RC,362,"Drainage of perirenal or renal abscess, open ",,,2702.0,6802.0,5
RC,362,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,2702.0,6802.0,3
RC,362,Drainage of perivesical or prevesical space abscess ,,,2702.0,6802.0,5
RC,362,"Drainage of retroperitoneal abscess, open ",,,2702.0,6802.0,3
RC,362,Drainage of scrotal wall abscess ,,,2702.0,6802.0,5
RC,362,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,2702.0,6802.0,3
RC,362,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,2702.0,6802.0,3
RC,362,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,2702.0,6802.0,3
RC,362,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,1423.0,6802.0,5
RC,362,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,1423.0,6802.0,5
RC,362,Duodenal motility (manometric) study ,,,1423.0,1575.0,2
RC,362,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,2702.0,6802.0,3
RC,362,"Dural graft, spinal ",,,2702.0,6802.0,3
RC,362,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,2702.0,6802.0,5
RC,362,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,11000.0,11000.0,1
RC,362,Ear piercing ,,,2702.0,6802.0,3
RC,362,Electroejaculation ,,,1982.0,6802.0,5
RC,362,"Electrogastrography, diagnostic, transcutaneous; ",,,1423.0,1575.0,2
RC,362,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1423.0,1575.0,2
RC,362,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,1423.0,6802.0,5
RC,362,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,1423.0,6802.0,5
RC,362,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,1423.0,6802.0,10
RC,362,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,1423.0,6802.0,5
RC,362,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1423.0,23692.0,14
RC,362,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2820.0,17341.0,5
RC,362,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1423.0,17341.0,5
RC,362,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,7
RC,362,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,2702.0,6802.0,3
RC,362,"Elevation of depressed skull fracture; simple, extradural ",,,2702.0,11883.0,5
RC,362,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,2702.0,6802.0,3
RC,362,"Embryo transfer, intrauterine ",,,1982.0,6802.0,5
RC,362,Endocervical curettage (not done as part of a dilation and curettage) ,,,1982.0,6802.0,5
RC,362,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,1423.0,6802.0,5
RC,362,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,1423.0,6802.0,5
RC,362,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1423.0,17341.0,10
RC,362,Endolymphatic sac operation; with shunt ,,,2702.0,11883.0,5
RC,362,Endolymphatic sac operation; without shunt ,,,2702.0,11883.0,5
RC,362,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,4963.0,13830.0,9
RC,362,"Endometrial ablation, thermal, without hysteroscopic guidance Complex Surgery",,,11754.0,11754.0,2
RC,362,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,4963.0,13830.0,9
RC,362,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Complex Surgery",,,11754.0,11754.0,2
RC,362,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,362,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,1423.0,6802.0,5
RC,362,Endomyocardial biopsy ,,,5360.0,5933.0,2
RC,362,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,362,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,362,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,1423.0,6802.0,5
RC,362,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2702.0,14122.0,5
RC,362,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,362,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,2702.0,8392.0,5
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,4963.0,6802.0,5
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,4963.0,6802.0,5
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,4963.0,6802.0,5
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,4963.0,15409.0,5
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,4963.0,6802.0,5
RC,362,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,4963.0,6802.0,5
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,4963.0,6802.0,5
RC,362,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,4963.0,6802.0,5
RC,362,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,4963.0,6802.0,5
RC,362,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,4963.0,6802.0,5
RC,362,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,4963.0,6802.0,5
RC,362,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,2702.0,6802.0,3
RC,362,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,2702.0,6802.0,3
RC,362,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2702.0,14122.0,5
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, by transcatheter delivery of a chemical adhesive (eg, cyanoacrylate) remote from the access site, inclusive of all imaging guidance and moni",,,2702.0,6802.0,6
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated ",,,2702.0,8392.0,5
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; subsequent vein(s) treated in a single extremity, each through separa",,,1423.0,6802.0,5
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated ",,,2702.0,8392.0,5
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each thro",,,1423.0,6802.0,5
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated ",,,2702.0,8392.0,5
RC,362,"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each throu",,,1423.0,6802.0,5
RC,362,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,2702.0,6802.0,3
RC,362,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,2702.0,6802.0,3
RC,362,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,2702.0,6802.0,3
RC,362,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,2702.0,6802.0,3
RC,362,"Enterectomy, resection of small intestine; with enterostomy ",,,2702.0,6802.0,3
RC,362,"Enterocystoplasty, including intestinal anastomosis ",,,2702.0,6802.0,3
RC,362,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,2702.0,6802.0,3
RC,362,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,2702.0,6802.0,3
RC,362,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,2702.0,6802.0,3
RC,362,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,2702.0,6802.0,3
RC,362,"Enucleation of eye; with implant, muscles attached to implant ",,,2702.0,8392.0,5
RC,362,"Enucleation of eye; with implant, muscles not attached to implant ",,,2702.0,8392.0,5
RC,362,Enucleation of eye; without implant ,,,2702.0,8392.0,5
RC,362,Epididymectomy; bilateral ,,,2702.0,6802.0,5
RC,362,Epididymectomy; unilateral ,,,2702.0,6802.0,5
RC,362,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,2702.0,6802.0,5
RC,362,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,2702.0,6802.0,5
RC,362,Epikeratoplasty ,,,2702.0,6802.0,5
RC,362,"Episiotomy or vaginal repair, by other than attending ",,,2702.0,6802.0,5
RC,362,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1423.0,1575.0,2
RC,362,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1423.0,1575.0,2
RC,362,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1423.0,1575.0,2
RC,362,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1423.0,1575.0,2
RC,362,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1423.0,1575.0,2
RC,362,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,17341.0,3
RC,362,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,17341.0,3
RC,362,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,4963.0,13830.0,9
RC,362,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,4963.0,13830.0,9
RC,362,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,4963.0,13830.0,9
RC,362,Esophagogastric fundoplasty partial or complete; laparotomy ,,,2702.0,6802.0,3
RC,362,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,2702.0,6802.0,3
RC,362,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,2702.0,6802.0,3
RC,362,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,2702.0,6802.0,3
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2820.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,2702.0,6802.0,3
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,2702.0,8392.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,4963.0,8392.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,2702.0,6802.0,3
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,2702.0,6802.0,5
RC,362,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,2702.0,6802.0,5
RC,362,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,2702.0,6802.0,3
RC,362,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,2702.0,6802.0,3
RC,362,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,2702.0,6802.0,3
RC,362,Esophagomyotomy (Heller type); abdominal approach ,,,2702.0,6802.0,3
RC,362,Esophagomyotomy (Heller type); thoracic approach ,,,2702.0,6802.0,3
RC,362,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,2702.0,6802.0,3
RC,362,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,2702.0,6802.0,3
RC,362,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,2702.0,6802.0,3
RC,362,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,2702.0,6802.0,3
RC,362,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,2702.0,6802.0,3
RC,362,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,2702.0,6802.0,3
RC,362,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection Complex Surgery",,,11754.0,11754.0,2
RC,362,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with optical endomicroscopy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,8392.0,5
RC,362,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,2702.0,6802.0,5
RC,362,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,2702.0,6802.0,5
RC,362,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,2702.0,6802.0,3
RC,362,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,2702.0,6802.0,3
RC,362,"Esophagotomy, cervical approach, with removal of foreign body ",,,1982.0,6802.0,5
RC,362,"Esophagotomy, thoracic approach, with removal of foreign body ",,,2702.0,6802.0,3
RC,362,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1423.0,1575.0,2
RC,362,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1423.0,1575.0,2
RC,362,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1423.0,1575.0,2
RC,362,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1423.0,17341.0,5
RC,362,Evisceration of ocular contents; with implant ,,,2702.0,8392.0,5
RC,362,Evisceration of ocular contents; without implant ,,,2702.0,6802.0,5
RC,362,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,1982.0,6802.0,5
RC,362,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,2702.0,8392.0,5
RC,362,Exchange of intraocular lens ,,,2702.0,6802.0,5
RC,362,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,2702.0,6802.0,5
RC,362,"Exchange transfusion, blood; newborn ",,,1423.0,6802.0,5
RC,362,"Exchange transfusion, blood; other than newborn ",,,1423.0,6802.0,5
RC,362,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,2702.0,6802.0,10
RC,362,Excision aural glomus tumor; extended (extratemporal) ,,,2702.0,6802.0,3
RC,362,Excision aural glomus tumor; transcanal ,,,2702.0,11883.0,5
RC,362,Excision aural glomus tumor; transmastoid ,,,2702.0,11883.0,5
RC,362,Excision aural polyp ,,,2702.0,6802.0,5
RC,362,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,2702.0,6802.0,5
RC,362,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,2702.0,11883.0,5
RC,362,"Excision exostosis(es), external auditory canal ",,,2702.0,6802.0,5
RC,362,Excision external ear; complete amputation ,,,2702.0,6802.0,5
RC,362,"Excision external ear; partial, simple repair ",,,2702.0,6802.0,5
RC,362,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,2702.0,6802.0,3
RC,362,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,2702.0,6802.0,3
RC,362,Excision of Bartholin's gland or cyst ,,,2702.0,6802.0,5
RC,362,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,2702.0,6802.0,3
RC,362,Excision of Mullerian duct cyst ,,,2702.0,6802.0,5
RC,362,Excision of ampulla of Vater ,,,2702.0,6802.0,3
RC,362,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,2702.0,6802.0,3
RC,362,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,2702.0,6802.0,3
RC,362,Excision of bulbourethral gland (Cowper's gland) ,,,2702.0,6802.0,5
RC,362,Excision of carotid body tumor; with excision of carotid artery ,,,2702.0,6802.0,3
RC,362,Excision of carotid body tumor; without excision of carotid artery ,,,2702.0,6802.0,3
RC,362,"Excision of cervical stump, abdominal approach; ",,,2702.0,6802.0,3
RC,362,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,2702.0,6802.0,3
RC,362,"Excision of cervical stump, vaginal approach; ",,,2702.0,6802.0,5
RC,362,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,2702.0,8392.0,5
RC,362,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,2702.0,11883.0,5
RC,362,"Excision of chalazion; multiple, different lids ",,,1423.0,6802.0,5
RC,362,"Excision of chalazion; multiple, same lid ",,,1982.0,6802.0,5
RC,362,Excision of chalazion; single ,,,1423.0,6802.0,5
RC,362,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,2702.0,6802.0,5
RC,362,Excision of choledochal cyst ,,,2702.0,6802.0,3
RC,362,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,2702.0,11883.0,5
RC,362,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,2702.0,6802.0,5
RC,362,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,2702.0,6802.0,5
RC,362,Excision of extraparenchymal lesion of testis ,,,2702.0,6802.0,5
RC,362,"Excision of fibrous tuberosities, dentoalveolar structures ",,,1982.0,6802.0,5
RC,362,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,2702.0,6802.0,5
RC,362,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,2702.0,8392.0,5
RC,362,Excision of hydrocele; bilateral ,,,2702.0,8392.0,5
RC,362,Excision of hydrocele; unilateral ,,,2702.0,8392.0,5
RC,362,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,2702.0,6802.0,5
RC,362,Excision of ileoanal reservoir with ileostomy ,,,2702.0,6802.0,3
RC,362,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,2702.0,6802.0,5
RC,362,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,2702.0,8392.0,5
RC,362,Excision of lacrimal gland tumor; frontal approach ,,,2702.0,6802.0,5
RC,362,Excision of lacrimal gland tumor; involving osteotomy ,,,2702.0,8392.0,5
RC,362,Excision of lacrimal sac (dacryocystectomy) ,,,2702.0,8392.0,5
RC,362,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,1982.0,6802.0,5
RC,362,Excision of lesion of mesentery (separate procedure) ,,,2702.0,6802.0,3
RC,362,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,2702.0,6802.0,5
RC,362,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,2702.0,6802.0,5
RC,362,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,2702.0,6802.0,5
RC,362,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,2702.0,6802.0,5
RC,362,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,2702.0,6802.0,3
RC,362,Excision of lesion of spermatic cord (separate procedure) ,,,2702.0,6802.0,5
RC,362,Excision of lesion of tongue with closure; anterior two-thirds ,,,2702.0,6802.0,5
RC,362,Excision of lesion of tongue with closure; posterior one-third ,,,2702.0,6802.0,5
RC,362,Excision of lesion of tongue with closure; with local tongue flap ,,,2702.0,6802.0,5
RC,362,Excision of lesion of tongue without closure ,,,2702.0,6802.0,5
RC,362,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,2702.0,11883.0,5
RC,362,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,2702.0,6802.0,5
RC,362,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,2702.0,6802.0,5
RC,362,"Excision of lesion, conjunctiva; over 1 cm ",,,2702.0,6802.0,5
RC,362,"Excision of lesion, conjunctiva; up to 1 cm ",,,2702.0,6802.0,5
RC,362,"Excision of lesion, conjunctiva; with adjacent sclera ",,,2702.0,6802.0,5
RC,362,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,1982.0,6802.0,5
RC,362,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,2702.0,6802.0,3
RC,362,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,2702.0,6802.0,3
RC,362,"Excision of lesion, sclera ",,,2702.0,6802.0,5
RC,362,Excision of lingual frenum (frenectomy) ,,,1982.0,6802.0,5
RC,362,Excision of lip; V-excision with primary direct linear closure ,,,2702.0,6802.0,5
RC,362,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,2702.0,6802.0,5
RC,362,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,2702.0,6802.0,5
RC,362,Excision of lip; transverse wedge excision with primary closure ,,,2702.0,6802.0,5
RC,362,Excision of local lesion of epididymis ,,,2702.0,6802.0,5
RC,362,Excision of mucosa of vestibule of mouth as donor graft ,,,1423.0,6802.0,5
RC,362,"Excision of multiple external papillae or tags, anus ",,,2702.0,6802.0,5
RC,362,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,2702.0,6802.0,5
RC,362,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,2702.0,8392.0,5
RC,362,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,2702.0,6802.0,5
RC,362,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,2702.0,6802.0,5
RC,362,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,2702.0,6802.0,5
RC,362,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,"Excision of neuroma; hand or foot, except digital nerve ",,,2702.0,6802.0,5
RC,362,"Excision of neuroma; major peripheral nerve, except sciatic ",,,2702.0,6802.0,5
RC,362,Excision of neuroma; sciatic nerve ,,,2702.0,8392.0,5
RC,362,"Excision of osseous tuberosities, dentoalveolar structures ",,,2702.0,6802.0,5
RC,362,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,2702.0,11883.0,5
RC,362,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,2702.0,11883.0,5
RC,362,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,2702.0,11883.0,5
RC,362,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,2702.0,11883.0,5
RC,362,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,2702.0,6802.0,3
RC,362,Excision of penile plaque (Peyronie disease); ,,,2702.0,11883.0,5
RC,362,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,2702.0,11883.0,5
RC,362,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,2702.0,11883.0,5
RC,362,Excision of perinephric cyst ,,,2702.0,6802.0,3
RC,362,Excision of presacral or sacrococcygeal tumor ,,,2702.0,6802.0,3
RC,362,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,2702.0,6802.0,3
RC,362,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,2702.0,6802.0,3
RC,362,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,2702.0,6802.0,5
RC,362,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,2702.0,8392.0,5
RC,362,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,2702.0,6802.0,5
RC,362,"Excision of single external papilla or tag, anus ",,,2702.0,6802.0,5
RC,362,"Excision of spermatocele, with or without epididymectomy ",,,2702.0,6802.0,5
RC,362,Excision of sublingual gland ,,,2702.0,6802.0,5
RC,362,Excision of sublingual salivary cyst (ranula) ,,,2702.0,6802.0,5
RC,362,Excision of submandibular (submaxillary) gland ,,,2702.0,11883.0,5
RC,362,"Excision of thrombosed hemorrhoid, external ",,,2702.0,6802.0,5
RC,362,Excision of thyroglossal duct cyst or sinus; ,,,2702.0,11883.0,5
RC,362,Excision of thyroglossal duct cyst or sinus; recurrent ,,,2702.0,11883.0,5
RC,362,Excision of tonsil tags ,,,2702.0,6802.0,5
RC,362,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,2702.0,8392.0,5
RC,362,Excision of urethral diverticulum (separate procedure); female ,,,2702.0,8392.0,5
RC,362,Excision of urethral diverticulum (separate procedure); male ,,,2702.0,6802.0,5
RC,362,Excision of vaginal cyst or tumor ,,,2702.0,6802.0,5
RC,362,Excision of vaginal septum ,,,2702.0,6802.0,5
RC,362,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,2702.0,6802.0,5
RC,362,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,2702.0,8392.0,5
RC,362,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,2702.0,8392.0,5
RC,362,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Excision or destruction of lesion of pharynx, any method ",,,2702.0,6802.0,5
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,2702.0,6802.0,3
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,2702.0,6802.0,3
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,2702.0,6802.0,3
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,2702.0,6802.0,3
RC,362,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,2702.0,6802.0,3
RC,362,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,5360.0,5933.0,2
RC,362,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,10737.0,11883.0,2
RC,362,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,10737.0,11883.0,2
RC,362,Excision or fulguration of carcinoma of urethra ,,,2702.0,8392.0,5
RC,362,Excision or fulguration; Skene's glands ,,,2702.0,6802.0,5
RC,362,Excision or fulguration; urethral caruncle ,,,2702.0,6802.0,5
RC,362,"Excision or fulguration; urethral polyp(s), distal urethra ",,,2702.0,6802.0,5
RC,362,Excision or fulguration; urethral prolapse ,,,2702.0,6802.0,5
RC,362,Excision or transposition of pterygium; with graft ,,,2702.0,6802.0,5
RC,362,Excision or transposition of pterygium; without graft ,,,2702.0,6802.0,5
RC,362,Excision or unroofing of cyst(s) of kidney ,,,2702.0,6802.0,3
RC,362,"Excision soft tissue lesion, external auditory canal ",,,2702.0,6802.0,5
RC,362,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,2702.0,6802.0,3
RC,362,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,2702.0,6802.0,3
RC,362,"Excision, lesion of floor of mouth ",,,2702.0,6802.0,5
RC,362,"Excision, lesion of palate, uvula; with local flap closure ",,,2702.0,6802.0,5
RC,362,"Excision, lesion of palate, uvula; with simple primary closure ",,,2702.0,6802.0,5
RC,362,"Excision, lesion of palate, uvula; without closure ",,,2702.0,6802.0,5
RC,362,"Excision, local; malignant tumor of stomach ",,,2702.0,6802.0,3
RC,362,"Excision, local; ulcer or benign tumor of stomach ",,,2702.0,6802.0,3
RC,362,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,2702.0,6802.0,3
RC,362,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,2702.0,8392.0,5
RC,362,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,2702.0,8392.0,5
RC,362,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,2702.0,8392.0,5
RC,362,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,2702.0,6802.0,3
RC,362,Exploration for undescended testis (inguinal or scrotal area) ,,,2702.0,8392.0,5
RC,362,Exploration for undescended testis with abdominal exploration ,,,2702.0,6802.0,5
RC,362,"Exploration of epididymis, with or without biopsy ",,,2702.0,6802.0,5
RC,362,"Exploration of orbit (transcranial approach), with removal of lesion ",,,2702.0,6802.0,3
RC,362,"Exploration, repair, and presacral drainage for rectal injury; ",,,2702.0,6802.0,3
RC,362,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,2702.0,6802.0,3
RC,362,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,2702.0,8392.0,5
RC,362,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,2702.0,6802.0,5
RC,362,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,6802.0,3
RC,362,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,6802.0,3
RC,362,"Expression of conjunctival follicles (eg, for trachoma) ",,,1423.0,6802.0,5
RC,362,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,2702.0,6802.0,3
RC,362,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,2702.0,6802.0,3
RC,362,External cannula declotting (separate procedure); with balloon catheter ,,,6826.0,17341.0,3
RC,362,External cannula declotting (separate procedure); without balloon catheter ,,,6826.0,17341.0,3
RC,362,"External cephalic version, with or without tocolysis ",,,2702.0,6802.0,5
RC,362,"External drainage, pseudocyst of pancreas, open ",,,2702.0,6802.0,3
RC,362,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2702.0,6802.0,3
RC,362,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2702.0,6802.0,3
RC,362,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,2702.0,6802.0,5
RC,362,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,2702.0,6802.0,11
RC,362,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,362,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,1982.0,6802.0,5
RC,362,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,1423.0,6802.0,5
RC,362,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,2702.0,6802.0,5
RC,362,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,2702.0,6802.0,5
RC,362,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,2820.0,3120.0,2
RC,362,FOOT PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,362,FOOT PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,362,FRACTURES OF FEMUR WITH MCC ,,,11000.0,11000.0,1
RC,362,FRACTURES OF FEMUR WITHOUT MCC ,,,11000.0,11000.0,1
RC,362,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11000.0,11000.0,1
RC,362,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,11000.0,11000.0,1
RC,362,Fetal contraction stress test ,,,1423.0,6802.0,5
RC,362,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,1423.0,6802.0,5
RC,362,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,2702.0,6802.0,3
RC,362,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,1423.0,6802.0,5
RC,362,Fetal non-stress test ,,,1423.0,6802.0,5
RC,362,Fetal scalp blood sampling ,,,1423.0,6802.0,5
RC,362,"Fetal shunt placement, including ultrasound guidance ",,,1423.0,6802.0,5
RC,362,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,1423.0,6802.0,5
RC,362,Fimbrioplasty ,,,2702.0,8392.0,5
RC,362,Fine needle aspiration of orbital contents ,,,2702.0,6802.0,5
RC,362,"Fissurectomy, including sphincterotomy, when performed ",,,2702.0,6802.0,5
RC,362,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,2702.0,6802.0,5
RC,362,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,2702.0,6802.0,5
RC,362,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,2702.0,6802.0,5
RC,362,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,2702.0,6802.0,5
RC,362,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,2702.0,6802.0,5
RC,362,Fitting and insertion of pessary or other intravaginal support device ,,,1423.0,6802.0,5
RC,362,Fixation of contralateral testis (separate procedure) ,,,2702.0,6802.0,5
RC,362,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,5360.0,5933.0,2
RC,362,"Follicle puncture for oocyte retrieval, any method ",,,1982.0,6802.0,5
RC,362,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,1423.0,6802.0,5
RC,362,Free jejunum transfer with microvascular anastomosis ,,,2702.0,6802.0,3
RC,362,Free omental flap with microvascular anastomosis ,,,2702.0,6802.0,3
RC,362,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,2702.0,11883.0,5
RC,362,Frenulotomy of penis ,,,2702.0,6802.0,5
RC,362,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,11000.0,11000.0,1
RC,362,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,1423.0,6802.0,5
RC,362,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,2702.0,6802.0,3
RC,362,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,2702.0,6802.0,3
RC,362,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,2702.0,6802.0,3
RC,362,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,2702.0,6802.0,3
RC,362,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,2702.0,6802.0,3
RC,362,"Gastrectomy, total; with esophagoenterostomy ",,,2702.0,6802.0,3
RC,362,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,2702.0,6802.0,3
RC,362,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,1423.0,6802.0,5
RC,362,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,1423.0,6802.0,5
RC,362,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,1423.0,6802.0,5
RC,362,Gastric motility (manometric) studies ,,,1423.0,1575.0,2
RC,362,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,2702.0,36598.0,5
RC,362,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,2702.0,8392.0,5
RC,362,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,2702.0,6802.0,5
RC,362,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,2702.0,8392.0,5
RC,362,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,2702.0,6802.0,3
RC,362,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,2702.0,36598.0,5
RC,362,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,2702.0,36598.0,5
RC,362,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,2702.0,36598.0,5
RC,362,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,2702.0,36598.0,7
RC,362,Gastroduodenostomy ,,,2702.0,6802.0,3
RC,362,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,2702.0,6802.0,3
RC,362,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,2702.0,6802.0,3
RC,362,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2820.0,3120.0,2
RC,362,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2820.0,3120.0,2
RC,362,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2820.0,3120.0,2
RC,362,"Gastrojejunostomy; with vagotomy, any type ",,,2702.0,6802.0,3
RC,362,Gastrojejunostomy; without vagotomy ,,,2702.0,6802.0,3
RC,362,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,2702.0,6802.0,3
RC,362,"Gastrostomy, open; neonatal, for feeding ",,,2702.0,6802.0,5
RC,362,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,2702.0,6802.0,3
RC,362,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,2702.0,6802.0,5
RC,362,Gastrotomy; with exploration or foreign body removal ,,,2702.0,6802.0,3
RC,362,Gastrotomy; with suture repair of bleeding ulcer ,,,2702.0,6802.0,3
RC,362,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,2702.0,6802.0,3
RC,362,"Gingivectomy, excision gingiva, each quadrant ",,,2702.0,6802.0,5
RC,362,"Gingivoplasty, each quadrant (specify) ",,,2702.0,11883.0,5
RC,362,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,2702.0,6802.0,3
RC,362,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,2702.0,6802.0,3
RC,362,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,2702.0,6802.0,3
RC,362,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,2702.0,6802.0,3
RC,362,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,2702.0,6802.0,3
RC,362,Glossectomy; hemiglossectomy ,,,2702.0,6802.0,3
RC,362,Glossectomy; less than one-half tongue ,,,2702.0,11883.0,5
RC,362,"Glossectomy; partial, with unilateral radical neck dissection ",,,2702.0,6802.0,3
RC,362,Goniotomy ,,,2702.0,6802.0,5
RC,362,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,2702.0,6802.0,5
RC,362,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,11000.0,11000.0,1
RC,362,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,362,HFenestration semicircular canal ,,,10737.0,11883.0,2
RC,362,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,11000.0,11000.0,1
RC,362,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,11000.0,11000.0,1
RC,362,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,362,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,5360.0,5933.0,2
RC,362,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,10737.0,11883.0,2
RC,362,HRevision fenestration operation ,,,10737.0,11883.0,2
RC,362,HTherapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion ,,,7583.0,8392.0,2
RC,362,"Harvesting conjunctival allograft, living donor ",,,2702.0,6802.0,5
RC,362,Hematopoietic progenitor cell (HPC); HPC boost ,,,2702.0,6802.0,5
RC,362,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,2702.0,8392.0,5
RC,362,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,2702.0,8392.0,5
RC,362,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,2702.0,6802.0,5
RC,362,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,2702.0,6802.0,5
RC,362,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,2702.0,6802.0,5
RC,362,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,2702.0,6802.0,5
RC,362,"Hemorrhoidectomy, internal and external, single column/group; ",,,2702.0,6802.0,5
RC,362,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,2702.0,6802.0,5
RC,362,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,2702.0,6802.0,5
RC,362,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,2702.0,6802.0,5
RC,362,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,2702.0,6802.0,5
RC,362,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,1982.0,6802.0,5
RC,362,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,2702.0,6802.0,3
RC,362,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,2702.0,8392.0,5
RC,362,"Hepatectomy, resection of liver; partial lobectomy ",,,2702.0,6802.0,3
RC,362,"Hepatectomy, resection of liver; total left lobectomy ",,,2702.0,6802.0,3
RC,362,"Hepatectomy, resection of liver; total right lobectomy ",,,2702.0,6802.0,3
RC,362,"Hepatectomy, resection of liver; trisegmentectomy ",,,2702.0,6802.0,3
RC,362,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,2702.0,6802.0,3
RC,362,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,2702.0,6802.0,3
RC,362,"Hymenotomy, simple incision ",,,2702.0,6802.0,5
RC,362,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,2702.0,6802.0,3
RC,362,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,2702.0,6802.0,3
RC,362,Hysterorrhaphy of ruptured uterus ,,,2702.0,6802.0,3
RC,362,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,2702.0,6802.0,3
RC,362,"Hysteroscopy, diagnostic (separate procedure) ",,,4963.0,13830.0,9
RC,362,"Hysteroscopy, diagnostic (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,4963.0,13830.0,9
RC,362,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Complex Surgery",,,11754.0,11754.0,2
RC,362,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,4963.0,13830.0,9
RC,362,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,4963.0,13830.0,9
RC,362,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,4963.0,13830.0,9
RC,362,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,4963.0,13830.0,9
RC,362,"Hysteroscopy, surgical; with removal of impacted foreign body Complex Surgery",,,11754.0,11754.0,2
RC,362,"Hysteroscopy, surgical; with removal of leiomyomata ",,,4963.0,13830.0,9
RC,362,"Hysteroscopy, surgical; with removal of leiomyomata Complex Surgery",,,11754.0,11754.0,2
RC,362,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,4963.0,13830.0,9
RC,362,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Complex Surgery",,,11754.0,11754.0,2
RC,362,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,2702.0,6802.0,5
RC,362,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,1423.0,1575.0,2
RC,362,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14122.0,2
RC,362,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,1423.0,1575.0,2
RC,362,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,1423.0,1575.0,2
RC,362,INJECT SPINE CERV/THORACIC ,,,1982.0,2194.0,2
RC,362,INJECT SPINE LUMBAR/SACRAL ,,,1982.0,2194.0,2
RC,362,INJECT SPINE W/CATH CRV/THRC ,,,1982.0,2194.0,2
RC,362,INJECT SPINE W/CATH LMB/SCRL ,,,1982.0,2194.0,2
RC,362,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,1423.0,1575.0,2
RC,362,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1982.0,2194.0,2
RC,362,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,1423.0,1575.0,2
RC,362,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1423.0,1575.0,2
RC,362,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,5360.0,5933.0,2
RC,362,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,362,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,362,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,2702.0,6802.0,5
RC,362,"Ileostomy or jejunostomy, non-tube ",,,2702.0,6802.0,3
RC,362,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,2702.0,6802.0,5
RC,362,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,2702.0,6802.0,5
RC,362,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,2702.0,6802.0,5
RC,362,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,10737.0,11883.0,2
RC,362,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,7583.0,8392.0,2
RC,362,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,2702.0,6802.0,3
RC,362,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,362,Implantation of intrastromal corneal ring segments ,,,2702.0,11883.0,5
RC,362,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,4963.0,11883.0,5
RC,362,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,2702.0,6802.0,3
RC,362,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,1423.0,6802.0,5
RC,362,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,4963.0,16423.0,5
RC,362,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,4963.0,16423.0,5
RC,362,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,4963.0,11883.0,5
RC,362,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,2702.0,11883.0,5
RC,362,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,2702.0,6802.0,3
RC,362,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2702.0,6802.0,3
RC,362,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2702.0,6802.0,3
RC,362,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,14122.0,5
RC,362,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,2702.0,11883.0,5
RC,362,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,2702.0,11883.0,5
RC,362,Incision and drainage abscess; peritonsillar ,,,1423.0,6802.0,5
RC,362,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,2702.0,11883.0,5
RC,362,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,2702.0,6802.0,5
RC,362,Incision and drainage of Bartholin's gland abscess ,,,1423.0,6802.0,5
RC,362,"Incision and drainage of appendiceal abscess, open ",,,2702.0,6802.0,3
RC,362,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,2702.0,6802.0,5
RC,362,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,2702.0,6802.0,5
RC,362,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,2702.0,6802.0,5
RC,362,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,2702.0,6802.0,5
RC,362,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,2702.0,6802.0,5
RC,362,"Incision and drainage of penis, deep ",,,2702.0,6802.0,5
RC,362,"Incision and drainage of submucosal abscess, rectum ",,,2702.0,6802.0,5
RC,362,"Incision and drainage of thyroglossal duct cyst, infected ",,,1982.0,6802.0,5
RC,362,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,2702.0,6802.0,5
RC,362,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,2702.0,6802.0,5
RC,362,Incision and drainage of vulva or perineal abscess ,,,1423.0,6802.0,5
RC,362,"Incision and drainage, perianal abscess, superficial ",,,1982.0,6802.0,5
RC,362,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,362,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,362,"Incision of conjunctiva, drainage of cyst ",,,1982.0,6802.0,5
RC,362,Incision of labial frenum (frenotomy) ,,,1423.0,6802.0,5
RC,362,Incision of lingual frenum (frenotomy) ,,,1982.0,6802.0,5
RC,362,"Incision of thrombosed hemorrhoid, external ",,,1423.0,6802.0,5
RC,362,"Incision, anal septum (infant) ",,,2702.0,6802.0,5
RC,362,"Incision, drainage of lacrimal gland ",,,1982.0,6802.0,5
RC,362,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,1982.0,6802.0,5
RC,362,Incisional biopsy of eyelid skin including lid margin ,,,1423.0,6802.0,5
RC,362,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,2702.0,6802.0,3
RC,362,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,2702.0,6802.0,3
RC,362,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,2702.0,6802.0,3
RC,362,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,2702.0,6802.0,3
RC,362,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,2702.0,6802.0,6
RC,362,"Induced abortion, by dilation and curettage ",,,2702.0,6802.0,5
RC,362,"Induced abortion, by dilation and evacuation ",,,2702.0,6802.0,5
RC,362,Induction of arrhythmia by electrical pacing ,,,6826.0,17341.0,3
RC,362,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,2702.0,6802.0,3
RC,362,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,2702.0,6802.0,3
RC,362,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,2702.0,6802.0,3
RC,362,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1423.0,1575.0,2
RC,362,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,1423.0,6802.0,5
RC,362,Injection of contrast medium for dacryocystography ,,,1423.0,6802.0,5
RC,362,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,1423.0,6802.0,5
RC,362,Injection of medication or other substance into Tenon's capsule ,,,1423.0,6802.0,5
RC,362,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; multiple incompetent truncal v",,,2702.0,6802.0,3
RC,362,"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate, inclusive of all imaging guidance and monitoring; single incompetent extremity t",,,2702.0,6802.0,3
RC,362,"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg ",,,1423.0,6802.0,5
RC,362,Injection of sclerosant; single incompetent vein (other than telangiectasia) ,,,1423.0,6802.0,5
RC,362,"Injection of sclerosing solution, hemorrhoids ",,,1982.0,6802.0,5
RC,362,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,4963.0,6802.0,5
RC,362,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,1423.0,6802.0,5
RC,362,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,1423.0,6802.0,5
RC,362,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1423.0,12038.0,6
RC,362,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1423.0,12038.0,6
RC,362,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1423.0,12038.0,6
RC,362,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1423.0,12038.0,6
RC,362,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1423.0,12038.0,6
RC,362,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1423.0,12038.0,6
RC,362,Injection procedure for Peyronie disease; ,,,1423.0,6802.0,5
RC,362,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,2702.0,8392.0,5
RC,362,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1982.0,6802.0,10
RC,362,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,2702.0,6802.0,5
RC,362,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,1423.0,8392.0,10
RC,362,Injection procedure for corpora cavernosography ,,,1423.0,6802.0,5
RC,362,Injection procedure for cystography or voiding urethrocystography ,,,1423.0,6802.0,5
RC,362,"Injection procedure for discography, each level; cervical or thoracic ",,,1423.0,6802.0,5
RC,362,"Injection procedure for discography, each level; lumbar ",,,1423.0,6802.0,5
RC,362,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,362,"Injection procedure for myelography and/or computed tomography, lumbar ",,,1423.0,6802.0,5
RC,362,Injection procedure for retrograde urethrocystography ,,,1423.0,6802.0,5
RC,362,Injection procedure for sacroiliac joint; arthrography ,,,1423.0,1575.0,2
RC,362,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1982.0,2194.0,2
RC,362,Injection procedure for sialography ,,,1423.0,6802.0,5
RC,362,Injection procedure for splenoportography ,,,1423.0,6802.0,5
RC,362,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,5
RC,362,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,1423.0,6802.0,5
RC,362,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1982.0,6802.0,5
RC,362,Injection procedure; lymphangiography ,,,1423.0,6802.0,5
RC,362,Injection procedure; radioactive tracer for identification of sentinel node ,,,1423.0,6802.0,5
RC,362,"Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk ",,,1423.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,2702.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2702.0,6802.0,3
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,1423.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,1423.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,1423.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,1982.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,1423.0,6802.0,5
RC,362,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,1423.0,6802.0,5
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,1423.0,6802.0,5
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,1982.0,6802.0,5
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,1423.0,6802.0,5
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,1423.0,6802.0,5
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,1982.0,6802.0,5
RC,362,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,1423.0,6802.0,5
RC,362,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1982.0,6802.0,20
RC,362,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1982.0,6802.0,20
RC,362,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,1982.0,6802.0,5
RC,362,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,1982.0,6802.0,5
RC,362,"Injection, anesthetic agent; sphenopalatine ganglion ",,,1423.0,6802.0,5
RC,362,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,1982.0,6802.0,5
RC,362,"Injection, anesthetic agent; superior hypogastric plexus ",,,1982.0,6802.0,5
RC,362,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,2702.0,6802.0,5
RC,362,"Injection, anterior chamber of eye (separate procedure); medication ",,,2702.0,6802.0,5
RC,362,"Injection, epidural, of blood or clot patch ",,,1982.0,6802.0,5
RC,362,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,2702.0,6802.0,5
RC,362,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,2702.0,6802.0,5
RC,362,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,1982.0,6802.0,5
RC,362,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,5360.0,5933.0,2
RC,362,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,362,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,362,Insertion of Heyman capsules for clinical brachytherapy ,,,4963.0,6802.0,5
RC,362,Insertion of Thomas shunt (separate procedure) ,,,6826.0,17341.0,3
RC,362,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,1982.0,6802.0,5
RC,362,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,1423.0,6802.0,5
RC,362,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,4963.0,11883.0,5
RC,362,"Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) ",,,6826.0,17341.0,3
RC,362,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,6826.0,17341.0,3
RC,362,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,6826.0,17341.0,3
RC,362,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,6826.0,17341.0,3
RC,362,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,5
RC,362,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,1423.0,6802.0,5
RC,362,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,2702.0,6802.0,3
RC,362,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,5
RC,362,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,5
RC,362,"Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) ",,,2702.0,8392.0,5
RC,362,Insertion of implants into the soft palate; minimum of three implants ,,,1982.0,2194.0,2
RC,362,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,2702.0,16423.0,9
RC,362,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Complex Surgery",,,11754.0,11754.0,2
RC,362,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,2702.0,6802.0,5
RC,362,Insertion of intrauterine device (IUD) ,,,1423.0,6802.0,5
RC,362,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,2702.0,8392.0,5
RC,362,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,4963.0,16423.0,5
RC,362,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,1423.0,6802.0,5
RC,362,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older ,,,6826.0,17341.0,3
RC,362,Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age ,,,6826.0,17341.0,3
RC,362,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,2702.0,8392.0,5
RC,362,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,2702.0,8392.0,5
RC,362,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,2702.0,8392.0,5
RC,362,Insertion of penile prosthesis; inflatable (self-contained) ,,,4963.0,16423.0,5
RC,362,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,4963.0,14122.0,5
RC,362,"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,6826.0,23692.0,7
RC,362,"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,6826.0,17341.0,3
RC,362,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision a",,,6826.0,17341.0,6
RC,362,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older ",,,6826.0,23692.0,7
RC,362,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age ",,,6826.0,17341.0,3
RC,362,Insertion of peritoneal-venous shunt ,,,2702.0,6802.0,5
RC,362,Insertion of pin-retained palatal prosthesis ,,,2702.0,6802.0,5
RC,362,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,2702.0,6802.0,3
RC,362,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,5
RC,362,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,2702.0,8392.0,5
RC,362,Insertion of tandem cuff (dual cuff) ,,,2702.0,14122.0,9
RC,362,Insertion of tandem cuff (dual cuff) Complex Surgery,,,11754.0,11754.0,2
RC,362,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,1423.0,6802.0,5
RC,362,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,1423.0,6802.0,5
RC,362,Insertion of testicular prosthesis (separate procedure) ,,,2702.0,6802.0,5
RC,362,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,2702.0,6802.0,3
RC,362,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,2702.0,6802.0,3
RC,362,Insertion of tunneled centrally inserted central venous access device with subcutaneous pump ,,,6826.0,23692.0,7
RC,362,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) ",,,6826.0,17341.0,3
RC,362,"Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter) ",,,6826.0,17341.0,3
RC,362,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older ",,,6826.0,23692.0,7
RC,362,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age ",,,6826.0,17341.0,3
RC,362,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older ",,,6826.0,23692.0,7
RC,362,"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age ",,,6826.0,17341.0,3
RC,362,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,2702.0,8392.0,5
RC,362,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,2702.0,8392.0,5
RC,362,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,2702.0,8392.0,5
RC,362,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1982.0,6802.0,5
RC,362,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,9333.0,57784.0,10
RC,362,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,2702.0,16738.0,9
RC,362,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Complex Surgery",,,11754.0,11754.0,2
RC,362,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,2702.0,16423.0,9
RC,362,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Complex Surgery",,,11754.0,11754.0,2
RC,362,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,2702.0,6802.0,3
RC,362,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,2702.0,6802.0,3
RC,362,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,4963.0,16423.0,11
RC,362,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,4963.0,16423.0,9
RC,362,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver Complex Surgery",,,11754.0,11754.0,2
RC,362,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,1423.0,6802.0,5
RC,362,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,2702.0,6802.0,3
RC,362,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,2702.0,6802.0,3
RC,362,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,1423.0,6802.0,5
RC,362,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1423.0,1575.0,2
RC,362,Intersex surgery; female to male ,,,2702.0,6802.0,3
RC,362,Intersex surgery; male to female ,,,2702.0,6802.0,3
RC,362,Intestinal allotransplantation; from cadaver donor ,,,2702.0,6802.0,3
RC,362,Intestinal allotransplantation; from living donor ,,,2702.0,6802.0,3
RC,362,Intestinal plication (separate procedure) ,,,2702.0,6802.0,3
RC,362,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,2702.0,6802.0,3
RC,362,Intra-atrial pacing ,,,6826.0,17341.0,3
RC,362,Intra-atrial recording ,,,6826.0,17341.0,3
RC,362,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,17341.0,3
RC,362,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,2702.0,6802.0,5
RC,362,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,1575.0,17341.0,4
RC,362,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,7
RC,362,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1423.0,17341.0,5
RC,362,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,3
RC,362,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,362,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,1982.0,6802.0,5
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,1423.0,6802.0,5
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,2702.0,6802.0,5
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,1423.0,6802.0,5
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,2702.0,6802.0,5
RC,362,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,2702.0,6802.0,5
RC,362,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1423.0,1575.0,4
RC,362,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,2702.0,6802.0,4
RC,362,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,2702.0,6802.0,4
RC,362,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,1423.0,6802.0,5
RC,362,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,1423.0,6802.0,5
RC,362,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,17341.0,3
RC,362,Intraventricular pacing ,,,6826.0,17341.0,3
RC,362,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,1423.0,6802.0,5
RC,362,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,1423.0,6802.0,5
RC,362,"Introduction of catheter, aorta ",,,1423.0,6802.0,5
RC,362,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,1982.0,6802.0,5
RC,362,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,1982.0,23692.0,23
RC,362,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,2702.0,6802.0,5
RC,362,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,2702.0,11883.0,5
RC,362,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,1982.0,6802.0,5
RC,362,Iridotomy by stab incision (separate procedure); except transfixion ,,,1423.0,6802.0,5
RC,362,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,2702.0,6802.0,5
RC,362,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,1982.0,6802.0,5
RC,362,Irrigation of corpora cavernosa for priapism ,,,1423.0,6802.0,5
RC,362,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,1423.0,6802.0,5
RC,362,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,11000.0,11000.0,1
RC,362,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,11000.0,11000.0,1
RC,362,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,11000.0,11000.0,1
RC,362,Keratomileusis ,,,2702.0,6802.0,5
RC,362,Keratophakia ,,,2702.0,6802.0,5
RC,362,Keratoplasty (corneal transplant); anterior lamellar ,,,2702.0,11883.0,5
RC,362,Keratoplasty (corneal transplant); endothelial ,,,2702.0,11883.0,5
RC,362,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,2702.0,11883.0,5
RC,362,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,2702.0,11883.0,5
RC,362,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,2702.0,11883.0,5
RC,362,Keratoprosthesis ,,,2702.0,14122.0,5
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,11883.0,2
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,11883.0,2
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,11883.0,2
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,11883.0,2
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,11883.0,2
RC,362,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,11883.0,2
RC,362,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,11000.0,11000.0,3
RC,362,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,11000.0,11000.0,1
RC,362,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11000.0,11000.0,1
RC,362,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,11000.0,11000.0,1
RC,362,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,362,Labyrinthectomy; transcanal ,,,2702.0,11883.0,5
RC,362,Labyrinthectomy; with mastoidectomy ,,,2702.0,11883.0,5
RC,362,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,2702.0,6802.0,5
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,4963.0,14122.0,5
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,4963.0,6802.0,3
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,4963.0,14122.0,5
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,4963.0,6802.0,3
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,4963.0,6802.0,3
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,4963.0,6802.0,3
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,4963.0,14122.0,5
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,4963.0,6802.0,3
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,4963.0,6802.0,3
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,4963.0,6802.0,3
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,4963.0,14122.0,5
RC,362,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,4963.0,6802.0,3
RC,362,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,4963.0,6802.0,3
RC,362,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,4963.0,14122.0,5
RC,362,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,4963.0,6802.0,3
RC,362,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,4963.0,6802.0,3
RC,362,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,4963.0,6802.0,3
RC,362,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,4963.0,6802.0,5
RC,362,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,4963.0,6802.0,3
RC,362,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,4963.0,6802.0,3
RC,362,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,4963.0,6802.0,3
RC,362,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,4963.0,6802.0,3
RC,362,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,4963.0,14122.0,5
RC,362,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,4963.0,14122.0,9
RC,362,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,4963.0,6802.0,3
RC,362,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,4963.0,6802.0,3
RC,362,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,4963.0,6802.0,3
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,4963.0,11883.0,5
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,4963.0,11883.0,5
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,4963.0,11883.0,5
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,4963.0,11883.0,5
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,4963.0,11883.0,5
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,4963.0,11883.0,5
RC,362,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,4963.0,11883.0,5
RC,362,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,4963.0,6802.0,3
RC,362,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,4963.0,11883.0,5
RC,362,Laminectomy with rhizotomy; 1 or 2 segments ,,,4963.0,14122.0,5
RC,362,Laminectomy with rhizotomy; more than 2 segments ,,,4963.0,14122.0,5
RC,362,Laminectomy with section of spinal accessory nerve ,,,4963.0,14122.0,5
RC,362,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1423.0,11883.0,20
RC,362,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,4963.0,6802.0,6
RC,362,"Laminectomy, with release of tethered spinal cord, lumbar ",,,4963.0,14122.0,5
RC,362,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,4963.0,6802.0,3
RC,362,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,4963.0,6802.0,3
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,4963.0,11883.0,5
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,4963.0,8392.0,10
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,4963.0,11883.0,5
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,4963.0,11883.0,5
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,4963.0,13830.0,9
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1423.0,6802.0,5
RC,362,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,4963.0,6802.0,3
RC,362,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,4963.0,13830.0,9
RC,362,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,362,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,4963.0,13830.0,9
RC,362,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,362,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,2702.0,13830.0,9
RC,362,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2702.0,18956.0,3
RC,362,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,2702.0,6802.0,3
RC,362,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,2702.0,6802.0,3
RC,362,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2702.0,6802.0,3
RC,362,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,2702.0,14122.0,9
RC,362,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,2702.0,14122.0,9
RC,362,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,4963.0,14122.0,9
RC,362,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical, appendectomy ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical, appendectomy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,2702.0,6802.0,3
RC,362,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,2702.0,6802.0,3
RC,362,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,2702.0,11883.0,5
RC,362,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,2702.0,11883.0,5
RC,362,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,4963.0,13830.0,7
RC,362,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,4963.0,14122.0,9
RC,362,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,4963.0,11883.0,5
RC,362,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,2702.0,11883.0,5
RC,362,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,2702.0,36598.0,5
RC,362,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,2702.0,13830.0,5
RC,362,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,2702.0,13830.0,5
RC,362,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,2702.0,13830.0,5
RC,362,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,2702.0,13830.0,5
RC,362,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,2702.0,36598.0,5
RC,362,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,2702.0,36598.0,5
RC,362,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,2702.0,6802.0,3
RC,362,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical, splenectomy ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical, splenectomy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,2702.0,18956.0,3
RC,362,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2702.0,18956.0,3
RC,362,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2702.0,18956.0,3
RC,362,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2702.0,18956.0,3
RC,362,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,4963.0,18956.0,3
RC,362,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,4963.0,11883.0,5
RC,362,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,4963.0,11883.0,5
RC,362,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,4963.0,18956.0,3
RC,362,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,4963.0,18956.0,7
RC,362,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,7
RC,362,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,4963.0,18956.0,7
RC,362,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,7
RC,362,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,4963.0,18956.0,7
RC,362,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,7
RC,362,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,4963.0,18956.0,7
RC,362,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,7
RC,362,"Laparoscopy, surgical; ablation of renal cysts ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; ablation of renal cysts Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,4963.0,14122.0,9
RC,362,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; cholecystectomy ",,,4963.0,11883.0,9
RC,362,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,4963.0,11883.0,9
RC,362,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,4963.0,11883.0,9
RC,362,"Laparoscopy, surgical; cholecystoenterostomy ",,,4963.0,11556.0,7
RC,362,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,4963.0,11883.0,5
RC,362,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,4963.0,6802.0,3
RC,362,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,4963.0,6802.0,3
RC,362,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,4963.0,6802.0,3
RC,362,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,4963.0,6802.0,3
RC,362,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,2702.0,6802.0,3
RC,362,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,2702.0,6802.0,3
RC,362,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,4963.0,6802.0,3
RC,362,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,4963.0,13830.0,7
RC,362,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,4963.0,11883.0,5
RC,362,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,4963.0,11883.0,5
RC,362,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,2702.0,6802.0,3
RC,362,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,2702.0,14122.0,5
RC,362,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,2702.0,11883.0,5
RC,362,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,4963.0,13830.0,7
RC,362,"Laparoscopy, surgical; nephrectomy with total ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,4963.0,13830.0,7
RC,362,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; orchiectomy ",,,4963.0,11883.0,5
RC,362,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,4963.0,11883.0,5
RC,362,"Laparoscopy, surgical; partial nephrectomy ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; partial nephrectomy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,2702.0,6802.0,3
RC,362,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,2702.0,6802.0,3
RC,362,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,2702.0,6802.0,3
RC,362,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,2702.0,6802.0,3
RC,362,"Laparoscopy, surgical; pyeloplasty ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; pyeloplasty Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,4963.0,13830.0,7
RC,362,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; repair initial inguinal hernia ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; repair initial inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; repair recurrent inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,2702.0,11883.0,5
RC,362,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; transection of vagus nerves, truncal Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; ureterolithotomy ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; ureterolithotomy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,4963.0,11883.0,5
RC,362,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,2702.0,13830.0,9
RC,362,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,2702.0,13830.0,9
RC,362,"Laparoscopy, surgical; with biopsy (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,2702.0,13830.0,9
RC,362,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with fimbrioplasty ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; with fimbrioplasty Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,2702.0,13830.0,9
RC,362,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1423.0,13830.0,9
RC,362,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1423.0,13830.0,11
RC,362,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,2702.0,13830.0,9
RC,362,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,4963.0,13830.0,9
RC,362,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2702.0,11883.0,5
RC,362,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,2702.0,6802.0,5
RC,362,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2820.0,3120.0,2
RC,362,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,10737.0,11883.0,2
RC,362,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,4963.0,11883.0,5
RC,362,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,2702.0,6802.0,3
RC,362,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,2702.0,6802.0,3
RC,362,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,4963.0,11883.0,5
RC,362,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,362,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,362,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,362,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,362,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,362,"Lengthening of palate, and pharyngeal flap ",,,2702.0,11883.0,5
RC,362,"Lengthening of palate, with island flap ",,,2702.0,11883.0,5
RC,362,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,4963.0,8392.0,5
RC,362,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,4963.0,8392.0,5
RC,362,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,2702.0,8392.0,5
RC,362,Ligation of common iliac vein ,,,2702.0,6802.0,3
RC,362,Ligation of femoral vein ,,,2702.0,8392.0,5
RC,362,Ligation of inferior vena cava ,,,2702.0,8392.0,5
RC,362,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,2702.0,8392.0,5
RC,362,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,4963.0,8392.0,5
RC,362,Ligation of peritoneal-venous shunt ,,,2702.0,6802.0,5
RC,362,Ligation or banding of angioaccess arteriovenous fistula ,,,2702.0,8392.0,5
RC,362,"Ligation or biopsy, temporal artery ",,,2702.0,6802.0,5
RC,362,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,2702.0,6802.0,3
RC,362,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,2702.0,6802.0,3
RC,362,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,2702.0,6802.0,5
RC,362,"Ligation salivary duct, intraoral ",,,2702.0,6802.0,5
RC,362,"Ligation, direct, esophageal varices ",,,2702.0,11883.0,5
RC,362,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,4963.0,8392.0,5
RC,362,"Ligation, division, and stripping, short saphenous vein ",,,4963.0,8392.0,5
RC,362,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,2702.0,8392.0,5
RC,362,"Ligation, internal jugular vein ",,,2702.0,8392.0,5
RC,362,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,2702.0,6802.0,3
RC,362,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,2702.0,6802.0,3
RC,362,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,2702.0,6802.0,3
RC,362,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,2702.0,8392.0,5
RC,362,Ligation; external carotid artery ,,,2702.0,8392.0,5
RC,362,Ligation; internal or common carotid artery ,,,2702.0,8392.0,5
RC,362,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,2702.0,8392.0,5
RC,362,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,2702.0,6802.0,3
RC,362,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,2702.0,6802.0,3
RC,362,Limited pharyngectomy ,,,2702.0,11883.0,5
RC,362,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,4963.0,15409.0,7
RC,362,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,4963.0,15409.0,7
RC,362,"Lithotripsy, extracorporeal shock wave ",,,2702.0,15409.0,5
RC,362,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,2702.0,6802.0,3
RC,362,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,2702.0,6802.0,3
RC,362,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,362,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,362,Lymphangiotomy or other operations on lymphatic channels ,,,2702.0,6802.0,5
RC,362,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,2702.0,6802.0,5
RC,362,Lysis of labial adhesions ,,,2702.0,6802.0,5
RC,362,Lysis or excision of penile post-circumcision adhesions ,,,2702.0,6802.0,5
RC,362,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,362,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,11000.0,11000.0,1
RC,362,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,11000.0,11000.0,1
RC,362,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,11000.0,11000.0,1
RC,362,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,11000.0,11000.0,1
RC,362,MAJOR THUMB OR JOINT PROCEDURES ,,,11000.0,11000.0,1
RC,362,MEDIASTINOSCOPY INCL BIOPSY ,,,4963.0,4963.0,1
RC,362,MEDICAL BACK PROBLEMS WITH MCC ,,,11000.0,11000.0,1
RC,362,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,11000.0,11000.0,1
RC,362,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,2702.0,6802.0,3
RC,362,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,2702.0,6802.0,3
RC,362,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,2702.0,6802.0,3
RC,362,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,2702.0,6802.0,3
RC,362,Management of liver hemorrhage; simple suture of liver wound or injury ,,,2702.0,6802.0,3
RC,362,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,2702.0,6802.0,3
RC,362,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,1423.0,6802.0,5
RC,362,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,5
RC,362,Marsupialization of Bartholin's gland cyst ,,,2702.0,6802.0,5
RC,362,Marsupialization of cyst or abscess of liver ,,,2702.0,6802.0,3
RC,362,Marsupialization of pancreatic cyst ,,,2702.0,6802.0,3
RC,362,Marsupialization of sublingual salivary cyst (ranula) ,,,2702.0,6802.0,5
RC,362,"Marsupialization of urethral diverticulum, male or female ",,,2702.0,8392.0,5
RC,362,Mastoid obliteration (separate procedure) ,,,4963.0,11883.0,5
RC,362,Mastoidectomy; complete ,,,2702.0,6802.0,5
RC,362,Mastoidectomy; modified radical ,,,2702.0,11883.0,5
RC,362,Mastoidectomy; radical ,,,2702.0,11883.0,5
RC,362,Maxillary impression for palatal prosthesis ,,,1423.0,6802.0,5
RC,362,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,1423.0,6802.0,5
RC,362,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,2702.0,6802.0,5
RC,362,"Meatotomy, cutting of meatus (separate procedure); infant ",,,2702.0,6802.0,5
RC,362,Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen ,,,6826.0,17341.0,3
RC,362,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,1982.0,6802.0,5
RC,362,"Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access ",,,6826.0,17341.0,3
RC,362,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,2702.0,11883.0,5
RC,362,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,2702.0,11883.0,5
RC,362,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,2702.0,6802.0,3
RC,362,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,2702.0,6802.0,3
RC,362,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,Middle ear exploration through postauricular or ear canal incision ,,,2702.0,6802.0,5
RC,362,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,2702.0,6802.0,3
RC,362,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,2702.0,6802.0,5
RC,362,Multifetal pregnancy reduction(s) (MPR) ,,,1423.0,6802.0,5
RC,362,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,2702.0,6802.0,5
RC,362,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1982.0,6802.0,5
RC,362,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1982.0,6802.0,5
RC,362,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1982.0,6802.0,5
RC,362,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1982.0,6802.0,5
RC,362,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,2702.0,8392.0,5
RC,362,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,2702.0,6802.0,5
RC,362,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,2702.0,8392.0,5
RC,362,Myringoplasty (surgery confined to drumhead and donor area) ,,,2702.0,6802.0,5
RC,362,Myringotomy including aspiration and/or eustachian tube inflation ,,,1423.0,6802.0,5
RC,362,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,2702.0,6802.0,5
RC,362,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,1423.0,6802.0,5
RC,362,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,2702.0,6802.0,3
RC,362,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,2702.0,6802.0,3
RC,362,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,1423.0,6802.0,5
RC,362,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,2702.0,6802.0,3
RC,362,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,2702.0,6802.0,3
RC,362,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,2702.0,6802.0,3
RC,362,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,2702.0,6802.0,3
RC,362,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,2702.0,6802.0,3
RC,362,"Nephrectomy, partial ",,,2702.0,6802.0,3
RC,362,Nephrolithotomy; complicated by congenital kidney abnormality ,,,2702.0,6802.0,3
RC,362,Nephrolithotomy; removal of calculus ,,,2702.0,6802.0,3
RC,362,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,2702.0,6802.0,3
RC,362,Nephrolithotomy; secondary surgical operation for calculus ,,,2702.0,6802.0,3
RC,362,"Nephrorrhaphy, suture of kidney wound or injury ",,,2702.0,6802.0,3
RC,362,"Nephrostomy, nephrotomy with drainage ",,,2702.0,6802.0,5
RC,362,"Nephrotomy, with exploration ",,,2702.0,6802.0,3
RC,362,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,2702.0,8392.0,5
RC,362,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,2702.0,8392.0,5
RC,362,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,2702.0,8392.0,5
RC,362,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,2702.0,8392.0,5
RC,362,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,2702.0,8392.0,5
RC,362,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,2702.0,8392.0,5
RC,362,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,2702.0,8392.0,5
RC,362,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,2702.0,8392.0,5
RC,362,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,2702.0,8392.0,5
RC,362,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,2702.0,8392.0,5
RC,362,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,Nerve pedicle transfer; first stage ,,,2702.0,8392.0,5
RC,362,Nerve pedicle transfer; second stage ,,,2702.0,8392.0,5
RC,362,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,2702.0,8392.0,5
RC,362,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,2702.0,6802.0,3
RC,362,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,2702.0,8392.0,5
RC,362,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,2702.0,6802.0,3
RC,362,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,2702.0,6802.0,3
RC,362,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,2702.0,6802.0,3
RC,362,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,2702.0,6802.0,3
RC,362,Neuroplasty and/or transposition; cranial nerve (specify) ,,,2702.0,6802.0,5
RC,362,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,4963.0,6802.0,5
RC,362,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,2702.0,6802.0,5
RC,362,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,2702.0,6802.0,5
RC,362,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,2702.0,6802.0,5
RC,362,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,2702.0,6802.0,5
RC,362,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,2702.0,6802.0,5
RC,362,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,2702.0,6802.0,5
RC,362,"Neuroplasty; digital, 1 or both, same digit ",,,2702.0,6802.0,5
RC,362,Neuroplasty; nerve of hand or foot ,,,2702.0,6802.0,5
RC,362,Nocturnal penile tumescence and/or rigidity test ,,,1423.0,6802.0,5
RC,362,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,12038.0,4
RC,362,"Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervi",,,4963.0,8392.0,5
RC,362,OSTEOMYELITIS WITH CC ,,,11000.0,11000.0,1
RC,362,OSTEOMYELITIS WITH MCC ,,,11000.0,11000.0,1
RC,362,OSTEOMYELITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,362,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,11000.0,11000.0,1
RC,362,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,11000.0,11000.0,1
RC,362,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,362,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,362,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,362,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,11000.0,11000.0,1
RC,362,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,11000.0,11000.0,1
RC,362,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,2702.0,6802.0,3
RC,362,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,2702.0,6802.0,5
RC,362,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,2702.0,8392.0,5
RC,362,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,2702.0,8392.0,5
RC,362,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,2702.0,11883.0,5
RC,362,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,2702.0,6802.0,3
RC,362,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Oophorectomy, partial or total, unilateral or bilateral; ",,,2702.0,8392.0,5
RC,362,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,2702.0,8392.0,5
RC,362,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4963.0,16738.0,9
RC,362,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,362,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,4963.0,13830.0,7
RC,362,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,362,Open implantation of neurostimulator electrode array; neuromuscular ,,,4963.0,14122.0,9
RC,362,Open implantation of neurostimulator electrode array; neuromuscular Complex Surgery,,,11754.0,11754.0,2
RC,362,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4963.0,14122.0,9
RC,362,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,362,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,4963.0,14122.0,9
RC,362,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Complex Surgery,,,11754.0,11754.0,2
RC,362,"Operculectomy, excision pericoronal tissues ",,,1982.0,6802.0,5
RC,362,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,5360.0,5933.0,2
RC,362,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,5360.0,5933.0,2
RC,362,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,2702.0,6802.0,5
RC,362,Orbital implant (implant outside muscle cone); insertion ,,,2702.0,8392.0,5
RC,362,Orbital implant (implant outside muscle cone); removal or revision ,,,2702.0,6802.0,5
RC,362,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,2702.0,6802.0,3
RC,362,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,2702.0,6802.0,3
RC,362,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,2702.0,6802.0,3
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,2702.0,8392.0,5
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,2702.0,8392.0,5
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,2702.0,8392.0,5
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,2702.0,8392.0,5
RC,362,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,2702.0,8392.0,5
RC,362,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,2702.0,8392.0,5
RC,362,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,2702.0,6802.0,5
RC,362,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,2702.0,8392.0,5
RC,362,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,2702.0,6802.0,5
RC,362,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,2702.0,6802.0,5
RC,362,"Orchiectomy, partial ",,,2702.0,6802.0,5
RC,362,"Orchiectomy, radical, for tumor; inguinal approach ",,,2702.0,8392.0,5
RC,362,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,2702.0,8392.0,5
RC,362,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,2702.0,8392.0,5
RC,362,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,2702.0,8392.0,5
RC,362,"Orchiopexy, inguinal or scrotal approach ",,,2702.0,8392.0,5
RC,362,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,4963.0,6802.0,3
RC,362,"Other cranial decompression, posterior fossa ",,,2702.0,6802.0,3
RC,362,Otolaryngologic examination under general anesthesia ,,,1423.0,1575.0,2
RC,362,"Otoplasty, protruding ear, with or without size reduction ",,,2702.0,6802.0,5
RC,362,"Ovarian cystectomy, unilateral or bilateral ",,,2702.0,8392.0,5
RC,362,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,11000.0,11000.0,1
RC,362,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,362,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,11000.0,11000.0,3
RC,362,PERCUT THROMBECT AV FISTULA ,,,10737.0,11883.0,2
RC,362,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,4963.0,6802.0,5
RC,362,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,2702.0,11883.0,5
RC,362,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,2702.0,11883.0,5
RC,362,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,2702.0,11883.0,5
RC,362,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,2702.0,11883.0,5
RC,362,Palatoplasty for cleft palate; major revision ,,,2702.0,11883.0,5
RC,362,Palatoplasty for cleft palate; secondary lengthening procedure ,,,2702.0,11883.0,5
RC,362,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,2702.0,6802.0,3
RC,362,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,2702.0,6802.0,3
RC,362,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,2702.0,6802.0,3
RC,362,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,2702.0,6802.0,3
RC,362,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,2702.0,6802.0,3
RC,362,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,2702.0,6802.0,3
RC,362,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,2702.0,6802.0,3
RC,362,"Pancreatectomy, total ",,,2702.0,6802.0,3
RC,362,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,2702.0,6802.0,3
RC,362,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,2702.0,6802.0,3
RC,362,Pancreatorrhaphy for injury ,,,2702.0,6802.0,3
RC,362,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,1423.0,6802.0,5
RC,362,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,2702.0,6802.0,5
RC,362,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,2702.0,6802.0,5
RC,362,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,362,Parathyroidectomy or exploration of parathyroid(s); ,,,2702.0,11883.0,5
RC,362,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,2702.0,11883.0,5
RC,362,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,2702.0,6802.0,3
RC,362,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,2702.0,11883.0,5
RC,362,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,4963.0,11883.0,5
RC,362,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,4963.0,11883.0,5
RC,362,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,1982.0,6802.0,5
RC,362,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,1423.0,6802.0,5
RC,362,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,1982.0,6802.0,5
RC,362,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,2702.0,11883.0,5
RC,362,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,2702.0,11883.0,5
RC,362,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,2702.0,11883.0,5
RC,362,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,2702.0,6802.0,3
RC,362,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,2702.0,6802.0,3
RC,362,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,2702.0,6802.0,3
RC,362,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,2702.0,6802.0,3
RC,362,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,2702.0,6802.0,3
RC,362,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,2702.0,6802.0,3
RC,362,"Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn ",,,2702.0,6802.0,3
RC,362,Partial hymenectomy or revision of hymenal ring ,,,2702.0,6802.0,5
RC,362,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2702.0,11883.0,5
RC,362,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2702.0,11883.0,5
RC,362,Pelvic examination under anesthesia (other than local) ,,,2702.0,6802.0,5
RC,362,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,2702.0,6802.0,3
RC,362,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,4963.0,6802.0,3
RC,362,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,2702.0,6802.0,3
RC,362,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,2702.0,6802.0,3
RC,362,Penile plethysmography ,,,1423.0,6802.0,5
RC,362,"Penile revascularization, artery, with or without vein graft ",,,2702.0,6802.0,3
RC,362,Penile venous occlusive procedure ,,,2702.0,8392.0,5
RC,362,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2702.0,6802.0,3
RC,362,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,6826.0,17341.0,3
RC,362,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,6826.0,17341.0,3
RC,362,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,1982.0,6802.0,5
RC,362,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,1982.0,6802.0,5
RC,362,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,17341.0,3
RC,362,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,17341.0,3
RC,362,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,17341.0,3
RC,362,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,4963.0,6802.0,3
RC,362,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,4963.0,13830.0,9
RC,362,"Percutaneous implantation of neurostimulator electrode array, epidural Complex Surgery",,,11754.0,11754.0,2
RC,362,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,4963.0,13830.0,9
RC,362,Percutaneous implantation of neurostimulator electrode array; cranial nerve Complex Surgery,,,11754.0,11754.0,2
RC,362,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4963.0,13830.0,9
RC,362,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,362,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,4963.0,13830.0,9
RC,362,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed Complex Surgery",,,11754.0,11754.0,2
RC,362,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,1982.0,6802.0,10
RC,362,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,2702.0,15409.0,10
RC,362,Percutaneous portal vein catheterization by any method ,,,1423.0,6802.0,5
RC,362,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7583.0,8392.0,2
RC,362,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,17341.0,3
RC,362,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,17341.0,3
RC,362,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,362,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,362,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,15124.0,17341.0,4
RC,362,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,362,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,362,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,15124.0,17341.0,4
RC,362,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,362,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,362,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,17341.0,5
RC,362,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,7
RC,362,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,23692.0,7
RC,362,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,23692.0,7
RC,362,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19763.0,23692.0,4
RC,362,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,17341.0,5
RC,362,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,17341.0,3
RC,362,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,7
RC,362,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,19763.0,23692.0,4
RC,362,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,5
RC,362,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,7
RC,362,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,17341.0,5
RC,362,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,7
RC,362,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,23692.0,7
RC,362,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,7
RC,362,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,17341.0,5
RC,362,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,17341.0,17341.0,2
RC,362,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,3
RC,362,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,2702.0,23692.0,23
RC,362,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,2702.0,11883.0,5
RC,362,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,2702.0,11883.0,5
RC,362,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,7
RC,362,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,7
RC,362,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,23692.0,7
RC,362,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,23692.0,7
RC,362,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,23692.0,14
RC,362,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,17341.0,5
RC,362,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,23692.0,7
RC,362,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,23692.0,14
RC,362,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,23692.0,12
RC,362,"Pereyra procedure, including anterior colporrhaphy ",,,4963.0,8392.0,5
RC,362,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,2702.0,6802.0,5
RC,362,Periodontal mucosal grafting ,,,2702.0,6802.0,5
RC,362,Perirectal injection of sclerosing solution for prolapse ,,,1423.0,6802.0,5
RC,362,"Peritoneal lavage, including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,362,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2702.0,6802.0,3
RC,362,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,2702.0,6802.0,3
RC,362,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,2702.0,6802.0,3
RC,362,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,2702.0,6802.0,3
RC,362,Petrous apicectomy including radical mastoidectomy ,,,2702.0,11883.0,5
RC,362,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1423.0,1575.0,2
RC,362,Pharyngoesophageal repair ,,,2702.0,6802.0,3
RC,362,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,2702.0,6802.0,5
RC,362,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,2702.0,6802.0,5
RC,362,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1423.0,1575.0,2
RC,362,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1423.0,1575.0,2
RC,362,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1423.0,1575.0,2
RC,362,"Photopheresis, extracorporeal ",,,2702.0,8392.0,5
RC,362,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1423.0,1575.0,2
RC,362,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1423.0,1575.0,2
RC,362,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,2702.0,8392.0,5
RC,362,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1423.0,6802.0,5
RC,362,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,2702.0,8392.0,5
RC,362,Placement of amniotic membrane on the ocular surface; without sutures ,,,1982.0,6802.0,5
RC,362,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,2702.0,8392.0,10
RC,362,Placement of choledochal stent ,,,2702.0,6802.0,3
RC,362,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,2702.0,6802.0,3
RC,362,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,2702.0,6802.0,3
RC,362,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1982.0,2194.0,2
RC,362,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,2702.0,6802.0,3
RC,362,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,2702.0,6802.0,5
RC,362,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,2702.0,6802.0,5
RC,362,Placement of needle for intraosseous infusion ,,,6826.0,17341.0,3
RC,362,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,2702.0,8392.0,5
RC,362,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,2702.0,6802.0,5
RC,362,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,2702.0,6802.0,5
RC,362,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,2702.0,6802.0,5
RC,362,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1423.0,1575.0,2
RC,362,Placement of seton ,,,2702.0,6802.0,5
RC,362,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,2702.0,11883.0,15
RC,362,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,2702.0,8392.0,15
RC,362,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,2702.0,6802.0,3
RC,362,Plastic operation of penis for injury ,,,4963.0,8392.0,5
RC,362,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,2702.0,11883.0,5
RC,362,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,2702.0,11883.0,5
RC,362,Plastic operation on penis for epispadias distal to external sphincter; ,,,2702.0,8392.0,5
RC,362,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2702.0,11883.0,5
RC,362,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,2702.0,8392.0,5
RC,362,Plastic operation on penis to correct angulation ,,,2702.0,11883.0,5
RC,362,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,4963.0,11883.0,5
RC,362,Plastic repair of canaliculi ,,,2702.0,6802.0,5
RC,362,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,2702.0,11883.0,5
RC,362,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,2702.0,11883.0,5
RC,362,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,2702.0,11883.0,5
RC,362,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,2702.0,11883.0,5
RC,362,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,2702.0,11883.0,5
RC,362,Plastic repair of introitus ,,,2702.0,6802.0,5
RC,362,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,2702.0,6802.0,5
RC,362,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,2702.0,11883.0,5
RC,362,Plastic repair of urethrocele ,,,4963.0,6802.0,5
RC,362,"Portoenterostomy (eg, Kasai procedure) ",,,2702.0,6802.0,3
RC,362,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,4963.0,8392.0,5
RC,362,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,1423.0,6802.0,5
RC,362,Postpartum care only (separate procedure) ,,,2702.0,6802.0,3
RC,362,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,2702.0,6802.0,3
RC,362,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,2702.0,6802.0,3
RC,362,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,1423.0,11883.0,10
RC,362,"Probing of lacrimal canaliculi, with or without irrigation ",,,1423.0,6802.0,5
RC,362,"Probing of nasolacrimal duct, with or without irrigation; ",,,1423.0,6802.0,5
RC,362,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,2702.0,6802.0,5
RC,362,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,2702.0,6802.0,5
RC,362,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,2702.0,6802.0,5
RC,362,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,2702.0,6802.0,3
RC,362,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,2702.0,6802.0,3
RC,362,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,2702.0,6802.0,3
RC,362,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,2702.0,6802.0,3
RC,362,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,2702.0,6802.0,3
RC,362,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,2702.0,6802.0,3
RC,362,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,2702.0,6802.0,3
RC,362,"Proctectomy, partial, without anastomosis, perineal approach ",,,2702.0,11883.0,5
RC,362,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,2702.0,6802.0,3
RC,362,"Proctectomy; partial resection of rectum, transabdominal approach ",,,2702.0,6802.0,3
RC,362,"Proctopexy (eg, for prolapse); abdominal approach ",,,2702.0,6802.0,3
RC,362,"Proctopexy (eg, for prolapse); perineal approach ",,,2702.0,8392.0,5
RC,362,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,2702.0,6802.0,3
RC,362,Proctoplasty; for prolapse of mucous membrane ,,,2702.0,8392.0,5
RC,362,Proctoplasty; for stenosis ,,,2702.0,6802.0,5
RC,362,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1982.0,6802.0,5
RC,362,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,2702.0,6802.0,5
RC,362,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,362,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,2702.0,6802.0,5
RC,362,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,2702.0,6802.0,5
RC,362,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,2702.0,6802.0,5
RC,362,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,2702.0,6802.0,5
RC,362,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,2702.0,6802.0,5
RC,362,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,2702.0,6802.0,5
RC,362,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,2702.0,6802.0,5
RC,362,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,2702.0,8392.0,5
RC,362,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,3
RC,362,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,1423.0,13830.0,9
RC,362,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,1982.0,13830.0,9
RC,362,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,362,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,2702.0,6802.0,3
RC,362,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,2702.0,6802.0,3
RC,362,"Prostatectomy, perineal radical; ",,,2702.0,6802.0,3
RC,362,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,6802.0,3
RC,362,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,6802.0,3
RC,362,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,2702.0,6802.0,3
RC,362,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,2702.0,6802.0,3
RC,362,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,6802.0,3
RC,362,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,6802.0,3
RC,362,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,2702.0,6802.0,5
RC,362,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,2702.0,6802.0,5
RC,362,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,1982.0,6802.0,5
RC,362,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,1982.0,6802.0,5
RC,362,"Push transfusion, blood, 2 years or younger ",,,1423.0,6802.0,5
RC,362,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,2702.0,6802.0,3
RC,362,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,2702.0,2702.0,1
RC,362,"Pyelotomy; with drainage, pyelostomy ",,,2702.0,6802.0,3
RC,362,Pyelotomy; with exploration ,,,2702.0,6802.0,3
RC,362,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,2702.0,6802.0,3
RC,362,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,2702.0,6802.0,3
RC,362,Pyloroplasty ,,,2702.0,6802.0,3
RC,362,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,7583.0,8392.0,2
RC,362,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,7583.0,8392.0,2
RC,362,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,8392.0,2
RC,362,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,8392.0,2
RC,362,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,5360.0,5933.0,2
RC,362,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,8392.0,2
RC,362,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,8392.0,2
RC,362,REPAIR SPIGELIAN HERNIA ,,,7583.0,8392.0,2
RC,362,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,7583.0,8392.0,2
RC,362,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,7583.0,8392.0,2
RC,362,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,7583.0,8392.0,2
RC,362,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,7583.0,8392.0,2
RC,362,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14122.0,2
RC,362,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,10737.0,11883.0,2
RC,362,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,362,REVISION OF MAJOR VEIN ,,,4963.0,4963.0,1
RC,362,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,8392.0,2
RC,362,Radial keratotomy ,,,2702.0,6802.0,5
RC,362,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,6802.0,3
RC,362,Radical excision external auditory canal lesion; with neck dissection ,,,2702.0,6802.0,3
RC,362,Radical excision external auditory canal lesion; without neck dissection ,,,2702.0,6802.0,5
RC,362,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,2702.0,11883.0,5
RC,362,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,2702.0,6802.0,3
RC,362,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,2702.0,6802.0,5
RC,362,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,2702.0,6802.0,3
RC,362,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2702.0,6802.0,3
RC,362,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,2702.0,6802.0,3
RC,362,Recipient nephrectomy (separate procedure) ,,,2702.0,6802.0,3
RC,362,"Reconstruction external auditory canal for congenital atresia, single stage ",,,2702.0,11883.0,5
RC,362,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,2702.0,11883.0,5
RC,362,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,2702.0,6802.0,5
RC,362,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,2702.0,6802.0,5
RC,362,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,2702.0,6802.0,5
RC,362,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,2702.0,6802.0,5
RC,362,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,2702.0,6802.0,3
RC,362,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1423.0,1575.0,2
RC,362,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,2702.0,6802.0,3
RC,362,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,2702.0,6802.0,3
RC,362,Reduction of overcorrection of ptosis ,,,2702.0,6802.0,5
RC,362,Reduction of procidentia (separate procedure) under anesthesia ,,,1982.0,6802.0,5
RC,362,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,2702.0,6802.0,5
RC,362,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,2702.0,6802.0,3
RC,362,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1423.0,1575.0,2
RC,362,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1423.0,1575.0,2
RC,362,Reinsertion of ocular implant; with or without conjunctival graft ,,,2702.0,6802.0,5
RC,362,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,2702.0,8392.0,5
RC,362,Release of encircling material (posterior segment) ,,,4963.0,13830.0,9
RC,362,Release of encircling material (posterior segment) Complex Surgery,,,11754.0,11754.0,2
RC,362,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,2702.0,6802.0,5
RC,362,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2702.0,6802.0,5
RC,362,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,2702.0,6802.0,5
RC,362,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2702.0,6802.0,5
RC,362,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1982.0,6802.0,5
RC,362,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,4963.0,16423.0,5
RC,362,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1423.0,6802.0,5
RC,362,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,2702.0,6802.0,5
RC,362,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,2702.0,16423.0,5
RC,362,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,1982.0,6802.0,5
RC,362,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,4963.0,16423.0,5
RC,362,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1982.0,6802.0,5
RC,362,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,2702.0,6802.0,5
RC,362,Removal foreign body from external auditory canal; with general anesthesia ,,,2702.0,6802.0,5
RC,362,Removal foreign body from external auditory canal; without general anesthesia ,,,1423.0,6802.0,5
RC,362,"Removal impacted cerumen requiring instrumentation, unilateral ",,,1423.0,6802.0,5
RC,362,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,1423.0,6802.0,5
RC,362,"Removal of Thiersch wire or suture, anal canal ",,,2702.0,6802.0,5
RC,362,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,4963.0,8392.0,5
RC,362,"Removal of anal seton, other marker ",,,1982.0,6802.0,5
RC,362,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,2702.0,6802.0,3
RC,362,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,2702.0,6802.0,3
RC,362,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,2702.0,6802.0,3
RC,362,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,1982.0,6802.0,5
RC,362,"Removal of blood clot, anterior segment of eye ",,,2702.0,6802.0,5
RC,362,Removal of bone flap or prosthetic plate of skull ,,,2702.0,6802.0,3
RC,362,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,1423.0,6802.0,5
RC,362,Removal of cerclage suture under anesthesia (other than local) ,,,2702.0,6802.0,5
RC,362,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,2702.0,6802.0,3
RC,362,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,2702.0,6802.0,5
RC,362,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,2702.0,6802.0,5
RC,362,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,1982.0,6802.0,5
RC,362,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4963.0,8392.0,5
RC,362,Removal of embedded foreign body from dentoalveolar structures; bone ,,,2702.0,6802.0,5
RC,362,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,2702.0,6802.0,5
RC,362,"Removal of embedded foreign body, eyelid ",,,1423.0,6802.0,5
RC,362,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,2702.0,6802.0,5
RC,362,"Removal of embedded foreign body, vestibule of mouth; simple ",,,1423.0,6802.0,5
RC,362,Removal of entire lumbosubarachnoid shunt system without replacement ,,,2702.0,6802.0,5
RC,362,"Removal of epithelial downgrowth, anterior chamber of eye ",,,2702.0,6802.0,5
RC,362,Removal of esophageal sphincter augmentation device ,,,4963.0,14122.0,9
RC,362,Removal of esophageal sphincter augmentation device Complex Surgery,,,11754.0,11754.0,2
RC,362,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,2702.0,6802.0,5
RC,362,Removal of foreign body from pharynx ,,,1423.0,6802.0,5
RC,362,Removal of foreign body in scrotum ,,,2702.0,6802.0,5
RC,362,"Removal of foreign body or dacryolith, lacrimal passages ",,,1423.0,6802.0,5
RC,362,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,1423.0,6802.0,5
RC,362,"Removal of foreign body, external eye; conjunctival superficial ",,,1423.0,6802.0,5
RC,362,"Removal of foreign body, external eye; corneal, with slit lamp ",,,1423.0,6802.0,5
RC,362,"Removal of foreign body, external eye; corneal, without slit lamp ",,,1423.0,6802.0,5
RC,362,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,2702.0,6802.0,5
RC,362,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,1423.0,6802.0,5
RC,362,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,2702.0,6802.0,5
RC,362,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,4963.0,13830.0,7
RC,362,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,362,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1423.0,1575.0,2
RC,362,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,2702.0,6802.0,5
RC,362,Removal of implanted intra-arterial infusion pump ,,,2702.0,8392.0,5
RC,362,"Removal of implanted material, anterior segment of eye ",,,2702.0,6802.0,5
RC,362,"Removal of implanted material, posterior segment; extraocular ",,,4963.0,13830.0,9
RC,362,"Removal of implanted material, posterior segment; extraocular Complex Surgery",,,11754.0,11754.0,2
RC,362,"Removal of implanted material, posterior segment; intraocular ",,,4963.0,13830.0,9
RC,362,"Removal of implanted material, posterior segment; intraocular Complex Surgery",,,11754.0,11754.0,2
RC,362,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2702.0,8392.0,5
RC,362,Removal of intrauterine device (IUD) ,,,1423.0,6802.0,5
RC,362,"Removal of lens material; aspiration technique, 1 or more stages ",,,2702.0,6802.0,5
RC,362,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,2702.0,6802.0,5
RC,362,Removal of lens material; intracapsular ,,,2702.0,6802.0,5
RC,362,"Removal of lens material; intracapsular, for dislocated lens ",,,2702.0,6802.0,5
RC,362,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,2702.0,11883.0,5
RC,362,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,2702.0,6802.0,5
RC,362,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,1982.0,6802.0,5
RC,362,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,4963.0,8392.0,5
RC,362,Removal of ocular implant ,,,2702.0,6802.0,5
RC,362,Removal of pancreatic calculus ,,,2702.0,6802.0,3
RC,362,Removal of peritoneal foreign body from peritoneal cavity ,,,2702.0,8392.0,5
RC,362,Removal of peritoneal-venous shunt ,,,2702.0,6802.0,5
RC,362,Removal of previously implanted intrathecal or epidural catheter ,,,2702.0,6802.0,5
RC,362,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,2702.0,6802.0,5
RC,362,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,2702.0,6802.0,3
RC,362,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4963.0,6802.0,5
RC,362,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4963.0,6802.0,5
RC,362,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,2702.0,8392.0,5
RC,362,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,4963.0,6802.0,3
RC,362,"Removal of transplanted intestinal allograft, complete ",,,2702.0,6802.0,3
RC,362,Removal of transplanted pancreatic allograft ,,,2702.0,6802.0,3
RC,362,Removal of transplanted renal allograft ,,,2702.0,6802.0,3
RC,362,"Removal of tumor, temporal bone ",,,2702.0,11883.0,5
RC,362,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion ",,,6826.0,23692.0,7
RC,362,"Removal of tunneled central venous catheter, without subcutaneous port or pump ",,,6826.0,17341.0,3
RC,362,Removal of tunneled intraperitoneal catheter ,,,2702.0,6802.0,5
RC,362,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,4963.0,6802.0,5
RC,362,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,4963.0,6802.0,5
RC,362,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,2702.0,11883.0,5
RC,362,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,2702.0,8392.0,5
RC,362,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,4963.0,6802.0,5
RC,362,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,2702.0,6802.0,3
RC,362,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,2702.0,6802.0,3
RC,362,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,6802.0,3
RC,362,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,2702.0,6802.0,3
RC,362,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,2702.0,6802.0,3
RC,362,"Renal autotransplantation, reimplantation of kidney ",,,2702.0,6802.0,3
RC,362,Renal biopsy; by surgical exposure of kidney ,,,2702.0,6802.0,3
RC,362,"Renal biopsy; percutaneous, by trocar or needle ",,,2702.0,6802.0,5
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,5
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,5
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,2702.0,6802.0,5
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,2702.0,6802.0,5
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1982.0,6802.0,5
RC,362,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,2702.0,6802.0,5
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,5
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,5
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,2702.0,11883.0,5
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,2702.0,6802.0,5
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,6802.0,5
RC,362,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,1982.0,6802.0,5
RC,362,"Renal exploration, not necessitating other specific procedures ",,,2702.0,6802.0,3
RC,362,Reopening of recent laparotomy ,,,2702.0,6802.0,3
RC,362,Repair incomplete circumcision ,,,2702.0,6802.0,5
RC,362,"Repair inguinal hernia, sliding, any age ",,,4963.0,8392.0,5
RC,362,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,4963.0,8392.0,5
RC,362,"Repair initial femoral hernia, any age; reducible ",,,4963.0,8392.0,5
RC,362,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,4963.0,8392.0,5
RC,362,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,4963.0,8392.0,5
RC,362,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,2702.0,8392.0,5
RC,362,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,2702.0,8392.0,5
RC,362,"Repair lip, full thickness; over one-half vertical height, or complex ",,,1982.0,6802.0,5
RC,362,"Repair lip, full thickness; up to half vertical height ",,,1982.0,6802.0,5
RC,362,"Repair lip, full thickness; vermilion only ",,,1982.0,6802.0,5
RC,362,Repair lumbar hernia ,,,4963.0,8392.0,5
RC,362,Repair of anal fistula with fibrin glue ,,,2702.0,6802.0,5
RC,362,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,2702.0,8392.0,5
RC,362,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,4963.0,6802.0,18
RC,362,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,4963.0,6802.0,18
RC,362,"Repair of anterior palate, including vomer flap ",,,2702.0,11883.0,5
RC,362,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,2702.0,6802.0,5
RC,362,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,2702.0,6802.0,5
RC,362,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,2702.0,6802.0,5
RC,362,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,2702.0,8392.0,5
RC,362,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,2702.0,6802.0,5
RC,362,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,2702.0,6802.0,5
RC,362,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,2702.0,6802.0,5
RC,362,"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,6826.0,17341.0,3
RC,362,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,2702.0,6802.0,3
RC,362,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,2702.0,6802.0,3
RC,362,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,2702.0,6802.0,3
RC,362,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,4963.0,13830.0,11
RC,362,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,4963.0,11883.0,5
RC,362,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,2702.0,6802.0,3
RC,362,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,2702.0,6802.0,3
RC,362,Repair of ectropion; excision tarsal wedge ,,,2702.0,6802.0,5
RC,362,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,2702.0,6802.0,5
RC,362,Repair of ectropion; suture ,,,2702.0,6802.0,5
RC,362,Repair of ectropion; thermocauterization ,,,2702.0,6802.0,5
RC,362,"Repair of encephalocele, skull vault, including cranioplasty ",,,2702.0,6802.0,3
RC,362,"Repair of enterocele, abdominal approach (separate procedure) ",,,4963.0,6802.0,5
RC,362,"Repair of enterocele, vaginal approach (separate procedure) ",,,4963.0,6802.0,5
RC,362,Repair of entropion; excision tarsal wedge ,,,2702.0,6802.0,5
RC,362,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,2702.0,6802.0,5
RC,362,Repair of entropion; suture ,,,2702.0,6802.0,5
RC,362,Repair of entropion; thermocauterization ,,,2702.0,6802.0,5
RC,362,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,2702.0,6802.0,3
RC,362,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,2702.0,6802.0,3
RC,362,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,2702.0,6802.0,3
RC,362,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,2702.0,6802.0,3
RC,362,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,2702.0,8392.0,5
RC,362,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,2702.0,8392.0,5
RC,362,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,2702.0,8392.0,5
RC,362,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,2702.0,6802.0,3
RC,362,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,2702.0,6802.0,3
RC,362,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2702.0,8392.0,5
RC,362,"Repair of iris, ciliary body (as for iridodialysis) ",,,2702.0,6802.0,5
RC,362,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,1423.0,6802.0,5
RC,362,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,1423.0,6802.0,5
RC,362,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,1982.0,6802.0,5
RC,362,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,2702.0,6802.0,5
RC,362,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,2702.0,6802.0,3
RC,362,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,2702.0,6802.0,5
RC,362,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,2702.0,6802.0,5
RC,362,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,2702.0,6802.0,5
RC,362,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,2702.0,6802.0,5
RC,362,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,2702.0,8392.0,5
RC,362,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,4963.0,6802.0,3
RC,362,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,4963.0,6802.0,3
RC,362,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,2702.0,6802.0,3
RC,362,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,2702.0,6802.0,3
RC,362,Repair of meningocele; larger than 5 cm diameter ,,,2702.0,6802.0,3
RC,362,Repair of meningocele; less than 5 cm diameter ,,,2702.0,6802.0,3
RC,362,Repair of myelomeningocele; larger than 5 cm diameter ,,,2702.0,6802.0,3
RC,362,Repair of myelomeningocele; less than 5 cm diameter ,,,2702.0,6802.0,3
RC,362,Repair of nasolabial fistula ,,,2702.0,6802.0,5
RC,362,Repair of omphalocele (Gross type operation); first stage ,,,4963.0,6802.0,3
RC,362,Repair of omphalocele (Gross type operation); second stage ,,,4963.0,6802.0,3
RC,362,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,4963.0,6802.0,3
RC,362,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,4963.0,6802.0,3
RC,362,Repair of rectocele (separate procedure) ,,,2702.0,8392.0,5
RC,362,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,4963.0,13830.0,9
RC,362,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,1982.0,13830.0,9
RC,362,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,362,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,4963.0,13830.0,9
RC,362,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,4963.0,13830.0,11
RC,362,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,4963.0,13830.0,11
RC,362,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,2702.0,6802.0,3
RC,362,Repair of scleral staphyloma with graft ,,,2702.0,6802.0,5
RC,362,"Repair of small omphalocele, with primary closure ",,,4963.0,8392.0,5
RC,362,"Repair of symblepharon; conjunctivoplasty, without graft ",,,2702.0,6802.0,5
RC,362,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,2702.0,6802.0,5
RC,362,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,2702.0,8392.0,5
RC,362,Repair of traumatic corporeal tear(s) ,,,4963.0,6802.0,5
RC,362,Repair of tunica vaginalis hydrocele (Bottle type) ,,,2702.0,6802.0,5
RC,362,"Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site ",,,6826.0,17341.0,3
RC,362,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,2702.0,6802.0,5
RC,362,Repair oval window fistula ,,,4963.0,6802.0,5
RC,362,Repair recurrent femoral hernia; incarcerated or strangulated ,,,4963.0,8392.0,5
RC,362,Repair recurrent femoral hernia; reducible ,,,4963.0,8392.0,5
RC,362,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,4963.0,8392.0,5
RC,362,"Repair recurrent inguinal hernia, any age; reducible ",,,4963.0,8392.0,5
RC,362,Repair round window fistula ,,,4963.0,6802.0,5
RC,362,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,2702.0,6802.0,3
RC,362,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,2702.0,6802.0,3
RC,362,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,2702.0,8392.0,10
RC,362,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,2702.0,8392.0,5
RC,362,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,2702.0,8392.0,5
RC,362,"Repair, laceration of diaphragm, any approach ",,,2702.0,6802.0,3
RC,362,"Repair, laceration of palate; over 2 cm or complex ",,,2702.0,6802.0,5
RC,362,"Repair, laceration of palate; up to 2 cm ",,,1423.0,6802.0,5
RC,362,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,2702.0,6802.0,3
RC,362,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,2702.0,6802.0,3
RC,362,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,2702.0,6802.0,3
RC,362,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,2702.0,6802.0,3
RC,362,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,2702.0,6802.0,3
RC,362,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,2702.0,6802.0,3
RC,362,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,2702.0,6802.0,3
RC,362,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2702.0,6802.0,3
RC,362,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2702.0,6802.0,3
RC,362,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,11883.0,5
RC,362,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,2702.0,6802.0,3
RC,362,Replacement of bone flap or prosthetic plate of skull ,,,2702.0,6802.0,3
RC,362,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,5
RC,362,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,5
RC,362,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,5
RC,362,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,2702.0,6802.0,3
RC,362,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,2702.0,6802.0,3
RC,362,"Replacement or irrigation, subarachnoid/subdural catheter ",,,2702.0,6802.0,5
RC,362,"Replacement or irrigation, ventricular catheter ",,,2702.0,6802.0,5
RC,362,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,2702.0,8392.0,5
RC,362,"Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site ",,,6826.0,17341.0,3
RC,362,"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,6826.0,17341.0,3
RC,362,"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access ",,,6826.0,17341.0,3
RC,362,"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, an",,,6826.0,17341.0,3
RC,362,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access ",,,6826.0,17341.0,3
RC,362,"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access ",,,6826.0,17341.0,3
RC,362,"Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access ",,,6826.0,17341.0,3
RC,362,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,2702.0,8392.0,5
RC,362,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,2702.0,6802.0,5
RC,362,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,2702.0,8392.0,5
RC,362,Repositioning of previously placed central venous catheter under fluoroscopic guidance ,,,6826.0,17341.0,3
RC,362,Reprogramming of programmable cerebrospinal shunt ,,,1423.0,6802.0,5
RC,362,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,2702.0,8392.0,5
RC,362,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,2702.0,6802.0,3
RC,362,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,2702.0,6802.0,3
RC,362,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,2702.0,6802.0,3
RC,362,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,2702.0,11883.0,5
RC,362,"Resection of lip, more than one-fourth, without reconstruction ",,,2702.0,6802.0,5
RC,362,Resection of mediastinal cyst ,,,2702.0,6802.0,3
RC,362,Resection of mediastinal tumor ,,,2702.0,6802.0,3
RC,362,Resection of palate or extensive resection of lesion ,,,2702.0,6802.0,5
RC,362,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,2702.0,6802.0,3
RC,362,Resection of scrotum ,,,2702.0,6802.0,5
RC,362,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,2702.0,6802.0,3
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,2702.0,6802.0,3
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,2702.0,6802.0,3
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,2702.0,6802.0,3
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,2702.0,6802.0,3
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,2702.0,6802.0,3
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,2702.0,6802.0,3
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,2702.0,6802.0,3
RC,362,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,2702.0,6802.0,3
RC,362,"Resection temporal bone, external approach ",,,2702.0,6802.0,3
RC,362,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,2702.0,6802.0,3
RC,362,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,2702.0,6802.0,3
RC,362,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,2702.0,8392.0,5
RC,362,Retrobulbar injection; alcohol ,,,1423.0,6802.0,5
RC,362,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,1423.0,6802.0,5
RC,362,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,2702.0,6802.0,16
RC,362,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,2702.0,6802.0,16
RC,362,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,2702.0,6802.0,16
RC,362,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,2702.0,6802.0,16
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,12760.0,14122.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,10737.0,11883.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,14839.0,16423.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,12760.0,14122.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,10737.0,11883.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,10737.0,11883.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,10737.0,11883.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,12760.0,14122.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,2702.0,6802.0,16
RC,362,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,2702.0,6802.0,15
RC,362,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,2702.0,6802.0,16
RC,362,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,2702.0,6802.0,16
RC,362,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,2702.0,6802.0,16
RC,362,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,2702.0,6802.0,16
RC,362,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,2702.0,6802.0,16
RC,362,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,12760.0,14122.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,10737.0,11883.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,14839.0,16423.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,12760.0,14122.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,12760.0,14122.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,10737.0,11883.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,10737.0,11883.0,2
RC,362,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,10737.0,11883.0,2
RC,362,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,2702.0,8392.0,5
RC,362,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,4963.0,6802.0,3
RC,362,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,4963.0,6802.0,5
RC,362,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4963.0,11883.0,5
RC,362,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4963.0,11883.0,5
RC,362,Revision mastoidectomy; resulting in complete mastoidectomy ,,,2702.0,11883.0,5
RC,362,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,2702.0,11883.0,5
RC,362,Revision mastoidectomy; resulting in radical mastoidectomy ,,,2702.0,11883.0,5
RC,362,Revision mastoidectomy; resulting in tympanoplasty ,,,2702.0,11883.0,5
RC,362,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,2702.0,6802.0,5
RC,362,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,2702.0,6802.0,5
RC,362,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,2702.0,8392.0,5
RC,362,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,2702.0,8392.0,5
RC,362,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,2702.0,8392.0,5
RC,362,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,2702.0,6802.0,3
RC,362,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,2702.0,6802.0,3
RC,362,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,2702.0,6802.0,3
RC,362,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,2702.0,8392.0,5
RC,362,Revision of implanted intra-arterial infusion pump ,,,2702.0,8392.0,5
RC,362,Revision of peritoneal-venous shunt ,,,2702.0,8392.0,5
RC,362,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,2702.0,11883.0,5
RC,362,Revision of stapedectomy or stapedotomy ,,,4963.0,11883.0,5
RC,362,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,2702.0,14122.0,5
RC,362,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,2702.0,6802.0,5
RC,362,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,2702.0,6802.0,3
RC,362,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,2702.0,8392.0,5
RC,362,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,2702.0,6802.0,3
RC,362,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4963.0,6802.0,5
RC,362,Revision or removal of intracranial neurostimulator electrodes ,,,2702.0,6802.0,5
RC,362,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,2702.0,6802.0,3
RC,362,Revision or removal of peripheral neurostimulator electrode array ,,,4963.0,13830.0,9
RC,362,Revision or removal of peripheral neurostimulator electrode array Complex Surgery,,,11754.0,11754.0,2
RC,362,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4963.0,6802.0,5
RC,362,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,2702.0,6802.0,5
RC,362,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,2702.0,6802.0,3
RC,362,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,2702.0,6802.0,3
RC,362,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,4963.0,11883.0,5
RC,362,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,4963.0,13830.0,7
RC,362,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,362,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2702.0,6802.0,3
RC,362,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,6826.0,17341.0,3
RC,362,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,6826.0,17341.0,3
RC,362,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,2702.0,36598.0,5
RC,362,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,362,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,362,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,362,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,362,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,362,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,362,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,362,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,362,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,7583.0,8392.0,2
RC,362,Right ventricular recording ,,,6826.0,17341.0,3
RC,362,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,2702.0,6802.0,3
RC,362,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,2702.0,6802.0,3
RC,362,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,2702.0,6802.0,3
RC,362,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,2702.0,6802.0,3
RC,362,SEPTIC ARTHRITIS WITH CC ,,,11000.0,11000.0,1
RC,362,SEPTIC ARTHRITIS WITH MCC ,,,11000.0,11000.0,1
RC,362,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,362,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,11000.0,11000.0,1
RC,362,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,11000.0,11000.0,1
RC,362,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,11000.0,11000.0,1
RC,362,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,11000.0,11000.0,1
RC,362,SKIN DEBRIDEMENT WITH MCC ,,,11000.0,11000.0,1
RC,362,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,11000.0,11000.0,1
RC,362,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,362,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,11000.0,11000.0,1
RC,362,SOFT TISSUE PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,362,SOFT TISSUE PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,362,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,362,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,7583.0,8392.0,2
RC,362,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,11000.0,11000.0,1
RC,362,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,362,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2820.0,3120.0,2
RC,362,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2702.0,8392.0,5
RC,362,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2702.0,11883.0,5
RC,362,Salpingostomy (salpingoneostomy) ,,,2702.0,6802.0,5
RC,362,Scleral reinforcement (separate procedure); with graft ,,,2702.0,6802.0,5
RC,362,Scleral reinforcement (separate procedure); without graft ,,,2702.0,6802.0,5
RC,362,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,2702.0,6802.0,5
RC,362,"Scraping of cornea, diagnostic, for smear and/or culture ",,,1423.0,6802.0,5
RC,362,Scrotal exploration ,,,2702.0,6802.0,5
RC,362,Scrotoplasty; complicated ,,,2702.0,6802.0,5
RC,362,Scrotoplasty; simple ,,,2702.0,11883.0,5
RC,362,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,1423.0,6802.0,5
RC,362,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,2702.0,6802.0,3
RC,362,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,2702.0,6802.0,3
RC,362,"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast inje",,,2702.0,8392.0,10
RC,362,"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code",,,1423.0,6802.0,5
RC,362,"Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial seco",,,1423.0,6802.0,5
RC,362,"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,1423.0,6802.0,5
RC,362,"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family ",,,1423.0,6802.0,5
RC,362,"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,1423.0,6802.0,5
RC,362,"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family ",,,1423.0,6802.0,5
RC,362,"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family ",,,1423.0,6802.0,5
RC,362,"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family ",,,1423.0,6802.0,5
RC,362,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological superv",,,4963.0,8392.0,5
RC,362,"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological superv",,,4963.0,8392.0,5
RC,362,"Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological su",,,1423.0,6802.0,5
RC,362,"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List",,,1423.0,6802.0,5
RC,362,"Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, ",,,4963.0,11883.0,5
RC,362,"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, inc",,,4963.0,8392.0,5
RC,362,"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiograp",,,4963.0,11883.0,5
RC,362,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,2702.0,6802.0,5
RC,362,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,2702.0,6802.0,5
RC,362,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,2702.0,6802.0,5
RC,362,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,2702.0,6802.0,5
RC,362,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,1982.0,6802.0,5
RC,362,Severing of tarsorrhaphy ,,,1982.0,6802.0,5
RC,362,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,1982.0,6802.0,5
RC,362,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,2702.0,6802.0,5
RC,362,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,2702.0,6802.0,5
RC,362,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,2702.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1982.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,2702.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,1982.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,2702.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2702.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,1982.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,2702.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,2702.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,2702.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,1982.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,2702.0,6802.0,5
RC,362,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,2702.0,6802.0,5
RC,362,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,1423.0,6802.0,5
RC,362,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,1423.0,6802.0,5
RC,362,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,2702.0,14122.0,9
RC,362,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,4963.0,13830.0,9
RC,362,"Sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,2702.0,6802.0,5
RC,362,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,2702.0,6802.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,2702.0,6802.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,2702.0,8392.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,2702.0,6802.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,2702.0,6802.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,2702.0,6802.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,2702.0,6802.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,2702.0,6802.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,2702.0,6802.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,2702.0,6802.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,5
RC,362,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,2702.0,8392.0,5
RC,362,Snip incision of lacrimal punctum ,,,1423.0,6802.0,5
RC,362,Sperm washing for artificial insemination ,,,1423.0,6802.0,5
RC,362,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,2702.0,8392.0,5
RC,362,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,2702.0,6802.0,3
RC,362,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,2702.0,8392.0,5
RC,362,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,2702.0,8392.0,5
RC,362,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Spinal puncture, lumbar, diagnostic; ",,,1982.0,6802.0,5
RC,362,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,2702.0,6802.0,3
RC,362,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,1982.0,6802.0,5
RC,362,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,2702.0,6802.0,3
RC,362,Splenectomy; partial (separate procedure) ,,,2702.0,6802.0,3
RC,362,Splenectomy; total (separate procedure) ,,,2702.0,6802.0,3
RC,362,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,2702.0,8392.0,5
RC,362,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,2702.0,8392.0,5
RC,362,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,4963.0,11883.0,5
RC,362,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,4963.0,11883.0,5
RC,362,Stapes mobilization ,,,4963.0,6802.0,5
RC,362,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,2702.0,6802.0,3
RC,362,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,2702.0,6802.0,3
RC,362,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,362,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,2702.0,6802.0,5
RC,362,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,2702.0,8392.0,5
RC,362,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2702.0,6802.0,3
RC,362,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2702.0,6802.0,3
RC,362,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2702.0,6802.0,3
RC,362,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,2820.0,6802.0,5
RC,362,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,1423.0,6802.0,5
RC,362,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,362,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,362,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1423.0,6802.0,5
RC,362,"Strabismus surgery, any procedure, superior oblique muscle ",,,2702.0,6802.0,5
RC,362,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,2702.0,6802.0,5
RC,362,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,2702.0,6802.0,5
RC,362,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,2702.0,6802.0,5
RC,362,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,2702.0,6802.0,5
RC,362,Subconjunctival injection ,,,1423.0,6802.0,5
RC,362,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,2702.0,6802.0,5
RC,362,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,1982.0,6802.0,5
RC,362,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,1982.0,6802.0,5
RC,362,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,2702.0,6802.0,5
RC,362,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,2702.0,6802.0,3
RC,362,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,362,"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheter",,,2702.0,8392.0,10
RC,362,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,6802.0,3
RC,362,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,2702.0,6802.0,3
RC,362,Suprahyoid lymphadenectomy ,,,2702.0,6802.0,5
RC,362,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,2702.0,6802.0,3
RC,362,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,2702.0,6802.0,3
RC,362,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,2702.0,6802.0,3
RC,362,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,2702.0,6802.0,3
RC,362,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2702.0,6802.0,3
RC,362,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,2702.0,6802.0,3
RC,362,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,2702.0,6802.0,3
RC,362,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,2702.0,6802.0,3
RC,362,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,2702.0,6802.0,3
RC,362,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,2702.0,6802.0,3
RC,362,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,2702.0,6802.0,3
RC,362,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,2702.0,6802.0,3
RC,362,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,2702.0,6802.0,3
RC,362,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2702.0,6802.0,3
RC,362,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,2702.0,6802.0,5
RC,362,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,2702.0,6802.0,5
RC,362,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,2702.0,6802.0,5
RC,362,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,2702.0,6802.0,5
RC,362,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,2702.0,6802.0,3
RC,362,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,2702.0,6802.0,3
RC,362,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,2702.0,6802.0,3
RC,362,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,2702.0,8392.0,5
RC,362,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,2702.0,8392.0,5
RC,362,Suture and/or ligation of thoracic duct; abdominal approach ,,,2702.0,6802.0,3
RC,362,Suture and/or ligation of thoracic duct; cervical approach ,,,2702.0,6802.0,3
RC,362,Suture and/or ligation of thoracic duct; thoracic approach ,,,2702.0,6802.0,3
RC,362,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,2702.0,11883.0,5
RC,362,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,2702.0,11883.0,5
RC,362,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,2702.0,8392.0,5
RC,362,Suture of 1 nerve; median motor thenar ,,,2702.0,8392.0,5
RC,362,Suture of 1 nerve; ulnar motor ,,,2702.0,8392.0,5
RC,362,"Suture of digital nerve, hand or foot; 1 nerve ",,,2702.0,8392.0,5
RC,362,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,362,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,Suture of esophageal wound or injury; cervical approach ,,,2702.0,6802.0,3
RC,362,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,2702.0,6802.0,3
RC,362,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,2702.0,6802.0,3
RC,362,Suture of facial nerve; extracranial ,,,2702.0,8392.0,5
RC,362,"Suture of facial nerve; infratemporal, with or without grafting ",,,2702.0,8392.0,5
RC,362,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,2702.0,6802.0,5
RC,362,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,2702.0,6802.0,3
RC,362,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,2702.0,6802.0,3
RC,362,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,2702.0,8392.0,5
RC,362,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,2702.0,8392.0,5
RC,362,Suture of mesentery (separate procedure) ,,,2702.0,6802.0,3
RC,362,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1423.0,6802.0,5
RC,362,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,1423.0,6802.0,5
RC,362,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1423.0,6802.0,5
RC,362,Suture of posterior tibial nerve ,,,2702.0,8392.0,5
RC,362,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,2702.0,6802.0,5
RC,362,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,2702.0,6802.0,5
RC,362,Suture of sciatic nerve ,,,2702.0,8392.0,5
RC,362,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,2702.0,6802.0,3
RC,362,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,2702.0,6802.0,3
RC,362,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,2702.0,6802.0,5
RC,362,Suture of; brachial plexus ,,,2702.0,8392.0,5
RC,362,Suture of; lumbar plexus ,,,2702.0,8392.0,5
RC,362,Suture or repair of testicular injury ,,,2702.0,6802.0,5
RC,362,Suture pharynx for wound or injury ,,,2702.0,6802.0,5
RC,362,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,2702.0,6802.0,3
RC,362,"Sympathectomy, cervical ",,,2702.0,6802.0,5
RC,362,"Sympathectomy, cervicothoracic ",,,2702.0,6802.0,5
RC,362,"Sympathectomy, lumbar ",,,2702.0,6802.0,3
RC,362,"Sympathectomy, thoracolumbar ",,,2702.0,6802.0,3
RC,362,"Sympathectomy; digital arteries, each digit ",,,2702.0,6802.0,5
RC,362,Sympathectomy; radial artery ,,,2702.0,8392.0,5
RC,362,Sympathectomy; superficial palmar arch ,,,2702.0,8392.0,5
RC,362,Sympathectomy; ulnar artery ,,,2702.0,8392.0,5
RC,362,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,2702.0,6802.0,3
RC,362,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,11000.0,11000.0,1
RC,362,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,11000.0,11000.0,1
RC,362,TRANSCATHETER THERAPY INFUSE ,,,6826.0,6826.0,1
RC,362,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,1982.0,6802.0,5
RC,362,Temporary transcutaneous pacing ,,,1982.0,2194.0,2
RC,362,Therapeutic apheresis; for plasma pheresis ,,,2702.0,6802.0,5
RC,362,Therapeutic apheresis; for platelets ,,,2702.0,6802.0,5
RC,362,Therapeutic apheresis; for red blood cells ,,,2702.0,6802.0,5
RC,362,Therapeutic apheresis; for white blood cells ,,,2702.0,6802.0,5
RC,362,"Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion ",,,2702.0,8392.0,5
RC,362,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2702.0,6802.0,3
RC,362,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,362,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,362,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,362,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,362,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,6826.0,17341.0,3
RC,362,"Thrombolysis, cerebral, by intravenous infusion ",,,1423.0,6802.0,5
RC,362,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,17341.0,17341.0,2
RC,362,"Thrombolysis, coronary; by intravenous infusion ",,,1423.0,17341.0,4
RC,362,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,2702.0,11883.0,5
RC,362,"Thyroidectomy, including substernal thyroid; cervical approach ",,,2702.0,11883.0,5
RC,362,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,2702.0,6802.0,5
RC,362,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,2702.0,11883.0,5
RC,362,"Thyroidectomy, total or complete ",,,2702.0,11883.0,5
RC,362,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,2702.0,11883.0,5
RC,362,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,2702.0,6802.0,5
RC,362,"Tongue base suspension, permanent suture technique ",,,2702.0,11883.0,5
RC,362,Tonsillectomy and adenoidectomy; age 12 or over ,,,2702.0,6802.0,5
RC,362,Tonsillectomy and adenoidectomy; younger than age 12 ,,,2702.0,6802.0,5
RC,362,"Tonsillectomy, primary or secondary; age 12 or over ",,,2702.0,6802.0,5
RC,362,"Tonsillectomy, primary or secondary; younger than age 12 ",,,2702.0,6802.0,5
RC,362,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,2702.0,6802.0,3
RC,362,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,2702.0,6802.0,3
RC,362,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,6802.0,3
RC,362,Total facial nerve decompression and/or repair (may include graft) ,,,2702.0,11883.0,5
RC,362,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,2702.0,6802.0,3
RC,362,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,2702.0,6802.0,3
RC,362,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,2702.0,6802.0,3
RC,362,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,2702.0,6802.0,3
RC,362,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,2702.0,6802.0,3
RC,362,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2702.0,11883.0,5
RC,362,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2702.0,11883.0,5
RC,362,Trabeculoplasty by laser surgery ,,,1982.0,6802.0,5
RC,362,Trabeculotomy ab externo ,,,2702.0,6802.0,5
RC,362,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,2702.0,6802.0,5
RC,362,"Transabdominal amnioinfusion, including ultrasound guidance ",,,1982.0,6802.0,5
RC,362,Transcatheter biopsy ,,,4963.0,8392.0,5
RC,362,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2702.0,14122.0,8
RC,362,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,6802.0,23692.0,18
RC,362,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,6802.0,23692.0,9
RC,362,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,6802.0,23692.0,9
RC,362,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,1423.0,6802.0,5
RC,362,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,6826.0,23692.0,7
RC,362,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,6826.0,23692.0,7
RC,362,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,2702.0,6802.0,3
RC,362,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,6802.0,6826.0,3
RC,362,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,6802.0,6826.0,3
RC,362,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1423.0,17341.0,5
RC,362,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,4963.0,11754.0,7
RC,362,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,6826.0,17341.0,3
RC,362,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,6826.0,17341.0,6
RC,362,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,6826.0,17341.0,3
RC,362,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2702.0,6802.0,3
RC,362,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,4963.0,6802.0,5
RC,362,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,2702.0,6802.0,3
RC,362,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,2702.0,6802.0,3
RC,362,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,2702.0,6802.0,5
RC,362,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,2702.0,8392.0,5
RC,362,"Transection or avulsion of other cranial nerve, extradural ",,,2702.0,6802.0,5
RC,362,"Transection or avulsion of other spinal nerve, extradural ",,,2702.0,6802.0,5
RC,362,"Transection or avulsion of; facial nerve, differential or complete ",,,2702.0,6802.0,5
RC,362,Transection or avulsion of; greater occipital nerve ,,,2702.0,6802.0,5
RC,362,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,2702.0,6802.0,5
RC,362,Transection or avulsion of; infraorbital nerve ,,,2702.0,6802.0,5
RC,362,Transection or avulsion of; lingual nerve ,,,2702.0,6802.0,5
RC,362,Transection or avulsion of; mental nerve ,,,2702.0,6802.0,5
RC,362,Transection or avulsion of; phrenic nerve ,,,2702.0,6802.0,5
RC,362,Transection or avulsion of; supraorbital nerve ,,,2702.0,6802.0,5
RC,362,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,2702.0,6802.0,3
RC,362,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,2702.0,6802.0,3
RC,362,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,362,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,2702.0,6802.0,3
RC,362,"Transfusion, blood or blood components ",,,1423.0,6802.0,5
RC,362,"Transfusion, intrauterine, fetal ",,,1423.0,6802.0,5
RC,362,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,1423.0,23692.0,18
RC,362,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,1423.0,23692.0,18
RC,362,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,1423.0,23692.0,9
RC,362,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,2702.0,11883.0,5
RC,362,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,2702.0,11883.0,5
RC,362,Transmastoid antrotomy (simple mastoidectomy) ,,,2702.0,11883.0,5
RC,362,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,2702.0,6802.0,3
RC,362,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,2702.0,6802.0,3
RC,362,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,1423.0,6802.0,5
RC,362,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,4963.0,11883.0,5
RC,362,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,4963.0,11883.0,5
RC,362,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2702.0,6802.0,3
RC,362,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,4963.0,13830.0,9
RC,362,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,2702.0,6802.0,3
RC,362,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,1982.0,6802.0,5
RC,362,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,1423.0,6802.0,5
RC,362,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,,,1982.0,6802.0,5
RC,362,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,1982.0,6802.0,5
RC,362,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,,,1982.0,6802.0,5
RC,362,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,1982.0,6802.0,5
RC,362,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,1423.0,6802.0,5
RC,362,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,1423.0,6802.0,5
RC,362,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,1982.0,6802.0,5
RC,362,Transplantation of pancreatic allograft ,,,2702.0,6802.0,3
RC,362,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,2702.0,6802.0,5
RC,362,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,"Transposition, ovary(s) ",,,2702.0,8392.0,5
RC,362,Transrectal drainage of pelvic abscess ,,,2702.0,6802.0,5
RC,362,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,2702.0,6802.0,3
RC,362,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,2702.0,6802.0,3
RC,362,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,2702.0,6802.0,5
RC,362,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,2702.0,6802.0,3
RC,362,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,2702.0,11883.0,5
RC,362,Transurethral drainage of prostatic abscess ,,,2702.0,6802.0,5
RC,362,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,4963.0,13830.0,11
RC,362,Transurethral incision of prostate ,,,2702.0,6802.0,5
RC,362,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,2702.0,6802.0,5
RC,362,Transurethral resection of bladder neck (separate procedure) ,,,2702.0,6802.0,5
RC,362,Transurethral resection; of postoperative bladder neck contracture ,,,4963.0,6802.0,5
RC,362,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,4963.0,11883.0,5
RC,362,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,2702.0,6802.0,3
RC,362,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,1423.0,6802.0,5
RC,362,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,1423.0,6802.0,5
RC,362,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,5
RC,362,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,5
RC,362,Transvesical ureterolithotomy ,,,2702.0,11883.0,5
RC,362,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,1982.0,13830.0,9
RC,362,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,362,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,1982.0,6802.0,5
RC,362,"Treatment of incomplete abortion, any trimester, completed surgically ",,,2702.0,6802.0,5
RC,362,"Treatment of missed abortion, completed surgically; first trimester ",,,2702.0,6802.0,5
RC,362,"Treatment of missed abortion, completed surgically; second trimester ",,,2702.0,6802.0,5
RC,362,"Treatment of septic abortion, completed surgically ",,,2702.0,6802.0,3
RC,362,"Trimming of dystrophic nails, any number ",,,1423.0,1575.0,2
RC,362,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,2702.0,6802.0,3
RC,362,Tubotubal anastomosis ,,,2702.0,8392.0,5
RC,362,Tubouterine implantation ,,,2702.0,8392.0,5
RC,362,Twist drill hole for subdural or ventricular puncture ,,,2702.0,6802.0,3
RC,362,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,2702.0,6802.0,3
RC,362,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,2702.0,6802.0,3
RC,362,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,2702.0,6802.0,3
RC,362,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,2702.0,6802.0,12
RC,362,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,2702.0,6802.0,5
RC,362,Tympanic neurectomy ,,,4963.0,6802.0,5
RC,362,"Tympanolysis, transcanal ",,,2702.0,11883.0,5
RC,362,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,362,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,4963.0,11883.0,5
RC,362,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,362,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,362,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,4963.0,11883.0,5
RC,362,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,4963.0,11883.0,5
RC,362,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,362,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,2702.0,6802.0,5
RC,362,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,1423.0,6802.0,5
RC,362,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,2702.0,8392.0,5
RC,362,Unlisted cardiovascular service or procedure ,,,1423.0,1575.0,2
RC,362,Unlisted diagnostic gastroenterology procedure ,,,1423.0,1575.0,2
RC,362,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,1423.0,6802.0,5
RC,362,"Unlisted hysteroscopy procedure, uterus ",,,1423.0,13830.0,9
RC,362,"Unlisted hysteroscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted laparoscopic procedure, liver ",,,2702.0,13830.0,9
RC,362,"Unlisted laparoscopic procedure, liver Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,2702.0,13830.0,9
RC,362,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted laparoscopy procedure, appendix ",,,4963.0,13830.0,9
RC,362,"Unlisted laparoscopy procedure, appendix Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted laparoscopy procedure, biliary tract ",,,4963.0,11883.0,5
RC,362,"Unlisted laparoscopy procedure, bladder ",,,4963.0,11883.0,5
RC,362,"Unlisted laparoscopy procedure, endocrine system ",,,4963.0,11883.0,5
RC,362,"Unlisted laparoscopy procedure, esophagus ",,,4963.0,13830.0,9
RC,362,"Unlisted laparoscopy procedure, esophagus Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,4963.0,13830.0,9
RC,362,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,2702.0,11883.0,5
RC,362,"Unlisted laparoscopy procedure, lymphatic system ",,,4963.0,13830.0,9
RC,362,"Unlisted laparoscopy procedure, lymphatic system Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted laparoscopy procedure, maternity care and delivery ",,,4963.0,13830.0,9
RC,362,"Unlisted laparoscopy procedure, maternity care and delivery Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted laparoscopy procedure, oviduct, ovary ",,,4963.0,13830.0,9
RC,362,"Unlisted laparoscopy procedure, oviduct, ovary Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted laparoscopy procedure, rectum ",,,2702.0,11883.0,5
RC,362,"Unlisted laparoscopy procedure, renal ",,,4963.0,13830.0,9
RC,362,"Unlisted laparoscopy procedure, renal Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted laparoscopy procedure, spermatic cord ",,,4963.0,11883.0,5
RC,362,"Unlisted laparoscopy procedure, spleen ",,,4963.0,13830.0,9
RC,362,"Unlisted laparoscopy procedure, spleen Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted laparoscopy procedure, stomach ",,,4963.0,13830.0,9
RC,362,"Unlisted laparoscopy procedure, stomach Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted laparoscopy procedure, testis ",,,4963.0,11883.0,5
RC,362,"Unlisted laparoscopy procedure, ureter ",,,4963.0,13830.0,9
RC,362,"Unlisted laparoscopy procedure, ureter Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted laparoscopy procedure, uterus ",,,4963.0,13830.0,9
RC,362,"Unlisted laparoscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,362,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,2702.0,6802.0,3
RC,362,"Unlisted procedure, abdomen, peritoneum and omentum ",,,2702.0,8392.0,5
RC,362,"Unlisted procedure, anterior segment of eye ",,,2702.0,6802.0,5
RC,362,"Unlisted procedure, anus ",,,1982.0,6802.0,5
RC,362,"Unlisted procedure, biliary tract ",,,2702.0,6802.0,5
RC,362,"Unlisted procedure, colon ",,,2702.0,6802.0,5
RC,362,"Unlisted procedure, conjunctiva ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, dentoalveolar structures ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, diaphragm ",,,2702.0,6802.0,3
RC,362,"Unlisted procedure, endocrine system ",,,2702.0,11883.0,5
RC,362,"Unlisted procedure, esophagus ",,,2702.0,6802.0,5
RC,362,"Unlisted procedure, external ear ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, extraocular muscle ",,,2702.0,6802.0,5
RC,362,"Unlisted procedure, eyelids ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, female genital system (nonobstetrical) ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, hemic or lymphatic system ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, inner ear ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, lacrimal system ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, lips ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, liver ",,,1982.0,6802.0,5
RC,362,"Unlisted procedure, male genital system ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, maternity care and delivery ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, mediastinum ",,,2702.0,6802.0,3
RC,362,"Unlisted procedure, middle ear ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, nervous system ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, orbit ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, palate, uvula ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, pancreas ",,,1982.0,6802.0,5
RC,362,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, posterior segment ",,,2702.0,6802.0,5
RC,362,"Unlisted procedure, rectum ",,,1982.0,6802.0,5
RC,362,"Unlisted procedure, salivary glands or ducts ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, small intestine ",,,2702.0,8392.0,5
RC,362,"Unlisted procedure, stomach ",,,2702.0,6802.0,3
RC,362,"Unlisted procedure, temporal bone, middle fossa approach ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, tongue, floor of mouth ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, urinary system ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, vascular injection ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, vascular surgery ",,,1423.0,6802.0,5
RC,362,"Unlisted procedure, vestibule of mouth ",,,1423.0,6802.0,5
RC,362,Unlisted vascular endoscopy procedure ,,,4963.0,8392.0,5
RC,362,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,1423.0,6802.0,5
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,5
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,6802.0,5
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,2702.0,6802.0,5
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,6802.0,5
RC,362,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1982.0,6802.0,5
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,5
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,6802.0,5
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,2702.0,6802.0,5
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,6802.0,5
RC,362,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1982.0,6802.0,5
RC,362,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2702.0,6802.0,3
RC,362,"Ureterectomy, with bladder cuff (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,2702.0,6802.0,3
RC,362,"Ureterocolon conduit, including intestine anastomosis ",,,2702.0,6802.0,3
RC,362,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,2702.0,6802.0,3
RC,362,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,2702.0,6802.0,3
RC,362,Ureterolithotomy; lower one-third of ureter ,,,2702.0,6802.0,3
RC,362,Ureterolithotomy; middle one-third of ureter ,,,2702.0,6802.0,3
RC,362,Ureterolithotomy; upper one-third of ureter ,,,2702.0,6802.0,3
RC,362,Ureterolysis for ovarian vein syndrome ,,,2702.0,6802.0,3
RC,362,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,2702.0,6802.0,3
RC,362,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,2702.0,6802.0,3
RC,362,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,2702.0,6802.0,3
RC,362,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,2702.0,6802.0,3
RC,362,Ureteroneocystostomy; with extensive ureteral tailoring ,,,2702.0,6802.0,3
RC,362,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,2702.0,6802.0,3
RC,362,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,2702.0,6802.0,3
RC,362,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,2702.0,6802.0,3
RC,362,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,2702.0,6802.0,3
RC,362,"Ureterostomy, transplantation of ureter to skin ",,,2702.0,6802.0,3
RC,362,"Ureterotomy for insertion of indwelling stent, all types ",,,2702.0,6802.0,3
RC,362,Ureterotomy with exploration or drainage (separate procedure) ,,,2702.0,6802.0,3
RC,362,Ureteroureterostomy ,,,2702.0,6802.0,3
RC,362,"Urethrectomy, total, including cystostomy; female ",,,2702.0,8392.0,5
RC,362,"Urethrectomy, total, including cystostomy; male ",,,2702.0,6802.0,5
RC,362,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,2702.0,8392.0,5
RC,362,"Urethromeatoplasty, with mucosal advancement ",,,2702.0,8392.0,5
RC,362,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,2702.0,6802.0,5
RC,362,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,2702.0,8392.0,5
RC,362,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,2702.0,8392.0,5
RC,362,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,2702.0,11883.0,5
RC,362,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,2702.0,8392.0,5
RC,362,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,2702.0,8392.0,5
RC,362,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,2702.0,8392.0,5
RC,362,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,2702.0,8392.0,5
RC,362,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,2702.0,8392.0,5
RC,362,"Urethroplasty, reconstruction of female urethra ",,,2702.0,8392.0,5
RC,362,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2702.0,11883.0,5
RC,362,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,2702.0,8392.0,5
RC,362,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,2702.0,8392.0,5
RC,362,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,2702.0,6802.0,5
RC,362,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,2702.0,8392.0,5
RC,362,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,2702.0,6802.0,5
RC,362,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,2702.0,8392.0,5
RC,362,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,2702.0,6802.0,5
RC,362,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,2702.0,6802.0,5
RC,362,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,2702.0,6802.0,3
RC,362,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,362,Uterine evacuation and curettage for hydatidiform mole ,,,2702.0,6802.0,5
RC,362,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,2702.0,6802.0,3
RC,362,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,2702.0,6802.0,3
RC,362,"Uvulectomy, excision of uvula ",,,2702.0,6802.0,5
RC,362,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,7583.0,8392.0,2
RC,362,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,2702.0,6802.0,5
RC,362,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,2702.0,6802.0,3
RC,362,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,2702.0,6802.0,5
RC,362,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,2702.0,6802.0,3
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; ",,,4963.0,8392.0,5
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,4963.0,8392.0,5
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,4963.0,8392.0,5
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,4963.0,8392.0,5
RC,362,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,4963.0,8392.0,5
RC,362,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,4963.0,11883.0,5
RC,362,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,11883.0,5
RC,362,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,4963.0,11883.0,5
RC,362,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,4963.0,11883.0,5
RC,362,"Vaginal hysterectomy, radical (Schauta type operation) ",,,4963.0,6802.0,3
RC,362,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,4963.0,8392.0,5
RC,362,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,4963.0,8392.0,5
RC,362,"Vaginectomy, complete removal of vaginal wall; ",,,2702.0,6802.0,3
RC,362,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2702.0,8392.0,5
RC,362,"Vaginectomy, partial removal of vaginal wall; ",,,2702.0,6802.0,5
RC,362,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2702.0,6802.0,5
RC,362,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,2702.0,6802.0,5
RC,362,Vaginoplasty for intersex state ,,,4963.0,6802.0,5
RC,362,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,2702.0,6802.0,3
RC,362,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,2702.0,6802.0,3
RC,362,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,2702.0,6802.0,3
RC,362,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,6802.0,14122.0,5
RC,362,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,6802.0,14122.0,5
RC,362,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,6802.0,23692.0,9
RC,362,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,6802.0,14122.0,5
RC,362,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,7583.0,8392.0,2
RC,362,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,2702.0,6802.0,5
RC,362,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,1423.0,6802.0,5
RC,362,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,2702.0,6802.0,5
RC,362,"Vasovasostomy, vasovasorrhaphy ",,,2702.0,6802.0,5
RC,362,"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for ",,,2702.0,6802.0,3
RC,362,"Venipuncture, cutdown; age 1 or over ",,,1423.0,6802.0,4
RC,362,"Venipuncture, cutdown; younger than age 1 year ",,,1423.0,6802.0,4
RC,362,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein ",,,2702.0,6802.0,3
RC,362,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein ",,,2702.0,6802.0,3
RC,362,"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein ",,,2702.0,6802.0,3
RC,362,"Venous anastomosis, open; caval-mesenteric ",,,2702.0,6802.0,3
RC,362,"Venous anastomosis, open; portocaval ",,,2702.0,6802.0,3
RC,362,"Venous anastomosis, open; renoportal ",,,2702.0,6802.0,3
RC,362,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,2702.0,6802.0,3
RC,362,"Venous anastomosis, open; splenorenal, proximal ",,,2702.0,6802.0,3
RC,362,Venous catheterization for selective organ blood sampling ,,,1423.0,6802.0,5
RC,362,Ventilating tube removal requiring general anesthesia ,,,2702.0,6802.0,5
RC,362,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,1982.0,6802.0,5
RC,362,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,1982.0,6802.0,5
RC,362,Ventriculocisternostomy (Torkildsen type operation) ,,,2702.0,6802.0,3
RC,362,"Ventriculocisternostomy, third ventricle; ",,,2702.0,6802.0,3
RC,362,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,2702.0,6802.0,3
RC,362,"Vermilionectomy (lip shave), with mucosal advancement ",,,2702.0,6802.0,5
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,4963.0,6802.0,9
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,4963.0,6802.0,6
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,4963.0,6802.0,3
RC,362,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,4963.0,6802.0,3
RC,362,"Vesiculectomy, any approach ",,,1982.0,6802.0,5
RC,362,Vesiculotomy; ,,,2702.0,6802.0,5
RC,362,Vesiculotomy; complicated ,,,1982.0,6802.0,5
RC,362,"Vestibular nerve section, transcranial approach ",,,2702.0,6802.0,3
RC,362,"Vestibular nerve section, translabyrinthine approach ",,,2702.0,11883.0,5
RC,362,Vestibuloplasty; anterior ,,,2702.0,6802.0,5
RC,362,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,2702.0,11883.0,5
RC,362,Vestibuloplasty; entire arch ,,,2702.0,11883.0,5
RC,362,"Vestibuloplasty; posterior, bilateral ",,,2702.0,6802.0,5
RC,362,"Vestibuloplasty; posterior, unilateral ",,,2702.0,6802.0,5
RC,362,"Vitrectomy, mechanical, pars plana approach; ",,,4963.0,13830.0,9
RC,362,"Vitrectomy, mechanical, pars plana approach; Complex Surgery",,,11754.0,11754.0,2
RC,362,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,4963.0,13830.0,9
RC,362,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,362,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,4963.0,13830.0,9
RC,362,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,362,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,4963.0,13830.0,11
RC,362,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,4963.0,13830.0,9
RC,362,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Complex Surgery",,,11754.0,11754.0,2
RC,362,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,4963.0,13830.0,11
RC,362,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,362,Vulvectomy simple; complete ,,,2702.0,6802.0,5
RC,362,Vulvectomy simple; partial ,,,2702.0,6802.0,5
RC,362,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,2702.0,6802.0,3
RC,362,"Vulvectomy, radical, complete; ",,,2702.0,14122.0,5
RC,362,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,14122.0,5
RC,362,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,2702.0,14122.0,5
RC,362,"Vulvectomy, radical, partial; ",,,2702.0,6802.0,3
RC,362,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,14122.0,5
RC,362,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,2702.0,14122.0,5
RC,362,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,2702.0,8392.0,5
RC,362,Wound closure utilizing tissue adhesive(s) only ,,,1423.0,1575.0,2
RC,367, Operating Room Services Kidney Transplant  ,,,2481.0,12100.0,10
RC,367,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,2702.0,11883.0,5
RC,367,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,2702.0,8392.0,5
RC,367,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,2702.0,11883.0,5
RC,367,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,2702.0,8392.0,5
RC,367,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2702.0,8392.0,5
RC,367,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2702.0,8392.0,5
RC,367,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,11000.0,11000.0,1
RC,367,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,11000.0,11000.0,1
RC,367,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,1423.0,1575.0,2
RC,367,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,1982.0,6802.0,5
RC,367,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,1982.0,6802.0,5
RC,367,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,2702.0,11883.0,5
RC,367,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,2702.0,6802.0,3
RC,367,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,2702.0,6802.0,3
RC,367,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,2702.0,6802.0,3
RC,367,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,2702.0,6802.0,3
RC,367,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,2702.0,11883.0,5
RC,367,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,2702.0,11883.0,5
RC,367,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,2702.0,11883.0,5
RC,367,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,2702.0,6802.0,3
RC,367,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,2702.0,6802.0,3
RC,367,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,2702.0,6802.0,3
RC,367,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,2702.0,6802.0,3
RC,367,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,2702.0,6802.0,3
RC,367,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2702.0,11883.0,3
RC,367,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,1575.0,17341.0,4
RC,367,"Adenoidectomy, primary; age 12 or over ",,,2702.0,6802.0,5
RC,367,"Adenoidectomy, primary; younger than age 12 ",,,2702.0,6802.0,5
RC,367,"Adenoidectomy, secondary; age 12 or over ",,,2702.0,6802.0,5
RC,367,"Adenoidectomy, secondary; younger than age 12 ",,,2702.0,6802.0,5
RC,367,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,2702.0,6802.0,3
RC,367,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,2702.0,6802.0,3
RC,367,Allogeneic lymphocyte infusions ,,,2702.0,6802.0,5
RC,367,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,2702.0,6802.0,5
RC,367,"Alveoloplasty, each quadrant (specify) ",,,2702.0,6802.0,5
RC,367,Amniocentesis; diagnostic ,,,1982.0,6802.0,5
RC,367,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,1423.0,6802.0,5
RC,367,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,6802.0,3
RC,367,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,6802.0,3
RC,367,Amputation of penis; complete ,,,2702.0,6802.0,5
RC,367,Amputation of penis; partial ,,,2702.0,8392.0,5
RC,367,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,2702.0,6802.0,3
RC,367,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,2702.0,6802.0,3
RC,367,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,2702.0,6802.0,3
RC,367,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,2702.0,6802.0,3
RC,367,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,2702.0,6802.0,3
RC,367,Anastomosis; facial-hypoglossal ,,,2702.0,6802.0,3
RC,367,Anastomosis; facial-spinal accessory ,,,2702.0,6802.0,3
RC,367,"Anoplasty, plastic operation for stricture; adult ",,,2702.0,6802.0,5
RC,367,"Anoplasty, plastic operation for stricture; infant ",,,2702.0,6802.0,3
RC,367,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,2702.0,6802.0,5
RC,367,Anorectal manometry ,,,1423.0,1575.0,2
RC,367,Anorectal myomectomy ,,,2702.0,6802.0,5
RC,367,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1423.0,6802.0,5
RC,367,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,1423.0,6802.0,5
RC,367,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,2702.0,6802.0,5
RC,367,"Anoscopy; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,367,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,2702.0,6802.0,5
RC,367,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,2702.0,6802.0,5
RC,367,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,367,Anoscopy; with removal of foreign body ,,,2702.0,6802.0,5
RC,367,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,2702.0,6802.0,5
RC,367,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,2702.0,6802.0,5
RC,367,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,2702.0,6802.0,5
RC,367,Antepartum care only; 4-6 visits ,,,2702.0,6802.0,3
RC,367,Antepartum care only; 7 or more visits ,,,2702.0,6802.0,3
RC,367,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,4963.0,8392.0,5
RC,367,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,2702.0,6802.0,5
RC,367,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,2702.0,6802.0,5
RC,367,Appendectomy; ,,,2702.0,8392.0,5
RC,367,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,2702.0,6802.0,3
RC,367,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,367,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1423.0,2194.0,4
RC,367,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1423.0,1575.0,2
RC,367,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1982.0,2194.0,2
RC,367,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1423.0,1575.0,2
RC,367,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2820.0,3120.0,2
RC,367,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1423.0,1575.0,2
RC,367,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1982.0,2194.0,2
RC,367,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,367,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,4963.0,11883.0,5
RC,367,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,2702.0,11883.0,5
RC,367,"Arteriovenous anastomosis, open; by forearm vein transposition ",,,6826.0,17341.0,3
RC,367,"Arteriovenous anastomosis, open; by upper arm basilic vein transposition ",,,6826.0,17341.0,3
RC,367,"Arteriovenous anastomosis, open; by upper arm cephalic vein transposition ",,,6826.0,23692.0,7
RC,367,"Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) ",,,6826.0,23692.0,7
RC,367,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1423.0,1575.0,2
RC,367,Artificial insemination; intra-cervical ,,,1423.0,6802.0,5
RC,367,Artificial insemination; intra-uterine ,,,1423.0,6802.0,5
RC,367,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,2702.0,6802.0,5
RC,367,"Aspiration and/or injection, thyroid cyst ",,,1982.0,6802.0,5
RC,367,Aspiration of bladder; by needle ,,,1423.0,6802.0,5
RC,367,Aspiration of bladder; by trocar or intracatheter ,,,1423.0,6802.0,5
RC,367,Aspiration of bladder; with insertion of suprapubic catheter ,,,2702.0,6802.0,5
RC,367,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,4963.0,6802.0,5
RC,367,Axillary lymphadenectomy; complete ,,,2702.0,11883.0,5
RC,367,Axillary lymphadenectomy; superficial ,,,2702.0,11883.0,5
RC,367,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,11000.0,11000.0,1
RC,367,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,11000.0,11000.0,1
RC,367,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,11000.0,11000.0,1
RC,367,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,367,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,11000.0,11000.0,1
RC,367,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,11000.0,11000.0,1
RC,367,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,11000.0,11000.0,1
RC,367,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,11000.0,11000.0,1
RC,367,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,367,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11000.0,11000.0,1
RC,367,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,11000.0,11000.0,1
RC,367,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,367,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,2702.0,6802.0,3
RC,367,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,2702.0,6802.0,3
RC,367,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,2702.0,6802.0,3
RC,367,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,2702.0,6802.0,3
RC,367,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,2702.0,6802.0,3
RC,367,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,2702.0,6802.0,3
RC,367,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,2702.0,6802.0,3
RC,367,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,2702.0,6802.0,3
RC,367,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,2702.0,6802.0,3
RC,367,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,2702.0,6802.0,3
RC,367,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,2702.0,6802.0,9
RC,367,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,2702.0,6802.0,3
RC,367,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,2702.0,6802.0,3
RC,367,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,2702.0,23692.0,7
RC,367,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,2702.0,6802.0,3
RC,367,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,1423.0,6802.0,5
RC,367,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,1423.0,6802.0,5
RC,367,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,2702.0,6802.0,3
RC,367,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,2702.0,6802.0,3
RC,367,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,2702.0,6802.0,3
RC,367,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,2702.0,6802.0,3
RC,367,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,1982.0,6802.0,5
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,2702.0,11883.0,5
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,2702.0,11883.0,5
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,2702.0,6802.0,5
RC,367,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,2702.0,6802.0,5
RC,367,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,2702.0,6802.0,5
RC,367,Biopsy external auditory canal ,,,2702.0,6802.0,5
RC,367,Biopsy external ear ,,,1423.0,6802.0,5
RC,367,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,2702.0,6802.0,5
RC,367,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,1982.0,6802.0,5
RC,367,Biopsy of conjunctiva ,,,1982.0,6802.0,5
RC,367,Biopsy of cornea ,,,1982.0,6802.0,5
RC,367,"Biopsy of epididymis, needle ",,,1982.0,6802.0,5
RC,367,Biopsy of extraocular muscle ,,,2702.0,6802.0,5
RC,367,Biopsy of floor of mouth ,,,1982.0,6802.0,5
RC,367,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,2702.0,6802.0,5
RC,367,Biopsy of lacrimal gland ,,,2702.0,6802.0,5
RC,367,Biopsy of lacrimal sac ,,,2702.0,6802.0,5
RC,367,Biopsy of lip ,,,1423.0,6802.0,5
RC,367,"Biopsy of liver, needle; percutaneous ",,,2702.0,6802.0,5
RC,367,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,"Biopsy of liver, wedge ",,,2702.0,6802.0,3
RC,367,Biopsy of nerve ,,,2702.0,6802.0,5
RC,367,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Biopsy of palate, uvula ",,,1982.0,6802.0,5
RC,367,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,2702.0,6802.0,3
RC,367,"Biopsy of pancreas, percutaneous needle ",,,2702.0,6802.0,5
RC,367,Biopsy of penis; (separate procedure) ,,,2702.0,6802.0,5
RC,367,Biopsy of penis; deep structures ,,,2702.0,6802.0,5
RC,367,Biopsy of salivary gland; incisional ,,,2702.0,6802.0,5
RC,367,Biopsy of salivary gland; needle ,,,1982.0,6802.0,5
RC,367,"Biopsy of spinal cord, percutaneous needle ",,,2702.0,6802.0,5
RC,367,"Biopsy of stomach, by laparotomy ",,,2702.0,6802.0,5
RC,367,"Biopsy of testis, incisional (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Biopsy of testis, needle (separate procedure) ",,,2702.0,6802.0,5
RC,367,Biopsy of tongue; anterior two-thirds ,,,1982.0,6802.0,5
RC,367,Biopsy of tongue; posterior one-third ,,,2702.0,6802.0,5
RC,367,Biopsy of urethra ,,,2702.0,6802.0,5
RC,367,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,2702.0,6802.0,5
RC,367,Biopsy of vaginal mucosa; simple (separate procedure) ,,,1982.0,6802.0,5
RC,367,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,1982.0,6802.0,5
RC,367,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,367,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,2820.0,6802.0,5
RC,367,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,4963.0,13830.0,9
RC,367,"Biopsy or excision of lymph node(s); open, deep axillary node(s) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,4963.0,13830.0,9
RC,367,"Biopsy or excision of lymph node(s); open, deep cervical node(s) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,4963.0,13830.0,9
RC,367,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Complex Surgery",,,11754.0,11754.0,2
RC,367,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,2702.0,6802.0,3
RC,367,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,2702.0,6802.0,5
RC,367,"Biopsy or excision of lymph node(s); open, superficial ",,,4963.0,6802.0,5
RC,367,"Biopsy thyroid, percutaneous core needle ",,,1982.0,6802.0,5
RC,367,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,2702.0,6802.0,5
RC,367,"Biopsy, prostate, any approach, nonimaging-guided ",,,2702.0,6802.0,5
RC,367,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,2702.0,6802.0,3
RC,367,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,2702.0,6802.0,3
RC,367,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2702.0,6802.0,3
RC,367,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,2702.0,6802.0,3
RC,367,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2702.0,6802.0,3
RC,367,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2702.0,6802.0,3
RC,367,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,2702.0,6802.0,3
RC,367,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2702.0,6802.0,3
RC,367,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,2820.0,3120.0,2
RC,367,"Biopsy, vestibule of mouth ",,,1423.0,6802.0,5
RC,367,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,2702.0,6802.0,5
RC,367,"Biopsy; nasopharynx, visible lesion, simple ",,,2702.0,6802.0,5
RC,367,Biopsy; oropharynx ,,,1982.0,6802.0,5
RC,367,Bladder instillation of anticarcinogenic agent (including retention time) ,,,1423.0,6802.0,5
RC,367,"Bladder irrigation, simple, lavage and/or instillation ",,,1423.0,6802.0,5
RC,367,"Blepharotomy, drainage of abscess, eyelid ",,,1423.0,6802.0,5
RC,367,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,10737.0,11883.0,2
RC,367,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,12038.0,4
RC,367,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,1423.0,6802.0,5
RC,367,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,2702.0,6802.0,5
RC,367,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,1423.0,1575.0,2
RC,367,Bone marrow harvesting for transplantation; allogeneic ,,,2702.0,8392.0,5
RC,367,Bone marrow harvesting for transplantation; autologous ,,,2702.0,8392.0,5
RC,367,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1423.0,1575.0,2
RC,367,Bundle of His recording ,,,6826.0,17341.0,3
RC,367,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,2702.0,6802.0,3
RC,367,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,2702.0,6802.0,3
RC,367,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,2702.0,6802.0,3
RC,367,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,2702.0,6802.0,3
RC,367,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,2702.0,6802.0,3
RC,367,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,2702.0,6802.0,3
RC,367,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,2702.0,6802.0,3
RC,367,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,2702.0,6802.0,3
RC,367,CERVICAL SPINAL FUSION WITH CC ,,,11000.0,11000.0,1
RC,367,CERVICAL SPINAL FUSION WITH MCC ,,,11000.0,11000.0,1
RC,367,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,1423.0,1575.0,2
RC,367,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,11000.0,11000.0,1
RC,367,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,8392.0,2
RC,367,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,7583.0,8392.0,2
RC,367,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,8392.0,2
RC,367,COMPLICATED PEPTIC ULCER WITH CC ,,,11000.0,11000.0,1
RC,367,CONNECTIVE TISSUE DISORDERS WITH CC ,,,11000.0,11000.0,1
RC,367,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,11000.0,11000.0,1
RC,367,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,367,"Cannulation, thoracic duct ",,,1423.0,6802.0,5
RC,367,Canthoplasty (reconstruction of canthus) ,,,2702.0,6802.0,5
RC,367,Canthotomy (separate procedure) ,,,2702.0,6802.0,5
RC,367,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,1423.0,1575.0,2
RC,367,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1982.0,2194.0,2
RC,367,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1982.0,2194.0,2
RC,367,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,9333.0,12038.0,4
RC,367,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,9333.0,12038.0,4
RC,367,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,9333.0,12038.0,16
RC,367,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,9333.0,12038.0,12
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,9333.0,12038.0,12
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,12038.0,8
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,9333.0,12038.0,12
RC,367,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,12038.0,4
RC,367,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,1423.0,6802.0,5
RC,367,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2702.0,6802.0,3
RC,367,"Cautery of cervix; cryocautery, initial or repeat ",,,1423.0,6802.0,5
RC,367,Cautery of cervix; electro or thermal ,,,2702.0,6802.0,5
RC,367,Cautery of cervix; laser ablation ,,,2702.0,6802.0,5
RC,367,"Cerclage of cervix, during pregnancy; abdominal ",,,2702.0,6802.0,3
RC,367,"Cerclage of cervix, during pregnancy; vaginal ",,,2702.0,6802.0,5
RC,367,"Cerclage of uterine cervix, nonobstetrical ",,,2702.0,6802.0,5
RC,367,Cervical lymphadenectomy (complete) ,,,2702.0,6802.0,5
RC,367,Cervical lymphadenectomy (modified radical neck dissection) ,,,2702.0,6802.0,3
RC,367,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,2702.0,6802.0,3
RC,367,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,2702.0,6802.0,3
RC,367,Cesarean delivery only; ,,,2702.0,6802.0,3
RC,367,Cesarean delivery only; including postpartum care ,,,2702.0,6802.0,3
RC,367,Change of cystostomy tube; complicated ,,,1982.0,6802.0,5
RC,367,Change of cystostomy tube; simple ,,,1423.0,6802.0,5
RC,367,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,2702.0,6802.0,5
RC,367,Chemodenervation of eccrine glands; both axillae ,,,1423.0,6802.0,5
RC,367,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,1423.0,6802.0,5
RC,367,Chemodenervation of extraocular muscle ,,,1423.0,6802.0,5
RC,367,Chemodenervation of internal anal sphincter ,,,2702.0,6802.0,5
RC,367,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,1982.0,6802.0,5
RC,367,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,1423.0,6802.0,5
RC,367,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,1423.0,6802.0,5
RC,367,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,1982.0,6802.0,5
RC,367,Chemodenervation of one extremity; 1-4 muscle(s) ,,,1982.0,6802.0,5
RC,367,Chemodenervation of one extremity; 5 or more muscles ,,,1982.0,6802.0,5
RC,367,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,1423.0,6802.0,5
RC,367,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,1982.0,6802.0,5
RC,367,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,1982.0,6802.0,5
RC,367,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,2702.0,6802.0,3
RC,367,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,2702.0,6802.0,3
RC,367,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,2702.0,6802.0,3
RC,367,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,2702.0,6802.0,3
RC,367,Cholecystectomy with exploration of common duct; ,,,4963.0,6802.0,3
RC,367,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,4963.0,6802.0,3
RC,367,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,4963.0,6802.0,3
RC,367,Cholecystectomy; ,,,4963.0,13830.0,7
RC,367,Cholecystectomy; Complex Surgery,,,11754.0,11754.0,2
RC,367,Cholecystectomy; with cholangiography ,,,4963.0,6802.0,3
RC,367,Cholecystoenterostomy; Roux-en-Y ,,,2702.0,6802.0,3
RC,367,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,2702.0,6802.0,3
RC,367,Cholecystoenterostomy; direct ,,,2702.0,6802.0,3
RC,367,Cholecystoenterostomy; with gastroenterostomy ,,,2702.0,6802.0,3
RC,367,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,2702.0,6802.0,5
RC,367,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,2702.0,6802.0,3
RC,367,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,2702.0,6802.0,3
RC,367,"Chorionic villus sampling, any method ",,,1982.0,6802.0,5
RC,367,"Chromotubation of oviduct, including materials ",,,4963.0,8392.0,5
RC,367,Ciliary body destruction; cryotherapy ,,,2702.0,6802.0,5
RC,367,Ciliary body destruction; cyclodialysis ,,,2702.0,6802.0,5
RC,367,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,2702.0,6802.0,5
RC,367,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,2702.0,6802.0,5
RC,367,Ciliary body destruction; diathermy ,,,2702.0,6802.0,5
RC,367,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,2702.0,6802.0,5
RC,367,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,4963.0,6802.0,5
RC,367,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,2702.0,6802.0,5
RC,367,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,1982.0,6802.0,5
RC,367,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,2702.0,6802.0,5
RC,367,Clitoroplasty for intersex state ,,,2702.0,6802.0,5
RC,367,Closure of anal fistula with rectal advancement flap ,,,2702.0,8392.0,5
RC,367,Closure of cystostomy (separate procedure) ,,,2702.0,6802.0,5
RC,367,Closure of enteroenteric or enterocolic fistula ,,,2702.0,6802.0,3
RC,367,"Closure of enterostomy, large or small intestine; ",,,2702.0,6802.0,3
RC,367,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,2702.0,6802.0,3
RC,367,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,2702.0,6802.0,3
RC,367,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,2702.0,6802.0,3
RC,367,Closure of enterovesical fistula; without intestinal or bladder resection ,,,2702.0,6802.0,3
RC,367,Closure of esophagostomy or fistula; cervical approach ,,,2702.0,6802.0,5
RC,367,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,2702.0,6802.0,3
RC,367,Closure of gastrocolic fistula ,,,2702.0,6802.0,3
RC,367,"Closure of gastrostomy, surgical ",,,2702.0,6802.0,5
RC,367,Closure of intestinal cutaneous fistula ,,,2702.0,6802.0,3
RC,367,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,1423.0,6802.0,5
RC,367,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,1982.0,6802.0,5
RC,367,Closure of lacrimal fistula (separate procedure) ,,,1982.0,6802.0,5
RC,367,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1982.0,6802.0,5
RC,367,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,2702.0,6802.0,3
RC,367,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,2702.0,6802.0,3
RC,367,Closure of rectourethral fistula; ,,,2702.0,6802.0,3
RC,367,Closure of rectourethral fistula; with colostomy ,,,2702.0,6802.0,3
RC,367,Closure of rectovaginal fistula; abdominal approach ,,,4963.0,6802.0,3
RC,367,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,4963.0,6802.0,3
RC,367,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,4963.0,6802.0,5
RC,367,Closure of rectovaginal fistula; vaginal or transanal approach ,,,4963.0,6802.0,5
RC,367,Closure of rectovesical fistula; ,,,2702.0,6802.0,3
RC,367,Closure of rectovesical fistula; with colostomy ,,,2702.0,6802.0,3
RC,367,"Closure of the lacrimal punctum; by plug, each ",,,1423.0,6802.0,5
RC,367,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,1423.0,6802.0,5
RC,367,Closure of ureterocutaneous fistula ,,,2702.0,6802.0,3
RC,367,Closure of ureterovisceral fistula (including visceral repair) ,,,2702.0,6802.0,3
RC,367,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,2702.0,8392.0,5
RC,367,Closure of urethrovaginal fistula; ,,,4963.0,11883.0,5
RC,367,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,4963.0,8392.0,5
RC,367,Closure of vesicouterine fistula; ,,,2702.0,6802.0,5
RC,367,Closure of vesicouterine fistula; with hysterectomy ,,,2702.0,6802.0,3
RC,367,"Closure of vesicovaginal fistula, abdominal approach ",,,2702.0,8392.0,5
RC,367,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,4963.0,8392.0,5
RC,367,Closure of vesicovaginal fistula; vaginal approach ,,,4963.0,8392.0,5
RC,367,"Closure postauricular fistula, mastoid (separate procedure) ",,,2702.0,6802.0,5
RC,367,Closure salivary fistula ,,,2702.0,6802.0,5
RC,367,"Closure, exstrophy of bladder ",,,2702.0,6802.0,3
RC,367,"Cochlear device implantation, with or without mastoidectomy ",,,4963.0,16738.0,9
RC,367,"Cochlear device implantation, with or without mastoidectomy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,2702.0,6802.0,3
RC,367,"Colectomy, partial; abdominal and transanal approach ",,,2702.0,6802.0,3
RC,367,"Colectomy, partial; with anastomosis ",,,2702.0,6802.0,3
RC,367,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,2702.0,6802.0,3
RC,367,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,2702.0,6802.0,3
RC,367,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,2702.0,6802.0,3
RC,367,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,2702.0,6802.0,3
RC,367,"Colectomy, partial; with skin level cecostomy or colostomy ",,,2702.0,6802.0,3
RC,367,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,2702.0,6802.0,3
RC,367,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,2702.0,6802.0,3
RC,367,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,2702.0,6802.0,3
RC,367,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,2702.0,6802.0,3
RC,367,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,2702.0,6802.0,3
RC,367,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,2702.0,6802.0,3
RC,367,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1423.0,1575.0,2
RC,367,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,367,"Colonoscopy through stoma; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,367,"Colonoscopy through stoma; with control of bleeding, any method ",,,2702.0,6802.0,5
RC,367,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2702.0,6802.0,5
RC,367,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,5
RC,367,Colonoscopy through stoma; with endoscopic mucosal resection ,,,2702.0,6802.0,5
RC,367,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,367,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,2702.0,6802.0,5
RC,367,Colonoscopy through stoma; with removal of foreign body(s) ,,,2702.0,6802.0,5
RC,367,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2702.0,6802.0,5
RC,367,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,5
RC,367,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,2702.0,6802.0,5
RC,367,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with control of bleeding, any method ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with removal of foreign body(s) ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,2702.0,6802.0,5
RC,367,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,2702.0,6802.0,5
RC,367,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1982.0,2194.0,2
RC,367,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1982.0,2194.0,2
RC,367,Colorectal cancer screening; flexible sigmoidoscopy ,,,1982.0,2194.0,2
RC,367,Colostomy or skin level cecostomy; ,,,2702.0,6802.0,3
RC,367,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,2702.0,6802.0,3
RC,367,Colpocentesis (separate procedure) ,,,2702.0,6802.0,5
RC,367,Colpocleisis (Le Fort type) ,,,2702.0,8392.0,5
RC,367,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,4963.0,6802.0,5
RC,367,"Colpopexy, abdominal approach ",,,4963.0,6802.0,5
RC,367,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,4963.0,11883.0,5
RC,367,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,4963.0,11883.0,5
RC,367,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,4963.0,6802.0,5
RC,367,Colposcopy of the cervix including upper/adjacent vagina; ,,,1423.0,6802.0,5
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,1423.0,6802.0,5
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,1423.0,6802.0,5
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,1423.0,6802.0,5
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,2702.0,6802.0,5
RC,367,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,2702.0,6802.0,5
RC,367,"Colposcopy of the entire vagina, with cervix if present; ",,,1423.0,6802.0,5
RC,367,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,1982.0,6802.0,5
RC,367,Colposcopy of the vulva; ,,,1423.0,6802.0,5
RC,367,Colposcopy of the vulva; with biopsy(s) ,,,1423.0,6802.0,5
RC,367,Colpotomy; with drainage of pelvic abscess ,,,2702.0,6802.0,5
RC,367,Colpotomy; with exploration ,,,2702.0,6802.0,5
RC,367,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,4963.0,8392.0,5
RC,367,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,4963.0,11883.0,5
RC,367,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,367,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,367,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,1982.0,6802.0,5
RC,367,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,1982.0,6802.0,5
RC,367,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,1982.0,6802.0,5
RC,367,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,1982.0,6802.0,5
RC,367,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,1423.0,6802.0,5
RC,367,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,17341.0,3
RC,367,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,17341.0,3
RC,367,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,7
RC,367,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,16
RC,367,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,7
RC,367,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,8
RC,367,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,2702.0,6802.0,3
RC,367,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,2702.0,6802.0,5
RC,367,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,2702.0,6802.0,5
RC,367,Conjunctival flap; bridge or partial (separate procedure) ,,,2702.0,8392.0,5
RC,367,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,2702.0,6802.0,5
RC,367,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,2702.0,6802.0,5
RC,367,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,2702.0,8392.0,5
RC,367,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,2702.0,8392.0,5
RC,367,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,2702.0,6802.0,5
RC,367,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,2702.0,6802.0,5
RC,367,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,2702.0,8392.0,5
RC,367,Construction of artificial vagina; with graft ,,,4963.0,8392.0,5
RC,367,Construction of artificial vagina; without graft ,,,4963.0,6802.0,5
RC,367,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,2702.0,6802.0,5
RC,367,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,2702.0,6802.0,5
RC,367,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,2702.0,6802.0,3
RC,367,Continent ileostomy (Kock procedure) (separate procedure) ,,,2702.0,6802.0,3
RC,367,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1423.0,1575.0,2
RC,367,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,1423.0,6802.0,5
RC,367,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,1423.0,6802.0,5
RC,367,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,2702.0,6802.0,3
RC,367,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,1423.0,6802.0,5
RC,367,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,2702.0,6802.0,5
RC,367,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,2702.0,6802.0,3
RC,367,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,1423.0,6802.0,5
RC,367,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,2702.0,6802.0,5
RC,367,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,2702.0,8392.0,5
RC,367,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,5
RC,367,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,1982.0,6802.0,5
RC,367,"Cordocentesis (intrauterine), any method ",,,1423.0,6802.0,5
RC,367,Corneal relaxing incision for correction of surgically induced astigmatism ,,,1982.0,6802.0,5
RC,367,Corneal wedge resection for correction of surgically induced astigmatism ,,,2702.0,6802.0,5
RC,367,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,4963.0,6802.0,3
RC,367,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,4963.0,8392.0,5
RC,367,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,4963.0,8392.0,5
RC,367,"Correction of everted punctum, cautery ",,,1423.0,6802.0,5
RC,367,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,2702.0,6802.0,5
RC,367,Correction of lid retraction ,,,2702.0,6802.0,5
RC,367,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,2702.0,6802.0,3
RC,367,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,1423.0,6802.0,5
RC,367,"Correction of trichiasis; epilation, by forceps only ",,,1423.0,6802.0,5
RC,367,Correction of trichiasis; incision of lid margin ,,,1982.0,6802.0,5
RC,367,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,2702.0,6802.0,5
RC,367,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,1423.0,6802.0,5
RC,367,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,4963.0,11883.0,5
RC,367,Craniectomy for craniosynostosis; multiple cranial sutures ,,,2702.0,6802.0,3
RC,367,Craniectomy for craniosynostosis; single cranial suture ,,,2702.0,6802.0,3
RC,367,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,2702.0,6802.0,3
RC,367,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,2702.0,6802.0,3
RC,367,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,2702.0,6802.0,3
RC,367,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,2702.0,6802.0,3
RC,367,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,2702.0,6802.0,3
RC,367,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,2702.0,6802.0,3
RC,367,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,2702.0,6802.0,3
RC,367,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,2702.0,6802.0,3
RC,367,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,2702.0,6802.0,3
RC,367,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,2702.0,6802.0,3
RC,367,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,2702.0,6802.0,3
RC,367,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,2702.0,6802.0,3
RC,367,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,2702.0,6802.0,3
RC,367,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,2702.0,6802.0,3
RC,367,"Craniectomy or craniotomy, exploratory; supratentorial ",,,2702.0,6802.0,3
RC,367,Craniectomy or craniotomy; with excision of foreign body from brain ,,,2702.0,6802.0,3
RC,367,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,2702.0,6802.0,3
RC,367,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,2702.0,6802.0,3
RC,367,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,2702.0,6802.0,3
RC,367,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,2702.0,6802.0,3
RC,367,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,2702.0,6802.0,3
RC,367,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,2702.0,6802.0,3
RC,367,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,2702.0,6802.0,3
RC,367,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,2702.0,6802.0,3
RC,367,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,2702.0,6802.0,3
RC,367,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,2702.0,6802.0,3
RC,367,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,2702.0,6802.0,3
RC,367,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,2702.0,6802.0,3
RC,367,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,2702.0,6802.0,3
RC,367,Craniectomy; for osteomyelitis ,,,2702.0,6802.0,3
RC,367,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2702.0,11883.0,5
RC,367,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,2702.0,6802.0,3
RC,367,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,2702.0,6802.0,3
RC,367,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,2702.0,6802.0,3
RC,367,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,2702.0,6802.0,3
RC,367,Cranioplasty for skull defect with reparative brain surgery ,,,2702.0,6802.0,3
RC,367,Cranioplasty for skull defect; larger than 5 cm diameter ,,,2702.0,6802.0,3
RC,367,Cranioplasty for skull defect; up to 5 cm diameter ,,,2702.0,6802.0,3
RC,367,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,2702.0,6802.0,3
RC,367,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,2702.0,6802.0,3
RC,367,Craniotomy for craniosynostosis; bifrontal bone flap ,,,2702.0,6802.0,3
RC,367,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,2702.0,6802.0,3
RC,367,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,2702.0,6802.0,3
RC,367,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,2702.0,6802.0,3
RC,367,"Craniotomy for repair of encephalocele, skull base ",,,2702.0,6802.0,3
RC,367,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,2702.0,6802.0,3
RC,367,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,2702.0,6802.0,3
RC,367,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,2702.0,6802.0,3
RC,367,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,2702.0,6802.0,3
RC,367,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,2702.0,6802.0,3
RC,367,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,2702.0,6802.0,3
RC,367,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,2702.0,6802.0,3
RC,367,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,2702.0,6802.0,3
RC,367,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,2702.0,6802.0,3
RC,367,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,2702.0,6802.0,3
RC,367,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,2702.0,6802.0,3
RC,367,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,2702.0,6802.0,3
RC,367,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,2702.0,6802.0,3
RC,367,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,2702.0,6802.0,3
RC,367,Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft ,,,6826.0,17341.0,3
RC,367,"Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft) ",,,6826.0,17341.0,3
RC,367,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,2702.0,8392.0,5
RC,367,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,2702.0,6802.0,3
RC,367,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,2702.0,6802.0,5
RC,367,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,2702.0,6802.0,5
RC,367,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,4963.0,6802.0,5
RC,367,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,2702.0,6802.0,3
RC,367,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,2702.0,8392.0,5
RC,367,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,2702.0,6802.0,3
RC,367,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,2702.0,6802.0,3
RC,367,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,2702.0,6802.0,3
RC,367,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,2702.0,6802.0,3
RC,367,Cricopharyngeal myotomy ,,,2702.0,11883.0,5
RC,367,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,2702.0,14122.0,9
RC,367,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Complex Surgery,,,11754.0,11754.0,2
RC,367,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,2702.0,6802.0,5
RC,367,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,1982.0,6802.0,5
RC,367,"Curettage, postpartum ",,,2702.0,6802.0,5
RC,367,Cutaneous appendico-vesicostomy ,,,2702.0,6802.0,3
RC,367,Cutaneous vesicostomy ,,,2702.0,6802.0,5
RC,367,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,2702.0,6802.0,3
RC,367,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,2702.0,6802.0,3
RC,367,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,6802.0,3
RC,367,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,2702.0,6802.0,3
RC,367,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,6802.0,3
RC,367,"Cystectomy, complete; (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,6802.0,3
RC,367,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,2702.0,6802.0,3
RC,367,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,2702.0,6802.0,3
RC,367,"Cystectomy, partial; simple ",,,2702.0,6802.0,3
RC,367,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,2702.0,6802.0,5
RC,367,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2702.0,6802.0,3
RC,367,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,2702.0,8392.0,5
RC,367,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,2702.0,6802.0,5
RC,367,"Cystostomy, cystotomy with drainage ",,,2702.0,6802.0,5
RC,367,"Cystotomy for excision, incision, or repair of ureterocele ",,,2702.0,6802.0,5
RC,367,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,2702.0,6802.0,5
RC,367,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,5360.0,5933.0,2
RC,367,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,2702.0,6802.0,5
RC,367,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,1982.0,6802.0,5
RC,367,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,2702.0,8392.0,5
RC,367,Cystotomy; for excision of bladder tumor ,,,2702.0,8392.0,5
RC,367,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,2702.0,6802.0,5
RC,367,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2702.0,6802.0,3
RC,367,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,4963.0,15409.0,7
RC,367,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,4963.0,13830.0,9
RC,367,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Complex Surgery",,,11754.0,11754.0,2
RC,367,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,4963.0,13830.0,9
RC,367,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Complex Surgery,,,11754.0,11754.0,2
RC,367,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,4963.0,13830.0,9
RC,367,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Complex Surgery,,,11754.0,11754.0,2
RC,367,Cystourethroscopy (separate procedure) ,,,1982.0,6802.0,5
RC,367,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,2820.0,6802.0,5
RC,367,Cystourethroscopy with direct vision internal urethrotomy ,,,4963.0,6802.0,5
RC,367,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,2702.0,6802.0,5
RC,367,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,2702.0,6802.0,3
RC,367,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2702.0,6802.0,3
RC,367,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,4963.0,13830.0,9
RC,367,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Complex Surgery",,,11754.0,11754.0,2
RC,367,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,2820.0,6802.0,5
RC,367,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,2702.0,6802.0,5
RC,367,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,9
RC,367,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,9
RC,367,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,9
RC,367,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Cystourethroscopy, with biopsy(s) ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,2820.0,6802.0,5
RC,367,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,2820.0,6802.0,5
RC,367,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,1982.0,6802.0,5
RC,367,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,1982.0,6802.0,5
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,2820.0,6802.0,5
RC,367,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder Complex Surgery",,,11754.0,11754.0,2
RC,367,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,4963.0,13830.0,9
RC,367,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,1423.0,6802.0,5
RC,367,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1423.0,6802.0,5
RC,367,"Cystourethroscopy, with insertion of permanent urethral stent ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5360.0,5933.0,2
RC,367,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,10737.0,11883.0,2
RC,367,"Cystourethroscopy, with internal urethrotomy; female ",,,2820.0,6802.0,5
RC,367,"Cystourethroscopy, with internal urethrotomy; male ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,4963.0,6802.0,3
RC,367,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,2820.0,6802.0,5
RC,367,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy, with steroid injection into stricture ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,4963.0,13830.0,9
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Complex Surgery",,,11754.0,11754.0,2
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,4963.0,13830.0,9
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion Complex Surgery",,,11754.0,11754.0,2
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2702.0,15409.0,5
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2702.0,15409.0,9
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,4963.0,13830.0,9
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,4963.0,13830.0,9
RC,367,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Complex Surgery",,,11754.0,11754.0,2
RC,367,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,4963.0,6802.0,5
RC,367,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,9
RC,367,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,9
RC,367,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,9
RC,367,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,4963.0,6802.0,5
RC,367,DIGESTIVE MALIGNANCY WITH CC ,,,11000.0,11000.0,1
RC,367,DIGESTIVE MALIGNANCY WITH MCC ,,,11000.0,11000.0,1
RC,367,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,11000.0,11000.0,1
RC,367,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,11000.0,11000.0,1
RC,367,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11000.0,11000.0,1
RC,367,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,11000.0,11000.0,1
RC,367,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,367,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,2702.0,8392.0,5
RC,367,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,1423.0,1575.0,4
RC,367,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,1982.0,6802.0,5
RC,367,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,1423.0,6802.0,5
RC,367,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,2702.0,11883.0,5
RC,367,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,2702.0,11883.0,5
RC,367,Decompression internal auditory canal ,,,2702.0,11883.0,5
RC,367,"Decompression of orbit only, transcranial approach ",,,2702.0,11883.0,5
RC,367,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,2702.0,8392.0,5
RC,367,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,2702.0,6802.0,3
RC,367,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,2702.0,6802.0,3
RC,367,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,2702.0,6802.0,3
RC,367,Decompression; plantar digital nerve ,,,2702.0,6802.0,5
RC,367,Decompression; unspecified nerve(s) (specify) ,,,2702.0,6802.0,5
RC,367,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,2702.0,6802.0,5
RC,367,Deligation of ureter ,,,2702.0,6802.0,3
RC,367,Delivery of placenta (separate procedure) ,,,2702.0,6802.0,5
RC,367,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2820.0,3120.0,2
RC,367,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,367,"Destruction by neurolytic agent, intercostal nerve ",,,2702.0,6802.0,5
RC,367,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,1423.0,6802.0,5
RC,367,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,2702.0,6802.0,5
RC,367,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,1423.0,6802.0,5
RC,367,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,2702.0,6802.0,5
RC,367,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,2702.0,6802.0,5
RC,367,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,2702.0,6802.0,5
RC,367,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,2702.0,6802.0,5
RC,367,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,2702.0,6802.0,5
RC,367,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,1982.0,6802.0,5
RC,367,Destruction by neurolytic agent; other peripheral nerve or branch ,,,1982.0,6802.0,5
RC,367,Destruction by neurolytic agent; plantar common digital nerve ,,,1423.0,6802.0,5
RC,367,Destruction by neurolytic agent; pudendal nerve ,,,1982.0,6802.0,5
RC,367,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,1982.0,6802.0,5
RC,367,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,4963.0,13830.0,9
RC,367,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,1982.0,6802.0,5
RC,367,"Destruction of lesion (except excision), dentoalveolar structures ",,,2702.0,6802.0,5
RC,367,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,1423.0,6802.0,5
RC,367,Destruction of lesion of lid margin (up to 1 cm) ,,,1982.0,6802.0,5
RC,367,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,2702.0,6802.0,5
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,5
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,6802.0,5
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,6802.0,5
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2702.0,6802.0,5
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2702.0,6802.0,5
RC,367,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2702.0,6802.0,5
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,5
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,6802.0,5
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,6802.0,5
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2702.0,6802.0,5
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2702.0,6802.0,5
RC,367,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2702.0,6802.0,5
RC,367,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,5
RC,367,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,5
RC,367,"Destruction of lesion, conjunctiva ",,,2702.0,6802.0,5
RC,367,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,2702.0,6802.0,5
RC,367,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,1982.0,13830.0,9
RC,367,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions Complex Surgery",,,11754.0,11754.0,2
RC,367,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,1982.0,13830.0,9
RC,367,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1423.0,13830.0,9
RC,367,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) Compl",,,11754.0,11754.0,2
RC,367,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1982.0,2194.0,2
RC,367,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,1423.0,13830.0,9
RC,367,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,1982.0,13830.0,9
RC,367,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,367,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,4963.0,13830.0,9
RC,367,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,2702.0,6802.0,5
RC,367,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,5
RC,367,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,5
RC,367,Diagnostic bone marrow; aspiration(s) ,,,1982.0,6802.0,5
RC,367,Diagnostic bone marrow; biopsy(ies) ,,,1982.0,6802.0,5
RC,367,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,2702.0,6802.0,3
RC,367,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,1423.0,6802.0,5
RC,367,Diaphragm or cervical cap fitting with instructions ,,,1423.0,6802.0,5
RC,367,"Dilation and catheterization of salivary duct, with or without injection ",,,1423.0,6802.0,5
RC,367,Dilation and curettage of cervical stump ,,,2702.0,6802.0,5
RC,367,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,2702.0,6802.0,5
RC,367,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,2702.0,6802.0,5
RC,367,"Dilation of cervical canal, instrumental (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,2702.0,6802.0,5
RC,367,"Dilation of esophagus, over guide wire ",,,2702.0,6802.0,5
RC,367,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,2702.0,6802.0,6
RC,367,Dilation of female urethra including suppository and/or instillation; initial ,,,1423.0,6802.0,5
RC,367,Dilation of female urethra including suppository and/or instillation; subsequent ,,,1423.0,6802.0,5
RC,367,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,2702.0,6802.0,5
RC,367,"Dilation of lacrimal punctum, with or without irrigation ",,,1423.0,6802.0,5
RC,367,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,2702.0,6802.0,5
RC,367,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,1982.0,6802.0,5
RC,367,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,1423.0,6802.0,5
RC,367,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,1423.0,6802.0,5
RC,367,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,1423.0,6802.0,5
RC,367,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,2702.0,6802.0,5
RC,367,Dilation of vagina under anesthesia (other than local) ,,,2702.0,6802.0,5
RC,367,Dilation salivary duct ,,,2702.0,6802.0,5
RC,367,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1423.0,6802.0,5
RC,367,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,4963.0,11883.0,5
RC,367,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,4963.0,6802.0,3
RC,367,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,4963.0,6802.0,3
RC,367,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,1982.0,6802.0,5
RC,367,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,1423.0,6802.0,5
RC,367,"Discission of vitreous strands (without removal), pars plana approach ",,,4963.0,6802.0,5
RC,367,"Dissection, deep jugular node(s) ",,,2702.0,11883.0,5
RC,367,"Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) ",,,6826.0,17341.0,3
RC,367,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,2702.0,11883.0,5
RC,367,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,2702.0,6802.0,3
RC,367,Division of stricture of rectum ,,,2702.0,6802.0,5
RC,367,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,2702.0,6802.0,3
RC,367,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,2702.0,6802.0,3
RC,367,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,2702.0,6802.0,3
RC,367,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,2702.0,6802.0,3
RC,367,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,2702.0,6802.0,3
RC,367,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,2702.0,6802.0,3
RC,367,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,2702.0,6802.0,3
RC,367,"Donor nephrectomy (including cold preservation); open, from living donor ",,,2702.0,6802.0,3
RC,367,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,2702.0,6802.0,3
RC,367,"Drainage external auditory canal, abscess ",,,1423.0,6802.0,5
RC,367,"Drainage external ear, abscess or hematoma; complicated ",,,2702.0,6802.0,5
RC,367,"Drainage external ear, abscess or hematoma; simple ",,,1423.0,6802.0,5
RC,367,Drainage of Skene's gland abscess or cyst ,,,2702.0,6802.0,5
RC,367,"Drainage of abscess of palate, uvula ",,,1423.0,6802.0,5
RC,367,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,1423.0,6802.0,5
RC,367,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,1982.0,6802.0,5
RC,367,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,1423.0,6802.0,5
RC,367,"Drainage of abscess; parotid, complicated ",,,2702.0,6802.0,5
RC,367,"Drainage of abscess; parotid, simple ",,,1982.0,6802.0,5
RC,367,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,1423.0,6802.0,5
RC,367,"Drainage of abscess; submaxillary, external ",,,1423.0,6802.0,5
RC,367,Drainage of deep periurethral abscess ,,,2702.0,6802.0,5
RC,367,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,2702.0,6802.0,3
RC,367,Drainage of lymph node abscess or lymphadenitis; extensive ,,,2702.0,6802.0,5
RC,367,Drainage of lymph node abscess or lymphadenitis; simple ,,,2702.0,6802.0,5
RC,367,Drainage of ovarian abscess; abdominal approach ,,,2702.0,8392.0,5
RC,367,"Drainage of ovarian abscess; vaginal approach, open ",,,2702.0,6802.0,5
RC,367,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,2702.0,6802.0,5
RC,367,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,2702.0,6802.0,5
RC,367,Drainage of perineal urinary extravasation; complicated ,,,2702.0,6802.0,5
RC,367,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,2702.0,6802.0,5
RC,367,"Drainage of perirenal or renal abscess, open ",,,2702.0,6802.0,5
RC,367,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,2702.0,6802.0,3
RC,367,Drainage of perivesical or prevesical space abscess ,,,2702.0,6802.0,5
RC,367,"Drainage of retroperitoneal abscess, open ",,,2702.0,6802.0,3
RC,367,Drainage of scrotal wall abscess ,,,2702.0,6802.0,5
RC,367,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,2702.0,6802.0,3
RC,367,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,2702.0,6802.0,3
RC,367,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,2702.0,6802.0,3
RC,367,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,1423.0,6802.0,5
RC,367,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,1423.0,6802.0,5
RC,367,Duodenal motility (manometric) study ,,,1423.0,1575.0,2
RC,367,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,2702.0,6802.0,3
RC,367,"Dural graft, spinal ",,,2702.0,6802.0,3
RC,367,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,2702.0,6802.0,5
RC,367,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,11000.0,11000.0,1
RC,367,Ear piercing ,,,2702.0,6802.0,3
RC,367,Electroejaculation ,,,1982.0,6802.0,5
RC,367,"Electrogastrography, diagnostic, transcutaneous; ",,,1423.0,1575.0,2
RC,367,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1423.0,1575.0,2
RC,367,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,1423.0,6802.0,5
RC,367,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,1423.0,6802.0,5
RC,367,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,1423.0,6802.0,10
RC,367,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,1423.0,6802.0,5
RC,367,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1423.0,23692.0,14
RC,367,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2820.0,17341.0,5
RC,367,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1423.0,17341.0,5
RC,367,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,7
RC,367,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,2702.0,6802.0,3
RC,367,"Elevation of depressed skull fracture; simple, extradural ",,,2702.0,11883.0,5
RC,367,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,2702.0,6802.0,3
RC,367,"Embryo transfer, intrauterine ",,,1982.0,6802.0,5
RC,367,Endocervical curettage (not done as part of a dilation and curettage) ,,,1982.0,6802.0,5
RC,367,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,1423.0,6802.0,5
RC,367,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,1423.0,6802.0,5
RC,367,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1423.0,17341.0,10
RC,367,Endolymphatic sac operation; with shunt ,,,2702.0,11883.0,5
RC,367,Endolymphatic sac operation; without shunt ,,,2702.0,11883.0,5
RC,367,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,4963.0,13830.0,9
RC,367,"Endometrial ablation, thermal, without hysteroscopic guidance Complex Surgery",,,11754.0,11754.0,2
RC,367,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,4963.0,13830.0,9
RC,367,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Complex Surgery",,,11754.0,11754.0,2
RC,367,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,367,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,1423.0,6802.0,5
RC,367,Endomyocardial biopsy ,,,5360.0,5933.0,2
RC,367,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,367,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,367,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,1423.0,6802.0,5
RC,367,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2702.0,14122.0,5
RC,367,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,367,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,2702.0,8392.0,5
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,4963.0,6802.0,5
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,4963.0,6802.0,5
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,4963.0,6802.0,5
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,4963.0,15409.0,5
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,4963.0,6802.0,5
RC,367,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,4963.0,6802.0,5
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,4963.0,6802.0,5
RC,367,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,4963.0,6802.0,5
RC,367,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,4963.0,6802.0,5
RC,367,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,4963.0,6802.0,5
RC,367,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,4963.0,6802.0,5
RC,367,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,2702.0,6802.0,3
RC,367,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,2702.0,6802.0,3
RC,367,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2702.0,14122.0,5
RC,367,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,2702.0,6802.0,3
RC,367,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,2702.0,6802.0,3
RC,367,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,2702.0,6802.0,3
RC,367,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,2702.0,6802.0,3
RC,367,"Enterectomy, resection of small intestine; with enterostomy ",,,2702.0,6802.0,3
RC,367,"Enterocystoplasty, including intestinal anastomosis ",,,2702.0,6802.0,3
RC,367,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,2702.0,6802.0,3
RC,367,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,2702.0,6802.0,3
RC,367,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,2702.0,6802.0,3
RC,367,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,2702.0,6802.0,3
RC,367,"Enucleation of eye; with implant, muscles attached to implant ",,,2702.0,8392.0,5
RC,367,"Enucleation of eye; with implant, muscles not attached to implant ",,,2702.0,8392.0,5
RC,367,Enucleation of eye; without implant ,,,2702.0,8392.0,5
RC,367,Epididymectomy; bilateral ,,,2702.0,6802.0,5
RC,367,Epididymectomy; unilateral ,,,2702.0,6802.0,5
RC,367,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,2702.0,6802.0,5
RC,367,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,2702.0,6802.0,5
RC,367,Epikeratoplasty ,,,2702.0,6802.0,5
RC,367,"Episiotomy or vaginal repair, by other than attending ",,,2702.0,6802.0,5
RC,367,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1423.0,1575.0,2
RC,367,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1423.0,1575.0,2
RC,367,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1423.0,1575.0,2
RC,367,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1423.0,1575.0,2
RC,367,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1423.0,1575.0,2
RC,367,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,17341.0,3
RC,367,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,17341.0,3
RC,367,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,4963.0,13830.0,9
RC,367,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,4963.0,13830.0,9
RC,367,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,4963.0,13830.0,9
RC,367,Esophagogastric fundoplasty partial or complete; laparotomy ,,,2702.0,6802.0,3
RC,367,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,2702.0,6802.0,3
RC,367,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,2702.0,6802.0,3
RC,367,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,2702.0,6802.0,3
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2820.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,2702.0,6802.0,3
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,2702.0,8392.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,4963.0,8392.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,2702.0,6802.0,3
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,2702.0,6802.0,5
RC,367,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,2702.0,6802.0,5
RC,367,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,2702.0,6802.0,3
RC,367,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,2702.0,6802.0,3
RC,367,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,2702.0,6802.0,3
RC,367,Esophagomyotomy (Heller type); abdominal approach ,,,2702.0,6802.0,3
RC,367,Esophagomyotomy (Heller type); thoracic approach ,,,2702.0,6802.0,3
RC,367,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,2702.0,6802.0,3
RC,367,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,2702.0,6802.0,3
RC,367,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,2702.0,6802.0,3
RC,367,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,2702.0,6802.0,3
RC,367,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,2702.0,6802.0,3
RC,367,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,2702.0,6802.0,3
RC,367,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection Complex Surgery",,,11754.0,11754.0,2
RC,367,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with optical endomicroscopy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,8392.0,5
RC,367,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,2702.0,6802.0,5
RC,367,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,2702.0,6802.0,5
RC,367,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,2702.0,6802.0,3
RC,367,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,2702.0,6802.0,3
RC,367,"Esophagotomy, cervical approach, with removal of foreign body ",,,1982.0,6802.0,5
RC,367,"Esophagotomy, thoracic approach, with removal of foreign body ",,,2702.0,6802.0,3
RC,367,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1423.0,1575.0,2
RC,367,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1423.0,1575.0,2
RC,367,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1423.0,1575.0,2
RC,367,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1423.0,17341.0,5
RC,367,Evisceration of ocular contents; with implant ,,,2702.0,8392.0,5
RC,367,Evisceration of ocular contents; without implant ,,,2702.0,6802.0,5
RC,367,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,1982.0,6802.0,5
RC,367,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,2702.0,8392.0,5
RC,367,Exchange of intraocular lens ,,,2702.0,6802.0,5
RC,367,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,2702.0,6802.0,5
RC,367,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,2702.0,6802.0,10
RC,367,Excision aural glomus tumor; extended (extratemporal) ,,,2702.0,6802.0,3
RC,367,Excision aural glomus tumor; transcanal ,,,2702.0,11883.0,5
RC,367,Excision aural glomus tumor; transmastoid ,,,2702.0,11883.0,5
RC,367,Excision aural polyp ,,,2702.0,6802.0,5
RC,367,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,2702.0,6802.0,5
RC,367,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,2702.0,11883.0,5
RC,367,"Excision exostosis(es), external auditory canal ",,,2702.0,6802.0,5
RC,367,Excision external ear; complete amputation ,,,2702.0,6802.0,5
RC,367,"Excision external ear; partial, simple repair ",,,2702.0,6802.0,5
RC,367,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,2702.0,6802.0,3
RC,367,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,2702.0,6802.0,3
RC,367,Excision of Bartholin's gland or cyst ,,,2702.0,6802.0,5
RC,367,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,2702.0,6802.0,3
RC,367,Excision of Mullerian duct cyst ,,,2702.0,6802.0,5
RC,367,Excision of ampulla of Vater ,,,2702.0,6802.0,3
RC,367,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,2702.0,6802.0,3
RC,367,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,2702.0,6802.0,3
RC,367,Excision of bulbourethral gland (Cowper's gland) ,,,2702.0,6802.0,5
RC,367,Excision of carotid body tumor; with excision of carotid artery ,,,2702.0,6802.0,3
RC,367,Excision of carotid body tumor; without excision of carotid artery ,,,2702.0,6802.0,3
RC,367,"Excision of cervical stump, abdominal approach; ",,,2702.0,6802.0,3
RC,367,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,2702.0,6802.0,3
RC,367,"Excision of cervical stump, vaginal approach; ",,,2702.0,6802.0,5
RC,367,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,2702.0,8392.0,5
RC,367,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,2702.0,11883.0,5
RC,367,"Excision of chalazion; multiple, different lids ",,,1423.0,6802.0,5
RC,367,"Excision of chalazion; multiple, same lid ",,,1982.0,6802.0,5
RC,367,Excision of chalazion; single ,,,1423.0,6802.0,5
RC,367,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,2702.0,6802.0,5
RC,367,Excision of choledochal cyst ,,,2702.0,6802.0,3
RC,367,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,2702.0,11883.0,5
RC,367,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,2702.0,6802.0,5
RC,367,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,2702.0,6802.0,5
RC,367,Excision of extraparenchymal lesion of testis ,,,2702.0,6802.0,5
RC,367,"Excision of fibrous tuberosities, dentoalveolar structures ",,,1982.0,6802.0,5
RC,367,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,2702.0,6802.0,5
RC,367,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,2702.0,8392.0,5
RC,367,Excision of hydrocele; bilateral ,,,2702.0,8392.0,5
RC,367,Excision of hydrocele; unilateral ,,,2702.0,8392.0,5
RC,367,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,2702.0,6802.0,5
RC,367,Excision of ileoanal reservoir with ileostomy ,,,2702.0,6802.0,3
RC,367,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,2702.0,6802.0,5
RC,367,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,2702.0,8392.0,5
RC,367,Excision of lacrimal gland tumor; frontal approach ,,,2702.0,6802.0,5
RC,367,Excision of lacrimal gland tumor; involving osteotomy ,,,2702.0,8392.0,5
RC,367,Excision of lacrimal sac (dacryocystectomy) ,,,2702.0,8392.0,5
RC,367,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,1982.0,6802.0,5
RC,367,Excision of lesion of mesentery (separate procedure) ,,,2702.0,6802.0,3
RC,367,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,2702.0,6802.0,5
RC,367,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,2702.0,6802.0,5
RC,367,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,2702.0,6802.0,5
RC,367,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,2702.0,6802.0,5
RC,367,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,2702.0,6802.0,3
RC,367,Excision of lesion of spermatic cord (separate procedure) ,,,2702.0,6802.0,5
RC,367,Excision of lesion of tongue with closure; anterior two-thirds ,,,2702.0,6802.0,5
RC,367,Excision of lesion of tongue with closure; posterior one-third ,,,2702.0,6802.0,5
RC,367,Excision of lesion of tongue with closure; with local tongue flap ,,,2702.0,6802.0,5
RC,367,Excision of lesion of tongue without closure ,,,2702.0,6802.0,5
RC,367,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,2702.0,11883.0,5
RC,367,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,2702.0,6802.0,5
RC,367,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,2702.0,6802.0,5
RC,367,"Excision of lesion, conjunctiva; over 1 cm ",,,2702.0,6802.0,5
RC,367,"Excision of lesion, conjunctiva; up to 1 cm ",,,2702.0,6802.0,5
RC,367,"Excision of lesion, conjunctiva; with adjacent sclera ",,,2702.0,6802.0,5
RC,367,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,1982.0,6802.0,5
RC,367,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,2702.0,6802.0,3
RC,367,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,2702.0,6802.0,3
RC,367,"Excision of lesion, sclera ",,,2702.0,6802.0,5
RC,367,Excision of lingual frenum (frenectomy) ,,,1982.0,6802.0,5
RC,367,Excision of lip; V-excision with primary direct linear closure ,,,2702.0,6802.0,5
RC,367,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,2702.0,6802.0,5
RC,367,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,2702.0,6802.0,5
RC,367,Excision of lip; transverse wedge excision with primary closure ,,,2702.0,6802.0,5
RC,367,Excision of local lesion of epididymis ,,,2702.0,6802.0,5
RC,367,Excision of mucosa of vestibule of mouth as donor graft ,,,1423.0,6802.0,5
RC,367,"Excision of multiple external papillae or tags, anus ",,,2702.0,6802.0,5
RC,367,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,2702.0,6802.0,5
RC,367,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,2702.0,8392.0,5
RC,367,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,2702.0,6802.0,5
RC,367,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,2702.0,6802.0,5
RC,367,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,2702.0,6802.0,5
RC,367,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,"Excision of neuroma; hand or foot, except digital nerve ",,,2702.0,6802.0,5
RC,367,"Excision of neuroma; major peripheral nerve, except sciatic ",,,2702.0,6802.0,5
RC,367,Excision of neuroma; sciatic nerve ,,,2702.0,8392.0,5
RC,367,"Excision of osseous tuberosities, dentoalveolar structures ",,,2702.0,6802.0,5
RC,367,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,2702.0,11883.0,5
RC,367,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,2702.0,11883.0,5
RC,367,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,2702.0,11883.0,5
RC,367,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,2702.0,11883.0,5
RC,367,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,2702.0,6802.0,3
RC,367,Excision of penile plaque (Peyronie disease); ,,,2702.0,11883.0,5
RC,367,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,2702.0,11883.0,5
RC,367,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,2702.0,11883.0,5
RC,367,Excision of perinephric cyst ,,,2702.0,6802.0,3
RC,367,Excision of presacral or sacrococcygeal tumor ,,,2702.0,6802.0,3
RC,367,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,2702.0,6802.0,3
RC,367,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,2702.0,6802.0,3
RC,367,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,2702.0,6802.0,5
RC,367,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,2702.0,8392.0,5
RC,367,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,2702.0,6802.0,5
RC,367,"Excision of single external papilla or tag, anus ",,,2702.0,6802.0,5
RC,367,"Excision of spermatocele, with or without epididymectomy ",,,2702.0,6802.0,5
RC,367,Excision of sublingual gland ,,,2702.0,6802.0,5
RC,367,Excision of sublingual salivary cyst (ranula) ,,,2702.0,6802.0,5
RC,367,Excision of submandibular (submaxillary) gland ,,,2702.0,11883.0,5
RC,367,"Excision of thrombosed hemorrhoid, external ",,,2702.0,6802.0,5
RC,367,Excision of thyroglossal duct cyst or sinus; ,,,2702.0,11883.0,5
RC,367,Excision of thyroglossal duct cyst or sinus; recurrent ,,,2702.0,11883.0,5
RC,367,Excision of tonsil tags ,,,2702.0,6802.0,5
RC,367,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,2702.0,8392.0,5
RC,367,Excision of urethral diverticulum (separate procedure); female ,,,2702.0,8392.0,5
RC,367,Excision of urethral diverticulum (separate procedure); male ,,,2702.0,6802.0,5
RC,367,Excision of vaginal cyst or tumor ,,,2702.0,6802.0,5
RC,367,Excision of vaginal septum ,,,2702.0,6802.0,5
RC,367,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,2702.0,6802.0,5
RC,367,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,2702.0,8392.0,5
RC,367,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,2702.0,8392.0,5
RC,367,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Excision or destruction of lesion of pharynx, any method ",,,2702.0,6802.0,5
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,2702.0,6802.0,3
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,2702.0,6802.0,3
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,2702.0,6802.0,3
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,2702.0,6802.0,3
RC,367,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,2702.0,6802.0,3
RC,367,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,5360.0,5933.0,2
RC,367,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,10737.0,11883.0,2
RC,367,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,10737.0,11883.0,2
RC,367,Excision or fulguration of carcinoma of urethra ,,,2702.0,8392.0,5
RC,367,Excision or fulguration; Skene's glands ,,,2702.0,6802.0,5
RC,367,Excision or fulguration; urethral caruncle ,,,2702.0,6802.0,5
RC,367,"Excision or fulguration; urethral polyp(s), distal urethra ",,,2702.0,6802.0,5
RC,367,Excision or fulguration; urethral prolapse ,,,2702.0,6802.0,5
RC,367,Excision or transposition of pterygium; with graft ,,,2702.0,6802.0,5
RC,367,Excision or transposition of pterygium; without graft ,,,2702.0,6802.0,5
RC,367,Excision or unroofing of cyst(s) of kidney ,,,2702.0,6802.0,3
RC,367,"Excision soft tissue lesion, external auditory canal ",,,2702.0,6802.0,5
RC,367,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,2702.0,6802.0,3
RC,367,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,2702.0,6802.0,3
RC,367,"Excision, lesion of floor of mouth ",,,2702.0,6802.0,5
RC,367,"Excision, lesion of palate, uvula; with local flap closure ",,,2702.0,6802.0,5
RC,367,"Excision, lesion of palate, uvula; with simple primary closure ",,,2702.0,6802.0,5
RC,367,"Excision, lesion of palate, uvula; without closure ",,,2702.0,6802.0,5
RC,367,"Excision, local; malignant tumor of stomach ",,,2702.0,6802.0,3
RC,367,"Excision, local; ulcer or benign tumor of stomach ",,,2702.0,6802.0,3
RC,367,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,2702.0,6802.0,3
RC,367,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,2702.0,8392.0,5
RC,367,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,2702.0,8392.0,5
RC,367,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,2702.0,8392.0,5
RC,367,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,2702.0,6802.0,3
RC,367,Exploration for undescended testis (inguinal or scrotal area) ,,,2702.0,8392.0,5
RC,367,Exploration for undescended testis with abdominal exploration ,,,2702.0,6802.0,5
RC,367,"Exploration of epididymis, with or without biopsy ",,,2702.0,6802.0,5
RC,367,"Exploration of orbit (transcranial approach), with removal of lesion ",,,2702.0,6802.0,3
RC,367,"Exploration, repair, and presacral drainage for rectal injury; ",,,2702.0,6802.0,3
RC,367,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,2702.0,6802.0,3
RC,367,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,2702.0,8392.0,5
RC,367,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,2702.0,6802.0,5
RC,367,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,6802.0,3
RC,367,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,6802.0,3
RC,367,"Expression of conjunctival follicles (eg, for trachoma) ",,,1423.0,6802.0,5
RC,367,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,2702.0,6802.0,3
RC,367,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,2702.0,6802.0,3
RC,367,External cannula declotting (separate procedure); with balloon catheter ,,,6826.0,17341.0,3
RC,367,External cannula declotting (separate procedure); without balloon catheter ,,,6826.0,17341.0,3
RC,367,"External cephalic version, with or without tocolysis ",,,2702.0,6802.0,5
RC,367,"External drainage, pseudocyst of pancreas, open ",,,2702.0,6802.0,3
RC,367,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2702.0,6802.0,3
RC,367,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2702.0,6802.0,3
RC,367,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,2702.0,6802.0,5
RC,367,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,2702.0,6802.0,11
RC,367,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,367,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,1982.0,6802.0,5
RC,367,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,1423.0,6802.0,5
RC,367,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,2702.0,6802.0,5
RC,367,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,2702.0,6802.0,5
RC,367,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,2820.0,3120.0,2
RC,367,FOOT PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,367,FOOT PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,367,FRACTURES OF FEMUR WITH MCC ,,,11000.0,11000.0,1
RC,367,FRACTURES OF FEMUR WITHOUT MCC ,,,11000.0,11000.0,1
RC,367,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11000.0,11000.0,1
RC,367,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,11000.0,11000.0,1
RC,367,Fetal contraction stress test ,,,1423.0,6802.0,5
RC,367,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,1423.0,6802.0,5
RC,367,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,2702.0,6802.0,3
RC,367,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,1423.0,6802.0,5
RC,367,Fetal non-stress test ,,,1423.0,6802.0,5
RC,367,Fetal scalp blood sampling ,,,1423.0,6802.0,5
RC,367,"Fetal shunt placement, including ultrasound guidance ",,,1423.0,6802.0,5
RC,367,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,1423.0,6802.0,5
RC,367,Fimbrioplasty ,,,2702.0,8392.0,5
RC,367,Fine needle aspiration of orbital contents ,,,2702.0,6802.0,5
RC,367,"Fissurectomy, including sphincterotomy, when performed ",,,2702.0,6802.0,5
RC,367,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,2702.0,6802.0,5
RC,367,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,2702.0,6802.0,5
RC,367,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,2702.0,6802.0,5
RC,367,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,2702.0,6802.0,5
RC,367,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,2702.0,6802.0,5
RC,367,Fitting and insertion of pessary or other intravaginal support device ,,,1423.0,6802.0,5
RC,367,Fixation of contralateral testis (separate procedure) ,,,2702.0,6802.0,5
RC,367,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,5360.0,5933.0,2
RC,367,"Follicle puncture for oocyte retrieval, any method ",,,1982.0,6802.0,5
RC,367,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,1423.0,6802.0,5
RC,367,Free jejunum transfer with microvascular anastomosis ,,,2702.0,6802.0,3
RC,367,Free omental flap with microvascular anastomosis ,,,2702.0,6802.0,3
RC,367,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,2702.0,11883.0,5
RC,367,Frenulotomy of penis ,,,2702.0,6802.0,5
RC,367,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,11000.0,11000.0,1
RC,367,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,1423.0,6802.0,5
RC,367,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,2702.0,6802.0,3
RC,367,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,2702.0,6802.0,3
RC,367,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,2702.0,6802.0,3
RC,367,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,2702.0,6802.0,3
RC,367,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,2702.0,6802.0,3
RC,367,"Gastrectomy, total; with esophagoenterostomy ",,,2702.0,6802.0,3
RC,367,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,2702.0,6802.0,3
RC,367,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,1423.0,6802.0,5
RC,367,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,1423.0,6802.0,5
RC,367,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,1423.0,6802.0,5
RC,367,Gastric motility (manometric) studies ,,,1423.0,1575.0,2
RC,367,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,2702.0,36598.0,5
RC,367,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,2702.0,8392.0,5
RC,367,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,2702.0,6802.0,5
RC,367,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,2702.0,8392.0,5
RC,367,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,2702.0,6802.0,3
RC,367,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,2702.0,36598.0,5
RC,367,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,2702.0,36598.0,5
RC,367,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,2702.0,36598.0,5
RC,367,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,2702.0,36598.0,7
RC,367,Gastroduodenostomy ,,,2702.0,6802.0,3
RC,367,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,2702.0,6802.0,3
RC,367,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,2702.0,6802.0,3
RC,367,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2820.0,3120.0,2
RC,367,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2820.0,3120.0,2
RC,367,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2820.0,3120.0,2
RC,367,"Gastrojejunostomy; with vagotomy, any type ",,,2702.0,6802.0,3
RC,367,Gastrojejunostomy; without vagotomy ,,,2702.0,6802.0,3
RC,367,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,2702.0,6802.0,3
RC,367,"Gastrostomy, open; neonatal, for feeding ",,,2702.0,6802.0,5
RC,367,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,2702.0,6802.0,3
RC,367,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,2702.0,6802.0,5
RC,367,Gastrotomy; with exploration or foreign body removal ,,,2702.0,6802.0,3
RC,367,Gastrotomy; with suture repair of bleeding ulcer ,,,2702.0,6802.0,3
RC,367,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,2702.0,6802.0,3
RC,367,"Gingivectomy, excision gingiva, each quadrant ",,,2702.0,6802.0,5
RC,367,"Gingivoplasty, each quadrant (specify) ",,,2702.0,11883.0,5
RC,367,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,2702.0,6802.0,3
RC,367,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,2702.0,6802.0,3
RC,367,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,2702.0,6802.0,3
RC,367,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,2702.0,6802.0,3
RC,367,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,2702.0,6802.0,3
RC,367,Glossectomy; hemiglossectomy ,,,2702.0,6802.0,3
RC,367,Glossectomy; less than one-half tongue ,,,2702.0,11883.0,5
RC,367,"Glossectomy; partial, with unilateral radical neck dissection ",,,2702.0,6802.0,3
RC,367,Goniotomy ,,,2702.0,6802.0,5
RC,367,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,2702.0,6802.0,5
RC,367,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,11000.0,11000.0,1
RC,367,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,367,HFenestration semicircular canal ,,,10737.0,11883.0,2
RC,367,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,11000.0,11000.0,1
RC,367,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,11000.0,11000.0,1
RC,367,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,367,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,5360.0,5933.0,2
RC,367,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,10737.0,11883.0,2
RC,367,HRevision fenestration operation ,,,10737.0,11883.0,2
RC,367,"Harvesting conjunctival allograft, living donor ",,,2702.0,6802.0,5
RC,367,Hematopoietic progenitor cell (HPC); HPC boost ,,,2702.0,6802.0,5
RC,367,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,2702.0,8392.0,5
RC,367,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,2702.0,8392.0,5
RC,367,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,2702.0,6802.0,5
RC,367,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,2702.0,6802.0,5
RC,367,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,2702.0,6802.0,5
RC,367,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,2702.0,6802.0,5
RC,367,"Hemorrhoidectomy, internal and external, single column/group; ",,,2702.0,6802.0,5
RC,367,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,2702.0,6802.0,5
RC,367,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,2702.0,6802.0,5
RC,367,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,2702.0,6802.0,5
RC,367,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,2702.0,6802.0,5
RC,367,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,1982.0,6802.0,5
RC,367,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,2702.0,6802.0,3
RC,367,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,2702.0,8392.0,5
RC,367,"Hepatectomy, resection of liver; partial lobectomy ",,,2702.0,6802.0,3
RC,367,"Hepatectomy, resection of liver; total left lobectomy ",,,2702.0,6802.0,3
RC,367,"Hepatectomy, resection of liver; total right lobectomy ",,,2702.0,6802.0,3
RC,367,"Hepatectomy, resection of liver; trisegmentectomy ",,,2702.0,6802.0,3
RC,367,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,2702.0,6802.0,3
RC,367,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,2702.0,6802.0,3
RC,367,"Hymenotomy, simple incision ",,,2702.0,6802.0,5
RC,367,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,2702.0,6802.0,3
RC,367,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,2702.0,6802.0,3
RC,367,Hysterorrhaphy of ruptured uterus ,,,2702.0,6802.0,3
RC,367,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,2702.0,6802.0,3
RC,367,"Hysteroscopy, diagnostic (separate procedure) ",,,4963.0,13830.0,9
RC,367,"Hysteroscopy, diagnostic (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,4963.0,13830.0,9
RC,367,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Complex Surgery",,,11754.0,11754.0,2
RC,367,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,4963.0,13830.0,9
RC,367,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,4963.0,13830.0,9
RC,367,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,4963.0,13830.0,9
RC,367,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,4963.0,13830.0,9
RC,367,"Hysteroscopy, surgical; with removal of impacted foreign body Complex Surgery",,,11754.0,11754.0,2
RC,367,"Hysteroscopy, surgical; with removal of leiomyomata ",,,4963.0,13830.0,9
RC,367,"Hysteroscopy, surgical; with removal of leiomyomata Complex Surgery",,,11754.0,11754.0,2
RC,367,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,4963.0,13830.0,9
RC,367,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Complex Surgery",,,11754.0,11754.0,2
RC,367,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,2702.0,6802.0,5
RC,367,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,1423.0,1575.0,2
RC,367,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14122.0,2
RC,367,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,1423.0,1575.0,2
RC,367,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,1423.0,1575.0,2
RC,367,INJECT SPINE CERV/THORACIC ,,,1982.0,2194.0,2
RC,367,INJECT SPINE LUMBAR/SACRAL ,,,1982.0,2194.0,2
RC,367,INJECT SPINE W/CATH CRV/THRC ,,,1982.0,2194.0,2
RC,367,INJECT SPINE W/CATH LMB/SCRL ,,,1982.0,2194.0,2
RC,367,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,1423.0,1575.0,2
RC,367,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1982.0,2194.0,2
RC,367,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,1423.0,1575.0,2
RC,367,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1423.0,1575.0,2
RC,367,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,5360.0,5933.0,2
RC,367,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,367,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,367,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,2702.0,6802.0,5
RC,367,"Ileostomy or jejunostomy, non-tube ",,,2702.0,6802.0,3
RC,367,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,2702.0,6802.0,5
RC,367,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,2702.0,6802.0,5
RC,367,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,2702.0,6802.0,5
RC,367,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,10737.0,11883.0,2
RC,367,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,7583.0,8392.0,2
RC,367,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,2702.0,6802.0,3
RC,367,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,367,Implantation of intrastromal corneal ring segments ,,,2702.0,11883.0,5
RC,367,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,4963.0,11883.0,5
RC,367,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,2702.0,6802.0,3
RC,367,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,1423.0,6802.0,5
RC,367,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,4963.0,16423.0,5
RC,367,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,4963.0,16423.0,5
RC,367,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,4963.0,11883.0,5
RC,367,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,2702.0,11883.0,5
RC,367,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,2702.0,6802.0,3
RC,367,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2702.0,6802.0,3
RC,367,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2702.0,6802.0,3
RC,367,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,14122.0,5
RC,367,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,2702.0,11883.0,5
RC,367,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,2702.0,11883.0,5
RC,367,Incision and drainage abscess; peritonsillar ,,,1423.0,6802.0,5
RC,367,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,2702.0,11883.0,5
RC,367,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,2702.0,6802.0,5
RC,367,Incision and drainage of Bartholin's gland abscess ,,,1423.0,6802.0,5
RC,367,"Incision and drainage of appendiceal abscess, open ",,,2702.0,6802.0,3
RC,367,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,2702.0,6802.0,5
RC,367,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,2702.0,6802.0,5
RC,367,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,2702.0,6802.0,5
RC,367,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,2702.0,6802.0,5
RC,367,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,2702.0,6802.0,5
RC,367,"Incision and drainage of penis, deep ",,,2702.0,6802.0,5
RC,367,"Incision and drainage of submucosal abscess, rectum ",,,2702.0,6802.0,5
RC,367,"Incision and drainage of thyroglossal duct cyst, infected ",,,1982.0,6802.0,5
RC,367,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,2702.0,6802.0,5
RC,367,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,2702.0,6802.0,5
RC,367,Incision and drainage of vulva or perineal abscess ,,,1423.0,6802.0,5
RC,367,"Incision and drainage, perianal abscess, superficial ",,,1982.0,6802.0,5
RC,367,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,367,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,367,"Incision of conjunctiva, drainage of cyst ",,,1982.0,6802.0,5
RC,367,Incision of labial frenum (frenotomy) ,,,1423.0,6802.0,5
RC,367,Incision of lingual frenum (frenotomy) ,,,1982.0,6802.0,5
RC,367,"Incision of thrombosed hemorrhoid, external ",,,1423.0,6802.0,5
RC,367,"Incision, anal septum (infant) ",,,2702.0,6802.0,5
RC,367,"Incision, drainage of lacrimal gland ",,,1982.0,6802.0,5
RC,367,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,1982.0,6802.0,5
RC,367,Incisional biopsy of eyelid skin including lid margin ,,,1423.0,6802.0,5
RC,367,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,2702.0,6802.0,3
RC,367,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,2702.0,6802.0,3
RC,367,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,2702.0,6802.0,3
RC,367,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,2702.0,6802.0,3
RC,367,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,2702.0,6802.0,6
RC,367,"Induced abortion, by dilation and curettage ",,,2702.0,6802.0,5
RC,367,"Induced abortion, by dilation and evacuation ",,,2702.0,6802.0,5
RC,367,Induction of arrhythmia by electrical pacing ,,,6826.0,17341.0,3
RC,367,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,2702.0,6802.0,3
RC,367,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,2702.0,6802.0,3
RC,367,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,2702.0,6802.0,3
RC,367,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1423.0,1575.0,2
RC,367,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,1423.0,6802.0,5
RC,367,Injection of contrast medium for dacryocystography ,,,1423.0,6802.0,5
RC,367,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,1423.0,6802.0,5
RC,367,Injection of medication or other substance into Tenon's capsule ,,,1423.0,6802.0,5
RC,367,"Injection of sclerosing solution, hemorrhoids ",,,1982.0,6802.0,5
RC,367,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,4963.0,6802.0,5
RC,367,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,1423.0,6802.0,5
RC,367,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,1423.0,6802.0,5
RC,367,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1423.0,12038.0,6
RC,367,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1423.0,12038.0,6
RC,367,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1423.0,12038.0,6
RC,367,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1423.0,12038.0,6
RC,367,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1423.0,12038.0,6
RC,367,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1423.0,12038.0,6
RC,367,Injection procedure for Peyronie disease; ,,,1423.0,6802.0,5
RC,367,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,2702.0,8392.0,5
RC,367,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1982.0,6802.0,10
RC,367,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,2702.0,6802.0,5
RC,367,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,1423.0,8392.0,10
RC,367,Injection procedure for corpora cavernosography ,,,1423.0,6802.0,5
RC,367,Injection procedure for cystography or voiding urethrocystography ,,,1423.0,6802.0,5
RC,367,"Injection procedure for discography, each level; cervical or thoracic ",,,1423.0,6802.0,5
RC,367,"Injection procedure for discography, each level; lumbar ",,,1423.0,6802.0,5
RC,367,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,367,"Injection procedure for myelography and/or computed tomography, lumbar ",,,1423.0,6802.0,5
RC,367,Injection procedure for retrograde urethrocystography ,,,1423.0,6802.0,5
RC,367,Injection procedure for sacroiliac joint; arthrography ,,,1423.0,1575.0,2
RC,367,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1982.0,2194.0,2
RC,367,Injection procedure for sialography ,,,1423.0,6802.0,5
RC,367,Injection procedure for splenoportography ,,,1423.0,6802.0,5
RC,367,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,5
RC,367,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,1423.0,6802.0,5
RC,367,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1982.0,6802.0,5
RC,367,Injection procedure; lymphangiography ,,,1423.0,6802.0,5
RC,367,Injection procedure; radioactive tracer for identification of sentinel node ,,,1423.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,2702.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2702.0,6802.0,3
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,1423.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,1423.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,1423.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,1982.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,1423.0,6802.0,5
RC,367,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,1423.0,6802.0,5
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,1423.0,6802.0,5
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,1982.0,6802.0,5
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,1423.0,6802.0,5
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,1423.0,6802.0,5
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,1982.0,6802.0,5
RC,367,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,1423.0,6802.0,5
RC,367,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1982.0,6802.0,20
RC,367,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1982.0,6802.0,20
RC,367,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,1982.0,6802.0,5
RC,367,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,1982.0,6802.0,5
RC,367,"Injection, anesthetic agent; sphenopalatine ganglion ",,,1423.0,6802.0,5
RC,367,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,1982.0,6802.0,5
RC,367,"Injection, anesthetic agent; superior hypogastric plexus ",,,1982.0,6802.0,5
RC,367,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,2702.0,6802.0,5
RC,367,"Injection, anterior chamber of eye (separate procedure); medication ",,,2702.0,6802.0,5
RC,367,"Injection, epidural, of blood or clot patch ",,,1982.0,6802.0,5
RC,367,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,2702.0,6802.0,5
RC,367,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,2702.0,6802.0,5
RC,367,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,1982.0,6802.0,5
RC,367,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,5360.0,5933.0,2
RC,367,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,367,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,367,Insertion of Heyman capsules for clinical brachytherapy ,,,4963.0,6802.0,5
RC,367,Insertion of Thomas shunt (separate procedure) ,,,6826.0,17341.0,3
RC,367,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,1982.0,6802.0,5
RC,367,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,1423.0,6802.0,5
RC,367,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,4963.0,11883.0,5
RC,367,"Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) ",,,6826.0,17341.0,3
RC,367,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) ",,,6826.0,17341.0,3
RC,367,"Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure ",,,6826.0,17341.0,3
RC,367,"Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein ",,,6826.0,17341.0,3
RC,367,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,5
RC,367,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,1423.0,6802.0,5
RC,367,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,2702.0,6802.0,3
RC,367,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,5
RC,367,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,5
RC,367,Insertion of implants into the soft palate; minimum of three implants ,,,1982.0,2194.0,2
RC,367,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,2702.0,16423.0,9
RC,367,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Complex Surgery",,,11754.0,11754.0,2
RC,367,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,2702.0,6802.0,5
RC,367,Insertion of intrauterine device (IUD) ,,,1423.0,6802.0,5
RC,367,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,2702.0,8392.0,5
RC,367,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,4963.0,16423.0,5
RC,367,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,1423.0,6802.0,5
RC,367,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,2702.0,8392.0,5
RC,367,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,2702.0,8392.0,5
RC,367,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,2702.0,8392.0,5
RC,367,Insertion of penile prosthesis; inflatable (self-contained) ,,,4963.0,16423.0,5
RC,367,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,4963.0,14122.0,5
RC,367,Insertion of peritoneal-venous shunt ,,,2702.0,6802.0,5
RC,367,Insertion of pin-retained palatal prosthesis ,,,2702.0,6802.0,5
RC,367,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,2702.0,6802.0,3
RC,367,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,5
RC,367,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,2702.0,8392.0,5
RC,367,Insertion of tandem cuff (dual cuff) ,,,2702.0,14122.0,9
RC,367,Insertion of tandem cuff (dual cuff) Complex Surgery,,,11754.0,11754.0,2
RC,367,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,1423.0,6802.0,5
RC,367,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,1423.0,6802.0,5
RC,367,Insertion of testicular prosthesis (separate procedure) ,,,2702.0,6802.0,5
RC,367,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,2702.0,6802.0,3
RC,367,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,2702.0,6802.0,3
RC,367,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,2702.0,8392.0,5
RC,367,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,2702.0,8392.0,5
RC,367,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,2702.0,8392.0,5
RC,367,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1982.0,6802.0,5
RC,367,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,9333.0,57784.0,10
RC,367,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,2702.0,16738.0,9
RC,367,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Complex Surgery",,,11754.0,11754.0,2
RC,367,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,2702.0,16423.0,9
RC,367,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Complex Surgery",,,11754.0,11754.0,2
RC,367,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,2702.0,6802.0,3
RC,367,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,2702.0,6802.0,3
RC,367,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,4963.0,16423.0,11
RC,367,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,4963.0,16423.0,9
RC,367,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver Complex Surgery",,,11754.0,11754.0,2
RC,367,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,1423.0,6802.0,5
RC,367,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,2702.0,6802.0,3
RC,367,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,2702.0,6802.0,3
RC,367,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,1423.0,6802.0,5
RC,367,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1423.0,1575.0,2
RC,367,Intersex surgery; female to male ,,,2702.0,6802.0,3
RC,367,Intersex surgery; male to female ,,,2702.0,6802.0,3
RC,367,Intestinal allotransplantation; from cadaver donor ,,,2702.0,6802.0,3
RC,367,Intestinal allotransplantation; from living donor ,,,2702.0,6802.0,3
RC,367,Intestinal plication (separate procedure) ,,,2702.0,6802.0,3
RC,367,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,2702.0,6802.0,3
RC,367,Intra-atrial pacing ,,,6826.0,17341.0,3
RC,367,Intra-atrial recording ,,,6826.0,17341.0,3
RC,367,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,17341.0,3
RC,367,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,2702.0,6802.0,5
RC,367,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,1575.0,17341.0,4
RC,367,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,7
RC,367,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1423.0,17341.0,5
RC,367,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,3
RC,367,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,367,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,1982.0,6802.0,5
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,1423.0,6802.0,5
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,2702.0,6802.0,5
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,1423.0,6802.0,5
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,2702.0,6802.0,5
RC,367,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,2702.0,6802.0,5
RC,367,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1423.0,1575.0,4
RC,367,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,2702.0,6802.0,4
RC,367,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,2702.0,6802.0,4
RC,367,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,1423.0,6802.0,5
RC,367,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,1423.0,6802.0,5
RC,367,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,17341.0,3
RC,367,Intraventricular pacing ,,,6826.0,17341.0,3
RC,367,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,1423.0,6802.0,5
RC,367,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,1423.0,6802.0,5
RC,367,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,1982.0,6802.0,5
RC,367,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,1982.0,23692.0,23
RC,367,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,2702.0,6802.0,5
RC,367,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,2702.0,11883.0,5
RC,367,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,1982.0,6802.0,5
RC,367,Iridotomy by stab incision (separate procedure); except transfixion ,,,1423.0,6802.0,5
RC,367,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,2702.0,6802.0,5
RC,367,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,1982.0,6802.0,5
RC,367,Irrigation of corpora cavernosa for priapism ,,,1423.0,6802.0,5
RC,367,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,1423.0,6802.0,5
RC,367,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,11000.0,11000.0,1
RC,367,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,11000.0,11000.0,1
RC,367,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,11000.0,11000.0,1
RC,367,Keratomileusis ,,,2702.0,6802.0,5
RC,367,Keratophakia ,,,2702.0,6802.0,5
RC,367,Keratoplasty (corneal transplant); anterior lamellar ,,,2702.0,11883.0,5
RC,367,Keratoplasty (corneal transplant); endothelial ,,,2702.0,11883.0,5
RC,367,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,2702.0,11883.0,5
RC,367,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,2702.0,11883.0,5
RC,367,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,2702.0,11883.0,5
RC,367,Keratoprosthesis ,,,2702.0,14122.0,5
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,11883.0,2
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,11883.0,2
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,11883.0,2
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,11883.0,2
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,11883.0,2
RC,367,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,11883.0,2
RC,367,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,11000.0,11000.0,3
RC,367,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,11000.0,11000.0,1
RC,367,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11000.0,11000.0,1
RC,367,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,11000.0,11000.0,1
RC,367,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,367,Labyrinthectomy; transcanal ,,,2702.0,11883.0,5
RC,367,Labyrinthectomy; with mastoidectomy ,,,2702.0,11883.0,5
RC,367,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,2702.0,6802.0,5
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,4963.0,14122.0,5
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,4963.0,6802.0,3
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,4963.0,14122.0,5
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,4963.0,6802.0,3
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,4963.0,6802.0,3
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,4963.0,6802.0,3
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,4963.0,14122.0,5
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,4963.0,6802.0,3
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,4963.0,6802.0,3
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,4963.0,6802.0,3
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,4963.0,14122.0,5
RC,367,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,4963.0,6802.0,3
RC,367,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,4963.0,6802.0,3
RC,367,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,4963.0,14122.0,5
RC,367,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,4963.0,6802.0,3
RC,367,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,4963.0,6802.0,3
RC,367,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,4963.0,6802.0,3
RC,367,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,4963.0,6802.0,5
RC,367,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,4963.0,6802.0,3
RC,367,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,4963.0,6802.0,3
RC,367,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,4963.0,6802.0,3
RC,367,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,4963.0,6802.0,3
RC,367,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,4963.0,14122.0,5
RC,367,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,4963.0,14122.0,9
RC,367,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,4963.0,6802.0,3
RC,367,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,4963.0,6802.0,3
RC,367,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,4963.0,6802.0,3
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,4963.0,11883.0,5
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,4963.0,11883.0,5
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,4963.0,11883.0,5
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,4963.0,11883.0,5
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,4963.0,11883.0,5
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,4963.0,11883.0,5
RC,367,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,4963.0,11883.0,5
RC,367,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,4963.0,6802.0,3
RC,367,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,4963.0,11883.0,5
RC,367,Laminectomy with rhizotomy; 1 or 2 segments ,,,4963.0,14122.0,5
RC,367,Laminectomy with rhizotomy; more than 2 segments ,,,4963.0,14122.0,5
RC,367,Laminectomy with section of spinal accessory nerve ,,,4963.0,14122.0,5
RC,367,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1423.0,11883.0,20
RC,367,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,4963.0,6802.0,6
RC,367,"Laminectomy, with release of tethered spinal cord, lumbar ",,,4963.0,14122.0,5
RC,367,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,4963.0,6802.0,3
RC,367,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,4963.0,6802.0,3
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,4963.0,11883.0,5
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,4963.0,8392.0,10
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,4963.0,11883.0,5
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,4963.0,11883.0,5
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,4963.0,13830.0,9
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1423.0,6802.0,5
RC,367,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,4963.0,6802.0,3
RC,367,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,4963.0,13830.0,9
RC,367,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,367,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,4963.0,13830.0,9
RC,367,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,367,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,2702.0,13830.0,9
RC,367,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2702.0,18956.0,3
RC,367,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,2702.0,6802.0,3
RC,367,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,2702.0,6802.0,3
RC,367,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2702.0,6802.0,3
RC,367,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,2702.0,14122.0,9
RC,367,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,2702.0,14122.0,9
RC,367,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,4963.0,14122.0,9
RC,367,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical, appendectomy ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical, appendectomy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,2702.0,6802.0,3
RC,367,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,2702.0,6802.0,3
RC,367,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,2702.0,11883.0,5
RC,367,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,2702.0,11883.0,5
RC,367,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,4963.0,13830.0,7
RC,367,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,4963.0,14122.0,9
RC,367,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,4963.0,11883.0,5
RC,367,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,2702.0,11883.0,5
RC,367,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,2702.0,36598.0,5
RC,367,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,2702.0,13830.0,5
RC,367,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,2702.0,13830.0,5
RC,367,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,2702.0,13830.0,5
RC,367,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,2702.0,13830.0,5
RC,367,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,2702.0,36598.0,5
RC,367,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,2702.0,36598.0,5
RC,367,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,2702.0,6802.0,3
RC,367,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical, splenectomy ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical, splenectomy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,2702.0,18956.0,3
RC,367,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2702.0,18956.0,3
RC,367,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2702.0,18956.0,3
RC,367,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2702.0,18956.0,3
RC,367,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,4963.0,18956.0,3
RC,367,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,4963.0,11883.0,5
RC,367,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,4963.0,11883.0,5
RC,367,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,4963.0,18956.0,3
RC,367,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,4963.0,18956.0,7
RC,367,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,7
RC,367,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,4963.0,18956.0,7
RC,367,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,7
RC,367,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,4963.0,18956.0,7
RC,367,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,7
RC,367,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,4963.0,18956.0,7
RC,367,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,7
RC,367,"Laparoscopy, surgical; ablation of renal cysts ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; ablation of renal cysts Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,4963.0,14122.0,9
RC,367,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; cholecystectomy ",,,4963.0,11883.0,9
RC,367,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,4963.0,11883.0,9
RC,367,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,4963.0,11883.0,9
RC,367,"Laparoscopy, surgical; cholecystoenterostomy ",,,4963.0,11556.0,7
RC,367,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,4963.0,11883.0,5
RC,367,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,4963.0,6802.0,3
RC,367,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,4963.0,6802.0,3
RC,367,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,4963.0,6802.0,3
RC,367,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,4963.0,6802.0,3
RC,367,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,2702.0,6802.0,3
RC,367,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,2702.0,6802.0,3
RC,367,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,4963.0,6802.0,3
RC,367,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,4963.0,13830.0,7
RC,367,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,4963.0,11883.0,5
RC,367,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,4963.0,11883.0,5
RC,367,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,2702.0,6802.0,3
RC,367,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,2702.0,14122.0,5
RC,367,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,2702.0,11883.0,5
RC,367,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,4963.0,13830.0,7
RC,367,"Laparoscopy, surgical; nephrectomy with total ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,4963.0,13830.0,7
RC,367,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; orchiectomy ",,,4963.0,11883.0,5
RC,367,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,4963.0,11883.0,5
RC,367,"Laparoscopy, surgical; partial nephrectomy ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; partial nephrectomy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,2702.0,6802.0,3
RC,367,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,2702.0,6802.0,3
RC,367,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,2702.0,6802.0,3
RC,367,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,2702.0,6802.0,3
RC,367,"Laparoscopy, surgical; pyeloplasty ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; pyeloplasty Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,4963.0,13830.0,7
RC,367,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; repair initial inguinal hernia ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; repair initial inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; repair recurrent inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,2702.0,11883.0,5
RC,367,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; transection of vagus nerves, truncal Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; ureterolithotomy ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; ureterolithotomy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,4963.0,11883.0,5
RC,367,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,2702.0,13830.0,9
RC,367,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,2702.0,13830.0,9
RC,367,"Laparoscopy, surgical; with biopsy (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,2702.0,13830.0,9
RC,367,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with fimbrioplasty ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; with fimbrioplasty Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,2702.0,13830.0,9
RC,367,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1423.0,13830.0,9
RC,367,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1423.0,13830.0,11
RC,367,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,2702.0,13830.0,9
RC,367,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,4963.0,13830.0,9
RC,367,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2702.0,11883.0,5
RC,367,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,2702.0,6802.0,5
RC,367,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2820.0,3120.0,2
RC,367,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,10737.0,11883.0,2
RC,367,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,4963.0,11883.0,5
RC,367,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,2702.0,6802.0,3
RC,367,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,2702.0,6802.0,3
RC,367,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,4963.0,11883.0,5
RC,367,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,367,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,367,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,367,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,367,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,367,"Lengthening of palate, and pharyngeal flap ",,,2702.0,11883.0,5
RC,367,"Lengthening of palate, with island flap ",,,2702.0,11883.0,5
RC,367,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,4963.0,8392.0,5
RC,367,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,4963.0,8392.0,5
RC,367,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,2702.0,8392.0,5
RC,367,Ligation of common iliac vein ,,,2702.0,6802.0,3
RC,367,Ligation of femoral vein ,,,2702.0,8392.0,5
RC,367,Ligation of inferior vena cava ,,,2702.0,8392.0,5
RC,367,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,2702.0,8392.0,5
RC,367,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,4963.0,8392.0,5
RC,367,Ligation of peritoneal-venous shunt ,,,2702.0,6802.0,5
RC,367,Ligation or banding of angioaccess arteriovenous fistula ,,,2702.0,8392.0,5
RC,367,"Ligation or biopsy, temporal artery ",,,2702.0,6802.0,5
RC,367,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,2702.0,6802.0,3
RC,367,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,2702.0,6802.0,3
RC,367,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,2702.0,6802.0,5
RC,367,"Ligation salivary duct, intraoral ",,,2702.0,6802.0,5
RC,367,"Ligation, direct, esophageal varices ",,,2702.0,11883.0,5
RC,367,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,4963.0,8392.0,5
RC,367,"Ligation, division, and stripping, short saphenous vein ",,,4963.0,8392.0,5
RC,367,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,2702.0,8392.0,5
RC,367,"Ligation, internal jugular vein ",,,2702.0,8392.0,5
RC,367,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,2702.0,6802.0,3
RC,367,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,2702.0,6802.0,3
RC,367,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,2702.0,6802.0,3
RC,367,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,2702.0,8392.0,5
RC,367,Ligation; external carotid artery ,,,2702.0,8392.0,5
RC,367,Ligation; internal or common carotid artery ,,,2702.0,8392.0,5
RC,367,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,2702.0,8392.0,5
RC,367,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,2702.0,6802.0,3
RC,367,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,2702.0,6802.0,3
RC,367,Limited pharyngectomy ,,,2702.0,11883.0,5
RC,367,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,4963.0,15409.0,7
RC,367,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,4963.0,15409.0,7
RC,367,"Lithotripsy, extracorporeal shock wave ",,,2702.0,15409.0,5
RC,367,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,2702.0,6802.0,3
RC,367,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,2702.0,6802.0,3
RC,367,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,367,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,367,Lymphangiotomy or other operations on lymphatic channels ,,,2702.0,6802.0,5
RC,367,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,2702.0,6802.0,5
RC,367,Lysis of labial adhesions ,,,2702.0,6802.0,5
RC,367,Lysis or excision of penile post-circumcision adhesions ,,,2702.0,6802.0,5
RC,367,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,367,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,11000.0,11000.0,1
RC,367,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,11000.0,11000.0,1
RC,367,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,11000.0,11000.0,1
RC,367,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,11000.0,11000.0,1
RC,367,MAJOR THUMB OR JOINT PROCEDURES ,,,11000.0,11000.0,1
RC,367,MEDIASTINOSCOPY INCL BIOPSY ,,,4963.0,4963.0,1
RC,367,MEDICAL BACK PROBLEMS WITH MCC ,,,11000.0,11000.0,1
RC,367,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,11000.0,11000.0,1
RC,367,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,2702.0,6802.0,3
RC,367,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,2702.0,6802.0,3
RC,367,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,2702.0,6802.0,3
RC,367,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,2702.0,6802.0,3
RC,367,Management of liver hemorrhage; simple suture of liver wound or injury ,,,2702.0,6802.0,3
RC,367,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,2702.0,6802.0,3
RC,367,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,1423.0,6802.0,5
RC,367,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,5
RC,367,Marsupialization of Bartholin's gland cyst ,,,2702.0,6802.0,5
RC,367,Marsupialization of cyst or abscess of liver ,,,2702.0,6802.0,3
RC,367,Marsupialization of pancreatic cyst ,,,2702.0,6802.0,3
RC,367,Marsupialization of sublingual salivary cyst (ranula) ,,,2702.0,6802.0,5
RC,367,"Marsupialization of urethral diverticulum, male or female ",,,2702.0,8392.0,5
RC,367,Mastoid obliteration (separate procedure) ,,,4963.0,11883.0,5
RC,367,Mastoidectomy; complete ,,,2702.0,6802.0,5
RC,367,Mastoidectomy; modified radical ,,,2702.0,11883.0,5
RC,367,Mastoidectomy; radical ,,,2702.0,11883.0,5
RC,367,Maxillary impression for palatal prosthesis ,,,1423.0,6802.0,5
RC,367,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,1423.0,6802.0,5
RC,367,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,2702.0,6802.0,5
RC,367,"Meatotomy, cutting of meatus (separate procedure); infant ",,,2702.0,6802.0,5
RC,367,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,1982.0,6802.0,5
RC,367,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,2702.0,11883.0,5
RC,367,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,2702.0,11883.0,5
RC,367,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,2702.0,6802.0,3
RC,367,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,2702.0,6802.0,3
RC,367,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,Middle ear exploration through postauricular or ear canal incision ,,,2702.0,6802.0,5
RC,367,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,2702.0,6802.0,3
RC,367,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,2702.0,6802.0,5
RC,367,Multifetal pregnancy reduction(s) (MPR) ,,,1423.0,6802.0,5
RC,367,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,2702.0,6802.0,5
RC,367,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1982.0,6802.0,5
RC,367,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1982.0,6802.0,5
RC,367,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1982.0,6802.0,5
RC,367,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1982.0,6802.0,5
RC,367,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,2702.0,8392.0,5
RC,367,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,2702.0,6802.0,5
RC,367,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,2702.0,8392.0,5
RC,367,Myringoplasty (surgery confined to drumhead and donor area) ,,,2702.0,6802.0,5
RC,367,Myringotomy including aspiration and/or eustachian tube inflation ,,,1423.0,6802.0,5
RC,367,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,2702.0,6802.0,5
RC,367,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,1423.0,6802.0,5
RC,367,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,2702.0,6802.0,3
RC,367,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,2702.0,6802.0,3
RC,367,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,1423.0,6802.0,5
RC,367,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,2702.0,6802.0,3
RC,367,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,2702.0,6802.0,3
RC,367,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,2702.0,6802.0,3
RC,367,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,2702.0,6802.0,3
RC,367,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,2702.0,6802.0,3
RC,367,"Nephrectomy, partial ",,,2702.0,6802.0,3
RC,367,Nephrolithotomy; complicated by congenital kidney abnormality ,,,2702.0,6802.0,3
RC,367,Nephrolithotomy; removal of calculus ,,,2702.0,6802.0,3
RC,367,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,2702.0,6802.0,3
RC,367,Nephrolithotomy; secondary surgical operation for calculus ,,,2702.0,6802.0,3
RC,367,"Nephrorrhaphy, suture of kidney wound or injury ",,,2702.0,6802.0,3
RC,367,"Nephrostomy, nephrotomy with drainage ",,,2702.0,6802.0,5
RC,367,"Nephrotomy, with exploration ",,,2702.0,6802.0,3
RC,367,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,2702.0,8392.0,5
RC,367,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,2702.0,8392.0,5
RC,367,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,2702.0,8392.0,5
RC,367,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,2702.0,8392.0,5
RC,367,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,2702.0,8392.0,5
RC,367,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,2702.0,8392.0,5
RC,367,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,2702.0,8392.0,5
RC,367,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,2702.0,8392.0,5
RC,367,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,2702.0,8392.0,5
RC,367,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,2702.0,8392.0,5
RC,367,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,Nerve pedicle transfer; first stage ,,,2702.0,8392.0,5
RC,367,Nerve pedicle transfer; second stage ,,,2702.0,8392.0,5
RC,367,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,2702.0,8392.0,5
RC,367,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,2702.0,6802.0,3
RC,367,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,2702.0,8392.0,5
RC,367,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,2702.0,6802.0,3
RC,367,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,2702.0,6802.0,3
RC,367,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,2702.0,6802.0,3
RC,367,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,2702.0,6802.0,3
RC,367,Neuroplasty and/or transposition; cranial nerve (specify) ,,,2702.0,6802.0,5
RC,367,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,4963.0,6802.0,5
RC,367,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,2702.0,6802.0,5
RC,367,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,2702.0,6802.0,5
RC,367,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,2702.0,6802.0,5
RC,367,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,2702.0,6802.0,5
RC,367,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,2702.0,6802.0,5
RC,367,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,2702.0,6802.0,5
RC,367,"Neuroplasty; digital, 1 or both, same digit ",,,2702.0,6802.0,5
RC,367,Neuroplasty; nerve of hand or foot ,,,2702.0,6802.0,5
RC,367,Nocturnal penile tumescence and/or rigidity test ,,,1423.0,6802.0,5
RC,367,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,12038.0,4
RC,367,OSTEOMYELITIS WITH CC ,,,11000.0,11000.0,1
RC,367,OSTEOMYELITIS WITH MCC ,,,11000.0,11000.0,1
RC,367,OSTEOMYELITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,367,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,11000.0,11000.0,1
RC,367,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,11000.0,11000.0,1
RC,367,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,367,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,367,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,367,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,11000.0,11000.0,1
RC,367,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,11000.0,11000.0,1
RC,367,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,2702.0,6802.0,3
RC,367,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,2702.0,6802.0,5
RC,367,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,2702.0,8392.0,5
RC,367,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,2702.0,8392.0,5
RC,367,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,2702.0,11883.0,5
RC,367,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,2702.0,6802.0,3
RC,367,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Oophorectomy, partial or total, unilateral or bilateral; ",,,2702.0,8392.0,5
RC,367,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,2702.0,8392.0,5
RC,367,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4963.0,16738.0,9
RC,367,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,367,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,4963.0,13830.0,7
RC,367,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,367,Open implantation of neurostimulator electrode array; neuromuscular ,,,4963.0,14122.0,9
RC,367,Open implantation of neurostimulator electrode array; neuromuscular Complex Surgery,,,11754.0,11754.0,2
RC,367,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4963.0,14122.0,9
RC,367,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,367,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,4963.0,14122.0,9
RC,367,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Complex Surgery,,,11754.0,11754.0,2
RC,367,"Operculectomy, excision pericoronal tissues ",,,1982.0,6802.0,5
RC,367,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,5360.0,5933.0,2
RC,367,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,5360.0,5933.0,2
RC,367,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,2702.0,6802.0,5
RC,367,Orbital implant (implant outside muscle cone); insertion ,,,2702.0,8392.0,5
RC,367,Orbital implant (implant outside muscle cone); removal or revision ,,,2702.0,6802.0,5
RC,367,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,2702.0,6802.0,3
RC,367,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,2702.0,6802.0,3
RC,367,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,2702.0,6802.0,3
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,2702.0,8392.0,5
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,2702.0,8392.0,5
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,2702.0,8392.0,5
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,2702.0,8392.0,5
RC,367,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,2702.0,8392.0,5
RC,367,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,2702.0,8392.0,5
RC,367,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,2702.0,6802.0,5
RC,367,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,2702.0,8392.0,5
RC,367,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,2702.0,6802.0,5
RC,367,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,2702.0,6802.0,5
RC,367,"Orchiectomy, partial ",,,2702.0,6802.0,5
RC,367,"Orchiectomy, radical, for tumor; inguinal approach ",,,2702.0,8392.0,5
RC,367,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,2702.0,8392.0,5
RC,367,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,2702.0,8392.0,5
RC,367,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,2702.0,8392.0,5
RC,367,"Orchiopexy, inguinal or scrotal approach ",,,2702.0,8392.0,5
RC,367,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,4963.0,6802.0,3
RC,367,"Other cranial decompression, posterior fossa ",,,2702.0,6802.0,3
RC,367,Otolaryngologic examination under general anesthesia ,,,1423.0,1575.0,2
RC,367,"Otoplasty, protruding ear, with or without size reduction ",,,2702.0,6802.0,5
RC,367,"Ovarian cystectomy, unilateral or bilateral ",,,2702.0,8392.0,5
RC,367,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,11000.0,11000.0,1
RC,367,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,367,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,11000.0,11000.0,3
RC,367,PERCUT THROMBECT AV FISTULA ,,,10737.0,11883.0,2
RC,367,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,4963.0,6802.0,5
RC,367,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,2702.0,11883.0,5
RC,367,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,2702.0,11883.0,5
RC,367,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,2702.0,11883.0,5
RC,367,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,2702.0,11883.0,5
RC,367,Palatoplasty for cleft palate; major revision ,,,2702.0,11883.0,5
RC,367,Palatoplasty for cleft palate; secondary lengthening procedure ,,,2702.0,11883.0,5
RC,367,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,2702.0,6802.0,3
RC,367,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,2702.0,6802.0,3
RC,367,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,2702.0,6802.0,3
RC,367,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,2702.0,6802.0,3
RC,367,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,2702.0,6802.0,3
RC,367,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,2702.0,6802.0,3
RC,367,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,2702.0,6802.0,3
RC,367,"Pancreatectomy, total ",,,2702.0,6802.0,3
RC,367,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,2702.0,6802.0,3
RC,367,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,2702.0,6802.0,3
RC,367,Pancreatorrhaphy for injury ,,,2702.0,6802.0,3
RC,367,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,1423.0,6802.0,5
RC,367,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,2702.0,6802.0,5
RC,367,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,2702.0,6802.0,5
RC,367,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,367,Parathyroidectomy or exploration of parathyroid(s); ,,,2702.0,11883.0,5
RC,367,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,2702.0,11883.0,5
RC,367,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,2702.0,6802.0,3
RC,367,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,2702.0,11883.0,5
RC,367,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,4963.0,11883.0,5
RC,367,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,4963.0,11883.0,5
RC,367,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,1982.0,6802.0,5
RC,367,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,1423.0,6802.0,5
RC,367,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,1982.0,6802.0,5
RC,367,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,2702.0,11883.0,5
RC,367,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,2702.0,11883.0,5
RC,367,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,2702.0,11883.0,5
RC,367,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,2702.0,6802.0,3
RC,367,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,2702.0,6802.0,3
RC,367,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,2702.0,6802.0,3
RC,367,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,2702.0,6802.0,3
RC,367,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,2702.0,6802.0,3
RC,367,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,2702.0,6802.0,3
RC,367,Partial hymenectomy or revision of hymenal ring ,,,2702.0,6802.0,5
RC,367,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2702.0,11883.0,5
RC,367,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2702.0,11883.0,5
RC,367,Pelvic examination under anesthesia (other than local) ,,,2702.0,6802.0,5
RC,367,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,2702.0,6802.0,3
RC,367,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,4963.0,6802.0,3
RC,367,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,2702.0,6802.0,3
RC,367,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,2702.0,6802.0,3
RC,367,Penile plethysmography ,,,1423.0,6802.0,5
RC,367,"Penile revascularization, artery, with or without vein graft ",,,2702.0,6802.0,3
RC,367,Penile venous occlusive procedure ,,,2702.0,8392.0,5
RC,367,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2702.0,6802.0,3
RC,367,"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angi",,,6826.0,17341.0,3
RC,367,"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angiopl",,,6826.0,17341.0,3
RC,367,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,1982.0,6802.0,5
RC,367,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,1982.0,6802.0,5
RC,367,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,17341.0,3
RC,367,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,17341.0,3
RC,367,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,17341.0,3
RC,367,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,4963.0,6802.0,3
RC,367,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,4963.0,13830.0,9
RC,367,"Percutaneous implantation of neurostimulator electrode array, epidural Complex Surgery",,,11754.0,11754.0,2
RC,367,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,4963.0,13830.0,9
RC,367,Percutaneous implantation of neurostimulator electrode array; cranial nerve Complex Surgery,,,11754.0,11754.0,2
RC,367,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4963.0,13830.0,9
RC,367,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,367,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,4963.0,13830.0,9
RC,367,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed Complex Surgery",,,11754.0,11754.0,2
RC,367,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,1982.0,6802.0,10
RC,367,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,2702.0,15409.0,10
RC,367,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7583.0,8392.0,2
RC,367,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,17341.0,3
RC,367,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,17341.0,3
RC,367,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,367,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,367,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,15124.0,17341.0,4
RC,367,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,367,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,367,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,15124.0,17341.0,4
RC,367,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,367,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,367,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,17341.0,5
RC,367,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,7
RC,367,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,23692.0,7
RC,367,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,23692.0,7
RC,367,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19763.0,23692.0,4
RC,367,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,17341.0,5
RC,367,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,17341.0,3
RC,367,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,7
RC,367,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,19763.0,23692.0,4
RC,367,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,5
RC,367,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,7
RC,367,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,17341.0,5
RC,367,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,7
RC,367,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,23692.0,7
RC,367,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,7
RC,367,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,17341.0,5
RC,367,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,17341.0,17341.0,2
RC,367,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,3
RC,367,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,2702.0,23692.0,23
RC,367,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,2702.0,11883.0,5
RC,367,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,2702.0,11883.0,5
RC,367,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,7
RC,367,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,7
RC,367,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,23692.0,7
RC,367,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,23692.0,7
RC,367,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,23692.0,14
RC,367,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,17341.0,5
RC,367,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,23692.0,7
RC,367,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,23692.0,14
RC,367,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,23692.0,12
RC,367,"Pereyra procedure, including anterior colporrhaphy ",,,4963.0,8392.0,5
RC,367,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,2702.0,6802.0,5
RC,367,Periodontal mucosal grafting ,,,2702.0,6802.0,5
RC,367,Perirectal injection of sclerosing solution for prolapse ,,,1423.0,6802.0,5
RC,367,"Peritoneal lavage, including imaging guidance, when performed ",,,1982.0,6802.0,5
RC,367,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2702.0,6802.0,3
RC,367,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,2702.0,6802.0,3
RC,367,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,2702.0,6802.0,3
RC,367,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,2702.0,6802.0,3
RC,367,Petrous apicectomy including radical mastoidectomy ,,,2702.0,11883.0,5
RC,367,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1423.0,1575.0,2
RC,367,Pharyngoesophageal repair ,,,2702.0,6802.0,3
RC,367,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,2702.0,6802.0,5
RC,367,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,2702.0,6802.0,5
RC,367,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1423.0,1575.0,2
RC,367,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1423.0,1575.0,2
RC,367,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1423.0,1575.0,2
RC,367,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1423.0,1575.0,2
RC,367,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1423.0,1575.0,2
RC,367,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,2702.0,8392.0,5
RC,367,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1423.0,6802.0,5
RC,367,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,2702.0,8392.0,5
RC,367,Placement of amniotic membrane on the ocular surface; without sutures ,,,1982.0,6802.0,5
RC,367,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,2702.0,8392.0,10
RC,367,Placement of choledochal stent ,,,2702.0,6802.0,3
RC,367,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,2702.0,6802.0,3
RC,367,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,2702.0,6802.0,3
RC,367,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1982.0,2194.0,2
RC,367,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,2702.0,6802.0,3
RC,367,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,2702.0,6802.0,5
RC,367,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,2702.0,6802.0,5
RC,367,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,2702.0,8392.0,5
RC,367,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,2702.0,6802.0,5
RC,367,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,2702.0,6802.0,5
RC,367,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,2702.0,6802.0,5
RC,367,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1423.0,1575.0,2
RC,367,Placement of seton ,,,2702.0,6802.0,5
RC,367,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,2702.0,11883.0,15
RC,367,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,2702.0,8392.0,15
RC,367,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,2702.0,6802.0,3
RC,367,Plastic operation of penis for injury ,,,4963.0,8392.0,5
RC,367,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,2702.0,11883.0,5
RC,367,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,2702.0,11883.0,5
RC,367,Plastic operation on penis for epispadias distal to external sphincter; ,,,2702.0,8392.0,5
RC,367,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2702.0,11883.0,5
RC,367,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,2702.0,8392.0,5
RC,367,Plastic operation on penis to correct angulation ,,,2702.0,11883.0,5
RC,367,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,4963.0,11883.0,5
RC,367,Plastic repair of canaliculi ,,,2702.0,6802.0,5
RC,367,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,2702.0,11883.0,5
RC,367,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,2702.0,11883.0,5
RC,367,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,2702.0,11883.0,5
RC,367,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,2702.0,11883.0,5
RC,367,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,2702.0,11883.0,5
RC,367,Plastic repair of introitus ,,,2702.0,6802.0,5
RC,367,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,2702.0,6802.0,5
RC,367,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,2702.0,11883.0,5
RC,367,Plastic repair of urethrocele ,,,4963.0,6802.0,5
RC,367,"Portoenterostomy (eg, Kasai procedure) ",,,2702.0,6802.0,3
RC,367,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,4963.0,8392.0,5
RC,367,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,1423.0,6802.0,5
RC,367,Postpartum care only (separate procedure) ,,,2702.0,6802.0,3
RC,367,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,2702.0,6802.0,3
RC,367,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,2702.0,6802.0,3
RC,367,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,1423.0,11883.0,10
RC,367,"Probing of lacrimal canaliculi, with or without irrigation ",,,1423.0,6802.0,5
RC,367,"Probing of nasolacrimal duct, with or without irrigation; ",,,1423.0,6802.0,5
RC,367,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,2702.0,6802.0,5
RC,367,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,2702.0,6802.0,5
RC,367,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,2702.0,6802.0,5
RC,367,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,2702.0,6802.0,3
RC,367,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,2702.0,6802.0,3
RC,367,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,2702.0,6802.0,3
RC,367,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,2702.0,6802.0,3
RC,367,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,2702.0,6802.0,3
RC,367,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,2702.0,6802.0,3
RC,367,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,2702.0,6802.0,3
RC,367,"Proctectomy, partial, without anastomosis, perineal approach ",,,2702.0,11883.0,5
RC,367,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,2702.0,6802.0,3
RC,367,"Proctectomy; partial resection of rectum, transabdominal approach ",,,2702.0,6802.0,3
RC,367,"Proctopexy (eg, for prolapse); abdominal approach ",,,2702.0,6802.0,3
RC,367,"Proctopexy (eg, for prolapse); perineal approach ",,,2702.0,8392.0,5
RC,367,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,2702.0,6802.0,3
RC,367,Proctoplasty; for prolapse of mucous membrane ,,,2702.0,8392.0,5
RC,367,Proctoplasty; for stenosis ,,,2702.0,6802.0,5
RC,367,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1982.0,6802.0,5
RC,367,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,2702.0,6802.0,5
RC,367,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,367,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,2702.0,6802.0,5
RC,367,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,2702.0,6802.0,5
RC,367,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,2702.0,6802.0,5
RC,367,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,2702.0,6802.0,5
RC,367,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,2702.0,6802.0,5
RC,367,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,2702.0,6802.0,5
RC,367,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,2702.0,6802.0,5
RC,367,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,2702.0,8392.0,5
RC,367,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,3
RC,367,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,1423.0,13830.0,9
RC,367,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,1982.0,13830.0,9
RC,367,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,367,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,2702.0,6802.0,3
RC,367,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,2702.0,6802.0,3
RC,367,"Prostatectomy, perineal radical; ",,,2702.0,6802.0,3
RC,367,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,6802.0,3
RC,367,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,6802.0,3
RC,367,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,2702.0,6802.0,3
RC,367,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,2702.0,6802.0,3
RC,367,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,6802.0,3
RC,367,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,6802.0,3
RC,367,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,2702.0,6802.0,5
RC,367,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,2702.0,6802.0,5
RC,367,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,1982.0,6802.0,5
RC,367,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,1982.0,6802.0,5
RC,367,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,2702.0,6802.0,3
RC,367,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,2702.0,2702.0,1
RC,367,"Pyelotomy; with drainage, pyelostomy ",,,2702.0,6802.0,3
RC,367,Pyelotomy; with exploration ,,,2702.0,6802.0,3
RC,367,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,2702.0,6802.0,3
RC,367,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,2702.0,6802.0,3
RC,367,Pyloroplasty ,,,2702.0,6802.0,3
RC,367,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,7583.0,8392.0,2
RC,367,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,7583.0,8392.0,2
RC,367,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,8392.0,2
RC,367,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,8392.0,2
RC,367,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,5360.0,5933.0,2
RC,367,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,8392.0,2
RC,367,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,8392.0,2
RC,367,REPAIR SPIGELIAN HERNIA ,,,7583.0,8392.0,2
RC,367,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,7583.0,8392.0,2
RC,367,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,7583.0,8392.0,2
RC,367,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,7583.0,8392.0,2
RC,367,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,7583.0,8392.0,2
RC,367,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14122.0,2
RC,367,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,10737.0,11883.0,2
RC,367,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,367,REVISION OF MAJOR VEIN ,,,4963.0,4963.0,1
RC,367,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,8392.0,2
RC,367,Radial keratotomy ,,,2702.0,6802.0,5
RC,367,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,6802.0,3
RC,367,Radical excision external auditory canal lesion; with neck dissection ,,,2702.0,6802.0,3
RC,367,Radical excision external auditory canal lesion; without neck dissection ,,,2702.0,6802.0,5
RC,367,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,2702.0,11883.0,5
RC,367,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,2702.0,6802.0,3
RC,367,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,2702.0,6802.0,5
RC,367,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,2702.0,6802.0,3
RC,367,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2702.0,6802.0,3
RC,367,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,2702.0,6802.0,3
RC,367,Recipient nephrectomy (separate procedure) ,,,2702.0,6802.0,3
RC,367,"Reconstruction external auditory canal for congenital atresia, single stage ",,,2702.0,11883.0,5
RC,367,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,2702.0,11883.0,5
RC,367,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,2702.0,6802.0,5
RC,367,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,2702.0,6802.0,5
RC,367,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,2702.0,6802.0,5
RC,367,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,2702.0,6802.0,5
RC,367,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,2702.0,6802.0,3
RC,367,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1423.0,1575.0,2
RC,367,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,2702.0,6802.0,3
RC,367,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,2702.0,6802.0,3
RC,367,Reduction of overcorrection of ptosis ,,,2702.0,6802.0,5
RC,367,Reduction of procidentia (separate procedure) under anesthesia ,,,1982.0,6802.0,5
RC,367,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,2702.0,6802.0,5
RC,367,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,2702.0,6802.0,3
RC,367,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1423.0,1575.0,2
RC,367,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1423.0,1575.0,2
RC,367,Reinsertion of ocular implant; with or without conjunctival graft ,,,2702.0,6802.0,5
RC,367,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,2702.0,8392.0,5
RC,367,Release of encircling material (posterior segment) ,,,4963.0,13830.0,9
RC,367,Release of encircling material (posterior segment) Complex Surgery,,,11754.0,11754.0,2
RC,367,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,2702.0,6802.0,5
RC,367,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2702.0,6802.0,5
RC,367,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,2702.0,6802.0,5
RC,367,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2702.0,6802.0,5
RC,367,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1982.0,6802.0,5
RC,367,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,4963.0,16423.0,5
RC,367,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1423.0,6802.0,5
RC,367,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,2702.0,6802.0,5
RC,367,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,2702.0,16423.0,5
RC,367,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,1982.0,6802.0,5
RC,367,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,4963.0,16423.0,5
RC,367,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1982.0,6802.0,5
RC,367,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,2702.0,6802.0,5
RC,367,Removal foreign body from external auditory canal; with general anesthesia ,,,2702.0,6802.0,5
RC,367,Removal foreign body from external auditory canal; without general anesthesia ,,,1423.0,6802.0,5
RC,367,"Removal impacted cerumen requiring instrumentation, unilateral ",,,1423.0,6802.0,5
RC,367,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,1423.0,6802.0,5
RC,367,"Removal of Thiersch wire or suture, anal canal ",,,2702.0,6802.0,5
RC,367,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,4963.0,8392.0,5
RC,367,"Removal of anal seton, other marker ",,,1982.0,6802.0,5
RC,367,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,2702.0,6802.0,3
RC,367,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,2702.0,6802.0,3
RC,367,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,2702.0,6802.0,3
RC,367,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,1982.0,6802.0,5
RC,367,"Removal of blood clot, anterior segment of eye ",,,2702.0,6802.0,5
RC,367,Removal of bone flap or prosthetic plate of skull ,,,2702.0,6802.0,3
RC,367,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,1423.0,6802.0,5
RC,367,Removal of cerclage suture under anesthesia (other than local) ,,,2702.0,6802.0,5
RC,367,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,2702.0,6802.0,3
RC,367,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,2702.0,6802.0,5
RC,367,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,2702.0,6802.0,5
RC,367,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,1982.0,6802.0,5
RC,367,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4963.0,8392.0,5
RC,367,Removal of embedded foreign body from dentoalveolar structures; bone ,,,2702.0,6802.0,5
RC,367,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,2702.0,6802.0,5
RC,367,"Removal of embedded foreign body, eyelid ",,,1423.0,6802.0,5
RC,367,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,2702.0,6802.0,5
RC,367,"Removal of embedded foreign body, vestibule of mouth; simple ",,,1423.0,6802.0,5
RC,367,Removal of entire lumbosubarachnoid shunt system without replacement ,,,2702.0,6802.0,5
RC,367,"Removal of epithelial downgrowth, anterior chamber of eye ",,,2702.0,6802.0,5
RC,367,Removal of esophageal sphincter augmentation device ,,,4963.0,14122.0,9
RC,367,Removal of esophageal sphincter augmentation device Complex Surgery,,,11754.0,11754.0,2
RC,367,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,2702.0,6802.0,5
RC,367,Removal of foreign body from pharynx ,,,1423.0,6802.0,5
RC,367,Removal of foreign body in scrotum ,,,2702.0,6802.0,5
RC,367,"Removal of foreign body or dacryolith, lacrimal passages ",,,1423.0,6802.0,5
RC,367,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,1423.0,6802.0,5
RC,367,"Removal of foreign body, external eye; conjunctival superficial ",,,1423.0,6802.0,5
RC,367,"Removal of foreign body, external eye; corneal, with slit lamp ",,,1423.0,6802.0,5
RC,367,"Removal of foreign body, external eye; corneal, without slit lamp ",,,1423.0,6802.0,5
RC,367,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,2702.0,6802.0,5
RC,367,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,1423.0,6802.0,5
RC,367,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,2702.0,6802.0,5
RC,367,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,4963.0,13830.0,7
RC,367,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,367,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1423.0,1575.0,2
RC,367,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,2702.0,6802.0,5
RC,367,"Removal of implanted material, anterior segment of eye ",,,2702.0,6802.0,5
RC,367,"Removal of implanted material, posterior segment; extraocular ",,,4963.0,13830.0,9
RC,367,"Removal of implanted material, posterior segment; extraocular Complex Surgery",,,11754.0,11754.0,2
RC,367,"Removal of implanted material, posterior segment; intraocular ",,,4963.0,13830.0,9
RC,367,"Removal of implanted material, posterior segment; intraocular Complex Surgery",,,11754.0,11754.0,2
RC,367,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2702.0,8392.0,5
RC,367,Removal of intrauterine device (IUD) ,,,1423.0,6802.0,5
RC,367,"Removal of lens material; aspiration technique, 1 or more stages ",,,2702.0,6802.0,5
RC,367,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,2702.0,6802.0,5
RC,367,Removal of lens material; intracapsular ,,,2702.0,6802.0,5
RC,367,"Removal of lens material; intracapsular, for dislocated lens ",,,2702.0,6802.0,5
RC,367,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,2702.0,11883.0,5
RC,367,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,2702.0,6802.0,5
RC,367,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,1982.0,6802.0,5
RC,367,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,4963.0,8392.0,5
RC,367,Removal of ocular implant ,,,2702.0,6802.0,5
RC,367,Removal of pancreatic calculus ,,,2702.0,6802.0,3
RC,367,Removal of peritoneal foreign body from peritoneal cavity ,,,2702.0,8392.0,5
RC,367,Removal of peritoneal-venous shunt ,,,2702.0,6802.0,5
RC,367,Removal of previously implanted intrathecal or epidural catheter ,,,2702.0,6802.0,5
RC,367,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,2702.0,6802.0,5
RC,367,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,2702.0,6802.0,3
RC,367,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4963.0,6802.0,5
RC,367,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4963.0,6802.0,5
RC,367,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,2702.0,8392.0,5
RC,367,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,4963.0,6802.0,3
RC,367,"Removal of transplanted intestinal allograft, complete ",,,2702.0,6802.0,3
RC,367,Removal of transplanted pancreatic allograft ,,,2702.0,6802.0,3
RC,367,Removal of transplanted renal allograft ,,,2702.0,6802.0,3
RC,367,"Removal of tumor, temporal bone ",,,2702.0,11883.0,5
RC,367,Removal of tunneled intraperitoneal catheter ,,,2702.0,6802.0,5
RC,367,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,4963.0,6802.0,5
RC,367,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,4963.0,6802.0,5
RC,367,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,2702.0,11883.0,5
RC,367,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,2702.0,8392.0,5
RC,367,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,4963.0,6802.0,5
RC,367,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,2702.0,6802.0,3
RC,367,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,2702.0,6802.0,3
RC,367,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,6802.0,3
RC,367,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,2702.0,6802.0,3
RC,367,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,2702.0,6802.0,3
RC,367,"Renal autotransplantation, reimplantation of kidney ",,,2702.0,6802.0,3
RC,367,Renal biopsy; by surgical exposure of kidney ,,,2702.0,6802.0,3
RC,367,"Renal biopsy; percutaneous, by trocar or needle ",,,2702.0,6802.0,5
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,5
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,5
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,2702.0,6802.0,5
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,2702.0,6802.0,5
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1982.0,6802.0,5
RC,367,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,2702.0,6802.0,5
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,5
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,5
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,2702.0,11883.0,5
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,2702.0,6802.0,5
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,6802.0,5
RC,367,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,1982.0,6802.0,5
RC,367,"Renal exploration, not necessitating other specific procedures ",,,2702.0,6802.0,3
RC,367,Reopening of recent laparotomy ,,,2702.0,6802.0,3
RC,367,Repair incomplete circumcision ,,,2702.0,6802.0,5
RC,367,"Repair inguinal hernia, sliding, any age ",,,4963.0,8392.0,5
RC,367,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,4963.0,8392.0,5
RC,367,"Repair initial femoral hernia, any age; reducible ",,,4963.0,8392.0,5
RC,367,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,4963.0,8392.0,5
RC,367,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,4963.0,8392.0,5
RC,367,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,2702.0,8392.0,5
RC,367,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,2702.0,8392.0,5
RC,367,"Repair lip, full thickness; over one-half vertical height, or complex ",,,1982.0,6802.0,5
RC,367,"Repair lip, full thickness; up to half vertical height ",,,1982.0,6802.0,5
RC,367,"Repair lip, full thickness; vermilion only ",,,1982.0,6802.0,5
RC,367,Repair lumbar hernia ,,,4963.0,8392.0,5
RC,367,Repair of anal fistula with fibrin glue ,,,2702.0,6802.0,5
RC,367,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,2702.0,8392.0,5
RC,367,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,4963.0,6802.0,18
RC,367,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,4963.0,6802.0,18
RC,367,"Repair of anterior palate, including vomer flap ",,,2702.0,11883.0,5
RC,367,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,2702.0,6802.0,5
RC,367,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,2702.0,6802.0,5
RC,367,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,2702.0,6802.0,5
RC,367,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,2702.0,8392.0,5
RC,367,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,2702.0,6802.0,5
RC,367,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,2702.0,6802.0,5
RC,367,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,2702.0,6802.0,5
RC,367,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,2702.0,6802.0,3
RC,367,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,2702.0,6802.0,3
RC,367,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,2702.0,6802.0,3
RC,367,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,4963.0,13830.0,11
RC,367,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,4963.0,11883.0,5
RC,367,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,2702.0,6802.0,3
RC,367,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,2702.0,6802.0,3
RC,367,Repair of ectropion; excision tarsal wedge ,,,2702.0,6802.0,5
RC,367,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,2702.0,6802.0,5
RC,367,Repair of ectropion; suture ,,,2702.0,6802.0,5
RC,367,Repair of ectropion; thermocauterization ,,,2702.0,6802.0,5
RC,367,"Repair of encephalocele, skull vault, including cranioplasty ",,,2702.0,6802.0,3
RC,367,"Repair of enterocele, abdominal approach (separate procedure) ",,,4963.0,6802.0,5
RC,367,"Repair of enterocele, vaginal approach (separate procedure) ",,,4963.0,6802.0,5
RC,367,Repair of entropion; excision tarsal wedge ,,,2702.0,6802.0,5
RC,367,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,2702.0,6802.0,5
RC,367,Repair of entropion; suture ,,,2702.0,6802.0,5
RC,367,Repair of entropion; thermocauterization ,,,2702.0,6802.0,5
RC,367,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,2702.0,6802.0,3
RC,367,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,2702.0,6802.0,3
RC,367,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,2702.0,6802.0,3
RC,367,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,2702.0,6802.0,3
RC,367,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,2702.0,8392.0,5
RC,367,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,2702.0,8392.0,5
RC,367,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,2702.0,8392.0,5
RC,367,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,2702.0,6802.0,3
RC,367,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,2702.0,6802.0,3
RC,367,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2702.0,8392.0,5
RC,367,"Repair of iris, ciliary body (as for iridodialysis) ",,,2702.0,6802.0,5
RC,367,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,1423.0,6802.0,5
RC,367,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,1423.0,6802.0,5
RC,367,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,1982.0,6802.0,5
RC,367,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,2702.0,6802.0,5
RC,367,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,2702.0,6802.0,3
RC,367,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,2702.0,6802.0,5
RC,367,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,2702.0,6802.0,5
RC,367,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,2702.0,6802.0,5
RC,367,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,2702.0,6802.0,5
RC,367,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,2702.0,8392.0,5
RC,367,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,4963.0,6802.0,3
RC,367,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,4963.0,6802.0,3
RC,367,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,2702.0,6802.0,3
RC,367,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,2702.0,6802.0,3
RC,367,Repair of meningocele; larger than 5 cm diameter ,,,2702.0,6802.0,3
RC,367,Repair of meningocele; less than 5 cm diameter ,,,2702.0,6802.0,3
RC,367,Repair of myelomeningocele; larger than 5 cm diameter ,,,2702.0,6802.0,3
RC,367,Repair of myelomeningocele; less than 5 cm diameter ,,,2702.0,6802.0,3
RC,367,Repair of nasolabial fistula ,,,2702.0,6802.0,5
RC,367,Repair of omphalocele (Gross type operation); first stage ,,,4963.0,6802.0,3
RC,367,Repair of omphalocele (Gross type operation); second stage ,,,4963.0,6802.0,3
RC,367,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,4963.0,6802.0,3
RC,367,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,4963.0,6802.0,3
RC,367,Repair of rectocele (separate procedure) ,,,2702.0,8392.0,5
RC,367,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,4963.0,13830.0,9
RC,367,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,1982.0,13830.0,9
RC,367,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,367,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,4963.0,13830.0,9
RC,367,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,4963.0,13830.0,11
RC,367,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,4963.0,13830.0,11
RC,367,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,2702.0,6802.0,3
RC,367,Repair of scleral staphyloma with graft ,,,2702.0,6802.0,5
RC,367,"Repair of small omphalocele, with primary closure ",,,4963.0,8392.0,5
RC,367,"Repair of symblepharon; conjunctivoplasty, without graft ",,,2702.0,6802.0,5
RC,367,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,2702.0,6802.0,5
RC,367,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,2702.0,8392.0,5
RC,367,Repair of traumatic corporeal tear(s) ,,,4963.0,6802.0,5
RC,367,Repair of tunica vaginalis hydrocele (Bottle type) ,,,2702.0,6802.0,5
RC,367,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,2702.0,6802.0,5
RC,367,Repair oval window fistula ,,,4963.0,6802.0,5
RC,367,Repair recurrent femoral hernia; incarcerated or strangulated ,,,4963.0,8392.0,5
RC,367,Repair recurrent femoral hernia; reducible ,,,4963.0,8392.0,5
RC,367,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,4963.0,8392.0,5
RC,367,"Repair recurrent inguinal hernia, any age; reducible ",,,4963.0,8392.0,5
RC,367,Repair round window fistula ,,,4963.0,6802.0,5
RC,367,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,2702.0,6802.0,3
RC,367,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,2702.0,6802.0,3
RC,367,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,2702.0,8392.0,10
RC,367,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,2702.0,8392.0,5
RC,367,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,2702.0,8392.0,5
RC,367,"Repair, laceration of diaphragm, any approach ",,,2702.0,6802.0,3
RC,367,"Repair, laceration of palate; over 2 cm or complex ",,,2702.0,6802.0,5
RC,367,"Repair, laceration of palate; up to 2 cm ",,,1423.0,6802.0,5
RC,367,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,2702.0,6802.0,3
RC,367,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,2702.0,6802.0,3
RC,367,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,2702.0,6802.0,3
RC,367,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,2702.0,6802.0,3
RC,367,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,2702.0,6802.0,3
RC,367,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,2702.0,6802.0,3
RC,367,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,2702.0,6802.0,3
RC,367,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2702.0,6802.0,3
RC,367,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2702.0,6802.0,3
RC,367,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,11883.0,5
RC,367,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,2702.0,6802.0,3
RC,367,Replacement of bone flap or prosthetic plate of skull ,,,2702.0,6802.0,3
RC,367,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,5
RC,367,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,5
RC,367,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,5
RC,367,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,2702.0,6802.0,3
RC,367,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,2702.0,6802.0,3
RC,367,"Replacement or irrigation, subarachnoid/subdural catheter ",,,2702.0,6802.0,5
RC,367,"Replacement or irrigation, ventricular catheter ",,,2702.0,6802.0,5
RC,367,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,2702.0,8392.0,5
RC,367,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,2702.0,8392.0,5
RC,367,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,2702.0,6802.0,5
RC,367,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,2702.0,8392.0,5
RC,367,Reprogramming of programmable cerebrospinal shunt ,,,1423.0,6802.0,5
RC,367,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,2702.0,8392.0,5
RC,367,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,2702.0,6802.0,3
RC,367,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,2702.0,6802.0,3
RC,367,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,2702.0,6802.0,3
RC,367,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,2702.0,11883.0,5
RC,367,"Resection of lip, more than one-fourth, without reconstruction ",,,2702.0,6802.0,5
RC,367,Resection of mediastinal cyst ,,,2702.0,6802.0,3
RC,367,Resection of mediastinal tumor ,,,2702.0,6802.0,3
RC,367,Resection of palate or extensive resection of lesion ,,,2702.0,6802.0,5
RC,367,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,2702.0,6802.0,3
RC,367,Resection of scrotum ,,,2702.0,6802.0,5
RC,367,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,2702.0,6802.0,3
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,2702.0,6802.0,3
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,2702.0,6802.0,3
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,2702.0,6802.0,3
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,2702.0,6802.0,3
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,2702.0,6802.0,3
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,2702.0,6802.0,3
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,2702.0,6802.0,3
RC,367,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,2702.0,6802.0,3
RC,367,"Resection temporal bone, external approach ",,,2702.0,6802.0,3
RC,367,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,2702.0,6802.0,3
RC,367,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,2702.0,6802.0,3
RC,367,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,2702.0,8392.0,5
RC,367,Retrobulbar injection; alcohol ,,,1423.0,6802.0,5
RC,367,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,1423.0,6802.0,5
RC,367,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,2702.0,6802.0,16
RC,367,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,2702.0,6802.0,16
RC,367,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,2702.0,6802.0,16
RC,367,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,2702.0,6802.0,16
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,12760.0,14122.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,10737.0,11883.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,14839.0,16423.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,12760.0,14122.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,10737.0,11883.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,10737.0,11883.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,10737.0,11883.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,12760.0,14122.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,2702.0,6802.0,16
RC,367,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,2702.0,6802.0,15
RC,367,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,2702.0,6802.0,16
RC,367,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,2702.0,6802.0,16
RC,367,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,2702.0,6802.0,16
RC,367,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,2702.0,6802.0,16
RC,367,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,2702.0,6802.0,16
RC,367,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,12760.0,14122.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,10737.0,11883.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,14839.0,16423.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,12760.0,14122.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,12760.0,14122.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,10737.0,11883.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,10737.0,11883.0,2
RC,367,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,10737.0,11883.0,2
RC,367,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,2702.0,8392.0,5
RC,367,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,4963.0,6802.0,3
RC,367,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,4963.0,6802.0,5
RC,367,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4963.0,11883.0,5
RC,367,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4963.0,11883.0,5
RC,367,Revision mastoidectomy; resulting in complete mastoidectomy ,,,2702.0,11883.0,5
RC,367,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,2702.0,11883.0,5
RC,367,Revision mastoidectomy; resulting in radical mastoidectomy ,,,2702.0,11883.0,5
RC,367,Revision mastoidectomy; resulting in tympanoplasty ,,,2702.0,11883.0,5
RC,367,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,2702.0,6802.0,5
RC,367,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,2702.0,6802.0,5
RC,367,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,2702.0,8392.0,5
RC,367,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,2702.0,8392.0,5
RC,367,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,2702.0,8392.0,5
RC,367,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,2702.0,6802.0,3
RC,367,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,2702.0,6802.0,3
RC,367,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,2702.0,6802.0,3
RC,367,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,2702.0,8392.0,5
RC,367,Revision of peritoneal-venous shunt ,,,2702.0,8392.0,5
RC,367,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,2702.0,11883.0,5
RC,367,Revision of stapedectomy or stapedotomy ,,,4963.0,11883.0,5
RC,367,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,2702.0,14122.0,5
RC,367,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,2702.0,6802.0,5
RC,367,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,2702.0,6802.0,3
RC,367,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,2702.0,8392.0,5
RC,367,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,2702.0,6802.0,3
RC,367,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4963.0,6802.0,5
RC,367,Revision or removal of intracranial neurostimulator electrodes ,,,2702.0,6802.0,5
RC,367,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,2702.0,6802.0,3
RC,367,Revision or removal of peripheral neurostimulator electrode array ,,,4963.0,13830.0,9
RC,367,Revision or removal of peripheral neurostimulator electrode array Complex Surgery,,,11754.0,11754.0,2
RC,367,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4963.0,6802.0,5
RC,367,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,2702.0,6802.0,5
RC,367,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,2702.0,6802.0,3
RC,367,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,2702.0,6802.0,3
RC,367,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,4963.0,11883.0,5
RC,367,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,4963.0,13830.0,7
RC,367,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,367,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2702.0,6802.0,3
RC,367,"Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,6826.0,17341.0,3
RC,367,"Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) ",,,6826.0,17341.0,3
RC,367,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,2702.0,36598.0,5
RC,367,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,367,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,367,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,367,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,367,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,367,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,367,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,367,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,367,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,7583.0,8392.0,2
RC,367,Right ventricular recording ,,,6826.0,17341.0,3
RC,367,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,2702.0,6802.0,3
RC,367,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,2702.0,6802.0,3
RC,367,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,2702.0,6802.0,3
RC,367,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,2702.0,6802.0,3
RC,367,SEPTIC ARTHRITIS WITH CC ,,,11000.0,11000.0,1
RC,367,SEPTIC ARTHRITIS WITH MCC ,,,11000.0,11000.0,1
RC,367,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,367,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,11000.0,11000.0,1
RC,367,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,11000.0,11000.0,1
RC,367,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,11000.0,11000.0,1
RC,367,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,11000.0,11000.0,1
RC,367,SKIN DEBRIDEMENT WITH MCC ,,,11000.0,11000.0,1
RC,367,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,11000.0,11000.0,1
RC,367,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,367,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,11000.0,11000.0,1
RC,367,SOFT TISSUE PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,367,SOFT TISSUE PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,367,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,367,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,7583.0,8392.0,2
RC,367,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,11000.0,11000.0,1
RC,367,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,367,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2820.0,3120.0,2
RC,367,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2702.0,8392.0,5
RC,367,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2702.0,11883.0,5
RC,367,Salpingostomy (salpingoneostomy) ,,,2702.0,6802.0,5
RC,367,Scleral reinforcement (separate procedure); with graft ,,,2702.0,6802.0,5
RC,367,Scleral reinforcement (separate procedure); without graft ,,,2702.0,6802.0,5
RC,367,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,2702.0,6802.0,5
RC,367,"Scraping of cornea, diagnostic, for smear and/or culture ",,,1423.0,6802.0,5
RC,367,Scrotal exploration ,,,2702.0,6802.0,5
RC,367,Scrotoplasty; complicated ,,,2702.0,6802.0,5
RC,367,Scrotoplasty; simple ,,,2702.0,11883.0,5
RC,367,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,1423.0,6802.0,5
RC,367,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,2702.0,6802.0,3
RC,367,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,2702.0,6802.0,3
RC,367,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,2702.0,6802.0,5
RC,367,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,2702.0,6802.0,5
RC,367,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,2702.0,6802.0,5
RC,367,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,2702.0,6802.0,5
RC,367,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,1982.0,6802.0,5
RC,367,Severing of tarsorrhaphy ,,,1982.0,6802.0,5
RC,367,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,1982.0,6802.0,5
RC,367,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,2702.0,6802.0,5
RC,367,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,2702.0,6802.0,5
RC,367,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,2702.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1982.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,2702.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,1982.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,2702.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2702.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,1982.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,2702.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,2702.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,2702.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,1982.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,2702.0,6802.0,5
RC,367,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,2702.0,6802.0,5
RC,367,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,1423.0,6802.0,5
RC,367,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,1423.0,6802.0,5
RC,367,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,2702.0,14122.0,9
RC,367,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,4963.0,13830.0,9
RC,367,"Sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,2702.0,6802.0,5
RC,367,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,2702.0,6802.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,2702.0,6802.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,2702.0,8392.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,2702.0,6802.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,2702.0,6802.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,2702.0,6802.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,2702.0,6802.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,2702.0,6802.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,2702.0,6802.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,2702.0,6802.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,2702.0,6802.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,5
RC,367,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,2702.0,8392.0,5
RC,367,Snip incision of lacrimal punctum ,,,1423.0,6802.0,5
RC,367,Sperm washing for artificial insemination ,,,1423.0,6802.0,5
RC,367,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,2702.0,8392.0,5
RC,367,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,2702.0,6802.0,3
RC,367,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,2702.0,8392.0,5
RC,367,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,2702.0,8392.0,5
RC,367,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Spinal puncture, lumbar, diagnostic; ",,,1982.0,6802.0,5
RC,367,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,2702.0,6802.0,3
RC,367,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,1982.0,6802.0,5
RC,367,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,2702.0,6802.0,3
RC,367,Splenectomy; partial (separate procedure) ,,,2702.0,6802.0,3
RC,367,Splenectomy; total (separate procedure) ,,,2702.0,6802.0,3
RC,367,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,2702.0,8392.0,5
RC,367,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,2702.0,8392.0,5
RC,367,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,4963.0,11883.0,5
RC,367,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,4963.0,11883.0,5
RC,367,Stapes mobilization ,,,4963.0,6802.0,5
RC,367,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,2702.0,6802.0,3
RC,367,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,2702.0,6802.0,3
RC,367,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,367,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,2702.0,6802.0,5
RC,367,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,2702.0,8392.0,5
RC,367,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2702.0,6802.0,3
RC,367,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2702.0,6802.0,3
RC,367,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2702.0,6802.0,3
RC,367,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,2820.0,6802.0,5
RC,367,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,1423.0,6802.0,5
RC,367,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,367,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,367,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1423.0,6802.0,5
RC,367,"Strabismus surgery, any procedure, superior oblique muscle ",,,2702.0,6802.0,5
RC,367,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,2702.0,6802.0,5
RC,367,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,2702.0,6802.0,5
RC,367,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,2702.0,6802.0,5
RC,367,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,2702.0,6802.0,5
RC,367,Subconjunctival injection ,,,1423.0,6802.0,5
RC,367,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,2702.0,6802.0,5
RC,367,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,1982.0,6802.0,5
RC,367,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,1982.0,6802.0,5
RC,367,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,2702.0,6802.0,5
RC,367,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,2702.0,6802.0,3
RC,367,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,367,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,6802.0,3
RC,367,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,2702.0,6802.0,3
RC,367,Suprahyoid lymphadenectomy ,,,2702.0,6802.0,5
RC,367,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,2702.0,6802.0,3
RC,367,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,2702.0,6802.0,3
RC,367,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,2702.0,6802.0,3
RC,367,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,2702.0,6802.0,3
RC,367,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2702.0,6802.0,3
RC,367,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,2702.0,6802.0,3
RC,367,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,2702.0,6802.0,3
RC,367,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,2702.0,6802.0,3
RC,367,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,2702.0,6802.0,3
RC,367,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,2702.0,6802.0,3
RC,367,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,2702.0,6802.0,3
RC,367,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,2702.0,6802.0,3
RC,367,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,2702.0,6802.0,3
RC,367,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2702.0,6802.0,3
RC,367,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,2702.0,6802.0,5
RC,367,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,2702.0,6802.0,5
RC,367,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,2702.0,6802.0,5
RC,367,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,2702.0,6802.0,5
RC,367,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,2702.0,6802.0,3
RC,367,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,2702.0,6802.0,3
RC,367,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,2702.0,6802.0,3
RC,367,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,2702.0,8392.0,5
RC,367,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,2702.0,8392.0,5
RC,367,Suture and/or ligation of thoracic duct; abdominal approach ,,,2702.0,6802.0,3
RC,367,Suture and/or ligation of thoracic duct; cervical approach ,,,2702.0,6802.0,3
RC,367,Suture and/or ligation of thoracic duct; thoracic approach ,,,2702.0,6802.0,3
RC,367,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,2702.0,11883.0,5
RC,367,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,2702.0,11883.0,5
RC,367,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,2702.0,8392.0,5
RC,367,Suture of 1 nerve; median motor thenar ,,,2702.0,8392.0,5
RC,367,Suture of 1 nerve; ulnar motor ,,,2702.0,8392.0,5
RC,367,"Suture of digital nerve, hand or foot; 1 nerve ",,,2702.0,8392.0,5
RC,367,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,367,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,Suture of esophageal wound or injury; cervical approach ,,,2702.0,6802.0,3
RC,367,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,2702.0,6802.0,3
RC,367,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,2702.0,6802.0,3
RC,367,Suture of facial nerve; extracranial ,,,2702.0,8392.0,5
RC,367,"Suture of facial nerve; infratemporal, with or without grafting ",,,2702.0,8392.0,5
RC,367,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,2702.0,6802.0,5
RC,367,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,2702.0,6802.0,3
RC,367,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,2702.0,6802.0,3
RC,367,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,2702.0,8392.0,5
RC,367,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,2702.0,8392.0,5
RC,367,Suture of mesentery (separate procedure) ,,,2702.0,6802.0,3
RC,367,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1423.0,6802.0,5
RC,367,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,1423.0,6802.0,5
RC,367,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1423.0,6802.0,5
RC,367,Suture of posterior tibial nerve ,,,2702.0,8392.0,5
RC,367,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,2702.0,6802.0,5
RC,367,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,2702.0,6802.0,5
RC,367,Suture of sciatic nerve ,,,2702.0,8392.0,5
RC,367,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,2702.0,6802.0,3
RC,367,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,2702.0,6802.0,3
RC,367,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,2702.0,6802.0,5
RC,367,Suture of; brachial plexus ,,,2702.0,8392.0,5
RC,367,Suture of; lumbar plexus ,,,2702.0,8392.0,5
RC,367,Suture or repair of testicular injury ,,,2702.0,6802.0,5
RC,367,Suture pharynx for wound or injury ,,,2702.0,6802.0,5
RC,367,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,2702.0,6802.0,3
RC,367,"Sympathectomy, cervical ",,,2702.0,6802.0,5
RC,367,"Sympathectomy, cervicothoracic ",,,2702.0,6802.0,5
RC,367,"Sympathectomy, lumbar ",,,2702.0,6802.0,3
RC,367,"Sympathectomy, thoracolumbar ",,,2702.0,6802.0,3
RC,367,"Sympathectomy; digital arteries, each digit ",,,2702.0,6802.0,5
RC,367,Sympathectomy; radial artery ,,,2702.0,8392.0,5
RC,367,Sympathectomy; superficial palmar arch ,,,2702.0,8392.0,5
RC,367,Sympathectomy; ulnar artery ,,,2702.0,8392.0,5
RC,367,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,2702.0,6802.0,3
RC,367,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,11000.0,11000.0,1
RC,367,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,11000.0,11000.0,1
RC,367,TRANSCATHETER THERAPY INFUSE ,,,6826.0,6826.0,1
RC,367,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,1982.0,6802.0,5
RC,367,Temporary transcutaneous pacing ,,,1982.0,2194.0,2
RC,367,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2702.0,6802.0,3
RC,367,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,367,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,367,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,367,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2702.0,6802.0,3
RC,367,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure) ",,,6826.0,17341.0,3
RC,367,"Thrombolysis, cerebral, by intravenous infusion ",,,1423.0,6802.0,5
RC,367,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,17341.0,17341.0,2
RC,367,"Thrombolysis, coronary; by intravenous infusion ",,,1423.0,17341.0,4
RC,367,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,2702.0,11883.0,5
RC,367,"Thyroidectomy, including substernal thyroid; cervical approach ",,,2702.0,11883.0,5
RC,367,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,2702.0,6802.0,5
RC,367,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,2702.0,11883.0,5
RC,367,"Thyroidectomy, total or complete ",,,2702.0,11883.0,5
RC,367,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,2702.0,11883.0,5
RC,367,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,2702.0,6802.0,5
RC,367,"Tongue base suspension, permanent suture technique ",,,2702.0,11883.0,5
RC,367,Tonsillectomy and adenoidectomy; age 12 or over ,,,2702.0,6802.0,5
RC,367,Tonsillectomy and adenoidectomy; younger than age 12 ,,,2702.0,6802.0,5
RC,367,"Tonsillectomy, primary or secondary; age 12 or over ",,,2702.0,6802.0,5
RC,367,"Tonsillectomy, primary or secondary; younger than age 12 ",,,2702.0,6802.0,5
RC,367,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,2702.0,6802.0,3
RC,367,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,2702.0,6802.0,3
RC,367,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,6802.0,3
RC,367,Total facial nerve decompression and/or repair (may include graft) ,,,2702.0,11883.0,5
RC,367,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,2702.0,6802.0,3
RC,367,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,2702.0,6802.0,3
RC,367,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,2702.0,6802.0,3
RC,367,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,2702.0,6802.0,3
RC,367,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,2702.0,6802.0,3
RC,367,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2702.0,11883.0,5
RC,367,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2702.0,11883.0,5
RC,367,Trabeculoplasty by laser surgery ,,,1982.0,6802.0,5
RC,367,Trabeculotomy ab externo ,,,2702.0,6802.0,5
RC,367,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,2702.0,6802.0,5
RC,367,"Transabdominal amnioinfusion, including ultrasound guidance ",,,1982.0,6802.0,5
RC,367,Transcatheter biopsy ,,,4963.0,8392.0,5
RC,367,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2702.0,14122.0,8
RC,367,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,6802.0,23692.0,18
RC,367,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,6802.0,23692.0,9
RC,367,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,6802.0,23692.0,9
RC,367,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,1423.0,6802.0,5
RC,367,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,6826.0,23692.0,7
RC,367,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,6826.0,23692.0,7
RC,367,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,2702.0,6802.0,3
RC,367,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,6802.0,6826.0,3
RC,367,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,6802.0,6826.0,3
RC,367,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1423.0,17341.0,5
RC,367,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,4963.0,11754.0,7
RC,367,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,6826.0,17341.0,3
RC,367,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,6826.0,17341.0,6
RC,367,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,6826.0,17341.0,3
RC,367,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2702.0,6802.0,3
RC,367,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,4963.0,6802.0,5
RC,367,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,2702.0,6802.0,3
RC,367,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,2702.0,6802.0,3
RC,367,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,2702.0,6802.0,5
RC,367,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,2702.0,8392.0,5
RC,367,"Transection or avulsion of other cranial nerve, extradural ",,,2702.0,6802.0,5
RC,367,"Transection or avulsion of other spinal nerve, extradural ",,,2702.0,6802.0,5
RC,367,"Transection or avulsion of; facial nerve, differential or complete ",,,2702.0,6802.0,5
RC,367,Transection or avulsion of; greater occipital nerve ,,,2702.0,6802.0,5
RC,367,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,2702.0,6802.0,5
RC,367,Transection or avulsion of; infraorbital nerve ,,,2702.0,6802.0,5
RC,367,Transection or avulsion of; lingual nerve ,,,2702.0,6802.0,5
RC,367,Transection or avulsion of; mental nerve ,,,2702.0,6802.0,5
RC,367,Transection or avulsion of; phrenic nerve ,,,2702.0,6802.0,5
RC,367,Transection or avulsion of; supraorbital nerve ,,,2702.0,6802.0,5
RC,367,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,2702.0,6802.0,3
RC,367,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,2702.0,6802.0,3
RC,367,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,3
RC,367,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,2702.0,6802.0,3
RC,367,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,1423.0,23692.0,18
RC,367,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,1423.0,23692.0,18
RC,367,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,1423.0,23692.0,9
RC,367,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,2702.0,11883.0,5
RC,367,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,2702.0,11883.0,5
RC,367,Transmastoid antrotomy (simple mastoidectomy) ,,,2702.0,11883.0,5
RC,367,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,2702.0,6802.0,3
RC,367,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,2702.0,6802.0,3
RC,367,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,1423.0,6802.0,5
RC,367,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,4963.0,11883.0,5
RC,367,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,4963.0,11883.0,5
RC,367,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2702.0,6802.0,3
RC,367,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,4963.0,13830.0,9
RC,367,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,2702.0,6802.0,3
RC,367,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,1982.0,6802.0,5
RC,367,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,1423.0,6802.0,5
RC,367,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,,,1982.0,6802.0,5
RC,367,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,1982.0,6802.0,5
RC,367,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,,,1982.0,6802.0,5
RC,367,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,1982.0,6802.0,5
RC,367,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,1423.0,6802.0,5
RC,367,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,1423.0,6802.0,5
RC,367,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,1982.0,6802.0,5
RC,367,Transplantation of pancreatic allograft ,,,2702.0,6802.0,3
RC,367,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,2702.0,6802.0,5
RC,367,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,"Transposition, ovary(s) ",,,2702.0,8392.0,5
RC,367,Transrectal drainage of pelvic abscess ,,,2702.0,6802.0,5
RC,367,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,2702.0,6802.0,3
RC,367,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,2702.0,6802.0,3
RC,367,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,2702.0,6802.0,5
RC,367,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,2702.0,6802.0,3
RC,367,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,2702.0,11883.0,5
RC,367,Transurethral drainage of prostatic abscess ,,,2702.0,6802.0,5
RC,367,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,4963.0,13830.0,11
RC,367,Transurethral incision of prostate ,,,2702.0,6802.0,5
RC,367,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,2702.0,6802.0,5
RC,367,Transurethral resection of bladder neck (separate procedure) ,,,2702.0,6802.0,5
RC,367,Transurethral resection; of postoperative bladder neck contracture ,,,4963.0,6802.0,5
RC,367,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,4963.0,11883.0,5
RC,367,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,2702.0,6802.0,3
RC,367,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,1423.0,6802.0,5
RC,367,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,1423.0,6802.0,5
RC,367,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,5
RC,367,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,5
RC,367,Transvesical ureterolithotomy ,,,2702.0,11883.0,5
RC,367,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,1982.0,13830.0,9
RC,367,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,367,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,1982.0,6802.0,5
RC,367,"Treatment of incomplete abortion, any trimester, completed surgically ",,,2702.0,6802.0,5
RC,367,"Treatment of missed abortion, completed surgically; first trimester ",,,2702.0,6802.0,5
RC,367,"Treatment of missed abortion, completed surgically; second trimester ",,,2702.0,6802.0,5
RC,367,"Treatment of septic abortion, completed surgically ",,,2702.0,6802.0,3
RC,367,"Trimming of dystrophic nails, any number ",,,1423.0,1575.0,2
RC,367,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,2702.0,6802.0,3
RC,367,Tubotubal anastomosis ,,,2702.0,8392.0,5
RC,367,Tubouterine implantation ,,,2702.0,8392.0,5
RC,367,Twist drill hole for subdural or ventricular puncture ,,,2702.0,6802.0,3
RC,367,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,2702.0,6802.0,3
RC,367,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,2702.0,6802.0,3
RC,367,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,2702.0,6802.0,3
RC,367,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,2702.0,6802.0,12
RC,367,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,2702.0,6802.0,5
RC,367,Tympanic neurectomy ,,,4963.0,6802.0,5
RC,367,"Tympanolysis, transcanal ",,,2702.0,11883.0,5
RC,367,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,367,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,4963.0,11883.0,5
RC,367,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,367,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,367,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,4963.0,11883.0,5
RC,367,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,4963.0,11883.0,5
RC,367,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,4963.0,11883.0,5
RC,367,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,2702.0,6802.0,5
RC,367,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,1423.0,6802.0,5
RC,367,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,2702.0,8392.0,5
RC,367,Unlisted cardiovascular service or procedure ,,,1423.0,1575.0,2
RC,367,Unlisted diagnostic gastroenterology procedure ,,,1423.0,1575.0,2
RC,367,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,1423.0,6802.0,5
RC,367,"Unlisted hysteroscopy procedure, uterus ",,,1423.0,13830.0,9
RC,367,"Unlisted hysteroscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted laparoscopic procedure, liver ",,,2702.0,13830.0,9
RC,367,"Unlisted laparoscopic procedure, liver Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,2702.0,13830.0,9
RC,367,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted laparoscopy procedure, appendix ",,,4963.0,13830.0,9
RC,367,"Unlisted laparoscopy procedure, appendix Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted laparoscopy procedure, biliary tract ",,,4963.0,11883.0,5
RC,367,"Unlisted laparoscopy procedure, bladder ",,,4963.0,11883.0,5
RC,367,"Unlisted laparoscopy procedure, endocrine system ",,,4963.0,11883.0,5
RC,367,"Unlisted laparoscopy procedure, esophagus ",,,4963.0,13830.0,9
RC,367,"Unlisted laparoscopy procedure, esophagus Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,4963.0,13830.0,9
RC,367,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,2702.0,11883.0,5
RC,367,"Unlisted laparoscopy procedure, lymphatic system ",,,4963.0,13830.0,9
RC,367,"Unlisted laparoscopy procedure, lymphatic system Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted laparoscopy procedure, maternity care and delivery ",,,4963.0,13830.0,9
RC,367,"Unlisted laparoscopy procedure, maternity care and delivery Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted laparoscopy procedure, oviduct, ovary ",,,4963.0,13830.0,9
RC,367,"Unlisted laparoscopy procedure, oviduct, ovary Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted laparoscopy procedure, rectum ",,,2702.0,11883.0,5
RC,367,"Unlisted laparoscopy procedure, renal ",,,4963.0,13830.0,9
RC,367,"Unlisted laparoscopy procedure, renal Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted laparoscopy procedure, spermatic cord ",,,4963.0,11883.0,5
RC,367,"Unlisted laparoscopy procedure, spleen ",,,4963.0,13830.0,9
RC,367,"Unlisted laparoscopy procedure, spleen Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted laparoscopy procedure, stomach ",,,4963.0,13830.0,9
RC,367,"Unlisted laparoscopy procedure, stomach Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted laparoscopy procedure, testis ",,,4963.0,11883.0,5
RC,367,"Unlisted laparoscopy procedure, ureter ",,,4963.0,13830.0,9
RC,367,"Unlisted laparoscopy procedure, ureter Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted laparoscopy procedure, uterus ",,,4963.0,13830.0,9
RC,367,"Unlisted laparoscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,367,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,2702.0,6802.0,3
RC,367,"Unlisted procedure, abdomen, peritoneum and omentum ",,,2702.0,8392.0,5
RC,367,"Unlisted procedure, anterior segment of eye ",,,2702.0,6802.0,5
RC,367,"Unlisted procedure, anus ",,,1982.0,6802.0,5
RC,367,"Unlisted procedure, biliary tract ",,,2702.0,6802.0,5
RC,367,"Unlisted procedure, colon ",,,2702.0,6802.0,5
RC,367,"Unlisted procedure, conjunctiva ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, dentoalveolar structures ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, diaphragm ",,,2702.0,6802.0,3
RC,367,"Unlisted procedure, endocrine system ",,,2702.0,11883.0,5
RC,367,"Unlisted procedure, esophagus ",,,2702.0,6802.0,5
RC,367,"Unlisted procedure, external ear ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, extraocular muscle ",,,2702.0,6802.0,5
RC,367,"Unlisted procedure, eyelids ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, female genital system (nonobstetrical) ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, hemic or lymphatic system ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, inner ear ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, lacrimal system ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, lips ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, liver ",,,1982.0,6802.0,5
RC,367,"Unlisted procedure, male genital system ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, maternity care and delivery ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, mediastinum ",,,2702.0,6802.0,3
RC,367,"Unlisted procedure, middle ear ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, nervous system ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, orbit ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, palate, uvula ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, pancreas ",,,1982.0,6802.0,5
RC,367,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, posterior segment ",,,2702.0,6802.0,5
RC,367,"Unlisted procedure, rectum ",,,1982.0,6802.0,5
RC,367,"Unlisted procedure, salivary glands or ducts ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, small intestine ",,,2702.0,8392.0,5
RC,367,"Unlisted procedure, stomach ",,,2702.0,6802.0,3
RC,367,"Unlisted procedure, temporal bone, middle fossa approach ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, tongue, floor of mouth ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, urinary system ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, vascular surgery ",,,1423.0,6802.0,5
RC,367,"Unlisted procedure, vestibule of mouth ",,,1423.0,6802.0,5
RC,367,Unlisted vascular endoscopy procedure ,,,4963.0,8392.0,5
RC,367,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,1423.0,6802.0,5
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,5
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,6802.0,5
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,2702.0,6802.0,5
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,6802.0,5
RC,367,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1982.0,6802.0,5
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,5
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,6802.0,5
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,2702.0,6802.0,5
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,6802.0,5
RC,367,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1982.0,6802.0,5
RC,367,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2702.0,6802.0,3
RC,367,"Ureterectomy, with bladder cuff (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,2702.0,6802.0,3
RC,367,"Ureterocolon conduit, including intestine anastomosis ",,,2702.0,6802.0,3
RC,367,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,2702.0,6802.0,3
RC,367,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,2702.0,6802.0,3
RC,367,Ureterolithotomy; lower one-third of ureter ,,,2702.0,6802.0,3
RC,367,Ureterolithotomy; middle one-third of ureter ,,,2702.0,6802.0,3
RC,367,Ureterolithotomy; upper one-third of ureter ,,,2702.0,6802.0,3
RC,367,Ureterolysis for ovarian vein syndrome ,,,2702.0,6802.0,3
RC,367,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,2702.0,6802.0,3
RC,367,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,2702.0,6802.0,3
RC,367,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,2702.0,6802.0,3
RC,367,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,2702.0,6802.0,3
RC,367,Ureteroneocystostomy; with extensive ureteral tailoring ,,,2702.0,6802.0,3
RC,367,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,2702.0,6802.0,3
RC,367,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,2702.0,6802.0,3
RC,367,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,2702.0,6802.0,3
RC,367,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,2702.0,6802.0,3
RC,367,"Ureterostomy, transplantation of ureter to skin ",,,2702.0,6802.0,3
RC,367,"Ureterotomy for insertion of indwelling stent, all types ",,,2702.0,6802.0,3
RC,367,Ureterotomy with exploration or drainage (separate procedure) ,,,2702.0,6802.0,3
RC,367,Ureteroureterostomy ,,,2702.0,6802.0,3
RC,367,"Urethrectomy, total, including cystostomy; female ",,,2702.0,8392.0,5
RC,367,"Urethrectomy, total, including cystostomy; male ",,,2702.0,6802.0,5
RC,367,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,2702.0,8392.0,5
RC,367,"Urethromeatoplasty, with mucosal advancement ",,,2702.0,8392.0,5
RC,367,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,2702.0,6802.0,5
RC,367,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,2702.0,8392.0,5
RC,367,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,2702.0,8392.0,5
RC,367,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,2702.0,11883.0,5
RC,367,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,2702.0,8392.0,5
RC,367,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,2702.0,8392.0,5
RC,367,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,2702.0,8392.0,5
RC,367,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,2702.0,8392.0,5
RC,367,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,2702.0,8392.0,5
RC,367,"Urethroplasty, reconstruction of female urethra ",,,2702.0,8392.0,5
RC,367,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2702.0,11883.0,5
RC,367,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,2702.0,8392.0,5
RC,367,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,2702.0,8392.0,5
RC,367,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,2702.0,6802.0,5
RC,367,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,2702.0,8392.0,5
RC,367,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,2702.0,6802.0,5
RC,367,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,2702.0,8392.0,5
RC,367,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,2702.0,6802.0,5
RC,367,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,2702.0,6802.0,5
RC,367,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,2702.0,6802.0,3
RC,367,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,5
RC,367,Uterine evacuation and curettage for hydatidiform mole ,,,2702.0,6802.0,5
RC,367,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,2702.0,6802.0,3
RC,367,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,2702.0,6802.0,3
RC,367,"Uvulectomy, excision of uvula ",,,2702.0,6802.0,5
RC,367,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,7583.0,8392.0,2
RC,367,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,2702.0,6802.0,5
RC,367,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,2702.0,6802.0,3
RC,367,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,2702.0,6802.0,5
RC,367,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,2702.0,6802.0,3
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; ",,,4963.0,8392.0,5
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,4963.0,8392.0,5
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,4963.0,8392.0,5
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,4963.0,8392.0,5
RC,367,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,4963.0,8392.0,5
RC,367,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,4963.0,11883.0,5
RC,367,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,11883.0,5
RC,367,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,4963.0,11883.0,5
RC,367,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,4963.0,11883.0,5
RC,367,"Vaginal hysterectomy, radical (Schauta type operation) ",,,4963.0,6802.0,3
RC,367,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,4963.0,8392.0,5
RC,367,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,4963.0,8392.0,5
RC,367,"Vaginectomy, complete removal of vaginal wall; ",,,2702.0,6802.0,3
RC,367,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2702.0,8392.0,5
RC,367,"Vaginectomy, partial removal of vaginal wall; ",,,2702.0,6802.0,5
RC,367,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2702.0,6802.0,5
RC,367,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,2702.0,6802.0,5
RC,367,Vaginoplasty for intersex state ,,,4963.0,6802.0,5
RC,367,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,2702.0,6802.0,3
RC,367,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,2702.0,6802.0,3
RC,367,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,2702.0,6802.0,3
RC,367,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,6802.0,14122.0,5
RC,367,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,6802.0,14122.0,5
RC,367,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,6802.0,23692.0,9
RC,367,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,6802.0,14122.0,5
RC,367,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,7583.0,8392.0,2
RC,367,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,2702.0,6802.0,5
RC,367,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,1423.0,6802.0,5
RC,367,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,2702.0,6802.0,5
RC,367,"Vasovasostomy, vasovasorrhaphy ",,,2702.0,6802.0,5
RC,367,"Venous anastomosis, open; caval-mesenteric ",,,2702.0,6802.0,3
RC,367,"Venous anastomosis, open; portocaval ",,,2702.0,6802.0,3
RC,367,"Venous anastomosis, open; renoportal ",,,2702.0,6802.0,3
RC,367,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,2702.0,6802.0,3
RC,367,"Venous anastomosis, open; splenorenal, proximal ",,,2702.0,6802.0,3
RC,367,Ventilating tube removal requiring general anesthesia ,,,2702.0,6802.0,5
RC,367,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,1982.0,6802.0,5
RC,367,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,1982.0,6802.0,5
RC,367,Ventriculocisternostomy (Torkildsen type operation) ,,,2702.0,6802.0,3
RC,367,"Ventriculocisternostomy, third ventricle; ",,,2702.0,6802.0,3
RC,367,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,2702.0,6802.0,3
RC,367,"Vermilionectomy (lip shave), with mucosal advancement ",,,2702.0,6802.0,5
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,4963.0,6802.0,9
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,4963.0,6802.0,6
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,4963.0,6802.0,3
RC,367,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,4963.0,6802.0,3
RC,367,"Vesiculectomy, any approach ",,,1982.0,6802.0,5
RC,367,Vesiculotomy; ,,,2702.0,6802.0,5
RC,367,Vesiculotomy; complicated ,,,1982.0,6802.0,5
RC,367,"Vestibular nerve section, transcranial approach ",,,2702.0,6802.0,3
RC,367,"Vestibular nerve section, translabyrinthine approach ",,,2702.0,11883.0,5
RC,367,Vestibuloplasty; anterior ,,,2702.0,6802.0,5
RC,367,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,2702.0,11883.0,5
RC,367,Vestibuloplasty; entire arch ,,,2702.0,11883.0,5
RC,367,"Vestibuloplasty; posterior, bilateral ",,,2702.0,6802.0,5
RC,367,"Vestibuloplasty; posterior, unilateral ",,,2702.0,6802.0,5
RC,367,"Vitrectomy, mechanical, pars plana approach; ",,,4963.0,13830.0,9
RC,367,"Vitrectomy, mechanical, pars plana approach; Complex Surgery",,,11754.0,11754.0,2
RC,367,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,4963.0,13830.0,9
RC,367,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,367,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,4963.0,13830.0,9
RC,367,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,367,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,4963.0,13830.0,11
RC,367,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,4963.0,13830.0,9
RC,367,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Complex Surgery",,,11754.0,11754.0,2
RC,367,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,4963.0,13830.0,11
RC,367,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,5
RC,367,Vulvectomy simple; complete ,,,2702.0,6802.0,5
RC,367,Vulvectomy simple; partial ,,,2702.0,6802.0,5
RC,367,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,2702.0,6802.0,3
RC,367,"Vulvectomy, radical, complete; ",,,2702.0,14122.0,5
RC,367,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,14122.0,5
RC,367,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,2702.0,14122.0,5
RC,367,"Vulvectomy, radical, partial; ",,,2702.0,6802.0,3
RC,367,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,14122.0,5
RC,367,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,2702.0,14122.0,5
RC,367,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,2702.0,8392.0,5
RC,367,Wound closure utilizing tissue adhesive(s) only ,,,1423.0,1575.0,2
RC,369, Operating Room Services Other  ,,,2481.0,12100.0,10
RC,369,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,2702.0,13315.0,7
RC,369,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,2702.0,10719.0,7
RC,369,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,2702.0,13315.0,7
RC,369,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,2702.0,10719.0,7
RC,369,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2702.0,10719.0,7
RC,369,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2702.0,10719.0,7
RC,369,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,11000.0,11000.0,1
RC,369,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,11000.0,11000.0,1
RC,369,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,1423.0,3251.0,3
RC,369,"Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,369,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,1982.0,6802.0,7
RC,369,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,1982.0,6802.0,7
RC,369,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,2702.0,13315.0,7
RC,369,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,2143.0,6802.0,4
RC,369,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,2702.0,6802.0,4
RC,369,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,2702.0,7493.0,4
RC,369,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,2702.0,8577.0,4
RC,369,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,2702.0,19295.0,4
RC,369,"Ablation, 1 or more liver tumor(s), percutaneous, cryoablation ",,,2702.0,15007.0,7
RC,369,"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency ",,,2702.0,15007.0,7
RC,369,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,2702.0,15007.0,7
RC,369,"Ablation, irreversible electroporation, liver, 1 or more tumors, including imaging guidance, percutaneous ",,,2702.0,15007.0,4
RC,369,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,2702.0,15007.0,4
RC,369,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,2702.0,8577.0,4
RC,369,"Ablation, open, of 1 or more liver tumor(s); cryosurgical ",,,2702.0,8577.0,4
RC,369,"Ablation, open, of 1 or more liver tumor(s); radiofrequency ",,,2702.0,8577.0,4
RC,369,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2702.0,15007.0,5
RC,369,Accessing and retorquing loose implant screw - per screw ,,,8577.0,8577.0,1
RC,369,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,1575.0,17341.0,6
RC,369,"Adenoidectomy, primary; age 12 or over ",,,2702.0,8727.0,7
RC,369,"Adenoidectomy, primary; younger than age 12 ",,,2702.0,8727.0,7
RC,369,"Adenoidectomy, secondary; age 12 or over ",,,2702.0,8727.0,7
RC,369,"Adenoidectomy, secondary; younger than age 12 ",,,2702.0,8727.0,7
RC,369,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,369,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,2702.0,8577.0,4
RC,369,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,2702.0,8577.0,4
RC,369,Allogeneic lymphocyte infusions ,,,2702.0,6802.0,7
RC,369,"Alveolectomy, including curettage of osteitis or sequestrectomy ",,,2702.0,8727.0,7
RC,369,"Alveoloplasty, each quadrant (specify) ",,,2702.0,6802.0,7
RC,369,Amniocentesis; diagnostic ,,,1982.0,6802.0,7
RC,369,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,1423.0,6802.0,7
RC,369,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,8577.0,4
RC,369,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,8577.0,4
RC,369,Amputation of penis; complete ,,,2702.0,6802.0,7
RC,369,Amputation of penis; partial ,,,2702.0,10719.0,7
RC,369,"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract ",,,2702.0,8577.0,4
RC,369,"Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract ",,,2702.0,8577.0,4
RC,369,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,2702.0,8577.0,4
RC,369,"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract ",,,2702.0,8577.0,4
RC,369,"Anastomosis, of intrahepatic ducts and gastrointestinal tract ",,,2702.0,8577.0,4
RC,369,Anastomosis; facial-hypoglossal ,,,2702.0,8577.0,4
RC,369,Anastomosis; facial-spinal accessory ,,,2702.0,8577.0,4
RC,369,"Anoplasty, plastic operation for stricture; adult ",,,2702.0,8727.0,7
RC,369,"Anoplasty, plastic operation for stricture; infant ",,,2702.0,8577.0,4
RC,369,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic ",,,2702.0,6802.0,7
RC,369,Anorectal manometry ,,,1423.0,3251.0,3
RC,369,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,2143.0,2143.0,1
RC,369,Anorectal myomectomy ,,,2702.0,8727.0,7
RC,369,"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1423.0,6802.0,7
RC,369,"Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when p",,,1423.0,6802.0,7
RC,369,"Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ",,,2702.0,8727.0,7
RC,369,"Anoscopy; with biopsy, single or multiple ",,,2702.0,6802.0,7
RC,369,"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,2702.0,6802.0,7
RC,369,"Anoscopy; with dilation (eg, balloon, guide wire, bougie) ",,,2702.0,6802.0,7
RC,369,"Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple ",,,2702.0,6802.0,7
RC,369,Anoscopy; with removal of foreign body ,,,2702.0,6802.0,7
RC,369,"Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,2702.0,8727.0,7
RC,369,"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,2702.0,8727.0,7
RC,369,"Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique ",,,2702.0,6802.0,7
RC,369,Antepartum care only; 4-6 visits ,,,2702.0,6802.0,3
RC,369,Antepartum care only; 7 or more visits ,,,2702.0,6802.0,3
RC,369,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,4963.0,10719.0,7
RC,369,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,2702.0,8727.0,7
RC,369,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,2702.0,8727.0,7
RC,369,Appendectomy; ,,,2702.0,10719.0,7
RC,369,Appendectomy; for ruptured appendix with abscess or generalized peritonitis ,,,2702.0,8577.0,4
RC,369,Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,369,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,8577.0,8577.0,2
RC,369,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,8577.0,8577.0,2
RC,369,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1423.0,3689.0,6
RC,369,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1423.0,3251.0,3
RC,369,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1982.0,3689.0,3
RC,369,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1423.0,3251.0,3
RC,369,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2820.0,5414.0,3
RC,369,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1423.0,3251.0,3
RC,369,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1982.0,3689.0,3
RC,369,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,4
RC,369,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,4963.0,13315.0,7
RC,369,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,2702.0,13315.0,7
RC,369,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,8577.0,8577.0,1
RC,369,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,8577.0,8577.0,1
RC,369,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1423.0,3251.0,4
RC,369,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,15007.0,15007.0,1
RC,369,Artificial insemination; intra-cervical ,,,1423.0,6802.0,7
RC,369,Artificial insemination; intra-uterine ,,,1423.0,6802.0,7
RC,369,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,2702.0,6802.0,7
RC,369,"Aspiration and/or injection, thyroid cyst ",,,1982.0,6802.0,7
RC,369,Aspiration of bladder; by needle ,,,1423.0,6802.0,7
RC,369,Aspiration of bladder; by trocar or intracatheter ,,,1423.0,6802.0,7
RC,369,Aspiration of bladder; with insertion of suprapubic catheter ,,,2702.0,8727.0,7
RC,369,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,4963.0,8727.0,7
RC,369,Axillary lymphadenectomy; complete ,,,2702.0,15007.0,7
RC,369,Axillary lymphadenectomy; superficial ,,,2702.0,15007.0,7
RC,369,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,11000.0,11000.0,1
RC,369,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,11000.0,11000.0,1
RC,369,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,11000.0,11000.0,1
RC,369,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,369,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,11000.0,11000.0,1
RC,369,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,11000.0,11000.0,1
RC,369,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,11000.0,11000.0,1
RC,369,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,11000.0,11000.0,1
RC,369,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,369,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11000.0,11000.0,1
RC,369,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,11000.0,11000.0,1
RC,369,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,369,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,2702.0,6802.0,3
RC,369,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each ",,,2702.0,8577.0,4
RC,369,"Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each ",,,2702.0,8577.0,4
RC,369,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each ",,,2702.0,8577.0,4
RC,369,"Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each ",,,2702.0,8577.0,4
RC,369,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,2702.0,8577.0,4
RC,369,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,2702.0,8577.0,4
RC,369,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,2702.0,8577.0,4
RC,369,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,2702.0,6802.0,3
RC,369,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,2702.0,8577.0,4
RC,369,"Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepa",,,2702.0,8577.0,12
RC,369,"Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein ",,,2702.0,8577.0,4
RC,369,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,2702.0,8577.0,4
RC,369,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,2702.0,23692.0,8
RC,369,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,369,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,369,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,2702.0,8577.0,4
RC,369,"Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each d",,,1423.0,6802.0,7
RC,369,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,1423.0,6802.0,7
RC,369,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,2702.0,8577.0,4
RC,369,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,2702.0,8577.0,4
RC,369,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,2702.0,8577.0,4
RC,369,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,2702.0,8577.0,4
RC,369,"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) ",,,1982.0,6802.0,7
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure) ",,,2702.0,10719.0,7
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple ",,,2702.0,15007.0,7
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent ",,,2702.0,15007.0,7
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent ",,,2702.0,10719.0,7
RC,369,"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi ",,,2702.0,15007.0,7
RC,369,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,2702.0,6802.0,7
RC,369,Biopsy external auditory canal ,,,2702.0,6802.0,7
RC,369,Biopsy external ear ,,,1423.0,6802.0,7
RC,369,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon) ",,,2702.0,6802.0,7
RC,369,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,1982.0,6802.0,7
RC,369,Biopsy of conjunctiva ,,,1982.0,6802.0,7
RC,369,Biopsy of cornea ,,,1982.0,6802.0,7
RC,369,"Biopsy of epididymis, needle ",,,1982.0,6802.0,7
RC,369,Biopsy of extraocular muscle ,,,2702.0,10719.0,7
RC,369,Biopsy of floor of mouth ,,,1982.0,6802.0,7
RC,369,"Biopsy of intestine by capsule, tube, peroral (1 or more specimens) ",,,2702.0,6802.0,7
RC,369,Biopsy of lacrimal gland ,,,2702.0,8727.0,7
RC,369,Biopsy of lacrimal sac ,,,2702.0,8727.0,7
RC,369,Biopsy of lip ,,,1423.0,6802.0,7
RC,369,"Biopsy of liver, needle; percutaneous ",,,2702.0,6802.0,7
RC,369,"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,"Biopsy of liver, wedge ",,,2702.0,7493.0,4
RC,369,Biopsy of nerve ,,,2702.0,8727.0,7
RC,369,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,2702.0,8727.0,7
RC,369,"Biopsy of palate, uvula ",,,1982.0,6802.0,7
RC,369,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,2702.0,8577.0,4
RC,369,"Biopsy of pancreas, percutaneous needle ",,,2702.0,6802.0,7
RC,369,Biopsy of penis; (separate procedure) ,,,2702.0,6802.0,7
RC,369,Biopsy of penis; deep structures ,,,2702.0,8727.0,7
RC,369,Biopsy of salivary gland; incisional ,,,2702.0,8727.0,7
RC,369,Biopsy of salivary gland; needle ,,,1982.0,6802.0,7
RC,369,"Biopsy of spinal cord, percutaneous needle ",,,2702.0,6802.0,7
RC,369,"Biopsy of stomach, by laparotomy ",,,2702.0,8727.0,7
RC,369,"Biopsy of testis, incisional (separate procedure) ",,,2702.0,8727.0,7
RC,369,"Biopsy of testis, needle (separate procedure) ",,,2702.0,6802.0,7
RC,369,Biopsy of tongue; anterior two-thirds ,,,1982.0,6802.0,7
RC,369,Biopsy of tongue; posterior one-third ,,,2702.0,6802.0,7
RC,369,Biopsy of urethra ,,,2702.0,8727.0,7
RC,369,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,2702.0,8727.0,7
RC,369,Biopsy of vaginal mucosa; simple (separate procedure) ,,,1982.0,6802.0,7
RC,369,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,1982.0,6802.0,7
RC,369,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,369,"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) ",,,2820.0,6802.0,7
RC,369,"Biopsy or excision of lymph node(s); open, deep axillary node(s) ",,,4963.0,13830.0,11
RC,369,"Biopsy or excision of lymph node(s); open, deep axillary node(s) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Biopsy or excision of lymph node(s); open, deep cervical node(s) ",,,4963.0,13830.0,11
RC,369,"Biopsy or excision of lymph node(s); open, deep cervical node(s) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad ",,,4963.0,13830.0,11
RC,369,"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Complex Surgery",,,11754.0,11754.0,2
RC,369,"Biopsy or excision of lymph node(s); open, inguinofemoral node(s) ",,,2702.0,10719.0,4
RC,369,"Biopsy or excision of lymph node(s); open, internal mammary node(s) ",,,2702.0,8727.0,7
RC,369,"Biopsy or excision of lymph node(s); open, superficial ",,,4963.0,8727.0,7
RC,369,"Biopsy thyroid, percutaneous core needle ",,,1982.0,6802.0,7
RC,369,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,2702.0,6802.0,7
RC,369,"Biopsy, prostate, any approach, nonimaging-guided ",,,2702.0,6802.0,7
RC,369,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,2143.0,6802.0,4
RC,369,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,2702.0,7493.0,4
RC,369,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,2702.0,7493.0,4
RC,369,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2702.0,7493.0,4
RC,369,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,2702.0,7493.0,4
RC,369,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2702.0,7493.0,4
RC,369,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2702.0,7493.0,4
RC,369,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,2702.0,7493.0,4
RC,369,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2702.0,7493.0,4
RC,369,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,2820.0,5414.0,3
RC,369,"Biopsy, vestibule of mouth ",,,1423.0,6802.0,7
RC,369,"Biopsy; nasopharynx, survey for unknown primary lesion ",,,2702.0,8727.0,7
RC,369,"Biopsy; nasopharynx, visible lesion, simple ",,,2702.0,6802.0,7
RC,369,Biopsy; oropharynx ,,,1982.0,6802.0,7
RC,369,Bladder instillation of anticarcinogenic agent (including retention time) ,,,1423.0,6802.0,7
RC,369,"Bladder irrigation, simple, lavage and/or instillation ",,,1423.0,6802.0,7
RC,369,"Blepharotomy, drainage of abscess, eyelid ",,,1423.0,6802.0,7
RC,369,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,19295.0,19295.0,1
RC,369,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,10737.0,15007.0,4
RC,369,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,24657.0,24657.0,1
RC,369,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,24657.0,5
RC,369,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,19295.0,19295.0,1
RC,369,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic ",,,1423.0,6802.0,7
RC,369,"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous ",,,2702.0,6802.0,7
RC,369,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,1423.0,3251.0,3
RC,369,Bone marrow harvesting for transplantation; allogeneic ,,,2702.0,9539.0,7
RC,369,Bone marrow harvesting for transplantation; autologous ,,,2702.0,12863.0,7
RC,369,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1423.0,3251.0,4
RC,369,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,369,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,8577.0,8577.0,1
RC,369,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,369,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,8577.0,8577.0,1
RC,369,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,8577.0,8577.0,1
RC,369,Buccal/ labial frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,369,Bundle of His recording ,,,6826.0,19105.0,4
RC,369,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,2702.0,8577.0,4
RC,369,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,2702.0,8577.0,4
RC,369,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,2702.0,8577.0,4
RC,369,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,2702.0,8577.0,4
RC,369,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,2702.0,8577.0,4
RC,369,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,2702.0,8577.0,4
RC,369,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,2702.0,8577.0,4
RC,369,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,2702.0,8577.0,4
RC,369,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,2702.0,8577.0,4
RC,369,CERVICAL SPINAL FUSION WITH CC ,,,11000.0,11000.0,1
RC,369,CERVICAL SPINAL FUSION WITH MCC ,,,11000.0,11000.0,1
RC,369,"CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE ",,,1423.0,3251.0,3
RC,369,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,11000.0,11000.0,1
RC,369,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,369,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,7583.0,9539.0,3
RC,369,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,369,COMPLICATED PEPTIC ULCER WITH CC ,,,11000.0,11000.0,1
RC,369,CONNECTIVE TISSUE DISORDERS WITH CC ,,,11000.0,11000.0,1
RC,369,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,11000.0,11000.0,1
RC,369,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,369,"Cannulation, thoracic duct ",,,1423.0,6802.0,7
RC,369,Canthoplasty (reconstruction of canthus) ,,,2702.0,8727.0,7
RC,369,Canthotomy (separate procedure) ,,,2702.0,8727.0,7
RC,369,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,2143.0,2143.0,1
RC,369,Cardioassist-method of circulatory assist; external ,,,8577.0,8577.0,1
RC,369,Cardioassist-method of circulatory assist; internal ,,,8577.0,8577.0,1
RC,369,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,1423.0,3251.0,4
RC,369,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1982.0,4009.0,4
RC,369,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1982.0,4009.0,4
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,8577.0,12038.0,5
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,8577.0,12038.0,5
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,8577.0,8577.0,3
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8577.0,8577.0,1
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,8577.0,12038.0,20
RC,369,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,8577.0,12038.0,15
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8577.0,8577.0,1
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8577.0,8577.0,1
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,13374.0,13374.0,1
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,8577.0,13374.0,15
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,13374.0,10
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,8577.0,13374.0,16
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,13374.0,5
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,8577.0,8577.0,1
RC,369,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,8577.0,8577.0,1
RC,369,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,1423.0,6802.0,7
RC,369,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2143.0,6802.0,4
RC,369,"Cautery of cervix; cryocautery, initial or repeat ",,,1423.0,6802.0,7
RC,369,Cautery of cervix; electro or thermal ,,,2702.0,8727.0,7
RC,369,Cautery of cervix; laser ablation ,,,2702.0,8727.0,7
RC,369,"Cerclage of cervix, during pregnancy; abdominal ",,,2702.0,8577.0,4
RC,369,"Cerclage of cervix, during pregnancy; vaginal ",,,2702.0,8727.0,7
RC,369,"Cerclage of uterine cervix, nonobstetrical ",,,2702.0,8727.0,7
RC,369,Cervical lymphadenectomy (complete) ,,,2702.0,8727.0,7
RC,369,Cervical lymphadenectomy (modified radical neck dissection) ,,,2702.0,7493.0,4
RC,369,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,2702.0,6802.0,3
RC,369,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,2702.0,6802.0,3
RC,369,Cesarean delivery only; ,,,2702.0,8577.0,4
RC,369,Cesarean delivery only; including postpartum care ,,,2702.0,8577.0,4
RC,369,Change of cystostomy tube; complicated ,,,1982.0,6802.0,7
RC,369,Change of cystostomy tube; simple ,,,1423.0,6802.0,7
RC,369,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,2702.0,6802.0,7
RC,369,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,8577.0,8577.0,1
RC,369,Chemodenervation of eccrine glands; both axillae ,,,1423.0,6802.0,7
RC,369,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,1423.0,6802.0,7
RC,369,Chemodenervation of extraocular muscle ,,,1423.0,6802.0,7
RC,369,Chemodenervation of internal anal sphincter ,,,2702.0,6802.0,7
RC,369,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,1982.0,6802.0,7
RC,369,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,1423.0,6802.0,7
RC,369,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,1423.0,6802.0,7
RC,369,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,1982.0,6802.0,7
RC,369,Chemodenervation of one extremity; 1-4 muscle(s) ,,,1982.0,6802.0,7
RC,369,Chemodenervation of one extremity; 5 or more muscles ,,,1982.0,6802.0,7
RC,369,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,1423.0,6802.0,7
RC,369,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,1982.0,6802.0,7
RC,369,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,1982.0,6802.0,7
RC,369,"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous ",,,2143.0,6802.0,4
RC,369,"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day ",,,2702.0,8577.0,4
RC,369,"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage) ",,,2702.0,8577.0,4
RC,369,Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration ,,,2702.0,8577.0,4
RC,369,Cholecystectomy with exploration of common duct; ,,,4963.0,8577.0,4
RC,369,Cholecystectomy with exploration of common duct; with choledochoenterostomy ,,,4963.0,8577.0,4
RC,369,"Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography ",,,4963.0,8577.0,4
RC,369,Cholecystectomy; ,,,4963.0,13830.0,8
RC,369,Cholecystectomy; Complex Surgery,,,11754.0,11754.0,2
RC,369,Cholecystectomy; with cholangiography ,,,4963.0,8577.0,4
RC,369,Cholecystoenterostomy; Roux-en-Y ,,,2702.0,8577.0,4
RC,369,Cholecystoenterostomy; Roux-en-Y with gastroenterostomy ,,,2702.0,8577.0,4
RC,369,Cholecystoenterostomy; direct ,,,2702.0,8577.0,4
RC,369,Cholecystoenterostomy; with gastroenterostomy ,,,2702.0,8577.0,4
RC,369,"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation ",,,2702.0,10719.0,7
RC,369,"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure) ",,,2702.0,8577.0,4
RC,369,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty ",,,2702.0,8577.0,4
RC,369,"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty ",,,2702.0,8577.0,4
RC,369,"Chorionic villus sampling, any method ",,,1982.0,6802.0,7
RC,369,"Chromotubation of oviduct, including materials ",,,4963.0,10719.0,7
RC,369,Ciliary body destruction; cryotherapy ,,,2702.0,8727.0,7
RC,369,Ciliary body destruction; cyclodialysis ,,,2702.0,8727.0,7
RC,369,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,2702.0,8727.0,7
RC,369,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,2702.0,8727.0,7
RC,369,Ciliary body destruction; diathermy ,,,2702.0,6802.0,7
RC,369,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,2702.0,8727.0,7
RC,369,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,4963.0,8727.0,7
RC,369,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,2702.0,8727.0,7
RC,369,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,1982.0,6802.0,7
RC,369,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,2143.0,8727.0,7
RC,369,Clitoroplasty for intersex state ,,,2702.0,8727.0,7
RC,369,Closure of anal fistula with rectal advancement flap ,,,2702.0,10719.0,7
RC,369,Closure of cystostomy (separate procedure) ,,,2702.0,8727.0,7
RC,369,Closure of enteroenteric or enterocolic fistula ,,,2702.0,8577.0,4
RC,369,"Closure of enterostomy, large or small intestine; ",,,2702.0,8577.0,4
RC,369,"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal ",,,2702.0,8577.0,4
RC,369,"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure) ",,,2702.0,8577.0,4
RC,369,Closure of enterovesical fistula; with intestine and/or bladder resection ,,,2702.0,8577.0,4
RC,369,Closure of enterovesical fistula; without intestinal or bladder resection ,,,2702.0,8577.0,4
RC,369,Closure of esophagostomy or fistula; cervical approach ,,,2702.0,8727.0,7
RC,369,Closure of esophagostomy or fistula; transthoracic or transabdominal approach ,,,2702.0,8577.0,4
RC,369,Closure of gastrocolic fistula ,,,2702.0,8577.0,4
RC,369,"Closure of gastrostomy, surgical ",,,2702.0,8727.0,7
RC,369,Closure of intestinal cutaneous fistula ,,,2702.0,8577.0,4
RC,369,"Closure of laceration, vestibule of mouth; 2.5 cm or less ",,,1423.0,6802.0,7
RC,369,"Closure of laceration, vestibule of mouth; over 2.5 cm or complex ",,,1982.0,6802.0,7
RC,369,Closure of lacrimal fistula (separate procedure) ,,,1982.0,6802.0,7
RC,369,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1982.0,6802.0,7
RC,369,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,2702.0,8577.0,4
RC,369,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,2702.0,8577.0,4
RC,369,Closure of rectourethral fistula; ,,,2702.0,8577.0,4
RC,369,Closure of rectourethral fistula; with colostomy ,,,2702.0,8577.0,4
RC,369,Closure of rectovaginal fistula; abdominal approach ,,,4963.0,8577.0,4
RC,369,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,4963.0,8577.0,4
RC,369,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,4963.0,8727.0,7
RC,369,Closure of rectovaginal fistula; vaginal or transanal approach ,,,4963.0,8727.0,7
RC,369,Closure of rectovesical fistula; ,,,2702.0,8577.0,4
RC,369,Closure of rectovesical fistula; with colostomy ,,,2702.0,8577.0,4
RC,369,"Closure of the lacrimal punctum; by plug, each ",,,1423.0,6802.0,7
RC,369,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,1423.0,6802.0,7
RC,369,Closure of ureterocutaneous fistula ,,,2702.0,8577.0,4
RC,369,Closure of ureterovisceral fistula (including visceral repair) ,,,2702.0,8577.0,4
RC,369,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,2702.0,10719.0,7
RC,369,Closure of urethrovaginal fistula; ,,,4963.0,13315.0,7
RC,369,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,4963.0,10719.0,7
RC,369,Closure of vesicouterine fistula; ,,,2702.0,8727.0,7
RC,369,Closure of vesicouterine fistula; with hysterectomy ,,,2702.0,8577.0,4
RC,369,"Closure of vesicovaginal fistula, abdominal approach ",,,2702.0,10719.0,7
RC,369,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,4963.0,10719.0,7
RC,369,Closure of vesicovaginal fistula; vaginal approach ,,,4963.0,10719.0,7
RC,369,"Closure postauricular fistula, mastoid (separate procedure) ",,,2702.0,8727.0,7
RC,369,Closure salivary fistula ,,,2702.0,6802.0,7
RC,369,"Closure, exstrophy of bladder ",,,2702.0,8577.0,4
RC,369,"Cochlear device implantation, with or without mastoidectomy ",,,4963.0,104011.0,11
RC,369,"Cochlear device implantation, with or without mastoidectomy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,2702.0,8577.0,4
RC,369,"Colectomy, partial; abdominal and transanal approach ",,,2702.0,8577.0,4
RC,369,"Colectomy, partial; with anastomosis ",,,2702.0,8577.0,4
RC,369,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis) ",,,2702.0,8577.0,4
RC,369,"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy ",,,2702.0,8577.0,4
RC,369,"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) ",,,2702.0,8577.0,4
RC,369,"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula ",,,2702.0,8577.0,4
RC,369,"Colectomy, partial; with skin level cecostomy or colostomy ",,,2702.0,8577.0,4
RC,369,"Colectomy, total, abdominal, with proctectomy; with continent ileostomy ",,,2702.0,8577.0,4
RC,369,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed ",,,2702.0,8577.0,4
RC,369,"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed ",,,2702.0,8577.0,4
RC,369,"Colectomy, total, abdominal, with proctectomy; with ileostomy ",,,2702.0,8577.0,4
RC,369,"Colectomy, total, abdominal, without proctectomy; with continent ileostomy ",,,2702.0,8577.0,4
RC,369,"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy ",,,2702.0,8577.0,4
RC,369,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,8577.0,8577.0,1
RC,369,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1423.0,3251.0,4
RC,369,"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,7
RC,369,"Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,7
RC,369,"Colonoscopy through stoma; with biopsy, single or multiple ",,,2702.0,6802.0,7
RC,369,"Colonoscopy through stoma; with control of bleeding, any method ",,,2702.0,6802.0,7
RC,369,"Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2702.0,6802.0,7
RC,369,"Colonoscopy through stoma; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,7
RC,369,Colonoscopy through stoma; with endoscopic mucosal resection ,,,2702.0,6802.0,7
RC,369,"Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,7
RC,369,"Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures ",,,2702.0,6802.0,7
RC,369,Colonoscopy through stoma; with removal of foreign body(s) ,,,2702.0,6802.0,7
RC,369,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2702.0,6802.0,7
RC,369,"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,7
RC,369,Colonoscopy through stoma; with transendoscopic balloon dilation ,,,2702.0,6802.0,7
RC,369,"Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descendi",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with biopsy, single or multiple ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with control of bleeding, any method ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with endoscopic mucosal resection ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with removal of foreign body(s) ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with transendoscopic balloon dilation ",,,2702.0,6802.0,7
RC,369,"Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, desc",,,2702.0,6802.0,7
RC,369,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1982.0,4009.0,4
RC,369,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1982.0,4009.0,4
RC,369,Colorectal cancer screening; flexible sigmoidoscopy ,,,1982.0,4009.0,4
RC,369,Colostomy or skin level cecostomy; ,,,2702.0,8577.0,4
RC,369,"Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure) ",,,2702.0,8577.0,4
RC,369,"Colotomy, for exploration, biopsy(s), or foreign body removal ",,,2702.0,8577.0,4
RC,369,Colpocentesis (separate procedure) ,,,2702.0,8727.0,7
RC,369,Colpocleisis (Le Fort type) ,,,2702.0,10719.0,7
RC,369,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,4963.0,8727.0,7
RC,369,"Colpopexy, abdominal approach ",,,4963.0,8727.0,7
RC,369,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,4963.0,13315.0,7
RC,369,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,4963.0,13315.0,7
RC,369,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,7493.0,7493.0,1
RC,369,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,4963.0,8727.0,7
RC,369,Colposcopy of the cervix including upper/adjacent vagina; ,,,1423.0,6802.0,7
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,1423.0,6802.0,7
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,1423.0,6802.0,7
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,1423.0,6802.0,7
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,2702.0,8727.0,7
RC,369,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,2702.0,8727.0,7
RC,369,"Colposcopy of the entire vagina, with cervix if present; ",,,1423.0,6802.0,7
RC,369,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,1982.0,6802.0,7
RC,369,Colposcopy of the vulva; ,,,1423.0,6802.0,7
RC,369,Colposcopy of the vulva; with biopsy(s) ,,,1423.0,6802.0,7
RC,369,Colpotomy; with drainage of pelvic abscess ,,,2702.0,8727.0,7
RC,369,Colpotomy; with exploration ,,,2702.0,8727.0,7
RC,369,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,4963.0,10719.0,7
RC,369,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,4963.0,13315.0,7
RC,369,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,369,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,369,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,369,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,1982.0,6802.0,7
RC,369,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,1982.0,6802.0,7
RC,369,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,1982.0,6802.0,7
RC,369,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,1982.0,6802.0,7
RC,369,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,1423.0,6802.0,7
RC,369,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,19105.0,4
RC,369,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,19105.0,4
RC,369,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,8
RC,369,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,20
RC,369,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,8
RC,369,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,10
RC,369,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,2143.0,6802.0,4
RC,369,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,2702.0,8727.0,7
RC,369,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,2702.0,8727.0,7
RC,369,Conjunctival flap; bridge or partial (separate procedure) ,,,2702.0,10719.0,7
RC,369,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,2702.0,8727.0,7
RC,369,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,2702.0,8727.0,7
RC,369,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,2702.0,10719.0,7
RC,369,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,2702.0,10719.0,7
RC,369,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,2702.0,8727.0,7
RC,369,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,2702.0,10719.0,7
RC,369,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,2702.0,10719.0,7
RC,369,Construction of artificial vagina; with graft ,,,4963.0,10719.0,7
RC,369,Construction of artificial vagina; without graft ,,,4963.0,8727.0,7
RC,369,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,2702.0,8727.0,7
RC,369,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,2702.0,8727.0,7
RC,369,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,2702.0,8577.0,4
RC,369,Continent ileostomy (Kock procedure) (separate procedure) ,,,2702.0,8577.0,4
RC,369,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1423.0,3251.0,4
RC,369,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,1423.0,6802.0,7
RC,369,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,1423.0,6802.0,7
RC,369,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization ",,,2702.0,8577.0,4
RC,369,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery ",,,1423.0,6802.0,7
RC,369,"Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention ",,,2702.0,6802.0,7
RC,369,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization ",,,2702.0,7493.0,4
RC,369,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple ",,,1423.0,6802.0,7
RC,369,"Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention ",,,2702.0,8727.0,7
RC,369,"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), ",,,2702.0,10719.0,7
RC,369,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,7
RC,369,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,8577.0,8577.0,1
RC,369,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,1982.0,6802.0,7
RC,369,"Cordocentesis (intrauterine), any method ",,,1423.0,6802.0,7
RC,369,Corneal relaxing incision for correction of surgically induced astigmatism ,,,1982.0,6802.0,7
RC,369,Corneal wedge resection for correction of surgically induced astigmatism ,,,2702.0,8727.0,7
RC,369,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,4963.0,8577.0,4
RC,369,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,4963.0,10719.0,7
RC,369,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,4963.0,10719.0,7
RC,369,"Correction of everted punctum, cautery ",,,1423.0,6802.0,7
RC,369,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,2702.0,8727.0,7
RC,369,Correction of lid retraction ,,,2702.0,8727.0,7
RC,369,"Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) ",,,2702.0,8577.0,4
RC,369,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,1423.0,6802.0,7
RC,369,"Correction of trichiasis; epilation, by forceps only ",,,1423.0,6802.0,7
RC,369,Correction of trichiasis; incision of lid margin ,,,1982.0,6802.0,7
RC,369,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,2702.0,8727.0,7
RC,369,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,1423.0,6802.0,7
RC,369,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,4963.0,15007.0,7
RC,369,Craniectomy for craniosynostosis; multiple cranial sutures ,,,2702.0,8577.0,4
RC,369,Craniectomy for craniosynostosis; single cranial suture ,,,2702.0,8577.0,4
RC,369,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,2702.0,8577.0,4
RC,369,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,2702.0,8577.0,4
RC,369,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,2702.0,8577.0,4
RC,369,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,2702.0,8577.0,4
RC,369,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,2702.0,8577.0,4
RC,369,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,2702.0,8577.0,4
RC,369,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,2702.0,8577.0,4
RC,369,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,2702.0,8577.0,4
RC,369,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,2702.0,8577.0,4
RC,369,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,2702.0,8577.0,4
RC,369,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,2702.0,8577.0,4
RC,369,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,2702.0,8577.0,4
RC,369,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,2702.0,8577.0,4
RC,369,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,2702.0,8577.0,4
RC,369,"Craniectomy or craniotomy, exploratory; supratentorial ",,,2702.0,8577.0,4
RC,369,Craniectomy or craniotomy; with excision of foreign body from brain ,,,2702.0,8577.0,4
RC,369,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,2702.0,8577.0,4
RC,369,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,2702.0,8577.0,4
RC,369,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,2702.0,8577.0,4
RC,369,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,2702.0,8577.0,4
RC,369,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,2702.0,8577.0,4
RC,369,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,2702.0,8577.0,4
RC,369,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,2702.0,8577.0,4
RC,369,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,2702.0,8577.0,4
RC,369,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,2702.0,8577.0,4
RC,369,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,2702.0,8577.0,4
RC,369,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,2702.0,8577.0,4
RC,369,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,2702.0,8577.0,4
RC,369,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,2702.0,8577.0,4
RC,369,Craniectomy; for osteomyelitis ,,,2702.0,8577.0,4
RC,369,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2702.0,15007.0,7
RC,369,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,2702.0,8577.0,4
RC,369,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,2702.0,8577.0,4
RC,369,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,2702.0,8577.0,4
RC,369,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,2702.0,8577.0,4
RC,369,Cranioplasty for skull defect with reparative brain surgery ,,,2702.0,8577.0,4
RC,369,Cranioplasty for skull defect; larger than 5 cm diameter ,,,2702.0,8577.0,4
RC,369,Cranioplasty for skull defect; up to 5 cm diameter ,,,2702.0,8577.0,4
RC,369,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,2702.0,8577.0,4
RC,369,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,2702.0,8577.0,4
RC,369,Craniotomy for craniosynostosis; bifrontal bone flap ,,,2702.0,8577.0,4
RC,369,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,2702.0,8577.0,4
RC,369,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,2702.0,8577.0,4
RC,369,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,2702.0,8577.0,4
RC,369,"Craniotomy for repair of encephalocele, skull base ",,,2702.0,8577.0,4
RC,369,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,2702.0,8577.0,4
RC,369,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,2702.0,8577.0,4
RC,369,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,2702.0,8577.0,4
RC,369,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,2702.0,8577.0,4
RC,369,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,2702.0,8577.0,4
RC,369,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,2702.0,8577.0,4
RC,369,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,2702.0,8577.0,4
RC,369,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,2702.0,8577.0,4
RC,369,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,2702.0,8577.0,4
RC,369,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,2702.0,8577.0,4
RC,369,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,2702.0,8577.0,4
RC,369,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,2702.0,8577.0,4
RC,369,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,2702.0,8577.0,4
RC,369,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,2702.0,8577.0,4
RC,369,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,2702.0,12863.0,7
RC,369,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,2702.0,8577.0,4
RC,369,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,2702.0,8727.0,7
RC,369,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,2702.0,8727.0,7
RC,369,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,4963.0,8727.0,7
RC,369,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,2702.0,8577.0,4
RC,369,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,2702.0,12863.0,7
RC,369,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,2702.0,8577.0,4
RC,369,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,2702.0,8577.0,4
RC,369,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,2702.0,8577.0,4
RC,369,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,2702.0,8577.0,4
RC,369,Cricopharyngeal myotomy ,,,2702.0,13315.0,7
RC,369,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,2702.0,14379.0,11
RC,369,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Complex Surgery,,,11754.0,11754.0,2
RC,369,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial ",,,2702.0,6802.0,7
RC,369,"Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent ",,,1982.0,6802.0,7
RC,369,"Curettage, postpartum ",,,2702.0,8727.0,7
RC,369,Cutaneous appendico-vesicostomy ,,,2702.0,8577.0,4
RC,369,Cutaneous vesicostomy ,,,2702.0,8727.0,7
RC,369,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,2702.0,8577.0,4
RC,369,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,2702.0,8577.0,4
RC,369,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,8577.0,4
RC,369,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,2702.0,8577.0,4
RC,369,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,8577.0,4
RC,369,"Cystectomy, complete; (separate procedure) ",,,2702.0,8577.0,4
RC,369,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,8577.0,4
RC,369,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,2702.0,8577.0,4
RC,369,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,2702.0,8577.0,4
RC,369,"Cystectomy, partial; simple ",,,2702.0,8577.0,4
RC,369,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,2702.0,8727.0,7
RC,369,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2702.0,8577.0,4
RC,369,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,2702.0,10719.0,7
RC,369,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,2702.0,8727.0,7
RC,369,"Cystostomy, cystotomy with drainage ",,,2702.0,8727.0,7
RC,369,"Cystotomy for excision, incision, or repair of ureterocele ",,,2702.0,8727.0,7
RC,369,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,2702.0,8727.0,7
RC,369,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,5360.0,8727.0,3
RC,369,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,2702.0,8727.0,7
RC,369,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,1982.0,6802.0,7
RC,369,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,2702.0,10719.0,7
RC,369,Cystotomy; for excision of bladder tumor ,,,2702.0,10719.0,7
RC,369,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,2702.0,8727.0,7
RC,369,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2702.0,8577.0,4
RC,369,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,4963.0,15409.0,9
RC,369,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,4963.0,13830.0,11
RC,369,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Complex Surgery",,,11754.0,11754.0,2
RC,369,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,4963.0,13830.0,11
RC,369,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Complex Surgery,,,11754.0,11754.0,2
RC,369,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,4963.0,13830.0,11
RC,369,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Complex Surgery,,,11754.0,11754.0,2
RC,369,Cystourethroscopy (separate procedure) ,,,1982.0,6802.0,7
RC,369,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,2820.0,6802.0,7
RC,369,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,8577.0,8577.0,1
RC,369,Cystourethroscopy with direct vision internal urethrotomy ,,,4963.0,8727.0,7
RC,369,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,2702.0,8727.0,7
RC,369,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,2702.0,7493.0,4
RC,369,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,4963.0,53068.0,7
RC,369,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2702.0,7493.0,4
RC,369,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,4963.0,13830.0,11
RC,369,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Complex Surgery",,,11754.0,11754.0,2
RC,369,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,2820.0,6802.0,7
RC,369,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,2702.0,8727.0,7
RC,369,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,369,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,369,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,369,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,8577.0,8577.0,1
RC,369,"Cystourethroscopy, with biopsy(s) ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,2820.0,6802.0,7
RC,369,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,2820.0,6802.0,7
RC,369,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,1982.0,6802.0,7
RC,369,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,1982.0,6802.0,7
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,2820.0,6802.0,7
RC,369,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder Complex Surgery",,,11754.0,11754.0,2
RC,369,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,4963.0,13830.0,11
RC,369,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,1423.0,6802.0,7
RC,369,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1423.0,6802.0,7
RC,369,"Cystourethroscopy, with insertion of permanent urethral stent ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5360.0,8727.0,4
RC,369,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,10737.0,15007.0,4
RC,369,"Cystourethroscopy, with internal urethrotomy; female ",,,2820.0,6802.0,7
RC,369,"Cystourethroscopy, with internal urethrotomy; male ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,4963.0,7493.0,4
RC,369,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,2820.0,6802.0,7
RC,369,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy, with steroid injection into stricture ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,7493.0,7493.0,1
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,7493.0,7493.0,1
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,4963.0,13830.0,11
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Complex Surgery",,,11754.0,11754.0,2
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,4963.0,13830.0,11
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion Complex Surgery",,,11754.0,11754.0,2
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2702.0,15409.0,6
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2702.0,15409.0,11
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,4963.0,13830.0,11
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,4963.0,13830.0,11
RC,369,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Complex Surgery",,,11754.0,11754.0,2
RC,369,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,4963.0,8727.0,7
RC,369,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,369,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,369,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,369,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,4963.0,8727.0,7
RC,369,DIGESTIVE MALIGNANCY WITH CC ,,,11000.0,11000.0,1
RC,369,DIGESTIVE MALIGNANCY WITH MCC ,,,11000.0,11000.0,1
RC,369,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,11000.0,11000.0,1
RC,369,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,11000.0,11000.0,1
RC,369,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11000.0,11000.0,1
RC,369,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,11000.0,11000.0,1
RC,369,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,369,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,2702.0,10719.0,7
RC,369,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,1423.0,3251.0,8
RC,369,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,2143.0,2143.0,1
RC,369,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,8577.0,8577.0,1
RC,369,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,1982.0,6802.0,7
RC,369,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,1423.0,6802.0,7
RC,369,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,2702.0,13315.0,7
RC,369,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,2702.0,13315.0,7
RC,369,Decompression internal auditory canal ,,,2702.0,13315.0,7
RC,369,"Decompression of orbit only, transcranial approach ",,,2702.0,13315.0,7
RC,369,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,2702.0,10719.0,7
RC,369,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,2143.0,6802.0,4
RC,369,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,2702.0,15007.0,4
RC,369,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,2702.0,7493.0,4
RC,369,Decompression; plantar digital nerve ,,,2702.0,8727.0,7
RC,369,Decompression; unspecified nerve(s) (specify) ,,,2702.0,8727.0,7
RC,369,Decoronation or submergence of an erupted tooth ,,,8577.0,8577.0,1
RC,369,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,2702.0,6802.0,7
RC,369,Deligation of ureter ,,,2702.0,8577.0,4
RC,369,Delivery of placenta (separate procedure) ,,,2702.0,8727.0,7
RC,369,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2820.0,5414.0,3
RC,369,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,2702.0,7493.0,4
RC,369,"Destruction by neurolytic agent, intercostal nerve ",,,2702.0,8727.0,7
RC,369,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,1423.0,6802.0,7
RC,369,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,2702.0,8727.0,7
RC,369,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,1423.0,6802.0,7
RC,369,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,2702.0,8727.0,7
RC,369,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,2702.0,8727.0,7
RC,369,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,2702.0,8727.0,7
RC,369,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,2702.0,8727.0,7
RC,369,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,2702.0,8727.0,7
RC,369,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,1982.0,6802.0,7
RC,369,Destruction by neurolytic agent; other peripheral nerve or branch ,,,1982.0,6802.0,7
RC,369,Destruction by neurolytic agent; plantar common digital nerve ,,,1423.0,6802.0,7
RC,369,Destruction by neurolytic agent; pudendal nerve ,,,1982.0,6802.0,7
RC,369,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,1982.0,6802.0,7
RC,369,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,4963.0,13830.0,11
RC,369,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency) ",,,1982.0,6802.0,7
RC,369,"Destruction of lesion (except excision), dentoalveolar structures ",,,2702.0,8727.0,7
RC,369,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,1423.0,6802.0,6
RC,369,Destruction of lesion of lid margin (up to 1 cm) ,,,1982.0,6802.0,7
RC,369,"Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical) ",,,2702.0,6802.0,7
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,8727.0,7
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,6802.0,7
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,6802.0,7
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2702.0,6802.0,7
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2702.0,8727.0,7
RC,369,"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2702.0,8727.0,7
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,7
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,6802.0,7
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,6802.0,7
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2702.0,6802.0,7
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2702.0,6802.0,7
RC,369,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2702.0,6802.0,7
RC,369,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,7
RC,369,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,7
RC,369,"Destruction of lesion, conjunctiva ",,,2702.0,8727.0,7
RC,369,"Destruction of lesion, palate or uvula (thermal, cryo or chemical) ",,,2702.0,6802.0,7
RC,369,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,1982.0,13830.0,11
RC,369,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions Complex Surgery",,,11754.0,11754.0,2
RC,369,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,1982.0,13830.0,11
RC,369,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1423.0,13830.0,11
RC,369,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) Compl",,,11754.0,11754.0,2
RC,369,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1982.0,4009.0,3
RC,369,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,1423.0,13830.0,11
RC,369,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,1982.0,13830.0,11
RC,369,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,369,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,4963.0,13830.0,11
RC,369,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ",,,2702.0,8727.0,7
RC,369,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,8727.0,7
RC,369,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,8727.0,7
RC,369,Diagnostic bone marrow; aspiration(s) ,,,1982.0,6802.0,7
RC,369,Diagnostic bone marrow; biopsy(ies) ,,,1982.0,6802.0,7
RC,369,Diagnostic bone marrow; biopsy(ies) and aspiration(s) ,,,2702.0,6802.0,4
RC,369,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,8577.0,8577.0,1
RC,369,"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation neces",,,1423.0,6802.0,7
RC,369,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8577.0,8577.0,4
RC,369,Diaphragm or cervical cap fitting with instructions ,,,1423.0,6802.0,7
RC,369,"Dilation and catheterization of salivary duct, with or without injection ",,,1423.0,6802.0,7
RC,369,Dilation and curettage of cervical stump ,,,2702.0,8727.0,7
RC,369,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,2702.0,8727.0,7
RC,369,Dilation of anal sphincter (separate procedure) under anesthesia other than local ,,,2702.0,6802.0,7
RC,369,"Dilation of cervical canal, instrumental (separate procedure) ",,,2702.0,8727.0,7
RC,369,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes ",,,2702.0,6802.0,7
RC,369,"Dilation of esophagus, over guide wire ",,,2702.0,6802.0,7
RC,369,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,2702.0,10719.0,8
RC,369,Dilation of female urethra including suppository and/or instillation; initial ,,,1423.0,6802.0,7
RC,369,Dilation of female urethra including suppository and/or instillation; subsequent ,,,1423.0,6802.0,7
RC,369,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,2702.0,8727.0,7
RC,369,"Dilation of lacrimal punctum, with or without irrigation ",,,1423.0,6802.0,7
RC,369,Dilation of rectal stricture (separate procedure) under anesthesia other than local ,,,2702.0,6802.0,7
RC,369,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,1982.0,6802.0,7
RC,369,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,1423.0,6802.0,7
RC,369,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,1423.0,6802.0,7
RC,369,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,1423.0,6802.0,7
RC,369,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,2702.0,6802.0,7
RC,369,Dilation of vagina under anesthesia (other than local) ,,,2702.0,8727.0,7
RC,369,Dilation salivary duct ,,,2702.0,6802.0,7
RC,369,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1423.0,6802.0,7
RC,369,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,4963.0,15007.0,7
RC,369,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,4963.0,8577.0,4
RC,369,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,4963.0,8577.0,4
RC,369,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,1982.0,6802.0,7
RC,369,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,1423.0,6802.0,7
RC,369,"Discission of vitreous strands (without removal), pars plana approach ",,,4963.0,8727.0,7
RC,369,"Dissection, deep jugular node(s) ",,,2702.0,15007.0,7
RC,369,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach ",,,2702.0,13315.0,7
RC,369,"Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach ",,,2702.0,8577.0,4
RC,369,Division of stricture of rectum ,,,2702.0,8727.0,7
RC,369,"Donor enterectomy (including cold preservation), open; from cadaver donor ",,,2702.0,8577.0,4
RC,369,"Donor enterectomy (including cold preservation), open; partial, from living donor ",,,2702.0,8577.0,4
RC,369,"Donor hepatectomy (including cold preservation), from cadaver donor ",,,2702.0,8577.0,4
RC,369,"Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III) ",,,2702.0,8577.0,4
RC,369,"Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV) ",,,2702.0,8577.0,4
RC,369,"Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII) ",,,2702.0,8577.0,4
RC,369,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,2702.0,8577.0,4
RC,369,"Donor nephrectomy (including cold preservation); open, from living donor ",,,2702.0,8577.0,4
RC,369,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,2702.0,6802.0,3
RC,369,"Drainage external auditory canal, abscess ",,,1423.0,6802.0,7
RC,369,"Drainage external ear, abscess or hematoma; complicated ",,,2702.0,6802.0,7
RC,369,"Drainage external ear, abscess or hematoma; simple ",,,1423.0,6802.0,7
RC,369,Drainage of Skene's gland abscess or cyst ,,,2702.0,8727.0,7
RC,369,"Drainage of abscess of palate, uvula ",,,1423.0,6802.0,7
RC,369,"Drainage of abscess, cyst, hematoma from dentoalveolar structures ",,,1423.0,6802.0,7
RC,369,"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated ",,,1982.0,6802.0,7
RC,369,"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple ",,,1423.0,6802.0,7
RC,369,"Drainage of abscess; parotid, complicated ",,,2702.0,8727.0,7
RC,369,"Drainage of abscess; parotid, simple ",,,1982.0,6802.0,7
RC,369,"Drainage of abscess; submaxillary or sublingual, intraoral ",,,1423.0,6802.0,7
RC,369,"Drainage of abscess; submaxillary, external ",,,1423.0,6802.0,7
RC,369,Drainage of deep periurethral abscess ,,,2702.0,8727.0,7
RC,369,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,2702.0,8577.0,4
RC,369,Drainage of lymph node abscess or lymphadenitis; extensive ,,,2702.0,8727.0,7
RC,369,Drainage of lymph node abscess or lymphadenitis; simple ,,,2702.0,6802.0,7
RC,369,Drainage of ovarian abscess; abdominal approach ,,,2702.0,10719.0,7
RC,369,"Drainage of ovarian abscess; vaginal approach, open ",,,2702.0,8727.0,7
RC,369,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,2702.0,8727.0,7
RC,369,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,2702.0,8727.0,7
RC,369,Drainage of perineal urinary extravasation; complicated ,,,2702.0,8727.0,7
RC,369,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,2702.0,8727.0,7
RC,369,"Drainage of perirenal or renal abscess, open ",,,2702.0,8727.0,7
RC,369,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,2702.0,8577.0,4
RC,369,Drainage of perivesical or prevesical space abscess ,,,2702.0,8727.0,7
RC,369,"Drainage of retroperitoneal abscess, open ",,,2702.0,8577.0,4
RC,369,Drainage of scrotal wall abscess ,,,2702.0,6802.0,7
RC,369,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,2702.0,8577.0,4
RC,369,"Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic ",,,2143.0,6802.0,4
RC,369,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,2702.0,8577.0,4
RC,369,"Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes d",,,1423.0,6802.0,7
RC,369,"Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture) ",,,1423.0,6802.0,7
RC,369,Duodenal motility (manometric) study ,,,1423.0,3251.0,4
RC,369,"Duodenotomy, for exploration, biopsy(s), or foreign body removal ",,,2702.0,8577.0,4
RC,369,"Dural graft, spinal ",,,2702.0,8577.0,4
RC,369,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,2702.0,6802.0,7
RC,369,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,11000.0,11000.0,1
RC,369,Ear piercing ,,,2702.0,8577.0,4
RC,369,Electroejaculation ,,,1982.0,6802.0,7
RC,369,"Electrogastrography, diagnostic, transcutaneous; ",,,1423.0,3251.0,4
RC,369,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1423.0,3251.0,4
RC,369,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,1423.0,6802.0,7
RC,369,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,1423.0,6802.0,7
RC,369,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,1423.0,6802.0,14
RC,369,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,1423.0,6802.0,7
RC,369,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1423.0,23692.0,18
RC,369,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2820.0,17341.0,7
RC,369,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1423.0,17341.0,7
RC,369,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,8
RC,369,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,2702.0,8577.0,4
RC,369,"Elevation of depressed skull fracture; simple, extradural ",,,2702.0,13315.0,7
RC,369,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,2702.0,8577.0,4
RC,369,"Embryo transfer, intrauterine ",,,1982.0,6802.0,7
RC,369,Endocervical curettage (not done as part of a dilation and curettage) ,,,1982.0,6802.0,7
RC,369,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,1423.0,6802.0,7
RC,369,"Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and ",,,1423.0,6802.0,7
RC,369,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1423.0,17341.0,14
RC,369,Endolymphatic sac operation; with shunt ,,,2702.0,13315.0,7
RC,369,Endolymphatic sac operation; without shunt ,,,2702.0,13315.0,7
RC,369,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,4963.0,13830.0,11
RC,369,"Endometrial ablation, thermal, without hysteroscopic guidance Complex Surgery",,,11754.0,11754.0,2
RC,369,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,4963.0,13830.0,11
RC,369,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Complex Surgery",,,11754.0,11754.0,2
RC,369,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,369,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,1423.0,6802.0,7
RC,369,Endomyocardial biopsy ,,,5360.0,10719.0,4
RC,369,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,369,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,369,Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) ,,,1423.0,6802.0,7
RC,369,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2702.0,15007.0,7
RC,369,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,15007.0,15007.0,1
RC,369,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,7
RC,369,"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or multiple ",,,2702.0,6802.0,7
RC,369,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,2702.0,10719.0,7
RC,369,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,15007.0,15007.0,1
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,4963.0,8727.0,7
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed ",,,4963.0,8727.0,7
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple ",,,4963.0,8727.0,7
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy) ",,,4963.0,15409.0,6
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, incl",,,4963.0,8727.0,7
RC,369,Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi ,,,4963.0,8727.0,7
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, inclu",,,4963.0,8727.0,7
RC,369,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) ,,,4963.0,8727.0,7
RC,369,Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) ,,,4963.0,8727.0,7
RC,369,Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy ,,,4963.0,8727.0,7
RC,369,"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, ",,,4963.0,8727.0,7
RC,369,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,369,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,8577.0,8577.0,1
RC,369,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,8577.0,8577.0,1
RC,369,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,369,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,7493.0,7493.0,1
RC,369,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,2702.0,11462.0,4
RC,369,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,2702.0,11462.0,4
RC,369,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2702.0,19295.0,7
RC,369,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addit",,,2702.0,8577.0,4
RC,369,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering ",,,2702.0,8577.0,4
RC,369,"Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering ",,,2702.0,8577.0,4
RC,369,"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,369,"Enterectomy, resection of small intestine; single resection and anastomosis ",,,2702.0,8577.0,4
RC,369,"Enterectomy, resection of small intestine; with enterostomy ",,,2702.0,8577.0,4
RC,369,"Enterocystoplasty, including intestinal anastomosis ",,,2702.0,8577.0,4
RC,369,"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure) ",,,2702.0,8577.0,4
RC,369,Enterolysis (freeing of intestinal adhesion) (separate procedure) ,,,2702.0,8577.0,4
RC,369,"Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube) ",,,2702.0,8577.0,4
RC,369,"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal ",,,2702.0,8577.0,4
RC,369,"Enucleation of eye; with implant, muscles attached to implant ",,,2702.0,10719.0,7
RC,369,"Enucleation of eye; with implant, muscles not attached to implant ",,,2702.0,10719.0,7
RC,369,Enucleation of eye; without implant ,,,2702.0,10719.0,7
RC,369,Epididymectomy; bilateral ,,,2702.0,8727.0,7
RC,369,Epididymectomy; unilateral ,,,2702.0,8727.0,7
RC,369,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,2702.0,8727.0,7
RC,369,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,2702.0,8727.0,7
RC,369,Epikeratoplasty ,,,2702.0,8727.0,7
RC,369,"Episiotomy or vaginal repair, by other than attending ",,,2702.0,8727.0,7
RC,369,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1423.0,3251.0,4
RC,369,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1423.0,3251.0,4
RC,369,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1423.0,3251.0,4
RC,369,"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,369,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1423.0,3251.0,4
RC,369,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1423.0,3251.0,4
RC,369,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,7493.0,7493.0,1
RC,369,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,19105.0,4
RC,369,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,19105.0,4
RC,369,"Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, w",,,4963.0,13830.0,10
RC,369,"Esophagectomy, total or near total, with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with ",,,4963.0,13830.0,10
RC,369,"Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric dr",,,4963.0,13830.0,10
RC,369,Esophagogastric fundoplasty partial or complete; laparotomy ,,,2702.0,8577.0,4
RC,369,Esophagogastric fundoplasty partial or complete; thoracotomy ,,,2702.0,8577.0,4
RC,369,"Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) ",,,2702.0,8577.0,4
RC,369,"Esophagogastric tamponade, with balloon (Sengstaken type) ",,,2702.0,8577.0,4
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2820.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease ",,,2702.0,8727.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon ",,,2702.0,6802.0,4
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed ",,,2702.0,10719.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,4963.0,10719.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s) ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) ",,,2702.0,6802.0,4
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) ",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the eso",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited t",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial ma",,,2702.0,6802.0,7
RC,369,"Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheterºs»/stentºs», when performed, and endoscopic ultrasound, when",,,2702.0,8727.0,7
RC,369,"Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach ",,,2702.0,8577.0,4
RC,369,Esophagojejunostomy (without total gastrectomy); abdominal approach ,,,2702.0,8577.0,4
RC,369,Esophagojejunostomy (without total gastrectomy); thoracic approach ,,,2702.0,8577.0,4
RC,369,Esophagomyotomy (Heller type); abdominal approach ,,,2702.0,8577.0,4
RC,369,Esophagomyotomy (Heller type); thoracic approach ,,,2702.0,8577.0,4
RC,369,"Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula ",,,2702.0,8577.0,4
RC,369,"Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula ",,,2702.0,8577.0,4
RC,369,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula ",,,2702.0,8577.0,4
RC,369,"Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula ",,,2702.0,8577.0,4
RC,369,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula ",,,2702.0,8577.0,4
RC,369,"Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula ",,,2702.0,8577.0,4
RC,369,"Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,8727.0,7
RC,369,"Esophagoscopy, flexible, transoral; with band ligation of esophageal varices ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with biopsy, single or multiple ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with control of bleeding, any method ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with endoscopic mucosal resection Complex Surgery",,,11754.0,11754.0,2
RC,369,"Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with optical endomicroscopy ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with optical endomicroscopy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,10719.0,7
RC,369,"Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Esophagoscopy, flexible, transoral; with removal of foreign body(s) ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,2702.0,8727.0,7
RC,369,"Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope ",,,2702.0,8727.0,7
RC,369,"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, rigid, transoral; with biopsy, single or multiple ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire ",,,2702.0,6802.0,7
RC,369,"Esophagoscopy, rigid, transoral; with removal of foreign body(s) ",,,2702.0,6802.0,7
RC,369,"Esophagostomy, fistulization of esophagus, external; cervical approach ",,,2702.0,8577.0,4
RC,369,"Esophagostomy, fistulization of esophagus, external; thoracic approach ",,,2702.0,8577.0,4
RC,369,"Esophagotomy, cervical approach, with removal of foreign body ",,,1982.0,6802.0,7
RC,369,"Esophagotomy, thoracic approach, with removal of foreign body ",,,2702.0,8577.0,4
RC,369,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1423.0,3251.0,4
RC,369,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1423.0,4009.0,4
RC,369,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1423.0,3251.0,4
RC,369,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1423.0,17341.0,7
RC,369,Evisceration of ocular contents; with implant ,,,2702.0,10719.0,7
RC,369,Evisceration of ocular contents; without implant ,,,2702.0,10719.0,7
RC,369,Exc biopsy of saliv glands ,,,8577.0,8577.0,1
RC,369,Excavation of a tooth resulting in the determination of non-restorability ,,,8577.0,8577.0,1
RC,369,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,1982.0,6802.0,7
RC,369,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,8577.0,8577.0,1
RC,369,"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging",,,2702.0,10719.0,7
RC,369,Exchange of intraocular lens ,,,2702.0,8727.0,7
RC,369,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,2702.0,6802.0,7
RC,369,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,2702.0,8727.0,14
RC,369,Excision aural glomus tumor; extended (extratemporal) ,,,2702.0,8577.0,4
RC,369,Excision aural glomus tumor; transcanal ,,,2702.0,13315.0,7
RC,369,Excision aural glomus tumor; transmastoid ,,,2702.0,13315.0,7
RC,369,Excision aural polyp ,,,2702.0,6802.0,7
RC,369,"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues ",,,2702.0,8727.0,7
RC,369,"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx ",,,2702.0,13315.0,7
RC,369,"Excision exostosis(es), external auditory canal ",,,2702.0,8727.0,7
RC,369,Excision external ear; complete amputation ,,,2702.0,8727.0,7
RC,369,"Excision external ear; partial, simple repair ",,,2702.0,6802.0,7
RC,369,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies ",,,2702.0,8577.0,4
RC,369,"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy ",,,2702.0,8577.0,4
RC,369,Excision of Bartholin's gland or cyst ,,,2702.0,8727.0,7
RC,369,Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct ,,,2702.0,8577.0,4
RC,369,Excision of Mullerian duct cyst ,,,2702.0,8727.0,7
RC,369,Excision of ampulla of Vater ,,,2702.0,8577.0,4
RC,369,"Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic ",,,2702.0,8577.0,4
RC,369,"Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic ",,,2702.0,8577.0,4
RC,369,Excision of bulbourethral gland (Cowper's gland) ,,,2702.0,8727.0,7
RC,369,Excision of carotid body tumor; with excision of carotid artery ,,,2702.0,8577.0,4
RC,369,Excision of carotid body tumor; without excision of carotid artery ,,,2702.0,8577.0,4
RC,369,"Excision of cervical stump, abdominal approach; ",,,2702.0,8577.0,4
RC,369,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,2702.0,8577.0,4
RC,369,"Excision of cervical stump, vaginal approach; ",,,2702.0,8727.0,7
RC,369,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,2702.0,10719.0,7
RC,369,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,2702.0,13315.0,7
RC,369,"Excision of chalazion; multiple, different lids ",,,1423.0,6802.0,7
RC,369,"Excision of chalazion; multiple, same lid ",,,1982.0,6802.0,7
RC,369,Excision of chalazion; single ,,,1423.0,6802.0,7
RC,369,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,2702.0,8727.0,7
RC,369,Excision of choledochal cyst ,,,2702.0,8577.0,4
RC,369,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,2702.0,15007.0,7
RC,369,"Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection ",,,2702.0,8727.0,7
RC,369,"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection ",,,2702.0,8727.0,7
RC,369,Excision of extraparenchymal lesion of testis ,,,2702.0,8727.0,7
RC,369,"Excision of fibrous tuberosities, dentoalveolar structures ",,,1982.0,6802.0,7
RC,369,"Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) ",,,2702.0,6802.0,7
RC,369,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,2702.0,10719.0,7
RC,369,Excision of hydrocele; bilateral ,,,2702.0,10719.0,7
RC,369,Excision of hydrocele; unilateral ,,,2702.0,10719.0,7
RC,369,"Excision of hyperplastic alveolar mucosa, each quadrant (specify) ",,,2702.0,8727.0,7
RC,369,Excision of ileoanal reservoir with ileostomy ,,,2702.0,8577.0,4
RC,369,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,2702.0,10719.0,7
RC,369,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,2702.0,10719.0,7
RC,369,Excision of lacrimal gland tumor; frontal approach ,,,2702.0,8727.0,7
RC,369,Excision of lacrimal gland tumor; involving osteotomy ,,,2702.0,10719.0,7
RC,369,Excision of lacrimal sac (dacryocystectomy) ,,,2702.0,10719.0,7
RC,369,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,1982.0,6802.0,7
RC,369,Excision of lesion of mesentery (separate procedure) ,,,2702.0,8577.0,4
RC,369,"Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle ",,,2702.0,8727.0,7
RC,369,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair ",,,2702.0,8727.0,7
RC,369,"Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair ",,,2702.0,6802.0,7
RC,369,"Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair ",,,2702.0,6802.0,7
RC,369,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,2702.0,8577.0,4
RC,369,Excision of lesion of spermatic cord (separate procedure) ,,,2702.0,8727.0,7
RC,369,Excision of lesion of tongue with closure; anterior two-thirds ,,,2702.0,6802.0,7
RC,369,Excision of lesion of tongue with closure; posterior one-third ,,,2702.0,6802.0,7
RC,369,Excision of lesion of tongue with closure; with local tongue flap ,,,2702.0,8727.0,7
RC,369,Excision of lesion of tongue without closure ,,,2702.0,6802.0,7
RC,369,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair ",,,2702.0,13315.0,7
RC,369,"Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair ",,,2702.0,8727.0,7
RC,369,"Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair ",,,2702.0,6802.0,7
RC,369,"Excision of lesion, conjunctiva; over 1 cm ",,,2702.0,8727.0,7
RC,369,"Excision of lesion, conjunctiva; up to 1 cm ",,,2702.0,8727.0,7
RC,369,"Excision of lesion, conjunctiva; with adjacent sclera ",,,2702.0,8727.0,7
RC,369,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,1982.0,6802.0,7
RC,369,"Excision of lesion, esophagus, with primary repair; cervical approach ",,,2702.0,8577.0,4
RC,369,"Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach ",,,2702.0,8577.0,4
RC,369,"Excision of lesion, sclera ",,,2702.0,8727.0,7
RC,369,Excision of lingual frenum (frenectomy) ,,,1982.0,6802.0,7
RC,369,Excision of lip; V-excision with primary direct linear closure ,,,2702.0,6802.0,7
RC,369,"Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) ",,,2702.0,8727.0,7
RC,369,"Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) ",,,2702.0,8727.0,7
RC,369,Excision of lip; transverse wedge excision with primary closure ,,,2702.0,8727.0,7
RC,369,Excision of local lesion of epididymis ,,,2702.0,8727.0,7
RC,369,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,8577.0,8577.0,1
RC,369,Excision of mucosa of vestibule of mouth as donor graft ,,,1423.0,6802.0,7
RC,369,"Excision of multiple external papillae or tags, anus ",,,2702.0,6802.0,7
RC,369,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,2702.0,8727.0,7
RC,369,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,2702.0,12863.0,7
RC,369,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,2702.0,8727.0,7
RC,369,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,2702.0,8727.0,7
RC,369,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,2702.0,8727.0,7
RC,369,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,"Excision of neuroma; hand or foot, except digital nerve ",,,2702.0,8727.0,7
RC,369,"Excision of neuroma; major peripheral nerve, except sciatic ",,,2702.0,8727.0,7
RC,369,Excision of neuroma; sciatic nerve ,,,2702.0,12863.0,7
RC,369,"Excision of osseous tuberosities, dentoalveolar structures ",,,2702.0,8727.0,7
RC,369,"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve ",,,2702.0,13315.0,7
RC,369,"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection ",,,2702.0,13315.0,7
RC,369,"Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve ",,,2702.0,13315.0,7
RC,369,"Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve ",,,2702.0,13315.0,7
RC,369,"Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection ",,,2702.0,7493.0,4
RC,369,Excision of penile plaque (Peyronie disease); ,,,2702.0,13315.0,7
RC,369,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,2702.0,13315.0,7
RC,369,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,2702.0,13315.0,7
RC,369,Excision of perinephric cyst ,,,2702.0,8577.0,4
RC,369,Excision of presacral or sacrococcygeal tumor ,,,2702.0,8577.0,4
RC,369,"Excision of rectal procidentia, with anastomosis; abdominal and perineal approach ",,,2702.0,8577.0,4
RC,369,"Excision of rectal procidentia, with anastomosis; perineal approach ",,,2702.0,8577.0,4
RC,369,"Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach ",,,2702.0,8727.0,7
RC,369,"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) ",,,2702.0,10719.0,7
RC,369,"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) ",,,2702.0,8727.0,7
RC,369,"Excision of single external papilla or tag, anus ",,,2702.0,6802.0,7
RC,369,"Excision of spermatocele, with or without epididymectomy ",,,2702.0,8727.0,7
RC,369,Excision of sublingual gland ,,,2702.0,8727.0,7
RC,369,Excision of sublingual salivary cyst (ranula) ,,,2702.0,8727.0,7
RC,369,Excision of submandibular (submaxillary) gland ,,,2702.0,13315.0,7
RC,369,"Excision of thrombosed hemorrhoid, external ",,,2702.0,6802.0,7
RC,369,Excision of thyroglossal duct cyst or sinus; ,,,2702.0,15007.0,7
RC,369,Excision of thyroglossal duct cyst or sinus; recurrent ,,,2702.0,15007.0,7
RC,369,Excision of tonsil tags ,,,2702.0,8727.0,7
RC,369,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,2702.0,10719.0,7
RC,369,Excision of urethral diverticulum (separate procedure); female ,,,2702.0,10719.0,7
RC,369,Excision of urethral diverticulum (separate procedure); male ,,,2702.0,8727.0,7
RC,369,Excision of vaginal cyst or tumor ,,,2702.0,8727.0,7
RC,369,Excision of vaginal septum ,,,2702.0,8727.0,7
RC,369,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,2702.0,8727.0,7
RC,369,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,2702.0,10719.0,7
RC,369,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,2702.0,10719.0,7
RC,369,"Excision or destruction lingual tonsil, any method (separate procedure) ",,,2702.0,8727.0,7
RC,369,"Excision or destruction of lesion of pharynx, any method ",,,2702.0,8727.0,7
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,2702.0,7493.0,4
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,2702.0,10719.0,4
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,2702.0,7493.0,4
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,2702.0,7493.0,4
RC,369,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,2702.0,10719.0,4
RC,369,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,5360.0,8727.0,3
RC,369,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,10737.0,13315.0,3
RC,369,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,10737.0,13315.0,3
RC,369,Excision or fulguration of carcinoma of urethra ,,,2702.0,10719.0,7
RC,369,Excision or fulguration; Skene's glands ,,,2702.0,8727.0,7
RC,369,Excision or fulguration; urethral caruncle ,,,2702.0,8727.0,7
RC,369,"Excision or fulguration; urethral polyp(s), distal urethra ",,,2702.0,8727.0,7
RC,369,Excision or fulguration; urethral prolapse ,,,2702.0,8727.0,7
RC,369,Excision or transposition of pterygium; with graft ,,,2702.0,8727.0,7
RC,369,Excision or transposition of pterygium; without graft ,,,2702.0,8727.0,7
RC,369,Excision or unroofing of cyst(s) of kidney ,,,2702.0,8577.0,4
RC,369,"Excision soft tissue lesion, external auditory canal ",,,2702.0,6802.0,7
RC,369,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,2702.0,8577.0,4
RC,369,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,2702.0,8577.0,4
RC,369,"Excision, lesion of floor of mouth ",,,2702.0,8727.0,7
RC,369,"Excision, lesion of palate, uvula; with local flap closure ",,,2702.0,8727.0,7
RC,369,"Excision, lesion of palate, uvula; with simple primary closure ",,,2702.0,6802.0,7
RC,369,"Excision, lesion of palate, uvula; without closure ",,,2702.0,6802.0,7
RC,369,"Excision, local; malignant tumor of stomach ",,,2702.0,8577.0,4
RC,369,"Excision, local; ulcer or benign tumor of stomach ",,,2702.0,8577.0,4
RC,369,"Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum) ",,,2702.0,8577.0,4
RC,369,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,2702.0,10719.0,7
RC,369,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,2702.0,10719.0,7
RC,369,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,2702.0,10719.0,7
RC,369,"Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography ",,,2702.0,8577.0,4
RC,369,Exploration for undescended testis (inguinal or scrotal area) ,,,2702.0,10719.0,7
RC,369,Exploration for undescended testis with abdominal exploration ,,,2702.0,8727.0,7
RC,369,"Exploration of epididymis, with or without biopsy ",,,2702.0,8727.0,7
RC,369,"Exploration of orbit (transcranial approach), with removal of lesion ",,,2702.0,8577.0,4
RC,369,"Exploration, repair, and presacral drainage for rectal injury; ",,,2702.0,8577.0,4
RC,369,"Exploration, repair, and presacral drainage for rectal injury; with colostomy ",,,2702.0,8577.0,4
RC,369,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,2702.0,10719.0,4
RC,369,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,2702.0,10719.0,7
RC,369,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,2702.0,53068.0,7
RC,369,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,53068.0,4
RC,369,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,53068.0,4
RC,369,"Expression of conjunctival follicles (eg, for trachoma) ",,,1423.0,6802.0,7
RC,369,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,2702.0,8577.0,4
RC,369,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,2702.0,8577.0,4
RC,369,"External cephalic version, with or without tocolysis ",,,2702.0,8727.0,7
RC,369,"External drainage, pseudocyst of pancreas, open ",,,2702.0,8577.0,4
RC,369,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2702.0,12863.0,4
RC,369,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2702.0,12863.0,4
RC,369,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,2702.0,8727.0,7
RC,369,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,2702.0,12863.0,15
RC,369,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,369,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space ",,,1982.0,6802.0,7
RC,369,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual ",,,1423.0,6802.0,7
RC,369,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular ",,,2702.0,6802.0,7
RC,369,"Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental ",,,2702.0,8727.0,7
RC,369,"FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) ",,,2820.0,5414.0,3
RC,369,FOOT PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,369,FOOT PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,369,FRACTURES OF FEMUR WITH MCC ,,,11000.0,11000.0,1
RC,369,FRACTURES OF FEMUR WITHOUT MCC ,,,11000.0,11000.0,1
RC,369,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11000.0,11000.0,1
RC,369,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,11000.0,11000.0,1
RC,369,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,8577.0,8577.0,1
RC,369,Fetal contraction stress test ,,,1423.0,6802.0,7
RC,369,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,1423.0,6802.0,7
RC,369,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,2702.0,8577.0,4
RC,369,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,1423.0,6802.0,7
RC,369,Fetal non-stress test ,,,1423.0,6802.0,7
RC,369,Fetal scalp blood sampling ,,,1423.0,6802.0,7
RC,369,"Fetal shunt placement, including ultrasound guidance ",,,1423.0,6802.0,7
RC,369,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,1423.0,6802.0,7
RC,369,Fimbrioplasty ,,,2702.0,10719.0,7
RC,369,Fine needle aspiration of orbital contents ,,,2702.0,8727.0,7
RC,369,"Fissurectomy, including sphincterotomy, when performed ",,,2702.0,8727.0,7
RC,369,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,2702.0,8727.0,7
RC,369,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,2702.0,8727.0,7
RC,369,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,2702.0,8727.0,7
RC,369,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,2702.0,8727.0,7
RC,369,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,2702.0,8727.0,7
RC,369,Fitting and insertion of pessary or other intravaginal support device ,,,1423.0,6802.0,7
RC,369,Fixation of contralateral testis (separate procedure) ,,,2702.0,8727.0,7
RC,369,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,5360.0,8727.0,3
RC,369,"Follicle puncture for oocyte retrieval, any method ",,,1982.0,6802.0,7
RC,369,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,1423.0,6802.0,7
RC,369,Free jejunum transfer with microvascular anastomosis ,,,2702.0,8577.0,4
RC,369,Free omental flap with microvascular anastomosis ,,,2702.0,8577.0,4
RC,369,"Frenoplasty (surgical revision of frenum, eg, with Z-plasty) ",,,2702.0,13315.0,7
RC,369,Frenulotomy of penis ,,,2702.0,8727.0,7
RC,369,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,11000.0,11000.0,1
RC,369,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,1423.0,6802.0,7
RC,369,"Gastrectomy, partial, distal; with Roux-en-Y reconstruction ",,,2702.0,8577.0,4
RC,369,"Gastrectomy, partial, distal; with formation of intestinal pouch ",,,2702.0,8577.0,4
RC,369,"Gastrectomy, partial, distal; with gastroduodenostomy ",,,2702.0,8577.0,4
RC,369,"Gastrectomy, partial, distal; with gastrojejunostomy ",,,2702.0,8577.0,4
RC,369,"Gastrectomy, total; with Roux-en-Y reconstruction ",,,2702.0,8577.0,4
RC,369,"Gastrectomy, total; with esophagoenterostomy ",,,2702.0,8577.0,4
RC,369,"Gastrectomy, total; with formation of intestinal pouch, any type ",,,2702.0,8577.0,4
RC,369,"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed ",,,1423.0,6802.0,7
RC,369,"Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pent",,,1423.0,6802.0,7
RC,369,"Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) ",,,1423.0,6802.0,7
RC,369,Gastric motility (manometric) studies ,,,1423.0,3251.0,4
RC,369,"Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal",,,2702.0,36598.0,6
RC,369,"Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only ",,,2702.0,10719.0,7
RC,369,"Gastric restrictive procedure, open; removal of subcutaneous port component only ",,,2702.0,6802.0,7
RC,369,"Gastric restrictive procedure, open; revision of subcutaneous port component only ",,,2702.0,10719.0,7
RC,369,"Gastric restrictive procedure, transoral, endoscopic sleeve gastroplasty (ESG), including argon plasma coagulation, when performed ",,,2702.0,15007.0,4
RC,369,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy ",,,2702.0,36598.0,6
RC,369,"Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption ",,,2702.0,36598.0,6
RC,369,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty ",,,2702.0,36598.0,6
RC,369,"Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty ",,,2702.0,36598.0,8
RC,369,Gastroduodenostomy ,,,2702.0,8577.0,4
RC,369,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstructi",,,2702.0,8577.0,4
RC,369,"Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty ",,,2702.0,8577.0,4
RC,369,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2820.0,5568.0,4
RC,369,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2820.0,5568.0,4
RC,369,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2820.0,5568.0,4
RC,369,"Gastrojejunostomy; with vagotomy, any type ",,,2702.0,8577.0,4
RC,369,Gastrojejunostomy; without vagotomy ,,,2702.0,8577.0,4
RC,369,"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury ",,,2702.0,10719.0,4
RC,369,"Gastrostomy, open; neonatal, for feeding ",,,2702.0,6802.0,7
RC,369,"Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) ",,,2702.0,8577.0,4
RC,369,"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,2702.0,8727.0,7
RC,369,"Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) ",,,2702.0,6802.0,7
RC,369,Gastrotomy; with exploration or foreign body removal ,,,2702.0,8577.0,4
RC,369,Gastrotomy; with suture repair of bleeding ulcer ,,,2702.0,8577.0,4
RC,369,"Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss) ",,,2702.0,8577.0,4
RC,369,"Gingivectomy, excision gingiva, each quadrant ",,,2702.0,8727.0,7
RC,369,"Gingivoplasty, each quadrant (specify) ",,,2702.0,13315.0,7
RC,369,"Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection ",,,2702.0,8577.0,4
RC,369,"Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection ",,,2702.0,8577.0,4
RC,369,"Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection ",,,2702.0,8577.0,4
RC,369,"Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type) ",,,2702.0,8577.0,4
RC,369,"Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection ",,,2702.0,8577.0,4
RC,369,Glossectomy; hemiglossectomy ,,,2702.0,8577.0,4
RC,369,Glossectomy; less than one-half tongue ,,,2702.0,13315.0,7
RC,369,"Glossectomy; partial, with unilateral radical neck dissection ",,,2702.0,7493.0,4
RC,369,Goniotomy ,,,2702.0,8727.0,7
RC,369,Graft (Thiersch operation) for rectal incontinence and/or prolapse ,,,2702.0,8727.0,7
RC,369,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,369,"Guided tissue regeneration - resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,369,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,8577.0,8577.0,1
RC,369,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,8577.0,8577.0,1
RC,369,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,11000.0,11000.0,1
RC,369,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,369,HFenestration semicircular canal ,,,10737.0,13315.0,3
RC,369,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,11000.0,11000.0,1
RC,369,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,11000.0,11000.0,1
RC,369,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,369,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,5360.0,8727.0,3
RC,369,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,10737.0,72171.0,4
RC,369,HRevision fenestration operation ,,,10737.0,13315.0,3
RC,369,"Harvesting conjunctival allograft, living donor ",,,2702.0,8727.0,7
RC,369,Hematopoietic progenitor cell (HPC); HPC boost ,,,2702.0,6802.0,7
RC,369,Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor ,,,2702.0,12863.0,7
RC,369,Hematopoietic progenitor cell (HPC); autologous transplantation ,,,2702.0,9539.0,7
RC,369,"Hemorrhoidectomy, external, 2 or more columns/groups ",,,2702.0,8727.0,7
RC,369,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; ",,,2702.0,8727.0,7
RC,369,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy ",,,2702.0,8727.0,7
RC,369,"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed ",,,2702.0,8727.0,7
RC,369,"Hemorrhoidectomy, internal and external, single column/group; ",,,2702.0,8727.0,7
RC,369,"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy ",,,2702.0,8727.0,7
RC,369,"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed ",,,2702.0,8727.0,7
RC,369,"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance ",,,2702.0,8727.0,7
RC,369,"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance ",,,2702.0,8727.0,7
RC,369,"Hemorrhoidectomy, internal, by rubber band ligation(s) ",,,1982.0,6802.0,7
RC,369,"Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed ",,,2702.0,7493.0,4
RC,369,"Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling ",,,2702.0,10719.0,7
RC,369,"Hepatectomy, resection of liver; partial lobectomy ",,,2702.0,8577.0,4
RC,369,"Hepatectomy, resection of liver; total left lobectomy ",,,2702.0,8577.0,4
RC,369,"Hepatectomy, resection of liver; total right lobectomy ",,,2702.0,8577.0,4
RC,369,"Hepatectomy, resection of liver; trisegmentectomy ",,,2702.0,8577.0,4
RC,369,"Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus ",,,2702.0,8577.0,4
RC,369,"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages ",,,2702.0,8577.0,4
RC,369,"Hymenotomy, simple incision ",,,2702.0,8727.0,7
RC,369,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,2702.0,8577.0,4
RC,369,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,2702.0,8577.0,4
RC,369,Hysterorrhaphy of ruptured uterus ,,,2702.0,6802.0,3
RC,369,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,2702.0,8577.0,4
RC,369,"Hysteroscopy, diagnostic (separate procedure) ",,,4963.0,13830.0,11
RC,369,"Hysteroscopy, diagnostic (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,4963.0,13830.0,11
RC,369,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Complex Surgery",,,11754.0,11754.0,2
RC,369,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,4963.0,13830.0,11
RC,369,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,4963.0,13830.0,11
RC,369,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,4963.0,13830.0,11
RC,369,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,4963.0,13830.0,11
RC,369,"Hysteroscopy, surgical; with removal of impacted foreign body Complex Surgery",,,11754.0,11754.0,2
RC,369,"Hysteroscopy, surgical; with removal of leiomyomata ",,,4963.0,13830.0,11
RC,369,"Hysteroscopy, surgical; with removal of leiomyomata Complex Surgery",,,11754.0,11754.0,2
RC,369,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,4963.0,13830.0,11
RC,369,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Complex Surgery",,,11754.0,11754.0,2
RC,369,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,2702.0,8727.0,7
RC,369,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,1423.0,3251.0,3
RC,369,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,3
RC,369,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,1423.0,3251.0,3
RC,369,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,369,INJECT SPINE CERV/THORACIC ,,,1982.0,3689.0,3
RC,369,INJECT SPINE LUMBAR/SACRAL ,,,1982.0,3689.0,3
RC,369,INJECT SPINE W/CATH CRV/THRC ,,,1982.0,3689.0,3
RC,369,INJECT SPINE W/CATH LMB/SCRL ,,,1982.0,3689.0,3
RC,369,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,369,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1982.0,3689.0,3
RC,369,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,1423.0,3251.0,3
RC,369,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1423.0,3251.0,3
RC,369,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,5360.0,8727.0,3
RC,369,"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,2702.0,6802.0,7
RC,369,"Ileoscopy, through stoma; with biopsy, single or multiple ",,,2702.0,6802.0,7
RC,369,"Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,7
RC,369,"Ileoscopy, through stoma; with transendoscopic balloon dilation ",,,2702.0,6802.0,7
RC,369,"Ileostomy or jejunostomy, non-tube ",,,2702.0,8577.0,4
RC,369,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,2702.0,6802.0,7
RC,369,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,2702.0,6802.0,7
RC,369,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,2702.0,6802.0,7
RC,369,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,10737.0,13315.0,4
RC,369,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,7583.0,10719.0,4
RC,369,"Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic ",,,2702.0,8577.0,4
RC,369,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,2702.0,8577.0,4
RC,369,Implantation of intrastromal corneal ring segments ,,,2702.0,13315.0,7
RC,369,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,4963.0,13315.0,7
RC,369,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,2702.0,12863.0,4
RC,369,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,19295.0,19295.0,1
RC,369,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,1423.0,6802.0,7
RC,369,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,4963.0,23350.0,7
RC,369,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,4963.0,23350.0,7
RC,369,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,4963.0,23350.0,7
RC,369,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,2702.0,13315.0,7
RC,369,"Implantation or replacement of gastric neurostimulator electrodes, antrum, open ",,,2702.0,8577.0,4
RC,369,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2702.0,15007.0,4
RC,369,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2702.0,15007.0,4
RC,369,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,19295.0,7
RC,369,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,2702.0,15007.0,7
RC,369,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,2702.0,13315.0,7
RC,369,Incision and drainage abscess; peritonsillar ,,,1423.0,6802.0,7
RC,369,"Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach ",,,2702.0,13315.0,7
RC,369,"Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach ",,,2702.0,6802.0,7
RC,369,Incision and drainage of Bartholin's gland abscess ,,,1423.0,6802.0,7
RC,369,"Incision and drainage of appendiceal abscess, open ",,,2702.0,8577.0,4
RC,369,"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess ",,,2702.0,6802.0,7
RC,369,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,2702.0,8727.0,7
RC,369,"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia ",,,2702.0,8727.0,7
RC,369,Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) ,,,2702.0,6802.0,7
RC,369,"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton ",,,2702.0,6802.0,7
RC,369,"Incision and drainage of penis, deep ",,,2702.0,8727.0,7
RC,369,"Incision and drainage of submucosal abscess, rectum ",,,2702.0,6802.0,7
RC,369,"Incision and drainage of thyroglossal duct cyst, infected ",,,1982.0,6802.0,7
RC,369,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,2702.0,8727.0,7
RC,369,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,2702.0,6802.0,7
RC,369,Incision and drainage of vulva or perineal abscess ,,,1423.0,6802.0,6
RC,369,"Incision and drainage, perianal abscess, superficial ",,,1982.0,6802.0,7
RC,369,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,2702.0,8577.0,4
RC,369,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,2702.0,8577.0,4
RC,369,"Incision of conjunctiva, drainage of cyst ",,,1982.0,6802.0,7
RC,369,Incision of labial frenum (frenotomy) ,,,1423.0,6802.0,7
RC,369,Incision of lingual frenum (frenotomy) ,,,1982.0,6802.0,7
RC,369,"Incision of thrombosed hemorrhoid, external ",,,1423.0,6802.0,7
RC,369,"Incision, anal septum (infant) ",,,2702.0,6802.0,7
RC,369,"Incision, drainage of lacrimal gland ",,,1982.0,6802.0,7
RC,369,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,1982.0,6802.0,7
RC,369,Incisional biopsy of eyelid skin including lid margin ,,,1423.0,6802.0,7
RC,369,Indexing for osteotomy ,,,8577.0,8577.0,1
RC,369,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,2702.0,8577.0,4
RC,369,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,2702.0,8577.0,4
RC,369,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,2702.0,8577.0,4
RC,369,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,2702.0,8577.0,4
RC,369,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,2702.0,8577.0,8
RC,369,"Induced abortion, by dilation and curettage ",,,2702.0,8727.0,7
RC,369,"Induced abortion, by dilation and evacuation ",,,2702.0,8727.0,7
RC,369,Induction of arrhythmia by electrical pacing ,,,6826.0,19105.0,4
RC,369,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,2702.0,8577.0,4
RC,369,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,2702.0,8577.0,4
RC,369,"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,2702.0,8577.0,4
RC,369,"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) ",,,2702.0,8727.0,7
RC,369,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,2702.0,83613.0,4
RC,369,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1423.0,3251.0,4
RC,369,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,1423.0,6802.0,7
RC,369,Injection of contrast medium for dacryocystography ,,,1423.0,6802.0,7
RC,369,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,1423.0,6802.0,7
RC,369,Injection of medication or other substance into Tenon's capsule ,,,1423.0,6802.0,7
RC,369,"Injection of sclerosing solution, hemorrhoids ",,,1982.0,6802.0,7
RC,369,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,4963.0,8727.0,7
RC,369,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,1423.0,6802.0,7
RC,369,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,1423.0,6802.0,7
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1423.0,12038.0,8
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1423.0,12038.0,8
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1423.0,12038.0,8
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1423.0,12038.0,8
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,2143.0,2143.0,1
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,2143.0,2143.0,1
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,2143.0,2143.0,1
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,2143.0,2143.0,1
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1423.0,12038.0,8
RC,369,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1423.0,12038.0,8
RC,369,Injection procedure for Peyronie disease; ,,,1423.0,6802.0,7
RC,369,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,2702.0,10719.0,7
RC,369,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1982.0,6802.0,14
RC,369,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,2702.0,8727.0,7
RC,369,"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and inte",,,1423.0,10719.0,14
RC,369,Injection procedure for corpora cavernosography ,,,1423.0,6802.0,7
RC,369,Injection procedure for cystography or voiding urethrocystography ,,,1423.0,6802.0,7
RC,369,"Injection procedure for discography, each level; cervical or thoracic ",,,1423.0,6802.0,7
RC,369,"Injection procedure for discography, each level; lumbar ",,,1423.0,6802.0,7
RC,369,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,2702.0,8577.0,4
RC,369,"Injection procedure for myelography and/or computed tomography, lumbar ",,,1423.0,6802.0,7
RC,369,Injection procedure for retrograde urethrocystography ,,,1423.0,6802.0,7
RC,369,Injection procedure for sacroiliac joint; arthrography ,,,1423.0,3251.0,4
RC,369,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1982.0,4009.0,4
RC,369,Injection procedure for sialography ,,,1423.0,6802.0,7
RC,369,Injection procedure for splenoportography ,,,1423.0,6802.0,7
RC,369,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,7
RC,369,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,1423.0,6802.0,7
RC,369,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1982.0,6802.0,7
RC,369,Injection procedure; lymphangiography ,,,1423.0,6802.0,7
RC,369,Injection procedure; radioactive tracer for identification of sentinel node ,,,1423.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,2702.0,8727.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,2702.0,6802.0,4
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2702.0,6802.0,4
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,1423.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,1423.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,1423.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,1982.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,1423.0,6802.0,7
RC,369,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,1423.0,6802.0,7
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,1423.0,6802.0,7
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,1982.0,6802.0,7
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,1423.0,6802.0,7
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,1423.0,6802.0,7
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,1982.0,6802.0,7
RC,369,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,1423.0,6802.0,7
RC,369,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1982.0,6802.0,28
RC,369,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1982.0,6802.0,28
RC,369,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,1982.0,6802.0,7
RC,369,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,1982.0,6802.0,7
RC,369,"Injection, anesthetic agent; sphenopalatine ganglion ",,,1423.0,6802.0,7
RC,369,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,1982.0,6802.0,7
RC,369,"Injection, anesthetic agent; superior hypogastric plexus ",,,1982.0,6802.0,7
RC,369,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,2702.0,6802.0,7
RC,369,"Injection, anterior chamber of eye (separate procedure); medication ",,,2702.0,6802.0,7
RC,369,"Injection, epidural, of blood or clot patch ",,,1982.0,6802.0,7
RC,369,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,2702.0,8727.0,7
RC,369,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,2702.0,8727.0,7
RC,369,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,1982.0,6802.0,7
RC,369,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,4009.0,8727.0,4
RC,369,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,369,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,369,Insertion of Heyman capsules for clinical brachytherapy ,,,4963.0,8727.0,7
RC,369,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,1982.0,6802.0,7
RC,369,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,1423.0,6802.0,7
RC,369,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,4963.0,13315.0,7
RC,369,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,7
RC,369,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,19295.0,19295.0,1
RC,369,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,1423.0,6802.0,7
RC,369,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,2702.0,7493.0,4
RC,369,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,7
RC,369,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,7
RC,369,Insertion of implants into the soft palate; minimum of three implants ,,,1982.0,5568.0,4
RC,369,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,2702.0,16982.0,11
RC,369,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Complex Surgery",,,11754.0,11754.0,2
RC,369,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,2702.0,8727.0,7
RC,369,Insertion of intrauterine device (IUD) ,,,1423.0,6802.0,7
RC,369,"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imagin",,,2702.0,15007.0,7
RC,369,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,4963.0,36087.0,7
RC,369,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,8577.0,8577.0,1
RC,369,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,8577.0,8577.0,1
RC,369,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,8577.0,8577.0,1
RC,369,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,2143.0,2143.0,1
RC,369,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,1423.0,6802.0,7
RC,369,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,2702.0,10719.0,7
RC,369,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,2702.0,10719.0,7
RC,369,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,2702.0,10719.0,7
RC,369,Insertion of penile prosthesis; inflatable (self-contained) ,,,4963.0,36087.0,7
RC,369,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,4963.0,36087.0,7
RC,369,Insertion of peritoneal-venous shunt ,,,2702.0,6802.0,7
RC,369,Insertion of pin-retained palatal prosthesis ,,,2702.0,6802.0,7
RC,369,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,10719.0,10719.0,1
RC,369,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,2702.0,8577.0,4
RC,369,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,7
RC,369,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,2702.0,23350.0,7
RC,369,Insertion of tandem cuff (dual cuff) ,,,2702.0,16982.0,11
RC,369,Insertion of tandem cuff (dual cuff) Complex Surgery,,,11754.0,11754.0,2
RC,369,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,1423.0,6802.0,7
RC,369,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,1423.0,6802.0,7
RC,369,Insertion of testicular prosthesis (separate procedure) ,,,2702.0,8727.0,7
RC,369,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,2702.0,8577.0,4
RC,369,"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract format",,,2702.0,19295.0,4
RC,369,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,2702.0,10719.0,7
RC,369,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,2702.0,10719.0,7
RC,369,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,2702.0,15007.0,7
RC,369,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1982.0,53068.0,7
RC,369,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,8577.0,57784.0,11
RC,369,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,2702.0,72171.0,11
RC,369,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Complex Surgery",,,11754.0,11754.0,2
RC,369,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,2702.0,72171.0,11
RC,369,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Complex Surgery",,,11754.0,11754.0,2
RC,369,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,2143.0,6802.0,4
RC,369,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,2702.0,19295.0,4
RC,369,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,4963.0,72171.0,13
RC,369,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,4963.0,72171.0,11
RC,369,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver Complex Surgery",,,11754.0,11754.0,2
RC,369,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,5568.0,5568.0,1
RC,369,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,1423.0,6802.0,7
RC,369,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,2702.0,8577.0,4
RC,369,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,2702.0,8577.0,4
RC,369,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,1423.0,6802.0,7
RC,369,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1423.0,3251.0,4
RC,369,Intersex surgery; female to male ,,,2702.0,6802.0,3
RC,369,Intersex surgery; male to female ,,,2702.0,6802.0,3
RC,369,Intestinal allotransplantation; from cadaver donor ,,,2702.0,8577.0,4
RC,369,Intestinal allotransplantation; from living donor ,,,2702.0,8577.0,4
RC,369,Intestinal plication (separate procedure) ,,,2702.0,8577.0,4
RC,369,"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction ",,,2702.0,8577.0,4
RC,369,Intra-atrial pacing ,,,6826.0,19105.0,4
RC,369,Intra-atrial recording ,,,6826.0,19105.0,4
RC,369,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,19105.0,4
RC,369,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,2702.0,8727.0,7
RC,369,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,1575.0,17341.0,6
RC,369,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,8
RC,369,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1423.0,17341.0,7
RC,369,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,369,Intraoperative colonic lavage (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,369,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,2143.0,2143.0,1
RC,369,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,2143.0,2143.0,1
RC,369,"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,2143.0,2143.0,1
RC,369,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,2143.0,2143.0,1
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual ",,,1982.0,6802.0,7
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space ",,,1423.0,6802.0,7
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid ",,,2702.0,8727.0,7
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial ",,,1423.0,6802.0,7
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space ",,,2702.0,6802.0,7
RC,369,"Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space ",,,2702.0,8727.0,7
RC,369,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1423.0,3251.0,8
RC,369,"Intravascular lithotripsy(ies), femoral and popliteal vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotri",,,2143.0,6802.0,5
RC,369,"Intravascular lithotripsy(ies), iliac vascular territory, including all imaging guidance and radiological supervision and interpretation necessary to perform the intravascular lithotripsy(ies) within ",,,2143.0,6802.0,5
RC,369,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (L",,,1423.0,6802.0,7
RC,369,"Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List sepa",,,1423.0,6802.0,7
RC,369,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,19105.0,4
RC,369,Intraventricular pacing ,,,6826.0,19105.0,4
RC,369,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,1423.0,6802.0,7
RC,369,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,1423.0,6802.0,7
RC,369,"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) ",,,1982.0,6802.0,7
RC,369,"Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,1982.0,23692.0,29
RC,369,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,2702.0,8727.0,7
RC,369,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,2702.0,8727.0,7
RC,369,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,2702.0,6802.0,7
RC,369,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,2702.0,6802.0,7
RC,369,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,2702.0,13315.0,7
RC,369,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,1982.0,6802.0,7
RC,369,Iridotomy by stab incision (separate procedure); except transfixion ,,,1423.0,6802.0,7
RC,369,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,2702.0,6802.0,7
RC,369,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,1982.0,6802.0,7
RC,369,Irrigation of corpora cavernosa for priapism ,,,1423.0,6802.0,7
RC,369,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,1423.0,6802.0,7
RC,369,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,11000.0,11000.0,1
RC,369,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,11000.0,11000.0,1
RC,369,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,11000.0,11000.0,1
RC,369,Keratomileusis ,,,2702.0,8727.0,7
RC,369,Keratophakia ,,,2702.0,7493.0,6
RC,369,Keratoplasty (corneal transplant); anterior lamellar ,,,2702.0,13315.0,7
RC,369,Keratoplasty (corneal transplant); endothelial ,,,2702.0,13315.0,7
RC,369,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,2702.0,13315.0,7
RC,369,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,2702.0,13315.0,7
RC,369,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,2702.0,13315.0,7
RC,369,Keratoprosthesis ,,,2702.0,15007.0,7
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,369,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,369,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,11000.0,11000.0,3
RC,369,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,11000.0,11000.0,1
RC,369,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11000.0,11000.0,1
RC,369,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,11000.0,11000.0,1
RC,369,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,369,Labyrinthectomy; transcanal ,,,2702.0,13315.0,7
RC,369,Labyrinthectomy; with mastoidectomy ,,,2702.0,13315.0,7
RC,369,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,2702.0,6802.0,7
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,4963.0,19295.0,7
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,4963.0,8577.0,4
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,4963.0,19295.0,7
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,4963.0,8577.0,4
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,4963.0,8577.0,4
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,4963.0,8577.0,4
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,4963.0,19295.0,7
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,4963.0,8577.0,4
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,4963.0,8577.0,4
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,4963.0,8577.0,4
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,4963.0,19295.0,7
RC,369,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,4963.0,8577.0,4
RC,369,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,4963.0,8577.0,4
RC,369,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,4963.0,19295.0,7
RC,369,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,4963.0,8577.0,4
RC,369,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,4963.0,8577.0,4
RC,369,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,4963.0,15007.0,4
RC,369,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,4963.0,8727.0,7
RC,369,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,4963.0,15007.0,4
RC,369,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,4963.0,15007.0,4
RC,369,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,4963.0,8577.0,4
RC,369,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,4963.0,8577.0,4
RC,369,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,4963.0,19295.0,7
RC,369,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,4963.0,72171.0,11
RC,369,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,4963.0,8577.0,4
RC,369,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,4963.0,8577.0,4
RC,369,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,4963.0,8577.0,4
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,4963.0,15007.0,7
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,4963.0,15007.0,7
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,4963.0,15007.0,7
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,4963.0,15007.0,7
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,4963.0,15007.0,7
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,4963.0,15007.0,7
RC,369,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,4963.0,15007.0,7
RC,369,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,4963.0,8577.0,4
RC,369,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,4963.0,15007.0,7
RC,369,Laminectomy with rhizotomy; 1 or 2 segments ,,,4963.0,19295.0,7
RC,369,Laminectomy with rhizotomy; more than 2 segments ,,,4963.0,19295.0,7
RC,369,Laminectomy with section of spinal accessory nerve ,,,4963.0,19295.0,7
RC,369,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1423.0,15007.0,28
RC,369,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,2143.0,6802.0,8
RC,369,"Laminectomy, with release of tethered spinal cord, lumbar ",,,4963.0,19295.0,7
RC,369,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,4963.0,8577.0,4
RC,369,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,4963.0,8577.0,4
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,15007.0,15007.0,1
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,4963.0,15007.0,7
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,4963.0,10719.0,14
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,4963.0,15007.0,7
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,4963.0,15007.0,7
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,4963.0,15007.0,11
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1423.0,6802.0,7
RC,369,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,4963.0,8577.0,4
RC,369,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,4963.0,15007.0,11
RC,369,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,369,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,4963.0,15007.0,11
RC,369,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,369,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,2702.0,13830.0,11
RC,369,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2702.0,19295.0,4
RC,369,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,2702.0,15007.0,4
RC,369,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,2702.0,15007.0,4
RC,369,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2702.0,15007.0,4
RC,369,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical ",,,2702.0,19295.0,11
RC,369,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency ",,,2702.0,19295.0,11
RC,369,"Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical, appendectomy ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical, appendectomy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis ",,,2702.0,8577.0,4
RC,369,"Laparoscopy, surgical, colostomy or skin level cecostomy ",,,2702.0,8577.0,4
RC,369,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,2702.0,15007.0,7
RC,369,"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) ",,,2702.0,15007.0,7
RC,369,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) ",,,4963.0,13830.0,8
RC,369,"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed ",,,4963.0,15007.0,7
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) ",,,2702.0,15007.0,7
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) ",,,2702.0,36598.0,6
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only ",,,2702.0,31841.0,6
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components ",,,2702.0,31841.0,6
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only ",,,2702.0,31841.0,6
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only ",,,2702.0,31841.0,6
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) ",,,2702.0,36598.0,6
RC,369,"Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption ",,,2702.0,36598.0,6
RC,369,"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ",,,2702.0,8577.0,4
RC,369,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,4963.0,13830.0,11
RC,369,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical, splenectomy ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical, splenectomy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,2702.0,18956.0,4
RC,369,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2702.0,18956.0,4
RC,369,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2702.0,18956.0,4
RC,369,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2702.0,18956.0,4
RC,369,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,4963.0,18956.0,4
RC,369,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,4963.0,13315.0,7
RC,369,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,4963.0,15007.0,7
RC,369,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,4963.0,18956.0,4
RC,369,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,4963.0,18956.0,8
RC,369,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,8
RC,369,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,4963.0,18956.0,8
RC,369,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,8
RC,369,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,4963.0,18956.0,8
RC,369,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,8
RC,369,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,4963.0,18956.0,8
RC,369,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,8
RC,369,"Laparoscopy, surgical; ablation of renal cysts ",,,4963.0,13830.0,11
RC,369,"Laparoscopy, surgical; ablation of renal cysts Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,4963.0,19295.0,11
RC,369,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; cholecystectomy ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; cholecystectomy with cholangiography ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; cholecystectomy with exploration of common duct ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; cholecystoenterostomy ",,,4963.0,11556.0,8
RC,369,"Laparoscopy, surgical; colectomy, partial, with anastomosis ",,,4963.0,13315.0,7
RC,369,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) ",,,4963.0,8577.0,4
RC,369,"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy ",,,4963.0,8577.0,4
RC,369,"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure) ",,,4963.0,8577.0,4
RC,369,"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy ",,,4963.0,8577.0,4
RC,369,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed ",,,2702.0,8577.0,4
RC,369,"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy ",,,2702.0,8577.0,4
RC,369,"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy ",,,4963.0,8577.0,4
RC,369,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,4963.0,13830.0,8
RC,369,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) ",,,4963.0,13315.0,7
RC,369,"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis ",,,4963.0,13315.0,7
RC,369,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube ",,,2702.0,8577.0,4
RC,369,"Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum ",,,2702.0,19295.0,7
RC,369,"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) ",,,2702.0,15007.0,7
RC,369,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,4963.0,13830.0,8
RC,369,"Laparoscopy, surgical; nephrectomy with total ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,4963.0,13830.0,8
RC,369,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; orchiectomy ",,,4963.0,15007.0,7
RC,369,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,4963.0,15007.0,7
RC,369,"Laparoscopy, surgical; partial nephrectomy ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; partial nephrectomy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when per",,,2702.0,8577.0,4
RC,369,"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy ",,,2702.0,8577.0,4
RC,369,"Laparoscopy, surgical; proctopexy (for prolapse) ",,,2702.0,10719.0,4
RC,369,"Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection ",,,2702.0,8577.0,4
RC,369,"Laparoscopy, surgical; pyeloplasty ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; pyeloplasty Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,4963.0,13830.0,8
RC,369,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; repair initial inguinal hernia ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; repair initial inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; repair recurrent inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum ",,,2702.0,13315.0,7
RC,369,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,4963.0,16982.0,11
RC,369,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; transection of vagus nerves, truncal ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; transection of vagus nerves, truncal Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; ureterolithotomy ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; ureterolithotomy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,4963.0,15007.0,7
RC,369,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,2702.0,13830.0,11
RC,369,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including ",,,4963.0,15007.0,10
RC,369,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,2702.0,13830.0,11
RC,369,"Laparoscopy, surgical; with biopsy (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,2702.0,13830.0,11
RC,369,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with fimbrioplasty ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; with fimbrioplasty Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,2702.0,13830.0,11
RC,369,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1423.0,13830.0,11
RC,369,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1423.0,13830.0,13
RC,369,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,2702.0,13830.0,11
RC,369,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,4963.0,15007.0,11
RC,369,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2702.0,15007.0,7
RC,369,"Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es) ",,,2702.0,6802.0,7
RC,369,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2820.0,5414.0,3
RC,369,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,10737.0,13315.0,3
RC,369,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,4963.0,13315.0,7
RC,369,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,2702.0,8577.0,4
RC,369,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,2702.0,8577.0,4
RC,369,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,4963.0,13315.0,7
RC,369,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,13374.0,13374.0,1
RC,369,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,369,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,369,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,12863.0,12863.0,1
RC,369,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,369,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,369,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,369,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,369,"Lengthening of palate, and pharyngeal flap ",,,2702.0,13315.0,7
RC,369,"Lengthening of palate, with island flap ",,,2702.0,13315.0,7
RC,369,"Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of de",,,4963.0,10719.0,7
RC,369,"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions ",,,4963.0,10719.0,7
RC,369,Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) ,,,2702.0,9539.0,7
RC,369,Ligation of common iliac vein ,,,2702.0,8577.0,4
RC,369,Ligation of femoral vein ,,,2702.0,10719.0,7
RC,369,Ligation of inferior vena cava ,,,2702.0,15007.0,7
RC,369,"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg ",,,2702.0,9539.0,7
RC,369,"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg ",,,4963.0,10719.0,7
RC,369,Ligation of peritoneal-venous shunt ,,,2702.0,6802.0,7
RC,369,Ligation or banding of angioaccess arteriovenous fistula ,,,2702.0,10719.0,7
RC,369,"Ligation or biopsy, temporal artery ",,,2702.0,6802.0,7
RC,369,Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation ,,,2702.0,8577.0,4
RC,369,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,2702.0,8577.0,4
RC,369,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,2702.0,6802.0,7
RC,369,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,2702.0,8727.0,7
RC,369,"Ligation salivary duct, intraoral ",,,2702.0,8727.0,7
RC,369,"Ligation, direct, esophageal varices ",,,2702.0,15007.0,7
RC,369,"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below ",,,4963.0,10719.0,7
RC,369,"Ligation, division, and stripping, short saphenous vein ",,,4963.0,10719.0,7
RC,369,"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg ",,,2702.0,10719.0,7
RC,369,"Ligation, internal jugular vein ",,,2702.0,9539.0,7
RC,369,"Ligation, major artery (eg, post-traumatic, rupture); abdomen ",,,2702.0,10719.0,4
RC,369,"Ligation, major artery (eg, post-traumatic, rupture); chest ",,,2702.0,8577.0,4
RC,369,"Ligation, major artery (eg, post-traumatic, rupture); extremity ",,,2702.0,8577.0,4
RC,369,"Ligation, major artery (eg, post-traumatic, rupture); neck ",,,2702.0,9539.0,7
RC,369,Ligation; external carotid artery ,,,2702.0,10719.0,7
RC,369,Ligation; internal or common carotid artery ,,,2702.0,10719.0,7
RC,369,"Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp ",,,2702.0,10719.0,7
RC,369,Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic ,,,2702.0,15007.0,4
RC,369,Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) ,,,2702.0,8577.0,4
RC,369,Limited pharyngectomy ,,,2702.0,13315.0,7
RC,369,Lingual frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,369,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,4963.0,15409.0,9
RC,369,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,4963.0,15409.0,9
RC,369,"Lithotripsy, extracorporeal shock wave ",,,2702.0,15409.0,6
RC,369,"Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age ",,,2702.0,8577.0,4
RC,369,"Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy ºPOEM») ",,,2702.0,7493.0,4
RC,369,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,369,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,369,Lymphangiotomy or other operations on lymphatic channels ,,,2702.0,8727.0,7
RC,369,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,2702.0,8727.0,7
RC,369,Lysis of labial adhesions ,,,2702.0,8727.0,7
RC,369,Lysis or excision of penile post-circumcision adhesions ,,,2702.0,8727.0,7
RC,369,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,369,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,11000.0,11000.0,1
RC,369,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,11000.0,11000.0,1
RC,369,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,11000.0,11000.0,1
RC,369,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,11000.0,11000.0,1
RC,369,MAJOR THUMB OR JOINT PROCEDURES ,,,11000.0,11000.0,1
RC,369,MEDIASTINOSCOPY INCL BIOPSY ,,,4963.0,4963.0,1
RC,369,MEDICAL BACK PROBLEMS WITH MCC ,,,11000.0,11000.0,1
RC,369,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,11000.0,11000.0,1
RC,369,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,2702.0,19295.0,4
RC,369,"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation ",,,2702.0,8577.0,4
RC,369,"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver ",,,2702.0,8577.0,4
RC,369,Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing ,,,2702.0,8577.0,4
RC,369,Management of liver hemorrhage; simple suture of liver wound or injury ,,,2702.0,8577.0,4
RC,369,Management of recipient hematopoietic progenitor cell donor search and cell acquisition ,,,2702.0,6802.0,3
RC,369,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,1423.0,6802.0,7
RC,369,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,7
RC,369,Marsupialization of Bartholin's gland cyst ,,,2702.0,8727.0,7
RC,369,Marsupialization of cyst or abscess of liver ,,,2702.0,8577.0,4
RC,369,Marsupialization of odontogenic cyst ,,,8577.0,8577.0,1
RC,369,Marsupialization of pancreatic cyst ,,,2702.0,8577.0,4
RC,369,Marsupialization of sublingual salivary cyst (ranula) ,,,2702.0,8727.0,7
RC,369,"Marsupialization of urethral diverticulum, male or female ",,,2702.0,10719.0,7
RC,369,Mastoid obliteration (separate procedure) ,,,4963.0,13315.0,7
RC,369,Mastoidectomy; complete ,,,2702.0,8727.0,7
RC,369,Mastoidectomy; modified radical ,,,2702.0,13315.0,7
RC,369,Mastoidectomy; radical ,,,2702.0,13315.0,7
RC,369,Maxillary guidance prosthesis with guide flange ,,,8577.0,8577.0,1
RC,369,Maxillary guidance prosthesis without guide flange ,,,8577.0,8577.0,1
RC,369,Maxillary impression for palatal prosthesis ,,,1423.0,6802.0,7
RC,369,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,1423.0,6802.0,7
RC,369,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,2702.0,8727.0,7
RC,369,"Meatotomy, cutting of meatus (separate procedure); infant ",,,2702.0,8727.0,7
RC,369,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,1982.0,6802.0,7
RC,369,"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed ",,,2702.0,13315.0,7
RC,369,"Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) ",,,2702.0,13315.0,7
RC,369,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach ",,,2702.0,8577.0,4
RC,369,"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy ",,,2702.0,8577.0,4
RC,369,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,Middle ear exploration through postauricular or ear canal incision ,,,2702.0,8727.0,7
RC,369,Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) ,,,2702.0,8577.0,4
RC,369,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,2702.0,8727.0,7
RC,369,Multifetal pregnancy reduction(s) (MPR) ,,,1423.0,6802.0,7
RC,369,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,2702.0,8727.0,7
RC,369,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1982.0,6802.0,7
RC,369,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1982.0,6802.0,7
RC,369,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1982.0,6802.0,7
RC,369,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1982.0,6802.0,7
RC,369,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,2702.0,10719.0,7
RC,369,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,2702.0,8727.0,7
RC,369,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,2702.0,10719.0,7
RC,369,Myringoplasty (surgery confined to drumhead and donor area) ,,,2702.0,8727.0,7
RC,369,Myringotomy including aspiration and/or eustachian tube inflation ,,,1423.0,6802.0,7
RC,369,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,2702.0,6802.0,7
RC,369,"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report) ",,,1423.0,6802.0,7
RC,369,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,2702.0,12863.0,4
RC,369,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,2702.0,12863.0,4
RC,369,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,1423.0,6802.0,7
RC,369,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,2702.0,8577.0,4
RC,369,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,2702.0,8577.0,4
RC,369,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,2702.0,8577.0,4
RC,369,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,2702.0,8577.0,4
RC,369,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,2702.0,8577.0,4
RC,369,"Nephrectomy, partial ",,,2702.0,8577.0,4
RC,369,Nephrolithotomy; complicated by congenital kidney abnormality ,,,2702.0,8577.0,4
RC,369,Nephrolithotomy; removal of calculus ,,,2702.0,8577.0,4
RC,369,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,2702.0,8577.0,4
RC,369,Nephrolithotomy; secondary surgical operation for calculus ,,,2702.0,8577.0,4
RC,369,"Nephrorrhaphy, suture of kidney wound or injury ",,,2702.0,8577.0,4
RC,369,"Nephrostomy, nephrotomy with drainage ",,,2702.0,8727.0,7
RC,369,"Nephrotomy, with exploration ",,,2702.0,8577.0,4
RC,369,Nerve dissection ,,,8577.0,8577.0,1
RC,369,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,2702.0,12863.0,7
RC,369,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,2702.0,12863.0,7
RC,369,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,2702.0,12863.0,7
RC,369,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,2702.0,12863.0,7
RC,369,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,2702.0,12863.0,7
RC,369,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,2702.0,12863.0,7
RC,369,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,2702.0,12863.0,7
RC,369,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,2702.0,12863.0,7
RC,369,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,2702.0,12863.0,7
RC,369,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,2702.0,12863.0,7
RC,369,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,Nerve pedicle transfer; first stage ,,,2702.0,12863.0,7
RC,369,Nerve pedicle transfer; second stage ,,,2702.0,12863.0,7
RC,369,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,2702.0,12863.0,7
RC,369,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,2143.0,6802.0,4
RC,369,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,2702.0,12863.0,4
RC,369,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,2702.0,12863.0,7
RC,369,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,2702.0,8577.0,4
RC,369,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,2702.0,8577.0,4
RC,369,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,2702.0,8577.0,4
RC,369,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,2702.0,8577.0,4
RC,369,Neuroplasty and/or transposition; cranial nerve (specify) ,,,2702.0,8727.0,7
RC,369,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,4963.0,8727.0,7
RC,369,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,2702.0,8727.0,7
RC,369,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,2702.0,8727.0,7
RC,369,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,2702.0,8727.0,7
RC,369,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,2702.0,8727.0,7
RC,369,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,2702.0,8727.0,7
RC,369,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,2702.0,8727.0,7
RC,369,"Neuroplasty; digital, 1 or both, same digit ",,,2702.0,8727.0,7
RC,369,Neuroplasty; nerve of hand or foot ,,,2702.0,8727.0,7
RC,369,Nocturnal penile tumescence and/or rigidity test ,,,1423.0,6802.0,7
RC,369,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,83613.0,5
RC,369,OSTEOMYELITIS WITH CC ,,,11000.0,11000.0,1
RC,369,OSTEOMYELITIS WITH MCC ,,,11000.0,11000.0,1
RC,369,OSTEOMYELITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,369,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,11000.0,11000.0,1
RC,369,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,11000.0,11000.0,1
RC,369,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,369,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,369,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,369,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,11000.0,11000.0,1
RC,369,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,11000.0,11000.0,1
RC,369,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,2702.0,8577.0,4
RC,369,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,2702.0,8727.0,7
RC,369,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,2702.0,10719.0,7
RC,369,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,2702.0,10719.0,7
RC,369,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,2702.0,13315.0,7
RC,369,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,2702.0,8577.0,4
RC,369,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,2702.0,12863.0,4
RC,369,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,2702.0,7493.0,4
RC,369,"Oophorectomy, partial or total, unilateral or bilateral; ",,,2702.0,10719.0,7
RC,369,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,2702.0,10719.0,7
RC,369,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,8577.0,8577.0,1
RC,369,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4963.0,72171.0,11
RC,369,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,369,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,8577.0,8577.0,1
RC,369,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,4963.0,30016.0,8
RC,369,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,369,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,8577.0,8577.0,1
RC,369,Open implantation of neurostimulator electrode array; neuromuscular ,,,4963.0,72171.0,11
RC,369,Open implantation of neurostimulator electrode array; neuromuscular Complex Surgery,,,11754.0,11754.0,2
RC,369,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4963.0,72171.0,11
RC,369,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,369,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,4963.0,19295.0,11
RC,369,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Complex Surgery,,,11754.0,11754.0,2
RC,369,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,15007.0,15007.0,1
RC,369,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,15007.0,15007.0,1
RC,369,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,15007.0,15007.0,1
RC,369,"Operculectomy, excision pericoronal tissues ",,,1982.0,6802.0,7
RC,369,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,5360.0,8727.0,4
RC,369,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,5360.0,8727.0,4
RC,369,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,2702.0,10719.0,7
RC,369,Orbital implant (implant outside muscle cone); insertion ,,,2702.0,10719.0,7
RC,369,Orbital implant (implant outside muscle cone); removal or revision ,,,2702.0,10719.0,7
RC,369,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,2702.0,8577.0,4
RC,369,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,2702.0,8577.0,4
RC,369,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,2702.0,8577.0,4
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,2702.0,10719.0,7
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,2702.0,10719.0,7
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,2702.0,10719.0,7
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,2702.0,10719.0,7
RC,369,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,2702.0,10719.0,7
RC,369,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,2702.0,10719.0,7
RC,369,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,2702.0,8727.0,7
RC,369,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,2702.0,10719.0,7
RC,369,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,2702.0,8727.0,7
RC,369,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,2702.0,8727.0,7
RC,369,"Orchiectomy, partial ",,,2702.0,8727.0,7
RC,369,"Orchiectomy, radical, for tumor; inguinal approach ",,,2702.0,10719.0,7
RC,369,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,2702.0,10719.0,7
RC,369,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,2702.0,10719.0,7
RC,369,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,2702.0,10719.0,7
RC,369,"Orchiopexy, inguinal or scrotal approach ",,,2702.0,10719.0,7
RC,369,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,4963.0,8577.0,4
RC,369,"Other cranial decompression, posterior fossa ",,,2702.0,8577.0,4
RC,369,Otolaryngologic examination under general anesthesia ,,,1423.0,3251.0,4
RC,369,"Otoplasty, protruding ear, with or without size reduction ",,,2702.0,8727.0,7
RC,369,"Ovarian cystectomy, unilateral or bilateral ",,,2702.0,10719.0,7
RC,369,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,11000.0,11000.0,1
RC,369,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,369,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,11000.0,11000.0,3
RC,369,"Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) ",,,4963.0,8727.0,7
RC,369,"Palatoplasty for cleft palate, soft and/or hard palate only ",,,2702.0,13315.0,7
RC,369,"Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only ",,,2702.0,13315.0,7
RC,369,"Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) ",,,2702.0,13315.0,7
RC,369,Palatoplasty for cleft palate; attachment pharyngeal flap ,,,2702.0,13315.0,7
RC,369,Palatoplasty for cleft palate; major revision ,,,2702.0,13315.0,7
RC,369,Palatoplasty for cleft palate; secondary lengthening procedure ,,,2702.0,13315.0,7
RC,369,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,2702.0,8577.0,4
RC,369,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,2702.0,8577.0,4
RC,369,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,2702.0,8577.0,4
RC,369,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,2702.0,8577.0,4
RC,369,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,2702.0,8577.0,4
RC,369,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,2702.0,8577.0,4
RC,369,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,2702.0,8577.0,4
RC,369,"Pancreatectomy, total ",,,2702.0,8577.0,4
RC,369,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,2702.0,8577.0,4
RC,369,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,2702.0,8577.0,4
RC,369,Pancreatorrhaphy for injury ,,,2702.0,8577.0,4
RC,369,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,1423.0,6802.0,7
RC,369,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,2702.0,8727.0,7
RC,369,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,2702.0,8727.0,7
RC,369,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,369,Parathyroidectomy or exploration of parathyroid(s); ,,,2702.0,13315.0,7
RC,369,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,2702.0,13315.0,7
RC,369,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,2702.0,8577.0,4
RC,369,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,2702.0,15007.0,7
RC,369,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,4963.0,13315.0,7
RC,369,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,4963.0,13315.0,7
RC,369,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,1982.0,6802.0,7
RC,369,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,1423.0,6802.0,7
RC,369,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,1982.0,6802.0,7
RC,369,"Parotid duct diversion, bilateral (Wilke type procedure); ",,,2702.0,13315.0,7
RC,369,"Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands ",,,2702.0,13315.0,7
RC,369,"Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts ",,,2702.0,13315.0,7
RC,369,"Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction ",,,2702.0,8577.0,4
RC,369,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including ",,,2702.0,8577.0,4
RC,369,"Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor ",,,2702.0,8577.0,4
RC,369,"Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty ",,,2702.0,8577.0,4
RC,369,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, prepa",,,2702.0,8577.0,4
RC,369,"Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty ",,,2702.0,8577.0,4
RC,369,Partial extraction for immediate implant replacement ,,,8577.0,8577.0,1
RC,369,Partial hymenectomy or revision of hymenal ring ,,,2702.0,8727.0,7
RC,369,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2702.0,15007.0,7
RC,369,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2702.0,15007.0,7
RC,369,Pelvic examination under anesthesia (other than local) ,,,2702.0,8727.0,7
RC,369,"Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or withou",,,2702.0,8577.0,4
RC,369,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,4963.0,8577.0,4
RC,369,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,2702.0,8577.0,4
RC,369,"Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure) ",,,2702.0,8577.0,4
RC,369,Penile plethysmography ,,,1423.0,6802.0,7
RC,369,"Penile revascularization, artery, with or without vein graft ",,,2702.0,8577.0,4
RC,369,Penile venous occlusive procedure ,,,2702.0,10719.0,7
RC,369,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2702.0,8577.0,4
RC,369,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,1982.0,6802.0,7
RC,369,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,1982.0,6802.0,7
RC,369,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,19105.0,4
RC,369,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,19105.0,4
RC,369,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,19105.0,4
RC,369,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,8577.0,8577.0,1
RC,369,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,8577.0,8577.0,1
RC,369,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,4963.0,6802.0,3
RC,369,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,8577.0,8577.0,1
RC,369,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,4963.0,72171.0,11
RC,369,"Percutaneous implantation of neurostimulator electrode array, epidural Complex Surgery",,,11754.0,11754.0,2
RC,369,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,4963.0,72171.0,11
RC,369,Percutaneous implantation of neurostimulator electrode array; cranial nerve Complex Surgery,,,11754.0,11754.0,2
RC,369,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4963.0,72171.0,11
RC,369,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,369,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,4963.0,72171.0,11
RC,369,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed Complex Surgery",,,11754.0,11754.0,2
RC,369,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,1982.0,8727.0,14
RC,369,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,2702.0,15409.0,12
RC,369,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,8577.0,8577.0,1
RC,369,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7583.0,10719.0,4
RC,369,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,31841.0,4
RC,369,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,31841.0,4
RC,369,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,369,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,369,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,369,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,15124.0,30016.0,6
RC,369,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,369,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,369,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,15124.0,30016.0,6
RC,369,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,369,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,369,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,24657.0,7
RC,369,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,369,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,31841.0,8
RC,369,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,31841.0,8
RC,369,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19295.0,23692.0,5
RC,369,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,17341.0,6
RC,369,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,17341.0,4
RC,369,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,369,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,8577.0,8577.0,1
RC,369,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,8577.0,8577.0,1
RC,369,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,8577.0,23692.0,5
RC,369,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,6
RC,369,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,369,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,17341.0,6
RC,369,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,369,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,31841.0,8
RC,369,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,369,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,17341.0,6
RC,369,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,17341.0,17341.0,2
RC,369,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,2143.0,17341.0,4
RC,369,"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angi",,,2702.0,23692.0,29
RC,369,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance ",,,2702.0,15007.0,7
RC,369,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,8577.0,8577.0,1
RC,369,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during cours",,,2702.0,13315.0,7
RC,369,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,8
RC,369,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,8
RC,369,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,31841.0,8
RC,369,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,31841.0,8
RC,369,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,31841.0,16
RC,369,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,17341.0,6
RC,369,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,31841.0,8
RC,369,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,31841.0,16
RC,369,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,31841.0,14
RC,369,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,8577.0,8577.0,1
RC,369,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,8577.0,8577.0,1
RC,369,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,8577.0,8577.0,1
RC,369,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,8577.0,8577.0,1
RC,369,"Pereyra procedure, including anterior colporrhaphy ",,,4963.0,10719.0,7
RC,369,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,8577.0,8577.0,1
RC,369,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,8577.0,8577.0,1
RC,369,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,2702.0,8727.0,7
RC,369,Periodontal mucosal grafting ,,,2702.0,8727.0,7
RC,369,Perirectal injection of sclerosing solution for prolapse ,,,1423.0,6802.0,7
RC,369,"Peritoneal lavage, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,369,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2702.0,19295.0,4
RC,369,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,2143.0,6802.0,4
RC,369,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,2702.0,7493.0,4
RC,369,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,2702.0,7493.0,4
RC,369,Petrous apicectomy including radical mastoidectomy ,,,2702.0,13315.0,7
RC,369,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1423.0,3251.0,4
RC,369,Pharyngoesophageal repair ,,,2702.0,8577.0,4
RC,369,Pharyngoplasty (plastic or reconstructive operation on pharynx) ,,,2702.0,8727.0,7
RC,369,"Pharyngostomy (fistulization of pharynx, external for feeding) ",,,2702.0,8727.0,7
RC,369,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1423.0,3251.0,4
RC,369,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1423.0,3251.0,4
RC,369,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1423.0,3251.0,4
RC,369,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,2143.0,2143.0,1
RC,369,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1423.0,3251.0,4
RC,369,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1423.0,3251.0,4
RC,369,"Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when per",,,2702.0,10719.0,7
RC,369,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1423.0,6802.0,7
RC,369,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,2702.0,10719.0,7
RC,369,Placement of amniotic membrane on the ocular surface; without sutures ,,,1982.0,6802.0,7
RC,369,"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervi",,,2702.0,10719.0,14
RC,369,Placement of choledochal stent ,,,2702.0,8577.0,4
RC,369,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,2702.0,8577.0,4
RC,369,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,2702.0,8577.0,4
RC,369,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1982.0,4009.0,4
RC,369,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,2702.0,8577.0,4
RC,369,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,2702.0,6802.0,7
RC,369,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,2702.0,6802.0,7
RC,369,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,2702.0,10719.0,7
RC,369,"Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application ",,,2702.0,8727.0,7
RC,369,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,2702.0,8727.0,7
RC,369,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,2702.0,8727.0,7
RC,369,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1423.0,3251.0,4
RC,369,Placement of seton ,,,2702.0,8727.0,7
RC,369,"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter re",,,2702.0,15007.0,21
RC,369,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,2702.0,10719.0,21
RC,369,"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) ",,,2702.0,6802.0,4
RC,369,Plastic operation of penis for injury ,,,4963.0,10719.0,7
RC,369,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,2702.0,13315.0,7
RC,369,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,2702.0,13315.0,7
RC,369,Plastic operation on penis for epispadias distal to external sphincter; ,,,2702.0,10719.0,7
RC,369,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2702.0,13315.0,7
RC,369,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,2702.0,10719.0,7
RC,369,Plastic operation on penis to correct angulation ,,,2702.0,13315.0,7
RC,369,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,4963.0,13315.0,7
RC,369,Plastic repair of canaliculi ,,,2702.0,8727.0,7
RC,369,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages ",,,2702.0,13315.0,7
RC,369,"Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure ",,,2702.0,13315.0,7
RC,369,"Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral ",,,2702.0,13315.0,7
RC,369,"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure ",,,2702.0,13315.0,7
RC,369,"Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle ",,,2702.0,13315.0,7
RC,369,Plastic repair of introitus ,,,2702.0,8727.0,7
RC,369,"Plastic repair of salivary duct, sialodochoplasty; primary or simple ",,,2702.0,8727.0,7
RC,369,"Plastic repair of salivary duct, sialodochoplasty; secondary or complicated ",,,2702.0,13315.0,7
RC,369,Plastic repair of urethrocele ,,,4963.0,8727.0,7
RC,369,"Portoenterostomy (eg, Kasai procedure) ",,,2702.0,8577.0,4
RC,369,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,4963.0,10719.0,7
RC,369,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,1423.0,6802.0,7
RC,369,Postpartum care only (separate procedure) ,,,2702.0,6802.0,3
RC,369,"Preparation of fecal microbiota for instillation, including assessment of donor specimen ",,,2702.0,6802.0,3
RC,369,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,2702.0,8577.0,4
RC,369,"Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombo",,,1423.0,15007.0,14
RC,369,"Probing of lacrimal canaliculi, with or without irrigation ",,,1423.0,6802.0,7
RC,369,"Probing of nasolacrimal duct, with or without irrigation; ",,,1423.0,6802.0,7
RC,369,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,2702.0,8727.0,7
RC,369,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,2702.0,8727.0,7
RC,369,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,2702.0,8727.0,7
RC,369,"Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed ",,,2702.0,8577.0,4
RC,369,"Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) ",,,2702.0,8577.0,4
RC,369,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) ",,,2702.0,8577.0,4
RC,369,"Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies ",,,2702.0,8577.0,4
RC,369,"Proctectomy, partial, with anastomosis; abdominal and transsacral approach ",,,2702.0,8577.0,4
RC,369,"Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) ",,,2702.0,8577.0,4
RC,369,"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy ",,,2702.0,8577.0,4
RC,369,"Proctectomy, partial, without anastomosis, perineal approach ",,,2702.0,15007.0,6
RC,369,"Proctectomy; complete, combined abdominoperineal, with colostomy ",,,2702.0,8577.0,4
RC,369,"Proctectomy; partial resection of rectum, transabdominal approach ",,,2702.0,8577.0,4
RC,369,"Proctopexy (eg, for prolapse); abdominal approach ",,,2702.0,8577.0,4
RC,369,"Proctopexy (eg, for prolapse); perineal approach ",,,2702.0,10719.0,7
RC,369,"Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach ",,,2702.0,8577.0,4
RC,369,Proctoplasty; for prolapse of mucous membrane ,,,2702.0,10719.0,7
RC,369,Proctoplasty; for stenosis ,,,2702.0,8727.0,7
RC,369,"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,1982.0,6802.0,7
RC,369,"Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser) ",,,2702.0,7493.0,6
RC,369,"Proctosigmoidoscopy, rigid; with biopsy, single or multiple ",,,2702.0,6802.0,7
RC,369,"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) ",,,2702.0,6802.0,7
RC,369,"Proctosigmoidoscopy, rigid; with decompression of volvulus ",,,2702.0,8727.0,7
RC,369,"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) ",,,2702.0,6802.0,6
RC,369,"Proctosigmoidoscopy, rigid; with removal of foreign body ",,,2702.0,8727.0,7
RC,369,"Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique ",,,2702.0,6802.0,7
RC,369,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery ",,,2702.0,6802.0,7
RC,369,"Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique ",,,2702.0,6802.0,7
RC,369,"Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) ",,,2702.0,10719.0,7
RC,369,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,369,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,1423.0,13830.0,11
RC,369,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,1982.0,13830.0,11
RC,369,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,369,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,2702.0,8577.0,4
RC,369,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,2702.0,8577.0,4
RC,369,"Prostatectomy, perineal radical; ",,,2702.0,8577.0,4
RC,369,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,8577.0,4
RC,369,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,8577.0,4
RC,369,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,2702.0,8577.0,4
RC,369,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,2702.0,8577.0,4
RC,369,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,8577.0,4
RC,369,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,8577.0,4
RC,369,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,2702.0,7493.0,6
RC,369,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,2702.0,8727.0,7
RC,369,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,1982.0,6802.0,7
RC,369,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,1982.0,6802.0,7
RC,369,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,2702.0,10719.0,4
RC,369,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,2702.0,10719.0,2
RC,369,"Pyelotomy; with drainage, pyelostomy ",,,2702.0,8577.0,4
RC,369,Pyelotomy; with exploration ,,,2702.0,8577.0,4
RC,369,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,2702.0,8577.0,4
RC,369,"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) ",,,2702.0,8577.0,4
RC,369,Pyloroplasty ,,,2702.0,8577.0,4
RC,369,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,369,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,7583.0,9539.0,3
RC,369,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,9539.0,3
RC,369,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,9539.0,3
RC,369,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,5360.0,8727.0,3
RC,369,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,9539.0,3
RC,369,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,9539.0,3
RC,369,REPAIR SPIGELIAN HERNIA ,,,7583.0,9539.0,3
RC,369,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,369,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,7583.0,9539.0,3
RC,369,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,369,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,7583.0,9539.0,3
RC,369,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,3
RC,369,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,10737.0,13315.0,3
RC,369,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,369,REVISION OF MAJOR VEIN ,,,4963.0,4963.0,1
RC,369,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,369,Radial keratotomy ,,,2702.0,8727.0,7
RC,369,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,8577.0,4
RC,369,Radical excision external auditory canal lesion; with neck dissection ,,,2702.0,8577.0,4
RC,369,Radical excision external auditory canal lesion; without neck dissection ,,,2702.0,8727.0,7
RC,369,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) ",,,2702.0,13315.0,7
RC,369,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap ",,,2702.0,8577.0,4
RC,369,"Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure ",,,2702.0,8727.0,7
RC,369,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,2702.0,8577.0,4
RC,369,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2702.0,7493.0,4
RC,369,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,2702.0,8577.0,4
RC,369,Recipient nephrectomy (separate procedure) ,,,2702.0,8577.0,4
RC,369,"Reconstruction external auditory canal for congenital atresia, single stage ",,,2702.0,13315.0,7
RC,369,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,2702.0,13315.0,7
RC,369,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,2702.0,8727.0,7
RC,369,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,2702.0,8727.0,7
RC,369,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,2702.0,10719.0,7
RC,369,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,2702.0,8727.0,7
RC,369,"Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis ",,,2702.0,8577.0,4
RC,369,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,2143.0,2143.0,1
RC,369,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1423.0,3251.0,3
RC,369,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,2702.0,8577.0,4
RC,369,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,2702.0,8577.0,4
RC,369,Reduction of overcorrection of ptosis ,,,2702.0,8727.0,7
RC,369,Reduction of procidentia (separate procedure) under anesthesia ,,,1982.0,6802.0,7
RC,369,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,2702.0,8727.0,7
RC,369,"Reduction of volvulus, intussusception, internal hernia, by laparotomy ",,,2702.0,8577.0,4
RC,369,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1423.0,3251.0,4
RC,369,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1423.0,3251.0,4
RC,369,Reinsertion of ocular implant; with or without conjunctival graft ,,,2702.0,10719.0,7
RC,369,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,2702.0,10719.0,7
RC,369,Release of encircling material (posterior segment) ,,,4963.0,13830.0,11
RC,369,Release of encircling material (posterior segment) Complex Surgery,,,11754.0,11754.0,2
RC,369,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,2702.0,8727.0,7
RC,369,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2702.0,8727.0,7
RC,369,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,2702.0,8727.0,7
RC,369,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2702.0,7493.0,7
RC,369,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1982.0,7493.0,7
RC,369,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,4963.0,36087.0,7
RC,369,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1423.0,36087.0,7
RC,369,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,2702.0,6802.0,7
RC,369,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,8577.0,8577.0,1
RC,369,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,2702.0,24657.0,7
RC,369,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,1982.0,6802.0,7
RC,369,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,4963.0,36087.0,7
RC,369,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1982.0,36087.0,7
RC,369,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,2702.0,8727.0,7
RC,369,Removal foreign body from external auditory canal; with general anesthesia ,,,2702.0,8727.0,7
RC,369,Removal foreign body from external auditory canal; without general anesthesia ,,,1423.0,6802.0,7
RC,369,"Removal impacted cerumen requiring instrumentation, unilateral ",,,1423.0,6802.0,7
RC,369,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,1423.0,6802.0,7
RC,369,"Removal of Thiersch wire or suture, anal canal ",,,2702.0,6802.0,7
RC,369,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,4963.0,10719.0,7
RC,369,Removal of an indirect restoration on a natural tooth ,,,8577.0,8577.0,1
RC,369,"Removal of anal seton, other marker ",,,1982.0,6802.0,7
RC,369,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,2702.0,10719.0,4
RC,369,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,2702.0,10719.0,4
RC,369,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,2702.0,10719.0,4
RC,369,"Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidan",,,1982.0,6802.0,7
RC,369,"Removal of blood clot, anterior segment of eye ",,,2702.0,8727.0,7
RC,369,Removal of bone flap or prosthetic plate of skull ,,,2702.0,8577.0,4
RC,369,"Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging ",,,1423.0,6802.0,7
RC,369,Removal of cerclage suture under anesthesia (other than local) ,,,2702.0,10719.0,7
RC,369,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,2702.0,8577.0,4
RC,369,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,2702.0,6802.0,7
RC,369,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,2702.0,8727.0,7
RC,369,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,1982.0,6802.0,7
RC,369,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4963.0,10719.0,7
RC,369,Removal of embedded foreign body from dentoalveolar structures; bone ,,,2702.0,6802.0,7
RC,369,Removal of embedded foreign body from dentoalveolar structures; soft tissues ,,,2702.0,8727.0,7
RC,369,"Removal of embedded foreign body, eyelid ",,,1423.0,6802.0,7
RC,369,"Removal of embedded foreign body, vestibule of mouth; complicated ",,,2143.0,8727.0,7
RC,369,"Removal of embedded foreign body, vestibule of mouth; simple ",,,1423.0,6802.0,7
RC,369,Removal of entire lumbosubarachnoid shunt system without replacement ,,,2702.0,8727.0,7
RC,369,"Removal of epithelial downgrowth, anterior chamber of eye ",,,2702.0,8727.0,7
RC,369,Removal of esophageal sphincter augmentation device ,,,4963.0,15007.0,11
RC,369,Removal of esophageal sphincter augmentation device Complex Surgery,,,11754.0,11754.0,2
RC,369,Removal of fecal impaction or foreign body (separate procedure) under anesthesia ,,,2702.0,6802.0,7
RC,369,Removal of foreign body from pharynx ,,,1423.0,6802.0,7
RC,369,Removal of foreign body in scrotum ,,,2702.0,8727.0,7
RC,369,"Removal of foreign body or dacryolith, lacrimal passages ",,,1423.0,6802.0,7
RC,369,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,1423.0,6802.0,7
RC,369,"Removal of foreign body, external eye; conjunctival superficial ",,,1423.0,6802.0,7
RC,369,"Removal of foreign body, external eye; corneal, with slit lamp ",,,1423.0,6802.0,7
RC,369,"Removal of foreign body, external eye; corneal, without slit lamp ",,,1423.0,6802.0,7
RC,369,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,2702.0,8727.0,7
RC,369,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,1423.0,6802.0,7
RC,369,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,2702.0,8727.0,7
RC,369,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,8577.0,8577.0,1
RC,369,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,4963.0,13830.0,8
RC,369,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,369,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,369,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1423.0,3251.0,4
RC,369,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,2702.0,8727.0,7
RC,369,Removal of implant body not requiring bone removal nor flap elevation ,,,8577.0,8577.0,1
RC,369,"Removal of implanted material, anterior segment of eye ",,,2702.0,8727.0,7
RC,369,"Removal of implanted material, posterior segment; extraocular ",,,4963.0,13830.0,11
RC,369,"Removal of implanted material, posterior segment; extraocular Complex Surgery",,,11754.0,11754.0,2
RC,369,"Removal of implanted material, posterior segment; intraocular ",,,4963.0,13830.0,11
RC,369,"Removal of implanted material, posterior segment; intraocular Complex Surgery",,,11754.0,11754.0,2
RC,369,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2702.0,15007.0,7
RC,369,Removal of intrauterine device (IUD) ,,,1423.0,6802.0,7
RC,369,"Removal of lens material; aspiration technique, 1 or more stages ",,,2702.0,8727.0,7
RC,369,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,2702.0,6802.0,7
RC,369,Removal of lens material; intracapsular ,,,2702.0,8727.0,7
RC,369,"Removal of lens material; intracapsular, for dislocated lens ",,,2702.0,8727.0,7
RC,369,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,2702.0,13315.0,7
RC,369,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,2702.0,8727.0,7
RC,369,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,1982.0,6802.0,7
RC,369,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,369,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,4963.0,10719.0,7
RC,369,Removal of non-resorbable barrier ,,,8577.0,8577.0,1
RC,369,Removal of ocular implant ,,,2702.0,10719.0,7
RC,369,Removal of pancreatic calculus ,,,2702.0,8577.0,4
RC,369,Removal of peritoneal foreign body from peritoneal cavity ,,,2702.0,10719.0,7
RC,369,Removal of peritoneal-venous shunt ,,,2702.0,10719.0,7
RC,369,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,8577.0,8577.0,1
RC,369,Removal of previously implanted intrathecal or epidural catheter ,,,2702.0,8727.0,7
RC,369,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,2702.0,8727.0,7
RC,369,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,2702.0,10719.0,4
RC,369,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4963.0,8727.0,7
RC,369,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4963.0,10719.0,7
RC,369,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,2702.0,10719.0,7
RC,369,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,8577.0,8577.0,1
RC,369,Removal of temporary anchorage device without flap ,,,8577.0,8577.0,1
RC,369,"Removal of temporary anchorage device, requiring flap ",,,8577.0,8577.0,1
RC,369,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,2143.0,6802.0,4
RC,369,"Removal of transplanted intestinal allograft, complete ",,,2702.0,8577.0,4
RC,369,Removal of transplanted pancreatic allograft ,,,2702.0,6802.0,3
RC,369,Removal of transplanted renal allograft ,,,2702.0,8577.0,4
RC,369,"Removal of tumor, temporal bone ",,,2702.0,13315.0,7
RC,369,Removal of tunneled intraperitoneal catheter ,,,2702.0,10719.0,7
RC,369,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,4963.0,8727.0,7
RC,369,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,4963.0,8727.0,7
RC,369,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,2702.0,13315.0,7
RC,369,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,2702.0,10719.0,7
RC,369,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,4963.0,10719.0,7
RC,369,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,369,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,2702.0,10719.0,4
RC,369,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,2702.0,10719.0,4
RC,369,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,10719.0,4
RC,369,Remove interim implant component ,,,8577.0,8577.0,1
RC,369,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,2702.0,8577.0,4
RC,369,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,2702.0,8577.0,4
RC,369,"Renal autotransplantation, reimplantation of kidney ",,,2702.0,8577.0,4
RC,369,Renal biopsy; by surgical exposure of kidney ,,,2702.0,8577.0,4
RC,369,"Renal biopsy; percutaneous, by trocar or needle ",,,2702.0,6802.0,7
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,7
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,7
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,2702.0,8727.0,7
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,2702.0,8727.0,7
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1982.0,6802.0,7
RC,369,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,2702.0,8727.0,7
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,7
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,7
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,2702.0,13315.0,7
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,2702.0,6802.0,7
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,6802.0,7
RC,369,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,1982.0,6802.0,7
RC,369,"Renal exploration, not necessitating other specific procedures ",,,2702.0,8577.0,4
RC,369,Reopening of recent laparotomy ,,,2702.0,8577.0,4
RC,369,Repair incomplete circumcision ,,,2702.0,8727.0,7
RC,369,"Repair inguinal hernia, sliding, any age ",,,4963.0,10719.0,7
RC,369,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,4963.0,10719.0,7
RC,369,"Repair initial femoral hernia, any age; reducible ",,,4963.0,10719.0,7
RC,369,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,4963.0,10719.0,7
RC,369,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,4963.0,10719.0,7
RC,369,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,2702.0,10719.0,7
RC,369,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,2702.0,10719.0,7
RC,369,"Repair lip, full thickness; over one-half vertical height, or complex ",,,1982.0,6802.0,7
RC,369,"Repair lip, full thickness; up to half vertical height ",,,1982.0,6802.0,7
RC,369,"Repair lip, full thickness; vermilion only ",,,1982.0,6802.0,7
RC,369,Repair lumbar hernia ,,,4963.0,10719.0,7
RC,369,Repair of anal fistula with fibrin glue ,,,2702.0,8727.0,7
RC,369,"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») ",,,2702.0,10719.0,7
RC,369,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,8577.0,8577.0,1
RC,369,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,4963.0,15007.0,24
RC,369,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,4963.0,15007.0,24
RC,369,"Repair of anterior palate, including vomer flap ",,,2702.0,13315.0,7
RC,369,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,2702.0,8727.0,7
RC,369,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,2702.0,8727.0,7
RC,369,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,2702.0,8727.0,7
RC,369,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,2702.0,10719.0,7
RC,369,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,2702.0,8727.0,7
RC,369,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,2702.0,10719.0,7
RC,369,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,2702.0,8727.0,7
RC,369,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; ",,,2702.0,8577.0,4
RC,369,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps ",,,2702.0,8577.0,4
RC,369,"Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach ",,,2702.0,8577.0,4
RC,369,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,4963.0,13830.0,13
RC,369,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,4963.0,13315.0,7
RC,369,Repair of custom sleep apnea appliance ,,,8577.0,8577.0,1
RC,369,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,2702.0,8577.0,4
RC,369,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,2702.0,8577.0,4
RC,369,Repair of ectropion; excision tarsal wedge ,,,2702.0,8727.0,7
RC,369,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,2702.0,8727.0,7
RC,369,Repair of ectropion; suture ,,,2702.0,8727.0,7
RC,369,Repair of ectropion; thermocauterization ,,,2702.0,8727.0,7
RC,369,"Repair of encephalocele, skull vault, including cranioplasty ",,,2702.0,8577.0,4
RC,369,"Repair of enterocele, abdominal approach (separate procedure) ",,,4963.0,8727.0,7
RC,369,"Repair of enterocele, vaginal approach (separate procedure) ",,,4963.0,8727.0,7
RC,369,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,7493.0,7493.0,1
RC,369,Repair of entropion; excision tarsal wedge ,,,2702.0,8727.0,7
RC,369,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,2702.0,8727.0,7
RC,369,Repair of entropion; suture ,,,2702.0,8727.0,7
RC,369,Repair of entropion; thermocauterization ,,,2702.0,8727.0,7
RC,369,Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches ,,,2702.0,8577.0,4
RC,369,Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach ,,,2702.0,8577.0,4
RC,369,Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches ,,,2702.0,8577.0,4
RC,369,Repair of high imperforate anus without fistula; perineal or sacroperineal approach ,,,2702.0,8577.0,4
RC,369,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,2702.0,10719.0,7
RC,369,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,2702.0,10719.0,7
RC,369,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,2702.0,10719.0,7
RC,369,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach ",,,2702.0,8577.0,4
RC,369,"Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach ",,,2702.0,8577.0,4
RC,369,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2702.0,10719.0,7
RC,369,"Repair of iris, ciliary body (as for iridodialysis) ",,,2702.0,8727.0,7
RC,369,Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue ,,,1423.0,6802.0,7
RC,369,Repair of laceration 2.5 cm or less; posterior one-third of tongue ,,,1423.0,6802.0,7
RC,369,"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex ",,,1982.0,6802.0,7
RC,369,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,2702.0,6802.0,7
RC,369,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,2702.0,8577.0,4
RC,369,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,2702.0,8727.0,7
RC,369,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,2702.0,8727.0,7
RC,369,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,2702.0,8727.0,7
RC,369,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,2702.0,8727.0,7
RC,369,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,2702.0,10719.0,7
RC,369,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,4963.0,8577.0,4
RC,369,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,4963.0,8577.0,4
RC,369,Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) ,,,2702.0,8577.0,4
RC,369,Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula ,,,2702.0,8577.0,4
RC,369,Repair of meningocele; larger than 5 cm diameter ,,,2702.0,8577.0,4
RC,369,Repair of meningocele; less than 5 cm diameter ,,,2702.0,8577.0,4
RC,369,Repair of myelomeningocele; larger than 5 cm diameter ,,,2702.0,8577.0,4
RC,369,Repair of myelomeningocele; less than 5 cm diameter ,,,2702.0,8577.0,4
RC,369,Repair of nasolabial fistula ,,,2702.0,8727.0,7
RC,369,Repair of omphalocele (Gross type operation); first stage ,,,4963.0,8577.0,4
RC,369,Repair of omphalocele (Gross type operation); second stage ,,,4963.0,8577.0,4
RC,369,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,4963.0,15007.0,4
RC,369,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,4963.0,15007.0,4
RC,369,Repair of rectocele (separate procedure) ,,,2702.0,10719.0,7
RC,369,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,4963.0,13830.0,11
RC,369,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,1982.0,13830.0,11
RC,369,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,369,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,4963.0,13830.0,11
RC,369,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,4963.0,13830.0,13
RC,369,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,4963.0,13830.0,13
RC,369,Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy ,,,2702.0,8577.0,4
RC,369,Repair of scleral staphyloma with graft ,,,2702.0,8727.0,7
RC,369,"Repair of small omphalocele, with primary closure ",,,4963.0,10719.0,7
RC,369,"Repair of symblepharon; conjunctivoplasty, without graft ",,,2702.0,8727.0,7
RC,369,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,2702.0,8727.0,7
RC,369,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,2702.0,10719.0,7
RC,369,Repair of traumatic corporeal tear(s) ,,,4963.0,8727.0,7
RC,369,Repair of tunica vaginalis hydrocele (Bottle type) ,,,2702.0,8727.0,7
RC,369,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,2702.0,10719.0,7
RC,369,Repair oval window fistula ,,,4963.0,8727.0,7
RC,369,Repair recurrent femoral hernia; incarcerated or strangulated ,,,4963.0,10719.0,7
RC,369,Repair recurrent femoral hernia; reducible ,,,4963.0,10719.0,7
RC,369,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,4963.0,10719.0,7
RC,369,"Repair recurrent inguinal hernia, any age; reducible ",,,4963.0,10719.0,7
RC,369,Repair round window fistula ,,,4963.0,8727.0,7
RC,369,"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute ",,,2702.0,8577.0,4
RC,369,"Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic ",,,2702.0,8577.0,4
RC,369,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,2702.0,10719.0,14
RC,369,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,2702.0,10719.0,7
RC,369,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,2702.0,10719.0,7
RC,369,"Repair, laceration of diaphragm, any approach ",,,2702.0,8577.0,4
RC,369,"Repair, laceration of palate; over 2 cm or complex ",,,2702.0,8727.0,7
RC,369,"Repair, laceration of palate; up to 2 cm ",,,1423.0,6802.0,7
RC,369,"Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia ",,,2702.0,8577.0,4
RC,369,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis ",,,2702.0,8577.0,4
RC,369,"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis ",,,2702.0,8577.0,4
RC,369,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis ",,,2702.0,8577.0,4
RC,369,"Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis ",,,2702.0,8577.0,4
RC,369,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis ",,,2702.0,8577.0,4
RC,369,"Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis ",,,2702.0,8577.0,4
RC,369,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2702.0,15007.0,4
RC,369,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2702.0,15007.0,4
RC,369,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,13315.0,7
RC,369,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,2702.0,8577.0,4
RC,369,Replacement of an implant screw ,,,8577.0,8577.0,1
RC,369,Replacement of bone flap or prosthetic plate of skull ,,,2702.0,8577.0,4
RC,369,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,7
RC,369,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,7
RC,369,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,7
RC,369,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract ",,,2143.0,6802.0,4
RC,369,"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract ",,,2143.0,6802.0,4
RC,369,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,8577.0,8577.0,1
RC,369,"Replacement or irrigation, subarachnoid/subdural catheter ",,,2702.0,8727.0,7
RC,369,"Replacement or irrigation, ventricular catheter ",,,2702.0,6802.0,7
RC,369,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,2702.0,12863.0,7
RC,369,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,2702.0,12863.0,7
RC,369,"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition ",,,2143.0,6802.0,7
RC,369,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,2702.0,8727.0,7
RC,369,"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and im",,,2702.0,10719.0,7
RC,369,Reprogramming of programmable cerebrospinal shunt ,,,1423.0,6802.0,7
RC,369,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,2702.0,10719.0,7
RC,369,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,2702.0,8577.0,4
RC,369,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,2702.0,8577.0,4
RC,369,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,2702.0,8577.0,4
RC,369,"Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls ",,,2702.0,13315.0,7
RC,369,"Resection of lip, more than one-fourth, without reconstruction ",,,2702.0,8727.0,7
RC,369,Resection of mediastinal cyst ,,,2702.0,8577.0,4
RC,369,Resection of mediastinal tumor ,,,2702.0,8577.0,4
RC,369,Resection of palate or extensive resection of lesion ,,,2702.0,8727.0,7
RC,369,"Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis ",,,2702.0,8577.0,4
RC,369,Resection of scrotum ,,,2702.0,8727.0,7
RC,369,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,2702.0,8577.0,4
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,2702.0,8577.0,4
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,2702.0,8577.0,4
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,2702.0,8577.0,4
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,2702.0,8577.0,4
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,2702.0,8577.0,4
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,2702.0,8577.0,4
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,2702.0,8577.0,4
RC,369,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,2702.0,8577.0,4
RC,369,Resection prosthesis - Mandibular complete removable ,,,8577.0,8577.0,1
RC,369,Resection prosthesis - Mandibular partial removable ,,,8577.0,8577.0,1
RC,369,Resection prosthesis - Maxillary complete removable ,,,8577.0,8577.0,1
RC,369,Resection prosthesis - Maxillary partial removable ,,,8577.0,8577.0,1
RC,369,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,369,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,369,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,369,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,369,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,369,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,369,"Resection temporal bone, external approach ",,,2702.0,8577.0,4
RC,369,"Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap) ",,,2702.0,8577.0,4
RC,369,"Resection, diaphragm; with simple repair (eg, primary suture) ",,,2702.0,8577.0,4
RC,369,"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, ",,,2702.0,10719.0,7
RC,369,Retrobulbar injection; alcohol ,,,1423.0,6802.0,7
RC,369,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,1423.0,6802.0,7
RC,369,"Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure) ",,,2702.0,8577.0,4
RC,369,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,19295.0,19295.0,1
RC,369,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheter",,,2143.0,15007.0,20
RC,369,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuve",,,2143.0,19295.0,20
RC,369,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all man",,,2143.0,19295.0,20
RC,369,"Revascularization, endovascular, open or percutaneous, femoral and popliteal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty wh",,,2143.0,30016.0,20
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,8577.0,8577.0,1
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,8577.0,8577.0,1
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,8577.0,8577.0,1
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed ",,,12760.0,14379.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty ",,,10737.0,13315.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when",,,14839.0,16423.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,12760.0,14379.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)",,,10737.0,13315.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when p",,,10737.0,13315.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty ",,,10737.0,13315.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed ",,,12760.0,14379.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing the artery",,,2143.0,15007.0,20
RC,369,"Revascularization, endovascular, open or percutaneous, iliac vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneuvers necessary",,,2143.0,19295.0,19
RC,369,"Revascularization, endovascular, open or percutaneous, inframalleolar vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheterizing t",,,2143.0,15007.0,20
RC,369,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,19295.0,19295.0,1
RC,369,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,19295.0,19295.0,1
RC,369,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,19295.0,19295.0,1
RC,369,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,15007.0,15007.0,1
RC,369,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal angioplasty, including all maneuvers necessary for accessing and selectively catheteriz",,,2143.0,15007.0,20
RC,369,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal atherectomy, including transluminal angioplasty when performed, including all maneuvers",,,2143.0,19295.0,20
RC,369,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, including transluminal angioplasty when performed, including all maneu",,,2143.0,19295.0,20
RC,369,"Revascularization, endovascular, open or percutaneous, tibial and peroneal vascular territory, with transluminal stent placement, with transluminal atherectomy, including transluminal angioplasty when",,,2143.0,30016.0,20
RC,369,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed ",,,12760.0,14379.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty ",,,10737.0,13315.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same v",,,14839.0,16423.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when perf",,,12760.0,14379.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,19295.0,19295.0,1
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List s",,,12760.0,14379.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary proced",,,10737.0,13315.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the",,,10737.0,13315.0,3
RC,369,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, wh",,,10737.0,13315.0,3
RC,369,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,2702.0,10719.0,7
RC,369,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,4963.0,8577.0,4
RC,369,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,4963.0,8727.0,7
RC,369,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4963.0,15007.0,7
RC,369,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4963.0,15007.0,7
RC,369,Revision mastoidectomy; resulting in complete mastoidectomy ,,,2702.0,13315.0,7
RC,369,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,2702.0,13315.0,7
RC,369,Revision mastoidectomy; resulting in radical mastoidectomy ,,,2702.0,13315.0,7
RC,369,Revision mastoidectomy; resulting in tympanoplasty ,,,2702.0,13315.0,7
RC,369,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,2702.0,8727.0,7
RC,369,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,2702.0,8727.0,7
RC,369,Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) ,,,2702.0,10719.0,7
RC,369,Revision of colostomy; simple (release of superficial scar) (separate procedure) ,,,2702.0,10719.0,7
RC,369,Revision of colostomy; with repair of paracolostomy hernia (separate procedure) ,,,2702.0,10719.0,7
RC,369,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy ",,,2702.0,8577.0,4
RC,369,"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy ",,,2702.0,8577.0,4
RC,369,Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) ,,,2702.0,10719.0,4
RC,369,Revision of ileostomy; simple (release of superficial scar) (separate procedure) ,,,2702.0,10719.0,7
RC,369,Revision of peritoneal-venous shunt ,,,2702.0,10719.0,7
RC,369,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,2702.0,13315.0,7
RC,369,Revision of stapedectomy or stapedotomy ,,,4963.0,13315.0,7
RC,369,"Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannu",,,2702.0,19295.0,7
RC,369,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,2702.0,8727.0,7
RC,369,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,2702.0,8577.0,4
RC,369,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,2702.0,10719.0,7
RC,369,"Revision or removal of gastric neurostimulator electrodes, antrum, open ",,,2702.0,8577.0,4
RC,369,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4963.0,10719.0,7
RC,369,Revision or removal of intracranial neurostimulator electrodes ,,,2702.0,10719.0,7
RC,369,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,2702.0,10719.0,4
RC,369,Revision or removal of peripheral neurostimulator electrode array ,,,4963.0,13830.0,11
RC,369,Revision or removal of peripheral neurostimulator electrode array Complex Surgery,,,11754.0,11754.0,2
RC,369,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4963.0,10719.0,7
RC,369,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,2702.0,8727.0,7
RC,369,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,2702.0,10719.0,4
RC,369,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,2702.0,30016.0,4
RC,369,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,4963.0,15007.0,7
RC,369,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,4963.0,19295.0,8
RC,369,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,369,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,8577.0,8577.0,1
RC,369,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,369,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2702.0,19295.0,4
RC,369,"Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure) ",,,2702.0,36598.0,6
RC,369,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,13374.0,13374.0,1
RC,369,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,369,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,13374.0,13374.0,1
RC,369,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,369,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,13374.0,13374.0,1
RC,369,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,369,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,369,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,13374.0,13374.0,1
RC,369,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,369,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,369,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,13374.0,13374.0,1
RC,369,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,369,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,369,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,7583.0,9539.0,3
RC,369,Right ventricular recording ,,,6826.0,19105.0,4
RC,369,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,2702.0,6802.0,3
RC,369,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,2702.0,6802.0,3
RC,369,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,2702.0,6802.0,3
RC,369,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,2702.0,6802.0,3
RC,369,SEPTIC ARTHRITIS WITH CC ,,,11000.0,11000.0,1
RC,369,SEPTIC ARTHRITIS WITH MCC ,,,11000.0,11000.0,1
RC,369,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,369,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,11000.0,11000.0,1
RC,369,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,11000.0,11000.0,1
RC,369,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,11000.0,11000.0,1
RC,369,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,11000.0,11000.0,1
RC,369,SKIN DEBRIDEMENT WITH MCC ,,,11000.0,11000.0,1
RC,369,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,11000.0,11000.0,1
RC,369,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,369,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,11000.0,11000.0,1
RC,369,SOFT TISSUE PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,369,SOFT TISSUE PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,369,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,369,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL SPHINCTER ",,,7583.0,9539.0,3
RC,369,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,11000.0,11000.0,1
RC,369,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,369,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2820.0,5414.0,3
RC,369,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2702.0,10719.0,7
RC,369,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2702.0,13315.0,7
RC,369,Salpingostomy (salpingoneostomy) ,,,2702.0,8727.0,7
RC,369,Scleral reinforcement (separate procedure); with graft ,,,2702.0,8727.0,7
RC,369,Scleral reinforcement (separate procedure); without graft ,,,2702.0,8727.0,7
RC,369,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,2702.0,6802.0,7
RC,369,"Scraping of cornea, diagnostic, for smear and/or culture ",,,1423.0,6802.0,7
RC,369,Scrotal exploration ,,,2702.0,8727.0,7
RC,369,Scrotoplasty; complicated ,,,2702.0,8727.0,7
RC,369,Scrotoplasty; simple ,,,2702.0,13315.0,7
RC,369,"Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic ",,,1423.0,6802.0,7
RC,369,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,2702.0,8577.0,4
RC,369,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,2702.0,8577.0,4
RC,369,Semi-precision abutment - placement ,,,8577.0,8577.0,1
RC,369,Semi-precision attachment - placement ,,,8577.0,8577.0,1
RC,369,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,2702.0,8727.0,7
RC,369,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,2702.0,8727.0,7
RC,369,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,2702.0,8727.0,7
RC,369,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,2702.0,8727.0,7
RC,369,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,1982.0,6802.0,7
RC,369,Severing of tarsorrhaphy ,,,1982.0,6802.0,7
RC,369,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,1982.0,6802.0,7
RC,369,"Sialolithotomy; parotid, extraoral or complicated intraoral ",,,2702.0,6802.0,7
RC,369,"Sialolithotomy; submandibular (submaxillary), complicated, intraoral ",,,2702.0,8727.0,7
RC,369,"Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral ",,,2702.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) ",,,1982.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) ",,,2702.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with biopsy, single or multiple ",,,1982.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with control of bleeding, any method ",,,2702.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed ",,,2702.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance ",,,1982.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with endoscopic mucosal resection ",,,2702.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with endoscopic ultrasound examination ",,,2702.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) ",,,2702.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with removal of foreign body(s) ",,,2702.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps ",,,1982.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with transendoscopic balloon dilation ",,,2702.0,6802.0,7
RC,369,"Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) ",,,2702.0,6802.0,7
RC,369,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,1423.0,6802.0,7
RC,369,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,1423.0,6802.0,7
RC,369,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,2702.0,16982.0,11
RC,369,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,4963.0,16982.0,11
RC,369,"Sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,2702.0,8727.0,7
RC,369,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,2702.0,8727.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,2702.0,6802.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple ",,,2702.0,6802.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, pl",,,2702.0,6802.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) ",,,2702.0,10719.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedu",,,2702.0,6802.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, b",,,2702.0,6802.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple ",,,2702.0,6802.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler",,,2702.0,6802.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube ",,,2702.0,6802.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube ",,,2702.0,6802.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s) ",,,2702.0,6802.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery ",,,2702.0,6802.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique ",,,2702.0,6802.0,7
RC,369,"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation) ",,,2702.0,10719.0,7
RC,369,Snip incision of lacrimal punctum ,,,1423.0,6802.0,7
RC,369,Sperm washing for artificial insemination ,,,1423.0,6802.0,7
RC,369,"Sphincteroplasty, anal, for incontinence or prolapse; adult ",,,2702.0,10719.0,7
RC,369,"Sphincteroplasty, anal, for incontinence or prolapse; child ",,,2702.0,8577.0,4
RC,369,"Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) ",,,2702.0,10719.0,7
RC,369,"Sphincteroplasty, anal, for incontinence, adult; muscle transplant ",,,2702.0,10719.0,7
RC,369,"Sphincterotomy, anal, division of sphincter (separate procedure) ",,,2702.0,6802.0,7
RC,369,"Spinal puncture, lumbar, diagnostic; ",,,1982.0,6802.0,7
RC,369,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,2702.0,6802.0,4
RC,369,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,1982.0,6802.0,7
RC,369,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,2702.0,6802.0,4
RC,369,Splenectomy; partial (separate procedure) ,,,2702.0,8577.0,4
RC,369,Splenectomy; total (separate procedure) ,,,2702.0,8577.0,4
RC,369,"Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,369,"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions ",,,2702.0,10719.0,7
RC,369,"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions ",,,2702.0,10719.0,7
RC,369,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,4963.0,13315.0,7
RC,369,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,4963.0,13315.0,7
RC,369,Stapes mobilization ,,,4963.0,8727.0,7
RC,369,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,2702.0,8577.0,4
RC,369,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,2702.0,8577.0,4
RC,369,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,369,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,2702.0,6802.0,7
RC,369,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,2702.0,12863.0,7
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2702.0,13315.0,4
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2702.0,13315.0,4
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2702.0,13315.0,4
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,4
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,4
RC,369,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,4
RC,369,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,2820.0,6802.0,7
RC,369,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,1423.0,6802.0,7
RC,369,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,369,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,369,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1423.0,6802.0,7
RC,369,"Strabismus surgery, any procedure, superior oblique muscle ",,,2702.0,8727.0,7
RC,369,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,2702.0,8727.0,7
RC,369,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,2702.0,8727.0,7
RC,369,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,2702.0,10719.0,7
RC,369,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,2702.0,8727.0,7
RC,369,Subconjunctival injection ,,,1423.0,6802.0,7
RC,369,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,2702.0,6802.0,7
RC,369,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,1982.0,6802.0,7
RC,369,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,1982.0,6802.0,7
RC,369,"Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session ",,,2702.0,8727.0,7
RC,369,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,2702.0,8577.0,4
RC,369,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,369,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,10719.0,4
RC,369,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,2143.0,6802.0,4
RC,369,Suprahyoid lymphadenectomy ,,,2702.0,8727.0,7
RC,369,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,2702.0,8577.0,4
RC,369,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,2702.0,8577.0,4
RC,369,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,2702.0,8577.0,4
RC,369,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,2702.0,8577.0,4
RC,369,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2702.0,8577.0,4
RC,369,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,2702.0,8577.0,4
RC,369,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,2702.0,8577.0,4
RC,369,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,2702.0,8577.0,4
RC,369,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,2702.0,8577.0,4
RC,369,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,2702.0,8577.0,4
RC,369,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,2702.0,8577.0,4
RC,369,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,2702.0,8577.0,4
RC,369,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,2702.0,8577.0,4
RC,369,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2702.0,8577.0,4
RC,369,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,8577.0,8577.0,1
RC,369,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,8577.0,8577.0,1
RC,369,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,8577.0,8577.0,1
RC,369,Surgical placement of craniofacial implant - extra oral ,,,8577.0,8577.0,1
RC,369,Surgical placement zygomatic implant ,,,8577.0,8577.0,1
RC,369,Surgical repair of root resorption - molar ,,,8577.0,8577.0,1
RC,369,Surgical repair of root resorption- premolar ,,,8577.0,8577.0,1
RC,369,Surgical repair of root resorption-anterior ,,,8577.0,8577.0,1
RC,369,Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric ,,,2702.0,8727.0,7
RC,369,Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage ,,,2702.0,8727.0,7
RC,369,Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous ,,,2702.0,8727.0,7
RC,369,"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed ",,,2702.0,8727.0,7
RC,369,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,2702.0,8577.0,4
RC,369,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,2702.0,8577.0,4
RC,369,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,2702.0,8577.0,4
RC,369,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,2702.0,10719.0,7
RC,369,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,2702.0,10719.0,7
RC,369,Suture and/or ligation of thoracic duct; abdominal approach ,,,2702.0,8577.0,4
RC,369,Suture and/or ligation of thoracic duct; cervical approach ,,,2702.0,8577.0,4
RC,369,Suture and/or ligation of thoracic duct; thoracic approach ,,,2702.0,8577.0,4
RC,369,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,2702.0,13315.0,7
RC,369,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,2702.0,13315.0,7
RC,369,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,2702.0,12863.0,7
RC,369,Suture of 1 nerve; median motor thenar ,,,2702.0,12863.0,7
RC,369,Suture of 1 nerve; ulnar motor ,,,2702.0,12863.0,7
RC,369,"Suture of digital nerve, hand or foot; 1 nerve ",,,2702.0,10719.0,7
RC,369,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,369,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,Suture of esophageal wound or injury; cervical approach ,,,2702.0,8577.0,4
RC,369,Suture of esophageal wound or injury; transthoracic or transabdominal approach ,,,2702.0,8577.0,4
RC,369,Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) ,,,2702.0,8577.0,4
RC,369,Suture of facial nerve; extracranial ,,,2702.0,12863.0,7
RC,369,"Suture of facial nerve; infratemporal, with or without grafting ",,,2702.0,12863.0,7
RC,369,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,2702.0,8727.0,7
RC,369,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy ",,,2702.0,8577.0,4
RC,369,"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy ",,,2702.0,8577.0,4
RC,369,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,2702.0,12863.0,7
RC,369,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,2702.0,12863.0,7
RC,369,Suture of mesentery (separate procedure) ,,,2702.0,8577.0,4
RC,369,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1423.0,6802.0,7
RC,369,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,1423.0,6802.0,7
RC,369,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1423.0,6802.0,7
RC,369,Suture of posterior tibial nerve ,,,2702.0,12863.0,7
RC,369,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,2702.0,8727.0,7
RC,369,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,2702.0,8727.0,7
RC,369,Suture of sciatic nerve ,,,2702.0,10719.0,7
RC,369,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations ",,,2702.0,8577.0,4
RC,369,"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation ",,,2702.0,7493.0,4
RC,369,Suture of tongue to lip for micrognathia (Douglas type procedure) ,,,2702.0,6802.0,7
RC,369,Suture of; brachial plexus ,,,2702.0,10719.0,7
RC,369,Suture of; lumbar plexus ,,,2702.0,12863.0,7
RC,369,Suture or repair of testicular injury ,,,2702.0,8727.0,7
RC,369,Suture pharynx for wound or injury ,,,2702.0,8727.0,7
RC,369,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,2702.0,8577.0,4
RC,369,"Sympathectomy, cervical ",,,2702.0,6802.0,7
RC,369,"Sympathectomy, cervicothoracic ",,,2702.0,6802.0,7
RC,369,"Sympathectomy, lumbar ",,,2702.0,8577.0,4
RC,369,"Sympathectomy, thoracolumbar ",,,2702.0,8577.0,4
RC,369,"Sympathectomy; digital arteries, each digit ",,,2702.0,8727.0,7
RC,369,Sympathectomy; radial artery ,,,2702.0,10719.0,7
RC,369,Sympathectomy; superficial palmar arch ,,,2702.0,10719.0,7
RC,369,Sympathectomy; ulnar artery ,,,2702.0,10719.0,7
RC,369,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,2702.0,8577.0,4
RC,369,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,11000.0,11000.0,1
RC,369,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,11000.0,11000.0,1
RC,369,TRANSCATHETER THERAPY INFUSE ,,,6826.0,6826.0,1
RC,369,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,1982.0,6802.0,7
RC,369,Temporary transcutaneous pacing ,,,1982.0,4009.0,4
RC,369,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,2143.0,6802.0,4
RC,369,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2702.0,15007.0,4
RC,369,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,369,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,369,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,369,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,369,"Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,369,"Thrombolysis, cerebral, by intravenous infusion ",,,1423.0,6802.0,7
RC,369,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,17341.0,17341.0,2
RC,369,"Thrombolysis, coronary; by intravenous infusion ",,,1423.0,17341.0,5
RC,369,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,2702.0,8577.0,4
RC,369,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,2702.0,8577.0,4
RC,369,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,2702.0,13315.0,7
RC,369,"Thyroidectomy, including substernal thyroid; cervical approach ",,,2702.0,13315.0,7
RC,369,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,2702.0,6802.0,7
RC,369,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,2702.0,13315.0,7
RC,369,"Thyroidectomy, total or complete ",,,2702.0,15007.0,7
RC,369,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,8577.0,8577.0,1
RC,369,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,2702.0,13315.0,7
RC,369,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,2702.0,8727.0,7
RC,369,"Tongue base suspension, permanent suture technique ",,,2702.0,13315.0,7
RC,369,Tonsillectomy and adenoidectomy; age 12 or over ,,,2702.0,8727.0,7
RC,369,Tonsillectomy and adenoidectomy; younger than age 12 ,,,2702.0,8727.0,7
RC,369,"Tonsillectomy, primary or secondary; age 12 or over ",,,2702.0,8727.0,7
RC,369,"Tonsillectomy, primary or secondary; younger than age 12 ",,,2702.0,8727.0,7
RC,369,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,2702.0,10719.0,4
RC,369,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,2702.0,8577.0,4
RC,369,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,8577.0,4
RC,369,Total facial nerve decompression and/or repair (may include graft) ,,,2702.0,13315.0,7
RC,369,"Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es) ",,,2702.0,8577.0,4
RC,369,"Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy) ",,,2702.0,8577.0,4
RC,369,"Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es) ",,,2702.0,8577.0,4
RC,369,"Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal) ",,,2702.0,8577.0,4
RC,369,"Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy ",,,2702.0,8577.0,4
RC,369,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2702.0,15007.0,7
RC,369,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2702.0,15007.0,7
RC,369,Trabeculoplasty by laser surgery ,,,1982.0,6802.0,7
RC,369,Trabeculotomy ab externo ,,,2702.0,8727.0,7
RC,369,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,2702.0,8727.0,7
RC,369,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,2702.0,8727.0,7
RC,369,"Transabdominal amnioinfusion, including ultrasound guidance ",,,1982.0,6802.0,7
RC,369,Transcatheter biopsy ,,,4963.0,15007.0,7
RC,369,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,2143.0,2143.0,1
RC,369,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2702.0,19295.0,11
RC,369,"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or corona",,,6802.0,31841.0,22
RC,369,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each",,,6802.0,31841.0,11
RC,369,"Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; init",,,6802.0,31841.0,11
RC,369,"Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perfo",,,1423.0,6802.0,7
RC,369,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal em",,,6826.0,31841.0,8
RC,369,"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal",,,6826.0,31841.0,8
RC,369,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,2702.0,8577.0,4
RC,369,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angiop",,,6802.0,8577.0,4
RC,369,"Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiolo",,,6802.0,8577.0,4
RC,369,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1423.0,17341.0,7
RC,369,"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound",,,4963.0,11754.0,9
RC,369,"Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day ",,,6826.0,17341.0,4
RC,369,"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during",,,6826.0,17341.0,8
RC,369,"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day ",,,6826.0,17341.0,4
RC,369,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2702.0,12863.0,4
RC,369,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,4963.0,8727.0,7
RC,369,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,2702.0,8577.0,4
RC,369,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,2702.0,8577.0,4
RC,369,"Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure) ",,,2702.0,8577.0,4
RC,369,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,2702.0,6802.0,7
RC,369,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,2702.0,10719.0,7
RC,369,"Transection or avulsion of other cranial nerve, extradural ",,,2702.0,8727.0,7
RC,369,"Transection or avulsion of other spinal nerve, extradural ",,,2702.0,8727.0,7
RC,369,"Transection or avulsion of; facial nerve, differential or complete ",,,2702.0,8727.0,7
RC,369,Transection or avulsion of; greater occipital nerve ,,,2702.0,8727.0,7
RC,369,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,2702.0,6802.0,7
RC,369,Transection or avulsion of; infraorbital nerve ,,,2702.0,6802.0,7
RC,369,Transection or avulsion of; lingual nerve ,,,2702.0,8727.0,7
RC,369,Transection or avulsion of; mental nerve ,,,2702.0,6802.0,7
RC,369,Transection or avulsion of; phrenic nerve ,,,2702.0,6802.0,7
RC,369,Transection or avulsion of; supraorbital nerve ,,,2702.0,6802.0,7
RC,369,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,2702.0,8577.0,4
RC,369,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,2702.0,8577.0,4
RC,369,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,369,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,2702.0,8577.0,4
RC,369,"Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the ",,,1423.0,23692.0,22
RC,369,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,8577.0,8577.0,1
RC,369,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,1423.0,23692.0,23
RC,369,"Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplast",,,1423.0,23692.0,11
RC,369,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,2702.0,13315.0,7
RC,369,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,2702.0,13315.0,7
RC,369,Transmastoid antrotomy (simple mastoidectomy) ,,,2702.0,13315.0,7
RC,369,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,2702.0,8577.0,4
RC,369,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,2702.0,8577.0,4
RC,369,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,1423.0,6802.0,7
RC,369,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,4963.0,15007.0,7
RC,369,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,4963.0,15007.0,7
RC,369,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2702.0,15007.0,4
RC,369,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,4963.0,53068.0,11
RC,369,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,2702.0,8577.0,4
RC,369,"Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer ",,,1982.0,6802.0,7
RC,369,Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage ,,,1423.0,6802.0,7
RC,369,Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion ,,,1982.0,6802.0,7
RC,369,Transplant preparation of hematopoietic progenitor cells; platelet depletion ,,,1982.0,6802.0,7
RC,369,Transplant preparation of hematopoietic progenitor cells; red blood cell removal ,,,1982.0,6802.0,7
RC,369,"Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion ",,,1982.0,6802.0,7
RC,369,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor ",,,1423.0,6802.0,7
RC,369,"Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor ",,,1423.0,6802.0,7
RC,369,Transplant preparation of hematopoietic progenitor cells; tumor cell depletion ,,,1982.0,6802.0,7
RC,369,Transplantation of pancreatic allograft ,,,2702.0,6802.0,3
RC,369,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,2702.0,8727.0,7
RC,369,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,"Transposition, ovary(s) ",,,2702.0,10719.0,7
RC,369,Transrectal drainage of pelvic abscess ,,,2702.0,8727.0,7
RC,369,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,2702.0,8577.0,4
RC,369,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,2702.0,8577.0,4
RC,369,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,2702.0,6802.0,7
RC,369,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,2702.0,7493.0,4
RC,369,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,2702.0,13315.0,7
RC,369,Transurethral drainage of prostatic abscess ,,,2702.0,8727.0,7
RC,369,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,4963.0,13830.0,13
RC,369,Transurethral incision of prostate ,,,2702.0,8727.0,7
RC,369,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,2702.0,6802.0,7
RC,369,Transurethral resection of bladder neck (separate procedure) ,,,2702.0,8727.0,7
RC,369,Transurethral resection; of postoperative bladder neck contracture ,,,4963.0,8727.0,7
RC,369,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,4963.0,13315.0,7
RC,369,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,2702.0,12863.0,4
RC,369,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,1423.0,6802.0,7
RC,369,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,1423.0,6802.0,7
RC,369,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,7
RC,369,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,7
RC,369,Transvesical ureterolithotomy ,,,2702.0,13315.0,7
RC,369,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,1982.0,13830.0,11
RC,369,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,369,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,1982.0,6802.0,7
RC,369,"Treatment of incomplete abortion, any trimester, completed surgically ",,,2702.0,8727.0,7
RC,369,"Treatment of missed abortion, completed surgically; first trimester ",,,2702.0,8727.0,7
RC,369,"Treatment of missed abortion, completed surgically; second trimester ",,,2702.0,8727.0,7
RC,369,"Treatment of septic abortion, completed surgically ",,,2702.0,8577.0,4
RC,369,"Trimming of dystrophic nails, any number ",,,1423.0,3251.0,4
RC,369,"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure) ",,,2702.0,8577.0,4
RC,369,Tubotubal anastomosis ,,,2702.0,10719.0,7
RC,369,Tubouterine implantation ,,,2702.0,10719.0,7
RC,369,Twist drill hole for subdural or ventricular puncture ,,,2702.0,8577.0,4
RC,369,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,2702.0,8577.0,4
RC,369,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,2702.0,8577.0,4
RC,369,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,2702.0,8577.0,4
RC,369,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,2702.0,8577.0,16
RC,369,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,2702.0,8727.0,7
RC,369,Tympanic neurectomy ,,,4963.0,8727.0,7
RC,369,"Tympanolysis, transcanal ",,,2702.0,13315.0,7
RC,369,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,369,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,4963.0,13315.0,7
RC,369,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,369,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,369,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,4963.0,13315.0,7
RC,369,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,4963.0,13315.0,7
RC,369,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,369,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,2702.0,6802.0,7
RC,369,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,1423.0,6802.0,7
RC,369,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,2143.0,2143.0,1
RC,369,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,2702.0,10719.0,7
RC,369,Unlisted cardiovascular service or procedure ,,,1423.0,3251.0,4
RC,369,Unlisted diagnostic gastroenterology procedure ,,,1423.0,3251.0,4
RC,369,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,1423.0,6802.0,7
RC,369,"Unlisted hysteroscopy procedure, uterus ",,,1423.0,13830.0,11
RC,369,"Unlisted hysteroscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted laparoscopic procedure, liver ",,,2702.0,13830.0,11
RC,369,"Unlisted laparoscopic procedure, liver Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,2702.0,13830.0,11
RC,369,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted laparoscopy procedure, appendix ",,,4963.0,13830.0,11
RC,369,"Unlisted laparoscopy procedure, appendix Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted laparoscopy procedure, biliary tract ",,,4963.0,13315.0,7
RC,369,"Unlisted laparoscopy procedure, bladder ",,,4963.0,13315.0,7
RC,369,"Unlisted laparoscopy procedure, endocrine system ",,,4963.0,13315.0,7
RC,369,"Unlisted laparoscopy procedure, esophagus ",,,4963.0,13830.0,11
RC,369,"Unlisted laparoscopy procedure, esophagus Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,4963.0,13830.0,11
RC,369,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted laparoscopy procedure, intestine (except rectum) ",,,2702.0,13315.0,7
RC,369,"Unlisted laparoscopy procedure, lymphatic system ",,,4963.0,13830.0,11
RC,369,"Unlisted laparoscopy procedure, lymphatic system Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted laparoscopy procedure, maternity care and delivery ",,,4963.0,13830.0,11
RC,369,"Unlisted laparoscopy procedure, maternity care and delivery Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted laparoscopy procedure, oviduct, ovary ",,,4963.0,13830.0,11
RC,369,"Unlisted laparoscopy procedure, oviduct, ovary Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted laparoscopy procedure, rectum ",,,2702.0,13315.0,7
RC,369,"Unlisted laparoscopy procedure, renal ",,,4963.0,13830.0,11
RC,369,"Unlisted laparoscopy procedure, renal Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted laparoscopy procedure, spermatic cord ",,,4963.0,13315.0,7
RC,369,"Unlisted laparoscopy procedure, spleen ",,,4963.0,13830.0,11
RC,369,"Unlisted laparoscopy procedure, spleen Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted laparoscopy procedure, stomach ",,,4963.0,13830.0,11
RC,369,"Unlisted laparoscopy procedure, stomach Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted laparoscopy procedure, testis ",,,4963.0,13315.0,7
RC,369,"Unlisted laparoscopy procedure, ureter ",,,4963.0,13830.0,11
RC,369,"Unlisted laparoscopy procedure, ureter Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted laparoscopy procedure, uterus ",,,4963.0,13830.0,11
RC,369,"Unlisted laparoscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,369,"Unlisted procedure, Meckel's diverticulum and the mesentery ",,,2702.0,8577.0,4
RC,369,"Unlisted procedure, abdomen, peritoneum and omentum ",,,2702.0,9539.0,7
RC,369,"Unlisted procedure, anterior segment of eye ",,,2702.0,6802.0,7
RC,369,"Unlisted procedure, anus ",,,1982.0,6802.0,7
RC,369,"Unlisted procedure, biliary tract ",,,2702.0,8727.0,7
RC,369,"Unlisted procedure, colon ",,,2702.0,6802.0,7
RC,369,"Unlisted procedure, conjunctiva ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, dentoalveolar structures ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, diaphragm ",,,2702.0,8577.0,4
RC,369,"Unlisted procedure, endocrine system ",,,2702.0,15007.0,7
RC,369,"Unlisted procedure, esophagus ",,,2702.0,6802.0,7
RC,369,"Unlisted procedure, external ear ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, extraocular muscle ",,,2143.0,8727.0,7
RC,369,"Unlisted procedure, eyelids ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, female genital system (nonobstetrical) ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, hemic or lymphatic system ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, inner ear ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, lacrimal system ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, lips ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, liver ",,,1982.0,6802.0,7
RC,369,"Unlisted procedure, male genital system ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, maternity care and delivery ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, mediastinum ",,,2702.0,8577.0,4
RC,369,"Unlisted procedure, middle ear ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, nervous system ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, orbit ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, palate, uvula ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, pancreas ",,,1982.0,6802.0,7
RC,369,"Unlisted procedure, pharynx, adenoids, or tonsils ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, posterior segment ",,,2702.0,6802.0,7
RC,369,"Unlisted procedure, rectum ",,,1982.0,6802.0,7
RC,369,"Unlisted procedure, salivary glands or ducts ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, small intestine ",,,2702.0,9539.0,7
RC,369,"Unlisted procedure, stomach ",,,2702.0,6802.0,4
RC,369,"Unlisted procedure, temporal bone, middle fossa approach ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, tongue, floor of mouth ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, urinary system ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, vascular surgery ",,,1423.0,6802.0,7
RC,369,"Unlisted procedure, vestibule of mouth ",,,1423.0,6802.0,7
RC,369,Unlisted vascular endoscopy procedure ,,,4009.0,9539.0,7
RC,369,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,1423.0,6802.0,7
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,7
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,8727.0,7
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,2702.0,8727.0,7
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,8727.0,7
RC,369,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1982.0,6802.0,7
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,7
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,6802.0,7
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,2702.0,6802.0,7
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,8727.0,7
RC,369,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1982.0,6802.0,7
RC,369,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2702.0,8577.0,4
RC,369,"Ureterectomy, with bladder cuff (separate procedure) ",,,2702.0,8577.0,4
RC,369,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,2702.0,8577.0,4
RC,369,"Ureterocolon conduit, including intestine anastomosis ",,,2702.0,8577.0,4
RC,369,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,2702.0,8577.0,4
RC,369,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,2702.0,8577.0,4
RC,369,Ureterolithotomy; lower one-third of ureter ,,,2702.0,8577.0,4
RC,369,Ureterolithotomy; middle one-third of ureter ,,,2702.0,8577.0,4
RC,369,Ureterolithotomy; upper one-third of ureter ,,,2702.0,8577.0,4
RC,369,Ureterolysis for ovarian vein syndrome ,,,2702.0,8577.0,4
RC,369,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,2702.0,8577.0,4
RC,369,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,2702.0,8577.0,4
RC,369,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,2702.0,8577.0,4
RC,369,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,2702.0,7493.0,4
RC,369,Ureteroneocystostomy; with extensive ureteral tailoring ,,,2702.0,8577.0,4
RC,369,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,2702.0,8577.0,4
RC,369,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,2702.0,8577.0,4
RC,369,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,2702.0,8577.0,4
RC,369,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,2702.0,8577.0,4
RC,369,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,2702.0,8577.0,4
RC,369,"Ureterostomy, transplantation of ureter to skin ",,,2702.0,8577.0,4
RC,369,"Ureterotomy for insertion of indwelling stent, all types ",,,2702.0,8577.0,4
RC,369,Ureterotomy with exploration or drainage (separate procedure) ,,,2702.0,8577.0,4
RC,369,Ureteroureterostomy ,,,2702.0,8577.0,4
RC,369,"Urethrectomy, total, including cystostomy; female ",,,2702.0,10719.0,7
RC,369,"Urethrectomy, total, including cystostomy; male ",,,2702.0,8727.0,7
RC,369,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,2702.0,10719.0,7
RC,369,"Urethromeatoplasty, with mucosal advancement ",,,2702.0,10719.0,7
RC,369,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,2702.0,8727.0,7
RC,369,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,2702.0,10719.0,7
RC,369,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,2702.0,10719.0,7
RC,369,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,2702.0,13315.0,7
RC,369,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,2702.0,10719.0,7
RC,369,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,2702.0,10719.0,7
RC,369,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,2702.0,10719.0,7
RC,369,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,2702.0,10719.0,7
RC,369,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,2702.0,10719.0,7
RC,369,"Urethroplasty, reconstruction of female urethra ",,,2702.0,10719.0,7
RC,369,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2702.0,13315.0,7
RC,369,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,2702.0,10719.0,7
RC,369,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,2702.0,10719.0,7
RC,369,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,2702.0,8727.0,7
RC,369,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,2702.0,10719.0,7
RC,369,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,2702.0,8727.0,7
RC,369,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,2702.0,10719.0,7
RC,369,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,2702.0,8727.0,7
RC,369,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,2702.0,8727.0,7
RC,369,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,2702.0,8577.0,4
RC,369,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,369,Uterine evacuation and curettage for hydatidiform mole ,,,2702.0,8727.0,7
RC,369,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,2702.0,10719.0,4
RC,369,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,2702.0,8577.0,4
RC,369,"Uvulectomy, excision of uvula ",,,2702.0,6802.0,7
RC,369,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,7583.0,9539.0,3
RC,369,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,2702.0,8727.0,7
RC,369,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,2702.0,6802.0,3
RC,369,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,2702.0,8727.0,7
RC,369,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,2702.0,6802.0,3
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; ",,,4963.0,10719.0,7
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,4963.0,10719.0,7
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,4963.0,10719.0,7
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,4963.0,10719.0,7
RC,369,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,4963.0,10719.0,7
RC,369,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,4963.0,13315.0,7
RC,369,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,13315.0,7
RC,369,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,4963.0,13315.0,7
RC,369,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,4963.0,13315.0,7
RC,369,"Vaginal hysterectomy, radical (Schauta type operation) ",,,4963.0,8577.0,4
RC,369,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,4963.0,10719.0,7
RC,369,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,4963.0,10719.0,7
RC,369,"Vaginectomy, complete removal of vaginal wall; ",,,2702.0,8577.0,4
RC,369,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2702.0,10719.0,7
RC,369,"Vaginectomy, partial removal of vaginal wall; ",,,2702.0,8727.0,7
RC,369,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2702.0,8727.0,7
RC,369,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,2702.0,8727.0,7
RC,369,Vaginoplasty for intersex state ,,,4963.0,8727.0,7
RC,369,"Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective) ",,,2702.0,8577.0,4
RC,369,"Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective ",,,2702.0,8577.0,4
RC,369,Vagotomy when performed with partial distal gastrectomy (List separately in addition to codeºs» for primary procedure) ,,,2702.0,8577.0,4
RC,369,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,8577.0,8577.0,1
RC,369,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,19295.0,19295.0,1
RC,369,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, ot",,,6802.0,14379.0,7
RC,369,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial",,,6802.0,14379.0,7
RC,369,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, ",,,6802.0,23692.0,11
RC,369,"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, othe",,,6802.0,14379.0,7
RC,369,"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS) ",,,7583.0,9539.0,3
RC,369,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,2702.0,8727.0,7
RC,369,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,1423.0,6802.0,7
RC,369,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,2702.0,8727.0,7
RC,369,"Vasovasostomy, vasovasorrhaphy ",,,2702.0,8727.0,7
RC,369,"Venous anastomosis, open; caval-mesenteric ",,,2702.0,8577.0,4
RC,369,"Venous anastomosis, open; portocaval ",,,2702.0,8577.0,4
RC,369,"Venous anastomosis, open; renoportal ",,,2702.0,8577.0,4
RC,369,"Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique) ",,,2702.0,8577.0,4
RC,369,"Venous anastomosis, open; splenorenal, proximal ",,,2702.0,8577.0,4
RC,369,Ventilating tube removal requiring general anesthesia ,,,2702.0,10719.0,7
RC,369,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,1982.0,6802.0,7
RC,369,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,1982.0,6802.0,7
RC,369,Ventriculocisternostomy (Torkildsen type operation) ,,,2702.0,8577.0,4
RC,369,"Ventriculocisternostomy, third ventricle; ",,,2702.0,8577.0,4
RC,369,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,2702.0,8577.0,4
RC,369,"Vermilionectomy (lip shave), with mucosal advancement ",,,2702.0,6802.0,7
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,4963.0,8577.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,4963.0,15007.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,4963.0,8577.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,4963.0,8577.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,4963.0,8577.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,4963.0,8577.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,4963.0,8577.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,4963.0,8577.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,4963.0,8577.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,4963.0,8577.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,4963.0,8577.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,4963.0,8577.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,4963.0,8577.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,4963.0,8577.0,12
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,4963.0,8577.0,8
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,4963.0,8577.0,4
RC,369,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,4963.0,8577.0,4
RC,369,"Vesiculectomy, any approach ",,,1982.0,6802.0,7
RC,369,Vesiculotomy; ,,,2702.0,8727.0,7
RC,369,Vesiculotomy; complicated ,,,1982.0,6802.0,7
RC,369,"Vestibular nerve section, transcranial approach ",,,2702.0,8577.0,4
RC,369,"Vestibular nerve section, translabyrinthine approach ",,,2702.0,13315.0,7
RC,369,Vestibuloplasty; anterior ,,,2702.0,8727.0,7
RC,369,"Vestibuloplasty; complex (including ridge extension, muscle repositioning) ",,,2702.0,13315.0,7
RC,369,Vestibuloplasty; entire arch ,,,2702.0,13315.0,7
RC,369,"Vestibuloplasty; posterior, bilateral ",,,2702.0,8727.0,7
RC,369,"Vestibuloplasty; posterior, unilateral ",,,2702.0,8727.0,7
RC,369,"Vitrectomy, mechanical, pars plana approach; ",,,4963.0,13830.0,11
RC,369,"Vitrectomy, mechanical, pars plana approach; Complex Surgery",,,11754.0,11754.0,2
RC,369,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,4963.0,13830.0,11
RC,369,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,369,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,4963.0,13830.0,11
RC,369,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,369,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,3251.0,13830.0,13
RC,369,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,4963.0,13830.0,11
RC,369,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Complex Surgery",,,11754.0,11754.0,2
RC,369,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,4963.0,13830.0,13
RC,369,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,369,Vulvectomy simple; complete ,,,2702.0,8727.0,7
RC,369,Vulvectomy simple; partial ,,,2702.0,8727.0,7
RC,369,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,2702.0,8577.0,4
RC,369,"Vulvectomy, radical, complete; ",,,2702.0,19295.0,7
RC,369,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,19295.0,7
RC,369,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,2702.0,19295.0,7
RC,369,"Vulvectomy, radical, partial; ",,,2702.0,10719.0,4
RC,369,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,19295.0,7
RC,369,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,2702.0,19295.0,7
RC,369,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,2702.0,10719.0,7
RC,369,Wound closure utilizing tissue adhesive(s) only ,,,1423.0,3251.0,4
RC,370, Anesthesia General Classification  ,,,10450.0,12100.0,2
RC,370,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,11000.0,11000.0,1
RC,370,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,11000.0,11000.0,1
RC,370,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC ,,,11000.0,11000.0,1
RC,370,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,11000.0,11000.0,1
RC,370,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,11000.0,11000.0,1
RC,370,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,370,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,11000.0,11000.0,1
RC,370,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,11000.0,11000.0,1
RC,370,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,11000.0,11000.0,1
RC,370,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,11000.0,11000.0,1
RC,370,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,370,BONE DISEASES AND ARTHROPATHIES WITH MCC ,,,11000.0,11000.0,1
RC,370,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC ,,,11000.0,11000.0,1
RC,370,CERVICAL SPINAL FUSION WITH CC ,,,11000.0,11000.0,1
RC,370,CERVICAL SPINAL FUSION WITH MCC ,,,11000.0,11000.0,1
RC,370,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,11000.0,11000.0,1
RC,370,COMPLICATED PEPTIC ULCER WITH CC ,,,11000.0,11000.0,1
RC,370,CONNECTIVE TISSUE DISORDERS WITH CC ,,,11000.0,11000.0,1
RC,370,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,11000.0,11000.0,1
RC,370,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,370,DIGESTIVE MALIGNANCY WITH CC ,,,11000.0,11000.0,1
RC,370,DIGESTIVE MALIGNANCY WITH MCC ,,,11000.0,11000.0,1
RC,370,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC ",,,11000.0,11000.0,1
RC,370,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC ",,,11000.0,11000.0,1
RC,370,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,11000.0,11000.0,1
RC,370,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC ,,,11000.0,11000.0,1
RC,370,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,370,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,11000.0,11000.0,1
RC,370,FOOT PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,370,FOOT PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,370,FRACTURES OF FEMUR WITH MCC ,,,11000.0,11000.0,1
RC,370,FRACTURES OF FEMUR WITHOUT MCC ,,,11000.0,11000.0,1
RC,370,FRACTURES OF HIP AND PELVIS WITH MCC ,,,11000.0,11000.0,1
RC,370,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,11000.0,11000.0,1
RC,370,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,11000.0,11000.0,1
RC,370,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,11000.0,11000.0,1
RC,370,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,370,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,11000.0,11000.0,1
RC,370,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,11000.0,11000.0,1
RC,370,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,370,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,11000.0,11000.0,1
RC,370,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,11000.0,11000.0,1
RC,370,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,11000.0,11000.0,1
RC,370,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,11000.0,11000.0,3
RC,370,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,11000.0,11000.0,1
RC,370,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,11000.0,11000.0,1
RC,370,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC ",,,11000.0,11000.0,1
RC,370,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,370,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC ,,,11000.0,11000.0,1
RC,370,MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC ,,,11000.0,11000.0,1
RC,370,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,11000.0,11000.0,1
RC,370,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,11000.0,11000.0,1
RC,370,MAJOR THUMB OR JOINT PROCEDURES ,,,11000.0,11000.0,1
RC,370,MEDICAL BACK PROBLEMS WITH MCC ,,,11000.0,11000.0,1
RC,370,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,11000.0,11000.0,1
RC,370,OSTEOMYELITIS WITH CC ,,,11000.0,11000.0,1
RC,370,OSTEOMYELITIS WITH MCC ,,,11000.0,11000.0,1
RC,370,OSTEOMYELITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,370,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,11000.0,11000.0,1
RC,370,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,11000.0,11000.0,1
RC,370,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,370,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,370,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,370,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,11000.0,11000.0,1
RC,370,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,11000.0,11000.0,1
RC,370,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,11000.0,11000.0,1
RC,370,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,370,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,11000.0,11000.0,3
RC,370,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,370,SEPTIC ARTHRITIS WITH CC ,,,11000.0,11000.0,1
RC,370,SEPTIC ARTHRITIS WITH MCC ,,,11000.0,11000.0,1
RC,370,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,370,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,11000.0,11000.0,1
RC,370,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,11000.0,11000.0,1
RC,370,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,11000.0,11000.0,1
RC,370,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,11000.0,11000.0,1
RC,370,SKIN DEBRIDEMENT WITH MCC ,,,11000.0,11000.0,1
RC,370,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,11000.0,11000.0,1
RC,370,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,370,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,11000.0,11000.0,1
RC,370,SOFT TISSUE PROCEDURES WITH CC ,,,11000.0,11000.0,1
RC,370,SOFT TISSUE PROCEDURES WITH MCC ,,,11000.0,11000.0,1
RC,370,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,11000.0,11000.0,1
RC,370,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,11000.0,11000.0,1
RC,370,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,11000.0,11000.0,1
RC,370,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,11000.0,11000.0,1
RC,370,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,11000.0,11000.0,1
RC,371, Anesthesia Incident to Radiology  ,,,,,0
RC,372, Anesthesia Incident to Other DX Services  ,,,,,0
RC,374, Anesthesia Acupuncture  ,,,,,0
RC,379, Anesthesia Other  ,,,,,0
RC,380, Blood and Blood Components General Classification  ,,,,,0
RC,381, Blood and Blood Components Packed Red Cells  ,,,,,0
RC,382, Blood and Blood Components Whole Blood  ,,,,,0
RC,383, Blood and Blood Components Plasma  ,,,,,0
RC,384, Blood and Blood Components Platelets  ,,,,,0
RC,385, Blood and Blood Components Leukocytes  ,,,,,0
RC,386, Blood and Blood Components Other Blood Components  ,,,,,0
RC,387, Blood and Blood Components Other Derivatives (Cryoprecipitate)  ,,,,,0
RC,389, Blood and Blood Components Other  ,,,,,0
RC,390," Administration, Processing and Storage for Blood and Blood Components General Classification  ",,,,,0
RC,391," Administration, Processing and Storage for Blood and Blood Components Administration (e.g., Transfu ",,,,,0
RC,392," Administration, Processing and Storage for Blood and Blood Components Processing and Storage  ",,,,,0
RC,399," Administration, Processing and Storage for Blood and Blood Components Other Blood Handling  ",,,,,0
RC,400, Other Imaging Services General Classification  ,,,269.0,409.0,7
RC,400,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,149.69,149.69,1
RC,400,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,265.98,265.98,1
RC,400,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,4864.82,4864.82,1
RC,400,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Angiography, internal mammary, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,400,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Angiography, spinal, selective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,400,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,400,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,400,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,Bone age studies ,,,185.25,185.25,1
RC,400,"Bone length studies (orthoroentgenogram, scanogram) ",,,185.25,185.25,1
RC,400,"Cephalogram, orthodontic ",,,137.53,137.53,1
RC,400,"Cholecystography, oral contrast ",,,303.54,303.54,1
RC,400,"Cineradiography/videoradiography, except where specifically included ",,,185.25,185.25,1
RC,400,"Cisternography, positive contrast, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,400,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,391.22,391.22,1
RC,400,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,529.38,529.38,1
RC,400,"Corpora cavernosography, radiological supervision and interpretation ",,,185.25,185.25,1
RC,400,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,625.8,625.8,1
RC,400,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,391.22,391.22,1
RC,400,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,3048.08,3048.08,1
RC,400,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,400,"Discography, lumbar, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,400,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,137.53,137.53,1
RC,400,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,185.25,185.25,1
RC,400,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,185.25,185.25,1
RC,400,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,391.22,391.22,1
RC,400,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Hysterosalpingography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,400,"Joint survey, single view, 2 or more joints (specify) ",,,185.25,185.25,1
RC,400,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,400,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,920.75,920.75,1
RC,400,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,137.53,137.53,1
RC,400,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,215.68,215.68,1
RC,400,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,400,"Myelography, cervical, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,400,"Myelography, lumbosacral, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,400,"Myelography, posterior fossa, radiological supervision and interpretation ",,,625.8,625.8,1
RC,400,"Myelography, thoracic, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,400,Non-ophthalmic fluorescent vascular angiography ,,,625.8,625.8,1
RC,400,"Orthopantogram (eg, panoramic x-ray) ",,,137.53,137.53,1
RC,400,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,391.22,391.22,1
RC,400,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,820.91,820.91,1
RC,400,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1615.85,1615.85,1
RC,400,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,137.53,137.53,1
RC,400,"Radiologic examination, abdomen; 1 view ",,,137.53,137.53,1
RC,400,"Radiologic examination, abdomen; 2 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, abdomen; 3 or more views ",,,185.25,185.25,1
RC,400,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,820.91,820.91,1
RC,400,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,400,"Radiologic examination, ankle; 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, ankle; complete, minimum of 3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, chest; 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, chest; 3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, chest; 4 or more views ",,,185.25,185.25,1
RC,400,"Radiologic examination, chest; single view ",,,137.53,137.53,1
RC,400,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,303.54,303.54,1
RC,400,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,400,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,185.25,185.25,1
RC,400,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,400,"Radiologic examination, elbow; 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, elbow; complete, minimum of 3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,303.54,303.54,1
RC,400,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,400,"Radiologic examination, eye, for detection of foreign body ",,,137.53,137.53,1
RC,400,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, facial bones; less than 3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, femur; 1 view ",,,137.53,137.53,1
RC,400,"Radiologic examination, femur; minimum 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, finger(s), minimum of 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, foot; 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, foot; complete, minimum of 3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, hand; 2 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, hand; minimum of 3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,400,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,137.53,137.53,1
RC,400,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, internal auditory meati, complete ",,,820.91,820.91,1
RC,400,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,400,"Radiologic examination, knee; 1 or 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, knee; 3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,137.53,137.53,1
RC,400,"Radiologic examination, knee; complete, 4 or more views ",,,185.25,185.25,1
RC,400,"Radiologic examination, mandible; complete, minimum of 4 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, mandible; partial, less than 4 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,185.25,185.25,1
RC,400,"Radiologic examination, mastoids; less than 3 views per side ",,,185.25,185.25,1
RC,400,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, osseous survey, infant ",,,185.25,185.25,1
RC,400,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,185.25,185.25,1
RC,400,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,185.25,185.25,1
RC,400,"Radiologic examination, pelvis; 1 or 2 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,400,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,820.91,820.91,1
RC,400,"Radiologic examination, ribs, bilateral; 3 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, ribs, unilateral; 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, sacroiliac joints; 3 or more views ",,,185.25,185.25,1
RC,400,"Radiologic examination, sacroiliac joints; less than 3 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, salivary gland for calculus ",,,137.53,137.53,1
RC,400,"Radiologic examination, sella turcica ",,,137.53,137.53,1
RC,400,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,400,"Radiologic examination, shoulder; 1 view ",,,137.53,137.53,1
RC,400,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,185.25,185.25,1
RC,400,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, skull; complete, minimum of 4 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, skull; less than 4 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,303.54,303.54,1
RC,400,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,400,"Radiologic examination, spine, cervical; 2 or 3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, spine, cervical; 4 or 5 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, spine, cervical; 6 or more views ",,,185.25,185.25,1
RC,400,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,137.53,137.53,1
RC,400,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, spine, single view, specify level ",,,137.53,137.53,1
RC,400,"Radiologic examination, spine; thoracic, 2 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, spine; thoracic, 3 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,185.25,185.25,1
RC,400,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,400,"Radiologic examination, teeth; complete, full mouth ",,,391.22,391.22,1
RC,400,"Radiologic examination, teeth; partial examination, less than full mouth ",,,391.22,391.22,1
RC,400,"Radiologic examination, teeth; single view ",,,137.53,137.53,1
RC,400,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,137.53,137.53,1
RC,400,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,137.53,137.53,1
RC,400,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,303.54,303.54,1
RC,400,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,400,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,400,"Radiologic examination, wrist; 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination, wrist; complete, minimum of 3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,137.53,137.53,1
RC,400,"Radiologic examination; calcaneus, minimum of 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination; clavicle, complete ",,,137.53,137.53,1
RC,400,"Radiologic examination; forearm, 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination; humerus, minimum of 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination; neck, soft tissue ",,,137.53,137.53,1
RC,400,Radiologic examination; optic foramina ,,,137.53,137.53,1
RC,400,"Radiologic examination; orbits, complete, minimum of 4 views ",,,185.25,185.25,1
RC,400,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,137.53,137.53,1
RC,400,"Radiologic examination; scapula, complete ",,,185.25,185.25,1
RC,400,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,137.53,137.53,1
RC,400,"Radiologic examination; sternum, minimum of 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination; tibia and fibula, 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination; toe(s), minimum of 2 views ",,,137.53,137.53,1
RC,400,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,185.25,185.25,1
RC,400,"Radiological examination, surgical specimen ",,,820.91,820.91,1
RC,400,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,185.25,185.25,1
RC,400,"Sialography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,400,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,185.25,185.25,1
RC,400,"Splenoportography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,400,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,303.54,303.54,1
RC,400,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,17.65,17.65,1
RC,400,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,140.44,140.44,1
RC,400,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,140.44,140.44,1
RC,400,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,70.6,70.6,1
RC,400,Unlisted diagnostic radiographic procedure ,,,137.53,137.53,1
RC,400,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,137.53,137.53,1
RC,400,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,391.22,391.22,1
RC,400,"Urethrocystography, voiding, radiological supervision and interpretation ",,,391.22,391.22,1
RC,400,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,303.54,303.54,1
RC,400,"Urography, antegrade, radiological supervision and interpretation ",,,625.8,625.8,1
RC,400,"Urography, infusion, drip technique and/or bolus technique; ",,,303.54,303.54,1
RC,400,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,303.54,303.54,1
RC,400,"Urography, retrograde, with or without KUB ",,,625.8,625.8,1
RC,400,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,400,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,400,"Venography, epidural, radiological supervision and interpretation ",,,920.75,920.75,1
RC,400,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,400,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,400,"Venography, orbital, radiological supervision and interpretation ",,,920.75,920.75,1
RC,400,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,400,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,400,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,137.53,137.53,1
RC,401, Other Imaging Services Diagnostic Mammography  ,,,146.0,409.0,10
RC,401,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",172.0,172.0,43.3,43.3,1
RC,401,Diagnostic digital breast tomosynthesis; bilateral ,,,198.71,198.71,1
RC,401,Diagnostic digital breast tomosynthesis; unilateral ,,,155.41,155.41,1
RC,401,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,155.41,155.41,1
RC,401,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report ",,,237.24,237.24,1
RC,401,"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation ",,,391.22,391.22,1
RC,401,"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation ",,,391.22,391.22,1
RC,401,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",,,43.3,43.3,1
RC,401,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed ",,,164.31,164.31,1
RC,402, Other Imaging Services Ultrasound  ,,,232.0,984.0,10
RC,402,"Doppler velocimetry, fetal; middle cerebral artery ",,,185.25,185.25,1
RC,402,"Doppler velocimetry, fetal; umbilical artery ",537.0,537.0,185.25,185.25,1
RC,402,"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnor",,,185.25,185.25,1
RC,402,Fetal biophysical profile; with non-stress testing ,,,185.25,185.25,1
RC,402,Fetal biophysical profile; without non-stress testing ,,,185.25,185.25,1
RC,402,"Gastrointestinal endoscopic ultrasound, supervision and interpretation ",,,391.22,391.22,1
RC,402,"Ophthalmic biometry by ultrasound echography, A-scan; ",,,185.25,185.25,1
RC,402,"Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation ",,,185.25,185.25,1
RC,402,Ophthalmic ultrasonic foreign body localization ,,,137.53,137.53,1
RC,402,"Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan) ",,,185.25,185.25,1
RC,402,"Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter ",,,190.32,190.32,1
RC,402,"Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral or bilateral ",,,185.25,185.25,1
RC,402,"Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness) ",,,41.94,41.94,1
RC,402,"Ophthalmic ultrasound, diagnostic; quantitative A-scan only ",,,185.25,185.25,1
RC,402,"Ultrasound bone density measurement and interpretation, peripheral site(s), any method ",,,185.25,185.25,1
RC,402,"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA) ",537.0,537.0,185.25,185.25,1
RC,402,"Ultrasound, abdominal, real time with image documentation; complete ",,,185.25,185.25,1
RC,402,"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) ",,,185.25,185.25,1
RC,402,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete ",,,185.25,185.25,1
RC,402,"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited ",,,137.53,137.53,1
RC,402,"Ultrasound, chest (includes mediastinum), real time with image documentation ",,,185.25,185.25,1
RC,402,"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation ",,,185.25,185.25,1
RC,402,"Ultrasound, elastography; first target lesion ",,,185.25,185.25,1
RC,402,"Ultrasound, elastography; parenchyma (eg, organ) ",,,185.25,185.25,1
RC,402,"Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation) ",,,137.53,137.53,1
RC,402,"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation) ",,,137.53,137.53,1
RC,402,"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendonºs», muscleºs», nerveºs», other soft-tissue structureºs», or soft-tiss",,,185.25,185.25,1
RC,402,"Ultrasound, nerve(s) and accompanying structures throughout their entire anatomic course in one extremity, comprehensive, including real-time cine imaging with image documentation, per extremity ",,,181.7,181.7,1
RC,402,"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete ",,,185.25,185.25,1
RC,402,"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) ",,,185.25,185.25,1
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation ",,,185.25,185.25,1
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation ",,,185.25,185.25,1
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation ",,,185.25,185.25,1
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses ",,,185.25,185.25,1
RC,402,"Ultrasound, pregnant uterus, real time with image documentation, transvaginal ",,,185.25,185.25,1
RC,402,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete ",,,185.25,185.25,1
RC,402,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited ",,,185.25,185.25,1
RC,402,"Ultrasound, scrotum and contents ",,,185.25,185.25,1
RC,402,"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation ",,,185.25,185.25,1
RC,402,"Ultrasound, spinal canal and contents ",,,185.25,185.25,1
RC,402,"Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion ",,,303.54,303.54,1
RC,402,"Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation ",,,185.25,185.25,1
RC,402,"Ultrasound, transrectal; ",,,185.25,185.25,1
RC,402,"Ultrasound, transvaginal ",,,185.25,185.25,1
RC,403, Other Imaging Services Screening Mammography  ,,,146.0,409.0,10
RC,403,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) ",,,43.3,43.3,1
RC,403,Diagnostic digital breast tomosynthesis; bilateral ,,,198.71,198.71,1
RC,403,Diagnostic digital breast tomosynthesis; unilateral ,,,155.41,155.41,1
RC,403,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral ",,,198.71,198.71,1
RC,403,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral ",,,155.41,155.41,1
RC,403,"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report ",,,237.24,237.24,1
RC,403,"Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation ",,,391.22,391.22,1
RC,403,"Mammary ductogram or galactogram, single duct, radiological supervision and interpretation ",,,391.22,391.22,1
RC,403,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) ",168.0,168.0,43.3,43.3,1
RC,404, Other Imaging Services Positron Emission Tomography  ,,,2423.0,5482.0,12
RC,404,"Brain imaging, positron emission tomography (PET); metabolic evaluation ",,,1542.0,2516.58,4
RC,404,"Brain imaging, positron emission tomography (PET); perfusion evaluation ",,,1542.0,2469.0,3
RC,404,"Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), dual radi",,,4675.85,4675.85,2
RC,404,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; ",,,1542.0,2469.0,4
RC,404,"Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motionºs» and/or ejection fractionºs», when performed), single study; with concurrently a",,,2516.58,2516.58,1
RC,404,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); multiple studies at rest and stress (exercis",,,1542.0,3825.85,5
RC,404,"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motionºs» and/or ejection fractionºs», when performed); single study, at rest or stress (exercise or",,,1542.0,2516.58,5
RC,404,Pet imaging whole body; melanoma for non-covered indications ,,,1542.0,2469.0,3
RC,404,"Pet imaging, any site, not otherwise specified ",,,641.1,2469.0,4
RC,404,"Pet imaging, full and partial-ring pet scanners only, for initial diagnosis of breast cancer and/or surgical planning for breast cancer (e.g., initial staging of axillary lymph nodes) ",,,1542.0,2469.0,3
RC,404,"Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck) ",,,1542.0,2469.0,4
RC,404,Positron emission tomography (PET) imaging; skull base to mid-thigh ,,,1542.0,2516.58,4
RC,404,Positron emission tomography (PET) imaging; whole body ,,,1542.0,2516.58,4
RC,404,"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck) ",,,1542.0,2516.58,4
RC,404,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh ,,,1542.0,2516.58,4
RC,404,Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body ,,,1542.0,2516.58,4
RC,409, Other Imaging Services  ,,,400.0,819.0,7
RC,409,"3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same an",,,149.69,149.69,1
RC,409,"3d radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy ",,,265.98,265.98,1
RC,409,"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis ",,,4864.82,4864.82,1
RC,409,"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Angiography, extremity, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Angiography, extremity, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Angiography, internal mammary, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,409,"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Angiography, spinal, selective, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,409,"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,409,"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Aortography, abdominal, by serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Aortography, thoracic, by serialography, radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,409,"Aortography, thoracic, without serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,Bone age studies ,,,185.25,185.25,1
RC,409,"Bone length studies (orthoroentgenogram, scanogram) ",,,185.25,185.25,1
RC,409,"Cephalogram, orthodontic ",,,137.53,137.53,1
RC,409,"Cholecystography, oral contrast ",,,303.54,303.54,1
RC,409,"Cineradiography/videoradiography, except where specifically included ",,,185.25,185.25,1
RC,409,"Cisternography, positive contrast, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,409,Complex dynamic pharyngeal and speech evaluation by cine or video recording ,,,391.22,391.22,1
RC,409,"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina, including OCT angiography ",,,529.38,529.38,1
RC,409,"Corpora cavernosography, radiological supervision and interpretation ",,,185.25,185.25,1
RC,409,"Cystography, minimum of 3 views, radiological supervision and interpretation ",,,625.8,625.8,1
RC,409,"Dacryocystography, nasolacrimal duct, radiological supervision and interpretation ",,,391.22,391.22,1
RC,409,"Dilation of ureter(s) or urethra, radiological supervision and interpretation ",,,3048.08,3048.08,1
RC,409,"Discography, cervical or thoracic, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,409,"Discography, lumbar, radiological supervision and interpretation ",,,2982.46,2982.46,1
RC,409,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ",,,137.53,137.53,1
RC,409,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) ",,,185.25,185.25,1
RC,409,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment ",,,185.25,185.25,1
RC,409,"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time ",,,391.22,391.22,1
RC,409,"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Hysterosalpingography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,409,"Joint survey, single view, 2 or more joints (specify) ",,,185.25,185.25,1
RC,409,"Lymphangiography, extremity only, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,409,"Lymphangiography, extremity only, unilateral, radiological supervision and interpretation ",,,920.75,920.75,1
RC,409,"Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated ",,,137.53,137.53,1
RC,409,"Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report ",,,215.68,215.68,1
RC,409,"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,409,"Myelography, cervical, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,409,"Myelography, lumbosacral, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,409,"Myelography, posterior fossa, radiological supervision and interpretation ",,,625.8,625.8,1
RC,409,"Myelography, thoracic, radiological supervision and interpretation ",,,1215.81,1215.81,1
RC,409,Non-ophthalmic fluorescent vascular angiography ,,,625.8,625.8,1
RC,409,"Orthopantogram (eg, panoramic x-ray) ",,,137.53,137.53,1
RC,409,"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Perineogram (eg, vaginogram, for sex determination or extent of anomalies) ",,,391.22,391.22,1
RC,409,"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation ",,,820.91,820.91,1
RC,409,"Quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, derived from augmentative software analysis of the data set from a coronary computed tomo",,,1615.85,1615.85,1
RC,409,"Radiologic examination from nose to rectum for foreign body, single view, child ",,,137.53,137.53,1
RC,409,"Radiologic examination, abdomen; 1 view ",,,137.53,137.53,1
RC,409,"Radiologic examination, abdomen; 2 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, abdomen; 3 or more views ",,,185.25,185.25,1
RC,409,"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation ",,,820.91,820.91,1
RC,409,"Radiologic examination, ankle, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,409,"Radiologic examination, ankle; 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, ankle; complete, minimum of 3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, chest; 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, chest; 3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, chest; 4 or more views ",,,185.25,185.25,1
RC,409,"Radiologic examination, chest; single view ",,,137.53,137.53,1
RC,409,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administe",,,303.54,303.54,1
RC,409,"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,409,"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest ",,,185.25,185.25,1
RC,409,"Radiologic examination, elbow, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,409,"Radiologic examination, elbow; 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, elbow; complete, minimum of 3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study ",,,303.54,303.54,1
RC,409,"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,409,"Radiologic examination, eye, for detection of foreign body ",,,137.53,137.53,1
RC,409,"Radiologic examination, facial bones; complete, minimum of 3 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, facial bones; less than 3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, femur; 1 view ",,,137.53,137.53,1
RC,409,"Radiologic examination, femur; minimum 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, finger(s), minimum of 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, foot; 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, foot; complete, minimum of 3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, hand; 2 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, hand; minimum of 3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, hip, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,409,"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view ",,,137.53,137.53,1
RC,409,"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, internal auditory meati, complete ",,,820.91,820.91,1
RC,409,"Radiologic examination, knee, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,409,"Radiologic examination, knee; 1 or 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, knee; 3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, knee; both knees, standing, anteroposterior ",,,137.53,137.53,1
RC,409,"Radiologic examination, knee; complete, 4 or more views ",,,185.25,185.25,1
RC,409,"Radiologic examination, mandible; complete, minimum of 4 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, mandible; partial, less than 4 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, mastoids; complete, minimum of 3 views per side ",,,185.25,185.25,1
RC,409,"Radiologic examination, mastoids; less than 3 views per side ",,,185.25,185.25,1
RC,409,"Radiologic examination, nasal bones, complete, minimum of 3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, osseous survey, infant ",,,185.25,185.25,1
RC,409,"Radiologic examination, osseous survey; complete (axial and appendicular skeleton) ",,,185.25,185.25,1
RC,409,"Radiologic examination, osseous survey; limited (eg, for metastases) ",,,185.25,185.25,1
RC,409,"Radiologic examination, pelvis; 1 or 2 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, pelvis; complete, minimum of 3 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,409,"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation ",,,820.91,820.91,1
RC,409,"Radiologic examination, ribs, bilateral; 3 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, ribs, unilateral; 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, sacroiliac joints; 3 or more views ",,,185.25,185.25,1
RC,409,"Radiologic examination, sacroiliac joints; less than 3 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, sacrum and coccyx, minimum of 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, salivary gland for calculus ",,,137.53,137.53,1
RC,409,"Radiologic examination, sella turcica ",,,137.53,137.53,1
RC,409,"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,409,"Radiologic examination, shoulder; 1 view ",,,137.53,137.53,1
RC,409,"Radiologic examination, shoulder; complete, minimum of 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, single plane body section (eg, tomography), other than with urography ",,,185.25,185.25,1
RC,409,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, sinuses, paranasal, less than 3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, skull; complete, minimum of 4 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, skull; less than 4 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) stu",,,303.54,303.54,1
RC,409,"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,409,"Radiologic examination, spine, cervical; 2 or 3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, spine, cervical; 4 or 5 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, spine, cervical; 6 or more views ",,,185.25,185.25,1
RC,409,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view ",,,137.53,137.53,1
RC,409,"Radiologic examination, spine, lumbosacral; 2 or 3 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, spine, lumbosacral; minimum of 4 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, spine, single view, specify level ",,,137.53,137.53,1
RC,409,"Radiologic examination, spine; thoracic, 2 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, spine; thoracic, 3 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, spine; thoracic, minimum of 4 views ",,,185.25,185.25,1
RC,409,"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study ",,,303.54,303.54,1
RC,409,"Radiologic examination, teeth; complete, full mouth ",,,391.22,391.22,1
RC,409,"Radiologic examination, teeth; partial examination, less than full mouth ",,,391.22,391.22,1
RC,409,"Radiologic examination, teeth; single view ",,,137.53,137.53,1
RC,409,"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral ",,,137.53,137.53,1
RC,409,"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral ",,,137.53,137.53,1
RC,409,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) stu",,,303.54,303.54,1
RC,409,"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study ",,,303.54,303.54,1
RC,409,"Radiologic examination, wrist, arthrography, radiological supervision and interpretation ",,,625.8,625.8,1
RC,409,"Radiologic examination, wrist; 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination, wrist; complete, minimum of 3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction ",,,137.53,137.53,1
RC,409,"Radiologic examination; calcaneus, minimum of 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination; clavicle, complete ",,,137.53,137.53,1
RC,409,"Radiologic examination; forearm, 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination; humerus, minimum of 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination; lower extremity, infant, minimum of 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination; neck, soft tissue ",,,137.53,137.53,1
RC,409,Radiologic examination; optic foramina ,,,137.53,137.53,1
RC,409,"Radiologic examination; orbits, complete, minimum of 4 views ",,,185.25,185.25,1
RC,409,"Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique ",,,137.53,137.53,1
RC,409,"Radiologic examination; scapula, complete ",,,185.25,185.25,1
RC,409,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views ",,,137.53,137.53,1
RC,409,"Radiologic examination; sternum, minimum of 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination; tibia and fibula, 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination; toe(s), minimum of 2 views ",,,137.53,137.53,1
RC,409,"Radiologic examination; upper extremity, infant, minimum of 2 views ",,,185.25,185.25,1
RC,409,"Radiological examination, surgical specimen ",,,820.91,820.91,1
RC,409,"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation ",,,185.25,185.25,1
RC,409,"Sialography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,409,"Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) ",,,185.25,185.25,1
RC,409,"Splenoportography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Temporomandibular joint arthrography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,409,"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus) ",,,303.54,303.54,1
RC,409,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional ",,,17.65,17.65,1
RC,409,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only ",,,140.44,140.44,1
RC,409,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere ",,,140.44,140.44,1
RC,409,"Trabecular bone score (TBS), structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram, calculation, with interpretation a",,,70.6,70.6,1
RC,409,Unlisted diagnostic radiographic procedure ,,,137.53,137.53,1
RC,409,"Unlisted fluoroscopic procedure (eg, diagnostic, interventional) ",,,137.53,137.53,1
RC,409,"Urethrocystography, retrograde, radiological supervision and interpretation ",,,391.22,391.22,1
RC,409,"Urethrocystography, voiding, radiological supervision and interpretation ",,,391.22,391.22,1
RC,409,"Urography (pyelography), intravenous, with or without KUB, with or without tomography ",,,303.54,303.54,1
RC,409,"Urography, antegrade, radiological supervision and interpretation ",,,625.8,625.8,1
RC,409,"Urography, infusion, drip technique and/or bolus technique; ",,,303.54,303.54,1
RC,409,"Urography, infusion, drip technique and/or bolus technique; with nephrotomography ",,,303.54,303.54,1
RC,409,"Urography, retrograde, with or without KUB ",,,625.8,625.8,1
RC,409,"Vasography, vesiculography, or epididymography, radiological supervision and interpretation ",,,391.22,391.22,1
RC,409,"Venography, adrenal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Venography, caval, inferior, with serialography, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Venography, caval, superior, with serialography, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,409,"Venography, epidural, radiological supervision and interpretation ",,,920.75,920.75,1
RC,409,"Venography, extremity, bilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,409,"Venography, extremity, unilateral, radiological supervision and interpretation ",,,2390.44,2390.44,1
RC,409,"Venography, orbital, radiological supervision and interpretation ",,,920.75,920.75,1
RC,409,"Venography, renal, bilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Venography, renal, unilateral, selective, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Venography, superior sagittal sinus, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation ",,,4864.82,4864.82,1
RC,409,"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation ",,,8109.63,8109.63,1
RC,409,Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) ,,,137.53,137.53,1
RC,410, Respiratory Services General Classification  ,,,351.0,351.0,1
RC,412, Respiratory Services Inhalation Services  ,,,351.0,351.0,1
RC,413, Respiratory Services Hyperbaric Oxygen Therapy  ,,,2440.0,2440.0,1
RC,419, Respiratory Services Other  ,,,351.0,351.0,1
RC,420, Physical Therapy General Classification  ,,,532.0,532.0,1
RC,421, Physical Therapy Visit  ,,,532.0,532.0,1
RC,422, Physical Therapy Hourly  ,,,532.0,532.0,1
RC,423, Physical Therapy Group  ,,,532.0,532.0,1
RC,424, Physical Therapy Evaluation or Reevaluation  ,,,532.0,532.0,1
RC,429, Physical Therapy Other  ,,,532.0,532.0,1
RC,430, Occupational Therapy General Classification  ,,,532.0,532.0,1
RC,431, Occupational Therapy Visit  ,,,532.0,532.0,1
RC,432, Occupational Therapy Hourly  ,,,532.0,532.0,1
RC,433, Occupational Therapy Group  ,,,532.0,532.0,1
RC,434, Occupational Therapy Evaluation or Reevaluation  ,,,532.0,532.0,1
RC,439, Occupational Therapy Other  ,,,532.0,532.0,1
RC,440, Speech Therapy - Language Pathology General Classification  ,,,532.0,532.0,1
RC,441, Speech Therapy - Language Pathology Visit  ,,,532.0,532.0,1
RC,442, Speech Therapy - Language Pathology Hourly  ,,,532.0,532.0,1
RC,443, Speech Therapy - Language Pathology Group  ,,,532.0,532.0,1
RC,444, Speech Therapy - Language Pathology Evaluation or Reevaluation  ,,,532.0,532.0,1
RC,449, Speech Therapy - Language Pathology Other  ,,,532.0,532.0,1
RC,450, Emergency Room General Classification  ,,,276.0,4300.0,36
RC,450, Emergency Room General Classification  ER,,,820.0,820.0,1
RC,450,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,800.0,4670.0,3
RC,450,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,800.0,4670.0,5
RC,450,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,800.0,3143.0,5
RC,450,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,800.0,4670.0,5
RC,450,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,800.0,3143.0,5
RC,450,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,800.0,3143.0,5
RC,450,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,800.0,3143.0,5
RC,450,Level 1 Type A ED Visits ,,,92.46,154.1,2
RC,450,Level 1 Type B ED Visits ,,,81.5,135.84,2
RC,450,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,5
RC,450,Level 2 Type A ED Visits ,,,168.36,280.6,2
RC,450,Level 2 Type B ED Visits ,,,101.85,169.75,2
RC,450,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,5
RC,450,Level 3 Type A ED Visits ,,,299.32,498.86,2
RC,450,Level 3 Type B ED Visits ,,,188.47,314.12,2
RC,450,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,5
RC,450,Level 4 Type A ED Visits ,,,457.53,762.54,2
RC,450,Level 4 Type B ED Visits ,,,289.81,483.01,2
RC,450,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,5
RC,450,Level 5 Type A ED Visits ,,,1088.33,1088.33,1
RC,450,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,4670.0,5
RC,451, Emergency Room EMTALA Emergency Medical Screening  ,,,300.0,4300.0,32
RC,451, Emergency Room EMTALA Emergency Medical Screening  ER,,,820.0,820.0,1
RC,451,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,800.0,4670.0,3
RC,451,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,800.0,4670.0,5
RC,451,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,800.0,3143.0,5
RC,451,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,800.0,4670.0,5
RC,451,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,800.0,3143.0,5
RC,451,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,800.0,3143.0,5
RC,451,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,800.0,3143.0,5
RC,451,Level 1 Type A ED Visits ,,,92.46,154.1,2
RC,451,Level 1 Type B ED Visits ,,,81.5,135.84,2
RC,451,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,5
RC,451,Level 2 Type A ED Visits ,,,168.36,280.6,2
RC,451,Level 2 Type B ED Visits ,,,101.85,169.75,2
RC,451,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,5
RC,451,Level 3 Type A ED Visits ,,,299.32,498.86,2
RC,451,Level 3 Type B ED Visits ,,,188.47,314.12,2
RC,451,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,5
RC,451,Level 4 Type A ED Visits ,,,457.53,762.54,2
RC,451,Level 4 Type B ED Visits ,,,289.81,483.01,2
RC,451,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,5
RC,451,Level 5 Type A ED Visits ,,,1088.33,1088.33,1
RC,451,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,4670.0,5
RC,452, Emergency Room ER Beyond EMTALA  ,,,300.0,4300.0,33
RC,452, Emergency Room ER Beyond EMTALA  ER,,,820.0,820.0,1
RC,452,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,800.0,4670.0,3
RC,452,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,800.0,4670.0,5
RC,452,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,800.0,3143.0,5
RC,452,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,800.0,4670.0,5
RC,452,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,800.0,3143.0,5
RC,452,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,800.0,3143.0,5
RC,452,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,800.0,3143.0,5
RC,452,Level 1 Type A ED Visits ,,,92.46,154.1,2
RC,452,Level 1 Type B ED Visits ,,,81.5,135.84,2
RC,452,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,5
RC,452,Level 2 Type A ED Visits ,,,168.36,280.6,2
RC,452,Level 2 Type B ED Visits ,,,101.85,169.75,2
RC,452,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,5
RC,452,Level 3 Type A ED Visits ,,,299.32,498.86,2
RC,452,Level 3 Type B ED Visits ,,,188.47,314.12,2
RC,452,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,5
RC,452,Level 4 Type A ED Visits ,,,457.53,762.54,2
RC,452,Level 4 Type B ED Visits ,,,289.81,483.01,2
RC,452,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,5
RC,452,Level 5 Type A ED Visits ,,,1088.33,1088.33,1
RC,452,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,4670.0,5
RC,456, Emergency Room Urgent Care  ,,,300.0,4300.0,34
RC,456, Emergency Room Urgent Care  ER,,,820.0,820.0,1
RC,456,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,800.0,1240.0,2
RC,456,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,800.0,3143.0,4
RC,456,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,800.0,3143.0,4
RC,456,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,800.0,3143.0,4
RC,456,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,800.0,3143.0,4
RC,456,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,800.0,3143.0,4
RC,456,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,800.0,3143.0,4
RC,456,Level 1 Type A ED Visits ,,,92.46,154.1,2
RC,456,Level 1 Type B ED Visits ,,,81.5,135.84,2
RC,456,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,4
RC,456,Level 2 Type A ED Visits ,,,168.36,280.6,2
RC,456,Level 2 Type B ED Visits ,,,101.85,169.75,2
RC,456,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,4
RC,456,Level 3 Type A ED Visits ,,,299.32,498.86,2
RC,456,Level 3 Type B ED Visits ,,,188.47,314.12,2
RC,456,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,4
RC,456,Level 4 Type A ED Visits ,,,457.53,762.54,2
RC,456,Level 4 Type B ED Visits ,,,289.81,483.01,2
RC,456,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,4
RC,456,Level 5 Type A ED Visits ,,,1088.33,1088.33,1
RC,456,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,3143.0,4
RC,459, Emergency Room Other  ,,,300.0,4300.0,32
RC,459, Emergency Room Other  ER,,,820.0,820.0,1
RC,459,"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) ",,,800.0,4670.0,3
RC,459,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes ",,,800.0,4670.0,3
RC,459,Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional ,,,800.0,1240.0,3
RC,459,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making ",,,800.0,4670.0,3
RC,459,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making ",,,800.0,2330.0,3
RC,459,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making ",,,800.0,2330.0,3
RC,459,"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making ",,,800.0,1656.0,3
RC,459,Level 1 Type A ED Visits ,,,92.46,154.1,2
RC,459,Level 1 Type B ED Visits ,,,81.5,135.84,2
RC,459,Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,1240.0,3
RC,459,Level 2 Type A ED Visits ,,,168.36,280.6,2
RC,459,Level 2 Type B ED Visits ,,,101.85,169.75,2
RC,459,Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,1656.0,3
RC,459,Level 3 Type A ED Visits ,,,299.32,498.86,2
RC,459,Level 3 Type B ED Visits ,,,188.47,314.12,2
RC,459,Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,2330.0,3
RC,459,Level 4 Type A ED Visits ,,,457.53,762.54,2
RC,459,Level 4 Type B ED Visits ,,,289.81,483.01,2
RC,459,Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,2330.0,3
RC,459,Level 5 Type A ED Visits ,,,1088.33,1088.33,1
RC,459,Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is loca,,,800.0,4670.0,3
RC,460, Pulmonary Function General Classification  ,,,269.0,690.0,8
RC,469, Pulmonary Function Other  ,,,690.0,690.0,1
RC,470, Audiology General Classification  ,,,351.0,351.0,1
RC,471, Audiology Diagnostic  ,,,351.0,351.0,1
RC,472, Audiology Treatment  ,,,351.0,351.0,1
RC,479, Audiology Other  ,,,351.0,351.0,1
RC,480, Cardiology General Classification  ,,,1911.0,2481.0,2
RC,480,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,2702.0,2702.0,1
RC,480,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,2702.0,2702.0,1
RC,480,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,2702.0,2702.0,1
RC,480,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,2702.0,2702.0,1
RC,480,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2702.0,2702.0,1
RC,480,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2702.0,2702.0,1
RC,480,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,2702.0,2702.0,1
RC,480,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,2702.0,2702.0,1
RC,480,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,2702.0,2702.0,1
RC,480,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,2702.0,2702.0,1
RC,480,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,2702.0,2702.0,1
RC,480,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,2702.0,2702.0,1
RC,480,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,2702.0,2702.0,1
RC,480,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,2702.0,2702.0,1
RC,480,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,2702.0,2702.0,1
RC,480,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,2702.0,2702.0,1
RC,480,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2702.0,2702.0,1
RC,480,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,12219.0,12219.0,6826.0,17341.0,3
RC,480,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,2702.0,2702.0,1
RC,480,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,2702.0,2702.0,1
RC,480,Amniocentesis; diagnostic ,,,2702.0,2702.0,1
RC,480,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,2702.0,2702.0,1
RC,480,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,2702.0,1
RC,480,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,2702.0,1
RC,480,Amputation of penis; complete ,,,2702.0,2702.0,1
RC,480,Amputation of penis; partial ,,,2702.0,2702.0,1
RC,480,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,2702.0,2702.0,1
RC,480,Anastomosis; facial-hypoglossal ,,,2702.0,2702.0,1
RC,480,Anastomosis; facial-spinal accessory ,,,2702.0,2702.0,1
RC,480,Antepartum care only; 4-6 visits ,,,2702.0,2702.0,1
RC,480,Antepartum care only; 7 or more visits ,,,2702.0,2702.0,1
RC,480,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,4963.0,4963.0,1
RC,480,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,2702.0,2702.0,1
RC,480,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,2702.0,2702.0,1
RC,480,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,4963.0,4963.0,1
RC,480,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,2702.0,2702.0,1
RC,480,Artificial insemination; intra-cervical ,,,4963.0,4963.0,1
RC,480,Artificial insemination; intra-uterine ,,,4963.0,4963.0,1
RC,480,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,2702.0,2702.0,1
RC,480,"Aspiration and/or injection, thyroid cyst ",,,2702.0,2702.0,1
RC,480,Aspiration of bladder; by needle ,,,2702.0,2702.0,1
RC,480,Aspiration of bladder; by trocar or intracatheter ,,,2702.0,2702.0,1
RC,480,Aspiration of bladder; with insertion of suprapubic catheter ,,,2702.0,2702.0,1
RC,480,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,4963.0,4963.0,1
RC,480,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,2702.0,2702.0,1
RC,480,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,2702.0,2702.0,1
RC,480,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,2702.0,2702.0,1
RC,480,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,2702.0,2702.0,1
RC,480,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,2702.0,2702.0,1
RC,480,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,2702.0,2702.0,1
RC,480,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,2702.0,2702.0,1
RC,480,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,2702.0,23692.0,5
RC,480,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,2702.0,2702.0,1
RC,480,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,2702.0,2702.0,1
RC,480,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,2702.0,2702.0,1
RC,480,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,2702.0,2702.0,1
RC,480,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,2702.0,2702.0,1
RC,480,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,2702.0,2702.0,1
RC,480,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,2702.0,2702.0,1
RC,480,Biopsy external auditory canal ,,,2702.0,2702.0,1
RC,480,Biopsy external ear ,,,2702.0,2702.0,1
RC,480,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,2702.0,2702.0,1
RC,480,Biopsy of conjunctiva ,,,2702.0,2702.0,1
RC,480,Biopsy of cornea ,,,2702.0,2702.0,1
RC,480,"Biopsy of epididymis, needle ",,,2702.0,2702.0,1
RC,480,Biopsy of extraocular muscle ,,,2702.0,2702.0,1
RC,480,Biopsy of lacrimal gland ,,,2702.0,2702.0,1
RC,480,Biopsy of lacrimal sac ,,,2702.0,2702.0,1
RC,480,Biopsy of nerve ,,,2702.0,2702.0,1
RC,480,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,2702.0,2702.0,1
RC,480,"Biopsy of pancreas, percutaneous needle ",,,2702.0,2702.0,1
RC,480,Biopsy of penis; (separate procedure) ,,,2702.0,2702.0,1
RC,480,Biopsy of penis; deep structures ,,,2702.0,2702.0,1
RC,480,"Biopsy of spinal cord, percutaneous needle ",,,2702.0,2702.0,1
RC,480,"Biopsy of testis, incisional (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Biopsy of testis, needle (separate procedure) ",,,2702.0,2702.0,1
RC,480,Biopsy of urethra ,,,2702.0,2702.0,1
RC,480,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,2702.0,2702.0,1
RC,480,Biopsy of vaginal mucosa; simple (separate procedure) ,,,2702.0,2702.0,1
RC,480,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,2702.0,2702.0,1
RC,480,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,"Biopsy thyroid, percutaneous core needle ",,,2702.0,2702.0,1
RC,480,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,2702.0,2702.0,1
RC,480,"Biopsy, prostate, any approach, nonimaging-guided ",,,2702.0,2702.0,1
RC,480,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,2702.0,2702.0,1
RC,480,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,2702.0,2702.0,1
RC,480,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2702.0,2702.0,1
RC,480,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,2702.0,2702.0,1
RC,480,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2702.0,2702.0,1
RC,480,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2702.0,2702.0,1
RC,480,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,2702.0,2702.0,1
RC,480,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2702.0,2702.0,1
RC,480,Bladder instillation of anticarcinogenic agent (including retention time) ,,,2702.0,2702.0,1
RC,480,"Bladder irrigation, simple, lavage and/or instillation ",,,2702.0,2702.0,1
RC,480,"Blepharotomy, drainage of abscess, eyelid ",,,2702.0,2702.0,1
RC,480,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,12038.0,4
RC,480,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,2702.0,2702.0,1
RC,480,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,2702.0,2702.0,1
RC,480,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,2702.0,2702.0,1
RC,480,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,2702.0,2702.0,1
RC,480,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,2702.0,2702.0,1
RC,480,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,2702.0,2702.0,1
RC,480,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,2702.0,2702.0,1
RC,480,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,2702.0,2702.0,1
RC,480,Canthoplasty (reconstruction of canthus) ,,,2702.0,2702.0,1
RC,480,Canthotomy (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,9333.0,12038.0,4
RC,480,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,9333.0,12038.0,4
RC,480,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,9333.0,12038.0,16
RC,480,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,9333.0,12038.0,12
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,2791.0,9822.0,3
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,2791.0,12038.0,18
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,2791.0,12038.0,14
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,2791.0,12038.0,18
RC,480,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,2791.0,12038.0,7
RC,480,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,4963.0,4963.0,1
RC,480,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2702.0,2702.0,1
RC,480,"Cautery of cervix; cryocautery, initial or repeat ",,,2702.0,2702.0,1
RC,480,Cautery of cervix; electro or thermal ,,,2702.0,2702.0,1
RC,480,Cautery of cervix; laser ablation ,,,2702.0,2702.0,1
RC,480,"Cerclage of cervix, during pregnancy; abdominal ",,,2702.0,2702.0,1
RC,480,"Cerclage of cervix, during pregnancy; vaginal ",,,2702.0,2702.0,1
RC,480,"Cerclage of uterine cervix, nonobstetrical ",,,2702.0,2702.0,1
RC,480,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,2702.0,2702.0,1
RC,480,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,2702.0,2702.0,1
RC,480,Cesarean delivery only; ,,,2702.0,2702.0,1
RC,480,Cesarean delivery only; including postpartum care ,,,2702.0,2702.0,1
RC,480,Change of cystostomy tube; complicated ,,,2702.0,2702.0,1
RC,480,Change of cystostomy tube; simple ,,,2702.0,2702.0,1
RC,480,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,2702.0,2702.0,1
RC,480,Chemodenervation of eccrine glands; both axillae ,,,2702.0,2702.0,1
RC,480,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,2702.0,2702.0,1
RC,480,Chemodenervation of extraocular muscle ,,,2702.0,2702.0,1
RC,480,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,2702.0,2702.0,1
RC,480,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,2702.0,2702.0,1
RC,480,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,2702.0,2702.0,1
RC,480,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,2702.0,2702.0,1
RC,480,Chemodenervation of one extremity; 1-4 muscle(s) ,,,2702.0,2702.0,1
RC,480,Chemodenervation of one extremity; 5 or more muscles ,,,2702.0,2702.0,1
RC,480,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,2702.0,2702.0,1
RC,480,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,2702.0,2702.0,1
RC,480,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,2702.0,2702.0,1
RC,480,"Chorionic villus sampling, any method ",,,2702.0,2702.0,1
RC,480,"Chromotubation of oviduct, including materials ",,,4963.0,4963.0,1
RC,480,Ciliary body destruction; cryotherapy ,,,2702.0,2702.0,1
RC,480,Ciliary body destruction; cyclodialysis ,,,2702.0,2702.0,1
RC,480,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,2702.0,2702.0,1
RC,480,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,2702.0,2702.0,1
RC,480,Ciliary body destruction; diathermy ,,,2702.0,2702.0,1
RC,480,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,2702.0,2702.0,1
RC,480,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,4963.0,4963.0,1
RC,480,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,2702.0,2702.0,1
RC,480,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,2702.0,2702.0,1
RC,480,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,2702.0,2702.0,1
RC,480,Clitoroplasty for intersex state ,,,2702.0,2702.0,1
RC,480,Closure of cystostomy (separate procedure) ,,,2702.0,2702.0,1
RC,480,Closure of lacrimal fistula (separate procedure) ,,,2702.0,2702.0,1
RC,480,Closure of nephrocutaneous or pyelocutaneous fistula ,,,2702.0,2702.0,1
RC,480,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,2702.0,2702.0,1
RC,480,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,2702.0,2702.0,1
RC,480,Closure of rectovaginal fistula; abdominal approach ,,,4963.0,4963.0,1
RC,480,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,4963.0,4963.0,1
RC,480,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,4963.0,4963.0,1
RC,480,Closure of rectovaginal fistula; vaginal or transanal approach ,,,4963.0,4963.0,1
RC,480,"Closure of the lacrimal punctum; by plug, each ",,,2702.0,2702.0,1
RC,480,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,2702.0,2702.0,1
RC,480,Closure of ureterocutaneous fistula ,,,2702.0,2702.0,1
RC,480,Closure of ureterovisceral fistula (including visceral repair) ,,,2702.0,2702.0,1
RC,480,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,2702.0,2702.0,1
RC,480,Closure of urethrovaginal fistula; ,,,4963.0,4963.0,1
RC,480,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,4963.0,4963.0,1
RC,480,Closure of vesicouterine fistula; ,,,2702.0,2702.0,1
RC,480,Closure of vesicouterine fistula; with hysterectomy ,,,2702.0,2702.0,1
RC,480,"Closure of vesicovaginal fistula, abdominal approach ",,,2702.0,2702.0,1
RC,480,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,4963.0,4963.0,1
RC,480,Closure of vesicovaginal fistula; vaginal approach ,,,4963.0,4963.0,1
RC,480,"Closure postauricular fistula, mastoid (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Closure, exstrophy of bladder ",,,2702.0,2702.0,1
RC,480,"Cochlear device implantation, with or without mastoidectomy ",,,4963.0,13830.0,5
RC,480,"Cochlear device implantation, with or without mastoidectomy Complex Surgery",,,11754.0,11754.0,2
RC,480,Colpocentesis (separate procedure) ,,,2702.0,2702.0,1
RC,480,Colpocleisis (Le Fort type) ,,,2702.0,2702.0,1
RC,480,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,4963.0,4963.0,1
RC,480,"Colpopexy, abdominal approach ",,,4963.0,4963.0,1
RC,480,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,4963.0,4963.0,1
RC,480,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,4963.0,4963.0,1
RC,480,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,4963.0,4963.0,1
RC,480,Colposcopy of the cervix including upper/adjacent vagina; ,,,2702.0,2702.0,1
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,2702.0,2702.0,1
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,2702.0,2702.0,1
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,2702.0,2702.0,1
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,2702.0,2702.0,1
RC,480,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,2702.0,2702.0,1
RC,480,"Colposcopy of the entire vagina, with cervix if present; ",,,2702.0,2702.0,1
RC,480,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,2702.0,2702.0,1
RC,480,Colposcopy of the vulva; ,,,2702.0,2702.0,1
RC,480,Colposcopy of the vulva; with biopsy(s) ,,,2702.0,2702.0,1
RC,480,Colpotomy; with drainage of pelvic abscess ,,,2702.0,2702.0,1
RC,480,Colpotomy; with exploration ,,,2702.0,2702.0,1
RC,480,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,4963.0,4963.0,1
RC,480,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,4963.0,4963.0,1
RC,480,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,2791.0,9822.0,3
RC,480,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,480,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,480,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,2702.0,2702.0,1
RC,480,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,2702.0,2702.0,1
RC,480,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,2702.0,2702.0,1
RC,480,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,2702.0,2702.0,1
RC,480,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,2702.0,2702.0,1
RC,480,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",103170.5,103170.5,6826.0,23692.0,14
RC,480,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",106571.0,106571.0,6826.0,23692.0,7
RC,480,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,2702.0,2702.0,1
RC,480,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,2702.0,2702.0,1
RC,480,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,2702.0,2702.0,1
RC,480,Conjunctival flap; bridge or partial (separate procedure) ,,,2702.0,2702.0,1
RC,480,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,2702.0,2702.0,1
RC,480,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,2702.0,2702.0,1
RC,480,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,2702.0,2702.0,1
RC,480,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,2702.0,2702.0,1
RC,480,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,2702.0,2702.0,1
RC,480,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,2702.0,2702.0,1
RC,480,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,2702.0,2702.0,1
RC,480,Construction of artificial vagina; with graft ,,,4963.0,4963.0,1
RC,480,Construction of artificial vagina; without graft ,,,4963.0,4963.0,1
RC,480,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,2702.0,2702.0,1
RC,480,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,2702.0,2702.0,1
RC,480,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,2702.0,2702.0,1
RC,480,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,2702.0,2702.0,1
RC,480,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,2702.0,1
RC,480,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,2702.0,2702.0,1
RC,480,"Cordocentesis (intrauterine), any method ",,,2702.0,2702.0,1
RC,480,Corneal relaxing incision for correction of surgically induced astigmatism ,,,2702.0,2702.0,1
RC,480,Corneal wedge resection for correction of surgically induced astigmatism ,,,2702.0,2702.0,1
RC,480,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,4963.0,4963.0,1
RC,480,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,4963.0,4963.0,1
RC,480,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,4963.0,4963.0,1
RC,480,"Correction of everted punctum, cautery ",,,2702.0,2702.0,1
RC,480,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,2702.0,2702.0,1
RC,480,Correction of lid retraction ,,,2702.0,2702.0,1
RC,480,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,2702.0,2702.0,1
RC,480,"Correction of trichiasis; epilation, by forceps only ",,,2702.0,2702.0,1
RC,480,Correction of trichiasis; incision of lid margin ,,,2702.0,2702.0,1
RC,480,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,2702.0,2702.0,1
RC,480,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,4963.0,4963.0,1
RC,480,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,4963.0,4963.0,1
RC,480,Craniectomy for craniosynostosis; multiple cranial sutures ,,,2702.0,2702.0,1
RC,480,Craniectomy for craniosynostosis; single cranial suture ,,,2702.0,2702.0,1
RC,480,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,2702.0,2702.0,1
RC,480,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,2702.0,2702.0,1
RC,480,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,2702.0,2702.0,1
RC,480,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,2702.0,2702.0,1
RC,480,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,2702.0,2702.0,1
RC,480,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,2702.0,2702.0,1
RC,480,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,2702.0,2702.0,1
RC,480,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,2702.0,2702.0,1
RC,480,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,2702.0,2702.0,1
RC,480,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,2702.0,2702.0,1
RC,480,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,2702.0,2702.0,1
RC,480,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,2702.0,2702.0,1
RC,480,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,2702.0,2702.0,1
RC,480,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,2702.0,2702.0,1
RC,480,"Craniectomy or craniotomy, exploratory; supratentorial ",,,2702.0,2702.0,1
RC,480,Craniectomy or craniotomy; with excision of foreign body from brain ,,,2702.0,2702.0,1
RC,480,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,2702.0,2702.0,1
RC,480,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,2702.0,2702.0,1
RC,480,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,2702.0,2702.0,1
RC,480,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,2702.0,2702.0,1
RC,480,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,2702.0,2702.0,1
RC,480,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,2702.0,2702.0,1
RC,480,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,2702.0,2702.0,1
RC,480,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,2702.0,2702.0,1
RC,480,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,2702.0,2702.0,1
RC,480,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,2702.0,2702.0,1
RC,480,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,2702.0,2702.0,1
RC,480,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,2702.0,2702.0,1
RC,480,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,2702.0,2702.0,1
RC,480,Craniectomy; for osteomyelitis ,,,2702.0,2702.0,1
RC,480,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2702.0,2702.0,1
RC,480,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,2702.0,2702.0,1
RC,480,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,2702.0,2702.0,1
RC,480,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,2702.0,2702.0,1
RC,480,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,2702.0,2702.0,1
RC,480,Cranioplasty for skull defect with reparative brain surgery ,,,2702.0,2702.0,1
RC,480,Cranioplasty for skull defect; larger than 5 cm diameter ,,,2702.0,2702.0,1
RC,480,Cranioplasty for skull defect; up to 5 cm diameter ,,,2702.0,2702.0,1
RC,480,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,2702.0,2702.0,1
RC,480,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,2702.0,2702.0,1
RC,480,Craniotomy for craniosynostosis; bifrontal bone flap ,,,2702.0,2702.0,1
RC,480,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,2702.0,2702.0,1
RC,480,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,2702.0,2702.0,1
RC,480,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,2702.0,2702.0,1
RC,480,"Craniotomy for repair of encephalocele, skull base ",,,2702.0,2702.0,1
RC,480,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,2702.0,2702.0,1
RC,480,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,2702.0,2702.0,1
RC,480,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,2702.0,2702.0,1
RC,480,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,2702.0,2702.0,1
RC,480,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,2702.0,2702.0,1
RC,480,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,2702.0,2702.0,1
RC,480,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,2702.0,2702.0,1
RC,480,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,2702.0,2702.0,1
RC,480,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,2702.0,2702.0,1
RC,480,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,2702.0,2702.0,1
RC,480,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,2702.0,2702.0,1
RC,480,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,2702.0,2702.0,1
RC,480,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,2702.0,2702.0,1
RC,480,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,2702.0,2702.0,1
RC,480,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,2702.0,2702.0,1
RC,480,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,2702.0,2702.0,1
RC,480,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,2702.0,2702.0,1
RC,480,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,2702.0,2702.0,1
RC,480,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,4963.0,4963.0,1
RC,480,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,2702.0,2702.0,1
RC,480,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,2702.0,2702.0,1
RC,480,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,2702.0,2702.0,1
RC,480,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,2702.0,2702.0,1
RC,480,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,2702.0,2702.0,1
RC,480,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,2702.0,2702.0,1
RC,480,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,2702.0,13830.0,5
RC,480,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Complex Surgery,,,11754.0,11754.0,2
RC,480,"Curettage, postpartum ",,,2702.0,2702.0,1
RC,480,Cutaneous appendico-vesicostomy ,,,2702.0,2702.0,1
RC,480,Cutaneous vesicostomy ,,,2702.0,2702.0,1
RC,480,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,2702.0,2702.0,1
RC,480,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,2702.0,2702.0,1
RC,480,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,2702.0,1
RC,480,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,2702.0,2702.0,1
RC,480,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,2702.0,1
RC,480,"Cystectomy, complete; (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,2702.0,1
RC,480,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,2702.0,2702.0,1
RC,480,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,2702.0,2702.0,1
RC,480,"Cystectomy, partial; simple ",,,2702.0,2702.0,1
RC,480,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,2702.0,2702.0,1
RC,480,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2702.0,2702.0,1
RC,480,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,2702.0,2702.0,1
RC,480,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,2702.0,2702.0,1
RC,480,"Cystostomy, cystotomy with drainage ",,,2702.0,2702.0,1
RC,480,"Cystotomy for excision, incision, or repair of ureterocele ",,,2702.0,2702.0,1
RC,480,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,2702.0,2702.0,1
RC,480,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,2702.0,2702.0,1
RC,480,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,2702.0,2702.0,1
RC,480,Cystotomy; for excision of bladder tumor ,,,2702.0,2702.0,1
RC,480,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,2702.0,2702.0,1
RC,480,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2702.0,2702.0,1
RC,480,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,4963.0,15409.0,5
RC,480,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,4963.0,13830.0,5
RC,480,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Complex Surgery",,,11754.0,11754.0,2
RC,480,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,4963.0,13830.0,5
RC,480,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Complex Surgery,,,11754.0,11754.0,2
RC,480,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,4963.0,13830.0,5
RC,480,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Complex Surgery,,,11754.0,11754.0,2
RC,480,Cystourethroscopy (separate procedure) ,,,4963.0,4963.0,1
RC,480,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,4963.0,4963.0,1
RC,480,Cystourethroscopy with direct vision internal urethrotomy ,,,4963.0,4963.0,1
RC,480,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,2702.0,2702.0,1
RC,480,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,2702.0,2702.0,1
RC,480,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2702.0,2702.0,1
RC,480,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,4963.0,13830.0,5
RC,480,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Complex Surgery",,,11754.0,11754.0,2
RC,480,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,4963.0,4963.0,1
RC,480,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,2702.0,2702.0,1
RC,480,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,5
RC,480,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,5
RC,480,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,5
RC,480,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Cystourethroscopy, with biopsy(s) ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder Complex Surgery",,,11754.0,11754.0,2
RC,480,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,4963.0,13830.0,5
RC,480,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,2702.0,2702.0,1
RC,480,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,2702.0,2702.0,1
RC,480,"Cystourethroscopy, with insertion of permanent urethral stent ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with internal urethrotomy; female ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with internal urethrotomy; male ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with steroid injection into stricture ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,4963.0,13830.0,5
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Complex Surgery",,,11754.0,11754.0,2
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,4963.0,13830.0,5
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion Complex Surgery",,,11754.0,11754.0,2
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2702.0,15409.0,5
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2702.0,15409.0,5
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,4963.0,13830.0,5
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,4963.0,13830.0,5
RC,480,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Complex Surgery",,,11754.0,11754.0,2
RC,480,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,4963.0,4963.0,1
RC,480,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,5
RC,480,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,5
RC,480,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,5
RC,480,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,4963.0,4963.0,1
RC,480,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,2702.0,2702.0,1
RC,480,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,2702.0,2702.0,1
RC,480,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,2702.0,2702.0,1
RC,480,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,2702.0,2702.0,1
RC,480,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,2702.0,2702.0,1
RC,480,Decompression internal auditory canal ,,,2702.0,2702.0,1
RC,480,"Decompression of orbit only, transcranial approach ",,,2702.0,2702.0,1
RC,480,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,2702.0,2702.0,1
RC,480,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,2702.0,2702.0,1
RC,480,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,2702.0,2702.0,1
RC,480,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,2702.0,2702.0,1
RC,480,Decompression; plantar digital nerve ,,,2702.0,2702.0,1
RC,480,Decompression; unspecified nerve(s) (specify) ,,,2702.0,2702.0,1
RC,480,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,2702.0,2702.0,1
RC,480,Deligation of ureter ,,,2702.0,2702.0,1
RC,480,Delivery of placenta (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Destruction by neurolytic agent, intercostal nerve ",,,2702.0,2702.0,1
RC,480,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,2702.0,2702.0,1
RC,480,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,2702.0,2702.0,1
RC,480,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,2702.0,2702.0,1
RC,480,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,2702.0,2702.0,1
RC,480,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,2702.0,2702.0,1
RC,480,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,2702.0,2702.0,1
RC,480,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,2702.0,2702.0,1
RC,480,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,2702.0,2702.0,1
RC,480,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,2702.0,2702.0,1
RC,480,Destruction by neurolytic agent; other peripheral nerve or branch ,,,2702.0,2702.0,1
RC,480,Destruction by neurolytic agent; plantar common digital nerve ,,,2702.0,2702.0,1
RC,480,Destruction by neurolytic agent; pudendal nerve ,,,2702.0,2702.0,1
RC,480,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,2702.0,2702.0,1
RC,480,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,4963.0,13830.0,5
RC,480,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,480,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,2702.0,2702.0,1
RC,480,Destruction of lesion of lid margin (up to 1 cm) ,,,2702.0,2702.0,1
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,2702.0,1
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,2702.0,2702.0,1
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,2702.0,2702.0,1
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2702.0,2702.0,1
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2702.0,2702.0,1
RC,480,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2702.0,2702.0,1
RC,480,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,2702.0,1
RC,480,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,2702.0,1
RC,480,"Destruction of lesion, conjunctiva ",,,2702.0,2702.0,1
RC,480,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,4963.0,13830.0,5
RC,480,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions Complex Surgery",,,11754.0,11754.0,2
RC,480,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,4963.0,13830.0,5
RC,480,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,4963.0,13830.0,5
RC,480,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) Compl",,,11754.0,11754.0,2
RC,480,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,4963.0,13830.0,5
RC,480,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,480,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,4963.0,13830.0,5
RC,480,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,480,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,4963.0,13830.0,5
RC,480,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,2702.0,1
RC,480,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,2702.0,1
RC,480,Diaphragm or cervical cap fitting with instructions ,,,2702.0,2702.0,1
RC,480,Dilation and curettage of cervical stump ,,,2702.0,2702.0,1
RC,480,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,2702.0,2702.0,1
RC,480,"Dilation of cervical canal, instrumental (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,2702.0,2702.0,2
RC,480,Dilation of female urethra including suppository and/or instillation; initial ,,,2702.0,2702.0,1
RC,480,Dilation of female urethra including suppository and/or instillation; subsequent ,,,2702.0,2702.0,1
RC,480,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,2702.0,2702.0,1
RC,480,"Dilation of lacrimal punctum, with or without irrigation ",,,2702.0,2702.0,1
RC,480,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,2702.0,2702.0,1
RC,480,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,2702.0,2702.0,1
RC,480,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,2702.0,2702.0,1
RC,480,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,2702.0,2702.0,1
RC,480,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,2702.0,2702.0,1
RC,480,Dilation of vagina under anesthesia (other than local) ,,,2702.0,2702.0,1
RC,480,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,4963.0,4963.0,1
RC,480,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,4963.0,4963.0,1
RC,480,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,4963.0,4963.0,1
RC,480,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,4963.0,4963.0,1
RC,480,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,2702.0,2702.0,1
RC,480,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,2702.0,2702.0,1
RC,480,"Discission of vitreous strands (without removal), pars plana approach ",,,4963.0,4963.0,1
RC,480,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,2702.0,2702.0,1
RC,480,"Donor nephrectomy (including cold preservation); open, from living donor ",,,2702.0,2702.0,1
RC,480,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,2702.0,2702.0,1
RC,480,"Drainage external auditory canal, abscess ",,,2702.0,2702.0,1
RC,480,"Drainage external ear, abscess or hematoma; complicated ",,,2702.0,2702.0,1
RC,480,"Drainage external ear, abscess or hematoma; simple ",,,2702.0,2702.0,1
RC,480,Drainage of Skene's gland abscess or cyst ,,,2702.0,2702.0,1
RC,480,Drainage of deep periurethral abscess ,,,2702.0,2702.0,1
RC,480,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,2702.0,2702.0,1
RC,480,Drainage of ovarian abscess; abdominal approach ,,,2702.0,2702.0,1
RC,480,"Drainage of ovarian abscess; vaginal approach, open ",,,2702.0,2702.0,1
RC,480,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,2702.0,2702.0,1
RC,480,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,2702.0,2702.0,1
RC,480,Drainage of perineal urinary extravasation; complicated ,,,2702.0,2702.0,1
RC,480,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Drainage of perirenal or renal abscess, open ",,,2702.0,2702.0,1
RC,480,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,2702.0,2702.0,1
RC,480,Drainage of perivesical or prevesical space abscess ,,,2702.0,2702.0,1
RC,480,"Drainage of retroperitoneal abscess, open ",,,2702.0,2702.0,1
RC,480,Drainage of scrotal wall abscess ,,,2702.0,2702.0,1
RC,480,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,2702.0,2702.0,1
RC,480,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,2702.0,2702.0,1
RC,480,"Dural graft, spinal ",,,2702.0,2702.0,1
RC,480,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,2702.0,2702.0,1
RC,480,Ear piercing ,,,2702.0,2702.0,1
RC,480,Electroejaculation ,,,2702.0,2702.0,1
RC,480,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,2702.0,2702.0,1
RC,480,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,2702.0,2702.0,1
RC,480,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,2702.0,2702.0,2
RC,480,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,2702.0,2702.0,1
RC,480,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,6826.0,17341.0,3
RC,480,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,2702.0,2702.0,1
RC,480,"Elevation of depressed skull fracture; simple, extradural ",,,2702.0,2702.0,1
RC,480,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,2702.0,2702.0,1
RC,480,"Embryo transfer, intrauterine ",,,2702.0,2702.0,1
RC,480,Endocervical curettage (not done as part of a dilation and curettage) ,,,2702.0,2702.0,1
RC,480,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,2702.0,2702.0,1
RC,480,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,6826.0,17341.0,6
RC,480,Endolymphatic sac operation; with shunt ,,,2702.0,2702.0,1
RC,480,Endolymphatic sac operation; without shunt ,,,2702.0,2702.0,1
RC,480,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,4963.0,13830.0,5
RC,480,"Endometrial ablation, thermal, without hysteroscopic guidance Complex Surgery",,,11754.0,11754.0,2
RC,480,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,4963.0,13830.0,5
RC,480,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Complex Surgery",,,11754.0,11754.0,2
RC,480,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,2702.0,2702.0,1
RC,480,Endomyocardial biopsy ,,,2791.0,2791.0,1
RC,480,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,480,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,480,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2702.0,2702.0,1
RC,480,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,2702.0,2702.0,1
RC,480,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,2702.0,2702.0,1
RC,480,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,2702.0,2702.0,1
RC,480,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2702.0,2702.0,1
RC,480,"Enterocystoplasty, including intestinal anastomosis ",,,2702.0,2702.0,1
RC,480,"Enucleation of eye; with implant, muscles attached to implant ",,,2702.0,2702.0,1
RC,480,"Enucleation of eye; with implant, muscles not attached to implant ",,,2702.0,2702.0,1
RC,480,Enucleation of eye; without implant ,,,2702.0,2702.0,1
RC,480,Epididymectomy; bilateral ,,,2702.0,2702.0,1
RC,480,Epididymectomy; unilateral ,,,2702.0,2702.0,1
RC,480,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,2702.0,2702.0,1
RC,480,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,2702.0,2702.0,1
RC,480,Epikeratoplasty ,,,2702.0,2702.0,1
RC,480,"Episiotomy or vaginal repair, by other than attending ",,,2702.0,2702.0,1
RC,480,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,17341.0,3
RC,480,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,17341.0,3
RC,480,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,6826.0,17341.0,3
RC,480,Evisceration of ocular contents; with implant ,,,2702.0,2702.0,1
RC,480,Evisceration of ocular contents; without implant ,,,2702.0,2702.0,1
RC,480,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,2702.0,2702.0,1
RC,480,Exchange of intraocular lens ,,,2702.0,2702.0,1
RC,480,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,2702.0,2702.0,2
RC,480,Excision aural glomus tumor; extended (extratemporal) ,,,2702.0,2702.0,1
RC,480,Excision aural glomus tumor; transcanal ,,,2702.0,2702.0,1
RC,480,Excision aural glomus tumor; transmastoid ,,,2702.0,2702.0,1
RC,480,Excision aural polyp ,,,2702.0,2702.0,1
RC,480,"Excision exostosis(es), external auditory canal ",,,2702.0,2702.0,1
RC,480,Excision external ear; complete amputation ,,,2702.0,2702.0,1
RC,480,"Excision external ear; partial, simple repair ",,,2702.0,2702.0,1
RC,480,Excision of Bartholin's gland or cyst ,,,2702.0,2702.0,1
RC,480,Excision of Mullerian duct cyst ,,,2702.0,2702.0,1
RC,480,Excision of ampulla of Vater ,,,2702.0,2702.0,1
RC,480,Excision of bulbourethral gland (Cowper's gland) ,,,2702.0,2702.0,1
RC,480,Excision of carotid body tumor; with excision of carotid artery ,,,2702.0,2702.0,1
RC,480,Excision of carotid body tumor; without excision of carotid artery ,,,2702.0,2702.0,1
RC,480,"Excision of cervical stump, abdominal approach; ",,,2702.0,2702.0,1
RC,480,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,2702.0,2702.0,1
RC,480,"Excision of cervical stump, vaginal approach; ",,,2702.0,2702.0,1
RC,480,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,2702.0,2702.0,1
RC,480,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,2702.0,2702.0,1
RC,480,"Excision of chalazion; multiple, different lids ",,,2702.0,2702.0,1
RC,480,"Excision of chalazion; multiple, same lid ",,,2702.0,2702.0,1
RC,480,Excision of chalazion; single ,,,2702.0,2702.0,1
RC,480,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,2702.0,2702.0,1
RC,480,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,2702.0,2702.0,1
RC,480,Excision of extraparenchymal lesion of testis ,,,2702.0,2702.0,1
RC,480,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,2702.0,2702.0,1
RC,480,Excision of hydrocele; bilateral ,,,2702.0,2702.0,1
RC,480,Excision of hydrocele; unilateral ,,,2702.0,2702.0,1
RC,480,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,2702.0,2702.0,1
RC,480,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,2702.0,2702.0,1
RC,480,Excision of lacrimal gland tumor; frontal approach ,,,2702.0,2702.0,1
RC,480,Excision of lacrimal gland tumor; involving osteotomy ,,,2702.0,2702.0,1
RC,480,Excision of lacrimal sac (dacryocystectomy) ,,,2702.0,2702.0,1
RC,480,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,2702.0,2702.0,1
RC,480,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,2702.0,2702.0,1
RC,480,Excision of lesion of spermatic cord (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Excision of lesion, conjunctiva; over 1 cm ",,,2702.0,2702.0,1
RC,480,"Excision of lesion, conjunctiva; up to 1 cm ",,,2702.0,2702.0,1
RC,480,"Excision of lesion, conjunctiva; with adjacent sclera ",,,2702.0,2702.0,1
RC,480,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,2702.0,2702.0,1
RC,480,"Excision of lesion, sclera ",,,2702.0,2702.0,1
RC,480,Excision of local lesion of epididymis ,,,2702.0,2702.0,1
RC,480,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,2702.0,2702.0,1
RC,480,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,2702.0,2702.0,1
RC,480,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,2702.0,2702.0,1
RC,480,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,2702.0,2702.0,1
RC,480,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,2702.0,2702.0,1
RC,480,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Excision of neuroma; hand or foot, except digital nerve ",,,2702.0,2702.0,1
RC,480,"Excision of neuroma; major peripheral nerve, except sciatic ",,,2702.0,2702.0,1
RC,480,Excision of neuroma; sciatic nerve ,,,2702.0,2702.0,1
RC,480,Excision of penile plaque (Peyronie disease); ,,,2702.0,2702.0,1
RC,480,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,2702.0,2702.0,1
RC,480,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,2702.0,2702.0,1
RC,480,Excision of perinephric cyst ,,,2702.0,2702.0,1
RC,480,Excision of presacral or sacrococcygeal tumor ,,,2702.0,2702.0,1
RC,480,"Excision of spermatocele, with or without epididymectomy ",,,2702.0,2702.0,1
RC,480,Excision of thyroglossal duct cyst or sinus; ,,,2702.0,2702.0,1
RC,480,Excision of thyroglossal duct cyst or sinus; recurrent ,,,2702.0,2702.0,1
RC,480,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,2702.0,2702.0,1
RC,480,Excision of urethral diverticulum (separate procedure); female ,,,2702.0,2702.0,1
RC,480,Excision of urethral diverticulum (separate procedure); male ,,,2702.0,2702.0,1
RC,480,Excision of vaginal cyst or tumor ,,,2702.0,2702.0,1
RC,480,Excision of vaginal septum ,,,2702.0,2702.0,1
RC,480,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,2702.0,2702.0,1
RC,480,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,2702.0,2702.0,1
RC,480,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,2702.0,2702.0,1
RC,480,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,2702.0,2702.0,1
RC,480,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,2702.0,2702.0,1
RC,480,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,2702.0,2702.0,1
RC,480,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,2702.0,2702.0,1
RC,480,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,2702.0,2702.0,1
RC,480,Excision or fulguration of carcinoma of urethra ,,,2702.0,2702.0,1
RC,480,Excision or fulguration; Skene's glands ,,,2702.0,2702.0,1
RC,480,Excision or fulguration; urethral caruncle ,,,2702.0,2702.0,1
RC,480,"Excision or fulguration; urethral polyp(s), distal urethra ",,,2702.0,2702.0,1
RC,480,Excision or fulguration; urethral prolapse ,,,2702.0,2702.0,1
RC,480,Excision or transposition of pterygium; with graft ,,,2702.0,2702.0,1
RC,480,Excision or transposition of pterygium; without graft ,,,2702.0,2702.0,1
RC,480,Excision or unroofing of cyst(s) of kidney ,,,2702.0,2702.0,1
RC,480,"Excision soft tissue lesion, external auditory canal ",,,2702.0,2702.0,1
RC,480,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,2702.0,2702.0,1
RC,480,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,2702.0,2702.0,1
RC,480,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,2702.0,2702.0,1
RC,480,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,2702.0,2702.0,1
RC,480,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,2702.0,2702.0,1
RC,480,Exploration for undescended testis (inguinal or scrotal area) ,,,2702.0,2702.0,1
RC,480,Exploration for undescended testis with abdominal exploration ,,,2702.0,2702.0,1
RC,480,"Exploration of epididymis, with or without biopsy ",,,2702.0,2702.0,1
RC,480,"Exploration of orbit (transcranial approach), with removal of lesion ",,,2702.0,2702.0,1
RC,480,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,2702.0,2702.0,1
RC,480,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,2702.0,1
RC,480,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,2702.0,1
RC,480,"Expression of conjunctival follicles (eg, for trachoma) ",,,2702.0,2702.0,1
RC,480,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,2702.0,2702.0,1
RC,480,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,2702.0,2702.0,1
RC,480,"External cephalic version, with or without tocolysis ",,,2702.0,2702.0,1
RC,480,"External drainage, pseudocyst of pancreas, open ",,,2702.0,2702.0,1
RC,480,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2702.0,2702.0,1
RC,480,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2702.0,2702.0,1
RC,480,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,2702.0,2702.0,1
RC,480,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,2702.0,2702.0,3
RC,480,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,480,Fetal contraction stress test ,,,2702.0,2702.0,1
RC,480,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,2702.0,2702.0,1
RC,480,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,2702.0,2702.0,1
RC,480,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,2702.0,2702.0,1
RC,480,Fetal non-stress test ,,,2702.0,2702.0,1
RC,480,Fetal scalp blood sampling ,,,2702.0,2702.0,1
RC,480,"Fetal shunt placement, including ultrasound guidance ",,,2702.0,2702.0,1
RC,480,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,2702.0,2702.0,1
RC,480,Fimbrioplasty ,,,2702.0,2702.0,1
RC,480,Fine needle aspiration of orbital contents ,,,2702.0,2702.0,1
RC,480,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,2702.0,2702.0,1
RC,480,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,2702.0,2702.0,1
RC,480,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,2702.0,2702.0,1
RC,480,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,2702.0,2702.0,1
RC,480,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,2702.0,2702.0,1
RC,480,Fitting and insertion of pessary or other intravaginal support device ,,,2702.0,2702.0,1
RC,480,Fixation of contralateral testis (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Follicle puncture for oocyte retrieval, any method ",,,2702.0,2702.0,1
RC,480,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,2702.0,2702.0,1
RC,480,Free omental flap with microvascular anastomosis ,,,2702.0,2702.0,1
RC,480,Frenulotomy of penis ,,,2702.0,2702.0,1
RC,480,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,2702.0,2702.0,1
RC,480,Goniotomy ,,,2702.0,2702.0,1
RC,480,"Harvesting conjunctival allograft, living donor ",,,2702.0,2702.0,1
RC,480,"Hymenotomy, simple incision ",,,2702.0,2702.0,1
RC,480,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,2702.0,2702.0,1
RC,480,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,2702.0,2702.0,1
RC,480,Hysterorrhaphy of ruptured uterus ,,,2702.0,2702.0,1
RC,480,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,2702.0,2702.0,1
RC,480,"Hysteroscopy, diagnostic (separate procedure) ",,,4963.0,13830.0,5
RC,480,"Hysteroscopy, diagnostic (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,4963.0,13830.0,5
RC,480,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Complex Surgery",,,11754.0,11754.0,2
RC,480,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,4963.0,13830.0,5
RC,480,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,4963.0,13830.0,5
RC,480,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,4963.0,13830.0,5
RC,480,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,4963.0,13830.0,5
RC,480,"Hysteroscopy, surgical; with removal of impacted foreign body Complex Surgery",,,11754.0,11754.0,2
RC,480,"Hysteroscopy, surgical; with removal of leiomyomata ",,,4963.0,13830.0,5
RC,480,"Hysteroscopy, surgical; with removal of leiomyomata Complex Surgery",,,11754.0,11754.0,2
RC,480,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,4963.0,13830.0,5
RC,480,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Complex Surgery",,,11754.0,11754.0,2
RC,480,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,2702.0,2702.0,1
RC,480,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,2702.0,2702.0,1
RC,480,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,2702.0,2702.0,1
RC,480,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,2702.0,2702.0,1
RC,480,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,Implantation of intrastromal corneal ring segments ,,,2702.0,2702.0,1
RC,480,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,4963.0,4963.0,1
RC,480,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,2702.0,2702.0,1
RC,480,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,2702.0,2702.0,1
RC,480,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,4963.0,4963.0,1
RC,480,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,4963.0,4963.0,1
RC,480,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,4963.0,4963.0,1
RC,480,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,2702.0,2702.0,1
RC,480,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2702.0,2702.0,1
RC,480,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2702.0,2702.0,1
RC,480,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,2702.0,1
RC,480,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,2702.0,2702.0,1
RC,480,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,2702.0,2702.0,1
RC,480,Incision and drainage of Bartholin's gland abscess ,,,2702.0,2702.0,1
RC,480,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,2702.0,2702.0,1
RC,480,"Incision and drainage of penis, deep ",,,2702.0,2702.0,1
RC,480,"Incision and drainage of thyroglossal duct cyst, infected ",,,2702.0,2702.0,1
RC,480,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,2702.0,2702.0,1
RC,480,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,2702.0,2702.0,1
RC,480,Incision and drainage of vulva or perineal abscess ,,,2702.0,2702.0,1
RC,480,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,"Incision of conjunctiva, drainage of cyst ",,,2702.0,2702.0,1
RC,480,"Incision, drainage of lacrimal gland ",,,2702.0,2702.0,1
RC,480,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,2702.0,2702.0,1
RC,480,Incisional biopsy of eyelid skin including lid margin ,,,2702.0,2702.0,1
RC,480,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,2702.0,2702.0,1
RC,480,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,2702.0,2702.0,1
RC,480,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,2702.0,2702.0,1
RC,480,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,2702.0,2702.0,1
RC,480,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,2702.0,2702.0,2
RC,480,"Induced abortion, by dilation and curettage ",,,2702.0,2702.0,1
RC,480,"Induced abortion, by dilation and evacuation ",,,2702.0,2702.0,1
RC,480,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,2702.0,2702.0,1
RC,480,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,2702.0,2702.0,1
RC,480,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,2702.0,2702.0,1
RC,480,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,2702.0,2702.0,1
RC,480,Injection of contrast medium for dacryocystography ,,,2702.0,2702.0,1
RC,480,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,2702.0,2702.0,1
RC,480,Injection of medication or other substance into Tenon's capsule ,,,2702.0,2702.0,1
RC,480,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,4963.0,4963.0,1
RC,480,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,2702.0,2702.0,1
RC,480,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,2702.0,2702.0,1
RC,480,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,9333.0,12038.0,4
RC,480,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,9333.0,12038.0,4
RC,480,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,9333.0,12038.0,4
RC,480,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,9333.0,12038.0,4
RC,480,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,9333.0,12038.0,4
RC,480,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,9333.0,12038.0,4
RC,480,Injection procedure for Peyronie disease; ,,,2702.0,2702.0,1
RC,480,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,2702.0,2702.0,1
RC,480,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,2702.0,2702.0,2
RC,480,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,2702.0,2702.0,1
RC,480,Injection procedure for corpora cavernosography ,,,2702.0,2702.0,1
RC,480,Injection procedure for cystography or voiding urethrocystography ,,,2702.0,2702.0,1
RC,480,"Injection procedure for discography, each level; cervical or thoracic ",,,2702.0,2702.0,1
RC,480,"Injection procedure for discography, each level; lumbar ",,,2702.0,2702.0,1
RC,480,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,"Injection procedure for myelography and/or computed tomography, lumbar ",,,2702.0,2702.0,1
RC,480,Injection procedure for retrograde urethrocystography ,,,2702.0,2702.0,1
RC,480,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,2702.0,2702.0,1
RC,480,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,2702.0,2702.0,1
RC,480,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,2702.0,2702.0,1
RC,480,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,2702.0,2702.0,1
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,2702.0,2702.0,1
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,2702.0,2702.0,1
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,2702.0,2702.0,1
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,2702.0,2702.0,1
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,2702.0,2702.0,1
RC,480,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,2702.0,2702.0,1
RC,480,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,2702.0,2702.0,4
RC,480,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,2702.0,2702.0,4
RC,480,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,2702.0,2702.0,1
RC,480,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,2702.0,2702.0,1
RC,480,"Injection, anesthetic agent; sphenopalatine ganglion ",,,2702.0,2702.0,1
RC,480,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,2702.0,2702.0,1
RC,480,"Injection, anesthetic agent; superior hypogastric plexus ",,,2702.0,2702.0,1
RC,480,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,2702.0,2702.0,1
RC,480,"Injection, anterior chamber of eye (separate procedure); medication ",,,2702.0,2702.0,1
RC,480,"Injection, epidural, of blood or clot patch ",,,2702.0,2702.0,1
RC,480,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,2702.0,2702.0,1
RC,480,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,2702.0,2702.0,1
RC,480,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,2702.0,2702.0,1
RC,480,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,2791.0,2791.0,1
RC,480,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,480,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,480,Insertion of Heyman capsules for clinical brachytherapy ,,,4963.0,4963.0,1
RC,480,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,2702.0,2702.0,1
RC,480,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,2702.0,2702.0,1
RC,480,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,4963.0,4963.0,1
RC,480,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,2702.0,1
RC,480,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,2702.0,2702.0,1
RC,480,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,2702.0,1
RC,480,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,2702.0,1
RC,480,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,2702.0,13830.0,5
RC,480,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Complex Surgery",,,11754.0,11754.0,2
RC,480,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,2702.0,2702.0,1
RC,480,Insertion of intrauterine device (IUD) ,,,4963.0,4963.0,1
RC,480,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,4963.0,4963.0,1
RC,480,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,4963.0,4963.0,1
RC,480,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,2702.0,2702.0,1
RC,480,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,2702.0,2702.0,1
RC,480,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,2702.0,2702.0,1
RC,480,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,2702.0,2702.0,1
RC,480,Insertion of penile prosthesis; inflatable (self-contained) ,,,4963.0,4963.0,1
RC,480,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,4963.0,4963.0,1
RC,480,Insertion of peritoneal-venous shunt ,,,2702.0,2702.0,1
RC,480,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,2702.0,2702.0,1
RC,480,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,2702.0,2702.0,1
RC,480,Insertion of tandem cuff (dual cuff) ,,,2702.0,13830.0,5
RC,480,Insertion of tandem cuff (dual cuff) Complex Surgery,,,11754.0,11754.0,2
RC,480,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,2702.0,2702.0,1
RC,480,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,2702.0,2702.0,1
RC,480,Insertion of testicular prosthesis (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,2702.0,2702.0,1
RC,480,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,2702.0,2702.0,1
RC,480,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,2702.0,2702.0,1
RC,480,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,2702.0,2702.0,1
RC,480,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,2702.0,2702.0,1
RC,480,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,9333.0,57784.0,10
RC,480,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,2702.0,13830.0,5
RC,480,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Complex Surgery",,,11754.0,11754.0,2
RC,480,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,2702.0,13830.0,5
RC,480,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Complex Surgery",,,11754.0,11754.0,2
RC,480,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,2702.0,2702.0,1
RC,480,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,2702.0,2702.0,1
RC,480,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,4963.0,13830.0,7
RC,480,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,4963.0,13830.0,5
RC,480,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver Complex Surgery",,,11754.0,11754.0,2
RC,480,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,2702.0,2702.0,1
RC,480,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,2702.0,2702.0,1
RC,480,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,2702.0,2702.0,1
RC,480,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,2702.0,2702.0,1
RC,480,Intersex surgery; female to male ,,,2702.0,2702.0,1
RC,480,Intersex surgery; male to female ,,,2702.0,2702.0,1
RC,480,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,45892.0,45892.0,6826.0,17341.0,3
RC,480,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,2702.0,2702.0,1
RC,480,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",12219.0,12219.0,6826.0,17341.0,3
RC,480,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,4963.0,4963.0,1
RC,480,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,2702.0,2702.0,1
RC,480,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,2702.0,2702.0,1
RC,480,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,2702.0,2702.0,1
RC,480,Iridotomy by stab incision (separate procedure); except transfixion ,,,2702.0,2702.0,1
RC,480,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,2702.0,2702.0,1
RC,480,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,2702.0,2702.0,1
RC,480,Irrigation of corpora cavernosa for priapism ,,,2702.0,2702.0,1
RC,480,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,2702.0,2702.0,1
RC,480,Keratomileusis ,,,2702.0,2702.0,1
RC,480,Keratophakia ,,,2702.0,2702.0,1
RC,480,Keratoplasty (corneal transplant); anterior lamellar ,,,2702.0,2702.0,1
RC,480,Keratoplasty (corneal transplant); endothelial ,,,2702.0,2702.0,1
RC,480,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,2702.0,2702.0,1
RC,480,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,2702.0,2702.0,1
RC,480,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,2702.0,2702.0,1
RC,480,Keratoprosthesis ,,,2702.0,2702.0,1
RC,480,Labyrinthectomy; transcanal ,,,2702.0,2702.0,1
RC,480,Labyrinthectomy; with mastoidectomy ,,,2702.0,2702.0,1
RC,480,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,2702.0,2702.0,1
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,4963.0,4963.0,1
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,4963.0,4963.0,1
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,4963.0,4963.0,1
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,4963.0,4963.0,1
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,4963.0,4963.0,1
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,4963.0,4963.0,1
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,4963.0,4963.0,1
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,4963.0,4963.0,1
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,4963.0,4963.0,1
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,4963.0,4963.0,1
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,4963.0,4963.0,1
RC,480,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,4963.0,4963.0,1
RC,480,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,4963.0,4963.0,1
RC,480,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,4963.0,4963.0,1
RC,480,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,4963.0,4963.0,1
RC,480,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,4963.0,4963.0,1
RC,480,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,4963.0,4963.0,1
RC,480,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,4963.0,4963.0,1
RC,480,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,4963.0,4963.0,1
RC,480,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,4963.0,4963.0,1
RC,480,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,4963.0,4963.0,1
RC,480,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,4963.0,4963.0,1
RC,480,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,4963.0,4963.0,1
RC,480,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,4963.0,13830.0,5
RC,480,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,4963.0,4963.0,1
RC,480,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,4963.0,4963.0,1
RC,480,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,4963.0,4963.0,1
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,4963.0,4963.0,1
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,4963.0,4963.0,1
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,4963.0,4963.0,1
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,4963.0,4963.0,1
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,4963.0,4963.0,1
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,4963.0,4963.0,1
RC,480,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,4963.0,4963.0,1
RC,480,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,4963.0,4963.0,1
RC,480,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,4963.0,4963.0,1
RC,480,Laminectomy with rhizotomy; 1 or 2 segments ,,,4963.0,4963.0,1
RC,480,Laminectomy with rhizotomy; more than 2 segments ,,,4963.0,4963.0,1
RC,480,Laminectomy with section of spinal accessory nerve ,,,4963.0,4963.0,1
RC,480,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,4963.0,4963.0,4
RC,480,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,4963.0,4963.0,2
RC,480,"Laminectomy, with release of tethered spinal cord, lumbar ",,,4963.0,4963.0,1
RC,480,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,4963.0,4963.0,1
RC,480,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,4963.0,4963.0,1
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,4963.0,4963.0,1
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,4963.0,4963.0,2
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,4963.0,4963.0,1
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,4963.0,4963.0,1
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,4963.0,13830.0,5
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,4963.0,4963.0,1
RC,480,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,4963.0,4963.0,1
RC,480,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,4963.0,13830.0,5
RC,480,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,480,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,4963.0,13830.0,5
RC,480,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,480,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,2702.0,13830.0,5
RC,480,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2702.0,18956.0,3
RC,480,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,2702.0,2702.0,1
RC,480,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,2702.0,2702.0,1
RC,480,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2702.0,2702.0,1
RC,480,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,2702.0,2702.0,1
RC,480,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,2702.0,18956.0,3
RC,480,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2702.0,18956.0,3
RC,480,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2702.0,18956.0,3
RC,480,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2702.0,18956.0,3
RC,480,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,4963.0,18956.0,3
RC,480,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,4963.0,4963.0,1
RC,480,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,4963.0,4963.0,1
RC,480,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,4963.0,18956.0,3
RC,480,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,4963.0,18956.0,7
RC,480,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,7
RC,480,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,4963.0,18956.0,7
RC,480,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,7
RC,480,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,4963.0,18956.0,7
RC,480,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,7
RC,480,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,4963.0,18956.0,7
RC,480,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,7
RC,480,"Laparoscopy, surgical; ablation of renal cysts ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; ablation of renal cysts Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; nephrectomy with total ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; orchiectomy ",,,4963.0,4963.0,1
RC,480,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,4963.0,4963.0,1
RC,480,"Laparoscopy, surgical; partial nephrectomy ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; partial nephrectomy Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; pyeloplasty ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; pyeloplasty Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; repair initial inguinal hernia ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; repair initial inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; repair recurrent inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; ureterolithotomy ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; ureterolithotomy Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,4963.0,4963.0,1
RC,480,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,2702.0,13830.0,5
RC,480,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,2702.0,13830.0,5
RC,480,"Laparoscopy, surgical; with biopsy (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,2702.0,13830.0,5
RC,480,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; with fimbrioplasty ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; with fimbrioplasty Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,2702.0,13830.0,5
RC,480,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,2702.0,13830.0,5
RC,480,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,2702.0,13830.0,7
RC,480,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,2702.0,13830.0,5
RC,480,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,4963.0,13830.0,5
RC,480,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2702.0,2702.0,1
RC,480,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,4963.0,4963.0,1
RC,480,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,2702.0,2702.0,1
RC,480,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,2702.0,2702.0,1
RC,480,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,4963.0,4963.0,1
RC,480,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,2791.0,9822.0,3
RC,480,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,480,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,480,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,9822.0,9822.0,2
RC,480,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,480,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,2791.0,9822.0,3
RC,480,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,480,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,480,Ligation of peritoneal-venous shunt ,,,2702.0,2702.0,1
RC,480,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,2702.0,2702.0,1
RC,480,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,2702.0,2702.0,1
RC,480,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,4963.0,15409.0,5
RC,480,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,4963.0,15409.0,5
RC,480,"Lithotripsy, extracorporeal shock wave ",,,2702.0,15409.0,5
RC,480,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,2702.0,2702.0,1
RC,480,Lysis of labial adhesions ,,,2702.0,2702.0,1
RC,480,Lysis or excision of penile post-circumcision adhesions ,,,2702.0,2702.0,1
RC,480,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,2702.0,2702.0,1
RC,480,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,2702.0,2702.0,1
RC,480,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,2702.0,2702.0,1
RC,480,Marsupialization of Bartholin's gland cyst ,,,2702.0,2702.0,1
RC,480,Marsupialization of pancreatic cyst ,,,2702.0,2702.0,1
RC,480,"Marsupialization of urethral diverticulum, male or female ",,,2702.0,2702.0,1
RC,480,Mastoid obliteration (separate procedure) ,,,4963.0,4963.0,1
RC,480,Mastoidectomy; complete ,,,2702.0,2702.0,1
RC,480,Mastoidectomy; modified radical ,,,2702.0,2702.0,1
RC,480,Mastoidectomy; radical ,,,2702.0,2702.0,1
RC,480,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,2702.0,2702.0,1
RC,480,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,2702.0,2702.0,1
RC,480,"Meatotomy, cutting of meatus (separate procedure); infant ",,,2702.0,2702.0,1
RC,480,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,2702.0,2702.0,1
RC,480,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,Middle ear exploration through postauricular or ear canal incision ,,,2702.0,2702.0,1
RC,480,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,2702.0,2702.0,1
RC,480,Multifetal pregnancy reduction(s) (MPR) ,,,2702.0,2702.0,1
RC,480,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,2702.0,2702.0,1
RC,480,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,2702.0,2702.0,1
RC,480,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,2702.0,2702.0,1
RC,480,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,2702.0,2702.0,1
RC,480,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,2702.0,2702.0,1
RC,480,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,2702.0,2702.0,1
RC,480,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,2702.0,2702.0,1
RC,480,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,2702.0,2702.0,1
RC,480,Myringoplasty (surgery confined to drumhead and donor area) ,,,2702.0,2702.0,1
RC,480,Myringotomy including aspiration and/or eustachian tube inflation ,,,2702.0,2702.0,1
RC,480,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,2702.0,2702.0,1
RC,480,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,2702.0,2702.0,1
RC,480,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,2702.0,2702.0,1
RC,480,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,2702.0,2702.0,1
RC,480,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,2702.0,2702.0,1
RC,480,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,2702.0,2702.0,1
RC,480,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,2702.0,2702.0,1
RC,480,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,2702.0,2702.0,1
RC,480,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,2702.0,2702.0,1
RC,480,"Nephrectomy, partial ",,,2702.0,2702.0,1
RC,480,Nephrolithotomy; complicated by congenital kidney abnormality ,,,2702.0,2702.0,1
RC,480,Nephrolithotomy; removal of calculus ,,,2702.0,2702.0,1
RC,480,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,2702.0,2702.0,1
RC,480,Nephrolithotomy; secondary surgical operation for calculus ,,,2702.0,2702.0,1
RC,480,"Nephrorrhaphy, suture of kidney wound or injury ",,,2702.0,2702.0,1
RC,480,"Nephrostomy, nephrotomy with drainage ",,,2702.0,2702.0,1
RC,480,"Nephrotomy, with exploration ",,,2702.0,2702.0,1
RC,480,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,2702.0,2702.0,1
RC,480,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,2702.0,2702.0,1
RC,480,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,2702.0,2702.0,1
RC,480,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,2702.0,2702.0,1
RC,480,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,2702.0,2702.0,1
RC,480,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,2702.0,2702.0,1
RC,480,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,2702.0,2702.0,1
RC,480,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,2702.0,2702.0,1
RC,480,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,2702.0,2702.0,1
RC,480,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,2702.0,2702.0,1
RC,480,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,Nerve pedicle transfer; first stage ,,,2702.0,2702.0,1
RC,480,Nerve pedicle transfer; second stage ,,,2702.0,2702.0,1
RC,480,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,2702.0,2702.0,1
RC,480,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,2702.0,2702.0,1
RC,480,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,2702.0,2702.0,1
RC,480,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,2702.0,2702.0,1
RC,480,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,2702.0,2702.0,1
RC,480,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,2702.0,2702.0,1
RC,480,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,2702.0,2702.0,1
RC,480,Neuroplasty and/or transposition; cranial nerve (specify) ,,,2702.0,2702.0,1
RC,480,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,4963.0,4963.0,1
RC,480,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,2702.0,2702.0,1
RC,480,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,2702.0,2702.0,1
RC,480,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,2702.0,2702.0,1
RC,480,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,2702.0,2702.0,1
RC,480,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,2702.0,2702.0,1
RC,480,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,2702.0,2702.0,1
RC,480,"Neuroplasty; digital, 1 or both, same digit ",,,2702.0,2702.0,1
RC,480,Neuroplasty; nerve of hand or foot ,,,2702.0,2702.0,1
RC,480,Nocturnal penile tumescence and/or rigidity test ,,,2702.0,2702.0,1
RC,480,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,12038.0,4
RC,480,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,2702.0,2702.0,1
RC,480,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,2702.0,2702.0,1
RC,480,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,2702.0,2702.0,1
RC,480,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,2702.0,2702.0,1
RC,480,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,2702.0,2702.0,1
RC,480,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,2702.0,2702.0,1
RC,480,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Oophorectomy, partial or total, unilateral or bilateral; ",,,2702.0,2702.0,1
RC,480,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,2702.0,2702.0,1
RC,480,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4963.0,13830.0,5
RC,480,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,480,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,4963.0,13830.0,5
RC,480,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,480,Open implantation of neurostimulator electrode array; neuromuscular ,,,4963.0,13830.0,5
RC,480,Open implantation of neurostimulator electrode array; neuromuscular Complex Surgery,,,11754.0,11754.0,2
RC,480,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4963.0,13830.0,5
RC,480,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,480,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,4963.0,13830.0,5
RC,480,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Complex Surgery,,,11754.0,11754.0,2
RC,480,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,2702.0,2702.0,1
RC,480,Orbital implant (implant outside muscle cone); insertion ,,,2702.0,2702.0,1
RC,480,Orbital implant (implant outside muscle cone); removal or revision ,,,2702.0,2702.0,1
RC,480,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,2702.0,2702.0,1
RC,480,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,2702.0,2702.0,1
RC,480,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,2702.0,2702.0,1
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,2702.0,2702.0,1
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,2702.0,2702.0,1
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,2702.0,2702.0,1
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,2702.0,2702.0,1
RC,480,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,2702.0,2702.0,1
RC,480,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,2702.0,2702.0,1
RC,480,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,2702.0,2702.0,1
RC,480,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,2702.0,2702.0,1
RC,480,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,2702.0,2702.0,1
RC,480,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,2702.0,2702.0,1
RC,480,"Orchiectomy, partial ",,,2702.0,2702.0,1
RC,480,"Orchiectomy, radical, for tumor; inguinal approach ",,,2702.0,2702.0,1
RC,480,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,2702.0,2702.0,1
RC,480,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,2702.0,2702.0,1
RC,480,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,2702.0,2702.0,1
RC,480,"Orchiopexy, inguinal or scrotal approach ",,,2702.0,2702.0,1
RC,480,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,4963.0,4963.0,1
RC,480,"Other cranial decompression, posterior fossa ",,,2702.0,2702.0,1
RC,480,"Otoplasty, protruding ear, with or without size reduction ",,,2702.0,2702.0,1
RC,480,"Ovarian cystectomy, unilateral or bilateral ",,,2702.0,2702.0,1
RC,480,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,2702.0,2702.0,1
RC,480,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,2702.0,2702.0,1
RC,480,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,2702.0,2702.0,1
RC,480,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,2702.0,2702.0,1
RC,480,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,2702.0,2702.0,1
RC,480,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,2702.0,2702.0,1
RC,480,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,2702.0,2702.0,1
RC,480,"Pancreatectomy, total ",,,2702.0,2702.0,1
RC,480,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,2702.0,2702.0,1
RC,480,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,2702.0,2702.0,1
RC,480,Pancreatorrhaphy for injury ,,,2702.0,2702.0,1
RC,480,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,2702.0,2702.0,1
RC,480,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,2702.0,2702.0,1
RC,480,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,2702.0,2702.0,1
RC,480,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,Parathyroidectomy or exploration of parathyroid(s); ,,,2702.0,2702.0,1
RC,480,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,2702.0,2702.0,1
RC,480,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,2702.0,2702.0,1
RC,480,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,2702.0,2702.0,1
RC,480,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,4963.0,4963.0,1
RC,480,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,4963.0,4963.0,1
RC,480,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,2702.0,2702.0,1
RC,480,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,2702.0,2702.0,1
RC,480,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,2702.0,2702.0,1
RC,480,Partial hymenectomy or revision of hymenal ring ,,,2702.0,2702.0,1
RC,480,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2702.0,2702.0,1
RC,480,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2702.0,2702.0,1
RC,480,Pelvic examination under anesthesia (other than local) ,,,2702.0,2702.0,1
RC,480,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,4963.0,4963.0,1
RC,480,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,2702.0,2702.0,1
RC,480,Penile plethysmography ,,,2702.0,2702.0,1
RC,480,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2702.0,2702.0,1
RC,480,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,2702.0,2702.0,1
RC,480,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,2702.0,2702.0,1
RC,480,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,17341.0,3
RC,480,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,17341.0,3
RC,480,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,17341.0,3
RC,480,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,4963.0,4963.0,1
RC,480,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,4963.0,13830.0,5
RC,480,"Percutaneous implantation of neurostimulator electrode array, epidural Complex Surgery",,,11754.0,11754.0,2
RC,480,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,4963.0,13830.0,5
RC,480,Percutaneous implantation of neurostimulator electrode array; cranial nerve Complex Surgery,,,11754.0,11754.0,2
RC,480,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4963.0,13830.0,5
RC,480,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,480,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,4963.0,13830.0,5
RC,480,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed Complex Surgery",,,11754.0,11754.0,2
RC,480,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,2702.0,2702.0,2
RC,480,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,2702.0,15409.0,10
RC,480,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,17341.0,3
RC,480,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,17341.0,3
RC,480,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,480,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,480,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,17341.0,17341.0,2
RC,480,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,480,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,480,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,17341.0,17341.0,2
RC,480,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,480,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,480,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,17341.0,3
RC,480,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,7
RC,480,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,23692.0,7
RC,480,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,23692.0,7
RC,480,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19763.0,23692.0,4
RC,480,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,17341.0,3
RC,480,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,17341.0,3
RC,480,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,7
RC,480,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,19763.0,23692.0,4
RC,480,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,3
RC,480,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,7
RC,480,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,17341.0,3
RC,480,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,7
RC,480,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,23692.0,7
RC,480,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,7
RC,480,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,17341.0,3
RC,480,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,17341.0,17341.0,2
RC,480,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,3
RC,480,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,7
RC,480,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,7
RC,480,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,23692.0,7
RC,480,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,23692.0,7
RC,480,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,23692.0,14
RC,480,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,17341.0,3
RC,480,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,23692.0,7
RC,480,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,23692.0,14
RC,480,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,23692.0,10
RC,480,"Pereyra procedure, including anterior colporrhaphy ",,,4963.0,4963.0,1
RC,480,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Peritoneal lavage, including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2702.0,2702.0,1
RC,480,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,2702.0,2702.0,1
RC,480,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,2702.0,2702.0,1
RC,480,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,2702.0,2702.0,1
RC,480,Petrous apicectomy including radical mastoidectomy ,,,2702.0,2702.0,1
RC,480,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,9822.0,9822.0,2
RC,480,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,9822.0,9822.0,2
RC,480,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,2702.0,2702.0,1
RC,480,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,2702.0,2702.0,1
RC,480,Placement of amniotic membrane on the ocular surface; without sutures ,,,2702.0,2702.0,1
RC,480,"Placement of drains, peripancreatic, for acute pancreatitis; ",,,2702.0,2702.0,1
RC,480,"Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy ",,,2702.0,2702.0,1
RC,480,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,2702.0,2702.0,1
RC,480,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,2702.0,2702.0,1
RC,480,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,2702.0,2702.0,1
RC,480,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,2702.0,2702.0,1
RC,480,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,2702.0,2702.0,1
RC,480,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,2702.0,2702.0,1
RC,480,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,2702.0,2702.0,3
RC,480,Plastic operation of penis for injury ,,,4963.0,4963.0,1
RC,480,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,2702.0,2702.0,1
RC,480,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,2702.0,2702.0,1
RC,480,Plastic operation on penis for epispadias distal to external sphincter; ,,,2702.0,2702.0,1
RC,480,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2702.0,2702.0,1
RC,480,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,2702.0,2702.0,1
RC,480,Plastic operation on penis to correct angulation ,,,2702.0,2702.0,1
RC,480,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,4963.0,4963.0,1
RC,480,Plastic repair of canaliculi ,,,2702.0,2702.0,1
RC,480,Plastic repair of introitus ,,,2702.0,2702.0,1
RC,480,Plastic repair of urethrocele ,,,4963.0,4963.0,1
RC,480,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,4963.0,4963.0,1
RC,480,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,4963.0,4963.0,1
RC,480,Postpartum care only (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,2702.0,2702.0,1
RC,480,"Probing of lacrimal canaliculi, with or without irrigation ",,,2702.0,2702.0,1
RC,480,"Probing of nasolacrimal duct, with or without irrigation; ",,,2702.0,2702.0,1
RC,480,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,2702.0,2702.0,1
RC,480,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,2702.0,2702.0,1
RC,480,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,2702.0,2702.0,1
RC,480,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,4963.0,13830.0,5
RC,480,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,480,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,4963.0,13830.0,5
RC,480,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,480,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,2702.0,2702.0,1
RC,480,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,2702.0,2702.0,1
RC,480,"Prostatectomy, perineal radical; ",,,2702.0,2702.0,1
RC,480,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,2702.0,1
RC,480,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,2702.0,1
RC,480,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,2702.0,2702.0,1
RC,480,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,2702.0,2702.0,1
RC,480,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,2702.0,1
RC,480,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,2702.0,1
RC,480,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,2702.0,2702.0,1
RC,480,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,2702.0,2702.0,1
RC,480,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,2702.0,2702.0,1
RC,480,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,2702.0,2702.0,1
RC,480,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,2702.0,2702.0,1
RC,480,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,2702.0,2702.0,1
RC,480,"Pyelotomy; with drainage, pyelostomy ",,,2702.0,2702.0,1
RC,480,Pyelotomy; with exploration ,,,2702.0,2702.0,1
RC,480,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,2702.0,2702.0,1
RC,480,Radial keratotomy ,,,2702.0,2702.0,1
RC,480,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,4963.0,1
RC,480,Radical excision external auditory canal lesion; with neck dissection ,,,2702.0,2702.0,1
RC,480,Radical excision external auditory canal lesion; without neck dissection ,,,2702.0,2702.0,1
RC,480,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,2702.0,2702.0,1
RC,480,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2702.0,2702.0,1
RC,480,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,2702.0,2702.0,1
RC,480,Recipient nephrectomy (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Reconstruction external auditory canal for congenital atresia, single stage ",,,2702.0,2702.0,1
RC,480,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,2702.0,2702.0,1
RC,480,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,2702.0,2702.0,1
RC,480,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,2702.0,2702.0,1
RC,480,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,2702.0,2702.0,1
RC,480,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,2702.0,2702.0,1
RC,480,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,2702.0,2702.0,1
RC,480,Reduction of overcorrection of ptosis ,,,2702.0,2702.0,1
RC,480,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,2702.0,2702.0,1
RC,480,Reinsertion of ocular implant; with or without conjunctival graft ,,,2702.0,2702.0,1
RC,480,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,2702.0,2702.0,1
RC,480,Release of encircling material (posterior segment) ,,,4963.0,13830.0,5
RC,480,Release of encircling material (posterior segment) Complex Surgery,,,11754.0,11754.0,2
RC,480,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2702.0,2702.0,1
RC,480,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,2702.0,2702.0,1
RC,480,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2702.0,2702.0,1
RC,480,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,2702.0,2702.0,1
RC,480,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,4963.0,4963.0,1
RC,480,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,4963.0,4963.0,1
RC,480,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,2702.0,2702.0,1
RC,480,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,2702.0,2702.0,1
RC,480,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,2702.0,2702.0,1
RC,480,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,4963.0,4963.0,1
RC,480,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,4963.0,4963.0,1
RC,480,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,2702.0,2702.0,1
RC,480,Removal foreign body from external auditory canal; with general anesthesia ,,,2702.0,2702.0,1
RC,480,Removal foreign body from external auditory canal; without general anesthesia ,,,2702.0,2702.0,1
RC,480,"Removal impacted cerumen requiring instrumentation, unilateral ",,,2702.0,2702.0,1
RC,480,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,2702.0,2702.0,1
RC,480,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,4963.0,4963.0,1
RC,480,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,2702.0,2702.0,1
RC,480,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,2702.0,2702.0,1
RC,480,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,2702.0,2702.0,1
RC,480,"Removal of blood clot, anterior segment of eye ",,,2702.0,2702.0,1
RC,480,Removal of bone flap or prosthetic plate of skull ,,,2702.0,2702.0,1
RC,480,Removal of cerclage suture under anesthesia (other than local) ,,,2702.0,2702.0,1
RC,480,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,2702.0,2702.0,1
RC,480,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,2702.0,2702.0,1
RC,480,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,2702.0,2702.0,1
RC,480,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,2702.0,2702.0,1
RC,480,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4963.0,4963.0,1
RC,480,"Removal of embedded foreign body, eyelid ",,,2702.0,2702.0,1
RC,480,Removal of entire lumbosubarachnoid shunt system without replacement ,,,2702.0,2702.0,1
RC,480,"Removal of epithelial downgrowth, anterior chamber of eye ",,,2702.0,2702.0,1
RC,480,Removal of foreign body in scrotum ,,,2702.0,2702.0,1
RC,480,"Removal of foreign body or dacryolith, lacrimal passages ",,,2702.0,2702.0,1
RC,480,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,2702.0,2702.0,1
RC,480,"Removal of foreign body, external eye; conjunctival superficial ",,,2702.0,2702.0,1
RC,480,"Removal of foreign body, external eye; corneal, with slit lamp ",,,2702.0,2702.0,1
RC,480,"Removal of foreign body, external eye; corneal, without slit lamp ",,,2702.0,2702.0,1
RC,480,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,2702.0,2702.0,1
RC,480,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,2702.0,2702.0,1
RC,480,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,2702.0,2702.0,1
RC,480,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,4963.0,13830.0,5
RC,480,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,480,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,2702.0,2702.0,1
RC,480,"Removal of implanted material, anterior segment of eye ",,,2702.0,2702.0,1
RC,480,"Removal of implanted material, posterior segment; extraocular ",,,4963.0,13830.0,5
RC,480,"Removal of implanted material, posterior segment; extraocular Complex Surgery",,,11754.0,11754.0,2
RC,480,"Removal of implanted material, posterior segment; intraocular ",,,4963.0,13830.0,5
RC,480,"Removal of implanted material, posterior segment; intraocular Complex Surgery",,,11754.0,11754.0,2
RC,480,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2702.0,2702.0,1
RC,480,Removal of intrauterine device (IUD) ,,,4963.0,4963.0,1
RC,480,"Removal of lens material; aspiration technique, 1 or more stages ",,,2702.0,2702.0,1
RC,480,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,2702.0,2702.0,1
RC,480,Removal of lens material; intracapsular ,,,2702.0,2702.0,1
RC,480,"Removal of lens material; intracapsular, for dislocated lens ",,,2702.0,2702.0,1
RC,480,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,2702.0,2702.0,1
RC,480,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,2702.0,2702.0,1
RC,480,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,2702.0,2702.0,1
RC,480,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,4963.0,4963.0,1
RC,480,Removal of ocular implant ,,,2702.0,2702.0,1
RC,480,Removal of pancreatic calculus ,,,2702.0,2702.0,1
RC,480,Removal of peritoneal foreign body from peritoneal cavity ,,,2702.0,2702.0,1
RC,480,Removal of peritoneal-venous shunt ,,,2702.0,2702.0,1
RC,480,Removal of previously implanted intrathecal or epidural catheter ,,,2702.0,2702.0,1
RC,480,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,2702.0,2702.0,1
RC,480,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,2702.0,2702.0,1
RC,480,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4963.0,4963.0,1
RC,480,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4963.0,4963.0,1
RC,480,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,2702.0,2702.0,1
RC,480,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,4963.0,4963.0,1
RC,480,Removal of transplanted pancreatic allograft ,,,2702.0,2702.0,1
RC,480,Removal of transplanted renal allograft ,,,2702.0,2702.0,1
RC,480,"Removal of tumor, temporal bone ",,,2702.0,2702.0,1
RC,480,Removal of tunneled intraperitoneal catheter ,,,2702.0,2702.0,1
RC,480,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,4963.0,4963.0,1
RC,480,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,4963.0,4963.0,1
RC,480,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,2702.0,2702.0,1
RC,480,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,2702.0,2702.0,1
RC,480,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,4963.0,4963.0,1
RC,480,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,2702.0,2702.0,1
RC,480,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,2702.0,2702.0,1
RC,480,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,2702.0,1
RC,480,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,2702.0,2702.0,1
RC,480,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,2702.0,2702.0,1
RC,480,"Renal autotransplantation, reimplantation of kidney ",,,2702.0,2702.0,1
RC,480,Renal biopsy; by surgical exposure of kidney ,,,2702.0,2702.0,1
RC,480,"Renal biopsy; percutaneous, by trocar or needle ",,,2702.0,2702.0,1
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,2702.0,2702.0,1
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,2702.0,1
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,2702.0,2702.0,1
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,2702.0,2702.0,1
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,2702.0,2702.0,1
RC,480,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,2702.0,2702.0,1
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,2702.0,2702.0,1
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,2702.0,1
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,2702.0,2702.0,1
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,2702.0,2702.0,1
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,2702.0,1
RC,480,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,2702.0,2702.0,1
RC,480,"Renal exploration, not necessitating other specific procedures ",,,2702.0,2702.0,1
RC,480,Reopening of recent laparotomy ,,,2702.0,2702.0,1
RC,480,Repair incomplete circumcision ,,,2702.0,2702.0,1
RC,480,"Repair inguinal hernia, sliding, any age ",,,4963.0,4963.0,1
RC,480,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,4963.0,4963.0,1
RC,480,"Repair initial femoral hernia, any age; reducible ",,,4963.0,4963.0,1
RC,480,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,4963.0,4963.0,1
RC,480,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,4963.0,4963.0,1
RC,480,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,2702.0,2702.0,1
RC,480,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,2702.0,2702.0,1
RC,480,Repair lumbar hernia ,,,4963.0,4963.0,1
RC,480,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,4963.0,4963.0,6
RC,480,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,4963.0,4963.0,6
RC,480,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,2702.0,2702.0,1
RC,480,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,2702.0,2702.0,1
RC,480,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,2702.0,2702.0,1
RC,480,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,2702.0,2702.0,1
RC,480,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,2702.0,2702.0,1
RC,480,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,2702.0,2702.0,1
RC,480,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,2702.0,2702.0,1
RC,480,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,4963.0,13830.0,7
RC,480,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,4963.0,4963.0,1
RC,480,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,2702.0,2702.0,1
RC,480,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,2702.0,2702.0,1
RC,480,Repair of ectropion; excision tarsal wedge ,,,2702.0,2702.0,1
RC,480,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,2702.0,2702.0,1
RC,480,Repair of ectropion; suture ,,,2702.0,2702.0,1
RC,480,Repair of ectropion; thermocauterization ,,,2702.0,2702.0,1
RC,480,"Repair of encephalocele, skull vault, including cranioplasty ",,,2702.0,2702.0,1
RC,480,"Repair of enterocele, abdominal approach (separate procedure) ",,,4963.0,4963.0,1
RC,480,"Repair of enterocele, vaginal approach (separate procedure) ",,,4963.0,4963.0,1
RC,480,Repair of entropion; excision tarsal wedge ,,,2702.0,2702.0,1
RC,480,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,2702.0,2702.0,1
RC,480,Repair of entropion; suture ,,,2702.0,2702.0,1
RC,480,Repair of entropion; thermocauterization ,,,2702.0,2702.0,1
RC,480,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,2702.0,2702.0,1
RC,480,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,2702.0,2702.0,1
RC,480,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,2702.0,2702.0,1
RC,480,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2702.0,2702.0,1
RC,480,"Repair of iris, ciliary body (as for iridodialysis) ",,,2702.0,2702.0,1
RC,480,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,2702.0,2702.0,1
RC,480,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,2702.0,2702.0,1
RC,480,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,2702.0,2702.0,1
RC,480,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,2702.0,2702.0,1
RC,480,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,2702.0,2702.0,1
RC,480,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,2702.0,2702.0,1
RC,480,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,2702.0,2702.0,1
RC,480,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,4963.0,4963.0,1
RC,480,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,4963.0,4963.0,1
RC,480,Repair of meningocele; larger than 5 cm diameter ,,,2702.0,2702.0,1
RC,480,Repair of meningocele; less than 5 cm diameter ,,,2702.0,2702.0,1
RC,480,Repair of myelomeningocele; larger than 5 cm diameter ,,,2702.0,2702.0,1
RC,480,Repair of myelomeningocele; less than 5 cm diameter ,,,2702.0,2702.0,1
RC,480,Repair of omphalocele (Gross type operation); first stage ,,,4963.0,4963.0,1
RC,480,Repair of omphalocele (Gross type operation); second stage ,,,4963.0,4963.0,1
RC,480,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,4963.0,4963.0,1
RC,480,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,4963.0,4963.0,1
RC,480,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,4963.0,13830.0,5
RC,480,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Complex Surgery",,,11754.0,11754.0,2
RC,480,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,4963.0,13830.0,5
RC,480,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,480,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,4963.0,13830.0,5
RC,480,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,4963.0,13830.0,7
RC,480,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,4963.0,13830.0,7
RC,480,Repair of scleral staphyloma with graft ,,,2702.0,2702.0,1
RC,480,"Repair of small omphalocele, with primary closure ",,,4963.0,4963.0,1
RC,480,"Repair of symblepharon; conjunctivoplasty, without graft ",,,2702.0,2702.0,1
RC,480,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,2702.0,2702.0,1
RC,480,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,2702.0,2702.0,1
RC,480,Repair of traumatic corporeal tear(s) ,,,4963.0,4963.0,1
RC,480,Repair of tunica vaginalis hydrocele (Bottle type) ,,,2702.0,2702.0,1
RC,480,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,2702.0,2702.0,1
RC,480,Repair oval window fistula ,,,4963.0,4963.0,1
RC,480,Repair recurrent femoral hernia; incarcerated or strangulated ,,,4963.0,4963.0,1
RC,480,Repair recurrent femoral hernia; reducible ,,,4963.0,4963.0,1
RC,480,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,4963.0,4963.0,1
RC,480,"Repair recurrent inguinal hernia, any age; reducible ",,,4963.0,4963.0,1
RC,480,Repair round window fistula ,,,4963.0,4963.0,1
RC,480,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,2702.0,2702.0,2
RC,480,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,2702.0,2702.0,1
RC,480,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,2702.0,2702.0,1
RC,480,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2702.0,2702.0,1
RC,480,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2702.0,2702.0,1
RC,480,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,2702.0,1
RC,480,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,2702.0,2702.0,1
RC,480,Replacement of bone flap or prosthetic plate of skull ,,,2702.0,2702.0,1
RC,480,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,2702.0,1
RC,480,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,2702.0,1
RC,480,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,2702.0,1
RC,480,"Replacement or irrigation, subarachnoid/subdural catheter ",,,2702.0,2702.0,1
RC,480,"Replacement or irrigation, ventricular catheter ",,,2702.0,2702.0,1
RC,480,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,2702.0,2702.0,1
RC,480,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,2702.0,2702.0,1
RC,480,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,2702.0,2702.0,1
RC,480,Reprogramming of programmable cerebrospinal shunt ,,,2702.0,2702.0,1
RC,480,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,2702.0,2702.0,1
RC,480,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,2702.0,2702.0,1
RC,480,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,2702.0,2702.0,1
RC,480,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,2702.0,2702.0,1
RC,480,Resection of scrotum ,,,2702.0,2702.0,1
RC,480,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,2702.0,2702.0,1
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,2702.0,2702.0,1
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,2702.0,2702.0,1
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,2702.0,2702.0,1
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,2702.0,2702.0,1
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,2702.0,2702.0,1
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,2702.0,2702.0,1
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,2702.0,2702.0,1
RC,480,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,2702.0,2702.0,1
RC,480,"Resection temporal bone, external approach ",,,2702.0,2702.0,1
RC,480,Retrobulbar injection; alcohol ,,,2702.0,2702.0,1
RC,480,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,2702.0,2702.0,1
RC,480,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,2702.0,2702.0,1
RC,480,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,4963.0,4963.0,1
RC,480,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,4963.0,4963.0,1
RC,480,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4963.0,4963.0,1
RC,480,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4963.0,4963.0,1
RC,480,Revision mastoidectomy; resulting in complete mastoidectomy ,,,2702.0,2702.0,1
RC,480,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,2702.0,2702.0,1
RC,480,Revision mastoidectomy; resulting in radical mastoidectomy ,,,2702.0,2702.0,1
RC,480,Revision mastoidectomy; resulting in tympanoplasty ,,,2702.0,2702.0,1
RC,480,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,2702.0,2702.0,1
RC,480,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,2702.0,2702.0,1
RC,480,Revision of peritoneal-venous shunt ,,,2702.0,2702.0,1
RC,480,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,2702.0,2702.0,1
RC,480,Revision of stapedectomy or stapedotomy ,,,4963.0,4963.0,1
RC,480,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,2702.0,2702.0,1
RC,480,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,2702.0,2702.0,1
RC,480,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,2702.0,2702.0,1
RC,480,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4963.0,4963.0,1
RC,480,Revision or removal of intracranial neurostimulator electrodes ,,,2702.0,2702.0,1
RC,480,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,2702.0,2702.0,1
RC,480,Revision or removal of peripheral neurostimulator electrode array ,,,4963.0,13830.0,5
RC,480,Revision or removal of peripheral neurostimulator electrode array Complex Surgery,,,11754.0,11754.0,2
RC,480,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4963.0,4963.0,1
RC,480,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,2702.0,2702.0,1
RC,480,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,2702.0,2702.0,1
RC,480,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,2702.0,2702.0,1
RC,480,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,4963.0,4963.0,1
RC,480,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,4963.0,13830.0,5
RC,480,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,480,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2702.0,2702.0,1
RC,480,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,9822.0,9822.0,2
RC,480,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,480,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,9822.0,9822.0,2
RC,480,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,480,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,9822.0,9822.0,2
RC,480,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,480,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,480,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,9822.0,9822.0,2
RC,480,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,480,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,480,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,2791.0,9822.0,3
RC,480,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,480,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,480,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,2702.0,2702.0,1
RC,480,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,2702.0,2702.0,1
RC,480,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,2702.0,2702.0,1
RC,480,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,2702.0,2702.0,1
RC,480,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2702.0,2702.0,1
RC,480,Salpingostomy (salpingoneostomy) ,,,2702.0,2702.0,1
RC,480,Scleral reinforcement (separate procedure); with graft ,,,2702.0,2702.0,1
RC,480,Scleral reinforcement (separate procedure); without graft ,,,2702.0,2702.0,1
RC,480,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,2702.0,2702.0,1
RC,480,"Scraping of cornea, diagnostic, for smear and/or culture ",,,2702.0,2702.0,1
RC,480,Scrotal exploration ,,,2702.0,2702.0,1
RC,480,Scrotoplasty; complicated ,,,2702.0,2702.0,1
RC,480,Scrotoplasty; simple ,,,2702.0,2702.0,1
RC,480,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,2702.0,2702.0,1
RC,480,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,2702.0,2702.0,1
RC,480,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,2702.0,2702.0,1
RC,480,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,2702.0,2702.0,1
RC,480,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,2702.0,2702.0,1
RC,480,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,2702.0,2702.0,1
RC,480,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,2702.0,2702.0,1
RC,480,Severing of tarsorrhaphy ,,,2702.0,2702.0,1
RC,480,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,4963.0,4963.0,1
RC,480,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,2702.0,2702.0,1
RC,480,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,2702.0,2702.0,1
RC,480,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,2702.0,13830.0,5
RC,480,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,4963.0,13830.0,5
RC,480,"Sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,2702.0,2702.0,1
RC,480,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,2702.0,2702.0,1
RC,480,Snip incision of lacrimal punctum ,,,2702.0,2702.0,1
RC,480,Sperm washing for artificial insemination ,,,4963.0,4963.0,1
RC,480,"Spinal puncture, lumbar, diagnostic; ",,,2702.0,2702.0,1
RC,480,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,2702.0,2702.0,1
RC,480,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,2702.0,2702.0,1
RC,480,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,2702.0,2702.0,1
RC,480,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,4963.0,4963.0,1
RC,480,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,4963.0,4963.0,1
RC,480,Stapes mobilization ,,,4963.0,4963.0,1
RC,480,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,2702.0,2702.0,1
RC,480,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,2702.0,2702.0,1
RC,480,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,2702.0,2702.0,1
RC,480,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,2702.0,2702.0,1
RC,480,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2702.0,2702.0,1
RC,480,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2702.0,2702.0,1
RC,480,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2702.0,2702.0,1
RC,480,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,4963.0,4963.0,1
RC,480,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,2702.0,2702.0,1
RC,480,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,2702.0,2702.0,1
RC,480,"Strabismus surgery, any procedure, superior oblique muscle ",,,2702.0,2702.0,1
RC,480,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,2702.0,2702.0,1
RC,480,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,2702.0,2702.0,1
RC,480,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,2702.0,2702.0,1
RC,480,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,2702.0,2702.0,1
RC,480,Subconjunctival injection ,,,2702.0,2702.0,1
RC,480,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,2702.0,2702.0,1
RC,480,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,2702.0,2702.0,1
RC,480,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,2702.0,2702.0,1
RC,480,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,2702.0,2702.0,1
RC,480,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,4963.0,1
RC,480,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,2702.0,2702.0,1
RC,480,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,2702.0,2702.0,1
RC,480,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,2702.0,2702.0,1
RC,480,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,2702.0,2702.0,1
RC,480,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2702.0,2702.0,1
RC,480,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,2702.0,2702.0,1
RC,480,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,2702.0,2702.0,1
RC,480,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,2702.0,2702.0,1
RC,480,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,2702.0,2702.0,1
RC,480,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,2702.0,2702.0,1
RC,480,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,2702.0,2702.0,1
RC,480,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,2702.0,2702.0,1
RC,480,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,2702.0,2702.0,1
RC,480,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2702.0,2702.0,1
RC,480,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,2702.0,2702.0,1
RC,480,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,2702.0,2702.0,1
RC,480,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,2702.0,2702.0,1
RC,480,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,2702.0,2702.0,1
RC,480,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,2702.0,2702.0,1
RC,480,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,2702.0,2702.0,1
RC,480,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,2702.0,2702.0,1
RC,480,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,2702.0,2702.0,1
RC,480,Suture of 1 nerve; median motor thenar ,,,2702.0,2702.0,1
RC,480,Suture of 1 nerve; ulnar motor ,,,2702.0,2702.0,1
RC,480,"Suture of digital nerve, hand or foot; 1 nerve ",,,2702.0,2702.0,1
RC,480,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,Suture of facial nerve; extracranial ,,,2702.0,2702.0,1
RC,480,"Suture of facial nerve; infratemporal, with or without grafting ",,,2702.0,2702.0,1
RC,480,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,2702.0,2702.0,1
RC,480,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,2702.0,2702.0,1
RC,480,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,2702.0,2702.0,1
RC,480,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,2702.0,2702.0,1
RC,480,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,2702.0,2702.0,1
RC,480,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,2702.0,2702.0,1
RC,480,Suture of posterior tibial nerve ,,,2702.0,2702.0,1
RC,480,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,2702.0,2702.0,1
RC,480,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,2702.0,2702.0,1
RC,480,Suture of sciatic nerve ,,,2702.0,2702.0,1
RC,480,Suture of; brachial plexus ,,,2702.0,2702.0,1
RC,480,Suture of; lumbar plexus ,,,2702.0,2702.0,1
RC,480,Suture or repair of testicular injury ,,,2702.0,2702.0,1
RC,480,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,2702.0,2702.0,1
RC,480,"Sympathectomy, cervical ",,,2702.0,2702.0,1
RC,480,"Sympathectomy, cervicothoracic ",,,2702.0,2702.0,1
RC,480,"Sympathectomy, lumbar ",,,2702.0,2702.0,1
RC,480,"Sympathectomy, thoracolumbar ",,,2702.0,2702.0,1
RC,480,"Sympathectomy; digital arteries, each digit ",,,2702.0,2702.0,1
RC,480,Sympathectomy; radial artery ,,,2702.0,2702.0,1
RC,480,Sympathectomy; superficial palmar arch ,,,2702.0,2702.0,1
RC,480,Sympathectomy; ulnar artery ,,,2702.0,2702.0,1
RC,480,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,2702.0,2702.0,1
RC,480,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,2702.0,2702.0,1
RC,480,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2702.0,2702.0,1
RC,480,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,17341.0,17341.0,2
RC,480,"Thrombolysis, coronary; by intravenous infusion ",,,17341.0,17341.0,2
RC,480,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Thyroidectomy, including substernal thyroid; cervical approach ",,,2702.0,2702.0,1
RC,480,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,2702.0,2702.0,1
RC,480,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,2702.0,2702.0,1
RC,480,"Thyroidectomy, total or complete ",,,2702.0,2702.0,1
RC,480,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,2702.0,2702.0,1
RC,480,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,2702.0,2702.0,1
RC,480,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,2702.0,2702.0,1
RC,480,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,2702.0,2702.0,1
RC,480,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,4963.0,1
RC,480,Total facial nerve decompression and/or repair (may include graft) ,,,2702.0,2702.0,1
RC,480,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2702.0,2702.0,1
RC,480,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2702.0,2702.0,1
RC,480,Trabeculoplasty by laser surgery ,,,2702.0,2702.0,1
RC,480,Trabeculotomy ab externo ,,,2702.0,2702.0,1
RC,480,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,2702.0,2702.0,1
RC,480,"Transabdominal amnioinfusion, including ultrasound guidance ",,,2702.0,2702.0,1
RC,480,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2702.0,2702.0,2
RC,480,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,2702.0,2702.0,1
RC,480,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,3
RC,480,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2702.0,2702.0,1
RC,480,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,4963.0,4963.0,1
RC,480,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,2702.0,2702.0,1
RC,480,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,2702.0,2702.0,1
RC,480,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,2702.0,2702.0,1
RC,480,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,2702.0,2702.0,1
RC,480,"Transection or avulsion of other cranial nerve, extradural ",,,2702.0,2702.0,1
RC,480,"Transection or avulsion of other spinal nerve, extradural ",,,2702.0,2702.0,1
RC,480,"Transection or avulsion of; facial nerve, differential or complete ",,,2702.0,2702.0,1
RC,480,Transection or avulsion of; greater occipital nerve ,,,2702.0,2702.0,1
RC,480,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,2702.0,2702.0,1
RC,480,Transection or avulsion of; infraorbital nerve ,,,2702.0,2702.0,1
RC,480,Transection or avulsion of; lingual nerve ,,,2702.0,2702.0,1
RC,480,Transection or avulsion of; mental nerve ,,,2702.0,2702.0,1
RC,480,Transection or avulsion of; phrenic nerve ,,,2702.0,2702.0,1
RC,480,Transection or avulsion of; supraorbital nerve ,,,2702.0,2702.0,1
RC,480,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,2702.0,2702.0,1
RC,480,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,2702.0,2702.0,1
RC,480,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,2702.0,2702.0,1
RC,480,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,2702.0,2702.0,1
RC,480,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,2702.0,2702.0,1
RC,480,Transmastoid antrotomy (simple mastoidectomy) ,,,2702.0,2702.0,1
RC,480,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,2702.0,2702.0,1
RC,480,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,2702.0,2702.0,1
RC,480,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,4963.0,4963.0,1
RC,480,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,4963.0,4963.0,1
RC,480,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,4963.0,4963.0,1
RC,480,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,4963.0,13830.0,5
RC,480,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Complex Surgery",,,11754.0,11754.0,2
RC,480,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,2702.0,2702.0,1
RC,480,Transplantation of pancreatic allograft ,,,2702.0,2702.0,1
RC,480,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,2702.0,2702.0,1
RC,480,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,"Transposition, ovary(s) ",,,2702.0,2702.0,1
RC,480,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,2702.0,2702.0,1
RC,480,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,2702.0,2702.0,1
RC,480,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,2702.0,2702.0,1
RC,480,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,2702.0,2702.0,1
RC,480,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,2702.0,2702.0,1
RC,480,Transurethral drainage of prostatic abscess ,,,2702.0,2702.0,1
RC,480,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,4963.0,13830.0,7
RC,480,Transurethral incision of prostate ,,,2702.0,2702.0,1
RC,480,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,2702.0,2702.0,1
RC,480,Transurethral resection of bladder neck (separate procedure) ,,,2702.0,2702.0,1
RC,480,Transurethral resection; of postoperative bladder neck contracture ,,,4963.0,4963.0,1
RC,480,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,4963.0,4963.0,1
RC,480,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,2702.0,2702.0,1
RC,480,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,2702.0,2702.0,1
RC,480,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,2702.0,2702.0,1
RC,480,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,2702.0,2702.0,1
RC,480,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,2702.0,2702.0,1
RC,480,Transvesical ureterolithotomy ,,,2702.0,2702.0,1
RC,480,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,4963.0,13830.0,5
RC,480,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,480,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,2702.0,2702.0,1
RC,480,"Treatment of incomplete abortion, any trimester, completed surgically ",,,2702.0,2702.0,1
RC,480,"Treatment of missed abortion, completed surgically; first trimester ",,,2702.0,2702.0,1
RC,480,"Treatment of missed abortion, completed surgically; second trimester ",,,2702.0,2702.0,1
RC,480,"Treatment of septic abortion, completed surgically ",,,2702.0,2702.0,1
RC,480,Tubotubal anastomosis ,,,2702.0,2702.0,1
RC,480,Tubouterine implantation ,,,2702.0,2702.0,1
RC,480,Twist drill hole for subdural or ventricular puncture ,,,2702.0,2702.0,1
RC,480,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,2702.0,2702.0,1
RC,480,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,2702.0,2702.0,1
RC,480,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,2702.0,2702.0,1
RC,480,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,2702.0,2702.0,4
RC,480,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,2702.0,2702.0,1
RC,480,Tympanic neurectomy ,,,4963.0,4963.0,1
RC,480,"Tympanolysis, transcanal ",,,2702.0,2702.0,1
RC,480,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,4963.0,4963.0,1
RC,480,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,4963.0,4963.0,1
RC,480,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,4963.0,4963.0,1
RC,480,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,4963.0,4963.0,1
RC,480,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,4963.0,4963.0,1
RC,480,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,4963.0,4963.0,1
RC,480,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,4963.0,4963.0,1
RC,480,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,4963.0,4963.0,1
RC,480,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,4963.0,4963.0,1
RC,480,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,4963.0,4963.0,1
RC,480,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,4963.0,4963.0,1
RC,480,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,4963.0,4963.0,1
RC,480,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,2702.0,2702.0,1
RC,480,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,2702.0,2702.0,1
RC,480,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,2702.0,2702.0,1
RC,480,"Unlisted hysteroscopy procedure, uterus ",,,4963.0,13830.0,5
RC,480,"Unlisted hysteroscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,480,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,2702.0,13830.0,5
RC,480,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum Complex Surgery",,,11754.0,11754.0,2
RC,480,"Unlisted laparoscopy procedure, bladder ",,,4963.0,4963.0,1
RC,480,"Unlisted laparoscopy procedure, endocrine system ",,,4963.0,4963.0,1
RC,480,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,4963.0,13830.0,5
RC,480,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Complex Surgery",,,11754.0,11754.0,2
RC,480,"Unlisted laparoscopy procedure, maternity care and delivery ",,,4963.0,13830.0,5
RC,480,"Unlisted laparoscopy procedure, maternity care and delivery Complex Surgery",,,11754.0,11754.0,2
RC,480,"Unlisted laparoscopy procedure, oviduct, ovary ",,,4963.0,13830.0,5
RC,480,"Unlisted laparoscopy procedure, oviduct, ovary Complex Surgery",,,11754.0,11754.0,2
RC,480,"Unlisted laparoscopy procedure, renal ",,,4963.0,13830.0,5
RC,480,"Unlisted laparoscopy procedure, renal Complex Surgery",,,11754.0,11754.0,2
RC,480,"Unlisted laparoscopy procedure, spermatic cord ",,,4963.0,4963.0,1
RC,480,"Unlisted laparoscopy procedure, testis ",,,4963.0,4963.0,1
RC,480,"Unlisted laparoscopy procedure, ureter ",,,4963.0,13830.0,5
RC,480,"Unlisted laparoscopy procedure, ureter Complex Surgery",,,11754.0,11754.0,2
RC,480,"Unlisted laparoscopy procedure, uterus ",,,4963.0,13830.0,5
RC,480,"Unlisted laparoscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,480,"Unlisted procedure, abdomen, peritoneum and omentum ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, anterior segment of eye ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, conjunctiva ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, endocrine system ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, external ear ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, extraocular muscle ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, eyelids ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, female genital system (nonobstetrical) ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, inner ear ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, lacrimal system ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, male genital system ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, maternity care and delivery ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, middle ear ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, nervous system ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, orbit ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, pancreas ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, posterior segment ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, temporal bone, middle fossa approach ",,,2702.0,2702.0,1
RC,480,"Unlisted procedure, urinary system ",,,2702.0,2702.0,1
RC,480,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,2702.0,2702.0,1
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,2702.0,2702.0,1
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,2702.0,1
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,2702.0,2702.0,1
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,2702.0,1
RC,480,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,2702.0,2702.0,1
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,2702.0,2702.0,1
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,2702.0,1
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,2702.0,2702.0,1
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,2702.0,1
RC,480,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,2702.0,2702.0,1
RC,480,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2702.0,2702.0,1
RC,480,"Ureterectomy, with bladder cuff (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,2702.0,2702.0,1
RC,480,"Ureterocolon conduit, including intestine anastomosis ",,,2702.0,2702.0,1
RC,480,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,2702.0,2702.0,1
RC,480,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,2702.0,2702.0,1
RC,480,Ureterolithotomy; lower one-third of ureter ,,,2702.0,2702.0,1
RC,480,Ureterolithotomy; middle one-third of ureter ,,,2702.0,2702.0,1
RC,480,Ureterolithotomy; upper one-third of ureter ,,,2702.0,2702.0,1
RC,480,Ureterolysis for ovarian vein syndrome ,,,2702.0,2702.0,1
RC,480,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,2702.0,2702.0,1
RC,480,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,2702.0,2702.0,1
RC,480,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,2702.0,2702.0,1
RC,480,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,2702.0,2702.0,1
RC,480,Ureteroneocystostomy; with extensive ureteral tailoring ,,,2702.0,2702.0,1
RC,480,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,2702.0,2702.0,1
RC,480,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,2702.0,2702.0,1
RC,480,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,2702.0,2702.0,1
RC,480,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,2702.0,2702.0,1
RC,480,"Ureterostomy, transplantation of ureter to skin ",,,2702.0,2702.0,1
RC,480,"Ureterotomy for insertion of indwelling stent, all types ",,,2702.0,2702.0,1
RC,480,Ureterotomy with exploration or drainage (separate procedure) ,,,2702.0,2702.0,1
RC,480,Ureteroureterostomy ,,,2702.0,2702.0,1
RC,480,"Urethrectomy, total, including cystostomy; female ",,,2702.0,2702.0,1
RC,480,"Urethrectomy, total, including cystostomy; male ",,,2702.0,2702.0,1
RC,480,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,2702.0,2702.0,1
RC,480,"Urethromeatoplasty, with mucosal advancement ",,,2702.0,2702.0,1
RC,480,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,2702.0,2702.0,1
RC,480,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,2702.0,2702.0,1
RC,480,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,2702.0,2702.0,1
RC,480,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,2702.0,2702.0,1
RC,480,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,2702.0,2702.0,1
RC,480,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,2702.0,2702.0,1
RC,480,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,2702.0,2702.0,1
RC,480,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,2702.0,2702.0,1
RC,480,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,2702.0,2702.0,1
RC,480,"Urethroplasty, reconstruction of female urethra ",,,2702.0,2702.0,1
RC,480,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2702.0,2702.0,1
RC,480,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,2702.0,2702.0,1
RC,480,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,2702.0,2702.0,1
RC,480,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,2702.0,2702.0,1
RC,480,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,2702.0,2702.0,1
RC,480,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,2702.0,2702.0,1
RC,480,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,2702.0,2702.0,1
RC,480,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,2702.0,2702.0,1
RC,480,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,2702.0,2702.0,1
RC,480,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,2702.0,2702.0,1
RC,480,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,2702.0,2702.0,1
RC,480,Uterine evacuation and curettage for hydatidiform mole ,,,2702.0,2702.0,1
RC,480,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,2702.0,2702.0,1
RC,480,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,2702.0,2702.0,1
RC,480,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,2702.0,2702.0,1
RC,480,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,2702.0,2702.0,1
RC,480,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,2702.0,2702.0,1
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; ",,,4963.0,4963.0,1
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,4963.0,4963.0,1
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,4963.0,4963.0,1
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,4963.0,4963.0,1
RC,480,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,4963.0,4963.0,1
RC,480,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,4963.0,4963.0,1
RC,480,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,4963.0,1
RC,480,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,4963.0,4963.0,1
RC,480,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,4963.0,4963.0,1
RC,480,"Vaginal hysterectomy, radical (Schauta type operation) ",,,4963.0,4963.0,1
RC,480,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,4963.0,4963.0,1
RC,480,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,4963.0,4963.0,1
RC,480,"Vaginectomy, complete removal of vaginal wall; ",,,2702.0,2702.0,1
RC,480,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2702.0,2702.0,1
RC,480,"Vaginectomy, partial removal of vaginal wall; ",,,2702.0,2702.0,1
RC,480,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2702.0,2702.0,1
RC,480,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,2702.0,2702.0,1
RC,480,Vaginoplasty for intersex state ,,,4963.0,4963.0,1
RC,480,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,2702.0,2702.0,1
RC,480,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,2702.0,2702.0,1
RC,480,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,2702.0,2702.0,1
RC,480,"Vasovasostomy, vasovasorrhaphy ",,,2702.0,2702.0,1
RC,480,Ventilating tube removal requiring general anesthesia ,,,2702.0,2702.0,1
RC,480,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,2702.0,2702.0,1
RC,480,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,2702.0,2702.0,1
RC,480,Ventriculocisternostomy (Torkildsen type operation) ,,,2702.0,2702.0,1
RC,480,"Ventriculocisternostomy, third ventricle; ",,,2702.0,2702.0,1
RC,480,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,2702.0,2702.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,4963.0,4963.0,3
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,4963.0,4963.0,2
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,4963.0,4963.0,1
RC,480,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,4963.0,4963.0,1
RC,480,"Vesiculectomy, any approach ",,,2702.0,2702.0,1
RC,480,Vesiculotomy; ,,,2702.0,2702.0,1
RC,480,Vesiculotomy; complicated ,,,2702.0,2702.0,1
RC,480,"Vestibular nerve section, transcranial approach ",,,2702.0,2702.0,1
RC,480,"Vestibular nerve section, translabyrinthine approach ",,,2702.0,2702.0,1
RC,480,"Vitrectomy, mechanical, pars plana approach; ",,,4963.0,13830.0,5
RC,480,"Vitrectomy, mechanical, pars plana approach; Complex Surgery",,,11754.0,11754.0,2
RC,480,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,4963.0,13830.0,5
RC,480,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,480,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,4963.0,13830.0,5
RC,480,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,480,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,4963.0,13830.0,7
RC,480,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,4963.0,13830.0,5
RC,480,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Complex Surgery",,,11754.0,11754.0,2
RC,480,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,4963.0,13830.0,7
RC,480,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,2702.0,2702.0,1
RC,480,Vulvectomy simple; complete ,,,2702.0,2702.0,1
RC,480,Vulvectomy simple; partial ,,,2702.0,2702.0,1
RC,480,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,2702.0,2702.0,1
RC,480,"Vulvectomy, radical, complete; ",,,2702.0,2702.0,1
RC,480,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,2702.0,1
RC,480,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,2702.0,2702.0,1
RC,480,"Vulvectomy, radical, partial; ",,,2702.0,2702.0,1
RC,480,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,2702.0,1
RC,480,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,2702.0,2702.0,1
RC,480,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,2702.0,2702.0,1
RC,481, Cardiology Cardiac Cath Lab  ,,,2481.0,18036.0,16
RC,481,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,2702.0,13315.0,7
RC,481,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,2702.0,10719.0,7
RC,481,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,2702.0,13315.0,7
RC,481,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,2702.0,10719.0,7
RC,481,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2702.0,10719.0,7
RC,481,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2702.0,10719.0,7
RC,481,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,1423.0,3251.0,3
RC,481,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,1982.0,6802.0,7
RC,481,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,1982.0,6802.0,7
RC,481,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,2702.0,13315.0,7
RC,481,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,2143.0,6802.0,4
RC,481,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,2702.0,6802.0,4
RC,481,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,2702.0,7493.0,4
RC,481,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,2702.0,8577.0,4
RC,481,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,2702.0,19295.0,4
RC,481,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,2702.0,15007.0,7
RC,481,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,2702.0,15007.0,4
RC,481,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,2702.0,8577.0,4
RC,481,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2702.0,15007.0,5
RC,481,Accessing and retorquing loose implant screw - per screw ,,,8577.0,8577.0,1
RC,481,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,1575.0,17341.0,6
RC,481,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,481,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,2702.0,8577.0,4
RC,481,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,2702.0,8577.0,4
RC,481,Amniocentesis; diagnostic ,,,1982.0,6802.0,7
RC,481,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,1423.0,6802.0,7
RC,481,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,8577.0,4
RC,481,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,8577.0,4
RC,481,Amputation of penis; complete ,,,2702.0,6802.0,7
RC,481,Amputation of penis; partial ,,,2702.0,10719.0,7
RC,481,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,2702.0,8577.0,4
RC,481,Anastomosis; facial-hypoglossal ,,,2702.0,8577.0,4
RC,481,Anastomosis; facial-spinal accessory ,,,2702.0,8577.0,4
RC,481,Anorectal manometry ,,,1423.0,3251.0,3
RC,481,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,2143.0,2143.0,1
RC,481,Antepartum care only; 4-6 visits ,,,2702.0,6802.0,3
RC,481,Antepartum care only; 7 or more visits ,,,2702.0,6802.0,3
RC,481,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,4963.0,10719.0,7
RC,481,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,2702.0,8727.0,7
RC,481,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,2702.0,8727.0,7
RC,481,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,8577.0,8577.0,2
RC,481,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,8577.0,8577.0,2
RC,481,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1423.0,3689.0,6
RC,481,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1423.0,3251.0,3
RC,481,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1982.0,3689.0,3
RC,481,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1423.0,3251.0,3
RC,481,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2820.0,5414.0,3
RC,481,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1423.0,3251.0,3
RC,481,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1982.0,3689.0,3
RC,481,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,4
RC,481,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,4963.0,13315.0,7
RC,481,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,2702.0,13315.0,7
RC,481,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,8577.0,8577.0,1
RC,481,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,8577.0,8577.0,1
RC,481,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1423.0,3251.0,4
RC,481,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,15007.0,15007.0,1
RC,481,Artificial insemination; intra-cervical ,,,1423.0,6802.0,7
RC,481,Artificial insemination; intra-uterine ,,,1423.0,6802.0,7
RC,481,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,2702.0,6802.0,7
RC,481,"Aspiration and/or injection, thyroid cyst ",,,1982.0,6802.0,7
RC,481,Aspiration of bladder; by needle ,,,1423.0,6802.0,7
RC,481,Aspiration of bladder; by trocar or intracatheter ,,,1423.0,6802.0,7
RC,481,Aspiration of bladder; with insertion of suprapubic catheter ,,,2702.0,8727.0,7
RC,481,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,4963.0,8727.0,7
RC,481,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,481,"Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each ",,,2702.0,6802.0,3
RC,481,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,2702.0,8577.0,4
RC,481,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,2702.0,8577.0,4
RC,481,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,2702.0,8577.0,4
RC,481,"Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile",,,2702.0,6802.0,3
RC,481,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,2702.0,8577.0,4
RC,481,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,2702.0,8577.0,4
RC,481,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,2702.0,23692.0,8
RC,481,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,481,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,481,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,2702.0,8577.0,4
RC,481,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,1423.0,6802.0,7
RC,481,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,2702.0,8577.0,4
RC,481,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,2702.0,8577.0,4
RC,481,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,2702.0,8577.0,4
RC,481,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,2702.0,8577.0,4
RC,481,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,2702.0,6802.0,7
RC,481,Biopsy external auditory canal ,,,2702.0,6802.0,7
RC,481,Biopsy external ear ,,,1423.0,6802.0,7
RC,481,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,1982.0,6802.0,7
RC,481,Biopsy of conjunctiva ,,,1982.0,6802.0,7
RC,481,Biopsy of cornea ,,,1982.0,6802.0,7
RC,481,"Biopsy of epididymis, needle ",,,1982.0,6802.0,7
RC,481,Biopsy of extraocular muscle ,,,2702.0,10719.0,7
RC,481,Biopsy of lacrimal gland ,,,2702.0,8727.0,7
RC,481,Biopsy of lacrimal sac ,,,2702.0,8727.0,7
RC,481,Biopsy of nerve ,,,2702.0,8727.0,7
RC,481,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,2702.0,8727.0,7
RC,481,"Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) ",,,2702.0,8577.0,4
RC,481,"Biopsy of pancreas, percutaneous needle ",,,2702.0,6802.0,7
RC,481,Biopsy of penis; (separate procedure) ,,,2702.0,6802.0,7
RC,481,Biopsy of penis; deep structures ,,,2702.0,8727.0,7
RC,481,"Biopsy of spinal cord, percutaneous needle ",,,2702.0,6802.0,7
RC,481,"Biopsy of testis, incisional (separate procedure) ",,,2702.0,8727.0,7
RC,481,"Biopsy of testis, needle (separate procedure) ",,,2702.0,6802.0,7
RC,481,Biopsy of urethra ,,,2702.0,8727.0,7
RC,481,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,2702.0,8727.0,7
RC,481,Biopsy of vaginal mucosa; simple (separate procedure) ,,,1982.0,6802.0,7
RC,481,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,1982.0,6802.0,7
RC,481,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,481,"Biopsy thyroid, percutaneous core needle ",,,1982.0,6802.0,7
RC,481,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,2702.0,6802.0,7
RC,481,"Biopsy, prostate, any approach, nonimaging-guided ",,,2702.0,6802.0,7
RC,481,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,2143.0,6802.0,4
RC,481,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,2702.0,7493.0,4
RC,481,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,2702.0,7493.0,4
RC,481,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2702.0,7493.0,4
RC,481,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,2702.0,7493.0,4
RC,481,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2702.0,7493.0,4
RC,481,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2702.0,7493.0,4
RC,481,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,2702.0,7493.0,4
RC,481,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2702.0,7493.0,4
RC,481,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,2820.0,5414.0,3
RC,481,Bladder instillation of anticarcinogenic agent (including retention time) ,,,1423.0,6802.0,7
RC,481,"Bladder irrigation, simple, lavage and/or instillation ",,,1423.0,6802.0,7
RC,481,"Blepharotomy, drainage of abscess, eyelid ",,,1423.0,6802.0,7
RC,481,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,19295.0,19295.0,1
RC,481,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,10737.0,15007.0,4
RC,481,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,24657.0,24657.0,1
RC,481,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,24657.0,5
RC,481,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,19295.0,19295.0,1
RC,481,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,1423.0,3251.0,3
RC,481,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1423.0,3251.0,4
RC,481,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,481,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,8577.0,8577.0,1
RC,481,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,481,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,8577.0,8577.0,1
RC,481,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,8577.0,8577.0,1
RC,481,Buccal/ labial frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,481,Bundle of His recording ,,,6826.0,19105.0,4
RC,481,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,2702.0,8577.0,4
RC,481,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,2702.0,8577.0,4
RC,481,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,2702.0,8577.0,4
RC,481,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,2702.0,8577.0,4
RC,481,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,2702.0,8577.0,4
RC,481,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,2702.0,8577.0,4
RC,481,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,2702.0,8577.0,4
RC,481,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,2702.0,8577.0,4
RC,481,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,2702.0,8577.0,4
RC,481,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,481,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,7583.0,9539.0,3
RC,481,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,481,Canthoplasty (reconstruction of canthus) ,,,2702.0,8727.0,7
RC,481,Canthotomy (separate procedure) ,,,2702.0,8727.0,7
RC,481,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,2143.0,2143.0,1
RC,481,Cardioassist-method of circulatory assist; external ,,,8577.0,8577.0,1
RC,481,Cardioassist-method of circulatory assist; internal ,,,8577.0,8577.0,1
RC,481,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,1423.0,3251.0,4
RC,481,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1982.0,4009.0,4
RC,481,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1982.0,4009.0,4
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,8577.0,12038.0,5
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,8577.0,12038.0,5
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,8577.0,8577.0,3
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8577.0,8577.0,1
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,8577.0,12038.0,20
RC,481,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,8577.0,12038.0,15
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8577.0,8577.0,1
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8577.0,8577.0,1
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,2791.0,13374.0,4
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,2791.0,13374.0,21
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,2791.0,13374.0,16
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,2791.0,13374.0,22
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,2791.0,13374.0,8
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,8577.0,8577.0,1
RC,481,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,8577.0,8577.0,1
RC,481,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,1423.0,6802.0,7
RC,481,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2143.0,6802.0,4
RC,481,"Cautery of cervix; cryocautery, initial or repeat ",,,1423.0,6802.0,7
RC,481,Cautery of cervix; electro or thermal ,,,2702.0,8727.0,7
RC,481,Cautery of cervix; laser ablation ,,,2702.0,8727.0,7
RC,481,"Cerclage of cervix, during pregnancy; abdominal ",,,2702.0,8577.0,4
RC,481,"Cerclage of cervix, during pregnancy; vaginal ",,,2702.0,8727.0,7
RC,481,"Cerclage of uterine cervix, nonobstetrical ",,,2702.0,8727.0,7
RC,481,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,2702.0,6802.0,3
RC,481,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,2702.0,6802.0,3
RC,481,Cesarean delivery only; ,,,2702.0,8577.0,4
RC,481,Cesarean delivery only; including postpartum care ,,,2702.0,8577.0,4
RC,481,Change of cystostomy tube; complicated ,,,1982.0,6802.0,7
RC,481,Change of cystostomy tube; simple ,,,1423.0,6802.0,7
RC,481,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,2702.0,6802.0,7
RC,481,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,8577.0,8577.0,1
RC,481,Chemodenervation of eccrine glands; both axillae ,,,1423.0,6802.0,7
RC,481,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,1423.0,6802.0,7
RC,481,Chemodenervation of extraocular muscle ,,,1423.0,6802.0,7
RC,481,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,1982.0,6802.0,7
RC,481,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,1423.0,6802.0,7
RC,481,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,1423.0,6802.0,7
RC,481,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,1982.0,6802.0,7
RC,481,Chemodenervation of one extremity; 1-4 muscle(s) ,,,1982.0,6802.0,7
RC,481,Chemodenervation of one extremity; 5 or more muscles ,,,1982.0,6802.0,7
RC,481,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,1423.0,6802.0,7
RC,481,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,1982.0,6802.0,7
RC,481,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,1982.0,6802.0,7
RC,481,"Chorionic villus sampling, any method ",,,1982.0,6802.0,7
RC,481,"Chromotubation of oviduct, including materials ",,,4963.0,10719.0,7
RC,481,Ciliary body destruction; cryotherapy ,,,2702.0,8727.0,7
RC,481,Ciliary body destruction; cyclodialysis ,,,2702.0,8727.0,7
RC,481,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,2702.0,8727.0,7
RC,481,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,2702.0,8727.0,7
RC,481,Ciliary body destruction; diathermy ,,,2702.0,6802.0,7
RC,481,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,2702.0,8727.0,7
RC,481,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,4963.0,8727.0,7
RC,481,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,2702.0,8727.0,7
RC,481,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,1982.0,6802.0,7
RC,481,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,2143.0,8727.0,7
RC,481,Clitoroplasty for intersex state ,,,2702.0,8727.0,7
RC,481,Closure of cystostomy (separate procedure) ,,,2702.0,8727.0,7
RC,481,Closure of lacrimal fistula (separate procedure) ,,,1982.0,6802.0,7
RC,481,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1982.0,6802.0,7
RC,481,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,2702.0,8577.0,4
RC,481,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,2702.0,8577.0,4
RC,481,Closure of rectovaginal fistula; abdominal approach ,,,4963.0,8577.0,4
RC,481,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,4963.0,8577.0,4
RC,481,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,4963.0,8727.0,7
RC,481,Closure of rectovaginal fistula; vaginal or transanal approach ,,,4963.0,8727.0,7
RC,481,"Closure of the lacrimal punctum; by plug, each ",,,1423.0,6802.0,7
RC,481,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,1423.0,6802.0,7
RC,481,Closure of ureterocutaneous fistula ,,,2702.0,8577.0,4
RC,481,Closure of ureterovisceral fistula (including visceral repair) ,,,2702.0,8577.0,4
RC,481,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,2702.0,10719.0,7
RC,481,Closure of urethrovaginal fistula; ,,,4963.0,13315.0,7
RC,481,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,4963.0,10719.0,7
RC,481,Closure of vesicouterine fistula; ,,,2702.0,8727.0,7
RC,481,Closure of vesicouterine fistula; with hysterectomy ,,,2702.0,8577.0,4
RC,481,"Closure of vesicovaginal fistula, abdominal approach ",,,2702.0,10719.0,7
RC,481,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,4963.0,10719.0,7
RC,481,Closure of vesicovaginal fistula; vaginal approach ,,,4963.0,10719.0,7
RC,481,"Closure postauricular fistula, mastoid (separate procedure) ",,,2702.0,8727.0,7
RC,481,"Closure, exstrophy of bladder ",,,2702.0,8577.0,4
RC,481,"Cochlear device implantation, with or without mastoidectomy ",,,4963.0,104011.0,11
RC,481,"Cochlear device implantation, with or without mastoidectomy Complex Surgery",,,11754.0,11754.0,2
RC,481,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,8577.0,8577.0,1
RC,481,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1423.0,3251.0,4
RC,481,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1982.0,4009.0,4
RC,481,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1982.0,4009.0,4
RC,481,Colorectal cancer screening; flexible sigmoidoscopy ,,,1982.0,4009.0,4
RC,481,Colpocentesis (separate procedure) ,,,2702.0,8727.0,7
RC,481,Colpocleisis (Le Fort type) ,,,2702.0,10719.0,7
RC,481,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,4963.0,8727.0,7
RC,481,"Colpopexy, abdominal approach ",,,4963.0,8727.0,7
RC,481,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,4963.0,13315.0,7
RC,481,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,4963.0,13315.0,7
RC,481,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,7493.0,7493.0,1
RC,481,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,4963.0,8727.0,7
RC,481,Colposcopy of the cervix including upper/adjacent vagina; ,,,1423.0,6802.0,7
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,1423.0,6802.0,7
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,1423.0,6802.0,7
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,1423.0,6802.0,7
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,2702.0,8727.0,7
RC,481,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,2702.0,8727.0,7
RC,481,"Colposcopy of the entire vagina, with cervix if present; ",,,1423.0,6802.0,7
RC,481,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,1982.0,6802.0,7
RC,481,Colposcopy of the vulva; ,,,1423.0,6802.0,7
RC,481,Colposcopy of the vulva; with biopsy(s) ,,,1423.0,6802.0,7
RC,481,Colpotomy; with drainage of pelvic abscess ,,,2702.0,8727.0,7
RC,481,Colpotomy; with exploration ,,,2702.0,8727.0,7
RC,481,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,4963.0,10719.0,7
RC,481,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,4963.0,13315.0,7
RC,481,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,2791.0,13374.0,4
RC,481,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,481,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,481,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,1982.0,6802.0,7
RC,481,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,1982.0,6802.0,7
RC,481,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,1982.0,6802.0,7
RC,481,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,1982.0,6802.0,7
RC,481,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,1423.0,6802.0,7
RC,481,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,19105.0,4
RC,481,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,19105.0,4
RC,481,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,8
RC,481,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,20
RC,481,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,8
RC,481,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,10
RC,481,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,2143.0,6802.0,4
RC,481,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,2702.0,8727.0,7
RC,481,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,2702.0,8727.0,7
RC,481,Conjunctival flap; bridge or partial (separate procedure) ,,,2702.0,10719.0,7
RC,481,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,2702.0,8727.0,7
RC,481,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,2702.0,8727.0,7
RC,481,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,2702.0,10719.0,7
RC,481,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,2702.0,10719.0,7
RC,481,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,2702.0,8727.0,7
RC,481,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,2702.0,10719.0,7
RC,481,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,2702.0,10719.0,7
RC,481,Construction of artificial vagina; with graft ,,,4963.0,10719.0,7
RC,481,Construction of artificial vagina; without graft ,,,4963.0,8727.0,7
RC,481,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,2702.0,8727.0,7
RC,481,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,2702.0,8727.0,7
RC,481,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,2702.0,8577.0,4
RC,481,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1423.0,3251.0,4
RC,481,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,1423.0,6802.0,7
RC,481,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,1423.0,6802.0,7
RC,481,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,7
RC,481,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,8577.0,8577.0,1
RC,481,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,1982.0,6802.0,7
RC,481,"Cordocentesis (intrauterine), any method ",,,1423.0,6802.0,7
RC,481,Corneal relaxing incision for correction of surgically induced astigmatism ,,,1982.0,6802.0,7
RC,481,Corneal wedge resection for correction of surgically induced astigmatism ,,,2702.0,8727.0,7
RC,481,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,4963.0,8577.0,4
RC,481,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,4963.0,10719.0,7
RC,481,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,4963.0,10719.0,7
RC,481,"Correction of everted punctum, cautery ",,,1423.0,6802.0,7
RC,481,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,2702.0,8727.0,7
RC,481,Correction of lid retraction ,,,2702.0,8727.0,7
RC,481,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,1423.0,6802.0,7
RC,481,"Correction of trichiasis; epilation, by forceps only ",,,1423.0,6802.0,7
RC,481,Correction of trichiasis; incision of lid margin ,,,1982.0,6802.0,7
RC,481,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,2702.0,8727.0,7
RC,481,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,1423.0,6802.0,7
RC,481,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,4963.0,15007.0,7
RC,481,Craniectomy for craniosynostosis; multiple cranial sutures ,,,2702.0,8577.0,4
RC,481,Craniectomy for craniosynostosis; single cranial suture ,,,2702.0,8577.0,4
RC,481,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,2702.0,8577.0,4
RC,481,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,2702.0,8577.0,4
RC,481,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,2702.0,8577.0,4
RC,481,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,2702.0,8577.0,4
RC,481,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,2702.0,8577.0,4
RC,481,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,2702.0,8577.0,4
RC,481,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,2702.0,8577.0,4
RC,481,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,2702.0,8577.0,4
RC,481,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,2702.0,8577.0,4
RC,481,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,2702.0,8577.0,4
RC,481,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,2702.0,8577.0,4
RC,481,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,2702.0,8577.0,4
RC,481,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,2702.0,8577.0,4
RC,481,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,2702.0,8577.0,4
RC,481,"Craniectomy or craniotomy, exploratory; supratentorial ",,,2702.0,8577.0,4
RC,481,Craniectomy or craniotomy; with excision of foreign body from brain ,,,2702.0,8577.0,4
RC,481,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,2702.0,8577.0,4
RC,481,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,2702.0,8577.0,4
RC,481,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,2702.0,8577.0,4
RC,481,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,2702.0,8577.0,4
RC,481,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,2702.0,8577.0,4
RC,481,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,2702.0,8577.0,4
RC,481,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,2702.0,8577.0,4
RC,481,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,2702.0,8577.0,4
RC,481,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,2702.0,8577.0,4
RC,481,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,2702.0,8577.0,4
RC,481,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,2702.0,8577.0,4
RC,481,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,2702.0,8577.0,4
RC,481,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,2702.0,8577.0,4
RC,481,Craniectomy; for osteomyelitis ,,,2702.0,8577.0,4
RC,481,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2702.0,15007.0,7
RC,481,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,2702.0,8577.0,4
RC,481,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,2702.0,8577.0,4
RC,481,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,2702.0,8577.0,4
RC,481,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,2702.0,8577.0,4
RC,481,Cranioplasty for skull defect with reparative brain surgery ,,,2702.0,8577.0,4
RC,481,Cranioplasty for skull defect; larger than 5 cm diameter ,,,2702.0,8577.0,4
RC,481,Cranioplasty for skull defect; up to 5 cm diameter ,,,2702.0,8577.0,4
RC,481,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,2702.0,8577.0,4
RC,481,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,2702.0,8577.0,4
RC,481,Craniotomy for craniosynostosis; bifrontal bone flap ,,,2702.0,8577.0,4
RC,481,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,2702.0,8577.0,4
RC,481,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,2702.0,8577.0,4
RC,481,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,2702.0,8577.0,4
RC,481,"Craniotomy for repair of encephalocele, skull base ",,,2702.0,8577.0,4
RC,481,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,2702.0,8577.0,4
RC,481,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,2702.0,8577.0,4
RC,481,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,2702.0,8577.0,4
RC,481,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,2702.0,8577.0,4
RC,481,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,2702.0,8577.0,4
RC,481,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,2702.0,8577.0,4
RC,481,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,2702.0,8577.0,4
RC,481,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,2702.0,8577.0,4
RC,481,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,2702.0,8577.0,4
RC,481,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,2702.0,8577.0,4
RC,481,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,2702.0,8577.0,4
RC,481,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,2702.0,8577.0,4
RC,481,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,2702.0,8577.0,4
RC,481,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,2702.0,8577.0,4
RC,481,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,2702.0,12863.0,7
RC,481,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,2702.0,8577.0,4
RC,481,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,2702.0,8727.0,7
RC,481,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,2702.0,8727.0,7
RC,481,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,4963.0,8727.0,7
RC,481,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,2702.0,8577.0,4
RC,481,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,2702.0,12863.0,7
RC,481,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,2702.0,8577.0,4
RC,481,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,2702.0,8577.0,4
RC,481,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,2702.0,8577.0,4
RC,481,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,2702.0,8577.0,4
RC,481,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,2702.0,14379.0,11
RC,481,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Complex Surgery,,,11754.0,11754.0,2
RC,481,"Curettage, postpartum ",,,2702.0,8727.0,7
RC,481,Cutaneous appendico-vesicostomy ,,,2702.0,8577.0,4
RC,481,Cutaneous vesicostomy ,,,2702.0,8727.0,7
RC,481,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,2702.0,8577.0,4
RC,481,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,2702.0,8577.0,4
RC,481,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,8577.0,4
RC,481,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,2702.0,8577.0,4
RC,481,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,8577.0,4
RC,481,"Cystectomy, complete; (separate procedure) ",,,2702.0,8577.0,4
RC,481,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,8577.0,4
RC,481,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,2702.0,8577.0,4
RC,481,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,2702.0,8577.0,4
RC,481,"Cystectomy, partial; simple ",,,2702.0,8577.0,4
RC,481,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,2702.0,8727.0,7
RC,481,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2702.0,8577.0,4
RC,481,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,2702.0,10719.0,7
RC,481,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,2702.0,8727.0,7
RC,481,"Cystostomy, cystotomy with drainage ",,,2702.0,8727.0,7
RC,481,"Cystotomy for excision, incision, or repair of ureterocele ",,,2702.0,8727.0,7
RC,481,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,2702.0,8727.0,7
RC,481,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,5360.0,8727.0,3
RC,481,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,2702.0,8727.0,7
RC,481,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,1982.0,6802.0,7
RC,481,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,2702.0,10719.0,7
RC,481,Cystotomy; for excision of bladder tumor ,,,2702.0,10719.0,7
RC,481,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,2702.0,8727.0,7
RC,481,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2702.0,8577.0,4
RC,481,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,4963.0,15409.0,9
RC,481,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,4963.0,13830.0,11
RC,481,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Complex Surgery",,,11754.0,11754.0,2
RC,481,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,4963.0,13830.0,11
RC,481,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Complex Surgery,,,11754.0,11754.0,2
RC,481,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,4963.0,13830.0,11
RC,481,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Complex Surgery,,,11754.0,11754.0,2
RC,481,Cystourethroscopy (separate procedure) ,,,1982.0,6802.0,7
RC,481,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,2820.0,6802.0,7
RC,481,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,8577.0,8577.0,1
RC,481,Cystourethroscopy with direct vision internal urethrotomy ,,,4963.0,8727.0,7
RC,481,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,2702.0,8727.0,7
RC,481,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,2702.0,7493.0,4
RC,481,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,4963.0,53068.0,7
RC,481,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2702.0,7493.0,4
RC,481,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,4963.0,13830.0,11
RC,481,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Complex Surgery",,,11754.0,11754.0,2
RC,481,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,2820.0,6802.0,7
RC,481,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,2702.0,8727.0,7
RC,481,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,481,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,481,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,481,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,8577.0,8577.0,1
RC,481,"Cystourethroscopy, with biopsy(s) ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,2820.0,6802.0,7
RC,481,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,2820.0,6802.0,7
RC,481,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,1982.0,6802.0,7
RC,481,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,1982.0,6802.0,7
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,2820.0,6802.0,7
RC,481,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder Complex Surgery",,,11754.0,11754.0,2
RC,481,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,4963.0,13830.0,11
RC,481,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,1423.0,6802.0,7
RC,481,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1423.0,6802.0,7
RC,481,"Cystourethroscopy, with insertion of permanent urethral stent ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5360.0,8727.0,4
RC,481,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,10737.0,15007.0,4
RC,481,"Cystourethroscopy, with internal urethrotomy; female ",,,2820.0,6802.0,7
RC,481,"Cystourethroscopy, with internal urethrotomy; male ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,4963.0,7493.0,4
RC,481,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,2820.0,6802.0,7
RC,481,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy, with steroid injection into stricture ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,7493.0,7493.0,1
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,7493.0,7493.0,1
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,4963.0,13830.0,11
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Complex Surgery",,,11754.0,11754.0,2
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,4963.0,13830.0,11
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion Complex Surgery",,,11754.0,11754.0,2
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2702.0,15409.0,6
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2702.0,15409.0,11
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,4963.0,13830.0,11
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,4963.0,13830.0,11
RC,481,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Complex Surgery",,,11754.0,11754.0,2
RC,481,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,4963.0,8727.0,7
RC,481,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,481,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,481,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,481,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,4963.0,8727.0,7
RC,481,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,2702.0,10719.0,7
RC,481,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,1423.0,3251.0,8
RC,481,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,2143.0,2143.0,1
RC,481,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,8577.0,8577.0,1
RC,481,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,1982.0,6802.0,7
RC,481,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,1423.0,6802.0,7
RC,481,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,2702.0,13315.0,7
RC,481,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,2702.0,13315.0,7
RC,481,Decompression internal auditory canal ,,,2702.0,13315.0,7
RC,481,"Decompression of orbit only, transcranial approach ",,,2702.0,13315.0,7
RC,481,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,2702.0,10719.0,7
RC,481,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,2143.0,6802.0,4
RC,481,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,2702.0,15007.0,4
RC,481,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,2702.0,7493.0,4
RC,481,Decompression; plantar digital nerve ,,,2702.0,8727.0,7
RC,481,Decompression; unspecified nerve(s) (specify) ,,,2702.0,8727.0,7
RC,481,Decoronation or submergence of an erupted tooth ,,,8577.0,8577.0,1
RC,481,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,2702.0,6802.0,7
RC,481,Deligation of ureter ,,,2702.0,8577.0,4
RC,481,Delivery of placenta (separate procedure) ,,,2702.0,8727.0,7
RC,481,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2820.0,5414.0,3
RC,481,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,2702.0,7493.0,4
RC,481,"Destruction by neurolytic agent, intercostal nerve ",,,2702.0,8727.0,7
RC,481,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,1423.0,6802.0,7
RC,481,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,2702.0,8727.0,7
RC,481,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,1423.0,6802.0,7
RC,481,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,2702.0,8727.0,7
RC,481,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,2702.0,8727.0,7
RC,481,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,2702.0,8727.0,7
RC,481,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,2702.0,8727.0,7
RC,481,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,2702.0,8727.0,7
RC,481,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,1982.0,6802.0,7
RC,481,Destruction by neurolytic agent; other peripheral nerve or branch ,,,1982.0,6802.0,7
RC,481,Destruction by neurolytic agent; plantar common digital nerve ,,,1423.0,6802.0,7
RC,481,Destruction by neurolytic agent; pudendal nerve ,,,1982.0,6802.0,7
RC,481,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,1982.0,6802.0,7
RC,481,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,4963.0,13830.0,11
RC,481,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,481,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,1423.0,6802.0,6
RC,481,Destruction of lesion of lid margin (up to 1 cm) ,,,1982.0,6802.0,7
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,7
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,6802.0,7
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,6802.0,7
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2702.0,6802.0,7
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2702.0,6802.0,7
RC,481,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2702.0,6802.0,7
RC,481,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,7
RC,481,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,7
RC,481,"Destruction of lesion, conjunctiva ",,,2702.0,8727.0,7
RC,481,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,1982.0,13830.0,11
RC,481,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions Complex Surgery",,,11754.0,11754.0,2
RC,481,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,1982.0,13830.0,11
RC,481,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1423.0,13830.0,11
RC,481,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) Compl",,,11754.0,11754.0,2
RC,481,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1982.0,4009.0,3
RC,481,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,1423.0,13830.0,11
RC,481,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,481,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,1982.0,13830.0,11
RC,481,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,481,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,4963.0,13830.0,11
RC,481,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,8727.0,7
RC,481,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,8727.0,7
RC,481,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,8577.0,8577.0,1
RC,481,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8577.0,8577.0,4
RC,481,Diaphragm or cervical cap fitting with instructions ,,,1423.0,6802.0,7
RC,481,Dilation and curettage of cervical stump ,,,2702.0,8727.0,7
RC,481,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,2702.0,8727.0,7
RC,481,"Dilation of cervical canal, instrumental (separate procedure) ",,,2702.0,8727.0,7
RC,481,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,2702.0,10719.0,8
RC,481,Dilation of female urethra including suppository and/or instillation; initial ,,,1423.0,6802.0,7
RC,481,Dilation of female urethra including suppository and/or instillation; subsequent ,,,1423.0,6802.0,7
RC,481,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,2702.0,8727.0,7
RC,481,"Dilation of lacrimal punctum, with or without irrigation ",,,1423.0,6802.0,7
RC,481,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,1982.0,6802.0,7
RC,481,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,1423.0,6802.0,7
RC,481,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,1423.0,6802.0,7
RC,481,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,1423.0,6802.0,7
RC,481,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,2702.0,6802.0,7
RC,481,Dilation of vagina under anesthesia (other than local) ,,,2702.0,8727.0,7
RC,481,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1423.0,6802.0,7
RC,481,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,4963.0,15007.0,7
RC,481,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,4963.0,8577.0,4
RC,481,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,4963.0,8577.0,4
RC,481,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,1982.0,6802.0,7
RC,481,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,1423.0,6802.0,7
RC,481,"Discission of vitreous strands (without removal), pars plana approach ",,,4963.0,8727.0,7
RC,481,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,2702.0,8577.0,4
RC,481,"Donor nephrectomy (including cold preservation); open, from living donor ",,,2702.0,8577.0,4
RC,481,"Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation ",,,2702.0,6802.0,3
RC,481,"Drainage external auditory canal, abscess ",,,1423.0,6802.0,7
RC,481,"Drainage external ear, abscess or hematoma; complicated ",,,2702.0,6802.0,7
RC,481,"Drainage external ear, abscess or hematoma; simple ",,,1423.0,6802.0,7
RC,481,Drainage of Skene's gland abscess or cyst ,,,2702.0,8727.0,7
RC,481,Drainage of deep periurethral abscess ,,,2702.0,8727.0,7
RC,481,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,2702.0,8577.0,4
RC,481,Drainage of ovarian abscess; abdominal approach ,,,2702.0,10719.0,7
RC,481,"Drainage of ovarian abscess; vaginal approach, open ",,,2702.0,8727.0,7
RC,481,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,2702.0,8727.0,7
RC,481,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,2702.0,8727.0,7
RC,481,Drainage of perineal urinary extravasation; complicated ,,,2702.0,8727.0,7
RC,481,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,2702.0,8727.0,7
RC,481,"Drainage of perirenal or renal abscess, open ",,,2702.0,8727.0,7
RC,481,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,2702.0,8577.0,4
RC,481,Drainage of perivesical or prevesical space abscess ,,,2702.0,8727.0,7
RC,481,"Drainage of retroperitoneal abscess, open ",,,2702.0,8577.0,4
RC,481,Drainage of scrotal wall abscess ,,,2702.0,6802.0,7
RC,481,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,2702.0,8577.0,4
RC,481,Duodenal exclusion with gastrojejunostomy for pancreatic injury ,,,2702.0,8577.0,4
RC,481,Duodenal motility (manometric) study ,,,1423.0,3251.0,4
RC,481,"Dural graft, spinal ",,,2702.0,8577.0,4
RC,481,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,2702.0,6802.0,7
RC,481,Ear piercing ,,,2702.0,8577.0,4
RC,481,Electroejaculation ,,,1982.0,6802.0,7
RC,481,"Electrogastrography, diagnostic, transcutaneous; ",,,1423.0,3251.0,4
RC,481,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1423.0,3251.0,4
RC,481,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,1423.0,6802.0,7
RC,481,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,1423.0,6802.0,7
RC,481,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,1423.0,6802.0,14
RC,481,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,1423.0,6802.0,7
RC,481,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1423.0,23692.0,18
RC,481,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2820.0,17341.0,7
RC,481,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1423.0,17341.0,7
RC,481,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,8
RC,481,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,2702.0,8577.0,4
RC,481,"Elevation of depressed skull fracture; simple, extradural ",,,2702.0,13315.0,7
RC,481,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,2702.0,8577.0,4
RC,481,"Embryo transfer, intrauterine ",,,1982.0,6802.0,7
RC,481,Endocervical curettage (not done as part of a dilation and curettage) ,,,1982.0,6802.0,7
RC,481,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,1423.0,6802.0,7
RC,481,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1423.0,17341.0,14
RC,481,Endolymphatic sac operation; with shunt ,,,2702.0,13315.0,7
RC,481,Endolymphatic sac operation; without shunt ,,,2702.0,13315.0,7
RC,481,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,4963.0,13830.0,11
RC,481,"Endometrial ablation, thermal, without hysteroscopic guidance Complex Surgery",,,11754.0,11754.0,2
RC,481,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,4963.0,13830.0,11
RC,481,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Complex Surgery",,,11754.0,11754.0,2
RC,481,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,481,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,1423.0,6802.0,7
RC,481,Endomyocardial biopsy ,,,2791.0,10719.0,5
RC,481,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,481,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,481,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2702.0,15007.0,7
RC,481,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,15007.0,15007.0,1
RC,481,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,2702.0,10719.0,7
RC,481,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,15007.0,15007.0,1
RC,481,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,481,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,8577.0,8577.0,1
RC,481,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,8577.0,8577.0,1
RC,481,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,481,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,7493.0,7493.0,1
RC,481,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,2702.0,11462.0,4
RC,481,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,2702.0,11462.0,4
RC,481,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2702.0,19295.0,7
RC,481,"Enterocystoplasty, including intestinal anastomosis ",,,2702.0,8577.0,4
RC,481,"Enucleation of eye; with implant, muscles attached to implant ",,,2702.0,10719.0,7
RC,481,"Enucleation of eye; with implant, muscles not attached to implant ",,,2702.0,10719.0,7
RC,481,Enucleation of eye; without implant ,,,2702.0,10719.0,7
RC,481,Epididymectomy; bilateral ,,,2702.0,8727.0,7
RC,481,Epididymectomy; unilateral ,,,2702.0,8727.0,7
RC,481,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,2702.0,8727.0,7
RC,481,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,2702.0,8727.0,7
RC,481,Epikeratoplasty ,,,2702.0,8727.0,7
RC,481,"Episiotomy or vaginal repair, by other than attending ",,,2702.0,8727.0,7
RC,481,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1423.0,3251.0,4
RC,481,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1423.0,3251.0,4
RC,481,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1423.0,3251.0,4
RC,481,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1423.0,3251.0,4
RC,481,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1423.0,3251.0,4
RC,481,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,7493.0,7493.0,1
RC,481,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,19105.0,4
RC,481,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,19105.0,4
RC,481,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1423.0,3251.0,4
RC,481,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1423.0,4009.0,4
RC,481,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1423.0,3251.0,4
RC,481,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1423.0,17341.0,7
RC,481,Evisceration of ocular contents; with implant ,,,2702.0,10719.0,7
RC,481,Evisceration of ocular contents; without implant ,,,2702.0,10719.0,7
RC,481,Exc biopsy of saliv glands ,,,8577.0,8577.0,1
RC,481,Excavation of a tooth resulting in the determination of non-restorability ,,,8577.0,8577.0,1
RC,481,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,1982.0,6802.0,7
RC,481,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,8577.0,8577.0,1
RC,481,Exchange of intraocular lens ,,,2702.0,8727.0,7
RC,481,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,2702.0,6802.0,7
RC,481,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,2702.0,8727.0,14
RC,481,Excision aural glomus tumor; extended (extratemporal) ,,,2702.0,8577.0,4
RC,481,Excision aural glomus tumor; transcanal ,,,2702.0,13315.0,7
RC,481,Excision aural glomus tumor; transmastoid ,,,2702.0,13315.0,7
RC,481,Excision aural polyp ,,,2702.0,6802.0,7
RC,481,"Excision exostosis(es), external auditory canal ",,,2702.0,8727.0,7
RC,481,Excision external ear; complete amputation ,,,2702.0,8727.0,7
RC,481,"Excision external ear; partial, simple repair ",,,2702.0,6802.0,7
RC,481,Excision of Bartholin's gland or cyst ,,,2702.0,8727.0,7
RC,481,Excision of Mullerian duct cyst ,,,2702.0,8727.0,7
RC,481,Excision of ampulla of Vater ,,,2702.0,8577.0,4
RC,481,Excision of bulbourethral gland (Cowper's gland) ,,,2702.0,8727.0,7
RC,481,Excision of carotid body tumor; with excision of carotid artery ,,,2702.0,8577.0,4
RC,481,Excision of carotid body tumor; without excision of carotid artery ,,,2702.0,8577.0,4
RC,481,"Excision of cervical stump, abdominal approach; ",,,2702.0,8577.0,4
RC,481,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,2702.0,8577.0,4
RC,481,"Excision of cervical stump, vaginal approach; ",,,2702.0,8727.0,7
RC,481,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,2702.0,10719.0,7
RC,481,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,2702.0,13315.0,7
RC,481,"Excision of chalazion; multiple, different lids ",,,1423.0,6802.0,7
RC,481,"Excision of chalazion; multiple, same lid ",,,1982.0,6802.0,7
RC,481,Excision of chalazion; single ,,,1423.0,6802.0,7
RC,481,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,2702.0,8727.0,7
RC,481,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,2702.0,15007.0,7
RC,481,Excision of extraparenchymal lesion of testis ,,,2702.0,8727.0,7
RC,481,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,2702.0,10719.0,7
RC,481,Excision of hydrocele; bilateral ,,,2702.0,10719.0,7
RC,481,Excision of hydrocele; unilateral ,,,2702.0,10719.0,7
RC,481,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,2702.0,10719.0,7
RC,481,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,2702.0,10719.0,7
RC,481,Excision of lacrimal gland tumor; frontal approach ,,,2702.0,8727.0,7
RC,481,Excision of lacrimal gland tumor; involving osteotomy ,,,2702.0,10719.0,7
RC,481,Excision of lacrimal sac (dacryocystectomy) ,,,2702.0,10719.0,7
RC,481,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,1982.0,6802.0,7
RC,481,"Excision of lesion of pancreas (eg, cyst, adenoma) ",,,2702.0,8577.0,4
RC,481,Excision of lesion of spermatic cord (separate procedure) ,,,2702.0,8727.0,7
RC,481,"Excision of lesion, conjunctiva; over 1 cm ",,,2702.0,8727.0,7
RC,481,"Excision of lesion, conjunctiva; up to 1 cm ",,,2702.0,8727.0,7
RC,481,"Excision of lesion, conjunctiva; with adjacent sclera ",,,2702.0,8727.0,7
RC,481,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,1982.0,6802.0,7
RC,481,"Excision of lesion, sclera ",,,2702.0,8727.0,7
RC,481,Excision of local lesion of epididymis ,,,2702.0,8727.0,7
RC,481,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,8577.0,8577.0,1
RC,481,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,2702.0,8727.0,7
RC,481,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,2702.0,12863.0,7
RC,481,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,2702.0,8727.0,7
RC,481,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,2702.0,8727.0,7
RC,481,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,2702.0,8727.0,7
RC,481,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,"Excision of neuroma; hand or foot, except digital nerve ",,,2702.0,8727.0,7
RC,481,"Excision of neuroma; major peripheral nerve, except sciatic ",,,2702.0,8727.0,7
RC,481,Excision of neuroma; sciatic nerve ,,,2702.0,12863.0,7
RC,481,Excision of penile plaque (Peyronie disease); ,,,2702.0,13315.0,7
RC,481,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,2702.0,13315.0,7
RC,481,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,2702.0,13315.0,7
RC,481,Excision of perinephric cyst ,,,2702.0,8577.0,4
RC,481,Excision of presacral or sacrococcygeal tumor ,,,2702.0,8577.0,4
RC,481,"Excision of spermatocele, with or without epididymectomy ",,,2702.0,8727.0,7
RC,481,Excision of thyroglossal duct cyst or sinus; ,,,2702.0,15007.0,7
RC,481,Excision of thyroglossal duct cyst or sinus; recurrent ,,,2702.0,15007.0,7
RC,481,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,2702.0,10719.0,7
RC,481,Excision of urethral diverticulum (separate procedure); female ,,,2702.0,10719.0,7
RC,481,Excision of urethral diverticulum (separate procedure); male ,,,2702.0,8727.0,7
RC,481,Excision of vaginal cyst or tumor ,,,2702.0,8727.0,7
RC,481,Excision of vaginal septum ,,,2702.0,8727.0,7
RC,481,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,2702.0,8727.0,7
RC,481,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,2702.0,10719.0,7
RC,481,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,2702.0,10719.0,7
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,2702.0,7493.0,4
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,2702.0,10719.0,4
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,2702.0,7493.0,4
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,2702.0,7493.0,4
RC,481,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,2702.0,10719.0,4
RC,481,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,5360.0,8727.0,3
RC,481,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,10737.0,13315.0,3
RC,481,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,10737.0,13315.0,3
RC,481,Excision or fulguration of carcinoma of urethra ,,,2702.0,10719.0,7
RC,481,Excision or fulguration; Skene's glands ,,,2702.0,8727.0,7
RC,481,Excision or fulguration; urethral caruncle ,,,2702.0,8727.0,7
RC,481,"Excision or fulguration; urethral polyp(s), distal urethra ",,,2702.0,8727.0,7
RC,481,Excision or fulguration; urethral prolapse ,,,2702.0,8727.0,7
RC,481,Excision or transposition of pterygium; with graft ,,,2702.0,8727.0,7
RC,481,Excision or transposition of pterygium; without graft ,,,2702.0,8727.0,7
RC,481,Excision or unroofing of cyst(s) of kidney ,,,2702.0,8577.0,4
RC,481,"Excision soft tissue lesion, external auditory canal ",,,2702.0,6802.0,7
RC,481,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,2702.0,8577.0,4
RC,481,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,2702.0,8577.0,4
RC,481,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,2702.0,10719.0,7
RC,481,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,2702.0,10719.0,7
RC,481,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,2702.0,10719.0,7
RC,481,Exploration for undescended testis (inguinal or scrotal area) ,,,2702.0,10719.0,7
RC,481,Exploration for undescended testis with abdominal exploration ,,,2702.0,8727.0,7
RC,481,"Exploration of epididymis, with or without biopsy ",,,2702.0,8727.0,7
RC,481,"Exploration of orbit (transcranial approach), with removal of lesion ",,,2702.0,8577.0,4
RC,481,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,2702.0,10719.0,4
RC,481,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,2702.0,10719.0,7
RC,481,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,2702.0,53068.0,7
RC,481,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,53068.0,4
RC,481,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,53068.0,4
RC,481,"Expression of conjunctival follicles (eg, for trachoma) ",,,1423.0,6802.0,7
RC,481,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,2702.0,8577.0,4
RC,481,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,2702.0,8577.0,4
RC,481,"External cephalic version, with or without tocolysis ",,,2702.0,8727.0,7
RC,481,"External drainage, pseudocyst of pancreas, open ",,,2702.0,8577.0,4
RC,481,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2702.0,12863.0,4
RC,481,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2702.0,12863.0,4
RC,481,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,2702.0,8727.0,7
RC,481,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,2702.0,12863.0,15
RC,481,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,481,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,8577.0,8577.0,1
RC,481,Fetal contraction stress test ,,,1423.0,6802.0,7
RC,481,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,1423.0,6802.0,7
RC,481,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,2702.0,8577.0,4
RC,481,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,1423.0,6802.0,7
RC,481,Fetal non-stress test ,,,1423.0,6802.0,7
RC,481,Fetal scalp blood sampling ,,,1423.0,6802.0,7
RC,481,"Fetal shunt placement, including ultrasound guidance ",,,1423.0,6802.0,7
RC,481,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,1423.0,6802.0,7
RC,481,Fimbrioplasty ,,,2702.0,10719.0,7
RC,481,Fine needle aspiration of orbital contents ,,,2702.0,8727.0,7
RC,481,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,2702.0,8727.0,7
RC,481,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,2702.0,8727.0,7
RC,481,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,2702.0,8727.0,7
RC,481,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,2702.0,8727.0,7
RC,481,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,2702.0,8727.0,7
RC,481,Fitting and insertion of pessary or other intravaginal support device ,,,1423.0,6802.0,7
RC,481,Fixation of contralateral testis (separate procedure) ,,,2702.0,8727.0,7
RC,481,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,5360.0,8727.0,3
RC,481,"Follicle puncture for oocyte retrieval, any method ",,,1982.0,6802.0,7
RC,481,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,1423.0,6802.0,7
RC,481,Free omental flap with microvascular anastomosis ,,,2702.0,8577.0,4
RC,481,Frenulotomy of penis ,,,2702.0,8727.0,7
RC,481,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,1423.0,6802.0,7
RC,481,Gastric motility (manometric) studies ,,,1423.0,3251.0,4
RC,481,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2820.0,5568.0,4
RC,481,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2820.0,5568.0,4
RC,481,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2820.0,5568.0,4
RC,481,Goniotomy ,,,2702.0,8727.0,7
RC,481,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,481,"Guided tissue regeneration - resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,481,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,8577.0,8577.0,1
RC,481,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,8577.0,8577.0,1
RC,481,HFenestration semicircular canal ,,,10737.0,13315.0,3
RC,481,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,5360.0,8727.0,3
RC,481,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,10737.0,72171.0,4
RC,481,HRevision fenestration operation ,,,10737.0,13315.0,3
RC,481,"Harvesting conjunctival allograft, living donor ",,,2702.0,8727.0,7
RC,481,"Hymenotomy, simple incision ",,,2702.0,8727.0,7
RC,481,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,2702.0,8577.0,4
RC,481,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,2702.0,8577.0,4
RC,481,Hysterorrhaphy of ruptured uterus ,,,2702.0,6802.0,3
RC,481,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,2702.0,8577.0,4
RC,481,"Hysteroscopy, diagnostic (separate procedure) ",,,4963.0,13830.0,11
RC,481,"Hysteroscopy, diagnostic (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,4963.0,13830.0,11
RC,481,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Complex Surgery",,,11754.0,11754.0,2
RC,481,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,4963.0,13830.0,11
RC,481,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,4963.0,13830.0,11
RC,481,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,4963.0,13830.0,11
RC,481,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,4963.0,13830.0,11
RC,481,"Hysteroscopy, surgical; with removal of impacted foreign body Complex Surgery",,,11754.0,11754.0,2
RC,481,"Hysteroscopy, surgical; with removal of leiomyomata ",,,4963.0,13830.0,11
RC,481,"Hysteroscopy, surgical; with removal of leiomyomata Complex Surgery",,,11754.0,11754.0,2
RC,481,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,4963.0,13830.0,11
RC,481,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Complex Surgery",,,11754.0,11754.0,2
RC,481,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,2702.0,8727.0,7
RC,481,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,1423.0,3251.0,3
RC,481,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,3
RC,481,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,1423.0,3251.0,3
RC,481,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,481,INJECT SPINE CERV/THORACIC ,,,1982.0,3689.0,3
RC,481,INJECT SPINE LUMBAR/SACRAL ,,,1982.0,3689.0,3
RC,481,INJECT SPINE W/CATH CRV/THRC ,,,1982.0,3689.0,3
RC,481,INJECT SPINE W/CATH LMB/SCRL ,,,1982.0,3689.0,3
RC,481,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,481,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1982.0,3689.0,3
RC,481,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,1423.0,3251.0,3
RC,481,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1423.0,3251.0,3
RC,481,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,5360.0,8727.0,3
RC,481,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,2702.0,6802.0,7
RC,481,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,2702.0,6802.0,7
RC,481,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,2702.0,6802.0,7
RC,481,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,10737.0,13315.0,4
RC,481,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,7583.0,10719.0,4
RC,481,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,2702.0,8577.0,4
RC,481,Implantation of intrastromal corneal ring segments ,,,2702.0,13315.0,7
RC,481,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,4963.0,13315.0,7
RC,481,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,2702.0,12863.0,4
RC,481,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,19295.0,19295.0,1
RC,481,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,1423.0,6802.0,7
RC,481,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,4963.0,23350.0,7
RC,481,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,4963.0,23350.0,7
RC,481,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,4963.0,23350.0,7
RC,481,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,2702.0,13315.0,7
RC,481,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2702.0,15007.0,4
RC,481,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2702.0,15007.0,4
RC,481,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,19295.0,7
RC,481,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,2702.0,15007.0,7
RC,481,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,2702.0,13315.0,7
RC,481,Incision and drainage of Bartholin's gland abscess ,,,1423.0,6802.0,7
RC,481,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,2702.0,8727.0,7
RC,481,"Incision and drainage of penis, deep ",,,2702.0,8727.0,7
RC,481,"Incision and drainage of thyroglossal duct cyst, infected ",,,1982.0,6802.0,7
RC,481,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,2702.0,8727.0,7
RC,481,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,2702.0,6802.0,7
RC,481,Incision and drainage of vulva or perineal abscess ,,,1423.0,6802.0,6
RC,481,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,2702.0,8577.0,4
RC,481,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,2702.0,8577.0,4
RC,481,"Incision of conjunctiva, drainage of cyst ",,,1982.0,6802.0,7
RC,481,"Incision, drainage of lacrimal gland ",,,1982.0,6802.0,7
RC,481,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,1982.0,6802.0,7
RC,481,Incisional biopsy of eyelid skin including lid margin ,,,1423.0,6802.0,7
RC,481,Indexing for osteotomy ,,,8577.0,8577.0,1
RC,481,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,2702.0,8577.0,4
RC,481,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,2702.0,8577.0,4
RC,481,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,2702.0,8577.0,4
RC,481,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,2702.0,8577.0,4
RC,481,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,2702.0,8577.0,8
RC,481,"Induced abortion, by dilation and curettage ",,,2702.0,8727.0,7
RC,481,"Induced abortion, by dilation and evacuation ",,,2702.0,8727.0,7
RC,481,Induction of arrhythmia by electrical pacing ,,,6826.0,19105.0,4
RC,481,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,2702.0,8577.0,4
RC,481,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,2702.0,8577.0,4
RC,481,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,2702.0,83613.0,4
RC,481,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1423.0,3251.0,4
RC,481,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,1423.0,6802.0,7
RC,481,Injection of contrast medium for dacryocystography ,,,1423.0,6802.0,7
RC,481,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,1423.0,6802.0,7
RC,481,Injection of medication or other substance into Tenon's capsule ,,,1423.0,6802.0,7
RC,481,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,4963.0,8727.0,7
RC,481,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,1423.0,6802.0,7
RC,481,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,1423.0,6802.0,7
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1423.0,12038.0,8
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1423.0,12038.0,8
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1423.0,12038.0,8
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1423.0,12038.0,8
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,2143.0,2143.0,1
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,2143.0,2143.0,1
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,2143.0,2143.0,1
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,2143.0,2143.0,1
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1423.0,12038.0,8
RC,481,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1423.0,12038.0,8
RC,481,Injection procedure for Peyronie disease; ,,,1423.0,6802.0,7
RC,481,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,2702.0,10719.0,7
RC,481,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1982.0,6802.0,14
RC,481,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,2702.0,8727.0,7
RC,481,Injection procedure for corpora cavernosography ,,,1423.0,6802.0,7
RC,481,Injection procedure for cystography or voiding urethrocystography ,,,1423.0,6802.0,7
RC,481,"Injection procedure for discography, each level; cervical or thoracic ",,,1423.0,6802.0,7
RC,481,"Injection procedure for discography, each level; lumbar ",,,1423.0,6802.0,7
RC,481,Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) ,,,2702.0,8577.0,4
RC,481,"Injection procedure for myelography and/or computed tomography, lumbar ",,,1423.0,6802.0,7
RC,481,Injection procedure for retrograde urethrocystography ,,,1423.0,6802.0,7
RC,481,Injection procedure for sacroiliac joint; arthrography ,,,1423.0,3251.0,4
RC,481,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1982.0,4009.0,4
RC,481,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,7
RC,481,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,1423.0,6802.0,7
RC,481,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,2702.0,8727.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,2702.0,6802.0,4
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2702.0,6802.0,4
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,1423.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,1423.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,1423.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,1982.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,1423.0,6802.0,7
RC,481,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,1423.0,6802.0,7
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,1423.0,6802.0,7
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,1982.0,6802.0,7
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,1423.0,6802.0,7
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,1423.0,6802.0,7
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,1982.0,6802.0,7
RC,481,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,1423.0,6802.0,7
RC,481,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1982.0,6802.0,28
RC,481,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1982.0,6802.0,28
RC,481,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,1982.0,6802.0,7
RC,481,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,1982.0,6802.0,7
RC,481,"Injection, anesthetic agent; sphenopalatine ganglion ",,,1423.0,6802.0,7
RC,481,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,1982.0,6802.0,7
RC,481,"Injection, anesthetic agent; superior hypogastric plexus ",,,1982.0,6802.0,7
RC,481,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,2702.0,6802.0,7
RC,481,"Injection, anterior chamber of eye (separate procedure); medication ",,,2702.0,6802.0,7
RC,481,"Injection, epidural, of blood or clot patch ",,,1982.0,6802.0,7
RC,481,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,2702.0,8727.0,7
RC,481,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,2702.0,8727.0,7
RC,481,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,1982.0,6802.0,7
RC,481,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,2791.0,8727.0,5
RC,481,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,481,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,481,Insertion of Heyman capsules for clinical brachytherapy ,,,4963.0,8727.0,7
RC,481,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,1982.0,6802.0,7
RC,481,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,1423.0,6802.0,7
RC,481,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,4963.0,13315.0,7
RC,481,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,7
RC,481,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,19295.0,19295.0,1
RC,481,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,1423.0,6802.0,7
RC,481,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,2702.0,7493.0,4
RC,481,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,7
RC,481,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2702.0,6802.0,7
RC,481,Insertion of implants into the soft palate; minimum of three implants ,,,1982.0,5568.0,4
RC,481,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,2702.0,16982.0,11
RC,481,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Complex Surgery",,,11754.0,11754.0,2
RC,481,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,2702.0,8727.0,7
RC,481,Insertion of intrauterine device (IUD) ,,,1423.0,6802.0,7
RC,481,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,4963.0,36087.0,7
RC,481,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,8577.0,8577.0,1
RC,481,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,8577.0,8577.0,1
RC,481,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,8577.0,8577.0,1
RC,481,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,2143.0,2143.0,1
RC,481,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,1423.0,6802.0,7
RC,481,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,2702.0,10719.0,7
RC,481,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,2702.0,10719.0,7
RC,481,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,2702.0,10719.0,7
RC,481,Insertion of penile prosthesis; inflatable (self-contained) ,,,4963.0,36087.0,7
RC,481,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,4963.0,36087.0,7
RC,481,Insertion of peritoneal-venous shunt ,,,2702.0,6802.0,7
RC,481,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,10719.0,10719.0,1
RC,481,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,2702.0,8577.0,4
RC,481,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,7
RC,481,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,2702.0,23350.0,7
RC,481,Insertion of tandem cuff (dual cuff) ,,,2702.0,16982.0,11
RC,481,Insertion of tandem cuff (dual cuff) Complex Surgery,,,11754.0,11754.0,2
RC,481,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,1423.0,6802.0,7
RC,481,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,1423.0,6802.0,7
RC,481,Insertion of testicular prosthesis (separate procedure) ,,,2702.0,8727.0,7
RC,481,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,2702.0,8577.0,4
RC,481,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,2702.0,10719.0,7
RC,481,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,2702.0,10719.0,7
RC,481,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,2702.0,15007.0,7
RC,481,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1982.0,53068.0,7
RC,481,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,8577.0,57784.0,11
RC,481,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,2702.0,72171.0,11
RC,481,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Complex Surgery",,,11754.0,11754.0,2
RC,481,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,2702.0,72171.0,11
RC,481,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Complex Surgery",,,11754.0,11754.0,2
RC,481,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,2143.0,6802.0,4
RC,481,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,2702.0,19295.0,4
RC,481,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,4963.0,72171.0,13
RC,481,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,4963.0,72171.0,11
RC,481,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver Complex Surgery",,,11754.0,11754.0,2
RC,481,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,5568.0,5568.0,1
RC,481,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,1423.0,6802.0,7
RC,481,Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y ,,,2702.0,8577.0,4
RC,481,Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct ,,,2702.0,8577.0,4
RC,481,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,1423.0,6802.0,7
RC,481,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1423.0,3251.0,4
RC,481,Intersex surgery; female to male ,,,2702.0,6802.0,3
RC,481,Intersex surgery; male to female ,,,2702.0,6802.0,3
RC,481,Intra-atrial pacing ,,,6826.0,19105.0,4
RC,481,Intra-atrial recording ,,,6826.0,19105.0,4
RC,481,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,19105.0,4
RC,481,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,2702.0,8727.0,7
RC,481,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,1575.0,17341.0,6
RC,481,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,8
RC,481,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1423.0,17341.0,7
RC,481,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,481,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,2143.0,2143.0,1
RC,481,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,2143.0,2143.0,1
RC,481,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,2143.0,2143.0,1
RC,481,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,2143.0,2143.0,1
RC,481,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1423.0,3251.0,8
RC,481,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,19105.0,4
RC,481,Intraventricular pacing ,,,6826.0,19105.0,4
RC,481,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,1423.0,6802.0,7
RC,481,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,1423.0,6802.0,7
RC,481,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,2702.0,8727.0,7
RC,481,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,2702.0,8727.0,7
RC,481,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,2702.0,6802.0,7
RC,481,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,2702.0,6802.0,7
RC,481,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,2702.0,13315.0,7
RC,481,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,1982.0,6802.0,7
RC,481,Iridotomy by stab incision (separate procedure); except transfixion ,,,1423.0,6802.0,7
RC,481,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,2702.0,6802.0,7
RC,481,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,1982.0,6802.0,7
RC,481,Irrigation of corpora cavernosa for priapism ,,,1423.0,6802.0,7
RC,481,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,1423.0,6802.0,7
RC,481,Keratomileusis ,,,2702.0,8727.0,7
RC,481,Keratophakia ,,,2702.0,7493.0,6
RC,481,Keratoplasty (corneal transplant); anterior lamellar ,,,2702.0,13315.0,7
RC,481,Keratoplasty (corneal transplant); endothelial ,,,2702.0,13315.0,7
RC,481,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,2702.0,13315.0,7
RC,481,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,2702.0,13315.0,7
RC,481,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,2702.0,13315.0,7
RC,481,Keratoprosthesis ,,,2702.0,15007.0,7
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,481,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,481,Labyrinthectomy; transcanal ,,,2702.0,13315.0,7
RC,481,Labyrinthectomy; with mastoidectomy ,,,2702.0,13315.0,7
RC,481,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,2702.0,6802.0,7
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,4963.0,19295.0,7
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,4963.0,8577.0,4
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,4963.0,19295.0,7
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,4963.0,8577.0,4
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,4963.0,8577.0,4
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,4963.0,8577.0,4
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,4963.0,19295.0,7
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,4963.0,8577.0,4
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,4963.0,8577.0,4
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,4963.0,8577.0,4
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,4963.0,19295.0,7
RC,481,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,4963.0,8577.0,4
RC,481,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,4963.0,8577.0,4
RC,481,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,4963.0,19295.0,7
RC,481,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,4963.0,8577.0,4
RC,481,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,4963.0,8577.0,4
RC,481,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,4963.0,15007.0,4
RC,481,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,4963.0,8727.0,7
RC,481,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,4963.0,15007.0,4
RC,481,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,4963.0,15007.0,4
RC,481,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,4963.0,8577.0,4
RC,481,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,4963.0,8577.0,4
RC,481,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,4963.0,19295.0,7
RC,481,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,4963.0,72171.0,11
RC,481,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,4963.0,8577.0,4
RC,481,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,4963.0,8577.0,4
RC,481,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,4963.0,8577.0,4
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,4963.0,15007.0,7
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,4963.0,15007.0,7
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,4963.0,15007.0,7
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,4963.0,15007.0,7
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,4963.0,15007.0,7
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,4963.0,15007.0,7
RC,481,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,4963.0,15007.0,7
RC,481,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,4963.0,8577.0,4
RC,481,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,4963.0,15007.0,7
RC,481,Laminectomy with rhizotomy; 1 or 2 segments ,,,4963.0,19295.0,7
RC,481,Laminectomy with rhizotomy; more than 2 segments ,,,4963.0,19295.0,7
RC,481,Laminectomy with section of spinal accessory nerve ,,,4963.0,19295.0,7
RC,481,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1423.0,15007.0,28
RC,481,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,2143.0,6802.0,8
RC,481,"Laminectomy, with release of tethered spinal cord, lumbar ",,,4963.0,19295.0,7
RC,481,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,4963.0,8577.0,4
RC,481,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,4963.0,8577.0,4
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,15007.0,15007.0,1
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,4963.0,15007.0,7
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,4963.0,10719.0,14
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,4963.0,15007.0,7
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,4963.0,15007.0,7
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,4963.0,15007.0,11
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1423.0,6802.0,7
RC,481,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,4963.0,8577.0,4
RC,481,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,4963.0,15007.0,11
RC,481,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,481,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,4963.0,15007.0,11
RC,481,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,481,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,2702.0,13830.0,11
RC,481,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2702.0,19295.0,4
RC,481,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,2702.0,15007.0,4
RC,481,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,2702.0,15007.0,4
RC,481,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2702.0,15007.0,4
RC,481,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,2702.0,15007.0,7
RC,481,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,4963.0,13830.0,11
RC,481,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,2702.0,18956.0,4
RC,481,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2702.0,18956.0,4
RC,481,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2702.0,18956.0,4
RC,481,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2702.0,18956.0,4
RC,481,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,4963.0,18956.0,4
RC,481,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,4963.0,13315.0,7
RC,481,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,4963.0,15007.0,7
RC,481,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,4963.0,18956.0,4
RC,481,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,4963.0,18956.0,8
RC,481,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,8
RC,481,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,4963.0,18956.0,8
RC,481,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,8
RC,481,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,4963.0,18956.0,8
RC,481,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,8
RC,481,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,4963.0,18956.0,8
RC,481,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,8
RC,481,"Laparoscopy, surgical; ablation of renal cysts ",,,4963.0,13830.0,11
RC,481,"Laparoscopy, surgical; ablation of renal cysts Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,4963.0,19295.0,11
RC,481,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,4963.0,13830.0,8
RC,481,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,4963.0,13830.0,8
RC,481,"Laparoscopy, surgical; nephrectomy with total ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,4963.0,13830.0,8
RC,481,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; orchiectomy ",,,4963.0,15007.0,7
RC,481,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,4963.0,15007.0,7
RC,481,"Laparoscopy, surgical; partial nephrectomy ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; partial nephrectomy Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; pyeloplasty ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; pyeloplasty Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,4963.0,13830.0,8
RC,481,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; repair initial inguinal hernia ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; repair initial inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; repair recurrent inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,4963.0,16982.0,11
RC,481,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; ureterolithotomy ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; ureterolithotomy Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,4963.0,15007.0,7
RC,481,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,2702.0,13830.0,11
RC,481,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,2702.0,13830.0,11
RC,481,"Laparoscopy, surgical; with biopsy (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,2702.0,13830.0,11
RC,481,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; with fimbrioplasty ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; with fimbrioplasty Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,2702.0,13830.0,11
RC,481,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1423.0,13830.0,11
RC,481,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1423.0,13830.0,13
RC,481,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,2702.0,13830.0,11
RC,481,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,4963.0,15007.0,11
RC,481,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2702.0,15007.0,7
RC,481,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2820.0,5414.0,3
RC,481,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,10737.0,13315.0,3
RC,481,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,4963.0,13315.0,7
RC,481,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,2702.0,8577.0,4
RC,481,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,2702.0,8577.0,4
RC,481,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,4963.0,13315.0,7
RC,481,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,2791.0,13374.0,4
RC,481,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,481,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,481,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,9822.0,12863.0,3
RC,481,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,481,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,2791.0,13374.0,4
RC,481,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,481,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,481,Ligation of peritoneal-venous shunt ,,,2702.0,6802.0,7
RC,481,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,2702.0,8577.0,4
RC,481,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,2702.0,6802.0,7
RC,481,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,2702.0,8727.0,7
RC,481,Lingual frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,481,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,4963.0,15409.0,9
RC,481,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,4963.0,15409.0,9
RC,481,"Lithotripsy, extracorporeal shock wave ",,,2702.0,15409.0,6
RC,481,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,481,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,481,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,2702.0,8727.0,7
RC,481,Lysis of labial adhesions ,,,2702.0,8727.0,7
RC,481,Lysis or excision of penile post-circumcision adhesions ,,,2702.0,8727.0,7
RC,481,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,2702.0,19295.0,4
RC,481,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,1423.0,6802.0,7
RC,481,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,7
RC,481,Marsupialization of Bartholin's gland cyst ,,,2702.0,8727.0,7
RC,481,Marsupialization of odontogenic cyst ,,,8577.0,8577.0,1
RC,481,Marsupialization of pancreatic cyst ,,,2702.0,8577.0,4
RC,481,"Marsupialization of urethral diverticulum, male or female ",,,2702.0,10719.0,7
RC,481,Mastoid obliteration (separate procedure) ,,,4963.0,13315.0,7
RC,481,Mastoidectomy; complete ,,,2702.0,8727.0,7
RC,481,Mastoidectomy; modified radical ,,,2702.0,13315.0,7
RC,481,Mastoidectomy; radical ,,,2702.0,13315.0,7
RC,481,Maxillary guidance prosthesis with guide flange ,,,8577.0,8577.0,1
RC,481,Maxillary guidance prosthesis without guide flange ,,,8577.0,8577.0,1
RC,481,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,1423.0,6802.0,7
RC,481,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,2702.0,8727.0,7
RC,481,"Meatotomy, cutting of meatus (separate procedure); infant ",,,2702.0,8727.0,7
RC,481,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,1982.0,6802.0,7
RC,481,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,Middle ear exploration through postauricular or ear canal incision ,,,2702.0,8727.0,7
RC,481,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,2702.0,8727.0,7
RC,481,Multifetal pregnancy reduction(s) (MPR) ,,,1423.0,6802.0,7
RC,481,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,2702.0,8727.0,7
RC,481,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1982.0,6802.0,7
RC,481,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1982.0,6802.0,7
RC,481,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1982.0,6802.0,7
RC,481,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1982.0,6802.0,7
RC,481,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,2702.0,10719.0,7
RC,481,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,2702.0,8727.0,7
RC,481,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,2702.0,10719.0,7
RC,481,Myringoplasty (surgery confined to drumhead and donor area) ,,,2702.0,8727.0,7
RC,481,Myringotomy including aspiration and/or eustachian tube inflation ,,,1423.0,6802.0,7
RC,481,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,2702.0,6802.0,7
RC,481,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,2702.0,12863.0,4
RC,481,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,2702.0,12863.0,4
RC,481,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,1423.0,6802.0,7
RC,481,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,2702.0,8577.0,4
RC,481,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,2702.0,8577.0,4
RC,481,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,2702.0,8577.0,4
RC,481,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,2702.0,8577.0,4
RC,481,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,2702.0,8577.0,4
RC,481,"Nephrectomy, partial ",,,2702.0,8577.0,4
RC,481,Nephrolithotomy; complicated by congenital kidney abnormality ,,,2702.0,8577.0,4
RC,481,Nephrolithotomy; removal of calculus ,,,2702.0,8577.0,4
RC,481,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,2702.0,8577.0,4
RC,481,Nephrolithotomy; secondary surgical operation for calculus ,,,2702.0,8577.0,4
RC,481,"Nephrorrhaphy, suture of kidney wound or injury ",,,2702.0,8577.0,4
RC,481,"Nephrostomy, nephrotomy with drainage ",,,2702.0,8727.0,7
RC,481,"Nephrotomy, with exploration ",,,2702.0,8577.0,4
RC,481,Nerve dissection ,,,8577.0,8577.0,1
RC,481,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,2702.0,12863.0,7
RC,481,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,2702.0,12863.0,7
RC,481,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,2702.0,12863.0,7
RC,481,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,2702.0,12863.0,7
RC,481,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,2702.0,12863.0,7
RC,481,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,2702.0,12863.0,7
RC,481,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,2702.0,12863.0,7
RC,481,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,2702.0,12863.0,7
RC,481,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,2702.0,12863.0,7
RC,481,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,2702.0,12863.0,7
RC,481,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,Nerve pedicle transfer; first stage ,,,2702.0,12863.0,7
RC,481,Nerve pedicle transfer; second stage ,,,2702.0,12863.0,7
RC,481,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,2702.0,12863.0,7
RC,481,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,2143.0,6802.0,4
RC,481,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,2702.0,12863.0,4
RC,481,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,2702.0,12863.0,7
RC,481,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,2702.0,8577.0,4
RC,481,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,2702.0,8577.0,4
RC,481,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,2702.0,8577.0,4
RC,481,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,2702.0,8577.0,4
RC,481,Neuroplasty and/or transposition; cranial nerve (specify) ,,,2702.0,8727.0,7
RC,481,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,4963.0,8727.0,7
RC,481,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,2702.0,8727.0,7
RC,481,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,2702.0,8727.0,7
RC,481,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,2702.0,8727.0,7
RC,481,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,2702.0,8727.0,7
RC,481,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,2702.0,8727.0,7
RC,481,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,2702.0,8727.0,7
RC,481,"Neuroplasty; digital, 1 or both, same digit ",,,2702.0,8727.0,7
RC,481,Neuroplasty; nerve of hand or foot ,,,2702.0,8727.0,7
RC,481,Nocturnal penile tumescence and/or rigidity test ,,,1423.0,6802.0,7
RC,481,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,83613.0,5
RC,481,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,2702.0,8577.0,4
RC,481,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,2702.0,8727.0,7
RC,481,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,2702.0,10719.0,7
RC,481,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,2702.0,10719.0,7
RC,481,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,2702.0,13315.0,7
RC,481,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,2702.0,8577.0,4
RC,481,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,2702.0,12863.0,4
RC,481,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,2702.0,7493.0,4
RC,481,"Oophorectomy, partial or total, unilateral or bilateral; ",,,2702.0,10719.0,7
RC,481,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,2702.0,10719.0,7
RC,481,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,8577.0,8577.0,1
RC,481,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4963.0,72171.0,11
RC,481,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,481,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,8577.0,8577.0,1
RC,481,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,4963.0,30016.0,8
RC,481,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,481,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,8577.0,8577.0,1
RC,481,Open implantation of neurostimulator electrode array; neuromuscular ,,,4963.0,72171.0,11
RC,481,Open implantation of neurostimulator electrode array; neuromuscular Complex Surgery,,,11754.0,11754.0,2
RC,481,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4963.0,72171.0,11
RC,481,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,481,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,4963.0,19295.0,11
RC,481,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Complex Surgery,,,11754.0,11754.0,2
RC,481,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,15007.0,15007.0,1
RC,481,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,15007.0,15007.0,1
RC,481,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,15007.0,15007.0,1
RC,481,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,5360.0,8727.0,4
RC,481,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,5360.0,8727.0,4
RC,481,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,2702.0,10719.0,7
RC,481,Orbital implant (implant outside muscle cone); insertion ,,,2702.0,10719.0,7
RC,481,Orbital implant (implant outside muscle cone); removal or revision ,,,2702.0,10719.0,7
RC,481,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,2702.0,8577.0,4
RC,481,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,2702.0,8577.0,4
RC,481,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,2702.0,8577.0,4
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,2702.0,10719.0,7
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,2702.0,10719.0,7
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,2702.0,10719.0,7
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,2702.0,10719.0,7
RC,481,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,2702.0,10719.0,7
RC,481,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,2702.0,10719.0,7
RC,481,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,2702.0,8727.0,7
RC,481,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,2702.0,10719.0,7
RC,481,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,2702.0,8727.0,7
RC,481,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,2702.0,8727.0,7
RC,481,"Orchiectomy, partial ",,,2702.0,8727.0,7
RC,481,"Orchiectomy, radical, for tumor; inguinal approach ",,,2702.0,10719.0,7
RC,481,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,2702.0,10719.0,7
RC,481,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,2702.0,10719.0,7
RC,481,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,2702.0,10719.0,7
RC,481,"Orchiopexy, inguinal or scrotal approach ",,,2702.0,10719.0,7
RC,481,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,4963.0,8577.0,4
RC,481,"Other cranial decompression, posterior fossa ",,,2702.0,8577.0,4
RC,481,Otolaryngologic examination under general anesthesia ,,,1423.0,3251.0,4
RC,481,"Otoplasty, protruding ear, with or without size reduction ",,,2702.0,8727.0,7
RC,481,"Ovarian cystectomy, unilateral or bilateral ",,,2702.0,10719.0,7
RC,481,"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy ",,,2702.0,8577.0,4
RC,481,"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy ",,,2702.0,8577.0,4
RC,481,"Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) ",,,2702.0,8577.0,4
RC,481,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy ",,,2702.0,8577.0,4
RC,481,"Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy ",,,2702.0,8577.0,4
RC,481,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy ",,,2702.0,8577.0,4
RC,481,"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy ",,,2702.0,8577.0,4
RC,481,"Pancreatectomy, total ",,,2702.0,8577.0,4
RC,481,"Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells ",,,2702.0,8577.0,4
RC,481,"Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation) ",,,2702.0,8577.0,4
RC,481,Pancreatorrhaphy for injury ,,,2702.0,8577.0,4
RC,481,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,1423.0,6802.0,7
RC,481,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,2702.0,8727.0,7
RC,481,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,2702.0,8727.0,7
RC,481,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,481,Parathyroidectomy or exploration of parathyroid(s); ,,,2702.0,13315.0,7
RC,481,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,2702.0,13315.0,7
RC,481,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,2702.0,8577.0,4
RC,481,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,2702.0,15007.0,7
RC,481,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,4963.0,13315.0,7
RC,481,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,4963.0,13315.0,7
RC,481,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,1982.0,6802.0,7
RC,481,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,1423.0,6802.0,7
RC,481,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,1982.0,6802.0,7
RC,481,Partial extraction for immediate implant replacement ,,,8577.0,8577.0,1
RC,481,Partial hymenectomy or revision of hymenal ring ,,,2702.0,8727.0,7
RC,481,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2702.0,15007.0,7
RC,481,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2702.0,15007.0,7
RC,481,Pelvic examination under anesthesia (other than local) ,,,2702.0,8727.0,7
RC,481,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,4963.0,8577.0,4
RC,481,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,2702.0,8577.0,4
RC,481,Penile plethysmography ,,,1423.0,6802.0,7
RC,481,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2702.0,8577.0,4
RC,481,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,1982.0,6802.0,7
RC,481,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,1982.0,6802.0,7
RC,481,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,19105.0,4
RC,481,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,19105.0,4
RC,481,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,19105.0,4
RC,481,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,8577.0,8577.0,1
RC,481,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,8577.0,8577.0,1
RC,481,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,4963.0,6802.0,3
RC,481,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,8577.0,8577.0,1
RC,481,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,4963.0,72171.0,11
RC,481,"Percutaneous implantation of neurostimulator electrode array, epidural Complex Surgery",,,11754.0,11754.0,2
RC,481,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,4963.0,72171.0,11
RC,481,Percutaneous implantation of neurostimulator electrode array; cranial nerve Complex Surgery,,,11754.0,11754.0,2
RC,481,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4963.0,72171.0,11
RC,481,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,481,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,4963.0,72171.0,11
RC,481,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed Complex Surgery",,,11754.0,11754.0,2
RC,481,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,1982.0,8727.0,14
RC,481,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,2702.0,15409.0,12
RC,481,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,8577.0,8577.0,1
RC,481,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7583.0,10719.0,4
RC,481,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,31841.0,4
RC,481,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,31841.0,4
RC,481,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,481,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,481,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,481,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,15124.0,30016.0,6
RC,481,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,481,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,481,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,15124.0,30016.0,6
RC,481,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,481,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,481,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,24657.0,7
RC,481,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,481,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,31841.0,8
RC,481,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,31841.0,8
RC,481,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19295.0,23692.0,5
RC,481,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,17341.0,6
RC,481,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,17341.0,4
RC,481,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,481,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,8577.0,8577.0,1
RC,481,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,8577.0,8577.0,1
RC,481,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,8577.0,23692.0,5
RC,481,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,6
RC,481,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,481,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,17341.0,6
RC,481,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,481,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,31841.0,8
RC,481,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,481,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,17341.0,6
RC,481,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,17341.0,17341.0,2
RC,481,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,2143.0,17341.0,4
RC,481,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,8577.0,8577.0,1
RC,481,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,8
RC,481,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,8
RC,481,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,31841.0,8
RC,481,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,31841.0,8
RC,481,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,31841.0,16
RC,481,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,17341.0,6
RC,481,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,31841.0,8
RC,481,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,31841.0,16
RC,481,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,31841.0,14
RC,481,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,8577.0,8577.0,1
RC,481,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,8577.0,8577.0,1
RC,481,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,8577.0,8577.0,1
RC,481,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,8577.0,8577.0,1
RC,481,"Pereyra procedure, including anterior colporrhaphy ",,,4963.0,10719.0,7
RC,481,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,8577.0,8577.0,1
RC,481,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,8577.0,8577.0,1
RC,481,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,2702.0,8727.0,7
RC,481,"Peritoneal lavage, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,481,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2702.0,19295.0,4
RC,481,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,2143.0,6802.0,4
RC,481,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,2702.0,7493.0,4
RC,481,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,2702.0,7493.0,4
RC,481,Petrous apicectomy including radical mastoidectomy ,,,2702.0,13315.0,7
RC,481,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1423.0,9822.0,6
RC,481,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1423.0,3251.0,4
RC,481,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1423.0,3251.0,4
RC,481,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1423.0,3251.0,4
RC,481,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,2143.0,2143.0,1
RC,481,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1423.0,9822.0,6
RC,481,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1423.0,3251.0,4
RC,481,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1423.0,6802.0,7
RC,481,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,2702.0,10719.0,7
RC,481,Placement of amniotic membrane on the ocular surface; without sutures ,,,1982.0,6802.0,7
RC,481,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1982.0,4009.0,4
RC,481,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,2702.0,8577.0,4
RC,481,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,2702.0,6802.0,7
RC,481,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,2702.0,6802.0,7
RC,481,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,2702.0,10719.0,7
RC,481,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,2702.0,8727.0,7
RC,481,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,2702.0,8727.0,7
RC,481,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1423.0,3251.0,4
RC,481,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,2702.0,10719.0,21
RC,481,Plastic operation of penis for injury ,,,4963.0,10719.0,7
RC,481,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,2702.0,13315.0,7
RC,481,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,2702.0,13315.0,7
RC,481,Plastic operation on penis for epispadias distal to external sphincter; ,,,2702.0,10719.0,7
RC,481,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2702.0,13315.0,7
RC,481,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,2702.0,10719.0,7
RC,481,Plastic operation on penis to correct angulation ,,,2702.0,13315.0,7
RC,481,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,4963.0,13315.0,7
RC,481,Plastic repair of canaliculi ,,,2702.0,8727.0,7
RC,481,Plastic repair of introitus ,,,2702.0,8727.0,7
RC,481,Plastic repair of urethrocele ,,,4963.0,8727.0,7
RC,481,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,4963.0,10719.0,7
RC,481,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,1423.0,6802.0,7
RC,481,Postpartum care only (separate procedure) ,,,2702.0,6802.0,3
RC,481,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,2702.0,8577.0,4
RC,481,"Probing of lacrimal canaliculi, with or without irrigation ",,,1423.0,6802.0,7
RC,481,"Probing of nasolacrimal duct, with or without irrigation; ",,,1423.0,6802.0,7
RC,481,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,2702.0,8727.0,7
RC,481,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,2702.0,8727.0,7
RC,481,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,2702.0,8727.0,7
RC,481,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,481,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,1423.0,13830.0,11
RC,481,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,481,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,1982.0,13830.0,11
RC,481,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,481,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,2702.0,8577.0,4
RC,481,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,2702.0,8577.0,4
RC,481,"Prostatectomy, perineal radical; ",,,2702.0,8577.0,4
RC,481,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,8577.0,4
RC,481,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,8577.0,4
RC,481,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,2702.0,8577.0,4
RC,481,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,2702.0,8577.0,4
RC,481,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,8577.0,4
RC,481,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,8577.0,4
RC,481,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,2702.0,7493.0,6
RC,481,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,2702.0,8727.0,7
RC,481,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,1982.0,6802.0,7
RC,481,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,1982.0,6802.0,7
RC,481,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,2702.0,10719.0,4
RC,481,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,2702.0,10719.0,2
RC,481,"Pyelotomy; with drainage, pyelostomy ",,,2702.0,8577.0,4
RC,481,Pyelotomy; with exploration ,,,2702.0,8577.0,4
RC,481,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,2702.0,8577.0,4
RC,481,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,481,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,7583.0,9539.0,3
RC,481,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,9539.0,3
RC,481,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,9539.0,3
RC,481,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,5360.0,8727.0,3
RC,481,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,9539.0,3
RC,481,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,9539.0,3
RC,481,REPAIR SPIGELIAN HERNIA ,,,7583.0,9539.0,3
RC,481,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,481,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,7583.0,9539.0,3
RC,481,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,481,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,7583.0,9539.0,3
RC,481,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,3
RC,481,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,10737.0,13315.0,3
RC,481,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,481,Radial keratotomy ,,,2702.0,8727.0,7
RC,481,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,8577.0,4
RC,481,Radical excision external auditory canal lesion; with neck dissection ,,,2702.0,8577.0,4
RC,481,Radical excision external auditory canal lesion; without neck dissection ,,,2702.0,8727.0,7
RC,481,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,2702.0,8577.0,4
RC,481,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2702.0,7493.0,4
RC,481,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,2702.0,8577.0,4
RC,481,Recipient nephrectomy (separate procedure) ,,,2702.0,8577.0,4
RC,481,"Reconstruction external auditory canal for congenital atresia, single stage ",,,2702.0,13315.0,7
RC,481,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,2702.0,13315.0,7
RC,481,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,2702.0,8727.0,7
RC,481,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,2702.0,8727.0,7
RC,481,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,2702.0,10719.0,7
RC,481,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,2702.0,8727.0,7
RC,481,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,2143.0,2143.0,1
RC,481,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1423.0,3251.0,3
RC,481,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,2702.0,8577.0,4
RC,481,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,2702.0,8577.0,4
RC,481,Reduction of overcorrection of ptosis ,,,2702.0,8727.0,7
RC,481,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,2702.0,8727.0,7
RC,481,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1423.0,3251.0,4
RC,481,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1423.0,3251.0,4
RC,481,Reinsertion of ocular implant; with or without conjunctival graft ,,,2702.0,10719.0,7
RC,481,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,2702.0,10719.0,7
RC,481,Release of encircling material (posterior segment) ,,,4963.0,13830.0,11
RC,481,Release of encircling material (posterior segment) Complex Surgery,,,11754.0,11754.0,2
RC,481,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,2702.0,8727.0,7
RC,481,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2702.0,8727.0,7
RC,481,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,2702.0,8727.0,7
RC,481,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2702.0,7493.0,7
RC,481,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1982.0,7493.0,7
RC,481,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,4963.0,36087.0,7
RC,481,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1423.0,36087.0,7
RC,481,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,2702.0,6802.0,7
RC,481,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,8577.0,8577.0,1
RC,481,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,2702.0,24657.0,7
RC,481,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,1982.0,6802.0,7
RC,481,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,4963.0,36087.0,7
RC,481,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1982.0,36087.0,7
RC,481,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,2702.0,8727.0,7
RC,481,Removal foreign body from external auditory canal; with general anesthesia ,,,2702.0,8727.0,7
RC,481,Removal foreign body from external auditory canal; without general anesthesia ,,,1423.0,6802.0,7
RC,481,"Removal impacted cerumen requiring instrumentation, unilateral ",,,1423.0,6802.0,7
RC,481,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,1423.0,6802.0,7
RC,481,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,4963.0,10719.0,7
RC,481,Removal of an indirect restoration on a natural tooth ,,,8577.0,8577.0,1
RC,481,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,2702.0,10719.0,4
RC,481,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,2702.0,10719.0,4
RC,481,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,2702.0,10719.0,4
RC,481,"Removal of blood clot, anterior segment of eye ",,,2702.0,8727.0,7
RC,481,Removal of bone flap or prosthetic plate of skull ,,,2702.0,8577.0,4
RC,481,Removal of cerclage suture under anesthesia (other than local) ,,,2702.0,10719.0,7
RC,481,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,2702.0,8577.0,4
RC,481,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,2702.0,6802.0,7
RC,481,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,2702.0,8727.0,7
RC,481,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,1982.0,6802.0,7
RC,481,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4963.0,10719.0,7
RC,481,"Removal of embedded foreign body, eyelid ",,,1423.0,6802.0,7
RC,481,Removal of entire lumbosubarachnoid shunt system without replacement ,,,2702.0,8727.0,7
RC,481,"Removal of epithelial downgrowth, anterior chamber of eye ",,,2702.0,8727.0,7
RC,481,Removal of foreign body in scrotum ,,,2702.0,8727.0,7
RC,481,"Removal of foreign body or dacryolith, lacrimal passages ",,,1423.0,6802.0,7
RC,481,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,1423.0,6802.0,7
RC,481,"Removal of foreign body, external eye; conjunctival superficial ",,,1423.0,6802.0,7
RC,481,"Removal of foreign body, external eye; corneal, with slit lamp ",,,1423.0,6802.0,7
RC,481,"Removal of foreign body, external eye; corneal, without slit lamp ",,,1423.0,6802.0,7
RC,481,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,2702.0,8727.0,7
RC,481,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,1423.0,6802.0,7
RC,481,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,2702.0,8727.0,7
RC,481,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,8577.0,8577.0,1
RC,481,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,4963.0,13830.0,8
RC,481,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,481,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,481,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1423.0,3251.0,4
RC,481,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,2702.0,8727.0,7
RC,481,Removal of implant body not requiring bone removal nor flap elevation ,,,8577.0,8577.0,1
RC,481,"Removal of implanted material, anterior segment of eye ",,,2702.0,8727.0,7
RC,481,"Removal of implanted material, posterior segment; extraocular ",,,4963.0,13830.0,11
RC,481,"Removal of implanted material, posterior segment; extraocular Complex Surgery",,,11754.0,11754.0,2
RC,481,"Removal of implanted material, posterior segment; intraocular ",,,4963.0,13830.0,11
RC,481,"Removal of implanted material, posterior segment; intraocular Complex Surgery",,,11754.0,11754.0,2
RC,481,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2702.0,15007.0,7
RC,481,Removal of intrauterine device (IUD) ,,,1423.0,6802.0,7
RC,481,"Removal of lens material; aspiration technique, 1 or more stages ",,,2702.0,8727.0,7
RC,481,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,2702.0,6802.0,7
RC,481,Removal of lens material; intracapsular ,,,2702.0,8727.0,7
RC,481,"Removal of lens material; intracapsular, for dislocated lens ",,,2702.0,8727.0,7
RC,481,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,2702.0,13315.0,7
RC,481,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,2702.0,8727.0,7
RC,481,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,1982.0,6802.0,7
RC,481,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,481,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,4963.0,10719.0,7
RC,481,Removal of non-resorbable barrier ,,,8577.0,8577.0,1
RC,481,Removal of ocular implant ,,,2702.0,10719.0,7
RC,481,Removal of peritoneal foreign body from peritoneal cavity ,,,2702.0,10719.0,7
RC,481,Removal of peritoneal-venous shunt ,,,2702.0,10719.0,7
RC,481,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,8577.0,8577.0,1
RC,481,Removal of previously implanted intrathecal or epidural catheter ,,,2702.0,8727.0,7
RC,481,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,2702.0,8727.0,7
RC,481,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,2702.0,10719.0,4
RC,481,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4963.0,8727.0,7
RC,481,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4963.0,10719.0,7
RC,481,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,2702.0,10719.0,7
RC,481,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,8577.0,8577.0,1
RC,481,Removal of temporary anchorage device without flap ,,,8577.0,8577.0,1
RC,481,"Removal of temporary anchorage device, requiring flap ",,,8577.0,8577.0,1
RC,481,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,2143.0,6802.0,4
RC,481,Removal of transplanted pancreatic allograft ,,,2702.0,6802.0,3
RC,481,Removal of transplanted renal allograft ,,,2702.0,8577.0,4
RC,481,"Removal of tumor, temporal bone ",,,2702.0,13315.0,7
RC,481,Removal of tunneled intraperitoneal catheter ,,,2702.0,10719.0,7
RC,481,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,4963.0,8727.0,7
RC,481,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,4963.0,8727.0,7
RC,481,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,2702.0,13315.0,7
RC,481,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,2702.0,10719.0,7
RC,481,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,4963.0,10719.0,7
RC,481,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,481,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,2702.0,10719.0,4
RC,481,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,2702.0,10719.0,4
RC,481,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,10719.0,4
RC,481,Remove interim implant component ,,,8577.0,8577.0,1
RC,481,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,2702.0,8577.0,4
RC,481,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,2702.0,8577.0,4
RC,481,"Renal autotransplantation, reimplantation of kidney ",,,2702.0,8577.0,4
RC,481,Renal biopsy; by surgical exposure of kidney ,,,2702.0,8577.0,4
RC,481,"Renal biopsy; percutaneous, by trocar or needle ",,,2702.0,6802.0,7
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,7
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,7
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,2702.0,8727.0,7
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,2702.0,8727.0,7
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1982.0,6802.0,7
RC,481,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,2702.0,8727.0,7
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,7
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,7
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,2702.0,13315.0,7
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,2702.0,6802.0,7
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,6802.0,7
RC,481,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,1982.0,6802.0,7
RC,481,"Renal exploration, not necessitating other specific procedures ",,,2702.0,8577.0,4
RC,481,Reopening of recent laparotomy ,,,2702.0,8577.0,4
RC,481,Repair incomplete circumcision ,,,2702.0,8727.0,7
RC,481,"Repair inguinal hernia, sliding, any age ",,,4963.0,10719.0,7
RC,481,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,4963.0,10719.0,7
RC,481,"Repair initial femoral hernia, any age; reducible ",,,4963.0,10719.0,7
RC,481,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,4963.0,10719.0,7
RC,481,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,4963.0,10719.0,7
RC,481,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,2702.0,10719.0,7
RC,481,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,2702.0,10719.0,7
RC,481,Repair lumbar hernia ,,,4963.0,10719.0,7
RC,481,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,8577.0,8577.0,1
RC,481,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,4963.0,15007.0,24
RC,481,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,4963.0,15007.0,24
RC,481,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,2702.0,8727.0,7
RC,481,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,2702.0,8727.0,7
RC,481,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,2702.0,8727.0,7
RC,481,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,2702.0,10719.0,7
RC,481,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,2702.0,8727.0,7
RC,481,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,2702.0,10719.0,7
RC,481,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,2702.0,8727.0,7
RC,481,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,4963.0,13830.0,13
RC,481,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,4963.0,13315.0,7
RC,481,Repair of custom sleep apnea appliance ,,,8577.0,8577.0,1
RC,481,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,2702.0,8577.0,4
RC,481,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,2702.0,8577.0,4
RC,481,Repair of ectropion; excision tarsal wedge ,,,2702.0,8727.0,7
RC,481,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,2702.0,8727.0,7
RC,481,Repair of ectropion; suture ,,,2702.0,8727.0,7
RC,481,Repair of ectropion; thermocauterization ,,,2702.0,8727.0,7
RC,481,"Repair of encephalocele, skull vault, including cranioplasty ",,,2702.0,8577.0,4
RC,481,"Repair of enterocele, abdominal approach (separate procedure) ",,,4963.0,8727.0,7
RC,481,"Repair of enterocele, vaginal approach (separate procedure) ",,,4963.0,8727.0,7
RC,481,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,7493.0,7493.0,1
RC,481,Repair of entropion; excision tarsal wedge ,,,2702.0,8727.0,7
RC,481,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,2702.0,8727.0,7
RC,481,Repair of entropion; suture ,,,2702.0,8727.0,7
RC,481,Repair of entropion; thermocauterization ,,,2702.0,8727.0,7
RC,481,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,2702.0,10719.0,7
RC,481,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,2702.0,10719.0,7
RC,481,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,2702.0,10719.0,7
RC,481,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2702.0,10719.0,7
RC,481,"Repair of iris, ciliary body (as for iridodialysis) ",,,2702.0,8727.0,7
RC,481,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,2702.0,6802.0,7
RC,481,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,2702.0,8577.0,4
RC,481,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,2702.0,8727.0,7
RC,481,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,2702.0,8727.0,7
RC,481,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,2702.0,8727.0,7
RC,481,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,2702.0,8727.0,7
RC,481,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,2702.0,10719.0,7
RC,481,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,4963.0,8577.0,4
RC,481,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,4963.0,8577.0,4
RC,481,Repair of meningocele; larger than 5 cm diameter ,,,2702.0,8577.0,4
RC,481,Repair of meningocele; less than 5 cm diameter ,,,2702.0,8577.0,4
RC,481,Repair of myelomeningocele; larger than 5 cm diameter ,,,2702.0,8577.0,4
RC,481,Repair of myelomeningocele; less than 5 cm diameter ,,,2702.0,8577.0,4
RC,481,Repair of omphalocele (Gross type operation); first stage ,,,4963.0,8577.0,4
RC,481,Repair of omphalocele (Gross type operation); second stage ,,,4963.0,8577.0,4
RC,481,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,4963.0,15007.0,4
RC,481,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,4963.0,15007.0,4
RC,481,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,4963.0,13830.0,11
RC,481,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Complex Surgery",,,11754.0,11754.0,2
RC,481,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,1982.0,13830.0,11
RC,481,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,481,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,4963.0,13830.0,11
RC,481,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,4963.0,13830.0,13
RC,481,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,4963.0,13830.0,13
RC,481,Repair of scleral staphyloma with graft ,,,2702.0,8727.0,7
RC,481,"Repair of small omphalocele, with primary closure ",,,4963.0,10719.0,7
RC,481,"Repair of symblepharon; conjunctivoplasty, without graft ",,,2702.0,8727.0,7
RC,481,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,2702.0,8727.0,7
RC,481,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,2702.0,10719.0,7
RC,481,Repair of traumatic corporeal tear(s) ,,,4963.0,8727.0,7
RC,481,Repair of tunica vaginalis hydrocele (Bottle type) ,,,2702.0,8727.0,7
RC,481,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,2702.0,10719.0,7
RC,481,Repair oval window fistula ,,,4963.0,8727.0,7
RC,481,Repair recurrent femoral hernia; incarcerated or strangulated ,,,4963.0,10719.0,7
RC,481,Repair recurrent femoral hernia; reducible ,,,4963.0,10719.0,7
RC,481,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,4963.0,10719.0,7
RC,481,"Repair recurrent inguinal hernia, any age; reducible ",,,4963.0,10719.0,7
RC,481,Repair round window fistula ,,,4963.0,8727.0,7
RC,481,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,2702.0,10719.0,14
RC,481,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,2702.0,10719.0,7
RC,481,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,2702.0,10719.0,7
RC,481,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2702.0,15007.0,4
RC,481,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2702.0,15007.0,4
RC,481,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,13315.0,7
RC,481,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,2702.0,8577.0,4
RC,481,Replacement of an implant screw ,,,8577.0,8577.0,1
RC,481,Replacement of bone flap or prosthetic plate of skull ,,,2702.0,8577.0,4
RC,481,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,7
RC,481,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,7
RC,481,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,7
RC,481,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,8577.0,8577.0,1
RC,481,"Replacement or irrigation, subarachnoid/subdural catheter ",,,2702.0,8727.0,7
RC,481,"Replacement or irrigation, ventricular catheter ",,,2702.0,6802.0,7
RC,481,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,2702.0,12863.0,7
RC,481,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,2702.0,12863.0,7
RC,481,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,2702.0,8727.0,7
RC,481,Reprogramming of programmable cerebrospinal shunt ,,,1423.0,6802.0,7
RC,481,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,2702.0,10719.0,7
RC,481,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,2702.0,8577.0,4
RC,481,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,2702.0,8577.0,4
RC,481,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,2702.0,8577.0,4
RC,481,Resection of scrotum ,,,2702.0,8727.0,7
RC,481,Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis ,,,2702.0,8577.0,4
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,2702.0,8577.0,4
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,2702.0,8577.0,4
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,2702.0,8577.0,4
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,2702.0,8577.0,4
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,2702.0,8577.0,4
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,2702.0,8577.0,4
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,2702.0,8577.0,4
RC,481,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,2702.0,8577.0,4
RC,481,Resection prosthesis - Mandibular complete removable ,,,8577.0,8577.0,1
RC,481,Resection prosthesis - Mandibular partial removable ,,,8577.0,8577.0,1
RC,481,Resection prosthesis - Maxillary complete removable ,,,8577.0,8577.0,1
RC,481,Resection prosthesis - Maxillary partial removable ,,,8577.0,8577.0,1
RC,481,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,481,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,481,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,481,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,481,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,481,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,481,"Resection temporal bone, external approach ",,,2702.0,8577.0,4
RC,481,Retrobulbar injection; alcohol ,,,1423.0,6802.0,7
RC,481,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,1423.0,6802.0,7
RC,481,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,19295.0,19295.0,1
RC,481,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,8577.0,8577.0,1
RC,481,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,8577.0,8577.0,1
RC,481,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,8577.0,8577.0,1
RC,481,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,19295.0,19295.0,1
RC,481,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,19295.0,19295.0,1
RC,481,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,19295.0,19295.0,1
RC,481,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,15007.0,15007.0,1
RC,481,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,481,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,481,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,19295.0,19295.0,1
RC,481,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,2702.0,10719.0,7
RC,481,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,4963.0,8577.0,4
RC,481,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,4963.0,8727.0,7
RC,481,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4963.0,15007.0,7
RC,481,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4963.0,15007.0,7
RC,481,Revision mastoidectomy; resulting in complete mastoidectomy ,,,2702.0,13315.0,7
RC,481,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,2702.0,13315.0,7
RC,481,Revision mastoidectomy; resulting in radical mastoidectomy ,,,2702.0,13315.0,7
RC,481,Revision mastoidectomy; resulting in tympanoplasty ,,,2702.0,13315.0,7
RC,481,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,2702.0,8727.0,7
RC,481,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,2702.0,8727.0,7
RC,481,Revision of peritoneal-venous shunt ,,,2702.0,10719.0,7
RC,481,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,2702.0,13315.0,7
RC,481,Revision of stapedectomy or stapedotomy ,,,4963.0,13315.0,7
RC,481,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,2702.0,8727.0,7
RC,481,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,2702.0,8577.0,4
RC,481,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,2702.0,10719.0,7
RC,481,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4963.0,10719.0,7
RC,481,Revision or removal of intracranial neurostimulator electrodes ,,,2702.0,10719.0,7
RC,481,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,2702.0,10719.0,4
RC,481,Revision or removal of peripheral neurostimulator electrode array ,,,4963.0,13830.0,11
RC,481,Revision or removal of peripheral neurostimulator electrode array Complex Surgery,,,11754.0,11754.0,2
RC,481,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4963.0,10719.0,7
RC,481,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,2702.0,8727.0,7
RC,481,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,2702.0,10719.0,4
RC,481,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,2702.0,30016.0,4
RC,481,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,4963.0,15007.0,7
RC,481,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,4963.0,19295.0,8
RC,481,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,481,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,8577.0,8577.0,1
RC,481,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,481,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2702.0,19295.0,4
RC,481,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,9822.0,13374.0,3
RC,481,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,481,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,9822.0,13374.0,3
RC,481,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,481,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,9822.0,13374.0,3
RC,481,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,481,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,481,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,9822.0,13374.0,3
RC,481,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,481,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,481,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,2791.0,13374.0,4
RC,481,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,481,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,481,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,7583.0,9539.0,3
RC,481,Right ventricular recording ,,,6826.0,19105.0,4
RC,481,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,2702.0,6802.0,3
RC,481,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,2702.0,6802.0,3
RC,481,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,2702.0,6802.0,3
RC,481,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,2702.0,6802.0,3
RC,481,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2820.0,5414.0,3
RC,481,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2702.0,10719.0,7
RC,481,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2702.0,13315.0,7
RC,481,Salpingostomy (salpingoneostomy) ,,,2702.0,8727.0,7
RC,481,Scleral reinforcement (separate procedure); with graft ,,,2702.0,8727.0,7
RC,481,Scleral reinforcement (separate procedure); without graft ,,,2702.0,8727.0,7
RC,481,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,2702.0,6802.0,7
RC,481,"Scraping of cornea, diagnostic, for smear and/or culture ",,,1423.0,6802.0,7
RC,481,Scrotal exploration ,,,2702.0,8727.0,7
RC,481,Scrotoplasty; complicated ,,,2702.0,8727.0,7
RC,481,Scrotoplasty; simple ,,,2702.0,13315.0,7
RC,481,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,2702.0,8577.0,4
RC,481,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,2702.0,8577.0,4
RC,481,Semi-precision abutment - placement ,,,8577.0,8577.0,1
RC,481,Semi-precision attachment - placement ,,,8577.0,8577.0,1
RC,481,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,2702.0,8727.0,7
RC,481,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,2702.0,8727.0,7
RC,481,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,2702.0,8727.0,7
RC,481,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,2702.0,8727.0,7
RC,481,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,1982.0,6802.0,7
RC,481,Severing of tarsorrhaphy ,,,1982.0,6802.0,7
RC,481,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,1982.0,6802.0,7
RC,481,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,1423.0,6802.0,7
RC,481,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,1423.0,6802.0,7
RC,481,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,2702.0,16982.0,11
RC,481,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,4963.0,16982.0,11
RC,481,"Sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,2702.0,8727.0,7
RC,481,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,2702.0,8727.0,7
RC,481,Snip incision of lacrimal punctum ,,,1423.0,6802.0,7
RC,481,Sperm washing for artificial insemination ,,,1423.0,6802.0,7
RC,481,"Spinal puncture, lumbar, diagnostic; ",,,1982.0,6802.0,7
RC,481,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,2702.0,6802.0,4
RC,481,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,1982.0,6802.0,7
RC,481,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,2702.0,6802.0,4
RC,481,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,4963.0,13315.0,7
RC,481,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,4963.0,13315.0,7
RC,481,Stapes mobilization ,,,4963.0,8727.0,7
RC,481,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,2702.0,8577.0,4
RC,481,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,2702.0,8577.0,4
RC,481,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,481,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,2702.0,6802.0,7
RC,481,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,2702.0,12863.0,7
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2702.0,13315.0,4
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2702.0,13315.0,4
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2702.0,13315.0,4
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,4
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,4
RC,481,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,4
RC,481,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,2820.0,6802.0,7
RC,481,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,1423.0,6802.0,7
RC,481,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,481,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,481,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1423.0,6802.0,7
RC,481,"Strabismus surgery, any procedure, superior oblique muscle ",,,2702.0,8727.0,7
RC,481,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,2702.0,8727.0,7
RC,481,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,2702.0,8727.0,7
RC,481,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,2702.0,10719.0,7
RC,481,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,2702.0,8727.0,7
RC,481,Subconjunctival injection ,,,1423.0,6802.0,7
RC,481,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,2702.0,6802.0,7
RC,481,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,1982.0,6802.0,7
RC,481,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,1982.0,6802.0,7
RC,481,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,2702.0,8577.0,4
RC,481,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,481,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,10719.0,4
RC,481,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,2143.0,6802.0,4
RC,481,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,2702.0,8577.0,4
RC,481,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,2702.0,8577.0,4
RC,481,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,2702.0,8577.0,4
RC,481,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,2702.0,8577.0,4
RC,481,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2702.0,8577.0,4
RC,481,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,2702.0,8577.0,4
RC,481,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,2702.0,8577.0,4
RC,481,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,2702.0,8577.0,4
RC,481,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,2702.0,8577.0,4
RC,481,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,2702.0,8577.0,4
RC,481,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,2702.0,8577.0,4
RC,481,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,2702.0,8577.0,4
RC,481,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,2702.0,8577.0,4
RC,481,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2702.0,8577.0,4
RC,481,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,8577.0,8577.0,1
RC,481,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,8577.0,8577.0,1
RC,481,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,8577.0,8577.0,1
RC,481,Surgical placement of craniofacial implant - extra oral ,,,8577.0,8577.0,1
RC,481,Surgical placement zygomatic implant ,,,8577.0,8577.0,1
RC,481,Surgical repair of root resorption - molar ,,,8577.0,8577.0,1
RC,481,Surgical repair of root resorption- premolar ,,,8577.0,8577.0,1
RC,481,Surgical repair of root resorption-anterior ,,,8577.0,8577.0,1
RC,481,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,2702.0,8577.0,4
RC,481,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,2702.0,8577.0,4
RC,481,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,2702.0,8577.0,4
RC,481,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,2702.0,10719.0,7
RC,481,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,2702.0,10719.0,7
RC,481,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,2702.0,13315.0,7
RC,481,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,2702.0,13315.0,7
RC,481,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,2702.0,12863.0,7
RC,481,Suture of 1 nerve; median motor thenar ,,,2702.0,12863.0,7
RC,481,Suture of 1 nerve; ulnar motor ,,,2702.0,12863.0,7
RC,481,"Suture of digital nerve, hand or foot; 1 nerve ",,,2702.0,10719.0,7
RC,481,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,481,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,Suture of facial nerve; extracranial ,,,2702.0,12863.0,7
RC,481,"Suture of facial nerve; infratemporal, with or without grafting ",,,2702.0,12863.0,7
RC,481,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,2702.0,8727.0,7
RC,481,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,2702.0,12863.0,7
RC,481,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,2702.0,12863.0,7
RC,481,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1423.0,6802.0,7
RC,481,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,1423.0,6802.0,7
RC,481,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1423.0,6802.0,7
RC,481,Suture of posterior tibial nerve ,,,2702.0,12863.0,7
RC,481,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,2702.0,8727.0,7
RC,481,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,2702.0,8727.0,7
RC,481,Suture of sciatic nerve ,,,2702.0,10719.0,7
RC,481,Suture of; brachial plexus ,,,2702.0,10719.0,7
RC,481,Suture of; lumbar plexus ,,,2702.0,12863.0,7
RC,481,Suture or repair of testicular injury ,,,2702.0,8727.0,7
RC,481,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,2702.0,8577.0,4
RC,481,"Sympathectomy, cervical ",,,2702.0,6802.0,7
RC,481,"Sympathectomy, cervicothoracic ",,,2702.0,6802.0,7
RC,481,"Sympathectomy, lumbar ",,,2702.0,8577.0,4
RC,481,"Sympathectomy, thoracolumbar ",,,2702.0,8577.0,4
RC,481,"Sympathectomy; digital arteries, each digit ",,,2702.0,8727.0,7
RC,481,Sympathectomy; radial artery ,,,2702.0,10719.0,7
RC,481,Sympathectomy; superficial palmar arch ,,,2702.0,10719.0,7
RC,481,Sympathectomy; ulnar artery ,,,2702.0,10719.0,7
RC,481,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,2702.0,8577.0,4
RC,481,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,1982.0,6802.0,7
RC,481,Temporary transcutaneous pacing ,,,1982.0,4009.0,4
RC,481,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,2143.0,6802.0,4
RC,481,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2702.0,15007.0,4
RC,481,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,481,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,481,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,481,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,481,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,17341.0,17341.0,2
RC,481,"Thrombolysis, coronary; by intravenous infusion ",,,1423.0,17341.0,5
RC,481,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,2702.0,8577.0,4
RC,481,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,2702.0,8577.0,4
RC,481,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,2702.0,13315.0,7
RC,481,"Thyroidectomy, including substernal thyroid; cervical approach ",,,2702.0,13315.0,7
RC,481,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,2702.0,6802.0,7
RC,481,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,2702.0,13315.0,7
RC,481,"Thyroidectomy, total or complete ",,,2702.0,15007.0,7
RC,481,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,8577.0,8577.0,1
RC,481,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,2702.0,13315.0,7
RC,481,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,2702.0,8727.0,7
RC,481,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,2702.0,10719.0,4
RC,481,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,2702.0,8577.0,4
RC,481,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,8577.0,4
RC,481,Total facial nerve decompression and/or repair (may include graft) ,,,2702.0,13315.0,7
RC,481,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2702.0,15007.0,7
RC,481,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2702.0,15007.0,7
RC,481,Trabeculoplasty by laser surgery ,,,1982.0,6802.0,7
RC,481,Trabeculotomy ab externo ,,,2702.0,8727.0,7
RC,481,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,2702.0,8727.0,7
RC,481,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,2702.0,8727.0,7
RC,481,"Transabdominal amnioinfusion, including ultrasound guidance ",,,1982.0,6802.0,7
RC,481,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,2143.0,2143.0,1
RC,481,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2702.0,19295.0,11
RC,481,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,2702.0,8577.0,4
RC,481,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1423.0,17341.0,7
RC,481,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2702.0,12863.0,4
RC,481,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,4963.0,8727.0,7
RC,481,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,2702.0,8577.0,4
RC,481,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,2702.0,8577.0,4
RC,481,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,2702.0,6802.0,7
RC,481,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,2702.0,10719.0,7
RC,481,"Transection or avulsion of other cranial nerve, extradural ",,,2702.0,8727.0,7
RC,481,"Transection or avulsion of other spinal nerve, extradural ",,,2702.0,8727.0,7
RC,481,"Transection or avulsion of; facial nerve, differential or complete ",,,2702.0,8727.0,7
RC,481,Transection or avulsion of; greater occipital nerve ,,,2702.0,8727.0,7
RC,481,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,2702.0,6802.0,7
RC,481,Transection or avulsion of; infraorbital nerve ,,,2702.0,6802.0,7
RC,481,Transection or avulsion of; lingual nerve ,,,2702.0,8727.0,7
RC,481,Transection or avulsion of; mental nerve ,,,2702.0,6802.0,7
RC,481,Transection or avulsion of; phrenic nerve ,,,2702.0,6802.0,7
RC,481,Transection or avulsion of; supraorbital nerve ,,,2702.0,6802.0,7
RC,481,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,2702.0,8577.0,4
RC,481,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,2702.0,8577.0,4
RC,481,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,481,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,2702.0,8577.0,4
RC,481,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,8577.0,8577.0,1
RC,481,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,8577.0,8577.0,1
RC,481,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,2702.0,13315.0,7
RC,481,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,2702.0,13315.0,7
RC,481,Transmastoid antrotomy (simple mastoidectomy) ,,,2702.0,13315.0,7
RC,481,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,2702.0,8577.0,4
RC,481,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,2702.0,8577.0,4
RC,481,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,1423.0,6802.0,7
RC,481,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,4963.0,15007.0,7
RC,481,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,4963.0,15007.0,7
RC,481,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2702.0,15007.0,4
RC,481,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,4963.0,53068.0,11
RC,481,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Complex Surgery",,,11754.0,11754.0,2
RC,481,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,2702.0,8577.0,4
RC,481,Transplantation of pancreatic allograft ,,,2702.0,6802.0,3
RC,481,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,2702.0,8727.0,7
RC,481,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,"Transposition, ovary(s) ",,,2702.0,10719.0,7
RC,481,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,2702.0,8577.0,4
RC,481,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,2702.0,8577.0,4
RC,481,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,2702.0,6802.0,7
RC,481,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,2702.0,7493.0,4
RC,481,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,2702.0,13315.0,7
RC,481,Transurethral drainage of prostatic abscess ,,,2702.0,8727.0,7
RC,481,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,4963.0,13830.0,13
RC,481,Transurethral incision of prostate ,,,2702.0,8727.0,7
RC,481,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,2702.0,6802.0,7
RC,481,Transurethral resection of bladder neck (separate procedure) ,,,2702.0,8727.0,7
RC,481,Transurethral resection; of postoperative bladder neck contracture ,,,4963.0,8727.0,7
RC,481,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,4963.0,13315.0,7
RC,481,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,2702.0,12863.0,4
RC,481,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,1423.0,6802.0,7
RC,481,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,1423.0,6802.0,7
RC,481,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,7
RC,481,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,7
RC,481,Transvesical ureterolithotomy ,,,2702.0,13315.0,7
RC,481,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,1982.0,13830.0,11
RC,481,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,481,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,1982.0,6802.0,7
RC,481,"Treatment of incomplete abortion, any trimester, completed surgically ",,,2702.0,8727.0,7
RC,481,"Treatment of missed abortion, completed surgically; first trimester ",,,2702.0,8727.0,7
RC,481,"Treatment of missed abortion, completed surgically; second trimester ",,,2702.0,8727.0,7
RC,481,"Treatment of septic abortion, completed surgically ",,,2702.0,8577.0,4
RC,481,"Trimming of dystrophic nails, any number ",,,1423.0,3251.0,4
RC,481,Tubotubal anastomosis ,,,2702.0,10719.0,7
RC,481,Tubouterine implantation ,,,2702.0,10719.0,7
RC,481,Twist drill hole for subdural or ventricular puncture ,,,2702.0,8577.0,4
RC,481,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,2702.0,8577.0,4
RC,481,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,2702.0,8577.0,4
RC,481,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,2702.0,8577.0,4
RC,481,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,2702.0,8577.0,16
RC,481,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,2702.0,8727.0,7
RC,481,Tympanic neurectomy ,,,4963.0,8727.0,7
RC,481,"Tympanolysis, transcanal ",,,2702.0,13315.0,7
RC,481,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,481,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,4963.0,13315.0,7
RC,481,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,481,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,481,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,4963.0,13315.0,7
RC,481,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,4963.0,13315.0,7
RC,481,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,481,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,2702.0,6802.0,7
RC,481,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,1423.0,6802.0,7
RC,481,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,2143.0,2143.0,1
RC,481,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,2702.0,10719.0,7
RC,481,Unlisted cardiovascular service or procedure ,,,1423.0,3251.0,4
RC,481,Unlisted diagnostic gastroenterology procedure ,,,1423.0,3251.0,4
RC,481,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,1423.0,6802.0,7
RC,481,"Unlisted hysteroscopy procedure, uterus ",,,1423.0,13830.0,11
RC,481,"Unlisted hysteroscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,481,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,2702.0,13830.0,11
RC,481,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum Complex Surgery",,,11754.0,11754.0,2
RC,481,"Unlisted laparoscopy procedure, bladder ",,,4963.0,13315.0,7
RC,481,"Unlisted laparoscopy procedure, endocrine system ",,,4963.0,13315.0,7
RC,481,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,4963.0,13830.0,11
RC,481,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Complex Surgery",,,11754.0,11754.0,2
RC,481,"Unlisted laparoscopy procedure, maternity care and delivery ",,,4963.0,13830.0,11
RC,481,"Unlisted laparoscopy procedure, maternity care and delivery Complex Surgery",,,11754.0,11754.0,2
RC,481,"Unlisted laparoscopy procedure, oviduct, ovary ",,,4963.0,13830.0,11
RC,481,"Unlisted laparoscopy procedure, oviduct, ovary Complex Surgery",,,11754.0,11754.0,2
RC,481,"Unlisted laparoscopy procedure, renal ",,,4963.0,13830.0,11
RC,481,"Unlisted laparoscopy procedure, renal Complex Surgery",,,11754.0,11754.0,2
RC,481,"Unlisted laparoscopy procedure, spermatic cord ",,,4963.0,13315.0,7
RC,481,"Unlisted laparoscopy procedure, testis ",,,4963.0,13315.0,7
RC,481,"Unlisted laparoscopy procedure, ureter ",,,4963.0,13830.0,11
RC,481,"Unlisted laparoscopy procedure, ureter Complex Surgery",,,11754.0,11754.0,2
RC,481,"Unlisted laparoscopy procedure, uterus ",,,4963.0,13830.0,11
RC,481,"Unlisted laparoscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,481,"Unlisted procedure, abdomen, peritoneum and omentum ",,,2702.0,9539.0,7
RC,481,"Unlisted procedure, anterior segment of eye ",,,2702.0,6802.0,7
RC,481,"Unlisted procedure, conjunctiva ",,,1423.0,6802.0,7
RC,481,"Unlisted procedure, endocrine system ",,,2702.0,15007.0,7
RC,481,"Unlisted procedure, external ear ",,,1423.0,6802.0,7
RC,481,"Unlisted procedure, extraocular muscle ",,,2143.0,8727.0,7
RC,481,"Unlisted procedure, eyelids ",,,1423.0,6802.0,7
RC,481,"Unlisted procedure, female genital system (nonobstetrical) ",,,1423.0,6802.0,7
RC,481,"Unlisted procedure, inner ear ",,,1423.0,6802.0,7
RC,481,"Unlisted procedure, lacrimal system ",,,1423.0,6802.0,7
RC,481,"Unlisted procedure, male genital system ",,,1423.0,6802.0,7
RC,481,"Unlisted procedure, maternity care and delivery ",,,1423.0,6802.0,7
RC,481,"Unlisted procedure, middle ear ",,,1423.0,6802.0,7
RC,481,"Unlisted procedure, nervous system ",,,1423.0,6802.0,7
RC,481,"Unlisted procedure, orbit ",,,1423.0,6802.0,7
RC,481,"Unlisted procedure, pancreas ",,,1982.0,6802.0,7
RC,481,"Unlisted procedure, posterior segment ",,,2702.0,6802.0,7
RC,481,"Unlisted procedure, temporal bone, middle fossa approach ",,,1423.0,6802.0,7
RC,481,"Unlisted procedure, urinary system ",,,1423.0,6802.0,7
RC,481,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,1423.0,6802.0,7
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,7
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,8727.0,7
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,2702.0,8727.0,7
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,8727.0,7
RC,481,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1982.0,6802.0,7
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,7
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,6802.0,7
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,2702.0,6802.0,7
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,8727.0,7
RC,481,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1982.0,6802.0,7
RC,481,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2702.0,8577.0,4
RC,481,"Ureterectomy, with bladder cuff (separate procedure) ",,,2702.0,8577.0,4
RC,481,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,2702.0,8577.0,4
RC,481,"Ureterocolon conduit, including intestine anastomosis ",,,2702.0,8577.0,4
RC,481,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,2702.0,8577.0,4
RC,481,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,2702.0,8577.0,4
RC,481,Ureterolithotomy; lower one-third of ureter ,,,2702.0,8577.0,4
RC,481,Ureterolithotomy; middle one-third of ureter ,,,2702.0,8577.0,4
RC,481,Ureterolithotomy; upper one-third of ureter ,,,2702.0,8577.0,4
RC,481,Ureterolysis for ovarian vein syndrome ,,,2702.0,8577.0,4
RC,481,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,2702.0,8577.0,4
RC,481,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,2702.0,8577.0,4
RC,481,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,2702.0,8577.0,4
RC,481,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,2702.0,7493.0,4
RC,481,Ureteroneocystostomy; with extensive ureteral tailoring ,,,2702.0,8577.0,4
RC,481,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,2702.0,8577.0,4
RC,481,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,2702.0,8577.0,4
RC,481,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,2702.0,8577.0,4
RC,481,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,2702.0,8577.0,4
RC,481,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,2702.0,8577.0,4
RC,481,"Ureterostomy, transplantation of ureter to skin ",,,2702.0,8577.0,4
RC,481,"Ureterotomy for insertion of indwelling stent, all types ",,,2702.0,8577.0,4
RC,481,Ureterotomy with exploration or drainage (separate procedure) ,,,2702.0,8577.0,4
RC,481,Ureteroureterostomy ,,,2702.0,8577.0,4
RC,481,"Urethrectomy, total, including cystostomy; female ",,,2702.0,10719.0,7
RC,481,"Urethrectomy, total, including cystostomy; male ",,,2702.0,8727.0,7
RC,481,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,2702.0,10719.0,7
RC,481,"Urethromeatoplasty, with mucosal advancement ",,,2702.0,10719.0,7
RC,481,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,2702.0,8727.0,7
RC,481,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,2702.0,10719.0,7
RC,481,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,2702.0,10719.0,7
RC,481,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,2702.0,13315.0,7
RC,481,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,2702.0,10719.0,7
RC,481,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,2702.0,10719.0,7
RC,481,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,2702.0,10719.0,7
RC,481,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,2702.0,10719.0,7
RC,481,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,2702.0,10719.0,7
RC,481,"Urethroplasty, reconstruction of female urethra ",,,2702.0,10719.0,7
RC,481,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2702.0,13315.0,7
RC,481,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,2702.0,10719.0,7
RC,481,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,2702.0,10719.0,7
RC,481,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,2702.0,8727.0,7
RC,481,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,2702.0,10719.0,7
RC,481,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,2702.0,8727.0,7
RC,481,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,2702.0,10719.0,7
RC,481,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,2702.0,8727.0,7
RC,481,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,2702.0,8727.0,7
RC,481,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,2702.0,8577.0,4
RC,481,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,481,Uterine evacuation and curettage for hydatidiform mole ,,,2702.0,8727.0,7
RC,481,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,2702.0,10719.0,4
RC,481,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,2702.0,8577.0,4
RC,481,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,7583.0,9539.0,3
RC,481,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,2702.0,8727.0,7
RC,481,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,2702.0,6802.0,3
RC,481,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,2702.0,8727.0,7
RC,481,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,2702.0,6802.0,3
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; ",,,4963.0,10719.0,7
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,4963.0,10719.0,7
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,4963.0,10719.0,7
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,4963.0,10719.0,7
RC,481,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,4963.0,10719.0,7
RC,481,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,4963.0,13315.0,7
RC,481,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,13315.0,7
RC,481,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,4963.0,13315.0,7
RC,481,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,4963.0,13315.0,7
RC,481,"Vaginal hysterectomy, radical (Schauta type operation) ",,,4963.0,8577.0,4
RC,481,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,4963.0,10719.0,7
RC,481,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,4963.0,10719.0,7
RC,481,"Vaginectomy, complete removal of vaginal wall; ",,,2702.0,8577.0,4
RC,481,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2702.0,10719.0,7
RC,481,"Vaginectomy, partial removal of vaginal wall; ",,,2702.0,8727.0,7
RC,481,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2702.0,8727.0,7
RC,481,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,2702.0,8727.0,7
RC,481,Vaginoplasty for intersex state ,,,4963.0,8727.0,7
RC,481,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,8577.0,8577.0,1
RC,481,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,19295.0,19295.0,1
RC,481,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,2702.0,8727.0,7
RC,481,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,1423.0,6802.0,7
RC,481,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,2702.0,8727.0,7
RC,481,"Vasovasostomy, vasovasorrhaphy ",,,2702.0,8727.0,7
RC,481,Ventilating tube removal requiring general anesthesia ,,,2702.0,10719.0,7
RC,481,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,1982.0,6802.0,7
RC,481,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,1982.0,6802.0,7
RC,481,Ventriculocisternostomy (Torkildsen type operation) ,,,2702.0,8577.0,4
RC,481,"Ventriculocisternostomy, third ventricle; ",,,2702.0,8577.0,4
RC,481,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,2702.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,4963.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,4963.0,15007.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,4963.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,4963.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,4963.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,4963.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,4963.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,4963.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,4963.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,4963.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,4963.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,4963.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,4963.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,4963.0,8577.0,12
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,4963.0,8577.0,8
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,4963.0,8577.0,4
RC,481,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,4963.0,8577.0,4
RC,481,"Vesiculectomy, any approach ",,,1982.0,6802.0,7
RC,481,Vesiculotomy; ,,,2702.0,8727.0,7
RC,481,Vesiculotomy; complicated ,,,1982.0,6802.0,7
RC,481,"Vestibular nerve section, transcranial approach ",,,2702.0,8577.0,4
RC,481,"Vestibular nerve section, translabyrinthine approach ",,,2702.0,13315.0,7
RC,481,"Vitrectomy, mechanical, pars plana approach; ",,,4963.0,13830.0,11
RC,481,"Vitrectomy, mechanical, pars plana approach; Complex Surgery",,,11754.0,11754.0,2
RC,481,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,4963.0,13830.0,11
RC,481,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,481,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,4963.0,13830.0,11
RC,481,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,481,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,3251.0,13830.0,13
RC,481,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,4963.0,13830.0,11
RC,481,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Complex Surgery",,,11754.0,11754.0,2
RC,481,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,4963.0,13830.0,13
RC,481,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,481,Vulvectomy simple; complete ,,,2702.0,8727.0,7
RC,481,Vulvectomy simple; partial ,,,2702.0,8727.0,7
RC,481,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,2702.0,8577.0,4
RC,481,"Vulvectomy, radical, complete; ",,,2702.0,19295.0,7
RC,481,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,19295.0,7
RC,481,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,2702.0,19295.0,7
RC,481,"Vulvectomy, radical, partial; ",,,2702.0,10719.0,4
RC,481,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,19295.0,7
RC,481,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,2702.0,19295.0,7
RC,481,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,2702.0,10719.0,7
RC,481,Wound closure utilizing tissue adhesive(s) only ,,,1423.0,3251.0,4
RC,482, Cardiology Stress Test  ,,,860.0,860.0,1
RC,483, Cardiology Echocardiology  ,,,1593.0,1593.0,1
RC,489, Cardiology Other  ,,,1911.0,1911.0,1
RC,490, Ambulatory Surgical Care General Classification  ,,,2481.0,8574.0,8
RC,490,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,2050.0,13315.0,12
RC,490,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,2050.0,10719.0,11
RC,490,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,2050.0,13315.0,11
RC,490,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) Other Surgical Services",,,2850.0,2850.0,1
RC,490,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,2050.0,10719.0,11
RC,490,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra Other Surgical Services,,,2850.0,2850.0,1
RC,490,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2050.0,10719.0,11
RC,490,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap Other Surgical Services,,,2850.0,2850.0,1
RC,490,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2050.0,10719.0,11
RC,490,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap Other Surgical Services,,,2850.0,2850.0,1
RC,490,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,1423.0,3251.0,3
RC,490,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance ,,,1982.0,6802.0,11
RC,490,Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance Other Surgical Services,,,2850.0,2850.0,1
RC,490,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance ,,,1982.0,6802.0,11
RC,490,Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,2050.0,13315.0,11
RC,490,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,8
RC,490,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,2050.0,6802.0,8
RC,490,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,2050.0,7493.0,8
RC,490,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,2050.0,8577.0,8
RC,490,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,2050.0,19295.0,9
RC,490,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,2050.0,15007.0,11
RC,490,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,2050.0,15007.0,8
RC,490,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,2050.0,8577.0,8
RC,490,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2050.0,15007.0,9
RC,490,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy Other Surgical Services",,,2850.0,2850.0,1
RC,490,Accessing and retorquing loose implant screw - per screw ,,,8577.0,8577.0,1
RC,490,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,1575.0,17341.0,6
RC,490,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,490,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,2050.0,8577.0,8
RC,490,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,2050.0,8577.0,8
RC,490,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor Other",,,2850.0,2850.0,1
RC,490,Amniocentesis; diagnostic ,,,1982.0,6802.0,11
RC,490,Amniocentesis; diagnostic Other Surgical Services,,,2850.0,2850.0,1
RC,490,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,1423.0,6802.0,11
RC,490,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2050.0,8577.0,8
RC,490,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,2050.0,8577.0,8
RC,490,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,Amputation of penis; complete ,,,2050.0,6802.0,11
RC,490,Amputation of penis; complete Other Surgical Services,,,2850.0,2850.0,1
RC,490,Amputation of penis; partial ,,,2050.0,10719.0,11
RC,490,Amputation of penis; partial Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,2050.0,8577.0,8
RC,490,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries Other Surgical Services",,,2850.0,2850.0,1
RC,490,Anastomosis; facial-hypoglossal ,,,2050.0,8577.0,8
RC,490,Anastomosis; facial-hypoglossal Other Surgical Services,,,2850.0,2850.0,1
RC,490,Anastomosis; facial-spinal accessory ,,,2050.0,8577.0,8
RC,490,Anastomosis; facial-spinal accessory Other Surgical Services,,,2850.0,2850.0,1
RC,490,Anorectal manometry ,,,1423.0,3251.0,3
RC,490,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,2143.0,2143.0,1
RC,490,Antepartum care only; 4-6 visits ,,,2050.0,6802.0,7
RC,490,Antepartum care only; 4-6 visits Other Surgical Services,,,2850.0,2850.0,1
RC,490,Antepartum care only; 7 or more visits ,,,2050.0,6802.0,7
RC,490,Antepartum care only; 7 or more visits Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,2350.0,10719.0,9
RC,490,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,2050.0,8727.0,11
RC,490,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,2050.0,8727.0,11
RC,490,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,8577.0,8577.0,2
RC,490,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,8577.0,8577.0,2
RC,490,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1423.0,3689.0,6
RC,490,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1423.0,3251.0,3
RC,490,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1982.0,3689.0,3
RC,490,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1423.0,3251.0,3
RC,490,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2820.0,5414.0,3
RC,490,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1423.0,3251.0,3
RC,490,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1982.0,3689.0,3
RC,490,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,2050.0,6802.0,5
RC,490,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,2350.0,13315.0,9
RC,490,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,2050.0,13315.0,11
RC,490,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,8577.0,8577.0,1
RC,490,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,8577.0,8577.0,1
RC,490,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1423.0,3251.0,4
RC,490,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,15007.0,15007.0,1
RC,490,Artificial insemination; intra-cervical ,,,1423.0,6802.0,9
RC,490,Artificial insemination; intra-uterine ,,,1423.0,6802.0,9
RC,490,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,2050.0,6802.0,11
RC,490,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Aspiration and/or injection, thyroid cyst ",,,1982.0,6802.0,11
RC,490,"Aspiration and/or injection, thyroid cyst Other Surgical Services",,,2850.0,2850.0,1
RC,490,Aspiration of bladder; by needle ,,,1423.0,6802.0,11
RC,490,Aspiration of bladder; by needle Other Surgical Services,,,2850.0,2850.0,1
RC,490,Aspiration of bladder; by trocar or intracatheter ,,,1423.0,6802.0,11
RC,490,Aspiration of bladder; by trocar or intracatheter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Aspiration of bladder; with insertion of suprapubic catheter ,,,2050.0,8727.0,11
RC,490,Aspiration of bladder; with insertion of suprapubic catheter Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,2350.0,8727.0,8
RC,490,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,490,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,2050.0,8577.0,8
RC,490,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,2050.0,8577.0,8
RC,490,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,2050.0,8577.0,8
RC,490,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,2050.0,8577.0,9
RC,490,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,2050.0,8577.0,9
RC,490,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,2050.0,23692.0,12
RC,490,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,490,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,490,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,2050.0,8577.0,8
RC,490,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,1423.0,6802.0,12
RC,490,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,2050.0,8577.0,8
RC,490,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,2050.0,8577.0,8
RC,490,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,2050.0,8577.0,8
RC,490,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy Other Surgical ",,,2850.0,2850.0,1
RC,490,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,2050.0,8577.0,8
RC,490,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,2050.0,6802.0,11
RC,490,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance Other Surgical Services",,,2850.0,2850.0,1
RC,490,Biopsy external auditory canal ,,,2050.0,6802.0,11
RC,490,Biopsy external auditory canal Other Surgical Services,,,2850.0,2850.0,1
RC,490,Biopsy external ear ,,,1423.0,6802.0,11
RC,490,Biopsy external ear Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,1982.0,6802.0,11
RC,490,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Biopsy of conjunctiva ,,,1982.0,6802.0,11
RC,490,Biopsy of conjunctiva Other Surgical Services,,,2850.0,2850.0,1
RC,490,Biopsy of cornea ,,,1982.0,6802.0,11
RC,490,Biopsy of cornea Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Biopsy of epididymis, needle ",,,1982.0,6802.0,11
RC,490,"Biopsy of epididymis, needle Other Surgical Services",,,2850.0,2850.0,1
RC,490,Biopsy of extraocular muscle ,,,2050.0,10719.0,11
RC,490,Biopsy of extraocular muscle Other Surgical Services,,,2850.0,2850.0,1
RC,490,Biopsy of lacrimal gland ,,,2050.0,8727.0,11
RC,490,Biopsy of lacrimal gland Other Surgical Services,,,2850.0,2850.0,1
RC,490,Biopsy of lacrimal sac ,,,2050.0,8727.0,11
RC,490,Biopsy of lacrimal sac Other Surgical Services,,,2850.0,2850.0,1
RC,490,Biopsy of nerve ,,,2050.0,8727.0,11
RC,490,Biopsy of nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,2050.0,8727.0,11
RC,490,"Biopsy of ovary, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Biopsy of penis; (separate procedure) ,,,2050.0,6802.0,11
RC,490,Biopsy of penis; (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Biopsy of penis; deep structures ,,,2050.0,8727.0,11
RC,490,Biopsy of penis; deep structures Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Biopsy of spinal cord, percutaneous needle ",,,2050.0,6802.0,11
RC,490,"Biopsy of spinal cord, percutaneous needle Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy of testis, incisional (separate procedure) ",,,2050.0,8727.0,11
RC,490,"Biopsy of testis, incisional (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy of testis, needle (separate procedure) ",,,2050.0,6802.0,11
RC,490,"Biopsy of testis, needle (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Biopsy of urethra ,,,2050.0,8727.0,11
RC,490,Biopsy of urethra Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,2050.0,8727.0,11
RC,490,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Biopsy of vaginal mucosa; simple (separate procedure) ,,,1982.0,6802.0,11
RC,490,Biopsy of vaginal mucosa; simple (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,1982.0,6802.0,11
RC,490,Biopsy of vulva or perineum (separate procedure); 1 lesion Other Surgical Services,,,2850.0,2850.0,1
RC,490,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,490,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Biopsy thyroid, percutaneous core needle ",,,1982.0,6802.0,11
RC,490,"Biopsy thyroid, percutaneous core needle Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle ",,,2050.0,6802.0,11
RC,490,"Biopsy, abdominal or retroperitoneal mass, percutaneous needle Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy, prostate, any approach, nonimaging-guided ",,,2050.0,6802.0,11
RC,490,"Biopsy, prostate, any approach, nonimaging-guided Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,8
RC,490,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,2050.0,7493.0,8
RC,490,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,2050.0,7493.0,8
RC,490,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2050.0,7493.0,8
RC,490,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,2050.0,7493.0,8
RC,490,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2050.0,7493.0,8
RC,490,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2050.0,7493.0,8
RC,490,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,2050.0,7493.0,8
RC,490,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2050.0,7493.0,8
RC,490,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,2820.0,5414.0,3
RC,490,Bladder instillation of anticarcinogenic agent (including retention time) ,,,1423.0,6802.0,11
RC,490,Bladder instillation of anticarcinogenic agent (including retention time) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Bladder irrigation, simple, lavage and/or instillation ",,,1423.0,6802.0,11
RC,490,"Bladder irrigation, simple, lavage and/or instillation Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Blepharotomy, drainage of abscess, eyelid ",,,1423.0,6802.0,11
RC,490,"Blepharotomy, drainage of abscess, eyelid Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,19295.0,19295.0,1
RC,490,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,10737.0,15007.0,4
RC,490,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,24657.0,24657.0,1
RC,490,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,24657.0,5
RC,490,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,19295.0,19295.0,1
RC,490,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,1423.0,3251.0,3
RC,490,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1423.0,3251.0,4
RC,490,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,490,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,8577.0,8577.0,1
RC,490,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,490,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,8577.0,8577.0,1
RC,490,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,8577.0,8577.0,1
RC,490,Buccal/ labial frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,490,Bundle of His recording ,,,6826.0,19105.0,4
RC,490,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,2050.0,8577.0,8
RC,490,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,2050.0,8577.0,8
RC,490,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,2050.0,8577.0,8
RC,490,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery Other Surgical Services",,,2850.0,2850.0,1
RC,490,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,2050.0,8577.0,8
RC,490,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion Other Surgical Services,,,2850.0,2850.0,1
RC,490,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,2050.0,8577.0,8
RC,490,Burr hole(s) or trephine; with drainage of brain abscess or cyst Other Surgical Services,,,2850.0,2850.0,1
RC,490,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,2050.0,8577.0,8
RC,490,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,2050.0,8577.0,8
RC,490,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,2050.0,8577.0,8
RC,490,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,2050.0,8577.0,8
RC,490,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral Other Surgical Services",,,2850.0,2850.0,1
RC,490,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,490,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,7583.0,9539.0,3
RC,490,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,490,Canthoplasty (reconstruction of canthus) ,,,2050.0,8727.0,11
RC,490,Canthoplasty (reconstruction of canthus) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Canthotomy (separate procedure) ,,,2050.0,8727.0,11
RC,490,Canthotomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,2143.0,2143.0,1
RC,490,Cardioassist-method of circulatory assist; external ,,,8577.0,8577.0,1
RC,490,Cardioassist-method of circulatory assist; internal ,,,8577.0,8577.0,1
RC,490,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,1423.0,3251.0,4
RC,490,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1982.0,4009.0,4
RC,490,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1982.0,4009.0,4
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,8577.0,12038.0,5
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,8577.0,12038.0,5
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,8577.0,8577.0,3
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8577.0,8577.0,1
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,8577.0,12038.0,20
RC,490,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,8577.0,12038.0,15
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8577.0,8577.0,1
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8577.0,8577.0,1
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,13374.0,13374.0,1
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,8577.0,13374.0,15
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,13374.0,10
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,8577.0,13374.0,16
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,13374.0,5
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,8577.0,8577.0,1
RC,490,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,8577.0,8577.0,1
RC,490,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,1423.0,6802.0,9
RC,490,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2050.0,6802.0,8
RC,490,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cautery of cervix; cryocautery, initial or repeat ",,,1423.0,6802.0,11
RC,490,"Cautery of cervix; cryocautery, initial or repeat Other Surgical Services",,,2850.0,2850.0,1
RC,490,Cautery of cervix; electro or thermal ,,,2050.0,8727.0,11
RC,490,Cautery of cervix; electro or thermal Other Surgical Services,,,2850.0,2850.0,1
RC,490,Cautery of cervix; laser ablation ,,,2050.0,8727.0,11
RC,490,Cautery of cervix; laser ablation Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Cerclage of cervix, during pregnancy; abdominal ",,,2050.0,8577.0,8
RC,490,"Cerclage of cervix, during pregnancy; abdominal Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cerclage of cervix, during pregnancy; vaginal ",,,2050.0,8727.0,11
RC,490,"Cerclage of cervix, during pregnancy; vaginal Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cerclage of uterine cervix, nonobstetrical ",,,2050.0,8727.0,11
RC,490,"Cerclage of uterine cervix, nonobstetrical Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,2050.0,6802.0,7
RC,490,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,2050.0,6802.0,7
RC,490,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care Other Surgical Services",,,2850.0,2850.0,1
RC,490,Cesarean delivery only; ,,,2050.0,8577.0,8
RC,490,Cesarean delivery only; Other Surgical Services,,,2850.0,2850.0,1
RC,490,Cesarean delivery only; including postpartum care ,,,2050.0,8577.0,8
RC,490,Cesarean delivery only; including postpartum care Other Surgical Services,,,2850.0,2850.0,1
RC,490,Change of cystostomy tube; complicated ,,,1982.0,6802.0,11
RC,490,Change of cystostomy tube; complicated Other Surgical Services,,,2850.0,2850.0,1
RC,490,Change of cystostomy tube; simple ,,,1423.0,6802.0,11
RC,490,Change of cystostomy tube; simple Other Surgical Services,,,2850.0,2850.0,1
RC,490,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,2050.0,6802.0,11
RC,490,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,8577.0,8577.0,1
RC,490,Chemodenervation of eccrine glands; both axillae ,,,1423.0,6802.0,11
RC,490,Chemodenervation of eccrine glands; both axillae Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,1423.0,6802.0,11
RC,490,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Other Surgical Services",,,2850.0,2850.0,1
RC,490,Chemodenervation of extraocular muscle ,,,1423.0,6802.0,11
RC,490,Chemodenervation of extraocular muscle Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,1982.0,6802.0,11
RC,490,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,1423.0,6802.0,11
RC,490,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,1423.0,6802.0,11
RC,490,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,1982.0,6802.0,11
RC,490,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Chemodenervation of one extremity; 1-4 muscle(s) ,,,1982.0,6802.0,11
RC,490,Chemodenervation of one extremity; 1-4 muscle(s) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Chemodenervation of one extremity; 5 or more muscles ,,,1982.0,6802.0,11
RC,490,Chemodenervation of one extremity; 5 or more muscles Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,1423.0,6802.0,11
RC,490,"Chemodenervation of parotid and submandibular salivary glands, bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,490,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,1982.0,6802.0,11
RC,490,Chemodenervation of trunk muscle(s); 1-5 muscle(s) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,1982.0,6802.0,11
RC,490,Chemodenervation of trunk muscle(s); 6 or more muscles Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Chorionic villus sampling, any method ",,,1982.0,6802.0,11
RC,490,"Chorionic villus sampling, any method Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Chromotubation of oviduct, including materials ",,,2350.0,10719.0,9
RC,490,Ciliary body destruction; cryotherapy ,,,2050.0,8727.0,11
RC,490,Ciliary body destruction; cryotherapy Other Surgical Services,,,2850.0,2850.0,1
RC,490,Ciliary body destruction; cyclodialysis ,,,2050.0,8727.0,11
RC,490,Ciliary body destruction; cyclodialysis Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,2050.0,8727.0,11
RC,490,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,2050.0,8727.0,11
RC,490,"Ciliary body destruction; cyclophotocoagulation, transscleral Other Surgical Services",,,2850.0,2850.0,1
RC,490,Ciliary body destruction; diathermy ,,,2050.0,6802.0,11
RC,490,Ciliary body destruction; diathermy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,2050.0,8727.0,11
RC,490,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,2350.0,8727.0,9
RC,490,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,2050.0,8727.0,11
RC,490,"Circumcision, using clamp or other device with regional dorsal penile or ring block Other Surgical Services",,,2850.0,2850.0,1
RC,490,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,1982.0,6802.0,11
RC,490,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment Other Surgical Services,,,2850.0,2850.0,1
RC,490,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,2050.0,8727.0,11
RC,490,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Clitoroplasty for intersex state ,,,2050.0,8727.0,11
RC,490,Clitoroplasty for intersex state Other Surgical Services,,,2850.0,2850.0,1
RC,490,Closure of cystostomy (separate procedure) ,,,2050.0,8727.0,11
RC,490,Closure of cystostomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Closure of lacrimal fistula (separate procedure) ,,,1982.0,6802.0,11
RC,490,Closure of lacrimal fistula (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1982.0,6802.0,11
RC,490,Closure of nephrocutaneous or pyelocutaneous fistula Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,2050.0,8577.0,8
RC,490,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,2050.0,8577.0,8
RC,490,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,Closure of rectovaginal fistula; abdominal approach ,,,2350.0,8577.0,6
RC,490,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,2350.0,8577.0,6
RC,490,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,2350.0,8727.0,9
RC,490,Closure of rectovaginal fistula; vaginal or transanal approach ,,,2350.0,8727.0,9
RC,490,"Closure of the lacrimal punctum; by plug, each ",,,1423.0,6802.0,11
RC,490,"Closure of the lacrimal punctum; by plug, each Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,1423.0,6802.0,11
RC,490,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Other Surgical Services",,,2850.0,2850.0,1
RC,490,Closure of ureterocutaneous fistula ,,,2050.0,8577.0,8
RC,490,Closure of ureterocutaneous fistula Other Surgical Services,,,2850.0,2850.0,1
RC,490,Closure of ureterovisceral fistula (including visceral repair) ,,,2050.0,8577.0,8
RC,490,Closure of ureterovisceral fistula (including visceral repair) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,2050.0,10719.0,11
RC,490,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Closure of urethrovaginal fistula; ,,,2350.0,13315.0,9
RC,490,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,2350.0,10719.0,9
RC,490,Closure of vesicouterine fistula; ,,,2050.0,8727.0,11
RC,490,Closure of vesicouterine fistula; Other Surgical Services,,,2850.0,2850.0,1
RC,490,Closure of vesicouterine fistula; with hysterectomy ,,,2050.0,8577.0,8
RC,490,Closure of vesicouterine fistula; with hysterectomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Closure of vesicovaginal fistula, abdominal approach ",,,2050.0,10719.0,11
RC,490,"Closure of vesicovaginal fistula, abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,2350.0,10719.0,9
RC,490,Closure of vesicovaginal fistula; vaginal approach ,,,2350.0,10719.0,9
RC,490,"Closure postauricular fistula, mastoid (separate procedure) ",,,2050.0,8727.0,11
RC,490,"Closure postauricular fistula, mastoid (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Closure, exstrophy of bladder ",,,2050.0,8577.0,8
RC,490,"Closure, exstrophy of bladder Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cochlear device implantation, with or without mastoidectomy ",,,2350.0,104011.0,12
RC,490,"Cochlear device implantation, with or without mastoidectomy Complex Surgery",,,11754.0,11754.0,2
RC,490,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,8577.0,8577.0,1
RC,490,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1423.0,3251.0,4
RC,490,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1982.0,4009.0,4
RC,490,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1982.0,4009.0,4
RC,490,Colorectal cancer screening; flexible sigmoidoscopy ,,,1982.0,4009.0,4
RC,490,Colpocentesis (separate procedure) ,,,2050.0,8727.0,11
RC,490,Colpocentesis (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Colpocleisis (Le Fort type) ,,,2050.0,10719.0,11
RC,490,Colpocleisis (Le Fort type) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,2350.0,8727.0,9
RC,490,"Colpopexy, abdominal approach ",,,2350.0,8727.0,9
RC,490,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,2350.0,13315.0,9
RC,490,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,2350.0,13315.0,9
RC,490,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,7493.0,7493.0,1
RC,490,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,2350.0,8727.0,9
RC,490,Colposcopy of the cervix including upper/adjacent vagina; ,,,1423.0,6802.0,11
RC,490,Colposcopy of the cervix including upper/adjacent vagina; Other Surgical Services,,,2850.0,2850.0,1
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,1423.0,6802.0,11
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Other Surgical Services,,,2850.0,2850.0,1
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,1423.0,6802.0,11
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Other Surgical Services,,,2850.0,2850.0,1
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,1423.0,6802.0,11
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage Other Surgical Services,,,2850.0,2850.0,1
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,2050.0,8727.0,11
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Other Surgical Services,,,2850.0,2850.0,1
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,2050.0,8727.0,11
RC,490,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Colposcopy of the entire vagina, with cervix if present; ",,,1423.0,6802.0,11
RC,490,"Colposcopy of the entire vagina, with cervix if present; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,1982.0,6802.0,11
RC,490,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Other Surgical Services",,,2850.0,2850.0,1
RC,490,Colposcopy of the vulva; ,,,1423.0,6802.0,11
RC,490,Colposcopy of the vulva; Other Surgical Services,,,2850.0,2850.0,1
RC,490,Colposcopy of the vulva; with biopsy(s) ,,,1423.0,6802.0,11
RC,490,Colposcopy of the vulva; with biopsy(s) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Colpotomy; with drainage of pelvic abscess ,,,2050.0,8727.0,11
RC,490,Colpotomy; with drainage of pelvic abscess Other Surgical Services,,,2850.0,2850.0,1
RC,490,Colpotomy; with exploration ,,,2050.0,8727.0,11
RC,490,Colpotomy; with exploration Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,2350.0,10719.0,9
RC,490,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,2350.0,13315.0,9
RC,490,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,490,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,490,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,1982.0,6802.0,11
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,1982.0,6802.0,11
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,1982.0,6802.0,12
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,1982.0,6802.0,11
RC,490,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,1423.0,6802.0,11
RC,490,"Complex uroflowmetry (eg, calibrated electronic equipment) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,19105.0,4
RC,490,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,19105.0,4
RC,490,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,8
RC,490,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,20
RC,490,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,8
RC,490,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,10
RC,490,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,2050.0,6802.0,9
RC,490,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,2050.0,8727.0,11
RC,490,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,2050.0,8727.0,11
RC,490,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision Other Surgical Services",,,2850.0,2850.0,1
RC,490,Conjunctival flap; bridge or partial (separate procedure) ,,,2050.0,10719.0,11
RC,490,Conjunctival flap; bridge or partial (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,2050.0,8727.0,11
RC,490,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,2050.0,8727.0,11
RC,490,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,2050.0,10719.0,11
RC,490,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Other Surgical Services",,,2850.0,2850.0,1
RC,490,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,2050.0,10719.0,11
RC,490,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,2050.0,8727.0,11
RC,490,Conjunctivoplasty; with conjunctival graft or extensive rearrangement Other Surgical Services,,,2850.0,2850.0,1
RC,490,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,2050.0,10719.0,11
RC,490,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Other Surgical Services,,,2850.0,2850.0,1
RC,490,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,2050.0,10719.0,11
RC,490,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube Other Surgical Services,,,2850.0,2850.0,1
RC,490,Construction of artificial vagina; with graft ,,,2350.0,10719.0,9
RC,490,Construction of artificial vagina; without graft ,,,2350.0,8727.0,9
RC,490,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,2050.0,8727.0,11
RC,490,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,2050.0,8727.0,11
RC,490,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,2050.0,8577.0,8
RC,490,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1423.0,3251.0,4
RC,490,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) ,,,1423.0,6802.0,11
RC,490,Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including i",,,1423.0,6802.0,12
RC,490,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2050.0,6802.0,11
RC,490,"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,8577.0,8577.0,1
RC,490,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,1982.0,6802.0,12
RC,490,"Cordocentesis (intrauterine), any method ",,,1423.0,6802.0,11
RC,490,"Cordocentesis (intrauterine), any method Other Surgical Services",,,2850.0,2850.0,1
RC,490,Corneal relaxing incision for correction of surgically induced astigmatism ,,,1982.0,6802.0,11
RC,490,Corneal relaxing incision for correction of surgically induced astigmatism Other Surgical Services,,,2850.0,2850.0,1
RC,490,Corneal wedge resection for correction of surgically induced astigmatism ,,,2050.0,8727.0,11
RC,490,Corneal wedge resection for correction of surgically induced astigmatism Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,2350.0,8577.0,6
RC,490,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,2350.0,10719.0,9
RC,490,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,2350.0,10719.0,9
RC,490,"Correction of everted punctum, cautery ",,,1423.0,6802.0,11
RC,490,"Correction of everted punctum, cautery Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,2050.0,8727.0,11
RC,490,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Correction of lid retraction ,,,2050.0,8727.0,11
RC,490,Correction of lid retraction Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,1423.0,6802.0,11
RC,490,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Correction of trichiasis; epilation, by forceps only ",,,1423.0,6802.0,11
RC,490,"Correction of trichiasis; epilation, by forceps only Other Surgical Services",,,2850.0,2850.0,1
RC,490,Correction of trichiasis; incision of lid margin ,,,1982.0,6802.0,11
RC,490,Correction of trichiasis; incision of lid margin Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,2050.0,8727.0,11
RC,490,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,1423.0,6802.0,8
RC,490,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,2350.0,15007.0,8
RC,490,Craniectomy for craniosynostosis; multiple cranial sutures ,,,2050.0,8577.0,8
RC,490,Craniectomy for craniosynostosis; multiple cranial sutures Other Surgical Services,,,2850.0,2850.0,1
RC,490,Craniectomy for craniosynostosis; single cranial suture ,,,2050.0,8577.0,8
RC,490,Craniectomy for craniosynostosis; single cranial suture Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,2050.0,8577.0,8
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,2050.0,8577.0,8
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,2050.0,8577.0,8
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,2050.0,8577.0,8
RC,490,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,2050.0,8577.0,8
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,2050.0,8577.0,8
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,2050.0,8577.0,8
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,2050.0,8577.0,8
RC,490,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,2050.0,8577.0,8
RC,490,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,2050.0,8577.0,8
RC,490,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy Other Surgi",,,2850.0,2850.0,1
RC,490,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,2050.0,8577.0,8
RC,490,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy Other Su",,,2850.0,2850.0,1
RC,490,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,2050.0,8577.0,8
RC,490,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,2050.0,8577.0,8
RC,490,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,2050.0,8577.0,8
RC,490,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy or craniotomy, exploratory; supratentorial ",,,2050.0,8577.0,8
RC,490,"Craniectomy or craniotomy, exploratory; supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,490,Craniectomy or craniotomy; with excision of foreign body from brain ,,,2050.0,8577.0,8
RC,490,Craniectomy or craniotomy; with excision of foreign body from brain Other Surgical Services,,,2850.0,2850.0,1
RC,490,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,2050.0,8577.0,8
RC,490,Craniectomy or craniotomy; with treatment of penetrating wound of brain Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,2050.0,8577.0,8
RC,490,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,2050.0,8577.0,8
RC,490,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,2050.0,8577.0,8
RC,490,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,2050.0,8577.0,8
RC,490,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,2050.0,8577.0,8
RC,490,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,2050.0,8577.0,8
RC,490,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,2050.0,8577.0,8
RC,490,"Craniectomy, suboccipital; for section of 1 or more cranial nerves Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,2050.0,8577.0,8
RC,490,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,2050.0,8577.0,8
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,2050.0,8577.0,8
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,2050.0,8577.0,8
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,2050.0,8577.0,8
RC,490,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial Other Surgical Services",,,2850.0,2850.0,1
RC,490,Craniectomy; for osteomyelitis ,,,2050.0,8577.0,8
RC,490,Craniectomy; for osteomyelitis Other Surgical Services,,,2850.0,2850.0,1
RC,490,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2050.0,15007.0,11
RC,490,Craniectomy; with excision of tumor or other bone lesion of skull Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,2050.0,8577.0,8
RC,490,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,2050.0,8577.0,8
RC,490,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,2050.0,8577.0,8
RC,490,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa Other Surgical Serv",,,2850.0,2850.0,1
RC,490,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,2050.0,8577.0,8
RC,490,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa Other Sur",,,2850.0,2850.0,1
RC,490,Cranioplasty for skull defect with reparative brain surgery ,,,2050.0,8577.0,8
RC,490,Cranioplasty for skull defect with reparative brain surgery Other Surgical Services,,,2850.0,2850.0,1
RC,490,Cranioplasty for skull defect; larger than 5 cm diameter ,,,2050.0,8577.0,8
RC,490,Cranioplasty for skull defect; larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Cranioplasty for skull defect; up to 5 cm diameter ,,,2050.0,8577.0,8
RC,490,Cranioplasty for skull defect; up to 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,2050.0,8577.0,8
RC,490,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,2050.0,8577.0,8
RC,490,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Craniotomy for craniosynostosis; bifrontal bone flap ,,,2050.0,8577.0,8
RC,490,Craniotomy for craniosynostosis; bifrontal bone flap Other Surgical Services,,,2850.0,2850.0,1
RC,490,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,2050.0,8577.0,8
RC,490,Craniotomy for craniosynostosis; frontal or parietal bone flap Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,2050.0,8577.0,8
RC,490,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,2050.0,8577.0,8
RC,490,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniotomy for repair of encephalocele, skull base ",,,2050.0,8577.0,8
RC,490,"Craniotomy for repair of encephalocele, skull base Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,2050.0,8577.0,8
RC,490,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,2050.0,8577.0,8
RC,490,Craniotomy with elevation of bone flap; for excision of craniopharyngioma Other Surgical Services,,,2850.0,2850.0,1
RC,490,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,2050.0,8577.0,8
RC,490,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery Other Surgical Services,,,2850.0,2850.0,1
RC,490,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,2050.0,8577.0,8
RC,490,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,2050.0,8577.0,8
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,2050.0,8577.0,8
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,2050.0,8577.0,8
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,2050.0,8577.0,8
RC,490,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,2050.0,8577.0,8
RC,490,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery Other Surgical Services",,,2850.0,2850.0,1
RC,490,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,2050.0,8577.0,8
RC,490,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,2050.0,8577.0,8
RC,490,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,2050.0,8577.0,8
RC,490,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,2050.0,8577.0,8
RC,490,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring Other Surgical Services",,,2850.0,2850.0,1
RC,490,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,2050.0,8577.0,8
RC,490,Craniotomy with elevation of bone flap; for transection of corpus callosum Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,2050.0,12863.0,11
RC,490,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,2050.0,8577.0,8
RC,490,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus Ot",,,2850.0,2850.0,1
RC,490,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,2050.0,8727.0,11
RC,490,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,2050.0,8727.0,11
RC,490,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,2350.0,8727.0,9
RC,490,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,2050.0,8577.0,8
RC,490,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,2050.0,12863.0,11
RC,490,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,2050.0,8577.0,8
RC,490,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,2050.0,8577.0,8
RC,490,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,2050.0,8577.0,8
RC,490,"Creation of shunt; ventriculo-atrial, -jugular, -auricular Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,2050.0,8577.0,8
RC,490,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus Other Surgical Services",,,2850.0,2850.0,1
RC,490,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,2050.0,14379.0,14
RC,490,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Complex Surgery,,,11754.0,11754.0,2
RC,490,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Curettage, postpartum ",,,2050.0,8727.0,11
RC,490,"Curettage, postpartum Other Surgical Services",,,2850.0,2850.0,1
RC,490,Cutaneous appendico-vesicostomy ,,,2050.0,8577.0,8
RC,490,Cutaneous appendico-vesicostomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,Cutaneous vesicostomy ,,,2050.0,8727.0,11
RC,490,Cutaneous vesicostomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,2050.0,8577.0,8
RC,490,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,2050.0,8577.0,8
RC,490,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2050.0,8577.0,8
RC,490,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes O",,,2850.0,2850.0,1
RC,490,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,2050.0,8577.0,8
RC,490,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2050.0,8577.0,8
RC,490,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Other Surgical S",,,2850.0,2850.0,1
RC,490,"Cystectomy, complete; (separate procedure) ",,,2050.0,8577.0,8
RC,490,"Cystectomy, complete; (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2050.0,8577.0,8
RC,490,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,2050.0,8577.0,8
RC,490,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,2050.0,8577.0,8
RC,490,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystectomy, partial; simple ",,,2050.0,8577.0,8
RC,490,"Cystectomy, partial; simple Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,2050.0,8727.0,11
RC,490,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2050.0,8577.0,9
RC,490,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,2050.0,10719.0,11
RC,490,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,2050.0,8727.0,11
RC,490,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystostomy, cystotomy with drainage ",,,2050.0,8727.0,11
RC,490,"Cystostomy, cystotomy with drainage Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystotomy for excision, incision, or repair of ureterocele ",,,2050.0,8727.0,11
RC,490,"Cystotomy for excision, incision, or repair of ureterocele Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,2050.0,8727.0,11
RC,490,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material Other Surgical Services",,,2850.0,2850.0,1
RC,490,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,5360.0,8727.0,3
RC,490,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,2050.0,8727.0,11
RC,490,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,1982.0,6802.0,11
RC,490,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,2050.0,10719.0,11
RC,490,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Cystotomy; for excision of bladder tumor ,,,2050.0,10719.0,11
RC,490,Cystotomy; for excision of bladder tumor Other Surgical Services,,,2850.0,2850.0,1
RC,490,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,2050.0,8727.0,11
RC,490,Cystotomy; for simple excision of vesical neck (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2050.0,8577.0,8
RC,490,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,2350.0,15409.0,10
RC,490,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,2350.0,13830.0,12
RC,490,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Complex Surgery",,,11754.0,11754.0,2
RC,490,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,2350.0,13830.0,12
RC,490,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Complex Surgery,,,11754.0,11754.0,2
RC,490,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,2350.0,13830.0,12
RC,490,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Complex Surgery,,,11754.0,11754.0,2
RC,490,Cystourethroscopy (separate procedure) ,,,1982.0,6802.0,9
RC,490,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,2350.0,6802.0,8
RC,490,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,8577.0,8577.0,1
RC,490,Cystourethroscopy with direct vision internal urethrotomy ,,,2350.0,8727.0,8
RC,490,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,2050.0,8727.0,10
RC,490,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds Other Surgical Services",,,2850.0,2850.0,1
RC,490,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,2050.0,7493.0,8
RC,490,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,2350.0,53068.0,8
RC,490,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2050.0,7493.0,8
RC,490,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,2350.0,13830.0,12
RC,490,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Complex Surgery",,,11754.0,11754.0,2
RC,490,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,2350.0,6802.0,8
RC,490,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,2050.0,8727.0,10
RC,490,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,490,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,490,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,490,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,8577.0,8577.0,1
RC,490,"Cystourethroscopy, with biopsy(s) ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,2350.0,6802.0,8
RC,490,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,2350.0,6802.0,8
RC,490,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,1982.0,6802.0,8
RC,490,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,1982.0,6802.0,8
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,2350.0,6802.0,8
RC,490,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder Complex Surgery",,,11754.0,11754.0,2
RC,490,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2350.0,13830.0,12
RC,490,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,1423.0,6802.0,11
RC,490,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1423.0,6802.0,10
RC,490,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystourethroscopy, with insertion of permanent urethral stent ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5360.0,8727.0,4
RC,490,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,10737.0,15007.0,4
RC,490,"Cystourethroscopy, with internal urethrotomy; female ",,,2350.0,6802.0,8
RC,490,"Cystourethroscopy, with internal urethrotomy; male ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,2350.0,7493.0,5
RC,490,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,2350.0,6802.0,8
RC,490,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy, with steroid injection into stricture ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,7493.0,7493.0,1
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,7493.0,7493.0,1
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,2350.0,13830.0,12
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Complex Surgery",,,11754.0,11754.0,2
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,2350.0,13830.0,12
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion Complex Surgery",,,11754.0,11754.0,2
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2702.0,15409.0,6
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2050.0,15409.0,14
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,2350.0,13830.0,12
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,2350.0,13830.0,12
RC,490,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Complex Surgery",,,11754.0,11754.0,2
RC,490,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,2350.0,8727.0,8
RC,490,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,490,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,490,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,2350.0,13830.0,12
RC,490,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,2350.0,8727.0,8
RC,490,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,2050.0,10719.0,11
RC,490,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,1423.0,3251.0,8
RC,490,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,2143.0,2143.0,1
RC,490,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,8577.0,8577.0,1
RC,490,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,1982.0,6802.0,11
RC,490,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,1423.0,6802.0,11
RC,490,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,2050.0,13315.0,11
RC,490,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,2050.0,13315.0,11
RC,490,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,490,Decompression internal auditory canal ,,,2050.0,13315.0,11
RC,490,Decompression internal auditory canal Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Decompression of orbit only, transcranial approach ",,,2050.0,13315.0,11
RC,490,"Decompression of orbit only, transcranial approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,2050.0,10719.0,12
RC,490,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,2050.0,6802.0,9
RC,490,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,2050.0,15007.0,9
RC,490,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,2050.0,7493.0,8
RC,490,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,490,Decompression; plantar digital nerve ,,,2050.0,8727.0,11
RC,490,Decompression; plantar digital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,Decompression; unspecified nerve(s) (specify) ,,,2050.0,8727.0,11
RC,490,Decompression; unspecified nerve(s) (specify) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Decoronation or submergence of an erupted tooth ,,,8577.0,8577.0,1
RC,490,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter ,,,2050.0,6802.0,11
RC,490,Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Deligation of ureter ,,,2050.0,8577.0,8
RC,490,Deligation of ureter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Delivery of placenta (separate procedure) ,,,2050.0,8727.0,11
RC,490,Delivery of placenta (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2820.0,5414.0,3
RC,490,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,2050.0,7493.0,8
RC,490,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction by neurolytic agent, intercostal nerve ",,,2050.0,8727.0,11
RC,490,"Destruction by neurolytic agent, intercostal nerve Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,1423.0,6802.0,12
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,2050.0,8727.0,11
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,1423.0,6802.0,12
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,2050.0,8727.0,11
RC,490,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,2050.0,8727.0,11
RC,490,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,2050.0,8727.0,11
RC,490,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,2050.0,8727.0,11
RC,490,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,2050.0,8727.0,11
RC,490,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,1982.0,6802.0,11
RC,490,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus Other Surgical Services",,,2850.0,2850.0,1
RC,490,Destruction by neurolytic agent; other peripheral nerve or branch ,,,1982.0,6802.0,11
RC,490,Destruction by neurolytic agent; other peripheral nerve or branch Other Surgical Services,,,2850.0,2850.0,1
RC,490,Destruction by neurolytic agent; plantar common digital nerve ,,,1423.0,6802.0,11
RC,490,Destruction by neurolytic agent; plantar common digital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,Destruction by neurolytic agent; pudendal nerve ,,,1982.0,6802.0,11
RC,490,Destruction by neurolytic agent; pudendal nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,1982.0,6802.0,11
RC,490,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,2350.0,13830.0,12
RC,490,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,490,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,1423.0,6802.0,10
RC,490,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization Other Surgical Services",,,2850.0,2850.0,1
RC,490,Destruction of lesion of lid margin (up to 1 cm) ,,,1982.0,6802.0,11
RC,490,Destruction of lesion of lid margin (up to 1 cm) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,6802.0,11
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,6802.0,11
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,6802.0,11
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2050.0,6802.0,11
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2050.0,6802.0,11
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2050.0,6802.0,11
RC,490,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,6802.0,11
RC,490,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,6802.0,11
RC,490,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction of lesion, conjunctiva ",,,2050.0,8727.0,11
RC,490,"Destruction of lesion, conjunctiva Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,1982.0,13830.0,12
RC,490,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions Complex Surgery",,,11754.0,11754.0,2
RC,490,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,1982.0,13830.0,12
RC,490,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1423.0,13830.0,12
RC,490,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) Compl",,,11754.0,11754.0,2
RC,490,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1982.0,4009.0,3
RC,490,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,1423.0,13830.0,12
RC,490,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,490,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,1982.0,13830.0,12
RC,490,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,490,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,2350.0,13830.0,12
RC,490,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,8727.0,11
RC,490,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2050.0,8727.0,11
RC,490,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,8577.0,8577.0,1
RC,490,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8577.0,8577.0,4
RC,490,Diaphragm or cervical cap fitting with instructions ,,,1423.0,6802.0,11
RC,490,Diaphragm or cervical cap fitting with instructions Other Surgical Services,,,2850.0,2850.0,1
RC,490,Dilation and curettage of cervical stump ,,,2050.0,8727.0,11
RC,490,Dilation and curettage of cervical stump Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,2050.0,8727.0,11
RC,490,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Dilation of cervical canal, instrumental (separate procedure) ",,,2050.0,8727.0,11
RC,490,"Dilation of cervical canal, instrumental (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,2050.0,10719.0,18
RC,490,Dilation of female urethra including suppository and/or instillation; initial ,,,1423.0,6802.0,11
RC,490,Dilation of female urethra including suppository and/or instillation; initial Other Surgical Services,,,2850.0,2850.0,1
RC,490,Dilation of female urethra including suppository and/or instillation; subsequent ,,,1423.0,6802.0,11
RC,490,Dilation of female urethra including suppository and/or instillation; subsequent Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,2050.0,8727.0,11
RC,490,"Dilation of female urethra, general or conduction (spinal) anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Dilation of lacrimal punctum, with or without irrigation ",,,1423.0,6802.0,11
RC,490,"Dilation of lacrimal punctum, with or without irrigation Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,1982.0,6802.0,11
RC,490,"Dilation of urethral stricture by passage of filiform and follower, male; initial Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,1423.0,6802.0,11
RC,490,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,1423.0,6802.0,11
RC,490,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,1423.0,6802.0,11
RC,490,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,2050.0,6802.0,11
RC,490,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,490,Dilation of vagina under anesthesia (other than local) ,,,2050.0,8727.0,11
RC,490,Dilation of vagina under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1423.0,6802.0,9
RC,490,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,2350.0,15007.0,8
RC,490,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,2350.0,8577.0,6
RC,490,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,2350.0,8577.0,6
RC,490,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,1982.0,6802.0,11
RC,490,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,1423.0,6802.0,11
RC,490,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Discission of vitreous strands (without removal), pars plana approach ",,,2350.0,8727.0,8
RC,490,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,2050.0,8577.0,8
RC,490,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Donor nephrectomy (including cold preservation); open, from living donor ",,,2050.0,8577.0,8
RC,490,"Donor nephrectomy (including cold preservation); open, from living donor Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Drainage external auditory canal, abscess ",,,1423.0,6802.0,11
RC,490,"Drainage external auditory canal, abscess Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Drainage external ear, abscess or hematoma; complicated ",,,2050.0,6802.0,11
RC,490,"Drainage external ear, abscess or hematoma; complicated Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Drainage external ear, abscess or hematoma; simple ",,,1423.0,6802.0,11
RC,490,"Drainage external ear, abscess or hematoma; simple Other Surgical Services",,,2850.0,2850.0,1
RC,490,Drainage of Skene's gland abscess or cyst ,,,2050.0,8727.0,11
RC,490,Drainage of Skene's gland abscess or cyst Other Surgical Services,,,2850.0,2850.0,1
RC,490,Drainage of deep periurethral abscess ,,,2050.0,8727.0,11
RC,490,Drainage of deep periurethral abscess Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open ",,,2050.0,8577.0,8
RC,490,"Drainage of extraperitoneal lymphocele to peritoneal cavity, open Other Surgical Services",,,2850.0,2850.0,1
RC,490,Drainage of ovarian abscess; abdominal approach ,,,2050.0,10719.0,11
RC,490,Drainage of ovarian abscess; abdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Drainage of ovarian abscess; vaginal approach, open ",,,2050.0,8727.0,11
RC,490,"Drainage of ovarian abscess; vaginal approach, open Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,2050.0,8727.0,11
RC,490,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,2050.0,8727.0,11
RC,490,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,Drainage of perineal urinary extravasation; complicated ,,,2050.0,8727.0,11
RC,490,Drainage of perineal urinary extravasation; complicated Other Surgical Services,,,2850.0,2850.0,1
RC,490,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,2050.0,8727.0,11
RC,490,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Drainage of perirenal or renal abscess, open ",,,2050.0,8727.0,11
RC,490,"Drainage of perirenal or renal abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open ",,,2050.0,8577.0,8
RC,490,"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,490,Drainage of perivesical or prevesical space abscess ,,,2050.0,8727.0,11
RC,490,Drainage of perivesical or prevesical space abscess Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Drainage of retroperitoneal abscess, open ",,,2050.0,8577.0,8
RC,490,"Drainage of retroperitoneal abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,490,Drainage of scrotal wall abscess ,,,2050.0,6802.0,11
RC,490,Drainage of scrotal wall abscess Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Drainage of subdiaphragmatic or subphrenic abscess, open ",,,2050.0,8577.0,8
RC,490,"Drainage of subdiaphragmatic or subphrenic abscess, open Other Surgical Services",,,2850.0,2850.0,1
RC,490,Duodenal motility (manometric) study ,,,1423.0,3251.0,4
RC,490,"Dural graft, spinal ",,,2050.0,8577.0,8
RC,490,"Dural graft, spinal Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,2050.0,6802.0,11
RC,490,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Ear piercing ,,,2050.0,8577.0,8
RC,490,Ear piercing Other Surgical Services,,,2850.0,2850.0,1
RC,490,Electroejaculation ,,,1982.0,6802.0,11
RC,490,Electroejaculation Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Electrogastrography, diagnostic, transcutaneous; ",,,1423.0,3251.0,4
RC,490,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1423.0,3251.0,4
RC,490,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,1423.0,6802.0,11
RC,490,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,1423.0,6802.0,11
RC,490,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming Othe",,,2850.0,2850.0,1
RC,490,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,1423.0,6802.0,24
RC,490,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,1423.0,6802.0,12
RC,490,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1423.0,23692.0,18
RC,490,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2820.0,17341.0,7
RC,490,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1423.0,17341.0,7
RC,490,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,8
RC,490,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,2050.0,8577.0,8
RC,490,"Elevation of depressed skull fracture; compound or comminuted, extradural Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Elevation of depressed skull fracture; simple, extradural ",,,2050.0,13315.0,11
RC,490,"Elevation of depressed skull fracture; simple, extradural Other Surgical Services",,,2850.0,2850.0,1
RC,490,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,2050.0,8577.0,8
RC,490,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Embryo transfer, intrauterine ",,,1982.0,6802.0,11
RC,490,"Embryo transfer, intrauterine Other Surgical Services",,,2850.0,2850.0,1
RC,490,Endocervical curettage (not done as part of a dilation and curettage) ,,,1982.0,6802.0,11
RC,490,Endocervical curettage (not done as part of a dilation and curettage) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,1423.0,6802.0,12
RC,490,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1423.0,17341.0,14
RC,490,Endolymphatic sac operation; with shunt ,,,2050.0,13315.0,11
RC,490,Endolymphatic sac operation; with shunt Other Surgical Services,,,2850.0,2850.0,1
RC,490,Endolymphatic sac operation; without shunt ,,,2050.0,13315.0,11
RC,490,Endolymphatic sac operation; without shunt Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,2350.0,13830.0,12
RC,490,"Endometrial ablation, thermal, without hysteroscopic guidance Complex Surgery",,,11754.0,11754.0,2
RC,490,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,2350.0,13830.0,13
RC,490,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Complex Surgery",,,11754.0,11754.0,2
RC,490,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,490,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,1423.0,6802.0,11
RC,490,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Endomyocardial biopsy ,,,5360.0,10719.0,4
RC,490,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,490,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,490,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2050.0,15007.0,11
RC,490,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar Other",,,2850.0,2850.0,1
RC,490,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,15007.0,15007.0,1
RC,490,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,2050.0,10719.0,11
RC,490,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,15007.0,15007.0,1
RC,490,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,490,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,8577.0,8577.0,1
RC,490,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,8577.0,8577.0,1
RC,490,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,490,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,7493.0,7493.0,1
RC,490,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,2050.0,11462.0,9
RC,490,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,2050.0,11462.0,9
RC,490,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2050.0,19295.0,12
RC,490,"Enterocystoplasty, including intestinal anastomosis ",,,2050.0,8577.0,8
RC,490,"Enterocystoplasty, including intestinal anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Enucleation of eye; with implant, muscles attached to implant ",,,2050.0,10719.0,11
RC,490,"Enucleation of eye; with implant, muscles attached to implant Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Enucleation of eye; with implant, muscles not attached to implant ",,,2050.0,10719.0,11
RC,490,"Enucleation of eye; with implant, muscles not attached to implant Other Surgical Services",,,2850.0,2850.0,1
RC,490,Enucleation of eye; without implant ,,,2050.0,10719.0,11
RC,490,Enucleation of eye; without implant Other Surgical Services,,,2850.0,2850.0,1
RC,490,Epididymectomy; bilateral ,,,2050.0,8727.0,11
RC,490,Epididymectomy; bilateral Other Surgical Services,,,2850.0,2850.0,1
RC,490,Epididymectomy; unilateral ,,,2050.0,8727.0,11
RC,490,Epididymectomy; unilateral Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,2050.0,8727.0,11
RC,490,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,2050.0,8727.0,11
RC,490,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,490,Epikeratoplasty ,,,2050.0,8727.0,11
RC,490,Epikeratoplasty Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Episiotomy or vaginal repair, by other than attending ",,,2050.0,8727.0,11
RC,490,"Episiotomy or vaginal repair, by other than attending Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1423.0,3251.0,4
RC,490,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1423.0,3251.0,4
RC,490,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1423.0,3251.0,4
RC,490,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1423.0,3251.0,4
RC,490,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1423.0,3251.0,4
RC,490,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,7493.0,7493.0,1
RC,490,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,19105.0,4
RC,490,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,19105.0,4
RC,490,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1423.0,3251.0,4
RC,490,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1423.0,4009.0,4
RC,490,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1423.0,3251.0,4
RC,490,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1423.0,17341.0,7
RC,490,Evisceration of ocular contents; with implant ,,,2050.0,10719.0,11
RC,490,Evisceration of ocular contents; with implant Other Surgical Services,,,2850.0,2850.0,1
RC,490,Evisceration of ocular contents; without implant ,,,2050.0,10719.0,11
RC,490,Evisceration of ocular contents; without implant Other Surgical Services,,,2850.0,2850.0,1
RC,490,Exc biopsy of saliv glands ,,,8577.0,8577.0,1
RC,490,Excavation of a tooth resulting in the determination of non-restorability ,,,8577.0,8577.0,1
RC,490,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,1982.0,6802.0,12
RC,490,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,8577.0,8577.0,1
RC,490,Exchange of intraocular lens ,,,2050.0,8727.0,11
RC,490,Exchange of intraocular lens Other Surgical Services,,,2850.0,2850.0,1
RC,490,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) ,,,2050.0,6802.0,11
RC,490,Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,2050.0,8727.0,24
RC,490,Excision aural glomus tumor; extended (extratemporal) ,,,2050.0,8577.0,8
RC,490,Excision aural glomus tumor; extended (extratemporal) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision aural glomus tumor; transcanal ,,,2050.0,13315.0,11
RC,490,Excision aural glomus tumor; transcanal Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision aural glomus tumor; transmastoid ,,,2050.0,13315.0,11
RC,490,Excision aural glomus tumor; transmastoid Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision aural polyp ,,,2050.0,6802.0,11
RC,490,Excision aural polyp Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision exostosis(es), external auditory canal ",,,2050.0,8727.0,11
RC,490,"Excision exostosis(es), external auditory canal Other Surgical Services",,,2850.0,2850.0,1
RC,490,Excision external ear; complete amputation ,,,2050.0,8727.0,11
RC,490,Excision external ear; complete amputation Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision external ear; partial, simple repair ",,,2050.0,6802.0,11
RC,490,"Excision external ear; partial, simple repair Other Surgical Services",,,2850.0,2850.0,1
RC,490,Excision of Bartholin's gland or cyst ,,,2050.0,8727.0,11
RC,490,Excision of Bartholin's gland or cyst Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of Mullerian duct cyst ,,,2050.0,8727.0,11
RC,490,Excision of Mullerian duct cyst Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of bulbourethral gland (Cowper's gland) ,,,2050.0,8727.0,11
RC,490,Excision of bulbourethral gland (Cowper's gland) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of carotid body tumor; with excision of carotid artery ,,,2050.0,8577.0,8
RC,490,Excision of carotid body tumor; with excision of carotid artery Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of carotid body tumor; without excision of carotid artery ,,,2050.0,8577.0,8
RC,490,Excision of carotid body tumor; without excision of carotid artery Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision of cervical stump, abdominal approach; ",,,2050.0,8577.0,8
RC,490,"Excision of cervical stump, abdominal approach; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,2050.0,8577.0,8
RC,490,"Excision of cervical stump, abdominal approach; with pelvic floor repair Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of cervical stump, vaginal approach; ",,,2050.0,8727.0,11
RC,490,"Excision of cervical stump, vaginal approach; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,2050.0,10719.0,11
RC,490,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,2050.0,13315.0,11
RC,490,"Excision of cervical stump, vaginal approach; with repair of enterocele Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of chalazion; multiple, different lids ",,,1423.0,6802.0,11
RC,490,"Excision of chalazion; multiple, different lids Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of chalazion; multiple, same lid ",,,1982.0,6802.0,11
RC,490,"Excision of chalazion; multiple, same lid Other Surgical Services",,,2850.0,2850.0,1
RC,490,Excision of chalazion; single ,,,1423.0,6802.0,11
RC,490,Excision of chalazion; single Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,2050.0,8727.0,11
RC,490,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,2050.0,15007.0,11
RC,490,"Excision of cyst or adenoma of thyroid, or transection of isthmus Other Surgical Services",,,2850.0,2850.0,1
RC,490,Excision of extraparenchymal lesion of testis ,,,2050.0,8727.0,11
RC,490,Excision of extraparenchymal lesion of testis Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,2050.0,10719.0,11
RC,490,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Excision of hydrocele; bilateral ,,,2050.0,10719.0,11
RC,490,Excision of hydrocele; bilateral Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of hydrocele; unilateral ,,,2050.0,10719.0,11
RC,490,Excision of hydrocele; unilateral Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,2050.0,10719.0,11
RC,490,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,2050.0,10719.0,11
RC,490,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Other Surgical Services",,,2850.0,2850.0,1
RC,490,Excision of lacrimal gland tumor; frontal approach ,,,2050.0,8727.0,11
RC,490,Excision of lacrimal gland tumor; frontal approach Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of lacrimal gland tumor; involving osteotomy ,,,2050.0,10719.0,11
RC,490,Excision of lacrimal gland tumor; involving osteotomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of lacrimal sac (dacryocystectomy) ,,,2050.0,10719.0,11
RC,490,Excision of lacrimal sac (dacryocystectomy) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,1982.0,6802.0,11
RC,490,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of lesion of spermatic cord (separate procedure) ,,,2050.0,8727.0,11
RC,490,Excision of lesion of spermatic cord (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision of lesion, conjunctiva; over 1 cm ",,,2050.0,8727.0,11
RC,490,"Excision of lesion, conjunctiva; over 1 cm Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of lesion, conjunctiva; up to 1 cm ",,,2050.0,8727.0,11
RC,490,"Excision of lesion, conjunctiva; up to 1 cm Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of lesion, conjunctiva; with adjacent sclera ",,,2050.0,8727.0,11
RC,490,"Excision of lesion, conjunctiva; with adjacent sclera Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,1982.0,6802.0,11
RC,490,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of lesion, sclera ",,,2050.0,8727.0,11
RC,490,"Excision of lesion, sclera Other Surgical Services",,,2850.0,2850.0,1
RC,490,Excision of local lesion of epididymis ,,,2050.0,8727.0,11
RC,490,Excision of local lesion of epididymis Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,8577.0,8577.0,1
RC,490,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,2050.0,8727.0,11
RC,490,Excision of neurofibroma or neurolemmoma; cutaneous nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,2050.0,12863.0,11
RC,490,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,2050.0,8727.0,11
RC,490,Excision of neurofibroma or neurolemmoma; major peripheral nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,2050.0,8727.0,11
RC,490,"Excision of neuroma; cutaneous nerve, surgically identifiable Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,2050.0,8727.0,11
RC,490,"Excision of neuroma; digital nerve, 1 or both, same digit Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of neuroma; hand or foot, except digital nerve ",,,2050.0,8727.0,11
RC,490,"Excision of neuroma; hand or foot, except digital nerve Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision of neuroma; major peripheral nerve, except sciatic ",,,2050.0,8727.0,11
RC,490,"Excision of neuroma; major peripheral nerve, except sciatic Other Surgical Services",,,2850.0,2850.0,1
RC,490,Excision of neuroma; sciatic nerve ,,,2050.0,12863.0,11
RC,490,Excision of neuroma; sciatic nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of penile plaque (Peyronie disease); ,,,2050.0,13315.0,11
RC,490,Excision of penile plaque (Peyronie disease); Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,2050.0,13315.0,11
RC,490,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,2050.0,13315.0,11
RC,490,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of perinephric cyst ,,,2050.0,8577.0,8
RC,490,Excision of perinephric cyst Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of presacral or sacrococcygeal tumor ,,,2050.0,8577.0,8
RC,490,Excision of presacral or sacrococcygeal tumor Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision of spermatocele, with or without epididymectomy ",,,2050.0,8727.0,11
RC,490,"Excision of spermatocele, with or without epididymectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,Excision of thyroglossal duct cyst or sinus; ,,,2050.0,15007.0,11
RC,490,Excision of thyroglossal duct cyst or sinus; Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of thyroglossal duct cyst or sinus; recurrent ,,,2050.0,15007.0,11
RC,490,Excision of thyroglossal duct cyst or sinus; recurrent Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,2050.0,10719.0,11
RC,490,"Excision of urachal cyst or sinus, with or without umbilical hernia repair Other Surgical Services",,,2850.0,2850.0,1
RC,490,Excision of urethral diverticulum (separate procedure); female ,,,2050.0,10719.0,11
RC,490,Excision of urethral diverticulum (separate procedure); female Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of urethral diverticulum (separate procedure); male ,,,2050.0,8727.0,11
RC,490,Excision of urethral diverticulum (separate procedure); male Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of vaginal cyst or tumor ,,,2050.0,8727.0,11
RC,490,Excision of vaginal cyst or tumor Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of vaginal septum ,,,2050.0,8727.0,11
RC,490,Excision of vaginal septum Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,2050.0,8727.0,11
RC,490,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,2050.0,10719.0,11
RC,490,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,2050.0,10719.0,11
RC,490,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm ",,,2050.0,7493.0,9
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm ",,,2050.0,10719.0,9
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less ",,,2050.0,7493.0,8
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less O",,,2850.0,2850.0,1
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm ",,,2050.0,7493.0,8
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm O",,,2850.0,2850.0,1
RC,490,"Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 3",,,2050.0,10719.0,9
RC,490,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less ",,,5360.0,8727.0,3
RC,490,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter ",,,10737.0,13315.0,3
RC,490,"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diam",,,10737.0,13315.0,3
RC,490,Excision or fulguration of carcinoma of urethra ,,,2050.0,10719.0,11
RC,490,Excision or fulguration of carcinoma of urethra Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision or fulguration; Skene's glands ,,,2050.0,8727.0,11
RC,490,Excision or fulguration; Skene's glands Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision or fulguration; urethral caruncle ,,,2050.0,8727.0,11
RC,490,Excision or fulguration; urethral caruncle Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision or fulguration; urethral polyp(s), distal urethra ",,,2050.0,8727.0,11
RC,490,"Excision or fulguration; urethral polyp(s), distal urethra Other Surgical Services",,,2850.0,2850.0,1
RC,490,Excision or fulguration; urethral prolapse ,,,2050.0,8727.0,11
RC,490,Excision or fulguration; urethral prolapse Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision or transposition of pterygium; with graft ,,,2050.0,8727.0,11
RC,490,Excision or transposition of pterygium; with graft Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision or transposition of pterygium; without graft ,,,2050.0,8727.0,11
RC,490,Excision or transposition of pterygium; without graft Other Surgical Services,,,2850.0,2850.0,1
RC,490,Excision or unroofing of cyst(s) of kidney ,,,2050.0,8577.0,8
RC,490,Excision or unroofing of cyst(s) of kidney Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Excision soft tissue lesion, external auditory canal ",,,2050.0,6802.0,11
RC,490,"Excision soft tissue lesion, external auditory canal Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,2050.0,8577.0,8
RC,490,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,2050.0,8577.0,8
RC,490,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,2050.0,10719.0,11
RC,490,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,2050.0,10719.0,11
RC,490,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,2050.0,10719.0,11
RC,490,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone Other Surgical Services",,,2850.0,2850.0,1
RC,490,Exploration for undescended testis (inguinal or scrotal area) ,,,2050.0,10719.0,11
RC,490,Exploration for undescended testis (inguinal or scrotal area) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Exploration for undescended testis with abdominal exploration ,,,2050.0,8727.0,11
RC,490,Exploration for undescended testis with abdominal exploration Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Exploration of epididymis, with or without biopsy ",,,2050.0,8727.0,11
RC,490,"Exploration of epididymis, with or without biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Exploration of orbit (transcranial approach), with removal of lesion ",,,2050.0,8577.0,8
RC,490,"Exploration of orbit (transcranial approach), with removal of lesion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) ",,,2050.0,10719.0,8
RC,490,"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) ",,,2050.0,10719.0,11
RC,490,"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,2050.0,53068.0,10
RC,490,"Exposure of prostate, any approach, for insertion of radioactive substance; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2050.0,53068.0,7
RC,490,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2050.0,53068.0,7
RC,490,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Expression of conjunctival follicles (eg, for trachoma) ",,,1423.0,6802.0,11
RC,490,"Expression of conjunctival follicles (eg, for trachoma) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,2050.0,8577.0,8
RC,490,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,2050.0,8577.0,9
RC,490,"External cephalic version, with or without tocolysis ",,,2050.0,8727.0,11
RC,490,"External cephalic version, with or without tocolysis Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2050.0,12863.0,9
RC,490,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2050.0,12863.0,9
RC,490,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,2050.0,8727.0,12
RC,490,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,2050.0,12863.0,30
RC,490,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,490,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,8577.0,8577.0,1
RC,490,Fetal contraction stress test ,,,1423.0,6802.0,11
RC,490,Fetal contraction stress test Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,1423.0,6802.0,11
RC,490,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,2050.0,8577.0,8
RC,490,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,1423.0,6802.0,11
RC,490,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation Other Surgical Services",,,2850.0,2850.0,1
RC,490,Fetal non-stress test ,,,1423.0,6802.0,11
RC,490,Fetal non-stress test Other Surgical Services,,,2850.0,2850.0,1
RC,490,Fetal scalp blood sampling ,,,1423.0,6802.0,11
RC,490,Fetal scalp blood sampling Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Fetal shunt placement, including ultrasound guidance ",,,1423.0,6802.0,11
RC,490,"Fetal shunt placement, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,1423.0,6802.0,11
RC,490,"Fetal umbilical cord occlusion, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,490,Fimbrioplasty ,,,2050.0,10719.0,11
RC,490,Fimbrioplasty Other Surgical Services,,,2850.0,2850.0,1
RC,490,Fine needle aspiration of orbital contents ,,,2050.0,8727.0,11
RC,490,Fine needle aspiration of orbital contents Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,2050.0,8727.0,11
RC,490,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,2050.0,8727.0,11
RC,490,Fistulization of sclera for glaucoma; thermocauterization with iridectomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,2050.0,8727.0,11
RC,490,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery Other Surgical Services,,,2850.0,2850.0,1
RC,490,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,2050.0,8727.0,11
RC,490,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,2050.0,8727.0,11
RC,490,Fistulization of sclera for glaucoma; trephination with iridectomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,Fitting and insertion of pessary or other intravaginal support device ,,,1423.0,6802.0,11
RC,490,Fitting and insertion of pessary or other intravaginal support device Other Surgical Services,,,2850.0,2850.0,1
RC,490,Fixation of contralateral testis (separate procedure) ,,,2050.0,8727.0,11
RC,490,Fixation of contralateral testis (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,5360.0,8727.0,3
RC,490,"Follicle puncture for oocyte retrieval, any method ",,,1982.0,6802.0,11
RC,490,"Follicle puncture for oocyte retrieval, any method Other Surgical Services",,,2850.0,2850.0,1
RC,490,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,1423.0,6802.0,11
RC,490,Foreskin manipulation including lysis of preputial adhesions and stretching Other Surgical Services,,,2850.0,2850.0,1
RC,490,Free omental flap with microvascular anastomosis ,,,2050.0,8577.0,8
RC,490,Free omental flap with microvascular anastomosis Other Surgical Services,,,2850.0,2850.0,1
RC,490,Frenulotomy of penis ,,,2050.0,8727.0,11
RC,490,Frenulotomy of penis Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,1423.0,6802.0,11
RC,490,"Gamete, zygote, or embryo intrafallopian transfer, any method Other Surgical Services",,,2850.0,2850.0,1
RC,490,Gastric motility (manometric) studies ,,,1423.0,3251.0,4
RC,490,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2820.0,5568.0,4
RC,490,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2820.0,5568.0,4
RC,490,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2820.0,5568.0,4
RC,490,Goniotomy ,,,2050.0,8727.0,11
RC,490,Goniotomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,490,"Guided tissue regeneration - resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,490,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,8577.0,8577.0,1
RC,490,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,8577.0,8577.0,1
RC,490,HFenestration semicircular canal ,,,10737.0,13315.0,3
RC,490,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,5360.0,8727.0,3
RC,490,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,10737.0,72171.0,4
RC,490,HRevision fenestration operation ,,,10737.0,13315.0,3
RC,490,"Harvesting conjunctival allograft, living donor ",,,2050.0,8727.0,11
RC,490,"Harvesting conjunctival allograft, living donor Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Hymenotomy, simple incision ",,,2050.0,8727.0,11
RC,490,"Hymenotomy, simple incision Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,2050.0,8577.0,8
RC,490,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,2050.0,8577.0,8
RC,490,"Hysteroplasty, repair of uterine anomaly (Strassman type) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Hysterorrhaphy of ruptured uterus ,,,2050.0,6802.0,7
RC,490,Hysterorrhaphy of ruptured uterus Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,2050.0,8577.0,8
RC,490,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Hysteroscopy, diagnostic (separate procedure) ",,,2350.0,13830.0,12
RC,490,"Hysteroscopy, diagnostic (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,2350.0,13830.0,12
RC,490,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Complex Surgery",,,11754.0,11754.0,2
RC,490,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,2350.0,13830.0,12
RC,490,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,2350.0,13830.0,12
RC,490,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,2350.0,13830.0,12
RC,490,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,2350.0,13830.0,12
RC,490,"Hysteroscopy, surgical; with removal of impacted foreign body Complex Surgery",,,11754.0,11754.0,2
RC,490,"Hysteroscopy, surgical; with removal of leiomyomata ",,,2350.0,13830.0,12
RC,490,"Hysteroscopy, surgical; with removal of leiomyomata Complex Surgery",,,11754.0,11754.0,2
RC,490,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,2350.0,13830.0,13
RC,490,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Complex Surgery",,,11754.0,11754.0,2
RC,490,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,2050.0,8727.0,11
RC,490,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) Other Surgical Services",,,2850.0,2850.0,1
RC,490,IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR OR MESH FOR CLOSURE OF DEBRIDEMENT FOR NECROTIZING SOFT TISSUE INFECTION (LIST SEPARATELY IN ADDITION TO CODE FOR ,,,1423.0,3251.0,3
RC,490,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,3
RC,490,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,1423.0,3251.0,3
RC,490,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,490,INJECT SPINE CERV/THORACIC ,,,1982.0,3689.0,3
RC,490,INJECT SPINE LUMBAR/SACRAL ,,,1982.0,3689.0,3
RC,490,INJECT SPINE W/CATH CRV/THRC ,,,1982.0,3689.0,3
RC,490,INJECT SPINE W/CATH LMB/SCRL ,,,1982.0,3689.0,3
RC,490,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,490,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1982.0,3689.0,3
RC,490,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,1423.0,3251.0,3
RC,490,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1423.0,3251.0,3
RC,490,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,5360.0,8727.0,3
RC,490,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous ",,,2050.0,6802.0,11
RC,490,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal ",,,2050.0,6802.0,11
RC,490,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous ",,,2050.0,6802.0,11
RC,490,"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,10737.0,13315.0,4
RC,490,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,7583.0,10719.0,4
RC,490,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,2050.0,8577.0,8
RC,490,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Implantation of intrastromal corneal ring segments ,,,2050.0,13315.0,11
RC,490,Implantation of intrastromal corneal ring segments Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,2350.0,13315.0,8
RC,490,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,2050.0,12863.0,8
RC,490,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,19295.0,19295.0,1
RC,490,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,1423.0,6802.0,11
RC,490,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,2350.0,23350.0,8
RC,490,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,2350.0,23350.0,9
RC,490,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,2350.0,23350.0,8
RC,490,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,2050.0,13315.0,11
RC,490,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2050.0,15007.0,9
RC,490,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2050.0,15007.0,9
RC,490,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2050.0,19295.0,11
RC,490,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,2050.0,15007.0,12
RC,490,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,2050.0,13315.0,12
RC,490,Incision and drainage of Bartholin's gland abscess ,,,1423.0,6802.0,11
RC,490,Incision and drainage of Bartholin's gland abscess Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,2050.0,8727.0,11
RC,490,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Incision and drainage of penis, deep ",,,2050.0,8727.0,11
RC,490,"Incision and drainage of penis, deep Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Incision and drainage of thyroglossal duct cyst, infected ",,,1982.0,6802.0,11
RC,490,"Incision and drainage of thyroglossal duct cyst, infected Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,2050.0,8727.0,11
RC,490,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,2050.0,6802.0,11
RC,490,Incision and drainage of vaginal hematoma; obstetrical/postpartum Other Surgical Services,,,2850.0,2850.0,1
RC,490,Incision and drainage of vulva or perineal abscess ,,,1423.0,6802.0,10
RC,490,Incision and drainage of vulva or perineal abscess Other Surgical Services,,,2850.0,2850.0,1
RC,490,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,2050.0,8577.0,8
RC,490,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,2050.0,8577.0,8
RC,490,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Incision of conjunctiva, drainage of cyst ",,,1982.0,6802.0,11
RC,490,"Incision of conjunctiva, drainage of cyst Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Incision, drainage of lacrimal gland ",,,1982.0,6802.0,11
RC,490,"Incision, drainage of lacrimal gland Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,1982.0,6802.0,11
RC,490,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Incisional biopsy of eyelid skin including lid margin ,,,1423.0,6802.0,11
RC,490,Incisional biopsy of eyelid skin including lid margin Other Surgical Services,,,2850.0,2850.0,1
RC,490,Indexing for osteotomy ,,,8577.0,8577.0,1
RC,490,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,2050.0,8577.0,8
RC,490,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,2050.0,8577.0,9
RC,490,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,2050.0,8577.0,9
RC,490,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,2050.0,8577.0,8
RC,490,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; O",,,2850.0,2850.0,1
RC,490,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,2050.0,8577.0,18
RC,490,"Induced abortion, by dilation and curettage ",,,2050.0,8727.0,11
RC,490,"Induced abortion, by dilation and curettage Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Induced abortion, by dilation and evacuation ",,,2050.0,8727.0,11
RC,490,"Induced abortion, by dilation and evacuation Other Surgical Services",,,2850.0,2850.0,1
RC,490,Induction of arrhythmia by electrical pacing ,,,6826.0,19105.0,4
RC,490,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,2050.0,8577.0,9
RC,490,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,2050.0,8577.0,9
RC,490,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,2050.0,83613.0,9
RC,490,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1423.0,3251.0,4
RC,490,Injection of air or contrast into peritoneal cavity (separate procedure) ,,,1423.0,6802.0,11
RC,490,Injection of air or contrast into peritoneal cavity (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Injection of contrast medium for dacryocystography ,,,1423.0,6802.0,11
RC,490,Injection of contrast medium for dacryocystography Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,1423.0,6802.0,11
RC,490,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Injection of medication or other substance into Tenon's capsule ,,,1423.0,6802.0,11
RC,490,Injection of medication or other substance into Tenon's capsule Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,2350.0,8727.0,8
RC,490,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt ",,,1423.0,6802.0,11
RC,490,"Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt Other Surgical Services",,,2850.0,2850.0,1
RC,490,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,1423.0,6802.0,11
RC,490,Injection procedure and placement of chain for contrast and/or chain urethrocystography Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1423.0,12038.0,8
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1423.0,12038.0,8
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1423.0,12038.0,8
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1423.0,12038.0,8
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,2143.0,2143.0,1
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,2143.0,2143.0,1
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,2143.0,2143.0,1
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,2143.0,2143.0,1
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1423.0,12038.0,8
RC,490,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1423.0,12038.0,8
RC,490,Injection procedure for Peyronie disease; ,,,1423.0,6802.0,11
RC,490,Injection procedure for Peyronie disease; Other Surgical Services,,,2850.0,2850.0,1
RC,490,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,2050.0,10719.0,11
RC,490,Injection procedure for Peyronie disease; with surgical exposure of plaque Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1982.0,6802.0,24
RC,490,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,2050.0,8727.0,11
RC,490,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar Other Surgical Services",,,2850.0,2850.0,1
RC,490,Injection procedure for corpora cavernosography ,,,1423.0,6802.0,11
RC,490,Injection procedure for corpora cavernosography Other Surgical Services,,,2850.0,2850.0,1
RC,490,Injection procedure for cystography or voiding urethrocystography ,,,1423.0,6802.0,11
RC,490,Injection procedure for cystography or voiding urethrocystography Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Injection procedure for discography, each level; cervical or thoracic ",,,1423.0,6802.0,11
RC,490,"Injection procedure for discography, each level; cervical or thoracic Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection procedure for discography, each level; lumbar ",,,1423.0,6802.0,11
RC,490,"Injection procedure for discography, each level; lumbar Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection procedure for myelography and/or computed tomography, lumbar ",,,1423.0,6802.0,11
RC,490,"Injection procedure for myelography and/or computed tomography, lumbar Other Surgical Services",,,2850.0,2850.0,1
RC,490,Injection procedure for retrograde urethrocystography ,,,1423.0,6802.0,11
RC,490,Injection procedure for retrograde urethrocystography Other Surgical Services,,,2850.0,2850.0,1
RC,490,Injection procedure for sacroiliac joint; arthrography ,,,1423.0,3251.0,4
RC,490,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1982.0,4009.0,4
RC,490,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,11
RC,490,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,1423.0,6802.0,11
RC,490,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1982.0,6802.0,11
RC,490,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,2050.0,8727.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2050.0,6802.0,8
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,1423.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,1423.0,6802.0,12
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,1423.0,6802.0,12
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,1982.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,1423.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,1423.0,6802.0,11
RC,490,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,1423.0,6802.0,12
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,1982.0,6802.0,12
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,1423.0,6802.0,12
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,1423.0,6802.0,12
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,1982.0,6802.0,11
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level Othe",,,2850.0,2850.0,1
RC,490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,1423.0,6802.0,12
RC,490,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1982.0,6802.0,48
RC,490,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1982.0,6802.0,48
RC,490,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,1982.0,6802.0,11
RC,490,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,1982.0,6802.0,11
RC,490,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection, anesthetic agent; sphenopalatine ganglion ",,,1423.0,6802.0,11
RC,490,"Injection, anesthetic agent; sphenopalatine ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,1982.0,6802.0,11
RC,490,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection, anesthetic agent; superior hypogastric plexus ",,,1982.0,6802.0,11
RC,490,"Injection, anesthetic agent; superior hypogastric plexus Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,2050.0,6802.0,11
RC,490,"Injection, anterior chamber of eye (separate procedure); air or liquid Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection, anterior chamber of eye (separate procedure); medication ",,,2050.0,6802.0,11
RC,490,"Injection, anterior chamber of eye (separate procedure); medication Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection, epidural, of blood or clot patch ",,,1982.0,6802.0,11
RC,490,"Injection, epidural, of blood or clot patch Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,2050.0,8727.0,11
RC,490,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,2050.0,8727.0,11
RC,490,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,1982.0,6802.0,11
RC,490,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,4009.0,8727.0,4
RC,490,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,490,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,490,Insertion of Heyman capsules for clinical brachytherapy ,,,2350.0,8727.0,9
RC,490,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,1982.0,6802.0,11
RC,490,"Insertion of a temporary prostatic urethral stent, including urethral measurement Other Surgical Services",,,2850.0,2850.0,1
RC,490,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,1423.0,6802.0,11
RC,490,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,2050.0,13315.0,10
RC,490,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2050.0,6802.0,11
RC,490,"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,19295.0,19295.0,1
RC,490,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,1423.0,6802.0,11
RC,490,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,2050.0,7493.0,8
RC,490,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2050.0,6802.0,11
RC,490,"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,2050.0,6802.0,11
RC,490,"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,490,Insertion of implants into the soft palate; minimum of three implants ,,,1982.0,5568.0,4
RC,490,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,2050.0,16982.0,15
RC,490,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Complex Surgery",,,11754.0,11754.0,2
RC,490,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,2050.0,8727.0,11
RC,490,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Other Surgical Services",,,2850.0,2850.0,1
RC,490,Insertion of intrauterine device (IUD) ,,,1423.0,6802.0,9
RC,490,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,9
RC,490,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,2350.0,36087.0,8
RC,490,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,8577.0,8577.0,1
RC,490,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,8577.0,8577.0,1
RC,490,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,8577.0,8577.0,1
RC,490,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,2143.0,2143.0,1
RC,490,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,1423.0,6802.0,11
RC,490,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,2050.0,10719.0,11
RC,490,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,2050.0,10719.0,11
RC,490,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,2050.0,10719.0,11
RC,490,"Insertion of ocular implant secondary; after evisceration, in scleral shell Other Surgical Services",,,2850.0,2850.0,1
RC,490,Insertion of penile prosthesis; inflatable (self-contained) ,,,2350.0,36087.0,8
RC,490,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,2350.0,36087.0,8
RC,490,Insertion of peritoneal-venous shunt ,,,2050.0,6802.0,11
RC,490,Insertion of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,10719.0,10719.0,1
RC,490,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,2050.0,8577.0,9
RC,490,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) ,,,2050.0,6802.0,11
RC,490,Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,2050.0,23350.0,11
RC,490,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Other Surgical Services",,,2850.0,2850.0,1
RC,490,Insertion of tandem cuff (dual cuff) ,,,2050.0,16982.0,15
RC,490,Insertion of tandem cuff (dual cuff) Complex Surgery,,,11754.0,11754.0,2
RC,490,Insertion of tandem cuff (dual cuff) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,1423.0,6802.0,11
RC,490,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,1423.0,6802.0,11
RC,490,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Insertion of testicular prosthesis (separate procedure) ,,,2050.0,8727.0,11
RC,490,Insertion of testicular prosthesis (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,2050.0,8577.0,9
RC,490,"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, con",,,2050.0,10719.0,12
RC,490,"Insertion of tunneled intraperitoneal catheter for dialysis, open ",,,2050.0,10719.0,11
RC,490,"Insertion of tunneled intraperitoneal catheter for dialysis, open Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) ",,,2050.0,15007.0,11
RC,490,"Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1982.0,53068.0,11
RC,490,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,8577.0,57784.0,11
RC,490,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,2050.0,72171.0,15
RC,490,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Complex Surgery",,,11754.0,11754.0,2
RC,490,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,2050.0,72171.0,15
RC,490,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Complex Surgery",,,11754.0,11754.0,2
RC,490,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,2050.0,6802.0,9
RC,490,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,2050.0,19295.0,8
RC,490,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,2350.0,72171.0,15
RC,490,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,2350.0,72171.0,12
RC,490,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver Complex Surgery",,,11754.0,11754.0,2
RC,490,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,5568.0,5568.0,1
RC,490,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,1423.0,6802.0,11
RC,490,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,1423.0,6802.0,11
RC,490,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1423.0,3251.0,4
RC,490,Intersex surgery; female to male ,,,2050.0,6802.0,7
RC,490,Intersex surgery; female to male Other Surgical Services,,,2850.0,2850.0,1
RC,490,Intersex surgery; male to female ,,,2050.0,6802.0,7
RC,490,Intersex surgery; male to female Other Surgical Services,,,2850.0,2850.0,1
RC,490,Intra-atrial pacing ,,,6826.0,19105.0,4
RC,490,Intra-atrial recording ,,,6826.0,19105.0,4
RC,490,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,19105.0,4
RC,490,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,2050.0,8727.0,11
RC,490,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,1575.0,17341.0,6
RC,490,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,8
RC,490,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1423.0,17341.0,7
RC,490,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,490,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,2143.0,2143.0,1
RC,490,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,2143.0,2143.0,1
RC,490,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,2143.0,2143.0,1
RC,490,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,2143.0,2143.0,1
RC,490,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1423.0,3251.0,8
RC,490,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,19105.0,4
RC,490,Intraventricular pacing ,,,6826.0,19105.0,4
RC,490,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,1423.0,6802.0,8
RC,490,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,1423.0,6802.0,11
RC,490,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,2050.0,8727.0,11
RC,490,"Iridectomy, with corneoscleral or corneal section; for removal of lesion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,2050.0,8727.0,11
RC,490,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,2050.0,6802.0,11
RC,490,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,2050.0,6802.0,11
RC,490,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,2050.0,13315.0,11
RC,490,"Iridectomy, with corneoscleral or corneal section; with cyclectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,1982.0,6802.0,11
RC,490,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Iridotomy by stab incision (separate procedure); except transfixion ,,,1423.0,6802.0,11
RC,490,Iridotomy by stab incision (separate procedure); except transfixion Other Surgical Services,,,2850.0,2850.0,1
RC,490,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,2050.0,6802.0,11
RC,490,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,1982.0,6802.0,11
RC,490,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Irrigation of corpora cavernosa for priapism ,,,1423.0,6802.0,11
RC,490,Irrigation of corpora cavernosa for priapism Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,1423.0,6802.0,11
RC,490,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease Other Surgical Services",,,2850.0,2850.0,1
RC,490,Keratomileusis ,,,2050.0,8727.0,11
RC,490,Keratomileusis Other Surgical Services,,,2850.0,2850.0,1
RC,490,Keratophakia ,,,2050.0,7493.0,10
RC,490,Keratophakia Other Surgical Services,,,2850.0,2850.0,1
RC,490,Keratoplasty (corneal transplant); anterior lamellar ,,,2050.0,13315.0,11
RC,490,Keratoplasty (corneal transplant); anterior lamellar Other Surgical Services,,,2850.0,2850.0,1
RC,490,Keratoplasty (corneal transplant); endothelial ,,,2050.0,13315.0,11
RC,490,Keratoplasty (corneal transplant); endothelial Other Surgical Services,,,2850.0,2850.0,1
RC,490,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,2050.0,13315.0,11
RC,490,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,2050.0,13315.0,11
RC,490,Keratoplasty (corneal transplant); penetrating (in aphakia) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,2050.0,13315.0,11
RC,490,Keratoplasty (corneal transplant); penetrating (in pseudophakia) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Keratoprosthesis ,,,2050.0,15007.0,11
RC,490,Keratoprosthesis Other Surgical Services,,,2850.0,2850.0,1
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); INCARCERATED OR STRANGULATED ",,,10737.0,13315.0,3
RC,490,"LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INCLUDES MESH INSERTION, WHEN PERFORMED); REDUCIBLE ",,,10737.0,13315.0,3
RC,490,Labyrinthectomy; transcanal ,,,2050.0,13315.0,11
RC,490,Labyrinthectomy; transcanal Other Surgical Services,,,2850.0,2850.0,1
RC,490,Labyrinthectomy; with mastoidectomy ,,,2050.0,13315.0,11
RC,490,Labyrinthectomy; with mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,2050.0,6802.0,11
RC,490,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,2350.0,19295.0,9
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,2350.0,8577.0,6
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,2350.0,19295.0,9
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,2350.0,8577.0,6
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,2350.0,8577.0,6
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,2350.0,8577.0,6
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,2350.0,19295.0,9
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,2350.0,8577.0,6
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,2350.0,8577.0,6
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,2350.0,8577.0,6
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,2350.0,19295.0,9
RC,490,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,2350.0,8577.0,6
RC,490,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,2350.0,8577.0,6
RC,490,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,2350.0,19295.0,9
RC,490,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,2350.0,8577.0,6
RC,490,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,2350.0,8577.0,6
RC,490,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,2350.0,15007.0,6
RC,490,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,2350.0,8727.0,9
RC,490,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,2350.0,15007.0,6
RC,490,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,2350.0,15007.0,6
RC,490,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,2350.0,8577.0,6
RC,490,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,2350.0,8577.0,6
RC,490,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,2350.0,19295.0,9
RC,490,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,2350.0,72171.0,12
RC,490,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,2350.0,8577.0,6
RC,490,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,2350.0,8577.0,6
RC,490,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,2350.0,8577.0,6
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,2350.0,15007.0,8
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,2350.0,15007.0,8
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,2350.0,15007.0,8
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,2350.0,15007.0,8
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,2350.0,15007.0,8
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,2350.0,15007.0,8
RC,490,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,2350.0,15007.0,8
RC,490,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,2350.0,8577.0,6
RC,490,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,2350.0,15007.0,8
RC,490,Laminectomy with rhizotomy; 1 or 2 segments ,,,2350.0,19295.0,9
RC,490,Laminectomy with rhizotomy; more than 2 segments ,,,2350.0,19295.0,9
RC,490,Laminectomy with section of spinal accessory nerve ,,,2350.0,19295.0,9
RC,490,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1423.0,15007.0,32
RC,490,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,2143.0,6802.0,10
RC,490,"Laminectomy, with release of tethered spinal cord, lumbar ",,,2350.0,19295.0,9
RC,490,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,2350.0,8577.0,5
RC,490,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,2350.0,8577.0,5
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,15007.0,15007.0,1
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,2350.0,15007.0,8
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,2350.0,10719.0,16
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,2350.0,15007.0,8
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,2350.0,15007.0,8
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,2350.0,15007.0,12
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1423.0,6802.0,8
RC,490,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,2350.0,8577.0,5
RC,490,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,2350.0,15007.0,12
RC,490,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,490,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,2350.0,15007.0,12
RC,490,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,490,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) ",,,2050.0,13830.0,14
RC,490,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2050.0,19295.0,7
RC,490,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,2050.0,15007.0,9
RC,490,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,2050.0,15007.0,8
RC,490,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) Other Surgic",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2050.0,15007.0,9
RC,490,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,2050.0,15007.0,11
RC,490,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,2350.0,13830.0,12
RC,490,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,2050.0,18956.0,7
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2050.0,18956.0,7
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2050.0,18956.0,7
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2050.0,18956.0,7
RC,490,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,2350.0,18956.0,5
RC,490,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,2350.0,13315.0,8
RC,490,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,2350.0,15007.0,8
RC,490,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,2350.0,18956.0,5
RC,490,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,2350.0,18956.0,9
RC,490,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2350.0,18956.0,9
RC,490,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,2350.0,18956.0,9
RC,490,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2350.0,18956.0,9
RC,490,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,2350.0,18956.0,9
RC,490,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2350.0,18956.0,9
RC,490,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,2350.0,18956.0,9
RC,490,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2350.0,18956.0,9
RC,490,"Laparoscopy, surgical; ablation of renal cysts ",,,2350.0,13830.0,12
RC,490,"Laparoscopy, surgical; ablation of renal cysts Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,2350.0,19295.0,12
RC,490,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,2350.0,13830.0,9
RC,490,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,2350.0,13830.0,9
RC,490,"Laparoscopy, surgical; nephrectomy with total ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,2350.0,13830.0,9
RC,490,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; orchiectomy ",,,2350.0,15007.0,8
RC,490,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,2350.0,15007.0,8
RC,490,"Laparoscopy, surgical; partial nephrectomy ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; partial nephrectomy Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; pyeloplasty ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; pyeloplasty Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,2350.0,13830.0,9
RC,490,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; repair initial inguinal hernia ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; repair initial inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; repair recurrent inguinal hernia ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; repair recurrent inguinal hernia Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,2350.0,16982.0,12
RC,490,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; ureterolithotomy ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; ureterolithotomy Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,2350.0,15007.0,8
RC,490,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) ",,,2050.0,13830.0,14
RC,490,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical; with biopsy (single or multiple) ",,,2050.0,13830.0,14
RC,490,"Laparoscopy, surgical; with biopsy (single or multiple) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; with biopsy (single or multiple) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity ",,,2050.0,13830.0,14
RC,490,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical; with fimbrioplasty ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; with fimbrioplasty Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter ",,,2050.0,13830.0,14
RC,490,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) ",,,1423.0,13830.0,14
RC,490,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imagin",,,1423.0,13830.0,17
RC,490,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed ",,,2050.0,13830.0,14
RC,490,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,2350.0,15007.0,12
RC,490,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2050.0,15007.0,12
RC,490,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2820.0,5414.0,3
RC,490,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,10737.0,13315.0,3
RC,490,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,2350.0,13315.0,8
RC,490,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,2050.0,8577.0,9
RC,490,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,2050.0,8577.0,8
RC,490,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion Other Surgica",,,2850.0,2850.0,1
RC,490,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,2350.0,13315.0,8
RC,490,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,13374.0,13374.0,1
RC,490,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,490,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,490,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,12863.0,12863.0,1
RC,490,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,490,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,490,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,490,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,490,Ligation of peritoneal-venous shunt ,,,2050.0,6802.0,11
RC,490,Ligation of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,1
RC,490,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,2050.0,8577.0,9
RC,490,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,2050.0,6802.0,11
RC,490,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,2050.0,8727.0,11
RC,490,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,490,Lingual frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,490,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,2350.0,15409.0,11
RC,490,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,2350.0,15409.0,11
RC,490,"Lithotripsy, extracorporeal shock wave ",,,2702.0,15409.0,6
RC,490,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,490,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,490,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,2050.0,8727.0,11
RC,490,"Lysis of adhesions (salpingolysis, ovariolysis) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Lysis of labial adhesions ,,,2050.0,8727.0,11
RC,490,Lysis of labial adhesions Other Surgical Services,,,2850.0,2850.0,1
RC,490,Lysis or excision of penile post-circumcision adhesions ,,,2050.0,8727.0,11
RC,490,Lysis or excision of penile post-circumcision adhesions Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,2050.0,19295.0,8
RC,490,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed Other S",,,2850.0,2850.0,1
RC,490,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,1423.0,6802.0,11
RC,490,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter Other Surgical Services",,,2850.0,2850.0,1
RC,490,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,11
RC,490,Manometric studies through ureterostomy or indwelling ureteral catheter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Marsupialization of Bartholin's gland cyst ,,,2050.0,8727.0,11
RC,490,Marsupialization of Bartholin's gland cyst Other Surgical Services,,,2850.0,2850.0,1
RC,490,Marsupialization of odontogenic cyst ,,,8577.0,8577.0,1
RC,490,"Marsupialization of urethral diverticulum, male or female ",,,2050.0,10719.0,11
RC,490,"Marsupialization of urethral diverticulum, male or female Other Surgical Services",,,2850.0,2850.0,1
RC,490,Mastoid obliteration (separate procedure) ,,,2350.0,13315.0,8
RC,490,Mastoidectomy; complete ,,,2050.0,8727.0,11
RC,490,Mastoidectomy; complete Other Surgical Services,,,2850.0,2850.0,1
RC,490,Mastoidectomy; modified radical ,,,2050.0,13315.0,11
RC,490,Mastoidectomy; modified radical Other Surgical Services,,,2850.0,2850.0,1
RC,490,Mastoidectomy; radical ,,,2050.0,13315.0,11
RC,490,Mastoidectomy; radical Other Surgical Services,,,2850.0,2850.0,1
RC,490,Maxillary guidance prosthesis with guide flange ,,,8577.0,8577.0,1
RC,490,Maxillary guidance prosthesis without guide flange ,,,8577.0,8577.0,1
RC,490,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,1423.0,6802.0,11
RC,490,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,2050.0,8727.0,11
RC,490,"Meatotomy, cutting of meatus (separate procedure); except infant Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Meatotomy, cutting of meatus (separate procedure); infant ",,,2050.0,8727.0,11
RC,490,"Meatotomy, cutting of meatus (separate procedure); infant Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including cont",,,1982.0,6802.0,12
RC,490,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Middle ear exploration through postauricular or ear canal incision ,,,2050.0,8727.0,11
RC,490,Middle ear exploration through postauricular or ear canal incision Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,2050.0,8727.0,11
RC,490,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Multifetal pregnancy reduction(s) (MPR) ,,,1423.0,6802.0,11
RC,490,Multifetal pregnancy reduction(s) (MPR) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,2050.0,8727.0,11
RC,490,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1982.0,6802.0,11
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) Other Sur",,,2850.0,2850.0,1
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1982.0,6802.0,11
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1982.0,6802.0,11
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1982.0,6802.0,11
RC,490,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,2050.0,10719.0,11
RC,490,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,2050.0,8727.0,11
RC,490,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,2050.0,10719.0,11
RC,490,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,Myringoplasty (surgery confined to drumhead and donor area) ,,,2050.0,8727.0,11
RC,490,Myringoplasty (surgery confined to drumhead and donor area) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Myringotomy including aspiration and/or eustachian tube inflation ,,,1423.0,6802.0,11
RC,490,Myringotomy including aspiration and/or eustachian tube inflation Other Surgical Services,,,2850.0,2850.0,1
RC,490,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,2050.0,6802.0,11
RC,490,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,2050.0,12863.0,8
RC,490,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,2050.0,12863.0,8
RC,490,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,1423.0,6802.0,11
RC,490,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique Other Surgical Services",,,2850.0,2850.0,1
RC,490,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,2050.0,8577.0,8
RC,490,Nephrectomy with total ureterectomy and bladder cuff; through same incision Other Surgical Services,,,2850.0,2850.0,1
RC,490,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,2050.0,8577.0,8
RC,490,Nephrectomy with total ureterectomy and bladder cuff; through separate incision Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,2050.0,8577.0,8
RC,490,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,2050.0,8577.0,8
RC,490,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,2050.0,8577.0,8
RC,490,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nephrectomy, partial ",,,2050.0,8577.0,8
RC,490,"Nephrectomy, partial Other Surgical Services",,,2850.0,2850.0,1
RC,490,Nephrolithotomy; complicated by congenital kidney abnormality ,,,2050.0,8577.0,8
RC,490,Nephrolithotomy; complicated by congenital kidney abnormality Other Surgical Services,,,2850.0,2850.0,1
RC,490,Nephrolithotomy; removal of calculus ,,,2050.0,8577.0,8
RC,490,Nephrolithotomy; removal of calculus Other Surgical Services,,,2850.0,2850.0,1
RC,490,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,2050.0,8577.0,8
RC,490,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Nephrolithotomy; secondary surgical operation for calculus ,,,2050.0,8577.0,8
RC,490,Nephrolithotomy; secondary surgical operation for calculus Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Nephrorrhaphy, suture of kidney wound or injury ",,,2050.0,8577.0,8
RC,490,"Nephrorrhaphy, suture of kidney wound or injury Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nephrostomy, nephrotomy with drainage ",,,2050.0,8727.0,11
RC,490,"Nephrostomy, nephrotomy with drainage Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nephrotomy, with exploration ",,,2050.0,8577.0,8
RC,490,"Nephrotomy, with exploration Other Surgical Services",,,2850.0,2850.0,1
RC,490,Nerve dissection ,,,8577.0,8577.0,1
RC,490,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,2050.0,12863.0,11
RC,490,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,2050.0,12863.0,11
RC,490,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,2050.0,12863.0,11
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,2050.0,12863.0,11
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,2050.0,12863.0,11
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,2050.0,12863.0,11
RC,490,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,2050.0,12863.0,11
RC,490,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,2050.0,12863.0,11
RC,490,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,2050.0,12863.0,11
RC,490,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,2050.0,12863.0,11
RC,490,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Nerve pedicle transfer; first stage ,,,2050.0,12863.0,11
RC,490,Nerve pedicle transfer; first stage Other Surgical Services,,,2850.0,2850.0,1
RC,490,Nerve pedicle transfer; second stage ,,,2050.0,12863.0,11
RC,490,Nerve pedicle transfer; second stage Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,2050.0,12863.0,11
RC,490,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,8
RC,490,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,2050.0,12863.0,8
RC,490,"Nerve repair; with nerve allograft, each nerve, first strand (cable) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,2050.0,12863.0,11
RC,490,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) Other",,,2850.0,2850.0,1
RC,490,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,2050.0,8577.0,8
RC,490,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) Other Sur",,,2850.0,2850.0,1
RC,490,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,2050.0,8577.0,8
RC,490,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,2050.0,8577.0,8
RC,490,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,2050.0,8577.0,8
RC,490,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage Other Surgical Services",,,2850.0,2850.0,1
RC,490,Neuroplasty and/or transposition; cranial nerve (specify) ,,,2050.0,8727.0,11
RC,490,Neuroplasty and/or transposition; cranial nerve (specify) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,2350.0,8727.0,9
RC,490,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,2050.0,8727.0,11
RC,490,Neuroplasty and/or transposition; ulnar nerve at elbow Other Surgical Services,,,2850.0,2850.0,1
RC,490,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,2050.0,8727.0,11
RC,490,Neuroplasty and/or transposition; ulnar nerve at wrist Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,2050.0,8727.0,11
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,2050.0,8727.0,11
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,2050.0,8727.0,11
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,2050.0,8727.0,11
RC,490,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Neuroplasty; digital, 1 or both, same digit ",,,2050.0,8727.0,11
RC,490,"Neuroplasty; digital, 1 or both, same digit Other Surgical Services",,,2850.0,2850.0,1
RC,490,Neuroplasty; nerve of hand or foot ,,,2050.0,8727.0,11
RC,490,Neuroplasty; nerve of hand or foot Other Surgical Services,,,2850.0,2850.0,1
RC,490,Nocturnal penile tumescence and/or rigidity test ,,,1423.0,6802.0,11
RC,490,Nocturnal penile tumescence and/or rigidity test Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,83613.0,5
RC,490,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,2050.0,8577.0,8
RC,490,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,2050.0,8727.0,11
RC,490,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,2050.0,10719.0,11
RC,490,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers Other Surgical Services",,,2850.0,2850.0,1
RC,490,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,2050.0,10719.0,11
RC,490,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,2050.0,13315.0,11
RC,490,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,2050.0,8577.0,8
RC,490,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,2050.0,12863.0,8
RC,490,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Omentectomy, epiploectomy, resection of omentum (separate procedure) ",,,2050.0,7493.0,8
RC,490,"Omentectomy, epiploectomy, resection of omentum (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Oophorectomy, partial or total, unilateral or bilateral; ",,,2050.0,10719.0,11
RC,490,"Oophorectomy, partial or total, unilateral or bilateral; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,2050.0,10719.0,12
RC,490,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,8577.0,8577.0,1
RC,490,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,2350.0,72171.0,13
RC,490,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,490,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,8577.0,8577.0,1
RC,490,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2350.0,30016.0,10
RC,490,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,490,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,8577.0,8577.0,1
RC,490,Open implantation of neurostimulator electrode array; neuromuscular ,,,2350.0,72171.0,13
RC,490,Open implantation of neurostimulator electrode array; neuromuscular Complex Surgery,,,11754.0,11754.0,2
RC,490,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,2350.0,72171.0,13
RC,490,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,490,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,2350.0,19295.0,13
RC,490,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Complex Surgery,,,11754.0,11754.0,2
RC,490,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,15007.0,15007.0,1
RC,490,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,15007.0,15007.0,1
RC,490,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,15007.0,15007.0,1
RC,490,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,5360.0,8727.0,4
RC,490,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,5360.0,8727.0,4
RC,490,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,2050.0,10719.0,11
RC,490,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Orbital implant (implant outside muscle cone); insertion ,,,2050.0,10719.0,11
RC,490,Orbital implant (implant outside muscle cone); insertion Other Surgical Services,,,2850.0,2850.0,1
RC,490,Orbital implant (implant outside muscle cone); removal or revision ,,,2050.0,10719.0,11
RC,490,Orbital implant (implant outside muscle cone); removal or revision Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,2050.0,8577.0,8
RC,490,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,2050.0,8577.0,8
RC,490,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration Other Surgical Servi",,,2850.0,2850.0,1
RC,490,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,2050.0,8577.0,9
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,2050.0,10719.0,11
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,2050.0,10719.0,11
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,2050.0,10719.0,11
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,2050.0,10719.0,11
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,2050.0,10719.0,11
RC,490,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,2050.0,10719.0,11
RC,490,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,2050.0,8727.0,11
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only Other Surgical Services,,,2850.0,2850.0,1
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,2050.0,10719.0,11
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Other Surgical Services,,,2850.0,2850.0,1
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,2050.0,8727.0,11
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Other Surgical Services,,,2850.0,2850.0,1
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,2050.0,8727.0,11
RC,490,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Orchiectomy, partial ",,,2050.0,8727.0,11
RC,490,"Orchiectomy, partial Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Orchiectomy, radical, for tumor; inguinal approach ",,,2050.0,10719.0,11
RC,490,"Orchiectomy, radical, for tumor; inguinal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,2050.0,10719.0,11
RC,490,"Orchiectomy, radical, for tumor; with abdominal exploration Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,2050.0,10719.0,11
RC,490,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,2050.0,10719.0,11
RC,490,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Orchiopexy, inguinal or scrotal approach ",,,2050.0,10719.0,11
RC,490,"Orchiopexy, inguinal or scrotal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,2350.0,8577.0,6
RC,490,"Other cranial decompression, posterior fossa ",,,2050.0,8577.0,8
RC,490,"Other cranial decompression, posterior fossa Other Surgical Services",,,2850.0,2850.0,1
RC,490,Otolaryngologic examination under general anesthesia ,,,1423.0,3251.0,4
RC,490,"Otoplasty, protruding ear, with or without size reduction ",,,2050.0,8727.0,11
RC,490,"Otoplasty, protruding ear, with or without size reduction Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ovarian cystectomy, unilateral or bilateral ",,,2050.0,10719.0,11
RC,490,"Ovarian cystectomy, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,490,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,1423.0,6802.0,11
RC,490,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,2050.0,8727.0,11
RC,490,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,2050.0,8727.0,11
RC,490,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection Other Surgical Services",,,2850.0,2850.0,1
RC,490,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,490,Parathyroid autotransplantation (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Parathyroidectomy or exploration of parathyroid(s); ,,,2050.0,13315.0,11
RC,490,Parathyroidectomy or exploration of parathyroid(s); Other Surgical Services,,,2850.0,2850.0,1
RC,490,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,2050.0,13315.0,11
RC,490,Parathyroidectomy or exploration of parathyroid(s); re-exploration Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,2050.0,8577.0,8
RC,490,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,2050.0,15007.0,11
RC,490,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,2350.0,13315.0,9
RC,490,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,2350.0,13315.0,9
RC,490,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,1982.0,6802.0,11
RC,490,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,1423.0,6802.0,12
RC,490,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,1982.0,6802.0,11
RC,490,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Partial extraction for immediate implant replacement ,,,8577.0,8577.0,1
RC,490,Partial hymenectomy or revision of hymenal ring ,,,2050.0,8727.0,11
RC,490,Partial hymenectomy or revision of hymenal ring Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2050.0,15007.0,11
RC,490,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2050.0,15007.0,11
RC,490,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,Pelvic examination under anesthesia (other than local) ,,,2050.0,8727.0,11
RC,490,Pelvic examination under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,2350.0,8577.0,5
RC,490,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,2050.0,8577.0,9
RC,490,Penile plethysmography ,,,1423.0,6802.0,11
RC,490,Penile plethysmography Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2050.0,8577.0,9
RC,490,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,1982.0,6802.0,11
RC,490,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,1982.0,6802.0,11
RC,490,"Percutaneous aspiration, spinal cord cyst or syrinx Other Surgical Services",,,2850.0,2850.0,1
RC,490,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,19105.0,4
RC,490,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,19105.0,4
RC,490,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,19105.0,4
RC,490,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,8577.0,8577.0,1
RC,490,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,8577.0,8577.0,1
RC,490,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,2350.0,6802.0,5
RC,490,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,8577.0,8577.0,1
RC,490,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,2350.0,72171.0,12
RC,490,"Percutaneous implantation of neurostimulator electrode array, epidural Complex Surgery",,,11754.0,11754.0,2
RC,490,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,2350.0,72171.0,13
RC,490,Percutaneous implantation of neurostimulator electrode array; cranial nerve Complex Surgery,,,11754.0,11754.0,2
RC,490,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,2350.0,72171.0,13
RC,490,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,490,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,2350.0,72171.0,13
RC,490,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed Complex Surgery",,,11754.0,11754.0,2
RC,490,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,1982.0,8727.0,24
RC,490,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,2050.0,15409.0,22
RC,490,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,8577.0,8577.0,1
RC,490,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7583.0,10719.0,4
RC,490,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,31841.0,4
RC,490,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,31841.0,4
RC,490,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,490,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,490,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,490,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,15124.0,30016.0,6
RC,490,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,490,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,490,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,15124.0,30016.0,6
RC,490,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,490,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,490,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,24657.0,7
RC,490,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,490,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,31841.0,8
RC,490,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,31841.0,8
RC,490,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19295.0,23692.0,5
RC,490,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,17341.0,6
RC,490,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,17341.0,4
RC,490,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,490,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,8577.0,8577.0,1
RC,490,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,8577.0,8577.0,1
RC,490,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,8577.0,23692.0,5
RC,490,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,6
RC,490,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,490,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,17341.0,6
RC,490,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,490,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,31841.0,8
RC,490,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,490,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,17341.0,6
RC,490,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,17341.0,17341.0,2
RC,490,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,2143.0,17341.0,4
RC,490,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,8577.0,8577.0,1
RC,490,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,8
RC,490,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,8
RC,490,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,31841.0,8
RC,490,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,31841.0,8
RC,490,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,31841.0,16
RC,490,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,17341.0,6
RC,490,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,31841.0,8
RC,490,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,31841.0,16
RC,490,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,31841.0,14
RC,490,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,8577.0,8577.0,1
RC,490,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,8577.0,8577.0,1
RC,490,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,8577.0,8577.0,1
RC,490,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,8577.0,8577.0,1
RC,490,"Pereyra procedure, including anterior colporrhaphy ",,,2350.0,10719.0,9
RC,490,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,8577.0,8577.0,1
RC,490,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,8577.0,8577.0,1
RC,490,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,2050.0,8727.0,11
RC,490,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Peritoneal lavage, including imaging guidance, when performed ",,,1982.0,6802.0,11
RC,490,"Peritoneal lavage, including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2050.0,19295.0,8
RC,490,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance Other Surgical Services",,,2850.0,2850.0,1
RC,490,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,2050.0,6802.0,8
RC,490,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,2050.0,7493.0,8
RC,490,"Periurethral transperineal adjustable balloon continence device; removal, each balloon Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,2050.0,7493.0,8
RC,490,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance Other Surgical Services",,,2850.0,2850.0,1
RC,490,Petrous apicectomy including radical mastoidectomy ,,,2050.0,13315.0,11
RC,490,Petrous apicectomy including radical mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1423.0,3251.0,4
RC,490,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1423.0,3251.0,4
RC,490,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1423.0,3251.0,4
RC,490,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1423.0,3251.0,4
RC,490,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,2143.0,2143.0,1
RC,490,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1423.0,3251.0,4
RC,490,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1423.0,3251.0,4
RC,490,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1423.0,6802.0,11
RC,490,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) Other Surgical Ser",,,2850.0,2850.0,1
RC,490,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,2050.0,10719.0,11
RC,490,"Placement of amniotic membrane on the ocular surface; single layer, sutured Other Surgical Services",,,2850.0,2850.0,1
RC,490,Placement of amniotic membrane on the ocular surface; without sutures ,,,1982.0,6802.0,11
RC,490,Placement of amniotic membrane on the ocular surface; without sutures Other Surgical Services,,,2850.0,2850.0,1
RC,490,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1982.0,4009.0,4
RC,490,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed",,,2050.0,8577.0,9
RC,490,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or m",,,2050.0,6802.0,12
RC,490,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,2050.0,6802.0,11
RC,490,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple Other Surgical Services",,,2850.0,2850.0,1
RC,490,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,2050.0,10719.0,11
RC,490,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,2050.0,8727.0,12
RC,490,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,2050.0,8727.0,12
RC,490,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1423.0,3251.0,4
RC,490,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,2050.0,10719.0,36
RC,490,Plastic operation of penis for injury ,,,2350.0,10719.0,9
RC,490,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,2050.0,13315.0,11
RC,490,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra Other Surgical Services",,,2850.0,2850.0,1
RC,490,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,2050.0,13315.0,11
RC,490,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps Other Surgical Services,,,2850.0,2850.0,1
RC,490,Plastic operation on penis for epispadias distal to external sphincter; ,,,2050.0,10719.0,11
RC,490,Plastic operation on penis for epispadias distal to external sphincter; Other Surgical Services,,,2850.0,2850.0,1
RC,490,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2050.0,13315.0,11
RC,490,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder Other Surgical Services,,,2850.0,2850.0,1
RC,490,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,2050.0,10719.0,11
RC,490,Plastic operation on penis for epispadias distal to external sphincter; with incontinence Other Surgical Services,,,2850.0,2850.0,1
RC,490,Plastic operation on penis to correct angulation ,,,2050.0,13315.0,11
RC,490,Plastic operation on penis to correct angulation Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,2350.0,13315.0,9
RC,490,Plastic repair of canaliculi ,,,2050.0,8727.0,11
RC,490,Plastic repair of canaliculi Other Surgical Services,,,2850.0,2850.0,1
RC,490,Plastic repair of introitus ,,,2050.0,8727.0,11
RC,490,Plastic repair of introitus Other Surgical Services,,,2850.0,2850.0,1
RC,490,Plastic repair of urethrocele ,,,2350.0,8727.0,9
RC,490,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,2350.0,10719.0,9
RC,490,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,1423.0,6802.0,9
RC,490,Postpartum care only (separate procedure) ,,,2050.0,6802.0,7
RC,490,Postpartum care only (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration ",,,2050.0,8577.0,8
RC,490,"Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma, including local exploration Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Probing of lacrimal canaliculi, with or without irrigation ",,,1423.0,6802.0,11
RC,490,"Probing of lacrimal canaliculi, with or without irrigation Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Probing of nasolacrimal duct, with or without irrigation; ",,,1423.0,6802.0,11
RC,490,"Probing of nasolacrimal duct, with or without irrigation; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,2050.0,8727.0,11
RC,490,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,2050.0,8727.0,11
RC,490,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,2050.0,8727.0,11
RC,490,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation Other Surgical Services",,,2850.0,2850.0,1
RC,490,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,490,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,1423.0,13830.0,12
RC,490,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,490,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,1982.0,13830.0,12
RC,490,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,490,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,2050.0,8577.0,7
RC,490,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,2050.0,8577.0,7
RC,490,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages Other Surgical Se",,,2850.0,2850.0,1
RC,490,"Prostatectomy, perineal radical; ",,,2050.0,8577.0,7
RC,490,"Prostatectomy, perineal radical; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2050.0,8577.0,7
RC,490,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2050.0,8577.0,7
RC,490,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,2050.0,8577.0,7
RC,490,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,2050.0,8577.0,7
RC,490,"Prostatectomy, retropubic radical, with or without nerve sparing; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2050.0,8577.0,7
RC,490,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2050.0,8577.0,7
RC,490,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,2050.0,7493.0,10
RC,490,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,2050.0,8727.0,11
RC,490,"Prostatotomy, external drainage of prostatic abscess, any approach; simple Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,1982.0,6802.0,11
RC,490,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication Other Surgical Services",,,2850.0,2850.0,1
RC,490,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,1982.0,6802.0,11
RC,490,Puncture of shunt tubing or reservoir for aspiration or injection procedure Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,2050.0,10719.0,9
RC,490,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,2050.0,10719.0,6
RC,490,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple Other Surgical Ser",,,2850.0,2850.0,1
RC,490,"Pyelotomy; with drainage, pyelostomy ",,,2050.0,8577.0,8
RC,490,"Pyelotomy; with drainage, pyelostomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,Pyelotomy; with exploration ,,,2050.0,8577.0,8
RC,490,Pyelotomy; with exploration Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,2050.0,8577.0,8
RC,490,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,490,"REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) ",,,7583.0,9539.0,3
RC,490,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,9539.0,3
RC,490,REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,9539.0,3
RC,490,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,5360.0,8727.0,3
RC,490,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ,,,7583.0,9539.0,3
RC,490,REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ,,,7583.0,9539.0,3
RC,490,REPAIR SPIGELIAN HERNIA ,,,7583.0,9539.0,3
RC,490,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,490,"REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ",,,7583.0,9539.0,3
RC,490,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; INCARCERATED OR STRANGULATED ",,,7583.0,9539.0,3
RC,490,"REPAIR UMBILICAL HERNIA, YOUNGER THAN AGE 5 YEARS; REDUCIBLE ",,,7583.0,9539.0,3
RC,490,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,3
RC,490,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,10737.0,13315.0,3
RC,490,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,490,Radial keratotomy ,,,2050.0,8727.0,11
RC,490,Radial keratotomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2350.0,8577.0,5
RC,490,Radical excision external auditory canal lesion; with neck dissection ,,,2050.0,8577.0,8
RC,490,Radical excision external auditory canal lesion; with neck dissection Other Surgical Services,,,2850.0,2850.0,1
RC,490,Radical excision external auditory canal lesion; without neck dissection ,,,2050.0,8727.0,11
RC,490,Radical excision external auditory canal lesion; without neck dissection Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,2050.0,8577.0,8
RC,490,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) Other Surgical Se",,,2850.0,2850.0,1
RC,490,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2050.0,7493.0,8
RC,490,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed ",,,2050.0,8577.0,8
RC,490,"Re-exploration of pelvic wound with removal of preperitoneal pelvic packing, including repacking, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,Recipient nephrectomy (separate procedure) ,,,2050.0,8577.0,8
RC,490,Recipient nephrectomy (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Reconstruction external auditory canal for congenital atresia, single stage ",,,2050.0,13315.0,11
RC,490,"Reconstruction external auditory canal for congenital atresia, single stage Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,2050.0,13315.0,11
RC,490,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,2050.0,8727.0,11
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,2050.0,8727.0,11
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,2050.0,10719.0,11
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,2050.0,8727.0,11
RC,490,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,2143.0,2143.0,1
RC,490,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1423.0,3251.0,3
RC,490,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,2050.0,8577.0,8
RC,490,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,2050.0,8577.0,8
RC,490,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Reduction of overcorrection of ptosis ,,,2050.0,8727.0,11
RC,490,Reduction of overcorrection of ptosis Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,2050.0,8727.0,11
RC,490,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1423.0,3251.0,4
RC,490,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1423.0,3251.0,4
RC,490,Reinsertion of ocular implant; with or without conjunctival graft ,,,2050.0,10719.0,11
RC,490,Reinsertion of ocular implant; with or without conjunctival graft Other Surgical Services,,,2850.0,2850.0,1
RC,490,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,2050.0,10719.0,11
RC,490,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant Other Surgical Services,,,2850.0,2850.0,1
RC,490,Release of encircling material (posterior segment) ,,,2350.0,13830.0,12
RC,490,Release of encircling material (posterior segment) Complex Surgery,,,11754.0,11754.0,2
RC,490,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,2050.0,8727.0,11
RC,490,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2050.0,8727.0,11
RC,490,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,2050.0,8727.0,11
RC,490,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation Other Sur",,,2850.0,2850.0,1
RC,490,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2050.0,7493.0,11
RC,490,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1982.0,7493.0,11
RC,490,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,2350.0,36087.0,8
RC,490,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1423.0,36087.0,8
RC,490,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,2050.0,6802.0,11
RC,490,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation Other Surg",,,2850.0,2850.0,1
RC,490,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,8577.0,8577.0,1
RC,490,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,2050.0,24657.0,11
RC,490,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,1982.0,6802.0,12
RC,490,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,2350.0,36087.0,8
RC,490,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1982.0,36087.0,9
RC,490,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,2050.0,8727.0,11
RC,490,"Removal foreign body from deep penile tissue (eg, plastic implant) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Removal foreign body from external auditory canal; with general anesthesia ,,,2050.0,8727.0,11
RC,490,Removal foreign body from external auditory canal; with general anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,490,Removal foreign body from external auditory canal; without general anesthesia ,,,1423.0,6802.0,11
RC,490,Removal foreign body from external auditory canal; without general anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Removal impacted cerumen requiring instrumentation, unilateral ",,,1423.0,6802.0,11
RC,490,"Removal impacted cerumen requiring instrumentation, unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,1423.0,6802.0,11
RC,490,"Removal impacted cerumen using irrigation/lavage, unilateral Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,2350.0,10719.0,8
RC,490,Removal of an indirect restoration on a natural tooth ,,,8577.0,8577.0,1
RC,490,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,2050.0,10719.0,8
RC,490,Removal of baroreflex activation therapy (BAT) modulation system; lead only Other Surgical Services,,,2850.0,2850.0,1
RC,490,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,2050.0,10719.0,8
RC,490,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,2050.0,10719.0,8
RC,490,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of blood clot, anterior segment of eye ",,,2050.0,8727.0,11
RC,490,"Removal of blood clot, anterior segment of eye Other Surgical Services",,,2850.0,2850.0,1
RC,490,Removal of bone flap or prosthetic plate of skull ,,,2050.0,8577.0,8
RC,490,Removal of bone flap or prosthetic plate of skull Other Surgical Services,,,2850.0,2850.0,1
RC,490,Removal of cerclage suture under anesthesia (other than local) ,,,2050.0,10719.0,11
RC,490,Removal of cerclage suture under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,2050.0,8577.0,8
RC,490,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation Other Surgical Services,,,2850.0,2850.0,1
RC,490,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,2050.0,6802.0,11
RC,490,Removal of complete cerebrospinal fluid shunt system; without replacement Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,2050.0,8727.0,11
RC,490,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,1982.0,6802.0,11
RC,490,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,2350.0,10719.0,9
RC,490,"Removal of embedded foreign body, eyelid ",,,1423.0,6802.0,11
RC,490,"Removal of embedded foreign body, eyelid Other Surgical Services",,,2850.0,2850.0,1
RC,490,Removal of entire lumbosubarachnoid shunt system without replacement ,,,2050.0,8727.0,11
RC,490,Removal of entire lumbosubarachnoid shunt system without replacement Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Removal of epithelial downgrowth, anterior chamber of eye ",,,2050.0,8727.0,11
RC,490,"Removal of epithelial downgrowth, anterior chamber of eye Other Surgical Services",,,2850.0,2850.0,1
RC,490,Removal of foreign body in scrotum ,,,2050.0,8727.0,11
RC,490,Removal of foreign body in scrotum Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Removal of foreign body or dacryolith, lacrimal passages ",,,1423.0,6802.0,11
RC,490,"Removal of foreign body or dacryolith, lacrimal passages Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,1423.0,6802.0,11
RC,490,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of foreign body, external eye; conjunctival superficial ",,,1423.0,6802.0,11
RC,490,"Removal of foreign body, external eye; conjunctival superficial Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of foreign body, external eye; corneal, with slit lamp ",,,1423.0,6802.0,11
RC,490,"Removal of foreign body, external eye; corneal, with slit lamp Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of foreign body, external eye; corneal, without slit lamp ",,,1423.0,6802.0,11
RC,490,"Removal of foreign body, external eye; corneal, without slit lamp Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,2050.0,8727.0,11
RC,490,"Removal of foreign body, intraocular; from anterior chamber of eye or lens Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,1423.0,6802.0,11
RC,490,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,2050.0,8727.0,11
RC,490,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction Other Surgical Services",,,2850.0,2850.0,1
RC,490,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,8577.0,8577.0,1
RC,490,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,2350.0,13830.0,10
RC,490,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,490,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,490,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1423.0,3251.0,4
RC,490,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,2050.0,8727.0,11
RC,490,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Removal of implant body not requiring bone removal nor flap elevation ,,,8577.0,8577.0,1
RC,490,"Removal of implanted material, anterior segment of eye ",,,2050.0,8727.0,11
RC,490,"Removal of implanted material, anterior segment of eye Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of implanted material, posterior segment; extraocular ",,,2350.0,13830.0,12
RC,490,"Removal of implanted material, posterior segment; extraocular Complex Surgery",,,11754.0,11754.0,2
RC,490,"Removal of implanted material, posterior segment; intraocular ",,,2350.0,13830.0,12
RC,490,"Removal of implanted material, posterior segment; intraocular Complex Surgery",,,11754.0,11754.0,2
RC,490,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2050.0,15007.0,11
RC,490,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Other Surgical Services",,,2850.0,2850.0,1
RC,490,Removal of intrauterine device (IUD) ,,,1423.0,6802.0,9
RC,490,"Removal of lens material; aspiration technique, 1 or more stages ",,,2050.0,8727.0,11
RC,490,"Removal of lens material; aspiration technique, 1 or more stages Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,2050.0,6802.0,11
RC,490,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Removal of lens material; intracapsular ,,,2050.0,8727.0,11
RC,490,Removal of lens material; intracapsular Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Removal of lens material; intracapsular, for dislocated lens ",,,2050.0,8727.0,11
RC,490,"Removal of lens material; intracapsular, for dislocated lens Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,2050.0,13315.0,11
RC,490,"Removal of lens material; pars plana approach, with or without vitrectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,2050.0,8727.0,11
RC,490,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,1982.0,6802.0,11
RC,490,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,490,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,2350.0,10719.0,8
RC,490,Removal of non-resorbable barrier ,,,8577.0,8577.0,1
RC,490,Removal of ocular implant ,,,2050.0,10719.0,11
RC,490,Removal of ocular implant Other Surgical Services,,,2850.0,2850.0,1
RC,490,Removal of peritoneal foreign body from peritoneal cavity ,,,2050.0,10719.0,11
RC,490,Removal of peritoneal foreign body from peritoneal cavity Other Surgical Services,,,2850.0,2850.0,1
RC,490,Removal of peritoneal-venous shunt ,,,2050.0,10719.0,11
RC,490,Removal of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,8577.0,8577.0,1
RC,490,Removal of previously implanted intrathecal or epidural catheter ,,,2050.0,8727.0,11
RC,490,Removal of previously implanted intrathecal or epidural catheter Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,2050.0,8727.0,11
RC,490,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) Other ",,,2850.0,2850.0,1
RC,490,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,2050.0,10719.0,8
RC,490,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,2350.0,8727.0,8
RC,490,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,2350.0,10719.0,8
RC,490,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,2050.0,10719.0,10
RC,490,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,8577.0,8577.0,1
RC,490,Removal of temporary anchorage device without flap ,,,8577.0,8577.0,1
RC,490,"Removal of temporary anchorage device, requiring flap ",,,8577.0,8577.0,1
RC,490,"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparosco",,,2143.0,6802.0,5
RC,490,Removal of transplanted renal allograft ,,,2050.0,8577.0,8
RC,490,Removal of transplanted renal allograft Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Removal of tumor, temporal bone ",,,2050.0,13315.0,11
RC,490,"Removal of tumor, temporal bone Other Surgical Services",,,2850.0,2850.0,1
RC,490,Removal of tunneled intraperitoneal catheter ,,,2050.0,10719.0,11
RC,490,Removal of tunneled intraperitoneal catheter Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,2350.0,8727.0,8
RC,490,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,2350.0,8727.0,8
RC,490,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,2050.0,13315.0,11
RC,490,Removal or repair of electromagnetic bone conduction hearing device in temporal bone Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,2050.0,10719.0,11
RC,490,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,2350.0,10719.0,9
RC,490,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,490,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,2050.0,10719.0,9
RC,490,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,2050.0,10719.0,9
RC,490,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2050.0,10719.0,8
RC,490,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor Other Surgical Services",,,2850.0,2850.0,1
RC,490,Remove interim implant component ,,,8577.0,8577.0,1
RC,490,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,2050.0,8577.0,8
RC,490,"Renal allotransplantation, implantation of graft; with recipient nephrectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,2050.0,8577.0,8
RC,490,"Renal allotransplantation, implantation of graft; without recipient nephrectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Renal autotransplantation, reimplantation of kidney ",,,2050.0,8577.0,8
RC,490,"Renal autotransplantation, reimplantation of kidney Other Surgical Services",,,2850.0,2850.0,1
RC,490,Renal biopsy; by surgical exposure of kidney ,,,2050.0,8577.0,8
RC,490,Renal biopsy; by surgical exposure of kidney Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Renal biopsy; percutaneous, by trocar or needle ",,,2050.0,6802.0,11
RC,490,"Renal biopsy; percutaneous, by trocar or needle Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,11
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,11
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,2050.0,8727.0,12
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,2050.0,8727.0,12
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1982.0,6802.0,11
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor Other Surgical ",,,2850.0,2850.0,1
RC,490,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,2050.0,8727.0,12
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,11
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,11
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,2050.0,13315.0,12
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,2050.0,6802.0,12
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2050.0,6802.0,11
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Other Surgic",,,2850.0,2850.0,1
RC,490,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,1982.0,6802.0,12
RC,490,"Renal exploration, not necessitating other specific procedures ",,,2050.0,8577.0,8
RC,490,"Renal exploration, not necessitating other specific procedures Other Surgical Services",,,2850.0,2850.0,1
RC,490,Reopening of recent laparotomy ,,,2050.0,8577.0,8
RC,490,Reopening of recent laparotomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,Repair incomplete circumcision ,,,2050.0,8727.0,11
RC,490,Repair incomplete circumcision Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Repair inguinal hernia, sliding, any age ",,,2350.0,10719.0,8
RC,490,"Repair initial femoral hernia, any age; incarcerated or strangulated ",,,2350.0,10719.0,8
RC,490,"Repair initial femoral hernia, any age; reducible ",,,2350.0,10719.0,8
RC,490,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated ",,,2350.0,10719.0,8
RC,490,"Repair initial inguinal hernia, age 5 years or older; reducible ",,,2350.0,10719.0,8
RC,490,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated ",,,2050.0,10719.0,10
RC,490,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible ",,,2050.0,10719.0,10
RC,490,"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Other Surgical Services",,,2850.0,2850.0,1
RC,490,Repair lumbar hernia ,,,2350.0,10719.0,8
RC,490,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,8577.0,8577.0,1
RC,490,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other pro",,,2350.0,15007.0,30
RC,490,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other p",,,2350.0,15007.0,30
RC,490,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,2050.0,8727.0,11
RC,490,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,2050.0,8727.0,11
RC,490,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,2050.0,8727.0,11
RC,490,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,2050.0,10719.0,11
RC,490,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,2050.0,8727.0,11
RC,490,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,2050.0,10719.0,11
RC,490,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,2050.0,8727.0,11
RC,490,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,2350.0,13830.0,14
RC,490,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,2350.0,13315.0,8
RC,490,Repair of custom sleep apnea appliance ,,,8577.0,8577.0,1
RC,490,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,2050.0,8577.0,8
RC,490,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,2050.0,8577.0,8
RC,490,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,Repair of ectropion; excision tarsal wedge ,,,2050.0,8727.0,11
RC,490,Repair of ectropion; excision tarsal wedge Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,2050.0,8727.0,11
RC,490,"Repair of ectropion; extensive (eg, tarsal strip operations) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Repair of ectropion; suture ,,,2050.0,8727.0,11
RC,490,Repair of ectropion; suture Other Surgical Services,,,2850.0,2850.0,1
RC,490,Repair of ectropion; thermocauterization ,,,2050.0,8727.0,11
RC,490,Repair of ectropion; thermocauterization Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Repair of encephalocele, skull vault, including cranioplasty ",,,2050.0,8577.0,8
RC,490,"Repair of encephalocele, skull vault, including cranioplasty Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of enterocele, abdominal approach (separate procedure) ",,,2350.0,8727.0,9
RC,490,"Repair of enterocele, vaginal approach (separate procedure) ",,,2350.0,8727.0,9
RC,490,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,7493.0,7493.0,1
RC,490,Repair of entropion; excision tarsal wedge ,,,2050.0,8727.0,11
RC,490,Repair of entropion; excision tarsal wedge Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,2050.0,8727.0,11
RC,490,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Repair of entropion; suture ,,,2050.0,8727.0,11
RC,490,Repair of entropion; suture Other Surgical Services,,,2850.0,2850.0,1
RC,490,Repair of entropion; thermocauterization ,,,2050.0,8727.0,11
RC,490,Repair of entropion; thermocauterization Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,2050.0,10719.0,11
RC,490,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,2050.0,10719.0,12
RC,490,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,2050.0,10719.0,11
RC,490,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2050.0,10719.0,11
RC,490,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of iris, ciliary body (as for iridodialysis) ",,,2050.0,8727.0,11
RC,490,"Repair of iris, ciliary body (as for iridodialysis) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,2050.0,6802.0,11
RC,490,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,2050.0,8577.0,8
RC,490,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,2050.0,8727.0,11
RC,490,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,2050.0,8727.0,11
RC,490,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,2050.0,8727.0,11
RC,490,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,2050.0,8727.0,11
RC,490,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,2050.0,10719.0,11
RC,490,"Repair of laceration; cornea, nonperforating, with or without removal foreign body Other Surgical Services",,,2850.0,2850.0,1
RC,490,Repair of large omphalocele or gastroschisis; with or without prosthesis ,,,2350.0,8577.0,5
RC,490,"Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room ",,,2350.0,8577.0,5
RC,490,Repair of meningocele; larger than 5 cm diameter ,,,2050.0,8577.0,8
RC,490,Repair of meningocele; larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Repair of meningocele; less than 5 cm diameter ,,,2050.0,8577.0,8
RC,490,Repair of meningocele; less than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Repair of myelomeningocele; larger than 5 cm diameter ,,,2050.0,8577.0,8
RC,490,Repair of myelomeningocele; larger than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Repair of myelomeningocele; less than 5 cm diameter ,,,2050.0,8577.0,8
RC,490,Repair of myelomeningocele; less than 5 cm diameter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Repair of omphalocele (Gross type operation); first stage ,,,2350.0,8577.0,5
RC,490,Repair of omphalocele (Gross type operation); second stage ,,,2350.0,8577.0,5
RC,490,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated ",,,2350.0,15007.0,5
RC,490,"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible ",,,2350.0,15007.0,5
RC,490,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,2350.0,13830.0,12
RC,490,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Complex Surgery",,,11754.0,11754.0,2
RC,490,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,1982.0,13830.0,12
RC,490,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,490,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,2350.0,13830.0,12
RC,490,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,2350.0,13830.0,14
RC,490,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,2350.0,13830.0,14
RC,490,Repair of scleral staphyloma with graft ,,,2050.0,8727.0,11
RC,490,Repair of scleral staphyloma with graft Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Repair of small omphalocele, with primary closure ",,,2350.0,10719.0,8
RC,490,"Repair of symblepharon; conjunctivoplasty, without graft ",,,2050.0,8727.0,11
RC,490,"Repair of symblepharon; conjunctivoplasty, without graft Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,2050.0,8727.0,11
RC,490,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Other Surgical Services",,,2850.0,2850.0,1
RC,490,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,2050.0,10719.0,11
RC,490,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Repair of traumatic corporeal tear(s) ,,,2350.0,8727.0,9
RC,490,Repair of tunica vaginalis hydrocele (Bottle type) ,,,2050.0,8727.0,11
RC,490,Repair of tunica vaginalis hydrocele (Bottle type) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,2050.0,10719.0,11
RC,490,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule Other Surgical Services",,,2850.0,2850.0,1
RC,490,Repair oval window fistula ,,,2350.0,8727.0,8
RC,490,Repair recurrent femoral hernia; incarcerated or strangulated ,,,2350.0,10719.0,8
RC,490,Repair recurrent femoral hernia; reducible ,,,2350.0,10719.0,8
RC,490,"Repair recurrent inguinal hernia, any age; incarcerated or strangulated ",,,2350.0,10719.0,8
RC,490,"Repair recurrent inguinal hernia, any age; reducible ",,,2350.0,10719.0,8
RC,490,Repair round window fistula ,,,2350.0,8727.0,8
RC,490,"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or with",,,2050.0,10719.0,22
RC,490,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or stra",,,2050.0,10719.0,11
RC,490,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible ",,,2050.0,10719.0,10
RC,490,"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible Other Surg",,,2850.0,2850.0,1
RC,490,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2050.0,15007.0,9
RC,490,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2050.0,15007.0,9
RC,490,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2050.0,13315.0,11
RC,490,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,2050.0,8577.0,8
RC,490,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,490,Replacement of an implant screw ,,,8577.0,8577.0,1
RC,490,Replacement of bone flap or prosthetic plate of skull ,,,2050.0,8577.0,8
RC,490,Replacement of bone flap or prosthetic plate of skull Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,11
RC,490,"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,11
RC,490,"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report ",,,1982.0,6802.0,11
RC,490,"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,8577.0,8577.0,1
RC,490,"Replacement or irrigation, subarachnoid/subdural catheter ",,,2050.0,8727.0,11
RC,490,"Replacement or irrigation, subarachnoid/subdural catheter Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Replacement or irrigation, ventricular catheter ",,,2050.0,6802.0,11
RC,490,"Replacement or irrigation, ventricular catheter Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,2050.0,12863.0,11
RC,490,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,2050.0,12863.0,11
RC,490,"Replacement, irrigation or revision of lumbosubarachnoid shunt Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,2050.0,8727.0,11
RC,490,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Reprogramming of programmable cerebrospinal shunt ,,,1423.0,6802.0,11
RC,490,Reprogramming of programmable cerebrospinal shunt Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,2050.0,10719.0,11
RC,490,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,2050.0,8577.0,9
RC,490,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,2050.0,8577.0,9
RC,490,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,2050.0,8577.0,9
RC,490,Resection of scrotum ,,,2050.0,8727.0,11
RC,490,Resection of scrotum Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,2050.0,8577.0,8
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,2050.0,8577.0,8
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,2050.0,8577.0,8
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,2050.0,8577.0,9
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,2050.0,8577.0,8
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,2050.0,8577.0,8
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft Other Surgical ",,,2850.0,2850.0,1
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,2050.0,8577.0,8
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,2050.0,8577.0,8
RC,490,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft Other Su",,,2850.0,2850.0,1
RC,490,Resection prosthesis - Mandibular complete removable ,,,8577.0,8577.0,1
RC,490,Resection prosthesis - Mandibular partial removable ,,,8577.0,8577.0,1
RC,490,Resection prosthesis - Maxillary complete removable ,,,8577.0,8577.0,1
RC,490,Resection prosthesis - Maxillary partial removable ,,,8577.0,8577.0,1
RC,490,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,490,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,490,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,490,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,490,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,490,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,490,"Resection temporal bone, external approach ",,,2050.0,8577.0,8
RC,490,"Resection temporal bone, external approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,Retrobulbar injection; alcohol ,,,1423.0,6802.0,11
RC,490,Retrobulbar injection; alcohol Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,1423.0,6802.0,11
RC,490,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,19295.0,19295.0,1
RC,490,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,8577.0,8577.0,1
RC,490,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,8577.0,8577.0,1
RC,490,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,8577.0,8577.0,1
RC,490,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,19295.0,19295.0,1
RC,490,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,19295.0,19295.0,1
RC,490,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,19295.0,19295.0,1
RC,490,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,15007.0,15007.0,1
RC,490,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,490,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,490,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,19295.0,19295.0,1
RC,490,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,2050.0,10719.0,11
RC,490,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,2350.0,8577.0,6
RC,490,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,2350.0,8727.0,9
RC,490,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,2350.0,15007.0,8
RC,490,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,2350.0,15007.0,8
RC,490,Revision mastoidectomy; resulting in complete mastoidectomy ,,,2050.0,13315.0,11
RC,490,Revision mastoidectomy; resulting in complete mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,2050.0,13315.0,11
RC,490,Revision mastoidectomy; resulting in modified radical mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,Revision mastoidectomy; resulting in radical mastoidectomy ,,,2050.0,13315.0,11
RC,490,Revision mastoidectomy; resulting in radical mastoidectomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,Revision mastoidectomy; resulting in tympanoplasty ,,,2050.0,13315.0,11
RC,490,Revision mastoidectomy; resulting in tympanoplasty Other Surgical Services,,,2850.0,2850.0,1
RC,490,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,2050.0,8727.0,11
RC,490,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Other Surgical Services,,,2850.0,2850.0,1
RC,490,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,2050.0,8727.0,11
RC,490,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Other Surgical Services,,,2850.0,2850.0,1
RC,490,Revision of peritoneal-venous shunt ,,,2050.0,10719.0,11
RC,490,Revision of peritoneal-venous shunt Other Surgical Services,,,2850.0,2850.0,1
RC,490,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,2050.0,13315.0,12
RC,490,Revision of stapedectomy or stapedotomy ,,,2350.0,13315.0,8
RC,490,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,2050.0,8727.0,11
RC,490,Revision of urinary-cutaneous anastomosis (any type urostomy); Other Surgical Services,,,2850.0,2850.0,1
RC,490,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,2050.0,8577.0,8
RC,490,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia Other Surgical Services,,,2850.0,2850.0,1
RC,490,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,2050.0,10719.0,11
RC,490,Revision or removal of cranial neurostimulator pulse generator or receiver Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2350.0,10719.0,8
RC,490,Revision or removal of intracranial neurostimulator electrodes ,,,2050.0,10719.0,11
RC,490,Revision or removal of intracranial neurostimulator electrodes Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,2050.0,10719.0,8
RC,490,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator Other Surgical Services",,,2850.0,2850.0,1
RC,490,Revision or removal of peripheral neurostimulator electrode array ,,,2350.0,13830.0,13
RC,490,Revision or removal of peripheral neurostimulator electrode array Complex Surgery,,,11754.0,11754.0,2
RC,490,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,2350.0,10719.0,9
RC,490,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,2050.0,8727.0,11
RC,490,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,2050.0,10719.0,8
RC,490,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,2050.0,30016.0,8
RC,490,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,2350.0,15007.0,9
RC,490,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,2350.0,19295.0,10
RC,490,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,490,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,8577.0,8577.0,1
RC,490,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,490,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2050.0,19295.0,8
RC,490,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,13374.0,13374.0,1
RC,490,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,490,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,13374.0,13374.0,1
RC,490,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,490,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,13374.0,13374.0,1
RC,490,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,490,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,490,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,13374.0,13374.0,1
RC,490,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,490,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,490,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,13374.0,13374.0,1
RC,490,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,490,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,490,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,7583.0,9539.0,3
RC,490,Right ventricular recording ,,,6826.0,19105.0,4
RC,490,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,2050.0,6802.0,7
RC,490,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,2050.0,6802.0,7
RC,490,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,2050.0,6802.0,7
RC,490,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,2050.0,6802.0,7
RC,490,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery Other Surgical Services",,,2850.0,2850.0,1
RC,490,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2820.0,5414.0,3
RC,490,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2050.0,10719.0,11
RC,490,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2050.0,13315.0,11
RC,490,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Salpingostomy (salpingoneostomy) ,,,2050.0,8727.0,11
RC,490,Salpingostomy (salpingoneostomy) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Scleral reinforcement (separate procedure); with graft ,,,2050.0,8727.0,11
RC,490,Scleral reinforcement (separate procedure); with graft Other Surgical Services,,,2850.0,2850.0,1
RC,490,Scleral reinforcement (separate procedure); without graft ,,,2050.0,8727.0,11
RC,490,Scleral reinforcement (separate procedure); without graft Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluor",,,2050.0,6802.0,12
RC,490,"Scraping of cornea, diagnostic, for smear and/or culture ",,,1423.0,6802.0,11
RC,490,"Scraping of cornea, diagnostic, for smear and/or culture Other Surgical Services",,,2850.0,2850.0,1
RC,490,Scrotal exploration ,,,2050.0,8727.0,11
RC,490,Scrotal exploration Other Surgical Services,,,2850.0,2850.0,1
RC,490,Scrotoplasty; complicated ,,,2050.0,8727.0,11
RC,490,Scrotoplasty; complicated Other Surgical Services,,,2850.0,2850.0,1
RC,490,Scrotoplasty; simple ,,,2050.0,13315.0,11
RC,490,Scrotoplasty; simple Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,2050.0,8577.0,9
RC,490,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,2050.0,8577.0,9
RC,490,Semi-precision abutment - placement ,,,8577.0,8577.0,1
RC,490,Semi-precision attachment - placement ,,,8577.0,8577.0,1
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,2050.0,8727.0,11
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,2050.0,8727.0,11
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,2050.0,8727.0,11
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,2050.0,8727.0,11
RC,490,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,1982.0,6802.0,11
RC,490,"Severing adhesions of anterior segment, laser technique (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Severing of tarsorrhaphy ,,,1982.0,6802.0,11
RC,490,Severing of tarsorrhaphy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,1982.0,6802.0,8
RC,490,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,1423.0,6802.0,11
RC,490,"Simple cystometrogram (CMG) (eg, spinal manometer) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,1423.0,6802.0,11
RC,490,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,2050.0,16982.0,15
RC,490,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,2350.0,16982.0,13
RC,490,"Sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,2050.0,8727.0,11
RC,490,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,2050.0,8727.0,11
RC,490,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn Other Surgical Services",,,2850.0,2850.0,1
RC,490,Snip incision of lacrimal punctum ,,,1423.0,6802.0,11
RC,490,Snip incision of lacrimal punctum Other Surgical Services,,,2850.0,2850.0,1
RC,490,Sperm washing for artificial insemination ,,,1423.0,6802.0,9
RC,490,"Spinal puncture, lumbar, diagnostic; ",,,1982.0,6802.0,11
RC,490,"Spinal puncture, lumbar, diagnostic; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,2050.0,6802.0,8
RC,490,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,1982.0,6802.0,11
RC,490,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,2050.0,6802.0,8
RC,490,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,2350.0,13315.0,8
RC,490,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,2350.0,13315.0,8
RC,490,Stapes mobilization ,,,2350.0,8727.0,8
RC,490,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,2050.0,8577.0,8
RC,490,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,2050.0,8577.0,8
RC,490,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,490,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,2050.0,6802.0,11
RC,490,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,2050.0,12863.0,11
RC,490,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2050.0,13315.0,5
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2050.0,13315.0,5
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2050.0,13315.0,8
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,5
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,5
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,5
RC,490,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,2350.0,6802.0,9
RC,490,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,1423.0,6802.0,11
RC,490,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,490,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,490,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1423.0,6802.0,12
RC,490,"Strabismus surgery, any procedure, superior oblique muscle ",,,2050.0,8727.0,11
RC,490,"Strabismus surgery, any procedure, superior oblique muscle Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,2050.0,8727.0,11
RC,490,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,2050.0,8727.0,11
RC,490,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,2050.0,10719.0,11
RC,490,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,2050.0,8727.0,11
RC,490,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Subconjunctival injection ,,,1423.0,6802.0,11
RC,490,Subconjunctival injection Other Surgical Services,,,2850.0,2850.0,1
RC,490,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,2050.0,6802.0,11
RC,490,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,1982.0,6802.0,11
RC,490,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,1982.0,6802.0,11
RC,490,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,2050.0,8577.0,8
RC,490,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,2050.0,6802.0,7
RC,490,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,2350.0,10719.0,5
RC,490,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,2050.0,6802.0,8
RC,490,Suprachoroidal space injection of pharmacologic agent (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,2050.0,8577.0,8
RC,490,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,2050.0,8577.0,8
RC,490,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,2050.0,8577.0,8
RC,490,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,2050.0,8577.0,8
RC,490,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2050.0,8577.0,8
RC,490,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,2050.0,8577.0,8
RC,490,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,2050.0,8577.0,8
RC,490,"Surgery of intracranial arteriovenous malformation; dural, complex Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,2050.0,8577.0,8
RC,490,"Surgery of intracranial arteriovenous malformation; dural, simple Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,2050.0,8577.0,8
RC,490,"Surgery of intracranial arteriovenous malformation; infratentorial, complex Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,2050.0,8577.0,8
RC,490,"Surgery of intracranial arteriovenous malformation; infratentorial, simple Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,2050.0,8577.0,8
RC,490,"Surgery of intracranial arteriovenous malformation; supratentorial, complex Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,2050.0,8577.0,8
RC,490,"Surgery of intracranial arteriovenous malformation; supratentorial, simple Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,2050.0,8577.0,8
RC,490,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2050.0,8577.0,8
RC,490,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation Other Surgical Services",,,2850.0,2850.0,1
RC,490,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,8577.0,8577.0,1
RC,490,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,8577.0,8577.0,1
RC,490,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,8577.0,8577.0,1
RC,490,Surgical placement of craniofacial implant - extra oral ,,,8577.0,8577.0,1
RC,490,Surgical placement zygomatic implant ,,,8577.0,8577.0,1
RC,490,Surgical repair of root resorption - molar ,,,8577.0,8577.0,1
RC,490,Surgical repair of root resorption- premolar ,,,8577.0,8577.0,1
RC,490,Surgical repair of root resorption-anterior ,,,8577.0,8577.0,1
RC,490,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,2050.0,8577.0,8
RC,490,Surgical treatment of ectopic pregnancy; abdominal pregnancy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,2050.0,8577.0,8
RC,490,"Surgical treatment of ectopic pregnancy; cervical, with evacuation Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,2050.0,8577.0,8
RC,490,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,2050.0,10719.0,11
RC,490,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,2050.0,10719.0,11
RC,490,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,2050.0,13315.0,11
RC,490,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,2050.0,13315.0,11
RC,490,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,2050.0,12863.0,11
RC,490,"Suture of 1 nerve; hand or foot, common sensory nerve Other Surgical Services",,,2850.0,2850.0,1
RC,490,Suture of 1 nerve; median motor thenar ,,,2050.0,12863.0,11
RC,490,Suture of 1 nerve; median motor thenar Other Surgical Services,,,2850.0,2850.0,1
RC,490,Suture of 1 nerve; ulnar motor ,,,2050.0,12863.0,11
RC,490,Suture of 1 nerve; ulnar motor Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Suture of digital nerve, hand or foot; 1 nerve ",,,2050.0,10719.0,11
RC,490,"Suture of digital nerve, hand or foot; 1 nerve Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,490,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Suture of facial nerve; extracranial ,,,2050.0,12863.0,11
RC,490,Suture of facial nerve; extracranial Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Suture of facial nerve; infratemporal, with or without grafting ",,,2050.0,12863.0,11
RC,490,"Suture of facial nerve; infratemporal, with or without grafting Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,2050.0,8727.0,11
RC,490,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,2050.0,12863.0,11
RC,490,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,2050.0,12863.0,11
RC,490,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1423.0,6802.0,11
RC,490,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,1423.0,6802.0,11
RC,490,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1423.0,6802.0,11
RC,490,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Suture of posterior tibial nerve ,,,2050.0,12863.0,11
RC,490,Suture of posterior tibial nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,2050.0,8727.0,11
RC,490,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,2050.0,8727.0,11
RC,490,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness Other Surgical Services",,,2850.0,2850.0,1
RC,490,Suture of sciatic nerve ,,,2050.0,10719.0,11
RC,490,Suture of sciatic nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,Suture of; brachial plexus ,,,2050.0,10719.0,11
RC,490,Suture of; brachial plexus Other Surgical Services,,,2850.0,2850.0,1
RC,490,Suture of; lumbar plexus ,,,2050.0,12863.0,11
RC,490,Suture of; lumbar plexus Other Surgical Services,,,2850.0,2850.0,1
RC,490,Suture or repair of testicular injury ,,,2050.0,8727.0,11
RC,490,Suture or repair of testicular injury Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,2050.0,8577.0,8
RC,490,"Suture, secondary, of abdominal wall for evisceration or dehiscence Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Sympathectomy, cervical ",,,2050.0,6802.0,11
RC,490,"Sympathectomy, cervical Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Sympathectomy, cervicothoracic ",,,2050.0,6802.0,11
RC,490,"Sympathectomy, cervicothoracic Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Sympathectomy, lumbar ",,,2050.0,8577.0,8
RC,490,"Sympathectomy, lumbar Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Sympathectomy, thoracolumbar ",,,2050.0,8577.0,8
RC,490,"Sympathectomy, thoracolumbar Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Sympathectomy; digital arteries, each digit ",,,2050.0,8727.0,11
RC,490,"Sympathectomy; digital arteries, each digit Other Surgical Services",,,2850.0,2850.0,1
RC,490,Sympathectomy; radial artery ,,,2050.0,10719.0,11
RC,490,Sympathectomy; radial artery Other Surgical Services,,,2850.0,2850.0,1
RC,490,Sympathectomy; superficial palmar arch ,,,2050.0,10719.0,11
RC,490,Sympathectomy; superficial palmar arch Other Surgical Services,,,2850.0,2850.0,1
RC,490,Sympathectomy; ulnar artery ,,,2050.0,10719.0,11
RC,490,Sympathectomy; ulnar artery Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,2050.0,8577.0,8
RC,490,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,1982.0,6802.0,11
RC,490,"Temporary closure of eyelids by suture (eg, Frost suture) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Temporary transcutaneous pacing ,,,1982.0,4009.0,4
RC,490,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,2050.0,6802.0,8
RC,490,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) Ot",,,2850.0,2850.0,1
RC,490,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2050.0,15007.0,8
RC,490,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,490,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,490,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,490,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2050.0,6802.0,8
RC,490,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,17341.0,17341.0,2
RC,490,"Thrombolysis, coronary; by intravenous infusion ",,,1423.0,17341.0,5
RC,490,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,2050.0,8577.0,8
RC,490,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,2050.0,8577.0,8
RC,490,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,2050.0,13315.0,11
RC,490,"Thymectomy, partial or total; transcervical approach (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Thyroidectomy, including substernal thyroid; cervical approach ",,,2050.0,13315.0,11
RC,490,"Thyroidectomy, including substernal thyroid; cervical approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,2050.0,6802.0,11
RC,490,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,2050.0,13315.0,11
RC,490,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Thyroidectomy, total or complete ",,,2050.0,15007.0,11
RC,490,"Thyroidectomy, total or complete Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,8577.0,8577.0,1
RC,490,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,2050.0,13315.0,11
RC,490,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,2050.0,8727.0,11
RC,490,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,2050.0,10719.0,7
RC,490,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,2050.0,8577.0,7
RC,490,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) Other Surg",,,2850.0,2850.0,1
RC,490,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,2350.0,8577.0,5
RC,490,Total facial nerve decompression and/or repair (may include graft) ,,,2050.0,13315.0,11
RC,490,Total facial nerve decompression and/or repair (may include graft) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2050.0,15007.0,11
RC,490,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2050.0,15007.0,11
RC,490,"Total thyroid lobectomy, unilateral; with or without isthmusectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,Trabeculoplasty by laser surgery ,,,1982.0,6802.0,11
RC,490,Trabeculoplasty by laser surgery Other Surgical Services,,,2850.0,2850.0,1
RC,490,Trabeculotomy ab externo ,,,2050.0,8727.0,11
RC,490,Trabeculotomy ab externo Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,2050.0,8727.0,11
RC,490,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,2050.0,8727.0,11
RC,490,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transabdominal amnioinfusion, including ultrasound guidance ",,,1982.0,6802.0,11
RC,490,"Transabdominal amnioinfusion, including ultrasound guidance Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,2143.0,2143.0,1
RC,490,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2050.0,19295.0,21
RC,490,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,2050.0,8577.0,8
RC,490,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1423.0,17341.0,7
RC,490,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2050.0,12863.0,8
RC,490,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,2350.0,8727.0,9
RC,490,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,2050.0,8577.0,9
RC,490,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,2050.0,8577.0,9
RC,490,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,2050.0,6802.0,11
RC,490,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,2050.0,10719.0,11
RC,490,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transection or avulsion of other cranial nerve, extradural ",,,2050.0,8727.0,11
RC,490,"Transection or avulsion of other cranial nerve, extradural Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transection or avulsion of other spinal nerve, extradural ",,,2050.0,8727.0,11
RC,490,"Transection or avulsion of other spinal nerve, extradural Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transection or avulsion of; facial nerve, differential or complete ",,,2050.0,8727.0,11
RC,490,"Transection or avulsion of; facial nerve, differential or complete Other Surgical Services",,,2850.0,2850.0,1
RC,490,Transection or avulsion of; greater occipital nerve ,,,2050.0,8727.0,11
RC,490,Transection or avulsion of; greater occipital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,2050.0,6802.0,11
RC,490,Transection or avulsion of; inferior alveolar nerve by osteotomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,Transection or avulsion of; infraorbital nerve ,,,2050.0,6802.0,11
RC,490,Transection or avulsion of; infraorbital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,Transection or avulsion of; lingual nerve ,,,2050.0,8727.0,11
RC,490,Transection or avulsion of; lingual nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,Transection or avulsion of; mental nerve ,,,2050.0,6802.0,11
RC,490,Transection or avulsion of; mental nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,Transection or avulsion of; phrenic nerve ,,,2050.0,6802.0,11
RC,490,Transection or avulsion of; phrenic nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,Transection or avulsion of; supraorbital nerve ,,,2050.0,6802.0,11
RC,490,Transection or avulsion of; supraorbital nerve Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,2050.0,8577.0,8
RC,490,"Transection or avulsion of; vagus nerve (vagotomy), abdominal Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,2050.0,8577.0,8
RC,490,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) Other Surgica",,,2850.0,2850.0,1
RC,490,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,2050.0,8577.0,8
RC,490,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,2050.0,8577.0,8
RC,490,Transection or repositioning of aberrant renal vessels (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,8577.0,8577.0,1
RC,490,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,8577.0,8577.0,1
RC,490,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,2050.0,13315.0,11
RC,490,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,2050.0,13315.0,11
RC,490,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent Other Surgical Services",,,2850.0,2850.0,1
RC,490,Transmastoid antrotomy (simple mastoidectomy) ,,,2050.0,13315.0,11
RC,490,Transmastoid antrotomy (simple mastoidectomy) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,2050.0,8577.0,8
RC,490,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,2050.0,8577.0,8
RC,490,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) Other Surgical",,,2850.0,2850.0,1
RC,490,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,1423.0,6802.0,8
RC,490,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,2350.0,15007.0,8
RC,490,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,2350.0,15007.0,8
RC,490,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2050.0,15007.0,7
RC,490,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,2350.0,53068.0,12
RC,490,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Complex Surgery",,,11754.0,11754.0,2
RC,490,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,2050.0,8577.0,8
RC,490,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus Other Surgical Services",,,2850.0,2850.0,1
RC,490,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,2050.0,8727.0,11
RC,490,Transplantation of testis(es) to thigh (because of scrotal destruction) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transposition, ovary(s) ",,,2050.0,10719.0,11
RC,490,"Transposition, ovary(s) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,2050.0,8577.0,8
RC,490,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization Othe",,,2850.0,2850.0,1
RC,490,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,2050.0,8577.0,8
RC,490,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter Other Surgical Services",,,2850.0,2850.0,1
RC,490,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,2050.0,6802.0,11
RC,490,Transurethral destruction of prostate tissue; by microwave thermotherapy Other Surgical Services,,,2850.0,2850.0,1
RC,490,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,2050.0,7493.0,8
RC,490,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy Other Surgical Services,,,2850.0,2850.0,1
RC,490,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,2050.0,13315.0,11
RC,490,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Other Surgical Services,,,2850.0,2850.0,1
RC,490,Transurethral drainage of prostatic abscess ,,,2050.0,8727.0,10
RC,490,Transurethral drainage of prostatic abscess Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,2350.0,13830.0,14
RC,490,Transurethral incision of prostate ,,,2050.0,8727.0,10
RC,490,Transurethral incision of prostate Other Surgical Services,,,2850.0,2850.0,1
RC,490,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,2050.0,6802.0,11
RC,490,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence Other Surgical Services,,,2850.0,2850.0,1
RC,490,Transurethral resection of bladder neck (separate procedure) ,,,2050.0,8727.0,10
RC,490,Transurethral resection of bladder neck (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Transurethral resection; of postoperative bladder neck contracture ,,,2350.0,8727.0,8
RC,490,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,2350.0,13315.0,8
RC,490,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,2050.0,12863.0,8
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,1423.0,6802.0,11
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,1423.0,6802.0,11
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,11
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,11
RC,490,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Transvesical ureterolithotomy ,,,2050.0,13315.0,11
RC,490,Transvesical ureterolithotomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,1982.0,13830.0,12
RC,490,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,490,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,1982.0,6802.0,12
RC,490,"Treatment of incomplete abortion, any trimester, completed surgically ",,,2050.0,8727.0,11
RC,490,"Treatment of incomplete abortion, any trimester, completed surgically Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Treatment of missed abortion, completed surgically; first trimester ",,,2050.0,8727.0,11
RC,490,"Treatment of missed abortion, completed surgically; first trimester Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Treatment of missed abortion, completed surgically; second trimester ",,,2050.0,8727.0,11
RC,490,"Treatment of missed abortion, completed surgically; second trimester Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Treatment of septic abortion, completed surgically ",,,2050.0,8577.0,8
RC,490,"Treatment of septic abortion, completed surgically Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Trimming of dystrophic nails, any number ",,,1423.0,3251.0,4
RC,490,Tubotubal anastomosis ,,,2050.0,10719.0,11
RC,490,Tubotubal anastomosis Other Surgical Services,,,2850.0,2850.0,1
RC,490,Tubouterine implantation ,,,2050.0,10719.0,11
RC,490,Tubouterine implantation Other Surgical Services,,,2850.0,2850.0,1
RC,490,Twist drill hole for subdural or ventricular puncture ,,,2050.0,8577.0,8
RC,490,Twist drill hole for subdural or ventricular puncture Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,2050.0,8577.0,8
RC,490,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,2050.0,8577.0,8
RC,490,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device Other Surgical Servic",,,2850.0,2850.0,1
RC,490,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,2050.0,8577.0,8
RC,490,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,2050.0,8577.0,36
RC,490,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,2050.0,8727.0,11
RC,490,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Other Surgical Services",,,2850.0,2850.0,1
RC,490,Tympanic neurectomy ,,,2350.0,8727.0,8
RC,490,"Tympanolysis, transcanal ",,,2050.0,13315.0,11
RC,490,"Tympanolysis, transcanal Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,490,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,2350.0,13315.0,8
RC,490,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,490,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,490,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,2350.0,13315.0,8
RC,490,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,2350.0,13315.0,8
RC,490,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,2350.0,13315.0,8
RC,490,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,2050.0,6802.0,11
RC,490,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,1423.0,6802.0,11
RC,490,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,2143.0,2143.0,1
RC,490,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) ",,,2050.0,10719.0,11
RC,490,"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Unlisted cardiovascular service or procedure ,,,1423.0,3251.0,4
RC,490,Unlisted diagnostic gastroenterology procedure ,,,1423.0,3251.0,4
RC,490,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,1423.0,6802.0,11
RC,490,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted hysteroscopy procedure, uterus ",,,1423.0,13830.0,12
RC,490,"Unlisted hysteroscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,490,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum ",,,2050.0,13830.0,14
RC,490,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum Complex Surgery",,,11754.0,11754.0,2
RC,490,"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted laparoscopy procedure, bladder ",,,2350.0,13315.0,8
RC,490,"Unlisted laparoscopy procedure, endocrine system ",,,2350.0,13315.0,8
RC,490,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy ",,,2350.0,13830.0,12
RC,490,"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Complex Surgery",,,11754.0,11754.0,2
RC,490,"Unlisted laparoscopy procedure, maternity care and delivery ",,,2350.0,13830.0,12
RC,490,"Unlisted laparoscopy procedure, maternity care and delivery Complex Surgery",,,11754.0,11754.0,2
RC,490,"Unlisted laparoscopy procedure, oviduct, ovary ",,,2350.0,13830.0,12
RC,490,"Unlisted laparoscopy procedure, oviduct, ovary Complex Surgery",,,11754.0,11754.0,2
RC,490,"Unlisted laparoscopy procedure, renal ",,,2350.0,13830.0,12
RC,490,"Unlisted laparoscopy procedure, renal Complex Surgery",,,11754.0,11754.0,2
RC,490,"Unlisted laparoscopy procedure, spermatic cord ",,,2350.0,13315.0,8
RC,490,"Unlisted laparoscopy procedure, testis ",,,2350.0,13315.0,8
RC,490,"Unlisted laparoscopy procedure, ureter ",,,2350.0,13830.0,12
RC,490,"Unlisted laparoscopy procedure, ureter Complex Surgery",,,11754.0,11754.0,2
RC,490,"Unlisted laparoscopy procedure, uterus ",,,2350.0,13830.0,12
RC,490,"Unlisted laparoscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,490,"Unlisted procedure, abdomen, peritoneum and omentum ",,,2050.0,9539.0,11
RC,490,"Unlisted procedure, abdomen, peritoneum and omentum Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, anterior segment of eye ",,,2050.0,6802.0,11
RC,490,"Unlisted procedure, anterior segment of eye Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, conjunctiva ",,,1423.0,6802.0,11
RC,490,"Unlisted procedure, conjunctiva Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, endocrine system ",,,2050.0,15007.0,11
RC,490,"Unlisted procedure, endocrine system Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, external ear ",,,1423.0,6802.0,11
RC,490,"Unlisted procedure, external ear Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, extraocular muscle ",,,2050.0,8727.0,11
RC,490,"Unlisted procedure, extraocular muscle Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, eyelids ",,,1423.0,6802.0,11
RC,490,"Unlisted procedure, eyelids Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, female genital system (nonobstetrical) ",,,1423.0,6802.0,11
RC,490,"Unlisted procedure, female genital system (nonobstetrical) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, inner ear ",,,1423.0,6802.0,11
RC,490,"Unlisted procedure, inner ear Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, lacrimal system ",,,1423.0,6802.0,11
RC,490,"Unlisted procedure, lacrimal system Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, male genital system ",,,1423.0,6802.0,11
RC,490,"Unlisted procedure, male genital system Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, maternity care and delivery ",,,1423.0,6802.0,11
RC,490,"Unlisted procedure, maternity care and delivery Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, middle ear ",,,1423.0,6802.0,11
RC,490,"Unlisted procedure, middle ear Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, nervous system ",,,1423.0,6802.0,11
RC,490,"Unlisted procedure, nervous system Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, orbit ",,,1423.0,6802.0,11
RC,490,"Unlisted procedure, orbit Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, posterior segment ",,,2050.0,6802.0,11
RC,490,"Unlisted procedure, posterior segment Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, temporal bone, middle fossa approach ",,,1423.0,6802.0,11
RC,490,"Unlisted procedure, temporal bone, middle fossa approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Unlisted procedure, urinary system ",,,1423.0,6802.0,11
RC,490,"Unlisted procedure, urinary system Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,1423.0,6802.0,12
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,11
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2050.0,8727.0,11
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,2050.0,8727.0,12
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2050.0,8727.0,11
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Other Su",,,2850.0,2850.0,1
RC,490,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1982.0,6802.0,12
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,11
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2050.0,6802.0,11
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,2050.0,6802.0,11
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy Other",,,2850.0,2850.0,1
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2050.0,8727.0,11
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus Other Surgical Servic",,,2850.0,2850.0,1
RC,490,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1982.0,6802.0,12
RC,490,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2050.0,8577.0,8
RC,490,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureterectomy, with bladder cuff (separate procedure) ",,,2050.0,8577.0,8
RC,490,"Ureterectomy, with bladder cuff (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,2050.0,8577.0,8
RC,490,"Ureterocalycostomy, anastomosis of ureter to renal calyx Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureterocolon conduit, including intestine anastomosis ",,,2050.0,8577.0,8
RC,490,"Ureterocolon conduit, including intestine anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,2050.0,8577.0,8
RC,490,"Ureteroenterostomy, direct anastomosis of ureter to intestine Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,2050.0,8577.0,8
RC,490,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Ureterolithotomy; lower one-third of ureter ,,,2050.0,8577.0,8
RC,490,Ureterolithotomy; lower one-third of ureter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Ureterolithotomy; middle one-third of ureter ,,,2050.0,8577.0,8
RC,490,Ureterolithotomy; middle one-third of ureter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Ureterolithotomy; upper one-third of ureter ,,,2050.0,8577.0,8
RC,490,Ureterolithotomy; upper one-third of ureter Other Surgical Services,,,2850.0,2850.0,1
RC,490,Ureterolysis for ovarian vein syndrome ,,,2050.0,8577.0,8
RC,490,Ureterolysis for ovarian vein syndrome Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,2050.0,8577.0,8
RC,490,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,2050.0,8577.0,8
RC,490,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis Other Surgical Services",,,2850.0,2850.0,1
RC,490,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,2050.0,8577.0,8
RC,490,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder Other Surgical Services,,,2850.0,2850.0,1
RC,490,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,2050.0,7493.0,8
RC,490,Ureteroneocystostomy; anastomosis of single ureter to bladder Other Surgical Services,,,2850.0,2850.0,1
RC,490,Ureteroneocystostomy; with extensive ureteral tailoring ,,,2050.0,8577.0,8
RC,490,Ureteroneocystostomy; with extensive ureteral tailoring Other Surgical Services,,,2850.0,2850.0,1
RC,490,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,2050.0,8577.0,8
RC,490,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,2050.0,8577.0,8
RC,490,"Ureteroplasty, plastic operation on ureter (eg, stricture) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,2050.0,8577.0,8
RC,490,"Ureteropyelostomy, anastomosis of ureter and renal pelvis Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,2050.0,8577.0,8
RC,490,"Ureterorrhaphy, suture of ureter (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,2050.0,8577.0,8
RC,490,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureterostomy, transplantation of ureter to skin ",,,2050.0,8577.0,8
RC,490,"Ureterostomy, transplantation of ureter to skin Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ureterotomy for insertion of indwelling stent, all types ",,,2050.0,8577.0,8
RC,490,"Ureterotomy for insertion of indwelling stent, all types Other Surgical Services",,,2850.0,2850.0,1
RC,490,Ureterotomy with exploration or drainage (separate procedure) ,,,2050.0,8577.0,8
RC,490,Ureterotomy with exploration or drainage (separate procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Ureteroureterostomy ,,,2050.0,8577.0,8
RC,490,Ureteroureterostomy Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Urethrectomy, total, including cystostomy; female ",,,2050.0,10719.0,11
RC,490,"Urethrectomy, total, including cystostomy; female Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethrectomy, total, including cystostomy; male ",,,2050.0,8727.0,11
RC,490,"Urethrectomy, total, including cystostomy; male Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,2050.0,10719.0,11
RC,490,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethromeatoplasty, with mucosal advancement ",,,2050.0,10719.0,11
RC,490,"Urethromeatoplasty, with mucosal advancement Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,2050.0,8727.0,11
RC,490,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,2050.0,10719.0,11
RC,490,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia Other Surgical Services,,,2850.0,2850.0,1
RC,490,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,2050.0,10719.0,11
RC,490,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Other Surgical Services,,,2850.0,2850.0,1
RC,490,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,2050.0,13315.0,11
RC,490,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,2050.0,10719.0,11
RC,490,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,2050.0,10719.0,11
RC,490,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,2050.0,10719.0,11
RC,490,"Urethroplasty, 1-stage reconstruction of male anterior urethra Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,2050.0,10719.0,11
RC,490,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,2050.0,10719.0,11
RC,490,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethroplasty, reconstruction of female urethra ",,,2050.0,10719.0,11
RC,490,"Urethroplasty, reconstruction of female urethra Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2050.0,13315.0,11
RC,490,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,2050.0,10719.0,11
RC,490,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,2050.0,10719.0,11
RC,490,"Urethroplasty; second stage (formation of urethra), including urinary diversion Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,2050.0,8727.0,11
RC,490,"Urethrorrhaphy, suture of urethral wound or injury, female Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,2050.0,10719.0,11
RC,490,"Urethrorrhaphy, suture of urethral wound or injury; penile Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,2050.0,8727.0,11
RC,490,"Urethrorrhaphy, suture of urethral wound or injury; perineal Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,2050.0,10719.0,11
RC,490,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,2050.0,8727.0,11
RC,490,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,2050.0,8727.0,11
RC,490,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,2050.0,8577.0,8
RC,490,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,11
RC,490,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) Other Surgical Services,,,2850.0,2850.0,1
RC,490,Uterine evacuation and curettage for hydatidiform mole ,,,2050.0,8727.0,11
RC,490,Uterine evacuation and curettage for hydatidiform mole Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,2050.0,10719.0,8
RC,490,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,2050.0,8577.0,8
RC,490,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,7583.0,9539.0,3
RC,490,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,2050.0,8727.0,11
RC,490,Vaginal delivery only (with or without episiotomy and/or forceps); Other Surgical Services,,,2850.0,2850.0,1
RC,490,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,2050.0,6802.0,7
RC,490,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,2050.0,8727.0,11
RC,490,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,2050.0,6802.0,7
RC,490,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; ",,,2350.0,10719.0,8
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,2350.0,10719.0,8
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,2350.0,10719.0,8
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,2350.0,10719.0,8
RC,490,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,2350.0,10719.0,8
RC,490,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,2350.0,13315.0,8
RC,490,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2350.0,13315.0,8
RC,490,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,2350.0,13315.0,8
RC,490,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,2350.0,13315.0,8
RC,490,"Vaginal hysterectomy, radical (Schauta type operation) ",,,2350.0,8577.0,5
RC,490,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,2350.0,10719.0,8
RC,490,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,2350.0,10719.0,8
RC,490,"Vaginectomy, complete removal of vaginal wall; ",,,2050.0,8577.0,8
RC,490,"Vaginectomy, complete removal of vaginal wall; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2050.0,10719.0,11
RC,490,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vaginectomy, partial removal of vaginal wall; ",,,2050.0,8727.0,11
RC,490,"Vaginectomy, partial removal of vaginal wall; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2050.0,8727.0,11
RC,490,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,2050.0,8727.0,11
RC,490,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) Other Su",,,2850.0,2850.0,1
RC,490,Vaginoplasty for intersex state ,,,2350.0,8727.0,9
RC,490,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,8577.0,8577.0,1
RC,490,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,19295.0,19295.0,1
RC,490,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,2050.0,8727.0,11
RC,490,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,1423.0,6802.0,11
RC,490,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,2050.0,8727.0,11
RC,490,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vasovasostomy, vasovasorrhaphy ",,,2050.0,8727.0,11
RC,490,"Vasovasostomy, vasovasorrhaphy Other Surgical Services",,,2850.0,2850.0,1
RC,490,Ventilating tube removal requiring general anesthesia ,,,2050.0,10719.0,11
RC,490,Ventilating tube removal requiring general anesthesia Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,1982.0,6802.0,11
RC,490,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment Other Surgi",,,2850.0,2850.0,1
RC,490,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,1982.0,6802.0,11
RC,490,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection Other Surgical Services",,,2850.0,2850.0,1
RC,490,Ventriculocisternostomy (Torkildsen type operation) ,,,2050.0,8577.0,8
RC,490,Ventriculocisternostomy (Torkildsen type operation) Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Ventriculocisternostomy, third ventricle; ",,,2050.0,8577.0,8
RC,490,"Ventriculocisternostomy, third ventricle; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,2050.0,8577.0,8
RC,490,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,2350.0,8577.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,2350.0,15007.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,2350.0,8577.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,2350.0,8577.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,2350.0,8577.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,2350.0,8577.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2350.0,8577.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,2350.0,8577.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,2350.0,8577.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,2350.0,8577.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,2350.0,8577.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,2350.0,8577.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,2350.0,8577.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,2350.0,8577.0,18
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,2350.0,8577.0,12
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,2350.0,8577.0,6
RC,490,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,2350.0,8577.0,6
RC,490,"Vesiculectomy, any approach ",,,1982.0,6802.0,11
RC,490,"Vesiculectomy, any approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,Vesiculotomy; ,,,2050.0,8727.0,11
RC,490,Vesiculotomy; Other Surgical Services,,,2850.0,2850.0,1
RC,490,Vesiculotomy; complicated ,,,1982.0,6802.0,11
RC,490,Vesiculotomy; complicated Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Vestibular nerve section, transcranial approach ",,,2050.0,8577.0,8
RC,490,"Vestibular nerve section, transcranial approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vestibular nerve section, translabyrinthine approach ",,,2050.0,13315.0,11
RC,490,"Vestibular nerve section, translabyrinthine approach Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vitrectomy, mechanical, pars plana approach; ",,,2350.0,13830.0,12
RC,490,"Vitrectomy, mechanical, pars plana approach; Complex Surgery",,,11754.0,11754.0,2
RC,490,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,2350.0,13830.0,12
RC,490,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,490,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,2350.0,13830.0,12
RC,490,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,490,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,2350.0,13830.0,14
RC,490,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,2350.0,13830.0,12
RC,490,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Complex Surgery",,,11754.0,11754.0,2
RC,490,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,2350.0,13830.0,14
RC,490,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,11
RC,490,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) Other Surgical Services",,,2850.0,2850.0,1
RC,490,Vulvectomy simple; complete ,,,2050.0,8727.0,11
RC,490,Vulvectomy simple; complete Other Surgical Services,,,2850.0,2850.0,1
RC,490,Vulvectomy simple; partial ,,,2050.0,8727.0,11
RC,490,Vulvectomy simple; partial Other Surgical Services,,,2850.0,2850.0,1
RC,490,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,2050.0,8577.0,8
RC,490,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vulvectomy, radical, complete; ",,,2050.0,19295.0,11
RC,490,"Vulvectomy, radical, complete; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,2050.0,19295.0,11
RC,490,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,2050.0,19295.0,11
RC,490,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vulvectomy, radical, partial; ",,,2050.0,10719.0,8
RC,490,"Vulvectomy, radical, partial; Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,2050.0,19295.0,11
RC,490,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,2050.0,19295.0,11
RC,490,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy Other Surgical Services",,,2850.0,2850.0,1
RC,490,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,2050.0,10719.0,11
RC,490,"Wedge resection or bisection of ovary, unilateral or bilateral Other Surgical Services",,,2850.0,2850.0,1
RC,490,Wound closure utilizing tissue adhesive(s) only ,,,1423.0,3251.0,4
RC,499, Ambulatory Surgical Care Other  ,,,2481.0,8574.0,8
RC,499,"1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap ",,,2702.0,13315.0,7
RC,499,"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap) ",,,2702.0,10719.0,7
RC,499,"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap) ",,,2702.0,13315.0,7
RC,499,1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra ,,,2702.0,10719.0,7
RC,499,1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2702.0,10719.0,7
RC,499,1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap ,,,2702.0,10719.0,7
RC,499,"APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR (EG, TENS UNIT) ",,,1423.0,3251.0,3
RC,499,"Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) ",,,2702.0,13315.0,7
RC,499,"Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure) ",,,2143.0,6802.0,4
RC,499,"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency ",,,2702.0,6802.0,4
RC,499,"Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance ",,,2702.0,7493.0,4
RC,499,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; ",,,2702.0,8577.0,4
RC,499,"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound ",,,2702.0,19295.0,4
RC,499,"Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency ",,,2702.0,15007.0,7
RC,499,"Ablation, irreversible electroporation, prostate, 1 or more tumors, including imaging guidance, percutaneous ",,,2702.0,15007.0,4
RC,499,"Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed ",,,2702.0,8577.0,4
RC,499,"Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy ",,,2702.0,15007.0,5
RC,499,Accessing and retorquing loose implant screw - per screw ,,,8577.0,8577.0,1
RC,499,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,1575.0,17341.0,6
RC,499,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,499,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); ",,,2702.0,8577.0,4
RC,499,"Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor ",,,2702.0,8577.0,4
RC,499,Amniocentesis; diagnostic ,,,1982.0,6802.0,7
RC,499,Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) ,,,1423.0,6802.0,7
RC,499,"Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,8577.0,4
RC,499,"Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,8577.0,4
RC,499,Amputation of penis; complete ,,,2702.0,6802.0,7
RC,499,Amputation of penis; partial ,,,2702.0,10719.0,7
RC,499,"Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries ",,,2702.0,8577.0,4
RC,499,Anastomosis; facial-hypoglossal ,,,2702.0,8577.0,4
RC,499,Anastomosis; facial-spinal accessory ,,,2702.0,8577.0,4
RC,499,Anorectal manometry ,,,1423.0,3251.0,3
RC,499,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,2143.0,2143.0,1
RC,499,Antepartum care only; 4-6 visits ,,,2702.0,6802.0,3
RC,499,Antepartum care only; 7 or more visits ,,,2702.0,6802.0,3
RC,499,"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed ",,,4963.0,10719.0,7
RC,499,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair) ",,,2702.0,8727.0,7
RC,499,"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple ",,,2702.0,8727.0,7
RC,499,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,8577.0,8577.0,2
RC,499,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,8577.0,8577.0,2
RC,499,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1423.0,3689.0,6
RC,499,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1423.0,3251.0,3
RC,499,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1982.0,3689.0,3
RC,499,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1423.0,3251.0,3
RC,499,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2820.0,5414.0,3
RC,499,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1423.0,3251.0,3
RC,499,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1982.0,3689.0,3
RC,499,Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,4
RC,499,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft ",,,4963.0,13315.0,7
RC,499,"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft ",,,2702.0,13315.0,7
RC,499,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,8577.0,8577.0,1
RC,499,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,8577.0,8577.0,1
RC,499,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1423.0,3251.0,4
RC,499,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,15007.0,15007.0,1
RC,499,Artificial insemination; intra-cervical ,,,1423.0,6802.0,7
RC,499,Artificial insemination; intra-uterine ,,,1423.0,6802.0,7
RC,499,"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous ",,,2702.0,6802.0,7
RC,499,"Aspiration and/or injection, thyroid cyst ",,,1982.0,6802.0,7
RC,499,Aspiration of bladder; by needle ,,,1423.0,6802.0,7
RC,499,Aspiration of bladder; by trocar or intracatheter ,,,1423.0,6802.0,7
RC,499,Aspiration of bladder; with insertion of suprapubic catheter ,,,2702.0,8727.0,7
RC,499,"Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) ",,,4963.0,8727.0,7
RC,499,Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,499,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each ",,,2702.0,8577.0,4
RC,499,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each ",,,2702.0,8577.0,4
RC,499,"Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each ",,,2702.0,8577.0,4
RC,499,"Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision o",,,2702.0,8577.0,4
RC,499,"Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal ",,,2702.0,8577.0,4
RC,499,"Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous ",,,2702.0,23692.0,8
RC,499,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,499,"Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,499,"Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel ",,,2702.0,8577.0,4
RC,499,"Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code",,,1423.0,6802.0,7
RC,499,"Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft ",,,2702.0,8577.0,4
RC,499,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; ",,,2702.0,8577.0,4
RC,499,"Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy ",,,2702.0,8577.0,4
RC,499,"Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy ",,,2702.0,8577.0,4
RC,499,"Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance ",,,2702.0,6802.0,7
RC,499,Biopsy external auditory canal ,,,2702.0,6802.0,7
RC,499,Biopsy external ear ,,,1423.0,6802.0,7
RC,499,"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) ",,,1982.0,6802.0,7
RC,499,Biopsy of conjunctiva ,,,1982.0,6802.0,7
RC,499,Biopsy of cornea ,,,1982.0,6802.0,7
RC,499,"Biopsy of epididymis, needle ",,,1982.0,6802.0,7
RC,499,Biopsy of extraocular muscle ,,,2702.0,10719.0,7
RC,499,Biopsy of lacrimal gland ,,,2702.0,8727.0,7
RC,499,Biopsy of lacrimal sac ,,,2702.0,8727.0,7
RC,499,Biopsy of nerve ,,,2702.0,8727.0,7
RC,499,"Biopsy of ovary, unilateral or bilateral (separate procedure) ",,,2702.0,8727.0,7
RC,499,Biopsy of penis; (separate procedure) ,,,2702.0,6802.0,7
RC,499,Biopsy of penis; deep structures ,,,2702.0,8727.0,7
RC,499,"Biopsy of spinal cord, percutaneous needle ",,,2702.0,6802.0,7
RC,499,"Biopsy of testis, incisional (separate procedure) ",,,2702.0,8727.0,7
RC,499,"Biopsy of testis, needle (separate procedure) ",,,2702.0,6802.0,7
RC,499,Biopsy of urethra ,,,2702.0,8727.0,7
RC,499,"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) ",,,2702.0,8727.0,7
RC,499,Biopsy of vaginal mucosa; simple (separate procedure) ,,,1982.0,6802.0,7
RC,499,Biopsy of vulva or perineum (separate procedure); 1 lesion ,,,1982.0,6802.0,7
RC,499,Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,499,"Biopsy thyroid, percutaneous core needle ",,,1982.0,6802.0,7
RC,499,"Biopsy, prostate, any approach, nonimaging-guided ",,,2702.0,6802.0,7
RC,499,"Biopsy, prostate, each additional, MRI-ultrasound fusion or in-bore CT- or MRI-guided targeted lesion (List separately in addition to code for primary procedure) ",,,2143.0,6802.0,4
RC,499,"Biopsy, prostate, in-bore CT- or MRI-guided (ie, sextant), with biopsy of additional targeted lesion(s), first targeted lesion ",,,2702.0,7493.0,4
RC,499,"Biopsy, prostate, in-bore CT- or MRI-guided targeted lesion(s) only, first targeted lesion ",,,2702.0,7493.0,4
RC,499,"Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2702.0,7493.0,4
RC,499,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion ",,,2702.0,7493.0,4
RC,499,"Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2702.0,7493.0,4
RC,499,"Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion ",,,2702.0,7493.0,4
RC,499,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion ",,,2702.0,7493.0,4
RC,499,"Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») ",,,2702.0,7493.0,4
RC,499,"Biopsy, prostate; needle or punch, single or multiple, any approach ",,,2820.0,5414.0,3
RC,499,Bladder instillation of anticarcinogenic agent (including retention time) ,,,1423.0,6802.0,7
RC,499,"Bladder irrigation, simple, lavage and/or instillation ",,,1423.0,6802.0,7
RC,499,"Blepharotomy, drainage of abscess, eyelid ",,,1423.0,6802.0,7
RC,499,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,19295.0,19295.0,1
RC,499,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,10737.0,15007.0,4
RC,499,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,24657.0,24657.0,1
RC,499,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,24657.0,5
RC,499,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,19295.0,19295.0,1
RC,499,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,1423.0,3251.0,3
RC,499,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1423.0,3251.0,4
RC,499,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,499,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,8577.0,8577.0,1
RC,499,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,499,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,8577.0,8577.0,1
RC,499,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,8577.0,8577.0,1
RC,499,Buccal/ labial frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,499,Bundle of His recording ,,,6826.0,19105.0,4
RC,499,"Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material) ",,,2702.0,8577.0,4
RC,499,"Burr hole(s) or trephine, infratentorial, unilateral or bilateral ",,,2702.0,8577.0,4
RC,499,"Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery ",,,2702.0,8577.0,4
RC,499,Burr hole(s) or trephine; with biopsy of brain or intracranial lesion ,,,2702.0,8577.0,4
RC,499,Burr hole(s) or trephine; with drainage of brain abscess or cyst ,,,2702.0,8577.0,4
RC,499,Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst ,,,2702.0,8577.0,4
RC,499,"Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural ",,,2702.0,8577.0,4
RC,499,"Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) ",,,2702.0,8577.0,4
RC,499,"Burr hole(s); with aspiration of hematoma or cyst, intracerebral ",,,2702.0,8577.0,4
RC,499,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,499,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,7583.0,9539.0,3
RC,499,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,499,Canthoplasty (reconstruction of canthus) ,,,2702.0,8727.0,7
RC,499,Canthotomy (separate procedure) ,,,2702.0,8727.0,7
RC,499,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,2143.0,2143.0,1
RC,499,Cardioassist-method of circulatory assist; external ,,,8577.0,8577.0,1
RC,499,Cardioassist-method of circulatory assist; internal ,,,8577.0,8577.0,1
RC,499,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,1423.0,3251.0,4
RC,499,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1982.0,4009.0,4
RC,499,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1982.0,4009.0,4
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,8577.0,12038.0,5
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,8577.0,12038.0,5
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,8577.0,8577.0,3
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8577.0,8577.0,1
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,8577.0,12038.0,20
RC,499,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,8577.0,12038.0,15
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8577.0,8577.0,1
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8577.0,8577.0,1
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,13374.0,13374.0,1
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,8577.0,13374.0,15
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,13374.0,10
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,8577.0,13374.0,16
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,13374.0,5
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,8577.0,8577.0,1
RC,499,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,8577.0,8577.0,1
RC,499,Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography ,,,1423.0,6802.0,7
RC,499,"Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2143.0,6802.0,4
RC,499,"Cautery of cervix; cryocautery, initial or repeat ",,,1423.0,6802.0,7
RC,499,Cautery of cervix; electro or thermal ,,,2702.0,8727.0,7
RC,499,Cautery of cervix; laser ablation ,,,2702.0,8727.0,7
RC,499,"Cerclage of cervix, during pregnancy; abdominal ",,,2702.0,8577.0,4
RC,499,"Cerclage of cervix, during pregnancy; vaginal ",,,2702.0,8727.0,7
RC,499,"Cerclage of uterine cervix, nonobstetrical ",,,2702.0,8727.0,7
RC,499,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; ",,,2702.0,6802.0,3
RC,499,"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care ",,,2702.0,6802.0,3
RC,499,Cesarean delivery only; ,,,2702.0,8577.0,4
RC,499,Cesarean delivery only; including postpartum care ,,,2702.0,8577.0,4
RC,499,Change of cystostomy tube; complicated ,,,1982.0,6802.0,7
RC,499,Change of cystostomy tube; simple ,,,1423.0,6802.0,7
RC,499,Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit ,,,2702.0,6802.0,7
RC,499,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,8577.0,8577.0,1
RC,499,Chemodenervation of eccrine glands; both axillae ,,,1423.0,6802.0,7
RC,499,"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day ",,,1423.0,6802.0,7
RC,499,Chemodenervation of extraocular muscle ,,,1423.0,6802.0,7
RC,499,"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed ",,,1982.0,6802.0,7
RC,499,"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm) ",,,1423.0,6802.0,7
RC,499,"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine) ",,,1423.0,6802.0,7
RC,499,"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) ",,,1982.0,6802.0,7
RC,499,Chemodenervation of one extremity; 1-4 muscle(s) ,,,1982.0,6802.0,7
RC,499,Chemodenervation of one extremity; 5 or more muscles ,,,1982.0,6802.0,7
RC,499,"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,"Chemodenervation of parotid and submandibular salivary glands, bilateral ",,,1423.0,6802.0,7
RC,499,Chemodenervation of trunk muscle(s); 1-5 muscle(s) ,,,1982.0,6802.0,7
RC,499,Chemodenervation of trunk muscle(s); 6 or more muscles ,,,1982.0,6802.0,7
RC,499,"Chorionic villus sampling, any method ",,,1982.0,6802.0,7
RC,499,"Chromotubation of oviduct, including materials ",,,4963.0,10719.0,7
RC,499,Ciliary body destruction; cryotherapy ,,,2702.0,8727.0,7
RC,499,Ciliary body destruction; cyclodialysis ,,,2702.0,8727.0,7
RC,499,"Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens ",,,2702.0,8727.0,7
RC,499,"Ciliary body destruction; cyclophotocoagulation, transscleral ",,,2702.0,8727.0,7
RC,499,Ciliary body destruction; diathermy ,,,2702.0,6802.0,7
RC,499,"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) ",,,2702.0,8727.0,7
RC,499,"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age ",,,4963.0,8727.0,7
RC,499,"Circumcision, using clamp or other device with regional dorsal penile or ring block ",,,2702.0,8727.0,7
RC,499,Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment ,,,1982.0,6802.0,7
RC,499,Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) ,,,2143.0,8727.0,7
RC,499,Clitoroplasty for intersex state ,,,2702.0,8727.0,7
RC,499,Closure of cystostomy (separate procedure) ,,,2702.0,8727.0,7
RC,499,Closure of lacrimal fistula (separate procedure) ,,,1982.0,6802.0,7
RC,499,Closure of nephrocutaneous or pyelocutaneous fistula ,,,1982.0,6802.0,7
RC,499,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach ",,,2702.0,8577.0,4
RC,499,"Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach ",,,2702.0,8577.0,4
RC,499,Closure of rectovaginal fistula; abdominal approach ,,,4963.0,8577.0,4
RC,499,"Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy ",,,4963.0,8577.0,4
RC,499,"Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication ",,,4963.0,8727.0,7
RC,499,Closure of rectovaginal fistula; vaginal or transanal approach ,,,4963.0,8727.0,7
RC,499,"Closure of the lacrimal punctum; by plug, each ",,,1423.0,6802.0,7
RC,499,"Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery ",,,1423.0,6802.0,7
RC,499,Closure of ureterocutaneous fistula ,,,2702.0,8577.0,4
RC,499,Closure of ureterovisceral fistula (including visceral repair) ,,,2702.0,8577.0,4
RC,499,"Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) ",,,2702.0,10719.0,7
RC,499,Closure of urethrovaginal fistula; ,,,4963.0,13315.0,7
RC,499,Closure of urethrovaginal fistula; with bulbocavernosus transplant ,,,4963.0,10719.0,7
RC,499,Closure of vesicouterine fistula; ,,,2702.0,8727.0,7
RC,499,Closure of vesicouterine fistula; with hysterectomy ,,,2702.0,8577.0,4
RC,499,"Closure of vesicovaginal fistula, abdominal approach ",,,2702.0,10719.0,7
RC,499,Closure of vesicovaginal fistula; transvesical and vaginal approach ,,,4963.0,10719.0,7
RC,499,Closure of vesicovaginal fistula; vaginal approach ,,,4963.0,10719.0,7
RC,499,"Closure postauricular fistula, mastoid (separate procedure) ",,,2702.0,8727.0,7
RC,499,"Closure, exstrophy of bladder ",,,2702.0,8577.0,4
RC,499,"Cochlear device implantation, with or without mastoidectomy ",,,4963.0,104011.0,11
RC,499,"Cochlear device implantation, with or without mastoidectomy Complex Surgery",,,11754.0,11754.0,2
RC,499,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,8577.0,8577.0,1
RC,499,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1423.0,3251.0,4
RC,499,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1982.0,4009.0,4
RC,499,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1982.0,4009.0,4
RC,499,Colorectal cancer screening; flexible sigmoidoscopy ,,,1982.0,4009.0,4
RC,499,Colpocentesis (separate procedure) ,,,2702.0,8727.0,7
RC,499,Colpocleisis (Le Fort type) ,,,2702.0,10719.0,7
RC,499,"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical) ",,,4963.0,8727.0,7
RC,499,"Colpopexy, abdominal approach ",,,4963.0,8727.0,7
RC,499,"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) ",,,4963.0,13315.0,7
RC,499,"Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) ",,,4963.0,13315.0,7
RC,499,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,7493.0,7493.0,1
RC,499,"Colporrhaphy, suture of injury of vagina (nonobstetrical) ",,,4963.0,8727.0,7
RC,499,Colposcopy of the cervix including upper/adjacent vagina; ,,,1423.0,6802.0,7
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix ,,,1423.0,6802.0,7
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage ,,,1423.0,6802.0,7
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage ,,,1423.0,6802.0,7
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix ,,,2702.0,8727.0,7
RC,499,Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix ,,,2702.0,8727.0,7
RC,499,"Colposcopy of the entire vagina, with cervix if present; ",,,1423.0,6802.0,7
RC,499,"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix ",,,1982.0,6802.0,7
RC,499,Colposcopy of the vulva; ,,,1423.0,6802.0,7
RC,499,Colposcopy of the vulva; with biopsy(s) ,,,1423.0,6802.0,7
RC,499,Colpotomy; with drainage of pelvic abscess ,,,2702.0,8727.0,7
RC,499,Colpotomy; with exploration ,,,2702.0,8727.0,7
RC,499,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; ",,,4963.0,10719.0,7
RC,499,"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair ",,,4963.0,13315.0,7
RC,499,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,499,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,499,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,499,"Complex cystometrogram (ie, calibrated electronic equipment); ",,,1982.0,6802.0,7
RC,499,"Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique ",,,1982.0,6802.0,7
RC,499,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile)",,,1982.0,6802.0,7
RC,499,"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique ",,,1982.0,6802.0,7
RC,499,"Complex uroflowmetry (eg, calibrated electronic equipment) ",,,1423.0,6802.0,7
RC,499,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,19105.0,4
RC,499,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,19105.0,4
RC,499,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,8
RC,499,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,20
RC,499,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,8
RC,499,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,10
RC,499,"Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code fo",,,2143.0,6802.0,4
RC,499,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser ",,,2702.0,8727.0,7
RC,499,"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision ",,,2702.0,8727.0,7
RC,499,Conjunctival flap; bridge or partial (separate procedure) ,,,2702.0,10719.0,7
RC,499,Conjunctival flap; total (such as Gunderson thin flap or purse string flap) ,,,2702.0,8727.0,7
RC,499,"Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) ",,,2702.0,8727.0,7
RC,499,"Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement ",,,2702.0,10719.0,7
RC,499,Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) ,,,2702.0,10719.0,7
RC,499,Conjunctivoplasty; with conjunctival graft or extensive rearrangement ,,,2702.0,8727.0,7
RC,499,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent ,,,2702.0,10719.0,7
RC,499,Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube ,,,2702.0,10719.0,7
RC,499,Construction of artificial vagina; with graft ,,,4963.0,10719.0,7
RC,499,Construction of artificial vagina; without graft ,,,4963.0,8727.0,7
RC,499,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; ",,,2702.0,8727.0,7
RC,499,"Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate ",,,2702.0,8727.0,7
RC,499,"Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) ",,,2702.0,8577.0,4
RC,499,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1423.0,3251.0,4
RC,499,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,8577.0,8577.0,1
RC,499,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and al",,,1982.0,6802.0,7
RC,499,"Cordocentesis (intrauterine), any method ",,,1423.0,6802.0,7
RC,499,Corneal relaxing incision for correction of surgically induced astigmatism ,,,1982.0,6802.0,7
RC,499,Corneal wedge resection for correction of surgically induced astigmatism ,,,2702.0,8727.0,7
RC,499,"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral ",,,4963.0,8577.0,4
RC,499,"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism ",,,4963.0,10719.0,7
RC,499,"Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral ",,,4963.0,10719.0,7
RC,499,"Correction of everted punctum, cautery ",,,1423.0,6802.0,7
RC,499,"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight) ",,,2702.0,8727.0,7
RC,499,Correction of lid retraction ,,,2702.0,8727.0,7
RC,499,"Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) ",,,1423.0,6802.0,7
RC,499,"Correction of trichiasis; epilation, by forceps only ",,,1423.0,6802.0,7
RC,499,Correction of trichiasis; incision of lid margin ,,,1982.0,6802.0,7
RC,499,"Correction of trichiasis; incision of lid margin, with free mucous membrane graft ",,,2702.0,8727.0,7
RC,499,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary proce",,,1423.0,6802.0,7
RC,499,"Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment ",,,4963.0,15007.0,7
RC,499,Craniectomy for craniosynostosis; multiple cranial sutures ,,,2702.0,8577.0,4
RC,499,Craniectomy for craniosynostosis; single cranial suture ,,,2702.0,8577.0,4
RC,499,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ",,,2702.0,8577.0,4
RC,499,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull ",,,2702.0,8577.0,4
RC,499,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma ",,,2702.0,8577.0,4
RC,499,"Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull ",,,2702.0,8577.0,4
RC,499,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural ",,,2702.0,8577.0,4
RC,499,"Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar ",,,2702.0,8577.0,4
RC,499,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural ",,,2702.0,8577.0,4
RC,499,"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral ",,,2702.0,8577.0,4
RC,499,"Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical ",,,2702.0,8577.0,4
RC,499,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy ",,,2702.0,8577.0,4
RC,499,"Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy ",,,2702.0,8577.0,4
RC,499,"Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial ",,,2702.0,8577.0,4
RC,499,"Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial ",,,2702.0,8577.0,4
RC,499,"Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) ",,,2702.0,8577.0,4
RC,499,"Craniectomy or craniotomy, exploratory; supratentorial ",,,2702.0,8577.0,4
RC,499,Craniectomy or craniotomy; with excision of foreign body from brain ,,,2702.0,8577.0,4
RC,499,Craniectomy or craniotomy; with treatment of penetrating wound of brain ,,,2702.0,8577.0,4
RC,499,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; ",,,2702.0,8577.0,4
RC,499,"Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy ",,,2702.0,8577.0,4
RC,499,"Craniectomy, infratentorial or posterior fossa; for excision of brain abscess ",,,2702.0,8577.0,4
RC,499,"Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst ",,,2702.0,8577.0,4
RC,499,"Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation) ",,,2702.0,8577.0,4
RC,499,"Craniectomy, suboccipital; for exploration or decompression of cranial nerves ",,,2702.0,8577.0,4
RC,499,"Craniectomy, suboccipital; for section of 1 or more cranial nerves ",,,2702.0,8577.0,4
RC,499,"Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion ",,,2702.0,8577.0,4
RC,499,"Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial ",,,2702.0,8577.0,4
RC,499,"Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma ",,,2702.0,8577.0,4
RC,499,"Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial ",,,2702.0,8577.0,4
RC,499,"Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial ",,,2702.0,8577.0,4
RC,499,Craniectomy; for osteomyelitis ,,,2702.0,8577.0,4
RC,499,Craniectomy; with excision of tumor or other bone lesion of skull ,,,2702.0,15007.0,7
RC,499,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration ",,,2702.0,8577.0,4
RC,499,"Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy ",,,2702.0,8577.0,4
RC,499,"Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa ",,,2702.0,8577.0,4
RC,499,"Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa ",,,2702.0,8577.0,4
RC,499,Cranioplasty for skull defect with reparative brain surgery ,,,2702.0,8577.0,4
RC,499,Cranioplasty for skull defect; larger than 5 cm diameter ,,,2702.0,8577.0,4
RC,499,Cranioplasty for skull defect; up to 5 cm diameter ,,,2702.0,8577.0,4
RC,499,Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter ,,,2702.0,8577.0,4
RC,499,Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter ,,,2702.0,8577.0,4
RC,499,Craniotomy for craniosynostosis; bifrontal bone flap ,,,2702.0,8577.0,4
RC,499,Craniotomy for craniosynostosis; frontal or parietal bone flap ,,,2702.0,8577.0,4
RC,499,"Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach ",,,2702.0,8577.0,4
RC,499,"Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea ",,,2702.0,8577.0,4
RC,499,"Craniotomy for repair of encephalocele, skull base ",,,2702.0,8577.0,4
RC,499,"Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) ",,,2702.0,8577.0,4
RC,499,Craniotomy with elevation of bone flap; for excision of craniopharyngioma ,,,2702.0,8577.0,4
RC,499,Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery ,,,2702.0,8577.0,4
RC,499,Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus ,,,2702.0,8577.0,4
RC,499,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery ",,,2702.0,8577.0,4
RC,499,"Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery ",,,2702.0,8577.0,4
RC,499,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery ",,,2702.0,8577.0,4
RC,499,"Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery ",,,2702.0,8577.0,4
RC,499,"Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery ",,,2702.0,8577.0,4
RC,499,Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy ,,,2702.0,8577.0,4
RC,499,"Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) ",,,2702.0,8577.0,4
RC,499,Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy ,,,2702.0,8577.0,4
RC,499,"Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring ",,,2702.0,8577.0,4
RC,499,Craniotomy with elevation of bone flap; for transection of corpus callosum ,,,2702.0,8577.0,4
RC,499,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus ",,,2702.0,12863.0,7
RC,499,"Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus ",,,2702.0,8577.0,4
RC,499,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion ",,,2702.0,8727.0,7
RC,499,"Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract ",,,2702.0,8727.0,7
RC,499,"Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording) ",,,4963.0,8727.0,7
RC,499,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy ",,,2702.0,8577.0,4
RC,499,"Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy ",,,2702.0,12863.0,7
RC,499,"Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular ",,,2702.0,8577.0,4
RC,499,"Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus ",,,2702.0,8577.0,4
RC,499,"Creation of shunt; ventriculo-atrial, -jugular, -auricular ",,,2702.0,8577.0,4
RC,499,"Creation of shunt; ventriculo-peritoneal, -pleural, other terminus ",,,2702.0,8577.0,4
RC,499,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) ,,,2702.0,14379.0,11
RC,499,Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Complex Surgery,,,11754.0,11754.0,2
RC,499,"Curettage, postpartum ",,,2702.0,8727.0,7
RC,499,Cutaneous appendico-vesicostomy ,,,2702.0,8577.0,4
RC,499,Cutaneous vesicostomy ,,,2702.0,8727.0,7
RC,499,"Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder ",,,2702.0,8577.0,4
RC,499,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; ",,,2702.0,8577.0,4
RC,499,"Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,8577.0,4
RC,499,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; ",,,2702.0,8577.0,4
RC,499,"Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,8577.0,4
RC,499,"Cystectomy, complete; (separate procedure) ",,,2702.0,8577.0,4
RC,499,"Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,8577.0,4
RC,499,"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy) ",,,2702.0,8577.0,4
RC,499,"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location) ",,,2702.0,8577.0,4
RC,499,"Cystectomy, partial; simple ",,,2702.0,8577.0,4
RC,499,"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection ",,,2702.0,8727.0,7
RC,499,"Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical n",,,2702.0,8577.0,4
RC,499,"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated ",,,2702.0,10719.0,7
RC,499,"Cystorrhaphy, suture of bladder wound, injury or rupture; simple ",,,2702.0,8727.0,7
RC,499,"Cystostomy, cystotomy with drainage ",,,2702.0,8727.0,7
RC,499,"Cystotomy for excision, incision, or repair of ureterocele ",,,2702.0,8727.0,7
RC,499,"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material ",,,2702.0,8727.0,7
RC,499,Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion ,,,5360.0,8727.0,3
RC,499,"Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus ",,,2702.0,8727.0,7
RC,499,"Cystotomy, with insertion of ureteral catheter or stent (separate procedure) ",,,1982.0,6802.0,7
RC,499,"Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) ",,,2702.0,10719.0,7
RC,499,Cystotomy; for excision of bladder tumor ,,,2702.0,10719.0,7
RC,499,Cystotomy; for simple excision of vesical neck (separate procedure) ,,,2702.0,8727.0,7
RC,499,Cystourethroplasty with unilateral or bilateral ureteroneocystostomy ,,,2702.0,8577.0,4
RC,499,"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique) ",,,4963.0,15409.0,9
RC,499,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus ",,,4963.0,13830.0,11
RC,499,"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Complex Surgery",,,11754.0,11754.0,2
RC,499,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus ,,,4963.0,13830.0,11
RC,499,Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Complex Surgery,,,11754.0,11754.0,2
RC,499,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material ,,,4963.0,13830.0,11
RC,499,Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Complex Surgery,,,11754.0,11754.0,2
RC,499,Cystourethroscopy (separate procedure) ,,,1982.0,6802.0,7
RC,499,"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, ",,,2820.0,6802.0,7
RC,499,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,8577.0,8577.0,1
RC,499,Cystourethroscopy with direct vision internal urethrotomy ,,,4963.0,8727.0,7
RC,499,"Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds ",,,2702.0,8727.0,7
RC,499,Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter followed by therapeutic drug delivery into the prostate by a drug-coated balloon ca,,,2702.0,7493.0,4
RC,499,"Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration ",,,4963.0,53068.0,7
RC,499,"Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate ",,,2702.0,7493.0,4
RC,499,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde ",,,4963.0,13830.0,11
RC,499,"Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde Complex Surgery",,,11754.0,11754.0,2
RC,499,Cystourethroscopy with irrigation and evacuation of multiple obstructing clots ,,,2820.0,6802.0,7
RC,499,Cystourethroscopy with transurethral resection or incision of ejaculatory ducts ,,,2702.0,8727.0,7
RC,499,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,499,"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,499,"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,499,"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,8577.0,8577.0,1
RC,499,"Cystourethroscopy, with biopsy(s) ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female ",,,2820.0,6802.0,7
RC,499,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia ",,,2820.0,6802.0,7
RC,499,"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia ",,,1982.0,6802.0,7
RC,499,"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service ",,,1982.0,6802.0,7
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder ",,,2820.0,6802.0,7
RC,499,"Cystourethroscopy, with injection(s) for chemodenervation of the bladder Complex Surgery",,,11754.0,11754.0,2
RC,499,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,4963.0,13830.0,11
RC,499,"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure",,,1423.0,6802.0,7
RC,499,"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant ",,,1423.0,6802.0,7
RC,499,"Cystourethroscopy, with insertion of permanent urethral stent ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5360.0,8727.0,4
RC,499,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,10737.0,15007.0,4
RC,499,"Cystourethroscopy, with internal urethrotomy; female ",,,2820.0,6802.0,7
RC,499,"Cystourethroscopy, with internal urethrotomy; male ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when perfor",,,4963.0,7493.0,4
RC,499,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple ",,,2820.0,6802.0,7
RC,499,"Cystourethroscopy, with resection of external sphincter (sphincterotomy) ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy, with steroid injection into stricture ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,7493.0,7493.0,1
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,7493.0,7493.0,1
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic ",,,4963.0,13830.0,11
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Complex Surgery",,,11754.0,11754.0,2
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion ",,,4963.0,13830.0,11
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion Complex Surgery",,,11754.0,11754.0,2
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) ",,,2702.0,15409.0,6
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type) ",,,2702.0,15409.0,11
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) ",,,4963.0,13830.0,11
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor ",,,4963.0,13830.0,11
RC,499,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Complex Surgery",,,11754.0,11754.0,2
RC,499,"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral ",,,4963.0,8727.0,7
RC,499,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,499,"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,499,"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) ",,,4963.0,13830.0,11
RC,499,"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral ",,,4963.0,8727.0,7
RC,499,Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) ,,,2702.0,10719.0,7
RC,499,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,1423.0,3251.0,8
RC,499,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,2143.0,2143.0,1
RC,499,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,8577.0,8577.0,1
RC,499,"Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) ",,,1982.0,6802.0,7
RC,499,"Debridement, mastoidectomy cavity, simple (eg, routine cleaning) ",,,1423.0,6802.0,7
RC,499,"Decompression facial nerve, intratemporal; including medial to geniculate ganglion ",,,2702.0,13315.0,7
RC,499,"Decompression facial nerve, intratemporal; lateral to geniculate ganglion ",,,2702.0,13315.0,7
RC,499,Decompression internal auditory canal ,,,2702.0,13315.0,7
RC,499,"Decompression of orbit only, transcranial approach ",,,2702.0,13315.0,7
RC,499,"Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visual",,,2702.0,10719.0,7
RC,499,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; additional interspa",,,2143.0,6802.0,4
RC,499,"Decompression, percutaneous, with partial removal of the ligamentum flavum, including laminotomy for access, epidurography, and imaging guidance (ie, CT or fluoroscopy), bilateral; one interspace, lum",,,2702.0,15007.0,4
RC,499,"Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including ultrasound guidance ",,,2702.0,7493.0,4
RC,499,Decompression; plantar digital nerve ,,,2702.0,8727.0,7
RC,499,Decompression; unspecified nerve(s) (specify) ,,,2702.0,8727.0,7
RC,499,Decoronation or submergence of an erupted tooth ,,,8577.0,8577.0,1
RC,499,Deligation of ureter ,,,2702.0,8577.0,4
RC,499,Delivery of placenta (separate procedure) ,,,2702.0,8727.0,7
RC,499,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2820.0,5414.0,3
RC,499,"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed ",,,2702.0,7493.0,4
RC,499,"Destruction by neurolytic agent, intercostal nerve ",,,2702.0,8727.0,7
RC,499,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code f",,,1423.0,6802.0,7
RC,499,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint ",,,2702.0,8727.0,7
RC,499,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for p",,,1423.0,6802.0,7
RC,499,"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint ",,,2702.0,8727.0,7
RC,499,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale ",,,2702.0,8727.0,7
RC,499,"Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring ",,,2702.0,8727.0,7
RC,499,"Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch ",,,2702.0,8727.0,7
RC,499,"Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus ",,,2702.0,8727.0,7
RC,499,"Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus ",,,1982.0,6802.0,7
RC,499,Destruction by neurolytic agent; other peripheral nerve or branch ,,,1982.0,6802.0,7
RC,499,Destruction by neurolytic agent; plantar common digital nerve ,,,1423.0,6802.0,7
RC,499,Destruction by neurolytic agent; pudendal nerve ,,,1982.0,6802.0,7
RC,499,Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) ,,,1982.0,6802.0,7
RC,499,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy ",,,4963.0,13830.0,11
RC,499,"Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,499,"Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization ",,,1423.0,6802.0,6
RC,499,Destruction of lesion of lid margin (up to 1 cm) ,,,1982.0,6802.0,7
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,7
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical ",,,1423.0,6802.0,7
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery ",,,1423.0,6802.0,7
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation ",,,2702.0,6802.0,7
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery ",,,2702.0,6802.0,7
RC,499,"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision ",,,2702.0,6802.0,7
RC,499,"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,7
RC,499,"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,6802.0,7
RC,499,"Destruction of lesion, conjunctiva ",,,2702.0,8727.0,7
RC,499,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions ",,,1982.0,13830.0,11
RC,499,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions Complex Surgery",,,11754.0,11754.0,2
RC,499,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) ",,,1982.0,13830.0,11
RC,499,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) ",,,1423.0,13830.0,11
RC,499,"Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment) Compl",,,11754.0,11754.0,2
RC,499,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1982.0,4009.0,3
RC,499,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy ",,,1423.0,13830.0,11
RC,499,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,499,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation ",,,1982.0,13830.0,11
RC,499,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,499,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) ",,,4963.0,13830.0,11
RC,499,"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,8727.0,7
RC,499,"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ",,,2702.0,8727.0,7
RC,499,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,8577.0,8577.0,1
RC,499,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8577.0,8577.0,4
RC,499,Diaphragm or cervical cap fitting with instructions ,,,1423.0,6802.0,7
RC,499,Dilation and curettage of cervical stump ,,,2702.0,8727.0,7
RC,499,"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) ",,,2702.0,8727.0,7
RC,499,"Dilation of cervical canal, instrumental (separate procedure) ",,,2702.0,8727.0,7
RC,499,"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, w",,,2702.0,10719.0,8
RC,499,Dilation of female urethra including suppository and/or instillation; initial ,,,1423.0,6802.0,7
RC,499,Dilation of female urethra including suppository and/or instillation; subsequent ,,,1423.0,6802.0,7
RC,499,"Dilation of female urethra, general or conduction (spinal) anesthesia ",,,2702.0,8727.0,7
RC,499,"Dilation of lacrimal punctum, with or without irrigation ",,,1423.0,6802.0,7
RC,499,"Dilation of urethral stricture by passage of filiform and follower, male; initial ",,,1982.0,6802.0,7
RC,499,"Dilation of urethral stricture by passage of filiform and follower, male; subsequent ",,,1423.0,6802.0,7
RC,499,"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial ",,,1423.0,6802.0,7
RC,499,"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent ",,,1423.0,6802.0,7
RC,499,"Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia ",,,2702.0,6802.0,7
RC,499,Dilation of vagina under anesthesia (other than local) ,,,2702.0,8727.0,7
RC,499,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure",,,1423.0,6802.0,7
RC,499,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace ",,,4963.0,15007.0,7
RC,499,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure",,,4963.0,8577.0,4
RC,499,"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace ",,,4963.0,8577.0,4
RC,499,"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages) ",,,1982.0,6802.0,7
RC,499,Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) ,,,1423.0,6802.0,7
RC,499,"Discission of vitreous strands (without removal), pars plana approach ",,,4963.0,8727.0,7
RC,499,"Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral ",,,2702.0,8577.0,4
RC,499,"Donor nephrectomy (including cold preservation); open, from living donor ",,,2702.0,8577.0,4
RC,499,"Drainage external auditory canal, abscess ",,,1423.0,6802.0,7
RC,499,"Drainage external ear, abscess or hematoma; complicated ",,,2702.0,6802.0,7
RC,499,"Drainage external ear, abscess or hematoma; simple ",,,1423.0,6802.0,7
RC,499,Drainage of Skene's gland abscess or cyst ,,,2702.0,8727.0,7
RC,499,Drainage of deep periurethral abscess ,,,2702.0,8727.0,7
RC,499,Drainage of ovarian abscess; abdominal approach ,,,2702.0,10719.0,7
RC,499,"Drainage of ovarian abscess; vaginal approach, open ",,,2702.0,8727.0,7
RC,499,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach ",,,2702.0,8727.0,7
RC,499,"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach ",,,2702.0,8727.0,7
RC,499,Drainage of perineal urinary extravasation; complicated ,,,2702.0,8727.0,7
RC,499,Drainage of perineal urinary extravasation; uncomplicated (separate procedure) ,,,2702.0,8727.0,7
RC,499,"Drainage of perirenal or renal abscess, open ",,,2702.0,8727.0,7
RC,499,Drainage of perivesical or prevesical space abscess ,,,2702.0,8727.0,7
RC,499,Drainage of scrotal wall abscess ,,,2702.0,6802.0,7
RC,499,Duodenal motility (manometric) study ,,,1423.0,3251.0,4
RC,499,"Dural graft, spinal ",,,2702.0,8577.0,4
RC,499,"Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) ",,,2702.0,6802.0,7
RC,499,Ear piercing ,,,2702.0,8577.0,4
RC,499,Electroejaculation ,,,1982.0,6802.0,7
RC,499,"Electrogastrography, diagnostic, transcutaneous; ",,,1423.0,3251.0,4
RC,499,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1423.0,3251.0,4
RC,499,"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique ",,,1423.0,6802.0,7
RC,499,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming ",,,1423.0,6802.0,7
RC,499,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and ",,,1423.0,6802.0,14
RC,499,"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming o",,,1423.0,6802.0,7
RC,499,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1423.0,23692.0,18
RC,499,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2820.0,17341.0,7
RC,499,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1423.0,17341.0,7
RC,499,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,8
RC,499,"Elevation of depressed skull fracture; compound or comminuted, extradural ",,,2702.0,8577.0,4
RC,499,"Elevation of depressed skull fracture; simple, extradural ",,,2702.0,13315.0,7
RC,499,Elevation of depressed skull fracture; with repair of dura and/or debridement of brain ,,,2702.0,8577.0,4
RC,499,"Embryo transfer, intrauterine ",,,1982.0,6802.0,7
RC,499,Endocervical curettage (not done as part of a dilation and curettage) ,,,1982.0,6802.0,7
RC,499,"Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List se",,,1423.0,6802.0,7
RC,499,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1423.0,17341.0,14
RC,499,Endolymphatic sac operation; with shunt ,,,2702.0,13315.0,7
RC,499,Endolymphatic sac operation; without shunt ,,,2702.0,13315.0,7
RC,499,"Endometrial ablation, thermal, without hysteroscopic guidance ",,,4963.0,13830.0,11
RC,499,"Endometrial ablation, thermal, without hysteroscopic guidance Complex Surgery",,,11754.0,11754.0,2
RC,499,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed ",,,4963.0,13830.0,11
RC,499,"Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Complex Surgery",,,11754.0,11754.0,2
RC,499,Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,499,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure) ",,,1423.0,6802.0,7
RC,499,Endomyocardial biopsy ,,,5360.0,10719.0,4
RC,499,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,499,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,499,"Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar ",,,2702.0,15007.0,7
RC,499,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,15007.0,15007.0,1
RC,499,Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck ,,,2702.0,10719.0,7
RC,499,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,15007.0,15007.0,1
RC,499,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,499,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,8577.0,8577.0,1
RC,499,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,8577.0,8577.0,1
RC,499,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,499,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,7493.0,7493.0,1
RC,499,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each add",,,2702.0,11462.0,4
RC,499,"Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial ",,,2702.0,11462.0,4
RC,499,"Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon",,,2702.0,19295.0,7
RC,499,"Enterocystoplasty, including intestinal anastomosis ",,,2702.0,8577.0,4
RC,499,"Enucleation of eye; with implant, muscles attached to implant ",,,2702.0,10719.0,7
RC,499,"Enucleation of eye; with implant, muscles not attached to implant ",,,2702.0,10719.0,7
RC,499,Enucleation of eye; without implant ,,,2702.0,10719.0,7
RC,499,Epididymectomy; bilateral ,,,2702.0,8727.0,7
RC,499,Epididymectomy; unilateral ,,,2702.0,8727.0,7
RC,499,"Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral ",,,2702.0,8727.0,7
RC,499,"Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral ",,,2702.0,8727.0,7
RC,499,Epikeratoplasty ,,,2702.0,8727.0,7
RC,499,"Episiotomy or vaginal repair, by other than attending ",,,2702.0,8727.0,7
RC,499,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1423.0,3251.0,4
RC,499,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1423.0,3251.0,4
RC,499,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1423.0,3251.0,4
RC,499,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1423.0,3251.0,4
RC,499,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1423.0,3251.0,4
RC,499,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,7493.0,7493.0,1
RC,499,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,19105.0,4
RC,499,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,19105.0,4
RC,499,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1423.0,3251.0,4
RC,499,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1423.0,4009.0,4
RC,499,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1423.0,3251.0,4
RC,499,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1423.0,17341.0,7
RC,499,Evisceration of ocular contents; with implant ,,,2702.0,10719.0,7
RC,499,Evisceration of ocular contents; without implant ,,,2702.0,10719.0,7
RC,499,Exc biopsy of saliv glands ,,,8577.0,8577.0,1
RC,499,Excavation of a tooth resulting in the determination of non-restorability ,,,8577.0,8577.0,1
RC,499,"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological ",,,1982.0,6802.0,7
RC,499,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,8577.0,8577.0,1
RC,499,Exchange of intraocular lens ,,,2702.0,8727.0,7
RC,499,"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangem",,,2702.0,8727.0,14
RC,499,Excision aural glomus tumor; extended (extratemporal) ,,,2702.0,8577.0,4
RC,499,Excision aural glomus tumor; transcanal ,,,2702.0,13315.0,7
RC,499,Excision aural glomus tumor; transmastoid ,,,2702.0,13315.0,7
RC,499,Excision aural polyp ,,,2702.0,6802.0,7
RC,499,"Excision exostosis(es), external auditory canal ",,,2702.0,8727.0,7
RC,499,Excision external ear; complete amputation ,,,2702.0,8727.0,7
RC,499,"Excision external ear; partial, simple repair ",,,2702.0,6802.0,7
RC,499,Excision of Bartholin's gland or cyst ,,,2702.0,8727.0,7
RC,499,Excision of Mullerian duct cyst ,,,2702.0,8727.0,7
RC,499,Excision of bulbourethral gland (Cowper's gland) ,,,2702.0,8727.0,7
RC,499,Excision of carotid body tumor; with excision of carotid artery ,,,2702.0,8577.0,4
RC,499,Excision of carotid body tumor; without excision of carotid artery ,,,2702.0,8577.0,4
RC,499,"Excision of cervical stump, abdominal approach; ",,,2702.0,8577.0,4
RC,499,"Excision of cervical stump, abdominal approach; with pelvic floor repair ",,,2702.0,8577.0,4
RC,499,"Excision of cervical stump, vaginal approach; ",,,2702.0,8727.0,7
RC,499,"Excision of cervical stump, vaginal approach; with anterior and/or posterior repair ",,,2702.0,10719.0,7
RC,499,"Excision of cervical stump, vaginal approach; with repair of enterocele ",,,2702.0,13315.0,7
RC,499,"Excision of chalazion; multiple, different lids ",,,1423.0,6802.0,7
RC,499,"Excision of chalazion; multiple, same lid ",,,1982.0,6802.0,7
RC,499,Excision of chalazion; single ,,,1423.0,6802.0,7
RC,499,"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple ",,,2702.0,8727.0,7
RC,499,"Excision of cyst or adenoma of thyroid, or transection of isthmus ",,,2702.0,15007.0,7
RC,499,Excision of extraparenchymal lesion of testis ,,,2702.0,8727.0,7
RC,499,"Excision of hydrocele of spermatic cord, unilateral (separate procedure) ",,,2702.0,10719.0,7
RC,499,Excision of hydrocele; bilateral ,,,2702.0,10719.0,7
RC,499,Excision of hydrocele; unilateral ,,,2702.0,10719.0,7
RC,499,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial ",,,2702.0,10719.0,7
RC,499,"Excision of lacrimal gland (dacryoadenectomy), except for tumor; total ",,,2702.0,10719.0,7
RC,499,Excision of lacrimal gland tumor; frontal approach ,,,2702.0,8727.0,7
RC,499,Excision of lacrimal gland tumor; involving osteotomy ,,,2702.0,10719.0,7
RC,499,Excision of lacrimal sac (dacryocystectomy) ,,,2702.0,10719.0,7
RC,499,Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure ,,,1982.0,6802.0,7
RC,499,Excision of lesion of spermatic cord (separate procedure) ,,,2702.0,8727.0,7
RC,499,"Excision of lesion, conjunctiva; over 1 cm ",,,2702.0,8727.0,7
RC,499,"Excision of lesion, conjunctiva; up to 1 cm ",,,2702.0,8727.0,7
RC,499,"Excision of lesion, conjunctiva; with adjacent sclera ",,,2702.0,8727.0,7
RC,499,"Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium ",,,1982.0,6802.0,7
RC,499,"Excision of lesion, sclera ",,,2702.0,8727.0,7
RC,499,Excision of local lesion of epididymis ,,,2702.0,8727.0,7
RC,499,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,8577.0,8577.0,1
RC,499,Excision of neurofibroma or neurolemmoma; cutaneous nerve ,,,2702.0,8727.0,7
RC,499,Excision of neurofibroma or neurolemmoma; extensive (including malignant type) ,,,2702.0,12863.0,7
RC,499,Excision of neurofibroma or neurolemmoma; major peripheral nerve ,,,2702.0,8727.0,7
RC,499,"Excision of neuroma; cutaneous nerve, surgically identifiable ",,,2702.0,8727.0,7
RC,499,"Excision of neuroma; digital nerve, 1 or both, same digit ",,,2702.0,8727.0,7
RC,499,"Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,"Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,"Excision of neuroma; hand or foot, except digital nerve ",,,2702.0,8727.0,7
RC,499,"Excision of neuroma; major peripheral nerve, except sciatic ",,,2702.0,8727.0,7
RC,499,Excision of neuroma; sciatic nerve ,,,2702.0,12863.0,7
RC,499,Excision of penile plaque (Peyronie disease); ,,,2702.0,13315.0,7
RC,499,Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length ,,,2702.0,13315.0,7
RC,499,Excision of penile plaque (Peyronie disease); with graft to 5 cm in length ,,,2702.0,13315.0,7
RC,499,Excision of perinephric cyst ,,,2702.0,8577.0,4
RC,499,"Excision of spermatocele, with or without epididymectomy ",,,2702.0,8727.0,7
RC,499,Excision of thyroglossal duct cyst or sinus; ,,,2702.0,15007.0,7
RC,499,Excision of thyroglossal duct cyst or sinus; recurrent ,,,2702.0,15007.0,7
RC,499,"Excision of urachal cyst or sinus, with or without umbilical hernia repair ",,,2702.0,10719.0,7
RC,499,Excision of urethral diverticulum (separate procedure); female ,,,2702.0,10719.0,7
RC,499,Excision of urethral diverticulum (separate procedure); male ,,,2702.0,8727.0,7
RC,499,Excision of vaginal cyst or tumor ,,,2702.0,8727.0,7
RC,499,Excision of vaginal septum ,,,2702.0,8727.0,7
RC,499,Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) ,,,2702.0,8727.0,7
RC,499,Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach ,,,2702.0,10719.0,7
RC,499,Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair ,,,2702.0,10719.0,7
RC,499,Excision or fulguration of carcinoma of urethra ,,,2702.0,10719.0,7
RC,499,Excision or fulguration; Skene's glands ,,,2702.0,8727.0,7
RC,499,Excision or fulguration; urethral caruncle ,,,2702.0,8727.0,7
RC,499,"Excision or fulguration; urethral polyp(s), distal urethra ",,,2702.0,8727.0,7
RC,499,Excision or fulguration; urethral prolapse ,,,2702.0,8727.0,7
RC,499,Excision or transposition of pterygium; with graft ,,,2702.0,8727.0,7
RC,499,Excision or transposition of pterygium; without graft ,,,2702.0,8727.0,7
RC,499,Excision or unroofing of cyst(s) of kidney ,,,2702.0,8577.0,4
RC,499,"Excision soft tissue lesion, external auditory canal ",,,2702.0,6802.0,7
RC,499,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression ",,,2702.0,8577.0,4
RC,499,"Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression ",,,2702.0,8577.0,4
RC,499,"Exenteration of orbit (does not include skin graft), removal of orbital contents; only ",,,2702.0,10719.0,7
RC,499,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap ",,,2702.0,10719.0,7
RC,499,"Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone ",,,2702.0,10719.0,7
RC,499,Exploration for undescended testis (inguinal or scrotal area) ,,,2702.0,10719.0,7
RC,499,Exploration for undescended testis with abdominal exploration ,,,2702.0,8727.0,7
RC,499,"Exploration of epididymis, with or without biopsy ",,,2702.0,8727.0,7
RC,499,"Exploration of orbit (transcranial approach), with removal of lesion ",,,2702.0,8577.0,4
RC,499,"Exposure of prostate, any approach, for insertion of radioactive substance; ",,,2702.0,53068.0,7
RC,499,"Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,53068.0,4
RC,499,"Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,53068.0,4
RC,499,"Expression of conjunctival follicles (eg, for trachoma) ",,,1423.0,6802.0,7
RC,499,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts ",,,2702.0,8577.0,4
RC,499,"Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining g",,,2702.0,8577.0,4
RC,499,"External cephalic version, with or without tocolysis ",,,2702.0,8727.0,7
RC,499,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with endoscopic",,,2702.0,12863.0,4
RC,499,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion ",,,2702.0,12863.0,4
RC,499,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endosco",,,2702.0,8727.0,7
RC,499,"Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requir",,,2702.0,12863.0,15
RC,499,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,499,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,8577.0,8577.0,1
RC,499,Fetal contraction stress test ,,,1423.0,6802.0,7
RC,499,"Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance ",,,1423.0,6802.0,7
RC,499,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only ",,,2702.0,8577.0,4
RC,499,"Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation ",,,1423.0,6802.0,7
RC,499,Fetal non-stress test ,,,1423.0,6802.0,7
RC,499,Fetal scalp blood sampling ,,,1423.0,6802.0,7
RC,499,"Fetal shunt placement, including ultrasound guidance ",,,1423.0,6802.0,7
RC,499,"Fetal umbilical cord occlusion, including ultrasound guidance ",,,1423.0,6802.0,7
RC,499,Fimbrioplasty ,,,2702.0,10719.0,7
RC,499,Fine needle aspiration of orbital contents ,,,2702.0,8727.0,7
RC,499,"Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy ",,,2702.0,8727.0,7
RC,499,Fistulization of sclera for glaucoma; thermocauterization with iridectomy ,,,2702.0,8727.0,7
RC,499,Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery ,,,2702.0,8727.0,7
RC,499,Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) ,,,2702.0,8727.0,7
RC,499,Fistulization of sclera for glaucoma; trephination with iridectomy ,,,2702.0,8727.0,7
RC,499,Fitting and insertion of pessary or other intravaginal support device ,,,1423.0,6802.0,7
RC,499,Fixation of contralateral testis (separate procedure) ,,,2702.0,8727.0,7
RC,499,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,5360.0,8727.0,3
RC,499,"Follicle puncture for oocyte retrieval, any method ",,,1982.0,6802.0,7
RC,499,Foreskin manipulation including lysis of preputial adhesions and stretching ,,,1423.0,6802.0,7
RC,499,Free omental flap with microvascular anastomosis ,,,2702.0,8577.0,4
RC,499,Frenulotomy of penis ,,,2702.0,8727.0,7
RC,499,"Gamete, zygote, or embryo intrafallopian transfer, any method ",,,1423.0,6802.0,7
RC,499,Gastric motility (manometric) studies ,,,1423.0,3251.0,4
RC,499,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2820.0,5568.0,4
RC,499,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2820.0,5568.0,4
RC,499,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2820.0,5568.0,4
RC,499,Goniotomy ,,,2702.0,8727.0,7
RC,499,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,499,"Guided tissue regeneration - resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,499,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,8577.0,8577.0,1
RC,499,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,8577.0,8577.0,1
RC,499,HFenestration semicircular canal ,,,10737.0,13315.0,3
RC,499,"HLigation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) ",,,5360.0,8727.0,3
RC,499,HPercutaneous implantation of neurostimulator electrode array; neuromuscular ,,,10737.0,72171.0,4
RC,499,HRevision fenestration operation ,,,10737.0,13315.0,3
RC,499,"Harvesting conjunctival allograft, living donor ",,,2702.0,8727.0,7
RC,499,"Hymenotomy, simple incision ",,,2702.0,8727.0,7
RC,499,"Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic ",,,2702.0,8577.0,4
RC,499,"Hysteroplasty, repair of uterine anomaly (Strassman type) ",,,2702.0,8577.0,4
RC,499,Hysterorrhaphy of ruptured uterus ,,,2702.0,6802.0,3
RC,499,"Hysterorrhaphy, repair of ruptured uterus (nonobstetrical) ",,,2702.0,8577.0,4
RC,499,"Hysteroscopy, diagnostic (separate procedure) ",,,4963.0,13830.0,11
RC,499,"Hysteroscopy, diagnostic (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants ",,,4963.0,13830.0,11
RC,499,"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Complex Surgery",,,11754.0,11754.0,2
RC,499,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) ",,,4963.0,13830.0,11
RC,499,"Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) ",,,4963.0,13830.0,11
RC,499,"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) ",,,4963.0,13830.0,11
RC,499,"Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Hysteroscopy, surgical; with removal of impacted foreign body ",,,4963.0,13830.0,11
RC,499,"Hysteroscopy, surgical; with removal of impacted foreign body Complex Surgery",,,11754.0,11754.0,2
RC,499,"Hysteroscopy, surgical; with removal of leiomyomata ",,,4963.0,13830.0,11
RC,499,"Hysteroscopy, surgical; with removal of leiomyomata Complex Surgery",,,11754.0,11754.0,2
RC,499,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C ",,,4963.0,13830.0,11
RC,499,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Complex Surgery",,,11754.0,11754.0,2
RC,499,"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) ",,,2702.0,8727.0,7
RC,499,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,3
RC,499,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,1423.0,3251.0,3
RC,499,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,499,INJECT SPINE CERV/THORACIC ,,,1982.0,3689.0,3
RC,499,INJECT SPINE LUMBAR/SACRAL ,,,1982.0,3689.0,3
RC,499,INJECT SPINE W/CATH CRV/THRC ,,,1982.0,3689.0,3
RC,499,INJECT SPINE W/CATH LMB/SCRL ,,,1982.0,3689.0,3
RC,499,"INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,499,"INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS ",,,1982.0,3689.0,3
RC,499,"INJECTION, ANESTHETIC AGENT; FACIAL NERVE ",,,1423.0,3251.0,3
RC,499,"INJECTION, ANESTHETIC AGENT; PHRENIC NERVE ",,,1423.0,3251.0,3
RC,499,"INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO ESTABLISH NEPHROSTOMY TRACT, PERCUTANEOUS ",,,5360.0,8727.0,3
RC,499,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,10737.0,13315.0,4
RC,499,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,7583.0,10719.0,4
RC,499,Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) ,,,2702.0,8577.0,4
RC,499,Implantation of intrastromal corneal ring segments ,,,2702.0,13315.0,7
RC,499,"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous ",,,4963.0,13315.0,7
RC,499,"Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed ",,,2702.0,12863.0,4
RC,499,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,19295.0,19295.0,1
RC,499,Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) ,,,1423.0,6802.0,7
RC,499,Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump ,,,4963.0,23350.0,7
RC,499,"Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming ",,,4963.0,23350.0,7
RC,499,Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir ,,,4963.0,23350.0,7
RC,499,Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone ,,,2702.0,13315.0,7
RC,499,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside of the mastoid and resulting in removal of greater than or equal to 100 sq m",,,2702.0,15007.0,4
RC,499,"Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or resulting in removal of less than 100 sq mm surface area o",,,2702.0,15007.0,4
RC,499,"Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,19295.0,7
RC,499,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminect",,,2702.0,15007.0,7
RC,499,"Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without lamin",,,2702.0,13315.0,7
RC,499,Incision and drainage of Bartholin's gland abscess ,,,1423.0,6802.0,7
RC,499,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma) ",,,2702.0,8727.0,7
RC,499,"Incision and drainage of penis, deep ",,,2702.0,8727.0,7
RC,499,"Incision and drainage of thyroglossal duct cyst, infected ",,,1982.0,6802.0,7
RC,499,"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) ",,,2702.0,8727.0,7
RC,499,Incision and drainage of vaginal hematoma; obstetrical/postpartum ,,,2702.0,6802.0,7
RC,499,Incision and drainage of vulva or perineal abscess ,,,1423.0,6802.0,6
RC,499,Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) ,,,2702.0,8577.0,4
RC,499,Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) ,,,2702.0,8577.0,4
RC,499,"Incision of conjunctiva, drainage of cyst ",,,1982.0,6802.0,7
RC,499,"Incision, drainage of lacrimal gland ",,,1982.0,6802.0,7
RC,499,"Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) ",,,1982.0,6802.0,7
RC,499,Incisional biopsy of eyelid skin including lid margin ,,,1423.0,6802.0,7
RC,499,Indexing for osteotomy ,,,8577.0,8577.0,1
RC,499,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; ",,,2702.0,8577.0,4
RC,499,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacu",,,2702.0,8577.0,4
RC,499,"Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic ",,,2702.0,8577.0,4
RC,499,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; ",,,2702.0,8577.0,4
RC,499,"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; w",,,2702.0,8577.0,8
RC,499,"Induced abortion, by dilation and curettage ",,,2702.0,8727.0,7
RC,499,"Induced abortion, by dilation and evacuation ",,,2702.0,8727.0,7
RC,499,Induction of arrhythmia by electrical pacing ,,,6826.0,19105.0,4
RC,499,"Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resect",,,2702.0,8577.0,4
RC,499,"Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parot",,,2702.0,8577.0,4
RC,499,"Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distan",,,2702.0,83613.0,4
RC,499,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1423.0,3251.0,4
RC,499,Injection of contrast medium for dacryocystography ,,,1423.0,6802.0,7
RC,499,"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine) ",,,1423.0,6802.0,7
RC,499,Injection of medication or other substance into Tenon's capsule ,,,1423.0,6802.0,7
RC,499,"Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure) ",,,4963.0,8727.0,7
RC,499,Injection procedure and placement of chain for contrast and/or chain urethrocystography ,,,1423.0,6802.0,7
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1423.0,12038.0,8
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1423.0,12038.0,8
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1423.0,12038.0,8
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1423.0,12038.0,8
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,2143.0,2143.0,1
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,2143.0,2143.0,1
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,2143.0,2143.0,1
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,2143.0,2143.0,1
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1423.0,12038.0,8
RC,499,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1423.0,12038.0,8
RC,499,Injection procedure for Peyronie disease; ,,,1423.0,6802.0,7
RC,499,Injection procedure for Peyronie disease; with surgical exposure of plaque ,,,2702.0,10719.0,7
RC,499,"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervisio",,,1982.0,6802.0,14
RC,499,"Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar ",,,2702.0,8727.0,7
RC,499,Injection procedure for corpora cavernosography ,,,1423.0,6802.0,7
RC,499,Injection procedure for cystography or voiding urethrocystography ,,,1423.0,6802.0,7
RC,499,"Injection procedure for discography, each level; cervical or thoracic ",,,1423.0,6802.0,7
RC,499,"Injection procedure for discography, each level; lumbar ",,,1423.0,6802.0,7
RC,499,"Injection procedure for myelography and/or computed tomography, lumbar ",,,1423.0,6802.0,7
RC,499,Injection procedure for retrograde urethrocystography ,,,1423.0,6802.0,7
RC,499,Injection procedure for sacroiliac joint; arthrography ,,,1423.0,3251.0,4
RC,499,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1982.0,4009.0,4
RC,499,Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,7
RC,499,"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service ",,,1423.0,6802.0,7
RC,499,"Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,2702.0,8727.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed ",,,2702.0,6802.0,4
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure) ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2702.0,6802.0,4
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma) ",,,1423.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code f",,,1423.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for p",,,1423.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level ",,,1982.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular) ",,,1423.0,6802.0,7
RC,499,"Injection(s), anesthetic agent(s) and/or steroid; vagus nerve ",,,1423.0,6802.0,7
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level ",,,1423.0,6802.0,7
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level ",,,1982.0,6802.0,7
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any",,,1423.0,6802.0,7
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (Lis",,,1423.0,6802.0,7
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level ",,,1982.0,6802.0,7
RC,499,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any add",,,1423.0,6802.0,7
RC,499,"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solut",,,1982.0,6802.0,28
RC,499,"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, i",,,1982.0,6802.0,28
RC,499,"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring ",,,1982.0,6802.0,7
RC,499,"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) ",,,1982.0,6802.0,7
RC,499,"Injection, anesthetic agent; sphenopalatine ganglion ",,,1423.0,6802.0,7
RC,499,"Injection, anesthetic agent; stellate ganglion (cervical sympathetic) ",,,1982.0,6802.0,7
RC,499,"Injection, anesthetic agent; superior hypogastric plexus ",,,1982.0,6802.0,7
RC,499,"Injection, anterior chamber of eye (separate procedure); air or liquid ",,,2702.0,6802.0,7
RC,499,"Injection, anterior chamber of eye (separate procedure); medication ",,,2702.0,6802.0,7
RC,499,"Injection, epidural, of blood or clot patch ",,,1982.0,6802.0,7
RC,499,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic ",,,2702.0,8727.0,7
RC,499,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) ",,,2702.0,8727.0,7
RC,499,"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid ",,,1982.0,6802.0,7
RC,499,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,4009.0,8727.0,4
RC,499,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,499,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,499,Insertion of Heyman capsules for clinical brachytherapy ,,,4963.0,8727.0,7
RC,499,"Insertion of a temporary prostatic urethral stent, including urethral measurement ",,,1982.0,6802.0,7
RC,499,Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy ,,,1423.0,6802.0,7
RC,499,"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach ",,,4963.0,13315.0,7
RC,499,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,19295.0,19295.0,1
RC,499,"Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) ",,,1423.0,6802.0,7
RC,499,"Insertion of drug-eluting implant, including punctal dilation when performed, into lacrimal canaliculus, each ",,,2702.0,7493.0,4
RC,499,Insertion of implants into the soft palate; minimum of three implants ,,,1982.0,5568.0,4
RC,499,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff ",,,2702.0,16982.0,11
RC,499,"Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Complex Surgery",,,11754.0,11754.0,2
RC,499,"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal ",,,2702.0,8727.0,7
RC,499,Insertion of intrauterine device (IUD) ,,,1423.0,6802.0,7
RC,499,"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir ",,,4963.0,36087.0,7
RC,499,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,8577.0,8577.0,1
RC,499,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,8577.0,8577.0,1
RC,499,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,8577.0,8577.0,1
RC,499,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,2143.0,2143.0,1
RC,499,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) ",,,1423.0,6802.0,7
RC,499,"Insertion of ocular implant secondary; after enucleation, muscles attached to implant ",,,2702.0,10719.0,7
RC,499,"Insertion of ocular implant secondary; after enucleation, muscles not attached to implant ",,,2702.0,10719.0,7
RC,499,"Insertion of ocular implant secondary; after evisceration, in scleral shell ",,,2702.0,10719.0,7
RC,499,Insertion of penile prosthesis; inflatable (self-contained) ,,,4963.0,36087.0,7
RC,499,Insertion of penile prosthesis; non-inflatable (semi-rigid) ,,,4963.0,36087.0,7
RC,499,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,10719.0,10719.0,1
RC,499,"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or ",,,2702.0,8577.0,4
RC,499,"Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter ",,,2702.0,23350.0,7
RC,499,Insertion of tandem cuff (dual cuff) ,,,2702.0,16982.0,11
RC,499,Insertion of tandem cuff (dual cuff) Complex Surgery,,,11754.0,11754.0,2
RC,499,"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) ",,,1423.0,6802.0,7
RC,499,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley) ",,,1423.0,6802.0,7
RC,499,Insertion of testicular prosthesis (separate procedure) ,,,2702.0,8727.0,7
RC,499,"Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorect",,,2702.0,8577.0,4
RC,499,Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy ,,,1982.0,53068.0,7
RC,499,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,8577.0,57784.0,11
RC,499,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays ",,,2702.0,72171.0,11
RC,499,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays Complex Surgery",,,11754.0,11754.0,2
RC,499,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array ",,,2702.0,72171.0,11
RC,499,"Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array Complex Surgery",,,11754.0,11754.0,2
RC,499,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separatel",,,2143.0,6802.0,4
RC,499,"Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array ",,,2702.0,19295.0,4
RC,499,"Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver",,,4963.0,72171.0,13
RC,499,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver ",,,4963.0,72171.0,11
RC,499,"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver Complex Surgery",,,11754.0,11754.0,2
RC,499,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,5568.0,5568.0,1
RC,499,"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent) ",,,1423.0,6802.0,7
RC,499,"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) ",,,1423.0,6802.0,7
RC,499,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1423.0,3251.0,4
RC,499,Intersex surgery; female to male ,,,2702.0,6802.0,3
RC,499,Intersex surgery; male to female ,,,2702.0,6802.0,3
RC,499,Intra-atrial pacing ,,,6826.0,19105.0,4
RC,499,Intra-atrial recording ,,,6826.0,19105.0,4
RC,499,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,19105.0,4
RC,499,Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) ,,,2702.0,8727.0,7
RC,499,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,1575.0,17341.0,6
RC,499,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,8
RC,499,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1423.0,17341.0,7
RC,499,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,499,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,2143.0,2143.0,1
RC,499,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,2143.0,2143.0,1
RC,499,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,2143.0,2143.0,1
RC,499,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,2143.0,2143.0,1
RC,499,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1423.0,3251.0,8
RC,499,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,19105.0,4
RC,499,Intraventricular pacing ,,,6826.0,19105.0,4
RC,499,Intravitreal injection of a pharmacologic agent (separate procedure) ,,,1423.0,6802.0,7
RC,499,Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) ,,,1423.0,6802.0,7
RC,499,"Iridectomy, with corneoscleral or corneal section; for removal of lesion ",,,2702.0,8727.0,7
RC,499,"Iridectomy, with corneoscleral or corneal section; optical (separate procedure) ",,,2702.0,8727.0,7
RC,499,"Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) ",,,2702.0,6802.0,7
RC,499,"Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) ",,,2702.0,6802.0,7
RC,499,"Iridectomy, with corneoscleral or corneal section; with cyclectomy ",,,2702.0,13315.0,7
RC,499,"Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle) ",,,1982.0,6802.0,7
RC,499,Iridotomy by stab incision (separate procedure); except transfixion ,,,1423.0,6802.0,7
RC,499,Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe ,,,2702.0,6802.0,7
RC,499,"Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session) ",,,1982.0,6802.0,7
RC,499,Irrigation of corpora cavernosa for priapism ,,,1423.0,6802.0,7
RC,499,"Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease ",,,1423.0,6802.0,7
RC,499,Keratomileusis ,,,2702.0,8727.0,7
RC,499,Keratophakia ,,,2702.0,7493.0,6
RC,499,Keratoplasty (corneal transplant); anterior lamellar ,,,2702.0,13315.0,7
RC,499,Keratoplasty (corneal transplant); endothelial ,,,2702.0,13315.0,7
RC,499,Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) ,,,2702.0,13315.0,7
RC,499,Keratoplasty (corneal transplant); penetrating (in aphakia) ,,,2702.0,13315.0,7
RC,499,Keratoplasty (corneal transplant); penetrating (in pseudophakia) ,,,2702.0,13315.0,7
RC,499,Keratoprosthesis ,,,2702.0,15007.0,7
RC,499,Labyrinthectomy; transcanal ,,,2702.0,13315.0,7
RC,499,Labyrinthectomy; with mastoidectomy ,,,2702.0,13315.0,7
RC,499,"Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal ",,,2702.0,6802.0,7
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level ",,,4963.0,19295.0,7
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical ",,,4963.0,8577.0,4
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar ",,,4963.0,19295.0,7
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral ",,,4963.0,8577.0,4
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic ",,,4963.0,8577.0,4
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical ",,,4963.0,8577.0,4
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar ",,,4963.0,19295.0,7
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic ",,,4963.0,8577.0,4
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical ",,,4963.0,8577.0,4
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic ",,,4963.0,8577.0,4
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar ",,,4963.0,19295.0,7
RC,499,"Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral ",,,4963.0,8577.0,4
RC,499,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical ",,,4963.0,8577.0,4
RC,499,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar ",,,4963.0,19295.0,7
RC,499,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral ",,,4963.0,8577.0,4
RC,499,"Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic ",,,4963.0,8577.0,4
RC,499,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical ",,,4963.0,15007.0,4
RC,499,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar ",,,4963.0,8727.0,7
RC,499,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral ",,,4963.0,15007.0,4
RC,499,"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic ",,,4963.0,15007.0,4
RC,499,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical ,,,4963.0,8577.0,4
RC,499,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic ,,,4963.0,8577.0,4
RC,499,Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar ,,,4963.0,19295.0,7
RC,499,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural ",,,4963.0,72171.0,11
RC,499,"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic ",,,4963.0,8577.0,4
RC,499,Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space ,,,4963.0,8577.0,4
RC,499,Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space ,,,4963.0,8577.0,4
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical ",,,4963.0,15007.0,7
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except f",,,4963.0,15007.0,7
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral ",,,4963.0,15007.0,7
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic ",,,4963.0,15007.0,7
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical ",,,4963.0,15007.0,7
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar ",,,4963.0,15007.0,7
RC,499,"Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic ",,,4963.0,15007.0,7
RC,499,"Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar ",,,4963.0,8577.0,4
RC,499,"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) ",,,4963.0,15007.0,7
RC,499,Laminectomy with rhizotomy; 1 or 2 segments ,,,4963.0,19295.0,7
RC,499,Laminectomy with rhizotomy; more than 2 segments ,,,4963.0,19295.0,7
RC,499,Laminectomy with section of spinal accessory nerve ,,,4963.0,19295.0,7
RC,499,"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs», ºeg, spinal or lateral recess stenosis»), single vertebral segm",,,1423.0,15007.0,28
RC,499,"Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve rootºs» ºeg, spinal or lateral recess stenosis»), during posterior inter",,,2143.0,6802.0,8
RC,499,"Laminectomy, with release of tethered spinal cord, lumbar ",,,4963.0,19295.0,7
RC,499,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; ",,,4963.0,8577.0,4
RC,499,"Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and no",,,4963.0,8577.0,4
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,15007.0,15007.0,1
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervi",,,4963.0,15007.0,7
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each ",,,4963.0,10719.0,14
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumba",,,4963.0,15007.0,7
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical ",,,4963.0,15007.0,7
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar ",,,4963.0,15007.0,11
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or",,,1423.0,6802.0,7
RC,499,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; with repair of annular defect by implan",,,4963.0,8577.0,4
RC,499,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy ,,,4963.0,15007.0,11
RC,499,Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,499,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy ,,,4963.0,15007.0,11
RC,499,Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Complex Surgery,,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; ",,,2702.0,19295.0,4
RC,499,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with bilateral pelvic lymphadenectomy, including external iliac, hypogast",,,2702.0,15007.0,4
RC,499,"Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; with lymph node biopsy(ies) (limited pelvic lymphadenectomy) ",,,2702.0,15007.0,4
RC,499,"Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robot",,,2702.0,15007.0,4
RC,499,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical, colpopexy (suspension of vaginal apex) ",,,2702.0,15007.0,7
RC,499,"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas ",,,4963.0,13830.0,11
RC,499,"Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; ",,,2702.0,18956.0,4
RC,499,"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,2702.0,18956.0,4
RC,499,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; ",,,2702.0,18956.0,4
RC,499,"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,2702.0,18956.0,4
RC,499,"Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed ",,,4963.0,18956.0,4
RC,499,"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal ",,,4963.0,13315.0,7
RC,499,"Laparoscopy, surgical, with ligation of spermatic veins for varicocele ",,,4963.0,15007.0,7
RC,499,"Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed ",,,4963.0,18956.0,4
RC,499,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; ",,,4963.0,18956.0,8
RC,499,"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,8
RC,499,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; ",,,4963.0,18956.0,8
RC,499,"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,8
RC,499,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; ",,,4963.0,18956.0,8
RC,499,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,8
RC,499,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; ",,,4963.0,18956.0,8
RC,499,"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,18956.0,8
RC,499,"Laparoscopy, surgical; ablation of renal cysts ",,,4963.0,13830.0,11
RC,499,"Laparoscopy, surgical; ablation of renal cysts Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed ",,,4963.0,19295.0,11
RC,499,"Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor ",,,4963.0,13830.0,8
RC,499,"Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; nephrectomy with total ureterectomy ",,,4963.0,13830.0,8
RC,499,"Laparoscopy, surgical; nephrectomy with total ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy ",,,4963.0,13830.0,8
RC,499,"Laparoscopy, surgical; nephrectomy, including partial ureterectomy Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; orchiectomy ",,,4963.0,15007.0,7
RC,499,"Laparoscopy, surgical; orchiopexy for intra-abdominal testis ",,,4963.0,15007.0,7
RC,499,"Laparoscopy, surgical; partial nephrectomy ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical; partial nephrectomy Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; pyeloplasty ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical; pyeloplasty Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) ",,,4963.0,13830.0,8
RC,499,"Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) ",,,4963.0,16982.0,11
RC,499,"Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; ureterolithotomy ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical; ureterolithotomy Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; urethral suspension for stress incontinence ",,,4963.0,15007.0,7
RC,499,"Laparoscopy, surgical; with fimbrioplasty ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical; with fimbrioplasty Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) ",,,4963.0,15007.0,11
RC,499,"Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diap",,,2702.0,15007.0,7
RC,499,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2820.0,5414.0,3
RC,499,"Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are includ",,,10737.0,13315.0,3
RC,499,"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal uret",,,4963.0,13315.0,7
RC,499,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; multiple trajectories for multiple or complex lesio",,,2702.0,8577.0,4
RC,499,"Laser interstitial thermal therapy (LITT) of lesion, intracranial, including burr hole(s), with magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion ",,,2702.0,8577.0,4
RC,499,"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transuret",,,4963.0,13315.0,7
RC,499,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,13374.0,13374.0,1
RC,499,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,499,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,499,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,12863.0,12863.0,1
RC,499,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,499,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,499,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,499,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,499,Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure,,,2702.0,8577.0,4
RC,499,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure) ",,,2702.0,6802.0,7
RC,499,"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral ",,,2702.0,8727.0,7
RC,499,Lingual frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,499,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) ,,,4963.0,15409.0,9
RC,499,Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) ,,,4963.0,15409.0,9
RC,499,"Lithotripsy, extracorporeal shock wave ",,,2702.0,15409.0,6
RC,499,"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,499,"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,499,"Lysis of adhesions (salpingolysis, ovariolysis) ",,,2702.0,8727.0,7
RC,499,Lysis of labial adhesions ,,,2702.0,8727.0,7
RC,499,Lysis or excision of penile post-circumcision adhesions ,,,2702.0,8727.0,7
RC,499,"Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed ",,,2702.0,19295.0,4
RC,499,"Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter ",,,1423.0,6802.0,7
RC,499,Manometric studies through ureterostomy or indwelling ureteral catheter ,,,1423.0,6802.0,7
RC,499,Marsupialization of Bartholin's gland cyst ,,,2702.0,8727.0,7
RC,499,Marsupialization of odontogenic cyst ,,,8577.0,8577.0,1
RC,499,"Marsupialization of urethral diverticulum, male or female ",,,2702.0,10719.0,7
RC,499,Mastoid obliteration (separate procedure) ,,,4963.0,13315.0,7
RC,499,Mastoidectomy; complete ,,,2702.0,8727.0,7
RC,499,Mastoidectomy; modified radical ,,,2702.0,13315.0,7
RC,499,Mastoidectomy; radical ,,,2702.0,13315.0,7
RC,499,Maxillary guidance prosthesis with guide flange ,,,8577.0,8577.0,1
RC,499,Maxillary guidance prosthesis without guide flange ,,,8577.0,8577.0,1
RC,499,"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging ",,,1423.0,6802.0,7
RC,499,"Meatotomy, cutting of meatus (separate procedure); except infant ",,,2702.0,8727.0,7
RC,499,"Meatotomy, cutting of meatus (separate procedure); infant ",,,2702.0,8727.0,7
RC,499,"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,Middle ear exploration through postauricular or ear canal incision ,,,2702.0,8727.0,7
RC,499,"Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure) ",,,2702.0,8727.0,7
RC,499,Multifetal pregnancy reduction(s) (MPR) ,,,1423.0,6802.0,7
RC,499,"Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) ",,,2702.0,8727.0,7
RC,499,"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical) ",,,1982.0,6802.0,7
RC,499,"Myelography via lumbar injection, including radiological supervision and interpretation; cervical ",,,1982.0,6802.0,7
RC,499,"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral ",,,1982.0,6802.0,7
RC,499,"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic ",,,1982.0,6802.0,7
RC,499,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach ",,,2702.0,10719.0,7
RC,499,"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach ",,,2702.0,8727.0,7
RC,499,"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach ",,,2702.0,10719.0,7
RC,499,Myringoplasty (surgery confined to drumhead and donor area) ,,,2702.0,8727.0,7
RC,499,Myringotomy including aspiration and/or eustachian tube inflation ,,,1423.0,6802.0,7
RC,499,Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia ,,,2702.0,6802.0,7
RC,499,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); bilateral ",,,2702.0,12863.0,4
RC,499,"Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral ",,,2702.0,12863.0,4
RC,499,"Needle electromyography studies (EMG) of anal or urethral sphincter, any technique ",,,1423.0,6802.0,7
RC,499,Nephrectomy with total ureterectomy and bladder cuff; through same incision ,,,2702.0,8577.0,4
RC,499,Nephrectomy with total ureterectomy and bladder cuff; through separate incision ,,,2702.0,8577.0,4
RC,499,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; ",,,2702.0,8577.0,4
RC,499,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney ",,,2702.0,8577.0,4
RC,499,"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy ",,,2702.0,8577.0,4
RC,499,"Nephrectomy, partial ",,,2702.0,8577.0,4
RC,499,Nephrolithotomy; complicated by congenital kidney abnormality ,,,2702.0,8577.0,4
RC,499,Nephrolithotomy; removal of calculus ,,,2702.0,8577.0,4
RC,499,Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) ,,,2702.0,8577.0,4
RC,499,Nephrolithotomy; secondary surgical operation for calculus ,,,2702.0,8577.0,4
RC,499,"Nephrorrhaphy, suture of kidney wound or injury ",,,2702.0,8577.0,4
RC,499,"Nephrostomy, nephrotomy with drainage ",,,2702.0,8727.0,7
RC,499,"Nephrotomy, with exploration ",,,2702.0,8577.0,4
RC,499,Nerve dissection ,,,8577.0,8577.0,1
RC,499,"Nerve graft (includes obtaining graft), head or neck; more than 4 cm length ",,,2702.0,12863.0,7
RC,499,"Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length ",,,2702.0,12863.0,7
RC,499,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length ",,,2702.0,12863.0,7
RC,499,"Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length ",,,2702.0,12863.0,7
RC,499,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length ",,,2702.0,12863.0,7
RC,499,"Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length ",,,2702.0,12863.0,7
RC,499,"Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length ",,,2702.0,12863.0,7
RC,499,"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length ",,,2702.0,12863.0,7
RC,499,"Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length ",,,2702.0,12863.0,7
RC,499,"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length ",,,2702.0,12863.0,7
RC,499,"Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,"Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,Nerve pedicle transfer; first stage ,,,2702.0,12863.0,7
RC,499,Nerve pedicle transfer; second stage ,,,2702.0,12863.0,7
RC,499,"Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve ",,,2702.0,12863.0,7
RC,499,"Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure) ",,,2143.0,6802.0,4
RC,499,"Nerve repair; with nerve allograft, each nerve, first strand (cable) ",,,2702.0,12863.0,4
RC,499,"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve ",,,2702.0,12863.0,7
RC,499,"Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,"Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) ",,,2702.0,8577.0,4
RC,499,"Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage ",,,2702.0,8577.0,4
RC,499,"Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach ",,,2702.0,8577.0,4
RC,499,"Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage ",,,2702.0,8577.0,4
RC,499,Neuroplasty and/or transposition; cranial nerve (specify) ,,,2702.0,8727.0,7
RC,499,Neuroplasty and/or transposition; median nerve at carpal tunnel ,,,4963.0,8727.0,7
RC,499,Neuroplasty and/or transposition; ulnar nerve at elbow ,,,2702.0,8727.0,7
RC,499,Neuroplasty and/or transposition; ulnar nerve at wrist ,,,2702.0,8727.0,7
RC,499,"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus ",,,2702.0,8727.0,7
RC,499,"Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus ",,,2702.0,8727.0,7
RC,499,"Neuroplasty, major peripheral nerve, arm or leg, open; other than specified ",,,2702.0,8727.0,7
RC,499,"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve ",,,2702.0,8727.0,7
RC,499,"Neuroplasty; digital, 1 or both, same digit ",,,2702.0,8727.0,7
RC,499,Neuroplasty; nerve of hand or foot ,,,2702.0,8727.0,7
RC,499,Nocturnal penile tumescence and/or rigidity test ,,,1423.0,6802.0,7
RC,499,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,83613.0,5
RC,499,"Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus ",,,2702.0,8577.0,4
RC,499,"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach ",,,2702.0,8727.0,7
RC,499,"Ocular surface reconstruction; amniotic membrane transplantation, multiple layers ",,,2702.0,10719.0,7
RC,499,Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) ,,,2702.0,10719.0,7
RC,499,"Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) ",,,2702.0,13315.0,7
RC,499,"Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects) ",,,2702.0,8577.0,4
RC,499,"Omental flap, intra-abdominal (List separately in addition to code for primary procedure) ",,,2702.0,12863.0,4
RC,499,"Oophorectomy, partial or total, unilateral or bilateral; ",,,2702.0,10719.0,7
RC,499,"Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies,",,,2702.0,10719.0,7
RC,499,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,8577.0,8577.0,1
RC,499,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4963.0,72171.0,11
RC,499,"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,499,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,8577.0,8577.0,1
RC,499,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,4963.0,30016.0,8
RC,499,"Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,499,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,8577.0,8577.0,1
RC,499,Open implantation of neurostimulator electrode array; neuromuscular ,,,4963.0,72171.0,11
RC,499,Open implantation of neurostimulator electrode array; neuromuscular Complex Surgery,,,11754.0,11754.0,2
RC,499,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4963.0,72171.0,11
RC,499,Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,499,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) ,,,4963.0,19295.0,11
RC,499,Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Complex Surgery,,,11754.0,11754.0,2
RC,499,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,15007.0,15007.0,1
RC,499,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,15007.0,15007.0,1
RC,499,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,15007.0,15007.0,1
RC,499,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,5360.0,8727.0,4
RC,499,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,5360.0,8727.0,4
RC,499,"Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) ",,,2702.0,10719.0,7
RC,499,Orbital implant (implant outside muscle cone); insertion ,,,2702.0,10719.0,7
RC,499,Orbital implant (implant outside muscle cone); removal or revision ,,,2702.0,10719.0,7
RC,499,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration ",,,2702.0,8577.0,4
RC,499,"Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration ",,,2702.0,8577.0,4
RC,499,"Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural el",,,2702.0,8577.0,4
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy ",,,2702.0,10719.0,7
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage ",,,2702.0,10719.0,7
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression ",,,2702.0,10719.0,7
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body ",,,2702.0,10719.0,7
RC,499,"Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion ",,,2702.0,10719.0,7
RC,499,"Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy ",,,2702.0,10719.0,7
RC,499,Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only ,,,2702.0,8727.0,7
RC,499,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression ,,,2702.0,10719.0,7
RC,499,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body ,,,2702.0,8727.0,7
RC,499,Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion ,,,2702.0,8727.0,7
RC,499,"Orchiectomy, partial ",,,2702.0,8727.0,7
RC,499,"Orchiectomy, radical, for tumor; inguinal approach ",,,2702.0,10719.0,7
RC,499,"Orchiectomy, radical, for tumor; with abdominal exploration ",,,2702.0,10719.0,7
RC,499,"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach ",,,2702.0,10719.0,7
RC,499,"Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) ",,,2702.0,10719.0,7
RC,499,"Orchiopexy, inguinal or scrotal approach ",,,2702.0,10719.0,7
RC,499,"Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure) ",,,4963.0,8577.0,4
RC,499,"Other cranial decompression, posterior fossa ",,,2702.0,8577.0,4
RC,499,Otolaryngologic examination under general anesthesia ,,,1423.0,3251.0,4
RC,499,"Otoplasty, protruding ear, with or without size reduction ",,,2702.0,8727.0,7
RC,499,"Ovarian cystectomy, unilateral or bilateral ",,,2702.0,10719.0,7
RC,499,Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous ,,,1423.0,6802.0,7
RC,499,"Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection ",,,2702.0,8727.0,7
RC,499,"Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection ",,,2702.0,8727.0,7
RC,499,Parathyroid autotransplantation (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,499,Parathyroidectomy or exploration of parathyroid(s); ,,,2702.0,13315.0,7
RC,499,Parathyroidectomy or exploration of parathyroid(s); re-exploration ,,,2702.0,13315.0,7
RC,499,"Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach ",,,2702.0,8577.0,4
RC,499,"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach ",,,2702.0,15007.0,7
RC,499,"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach ",,,4963.0,13315.0,7
RC,499,"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach ",,,4963.0,13315.0,7
RC,499,"Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed) ",,,1982.0,6802.0,7
RC,499,"Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary proced",,,1423.0,6802.0,7
RC,499,"Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed) ",,,1982.0,6802.0,7
RC,499,Partial extraction for immediate implant replacement ,,,8577.0,8577.0,1
RC,499,Partial hymenectomy or revision of hymenal ring ,,,2702.0,8727.0,7
RC,499,"Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2702.0,15007.0,7
RC,499,"Partial thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2702.0,15007.0,7
RC,499,Pelvic examination under anesthesia (other than local) ,,,2702.0,8727.0,7
RC,499,"Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ",,,4963.0,8577.0,4
RC,499,"Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of r",,,2702.0,8577.0,4
RC,499,Penile plethysmography ,,,1423.0,6802.0,7
RC,499,"Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and ",,,2702.0,8577.0,4
RC,499,"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes ",,,1982.0,6802.0,7
RC,499,"Percutaneous aspiration, spinal cord cyst or syrinx ",,,1982.0,6802.0,7
RC,499,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,19105.0,4
RC,499,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,19105.0,4
RC,499,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,19105.0,4
RC,499,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,8577.0,8577.0,1
RC,499,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,8577.0,8577.0,1
RC,499,"Percutaneous electrical nerve field stimulation, cranial nerves, without implantation ",,,4963.0,6802.0,3
RC,499,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,8577.0,8577.0,1
RC,499,"Percutaneous implantation of neurostimulator electrode array, epidural ",,,4963.0,72171.0,11
RC,499,"Percutaneous implantation of neurostimulator electrode array, epidural Complex Surgery",,,11754.0,11754.0,2
RC,499,Percutaneous implantation of neurostimulator electrode array; cranial nerve ,,,4963.0,72171.0,11
RC,499,Percutaneous implantation of neurostimulator electrode array; cranial nerve Complex Surgery,,,11754.0,11754.0,2
RC,499,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) ,,,4963.0,72171.0,11
RC,499,Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Complex Surgery,,,11754.0,11754.0,2
RC,499,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed ",,,4963.0,72171.0,11
RC,499,"Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed Complex Surgery",,,11754.0,11754.0,2
RC,499,"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administe",,,1982.0,8727.0,14
RC,499,"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guida",,,2702.0,15409.0,12
RC,499,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,8577.0,8577.0,1
RC,499,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7583.0,10719.0,4
RC,499,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,31841.0,4
RC,499,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,31841.0,4
RC,499,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,499,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,499,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,499,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,15124.0,30016.0,6
RC,499,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,499,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,499,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,15124.0,30016.0,6
RC,499,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,499,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,499,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,24657.0,7
RC,499,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,499,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,31841.0,8
RC,499,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,31841.0,8
RC,499,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19295.0,23692.0,5
RC,499,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,17341.0,6
RC,499,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,17341.0,4
RC,499,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,499,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,8577.0,8577.0,1
RC,499,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,8577.0,8577.0,1
RC,499,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,8577.0,23692.0,5
RC,499,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,6
RC,499,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,499,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,17341.0,6
RC,499,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,499,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,31841.0,8
RC,499,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,499,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,17341.0,6
RC,499,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,17341.0,17341.0,2
RC,499,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,2143.0,17341.0,4
RC,499,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,8577.0,8577.0,1
RC,499,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,8
RC,499,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,8
RC,499,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,31841.0,8
RC,499,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,31841.0,8
RC,499,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,31841.0,16
RC,499,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,17341.0,6
RC,499,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,31841.0,8
RC,499,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,31841.0,16
RC,499,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,31841.0,14
RC,499,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,8577.0,8577.0,1
RC,499,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,8577.0,8577.0,1
RC,499,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,8577.0,8577.0,1
RC,499,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,8577.0,8577.0,1
RC,499,"Pereyra procedure, including anterior colporrhaphy ",,,4963.0,10719.0,7
RC,499,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,8577.0,8577.0,1
RC,499,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,8577.0,8577.0,1
RC,499,"Perineoplasty, repair of perineum, nonobstetrical (separate procedure) ",,,2702.0,8727.0,7
RC,499,"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance ",,,2702.0,19295.0,4
RC,499,Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume ,,,2143.0,6802.0,4
RC,499,"Periurethral transperineal adjustable balloon continence device; removal, each balloon ",,,2702.0,7493.0,4
RC,499,"Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance ",,,2702.0,7493.0,4
RC,499,Petrous apicectomy including radical mastoidectomy ,,,2702.0,13315.0,7
RC,499,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1423.0,3251.0,4
RC,499,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1423.0,3251.0,4
RC,499,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1423.0,3251.0,4
RC,499,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1423.0,3251.0,4
RC,499,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,2143.0,2143.0,1
RC,499,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1423.0,3251.0,4
RC,499,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1423.0,3251.0,4
RC,499,"Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) ",,,1423.0,6802.0,7
RC,499,"Placement of amniotic membrane on the ocular surface; single layer, sutured ",,,2702.0,10719.0,7
RC,499,Placement of amniotic membrane on the ocular surface; without sutures ,,,1982.0,6802.0,7
RC,499,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1982.0,4009.0,4
RC,499,"Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple ",,,2702.0,6802.0,7
RC,499,Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application ,,,2702.0,10719.0,7
RC,499,"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiologi",,,2702.0,8727.0,7
RC,499,"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiol",,,2702.0,8727.0,7
RC,499,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1423.0,3251.0,4
RC,499,"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological s",,,2702.0,10719.0,21
RC,499,Plastic operation of penis for injury ,,,4963.0,10719.0,7
RC,499,"Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra ",,,2702.0,13315.0,7
RC,499,Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps ,,,2702.0,13315.0,7
RC,499,Plastic operation on penis for epispadias distal to external sphincter; ,,,2702.0,10719.0,7
RC,499,Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder ,,,2702.0,13315.0,7
RC,499,Plastic operation on penis for epispadias distal to external sphincter; with incontinence ,,,2702.0,10719.0,7
RC,499,Plastic operation on penis to correct angulation ,,,2702.0,13315.0,7
RC,499,"Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) ",,,4963.0,13315.0,7
RC,499,Plastic repair of canaliculi ,,,2702.0,8727.0,7
RC,499,Plastic repair of introitus ,,,2702.0,8727.0,7
RC,499,Plastic repair of urethrocele ,,,4963.0,8727.0,7
RC,499,"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy ",,,4963.0,10719.0,7
RC,499,"Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming ",,,1423.0,6802.0,7
RC,499,Postpartum care only (separate procedure) ,,,2702.0,6802.0,3
RC,499,"Probing of lacrimal canaliculi, with or without irrigation ",,,1423.0,6802.0,7
RC,499,"Probing of nasolacrimal duct, with or without irrigation; ",,,1423.0,6802.0,7
RC,499,"Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia ",,,2702.0,8727.0,7
RC,499,"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent ",,,2702.0,8727.0,7
RC,499,"Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation ",,,2702.0,8727.0,7
RC,499,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,499,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy ",,,1423.0,13830.0,11
RC,499,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy Complex Surgery",,,11754.0,11754.0,2
RC,499,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation ",,,1982.0,13830.0,11
RC,499,"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,499,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal ",,,2702.0,8577.0,4
RC,499,"Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages ",,,2702.0,8577.0,4
RC,499,"Prostatectomy, perineal radical; ",,,2702.0,8577.0,4
RC,499,"Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes ",,,2702.0,8577.0,4
RC,499,"Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,8577.0,4
RC,499,"Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy) ",,,2702.0,8577.0,4
RC,499,"Prostatectomy, retropubic radical, with or without nerve sparing; ",,,2702.0,8577.0,4
RC,499,"Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes ",,,2702.0,8577.0,4
RC,499,"Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) ",,,2702.0,8577.0,4
RC,499,"Prostatotomy, external drainage of prostatic abscess, any approach; complicated ",,,2702.0,7493.0,6
RC,499,"Prostatotomy, external drainage of prostatic abscess, any approach; simple ",,,2702.0,8727.0,7
RC,499,"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication ",,,1982.0,6802.0,7
RC,499,Puncture of shunt tubing or reservoir for aspiration or injection procedure ,,,1982.0,6802.0,7
RC,499,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital k",,,2702.0,10719.0,4
RC,499,"Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple ",,,2702.0,10719.0,2
RC,499,"Pyelotomy; with drainage, pyelostomy ",,,2702.0,8577.0,4
RC,499,Pyelotomy; with exploration ,,,2702.0,8577.0,4
RC,499,"Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy) ",,,2702.0,8577.0,4
RC,499,REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT ,,,5360.0,8727.0,3
RC,499,"REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR/COCHLEAR STIMULATOR; WITH MASTOIDECTOMY ",,,12760.0,14379.0,3
RC,499,REVISION MASTOIDECTOMY; WITH APICECTOMY ,,,10737.0,13315.0,3
RC,499,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,499,Radial keratotomy ,,,2702.0,8727.0,7
RC,499,"Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,8577.0,4
RC,499,Radical excision external auditory canal lesion; with neck dissection ,,,2702.0,8577.0,4
RC,499,Radical excision external auditory canal lesion; without neck dissection ,,,2702.0,8727.0,7
RC,499,"Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) ",,,2702.0,8577.0,4
RC,499,"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) ",,,2702.0,7493.0,4
RC,499,Recipient nephrectomy (separate procedure) ,,,2702.0,8577.0,4
RC,499,"Reconstruction external auditory canal for congenital atresia, single stage ",,,2702.0,13315.0,7
RC,499,"Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure) ",,,2702.0,13315.0,7
RC,499,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage ",,,2702.0,8727.0,7
RC,499,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage ",,,2702.0,8727.0,7
RC,499,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage ",,,2702.0,10719.0,7
RC,499,"Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage ",,,2702.0,8727.0,7
RC,499,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,2143.0,2143.0,1
RC,499,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1423.0,3251.0,3
RC,499,"Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty ",,,2702.0,8577.0,4
RC,499,"Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) ",,,2702.0,8577.0,4
RC,499,Reduction of overcorrection of ptosis ,,,2702.0,8727.0,7
RC,499,"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis ",,,2702.0,8727.0,7
RC,499,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1423.0,3251.0,4
RC,499,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1423.0,3251.0,4
RC,499,Reinsertion of ocular implant; with or without conjunctival graft ,,,2702.0,10719.0,7
RC,499,Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant ,,,2702.0,10719.0,7
RC,499,Release of encircling material (posterior segment) ,,,4963.0,13830.0,11
RC,499,Release of encircling material (posterior segment) Complex Surgery,,,11754.0,11754.0,2
RC,499,Release of extensive scar tissue without detaching extraocular muscle (separate procedure) ,,,2702.0,8727.0,7
RC,499,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2702.0,8727.0,7
RC,499,"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,2702.0,8727.0,7
RC,499,"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation ",,,2702.0,7493.0,7
RC,499,"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation ",,,1982.0,7493.0,7
RC,499,"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session ",,,4963.0,36087.0,7
RC,499,"Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected ti",,,1423.0,36087.0,7
RC,499,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation ",,,2702.0,6802.0,7
RC,499,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,8577.0,8577.0,1
RC,499,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session ",,,2702.0,24657.0,7
RC,499,"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement o",,,1982.0,6802.0,7
RC,499,Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session ,,,4963.0,36087.0,7
RC,499,"Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of",,,1982.0,36087.0,7
RC,499,"Removal foreign body from deep penile tissue (eg, plastic implant) ",,,2702.0,8727.0,7
RC,499,Removal foreign body from external auditory canal; with general anesthesia ,,,2702.0,8727.0,7
RC,499,Removal foreign body from external auditory canal; without general anesthesia ,,,1423.0,6802.0,7
RC,499,"Removal impacted cerumen requiring instrumentation, unilateral ",,,1423.0,6802.0,7
RC,499,"Removal impacted cerumen using irrigation/lavage, unilateral ",,,1423.0,6802.0,7
RC,499,"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis ",,,4963.0,10719.0,7
RC,499,Removal of an indirect restoration on a natural tooth ,,,8577.0,8577.0,1
RC,499,Removal of baroreflex activation therapy (BAT) modulation system; lead only ,,,2702.0,10719.0,4
RC,499,Removal of baroreflex activation therapy (BAT) modulation system; pulse generator only ,,,2702.0,10719.0,4
RC,499,"Removal of baroreflex activation therapy (BAT) modulation system; total system, including lead and pulse generator ",,,2702.0,10719.0,4
RC,499,"Removal of blood clot, anterior segment of eye ",,,2702.0,8727.0,7
RC,499,Removal of bone flap or prosthetic plate of skull ,,,2702.0,8577.0,4
RC,499,Removal of cerclage suture under anesthesia (other than local) ,,,2702.0,10719.0,7
RC,499,Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation ,,,2702.0,8577.0,4
RC,499,Removal of complete cerebrospinal fluid shunt system; without replacement ,,,2702.0,6802.0,7
RC,499,"Removal of corneal epithelium; with application of chelating agent (eg, EDTA) ",,,2702.0,8727.0,7
RC,499,"Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) ",,,1982.0,6802.0,7
RC,499,"Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator ",,,4963.0,10719.0,7
RC,499,"Removal of embedded foreign body, eyelid ",,,1423.0,6802.0,7
RC,499,Removal of entire lumbosubarachnoid shunt system without replacement ,,,2702.0,8727.0,7
RC,499,"Removal of epithelial downgrowth, anterior chamber of eye ",,,2702.0,8727.0,7
RC,499,Removal of foreign body in scrotum ,,,2702.0,8727.0,7
RC,499,"Removal of foreign body or dacryolith, lacrimal passages ",,,1423.0,6802.0,7
RC,499,"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating ",,,1423.0,6802.0,7
RC,499,"Removal of foreign body, external eye; conjunctival superficial ",,,1423.0,6802.0,7
RC,499,"Removal of foreign body, external eye; corneal, with slit lamp ",,,1423.0,6802.0,7
RC,499,"Removal of foreign body, external eye; corneal, without slit lamp ",,,1423.0,6802.0,7
RC,499,"Removal of foreign body, intraocular; from anterior chamber of eye or lens ",,,2702.0,8727.0,7
RC,499,"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route ",,,1423.0,6802.0,7
RC,499,"Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction ",,,2702.0,8727.0,7
RC,499,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,8577.0,8577.0,1
RC,499,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array ",,,4963.0,13830.0,8
RC,499,"Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array Complex Surgery",,,11754.0,11754.0,2
RC,499,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,499,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1423.0,3251.0,4
RC,499,Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) ,,,2702.0,8727.0,7
RC,499,Removal of implant body not requiring bone removal nor flap elevation ,,,8577.0,8577.0,1
RC,499,"Removal of implanted material, anterior segment of eye ",,,2702.0,8727.0,7
RC,499,"Removal of implanted material, posterior segment; extraocular ",,,4963.0,13830.0,11
RC,499,"Removal of implanted material, posterior segment; extraocular Complex Surgery",,,11754.0,11754.0,2
RC,499,"Removal of implanted material, posterior segment; intraocular ",,,4963.0,13830.0,11
RC,499,"Removal of implanted material, posterior segment; intraocular Complex Surgery",,,11754.0,11754.0,2
RC,499,"Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2702.0,15007.0,7
RC,499,Removal of intrauterine device (IUD) ,,,1423.0,6802.0,7
RC,499,"Removal of lens material; aspiration technique, 1 or more stages ",,,2702.0,8727.0,7
RC,499,"Removal of lens material; extracapsular (other than 66840, 66850, 66852) ",,,2702.0,6802.0,7
RC,499,Removal of lens material; intracapsular ,,,2702.0,8727.0,7
RC,499,"Removal of lens material; intracapsular, for dislocated lens ",,,2702.0,8727.0,7
RC,499,"Removal of lens material; pars plana approach, with or without vitrectomy ",,,2702.0,13315.0,7
RC,499,"Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration ",,,2702.0,8727.0,7
RC,499,"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent) ",,,1982.0,6802.0,7
RC,499,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,499,"Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis ",,,4963.0,10719.0,7
RC,499,Removal of non-resorbable barrier ,,,8577.0,8577.0,1
RC,499,Removal of ocular implant ,,,2702.0,10719.0,7
RC,499,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,8577.0,8577.0,1
RC,499,Removal of previously implanted intrathecal or epidural catheter ,,,2702.0,8727.0,7
RC,499,"Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy) ",,,2702.0,8727.0,7
RC,499,"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed ",,,2702.0,10719.0,4
RC,499,"Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4963.0,8727.0,7
RC,499,"Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4963.0,10719.0,7
RC,499,"Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion ",,,2702.0,10719.0,7
RC,499,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,8577.0,8577.0,1
RC,499,Removal of temporary anchorage device without flap ,,,8577.0,8577.0,1
RC,499,"Removal of temporary anchorage device, requiring flap ",,,8577.0,8577.0,1
RC,499,Removal of transplanted renal allograft ,,,2702.0,8577.0,4
RC,499,"Removal of tumor, temporal bone ",,,2702.0,13315.0,7
RC,499,"Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal ",,,4963.0,8727.0,7
RC,499,"Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy ",,,4963.0,8727.0,7
RC,499,Removal or repair of electromagnetic bone conduction hearing device in temporal bone ,,,2702.0,13315.0,7
RC,499,"Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) ",,,2702.0,10719.0,7
RC,499,"Removal or revision of sling for stress incontinence (eg, fascia or synthetic) ",,,4963.0,10719.0,7
RC,499,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,499,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defect greater than or equal to 100 sq mm",,,2702.0,10719.0,4
RC,499,"Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony defect less than 100 sq mm surface area",,,2702.0,10719.0,4
RC,499,"Removal, entire osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,10719.0,4
RC,499,Remove interim implant component ,,,8577.0,8577.0,1
RC,499,"Renal allotransplantation, implantation of graft; with recipient nephrectomy ",,,2702.0,8577.0,4
RC,499,"Renal allotransplantation, implantation of graft; without recipient nephrectomy ",,,2702.0,8577.0,4
RC,499,"Renal autotransplantation, reimplantation of kidney ",,,2702.0,8577.0,4
RC,499,Renal biopsy; by surgical exposure of kidney ,,,2702.0,8577.0,4
RC,499,"Renal biopsy; percutaneous, by trocar or needle ",,,2702.0,6802.0,7
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,7
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,7
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with ",,,2702.0,8727.0,7
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculu",,,2702.0,8727.0,7
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor ",,,1982.0,6802.0,7
RC,499,"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or ",,,2702.0,8727.0,7
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,7
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,1982.0,6802.0,7
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy",,,2702.0,13315.0,7
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without bio",,,2702.0,6802.0,7
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,6802.0,7
RC,499,"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilati",,,1982.0,6802.0,7
RC,499,"Renal exploration, not necessitating other specific procedures ",,,2702.0,8577.0,4
RC,499,Repair incomplete circumcision ,,,2702.0,8727.0,7
RC,499,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,8577.0,8577.0,1
RC,499,"Repair of blepharoptosis; (tarso) levator resection or advancement, external approach ",,,2702.0,8727.0,7
RC,499,"Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach ",,,2702.0,8727.0,7
RC,499,"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type) ",,,2702.0,8727.0,7
RC,499,Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) ,,,2702.0,10719.0,7
RC,499,"Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) ",,,2702.0,8727.0,7
RC,499,Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) ,,,2702.0,10719.0,7
RC,499,"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) ",,,2702.0,8727.0,7
RC,499,"Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degre",,,4963.0,13830.0,13
RC,499,"Repair of component(s) of a multi-component, inflatable penile prosthesis ",,,4963.0,13315.0,7
RC,499,Repair of custom sleep apnea appliance ,,,8577.0,8577.0,1
RC,499,"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy ",,,2702.0,8577.0,4
RC,499,"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy ",,,2702.0,8577.0,4
RC,499,Repair of ectropion; excision tarsal wedge ,,,2702.0,8727.0,7
RC,499,"Repair of ectropion; extensive (eg, tarsal strip operations) ",,,2702.0,8727.0,7
RC,499,Repair of ectropion; suture ,,,2702.0,8727.0,7
RC,499,Repair of ectropion; thermocauterization ,,,2702.0,8727.0,7
RC,499,"Repair of encephalocele, skull vault, including cranioplasty ",,,2702.0,8577.0,4
RC,499,"Repair of enterocele, abdominal approach (separate procedure) ",,,4963.0,8727.0,7
RC,499,"Repair of enterocele, vaginal approach (separate procedure) ",,,4963.0,8727.0,7
RC,499,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,7493.0,7493.0,1
RC,499,Repair of entropion; excision tarsal wedge ,,,2702.0,8727.0,7
RC,499,"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation) ",,,2702.0,8727.0,7
RC,499,Repair of entropion; suture ,,,2702.0,8727.0,7
RC,499,Repair of entropion; thermocauterization ,,,2702.0,8727.0,7
RC,499,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple ",,,2702.0,10719.0,7
RC,499,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and urethroplasty with flap, patch or tubed graft (including urinary diversion, when perfor",,,2702.0,10719.0,7
RC,499,"Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft ",,,2702.0,10719.0,7
RC,499,"Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff ",,,2702.0,10719.0,7
RC,499,"Repair of iris, ciliary body (as for iridodialysis) ",,,2702.0,8727.0,7
RC,499,"Repair of laceration; application of tissue glue, wounds of cornea and/or sclera ",,,2702.0,6802.0,7
RC,499,"Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization ",,,2702.0,8577.0,4
RC,499,"Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization ",,,2702.0,8727.0,7
RC,499,"Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure ",,,2702.0,8727.0,7
RC,499,"Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue ",,,2702.0,8727.0,7
RC,499,"Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue ",,,2702.0,8727.0,7
RC,499,"Repair of laceration; cornea, nonperforating, with or without removal foreign body ",,,2702.0,10719.0,7
RC,499,Repair of meningocele; larger than 5 cm diameter ,,,2702.0,8577.0,4
RC,499,Repair of meningocele; less than 5 cm diameter ,,,2702.0,8577.0,4
RC,499,Repair of myelomeningocele; larger than 5 cm diameter ,,,2702.0,8577.0,4
RC,499,Repair of myelomeningocele; less than 5 cm diameter ,,,2702.0,8577.0,4
RC,499,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy ",,,4963.0,13830.0,11
RC,499,"Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Complex Surgery",,,11754.0,11754.0,2
RC,499,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation ",,,1982.0,13830.0,11
RC,499,"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,499,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) ",,,4963.0,13830.0,11
RC,499,"Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and draina",,,4963.0,13830.0,13
RC,499,"Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral bucklin",,,4963.0,13830.0,13
RC,499,Repair of scleral staphyloma with graft ,,,2702.0,8727.0,7
RC,499,"Repair of symblepharon; conjunctivoplasty, without graft ",,,2702.0,8727.0,7
RC,499,"Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens ",,,2702.0,8727.0,7
RC,499,Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) ,,,2702.0,10719.0,7
RC,499,Repair of traumatic corporeal tear(s) ,,,4963.0,8727.0,7
RC,499,Repair of tunica vaginalis hydrocele (Bottle type) ,,,2702.0,8727.0,7
RC,499,"Repair of wound, extraocular muscle, tendon and/or Tenon's capsule ",,,2702.0,10719.0,7
RC,499,Repair oval window fistula ,,,4963.0,8727.0,7
RC,499,Repair round window fistula ,,,4963.0,8727.0,7
RC,499,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, outside the mastoid and involving a bony defec",,,2702.0,15007.0,4
RC,499,"Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor, within the mastoid and/or involving a bony def",,,2702.0,15007.0,4
RC,499,"Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to external speech processor ",,,2702.0,13315.0,7
RC,499,"Replacement of all or part of ureter by intestine segment, including intestine anastomosis ",,,2702.0,8577.0,4
RC,499,Replacement of an implant screw ,,,8577.0,8577.0,1
RC,499,Replacement of bone flap or prosthetic plate of skull ,,,2702.0,8577.0,4
RC,499,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,8577.0,8577.0,1
RC,499,"Replacement or irrigation, subarachnoid/subdural catheter ",,,2702.0,8727.0,7
RC,499,"Replacement or irrigation, ventricular catheter ",,,2702.0,6802.0,7
RC,499,"Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system ",,,2702.0,12863.0,7
RC,499,"Replacement, irrigation or revision of lumbosubarachnoid shunt ",,,2702.0,12863.0,7
RC,499,"Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) ",,,2702.0,8727.0,7
RC,499,Reprogramming of programmable cerebrospinal shunt ,,,1423.0,6802.0,7
RC,499,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; ",,,2702.0,10719.0,7
RC,499,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction,",,,2702.0,8577.0,4
RC,499,"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphaden",,,2702.0,8577.0,4
RC,499,"Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy a",,,2702.0,8577.0,4
RC,499,Resection of scrotum ,,,2702.0,8727.0,7
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural ",,,2702.0,8577.0,4
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft ",,,2702.0,8577.0,4
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural ",,,2702.0,8577.0,4
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, w",,,2702.0,8577.0,4
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural ",,,2702.0,8577.0,4
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft ",,,2702.0,8577.0,4
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural ",,,2702.0,8577.0,4
RC,499,"Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft ",,,2702.0,8577.0,4
RC,499,Resection prosthesis - Mandibular complete removable ,,,8577.0,8577.0,1
RC,499,Resection prosthesis - Mandibular partial removable ,,,8577.0,8577.0,1
RC,499,Resection prosthesis - Maxillary complete removable ,,,8577.0,8577.0,1
RC,499,Resection prosthesis - Maxillary partial removable ,,,8577.0,8577.0,1
RC,499,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,499,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,499,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,499,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,499,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,499,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,499,"Resection temporal bone, external approach ",,,2702.0,8577.0,4
RC,499,Retrobulbar injection; alcohol ,,,1423.0,6802.0,7
RC,499,"Retrobulbar injection; medication (separate procedure, does not include supply of medication) ",,,1423.0,6802.0,7
RC,499,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,19295.0,19295.0,1
RC,499,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,8577.0,8577.0,1
RC,499,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,8577.0,8577.0,1
RC,499,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,8577.0,8577.0,1
RC,499,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,19295.0,19295.0,1
RC,499,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,19295.0,19295.0,1
RC,499,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,19295.0,19295.0,1
RC,499,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,15007.0,15007.0,1
RC,499,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,499,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,499,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,19295.0,19295.0,1
RC,499,"Revision (including removal) of prosthetic vaginal graft, laparoscopic approach ",,,2702.0,10719.0,7
RC,499,Revision (including removal) of prosthetic vaginal graft; open abdominal approach ,,,4963.0,8577.0,4
RC,499,Revision (including removal) of prosthetic vaginal graft; vaginal approach ,,,4963.0,8727.0,7
RC,499,"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed ",,,4963.0,15007.0,7
RC,499,"Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed ",,,4963.0,15007.0,7
RC,499,Revision mastoidectomy; resulting in complete mastoidectomy ,,,2702.0,13315.0,7
RC,499,Revision mastoidectomy; resulting in modified radical mastoidectomy ,,,2702.0,13315.0,7
RC,499,Revision mastoidectomy; resulting in radical mastoidectomy ,,,2702.0,13315.0,7
RC,499,Revision mastoidectomy; resulting in tympanoplasty ,,,2702.0,13315.0,7
RC,499,Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft ,,,2702.0,8727.0,7
RC,499,Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft ,,,2702.0,8727.0,7
RC,499,Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of ,,,2702.0,13315.0,7
RC,499,Revision of stapedectomy or stapedotomy ,,,4963.0,13315.0,7
RC,499,Revision of urinary-cutaneous anastomosis (any type urostomy); ,,,2702.0,8727.0,7
RC,499,Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia ,,,2702.0,8577.0,4
RC,499,Revision or removal of cranial neurostimulator pulse generator or receiver ,,,2702.0,10719.0,7
RC,499,"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4963.0,10719.0,7
RC,499,Revision or removal of intracranial neurostimulator electrodes ,,,2702.0,10719.0,7
RC,499,"Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator ",,,2702.0,10719.0,4
RC,499,Revision or removal of peripheral neurostimulator electrode array ,,,4963.0,13830.0,11
RC,499,Revision or removal of peripheral neurostimulator electrode array Complex Surgery,,,11754.0,11754.0,2
RC,499,"Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array ",,,4963.0,10719.0,7
RC,499,"Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure ",,,2702.0,8727.0,7
RC,499,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; lead only ",,,2702.0,10719.0,4
RC,499,"Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming; pulse generator only ",,,2702.0,30016.0,4
RC,499,"Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator ",,,4963.0,15007.0,7
RC,499,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator ",,,4963.0,19295.0,8
RC,499,"Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator Complex Surgery",,,11754.0,11754.0,2
RC,499,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,8577.0,8577.0,1
RC,499,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,499,Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) ,,,2702.0,19295.0,4
RC,499,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,13374.0,13374.0,1
RC,499,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,499,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,13374.0,13374.0,1
RC,499,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,499,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,13374.0,13374.0,1
RC,499,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,499,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,499,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,13374.0,13374.0,1
RC,499,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,499,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,499,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,13374.0,13374.0,1
RC,499,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,499,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,499,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,7583.0,9539.0,3
RC,499,Right ventricular recording ,,,6826.0,19105.0,4
RC,499,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care ",,,2702.0,6802.0,3
RC,499,"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery ",,,2702.0,6802.0,3
RC,499,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care ",,,2702.0,6802.0,3
RC,499,"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery ",,,2702.0,6802.0,3
RC,499,"STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD ",,,2820.0,5414.0,3
RC,499,"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2702.0,10719.0,7
RC,499,"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) ",,,2702.0,13315.0,7
RC,499,Salpingostomy (salpingoneostomy) ,,,2702.0,8727.0,7
RC,499,Scleral reinforcement (separate procedure); with graft ,,,2702.0,8727.0,7
RC,499,Scleral reinforcement (separate procedure); without graft ,,,2702.0,8727.0,7
RC,499,"Scraping of cornea, diagnostic, for smear and/or culture ",,,1423.0,6802.0,7
RC,499,Scrotal exploration ,,,2702.0,8727.0,7
RC,499,Scrotoplasty; complicated ,,,2702.0,8727.0,7
RC,499,Scrotoplasty; simple ,,,2702.0,13315.0,7
RC,499,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lat",,,2702.0,8577.0,4
RC,499,"Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneo",,,2702.0,8577.0,4
RC,499,Semi-precision abutment - placement ,,,8577.0,8577.0,1
RC,499,Semi-precision attachment - placement ,,,8577.0,8577.0,1
RC,499,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae ",,,2702.0,8727.0,7
RC,499,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions ",,,2702.0,8727.0,7
RC,499,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae ",,,2702.0,8727.0,7
RC,499,"Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae ",,,2702.0,8727.0,7
RC,499,"Severing adhesions of anterior segment, laser technique (separate procedure) ",,,1982.0,6802.0,7
RC,499,Severing of tarsorrhaphy ,,,1982.0,6802.0,7
RC,499,"Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages) ",,,1982.0,6802.0,7
RC,499,"Simple cystometrogram (CMG) (eg, spinal manometer) ",,,1423.0,6802.0,7
RC,499,"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) ",,,1423.0,6802.0,7
RC,499,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) ",,,2702.0,16982.0,11
RC,499,"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Sling operation for stress incontinence (eg, fascia or synthetic) ",,,4963.0,16982.0,11
RC,499,"Sling operation for stress incontinence (eg, fascia or synthetic) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn ",,,2702.0,8727.0,7
RC,499,"Slitting of prepuce, dorsal or lateral (separate procedure); newborn ",,,2702.0,8727.0,7
RC,499,Snip incision of lacrimal punctum ,,,1423.0,6802.0,7
RC,499,Sperm washing for artificial insemination ,,,1423.0,6802.0,7
RC,499,"Spinal puncture, lumbar, diagnostic; ",,,1982.0,6802.0,7
RC,499,"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance ",,,2702.0,6802.0,4
RC,499,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); ",,,1982.0,6802.0,7
RC,499,"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance ",,,2702.0,6802.0,4
RC,499,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; ",,,4963.0,13315.0,7
RC,499,"Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out ",,,4963.0,13315.0,7
RC,499,Stapes mobilization ,,,4963.0,8727.0,7
RC,499,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; ",,,2702.0,8577.0,4
RC,499,"Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance ",,,2702.0,8577.0,4
RC,499,"Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,"Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,499,Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring ,,,2702.0,6802.0,7
RC,499,"Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source ",,,2702.0,12863.0,7
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion ",,,2702.0,13315.0,4
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion ",,,2702.0,13315.0,4
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion ",,,2702.0,13315.0,4
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,4
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,4
RC,499,"Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) ",,,2702.0,6802.0,4
RC,499,"Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery ",,,2820.0,6802.0,7
RC,499,"Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time) ",,,1423.0,6802.0,7
RC,499,"Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,499,Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,499,"Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List sep",,,1423.0,6802.0,7
RC,499,"Strabismus surgery, any procedure, superior oblique muscle ",,,2702.0,8727.0,7
RC,499,"Strabismus surgery, recession or resection procedure; 1 horizontal muscle ",,,2702.0,8727.0,7
RC,499,"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) ",,,2702.0,8727.0,7
RC,499,"Strabismus surgery, recession or resection procedure; 2 horizontal muscles ",,,2702.0,10719.0,7
RC,499,"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) ",,,2702.0,8727.0,7
RC,499,Subconjunctival injection ,,,1423.0,6802.0,7
RC,499,Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring ,,,2702.0,6802.0,7
RC,499,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial ",,,1982.0,6802.0,7
RC,499,"Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps ",,,1982.0,6802.0,7
RC,499,"Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) ",,,2702.0,8577.0,4
RC,499,Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) ,,,2702.0,6802.0,3
RC,499,"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,10719.0,4
RC,499,Suprachoroidal space injection of pharmacologic agent (separate procedure) ,,,2143.0,6802.0,4
RC,499,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter ",,,2702.0,8577.0,4
RC,499,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery ",,,2702.0,8577.0,4
RC,499,"Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis ",,,2702.0,8577.0,4
RC,499,"Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation ",,,2702.0,8577.0,4
RC,499,"Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2702.0,8577.0,4
RC,499,"Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) ",,,2702.0,8577.0,4
RC,499,"Surgery of intracranial arteriovenous malformation; dural, complex ",,,2702.0,8577.0,4
RC,499,"Surgery of intracranial arteriovenous malformation; dural, simple ",,,2702.0,8577.0,4
RC,499,"Surgery of intracranial arteriovenous malformation; infratentorial, complex ",,,2702.0,8577.0,4
RC,499,"Surgery of intracranial arteriovenous malformation; infratentorial, simple ",,,2702.0,8577.0,4
RC,499,"Surgery of intracranial arteriovenous malformation; supratentorial, complex ",,,2702.0,8577.0,4
RC,499,"Surgery of intracranial arteriovenous malformation; supratentorial, simple ",,,2702.0,8577.0,4
RC,499,"Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation ",,,2702.0,8577.0,4
RC,499,"Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation ",,,2702.0,8577.0,4
RC,499,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,8577.0,8577.0,1
RC,499,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,8577.0,8577.0,1
RC,499,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,8577.0,8577.0,1
RC,499,Surgical placement of craniofacial implant - extra oral ,,,8577.0,8577.0,1
RC,499,Surgical placement zygomatic implant ,,,8577.0,8577.0,1
RC,499,Surgical repair of root resorption - molar ,,,8577.0,8577.0,1
RC,499,Surgical repair of root resorption- premolar ,,,8577.0,8577.0,1
RC,499,Surgical repair of root resorption-anterior ,,,8577.0,8577.0,1
RC,499,Surgical treatment of ectopic pregnancy; abdominal pregnancy ,,,2702.0,8577.0,4
RC,499,"Surgical treatment of ectopic pregnancy; cervical, with evacuation ",,,2702.0,8577.0,4
RC,499,"Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus ",,,2702.0,8577.0,4
RC,499,"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach ",,,2702.0,10719.0,7
RC,499,"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy ",,,2702.0,10719.0,7
RC,499,"Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion ",,,2702.0,13315.0,7
RC,499,"Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion ",,,2702.0,13315.0,7
RC,499,"Suture of 1 nerve; hand or foot, common sensory nerve ",,,2702.0,12863.0,7
RC,499,Suture of 1 nerve; median motor thenar ,,,2702.0,12863.0,7
RC,499,Suture of 1 nerve; ulnar motor ,,,2702.0,12863.0,7
RC,499,"Suture of digital nerve, hand or foot; 1 nerve ",,,2702.0,10719.0,7
RC,499,"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,499,"Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,Suture of facial nerve; extracranial ,,,2702.0,12863.0,7
RC,499,"Suture of facial nerve; infratemporal, with or without grafting ",,,2702.0,12863.0,7
RC,499,"Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture) ",,,2702.0,8727.0,7
RC,499,"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition ",,,2702.0,12863.0,7
RC,499,"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition ",,,2702.0,12863.0,7
RC,499,"Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture) ",,,1423.0,6802.0,7
RC,499,Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) ,,,1423.0,6802.0,7
RC,499,Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) ,,,1423.0,6802.0,7
RC,499,Suture of posterior tibial nerve ,,,2702.0,12863.0,7
RC,499,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness ",,,2702.0,8727.0,7
RC,499,"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness ",,,2702.0,8727.0,7
RC,499,Suture of sciatic nerve ,,,2702.0,10719.0,7
RC,499,Suture of; brachial plexus ,,,2702.0,10719.0,7
RC,499,Suture of; lumbar plexus ,,,2702.0,12863.0,7
RC,499,Suture or repair of testicular injury ,,,2702.0,8727.0,7
RC,499,"Suture, secondary, of abdominal wall for evisceration or dehiscence ",,,2702.0,8577.0,4
RC,499,"Sympathectomy, cervical ",,,2702.0,6802.0,7
RC,499,"Sympathectomy, cervicothoracic ",,,2702.0,6802.0,7
RC,499,"Sympathectomy, lumbar ",,,2702.0,8577.0,4
RC,499,"Sympathectomy, thoracolumbar ",,,2702.0,8577.0,4
RC,499,"Sympathectomy; digital arteries, each digit ",,,2702.0,8727.0,7
RC,499,Sympathectomy; radial artery ,,,2702.0,10719.0,7
RC,499,Sympathectomy; superficial palmar arch ,,,2702.0,10719.0,7
RC,499,Sympathectomy; ulnar artery ,,,2702.0,10719.0,7
RC,499,"Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation) ",,,2702.0,8577.0,4
RC,499,"Temporary closure of eyelids by suture (eg, Frost suture) ",,,1982.0,6802.0,7
RC,499,Temporary transcutaneous pacing ,,,1982.0,4009.0,4
RC,499,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure) ",,,2143.0,6802.0,4
RC,499,"Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral ",,,2702.0,15007.0,4
RC,499,"Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,499,"Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,499,"Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,499,"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed ",,,2143.0,6802.0,4
RC,499,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,17341.0,17341.0,2
RC,499,"Thrombolysis, coronary; by intravenous infusion ",,,1423.0,17341.0,5
RC,499,"Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure) ",,,2702.0,8577.0,4
RC,499,"Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure) ",,,2702.0,8577.0,4
RC,499,"Thymectomy, partial or total; transcervical approach (separate procedure) ",,,2702.0,13315.0,7
RC,499,"Thyroidectomy, including substernal thyroid; cervical approach ",,,2702.0,13315.0,7
RC,499,"Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach ",,,2702.0,6802.0,7
RC,499,"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid ",,,2702.0,13315.0,7
RC,499,"Thyroidectomy, total or complete ",,,2702.0,15007.0,7
RC,499,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,8577.0,8577.0,1
RC,499,"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection ",,,2702.0,13315.0,7
RC,499,"Thyroidectomy, total or subtotal for malignancy; with radical neck dissection ",,,2702.0,8727.0,7
RC,499,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); ",,,2702.0,10719.0,4
RC,499,"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch) ",,,2702.0,8577.0,4
RC,499,"Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s) ",,,4963.0,8577.0,4
RC,499,Total facial nerve decompression and/or repair (may include graft) ,,,2702.0,13315.0,7
RC,499,"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy ",,,2702.0,15007.0,7
RC,499,"Total thyroid lobectomy, unilateral; with or without isthmusectomy ",,,2702.0,15007.0,7
RC,499,Trabeculoplasty by laser surgery ,,,1982.0,6802.0,7
RC,499,Trabeculotomy ab externo ,,,2702.0,8727.0,7
RC,499,"Trachelectomy (cervicectomy), amputation of cervix (separate procedure) ",,,2702.0,8727.0,7
RC,499,"Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach ",,,2702.0,8727.0,7
RC,499,"Transabdominal amnioinfusion, including ultrasound guidance ",,,1982.0,6802.0,7
RC,499,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,2143.0,2143.0,1
RC,499,"Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), including all radiological supervision and interpretation, int",,,2702.0,19295.0,11
RC,499,"Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed ",,,2702.0,8577.0,4
RC,499,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1423.0,17341.0,7
RC,499,"Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency ",,,2702.0,12863.0,4
RC,499,"Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography ",,,4963.0,8727.0,7
RC,499,"Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid ",,,2702.0,8577.0,4
RC,499,"Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompres",,,2702.0,8577.0,4
RC,499,"Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy ",,,2702.0,6802.0,7
RC,499,"Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy ",,,2702.0,10719.0,7
RC,499,"Transection or avulsion of other cranial nerve, extradural ",,,2702.0,8727.0,7
RC,499,"Transection or avulsion of other spinal nerve, extradural ",,,2702.0,8727.0,7
RC,499,"Transection or avulsion of; facial nerve, differential or complete ",,,2702.0,8727.0,7
RC,499,Transection or avulsion of; greater occipital nerve ,,,2702.0,8727.0,7
RC,499,Transection or avulsion of; inferior alveolar nerve by osteotomy ,,,2702.0,6802.0,7
RC,499,Transection or avulsion of; infraorbital nerve ,,,2702.0,6802.0,7
RC,499,Transection or avulsion of; lingual nerve ,,,2702.0,8727.0,7
RC,499,Transection or avulsion of; mental nerve ,,,2702.0,6802.0,7
RC,499,Transection or avulsion of; phrenic nerve ,,,2702.0,6802.0,7
RC,499,Transection or avulsion of; supraorbital nerve ,,,2702.0,6802.0,7
RC,499,"Transection or avulsion of; vagus nerve (vagotomy), abdominal ",,,2702.0,8577.0,4
RC,499,"Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) ",,,2702.0,8577.0,4
RC,499,"Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) ",,,2702.0,8577.0,4
RC,499,Transection or repositioning of aberrant renal vessels (separate procedure) ,,,2702.0,8577.0,4
RC,499,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,8577.0,8577.0,1
RC,499,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,8577.0,8577.0,1
RC,499,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent ",,,2702.0,13315.0,7
RC,499,"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent ",,,2702.0,13315.0,7
RC,499,Transmastoid antrotomy (simple mastoidectomy) ,,,2702.0,13315.0,7
RC,499,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; ",,,2702.0,8577.0,4
RC,499,"Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) ",,,2702.0,8577.0,4
RC,499,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately",,,1423.0,6802.0,7
RC,499,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal appr",,,4963.0,15007.0,7
RC,499,"Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic ",,,4963.0,15007.0,7
RC,499,"Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed ",,,2702.0,15007.0,4
RC,499,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy ",,,4963.0,53068.0,11
RC,499,"Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy Complex Surgery",,,11754.0,11754.0,2
RC,499,"Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus ",,,2702.0,8577.0,4
RC,499,Transplantation of testis(es) to thigh (because of scrotal destruction) ,,,2702.0,8727.0,7
RC,499,"Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,"Transposition, ovary(s) ",,,2702.0,10719.0,7
RC,499,"Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization ",,,2702.0,8577.0,4
RC,499,"Transureteroureterostomy, anastomosis of ureter to contralateral ureter ",,,2702.0,8577.0,4
RC,499,Transurethral destruction of prostate tissue; by microwave thermotherapy ,,,2702.0,6802.0,7
RC,499,Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy ,,,2702.0,7493.0,4
RC,499,Transurethral destruction of prostate tissue; by radiofrequency thermotherapy ,,,2702.0,13315.0,7
RC,499,Transurethral drainage of prostatic abscess ,,,2702.0,8727.0,7
RC,499,"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal ",,,4963.0,13830.0,13
RC,499,Transurethral incision of prostate ,,,2702.0,8727.0,7
RC,499,Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence ,,,2702.0,6802.0,7
RC,499,Transurethral resection of bladder neck (separate procedure) ,,,2702.0,8727.0,7
RC,499,Transurethral resection; of postoperative bladder neck contracture ,,,4963.0,8727.0,7
RC,499,"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or",,,4963.0,13315.0,7
RC,499,"Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance, control of postoperative bleeding, complete, including vasectomy, meatotomy, cyst",,,2702.0,12863.0,4
RC,499,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed) ",,,1423.0,6802.0,7
RC,499,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed) ",,,1423.0,6802.0,7
RC,499,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,7
RC,499,"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed) ",,,1423.0,6802.0,7
RC,499,Transvesical ureterolithotomy ,,,2702.0,13315.0,7
RC,499,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation ",,,1982.0,13830.0,11
RC,499,"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,499,"Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity)",,,1982.0,6802.0,7
RC,499,"Treatment of incomplete abortion, any trimester, completed surgically ",,,2702.0,8727.0,7
RC,499,"Treatment of missed abortion, completed surgically; first trimester ",,,2702.0,8727.0,7
RC,499,"Treatment of missed abortion, completed surgically; second trimester ",,,2702.0,8727.0,7
RC,499,"Treatment of septic abortion, completed surgically ",,,2702.0,8577.0,4
RC,499,"Trimming of dystrophic nails, any number ",,,1423.0,3251.0,4
RC,499,Tubotubal anastomosis ,,,2702.0,10719.0,7
RC,499,Tubouterine implantation ,,,2702.0,10719.0,7
RC,499,Twist drill hole for subdural or ventricular puncture ,,,2702.0,8577.0,4
RC,499,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma ",,,2702.0,8577.0,4
RC,499,"Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device ",,,2702.0,8577.0,4
RC,499,"Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical ",,,2702.0,8577.0,4
RC,499,"Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventri",,,2702.0,8577.0,16
RC,499,"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch ",,,2702.0,8727.0,7
RC,499,Tympanic neurectomy ,,,4963.0,8727.0,7
RC,499,"Tympanolysis, transcanal ",,,2702.0,13315.0,7
RC,499,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,499,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg,",,,4963.0,13315.0,7
RC,499,"Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,499,"Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,499,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration) ",,,4963.0,13315.0,7
RC,499,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicu",,,4963.0,13315.0,7
RC,499,"Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction ",,,4963.0,13315.0,7
RC,499,"Tympanostomy (requiring insertion of ventilating tube), general anesthesia ",,,2702.0,6802.0,7
RC,499,"Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia ",,,1423.0,6802.0,7
RC,499,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,2143.0,2143.0,1
RC,499,Unlisted cardiovascular service or procedure ,,,1423.0,3251.0,4
RC,499,Unlisted diagnostic gastroenterology procedure ,,,1423.0,3251.0,4
RC,499,"Unlisted fetal invasive procedure, including ultrasound guidance, when performed ",,,1423.0,6802.0,7
RC,499,"Unlisted hysteroscopy procedure, uterus ",,,1423.0,13830.0,11
RC,499,"Unlisted hysteroscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,499,"Unlisted laparoscopy procedure, bladder ",,,4963.0,13315.0,7
RC,499,"Unlisted laparoscopy procedure, endocrine system ",,,4963.0,13315.0,7
RC,499,"Unlisted laparoscopy procedure, maternity care and delivery ",,,4963.0,13830.0,11
RC,499,"Unlisted laparoscopy procedure, maternity care and delivery Complex Surgery",,,11754.0,11754.0,2
RC,499,"Unlisted laparoscopy procedure, oviduct, ovary ",,,4963.0,13830.0,11
RC,499,"Unlisted laparoscopy procedure, oviduct, ovary Complex Surgery",,,11754.0,11754.0,2
RC,499,"Unlisted laparoscopy procedure, renal ",,,4963.0,13830.0,11
RC,499,"Unlisted laparoscopy procedure, renal Complex Surgery",,,11754.0,11754.0,2
RC,499,"Unlisted laparoscopy procedure, spermatic cord ",,,4963.0,13315.0,7
RC,499,"Unlisted laparoscopy procedure, testis ",,,4963.0,13315.0,7
RC,499,"Unlisted laparoscopy procedure, ureter ",,,4963.0,13830.0,11
RC,499,"Unlisted laparoscopy procedure, ureter Complex Surgery",,,11754.0,11754.0,2
RC,499,"Unlisted laparoscopy procedure, uterus ",,,4963.0,13830.0,11
RC,499,"Unlisted laparoscopy procedure, uterus Complex Surgery",,,11754.0,11754.0,2
RC,499,"Unlisted procedure, abdomen, peritoneum and omentum ",,,2702.0,9539.0,7
RC,499,"Unlisted procedure, anterior segment of eye ",,,2702.0,6802.0,7
RC,499,"Unlisted procedure, conjunctiva ",,,1423.0,6802.0,7
RC,499,"Unlisted procedure, endocrine system ",,,2702.0,15007.0,7
RC,499,"Unlisted procedure, external ear ",,,1423.0,6802.0,7
RC,499,"Unlisted procedure, extraocular muscle ",,,2143.0,8727.0,7
RC,499,"Unlisted procedure, eyelids ",,,1423.0,6802.0,7
RC,499,"Unlisted procedure, female genital system (nonobstetrical) ",,,1423.0,6802.0,7
RC,499,"Unlisted procedure, inner ear ",,,1423.0,6802.0,7
RC,499,"Unlisted procedure, lacrimal system ",,,1423.0,6802.0,7
RC,499,"Unlisted procedure, male genital system ",,,1423.0,6802.0,7
RC,499,"Unlisted procedure, maternity care and delivery ",,,1423.0,6802.0,7
RC,499,"Unlisted procedure, middle ear ",,,1423.0,6802.0,7
RC,499,"Unlisted procedure, nervous system ",,,1423.0,6802.0,7
RC,499,"Unlisted procedure, orbit ",,,1423.0,6802.0,7
RC,499,"Unlisted procedure, posterior segment ",,,2702.0,6802.0,7
RC,499,"Unlisted procedure, temporal bone, middle fossa approach ",,,1423.0,6802.0,7
RC,499,"Unlisted procedure, urinary system ",,,1423.0,6802.0,7
RC,499,"Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code f",,,1423.0,6802.0,7
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,7
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,8727.0,7
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without",,,2702.0,8727.0,7
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,8727.0,7
RC,499,"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without di",,,1982.0,6802.0,7
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; ",,,1982.0,6802.0,7
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy ",,,2702.0,6802.0,7
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy ",,,2702.0,6802.0,7
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus ",,,2702.0,8727.0,7
RC,499,"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ure",,,1982.0,6802.0,7
RC,499,"Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach ",,,2702.0,8577.0,4
RC,499,"Ureterectomy, with bladder cuff (separate procedure) ",,,2702.0,8577.0,4
RC,499,"Ureterocalycostomy, anastomosis of ureter to renal calyx ",,,2702.0,8577.0,4
RC,499,"Ureterocolon conduit, including intestine anastomosis ",,,2702.0,8577.0,4
RC,499,"Ureteroenterostomy, direct anastomosis of ureter to intestine ",,,2702.0,8577.0,4
RC,499,"Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation) ",,,2702.0,8577.0,4
RC,499,Ureterolithotomy; lower one-third of ureter ,,,2702.0,8577.0,4
RC,499,Ureterolithotomy; middle one-third of ureter ,,,2702.0,8577.0,4
RC,499,Ureterolithotomy; upper one-third of ureter ,,,2702.0,8577.0,4
RC,499,Ureterolysis for ovarian vein syndrome ,,,2702.0,8577.0,4
RC,499,"Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava ",,,2702.0,8577.0,4
RC,499,"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis ",,,2702.0,8577.0,4
RC,499,Ureteroneocystostomy; anastomosis of duplicated ureter to bladder ,,,2702.0,8577.0,4
RC,499,Ureteroneocystostomy; anastomosis of single ureter to bladder ,,,2702.0,7493.0,4
RC,499,Ureteroneocystostomy; with extensive ureteral tailoring ,,,2702.0,8577.0,4
RC,499,Ureteroneocystostomy; with vesico-psoas hitch or bladder flap ,,,2702.0,8577.0,4
RC,499,"Ureteroplasty, plastic operation on ureter (eg, stricture) ",,,2702.0,8577.0,4
RC,499,"Ureteropyelostomy, anastomosis of ureter and renal pelvis ",,,2702.0,8577.0,4
RC,499,"Ureterorrhaphy, suture of ureter (separate procedure) ",,,2702.0,8577.0,4
RC,499,"Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis ",,,2702.0,8577.0,4
RC,499,"Ureterostomy, transplantation of ureter to skin ",,,2702.0,8577.0,4
RC,499,"Ureterotomy for insertion of indwelling stent, all types ",,,2702.0,8577.0,4
RC,499,Ureterotomy with exploration or drainage (separate procedure) ,,,2702.0,8577.0,4
RC,499,Ureteroureterostomy ,,,2702.0,8577.0,4
RC,499,"Urethrectomy, total, including cystostomy; female ",,,2702.0,10719.0,7
RC,499,"Urethrectomy, total, including cystostomy; male ",,,2702.0,8727.0,7
RC,499,"Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) ",,,2702.0,10719.0,7
RC,499,"Urethromeatoplasty, with mucosal advancement ",,,2702.0,10719.0,7
RC,499,"Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) ",,,2702.0,8727.0,7
RC,499,Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia ,,,2702.0,10719.0,7
RC,499,Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm ,,,2702.0,10719.0,7
RC,499,Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm ,,,2702.0,13315.0,7
RC,499,"Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) ",,,2702.0,10719.0,7
RC,499,"Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure) ",,,2702.0,10719.0,7
RC,499,"Urethroplasty, 1-stage reconstruction of male anterior urethra ",,,2702.0,10719.0,7
RC,499,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage ",,,2702.0,10719.0,7
RC,499,"Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage ",,,2702.0,10719.0,7
RC,499,"Urethroplasty, reconstruction of female urethra ",,,2702.0,10719.0,7
RC,499,"Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra ",,,2702.0,13315.0,7
RC,499,"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) ",,,2702.0,10719.0,7
RC,499,"Urethroplasty; second stage (formation of urethra), including urinary diversion ",,,2702.0,10719.0,7
RC,499,"Urethrorrhaphy, suture of urethral wound or injury, female ",,,2702.0,8727.0,7
RC,499,"Urethrorrhaphy, suture of urethral wound or injury; penile ",,,2702.0,10719.0,7
RC,499,"Urethrorrhaphy, suture of urethral wound or injury; perineal ",,,2702.0,8727.0,7
RC,499,"Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous ",,,2702.0,10719.0,7
RC,499,"Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra ",,,2702.0,8727.0,7
RC,499,"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external ",,,2702.0,8727.0,7
RC,499,"Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) ",,,2702.0,8577.0,4
RC,499,Use of ophthalmic endoscope (List separately in addition to code for primary procedure) ,,,1423.0,6802.0,7
RC,499,Uterine evacuation and curettage for hydatidiform mole ,,,2702.0,8727.0,7
RC,499,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure) ",,,2702.0,10719.0,4
RC,499,"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy ",,,2702.0,8577.0,4
RC,499,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH COLPO-URETHROCYSTOPEXY (MARSHALL-MARCHETTI-KRANTZ TYPE, PEREYRA TYPE) WITH OR WITHOUT ENDOSCOPIC CONTROL ",,,7583.0,9539.0,3
RC,499,Vaginal delivery only (with or without episiotomy and/or forceps); ,,,2702.0,8727.0,7
RC,499,Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care ,,,2702.0,6802.0,3
RC,499,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); ",,,2702.0,8727.0,7
RC,499,"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care ",,,2702.0,6802.0,3
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; ",,,4963.0,10719.0,7
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control ",,,4963.0,10719.0,7
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) ",,,4963.0,10719.0,7
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele ",,,4963.0,10719.0,7
RC,499,"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele ",,,4963.0,10719.0,7
RC,499,"Vaginal hysterectomy, for uterus greater than 250 g; ",,,4963.0,13315.0,7
RC,499,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) ",,,4963.0,13315.0,7
RC,499,"Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele ",,,4963.0,13315.0,7
RC,499,"Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele ",,,4963.0,13315.0,7
RC,499,"Vaginal hysterectomy, radical (Schauta type operation) ",,,4963.0,8577.0,4
RC,499,"Vaginal hysterectomy, with total or partial vaginectomy; ",,,4963.0,10719.0,7
RC,499,"Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele ",,,4963.0,10719.0,7
RC,499,"Vaginectomy, complete removal of vaginal wall; ",,,2702.0,8577.0,4
RC,499,"Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2702.0,10719.0,7
RC,499,"Vaginectomy, partial removal of vaginal wall; ",,,2702.0,8727.0,7
RC,499,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) ",,,2702.0,8727.0,7
RC,499,"Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) ",,,2702.0,8727.0,7
RC,499,Vaginoplasty for intersex state ,,,4963.0,8727.0,7
RC,499,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,8577.0,8577.0,1
RC,499,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,19295.0,19295.0,1
RC,499,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) ",,,2702.0,8727.0,7
RC,499,"Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral ",,,1423.0,6802.0,7
RC,499,"Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) ",,,2702.0,8727.0,7
RC,499,"Vasovasostomy, vasovasorrhaphy ",,,2702.0,8727.0,7
RC,499,Ventilating tube removal requiring general anesthesia ,,,2702.0,10719.0,7
RC,499,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment ",,,1982.0,6802.0,7
RC,499,"Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection ",,,1982.0,6802.0,7
RC,499,Ventriculocisternostomy (Torkildsen type operation) ,,,2702.0,8577.0,4
RC,499,"Ventriculocisternostomy, third ventricle; ",,,2702.0,8577.0,4
RC,499,"Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method ",,,2702.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in ad",,,4963.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment ",,,4963.0,15007.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each a",,,4963.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single",,,4963.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segme",,,4963.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical ",,,4963.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,4963.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach ",,,4963.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach ",,,4963.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical ",,,4963.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach ",,,4963.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach ",,,4963.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach ",,,4963.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments",,,4963.0,8577.0,12
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumb",,,4963.0,8577.0,8
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately ",,,4963.0,8577.0,4
RC,499,"Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment ",,,4963.0,8577.0,4
RC,499,"Vesiculectomy, any approach ",,,1982.0,6802.0,7
RC,499,Vesiculotomy; ,,,2702.0,8727.0,7
RC,499,Vesiculotomy; complicated ,,,1982.0,6802.0,7
RC,499,"Vestibular nerve section, transcranial approach ",,,2702.0,8577.0,4
RC,499,"Vestibular nerve section, translabyrinthine approach ",,,2702.0,13315.0,7
RC,499,"Vitrectomy, mechanical, pars plana approach; ",,,4963.0,13830.0,11
RC,499,"Vitrectomy, mechanical, pars plana approach; Complex Surgery",,,11754.0,11754.0,2
RC,499,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation ",,,4963.0,13830.0,11
RC,499,"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,499,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation ",,,4963.0,13830.0,11
RC,499,"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Complex Surgery",,,11754.0,11754.0,2
RC,499,"Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponad",,,3251.0,13830.0,13
RC,499,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) ",,,4963.0,13830.0,11
RC,499,"Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Complex Surgery",,,11754.0,11754.0,2
RC,499,"Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and la",,,4963.0,13830.0,13
RC,499,"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) ",,,1423.0,6802.0,7
RC,499,Vulvectomy simple; complete ,,,2702.0,8727.0,7
RC,499,Vulvectomy simple; partial ,,,2702.0,8727.0,7
RC,499,"Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy ",,,2702.0,8577.0,4
RC,499,"Vulvectomy, radical, complete; ",,,2702.0,19295.0,7
RC,499,"Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,19295.0,7
RC,499,"Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy ",,,2702.0,19295.0,7
RC,499,"Vulvectomy, radical, partial; ",,,2702.0,10719.0,4
RC,499,"Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy ",,,2702.0,19295.0,7
RC,499,"Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy ",,,2702.0,19295.0,7
RC,499,"Wedge resection or bisection of ovary, unilateral or bilateral ",,,2702.0,10719.0,7
RC,499,Wound closure utilizing tissue adhesive(s) only ,,,1423.0,3251.0,4
RC,500, Outpatient Services General Classification  ,,,,,0
RC,509, Outpatient Services Other  ,,,,,0
RC,510, Clinic General Classification  ,,,,,0
RC,511, Clinic Chronic Pain Center  ,,,,,0
RC,512, Clinic Dental  ,,,,,0
RC,513, Clinic Psychiatric  ,,,,,0
RC,514, Clinic OB-GYN  ,,,,,0
RC,515, Clinic Pediatric  ,,,,,0
RC,516, Clinic Urgent Care  ,,,,,0
RC,517, Clinic Family Practice  ,,,,,0
RC,519, Clinic Other  ,,,,,0
RC,520, Freestanding Clinic General Classification  ,,,,,0
RC,523, Freestanding Clinic Family Practice Clinic  ,,,,,0
RC,526, Freestanding Clinic Urgent Care Clinic  ,,,,,0
RC,529, Freestanding Clinic Other  ,,,,,0
RC,530, Osteopathic Services General Classification  ,,,,,0
RC,531, Osteopathic Services Osteopathic Therapy  ,,,,,0
RC,539, Osteopathic Services Other  ,,,,,0
RC,540, Ambulance General Classification  ,,,355.25,2438.0,17
RC,540,"Advanced life support, level 2 (als 2) ",,,837.0,885.0,6
RC,540,"Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) ",,,578.0,613.0,6
RC,540,"Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) ",,,365.0,386.0,6
RC,540,"Ambulance service, basic life support, emergency transport (bls-emergency) ",,,487.0,516.0,6
RC,540,"Ambulance service, basic life support, non-emergency transport, (bls) ",,,305.0,322.0,6
RC,540,"Ground mileage, per statute mile ",,,10.0,11.0,8
RC,540,Specialty care transport (sct) ,,,921.0,975.0,6
RC,541, Ambulance Supplies  ,,,,,0
RC,542, Ambulance Medical Transport  ,,,355.25,2438.0,17
RC,543, Ambulance Heart Mobile  ,,,355.25,2438.0,17
RC,544, Ambulance Oxygen  ,,,,,0
RC,545, Ambulance Air Ambulance  ,,,2334.5,2334.5,1
RC,546, Ambulance Neonatal Ambulance Services  ,,,355.25,2438.0,17
RC,547, Ambulance Pharmacy  ,,,355.25,2438.0,17
RC,548, Ambulance EKG Transmission  ,,,355.25,2438.0,17
RC,549, Ambulance Other  ,,,355.25,2438.0,17
RC,610, Magnetic Resonance Technology (MRT) General Classification  ,,,869.0,1880.0,12
RC,610,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,1075.0,2469.0,3
RC,610,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,1075.0,2469.0,3
RC,610,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,1075.0,2469.0,4
RC,610,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,820.91,2469.0,4
RC,610,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,820.91,820.91,1
RC,610,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,820.91,820.91,1
RC,610,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) ,,,1075.0,2469.0,3
RC,610,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,149.69,149.69,1
RC,610,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,41.63,41.63,1
RC,610,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,156.04,156.04,1
RC,610,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,100.98,100.98,1
RC,610,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,410.92,410.92,1
RC,610,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,391.22,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,391.22,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,391.22,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,303.54,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,303.54,2469.0,8
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,391.22,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,391.22,391.22,1
RC,610,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,391.22,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,391.22,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,391.22,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,391.22,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,610,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,610,"Magnetic resonance (eg, vibration) elastography ",,,391.22,391.22,1
RC,610,"Magnetic resonance angiography with contrast, abdomen ",,,625.8,625.8,1
RC,610,"Magnetic resonance angiography with contrast, lower extremity ",,,625.8,625.8,1
RC,610,"Magnetic resonance angiography with contrast, pelvis ",,,625.8,625.8,1
RC,610,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,610,"Magnetic resonance angiography with contrast, upper extremity ",,,625.8,625.8,1
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,625.8,625.8,1
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,610,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,625.8,625.8,1
RC,610,"Magnetic resonance angiography without contrast, abdomen ",,,391.22,391.22,1
RC,610,"Magnetic resonance angiography without contrast, lower extremity ",,,391.22,391.22,1
RC,610,"Magnetic resonance angiography without contrast, pelvis ",,,391.22,391.22,1
RC,610,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,391.22,391.22,1
RC,610,"Magnetic resonance angiography without contrast, upper extremity ",,,391.22,391.22,1
RC,610,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,508.35,2469.0,4
RC,610,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,503.01,2469.0,4
RC,610,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,504.8,2469.0,4
RC,610,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,507.76,2469.0,4
RC,610,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,523.79,2469.0,4
RC,610,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,523.79,2469.0,4
RC,610,"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation ",,,1075.0,2469.0,3
RC,610,"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation ",,,1075.0,2469.0,3
RC,610,"Magnetic resonance imaging with contrast, breast; unilateral ",,,303.54,303.54,1
RC,610,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,2125.85,2125.85,1
RC,610,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,625.8,625.8,1
RC,610,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,391.22,2469.0,4
RC,610,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,391.22,2469.0,4
RC,610,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,480.47,482.85,2
RC,610,"Magnetic resonance imaging, breast, without contrast material; bilateral ",3147.0,3147.0,391.22,391.22,1
RC,610,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,391.22,391.22,1
RC,610,Magnetic resonance spectroscopy ,,,137.53,2469.0,4
RC,610,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,4
RC,611, Magnetic Resonance Technology (MRT) MRI - Brain/Brainstem  ,,,869.0,1880.0,12
RC,611,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,1075.0,2469.0,3
RC,611,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,1075.0,2469.0,3
RC,611,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,625.8,2469.0,4
RC,611,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,1075.0,2469.0,4
RC,611,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,391.22,2469.0,4
RC,611,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,820.91,2469.0,4
RC,611,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,820.91,820.91,1
RC,611,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,820.91,820.91,1
RC,611,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) ,,,1075.0,2469.0,3
RC,611,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,149.69,149.69,1
RC,611,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,41.63,41.63,1
RC,611,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,156.04,156.04,1
RC,611,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,100.98,100.98,1
RC,611,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,410.92,410.92,1
RC,611,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,391.22,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,391.22,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,391.22,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,391.22,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,303.54,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,303.54,2469.0,8
RC,611,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,1075.0,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,391.22,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,391.22,391.22,1
RC,611,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,391.22,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,391.22,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,391.22,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,391.22,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,391.22,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,391.22,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,611,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,611,"Magnetic resonance (eg, vibration) elastography ",,,391.22,391.22,1
RC,611,"Magnetic resonance angiography with contrast, abdomen ",,,625.8,625.8,1
RC,611,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,611,"Magnetic resonance angiography with contrast, lower extremity ",,,625.8,625.8,1
RC,611,"Magnetic resonance angiography with contrast, pelvis ",,,625.8,625.8,1
RC,611,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,611,"Magnetic resonance angiography with contrast, upper extremity ",,,625.8,625.8,1
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,625.8,625.8,1
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,625.8,625.8,1
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,625.8,625.8,1
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,611,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,625.8,625.8,1
RC,611,"Magnetic resonance angiography without contrast, abdomen ",,,391.22,391.22,1
RC,611,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,391.22,391.22,1
RC,611,"Magnetic resonance angiography without contrast, lower extremity ",,,391.22,391.22,1
RC,611,"Magnetic resonance angiography without contrast, pelvis ",,,391.22,391.22,1
RC,611,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,391.22,391.22,1
RC,611,"Magnetic resonance angiography without contrast, upper extremity ",,,391.22,391.22,1
RC,611,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,508.35,2469.0,4
RC,611,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,503.01,2469.0,4
RC,611,"Magnetic resonance angiography, head; with contrast material(s) ",,,625.8,2469.0,4
RC,611,"Magnetic resonance angiography, head; without contrast material(s) ",,,391.22,2469.0,4
RC,611,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,611,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,504.8,2469.0,4
RC,611,"Magnetic resonance angiography, neck; with contrast material(s) ",,,625.8,2469.0,4
RC,611,"Magnetic resonance angiography, neck; without contrast material(s) ",,,391.22,2469.0,4
RC,611,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,611,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,507.76,2469.0,4
RC,611,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,523.79,2469.0,4
RC,611,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,523.79,2469.0,4
RC,611,"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation ",,,1075.0,2469.0,3
RC,611,"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation ",,,1075.0,2469.0,3
RC,611,"Magnetic resonance imaging with contrast, breast; bilateral ",,,625.8,625.8,1
RC,611,"Magnetic resonance imaging with contrast, breast; unilateral ",,,303.54,303.54,1
RC,611,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,2125.85,2125.85,1
RC,611,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,625.8,625.8,1
RC,611,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,625.8,625.8,1
RC,611,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,391.22,2469.0,4
RC,611,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,391.22,2469.0,4
RC,611,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,480.47,482.85,2
RC,611,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,391.22,391.22,1
RC,611,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,391.22,391.22,1
RC,611,Magnetic resonance spectroscopy ,,,137.53,2469.0,4
RC,611,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,4
RC,612, Magnetic Resonance Technology (MRT) MRI - Spinal Code/Spine  ,,,869.0,1880.0,12
RC,612,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,1075.0,2469.0,3
RC,612,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,1075.0,2469.0,3
RC,612,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,625.8,2469.0,4
RC,612,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,1075.0,2469.0,4
RC,612,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,391.22,2469.0,4
RC,612,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,820.91,2469.0,4
RC,612,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,820.91,820.91,1
RC,612,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,820.91,820.91,1
RC,612,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) ,,,1075.0,2469.0,3
RC,612,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,149.69,149.69,1
RC,612,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,41.63,41.63,1
RC,612,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,156.04,156.04,1
RC,612,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,100.98,100.98,1
RC,612,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,410.92,410.92,1
RC,612,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,391.22,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,391.22,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,391.22,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,391.22,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,303.54,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,303.54,2469.0,8
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,391.22,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,1075.0,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,391.22,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,391.22,391.22,1
RC,612,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,391.22,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,391.22,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,391.22,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,612,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,612,"Magnetic resonance (eg, vibration) elastography ",,,391.22,391.22,1
RC,612,"Magnetic resonance angiography with contrast, abdomen ",,,625.8,625.8,1
RC,612,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,612,"Magnetic resonance angiography with contrast, lower extremity ",,,625.8,625.8,1
RC,612,"Magnetic resonance angiography with contrast, pelvis ",,,625.8,625.8,1
RC,612,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,612,"Magnetic resonance angiography with contrast, upper extremity ",,,625.8,625.8,1
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,625.8,625.8,1
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,625.8,625.8,1
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,625.8,625.8,1
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,612,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,625.8,625.8,1
RC,612,"Magnetic resonance angiography without contrast, abdomen ",,,391.22,391.22,1
RC,612,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,391.22,391.22,1
RC,612,"Magnetic resonance angiography without contrast, lower extremity ",,,391.22,391.22,1
RC,612,"Magnetic resonance angiography without contrast, pelvis ",,,391.22,391.22,1
RC,612,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,391.22,391.22,1
RC,612,"Magnetic resonance angiography without contrast, upper extremity ",,,391.22,391.22,1
RC,612,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,508.35,2469.0,4
RC,612,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,503.01,2469.0,4
RC,612,"Magnetic resonance angiography, head; with contrast material(s) ",,,625.8,2469.0,4
RC,612,"Magnetic resonance angiography, head; without contrast material(s) ",,,391.22,2469.0,4
RC,612,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,612,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,504.8,2469.0,4
RC,612,"Magnetic resonance angiography, neck; with contrast material(s) ",,,625.8,2469.0,4
RC,612,"Magnetic resonance angiography, neck; without contrast material(s) ",,,391.22,2469.0,4
RC,612,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,612,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,507.76,2469.0,4
RC,612,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,523.79,2469.0,4
RC,612,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,523.79,2469.0,4
RC,612,"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation ",,,1075.0,2469.0,3
RC,612,"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation ",,,1075.0,2469.0,3
RC,612,"Magnetic resonance imaging with contrast, breast; bilateral ",,,625.8,625.8,1
RC,612,"Magnetic resonance imaging with contrast, breast; unilateral ",,,303.54,303.54,1
RC,612,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,2125.85,2125.85,1
RC,612,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,625.8,625.8,1
RC,612,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,625.8,625.8,1
RC,612,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,391.22,2469.0,4
RC,612,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,391.22,2469.0,4
RC,612,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,480.47,482.85,2
RC,612,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,391.22,391.22,1
RC,612,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,391.22,391.22,1
RC,612,Magnetic resonance spectroscopy ,,,137.53,2469.0,4
RC,612,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,4
RC,614, Magnetic Resonance Technology (MRT) MRI - Other  ,,,869.0,1880.0,12
RC,614,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,1075.0,2469.0,3
RC,614,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,1075.0,2469.0,3
RC,614,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,625.8,2469.0,4
RC,614,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,1075.0,2469.0,4
RC,614,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,391.22,2469.0,4
RC,614,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,820.91,2469.0,4
RC,614,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,820.91,820.91,1
RC,614,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,820.91,820.91,1
RC,614,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) ,,,1075.0,2469.0,3
RC,614,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,149.69,149.69,1
RC,614,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,41.63,41.63,1
RC,614,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,156.04,156.04,1
RC,614,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,100.98,100.98,1
RC,614,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,410.92,410.92,1
RC,614,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,391.22,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,391.22,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,391.22,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,391.22,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,303.54,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,303.54,2469.0,8
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,391.22,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,1075.0,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,391.22,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,391.22,391.22,1
RC,614,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,391.22,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,391.22,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,391.22,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,391.22,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,391.22,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,614,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,614,"Magnetic resonance (eg, vibration) elastography ",,,391.22,391.22,1
RC,614,"Magnetic resonance angiography with contrast, abdomen ",,,625.8,625.8,1
RC,614,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,614,"Magnetic resonance angiography with contrast, lower extremity ",,,625.8,625.8,1
RC,614,"Magnetic resonance angiography with contrast, pelvis ",,,625.8,625.8,1
RC,614,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,614,"Magnetic resonance angiography with contrast, upper extremity ",,,625.8,625.8,1
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,625.8,625.8,1
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,625.8,625.8,1
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,625.8,625.8,1
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,614,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,625.8,625.8,1
RC,614,"Magnetic resonance angiography without contrast, abdomen ",,,391.22,391.22,1
RC,614,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,391.22,391.22,1
RC,614,"Magnetic resonance angiography without contrast, lower extremity ",,,391.22,391.22,1
RC,614,"Magnetic resonance angiography without contrast, pelvis ",,,391.22,391.22,1
RC,614,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,391.22,391.22,1
RC,614,"Magnetic resonance angiography without contrast, upper extremity ",,,391.22,391.22,1
RC,614,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,508.35,2469.0,4
RC,614,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,503.01,2469.0,4
RC,614,"Magnetic resonance angiography, head; with contrast material(s) ",,,625.8,2469.0,4
RC,614,"Magnetic resonance angiography, head; without contrast material(s) ",,,391.22,2469.0,4
RC,614,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,614,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,504.8,2469.0,4
RC,614,"Magnetic resonance angiography, neck; with contrast material(s) ",,,625.8,2469.0,4
RC,614,"Magnetic resonance angiography, neck; without contrast material(s) ",,,391.22,2469.0,4
RC,614,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,614,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,507.76,2469.0,4
RC,614,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,523.79,2469.0,4
RC,614,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,523.79,2469.0,4
RC,614,"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation ",,,1075.0,2469.0,3
RC,614,"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation ",,,1075.0,2469.0,3
RC,614,"Magnetic resonance imaging with contrast, breast; bilateral ",,,625.8,625.8,1
RC,614,"Magnetic resonance imaging with contrast, breast; unilateral ",,,303.54,303.54,1
RC,614,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,2125.85,2125.85,1
RC,614,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,625.8,625.8,1
RC,614,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,625.8,625.8,1
RC,614,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,391.22,2469.0,4
RC,614,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,391.22,2469.0,4
RC,614,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,480.47,482.85,2
RC,614,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,391.22,391.22,1
RC,614,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,391.22,391.22,1
RC,614,Magnetic resonance spectroscopy ,,,137.53,2469.0,4
RC,614,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,4
RC,615, Magnetic Resonance Technology (MRT) MRA - Head and Neck  ,,,869.0,1880.0,12
RC,615,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,1075.0,2469.0,3
RC,615,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,1075.0,2469.0,3
RC,615,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,625.8,2469.0,4
RC,615,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,1075.0,2469.0,4
RC,615,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,391.22,2469.0,4
RC,615,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,820.91,2469.0,4
RC,615,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,820.91,820.91,1
RC,615,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,820.91,820.91,1
RC,615,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) ,,,1075.0,2469.0,3
RC,615,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,149.69,149.69,1
RC,615,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,41.63,41.63,1
RC,615,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,156.04,156.04,1
RC,615,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,100.98,100.98,1
RC,615,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,410.92,410.92,1
RC,615,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,303.54,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,303.54,2469.0,8
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,1075.0,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,391.22,391.22,1
RC,615,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,615,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,615,"Magnetic resonance (eg, vibration) elastography ",,,391.22,391.22,1
RC,615,"Magnetic resonance angiography with contrast, abdomen ",,,625.8,625.8,1
RC,615,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,615,"Magnetic resonance angiography with contrast, lower extremity ",,,625.8,625.8,1
RC,615,"Magnetic resonance angiography with contrast, pelvis ",,,625.8,625.8,1
RC,615,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,615,"Magnetic resonance angiography with contrast, upper extremity ",,,625.8,625.8,1
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,625.8,625.8,1
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,625.8,625.8,1
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,625.8,625.8,1
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,615,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,625.8,625.8,1
RC,615,"Magnetic resonance angiography without contrast, abdomen ",,,391.22,391.22,1
RC,615,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,391.22,391.22,1
RC,615,"Magnetic resonance angiography without contrast, lower extremity ",,,391.22,391.22,1
RC,615,"Magnetic resonance angiography without contrast, pelvis ",,,391.22,391.22,1
RC,615,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,391.22,391.22,1
RC,615,"Magnetic resonance angiography without contrast, upper extremity ",,,391.22,391.22,1
RC,615,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,508.35,2469.0,4
RC,615,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,503.01,2469.0,4
RC,615,"Magnetic resonance angiography, head; with contrast material(s) ",,,625.8,2469.0,4
RC,615,"Magnetic resonance angiography, head; without contrast material(s) ",,,391.22,2469.0,4
RC,615,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,615,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,504.8,2469.0,4
RC,615,"Magnetic resonance angiography, neck; with contrast material(s) ",,,625.8,2469.0,4
RC,615,"Magnetic resonance angiography, neck; without contrast material(s) ",,,391.22,2469.0,4
RC,615,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,615,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,507.76,2469.0,4
RC,615,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,523.79,2469.0,4
RC,615,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,523.79,2469.0,4
RC,615,"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation ",,,1075.0,2469.0,3
RC,615,"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation ",,,1075.0,2469.0,3
RC,615,"Magnetic resonance imaging with contrast, breast; bilateral ",,,625.8,625.8,1
RC,615,"Magnetic resonance imaging with contrast, breast; unilateral ",,,303.54,303.54,1
RC,615,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,2125.85,2125.85,1
RC,615,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,625.8,625.8,1
RC,615,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,625.8,625.8,1
RC,615,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,391.22,2469.0,4
RC,615,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,391.22,2469.0,4
RC,615,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,480.47,482.85,2
RC,615,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,391.22,391.22,1
RC,615,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,391.22,391.22,1
RC,615,Magnetic resonance spectroscopy ,,,137.53,2469.0,4
RC,615,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,4
RC,616, Magnetic Resonance Technology (MRT) MRA - Lower Extremities  ,,,869.0,1880.0,12
RC,616,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,1075.0,2469.0,3
RC,616,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,1075.0,2469.0,3
RC,616,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,625.8,2469.0,4
RC,616,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,1075.0,2469.0,4
RC,616,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,391.22,2469.0,4
RC,616,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,820.91,2469.0,4
RC,616,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,820.91,820.91,1
RC,616,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,820.91,820.91,1
RC,616,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) ,,,1075.0,2469.0,3
RC,616,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,149.69,149.69,1
RC,616,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,41.63,41.63,1
RC,616,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,156.04,156.04,1
RC,616,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,100.98,100.98,1
RC,616,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,410.92,410.92,1
RC,616,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,303.54,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,303.54,2469.0,8
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,1075.0,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,391.22,391.22,1
RC,616,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,616,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,616,"Magnetic resonance (eg, vibration) elastography ",,,391.22,391.22,1
RC,616,"Magnetic resonance angiography with contrast, abdomen ",,,625.8,625.8,1
RC,616,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,616,"Magnetic resonance angiography with contrast, lower extremity ",,,625.8,625.8,1
RC,616,"Magnetic resonance angiography with contrast, pelvis ",,,625.8,625.8,1
RC,616,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,616,"Magnetic resonance angiography with contrast, upper extremity ",,,625.8,625.8,1
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,625.8,625.8,1
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,625.8,625.8,1
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,625.8,625.8,1
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,616,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,625.8,625.8,1
RC,616,"Magnetic resonance angiography without contrast, abdomen ",,,391.22,391.22,1
RC,616,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,391.22,391.22,1
RC,616,"Magnetic resonance angiography without contrast, lower extremity ",,,391.22,391.22,1
RC,616,"Magnetic resonance angiography without contrast, pelvis ",,,391.22,391.22,1
RC,616,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,391.22,391.22,1
RC,616,"Magnetic resonance angiography without contrast, upper extremity ",,,391.22,391.22,1
RC,616,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,508.35,2469.0,4
RC,616,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,503.01,2469.0,4
RC,616,"Magnetic resonance angiography, head; with contrast material(s) ",,,625.8,2469.0,4
RC,616,"Magnetic resonance angiography, head; without contrast material(s) ",,,391.22,2469.0,4
RC,616,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,616,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,504.8,2469.0,4
RC,616,"Magnetic resonance angiography, neck; with contrast material(s) ",,,625.8,2469.0,4
RC,616,"Magnetic resonance angiography, neck; without contrast material(s) ",,,391.22,2469.0,4
RC,616,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,616,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,507.76,2469.0,4
RC,616,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,523.79,2469.0,4
RC,616,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,523.79,2469.0,4
RC,616,"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation ",,,1075.0,2469.0,3
RC,616,"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation ",,,1075.0,2469.0,3
RC,616,"Magnetic resonance imaging with contrast, breast; bilateral ",,,625.8,625.8,1
RC,616,"Magnetic resonance imaging with contrast, breast; unilateral ",,,303.54,303.54,1
RC,616,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,2125.85,2125.85,1
RC,616,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,625.8,625.8,1
RC,616,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,625.8,625.8,1
RC,616,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,391.22,2469.0,4
RC,616,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,391.22,2469.0,4
RC,616,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,480.47,482.85,2
RC,616,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,391.22,391.22,1
RC,616,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,391.22,391.22,1
RC,616,Magnetic resonance spectroscopy ,,,137.53,2469.0,4
RC,616,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,4
RC,618, Magnetic Resonance Technolgy (MRT) MRA - Other  ,,,869.0,1880.0,12
RC,618,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,1075.0,2469.0,3
RC,618,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,1075.0,2469.0,3
RC,618,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,625.8,2469.0,4
RC,618,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,1075.0,2469.0,4
RC,618,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,391.22,2469.0,4
RC,618,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,820.91,2469.0,4
RC,618,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,820.91,820.91,1
RC,618,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,820.91,820.91,1
RC,618,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) ,,,1075.0,2469.0,3
RC,618,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,149.69,149.69,1
RC,618,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,41.63,41.63,1
RC,618,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,156.04,156.04,1
RC,618,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,100.98,100.98,1
RC,618,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,410.92,410.92,1
RC,618,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,303.54,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,303.54,2469.0,8
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,1075.0,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,391.22,391.22,1
RC,618,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,618,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,618,"Magnetic resonance (eg, vibration) elastography ",,,391.22,391.22,1
RC,618,"Magnetic resonance angiography with contrast, abdomen ",,,625.8,625.8,1
RC,618,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,618,"Magnetic resonance angiography with contrast, lower extremity ",,,625.8,625.8,1
RC,618,"Magnetic resonance angiography with contrast, pelvis ",,,625.8,625.8,1
RC,618,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,618,"Magnetic resonance angiography with contrast, upper extremity ",,,625.8,625.8,1
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,625.8,625.8,1
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,625.8,625.8,1
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,625.8,625.8,1
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,618,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,625.8,625.8,1
RC,618,"Magnetic resonance angiography without contrast, abdomen ",,,391.22,391.22,1
RC,618,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,391.22,391.22,1
RC,618,"Magnetic resonance angiography without contrast, lower extremity ",,,391.22,391.22,1
RC,618,"Magnetic resonance angiography without contrast, pelvis ",,,391.22,391.22,1
RC,618,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,391.22,391.22,1
RC,618,"Magnetic resonance angiography without contrast, upper extremity ",,,391.22,391.22,1
RC,618,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,508.35,2469.0,4
RC,618,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,503.01,2469.0,4
RC,618,"Magnetic resonance angiography, head; with contrast material(s) ",,,625.8,2469.0,4
RC,618,"Magnetic resonance angiography, head; without contrast material(s) ",,,391.22,2469.0,4
RC,618,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,618,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,504.8,2469.0,4
RC,618,"Magnetic resonance angiography, neck; with contrast material(s) ",,,625.8,2469.0,4
RC,618,"Magnetic resonance angiography, neck; without contrast material(s) ",,,391.22,2469.0,4
RC,618,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,618,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,507.76,2469.0,4
RC,618,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,523.79,2469.0,4
RC,618,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,523.79,2469.0,4
RC,618,"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation ",,,1075.0,2469.0,3
RC,618,"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation ",,,1075.0,2469.0,3
RC,618,"Magnetic resonance imaging with contrast, breast; bilateral ",,,625.8,625.8,1
RC,618,"Magnetic resonance imaging with contrast, breast; unilateral ",,,303.54,303.54,1
RC,618,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,2125.85,2125.85,1
RC,618,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,625.8,625.8,1
RC,618,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,625.8,625.8,1
RC,618,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,391.22,2469.0,4
RC,618,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,391.22,2469.0,4
RC,618,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,480.47,482.85,2
RC,618,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,391.22,391.22,1
RC,618,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,391.22,391.22,1
RC,618,Magnetic resonance spectroscopy ,,,137.53,2469.0,4
RC,618,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,4
RC,619, Magnetic Resonance Technology (MRT) Other  ,,,869.0,1880.0,12
RC,619,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not",,,1075.0,2469.0,3
RC,619,"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; req",,,1075.0,2469.0,3
RC,619,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; ",,,625.8,2469.0,4
RC,619,"Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging ",,,1075.0,2469.0,4
RC,619,Cardiac magnetic resonance imaging for morphology and function without contrast material; ,,,391.22,2469.0,4
RC,619,Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging ,,,820.91,2469.0,4
RC,619,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging ",,,820.91,820.91,1
RC,619,"Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging ",,,820.91,820.91,1
RC,619,Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) ,,,1075.0,2469.0,3
RC,619,"MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR examinatio",,,149.69,149.69,1
RC,619,"MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources (eg, surgical reports, imaging repo",,,41.63,41.63,1
RC,619,"MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify ",,,156.04,156.04,1
RC,619,"MR safety implant positioning and/or immobilization under supervision of physician or other qualified health care professional, including application of physical protections to secure implanted medica",,,100.98,100.98,1
RC,619,"MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or other qualified health care ",,,410.92,410.92,1
RC,619,"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) ",,,1075.0,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, bone marrow blood supply ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with cont",,,303.54,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without c",,,303.54,2469.0,8
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) ",,,1075.0,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation ",,,391.22,391.22,1
RC,619,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s) ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s) ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s) ",,,391.22,2469.0,4
RC,619,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,619,"Magnetic resonance (eg, vibration) elastography ",,,391.22,391.22,1
RC,619,"Magnetic resonance angiography with contrast, abdomen ",,,625.8,625.8,1
RC,619,"Magnetic resonance angiography with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,619,"Magnetic resonance angiography with contrast, lower extremity ",,,625.8,625.8,1
RC,619,"Magnetic resonance angiography with contrast, pelvis ",,,625.8,625.8,1
RC,619,"Magnetic resonance angiography with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,619,"Magnetic resonance angiography with contrast, upper extremity ",,,625.8,625.8,1
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, abdomen ",,,625.8,625.8,1
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium) ",,,625.8,625.8,1
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, lower extremity ",,,625.8,625.8,1
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, pelvis ",,,625.8,625.8,1
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents ",,,625.8,625.8,1
RC,619,"Magnetic resonance angiography without contrast followed by with contrast, upper extremity ",,,625.8,625.8,1
RC,619,"Magnetic resonance angiography without contrast, abdomen ",,,391.22,391.22,1
RC,619,"Magnetic resonance angiography without contrast, chest (excluding myocardium) ",,,391.22,391.22,1
RC,619,"Magnetic resonance angiography without contrast, lower extremity ",,,391.22,391.22,1
RC,619,"Magnetic resonance angiography without contrast, pelvis ",,,391.22,391.22,1
RC,619,"Magnetic resonance angiography without contrast, spinal canal and contents ",,,391.22,391.22,1
RC,619,"Magnetic resonance angiography without contrast, upper extremity ",,,391.22,391.22,1
RC,619,"Magnetic resonance angiography, abdomen, with or without contrast material(s) ",,,508.35,2469.0,4
RC,619,"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s) ",,,503.01,2469.0,4
RC,619,"Magnetic resonance angiography, head; with contrast material(s) ",,,625.8,2469.0,4
RC,619,"Magnetic resonance angiography, head; without contrast material(s) ",,,391.22,2469.0,4
RC,619,"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,619,"Magnetic resonance angiography, lower extremity, with or without contrast material(s) ",,,504.8,2469.0,4
RC,619,"Magnetic resonance angiography, neck; with contrast material(s) ",,,625.8,2469.0,4
RC,619,"Magnetic resonance angiography, neck; without contrast material(s) ",,,391.22,2469.0,4
RC,619,"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences ",,,625.8,2469.0,4
RC,619,"Magnetic resonance angiography, pelvis, with or without contrast material(s) ",,,507.76,2469.0,4
RC,619,"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s) ",,,523.79,2469.0,4
RC,619,"Magnetic resonance angiography, upper extremity, with or without contrast material(s) ",,,523.79,2469.0,4
RC,619,"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation ",,,1075.0,2469.0,3
RC,619,"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation ",,,1075.0,2469.0,3
RC,619,"Magnetic resonance imaging with contrast, breast; bilateral ",,,625.8,625.8,1
RC,619,"Magnetic resonance imaging with contrast, breast; unilateral ",,,303.54,303.54,1
RC,619,"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent ",,,2125.85,2125.85,1
RC,619,"Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral ",,,625.8,625.8,1
RC,619,"Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral ",,,625.8,625.8,1
RC,619,"Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist admin",,,391.22,2469.0,4
RC,619,"Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing ",,,391.22,2469.0,4
RC,619,"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf",,,480.47,482.85,2
RC,619,"Magnetic resonance imaging, breast, without contrast material; bilateral ",,,391.22,391.22,1
RC,619,"Magnetic resonance imaging, breast, without contrast material; unilateral ",,,391.22,391.22,1
RC,619,Magnetic resonance spectroscopy ,,,137.53,2469.0,4
RC,619,"Unlisted magnetic resonance procedure (eg, diagnostic, interventional) ",,,137.53,2469.0,4
RC,621, Medical/Surgical Supplies and Devices Supplies Incident to Radiology  ,,,,,0
RC,622, Medical/Surgical Supplies and Devices Supplies Incident to Other DX Services  ,,,,,0
RC,623, Medical/Surgical Supplies and Devices Surgical Dressings  ,,,,,0
RC,631, Pharmacy - Single Source Drug  ,,,,,0
RC,632, Pharmacy - Multiple Source Drug  ,,,,,0
RC,633, Pharmacy - Restrictive Prescription  ,,,,,0
RC,634," Pharmacy - Erythropoietin (EPO) < 10,000 Units  ",,,,,0
RC,635," Pharmacy - Erythropoietin (EPO) > 10,000 Units  ",,,,,0
RC,636, Pharmacy - Drugs Requiring Detailed Coding  ,,,,,0
RC,636,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,9.98,9.98,1
RC,636,5% dextrose/normal saline (500 ml = 1 unit) ,,,2.13,2.13,1
RC,636,5% dextrose/water (500 ml = 1 unit) ,,,3.09,3.09,1
RC,636,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,Ac5 advanced wound system (ac5) ,,,9900.0,9900.0,1
RC,636,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,14.09,14.09,1
RC,636,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Afamelanotide implant, 1 mg ",,,4856.64,4856.64,1
RC,636,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1271523.0,1271523.0,1
RC,636,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.4,0.4,1
RC,636,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.13,0.13,1
RC,636,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.35,0.35,1
RC,636,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.92,2.92,1
RC,636,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,643.53,643.53,1
RC,636,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,113.4,113.4,1
RC,636,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,191.5,191.5,1
RC,636,"Anti-inhibitor, per i.u. ",,,3.99,3.99,1
RC,636,"Antithrombin iii (human), per i.u. ",10063.0,10063.0,6.77,6.77,1
RC,636,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Aprepitant, oral, 5 mg ",,,3.94,3.94,1
RC,636,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.2,1.2,1
RC,636,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Ascent, 0.5 mg ",,,113.75,113.75,1
RC,636,"Autologous cultured chondrocytes, implant ",,,138148.31,138148.31,1
RC,636,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,877551.05,877551.05,1
RC,636,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Azathioprine, oral, 50 mg ",43.0,43.0,0.3,0.3,1
RC,636,"Azathioprine, parenteral, 100 mg ",,,420.35,420.35,1
RC,636,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,21.5,21.5,1
RC,636,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,374.72,374.72,1
RC,636,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,374.72,374.72,1
RC,636,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Bcg live intravesical instillation, 1 mg ",,,5.59,5.59,1
RC,636,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1657.56,1657.56,1
RC,636,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Biobrane, per square centimeter ",,,209.78,209.78,1
RC,636,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,807329.49,807329.49,1
RC,636,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,7.72,7.72,1
RC,636,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,1.82,1.82,1
RC,636,"Buprenorphine, oral, 1 mg ",,,2.06,2.06,1
RC,636,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,31.19,31.19,1
RC,636,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,15.66,15.66,1
RC,636,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,16.47,16.47,1
RC,636,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,9.62,9.62,1
RC,636,"Busulfan; oral, 2 mg ",,,16.7,16.7,1
RC,636,"Cabergoline, oral, 0.25 mg ",11.0,11.0,0.25,0.25,1
RC,636,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.05,0.05,1
RC,636,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,1100.67,1100.67,1
RC,636,"Capecitabine, oral, 50 mg ",,,0.05,0.05,1
RC,636,"Capsaicin 8% patch, per square centimeter ",,,5.64,5.64,1
RC,636,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,402.67,402.67,1
RC,636,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,680.63,680.63,1
RC,636,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.97,0.97,1
RC,636,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,4152.11,4152.11,1
RC,636,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,257.93,257.93,1
RC,636,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,3164.63,3164.63,1
RC,636,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,971016.44,971016.44,1
RC,636,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,1.63,1.63,1
RC,636,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,337.84,337.84,1
RC,636,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,2.21,2.21,1
RC,636,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,980.56,980.56,1
RC,636,"Coretext or protext, per cc ",,,5313.0,5313.0,1
RC,636,"Corplex p or theracor p or allacor p, per milligram ",,,188.91,188.91,1
RC,636,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,81.26,81.26,1
RC,636,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.54,0.54,1
RC,636,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,1.34,1.34,1
RC,636,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Cyclophosphamide; oral, 25 mg ",,,2.72,2.72,1
RC,636,"Cyclosporine, oral, 100 mg ",,,2.36,2.36,1
RC,636,"Cyclosporine, oral, 25 mg ",56.0,56.0,1.04,1.04,1
RC,636,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,3582.93,3582.93,1
RC,636,"Dacarbazine, 100 mg ",220.0,220.0,6.35,6.35,1
RC,636,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,130.68,130.68,1
RC,636,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Dexamethasone (hemady), oral, 0.25 mg ",,,0.71,0.71,1
RC,636,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,152.71,152.71,1
RC,636,"Dexamethasone, oral, 0.25 mg ",,,0.05,0.05,1
RC,636,"Dexmedetomidine, oral, 1 mcg ",,,1.45,1.45,1
RC,636,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,30.31,30.31,1
RC,636,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,129.84,129.84,1
RC,636,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",872.0,872.0,233.1,233.1,1
RC,636,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,329.88,329.88,1
RC,636,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",304.11,304.11,61.12,61.12,1
RC,636,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,94.25,94.25,1
RC,636,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",694.0,694.0,91.03,91.03,1
RC,636,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,6.42,6.42,1
RC,636,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,117.88,117.88,1
RC,636,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",8.75,8.75,0.81,0.81,1
RC,636,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,86.0,86.0,1
RC,636,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Epifix, injectable, 1 mg ",,,31.96,31.96,1
RC,636,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Esketamine, nasal spray, 1 mg ",,,31.65,31.65,1
RC,636,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,309.03,309.03,1
RC,636,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,2525.21,2525.21,1
RC,636,"Etoposide; oral, 50 mg ",411.0,411.0,143.29,143.29,1
RC,636,"Everolimus, oral, 0.25 mg ",,,2.05,2.05,1
RC,636,"Excellagen, 0.1 cc ",,,287.1,287.1,1
RC,636,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,2.26,2.26,1
RC,636,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,4.36,4.36,1
RC,636,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,3.63,3.63,1
RC,636,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,9.01,9.01,1
RC,636,"Factor viii (antihemophilic factor, human) per i.u. ",,,2.29,2.29,1
RC,636,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",11.0,11.0,2.59,2.59,1
RC,636,"Fecal microbiota, live - jslm, 1 ml ",,,106.13,106.13,1
RC,636,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.05,0.05,1
RC,636,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,2614.71,2614.71,1
RC,636,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3012.31,3012.31,1
RC,636,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,612.15,612.15,1
RC,636,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1107.51,1107.51,1
RC,636,"Floweramnioflo, 0.1 cc ",,,297.0,297.0,1
RC,636,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,531.75,531.75,1
RC,636,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,17.08,17.08,1
RC,636,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,711.5,711.5,1
RC,636,"Fluorodopa f-18, diagnostic, per millicurie ",,,1411.66,1411.66,1
RC,636,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,759.69,759.69,1
RC,636,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,874.5,874.5,1
RC,636,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3207.62,3207.62,1
RC,636,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,2.94,2.94,1
RC,636,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,2538.39,2538.39,1
RC,636,"Foundation drs+ duo, per square centimeter ",,,209.78,209.78,1
RC,636,"Foundation drs+ solo, per square centimeter ",,,209.78,209.78,1
RC,636,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,37.47,37.47,1
RC,636,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,1932.65,1932.65,1
RC,636,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,789.56,789.56,1
RC,636,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,598.13,598.13,1
RC,636,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,599.78,599.78,1
RC,636,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,907.71,907.71,1
RC,636,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,81.89,81.89,1
RC,636,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,5.96,5.96,1
RC,636,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Gefitinib, oral, 250 mg ",,,480.15,480.15,1
RC,636,"Gemcitabine intravesical system, 225 mg ",,,120595.63,120595.63,1
RC,636,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Goserelin acetate implant, per 3.6 mg ",4127.0,4127.0,2227.38,2227.38,1
RC,636,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Graftjacket xpress, injectable, 1 cc ",,,3295.88,3295.88,1
RC,636,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,97.43,97.43,1
RC,636,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,542.19,542.19,1
RC,636,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,62.07,62.07,1
RC,636,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,26.93,26.93,1
RC,636,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,279.87,279.87,1
RC,636,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,121.65,121.65,1
RC,636,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,70.97,70.97,1
RC,636,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,51.81,51.81,1
RC,636,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,82.12,82.12,1
RC,636,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",729.0,729.0,231.35,231.35,1
RC,636,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,121.8,121.8,1
RC,636,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,292.97,292.97,1
RC,636,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,124.0,124.0,1
RC,636,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,124.0,124.0,1
RC,636,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,271.29,271.29,1
RC,636,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,271.29,271.29,1
RC,636,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",214.32,214.32,54.78,54.78,1
RC,636,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.43,0.43,1
RC,636,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.36,0.36,1
RC,636,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.13,0.13,1
RC,636,"Histrelin implant (supprelin la), 50 mg ",,,67936.16,67936.16,1
RC,636,"Histrelin implant (vantas), 50 mg ",,,7770.72,7770.72,1
RC,636,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,651.35,651.35,1
RC,636,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,186.83,186.83,1
RC,636,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.98,209.98,1
RC,636,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,237.11,237.11,1
RC,636,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,11.1,11.1,1
RC,636,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,174.21,174.21,1
RC,636,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,869.2,869.2,1
RC,636,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.12,1.12,1
RC,636,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,122.81,122.81,1
RC,636,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,29.91,29.91,1
RC,636,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,1081.31,1081.31,1
RC,636,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,180.0,180.0,1
RC,636,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,5.15,5.15,1
RC,636,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.48,11.48,1
RC,636,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,17.41,17.41,1
RC,636,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,5.4,5.4,1
RC,636,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,6.07,6.07,1
RC,636,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,3.3,3.3,1
RC,636,"Hypertonic saline solution, 1 ml ",65.83,65.83,0.17,0.17,1
RC,636,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,923638.78,923638.78,1
RC,636,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,262.33,262.33,1
RC,636,"Immune globulin (Ig), human, for intramuscular use ",,,197.13,197.13,1
RC,636,"Immune globulin (IgIV), human, for intravenous use ",,,157.92,157.92,1
RC,636,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,39.9,39.9,1
RC,636,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,2854.98,2854.98,1
RC,636,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,6782.57,6782.57,1
RC,636,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,7915.66,7915.66,1
RC,636,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,1820.26,1820.26,1
RC,636,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,1371.91,1371.91,1
RC,636,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1230.27,1230.27,1
RC,636,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,3301.55,3301.55,1
RC,636,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,2766.04,2766.04,1
RC,636,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,161.96,161.96,1
RC,636,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,161.96,161.96,1
RC,636,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,42.47,42.47,1
RC,636,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,20.39,20.39,1
RC,636,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,92.3,92.3,1
RC,636,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,18.2,18.2,1
RC,636,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,36.42,36.42,1
RC,636,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,22.08,22.08,1
RC,636,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",60.0,60.0,38.31,38.31,1
RC,636,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,161.96,161.96,1
RC,636,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,81.68,81.68,1
RC,636,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,49.02,49.02,1
RC,636,"Infusion, albumin (human), 25%, 20 ml ",,,35.03,35.03,1
RC,636,"Infusion, albumin (human), 25%, 50 ml ",,,87.58,87.58,1
RC,636,"Infusion, albumin (human), 5%, 250 ml ",303.98,303.98,87.58,87.58,1
RC,636,"Infusion, albumin (human), 5%, 50 ml ",1.1,1.1,17.52,17.52,1
RC,636,"Infusion, dextran 40, 500 ml ",,,642.05,642.05,1
RC,636,"Infusion, normal saline solution, 250 cc ",,,1.16,1.16,1
RC,636,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,103.82,103.82,1
RC,636,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,1733.72,1733.72,1
RC,636,"Injection abciximab, 10 mg ",,,951.77,951.77,1
RC,636,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,7.43,7.43,1
RC,636,"Injection fluconazole, 200 mg ",,,6.39,6.39,1
RC,636,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,73.79,73.79,1
RC,636,"Injection, abobotulinumtoxina, 5 units ",,,14.69,14.69,1
RC,636,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,1
RC,636,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,1
RC,636,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.1,0.1,1
RC,636,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.15,0.15,1
RC,636,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.08,0.08,1
RC,636,"Injection, acetazolamide sodium, up to 500 mg ",,,40.19,40.19,1
RC,636,"Injection, acyclovir, 5 mg ",,,0.03,0.03,1
RC,636,"Injection, adalimumab, 1 mg ",,,269.25,269.25,1
RC,636,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,36.3,36.3,1
RC,636,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,133.62,133.62,1
RC,636,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,32.11,32.11,1
RC,636,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,94.23,94.23,1
RC,636,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,43.46,43.46,1
RC,636,"Injection, adamts13, recombinant-krhn, 10 iu ",,,58.71,58.71,1
RC,636,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,0.79,0.79,1
RC,636,"Injection, ado-trastuzumab emtansine, 1 mg ",,,69.63,69.63,1
RC,636,"Injection, aflibercept hd, 1 mg ",,,496.95,496.95,1
RC,636,"Injection, aflibercept, 1 mg ",,,1207.62,1207.62,1
RC,636,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,1355.31,1355.31,1
RC,636,"Injection, agalsidase beta, 1 mg ",,,375.51,375.51,1
RC,636,"Injection, aldesleukin, per single use vial ",,,5509.14,5509.14,1
RC,636,"Injection, alemtuzumab, 1 mg ",,,4026.69,4026.69,1
RC,636,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,342.39,342.39,1
RC,636,"Injection, allopurinol sodium, 1 mg ",,,6.29,6.29,1
RC,636,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,9.34,9.34,1
RC,636,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,8.48,8.48,1
RC,636,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",2088.0,2088.0,0.79,0.79,1
RC,636,"Injection, alteplase recombinant, 1 mg ",,,156.9,156.9,1
RC,636,"Injection, amifostine, 500 mg ",,,722.52,722.52,1
RC,636,"Injection, amikacin sulfate, 100 mg ",,,1.01,1.01,1
RC,636,"Injection, aminocaproic acid, 1 gram ",,,2.59,2.59,1
RC,636,"Injection, aminophyllin, up to 250 mg ",,,18.69,18.69,1
RC,636,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",247.0,247.0,4.11,4.11,1
RC,636,"Injection, amiodarone hydrochloride, 30 mg ",,,0.64,0.64,1
RC,636,"Injection, amisulpride, 1 mg ",,,15.77,15.77,1
RC,636,"Injection, amivantamab-vmjw, 2 mg ",,,37.34,37.34,1
RC,636,"Injection, amobarbital, up to 125 mg ",,,19.29,19.29,1
RC,636,"Injection, amphotericin b lipid complex, 10 mg ",15.05,15.05,30.86,30.86,1
RC,636,"Injection, ampicillin sodium, 500 mg ",,,1.06,1.06,1
RC,636,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,2.23,2.23,1
RC,636,"Injection, anidulafungin, 1 mg ",,,0.81,0.81,1
RC,636,"Injection, anifrolumab-fnia, 1 mg ",,,30.21,30.21,1
RC,636,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,2.06,2.06,1
RC,636,"Injection, apomorphine hydrochloride, 1 mg ",,,71.15,71.15,1
RC,636,"Injection, aprepitant (aponvie), 1 mg ",,,3.22,3.22,1
RC,636,"Injection, aprepitant, 1 mg ",575.8,575.8,2.79,2.79,1
RC,636,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.0,3.0,1
RC,636,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,7.84,7.84,1
RC,636,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,2.28,2.28,1
RC,636,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,2.28,2.28,1
RC,636,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,1.67,1.67,1
RC,636,"Injection, argatroban, 1 mg (for non-esrd use) ",,,1.67,1.67,1
RC,636,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,9.93,9.93,1
RC,636,"Injection, aripiprazole (abilify maintena), 1 mg ",,,12.0,12.0,1
RC,636,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,5.36,5.36,1
RC,636,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,5.48,5.48,1
RC,636,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.54,0.54,1
RC,636,"Injection, arsenic trioxide, 1 mg ",,,10.64,10.64,1
RC,636,"Injection, artesunate, 1 mg ",,,85.52,85.52,1
RC,636,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,92.88,92.88,1
RC,636,"Injection, atezolizumab, 10 mg ",25237.15,25237.15,155.1,155.1,1
RC,636,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,52.72,52.72,1
RC,636,"Injection, atidarsagene autotemcel, per treatment ",,,7433250.0,7433250.0,1
RC,636,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.02,0.02,1
RC,636,"Injection, atropine sulfate, 0.01 mg ",,,0.17,0.17,1
RC,636,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.17,0.17,1
RC,636,"Injection, avacincaptad pegol, 0.1 mg ",,,170.61,170.61,1
RC,636,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,133.98,133.98,1
RC,636,"Injection, avelumab, 10 mg ",,,174.16,174.16,1
RC,636,"Injection, axatilimab-csfr, 0.1 mg ",,,91.82,91.82,1
RC,636,"Injection, azacitidine, 1 mg ",117.28,117.28,0.68,0.68,1
RC,636,"Injection, azithromycin, 500 mg ",,,3.2,3.2,1
RC,636,"Injection, aztreonam, 100 mg ",,,3.78,3.78,1
RC,636,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,2.77,2.77,1
RC,636,"Injection, baclofen, 10 mg ",1987.0,1987.0,293.78,293.78,1
RC,636,"Injection, baclofen, 50 mcg for intrathecal trial ",,,89.66,89.66,1
RC,636,"Injection, basiliximab, 20 mg ",,,7940.31,7940.31,1
RC,636,"Injection, belatacept, 1 mg ",,,6.42,6.42,1
RC,636,"Injection, belimumab, 10 mg ",,,94.36,94.36,1
RC,636,"Injection, belinostat, 10 mg ",,,87.63,87.63,1
RC,636,"Injection, bendamustine hcl (bendeka), 1 mg ",,,21.29,21.29,1
RC,636,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,52.37,52.37,1
RC,636,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,23.0,23.0,1
RC,636,"Injection, benralizumab, 1 mg ",,,269.54,269.54,1
RC,636,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,11.5,11.5,1
RC,636,"Injection, betibeglogene autotemcel, per treatment ",,,4848228.0,4848228.0,1
RC,636,"Injection, bevacizumab, 0.25 mg ",,,3.07,3.07,1
RC,636,"Injection, bevacizumab, 10 mg ",,,122.69,122.69,1
RC,636,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,57.17,57.17,1
RC,636,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,39.17,39.17,1
RC,636,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,42.65,42.65,1
RC,636,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,85.12,85.12,1
RC,636,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,139.23,139.23,1
RC,636,"Injection, bezlotoxumab, 10 mg ",,,65.72,65.72,1
RC,636,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,353.13,353.13,1
RC,636,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.21,0.21,1
RC,636,"Injection, bivalirudin, 1 mg ",,,0.2,0.2,1
RC,636,"Injection, bleomycin sulfate, 15 units ",2577.0,2577.0,27.39,27.39,1
RC,636,"Injection, blinatumomab, 1 microgram ",,,270.53,270.53,1
RC,636,"Injection, bortezomib (boruzu), 0.1 mg ",,,41.93,41.93,1
RC,636,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,5.71,5.71,1
RC,636,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,11.5,11.5,1
RC,636,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,2.08,2.08,1
RC,636,"Injection, bortezomib, 0.1 mg ",2577.0,2577.0,3.71,3.71,1
RC,636,"Injection, brolucizumab-dbll, 1 mg ",,,582.57,582.57,1
RC,636,"Injection, brompheniramine maleate, per 10 mg ",,,0.54,0.54,1
RC,636,"Injection, bumetanide, 0.5 mg ",,,0.78,0.78,1
RC,636,"Injection, bupivacaine liposome, 1 mg ",,,2.33,2.33,1
RC,636,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,636,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2753.59,2753.59,1
RC,636,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,688.4,688.4,1
RC,636,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,3294.32,3294.32,1
RC,636,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,3294.32,3294.32,1
RC,636,"Injection, burosumab-twza 1 mg ",,,822.89,822.89,1
RC,636,"Injection, butorphanol tartrate, 1 mg ",,,10.15,10.15,1
RC,636,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,24.92,24.92,1
RC,636,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,125.48,125.48,1
RC,636,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,108.08,108.08,1
RC,636,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,60.52,60.52,1
RC,636,"Injection, cabazitaxel, 1 mg ",,,381.23,381.23,1
RC,636,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,39.9,39.9,1
RC,636,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,11.8,11.8,1
RC,636,"Injection, calaspargase pegol-mknl, 10 units ",,,135.43,135.43,1
RC,636,"Injection, calcitonin salmon, up to 400 units ",,,2364.78,2364.78,1
RC,636,"Injection, calcium chloride, 2 mg ",,,0.05,0.05,1
RC,636,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",71.98,71.98,0.12,0.12,1
RC,636,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.05,0.05,1
RC,636,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,18.74,18.74,1
RC,636,"Injection, canakinumab, 1 mg ",,,246.79,246.79,1
RC,636,"Injection, cangrelor, 1 mg ",4361.0,4361.0,33.03,33.03,1
RC,636,"Injection, caplacizumab-yhdp, 1 mg ",73635.0,73635.0,1322.08,1322.08,1
RC,636,"Injection, carboplatin (avyxa), 1 mg ",,,8.65,8.65,1
RC,636,"Injection, carboplatin, 50 mg ",,,4.85,4.85,1
RC,636,"Injection, carboprost tromethamine, 0.1 mg ",245.0,245.0,25.67,25.67,1
RC,636,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,2069.1,2069.1,1
RC,636,"Injection, carfilzomib, 1 mg ",,,92.8,92.8,1
RC,636,"Injection, carmustine, 100 mg ",,,398.97,398.97,1
RC,636,"Injection, casimersen, 10 mg ",,,274.23,274.23,1
RC,636,"Injection, caspofungin acetate, 5 mg ",,,5.91,5.91,1
RC,636,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,2.05,2.05,1
RC,636,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",0.4,0.4,1.4,1.4,1
RC,636,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.22,1.22,1
RC,636,"Injection, cefazolin sodium, 500 mg ",,,1.4,1.4,1
RC,636,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,8.07,8.07,1
RC,636,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,9.75,9.75,1
RC,636,"Injection, cefepime hydrochloride, 500 mg ",,,2.1,2.1,1
RC,636,"Injection, cefiderocol, 10 mg ",495.32,495.32,3.99,3.99,1
RC,636,"Injection, cefotaxime sodium, per gm ",,,12.13,12.13,1
RC,636,"Injection, cefotetan disodium, 10 mg ",,,0.48,0.48,1
RC,636,"Injection, cefoxitin sodium, 1 gm ",,,5.87,5.87,1
RC,636,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",3217.0,3217.0,172.84,172.84,1
RC,636,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,1.82,1.82,1
RC,636,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",505.0,505.0,14.59,14.59,1
RC,636,"Injection, ceftriaxone sodium, per 250 mg ",,,0.71,0.71,1
RC,636,"Injection, cemiplimab-rwlc, 1 mg ",39992.0,39992.0,49.1,49.1,1
RC,636,"Injection, cerliponase alfa, 1 mg ",,,199.93,199.93,1
RC,636,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,6.25,6.25,1
RC,636,"Injection, cetirizine hydrochloride, 0.5 mg ",,,27.92,27.92,1
RC,636,"Injection, cetuximab, 10 mg ",5235.0,5235.0,132.76,132.76,1
RC,636,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,34.17,34.17,1
RC,636,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.07,0.07,1
RC,636,"Injection, chlorothiazide sodium, per 500 mg ",,,77.42,77.42,1
RC,636,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,25.03,25.03,1
RC,636,"Injection, cidofovir, 375 mg ",,,925.3,925.3,1
RC,636,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,10.43,10.43,1
RC,636,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,152.46,152.46,1
RC,636,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,1.25,1.25,1
RC,636,"Injection, cisplatin, powder or solution, 10 mg ",,,3.58,3.58,1
RC,636,"Injection, cladribine, per 1 mg ",,,14.4,14.4,1
RC,636,"Injection, clevidipine butyrate, 1 mg ",,,4.69,4.69,1
RC,636,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,3.83,3.83,1
RC,636,"Injection, clindamycin phosphate, 300 mg ",448.0,448.0,3.07,3.07,1
RC,636,"Injection, clofarabine, 1 mg ",,,18.05,18.05,1
RC,636,"Injection, clonidine hydrochloride, 1 mg ",,,29.57,29.57,1
RC,636,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,3.25,3.25,1
RC,636,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,216.41,216.41,1
RC,636,"Injection, codeine phosphate, per 30 mg ",,,1.65,1.65,1
RC,636,"Injection, colistimethate sodium, up to 150 mg ",,,23.55,23.55,1
RC,636,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,129.28,129.28,1
RC,636,"Injection, concizumab-mtci, 0.5 mg ",,,137.73,137.73,1
RC,636,"Injection, corticotropin (acthar gel), up to 40 units ",,,6755.53,6755.53,1
RC,636,"Injection, corticotropin (ani), up to 40 units ",,,5892.73,5892.73,1
RC,636,"Injection, cosibelimab-ipdl, 2 mg ",,,37.82,37.82,1
RC,636,"Injection, crizanlizumab-tmca, 5 mg ",,,214.4,214.4,1
RC,636,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",6631.0,6631.0,2613.6,2613.6,1
RC,636,"Injection, crovalimab-akkz, 10 mg ",,,909.99,909.99,1
RC,636,"Injection, cyclophosphamide (auromedics), 5 mg ",,,0.86,0.86,1
RC,636,"Injection, cyclophosphamide (baxter), 5 mg ",,,6.14,6.14,1
RC,636,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,0.83,0.83,1
RC,636,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,15.02,15.02,1
RC,636,"Injection, cyclophosphamide (sandoz), 5 mg ",,,6.02,6.02,1
RC,636,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,1.27,1.27,1
RC,636,"Injection, cyclosporine, 250 mg ",,,122.43,122.43,1
RC,636,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2984.21,2984.21,1
RC,636,"Injection, dactinomycin, 0.5 mg ",5581.0,5581.0,557.16,557.16,1
RC,636,"Injection, dalbavancin, 5 mg ",,,24.75,24.75,1
RC,636,"Injection, dalteparin sodium, per 2500 iu ",,,26.17,26.17,1
RC,636,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.1,0.1,1
RC,636,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.08,0.08,1
RC,636,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.05,0.05,1
RC,636,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.08,0.08,1
RC,636,"Injection, daratumumab, 10 mg ",,,116.77,116.77,1
RC,636,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",22682.0,22682.0,90.8,90.8,1
RC,636,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,5.07,5.07,1
RC,636,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,5.07,5.07,1
RC,636,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,85.01,85.01,1
RC,636,"Injection, daunorubicin, 10 mg ",,,40.84,40.84,1
RC,636,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.1,5.1,1
RC,636,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.11,1.11,1
RC,636,"Injection, decitabine, 1 mg ",,,1.65,1.65,1
RC,636,"Injection, degarelix, 1 mg ",,,7.36,7.36,1
RC,636,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,5480271.03,5480271.03,1
RC,636,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,23.96,23.96,1
RC,636,"Injection, denosumab, 1 mg ",,,48.69,48.69,1
RC,636,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,46.05,46.05,1
RC,636,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,43.25,43.25,1
RC,636,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,49.17,49.17,1
RC,636,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,32.18,32.18,1
RC,636,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,51.66,51.66,1
RC,636,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,26.14,26.14,1
RC,636,"Injection, depo-estradiol cypionate, up to 5 mg ",,,85.5,85.5,1
RC,636,"Injection, desmopressin acetate, per 1 mcg ",,,5.63,5.63,1
RC,636,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,4.47,4.47,1
RC,636,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.18,0.18,1
RC,636,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,336.25,336.25,1
RC,636,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,82.07,82.07,1
RC,636,"Injection, diazepam, up to 5 mg ",201.0,201.0,14.04,14.04,1
RC,636,"Injection, diazoxide, up to 300 mg ",,,167.54,167.54,1
RC,636,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.46,0.46,1
RC,636,"Injection, digoxin, up to 0.5 mg ",,,17.11,17.11,1
RC,636,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.3,0.3,1
RC,636,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.07,0.07,1
RC,636,"Injection, dimenhydrinate, up to 50 mg ",,,12.74,12.74,1
RC,636,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,1235.82,1235.82,1
RC,636,"Injection, dobutamine hydrochloride, per 250 mg ",,,13.0,13.0,1
RC,636,"Injection, docetaxel (beizray), 1 mg ",,,76.05,76.05,1
RC,636,"Injection, docetaxel (docivyx), 1 mg ",,,83.51,83.51,1
RC,636,"Injection, docetaxel, 1 mg ",710.0,710.0,0.92,0.92,1
RC,636,"Injection, dolasetron mesylate, 10 mg ",,,6.06,6.06,1
RC,636,"Injection, donanemab-azbt, 2 mg ",,,6.83,6.83,1
RC,636,"Injection, dopamine hcl, 40 mg ",,,1.32,1.32,1
RC,636,"Injection, dostarlimab-gxly, 10 mg ",97464.35,97464.35,407.68,407.68,1
RC,636,"Injection, doxercalciferol, 1 mcg ",,,0.51,0.51,1
RC,636,"Injection, doxorubicin hydrochloride, 10 mg ",,,4.5,4.5,1
RC,636,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,492.92,492.92,1
RC,636,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",2594.4,2594.4,118.57,118.57,1
RC,636,"Injection, doxycycline hyclate, 1 mg ",69.41,69.41,0.15,0.15,1
RC,636,"Injection, droperidol, up to 5 mg ",,,11.9,11.9,1
RC,636,"Injection, durvalumab, 10 mg ",4046.95,4046.95,142.15,142.15,1
RC,636,"Injection, ecallantide, 1 mg ",,,954.94,954.94,1
RC,636,"Injection, eculizumab, 2 mg ",59815.0,59815.0,73.76,73.76,1
RC,636,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,52.68,52.68,1
RC,636,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,68.95,68.95,1
RC,636,"Injection, edaravone, 1 mg ",,,25.05,25.05,1
RC,636,"Injection, edetate calcium disodium, up to 1000 mg ",26387.61,26387.61,10069.74,10069.74,1
RC,636,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,227.7,227.7,1
RC,636,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,56.64,56.64,1
RC,636,"Injection, efgartigimod alfa-fcab, 2mg ",,,53.81,53.81,1
RC,636,"Injection, eflapegrastim-xnst, 0.1 mg ",,,64.28,64.28,1
RC,636,"Injection, elivaldogene autotemcel, per treatment ",,,5247000.0,5247000.0,1
RC,636,"Injection, elliotts' b solution, 1 ml ",,,19.04,19.04,1
RC,636,"Injection, elosulfase alfa, 1 mg ",,,514.72,514.72,1
RC,636,"Injection, elotuzumab, 1 mg ",,,13.27,13.27,1
RC,636,"Injection, elranatamab-bcmm, 1 mg ",,,308.2,308.2,1
RC,636,"Injection, emapalumab-lzsg, 1 mg ",,,633.83,633.83,1
RC,636,"Injection, emicizumab-kxwh, 0.5 mg ",,,91.81,91.81,1
RC,636,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,60.57,60.57,1
RC,636,"Injection, enfuvirtide, 1 mg ",,,0.54,0.54,1
RC,636,"Injection, enoxaparin sodium, 10 mg ",,,0.89,0.89,1
RC,636,"Injection, epcoritamab-bysp, 0.16 mg ",,,93.92,93.92,1
RC,636,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,1.44,1.44,1
RC,636,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,1.39,1.39,1
RC,636,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,0.71,0.71,1
RC,636,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,1.78,1.78,1
RC,636,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,4.75,4.75,1
RC,636,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,1.52,1.52,1
RC,636,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.5,0.5,1
RC,636,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.51,0.51,1
RC,636,"Injection, epirubicin hcl, 2 mg ",,,2.92,2.92,1
RC,636,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,12.06,12.06,1
RC,636,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.2,1.2,1
RC,636,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,1.3,1.3,1
RC,636,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,13.0,13.0,1
RC,636,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,1.7,1.7,1
RC,636,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.7,1.7,1
RC,636,"Injection, epoprostenol, 0.5 mg ",638.0,638.0,24.55,24.55,1
RC,636,"Injection, eptifibatide, 5 mg ",,,5.38,5.38,1
RC,636,"Injection, eptinezumab-jjmr, 1 mg ",,,33.91,33.91,1
RC,636,"Injection, eravacycline, 1 mg ",,,2.13,2.13,1
RC,636,"Injection, eribulin mesylate, 0.1 mg ",,,126.65,126.65,1
RC,636,"Injection, erythromycin lactobionate, per 500 mg ",,,150.53,150.53,1
RC,636,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.33,0.33,1
RC,636,"Injection, esmolol hydrochloride, 10 mg ",,,0.4,0.4,1
RC,636,"Injection, esomeprazole sodium, 1 mg ",,,2.1,2.1,1
RC,636,"Injection, estradiol valerate, up to 10 mg ",,,11.86,11.86,1
RC,636,"Injection, estrone, per 1 mg ",,,0.54,0.54,1
RC,636,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,2119.95,2119.95,1
RC,636,"Injection, etelcalcetide, 0.1 mg ",,,3.89,3.89,1
RC,636,"Injection, eteplirsen, 10 mg ",,,276.39,276.39,1
RC,636,"Injection, ethacrynate sodium, 1 mg ",,,30.15,30.15,1
RC,636,"Injection, etoposide, 10 mg ",,,1.49,1.49,1
RC,636,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,6090892.5,6090892.5,1
RC,636,"Injection, evinacumab-dgnb, 5mg ",,,326.09,326.09,1
RC,636,"Injection, exagamglogene autotemcel, per treatment ",,,3847800.0,3847800.0,1
RC,636,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,3.04,3.04,1
RC,636,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,2.87,2.87,1
RC,636,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,8.78,8.78,1
RC,636,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,5.91,5.91,1
RC,636,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,2.46,2.46,1
RC,636,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,5.35,5.35,1
RC,636,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,4.06,4.06,1
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,2.59,2.59,1
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,2.57,2.57,1
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,2.33,2.33,1
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",9.98,9.98,1.95,1.95,1
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,3.53,3.53,1
RC,636,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,4.39,4.39,1
RC,636,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,3.68,3.68,1
RC,636,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,7.41,7.41,1
RC,636,"Injection, factor x, (human), 1 i.u. ",,,16.42,16.42,1
RC,636,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,17.79,17.79,1
RC,636,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,30.24,30.24,1
RC,636,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",25752.75,25752.75,51.58,51.58,1
RC,636,"Injection, famotidine, 0.25 mg ",,,0.02,0.02,1
RC,636,"Injection, faricimab-svoa, 0.1 mg ",,,54.24,54.24,1
RC,636,"Injection, fentanyl citrate, 0.1 mg ",,,1.91,1.91,1
RC,636,"Injection, ferric carboxymaltose, 1 mg ",2197.75,2197.75,1.82,1.82,1
RC,636,"Injection, ferric derisomaltose, 10 mg ",,,36.18,36.18,1
RC,636,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.38,0.38,1
RC,636,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.38,0.38,1
RC,636,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.68,1.68,1
RC,636,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.46,0.46,1
RC,636,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.53,0.53,1
RC,636,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.58,0.58,1
RC,636,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,1.7,1.7,1
RC,636,"Injection, fitusiran, 0.04 mg ",,,218.84,218.84,1
RC,636,"Injection, floxuridine, 500 mg ",1135.0,1135.0,7014.1,7014.1,1
RC,636,"Injection, fludarabine phosphate, 50 mg ",3358.0,3358.0,359.25,359.25,1
RC,636,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,841.19,841.19,1
RC,636,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,559.0,559.0,1
RC,636,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,874.32,874.32,1
RC,636,"Injection, fluorouracil, 500 mg ",,,3.4,3.4,1
RC,636,"Injection, fluphenazine decanoate, up to 25 mg ",224.0,224.0,9.22,9.22,1
RC,636,"Injection, fluphenazine hcl, 1.25 mg ",,,12.13,12.13,1
RC,636,"Injection, folic acid, 0.1 mg ",299.68,299.68,0.08,0.08,1
RC,636,"Injection, fondaparinux sodium, 0.5 mg ",,,1.32,1.32,1
RC,636,"Injection, fosaprepitant (focinvez), 1 mg ",,,4.21,4.21,1
RC,636,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.07,0.07,1
RC,636,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,1.16,1.16,1
RC,636,"Injection, fosdenopterin, 0.1 mg ",,,29.02,29.02,1
RC,636,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,864.9,864.9,1
RC,636,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,2.19,2.19,1
RC,636,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,7.01,7.01,1
RC,636,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,44.73,44.73,1
RC,636,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,68.76,68.76,1
RC,636,"Injection, fulvestrant, 25 mg ",,,8.15,8.15,1
RC,636,"Injection, furosemide (furoscix), 20 mg ",,,485.4,485.4,1
RC,636,"Injection, furosemide, 1 mg ",,,0.03,0.03,1
RC,636,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.84,2.84,1
RC,636,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.95,2.95,1
RC,636,"Injection, gadobutrol, 0.1 ml ",,,0.5,0.5,1
RC,636,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",900.0,900.0,2.39,2.39,1
RC,636,"Injection, gadopiclenol, 1 ml ",,,5.31,5.31,1
RC,636,"Injection, gadoterate meglumine, 0.1 ml ",314.0,314.0,0.15,0.15,1
RC,636,"Injection, galsulfase, 1 mg ",,,847.44,847.44,1
RC,636,"Injection, gamma globulin, intramuscular, 1 cc ",,,80.77,80.77,1
RC,636,"Injection, gamma globulin, intramuscular, over 10 cc ",,,264.48,264.48,1
RC,636,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,99.0,99.0,1
RC,636,"Injection, ganciclovir sodium, 500 mg ",,,56.18,56.18,1
RC,636,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.18,3.18,1
RC,636,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,8.73,8.73,1
RC,636,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,677.23,677.23,1
RC,636,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,5.35,5.35,1
RC,636,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,396.28,396.28,1
RC,636,"Injection, givosiran, 0.5 mg ",,,199.62,199.62,1
RC,636,"Injection, glatiramer acetate, 20 mg ",,,427.81,427.81,1
RC,636,"Injection, glofitamab-gxbm, 2.5 mg ",,,4687.12,4687.12,1
RC,636,"Injection, glucagon (gvoke), 0.01 mg ",,,3.91,3.91,1
RC,636,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,222.75,222.75,1
RC,636,"Injection, glucarpidase, 10 units ",,,741.02,741.02,1
RC,636,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.21,2.21,1
RC,636,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,2.23,2.23,1
RC,636,"Injection, glycopyrrolate, 0.1 mg ",12.16,12.16,0.61,0.61,1
RC,636,"Injection, gold sodium thiomalate, up to 50 mg ",,,22.59,22.59,1
RC,636,"Injection, golimumab, 1 mg, for intravenous use ",,,18.63,18.63,1
RC,636,"Injection, golodirsen, 10 mg ",,,316.8,316.8,1
RC,636,"Injection, granisetron hydrochloride, 100 mcg ",,,0.26,0.26,1
RC,636,"Injection, granisetron, extended-release, 0.1 mg ",,,6.4,6.4,1
RC,636,"Injection, guselkumab, 1 mg ",,,111.89,111.89,1
RC,636,"Injection, hemin, 1 mg ",,,58.26,58.26,1
RC,636,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,1.9,1.9,1
RC,636,"Injection, heparin sodium, per 1000 units ",,,0.36,0.36,1
RC,636,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,115.88,115.88,1
RC,636,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,115.88,115.88,1
RC,636,"Injection, histrelin acetate, 10 micrograms ",,,1.65,1.65,1
RC,636,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,2.05,2.05,1
RC,636,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,2.51,2.51,1
RC,636,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.54,0.54,1
RC,636,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,181.32,181.32,1
RC,636,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.59,0.59,1
RC,636,"Injection, hyaluronidase, up to 150 units ",982.0,982.0,52.06,52.06,1
RC,636,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,36.53,36.53,1
RC,636,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,636,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.02,0.02,1
RC,636,"Injection, hydroxocobalamin, intravenous, 25 mg ",4263.6,4263.6,8.98,8.98,1
RC,636,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,15.43,15.43,1
RC,636,"Injection, ibalizumab-uiyk, 10 mg ",,,128.17,128.17,1
RC,636,"Injection, ibandronate sodium, 1 mg ",,,14.95,14.95,1
RC,636,"Injection, ibuprofen, 100 mg ",,,5.25,5.25,1
RC,636,"Injection, icatibant, 1 mg ",,,518.38,518.38,1
RC,636,"Injection, idarubicin hydrochloride, 5 mg ",4589.0,4589.0,65.6,65.6,1
RC,636,"Injection, idursulfase, 1 mg ",,,921.06,921.06,1
RC,636,"Injection, ifosfamide, 1 gram ",1452.0,1452.0,40.72,40.72,1
RC,636,"Injection, iloprost, 0.1 mcg ",,,9.42,9.42,1
RC,636,"Injection, imetelstat, 1 mg ",,,95.98,95.98,1
RC,636,"Injection, imiglucerase, 10 units ",,,70.67,70.67,1
RC,636,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,4.29,4.29,1
RC,636,"Injection, immune globulin (alyglo), 500 mg ",,,203.16,203.16,1
RC,636,"Injection, immune globulin (asceniv), 500 mg ",,,826.53,826.53,1
RC,636,"Injection, immune globulin (bivigam), 500 mg ",,,131.08,131.08,1
RC,636,"Injection, immune globulin (cutaquig), 100 mg ",,,22.98,22.98,1
RC,636,"Injection, immune globulin (cuvitru), 100 mg ",,,29.01,29.01,1
RC,636,"Injection, immune globulin (hizentra), 100 mg ",,,23.96,23.96,1
RC,636,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,121.82,121.82,1
RC,636,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,81.72,81.72,1
RC,636,"Injection, immune globulin (xembify), 100 mg ",,,25.36,25.36,1
RC,636,"Injection, immune globulin (yimmugo), 100 mg ",,,40.13,40.13,1
RC,636,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,149.72,149.72,1
RC,636,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,80.98,80.98,1
RC,636,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,106.67,106.67,1
RC,636,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,82.05,82.05,1
RC,636,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,77.62,77.62,1
RC,636,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,132.66,132.66,1
RC,636,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,31.02,31.02,1
RC,636,"Injection, inclisiran, 1 mg ",,,20.81,20.81,1
RC,636,"Injection, incobotulinumtoxin a, 1 unit ",,,8.73,8.73,1
RC,636,"Injection, indigotindisulfonate sodium, 1 mg ",,,15.35,15.35,1
RC,636,"Injection, inebilizumab-cdon, 1 mg ",,,817.66,817.66,1
RC,636,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",1579.6,1579.6,44.22,44.22,1
RC,636,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,46.27,46.27,1
RC,636,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,551.55,551.55,1
RC,636,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",535.56,535.56,42.97,42.97,1
RC,636,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,4647.67,4647.67,1
RC,636,"Injection, insulin, per 5 units ",,,0.81,0.81,1
RC,636,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,299.9,299.9,1
RC,636,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,83.64,83.64,1
RC,636,"Injection, interferon beta-1a, 30 mcg ",,,5832.21,5832.21,1
RC,636,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,992.52,992.52,1
RC,636,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,57.87,57.87,1
RC,636,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,21.5,21.5,1
RC,636,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,59.63,59.63,1
RC,636,"Injection, interferon, gamma 1-b, 3 million units ",,,17403.36,17403.36,1
RC,636,"Injection, ipilimumab, 1 mg ",8574.32,8574.32,308.83,308.83,1
RC,636,"Injection, irinotecan liposome, 1 mg ",,,109.51,109.51,1
RC,636,"Injection, irinotecan, 20 mg ",1404.0,1404.0,2.52,2.52,1
RC,636,"Injection, iron dextran, 50 mg ",,,29.88,29.88,1
RC,636,"Injection, isatuximab-irfc, 10 mg ",,,137.91,137.91,1
RC,636,"Injection, isavuconazonium, 1 mg ",,,1.67,1.67,1
RC,636,"Injection, isoniazid, 1 mg ",,,0.5,0.5,1
RC,636,"Injection, itraconazole, 50 mg ",,,1549.73,1549.73,1
RC,636,"Injection, ixabepilone, 1 mg ",,,230.59,230.59,1
RC,636,"Injection, ketorolac tromethamine, per 15 mg ",,,0.56,0.56,1
RC,636,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,1.49,1.49,1
RC,636,"Injection, labetalol hydrochloride, 5 mg ",,,0.43,0.43,1
RC,636,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,143.3,143.3,1
RC,636,"Injection, lanreotide, (cipla), 1 mg ",14916.14,14916.14,53.11,53.11,1
RC,636,"Injection, lanreotide, 1 mg ",,,58.94,58.94,1
RC,636,"Injection, laronidase, 0.1 mg ",,,65.92,65.92,1
RC,636,"Injection, lefamulin, 1 mg ",,,1.35,1.35,1
RC,636,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,36.8,36.8,1
RC,636,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,26.57,26.57,1
RC,636,"Injection, leucovorin calcium, per 50 mg ",,,5.92,5.92,1
RC,636,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,232.17,232.17,1
RC,636,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,1144.37,1144.37,1
RC,636,"Injection, levetiracetam, 10 mg ",,,0.05,0.05,1
RC,636,"Injection, levofloxacin, 250 mg ",,,3.56,3.56,1
RC,636,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,2.13,2.13,1
RC,636,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.08,0.08,1
RC,636,"Injection, levorphanol tartrate, up to 2 mg ",,,4.97,4.97,1
RC,636,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,11.48,11.48,1
RC,636,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,10.43,10.43,1
RC,636,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",207.15,207.15,12.23,12.23,1
RC,636,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",34.85,34.85,0.02,0.02,1
RC,636,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.07,0.07,1
RC,636,"Injection, lidocaine hydrochloride, 1 mg ",,,0.08,0.08,1
RC,636,"Injection, lincomycin hcl, up to 300 mg ",,,7.79,7.79,1
RC,636,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",704.0,704.0,44.27,44.27,1
RC,636,"Injection, linezolid, 200 mg ",,,4.09,4.09,1
RC,636,"Injection, linvoseltamab-gcpt, 1 mg ",,,164.18,164.18,1
RC,636,"Injection, liothyronine, 1 mcg ",,,64.83,64.83,1
RC,636,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,430.98,430.98,1
RC,636,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,365.46,365.46,1
RC,636,"Injection, lorazepam, 2 mg ",,,2.74,2.74,1
RC,636,"Injection, lovotibeglogene autotemcel, per treatment ",,,5354879.29,5354879.29,1
RC,636,"Injection, lumasiran, 0.5 mg ",,,540.74,540.74,1
RC,636,"Injection, lurbinectedin, 0.1 mg ",,,349.97,349.97,1
RC,636,"Injection, luspatercept-aamt, 0.25 mg ",15503.6,15503.6,70.54,70.54,1
RC,636,"Injection, magnesium sulfate, per 500 mg ",,,0.71,0.71,1
RC,636,"Injection, mannitol, 250 mg ",,,0.08,0.08,1
RC,636,"Injection, margetuximab-cmkb, 5 mg ",,,87.9,87.9,1
RC,636,"Injection, marstacimab-hncq, 0.5 mg ",,,82.81,82.81,1
RC,636,"Injection, mecasermin, 1 mg ",,,763.93,763.93,1
RC,636,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,216.03,216.03,1
RC,636,"Injection, meloxicam (azurity), 1 mg ",,,1.75,1.75,1
RC,636,"Injection, melphalan (apotex), 1 mg ",,,106.89,106.89,1
RC,636,"Injection, melphalan (evomela), 1 mg ",,,32.06,32.06,1
RC,636,"Injection, melphalan (hepzato), 1 mg ",,,1311.75,1311.75,1
RC,636,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",1934.0,1934.0,199.11,199.11,1
RC,636,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,12.67,12.67,1
RC,636,"Injection, meperidine hydrochloride, per 100 mg ",,,14.55,14.55,1
RC,636,"Injection, mepivacaine hydrochloride, per 10 ml ",,,6.15,6.15,1
RC,636,"Injection, mepolizumab, 1 mg ",,,52.5,52.5,1
RC,636,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,3.25,3.25,1
RC,636,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,2.44,2.44,1
RC,636,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",1330.01,1330.01,3.58,3.58,1
RC,636,"Injection, meropenem, 100 mg ",,,0.61,0.61,1
RC,636,"Injection, mesna, 200 mg ",277.0,277.0,2.19,2.19,1
RC,636,"Injection, methadone hcl, up to 10 mg ",,,24.27,24.27,1
RC,636,"Injection, methocarbamol, up to 10 ml ",,,6.93,6.93,1
RC,636,"Injection, methotrexate sodium, 50 mg ",,,4.42,4.42,1
RC,636,"Injection, methylnaltrexone, 0.1 mg ",,,3.47,3.47,1
RC,636,"Injection, methylprednisolone acetate, 1 mg ",,,0.18,0.18,1
RC,636,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.4,0.4,1
RC,636,"Injection, metoclopramide hcl, up to 10 mg ",,,1.57,1.57,1
RC,636,"Injection, metoprolol tartrate, 1 mg ",8.75,8.75,0.21,0.21,1
RC,636,"Injection, metronidazole, 10 mg ",,,0.05,0.05,1
RC,636,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.61,0.61,1
RC,636,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.36,0.36,1
RC,636,"Injection, micafungin sodium, 1 mg ",,,0.43,0.43,1
RC,636,"Injection, midazolam hydrochloride, per 1 mg ",,,0.28,0.28,1
RC,636,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.23,0.23,1
RC,636,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",258.0,258.0,0.26,0.26,1
RC,636,"Injection, milrinone lactate, 5 mg ",,,1.95,1.95,1
RC,636,"Injection, minocycline hydrochloride, 1 mg ",936.86,936.86,4.39,4.39,1
RC,636,"Injection, mirikizumab-mrkz, 1 mg ",,,69.45,69.45,1
RC,636,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",60825.0,60825.0,117.36,117.36,1
RC,636,"Injection, mitomycin, 5 mg ",,,46.96,46.96,1
RC,636,"Injection, mitoxantrone hydrochloride, per 5 mg ",2060.0,2060.0,63.71,63.71,1
RC,636,"Injection, mogamulizumab-kpkc, 1 mg ",,,418.23,418.23,1
RC,636,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,13.76,13.76,1
RC,636,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",127.37,127.37,20.05,20.05,1
RC,636,"Injection, morphine sulfate, up to 10 mg ",,,7.34,7.34,1
RC,636,"Injection, mosunetuzumab-axgb, 1 mg ",,,1079.99,1079.99,1
RC,636,"Injection, motixafortide, 0.25 mg ",,,43.69,43.69,1
RC,636,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,38.59,38.59,1
RC,636,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,10.96,10.96,1
RC,636,"Injection, moxifloxacin, 100 mg ",292.0,292.0,14.42,14.42,1
RC,636,"Injection, mycophenolate mofetil, 10 mg ",,,0.66,0.66,1
RC,636,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.25,0.25,1
RC,636,"Injection, nafcillin sodium, 20 mg ",,,0.08,0.08,1
RC,636,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.25,0.25,1
RC,636,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.12,0.12,1
RC,636,"Injection, naltrexone, depot form, 1 mg ",17564.0,17564.0,7.01,7.01,1
RC,636,"Injection, nandrolone decanoate, up to 50 mg ",,,6.62,6.62,1
RC,636,"Injection, natalizumab, 1 mg ",,,40.13,40.13,1
RC,636,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,40.13,40.13,1
RC,636,"Injection, naxitamab-gqgk, 1 mg ",,,1132.05,1132.05,1
RC,636,"Injection, necitumumab, 1 mg ",,,9.45,9.45,1
RC,636,"Injection, nelarabine, 50 mg ",,,86.97,86.97,1
RC,636,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,1.4,1.4,1
RC,636,"Injection, neostigmine methylsulfate, up to 0.5 mg ",240.99,240.99,2.33,2.33,1
RC,636,"Injection, nesiritide, 0.1 mg ",,,49.6,49.6,1
RC,636,"Injection, nicardipine, 0.1 mg ",,,0.12,0.12,1
RC,636,"Injection, nipocalimab-aahu, 3 mg ",,,53.91,53.91,1
RC,636,"Injection, nitroglycerin, 5 mg ",,,2.76,2.76,1
RC,636,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,332.9,332.9,1
RC,636,"Injection, nivolumab, 1 mg ",7374.14,7374.14,55.47,55.47,1
RC,636,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,45.75,45.75,1
RC,636,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,156.09,156.09,1
RC,636,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,16.98,16.98,1
RC,636,"Injection, nusinersen, 0.1 mg ",,,2121.54,2121.54,1
RC,636,"Injection, obinutuzumab, 10 mg ",78972.0,78972.0,134.99,134.99,1
RC,636,"Injection, ocrelizumab, 1 mg ",,,98.34,98.34,1
RC,636,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,77.2,77.2,1
RC,636,"Injection, octafluoropropane microspheres, per ml ",,,65.93,65.93,1
RC,636,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",4302.72,4302.72,310.78,310.78,1
RC,636,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,1.02,1.02,1
RC,636,"Injection, ofatumumab, 10 mg ",194.38,194.38,102.68,102.68,1
RC,636,"Injection, olanzapine, 0.5 mg ",360.1,360.1,1.17,1.17,1
RC,636,"Injection, olanzapine, long-acting, 1 mg ",,,5.26,5.26,1
RC,636,"Injection, olipudase alfa-rpcp, 1 mg ",,,652.74,652.74,1
RC,636,"Injection, omadacycline, 1 mg ",,,6.81,6.81,1
RC,636,"Injection, omalizumab, 5 mg ",,,69.0,69.0,1
RC,636,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,4395977.17,4395977.17,1
RC,636,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,4268693.98,4268693.98,1
RC,636,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.15,0.15,1
RC,636,"Injection, oprelvekin, 5 mg ",,,407.83,407.83,1
RC,636,"Injection, oritavancin (kimyrsa), 10 mg ",,,72.14,72.14,1
RC,636,"Injection, oritavancin (orbactiv), 10 mg ",,,47.14,47.14,1
RC,636,"Injection, oxacillin sodium, up to 250 mg ",,,1.4,1.4,1
RC,636,"Injection, oxaliplatin, 0.5 mg ",,,0.13,0.13,1
RC,636,"Injection, oxymorphone hcl, up to 1 mg ",,,3.86,3.86,1
RC,636,"Injection, paclitaxel protein-bound particles, 1 mg ",1562.88,1562.88,9.93,9.93,1
RC,636,"Injection, paclitaxel, 1 mg ",,,0.25,0.25,1
RC,636,"Injection, palifermin, 50 micrograms ",,,60.59,60.59,1
RC,636,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,23.91,23.91,1
RC,636,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,21.37,21.37,1
RC,636,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,24.88,24.88,1
RC,636,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,91.23,91.23,1
RC,636,"Injection, pamidronate disodium, per 30 mg ",2356.0,2356.0,20.49,20.49,1
RC,636,"Injection, panitumumab, 10 mg ",,,287.74,287.74,1
RC,636,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,6.24,6.24,1
RC,636,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,15.81,15.81,1
RC,636,"Injection, pantoprazole sodium, 40 mg ",,,14.19,14.19,1
RC,636,"Injection, papaverine hcl, up to 60 mg ",,,75.8,75.8,1
RC,636,"Injection, paricalcitol, 1 mcg ",435.0,435.0,1.68,1.68,1
RC,636,"Injection, pasireotide long acting, 1 mg ",,,983.9,983.9,1
RC,636,"Injection, patisiran, 0.1 mg ",,,166.49,166.49,1
RC,636,"Injection, pegaspargase, per single dose vial ",,,46899.7,46899.7,1
RC,636,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,243.89,243.89,1
RC,636,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",4253.24,4253.24,210.18,210.18,1
RC,636,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",9469.08,9469.08,219.96,219.96,1
RC,636,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,197.41,197.41,1
RC,636,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",4028.88,4028.88,224.22,224.22,1
RC,636,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,261.13,261.13,1
RC,636,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",7094.0,7094.0,131.18,131.18,1
RC,636,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,185.01,185.01,1
RC,636,"Injection, pegloticase, 1 mg ",,,6310.46,6310.46,1
RC,636,"Injection, pegulicianine, 1 mg ",,,61.89,61.89,1
RC,636,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,368.61,368.61,1
RC,636,"Injection, pembrolizumab, 1 mg ",22754.72,22754.72,101.06,101.06,1
RC,636,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,53.01,53.01,1
RC,636,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,15.94,15.94,1
RC,636,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,17.49,17.49,1
RC,636,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",576.0,576.0,8.58,8.58,1
RC,636,"Injection, pemetrexed (pemfexy), 10 mg ",170.87,170.87,13.18,13.18,1
RC,636,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,116.29,116.29,1
RC,636,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,2.41,2.41,1
RC,636,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,18.13,18.13,1
RC,636,"Injection, pemetrexed dipotassium, 10 mg ",,,135.33,135.33,1
RC,636,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.54,0.54,1
RC,636,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,6.67,6.67,1
RC,636,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,11944.35,11944.35,1
RC,636,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,32.21,32.21,1
RC,636,"Injection, penicillin g potassium, up to 600,000 units ",,,1.12,1.12,1
RC,636,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",1226.02,1226.02,16.53,16.53,1
RC,636,"Injection, pentamidine isethionate, 1 mg ",287.2,287.2,0.26,0.26,1
RC,636,"Injection, pentazocine, 30 mg ",,,45.19,45.19,1
RC,636,"Injection, pentobarbital sodium, per 50 mg ",,,60.79,60.79,1
RC,636,"Injection, pentostatin, 10 mg ",,,4333.44,4333.44,1
RC,636,"Injection, peramivir, 1 mg ",,,2.77,2.77,1
RC,636,"Injection, perflutren lipid microspheres, per ml ",,,65.93,65.93,1
RC,636,"Injection, pertuzumab, 1 mg ",54053.39,54053.39,28.08,28.08,1
RC,636,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,99.38,99.38,1
RC,636,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.86,1.86,1
RC,636,"Injection, phenobarbital sodium, up to 120 mg ",,,39.02,39.02,1
RC,636,"Injection, phentolamine mesylate, up to 5 mg ",451.0,451.0,424.79,424.79,1
RC,636,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.25,0.25,1
RC,636,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.21,0.21,1
RC,636,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.02,0.02,1
RC,636,"Injection, phenytoin sodium, per 50 mg ",,,0.69,0.69,1
RC,636,"Injection, phytonadione (vitamin k), per 1 mg ",,,5.21,5.21,1
RC,636,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.8,1.8,1
RC,636,"Injection, plasminogen, human-tvmh, 1 mg ",,,63.34,63.34,1
RC,636,"Injection, plazomicin, 5 mg ",,,5.79,5.79,1
RC,636,"Injection, plerixafor, 1 mg ",,,54.02,54.02,1
RC,636,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,226.43,226.43,1
RC,636,"Injection, porfimer sodium, 75 mg ",,,46179.54,46179.54,1
RC,636,"Injection, posaconazole, 1 mg ",,,0.58,0.58,1
RC,636,"Injection, potassium chloride, per 2 meq ",,,0.21,0.21,1
RC,636,"Injection, pozelimab-bbfg, 1 mg ",,,151.35,151.35,1
RC,636,"Injection, pralatrexate, 1 mg ",,,647.99,647.99,1
RC,636,"Injection, pralidoxime chloride, up to 1 gm ",431.0,431.0,171.67,171.67,1
RC,636,"Injection, progesterone, per 50 mg ",83.0,83.0,1.09,1.09,1
RC,636,"Injection, promethazine hcl, up to 50 mg ",,,5.51,5.51,1
RC,636,"Injection, propofol, 10 mg ",,,0.15,0.15,1
RC,636,"Injection, propranolol hcl, up to 1 mg ",,,19.19,19.19,1
RC,636,"Injection, protamine sulfate, per 10 mg ",,,2.76,2.76,1
RC,636,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,24.83,24.83,1
RC,636,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",3392.0,3392.0,2.84,2.84,1
RC,636,"Injection, pyridoxine hcl, 100 mg ",143.0,143.0,24.59,24.59,1
RC,636,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,194.55,194.55,1
RC,636,"Injection, radiesse, 0.1 ml ",,,576.16,576.16,1
RC,636,"Injection, ramucirumab, 5 mg ",505.0,505.0,124.53,124.53,1
RC,636,"Injection, ranibizumab, 0.1 mg ",,,111.95,111.95,1
RC,636,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,125.73,125.73,1
RC,636,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,137.74,137.74,1
RC,636,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,116.99,116.99,1
RC,636,"Injection, rasburicase, 0.5 mg ",9345.0,9345.0,630.61,630.61,1
RC,636,"Injection, ravulizumab-cwvz, 10 mg ",,,369.07,369.07,1
RC,636,"Injection, regadenoson, 0.1 mg ",2802.0,2802.0,4.79,4.79,1
RC,636,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,334477.41,334477.41,1
RC,636,"Injection, remimazolam, 1 mg ",,,4.6,4.6,1
RC,636,"Injection, reslizumab, 1 mg ",,,19.02,19.02,1
RC,636,"Injection, reteplase, 18.1 mg ",,,4792.56,4792.56,1
RC,636,"Injection, retifanlimab-dlwr, 1 mg ",,,50.16,50.16,1
RC,636,"Injection, rezafungin, 1 mg ",,,17.8,17.8,1
RC,636,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,130.19,130.19,1
RC,636,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,45.41,45.41,1
RC,636,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,56.53,56.53,1
RC,636,"Injection, rifampin, 1 mg ",628.0,628.0,0.28,0.28,1
RC,636,"Injection, rilonacept, 1 mg ",,,56.03,56.03,1
RC,636,"Injection, rimabotulinumtoxinb, 100 units ",,,21.91,21.91,1
RC,636,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,24.09,24.09,1
RC,636,"Injection, risperidone (risperdal consta), 0.5 mg ",8974.0,8974.0,17.82,17.82,1
RC,636,"Injection, risperidone (rykindo), 0.5 mg ",,,21.5,21.5,1
RC,636,"Injection, risperidone (uzedy), 1 mg ",,,41.51,41.51,1
RC,636,"Injection, risperidone, (perseris), 0.5 mg ",,,20.08,20.08,1
RC,636,"Injection, rituximab 10 mg and hyaluronidase ",,,59.86,59.86,1
RC,636,"Injection, rituximab, 10 mg ",51022.0,51022.0,122.36,122.36,1
RC,636,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,51.61,51.61,1
RC,636,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,33.43,33.43,1
RC,636,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,22.59,22.59,1
RC,636,"Injection, romidepsin, lyophilized, 0.1 mg ",,,50.82,50.82,1
RC,636,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,47.06,47.06,1
RC,636,"Injection, romiplostim, 1 microgram ",,,18.33,18.33,1
RC,636,"Injection, romosozumab-aqqg, 1 mg ",,,20.11,20.11,1
RC,636,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.08,0.08,1
RC,636,"Injection, rozanolixizumab-noli, 1 mg ",,,38.61,38.61,1
RC,636,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,60.72,60.72,1
RC,636,"Injection, sargramostim (gm-csf), 50 mcg ",,,102.12,102.12,1
RC,636,"Injection, sculptra, 0.5 mg ",,,3.56,3.56,1
RC,636,"Injection, sebelipase alfa, 1 mg ",,,891.3,891.3,1
RC,636,"Injection, secretin, synthetic, human, 1 microgram ",,,66.38,66.38,1
RC,636,"Injection, secukinumab, intravenous, 1 mg ",,,29.77,29.77,1
RC,636,"Injection, sermorelin acetate, 1 microgram ",,,2.21,2.21,1
RC,636,"Injection, siltuximab, 10 mg ",,,287.23,287.23,1
RC,636,"Injection, sincalide, 5 micrograms ",448.0,448.0,178.53,178.53,1
RC,636,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.73,143.73,1
RC,636,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",90.0,90.0,3.94,3.94,1
RC,636,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",389.5,389.5,3.58,3.58,1
RC,636,"Injection, sodium thiosulfate (hope), 100 mg ",898.0,898.0,1.45,1.45,1
RC,636,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,157.49,157.49,1
RC,636,"Injection, somatropin, 1 mg ",,,272.56,272.56,1
RC,636,"Injection, spesolimab-sbzo, 1 mg ",,,108.45,108.45,1
RC,636,"Injection, sterile cefuroxime sodium, per 750 mg ",,,3.28,3.28,1
RC,636,"Injection, streptomycin, up to 1 gm ",,,66.43,66.43,1
RC,636,"Injection, streptozocin, 1 gram ",,,289.33,289.33,1
RC,636,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.07,0.07,1
RC,636,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,29.9,29.9,1
RC,636,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",549.0,549.0,293.16,293.16,1
RC,636,"Injection, sutimlimab-jome, 10 mg ",,,32.41,32.41,1
RC,636,"Injection, tafasitamab-cxix, 2 mg ",,,23.38,23.38,1
RC,636,"Injection, tagraxofusp-erzs, 10 micrograms ",,,589.51,589.51,1
RC,636,"Injection, taliglucerase alfa, 10 units ",,,67.09,67.09,1
RC,636,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",15840.0,15840.0,122.0,122.0,1
RC,636,"Injection, talquetamab-tgvs, 0.25 mg ",,,123.55,123.55,1
RC,636,"Injection, tarlatamab-dlle, 1 mg ",,,2586.74,2586.74,1
RC,636,"Injection, tbo-filgrastim, 1 microgram ",,,0.41,0.41,1
RC,636,"Injection, tebentafusp-tebn, 1 microgram ",,,367.11,367.11,1
RC,636,"Injection, teclistamab-cqyv, 0.5 mg ",,,56.93,56.93,1
RC,636,"Injection, tedizolid phosphate, 1 mg ",,,3.23,3.23,1
RC,636,"Injection, telavancin, 10 mg ",,,11.6,11.6,1
RC,636,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,240.88,240.88,1
RC,636,"Injection, temozolomide, 1 mg ",,,17.16,17.16,1
RC,636,"Injection, temsirolimus, 1 mg ",,,49.63,49.63,1
RC,636,"Injection, tenecteplase, 1 mg ",,,325.78,325.78,1
RC,636,"Injection, teplizumab-mzwv, 5 mcg ",,,63.34,63.34,1
RC,636,"Injection, teprotumumab-trbw, 10 mg ",,,607.05,607.05,1
RC,636,"Injection, terbutaline sulfate, up to 1 mg ",,,4.88,4.88,1
RC,636,"Injection, teriparatide, 10 mcg ",,,130.53,130.53,1
RC,636,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.23,0.23,1
RC,636,"Injection, testosterone cypionate, 1 mg ",,,0.03,0.03,1
RC,636,"Injection, testosterone enanthate, 1 mg ",,,0.08,0.08,1
RC,636,"Injection, testosterone undecanoate, 1 mg ",,,3.51,3.51,1
RC,636,"Injection, tezepelumab-ekko, 1 mg ",,,29.01,29.01,1
RC,636,"Injection, thiamine hcl, 100 mg ",,,2.56,2.56,1
RC,636,"Injection, thiotepa (tepylute), 1 mg ",,,63.61,63.61,1
RC,636,"Injection, thiotepa, not otherwise specified, 1 mg ",,,9.47,9.47,1
RC,636,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,3506.81,3506.81,1
RC,636,"Injection, tigecycline, 1 mg ",1582.0,1582.0,0.94,0.94,1
RC,636,"Injection, tildrakizumab, 1 mg ",,,195.03,195.03,1
RC,636,"Injection, tirofiban hcl, 0.25 mg ",,,5.26,5.26,1
RC,636,"Injection, tislelizumab-jsgr, 1mg ",,,96.15,96.15,1
RC,636,"Injection, tisotumab vedotin-tftv, 1 mg ",5885.0,5885.0,323.6,323.6,1
RC,636,"Injection, tobramycin sulfate, up to 80 mg ",,,3.33,3.33,1
RC,636,"Injection, tocilizumab, 1 mg ",,,9.12,9.12,1
RC,636,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,12.49,12.49,1
RC,636,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,7.33,7.33,1
RC,636,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,9.21,9.21,1
RC,636,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,7.66,7.66,1
RC,636,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,8.12,8.12,1
RC,636,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,8.68,8.68,1
RC,636,"Injection, tofersen, 1 mg ",,,264.02,264.02,1
RC,636,"Injection, toripalimab-tpzi, 1 mg ",,,65.98,65.98,1
RC,636,"Injection, trabectedin, 0.1 mg ",3302.97,3302.97,645.27,645.27,1
RC,636,"Injection, tranexamic acid in sodium chloride, 5 mg ",42.0,42.0,0.2,0.2,1
RC,636,"Injection, tranexamic acid, 5 mg ",19.75,19.75,0.21,0.21,1
RC,636,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,98.85,98.85,1
RC,636,"Injection, trastuzumab, excludes biosimilar, 10 mg ",14290.71,14290.71,121.16,121.16,1
RC,636,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",1312.47,1312.47,93.03,93.03,1
RC,636,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,59.04,59.04,1
RC,636,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,49.19,49.19,1
RC,636,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,92.43,92.43,1
RC,636,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",4477.89,4477.89,17.21,17.21,1
RC,636,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,62.49,62.49,1
RC,636,"Injection, travoprost, intracameral implant, 1 microgram ",,,324.85,324.85,1
RC,636,"Injection, tremelimumab-actl, 1 mg ",,,236.33,236.33,1
RC,636,"Injection, treosulfan, 50 mg ",,,52.16,52.16,1
RC,636,"Injection, treprostinil, 1 mg ",,,91.06,91.06,1
RC,636,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,78.84,78.84,1
RC,636,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",582.0,582.0,1.49,1.49,1
RC,636,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,30.99,30.99,1
RC,636,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,30.76,30.76,1
RC,636,"Injection, triamcinolone diacetate, per 5 mg ",,,0.54,0.54,1
RC,636,"Injection, triamcinolone hexacetonide, per 5 mg ",,,16.09,16.09,1
RC,636,"Injection, trilaciclib, 1mg ",,,9.06,9.06,1
RC,636,"Injection, triptorelin pamoate, 3.75 mg ",,,774.48,774.48,1
RC,636,"Injection, triptorelin, extended-release, 3.75 mg ",,,6144.2,6144.2,1
RC,636,"Injection, ublituximab-xiiy, 1mg ",,,113.44,113.44,1
RC,636,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,23.18,23.18,1
RC,636,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,19.39,19.39,1
RC,636,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,7.49,7.49,1
RC,636,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,364.11,364.11,1
RC,636,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,5.53,5.53,1
RC,636,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,104.33,104.33,1
RC,636,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,5.3,5.3,1
RC,636,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,7.47,7.47,1
RC,636,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,20713.62,20713.62,1
RC,636,"Injection, valproate sodium, 5 mg ",7.24,7.24,0.07,0.07,1
RC,636,"Injection, valrubicin, intravesical, 200 mg ",,,2096.36,2096.36,1
RC,636,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.02,0.02,1
RC,636,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,636,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.26,0.26,1
RC,636,"Injection, vancomycin hydrochloride, 10 mg ",,,0.05,0.05,1
RC,636,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,1.39,1.39,1
RC,636,"Injection, vasopressin (baxter), 1 unit ",,,2.52,2.52,1
RC,636,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,1.95,1.95,1
RC,636,"Injection, vasopressin, 1 unit ",,,0.87,0.87,1
RC,636,"Injection, vedolizumab, intravenous, 1 mg ",42962.0,42962.0,34.62,34.62,1
RC,636,"Injection, velaglucerase alfa, 100 units ",,,640.46,640.46,1
RC,636,"Injection, velmanase alfa-tycv, 1 mg ",,,767.63,767.63,1
RC,636,"Injection, verteporfin, 0.1 mg ",,,19.09,19.09,1
RC,636,"Injection, vestronidase alfa-vjbk, 1 mg ",,,462.25,462.25,1
RC,636,"Injection, viltolarsen, 10 mg ",,,111.67,111.67,1
RC,636,"Injection, vinblastine sulfate, 1 mg ",21.0,21.0,8.5,8.5,1
RC,636,"Injection, vinorelbine tartrate, 10 mg ",,,8.2,8.2,1
RC,636,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,3.02,3.02,1
RC,636,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,2.18,2.18,1
RC,636,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,2.46,2.46,1
RC,636,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,5065.65,5065.65,1
RC,636,"Injection, voriconazole, 10 mg ",,,1.07,1.07,1
RC,636,"Injection, vutrisiran, 1 mg ",,,8281.8,8281.8,1
RC,636,"Injection, zanidatamab-hrii, 2 mg ",,,41.25,41.25,1
RC,636,"Injection, zenocutuzumab-zbco, 1 mg ",,,55.39,55.39,1
RC,636,"Injection, ziconotide, 1 microgram ",,,17.26,17.26,1
RC,636,"Injection, zidovudine, 10 mg ",,,2.49,2.49,1
RC,636,"Injection, ziprasidone mesylate, 10 mg ",941.0,941.0,9.69,9.69,1
RC,636,"Injection, ziv-aflibercept, 1 mg ",,,14.21,14.21,1
RC,636,"Injection, zolbetuximab-clzb, 2 mg ",,,55.52,55.52,1
RC,636,"Injection, zoledronic acid, 1 mg ",868.0,868.0,50.95,50.95,1
RC,636,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,201135.0,201135.0,1
RC,636,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Innovamatrix pd, 1 mg ",,,28.1,28.1,1
RC,636,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,1.37,1.37,1
RC,636,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,56.07,56.07,1
RC,636,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,2349.8,2349.8,1
RC,636,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,8.3,8.3,1
RC,636,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,14.45,14.45,1
RC,636,"Insulin (fiasp), per 5 units ",,,1.12,1.12,1
RC,636,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,24.92,24.92,1
RC,636,"Insulin (lyumjev), per 5 units ",,,0.99,0.99,1
RC,636,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,5.16,5.16,1
RC,636,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Integra flowable wound matrix, injectable, 1 cc ",26264.0,26264.0,4670.82,4670.82,1
RC,636,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Interfyl, 1 mg ",14630.0,14630.0,64.27,64.27,1
RC,636,Intrauterine copper contraceptive (miudella) ,,,2350.26,2350.26,1
RC,636,Intrauterine copper contraceptive (paragard) ,,,2349.6,2349.6,1
RC,636,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,78.94,78.94,1
RC,636,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,358.56,358.56,1
RC,636,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,106065.8,106065.8,1
RC,636,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2289.77,2289.77,1
RC,636,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,3823.88,3823.88,1
RC,636,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,167.54,167.54,1
RC,636,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,287.13,287.13,1
RC,636,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,773.95,773.95,1
RC,636,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,1071.91,1071.91,1
RC,636,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,653.93,653.93,1
RC,636,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,1572.47,1572.47,1
RC,636,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,1430.14,1430.14,1
RC,636,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",,,160.92,160.92,1
RC,636,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",,,39.72,39.72,1
RC,636,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,34.27,34.27,1
RC,636,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,7.16,7.16,1
RC,636,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,0.73,0.73,1
RC,636,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,23.69,23.69,1
RC,636,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,601.21,601.21,1
RC,636,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.15,0.15,1
RC,636,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.13,0.13,1
RC,636,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,2.21,2.21,1
RC,636,"Leuprolide acetate (for depot suspension), 7.5 mg ",15654.0,15654.0,290.73,290.73,1
RC,636,"Leuprolide acetate, per 1 mg ",,,249.98,249.98,1
RC,636,"Leuprolide injectable, camcevi, 1 mg ",,,65.92,65.92,1
RC,636,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,3.3,3.3,1
RC,636,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.53,0.53,1
RC,636,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.15,0.15,1
RC,636,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,640.4,640.4,1
RC,636,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,1937.07,1937.07,1
RC,636,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,2519.43,2519.43,1
RC,636,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,2097.84,2097.84,1
RC,636,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,2519.43,2519.43,1
RC,636,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,927730.39,927730.39,1
RC,636,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.91,1.91,1
RC,636,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",113.0,113.0,0.71,0.71,1
RC,636,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.25,0.25,1
RC,636,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,428.34,428.34,1
RC,636,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,527.9,527.9,1
RC,636,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,8732.51,8732.51,1
RC,636,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1688.15,1688.15,1
RC,636,"Mannitol, administered through an inhaler, 5 mg ",,,1.95,1.95,1
RC,636,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Matristem micromatrix, 1 mg ",,,13.08,13.08,1
RC,636,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,571.56,571.56,1
RC,636,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Melphalan; oral, 2 mg ",70.0,70.0,7.72,7.72,1
RC,636,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,349.64,349.64,1
RC,636,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,350.43,350.43,1
RC,636,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,39.12,39.12,1
RC,636,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,525.94,525.94,1
RC,636,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,498.43,498.43,1
RC,636,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,147.69,147.69,1
RC,636,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",1133.0,1133.0,447.05,447.05,1
RC,636,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,497.34,497.34,1
RC,636,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",290.0,290.0,1.8,1.8,1
RC,636,"Methotrexate (jylamvo), oral, 2.5 mg ",,,30.87,30.87,1
RC,636,"Methotrexate (xatmep), oral, 2.5 mg ",,,36.8,36.8,1
RC,636,"Methotrexate; oral, 2.5 mg ",117.0,117.0,0.23,0.23,1
RC,636,"Methylprednisolone oral, per 4 mg ",,,0.23,0.23,1
RC,636,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Microlyte painguard, per square centimeter ",,,209.78,209.78,1
RC,636,"Miglustat, oral, 65 mg ",,,70.39,70.39,1
RC,636,"Miro3d fibers, per milligram ",,,27.09,27.09,1
RC,636,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Mitomycin pyelocalyceal instillation, 1 mg ",,,533.23,533.23,1
RC,636,"Mitomycin, intravesical instillation, 1 mg ",,,459.24,459.24,1
RC,636,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,18.73,18.73,1
RC,636,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,3.71,3.71,1
RC,636,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.51,0.51,1
RC,636,"Mycophenolate mofetil, oral, 250 mg ",70.0,70.0,0.23,0.23,1
RC,636,"Mycophenolic acid, oral, 180 mg ",,,0.53,0.53,1
RC,636,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,38.82,38.82,1
RC,636,"Myriad morcells, 4 milligrams ",,,21.78,21.78,1
RC,636,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Neoxflo or clarixflo, 1 mg ",,,56.27,56.27,1
RC,636,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,656.35,656.35,1
RC,636,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,1321.57,1321.57,1
RC,636,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,209.98,209.98,1
RC,636,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Novashield or novogen wound matrix, per square centimeter ",,,209.78,209.78,1
RC,636,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,459112.5,459112.5,1
RC,636,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,253.69,253.69,1
RC,636,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1026.23,1026.23,1
RC,636,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,2378.48,2378.48,1
RC,636,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,121.39,121.39,1
RC,636,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.11,1.11,1
RC,636,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,159.41,159.41,1
RC,636,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,571.71,571.71,1
RC,636,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,425.45,425.45,1
RC,636,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",783.0,783.0,444.36,444.36,1
RC,636,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",2114.35,2114.35,516.29,516.29,1
RC,636,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,568.01,568.01,1
RC,636,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Prednisolone oral, per 5 mg ",2.5,2.5,1.22,1.22,1
RC,636,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,3.65,3.65,1
RC,636,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Procenta, per 100 mg ",,,9801.5,9801.5,1
RC,636,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.38,3.38,1
RC,636,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,454.05,454.05,1
RC,636,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,399.6,399.6,1
RC,636,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,581.53,581.53,1
RC,636,"Rabies vaccine, for intradermal use ",,,390.82,390.82,1
RC,636,"Rabies vaccine, for intramuscular use ",,,520.11,520.11,1
RC,636,"Radioelements for brachytherapy, any type, each ",,,101.95,101.95,1
RC,636,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,77046.96,77046.96,1
RC,636,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,282.3,282.3,1
RC,636,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,631.62,631.62,1
RC,636,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,635.68,635.68,1
RC,636,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,631.75,631.75,1
RC,636,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,720.64,720.64,1
RC,636,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1100.88,1100.88,1
RC,636,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",3950.0,3950.0,1178.22,1178.22,1
RC,636,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1178.22,1178.22,1
RC,636,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.33,0.33,1
RC,636,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,636,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,217.01,217.01,1
RC,636,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,132.0,132.0,1
RC,636,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1096.84,1096.84,1
RC,636,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,4514.4,4514.4,1
RC,636,"Ringers lactate infusion, up to 1000 cc ",,,4.29,4.29,1
RC,636,"Rolapitant, oral, 1 mg ",,,7.28,7.28,1
RC,636,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,308.24,308.24,1
RC,636,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,203.18,203.18,1
RC,636,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,817.31,817.31,1
RC,636,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,5213.67,5213.67,1
RC,636,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,4792.69,4792.69,1
RC,636,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.17,0.17,1
RC,636,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.51,0.51,1
RC,636,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.33,0.33,1
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,333.15,333.15,1
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,242.65,242.65,1
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,266.72,266.72,1
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,156.42,156.42,1
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,108.03,108.03,1
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,277.81,277.81,1
RC,636,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,316.67,316.67,1
RC,636,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,92844.16,92844.16,1
RC,636,"Sirolimus, oral, 1 mg ",81.0,81.0,2.1,2.1,1
RC,636,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,209.78,209.78,1
RC,636,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.02,0.02,1
RC,636,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,446.41,446.41,1
RC,636,"Sodium phosphate p-32, therapeutic, per millicurie ",,,459.1,459.1,1
RC,636,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,6841.46,6841.46,1
RC,636,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.35,0.35,1
RC,636,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Suzetrigine, oral 1 mg ",,,0.54,0.54,1
RC,636,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,0.97,0.97,1
RC,636,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,3.07,3.07,1
RC,636,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,2.11,2.11,1
RC,636,"Tacrolimus, immediate release, oral, 1 mg ",,,0.38,0.38,1
RC,636,"Tacrolimus, parenteral, 5 mg ",2134.0,2134.0,428.93,428.93,1
RC,636,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,16.5,16.5,1
RC,636,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,867.45,867.45,1
RC,636,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,2138.32,2138.32,1
RC,636,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,1279.61,1279.61,1
RC,636,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,1321.02,1321.02,1
RC,636,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,101.95,101.95,1
RC,636,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,1541.31,1541.31,1
RC,636,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2644.26,2644.26,1
RC,636,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,179.67,179.67,1
RC,636,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,50.14,50.14,1
RC,636,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,187.21,187.21,1
RC,636,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,106.36,106.36,1
RC,636,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",,,1308.9,1308.9,1
RC,636,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,85.98,85.98,1
RC,636,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,34.72,34.72,1
RC,636,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",,,47.39,47.39,1
RC,636,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",,,18.18,18.18,1
RC,636,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,74.96,74.96,1
RC,636,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,743.46,743.46,1
RC,636,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,1088.88,1088.88,1
RC,636,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,1239.81,1239.81,1
RC,636,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,192.89,192.89,1
RC,636,"Temozolomide, oral, 5 mg ",,,0.66,0.66,1
RC,636,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,21.5,21.5,1
RC,636,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,21.5,21.5,1
RC,636,"Testosterone pellet, implant, 75 mg ",,,123.7,123.7,1
RC,636,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,1298.2,1298.2,1
RC,636,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,91.49,91.49,1
RC,636,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1013398.34,1013398.34,1
RC,636,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,98.65,98.65,1
RC,636,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",15.75,15.75,12.82,12.82,1
RC,636,"Topical administration, prademagene zamikeracel, per treatment ",,,5504103.0,5504103.0,1
RC,636,"Topotecan, oral, 0.25 mg ",,,206.61,206.61,1
RC,636,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,1302.15,1302.15,1
RC,636,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,7.72,7.72,1
RC,636,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.11,1.11,1
RC,636,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,274.54,274.54,1
RC,636,"Typhoid vaccine, live, oral ",,,232.22,232.22,1
RC,636,Unlisted immune globulin ,,,706.02,706.02,1
RC,636,"Ustekinumab, for intravenous injection, 1 mg ",,,19.17,19.17,1
RC,636,"Ustekinumab, for subcutaneous injection, 1 mg ",,,672.72,672.72,1
RC,636,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.02,0.02,1
RC,636,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.23,0.23,1
RC,636,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,380.14,380.14,1
RC,636,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Woundex flow, bioskin flow, 0.5 cc ",,,4235.01,4235.01,1
RC,636,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xcellistem, 1 mg ",,,25.74,25.74,1
RC,636,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,505.38,505.38,1
RC,636,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Yellow fever vaccine, live, for subcutaneous use ",,,507.54,507.54,1
RC,636,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,93760.51,93760.51,1
RC,636,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",1.0,1.0,209.78,209.78,1
RC,636,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,235.88,235.88,1
RC,636,"injection, busulfan, 1 mg ",,,1.12,1.12,1
RC,637, Pharmacy - Self-Administrable Drugs  ,,,,,0
RC,655, Hospice Service Inpatient Respite Care  ,,,2440.0,2440.0,1
RC,656, Hospice Service General Inpatient Care Non-Respite  ,,,2440.0,2440.0,1
RC,681, Trauma Response - Level I Trauma  ,,,6000.0,13214.0,9
RC,681,17-hydroxypregnenolone Trauma,,,54.74,54.74,2
RC,681,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc Trauma",,,123.14,123.14,2
RC,681,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain Trauma",,,720.0,720.0,2
RC,681,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Trauma",,,14795.37,30877.3,4
RC,681,ABORTION WITHOUT D&C Trauma,,,13065.41,27266.95,4
RC,681,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) Trauma,,,208.7,208.7,2
RC,681,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) Trauma,,,187.82,187.82,2
RC,681,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) Trauma,,,78.29,78.29,2
RC,681,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION Trauma,,,14339.83,29926.61,4
RC,681,ACUTE LEUKEMIA WITH CC Trauma,,,26404.48,55105.01,4
RC,681,ACUTE LEUKEMIA WITH MCC Trauma,,,62891.04,131250.86,4
RC,681,ACUTE LEUKEMIA WITH OTHER PROCEDURES Trauma,,,96864.12,202151.21,4
RC,681,ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,17119.12,35726.86,4
RC,681,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) Trauma",,,659.59,659.59,2
RC,681,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,AFTERCARE WITH CC/MCC Trauma,,,16799.71,35060.26,4
RC,681,AFTERCARE WITHOUT CC/MCC Trauma,,,10775.96,22488.96,4
RC,681,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY Trauma",,,19221.0,40113.38,4
RC,681,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC Trauma",,,22752.72,47483.93,4
RC,681,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC Trauma",,,13510.22,28195.25,4
RC,681,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA Trauma",,,10660.2,22247.38,4
RC,681,ALLERGIC REACTIONS WITH MCC Trauma,,,22072.1,46063.51,4
RC,681,ALLERGIC REACTIONS WITHOUT MCC Trauma,,,11189.69,23352.4,4
RC,681,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants Trauma",,,480.0,480.0,2
RC,681,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence Trauma",,,1872.0,1872.0,2
RC,681,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants Trauma",,,672.0,672.0,2
RC,681,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) Trauma",,,328.8,328.8,2
RC,681,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence Trauma",,,723.24,723.24,2
RC,681,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant Trauma",,,444.48,444.48,2
RC,681,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) Trauma",,,113.4,113.4,2
RC,681,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence Trauma",,,1623.6,1623.6,2
RC,681,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,580.56,580.56,2
RC,681,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,Abatacept injection Trauma,,,110.06,110.06,2
RC,681,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,35092.32,35092.32,2
RC,681,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,29301.36,29301.36,2
RC,681,"Above elbow, molded double wall socket, internal locking elbow, forearm Trauma",,,8398.54,8398.54,2
RC,681,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,9529.2,9529.2,2
RC,681,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot Trauma",,,11177.38,11177.38,2
RC,681,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee Trauma",,,11715.22,11715.22,2
RC,681,"Above knee, molded socket, single axis constant friction knee, shin, sach foot Trauma",,,10747.34,10747.34,2
RC,681,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each Trauma",,,8104.27,8104.27,2
RC,681,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each Trauma",,,7129.75,7129.75,2
RC,681,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each Trauma",,,2107.34,2107.34,2
RC,681,"Accessory for speech generating device, electromyographic sensor Trauma",,,10778.4,10778.4,2
RC,681,"Accessory to custom gradient compression garment, silicone band, any size Trauma",,,50.06,50.06,2
RC,681,"Accessory, arm trough, with or without hand support, each Trauma",,,241.82,241.82,2
RC,681,Acetaminophen Trauma,,,44.74,44.74,2
RC,681,Acetylcholine receptor (AChR); binding antibody Trauma,,,44.16,44.16,2
RC,681,Acetylcholine receptor (AChR); blocking antibody Trauma,,,44.16,44.16,2
RC,681,Acetylcholine receptor (AChR); modulating antibody Trauma,,,28.92,28.92,2
RC,681,Acetylcholinesterase Trauma,,,29.5,29.5,2
RC,681,"Actin (smooth muscle) antibody (ASMA), each Trauma",,,28.92,28.92,2
RC,681,Activated Protein C (APC) resistance assay Trauma,,,36.77,36.77,2
RC,681,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,114.31,114.31,2
RC,681,"Acylcarnitines; qualitative, each specimen Trauma",,,39.58,39.58,2
RC,681,"Acylcarnitines; quantitative, each specimen Trauma",,,40.49,40.49,2
RC,681,Adalimumab Trauma,,,92.57,92.57,2
RC,681,"Addition  to lower extremity, below knee, molded distal cushion Trauma",,,331.75,331.75,2
RC,681,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling Trauma",,,225.48,225.48,2
RC,681,"Addition to ctlso or scoliosis orthosis, kyphosis pad Trauma",,,308.09,308.09,2
RC,681,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating Trauma",,,350.16,350.16,2
RC,681,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad Trauma",,,233.93,233.93,2
RC,681,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad Trauma",,,281.57,281.57,2
RC,681,"Addition to ctlso or scoliosis orthosis, lumbar sling Trauma",,,252.79,252.79,2
RC,681,"Addition to ctlso or scoliosis orthosis, outrigger Trauma",,,194.81,194.81,2
RC,681,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions Trauma",,,541.18,541.18,2
RC,681,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather Trauma",,,446.26,446.26,2
RC,681,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model Trauma",,,755.86,755.86,2
RC,681,"Addition to ctlso or scoliosis orthosis, sternal pad Trauma",,,243.74,243.74,2
RC,681,"Addition to ctlso or scoliosis orthosis, thoracic pad Trauma",,,274.97,274.97,2
RC,681,"Addition to ctlso or scoliosis orthosis, trapezius sling Trauma",,,281.16,281.16,2
RC,681,"Addition to ctlso, scoliosis orthosis, cover for upright, each Trauma",,,120.38,120.38,2
RC,681,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability Trauma",,,3195.02,3195.02,2
RC,681,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material Trauma",,,3359.74,3359.74,2
RC,681,"Addition to halo procedure, replacement liner/interface material Trauma",,,639.17,639.17,2
RC,681,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint Trauma",,,425.09,425.09,2
RC,681,"Addition to knee joint, drop lock, each Trauma",,,258.58,258.58,2
RC,681,"Addition to knee joint, lift loop for drop lock ring Trauma",,,281.23,281.23,2
RC,681,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint Trauma",,,425.09,425.09,2
RC,681,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint Trauma",,,360.24,360.24,2
RC,681,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens Trauma",,,36.43,36.43,2
RC,681,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type Trauma",,,504.74,504.74,2
RC,681,"Addition to lower extremity fracture orthosis, drop lock knee joint Trauma",,,252.79,252.79,2
RC,681,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt Trauma",,,983.35,983.35,2
RC,681,"Addition to lower extremity fracture orthosis, limited motion knee joint Trauma",,,455.52,455.52,2
RC,681,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints Trauma",,,322.99,322.99,2
RC,681,"Addition to lower extremity fracture orthosis, quadrilateral brim Trauma",,,1101.29,1101.29,2
RC,681,"Addition to lower extremity fracture orthosis, waist belt Trauma",,,286.03,286.03,2
RC,681,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source Trauma",,,4318.61,4318.61,2
RC,681,"Addition to lower extremity orthosis, drop lock retainer, each Trauma",,,116.54,116.54,2
RC,681,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) Trauma",,,167.57,167.57,2
RC,681,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each Trauma",,,170.76,170.76,2
RC,681,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only Trauma",,,387.58,387.58,2
RC,681,"Addition to lower extremity orthosis, knee control, condylar pad Trauma",,,215.4,215.4,2
RC,681,"Addition to lower extremity orthosis, knee control, full kneecap Trauma",,,234.36,234.36,2
RC,681,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only Trauma",,,294.17,294.17,2
RC,681,"Addition to lower extremity orthosis, non-corrosive finish, per bar Trauma",,,198.22,198.22,2
RC,681,"Addition to lower extremity orthosis, plating chrome or nickel, per bar Trauma",,,230.52,230.52,2
RC,681,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each Trauma",,,251.42,251.42,2
RC,681,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only Trauma",,,286.51,286.51,2
RC,681,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section Trauma",,,269.3,269.3,2
RC,681,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section Trauma",,,239.5,239.5,2
RC,681,"Addition to lower extremity orthosis, suspension sleeve Trauma",,,323.23,323.23,2
RC,681,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each Trauma",,,150.34,150.34,2
RC,681,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector Trauma",,,28212.0,28212.0,2
RC,681,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each Trauma",,,380.57,380.57,2
RC,681,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type Trauma",,,55221.6,55221.6,2
RC,681,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type Trauma",,,71328.0,71328.0,2
RC,681,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type Trauma",,,25309.68,25309.68,2
RC,681,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) Trauma",,,43111.2,43111.2,2
RC,681,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type Trauma",,,1673.78,1673.78,2
RC,681,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials Trauma",,,735.17,735.17,2
RC,681,"Addition to lower extremity prosthesis, user adjustable heel height Trauma",,,5390.5,5390.5,2
RC,681,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable Trauma",,,755.74,755.74,2
RC,681,"Addition to lower extremity, abduction bar-straight Trauma",,,339.29,339.29,2
RC,681,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket Trauma",,,1290.98,1290.98,2
RC,681,"Addition to lower extremity, above knee or knee disarticulation, pelvic band Trauma",,,235.87,235.87,2
RC,681,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint Trauma",,,543.62,543.62,2
RC,681,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage Trauma",,,385.68,385.68,2
RC,681,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket Trauma",,,1934.42,1934.42,2
RC,681,"Addition to lower extremity, above knee, flexible inner socket, external frame Trauma",,,3528.53,3528.53,2
RC,681,"Addition to lower extremity, above knee, leather socket Trauma",,,1820.4,1820.4,2
RC,681,"Addition to lower extremity, above knee, pelvic control belt, light Trauma",,,390.41,390.41,2
RC,681,"Addition to lower extremity, above knee, pelvic control belt, padded and lined Trauma",,,533.04,533.04,2
RC,681,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each Trauma",,,492.02,492.02,2
RC,681,"Addition to lower extremity, above knee, wood socket Trauma",,,1735.42,1735.42,2
RC,681,"Addition to lower extremity, anterior swing band Trauma",,,637.03,637.03,2
RC,681,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert Trauma",,,1689.55,1689.55,2
RC,681,"Addition to lower extremity, below knee suction socket Trauma",,,2337.22,2337.22,2
RC,681,"Addition to lower extremity, below knee, acrylic socket Trauma",,,933.74,933.74,2
RC,681,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket Trauma",,,1609.85,1609.85,2
RC,681,"Addition to lower extremity, below knee, back check (extension control) Trauma",,,150.12,150.12,2
RC,681,"Addition to lower extremity, below knee, cuff suspension Trauma",,,205.66,205.66,2
RC,681,"Addition to lower extremity, below knee, flexible inner socket, external frame Trauma",,,2344.34,2344.34,2
RC,681,"Addition to lower extremity, below knee, fork strap Trauma",,,141.43,141.43,2
RC,681,"Addition to lower extremity, below knee, leather socket Trauma",,,1478.59,1478.59,2
RC,681,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) Trauma",,,797.28,797.28,2
RC,681,"Addition to lower extremity, below knee, removable medial brim suspension Trauma",,,876.14,876.14,2
RC,681,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded Trauma",,,1837.51,1837.51,2
RC,681,"Addition to lower extremity, below knee, thigh lacer, nonmolded Trauma",,,973.85,973.85,2
RC,681,"Addition to lower extremity, below knee, total contact Trauma",,,848.81,848.81,2
RC,681,"Addition to lower extremity, below knee, waist belt, padded and lined Trauma",,,287.52,287.52,2
RC,681,"Addition to lower extremity, below knee, waist belt, webbing Trauma",,,179.47,179.47,2
RC,681,"Addition to lower extremity, below knee, wood socket Trauma",,,3294.24,3294.24,2
RC,681,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,1740.94,2089.22,4
RC,681,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,3908.42,3908.42,2
RC,681,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,3908.42,3908.42,2
RC,681,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint Trauma",,,244.3,244.3,2
RC,681,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint Trauma",,,212.74,212.74,2
RC,681,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control Trauma",,,4733.93,4733.93,2
RC,681,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system Trauma",,,6083.18,6083.18,2
RC,681,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control Trauma",,,3999.65,3999.65,2
RC,681,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control Trauma",,,7401.38,7401.38,2
RC,681,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control Trauma",,,5013.91,5013.91,2
RC,681,"Addition to lower extremity, extended steel shank Trauma",,,142.68,142.68,2
RC,681,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment Trauma",,,979.94,979.94,2
RC,681,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame Trauma",,,4573.1,4573.1,2
RC,681,"Addition to lower extremity, ischial containment/narrow m-l socket Trauma",,,7009.56,7009.56,2
RC,681,"Addition to lower extremity, knee disarticulation, expandable wall socket Trauma",,,1710.02,1710.02,2
RC,681,"Addition to lower extremity, knee disarticulation, leather socket Trauma",,,1878.79,1878.79,2
RC,681,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only Trauma",,,1082.9,1082.9,2
RC,681,"Addition to lower extremity, limited ankle motion, each joint Trauma",,,131.11,131.11,2
RC,681,"Addition to lower extremity, long tongue stirrup Trauma",,,324.79,324.79,2
RC,681,"Addition to lower extremity, molded inner boot Trauma",,,1338.79,1338.79,2
RC,681,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only Trauma",,,567.46,567.46,2
RC,681,"Addition to lower extremity, offset knee joint, each joint Trauma",,,301.9,301.9,2
RC,681,"Addition to lower extremity, offset knee joint, heavy duty, each joint Trauma",,,460.92,460.92,2
RC,681,"Addition to lower extremity, patten bottom Trauma",,,707.95,707.95,2
RC,681,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each Trauma",,,330.96,330.96,2
RC,681,"Addition to lower extremity, pelvic control, band and belt, bilateral Trauma",,,926.81,926.81,2
RC,681,"Addition to lower extremity, pelvic control, band and belt, unilateral Trauma",,,682.92,682.92,2
RC,681,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each Trauma",,,845.74,845.74,2
RC,681,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each Trauma",,,1149.74,1149.74,2
RC,681,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each Trauma",,,669.77,669.77,2
RC,681,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each Trauma",,,1751.47,1751.47,2
RC,681,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each Trauma",,,566.42,566.42,2
RC,681,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each Trauma",,,737.4,737.4,2
RC,681,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables Trauma",,,5564.35,5564.35,2
RC,681,"Addition to lower extremity, pelvic control, pelvic sling Trauma",,,1660.3,1660.3,2
RC,681,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables Trauma",,,4736.93,4736.93,2
RC,681,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint Trauma",,,501.31,501.31,2
RC,681,"Addition to lower extremity, pre-tibial shell, molded to patient model Trauma",,,1503.26,1503.26,2
RC,681,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) Trauma",,,2457.41,2457.41,2
RC,681,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each Trauma",,,1662.46,1662.46,2
RC,681,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) Trauma",,,552.84,552.84,2
RC,681,"Addition to lower extremity, round caliper and plate attachment Trauma",,,230.66,230.66,2
RC,681,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,1068.31,1068.31,2
RC,681,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,825.79,825.79,2
RC,681,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,1107.77,1107.77,2
RC,681,"Addition to lower extremity, socket insert, multi-durometer symes Trauma",,,1788.02,1788.02,2
RC,681,"Addition to lower extremity, socket insert, multi-durometer, below knee Trauma",,,1504.42,1504.42,2
RC,681,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,974.45,974.45,2
RC,681,"Addition to lower extremity, split flat caliper stirrups and plate attachment Trauma",,,211.61,211.61,2
RC,681,"Addition to lower extremity, straight knee joint, heavy duty, each joint Trauma",,,369.41,369.41,2
RC,681,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket Trauma",,,1281.0,1281.0,2
RC,681,"Addition to lower extremity, symes type, 'ptb' brim design socket Trauma",,,720.5,720.5,2
RC,681,"Addition to lower extremity, symes type, expandable wall socket Trauma",,,1318.66,1318.66,2
RC,681,"Addition to lower extremity, symes type, medial opening socket Trauma",,,748.66,748.66,2
RC,681,"Addition to lower extremity, symes type, posterior opening (canadian) socket Trauma",,,893.76,893.76,2
RC,681,"Addition to lower extremity, test socket, above knee Trauma",,,1068.19,1068.19,2
RC,681,"Addition to lower extremity, test socket, below knee Trauma",,,816.86,816.86,2
RC,681,"Addition to lower extremity, test socket, hemipelvectomy Trauma",,,1497.91,1497.91,2
RC,681,"Addition to lower extremity, test socket, hip disarticulation Trauma",,,1400.88,1400.88,2
RC,681,"Addition to lower extremity, test socket, knee disarticulation Trauma",,,1065.17,1065.17,2
RC,681,"Addition to lower extremity, test socket, symes Trauma",,,879.5,879.5,2
RC,681,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded Trauma",,,647.98,647.98,2
RC,681,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring Trauma",,,870.05,870.05,2
RC,681,"Addition to lower extremity, thigh/weight bearing, high roll cuff Trauma",,,792.1,792.1,2
RC,681,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model Trauma",,,4358.81,4358.81,2
RC,681,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted Trauma",,,2349.43,2349.43,2
RC,681,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model Trauma",,,1165.99,1165.99,2
RC,681,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted Trauma",,,1270.51,1270.51,2
RC,681,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model Trauma",,,2329.44,2329.44,2
RC,681,"Addition to lower extremity, thoracic control, lateral support uprights Trauma",,,431.57,431.57,2
RC,681,"Addition to lower extremity, thoracic control, paraspinal uprights Trauma",,,470.45,470.45,2
RC,681,"Addition to lower extremity, thoracic control, thoracic band Trauma",,,514.01,514.01,2
RC,681,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup Trauma",,,311.62,311.62,2
RC,681,"Addition to lower extremity, torsion control, straight knee joint, each joint Trauma",,,339.53,339.53,2
RC,681,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) Trauma",,,7560.17,7560.17,2
RC,681,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad Trauma",,,148.1,148.1,2
RC,681,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined Trauma",,,360.38,360.38,2
RC,681,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature Trauma",,,10797.38,10797.38,2
RC,681,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system Trauma",,,11888.59,11888.59,2
RC,681,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty Trauma",,,12533.3,12533.3,2
RC,681,"Addition to lower limb prosthesis, vertical shock reducing pylon feature Trauma",,,5935.66,5935.66,2
RC,681,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material Trauma",,,814.8,814.8,2
RC,681,"Addition to terminal device, modifier wrist unit Trauma",,,999.67,999.67,2
RC,681,"Addition to terminal device, precision pinch device Trauma",,,566.59,566.59,2
RC,681,"Addition to tlso, (low profile), abdominal pad Trauma",,,272.74,272.74,2
RC,681,"Addition to tlso, (low profile), anterior asis pad Trauma",,,265.66,265.66,2
RC,681,"Addition to tlso, (low profile), anterior thoracic derotation pad Trauma",,,273.05,273.05,2
RC,681,"Addition to tlso, (low profile), anterior thoracic extension Trauma",,,610.99,610.99,2
RC,681,"Addition to tlso, (low profile), lateral thoracic extension Trauma",,,721.63,721.63,2
RC,681,"Addition to tlso, (low profile), lateral trochanteric pad Trauma",,,275.59,275.59,2
RC,681,"Addition to tlso, (low profile), lumbar derotation pad Trauma",,,269.78,269.78,2
RC,681,"Addition to tlso, (low profile), milwaukee type superstructure Trauma",,,1567.73,1567.73,2
RC,681,"Addition to tlso, (low profile), rib gusset (elastic), each Trauma",,,243.1,243.1,2
RC,681,"Addition to upper extremity orthosis, sock, fracture or equal, each Trauma",,,92.28,92.28,2
RC,681,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material Trauma",,,1651.37,1651.37,2
RC,681,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) Trauma",,,1019.54,1019.54,2
RC,681,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,2089.22,2089.22,2
RC,681,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,1740.94,1740.94,2
RC,681,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,3908.42,3908.42,2
RC,681,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,3908.42,3908.42,2
RC,681,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material Trauma",,,1094.26,1094.26,2
RC,681,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) Trauma",,,910.7,910.7,2
RC,681,"Addition to upper extremity prosthesis, external powered, additional switch, any type Trauma",,,1223.28,1223.28,2
RC,681,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated Trauma",,,1838.45,1838.45,2
RC,681,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment Trauma",,,499.75,499.75,2
RC,681,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert Trauma",,,1689.55,1689.55,2
RC,681,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material Trauma",,,1094.26,1094.26,2
RC,681,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) Trauma",,,910.7,910.7,2
RC,681,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material Trauma",,,2159.86,2159.86,2
RC,681,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) Trauma",,,1100.88,1100.88,2
RC,681,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) Trauma",,,7560.17,7560.17,2
RC,681,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control Trauma",,,16420.68,16420.68,2
RC,681,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control Trauma",,,2821.61,2821.61,2
RC,681,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock Trauma",,,11034.94,11034.94,2
RC,681,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock Trauma",,,2513.86,2513.86,2
RC,681,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control Trauma",,,6889.13,6889.13,2
RC,681,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control Trauma",,,8297.26,8297.26,2
RC,681,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control Trauma",,,4505.9,4505.9,2
RC,681,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) Trauma",,,1660.94,1660.94,2
RC,681,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame Trauma",,,9278.93,9278.93,2
RC,681,"Addition, endoskeletal knee-shin system, single axis, manual lock Trauma",,,1430.5,1430.5,2
RC,681,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material Trauma",,,2142.86,2142.86,2
RC,681,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control Trauma",,,5003.45,5003.45,2
RC,681,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control Trauma",,,5575.32,5575.32,2
RC,681,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control Trauma",,,10308.77,10308.77,2
RC,681,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system Trauma",,,1558.99,1558.99,2
RC,681,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist Trauma",,,375.86,375.86,2
RC,681,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system Trauma",,,2751.7,2751.7,2
RC,681,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock Trauma",,,1316.35,1316.35,2
RC,681,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,2304.43,2304.43,2
RC,681,"Addition, endoskeletal system, below knee, alignable system Trauma",,,1064.14,1064.14,2
RC,681,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system Trauma",,,1864.13,1864.13,2
RC,681,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,1473.84,1473.84,2
RC,681,"Addition, endoskeletal system, high activity knee control frame Trauma",,,10000.97,10000.97,2
RC,681,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system Trauma",,,3506.33,3506.33,2
RC,681,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist Trauma",,,1009.99,1009.99,2
RC,681,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) Trauma",,,2832.53,2832.53,2
RC,681,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control Trauma",,,13506.72,13506.72,2
RC,681,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable Trauma",,,5325.72,5325.72,2
RC,681,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control Trauma",,,2676.62,2676.62,2
RC,681,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock Trauma",,,2141.47,2141.47,2
RC,681,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control Trauma",,,5111.18,5111.18,2
RC,681,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control Trauma",,,6991.42,6991.42,2
RC,681,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control Trauma",,,4434.96,4434.96,2
RC,681,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) Trauma",,,1286.76,1286.76,2
RC,681,"Addition, exoskeletal knee-shin system, single axis, manual lock Trauma",,,1098.86,1098.86,2
RC,681,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control Trauma",,,2827.73,2827.73,2
RC,681,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control Trauma",,,3363.96,3363.96,2
RC,681,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control Trauma",,,1321.7,1321.7,2
RC,681,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,2112.62,2112.62,2
RC,681,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,1890.96,1890.96,2
RC,681,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) Trauma",,,4206.26,4206.26,2
RC,681,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material Trauma",,,1535.71,1535.71,2
RC,681,"Additions to lower extremity, below knee, joint covers, pair Trauma",,,116.66,116.66,2
RC,681,"Additions to lower extremity, below knee, knee joints, polycentric, pair Trauma",,,1448.69,1448.69,2
RC,681,"Additions to lower extremity, below knee, knee joints, single axis, pair Trauma",,,1064.71,1064.71,2
RC,681,"Additions to lower extremity, total contact, above knee or knee disarticulation socket Trauma",,,1434.38,1434.38,2
RC,681,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) Trauma",,,61.92,61.92,2
RC,681,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each Trauma",,,4.7,4.7,2
RC,681,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each Trauma",,,1.1,1.1,2
RC,681,Adhesive or non-adhesive; disk or foam pad Trauma,,,3.82,3.82,2
RC,681,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce Trauma",,,4.15,4.15,2
RC,681,"Adhesive remover, wipes, any type, each Trauma",,,0.84,0.84,2
RC,681,"Adhesive skin support attachment for use with external breast prosthesis, each Trauma",,,18.26,18.26,2
RC,681,"Adhesive, liquid or equal, any type, per oz Trauma",,,9.0,9.0,2
RC,681,"Adjunctive, non-implanted continuous glucose monitor or receiver Trauma",,,574.13,574.13,2
RC,681,"Adjustable angle footplate, each Trauma",,,157.13,157.13,2
RC,681,"Administration set, with small volume filtered pneumatic nebulizer Trauma",,,22.97,22.97,2
RC,681,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable Trauma",,,4.54,4.54,2
RC,681,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable Trauma",,,36.05,36.05,2
RC,681,Adrenocorticotropic hormone (ACTH) Trauma,,,92.69,92.69,2
RC,681,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,201.41,222.77,4
RC,681,"Aerosol compressor, adjustable pressure, light duty for intermittent use Trauma",,,94.66,94.66,2
RC,681,"Aerosol mask, used with dme nebulizer Trauma",,,3.94,3.94,2
RC,681,"Afamelanotide implant, 1 m Trauma",,,7064.21,7064.21,2
RC,681,Agalsidase beta injection Trauma,,,558.53,558.53,2
RC,681,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen Trauma",,,16.75,16.75,2
RC,681,Air fluidized bed Trauma,,,9818.42,9818.42,2
RC,681,Air pressure mattress Trauma,,,54.07,54.07,2
RC,681,"Air pressure pad for mattress, standard mattress length and width Trauma",,,50.69,50.69,2
RC,681,"Albumin (human), 25%, 20 m Trauma",,,51.19,51.19,2
RC,681,"Albumin (human), 25%, 50ml Trauma",,,127.98,127.98,2
RC,681,"Albumin (human), 5%, 250 m Trauma",,,127.39,127.39,2
RC,681,"Albumin (human),5%, 50ml Trauma",,,25.48,25.48,2
RC,681,Albumin; ischemia modified Trauma,,,81.46,81.46,2
RC,681,"Albumin; other source, quantitative, each specimen Trauma",,,18.67,18.67,2
RC,681,"Albumin; serum, plasma or whole blood Trauma",,,11.88,11.88,2
RC,681,"Albumin; urine (eg, microalbumin), quantitative Trauma",,,13.87,13.87,2
RC,681,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Trauma",,,14.95,14.95,2
RC,681,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) Trauma",,,41.45,41.45,2
RC,681,Alcohol (ethanol); breath Trauma,,,72.0,72.0,2
RC,681,Aldesleukin injection Trauma,,,8013.29,8013.29,2
RC,681,Aldolase Trauma,,,23.3,23.3,2
RC,681,Aldosterone Trauma,,,97.8,97.8,2
RC,681,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) Trauma",,,301.2,301.2,2
RC,681,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing Trauma",,,25.18,25.18,2
RC,681,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Trauma",,,56.26,56.26,2
RC,681,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches Trauma",,,18.05,18.05,2
RC,681,"Alkaline battery for use with cochlear implant device, any size, replacement, each Trauma",,,0.96,0.96,2
RC,681,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon Trauma",,,838.99,838.99,2
RC,681,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability Trauma",,,1673.78,1673.78,2
RC,681,"All exoskeletal lower extremity prostheses, axial rotation unit Trauma",,,1698.6,1698.6,2
RC,681,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) Trauma",,,1645.46,1645.46,2
RC,681,"All lower extremity prostheses, flex foot system Trauma",,,10893.96,10893.96,2
RC,681,"All lower extremity prostheses, flex-walk system or equal Trauma",,,8800.85,8800.85,2
RC,681,"All lower extremity prostheses, foot, external keel, sach foot Trauma",,,596.71,596.71,2
RC,681,"All lower extremity prostheses, foot, flexible keel Trauma",,,1114.66,1114.66,2
RC,681,"All lower extremity prostheses, foot, multiaxial ankle/foot Trauma",,,857.45,857.45,2
RC,681,"All lower extremity prostheses, foot, single axis ankle/foot Trauma",,,684.7,684.7,2
RC,681,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) Trauma",,,1861.9,1861.9,2
RC,681,"All lower extremity prostheses, shoulder harness Trauma",,,694.82,694.82,2
RC,681,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot Trauma",,,1377.55,1377.55,2
RC,681,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only Trauma",,,305.06,305.06,2
RC,681,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system Trauma",,,6704.26,6704.26,2
RC,681,"All lower extremity prosthesis, shank foot system with vertical loading pylon Trauma",,,21374.57,21374.57,2
RC,681,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only Trauma",,,596.71,596.71,2
RC,681,All potassium hydroxide (koh) preparations Trauma,,,13.99,13.99,2
RC,681,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Trauma",,,19.13,19.13,2
RC,681,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Trauma",,,12.53,12.53,2
RC,681,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Trauma",,,43.03,43.03,2
RC,681,"Allergen specific IgG quantitative or semiquantitative, each allergen Trauma",,,18.77,18.77,2
RC,681,Alpha 1 proteinase inhibit Trauma,,,12.32,12.32,2
RC,681,Alpha-1-antitrypsin; phenotype Trauma,,,34.7,34.7,2
RC,681,Alpha-1-antitrypsin; total Trauma,,,32.26,32.26,2
RC,681,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) Trauma,,,154.58,154.58,2
RC,681,Alpha-fetoprotein (AFP); amniotic fluid Trauma,,,40.8,40.8,2
RC,681,Alpha-fetoprotein (AFP); serum Trauma,,,40.25,40.25,2
RC,681,Alteplase recombinant Trauma,,,236.61,236.61,2
RC,681,Altuviiio per factor viii Trauma,,,11.12,11.12,2
RC,681,Aluminum Trauma,,,61.15,61.15,2
RC,681,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater Trauma",,,52.63,52.63,2
RC,681,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours Trauma",,,35.47,35.47,2
RC,681,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient Trauma",,,742.39,742.39,2
RC,681,Amikacin Trauma,,,36.19,36.19,2
RC,681,"Amines, vaginal fluid, qualitative Trauma",,,14.38,14.38,2
RC,681,"Amino acids, 2 to 5 amino acids, quantitative, each specimen Trauma",,,47.06,47.06,2
RC,681,"Amino acids, 6 or more amino acids, quantitative, each specimen Trauma",,,40.49,40.49,2
RC,681,"Amino acids; multiple, qualitative, each specimen Trauma",,,33.29,33.29,2
RC,681,"Amino acids; single, qualitative, each specimen Trauma",,,34.03,34.03,2
RC,681,"Amino acids; single, quantitative, each specimen Trauma",,,55.15,55.15,2
RC,681,Aminolevulinic acid hcl to Trauma,,,934.27,934.27,2
RC,681,"Aminolevulinic acid, 10% g Trauma",,,4.44,4.44,2
RC,681,"Aminolevulinic acid, delta (ALA) Trauma",,,39.48,39.48,2
RC,681,Amiodarone Trauma,,,44.74,44.74,2
RC,681,Ammonia Trauma,,,34.97,34.97,2
RC,681,Amniotic fluid scan (spectrophotometric) Trauma,,,22.44,22.44,2
RC,681,Amphotericin b liposome in Trauma,,,47.63,47.63,2
RC,681,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests Trauma",,,340.34,340.34,2
RC,681,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests Trauma",,,294.62,294.62,2
RC,681,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest Trauma",,,284.86,284.86,2
RC,681,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,259.7,259.7,2
RC,681,"Amputee wheelchair, fixed full length arms, swing away detachable footrest Trauma",,,252.96,252.96,2
RC,681,"Amputee wheelchair, fixed full length arms, without footrests or legrest Trauma",,,233.02,233.02,2
RC,681,Amylase Trauma,,,15.55,15.55,2
RC,681,Androstanediol glucuronide Trauma,,,69.19,69.19,2
RC,681,Androstenedione Trauma,,,70.27,70.27,2
RC,681,Androsterone Trauma,,,61.32,61.32,2
RC,681,Angiotensin I - converting enzyme (ACE) Trauma,,,35.04,35.04,2
RC,681,Angiotensin II Trauma,,,49.25,49.25,2
RC,681,"Animal inoculation, small animal, with observation and dissection Trauma",,,40.42,40.42,2
RC,681,"Aniseikonic lens, single vision Trauma",,,215.47,215.47,2
RC,681,"Aniseikonic lens, trifocal Trauma",,,430.99,430.99,2
RC,681,"Aniseikonic, per lens, bifocal Trauma",,,297.19,297.19,2
RC,681,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf Trauma",,,289.99,289.99,2
RC,681,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated Trauma",,,1300.46,1300.46,2
RC,681,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated Trauma",,,2946.67,2946.67,2
RC,681,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated Trauma",,,1875.14,1875.14,2
RC,681,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment Trauma",,,2109.02,2109.02,2
RC,681,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment Trauma",,,1600.78,1600.78,2
RC,681,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment Trauma",,,1399.15,1399.15,2
RC,681,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf Trauma",,,379.01,379.01,2
RC,681,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment Trauma",,,1390.01,1390.01,2
RC,681,"Ankle foot orthosis, plastic or other material, custom fabricated Trauma",,,1474.39,1474.39,2
RC,681,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment Trauma",,,652.42,652.42,2
RC,681,"Ankle foot orthosis, plastic with ankle joint, custom fabricated Trauma",,,2261.04,2261.04,2
RC,681,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated Trauma",,,2707.56,2707.56,2
RC,681,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated Trauma",,,1528.68,1528.68,2
RC,681,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment Trauma",,,737.52,737.52,2
RC,681,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,2646.29,2646.29,2
RC,681,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf Trauma",,,2646.29,2646.29,2
RC,681,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated Trauma",,,1012.15,1012.15,2
RC,681,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated Trauma",,,964.15,964.15,2
RC,681,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,2490.5,2490.5,2
RC,681,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf Trauma",,,2490.5,2490.5,2
RC,681,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated Trauma",,,2054.21,2054.21,2
RC,681,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated Trauma",,,834.17,834.17,2
RC,681,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,4425.46,4425.46,2
RC,681,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated Trauma",,,1296.86,1296.86,2
RC,681,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf Trauma",,,226.54,226.54,2
RC,681,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated Trauma",,,1668.65,1668.65,2
RC,681,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot Trauma",,,8115.31,8115.31,2
RC,681,"Ankle, symes, molded socket, sach foot Trauma",,,7054.97,7054.97,2
RC,681,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only Trauma",,,6619.27,6619.27,2
RC,681,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Trauma",,,353.02,353.02,2
RC,681,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit Trauma",,,447.34,447.34,2
RC,681,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each Trauma",,,644.06,644.06,2
RC,681,Anterior chamber intraocular lens Trauma,,,349.75,349.75,2
RC,681,Anti-inhibitor Trauma,,,5.87,5.87,2
RC,681,Anti-mullerian hormone (AMH) Trauma,,,92.69,92.69,2
RC,681,Anti-phosphatidylserine (phospholipid) antibody Trauma,,,38.57,38.57,2
RC,681,"Anti-reflective coating, per lens Trauma",,,74.76,74.76,2
RC,681,Antibody identification; leukocyte antibodies Trauma,,,36.12,36.12,2
RC,681,Antibody identification; platelet antibodies Trauma,,,44.09,44.09,2
RC,681,Antibody identification; platelet associated immunoglobulin assay Trauma,,,29.9,29.9,2
RC,681,"Antibody screen, RBC, each serum technique Trauma",,,23.45,23.45,2
RC,681,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,196.51,229.25,4
RC,681,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,777.0,781.92,4
RC,681,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,154.06,154.06,2
RC,681,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I Trauma",,,858.14,858.14,2
RC,681,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II Trauma",,,775.1,775.1,2
RC,681,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,154.06,154.06,2
RC,681,Antibody; Aspergillus Trauma,,,36.12,36.12,2
RC,681,Antibody; Bartonella Trauma,,,24.43,24.43,2
RC,681,Antibody; Blastomyces Trauma,,,30.96,30.96,2
RC,681,Antibody; Bordetella Trauma,,,31.66,31.66,2
RC,681,Antibody; Borrelia (relapsing fever) Trauma,,,32.11,32.11,2
RC,681,Antibody; Borrelia burgdorferi (Lyme disease) Trauma,,,40.87,40.87,2
RC,681,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) Trauma",,,37.18,37.18,2
RC,681,Antibody; Brucella Trauma,,,21.43,21.43,2
RC,681,Antibody; Campylobacter Trauma,,,31.49,31.49,2
RC,681,Antibody; Candida Trauma,,,28.82,28.82,2
RC,681,Antibody; Chlamydia Trauma,,,28.37,28.37,2
RC,681,"Antibody; Chlamydia, IgM Trauma",,,30.43,30.43,2
RC,681,Antibody; Coccidioides Trauma,,,27.53,27.53,2
RC,681,Antibody; Coxiella burnetii (Q fever) Trauma,,,29.09,29.09,2
RC,681,Antibody; Cryptococcus Trauma,,,34.58,34.58,2
RC,681,Antibody; Diphtheria Trauma,,,36.5,36.5,2
RC,681,Antibody; Ehrlichia Trauma,,,24.43,24.43,2
RC,681,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) Trauma",,,31.49,31.49,2
RC,681,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) Trauma",,,36.7,36.7,2
RC,681,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) Trauma",,,43.54,43.54,2
RC,681,Antibody; Francisella tularensis Trauma,,,33.98,33.98,2
RC,681,Antibody; Giardia lamblia Trauma,,,35.33,35.33,2
RC,681,Antibody; HIV-1 Trauma,,,21.34,21.34,2
RC,681,"Antibody; HIV-1 and HIV-2, single result Trauma",,,32.9,32.9,2
RC,681,Antibody; HIV-2 Trauma,,,32.45,32.45,2
RC,681,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) Trauma",,,46.44,46.44,2
RC,681,Antibody; HTLV-I Trauma,,,21.82,21.82,2
RC,681,Antibody; HTLV-II Trauma,,,33.6,33.6,2
RC,681,Antibody; Haemophilus influenza Trauma,,,38.02,38.02,2
RC,681,Antibody; Helicobacter pylori Trauma,,,40.44,40.44,2
RC,681,Antibody; JC (John Cunningham) virus Trauma,,,40.54,40.54,2
RC,681,Antibody; Legionella Trauma,,,36.72,36.72,2
RC,681,Antibody; Leishmania Trauma,,,29.4,29.4,2
RC,681,Antibody; Leptospira Trauma,,,38.88,38.88,2
RC,681,Antibody; Listeria monocytogenes Trauma,,,31.66,31.66,2
RC,681,Antibody; Neisseria meningitidis Trauma,,,31.66,31.66,2
RC,681,Antibody; Nocardia Trauma,,,38.38,38.38,2
RC,681,Antibody; Plasmodium (malaria) Trauma,,,31.66,31.66,2
RC,681,Antibody; Rickettsia Trauma,,,46.44,46.44,2
RC,681,Antibody; Salmonella Trauma,,,31.66,31.66,2
RC,681,Antibody; Shigella Trauma,,,58.75,58.75,2
RC,681,Antibody; Toxoplasma Trauma,,,34.54,34.54,2
RC,681,"Antibody; Toxoplasma, IgM Trauma",,,34.58,34.58,2
RC,681,Antibody; Treponema pallidum Trauma,,,31.78,31.78,2
RC,681,Antibody; Trichinella Trauma,,,30.14,30.14,2
RC,681,Antibody; West Nile virus Trauma,,,34.54,34.54,2
RC,681,"Antibody; West Nile virus, IgM Trauma",,,40.44,40.44,2
RC,681,Antibody; Yersinia Trauma,,,31.66,31.66,2
RC,681,"Antibody; Zika virus, IgM Trauma",,,40.44,40.44,2
RC,681,Antibody; actinomyces Trauma,,,24.43,24.43,2
RC,681,Antibody; adenovirus Trauma,,,30.89,30.89,2
RC,681,"Antibody; bacterium, not elsewhere specified Trauma",,,30.91,30.91,2
RC,681,Antibody; cytomegalovirus (CMV) Trauma,,,34.54,34.54,2
RC,681,"Antibody; cytomegalovirus (CMV), IgM Trauma",,,40.44,40.44,2
RC,681,"Antibody; encephalitis, California (La Crosse) Trauma",,,31.66,31.66,2
RC,681,"Antibody; encephalitis, Eastern equine Trauma",,,31.66,31.66,2
RC,681,"Antibody; encephalitis, St. Louis Trauma",,,31.66,31.66,2
RC,681,"Antibody; encephalitis, Western equine Trauma",,,31.66,31.66,2
RC,681,"Antibody; enterovirus (eg, coxsackie, echo, polio) Trauma",,,31.27,31.27,2
RC,681,"Antibody; fungus, not elsewhere specified Trauma",,,29.4,29.4,2
RC,681,"Antibody; helminth, not elsewhere specified Trauma",,,31.22,31.22,2
RC,681,"Antibody; hepatitis, delta agent Trauma",,,41.18,41.18,2
RC,681,"Antibody; herpes simplex, non-specific type test Trauma",,,34.54,34.54,2
RC,681,"Antibody; herpes simplex, type 1 Trauma",,,31.66,31.66,2
RC,681,"Antibody; herpes simplex, type 2 Trauma",,,46.44,46.44,2
RC,681,Antibody; histoplasma Trauma,,,33.1,33.1,2
RC,681,Antibody; influenza virus Trauma,,,32.52,32.52,2
RC,681,Antibody; lymphocytic choriomeningitis Trauma,,,30.89,30.89,2
RC,681,Antibody; mucormycosis Trauma,,,36.0,36.0,2
RC,681,Antibody; mumps Trauma,,,31.32,31.32,2
RC,681,Antibody; mycoplasma Trauma,,,31.78,31.78,2
RC,681,Antibody; parvovirus Trauma,,,36.07,36.07,2
RC,681,"Antibody; protozoa, not elsewhere specified Trauma",,,29.74,29.74,2
RC,681,Antibody; respiratory syncytial virus Trauma,,,38.14,38.14,2
RC,681,Antibody; rotavirus Trauma,,,43.75,43.75,2
RC,681,Antibody; rubella Trauma,,,34.54,34.54,2
RC,681,Antibody; rubeola Trauma,,,30.91,30.91,2
RC,681,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Trauma,,,101.11,101.11,2
RC,681,Antibody; tetanus Trauma,,,35.52,35.52,2
RC,681,Antibody; varicella-zoster Trauma,,,30.91,30.91,2
RC,681,"Antibody; virus, not elsewhere specified Trauma",,,30.91,30.91,2
RC,681,"Antihuman globulin test (Coombs test); direct, each antiserum Trauma",,,12.94,12.94,2
RC,681,"Antihuman globulin test (Coombs test); indirect, each antibody titer Trauma",,,12.43,12.43,2
RC,681,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Trauma",,,13.73,13.73,2
RC,681,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody Trauma",,,28.92,28.92,2
RC,681,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody Trauma",,,28.92,28.92,2
RC,681,Antinuclear antibodies (ANA); Trauma,,,29.02,29.02,2
RC,681,Antinuclear antibodies (ANA); titer Trauma,,,26.78,26.78,2
RC,681,Antistreptolysin 0; screen Trauma,,,13.85,13.85,2
RC,681,Antistreptolysin 0; titer Trauma,,,17.52,17.52,2
RC,681,Antithymocyte globuln rabb Trauma,,,2538.7,2538.7,2
RC,681,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,3240.46,3240.46,2
RC,681,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,1209.6,1209.6,2
RC,681,"Apnea monitor, without recording feature Trauma",,,815.09,815.09,2
RC,681,"Apolipoprotein, each Trauma",,,50.62,50.62,2
RC,681,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. Trauma",,,46.08,46.08,2
RC,681,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Trauma",,,87.05,87.05,2
RC,681,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes Trauma",,,35.54,35.54,2
RC,681,"Application of a modality to 1 or more areas; diathermy (eg, microwave) Trauma",,,19.34,19.34,2
RC,681,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Trauma",,,32.63,37.08,4
RC,681,Application of a modality to 1 or more areas; infrared Trauma,,,17.69,17.69,2
RC,681,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Trauma",,,42.16,47.9,6
RC,681,Application of a modality to 1 or more areas; paraffin bath Trauma,,,16.01,16.01,2
RC,681,"Application of a modality to 1 or more areas; traction, mechanical Trauma",,,31.93,36.29,4
RC,681,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes Trauma",,,32.02,36.38,6
RC,681,Application of a modality to 1 or more areas; ultraviolet Trauma,,,21.79,21.79,2
RC,681,Application of a modality to 1 or more areas; vasopneumatic devices Trauma,,,26.97,30.65,6
RC,681,Application of a modality to 1 or more areas; whirlpool Trauma,,,35.08,39.86,6
RC,681,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each Trauma",,,28.92,28.92,2
RC,681,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Trauma,,,27.67,27.67,2
RC,681,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Trauma",,,90.55,90.55,2
RC,681,Aqueous shunt Trauma,,,1984.94,1984.94,2
RC,681,Argatroban nonesrd (accord Trauma,,,4.36,4.36,2
RC,681,Aripirazole lauroxil 1 mg Trauma,,,8.54,8.54,2
RC,681,"Arm pad, replacement only, each Trauma",,,37.82,37.82,2
RC,681,"Arm rest, each Trauma",,,60.31,60.31,2
RC,681,Arsenic Trauma,,,45.53,45.53,2
RC,681,Artificial cornea Trauma,,,19359.17,19359.17,2
RC,681,"Artificial larynx, any type Trauma",,,1939.08,1939.08,2
RC,681,"Ascorbic acid (Vitamin C), blood Trauma",,,23.74,23.74,2
RC,681,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,5876.54,5876.54,2
RC,681,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,243.05,243.05,2
RC,681,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,93.46,93.46,2
RC,681,"Atomic absorption spectroscopy, each analyte Trauma",,,38.16,38.16,2
RC,681,"Auditory osseointegrated device abutment, any length, replacement only Trauma",,,4505.45,4505.45,2
RC,681,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each Trauma",,,5117.02,5117.02,2
RC,681,"Auditory osseointegrated device, includes all internal and external components Trauma",,,14134.82,14134.82,2
RC,681,"Auditory osseointegrated device, transducer/actuator, replacement only, each Trauma",,,2806.1,2806.1,2
RC,681,"Auricular prosthesis, provided by a non-physician Trauma",,,7552.85,7552.85,2
RC,681,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score Trauma",,,2017.56,2017.56,2
RC,681,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type Trauma",,,8613.36,8613.36,2
RC,681,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device Trauma",,,12147.19,12147.19,2
RC,681,Axicabtagene ciloleucel ca Trauma,,,1350002.16,1350002.16,2
RC,681,Axillary crutch extension Trauma,,,530.88,530.88,2
RC,681,Azathioprine parenteral Trauma,,,611.42,611.42,2
RC,681,Aztreonam/avibactam 10 mg Trauma,,,4.26,4.26,2
RC,681,"B cells, total count Trauma",,,90.55,90.55,2
RC,681,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) Trauma",,,227.98,227.98,2
RC,681,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative Trauma",,,393.5,393.5,2
RC,681,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative Trauma",,,347.62,347.62,2
RC,681,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative Trauma",,,515.09,515.09,2
RC,681,BEHAVIORAL AND DEVELOPMENTAL DISORDERS Trauma,,,26291.93,54870.12,4
RC,681,BENIGN PROSTATIC HYPERTROPHY WITH MCC Trauma,,,16590.7,34624.08,4
RC,681,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC Trauma,,,11786.71,24598.34,4
RC,681,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant Trauma",,,94.34,94.34,2
RC,681,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) Trauma",,,420.96,420.96,2
RC,681,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Trauma",,,723.24,723.24,2
RC,681,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Trauma",,,678.91,678.91,2
RC,681,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Trauma",,,900.6,900.6,2
RC,681,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants Trauma",,,1056.0,1056.0,2
RC,681,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,1402.15,1402.15,2
RC,681,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Trauma",,,1123.2,1123.2,2
RC,681,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,4379.71,4379.71,2
RC,681,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Trauma",,,678.91,678.91,2
RC,681,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Trauma",,,444.29,444.29,2
RC,681,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Trauma",,,900.6,900.6,2
RC,681,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) Trauma",,,420.96,420.96,2
RC,681,Baclofen 10 MG injection Trauma,,,446.65,446.65,2
RC,681,"Balance lens, per lens Trauma",,,128.71,128.71,2
RC,681,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,32.95,32.95,2
RC,681,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,20.3,20.3,2
RC,681,"Battery charger, six volt, each Trauma",,,736.15,736.15,2
RC,681,"Battery charger, twelve volt, each Trauma",,,1577.11,1577.11,2
RC,681,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,1390.9,1390.9,2
RC,681,"Battery for pneumatic ventricular assist device, replacement only, each Trauma",,,3863.74,3863.74,2
RC,681,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,2537.86,2537.86,2
RC,681,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,4454.64,4454.64,2
RC,681,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,12411.31,12411.31,2
RC,681,Bcg live intravesical 1mg Trauma,,,8.1,8.1,2
RC,681,"Bed cradle, any type Trauma",,,91.61,91.61,2
RC,681,"Bed pan, fracture, metal or plastic Trauma",,,34.1,34.1,2
RC,681,"Bed pan, standard, metal or plastic Trauma",,,40.92,40.92,2
RC,681,"Bed side rails, full length Trauma",,,348.62,348.62,2
RC,681,"Bed side rails, half length Trauma",,,32.98,32.98,2
RC,681,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each Trauma",,,33.22,33.22,2
RC,681,"Bedside drainage bottle with or without tubing, rigid or expandable, each Trauma",,,77.18,77.18,2
RC,681,Behavioral and qualitative analysis of voice and resonance Trauma,,,270.98,270.98,2
RC,681,Belatacept injection Trauma,,,9.32,9.32,2
RC,681,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device Trauma",,,26806.32,26806.32,2
RC,681,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device Trauma",,,19730.3,19730.3,2
RC,681,"Below elbow, molded double wall split socket, step-up hinges, half cuff Trauma",,,6989.74,6989.74,2
RC,681,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff Trauma",,,7606.13,7606.13,2
RC,681,"Below elbow, molded socket, (muenster or northwestern suspension types) Trauma",,,5997.94,5997.94,2
RC,681,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,6817.78,6817.78,2
RC,681,"Below elbow, molded socket, flexible elbow hinge, triceps pad Trauma",,,5654.86,5654.86,2
RC,681,"Below knee, molded socket, shin, sach foot Trauma",,,7070.54,7070.54,2
RC,681,"Below knee, molded socket, shin, sach foot, endoskeletal system Trauma",,,8082.12,8082.12,2
RC,681,"Below knee, plastic socket, joints and thigh lacer, sach foot Trauma",,,10207.13,10207.13,2
RC,681,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only Trauma",,,495.89,495.89,2
RC,681,"Beta 2 Glycoprotein I antibody, each Trauma",,,61.08,61.08,2
RC,681,Beta-2 microglobulin Trauma,,,38.83,38.83,2
RC,681,Beta-amyloid; 1-40 (Abeta 40) Trauma,,,309.41,309.41,2
RC,681,Beta-amyloid; 1-42 (Abeta 42) Trauma,,,309.41,309.41,2
RC,681,Bevacizumab injection Trauma,,,179.58,179.58,2
RC,681,Bifocal add over 3.25d Trauma,,,106.1,106.1,2
RC,681,Bifocal seg width over 28 mm Trauma,,,130.82,130.82,2
RC,681,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,228194.4,228194.4,2
RC,681,Bile acids; cholylglycine Trauma,,,63.79,63.79,2
RC,681,Bile acids; total Trauma,,,41.09,41.09,2
RC,681,"Bilirubin, total, transcutaneous Trauma",,,12.05,12.05,2
RC,681,Bilirubin; direct Trauma,,,12.05,12.05,2
RC,681,"Bilirubin; feces, qualitative Trauma",,,10.94,10.94,2
RC,681,Bilirubin; total Trauma,,,12.05,12.05,2
RC,681,Biofeedback training by any modality Trauma,,,90.18,102.48,4
RC,681,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,73.67,83.71,4
RC,681,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,183.3,208.3,4
RC,681,"Biotinidase, each specimen Trauma",,,40.49,40.49,2
RC,681,Bleeding time Trauma,,,11.57,11.57,2
RC,681,Blood component/product no Trauma,,,84.77,84.77,2
RC,681,Blood count; automated differential WBC count Trauma,,,15.53,15.53,2
RC,681,"Blood count; blood smear, microscopic examination with manual differential WBC count Trauma",,,9.12,9.12,2
RC,681,"Blood count; blood smear, microscopic examination without manual differential WBC count Trauma",,,8.23,8.23,2
RC,681,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Trauma",,,15.53,15.53,2
RC,681,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Trauma",,,18.65,18.65,2
RC,681,Blood count; hematocrit (Hct) Trauma,,,5.69,5.69,2
RC,681,Blood count; hemoglobin (Hgb) Trauma,,,5.69,5.69,2
RC,681,"Blood count; leukocyte (WBC), automated Trauma",,,6.1,6.1,2
RC,681,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Trauma",,,10.34,10.34,2
RC,681,"Blood count; manual differential WBC count, buffy coat Trauma",,,12.17,12.17,2
RC,681,"Blood count; platelet, automated Trauma",,,10.75,10.75,2
RC,681,"Blood count; red blood cell (RBC), automated Trauma",,,7.25,7.25,2
RC,681,"Blood count; reticulocyte, automated Trauma",,,9.58,9.58,2
RC,681,"Blood count; reticulocyte, manual Trauma",,,10.34,10.34,2
RC,681,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,13.37,13.37,2
RC,681,Blood count; spun microhematocrit Trauma,,,16.8,16.8,2
RC,681,Blood glucose monitor with integrated lancing/blood sample Trauma,,,644.9,644.9,2
RC,681,Blood glucose monitor with integrated voice synthesizer Trauma,,,1869.89,1869.89,2
RC,681,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips Trauma",,,19.97,19.97,2
RC,681,Blood split unit Trauma,,,374.02,374.02,2
RC,681,"Blood typing, serologic; ABO Trauma",,,7.18,7.18,2
RC,681,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each Trauma",,,9.19,9.19,2
RC,681,"Blood typing, serologic; Rh (D) Trauma",,,7.18,7.18,2
RC,681,"Blood typing, serologic; Rh phenotyping, complete Trauma",,,18.6,18.6,2
RC,681,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Trauma",,,39.22,39.22,2
RC,681,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Trauma",,,15.24,15.24,2
RC,681,"Blood, l/r, cmv-neg Trauma",,,363.79,363.79,2
RC,681,"Blood, l/r, froz/degly/was Trauma",,,636.46,636.46,2
RC,681,"Blood, l/r, irradiated Trauma",,,202.92,202.92,2
RC,681,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations Trauma",,,38.21,38.21,2
RC,681,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening Trauma",,,10.15,10.15,2
RC,681,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,10.51,10.51,2
RC,681,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources Trauma",,,12.77,12.77,2
RC,681,Bradykinin Trauma,,,12.38,12.38,2
RC,681,"Brake attachment for wheeled walker, replacement, each Trauma",,,44.9,44.9,2
RC,681,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type Trauma",,,490.27,490.27,2
RC,681,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type Trauma",,,372.67,372.67,2
RC,681,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type Trauma",,,129.24,129.24,2
RC,681,"Breast prosthesis, mastectomy form Trauma",,,669.86,669.86,2
RC,681,"Breast prosthesis, silicone or equal, with integral adhesive Trauma",,,968.93,968.93,2
RC,681,"Breast prosthesis, silicone or equal, without integral adhesive Trauma",,,968.93,968.93,2
RC,681,"Breast pump, manual, any type Trauma",,,100.94,100.94,2
RC,681,Breathing circuits Trauma,,,25.87,25.87,2
RC,681,Brentuximab vedotin inj Trauma,,,670.1,670.1,2
RC,681,Brexucabtagene car pos t Trauma,,,1224249.36,1224249.36,2
RC,681,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,35.42,35.42,2
RC,681,Buprenorph xr 100 mg or le Trauma,,,4963.57,4963.57,2
RC,681,Buprenorphine xr over 100 Trauma,,,4963.57,4963.57,2
RC,681,"C-1 esterase, berinert Trauma",,,190.23,190.23,2
RC,681,C-peptide Trauma,,,49.94,49.94,2
RC,681,C-reactive protein; Trauma,,,12.43,12.43,2
RC,681,C-reactive protein; high sensitivity (hsCRP) Trauma,,,31.08,31.08,2
RC,681,C1 esterase inhibitor inj Trauma,,,160.21,160.21,2
RC,681,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence Trauma",,,2031.05,2031.05,2
RC,681,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant Trauma",,,444.48,444.48,2
RC,681,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 Trauma",,,291.91,291.91,2
RC,681,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed Trauma",,,497.54,497.54,2
RC,681,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence Trauma",,,580.56,580.56,2
RC,681,CESAREAN SECTION WITH STERILIZATION WITH CC Trauma,,,15410.6,32161.25,4
RC,681,CESAREAN SECTION WITH STERILIZATION WITH MCC Trauma,,,30362.79,63365.83,4
RC,681,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Trauma,,,14314.11,29872.92,4
RC,681,CESAREAN SECTION WITHOUT STERILIZATION WITH CC Trauma,,,16018.34,33429.58,4
RC,681,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC Trauma,,,21728.04,45345.48,4
RC,681,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC Trauma,,,14324.83,29895.29,4
RC,681,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) Trauma",,,1335.84,1335.84,2
RC,681,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants Trauma",,,1044.17,1044.17,2
RC,681,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence Trauma",,,1197.6,1197.6,2
RC,681,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) Trauma",,,405.0,405.0,2
RC,681,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants Trauma",,,233.33,233.33,2
RC,681,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT Trauma,,,55542.49,115914.77,4
RC,681,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE Trauma,,,26421.63,55140.79,4
RC,681,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,19524.33,40746.43,4
RC,681,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Trauma,,,18069.85,37710.98,4
RC,681,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Trauma,,,31835.5,66439.3,4
RC,681,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,13152.23,27448.13,4
RC,681,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,COAGULATION DISORDERS Trauma,,,20396.81,42567.26,4
RC,681,COMPLICATIONS OF TREATMENT WITH CC Trauma,,,14791.08,30868.34,4
RC,681,COMPLICATIONS OF TREATMENT WITH MCC Trauma,,,23671.29,49400.95,4
RC,681,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Trauma,,,11426.57,23846.75,4
RC,681,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Trauma,,,76194.73,159015.1,4
RC,681,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Trauma",,,659.59,659.59,2
RC,681,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) Trauma",,,444.48,444.48,2
RC,681,CT and CTA with Contrast C Trauma,,,1076.68,1076.68,2
RC,681,CT and CTA without Contras Trauma,,,554.58,554.58,2
RC,681,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) Trauma",,,699.26,699.26,2
RC,681,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) Trauma",,,419.54,419.54,2
RC,681,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) Trauma",,,1082.18,1082.18,2
RC,681,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) Trauma",,,419.54,419.54,2
RC,681,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) Trauma",,,419.54,419.54,2
RC,681,Cabazitaxel injection Trauma,,,560.95,560.95,2
RC,681,Cadmium Trauma,,,56.74,56.74,2
RC,681,Caffeine Trauma,,,92.57,92.57,2
RC,681,Calcitonin Trauma,,,64.3,64.3,2
RC,681,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) Trauma",,,192.89,192.89,2
RC,681,Calcium; after calcium infusion test Trauma,,,32.02,32.02,2
RC,681,Calcium; ionized Trauma,,,32.83,32.83,2
RC,681,Calcium; total Trauma,,,12.38,12.38,2
RC,681,"Calcium; urine quantitative, timed specimen Trauma",,,14.47,14.47,2
RC,681,Calculus; X-ray diffraction Trauma,,,30.05,30.05,2
RC,681,Calculus; infrared spectroscopy Trauma,,,30.96,30.96,2
RC,681,Calculus; qualitative analysis Trauma,,,27.79,27.79,2
RC,681,"Calculus; quantitative analysis, chemical Trauma",,,30.89,30.89,2
RC,681,"Calprotectin, fecal Trauma",,,47.11,47.11,2
RC,681,"Cam release assembly, footrest or legrest, replacement only, each Trauma",,,150.31,150.31,2
RC,681,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day Trauma",,,89.57,101.78,4
RC,681,"Cane, includes canes of all materials, adjustable or fixed, with tip Trauma",,,72.1,72.1,2
RC,681,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips Trauma",,,168.0,168.0,2
RC,681,"Canister, disposable, used with suction pump, each Trauma",,,25.2,25.2,2
RC,681,"Canister, non-disposable, used with suction pump, each Trauma",,,96.14,96.14,2
RC,681,"Cannula, nasal Trauma",,,2.5,2.5,2
RC,681,"Cantharidin top, applicato Trauma",,,1668.5,1668.5,2
RC,681,"Capecitabine, oral, 50 mg Trauma",,,0.19,0.19,2
RC,681,Capsaicin 8% patch Trauma,,,8.42,8.42,2
RC,681,"Carbamazepine; -10,11-epoxide Trauma",,,44.74,44.74,2
RC,681,Carbamazepine; free Trauma,,,31.8,31.8,2
RC,681,Carbamazepine; total Trauma,,,34.97,34.97,2
RC,681,Carbidopa levodopa ent 100 Trauma,,,586.79,586.79,2
RC,681,Carbohydrate deficient transferrin Trauma,,,43.34,43.34,2
RC,681,Carbon dioxide (bicarbonate) Trauma,,,11.71,11.71,2
RC,681,Carboxyhemoglobin; qualitative Trauma,,,33.77,33.77,2
RC,681,Carboxyhemoglobin; quantitative Trauma,,,29.57,29.57,2
RC,681,Carcinoembryonic antigen (CEA) Trauma,,,45.5,45.5,2
RC,681,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,1403.76,1403.76,2
RC,681,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,1403.76,1403.76,2
RC,681,"Cardiolipin (phospholipid) antibody, each Ig class Trauma",,,61.08,61.08,2
RC,681,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,7776.0,7776.0,2
RC,681,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,63.31,129.74,4
RC,681,Carmustine injection Trauma,,,576.03,576.03,2
RC,681,"Carnitine (total and free), quantitative, each specimen Trauma",,,40.49,40.49,2
RC,681,Carotene Trauma,,,22.13,22.13,2
RC,681,"Cast supplies, body cast adult, with or without head, fiberglass Trauma",,,565.54,565.54,2
RC,681,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass Trauma",,,81.22,81.22,2
RC,681,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster Trauma",,,48.17,48.17,2
RC,681,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass Trauma",,,40.58,40.58,2
RC,681,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster Trauma",,,24.12,24.12,2
RC,681,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass Trauma",,,360.77,360.77,2
RC,681,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster Trauma",,,115.49,115.49,2
RC,681,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass Trauma",,,180.48,180.48,2
RC,681,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster Trauma",,,57.79,57.79,2
RC,681,"Cast supplies, long arm cast, adult (11 years +), fiberglass Trauma",,,89.28,89.28,2
RC,681,"Cast supplies, long arm cast, adult (11 years +), plaster Trauma",,,39.62,39.62,2
RC,681,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass Trauma",,,44.62,44.62,2
RC,681,"Cast supplies, long arm cast, pediatric (0-10 years), plaster Trauma",,,19.8,19.8,2
RC,681,"Cast supplies, long arm splint, adult (11 years +), fiberglass Trauma",,,44.35,44.35,2
RC,681,"Cast supplies, long arm splint, adult (11 years +), plaster Trauma",,,27.84,27.84,2
RC,681,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass Trauma",,,22.27,22.27,2
RC,681,"Cast supplies, long arm splint, pediatric (0-10 years), plaster Trauma",,,13.92,13.92,2
RC,681,"Cast supplies, long leg cast, adult (11 years +), fiberglass Trauma",,,232.61,232.61,2
RC,681,"Cast supplies, long leg cast, adult (11 years +), plaster Trauma",,,88.37,88.37,2
RC,681,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass Trauma",,,116.3,116.3,2
RC,681,"Cast supplies, long leg cast, pediatric (0-10 years), plaster Trauma",,,44.14,44.14,2
RC,681,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass Trauma",,,204.94,204.94,2
RC,681,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster Trauma",,,82.44,82.44,2
RC,681,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass Trauma",,,102.55,102.55,2
RC,681,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster Trauma",,,41.21,41.21,2
RC,681,"Cast supplies, long leg splint, adult (11 years +), fiberglass Trauma",,,104.38,104.38,2
RC,681,"Cast supplies, long leg splint, adult (11 years +), plaster Trauma",,,61.15,61.15,2
RC,681,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass Trauma",,,52.27,52.27,2
RC,681,"Cast supplies, long leg splint, pediatric (0-10 years), plaster Trauma",,,30.58,30.58,2
RC,681,"Cast supplies, short arm cast, adult (11 years +), fiberglass Trauma",,,59.52,59.52,2
RC,681,"Cast supplies, short arm cast, adult (11 years +), plaster Trauma",,,26.47,26.47,2
RC,681,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass Trauma",,,29.83,29.83,2
RC,681,"Cast supplies, short arm cast, pediatric (0-10 years), plaster Trauma",,,13.2,13.2,2
RC,681,"Cast supplies, short arm splint, adult (11 years +), fiberglass Trauma",,,37.2,37.2,2
RC,681,"Cast supplies, short arm splint, adult (11 years +), plaster Trauma",,,20.62,20.62,2
RC,681,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass Trauma",,,18.62,18.62,2
RC,681,"Cast supplies, short arm splint, pediatric (0-10 years), plaster Trauma",,,10.34,10.34,2
RC,681,"Cast supplies, short leg cast, adult (11 years +), fiberglass Trauma",,,125.95,125.95,2
RC,681,"Cast supplies, short leg cast, adult (11 years +), plaster Trauma",,,50.21,50.21,2
RC,681,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass Trauma",,,62.95,62.95,2
RC,681,"Cast supplies, short leg cast, pediatric (0-10 years), plaster Trauma",,,25.2,25.2,2
RC,681,"Cast supplies, short leg splint, adult (11 years +), fiberglass Trauma",,,57.1,57.1,2
RC,681,"Cast supplies, short leg splint, adult (11 years +), plaster Trauma",,,35.5,35.5,2
RC,681,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass Trauma",,,28.56,28.56,2
RC,681,"Cast supplies, short leg splint, pediatric (0-10 years), plaster Trauma",,,17.66,17.66,2
RC,681,"Cast supplies, shoulder cast, adult (11 years +), fiberglass Trauma",,,372.07,372.07,2
RC,681,"Cast supplies, shoulder cast, adult (11 years +), plaster Trauma",,,107.47,107.47,2
RC,681,"Caster pin lock, each Trauma",,,103.06,103.06,2
RC,681,"Casting supplies, body cast adult, with or without head, plaster Trauma",,,149.66,149.66,2
RC,681,Catecholamines; blood Trauma,,,69.79,69.79,2
RC,681,Catecholamines; fractionated Trauma,,,60.6,60.6,2
RC,681,Catecholamines; total urine Trauma,,,65.52,65.52,2
RC,681,Cathepsin-D Trauma,,,43.34,43.34,2
RC,681,Catheterization for collection of specimen(s) (multiple patients) Trauma,,,22.42,22.42,2
RC,681,"Catheterization for collection of specimen, single patient, all places of service Trauma",,,22.42,22.42,2
RC,681,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel Trauma,,,86.21,86.21,2
RC,681,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; Trauma",,,11.33,11.33,2
RC,681,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count Trauma",,,13.44,13.44,2
RC,681,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); Trauma",,,601.87,601.87,2
RC,681,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) Trauma",,,326.06,326.06,2
RC,681,"Cephalin floculation, blood Trauma",,,11.88,11.88,2
RC,681,Ceruloplasmin Trauma,,,25.78,25.78,2
RC,681,Cervical head harness/halter Trauma,,,67.87,67.87,2
RC,681,"Cervical traction device, with inflatable air bladder(s) Trauma",,,52.63,52.63,2
RC,681,Cervical traction equipment not requiring additional stand or frame Trauma,,,169.06,169.06,2
RC,681,"Cervical, collar, molded to patient model Trauma",,,2079.96,2079.96,2
RC,681,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf Trauma",,,421.73,421.73,2
RC,681,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf Trauma",,,757.61,757.61,2
RC,681,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) Trauma",,,82.97,82.97,2
RC,681,"Cervical, flexible, thermoplastic collar, molded to patient Trauma",,,599.93,599.93,2
RC,681,"Cervical, multiple post collar, occipital/mandibular supports, adjustable Trauma",,,1030.32,1030.32,2
RC,681,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) Trauma",,,1551.02,1551.02,2
RC,681,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension Trauma",,,1424.21,1424.21,2
RC,681,"Cervical, semi-rigid, adjustable (plastic collar) Trauma",,,207.0,207.0,2
RC,681,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) Trauma",,,345.22,345.22,2
RC,681,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf Trauma",,,491.54,491.54,2
RC,681,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model Trauma",,,5599.13,5599.13,2
RC,681,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) Trauma",,,6384.74,6384.74,2
RC,681,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,5438.26,5438.26,2
RC,681,Cetuximab injection Trauma,,,196.0,196.0,2
RC,681,Chemiluminescent assay Trauma,,,33.89,33.89,2
RC,681,"Chemotaxis assay, specify method Trauma",,,38.38,38.38,2
RC,681,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,625.9,625.9,2
RC,681,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection Trauma",,,497.9,497.9,2
RC,681,Chinstrap used with positive airway pressure device Trauma,,,31.97,31.97,2
RC,681,Chloramphenicol Trauma,,,30.41,30.41,2
RC,681,Chloride; blood Trauma,,,11.04,11.04,2
RC,681,Chloride; other source Trauma,,,12.0,12.0,2
RC,681,Chloride; urine Trauma,,,13.8,13.8,2
RC,681,"Chlorinated hydrocarbons, screen Trauma",,,14.42,14.42,2
RC,681,"Cholesterol, serum or whole blood, total Trauma",,,10.44,10.44,2
RC,681,Choline c-11 Trauma,,,6039.43,6039.43,2
RC,681,Cholinesterase; RBC Trauma,,,23.54,23.54,2
RC,681,Cholinesterase; serum Trauma,,,18.89,18.89,2
RC,681,"Chondroitin B sulfate, quantitative Trauma",,,49.56,49.56,2
RC,681,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) Trauma",,,134.14,134.14,2
RC,681,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) Trauma,,,123.94,123.94,2
RC,681,Chromium Trauma,,,48.67,48.67,2
RC,681,Chromogenic substrate assay Trauma,,,28.54,28.54,2
RC,681,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Trauma",,,415.61,415.61,2
RC,681,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) Trauma",,,415.61,415.61,2
RC,681,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) Trauma",,,415.61,415.61,2
RC,681,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Trauma",,,452.57,452.57,2
RC,681,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding Trauma",,,416.78,416.78,2
RC,681,"Chromosome analysis; additional cells counted, each study Trauma",,,64.58,64.58,2
RC,681,Chromosome analysis; additional high resolution study Trauma,,,82.63,82.63,2
RC,681,"Chromosome analysis; additional karyotypes, each study Trauma",,,80.33,80.33,2
RC,681,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) Trauma",,,164.64,164.64,2
RC,681,Chromosome analysis; analyze 20-25 cells Trauma,,,347.06,347.06,2
RC,681,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding Trauma",,,301.18,301.18,2
RC,681,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding Trauma",,,360.7,360.7,2
RC,681,"Chromosome analysis; count 5 cells, 1 karyotype, with banding Trauma",,,634.42,634.42,2
RC,681,Cidofovir injection Trauma,,,1285.76,1285.76,2
RC,681,Ciltacabtagene car-pos t Trauma,,,1411146.72,1411146.72,2
RC,681,Citrate Trauma,,,66.72,66.72,2
RC,681,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each Trauma",,,15.53,15.53,2
RC,681,"Clot lysis time, whole blood dilution Trauma",,,48.89,48.89,2
RC,681,Clot retraction Trauma,,,39.12,39.12,2
RC,681,"Clotting inhibitors or anticoagulants; antithrombin III, activity Trauma",,,28.44,28.44,2
RC,681,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay Trauma",,,25.94,25.94,2
RC,681,"Clotting inhibitors or anticoagulants; protein C, activity Trauma",,,33.22,33.22,2
RC,681,"Clotting inhibitors or anticoagulants; protein C, antigen Trauma",,,28.82,28.82,2
RC,681,"Clotting inhibitors or anticoagulants; protein S, free Trauma",,,36.77,36.77,2
RC,681,"Clotting inhibitors or anticoagulants; protein S, total Trauma",,,27.86,27.86,2
RC,681,"Clotting; factor II, prothrombin, specific Trauma",,,31.15,31.15,2
RC,681,Clotting; factor IX (PTC or Christmas) Trauma,,,45.7,45.7,2
RC,681,"Clotting; factor V (AcG or proaccelerin), labile factor Trauma",,,42.36,42.36,2
RC,681,"Clotting; factor VII (proconvertin, stable factor) Trauma",,,42.96,42.96,2
RC,681,"Clotting; factor VIII (AHG), 1-stage Trauma",,,42.96,42.96,2
RC,681,Clotting; factor VIII related antigen Trauma,,,49.01,49.01,2
RC,681,"Clotting; factor VIII, VW factor antigen Trauma",,,55.06,55.06,2
RC,681,"Clotting; factor VIII, VW factor, ristocetin cofactor Trauma",,,55.06,55.06,2
RC,681,"Clotting; factor VIII, von Willebrand factor, multimetric analysis Trauma",,,55.06,55.06,2
RC,681,Clotting; factor X (Stuart-Prower) Trauma,,,42.96,42.96,2
RC,681,Clotting; factor XI (PTA) Trauma,,,42.96,42.96,2
RC,681,Clotting; factor XII (Hageman) Trauma,,,46.44,46.44,2
RC,681,Clotting; factor XIII (fibrin stabilizing) Trauma,,,39.22,39.22,2
RC,681,"Clotting; factor XIII (fibrin stabilizing), screen solubility Trauma",,,21.86,21.86,2
RC,681,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) Trauma,,,45.43,45.43,2
RC,681,Clotting; prekallikrein assay (Fletcher factor assay) Trauma,,,45.43,45.43,2
RC,681,Clozapine Trauma,,,48.36,48.36,2
RC,681,Clubfoot wedge Trauma,,,147.12,147.12,2
RC,681,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte Trauma",,,74.06,74.06,2
RC,681,Coagulation time; Lee and White Trauma,,,11.26,11.26,2
RC,681,Coagulation time; activated Trauma,,,10.27,10.27,2
RC,681,Coagulation time; other methods Trauma,,,10.78,10.78,2
RC,681,"Cochlear device, includes all internal and external components Trauma",,,56250.96,56250.96,2
RC,681,"Cochlear implant, external controller component, replacement Trauma",,,3675.77,3675.77,2
RC,681,"Cochlear implant, external speech processor and controller, integrated system, replacement Trauma",,,24129.6,24129.6,2
RC,681,"Cochlear implant, external speech processor, component, replacement Trauma",,,20453.83,20453.83,2
RC,681,Cold agglutinin; screen Trauma,,,19.37,19.37,2
RC,681,Cold agglutinin; titer Trauma,,,19.34,19.34,2
RC,681,"Collagen based wound filler, dry form, sterile, per gram of collagen Trauma",,,105.94,105.94,2
RC,681,"Collagen based wound filler, gel/paste, per gram of collagen Trauma",,,7.8,7.8,2
RC,681,"Collagen cross links, any method Trauma",,,44.83,44.83,2
RC,681,"Collagen dressing wound filler, sterile, per 6 inches Trauma",,,21.14,21.14,2
RC,681,"Collagen dressing, sterile, size 16 sq. in. or less, each Trauma",,,71.93,71.93,2
RC,681,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each Trauma",,,71.93,71.93,2
RC,681,"Collagen dressing, sterile, size more than 48 sq. in., each Trauma",,,650.93,650.93,2
RC,681,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) Trauma,,,27.22,27.22,2
RC,681,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous Trauma",,,43.32,43.32,2
RC,681,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,57.82,57.82,2
RC,681,"Combination oral/nasal mask, used with continuous positive airway pressure device, each Trauma",,,368.83,368.83,2
RC,681,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment Trauma",,,5734.54,5734.54,2
RC,681,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,1390.75,1390.75,2
RC,681,"Commode chair with integrated seat lift mechanism, electric, any type Trauma",,,484.8,484.8,2
RC,681,"Commode chair with integrated seat lift mechanism, non-electric, any type Trauma",,,89.09,89.09,2
RC,681,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each Trauma",,,361.2,361.2,2
RC,681,"Commode chair, mobile or stationary, with detachable arms Trauma",,,37.73,37.73,2
RC,681,"Commode chair, mobile or stationary, with fixed arms Trauma",,,163.8,163.8,2
RC,681,"Commode seat, wheelchair Trauma",,,61.3,61.3,2
RC,681,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,79.73,79.73,2
RC,681,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,731.54,731.54,2
RC,681,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,559.37,559.37,2
RC,681,"Complement fixation tests, each antigen Trauma",,,24.02,24.02,2
RC,681,"Complement; antigen, each component Trauma",,,28.8,28.8,2
RC,681,"Complement; functional activity, each component Trauma",,,28.8,28.8,2
RC,681,Complement; total hemolytic (CH50) Trauma,,,48.77,48.77,2
RC,681,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) Trauma",,,15.53,15.53,2
RC,681,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count Trauma",,,18.65,18.65,2
RC,681,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type Trauma",,,504.82,504.82,2
RC,681,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,11.52,11.52,2
RC,681,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,21.26,21.26,2
RC,681,Comprehensive Observation Trauma,,,6555.15,6555.15,2
RC,681,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,25.34,25.34,2
RC,681,"Compressor, air power source for equipment which is not self-contained or cylinder driven Trauma",,,124.75,124.75,2
RC,681,"Concentration (any type), for infectious agents Trauma",,,16.03,16.03,2
RC,681,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz Trauma",,,17.64,17.64,2
RC,681,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard Trauma",,,1.92,1.92,2
RC,681,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard Trauma",,,0.96,0.96,2
RC,681,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard Trauma",,,0.55,0.55,2
RC,681,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard Trauma",,,2.33,2.33,2
RC,681,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard Trauma",,,1.32,1.32,2
RC,681,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard Trauma",,,1.08,1.08,2
RC,681,"Congo red, blood Trauma",,,11.88,11.88,2
RC,681,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Trauma",,,25.13,25.13,2
RC,681,"Contact lens, gas permeable, bifocal, per lens Trauma",,,553.49,553.49,2
RC,681,"Contact lens, gas permeable, extended wear, per lens Trauma",,,464.69,464.69,2
RC,681,"Contact lens, gas permeable, spherical, per lens Trauma",,,325.99,325.99,2
RC,681,"Contact lens, gas permeable, toric, prism ballast, per lens Trauma",,,468.41,468.41,2
RC,681,"Contact lens, hydrophilic, bifocal, per lens Trauma",,,519.19,519.19,2
RC,681,"Contact lens, hydrophilic, extended wear, per lens Trauma",,,442.44,442.44,2
RC,681,"Contact lens, hydrophilic, spherical, per lens Trauma",,,306.41,306.41,2
RC,681,"Contact lens, hydrophilic, spherical, photochromic additive, per lens Trauma",,,370.68,370.68,2
RC,681,"Contact lens, hydrophilic, toric, or prism ballast, per lens Trauma",,,533.47,533.47,2
RC,681,"Contact lens, pmma, bifocal, per lens Trauma",,,448.13,448.13,2
RC,681,"Contact lens, pmma, color vision deficiency, per lens Trauma",,,428.78,428.78,2
RC,681,"Contact lens, pmma, spherical, per lens Trauma",,,238.8,238.8,2
RC,681,"Contact lens, pmma, toric or prism ballast, per lens Trauma",,,363.77,363.77,2
RC,681,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) Trauma",,,655.32,655.32,2
RC,681,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) Trauma",,,1608.74,1608.74,2
RC,681,"Continent device, stoma absorptive cover for continent stoma Trauma",,,2.21,2.21,2
RC,681,Continent device; catheter for continent stoma Trauma,,,34.61,34.61,2
RC,681,Continuous passive motion exercise device for use on knee only Trauma,,,77.81,77.81,2
RC,681,Continuous positive airway pressure (cpap) device Trauma,,,124.66,124.66,2
RC,681,Controlled dose inhalation drug delivery system Trauma,,,589.66,589.66,2
RC,681,Copper Trauma,,,29.78,29.78,2
RC,681,Copper cu 64 dotatate diag Trauma,,,1426.27,1426.27,2
RC,681,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score Trauma",,,2520.0,2520.0,2
RC,681,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet Trauma",,,48.43,48.43,2
RC,681,Corticosterone Trauma,,,54.05,54.05,2
RC,681,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) Trauma,,,1923.89,1923.89,2
RC,681,Cortisol; free Trauma,,,40.1,40.1,2
RC,681,Cortisol; total Trauma,,,39.12,39.12,2
RC,681,"Cough stimulating device, alternating positive and negative airway pressure Trauma",,,1346.35,1346.35,2
RC,681,"Coupling gel or paste, for use with ultrasound device, per oz Trauma",,,0.31,0.31,2
RC,681,Covid-19 Vaccine Administr Trauma,,,101.85,101.85,2
RC,681,Covid-19 convalescent plas Trauma,,,1632.07,1632.07,2
RC,681,Cr51 chromate Trauma,,,4603.1,4603.1,2
RC,681,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated Trauma",,,4150.54,4150.54,2
RC,681,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment Trauma",,,845.71,845.71,2
RC,681,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month Trauma",,,98.57,98.57,2
RC,681,"Cranial electrotherapy stimulation (ces) system, any type Trauma",,,125.71,125.71,2
RC,681,Creatine Trauma,,,11.14,11.14,2
RC,681,"Creatine kinase (CK), (CPK); MB fraction only Trauma",,,27.72,27.72,2
RC,681,"Creatine kinase (CK), (CPK); isoenzymes Trauma",,,32.14,32.14,2
RC,681,"Creatine kinase (CK), (CPK); isoforms Trauma",,,28.49,28.49,2
RC,681,"Creatine kinase (CK), (CPK); total Trauma",,,15.62,15.62,2
RC,681,Creatinine; blood Trauma,,,12.29,12.29,2
RC,681,Creatinine; clearance Trauma,,,22.7,22.7,2
RC,681,Creatinine; other source Trauma,,,12.43,12.43,2
RC,681,Crotalidae Poly Immune Fab Trauma,,,4576.57,4576.57,2
RC,681,"Crutch attachment, walker, each Trauma",,,172.34,172.34,2
RC,681,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips Trauma",,,154.8,154.8,2
RC,681,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip Trauma",,,61.46,61.46,2
RC,681,"Crutch, underarm, articulating, spring assisted, each Trauma",,,65.88,65.88,2
RC,681,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each Trauma",,,80.69,80.69,2
RC,681,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips Trauma",,,142.44,142.44,2
RC,681,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips Trauma",,,107.59,107.59,2
RC,681,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips Trauma",,,248.57,248.57,2
RC,681,Cryo fib comp path redu ea Trauma,,,1318.27,1318.27,2
RC,681,Cryofibrinogen Trauma,,,33.94,33.94,2
RC,681,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) Trauma",,,15.53,15.53,2
RC,681,Cryoprecipitate each unit Trauma,,,172.68,172.68,2
RC,681,Cryoprecipitatereducedplas Trauma,,,316.92,316.92,2
RC,681,"Cryopreservation, freezing and storage of cells, each cell line Trauma",,,31.37,31.37,2
RC,681,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) Trauma",,,17.59,17.59,2
RC,681,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) Trauma",,,6969.36,6969.36,2
RC,681,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Trauma",,,19.39,19.39,2
RC,681,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Trauma",,,19.39,19.39,2
RC,681,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates Trauma",,,20.69,20.69,2
RC,681,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates Trauma",,,22.73,22.73,2
RC,681,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Trauma",,,24.77,24.77,2
RC,681,"Culture, bacterial; quantitative colony count, urine Trauma",,,19.37,19.37,2
RC,681,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Trauma",,,23.74,23.74,2
RC,681,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Trauma",,,23.18,23.18,2
RC,681,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate Trauma",,,22.66,22.66,2
RC,681,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species Trauma",,,22.66,22.66,2
RC,681,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine Trauma",,,19.42,19.42,2
RC,681,"Culture, chlamydia, any source Trauma",,,47.04,47.04,2
RC,681,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood Trauma",,,49.1,49.1,2
RC,681,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) Trauma",,,20.18,20.18,2
RC,681,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail Trauma",,,18.5,18.5,2
RC,681,"Culture, fungi, definitive identification, each organism; mold Trauma",,,24.77,24.77,2
RC,681,"Culture, fungi, definitive identification, each organism; yeast Trauma",,,24.77,24.77,2
RC,681,"Culture, mycobacterial, definitive identification, each isolate Trauma",,,35.06,35.06,2
RC,681,"Culture, mycoplasma, any source Trauma",,,36.94,36.94,2
RC,681,"Culture, presumptive, pathogenic organisms, screening only; Trauma",,,15.91,15.91,2
RC,681,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Trauma",,,64.97,64.97,2
RC,681,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates Trauma",,,25.92,25.92,2
RC,681,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Trauma",,,30.05,30.05,2
RC,681,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed Trauma",,,84.22,84.22,2
RC,681,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed Trauma",,,48.12,48.12,2
RC,681,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) Trauma",,,276.86,276.86,2
RC,681,"Culture, typing; identification by pulse field gel typing Trauma",,,18.58,18.58,2
RC,681,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,523.34,523.34,2
RC,681,"Culture, typing; immunofluorescent method, each antiserum Trauma",,,13.37,13.37,2
RC,681,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Trauma",,,12.43,12.43,2
RC,681,"Culture, typing; other methods Trauma",,,18.58,18.58,2
RC,681,"Cushion for use on nasal mask interface, replacement only, each Trauma",,,57.72,57.72,2
RC,681,"Custom breast prosthesis, post mastectomy, molded to patient model Trauma",,,10885.58,10885.58,2
RC,681,"Custom shaped protective cover, above knee Trauma",,,2814.12,2814.12,2
RC,681,"Custom shaped protective cover, below knee Trauma",,,1574.93,1574.93,2
RC,681,"Custom shaped protective cover, hip disarticulation Trauma",,,3636.67,3636.67,2
RC,681,"Custom shaped protective cover, knee disarticulation Trauma",,,2758.54,2758.54,2
RC,681,Cyanide Trauma,,,46.56,46.56,2
RC,681,Cyanocobalamin (Vitamin B-12); Trauma,,,36.19,36.19,2
RC,681,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Trauma,,,34.37,34.37,2
RC,681,"Cyclic citrullinated peptide (CCP), antibody Trauma",,,31.08,31.08,2
RC,681,Cyclosporine Trauma,,,43.32,43.32,2
RC,681,Cystatin C Trauma,,,44.45,44.45,2
RC,681,"Cystine and homocystine, urine, qualitative Trauma",,,22.92,22.92,2
RC,681,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis Trau",,,2875.06,2875.06,2
RC,681,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,2784.0,2784.0,2
RC,681,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,2160.0,2160.0,2
RC,681,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) Trauma",,,3032.47,3032.47,2
RC,681,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) Trauma",,,4471.73,4471.73,2
RC,681,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities Trauma",,,2784.0,2784.0,2
RC,681,Cytomegalovirus imm IV /vi Trauma,,,4461.17,4461.17,2
RC,681,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Trauma",,,121.34,121.34,2
RC,681,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision Trauma",,,44.5,44.5,2
RC,681,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Trauma",,,48.62,48.62,2
RC,681,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision Trauma",,,60.89,60.89,2
RC,681,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision Trauma",,,55.3,55.3,2
RC,681,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,63.86,63.86,2
RC,681,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision Trauma",,,44.5,44.5,2
RC,681,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision Trauma",,,44.5,44.5,2
RC,681,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision Trauma",,,44.5,44.5,2
RC,681,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision Trauma",,,101.33,101.33,2
RC,681,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,35.16,35.16,2
RC,681,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision Trauma",,,44.5,44.5,2
RC,681,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision Trauma",,,66.34,66.34,2
RC,681,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Trauma",,,57.67,57.67,2
RC,681,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC Trauma",,,26011.11,54284.06,4
RC,681,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC Trauma",,,16240.21,33892.61,4
RC,681,DEPRESSIVE NEUROSES Trauma,,,14132.97,29494.9,4
RC,681,DISORDERS OF PERSONALITY AND IMPULSE CONTROL Trauma,,,25123.62,52431.91,4
RC,681,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed Trauma",,,669.6,669.6,2
RC,681,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) Trauma",,,659.59,659.59,2
RC,681,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles Trauma",,,328.8,328.8,2
RC,681,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) Trauma",,,419.54,419.54,2
RC,681,Dactinomycin injection Trauma,,,737.79,737.79,2
RC,681,"Daratumumab, hyaluronidase Trauma",,,136.92,136.92,2
RC,681,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Trauma",,,25.78,25.78,2
RC,681,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Trauma",,,27.12,27.12,2
RC,681,"Datopotamab deruxtecan, 1 Trauma",,,126.0,126.0,2
RC,681,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,124.87,257.18,4
RC,681,Dehydroepiandrosterone (DHEA) Trauma,,,60.65,60.65,2
RC,681,Dehydroepiandrosterone-sulfate (DHEA-S) Trauma,,,53.35,53.35,2
RC,681,"Deoxycortisol, 11- Trauma",,,70.27,70.27,2
RC,681,"Deoxyribonuclease, antibody Trauma",,,31.8,31.8,2
RC,681,Deoxyribonucleic acid (DNA) antibody; native or double stranded Trauma,,,32.98,32.98,2
RC,681,Deoxyribonucleic acid (DNA) antibody; single stranded Trauma,,,29.06,29.06,2
RC,681,"Desoxycorticosterone, 11- Trauma",,,74.35,74.35,2
RC,681,"Detachable, adjustable height armrest, base, replacement only, each Trauma",,,141.6,141.6,2
RC,681,"Detachable, adjustable height armrest, upper portion, replacement only, each Trauma",,,80.04,80.04,2
RC,681,"Detachable, non-adjustable height armrest, replacement only, each Trauma",,,42.12,42.12,2
RC,681,Dexametha opth insert 0.1 Trauma,,,216.05,216.05,2
RC,681,Dexamethasone intra implan Trauma,,,488.77,488.77,2
RC,681,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) Trauma",,,388.51,388.51,2
RC,681,Dexrazoxane HCl injection Trauma,,,99.46,99.46,2
RC,681,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes Trauma",,,40.42,40.42,2
RC,681,"Diabetes outpatient self-management training services, individual, per 30 minutes Trauma",,,141.17,141.17,2
RC,681,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) Trauma",,,31.7,31.7,2
RC,681,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Trauma",,,278.59,278.59,2
RC,681,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Trauma",,,216.48,216.48,2
RC,681,Dibucaine number Trauma,,,29.4,29.4,2
RC,681,Digoxin; free Trauma,,,31.87,31.87,2
RC,681,Digoxin; total Trauma,,,31.87,31.87,2
RC,681,Dihydrotestosterone (DHT) Trauma,,,70.27,70.27,2
RC,681,"Disposable external urethral clamp or compression device, with pad and/or pouch, each Trauma",,,1.68,1.68,2
RC,681,"Docetaxel (docivyx), 1 mg Trauma",,,111.09,111.09,2
RC,681,"Dome and mouthpiece, used with small volume ultrasonic nebulizer Trauma",,,22.34,22.34,2
RC,681,Doxorubicin inj 10mg Trauma,,,279.85,279.85,2
RC,681,"Drive belt for power wheelchair, replacement only Trauma",,,69.62,69.62,2
RC,681,"Driver for use with pneumatic ventricular assist device, replacement only Trauma",,,267607.2,267607.2,2
RC,681,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis Trauma",,,2200.99,2200.99,2
RC,681,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,274.63,592.61,8
RC,681,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,149.14,149.14,2
RC,681,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,149.14,149.14,2
RC,681,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,30.24,30.24,2
RC,681,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,41.14,41.14,2
RC,681,Dry pressure mattress Trauma,,,485.18,485.18,2
RC,681,"Dry pressure pad for mattress, standard mattress length and width Trauma",,,88.68,88.68,2
RC,681,"Dynamic adjustable ankle extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,2
RC,681,"Dynamic adjustable ankle extension only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,681,"Dynamic adjustable ankle flexion only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,681,"Dynamic adjustable elbow extension and flexion device, includes soft interface material Trauma",,,356.14,356.14,2
RC,681,"Dynamic adjustable elbow extension only device, includes soft interface material Trauma",,,356.14,356.14,2
RC,681,"Dynamic adjustable elbow flexion only device, includes soft interface material Trauma",,,356.14,356.14,2
RC,681,"Dynamic adjustable finger extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,2
RC,681,"Dynamic adjustable finger extension only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,681,"Dynamic adjustable finger flexion only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,681,"Dynamic adjustable forearm pronation/supination device, includes soft interface material Trauma",,,1117.8,1117.8,2
RC,681,"Dynamic adjustable knee extension and flexion device, includes soft interface material Trauma",,,362.23,362.23,2
RC,681,"Dynamic adjustable knee extension only device, includes soft interface material Trauma",,,362.23,362.23,2
RC,681,"Dynamic adjustable knee flexion only device, includes soft interface material Trauma",,,362.23,362.23,2
RC,681,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material Trauma",,,1242.24,1242.24,2
RC,681,"Dynamic adjustable toe extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,2
RC,681,"Dynamic adjustable toe extension only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,681,"Dynamic adjustable toe flexion only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,681,"Dynamic adjustable wrist extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,2
RC,681,"Dynamic adjustable wrist extension only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,681,"Dynamic adjustable wrist flexion only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,681,"Dynamic knee, extension/flexion device with active resistance control Trauma",,,294.12,294.12,2
RC,681,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) Trauma",,,778.99,778.99,2
RC,681,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT Trauma,,,232891.56,486034.56,4
RC,681,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT Trauma,,,45787.66,95556.86,4
RC,681,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,30399.24,63441.89,4
RC,681,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,54336.67,113398.27,4
RC,681,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,22419.38,46788.26,4
RC,681,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE Trauma",,,67752.91,141397.37,4
RC,681,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) Trauma",,,420.96,420.96,2
RC,681,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence Trauma",,,678.91,678.91,2
RC,681,Ecallantide injection Trauma,,,1430.27,1430.27,2
RC,681,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative Trauma",,,27.67,27.67,2
RC,681,"Elastase, pancreatic (EL-1), fecal; quantitative Trauma",,,55.13,55.13,2
RC,681,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,31498.8,31498.8,2
RC,681,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,25778.88,25778.88,2
RC,681,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm Trauma",,,10699.61,10699.61,2
RC,681,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,9108.43,9108.43,2
RC,681,"Elbow disarticulation, molded socket, outside locking hinge, forearm Trauma",,,8015.64,8015.64,2
RC,681,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,1349.64,1349.64,2
RC,681,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf Trauma",,,1349.64,1349.64,2
RC,681,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated Trauma",,,2888.06,2888.06,2
RC,681,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated Trauma",,,2569.8,2569.8,2
RC,681,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated Trauma",,,1952.16,1952.16,2
RC,681,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf Trauma",,,391.34,391.34,2
RC,681,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf Trauma",,,290.23,290.23,2
RC,681,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,779.33,779.33,2
RC,681,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,3664.54,3664.54,2
RC,681,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,3460.56,3460.56,2
RC,681,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2136.91,2136.91,2
RC,681,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2142.74,2142.74,2
RC,681,"Electric hand, switch or myoelectric controlled, adult Trauma",,,10110.53,10110.53,2
RC,681,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) Trauma",,,70991.28,70991.28,2
RC,681,"Electric hand, switch or myoelectric, controlled, pediatric Trauma",,,15912.89,15912.89,2
RC,681,"Electric heat pad, moist Trauma",,,205.97,205.97,2
RC,681,"Electric heat pad, standard Trauma",,,94.94,94.94,2
RC,681,"Electric hook, switch or myoelectric controlled, adult Trauma",,,10315.92,10315.92,2
RC,681,"Electric hook, switch or myoelectric controlled, pediatric Trauma",,,4749.1,4749.1,2
RC,681,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care Trauma",,,28.43,32.3,6
RC,681,"Electrical stimulation device used for cancer treatment, includes all accessories, any type Trauma",,,39323.28,39323.28,2
RC,681,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,26.23,29.81,6
RC,681,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month Trauma",,,31.78,31.78,2
RC,681,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) Trauma",,,31.78,31.78,2
RC,681,Electrode for external lower extremity nerve stimulator for restless legs syndrome Trauma,,,15.22,15.22,2
RC,681,"Electrodes, (e.g., apnea monitor), per pair Trauma",,,36.98,36.98,2
RC,681,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) Trauma,,,16.82,16.82,2
RC,681,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,27.7,27.7,2
RC,681,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled Trauma",,,22680.62,22680.62,2
RC,681,"Electronic elbow, adolescent, variety village or equal, switch controlled Trauma",,,21593.57,21593.57,2
RC,681,"Electronic elbow, child, variety village or equal, myoelectronically controlled Trauma",,,27157.92,27157.92,2
RC,681,"Electronic elbow, child, variety village or equal, switch controlled Trauma",,,25989.84,25989.84,2
RC,681,"Electronic elbow, hosmer or equal, switch controlled Trauma",,,21866.57,21866.57,2
RC,681,"Electronic elbow, microprocessor sequential control of elbow and terminal device Trauma",,,95982.24,95982.24,2
RC,681,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device Trauma",,,119052.96,119052.96,2
RC,681,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type Trauma",,,89.09,89.09,2
RC,681,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type Trauma",,,1695.31,1695.31,2
RC,681,"Electronic wrist rotator, any type Trauma",,,9390.22,9390.22,2
RC,681,"Electrophoretic technique, not elsewhere specified Trauma",,,147.6,147.6,2
RC,681,"Elevating footrests, articulating (telescoping), each Trauma",,,245.66,245.66,2
RC,681,"Elevating leg rests, pair (for use with capped rental wheelchair base) Trauma",,,32.64,32.64,2
RC,681,"Elevating legrest, lower extension tube, replacement only, each Trauma",,,57.53,57.53,2
RC,681,"Elevating legrest, upper hanger bracket, replacement only, each Trauma",,,204.79,204.79,2
RC,681,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,637.44,637.44,2
RC,681,"Emergency power source for use with electric ventricular assist device, replacement only Trauma",,,2089.13,2089.13,2
RC,681,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,3284.23,3284.23,2
RC,681,"Emergency power supply cable for use with electric ventricular assist device, replacement only Trauma",,,264.67,264.67,2
RC,681,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,753.24,753.24,2
RC,681,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,165.41,165.41,2
RC,681,"Endomysial antibody (EMA), each immunoglobulin (Ig) class Trauma",,,29.02,29.02,2
RC,681,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source Trauma",,,51119.76,51119.76,2
RC,681,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping Trauma",,,16818.0,16818.0,2
RC,681,Enlargement of ocular prosthesis Trauma,,,1158.62,1158.62,2
RC,681,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen Trauma",,,53.21,53.21,2
RC,681,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen Trauma",,,105.67,105.67,2
RC,681,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,5876.54,5876.54,2
RC,681,Eptifibatide injection Trauma,,,9.28,9.28,2
RC,681,Erythropoietin Trauma,,,45.1,45.1,2
RC,681,"Estradiol; free, direct measurement (eg, equilibrium dialysis) Trauma",,,67.06,67.06,2
RC,681,Estradiol; total Trauma,,,67.06,67.06,2
RC,681,Estriol Trauma,,,58.03,58.03,2
RC,681,Estrogens; fractionated Trauma,,,77.52,77.52,2
RC,681,Estrogens; total Trauma,,,52.08,52.08,2
RC,681,Estrone Trauma,,,59.88,59.88,2
RC,681,Ethosuximide Trauma,,,39.22,39.22,2
RC,681,Ethylene glycol Trauma,,,35.76,35.76,2
RC,681,Etiocholanolone Trauma,,,62.98,62.98,2
RC,681,Etoposide oral 50 mg Trauma,,,211.33,211.33,2
RC,681,Euflexxa inj per dose Trauma,,,235.53,235.53,2
RC,681,Euglobulin lysis Trauma,,,20.18,20.18,2
RC,681,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,117.02,117.02,2
RC,681,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour Trauma",,,300.53,300.53,2
RC,681,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech Trauma,,,176.09,176.09,2
RC,681,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen Tra",,,235.46,235.46,2
RC,681,Evaluation of oral and pharyngeal swallowing function Trauma,,,208.87,208.87,2
RC,681,"Evaluation of speech fluency (eg, stuttering, cluttering) Trauma",,,326.78,326.78,2
RC,681,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); Trauma",,,278.02,278.02,2
RC,681,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) Tr",,,554.35,554.35,2
RC,681,Everolimus Trauma,,,32.95,32.95,2
RC,681,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only Trauma",,,35.09,35.09,2
RC,681,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) Trauma",,,768.0,768.0,2
RC,681,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Trauma",,,11472.0,11472.0,2
RC,681,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) T",,,28800.0,28800.0,2
RC,681,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each Trauma",,,10.87,10.87,2
RC,681,"External ambulatory infusion pump, insulin Trauma",,,1338.6,1338.6,2
RC,681,"External breast prosthesis garment, with mastectomy form, post mastectomy Trauma",,,178.06,178.06,2
RC,681,External defibrillator with integrated electrocardiogram analysis Trauma,,,1039.92,1039.92,2
RC,681,"External lower extremity nerve stimulator for restless legs syndrome, each Trauma",,,581.28,581.28,2
RC,681,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only Trauma",,,49.46,49.46,2
RC,681,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only Trauma",,,5125.22,5125.22,2
RC,681,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each Trauma",,,561.14,561.14,2
RC,681,External upper limb tremor stimulator of the peripheral nerves of the wrist Trauma,,,1075.99,1075.99,2
RC,681,"External urethral clamp or compression device (not to be used for catheter clamp), each Trauma",,,156.07,156.07,2
RC,681,"External urinary catheter; non-disposable, for use with suction pump, per month Trauma",,,217.54,217.54,2
RC,681,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month Trauma",,,1012.32,1012.32,2
RC,681,Extra heavy duty wheelchair Trauma,,,289.87,289.87,2
RC,681,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody Trauma",,,43.03,43.03,2
RC,681,Extremity belt/harness Trauma,,,128.86,128.86,2
RC,681,"Eye pad, sterile, each Trauma",,,1.27,1.27,2
RC,681,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant Trauma",,,157.66,157.66,2
RC,681,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant Trauma",,,176.09,176.09,2
RC,681,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence Trauma",,,1440.0,1440.0,2
RC,681,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) Trauma",,,87.89,87.89,2
RC,681,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Trauma,,,18917.67,39480.36,4
RC,681,FEVER AND INFLAMMATORY CONDITIONS Trauma,,,13562.74,28304.86,4
RC,681,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) Trauma",,,397.22,397.22,2
RC,681,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) Trauma",,,199.2,199.2,2
RC,681,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,107.74,107.74,2
RC,681,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,136.9,136.9,2
RC,681,FULL TERM NEONATE WITH MAJOR PROBLEMS Trauma,,,48739.51,101717.23,4
RC,681,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC Trauma,,,80927.98,168893.18,4
RC,681,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC Trauma,,,38569.88,80493.67,4
RC,681,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY Trauma,,,27742.14,57896.64,4
RC,681,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) Trauma",,,659.59,659.59,2
RC,681,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles Trauma",,,328.8,328.8,2
RC,681,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence Trauma",,,659.59,659.59,2
RC,681,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Trauma",,,444.48,444.48,2
RC,681,Fabrication and fitting of ocular conformer Trauma,,,962.16,962.16,2
RC,681,"Face mask interface, replacement for full face mask, each Trauma",,,102.89,102.89,2
RC,681,Face tent Trauma,,,6.17,6.17,2
RC,681,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour Trauma",,,70.37,70.37,2
RC,681,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour Trauma",,,292.27,292.27,2
RC,681,Factor IX non-recombinant Trauma,,,3.37,3.37,2
RC,681,Factor inhibitor test Trauma,,,30.89,30.89,2
RC,681,Factor ix complex Trauma,,,4.19,4.19,2
RC,681,Factor ix idelvion inj Trauma,,,13.22,13.22,2
RC,681,Factor ix recomb gly rebin Trauma,,,11.22,11.22,2
RC,681,Factor ix recombinant nos Trauma,,,4.47,4.47,2
RC,681,Factor viia recomb sevenfa Trauma,,,5.27,5.27,2
RC,681,Factor viii Trauma,,,2.99,2.99,2
RC,681,Factor viii recombinant Trauma,,,3.79,3.79,2
RC,681,"Fat differential, feces, quantitative Trauma",,,55.13,55.13,2
RC,681,"Fat or lipids, feces; qualitative Trauma",,,12.24,12.24,2
RC,681,"Fat or lipids, feces; quantitative Trauma",,,40.32,40.32,2
RC,681,"Fat stain, feces, urine, or respiratory secretions Trauma",,,14.11,14.11,2
RC,681,"Fatty acids, nonesterified Trauma",,,45.05,45.05,2
RC,681,FecalÂmicrobiota jslm 1 m Trauma,,,157.45,157.45,2
RC,681,Felbamate Trauma,,,44.74,44.74,2
RC,681,"Female external urinary collection cup, with or without ring attachment, per day Trauma",,,20.64,20.64,2
RC,681,"Female external urinary collection device; meatal cup, each Trauma",,,144.55,144.55,2
RC,681,"Female external urinary collection device; pouch, each Trauma",,,33.74,33.74,2
RC,681,Fern test Trauma,,,23.38,23.38,2
RC,681,Ferritin Trauma,,,32.71,32.71,2
RC,681,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy Trauma",,,1908.0,1908.0,2
RC,681,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 Trauma",,,1821.72,1821.72,2
RC,681,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood Trauma",,,1821.72,1821.72,2
RC,681,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score Trauma",,,166.85,166.85,2
RC,681,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,368.4,368.4,2
RC,681,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score Trauma",,,133.3,133.3,2
RC,681,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score Trauma",,,3569.69,3569.69,2
RC,681,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score Trauma",,,130.32,130.32,2
RC,681,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative Trauma",,,154.58,154.58,2
RC,681,Fetal lung maturity assessment; fluorescence polarization Trauma,,,45.38,45.38,2
RC,681,Fetal lung maturity assessment; foam stability test Trauma,,,45.38,45.38,2
RC,681,Fetal lung maturity assessment; lamellar body density Trauma,,,46.37,46.37,2
RC,681,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Trauma,,,52.78,52.78,2
RC,681,"Fibrin degradation products, D-dimer; qualitative or semiquantitative Trauma",,,23.33,23.33,2
RC,681,"Fibrin degradation products, D-dimer; quantitative Trauma",,,24.43,24.43,2
RC,681,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative Trauma",,,24.43,24.43,2
RC,681,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative Trauma",,,16.54,16.54,2
RC,681,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Trauma,,,193.1,193.1,2
RC,681,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Trauma,,,29.83,29.83,2
RC,681,Fibrinogen; activity Trauma,,,23.33,23.33,2
RC,681,Fibrinogen; antigen Trauma,,,34.7,34.7,2
RC,681,"Fibrinolysins or coagulopathy screen, interpretation and report Trauma",,,37.15,37.15,2
RC,681,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin Trauma,,,18.5,18.5,2
RC,681,Fibrinolytic factors and inhibitors; plasmin Trauma,,,18.5,18.5,2
RC,681,Fibrinolytic factors and inhibitors; plasminogen activator Trauma,,,41.26,41.26,2
RC,681,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Trauma",,,24.43,24.43,2
RC,681,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay Trauma",,,15.67,15.67,2
RC,681,"Filter for use in a tracheostoma heat and moisture exchange system, each Trauma",,,2.33,2.33,2
RC,681,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each Trauma",,,4.82,4.82,2
RC,681,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each Trauma",,,8.54,8.54,2
RC,681,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each Trauma",,,38.81,38.81,2
RC,681,"Filter, disposable, used with aerosol compressor or ultrasonic generator Trauma",,,1.75,1.75,2
RC,681,"Filter, disposable, used with positive airway pressure device Trauma",,,6.19,6.19,2
RC,681,"Filter, non disposable, used with positive airway pressure device Trauma",,,18.17,18.17,2
RC,681,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator Trauma",,,9.82,9.82,2
RC,681,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,90.72,90.72,2
RC,681,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment Trauma",,,596.33,596.33,2
RC,681,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf Trauma",,,142.54,142.54,2
RC,681,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,94.42,94.42,2
RC,681,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment Trauma",,,575.81,575.81,2
RC,681,"Finger splint, static Trauma",,,6.43,6.43,2
RC,681,"Fixed, adjustable height armrest, pair Trauma",,,136.97,136.97,2
RC,681,Flebogamma injection Trauma,,,217.78,217.78,2
RC,681,Flecainide Trauma,,,44.74,44.74,2
RC,681,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; Trauma,,,573.96,573.96,2
RC,681,Flexible endoscopic evaluation of swallowing by cine or video recording; Trauma,,,500.9,500.9,2
RC,681,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; Trauma",,,381.94,381.94,2
RC,681,Florbetaben f18 diagnostic Trauma,,,3803.21,3803.21,2
RC,681,Flortaucipir inj 1 millicu Trauma,,,890.4,890.4,2
RC,681,Flotufolastat f18 diag 1 m Trauma,,,1746.14,1746.14,2
RC,681,Floxuridine injection Trauma,,,10551.58,10551.58,2
RC,681,Fluciclovine f-18 Trauma,,,773.45,773.45,2
RC,681,Fluocinol acet intravit im Trauma,,,1239.37,1239.37,2
RC,681,Fluocinolone acetonide imp Trauma,,,813.13,813.13,2
RC,681,"Fluorescent noninfectious agent antibody; screen, each antibody Trauma",,,28.92,28.92,2
RC,681,"Fluorescent noninfectious agent antibody; titer, each antibody Trauma",,,28.92,28.92,2
RC,681,Fluoride Trauma,,,44.5,44.5,2
RC,681,Fluorodopa f-18 diag per m Trauma,,,2053.32,2053.32,2
RC,681,Fluoroestradiol F 18 Trauma,,,1105.01,1105.01,2
RC,681,Flutemetamol f18 diagnosti Trauma,,,4665.62,4665.62,2
RC,681,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,33.22,33.22,2
RC,681,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,25.56,25.56,2
RC,681,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,68.16,68.16,2
RC,681,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Trauma",,,35.23,35.23,2
RC,681,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,100.46,100.46,2
RC,681,Folic acid; RBC Trauma,,,42.36,42.36,2
RC,681,Folic acid; serum Trauma,,,35.28,35.28,2
RC,681,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf Trauma",,,229.08,229.08,2
RC,681,"Foot rest, for use with commode chair, each Trauma",,,226.54,226.54,2
RC,681,"Foot, abduction rotation bar, including shoes Trauma",,,264.07,264.07,2
RC,681,"Foot, abduction rotation bar, without shoes Trauma",,,241.39,241.39,2
RC,681,"Foot, arch support, non-removable attached to shoe, longitudinal, each Trauma",,,94.27,94.27,2
RC,681,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each Trauma",,,120.74,120.74,2
RC,681,"Foot, arch support, non-removable attached to shoe, metatarsal, each Trauma",,,94.27,94.27,2
RC,681,"Foot, arch support, removable, premolded, longitudinal, each Trauma",,,139.56,139.56,2
RC,681,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each Trauma",,,218.74,218.74,2
RC,681,"Foot, arch support, removable, premolded, metatarsal, each Trauma",,,139.56,139.56,2
RC,681,"Foot, insert, removable, formed to patient foot, each Trauma",,,226.34,226.34,2
RC,681,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each Trauma",,,931.58,931.58,2
RC,681,"Foot, insert, removable, molded to patient model, longitudinal arch support, each Trauma",,,516.7,516.7,2
RC,681,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each Trauma",,,588.36,588.36,2
RC,681,"Foot, insert, removable, molded to patient model, plastazote or equal, each Trauma",,,478.92,478.92,2
RC,681,"Foot, insert, removable, molded to patient model, silicone gel, each Trauma",,,516.7,516.7,2
RC,681,"Foot, insert, removable, molded to patient model, spenco, each Trauma",,,392.23,392.23,2
RC,681,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each Trauma",,,363.17,363.17,2
RC,681,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each Trauma",,,150.89,150.89,2
RC,681,"Footrest, complete assembly, replacement only, each Trauma",,,164.78,164.78,2
RC,681,"Footrest, lower extension tube, replacement only, each Trauma",,,57.53,57.53,2
RC,681,"Footrest, upper hanger bracket, replacement only, each Trauma",,,49.06,49.06,2
RC,681,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe Trauma",,,217.51,217.51,2
RC,681,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe Trauma",,,652.32,652.32,2
RC,681,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe Trauma",,,109.9,109.9,2
RC,681,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe Trauma",,,109.9,109.9,2
RC,681,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe Trauma",,,109.9,109.9,2
RC,681,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe Trauma",,,109.9,109.9,2
RC,681,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,132.38,132.38,2
RC,681,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,88.7,88.7,2
RC,681,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,132.38,132.38,2
RC,681,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe Trauma",,,109.9,109.9,2
RC,681,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) Trauma,,,274.73,274.73,2
RC,681,Fosphenytoin inj pe Trauma,,,1.6,1.6,2
RC,681,Fr frz plasma donor retest Trauma,,,127.8,127.8,2
RC,681,"Fracture frame, attached to bed, includes weights Trauma",,,157.87,157.87,2
RC,681,"Fracture frame, attachments for complex cervical traction Trauma",,,1705.34,1705.34,2
RC,681,"Fracture frame, attachments for complex pelvic traction Trauma",,,1763.16,1763.16,2
RC,681,"Fracture frame, free standing, includes weights Trauma",,,156.24,156.24,2
RC,681,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) Trauma",,,175.25,175.25,2
RC,681,"Frames, purchases Trauma",,,236.81,236.81,2
RC,681,"Front caster assembly, complete, with pneumatic tire, replacement only, each Trauma",,,315.7,315.7,2
RC,681,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each Trauma",,,197.9,197.9,2
RC,681,"Front caster assembly, complete, with solid tire, replacement only, each Trauma",,,160.97,160.97,2
RC,681,"Frozen plasma, pooled, sd Trauma",,,134.3,134.3,2
RC,681,"Fructose, semen Trauma",,,41.62,41.62,2
RC,681,"Full face mask used with positive airway pressure device, each Trauma",,,265.32,265.32,2
RC,681,"Full sole and heel wedge, between sole Trauma",,,162.12,162.12,2
RC,681,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest Trauma",,,318.46,318.46,2
RC,681,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests Trauma",,,366.48,366.48,2
RC,681,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests Trauma",,,296.14,296.14,2
RC,681,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,3785.14,3785.14,2
RC,681,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) Trauma",,,140.38,140.38,2
RC,681,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) Trauma",,,419.54,419.54,2
RC,681,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence Trauma",,,1440.0,1440.0,2
RC,681,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) Trauma",,,900.6,900.6,2
RC,681,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) Trauma",,,113.4,113.4,2
RC,681,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence Trauma",,,242.69,242.69,2
RC,681,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants Trauma",,,147.65,147.65,2
RC,681,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») Trauma",,,84.0,84.0,2
RC,681,"Gabapentin, whole blood, serum, or plasma Trauma",,,52.01,52.01,2
RC,681,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only Trauma",,,2828.78,2828.78,2
RC,681,"Galactokinase, RBC Trauma",,,51.55,51.55,2
RC,681,Galactose Trauma,,,26.88,26.88,2
RC,681,Galactose-1-phosphate uridyl transferase; quantitative Trauma,,,50.57,50.57,2
RC,681,Galactose-1-phosphate uridyl transferase; screen Trauma,,,28.18,28.18,2
RC,681,Galectin-3 Trauma,,,106.2,106.2,2
RC,681,Gallium ga-68 Trauma,,,119.11,119.11,2
RC,681,Gallium ga-68 dotatoc Trauma,,,8.66,8.66,2
RC,681,Gallium ga-68 psma-11 ucsf Trauma,,,1320.31,1320.31,2
RC,681,"Gallium ga-68 psma-11, ucl Trauma",,,872.4,872.4,2
RC,681,Gallium gozellix 1 millicu Trauma,,,2811.12,2811.12,2
RC,681,Gallium illuccix 1 millicu Trauma,,,1148.45,1148.45,2
RC,681,Gallium locametz 1 millicu Trauma,,,870.0,870.0,2
RC,681,Galsulfase injection Trauma,,,1262.32,1262.32,2
RC,681,Gammagard liquid/erc inj Trauma,,,118.33,118.33,2
RC,681,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each Trauma",,,22.32,22.32,2
RC,681,Gammaglobulin (immunoglobulin); IgE Trauma,,,39.5,39.5,2
RC,681,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each Trauma",,,19.25,19.25,2
RC,681,Gammaplex IVIG Trauma,,,159.05,159.05,2
RC,681,Gamunex-C/Gammaked Trauma,,,117.63,117.63,2
RC,681,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Trauma",,,23.45,23.45,2
RC,681,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); Trauma",,,62.57,62.57,2
RC,681,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry Trauma",,,189.05,189.05,2
RC,681,"Gases, blood, pH only Trauma",,,26.4,26.4,2
RC,681,"Gasket or seal, for use with prosthetic socket insert, any type, each Trauma",,,331.61,331.61,2
RC,681,"Gastric acid analysis, includes pH if performed, each specimen Trauma",,,16.1,16.1,2
RC,681,"Gastric suction pump, home model, portable or stationary, electric Trauma",,,162.24,162.24,2
RC,681,Gastrin Trauma,,,42.31,42.31,2
RC,681,Gastrin after secretin stimulation Trauma,,,42.46,42.46,2
RC,681,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,7.3,7.3,2
RC,681,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,8.3,8.3,2
RC,681,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,12.31,12.31,2
RC,681,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing Trauma",,,15.98,15.98,2
RC,681,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing Trauma",,,23.47,23.47,2
RC,681,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing Trauma",,,65.59,65.59,2
RC,681,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard Trauma",,,6.53,6.53,2
RC,681,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,12.31,12.31,2
RC,681,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,0.12,0.12,2
RC,681,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,3.26,3.26,2
RC,681,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,0.36,0.36,2
RC,681,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,8.86,8.86,2
RC,681,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,1.39,1.39,2
RC,681,"Gel or gel-like pressure pad for mattress, standard mattress length and width Trauma",,,518.04,518.04,2
RC,681,Gel pressure mattress Trauma,,,90.5,90.5,2
RC,681,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each Trauma",,,187.54,187.54,2
RC,681,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 Trauma",,,6.48,6.48,2
RC,681,Gemcitabine intravesical s Trauma,,,175162.18,175162.18,2
RC,681,Gemtuzumab ozogamicin inj Trauma,,,593.69,593.69,2
RC,681,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,932.45,932.45,2
RC,681,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware Trauma",,,488.69,488.69,2
RC,681,"General use wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,253.85,253.85,2
RC,681,"General use wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,118.18,118.18,2
RC,681,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,5876.54,5876.54,2
RC,681,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) Trauma",,,5610.36,5610.36,2
RC,681,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Trauma",,,12074.88,12074.88,2
RC,681,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,6503.88,6503.88,2
RC,681,Gentamicin Trauma,,,39.31,39.31,2
RC,681,"Genvisc 850, inj, 1mg Trauma",,,9.14,9.14,2
RC,681,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class Trauma",,,28.92,28.92,2
RC,681,Glucagon Trauma,,,34.3,34.3,2
RC,681,Glucagon hydrochloride Trauma,,,281.59,281.59,2
RC,681,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) Trauma,,,110.57,110.57,2
RC,681,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) Trauma",,,121.2,121.2,2
RC,681,Glucagon tolerance test Trauma,,,42.65,42.65,2
RC,681,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use Trauma",,,7.87,7.87,2
RC,681,"Glucose, body fluid, other than blood Trauma",,,9.43,9.43,2
RC,681,Glucose-6-phosphate dehydrogenase (G6PD); quantitative Trauma,,,23.28,23.28,2
RC,681,Glucose-6-phosphate dehydrogenase (G6PD); screen Trauma,,,14.52,14.52,2
RC,681,"Glucose; blood, reagent strip Trauma",,,12.1,12.1,2
RC,681,Glucose; post glucose dose (includes glucose) Trauma,,,11.4,11.4,2
RC,681,"Glucose; quantitative, blood (except reagent strip) Trauma",,,9.43,9.43,2
RC,681,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) Trauma",,,30.89,30.89,2
RC,681,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) Trauma",,,9.41,9.41,2
RC,681,"Glucosidase, beta Trauma",,,51.55,51.55,2
RC,681,Glutamate dehydrogenase Trauma,,,31.56,31.56,2
RC,681,"Glutamyltransferase, gamma (GGT) Trauma",,,17.28,17.28,2
RC,681,Glutathione Trauma,,,37.08,37.08,2
RC,681,"Glutathione reductase, RBC Trauma",,,22.66,22.66,2
RC,681,Glycated protein Trauma,,,40.22,40.22,2
RC,681,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) Trauma,,,356.18,356.18,2
RC,681,"Gonadotropin, chorionic (hCG); free beta chain Trauma",,,36.7,36.7,2
RC,681,"Gonadotropin, chorionic (hCG); qualitative Trauma",,,18.05,18.05,2
RC,681,"Gonadotropin, chorionic (hCG); quantitative Trauma",,,36.12,36.12,2
RC,681,Gonadotropin; follicle stimulating hormone (FSH) Trauma,,,44.59,44.59,2
RC,681,Gonadotropin; luteinizing hormone (LH) Trauma,,,44.45,44.45,2
RC,681,"Gradient  compression arm sleeve and glove combination, each Trauma",,,247.32,247.32,2
RC,681,"Gradient  compression arm sleeve, custom, heavy weight, each Trauma",,,387.67,387.67,2
RC,681,"Gradient  compression arm sleeve, custom, medium weight, each Trauma",,,468.38,468.38,2
RC,681,"Gradient  compression arm sleeve, each Trauma",,,190.92,190.92,2
RC,681,"Gradient  compression glove, custom, heavy weight, each Trauma",,,746.3,746.3,2
RC,681,"Gradient compression arm sleeve and glove combination, custom, each Trauma",,,763.18,763.18,2
RC,681,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each Trauma",,,3.72,3.72,2
RC,681,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each Trauma",,,1.8,1.8,2
RC,681,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each Trauma",,,4.08,4.08,2
RC,681,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each Trauma",,,84.12,84.12,2
RC,681,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each Trauma",,,82.75,82.75,2
RC,681,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each Trauma",,,0.43,0.43,2
RC,681,"Gradient compression bandaging supply, high density foam pad, any size or shape, each Trauma",,,8.28,8.28,2
RC,681,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each Trauma",,,12.07,12.07,2
RC,681,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each Trauma",,,7.37,7.37,2
RC,681,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each Trauma",,,5.66,5.66,2
RC,681,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each Trauma",,,3.31,3.31,2
RC,681,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each Trauma",,,3.77,3.77,2
RC,681,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each Trauma",,,11.21,11.21,2
RC,681,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each Trauma",,,3.0,3.0,2
RC,681,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each Trauma",,,12.5,12.5,2
RC,681,"Gradient compression garment, arm, padded, for nighttime use, custom, each Trauma",,,1749.65,1749.65,2
RC,681,"Gradient compression garment, arm, padded, for nighttime use, each Trauma",,,737.42,737.42,2
RC,681,"Gradient compression garment, bra, for nighttime use, custom, each Trauma",,,2527.3,2527.3,2
RC,681,"Gradient compression garment, bra, for nighttime use, each Trauma",,,1599.41,1599.41,2
RC,681,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each Trauma",,,3058.68,3058.68,2
RC,681,"Gradient compression garment, full leg and foot, padded, for nighttime use, each Trauma",,,1663.34,1663.34,2
RC,681,"Gradient compression garment, genital region, custom, each Trauma",,,1634.02,1634.02,2
RC,681,"Gradient compression garment, genital region, each Trauma",,,271.87,271.87,2
RC,681,"Gradient compression garment, glove, padded, for nighttime use, custom, each Trauma",,,1204.2,1204.2,2
RC,681,"Gradient compression garment, glove, padded, for nighttime use, each Trauma",,,303.48,303.48,2
RC,681,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each Trauma",,,1857.36,1857.36,2
RC,681,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each Trauma",,,920.02,920.02,2
RC,681,"Gradient compression garment, neck/head, custom, each Trauma",,,1921.01,1921.01,2
RC,681,"Gradient compression garment, neck/head, each Trauma",,,611.4,611.4,2
RC,681,"Gradient compression garment, toe caps, custom, each Trauma",,,598.63,598.63,2
RC,681,"Gradient compression garment, toe caps, each Trauma",,,252.26,252.26,2
RC,681,"Gradient compression garment, torso and shoulder, each Trauma",,,399.02,399.02,2
RC,681,"Gradient compression garment, torso/shoulder, custom, each Trauma",,,2272.18,2272.18,2
RC,681,"Gradient compression gauntlet, custom, each Trauma",,,421.08,421.08,2
RC,681,"Gradient compression gauntlet, each Trauma",,,116.83,116.83,2
RC,681,"Gradient compression glove, custom, medium weight, each Trauma",,,751.82,751.82,2
RC,681,"Gradient compression glove, each Trauma",,,175.18,175.18,2
RC,681,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each Trauma",,,543.31,543.31,2
RC,681,"Gradient compression stocking, below knee, 18-30 mmhg, each Trauma",,,93.77,93.77,2
RC,681,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each Trauma",,,543.31,543.31,2
RC,681,"Gradient compression stocking, below knee, 30-40 mmhg, each Trauma",,,139.13,139.13,2
RC,681,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each Trauma",,,147.98,147.98,2
RC,681,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each Trauma",,,543.31,543.31,2
RC,681,"Gradient compression stocking, below knee, 40 mmhg or greater, each Trauma",,,191.33,191.33,2
RC,681,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each Trauma",,,208.51,208.51,2
RC,681,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each Trauma",,,177.48,177.48,2
RC,681,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each Trauma",,,210.41,210.41,2
RC,681,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each Trauma",,,246.36,246.36,2
RC,681,"Gradient compression stocking, garter belt Trauma",,,93.36,93.36,2
RC,681,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each Trauma",,,744.6,744.6,2
RC,681,"Gradient compression stocking, thigh length, 18-30 mmhg, each Trauma",,,131.66,131.66,2
RC,681,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each Trauma",,,744.6,744.6,2
RC,681,"Gradient compression stocking, thigh length, 30-40 mmhg, each Trauma",,,150.36,150.36,2
RC,681,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each Trauma",,,768.41,768.41,2
RC,681,"Gradient compression stocking, thigh length, 40 mmhg or greater, each Trauma",,,173.11,173.11,2
RC,681,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each Trauma",,,2436.89,2436.89,2
RC,681,"Gradient compression stocking, waist length, 18-30 mmhg, each Trauma",,,234.86,234.86,2
RC,681,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each Trauma",,,2436.89,2436.89,2
RC,681,"Gradient compression stocking, waist length, 30-40 mmhg, each Trauma",,,280.03,280.03,2
RC,681,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each Trauma",,,2625.07,2625.07,2
RC,681,"Gradient compression stocking, waist length, 40 mmhg or greater, each Trauma",,,331.7,331.7,2
RC,681,"Gradient compression wrap with adjustable straps, above knee, each Trauma",,,455.04,455.04,2
RC,681,"Gradient compression wrap with adjustable straps, arm, each Trauma",,,585.29,585.29,2
RC,681,"Gradient compression wrap with adjustable straps, below knee, each Trauma",,,384.31,384.31,2
RC,681,"Gradient compression wrap with adjustable straps, foot, each Trauma",,,175.61,175.61,2
RC,681,"Gradient compression wrap with adjustable straps, full leg, each Trauma",,,1340.62,1340.62,2
RC,681,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each Trauma",,,291.38,291.38,2
RC,681,"Gradient pressure wrap with adjustable straps, bra, each Trauma",,,231.05,231.05,2
RC,681,"Gravity assisted traction device, any type Trauma",,,148.44,148.44,2
RC,681,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,55.51,55.51,2
RC,681,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) Trauma",,,160.08,160.08,2
RC,681,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) Trauma,,,310.39,310.39,2
RC,681,"Growth hormone, human (HGH) (somatotropin) Trauma",,,40.01,40.01,2
RC,681,"Growth hormone, human (HGH), antibody Trauma",,,37.78,37.78,2
RC,681,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) Trauma",,,181.44,181.44,2
RC,681,HAND PROCEDURES FOR INJURIES Trauma,,,25102.19,52387.18,4
RC,681,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,245.42,245.42,2
RC,681,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants Trauma",,,485.76,485.76,2
RC,681,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence Trauma",,,1440.0,1440.0,2
RC,681,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant Trauma",,,900.6,900.6,2
RC,681,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) Trauma",,,419.54,419.54,2
RC,681,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) Trauma",,,485.76,485.76,2
RC,681,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence Trauma",,,778.99,778.99,2
RC,681,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) Trauma",,,900.6,900.6,2
RC,681,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) Trauma",,,123.48,123.48,2
RC,681,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) Trauma",,,156.86,156.86,2
RC,681,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC Trauma,,,69658.64,145374.55,4
RC,681,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC Trauma,,,32316.76,67443.67,4
RC,681,HIV WITH MAJOR RELATED CONDITION WITH CC Trauma,,,17928.36,37415.71,4
RC,681,HIV WITH MAJOR RELATED CONDITION WITH MCC Trauma,,,34981.36,73004.57,4
RC,681,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC Trauma,,,13723.52,28640.4,4
RC,681,HIV WITH OR WITHOUT OTHER RELATED CONDITION Trauma,,,17957.3,37476.1,4
RC,681,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 Trauma",,,829.37,829.37,2
RC,681,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 Trauma",,,965.09,965.09,2
RC,681,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) Trauma",,,970.85,970.85,2
RC,681,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) Trauma",,,804.91,804.91,2
RC,681,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each Trauma",,,407.76,407.76,2
RC,681,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each Trauma",,,425.4,425.4,2
RC,681,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) Trauma",,,968.62,968.62,2
RC,681,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Trauma",,,178.39,178.39,2
RC,681,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Trauma",,,305.83,305.83,2
RC,681,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each Trauma",,,261.91,261.91,2
RC,681,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Trauma",,,296.83,296.83,2
RC,681,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 Trauma",,,529.78,529.78,2
RC,681,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Trauma",,,227.38,227.38,2
RC,681,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Trauma",,,293.33,293.33,2
RC,681,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen Trauma",,,61.94,61.94,2
RC,681,"HLA typing; A, B, or C, multiple antigens Trauma",,,139.2,139.2,2
RC,681,"HLA typing; DR/DQ, multiple antigens Trauma",,,254.74,254.74,2
RC,681,"HLA typing; DR/DQ, single antigen Trauma",,,72.41,72.41,2
RC,681,"HLA typing; lymphocyte culture, mixed (MLC) Trauma",,,87.74,87.74,2
RC,681,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) Trauma",,,659.59,659.59,2
RC,681,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,Hair analysis (excluding arsenic) Trauma,,,11.88,11.88,2
RC,681,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf Trauma",,,128.18,128.18,2
RC,681,Hallux implant Trauma,,,881.95,881.95,2
RC,681,"Halo procedure, cervical halo incorporated into jacket vest Trauma",,,7403.98,7403.98,2
RC,681,"Halo procedure, cervical halo incorporated into milwaukee type orthosis Trauma",,,8648.16,8648.16,2
RC,681,"Halo procedure, cervical halo incorporated into plaster body jacket Trauma",,,5989.46,5989.46,2
RC,681,Haloperidol Trauma,,,37.87,37.87,2
RC,681,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf Trauma",,,259.37,259.37,2
RC,681,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,227.21,227.21,2
RC,681,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf Trauma",,,227.21,227.21,2
RC,681,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,866.83,866.83,2
RC,681,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,730.99,730.99,2
RC,681,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,234.74,234.74,2
RC,681,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf Trauma",,,234.74,234.74,2
RC,681,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Trauma",,,285.1,285.1,2
RC,681,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf Trauma",,,285.1,285.1,2
RC,681,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,730.99,730.99,2
RC,681,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining Trauma",,,5216.64,5216.64,2
RC,681,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining Trauma",,,4460.74,4460.74,2
RC,681,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining Trauma",,,5246.45,5246.45,2
RC,681,"Hand restoration (shading, and measurements included), replacement glove for above Trauma",,,2249.04,2249.04,2
RC,681,Haptoglobin; phenotypes Trauma,,,64.54,64.54,2
RC,681,Haptoglobin; quantitative Trauma,,,30.19,30.19,2
RC,681,Headgear used with positive airway pressure device Trauma,,,54.94,54.94,2
RC,681,"Headset/headpiece for use with cochlear implant device, replacement Trauma",,,1340.09,1340.09,2
RC,681,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,1630.97,1630.97,2
RC,681,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,3900.0,3900.0,2
RC,681,"Heat lamp, with stand, includes bulb, or infrared element Trauma",,,564.19,564.19,2
RC,681,"Heat lamp, without stand (table model), includes bulb, or infrared element Trauma",,,230.5,230.5,2
RC,681,Heavy duty wheelchair Trauma,,,205.63,205.63,2
RC,681,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests Trauma",,,381.6,381.6,2
RC,681,"Heavy duty wheelchair, fixed full length arms, elevating legrest Trauma",,,353.14,353.14,2
RC,681,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,365.21,365.21,2
RC,681,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes Trauma",,,50.26,50.26,2
RC,681,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified Trauma",,,52.7,52.7,2
RC,681,"Heel loop/holder, any type, with or without ankle strap, each Trauma",,,39.26,39.26,2
RC,681,"Heel or elbow protector, each Trauma",,,31.61,31.61,2
RC,681,Heel wedge Trauma,,,67.82,67.82,2
RC,681,"Heel wedge, sach Trauma",,,252.79,252.79,2
RC,681,"Heel, counter, leather reinforced Trauma",,,226.34,226.34,2
RC,681,"Heel, counter, plastic reinforced Trauma",,,475.2,475.2,2
RC,681,"Heel, new leather, standard Trauma",,,120.74,120.74,2
RC,681,"Heel, new rubber, standard Trauma",,,101.78,101.78,2
RC,681,"Heel, pad and depression for spur Trauma",,,184.78,184.78,2
RC,681,"Heel, sach cushion type Trauma",,,312.96,312.96,2
RC,681,"Heel, thomas extended to ball Trauma",,,184.78,184.78,2
RC,681,"Heel, thomas with wedge Trauma",,,173.47,173.47,2
RC,681,Heinz bodies; direct Trauma,,,10.08,10.08,2
RC,681,"Heinz bodies; induced, acetyl phenylhydrazine Trauma",,,16.37,16.37,2
RC,681,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Trauma",,,161.66,161.66,2
RC,681,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) Trauma",,,161.66,161.66,2
RC,681,Helicobacter pylori; drug administration Trauma,,,18.86,18.86,2
RC,681,"Helmet, protective, hard, prefabricated, includes all components and accessories Trauma",,,524.57,524.57,2
RC,681,"Helmet, protective, soft, prefabricated, includes all components and accessories Trauma",,,524.57,524.57,2
RC,681,Hemagglutination inhibition test (HAI) Trauma,,,19.66,19.66,2
RC,681,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,1822.87,1822.87,4
RC,681,"Hemi-facial prosthesis, provided by a non-physician Trauma",,,12060.84,12060.84,2
RC,681,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests Trauma",,,285.19,285.19,2
RC,681,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest Trauma",,,228.91,228.91,2
RC,681,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Trauma",,,15539.71,15539.71,2
RC,681,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot Trauma",,,15061.1,15061.1,2
RC,681,"Hemoglobin (Hgb), quantitative, transcutaneous Trauma",,,12.05,12.05,2
RC,681,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) Trauma",,,43.34,43.34,2
RC,681,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) Trauma",,,30.89,30.89,2
RC,681,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) Trauma",,,18.55,18.55,2
RC,681,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette Trauma",,,22.46,22.46,2
RC,681,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin Trauma",,,22.49,22.49,2
RC,681,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Trauma",,,22.49,22.49,2
RC,681,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) Trauma,,,32.02,32.02,2
RC,681,"Hemoglobin; F (fetal), chemical Trauma",,,25.78,25.78,2
RC,681,"Hemoglobin; F (fetal), qualitative Trauma",,,19.2,19.2,2
RC,681,"Hemoglobin; by copper sulfate method, non-automated Trauma",,,9.62,9.62,2
RC,681,Hemoglobin; glycosylated (A1C) Trauma,,,23.3,23.3,2
RC,681,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Trauma,,,23.3,23.3,2
RC,681,"Hemoglobin; methemoglobin, qualitative Trauma",,,15.58,15.58,2
RC,681,"Hemoglobin; methemoglobin, quantitative Trauma",,,19.68,19.68,2
RC,681,Hemoglobin; plasma Trauma,,,17.54,17.54,2
RC,681,"Hemoglobin; sulfhemoglobin, quantitative Trauma",,,21.12,21.12,2
RC,681,Hemoglobin; thermolabile Trauma,,,21.6,21.6,2
RC,681,"Hemoglobin; unstable, screen Trauma",,,22.73,22.73,2
RC,681,Hemoglobin; urine Trauma,,,9.48,9.48,2
RC,681,"Hemolysin, acid Trauma",,,21.29,21.29,2
RC,681,"Hemolysins and agglutinins; auto, screen, each Trauma",,,21.05,21.05,2
RC,681,Hemolysins and agglutinins; incubated Trauma,,,29.06,29.06,2
RC,681,"Hemosiderin, qualitative Trauma",,,11.4,11.4,2
RC,681,Hepagam b im injection Trauma,,,157.46,157.46,2
RC,681,Heparin assay Trauma,,,31.42,31.42,2
RC,681,Heparin neutralization Trauma,,,28.42,28.42,2
RC,681,Heparin-protamine tolerance test Trauma,,,31.42,31.42,2
RC,681,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,19.61,19.61,2
RC,681,Hepatitis A antibody (HAAb) Trauma,,,29.74,29.74,2
RC,681,"Hepatitis A antibody (HAAb), IgM antibody Trauma",,,27.02,27.02,2
RC,681,Hepatitis B core antibody (HBcAb); IgM antibody Trauma,,,28.25,28.25,2
RC,681,Hepatitis B core antibody (HBcAb); total Trauma,,,28.92,28.92,2
RC,681,Hepatitis B surface antibody (HBsAb) Trauma,,,25.78,25.78,2
RC,681,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
RC,681,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use Trauma",,,,,0
RC,681,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use Trauma",,,,,0
RC,681,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
RC,681,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
RC,681,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use Trauma",,,,,0
RC,681,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
RC,681,Hepatitis Be antibody (HBeAb) Trauma,,,27.77,27.77,2
RC,681,Hepatitis C antibody; Trauma,,,34.25,34.25,2
RC,681,"Hepatitis C antibody; confirmatory test (eg, immunoblot) Trauma",,,37.18,37.18,2
RC,681,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,67.85,67.85,2
RC,681,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) Trauma",,,111.24,111.24,2
RC,681,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,3129.48,3129.48,2
RC,681,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,1403.76,1403.76,2
RC,681,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,3129.48,3129.48,2
RC,681,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,3129.48,3129.48,2
RC,681,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,1403.76,1403.76,2
RC,681,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,1434.98,1434.98,2
RC,681,Heterophile antibodies; screening Trauma,,,12.43,12.43,2
RC,681,Heterophile antibodies; titer Trauma,,,15.53,15.53,2
RC,681,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Trauma,,,17.69,17.69,2
RC,681,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,20.16,20.16,2
RC,681,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each Trauma",,,98.3,98.3,2
RC,681,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each Trauma",,,148.78,148.78,2
RC,681,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each Trauma",,,3636.29,3636.29,2
RC,681,"High mount flip-up footrest, each Trauma",,,133.22,133.22,2
RC,681,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests Trauma",,,438.34,438.34,2
RC,681,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests Trauma",,,367.87,367.87,2
RC,681,"High strength, lightweight wheelchair Trauma",,,139.08,139.08,2
RC,681,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Trauma",,,14927.59,14927.59,2
RC,681,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot Trauma",,,15244.97,15244.97,2
RC,681,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot Trauma",,,15177.34,15177.34,2
RC,681,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated Trauma",,,503.64,503.64,2
RC,681,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated Trauma",,,1721.47,1721.47,2
RC,681,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated Trauma",,,1341.29,1341.29,2
RC,681,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated Trauma",,,494.52,494.52,2
RC,681,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated Trauma",,,1299.91,1299.91,2
RC,681,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated Trauma",,,1054.68,1054.68,2
RC,681,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated Trauma",,,4094.38,4094.38,2
RC,681,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment Trauma",,,2746.8,2746.8,2
RC,681,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated Trauma",,,3880.32,3880.32,2
RC,681,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,121.08,121.08,2
RC,681,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,398.71,398.71,2
RC,681,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,355.39,355.39,2
RC,681,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated Trauma",,,475.8,475.8,2
RC,681,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment Trauma",,,674.86,674.86,2
RC,681,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated Trauma",,,1272.58,1272.58,2
RC,681,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment Trauma",,,471.98,471.98,2
RC,681,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,5493.6,5493.6,2
RC,681,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,1057.15,1057.15,2
RC,681,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf Trauma",,,1057.15,1057.15,2
RC,681,Histamine Trauma,,,70.87,70.87,2
RC,681,"Hiv antigen/antibody, combination assay, screening Trauma",,,57.79,57.79,2
RC,681,"Hiv prep, ftc/taf 200/25mg Trauma",,,171.42,171.42,2
RC,681,"Hiv prep, ftc/tdf 200/300m Trauma",,,1.09,1.09,2
RC,681,"Hiv prep, inj, cabotegravi Trauma",,,17.51,17.51,2
RC,681,"Hiv prep, inj, lenacapavir Trauma",,,38.59,38.59,2
RC,681,"Hiv prep, oral lenacapavir Trauma",,,1490.18,1490.18,2
RC,681,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,1526.16,1526.16,2
RC,681,Home blood glucose monitor Trauma,,,228.55,228.55,2
RC,681,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge Trauma,,,130.85,130.85,2
RC,681,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) Trauma",,,3264.79,3264.79,2
RC,681,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) Trauma",,,3264.79,3264.79,2
RC,681,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions Trauma",,,3489.19,3489.19,2
RC,681,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,3788.83,3788.83,2
RC,681,Homocysteine Trauma,,,43.01,43.01,2
RC,681,"Homogenization, tissue, for culture Trauma",,,14.11,14.11,2
RC,681,Homovanillic acid (HVA) Trauma,,,53.78,53.78,2
RC,681,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress Trauma",,,1505.04,1505.04,2
RC,681,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress Trauma",,,1448.86,1448.86,2
RC,681,"Hospital bed, fixed height, with any type side rails, with mattress Trauma",,,184.68,184.68,2
RC,681,"Hospital bed, fixed height, with any type side rails, without mattress Trauma",,,170.69,170.69,2
RC,681,"Hospital bed, fixed height, without side rails, with mattress Trauma",,,169.44,169.44,2
RC,681,"Hospital bed, fixed height, without side rails, without mattress Trauma",,,129.0,129.0,2
RC,681,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress Trauma",,,513.41,513.41,2
RC,681,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress Trauma",,,503.81,503.81,2
RC,681,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress Trauma",,,187.58,187.58,2
RC,681,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress Trauma",,,186.86,186.86,2
RC,681,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress Trauma",,,187.25,187.25,2
RC,681,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress Trauma",,,186.86,186.86,2
RC,681,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress Trauma",,,441.62,441.62,2
RC,681,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress Trauma",,,384.26,384.26,2
RC,681,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress Trauma",,,344.57,344.57,2
RC,681,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress Trauma",,,304.06,304.06,2
RC,681,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress Trauma",,,187.06,187.06,2
RC,681,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress Trauma",,,178.01,178.01,2
RC,681,"Hospital bed, variable height, hi-lo, without side rails, with mattress Trauma",,,179.5,179.5,2
RC,681,"Hospital bed, variable height, hi-lo, without side rails, without mattress Trauma",,,163.66,163.66,2
RC,681,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each Trauma",,,9.82,9.82,2
RC,681,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each Trauma",,,16.03,16.03,2
RC,681,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,293.33,293.33,2
RC,681,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) Trau",,,293.33,293.33,2
RC,681,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,293.33,293.33,2
RC,681,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,293.33,293.33,2
RC,681,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,293.33,293.33,2
RC,681,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,293.33,293.33,2
RC,681,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,293.33,293.33,2
RC,681,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,293.33,293.33,2
RC,681,Human epididymis protein 4 (HE4) Trauma,,,49.94,49.94,2
RC,681,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) Trauma",,,87.67,87.67,2
RC,681,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution Trauma",,,262.78,262.78,2
RC,681,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery Trauma",,,171.48,171.48,2
RC,681,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery Trauma",,,448.03,448.03,2
RC,681,"Humidifier, heated, used with positive airway pressure device Trauma",,,417.19,417.19,2
RC,681,"Humidifier, non-heated, used with positive airway pressure device Trauma",,,221.35,221.35,2
RC,681,"Hyaluronan, hymo or hymo o Trauma",,,43.51,43.51,2
RC,681,"Hydrocollator unit, includes pads Trauma",,,1129.92,1129.92,2
RC,681,"Hydrocollator unit, portable Trauma",,,1538.57,1538.57,2
RC,681,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,27.05,27.05,2
RC,681,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,22.39,22.39,2
RC,681,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,78.0,78.0,2
RC,681,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,57.53,57.53,2
RC,681,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,93.19,93.19,2
RC,681,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram Trauma",,,8.78,8.78,2
RC,681,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce Trauma",,,41.88,41.88,2
RC,681,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,24.86,24.86,2
RC,681,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,20.71,20.71,2
RC,681,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,33.98,33.98,2
RC,681,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,42.14,42.14,2
RC,681,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Trauma",,,81.34,81.34,2
RC,681,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,134.38,134.38,2
RC,681,"Hydrogel dressing, wound filler, gel, per fluid ounce Trauma",,,55.56,55.56,2
RC,681,Hydroxychloroquine Trauma,,,44.74,44.74,2
RC,681,"Hydroxycorticosteroids, 17- (17-OHCS) Trauma",,,42.96,42.96,2
RC,681,"Hydroxyindolacetic acid, 5-(HIAA) Trauma",,,30.96,30.96,2
RC,681,"Hydroxyprogesterone, 17-d Trauma",,,65.21,65.21,2
RC,681,Hydroxyproline; free Trauma,,,54.36,54.36,2
RC,681,Hydroxyproline; total Trauma,,,58.32,58.32,2
RC,681,"I125 iothalamate, dx Trauma",,,1559.14,1559.14,2
RC,681,"I125 serum albumin, dx Trauma",,,1125.74,1125.74,2
RC,681,"I131 iodobenguate, dx Trauma",,,2287.22,2287.22,2
RC,681,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) Trauma",,,463.8,463.8,2
RC,681,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) Trauma",,,709.9,709.9,2
RC,681,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant Trauma",,,176.09,176.09,2
RC,681,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis Trauma",,,706.85,706.85,2
RC,681,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,475.18,475.18,2
RC,681,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) Trauma",,,164.52,164.52,2
RC,681,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative Trauma",,,497.54,497.54,2
RC,681,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Trauma",,,414.55,414.55,2
RC,681,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) Trauma",,,94.34,94.34,2
RC,681,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,14541.34,30347.14,4
RC,681,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,19395.7,40477.99,4
RC,681,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11160.75,23292.0,4
RC,681,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC Trauma,,,25464.47,53143.25,4
RC,681,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Trauma,,,56981.97,118918.9,4
RC,681,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,20095.62,41938.68,4
RC,681,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Trauma,,,19942.35,41618.81,4
RC,681,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC Trauma,,,12742.79,26593.66,4
RC,681,Ibuprofen injection Trauma,,,7.8,7.8,2
RC,681,Ibutilide fumarate injecti Trauma,,,422.14,422.14,2
RC,681,Idecabtagene vicleucel car Trauma,,,1363146.72,1363146.72,2
RC,681,Idursulfase injection Trauma,,,1368.1,1368.1,2
RC,681,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow Trau",,,5399.26,5399.26,2
RC,681,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,7469.33,7469.33,2
RC,681,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment Traum",,,1478.57,1478.57,2
RC,681,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow Tra",,,3588.84,3588.84,2
RC,681,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation Trauma",,,4903.49,4903.49,2
RC,681,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment Trauma",,,1227.62,1227.62,2
RC,681,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee Trauma",,,4001.33,4001.33,2
RC,681,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee Trauma",,,1602.6,1602.6,2
RC,681,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee Trauma",,,1202.86,1202.86,2
RC,681,"Immediate post surgical or early fitting, application of rigid dressing only Trauma",,,1291.7,1291.7,2
RC,681,"Immediate post surgical or early fitting, each additional cast change and realignment Trauma",,,1179.94,1179.94,2
RC,681,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers Trauma",,,3588.84,3588.84,2
RC,681,Immersion external heater for nebulizer Trauma,,,391.3,391.3,2
RC,681,Immune complex assay Trauma,,,58.49,58.49,2
RC,681,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method Trauma",,,27.67,27.67,2
RC,681,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) Trauma",,,23.14,23.14,2
RC,681,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) Trauma",,,44.16,44.16,2
RC,681,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified Trauma",,,41.45,41.45,2
RC,681,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); Trauma",,,43.42,43.42,2
RC,681,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,108.67,108.67,2
RC,681,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified Trauma",,,35.98,35.98,2
RC,681,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each Trauma",,,49.94,49.94,2
RC,681,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Trauma",,,61.37,61.37,2
RC,681,"Immunoassay for tumor antigen, quantitative; CA 125 Trauma",,,49.94,49.94,2
RC,681,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) Trauma",,,49.94,49.94,2
RC,681,"Immunoassay for tumor antigen, quantitative; CA 19-9 Trauma",,,49.94,49.94,2
RC,681,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody Trauma",,,28.75,28.75,2
RC,681,Immunodiffusion; not elsewhere specified Trauma,,,33.72,33.72,2
RC,681,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Trauma",,,55.51,55.51,2
RC,681,Immunoelectrophoresis; serum Trauma,,,71.81,71.81,2
RC,681,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) Trauma",,,70.44,70.44,2
RC,681,Immunofixation electrophoresis; serum Trauma,,,53.62,53.62,2
RC,681,"Immunoglobulin light chains (ie, kappa, lambda), free, each Trauma",,,41.45,41.45,2
RC,681,"Implantable breast prosthesis, silicone or equal Trauma",,,1834.73,1834.73,2
RC,681,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement Trauma",,,1616.14,1616.14,2
RC,681,Implantable neurostimulator radiofrequency receiver Trauma,,,17713.73,17713.73,2
RC,681,"Implantable neurostimulator, pulse generator, any type Trauma",,,24792.48,24792.48,2
RC,681,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) Trauma",,,27314.16,27314.16,2
RC,681,In111 capromab Trauma,,,4152.7,4152.7,2
RC,681,In111 oxyquinoline Trauma,,,1995.5,1995.5,2
RC,681,In111 pentetate Trauma,,,1789.49,1789.49,2
RC,681,Incobotulinumtoxin A Trauma,,,12.68,12.68,2
RC,681,"Incontinence supply, urethral insert, any type, each Trauma",,,4.92,4.92,2
RC,681,Indigotindisulfonate sod 1 Trauma,,,22.32,22.32,2
RC,681,Indium in-111 auto wbc Trauma,,,2647.66,2647.66,2
RC,681,Indium in-111 pentetreotid Trauma,,,4802.26,4802.26,2
RC,681,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each Trauma",,,54.74,54.74,2
RC,681,"Indwelling catheter; foley type, three way for continuous irrigation, each Trauma",,,66.98,66.98,2
RC,681,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each Trauma",,,41.95,41.95,2
RC,681,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each Trauma",,,108.6,108.6,2
RC,681,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each Trauma",,,834.6,834.6,2
RC,681,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening Trauma",,,46.97,46.97,2
RC,681,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening Trauma",,,43.9,43.9,2
RC,681,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening Trauma",,,28.75,28.75,2
RC,681,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,24.79,168.7,62
RC,681,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis Trauma",,,84.7,84.7,2
RC,681,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A Trauma",,,38.4,38.4,2
RC,681,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies Trauma",,,78.65,78.65,2
RC,681,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza Trauma",,,39.72,39.72,2
RC,681,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae Trauma",,,58.94,58.94,2
RC,681,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A Trauma",,,39.67,39.67,2
RC,681,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B Trauma",,,30.55,30.55,2
RC,681,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis Trauma",,,36.7,36.7,2
RC,681,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Trauma",,,52.22,52.22,2
RC,681,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified Trauma",,,38.57,38.57,2
RC,681,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus Trauma",,,31.44,31.44,2
RC,681,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Trauma",,,99.31,99.31,2
RC,681,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,178.75,178.75,2
RC,681,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum Trauma",,,28.75,28.75,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis Trauma,,,28.75,28.75,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis Trauma,,,28.75,28.75,2
RC,681,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) Trauma",,,32.21,32.21,2
RC,681,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) Trauma",,,32.21,32.21,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Trauma,,,28.75,28.75,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Trauma,,,28.75,28.75,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Trauma,,,37.44,37.44,2
RC,681,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type Trauma",,,39.43,39.43,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Trauma,,,28.75,28.75,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; Rubeola Trauma,,,145.92,145.92,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Trauma,,,29.23,29.23,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus Trauma,,,32.21,32.21,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; adenovirus Trauma,,,34.63,34.63,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium Trauma,,,28.75,28.75,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; giardia Trauma,,,32.66,32.66,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; influenza A virus Trauma,,,38.57,38.57,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; influenza B virus Trauma,,,29.4,29.4,2
RC,681,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Trauma",,,38.64,38.64,2
RC,681,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus Trauma,,,32.21,32.21,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Trauma",,,168.48,168.48,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique Trauma",,,104.81,104.81,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism Trauma",,,72.07,72.07,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Trauma",,,102.82,102.82,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification Trauma",,,102.82,102.82,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Trauma",,,48.12,48.12,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Trauma",,,48.12,48.12,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Trauma",,,133.78,133.78,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Trauma",,,48.12,48.12,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Trauma",,,102.82,102.82,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique Trauma",,,168.43,168.43,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Trauma",,,54.6,54.6,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Trauma",,,128.33,128.33,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique Trauma",,,89.45,89.45,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Trauma",,,48.12,48.12,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Trauma",,,100.22,100.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Trauma",,,52.61,52.61,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Trauma",,,204.24,204.24,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Trauma",,,52.61,52.61,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed Trauma",,,140.69,140.69,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Trauma",,,48.12,48.12,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Trauma",,,102.82,102.82,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Trauma",,,139.2,139.2,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Trauma",,,100.22,100.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) Trauma",,,168.48,168.48,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed Trauma",,,97.32,97.32,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique Trauma",,,48.12,48.12,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Trauma",,,100.22,100.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique Trauma",,,65.5,65.5,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Trauma",,,102.82,102.82,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique Trauma",,,115.78,115.78,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Trauma",,,48.12,48.12,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Trauma",,,102.82,102.82,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Trauma",,,100.03,100.03,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Trauma",,,64.51,64.51,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Trauma",,,102.82,102.82,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique Trauma",,,184.25,184.25,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Trauma",,,48.12,48.12,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Trauma",,,726.29,726.29,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Trauma",,,64.51,64.51,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Trauma",,,102.82,102.82,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each Trauma",,,123.14,123.14,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Trauma",,,48.12,48.12,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Trauma",,,100.22,100.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique Trauma",,,48.12,48.12,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique Trauma",,,123.14,123.14,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,1000.27,1000.27,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Trauma",,,72.07,72.07,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Trauma",,,102.82,102.82,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,307.9,1000.27,6
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification Trauma",,,102.82,102.82,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Trauma",,,74.93,74.93,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Trauma",,,102.82,102.82,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed Trauma",,,102.82,102.82,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Trauma",,,94.22,94.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Trauma",,,71.52,71.52,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification Trauma",,,100.22,100.22,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,70.13,229.92,4
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype Trauma",,,123.14,123.14,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets Trauma",,,1631.45,1631.45,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique Trauma",,,168.48,168.48,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,342.31,1000.27,6
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,342.31,342.31,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique Trauma",,,123.14,123.14,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,342.31,342.31,2
RC,681,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique Trauma",,,84.22,84.22,2
RC,681,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,84.22,84.22,2
RC,681,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics Trauma,,,312.84,312.84,2
RC,681,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Trauma",,,29.33,29.33,2
RC,681,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) Trauma",,,308.95,308.95,2
RC,681,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions Trauma",,,617.88,617.88,2
RC,681,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus Trauma,,,617.88,617.88,2
RC,681,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus Trauma,,,617.88,617.88,2
RC,681,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus Trauma,,,617.88,617.88,2
RC,681,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,617.88,617.88,2
RC,681,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,62.57,62.57,2
RC,681,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested Trauma",,,1172.78,1172.78,2
RC,681,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,631.18,631.18,2
RC,681,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,631.18,631.18,2
RC,681,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,342.31,342.31,2
RC,681,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,173.26,173.26,2
RC,681,Infliximab Trauma,,,92.57,92.57,2
RC,681,Infliximab not biosimil 10 Trauma,,,75.55,75.55,2
RC,681,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, not otherwise specified Trauma",,,,,0
RC,681,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use Trauma",,,,,0
RC,681,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) Trauma",,,,,0
RC,681,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) Trauma",,,,,0
RC,681,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) Trauma",,,,,0
RC,681,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) Trauma",,,,,0
RC,681,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) Trauma",,,,,0
RC,681,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use Trauma",,,,,0
RC,681,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) Trauma",,,28002.0,28002.0,2
RC,681,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) Trauma",,,829.3,829.3,2
RC,681,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) Trauma",,,14684.95,14684.95,2
RC,681,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) Trauma",,,117.77,117.77,2
RC,681,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,5876.54,5876.54,2
RC,681,Inhibin A Trauma,,,37.42,37.42,2
RC,681,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Trauma",,,5219.04,5219.04,2
RC,681,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Trauma",,,3773.59,3773.59,2
RC,681,Inj  ogivri 10 mg Trauma,,,76.67,76.67,2
RC,681,Inj allopurinol sodium 1 m Trauma,,,9.78,9.78,2
RC,681,Inj amivantamab 5mg hyalur Trauma,,,97.78,97.78,2
RC,681,"Inj andexxa, 10 mg Trauma",,,314.79,314.79,2
RC,681,Inj anifrolumab-fnia 1mg Trauma,,,44.42,44.42,2
RC,681,Inj avacincaptad pegol 0.1 Trauma,,,247.69,247.69,2
RC,681,Inj aval alfa-nqpt 4mg Trauma,,,201.47,201.47,2
RC,681,Inj axatilimab-csfr 0.1 mg Trauma,,,135.51,135.51,2
RC,681,Inj belantamab mafodot blm Trauma,,,87.0,87.0,2
RC,681,Inj bimatoprost itc imp 1m Trauma,,,513.01,513.01,2
RC,681,"Inj brixadi, more than 7 d Trauma",,,4133.53,4133.53,2
RC,681,Inj ceftobipole medocarl 3 Trauma,,,2.64,2.64,2
RC,681,Inj ceftolozane tazobactam Trauma,,,24.09,24.09,2
RC,681,Inj cladribine per 1 mg Trauma,,,19.65,19.65,2
RC,681,"Inj cosibelimab-ipdl, 2 mg Trauma",,,53.46,53.46,2
RC,681,Inj crizanlizumab-tmca 5mg Trauma,,,311.85,311.85,2
RC,681,Inj cutaquig 100 mg Trauma,,,33.67,33.67,2
RC,681,"Inj cuvitru, 100 mg Trauma",,,43.55,43.55,2
RC,681,Inj cyclophos dr reddys 5 Trauma,,,1.2,1.2,2
RC,681,Inj cyclophos frindovyx 5 Trauma,,,21.41,21.41,2
RC,681,Inj cyclophosphamd auromed Trauma,,,1.18,1.18,2
RC,681,"Inj daunorubicin, cytarabi Trauma",,,654.93,654.93,2
RC,681,Inj daxibotulinumtoxina-la Trauma,,,7.36,7.36,2
RC,681,Inj delandistrogene mox ro Trauma,,,7960552.8,7960552.8,2
RC,681,Inj depemokimab-ulaa 1 mg Trauma,,,642.72,642.72,2
RC,681,Inj efgart-alfa 2mg hya-qv Trauma,,,82.22,82.22,2
RC,681,Inj efgartigimod 2mg Trauma,,,78.13,78.13,2
RC,681,Inj eflapegrastim-xnst 0.1 Trauma,,,92.55,92.55,2
RC,681,Inj elivaldogene autotemec Trauma,,,7632000.0,7632000.0,2
RC,681,Inj enfort vedo-ejfv 0.25m Trauma,,,87.98,87.98,2
RC,681,Inj epcoritamab-bysp 0.16 Trauma,,,139.18,139.18,2
RC,681,Inj estrogen conjugate Trauma,,,963.61,963.61,2
RC,681,Inj fam-trastu deru-nxki 1 Trauma,,,78.9,78.9,2
RC,681,Inj fensolvi 0.25 mg Trauma,,,348.75,348.75,2
RC,681,Inj ferric carboxymaltos 1 Trauma,,,2.72,2.72,2
RC,681,Inj fosfomycin disodium 20 Trauma,,,1.5,1.5,2
RC,681,"Inj fosnetupitant, palonos Trauma",,,1209.24,1209.24,2
RC,681,Inj gemcitabin (avyxa) 200 Trauma,,,960.8,960.8,2
RC,681,Inj givosiran 0.5 mg Trauma,,,290.2,290.2,2
RC,681,"Inj glofitamab gxbm, 2.5 m Trauma",,,6875.23,6875.23,2
RC,681,Inj glucagon (gvoke) 0.01 Trauma,,,4.32,4.32,2
RC,681,"Inj glucagon hcl, freseniu Trauma",,,310.27,310.27,2
RC,681,Inj herzuma 10 mg Trauma,,,131.86,131.86,2
RC,681,Inj hydroxocobalamin iv 25 Trauma,,,13.07,13.07,2
RC,681,Inj inotuzumab ozogam 0.1 Trauma,,,6895.45,6895.45,2
RC,681,Inj irinotecan liposome 1 Trauma,,,158.07,158.07,2
RC,681,Inj lenacapavir (hiv tx) 1 Trauma,,,55.05,55.05,2
RC,681,Inj leu acet lutr dpt 7.5 Trauma,,,1649.49,1649.49,2
RC,681,Inj linvoseltamab-gcpt 1 m Trauma,,,238.33,238.33,2
RC,681,Inj lon tesirin-lpyl 0.075 Trauma,,,543.86,543.86,2
RC,681,Inj luspatercept-aamt 0.25 Trauma,,,104.43,104.43,2
RC,681,Inj luxturna 1 billion vec Trauma,,,7367.13,7367.13,2
RC,681,Inj meloxicam (azurity) 1m Trauma,,,2.54,2.54,2
RC,681,Inj melpha hydroch nos 50 Trauma,,,251.76,251.76,2
RC,681,Inj melphalan (hepzato) 1 Trauma,,,1923.55,1923.55,2
RC,681,"Inj mogamulizumab-kpkc, 1 Trauma",,,620.49,620.49,2
RC,681,"Inj mosunetuzumab-axgb, 1 Trauma",,,1618.79,1618.79,2
RC,681,Inj mvasi 10 mg Trauma,,,58.88,58.88,2
RC,681,Inj nivol relatlimab 3mg/1 Trauma,,,493.23,493.23,2
RC,681,Inj nivolumab 2 mg hyaluro Trauma,,,67.54,67.54,2
RC,681,Inj olipudase alfa-rpcp 1m Trauma,,,971.87,971.87,2
RC,681,Inj onase abepar-brve trea Trauma,,,6394147.2,6394147.2,2
RC,681,Inj onase abepar-xioi trea Trauma,,,6432091.2,6432091.2,2
RC,681,Inj ontruzant 10 mg Trauma,,,50.37,50.37,2
RC,681,Inj pegfilgrast ex bio 0.5 Trauma,,,343.76,343.76,2
RC,681,Inj pegfilgrastim-bmez 0.5 Trauma,,,317.03,317.03,2
RC,681,Inj pemetrexed (accord) 10 Trauma,,,23.37,23.37,2
RC,681,Inj pemetrexed (bluepoint) Trauma,,,25.44,25.44,2
RC,681,Inj pemetrexed (teva) 10mg Trauma,,,26.37,26.37,2
RC,681,"Inj pemetrexed, hospira 10 Trauma",,,7.06,7.06,2
RC,681,Inj plasminogen tvmh 1mg Trauma,,,92.21,92.21,2
RC,681,"Inj pozelimab-bbfg, 1 mg Trauma",,,220.15,220.15,2
RC,681,Inj recombin esperoct per Trauma,,,5.51,5.51,2
RC,681,Inj retacrit non-esrd use Trauma,,,19.12,19.12,2
RC,681,Inj risankizumab-rzaaÂ1 m Trauma,,,34.87,34.87,2
RC,681,"Inj rituximab, hyaluronida Trauma",,,87.33,87.33,2
RC,681,Inj roctavian ml 2x10^13vc Trauma,,,30128.9,30128.9,2
RC,681,Inj romidepsin lyophil 0.1 Trauma,,,73.71,73.71,2
RC,681,Inj romidepsin non-lyo 0.1 Trauma,,,80.61,80.61,2
RC,681,Inj rozanolixizum-noli 1 m Trauma,,,56.61,56.61,2
RC,681,"Inj ruxience, 10 mg Trauma",,,38.78,38.78,2
RC,681,Inj sebelipase alfa 1 mg Trauma,,,1295.04,1295.04,2
RC,681,Inj secukinumab intrav 1mg Trauma,,,43.76,43.76,2
RC,681,Inj sirolimus prot part 1 Trauma,,,218.47,218.47,2
RC,681,Inj talimogene laherparepv Trauma,,,185.61,185.61,2
RC,681,Inj talquetamab-tgvs 0.25 Trauma,,,184.13,184.13,2
RC,681,Inj teclistamab cqyv 0.5 m Trauma,,,84.78,84.78,2
RC,681,Inj teplizumab mzwv 5 mcg Trauma,,,94.12,94.12,2
RC,681,"Inj tezepelumab-ekko, 1mg Trauma",,,43.01,43.01,2
RC,681,Inj thiotepa nos 1 mg Trauma,,,11.83,11.83,2
RC,681,"Inj tisotu vedotin-tftv, 1 Trauma",,,470.69,470.69,2
RC,681,Inj tofersen intrathec 1 m Trauma,,,395.56,395.56,2
RC,681,Inj travoprost intra impl Trauma,,,472.19,472.19,2
RC,681,Inj triamcinolone ace xr 1 Trauma,,,46.27,46.27,2
RC,681,Inj truxima 10 mg Trauma,,,82.95,82.95,2
RC,681,"Inj ublituximab-xiiy, 1 mg Trauma",,,173.37,173.37,2
RC,681,Inj ustekinumab-aauz 1 mg Trauma,,,31.57,31.57,2
RC,681,"Inj ustekinumab-aekn, 1 mg Trauma",,,25.27,25.27,2
RC,681,"Inj ustekinumab-kfce, 1 mg Trauma",,,7.9,7.9,2
RC,681,"Inj ustekinumab-srlf, 1 mg Trauma",,,27.72,27.72,2
RC,681,"Inj ustekinumab-stba, 1 mg Trauma",,,7.38,7.38,2
RC,681,Inj velmanase alfa-tycv 1 Trauma,,,1150.06,1150.06,2
RC,681,Inj xipere 1 mg Trauma,,,114.65,114.65,2
RC,681,Inj yimmugo 100 mg Trauma,,,57.95,57.95,2
RC,681,Inj zenocutuzumab-zbco 1 m Trauma,,,81.27,81.27,2
RC,681,Inj zopapogene per ther do Trauma,,,292560.0,292560.0,2
RC,681,"Inj, Ado-trastuzumab Emt 1 Trauma",,,104.7,104.7,2
RC,681,"Inj, abilify asimtufii, 1 Trauma",,,14.84,14.84,2
RC,681,"Inj, adzynma, 10 iu Trauma",,,86.91,86.91,2
RC,681,"Inj, aflibercept hd, 1 mg Trauma",,,716.84,716.84,2
RC,681,"Inj, afstyla, 1 i.u. Trauma",,,3.89,3.89,2
RC,681,"Inj, alyglo, 500 mg Trauma",,,291.71,291.71,2
RC,681,"Inj, alymsys, 10 mg Trauma",,,191.87,191.87,2
RC,681,"Inj, amisulpride, 1 mg Trauma",,,22.97,22.97,2
RC,681,"Inj, amivantamab-vmjw Trauma",,,55.73,55.73,2
RC,681,"Inj, artesunate, 1mg Trauma",,,124.39,124.39,2
RC,681,"Inj, aspara, rylaze, 0.1 m Trauma",,,140.88,140.88,2
RC,681,"Inj, atezolizumab,10 mg Trauma",,,231.71,231.71,2
RC,681,"Inj, atidarsagene autotemc Trauma",,,10812000.0,10812000.0,2
RC,681,"Inj, bendamustine hcl, 1mg Trauma",,,7.1,7.1,2
RC,681,"Inj, betibeglogene autotem Trauma",,,7032624.0,7032624.0,2
RC,681,"Inj, bezlotoxumab, 10 mg Trauma",,,95.58,95.58,2
RC,681,"Inj, bortezomib freseniusk Trauma",,,16.73,16.73,2
RC,681,"Inj, bortezomib, dr. reddy Trauma",,,8.3,8.3,2
RC,681,"Inj, brixadi, 7 days or le Trauma",,,1033.38,1033.38,2
RC,681,"Inj, brolucizumab-dbll, 1 Trauma",,,863.31,863.31,2
RC,681,"Inj, bupivacaine liposome Trauma",,,3.49,3.49,2
RC,681,"Inj, cabote rilpivir 2mg 3 Trauma",,,59.2,59.2,2
RC,681,"Inj, carboplatin (avyxa) Trauma",,,12.49,12.49,2
RC,681,"Inj, carboprost, 0.1 mg Trauma",,,39.3,39.3,2
RC,681,"Inj, cefiderocol, 10 mg Trauma",,,6.12,6.12,2
RC,681,"Inj, cimerli, 0.1 mg Trauma",,,198.07,198.07,2
RC,681,"Inj, cipaglucosidase, 5 mg Trauma",,,231.12,231.12,2
RC,681,"Inj, clevidipine, 1 mg Trauma",,,6.81,6.81,2
RC,681,"Inj, crovalimab-akkz, 10 m Trauma",,,1323.63,1323.63,2
RC,681,"Inj, cyclophos (baxter) 5m Trauma",,,10.53,10.53,2
RC,681,"Inj, cyclophosphamd, sando Trauma",,,8.25,8.25,2
RC,681,"Inj, cyclophosphamide, nos Trauma",,,1.38,1.38,2
RC,681,"Inj, denosumab Trauma",,,72.24,72.24,2
RC,681,"Inj, denosumab-bmwo, 1 mg Trauma",,,62.35,62.35,2
RC,681,"Inj, denosumab-bnht, 1 mg Trauma",,,69.16,69.16,2
RC,681,"Inj, denosumab-kyqq, 1 mg Trauma",,,33.6,33.6,2
RC,681,"Inj, denosumab-nxxp, 1 mg Trauma",,,37.58,37.58,2
RC,681,"Inj, denosumab-qbde, 1 mg Trauma",,,9.89,9.89,2
RC,681,"Inj, docetaxel (beizray) 1 Trauma",,,112.34,112.34,2
RC,681,"Inj, donanemab-azbt, 2 mg Trauma",,,10.0,10.0,2
RC,681,"Inj, dostarlimab-gxly, 10 Trauma",,,603.12,603.12,2
RC,681,"Inj, durolane 1 mg Trauma",,,14.97,14.97,2
RC,681,"Inj, eculizumab-aagh, 2 mg Trauma",,,76.27,76.27,2
RC,681,"Inj, eculizumab-aeeb, 2 mg Trauma",,,98.8,98.8,2
RC,681,"Inj, elahere, 1 mg Trauma",,,172.78,172.78,2
RC,681,"Inj, elranatamab-bcmm, 1 m Trauma",,,461.96,461.96,2
RC,681,"Inj, etelcalcetide, 0.1 mg Trauma",,,5.92,5.92,2
RC,681,"Inj, eteplirsen, 10 mg Trauma",,,401.82,401.82,2
RC,681,"Inj, ethacrynate sod, 1 mg Trauma",,,29.82,29.82,2
RC,681,"Inj, evinacumab-dgnb, 5 mg Trauma",,,474.32,474.32,2
RC,681,"Inj, exagamglogene autotem Trauma",,,5522176.8,5522176.8,2
RC,681,"Inj, faricimab-svoa, 0.1mg Trauma",,,77.71,77.71,2
RC,681,"Inj, focinvez, 1mg Trauma",,,5.89,5.89,2
RC,681,"Inj, fosaprepitant (teva) Trauma",,,0.09,0.09,2
RC,681,"Inj, fosdenopterin, 0.1mg Trauma",,,42.57,42.57,2
RC,681,"Inj, fulvestrant (freseniu Trauma",,,65.07,65.07,2
RC,681,"Inj, fulvestrant (teva) Trauma",,,100.01,100.01,2
RC,681,"Inj, fylnetra, 0.5 mg Trauma",,,252.26,252.26,2
RC,681,"Inj, granisetron, xr, 0.1 Trauma",,,7.72,7.72,2
RC,681,"Inj, hemgenix, per tx dose Trauma",,,8859480.0,8859480.0,2
RC,681,"Inj, hercessi, 10 mg Trauma",,,77.9,77.9,2
RC,681,"Inj, human-lans, per i.u Trauma",,,4.16,4.16,2
RC,681,"Inj, imm glob bivigam, 500 Trauma",,,194.98,194.98,2
RC,681,"Inj, invega hafyera/trinza Trauma",,,31.83,31.83,2
RC,681,"Inj, invega sustenna, 1 mg Trauma",,,37.03,37.03,2
RC,681,"Inj, isoniazid, 1 mg Trauma",,,0.73,0.73,2
RC,681,"Inj, ixinity, 1 i.u. Trauma",,,4.65,4.65,2
RC,681,"Inj, jobevne, 10 mg Trauma",,,197.37,197.37,2
RC,681,"Inj, kovaltry, 1 i.u. Trauma",,,3.83,3.83,2
RC,681,"Inj, lanreotide acetate Trauma",,,89.83,89.83,2
RC,681,"Inj, lanreotide, (cipla) 1 Trauma",,,48.79,48.79,2
RC,681,"Inj, leucovorin cal (avyxa Trauma",,,6.18,6.18,2
RC,681,"Inj, levothyroxine, freska Trauma",,,16.41,16.41,2
RC,681,"Inj, liothyronine, 1 mcg Trauma",,,96.3,96.3,2
RC,681,"Inj, lovotibeglogene autot Trauma",,,7764729.6,7764729.6,2
RC,681,"Inj, magtrace per study do Trauma",,,3009.6,3009.6,2
RC,681,"Inj, melphalan (apotex) 1 Trauma",,,155.47,155.47,2
RC,681,"Inj, mirikizumab-mrkz, 1 m Trauma",,,78.38,78.38,2
RC,681,"Inj, motixafortide, 0.25 m Trauma",,,63.55,63.55,2
RC,681,"Inj, nipocalimab-aahu, 3 m Trauma",,,78.16,78.16,2
RC,681,"Inj, nithiodote, 3mg / 125 Trauma",,,5.2,5.2,2
RC,681,"Inj, nogapendekin pmln 1 m Trauma",,,226.33,226.33,2
RC,681,"Inj, nusinersen, 0.1mg Trauma",,,3200.28,3200.28,2
RC,681,"Inj, nyposi 1 mcg Trauma",,,2.48,2.48,2
RC,681,"Inj, nyvepria Trauma",,,328.59,328.59,2
RC,681,"Inj, palonosetron (posfrea Trauma",,,132.55,132.55,2
RC,681,"Inj, panzyga, 500 mg Trauma",,,171.23,171.23,2
RC,681,"Inj, pasireotide long acti Trauma",,,1480.1,1480.1,2
RC,681,"Inj, pedmark, 100 mg Trauma",,,232.27,232.27,2
RC,681,"Inj, pegcetacoplan, 1mg Trauma",,,357.47,357.47,2
RC,681,"Inj, pegulicianine, 1 mg Trauma",,,90.02,90.02,2
RC,681,"Inj, pemrydi rtu, 10 mg Trauma",,,163.04,163.04,2
RC,681,"Inj, polatuzumab vedotin 1 Trauma",,,344.67,344.67,2
RC,681,"Inj, posaconazole, 1 mg Trauma",,,0.82,0.82,2
RC,681,"Inj, qivigy, 100mg Trauma",,,71.0,71.0,2
RC,681,"Inj, releuko 1 mcg Trauma",,,0.75,0.75,2
RC,681,"Inj, remdesivir, 1 mg Trauma",,,18.03,18.03,2
RC,681,"Inj, retifanlimab-dlwr, 1 Trauma",,,74.35,74.35,2
RC,681,"Inj, rezafungin, 1 mg Trauma",,,26.4,26.4,2
RC,681,"Inj, rimabotulinumtoxinB Trauma",,,31.89,31.89,2
RC,681,"Inj, romiplostim 1 microgr Trauma",,,27.88,27.88,2
RC,681,"Inj, rykindo, 0.5 mg Trauma",,,31.27,31.27,2
RC,681,"Inj, sculptra, 0.5mg Trauma",,,5.18,5.18,2
RC,681,"Inj, sezaby, 1 mg Trauma",,,2.68,2.68,2
RC,681,"Inj, sod thiosulfate (hope Trauma",,,2.02,2.02,2
RC,681,"Inj, spesolimab-sbzo, 1 mg Trauma",,,157.75,157.75,2
RC,681,"Inj, stimufend, 0.5 mg Trauma",,,344.82,344.82,2
RC,681,"Inj, susvimo 0.1 mg Trauma",,,179.51,179.51,2
RC,681,"Inj, sutimlimab-jome, 10 m Trauma",,,47.14,47.14,2
RC,681,"Inj, taliglucerase alfa 10 Trauma",,,102.42,102.42,2
RC,681,"Inj, tarlatamab-dlle, 1 mg Trauma",,,3869.81,3869.81,2
RC,681,"Inj, tebentafusp-tebn, 1 m Trauma",,,547.21,547.21,2
RC,681,"Inj, tislelizumab-jsgr Trauma",,,139.61,139.61,2
RC,681,"Inj, tocilizumab-anoh, 1 m Trauma",,,11.26,11.26,2
RC,681,"Inj, tofidence, 1 mg Trauma",,,12.03,12.03,2
RC,681,"Inj, toripalimab-tpzi, 1 m Trauma",,,98.14,98.14,2
RC,681,"Inj, tremelimumab-actl, 1 Trauma",,,352.55,352.55,2
RC,681,"Inj, treosulfan, 50 mg Trauma",,,77.59,77.59,2
RC,681,"Inj, trivisc 1 mg Trauma",,,7.29,7.29,2
RC,681,"Inj, tyenne, 1 mg Trauma",,,9.73,9.73,2
RC,681,"Inj, tyruko, 1 mg Trauma",,,58.79,58.79,2
RC,681,"Inj, uzedy, 1 mg Trauma",,,62.83,62.83,2
RC,681,"Inj, vasopressin (baxter) Trauma",,,4.21,4.21,2
RC,681,"Inj, vegzelma, 10 mg Trauma",,,56.75,56.75,2
RC,681,"Inj, vivimusta, 1 mg Trauma",,,71.79,71.79,2
RC,681,"Inj, vutrisiran, 1 mg Trauma",,,12030.24,12030.24,2
RC,681,"Inj, wezlana, iv, 1 mg Trauma",,,5.65,5.65,2
RC,681,"Inj, ziv-aflibercept, 1mg Trauma",,,20.82,20.82,2
RC,681,"Inj, zolbetuximab-clzb, 2 Trauma",,,81.42,81.42,2
RC,681,"Inj. (ani), up to 40 units Trauma",,,8819.23,8819.23,2
RC,681,Inj. acthar gel to 40 unit Trauma,,,9920.28,9920.28,2
RC,681,Inj. asceniv Trauma,,,1221.93,1221.93,2
RC,681,"Inj. avsola, 10 mg Trauma",,,73.99,73.99,2
RC,681,Inj. belrapzo/bendamustine Trauma,,,27.84,27.84,2
RC,681,"Inj. byooviz, 0.1 mg Trauma",,,578.33,578.33,2
RC,681,Inj. calaspargase pegol-mk Trauma,,,205.89,205.89,2
RC,681,Inj. cetirizine hcl 0.5mg Trauma,,,41.17,41.17,2
RC,681,"Inj. concizumab-mtci, 0.5 Trauma",,,206.78,206.78,2
RC,681,"Inj. denosumab-bbdz, 1 mg Trauma",,,66.4,66.4,2
RC,681,Inj. eptinezumab-jjmr 1 mg Trauma,,,50.64,50.64,2
RC,681,Inj. fe derisomaltose 10 m Trauma,,,50.58,50.58,2
RC,681,"Inj. ferumoxytol, 1 mg Trauma",,,0.97,0.97,2
RC,681,"Inj. herceptin hylecta, 10 Trauma",,,140.03,140.03,2
RC,681,"Inj. inebilizumab-cdon, 1 Trauma",,,1225.56,1225.56,2
RC,681,Inj. isatuximab-irfc 10 mg Trauma,,,211.58,211.58,2
RC,681,Inj. jivi 1 iu Trauma,,,6.61,6.61,2
RC,681,"Inj. lumasiran, 0.5 mg Trauma",,,808.74,808.74,2
RC,681,"Inj. lurbinectedin, 0.1 mg Trauma",,,518.28,518.28,2
RC,681,"Inj. margetuximab-cmkb, 5 Trauma",,,135.46,135.46,2
RC,681,"Inj. naxitamab-gqgk, 1 mg Trauma",,,1643.76,1643.76,2
RC,681,Inj. pemetrexed nos 10mg Trauma,,,16.68,16.68,2
RC,681,"Inj. pemetrexed, 10 mg Trauma",,,19.19,19.19,2
RC,681,Inj. remestemcel-l-rknd/ t Trauma,,,488783.52,488783.52,2
RC,681,"Inj. riabni, 10 mg Trauma",,,44.48,44.48,2
RC,681,Inj. romosozumab-aqqg 1 mg Trauma,,,30.56,30.56,2
RC,681,Inj. tagraxofusp-erzs 10 m Trauma,,,858.05,858.05,2
RC,681,Inj. teprotumumab-trbw 10 Trauma,,,911.76,911.76,2
RC,681,"Inj. xembify, 100 mg Trauma",,,36.58,36.58,2
RC,681,"Inj., aprepitant, 1 mg Trauma",,,3.82,3.82,2
RC,681,"Inj., aristada initio, 1 m Trauma",,,8.31,8.31,2
RC,681,"Inj., benralizumab, 1 mg Trauma",,,397.35,397.35,2
RC,681,"Inj., cemiplimab-rwlc, 1 m Trauma",,,71.2,71.2,2
RC,681,"Inj., cerliponase alfa 1 m Trauma",,,296.11,296.11,2
RC,681,"Inj., durvalumab, 10 mg Trauma",,,211.08,211.08,2
RC,681,"Inj., emapalumab-lzsg, 1 m Trauma",,,942.67,942.67,2
RC,681,"Inj., emicizumab-kxwh 0.5 Trauma",,,139.28,139.28,2
RC,681,"Inj., eravacycline, 1 mg Trauma",,,3.31,3.31,2
RC,681,"Inj., evomela, 1 mg Trauma",,,43.31,43.31,2
RC,681,"Inj., fibryga, 1 mg Trauma",,,2.96,2.96,2
RC,681,"Inj., guselkumab, 1 mg Trauma",,,160.61,160.61,2
RC,681,"Inj., ibalizumab-uiyk, 10 Trauma",,,190.83,190.83,2
RC,681,"Inj., kanjinti, 10 mg Trauma",,,145.25,145.25,2
RC,681,"Inj., lanadelumab-flyo, 1 Trauma",,,211.72,211.72,2
RC,681,"Inj., lumoxiti, 0.01 mg Trauma",,,56.15,56.15,2
RC,681,"Inj., meropenem, vaborbact Trauma",,,5.33,5.33,2
RC,681,"Inj., omadacycline, 1 mg Trauma",,,10.05,10.05,2
RC,681,"Inj., patisiran, 0.1 mg Trauma",,,242.46,242.46,2
RC,681,"Inj., perseris, 0.5 mg Trauma",,,29.29,29.29,2
RC,681,"Inj., plazomicin, 5 mg Trauma",,,8.45,8.45,2
RC,681,"Inj., ravulizumab-cwvz 10 Trauma",,,544.61,544.61,2
RC,681,"Inj., rituximab, 10 mg Trauma",,,175.87,175.87,2
RC,681,"Inj., tafasitamab-cxix Trauma",,,34.63,34.63,2
RC,681,"Inj., tildrakizumab, 1 mg Trauma",,,298.26,298.26,2
RC,681,"Inj., trazimera, 10 mg Trauma",,,31.28,31.28,2
RC,681,"Inj., triluron, 1 mg Trauma",,,25.03,25.03,2
RC,681,"Inj., triptorelin xr 3.75 Trauma",,,9167.84,9167.84,2
RC,681,"Inj., vestronidase alfa-vj Trauma",,,699.69,699.69,2
RC,681,"Inj., yutiq, 0.01 mg Trauma",,,1271.73,1271.73,2
RC,681,"Inj., zirabev, 10 mg Trauma",,,62.13,62.13,2
RC,681,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies Trauma",,,127.49,127.49,2
RC,681,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies Trauma",,,1288.58,1288.58,2
RC,681,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies Trauma",,,2128.18,2128.18,2
RC,681,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies Trauma",,,676.42,676.42,2
RC,681,Injection fitusiran 0.04 m Trauma,,,314.88,314.88,2
RC,681,Injection trabectedin 0.1m Trauma,,,985.15,985.15,2
RC,681,"Injection, Carfilzomib, 1 Trauma",,,144.7,144.7,2
RC,681,"Injection, avelumab, 10 mg Trauma",,,260.73,260.73,2
RC,681,"Injection, blinatumomab Trauma",,,414.96,414.96,2
RC,681,"Injection, burosumab-twza Trauma",,,1232.09,1232.09,2
RC,681,"Injection, cangrelor Trauma",,,48.66,48.66,2
RC,681,"Injection, caplacizumab-yh Trauma",,,2014.01,2014.01,2
RC,681,"Injection, casimersen, 10 Trauma",,,398.81,398.81,2
RC,681,"Injection, daratumumab 10 Trauma",,,177.05,177.05,2
RC,681,"Injection, edaravone, 1 mg Trauma",,,15.51,15.51,2
RC,681,"Injection, elotuzumab, 1mg Trauma",,,19.65,19.65,2
RC,681,"Injection, fulphila Trauma",,,160.86,160.86,2
RC,681,"Injection, glucarpidase Trauma",,,1077.85,1077.85,2
RC,681,"Injection, imetelstat, 1 m Trauma",,,142.87,142.87,2
RC,681,"Injection, inclisiran, 1 m Trauma",,,30.97,30.97,2
RC,681,"Injection, isavuconazonium Trauma",,,2.46,2.46,2
RC,681,"Injection, ixabepilone Trauma",,,335.41,335.41,2
RC,681,"Injection, mepolizumab, 1m Trauma",,,77.47,77.47,2
RC,681,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
RC,681,"Injection, necitumumab, 1 Trauma",,,13.75,13.75,2
RC,681,"Injection, nivolumab Trauma",,,82.13,82.13,2
RC,681,"Injection, ocrelizumab Trauma",,,146.33,146.33,2
RC,681,"Injection, oritavancin 10 Trauma",,,113.78,113.78,2
RC,681,"Injection, pegloticase Trauma",,,9430.41,9430.41,2
RC,681,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,,,0
RC,681,"Injection, peramivir Trauma",,,4.03,4.03,2
RC,681,"Injection, renflexis Trauma",,,63.88,63.88,2
RC,681,"Injection, reslizumab Trauma",,,28.15,28.15,2
RC,681,"Injection, ruconest Trauma",,,90.8,90.8,2
RC,681,"Injection, siltuximab Trauma",,,417.76,417.76,2
RC,681,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,,,0
RC,681,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent Trauma",,,,,0
RC,681,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,,,0
RC,681,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical Trauma",,,,,0
RC,681,"Injection, trilaciclib, 1m Trauma",,,13.11,13.11,2
RC,681,"Injection, udenyca 0.5 mg Trauma",,,357.92,357.92,2
RC,681,"Injection,onabotulinumtoxi Trauma",,,15.61,15.61,2
RC,681,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each Trauma",,,216.12,216.12,2
RC,681,Insertion tray with drainage bag but without catheter Trauma,,,34.34,34.34,2
RC,681,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation Trauma",,,82.56,82.56,2
RC,681,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) Trauma",,,73.51,73.51,2
RC,681,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone Trauma",,,76.68,76.68,2
RC,681,Insertion tray without drainage bag and without catheter (accessories only) Trauma,,,22.46,22.46,2
RC,681,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation Trauma",,,53.86,53.86,2
RC,681,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) Trauma",,,43.06,43.06,2
RC,681,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone Trauma",,,61.68,61.68,2
RC,681,Inst tauro 1.35mg/hep 100u Trauma,,,10.1,10.1,2
RC,681,"Instill adstiladrin, tx do Trauma",,,154395.86,154395.86,2
RC,681,"Instill, bupivac and melox Trauma",,,2.03,2.03,2
RC,681,Insulin antibodies Trauma,,,51.38,51.38,2
RC,681,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) Trauma,,,684.07,684.07,2
RC,681,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) Trauma,,,247.2,247.2,2
RC,681,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) Trauma,,,397.46,397.46,2
RC,681,Insulin; free Trauma,,,31.08,31.08,2
RC,681,Insulin; total Trauma,,,27.43,27.43,2
RC,681,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests Trauma",,,81.84,81.84,2
RC,681,"Interface for cough stimulating device, includes all components, replacement only Trauma",,,47.69,47.69,2
RC,681,Interleukin-6 (IL-6) Trauma,,,41.45,41.45,2
RC,681,"Intermittent urinary catheter, with insertion supplies Trauma",,,23.93,23.93,2
RC,681,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each Trauma",,,18.67,18.67,2
RC,681,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each Trauma",,,18.67,18.67,2
RC,681,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies Trauma",,,23.93,23.93,2
RC,681,"Intermittent urinary catheter; straight tip, hydrophilic coating, each Trauma",,,6.19,6.19,2
RC,681,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each Trauma",,,6.19,6.19,2
RC,681,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size Trauma",,,5733.53,5733.53,2
RC,681,"Interphalangeal joint spacer, silicone or equal, each Trauma",,,921.7,921.7,2
RC,681,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,12860.09,12860.09,2
RC,681,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm Trauma",,,11508.7,11508.7,2
RC,681,"Interscapular thoracic, passive restoration (complete prosthesis) Trauma",,,10350.22,10350.22,2
RC,681,"Interscapular thoracic, passive restoration (shoulder cap only) Trauma",,,6193.27,6193.27,2
RC,681,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,48315.6,48315.6,2
RC,681,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,44177.04,44177.04,2
RC,681,Intrinsic factor Trauma,,,47.57,47.57,2
RC,681,Intrinsic factor antibodies Trauma,,,36.19,36.19,2
RC,681,Iodine i-123 iobenguane Trauma,,,5562.0,5562.0,2
RC,681,Iodine i-123 ioflupane Trauma,,,3330.58,3330.58,2
RC,681,Ipilimumab injection Trauma,,,457.04,457.04,2
RC,681,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source Trauma",,,375.43,375.43,2
RC,681,Iris supported intraocular lens Trauma,,,349.75,349.75,2
RC,681,Iron Trauma,,,15.53,15.53,2
RC,681,Iron binding capacity Trauma,,,20.98,20.98,2
RC,681,"Iron stain, peripheral blood Trauma",,,16.51,16.51,2
RC,681,"Irrigation supply; sleeve, disposable, per month Trauma",,,56.35,56.35,2
RC,681,"Irrigation supply; sleeve, reusable, per month Trauma",,,56.35,56.35,2
RC,681,"Irrigation syringe, bulb or piston, each Trauma",,,9.65,9.65,2
RC,681,"Irrigation tray with bulb or piston syringe, any purpose Trauma",,,18.26,18.26,2
RC,681,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each Trauma",,,25.92,25.92,2
RC,681,Islet cell antibody Trauma,,,56.57,56.57,2
RC,681,Isocitric dehydrogenase (IDH) Trauma,,,21.24,21.24,2
RC,681,Itraconazole Trauma,,,65.06,65.06,2
RC,681,"Iv hanger, each Trauma",,,290.66,290.66,2
RC,681,Iv pole Trauma,,,440.93,440.93,2
RC,681,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant Trauma",,,219.98,219.98,2
RC,681,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) Trauma",,,444.48,444.48,2
RC,681,Jaw motion rehabilitation system Trauma,,,117.96,117.96,2
RC,681,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC Trauma,,,16484.58,34402.61,4
RC,681,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC Trauma,,,12724.57,26555.62,4
RC,681,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC Trauma,,,15278.76,31886.11,4
RC,681,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC Trauma,,,23380.81,48794.74,4
RC,681,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC Trauma,,,12518.77,26126.14,4
RC,681,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC Trauma,,,16307.74,34033.54,4
RC,681,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,11433.0,23860.17,4
RC,681,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,790.82,790.82,2
RC,681,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) Trauma",,,299.69,299.69,2
RC,681,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) Trauma",,,463.8,463.8,2
RC,681,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) Trauma",,,463.8,463.8,2
RC,681,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment Trauma",,,3261.48,3261.48,2
RC,681,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment Trauma",,,2667.38,2667.38,2
RC,681,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment Trauma",,,2224.75,2224.75,2
RC,681,"Ketogenic steroids, fractionation Trauma",,,37.13,37.13,2
RC,681,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative Trauma",,,10.85,10.85,2
RC,681,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative Trauma",,,19.61,19.61,2
RC,681,Ketorolac tromethamine inj Trauma,,,0.69,0.69,2
RC,681,"Ketosteroids, 17- (17-KS); fractionation Trauma",,,68.4,68.4,2
RC,681,"Ketosteroids, 17- (17-KS); total Trauma",,,30.72,30.72,2
RC,681,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,94508.16,94508.16,2
RC,681,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated Trauma",,,12151.78,12151.78,2
RC,681,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated Trauma",,,3220.25,3220.25,2
RC,681,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated Trauma",,,2793.86,2793.86,2
RC,681,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated Trauma",,,4729.06,4729.06,2
RC,681,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated Trauma",,,3752.59,3752.59,2
RC,681,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated Trauma",,,5116.78,5116.78,2
RC,681,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated Trauma",,,6089.11,6089.11,2
RC,681,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated Trauma",,,4715.42,4715.42,2
RC,681,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment Trauma",,,513.74,513.74,2
RC,681,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated Trauma",,,3943.06,3943.06,2
RC,681,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated Trauma",,,2550.0,2550.0,2
RC,681,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated Trauma",,,2797.3,2797.3,2
RC,681,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot Trauma",,,11222.69,11222.69,2
RC,681,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot Trauma",,,10318.03,10318.03,2
RC,681,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system Trauma",,,11569.01,11569.01,2
RC,681,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,1681.18,1681.18,2
RC,681,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,1762.27,1762.27,2
RC,681,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,2235.62,2235.62,2
RC,681,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf Trauma",,,1335.14,1335.14,2
RC,681,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated Trauma",,,2764.78,2764.78,2
RC,681,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,1705.73,1705.73,2
RC,681,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf Trauma",,,1705.73,1705.73,2
RC,681,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,3524.3,3524.3,2
RC,681,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,2777.62,2777.62,2
RC,681,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,357.58,357.58,2
RC,681,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf Trauma",,,357.58,357.58,2
RC,681,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Trauma",,,359.02,359.02,2
RC,681,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf Trauma",,,205.7,205.7,2
RC,681,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf Trauma",,,185.35,185.35,2
RC,681,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment Trauma",,,872.74,872.74,2
RC,681,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) Trauma",,,3079.01,3079.01,2
RC,681,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf Trauma",,,262.08,262.08,2
RC,681,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,4610.57,4610.57,2
RC,681,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,2660.78,2660.78,2
RC,681,"Knee orthosis, swedish type, prefabricated, off-the-shelf Trauma",,,603.6,603.6,2
RC,681,"Knee orthosis, without knee joint, rigid, custom fabricated Trauma",,,2630.18,2630.18,2
RC,681,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Trauma",,,44381.41,92622.07,4
RC,681,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC Trauma,,,28042.26,58522.97,4
RC,681,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC Trauma,,,66909.37,139636.94,4
RC,681,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,16952.98,35380.13,4
RC,681,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC Trauma,,,21534.04,44940.6,4
RC,681,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC Trauma,,,38721.02,80809.08,4
RC,681,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC Trauma,,,28331.65,59126.93,4
RC,681,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC Trauma,,,53189.8,111004.8,4
RC,681,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC Trauma,,,18511.43,38632.56,4
RC,681,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,14877.89,31049.52,4
RC,681,Lacosamide Trauma,,,65.06,65.06,2
RC,681,Lactate (lactic acid) Trauma,,,27.77,27.77,2
RC,681,"Lactate dehydrogenase (LD), (LDH); Trauma",,,14.5,14.5,2
RC,681,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation Trauma",,,30.7,30.7,2
RC,681,"Lactoferrin, fecal; qualitative Trauma",,,47.28,47.28,2
RC,681,"Lactoferrin, fecal; quantitative Trauma",,,47.11,47.11,2
RC,681,"Lactogen, human placental (HPL) human chorionic somatomammotropin Trauma",,,48.53,48.53,2
RC,681,"Lactose, urine, qualitative Trauma",,,27.0,27.0,2
RC,681,"Lambswool sheepskin pad, any size Trauma",,,149.78,149.78,2
RC,681,Lamotrigine Trauma,,,31.8,31.8,2
RC,681,"Lancets, per box of 100 Trauma",,,3.41,3.41,2
RC,681,"Large size footplate, each Trauma",,,145.22,145.22,2
RC,681,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor Trauma",,,31.97,31.97,2
RC,681,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor Trauma",,,10.01,10.01,2
RC,681,Laronidase injection Trauma,,,99.57,99.57,2
RC,681,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) Trauma",,,226.97,226.97,2
RC,681,Lead Trauma,,,29.06,29.06,2
RC,681,"Lead wires, (e.g., apnea monitor), per pair Trauma",,,32.35,32.35,2
RC,681,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only Trauma",,,1014.24,1014.24,2
RC,681,"Lecanemab-irmb, for iv inj Trauma",,,3.22,3.22,2
RC,681,Leflunomide Trauma,,,92.57,92.57,2
RC,681,"Leg extensions for walker, per set of four (4) Trauma",,,64.66,64.66,2
RC,681,"Leg strap, each Trauma",,,70.78,70.78,2
RC,681,"Leg strap, h style, each Trauma",,,151.97,151.97,2
RC,681,"Leg strap; foam or fabric, replacement only, per set Trauma",,,27.55,27.55,2
RC,681,"Leg strap; latex, replacement only, per set Trauma",,,16.1,16.1,2
RC,681,"Legg perthes orthosis, (newington type), custom fabricated Trauma",,,5607.72,5607.72,2
RC,681,"Legg perthes orthosis, (patten bottom type), custom fabricated Trauma",,,4549.06,4549.06,2
RC,681,"Legg perthes orthosis, (scottish rite type), custom fabricated Trauma",,,3125.33,3125.33,2
RC,681,"Legg perthes orthosis, (toronto type), custom fabricated Trauma",,,4770.77,4770.77,2
RC,681,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated Trauma",,,4142.42,4142.42,2
RC,681,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens Trauma",,,191.23,191.23,2
RC,681,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens Trauma",,,215.64,215.64,2
RC,681,"Lens, polycarbonate or equal, any index, per lens Trauma",,,140.23,140.23,2
RC,681,"Lenticular (myodisc), per lens, bifocal Trauma",,,290.5,290.5,2
RC,681,"Lenticular lens, per lens, bifocal Trauma",,,283.46,283.46,2
RC,681,"Lenticular lens, per lens, single Trauma",,,222.46,222.46,2
RC,681,"Lenticular lens, per lens, trifocal Trauma",,,460.75,460.75,2
RC,681,"Lenticular, (myodisc), per lens, single vision Trauma",,,217.34,217.34,2
RC,681,"Lenticular, (myodisc), per lens, trifocal Trauma",,,467.45,467.45,2
RC,681,Leucine aminopeptidase (LAP) Trauma,,,23.54,23.54,2
RC,681,Leukocyte alkaline phosphatase with count Trauma,,,20.64,20.64,2
RC,681,"Leukocyte assessment, fecal, qualitative or semiquantitative Trauma",,,10.25,10.25,2
RC,681,Leukocyte histamine release test (LHR) Trauma,,,29.9,29.9,2
RC,681,Leukocyte phagocytosis Trauma,,,24.94,24.94,2
RC,681,Leuprolide acetate Trauma,,,4419.03,4419.03,2
RC,681,Leuprolide acetate suspnsi Trauma,,,384.82,384.82,2
RC,681,"Leuprolide inj, camcevi, 1 Trauma",,,100.94,100.94,2
RC,681,Levetiracetam Trauma,,,31.8,31.8,2
RC,681,Lidocaine Trauma,,,35.26,35.26,2
RC,681,"Lift, elevation, heel and sole, neoprene, per inch Trauma",,,241.39,241.39,2
RC,681,"Lift, elevation, heel, per inch Trauma",,,113.11,113.11,2
RC,681,"Lift, elevation, heel, tapered to metatarsals, per inch Trauma",,,154.58,154.58,2
RC,681,"Lift, elevation, inside shoe, tapered, up to one-half inch Trauma",,,218.74,218.74,2
RC,681,"Lift, elevation, metal extension (skate) Trauma",,,1678.27,1678.27,2
RC,681,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard Trauma",,,6.0,6.0,2
RC,681,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Trauma",,,6.0,6.0,2
RC,681,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard Trauma",,,3.94,3.94,2
RC,681,Lightweight portable motorized/power wheelchair Trauma,,,1017.29,1017.29,2
RC,681,Lightweight wheelchair Trauma,,,112.78,112.78,2
RC,681,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest Trauma",,,299.54,299.54,2
RC,681,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,229.51,229.51,2
RC,681,Lipase Trauma,,,16.54,16.54,2
RC,681,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Trauma",,,32.14,32.14,2
RC,681,Lipoprotein (a) Trauma,,,34.37,34.37,2
RC,681,"Lipoprotein, blood; electrophoretic separation and quantitation Trauma",,,27.02,27.02,2
RC,681,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) Trauma",,,81.26,81.26,2
RC,681,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed Trauma",,,82.06,82.06,2
RC,681,"Lipoprotein, direct measurement; LDL cholesterol Trauma",,,25.2,25.2,2
RC,681,"Lipoprotein, direct measurement; VLDL cholesterol Trauma",,,30.6,30.6,2
RC,681,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) Trauma",,,19.66,19.66,2
RC,681,"Lipoprotein, direct measurement; small dense LDL cholesterol Trauma",,,82.06,82.06,2
RC,681,Lipoprotein-associated phospholipase A2 (Lp-PLA2) Trauma,,,111.14,111.14,2
RC,681,Lithium Trauma,,,15.86,15.86,2
RC,681,"Lithium ion battery charger, replacement only Trauma",,,1499.59,1499.59,2
RC,681,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each Trauma",,,192.17,192.17,2
RC,681,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each Trauma",,,479.09,479.09,2
RC,681,"Lithium ion battery, rechargeable, replacement Trauma",,,1156.73,1156.73,2
RC,681,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,422.86,422.86,2
RC,681,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day Trauma",,,992.95,992.95,2
RC,681,"Lso, corset front Trauma",,,322.2,322.2,2
RC,681,"Lso, full corset Trauma",,,587.98,587.98,2
RC,681,"Lubricant, individual sterile packet, each Trauma",,,0.36,0.36,2
RC,681,"Lubricant, per ounce Trauma",,,4.85,4.85,2
RC,681,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,102.72,102.72,2
RC,681,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,766.39,1219.03,4
RC,681,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,145.32,231.17,4
RC,681,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,4653.05,4653.05,2
RC,681,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,156.41,156.41,2
RC,681,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,1913.98,3044.33,4
RC,681,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,301.94,480.17,4
RC,681,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,3153.36,3153.36,2
RC,681,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,2214.6,4037.04,6
RC,681,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,2214.6,2214.6,2
RC,681,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,3911.21,4037.04,4
RC,681,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,534.65,850.39,4
RC,681,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device Trauma",,,3751.44,3751.44,2
RC,681,Luteinizing releasing factor (LRH) Trauma,,,41.26,41.26,2
RC,681,Lutetium lu 177 dotatat th Trauma,,,840.5,840.5,2
RC,681,Lutetium lu 177 vipivotide Trauma,,,641.56,641.56,2
RC,681,Lymphocyte immune globulin Trauma,,,13317.51,13317.51,2
RC,681,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis Trauma",,,117.67,117.67,2
RC,681,"Lymphocytotoxicity assay, visual crossmatch; with titration Trauma",,,454.82,454.82,2
RC,681,"Lymphocytotoxicity assay, visual crossmatch; without titration Trauma",,,114.22,114.22,2
RC,681,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Trauma,,,15265.9,57836.23,12
RC,681,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC Trauma,,,25488.06,53192.47,4
RC,681,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC Trauma,,,20492.21,42766.34,4
RC,681,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,15707.5,32780.88,4
RC,681,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23788.12,49644.77,4
RC,681,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,14343.05,29933.33,4
RC,681,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,16295.95,34008.94,4
RC,681,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23445.13,48928.97,4
RC,681,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11076.08,23115.29,4
RC,681,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) Trauma",,,94.34,94.34,2
RC,681,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants Trauma",,,360.0,360.0,2
RC,681,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Trauma",,,1266.89,1266.89,2
RC,681,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Trauma",,,288.0,288.0,2
RC,681,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC Trauma,,,14846.81,30984.65,4
RC,681,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC Trauma,,,10162.87,21209.46,4
RC,681,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis Trauma",,,299.14,299.14,2
RC,681,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,485.76,485.76,2
RC,681,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,1620.96,1620.96,2
RC,681,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,794.4,794.4,2
RC,681,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis Trauma",,,461.57,461.57,2
RC,681,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) Trauma",,,360.79,360.79,2
RC,681,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 Trauma",,,444.48,444.48,2
RC,681,MRI and MRA with Contrast Trauma,,,2127.07,2127.07,2
RC,681,MRI and MRA without Contra Trauma,,,1319.42,1319.42,2
RC,681,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,511.92,511.92,2
RC,681,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,916.08,916.08,2
RC,681,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,810.55,810.55,2
RC,681,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,571.2,571.2,2
RC,681,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,1540.44,1540.44,2
RC,681,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,739.2,739.2,2
RC,681,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) Trauma",,,156.82,156.82,2
RC,681,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant Trauma",,,420.96,420.96,2
RC,681,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Trauma,,,22310.05,113085.1,12
RC,681,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Trauma,,,20179.22,79133.64,8
RC,681,Macroscopic examination; arthropod Trauma,,,10.25,10.25,2
RC,681,Macroscopic examination; parasite Trauma,,,10.34,10.34,2
RC,681,Magnesium Trauma,,,16.08,16.08,2
RC,681,Malate dehydrogenase Trauma,,,17.69,17.69,2
RC,681,"Male external catheter with integral collection chamber, any type, each Trauma",,,36.89,36.89,2
RC,681,"Male external catheter, with or without adhesive, disposable, each Trauma",,,6.89,6.89,2
RC,681,Manganese Trauma,,,63.96,63.96,2
RC,681,"Manual adult size wheelchair, includes tilt in space Trauma",,,809.26,809.26,2
RC,681,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes Trauma",,,60.76,69.05,6
RC,681,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type Trauma",,,385.01,385.01,2
RC,681,"Manual wheelchair accessory, adapter for amputee, each Trauma",,,126.98,126.98,2
RC,681,"Manual wheelchair accessory, anti-rollback device, each Trauma",,,215.04,215.04,2
RC,681,"Manual wheelchair accessory, anti-tipping device, each Trauma",,,92.04,92.04,2
RC,681,"Manual wheelchair accessory, caster fork, any size, replacement only, each Trauma",,,114.1,114.1,2
RC,681,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each Trauma",,,53.57,53.57,2
RC,681,"Manual wheelchair accessory, foam caster tire, any size, each Trauma",,,116.95,116.95,2
RC,681,"Manual wheelchair accessory, foam filled caster tire, any size, each Trauma",,,116.95,116.95,2
RC,681,"Manual wheelchair accessory, foam filled propulsion tire, any size, each Trauma",,,132.14,132.14,2
RC,681,"Manual wheelchair accessory, foam propulsion tire, any size, each Trauma",,,132.14,132.14,2
RC,681,"Manual wheelchair accessory, gear reduction drive wheel, each Trauma",,,615.19,615.19,2
RC,681,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each Trauma",,,212.69,212.69,2
RC,681,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each Trauma",,,102.67,102.67,2
RC,681,"Manual wheelchair accessory, headrest extension, each Trauma",,,203.86,203.86,2
RC,681,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each Trauma",,,85.82,85.82,2
RC,681,"Manual wheelchair accessory, lever-activated, wheel drive, pair Trauma",,,984.48,984.48,2
RC,681,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches Trauma",,,1280.83,1280.83,2
RC,681,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches Trauma",,,2211.22,2211.22,2
RC,681,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches Trauma",,,1325.98,1325.98,2
RC,681,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches Trauma",,,943.44,943.44,2
RC,681,"Manual wheelchair accessory, one-arm drive attachment, each Trauma",,,121.27,121.27,2
RC,681,"Manual wheelchair accessory, pneumatic caster tire, any size, each Trauma",,,91.42,91.42,2
RC,681,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each Trauma",,,100.99,100.99,2
RC,681,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control Trauma",,,831.17,831.17,2
RC,681,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control Trauma",,,653.45,653.45,2
RC,681,"Manual wheelchair accessory, power assist system Trauma",,,1663.78,1663.78,2
RC,681,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each Trauma",,,276.96,276.96,2
RC,681,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each Trauma",,,77.21,77.21,2
RC,681,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each Trauma",,,65.3,65.3,2
RC,681,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each Trauma",,,86.9,86.9,2
RC,681,"Manual wheelchair accessory, solid seat insert Trauma",,,241.46,241.46,2
RC,681,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware Trauma",,,418.54,418.54,2
RC,681,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each Trauma",,,29.62,29.62,2
RC,681,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each Trauma",,,18.0,18.0,2
RC,681,"Manual wheelchair accessory, wheel braking system and lock, complete, each Trauma",,,276.38,276.38,2
RC,681,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each Trauma",,,112.56,112.56,2
RC,681,"Manual wheelchair accessory, wheel lock brake extension (handle), each Trauma",,,59.09,59.09,2
RC,681,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen Trauma",,,57.86,57.86,2
RC,681,"Mattress, foam rubber Trauma",,,427.58,427.58,2
RC,681,"Mattress, innerspring Trauma",,,380.76,380.76,2
RC,681,"Meat fibers, feces Trauma",,,11.64,11.64,2
RC,681,"Mechanical fragility, RBC Trauma",,,20.64,20.64,2
RC,681,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,36.5,36.5,2
RC,681,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes Trauma",,,36.5,36.5,2
RC,681,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes Trauma",,,77.57,77.57,2
RC,681,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes Trauma",,,67.13,67.13,2
RC,681,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,67.13,67.13,2
RC,681,Mental Health Services Com Trauma,,,1026.51,1026.51,2
RC,681,"Mercury, quantitative Trauma",,,39.02,39.02,2
RC,681,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,6643.22,6643.22,2
RC,681,Metacarpophalangeal joint implant Trauma,,,989.9,989.9,2
RC,681,Metanephrines Trauma,,,40.66,40.66,2
RC,681,"Metatarsal bar wedge, between sole Trauma",,,275.38,275.38,2
RC,681,"Metatarsal bar wedge, rocker Trauma",,,120.74,120.74,2
RC,681,Metatarsal joint implant Trauma,,,1074.41,1074.41,2
RC,681,Methemalbumin Trauma,,,25.78,25.78,2
RC,681,Methotrexate Trauma,,,92.57,92.57,2
RC,681,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Trauma,,,218.78,218.78,2
RC,681,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Trauma",,,53.95,53.95,2
RC,681,"Microphone for use with cochlear implant device, replacement Trauma",,,312.14,312.14,2
RC,681,"Microprocessor control feature, addition to upper limb prosthetic terminal device Trauma",,,9214.39,9214.39,2
RC,681,"Microprocessor control unit for use with electric ventricular assist device, replacement only Trauma",,,43175.28,43175.28,2
RC,681,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only Trauma",,,13523.3,13523.3,2
RC,681,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,836.54,836.54,2
RC,681,"Microsomal antibodies (eg, thyroid or liver-kidney), each Trauma",,,34.92,34.92,2
RC,681,"Midfacial prosthesis, provided by a non-physician Trauma",,,8656.66,8656.66,2
RC,681,"Mitochondrial antibody (eg, M2), each Trauma",,,61.08,61.08,2
RC,681,Mitomycin instillation Trauma,,,791.85,791.85,2
RC,681,Mitomycin intravesical ins Trauma,,,658.42,658.42,2
RC,681,Mitoxantrone hydrochl Trauma,,,71.28,71.28,2
RC,681,"Mobility cart for pneumatic ventricular assist device, replacement only Trauma",,,1931.83,1931.83,2
RC,681,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,6.0,6.0,2
RC,681,"Molecular cytogenetics; DNA probe, each (eg, FISH) Trauma",,,51.41,51.41,2
RC,681,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Trauma",,,83.54,83.54,2
RC,681,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Trauma",,,97.68,97.68,2
RC,681,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Trauma",,,122.86,122.86,2
RC,681,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells Trauma",,,101.71,101.71,2
RC,681,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,153.5,153.5,2
RC,681,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,328.8,328.8,2
RC,681,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,360.79,360.79,2
RC,681,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,444.48,444.48,2
RC,681,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,659.59,659.59,2
RC,681,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,723.24,723.24,2
RC,681,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,678.91,678.91,2
RC,681,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,2031.05,2031.05,2
RC,681,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,4800.0,4800.0,2
RC,681,Mometasone sinus sinuva Trauma,,,27.23,27.23,2
RC,681,"Monitor control cable for use with electric ventricular assist device, replacement only Trauma",,,1044.5,1044.5,2
RC,681,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,869.3,869.3,2
RC,681,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,10818.7,10818.7,2
RC,681,"Monitor/display module for use with electric ventricular assist device, replacement only Trauma",,,55709.76,55709.76,2
RC,681,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen Trauma",,,64.27,64.27,2
RC,681,Monthly supplies for use of device coded at e0733 Trauma,,,98.57,98.57,2
RC,681,Motion fluoroscopic evaluation of swallowing function by cine or video recording Trauma,,,230.3,230.3,2
RC,681,Mouth piece Trauma,,,10.61,10.61,2
RC,681,"Mucin, synovial fluid (Ropes test) Trauma",,,14.06,14.06,2
RC,681,"Mucopolysaccharides, acid, quantitative Trauma",,,68.4,68.4,2
RC,681,"Mucoprotein, blood (seromucoid) (medical necessity procedure) Trauma",,,11.88,11.88,2
RC,681,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs Trauma",,,2505.72,2505.72,2
RC,681,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs Trauma",,,1760.18,1760.18,2
RC,681,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,14.16,49.85,4
RC,681,"Multipositional patient support system, with integrated lift, patient accessible controls Trauma",,,2938.87,2938.87,2
RC,681,Muramidase Trauma,,,45.0,45.0,2
RC,681,Muscle-specific kinase (MuSK) antibody Trauma,,,44.16,44.16,2
RC,681,Mycophenolate (mycophenolic acid) Trauma,,,43.32,43.32,2
RC,681,"Myelin basic protein, cerebrospinal fluid Trauma",,,41.28,41.28,2
RC,681,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each Trauma",,,28.92,28.92,2
RC,681,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Trauma",,,90.55,90.55,2
RC,681,Myeloperoxidase (MPO) Trauma,,,122.06,122.06,2
RC,681,Myoglobin Trauma,,,31.01,31.01,2
RC,681,NEONATE WITH OTHER SIGNIFICANT PROBLEMS Trauma,,,19867.32,41462.23,4
RC,681,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY Trauma",,,23364.73,48761.18,4
RC,681,NEUROSES EXCEPT DEPRESSIVE Trauma,,,15557.44,32467.7,4
RC,681,NON-EXTENSIVE BURNS Trauma,,,26127.94,54527.88,4
RC,681,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,21664.8,45213.5,4
RC,681,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,40795.02,85137.43,4
RC,681,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,16901.54,35272.78,4
RC,681,NORMAL NEWBORN Trauma,,,6189.55,12917.32,4
RC,681,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants Trauma",,,591.65,591.65,2
RC,681,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) Trauma",,,709.9,709.9,2
RC,681,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis Trauma",,,1243.87,1243.87,2
RC,681,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis Trauma",,,497.54,497.54,2
RC,681,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis Trauma",,,497.54,497.54,2
RC,681,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis Trauma",,,497.54,497.54,2
RC,681,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) Trauma",,,699.26,699.26,2
RC,681,"Naltrexone, depot form Trauma",,,10.86,10.86,2
RC,681,"Narrowing device, wheelchair Trauma",,,535.73,535.73,2
RC,681,"Narsoplimab-wuug, 1 mg Trauma",,,245.9,245.9,2
RC,681,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap Trauma",,,167.4,167.4,2
RC,681,"Nasal pillows for combination oral/nasal mask, replacement only, pair Trauma",,,46.08,46.08,2
RC,681,"Nasal prosthesis, provided by a non-physician Trauma",,,7182.07,7182.07,2
RC,681,"Nasal septal prosthesis, provided by a non-physician Trauma",,,3987.82,3987.82,2
RC,681,Nasal smear for eosinophils Trauma,,,13.9,13.9,2
RC,681,Natalizumab injection Trauma,,,58.57,58.57,2
RC,681,Natriuretic peptide Trauma,,,94.22,94.22,2
RC,681,"Natural killer (NK) cells, total count Trauma",,,90.55,90.55,2
RC,681,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter Trauma",,,395.16,395.16,2
RC,681,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen Trauma",,,375.14,375.14,2
RC,681,"Nebulizer, ultrasonic, large volume Trauma",,,346.13,346.13,2
RC,681,"Nebulizer, with compressor Trauma",,,17.66,17.66,2
RC,681,"Nebulizer, with compressor and heater Trauma",,,89.28,89.28,2
RC,681,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,104.57,125.26,4
RC,681,"Negative pressure wound therapy electrical pump, stationary or portable Trauma",,,2116.66,2116.66,2
RC,681,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,923.78,999.43,4
RC,681,Nelarabine injection Trauma,,,156.98,156.98,2
RC,681,"Nephelometry, each analyte not elsewhere specified Trauma",,,32.64,32.64,2
RC,681,Neurofilament light chain (NfL) Trauma,,,278.95,278.95,2
RC,681,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller Trauma",,,126.74,126.74,2
RC,681,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each Trauma",,,7428.29,7428.29,2
RC,681,Neuromuscular stimulator for scoliosis Trauma,,,313.22,313.22,2
RC,681,"Neuromuscular stimulator, electronic shock unit Trauma",,,306.19,306.19,2
RC,681,"Neutralization test, viral Trauma",,,40.58,40.58,2
RC,681,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen Trauma",,,101.11,101.11,2
RC,681,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer Trauma",,,191.06,191.06,2
RC,681,Nickel Trauma,,,58.82,58.82,2
RC,681,"Nipple prosthesis, prefabricated, reusable, any type, each Trauma",,,116.38,116.38,2
RC,681,Nitroblue tetrazolium dye test (NTD) Trauma,,,32.66,32.66,2
RC,681,Nivestym Trauma,,,0.77,0.77,2
RC,681,"Non-adjunctive, non-implanted continuous glucose monitor or receiver Trauma",,,723.05,723.05,2
RC,681,"Non-implanted pelvic floor electrical stimulator, complete system Trauma",,,178.85,178.85,2
RC,681,Non-invasive vagus nerve stimulator Trauma,,,125.71,125.71,2
RC,681,Non-pneumatic compression controller with sequential calibrated gradient pressure Trauma,,,1813.27,1813.27,2
RC,681,Non-pneumatic compression controller without calibrated gradient pressure Trauma,,,314.14,314.14,2
RC,681,"Non-pneumatic sequential compression garment, full arm Trauma",,,151.13,151.13,2
RC,681,"Non-pneumatic sequential compression garment, full leg Trauma",,,110.74,110.74,2
RC,681,"Non-pneumatic sequential compression garment, half leg Trauma",,,59.54,59.54,2
RC,681,"Non-pneumatic sequential compression garment, trunk Trauma",,,197.64,197.64,2
RC,681,"Non-pneumatic, non-sequential, peristaltic wave compression pump Trauma",,,195.67,195.67,2
RC,681,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm Trauma",,,431.06,431.06,2
RC,681,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg Trauma",,,466.56,466.56,2
RC,681,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm Trauma",,,353.06,353.06,2
RC,681,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg Trauma",,,472.32,472.32,2
RC,681,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes Trauma",,,58.51,58.51,2
RC,681,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes Trauma",,,87.26,87.26,2
RC,681,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes Trauma",,,31.25,31.25,2
RC,681,Nonpowered advanced pressure reducing mattress Trauma,,,603.72,603.72,2
RC,681,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width Trauma",,,603.72,603.72,2
RC,681,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,5144.64,5144.64,2
RC,681,"Normal, low and high calibrator solution / chips Trauma",,,8.11,8.11,2
RC,681,"Nuclear Matrix Protein 22 (NMP22), qualitative Trauma",,,52.27,52.27,2
RC,681,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,7977.6,7977.6,2
RC,681,Nucleotidase 5'- Trauma,,,26.76,26.76,2
RC,681,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC Trauma,,,29095.87,60721.82,4
RC,681,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC Trauma,,,42939.78,89613.46,4
RC,681,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ Trauma,,,25781.74,53805.36,4
RC,681,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS Trauma,,,45473.61,94901.45,4
RC,681,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY Trauma,,,21292.87,44437.3,4
RC,681,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC Trauma,,,16472.8,34378.01,4
RC,681,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC Trauma,,,28503.14,59484.82,4
RC,681,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,13264.78,27683.02,4
RC,681,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC Trauma,,,11782.42,24589.39,4
RC,681,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC Trauma,,,16936.9,35346.58,4
RC,681,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,9652.67,20144.7,4
RC,681,OTHER FACTORS INFLUENCING HEALTH STATUS Trauma,,,10007.45,20885.11,4
RC,681,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC Trauma,,,31568.62,65882.33,4
RC,681,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,19866.25,41460.0,4
RC,681,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC Trauma,,,15099.76,31512.55,4
RC,681,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC Trauma,,,26483.8,55270.54,4
RC,681,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC Trauma,,,11869.24,24770.59,4
RC,681,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC Trauma",,,22798.81,47580.12,4
RC,681,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC Trauma",,,14956.14,31212.82,4
RC,681,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC Trauma,,,14927.21,31152.43,4
RC,681,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC Trauma,,,21780.55,45455.06,4
RC,681,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC Trauma,,,11442.65,23880.3,4
RC,681,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC Trauma,,,15395.6,32129.95,4
RC,681,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Trauma,,,11250.79,23479.9,4
RC,681,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC Trauma,,,24311.17,50736.36,4
RC,681,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC Trauma,,,18443.92,38491.66,4
RC,681,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC Trauma,,,28028.32,58493.88,4
RC,681,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC Trauma,,,19814.8,41352.62,4
RC,681,OTHER MENTAL DISORDER DIAGNOSES Trauma,,,15526.36,32402.83,4
RC,681,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,20475.05,42730.54,4
RC,681,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,33350.01,69600.02,4
RC,681,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,14128.68,29485.94,4
RC,681,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Trauma,,,13175.81,53069.45,12
RC,681,OTHER O.R. PROCEDURES FOR INJURIES WITH CC Trauma,,,25433.39,53078.38,4
RC,681,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC Trauma,,,45199.22,94328.81,4
RC,681,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC Trauma,,,18118.08,37811.64,4
RC,681,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,49214.34,102708.19,4
RC,681,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,85721.26,178896.55,4
RC,681,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,35604.09,74304.19,4
RC,681,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Trauma,,,23972.47,50029.51,4
RC,681,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC Trauma,,,46751.25,97567.82,4
RC,681,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC Trauma,,,18582.18,38780.21,4
RC,681,Obecbtge autol up to 400 m Trauma,,,667800.0,667800.0,2
RC,681,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,179.66,179.66,2
RC,681,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,114.74,114.74,2
RC,681,"Occluder lens, per lens Trauma",,,60.74,60.74,2
RC,681,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,217.64,247.32,4
RC,681,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,217.64,247.32,4
RC,681,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,217.64,247.32,4
RC,681,Octagam injection Trauma,,,112.93,112.93,2
RC,681,Ocular implant Trauma,,,1882.06,1882.06,2
RC,681,Ofatumumab injection Trauma,,,149.36,149.36,2
RC,681,Oligoclonal immune (oligoclonal bands) Trauma,,,65.74,65.74,2
RC,681,Omalizumab injection Trauma,,,111.81,111.81,2
RC,681,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,6024.5,6024.5,2
RC,681,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,9295.2,9295.2,2
RC,681,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,9295.2,9295.2,2
RC,681,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score Trauma",,,9295.2,9295.2,2
RC,681,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,9295.2,9295.2,2
RC,681,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,9295.2,9295.2,2
RC,681,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,7478.4,7478.4,2
RC,681,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,1221.29,1221.29,2
RC,681,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,17263.2,17263.2,2
RC,681,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,426.14,426.14,2
RC,681,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,1390.7,1390.7,2
RC,681,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,1824.0,1824.0,2
RC,681,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival Trauma",,,6890.4,6890.4,2
RC,681,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score Trauma",,,2152.8,2152.8,2
RC,681,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score Trauma",,,625.2,625.2,2
RC,681,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,9295.2,9295.2,2
RC,681,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score Trauma",,,9295.2,9295.2,2
RC,681,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,4872.0,4872.0,2
RC,681,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) Trauma",,,8640.0,8640.0,2
RC,681,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores Trauma",,,1248.0,1248.0,2
RC,681,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,9000.0,9000.0,2
RC,681,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,18662.4,18662.4,2
RC,681,Oncoprotein; HER-2/neu Trauma,,,154.58,154.58,2
RC,681,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) Trauma,,,154.58,154.58,2
RC,681,One way chest drain valve Trauma,,,139.1,139.1,2
RC,681,"Oral and/or oropharyngeal suction catheter, each Trauma",,,12.53,12.53,2
RC,681,Oral busulfan Trauma,,,24.29,24.29,2
RC,681,"Oral cushion for combination oral/nasal mask, replacement only, each Trauma",,,103.13,103.13,2
RC,681,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,252.89,252.89,2
RC,681,"Oral interface used with positive airway pressure device, each Trauma",,,254.93,254.93,2
RC,681,"Oral interface used with respiratory suction pump, each Trauma",,,413.54,413.54,2
RC,681,Oral methotrexate (jylamvo Trauma,,,39.52,39.52,2
RC,681,Oral methotrexate (xatmep) Trauma,,,55.0,55.0,2
RC,681,"Oral netupitant, palonoset Trauma",,,1137.69,1137.69,2
RC,681,"Orbital prosthesis, provided by a non-physician Trauma",,,9726.48,9726.48,2
RC,681,"Organic acid, single, quantitative Trauma",,,50.9,50.9,2
RC,681,"Organic acids; qualitative, each specimen Trauma",,,39.48,39.48,2
RC,681,"Organic acids; total, quantitative, each specimen Trauma",,,56.64,56.64,2
RC,681,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) Trauma",,,186.55,186.55,2
RC,681,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) Trauma",,,162.17,162.17,2
RC,681,"Orthopedic shoe addition, convert firm shoe counter to soft counter Trauma",,,158.42,158.42,2
RC,681,"Orthopedic shoe addition, convert instep to velcro closure Trauma",,,192.34,192.34,2
RC,681,"Orthopedic shoe addition, insole, felt covered with leather Trauma",,,94.27,94.27,2
RC,681,"Orthopedic shoe addition, insole, leather Trauma",,,86.83,86.83,2
RC,681,"Orthopedic shoe addition, insole, rubber Trauma",,,86.83,86.83,2
RC,681,"Orthopedic shoe addition, march bar Trauma",,,124.44,124.44,2
RC,681,"Orthopedic shoe addition, sole, full Trauma",,,150.89,150.89,2
RC,681,"Orthopedic shoe addition, sole, half Trauma",,,94.27,94.27,2
RC,681,"Orthopedic shoe addition, special extension to instep (leather with eyelets) Trauma",,,252.79,252.79,2
RC,681,"Orthopedic shoe addition, toe tap standard Trauma",,,26.45,26.45,2
RC,681,"Orthopedic shoe addition, toe tap, horseshoe Trauma",,,67.82,67.82,2
RC,681,"Orthotic side bar disconnect device, per bar Trauma",,,386.4,386.4,2
RC,681,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,100.95,114.72,6
RC,681,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes Trauma",,,109.82,124.8,4
RC,681,Orthovisc inj per dose Trauma,,,240.79,240.79,2
RC,681,"Oscillatory positive expiratory pressure device, non-electric, any type, each Trauma",,,126.34,126.34,2
RC,681,Osmolality; blood Trauma,,,15.86,15.86,2
RC,681,Osmolality; urine Trauma,,,16.37,16.37,2
RC,681,"Osmotic fragility, RBC; incubated Trauma",,,32.06,32.06,2
RC,681,"Osmotic fragility, RBC; unincubated Trauma",,,17.93,17.93,2
RC,681,Ossicula implant Trauma,,,888.65,888.65,2
RC,681,Osteocalcin (bone g1a protein) Trauma,,,71.64,71.64,2
RC,681,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications Trauma",,,13394.26,13394.26,2
RC,681,"Osteogenesis stimulator, electrical, non-invasive, spinal applications Trauma",,,13307.52,13307.52,2
RC,681,"Osteogenesis stimulator, electrical, surgically implanted Trauma",,,826.73,826.73,2
RC,681,"Osteogenesis stimulator, low intensity ultrasound, non-invasive Trauma",,,11058.29,11058.29,2
RC,681,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each Trauma",,,0.36,0.36,2
RC,681,Ostomy accessory; convex insert Trauma,,,6.67,6.67,2
RC,681,Ostomy belt with peristomal hernia support Trauma,,,138.46,138.46,2
RC,681,"Ostomy belt, each Trauma",,,25.18,25.18,2
RC,681,"Ostomy clamp, any type, replacement only, each Trauma",,,8.11,8.11,2
RC,681,"Ostomy deodorant for use in ostomy pouch, solid, per tablet Trauma",,,0.12,0.12,2
RC,681,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce Trauma",,,8.86,8.86,2
RC,681,"Ostomy faceplate equivalent, silicone ring, each Trauma",,,32.86,32.86,2
RC,681,"Ostomy faceplate, each Trauma",,,62.78,62.78,2
RC,681,"Ostomy filter, any type, each Trauma",,,0.86,0.86,2
RC,681,Ostomy irrigation set Trauma,,,142.08,142.08,2
RC,681,"Ostomy irrigation supply; bag, each Trauma",,,47.28,47.28,2
RC,681,"Ostomy irrigation supply; cone/catheter, with or without brush Trauma",,,41.95,41.95,2
RC,681,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each Trauma",,,7.68,7.68,2
RC,681,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each Trauma",,,12.74,12.74,2
RC,681,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each Trauma",,,9.43,9.43,2
RC,681,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each Trauma",,,6.14,6.14,2
RC,681,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each Trauma",,,6.34,6.34,2
RC,681,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each Trauma",,,5.9,5.9,2
RC,681,"Ostomy pouch, closed; for use on faceplate, each Trauma",,,5.71,5.71,2
RC,681,"Ostomy pouch, closed; with barrier attached (1 piece), each Trauma",,,7.06,7.06,2
RC,681,"Ostomy pouch, closed; without barrier attached (1 piece), each Trauma",,,5.09,5.09,2
RC,681,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each Trauma",,,6.19,6.19,2
RC,681,"Ostomy pouch, drainable, for use on faceplate, plastic, each Trauma",,,14.66,14.66,2
RC,681,"Ostomy pouch, drainable, for use on faceplate, rubber, each Trauma",,,105.17,105.17,2
RC,681,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each Trauma",,,18.84,18.84,2
RC,681,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each Trauma",,,9.26,9.26,2
RC,681,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each Trauma",,,19.7,19.7,2
RC,681,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each Trauma",,,21.22,21.22,2
RC,681,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each Trauma",,,16.27,16.27,2
RC,681,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each Trauma",,,14.9,14.9,2
RC,681,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each Trauma",,,32.83,32.83,2
RC,681,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each Trauma",,,32.83,32.83,2
RC,681,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each Trauma",,,15.98,15.98,2
RC,681,"Ostomy pouch, drainable, with faceplate attached, plastic, each Trauma",,,58.73,58.73,2
RC,681,"Ostomy pouch, drainable, with faceplate attached, rubber, each Trauma",,,162.74,162.74,2
RC,681,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each Trauma",,,9.26,9.26,2
RC,681,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each Trauma",,,9.34,9.34,2
RC,681,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each Trauma",,,9.55,9.55,2
RC,681,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each Trauma",,,12.24,12.24,2
RC,681,"Ostomy pouch, drainable; with barrier attached, (1 piece), each Trauma",,,12.1,12.1,2
RC,681,"Ostomy pouch, drainable; without barrier attached (1 piece), each Trauma",,,7.1,7.1,2
RC,681,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each Trauma",,,84.22,84.22,2
RC,681,"Ostomy pouch, urinary, for use on faceplate, plastic, each Trauma",,,15.82,15.82,2
RC,681,"Ostomy pouch, urinary, for use on faceplate, rubber, each Trauma",,,96.41,96.41,2
RC,681,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each Trauma",,,28.22,28.22,2
RC,681,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each Trauma",,,24.17,24.17,2
RC,681,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each Trauma",,,30.91,30.91,2
RC,681,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each Trauma",,,29.14,29.14,2
RC,681,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each Trauma",,,22.3,22.3,2
RC,681,"Ostomy pouch, urinary, with faceplate attached, plastic, each Trauma",,,51.36,51.36,2
RC,681,"Ostomy pouch, urinary, with faceplate attached, rubber, each Trauma",,,127.68,127.68,2
RC,681,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each Trauma",,,27.96,27.96,2
RC,681,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each Trauma",,,9.38,9.38,2
RC,681,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each Trauma",,,11.47,11.47,2
RC,681,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each Trauma",,,12.86,12.86,2
RC,681,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each Trauma",,,12.26,12.26,2
RC,681,"Ostomy pouch, urinary; with barrier attached (1 piece), each Trauma",,,20.57,20.57,2
RC,681,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each Trauma",,,21.22,21.22,2
RC,681,"Ostomy pouch, urinary; without barrier attached (1 piece), each Trauma",,,10.27,10.27,2
RC,681,"Ostomy ring, each Trauma",,,5.74,5.74,2
RC,681,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz Trauma",,,8.3,8.3,2
RC,681,"Ostomy skin barrier, non-pectin based, paste, per ounce Trauma",,,11.69,11.69,2
RC,681,"Ostomy skin barrier, pectin-based, paste, per ounce Trauma",,,19.58,19.58,2
RC,681,"Ostomy skin barrier, powder, per oz Trauma",,,12.48,12.48,2
RC,681,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each Trauma",,,17.42,17.42,2
RC,681,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each Trauma",,,17.42,17.42,2
RC,681,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each Trauma",,,14.38,14.38,2
RC,681,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each Trauma",,,33.77,33.77,2
RC,681,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each Trauma",,,21.22,21.22,2
RC,681,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each Trauma",,,30.91,30.91,2
RC,681,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each Trauma",,,21.46,21.46,2
RC,681,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each Trauma",,,16.82,16.82,2
RC,681,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each Trauma",,,20.52,20.52,2
RC,681,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each Trauma",,,29.95,29.95,2
RC,681,"Ostomy vent, any type, each Trauma",,,4.42,4.42,2
RC,681,Other manual wheelchair/base Trauma,,,244.46,244.46,2
RC,681,"Other scoliosis procedure, body jacket molded to patient model Trauma",,,4606.87,4606.87,2
RC,681,"Other scoliosis procedure, post-operative body jacket Trauma",,,4740.46,4740.46,2
RC,681,Outflare wedge Trauma,,,147.12,147.12,2
RC,681,"Ova and parasites, direct smears, concentration and identification Trauma",,,21.36,21.36,2
RC,681,"Oversize lens, per lens Trauma",,,49.08,49.08,2
RC,681,"Ovulation tests, by visual color comparison methods for human luteinizing hormone Trauma",,,30.48,30.48,2
RC,681,Oxalate Trauma,,,34.68,34.68,2
RC,681,Oxcarbazepine Trauma,,,31.8,31.8,2
RC,681,Oxygen and water vapor enriching system with heated delivery Trauma,,,329.78,329.78,2
RC,681,Oxygen and water vapor enriching system without heated delivery Trauma,,,258.17,258.17,2
RC,681,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each Trauma",,,240.5,240.5,2
RC,681,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate Trauma",,,240.5,240.5,2
RC,681,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence Trauma",,,1623.6,1623.6,2
RC,681,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant Trauma",,,723.24,723.24,2
RC,681,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) Trauma",,,612.12,612.12,2
RC,681,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) Trauma",,,790.82,790.82,2
RC,681,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC Trauma",,,26878.24,56093.71,4
RC,681,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC Trauma",,,18469.63,38545.32,4
RC,681,PENIS PROCEDURES WITH CC/MCC Trauma,,,28990.83,60502.61,4
RC,681,PENIS PROCEDURES WITHOUT CC/MCC Trauma,,,19066.65,39791.28,4
RC,681,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) Trauma",,,659.59,659.59,2
RC,681,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) Trauma",,,699.26,699.26,2
RC,681,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,497.54,497.54,2
RC,681,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,497.54,497.54,2
RC,681,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis Trauma",,,1820.06,1820.06,2
RC,681,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis Trauma",,,1846.99,1846.99,2
RC,681,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant Trauma",,,111.84,111.84,2
RC,681,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,488.4,488.4,2
RC,681,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,1623.6,1623.6,2
RC,681,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,794.4,794.4,2
RC,681,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC Trauma,,,20858.77,43531.34,4
RC,681,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC Trauma,,,13234.76,27620.38,4
RC,681,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC Trauma,,,23595.18,49242.12,4
RC,681,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC Trauma,,,14743.92,30769.92,4
RC,681,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC Trauma,,,27001.49,56350.94,4
RC,681,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC Trauma,,,52802.86,110197.27,4
RC,681,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,18977.69,39605.62,4
RC,681,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES Trauma,,,22159.98,46246.92,4
RC,681,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES Trauma,,,11065.36,23092.92,4
RC,681,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,PREMATURITY WITH MAJOR PROBLEMS Trauma,,,47554.05,99243.24,4
RC,681,PREMATURITY WITHOUT MAJOR PROBLEMS Trauma,,,30299.56,63233.86,4
RC,681,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS Trauma,,,4048.01,8448.02,4
RC,681,PSYCHOSES Trauma,,,19019.49,39692.86,4
RC,681,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant Trauma",,,720.0,720.0,2
RC,681,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis Trauma",,,1440.0,1440.0,2
RC,681,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant Trauma",,,111.84,111.84,2
RC,681,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems Trauma",,,1637.62,1637.62,2
RC,681,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) Trauma",,,813.53,813.53,2
RC,681,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard Trauma",,,6.38,6.38,2
RC,681,"Pad for water circulating heat unit, for replacement only Trauma",,,289.56,289.56,2
RC,681,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard Trauma",,,2.33,2.33,2
RC,681,"Pail or pan for use with commode chair, replacement only Trauma",,,30.31,30.31,2
RC,681,Panitumumab injection Trauma,,,437.25,437.25,2
RC,681,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) Trauma",,,58.99,58.99,2
RC,681,"Paraffin, per pound Trauma",,,11.66,11.66,2
RC,681,Parathormone (parathyroid hormone) Trauma,,,99.07,99.07,2
RC,681,"Parenteral infusion pump, stationary, single or multi-channel Trauma",,,881.95,881.95,2
RC,681,"Partial facial prosthesis, provided by a non-physician Trauma",,,7781.23,7781.23,2
RC,681,"Partial foot, molded socket, ankle height, with toe filler Trauma",,,3755.59,3755.59,2
RC,681,"Partial foot, molded socket, tibial tubercle height, with toe filler Trauma",,,6377.76,6377.76,2
RC,681,"Partial foot, shoe insert with longitudinal arch, toe filler Trauma",,,1554.96,1554.96,2
RC,681,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,823.49,823.49,2
RC,681,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,4146.6,4146.6,2
RC,681,"Particle agglutination; screen, each antibody Trauma",,,27.7,27.7,2
RC,681,"Particle agglutination; titer, each antibody Trauma",,,25.54,25.54,2
RC,681,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,5231.54,5231.54,2
RC,681,Pathogen reduced plasma po Trauma,,,133.87,133.87,2
RC,681,Pathogen reduced plasma si Trauma,,,706.75,706.75,2
RC,681,"Patient lift, electric with seat or sling Trauma",,,347.76,347.76,2
RC,681,"Patient lift, fixed system, includes all components/accessories Trauma",,,324.31,324.31,2
RC,681,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) Trauma",,,177.77,177.77,2
RC,681,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories Trauma",,,324.31,324.31,2
RC,681,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only Trauma",,,3355.99,3355.99,2
RC,681,"Peak expiratory flow rate meter, hand held Trauma",,,81.34,81.34,2
RC,681,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure Trauma",,,767.78,767.78,2
RC,681,Pegaspargase injection Trauma,,,71193.5,71193.5,2
RC,681,Pegunigalsidase alfa-iwxj Trauma,,,541.6,541.6,2
RC,681,Pelvic belt/harness/boot Trauma,,,133.34,133.34,2
RC,681,Pembrolizumab 1mg berahyal Trauma,,,76.66,76.66,2
RC,681,Peng benzathine/procaine i Trauma,,,46.86,46.86,2
RC,681,"Penile contracture device, manual, greater than 3 lbs traction force Trauma",,,351.65,351.65,2
RC,681,Pentostatin injection Trauma,,,6475.17,6475.17,2
RC,681,"Percussor, electric or pneumatic, home model Trauma",,,127.78,127.78,2
RC,681,"Percutaneous catheter/tube anchoring device, adhesive skin attachment Trauma",,,38.64,38.64,2
RC,681,"Perianal fecal collection pouch with adhesive, each Trauma",,,24.5,24.5,2
RC,681,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) Trauma",,,105.58,105.58,2
RC,681,"Peroneal straps, prefabricated, off-the-shelf, pair Trauma",,,48.17,48.17,2
RC,681,"Pertuzu, trastuzu, 10 mg Trauma",,,143.75,143.75,2
RC,681,"Pessary, reusable, non rubber, any type Trauma",,,175.1,175.1,2
RC,681,"Pessary, reusable, rubber, any type Trauma",,,70.42,70.42,2
RC,681,Phenobarbital Trauma,,,36.72,36.72,2
RC,681,"Phenylalanine (PKU), blood Trauma",,,13.2,13.2,2
RC,681,Phenylep ketorolac opth so Trauma,,,231.13,231.13,2
RC,681,"Phenylketones, qualitative Trauma",,,9.55,9.55,2
RC,681,Phenytoin; free Trauma,,,33.02,33.02,2
RC,681,Phenytoin; total Trauma,,,31.8,31.8,2
RC,681,"Phosphatase, acid; prostatic Trauma",,,23.18,23.18,2
RC,681,"Phosphatase, acid; total Trauma",,,18.34,18.34,2
RC,681,"Phosphatase, alkaline; Trauma",,,12.43,12.43,2
RC,681,"Phosphatase, alkaline; heat stable (total not included) Trauma",,,19.82,19.82,2
RC,681,"Phosphatase, alkaline; isoenzymes Trauma",,,35.47,35.47,2
RC,681,Phosphatidylglycerol Trauma,,,39.65,39.65,2
RC,681,"Phosphogluconate, 6-, dehydrogenase, RBC Trauma",,,22.66,22.66,2
RC,681,Phosphohexose isomerase Trauma,,,25.75,25.75,2
RC,681,Phospholipid neutralization; hexagonal phospholipid Trauma,,,43.15,43.15,2
RC,681,Phospholipid neutralization; platelet Trauma,,,43.15,43.15,2
RC,681,Phosphorus inorganic (phosphate); Trauma,,,11.38,11.38,2
RC,681,Phosphorus inorganic (phosphate); urine Trauma,,,13.87,13.87,2
RC,681,Phototherapy (bilirubin) light with photometer Trauma,,,182.06,182.06,2
RC,681,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes Trauma",,,73.92,84.0,6
RC,681,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,211.77,240.65,4
RC,681,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,211.77,240.65,4
RC,681,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,211.77,240.65,4
RC,681,"Piflu f-18, dia 1 millicur Trauma",,,831.58,831.58,2
RC,681,"Pillow for use on nasal cannula type interface, replacement only, pair Trauma",,,46.46,46.46,2
RC,681,"Pinworm exam (eg, cellophane tape prep) Trauma",,,10.25,10.25,2
RC,681,Pinworm examinations Trauma,,,10.25,10.25,2
RC,681,Plaelet rich plasma unit Trauma,,,1343.5,1343.5,2
RC,681,Plasma 1 donor frz w/in 8 Trauma,,,206.35,206.35,2
RC,681,Plasma cryo redu path each Trauma,,,321.02,321.02,2
RC,681,"Plasma protein fract,5%,50 Trauma",,,19.46,19.46,2
RC,681,"Plasma, frz between 8-24ho Trauma",,,177.05,177.05,2
RC,681,"Plasmaprotein fract,5%,250 Trauma",,,84.77,84.77,2
RC,681,Plate pheres leukoredu irr Trauma,,,1633.46,1633.46,2
RC,681,Platelet pheres leukoreduc Trauma,,,1227.82,1227.82,2
RC,681,Platelet pheresis irradiat Trauma,,,2277.91,2277.91,2
RC,681,"Platelet, aggregation (in vitro), each agent Trauma",,,59.78,59.78,2
RC,681,Platelets leukocytes reduc Trauma,,,346.22,346.22,2
RC,681,Platelets leukoreduced irr Trauma,,,455.02,455.02,2
RC,681,Platelets pheresis path re Trauma,,,1457.83,1457.83,2
RC,681,"Platelets, each unit Trauma",,,127.61,127.61,2
RC,681,"Platelets, hla-m, l/r, uni Trauma",,,1699.34,1699.34,2
RC,681,"Platelets, irradiated Trauma",,,943.13,943.13,2
RC,681,"Platelets, pheresis Trauma",,,741.5,741.5,2
RC,681,"Platform attachment, forearm crutch, each Trauma",,,201.77,201.77,2
RC,681,"Platform attachment, walker, each Trauma",,,142.85,142.85,2
RC,681,"Platforms for home blood glucose monitor, 50 per box Trauma",,,13.39,13.39,2
RC,681,Plerixafor injection Trauma,,,68.37,68.37,2
RC,681,"Plt, aph/pher, l/r, cmv-ne Trauma",,,601.18,601.18,2
RC,681,"Plt, pher, l/r cmv-neg, ir Trauma",,,1208.28,1208.28,2
RC,681,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) Trauma",,,1315.27,1315.27,2
RC,681,"Pneumatic compressor, non-segmental home model Trauma",,,2277.05,2277.05,2
RC,681,"Pneumatic compressor, segmental home model with calibrated gradient pressure Trauma",,,18132.74,18132.74,2
RC,681,"Pneumatic compressor, segmental home model without calibrated gradient pressure Trauma",,,3141.24,3141.24,2
RC,681,"Pneumatic full leg splint, prefabricated, off-the-shelf Trauma",,,520.66,520.66,2
RC,681,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use Trauma",,,,,0
RC,681,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use Trauma",,,,,0
RC,681,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use Trauma",,,,,0
RC,681,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use Trauma",,,,,0
RC,681,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use Trauma",,,,,0
RC,681,"Pneumococcal, Influenza, H Trauma",,,90.4,90.4,2
RC,681,"Polarization, any lens material, per lens Trauma",,,177.14,177.14,2
RC,681,Polishing/resurfacing of ocular prosthesis Trauma,,,178.87,178.87,2
RC,681,"Porphobilinogen, urine; qualitative Trauma",,,13.97,13.97,2
RC,681,"Porphobilinogen, urine; quantitative Trauma",,,20.26,20.26,2
RC,681,"Porphyrins, feces, quantitative Trauma",,,93.86,93.86,2
RC,681,"Porphyrins, urine; qualitative Trauma",,,32.06,32.06,2
RC,681,"Porphyrins, urine; quantitation and fractionation Trauma",,,35.3,35.3,2
RC,681,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing Trauma",,,115.06,115.06,2
RC,681,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing Trauma",,,53.14,53.14,2
RC,681,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,115.06,115.06,2
RC,681,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing Trauma",,,115.06,115.06,2
RC,681,"Portable oxygen concentrator, rental Trauma",,,115.06,115.06,2
RC,681,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit Trauma",,,148.46,148.46,2
RC,681,"Portable oxygen contents, liquid, 1 month's supply = 1 unit Trauma",,,148.46,148.46,2
RC,681,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) Trauma",,,222.7,222.7,2
RC,681,Posaconazole Trauma,,,65.06,65.06,2
RC,681,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,1340.09,1340.09,2
RC,681,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware Trauma",,,1147.22,1147.22,2
RC,681,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,1320.65,1320.65,2
RC,681,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware Trauma",,,918.62,918.62,2
RC,681,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,1396.15,1396.15,2
RC,681,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware Trauma",,,1038.91,1038.91,2
RC,681,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,990.72,990.72,2
RC,681,"Positioning wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,616.42,616.42,2
RC,681,"Post-coital direct, qualitative examinations of vaginal or cervical mucous Trauma",,,60.0,60.0,2
RC,681,Posterior chamber intraocular lens Trauma,,,349.75,349.75,2
RC,681,Postural drainage board Trauma,,,66.72,66.72,2
RC,681,"Potassium; serum, plasma or whole blood Trauma",,,11.42,11.42,2
RC,681,Potassium; urine Trauma,,,11.35,11.35,2
RC,681,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type Trauma",,,2038.75,2038.75,2
RC,681,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type Trauma",,,546.0,546.0,2
RC,681,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,35604.0,35604.0,2
RC,681,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,2305.3,2305.3,2
RC,681,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number Trauma,,,6575.71,6575.71,2
RC,681,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds Trauma",,,4564.8,4564.8,2
RC,681,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds Trauma",,,2539.8,2539.8,2
RC,681,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds Trauma",,,6039.48,6039.48,2
RC,681,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds Trauma",,,6504.62,6504.62,2
RC,681,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds Trauma",,,4197.19,4197.19,2
RC,681,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds Trauma",,,10055.09,10055.09,2
RC,681,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,48297.36,48297.36,2
RC,681,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote Trauma",,,306.19,306.19,2
RC,681,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,82.27,82.27,2
RC,681,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each Trauma",,,356.38,356.38,2
RC,681,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) Trauma",,,334.63,334.63,2
RC,681,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each Trauma",,,1101.7,1101.7,2
RC,681,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each Trauma",,,489.02,489.02,2
RC,681,"Power wheelchair accessory, breath tube kit for sip and puff interface Trauma",,,102.36,102.36,2
RC,681,"Power wheelchair accessory, caster fork, any size, replacement only, each Trauma",,,154.3,154.3,2
RC,681,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each Trauma",,,128.3,128.3,2
RC,681,"Power wheelchair accessory, chin cup for chin control interface Trauma",,,129.17,129.17,2
RC,681,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each Trauma",,,170.5,170.5,2
RC,681,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,325.68,325.68,2
RC,681,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,657.22,657.22,2
RC,681,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface Trauma",,,2060.28,2060.28,2
RC,681,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only Trauma",,,372.84,372.84,2
RC,681,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue Trauma",,,138.12,138.12,2
RC,681,"Power wheelchair accessory, foam caster tire, any size, replacement only, each Trauma",,,79.85,79.85,2
RC,681,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each Trauma",,,142.85,142.85,2
RC,681,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each Trauma",,,148.01,148.01,2
RC,681,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each Trauma",,,317.11,317.11,2
RC,681,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each Trauma",,,314.62,314.62,2
RC,681,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,432.67,432.67,2
RC,681,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each Trauma",,,406.34,406.34,2
RC,681,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,491.18,491.18,2
RC,681,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware Trauma",,,415.73,415.73,2
RC,681,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware Trauma",,,442.51,442.51,2
RC,681,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware Trauma",,,231.24,231.24,2
RC,681,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware Trauma",,,663.29,663.29,2
RC,681,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,150.07,150.07,2
RC,681,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each Trauma",,,105.41,105.41,2
RC,681,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,520.66,520.66,2
RC,681,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware Trauma",,,770.09,770.09,2
RC,681,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,1008.79,1008.79,2
RC,681,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware Trauma",,,1460.78,1460.78,2
RC,681,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each Trauma",,,360.17,360.17,2
RC,681,"Power wheelchair accessory, lithium-based battery, each Trauma",,,1268.76,1268.76,2
RC,681,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only Trauma",,,201.72,201.72,2
RC,681,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches Trauma",,,1532.28,1532.28,2
RC,681,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches Trauma",,,2451.65,2451.65,2
RC,681,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches Trauma",,,1225.66,1225.66,2
RC,681,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches Trauma",,,1838.69,1838.69,2
RC,681,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each Trauma",,,182.28,182.28,2
RC,681,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each Trauma",,,176.54,176.54,2
RC,681,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware Trauma",,,397.08,397.08,2
RC,681,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each Trauma",,,50.9,50.9,2
RC,681,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each Trauma",,,122.93,122.93,2
RC,681,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each Trauma",,,123.62,123.62,2
RC,681,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated Trauma",,,203.78,203.78,2
RC,681,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each Trauma",,,131.26,131.26,2
RC,681,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each Trauma",,,54.7,54.7,2
RC,681,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each Trauma",,,343.99,343.99,2
RC,681,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,229.06,229.06,2
RC,681,"Power wheelchair component, actuator, replacement only Trauma",,,168.34,168.34,2
RC,681,"Power wheelchair component, drive wheel gear box, replacement only Trauma",,,112.13,112.13,2
RC,681,"Power wheelchair component, drive wheel motor, replacement only Trauma",,,120.02,120.02,2
RC,681,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only Trauma",,,159.1,159.1,2
RC,681,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,839.52,839.52,2
RC,681,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,809.06,809.06,2
RC,681,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds Trauma",,,771.98,771.98,2
RC,681,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds Trauma",,,898.97,898.97,2
RC,681,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more Trauma",,,2561.93,2561.93,2
RC,681,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,2820.98,2820.98,2
RC,681,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,2554.13,2554.13,2
RC,681,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,1187.09,1187.09,2
RC,681,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,1440.62,1440.62,2
RC,681,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,1225.99,1225.99,2
RC,681,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,1383.22,1383.22,2
RC,681,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,1311.0,1311.0,2
RC,681,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,840.74,840.74,2
RC,681,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,1213.54,1213.54,2
RC,681,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,1215.31,1215.31,2
RC,681,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,840.34,840.34,2
RC,681,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,789.58,789.58,2
RC,681,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,1118.57,1118.57,2
RC,681,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,1078.44,1078.44,2
RC,681,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,899.88,899.88,2
RC,681,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds Trauma",,,1928.86,1928.86,2
RC,681,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,1837.39,1837.39,2
RC,681,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,2191.01,2191.01,2
RC,681,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more Trauma",,,4026.19,4026.19,2
RC,681,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,5290.61,5290.61,2
RC,681,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,4262.14,4262.14,2
RC,681,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,2606.21,2606.21,2
RC,681,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,3111.98,3111.98,2
RC,681,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,2967.91,2967.91,2
RC,681,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds Trauma",,,3111.98,3111.98,2
RC,681,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,2710.51,2710.51,2
RC,681,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,2246.66,2246.66,2
RC,681,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,2512.27,2512.27,2
RC,681,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,2558.52,2558.52,2
RC,681,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,2508.22,2508.22,2
RC,681,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,2336.78,2336.78,2
RC,681,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds Trauma",,,3217.22,3217.22,2
RC,681,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,4445.9,4445.9,2
RC,681,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,4445.9,4445.9,2
RC,681,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,3131.86,3131.86,2
RC,681,Powered air flotation bed (low air loss therapy) Trauma,,,2075.59,2075.59,2
RC,681,"Powered air overlay for mattress, standard mattress length and width Trauma",,,603.72,603.72,2
RC,681,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty Trauma",,,47.45,47.45,2
RC,681,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty Trauma",,,47.45,47.45,2
RC,681,Powered pressure-reducing air mattress Trauma,,,603.72,603.72,2
RC,681,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated Trauma",,,83928.24,83928.24,2
RC,681,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated Trau",,,165124.08,165124.08,2
RC,681,Pralatrexate injection Trauma,,,926.69,926.69,2
RC,681,Prealbumin Trauma,,,35.02,35.02,2
RC,681,Pregnancy-associated plasma protein-A (PAPP-A) Trauma,,,36.12,36.12,2
RC,681,Pregnanediol Trauma,,,51.05,51.05,2
RC,681,Pregnanetriol Trauma,,,50.52,50.52,2
RC,681,Pregnenolone Trauma,,,49.61,49.61,2
RC,681,"Prehensile actuator, switch controlled Trauma",,,8283.29,8283.29,2
RC,681,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model Trauma",,,7063.22,7063.22,2
RC,681,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model Trauma",,,6931.06,6931.06,2
RC,681,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket Trauma",,,8529.79,8529.79,2
RC,681,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed Trauma",,,5937.02,5937.02,2
RC,681,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model Trauma",,,5710.63,5710.63,2
RC,681,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket Trauma",,,4982.62,4982.62,2
RC,681,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model Trauma",,,5317.99,5317.99,2
RC,681,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model Trauma",,,4277.62,4277.62,2
RC,681,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed Trauma",,,4225.27,4225.27,2
RC,681,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model Trauma",,,5074.94,5074.94,2
RC,681,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,6973.9,6973.9,2
RC,681,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed Tra",,,6526.42,6526.42,2
RC,681,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model Trauma",,,13413.43,13413.43,2
RC,681,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model Trauma",,,12478.15,12478.15,2
RC,681,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,8575.56,8575.56,2
RC,681,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,8145.43,8145.43,2
RC,681,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,4909.73,4909.73,2
RC,681,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,4446.89,4446.89,2
RC,681,"Press-on lens, fresnell prism, per lens Trauma",,,83.88,83.88,2
RC,681,Primidone Trauma,,,39.82,39.82,2
RC,681,"Prism, per lens Trauma",,,34.15,34.15,2
RC,681,Procainamide hcl injection Trauma,,,708.87,708.87,2
RC,681,Procainamide; Trauma,,,144.0,144.0,2
RC,681,"Procainamide; with metabolites (eg, n-acetyl procainamide) Trauma",,,40.2,40.2,2
RC,681,Procalcitonin (PCT) Trauma,,,65.33,65.33,2
RC,681,Progesterone Trauma,,,50.06,50.06,2
RC,681,Proinsulin Trauma,,,64.06,64.06,2
RC,681,Prolactin Trauma,,,46.51,46.51,2
RC,681,"Prostaglandin, each Trauma",,,100.25,100.25,2
RC,681,Prostate cancer screening; prostate specific antigen test (psa) Trauma,,,46.34,46.34,2
RC,681,Prostate specific antigen (PSA); complexed (direct measurement) Trauma,,,44.14,44.14,2
RC,681,Prostate specific antigen (PSA); free Trauma,,,44.14,44.14,2
RC,681,Prostate specific antigen (PSA); total Trauma,,,44.14,44.14,2
RC,681,"Prosthetic eye, plastic, custom Trauma",,,2637.43,2637.43,2
RC,681,"Prosthetic sheath, above knee, each Trauma",,,63.36,63.36,2
RC,681,"Prosthetic sheath, below knee, each Trauma",,,55.7,55.7,2
RC,681,"Prosthetic sheath, upper limb, each Trauma",,,62.98,62.98,2
RC,681,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each Trauma",,,223.44,223.44,2
RC,681,"Prosthetic shrinker, above knee, each Trauma",,,214.39,214.39,2
RC,681,"Prosthetic shrinker, below knee, each Trauma",,,154.03,154.03,2
RC,681,"Prosthetic shrinker, upper limb, each Trauma",,,191.09,191.09,2
RC,681,"Prosthetic sock, multiple ply, above knee, each Trauma",,,81.0,81.0,2
RC,681,"Prosthetic sock, multiple ply, below knee, each Trauma",,,73.61,73.61,2
RC,681,"Prosthetic sock, multiple ply, upper limb, each Trauma",,,72.65,72.65,2
RC,681,"Prosthetic sock, single ply, fitting, above knee, each Trauma",,,27.05,27.05,2
RC,681,"Prosthetic sock, single ply, fitting, below knee, each Trauma",,,19.61,19.61,2
RC,681,"Prosthetic sock, single ply, fitting, upper limb, each Trauma",,,32.69,32.69,2
RC,681,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,3557.3,3557.3,2
RC,681,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Trauma",,,100.51,100.51,2
RC,681,"Protective body sock, prefabricated, off-the-shelf, each Trauma",,,167.45,167.45,2
RC,681,"Protein analysis of tissue by Western Blot, with interpretation and report; Trauma",,,53.35,53.35,2
RC,681,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each Trauma",,,62.93,62.93,2
RC,681,"Protein, total, by refractometry, any source Trauma",,,13.46,13.46,2
RC,681,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) Trauma",,,9.6,9.6,2
RC,681,"Protein, total, except by refractometry; serum, plasma or whole blood Trauma",,,8.81,8.81,2
RC,681,"Protein, total, except by refractometry; urine Trauma",,,8.81,8.81,2
RC,681,"Protein; Western Blot, with interpretation and report, blood or other body fluid Trauma",,,40.87,40.87,2
RC,681,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each Trauma",,,70.1,70.1,2
RC,681,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) Trauma",,,42.79,42.79,2
RC,681,"Protein; electrophoretic fractionation and quantitation, serum Trauma",,,25.78,25.78,2
RC,681,Prothrombin complex kcentr Trauma,,,4.83,4.83,2
RC,681,Prothrombin time; Trauma,,,10.3,10.3,2
RC,681,"Prothrombin time; substitution, plasma fractions, each Trauma",,,9.46,9.46,2
RC,681,"Protoporphyrin, RBC; quantitative Trauma",,,34.44,34.44,2
RC,681,"Protoporphyrin, RBC; screen Trauma",,,23.38,23.38,2
RC,681,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,12983.04,12983.04,2
RC,681,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid Trauma,,,969.72,969.72,2
RC,681,"Pump for alternating pressure pad, for replacement only Trauma",,,58.87,58.87,2
RC,681,Pump for water circulating pad Trauma,,,128.64,128.64,2
RC,681,Pyridoxal phosphate (Vitamin B-6) Trauma,,,67.44,67.44,2
RC,681,Pyruvate Trauma,,,34.75,34.75,2
RC,681,Pyruvate kinase Trauma,,,22.66,22.66,2
RC,681,"Quantitation of therapeutic drug, not elsewhere specified Trauma",,,44.74,44.74,2
RC,681,Quinidine Trauma,,,35.04,35.04,2
RC,681,Quinine Trauma,,,27.91,27.91,2
RC,681,RADIOTHERAPY Trauma,,,33089.56,69056.47,4
RC,681,RBC deglycerolized Trauma,,,751.2,751.2,2
RC,681,RBC irradiated Trauma,,,348.53,348.53,2
RC,681,RBC leukocytes reduced Trauma,,,443.78,443.78,2
RC,681,RBC leukoreduced irradiate Trauma,,,636.98,636.98,2
RC,681,"RBC, frz/deg/wsh, l/r, irr Trauma",,,1014.46,1014.46,2
RC,681,"RBC, l/r, cmv-neg, irrad Trauma",,,598.56,598.56,2
RC,681,RED BLOOD CELL DISORDERS WITH MCC Trauma,,,19099.88,39860.62,4
RC,681,RED BLOOD CELL DISORDERS WITHOUT MCC Trauma,,,13889.65,28987.1,4
RC,681,REHABILITATION WITH CC/MCC Trauma,,,20646.55,43088.45,4
RC,681,REHABILITATION WITHOUT CC/MCC Trauma,,,16339.89,34100.64,4
RC,681,RENAL FAILURE WITH CC Trauma,,,13435.2,28038.67,4
RC,681,RENAL FAILURE WITH MCC Trauma,,,19921.98,41576.3,4
RC,681,RENAL FAILURE WITHOUT CC/MCC Trauma,,,10482.28,21876.05,4
RC,681,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC Trauma,,,14916.49,31130.06,4
RC,681,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC Trauma,,,26842.86,56019.89,4
RC,681,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC Trauma,,,10822.05,22585.15,4
RC,681,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) Trauma",,,790.82,790.82,2
RC,681,Rabies ig ht&sol human im/ Trauma,,,583.68,583.68,2
RC,681,"Rabies ig, heat treated Trauma",,,845.86,845.86,2
RC,681,"Rabies ig, im/sc Trauma",,,674.84,674.84,2
RC,681,"Rabies vaccine, id Trauma",,,568.46,568.46,2
RC,681,"Rabies vaccine, im Trauma",,,796.74,796.74,2
RC,681,Radiesse injection Trauma,,,838.06,838.06,2
RC,681,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver Trauma,,,15592.08,15592.08,2
RC,681,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement Trauma",,,2047.54,2047.54,2
RC,681,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) Trauma,,,65.76,65.76,2
RC,681,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Trauma",,,54.24,54.24,2
RC,681,Ranibizumab injection Trauma,,,122.62,122.62,2
RC,681,Rasburicase Trauma,,,929.89,929.89,2
RC,681,"Ratchet assembly, replacement only Trauma",,,95.02,95.02,2
RC,681,Rbc o2 co2 reduced Trauma,,,1227.82,1227.82,2
RC,681,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,148.81,169.1,4
RC,681,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,146.62,166.61,4
RC,681,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each Trauma",,,48.89,48.89,2
RC,681,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each Trauma",,,277.73,277.73,2
RC,681,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Trauma",,,170.95,170.95,2
RC,681,Receptor assay; estrogen Trauma,,,210.91,210.91,2
RC,681,Receptor assay; non-endocrine (specify receptor) Trauma,,,87.77,87.77,2
RC,681,Receptor assay; progesterone Trauma,,,155.71,155.71,2
RC,681,"Reclining back, addition to pediatric size wheelchair Trauma",,,124.94,124.94,2
RC,681,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each Trauma",,,33.7,33.7,2
RC,681,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each Trauma",,,4055.35,4055.35,2
RC,681,Red blood cells unit Trauma,,,361.37,361.37,2
RC,681,Reduction of ocular prosthesis Trauma,,,735.07,735.07,2
RC,681,Regulator Trauma,,,96.86,96.86,2
RC,681,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors Trauma",,,3834.38,3834.38,2
RC,681,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,33.14,33.14,2
RC,681,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,129.7,129.7,2
RC,681,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,131.38,131.38,2
RC,681,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment Trauma",,,56.62,56.62,2
RC,681,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,105.05,136.73,4
RC,681,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,20.83,20.83,2
RC,681,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Trauma",,,502.37,502.37,2
RC,681,Renin Trauma,,,52.78,52.78,2
RC,681,"Repair of orthotic device, labor component, per 15 minutes Trauma",,,71.88,71.88,2
RC,681,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes Trauma",,,48.26,48.26,2
RC,681,"Repair prosthetic device, labor component, per 15 minutes Trauma",,,97.61,97.61,2
RC,681,Replace girdle for spinal orthosis (ctlso or so) Trauma,,,3597.77,3597.77,2
RC,681,Replace high roll cuff Trauma,,,876.46,876.46,2
RC,681,"Replace leather cuff kafo, proximal thigh Trauma",,,294.31,294.31,2
RC,681,"Replace leather cuff kafo-afo, calf or distal thigh Trauma",,,233.88,233.88,2
RC,681,"Replace metal bands kafo, proximal thigh Trauma",,,294.79,294.79,2
RC,681,"Replace metal bands kafo-afo, calf or distal thigh Trauma",,,260.93,260.93,2
RC,681,"Replace molded calf lacer, for custom fabricated orthosis only Trauma",,,1138.56,1138.56,2
RC,681,"Replace molded thigh lacer, for custom fabricated orthosis only Trauma",,,1125.77,1125.77,2
RC,681,"Replace non-molded calf lacer, for custom fabricated orthosis only Trauma",,,737.28,737.28,2
RC,681,"Replace non-molded thigh lacer, for custom fabricated orthosis only Trauma",,,904.66,904.66,2
RC,681,Replace pretibial shell Trauma,,,1609.63,1609.63,2
RC,681,Replace proximal and distal upright for kafo Trauma,,,836.16,836.16,2
RC,681,"Replace quadrilateral socket brim, custom fitted Trauma",,,1392.41,1392.41,2
RC,681,"Replace quadrilateral socket brim, molded to patient model Trauma",,,2528.9,2528.9,2
RC,681,"Replace soft interface material, foot drop splint Trauma",,,50.98,50.98,2
RC,681,Replace trilateral socket brim Trauma,,,2024.59,2024.59,2
RC,681,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient Trauma",,,21.31,21.31,2
RC,681,"Replacement battery for automated external defibrillator, garment type only, each Trauma",,,66.46,66.46,2
RC,681,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each Trauma",,,1.92,1.92,2
RC,681,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each Trauma",,,12.74,12.74,2
RC,681,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each Trauma",,,20.54,20.54,2
RC,681,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each Trauma",,,49.08,49.08,2
RC,681,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each Trauma",,,3.77,3.77,2
RC,681,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each Trauma",,,21.31,21.31,2
RC,681,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,1.22,1.22,2
RC,681,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,5.66,5.66,2
RC,681,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,2.4,2.4,2
RC,681,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,2.78,2.78,2
RC,681,"Replacement bulb/lamp for ultraviolet light therapy system, each Trauma",,,140.38,140.38,2
RC,681,"Replacement cover for wheelchair seat cushion or back cushion, each Trauma",,,147.07,147.07,2
RC,681,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 Trauma",,,34.44,34.44,2
RC,681,"Replacement diaphragm/faceplate for tracheostoma valve, each Trauma",,,170.76,170.76,2
RC,681,"Replacement electrodes for use with automated external defibrillator, garment type only, each Trauma",,,2757.07,2757.07,2
RC,681,"Replacement garment for use with automated external defibrillator, each Trauma",,,414.58,414.58,2
RC,681,"Replacement lens shield cartridge for use with laser skin piercing device, each Trauma",,,43.66,43.66,2
RC,681,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 Trauma",,,69.19,69.19,2
RC,681,"Replacement pad for infrared heating pad system, each Trauma",,,98.26,98.26,2
RC,681,Replacement pad for use with medically necessary alternating pressure pad owned by patient Trauma,,,151.97,151.97,2
RC,681,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power Trauma",,,6920.26,6920.26,2
RC,681,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power Trauma",,,4662.55,4662.55,2
RC,681,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power Trauma",,,10350.22,10350.22,2
RC,681,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power Trauma",,,3846.94,3846.94,2
RC,681,"Replacement soft interface material, dynamic adjustable extension/flexion device Trauma",,,279.6,279.6,2
RC,681,Replacement soft interface material/cuffs for bi-directional static progressive stretch device Trauma,,,359.95,359.95,2
RC,681,"Replacement, handgrip, cane, crutch, or walker, each Trauma",,,9.53,9.53,2
RC,681,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model Trauma",,,10109.98,10109.98,2
RC,681,"Replacement, socket, below knee, molded to patient model Trauma",,,8418.48,8418.48,2
RC,681,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model Trauma",,,12790.56,12790.56,2
RC,681,"Replacement, soft interface material, static afo Trauma",,,69.84,69.84,2
RC,681,"Replacement, tip, cane, crutch, walker, each. Trauma",,,5.28,5.28,2
RC,681,Reptilase test Trauma,,,23.64,23.64,2
RC,681,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer Trauma",,,133.54,133.54,2
RC,681,"Residual limb support system for wheelchair, any type Trauma",,,53.81,53.81,2
RC,681,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,791.69,791.69,2
RC,681,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,1196.81,1196.81,2
RC,681,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,321.46,321.46,2
RC,681,"Respiratory suction pump, home model, portable or stationary, electric Trauma",,,156.6,156.6,2
RC,681,Reticulated platelet assay Trauma,,,85.78,85.78,2
RC,681,"Revakinagene, per implant Trauma",,,627791.28,627791.28,2
RC,681,Rh ig minidose im Trauma,,,192.0,192.0,2
RC,681,Rheumatoid factor; qualitative Trauma,,,14.74,14.74,2
RC,681,Rheumatoid factor; quantitative Trauma,,,13.61,13.61,2
RC,681,Riboflavin (Vitamin B-2) Trauma,,,48.58,48.58,2
RC,681,Riboflavin epioxa/hd<=2ml Trauma,,,97026.0,97026.0,2
RC,681,"Risperidone, long acting Trauma",,,26.65,26.65,2
RC,681,Rocking bed with or without side rails Trauma,,,996.72,996.72,2
RC,681,"Rollabout chair, any and all types with casters 5 or greater Trauma",,,126.36,126.36,2
RC,681,Rsv mab im 50mg Trauma,,,1048.2,1048.2,2
RC,681,Rufinamide Trauma,,,65.06,65.06,2
RC,681,Russell viper venom time (includes venom); diluted Trauma,,,22.99,22.99,2
RC,681,Russell viper venom time (includes venom); undiluted Trauma,,,41.98,41.98,2
RC,681,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Trauma",,,460.8,460.8,2
RC,681,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS Trauma,,,78131.55,163057.15,4
RC,681,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC Trauma,,,24868.53,51899.54,4
RC,681,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC Trauma,,,15016.17,31338.1,4
RC,681,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) Trauma",,,104.76,104.76,2
RC,681,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) Trauma",,,463.8,463.8,2
RC,681,SIGNS AND SYMPTOMS WITH MCC Trauma,,,17653.97,36843.07,4
RC,681,SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,12628.1,26354.3,4
RC,681,SKIN GRAFTS FOR INJURIES WITH CC/MCC Trauma,,,43417.81,90611.09,4
RC,681,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC Trauma,,,19947.7,41629.99,4
RC,681,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) Trauma",,,419.54,419.54,2
RC,681,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,328.8,328.8,2
RC,681,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence Trauma",,,723.24,723.24,2
RC,681,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) Trauma",,,444.48,444.48,2
RC,681,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) Trauma",,,112.8,112.8,2
RC,681,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis Trauma",,,122.57,122.57,2
RC,681,SPLENIC PROCEDURES WITH CC Trauma,,,34160.32,71291.11,4
RC,681,SPLENIC PROCEDURES WITH MCC Trauma,,,52590.64,109754.38,4
RC,681,SPLENIC PROCEDURES WITHOUT CC/MCC Trauma,,,24508.4,51147.96,4
RC,681,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) Trauma",,,420.96,420.96,2
RC,681,Sacituzumab govitecan-hziy Trauma,,,90.34,90.34,2
RC,681,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated Trauma",,,717.02,717.02,2
RC,681,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,183.6,183.6,2
RC,681,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,329.11,329.11,2
RC,681,"Safety enclosure frame/canopy for use with hospital bed, any type Trauma",,,622.85,622.85,2
RC,681,"Safety vest, wheelchair Trauma",,,96.1,96.1,2
RC,681,Salicylate Trauma,,,44.74,44.74,2
RC,681,Sargramostim injection Trauma,,,149.94,149.94,2
RC,681,Scleral cover shell Trauma,,,4208.26,4208.26,2
RC,681,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,3141.82,3141.82,2
RC,681,"Scratch resistant coating, per lens Trauma",,,47.06,47.06,2
RC,681,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision Trauma",,,44.5,44.5,2
RC,681,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening Trauma",,,76.66,76.66,2
RC,681,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision Trauma",,,48.62,48.62,2
RC,681,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,64.92,64.92,2
RC,681,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,63.58,63.58,2
RC,681,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,105.53,105.53,2
RC,681,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) Trauma",,,58.42,58.42,2
RC,681,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Trauma",,,229.01,229.01,2
RC,681,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision Trauma",,,44.5,44.5,2
RC,681,"Seat attachment, walker Trauma",,,48.19,48.19,2
RC,681,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair Trauma",,,280.87,280.87,2
RC,681,"Seat lift mechanism, electric, any type Trauma",,,777.96,777.96,2
RC,681,"Seat lift mechanism, non-electric, any type Trauma",,,774.46,774.46,2
RC,681,"Sedimentation rate, erythrocyte; automated Trauma",,,6.48,6.48,2
RC,681,"Sedimentation rate, erythrocyte; non-automated Trauma",,,10.25,10.25,2
RC,681,"Segmental gradient pressure pneumatic appliance, full arm Trauma",,,1103.81,1103.81,2
RC,681,"Segmental gradient pressure pneumatic appliance, full leg Trauma",,,1420.66,1420.66,2
RC,681,"Segmental gradient pressure pneumatic appliance, half leg Trauma",,,917.18,917.18,2
RC,681,"Segmental pneumatic appliance for use with pneumatic compressor, chest Trauma",,,185.69,185.69,2
RC,681,"Segmental pneumatic appliance for use with pneumatic compressor, full arm Trauma",,,1511.38,1511.38,2
RC,681,"Segmental pneumatic appliance for use with pneumatic compressor, full leg Trauma",,,1107.38,1107.38,2
RC,681,"Segmental pneumatic appliance for use with pneumatic compressor, half leg Trauma",,,595.34,595.34,2
RC,681,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest Trauma",,,429.96,429.96,2
RC,681,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk Trauma",,,4299.53,4299.53,2
RC,681,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest Trauma",,,429.96,429.96,2
RC,681,"Segmental pneumatic appliance for use with pneumatic compressor, trunk Trauma",,,197.64,197.64,2
RC,681,Selenium Trauma,,,61.27,61.27,2
RC,681,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard Trauma",,,4.78,4.78,2
RC,681,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard Trauma",,,2.69,2.69,2
RC,681,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard Trauma",,,2.16,2.16,2
RC,681,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,70.98,80.66,6
RC,681,Semen analysis; motility and count (not including Huhner test) Trauma,,,20.66,20.66,2
RC,681,Semen analysis; presence and/or motility of sperm excluding huhner Trauma,,,15.6,15.6,2
RC,681,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Trauma,,,23.62,23.62,2
RC,681,"Semen analysis; sperm presence and motility of sperm, if performed Trauma",,,28.92,28.92,2
RC,681,"Semen analysis; volume, count, motility, and differential Trauma",,,29.54,29.54,2
RC,681,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) Trauma",,,37.2,37.2,2
RC,681,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest Trauma",,,295.51,295.51,2
RC,681,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests Trauma",,,301.78,301.78,2
RC,681,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes Trauma",,,133.31,151.49,4
RC,681,Serotonin Trauma,,,74.35,74.35,2
RC,681,Serum bactericidal titer (Schlichter test) Trauma,,,36.05,36.05,2
RC,681,Serum screening for cytotoxic percent reactive antibody (PRA); quick method Trauma,,,71.23,71.23,2
RC,681,Serum screening for cytotoxic percent reactive antibody (PRA); standard method Trauma,,,188.76,188.76,2
RC,681,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative Trauma",,,123.43,123.43,2
RC,681,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,681,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Tr",,,,,0
RC,681,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Tra",,,,,0
RC,681,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Tr",,,,,0
RC,681,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,,,0
RC,681,Sex chromatin identification; Barr bodies Trauma,,,43.15,43.15,2
RC,681,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Trauma",,,19.18,19.18,2
RC,681,Sex hormone binding globulin (SHBG) Trauma,,,52.15,52.15,2
RC,681,"Shock absorber for manual wheelchair, each Trauma",,,351.26,351.26,2
RC,681,"Shock absorber for power wheelchair, each Trauma",,,320.45,320.45,2
RC,681,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,42395.76,42395.76,2
RC,681,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,39750.96,39750.96,2
RC,681,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,11454.26,11454.26,2
RC,681,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm Trauma",,,10946.62,10946.62,2
RC,681,"Shoulder disarticulation, passive restoration (complete prosthesis) Trauma",,,9451.92,9451.92,2
RC,681,"Shoulder disarticulation, passive restoration (shoulder cap only) Trauma",,,5163.34,5163.34,2
RC,681,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,5353.58,5353.58,2
RC,681,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,4534.39,4534.39,2
RC,681,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,5081.69,5081.69,2
RC,681,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,4534.39,4534.39,2
RC,681,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,5353.58,5353.58,2
RC,681,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,5353.58,5353.58,2
RC,681,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment Trauma",,,2224.58,2224.58,2
RC,681,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment Trauma",,,2316.29,2316.29,2
RC,681,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,5081.69,5081.69,2
RC,681,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,4534.39,4534.39,2
RC,681,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,3190.15,3190.15,2
RC,681,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf Trauma",,,386.59,386.59,2
RC,681,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf Trauma",,,277.37,277.37,2
RC,681,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf Trauma",,,161.54,161.54,2
RC,681,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2431.78,2431.78,2
RC,681,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf Trauma",,,473.62,473.62,2
RC,681,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,1517.4,1517.4,2
RC,681,Sialic acid Trauma,,,32.26,32.26,2
RC,681,"Sickling of RBC, reduction Trauma",,,13.22,13.22,2
RC,681,Silica Trauma,,,60.5,60.5,2
RC,681,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,3557.3,3557.3,2
RC,681,Sipuleucel-T auto CD54+ Trauma,,,134237.83,134237.83,2
RC,681,Sirolimus Trauma,,,32.95,32.95,2
RC,681,Sitz bath chair Trauma,,,498.36,498.36,2
RC,681,"Sitz type bath or equipment, portable, used with or without commode Trauma",,,80.14,80.14,2
RC,681,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s Trauma",,,75.07,75.07,2
RC,681,"Six volt battery, each Trauma",,,701.11,701.11,2
RC,681,"Skin barrier, wipes or swabs, each Trauma",,,0.84,0.84,2
RC,681,"Skin barrier; solid, 4 x 4 or equivalent; each Trauma",,,11.66,11.66,2
RC,681,"Skin barrier; solid, 6 x 6 or equivalent, each Trauma",,,21.67,21.67,2
RC,681,"Skin barrier; solid, 8 x 8 or equivalent, each Trauma",,,43.92,43.92,2
RC,681,"Skin piercing device for collection of capillary blood, laser, each Trauma",,,299.02,299.02,2
RC,681,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth Trauma",,,1173.34,1173.34,2
RC,681,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth Trauma",,,948.07,948.07,2
RC,681,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,767.86,767.86,2
RC,681,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,620.47,620.47,2
RC,681,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth Trauma",,,1179.84,1179.84,2
RC,681,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth Trauma",,,933.0,933.0,2
RC,681,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,432.84,432.84,2
RC,681,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,316.22,316.22,2
RC,681,"Slab off prism, glass or plastic, per lens Trauma",,,188.4,188.4,2
RC,681,"Sling or seat, patient lift, canvas or nylon Trauma",,,239.45,239.45,2
RC,681,Slings Trauma,,,26.35,26.35,2
RC,681,"Small volume nonfiltered pneumatic nebulizer, disposable Trauma",,,3.82,3.82,2
RC,681,Smallpox&monkeypox vac 0.5 Trauma,,,0.02,0.02,2
RC,681,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types Trauma",,,10.25,10.25,2
RC,681,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites Trauma",,,43.15,43.15,2
RC,681,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types Trauma",,,12.94,12.94,2
RC,681,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) Trauma",,,14.38,14.38,2
RC,681,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) Trauma",,,13.97,13.97,2
RC,681,Sodium; other source Trauma,,,11.66,11.66,2
RC,681,"Sodium; serum, plasma or whole blood Trauma",,,11.54,11.54,2
RC,681,Sodium; urine Trauma,,,12.14,12.14,2
RC,681,"Sole wedge, between sole Trauma",,,147.12,147.12,2
RC,681,"Sole wedge, outside sole Trauma",,,105.6,105.6,2
RC,681,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,1434.98,1434.98,2
RC,681,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis Trauma",,,1434.98,1434.98,2
RC,681,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,2869.99,2869.99,2
RC,681,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,7892.42,7892.42,2
RC,681,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability Trau",,,3228.74,3228.74,2
RC,681,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,7174.92,7174.92,2
RC,681,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability Trauma",,,2511.24,2511.24,2
RC,681,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability Trauma",,,2152.49,2152.49,2
RC,681,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,7007.04,7007.04,4
RC,681,Somatomedin Trauma,,,51.02,51.02,2
RC,681,Somatostatin Trauma,,,43.87,43.87,2
RC,681,Special back height for wheelchair Trauma,,,81.48,81.48,2
RC,681,"Special base curve, glass or plastic, per lens Trauma",,,61.94,61.94,2
RC,681,Special height arms for wheelchair Trauma,,,949.15,949.15,2
RC,681,"Special wheelchair seat depth and/or width, by construction Trauma",,,1285.97,1285.97,2
RC,681,"Special wheelchair seat depth, by upholstery Trauma",,,357.79,357.79,2
RC,681,Special wheelchair seat height from floor Trauma,,,1681.61,1681.61,2
RC,681,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,4.08,4.08,2
RC,681,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,6.82,6.82,2
RC,681,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,10.42,10.42,2
RC,681,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,11.14,11.14,2
RC,681,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,21.67,21.67,2
RC,681,Specific gravity (except urine) Trauma,,,7.87,7.87,2
RC,681,"Spectrophotometry, analyte not elsewhere specified Trauma",,,19.44,19.44,2
RC,681,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time Trauma",,,5395.32,5395.32,2
RC,681,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time Trauma",,,7911.05,7911.05,2
RC,681,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time Trauma",,,4090.01,4090.01,2
RC,681,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time Trauma",,,1337.52,1337.52,2
RC,681,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access Trauma",,,23149.66,23149.66,2
RC,681,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device Trauma",,,12233.16,12233.16,2
RC,681,"Speech volume modulation system, any type, including all components and accessories Trauma",,,587.62,587.62,2
RC,681,Sperm antibodies Trauma,,,25.61,25.61,2
RC,681,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) Trauma",,,47.02,47.02,2
RC,681,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Trauma",,,24.91,24.91,2
RC,681,Sperm evaluation; hamster penetration test Trauma,,,47.02,47.02,2
RC,681,"Sphere, bifocal, plano to plus or minus 4.00d, per lens Trauma",,,150.65,150.65,2
RC,681,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens Trauma",,,164.18,164.18,2
RC,681,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens Trauma",,,193.2,193.2,2
RC,681,"Sphere, single vision, plano to plus or minus 4.00, per lens Trauma",,,115.1,115.1,2
RC,681,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens Trauma",,,121.27,121.27,2
RC,681,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens Trauma",,,172.03,172.03,2
RC,681,"Sphere, trifocal, plano to plus or minus 4.00d, per lens Trauma",,,195.62,195.62,2
RC,681,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens Trauma",,,226.85,226.85,2
RC,681,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens Trauma",,,248.5,248.5,2
RC,681,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens Trauma",,,151.97,151.97,2
RC,681,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,164.81,164.81,2
RC,681,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,180.82,180.82,2
RC,681,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Trauma",,,220.15,220.15,2
RC,681,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,186.0,186.0,2
RC,681,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,204.58,204.58,2
RC,681,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens Trauma",,,263.21,263.21,2
RC,681,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens Trauma",,,183.74,183.74,2
RC,681,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Trauma",,,224.42,224.42,2
RC,681,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens Trauma",,,244.25,244.25,2
RC,681,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,250.46,250.46,2
RC,681,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens Trauma",,,268.42,268.42,2
RC,681,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens Trauma",,,99.91,99.91,2
RC,681,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,110.69,110.69,2
RC,681,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,135.53,135.53,2
RC,681,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Trauma",,,137.52,137.52,2
RC,681,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens Trauma",,,188.06,188.06,2
RC,681,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens Trauma",,,144.53,144.53,2
RC,681,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,161.14,161.14,2
RC,681,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,140.18,140.18,2
RC,681,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Trauma",,,165.77,165.77,2
RC,681,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens Trauma",,,163.58,163.58,2
RC,681,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,225.96,225.96,2
RC,681,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens Trauma",,,199.9,199.9,2
RC,681,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens Trauma",,,205.9,205.9,2
RC,681,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens Trauma",,,215.47,215.47,2
RC,681,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens Trauma",,,264.24,264.24,2
RC,681,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Trauma",,,246.38,246.38,2
RC,681,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens Trauma",,,244.3,244.3,2
RC,681,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,260.69,260.69,2
RC,681,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,304.94,304.94,2
RC,681,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens Trauma",,,335.45,335.45,2
RC,681,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Trauma",,,319.49,319.49,2
RC,681,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens Trauma",,,281.62,281.62,2
RC,681,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,384.38,384.38,2
RC,681,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens Trauma",,,421.06,421.06,2
RC,681,"Spoke protectors, each Trauma",,,133.7,133.7,2
RC,681,"Spring-powered device for lancet, each Trauma",,,5.09,5.09,2
RC,681,Sr89 strontium Trauma,,,9951.2,9951.2,2
RC,681,Stand/rack Trauma,,,73.01,73.01,2
RC,681,Standard - weight frame motorized/power wheelchair Trauma,,,1238.47,1238.47,2
RC,681,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking Trauma",,,1658.35,1658.35,2
RC,681,Standard hemi (low seat) wheelchair Trauma,,,129.91,129.91,2
RC,681,"Standard size footplate, replacement only, each Trauma",,,93.26,93.26,2
RC,681,Standard wheelchair Trauma,,,74.57,74.57,2
RC,681,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,256.2,256.2,2
RC,681,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,497.78,497.78,2
RC,681,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf Trauma",,,497.78,497.78,2
RC,681,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,217.34,217.34,2
RC,681,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,217.34,217.34,2
RC,681,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories Trauma",,,331.54,331.54,2
RC,681,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories Trauma",,,426.53,426.53,2
RC,681,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,403.9,403.9,2
RC,681,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories Trauma",,,435.55,435.55,2
RC,681,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,419.98,419.98,2
RC,681,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories Trauma",,,1549.37,1549.37,2
RC,681,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing Trauma",,,240.5,240.5,2
RC,681,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing Trauma",,,240.5,240.5,2
RC,681,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit Trauma",,,163.87,163.87,2
RC,681,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit Trauma",,,163.87,163.87,2
RC,681,"Stem cells (ie, CD34), total count Trauma",,,186.67,186.67,2
RC,681,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml Trauma",,,1.39,1.39,2
RC,681,"Sterile water/saline, 500 ml Trauma",,,10.73,10.73,2
RC,681,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) Trauma",,,52.49,52.49,2
RC,681,Stoma cap Trauma,,,4.92,4.92,2
RC,681,"Stoma plug or seal, any type Trauma",,,11.33,11.33,2
RC,681,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Trauma",,,220.87,220.87,2
RC,681,"Streptokinase, antibody Trauma",,,30.38,30.38,2
RC,681,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system Trauma",,,156.6,156.6,2
RC,681,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Trauma",,,13.2,13.2,2
RC,681,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen Trauma",,,27.67,27.67,2
RC,681,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen Trauma",,,13.2,13.2,2
RC,681,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen Trauma",,,27.67,27.67,2
RC,681,"Sugars, chromatographic, TLC or paper chromatography Trauma",,,93.6,93.6,2
RC,681,"Sulfate, urine Trauma",,,13.18,13.18,2
RC,681,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month Trauma",,,100.13,100.13,2
RC,681,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist Trauma,,,1264.44,1264.44,2
RC,681,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) Trauma",,,327.29,327.29,2
RC,681,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each Trauma",,,8.33,8.33,2
RC,681,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each Trauma",,,8.33,8.33,2
RC,681,"Supplies for maintenance of insulin infusion catheter, per week Trauma",,,62.09,62.09,2
RC,681,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) Trauma",,,62.09,62.09,2
RC,681,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service Trauma",,,673.7,673.7,2
RC,681,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service Trauma",,,655.87,655.87,2
RC,681,"Surgical dressing holder, non-reusable, each Trauma",,,11.28,11.28,2
RC,681,"Surgical dressing holder, reusable, each Trauma",,,45.53,45.53,2
RC,681,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Trauma",,,11.4,11.4,2
RC,681,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate Trauma",,,84.22,84.22,2
RC,681,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Trauma",,,17.95,17.95,2
RC,681,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme Trauma",,,11.4,11.4,2
RC,681,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Trauma",,,15.94,15.94,2
RC,681,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate Trauma",,,20.76,20.76,2
RC,681,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) Trauma",,,96.41,96.41,2
RC,681,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Trauma",,,17.54,17.54,2
RC,681,"Suzetrigine, orl, 1mg Trauma",,,0.75,0.75,2
RC,681,"Swingaway, detachable footrests, replacement only, each Trauma",,,211.63,211.63,2
RC,681,Synthetic sheepskin pad Trauma,,,72.14,72.14,2
RC,681,Synvisc or synvisc-one Trauma,,,14.44,14.44,2
RC,681,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) Trauma",,,10.25,10.25,2
RC,681,"Syphilis test, non-treponemal antibody; quantitative Trauma",,,10.56,10.56,2
RC,681,"T cells; absolute CD4 and CD8 count, including ratio Trauma",,,112.75,112.75,2
RC,681,T cells; absolute CD4 count Trauma,,,64.27,64.27,2
RC,681,T cells; total count Trauma,,,90.55,90.55,2
RC,681,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,681,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) Trauma",,,444.48,444.48,2
RC,681,TESTES PROCEDURES WITH CC/MCC Trauma,,,26383.05,55060.27,4
RC,681,TESTES PROCEDURES WITHOUT CC/MCC Trauma,,,15835.05,33047.06,4
RC,681,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) Trauma",,,328.8,328.8,2
RC,681,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence Trauma",,,1540.44,1540.44,2
RC,681,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Trauma",,,739.2,739.2,2
RC,681,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) Trauma",,,790.82,790.82,2
RC,681,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) Trauma",,,419.54,419.54,2
RC,681,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC Trauma,,,20162.08,42077.38,4
RC,681,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC Trauma,,,15381.66,32100.86,4
RC,681,TRAUMATIC INJURY WITH MCC Trauma,,,21568.33,45012.17,4
RC,681,TRAUMATIC INJURY WITHOUT MCC Trauma,,,13539.17,28255.66,4
RC,681,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) T",,,501.41,501.41,2
RC,681,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) Trauma",,,119.02,119.02,2
RC,681,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Trauma",,,483.6,483.6,2
RC,681,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) Trauma",,,419.54,419.54,2
RC,681,Tacrolimus Trauma,,,32.95,32.95,2
RC,681,Tacrolimus injection Trauma,,,643.62,643.62,2
RC,681,"Tape, non-waterproof, per 18 square inches Trauma",,,0.24,0.24,2
RC,681,"Tape, waterproof, per 18 square inches Trauma",,,1.2,1.2,2
RC,681,"Tau, phosphorylated (eg, pTau 181, pTau 217), each Trauma",,,309.41,309.41,2
RC,681,"Tau, total (tTau) Trauma",,,309.41,309.41,2
RC,681,Tc-99m graphite crucible Trauma,,,788.64,788.64,2
RC,681,Tc99m bicisate Trauma,,,1861.25,1861.25,2
RC,681,Tc99m succimer Trauma,,,1583.83,1583.83,2
RC,681,Technetium tc-99m auto wbc Trauma,,,2241.91,2241.91,2
RC,681,Telavancin injection Trauma,,,17.96,17.96,2
RC,681,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,34.58,86.71,6
RC,681,Telisotuzumab vedotin-tllv Trauma,,,350.54,350.54,2
RC,681,Temozolomide injection Trauma,,,24.98,24.98,2
RC,681,Tenecteplase injection Trauma,,,521.81,521.81,2
RC,681,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment Trauma",,,9491.54,9491.54,2
RC,681,"Terminal device, hand, mechanical, voluntary closing, any material, any size Trauma",,,3559.73,3559.73,2
RC,681,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric Trauma",,,3931.85,3931.85,2
RC,681,"Terminal device, hand, mechanical, voluntary opening, any material, any size Trauma",,,2470.25,2470.25,2
RC,681,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric Trauma",,,4641.91,4641.91,2
RC,681,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined Trauma",,,6024.46,6024.46,2
RC,681,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined Trauma",,,6988.37,6988.37,2
RC,681,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined Trauma",,,3778.73,3778.73,2
RC,681,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric Trauma",,,3678.05,3678.05,2
RC,681,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined Trauma",,,1025.18,1025.18,2
RC,681,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric Trauma",,,1997.59,1997.59,2
RC,681,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement Trauma",,,9380.74,9380.74,2
RC,681,"Terminal device, passive hand/mitt, any material, any size Trauma",,,1068.17,1068.17,2
RC,681,"Terminal device, sport/recreational/work attachment, any material, any size Trauma",,,1720.7,1720.7,2
RC,681,Testosterone pellet 75 mg Trauma,,,174.72,174.72,2
RC,681,Testosterone undecanoate 1 Trauma,,,5.16,5.16,2
RC,681,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) Trauma",,,123.07,123.07,2
RC,681,Testosterone; free Trauma,,,61.13,61.13,2
RC,681,Testosterone; total Trauma,,,61.94,61.94,2
RC,681,"Thawing and expansion of frozen cells, each aliquot Trauma",,,29.02,29.02,2
RC,681,Theophylline Trauma,,,33.94,33.94,2
RC,681,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes Trauma",,,76.88,87.36,6
RC,681,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,48.81,55.46,6
RC,681,"Therapeutic procedure(s), group (2 or more individuals) Trauma",,,39.87,45.31,6
RC,681,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Trauma",,,81.16,92.23,6
RC,681,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) Trauma",,,63.63,72.31,4
RC,681,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) Trauma",,,65.39,74.3,4
RC,681,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,71.58,81.34,6
RC,681,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility Trauma",,,63.63,72.31,6
RC,681,"Therapeutic services for the use of speech-generating device, including programming and modification Trauma",,,252.46,252.46,2
RC,681,Thiamine (Vitamin B-1) Trauma,,,50.95,50.95,2
RC,681,Thiocyanate Trauma,,,27.91,27.91,2
RC,681,Thiopurine S-methyltransferase (TPMT) Trauma,,,53.21,53.21,2
RC,681,"Thoracic, rib belt, custom fabricated Trauma",,,337.75,337.75,2
RC,681,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only Trauma",,,4792.87,4792.87,2
RC,681,Thrombin time; plasma Trauma,,,13.85,13.85,2
RC,681,Thrombin time; titer Trauma,,,16.44,16.44,2
RC,681,Thrombomodulin Trauma,,,41.45,41.45,2
RC,681,"Thromboplastin inhibition, tissue Trauma",,,23.11,23.11,2
RC,681,"Thromboplastin time, partial (PTT); plasma or whole blood Trauma",,,14.42,14.42,2
RC,681,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each Trauma",,,15.53,15.53,2
RC,681,"Thromboxane metabolite(s), including thromboxane if performed, urine Trauma",,,84.26,84.26,2
RC,681,"Thymol turbidity, blood Trauma",,,11.88,11.88,2
RC,681,Thyroglobulin Trauma,,,38.54,38.54,2
RC,681,Thyroglobulin antibody Trauma,,,38.18,38.18,2
RC,681,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) Trauma,,,15.53,15.53,2
RC,681,Thyroid stimulating hormone (TSH) Trauma,,,40.32,40.32,2
RC,681,Thyroid stimulating immune globulins (TSI) Trauma,,,122.06,122.06,2
RC,681,Thyrotropin injection Trauma,,,5180.79,5180.79,2
RC,681,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) Trauma,,,120.98,120.98,2
RC,681,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) Trauma,,,161.3,161.3,2
RC,681,Thyroxine binding globulin (TBG) Trauma,,,35.47,35.47,2
RC,681,Thyroxine; free Trauma,,,21.65,21.65,2
RC,681,"Thyroxine; requiring elution (eg, neonatal) Trauma",,,15.53,15.53,2
RC,681,Thyroxine; total Trauma,,,16.49,16.49,2
RC,681,Tiagabine Trauma,,,65.06,65.06,2
RC,681,"Tint, photochromatic, per lens Trauma",,,64.27,64.27,2
RC,681,Tisagenlecleucel car-pos t Trauma,,,1468063.68,1468063.68,2
RC,681,"Tissue culture for neoplastic disorders; bone marrow, blood cells Trauma",,,345.0,345.0,2
RC,681,Tissue culture for neoplastic disorders; solid tumor Trauma,,,354.05,354.05,2
RC,681,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Trauma,,,360.72,360.72,2
RC,681,Tissue culture for non-neoplastic disorders; lymphocyte Trauma,,,279.58,279.58,2
RC,681,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Trauma,,,337.75,337.75,2
RC,681,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) Trauma",,,10.25,10.25,2
RC,681,"Tissue transglutaminase, each immunoglobulin (Ig) class Trauma",,,27.67,27.67,2
RC,681,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,1028.5,1028.5,2
RC,681,"Tlso, corset front Trauma",,,315.22,315.22,2
RC,681,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,646.49,646.49,2
RC,681,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,1853.9,2949.41,4
RC,681,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,348.24,348.24,2
RC,681,"Tlso, full corset Trauma",,,658.34,658.34,2
RC,681,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,725.04,1133.45,4
RC,681,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,1475.98,1475.98,2
RC,681,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,2277.41,2277.41,2
RC,681,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,838.82,838.82,2
RC,681,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,923.83,1421.18,4
RC,681,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,1269.98,1269.98,2
RC,681,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,4407.94,4407.94,2
RC,681,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,3702.72,3702.72,2
RC,681,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,2644.75,2976.89,4
RC,681,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2976.89,4501.9,4
RC,681,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,3927.05,3927.05,2
RC,681,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,2023.2,2023.2,2
RC,681,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,5199.84,5199.84,2
RC,681,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,5249.09,5249.09,2
RC,681,Tobramycin Trauma,,,38.71,38.71,2
RC,681,Tocilizumab injection Trauma,,,12.98,12.98,2
RC,681,Tocopherol alpha (Vitamin E) Trauma,,,34.03,34.03,2
RC,681,"Toe loop/holder, any type, each Trauma",,,49.78,49.78,2
RC,681,Topi adm prad zami per tre Trauma,,,7885879.2,7885879.2,2
RC,681,Topiramate Trauma,,,28.61,28.61,2
RC,681,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Trauma",,,47.38,47.38,2
RC,681,"Tracheal suction catheter, any type other than closed system, each Trauma",,,9.02,9.02,2
RC,681,"Tracheal suction catheter, closed system, each Trauma",,,56.11,56.11,2
RC,681,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type Trauma",,,324.53,324.53,2
RC,681,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each Trauma",,,124.46,124.46,2
RC,681,"Tracheoesophageal puncture dilator, replacement only, each Trauma",,,280.18,280.18,2
RC,681,"Tracheostoma filter, any type, any size, each Trauma",,,1.22,1.22,2
RC,681,"Tracheostoma stent/stud/button, each Trauma",,,264.79,264.79,2
RC,681,"Tracheostoma valve, including diaphragm, each Trauma",,,359.18,359.18,2
RC,681,Tracheostomy care kit for established tracheostomy Trauma,,,15.91,15.91,2
RC,681,Tracheostomy care kit for new tracheostomy Trauma,,,23.69,23.69,2
RC,681,"Tracheostomy cleaning brush, each Trauma",,,9.26,9.26,2
RC,681,"Tracheostomy mask, each Trauma",,,7.06,7.06,2
RC,681,Tracheostomy speaking valve Trauma,,,430.61,430.61,2
RC,681,"Tracheostomy tube collar/holder, each Trauma",,,11.59,11.59,2
RC,681,"Tracheostomy, inner cannula Trauma",,,22.42,22.42,2
RC,681,"Tracheostomy/laryngectomy tube plug/stop, each Trauma",,,12.24,12.24,2
RC,681,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each Trauma",,,160.9,160.9,2
RC,681,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each Trauma",,,162.38,162.38,2
RC,681,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each Trauma",,,154.46,154.46,2
RC,681,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible Trauma",,,176.28,176.28,2
RC,681,"Traction equipment, overdoor, cervical Trauma",,,127.73,127.73,2
RC,681,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) Trauma",,,338.16,338.16,2
RC,681,"Traction frame, attached to footboard, pelvic traction Trauma",,,350.02,350.02,2
RC,681,"Traction frame, attached to headboard, cervical traction Trauma",,,250.61,250.61,2
RC,681,"Traction stand, free standing, cervical traction Trauma",,,359.3,359.3,2
RC,681,"Traction stand, free standing, extremity traction Trauma",,,429.38,429.38,2
RC,681,"Traction stand, free standing, pelvic traction, (e.g., buck's) Trauma",,,372.55,372.55,2
RC,681,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,14687.81,14687.81,2
RC,681,Transcortin (cortisol binding globulin) Trauma,,,43.2,43.2,2
RC,681,"Transcutaneous electrical joint stimulation device system, includes all accessories Trauma",,,376.08,376.08,2
RC,681,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation Trauma",,,221.62,221.62,2
RC,681,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation Trauma",,,219.34,219.34,2
RC,681,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve Trauma,,,125.71,125.71,2
RC,681,Transcutaneous tibial nerve stimulator Trauma,,,125.71,125.71,2
RC,681,"Transfer device, any type, each Trauma",,,147.5,147.5,2
RC,681,"Transfer of an orthosis from one shoe to another, caliper plate, existing Trauma",,,226.34,226.34,2
RC,681,"Transfer of an orthosis from one shoe to another, caliper plate, new Trauma",,,297.89,297.89,2
RC,681,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes Trauma",,,128.18,128.18,2
RC,681,"Transfer of an orthosis from one shoe to another, solid stirrup, existing Trauma",,,226.34,226.34,2
RC,681,"Transfer of an orthosis from one shoe to another, solid stirrup, new Trauma",,,297.89,297.89,2
RC,681,Transferase; alanine amino (ALT) (SGPT) Trauma,,,12.72,12.72,2
RC,681,Transferase; aspartate amino (AST) (SGOT) Trauma,,,12.43,12.43,2
RC,681,Transferrin Trauma,,,30.62,30.62,2
RC,681,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement Trauma",,,77.9,77.9,2
RC,681,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement Trauma",,,532.01,532.01,2
RC,681,"Transmitting coil for use with cochlear implant device, replacement Trauma",,,272.74,272.74,2
RC,681,"Transparent film, sterile, 16 sq. in. or less, each dressing Trauma",,,5.23,5.23,2
RC,681,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Trauma",,,14.74,14.74,2
RC,681,"Transparent film, sterile, more than 48 sq. in., each dressing Trauma",,,37.42,37.42,2
RC,681,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,7776.0,7776.0,2
RC,681,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,1537.75,1537.75,2
RC,681,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds Trauma",,,97.1,97.1,2
RC,681,"Transport chair, adult size, patient weight capacity up to and including 300 pounds Trauma",,,45.7,45.7,2
RC,681,"Transport chair, pediatric size Trauma",,,311.21,311.21,2
RC,681,"Transtracheal oxygen catheter, each Trauma",,,171.46,171.46,2
RC,681,"Trapeze bar, free standing, complete with grab bar Trauma",,,63.19,63.19,2
RC,681,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar Trauma",,,127.25,127.25,2
RC,681,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar Trauma",,,255.38,255.38,2
RC,681,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar Trauma",,,33.48,33.48,2
RC,681,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals Trauma",,,60.19,60.19,2
RC,681,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual Trauma",,,187.18,187.18,2
RC,681,Treatment of swallowing dysfunction and/or oral function for feeding Trauma,,,207.07,207.07,2
RC,681,Trifocal add over 3.25d Trauma,,,153.94,153.94,2
RC,681,Trifocal seg width over 28 mm Trauma,,,145.92,145.92,2
RC,681,Triglycerides Trauma,,,13.78,13.78,2
RC,681,Triiodothyronine T3; free Trauma,,,40.66,40.66,2
RC,681,Triiodothyronine T3; reverse Trauma,,,37.82,37.82,2
RC,681,Triiodothyronine T3; total (TT-3) Trauma,,,34.03,34.03,2
RC,681,Triptorelin pamoate Trauma,,,1119.28,1119.28,2
RC,681,"Troponin, qualitative Trauma",,,24.22,24.22,2
RC,681,"Troponin, quantitative Trauma",,,29.93,29.93,2
RC,681,"Truss, addition to standard pad, scrotal pad Trauma",,,190.51,190.51,2
RC,681,"Truss, addition to standard pad, water pad Trauma",,,192.17,192.17,2
RC,681,"Truss, double with standard pads Trauma",,,439.99,439.99,2
RC,681,"Truss, single with standard pad Trauma",,,286.18,286.18,2
RC,681,Trypsin; duodenal fluid Trauma,,,17.28,17.28,2
RC,681,"Trypsin; feces, qualitative Trauma",,,17.52,17.52,2
RC,681,"Trypsin; feces, quantitative, 24-hour collection Trauma",,,23.83,23.83,2
RC,681,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension Trauma",,,240.0,240.0,2
RC,681,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Trauma",,,148.75,148.75,2
RC,681,"Tubing (oxygen), per foot Trauma",,,0.19,0.19,2
RC,681,Tubing used with positive airway pressure device Trauma,,,35.45,35.45,2
RC,681,Tubing with integrated heating element for use with positive airway pressure device Trauma,,,118.46,118.46,2
RC,681,"Tubing, used with suction pump, each Trauma",,,11.16,11.16,2
RC,681,"Tubular dressing with or without elastic, any width, per linear yard Trauma",,,3.89,3.89,2
RC,681,"Twelve volt battery, each Trauma",,,1170.82,1170.82,2
RC,681,Tyrosine Trauma,,,25.51,25.51,2
RC,681,"U-v lens, per lens Trauma",,,54.05,54.05,2
RC,681,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) Trauma",,,463.8,463.8,2
RC,681,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) Tr",,,561.6,561.6,2
RC,681,UNGROUPABLE Trauma,,,4048.01,8448.02,4
RC,681,URETHRAL STRICTURE Trauma,,,15600.31,32557.18,4
RC,681,URINARY STONES WITH MCC Trauma,,,18458.91,38522.95,4
RC,681,URINARY STONES WITHOUT MCC Trauma,,,12426.6,25933.78,4
RC,681,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC Trauma,,,23714.16,49490.42,4
RC,681,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Trauma,,,17346.35,36201.07,4
RC,681,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC Trauma,,,23444.05,48926.71,4
RC,681,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC Trauma,,,42449.95,88591.2,4
RC,681,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT Trauma,,,19333.55,40348.27,4
RC,681,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC Trauma,,,26134.37,54541.3,4
RC,681,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC Trauma,,,42360.99,88405.54,4
RC,681,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC Trauma,,,19788.0,41296.7,4
RC,681,Ultralightweight wheelchair Trauma,,,6323.42,6323.42,2
RC,681,Ultrasonic/electronic aerosol generator with small volume nebulizer Trauma,,,126.72,126.72,2
RC,681,Ultrasound Composite Trauma,,,737.34,737.34,2
RC,681,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel Trauma",,,3859.44,3859.44,2
RC,681,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel Trauma",,,4757.59,4757.59,2
RC,681,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less Trauma",,,3073.46,3073.46,2
RC,681,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection Trauma",,,15142.99,15142.99,2
RC,681,"Underarm pad, crutch, replacement, each Trauma",,,14.86,14.86,2
RC,681,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow Trauma",,,7430.35,7430.35,2
RC,681,"Upper extremity addition, additional disconnect insert for locking wrist unit, each Trauma",,,208.63,208.63,2
RC,681,"Upper extremity addition, disconnect locking wrist unit Trauma",,,563.06,563.06,2
RC,681,"Upper extremity addition, excursion amplifier, lever type Trauma",,,638.9,638.9,2
RC,681,"Upper extremity addition, excursion amplifier, pulley type Trauma",,,471.36,471.36,2
RC,681,"Upper extremity addition, external frame, partial hand including fingers Trauma",,,1694.78,1694.78,2
RC,681,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement Trauma",,,70824.48,70824.48,2
RC,681,"Upper extremity addition, flexion/extension and rotation wrist unit Trauma",,,11189.98,11189.98,2
RC,681,"Upper extremity addition, flexion/extension wrist unit, with or without friction Trauma",,,900.94,900.94,2
RC,681,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation Trauma",,,1684.54,1684.54,2
RC,681,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation Trauma",,,1694.78,1694.78,2
RC,681,"Upper extremity addition, frame type socket, interscapular-thoracic Trauma",,,2199.38,2199.38,2
RC,681,"Upper extremity addition, frame type socket, shoulder disarticulation Trauma",,,2018.3,2018.3,2
RC,681,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design Trauma",,,407.88,407.88,2
RC,681,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design Trauma",,,352.85,352.85,2
RC,681,"Upper extremity addition, harness, chest or shoulder, saddle type Trauma",,,593.74,593.74,2
RC,681,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow Trauma",,,881.52,881.52,2
RC,681,"Upper extremity addition, heavy duty control cable Trauma",,,269.69,269.69,2
RC,681,"Upper extremity addition, hook to hand, cable adapter Trauma",,,149.62,149.62,2
RC,681,"Upper extremity addition, latex suspension sleeve, each Trauma",,,219.94,219.94,2
RC,681,"Upper extremity addition, lift assist for elbow Trauma",,,517.51,517.51,2
RC,681,"Upper extremity addition, locking elbow, forearm counterbalance Trauma",,,8435.35,8435.35,2
RC,681,"Upper extremity addition, nudge control elbow lock Trauma",,,1103.81,1103.81,2
RC,681,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal Trauma",,,1407.55,1407.55,2
RC,681,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal Trauma",,,429.86,429.86,2
RC,681,"Upper extremity addition, removable insert, each Trauma",,,1017.96,1017.96,2
RC,681,"Upper extremity addition, rotation wrist unit with cable lock Trauma",,,1785.48,1785.48,2
RC,681,"Upper extremity addition, shoulder flexion-abduction joint, each Trauma",,,1179.29,1179.29,2
RC,681,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system Trauma",,,9371.38,9371.38,2
RC,681,"Upper extremity addition, shoulder lock mechanism, body powered actuator Trauma",,,1542.79,1542.79,2
RC,681,"Upper extremity addition, shoulder lock mechanism, external powered actuator Trauma",,,9665.18,9665.18,2
RC,681,"Upper extremity addition, shoulder universal joint, each Trauma",,,1224.38,1224.38,2
RC,681,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each Trauma",,,1643.11,1643.11,2
RC,681,"Upper extremity addition, spring assisted rotational wrist unit with latch release Trauma",,,2512.99,2512.99,2
RC,681,"Upper extremity addition, stainless steel, any wrist Trauma",,,633.24,633.24,2
RC,681,"Upper extremity addition, standard control cable, extra Trauma",,,240.62,240.62,2
RC,681,"Upper extremity addition, suction socket Trauma",,,2312.81,2312.81,2
RC,681,"Upper extremity addition, teflon, or equal, cable lining Trauma",,,135.31,135.31,2
RC,681,"Upper extremity addition, test socket, elbow disarticulation or above elbow Trauma",,,753.7,753.7,2
RC,681,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic Trauma",,,1024.18,1024.18,2
RC,681,"Upper extremity addition, test socket, wrist disarticulation or below elbow Trauma",,,681.67,681.67,2
RC,681,"Upper extremity addition, test socket/interface, partial hand including fingers Trauma",,,681.67,681.67,2
RC,681,"Upper extremity additions, flexible metal hinge, pair Trauma",,,522.58,522.58,2
RC,681,"Upper extremity additions, polycentric hinge, pair Trauma",,,551.14,551.14,2
RC,681,"Upper extremity additions, shoulder abduction joint, pair Trauma",,,980.62,980.62,2
RC,681,"Upper extremity additions, single pivot hinge, pair Trauma",,,544.2,544.2,2
RC,681,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment Trauma",,,834.31,834.31,2
RC,681,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments T",,,2716.56,2716.56,2
RC,681,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment Trauma",,,1030.75,1030.75,2
RC,681,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment Trauma",,,1100.26,1100.26,2
RC,681,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device Trauma",,,6796.1,6796.1,2
RC,681,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories Trauma",,,4895.14,4895.14,2
RC,681,"Upper facial prosthesis, provided by a non-physician Trauma",,,10893.72,10893.72,2
RC,681,"Urea breath test, C-14 (isotopic); acquisition for analysis Trauma",,,26.54,26.54,2
RC,681,"Urea breath test, C-14 (isotopic); analysis Trauma",,,226.58,226.58,2
RC,681,"Urea nitrogen, clearance Trauma",,,17.28,17.28,2
RC,681,"Urea nitrogen, urine Trauma",,,13.34,13.34,2
RC,681,Urea nitrogen; quantitative Trauma,,,9.48,9.48,2
RC,681,"Urea nitrogen; semiquantitative (eg, reagent strip test) Trauma",,,12.31,12.31,2
RC,681,Uric acid; blood Trauma,,,10.85,10.85,2
RC,681,Uric acid; other source Trauma,,,12.19,12.19,2
RC,681,"Urinal; female, jug-type, any material Trauma",,,28.3,28.3,2
RC,681,"Urinal; male, jug-type, any material Trauma",,,26.42,26.42,2
RC,681,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,5.4,7.61,4
RC,681,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,8.35,9.65,4
RC,681,Urinalysis; 2 or 3 glass test Trauma,,,11.28,11.28,2
RC,681,"Urinalysis; bacteriuria screen, except by culture or dipstick Trauma",,,71.95,71.95,2
RC,681,Urinalysis; microscopic only Trauma,,,7.32,7.32,2
RC,681,"Urinalysis; qualitative or semiquantitative, except immunoassays Trauma",,,5.21,5.21,2
RC,681,"Urinary catheter anchoring device, adhesive skin attachment, each Trauma",,,7.58,7.58,2
RC,681,"Urinary catheter anchoring device, leg strap, each Trauma",,,16.82,16.82,2
RC,681,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each Trauma",,,118.44,118.44,2
RC,681,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each Trauma",,,22.7,22.7,2
RC,681,"Urinary suspensory with leg bag, with or without tube, each Trauma",,,118.54,118.54,2
RC,681,"Urine pregnancy test, by visual color comparison methods Trauma",,,20.66,20.66,2
RC,681,"Urobilinogen, feces, quantitative Trauma",,,40.32,40.32,2
RC,681,"Urobilinogen, urine; qualitative Trauma",,,10.73,10.73,2
RC,681,"Urobilinogen, urine; quantitative, timed specimen Trauma",,,22.92,22.92,2
RC,681,"Urobilinogen, urine; semiquantitative Trauma",,,14.52,14.52,2
RC,681,"Ustekinumab, iv inject,1 m Trauma",,,27.25,27.25,2
RC,681,Ustekinumab-ttwe iv inj 1 Trauma,,,20.52,20.52,2
RC,681,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC Trauma",,,22666.97,47304.98,4
RC,681,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC Trauma",,,13262.63,27678.53,4
RC,681,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C Trauma,,,15533.87,32418.5,4
RC,681,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC Trauma,,,14770.72,30825.84,4
RC,681,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC Trauma,,,16556.4,34552.49,4
RC,681,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC Trauma,,,14306.61,29857.27,4
RC,681,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC Trauma,,,12129.69,25314.14,4
RC,681,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC Trauma,,,15615.32,32588.5,4
RC,681,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC Trauma,,,11274.37,23529.11,4
RC,681,VIRAL ILLNESS WITH MCC Trauma,,,20107.42,41963.3,4
RC,681,VIRAL ILLNESS WITHOUT MCC Trauma,,,13368.75,27900.0,4
RC,681,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) Trauma",,,211.68,211.68,2
RC,681,Vaccinia vrs vac 0.3 ml pe Trauma,,,0.02,0.02,2
RC,681,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each Trauma",,,145.51,145.51,2
RC,681,Valproic acid (dipropylacetic acid); free Trauma,,,32.5,32.5,2
RC,681,Valproic acid (dipropylacetic acid); total Trauma,,,32.5,32.5,2
RC,681,Vancomycin Trauma,,,32.5,32.5,2
RC,681,"Vanillylmandelic acid (VMA), urine Trauma",,,37.2,37.2,2
RC,681,"Vaporizer, room type Trauma",,,88.78,88.78,2
RC,681,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens Trauma",,,342.96,342.96,2
RC,681,"Variable asphericity lens, single vision, full field, glass or plastic, per lens Trauma",,,263.45,263.45,2
RC,681,Variable concentration mask Trauma,,,2.06,2.06,2
RC,681,"Varicella-zoster ig, im Trauma",,,5994.56,5994.56,2
RC,681,"Vascular graft material, synthetic, implant Trauma",,,1635.58,1635.58,2
RC,681,Vasoactive intestinal peptide (VIP) Trauma,,,84.79,84.79,2
RC,681,"Vasopressin (antidiuretic hormone, ADH) Trauma",,,81.46,81.46,2
RC,681,Vedolizumab Trauma,,,92.57,92.57,2
RC,681,Velaglucerase alfa Trauma,,,942.82,942.82,2
RC,681,Very long chain fatty acids Trauma,,,47.4,47.4,2
RC,681,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software Trauma",,,1619.45,1619.45,2
RC,681,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus Trauma",,,46.94,46.94,2
RC,681,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) Trauma",,,81.26,81.26,2
RC,681,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Trauma",,,46.94,46.94,2
RC,681,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect Trauma",,,62.57,62.57,2
RC,681,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate Trauma",,,48.48,48.48,2
RC,681,Viscosity Trauma,,,28.01,28.01,2
RC,681,Vitamin A Trauma,,,27.86,27.86,2
RC,681,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Trauma",,,92.4,92.4,2
RC,681,"Vitamin D; 25 hydroxy, includes fraction(s), if performed Trauma",,,71.04,71.04,2
RC,681,Vitamin K Trauma,,,32.93,32.93,2
RC,681,"Vitamin, not otherwise specified Trauma",,,40.94,40.94,2
RC,681,Voice amplifier Trauma,,,750.86,750.86,2
RC,681,"Volatiles (eg, acetic anhydride, diethylether) Trauma",,,41.06,41.06,2
RC,681,"Voltage-gated calcium channel antibody, each Trauma",,,28.92,28.92,2
RC,681,"Volume measurement for timed collection, each Trauma",,,8.74,8.74,2
RC,681,Vonvendi inj 1 iu vwf:rco Trauma,,,4.35,4.35,2
RC,681,Voriconazole Trauma,,,65.06,65.06,2
RC,681,"Vyjuvek 5x10^9pfu/ml, 0.1 Trauma",,,2477.85,2477.85,2
RC,681,WOUND DEBRIDEMENTS FOR INJURIES WITH CC Trauma,,,24568.42,51273.22,4
RC,681,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Trauma,,,49028.92,102321.22,4
RC,681,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC Trauma,,,16584.26,34610.64,4
RC,681,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat Trauma",,,82.46,82.46,2
RC,681,"Walker, folding (pickup), adjustable or fixed height Trauma",,,138.29,138.29,2
RC,681,"Walker, folding, wheeled, adjustable or fixed height Trauma",,,146.14,146.14,2
RC,681,"Walker, heavy duty, multiple braking system, variable wheel resistance Trauma",,,1217.35,1217.35,2
RC,681,"Walker, heavy duty, wheeled, rigid or folding, any type Trauma",,,37.66,37.66,2
RC,681,"Walker, heavy duty, without wheels, rigid or folding, any type, each Trauma",,,252.72,252.72,2
RC,681,"Walker, rigid (pickup), adjustable or fixed height Trauma",,,137.69,137.69,2
RC,681,"Walker, rigid, wheeled, adjustable or fixed height Trauma",,,146.14,146.14,2
RC,681,"Walker, with trunk support, adjustable or fixed height, any type Trauma",,,86.45,86.45,2
RC,681,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,470.14,470.14,2
RC,681,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf Trauma",,,470.14,470.14,2
RC,681,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,811.34,811.34,2
RC,681,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf Trauma",,,811.34,811.34,2
RC,681,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) Trauma",,,289.73,289.73,2
RC,681,Washed red blood cells uni Trauma,,,884.59,884.59,2
RC,681,"Water chamber for humidifier, used with positive airway pressure device, replacement, each Trauma",,,40.82,40.82,2
RC,681,Water circulating heat pad with pump Trauma,,,1443.36,1443.36,2
RC,681,"Water collection device, used with large volume nebulizer Trauma",,,8.88,8.88,2
RC,681,Water pressure mattress Trauma,,,58.94,58.94,2
RC,681,"Water pressure pad for mattress, standard mattress length and width Trauma",,,75.82,75.82,2
RC,681,Water seal drainage container and tubing for use with implanted chest tube Trauma,,,261.43,261.43,2
RC,681,"Water, distilled, used with large volume nebulizer, 1000 ml Trauma",,,0.98,0.98,2
RC,681,"Wet mounts, including preparations of vaginal, cervical or skin specimens Trauma",,,44.5,44.5,2
RC,681,"Wheel attachment, rigid pick-up walker, per pair Trauma",,,60.94,60.94,2
RC,681,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm Trauma",,,827.76,827.76,2
RC,681,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control Trauma",,,497.83,497.83,2
RC,681,"Wheelchair accessory, addition to mobile arm support, supinator Trauma",,,403.32,403.32,2
RC,681,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each Trauma",,,333.94,333.94,2
RC,681,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair Trauma",,,333.94,333.94,2
RC,681,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each Trauma",,,169.39,169.39,2
RC,681,"Wheelchair accessory, back upholstery, replacement only, each Trauma",,,138.12,138.12,2
RC,681,"Wheelchair accessory, bearings, any type, replacement only, each Trauma",,,15.53,15.53,2
RC,681,"Wheelchair accessory, calf rest/pad, replacement only, each Trauma",,,76.18,76.18,2
RC,681,"Wheelchair accessory, crutch and cane holder, each Trauma",,,130.1,130.1,2
RC,681,"Wheelchair accessory, cylinder tank carrier, each Trauma",,,237.41,237.41,2
RC,681,"Wheelchair accessory, dynamic positioning hardware for back Trauma",,,392.38,392.38,2
RC,681,"Wheelchair accessory, elevating leg rest, complete assembly, each Trauma",,,223.49,223.49,2
RC,681,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot Trauma",,,159.82,159.82,2
RC,681,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each Trauma",,,42.5,42.5,2
RC,681,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each Trauma",,,224.06,224.06,2
RC,681,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each Trauma",,,224.06,224.06,2
RC,681,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each Trauma",,,1185.62,1185.62,2
RC,681,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each Trauma",,,112.34,112.34,2
RC,681,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type Trauma",,,41.26,41.26,2
RC,681,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type Trauma",,,41.26,41.26,2
RC,681,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface Trauma",,,41.26,41.26,2
RC,681,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other Trauma",,,41.26,41.26,2
RC,681,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each Trauma",,,355.46,355.46,2
RC,681,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each Trauma",,,74.28,74.28,2
RC,681,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction Trauma",,,2395.7,2395.7,2
RC,681,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction Trauma",,,2457.34,2457.34,2
RC,681,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction Trauma",,,1903.08,1903.08,2
RC,681,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction Trauma",,,1430.93,1430.93,2
RC,681,"Wheelchair accessory, power seating system, recline only, with power shear reduction Trauma",,,1553.66,1553.66,2
RC,681,"Wheelchair accessory, power seating system, recline only, without shear reduction Trauma",,,1294.56,1294.56,2
RC,681,"Wheelchair accessory, power seating system, tilt only Trauma",,,1112.26,1112.26,2
RC,681,"Wheelchair accessory, seat lift mechanism Trauma",,,62.3,62.3,2
RC,681,"Wheelchair accessory, seat upholstery, replacement only, each Trauma",,,124.73,124.73,2
RC,681,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Trauma",,,1844.81,1844.81,2
RC,681,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type Trauma",,,2854.44,2854.44,2
RC,681,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) Trauma",,,2815.22,2815.22,2
RC,681,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining Trauma",,,2230.27,2230.27,2
RC,681,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support Trauma",,,1897.87,1897.87,2
RC,681,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware Trauma",,,215.35,215.35,2
RC,681,"Wheelchair accessory, tray, each Trauma",,,226.8,226.8,2
RC,681,"Wheelchair accessory, ventilator tray, fixed Trauma",,,108.91,108.91,2
RC,681,"Wheelchair accessory, ventilator tray, gimbaled Trauma",,,343.54,343.54,2
RC,681,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes Trauma",,,67.96,77.23,4
RC,681,"Wheelchair with detachable arms, elevating legrests Trauma",,,235.94,235.94,2
RC,681,"Wheelchair with detachable arms, footrests Trauma",,,215.18,215.18,2
RC,681,"Wheelchair with fixed arm, elevating legrests Trauma",,,197.02,197.02,2
RC,681,"Wheelchair with fixed arm, footrests Trauma",,,138.14,138.14,2
RC,681,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests Trauma",,,237.46,237.46,2
RC,681,"Wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,183.22,183.22,2
RC,681,"Wheelchair, pediatric size, folding, adjustable, with seating system Trauma",,,560.52,560.52,2
RC,681,"Wheelchair, pediatric size, folding, adjustable, without seating system Trauma",,,560.52,560.52,2
RC,681,"Wheelchair, pediatric size, rigid, adjustable, with seating system Trauma",,,635.33,635.33,2
RC,681,"Wheelchair, pediatric size, rigid, adjustable, without seating system Trauma",,,565.37,565.37,2
RC,681,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system Trauma",,,731.47,731.47,2
RC,681,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system Trauma",,,659.78,659.78,2
RC,681,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system Trauma",,,757.82,757.82,2
RC,681,"Whirlpool, non-portable (built-in type) Trauma",,,6243.14,6243.14,2
RC,681,Whole blood for transfusio Trauma,,,455.62,455.62,2
RC,681,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,3088.8,3088.8,2
RC,681,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed Trauma",,,2246.4,2246.4,2
RC,681,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests Trauma",,,373.63,373.63,2
RC,681,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests Trauma",,,321.31,321.31,2
RC,681,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories Trauma",,,75.24,75.24,2
RC,681,"Wound pouch, each Trauma",,,47.66,47.66,2
RC,681,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,26396.64,26396.64,2
RC,681,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device Trauma",,,19608.7,19608.7,2
RC,681,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad Trauma",,,7779.12,7779.12,2
RC,681,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad Trauma",,,5581.44,5581.44,2
RC,681,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated Trauma",,,4727.33,4727.33,2
RC,681,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated Trauma",,,4216.08,4216.08,2
RC,681,"Wrist hand finger orthosis, external powered, electric, custom fabricated Trauma",,,9623.54,9623.54,2
RC,681,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,1225.92,1225.92,2
RC,681,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment Tr",,,549.62,549.62,2
RC,681,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment Trauma",,,901.42,901.42,2
RC,681,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Traum",,,674.86,674.86,2
RC,681,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type Trauma",,,674.86,674.86,2
RC,681,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,1434.67,1434.67,2
RC,681,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf Trauma",,,1434.67,1434.67,2
RC,681,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2676.5,2676.5,2
RC,681,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,1138.51,1138.51,2
RC,681,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf Trauma",,,161.69,161.69,2
RC,681,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,2193.6,2193.6,2
RC,681,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,2193.6,2193.6,2
RC,681,"Xylose absorption test, blood and/or urine Trauma",,,30.98,30.98,2
RC,681,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) Trauma",,,463.8,463.8,2
RC,681,Zinc Trauma,,,27.34,27.34,2
RC,681,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each Trauma",,,1.85,1.85,2
RC,681,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Trauma",,,4.3,4.3,2
RC,681,Zonisamide Trauma,,,31.8,31.8,2
RC,681,"b-Hexosaminidase, each assay Trauma",,,40.49,40.49,2
RC,681,lisocabtagene car pos t Trauma,,,1390969.44,1390969.44,2
RC,681,"pH; body fluid, not otherwise specified Trauma",,,8.59,8.59,2
RC,681,pH; exhaled breath condensate Trauma,,,8.59,8.59,2
RC,682, Trauma Response - Level II Trauma  ,,,6000.0,13797.0,9
RC,682,17-hydroxypregnenolone Trauma,,,54.74,54.74,2
RC,682,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc Trauma",,,123.14,123.14,2
RC,682,"ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain Trauma",,,720.0,720.0,2
RC,682,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Trauma",,,14795.37,30877.3,4
RC,682,ABORTION WITHOUT D&C Trauma,,,13065.41,27266.95,4
RC,682,ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) Trauma,,,208.7,208.7,2
RC,682,ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) Trauma,,,187.82,187.82,2
RC,682,ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) Trauma,,,78.29,78.29,2
RC,682,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION Trauma,,,14339.83,29926.61,4
RC,682,ACUTE LEUKEMIA WITH CC Trauma,,,26404.48,55105.01,4
RC,682,ACUTE LEUKEMIA WITH MCC Trauma,,,62891.04,131250.86,4
RC,682,ACUTE LEUKEMIA WITH OTHER PROCEDURES Trauma,,,96864.12,202151.21,4
RC,682,ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,17119.12,35726.86,4
RC,682,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; characterization of alleles (eg, expanded size and methylation status) Trauma",,,659.59,659.59,2
RC,682,"AFF2 (ALF transcription elongation factor 2 ºFMR2») (eg, fragile X intellectual disability 2 ºFRAXE») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,AFTERCARE WITH CC/MCC Trauma,,,16799.71,35060.26,4
RC,682,AFTERCARE WITHOUT CC/MCC Trauma,,,10775.96,22488.96,4
RC,682,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY Trauma",,,19221.0,40113.38,4
RC,682,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC Trauma",,,22752.72,47483.93,4
RC,682,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC Trauma",,,13510.22,28195.25,4
RC,682,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA Trauma",,,10660.2,22247.38,4
RC,682,ALLERGIC REACTIONS WITH MCC Trauma,,,22072.1,46063.51,4
RC,682,ALLERGIC REACTIONS WITHOUT MCC Trauma,,,11189.69,23352.4,4
RC,682,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; duplication/deletion variants Trauma",,,480.0,480.0,2
RC,682,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; full gene sequence Trauma",,,1872.0,1872.0,2
RC,682,"APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis ºFAP», attenuated FAP) gene analysis; known familial variants Trauma",,,672.0,672.0,2
RC,682,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status) Trauma",,,328.8,328.8,2
RC,682,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence Trauma",,,723.24,723.24,2
RC,682,"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant Trauma",,,444.48,444.48,2
RC,682,"ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) Trauma",,,113.4,113.4,2
RC,682,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence Trauma",,,1623.6,1623.6,2
RC,682,"ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted sequence analysis ",,,580.56,580.56,2
RC,682,"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,"ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,"ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,"ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,"ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,Abatacept injection Trauma,,,110.06,110.06,2
RC,682,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control ",,,35092.32,35092.32,2
RC,682,"Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal",,,29301.36,29301.36,2
RC,682,"Above elbow, molded double wall socket, internal locking elbow, forearm Trauma",,,8398.54,8398.54,2
RC,682,"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,9529.2,9529.2,2
RC,682,"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot Trauma",,,11177.38,11177.38,2
RC,682,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee Trauma",,,11715.22,11715.22,2
RC,682,"Above knee, molded socket, single axis constant friction knee, shin, sach foot Trauma",,,10747.34,10747.34,2
RC,682,"Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each Trauma",,,8104.27,8104.27,2
RC,682,"Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each Trauma",,,7129.75,7129.75,2
RC,682,"Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each Trauma",,,2107.34,2107.34,2
RC,682,"Accessory for speech generating device, electromyographic sensor Trauma",,,10778.4,10778.4,2
RC,682,"Accessory to custom gradient compression garment, silicone band, any size Trauma",,,50.06,50.06,2
RC,682,"Accessory, arm trough, with or without hand support, each Trauma",,,241.82,241.82,2
RC,682,Acetaminophen Trauma,,,44.74,44.74,2
RC,682,Acetylcholine receptor (AChR); binding antibody Trauma,,,44.16,44.16,2
RC,682,Acetylcholine receptor (AChR); blocking antibody Trauma,,,44.16,44.16,2
RC,682,Acetylcholine receptor (AChR); modulating antibody Trauma,,,28.92,28.92,2
RC,682,Acetylcholinesterase Trauma,,,29.5,29.5,2
RC,682,"Actin (smooth muscle) antibody (ASMA), each Trauma",,,28.92,28.92,2
RC,682,Activated Protein C (APC) resistance assay Trauma,,,36.77,36.77,2
RC,682,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA",,,114.31,114.31,2
RC,682,"Acylcarnitines; qualitative, each specimen Trauma",,,39.58,39.58,2
RC,682,"Acylcarnitines; quantitative, each specimen Trauma",,,40.49,40.49,2
RC,682,Adalimumab Trauma,,,92.57,92.57,2
RC,682,"Addition  to lower extremity, below knee, molded distal cushion Trauma",,,331.75,331.75,2
RC,682,"Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling Trauma",,,225.48,225.48,2
RC,682,"Addition to ctlso or scoliosis orthosis, kyphosis pad Trauma",,,308.09,308.09,2
RC,682,"Addition to ctlso or scoliosis orthosis, kyphosis pad, floating Trauma",,,350.16,350.16,2
RC,682,"Addition to ctlso or scoliosis orthosis, lumbar bolster pad Trauma",,,233.93,233.93,2
RC,682,"Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad Trauma",,,281.57,281.57,2
RC,682,"Addition to ctlso or scoliosis orthosis, lumbar sling Trauma",,,252.79,252.79,2
RC,682,"Addition to ctlso or scoliosis orthosis, outrigger Trauma",,,194.81,194.81,2
RC,682,"Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions Trauma",,,541.18,541.18,2
RC,682,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather Trauma",,,446.26,446.26,2
RC,682,"Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model Trauma",,,755.86,755.86,2
RC,682,"Addition to ctlso or scoliosis orthosis, sternal pad Trauma",,,243.74,243.74,2
RC,682,"Addition to ctlso or scoliosis orthosis, thoracic pad Trauma",,,274.97,274.97,2
RC,682,"Addition to ctlso or scoliosis orthosis, trapezius sling Trauma",,,281.16,281.16,2
RC,682,"Addition to ctlso, scoliosis orthosis, cover for upright, each Trauma",,,120.38,120.38,2
RC,682,"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability Trauma",,,3195.02,3195.02,2
RC,682,"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material Trauma",,,3359.74,3359.74,2
RC,682,"Addition to halo procedure, replacement liner/interface material Trauma",,,639.17,639.17,2
RC,682,"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint Trauma",,,425.09,425.09,2
RC,682,"Addition to knee joint, drop lock, each Trauma",,,258.58,258.58,2
RC,682,"Addition to knee joint, lift loop for drop lock ring Trauma",,,281.23,281.23,2
RC,682,"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint Trauma",,,425.09,425.09,2
RC,682,"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint Trauma",,,360.24,360.24,2
RC,682,"Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens Trauma",,,36.43,36.43,2
RC,682,"Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type Trauma",,,504.74,504.74,2
RC,682,"Addition to lower extremity fracture orthosis, drop lock knee joint Trauma",,,252.79,252.79,2
RC,682,"Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt Trauma",,,983.35,983.35,2
RC,682,"Addition to lower extremity fracture orthosis, limited motion knee joint Trauma",,,455.52,455.52,2
RC,682,"Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints Trauma",,,322.99,322.99,2
RC,682,"Addition to lower extremity fracture orthosis, quadrilateral brim Trauma",,,1101.29,1101.29,2
RC,682,"Addition to lower extremity fracture orthosis, waist belt Trauma",,,286.03,286.03,2
RC,682,"Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source Trauma",,,4318.61,4318.61,2
RC,682,"Addition to lower extremity orthosis, drop lock retainer, each Trauma",,,116.54,116.54,2
RC,682,"Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) Trauma",,,167.57,167.57,2
RC,682,"Addition to lower extremity orthosis, femoral length sock, fracture or equal, each Trauma",,,170.76,170.76,2
RC,682,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only Trauma",,,387.58,387.58,2
RC,682,"Addition to lower extremity orthosis, knee control, condylar pad Trauma",,,215.4,215.4,2
RC,682,"Addition to lower extremity orthosis, knee control, full kneecap Trauma",,,234.36,234.36,2
RC,682,"Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only Trauma",,,294.17,294.17,2
RC,682,"Addition to lower extremity orthosis, non-corrosive finish, per bar Trauma",,,198.22,198.22,2
RC,682,"Addition to lower extremity orthosis, plating chrome or nickel, per bar Trauma",,,230.52,230.52,2
RC,682,"Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each Trauma",,,251.42,251.42,2
RC,682,"Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only Trauma",,,286.51,286.51,2
RC,682,"Addition to lower extremity orthosis, soft interface for molded plastic, above knee section Trauma",,,269.3,269.3,2
RC,682,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section Trauma",,,239.5,239.5,2
RC,682,"Addition to lower extremity orthosis, suspension sleeve Trauma",,,323.23,323.23,2
RC,682,"Addition to lower extremity orthosis, tibial length sock, fracture or equal, each Trauma",,,150.34,150.34,2
RC,682,"Addition to lower extremity prostheses, osseointegrated external prosthetic connector Trauma",,,28212.0,28212.0,2
RC,682,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each Trauma",,,380.57,380.57,2
RC,682,"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type Trauma",,,55221.6,55221.6,2
RC,682,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type Trauma",,,71328.0,71328.0,2
RC,682,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type Trauma",,,25309.68,25309.68,2
RC,682,"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) Trauma",,,43111.2,43111.2,2
RC,682,"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type Trauma",,,1673.78,1673.78,2
RC,682,"Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials Trauma",,,735.17,735.17,2
RC,682,"Addition to lower extremity prosthesis, user adjustable heel height Trauma",,,5390.5,5390.5,2
RC,682,"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable Trauma",,,755.74,755.74,2
RC,682,"Addition to lower extremity, abduction bar-straight Trauma",,,339.29,339.29,2
RC,682,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket Trauma",,,1290.98,1290.98,2
RC,682,"Addition to lower extremity, above knee or knee disarticulation, pelvic band Trauma",,,235.87,235.87,2
RC,682,"Addition to lower extremity, above knee or knee disarticulation, pelvic joint Trauma",,,543.62,543.62,2
RC,682,"Addition to lower extremity, above knee or knee disarticulation, silesian bandage Trauma",,,385.68,385.68,2
RC,682,"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket Trauma",,,1934.42,1934.42,2
RC,682,"Addition to lower extremity, above knee, flexible inner socket, external frame Trauma",,,3528.53,3528.53,2
RC,682,"Addition to lower extremity, above knee, leather socket Trauma",,,1820.4,1820.4,2
RC,682,"Addition to lower extremity, above knee, pelvic control belt, light Trauma",,,390.41,390.41,2
RC,682,"Addition to lower extremity, above knee, pelvic control belt, padded and lined Trauma",,,533.04,533.04,2
RC,682,"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each Trauma",,,492.02,492.02,2
RC,682,"Addition to lower extremity, above knee, wood socket Trauma",,,1735.42,1735.42,2
RC,682,"Addition to lower extremity, anterior swing band Trauma",,,637.03,637.03,2
RC,682,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert Trauma",,,1689.55,1689.55,2
RC,682,"Addition to lower extremity, below knee suction socket Trauma",,,2337.22,2337.22,2
RC,682,"Addition to lower extremity, below knee, acrylic socket Trauma",,,933.74,933.74,2
RC,682,"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket Trauma",,,1609.85,1609.85,2
RC,682,"Addition to lower extremity, below knee, back check (extension control) Trauma",,,150.12,150.12,2
RC,682,"Addition to lower extremity, below knee, cuff suspension Trauma",,,205.66,205.66,2
RC,682,"Addition to lower extremity, below knee, flexible inner socket, external frame Trauma",,,2344.34,2344.34,2
RC,682,"Addition to lower extremity, below knee, fork strap Trauma",,,141.43,141.43,2
RC,682,"Addition to lower extremity, below knee, leather socket Trauma",,,1478.59,1478.59,2
RC,682,"Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) Trauma",,,797.28,797.28,2
RC,682,"Addition to lower extremity, below knee, removable medial brim suspension Trauma",,,876.14,876.14,2
RC,682,"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded Trauma",,,1837.51,1837.51,2
RC,682,"Addition to lower extremity, below knee, thigh lacer, nonmolded Trauma",,,973.85,973.85,2
RC,682,"Addition to lower extremity, below knee, total contact Trauma",,,848.81,848.81,2
RC,682,"Addition to lower extremity, below knee, waist belt, padded and lined Trauma",,,287.52,287.52,2
RC,682,"Addition to lower extremity, below knee, waist belt, webbing Trauma",,,179.47,179.47,2
RC,682,"Addition to lower extremity, below knee, wood socket Trauma",,,3294.24,3294.24,2
RC,682,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or wit",,,1740.94,2089.22,4
RC,682,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking me",,,3908.42,3908.42,2
RC,682,"Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without",,,3908.42,3908.42,2
RC,682,"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint Trauma",,,244.3,244.3,2
RC,682,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint Trauma",,,212.74,212.74,2
RC,682,"Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control Trauma",,,4733.93,4733.93,2
RC,682,"Addition to lower extremity, endoskeletal system, above knee, hydracadence system Trauma",,,6083.18,6083.18,2
RC,682,"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control Trauma",,,3999.65,3999.65,2
RC,682,"Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control Trauma",,,7401.38,7401.38,2
RC,682,"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control Trauma",,,5013.91,5013.91,2
RC,682,"Addition to lower extremity, extended steel shank Trauma",,,142.68,142.68,2
RC,682,"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment Trauma",,,979.94,979.94,2
RC,682,"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame Trauma",,,4573.1,4573.1,2
RC,682,"Addition to lower extremity, ischial containment/narrow m-l socket Trauma",,,7009.56,7009.56,2
RC,682,"Addition to lower extremity, knee disarticulation, expandable wall socket Trauma",,,1710.02,1710.02,2
RC,682,"Addition to lower extremity, knee disarticulation, leather socket Trauma",,,1878.79,1878.79,2
RC,682,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only Trauma",,,1082.9,1082.9,2
RC,682,"Addition to lower extremity, limited ankle motion, each joint Trauma",,,131.11,131.11,2
RC,682,"Addition to lower extremity, long tongue stirrup Trauma",,,324.79,324.79,2
RC,682,"Addition to lower extremity, molded inner boot Trauma",,,1338.79,1338.79,2
RC,682,"Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only Trauma",,,567.46,567.46,2
RC,682,"Addition to lower extremity, offset knee joint, each joint Trauma",,,301.9,301.9,2
RC,682,"Addition to lower extremity, offset knee joint, heavy duty, each joint Trauma",,,460.92,460.92,2
RC,682,"Addition to lower extremity, patten bottom Trauma",,,707.95,707.95,2
RC,682,"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each Trauma",,,330.96,330.96,2
RC,682,"Addition to lower extremity, pelvic control, band and belt, bilateral Trauma",,,926.81,926.81,2
RC,682,"Addition to lower extremity, pelvic control, band and belt, unilateral Trauma",,,682.92,682.92,2
RC,682,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each Trauma",,,845.74,845.74,2
RC,682,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each Trauma",,,1149.74,1149.74,2
RC,682,"Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each Trauma",,,669.77,669.77,2
RC,682,"Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each Trauma",,,1751.47,1751.47,2
RC,682,"Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each Trauma",,,566.42,566.42,2
RC,682,"Addition to lower extremity, pelvic control, hip joint, heavy duty, each Trauma",,,737.4,737.4,2
RC,682,"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables Trauma",,,5564.35,5564.35,2
RC,682,"Addition to lower extremity, pelvic control, pelvic sling Trauma",,,1660.3,1660.3,2
RC,682,"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables Trauma",,,4736.93,4736.93,2
RC,682,"Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint Trauma",,,501.31,501.31,2
RC,682,"Addition to lower extremity, pre-tibial shell, molded to patient model Trauma",,,1503.26,1503.26,2
RC,682,"Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) Trauma",,,2457.41,2457.41,2
RC,682,"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each Trauma",,,1662.46,1662.46,2
RC,682,"Addition to lower extremity, reinforced solid stirrup (scott-craig type) Trauma",,,552.84,552.84,2
RC,682,"Addition to lower extremity, round caliper and plate attachment Trauma",,,230.66,230.66,2
RC,682,"Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,1068.31,1068.31,2
RC,682,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,825.79,825.79,2
RC,682,"Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,1107.77,1107.77,2
RC,682,"Addition to lower extremity, socket insert, multi-durometer symes Trauma",,,1788.02,1788.02,2
RC,682,"Addition to lower extremity, socket insert, multi-durometer, below knee Trauma",,,1504.42,1504.42,2
RC,682,"Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) Trauma",,,974.45,974.45,2
RC,682,"Addition to lower extremity, split flat caliper stirrups and plate attachment Trauma",,,211.61,211.61,2
RC,682,"Addition to lower extremity, straight knee joint, heavy duty, each joint Trauma",,,369.41,369.41,2
RC,682,"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket Trauma",,,1281.0,1281.0,2
RC,682,"Addition to lower extremity, symes type, 'ptb' brim design socket Trauma",,,720.5,720.5,2
RC,682,"Addition to lower extremity, symes type, expandable wall socket Trauma",,,1318.66,1318.66,2
RC,682,"Addition to lower extremity, symes type, medial opening socket Trauma",,,748.66,748.66,2
RC,682,"Addition to lower extremity, symes type, posterior opening (canadian) socket Trauma",,,893.76,893.76,2
RC,682,"Addition to lower extremity, test socket, above knee Trauma",,,1068.19,1068.19,2
RC,682,"Addition to lower extremity, test socket, below knee Trauma",,,816.86,816.86,2
RC,682,"Addition to lower extremity, test socket, hemipelvectomy Trauma",,,1497.91,1497.91,2
RC,682,"Addition to lower extremity, test socket, hip disarticulation Trauma",,,1400.88,1400.88,2
RC,682,"Addition to lower extremity, test socket, knee disarticulation Trauma",,,1065.17,1065.17,2
RC,682,"Addition to lower extremity, test socket, symes Trauma",,,879.5,879.5,2
RC,682,"Addition to lower extremity, thigh-weight bearing, lacer, non-molded Trauma",,,647.98,647.98,2
RC,682,"Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring Trauma",,,870.05,870.05,2
RC,682,"Addition to lower extremity, thigh/weight bearing, high roll cuff Trauma",,,792.1,792.1,2
RC,682,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model Trauma",,,4358.81,4358.81,2
RC,682,"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted Trauma",,,2349.43,2349.43,2
RC,682,"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model Trauma",,,1165.99,1165.99,2
RC,682,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted Trauma",,,1270.51,1270.51,2
RC,682,"Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model Trauma",,,2329.44,2329.44,2
RC,682,"Addition to lower extremity, thoracic control, lateral support uprights Trauma",,,431.57,431.57,2
RC,682,"Addition to lower extremity, thoracic control, paraspinal uprights Trauma",,,470.45,470.45,2
RC,682,"Addition to lower extremity, thoracic control, thoracic band Trauma",,,514.01,514.01,2
RC,682,"Addition to lower extremity, torsion control, ankle joint and half solid stirrup Trauma",,,311.62,311.62,2
RC,682,"Addition to lower extremity, torsion control, straight knee joint, each joint Trauma",,,339.53,339.53,2
RC,682,"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) Trauma",,,7560.17,7560.17,2
RC,682,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad Trauma",,,148.1,148.1,2
RC,682,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined Trauma",,,360.38,360.38,2
RC,682,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature Trauma",,,10797.38,10797.38,2
RC,682,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system Trauma",,,11888.59,11888.59,2
RC,682,"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty Trauma",,,12533.3,12533.3,2
RC,682,"Addition to lower limb prosthesis, vertical shock reducing pylon feature Trauma",,,5935.66,5935.66,2
RC,682,"Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material Trauma",,,814.8,814.8,2
RC,682,"Addition to terminal device, modifier wrist unit Trauma",,,999.67,999.67,2
RC,682,"Addition to terminal device, precision pinch device Trauma",,,566.59,566.59,2
RC,682,"Addition to tlso, (low profile), abdominal pad Trauma",,,272.74,272.74,2
RC,682,"Addition to tlso, (low profile), anterior asis pad Trauma",,,265.66,265.66,2
RC,682,"Addition to tlso, (low profile), anterior thoracic derotation pad Trauma",,,273.05,273.05,2
RC,682,"Addition to tlso, (low profile), anterior thoracic extension Trauma",,,610.99,610.99,2
RC,682,"Addition to tlso, (low profile), lateral thoracic extension Trauma",,,721.63,721.63,2
RC,682,"Addition to tlso, (low profile), lateral trochanteric pad Trauma",,,275.59,275.59,2
RC,682,"Addition to tlso, (low profile), lumbar derotation pad Trauma",,,269.78,269.78,2
RC,682,"Addition to tlso, (low profile), milwaukee type superstructure Trauma",,,1567.73,1567.73,2
RC,682,"Addition to tlso, (low profile), rib gusset (elastic), each Trauma",,,243.1,243.1,2
RC,682,"Addition to upper extremity orthosis, sock, fracture or equal, each Trauma",,,92.28,92.28,2
RC,682,"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material Trauma",,,1651.37,1651.37,2
RC,682,"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) Trauma",,,1019.54,1019.54,2
RC,682,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanis",,,2089.22,2089.22,2
RC,682,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mech",,,1740.94,1740.94,2
RC,682,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or witho",,,3908.42,3908.42,2
RC,682,"Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use wi",,,3908.42,3908.42,2
RC,682,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material Trauma",,,1094.26,1094.26,2
RC,682,"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) Trauma",,,910.7,910.7,2
RC,682,"Addition to upper extremity prosthesis, external powered, additional switch, any type Trauma",,,1223.28,1223.28,2
RC,682,"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated Trauma",,,1838.45,1838.45,2
RC,682,"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment Trauma",,,499.75,499.75,2
RC,682,"Addition to upper extremity prosthesis, lock mechanism, excludes socket insert Trauma",,,1689.55,1689.55,2
RC,682,"Addition to upper extremity prosthesis, partial hand including fingers, acrylic material Trauma",,,1094.26,1094.26,2
RC,682,"Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) Trauma",,,910.7,910.7,2
RC,682,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material Trauma",,,2159.86,2159.86,2
RC,682,"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) Trauma",,,1100.88,1100.88,2
RC,682,"Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) Trauma",,,7560.17,7560.17,2
RC,682,"Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control Trauma",,,16420.68,16420.68,2
RC,682,"Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control Trauma",,,2821.61,2821.61,2
RC,682,"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock Trauma",,,11034.94,11034.94,2
RC,682,"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock Trauma",,,2513.86,2513.86,2
RC,682,"Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control Trauma",,,6889.13,6889.13,2
RC,682,"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control Trauma",,,8297.26,8297.26,2
RC,682,"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control Trauma",,,4505.9,4505.9,2
RC,682,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) Trauma",,,1660.94,1660.94,2
RC,682,"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame Trauma",,,9278.93,9278.93,2
RC,682,"Addition, endoskeletal knee-shin system, single axis, manual lock Trauma",,,1430.5,1430.5,2
RC,682,"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material Trauma",,,2142.86,2142.86,2
RC,682,"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control Trauma",,,5003.45,5003.45,2
RC,682,"Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control Trauma",,,5575.32,5575.32,2
RC,682,"Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control Trauma",,,10308.77,10308.77,2
RC,682,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system Trauma",,,1558.99,1558.99,2
RC,682,"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist Trauma",,,375.86,375.86,2
RC,682,"Addition, endoskeletal system, above knee, flexible protective outer surface covering system Trauma",,,2751.7,2751.7,2
RC,682,"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock Trauma",,,1316.35,1316.35,2
RC,682,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,2304.43,2304.43,2
RC,682,"Addition, endoskeletal system, below knee, alignable system Trauma",,,1064.14,1064.14,2
RC,682,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system Trauma",,,1864.13,1864.13,2
RC,682,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,1473.84,1473.84,2
RC,682,"Addition, endoskeletal system, high activity knee control frame Trauma",,,10000.97,10000.97,2
RC,682,"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system Trauma",,,3506.33,3506.33,2
RC,682,"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist Trauma",,,1009.99,1009.99,2
RC,682,"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) Trauma",,,2832.53,2832.53,2
RC,682,"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control Trauma",,,13506.72,13506.72,2
RC,682,"Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable Trauma",,,5325.72,5325.72,2
RC,682,"Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control Trauma",,,2676.62,2676.62,2
RC,682,"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock Trauma",,,2141.47,2141.47,2
RC,682,"Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control Trauma",,,5111.18,5111.18,2
RC,682,"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control Trauma",,,6991.42,6991.42,2
RC,682,"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control Trauma",,,4434.96,4434.96,2
RC,682,"Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) Trauma",,,1286.76,1286.76,2
RC,682,"Addition, exoskeletal knee-shin system, single axis, manual lock Trauma",,,1098.86,1098.86,2
RC,682,"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control Trauma",,,2827.73,2827.73,2
RC,682,"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control Trauma",,,3363.96,3363.96,2
RC,682,"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control Trauma",,,1321.7,1321.7,2
RC,682,"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,2112.62,2112.62,2
RC,682,"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) Trauma",,,1890.96,1890.96,2
RC,682,"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) Trauma",,,4206.26,4206.26,2
RC,682,"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material Trauma",,,1535.71,1535.71,2
RC,682,"Additions to lower extremity, below knee, joint covers, pair Trauma",,,116.66,116.66,2
RC,682,"Additions to lower extremity, below knee, knee joints, polycentric, pair Trauma",,,1448.69,1448.69,2
RC,682,"Additions to lower extremity, below knee, knee joints, single axis, pair Trauma",,,1064.71,1064.71,2
RC,682,"Additions to lower extremity, total contact, above knee or knee disarticulation socket Trauma",,,1434.38,1434.38,2
RC,682,"Adenosine, 5-monophosphate, cyclic (cyclic AMP) Trauma",,,61.92,61.92,2
RC,682,"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each Trauma",,,4.7,4.7,2
RC,682,"Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each Trauma",,,1.1,1.1,2
RC,682,Adhesive or non-adhesive; disk or foam pad Trauma,,,3.82,3.82,2
RC,682,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce Trauma",,,4.15,4.15,2
RC,682,"Adhesive remover, wipes, any type, each Trauma",,,0.84,0.84,2
RC,682,"Adhesive skin support attachment for use with external breast prosthesis, each Trauma",,,18.26,18.26,2
RC,682,"Adhesive, liquid or equal, any type, per oz Trauma",,,9.0,9.0,2
RC,682,"Adjunctive, non-implanted continuous glucose monitor or receiver Trauma",,,574.13,574.13,2
RC,682,"Adjustable angle footplate, each Trauma",,,157.13,157.13,2
RC,682,"Administration set, with small volume filtered pneumatic nebulizer Trauma",,,22.97,22.97,2
RC,682,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable Trauma",,,4.54,4.54,2
RC,682,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable Trauma",,,36.05,36.05,2
RC,682,Adrenocorticotropic hormone (ACTH) Trauma,,,92.69,92.69,2
RC,682,"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health ",,,201.41,222.77,4
RC,682,"Aerosol compressor, adjustable pressure, light duty for intermittent use Trauma",,,94.66,94.66,2
RC,682,"Aerosol mask, used with dme nebulizer Trauma",,,3.94,3.94,2
RC,682,"Afamelanotide implant, 1 m Trauma",,,7064.21,7064.21,2
RC,682,Agalsidase beta injection Trauma,,,558.53,558.53,2
RC,682,"Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen Trauma",,,16.75,16.75,2
RC,682,Air fluidized bed Trauma,,,9818.42,9818.42,2
RC,682,Air pressure mattress Trauma,,,54.07,54.07,2
RC,682,"Air pressure pad for mattress, standard mattress length and width Trauma",,,50.69,50.69,2
RC,682,"Albumin (human), 25%, 20 m Trauma",,,51.19,51.19,2
RC,682,"Albumin (human), 25%, 50ml Trauma",,,127.98,127.98,2
RC,682,"Albumin (human), 5%, 250 m Trauma",,,127.39,127.39,2
RC,682,"Albumin (human),5%, 50ml Trauma",,,25.48,25.48,2
RC,682,Albumin; ischemia modified Trauma,,,81.46,81.46,2
RC,682,"Albumin; other source, quantitative, each specimen Trauma",,,18.67,18.67,2
RC,682,"Albumin; serum, plasma or whole blood Trauma",,,11.88,11.88,2
RC,682,"Albumin; urine (eg, microalbumin), quantitative Trauma",,,13.87,13.87,2
RC,682,"Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay) Trauma",,,14.95,14.95,2
RC,682,"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase) Trauma",,,41.45,41.45,2
RC,682,Alcohol (ethanol); breath Trauma,,,72.0,72.0,2
RC,682,Aldesleukin injection Trauma,,,8013.29,8013.29,2
RC,682,Aldolase Trauma,,,23.3,23.3,2
RC,682,Aldosterone Trauma,,,97.8,97.8,2
RC,682,"Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) Trauma",,,301.2,301.2,2
RC,682,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing Trauma",,,25.18,25.18,2
RC,682,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Trauma",,,56.26,56.26,2
RC,682,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches Trauma",,,18.05,18.05,2
RC,682,"Alkaline battery for use with cochlear implant device, any size, replacement, each Trauma",,,0.96,0.96,2
RC,682,"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon Trauma",,,838.99,838.99,2
RC,682,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability Trauma",,,1673.78,1673.78,2
RC,682,"All exoskeletal lower extremity prostheses, axial rotation unit Trauma",,,1698.6,1698.6,2
RC,682,"All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) Trauma",,,1645.46,1645.46,2
RC,682,"All lower extremity prostheses, flex foot system Trauma",,,10893.96,10893.96,2
RC,682,"All lower extremity prostheses, flex-walk system or equal Trauma",,,8800.85,8800.85,2
RC,682,"All lower extremity prostheses, foot, external keel, sach foot Trauma",,,596.71,596.71,2
RC,682,"All lower extremity prostheses, foot, flexible keel Trauma",,,1114.66,1114.66,2
RC,682,"All lower extremity prostheses, foot, multiaxial ankle/foot Trauma",,,857.45,857.45,2
RC,682,"All lower extremity prostheses, foot, single axis ankle/foot Trauma",,,684.7,684.7,2
RC,682,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) Trauma",,,1861.9,1861.9,2
RC,682,"All lower extremity prostheses, shoulder harness Trauma",,,694.82,694.82,2
RC,682,"All lower extremity prosthesis, combination single axis ankle and flexible keel foot Trauma",,,1377.55,1377.55,2
RC,682,"All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only Trauma",,,305.06,305.06,2
RC,682,"All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system Trauma",,,6704.26,6704.26,2
RC,682,"All lower extremity prosthesis, shank foot system with vertical loading pylon Trauma",,,21374.57,21374.57,2
RC,682,"All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only Trauma",,,596.71,596.71,2
RC,682,All potassium hydroxide (koh) preparations Trauma,,,13.99,13.99,2
RC,682,"Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card) Trauma",,,19.13,19.13,2
RC,682,"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Trauma",,,12.53,12.53,2
RC,682,"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each Trauma",,,43.03,43.03,2
RC,682,"Allergen specific IgG quantitative or semiquantitative, each allergen Trauma",,,18.77,18.77,2
RC,682,Alpha 1 proteinase inhibit Trauma,,,12.32,12.32,2
RC,682,Alpha-1-antitrypsin; phenotype Trauma,,,34.7,34.7,2
RC,682,Alpha-1-antitrypsin; total Trauma,,,32.26,32.26,2
RC,682,Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) Trauma,,,154.58,154.58,2
RC,682,Alpha-fetoprotein (AFP); amniotic fluid Trauma,,,40.8,40.8,2
RC,682,Alpha-fetoprotein (AFP); serum Trauma,,,40.25,40.25,2
RC,682,Alteplase recombinant Trauma,,,236.61,236.61,2
RC,682,Altuviiio per factor viii Trauma,,,11.12,11.12,2
RC,682,Aluminum Trauma,,,61.15,61.15,2
RC,682,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater Trauma",,,52.63,52.63,2
RC,682,"Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours Trauma",,,35.47,35.47,2
RC,682,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient Trauma",,,742.39,742.39,2
RC,682,Amikacin Trauma,,,36.19,36.19,2
RC,682,"Amines, vaginal fluid, qualitative Trauma",,,14.38,14.38,2
RC,682,"Amino acids, 2 to 5 amino acids, quantitative, each specimen Trauma",,,47.06,47.06,2
RC,682,"Amino acids, 6 or more amino acids, quantitative, each specimen Trauma",,,40.49,40.49,2
RC,682,"Amino acids; multiple, qualitative, each specimen Trauma",,,33.29,33.29,2
RC,682,"Amino acids; single, qualitative, each specimen Trauma",,,34.03,34.03,2
RC,682,"Amino acids; single, quantitative, each specimen Trauma",,,55.15,55.15,2
RC,682,Aminolevulinic acid hcl to Trauma,,,934.27,934.27,2
RC,682,"Aminolevulinic acid, 10% g Trauma",,,4.44,4.44,2
RC,682,"Aminolevulinic acid, delta (ALA) Trauma",,,39.48,39.48,2
RC,682,Amiodarone Trauma,,,44.74,44.74,2
RC,682,Ammonia Trauma,,,34.97,34.97,2
RC,682,Amniotic fluid scan (spectrophotometric) Trauma,,,22.44,22.44,2
RC,682,Amphotericin b liposome in Trauma,,,47.63,47.63,2
RC,682,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests Trauma",,,340.34,340.34,2
RC,682,"Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests Trauma",,,294.62,294.62,2
RC,682,"Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest Trauma",,,284.86,284.86,2
RC,682,"Amputee wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,259.7,259.7,2
RC,682,"Amputee wheelchair, fixed full length arms, swing away detachable footrest Trauma",,,252.96,252.96,2
RC,682,"Amputee wheelchair, fixed full length arms, without footrests or legrest Trauma",,,233.02,233.02,2
RC,682,Amylase Trauma,,,15.55,15.55,2
RC,682,Androstanediol glucuronide Trauma,,,69.19,69.19,2
RC,682,Androstenedione Trauma,,,70.27,70.27,2
RC,682,Androsterone Trauma,,,61.32,61.32,2
RC,682,Angiotensin I - converting enzyme (ACE) Trauma,,,35.04,35.04,2
RC,682,Angiotensin II Trauma,,,49.25,49.25,2
RC,682,"Animal inoculation, small animal, with observation and dissection Trauma",,,40.42,40.42,2
RC,682,"Aniseikonic lens, single vision Trauma",,,215.47,215.47,2
RC,682,"Aniseikonic lens, trifocal Trauma",,,430.99,430.99,2
RC,682,"Aniseikonic, per lens, bifocal Trauma",,,297.19,297.19,2
RC,682,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf Trauma",,,289.99,289.99,2
RC,682,"Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated Trauma",,,1300.46,1300.46,2
RC,682,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated Trauma",,,2946.67,2946.67,2
RC,682,"Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated Trauma",,,1875.14,1875.14,2
RC,682,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment Trauma",,,2109.02,2109.02,2
RC,682,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment Trauma",,,1600.78,1600.78,2
RC,682,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment Trauma",,,1399.15,1399.15,2
RC,682,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf Trauma",,,379.01,379.01,2
RC,682,"Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment Trauma",,,1390.01,1390.01,2
RC,682,"Ankle foot orthosis, plastic or other material, custom fabricated Trauma",,,1474.39,1474.39,2
RC,682,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment Trauma",,,652.42,652.42,2
RC,682,"Ankle foot orthosis, plastic with ankle joint, custom fabricated Trauma",,,2261.04,2261.04,2
RC,682,"Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated Trauma",,,2707.56,2707.56,2
RC,682,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated Trauma",,,1528.68,1528.68,2
RC,682,"Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment Trauma",,,737.52,737.52,2
RC,682,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific p",,,2646.29,2646.29,2
RC,682,"Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf Trauma",,,2646.29,2646.29,2
RC,682,"Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated Trauma",,,1012.15,1012.15,2
RC,682,"Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated Trauma",,,964.15,964.15,2
RC,682,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a",,,2490.5,2490.5,2
RC,682,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf Trauma",,,2490.5,2490.5,2
RC,682,"Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated Trauma",,,2054.21,2054.21,2
RC,682,"Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated Trauma",,,834.17,834.17,2
RC,682,"Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, cus",,,4425.46,4425.46,2
RC,682,"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated Trauma",,,1296.86,1296.86,2
RC,682,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf Trauma",,,226.54,226.54,2
RC,682,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated Trauma",,,1668.65,1668.65,2
RC,682,"Ankle, symes, metal frame, molded leather socket, articulated ankle/foot Trauma",,,8115.31,8115.31,2
RC,682,"Ankle, symes, molded socket, sach foot Trauma",,,7054.97,7054.97,2
RC,682,"Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only Trauma",,,6619.27,6619.27,2
RC,682,"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Trauma",,,353.02,353.02,2
RC,682,"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit Trauma",,,447.34,447.34,2
RC,682,"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each Trauma",,,644.06,644.06,2
RC,682,Anterior chamber intraocular lens Trauma,,,349.75,349.75,2
RC,682,Anti-inhibitor Trauma,,,5.87,5.87,2
RC,682,Anti-mullerian hormone (AMH) Trauma,,,92.69,92.69,2
RC,682,Anti-phosphatidylserine (phospholipid) antibody Trauma,,,38.57,38.57,2
RC,682,"Anti-reflective coating, per lens Trauma",,,74.76,74.76,2
RC,682,Antibody identification; leukocyte antibodies Trauma,,,36.12,36.12,2
RC,682,Antibody identification; platelet antibodies Trauma,,,44.09,44.09,2
RC,682,Antibody identification; platelet associated immunoglobulin assay Trauma,,,29.9,29.9,2
RC,682,"Antibody screen, RBC, each serum technique Trauma",,,23.45,23.45,2
RC,682,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes, HLA Class",,,196.51,229.25,4
RC,682,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg, i",,,777.0,781.92,4
RC,682,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or ",,,154.06,154.06,2
RC,682,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I Trauma",,,858.14,858.14,2
RC,682,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II Trauma",,,775.1,775.1,2
RC,682,"Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and",,,154.06,154.06,2
RC,682,Antibody; Aspergillus Trauma,,,36.12,36.12,2
RC,682,Antibody; Bartonella Trauma,,,24.43,24.43,2
RC,682,Antibody; Blastomyces Trauma,,,30.96,30.96,2
RC,682,Antibody; Bordetella Trauma,,,31.66,31.66,2
RC,682,Antibody; Borrelia (relapsing fever) Trauma,,,32.11,32.11,2
RC,682,Antibody; Borrelia burgdorferi (Lyme disease) Trauma,,,40.87,40.87,2
RC,682,"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot) Trauma",,,37.18,37.18,2
RC,682,Antibody; Brucella Trauma,,,21.43,21.43,2
RC,682,Antibody; Campylobacter Trauma,,,31.49,31.49,2
RC,682,Antibody; Candida Trauma,,,28.82,28.82,2
RC,682,Antibody; Chlamydia Trauma,,,28.37,28.37,2
RC,682,"Antibody; Chlamydia, IgM Trauma",,,30.43,30.43,2
RC,682,Antibody; Coccidioides Trauma,,,27.53,27.53,2
RC,682,Antibody; Coxiella burnetii (Q fever) Trauma,,,29.09,29.09,2
RC,682,Antibody; Cryptococcus Trauma,,,34.58,34.58,2
RC,682,Antibody; Diphtheria Trauma,,,36.5,36.5,2
RC,682,Antibody; Ehrlichia Trauma,,,24.43,24.43,2
RC,682,"Antibody; Epstein-Barr (EB) virus, early antigen (EA) Trauma",,,31.49,31.49,2
RC,682,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA) Trauma",,,36.7,36.7,2
RC,682,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA) Trauma",,,43.54,43.54,2
RC,682,Antibody; Francisella tularensis Trauma,,,33.98,33.98,2
RC,682,Antibody; Giardia lamblia Trauma,,,35.33,35.33,2
RC,682,Antibody; HIV-1 Trauma,,,21.34,21.34,2
RC,682,"Antibody; HIV-1 and HIV-2, single result Trauma",,,32.9,32.9,2
RC,682,Antibody; HIV-2 Trauma,,,32.45,32.45,2
RC,682,"Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot) Trauma",,,46.44,46.44,2
RC,682,Antibody; HTLV-I Trauma,,,21.82,21.82,2
RC,682,Antibody; HTLV-II Trauma,,,33.6,33.6,2
RC,682,Antibody; Haemophilus influenza Trauma,,,38.02,38.02,2
RC,682,Antibody; Helicobacter pylori Trauma,,,40.44,40.44,2
RC,682,Antibody; JC (John Cunningham) virus Trauma,,,40.54,40.54,2
RC,682,Antibody; Legionella Trauma,,,36.72,36.72,2
RC,682,Antibody; Leishmania Trauma,,,29.4,29.4,2
RC,682,Antibody; Leptospira Trauma,,,38.88,38.88,2
RC,682,Antibody; Listeria monocytogenes Trauma,,,31.66,31.66,2
RC,682,Antibody; Neisseria meningitidis Trauma,,,31.66,31.66,2
RC,682,Antibody; Nocardia Trauma,,,38.38,38.38,2
RC,682,Antibody; Plasmodium (malaria) Trauma,,,31.66,31.66,2
RC,682,Antibody; Rickettsia Trauma,,,46.44,46.44,2
RC,682,Antibody; Salmonella Trauma,,,31.66,31.66,2
RC,682,Antibody; Shigella Trauma,,,58.75,58.75,2
RC,682,Antibody; Toxoplasma Trauma,,,34.54,34.54,2
RC,682,"Antibody; Toxoplasma, IgM Trauma",,,34.58,34.58,2
RC,682,Antibody; Treponema pallidum Trauma,,,31.78,31.78,2
RC,682,Antibody; Trichinella Trauma,,,30.14,30.14,2
RC,682,Antibody; West Nile virus Trauma,,,34.54,34.54,2
RC,682,"Antibody; West Nile virus, IgM Trauma",,,40.44,40.44,2
RC,682,Antibody; Yersinia Trauma,,,31.66,31.66,2
RC,682,"Antibody; Zika virus, IgM Trauma",,,40.44,40.44,2
RC,682,Antibody; actinomyces Trauma,,,24.43,24.43,2
RC,682,Antibody; adenovirus Trauma,,,30.89,30.89,2
RC,682,"Antibody; bacterium, not elsewhere specified Trauma",,,30.91,30.91,2
RC,682,Antibody; cytomegalovirus (CMV) Trauma,,,34.54,34.54,2
RC,682,"Antibody; cytomegalovirus (CMV), IgM Trauma",,,40.44,40.44,2
RC,682,"Antibody; encephalitis, California (La Crosse) Trauma",,,31.66,31.66,2
RC,682,"Antibody; encephalitis, Eastern equine Trauma",,,31.66,31.66,2
RC,682,"Antibody; encephalitis, St. Louis Trauma",,,31.66,31.66,2
RC,682,"Antibody; encephalitis, Western equine Trauma",,,31.66,31.66,2
RC,682,"Antibody; enterovirus (eg, coxsackie, echo, polio) Trauma",,,31.27,31.27,2
RC,682,"Antibody; fungus, not elsewhere specified Trauma",,,29.4,29.4,2
RC,682,"Antibody; helminth, not elsewhere specified Trauma",,,31.22,31.22,2
RC,682,"Antibody; hepatitis, delta agent Trauma",,,41.18,41.18,2
RC,682,"Antibody; herpes simplex, non-specific type test Trauma",,,34.54,34.54,2
RC,682,"Antibody; herpes simplex, type 1 Trauma",,,31.66,31.66,2
RC,682,"Antibody; herpes simplex, type 2 Trauma",,,46.44,46.44,2
RC,682,Antibody; histoplasma Trauma,,,33.1,33.1,2
RC,682,Antibody; influenza virus Trauma,,,32.52,32.52,2
RC,682,Antibody; lymphocytic choriomeningitis Trauma,,,30.89,30.89,2
RC,682,Antibody; mucormycosis Trauma,,,36.0,36.0,2
RC,682,Antibody; mumps Trauma,,,31.32,31.32,2
RC,682,Antibody; mycoplasma Trauma,,,31.78,31.78,2
RC,682,Antibody; parvovirus Trauma,,,36.07,36.07,2
RC,682,"Antibody; protozoa, not elsewhere specified Trauma",,,29.74,29.74,2
RC,682,Antibody; respiratory syncytial virus Trauma,,,38.14,38.14,2
RC,682,Antibody; rotavirus Trauma,,,43.75,43.75,2
RC,682,Antibody; rubella Trauma,,,34.54,34.54,2
RC,682,Antibody; rubeola Trauma,,,30.91,30.91,2
RC,682,Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Trauma,,,101.11,101.11,2
RC,682,Antibody; tetanus Trauma,,,35.52,35.52,2
RC,682,Antibody; varicella-zoster Trauma,,,30.91,30.91,2
RC,682,"Antibody; virus, not elsewhere specified Trauma",,,30.91,30.91,2
RC,682,"Antihuman globulin test (Coombs test); direct, each antiserum Trauma",,,12.94,12.94,2
RC,682,"Antihuman globulin test (Coombs test); indirect, each antibody titer Trauma",,,12.43,12.43,2
RC,682,"Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell Trauma",,,13.73,13.73,2
RC,682,"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody Trauma",,,28.92,28.92,2
RC,682,"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody Trauma",,,28.92,28.92,2
RC,682,Antinuclear antibodies (ANA); Trauma,,,29.02,29.02,2
RC,682,Antinuclear antibodies (ANA); titer Trauma,,,26.78,26.78,2
RC,682,Antistreptolysin 0; screen Trauma,,,13.85,13.85,2
RC,682,Antistreptolysin 0; titer Trauma,,,17.52,17.52,2
RC,682,Antithymocyte globuln rabb Trauma,,,2538.7,2538.7,2
RC,682,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for ",,,3240.46,3240.46,2
RC,682,"Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); genomic sequence analysis panel, must include sequencing of at ",,,1209.6,1209.6,2
RC,682,"Apnea monitor, without recording feature Trauma",,,815.09,815.09,2
RC,682,"Apolipoprotein, each Trauma",,,50.62,50.62,2
RC,682,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz. Trauma",,,46.08,46.08,2
RC,682,"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Trauma",,,87.05,87.05,2
RC,682,"Application of a modality to 1 or more areas; contrast baths, each 15 minutes Trauma",,,35.54,35.54,2
RC,682,"Application of a modality to 1 or more areas; diathermy (eg, microwave) Trauma",,,19.34,19.34,2
RC,682,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Trauma",,,32.63,37.08,4
RC,682,Application of a modality to 1 or more areas; infrared Trauma,,,17.69,17.69,2
RC,682,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Trauma",,,42.16,47.9,6
RC,682,Application of a modality to 1 or more areas; paraffin bath Trauma,,,16.01,16.01,2
RC,682,"Application of a modality to 1 or more areas; traction, mechanical Trauma",,,31.93,36.29,4
RC,682,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes Trauma",,,32.02,36.38,6
RC,682,Application of a modality to 1 or more areas; ultraviolet Trauma,,,21.79,21.79,2
RC,682,Application of a modality to 1 or more areas; vasopneumatic devices Trauma,,,26.97,30.65,6
RC,682,Application of a modality to 1 or more areas; whirlpool Trauma,,,35.08,39.86,6
RC,682,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; cell-based immunofluorescence assay (CBA), each Trauma",,,28.92,28.92,2
RC,682,Aquaporin-4 (neuromyelitis optica ºNMO») antibody; enzyme-linked immunosorbent immunoassay (ELISA) Trauma,,,27.67,27.67,2
RC,682,"Aquaporin-4 (neuromyelitis optica ºNMO») antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Trauma",,,90.55,90.55,2
RC,682,Aqueous shunt Trauma,,,1984.94,1984.94,2
RC,682,Argatroban nonesrd (accord Trauma,,,4.36,4.36,2
RC,682,Aripirazole lauroxil 1 mg Trauma,,,8.54,8.54,2
RC,682,"Arm pad, replacement only, each Trauma",,,37.82,37.82,2
RC,682,"Arm rest, each Trauma",,,60.31,60.31,2
RC,682,Arsenic Trauma,,,45.53,45.53,2
RC,682,Artificial cornea Trauma,,,19359.17,19359.17,2
RC,682,"Artificial larynx, any type Trauma",,,1939.08,1939.08,2
RC,682,"Ascorbic acid (Vitamin C), blood Trauma",,,23.74,23.74,2
RC,682,"Ashkenazi Jewish associated disorders (eg, Bloom syndrome, Canavan disease, cystic fibrosis, familial dysautonomia, Fanconi anemia group C, Gaucher disease, Tay-Sachs disease), genomic sequence analys",,,5876.54,5876.54,2
RC,682,"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagno",,,243.05,243.05,2
RC,682,"Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with wr",,,93.46,93.46,2
RC,682,"Atomic absorption spectroscopy, each analyte Trauma",,,38.16,38.16,2
RC,682,"Auditory osseointegrated device abutment, any length, replacement only Trauma",,,4505.45,4505.45,2
RC,682,"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each Trauma",,,5117.02,5117.02,2
RC,682,"Auditory osseointegrated device, includes all internal and external components Trauma",,,14134.82,14134.82,2
RC,682,"Auditory osseointegrated device, transducer/actuator, replacement only, each Trauma",,,2806.1,2806.1,2
RC,682,"Auricular prosthesis, provided by a non-physician Trauma",,,7552.85,7552.85,2
RC,682,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score Trauma",,,2017.56,2017.56,2
RC,682,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type Trauma",,,8613.36,8613.36,2
RC,682,"Automatic grasp feature, addition to upper limb electric prosthetic terminal device Trauma",,,12147.19,12147.19,2
RC,682,Axicabtagene ciloleucel ca Trauma,,,1350002.16,1350002.16,2
RC,682,Axillary crutch extension Trauma,,,530.88,530.88,2
RC,682,Azathioprine parenteral Trauma,,,611.42,611.42,2
RC,682,Aztreonam/avibactam 10 mg Trauma,,,4.26,4.26,2
RC,682,"B cells, total count Trauma",,,90.55,90.55,2
RC,682,"BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X) Trauma",,,227.98,227.98,2
RC,682,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative Trauma",,,393.5,393.5,2
RC,682,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative Trauma",,,347.62,347.62,2
RC,682,"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative Trauma",,,515.09,515.09,2
RC,682,BEHAVIORAL AND DEVELOPMENTAL DISORDERS Trauma,,,26291.93,54870.12,4
RC,682,BENIGN PROSTATIC HYPERTROPHY WITH MCC Trauma,,,16590.7,34624.08,4
RC,682,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC Trauma,,,11786.71,24598.34,4
RC,682,"BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant Trauma",,,94.34,94.34,2
RC,682,"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s) Trauma",,,420.96,420.96,2
RC,682,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Trauma",,,723.24,723.24,2
RC,682,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Trauma",,,678.91,678.91,2
RC,682,"BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Trauma",,,900.6,900.6,2
RC,682,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants Trauma",,,1056.0,1056.0,2
RC,682,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rea",,,1402.15,1402.15,2
RC,682,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Trauma",,,1123.2,1123.2,2
RC,682,"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, ",,,4379.71,4379.71,2
RC,682,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements) Trauma",,,678.91,678.91,2
RC,682,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis Trauma",,,444.29,444.29,2
RC,682,"BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant Trauma",,,900.6,900.6,2
RC,682,"BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F) Trauma",,,420.96,420.96,2
RC,682,Baclofen 10 MG injection Trauma,,,446.65,446.65,2
RC,682,"Balance lens, per lens Trauma",,,128.71,128.71,2
RC,682,"Basic metabolic panel (Calcium, ionized) This panel must include the following: Calcium, ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potass",,,32.95,32.95,2
RC,682,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium ",,,20.3,20.3,2
RC,682,"Battery charger, six volt, each Trauma",,,736.15,736.15,2
RC,682,"Battery charger, twelve volt, each Trauma",,,1577.11,1577.11,2
RC,682,"Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,1390.9,1390.9,2
RC,682,"Battery for pneumatic ventricular assist device, replacement only, each Trauma",,,3863.74,3863.74,2
RC,682,"Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,2537.86,2537.86,2
RC,682,"Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,4454.64,4454.64,2
RC,682,"Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,12411.31,12411.31,2
RC,682,Bcg live intravesical 1mg Trauma,,,8.1,8.1,2
RC,682,"Bed cradle, any type Trauma",,,91.61,91.61,2
RC,682,"Bed pan, fracture, metal or plastic Trauma",,,34.1,34.1,2
RC,682,"Bed pan, standard, metal or plastic Trauma",,,40.92,40.92,2
RC,682,"Bed side rails, full length Trauma",,,348.62,348.62,2
RC,682,"Bed side rails, half length Trauma",,,32.98,32.98,2
RC,682,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each Trauma",,,33.22,33.22,2
RC,682,"Bedside drainage bottle with or without tubing, rigid or expandable, each Trauma",,,77.18,77.18,2
RC,682,Behavioral and qualitative analysis of voice and resonance Trauma,,,270.98,270.98,2
RC,682,Belatacept injection Trauma,,,9.32,9.32,2
RC,682,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device Trauma",,,26806.32,26806.32,2
RC,682,"Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device Trauma",,,19730.3,19730.3,2
RC,682,"Below elbow, molded double wall split socket, step-up hinges, half cuff Trauma",,,6989.74,6989.74,2
RC,682,"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff Trauma",,,7606.13,7606.13,2
RC,682,"Below elbow, molded socket, (muenster or northwestern suspension types) Trauma",,,5997.94,5997.94,2
RC,682,"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,6817.78,6817.78,2
RC,682,"Below elbow, molded socket, flexible elbow hinge, triceps pad Trauma",,,5654.86,5654.86,2
RC,682,"Below knee, molded socket, shin, sach foot Trauma",,,7070.54,7070.54,2
RC,682,"Below knee, molded socket, shin, sach foot, endoskeletal system Trauma",,,8082.12,8082.12,2
RC,682,"Below knee, plastic socket, joints and thigh lacer, sach foot Trauma",,,10207.13,10207.13,2
RC,682,"Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only Trauma",,,495.89,495.89,2
RC,682,"Beta 2 Glycoprotein I antibody, each Trauma",,,61.08,61.08,2
RC,682,Beta-2 microglobulin Trauma,,,38.83,38.83,2
RC,682,Beta-amyloid; 1-40 (Abeta 40) Trauma,,,309.41,309.41,2
RC,682,Beta-amyloid; 1-42 (Abeta 42) Trauma,,,309.41,309.41,2
RC,682,Bevacizumab injection Trauma,,,179.58,179.58,2
RC,682,Bifocal add over 3.25d Trauma,,,106.1,106.1,2
RC,682,Bifocal seg width over 28 mm Trauma,,,130.82,130.82,2
RC,682,"Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and acces",,,228194.4,228194.4,2
RC,682,Bile acids; cholylglycine Trauma,,,63.79,63.79,2
RC,682,Bile acids; total Trauma,,,41.09,41.09,2
RC,682,"Bilirubin, total, transcutaneous Trauma",,,12.05,12.05,2
RC,682,Bilirubin; direct Trauma,,,12.05,12.05,2
RC,682,"Bilirubin; feces, qualitative Trauma",,,10.94,10.94,2
RC,682,Bilirubin; total Trauma,,,12.05,12.05,2
RC,682,Biofeedback training by any modality Trauma,,,90.18,102.48,4
RC,682,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health ca",,,73.67,83.71,4
RC,682,"Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care profe",,,183.3,208.3,4
RC,682,"Biotinidase, each specimen Trauma",,,40.49,40.49,2
RC,682,Bleeding time Trauma,,,11.57,11.57,2
RC,682,Blood component/product no Trauma,,,84.77,84.77,2
RC,682,Blood count; automated differential WBC count Trauma,,,15.53,15.53,2
RC,682,"Blood count; blood smear, microscopic examination with manual differential WBC count Trauma",,,9.12,9.12,2
RC,682,"Blood count; blood smear, microscopic examination without manual differential WBC count Trauma",,,8.23,8.23,2
RC,682,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Trauma",,,15.53,15.53,2
RC,682,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Trauma",,,18.65,18.65,2
RC,682,Blood count; hematocrit (Hct) Trauma,,,5.69,5.69,2
RC,682,Blood count; hemoglobin (Hgb) Trauma,,,5.69,5.69,2
RC,682,"Blood count; leukocyte (WBC), automated Trauma",,,6.1,6.1,2
RC,682,"Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each Trauma",,,10.34,10.34,2
RC,682,"Blood count; manual differential WBC count, buffy coat Trauma",,,12.17,12.17,2
RC,682,"Blood count; platelet, automated Trauma",,,10.75,10.75,2
RC,682,"Blood count; red blood cell (RBC), automated Trauma",,,7.25,7.25,2
RC,682,"Blood count; reticulocyte, automated Trauma",,,9.58,9.58,2
RC,682,"Blood count; reticulocyte, manual Trauma",,,10.34,10.34,2
RC,682,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content ºCHr», immature reticulocyte fraction ºIRF», reticulocyte volume ºMRV», RNA content)",,,13.37,13.37,2
RC,682,Blood count; spun microhematocrit Trauma,,,16.8,16.8,2
RC,682,Blood glucose monitor with integrated lancing/blood sample Trauma,,,644.9,644.9,2
RC,682,Blood glucose monitor with integrated voice synthesizer Trauma,,,1869.89,1869.89,2
RC,682,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips Trauma",,,19.97,19.97,2
RC,682,Blood split unit Trauma,,,374.02,374.02,2
RC,682,"Blood typing, serologic; ABO Trauma",,,7.18,7.18,2
RC,682,"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each Trauma",,,9.19,9.19,2
RC,682,"Blood typing, serologic; Rh (D) Trauma",,,7.18,7.18,2
RC,682,"Blood typing, serologic; Rh phenotyping, complete Trauma",,,18.6,18.6,2
RC,682,"Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened Trauma",,,39.22,39.22,2
RC,682,"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test Trauma",,,15.24,15.24,2
RC,682,"Blood, l/r, cmv-neg Trauma",,,363.79,363.79,2
RC,682,"Blood, l/r, froz/degly/was Trauma",,,636.46,636.46,2
RC,682,"Blood, l/r, irradiated Trauma",,,202.92,202.92,2
RC,682,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations Trauma",,,38.21,38.21,2
RC,682,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening Trauma",,,10.15,10.15,2
RC,682,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o",,,10.51,10.51,2
RC,682,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources Trauma",,,12.77,12.77,2
RC,682,Bradykinin Trauma,,,12.38,12.38,2
RC,682,"Brake attachment for wheeled walker, replacement, each Trauma",,,44.9,44.9,2
RC,682,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type Trauma",,,490.27,490.27,2
RC,682,"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type Trauma",,,372.67,372.67,2
RC,682,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type Trauma",,,129.24,129.24,2
RC,682,"Breast prosthesis, mastectomy form Trauma",,,669.86,669.86,2
RC,682,"Breast prosthesis, silicone or equal, with integral adhesive Trauma",,,968.93,968.93,2
RC,682,"Breast prosthesis, silicone or equal, without integral adhesive Trauma",,,968.93,968.93,2
RC,682,"Breast pump, manual, any type Trauma",,,100.94,100.94,2
RC,682,Breathing circuits Trauma,,,25.87,25.87,2
RC,682,Brentuximab vedotin inj Trauma,,,670.1,670.1,2
RC,682,Brexucabtagene car pos t Trauma,,,1224249.36,1224249.36,2
RC,682,"Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, n",,,35.42,35.42,2
RC,682,Buprenorph xr 100 mg or le Trauma,,,4963.57,4963.57,2
RC,682,Buprenorphine xr over 100 Trauma,,,4963.57,4963.57,2
RC,682,"C-1 esterase, berinert Trauma",,,190.23,190.23,2
RC,682,C-peptide Trauma,,,49.94,49.94,2
RC,682,C-reactive protein; Trauma,,,12.43,12.43,2
RC,682,C-reactive protein; high sensitivity (hsCRP) Trauma,,,31.08,31.08,2
RC,682,C1 esterase inhibitor inj Trauma,,,160.21,160.21,2
RC,682,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence Trauma",,,2031.05,2031.05,2
RC,682,"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant Trauma",,,444.48,444.48,2
RC,682,"CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 Trauma",,,291.91,291.91,2
RC,682,"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed Trauma",,,497.54,497.54,2
RC,682,"CEBPA (CCAAT/enhancer binding protein ºC/EBP», alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence Trauma",,,580.56,580.56,2
RC,682,CESAREAN SECTION WITH STERILIZATION WITH CC Trauma,,,15410.6,32161.25,4
RC,682,CESAREAN SECTION WITH STERILIZATION WITH MCC Trauma,,,30362.79,63365.83,4
RC,682,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Trauma,,,14314.11,29872.92,4
RC,682,CESAREAN SECTION WITHOUT STERILIZATION WITH CC Trauma,,,16018.34,33429.58,4
RC,682,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC Trauma,,,21728.04,45345.48,4
RC,682,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC Trauma,,,14324.83,29895.29,4
RC,682,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) Trauma",,,1335.84,1335.84,2
RC,682,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants Trauma",,,1044.17,1044.17,2
RC,682,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence Trauma",,,1197.6,1197.6,2
RC,682,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility) Trauma",,,405.0,405.0,2
RC,682,"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants Trauma",,,233.33,233.33,2
RC,682,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT Trauma,,,55542.49,115914.77,4
RC,682,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE Trauma,,,26421.63,55140.79,4
RC,682,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,19524.33,40746.43,4
RC,682,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Trauma,,,18069.85,37710.98,4
RC,682,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Trauma,,,31835.5,66439.3,4
RC,682,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,13152.23,27448.13,4
RC,682,"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg, myotonic dystrophy type 2) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,COAGULATION DISORDERS Trauma,,,20396.81,42567.26,4
RC,682,COMPLICATIONS OF TREATMENT WITH CC Trauma,,,14791.08,30868.34,4
RC,682,COMPLICATIONS OF TREATMENT WITH MCC Trauma,,,23671.29,49400.95,4
RC,682,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Trauma,,,11426.57,23846.75,4
RC,682,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Trauma,,,76194.73,159015.1,4
RC,682,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Trauma",,,659.59,659.59,2
RC,682,"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) Trauma",,,444.48,444.48,2
RC,682,CT and CTA with Contrast C Trauma,,,1076.68,1076.68,2
RC,682,CT and CTA without Contras Trauma,,,554.58,554.58,2
RC,682,"CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17) Trauma",,,699.26,699.26,2
RC,682,"CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6) Trauma",,,419.54,419.54,2
RC,682,"CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) Trauma",,,1082.18,1082.18,2
RC,682,"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22) Trauma",,,419.54,419.54,2
RC,682,"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7) Trauma",,,419.54,419.54,2
RC,682,Cabazitaxel injection Trauma,,,560.95,560.95,2
RC,682,Cadmium Trauma,,,56.74,56.74,2
RC,682,Caffeine Trauma,,,92.57,92.57,2
RC,682,Calcitonin Trauma,,,64.3,64.3,2
RC,682,"Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3) Trauma",,,192.89,192.89,2
RC,682,Calcium; after calcium infusion test Trauma,,,32.02,32.02,2
RC,682,Calcium; ionized Trauma,,,32.83,32.83,2
RC,682,Calcium; total Trauma,,,12.38,12.38,2
RC,682,"Calcium; urine quantitative, timed specimen Trauma",,,14.47,14.47,2
RC,682,Calculus; X-ray diffraction Trauma,,,30.05,30.05,2
RC,682,Calculus; infrared spectroscopy Trauma,,,30.96,30.96,2
RC,682,Calculus; qualitative analysis Trauma,,,27.79,27.79,2
RC,682,"Calculus; quantitative analysis, chemical Trauma",,,30.89,30.89,2
RC,682,"Calprotectin, fecal Trauma",,,47.11,47.11,2
RC,682,"Cam release assembly, footrest or legrest, replacement only, each Trauma",,,150.31,150.31,2
RC,682,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day Trauma",,,89.57,101.78,4
RC,682,"Cane, includes canes of all materials, adjustable or fixed, with tip Trauma",,,72.1,72.1,2
RC,682,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips Trauma",,,168.0,168.0,2
RC,682,"Canister, disposable, used with suction pump, each Trauma",,,25.2,25.2,2
RC,682,"Canister, non-disposable, used with suction pump, each Trauma",,,96.14,96.14,2
RC,682,"Cannula, nasal Trauma",,,2.5,2.5,2
RC,682,"Cantharidin top, applicato Trauma",,,1668.5,1668.5,2
RC,682,"Capecitabine, oral, 50 mg Trauma",,,0.19,0.19,2
RC,682,Capsaicin 8% patch Trauma,,,8.42,8.42,2
RC,682,"Carbamazepine; -10,11-epoxide Trauma",,,44.74,44.74,2
RC,682,Carbamazepine; free Trauma,,,31.8,31.8,2
RC,682,Carbamazepine; total Trauma,,,34.97,34.97,2
RC,682,Carbidopa levodopa ent 100 Trauma,,,586.79,586.79,2
RC,682,Carbohydrate deficient transferrin Trauma,,,43.34,43.34,2
RC,682,Carbon dioxide (bicarbonate) Trauma,,,11.71,11.71,2
RC,682,Carboxyhemoglobin; qualitative Trauma,,,33.77,33.77,2
RC,682,Carboxyhemoglobin; quantitative Trauma,,,29.57,29.57,2
RC,682,Carcinoembryonic antigen (CEA) Trauma,,,45.5,45.5,2
RC,682,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel, must include a",,,1403.76,1403.76,2
RC,682,"Cardiac ion channelopathies (eg, Brugada syndrome, long QT syndrome, short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel, must include sequencing",,,1403.76,1403.76,2
RC,682,"Cardiolipin (phospholipid) antibody, each Ig class Trauma",,,61.08,61.08,2
RC,682,"Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported ",,,7776.0,7776.0,2
RC,682,"Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», transfers",,,63.31,129.74,4
RC,682,Carmustine injection Trauma,,,576.03,576.03,2
RC,682,"Carnitine (total and free), quantitative, each specimen Trauma",,,40.49,40.49,2
RC,682,Carotene Trauma,,,22.13,22.13,2
RC,682,"Cast supplies, body cast adult, with or without head, fiberglass Trauma",,,565.54,565.54,2
RC,682,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass Trauma",,,81.22,81.22,2
RC,682,"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster Trauma",,,48.17,48.17,2
RC,682,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass Trauma",,,40.58,40.58,2
RC,682,"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster Trauma",,,24.12,24.12,2
RC,682,"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass Trauma",,,360.77,360.77,2
RC,682,"Cast supplies, hip spica (one or both legs), adult (11 years +), plaster Trauma",,,115.49,115.49,2
RC,682,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass Trauma",,,180.48,180.48,2
RC,682,"Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster Trauma",,,57.79,57.79,2
RC,682,"Cast supplies, long arm cast, adult (11 years +), fiberglass Trauma",,,89.28,89.28,2
RC,682,"Cast supplies, long arm cast, adult (11 years +), plaster Trauma",,,39.62,39.62,2
RC,682,"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass Trauma",,,44.62,44.62,2
RC,682,"Cast supplies, long arm cast, pediatric (0-10 years), plaster Trauma",,,19.8,19.8,2
RC,682,"Cast supplies, long arm splint, adult (11 years +), fiberglass Trauma",,,44.35,44.35,2
RC,682,"Cast supplies, long arm splint, adult (11 years +), plaster Trauma",,,27.84,27.84,2
RC,682,"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass Trauma",,,22.27,22.27,2
RC,682,"Cast supplies, long arm splint, pediatric (0-10 years), plaster Trauma",,,13.92,13.92,2
RC,682,"Cast supplies, long leg cast, adult (11 years +), fiberglass Trauma",,,232.61,232.61,2
RC,682,"Cast supplies, long leg cast, adult (11 years +), plaster Trauma",,,88.37,88.37,2
RC,682,"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass Trauma",,,116.3,116.3,2
RC,682,"Cast supplies, long leg cast, pediatric (0-10 years), plaster Trauma",,,44.14,44.14,2
RC,682,"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass Trauma",,,204.94,204.94,2
RC,682,"Cast supplies, long leg cylinder cast, adult (11 years +), plaster Trauma",,,82.44,82.44,2
RC,682,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass Trauma",,,102.55,102.55,2
RC,682,"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster Trauma",,,41.21,41.21,2
RC,682,"Cast supplies, long leg splint, adult (11 years +), fiberglass Trauma",,,104.38,104.38,2
RC,682,"Cast supplies, long leg splint, adult (11 years +), plaster Trauma",,,61.15,61.15,2
RC,682,"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass Trauma",,,52.27,52.27,2
RC,682,"Cast supplies, long leg splint, pediatric (0-10 years), plaster Trauma",,,30.58,30.58,2
RC,682,"Cast supplies, short arm cast, adult (11 years +), fiberglass Trauma",,,59.52,59.52,2
RC,682,"Cast supplies, short arm cast, adult (11 years +), plaster Trauma",,,26.47,26.47,2
RC,682,"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass Trauma",,,29.83,29.83,2
RC,682,"Cast supplies, short arm cast, pediatric (0-10 years), plaster Trauma",,,13.2,13.2,2
RC,682,"Cast supplies, short arm splint, adult (11 years +), fiberglass Trauma",,,37.2,37.2,2
RC,682,"Cast supplies, short arm splint, adult (11 years +), plaster Trauma",,,20.62,20.62,2
RC,682,"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass Trauma",,,18.62,18.62,2
RC,682,"Cast supplies, short arm splint, pediatric (0-10 years), plaster Trauma",,,10.34,10.34,2
RC,682,"Cast supplies, short leg cast, adult (11 years +), fiberglass Trauma",,,125.95,125.95,2
RC,682,"Cast supplies, short leg cast, adult (11 years +), plaster Trauma",,,50.21,50.21,2
RC,682,"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass Trauma",,,62.95,62.95,2
RC,682,"Cast supplies, short leg cast, pediatric (0-10 years), plaster Trauma",,,25.2,25.2,2
RC,682,"Cast supplies, short leg splint, adult (11 years +), fiberglass Trauma",,,57.1,57.1,2
RC,682,"Cast supplies, short leg splint, adult (11 years +), plaster Trauma",,,35.5,35.5,2
RC,682,"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass Trauma",,,28.56,28.56,2
RC,682,"Cast supplies, short leg splint, pediatric (0-10 years), plaster Trauma",,,17.66,17.66,2
RC,682,"Cast supplies, shoulder cast, adult (11 years +), fiberglass Trauma",,,372.07,372.07,2
RC,682,"Cast supplies, shoulder cast, adult (11 years +), plaster Trauma",,,107.47,107.47,2
RC,682,"Caster pin lock, each Trauma",,,103.06,103.06,2
RC,682,"Casting supplies, body cast adult, with or without head, plaster Trauma",,,149.66,149.66,2
RC,682,Catecholamines; blood Trauma,,,69.79,69.79,2
RC,682,Catecholamines; fractionated Trauma,,,60.6,60.6,2
RC,682,Catecholamines; total urine Trauma,,,65.52,65.52,2
RC,682,Cathepsin-D Trauma,,,43.34,43.34,2
RC,682,Catheterization for collection of specimen(s) (multiple patients) Trauma,,,22.42,22.42,2
RC,682,"Catheterization for collection of specimen, single patient, all places of service Trauma",,,22.42,22.42,2
RC,682,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel Trauma,,,86.21,86.21,2
RC,682,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; Trauma",,,11.33,11.33,2
RC,682,"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count Trauma",,,13.44,13.44,2
RC,682,"Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); Trauma",,,601.87,601.87,2
RC,682,"Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) Trauma",,,326.06,326.06,2
RC,682,"Cephalin floculation, blood Trauma",,,11.88,11.88,2
RC,682,Ceruloplasmin Trauma,,,25.78,25.78,2
RC,682,Cervical head harness/halter Trauma,,,67.87,67.87,2
RC,682,"Cervical traction device, with inflatable air bladder(s) Trauma",,,52.63,52.63,2
RC,682,Cervical traction equipment not requiring additional stand or frame Trauma,,,169.06,169.06,2
RC,682,"Cervical, collar, molded to patient model Trauma",,,2079.96,2079.96,2
RC,682,"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf Trauma",,,421.73,421.73,2
RC,682,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf Trauma",,,757.61,757.61,2
RC,682,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) Trauma",,,82.97,82.97,2
RC,682,"Cervical, flexible, thermoplastic collar, molded to patient Trauma",,,599.93,599.93,2
RC,682,"Cervical, multiple post collar, occipital/mandibular supports, adjustable Trauma",,,1030.32,1030.32,2
RC,682,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) Trauma",,,1551.02,1551.02,2
RC,682,"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension Trauma",,,1424.21,1424.21,2
RC,682,"Cervical, semi-rigid, adjustable (plastic collar) Trauma",,,207.0,207.0,2
RC,682,"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) Trauma",,,345.22,345.22,2
RC,682,"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf Trauma",,,491.54,491.54,2
RC,682,"Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model Trauma",,,5599.13,5599.13,2
RC,682,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type) Trauma",,,6384.74,6384.74,2
RC,682,"Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patie",,,5438.26,5438.26,2
RC,682,Cetuximab injection Trauma,,,196.0,196.0,2
RC,682,Chemiluminescent assay Trauma,,,33.89,33.89,2
RC,682,"Chemotaxis assay, specify method Trauma",,,38.38,38.38,2
RC,682,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each ",,,625.9,625.9,2
RC,682,"Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection Trauma",,,497.9,497.9,2
RC,682,Chinstrap used with positive airway pressure device Trauma,,,31.97,31.97,2
RC,682,Chloramphenicol Trauma,,,30.41,30.41,2
RC,682,Chloride; blood Trauma,,,11.04,11.04,2
RC,682,Chloride; other source Trauma,,,12.0,12.0,2
RC,682,Chloride; urine Trauma,,,13.8,13.8,2
RC,682,"Chlorinated hydrocarbons, screen Trauma",,,14.42,14.42,2
RC,682,"Cholesterol, serum or whole blood, total Trauma",,,10.44,10.44,2
RC,682,Choline c-11 Trauma,,,6039.43,6039.43,2
RC,682,Cholinesterase; RBC Trauma,,,23.54,23.54,2
RC,682,Cholinesterase; serum Trauma,,,18.89,18.89,2
RC,682,"Chondroitin B sulfate, quantitative Trauma",,,49.56,49.56,2
RC,682,"Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples) Trauma",,,134.14,134.14,2
RC,682,Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) Trauma,,,123.94,123.94,2
RC,682,Chromium Trauma,,,48.67,48.67,2
RC,682,Chromogenic substrate assay Trauma,,,28.54,28.54,2
RC,682,"Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells Trauma",,,415.61,415.61,2
RC,682,"Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X) Trauma",,,415.61,415.61,2
RC,682,"Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation) Trauma",,,415.61,415.61,2
RC,682,"Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Trauma",,,452.57,452.57,2
RC,682,"Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding Trauma",,,416.78,416.78,2
RC,682,"Chromosome analysis; additional cells counted, each study Trauma",,,64.58,64.58,2
RC,682,Chromosome analysis; additional high resolution study Trauma,,,82.63,82.63,2
RC,682,"Chromosome analysis; additional karyotypes, each study Trauma",,,80.33,80.33,2
RC,682,"Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding) Trauma",,,164.64,164.64,2
RC,682,Chromosome analysis; analyze 20-25 cells Trauma,,,347.06,347.06,2
RC,682,"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding Trauma",,,301.18,301.18,2
RC,682,"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding Trauma",,,360.7,360.7,2
RC,682,"Chromosome analysis; count 5 cells, 1 karyotype, with banding Trauma",,,634.42,634.42,2
RC,682,Cidofovir injection Trauma,,,1285.76,1285.76,2
RC,682,Ciltacabtagene car-pos t Trauma,,,1411146.72,1411146.72,2
RC,682,Citrate Trauma,,,66.72,66.72,2
RC,682,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each Trauma",,,15.53,15.53,2
RC,682,"Clot lysis time, whole blood dilution Trauma",,,48.89,48.89,2
RC,682,Clot retraction Trauma,,,39.12,39.12,2
RC,682,"Clotting inhibitors or anticoagulants; antithrombin III, activity Trauma",,,28.44,28.44,2
RC,682,"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay Trauma",,,25.94,25.94,2
RC,682,"Clotting inhibitors or anticoagulants; protein C, activity Trauma",,,33.22,33.22,2
RC,682,"Clotting inhibitors or anticoagulants; protein C, antigen Trauma",,,28.82,28.82,2
RC,682,"Clotting inhibitors or anticoagulants; protein S, free Trauma",,,36.77,36.77,2
RC,682,"Clotting inhibitors or anticoagulants; protein S, total Trauma",,,27.86,27.86,2
RC,682,"Clotting; factor II, prothrombin, specific Trauma",,,31.15,31.15,2
RC,682,Clotting; factor IX (PTC or Christmas) Trauma,,,45.7,45.7,2
RC,682,"Clotting; factor V (AcG or proaccelerin), labile factor Trauma",,,42.36,42.36,2
RC,682,"Clotting; factor VII (proconvertin, stable factor) Trauma",,,42.96,42.96,2
RC,682,"Clotting; factor VIII (AHG), 1-stage Trauma",,,42.96,42.96,2
RC,682,Clotting; factor VIII related antigen Trauma,,,49.01,49.01,2
RC,682,"Clotting; factor VIII, VW factor antigen Trauma",,,55.06,55.06,2
RC,682,"Clotting; factor VIII, VW factor, ristocetin cofactor Trauma",,,55.06,55.06,2
RC,682,"Clotting; factor VIII, von Willebrand factor, multimetric analysis Trauma",,,55.06,55.06,2
RC,682,Clotting; factor X (Stuart-Prower) Trauma,,,42.96,42.96,2
RC,682,Clotting; factor XI (PTA) Trauma,,,42.96,42.96,2
RC,682,Clotting; factor XII (Hageman) Trauma,,,46.44,46.44,2
RC,682,Clotting; factor XIII (fibrin stabilizing) Trauma,,,39.22,39.22,2
RC,682,"Clotting; factor XIII (fibrin stabilizing), screen solubility Trauma",,,21.86,21.86,2
RC,682,Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) Trauma,,,45.43,45.43,2
RC,682,Clotting; prekallikrein assay (Fletcher factor assay) Trauma,,,45.43,45.43,2
RC,682,Clozapine Trauma,,,48.36,48.36,2
RC,682,Clubfoot wedge Trauma,,,147.12,147.12,2
RC,682,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte Trauma",,,74.06,74.06,2
RC,682,Coagulation time; Lee and White Trauma,,,11.26,11.26,2
RC,682,Coagulation time; activated Trauma,,,10.27,10.27,2
RC,682,Coagulation time; other methods Trauma,,,10.78,10.78,2
RC,682,"Cochlear device, includes all internal and external components Trauma",,,56250.96,56250.96,2
RC,682,"Cochlear implant, external controller component, replacement Trauma",,,3675.77,3675.77,2
RC,682,"Cochlear implant, external speech processor and controller, integrated system, replacement Trauma",,,24129.6,24129.6,2
RC,682,"Cochlear implant, external speech processor, component, replacement Trauma",,,20453.83,20453.83,2
RC,682,Cold agglutinin; screen Trauma,,,19.37,19.37,2
RC,682,Cold agglutinin; titer Trauma,,,19.34,19.34,2
RC,682,"Collagen based wound filler, dry form, sterile, per gram of collagen Trauma",,,105.94,105.94,2
RC,682,"Collagen based wound filler, gel/paste, per gram of collagen Trauma",,,7.8,7.8,2
RC,682,"Collagen cross links, any method Trauma",,,44.83,44.83,2
RC,682,"Collagen dressing wound filler, sterile, per 6 inches Trauma",,,21.14,21.14,2
RC,682,"Collagen dressing, sterile, size 16 sq. in. or less, each Trauma",,,71.93,71.93,2
RC,682,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each Trauma",,,71.93,71.93,2
RC,682,"Collagen dressing, sterile, size more than 48 sq. in., each Trauma",,,650.93,650.93,2
RC,682,Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) Trauma,,,27.22,27.22,2
RC,682,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous Trauma",,,43.32,43.32,2
RC,682,"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative,",,,57.82,57.82,2
RC,682,"Combination oral/nasal mask, used with continuous positive airway pressure device, each Trauma",,,368.83,368.83,2
RC,682,"Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment Trauma",,,5734.54,5734.54,2
RC,682,Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormo,,,1390.75,1390.75,2
RC,682,"Commode chair with integrated seat lift mechanism, electric, any type Trauma",,,484.8,484.8,2
RC,682,"Commode chair with integrated seat lift mechanism, non-electric, any type Trauma",,,89.09,89.09,2
RC,682,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each Trauma",,,361.2,361.2,2
RC,682,"Commode chair, mobile or stationary, with detachable arms Trauma",,,37.73,37.73,2
RC,682,"Commode chair, mobile or stationary, with fixed arms Trauma",,,163.8,163.8,2
RC,682,"Commode seat, wheelchair Trauma",,,61.3,61.3,2
RC,682,"Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive techno",,,79.73,79.73,2
RC,682,"Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood donor, additional fetal samples from different cultures, or additional zygosity in mul",,,731.54,731.54,2
RC,682,"Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg, pre-transplant recipient and donor germline testing, post-transplant non-hematopoietic recipient ger",,,559.37,559.37,2
RC,682,"Complement fixation tests, each antigen Trauma",,,24.02,24.02,2
RC,682,"Complement; antigen, each component Trauma",,,28.8,28.8,2
RC,682,"Complement; functional activity, each component Trauma",,,28.8,28.8,2
RC,682,Complement; total hemolytic (CH50) Trauma,,,48.77,48.77,2
RC,682,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) Trauma",,,15.53,15.53,2
RC,682,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count Trauma",,,18.65,18.65,2
RC,682,"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type Trauma",,,504.82,504.82,2
RC,682,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,11.52,11.52,2
RC,682,"Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,21.26,21.26,2
RC,682,Comprehensive Observation Trauma,,,6555.15,6555.15,2
RC,682,"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8",,,25.34,25.34,2
RC,682,"Compressor, air power source for equipment which is not self-contained or cylinder driven Trauma",,,124.75,124.75,2
RC,682,"Concentration (any type), for infectious agents Trauma",,,16.03,16.03,2
RC,682,"Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz Trauma",,,17.64,17.64,2
RC,682,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard Trauma",,,1.92,1.92,2
RC,682,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard Trauma",,,0.96,0.96,2
RC,682,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard Trauma",,,0.55,0.55,2
RC,682,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard Trauma",,,2.33,2.33,2
RC,682,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard Trauma",,,1.32,1.32,2
RC,682,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard Trauma",,,1.08,1.08,2
RC,682,"Congo red, blood Trauma",,,11.88,11.88,2
RC,682,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Trauma",,,25.13,25.13,2
RC,682,"Contact lens, gas permeable, bifocal, per lens Trauma",,,553.49,553.49,2
RC,682,"Contact lens, gas permeable, extended wear, per lens Trauma",,,464.69,464.69,2
RC,682,"Contact lens, gas permeable, spherical, per lens Trauma",,,325.99,325.99,2
RC,682,"Contact lens, gas permeable, toric, prism ballast, per lens Trauma",,,468.41,468.41,2
RC,682,"Contact lens, hydrophilic, bifocal, per lens Trauma",,,519.19,519.19,2
RC,682,"Contact lens, hydrophilic, extended wear, per lens Trauma",,,442.44,442.44,2
RC,682,"Contact lens, hydrophilic, spherical, per lens Trauma",,,306.41,306.41,2
RC,682,"Contact lens, hydrophilic, spherical, photochromic additive, per lens Trauma",,,370.68,370.68,2
RC,682,"Contact lens, hydrophilic, toric, or prism ballast, per lens Trauma",,,533.47,533.47,2
RC,682,"Contact lens, pmma, bifocal, per lens Trauma",,,448.13,448.13,2
RC,682,"Contact lens, pmma, color vision deficiency, per lens Trauma",,,428.78,428.78,2
RC,682,"Contact lens, pmma, spherical, per lens Trauma",,,238.8,238.8,2
RC,682,"Contact lens, pmma, toric or prism ballast, per lens Trauma",,,363.77,363.77,2
RC,682,"Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) Trauma",,,655.32,655.32,2
RC,682,"Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) Trauma",,,1608.74,1608.74,2
RC,682,"Continent device, stoma absorptive cover for continent stoma Trauma",,,2.21,2.21,2
RC,682,Continent device; catheter for continent stoma Trauma,,,34.61,34.61,2
RC,682,Continuous passive motion exercise device for use on knee only Trauma,,,77.81,77.81,2
RC,682,Continuous positive airway pressure (cpap) device Trauma,,,124.66,124.66,2
RC,682,Controlled dose inhalation drug delivery system Trauma,,,589.66,589.66,2
RC,682,Copper Trauma,,,29.78,29.78,2
RC,682,Copper cu 64 dotatate diag Trauma,,,1426.27,1426.27,2
RC,682,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score Trauma",,,2520.0,2520.0,2
RC,682,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet Trauma",,,48.43,48.43,2
RC,682,Corticosterone Trauma,,,54.05,54.05,2
RC,682,Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) Trauma,,,1923.89,1923.89,2
RC,682,Cortisol; free Trauma,,,40.1,40.1,2
RC,682,Cortisol; total Trauma,,,39.12,39.12,2
RC,682,"Cough stimulating device, alternating positive and negative airway pressure Trauma",,,1346.35,1346.35,2
RC,682,"Coupling gel or paste, for use with ultrasound device, per oz Trauma",,,0.31,0.31,2
RC,682,Covid-19 Vaccine Administr Trauma,,,101.85,101.85,2
RC,682,Covid-19 convalescent plas Trauma,,,1632.07,1632.07,2
RC,682,Cr51 chromate Trauma,,,4603.1,4603.1,2
RC,682,"Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated Trauma",,,4150.54,4150.54,2
RC,682,"Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment Trauma",,,845.71,845.71,2
RC,682,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month Trauma",,,98.57,98.57,2
RC,682,"Cranial electrotherapy stimulation (ces) system, any type Trauma",,,125.71,125.71,2
RC,682,Creatine Trauma,,,11.14,11.14,2
RC,682,"Creatine kinase (CK), (CPK); MB fraction only Trauma",,,27.72,27.72,2
RC,682,"Creatine kinase (CK), (CPK); isoenzymes Trauma",,,32.14,32.14,2
RC,682,"Creatine kinase (CK), (CPK); isoforms Trauma",,,28.49,28.49,2
RC,682,"Creatine kinase (CK), (CPK); total Trauma",,,15.62,15.62,2
RC,682,Creatinine; blood Trauma,,,12.29,12.29,2
RC,682,Creatinine; clearance Trauma,,,22.7,22.7,2
RC,682,Creatinine; other source Trauma,,,12.43,12.43,2
RC,682,Crotalidae Poly Immune Fab Trauma,,,4576.57,4576.57,2
RC,682,"Crutch attachment, walker, each Trauma",,,172.34,172.34,2
RC,682,"Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips Trauma",,,154.8,154.8,2
RC,682,"Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip Trauma",,,61.46,61.46,2
RC,682,"Crutch, underarm, articulating, spring assisted, each Trauma",,,65.88,65.88,2
RC,682,"Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each Trauma",,,80.69,80.69,2
RC,682,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips Trauma",,,142.44,142.44,2
RC,682,"Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips Trauma",,,107.59,107.59,2
RC,682,"Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips Trauma",,,248.57,248.57,2
RC,682,Cryo fib comp path redu ea Trauma,,,1318.27,1318.27,2
RC,682,Cryofibrinogen Trauma,,,33.94,33.94,2
RC,682,"Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) Trauma",,,15.53,15.53,2
RC,682,Cryoprecipitate each unit Trauma,,,172.68,172.68,2
RC,682,Cryoprecipitatereducedplas Trauma,,,316.92,316.92,2
RC,682,"Cryopreservation, freezing and storage of cells, each cell line Trauma",,,31.37,31.37,2
RC,682,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine) Trauma",,,17.59,17.59,2
RC,682,"Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) Trauma",,,6969.36,6969.36,2
RC,682,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate Trauma",,,19.39,19.39,2
RC,682,"Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate Trauma",,,19.39,19.39,2
RC,682,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates Trauma",,,20.69,20.69,2
RC,682,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates Trauma",,,22.73,22.73,2
RC,682,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Trauma",,,24.77,24.77,2
RC,682,"Culture, bacterial; quantitative colony count, urine Trauma",,,19.37,19.37,2
RC,682,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Trauma",,,23.74,23.74,2
RC,682,"Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool Trauma",,,23.18,23.18,2
RC,682,"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate Trauma",,,22.66,22.66,2
RC,682,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species Trauma",,,22.66,22.66,2
RC,682,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine Trauma",,,19.42,19.42,2
RC,682,"Culture, chlamydia, any source Trauma",,,47.04,47.04,2
RC,682,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood Trauma",,,49.1,49.1,2
RC,682,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood) Trauma",,,20.18,20.18,2
RC,682,"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail Trauma",,,18.5,18.5,2
RC,682,"Culture, fungi, definitive identification, each organism; mold Trauma",,,24.77,24.77,2
RC,682,"Culture, fungi, definitive identification, each organism; yeast Trauma",,,24.77,24.77,2
RC,682,"Culture, mycobacterial, definitive identification, each isolate Trauma",,,35.06,35.06,2
RC,682,"Culture, mycoplasma, any source Trauma",,,36.94,36.94,2
RC,682,"Culture, presumptive, pathogenic organisms, screening only; Trauma",,,15.91,15.91,2
RC,682,"Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Trauma",,,64.97,64.97,2
RC,682,"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates Trauma",,,25.92,25.92,2
RC,682,"Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Trauma",,,30.05,30.05,2
RC,682,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed Trauma",,,84.22,84.22,2
RC,682,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed Trauma",,,48.12,48.12,2
RC,682,"Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene) Trauma",,,276.86,276.86,2
RC,682,"Culture, typing; identification by pulse field gel typing Trauma",,,18.58,18.58,2
RC,682,"Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcrip",,,523.34,523.34,2
RC,682,"Culture, typing; immunofluorescent method, each antiserum Trauma",,,13.37,13.37,2
RC,682,"Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum Trauma",,,12.43,12.43,2
RC,682,"Culture, typing; other methods Trauma",,,18.58,18.58,2
RC,682,"Cushion for use on nasal mask interface, replacement only, each Trauma",,,57.72,57.72,2
RC,682,"Custom breast prosthesis, post mastectomy, molded to patient model Trauma",,,10885.58,10885.58,2
RC,682,"Custom shaped protective cover, above knee Trauma",,,2814.12,2814.12,2
RC,682,"Custom shaped protective cover, below knee Trauma",,,1574.93,1574.93,2
RC,682,"Custom shaped protective cover, hip disarticulation Trauma",,,3636.67,3636.67,2
RC,682,"Custom shaped protective cover, knee disarticulation Trauma",,,2758.54,2758.54,2
RC,682,Cyanide Trauma,,,46.56,46.56,2
RC,682,Cyanocobalamin (Vitamin B-12); Trauma,,,36.19,36.19,2
RC,682,Cyanocobalamin (Vitamin B-12); unsaturated binding capacity Trauma,,,34.37,34.37,2
RC,682,"Cyclic citrullinated peptide (CCP), antibody Trauma",,,31.08,31.08,2
RC,682,Cyclosporine Trauma,,,43.32,43.32,2
RC,682,Cystatin C Trauma,,,44.45,44.45,2
RC,682,"Cystine and homocystine, urine, qualitative Trauma",,,22.92,22.92,2
RC,682,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis Trau",,,2875.06,2875.06,2
RC,682,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants, comparative genomic",,,2784.0,2784.0,2
RC,682,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization ºCGH» microarray analysis ",,,2160.0,2160.0,2
RC,682,"Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM) Trauma",,,3032.47,3032.47,2
RC,682,"Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM) Trauma",,,4471.73,4471.73,2
RC,682,"Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities Trauma",,,2784.0,2784.0,2
RC,682,Cytomegalovirus imm IV /vi Trauma,,,4461.17,4461.17,2
RC,682,"Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Trauma",,,121.34,121.34,2
RC,682,"Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision Trauma",,,44.5,44.5,2
RC,682,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision Trauma",,,48.62,48.62,2
RC,682,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision Trauma",,,60.89,60.89,2
RC,682,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening under physician supervision Trauma",,,55.3,55.3,2
RC,682,"Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under",,,63.86,63.86,2
RC,682,"Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision Trauma",,,44.5,44.5,2
RC,682,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision Trauma",,,44.5,44.5,2
RC,682,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision Trauma",,,44.5,44.5,2
RC,682,"Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision Trauma",,,101.33,101.33,2
RC,682,"Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index, estrogenic index) (List separately in addition to codeºs» for other technical and",,,35.16,35.16,2
RC,682,"Cytopathology, slides, cervical or vaginal; manual screening under physician supervision Trauma",,,44.5,44.5,2
RC,682,"Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision Trauma",,,66.34,66.34,2
RC,682,"Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Trauma",,,57.67,57.67,2
RC,682,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC Trauma",,,26011.11,54284.06,4
RC,682,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC Trauma",,,16240.21,33892.61,4
RC,682,DEPRESSIVE NEUROSES Trauma,,,14132.97,29494.9,4
RC,682,DISORDERS OF PERSONALITY AND IMPULSE CONTROL Trauma,,,25123.62,52431.91,4
RC,682,"DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed Trauma",,,669.6,669.6,2
RC,682,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size) Trauma",,,659.59,659.59,2
RC,682,"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles Trauma",,,328.8,328.8,2
RC,682,"DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6) Trauma",,,419.54,419.54,2
RC,682,Dactinomycin injection Trauma,,,737.79,737.79,2
RC,682,"Daratumumab, hyaluronidase Trauma",,,136.92,136.92,2
RC,682,"Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Trauma",,,25.78,25.78,2
RC,682,"Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Trauma",,,27.12,27.12,2
RC,682,"Datopotamab deruxtecan, 1 Trauma",,,126.0,126.0,2
RC,682,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,124.87,257.18,4
RC,682,Dehydroepiandrosterone (DHEA) Trauma,,,60.65,60.65,2
RC,682,Dehydroepiandrosterone-sulfate (DHEA-S) Trauma,,,53.35,53.35,2
RC,682,"Deoxycortisol, 11- Trauma",,,70.27,70.27,2
RC,682,"Deoxyribonuclease, antibody Trauma",,,31.8,31.8,2
RC,682,Deoxyribonucleic acid (DNA) antibody; native or double stranded Trauma,,,32.98,32.98,2
RC,682,Deoxyribonucleic acid (DNA) antibody; single stranded Trauma,,,29.06,29.06,2
RC,682,"Desoxycorticosterone, 11- Trauma",,,74.35,74.35,2
RC,682,"Detachable, adjustable height armrest, base, replacement only, each Trauma",,,141.6,141.6,2
RC,682,"Detachable, adjustable height armrest, upper portion, replacement only, each Trauma",,,80.04,80.04,2
RC,682,"Detachable, non-adjustable height armrest, replacement only, each Trauma",,,42.12,42.12,2
RC,682,Dexametha opth insert 0.1 Trauma,,,216.05,216.05,2
RC,682,Dexamethasone intra implan Trauma,,,488.77,488.77,2
RC,682,"Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) Trauma",,,388.51,388.51,2
RC,682,Dexrazoxane HCl injection Trauma,,,99.46,99.46,2
RC,682,"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes Trauma",,,40.42,40.42,2
RC,682,"Diabetes outpatient self-management training services, individual, per 30 minutes Trauma",,,141.17,141.17,2
RC,682,"Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) Trauma",,,31.7,31.7,2
RC,682,"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Trauma",,,278.59,278.59,2
RC,682,"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Trauma",,,216.48,216.48,2
RC,682,Dibucaine number Trauma,,,29.4,29.4,2
RC,682,Digoxin; free Trauma,,,31.87,31.87,2
RC,682,Digoxin; total Trauma,,,31.87,31.87,2
RC,682,Dihydrotestosterone (DHT) Trauma,,,70.27,70.27,2
RC,682,"Disposable external urethral clamp or compression device, with pad and/or pouch, each Trauma",,,1.68,1.68,2
RC,682,"Docetaxel (docivyx), 1 mg Trauma",,,111.09,111.09,2
RC,682,"Dome and mouthpiece, used with small volume ultrasonic nebulizer Trauma",,,22.34,22.34,2
RC,682,Doxorubicin inj 10mg Trauma,,,279.85,279.85,2
RC,682,"Drive belt for power wheelchair, replacement only Trauma",,,69.62,69.62,2
RC,682,"Driver for use with pneumatic ventricular assist device, replacement only Trauma",,,267607.2,267607.2,2
RC,682,"Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis Trauma",,,2200.99,2200.99,2
RC,682,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,274.63,592.61,8
RC,682,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,149.14,149.14,2
RC,682,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay ºeg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA»), c",,,149.14,149.14,2
RC,682,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca",,,30.24,30.24,2
RC,682,"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay ºeg, dipsticks, cups, card",,,41.14,41.14,2
RC,682,Dry pressure mattress Trauma,,,485.18,485.18,2
RC,682,"Dry pressure pad for mattress, standard mattress length and width Trauma",,,88.68,88.68,2
RC,682,"Dynamic adjustable ankle extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,2
RC,682,"Dynamic adjustable ankle extension only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,682,"Dynamic adjustable ankle flexion only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,682,"Dynamic adjustable elbow extension and flexion device, includes soft interface material Trauma",,,356.14,356.14,2
RC,682,"Dynamic adjustable elbow extension only device, includes soft interface material Trauma",,,356.14,356.14,2
RC,682,"Dynamic adjustable elbow flexion only device, includes soft interface material Trauma",,,356.14,356.14,2
RC,682,"Dynamic adjustable finger extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,2
RC,682,"Dynamic adjustable finger extension only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,682,"Dynamic adjustable finger flexion only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,682,"Dynamic adjustable forearm pronation/supination device, includes soft interface material Trauma",,,1117.8,1117.8,2
RC,682,"Dynamic adjustable knee extension and flexion device, includes soft interface material Trauma",,,362.23,362.23,2
RC,682,"Dynamic adjustable knee extension only device, includes soft interface material Trauma",,,362.23,362.23,2
RC,682,"Dynamic adjustable knee flexion only device, includes soft interface material Trauma",,,362.23,362.23,2
RC,682,"Dynamic adjustable shoulder flexion / abduction / rotation device, includes soft interface material Trauma",,,1242.24,1242.24,2
RC,682,"Dynamic adjustable toe extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,2
RC,682,"Dynamic adjustable toe extension only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,682,"Dynamic adjustable toe flexion only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,682,"Dynamic adjustable wrist extension and flexion device, includes soft interface material Trauma",,,367.34,367.34,2
RC,682,"Dynamic adjustable wrist extension only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,682,"Dynamic adjustable wrist flexion only device, includes soft interface material Trauma",,,367.34,367.34,2
RC,682,"Dynamic knee, extension/flexion device with active resistance control Trauma",,,294.12,294.12,2
RC,682,"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) Trauma",,,778.99,778.99,2
RC,682,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT Trauma,,,232891.56,486034.56,4
RC,682,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT Trauma,,,45787.66,95556.86,4
RC,682,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,30399.24,63441.89,4
RC,682,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,54336.67,113398.27,4
RC,682,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,22419.38,46788.26,4
RC,682,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE Trauma",,,67752.91,141397.37,4
RC,682,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646) Trauma",,,420.96,420.96,2
RC,682,"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence Trauma",,,678.91,678.91,2
RC,682,Ecallantide injection Trauma,,,1430.27,1430.27,2
RC,682,"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative Trauma",,,27.67,27.67,2
RC,682,"Elastase, pancreatic (EL-1), fecal; quantitative Trauma",,,55.13,55.13,2
RC,682,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectroni",,,31498.8,31498.8,2
RC,682,"Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control o",,,25778.88,25778.88,2
RC,682,"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm Trauma",,,10699.61,10699.61,2
RC,682,"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,9108.43,9108.43,2
RC,682,"Elbow disarticulation, molded socket, outside locking hinge, forearm Trauma",,,8015.64,8015.64,2
RC,682,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual ",,,1349.64,1349.64,2
RC,682,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf Trauma",,,1349.64,1349.64,2
RC,682,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated Trauma",,,2888.06,2888.06,2
RC,682,"Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated Trauma",,,2569.8,2569.8,2
RC,682,"Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated Trauma",,,1952.16,1952.16,2
RC,682,"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf Trauma",,,391.34,391.34,2
RC,682,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf Trauma",,,290.23,290.23,2
RC,682,"Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,779.33,779.33,2
RC,682,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,3664.54,3664.54,2
RC,682,"Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,3460.56,3460.56,2
RC,682,"Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2136.91,2136.91,2
RC,682,"Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2142.74,2142.74,2
RC,682,"Electric hand, switch or myoelectric controlled, adult Trauma",,,10110.53,10110.53,2
RC,682,"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) Trauma",,,70991.28,70991.28,2
RC,682,"Electric hand, switch or myoelectric, controlled, pediatric Trauma",,,15912.89,15912.89,2
RC,682,"Electric heat pad, moist Trauma",,,205.97,205.97,2
RC,682,"Electric heat pad, standard Trauma",,,94.94,94.94,2
RC,682,"Electric hook, switch or myoelectric controlled, adult Trauma",,,10315.92,10315.92,2
RC,682,"Electric hook, switch or myoelectric controlled, pediatric Trauma",,,4749.1,4749.1,2
RC,682,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care Trauma",,,28.43,32.3,6
RC,682,"Electrical stimulation device used for cancer treatment, includes all accessories, any type Trauma",,,39323.28,39323.28,2
RC,682,"Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable ",,,26.23,29.81,6
RC,682,"Electrical stimulator supplies (external) for use with implantable neurostimulator, per month Trauma",,,31.78,31.78,2
RC,682,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) Trauma",,,31.78,31.78,2
RC,682,Electrode for external lower extremity nerve stimulator for restless legs syndrome Trauma,,,15.22,15.22,2
RC,682,"Electrodes, (e.g., apnea monitor), per pair Trauma",,,36.98,36.98,2
RC,682,Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) Trauma,,,16.82,16.82,2
RC,682,"Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healin",,,27.7,27.7,2
RC,682,"Electronic elbow, adolescent, variety village or equal, myoelectronically controlled Trauma",,,22680.62,22680.62,2
RC,682,"Electronic elbow, adolescent, variety village or equal, switch controlled Trauma",,,21593.57,21593.57,2
RC,682,"Electronic elbow, child, variety village or equal, myoelectronically controlled Trauma",,,27157.92,27157.92,2
RC,682,"Electronic elbow, child, variety village or equal, switch controlled Trauma",,,25989.84,25989.84,2
RC,682,"Electronic elbow, hosmer or equal, switch controlled Trauma",,,21866.57,21866.57,2
RC,682,"Electronic elbow, microprocessor sequential control of elbow and terminal device Trauma",,,95982.24,95982.24,2
RC,682,"Electronic elbow, microprocessor simultaneous control of elbow and terminal device Trauma",,,119052.96,119052.96,2
RC,682,"Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type Trauma",,,89.09,89.09,2
RC,682,"Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type Trauma",,,1695.31,1695.31,2
RC,682,"Electronic wrist rotator, any type Trauma",,,9390.22,9390.22,2
RC,682,"Electrophoretic technique, not elsewhere specified Trauma",,,147.6,147.6,2
RC,682,"Elevating footrests, articulating (telescoping), each Trauma",,,245.66,245.66,2
RC,682,"Elevating leg rests, pair (for use with capped rental wheelchair base) Trauma",,,32.64,32.64,2
RC,682,"Elevating legrest, lower extension tube, replacement only, each Trauma",,,57.53,57.53,2
RC,682,"Elevating legrest, upper hanger bracket, replacement only, each Trauma",,,204.79,204.79,2
RC,682,"Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,637.44,637.44,2
RC,682,"Emergency power source for use with electric ventricular assist device, replacement only Trauma",,,2089.13,2089.13,2
RC,682,"Emergency power source for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,3284.23,3284.23,2
RC,682,"Emergency power supply cable for use with electric ventricular assist device, replacement only Trauma",,,264.67,264.67,2
RC,682,"Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,753.24,753.24,2
RC,682,"Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin, ferritin, interleukin 2-receptor alpha), utilizing serum or plasma, algorithm repor",,,165.41,165.41,2
RC,682,"Endomysial antibody (EMA), each immunoglobulin (Ig) class Trauma",,,29.02,29.02,2
RC,682,"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source Trauma",,,51119.76,51119.76,2
RC,682,"Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping Trauma",,,16818.0,16818.0,2
RC,682,Enlargement of ocular prosthesis Trauma,,,1158.62,1158.62,2
RC,682,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen Trauma",,,53.21,53.21,2
RC,682,"Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen Trauma",,,105.67,105.67,2
RC,682,"Epilepsy genomic sequence analysis panel, must include analyses for ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1",,,5876.54,5876.54,2
RC,682,Eptifibatide injection Trauma,,,9.28,9.28,2
RC,682,Erythropoietin Trauma,,,45.1,45.1,2
RC,682,"Estradiol; free, direct measurement (eg, equilibrium dialysis) Trauma",,,67.06,67.06,2
RC,682,Estradiol; total Trauma,,,67.06,67.06,2
RC,682,Estriol Trauma,,,58.03,58.03,2
RC,682,Estrogens; fractionated Trauma,,,77.52,77.52,2
RC,682,Estrogens; total Trauma,,,52.08,52.08,2
RC,682,Estrone Trauma,,,59.88,59.88,2
RC,682,Ethosuximide Trauma,,,39.22,39.22,2
RC,682,Ethylene glycol Trauma,,,35.76,35.76,2
RC,682,Etiocholanolone Trauma,,,62.98,62.98,2
RC,682,Etoposide oral 50 mg Trauma,,,211.33,211.33,2
RC,682,Euflexxa inj per dose Trauma,,,235.53,235.53,2
RC,682,Euglobulin lysis Trauma,,,20.18,20.18,2
RC,682,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for ",,,117.02,117.02,2
RC,682,"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour Trauma",,,300.53,300.53,2
RC,682,Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech Trauma,,,176.09,176.09,2
RC,682,"Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 ºPAMG-1», placental protein 12 ºPP12», alpha-fetoprotein), qualitative, each specimen Tra",,,235.46,235.46,2
RC,682,Evaluation of oral and pharyngeal swallowing function Trauma,,,208.87,208.87,2
RC,682,"Evaluation of speech fluency (eg, stuttering, cluttering) Trauma",,,326.78,326.78,2
RC,682,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); Trauma",,,278.02,278.02,2
RC,682,"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) Tr",,,554.35,554.35,2
RC,682,Everolimus Trauma,,,32.95,32.95,2
RC,682,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only Trauma",,,35.09,35.09,2
RC,682,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) Trauma",,,768.0,768.0,2
RC,682,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Trauma",,,11472.0,11472.0,2
RC,682,"Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) T",,,28800.0,28800.0,2
RC,682,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each Trauma",,,10.87,10.87,2
RC,682,"External ambulatory infusion pump, insulin Trauma",,,1338.6,1338.6,2
RC,682,"External breast prosthesis garment, with mastectomy form, post mastectomy Trauma",,,178.06,178.06,2
RC,682,External defibrillator with integrated electrocardiogram analysis Trauma,,,1039.92,1039.92,2
RC,682,"External lower extremity nerve stimulator for restless legs syndrome, each Trauma",,,581.28,581.28,2
RC,682,"External recharging system for battery (external) for use with implantable neurostimulator, replacement only Trauma",,,49.46,49.46,2
RC,682,"External recharging system for battery (internal) for use with implantable neurostimulator, replacement only Trauma",,,5125.22,5125.22,2
RC,682,"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each Trauma",,,561.14,561.14,2
RC,682,External upper limb tremor stimulator of the peripheral nerves of the wrist Trauma,,,1075.99,1075.99,2
RC,682,"External urethral clamp or compression device (not to be used for catheter clamp), each Trauma",,,156.07,156.07,2
RC,682,"External urinary catheter; non-disposable, for use with suction pump, per month Trauma",,,217.54,217.54,2
RC,682,"External urinary catheters; disposable, with wicking material, for use with suction pump, per month Trauma",,,1012.32,1012.32,2
RC,682,Extra heavy duty wheelchair Trauma,,,289.87,289.87,2
RC,682,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody Trauma",,,43.03,43.03,2
RC,682,Extremity belt/harness Trauma,,,128.86,128.86,2
RC,682,"Eye pad, sterile, each Trauma",,,1.27,1.27,2
RC,682,"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant Trauma",,,157.66,157.66,2
RC,682,"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant Trauma",,,176.09,176.09,2
RC,682,"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence Trauma",,,1440.0,1440.0,2
RC,682,"FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T) Trauma",,,87.89,87.89,2
RC,682,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Trauma,,,18917.67,39480.36,4
RC,682,FEVER AND INFLAMMATORY CONDITIONS Trauma,,,13562.74,28304.86,4
RC,682,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15) Trauma",,,397.22,397.22,2
RC,682,"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836) Trauma",,,199.2,199.2,2
RC,682,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; characterization of alleles (eg, expanded size and promoter methylation ",,,107.74,107.74,2
RC,682,"FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability ºXLID») gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,136.9,136.9,2
RC,682,FULL TERM NEONATE WITH MAJOR PROBLEMS Trauma,,,48739.51,101717.23,4
RC,682,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC Trauma,,,80927.98,168893.18,4
RC,682,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC Trauma,,,38569.88,80493.67,4
RC,682,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY Trauma,,,27742.14,57896.64,4
RC,682,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size) Trauma",,,659.59,659.59,2
RC,682,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles Trauma",,,328.8,328.8,2
RC,682,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence Trauma",,,659.59,659.59,2
RC,682,"FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Trauma",,,444.48,444.48,2
RC,682,Fabrication and fitting of ocular conformer Trauma,,,962.16,962.16,2
RC,682,"Face mask interface, replacement for full face mask, each Trauma",,,102.89,102.89,2
RC,682,Face tent Trauma,,,6.17,6.17,2
RC,682,"Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour Trauma",,,70.37,70.37,2
RC,682,"Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour Trauma",,,292.27,292.27,2
RC,682,Factor IX non-recombinant Trauma,,,3.37,3.37,2
RC,682,Factor inhibitor test Trauma,,,30.89,30.89,2
RC,682,Factor ix complex Trauma,,,4.19,4.19,2
RC,682,Factor ix idelvion inj Trauma,,,13.22,13.22,2
RC,682,Factor ix recomb gly rebin Trauma,,,11.22,11.22,2
RC,682,Factor ix recombinant nos Trauma,,,4.47,4.47,2
RC,682,Factor viia recomb sevenfa Trauma,,,5.27,5.27,2
RC,682,Factor viii Trauma,,,2.99,2.99,2
RC,682,Factor viii recombinant Trauma,,,3.79,3.79,2
RC,682,"Fat differential, feces, quantitative Trauma",,,55.13,55.13,2
RC,682,"Fat or lipids, feces; qualitative Trauma",,,12.24,12.24,2
RC,682,"Fat or lipids, feces; quantitative Trauma",,,40.32,40.32,2
RC,682,"Fat stain, feces, urine, or respiratory secretions Trauma",,,14.11,14.11,2
RC,682,"Fatty acids, nonesterified Trauma",,,45.05,45.05,2
RC,682,FecalÂmicrobiota jslm 1 m Trauma,,,157.45,157.45,2
RC,682,Felbamate Trauma,,,44.74,44.74,2
RC,682,"Female external urinary collection cup, with or without ring attachment, per day Trauma",,,20.64,20.64,2
RC,682,"Female external urinary collection device; meatal cup, each Trauma",,,144.55,144.55,2
RC,682,"Female external urinary collection device; pouch, each Trauma",,,33.74,33.74,2
RC,682,Fern test Trauma,,,23.38,23.38,2
RC,682,Ferritin Trauma,,,32.71,32.71,2
RC,682,"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy Trauma",,,1908.0,1908.0,2
RC,682,"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 Trauma",,,1821.72,1821.72,2
RC,682,"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood Trauma",,,1821.72,1821.72,2
RC,682,"Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score Trauma",,,166.85,166.85,2
RC,682,"Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG ºany form», DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from pr",,,368.4,368.4,2
RC,682,"Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score Trauma",,,133.3,133.3,2
RC,682,"Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal serum, algorithm reported as a risk score Trauma",,,3569.69,3569.69,2
RC,682,"Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG ºany form»), utilizing maternal serum, algorithm reported as a risk score Trauma",,,130.32,130.32,2
RC,682,"Fetal fibronectin, cervicovaginal secretions, semi-quantitative Trauma",,,154.58,154.58,2
RC,682,Fetal lung maturity assessment; fluorescence polarization Trauma,,,45.38,45.38,2
RC,682,Fetal lung maturity assessment; foam stability test Trauma,,,45.38,45.38,2
RC,682,Fetal lung maturity assessment; lamellar body density Trauma,,,46.37,46.37,2
RC,682,Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio Trauma,,,52.78,52.78,2
RC,682,"Fibrin degradation products, D-dimer; qualitative or semiquantitative Trauma",,,23.33,23.33,2
RC,682,"Fibrin degradation products, D-dimer; quantitative Trauma",,,24.43,24.43,2
RC,682,"Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative Trauma",,,24.43,24.43,2
RC,682,"Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative Trauma",,,16.54,16.54,2
RC,682,Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation Trauma,,,193.1,193.1,2
RC,682,Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Trauma,,,29.83,29.83,2
RC,682,Fibrinogen; activity Trauma,,,23.33,23.33,2
RC,682,Fibrinogen; antigen Trauma,,,34.7,34.7,2
RC,682,"Fibrinolysins or coagulopathy screen, interpretation and report Trauma",,,37.15,37.15,2
RC,682,Fibrinolytic factors and inhibitors; alpha-2 antiplasmin Trauma,,,18.5,18.5,2
RC,682,Fibrinolytic factors and inhibitors; plasmin Trauma,,,18.5,18.5,2
RC,682,Fibrinolytic factors and inhibitors; plasminogen activator Trauma,,,41.26,41.26,2
RC,682,"Fibrinolytic factors and inhibitors; plasminogen, antigenic assay Trauma",,,24.43,24.43,2
RC,682,"Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay Trauma",,,15.67,15.67,2
RC,682,"Filter for use in a tracheostoma heat and moisture exchange system, each Trauma",,,2.33,2.33,2
RC,682,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each Trauma",,,4.82,4.82,2
RC,682,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each Trauma",,,8.54,8.54,2
RC,682,"Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each Trauma",,,38.81,38.81,2
RC,682,"Filter, disposable, used with aerosol compressor or ultrasonic generator Trauma",,,1.75,1.75,2
RC,682,"Filter, disposable, used with positive airway pressure device Trauma",,,6.19,6.19,2
RC,682,"Filter, non disposable, used with positive airway pressure device Trauma",,,18.17,18.17,2
RC,682,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator Trauma",,,9.82,9.82,2
RC,682,"Filters for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,90.72,90.72,2
RC,682,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment Trauma",,,596.33,596.33,2
RC,682,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf Trauma",,,142.54,142.54,2
RC,682,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, o",,,94.42,94.42,2
RC,682,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment Trauma",,,575.81,575.81,2
RC,682,"Finger splint, static Trauma",,,6.43,6.43,2
RC,682,"Fixed, adjustable height armrest, pair Trauma",,,136.97,136.97,2
RC,682,Flebogamma injection Trauma,,,217.78,217.78,2
RC,682,Flecainide Trauma,,,44.74,44.74,2
RC,682,Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; Trauma,,,573.96,573.96,2
RC,682,Flexible endoscopic evaluation of swallowing by cine or video recording; Trauma,,,500.9,500.9,2
RC,682,"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; Trauma",,,381.94,381.94,2
RC,682,Florbetaben f18 diagnostic Trauma,,,3803.21,3803.21,2
RC,682,Flortaucipir inj 1 millicu Trauma,,,890.4,890.4,2
RC,682,Flotufolastat f18 diag 1 m Trauma,,,1746.14,1746.14,2
RC,682,Floxuridine injection Trauma,,,10551.58,10551.58,2
RC,682,Fluciclovine f-18 Trauma,,,773.45,773.45,2
RC,682,Fluocinol acet intravit im Trauma,,,1239.37,1239.37,2
RC,682,Fluocinolone acetonide imp Trauma,,,813.13,813.13,2
RC,682,"Fluorescent noninfectious agent antibody; screen, each antibody Trauma",,,28.92,28.92,2
RC,682,"Fluorescent noninfectious agent antibody; titer, each antibody Trauma",,,28.92,28.92,2
RC,682,Fluoride Trauma,,,44.5,44.5,2
RC,682,Fluorodopa f-18 diag per m Trauma,,,2053.32,2053.32,2
RC,682,Fluoroestradiol F 18 Trauma,,,1105.01,1105.01,2
RC,682,Flutemetamol f18 diagnosti Trauma,,,4665.62,4665.62,2
RC,682,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,33.22,33.22,2
RC,682,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,25.56,25.56,2
RC,682,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,68.16,68.16,2
RC,682,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Trauma",,,35.23,35.23,2
RC,682,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,100.46,100.46,2
RC,682,Folic acid; RBC Trauma,,,42.36,42.36,2
RC,682,Folic acid; serum Trauma,,,35.28,35.28,2
RC,682,"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf Trauma",,,229.08,229.08,2
RC,682,"Foot rest, for use with commode chair, each Trauma",,,226.54,226.54,2
RC,682,"Foot, abduction rotation bar, including shoes Trauma",,,264.07,264.07,2
RC,682,"Foot, abduction rotation bar, without shoes Trauma",,,241.39,241.39,2
RC,682,"Foot, arch support, non-removable attached to shoe, longitudinal, each Trauma",,,94.27,94.27,2
RC,682,"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each Trauma",,,120.74,120.74,2
RC,682,"Foot, arch support, non-removable attached to shoe, metatarsal, each Trauma",,,94.27,94.27,2
RC,682,"Foot, arch support, removable, premolded, longitudinal, each Trauma",,,139.56,139.56,2
RC,682,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each Trauma",,,218.74,218.74,2
RC,682,"Foot, arch support, removable, premolded, metatarsal, each Trauma",,,139.56,139.56,2
RC,682,"Foot, insert, removable, formed to patient foot, each Trauma",,,226.34,226.34,2
RC,682,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each Trauma",,,931.58,931.58,2
RC,682,"Foot, insert, removable, molded to patient model, longitudinal arch support, each Trauma",,,516.7,516.7,2
RC,682,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each Trauma",,,588.36,588.36,2
RC,682,"Foot, insert, removable, molded to patient model, plastazote or equal, each Trauma",,,478.92,478.92,2
RC,682,"Foot, insert, removable, molded to patient model, silicone gel, each Trauma",,,516.7,516.7,2
RC,682,"Foot, insert, removable, molded to patient model, spenco, each Trauma",,,392.23,392.23,2
RC,682,"Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each Trauma",,,363.17,363.17,2
RC,682,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each Trauma",,,150.89,150.89,2
RC,682,"Footrest, complete assembly, replacement only, each Trauma",,,164.78,164.78,2
RC,682,"Footrest, lower extension tube, replacement only, each Trauma",,,57.53,57.53,2
RC,682,"Footrest, upper hanger bracket, replacement only, each Trauma",,,49.06,49.06,2
RC,682,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe Trauma",,,217.51,217.51,2
RC,682,"For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe Trauma",,,652.32,652.32,2
RC,682,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe Trauma",,,109.9,109.9,2
RC,682,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe Trauma",,,109.9,109.9,2
RC,682,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe Trauma",,,109.9,109.9,2
RC,682,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe Trauma",,,109.9,109.9,2
RC,682,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durom",,,132.38,132.38,2
RC,682,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer",,,88.7,88.7,2
RC,682,"For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, incl",,,132.38,132.38,2
RC,682,"For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe Trauma",,,109.9,109.9,2
RC,682,Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) Trauma,,,274.73,274.73,2
RC,682,Fosphenytoin inj pe Trauma,,,1.6,1.6,2
RC,682,Fr frz plasma donor retest Trauma,,,127.8,127.8,2
RC,682,"Fracture frame, attached to bed, includes weights Trauma",,,157.87,157.87,2
RC,682,"Fracture frame, attachments for complex cervical traction Trauma",,,1705.34,1705.34,2
RC,682,"Fracture frame, attachments for complex pelvic traction Trauma",,,1763.16,1763.16,2
RC,682,"Fracture frame, free standing, includes weights Trauma",,,156.24,156.24,2
RC,682,"Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) Trauma",,,175.25,175.25,2
RC,682,"Frames, purchases Trauma",,,236.81,236.81,2
RC,682,"Front caster assembly, complete, with pneumatic tire, replacement only, each Trauma",,,315.7,315.7,2
RC,682,"Front caster assembly, complete, with semi-pneumatic tire, replacement only, each Trauma",,,197.9,197.9,2
RC,682,"Front caster assembly, complete, with solid tire, replacement only, each Trauma",,,160.97,160.97,2
RC,682,"Frozen plasma, pooled, sd Trauma",,,134.3,134.3,2
RC,682,"Fructose, semen Trauma",,,41.62,41.62,2
RC,682,"Full face mask used with positive airway pressure device, each Trauma",,,265.32,265.32,2
RC,682,"Full sole and heel wedge, between sole Trauma",,,162.12,162.12,2
RC,682,"Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest Trauma",,,318.46,318.46,2
RC,682,"Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests Trauma",,,366.48,366.48,2
RC,682,"Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests Trauma",,,296.14,296.14,2
RC,682,"Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completi",,,3785.14,3785.14,2
RC,682,"G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X) Trauma",,,140.38,140.38,2
RC,682,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-) Trauma",,,419.54,419.54,2
RC,682,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence Trauma",,,1440.0,1440.0,2
RC,682,"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s) Trauma",,,900.6,900.6,2
RC,682,"GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A) Trauma",,,113.4,113.4,2
RC,682,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence Trauma",,,242.69,242.69,2
RC,682,"GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants Trauma",,,147.65,147.65,2
RC,682,"GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb ºdel(GJB6-D13S1830)» and 232kb ºdel(GJB6-D13S1854)») Trauma",,,84.0,84.0,2
RC,682,"Gabapentin, whole blood, serum, or plasma Trauma",,,52.01,52.01,2
RC,682,"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only Trauma",,,2828.78,2828.78,2
RC,682,"Galactokinase, RBC Trauma",,,51.55,51.55,2
RC,682,Galactose Trauma,,,26.88,26.88,2
RC,682,Galactose-1-phosphate uridyl transferase; quantitative Trauma,,,50.57,50.57,2
RC,682,Galactose-1-phosphate uridyl transferase; screen Trauma,,,28.18,28.18,2
RC,682,Galectin-3 Trauma,,,106.2,106.2,2
RC,682,Gallium ga-68 Trauma,,,119.11,119.11,2
RC,682,Gallium ga-68 dotatoc Trauma,,,8.66,8.66,2
RC,682,Gallium ga-68 psma-11 ucsf Trauma,,,1320.31,1320.31,2
RC,682,"Gallium ga-68 psma-11, ucl Trauma",,,872.4,872.4,2
RC,682,Gallium gozellix 1 millicu Trauma,,,2811.12,2811.12,2
RC,682,Gallium illuccix 1 millicu Trauma,,,1148.45,1148.45,2
RC,682,Gallium locametz 1 millicu Trauma,,,870.0,870.0,2
RC,682,Galsulfase injection Trauma,,,1262.32,1262.32,2
RC,682,Gammagard liquid/erc inj Trauma,,,118.33,118.33,2
RC,682,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each Trauma",,,22.32,22.32,2
RC,682,Gammaglobulin (immunoglobulin); IgE Trauma,,,39.5,39.5,2
RC,682,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each Trauma",,,19.25,19.25,2
RC,682,Gammaplex IVIG Trauma,,,159.05,159.05,2
RC,682,Gamunex-C/Gammaked Trauma,,,117.63,117.63,2
RC,682,"Gases, blood, O2 saturation only, by direct measurement, except pulse oximetry Trauma",,,23.45,23.45,2
RC,682,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); Trauma",,,62.57,62.57,2
RC,682,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry Trauma",,,189.05,189.05,2
RC,682,"Gases, blood, pH only Trauma",,,26.4,26.4,2
RC,682,"Gasket or seal, for use with prosthetic socket insert, any type, each Trauma",,,331.61,331.61,2
RC,682,"Gastric acid analysis, includes pH if performed, each specimen Trauma",,,16.1,16.1,2
RC,682,"Gastric suction pump, home model, portable or stationary, electric Trauma",,,162.24,162.24,2
RC,682,Gastrin Trauma,,,42.31,42.31,2
RC,682,Gastrin after secretin stimulation Trauma,,,42.46,42.46,2
RC,682,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,7.3,7.3,2
RC,682,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,8.3,8.3,2
RC,682,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,12.31,12.31,2
RC,682,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing Trauma",,,15.98,15.98,2
RC,682,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing Trauma",,,23.47,23.47,2
RC,682,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing Trauma",,,65.59,65.59,2
RC,682,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard Trauma",,,6.53,6.53,2
RC,682,"Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,12.31,12.31,2
RC,682,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,0.12,0.12,2
RC,682,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,3.26,3.26,2
RC,682,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,0.36,0.36,2
RC,682,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,8.86,8.86,2
RC,682,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,1.39,1.39,2
RC,682,"Gel or gel-like pressure pad for mattress, standard mattress length and width Trauma",,,518.04,518.04,2
RC,682,Gel pressure mattress Trauma,,,90.5,90.5,2
RC,682,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each Trauma",,,187.54,187.54,2
RC,682,"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 Trauma",,,6.48,6.48,2
RC,682,Gemcitabine intravesical s Trauma,,,175162.18,175162.18,2
RC,682,Gemtuzumab ozogamicin inj Trauma,,,593.69,593.69,2
RC,682,"General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,932.45,932.45,2
RC,682,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware Trauma",,,488.69,488.69,2
RC,682,"General use wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,253.85,253.85,2
RC,682,"General use wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,118.18,118.18,2
RC,682,"Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish-associated disorders ºeg, Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher ",,,5876.54,5876.54,2
RC,682,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) Trauma",,,5610.36,5610.36,2
RC,682,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Trauma",,,12074.88,12074.88,2
RC,682,"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)",,,6503.88,6503.88,2
RC,682,Gentamicin Trauma,,,39.31,39.31,2
RC,682,"Genvisc 850, inj, 1mg Trauma",,,9.14,9.14,2
RC,682,"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class Trauma",,,28.92,28.92,2
RC,682,Glucagon Trauma,,,34.3,34.3,2
RC,682,Glucagon hydrochloride Trauma,,,281.59,281.59,2
RC,682,Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) Trauma,,,110.57,110.57,2
RC,682,"Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2) Trauma",,,121.2,121.2,2
RC,682,Glucagon tolerance test Trauma,,,42.65,42.65,2
RC,682,"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use Trauma",,,7.87,7.87,2
RC,682,"Glucose, body fluid, other than blood Trauma",,,9.43,9.43,2
RC,682,Glucose-6-phosphate dehydrogenase (G6PD); quantitative Trauma,,,23.28,23.28,2
RC,682,Glucose-6-phosphate dehydrogenase (G6PD); screen Trauma,,,14.52,14.52,2
RC,682,"Glucose; blood, reagent strip Trauma",,,12.1,12.1,2
RC,682,Glucose; post glucose dose (includes glucose) Trauma,,,11.4,11.4,2
RC,682,"Glucose; quantitative, blood (except reagent strip) Trauma",,,9.43,9.43,2
RC,682,"Glucose; tolerance test (GTT), 3 specimens (includes glucose) Trauma",,,30.89,30.89,2
RC,682,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure) Trauma",,,9.41,9.41,2
RC,682,"Glucosidase, beta Trauma",,,51.55,51.55,2
RC,682,Glutamate dehydrogenase Trauma,,,31.56,31.56,2
RC,682,"Glutamyltransferase, gamma (GGT) Trauma",,,17.28,17.28,2
RC,682,Glutathione Trauma,,,37.08,37.08,2
RC,682,"Glutathione reductase, RBC Trauma",,,22.66,22.66,2
RC,682,Glycated protein Trauma,,,40.22,40.22,2
RC,682,Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) Trauma,,,356.18,356.18,2
RC,682,"Gonadotropin, chorionic (hCG); free beta chain Trauma",,,36.7,36.7,2
RC,682,"Gonadotropin, chorionic (hCG); qualitative Trauma",,,18.05,18.05,2
RC,682,"Gonadotropin, chorionic (hCG); quantitative Trauma",,,36.12,36.12,2
RC,682,Gonadotropin; follicle stimulating hormone (FSH) Trauma,,,44.59,44.59,2
RC,682,Gonadotropin; luteinizing hormone (LH) Trauma,,,44.45,44.45,2
RC,682,"Gradient  compression arm sleeve and glove combination, each Trauma",,,247.32,247.32,2
RC,682,"Gradient  compression arm sleeve, custom, heavy weight, each Trauma",,,387.67,387.67,2
RC,682,"Gradient  compression arm sleeve, custom, medium weight, each Trauma",,,468.38,468.38,2
RC,682,"Gradient  compression arm sleeve, each Trauma",,,190.92,190.92,2
RC,682,"Gradient  compression glove, custom, heavy weight, each Trauma",,,746.3,746.3,2
RC,682,"Gradient compression arm sleeve and glove combination, custom, each Trauma",,,763.18,763.18,2
RC,682,"Gradient compression bandage roll, elastic long stretch, linear yard, any width, each Trauma",,,3.72,3.72,2
RC,682,"Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each Trauma",,,1.8,1.8,2
RC,682,"Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each Trauma",,,4.08,4.08,2
RC,682,"Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each Trauma",,,84.12,84.12,2
RC,682,"Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each Trauma",,,82.75,82.75,2
RC,682,"Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each Trauma",,,0.43,0.43,2
RC,682,"Gradient compression bandaging supply, high density foam pad, any size or shape, each Trauma",,,8.28,8.28,2
RC,682,"Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each Trauma",,,12.07,12.07,2
RC,682,"Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each Trauma",,,7.37,7.37,2
RC,682,"Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each Trauma",,,5.66,5.66,2
RC,682,"Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each Trauma",,,3.31,3.31,2
RC,682,"Gradient compression bandaging supply, padded foam, per linear yard, any width, each Trauma",,,3.77,3.77,2
RC,682,"Gradient compression bandaging supply, padded textile, per linear yard, any width, each Trauma",,,11.21,11.21,2
RC,682,"Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each Trauma",,,3.0,3.0,2
RC,682,"Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each Trauma",,,12.5,12.5,2
RC,682,"Gradient compression garment, arm, padded, for nighttime use, custom, each Trauma",,,1749.65,1749.65,2
RC,682,"Gradient compression garment, arm, padded, for nighttime use, each Trauma",,,737.42,737.42,2
RC,682,"Gradient compression garment, bra, for nighttime use, custom, each Trauma",,,2527.3,2527.3,2
RC,682,"Gradient compression garment, bra, for nighttime use, each Trauma",,,1599.41,1599.41,2
RC,682,"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each Trauma",,,3058.68,3058.68,2
RC,682,"Gradient compression garment, full leg and foot, padded, for nighttime use, each Trauma",,,1663.34,1663.34,2
RC,682,"Gradient compression garment, genital region, custom, each Trauma",,,1634.02,1634.02,2
RC,682,"Gradient compression garment, genital region, each Trauma",,,271.87,271.87,2
RC,682,"Gradient compression garment, glove, padded, for nighttime use, custom, each Trauma",,,1204.2,1204.2,2
RC,682,"Gradient compression garment, glove, padded, for nighttime use, each Trauma",,,303.48,303.48,2
RC,682,"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each Trauma",,,1857.36,1857.36,2
RC,682,"Gradient compression garment, lower leg and foot, padded, for nighttime use, each Trauma",,,920.02,920.02,2
RC,682,"Gradient compression garment, neck/head, custom, each Trauma",,,1921.01,1921.01,2
RC,682,"Gradient compression garment, neck/head, each Trauma",,,611.4,611.4,2
RC,682,"Gradient compression garment, toe caps, custom, each Trauma",,,598.63,598.63,2
RC,682,"Gradient compression garment, toe caps, each Trauma",,,252.26,252.26,2
RC,682,"Gradient compression garment, torso and shoulder, each Trauma",,,399.02,399.02,2
RC,682,"Gradient compression garment, torso/shoulder, custom, each Trauma",,,2272.18,2272.18,2
RC,682,"Gradient compression gauntlet, custom, each Trauma",,,421.08,421.08,2
RC,682,"Gradient compression gauntlet, each Trauma",,,116.83,116.83,2
RC,682,"Gradient compression glove, custom, medium weight, each Trauma",,,751.82,751.82,2
RC,682,"Gradient compression glove, each Trauma",,,175.18,175.18,2
RC,682,"Gradient compression stocking, below knee, 18-30 mmhg, custom, each Trauma",,,543.31,543.31,2
RC,682,"Gradient compression stocking, below knee, 18-30 mmhg, each Trauma",,,93.77,93.77,2
RC,682,"Gradient compression stocking, below knee, 30-40 mmhg, custom, each Trauma",,,543.31,543.31,2
RC,682,"Gradient compression stocking, below knee, 30-40 mmhg, each Trauma",,,139.13,139.13,2
RC,682,"Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each Trauma",,,147.98,147.98,2
RC,682,"Gradient compression stocking, below knee, 40 mmhg or greater, custom, each Trauma",,,543.31,543.31,2
RC,682,"Gradient compression stocking, below knee, 40 mmhg or greater, each Trauma",,,191.33,191.33,2
RC,682,"Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each Trauma",,,208.51,208.51,2
RC,682,"Gradient compression stocking, full length/chap style, 18-30 mmhg, each Trauma",,,177.48,177.48,2
RC,682,"Gradient compression stocking, full length/chap style, 30-40 mmhg, each Trauma",,,210.41,210.41,2
RC,682,"Gradient compression stocking, full length/chap style, 40 mmhg or greater, each Trauma",,,246.36,246.36,2
RC,682,"Gradient compression stocking, garter belt Trauma",,,93.36,93.36,2
RC,682,"Gradient compression stocking, thigh length, 18-30 mmhg, custom, each Trauma",,,744.6,744.6,2
RC,682,"Gradient compression stocking, thigh length, 18-30 mmhg, each Trauma",,,131.66,131.66,2
RC,682,"Gradient compression stocking, thigh length, 30-40 mmhg, custom, each Trauma",,,744.6,744.6,2
RC,682,"Gradient compression stocking, thigh length, 30-40 mmhg, each Trauma",,,150.36,150.36,2
RC,682,"Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each Trauma",,,768.41,768.41,2
RC,682,"Gradient compression stocking, thigh length, 40 mmhg or greater, each Trauma",,,173.11,173.11,2
RC,682,"Gradient compression stocking, waist length, 18-30 mmhg, custom, each Trauma",,,2436.89,2436.89,2
RC,682,"Gradient compression stocking, waist length, 18-30 mmhg, each Trauma",,,234.86,234.86,2
RC,682,"Gradient compression stocking, waist length, 30-40 mmhg, custom, each Trauma",,,2436.89,2436.89,2
RC,682,"Gradient compression stocking, waist length, 30-40 mmhg, each Trauma",,,280.03,280.03,2
RC,682,"Gradient compression stocking, waist length, 40 mmhg or greater, custom, each Trauma",,,2625.07,2625.07,2
RC,682,"Gradient compression stocking, waist length, 40 mmhg or greater, each Trauma",,,331.7,331.7,2
RC,682,"Gradient compression wrap with adjustable straps, above knee, each Trauma",,,455.04,455.04,2
RC,682,"Gradient compression wrap with adjustable straps, arm, each Trauma",,,585.29,585.29,2
RC,682,"Gradient compression wrap with adjustable straps, below knee, each Trauma",,,384.31,384.31,2
RC,682,"Gradient compression wrap with adjustable straps, foot, each Trauma",,,175.61,175.61,2
RC,682,"Gradient compression wrap with adjustable straps, full leg, each Trauma",,,1340.62,1340.62,2
RC,682,"Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each Trauma",,,291.38,291.38,2
RC,682,"Gradient pressure wrap with adjustable straps, bra, each Trauma",,,231.05,231.05,2
RC,682,"Gravity assisted traction device, any type Trauma",,,148.44,148.44,2
RC,682,"Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community (eg, activities of daily living ºADLs», instrumental ADLs ºiADLs», tra",,,55.51,55.51,2
RC,682,"Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) Trauma",,,160.08,160.08,2
RC,682,Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) Trauma,,,310.39,310.39,2
RC,682,"Growth hormone, human (HGH) (somatotropin) Trauma",,,40.01,40.01,2
RC,682,"Growth hormone, human (HGH), antibody Trauma",,,37.78,37.78,2
RC,682,"Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1) Trauma",,,181.44,181.44,2
RC,682,HAND PROCEDURES FOR INJURIES Trauma,,,25102.19,52387.18,4
RC,682,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, Thai, Filipino, M",,,245.42,245.42,2
RC,682,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants Trauma",,,485.76,485.76,2
RC,682,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence Trauma",,,1440.0,1440.0,2
RC,682,"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant Trauma",,,900.6,900.6,2
RC,682,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) Trauma",,,419.54,419.54,2
RC,682,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s) Trauma",,,485.76,485.76,2
RC,682,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence Trauma",,,778.99,778.99,2
RC,682,"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s) Trauma",,,900.6,900.6,2
RC,682,"HEXA (hexosaminidase A ºalpha polypeptide») (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S) Trauma",,,123.48,123.48,2
RC,682,"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D) Trauma",,,156.86,156.86,2
RC,682,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC Trauma,,,69658.64,145374.55,4
RC,682,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC Trauma,,,32316.76,67443.67,4
RC,682,HIV WITH MAJOR RELATED CONDITION WITH CC Trauma,,,17928.36,37415.71,4
RC,682,HIV WITH MAJOR RELATED CONDITION WITH MCC Trauma,,,34981.36,73004.57,4
RC,682,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC Trauma,,,13723.52,28640.4,4
RC,682,HIV WITH OR WITHOUT OTHER RELATED CONDITION Trauma,,,17957.3,37476.1,4
RC,682,"HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1 Trauma",,,829.37,829.37,2
RC,682,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1 Trauma",,,965.09,965.09,2
RC,682,"HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing) Trauma",,,970.85,970.85,2
RC,682,"HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C) Trauma",,,804.91,804.91,2
RC,682,"HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each Trauma",,,407.76,407.76,2
RC,682,"HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each Trauma",,,425.4,425.4,2
RC,682,"HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C) Trauma",,,968.62,968.62,2
RC,682,"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each Trauma",,,178.39,178.39,2
RC,682,"HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each Trauma",,,305.83,305.83,2
RC,682,"HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each Trauma",,,261.91,261.91,2
RC,682,"HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Trauma",,,296.83,296.83,2
RC,682,"HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 Trauma",,,529.78,529.78,2
RC,682,"HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each Trauma",,,227.38,227.38,2
RC,682,"HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each Trauma",,,293.33,293.33,2
RC,682,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen Trauma",,,61.94,61.94,2
RC,682,"HLA typing; A, B, or C, multiple antigens Trauma",,,139.2,139.2,2
RC,682,"HLA typing; DR/DQ, multiple antigens Trauma",,,254.74,254.74,2
RC,682,"HLA typing; DR/DQ, single antigen Trauma",,,72.41,72.41,2
RC,682,"HLA typing; lymphocyte culture, mixed (MLC) Trauma",,,87.74,87.74,2
RC,682,"HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size) Trauma",,,659.59,659.59,2
RC,682,"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,Hair analysis (excluding arsenic) Trauma,,,11.88,11.88,2
RC,682,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf Trauma",,,128.18,128.18,2
RC,682,Hallux implant Trauma,,,881.95,881.95,2
RC,682,"Halo procedure, cervical halo incorporated into jacket vest Trauma",,,7403.98,7403.98,2
RC,682,"Halo procedure, cervical halo incorporated into milwaukee type orthosis Trauma",,,8648.16,8648.16,2
RC,682,"Halo procedure, cervical halo incorporated into plaster body jacket Trauma",,,5989.46,5989.46,2
RC,682,Haloperidol Trauma,,,37.87,37.87,2
RC,682,"Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf Trauma",,,259.37,259.37,2
RC,682,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded,",,,227.21,227.21,2
RC,682,"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf Trauma",,,227.21,227.21,2
RC,682,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,866.83,866.83,2
RC,682,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,730.99,730.99,2
RC,682,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind",,,234.74,234.74,2
RC,682,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf Trauma",,,234.74,234.74,2
RC,682,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Trauma",,,285.1,285.1,2
RC,682,"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf Trauma",,,285.1,285.1,2
RC,682,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,730.99,730.99,2
RC,682,"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining Trauma",,,5216.64,5216.64,2
RC,682,"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining Trauma",,,4460.74,4460.74,2
RC,682,"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining Trauma",,,5246.45,5246.45,2
RC,682,"Hand restoration (shading, and measurements included), replacement glove for above Trauma",,,2249.04,2249.04,2
RC,682,Haptoglobin; phenotypes Trauma,,,64.54,64.54,2
RC,682,Haptoglobin; quantitative Trauma,,,30.19,30.19,2
RC,682,Headgear used with positive airway pressure device Trauma,,,54.94,54.94,2
RC,682,"Headset/headpiece for use with cochlear implant device, replacement Trauma",,,1340.09,1340.09,2
RC,682,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 gen",,,1630.97,1630.97,2
RC,682,"Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRN",,,3900.0,3900.0,2
RC,682,"Heat lamp, with stand, includes bulb, or infrared element Trauma",,,564.19,564.19,2
RC,682,"Heat lamp, without stand (table model), includes bulb, or infrared element Trauma",,,230.5,230.5,2
RC,682,Heavy duty wheelchair Trauma,,,205.63,205.63,2
RC,682,"Heavy duty wheelchair, detachable arms (desk or full length) elevating legrests Trauma",,,381.6,381.6,2
RC,682,"Heavy duty wheelchair, fixed full length arms, elevating legrest Trauma",,,353.14,353.14,2
RC,682,"Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,365.21,365.21,2
RC,682,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); qualitative, any number of analytes Trauma",,,50.26,50.26,2
RC,682,"Heavy metal (eg, antimony, arsenic, barium, beryllium, bismuth, gadolinium, mercury); quantitative, each, not elsewhere specified Trauma",,,52.7,52.7,2
RC,682,"Heel loop/holder, any type, with or without ankle strap, each Trauma",,,39.26,39.26,2
RC,682,"Heel or elbow protector, each Trauma",,,31.61,31.61,2
RC,682,Heel wedge Trauma,,,67.82,67.82,2
RC,682,"Heel wedge, sach Trauma",,,252.79,252.79,2
RC,682,"Heel, counter, leather reinforced Trauma",,,226.34,226.34,2
RC,682,"Heel, counter, plastic reinforced Trauma",,,475.2,475.2,2
RC,682,"Heel, new leather, standard Trauma",,,120.74,120.74,2
RC,682,"Heel, new rubber, standard Trauma",,,101.78,101.78,2
RC,682,"Heel, pad and depression for spur Trauma",,,184.78,184.78,2
RC,682,"Heel, sach cushion type Trauma",,,312.96,312.96,2
RC,682,"Heel, thomas extended to ball Trauma",,,184.78,184.78,2
RC,682,"Heel, thomas with wedge Trauma",,,173.47,173.47,2
RC,682,Heinz bodies; direct Trauma,,,10.08,10.08,2
RC,682,"Heinz bodies; induced, acetyl phenylhydrazine Trauma",,,16.37,16.37,2
RC,682,"Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Trauma",,,161.66,161.66,2
RC,682,"Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13) Trauma",,,161.66,161.66,2
RC,682,Helicobacter pylori; drug administration Trauma,,,18.86,18.86,2
RC,682,"Helmet, protective, hard, prefabricated, includes all components and accessories Trauma",,,524.57,524.57,2
RC,682,"Helmet, protective, soft, prefabricated, includes all components and accessories Trauma",,,524.57,524.57,2
RC,682,Hemagglutination inhibition test (HAI) Trauma,,,19.66,19.66,2
RC,682,"Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA express",,,1822.87,1822.87,4
RC,682,"Hemi-facial prosthesis, provided by a non-physician Trauma",,,12060.84,12060.84,2
RC,682,"Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests Trauma",,,285.19,285.19,2
RC,682,"Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest Trauma",,,228.91,228.91,2
RC,682,"Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Trauma",,,15539.71,15539.71,2
RC,682,"Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot Trauma",,,15061.1,15061.1,2
RC,682,"Hemoglobin (Hgb), quantitative, transcutaneous Trauma",,,12.05,12.05,2
RC,682,"Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F) Trauma",,,43.34,43.34,2
RC,682,"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F) Trauma",,,30.89,30.89,2
RC,682,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) Trauma",,,18.55,18.55,2
RC,682,"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette Trauma",,,22.46,22.46,2
RC,682,"Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin Trauma",,,22.49,22.49,2
RC,682,"Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Trauma",,,22.49,22.49,2
RC,682,Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) Trauma,,,32.02,32.02,2
RC,682,"Hemoglobin; F (fetal), chemical Trauma",,,25.78,25.78,2
RC,682,"Hemoglobin; F (fetal), qualitative Trauma",,,19.2,19.2,2
RC,682,"Hemoglobin; by copper sulfate method, non-automated Trauma",,,9.62,9.62,2
RC,682,Hemoglobin; glycosylated (A1C) Trauma,,,23.3,23.3,2
RC,682,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Trauma,,,23.3,23.3,2
RC,682,"Hemoglobin; methemoglobin, qualitative Trauma",,,15.58,15.58,2
RC,682,"Hemoglobin; methemoglobin, quantitative Trauma",,,19.68,19.68,2
RC,682,Hemoglobin; plasma Trauma,,,17.54,17.54,2
RC,682,"Hemoglobin; sulfhemoglobin, quantitative Trauma",,,21.12,21.12,2
RC,682,Hemoglobin; thermolabile Trauma,,,21.6,21.6,2
RC,682,"Hemoglobin; unstable, screen Trauma",,,22.73,22.73,2
RC,682,Hemoglobin; urine Trauma,,,9.48,9.48,2
RC,682,"Hemolysin, acid Trauma",,,21.29,21.29,2
RC,682,"Hemolysins and agglutinins; auto, screen, each Trauma",,,21.05,21.05,2
RC,682,Hemolysins and agglutinins; incubated Trauma,,,29.06,29.06,2
RC,682,"Hemosiderin, qualitative Trauma",,,11.4,11.4,2
RC,682,Hepagam b im injection Trauma,,,157.46,157.46,2
RC,682,Heparin assay Trauma,,,31.42,31.42,2
RC,682,Heparin neutralization Trauma,,,28.42,28.42,2
RC,682,Heparin-protamine tolerance test Trauma,,,31.42,31.42,2
RC,682,"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani",,,19.61,19.61,2
RC,682,Hepatitis A antibody (HAAb) Trauma,,,29.74,29.74,2
RC,682,"Hepatitis A antibody (HAAb), IgM antibody Trauma",,,27.02,27.02,2
RC,682,Hepatitis B core antibody (HBcAb); IgM antibody Trauma,,,28.25,28.25,2
RC,682,Hepatitis B core antibody (HBcAb); total Trauma,,,28.92,28.92,2
RC,682,Hepatitis B surface antibody (HBsAb) Trauma,,,25.78,25.78,2
RC,682,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
RC,682,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use Trauma",,,,,0
RC,682,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use Trauma",,,,,0
RC,682,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
RC,682,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
RC,682,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use Trauma",,,,,0
RC,682,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use Trauma",,,,,0
RC,682,Hepatitis Be antibody (HBeAb) Trauma,,,27.77,27.77,2
RC,682,Hepatitis C antibody; Trauma,,,34.25,34.25,2
RC,682,"Hepatitis C antibody; confirmatory test (eg, immunoblot) Trauma",,,37.18,37.18,2
RC,682,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,67.85,67.85,2
RC,682,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) Trauma",,,111.24,111.24,2
RC,682,"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer, hereditary pancreatic cancer, hereditary prostate cancer), genomic s",,,3129.48,3129.48,2
RC,682,"Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at lea",,,1403.76,1403.76,2
RC,682,"Hereditary colon cancer-related disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel, 5 or more genes, interrogati",,,3129.48,3129.48,2
RC,682,"Hereditary neuroendocrine tumor-related disorders (eg, medullary thyroid carcinoma, parathyroid carcinoma, malignant pheochromocytoma or paraganglioma), genomic sequence analysis panel, 5 or more gene",,,3129.48,3129.48,2
RC,682,"Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2,",,,1403.76,1403.76,2
RC,682,"Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of at least 15 genes, including ABCA4,",,,1434.98,1434.98,2
RC,682,Heterophile antibodies; screening Trauma,,,12.43,12.43,2
RC,682,Heterophile antibodies; titer Trauma,,,15.53,15.53,2
RC,682,Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Trauma,,,17.69,17.69,2
RC,682,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inche",,,20.16,20.16,2
RC,682,"High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each Trauma",,,98.3,98.3,2
RC,682,"High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each Trauma",,,148.78,148.78,2
RC,682,"High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each Trauma",,,3636.29,3636.29,2
RC,682,"High mount flip-up footrest, each Trauma",,,133.22,133.22,2
RC,682,"High strength lightweight wheelchair, detachable arms desk or full length, swing away detachable elevating leg rests Trauma",,,438.34,438.34,2
RC,682,"High strength lightweight wheelchair, fixed full length arms, swing away detachable elevating leg rests Trauma",,,367.87,367.87,2
RC,682,"High strength, lightweight wheelchair Trauma",,,139.08,139.08,2
RC,682,"Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Trauma",,,14927.59,14927.59,2
RC,682,"Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot Trauma",,,15244.97,15244.97,2
RC,682,"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot Trauma",,,15177.34,15177.34,2
RC,682,"Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated Trauma",,,503.64,503.64,2
RC,682,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated Trauma",,,1721.47,1721.47,2
RC,682,"Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated Trauma",,,1341.29,1341.29,2
RC,682,"Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated Trauma",,,494.52,494.52,2
RC,682,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated Trauma",,,1299.91,1299.91,2
RC,682,"Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated Trauma",,,1054.68,1054.68,2
RC,682,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated Trauma",,,4094.38,4094.38,2
RC,682,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment Trauma",,,2746.8,2746.8,2
RC,682,"Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated Trauma",,,3880.32,3880.32,2
RC,682,"Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an",,,121.08,121.08,2
RC,682,"Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an in",,,398.71,398.71,2
RC,682,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by",,,355.39,355.39,2
RC,682,"Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated Trauma",,,475.8,475.8,2
RC,682,"Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment Trauma",,,674.86,674.86,2
RC,682,"Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated Trauma",,,1272.58,1272.58,2
RC,682,"Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment Trauma",,,471.98,471.98,2
RC,682,"Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, mol",,,5493.6,5493.6,2
RC,682,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled",,,1057.15,1057.15,2
RC,682,"Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf Trauma",,,1057.15,1057.15,2
RC,682,Histamine Trauma,,,70.87,70.87,2
RC,682,"Hiv antigen/antibody, combination assay, screening Trauma",,,57.79,57.79,2
RC,682,"Hiv prep, ftc/taf 200/25mg Trauma",,,171.42,171.42,2
RC,682,"Hiv prep, ftc/tdf 200/300m Trauma",,,1.09,1.09,2
RC,682,"Hiv prep, inj, cabotegravi Trauma",,,17.51,17.51,2
RC,682,"Hiv prep, inj, lenacapavir Trauma",,,38.59,38.59,2
RC,682,"Hiv prep, oral lenacapavir Trauma",,,1490.18,1490.18,2
RC,682,"Holster for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,1526.16,1526.16,2
RC,682,Home blood glucose monitor Trauma,,,228.55,228.55,2
RC,682,Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge Trauma,,,130.85,130.85,2
RC,682,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) Trauma",,,3264.79,3264.79,2
RC,682,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) Trauma",,,3264.79,3264.79,2
RC,682,"Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions Trauma",,,3489.19,3489.19,2
RC,682,"Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all acc",,,3788.83,3788.83,2
RC,682,Homocysteine Trauma,,,43.01,43.01,2
RC,682,"Homogenization, tissue, for culture Trauma",,,14.11,14.11,2
RC,682,Homovanillic acid (HVA) Trauma,,,53.78,53.78,2
RC,682,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress Trauma",,,1505.04,1505.04,2
RC,682,"Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress Trauma",,,1448.86,1448.86,2
RC,682,"Hospital bed, fixed height, with any type side rails, with mattress Trauma",,,184.68,184.68,2
RC,682,"Hospital bed, fixed height, with any type side rails, without mattress Trauma",,,170.69,170.69,2
RC,682,"Hospital bed, fixed height, without side rails, with mattress Trauma",,,169.44,169.44,2
RC,682,"Hospital bed, fixed height, without side rails, without mattress Trauma",,,129.0,129.0,2
RC,682,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress Trauma",,,513.41,513.41,2
RC,682,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress Trauma",,,503.81,503.81,2
RC,682,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress Trauma",,,187.58,187.58,2
RC,682,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress Trauma",,,186.86,186.86,2
RC,682,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress Trauma",,,187.25,187.25,2
RC,682,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress Trauma",,,186.86,186.86,2
RC,682,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress Trauma",,,441.62,441.62,2
RC,682,"Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress Trauma",,,384.26,384.26,2
RC,682,"Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress Trauma",,,344.57,344.57,2
RC,682,"Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress Trauma",,,304.06,304.06,2
RC,682,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress Trauma",,,187.06,187.06,2
RC,682,"Hospital bed, variable height, hi-lo, with any type side rails, without mattress Trauma",,,178.01,178.01,2
RC,682,"Hospital bed, variable height, hi-lo, without side rails, with mattress Trauma",,,179.5,179.5,2
RC,682,"Hospital bed, variable height, hi-lo, without side rails, without mattress Trauma",,,163.66,163.66,2
RC,682,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each Trauma",,,9.82,9.82,2
RC,682,"Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each Trauma",,,16.03,16.03,2
RC,682,"Human Platelet Antigen 1 genotyping (HPA-1), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,293.33,293.33,2
RC,682,"Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109 molecule) (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, common variant, HPA-15a/b (S682Y) Trau",,,293.33,293.33,2
RC,682,"Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib ºplatelet», alpha polypeptide ºGPIba») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), gene analysis, c",,,293.33,293.33,2
RC,682,"Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex», antigen CD41 ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-tr",,,293.33,293.33,2
RC,682,"Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa», antigen CD61 ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), g",,,293.33,293.33,2
RC,682,"Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 ºCD49B, alpha 2 subunit of VLA-2 receptor» ºGPIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ge",,,293.33,293.33,2
RC,682,"Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 ºplatelet glycoprotein IIIa, antigen CD61» ºGPIIIa») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-transfusion purpura), ",,,293.33,293.33,2
RC,682,"Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b ºplatelet glycoprotein IIb of IIb/IIIa complex, antigen CD41» ºGPIIb») (eg, neonatal alloimmune thrombocytopenia ºNAIT», post-t",,,293.33,293.33,2
RC,682,Human epididymis protein 4 (HE4) Trauma,,,49.94,49.94,2
RC,682,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) Trauma",,,87.67,87.67,2
RC,682,"Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution Trauma",,,262.78,262.78,2
RC,682,"Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery Trauma",,,171.48,171.48,2
RC,682,"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery Trauma",,,448.03,448.03,2
RC,682,"Humidifier, heated, used with positive airway pressure device Trauma",,,417.19,417.19,2
RC,682,"Humidifier, non-heated, used with positive airway pressure device Trauma",,,221.35,221.35,2
RC,682,"Hyaluronan, hymo or hymo o Trauma",,,43.51,43.51,2
RC,682,"Hydrocollator unit, includes pads Trauma",,,1129.92,1129.92,2
RC,682,"Hydrocollator unit, portable Trauma",,,1538.57,1538.57,2
RC,682,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,27.05,27.05,2
RC,682,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,22.39,22.39,2
RC,682,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,78.0,78.0,2
RC,682,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,57.53,57.53,2
RC,682,"Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,93.19,93.19,2
RC,682,"Hydrocolloid dressing, wound filler, dry form, sterile, per gram Trauma",,,8.78,8.78,2
RC,682,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce Trauma",,,41.88,41.88,2
RC,682,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,24.86,24.86,2
RC,682,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,20.71,20.71,2
RC,682,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,33.98,33.98,2
RC,682,"Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,42.14,42.14,2
RC,682,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Trauma",,,81.34,81.34,2
RC,682,"Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,134.38,134.38,2
RC,682,"Hydrogel dressing, wound filler, gel, per fluid ounce Trauma",,,55.56,55.56,2
RC,682,Hydroxychloroquine Trauma,,,44.74,44.74,2
RC,682,"Hydroxycorticosteroids, 17- (17-OHCS) Trauma",,,42.96,42.96,2
RC,682,"Hydroxyindolacetic acid, 5-(HIAA) Trauma",,,30.96,30.96,2
RC,682,"Hydroxyprogesterone, 17-d Trauma",,,65.21,65.21,2
RC,682,Hydroxyproline; free Trauma,,,54.36,54.36,2
RC,682,Hydroxyproline; total Trauma,,,58.32,58.32,2
RC,682,"I125 iothalamate, dx Trauma",,,1559.14,1559.14,2
RC,682,"I125 serum albumin, dx Trauma",,,1125.74,1125.74,2
RC,682,"I131 iodobenguate, dx Trauma",,,2287.22,2287.22,2
RC,682,"IDH1 (isocitrate dehydrogenase 1 ºNADP+», soluble) (eg, glioma), common variants (eg, R132H, R132C) Trauma",,,463.8,463.8,2
RC,682,"IDH2 (isocitrate dehydrogenase 2 ºNADP+», mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) Trauma",,,709.9,709.9,2
RC,682,"IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant Trauma",,,176.09,176.09,2
RC,682,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis Trauma",,,706.85,706.85,2
RC,682,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg, polymerase chain reaction",,,475.18,475.18,2
RC,682,"IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot) Trauma",,,164.52,164.52,2
RC,682,"IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative Trauma",,,497.54,497.54,2
RC,682,"IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Trauma",,,414.55,414.55,2
RC,682,"IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P) Trauma",,,94.34,94.34,2
RC,682,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,14541.34,30347.14,4
RC,682,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,19395.7,40477.99,4
RC,682,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11160.75,23292.0,4
RC,682,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC Trauma,,,25464.47,53143.25,4
RC,682,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Trauma,,,56981.97,118918.9,4
RC,682,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,20095.62,41938.68,4
RC,682,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Trauma,,,19942.35,41618.81,4
RC,682,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC Trauma,,,12742.79,26593.66,4
RC,682,Ibuprofen injection Trauma,,,7.8,7.8,2
RC,682,Ibutilide fumarate injecti Trauma,,,422.14,422.14,2
RC,682,Idecabtagene vicleucel car Trauma,,,1363146.72,1363146.72,2
RC,682,Idursulfase injection Trauma,,,1368.1,1368.1,2
RC,682,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow Trau",,,5399.26,5399.26,2
RC,682,"Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular",,,7469.33,7469.33,2
RC,682,"Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment Traum",,,1478.57,1478.57,2
RC,682,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow Tra",,,3588.84,3588.84,2
RC,682,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation Trauma",,,4903.49,4903.49,2
RC,682,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment Trauma",,,1227.62,1227.62,2
RC,682,"Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee Trauma",,,4001.33,4001.33,2
RC,682,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee Trauma",,,1602.6,1602.6,2
RC,682,"Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee Trauma",,,1202.86,1202.86,2
RC,682,"Immediate post surgical or early fitting, application of rigid dressing only Trauma",,,1291.7,1291.7,2
RC,682,"Immediate post surgical or early fitting, each additional cast change and realignment Trauma",,,1179.94,1179.94,2
RC,682,"Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers Trauma",,,3588.84,3588.84,2
RC,682,Immersion external heater for nebulizer Trauma,,,391.3,391.3,2
RC,682,Immune complex assay Trauma,,,58.49,58.49,2
RC,682,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method Trauma",,,27.67,27.67,2
RC,682,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) Trauma",,,23.14,23.14,2
RC,682,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) Trauma",,,44.16,44.16,2
RC,682,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified Trauma",,,41.45,41.45,2
RC,682,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); Trauma",,,43.42,43.42,2
RC,682,"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disea",,,108.67,108.67,2
RC,682,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified Trauma",,,35.98,35.98,2
RC,682,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each Trauma",,,49.94,49.94,2
RC,682,"Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Trauma",,,61.37,61.37,2
RC,682,"Immunoassay for tumor antigen, quantitative; CA 125 Trauma",,,49.94,49.94,2
RC,682,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29) Trauma",,,49.94,49.94,2
RC,682,"Immunoassay for tumor antigen, quantitative; CA 19-9 Trauma",,,49.94,49.94,2
RC,682,"Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody Trauma",,,28.75,28.75,2
RC,682,Immunodiffusion; not elsewhere specified Trauma,,,33.72,33.72,2
RC,682,"Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration Trauma",,,55.51,55.51,2
RC,682,Immunoelectrophoresis; serum Trauma,,,71.81,71.81,2
RC,682,"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF) Trauma",,,70.44,70.44,2
RC,682,Immunofixation electrophoresis; serum Trauma,,,53.62,53.62,2
RC,682,"Immunoglobulin light chains (ie, kappa, lambda), free, each Trauma",,,41.45,41.45,2
RC,682,"Implantable breast prosthesis, silicone or equal Trauma",,,1834.73,1834.73,2
RC,682,"Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement Trauma",,,1616.14,1616.14,2
RC,682,Implantable neurostimulator radiofrequency receiver Trauma,,,17713.73,17713.73,2
RC,682,"Implantable neurostimulator, pulse generator, any type Trauma",,,24792.48,24792.48,2
RC,682,"Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) Trauma",,,27314.16,27314.16,2
RC,682,In111 capromab Trauma,,,4152.7,4152.7,2
RC,682,In111 oxyquinoline Trauma,,,1995.5,1995.5,2
RC,682,In111 pentetate Trauma,,,1789.49,1789.49,2
RC,682,Incobotulinumtoxin A Trauma,,,12.68,12.68,2
RC,682,"Incontinence supply, urethral insert, any type, each Trauma",,,4.92,4.92,2
RC,682,Indigotindisulfonate sod 1 Trauma,,,22.32,22.32,2
RC,682,Indium in-111 auto wbc Trauma,,,2647.66,2647.66,2
RC,682,Indium in-111 pentetreotid Trauma,,,4802.26,4802.26,2
RC,682,"Indwelling catheter, foley type, two-way, all silicone or polyurethane, each Trauma",,,54.74,54.74,2
RC,682,"Indwelling catheter; foley type, three way for continuous irrigation, each Trauma",,,66.98,66.98,2
RC,682,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each Trauma",,,41.95,41.95,2
RC,682,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each Trauma",,,108.6,108.6,2
RC,682,"Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each Trauma",,,834.6,834.6,2
RC,682,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening Trauma",,,46.97,46.97,2
RC,682,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening Trauma",,,43.9,43.9,2
RC,682,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening Trauma",,,28.75,28.75,2
RC,682,"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC",,,24.79,168.7,62
RC,682,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis Trauma",,,84.7,84.7,2
RC,682,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile toxin A Trauma",,,38.4,38.4,2
RC,682,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies Trauma",,,78.65,78.65,2
RC,682,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza Trauma",,,39.72,39.72,2
RC,682,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae Trauma",,,58.94,58.94,2
RC,682,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A Trauma",,,39.67,39.67,2
RC,682,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B Trauma",,,30.55,30.55,2
RC,682,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Trichomonas vaginalis Trauma",,,36.7,36.7,2
RC,682,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Trauma",,,52.22,52.22,2
RC,682,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified Trauma",,,38.57,38.57,2
RC,682,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus Trauma",,,31.44,31.44,2
RC,682,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») Trauma",,,99.31,99.31,2
RC,682,"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influe",,,178.75,178.75,2
RC,682,"Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum Trauma",,,28.75,28.75,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis Trauma,,,28.75,28.75,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis Trauma,,,28.75,28.75,2
RC,682,"Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA) Trauma",,,32.21,32.21,2
RC,682,"Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA) Trauma",,,32.21,32.21,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 Trauma,,,28.75,28.75,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 Trauma,,,28.75,28.75,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila Trauma,,,37.44,37.44,2
RC,682,"Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type Trauma",,,39.43,39.43,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii Trauma,,,28.75,28.75,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; Rubeola Trauma,,,145.92,145.92,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Trauma,,,29.23,29.23,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus Trauma,,,32.21,32.21,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; adenovirus Trauma,,,34.63,34.63,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium Trauma,,,28.75,28.75,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; giardia Trauma,,,32.66,32.66,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; influenza A virus Trauma,,,38.57,38.57,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; influenza B virus Trauma,,,29.4,29.4,2
RC,682,"Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism Trauma",,,38.64,38.64,2
RC,682,Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus Trauma,,,32.21,32.21,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique Trauma",,,168.48,168.48,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique Trauma",,,104.81,104.81,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism Trauma",,,72.07,72.07,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism Trauma",,,102.82,102.82,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification Trauma",,,102.82,102.82,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Trauma",,,48.12,48.12,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique Trauma",,,48.12,48.12,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Trauma",,,133.78,133.78,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Trauma",,,48.12,48.12,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Trauma",,,102.82,102.82,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique Trauma",,,168.43,168.43,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique Trauma",,,54.6,54.6,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Trauma",,,128.33,128.33,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique Trauma",,,89.45,89.45,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique Trauma",,,48.12,48.12,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification Trauma",,,100.22,100.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Trauma",,,52.61,52.61,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Trauma",,,204.24,204.24,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Trauma",,,52.61,52.61,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed Trauma",,,140.69,140.69,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Trauma",,,48.12,48.12,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification Trauma",,,102.82,102.82,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Trauma",,,139.2,139.2,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification Trauma",,,100.22,100.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44) Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types (eg, 16, 18, 31, 45, 51, 52) and high-risk pooled result(s) Trauma",,,168.48,168.48,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed Trauma",,,97.32,97.32,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique Trauma",,,48.12,48.12,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Trauma",,,100.22,100.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique Trauma",,,65.5,65.5,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Trauma",,,102.82,102.82,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique Trauma",,,115.78,115.78,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique Trauma",,,48.12,48.12,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Trauma",,,102.82,102.82,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique Trauma",,,100.03,100.03,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique Trauma",,,64.51,64.51,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Trauma",,,102.82,102.82,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacterium tuberculosis, rifampin resistance, amplified probe technique Trauma",,,184.25,184.25,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Trauma",,,48.12,48.12,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Trauma",,,726.29,726.29,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique Trauma",,,64.51,64.51,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Trauma",,,102.82,102.82,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Orthopoxvirus (eg, monkeypox virus, cowpox virus, vaccinia virus), amplified probe technique, each Trauma",,,123.14,123.14,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Trauma",,,48.12,48.12,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Trauma",,,100.22,100.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique Trauma",,,48.12,48.12,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique Trauma",,,123.14,123.14,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus",,,1000.27,1000.27,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique Trauma",,,72.07,72.07,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification Trauma",,,102.82,102.82,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcript",,,307.9,1000.27,6
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification Trauma",,,102.82,102.82,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Trauma",,,74.93,74.93,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Trauma",,,102.82,102.82,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification, including reverse transcription, when performed Trauma",,,102.82,102.82,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Trauma",,,94.22,94.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Trauma",,,71.52,71.52,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification Trauma",,,100.22,100.22,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe techn",,,70.13,229.92,4
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype Trauma",,,123.14,123.14,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); joint space pathogens and drug resistance genes, multiplex amplified probe technique, 26 or more targets Trauma",,,1631.45,1631.45,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique Trauma",,,168.48,168.48,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus)",,,342.31,1000.27,6
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») and influenza virus types A and B, multiplex ampl",,,342.31,342.31,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique Trauma",,,123.14,123.14,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), influenza virus types A and B, and respiratory s",,,342.31,342.31,2
RC,682,"Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique Trauma",,,84.22,84.22,2
RC,682,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,84.22,84.22,2
RC,682,Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics Trauma,,,312.84,312.84,2
RC,682,"Infectious agent enzymatic activity other than virus (eg, sialidase activity in vaginal fluid) Trauma",,,29.33,29.33,2
RC,682,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion) Trauma",,,308.95,308.95,2
RC,682,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions Trauma",,,617.88,617.88,2
RC,682,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus Trauma,,,617.88,617.88,2
RC,682,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus Trauma,,,617.88,617.88,2
RC,682,Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus Trauma,,,617.88,617.88,2
RC,682,"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), mutation identification in targeted regi",,,617.88,617.88,2
RC,682,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; each additional drug tested (List separately in addition to code for primary proce",,,62.57,62.57,2
RC,682,"Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested Trauma",,,1172.78,1172.78,2
RC,682,"Infectious disease, bacterial vaginosis and vaginitis, quantitative real-time amplification of DNA markers for Gardnerella vaginalis, Atopobium vaginae, Megasphaera type 1, Bacterial Vaginosis Associa",,,631.18,631.18,2
RC,682,"Infectious disease, bacterial vaginosis and vaginitis, real-time PCR amplification of DNA markers for Atopobium vaginae, Atopobium species, Megasphaera type 1, and Bacterial Vaginosis Associated Bacte",,,631.18,631.18,2
RC,682,"Infectious disease, bacterial vaginosis, quantitative real-time amplification of RNA markers for Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species, utilizing vaginal-fluid specimens,",,,342.31,342.31,2
RC,682,"Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic alg",,,173.26,173.26,2
RC,682,Infliximab Trauma,,,92.57,92.57,2
RC,682,Infliximab not biosimil 10 Trauma,,,75.55,75.55,2
RC,682,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, not otherwise specified Trauma",,,,,0
RC,682,"Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use Trauma",,,,,0
RC,682,"Influenza virus vaccine, split virus, for intramuscular use (agriflu) Trauma",,,,,0
RC,682,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) Trauma",,,,,0
RC,682,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) Trauma",,,,,0
RC,682,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) Trauma",,,,,0
RC,682,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) Trauma",,,,,0
RC,682,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use Trauma",,,,,0
RC,682,"Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) Trauma",,,28002.0,28002.0,2
RC,682,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) Trauma",,,829.3,829.3,2
RC,682,"Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) Trauma",,,14684.95,14684.95,2
RC,682,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) Trauma",,,117.77,117.77,2
RC,682,"Inherited bone marrow failure syndromes (IBMFS) (eg, Fanconi anemia, dyskeratosis congenita, Diamond-Blackfan anemia, Shwachman-Diamond syndrome, GATA2 deficiency syndrome, congenital amegakaryocytic ",,,5876.54,5876.54,2
RC,682,Inhibin A Trauma,,,37.42,37.42,2
RC,682,"Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Trauma",,,5219.04,5219.04,2
RC,682,"Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Trauma",,,3773.59,3773.59,2
RC,682,Inj  ogivri 10 mg Trauma,,,76.67,76.67,2
RC,682,Inj allopurinol sodium 1 m Trauma,,,9.78,9.78,2
RC,682,Inj amivantamab 5mg hyalur Trauma,,,97.78,97.78,2
RC,682,"Inj andexxa, 10 mg Trauma",,,314.79,314.79,2
RC,682,Inj anifrolumab-fnia 1mg Trauma,,,44.42,44.42,2
RC,682,Inj avacincaptad pegol 0.1 Trauma,,,247.69,247.69,2
RC,682,Inj aval alfa-nqpt 4mg Trauma,,,201.47,201.47,2
RC,682,Inj axatilimab-csfr 0.1 mg Trauma,,,135.51,135.51,2
RC,682,Inj belantamab mafodot blm Trauma,,,87.0,87.0,2
RC,682,Inj bimatoprost itc imp 1m Trauma,,,513.01,513.01,2
RC,682,"Inj brixadi, more than 7 d Trauma",,,4133.53,4133.53,2
RC,682,Inj ceftobipole medocarl 3 Trauma,,,2.64,2.64,2
RC,682,Inj ceftolozane tazobactam Trauma,,,24.09,24.09,2
RC,682,Inj cladribine per 1 mg Trauma,,,19.65,19.65,2
RC,682,"Inj cosibelimab-ipdl, 2 mg Trauma",,,53.46,53.46,2
RC,682,Inj crizanlizumab-tmca 5mg Trauma,,,311.85,311.85,2
RC,682,Inj cutaquig 100 mg Trauma,,,33.67,33.67,2
RC,682,"Inj cuvitru, 100 mg Trauma",,,43.55,43.55,2
RC,682,Inj cyclophos dr reddys 5 Trauma,,,1.2,1.2,2
RC,682,Inj cyclophos frindovyx 5 Trauma,,,21.41,21.41,2
RC,682,Inj cyclophosphamd auromed Trauma,,,1.18,1.18,2
RC,682,"Inj daunorubicin, cytarabi Trauma",,,654.93,654.93,2
RC,682,Inj daxibotulinumtoxina-la Trauma,,,7.36,7.36,2
RC,682,Inj delandistrogene mox ro Trauma,,,7960552.8,7960552.8,2
RC,682,Inj depemokimab-ulaa 1 mg Trauma,,,642.72,642.72,2
RC,682,Inj efgart-alfa 2mg hya-qv Trauma,,,82.22,82.22,2
RC,682,Inj efgartigimod 2mg Trauma,,,78.13,78.13,2
RC,682,Inj eflapegrastim-xnst 0.1 Trauma,,,92.55,92.55,2
RC,682,Inj elivaldogene autotemec Trauma,,,7632000.0,7632000.0,2
RC,682,Inj enfort vedo-ejfv 0.25m Trauma,,,87.98,87.98,2
RC,682,Inj epcoritamab-bysp 0.16 Trauma,,,139.18,139.18,2
RC,682,Inj estrogen conjugate Trauma,,,963.61,963.61,2
RC,682,Inj fam-trastu deru-nxki 1 Trauma,,,78.9,78.9,2
RC,682,Inj fensolvi 0.25 mg Trauma,,,348.75,348.75,2
RC,682,Inj ferric carboxymaltos 1 Trauma,,,2.72,2.72,2
RC,682,Inj fosfomycin disodium 20 Trauma,,,1.5,1.5,2
RC,682,"Inj fosnetupitant, palonos Trauma",,,1209.24,1209.24,2
RC,682,Inj gemcitabin (avyxa) 200 Trauma,,,960.8,960.8,2
RC,682,Inj givosiran 0.5 mg Trauma,,,290.2,290.2,2
RC,682,"Inj glofitamab gxbm, 2.5 m Trauma",,,6875.23,6875.23,2
RC,682,Inj glucagon (gvoke) 0.01 Trauma,,,4.32,4.32,2
RC,682,"Inj glucagon hcl, freseniu Trauma",,,310.27,310.27,2
RC,682,Inj herzuma 10 mg Trauma,,,131.86,131.86,2
RC,682,Inj hydroxocobalamin iv 25 Trauma,,,13.07,13.07,2
RC,682,Inj inotuzumab ozogam 0.1 Trauma,,,6895.45,6895.45,2
RC,682,Inj irinotecan liposome 1 Trauma,,,158.07,158.07,2
RC,682,Inj lenacapavir (hiv tx) 1 Trauma,,,55.05,55.05,2
RC,682,Inj leu acet lutr dpt 7.5 Trauma,,,1649.49,1649.49,2
RC,682,Inj linvoseltamab-gcpt 1 m Trauma,,,238.33,238.33,2
RC,682,Inj lon tesirin-lpyl 0.075 Trauma,,,543.86,543.86,2
RC,682,Inj luspatercept-aamt 0.25 Trauma,,,104.43,104.43,2
RC,682,Inj luxturna 1 billion vec Trauma,,,7367.13,7367.13,2
RC,682,Inj meloxicam (azurity) 1m Trauma,,,2.54,2.54,2
RC,682,Inj melpha hydroch nos 50 Trauma,,,251.76,251.76,2
RC,682,Inj melphalan (hepzato) 1 Trauma,,,1923.55,1923.55,2
RC,682,"Inj mogamulizumab-kpkc, 1 Trauma",,,620.49,620.49,2
RC,682,"Inj mosunetuzumab-axgb, 1 Trauma",,,1618.79,1618.79,2
RC,682,Inj mvasi 10 mg Trauma,,,58.88,58.88,2
RC,682,Inj nivol relatlimab 3mg/1 Trauma,,,493.23,493.23,2
RC,682,Inj nivolumab 2 mg hyaluro Trauma,,,67.54,67.54,2
RC,682,Inj olipudase alfa-rpcp 1m Trauma,,,971.87,971.87,2
RC,682,Inj onase abepar-brve trea Trauma,,,6394147.2,6394147.2,2
RC,682,Inj onase abepar-xioi trea Trauma,,,6432091.2,6432091.2,2
RC,682,Inj ontruzant 10 mg Trauma,,,50.37,50.37,2
RC,682,Inj pegfilgrast ex bio 0.5 Trauma,,,343.76,343.76,2
RC,682,Inj pegfilgrastim-bmez 0.5 Trauma,,,317.03,317.03,2
RC,682,Inj pemetrexed (accord) 10 Trauma,,,23.37,23.37,2
RC,682,Inj pemetrexed (bluepoint) Trauma,,,25.44,25.44,2
RC,682,Inj pemetrexed (teva) 10mg Trauma,,,26.37,26.37,2
RC,682,"Inj pemetrexed, hospira 10 Trauma",,,7.06,7.06,2
RC,682,Inj plasminogen tvmh 1mg Trauma,,,92.21,92.21,2
RC,682,"Inj pozelimab-bbfg, 1 mg Trauma",,,220.15,220.15,2
RC,682,Inj recombin esperoct per Trauma,,,5.51,5.51,2
RC,682,Inj retacrit non-esrd use Trauma,,,19.12,19.12,2
RC,682,Inj risankizumab-rzaaÂ1 m Trauma,,,34.87,34.87,2
RC,682,"Inj rituximab, hyaluronida Trauma",,,87.33,87.33,2
RC,682,Inj roctavian ml 2x10^13vc Trauma,,,30128.9,30128.9,2
RC,682,Inj romidepsin lyophil 0.1 Trauma,,,73.71,73.71,2
RC,682,Inj romidepsin non-lyo 0.1 Trauma,,,80.61,80.61,2
RC,682,Inj rozanolixizum-noli 1 m Trauma,,,56.61,56.61,2
RC,682,"Inj ruxience, 10 mg Trauma",,,38.78,38.78,2
RC,682,Inj sebelipase alfa 1 mg Trauma,,,1295.04,1295.04,2
RC,682,Inj secukinumab intrav 1mg Trauma,,,43.76,43.76,2
RC,682,Inj sirolimus prot part 1 Trauma,,,218.47,218.47,2
RC,682,Inj talimogene laherparepv Trauma,,,185.61,185.61,2
RC,682,Inj talquetamab-tgvs 0.25 Trauma,,,184.13,184.13,2
RC,682,Inj teclistamab cqyv 0.5 m Trauma,,,84.78,84.78,2
RC,682,Inj teplizumab mzwv 5 mcg Trauma,,,94.12,94.12,2
RC,682,"Inj tezepelumab-ekko, 1mg Trauma",,,43.01,43.01,2
RC,682,Inj thiotepa nos 1 mg Trauma,,,11.83,11.83,2
RC,682,"Inj tisotu vedotin-tftv, 1 Trauma",,,470.69,470.69,2
RC,682,Inj tofersen intrathec 1 m Trauma,,,395.56,395.56,2
RC,682,Inj travoprost intra impl Trauma,,,472.19,472.19,2
RC,682,Inj triamcinolone ace xr 1 Trauma,,,46.27,46.27,2
RC,682,Inj truxima 10 mg Trauma,,,82.95,82.95,2
RC,682,"Inj ublituximab-xiiy, 1 mg Trauma",,,173.37,173.37,2
RC,682,Inj ustekinumab-aauz 1 mg Trauma,,,31.57,31.57,2
RC,682,"Inj ustekinumab-aekn, 1 mg Trauma",,,25.27,25.27,2
RC,682,"Inj ustekinumab-kfce, 1 mg Trauma",,,7.9,7.9,2
RC,682,"Inj ustekinumab-srlf, 1 mg Trauma",,,27.72,27.72,2
RC,682,"Inj ustekinumab-stba, 1 mg Trauma",,,7.38,7.38,2
RC,682,Inj velmanase alfa-tycv 1 Trauma,,,1150.06,1150.06,2
RC,682,Inj xipere 1 mg Trauma,,,114.65,114.65,2
RC,682,Inj yimmugo 100 mg Trauma,,,57.95,57.95,2
RC,682,Inj zenocutuzumab-zbco 1 m Trauma,,,81.27,81.27,2
RC,682,Inj zopapogene per ther do Trauma,,,292560.0,292560.0,2
RC,682,"Inj, Ado-trastuzumab Emt 1 Trauma",,,104.7,104.7,2
RC,682,"Inj, abilify asimtufii, 1 Trauma",,,14.84,14.84,2
RC,682,"Inj, adzynma, 10 iu Trauma",,,86.91,86.91,2
RC,682,"Inj, aflibercept hd, 1 mg Trauma",,,716.84,716.84,2
RC,682,"Inj, afstyla, 1 i.u. Trauma",,,3.89,3.89,2
RC,682,"Inj, alyglo, 500 mg Trauma",,,291.71,291.71,2
RC,682,"Inj, alymsys, 10 mg Trauma",,,191.87,191.87,2
RC,682,"Inj, amisulpride, 1 mg Trauma",,,22.97,22.97,2
RC,682,"Inj, amivantamab-vmjw Trauma",,,55.73,55.73,2
RC,682,"Inj, artesunate, 1mg Trauma",,,124.39,124.39,2
RC,682,"Inj, aspara, rylaze, 0.1 m Trauma",,,140.88,140.88,2
RC,682,"Inj, atezolizumab,10 mg Trauma",,,231.71,231.71,2
RC,682,"Inj, atidarsagene autotemc Trauma",,,10812000.0,10812000.0,2
RC,682,"Inj, bendamustine hcl, 1mg Trauma",,,7.1,7.1,2
RC,682,"Inj, betibeglogene autotem Trauma",,,7032624.0,7032624.0,2
RC,682,"Inj, bezlotoxumab, 10 mg Trauma",,,95.58,95.58,2
RC,682,"Inj, bortezomib freseniusk Trauma",,,16.73,16.73,2
RC,682,"Inj, bortezomib, dr. reddy Trauma",,,8.3,8.3,2
RC,682,"Inj, brixadi, 7 days or le Trauma",,,1033.38,1033.38,2
RC,682,"Inj, brolucizumab-dbll, 1 Trauma",,,863.31,863.31,2
RC,682,"Inj, bupivacaine liposome Trauma",,,3.49,3.49,2
RC,682,"Inj, cabote rilpivir 2mg 3 Trauma",,,59.2,59.2,2
RC,682,"Inj, carboplatin (avyxa) Trauma",,,12.49,12.49,2
RC,682,"Inj, carboprost, 0.1 mg Trauma",,,39.3,39.3,2
RC,682,"Inj, cefiderocol, 10 mg Trauma",,,6.12,6.12,2
RC,682,"Inj, cimerli, 0.1 mg Trauma",,,198.07,198.07,2
RC,682,"Inj, cipaglucosidase, 5 mg Trauma",,,231.12,231.12,2
RC,682,"Inj, clevidipine, 1 mg Trauma",,,6.81,6.81,2
RC,682,"Inj, crovalimab-akkz, 10 m Trauma",,,1323.63,1323.63,2
RC,682,"Inj, cyclophos (baxter) 5m Trauma",,,10.53,10.53,2
RC,682,"Inj, cyclophosphamd, sando Trauma",,,8.25,8.25,2
RC,682,"Inj, cyclophosphamide, nos Trauma",,,1.38,1.38,2
RC,682,"Inj, denosumab Trauma",,,72.24,72.24,2
RC,682,"Inj, denosumab-bmwo, 1 mg Trauma",,,62.35,62.35,2
RC,682,"Inj, denosumab-bnht, 1 mg Trauma",,,69.16,69.16,2
RC,682,"Inj, denosumab-kyqq, 1 mg Trauma",,,33.6,33.6,2
RC,682,"Inj, denosumab-nxxp, 1 mg Trauma",,,37.58,37.58,2
RC,682,"Inj, denosumab-qbde, 1 mg Trauma",,,9.89,9.89,2
RC,682,"Inj, docetaxel (beizray) 1 Trauma",,,112.34,112.34,2
RC,682,"Inj, donanemab-azbt, 2 mg Trauma",,,10.0,10.0,2
RC,682,"Inj, dostarlimab-gxly, 10 Trauma",,,603.12,603.12,2
RC,682,"Inj, durolane 1 mg Trauma",,,14.97,14.97,2
RC,682,"Inj, eculizumab-aagh, 2 mg Trauma",,,76.27,76.27,2
RC,682,"Inj, eculizumab-aeeb, 2 mg Trauma",,,98.8,98.8,2
RC,682,"Inj, elahere, 1 mg Trauma",,,172.78,172.78,2
RC,682,"Inj, elranatamab-bcmm, 1 m Trauma",,,461.96,461.96,2
RC,682,"Inj, etelcalcetide, 0.1 mg Trauma",,,5.92,5.92,2
RC,682,"Inj, eteplirsen, 10 mg Trauma",,,401.82,401.82,2
RC,682,"Inj, ethacrynate sod, 1 mg Trauma",,,29.82,29.82,2
RC,682,"Inj, evinacumab-dgnb, 5 mg Trauma",,,474.32,474.32,2
RC,682,"Inj, exagamglogene autotem Trauma",,,5522176.8,5522176.8,2
RC,682,"Inj, faricimab-svoa, 0.1mg Trauma",,,77.71,77.71,2
RC,682,"Inj, focinvez, 1mg Trauma",,,5.89,5.89,2
RC,682,"Inj, fosaprepitant (teva) Trauma",,,0.09,0.09,2
RC,682,"Inj, fosdenopterin, 0.1mg Trauma",,,42.57,42.57,2
RC,682,"Inj, fulvestrant (freseniu Trauma",,,65.07,65.07,2
RC,682,"Inj, fulvestrant (teva) Trauma",,,100.01,100.01,2
RC,682,"Inj, fylnetra, 0.5 mg Trauma",,,252.26,252.26,2
RC,682,"Inj, granisetron, xr, 0.1 Trauma",,,7.72,7.72,2
RC,682,"Inj, hemgenix, per tx dose Trauma",,,8859480.0,8859480.0,2
RC,682,"Inj, hercessi, 10 mg Trauma",,,77.9,77.9,2
RC,682,"Inj, human-lans, per i.u Trauma",,,4.16,4.16,2
RC,682,"Inj, imm glob bivigam, 500 Trauma",,,194.98,194.98,2
RC,682,"Inj, invega hafyera/trinza Trauma",,,31.83,31.83,2
RC,682,"Inj, invega sustenna, 1 mg Trauma",,,37.03,37.03,2
RC,682,"Inj, isoniazid, 1 mg Trauma",,,0.73,0.73,2
RC,682,"Inj, ixinity, 1 i.u. Trauma",,,4.65,4.65,2
RC,682,"Inj, jobevne, 10 mg Trauma",,,197.37,197.37,2
RC,682,"Inj, kovaltry, 1 i.u. Trauma",,,3.83,3.83,2
RC,682,"Inj, lanreotide acetate Trauma",,,89.83,89.83,2
RC,682,"Inj, lanreotide, (cipla) 1 Trauma",,,48.79,48.79,2
RC,682,"Inj, leucovorin cal (avyxa Trauma",,,6.18,6.18,2
RC,682,"Inj, levothyroxine, freska Trauma",,,16.41,16.41,2
RC,682,"Inj, liothyronine, 1 mcg Trauma",,,96.3,96.3,2
RC,682,"Inj, lovotibeglogene autot Trauma",,,7764729.6,7764729.6,2
RC,682,"Inj, magtrace per study do Trauma",,,3009.6,3009.6,2
RC,682,"Inj, melphalan (apotex) 1 Trauma",,,155.47,155.47,2
RC,682,"Inj, mirikizumab-mrkz, 1 m Trauma",,,78.38,78.38,2
RC,682,"Inj, motixafortide, 0.25 m Trauma",,,63.55,63.55,2
RC,682,"Inj, nipocalimab-aahu, 3 m Trauma",,,78.16,78.16,2
RC,682,"Inj, nithiodote, 3mg / 125 Trauma",,,5.2,5.2,2
RC,682,"Inj, nogapendekin pmln 1 m Trauma",,,226.33,226.33,2
RC,682,"Inj, nusinersen, 0.1mg Trauma",,,3200.28,3200.28,2
RC,682,"Inj, nyposi 1 mcg Trauma",,,2.48,2.48,2
RC,682,"Inj, nyvepria Trauma",,,328.59,328.59,2
RC,682,"Inj, palonosetron (posfrea Trauma",,,132.55,132.55,2
RC,682,"Inj, panzyga, 500 mg Trauma",,,171.23,171.23,2
RC,682,"Inj, pasireotide long acti Trauma",,,1480.1,1480.1,2
RC,682,"Inj, pedmark, 100 mg Trauma",,,232.27,232.27,2
RC,682,"Inj, pegcetacoplan, 1mg Trauma",,,357.47,357.47,2
RC,682,"Inj, pegulicianine, 1 mg Trauma",,,90.02,90.02,2
RC,682,"Inj, pemrydi rtu, 10 mg Trauma",,,163.04,163.04,2
RC,682,"Inj, polatuzumab vedotin 1 Trauma",,,344.67,344.67,2
RC,682,"Inj, posaconazole, 1 mg Trauma",,,0.82,0.82,2
RC,682,"Inj, qivigy, 100mg Trauma",,,71.0,71.0,2
RC,682,"Inj, releuko 1 mcg Trauma",,,0.75,0.75,2
RC,682,"Inj, remdesivir, 1 mg Trauma",,,18.03,18.03,2
RC,682,"Inj, retifanlimab-dlwr, 1 Trauma",,,74.35,74.35,2
RC,682,"Inj, rezafungin, 1 mg Trauma",,,26.4,26.4,2
RC,682,"Inj, rimabotulinumtoxinB Trauma",,,31.89,31.89,2
RC,682,"Inj, romiplostim 1 microgr Trauma",,,27.88,27.88,2
RC,682,"Inj, rykindo, 0.5 mg Trauma",,,31.27,31.27,2
RC,682,"Inj, sculptra, 0.5mg Trauma",,,5.18,5.18,2
RC,682,"Inj, sezaby, 1 mg Trauma",,,2.68,2.68,2
RC,682,"Inj, sod thiosulfate (hope Trauma",,,2.02,2.02,2
RC,682,"Inj, spesolimab-sbzo, 1 mg Trauma",,,157.75,157.75,2
RC,682,"Inj, stimufend, 0.5 mg Trauma",,,344.82,344.82,2
RC,682,"Inj, susvimo 0.1 mg Trauma",,,179.51,179.51,2
RC,682,"Inj, sutimlimab-jome, 10 m Trauma",,,47.14,47.14,2
RC,682,"Inj, taliglucerase alfa 10 Trauma",,,102.42,102.42,2
RC,682,"Inj, tarlatamab-dlle, 1 mg Trauma",,,3869.81,3869.81,2
RC,682,"Inj, tebentafusp-tebn, 1 m Trauma",,,547.21,547.21,2
RC,682,"Inj, tislelizumab-jsgr Trauma",,,139.61,139.61,2
RC,682,"Inj, tocilizumab-anoh, 1 m Trauma",,,11.26,11.26,2
RC,682,"Inj, tofidence, 1 mg Trauma",,,12.03,12.03,2
RC,682,"Inj, toripalimab-tpzi, 1 m Trauma",,,98.14,98.14,2
RC,682,"Inj, tremelimumab-actl, 1 Trauma",,,352.55,352.55,2
RC,682,"Inj, treosulfan, 50 mg Trauma",,,77.59,77.59,2
RC,682,"Inj, trivisc 1 mg Trauma",,,7.29,7.29,2
RC,682,"Inj, tyenne, 1 mg Trauma",,,9.73,9.73,2
RC,682,"Inj, tyruko, 1 mg Trauma",,,58.79,58.79,2
RC,682,"Inj, uzedy, 1 mg Trauma",,,62.83,62.83,2
RC,682,"Inj, vasopressin (baxter) Trauma",,,4.21,4.21,2
RC,682,"Inj, vegzelma, 10 mg Trauma",,,56.75,56.75,2
RC,682,"Inj, vivimusta, 1 mg Trauma",,,71.79,71.79,2
RC,682,"Inj, vutrisiran, 1 mg Trauma",,,12030.24,12030.24,2
RC,682,"Inj, wezlana, iv, 1 mg Trauma",,,5.65,5.65,2
RC,682,"Inj, ziv-aflibercept, 1mg Trauma",,,20.82,20.82,2
RC,682,"Inj, zolbetuximab-clzb, 2 Trauma",,,81.42,81.42,2
RC,682,"Inj. (ani), up to 40 units Trauma",,,8819.23,8819.23,2
RC,682,Inj. acthar gel to 40 unit Trauma,,,9920.28,9920.28,2
RC,682,Inj. asceniv Trauma,,,1221.93,1221.93,2
RC,682,"Inj. avsola, 10 mg Trauma",,,73.99,73.99,2
RC,682,Inj. belrapzo/bendamustine Trauma,,,27.84,27.84,2
RC,682,"Inj. byooviz, 0.1 mg Trauma",,,578.33,578.33,2
RC,682,Inj. calaspargase pegol-mk Trauma,,,205.89,205.89,2
RC,682,Inj. cetirizine hcl 0.5mg Trauma,,,41.17,41.17,2
RC,682,"Inj. concizumab-mtci, 0.5 Trauma",,,206.78,206.78,2
RC,682,"Inj. denosumab-bbdz, 1 mg Trauma",,,66.4,66.4,2
RC,682,Inj. eptinezumab-jjmr 1 mg Trauma,,,50.64,50.64,2
RC,682,Inj. fe derisomaltose 10 m Trauma,,,50.58,50.58,2
RC,682,"Inj. ferumoxytol, 1 mg Trauma",,,0.97,0.97,2
RC,682,"Inj. herceptin hylecta, 10 Trauma",,,140.03,140.03,2
RC,682,"Inj. inebilizumab-cdon, 1 Trauma",,,1225.56,1225.56,2
RC,682,Inj. isatuximab-irfc 10 mg Trauma,,,211.58,211.58,2
RC,682,Inj. jivi 1 iu Trauma,,,6.61,6.61,2
RC,682,"Inj. lumasiran, 0.5 mg Trauma",,,808.74,808.74,2
RC,682,"Inj. lurbinectedin, 0.1 mg Trauma",,,518.28,518.28,2
RC,682,"Inj. margetuximab-cmkb, 5 Trauma",,,135.46,135.46,2
RC,682,"Inj. naxitamab-gqgk, 1 mg Trauma",,,1643.76,1643.76,2
RC,682,Inj. pemetrexed nos 10mg Trauma,,,16.68,16.68,2
RC,682,"Inj. pemetrexed, 10 mg Trauma",,,19.19,19.19,2
RC,682,Inj. remestemcel-l-rknd/ t Trauma,,,488783.52,488783.52,2
RC,682,"Inj. riabni, 10 mg Trauma",,,44.48,44.48,2
RC,682,Inj. romosozumab-aqqg 1 mg Trauma,,,30.56,30.56,2
RC,682,Inj. tagraxofusp-erzs 10 m Trauma,,,858.05,858.05,2
RC,682,Inj. teprotumumab-trbw 10 Trauma,,,911.76,911.76,2
RC,682,"Inj. xembify, 100 mg Trauma",,,36.58,36.58,2
RC,682,"Inj., aprepitant, 1 mg Trauma",,,3.82,3.82,2
RC,682,"Inj., aristada initio, 1 m Trauma",,,8.31,8.31,2
RC,682,"Inj., benralizumab, 1 mg Trauma",,,397.35,397.35,2
RC,682,"Inj., cemiplimab-rwlc, 1 m Trauma",,,71.2,71.2,2
RC,682,"Inj., cerliponase alfa 1 m Trauma",,,296.11,296.11,2
RC,682,"Inj., durvalumab, 10 mg Trauma",,,211.08,211.08,2
RC,682,"Inj., emapalumab-lzsg, 1 m Trauma",,,942.67,942.67,2
RC,682,"Inj., emicizumab-kxwh 0.5 Trauma",,,139.28,139.28,2
RC,682,"Inj., eravacycline, 1 mg Trauma",,,3.31,3.31,2
RC,682,"Inj., evomela, 1 mg Trauma",,,43.31,43.31,2
RC,682,"Inj., fibryga, 1 mg Trauma",,,2.96,2.96,2
RC,682,"Inj., guselkumab, 1 mg Trauma",,,160.61,160.61,2
RC,682,"Inj., ibalizumab-uiyk, 10 Trauma",,,190.83,190.83,2
RC,682,"Inj., kanjinti, 10 mg Trauma",,,145.25,145.25,2
RC,682,"Inj., lanadelumab-flyo, 1 Trauma",,,211.72,211.72,2
RC,682,"Inj., lumoxiti, 0.01 mg Trauma",,,56.15,56.15,2
RC,682,"Inj., meropenem, vaborbact Trauma",,,5.33,5.33,2
RC,682,"Inj., omadacycline, 1 mg Trauma",,,10.05,10.05,2
RC,682,"Inj., patisiran, 0.1 mg Trauma",,,242.46,242.46,2
RC,682,"Inj., perseris, 0.5 mg Trauma",,,29.29,29.29,2
RC,682,"Inj., plazomicin, 5 mg Trauma",,,8.45,8.45,2
RC,682,"Inj., ravulizumab-cwvz 10 Trauma",,,544.61,544.61,2
RC,682,"Inj., rituximab, 10 mg Trauma",,,175.87,175.87,2
RC,682,"Inj., tafasitamab-cxix Trauma",,,34.63,34.63,2
RC,682,"Inj., tildrakizumab, 1 mg Trauma",,,298.26,298.26,2
RC,682,"Inj., trazimera, 10 mg Trauma",,,31.28,31.28,2
RC,682,"Inj., triluron, 1 mg Trauma",,,25.03,25.03,2
RC,682,"Inj., triptorelin xr 3.75 Trauma",,,9167.84,9167.84,2
RC,682,"Inj., vestronidase alfa-vj Trauma",,,699.69,699.69,2
RC,682,"Inj., yutiq, 0.01 mg Trauma",,,1271.73,1271.73,2
RC,682,"Inj., zirabev, 10 mg Trauma",,,62.13,62.13,2
RC,682,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies Trauma",,,127.49,127.49,2
RC,682,"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies Trauma",,,1288.58,1288.58,2
RC,682,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies Trauma",,,2128.18,2128.18,2
RC,682,"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies Trauma",,,676.42,676.42,2
RC,682,Injection fitusiran 0.04 m Trauma,,,314.88,314.88,2
RC,682,Injection trabectedin 0.1m Trauma,,,985.15,985.15,2
RC,682,"Injection, Carfilzomib, 1 Trauma",,,144.7,144.7,2
RC,682,"Injection, avelumab, 10 mg Trauma",,,260.73,260.73,2
RC,682,"Injection, blinatumomab Trauma",,,414.96,414.96,2
RC,682,"Injection, burosumab-twza Trauma",,,1232.09,1232.09,2
RC,682,"Injection, cangrelor Trauma",,,48.66,48.66,2
RC,682,"Injection, caplacizumab-yh Trauma",,,2014.01,2014.01,2
RC,682,"Injection, casimersen, 10 Trauma",,,398.81,398.81,2
RC,682,"Injection, daratumumab 10 Trauma",,,177.05,177.05,2
RC,682,"Injection, edaravone, 1 mg Trauma",,,15.51,15.51,2
RC,682,"Injection, elotuzumab, 1mg Trauma",,,19.65,19.65,2
RC,682,"Injection, fulphila Trauma",,,160.86,160.86,2
RC,682,"Injection, glucarpidase Trauma",,,1077.85,1077.85,2
RC,682,"Injection, imetelstat, 1 m Trauma",,,142.87,142.87,2
RC,682,"Injection, inclisiran, 1 m Trauma",,,30.97,30.97,2
RC,682,"Injection, isavuconazonium Trauma",,,2.46,2.46,2
RC,682,"Injection, ixabepilone Trauma",,,335.41,335.41,2
RC,682,"Injection, mepolizumab, 1m Trauma",,,77.47,77.47,2
RC,682,"Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticos",,,,,0
RC,682,"Injection, necitumumab, 1 Trauma",,,13.75,13.75,2
RC,682,"Injection, nivolumab Trauma",,,82.13,82.13,2
RC,682,"Injection, ocrelizumab Trauma",,,146.33,146.33,2
RC,682,"Injection, oritavancin 10 Trauma",,,113.78,113.78,2
RC,682,"Injection, pegloticase Trauma",,,9430.41,9430.41,2
RC,682,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,,,0
RC,682,"Injection, peramivir Trauma",,,4.03,4.03,2
RC,682,"Injection, renflexis Trauma",,,63.88,63.88,2
RC,682,"Injection, reslizumab Trauma",,,28.15,28.15,2
RC,682,"Injection, ruconest Trauma",,,90.8,90.8,2
RC,682,"Injection, siltuximab Trauma",,,417.76,417.76,2
RC,682,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,,,0
RC,682,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent Trauma",,,,,0
RC,682,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,,,0
RC,682,"Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical Trauma",,,,,0
RC,682,"Injection, trilaciclib, 1m Trauma",,,13.11,13.11,2
RC,682,"Injection, udenyca 0.5 mg Trauma",,,357.92,357.92,2
RC,682,"Injection,onabotulinumtoxi Trauma",,,15.61,15.61,2
RC,682,"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each Trauma",,,216.12,216.12,2
RC,682,Insertion tray with drainage bag but without catheter Trauma,,,34.34,34.34,2
RC,682,"Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation Trauma",,,82.56,82.56,2
RC,682,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) Trauma",,,73.51,73.51,2
RC,682,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone Trauma",,,76.68,76.68,2
RC,682,Insertion tray without drainage bag and without catheter (accessories only) Trauma,,,22.46,22.46,2
RC,682,"Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation Trauma",,,53.86,53.86,2
RC,682,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) Trauma",,,43.06,43.06,2
RC,682,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone Trauma",,,61.68,61.68,2
RC,682,Inst tauro 1.35mg/hep 100u Trauma,,,10.1,10.1,2
RC,682,"Instill adstiladrin, tx do Trauma",,,154395.86,154395.86,2
RC,682,"Instill, bupivac and melox Trauma",,,2.03,2.03,2
RC,682,Insulin antibodies Trauma,,,51.38,51.38,2
RC,682,Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) Trauma,,,684.07,684.07,2
RC,682,Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) Trauma,,,247.2,247.2,2
RC,682,Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) Trauma,,,397.46,397.46,2
RC,682,Insulin; free Trauma,,,31.08,31.08,2
RC,682,Insulin; total Trauma,,,27.43,27.43,2
RC,682,"Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests Trauma",,,81.84,81.84,2
RC,682,"Interface for cough stimulating device, includes all components, replacement only Trauma",,,47.69,47.69,2
RC,682,Interleukin-6 (IL-6) Trauma,,,41.45,41.45,2
RC,682,"Intermittent urinary catheter, with insertion supplies Trauma",,,23.93,23.93,2
RC,682,"Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each Trauma",,,18.67,18.67,2
RC,682,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each Trauma",,,18.67,18.67,2
RC,682,"Intermittent urinary catheter; hydrophilic coating, with insertion supplies Trauma",,,23.93,23.93,2
RC,682,"Intermittent urinary catheter; straight tip, hydrophilic coating, each Trauma",,,6.19,6.19,2
RC,682,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each Trauma",,,6.19,6.19,2
RC,682,"Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size Trauma",,,5733.53,5733.53,2
RC,682,"Interphalangeal joint spacer, silicone or equal, each Trauma",,,921.7,921.7,2
RC,682,"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,12860.09,12860.09,2
RC,682,"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm Trauma",,,11508.7,11508.7,2
RC,682,"Interscapular thoracic, passive restoration (complete prosthesis) Trauma",,,10350.22,10350.22,2
RC,682,"Interscapular thoracic, passive restoration (shoulder cap only) Trauma",,,6193.27,6193.27,2
RC,682,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteri",,,48315.6,48315.6,2
RC,682,"Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries a",,,44177.04,44177.04,2
RC,682,Intrinsic factor Trauma,,,47.57,47.57,2
RC,682,Intrinsic factor antibodies Trauma,,,36.19,36.19,2
RC,682,Iodine i-123 iobenguane Trauma,,,5562.0,5562.0,2
RC,682,Iodine i-123 ioflupane Trauma,,,3330.58,3330.58,2
RC,682,Ipilimumab injection Trauma,,,457.04,457.04,2
RC,682,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source Trauma",,,375.43,375.43,2
RC,682,Iris supported intraocular lens Trauma,,,349.75,349.75,2
RC,682,Iron Trauma,,,15.53,15.53,2
RC,682,Iron binding capacity Trauma,,,20.98,20.98,2
RC,682,"Iron stain, peripheral blood Trauma",,,16.51,16.51,2
RC,682,"Irrigation supply; sleeve, disposable, per month Trauma",,,56.35,56.35,2
RC,682,"Irrigation supply; sleeve, reusable, per month Trauma",,,56.35,56.35,2
RC,682,"Irrigation syringe, bulb or piston, each Trauma",,,9.65,9.65,2
RC,682,"Irrigation tray with bulb or piston syringe, any purpose Trauma",,,18.26,18.26,2
RC,682,"Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each Trauma",,,25.92,25.92,2
RC,682,Islet cell antibody Trauma,,,56.57,56.57,2
RC,682,Isocitric dehydrogenase (IDH) Trauma,,,21.24,21.24,2
RC,682,Itraconazole Trauma,,,65.06,65.06,2
RC,682,"Iv hanger, each Trauma",,,290.66,290.66,2
RC,682,Iv pole Trauma,,,440.93,440.93,2
RC,682,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant Trauma",,,219.98,219.98,2
RC,682,"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) targeted sequence analysis (eg, exons 12 and 13) Trauma",,,444.48,444.48,2
RC,682,Jaw motion rehabilitation system Trauma,,,117.96,117.96,2
RC,682,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC Trauma,,,16484.58,34402.61,4
RC,682,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC Trauma,,,12724.57,26555.62,4
RC,682,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC Trauma,,,15278.76,31886.11,4
RC,682,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC Trauma,,,23380.81,48794.74,4
RC,682,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC Trauma,,,12518.77,26126.14,4
RC,682,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC Trauma,,,16307.74,34033.54,4
RC,682,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,11433.0,23860.17,4
RC,682,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, gastrointestinal stromal tumor ºGIST», acute myeloid leukemia, melanoma), gene analysis, targeted sequence analysis (eg, exons ",,,790.82,790.82,2
RC,682,"KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) Trauma",,,299.69,299.69,2
RC,682,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146) Trauma",,,463.8,463.8,2
RC,682,"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13) Trauma",,,463.8,463.8,2
RC,682,"Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment Trauma",,,3261.48,3261.48,2
RC,682,"Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment Trauma",,,2667.38,2667.38,2
RC,682,"Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment Trauma",,,2224.75,2224.75,2
RC,682,"Ketogenic steroids, fractionation Trauma",,,37.13,37.13,2
RC,682,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative Trauma",,,10.85,10.85,2
RC,682,"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative Trauma",,,19.61,19.61,2
RC,682,Ketorolac tromethamine inj Trauma,,,0.69,0.69,2
RC,682,"Ketosteroids, 17- (17-KS); fractionation Trauma",,,68.4,68.4,2
RC,682,"Ketosteroids, 17- (17-KS); total Trauma",,,30.72,30.72,2
RC,682,"Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type ",,,94508.16,94508.16,2
RC,682,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated Trauma",,,12151.78,12151.78,2
RC,682,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated Trauma",,,3220.25,3220.25,2
RC,682,"Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated Trauma",,,2793.86,2793.86,2
RC,682,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated Trauma",,,4729.06,4729.06,2
RC,682,"Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated Trauma",,,3752.59,3752.59,2
RC,682,"Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated Trauma",,,5116.78,5116.78,2
RC,682,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated Trauma",,,6089.11,6089.11,2
RC,682,"Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated Trauma",,,4715.42,4715.42,2
RC,682,"Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment Trauma",,,513.74,513.74,2
RC,682,"Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated Trauma",,,3943.06,3943.06,2
RC,682,"Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated Trauma",,,2550.0,2550.0,2
RC,682,"Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated Trauma",,,2797.3,2797.3,2
RC,682,"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot Trauma",,,11222.69,11222.69,2
RC,682,"Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot Trauma",,,10318.03,10318.03,2
RC,682,"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system Trauma",,,11569.01,11569.01,2
RC,682,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,1681.18,1681.18,2
RC,682,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustmen",,,1762.27,1762.27,2
RC,682,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit",,,2235.62,2235.62,2
RC,682,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf Trauma",,,1335.14,1335.14,2
RC,682,"Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated Trauma",,,2764.78,2764.78,2
RC,682,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specifi",,,1705.73,1705.73,2
RC,682,"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf Trauma",,,1705.73,1705.73,2
RC,682,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,3524.3,3524.3,2
RC,682,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,2777.62,2777.62,2
RC,682,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pat",,,357.58,357.58,2
RC,682,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf Trauma",,,357.58,357.58,2
RC,682,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Trauma",,,359.02,359.02,2
RC,682,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf Trauma",,,205.7,205.7,2
RC,682,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf Trauma",,,185.35,185.35,2
RC,682,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment Trauma",,,872.74,872.74,2
RC,682,"Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) Trauma",,,3079.01,3079.01,2
RC,682,"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf Trauma",,,262.08,262.08,2
RC,682,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, cu",,,4610.57,4610.57,2
RC,682,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, pr",,,2660.78,2660.78,2
RC,682,"Knee orthosis, swedish type, prefabricated, off-the-shelf Trauma",,,603.6,603.6,2
RC,682,"Knee orthosis, without knee joint, rigid, custom fabricated Trauma",,,2630.18,2630.18,2
RC,682,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Trauma",,,44381.41,92622.07,4
RC,682,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC Trauma,,,28042.26,58522.97,4
RC,682,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC Trauma,,,66909.37,139636.94,4
RC,682,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,16952.98,35380.13,4
RC,682,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC Trauma,,,21534.04,44940.6,4
RC,682,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC Trauma,,,38721.02,80809.08,4
RC,682,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC Trauma,,,28331.65,59126.93,4
RC,682,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC Trauma,,,53189.8,111004.8,4
RC,682,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC Trauma,,,18511.43,38632.56,4
RC,682,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,14877.89,31049.52,4
RC,682,Lacosamide Trauma,,,65.06,65.06,2
RC,682,Lactate (lactic acid) Trauma,,,27.77,27.77,2
RC,682,"Lactate dehydrogenase (LD), (LDH); Trauma",,,14.5,14.5,2
RC,682,"Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation Trauma",,,30.7,30.7,2
RC,682,"Lactoferrin, fecal; qualitative Trauma",,,47.28,47.28,2
RC,682,"Lactoferrin, fecal; quantitative Trauma",,,47.11,47.11,2
RC,682,"Lactogen, human placental (HPL) human chorionic somatomammotropin Trauma",,,48.53,48.53,2
RC,682,"Lactose, urine, qualitative Trauma",,,27.0,27.0,2
RC,682,"Lambswool sheepskin pad, any size Trauma",,,149.78,149.78,2
RC,682,Lamotrigine Trauma,,,31.8,31.8,2
RC,682,"Lancets, per box of 100 Trauma",,,3.41,3.41,2
RC,682,"Large size footplate, each Trauma",,,145.22,145.22,2
RC,682,"Large volume nebulizer, disposable, prefilled, used with aerosol compressor Trauma",,,31.97,31.97,2
RC,682,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor Trauma",,,10.01,10.01,2
RC,682,Laronidase injection Trauma,,,99.57,99.57,2
RC,682,"Laryngeal function studies (ie, aerodynamic testing and acoustic testing) Trauma",,,226.97,226.97,2
RC,682,Lead Trauma,,,29.06,29.06,2
RC,682,"Lead wires, (e.g., apnea monitor), per pair Trauma",,,32.35,32.35,2
RC,682,"Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only Trauma",,,1014.24,1014.24,2
RC,682,"Lecanemab-irmb, for iv inj Trauma",,,3.22,3.22,2
RC,682,Leflunomide Trauma,,,92.57,92.57,2
RC,682,"Leg extensions for walker, per set of four (4) Trauma",,,64.66,64.66,2
RC,682,"Leg strap, each Trauma",,,70.78,70.78,2
RC,682,"Leg strap, h style, each Trauma",,,151.97,151.97,2
RC,682,"Leg strap; foam or fabric, replacement only, per set Trauma",,,27.55,27.55,2
RC,682,"Leg strap; latex, replacement only, per set Trauma",,,16.1,16.1,2
RC,682,"Legg perthes orthosis, (newington type), custom fabricated Trauma",,,5607.72,5607.72,2
RC,682,"Legg perthes orthosis, (patten bottom type), custom fabricated Trauma",,,4549.06,4549.06,2
RC,682,"Legg perthes orthosis, (scottish rite type), custom fabricated Trauma",,,3125.33,3125.33,2
RC,682,"Legg perthes orthosis, (toronto type), custom fabricated Trauma",,,4770.77,4770.77,2
RC,682,"Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated Trauma",,,4142.42,4142.42,2
RC,682,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens Trauma",,,191.23,191.23,2
RC,682,"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens Trauma",,,215.64,215.64,2
RC,682,"Lens, polycarbonate or equal, any index, per lens Trauma",,,140.23,140.23,2
RC,682,"Lenticular (myodisc), per lens, bifocal Trauma",,,290.5,290.5,2
RC,682,"Lenticular lens, per lens, bifocal Trauma",,,283.46,283.46,2
RC,682,"Lenticular lens, per lens, single Trauma",,,222.46,222.46,2
RC,682,"Lenticular lens, per lens, trifocal Trauma",,,460.75,460.75,2
RC,682,"Lenticular, (myodisc), per lens, single vision Trauma",,,217.34,217.34,2
RC,682,"Lenticular, (myodisc), per lens, trifocal Trauma",,,467.45,467.45,2
RC,682,Leucine aminopeptidase (LAP) Trauma,,,23.54,23.54,2
RC,682,Leukocyte alkaline phosphatase with count Trauma,,,20.64,20.64,2
RC,682,"Leukocyte assessment, fecal, qualitative or semiquantitative Trauma",,,10.25,10.25,2
RC,682,Leukocyte histamine release test (LHR) Trauma,,,29.9,29.9,2
RC,682,Leukocyte phagocytosis Trauma,,,24.94,24.94,2
RC,682,Leuprolide acetate Trauma,,,4419.03,4419.03,2
RC,682,Leuprolide acetate suspnsi Trauma,,,384.82,384.82,2
RC,682,"Leuprolide inj, camcevi, 1 Trauma",,,100.94,100.94,2
RC,682,Levetiracetam Trauma,,,31.8,31.8,2
RC,682,Lidocaine Trauma,,,35.26,35.26,2
RC,682,"Lift, elevation, heel and sole, neoprene, per inch Trauma",,,241.39,241.39,2
RC,682,"Lift, elevation, heel, per inch Trauma",,,113.11,113.11,2
RC,682,"Lift, elevation, heel, tapered to metatarsals, per inch Trauma",,,154.58,154.58,2
RC,682,"Lift, elevation, inside shoe, tapered, up to one-half inch Trauma",,,218.74,218.74,2
RC,682,"Lift, elevation, metal extension (skate) Trauma",,,1678.27,1678.27,2
RC,682,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard Trauma",,,6.0,6.0,2
RC,682,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Trauma",,,6.0,6.0,2
RC,682,"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard Trauma",,,3.94,3.94,2
RC,682,Lightweight portable motorized/power wheelchair Trauma,,,1017.29,1017.29,2
RC,682,Lightweight wheelchair Trauma,,,112.78,112.78,2
RC,682,"Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest Trauma",,,299.54,299.54,2
RC,682,"Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,229.51,229.51,2
RC,682,Lipase Trauma,,,16.54,16.54,2
RC,682,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Trauma",,,32.14,32.14,2
RC,682,Lipoprotein (a) Trauma,,,34.37,34.37,2
RC,682,"Lipoprotein, blood; electrophoretic separation and quantitation Trauma",,,27.02,27.02,2
RC,682,"Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation) Trauma",,,81.26,81.26,2
RC,682,"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed Trauma",,,82.06,82.06,2
RC,682,"Lipoprotein, direct measurement; LDL cholesterol Trauma",,,25.2,25.2,2
RC,682,"Lipoprotein, direct measurement; VLDL cholesterol Trauma",,,30.6,30.6,2
RC,682,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) Trauma",,,19.66,19.66,2
RC,682,"Lipoprotein, direct measurement; small dense LDL cholesterol Trauma",,,82.06,82.06,2
RC,682,Lipoprotein-associated phospholipase A2 (Lp-PLA2) Trauma,,,111.14,111.14,2
RC,682,Lithium Trauma,,,15.86,15.86,2
RC,682,"Lithium ion battery charger, replacement only Trauma",,,1499.59,1499.59,2
RC,682,"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each Trauma",,,192.17,192.17,2
RC,682,"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each Trauma",,,479.09,479.09,2
RC,682,"Lithium ion battery, rechargeable, replacement Trauma",,,1156.73,1156.73,2
RC,682,"Liver disease, analysis of 3 biomarkers (hyaluronic acid ºHA», procollagen III amino terminal peptide ºPIIINP», tissue inhibitor of metalloproteinase 1 ºTIMP-1»), using immunoassays, utilizing serum, ",,,422.86,422.86,2
RC,682,"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day Trauma",,,992.95,992.95,2
RC,682,"Lso, corset front Trauma",,,322.2,322.2,2
RC,682,"Lso, full corset Trauma",,,587.98,587.98,2
RC,682,"Lubricant, individual sterile packet, each Trauma",,,0.36,0.36,2
RC,682,"Lubricant, per ounce Trauma",,,4.85,4.85,2
RC,682,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closu",,,102.72,102.72,2
RC,682,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral disc",,,766.39,1219.03,4
RC,682,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes",,,145.32,231.17,4
RC,682,"Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to ",,,4653.05,4653.05,2
RC,682,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di",,,156.41,156.41,2
RC,682,"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on th",,,1913.98,3044.33,4
RC,682,"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert",,,301.94,480.17,4
RC,682,"Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction t",,,3153.36,3153.36,2
RC,682,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in",,,2214.6,4037.04,6
RC,682,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid l",,,2214.6,2214.6,2
RC,682,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lat",,,3911.21,4037.04,4
RC,682,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/",,,534.65,850.39,4
RC,682,"Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device Trauma",,,3751.44,3751.44,2
RC,682,Luteinizing releasing factor (LRH) Trauma,,,41.26,41.26,2
RC,682,Lutetium lu 177 dotatat th Trauma,,,840.5,840.5,2
RC,682,Lutetium lu 177 vipivotide Trauma,,,641.56,641.56,2
RC,682,Lymphocyte immune globulin Trauma,,,13317.51,13317.51,2
RC,682,"Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis Trauma",,,117.67,117.67,2
RC,682,"Lymphocytotoxicity assay, visual crossmatch; with titration Trauma",,,454.82,454.82,2
RC,682,"Lymphocytotoxicity assay, visual crossmatch; without titration Trauma",,,114.22,114.22,2
RC,682,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Trauma,,,15265.9,57836.23,12
RC,682,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC Trauma,,,25488.06,53192.47,4
RC,682,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC Trauma,,,20492.21,42766.34,4
RC,682,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,15707.5,32780.88,4
RC,682,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23788.12,49644.77,4
RC,682,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,14343.05,29933.33,4
RC,682,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,16295.95,34008.94,4
RC,682,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23445.13,48928.97,4
RC,682,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11076.08,23115.29,4
RC,682,"MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) Trauma",,,94.34,94.34,2
RC,682,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants Trauma",,,360.0,360.0,2
RC,682,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis Trauma",,,1266.89,1266.89,2
RC,682,"MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Trauma",,,288.0,288.0,2
RC,682,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC Trauma,,,14846.81,30984.65,4
RC,682,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC Trauma,,,10162.87,21209.46,4
RC,682,"MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis Trauma",,,299.14,299.14,2
RC,682,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,485.76,485.76,2
RC,682,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,1620.96,1620.96,2
RC,682,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,794.4,794.4,2
RC,682,"MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis Trauma",,,461.57,461.57,2
RC,682,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R) Trauma",,,360.79,360.79,2
RC,682,"MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; sequence analysis, exon 10 Trauma",,,444.48,444.48,2
RC,682,MRI and MRA with Contrast Trauma,,,2127.07,2127.07,2
RC,682,MRI and MRA without Contra Trauma,,,1319.42,1319.42,2
RC,682,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,511.92,511.92,2
RC,682,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,916.08,916.08,2
RC,682,"MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,810.55,810.55,2
RC,682,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,571.2,571.2,2
RC,682,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,1540.44,1540.44,2
RC,682,"MSH6 (mutS homolog 6 ºE. coli») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,739.2,739.2,2
RC,682,"MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) Trauma",,,156.82,156.82,2
RC,682,"MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant Trauma",,,420.96,420.96,2
RC,682,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Trauma,,,22310.05,113085.1,12
RC,682,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Trauma,,,20179.22,79133.64,8
RC,682,Macroscopic examination; arthropod Trauma,,,10.25,10.25,2
RC,682,Macroscopic examination; parasite Trauma,,,10.34,10.34,2
RC,682,Magnesium Trauma,,,16.08,16.08,2
RC,682,Malate dehydrogenase Trauma,,,17.69,17.69,2
RC,682,"Male external catheter with integral collection chamber, any type, each Trauma",,,36.89,36.89,2
RC,682,"Male external catheter, with or without adhesive, disposable, each Trauma",,,6.89,6.89,2
RC,682,Manganese Trauma,,,63.96,63.96,2
RC,682,"Manual adult size wheelchair, includes tilt in space Trauma",,,809.26,809.26,2
RC,682,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes Trauma",,,60.76,69.05,6
RC,682,"Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type Trauma",,,385.01,385.01,2
RC,682,"Manual wheelchair accessory, adapter for amputee, each Trauma",,,126.98,126.98,2
RC,682,"Manual wheelchair accessory, anti-rollback device, each Trauma",,,215.04,215.04,2
RC,682,"Manual wheelchair accessory, anti-tipping device, each Trauma",,,92.04,92.04,2
RC,682,"Manual wheelchair accessory, caster fork, any size, replacement only, each Trauma",,,114.1,114.1,2
RC,682,"Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each Trauma",,,53.57,53.57,2
RC,682,"Manual wheelchair accessory, foam caster tire, any size, each Trauma",,,116.95,116.95,2
RC,682,"Manual wheelchair accessory, foam filled caster tire, any size, each Trauma",,,116.95,116.95,2
RC,682,"Manual wheelchair accessory, foam filled propulsion tire, any size, each Trauma",,,132.14,132.14,2
RC,682,"Manual wheelchair accessory, foam propulsion tire, any size, each Trauma",,,132.14,132.14,2
RC,682,"Manual wheelchair accessory, gear reduction drive wheel, each Trauma",,,615.19,615.19,2
RC,682,"Manual wheelchair accessory, hand rim with projections, any type, replacement only, each Trauma",,,212.69,212.69,2
RC,682,"Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each Trauma",,,102.67,102.67,2
RC,682,"Manual wheelchair accessory, headrest extension, each Trauma",,,203.86,203.86,2
RC,682,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each Trauma",,,85.82,85.82,2
RC,682,"Manual wheelchair accessory, lever-activated, wheel drive, pair Trauma",,,984.48,984.48,2
RC,682,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches Trauma",,,1280.83,1280.83,2
RC,682,"Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches Trauma",,,2211.22,2211.22,2
RC,682,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches Trauma",,,1325.98,1325.98,2
RC,682,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches Trauma",,,943.44,943.44,2
RC,682,"Manual wheelchair accessory, one-arm drive attachment, each Trauma",,,121.27,121.27,2
RC,682,"Manual wheelchair accessory, pneumatic caster tire, any size, each Trauma",,,91.42,91.42,2
RC,682,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each Trauma",,,100.99,100.99,2
RC,682,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control Trauma",,,831.17,831.17,2
RC,682,"Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control Trauma",,,653.45,653.45,2
RC,682,"Manual wheelchair accessory, power assist system Trauma",,,1663.78,1663.78,2
RC,682,"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each Trauma",,,276.96,276.96,2
RC,682,"Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each Trauma",,,77.21,77.21,2
RC,682,"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each Trauma",,,65.3,65.3,2
RC,682,"Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each Trauma",,,86.9,86.9,2
RC,682,"Manual wheelchair accessory, solid seat insert Trauma",,,241.46,241.46,2
RC,682,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware Trauma",,,418.54,418.54,2
RC,682,"Manual wheelchair accessory, tube for pneumatic caster tire, any size, each Trauma",,,29.62,29.62,2
RC,682,"Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each Trauma",,,18.0,18.0,2
RC,682,"Manual wheelchair accessory, wheel braking system and lock, complete, each Trauma",,,276.38,276.38,2
RC,682,"Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each Trauma",,,112.56,112.56,2
RC,682,"Manual wheelchair accessory, wheel lock brake extension (handle), each Trauma",,,59.09,59.09,2
RC,682,"Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen Trauma",,,57.86,57.86,2
RC,682,"Mattress, foam rubber Trauma",,,427.58,427.58,2
RC,682,"Mattress, innerspring Trauma",,,380.76,380.76,2
RC,682,"Meat fibers, feces Trauma",,,11.64,11.64,2
RC,682,"Mechanical fragility, RBC Trauma",,,20.64,20.64,2
RC,682,"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hou",,,36.5,36.5,2
RC,682,"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes Trauma",,,36.5,36.5,2
RC,682,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes Trauma",,,77.57,77.57,2
RC,682,"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes Trauma",,,67.13,67.13,2
RC,682,"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hour",,,67.13,67.13,2
RC,682,Mental Health Services Com Trauma,,,1026.51,1026.51,2
RC,682,"Mercury, quantitative Trauma",,,39.02,39.02,2
RC,682,"Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes en",,,6643.22,6643.22,2
RC,682,Metacarpophalangeal joint implant Trauma,,,989.9,989.9,2
RC,682,Metanephrines Trauma,,,40.66,40.66,2
RC,682,"Metatarsal bar wedge, between sole Trauma",,,275.38,275.38,2
RC,682,"Metatarsal bar wedge, rocker Trauma",,,120.74,120.74,2
RC,682,Metatarsal joint implant Trauma,,,1074.41,1074.41,2
RC,682,Methemalbumin Trauma,,,25.78,25.78,2
RC,682,Methotrexate Trauma,,,92.57,92.57,2
RC,682,Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Trauma,,,218.78,218.78,2
RC,682,"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Trauma",,,53.95,53.95,2
RC,682,"Microphone for use with cochlear implant device, replacement Trauma",,,312.14,312.14,2
RC,682,"Microprocessor control feature, addition to upper limb prosthetic terminal device Trauma",,,9214.39,9214.39,2
RC,682,"Microprocessor control unit for use with electric ventricular assist device, replacement only Trauma",,,43175.28,43175.28,2
RC,682,"Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only Trauma",,,13523.3,13523.3,2
RC,682,"Microsatellite instability analysis (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) of markers for mismatch repair deficiency (eg, BAT25, BAT26), includes comparison of neoplastic and",,,836.54,836.54,2
RC,682,"Microsomal antibodies (eg, thyroid or liver-kidney), each Trauma",,,34.92,34.92,2
RC,682,"Midfacial prosthesis, provided by a non-physician Trauma",,,8656.66,8656.66,2
RC,682,"Mitochondrial antibody (eg, M2), each Trauma",,,61.08,61.08,2
RC,682,Mitomycin instillation Trauma,,,791.85,791.85,2
RC,682,Mitomycin intravesical ins Trauma,,,658.42,658.42,2
RC,682,Mitoxantrone hydrochl Trauma,,,71.28,71.28,2
RC,682,"Mobility cart for pneumatic ventricular assist device, replacement only Trauma",,,1931.83,1931.83,2
RC,682,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yar",,,6.0,6.0,2
RC,682,"Molecular cytogenetics; DNA probe, each (eg, FISH) Trauma",,,51.41,51.41,2
RC,682,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions) Trauma",,,83.54,83.54,2
RC,682,"Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers) Trauma",,,97.68,97.68,2
RC,682,"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells Trauma",,,122.86,122.86,2
RC,682,"Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells Trauma",,,101.71,101.71,2
RC,682,"Molecular pathology procedure, Level 1 (eg, identification of single germline variant ºeg, SNP» by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase",,,153.5,153.5,2
RC,682,"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant ºtypically using nonsequencing target variant analysis», or detection of a dynamic mutation disorder/t",,,328.8,328.8,2
RC,682,"Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants ºtypically using non-sequencing target variant analysis», immunoglobulin and T-cell receptor ge",,,360.79,360.79,2
RC,682,"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or dup",,,444.48,444.48,2
RC,682,"Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation ",,,659.59,659.59,2
RC,682,"Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array an",,,723.24,723.24,2
RC,682,"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase, very lo",,,678.91,678.91,2
RC,682,"Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on on",,,2031.05,2031.05,2
RC,682,"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette, sub-family A ºABC1», member 4) (eg, Stargardt disease, age-rel",,,4800.0,4800.0,2
RC,682,Mometasone sinus sinuva Trauma,,,27.23,27.23,2
RC,682,"Monitor control cable for use with electric ventricular assist device, replacement only Trauma",,,1044.5,1044.5,2
RC,682,"Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,869.3,869.3,2
RC,682,"Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,10818.7,10818.7,2
RC,682,"Monitor/display module for use with electric ventricular assist device, replacement only Trauma",,,55709.76,55709.76,2
RC,682,"Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen Trauma",,,64.27,64.27,2
RC,682,Monthly supplies for use of device coded at e0733 Trauma,,,98.57,98.57,2
RC,682,Motion fluoroscopic evaluation of swallowing function by cine or video recording Trauma,,,230.3,230.3,2
RC,682,Mouth piece Trauma,,,10.61,10.61,2
RC,682,"Mucin, synovial fluid (Ropes test) Trauma",,,14.06,14.06,2
RC,682,"Mucopolysaccharides, acid, quantitative Trauma",,,68.4,68.4,2
RC,682,"Mucoprotein, blood (seromucoid) (medical necessity procedure) Trauma",,,11.88,11.88,2
RC,682,"Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs Trauma",,,2505.72,2505.72,2
RC,682,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs Trauma",,,1760.18,1760.18,2
RC,682,"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualif",,,14.16,49.85,4
RC,682,"Multipositional patient support system, with integrated lift, patient accessible controls Trauma",,,2938.87,2938.87,2
RC,682,Muramidase Trauma,,,45.0,45.0,2
RC,682,Muscle-specific kinase (MuSK) antibody Trauma,,,44.16,44.16,2
RC,682,Mycophenolate (mycophenolic acid) Trauma,,,43.32,43.32,2
RC,682,"Myelin basic protein, cerebrospinal fluid Trauma",,,41.28,41.28,2
RC,682,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each Trauma",,,28.92,28.92,2
RC,682,"Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each Trauma",,,90.55,90.55,2
RC,682,Myeloperoxidase (MPO) Trauma,,,122.06,122.06,2
RC,682,Myoglobin Trauma,,,31.01,31.01,2
RC,682,NEONATE WITH OTHER SIGNIFICANT PROBLEMS Trauma,,,19867.32,41462.23,4
RC,682,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY Trauma",,,23364.73,48761.18,4
RC,682,NEUROSES EXCEPT DEPRESSIVE Trauma,,,15557.44,32467.7,4
RC,682,NON-EXTENSIVE BURNS Trauma,,,26127.94,54527.88,4
RC,682,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,21664.8,45213.5,4
RC,682,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,40795.02,85137.43,4
RC,682,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,16901.54,35272.78,4
RC,682,NORMAL NEWBORN Trauma,,,6189.55,12917.32,4
RC,682,"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants Trauma",,,591.65,591.65,2
RC,682,"NRAS (neuroblastoma RAS viral ºv-ras» oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61) Trauma",,,709.9,709.9,2
RC,682,"NTRK (neurotrophic receptor tyrosine kinase 1, 2, and 3) (eg, solid tumors) translocation analysis Trauma",,,1243.87,1243.87,2
RC,682,"NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg, solid tumors) translocation analysis Trauma",,,497.54,497.54,2
RC,682,"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis Trauma",,,497.54,497.54,2
RC,682,"NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg, solid tumors) translocation analysis Trauma",,,497.54,497.54,2
RC,682,"NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6) Trauma",,,699.26,699.26,2
RC,682,"Naltrexone, depot form Trauma",,,10.86,10.86,2
RC,682,"Narrowing device, wheelchair Trauma",,,535.73,535.73,2
RC,682,"Narsoplimab-wuug, 1 mg Trauma",,,245.9,245.9,2
RC,682,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap Trauma",,,167.4,167.4,2
RC,682,"Nasal pillows for combination oral/nasal mask, replacement only, pair Trauma",,,46.08,46.08,2
RC,682,"Nasal prosthesis, provided by a non-physician Trauma",,,7182.07,7182.07,2
RC,682,"Nasal septal prosthesis, provided by a non-physician Trauma",,,3987.82,3987.82,2
RC,682,Nasal smear for eosinophils Trauma,,,13.9,13.9,2
RC,682,Natalizumab injection Trauma,,,58.57,58.57,2
RC,682,Natriuretic peptide Trauma,,,94.22,94.22,2
RC,682,"Natural killer (NK) cells, total count Trauma",,,90.55,90.55,2
RC,682,"Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter Trauma",,,395.16,395.16,2
RC,682,"Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen Trauma",,,375.14,375.14,2
RC,682,"Nebulizer, ultrasonic, large volume Trauma",,,346.13,346.13,2
RC,682,"Nebulizer, with compressor Trauma",,,17.66,17.66,2
RC,682,"Nebulizer, with compressor and heater Trauma",,,89.28,89.28,2
RC,682,"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing",,,104.57,125.26,4
RC,682,"Negative pressure wound therapy electrical pump, stationary or portable Trauma",,,2116.66,2116.66,2
RC,682,"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical app",,,923.78,999.43,4
RC,682,Nelarabine injection Trauma,,,156.98,156.98,2
RC,682,"Nephelometry, each analyte not elsewhere specified Trauma",,,32.64,32.64,2
RC,682,Neurofilament light chain (NfL) Trauma,,,278.95,278.95,2
RC,682,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller Trauma",,,126.74,126.74,2
RC,682,"Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each Trauma",,,7428.29,7428.29,2
RC,682,Neuromuscular stimulator for scoliosis Trauma,,,313.22,313.22,2
RC,682,"Neuromuscular stimulator, electronic shock unit Trauma",,,306.19,306.19,2
RC,682,"Neutralization test, viral Trauma",,,40.58,40.58,2
RC,682,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); screen Trauma",,,101.11,101.11,2
RC,682,"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»); titer Trauma",,,191.06,191.06,2
RC,682,Nickel Trauma,,,58.82,58.82,2
RC,682,"Nipple prosthesis, prefabricated, reusable, any type, each Trauma",,,116.38,116.38,2
RC,682,Nitroblue tetrazolium dye test (NTD) Trauma,,,32.66,32.66,2
RC,682,Nivestym Trauma,,,0.77,0.77,2
RC,682,"Non-adjunctive, non-implanted continuous glucose monitor or receiver Trauma",,,723.05,723.05,2
RC,682,"Non-implanted pelvic floor electrical stimulator, complete system Trauma",,,178.85,178.85,2
RC,682,Non-invasive vagus nerve stimulator Trauma,,,125.71,125.71,2
RC,682,Non-pneumatic compression controller with sequential calibrated gradient pressure Trauma,,,1813.27,1813.27,2
RC,682,Non-pneumatic compression controller without calibrated gradient pressure Trauma,,,314.14,314.14,2
RC,682,"Non-pneumatic sequential compression garment, full arm Trauma",,,151.13,151.13,2
RC,682,"Non-pneumatic sequential compression garment, full leg Trauma",,,110.74,110.74,2
RC,682,"Non-pneumatic sequential compression garment, half leg Trauma",,,59.54,59.54,2
RC,682,"Non-pneumatic sequential compression garment, trunk Trauma",,,197.64,197.64,2
RC,682,"Non-pneumatic, non-sequential, peristaltic wave compression pump Trauma",,,195.67,195.67,2
RC,682,"Non-segmental pneumatic appliance for use with pneumatic compressor, full arm Trauma",,,431.06,431.06,2
RC,682,"Non-segmental pneumatic appliance for use with pneumatic compressor, full leg Trauma",,,466.56,466.56,2
RC,682,"Non-segmental pneumatic appliance for use with pneumatic compressor, half arm Trauma",,,353.06,353.06,2
RC,682,"Non-segmental pneumatic appliance for use with pneumatic compressor, half leg Trauma",,,472.32,472.32,2
RC,682,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes Trauma",,,58.51,58.51,2
RC,682,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes Trauma",,,87.26,87.26,2
RC,682,"Nonphysician qualified health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes Trauma",,,31.25,31.25,2
RC,682,Nonpowered advanced pressure reducing mattress Trauma,,,603.72,603.72,2
RC,682,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width Trauma",,,603.72,603.72,2
RC,682,"Noonan spectrum disorders (eg, Noonan syndrome, cardio-facio-cutaneous syndrome, Costello syndrome, LEOPARD syndrome, Noonan-like syndrome), genomic sequence analysis panel, must include sequencing of",,,5144.64,5144.64,2
RC,682,"Normal, low and high calibrator solution / chips Trauma",,,8.11,8.11,2
RC,682,"Nuclear Matrix Protein 22 (NMP22), qualitative Trauma",,,52.27,52.27,2
RC,682,"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, ",,,7977.6,7977.6,2
RC,682,Nucleotidase 5'- Trauma,,,26.76,26.76,2
RC,682,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC Trauma,,,29095.87,60721.82,4
RC,682,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC Trauma,,,42939.78,89613.46,4
RC,682,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ Trauma,,,25781.74,53805.36,4
RC,682,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS Trauma,,,45473.61,94901.45,4
RC,682,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY Trauma,,,21292.87,44437.3,4
RC,682,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC Trauma,,,16472.8,34378.01,4
RC,682,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC Trauma,,,28503.14,59484.82,4
RC,682,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,13264.78,27683.02,4
RC,682,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC Trauma,,,11782.42,24589.39,4
RC,682,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC Trauma,,,16936.9,35346.58,4
RC,682,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,9652.67,20144.7,4
RC,682,OTHER FACTORS INFLUENCING HEALTH STATUS Trauma,,,10007.45,20885.11,4
RC,682,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC Trauma,,,31568.62,65882.33,4
RC,682,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,19866.25,41460.0,4
RC,682,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC Trauma,,,15099.76,31512.55,4
RC,682,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC Trauma,,,26483.8,55270.54,4
RC,682,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC Trauma,,,11869.24,24770.59,4
RC,682,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC Trauma",,,22798.81,47580.12,4
RC,682,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC Trauma",,,14956.14,31212.82,4
RC,682,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC Trauma,,,14927.21,31152.43,4
RC,682,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC Trauma,,,21780.55,45455.06,4
RC,682,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC Trauma,,,11442.65,23880.3,4
RC,682,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC Trauma,,,15395.6,32129.95,4
RC,682,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Trauma,,,11250.79,23479.9,4
RC,682,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC Trauma,,,24311.17,50736.36,4
RC,682,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC Trauma,,,18443.92,38491.66,4
RC,682,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC Trauma,,,28028.32,58493.88,4
RC,682,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC Trauma,,,19814.8,41352.62,4
RC,682,OTHER MENTAL DISORDER DIAGNOSES Trauma,,,15526.36,32402.83,4
RC,682,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,20475.05,42730.54,4
RC,682,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,33350.01,69600.02,4
RC,682,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,14128.68,29485.94,4
RC,682,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Trauma,,,13175.81,53069.45,12
RC,682,OTHER O.R. PROCEDURES FOR INJURIES WITH CC Trauma,,,25433.39,53078.38,4
RC,682,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC Trauma,,,45199.22,94328.81,4
RC,682,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC Trauma,,,18118.08,37811.64,4
RC,682,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,49214.34,102708.19,4
RC,682,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,85721.26,178896.55,4
RC,682,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,35604.09,74304.19,4
RC,682,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Trauma,,,23972.47,50029.51,4
RC,682,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC Trauma,,,46751.25,97567.82,4
RC,682,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC Trauma,,,18582.18,38780.21,4
RC,682,Obecbtge autol up to 400 m Trauma,,,667800.0,667800.0,2
RC,682,"Obstetric panel (includes HIV testing) This panel must include the following: Blood count, complete (CBC), and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC",,,179.66,179.66,2
RC,682,"Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated ",,,114.74,114.74,2
RC,682,"Occluder lens, per lens Trauma",,,60.74,60.74,2
RC,682,"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and exten",,,217.64,247.32,4
RC,682,"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or ",,,217.64,247.32,4
RC,682,"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy r",,,217.64,247.32,4
RC,682,Octagam injection Trauma,,,112.93,112.93,2
RC,682,Ocular implant Trauma,,,1882.06,1882.06,2
RC,682,Ofatumumab injection Trauma,,,149.36,149.36,2
RC,682,Oligoclonal immune (oligoclonal bands) Trauma,,,65.74,65.74,2
RC,682,Omalizumab injection Trauma,,,111.81,111.81,2
RC,682,"Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence r",,,6024.5,6024.5,2
RC,682,"Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score ",,,9295.2,9295.2,2
RC,682,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage ",,,9295.2,9295.2,2
RC,682,"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score Trauma",,,9295.2,9295.2,2
RC,682,"Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as i",,,9295.2,9295.2,2
RC,682,"Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as in",,,9295.2,9295.2,2
RC,682,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,7478.4,7478.4,2
RC,682,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,1221.29,1221.29,2
RC,682,"Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as",,,17263.2,17263.2,2
RC,682,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; each additional single drug or drug ",,,426.14,426.14,2
RC,682,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,1390.7,1390.7,2
RC,682,"Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 ºhK2»), utilizing plasma or serum, prognostic algorithm reported as a",,,1824.0,1824.0,2
RC,682,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival Trauma",,,6890.4,6890.4,2
RC,682,"Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score Trauma",,,2152.8,2152.8,2
RC,682,"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score Trauma",,,625.2,625.2,2
RC,682,"Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a disease",,,9295.2,9295.2,2
RC,682,"Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score Trauma",,,9295.2,9295.2,2
RC,682,"Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate ",,,4872.0,4872.0,2
RC,682,"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious) Trauma",,,8640.0,8640.0,2
RC,682,"Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores Trauma",,,1248.0,1248.0,2
RC,682,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,9000.0,9000.0,2
RC,682,"Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, a",,,18662.4,18662.4,2
RC,682,Oncoprotein; HER-2/neu Trauma,,,154.58,154.58,2
RC,682,Oncoprotein; des-gamma-carboxy-prothrombin (DCP) Trauma,,,154.58,154.58,2
RC,682,One way chest drain valve Trauma,,,139.1,139.1,2
RC,682,"Oral and/or oropharyngeal suction catheter, each Trauma",,,12.53,12.53,2
RC,682,Oral busulfan Trauma,,,24.29,24.29,2
RC,682,"Oral cushion for combination oral/nasal mask, replacement only, each Trauma",,,103.13,103.13,2
RC,682,"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day suppl",,,252.89,252.89,2
RC,682,"Oral interface used with positive airway pressure device, each Trauma",,,254.93,254.93,2
RC,682,"Oral interface used with respiratory suction pump, each Trauma",,,413.54,413.54,2
RC,682,Oral methotrexate (jylamvo Trauma,,,39.52,39.52,2
RC,682,Oral methotrexate (xatmep) Trauma,,,55.0,55.0,2
RC,682,"Oral netupitant, palonoset Trauma",,,1137.69,1137.69,2
RC,682,"Orbital prosthesis, provided by a non-physician Trauma",,,9726.48,9726.48,2
RC,682,"Organic acid, single, quantitative Trauma",,,50.9,50.9,2
RC,682,"Organic acids; qualitative, each specimen Trauma",,,39.48,39.48,2
RC,682,"Organic acids; total, quantitative, each specimen Trauma",,,56.64,56.64,2
RC,682,"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) Trauma",,,186.55,186.55,2
RC,682,"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) Trauma",,,162.17,162.17,2
RC,682,"Orthopedic shoe addition, convert firm shoe counter to soft counter Trauma",,,158.42,158.42,2
RC,682,"Orthopedic shoe addition, convert instep to velcro closure Trauma",,,192.34,192.34,2
RC,682,"Orthopedic shoe addition, insole, felt covered with leather Trauma",,,94.27,94.27,2
RC,682,"Orthopedic shoe addition, insole, leather Trauma",,,86.83,86.83,2
RC,682,"Orthopedic shoe addition, insole, rubber Trauma",,,86.83,86.83,2
RC,682,"Orthopedic shoe addition, march bar Trauma",,,124.44,124.44,2
RC,682,"Orthopedic shoe addition, sole, full Trauma",,,150.89,150.89,2
RC,682,"Orthopedic shoe addition, sole, half Trauma",,,94.27,94.27,2
RC,682,"Orthopedic shoe addition, special extension to instep (leather with eyelets) Trauma",,,252.79,252.79,2
RC,682,"Orthopedic shoe addition, toe tap standard Trauma",,,26.45,26.45,2
RC,682,"Orthopedic shoe addition, toe tap, horseshoe Trauma",,,67.82,67.82,2
RC,682,"Orthotic side bar disconnect device, per bar Trauma",,,386.4,386.4,2
RC,682,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minu",,,100.95,114.72,6
RC,682,"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes Trauma",,,109.82,124.8,4
RC,682,Orthovisc inj per dose Trauma,,,240.79,240.79,2
RC,682,"Oscillatory positive expiratory pressure device, non-electric, any type, each Trauma",,,126.34,126.34,2
RC,682,Osmolality; blood Trauma,,,15.86,15.86,2
RC,682,Osmolality; urine Trauma,,,16.37,16.37,2
RC,682,"Osmotic fragility, RBC; incubated Trauma",,,32.06,32.06,2
RC,682,"Osmotic fragility, RBC; unincubated Trauma",,,17.93,17.93,2
RC,682,Ossicula implant Trauma,,,888.65,888.65,2
RC,682,Osteocalcin (bone g1a protein) Trauma,,,71.64,71.64,2
RC,682,"Osteogenesis stimulator, electrical, non-invasive, other than spinal applications Trauma",,,13394.26,13394.26,2
RC,682,"Osteogenesis stimulator, electrical, non-invasive, spinal applications Trauma",,,13307.52,13307.52,2
RC,682,"Osteogenesis stimulator, electrical, surgically implanted Trauma",,,826.73,826.73,2
RC,682,"Osteogenesis stimulator, low intensity ultrasound, non-invasive Trauma",,,11058.29,11058.29,2
RC,682,"Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each Trauma",,,0.36,0.36,2
RC,682,Ostomy accessory; convex insert Trauma,,,6.67,6.67,2
RC,682,Ostomy belt with peristomal hernia support Trauma,,,138.46,138.46,2
RC,682,"Ostomy belt, each Trauma",,,25.18,25.18,2
RC,682,"Ostomy clamp, any type, replacement only, each Trauma",,,8.11,8.11,2
RC,682,"Ostomy deodorant for use in ostomy pouch, solid, per tablet Trauma",,,0.12,0.12,2
RC,682,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce Trauma",,,8.86,8.86,2
RC,682,"Ostomy faceplate equivalent, silicone ring, each Trauma",,,32.86,32.86,2
RC,682,"Ostomy faceplate, each Trauma",,,62.78,62.78,2
RC,682,"Ostomy filter, any type, each Trauma",,,0.86,0.86,2
RC,682,Ostomy irrigation set Trauma,,,142.08,142.08,2
RC,682,"Ostomy irrigation supply; bag, each Trauma",,,47.28,47.28,2
RC,682,"Ostomy irrigation supply; cone/catheter, with or without brush Trauma",,,41.95,41.95,2
RC,682,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each Trauma",,,7.68,7.68,2
RC,682,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each Trauma",,,12.74,12.74,2
RC,682,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each Trauma",,,9.43,9.43,2
RC,682,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each Trauma",,,6.14,6.14,2
RC,682,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each Trauma",,,6.34,6.34,2
RC,682,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each Trauma",,,5.9,5.9,2
RC,682,"Ostomy pouch, closed; for use on faceplate, each Trauma",,,5.71,5.71,2
RC,682,"Ostomy pouch, closed; with barrier attached (1 piece), each Trauma",,,7.06,7.06,2
RC,682,"Ostomy pouch, closed; without barrier attached (1 piece), each Trauma",,,5.09,5.09,2
RC,682,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each Trauma",,,6.19,6.19,2
RC,682,"Ostomy pouch, drainable, for use on faceplate, plastic, each Trauma",,,14.66,14.66,2
RC,682,"Ostomy pouch, drainable, for use on faceplate, rubber, each Trauma",,,105.17,105.17,2
RC,682,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each Trauma",,,18.84,18.84,2
RC,682,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each Trauma",,,9.26,9.26,2
RC,682,"Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each Trauma",,,19.7,19.7,2
RC,682,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each Trauma",,,21.22,21.22,2
RC,682,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each Trauma",,,16.27,16.27,2
RC,682,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each Trauma",,,14.9,14.9,2
RC,682,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each Trauma",,,32.83,32.83,2
RC,682,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each Trauma",,,32.83,32.83,2
RC,682,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each Trauma",,,15.98,15.98,2
RC,682,"Ostomy pouch, drainable, with faceplate attached, plastic, each Trauma",,,58.73,58.73,2
RC,682,"Ostomy pouch, drainable, with faceplate attached, rubber, each Trauma",,,162.74,162.74,2
RC,682,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each Trauma",,,9.26,9.26,2
RC,682,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each Trauma",,,9.34,9.34,2
RC,682,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each Trauma",,,9.55,9.55,2
RC,682,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each Trauma",,,12.24,12.24,2
RC,682,"Ostomy pouch, drainable; with barrier attached, (1 piece), each Trauma",,,12.1,12.1,2
RC,682,"Ostomy pouch, drainable; without barrier attached (1 piece), each Trauma",,,7.1,7.1,2
RC,682,"Ostomy pouch, urinary, for use on faceplate, heavy plastic, each Trauma",,,84.22,84.22,2
RC,682,"Ostomy pouch, urinary, for use on faceplate, plastic, each Trauma",,,15.82,15.82,2
RC,682,"Ostomy pouch, urinary, for use on faceplate, rubber, each Trauma",,,96.41,96.41,2
RC,682,"Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each Trauma",,,28.22,28.22,2
RC,682,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each Trauma",,,24.17,24.17,2
RC,682,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each Trauma",,,30.91,30.91,2
RC,682,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each Trauma",,,29.14,29.14,2
RC,682,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each Trauma",,,22.3,22.3,2
RC,682,"Ostomy pouch, urinary, with faceplate attached, plastic, each Trauma",,,51.36,51.36,2
RC,682,"Ostomy pouch, urinary, with faceplate attached, rubber, each Trauma",,,127.68,127.68,2
RC,682,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each Trauma",,,27.96,27.96,2
RC,682,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each Trauma",,,9.38,9.38,2
RC,682,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each Trauma",,,11.47,11.47,2
RC,682,"Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each Trauma",,,12.86,12.86,2
RC,682,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each Trauma",,,12.26,12.26,2
RC,682,"Ostomy pouch, urinary; with barrier attached (1 piece), each Trauma",,,20.57,20.57,2
RC,682,"Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each Trauma",,,21.22,21.22,2
RC,682,"Ostomy pouch, urinary; without barrier attached (1 piece), each Trauma",,,10.27,10.27,2
RC,682,"Ostomy ring, each Trauma",,,5.74,5.74,2
RC,682,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz Trauma",,,8.3,8.3,2
RC,682,"Ostomy skin barrier, non-pectin based, paste, per ounce Trauma",,,11.69,11.69,2
RC,682,"Ostomy skin barrier, pectin-based, paste, per ounce Trauma",,,19.58,19.58,2
RC,682,"Ostomy skin barrier, powder, per oz Trauma",,,12.48,12.48,2
RC,682,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each Trauma",,,17.42,17.42,2
RC,682,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each Trauma",,,17.42,17.42,2
RC,682,"Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each Trauma",,,14.38,14.38,2
RC,682,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each Trauma",,,33.77,33.77,2
RC,682,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each Trauma",,,21.22,21.22,2
RC,682,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each Trauma",,,30.91,30.91,2
RC,682,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each Trauma",,,21.46,21.46,2
RC,682,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each Trauma",,,16.82,16.82,2
RC,682,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each Trauma",,,20.52,20.52,2
RC,682,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each Trauma",,,29.95,29.95,2
RC,682,"Ostomy vent, any type, each Trauma",,,4.42,4.42,2
RC,682,Other manual wheelchair/base Trauma,,,244.46,244.46,2
RC,682,"Other scoliosis procedure, body jacket molded to patient model Trauma",,,4606.87,4606.87,2
RC,682,"Other scoliosis procedure, post-operative body jacket Trauma",,,4740.46,4740.46,2
RC,682,Outflare wedge Trauma,,,147.12,147.12,2
RC,682,"Ova and parasites, direct smears, concentration and identification Trauma",,,21.36,21.36,2
RC,682,"Oversize lens, per lens Trauma",,,49.08,49.08,2
RC,682,"Ovulation tests, by visual color comparison methods for human luteinizing hormone Trauma",,,30.48,30.48,2
RC,682,Oxalate Trauma,,,34.68,34.68,2
RC,682,Oxcarbazepine Trauma,,,31.8,31.8,2
RC,682,Oxygen and water vapor enriching system with heated delivery Trauma,,,329.78,329.78,2
RC,682,Oxygen and water vapor enriching system without heated delivery Trauma,,,258.17,258.17,2
RC,682,"Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each Trauma",,,240.5,240.5,2
RC,682,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate Trauma",,,240.5,240.5,2
RC,682,"PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence Trauma",,,1623.6,1623.6,2
RC,682,"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; known familial variant Trauma",,,723.24,723.24,2
RC,682,"PCA3/KLK3 (prostate cancer antigen 3 ºnon-protein coding»/kallikrein-related peptidase 3 ºprostate specific antigen») ratio (eg, prostate cancer) Trauma",,,612.12,612.12,2
RC,682,"PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor ºGIST»), gene analysis, targeted sequence analysis (eg, exons 12, 18) Trauma",,,790.82,790.82,2
RC,682,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC Trauma",,,26878.24,56093.71,4
RC,682,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC Trauma",,,18469.63,38545.32,4
RC,682,PENIS PROCEDURES WITH CC/MCC Trauma,,,28990.83,60502.61,4
RC,682,PENIS PROCEDURES WITHOUT CC/MCC Trauma,,,19066.65,39791.28,4
RC,682,"PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20) Trauma",,,659.59,659.59,2
RC,682,"PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) Trauma",,,699.26,699.26,2
RC,682,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quan",,,497.54,497.54,2
RC,682,"PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative o",,,497.54,497.54,2
RC,682,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis Trauma",,,1820.06,1820.06,2
RC,682,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis Trauma",,,1846.99,1846.99,2
RC,682,"PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant Trauma",,,111.84,111.84,2
RC,682,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants Trauma",,,488.4,488.4,2
RC,682,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis Trauma",,,1623.6,1623.6,2
RC,682,"PMS2 (postmeiotic segregation increased 2 ºS. cerevisiae») (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants Trauma",,,794.4,794.4,2
RC,682,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC Trauma,,,20858.77,43531.34,4
RC,682,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC Trauma,,,13234.76,27620.38,4
RC,682,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC Trauma,,,23595.18,49242.12,4
RC,682,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC Trauma,,,14743.92,30769.92,4
RC,682,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC Trauma,,,27001.49,56350.94,4
RC,682,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC Trauma,,,52802.86,110197.27,4
RC,682,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,18977.69,39605.62,4
RC,682,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES Trauma,,,22159.98,46246.92,4
RC,682,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES Trauma,,,11065.36,23092.92,4
RC,682,"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,PREMATURITY WITH MAJOR PROBLEMS Trauma,,,47554.05,99243.24,4
RC,682,PREMATURITY WITHOUT MAJOR PROBLEMS Trauma,,,30299.56,63233.86,4
RC,682,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS Trauma,,,4048.01,8448.02,4
RC,682,PSYCHOSES Trauma,,,19019.49,39692.86,4
RC,682,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant Trauma",,,720.0,720.0,2
RC,682,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis Trauma",,,1440.0,1440.0,2
RC,682,"PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant Trauma",,,111.84,111.84,2
RC,682,"Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems Trauma",,,1637.62,1637.62,2
RC,682,"Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) Trauma",,,813.53,813.53,2
RC,682,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard Trauma",,,6.38,6.38,2
RC,682,"Pad for water circulating heat unit, for replacement only Trauma",,,289.56,289.56,2
RC,682,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard Trauma",,,2.33,2.33,2
RC,682,"Pail or pan for use with commode chair, replacement only Trauma",,,30.31,30.31,2
RC,682,Panitumumab injection Trauma,,,437.25,437.25,2
RC,682,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin) Trauma",,,58.99,58.99,2
RC,682,"Paraffin, per pound Trauma",,,11.66,11.66,2
RC,682,Parathormone (parathyroid hormone) Trauma,,,99.07,99.07,2
RC,682,"Parenteral infusion pump, stationary, single or multi-channel Trauma",,,881.95,881.95,2
RC,682,"Partial facial prosthesis, provided by a non-physician Trauma",,,7781.23,7781.23,2
RC,682,"Partial foot, molded socket, ankle height, with toe filler Trauma",,,3755.59,3755.59,2
RC,682,"Partial foot, molded socket, tibial tubercle height, with toe filler Trauma",,,6377.76,6377.76,2
RC,682,"Partial foot, shoe insert with longitudinal arch, toe filler Trauma",,,1554.96,1554.96,2
RC,682,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use w",,,823.49,823.49,2
RC,682,"Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for",,,4146.6,4146.6,2
RC,682,"Particle agglutination; screen, each antibody Trauma",,,27.7,27.7,2
RC,682,"Particle agglutination; titer, each antibody Trauma",,,25.54,25.54,2
RC,682,"Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thu",,,5231.54,5231.54,2
RC,682,Pathogen reduced plasma po Trauma,,,133.87,133.87,2
RC,682,Pathogen reduced plasma si Trauma,,,706.75,706.75,2
RC,682,"Patient lift, electric with seat or sling Trauma",,,347.76,347.76,2
RC,682,"Patient lift, fixed system, includes all components/accessories Trauma",,,324.31,324.31,2
RC,682,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) Trauma",,,177.77,177.77,2
RC,682,"Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories Trauma",,,324.31,324.31,2
RC,682,"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only Trauma",,,3355.99,3355.99,2
RC,682,"Peak expiratory flow rate meter, hand held Trauma",,,81.34,81.34,2
RC,682,"Pediatric crib, hospital grade, fully enclosed, with or without top enclosure Trauma",,,767.78,767.78,2
RC,682,Pegaspargase injection Trauma,,,71193.5,71193.5,2
RC,682,Pegunigalsidase alfa-iwxj Trauma,,,541.6,541.6,2
RC,682,Pelvic belt/harness/boot Trauma,,,133.34,133.34,2
RC,682,Pembrolizumab 1mg berahyal Trauma,,,76.66,76.66,2
RC,682,Peng benzathine/procaine i Trauma,,,46.86,46.86,2
RC,682,"Penile contracture device, manual, greater than 3 lbs traction force Trauma",,,351.65,351.65,2
RC,682,Pentostatin injection Trauma,,,6475.17,6475.17,2
RC,682,"Percussor, electric or pneumatic, home model Trauma",,,127.78,127.78,2
RC,682,"Percutaneous catheter/tube anchoring device, adhesive skin attachment Trauma",,,38.64,38.64,2
RC,682,"Perianal fecal collection pouch with adhesive, each Trauma",,,24.5,24.5,2
RC,682,"Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2) Trauma",,,105.58,105.58,2
RC,682,"Peroneal straps, prefabricated, off-the-shelf, pair Trauma",,,48.17,48.17,2
RC,682,"Pertuzu, trastuzu, 10 mg Trauma",,,143.75,143.75,2
RC,682,"Pessary, reusable, non rubber, any type Trauma",,,175.1,175.1,2
RC,682,"Pessary, reusable, rubber, any type Trauma",,,70.42,70.42,2
RC,682,Phenobarbital Trauma,,,36.72,36.72,2
RC,682,"Phenylalanine (PKU), blood Trauma",,,13.2,13.2,2
RC,682,Phenylep ketorolac opth so Trauma,,,231.13,231.13,2
RC,682,"Phenylketones, qualitative Trauma",,,9.55,9.55,2
RC,682,Phenytoin; free Trauma,,,33.02,33.02,2
RC,682,Phenytoin; total Trauma,,,31.8,31.8,2
RC,682,"Phosphatase, acid; prostatic Trauma",,,23.18,23.18,2
RC,682,"Phosphatase, acid; total Trauma",,,18.34,18.34,2
RC,682,"Phosphatase, alkaline; Trauma",,,12.43,12.43,2
RC,682,"Phosphatase, alkaline; heat stable (total not included) Trauma",,,19.82,19.82,2
RC,682,"Phosphatase, alkaline; isoenzymes Trauma",,,35.47,35.47,2
RC,682,Phosphatidylglycerol Trauma,,,39.65,39.65,2
RC,682,"Phosphogluconate, 6-, dehydrogenase, RBC Trauma",,,22.66,22.66,2
RC,682,Phosphohexose isomerase Trauma,,,25.75,25.75,2
RC,682,Phospholipid neutralization; hexagonal phospholipid Trauma,,,43.15,43.15,2
RC,682,Phospholipid neutralization; platelet Trauma,,,43.15,43.15,2
RC,682,Phosphorus inorganic (phosphate); Trauma,,,11.38,11.38,2
RC,682,Phosphorus inorganic (phosphate); urine Trauma,,,13.87,13.87,2
RC,682,Phototherapy (bilirubin) light with photometer Trauma,,,182.06,182.06,2
RC,682,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes Trauma",,,73.92,84.0,6
RC,682,"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination",,,211.77,240.65,4
RC,682,"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st",,,211.77,240.65,4
RC,682,"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o",,,211.77,240.65,4
RC,682,"Piflu f-18, dia 1 millicur Trauma",,,831.58,831.58,2
RC,682,"Pillow for use on nasal cannula type interface, replacement only, pair Trauma",,,46.46,46.46,2
RC,682,"Pinworm exam (eg, cellophane tape prep) Trauma",,,10.25,10.25,2
RC,682,Pinworm examinations Trauma,,,10.25,10.25,2
RC,682,Plaelet rich plasma unit Trauma,,,1343.5,1343.5,2
RC,682,Plasma 1 donor frz w/in 8 Trauma,,,206.35,206.35,2
RC,682,Plasma cryo redu path each Trauma,,,321.02,321.02,2
RC,682,"Plasma protein fract,5%,50 Trauma",,,19.46,19.46,2
RC,682,"Plasma, frz between 8-24ho Trauma",,,177.05,177.05,2
RC,682,"Plasmaprotein fract,5%,250 Trauma",,,84.77,84.77,2
RC,682,Plate pheres leukoredu irr Trauma,,,1633.46,1633.46,2
RC,682,Platelet pheres leukoreduc Trauma,,,1227.82,1227.82,2
RC,682,Platelet pheresis irradiat Trauma,,,2277.91,2277.91,2
RC,682,"Platelet, aggregation (in vitro), each agent Trauma",,,59.78,59.78,2
RC,682,Platelets leukocytes reduc Trauma,,,346.22,346.22,2
RC,682,Platelets leukoreduced irr Trauma,,,455.02,455.02,2
RC,682,Platelets pheresis path re Trauma,,,1457.83,1457.83,2
RC,682,"Platelets, each unit Trauma",,,127.61,127.61,2
RC,682,"Platelets, hla-m, l/r, uni Trauma",,,1699.34,1699.34,2
RC,682,"Platelets, irradiated Trauma",,,943.13,943.13,2
RC,682,"Platelets, pheresis Trauma",,,741.5,741.5,2
RC,682,"Platform attachment, forearm crutch, each Trauma",,,201.77,201.77,2
RC,682,"Platform attachment, walker, each Trauma",,,142.85,142.85,2
RC,682,"Platforms for home blood glucose monitor, 50 per box Trauma",,,13.39,13.39,2
RC,682,Plerixafor injection Trauma,,,68.37,68.37,2
RC,682,"Plt, aph/pher, l/r, cmv-ne Trauma",,,601.18,601.18,2
RC,682,"Plt, pher, l/r cmv-neg, ir Trauma",,,1208.28,1208.28,2
RC,682,"Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system) Trauma",,,1315.27,1315.27,2
RC,682,"Pneumatic compressor, non-segmental home model Trauma",,,2277.05,2277.05,2
RC,682,"Pneumatic compressor, segmental home model with calibrated gradient pressure Trauma",,,18132.74,18132.74,2
RC,682,"Pneumatic compressor, segmental home model without calibrated gradient pressure Trauma",,,3141.24,3141.24,2
RC,682,"Pneumatic full leg splint, prefabricated, off-the-shelf Trauma",,,520.66,520.66,2
RC,682,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use Trauma",,,,,0
RC,682,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use Trauma",,,,,0
RC,682,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use Trauma",,,,,0
RC,682,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use Trauma",,,,,0
RC,682,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use Trauma",,,,,0
RC,682,"Pneumococcal, Influenza, H Trauma",,,90.4,90.4,2
RC,682,"Polarization, any lens material, per lens Trauma",,,177.14,177.14,2
RC,682,Polishing/resurfacing of ocular prosthesis Trauma,,,178.87,178.87,2
RC,682,"Porphobilinogen, urine; qualitative Trauma",,,13.97,13.97,2
RC,682,"Porphobilinogen, urine; quantitative Trauma",,,20.26,20.26,2
RC,682,"Porphyrins, feces, quantitative Trauma",,,93.86,93.86,2
RC,682,"Porphyrins, urine; qualitative Trauma",,,32.06,32.06,2
RC,682,"Porphyrins, urine; quantitation and fractionation Trauma",,,35.3,35.3,2
RC,682,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing Trauma",,,115.06,115.06,2
RC,682,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing Trauma",,,53.14,53.14,2
RC,682,"Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with o",,,115.06,115.06,2
RC,682,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing Trauma",,,115.06,115.06,2
RC,682,"Portable oxygen concentrator, rental Trauma",,,115.06,115.06,2
RC,682,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit Trauma",,,148.46,148.46,2
RC,682,"Portable oxygen contents, liquid, 1 month's supply = 1 unit Trauma",,,148.46,148.46,2
RC,682,"Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) Trauma",,,222.7,222.7,2
RC,682,Posaconazole Trauma,,,65.06,65.06,2
RC,682,"Positioning wheelchair back cushion, planar back with lateral supports, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,1340.09,1340.09,2
RC,682,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware Trauma",,,1147.22,1147.22,2
RC,682,"Positioning wheelchair back cushion, posterior, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,1320.65,1320.65,2
RC,682,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware Trauma",,,918.62,918.62,2
RC,682,"Positioning wheelchair back cushion, posterior-lateral, width 22 inches or greater, any height, including any type mounting hardware Trauma",,,1396.15,1396.15,2
RC,682,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware Trauma",,,1038.91,1038.91,2
RC,682,"Positioning wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,990.72,990.72,2
RC,682,"Positioning wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,616.42,616.42,2
RC,682,"Post-coital direct, qualitative examinations of vaginal or cervical mucous Trauma",,,60.0,60.0,2
RC,682,Posterior chamber intraocular lens Trauma,,,349.75,349.75,2
RC,682,Postural drainage board Trauma,,,66.72,66.72,2
RC,682,"Potassium; serum, plasma or whole blood Trauma",,,11.42,11.42,2
RC,682,Potassium; urine Trauma,,,11.35,11.35,2
RC,682,"Power adapter for pneumatic ventricular assist device, replacement only, vehicle type Trauma",,,2038.75,2038.75,2
RC,682,"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type Trauma",,,546.0,546.0,2
RC,682,"Power module for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,35604.0,35604.0,2
RC,682,"Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,2305.3,2305.3,2
RC,682,Power operated vehicle (three or four wheel nonhighway) specify brand name and model number Trauma,,,6575.71,6575.71,2
RC,682,"Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds Trauma",,,4564.8,4564.8,2
RC,682,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds Trauma",,,2539.8,2539.8,2
RC,682,"Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds Trauma",,,6039.48,6039.48,2
RC,682,"Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds Trauma",,,6504.62,6504.62,2
RC,682,"Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds Trauma",,,4197.19,4197.19,2
RC,682,"Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds Trauma",,,10055.09,10055.09,2
RC,682,"Power pack base for use with electric/pneumatic ventricular assist device, replacement only Trauma",,,48297.36,48297.36,2
RC,682,"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote Trauma",,,306.19,306.19,2
RC,682,"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,82.27,82.27,2
RC,682,"Power wheelchair accessory, 22nf non-sealed lead acid battery, each Trauma",,,356.38,356.38,2
RC,682,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) Trauma",,,334.63,334.63,2
RC,682,"Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each Trauma",,,1101.7,1101.7,2
RC,682,"Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each Trauma",,,489.02,489.02,2
RC,682,"Power wheelchair accessory, breath tube kit for sip and puff interface Trauma",,,102.36,102.36,2
RC,682,"Power wheelchair accessory, caster fork, any size, replacement only, each Trauma",,,154.3,154.3,2
RC,682,"Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each Trauma",,,128.3,128.3,2
RC,682,"Power wheelchair accessory, chin cup for chin control interface Trauma",,,129.17,129.17,2
RC,682,"Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each Trauma",,,170.5,170.5,2
RC,682,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection ",,,325.68,325.68,2
RC,682,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function s",,,657.22,657.22,2
RC,682,"Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface Trauma",,,2060.28,2060.28,2
RC,682,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only Trauma",,,372.84,372.84,2
RC,682,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue Trauma",,,138.12,138.12,2
RC,682,"Power wheelchair accessory, foam caster tire, any size, replacement only, each Trauma",,,79.85,79.85,2
RC,682,"Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each Trauma",,,142.85,142.85,2
RC,682,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each Trauma",,,148.01,148.01,2
RC,682,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each Trauma",,,317.11,317.11,2
RC,682,"Power wheelchair accessory, group 24 non-sealed lead acid battery, each Trauma",,,314.62,314.62,2
RC,682,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,432.67,432.67,2
RC,682,"Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each Trauma",,,406.34,406.34,2
RC,682,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,491.18,491.18,2
RC,682,"Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware Trauma",,,415.73,415.73,2
RC,682,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware Trauma",,,442.51,442.51,2
RC,682,"Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware Trauma",,,231.24,231.24,2
RC,682,"Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware Trauma",,,663.29,663.29,2
RC,682,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacemen",,,150.07,150.07,2
RC,682,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each Trauma",,,105.41,105.41,2
RC,682,"Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array",,,520.66,520.66,2
RC,682,"Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware Trauma",,,770.09,770.09,2
RC,682,"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head arr",,,1008.79,1008.79,2
RC,682,"Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware Trauma",,,1460.78,1460.78,2
RC,682,"Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each Trauma",,,360.17,360.17,2
RC,682,"Power wheelchair accessory, lithium-based battery, each Trauma",,,1268.76,1268.76,2
RC,682,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only Trauma",,,201.72,201.72,2
RC,682,"Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches Trauma",,,1532.28,1532.28,2
RC,682,"Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches Trauma",,,2451.65,2451.65,2
RC,682,"Power wheelchair accessory, nonstandard seat frame width, 20-23 inches Trauma",,,1225.66,1225.66,2
RC,682,"Power wheelchair accessory, nonstandard seat frame width, 24-27 inches Trauma",,,1838.69,1838.69,2
RC,682,"Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each Trauma",,,182.28,182.28,2
RC,682,"Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each Trauma",,,176.54,176.54,2
RC,682,"Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware Trauma",,,397.08,397.08,2
RC,682,"Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each Trauma",,,50.9,50.9,2
RC,682,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each Trauma",,,122.93,122.93,2
RC,682,"Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each Trauma",,,123.62,123.62,2
RC,682,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated Trauma",,,203.78,203.78,2
RC,682,"Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each Trauma",,,131.26,131.26,2
RC,682,"Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each Trauma",,,54.7,54.7,2
RC,682,"Power wheelchair accessory, u-1 non-sealed lead acid battery, each Trauma",,,343.99,343.99,2
RC,682,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) Trauma",,,229.06,229.06,2
RC,682,"Power wheelchair component, actuator, replacement only Trauma",,,168.34,168.34,2
RC,682,"Power wheelchair component, drive wheel gear box, replacement only Trauma",,,112.13,112.13,2
RC,682,"Power wheelchair component, drive wheel motor, replacement only Trauma",,,120.02,120.02,2
RC,682,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only Trauma",,,159.1,159.1,2
RC,682,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,839.52,839.52,2
RC,682,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,809.06,809.06,2
RC,682,"Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds Trauma",,,771.98,771.98,2
RC,682,"Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds Trauma",,,898.97,898.97,2
RC,682,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more Trauma",,,2561.93,2561.93,2
RC,682,"Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,2820.98,2820.98,2
RC,682,"Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,2554.13,2554.13,2
RC,682,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,1187.09,1187.09,2
RC,682,"Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,1440.62,1440.62,2
RC,682,"Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,1225.99,1225.99,2
RC,682,"Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,1383.22,1383.22,2
RC,682,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,1311.0,1311.0,2
RC,682,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,840.74,840.74,2
RC,682,"Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,1213.54,1213.54,2
RC,682,"Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,1215.31,1215.31,2
RC,682,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,840.34,840.34,2
RC,682,"Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,789.58,789.58,2
RC,682,"Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,1118.57,1118.57,2
RC,682,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,1078.44,1078.44,2
RC,682,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,899.88,899.88,2
RC,682,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds Trauma",,,1928.86,1928.86,2
RC,682,"Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,1837.39,1837.39,2
RC,682,"Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,2191.01,2191.01,2
RC,682,"Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more Trauma",,,4026.19,4026.19,2
RC,682,"Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,5290.61,5290.61,2
RC,682,"Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more Trauma",,,4262.14,4262.14,2
RC,682,"Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,2606.21,2606.21,2
RC,682,"Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,3111.98,3111.98,2
RC,682,"Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds Trauma",,,2967.91,2967.91,2
RC,682,"Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds Trauma",,,3111.98,3111.98,2
RC,682,"Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds Trauma",,,2710.51,2710.51,2
RC,682,"Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,2246.66,2246.66,2
RC,682,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,2512.27,2512.27,2
RC,682,"Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds Trauma",,,2558.52,2558.52,2
RC,682,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,2508.22,2508.22,2
RC,682,"Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds Trauma",,,2336.78,2336.78,2
RC,682,"Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds Trauma",,,3217.22,3217.22,2
RC,682,"Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,4445.9,4445.9,2
RC,682,"Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,4445.9,4445.9,2
RC,682,"Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds Trauma",,,3131.86,3131.86,2
RC,682,Powered air flotation bed (low air loss therapy) Trauma,,,2075.59,2075.59,2
RC,682,"Powered air overlay for mattress, standard mattress length and width Trauma",,,603.72,603.72,2
RC,682,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty Trauma",,,47.45,47.45,2
RC,682,"Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty Trauma",,,47.45,47.45,2
RC,682,Powered pressure-reducing air mattress Trauma,,,603.72,603.72,2
RC,682,"Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated Trauma",,,83928.24,83928.24,2
RC,682,"Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated Trau",,,165124.08,165124.08,2
RC,682,Pralatrexate injection Trauma,,,926.69,926.69,2
RC,682,Prealbumin Trauma,,,35.02,35.02,2
RC,682,Pregnancy-associated plasma protein-A (PAPP-A) Trauma,,,36.12,36.12,2
RC,682,Pregnanediol Trauma,,,51.05,51.05,2
RC,682,Pregnanetriol Trauma,,,50.52,50.52,2
RC,682,Pregnenolone Trauma,,,49.61,49.61,2
RC,682,"Prehensile actuator, switch controlled Trauma",,,8283.29,8283.29,2
RC,682,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model Trauma",,,7063.22,7063.22,2
RC,682,"Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model Trauma",,,6931.06,6931.06,2
RC,682,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket Trauma",,,8529.79,8529.79,2
RC,682,"Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed Trauma",,,5937.02,5937.02,2
RC,682,"Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model Trauma",,,5710.63,5710.63,2
RC,682,"Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket Trauma",,,4982.62,4982.62,2
RC,682,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model Trauma",,,5317.99,5317.99,2
RC,682,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model Trauma",,,4277.62,4277.62,2
RC,682,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed Trauma",,,4225.27,4225.27,2
RC,682,"Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model Trauma",,,5074.94,5074.94,2
RC,682,"Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to",,,6973.9,6973.9,2
RC,682,"Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed Tra",,,6526.42,6526.42,2
RC,682,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model Trauma",,,13413.43,13413.43,2
RC,682,"Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model Trauma",,,12478.15,12478.15,2
RC,682,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, n",,,8575.56,8575.56,2
RC,682,"Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover,",,,8145.43,8145.43,2
RC,682,"Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, ",,,4909.73,4909.73,2
RC,682,"Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover",,,4446.89,4446.89,2
RC,682,"Press-on lens, fresnell prism, per lens Trauma",,,83.88,83.88,2
RC,682,Primidone Trauma,,,39.82,39.82,2
RC,682,"Prism, per lens Trauma",,,34.15,34.15,2
RC,682,Procainamide hcl injection Trauma,,,708.87,708.87,2
RC,682,Procainamide; Trauma,,,144.0,144.0,2
RC,682,"Procainamide; with metabolites (eg, n-acetyl procainamide) Trauma",,,40.2,40.2,2
RC,682,Procalcitonin (PCT) Trauma,,,65.33,65.33,2
RC,682,Progesterone Trauma,,,50.06,50.06,2
RC,682,Proinsulin Trauma,,,64.06,64.06,2
RC,682,Prolactin Trauma,,,46.51,46.51,2
RC,682,"Prostaglandin, each Trauma",,,100.25,100.25,2
RC,682,Prostate cancer screening; prostate specific antigen test (psa) Trauma,,,46.34,46.34,2
RC,682,Prostate specific antigen (PSA); complexed (direct measurement) Trauma,,,44.14,44.14,2
RC,682,Prostate specific antigen (PSA); free Trauma,,,44.14,44.14,2
RC,682,Prostate specific antigen (PSA); total Trauma,,,44.14,44.14,2
RC,682,"Prosthetic eye, plastic, custom Trauma",,,2637.43,2637.43,2
RC,682,"Prosthetic sheath, above knee, each Trauma",,,63.36,63.36,2
RC,682,"Prosthetic sheath, below knee, each Trauma",,,55.7,55.7,2
RC,682,"Prosthetic sheath, upper limb, each Trauma",,,62.98,62.98,2
RC,682,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each Trauma",,,223.44,223.44,2
RC,682,"Prosthetic shrinker, above knee, each Trauma",,,214.39,214.39,2
RC,682,"Prosthetic shrinker, below knee, each Trauma",,,154.03,154.03,2
RC,682,"Prosthetic shrinker, upper limb, each Trauma",,,191.09,191.09,2
RC,682,"Prosthetic sock, multiple ply, above knee, each Trauma",,,81.0,81.0,2
RC,682,"Prosthetic sock, multiple ply, below knee, each Trauma",,,73.61,73.61,2
RC,682,"Prosthetic sock, multiple ply, upper limb, each Trauma",,,72.65,72.65,2
RC,682,"Prosthetic sock, single ply, fitting, above knee, each Trauma",,,27.05,27.05,2
RC,682,"Prosthetic sock, single ply, fitting, below knee, each Trauma",,,19.61,19.61,2
RC,682,"Prosthetic sock, single ply, fitting, upper limb, each Trauma",,,32.69,32.69,2
RC,682,"Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment",,,3557.3,3557.3,2
RC,682,"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Trauma",,,100.51,100.51,2
RC,682,"Protective body sock, prefabricated, off-the-shelf, each Trauma",,,167.45,167.45,2
RC,682,"Protein analysis of tissue by Western Blot, with interpretation and report; Trauma",,,53.35,53.35,2
RC,682,"Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each Trauma",,,62.93,62.93,2
RC,682,"Protein, total, by refractometry, any source Trauma",,,13.46,13.46,2
RC,682,"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid) Trauma",,,9.6,9.6,2
RC,682,"Protein, total, except by refractometry; serum, plasma or whole blood Trauma",,,8.81,8.81,2
RC,682,"Protein, total, except by refractometry; urine Trauma",,,8.81,8.81,2
RC,682,"Protein; Western Blot, with interpretation and report, blood or other body fluid Trauma",,,40.87,40.87,2
RC,682,"Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each Trauma",,,70.1,70.1,2
RC,682,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF) Trauma",,,42.79,42.79,2
RC,682,"Protein; electrophoretic fractionation and quantitation, serum Trauma",,,25.78,25.78,2
RC,682,Prothrombin complex kcentr Trauma,,,4.83,4.83,2
RC,682,Prothrombin time; Trauma,,,10.3,10.3,2
RC,682,"Prothrombin time; substitution, plasma fractions, each Trauma",,,9.46,9.46,2
RC,682,"Protoporphyrin, RBC; quantitative Trauma",,,34.44,34.44,2
RC,682,"Protoporphyrin, RBC; screen Trauma",,,23.38,23.38,2
RC,682,"Pulmonary disease (idiopathic pulmonary fibrosis ºIPF»), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positi",,,12983.04,12983.04,2
RC,682,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid Trauma,,,969.72,969.72,2
RC,682,"Pump for alternating pressure pad, for replacement only Trauma",,,58.87,58.87,2
RC,682,Pump for water circulating pad Trauma,,,128.64,128.64,2
RC,682,Pyridoxal phosphate (Vitamin B-6) Trauma,,,67.44,67.44,2
RC,682,Pyruvate Trauma,,,34.75,34.75,2
RC,682,Pyruvate kinase Trauma,,,22.66,22.66,2
RC,682,"Quantitation of therapeutic drug, not elsewhere specified Trauma",,,44.74,44.74,2
RC,682,Quinidine Trauma,,,35.04,35.04,2
RC,682,Quinine Trauma,,,27.91,27.91,2
RC,682,RADIOTHERAPY Trauma,,,33089.56,69056.47,4
RC,682,RBC deglycerolized Trauma,,,751.2,751.2,2
RC,682,RBC irradiated Trauma,,,348.53,348.53,2
RC,682,RBC leukocytes reduced Trauma,,,443.78,443.78,2
RC,682,RBC leukoreduced irradiate Trauma,,,636.98,636.98,2
RC,682,"RBC, frz/deg/wsh, l/r, irr Trauma",,,1014.46,1014.46,2
RC,682,"RBC, l/r, cmv-neg, irrad Trauma",,,598.56,598.56,2
RC,682,RED BLOOD CELL DISORDERS WITH MCC Trauma,,,19099.88,39860.62,4
RC,682,RED BLOOD CELL DISORDERS WITHOUT MCC Trauma,,,13889.65,28987.1,4
RC,682,REHABILITATION WITH CC/MCC Trauma,,,20646.55,43088.45,4
RC,682,REHABILITATION WITHOUT CC/MCC Trauma,,,16339.89,34100.64,4
RC,682,RENAL FAILURE WITH CC Trauma,,,13435.2,28038.67,4
RC,682,RENAL FAILURE WITHOUT CC/MCC Trauma,,,10482.28,21876.05,4
RC,682,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC Trauma,,,14916.49,31130.06,4
RC,682,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC Trauma,,,26842.86,56019.89,4
RC,682,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC Trauma,,,10822.05,22585.15,4
RC,682,"RUNX1 (runt related transcription factor 1) (eg, acute myeloid leukemia, familial platelet disorder with associated myeloid malignancy) gene analysis, targeted sequence analysis (eg, exons 3-8) Trauma",,,790.82,790.82,2
RC,682,Rabies ig ht&sol human im/ Trauma,,,583.68,583.68,2
RC,682,"Rabies ig, heat treated Trauma",,,845.86,845.86,2
RC,682,"Rabies ig, im/sc Trauma",,,674.84,674.84,2
RC,682,"Rabies vaccine, id Trauma",,,568.46,568.46,2
RC,682,"Rabies vaccine, im Trauma",,,796.74,796.74,2
RC,682,Radiesse injection Trauma,,,838.06,838.06,2
RC,682,Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver Trauma,,,15592.08,15592.08,2
RC,682,"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement Trauma",,,2047.54,2047.54,2
RC,682,Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) Trauma,,,65.76,65.76,2
RC,682,"Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Trauma",,,54.24,54.24,2
RC,682,Ranibizumab injection Trauma,,,122.62,122.62,2
RC,682,Rasburicase Trauma,,,929.89,929.89,2
RC,682,"Ratchet assembly, replacement only Trauma",,,95.02,95.02,2
RC,682,Rbc o2 co2 reduced Trauma,,,1227.82,1227.82,2
RC,682,"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the",,,148.81,169.1,4
RC,682,"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised",,,146.62,166.61,4
RC,682,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each Trauma",,,48.89,48.89,2
RC,682,"Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each Trauma",,,277.73,277.73,2
RC,682,"Receptor assay; endocrine, other than estrogen or progesterone (specify hormone) Trauma",,,170.95,170.95,2
RC,682,Receptor assay; estrogen Trauma,,,210.91,210.91,2
RC,682,Receptor assay; non-endocrine (specify receptor) Trauma,,,87.77,87.77,2
RC,682,Receptor assay; progesterone Trauma,,,155.71,155.71,2
RC,682,"Reclining back, addition to pediatric size wheelchair Trauma",,,124.94,124.94,2
RC,682,"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each Trauma",,,33.7,33.7,2
RC,682,"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each Trauma",,,4055.35,4055.35,2
RC,682,Red blood cells unit Trauma,,,361.37,361.37,2
RC,682,Reduction of ocular prosthesis Trauma,,,735.07,735.07,2
RC,682,Regulator Trauma,,,96.86,96.86,2
RC,682,"Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors Trauma",,,3834.38,3834.38,2
RC,682,"Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not ",,,33.14,33.14,2
RC,682,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of musculoskelet",,,129.7,129.7,2
RC,682,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); device(s) supply for data access or data transmissions to support monitoring of respiratory s",,,131.38,131.38,2
RC,682,"Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment Trauma",,,56.62,56.62,2
RC,682,"Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time in a calendar month requiring at least 1 real-time interactive communication wit",,,105.05,136.73,4
RC,682,"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i",,,20.83,20.83,2
RC,682,"Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Trauma",,,502.37,502.37,2
RC,682,Renin Trauma,,,52.78,52.78,2
RC,682,"Repair of orthotic device, labor component, per 15 minutes Trauma",,,71.88,71.88,2
RC,682,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes Trauma",,,48.26,48.26,2
RC,682,"Repair prosthetic device, labor component, per 15 minutes Trauma",,,97.61,97.61,2
RC,682,Replace girdle for spinal orthosis (ctlso or so) Trauma,,,3597.77,3597.77,2
RC,682,Replace high roll cuff Trauma,,,876.46,876.46,2
RC,682,"Replace leather cuff kafo, proximal thigh Trauma",,,294.31,294.31,2
RC,682,"Replace leather cuff kafo-afo, calf or distal thigh Trauma",,,233.88,233.88,2
RC,682,"Replace metal bands kafo, proximal thigh Trauma",,,294.79,294.79,2
RC,682,"Replace metal bands kafo-afo, calf or distal thigh Trauma",,,260.93,260.93,2
RC,682,"Replace molded calf lacer, for custom fabricated orthosis only Trauma",,,1138.56,1138.56,2
RC,682,"Replace molded thigh lacer, for custom fabricated orthosis only Trauma",,,1125.77,1125.77,2
RC,682,"Replace non-molded calf lacer, for custom fabricated orthosis only Trauma",,,737.28,737.28,2
RC,682,"Replace non-molded thigh lacer, for custom fabricated orthosis only Trauma",,,904.66,904.66,2
RC,682,Replace pretibial shell Trauma,,,1609.63,1609.63,2
RC,682,Replace proximal and distal upright for kafo Trauma,,,836.16,836.16,2
RC,682,"Replace quadrilateral socket brim, custom fitted Trauma",,,1392.41,1392.41,2
RC,682,"Replace quadrilateral socket brim, molded to patient model Trauma",,,2528.9,2528.9,2
RC,682,"Replace soft interface material, foot drop splint Trauma",,,50.98,50.98,2
RC,682,Replace trilateral socket brim Trauma,,,2024.59,2024.59,2
RC,682,"Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient Trauma",,,21.31,21.31,2
RC,682,"Replacement battery for automated external defibrillator, garment type only, each Trauma",,,66.46,66.46,2
RC,682,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each Trauma",,,1.92,1.92,2
RC,682,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each Trauma",,,12.74,12.74,2
RC,682,"Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each Trauma",,,20.54,20.54,2
RC,682,"Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each Trauma",,,49.08,49.08,2
RC,682,"Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each Trauma",,,3.77,3.77,2
RC,682,"Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each Trauma",,,21.31,21.31,2
RC,682,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,1.22,1.22,2
RC,682,"Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,5.66,5.66,2
RC,682,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,2.4,2.4,2
RC,682,"Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each Trauma",,,2.78,2.78,2
RC,682,"Replacement bulb/lamp for ultraviolet light therapy system, each Trauma",,,140.38,140.38,2
RC,682,"Replacement cover for wheelchair seat cushion or back cushion, each Trauma",,,147.07,147.07,2
RC,682,"Replacement cushions for jaw motion rehabilitation system, pkg. of 6 Trauma",,,34.44,34.44,2
RC,682,"Replacement diaphragm/faceplate for tracheostoma valve, each Trauma",,,170.76,170.76,2
RC,682,"Replacement electrodes for use with automated external defibrillator, garment type only, each Trauma",,,2757.07,2757.07,2
RC,682,"Replacement garment for use with automated external defibrillator, each Trauma",,,414.58,414.58,2
RC,682,"Replacement lens shield cartridge for use with laser skin piercing device, each Trauma",,,43.66,43.66,2
RC,682,"Replacement measuring scales for jaw motion rehabilitation system, pkg. of 200 Trauma",,,69.19,69.19,2
RC,682,"Replacement pad for infrared heating pad system, each Trauma",,,98.26,98.26,2
RC,682,Replacement pad for use with medically necessary alternating pressure pad owned by patient Trauma,,,151.97,151.97,2
RC,682,"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power Trauma",,,6920.26,6920.26,2
RC,682,"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power Trauma",,,4662.55,4662.55,2
RC,682,"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power Trauma",,,10350.22,10350.22,2
RC,682,"Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power Trauma",,,3846.94,3846.94,2
RC,682,"Replacement soft interface material, dynamic adjustable extension/flexion device Trauma",,,279.6,279.6,2
RC,682,Replacement soft interface material/cuffs for bi-directional static progressive stretch device Trauma,,,359.95,359.95,2
RC,682,"Replacement, handgrip, cane, crutch, or walker, each Trauma",,,9.53,9.53,2
RC,682,"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model Trauma",,,10109.98,10109.98,2
RC,682,"Replacement, socket, below knee, molded to patient model Trauma",,,8418.48,8418.48,2
RC,682,"Replacement, socket, hip disarticulation, including hip joint, molded to patient model Trauma",,,12790.56,12790.56,2
RC,682,"Replacement, soft interface material, static afo Trauma",,,69.84,69.84,2
RC,682,"Replacement, tip, cane, crutch, walker, each. Trauma",,,5.28,5.28,2
RC,682,Reptilase test Trauma,,,23.64,23.64,2
RC,682,"Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer Trauma",,,133.54,133.54,2
RC,682,"Residual limb support system for wheelchair, any type Trauma",,,53.81,53.81,2
RC,682,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive air",,,791.69,791.69,2
RC,682,"Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pre",,,1196.81,1196.81,2
RC,682,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive a",,,321.46,321.46,2
RC,682,"Respiratory suction pump, home model, portable or stationary, electric Trauma",,,156.6,156.6,2
RC,682,Reticulated platelet assay Trauma,,,85.78,85.78,2
RC,682,"Revakinagene, per implant Trauma",,,627791.28,627791.28,2
RC,682,Rh ig minidose im Trauma,,,192.0,192.0,2
RC,682,Rheumatoid factor; qualitative Trauma,,,14.74,14.74,2
RC,682,Rheumatoid factor; quantitative Trauma,,,13.61,13.61,2
RC,682,Riboflavin (Vitamin B-2) Trauma,,,48.58,48.58,2
RC,682,Riboflavin epioxa/hd<=2ml Trauma,,,97026.0,97026.0,2
RC,682,"Risperidone, long acting Trauma",,,26.65,26.65,2
RC,682,Rocking bed with or without side rails Trauma,,,996.72,996.72,2
RC,682,"Rollabout chair, any and all types with casters 5 or greater Trauma",,,126.36,126.36,2
RC,682,Rsv mab im 50mg Trauma,,,1048.2,1048.2,2
RC,682,Rufinamide Trauma,,,65.06,65.06,2
RC,682,Russell viper venom time (includes venom); diluted Trauma,,,22.99,22.99,2
RC,682,Russell viper venom time (includes venom); undiluted Trauma,,,41.98,41.98,2
RC,682,"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis Trauma",,,460.8,460.8,2
RC,682,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS Trauma,,,78131.55,163057.15,4
RC,682,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC Trauma,,,24868.53,51899.54,4
RC,682,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC Trauma,,,15016.17,31338.1,4
RC,682,"SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z) Trauma",,,104.76,104.76,2
RC,682,"SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common variants (eg, A672T, E622D, L833F, R625C, R625L) Trauma",,,463.8,463.8,2
RC,682,SIGNS AND SYMPTOMS WITH MCC Trauma,,,17653.97,36843.07,4
RC,682,SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,12628.1,26354.3,4
RC,682,SKIN GRAFTS FOR INJURIES WITH CC/MCC Trauma,,,43417.81,90611.09,4
RC,682,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC Trauma,,,19947.7,41629.99,4
RC,682,"SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5) Trauma",,,419.54,419.54,2
RC,682,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, centromeric) analys",,,328.8,328.8,2
RC,682,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence Trauma",,,723.24,723.24,2
RC,682,"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) Trauma",,,444.48,444.48,2
RC,682,"SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330) Trauma",,,112.8,112.8,2
RC,682,"SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis Trauma",,,122.57,122.57,2
RC,682,SPLENIC PROCEDURES WITH CC Trauma,,,34160.32,71291.11,4
RC,682,SPLENIC PROCEDURES WITH MCC Trauma,,,52590.64,109754.38,4
RC,682,SPLENIC PROCEDURES WITHOUT CC/MCC Trauma,,,24508.4,51147.96,4
RC,682,"SRSF2 (serine and arginine-rich splicing factor 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, P95H, P95L) Trauma",,,420.96,420.96,2
RC,682,Sacituzumab govitecan-hziy Trauma,,,90.34,90.34,2
RC,682,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated Trauma",,,717.02,717.02,2
RC,682,"Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf ",,,183.6,183.6,2
RC,682,"Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend",,,329.11,329.11,2
RC,682,"Safety enclosure frame/canopy for use with hospital bed, any type Trauma",,,622.85,622.85,2
RC,682,"Safety vest, wheelchair Trauma",,,96.1,96.1,2
RC,682,Salicylate Trauma,,,44.74,44.74,2
RC,682,Sargramostim injection Trauma,,,149.94,149.94,2
RC,682,Scleral cover shell Trauma,,,4208.26,4208.26,2
RC,682,"Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been t",,,3141.82,3141.82,2
RC,682,"Scratch resistant coating, per lens Trauma",,,47.06,47.06,2
RC,682,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision Trauma",,,44.5,44.5,2
RC,682,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening Trauma",,,76.66,76.66,2
RC,682,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision Trauma",,,48.62,48.62,2
RC,682,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,64.92,64.92,2
RC,682,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,63.58,63.58,2
RC,682,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,105.53,105.53,2
RC,682,"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) Trauma",,,58.42,58.42,2
RC,682,"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Trauma",,,229.01,229.01,2
RC,682,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision Trauma",,,44.5,44.5,2
RC,682,"Seat attachment, walker Trauma",,,48.19,48.19,2
RC,682,"Seat height less than 17 or equal to or greater than 21 for a high strength, lightweight, or ultralightweight wheelchair Trauma",,,280.87,280.87,2
RC,682,"Seat lift mechanism, electric, any type Trauma",,,777.96,777.96,2
RC,682,"Seat lift mechanism, non-electric, any type Trauma",,,774.46,774.46,2
RC,682,"Sedimentation rate, erythrocyte; automated Trauma",,,6.48,6.48,2
RC,682,"Sedimentation rate, erythrocyte; non-automated Trauma",,,10.25,10.25,2
RC,682,"Segmental gradient pressure pneumatic appliance, full arm Trauma",,,1103.81,1103.81,2
RC,682,"Segmental gradient pressure pneumatic appliance, full leg Trauma",,,1420.66,1420.66,2
RC,682,"Segmental gradient pressure pneumatic appliance, half leg Trauma",,,917.18,917.18,2
RC,682,"Segmental pneumatic appliance for use with pneumatic compressor, chest Trauma",,,185.69,185.69,2
RC,682,"Segmental pneumatic appliance for use with pneumatic compressor, full arm Trauma",,,1511.38,1511.38,2
RC,682,"Segmental pneumatic appliance for use with pneumatic compressor, full leg Trauma",,,1107.38,1107.38,2
RC,682,"Segmental pneumatic appliance for use with pneumatic compressor, half leg Trauma",,,595.34,595.34,2
RC,682,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest Trauma",,,429.96,429.96,2
RC,682,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk Trauma",,,4299.53,4299.53,2
RC,682,"Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest Trauma",,,429.96,429.96,2
RC,682,"Segmental pneumatic appliance for use with pneumatic compressor, trunk Trauma",,,197.64,197.64,2
RC,682,Selenium Trauma,,,61.27,61.27,2
RC,682,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard Trauma",,,4.78,4.78,2
RC,682,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard Trauma",,,2.69,2.69,2
RC,682,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard Trauma",,,2.16,2.16,2
RC,682,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptiv",,,70.98,80.66,6
RC,682,Semen analysis; motility and count (not including Huhner test) Trauma,,,20.66,20.66,2
RC,682,Semen analysis; presence and/or motility of sperm excluding huhner Trauma,,,15.6,15.6,2
RC,682,Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Trauma,,,23.62,23.62,2
RC,682,"Semen analysis; sperm presence and motility of sperm, if performed Trauma",,,28.92,28.92,2
RC,682,"Semen analysis; volume, count, motility, and differential Trauma",,,29.54,29.54,2
RC,682,"Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger) Trauma",,,37.2,37.2,2
RC,682,"Semi-reclining wheelchair, detachable arms (desk or full length) elevating leg rest Trauma",,,295.51,295.51,2
RC,682,"Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests Trauma",,,301.78,301.78,2
RC,682,"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes Trauma",,,133.31,151.49,4
RC,682,Serotonin Trauma,,,74.35,74.35,2
RC,682,Serum bactericidal titer (Schlichter test) Trauma,,,36.05,36.05,2
RC,682,Serum screening for cytotoxic percent reactive antibody (PRA); quick method Trauma,,,71.23,71.23,2
RC,682,Serum screening for cytotoxic percent reactive antibody (PRA); standard method Trauma,,,188.76,188.76,2
RC,682,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative Trauma",,,123.43,123.43,2
RC,682,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use Trauma",,,,,0
RC,682,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Tr",,,,,0
RC,682,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Tra",,,,,0
RC,682,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use Tr",,,,,0
RC,682,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,,,0
RC,682,Sex chromatin identification; Barr bodies Trauma,,,43.15,43.15,2
RC,682,"Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Trauma",,,19.18,19.18,2
RC,682,Sex hormone binding globulin (SHBG) Trauma,,,52.15,52.15,2
RC,682,"Shock absorber for manual wheelchair, each Trauma",,,351.26,351.26,2
RC,682,"Shock absorber for power wheelchair, each Trauma",,,320.45,320.45,2
RC,682,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batte",,,42395.76,42395.76,2
RC,682,"Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries",,,39750.96,39750.96,2
RC,682,"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping Trauma",,,11454.26,11454.26,2
RC,682,"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm Trauma",,,10946.62,10946.62,2
RC,682,"Shoulder disarticulation, passive restoration (complete prosthesis) Trauma",,,9451.92,9451.92,2
RC,682,"Shoulder disarticulation, passive restoration (shoulder cap only) Trauma",,,5163.34,5163.34,2
RC,682,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include ",,,5353.58,5353.58,2
RC,682,"Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes ",,,4534.39,4534.39,2
RC,682,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitt",,,5081.69,5081.69,2
RC,682,"Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,4534.39,4534.39,2
RC,682,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft in",,,5353.58,5353.58,2
RC,682,"Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting",,,5353.58,5353.58,2
RC,682,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment Trauma",,,2224.58,2224.58,2
RC,682,"Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment Trauma",,,2316.29,2316.29,2
RC,682,"Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and",,,5081.69,5081.69,2
RC,682,"Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,4534.39,4534.39,2
RC,682,"Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, incl",,,3190.15,3190.15,2
RC,682,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf Trauma",,,386.59,386.59,2
RC,682,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf Trauma",,,277.37,277.37,2
RC,682,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf Trauma",,,161.54,161.54,2
RC,682,"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2431.78,2431.78,2
RC,682,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf Trauma",,,473.62,473.62,2
RC,682,"Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only Trauma",,,1517.4,1517.4,2
RC,682,Sialic acid Trauma,,,32.26,32.26,2
RC,682,"Sickling of RBC, reduction Trauma",,,13.22,13.22,2
RC,682,Silica Trauma,,,60.5,60.5,2
RC,682,"Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include",,,3557.3,3557.3,2
RC,682,Sipuleucel-T auto CD54+ Trauma,,,134237.83,134237.83,2
RC,682,Sirolimus Trauma,,,32.95,32.95,2
RC,682,Sitz bath chair Trauma,,,498.36,498.36,2
RC,682,"Sitz type bath or equipment, portable, used with or without commode Trauma",,,80.14,80.14,2
RC,682,"Sitz type bath or equipment, portable, used with or without commode, with faucet attachment/s Trauma",,,75.07,75.07,2
RC,682,"Six volt battery, each Trauma",,,701.11,701.11,2
RC,682,"Skin barrier, wipes or swabs, each Trauma",,,0.84,0.84,2
RC,682,"Skin barrier; solid, 4 x 4 or equivalent; each Trauma",,,11.66,11.66,2
RC,682,"Skin barrier; solid, 6 x 6 or equivalent, each Trauma",,,21.67,21.67,2
RC,682,"Skin barrier; solid, 8 x 8 or equivalent, each Trauma",,,43.92,43.92,2
RC,682,"Skin piercing device for collection of capillary blood, laser, each Trauma",,,299.02,299.02,2
RC,682,"Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth Trauma",,,1173.34,1173.34,2
RC,682,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth Trauma",,,948.07,948.07,2
RC,682,"Skin protection and positioning wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,767.86,767.86,2
RC,682,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,620.47,620.47,2
RC,682,"Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth Trauma",,,1179.84,1179.84,2
RC,682,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth Trauma",,,933.0,933.0,2
RC,682,"Skin protection wheelchair seat cushion, width 22 inches or greater, any depth Trauma",,,432.84,432.84,2
RC,682,"Skin protection wheelchair seat cushion, width less than 22 inches, any depth Trauma",,,316.22,316.22,2
RC,682,"Slab off prism, glass or plastic, per lens Trauma",,,188.4,188.4,2
RC,682,"Sling or seat, patient lift, canvas or nylon Trauma",,,239.45,239.45,2
RC,682,Slings Trauma,,,26.35,26.35,2
RC,682,"Small volume nonfiltered pneumatic nebulizer, disposable Trauma",,,3.82,3.82,2
RC,682,Smallpox&monkeypox vac 0.5 Trauma,,,0.02,0.02,2
RC,682,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types Trauma",,,10.25,10.25,2
RC,682,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites Trauma",,,43.15,43.15,2
RC,682,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types Trauma",,,12.94,12.94,2
RC,682,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses) Trauma",,,14.38,14.38,2
RC,682,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps) Trauma",,,13.97,13.97,2
RC,682,Sodium; other source Trauma,,,11.66,11.66,2
RC,682,"Sodium; serum, plasma or whole blood Trauma",,,11.54,11.54,2
RC,682,Sodium; urine Trauma,,,12.14,12.14,2
RC,682,"Sole wedge, between sole Trauma",,,147.12,147.12,2
RC,682,"Sole wedge, outside sole Trauma",,,105.6,105.6,2
RC,682,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA an",,,1434.98,1434.98,2
RC,682,"Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants and copy number variants or rearrangements, if performed; RNA analysis Trauma",,,1434.98,1434.98,2
RC,682,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants and",,,2869.99,2869.99,2
RC,682,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, mi",,,7892.42,7892.42,2
RC,682,"Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy number variants, and microsatellite instability Trau",,,3228.74,3228.74,2
RC,682,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutat",,,7174.92,7174.92,2
RC,682,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability Trauma",,,2511.24,2511.24,2
RC,682,"Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, microsatellite instability Trauma",,,2152.49,2152.49,2
RC,682,"Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform exp",,,7007.04,7007.04,4
RC,682,Somatomedin Trauma,,,51.02,51.02,2
RC,682,Somatostatin Trauma,,,43.87,43.87,2
RC,682,Special back height for wheelchair Trauma,,,81.48,81.48,2
RC,682,"Special base curve, glass or plastic, per lens Trauma",,,61.94,61.94,2
RC,682,Special height arms for wheelchair Trauma,,,949.15,949.15,2
RC,682,"Special wheelchair seat depth and/or width, by construction Trauma",,,1285.97,1285.97,2
RC,682,"Special wheelchair seat depth, by upholstery Trauma",,,357.79,357.79,2
RC,682,Special wheelchair seat height from floor Trauma,,,1681.61,1681.61,2
RC,682,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Trauma",,,4.08,4.08,2
RC,682,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Trauma",,,6.82,6.82,2
RC,682,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Trauma",,,10.42,10.42,2
RC,682,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Trauma",,,11.14,11.14,2
RC,682,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Trauma",,,21.67,21.67,2
RC,682,Specific gravity (except urine) Trauma,,,7.87,7.87,2
RC,682,"Spectrophotometry, analyte not elsewhere specified Trauma",,,19.44,19.44,2
RC,682,"Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time Trauma",,,5395.32,5395.32,2
RC,682,"Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time Trauma",,,7911.05,7911.05,2
RC,682,"Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time Trauma",,,4090.01,4090.01,2
RC,682,"Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time Trauma",,,1337.52,1337.52,2
RC,682,"Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access Trauma",,,23149.66,23149.66,2
RC,682,"Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device Trauma",,,12233.16,12233.16,2
RC,682,"Speech volume modulation system, any type, including all components and accessories Trauma",,,587.62,587.62,2
RC,682,Sperm antibodies Trauma,,,25.61,25.61,2
RC,682,"Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated) Trauma",,,47.02,47.02,2
RC,682,"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Trauma",,,24.91,24.91,2
RC,682,Sperm evaluation; hamster penetration test Trauma,,,47.02,47.02,2
RC,682,"Sphere, bifocal, plano to plus or minus 4.00d, per lens Trauma",,,150.65,150.65,2
RC,682,"Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens Trauma",,,164.18,164.18,2
RC,682,"Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens Trauma",,,193.2,193.2,2
RC,682,"Sphere, single vision, plano to plus or minus 4.00, per lens Trauma",,,115.1,115.1,2
RC,682,"Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens Trauma",,,121.27,121.27,2
RC,682,"Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens Trauma",,,172.03,172.03,2
RC,682,"Sphere, trifocal, plano to plus or minus 4.00d, per lens Trauma",,,195.62,195.62,2
RC,682,"Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens Trauma",,,226.85,226.85,2
RC,682,"Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens Trauma",,,248.5,248.5,2
RC,682,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens Trauma",,,151.97,151.97,2
RC,682,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,164.81,164.81,2
RC,682,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,180.82,180.82,2
RC,682,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Trauma",,,220.15,220.15,2
RC,682,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,186.0,186.0,2
RC,682,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,204.58,204.58,2
RC,682,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens Trauma",,,263.21,263.21,2
RC,682,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens Trauma",,,183.74,183.74,2
RC,682,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Trauma",,,224.42,224.42,2
RC,682,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens Trauma",,,244.25,244.25,2
RC,682,"Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,250.46,250.46,2
RC,682,"Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens Trauma",,,268.42,268.42,2
RC,682,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens Trauma",,,99.91,99.91,2
RC,682,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,110.69,110.69,2
RC,682,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,135.53,135.53,2
RC,682,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Trauma",,,137.52,137.52,2
RC,682,"Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens Trauma",,,188.06,188.06,2
RC,682,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens Trauma",,,144.53,144.53,2
RC,682,"Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,161.14,161.14,2
RC,682,"Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,140.18,140.18,2
RC,682,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Trauma",,,165.77,165.77,2
RC,682,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens Trauma",,,163.58,163.58,2
RC,682,"Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,225.96,225.96,2
RC,682,"Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens Trauma",,,199.9,199.9,2
RC,682,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens Trauma",,,205.9,205.9,2
RC,682,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens Trauma",,,215.47,215.47,2
RC,682,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens Trauma",,,264.24,264.24,2
RC,682,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens Trauma",,,246.38,246.38,2
RC,682,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, .12 to 2.00d cylinder, per lens Trauma",,,244.3,244.3,2
RC,682,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens Trauma",,,260.69,260.69,2
RC,682,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,304.94,304.94,2
RC,682,"Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens Trauma",,,335.45,335.45,2
RC,682,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens Trauma",,,319.49,319.49,2
RC,682,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens Trauma",,,281.62,281.62,2
RC,682,"Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens Trauma",,,384.38,384.38,2
RC,682,"Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens Trauma",,,421.06,421.06,2
RC,682,"Spoke protectors, each Trauma",,,133.7,133.7,2
RC,682,"Spring-powered device for lancet, each Trauma",,,5.09,5.09,2
RC,682,Sr89 strontium Trauma,,,9951.2,9951.2,2
RC,682,Stand/rack Trauma,,,73.01,73.01,2
RC,682,Standard - weight frame motorized/power wheelchair Trauma,,,1238.47,1238.47,2
RC,682,"Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking Trauma",,,1658.35,1658.35,2
RC,682,Standard hemi (low seat) wheelchair Trauma,,,129.91,129.91,2
RC,682,"Standard size footplate, replacement only, each Trauma",,,93.26,93.26,2
RC,682,Standard wheelchair Trauma,,,74.57,74.57,2
RC,682,"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patie",,,256.2,256.2,2
RC,682,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molde",,,497.78,497.78,2
RC,682,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf Trauma",,,497.78,497.78,2
RC,682,"Static progressive stretch finger device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,217.34,217.34,2
RC,682,"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,217.34,217.34,2
RC,682,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories Trauma",,,331.54,331.54,2
RC,682,"Static progressive stretch/patient actualized serial stretch ankle device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories Trauma",,,426.53,426.53,2
RC,682,"Static progressive stretch/patient actualized serial stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,403.9,403.9,2
RC,682,"Static progressive stretch/patient actualized serial stretch forearm pronation / supination device, with or without range of motion adjustment, includes all components and accessories Trauma",,,435.55,435.55,2
RC,682,"Static progressive stretch/patient actualized serial stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories Trauma",,,419.98,419.98,2
RC,682,"Static progressive stretch/patient actualized serial stretch shoulder device, with or without range of motion adjustment, includes all components and accessories Trauma",,,1549.37,1549.37,2
RC,682,"Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing Trauma",,,240.5,240.5,2
RC,682,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing Trauma",,,240.5,240.5,2
RC,682,"Stationary oxygen contents, gaseous, 1 month's supply = 1 unit Trauma",,,163.87,163.87,2
RC,682,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit Trauma",,,163.87,163.87,2
RC,682,"Stem cells (ie, CD34), total count Trauma",,,186.67,186.67,2
RC,682,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml Trauma",,,1.39,1.39,2
RC,682,"Sterile water/saline, 500 ml Trauma",,,10.73,10.73,2
RC,682,"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) Trauma",,,52.49,52.49,2
RC,682,Stoma cap Trauma,,,4.92,4.92,2
RC,682,"Stoma plug or seal, any type Trauma",,,11.33,11.33,2
RC,682,"Streptococcus pneumoniae antibody (IgG), serotypes, multiplex immunoassay, quantitative Trauma",,,220.87,220.87,2
RC,682,"Streptokinase, antibody Trauma",,,30.38,30.38,2
RC,682,"Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system Trauma",,,156.6,156.6,2
RC,682,"Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen Trauma",,,13.2,13.2,2
RC,682,"Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen Trauma",,,27.67,27.67,2
RC,682,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen Trauma",,,13.2,13.2,2
RC,682,"Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen Trauma",,,27.67,27.67,2
RC,682,"Sugars, chromatographic, TLC or paper chromatography Trauma",,,93.6,93.6,2
RC,682,"Sulfate, urine Trauma",,,13.18,13.18,2
RC,682,"Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month Trauma",,,100.13,100.13,2
RC,682,Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist Trauma,,,1264.44,1264.44,2
RC,682,"Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter) Trauma",,,327.29,327.29,2
RC,682,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each Trauma",,,8.33,8.33,2
RC,682,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each Trauma",,,8.33,8.33,2
RC,682,"Supplies for maintenance of insulin infusion catheter, per week Trauma",,,62.09,62.09,2
RC,682,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately) Trauma",,,62.09,62.09,2
RC,682,"Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service Trauma",,,673.7,673.7,2
RC,682,"Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service Trauma",,,655.87,655.87,2
RC,682,"Surgical dressing holder, non-reusable, each Trauma",,,11.28,11.28,2
RC,682,"Surgical dressing holder, reusable, each Trauma",,,45.53,45.53,2
RC,682,"Susceptibility studies, antimicrobial agent; agar dilution method, per agent (eg, antibiotic gradient strip) Trauma",,,11.4,11.4,2
RC,682,"Susceptibility studies, antimicrobial agent; carbapenem resistance genes (eg, blaKPC, blaNDM, blaVIM, blaOXA-48, blaIMP), amplified probe technique, per isolate Trauma",,,84.22,84.22,2
RC,682,"Susceptibility studies, antimicrobial agent; disk method, per plate (12 or fewer agents) Trauma",,,17.95,17.95,2
RC,682,"Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme Trauma",,,11.4,11.4,2
RC,682,"Susceptibility studies, antimicrobial agent; macrobroth dilution method, each agent Trauma",,,15.94,15.94,2
RC,682,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration ºMIC» or breakpoint), each multi-antimicrobial, per plate Trauma",,,20.76,20.76,2
RC,682,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure) Trauma",,,96.41,96.41,2
RC,682,"Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent Trauma",,,17.54,17.54,2
RC,682,"Suzetrigine, orl, 1mg Trauma",,,0.75,0.75,2
RC,682,"Swingaway, detachable footrests, replacement only, each Trauma",,,211.63,211.63,2
RC,682,Synthetic sheepskin pad Trauma,,,72.14,72.14,2
RC,682,Synvisc or synvisc-one Trauma,,,14.44,14.44,2
RC,682,"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) Trauma",,,10.25,10.25,2
RC,682,"Syphilis test, non-treponemal antibody; quantitative Trauma",,,10.56,10.56,2
RC,682,"T cells; absolute CD4 and CD8 count, including ratio Trauma",,,112.75,112.75,2
RC,682,T cells; absolute CD4 count Trauma,,,64.27,64.27,2
RC,682,T cells; total count Trauma,,,90.55,90.55,2
RC,682,"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles Trauma",,,328.8,328.8,2
RC,682,"TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region) Trauma",,,444.48,444.48,2
RC,682,TESTES PROCEDURES WITH CC/MCC Trauma,,,26383.05,55060.27,4
RC,682,TESTES PROCEDURES WITHOUT CC/MCC Trauma,,,15835.05,33047.06,4
RC,682,"TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q) Trauma",,,328.8,328.8,2
RC,682,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; full gene sequence Trauma",,,1540.44,1540.44,2
RC,682,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Trauma",,,739.2,739.2,2
RC,682,"TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) Trauma",,,790.82,790.82,2
RC,682,"TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3) Trauma",,,419.54,419.54,2
RC,682,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC Trauma,,,20162.08,42077.38,4
RC,682,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC Trauma,,,15381.66,32100.86,4
RC,682,TRAUMATIC INJURY WITH MCC Trauma,,,21568.33,45012.17,4
RC,682,TRAUMATIC INJURY WITHOUT MCC Trauma,,,13539.17,28255.66,4
RC,682,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) T",,,501.41,501.41,2
RC,682,"TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot) Trauma",,,119.02,119.02,2
RC,682,"TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s) Trauma",,,483.6,483.6,2
RC,682,"TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant) Trauma",,,419.54,419.54,2
RC,682,Tacrolimus Trauma,,,32.95,32.95,2
RC,682,Tacrolimus injection Trauma,,,643.62,643.62,2
RC,682,"Tape, non-waterproof, per 18 square inches Trauma",,,0.24,0.24,2
RC,682,"Tape, waterproof, per 18 square inches Trauma",,,1.2,1.2,2
RC,682,"Tau, phosphorylated (eg, pTau 181, pTau 217), each Trauma",,,309.41,309.41,2
RC,682,"Tau, total (tTau) Trauma",,,309.41,309.41,2
RC,682,Tc-99m graphite crucible Trauma,,,788.64,788.64,2
RC,682,Tc99m bicisate Trauma,,,1861.25,1861.25,2
RC,682,Tc99m succimer Trauma,,,1583.83,1583.83,2
RC,682,Technetium tc-99m auto wbc Trauma,,,2241.91,2241.91,2
RC,682,Telavancin injection Trauma,,,17.96,17.96,2
RC,682,"Telephone assessment and management service provided by a nonphysician qualified health care professional to an established patient, parent, or guardian not originating from a related assessment and m",,,34.58,86.71,6
RC,682,Telisotuzumab vedotin-tllv Trauma,,,350.54,350.54,2
RC,682,Temozolomide injection Trauma,,,24.98,24.98,2
RC,682,Tenecteplase injection Trauma,,,521.81,521.81,2
RC,682,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment Trauma",,,9491.54,9491.54,2
RC,682,"Terminal device, hand, mechanical, voluntary closing, any material, any size Trauma",,,3559.73,3559.73,2
RC,682,"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric Trauma",,,3931.85,3931.85,2
RC,682,"Terminal device, hand, mechanical, voluntary opening, any material, any size Trauma",,,2470.25,2470.25,2
RC,682,"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric Trauma",,,4641.91,4641.91,2
RC,682,"Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined Trauma",,,6024.46,6024.46,2
RC,682,"Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined Trauma",,,6988.37,6988.37,2
RC,682,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined Trauma",,,3778.73,3778.73,2
RC,682,"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric Trauma",,,3678.05,3678.05,2
RC,682,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined Trauma",,,1025.18,1025.18,2
RC,682,"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric Trauma",,,1997.59,1997.59,2
RC,682,"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement Trauma",,,9380.74,9380.74,2
RC,682,"Terminal device, passive hand/mitt, any material, any size Trauma",,,1068.17,1068.17,2
RC,682,"Terminal device, sport/recreational/work attachment, any material, any size Trauma",,,1720.7,1720.7,2
RC,682,Testosterone pellet 75 mg Trauma,,,174.72,174.72,2
RC,682,Testosterone undecanoate 1 Trauma,,,5.16,5.16,2
RC,682,"Testosterone; bioavailable, direct measurement (eg, differential precipitation) Trauma",,,123.07,123.07,2
RC,682,Testosterone; free Trauma,,,61.13,61.13,2
RC,682,Testosterone; total Trauma,,,61.94,61.94,2
RC,682,"Thawing and expansion of frozen cells, each aliquot Trauma",,,29.02,29.02,2
RC,682,Theophylline Trauma,,,33.94,33.94,2
RC,682,"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes Trauma",,,76.88,87.36,6
RC,682,"Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage t",,,48.81,55.46,6
RC,682,"Therapeutic procedure(s), group (2 or more individuals) Trauma",,,39.87,45.31,6
RC,682,"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Trauma",,,81.16,92.23,6
RC,682,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing) Trauma",,,63.63,72.31,4
RC,682,"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion) Trauma",,,65.39,74.3,4
RC,682,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing act",,,71.58,81.34,6
RC,682,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility Trauma",,,63.63,72.31,6
RC,682,"Therapeutic services for the use of speech-generating device, including programming and modification Trauma",,,252.46,252.46,2
RC,682,Thiamine (Vitamin B-1) Trauma,,,50.95,50.95,2
RC,682,Thiocyanate Trauma,,,27.91,27.91,2
RC,682,Thiopurine S-methyltransferase (TPMT) Trauma,,,53.21,53.21,2
RC,682,"Thoracic, rib belt, custom fabricated Trauma",,,337.75,337.75,2
RC,682,"Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only Trauma",,,4792.87,4792.87,2
RC,682,Thrombin time; plasma Trauma,,,13.85,13.85,2
RC,682,Thrombin time; titer Trauma,,,16.44,16.44,2
RC,682,Thrombomodulin Trauma,,,41.45,41.45,2
RC,682,"Thromboplastin inhibition, tissue Trauma",,,23.11,23.11,2
RC,682,"Thromboplastin time, partial (PTT); plasma or whole blood Trauma",,,14.42,14.42,2
RC,682,"Thromboplastin time, partial (PTT); substitution, plasma fractions, each Trauma",,,15.53,15.53,2
RC,682,"Thromboxane metabolite(s), including thromboxane if performed, urine Trauma",,,84.26,84.26,2
RC,682,"Thymol turbidity, blood Trauma",,,11.88,11.88,2
RC,682,Thyroglobulin Trauma,,,38.54,38.54,2
RC,682,Thyroglobulin antibody Trauma,,,38.18,38.18,2
RC,682,Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) Trauma,,,15.53,15.53,2
RC,682,Thyroid stimulating hormone (TSH) Trauma,,,40.32,40.32,2
RC,682,Thyroid stimulating immune globulins (TSI) Trauma,,,122.06,122.06,2
RC,682,Thyrotropin injection Trauma,,,5180.79,5180.79,2
RC,682,Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) Trauma,,,120.98,120.98,2
RC,682,Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) Trauma,,,161.3,161.3,2
RC,682,Thyroxine binding globulin (TBG) Trauma,,,35.47,35.47,2
RC,682,Thyroxine; free Trauma,,,21.65,21.65,2
RC,682,"Thyroxine; requiring elution (eg, neonatal) Trauma",,,15.53,15.53,2
RC,682,Thyroxine; total Trauma,,,16.49,16.49,2
RC,682,Tiagabine Trauma,,,65.06,65.06,2
RC,682,"Tint, photochromatic, per lens Trauma",,,64.27,64.27,2
RC,682,Tisagenlecleucel car-pos t Trauma,,,1468063.68,1468063.68,2
RC,682,"Tissue culture for neoplastic disorders; bone marrow, blood cells Trauma",,,345.0,345.0,2
RC,682,Tissue culture for neoplastic disorders; solid tumor Trauma,,,354.05,354.05,2
RC,682,Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells Trauma,,,360.72,360.72,2
RC,682,Tissue culture for non-neoplastic disorders; lymphocyte Trauma,,,279.58,279.58,2
RC,682,Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy Trauma,,,337.75,337.75,2
RC,682,"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies) Trauma",,,10.25,10.25,2
RC,682,"Tissue transglutaminase, each immunoglobulin (Ig) class Trauma",,,27.67,27.67,2
RC,682,"Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on",,,1028.5,1028.5,2
RC,682,"Tlso, corset front Trauma",,,315.22,315.22,2
RC,682,"Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load o",,,646.49,646.49,2
RC,682,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, res",,,1853.9,2949.41,4
RC,682,"Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and clo",,,348.24,348.24,2
RC,682,"Tlso, full corset Trauma",,,658.34,658.34,2
RC,682,"Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to red",,,725.04,1133.45,4
RC,682,"Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, ante",,,1475.98,1475.98,2
RC,682,"Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anteri",,,2277.41,2277.41,2
RC,682,"Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at",,,838.82,838.82,2
RC,682,"Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided ",,,923.83,1421.18,4
RC,682,"Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral ",,,1269.98,1269.98,2
RC,682,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends fro",,,4407.94,4407.94,2
RC,682,"Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior ex",,,3702.72,3702.72,2
RC,682,"Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior exte",,,2644.75,2976.89,4
RC,682,"Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,2976.89,4501.9,4
RC,682,"Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,3927.05,3927.05,2
RC,682,"Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic,",,,2023.2,2023.2,2
RC,682,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine",,,5199.84,5199.84,2
RC,682,"Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul",,,5249.09,5249.09,2
RC,682,Tobramycin Trauma,,,38.71,38.71,2
RC,682,Tocilizumab injection Trauma,,,12.98,12.98,2
RC,682,Tocopherol alpha (Vitamin E) Trauma,,,34.03,34.03,2
RC,682,"Toe loop/holder, any type, each Trauma",,,49.78,49.78,2
RC,682,Topi adm prad zami per tre Trauma,,,7885879.2,7885879.2,2
RC,682,Topiramate Trauma,,,28.61,28.61,2
RC,682,"Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin) Trauma",,,47.38,47.38,2
RC,682,"Tracheal suction catheter, any type other than closed system, each Trauma",,,9.02,9.02,2
RC,682,"Tracheal suction catheter, closed system, each Trauma",,,56.11,56.11,2
RC,682,"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type Trauma",,,324.53,324.53,2
RC,682,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each Trauma",,,124.46,124.46,2
RC,682,"Tracheoesophageal puncture dilator, replacement only, each Trauma",,,280.18,280.18,2
RC,682,"Tracheostoma filter, any type, any size, each Trauma",,,1.22,1.22,2
RC,682,"Tracheostoma stent/stud/button, each Trauma",,,264.79,264.79,2
RC,682,"Tracheostoma valve, including diaphragm, each Trauma",,,359.18,359.18,2
RC,682,Tracheostomy care kit for established tracheostomy Trauma,,,15.91,15.91,2
RC,682,Tracheostomy care kit for new tracheostomy Trauma,,,23.69,23.69,2
RC,682,"Tracheostomy cleaning brush, each Trauma",,,9.26,9.26,2
RC,682,"Tracheostomy mask, each Trauma",,,7.06,7.06,2
RC,682,Tracheostomy speaking valve Trauma,,,430.61,430.61,2
RC,682,"Tracheostomy tube collar/holder, each Trauma",,,11.59,11.59,2
RC,682,"Tracheostomy, inner cannula Trauma",,,22.42,22.42,2
RC,682,"Tracheostomy/laryngectomy tube plug/stop, each Trauma",,,12.24,12.24,2
RC,682,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each Trauma",,,160.9,160.9,2
RC,682,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each Trauma",,,162.38,162.38,2
RC,682,"Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each Trauma",,,154.46,154.46,2
RC,682,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible Trauma",,,176.28,176.28,2
RC,682,"Traction equipment, overdoor, cervical Trauma",,,127.73,127.73,2
RC,682,"Traction frame, attached to footboard, extremity traction, (e.g., buck's) Trauma",,,338.16,338.16,2
RC,682,"Traction frame, attached to footboard, pelvic traction Trauma",,,350.02,350.02,2
RC,682,"Traction frame, attached to headboard, cervical traction Trauma",,,250.61,250.61,2
RC,682,"Traction stand, free standing, cervical traction Trauma",,,359.3,359.3,2
RC,682,"Traction stand, free standing, extremity traction Trauma",,,429.38,429.38,2
RC,682,"Traction stand, free standing, pelvic traction, (e.g., buck's) Trauma",,,372.55,372.55,2
RC,682,"Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectr",,,14687.81,14687.81,2
RC,682,Transcortin (cortisol binding globulin) Trauma,,,43.2,43.2,2
RC,682,"Transcutaneous electrical joint stimulation device system, includes all accessories Trauma",,,376.08,376.08,2
RC,682,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation Trauma",,,221.62,221.62,2
RC,682,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation Trauma",,,219.34,219.34,2
RC,682,Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve Trauma,,,125.71,125.71,2
RC,682,Transcutaneous tibial nerve stimulator Trauma,,,125.71,125.71,2
RC,682,"Transfer device, any type, each Trauma",,,147.5,147.5,2
RC,682,"Transfer of an orthosis from one shoe to another, caliper plate, existing Trauma",,,226.34,226.34,2
RC,682,"Transfer of an orthosis from one shoe to another, caliper plate, new Trauma",,,297.89,297.89,2
RC,682,"Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes Trauma",,,128.18,128.18,2
RC,682,"Transfer of an orthosis from one shoe to another, solid stirrup, existing Trauma",,,226.34,226.34,2
RC,682,"Transfer of an orthosis from one shoe to another, solid stirrup, new Trauma",,,297.89,297.89,2
RC,682,Transferase; alanine amino (ALT) (SGPT) Trauma,,,12.72,12.72,2
RC,682,Transferase; aspartate amino (AST) (SGOT) Trauma,,,12.43,12.43,2
RC,682,Transferrin Trauma,,,30.62,30.62,2
RC,682,"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement Trauma",,,77.9,77.9,2
RC,682,"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement Trauma",,,532.01,532.01,2
RC,682,"Transmitting coil for use with cochlear implant device, replacement Trauma",,,272.74,272.74,2
RC,682,"Transparent film, sterile, 16 sq. in. or less, each dressing Trauma",,,5.23,5.23,2
RC,682,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Trauma",,,14.74,14.74,2
RC,682,"Transparent film, sterile, more than 48 sq. in., each dressing Trauma",,,37.42,37.42,2
RC,682,"Transplantation medicine (allograft rejection, kidney), mRNA, gene expression profiling by quantitative polymerase chain reaction (qPCR) of 139 genes, utilizing whole blood, algorithm reported as a bi",,,7776.0,7776.0,2
RC,682,"Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorith",,,1537.75,1537.75,2
RC,682,"Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds Trauma",,,97.1,97.1,2
RC,682,"Transport chair, adult size, patient weight capacity up to and including 300 pounds Trauma",,,45.7,45.7,2
RC,682,"Transport chair, pediatric size Trauma",,,311.21,311.21,2
RC,682,"Transtracheal oxygen catheter, each Trauma",,,171.46,171.46,2
RC,682,"Trapeze bar, free standing, complete with grab bar Trauma",,,63.19,63.19,2
RC,682,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar Trauma",,,127.25,127.25,2
RC,682,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar Trauma",,,255.38,255.38,2
RC,682,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar Trauma",,,33.48,33.48,2
RC,682,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals Trauma",,,60.19,60.19,2
RC,682,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual Trauma",,,187.18,187.18,2
RC,682,Treatment of swallowing dysfunction and/or oral function for feeding Trauma,,,207.07,207.07,2
RC,682,Trifocal add over 3.25d Trauma,,,153.94,153.94,2
RC,682,Trifocal seg width over 28 mm Trauma,,,145.92,145.92,2
RC,682,Triglycerides Trauma,,,13.78,13.78,2
RC,682,Triiodothyronine T3; free Trauma,,,40.66,40.66,2
RC,682,Triiodothyronine T3; reverse Trauma,,,37.82,37.82,2
RC,682,Triiodothyronine T3; total (TT-3) Trauma,,,34.03,34.03,2
RC,682,Triptorelin pamoate Trauma,,,1119.28,1119.28,2
RC,682,"Troponin, qualitative Trauma",,,24.22,24.22,2
RC,682,"Troponin, quantitative Trauma",,,29.93,29.93,2
RC,682,"Truss, addition to standard pad, scrotal pad Trauma",,,190.51,190.51,2
RC,682,"Truss, addition to standard pad, water pad Trauma",,,192.17,192.17,2
RC,682,"Truss, double with standard pads Trauma",,,439.99,439.99,2
RC,682,"Truss, single with standard pad Trauma",,,286.18,286.18,2
RC,682,Trypsin; duodenal fluid Trauma,,,17.28,17.28,2
RC,682,"Trypsin; feces, qualitative Trauma",,,17.52,17.52,2
RC,682,"Trypsin; feces, quantitative, 24-hour collection Trauma",,,23.83,23.83,2
RC,682,"Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension Trauma",,,240.0,240.0,2
RC,682,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Trauma",,,148.75,148.75,2
RC,682,"Tubing (oxygen), per foot Trauma",,,0.19,0.19,2
RC,682,Tubing used with positive airway pressure device Trauma,,,35.45,35.45,2
RC,682,Tubing with integrated heating element for use with positive airway pressure device Trauma,,,118.46,118.46,2
RC,682,"Tubing, used with suction pump, each Trauma",,,11.16,11.16,2
RC,682,"Tubular dressing with or without elastic, any width, per linear yard Trauma",,,3.89,3.89,2
RC,682,"Twelve volt battery, each Trauma",,,1170.82,1170.82,2
RC,682,Tyrosine Trauma,,,25.51,25.51,2
RC,682,"U-v lens, per lens Trauma",,,54.05,54.05,2
RC,682,"U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variants (eg, S34F, S34Y, Q157R, Q157P) Trauma",,,463.8,463.8,2
RC,682,"UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia ºGilbert syndrome») gene analysis, common variants (eg, *28, *36, *37) Tr",,,561.6,561.6,2
RC,682,UNGROUPABLE Trauma,,,4048.01,8448.02,4
RC,682,URETHRAL STRICTURE Trauma,,,15600.31,32557.18,4
RC,682,URINARY STONES WITH MCC Trauma,,,18458.91,38522.95,4
RC,682,URINARY STONES WITHOUT MCC Trauma,,,12426.6,25933.78,4
RC,682,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC Trauma,,,23714.16,49490.42,4
RC,682,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Trauma,,,17346.35,36201.07,4
RC,682,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC Trauma,,,23444.05,48926.71,4
RC,682,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC Trauma,,,42449.95,88591.2,4
RC,682,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT Trauma,,,19333.55,40348.27,4
RC,682,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC Trauma,,,26134.37,54541.3,4
RC,682,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC Trauma,,,42360.99,88405.54,4
RC,682,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC Trauma,,,19788.0,41296.7,4
RC,682,Ultralightweight wheelchair Trauma,,,6323.42,6323.42,2
RC,682,Ultrasonic/electronic aerosol generator with small volume nebulizer Trauma,,,126.72,126.72,2
RC,682,Ultrasound Composite Trauma,,,737.34,737.34,2
RC,682,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel Trauma",,,3859.44,3859.44,2
RC,682,"Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel Trauma",,,4757.59,4757.59,2
RC,682,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less Trauma",,,3073.46,3073.46,2
RC,682,"Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection Trauma",,,15142.99,15142.99,2
RC,682,"Underarm pad, crutch, replacement, each Trauma",,,14.86,14.86,2
RC,682,"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow Trauma",,,7430.35,7430.35,2
RC,682,"Upper extremity addition, additional disconnect insert for locking wrist unit, each Trauma",,,208.63,208.63,2
RC,682,"Upper extremity addition, disconnect locking wrist unit Trauma",,,563.06,563.06,2
RC,682,"Upper extremity addition, excursion amplifier, lever type Trauma",,,638.9,638.9,2
RC,682,"Upper extremity addition, excursion amplifier, pulley type Trauma",,,471.36,471.36,2
RC,682,"Upper extremity addition, external frame, partial hand including fingers Trauma",,,1694.78,1694.78,2
RC,682,"Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement Trauma",,,70824.48,70824.48,2
RC,682,"Upper extremity addition, flexion/extension and rotation wrist unit Trauma",,,11189.98,11189.98,2
RC,682,"Upper extremity addition, flexion/extension wrist unit, with or without friction Trauma",,,900.94,900.94,2
RC,682,"Upper extremity addition, frame type socket, above elbow or elbow disarticulation Trauma",,,1684.54,1684.54,2
RC,682,"Upper extremity addition, frame type socket, below elbow or wrist disarticulation Trauma",,,1694.78,1694.78,2
RC,682,"Upper extremity addition, frame type socket, interscapular-thoracic Trauma",,,2199.38,2199.38,2
RC,682,"Upper extremity addition, frame type socket, shoulder disarticulation Trauma",,,2018.3,2018.3,2
RC,682,"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design Trauma",,,407.88,407.88,2
RC,682,"Upper extremity addition, harness, (e.g., figure of eight type), single cable design Trauma",,,352.85,352.85,2
RC,682,"Upper extremity addition, harness, chest or shoulder, saddle type Trauma",,,593.74,593.74,2
RC,682,"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow Trauma",,,881.52,881.52,2
RC,682,"Upper extremity addition, heavy duty control cable Trauma",,,269.69,269.69,2
RC,682,"Upper extremity addition, hook to hand, cable adapter Trauma",,,149.62,149.62,2
RC,682,"Upper extremity addition, latex suspension sleeve, each Trauma",,,219.94,219.94,2
RC,682,"Upper extremity addition, lift assist for elbow Trauma",,,517.51,517.51,2
RC,682,"Upper extremity addition, locking elbow, forearm counterbalance Trauma",,,8435.35,8435.35,2
RC,682,"Upper extremity addition, nudge control elbow lock Trauma",,,1103.81,1103.81,2
RC,682,"Upper extremity addition, quick disconnect hook adapter, otto bock or equal Trauma",,,1407.55,1407.55,2
RC,682,"Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal Trauma",,,429.86,429.86,2
RC,682,"Upper extremity addition, removable insert, each Trauma",,,1017.96,1017.96,2
RC,682,"Upper extremity addition, rotation wrist unit with cable lock Trauma",,,1785.48,1785.48,2
RC,682,"Upper extremity addition, shoulder flexion-abduction joint, each Trauma",,,1179.29,1179.29,2
RC,682,"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system Trauma",,,9371.38,9371.38,2
RC,682,"Upper extremity addition, shoulder lock mechanism, body powered actuator Trauma",,,1542.79,1542.79,2
RC,682,"Upper extremity addition, shoulder lock mechanism, external powered actuator Trauma",,,9665.18,9665.18,2
RC,682,"Upper extremity addition, shoulder universal joint, each Trauma",,,1224.38,1224.38,2
RC,682,"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each Trauma",,,1643.11,1643.11,2
RC,682,"Upper extremity addition, spring assisted rotational wrist unit with latch release Trauma",,,2512.99,2512.99,2
RC,682,"Upper extremity addition, stainless steel, any wrist Trauma",,,633.24,633.24,2
RC,682,"Upper extremity addition, standard control cable, extra Trauma",,,240.62,240.62,2
RC,682,"Upper extremity addition, suction socket Trauma",,,2312.81,2312.81,2
RC,682,"Upper extremity addition, teflon, or equal, cable lining Trauma",,,135.31,135.31,2
RC,682,"Upper extremity addition, test socket, elbow disarticulation or above elbow Trauma",,,753.7,753.7,2
RC,682,"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic Trauma",,,1024.18,1024.18,2
RC,682,"Upper extremity addition, test socket, wrist disarticulation or below elbow Trauma",,,681.67,681.67,2
RC,682,"Upper extremity addition, test socket/interface, partial hand including fingers Trauma",,,681.67,681.67,2
RC,682,"Upper extremity additions, flexible metal hinge, pair Trauma",,,522.58,522.58,2
RC,682,"Upper extremity additions, polycentric hinge, pair Trauma",,,551.14,551.14,2
RC,682,"Upper extremity additions, shoulder abduction joint, pair Trauma",,,980.62,980.62,2
RC,682,"Upper extremity additions, single pivot hinge, pair Trauma",,,544.2,544.2,2
RC,682,"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment Trauma",,,834.31,834.31,2
RC,682,"Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments T",,,2716.56,2716.56,2
RC,682,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment Trauma",,,1030.75,1030.75,2
RC,682,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment Trauma",,,1100.26,1100.26,2
RC,682,"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device Trauma",,,6796.1,6796.1,2
RC,682,"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories Trauma",,,4895.14,4895.14,2
RC,682,"Upper facial prosthesis, provided by a non-physician Trauma",,,10893.72,10893.72,2
RC,682,"Urea breath test, C-14 (isotopic); acquisition for analysis Trauma",,,26.54,26.54,2
RC,682,"Urea breath test, C-14 (isotopic); analysis Trauma",,,226.58,226.58,2
RC,682,"Urea nitrogen, clearance Trauma",,,17.28,17.28,2
RC,682,"Urea nitrogen, urine Trauma",,,13.34,13.34,2
RC,682,Urea nitrogen; quantitative Trauma,,,9.48,9.48,2
RC,682,"Urea nitrogen; semiquantitative (eg, reagent strip test) Trauma",,,12.31,12.31,2
RC,682,Uric acid; blood Trauma,,,10.85,10.85,2
RC,682,Uric acid; other source Trauma,,,12.19,12.19,2
RC,682,"Urinal; female, jug-type, any material Trauma",,,28.3,28.3,2
RC,682,"Urinal; male, jug-type, any material Trauma",,,26.42,26.42,2
RC,682,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w",,,5.4,7.61,4
RC,682,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate",,,8.35,9.65,4
RC,682,Urinalysis; 2 or 3 glass test Trauma,,,11.28,11.28,2
RC,682,"Urinalysis; bacteriuria screen, except by culture or dipstick Trauma",,,71.95,71.95,2
RC,682,Urinalysis; microscopic only Trauma,,,7.32,7.32,2
RC,682,"Urinalysis; qualitative or semiquantitative, except immunoassays Trauma",,,5.21,5.21,2
RC,682,"Urinary catheter anchoring device, adhesive skin attachment, each Trauma",,,7.58,7.58,2
RC,682,"Urinary catheter anchoring device, leg strap, each Trauma",,,16.82,16.82,2
RC,682,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each Trauma",,,118.44,118.44,2
RC,682,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each Trauma",,,22.7,22.7,2
RC,682,"Urinary suspensory with leg bag, with or without tube, each Trauma",,,118.54,118.54,2
RC,682,"Urine pregnancy test, by visual color comparison methods Trauma",,,20.66,20.66,2
RC,682,"Urobilinogen, feces, quantitative Trauma",,,40.32,40.32,2
RC,682,"Urobilinogen, urine; qualitative Trauma",,,10.73,10.73,2
RC,682,"Urobilinogen, urine; quantitative, timed specimen Trauma",,,22.92,22.92,2
RC,682,"Urobilinogen, urine; semiquantitative Trauma",,,14.52,14.52,2
RC,682,"Ustekinumab, iv inject,1 m Trauma",,,27.25,27.25,2
RC,682,Ustekinumab-ttwe iv inj 1 Trauma,,,20.52,20.52,2
RC,682,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC Trauma",,,22666.97,47304.98,4
RC,682,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC Trauma",,,13262.63,27678.53,4
RC,682,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C Trauma,,,15533.87,32418.5,4
RC,682,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC Trauma,,,14770.72,30825.84,4
RC,682,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC Trauma,,,16556.4,34552.49,4
RC,682,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC Trauma,,,14306.61,29857.27,4
RC,682,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC Trauma,,,12129.69,25314.14,4
RC,682,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC Trauma,,,15615.32,32588.5,4
RC,682,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC Trauma,,,11274.37,23529.11,4
RC,682,VIRAL ILLNESS WITH MCC Trauma,,,20107.42,41963.3,4
RC,682,VIRAL ILLNESS WITHOUT MCC Trauma,,,13368.75,27900.0,4
RC,682,"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T) Trauma",,,211.68,211.68,2
RC,682,Vaccinia vrs vac 0.3 ml pe Trauma,,,0.02,0.02,2
RC,682,"Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each Trauma",,,145.51,145.51,2
RC,682,Valproic acid (dipropylacetic acid); free Trauma,,,32.5,32.5,2
RC,682,Valproic acid (dipropylacetic acid); total Trauma,,,32.5,32.5,2
RC,682,Vancomycin Trauma,,,32.5,32.5,2
RC,682,"Vanillylmandelic acid (VMA), urine Trauma",,,37.2,37.2,2
RC,682,"Vaporizer, room type Trauma",,,88.78,88.78,2
RC,682,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens Trauma",,,342.96,342.96,2
RC,682,"Variable asphericity lens, single vision, full field, glass or plastic, per lens Trauma",,,263.45,263.45,2
RC,682,Variable concentration mask Trauma,,,2.06,2.06,2
RC,682,"Varicella-zoster ig, im Trauma",,,5994.56,5994.56,2
RC,682,"Vascular graft material, synthetic, implant Trauma",,,1635.58,1635.58,2
RC,682,Vasoactive intestinal peptide (VIP) Trauma,,,84.79,84.79,2
RC,682,"Vasopressin (antidiuretic hormone, ADH) Trauma",,,81.46,81.46,2
RC,682,Vedolizumab Trauma,,,92.57,92.57,2
RC,682,Velaglucerase alfa Trauma,,,942.82,942.82,2
RC,682,Very long chain fatty acids Trauma,,,47.4,47.4,2
RC,682,"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software Trauma",,,1619.45,1619.45,2
RC,682,"Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus Trauma",,,46.94,46.94,2
RC,682,"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity) Trauma",,,81.26,81.26,2
RC,682,"Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Trauma",,,46.94,46.94,2
RC,682,"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect Trauma",,,62.57,62.57,2
RC,682,"Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate Trauma",,,48.48,48.48,2
RC,682,Viscosity Trauma,,,28.01,28.01,2
RC,682,Vitamin A Trauma,,,27.86,27.86,2
RC,682,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Trauma",,,92.4,92.4,2
RC,682,"Vitamin D; 25 hydroxy, includes fraction(s), if performed Trauma",,,71.04,71.04,2
RC,682,Vitamin K Trauma,,,32.93,32.93,2
RC,682,"Vitamin, not otherwise specified Trauma",,,40.94,40.94,2
RC,682,Voice amplifier Trauma,,,750.86,750.86,2
RC,682,"Volatiles (eg, acetic anhydride, diethylether) Trauma",,,41.06,41.06,2
RC,682,"Voltage-gated calcium channel antibody, each Trauma",,,28.92,28.92,2
RC,682,"Volume measurement for timed collection, each Trauma",,,8.74,8.74,2
RC,682,Vonvendi inj 1 iu vwf:rco Trauma,,,4.35,4.35,2
RC,682,Voriconazole Trauma,,,65.06,65.06,2
RC,682,"Vyjuvek 5x10^9pfu/ml, 0.1 Trauma",,,2477.85,2477.85,2
RC,682,WOUND DEBRIDEMENTS FOR INJURIES WITH CC Trauma,,,24568.42,51273.22,4
RC,682,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Trauma,,,49028.92,102321.22,4
RC,682,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC Trauma,,,16584.26,34610.64,4
RC,682,"Walker, enclosed, four sided framed, rigid or folding, wheeled with posterior seat Trauma",,,82.46,82.46,2
RC,682,"Walker, folding (pickup), adjustable or fixed height Trauma",,,138.29,138.29,2
RC,682,"Walker, folding, wheeled, adjustable or fixed height Trauma",,,146.14,146.14,2
RC,682,"Walker, heavy duty, multiple braking system, variable wheel resistance Trauma",,,1217.35,1217.35,2
RC,682,"Walker, heavy duty, wheeled, rigid or folding, any type Trauma",,,37.66,37.66,2
RC,682,"Walker, heavy duty, without wheels, rigid or folding, any type, each Trauma",,,252.72,252.72,2
RC,682,"Walker, rigid (pickup), adjustable or fixed height Trauma",,,137.69,137.69,2
RC,682,"Walker, rigid, wheeled, adjustable or fixed height Trauma",,,146.14,146.14,2
RC,682,"Walker, with trunk support, adjustable or fixed height, any type Trauma",,,86.45,86.45,2
RC,682,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific pa",,,470.14,470.14,2
RC,682,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf Trauma",,,470.14,470.14,2
RC,682,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a s",,,811.34,811.34,2
RC,682,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf Trauma",,,811.34,811.34,2
RC,682,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) Trauma",,,289.73,289.73,2
RC,682,Washed red blood cells uni Trauma,,,884.59,884.59,2
RC,682,"Water chamber for humidifier, used with positive airway pressure device, replacement, each Trauma",,,40.82,40.82,2
RC,682,Water circulating heat pad with pump Trauma,,,1443.36,1443.36,2
RC,682,"Water collection device, used with large volume nebulizer Trauma",,,8.88,8.88,2
RC,682,Water pressure mattress Trauma,,,58.94,58.94,2
RC,682,"Water pressure pad for mattress, standard mattress length and width Trauma",,,75.82,75.82,2
RC,682,Water seal drainage container and tubing for use with implanted chest tube Trauma,,,261.43,261.43,2
RC,682,"Water, distilled, used with large volume nebulizer, 1000 ml Trauma",,,0.98,0.98,2
RC,682,"Wet mounts, including preparations of vaginal, cervical or skin specimens Trauma",,,44.5,44.5,2
RC,682,"Wheel attachment, rigid pick-up walker, per pair Trauma",,,60.94,60.94,2
RC,682,"Wheelchair accessory, addition to mobile arm support, elevating proximal arm Trauma",,,827.76,827.76,2
RC,682,"Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control Trauma",,,497.83,497.83,2
RC,682,"Wheelchair accessory, addition to mobile arm support, supinator Trauma",,,403.32,403.32,2
RC,682,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each Trauma",,,333.94,333.94,2
RC,682,"Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair Trauma",,,333.94,333.94,2
RC,682,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each Trauma",,,169.39,169.39,2
RC,682,"Wheelchair accessory, back upholstery, replacement only, each Trauma",,,138.12,138.12,2
RC,682,"Wheelchair accessory, bearings, any type, replacement only, each Trauma",,,15.53,15.53,2
RC,682,"Wheelchair accessory, calf rest/pad, replacement only, each Trauma",,,76.18,76.18,2
RC,682,"Wheelchair accessory, crutch and cane holder, each Trauma",,,130.1,130.1,2
RC,682,"Wheelchair accessory, cylinder tank carrier, each Trauma",,,237.41,237.41,2
RC,682,"Wheelchair accessory, dynamic positioning hardware for back Trauma",,,392.38,392.38,2
RC,682,"Wheelchair accessory, elevating leg rest, complete assembly, each Trauma",,,223.49,223.49,2
RC,682,"Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot Trauma",,,159.82,159.82,2
RC,682,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each Trauma",,,42.5,42.5,2
RC,682,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each Trauma",,,224.06,224.06,2
RC,682,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each Trauma",,,224.06,224.06,2
RC,682,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each Trauma",,,1185.62,1185.62,2
RC,682,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each Trauma",,,112.34,112.34,2
RC,682,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for headrest, cushioned, any type Trauma",,,41.26,41.26,2
RC,682,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for lateral trunk or hip support, any type Trauma",,,41.26,41.26,2
RC,682,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware used with joystick or other drive control interface Trauma",,,41.26,41.26,2
RC,682,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other Trauma",,,41.26,41.26,2
RC,682,"Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each Trauma",,,355.46,355.46,2
RC,682,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each Trauma",,,74.28,74.28,2
RC,682,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction Trauma",,,2395.7,2395.7,2
RC,682,"Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction Trauma",,,2457.34,2457.34,2
RC,682,"Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction Trauma",,,1903.08,1903.08,2
RC,682,"Wheelchair accessory, power seating system, recline only, with mechanical shear reduction Trauma",,,1430.93,1430.93,2
RC,682,"Wheelchair accessory, power seating system, recline only, with power shear reduction Trauma",,,1553.66,1553.66,2
RC,682,"Wheelchair accessory, power seating system, recline only, without shear reduction Trauma",,,1294.56,1294.56,2
RC,682,"Wheelchair accessory, power seating system, tilt only Trauma",,,1112.26,1112.26,2
RC,682,"Wheelchair accessory, seat lift mechanism Trauma",,,62.3,62.3,2
RC,682,"Wheelchair accessory, seat upholstery, replacement only, each Trauma",,,124.73,124.73,2
RC,682,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Trauma",,,1844.81,1844.81,2
RC,682,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable rancho type Trauma",,,2854.44,2854.44,2
RC,682,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints) Trauma",,,2815.22,2815.22,2
RC,682,"Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining Trauma",,,2230.27,2230.27,2
RC,682,"Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support Trauma",,,1897.87,1897.87,2
RC,682,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware Trauma",,,215.35,215.35,2
RC,682,"Wheelchair accessory, tray, each Trauma",,,226.8,226.8,2
RC,682,"Wheelchair accessory, ventilator tray, fixed Trauma",,,108.91,108.91,2
RC,682,"Wheelchair accessory, ventilator tray, gimbaled Trauma",,,343.54,343.54,2
RC,682,"Wheelchair management (eg, assessment, fitting, training), each 15 minutes Trauma",,,67.96,77.23,4
RC,682,"Wheelchair with detachable arms, elevating legrests Trauma",,,235.94,235.94,2
RC,682,"Wheelchair with detachable arms, footrests Trauma",,,215.18,215.18,2
RC,682,"Wheelchair with fixed arm, elevating legrests Trauma",,,197.02,197.02,2
RC,682,"Wheelchair with fixed arm, footrests Trauma",,,138.14,138.14,2
RC,682,"Wheelchair, detachable arms, desk or full length swing away detachable elevating legrests Trauma",,,237.46,237.46,2
RC,682,"Wheelchair, fixed full length arms, swing away detachable elevating legrests Trauma",,,183.22,183.22,2
RC,682,"Wheelchair, pediatric size, folding, adjustable, with seating system Trauma",,,560.52,560.52,2
RC,682,"Wheelchair, pediatric size, folding, adjustable, without seating system Trauma",,,560.52,560.52,2
RC,682,"Wheelchair, pediatric size, rigid, adjustable, with seating system Trauma",,,635.33,635.33,2
RC,682,"Wheelchair, pediatric size, rigid, adjustable, without seating system Trauma",,,565.37,565.37,2
RC,682,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system Trauma",,,731.47,731.47,2
RC,682,"Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system Trauma",,,659.78,659.78,2
RC,682,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system Trauma",,,757.82,757.82,2
RC,682,"Whirlpool, non-portable (built-in type) Trauma",,,6243.14,6243.14,2
RC,682,Whole blood for transfusio Trauma,,,455.62,455.62,2
RC,682,"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ºMELAS», myoclonic epilepsy with ragged-red fibers ºMERFF», neuropathy, ataxi",,,3088.8,3088.8,2
RC,682,"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed Trauma",,,2246.4,2246.4,2
RC,682,"Wide heavy duty wheel chair, detachable arms (desk or full length), swing away detachable elevating leg rests Trauma",,,373.63,373.63,2
RC,682,"Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests Trauma",,,321.31,321.31,2
RC,682,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories Trauma",,,75.24,75.24,2
RC,682,"Wound pouch, each Trauma",,,47.66,47.66,2
RC,682,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal dev",,,26396.64,26396.64,2
RC,682,"Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device Trauma",,,19608.7,19608.7,2
RC,682,"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad Trauma",,,7779.12,7779.12,2
RC,682,"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad Trauma",,,5581.44,5581.44,2
RC,682,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated Trauma",,,4727.33,4727.33,2
RC,682,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated Trauma",,,4216.08,4216.08,2
RC,682,"Wrist hand finger orthosis, external powered, electric, custom fabricated Trauma",,,9623.54,9623.54,2
RC,682,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustmen",,,1225.92,1225.92,2
RC,682,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment Tr",,,549.62,549.62,2
RC,682,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment Trauma",,,901.42,901.42,2
RC,682,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise Traum",,,674.86,674.86,2
RC,682,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type Trauma",,,674.86,674.86,2
RC,682,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or oth",,,1434.67,1434.67,2
RC,682,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf Trauma",,,1434.67,1434.67,2
RC,682,"Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,2676.5,2676.5,2
RC,682,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Trauma",,,1138.51,1138.51,2
RC,682,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf Trauma",,,161.69,161.69,2
RC,682,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, ",,,2193.6,2193.6,2
RC,682,"X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, H",,,2193.6,2193.6,2
RC,682,"Xylose absorption test, blood and/or urine Trauma",,,30.98,30.98,2
RC,682,"ZRSR2 (zinc finger CCCH-type, RNA binding motif and serine/arginine-rich 2) (eg, myelodysplastic syndrome, acute myeloid leukemia) gene analysis, common variant(s) (eg, E65fs, E122fs, R448fs) Trauma",,,463.8,463.8,2
RC,682,Zinc Trauma,,,27.34,27.34,2
RC,682,"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each Trauma",,,1.85,1.85,2
RC,682,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Trauma",,,4.3,4.3,2
RC,682,Zonisamide Trauma,,,31.8,31.8,2
RC,682,"b-Hexosaminidase, each assay Trauma",,,40.49,40.49,2
RC,682,lisocabtagene car pos t Trauma,,,1390969.44,1390969.44,2
RC,682,"pH; body fluid, not otherwise specified Trauma",,,8.59,8.59,2
RC,682,pH; exhaled breath condensate Trauma,,,8.59,8.59,2
RC,683, Trauma Response - Level III Trauma  ,,,6000.0,13797.0,8
RC,683,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Trauma",,,14795.37,14795.37,2
RC,683,ABORTION WITHOUT D&C Trauma,,,13065.41,13065.41,2
RC,683,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION Trauma,,,14339.83,14339.83,2
RC,683,ACUTE LEUKEMIA WITH CC Trauma,,,26404.48,26404.48,2
RC,683,ACUTE LEUKEMIA WITH MCC Trauma,,,62891.04,62891.04,2
RC,683,ACUTE LEUKEMIA WITH OTHER PROCEDURES Trauma,,,96864.12,96864.12,2
RC,683,ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,17119.12,17119.12,2
RC,683,AFTERCARE WITH CC/MCC Trauma,,,16799.71,16799.71,2
RC,683,AFTERCARE WITHOUT CC/MCC Trauma,,,10775.96,10775.96,2
RC,683,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY Trauma",,,19221.0,19221.0,2
RC,683,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC Trauma",,,22752.72,22752.72,2
RC,683,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC Trauma",,,13510.22,13510.22,2
RC,683,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA Trauma",,,10660.2,10660.2,2
RC,683,ALLERGIC REACTIONS WITH MCC Trauma,,,22072.1,22072.1,2
RC,683,ALLERGIC REACTIONS WITHOUT MCC Trauma,,,11189.69,11189.69,2
RC,683,BEHAVIORAL AND DEVELOPMENTAL DISORDERS Trauma,,,26291.93,26291.93,2
RC,683,BENIGN PROSTATIC HYPERTROPHY WITH MCC Trauma,,,16590.7,16590.7,2
RC,683,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC Trauma,,,11786.71,11786.71,2
RC,683,CESAREAN SECTION WITH STERILIZATION WITH CC Trauma,,,15410.6,15410.6,2
RC,683,CESAREAN SECTION WITH STERILIZATION WITH MCC Trauma,,,30362.79,30362.79,2
RC,683,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Trauma,,,14314.11,14314.11,2
RC,683,CESAREAN SECTION WITHOUT STERILIZATION WITH CC Trauma,,,16018.34,16018.34,2
RC,683,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC Trauma,,,21728.04,21728.04,2
RC,683,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC Trauma,,,14324.83,14324.83,2
RC,683,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT Trauma,,,55542.49,55542.49,2
RC,683,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE Trauma,,,26421.63,26421.63,2
RC,683,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,19524.33,19524.33,2
RC,683,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Trauma,,,18069.85,18069.85,2
RC,683,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Trauma,,,31835.5,31835.5,2
RC,683,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,13152.23,13152.23,2
RC,683,COAGULATION DISORDERS Trauma,,,20396.81,20396.81,2
RC,683,COMPLICATIONS OF TREATMENT WITH CC Trauma,,,14791.08,14791.08,2
RC,683,COMPLICATIONS OF TREATMENT WITH MCC Trauma,,,23671.29,23671.29,2
RC,683,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Trauma,,,11426.57,11426.57,2
RC,683,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Trauma,,,76194.73,76194.73,2
RC,683,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC Trauma",,,26011.11,26011.11,2
RC,683,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC Trauma",,,16240.21,16240.21,2
RC,683,DEPRESSIVE NEUROSES Trauma,,,14132.97,14132.97,2
RC,683,DISORDERS OF PERSONALITY AND IMPULSE CONTROL Trauma,,,25123.62,25123.62,2
RC,683,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT Trauma,,,232891.56,232891.56,2
RC,683,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT Trauma,,,45787.66,45787.66,2
RC,683,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,30399.24,30399.24,2
RC,683,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,54336.67,54336.67,2
RC,683,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,22419.38,22419.38,2
RC,683,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE Trauma",,,67752.91,67752.91,2
RC,683,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Trauma,,,18917.67,18917.67,2
RC,683,FEVER AND INFLAMMATORY CONDITIONS Trauma,,,13562.74,13562.74,2
RC,683,FULL TERM NEONATE WITH MAJOR PROBLEMS Trauma,,,48739.51,48739.51,2
RC,683,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC Trauma,,,80927.98,80927.98,2
RC,683,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC Trauma,,,38569.88,38569.88,2
RC,683,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY Trauma,,,27742.14,27742.14,2
RC,683,HAND PROCEDURES FOR INJURIES Trauma,,,25102.19,25102.19,2
RC,683,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC Trauma,,,69658.64,69658.64,2
RC,683,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC Trauma,,,32316.76,32316.76,2
RC,683,HIV WITH MAJOR RELATED CONDITION WITH CC Trauma,,,17928.36,17928.36,2
RC,683,HIV WITH MAJOR RELATED CONDITION WITH MCC Trauma,,,34981.36,34981.36,2
RC,683,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC Trauma,,,13723.52,13723.52,2
RC,683,HIV WITH OR WITHOUT OTHER RELATED CONDITION Trauma,,,17957.3,17957.3,2
RC,683,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,14541.34,14541.34,2
RC,683,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,19395.7,19395.7,2
RC,683,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11160.75,11160.75,2
RC,683,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC Trauma,,,25464.47,25464.47,2
RC,683,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Trauma,,,56981.97,56981.97,2
RC,683,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,20095.62,20095.62,2
RC,683,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Trauma,,,19942.35,19942.35,2
RC,683,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC Trauma,,,12742.79,12742.79,2
RC,683,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC Trauma,,,16484.58,16484.58,2
RC,683,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC Trauma,,,12724.57,12724.57,2
RC,683,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC Trauma,,,15278.76,15278.76,2
RC,683,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC Trauma,,,23380.81,23380.81,2
RC,683,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC Trauma,,,12518.77,12518.77,2
RC,683,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC Trauma,,,16307.74,16307.74,2
RC,683,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,11433.0,11433.0,2
RC,683,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Trauma",,,44381.41,44381.41,2
RC,683,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC Trauma,,,28042.26,28042.26,2
RC,683,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC Trauma,,,66909.37,66909.37,2
RC,683,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,16952.98,16952.98,2
RC,683,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC Trauma,,,21534.04,21534.04,2
RC,683,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC Trauma,,,38721.02,38721.02,2
RC,683,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC Trauma,,,28331.65,28331.65,2
RC,683,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC Trauma,,,53189.8,53189.8,2
RC,683,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC Trauma,,,18511.43,18511.43,2
RC,683,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,14877.89,14877.89,2
RC,683,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Trauma,,,15265.9,27713.19,6
RC,683,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC Trauma,,,25488.06,25488.06,2
RC,683,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC Trauma,,,20492.21,20492.21,2
RC,683,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,15707.5,15707.5,2
RC,683,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23788.12,23788.12,2
RC,683,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,14343.05,14343.05,2
RC,683,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,16295.95,16295.95,2
RC,683,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23445.13,23445.13,2
RC,683,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11076.08,11076.08,2
RC,683,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC Trauma,,,14846.81,14846.81,2
RC,683,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC Trauma,,,10162.87,10162.87,2
RC,683,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Trauma,,,22310.05,54186.61,6
RC,683,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Trauma,,,20179.22,37918.2,4
RC,683,NEONATE WITH OTHER SIGNIFICANT PROBLEMS Trauma,,,19867.32,19867.32,2
RC,683,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY Trauma",,,23364.73,23364.73,2
RC,683,NEUROSES EXCEPT DEPRESSIVE Trauma,,,15557.44,15557.44,2
RC,683,NON-EXTENSIVE BURNS Trauma,,,26127.94,26127.94,2
RC,683,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,21664.8,21664.8,2
RC,683,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,40795.02,40795.02,2
RC,683,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,16901.54,16901.54,2
RC,683,NORMAL NEWBORN Trauma,,,6189.55,6189.55,2
RC,683,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC Trauma,,,29095.87,29095.87,2
RC,683,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC Trauma,,,42939.78,42939.78,2
RC,683,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ Trauma,,,25781.74,25781.74,2
RC,683,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS Trauma,,,45473.61,45473.61,2
RC,683,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY Trauma,,,21292.87,21292.87,2
RC,683,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC Trauma,,,16472.8,16472.8,2
RC,683,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC Trauma,,,28503.14,28503.14,2
RC,683,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,13264.78,13264.78,2
RC,683,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC Trauma,,,11782.42,11782.42,2
RC,683,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC Trauma,,,16936.9,16936.9,2
RC,683,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,9652.67,9652.67,2
RC,683,OTHER FACTORS INFLUENCING HEALTH STATUS Trauma,,,10007.45,10007.45,2
RC,683,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC Trauma,,,31568.62,31568.62,2
RC,683,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,19866.25,19866.25,2
RC,683,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC Trauma,,,15099.76,15099.76,2
RC,683,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC Trauma,,,26483.8,26483.8,2
RC,683,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC Trauma,,,11869.24,11869.24,2
RC,683,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC Trauma",,,22798.81,22798.81,2
RC,683,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC Trauma",,,14956.14,14956.14,2
RC,683,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC Trauma,,,14927.21,14927.21,2
RC,683,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC Trauma,,,21780.55,21780.55,2
RC,683,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC Trauma,,,11442.65,11442.65,2
RC,683,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC Trauma,,,15395.6,15395.6,2
RC,683,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Trauma,,,11250.79,11250.79,2
RC,683,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC Trauma,,,24311.17,24311.17,2
RC,683,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC Trauma,,,18443.92,18443.92,2
RC,683,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC Trauma,,,28028.32,28028.32,2
RC,683,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC Trauma,,,19814.8,19814.8,2
RC,683,OTHER MENTAL DISORDER DIAGNOSES Trauma,,,15526.36,15526.36,2
RC,683,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,20475.05,20475.05,2
RC,683,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,33350.01,33350.01,2
RC,683,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,14128.68,14128.68,2
RC,683,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Trauma,,,13175.81,25429.11,6
RC,683,OTHER O.R. PROCEDURES FOR INJURIES WITH CC Trauma,,,25433.39,25433.39,2
RC,683,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC Trauma,,,45199.22,45199.22,2
RC,683,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC Trauma,,,18118.08,18118.08,2
RC,683,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,49214.34,49214.34,2
RC,683,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,85721.26,85721.26,2
RC,683,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,35604.09,35604.09,2
RC,683,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Trauma,,,23972.47,23972.47,2
RC,683,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC Trauma,,,46751.25,46751.25,2
RC,683,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC Trauma,,,18582.18,18582.18,2
RC,683,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC Trauma",,,26878.24,26878.24,2
RC,683,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC Trauma",,,18469.63,18469.63,2
RC,683,PENIS PROCEDURES WITH CC/MCC Trauma,,,28990.83,28990.83,2
RC,683,PENIS PROCEDURES WITHOUT CC/MCC Trauma,,,19066.65,19066.65,2
RC,683,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC Trauma,,,20858.77,20858.77,2
RC,683,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC Trauma,,,13234.76,13234.76,2
RC,683,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC Trauma,,,23595.18,23595.18,2
RC,683,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC Trauma,,,14743.92,14743.92,2
RC,683,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC Trauma,,,27001.49,27001.49,2
RC,683,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC Trauma,,,52802.86,52802.86,2
RC,683,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,18977.69,18977.69,2
RC,683,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES Trauma,,,22159.98,22159.98,2
RC,683,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES Trauma,,,11065.36,11065.36,2
RC,683,PREMATURITY WITH MAJOR PROBLEMS Trauma,,,47554.05,47554.05,2
RC,683,PREMATURITY WITHOUT MAJOR PROBLEMS Trauma,,,30299.56,30299.56,2
RC,683,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS Trauma,,,4048.01,4048.01,2
RC,683,PSYCHOSES Trauma,,,19019.49,19019.49,2
RC,683,RADIOTHERAPY Trauma,,,33089.56,33089.56,2
RC,683,RED BLOOD CELL DISORDERS WITH MCC Trauma,,,19099.88,19099.88,2
RC,683,RED BLOOD CELL DISORDERS WITHOUT MCC Trauma,,,13889.65,13889.65,2
RC,683,REHABILITATION WITH CC/MCC Trauma,,,20646.55,20646.55,2
RC,683,REHABILITATION WITHOUT CC/MCC Trauma,,,16339.89,16339.89,2
RC,683,RENAL FAILURE WITHOUT CC/MCC Trauma,,,10482.28,10482.28,2
RC,683,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC Trauma,,,14916.49,14916.49,2
RC,683,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC Trauma,,,26842.86,26842.86,2
RC,683,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC Trauma,,,10822.05,10822.05,2
RC,683,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS Trauma,,,78131.55,78131.55,2
RC,683,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC Trauma,,,24868.53,24868.53,2
RC,683,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC Trauma,,,15016.17,15016.17,2
RC,683,SIGNS AND SYMPTOMS WITH MCC Trauma,,,17653.97,17653.97,2
RC,683,SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,12628.1,12628.1,2
RC,683,SKIN GRAFTS FOR INJURIES WITH CC/MCC Trauma,,,43417.81,43417.81,2
RC,683,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC Trauma,,,19947.7,19947.7,2
RC,683,SPLENIC PROCEDURES WITH CC Trauma,,,34160.32,34160.32,2
RC,683,SPLENIC PROCEDURES WITH MCC Trauma,,,52590.64,52590.64,2
RC,683,SPLENIC PROCEDURES WITHOUT CC/MCC Trauma,,,24508.4,24508.4,2
RC,683,TESTES PROCEDURES WITH CC/MCC Trauma,,,26383.05,26383.05,2
RC,683,TESTES PROCEDURES WITHOUT CC/MCC Trauma,,,15835.05,15835.05,2
RC,683,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC Trauma,,,20162.08,20162.08,2
RC,683,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC Trauma,,,15381.66,15381.66,2
RC,683,TRAUMATIC INJURY WITH MCC Trauma,,,21568.33,21568.33,2
RC,683,TRAUMATIC INJURY WITHOUT MCC Trauma,,,13539.17,13539.17,2
RC,683,UNGROUPABLE Trauma,,,4048.01,4048.01,2
RC,683,URETHRAL STRICTURE Trauma,,,15600.31,15600.31,2
RC,683,URINARY STONES WITH MCC Trauma,,,18458.91,18458.91,2
RC,683,URINARY STONES WITHOUT MCC Trauma,,,12426.6,12426.6,2
RC,683,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC Trauma,,,23714.16,23714.16,2
RC,683,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Trauma,,,17346.35,17346.35,2
RC,683,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC Trauma,,,23444.05,23444.05,2
RC,683,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC Trauma,,,42449.95,42449.95,2
RC,683,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT Trauma,,,19333.55,19333.55,2
RC,683,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC Trauma,,,26134.37,26134.37,2
RC,683,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC Trauma,,,42360.99,42360.99,2
RC,683,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC Trauma,,,19788.0,19788.0,2
RC,683,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC Trauma",,,22666.97,22666.97,2
RC,683,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC Trauma",,,13262.63,13262.63,2
RC,683,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C Trauma,,,15533.87,15533.87,2
RC,683,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC Trauma,,,14770.72,14770.72,2
RC,683,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC Trauma,,,16556.4,16556.4,2
RC,683,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC Trauma,,,14306.61,14306.61,2
RC,683,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC Trauma,,,12129.69,12129.69,2
RC,683,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC Trauma,,,15615.32,15615.32,2
RC,683,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC Trauma,,,11274.37,11274.37,2
RC,683,VIRAL ILLNESS WITH MCC Trauma,,,20107.42,20107.42,2
RC,683,VIRAL ILLNESS WITHOUT MCC Trauma,,,13368.75,13368.75,2
RC,683,WOUND DEBRIDEMENTS FOR INJURIES WITH CC Trauma,,,24568.42,24568.42,2
RC,683,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Trauma,,,49028.92,49028.92,2
RC,683,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC Trauma,,,16584.26,16584.26,2
RC,684, Trauma Response - Level IV Trauma  ,,,6000.0,7500.0,5
RC,684,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Trauma",,,14795.37,14795.37,2
RC,684,ABORTION WITHOUT D&C Trauma,,,13065.41,13065.41,2
RC,684,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION Trauma,,,14339.83,14339.83,2
RC,684,ACUTE LEUKEMIA WITH CC Trauma,,,26404.48,26404.48,2
RC,684,ACUTE LEUKEMIA WITH MCC Trauma,,,62891.04,62891.04,2
RC,684,ACUTE LEUKEMIA WITH OTHER PROCEDURES Trauma,,,96864.12,96864.12,2
RC,684,ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,17119.12,17119.12,2
RC,684,AFTERCARE WITH CC/MCC Trauma,,,16799.71,16799.71,2
RC,684,AFTERCARE WITHOUT CC/MCC Trauma,,,10775.96,10775.96,2
RC,684,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY Trauma",,,19221.0,19221.0,2
RC,684,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC Trauma",,,22752.72,22752.72,2
RC,684,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC Trauma",,,13510.22,13510.22,2
RC,684,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA Trauma",,,10660.2,10660.2,2
RC,684,ALLERGIC REACTIONS WITH MCC Trauma,,,22072.1,22072.1,2
RC,684,ALLERGIC REACTIONS WITHOUT MCC Trauma,,,11189.69,11189.69,2
RC,684,BEHAVIORAL AND DEVELOPMENTAL DISORDERS Trauma,,,26291.93,26291.93,2
RC,684,BENIGN PROSTATIC HYPERTROPHY WITH MCC Trauma,,,16590.7,16590.7,2
RC,684,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC Trauma,,,11786.71,11786.71,2
RC,684,CESAREAN SECTION WITH STERILIZATION WITH CC Trauma,,,15410.6,15410.6,2
RC,684,CESAREAN SECTION WITH STERILIZATION WITH MCC Trauma,,,30362.79,30362.79,2
RC,684,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Trauma,,,14314.11,14314.11,2
RC,684,CESAREAN SECTION WITHOUT STERILIZATION WITH CC Trauma,,,16018.34,16018.34,2
RC,684,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC Trauma,,,21728.04,21728.04,2
RC,684,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC Trauma,,,14324.83,14324.83,2
RC,684,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT Trauma,,,55542.49,55542.49,2
RC,684,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE Trauma,,,26421.63,26421.63,2
RC,684,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,19524.33,19524.33,2
RC,684,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Trauma,,,18069.85,18069.85,2
RC,684,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Trauma,,,31835.5,31835.5,2
RC,684,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,13152.23,13152.23,2
RC,684,COAGULATION DISORDERS Trauma,,,20396.81,20396.81,2
RC,684,COMPLICATIONS OF TREATMENT WITH CC Trauma,,,14791.08,14791.08,2
RC,684,COMPLICATIONS OF TREATMENT WITH MCC Trauma,,,23671.29,23671.29,2
RC,684,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Trauma,,,11426.57,11426.57,2
RC,684,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Trauma,,,76194.73,76194.73,2
RC,684,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC Trauma",,,26011.11,26011.11,2
RC,684,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC Trauma",,,16240.21,16240.21,2
RC,684,DEPRESSIVE NEUROSES Trauma,,,14132.97,14132.97,2
RC,684,DISORDERS OF PERSONALITY AND IMPULSE CONTROL Trauma,,,25123.62,25123.62,2
RC,684,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT Trauma,,,232891.56,232891.56,2
RC,684,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT Trauma,,,45787.66,45787.66,2
RC,684,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,30399.24,30399.24,2
RC,684,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,54336.67,54336.67,2
RC,684,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,22419.38,22419.38,2
RC,684,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE Trauma",,,67752.91,67752.91,2
RC,684,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Trauma,,,18917.67,18917.67,2
RC,684,FEVER AND INFLAMMATORY CONDITIONS Trauma,,,13562.74,13562.74,2
RC,684,FULL TERM NEONATE WITH MAJOR PROBLEMS Trauma,,,48739.51,48739.51,2
RC,684,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC Trauma,,,80927.98,80927.98,2
RC,684,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC Trauma,,,38569.88,38569.88,2
RC,684,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY Trauma,,,27742.14,27742.14,2
RC,684,HAND PROCEDURES FOR INJURIES Trauma,,,25102.19,25102.19,2
RC,684,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC Trauma,,,69658.64,69658.64,2
RC,684,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC Trauma,,,32316.76,32316.76,2
RC,684,HIV WITH MAJOR RELATED CONDITION WITH CC Trauma,,,17928.36,17928.36,2
RC,684,HIV WITH MAJOR RELATED CONDITION WITH MCC Trauma,,,34981.36,34981.36,2
RC,684,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC Trauma,,,13723.52,13723.52,2
RC,684,HIV WITH OR WITHOUT OTHER RELATED CONDITION Trauma,,,17957.3,17957.3,2
RC,684,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,14541.34,14541.34,2
RC,684,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,19395.7,19395.7,2
RC,684,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11160.75,11160.75,2
RC,684,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC Trauma,,,25464.47,25464.47,2
RC,684,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Trauma,,,56981.97,56981.97,2
RC,684,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,20095.62,20095.62,2
RC,684,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Trauma,,,19942.35,19942.35,2
RC,684,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC Trauma,,,12742.79,12742.79,2
RC,684,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC Trauma,,,16484.58,16484.58,2
RC,684,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC Trauma,,,12724.57,12724.57,2
RC,684,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC Trauma,,,15278.76,15278.76,2
RC,684,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC Trauma,,,23380.81,23380.81,2
RC,684,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC Trauma,,,12518.77,12518.77,2
RC,684,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC Trauma,,,16307.74,16307.74,2
RC,684,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,11433.0,11433.0,2
RC,684,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Trauma",,,44381.41,44381.41,2
RC,684,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC Trauma,,,28042.26,28042.26,2
RC,684,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC Trauma,,,66909.37,66909.37,2
RC,684,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,16952.98,16952.98,2
RC,684,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC Trauma,,,21534.04,21534.04,2
RC,684,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC Trauma,,,38721.02,38721.02,2
RC,684,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC Trauma,,,28331.65,28331.65,2
RC,684,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC Trauma,,,53189.8,53189.8,2
RC,684,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC Trauma,,,18511.43,18511.43,2
RC,684,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,14877.89,14877.89,2
RC,684,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Trauma,,,15265.9,27713.19,6
RC,684,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC Trauma,,,25488.06,25488.06,2
RC,684,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC Trauma,,,20492.21,20492.21,2
RC,684,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,15707.5,15707.5,2
RC,684,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23788.12,23788.12,2
RC,684,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,14343.05,14343.05,2
RC,684,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,16295.95,16295.95,2
RC,684,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23445.13,23445.13,2
RC,684,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11076.08,11076.08,2
RC,684,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC Trauma,,,14846.81,14846.81,2
RC,684,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC Trauma,,,10162.87,10162.87,2
RC,684,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Trauma,,,22310.05,54186.61,6
RC,684,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Trauma,,,20179.22,37918.2,4
RC,684,NEONATE WITH OTHER SIGNIFICANT PROBLEMS Trauma,,,19867.32,19867.32,2
RC,684,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY Trauma",,,23364.73,23364.73,2
RC,684,NEUROSES EXCEPT DEPRESSIVE Trauma,,,15557.44,15557.44,2
RC,684,NON-EXTENSIVE BURNS Trauma,,,26127.94,26127.94,2
RC,684,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,21664.8,21664.8,2
RC,684,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,40795.02,40795.02,2
RC,684,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,16901.54,16901.54,2
RC,684,NORMAL NEWBORN Trauma,,,6189.55,6189.55,2
RC,684,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC Trauma,,,29095.87,29095.87,2
RC,684,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC Trauma,,,42939.78,42939.78,2
RC,684,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ Trauma,,,25781.74,25781.74,2
RC,684,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS Trauma,,,45473.61,45473.61,2
RC,684,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY Trauma,,,21292.87,21292.87,2
RC,684,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC Trauma,,,16472.8,16472.8,2
RC,684,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC Trauma,,,28503.14,28503.14,2
RC,684,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,13264.78,13264.78,2
RC,684,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC Trauma,,,11782.42,11782.42,2
RC,684,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC Trauma,,,16936.9,16936.9,2
RC,684,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,9652.67,9652.67,2
RC,684,OTHER FACTORS INFLUENCING HEALTH STATUS Trauma,,,10007.45,10007.45,2
RC,684,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC Trauma,,,31568.62,31568.62,2
RC,684,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,19866.25,19866.25,2
RC,684,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC Trauma,,,15099.76,15099.76,2
RC,684,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC Trauma,,,26483.8,26483.8,2
RC,684,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC Trauma,,,11869.24,11869.24,2
RC,684,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC Trauma",,,22798.81,22798.81,2
RC,684,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC Trauma",,,14956.14,14956.14,2
RC,684,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC Trauma,,,14927.21,14927.21,2
RC,684,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC Trauma,,,21780.55,21780.55,2
RC,684,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC Trauma,,,11442.65,11442.65,2
RC,684,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC Trauma,,,15395.6,15395.6,2
RC,684,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Trauma,,,11250.79,11250.79,2
RC,684,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC Trauma,,,24311.17,24311.17,2
RC,684,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC Trauma,,,18443.92,18443.92,2
RC,684,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC Trauma,,,28028.32,28028.32,2
RC,684,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC Trauma,,,19814.8,19814.8,2
RC,684,OTHER MENTAL DISORDER DIAGNOSES Trauma,,,15526.36,15526.36,2
RC,684,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,20475.05,20475.05,2
RC,684,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,33350.01,33350.01,2
RC,684,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,14128.68,14128.68,2
RC,684,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Trauma,,,13175.81,25429.11,6
RC,684,OTHER O.R. PROCEDURES FOR INJURIES WITH CC Trauma,,,25433.39,25433.39,2
RC,684,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC Trauma,,,45199.22,45199.22,2
RC,684,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC Trauma,,,18118.08,18118.08,2
RC,684,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,49214.34,49214.34,2
RC,684,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,85721.26,85721.26,2
RC,684,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,35604.09,35604.09,2
RC,684,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Trauma,,,23972.47,23972.47,2
RC,684,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC Trauma,,,46751.25,46751.25,2
RC,684,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC Trauma,,,18582.18,18582.18,2
RC,684,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC Trauma",,,26878.24,26878.24,2
RC,684,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC Trauma",,,18469.63,18469.63,2
RC,684,PENIS PROCEDURES WITH CC/MCC Trauma,,,28990.83,28990.83,2
RC,684,PENIS PROCEDURES WITHOUT CC/MCC Trauma,,,19066.65,19066.65,2
RC,684,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC Trauma,,,20858.77,20858.77,2
RC,684,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC Trauma,,,13234.76,13234.76,2
RC,684,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC Trauma,,,23595.18,23595.18,2
RC,684,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC Trauma,,,14743.92,14743.92,2
RC,684,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC Trauma,,,27001.49,27001.49,2
RC,684,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC Trauma,,,52802.86,52802.86,2
RC,684,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,18977.69,18977.69,2
RC,684,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES Trauma,,,22159.98,22159.98,2
RC,684,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES Trauma,,,11065.36,11065.36,2
RC,684,PREMATURITY WITH MAJOR PROBLEMS Trauma,,,47554.05,47554.05,2
RC,684,PREMATURITY WITHOUT MAJOR PROBLEMS Trauma,,,30299.56,30299.56,2
RC,684,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS Trauma,,,4048.01,4048.01,2
RC,684,PSYCHOSES Trauma,,,19019.49,19019.49,2
RC,684,RADIOTHERAPY Trauma,,,33089.56,33089.56,2
RC,684,RED BLOOD CELL DISORDERS WITH MCC Trauma,,,19099.88,19099.88,2
RC,684,RED BLOOD CELL DISORDERS WITHOUT MCC Trauma,,,13889.65,13889.65,2
RC,684,REHABILITATION WITH CC/MCC Trauma,,,20646.55,20646.55,2
RC,684,REHABILITATION WITHOUT CC/MCC Trauma,,,16339.89,16339.89,2
RC,684,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC Trauma,,,14916.49,14916.49,2
RC,684,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC Trauma,,,26842.86,26842.86,2
RC,684,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC Trauma,,,10822.05,10822.05,2
RC,684,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS Trauma,,,78131.55,78131.55,2
RC,684,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC Trauma,,,24868.53,24868.53,2
RC,684,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC Trauma,,,15016.17,15016.17,2
RC,684,SIGNS AND SYMPTOMS WITH MCC Trauma,,,17653.97,17653.97,2
RC,684,SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,12628.1,12628.1,2
RC,684,SKIN GRAFTS FOR INJURIES WITH CC/MCC Trauma,,,43417.81,43417.81,2
RC,684,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC Trauma,,,19947.7,19947.7,2
RC,684,SPLENIC PROCEDURES WITH CC Trauma,,,34160.32,34160.32,2
RC,684,SPLENIC PROCEDURES WITH MCC Trauma,,,52590.64,52590.64,2
RC,684,SPLENIC PROCEDURES WITHOUT CC/MCC Trauma,,,24508.4,24508.4,2
RC,684,TESTES PROCEDURES WITH CC/MCC Trauma,,,26383.05,26383.05,2
RC,684,TESTES PROCEDURES WITHOUT CC/MCC Trauma,,,15835.05,15835.05,2
RC,684,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC Trauma,,,20162.08,20162.08,2
RC,684,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC Trauma,,,15381.66,15381.66,2
RC,684,TRAUMATIC INJURY WITH MCC Trauma,,,21568.33,21568.33,2
RC,684,TRAUMATIC INJURY WITHOUT MCC Trauma,,,13539.17,13539.17,2
RC,684,UNGROUPABLE Trauma,,,4048.01,4048.01,2
RC,684,URETHRAL STRICTURE Trauma,,,15600.31,15600.31,2
RC,684,URINARY STONES WITH MCC Trauma,,,18458.91,18458.91,2
RC,684,URINARY STONES WITHOUT MCC Trauma,,,12426.6,12426.6,2
RC,684,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC Trauma,,,23714.16,23714.16,2
RC,684,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Trauma,,,17346.35,17346.35,2
RC,684,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC Trauma,,,23444.05,23444.05,2
RC,684,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC Trauma,,,42449.95,42449.95,2
RC,684,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT Trauma,,,19333.55,19333.55,2
RC,684,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC Trauma,,,26134.37,26134.37,2
RC,684,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC Trauma,,,42360.99,42360.99,2
RC,684,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC Trauma,,,19788.0,19788.0,2
RC,684,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC Trauma",,,22666.97,22666.97,2
RC,684,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC Trauma",,,13262.63,13262.63,2
RC,684,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C Trauma,,,15533.87,15533.87,2
RC,684,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC Trauma,,,14770.72,14770.72,2
RC,684,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC Trauma,,,16556.4,16556.4,2
RC,684,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC Trauma,,,14306.61,14306.61,2
RC,684,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC Trauma,,,12129.69,12129.69,2
RC,684,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC Trauma,,,15615.32,15615.32,2
RC,684,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC Trauma,,,11274.37,11274.37,2
RC,684,VIRAL ILLNESS WITH MCC Trauma,,,20107.42,20107.42,2
RC,684,VIRAL ILLNESS WITHOUT MCC Trauma,,,13368.75,13368.75,2
RC,684,WOUND DEBRIDEMENTS FOR INJURIES WITH CC Trauma,,,24568.42,24568.42,2
RC,684,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Trauma,,,49028.92,49028.92,2
RC,684,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC Trauma,,,16584.26,16584.26,2
RC,689, Trauma Response - Other   ,,,6000.0,7500.0,5
RC,689,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Trauma",,,14795.37,14795.37,2
RC,689,ABORTION WITHOUT D&C Trauma,,,13065.41,13065.41,2
RC,689,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION Trauma,,,14339.83,14339.83,2
RC,689,ACUTE LEUKEMIA WITH CC Trauma,,,26404.48,26404.48,2
RC,689,ACUTE LEUKEMIA WITH MCC Trauma,,,62891.04,62891.04,2
RC,689,ACUTE LEUKEMIA WITH OTHER PROCEDURES Trauma,,,96864.12,96864.12,2
RC,689,ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,17119.12,17119.12,2
RC,689,AFTERCARE WITH CC/MCC Trauma,,,16799.71,16799.71,2
RC,689,AFTERCARE WITHOUT CC/MCC Trauma,,,10775.96,10775.96,2
RC,689,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY Trauma",,,19221.0,19221.0,2
RC,689,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC Trauma",,,22752.72,22752.72,2
RC,689,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC Trauma",,,13510.22,13510.22,2
RC,689,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA Trauma",,,10660.2,10660.2,2
RC,689,ALLERGIC REACTIONS WITH MCC Trauma,,,22072.1,22072.1,2
RC,689,ALLERGIC REACTIONS WITHOUT MCC Trauma,,,11189.69,11189.69,2
RC,689,BEHAVIORAL AND DEVELOPMENTAL DISORDERS Trauma,,,26291.93,26291.93,2
RC,689,BENIGN PROSTATIC HYPERTROPHY WITH MCC Trauma,,,16590.7,16590.7,2
RC,689,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC Trauma,,,11786.71,11786.71,2
RC,689,CESAREAN SECTION WITH STERILIZATION WITH CC Trauma,,,15410.6,15410.6,2
RC,689,CESAREAN SECTION WITH STERILIZATION WITH MCC Trauma,,,30362.79,30362.79,2
RC,689,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC Trauma,,,14314.11,14314.11,2
RC,689,CESAREAN SECTION WITHOUT STERILIZATION WITH CC Trauma,,,16018.34,16018.34,2
RC,689,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC Trauma,,,21728.04,21728.04,2
RC,689,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC Trauma,,,14324.83,14324.83,2
RC,689,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT Trauma,,,55542.49,55542.49,2
RC,689,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE Trauma,,,26421.63,26421.63,2
RC,689,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,19524.33,19524.33,2
RC,689,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC Trauma,,,18069.85,18069.85,2
RC,689,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC Trauma,,,31835.5,31835.5,2
RC,689,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC Trauma,,,13152.23,13152.23,2
RC,689,COAGULATION DISORDERS Trauma,,,20396.81,20396.81,2
RC,689,COMPLICATIONS OF TREATMENT WITH CC Trauma,,,14791.08,14791.08,2
RC,689,COMPLICATIONS OF TREATMENT WITH MCC Trauma,,,23671.29,23671.29,2
RC,689,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC Trauma,,,11426.57,11426.57,2
RC,689,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA Trauma,,,76194.73,76194.73,2
RC,689,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC Trauma",,,26011.11,26011.11,2
RC,689,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC Trauma",,,16240.21,16240.21,2
RC,689,DEPRESSIVE NEUROSES Trauma,,,14132.97,14132.97,2
RC,689,DISORDERS OF PERSONALITY AND IMPULSE CONTROL Trauma,,,25123.62,25123.62,2
RC,689,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT Trauma,,,232891.56,232891.56,2
RC,689,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT Trauma,,,45787.66,45787.66,2
RC,689,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,30399.24,30399.24,2
RC,689,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,54336.67,54336.67,2
RC,689,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,22419.38,22419.38,2
RC,689,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE Trauma",,,67752.91,67752.91,2
RC,689,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES Trauma,,,18917.67,18917.67,2
RC,689,FEVER AND INFLAMMATORY CONDITIONS Trauma,,,13562.74,13562.74,2
RC,689,FULL TERM NEONATE WITH MAJOR PROBLEMS Trauma,,,48739.51,48739.51,2
RC,689,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC Trauma,,,80927.98,80927.98,2
RC,689,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC Trauma,,,38569.88,38569.88,2
RC,689,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY Trauma,,,27742.14,27742.14,2
RC,689,HAND PROCEDURES FOR INJURIES Trauma,,,25102.19,25102.19,2
RC,689,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC Trauma,,,69658.64,69658.64,2
RC,689,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC Trauma,,,32316.76,32316.76,2
RC,689,HIV WITH MAJOR RELATED CONDITION WITH CC Trauma,,,17928.36,17928.36,2
RC,689,HIV WITH MAJOR RELATED CONDITION WITH MCC Trauma,,,34981.36,34981.36,2
RC,689,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC Trauma,,,13723.52,13723.52,2
RC,689,HIV WITH OR WITHOUT OTHER RELATED CONDITION Trauma,,,17957.3,17957.3,2
RC,689,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,14541.34,14541.34,2
RC,689,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,19395.7,19395.7,2
RC,689,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11160.75,11160.75,2
RC,689,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC Trauma,,,25464.47,25464.47,2
RC,689,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC Trauma,,,56981.97,56981.97,2
RC,689,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,20095.62,20095.62,2
RC,689,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Trauma,,,19942.35,19942.35,2
RC,689,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC Trauma,,,12742.79,12742.79,2
RC,689,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC Trauma,,,12724.57,12724.57,2
RC,689,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC Trauma,,,16307.74,16307.74,2
RC,689,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,11433.0,11433.0,2
RC,689,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA Trauma",,,44381.41,44381.41,2
RC,689,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC Trauma,,,28042.26,28042.26,2
RC,689,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC Trauma,,,66909.37,66909.37,2
RC,689,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,16952.98,16952.98,2
RC,689,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC Trauma,,,21534.04,21534.04,2
RC,689,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC Trauma,,,38721.02,38721.02,2
RC,689,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC Trauma,,,28331.65,28331.65,2
RC,689,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC Trauma,,,53189.8,53189.8,2
RC,689,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC Trauma,,,18511.43,18511.43,2
RC,689,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC Trauma,,,14877.89,14877.89,2
RC,689,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO Trauma,,,15265.9,27713.19,6
RC,689,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC Trauma,,,25488.06,25488.06,2
RC,689,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC Trauma,,,20492.21,20492.21,2
RC,689,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,15707.5,15707.5,2
RC,689,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23788.12,23788.12,2
RC,689,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,14343.05,14343.05,2
RC,689,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC Trauma",,,16295.95,16295.95,2
RC,689,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC Trauma",,,23445.13,23445.13,2
RC,689,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC Trauma",,,11076.08,11076.08,2
RC,689,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC Trauma,,,14846.81,14846.81,2
RC,689,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC Trauma,,,10162.87,10162.87,2
RC,689,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. Trauma,,,22310.05,54186.61,6
RC,689,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE Trauma,,,20179.22,37918.2,4
RC,689,NEONATE WITH OTHER SIGNIFICANT PROBLEMS Trauma,,,19867.32,19867.32,2
RC,689,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY Trauma",,,23364.73,23364.73,2
RC,689,NEUROSES EXCEPT DEPRESSIVE Trauma,,,15557.44,15557.44,2
RC,689,NON-EXTENSIVE BURNS Trauma,,,26127.94,26127.94,2
RC,689,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Trauma,,,21664.8,21664.8,2
RC,689,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Trauma,,,40795.02,40795.02,2
RC,689,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Trauma,,,16901.54,16901.54,2
RC,689,NORMAL NEWBORN Trauma,,,6189.55,6189.55,2
RC,689,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC Trauma,,,29095.87,29095.87,2
RC,689,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC Trauma,,,42939.78,42939.78,2
RC,689,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ Trauma,,,25781.74,25781.74,2
RC,689,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS Trauma,,,45473.61,45473.61,2
RC,689,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY Trauma,,,21292.87,21292.87,2
RC,689,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC Trauma,,,16472.8,16472.8,2
RC,689,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC Trauma,,,28503.14,28503.14,2
RC,689,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,13264.78,13264.78,2
RC,689,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC Trauma,,,11782.42,11782.42,2
RC,689,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC Trauma,,,16936.9,16936.9,2
RC,689,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,9652.67,9652.67,2
RC,689,OTHER FACTORS INFLUENCING HEALTH STATUS Trauma,,,10007.45,10007.45,2
RC,689,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC Trauma,,,31568.62,31568.62,2
RC,689,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,19866.25,19866.25,2
RC,689,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC Trauma,,,15099.76,15099.76,2
RC,689,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC Trauma,,,26483.8,26483.8,2
RC,689,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC Trauma,,,11869.24,11869.24,2
RC,689,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC Trauma",,,22798.81,22798.81,2
RC,689,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC Trauma",,,14956.14,14956.14,2
RC,689,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC Trauma,,,14927.21,14927.21,2
RC,689,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC Trauma,,,21780.55,21780.55,2
RC,689,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC Trauma,,,11442.65,11442.65,2
RC,689,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC Trauma,,,15395.6,15395.6,2
RC,689,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC Trauma,,,11250.79,11250.79,2
RC,689,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC Trauma,,,24311.17,24311.17,2
RC,689,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC Trauma,,,18443.92,18443.92,2
RC,689,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC Trauma,,,28028.32,28028.32,2
RC,689,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC Trauma,,,19814.8,19814.8,2
RC,689,OTHER MENTAL DISORDER DIAGNOSES Trauma,,,15526.36,15526.36,2
RC,689,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,20475.05,20475.05,2
RC,689,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,33350.01,33350.01,2
RC,689,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,14128.68,14128.68,2
RC,689,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES Trauma,,,13175.81,25429.11,6
RC,689,OTHER O.R. PROCEDURES FOR INJURIES WITH CC Trauma,,,25433.39,25433.39,2
RC,689,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC Trauma,,,45199.22,45199.22,2
RC,689,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC Trauma,,,18118.08,18118.08,2
RC,689,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC Trauma,,,49214.34,49214.34,2
RC,689,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC Trauma,,,85721.26,85721.26,2
RC,689,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC Trauma,,,35604.09,35604.09,2
RC,689,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Trauma,,,23972.47,23972.47,2
RC,689,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC Trauma,,,46751.25,46751.25,2
RC,689,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC Trauma,,,18582.18,18582.18,2
RC,689,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC Trauma",,,26878.24,26878.24,2
RC,689,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC Trauma",,,18469.63,18469.63,2
RC,689,PENIS PROCEDURES WITH CC/MCC Trauma,,,28990.83,28990.83,2
RC,689,PENIS PROCEDURES WITHOUT CC/MCC Trauma,,,19066.65,19066.65,2
RC,689,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC Trauma,,,20858.77,20858.77,2
RC,689,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC Trauma,,,13234.76,13234.76,2
RC,689,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC Trauma,,,23595.18,23595.18,2
RC,689,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC Trauma,,,14743.92,14743.92,2
RC,689,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC Trauma,,,27001.49,27001.49,2
RC,689,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC Trauma,,,52802.86,52802.86,2
RC,689,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC Trauma,,,18977.69,18977.69,2
RC,689,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES Trauma,,,22159.98,22159.98,2
RC,689,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES Trauma,,,11065.36,11065.36,2
RC,689,PREMATURITY WITH MAJOR PROBLEMS Trauma,,,47554.05,47554.05,2
RC,689,PREMATURITY WITHOUT MAJOR PROBLEMS Trauma,,,30299.56,30299.56,2
RC,689,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS Trauma,,,4048.01,4048.01,2
RC,689,PSYCHOSES Trauma,,,19019.49,19019.49,2
RC,689,RADIOTHERAPY Trauma,,,33089.56,33089.56,2
RC,689,RED BLOOD CELL DISORDERS WITH MCC Trauma,,,19099.88,19099.88,2
RC,689,RED BLOOD CELL DISORDERS WITHOUT MCC Trauma,,,13889.65,13889.65,2
RC,689,REHABILITATION WITH CC/MCC Trauma,,,20646.55,20646.55,2
RC,689,REHABILITATION WITHOUT CC/MCC Trauma,,,16339.89,16339.89,2
RC,689,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC Trauma,,,14916.49,14916.49,2
RC,689,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC Trauma,,,26842.86,26842.86,2
RC,689,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC Trauma,,,10822.05,10822.05,2
RC,689,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS Trauma,,,78131.55,78131.55,2
RC,689,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC Trauma,,,24868.53,24868.53,2
RC,689,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC Trauma,,,15016.17,15016.17,2
RC,689,SIGNS AND SYMPTOMS WITH MCC Trauma,,,17653.97,17653.97,2
RC,689,SIGNS AND SYMPTOMS WITHOUT MCC Trauma,,,12628.1,12628.1,2
RC,689,SKIN GRAFTS FOR INJURIES WITH CC/MCC Trauma,,,43417.81,43417.81,2
RC,689,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC Trauma,,,19947.7,19947.7,2
RC,689,SPLENIC PROCEDURES WITH CC Trauma,,,34160.32,34160.32,2
RC,689,SPLENIC PROCEDURES WITH MCC Trauma,,,52590.64,52590.64,2
RC,689,SPLENIC PROCEDURES WITHOUT CC/MCC Trauma,,,24508.4,24508.4,2
RC,689,TESTES PROCEDURES WITH CC/MCC Trauma,,,26383.05,26383.05,2
RC,689,TESTES PROCEDURES WITHOUT CC/MCC Trauma,,,15835.05,15835.05,2
RC,689,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC Trauma,,,20162.08,20162.08,2
RC,689,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC Trauma,,,15381.66,15381.66,2
RC,689,TRAUMATIC INJURY WITH MCC Trauma,,,21568.33,21568.33,2
RC,689,TRAUMATIC INJURY WITHOUT MCC Trauma,,,13539.17,13539.17,2
RC,689,UNGROUPABLE Trauma,,,4048.01,4048.01,2
RC,689,URETHRAL STRICTURE Trauma,,,15600.31,15600.31,2
RC,689,URINARY STONES WITH MCC Trauma,,,18458.91,18458.91,2
RC,689,URINARY STONES WITHOUT MCC Trauma,,,12426.6,12426.6,2
RC,689,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC Trauma,,,23714.16,23714.16,2
RC,689,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Trauma,,,17346.35,17346.35,2
RC,689,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC Trauma,,,23444.05,23444.05,2
RC,689,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC Trauma,,,42449.95,42449.95,2
RC,689,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT Trauma,,,19333.55,19333.55,2
RC,689,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC Trauma,,,26134.37,26134.37,2
RC,689,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC Trauma,,,42360.99,42360.99,2
RC,689,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC Trauma,,,19788.0,19788.0,2
RC,689,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC Trauma",,,22666.97,22666.97,2
RC,689,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC Trauma",,,13262.63,13262.63,2
RC,689,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C Trauma,,,15533.87,15533.87,2
RC,689,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC Trauma,,,14770.72,14770.72,2
RC,689,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC Trauma,,,16556.4,16556.4,2
RC,689,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC Trauma,,,14306.61,14306.61,2
RC,689,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC Trauma,,,12129.69,12129.69,2
RC,689,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC Trauma,,,15615.32,15615.32,2
RC,689,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC Trauma,,,11274.37,11274.37,2
RC,689,VIRAL ILLNESS WITH MCC Trauma,,,20107.42,20107.42,2
RC,689,VIRAL ILLNESS WITHOUT MCC Trauma,,,13368.75,13368.75,2
RC,689,WOUND DEBRIDEMENTS FOR INJURIES WITH CC Trauma,,,24568.42,24568.42,2
RC,689,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC Trauma,,,49028.92,49028.92,2
RC,689,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC Trauma,,,16584.26,16584.26,2
RC,690, Pre-hospice/Palliative Care Services General Classification  ,,,,,0
RC,691, Pre-hospice/Palliative Care Services Visit Charge  ,,,,,0
RC,692, Pre-hospice/Palliative Care Services Hourly Charge  ,,,,,0
RC,693, Pre-hospice/Palliative Care Services Evaluation  ,,,,,0
RC,694, Pre-hospice/Palliative Care Services Consultation and Education  ,,,,,0
RC,695, Pre-hospice/Palliative Care Services Inpatient Care  ,,,,,0
RC,696, Pre-hospice/Palliative Care Services Physician Services  ,,,,,0
RC,699, Pre-hospice/Palliative Care Services Other  ,,,,,0
RC,700, Cast Room General Classification  ,,,,,0
RC,710, Recovery Room General Classification  ,,,,,0
RC,720, Labor Room/Delivery General Classification  ,,,3290.0,3290.0,1
RC,721, Labor Room/Delivery Labor  ,,,2481.0,3290.0,2
RC,721,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,6826.0,6826.0,1
RC,721,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,12038.0,4
RC,721,Bundle of His recording ,,,6826.0,6826.0,1
RC,721,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,9333.0,12038.0,4
RC,721,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,9333.0,12038.0,4
RC,721,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,9333.0,12038.0,16
RC,721,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,9333.0,12038.0,12
RC,721,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,721,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,721,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,9333.0,12038.0,12
RC,721,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,12038.0,8
RC,721,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,9333.0,12038.0,12
RC,721,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,12038.0,4
RC,721,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,721,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,721,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,6826.0,1
RC,721,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,6826.0,1
RC,721,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,5
RC,721,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,10
RC,721,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,5
RC,721,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,5
RC,721,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,6826.0,23692.0,6
RC,721,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,6826.0,6826.0,1
RC,721,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,6826.0,6826.0,1
RC,721,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,5
RC,721,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,6826.0,6826.0,2
RC,721,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,721,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,721,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,6826.0,1
RC,721,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,6826.0,1
RC,721,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,6826.0,6826.0,1
RC,721,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,721,Induction of arrhythmia by electrical pacing ,,,6826.0,6826.0,1
RC,721,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,9333.0,12038.0,4
RC,721,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,9333.0,12038.0,4
RC,721,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,9333.0,12038.0,4
RC,721,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,9333.0,12038.0,4
RC,721,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,9333.0,12038.0,4
RC,721,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,9333.0,12038.0,4
RC,721,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,721,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,721,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,9333.0,57784.0,8
RC,721,Intra-atrial pacing ,,,6826.0,6826.0,1
RC,721,Intra-atrial recording ,,,6826.0,6826.0,1
RC,721,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,6826.0,1
RC,721,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,6826.0,6826.0,1
RC,721,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,5
RC,721,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,6826.0,6826.0,1
RC,721,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,721,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,6826.0,1
RC,721,Intraventricular pacing ,,,6826.0,6826.0,1
RC,721,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,721,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,721,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,721,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,721,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,721,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,12038.0,4
RC,721,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,6826.0,1
RC,721,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,6826.0,1
RC,721,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,6826.0,1
RC,721,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,6826.0,1
RC,721,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,6826.0,1
RC,721,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,721,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,721,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,721,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,721,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,721,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,721,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,6826.0,1
RC,721,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,5
RC,721,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,23692.0,5
RC,721,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,23692.0,5
RC,721,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19763.0,23692.0,4
RC,721,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,6826.0,1
RC,721,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,6826.0,1
RC,721,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,5
RC,721,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,19763.0,23692.0,4
RC,721,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,721,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,5
RC,721,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,6826.0,1
RC,721,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,5
RC,721,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,23692.0,5
RC,721,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,5
RC,721,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,6826.0,1
RC,721,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,721,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,5
RC,721,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,5
RC,721,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,23692.0,5
RC,721,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,23692.0,5
RC,721,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,23692.0,10
RC,721,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,6826.0,1
RC,721,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,23692.0,5
RC,721,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,23692.0,10
RC,721,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,23692.0,6
RC,721,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,721,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,721,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,721,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,721,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,721,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,721,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,721,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,721,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,721,Right ventricular recording ,,,6826.0,6826.0,1
RC,721,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,722, Labor Room/Delivery Delivery Room  ,,,2481.0,3290.0,2
RC,722,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,6826.0,6826.0,1
RC,722,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,12038.0,4
RC,722,Bundle of His recording ,,,6826.0,6826.0,1
RC,722,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,9333.0,12038.0,4
RC,722,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,9333.0,12038.0,4
RC,722,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,9333.0,12038.0,16
RC,722,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,9333.0,12038.0,12
RC,722,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,722,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,722,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,9333.0,12038.0,12
RC,722,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,12038.0,8
RC,722,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,9333.0,12038.0,12
RC,722,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,12038.0,4
RC,722,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,722,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,722,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,6826.0,1
RC,722,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,6826.0,1
RC,722,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,5
RC,722,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,10
RC,722,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,5
RC,722,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,5
RC,722,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,6826.0,23692.0,6
RC,722,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,6826.0,6826.0,1
RC,722,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,6826.0,6826.0,1
RC,722,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,5
RC,722,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,6826.0,6826.0,2
RC,722,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,722,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,722,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,6826.0,1
RC,722,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,6826.0,1
RC,722,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,6826.0,6826.0,1
RC,722,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,722,Induction of arrhythmia by electrical pacing ,,,6826.0,6826.0,1
RC,722,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,9333.0,12038.0,4
RC,722,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,9333.0,12038.0,4
RC,722,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,9333.0,12038.0,4
RC,722,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,9333.0,12038.0,4
RC,722,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,9333.0,12038.0,4
RC,722,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,9333.0,12038.0,4
RC,722,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,722,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,722,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,9333.0,57784.0,8
RC,722,Intra-atrial pacing ,,,6826.0,6826.0,1
RC,722,Intra-atrial recording ,,,6826.0,6826.0,1
RC,722,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,6826.0,1
RC,722,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,6826.0,6826.0,1
RC,722,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,5
RC,722,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,6826.0,6826.0,1
RC,722,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,722,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,6826.0,1
RC,722,Intraventricular pacing ,,,6826.0,6826.0,1
RC,722,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,722,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,722,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,722,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,722,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,722,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,12038.0,4
RC,722,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,6826.0,1
RC,722,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,6826.0,1
RC,722,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,6826.0,1
RC,722,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,6826.0,1
RC,722,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,6826.0,1
RC,722,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,722,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,722,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,722,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,722,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,722,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,722,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,6826.0,1
RC,722,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,5
RC,722,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,23692.0,5
RC,722,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,23692.0,5
RC,722,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19763.0,23692.0,4
RC,722,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,6826.0,1
RC,722,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,6826.0,1
RC,722,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,5
RC,722,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,19763.0,23692.0,4
RC,722,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,722,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,5
RC,722,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,6826.0,1
RC,722,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,5
RC,722,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,23692.0,5
RC,722,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,5
RC,722,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,6826.0,1
RC,722,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,722,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,5
RC,722,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,5
RC,722,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,23692.0,5
RC,722,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,23692.0,5
RC,722,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,23692.0,10
RC,722,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,6826.0,1
RC,722,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,23692.0,5
RC,722,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,23692.0,10
RC,722,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,23692.0,6
RC,722,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,722,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,722,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,722,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,722,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,722,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,722,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,722,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,722,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,722,Right ventricular recording ,,,6826.0,6826.0,1
RC,722,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,723, Labor Room/Delivery Circumcision  ,,,2481.0,2481.0,1
RC,723,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,6826.0,6826.0,1
RC,723,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,12038.0,4
RC,723,Bundle of His recording ,,,6826.0,6826.0,1
RC,723,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,9333.0,12038.0,4
RC,723,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,9333.0,12038.0,4
RC,723,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,9333.0,12038.0,16
RC,723,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,9333.0,12038.0,12
RC,723,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,723,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,723,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,9333.0,12038.0,12
RC,723,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,12038.0,8
RC,723,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,9333.0,12038.0,12
RC,723,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,12038.0,4
RC,723,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,723,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,723,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,6826.0,1
RC,723,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,6826.0,1
RC,723,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,5
RC,723,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,10
RC,723,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,5
RC,723,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,5
RC,723,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,6826.0,23692.0,6
RC,723,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,6826.0,6826.0,1
RC,723,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,6826.0,6826.0,1
RC,723,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,5
RC,723,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,6826.0,6826.0,2
RC,723,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,723,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,723,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,6826.0,1
RC,723,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,6826.0,1
RC,723,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,6826.0,6826.0,1
RC,723,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,723,Induction of arrhythmia by electrical pacing ,,,6826.0,6826.0,1
RC,723,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,9333.0,12038.0,4
RC,723,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,9333.0,12038.0,4
RC,723,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,9333.0,12038.0,4
RC,723,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,9333.0,12038.0,4
RC,723,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,9333.0,12038.0,4
RC,723,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,9333.0,12038.0,4
RC,723,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,723,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,723,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,9333.0,57784.0,8
RC,723,Intra-atrial pacing ,,,6826.0,6826.0,1
RC,723,Intra-atrial recording ,,,6826.0,6826.0,1
RC,723,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,6826.0,1
RC,723,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,6826.0,6826.0,1
RC,723,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,5
RC,723,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,6826.0,6826.0,1
RC,723,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,723,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,6826.0,1
RC,723,Intraventricular pacing ,,,6826.0,6826.0,1
RC,723,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,723,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,723,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,723,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,723,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,723,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,12038.0,4
RC,723,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,6826.0,1
RC,723,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,6826.0,1
RC,723,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,6826.0,1
RC,723,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,6826.0,1
RC,723,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,6826.0,1
RC,723,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,723,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,723,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,723,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,723,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,723,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,723,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,6826.0,1
RC,723,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,5
RC,723,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,23692.0,5
RC,723,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,23692.0,5
RC,723,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19763.0,23692.0,4
RC,723,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,6826.0,1
RC,723,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,6826.0,1
RC,723,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,5
RC,723,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,19763.0,23692.0,4
RC,723,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,723,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,5
RC,723,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,6826.0,1
RC,723,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,5
RC,723,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,23692.0,5
RC,723,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,5
RC,723,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,6826.0,1
RC,723,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,723,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,5
RC,723,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,5
RC,723,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,23692.0,5
RC,723,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,23692.0,5
RC,723,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,23692.0,10
RC,723,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,6826.0,1
RC,723,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,23692.0,5
RC,723,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,23692.0,10
RC,723,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,23692.0,6
RC,723,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,723,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,723,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,723,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,723,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,723,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,723,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,723,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,723,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,723,Right ventricular recording ,,,6826.0,6826.0,1
RC,723,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,724, Labor Room/Delivery Birthing Center  ,,,2481.0,3290.0,2
RC,724,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,6826.0,6826.0,1
RC,724,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,12038.0,4
RC,724,Bundle of His recording ,,,6826.0,6826.0,1
RC,724,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,9333.0,12038.0,4
RC,724,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,9333.0,12038.0,4
RC,724,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,9333.0,12038.0,16
RC,724,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,9333.0,12038.0,12
RC,724,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,724,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,724,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,9333.0,12038.0,12
RC,724,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,12038.0,8
RC,724,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,9333.0,12038.0,12
RC,724,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,12038.0,4
RC,724,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,724,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,724,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,6826.0,1
RC,724,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,6826.0,1
RC,724,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,5
RC,724,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,10
RC,724,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,5
RC,724,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,5
RC,724,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,6826.0,23692.0,6
RC,724,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,6826.0,6826.0,1
RC,724,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,6826.0,6826.0,1
RC,724,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,5
RC,724,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,6826.0,6826.0,2
RC,724,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,724,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,724,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,6826.0,1
RC,724,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,6826.0,1
RC,724,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,6826.0,6826.0,1
RC,724,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,724,Induction of arrhythmia by electrical pacing ,,,6826.0,6826.0,1
RC,724,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,9333.0,12038.0,4
RC,724,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,9333.0,12038.0,4
RC,724,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,9333.0,12038.0,4
RC,724,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,9333.0,12038.0,4
RC,724,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,9333.0,12038.0,4
RC,724,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,9333.0,12038.0,4
RC,724,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,724,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,724,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,9333.0,57784.0,8
RC,724,Intra-atrial pacing ,,,6826.0,6826.0,1
RC,724,Intra-atrial recording ,,,6826.0,6826.0,1
RC,724,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,6826.0,1
RC,724,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,6826.0,6826.0,1
RC,724,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,5
RC,724,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,6826.0,6826.0,1
RC,724,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,724,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,6826.0,1
RC,724,Intraventricular pacing ,,,6826.0,6826.0,1
RC,724,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,724,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,724,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,724,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,724,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,724,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,12038.0,4
RC,724,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,6826.0,1
RC,724,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,6826.0,1
RC,724,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,6826.0,1
RC,724,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,6826.0,1
RC,724,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,6826.0,1
RC,724,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,724,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,724,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,724,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,724,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,724,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,724,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,6826.0,1
RC,724,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,5
RC,724,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,23692.0,5
RC,724,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,23692.0,5
RC,724,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19763.0,23692.0,4
RC,724,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,6826.0,1
RC,724,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,6826.0,1
RC,724,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,5
RC,724,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,19763.0,23692.0,4
RC,724,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,724,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,5
RC,724,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,6826.0,1
RC,724,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,23692.0,5
RC,724,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,23692.0,5
RC,724,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,23692.0,5
RC,724,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,6826.0,1
RC,724,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,724,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,5
RC,724,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,5
RC,724,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,23692.0,5
RC,724,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,23692.0,5
RC,724,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,23692.0,10
RC,724,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,6826.0,1
RC,724,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,23692.0,5
RC,724,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,23692.0,10
RC,724,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,23692.0,6
RC,724,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,724,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,724,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,724,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,724,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,724,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,724,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,724,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,724,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,724,Right ventricular recording ,,,6826.0,6826.0,1
RC,724,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,6826.0,6826.0,1
RC,729, Labor Room/Delivery Other  ,,,3290.0,3290.0,1
RC,729,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,12038.0,4
RC,729,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,9333.0,12038.0,4
RC,729,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,9333.0,12038.0,4
RC,729,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,9333.0,12038.0,16
RC,729,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,9333.0,12038.0,12
RC,729,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,729,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,729,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,9333.0,12038.0,12
RC,729,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,12038.0,8
RC,729,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,9333.0,12038.0,12
RC,729,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,12038.0,4
RC,729,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,729,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,729,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,19763.0,23692.0,4
RC,729,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,19763.0,23692.0,8
RC,729,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,19763.0,23692.0,4
RC,729,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,19763.0,23692.0,4
RC,729,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,19763.0,23692.0,4
RC,729,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,19763.0,23692.0,4
RC,729,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,729,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,729,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,729,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,9333.0,12038.0,4
RC,729,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,9333.0,12038.0,4
RC,729,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,9333.0,12038.0,4
RC,729,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,9333.0,12038.0,4
RC,729,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,9333.0,12038.0,4
RC,729,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,9333.0,12038.0,4
RC,729,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,729,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,729,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,9333.0,57784.0,8
RC,729,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,19763.0,23692.0,4
RC,729,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,729,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,729,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,729,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,729,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,729,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,12038.0,4
RC,729,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,729,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,729,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,729,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,729,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,729,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,729,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,19763.0,23692.0,4
RC,729,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,19763.0,23692.0,4
RC,729,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,19763.0,23692.0,4
RC,729,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19763.0,23692.0,4
RC,729,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,19763.0,23692.0,4
RC,729,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,19763.0,23692.0,4
RC,729,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,19763.0,23692.0,4
RC,729,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,19763.0,23692.0,4
RC,729,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,19763.0,23692.0,4
RC,729,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,19763.0,23692.0,4
RC,729,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,19763.0,23692.0,4
RC,729,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,19763.0,23692.0,4
RC,729,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,19763.0,23692.0,4
RC,729,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,19763.0,23692.0,4
RC,729,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,19763.0,23692.0,8
RC,729,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,19763.0,23692.0,4
RC,729,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,19763.0,23692.0,8
RC,729,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,19763.0,23692.0,4
RC,729,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,729,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,729,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,729,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,729,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,729,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,729,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,729,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,730, EKG/ECG (Electrocardiogram) General Classification  ,,,269.0,701.0,8
RC,731, EKG/ECG (Electrocardiogram) Holter Monitor  ,,,400.0,1040.0,8
RC,732, EKG/ECG (Electrocardiogram) Telemetry  ,,,1040.0,1040.0,1
RC,739, EKG/ECG (Electrogardiogram) Other  ,,,701.0,701.0,1
RC,740, EEG (Electoencephalogram) General Classification  ,,,908.0,1640.0,8
RC,740,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness ",,,4033.0,4033.0,1
RC,740,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,4033.0,4033.0,1
RC,740,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a",,,4033.0,4033.0,1
RC,740,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist ",,,4033.0,4033.0,1
RC,740,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,4033.0,4033.0,1
RC,740,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by ",,,4033.0,4033.0,1
RC,740,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist ",,,4033.0,4033.0,1
RC,740,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) ",,,4033.0,4033.0,1
RC,740,"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time ",,,4033.0,4033.0,1
RC,740,"Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone) ",,,4033.0,4033.0,1
RC,750, Gastro-Intestinal (GI) Services General Classification  ,,,2481.0,8574.0,8
RC,750,Accessing and retorquing loose implant screw - per screw ,,,8577.0,8577.0,1
RC,750,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,1575.0,17341.0,6
RC,750,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,750,Anorectal manometry ,,,1423.0,3251.0,3
RC,750,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,2143.0,2143.0,1
RC,750,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,8577.0,8577.0,2
RC,750,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,8577.0,8577.0,2
RC,750,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1423.0,3689.0,6
RC,750,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1423.0,3251.0,3
RC,750,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1982.0,3689.0,3
RC,750,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1423.0,3251.0,3
RC,750,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2820.0,5414.0,3
RC,750,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1423.0,3251.0,3
RC,750,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1982.0,3689.0,3
RC,750,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,8577.0,8577.0,1
RC,750,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,8577.0,8577.0,1
RC,750,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1423.0,3251.0,4
RC,750,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,15007.0,15007.0,1
RC,750,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,19295.0,19295.0,1
RC,750,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,10737.0,15007.0,4
RC,750,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,24657.0,24657.0,1
RC,750,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,24657.0,5
RC,750,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,19295.0,19295.0,1
RC,750,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,1423.0,3251.0,3
RC,750,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1423.0,3251.0,4
RC,750,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,750,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,8577.0,8577.0,1
RC,750,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,750,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,8577.0,8577.0,1
RC,750,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,8577.0,8577.0,1
RC,750,Buccal/ labial frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,750,Bundle of His recording ,,,6826.0,19105.0,4
RC,750,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,750,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,7583.0,9539.0,3
RC,750,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,750,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,2143.0,2143.0,1
RC,750,Cardioassist-method of circulatory assist; external ,,,8577.0,8577.0,1
RC,750,Cardioassist-method of circulatory assist; internal ,,,8577.0,8577.0,1
RC,750,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,1423.0,3251.0,4
RC,750,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1982.0,4009.0,4
RC,750,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1982.0,4009.0,4
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,8577.0,12038.0,5
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,8577.0,12038.0,5
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,8577.0,8577.0,3
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8577.0,8577.0,1
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,8577.0,12038.0,20
RC,750,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,8577.0,12038.0,15
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8577.0,8577.0,1
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8577.0,8577.0,1
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,13374.0,13374.0,1
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,8577.0,13374.0,15
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,13374.0,10
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,8577.0,13374.0,16
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,13374.0,5
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,8577.0,8577.0,1
RC,750,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,8577.0,8577.0,1
RC,750,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,8577.0,8577.0,1
RC,750,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,8577.0,8577.0,1
RC,750,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1423.0,3251.0,4
RC,750,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1982.0,4009.0,4
RC,750,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1982.0,4009.0,4
RC,750,Colorectal cancer screening; flexible sigmoidoscopy ,,,1982.0,4009.0,4
RC,750,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,7493.0,7493.0,1
RC,750,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,750,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,750,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,750,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,19105.0,4
RC,750,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,19105.0,4
RC,750,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,8
RC,750,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,20
RC,750,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,8
RC,750,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,10
RC,750,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1423.0,3251.0,4
RC,750,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,8577.0,8577.0,1
RC,750,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,8577.0,8577.0,1
RC,750,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,8577.0,8577.0,1
RC,750,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5360.0,8727.0,4
RC,750,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,10737.0,15007.0,4
RC,750,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,7493.0,7493.0,1
RC,750,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,7493.0,7493.0,1
RC,750,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,1423.0,3251.0,8
RC,750,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,2143.0,2143.0,1
RC,750,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,8577.0,8577.0,1
RC,750,Decoronation or submergence of an erupted tooth ,,,8577.0,8577.0,1
RC,750,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2820.0,5414.0,3
RC,750,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1982.0,4009.0,3
RC,750,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,8577.0,8577.0,1
RC,750,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8577.0,8577.0,4
RC,750,Duodenal motility (manometric) study ,,,1423.0,3251.0,4
RC,750,"Electrogastrography, diagnostic, transcutaneous; ",,,1423.0,3251.0,4
RC,750,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1423.0,3251.0,4
RC,750,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1423.0,23692.0,18
RC,750,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2820.0,17341.0,7
RC,750,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1423.0,17341.0,7
RC,750,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,8
RC,750,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1423.0,17341.0,14
RC,750,Endomyocardial biopsy ,,,5360.0,10719.0,4
RC,750,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,750,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,750,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,15007.0,15007.0,1
RC,750,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,15007.0,15007.0,1
RC,750,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,750,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,8577.0,8577.0,1
RC,750,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,8577.0,8577.0,1
RC,750,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,750,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,7493.0,7493.0,1
RC,750,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1423.0,3251.0,4
RC,750,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1423.0,3251.0,4
RC,750,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1423.0,3251.0,4
RC,750,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1423.0,3251.0,4
RC,750,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,7493.0,7493.0,1
RC,750,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,19105.0,4
RC,750,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,19105.0,4
RC,750,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1423.0,3251.0,4
RC,750,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1423.0,4009.0,4
RC,750,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1423.0,3251.0,4
RC,750,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1423.0,17341.0,7
RC,750,Exc biopsy of saliv glands ,,,8577.0,8577.0,1
RC,750,Excavation of a tooth resulting in the determination of non-restorability ,,,8577.0,8577.0,1
RC,750,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,8577.0,8577.0,1
RC,750,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,8577.0,8577.0,1
RC,750,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,750,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,8577.0,8577.0,1
RC,750,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,5360.0,8727.0,3
RC,750,Gastric motility (manometric) studies ,,,1423.0,3251.0,4
RC,750,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2820.0,5568.0,4
RC,750,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2820.0,5568.0,4
RC,750,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,750,"Guided tissue regeneration - resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,750,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,8577.0,8577.0,1
RC,750,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,8577.0,8577.0,1
RC,750,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,1423.0,3251.0,3
RC,750,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,750,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,10737.0,13315.0,4
RC,750,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,7583.0,10719.0,4
RC,750,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,19295.0,19295.0,1
RC,750,Indexing for osteotomy ,,,8577.0,8577.0,1
RC,750,Induction of arrhythmia by electrical pacing ,,,6826.0,19105.0,4
RC,750,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1423.0,3251.0,4
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1423.0,12038.0,8
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1423.0,12038.0,8
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1423.0,12038.0,8
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1423.0,12038.0,8
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,2143.0,2143.0,1
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,2143.0,2143.0,1
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,2143.0,2143.0,1
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,2143.0,2143.0,1
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1423.0,12038.0,8
RC,750,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1423.0,12038.0,8
RC,750,Injection procedure for sacroiliac joint; arthrography ,,,1423.0,3251.0,4
RC,750,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1982.0,4009.0,4
RC,750,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,4009.0,8727.0,4
RC,750,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,750,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,750,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,19295.0,19295.0,1
RC,750,Insertion of implants into the soft palate; minimum of three implants ,,,1982.0,5568.0,4
RC,750,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,8577.0,8577.0,1
RC,750,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,8577.0,8577.0,1
RC,750,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,8577.0,8577.0,1
RC,750,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,2143.0,2143.0,1
RC,750,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,10719.0,10719.0,1
RC,750,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,8577.0,57784.0,11
RC,750,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,5568.0,5568.0,1
RC,750,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1423.0,3251.0,4
RC,750,Intra-atrial pacing ,,,6826.0,19105.0,4
RC,750,Intra-atrial recording ,,,6826.0,19105.0,4
RC,750,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,19105.0,4
RC,750,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,1575.0,17341.0,6
RC,750,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,8
RC,750,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1423.0,17341.0,7
RC,750,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,750,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,2143.0,2143.0,1
RC,750,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,2143.0,2143.0,1
RC,750,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,2143.0,2143.0,1
RC,750,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,2143.0,2143.0,1
RC,750,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1423.0,3251.0,8
RC,750,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,19105.0,4
RC,750,Intraventricular pacing ,,,6826.0,19105.0,4
RC,750,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,15007.0,15007.0,1
RC,750,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2820.0,5414.0,3
RC,750,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,13374.0,13374.0,1
RC,750,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,750,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,750,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,12863.0,12863.0,1
RC,750,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,750,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,750,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,750,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,750,Lingual frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,750,Marsupialization of odontogenic cyst ,,,8577.0,8577.0,1
RC,750,Maxillary guidance prosthesis with guide flange ,,,8577.0,8577.0,1
RC,750,Maxillary guidance prosthesis without guide flange ,,,8577.0,8577.0,1
RC,750,Nerve dissection ,,,8577.0,8577.0,1
RC,750,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,83613.0,5
RC,750,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,8577.0,8577.0,1
RC,750,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,8577.0,8577.0,1
RC,750,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,8577.0,8577.0,1
RC,750,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,15007.0,15007.0,1
RC,750,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,15007.0,15007.0,1
RC,750,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,15007.0,15007.0,1
RC,750,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,5360.0,8727.0,4
RC,750,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,5360.0,8727.0,4
RC,750,Otolaryngologic examination under general anesthesia ,,,1423.0,3251.0,4
RC,750,Partial extraction for immediate implant replacement ,,,8577.0,8577.0,1
RC,750,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,19105.0,4
RC,750,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,19105.0,4
RC,750,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,19105.0,4
RC,750,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,8577.0,8577.0,1
RC,750,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,8577.0,8577.0,1
RC,750,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,8577.0,8577.0,1
RC,750,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,8577.0,8577.0,1
RC,750,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7583.0,10719.0,4
RC,750,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,31841.0,4
RC,750,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,31841.0,4
RC,750,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,750,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,750,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,750,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,15124.0,30016.0,6
RC,750,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,750,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,750,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,15124.0,30016.0,6
RC,750,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,750,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,750,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,24657.0,7
RC,750,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,750,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,31841.0,8
RC,750,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,31841.0,8
RC,750,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19295.0,23692.0,5
RC,750,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,17341.0,6
RC,750,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,17341.0,4
RC,750,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,750,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,8577.0,8577.0,1
RC,750,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,8577.0,8577.0,1
RC,750,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,8577.0,23692.0,5
RC,750,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,6
RC,750,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,750,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,17341.0,6
RC,750,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,750,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,31841.0,8
RC,750,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,750,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,17341.0,6
RC,750,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,17341.0,17341.0,2
RC,750,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,2143.0,17341.0,4
RC,750,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,8577.0,8577.0,1
RC,750,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,8
RC,750,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,8
RC,750,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,31841.0,8
RC,750,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,31841.0,8
RC,750,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,31841.0,16
RC,750,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,17341.0,6
RC,750,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,31841.0,8
RC,750,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,31841.0,16
RC,750,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,31841.0,14
RC,750,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,8577.0,8577.0,1
RC,750,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,8577.0,8577.0,1
RC,750,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,8577.0,8577.0,1
RC,750,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,8577.0,8577.0,1
RC,750,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,8577.0,8577.0,1
RC,750,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,8577.0,8577.0,1
RC,750,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1423.0,3251.0,4
RC,750,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1423.0,3251.0,4
RC,750,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1423.0,3251.0,4
RC,750,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1423.0,3251.0,4
RC,750,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,2143.0,2143.0,1
RC,750,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1423.0,3251.0,4
RC,750,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1423.0,3251.0,4
RC,750,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1982.0,4009.0,4
RC,750,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1423.0,3251.0,4
RC,750,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,750,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,750,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,2143.0,2143.0,1
RC,750,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1423.0,3251.0,3
RC,750,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1423.0,3251.0,4
RC,750,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1423.0,3251.0,4
RC,750,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,8577.0,8577.0,1
RC,750,Removal of an indirect restoration on a natural tooth ,,,8577.0,8577.0,1
RC,750,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,8577.0,8577.0,1
RC,750,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,750,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1423.0,3251.0,4
RC,750,Removal of implant body not requiring bone removal nor flap elevation ,,,8577.0,8577.0,1
RC,750,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,750,Removal of non-resorbable barrier ,,,8577.0,8577.0,1
RC,750,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,8577.0,8577.0,1
RC,750,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,8577.0,8577.0,1
RC,750,Removal of temporary anchorage device without flap ,,,8577.0,8577.0,1
RC,750,"Removal of temporary anchorage device, requiring flap ",,,8577.0,8577.0,1
RC,750,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,750,Remove interim implant component ,,,8577.0,8577.0,1
RC,750,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,8577.0,8577.0,1
RC,750,Repair of custom sleep apnea appliance ,,,8577.0,8577.0,1
RC,750,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,7493.0,7493.0,1
RC,750,Replacement of an implant screw ,,,8577.0,8577.0,1
RC,750,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,8577.0,8577.0,1
RC,750,Resection prosthesis - Mandibular complete removable ,,,8577.0,8577.0,1
RC,750,Resection prosthesis - Mandibular partial removable ,,,8577.0,8577.0,1
RC,750,Resection prosthesis - Maxillary complete removable ,,,8577.0,8577.0,1
RC,750,Resection prosthesis - Maxillary partial removable ,,,8577.0,8577.0,1
RC,750,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,750,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,750,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,750,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,750,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,750,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,750,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,19295.0,19295.0,1
RC,750,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,8577.0,8577.0,1
RC,750,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,8577.0,8577.0,1
RC,750,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,8577.0,8577.0,1
RC,750,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,19295.0,19295.0,1
RC,750,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,19295.0,19295.0,1
RC,750,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,19295.0,19295.0,1
RC,750,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,15007.0,15007.0,1
RC,750,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,750,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,750,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,19295.0,19295.0,1
RC,750,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,8577.0,8577.0,1
RC,750,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,750,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,13374.0,13374.0,1
RC,750,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,750,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,13374.0,13374.0,1
RC,750,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,750,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,13374.0,13374.0,1
RC,750,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,750,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,750,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,13374.0,13374.0,1
RC,750,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,750,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,750,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,13374.0,13374.0,1
RC,750,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,750,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,750,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,7583.0,9539.0,3
RC,750,Right ventricular recording ,,,6826.0,19105.0,4
RC,750,Semi-precision abutment - placement ,,,8577.0,8577.0,1
RC,750,Semi-precision attachment - placement ,,,8577.0,8577.0,1
RC,750,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,8577.0,8577.0,1
RC,750,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,8577.0,8577.0,1
RC,750,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,8577.0,8577.0,1
RC,750,Surgical placement of craniofacial implant - extra oral ,,,8577.0,8577.0,1
RC,750,Surgical placement zygomatic implant ,,,8577.0,8577.0,1
RC,750,Surgical repair of root resorption - molar ,,,8577.0,8577.0,1
RC,750,Surgical repair of root resorption- premolar ,,,8577.0,8577.0,1
RC,750,Surgical repair of root resorption-anterior ,,,8577.0,8577.0,1
RC,750,Temporary transcutaneous pacing ,,,1982.0,4009.0,4
RC,750,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,17341.0,17341.0,2
RC,750,"Thrombolysis, coronary; by intravenous infusion ",,,1423.0,17341.0,5
RC,750,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,8577.0,8577.0,1
RC,750,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,2143.0,2143.0,1
RC,750,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1423.0,17341.0,7
RC,750,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,8577.0,8577.0,1
RC,750,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,8577.0,8577.0,1
RC,750,"Trimming of dystrophic nails, any number ",,,1423.0,3251.0,4
RC,750,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,2143.0,2143.0,1
RC,750,Unlisted cardiovascular service or procedure ,,,1423.0,3251.0,4
RC,750,Unlisted diagnostic gastroenterology procedure ,,,1423.0,3251.0,4
RC,750,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,8577.0,8577.0,1
RC,750,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,19295.0,19295.0,1
RC,750,Wound closure utilizing tissue adhesive(s) only ,,,1423.0,3251.0,4
RC,760, Specialty Services General Classification  ,,,608.0,4937.0,9
RC,760, Specialty Services General Classification  Observation,,,,,0
RC,760,Hospital outpatient clinic visit for assessment and management of a patient ,,,4060.0,4060.0,1
RC,761, Specialty Services Treatment Room  ,,,608.0,4937.0,7
RC,761, Specialty Services Treatment Room  Observation,,,,,0
RC,762, Specialty Services Observation Hours  ,,,608.0,22411.0,39
RC,762, Specialty Services Observation Hours  0-24 hours,,,2950.0,2950.0,1
RC,762, Specialty Services Observation Hours  0-49 Hours,,,4000.0,4000.0,1
RC,762, Specialty Services Observation Hours  25-48 hours,,,4000.0,4000.0,1
RC,762, Specialty Services Observation Hours  3+ Midnights,,,7450.0,7450.0,1
RC,762, Specialty Services Observation Hours  49+ hours,,,6000.0,6000.0,2
RC,762, Specialty Services Observation Hours  Observation,,,,,0
RC,762, Specialty Services Observation Hours  Up to 2 Midnights,,,5450.0,5450.0,1
RC,762,Comprehensive Observation ,,,5052.93,5326.06,2
RC,769, Specialty Services Other  ,,,3290.0,3290.0,1
RC,780, Telemedicine General Classification  ,,,,,0
RC,790, Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) General Classification  ,,,2481.0,13966.0,11
RC,790,Accessing and retorquing loose implant screw - per screw ,,,8577.0,8577.0,1
RC,790,Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in ad,,,1575.0,17341.0,6
RC,790,Adjunctive blue light cystoscopy with fluorescent imaging agent  (list separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,790,Anorectal manometry ,,,1423.0,3251.0,3
RC,790,"Anorectal manometry, with rectal sensation and rectal balloon expulsion test, when performed ",,,2143.0,2143.0,1
RC,790,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; ",,,8577.0,8577.0,2
RC,790,"Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal",,,8577.0,8577.0,2
RC,790,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 ",,,1423.0,3689.0,6
RC,790,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additio",,,1423.0,3251.0,3
RC,790,"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq ",,,1982.0,3689.0,3
RC,790,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each ",,,1423.0,3251.0,3
RC,790,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and c",,,2820.0,5414.0,3
RC,790,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition ",,,1423.0,3251.0,3
RC,790,"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area ",,,1982.0,3689.0,3
RC,790,"Arthrodesis, interphalangeal joints, with or without internal fixation ",,,8577.0,8577.0,1
RC,790,"Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts) ",,,8577.0,8577.0,1
RC,790,"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartme",,,1423.0,3251.0,4
RC,790,"Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenode",,,15007.0,15007.0,1
RC,790,"Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein",,,19295.0,19295.0,1
RC,790,"Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (pild) or placebo-control, performed in an approved coverage with evidence development (ced) clinical trial ",,,10737.0,15007.0,4
RC,790,"Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial",,,24657.0,24657.0,1
RC,790,"Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee",,,9333.0,24657.0,5
RC,790,"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus an",,,19295.0,19295.0,1
RC,790,Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ,,,1423.0,3251.0,3
RC,790,"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit) ",,,1423.0,3251.0,4
RC,790,"Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,790,"Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted im",,,8577.0,8577.0,1
RC,790,"Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed ",,,8577.0,8577.0,1
RC,790,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidan",,,8577.0,8577.0,1
RC,790,"Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic dia",,,8577.0,8577.0,1
RC,790,Buccal/ labial frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,790,Bundle of His recording ,,,6826.0,19105.0,4
RC,790,"COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,790,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES",,,7583.0,9539.0,3
RC,790,"COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH INTACT SEPTUM WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,790,"Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition t",,,2143.0,2143.0,1
RC,790,Cardioassist-method of circulatory assist; external ,,,8577.0,8577.0,1
RC,790,Cardioassist-method of circulatory assist; internal ,,,8577.0,8577.0,1
RC,790,"Cardiopulmonary resuscitation (eg, in cardiac arrest) ",,,1423.0,3251.0,4
RC,790,"Cardioversion, elective, electrical conversion of arrhythmia; external ",,,1982.0,4009.0,4
RC,790,"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure) ",,,1982.0,4009.0,4
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initia",,,8577.0,12038.0,5
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheteriz",,,8577.0,12038.0,5
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s)",,,8577.0,8577.0,3
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler",,,8577.0,8577.0,1
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheteriz",,,8577.0,12038.0,20
RC,790,"Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart ",,,8577.0,12038.0,15
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary",,,8577.0,8577.0,1
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterizati",,,8577.0,8577.0,1
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; ",,,13374.0,13374.0,1
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath",,,9333.0,12038.0,4
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; Cardiac Cath and Injections",,,,,0
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) i",,,8577.0,13374.0,15
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat",,,9333.0,13374.0,10
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart ca",,,8577.0,13374.0,16
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheteriza",,,9333.0,13374.0,5
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using i",,,8577.0,8577.0,1
RC,790,"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilater",,,8577.0,8577.0,1
RC,790,"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all a",,,8577.0,8577.0,1
RC,790,"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex) ",,,8577.0,8577.0,1
RC,790,"Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretatio",,,1423.0,3251.0,4
RC,790,Colorectal cancer screening; colonoscopy on individual at high risk ,,,1982.0,4009.0,4
RC,790,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ,,,1982.0,4009.0,4
RC,790,Colorectal cancer screening; flexible sigmoidoscopy ,,,1982.0,4009.0,4
RC,790,"Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) ",,,7493.0,7493.0,1
RC,790,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,790,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,790,"Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,790,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recor,,,6826.0,19105.0,4
RC,790,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and ,,,6826.0,19105.0,4
RC,790,Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and reco,,,6826.0,23692.0,8
RC,790,"Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording a",,,6826.0,23692.0,20
RC,790,"Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple elec",,,6826.0,23692.0,8
RC,790,"Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including ",,,6826.0,23692.0,10
RC,790,"Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition",,,1423.0,3251.0,4
RC,790,"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogra",,,8577.0,8577.0,1
RC,790,Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent ,,,8577.0,8577.0,1
RC,790,"Cystourethroscopy, with biopsy(ies) with adjunctive blue light cystoscopy with fluorescent imaging agent ",,,8577.0,8577.0,1
RC,790,"Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants ",,,5360.0,8727.0,4
RC,790,"Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants ",,,10737.0,15007.0,4
RC,790,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if",,,7493.0,7493.0,1
RC,790,"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed) ",,,7493.0,7493.0,1
RC,790,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, de",,,1423.0,3251.0,8
RC,790,"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin ",,,2143.0,2143.0,1
RC,790,"Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-deli",,,8577.0,8577.0,1
RC,790,Decoronation or submergence of an erupted tooth ,,,8577.0,8577.0,1
RC,790,"Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies ",,,2820.0,5414.0,3
RC,790,"Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) ",,,1982.0,4009.0,3
RC,790,"Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visuali",,,8577.0,8577.0,1
RC,790,"Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contras",,,8577.0,8577.0,4
RC,790,Duodenal motility (manometric) study ,,,1423.0,3251.0,4
RC,790,"Electrogastrography, diagnostic, transcutaneous; ",,,1423.0,3251.0,4
RC,790,"Electrogastrography, diagnostic, transcutaneous; with provocative testing ",,,1423.0,3251.0,4
RC,790,"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing",,,1423.0,23692.0,18
RC,790,"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and ",,,2820.0,17341.0,7
RC,790,"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and pr",,,1423.0,17341.0,7
RC,790,"Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia ",,,6826.0,23692.0,8
RC,790,Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imagi,,,1423.0,17341.0,14
RC,790,Endomyocardial biopsy ,,,5360.0,10719.0,4
RC,790,Endomyocardial biopsy Cardiac Cath,,,9333.0,12038.0,4
RC,790,Endomyocardial biopsy Cardiac Cath and Injections,,,,,0
RC,790,"Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system ",,,15007.0,15007.0,1
RC,790,"Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components ",,,15007.0,15007.0,1
RC,790,"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,790,"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/com",,,8577.0,8577.0,1
RC,790,Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pan,,,8577.0,8577.0,1
RC,790,"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) ",,,8577.0,8577.0,1
RC,790,"Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed ",,,7493.0,7493.0,1
RC,790,"Esophageal balloon distension study, diagnostic, with provocation when performed ",,,1423.0,3251.0,4
RC,790,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; ",,,1423.0,3251.0,4
RC,790,"Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to ",,,1423.0,3251.0,4
RC,790,Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; ,,,1423.0,3251.0,4
RC,790,"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (",,,1423.0,3251.0,4
RC,790,"Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy ",,,7493.0,7493.0,1
RC,790,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); ,,,6826.0,19105.0,4
RC,790,Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing ,,,6826.0,19105.0,4
RC,790,"Esophagus, acid perfusion (Bernstein) test for esophagitis ",,,1423.0,3251.0,4
RC,790,"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation ",,,1423.0,4009.0,4
RC,790,"Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation ",,,1423.0,3251.0,4
RC,790,"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention ",,,1423.0,17341.0,7
RC,790,Exc biopsy of saliv glands ,,,8577.0,8577.0,1
RC,790,Excavation of a tooth resulting in the determination of non-restorability ,,,8577.0,8577.0,1
RC,790,"Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or flu",,,8577.0,8577.0,1
RC,790,"Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle ",,,8577.0,8577.0,1
RC,790,"Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) ",,,13726.0,15409.0,4
RC,790,"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operati",,,8577.0,8577.0,1
RC,790,"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance ",,,5360.0,8727.0,3
RC,790,Gastric motility (manometric) studies ,,,1423.0,3251.0,4
RC,790,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report ",,,2820.0,5568.0,4
RC,790,"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report ",,,2820.0,5568.0,4
RC,790,"Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report ",,,2820.0,5568.0,4
RC,790,"Guided tissue regeneration - non-resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,790,"Guided tissue regeneration - resorbable barrier, per implant ",,,8577.0,8577.0,1
RC,790,"Guided tissue regeneration, edentulous area - non-resorbably barrier, per site ",,,8577.0,8577.0,1
RC,790,"Guided tissue regeneration, edentulous area - resorbably barrier, per site ",,,8577.0,8577.0,1
RC,790,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; SUBSEQUENT MEASUREMENT OF CARDIAC OUTPUT ",,,1423.0,3251.0,3
RC,790,"INDICATOR DILUTION STUDIES SUCH AS DYE OR THERMODILUTION, INCLUDING ARTERIAL AND/OR VENOUS CATHETERIZATION; WITH CARDIAC OUTPUT MEASUREMENT (SEPARATE PROCEDURE) ",,,1423.0,3251.0,3
RC,790,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment ",,,10737.0,13315.0,4
RC,790,"Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fif",,,7583.0,10719.0,4
RC,790,"Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imagin",,,19295.0,19295.0,1
RC,790,Indexing for osteotomy ,,,8577.0,8577.0,1
RC,790,Induction of arrhythmia by electrical pacing ,,,6826.0,19105.0,4
RC,790,"Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electroni",,,1423.0,3251.0,4
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for p",,,1423.0,12038.0,8
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separatel",,,1423.0,12038.0,8
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to ",,,1423.0,12038.0,8
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aorto",,,1423.0,12038.0,8
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) a",,,2143.0,2143.0,1
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to co",,,2143.0,2143.0,1
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to c",,,2143.0,2143.0,1
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac ",,,2143.0,2143.0,1
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition t",,,1423.0,12038.0,8
RC,790,"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure) ",,,1423.0,12038.0,8
RC,790,Injection procedure for sacroiliac joint; arthrography ,,,1423.0,3251.0,4
RC,790,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography ",,,1982.0,4009.0,4
RC,790,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes ",,,4009.0,8727.0,4
RC,790,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath",,,9333.0,12038.0,4
RC,790,"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes Cardiac Cath and Injections",,,,,0
RC,790,"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance ",,,19295.0,19295.0,1
RC,790,Insertion of implants into the soft palate; minimum of three implants ,,,1982.0,5568.0,4
RC,790,"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at ",,,8577.0,8577.0,1
RC,790,"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertio",,,8577.0,8577.0,1
RC,790,"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of ins",,,8577.0,8577.0,1
RC,790,"Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant) ",,,2143.0,2143.0,1
RC,790,"Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed ",,,10719.0,10719.0,1
RC,790,"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ve",,,8577.0,57784.0,11
RC,790,"Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed ",,,5568.0,5568.0,1
RC,790,"Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of ",,,1423.0,3251.0,4
RC,790,Intra-atrial pacing ,,,6826.0,19105.0,4
RC,790,Intra-atrial recording ,,,6826.0,19105.0,4
RC,790,Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction ,,,6826.0,19105.0,4
RC,790,"Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrh",,,1575.0,17341.0,6
RC,790,"Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement ",,,6826.0,23692.0,8
RC,790,"Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) ",,,1423.0,17341.0,7
RC,790,Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,790,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; each additional 30 minutes (List separately in addition to code ",,,2143.0,2143.0,1
RC,790,"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure, including separate incision(s) and closure, when performed; first 60 minutes (List separately in addition to code for primar",,,2143.0,2143.0,1
RC,790,Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primar,,,2143.0,2143.0,1
RC,790,Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service) ,,,2143.0,2143.0,1
RC,790,"Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, when perform",,,1423.0,3251.0,8
RC,790,Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for ,,,6826.0,19105.0,4
RC,790,Intraventricular pacing ,,,6826.0,19105.0,4
RC,790,"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implanta",,,15007.0,15007.0,1
RC,790,"Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed ",,,2820.0,5414.0,3
RC,790,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) ,,,13374.0,13374.0,1
RC,790,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,790,Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,790,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections ",,,12863.0,12863.0,1
RC,790,"Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections Cardiac Cath",,,9333.0,12038.0,4
RC,790,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed ",,,13374.0,13374.0,1
RC,790,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,790,"Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed Cardiac Cath and Injections",,,,,0
RC,790,Lingual frenectomy (frenulectomy) ,,,8577.0,8577.0,1
RC,790,Marsupialization of odontogenic cyst ,,,8577.0,8577.0,1
RC,790,Maxillary guidance prosthesis with guide flange ,,,8577.0,8577.0,1
RC,790,Maxillary guidance prosthesis without guide flange ,,,8577.0,8577.0,1
RC,790,Nerve dissection ,,,8577.0,8577.0,1
RC,790,"Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, tr",,,9333.0,83613.0,5
RC,790,"Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed ",,,8577.0,8577.0,1
RC,790,"Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array ",,,8577.0,8577.0,1
RC,790,"Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components ",,,8577.0,8577.0,1
RC,790,"Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pub",,,15007.0,15007.0,1
RC,790,"Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixat",,,15007.0,15007.0,1
RC,790,"Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ",,,15007.0,15007.0,1
RC,790,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; com",,,5360.0,8727.0,4
RC,790,"Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; lim",,,5360.0,8727.0,4
RC,790,Otolaryngologic examination under general anesthesia ,,,1423.0,3251.0,4
RC,790,Partial extraction for immediate implant replacement ,,,8577.0,8577.0,1
RC,790,Percutaneous balloon valvuloplasty; aortic valve ,,,6826.0,19105.0,4
RC,790,Percutaneous balloon valvuloplasty; mitral valve ,,,6826.0,19105.0,4
RC,790,Percutaneous balloon valvuloplasty; pulmonary valve ,,,6826.0,19105.0,4
RC,790,"Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when ",,,8577.0,8577.0,1
RC,790,"Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when perfor",,,8577.0,8577.0,1
RC,790,"Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or ga",,,8577.0,8577.0,1
RC,790,"Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral ",,,8577.0,8577.0,1
RC,790,"Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and",,,7583.0,10719.0,4
RC,790,Percutaneous transcatheter closure of a congenital ventricular septal defect with implant ,,,6826.0,31841.0,4
RC,790,"Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implant ",,,6826.0,31841.0,4
RC,790,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) ,,,2143.0,2143.0,1
RC,790,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath,,,9333.0,12038.0,4
RC,790,Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) Cardiac Cath and Injections,,,,,0
RC,790,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve ",,,15124.0,30016.0,6
RC,790,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath",,,9333.0,12038.0,4
RC,790,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve Cardiac Cath and Injections",,,,,0
RC,790,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve ",,,15124.0,30016.0,6
RC,790,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath",,,9333.0,12038.0,4
RC,790,"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve Cardiac Cath and Injections",,,,,0
RC,790,Percutaneous transcatheter closure of patent ductus arteriosus ,,,6826.0,24657.0,7
RC,790,"Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,790,"Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to",,,6826.0,31841.0,8
RC,790,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 1 lesion involving 1 or more coronary segm",,,6826.0,31841.0,8
RC,790,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); 2 or more distinct coronary lesions with 2",,,19295.0,23692.0,5
RC,790,"Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for pri",,,6826.0,17341.0,6
RC,790,"Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed ",,,6826.0,17341.0,4
RC,790,"Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,790,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coh",,,8577.0,8577.0,1
RC,790,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy ",,,8577.0,8577.0,1
RC,790,"Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy ",,,8577.0,23692.0,5
RC,790,Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ,,,6826.0,17341.0,6
RC,790,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,790,"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) ",,,6826.0,17341.0,6
RC,790,"Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch ",,,6826.0,31841.0,8
RC,790,"Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in a",,,6826.0,31841.0,8
RC,790,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed, single major coronary artery and/or its branch(es) ",,,6826.0,31841.0,8
RC,790,"Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to co",,,6826.0,17341.0,6
RC,790,Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ,,,17341.0,17341.0,2
RC,790,Percutaneous transluminal coronary mechanical aspiration thrombectomy (List separately in addition to code for primary procedure) ,,,2143.0,17341.0,4
RC,790,"Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance with intravascular ultrasound (noncoronary vesse",,,8577.0,8577.0,1
RC,790,Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) ,,,6826.0,23692.0,8
RC,790,Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel ,,,6826.0,23692.0,8
RC,790,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, any combination of intracoronary stent, atherectomy and angioplasty, including aspirat",,,6826.0,31841.0,8
RC,790,"Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intra",,,6826.0,31841.0,8
RC,790,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, a",,,6826.0,31841.0,16
RC,790,"Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy an",,,6826.0,17341.0,6
RC,790,"Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches",,,6826.0,31841.0,8
RC,790,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and a",,,6826.0,31841.0,16
RC,790,"Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, i",,,6826.0,31841.0,14
RC,790,"Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) us",,,8577.0,8577.0,1
RC,790,"Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) ",,,8577.0,8577.0,1
RC,790,"Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, incl",,,8577.0,8577.0,1
RC,790,"Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusiv",,,8577.0,8577.0,1
RC,790,Peridontal medicament carrier with peripheral seal - laboratory processed - mandibular ,,,8577.0,8577.0,1
RC,790,Peridontal medicament carrier with peripheral seal - laboratory processed - maxillary ,,,8577.0,8577.0,1
RC,790,"Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during,",,,1423.0,3251.0,4
RC,790,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscop,,,1423.0,3251.0,4
RC,790,Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronc,,,1423.0,3251.0,4
RC,790,"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day ",,,1423.0,3251.0,4
RC,790,Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided ,,,2143.0,2143.0,1
RC,790,"Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) ",,,1423.0,3251.0,4
RC,790,"Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure ",,,1423.0,3251.0,4
RC,790,Placement of endorectal intracavitary applicator for high intensity brachytherapy ,,,1982.0,4009.0,4
RC,790,"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) ",,,1423.0,3251.0,4
RC,790,Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) ,,,6826.0,19105.0,4
RC,790,"RIGHT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES ",,,7583.0,9539.0,3
RC,790,"Rectal sensation, tone, and compliance study (eg, barostat) ",,,2143.0,2143.0,1
RC,790,"Rectal sensation, tone, and compliance test (ie, response to graded balloon distention) ",,,1423.0,3251.0,3
RC,790,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; ",,,1423.0,3251.0,4
RC,790,"Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requirin",,,1423.0,3251.0,4
RC,790,"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guid",,,8577.0,8577.0,1
RC,790,Removal of an indirect restoration on a natural tooth ,,,8577.0,8577.0,1
RC,790,Removal of hypoglossal nerve neurostimulator array and pulse generator ,,,8577.0,8577.0,1
RC,790,Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,790,Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ,,,1423.0,3251.0,4
RC,790,Removal of implant body not requiring bone removal nor flap elevation ,,,8577.0,8577.0,1
RC,790,"Removal of non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,790,Removal of non-resorbable barrier ,,,8577.0,8577.0,1
RC,790,"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, ",,,8577.0,8577.0,1
RC,790,"Removal of temporary anchorage device (screw retained plate), requiring flap ",,,8577.0,8577.0,1
RC,790,Removal of temporary anchorage device without flap ,,,8577.0,8577.0,1
RC,790,"Removal of temporary anchorage device, requiring flap ",,,8577.0,8577.0,1
RC,790,"Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) ",,,2143.0,2143.0,1
RC,790,Remove interim implant component ,,,8577.0,8577.0,1
RC,790,"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other",,,8577.0,8577.0,1
RC,790,Repair of custom sleep apnea appliance ,,,8577.0,8577.0,1
RC,790,"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa ºsis») ",,,7493.0,7493.0,1
RC,790,Replacement of an implant screw ,,,8577.0,8577.0,1
RC,790,"Replacement of restorative material used to close an access opening of a screw-retained, implant supported prosthesis, per implant ",,,8577.0,8577.0,1
RC,790,Resection prosthesis - Mandibular complete removable ,,,8577.0,8577.0,1
RC,790,Resection prosthesis - Mandibular partial removable ,,,8577.0,8577.0,1
RC,790,Resection prosthesis - Maxillary complete removable ,,,8577.0,8577.0,1
RC,790,Resection prosthesis - Maxillary partial removable ,,,8577.0,8577.0,1
RC,790,"Resection prosthesis, mandibular implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,790,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,790,"Resection prosthesis, mandibular implant/abutment supported removable prosthesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,790,"Resection prosthesis, maxillary implant/abutment supported fixed prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,790,"Resection prosthesis, maxillary implant/abutment supported removable prosthesis for edentulous arch ",,,8577.0,8577.0,1
RC,790,"Resection prosthesis, maxillary implant/abutment supported removable prothesis for partial edentulous arch ",,,8577.0,8577.0,1
RC,790,"Revascularization, endovascular, open or percutaneous,  tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty  within the same vessel(s",,,19295.0,19295.0,1
RC,790,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultr",,,8577.0,8577.0,1
RC,790,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagn",,,8577.0,8577.0,1
RC,790,"Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, wi",,,8577.0,8577.0,1
RC,790,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(",,,19295.0,19295.0,1
RC,790,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, include",,,19295.0,19295.0,1
RC,790,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty wi",,,19295.0,19295.0,1
RC,790,"Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when perform",,,15007.0,15007.0,1
RC,790,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,790,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed ",,,19295.0,19295.0,1
RC,790,"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the",,,19295.0,19295.0,1
RC,790,Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator ,,,8577.0,8577.0,1
RC,790,Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver ,,,8577.0,8577.0,1
RC,790,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections ,,,13374.0,13374.0,1
RC,790,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections Cardiac C,,,9333.0,12038.0,4
RC,790,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections ,,,13374.0,13374.0,1
RC,790,Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections Cardiac Cat,,,9333.0,12038.0,4
RC,790,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections ,,,13374.0,13374.0,1
RC,790,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,790,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections Cardiac Cath and Inje,,,,,0
RC,790,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections ,,,13374.0,13374.0,1
RC,790,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath,,,9333.0,12038.0,4
RC,790,Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections Cardiac Cath and Inject,,,,,0
RC,790,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed ",,,13374.0,13374.0,1
RC,790,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath",,,9333.0,12038.0,4
RC,790,"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed Cardiac Cath and Injections",,,,,0
RC,790,"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report ",,,7583.0,9539.0,3
RC,790,Right ventricular recording ,,,6826.0,19105.0,4
RC,790,Semi-precision abutment - placement ,,,8577.0,8577.0,1
RC,790,Semi-precision attachment - placement ,,,8577.0,8577.0,1
RC,790,Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior ,,,8577.0,8577.0,1
RC,790,Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar ,,,8577.0,8577.0,1
RC,790,Surgical exposure of root surfave without apicoectomy or repair of root resorption - molar ,,,8577.0,8577.0,1
RC,790,Surgical placement of craniofacial implant - extra oral ,,,8577.0,8577.0,1
RC,790,Surgical placement zygomatic implant ,,,8577.0,8577.0,1
RC,790,Surgical repair of root resorption - molar ,,,8577.0,8577.0,1
RC,790,Surgical repair of root resorption- premolar ,,,8577.0,8577.0,1
RC,790,Surgical repair of root resorption-anterior ,,,8577.0,8577.0,1
RC,790,Temporary transcutaneous pacing ,,,1982.0,4009.0,4
RC,790,"Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography ",,,17341.0,17341.0,2
RC,790,"Thrombolysis, coronary; by intravenous infusion ",,,1423.0,17341.0,5
RC,790,"Thyroidectomy, total or complete with parathyroid autotransplantation ",,,8577.0,8577.0,1
RC,790,"Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when perf",,,2143.0,2143.0,1
RC,790,Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) ,,,1423.0,17341.0,7
RC,790,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all",,,8577.0,8577.0,1
RC,790,"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and rad",,,8577.0,8577.0,1
RC,790,"Trimming of dystrophic nails, any number ",,,1423.0,3251.0,4
RC,790,"Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use i",,,2143.0,2143.0,1
RC,790,Unlisted cardiovascular service or procedure ,,,1423.0,3251.0,4
RC,790,Unlisted diagnostic gastroenterology procedure ,,,1423.0,3251.0,4
RC,790,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation ",,,8577.0,8577.0,1
RC,790,"Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, i",,,19295.0,19295.0,1
RC,790,Wound closure utilizing tissue adhesive(s) only ,,,1423.0,3251.0,4
RC,800, Inpatient Renal Dialysis General Classification  ,,,450.0,450.0,1
RC,801, Inpatient Renal Dialysis Inpatient Hemodialysis  ,,,450.0,450.0,1
RC,802, Inpatient Renal Dialysis Inpatient Peritoneal (Non-CAPD)  ,,,450.0,450.0,1
RC,803, Inpatient Renal Dialysis Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)  ,,,450.0,450.0,1
RC,804, Inpatient Renal Dialysis Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)  ,,,450.0,450.0,1
RC,809, Inpatient Renal Dialysis Other  ,,,450.0,450.0,1
RC,810, Acquisition of Body Components General Classification  Brain Death Donation,,,20000.0,20000.0,1
RC,810, Acquisition of Body Components General Classification  Donation after Circulatory Determination of Death,,,10000.0,10000.0,1
RC,810, Acquisition of Body Components General Classification  Donation discontinued prior to recovering organs,,,4000.0,4000.0,1
RC,810, Acquisition of Body Components General Classification  Potential Organ Donor Transfer,,,2000.0,2000.0,1
RC,811, Acquisition of Body Components Living Donor  ,,,,,0
RC,811, Acquisition of Body Components Living Donor  Brain Death Donation,,,20000.0,20000.0,1
RC,811, Acquisition of Body Components Living Donor  Donation after Circulatory Determination of Death,,,10000.0,10000.0,1
RC,811, Acquisition of Body Components Living Donor  Donation discontinued prior to recovering organs,,,4000.0,4000.0,1
RC,811, Acquisition of Body Components Living Donor  Potential Organ Donor Transfer,,,2000.0,2000.0,1
RC,812, Acquisition of Body Components Cadaver Donor  ,,,,,0
RC,812, Acquisition of Body Components Cadaver Donor  Brain Death Donation,,,20000.0,20000.0,1
RC,812, Acquisition of Body Components Cadaver Donor  Donation after Circulatory Determination of Death,,,10000.0,10000.0,1
RC,812, Acquisition of Body Components Cadaver Donor  Donation discontinued prior to recovering organs,,,4000.0,4000.0,1
RC,812, Acquisition of Body Components Cadaver Donor  Potential Organ Donor Transfer,,,2000.0,2000.0,1
RC,813, Acquisition of Body Components Unknown Donor  ,,,,,0
RC,813, Acquisition of Body Components Unknown Donor  Brain Death Donation,,,20000.0,20000.0,1
RC,813, Acquisition of Body Components Unknown Donor  Donation after Circulatory Determination of Death,,,10000.0,10000.0,1
RC,813, Acquisition of Body Components Unknown Donor  Donation discontinued prior to recovering organs,,,4000.0,4000.0,1
RC,813, Acquisition of Body Components Unknown Donor  Potential Organ Donor Transfer,,,2000.0,2000.0,1
RC,814, Acquisition of Body Components Unsuccessful Organ Search - Donor Bank Charges  Brain Death Donation,,,20000.0,20000.0,1
RC,814, Acquisition of Body Components Unsuccessful Organ Search - Donor Bank Charges  Donation after Circulatory Determination of Death,,,10000.0,10000.0,1
RC,814, Acquisition of Body Components Unsuccessful Organ Search - Donor Bank Charges  Donation discontinued prior to recovering organs,,,4000.0,4000.0,1
RC,814, Acquisition of Body Components Unsuccessful Organ Search - Donor Bank Charges  Potential Organ Donor Transfer,,,2000.0,2000.0,1
RC,815, Acquisition of Body Components Stem Cells - Allogeneic  Brain Death Donation,,,20000.0,20000.0,1
RC,815, Acquisition of Body Components Stem Cells - Allogeneic  Donation after Circulatory Determination of Death,,,10000.0,10000.0,1
RC,815, Acquisition of Body Components Stem Cells - Allogeneic  Donation discontinued prior to recovering organs,,,4000.0,4000.0,1
RC,815, Acquisition of Body Components Stem Cells - Allogeneic  Potential Organ Donor Transfer,,,2000.0,2000.0,1
RC,819, Acquisition of Body Components Other Donor  ,,,,,0
RC,819, Acquisition of Body Components Other Donor  Brain Death Donation,,,20000.0,20000.0,1
RC,819, Acquisition of Body Components Other Donor  Donation after Circulatory Determination of Death,,,10000.0,10000.0,1
RC,819, Acquisition of Body Components Other Donor  Donation discontinued prior to recovering organs,,,4000.0,4000.0,1
RC,819, Acquisition of Body Components Other Donor  Potential Organ Donor Transfer,,,2000.0,2000.0,1
RC,820, Hemodialysis - Outpatient or Home General Classification  ,,,849.0,849.0,1
RC,820,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,,,0
RC,820,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,,,0
RC,820,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
RC,820,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,,,0
RC,820,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
RC,821, Hemodialysis - Outpatient or Home Composite or Other Rate  ,,,849.0,849.0,1
RC,821,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,,,0
RC,821,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,,,0
RC,821,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
RC,821,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,,,0
RC,821,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,,,0
RC,821,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
RC,822, Hemodialysis - Outpatient or Home - Home Supplies  ,,,849.0,849.0,1
RC,823, Hemodialysis - Outpatient or Home - Home Equipment  ,,,849.0,849.0,1
RC,824, Hemodialysis - Outpatient or Home - Maintenance 100%  ,,,849.0,849.0,1
RC,825, Hemodialysis - Outpatient or Home - Support Services  ,,,849.0,849.0,1
RC,829, Hemodialysis - Outpatient or Home - Other OP Hemodialysis  ,,,849.0,849.0,1
RC,829,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,,,0
RC,829,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,,,0
RC,829,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
RC,829,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,,,0
RC,829,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,,,0
RC,829,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
RC,830, Peritoneal Dialysis - Outpatient or Home General Classification  ,,,849.0,849.0,1
RC,831, Peritoneal Dialysis - Outpatient or Home  Composite or Other Rate  ,,,849.0,849.0,1
RC,831,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,,,0
RC,831,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,,,0
RC,831,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
RC,831,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,,,0
RC,831,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,,,0
RC,831,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
RC,832, Peritoneal Dialysis - Outpatient or Home - Home Supplies  ,,,849.0,849.0,1
RC,833, Peritoneal Dialysis - Outpatient or Home - Home Equipment  ,,,849.0,849.0,1
RC,834, Peritoneal Dialysis - Outpatient or Home - Maintenance - 100%  ,,,849.0,849.0,1
RC,835, Peritoneal Dialysis - Outpatient or Home - Support Services  ,,,849.0,849.0,1
RC,839, Peritoneal Dialysis - Outpatient or Home - Other Outpatient Peritoneal Dialysis  ,,,849.0,849.0,1
RC,840, Continuous Ambulatory Peritoneal Dialysis - Outpatient or Home General Classification  ,,,849.0,849.0,1
RC,841, Continuous Ambulatory Peritoneal Dialysis - Outpatient or Home - Composite or Other Rate  ,,,849.0,849.0,1
RC,841,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,,,0
RC,841,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,,,0
RC,841,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
RC,841,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,,,0
RC,841,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,,,0
RC,841,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
RC,842, Continuous Ambulatory Peritoneal Dialysis - Home Supplies  ,,,849.0,849.0,1
RC,843, Continuous Ambulatory Peritoneal Dialysis - Home Equipment  ,,,849.0,849.0,1
RC,844, Continuous Ambulatory Peritoneal Dialysis - Maintenance - 100%  ,,,849.0,849.0,1
RC,845, Continuous Ambulatory Peritoneal Dialysis - Support Services  ,,,849.0,849.0,1
RC,849, Continuous Ambulatory Peritoneal Dialysis - Other Outpatient CAPD  ,,,849.0,849.0,1
RC,850, Continuous Cycling Peritoneal Dialysis - Outpatient or Home General Classification  ,,,849.0,849.0,1
RC,851, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Composite or Other Rate  ,,,849.0,849.0,1
RC,851,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified h",,,,,0
RC,851,"Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health c",,,,,0
RC,851,"Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session ",,,,,0
RC,851,Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription ,,,,,0
RC,851,Hemodialysis procedure with single evaluation by a physician or other qualified health care professional ,,,,,0
RC,851,"Unlisted dialysis procedure, inpatient or outpatient ",,,,,0
RC,852, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Home Supplies  ,,,849.0,849.0,1
RC,853, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Home Equipment  ,,,849.0,849.0,1
RC,854, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Maintenance - 100%  ,,,849.0,849.0,1
RC,855, Continuous Cycling Peritoneal Dialysis - Outpatient or Home - Support Services  ,,,849.0,849.0,1
RC,859, Continuous Cycling Peritonial Dialysis - Outpatient or Home - Other Outpatient CCPD  ,,,849.0,849.0,1
RC,860, Magnetoencephalography General Classification  ,,,1507.0,1507.0,1
RC,861, Magnetoencephalography MEG  ,,,1507.0,1507.0,1
RC,880, Miscellaneous Dialysis General Classification  ,,,,,0
RC,881, Miscellaneous Dialysis Ultrafiltration  ,,,,,0
RC,889, Miscellaneous Dialysis Other Miscellaneous Dialysis  ,,,,,0
RC,891, Pharmacy - Extension of 025x and 063x - Special Processed Drugs - FDA Approved Cell Therapy  ,,,,,0
RC,891,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,9.98,9.98,1
RC,891,5% dextrose/normal saline (500 ml = 1 unit) ,,,2.13,2.13,1
RC,891,5% dextrose/water (500 ml = 1 unit) ,,,3.09,3.09,1
RC,891,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,Ac5 advanced wound system (ac5) ,,,9900.0,9900.0,1
RC,891,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,14.09,14.09,1
RC,891,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Afamelanotide implant, 1 mg ",,,4856.64,4856.64,1
RC,891,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1271523.0,1271523.0,1
RC,891,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.4,0.4,1
RC,891,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.13,0.13,1
RC,891,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.35,0.35,1
RC,891,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.92,2.92,1
RC,891,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,643.53,643.53,1
RC,891,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,113.4,113.4,1
RC,891,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,191.5,191.5,1
RC,891,"Anti-inhibitor, per i.u. ",,,3.99,3.99,1
RC,891,"Antithrombin iii (human), per i.u. ",,,6.77,6.77,1
RC,891,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Aprepitant, oral, 5 mg ",,,3.94,3.94,1
RC,891,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.2,1.2,1
RC,891,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Ascent, 0.5 mg ",,,113.75,113.75,1
RC,891,"Autologous cultured chondrocytes, implant ",,,138148.31,138148.31,1
RC,891,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,877551.05,877551.05,1
RC,891,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Azathioprine, oral, 50 mg ",,,0.3,0.3,1
RC,891,"Azathioprine, parenteral, 100 mg ",,,420.35,420.35,1
RC,891,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,21.5,21.5,1
RC,891,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,374.72,374.72,1
RC,891,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,374.72,374.72,1
RC,891,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Bcg live intravesical instillation, 1 mg ",,,5.59,5.59,1
RC,891,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1657.56,1657.56,1
RC,891,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Biobrane, per square centimeter ",,,209.78,209.78,1
RC,891,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,807329.49,807329.49,1
RC,891,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,7.72,7.72,1
RC,891,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,1.82,1.82,1
RC,891,"Buprenorphine, oral, 1 mg ",,,2.06,2.06,1
RC,891,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,31.19,31.19,1
RC,891,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,15.66,15.66,1
RC,891,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,16.47,16.47,1
RC,891,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,9.62,9.62,1
RC,891,"Busulfan; oral, 2 mg ",,,16.7,16.7,1
RC,891,"Cabergoline, oral, 0.25 mg ",,,0.25,0.25,1
RC,891,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.05,0.05,1
RC,891,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,1100.67,1100.67,1
RC,891,"Capecitabine, oral, 50 mg ",,,0.05,0.05,1
RC,891,"Capsaicin 8% patch, per square centimeter ",,,5.64,5.64,1
RC,891,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,402.67,402.67,1
RC,891,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,680.63,680.63,1
RC,891,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.97,0.97,1
RC,891,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,4152.11,4152.11,1
RC,891,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,257.93,257.93,1
RC,891,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,3164.63,3164.63,1
RC,891,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,971016.44,971016.44,1
RC,891,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,1.63,1.63,1
RC,891,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,337.84,337.84,1
RC,891,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,2.21,2.21,1
RC,891,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,980.56,980.56,1
RC,891,"Coretext or protext, per cc ",,,5313.0,5313.0,1
RC,891,"Corplex p or theracor p or allacor p, per milligram ",,,188.91,188.91,1
RC,891,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,81.26,81.26,1
RC,891,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.54,0.54,1
RC,891,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,1.34,1.34,1
RC,891,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Cyclophosphamide; oral, 25 mg ",,,2.72,2.72,1
RC,891,"Cyclosporine, oral, 100 mg ",,,2.36,2.36,1
RC,891,"Cyclosporine, oral, 25 mg ",,,1.04,1.04,1
RC,891,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,3582.93,3582.93,1
RC,891,"Dacarbazine, 100 mg ",,,6.35,6.35,1
RC,891,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,130.68,130.68,1
RC,891,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dexamethasone (hemady), oral, 0.25 mg ",,,0.71,0.71,1
RC,891,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,152.71,152.71,1
RC,891,"Dexamethasone, oral, 0.25 mg ",,,0.05,0.05,1
RC,891,"Dexmedetomidine, oral, 1 mcg ",,,1.45,1.45,1
RC,891,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,2.28,2.28,1
RC,891,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,30.31,30.31,1
RC,891,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,129.84,129.84,1
RC,891,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,233.1,233.1,1
RC,891,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,218.96,218.96,1
RC,891,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,329.88,329.88,1
RC,891,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,61.12,61.12,1
RC,891,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,94.25,94.25,1
RC,891,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,91.03,91.03,1
RC,891,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,6.42,6.42,1
RC,891,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,2.72,2.72,1
RC,891,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Edetate disodium, per 150 mg ",,,0.54,0.54,1
RC,891,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,117.88,117.88,1
RC,891,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,0.81,0.81,1
RC,891,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,86.0,86.0,1
RC,891,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Epifix, injectable, 1 mg ",,,31.96,31.96,1
RC,891,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Esketamine, nasal spray, 1 mg ",,,31.65,31.65,1
RC,891,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,309.03,309.03,1
RC,891,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,2525.21,2525.21,1
RC,891,"Etoposide; oral, 50 mg ",,,143.29,143.29,1
RC,891,"Everolimus, oral, 0.25 mg ",,,2.05,2.05,1
RC,891,"Excellagen, 0.1 cc ",,,287.1,287.1,1
RC,891,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,2.26,2.26,1
RC,891,"Factor ix, complex, per i.u. ",,,2.81,2.81,1
RC,891,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,4.36,4.36,1
RC,891,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,3.63,3.63,1
RC,891,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,9.01,9.01,1
RC,891,"Factor viii (antihemophilic factor, human) per i.u. ",,,2.29,2.29,1
RC,891,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,2.59,2.59,1
RC,891,"Fecal microbiota, live - jslm, 1 ml ",,,106.13,106.13,1
RC,891,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.05,0.05,1
RC,891,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,2614.71,2614.71,1
RC,891,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3012.31,3012.31,1
RC,891,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,612.15,612.15,1
RC,891,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1107.51,1107.51,1
RC,891,"Floweramnioflo, 0.1 cc ",,,297.0,297.0,1
RC,891,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,531.75,531.75,1
RC,891,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,17.08,17.08,1
RC,891,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,711.5,711.5,1
RC,891,"Fluorodopa f-18, diagnostic, per millicurie ",,,1411.66,1411.66,1
RC,891,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,759.69,759.69,1
RC,891,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,874.5,874.5,1
RC,891,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3207.62,3207.62,1
RC,891,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,2.94,2.94,1
RC,891,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,2538.39,2538.39,1
RC,891,"Foundation drs+ duo, per square centimeter ",,,209.78,209.78,1
RC,891,"Foundation drs+ solo, per square centimeter ",,,209.78,209.78,1
RC,891,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,37.47,37.47,1
RC,891,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,1932.65,1932.65,1
RC,891,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,789.56,789.56,1
RC,891,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,598.13,598.13,1
RC,891,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,599.78,599.78,1
RC,891,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,907.71,907.71,1
RC,891,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,81.89,81.89,1
RC,891,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,5.96,5.96,1
RC,891,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Gefitinib, oral, 250 mg ",,,480.15,480.15,1
RC,891,"Gemcitabine intravesical system, 225 mg ",,,120595.63,120595.63,1
RC,891,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Goserelin acetate implant, per 3.6 mg ",,,2227.38,2227.38,1
RC,891,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Graftjacket xpress, injectable, 1 cc ",,,3295.88,3295.88,1
RC,891,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,97.43,97.43,1
RC,891,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,542.19,542.19,1
RC,891,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,62.07,62.07,1
RC,891,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,26.93,26.93,1
RC,891,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,279.87,279.87,1
RC,891,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,121.65,121.65,1
RC,891,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,70.97,70.97,1
RC,891,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,51.81,51.81,1
RC,891,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,82.12,82.12,1
RC,891,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,231.35,231.35,1
RC,891,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,121.8,121.8,1
RC,891,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,292.97,292.97,1
RC,891,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,124.0,124.0,1
RC,891,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,124.0,124.0,1
RC,891,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,271.29,271.29,1
RC,891,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,271.29,271.29,1
RC,891,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,54.78,54.78,1
RC,891,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.43,0.43,1
RC,891,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.36,0.36,1
RC,891,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.13,0.13,1
RC,891,"Histrelin implant (supprelin la), 50 mg ",,,67936.16,67936.16,1
RC,891,"Histrelin implant (vantas), 50 mg ",,,7770.72,7770.72,1
RC,891,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,651.35,651.35,1
RC,891,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,186.83,186.83,1
RC,891,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.98,209.98,1
RC,891,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,237.11,237.11,1
RC,891,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,11.1,11.1,1
RC,891,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,174.21,174.21,1
RC,891,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,869.2,869.2,1
RC,891,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.12,1.12,1
RC,891,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,122.81,122.81,1
RC,891,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,29.91,29.91,1
RC,891,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,1081.31,1081.31,1
RC,891,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,180.0,180.0,1
RC,891,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,5.15,5.15,1
RC,891,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.48,11.48,1
RC,891,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,17.41,17.41,1
RC,891,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,5.4,5.4,1
RC,891,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,6.07,6.07,1
RC,891,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,3.3,3.3,1
RC,891,"Hypertonic saline solution, 1 ml ",,,0.17,0.17,1
RC,891,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,923638.78,923638.78,1
RC,891,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,262.33,262.33,1
RC,891,"Immune globulin (Ig), human, for intramuscular use ",,,197.13,197.13,1
RC,891,"Immune globulin (IgIV), human, for intravenous use ",,,157.92,157.92,1
RC,891,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,39.9,39.9,1
RC,891,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,2854.98,2854.98,1
RC,891,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,6782.57,6782.57,1
RC,891,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,7915.66,7915.66,1
RC,891,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,1820.26,1820.26,1
RC,891,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,1371.91,1371.91,1
RC,891,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1230.27,1230.27,1
RC,891,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,3301.55,3301.55,1
RC,891,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,2766.04,2766.04,1
RC,891,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,161.96,161.96,1
RC,891,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,161.96,161.96,1
RC,891,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,42.47,42.47,1
RC,891,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,20.39,20.39,1
RC,891,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,92.3,92.3,1
RC,891,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,18.2,18.2,1
RC,891,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,36.42,36.42,1
RC,891,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,22.08,22.08,1
RC,891,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,38.31,38.31,1
RC,891,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,161.96,161.96,1
RC,891,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,81.68,81.68,1
RC,891,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,49.02,49.02,1
RC,891,"Infusion, albumin (human), 25%, 20 ml ",,,35.03,35.03,1
RC,891,"Infusion, albumin (human), 25%, 50 ml ",,,87.58,87.58,1
RC,891,"Infusion, albumin (human), 5%, 250 ml ",,,87.58,87.58,1
RC,891,"Infusion, albumin (human), 5%, 50 ml ",,,17.52,17.52,1
RC,891,"Infusion, d5w, 1000 cc ",,,5.07,5.07,1
RC,891,"Infusion, dextran 40, 500 ml ",,,642.05,642.05,1
RC,891,"Infusion, normal saline solution , 1000 cc ",,,3.61,3.61,1
RC,891,"Infusion, normal saline solution, 250 cc ",,,1.16,1.16,1
RC,891,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,2.24,2.24,1
RC,891,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,103.82,103.82,1
RC,891,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,1733.72,1733.72,1
RC,891,"Injection abciximab, 10 mg ",,,951.77,951.77,1
RC,891,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,7.43,7.43,1
RC,891,"Injection fluconazole, 200 mg ",,,6.39,6.39,1
RC,891,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,73.79,73.79,1
RC,891,"Injection, abobotulinumtoxina, 5 units ",,,14.69,14.69,1
RC,891,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,1
RC,891,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,1
RC,891,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.1,0.1,1
RC,891,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.15,0.15,1
RC,891,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.08,0.08,1
RC,891,"Injection, acetazolamide sodium, up to 500 mg ",,,40.19,40.19,1
RC,891,"Injection, acetylcysteine, 100 mg ",,,0.84,0.84,1
RC,891,"Injection, acyclovir, 5 mg ",,,0.03,0.03,1
RC,891,"Injection, adalimumab, 1 mg ",,,269.25,269.25,1
RC,891,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,36.3,36.3,1
RC,891,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,133.62,133.62,1
RC,891,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,32.11,32.11,1
RC,891,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,94.23,94.23,1
RC,891,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,43.46,43.46,1
RC,891,"Injection, adamts13, recombinant-krhn, 10 iu ",,,58.71,58.71,1
RC,891,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,0.79,0.79,1
RC,891,"Injection, ado-trastuzumab emtansine, 1 mg ",,,69.63,69.63,1
RC,891,"Injection, aflibercept hd, 1 mg ",,,496.95,496.95,1
RC,891,"Injection, aflibercept, 1 mg ",,,1207.62,1207.62,1
RC,891,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,1355.31,1355.31,1
RC,891,"Injection, agalsidase beta, 1 mg ",,,375.51,375.51,1
RC,891,"Injection, aldesleukin, per single use vial ",,,5509.14,5509.14,1
RC,891,"Injection, alemtuzumab, 1 mg ",,,4026.69,4026.69,1
RC,891,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,342.39,342.39,1
RC,891,"Injection, allopurinol sodium, 1 mg ",,,6.29,6.29,1
RC,891,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,9.34,9.34,1
RC,891,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,8.48,8.48,1
RC,891,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,0.79,0.79,1
RC,891,"Injection, alteplase recombinant, 1 mg ",,,156.9,156.9,1
RC,891,"Injection, amifostine, 500 mg ",,,722.52,722.52,1
RC,891,"Injection, amikacin sulfate, 100 mg ",,,1.01,1.01,1
RC,891,"Injection, aminocaproic acid, 1 gram ",,,2.59,2.59,1
RC,891,"Injection, aminophyllin, up to 250 mg ",,,18.69,18.69,1
RC,891,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,4.11,4.11,1
RC,891,"Injection, amiodarone hydrochloride, 30 mg ",,,0.64,0.64,1
RC,891,"Injection, amisulpride, 1 mg ",,,15.77,15.77,1
RC,891,"Injection, amivantamab-vmjw, 2 mg ",,,37.34,37.34,1
RC,891,"Injection, amobarbital, up to 125 mg ",,,19.29,19.29,1
RC,891,"Injection, amphotericin b lipid complex, 10 mg ",,,30.86,30.86,1
RC,891,"Injection, amphotericin b liposome, 10 mg ",,,37.64,37.64,1
RC,891,"Injection, amphotericin b, 50 mg ",,,73.14,73.14,1
RC,891,"Injection, ampicillin sodium, 500 mg ",,,1.06,1.06,1
RC,891,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,2.23,2.23,1
RC,891,"Injection, anidulafungin, 1 mg ",,,0.81,0.81,1
RC,891,"Injection, anifrolumab-fnia, 1 mg ",,,30.21,30.21,1
RC,891,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,2.06,2.06,1
RC,891,"Injection, apomorphine hydrochloride, 1 mg ",,,71.15,71.15,1
RC,891,"Injection, aprepitant (aponvie), 1 mg ",,,3.22,3.22,1
RC,891,"Injection, aprepitant, 1 mg ",,,2.79,2.79,1
RC,891,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.0,3.0,1
RC,891,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,7.84,7.84,1
RC,891,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,2.28,2.28,1
RC,891,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,2.28,2.28,1
RC,891,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,1.67,1.67,1
RC,891,"Injection, argatroban, 1 mg (for non-esrd use) ",,,1.67,1.67,1
RC,891,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,9.93,9.93,1
RC,891,"Injection, aripiprazole (abilify maintena), 1 mg ",,,12.0,12.0,1
RC,891,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,5.36,5.36,1
RC,891,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,5.48,5.48,1
RC,891,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.54,0.54,1
RC,891,"Injection, arsenic trioxide, 1 mg ",,,10.64,10.64,1
RC,891,"Injection, artesunate, 1 mg ",,,85.52,85.52,1
RC,891,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,92.88,92.88,1
RC,891,"Injection, atezolizumab, 10 mg ",,,155.1,155.1,1
RC,891,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,52.72,52.72,1
RC,891,"Injection, atidarsagene autotemcel, per treatment ",,,7433250.0,7433250.0,1
RC,891,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.02,0.02,1
RC,891,"Injection, atropine sulfate, 0.01 mg ",,,0.17,0.17,1
RC,891,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.17,0.17,1
RC,891,"Injection, avacincaptad pegol, 0.1 mg ",,,170.61,170.61,1
RC,891,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,133.98,133.98,1
RC,891,"Injection, avelumab, 10 mg ",,,174.16,174.16,1
RC,891,"Injection, axatilimab-csfr, 0.1 mg ",,,91.82,91.82,1
RC,891,"Injection, azacitidine, 1 mg ",,,0.68,0.68,1
RC,891,"Injection, azithromycin, 500 mg ",,,3.2,3.2,1
RC,891,"Injection, aztreonam, 100 mg ",,,3.78,3.78,1
RC,891,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,2.77,2.77,1
RC,891,"Injection, baclofen, 10 mg ",,,293.78,293.78,1
RC,891,"Injection, baclofen, 50 mcg for intrathecal trial ",,,89.66,89.66,1
RC,891,"Injection, basiliximab, 20 mg ",,,7940.31,7940.31,1
RC,891,"Injection, belatacept, 1 mg ",,,6.42,6.42,1
RC,891,"Injection, belimumab, 10 mg ",,,94.36,94.36,1
RC,891,"Injection, belinostat, 10 mg ",,,87.63,87.63,1
RC,891,"Injection, bendamustine hcl (bendeka), 1 mg ",,,21.29,21.29,1
RC,891,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,52.37,52.37,1
RC,891,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,23.0,23.0,1
RC,891,"Injection, bendamustine hydrochloride, 1 mg ",,,3.56,3.56,1
RC,891,"Injection, benralizumab, 1 mg ",,,269.54,269.54,1
RC,891,"Injection, benztropine mesylate, per 1 mg ",,,22.31,22.31,1
RC,891,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,11.5,11.5,1
RC,891,"Injection, betibeglogene autotemcel, per treatment ",,,4848228.0,4848228.0,1
RC,891,"Injection, bevacizumab, 0.25 mg ",,,3.07,3.07,1
RC,891,"Injection, bevacizumab, 10 mg ",,,122.69,122.69,1
RC,891,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,57.17,57.17,1
RC,891,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,39.17,39.17,1
RC,891,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,42.65,42.65,1
RC,891,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,85.12,85.12,1
RC,891,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,139.23,139.23,1
RC,891,"Injection, bezlotoxumab, 10 mg ",,,65.72,65.72,1
RC,891,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,353.13,353.13,1
RC,891,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.21,0.21,1
RC,891,"Injection, bivalirudin, 1 mg ",,,0.2,0.2,1
RC,891,"Injection, bleomycin sulfate, 15 units ",,,27.39,27.39,1
RC,891,"Injection, blinatumomab, 1 microgram ",,,270.53,270.53,1
RC,891,"Injection, bortezomib (boruzu), 0.1 mg ",,,41.93,41.93,1
RC,891,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,5.71,5.71,1
RC,891,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,11.5,11.5,1
RC,891,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,2.08,2.08,1
RC,891,"Injection, bortezomib, 0.1 mg ",,,3.71,3.71,1
RC,891,"Injection, brentuximab vedotin, 1 mg ",,,443.4,443.4,1
RC,891,"Injection, brolucizumab-dbll, 1 mg ",,,582.57,582.57,1
RC,891,"Injection, brompheniramine maleate, per 10 mg ",,,0.54,0.54,1
RC,891,"Injection, bumetanide, 0.5 mg ",,,0.78,0.78,1
RC,891,"Injection, bupivacaine liposome, 1 mg ",,,2.33,2.33,1
RC,891,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,891,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2753.59,2753.59,1
RC,891,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,688.4,688.4,1
RC,891,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,3294.32,3294.32,1
RC,891,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,3294.32,3294.32,1
RC,891,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,6.88,6.88,1
RC,891,"Injection, burosumab-twza 1 mg ",,,822.89,822.89,1
RC,891,"Injection, butorphanol tartrate, 1 mg ",,,10.15,10.15,1
RC,891,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,24.92,24.92,1
RC,891,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,125.48,125.48,1
RC,891,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,108.08,108.08,1
RC,891,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,60.52,60.52,1
RC,891,"Injection, cabazitaxel, 1 mg ",,,381.23,381.23,1
RC,891,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,39.9,39.9,1
RC,891,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,11.8,11.8,1
RC,891,"Injection, caffeine citrate, 5 mg ",,,3.0,3.0,1
RC,891,"Injection, calaspargase pegol-mknl, 10 units ",,,135.43,135.43,1
RC,891,"Injection, calcitonin salmon, up to 400 units ",,,2364.78,2364.78,1
RC,891,"Injection, calcitriol, 0.1 mcg ",,,1.96,1.96,1
RC,891,"Injection, calcium chloride, 2 mg ",,,0.05,0.05,1
RC,891,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.12,0.12,1
RC,891,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.05,0.05,1
RC,891,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,18.74,18.74,1
RC,891,"Injection, canakinumab, 1 mg ",,,246.79,246.79,1
RC,891,"Injection, cangrelor, 1 mg ",,,33.03,33.03,1
RC,891,"Injection, caplacizumab-yhdp, 1 mg ",,,1322.08,1322.08,1
RC,891,"Injection, carboplatin (avyxa), 1 mg ",,,8.65,8.65,1
RC,891,"Injection, carboplatin, 50 mg ",,,4.85,4.85,1
RC,891,"Injection, carboprost tromethamine, 0.1 mg ",,,25.67,25.67,1
RC,891,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,2069.1,2069.1,1
RC,891,"Injection, carfilzomib, 1 mg ",,,92.8,92.8,1
RC,891,"Injection, carmustine, 100 mg ",,,398.97,398.97,1
RC,891,"Injection, casimersen, 10 mg ",,,274.23,274.23,1
RC,891,"Injection, caspofungin acetate, 5 mg ",,,5.91,5.91,1
RC,891,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,2.05,2.05,1
RC,891,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.4,1.4,1
RC,891,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.22,1.22,1
RC,891,"Injection, cefazolin sodium, 500 mg ",,,1.4,1.4,1
RC,891,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,8.07,8.07,1
RC,891,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,9.75,9.75,1
RC,891,"Injection, cefepime hydrochloride, 500 mg ",,,2.1,2.1,1
RC,891,"Injection, cefiderocol, 10 mg ",,,3.99,3.99,1
RC,891,"Injection, cefotaxime sodium, per gm ",,,12.13,12.13,1
RC,891,"Injection, cefotetan disodium, 10 mg ",,,0.48,0.48,1
RC,891,"Injection, cefoxitin sodium, 1 gm ",,,5.87,5.87,1
RC,891,"Injection, ceftaroline fosamil, 10 mg ",,,7.01,7.01,1
RC,891,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,172.84,172.84,1
RC,891,"Injection, ceftazidime, per 500 mg ",,,2.33,2.33,1
RC,891,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,1.82,1.82,1
RC,891,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,14.59,14.59,1
RC,891,"Injection, ceftriaxone sodium, per 250 mg ",,,0.71,0.71,1
RC,891,"Injection, cemiplimab-rwlc, 1 mg ",,,49.1,49.1,1
RC,891,"Injection, cerliponase alfa, 1 mg ",,,199.93,199.93,1
RC,891,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,6.25,6.25,1
RC,891,"Injection, cetirizine hydrochloride, 0.5 mg ",,,27.92,27.92,1
RC,891,"Injection, cetuximab, 10 mg ",,,132.76,132.76,1
RC,891,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,96.33,96.33,1
RC,891,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,34.17,34.17,1
RC,891,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.07,0.07,1
RC,891,"Injection, chlorothiazide sodium, per 500 mg ",,,77.42,77.42,1
RC,891,"Injection, chlorpromazine hcl, up to 50 mg ",,,34.58,34.58,1
RC,891,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,25.03,25.03,1
RC,891,"Injection, cidofovir, 375 mg ",,,925.3,925.3,1
RC,891,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,10.43,10.43,1
RC,891,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,152.46,152.46,1
RC,891,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,1.25,1.25,1
RC,891,"Injection, cisplatin, powder or solution, 10 mg ",,,3.58,3.58,1
RC,891,"Injection, cladribine, per 1 mg ",,,14.4,14.4,1
RC,891,"Injection, clevidipine butyrate, 1 mg ",,,4.69,4.69,1
RC,891,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,3.83,3.83,1
RC,891,"Injection, clindamycin phosphate, 300 mg ",,,3.07,3.07,1
RC,891,"Injection, clofarabine, 1 mg ",,,18.05,18.05,1
RC,891,"Injection, clonidine hydrochloride, 1 mg ",,,29.57,29.57,1
RC,891,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,3.25,3.25,1
RC,891,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,216.41,216.41,1
RC,891,"Injection, codeine phosphate, per 30 mg ",,,1.65,1.65,1
RC,891,"Injection, colistimethate sodium, up to 150 mg ",,,23.55,23.55,1
RC,891,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,129.28,129.28,1
RC,891,"Injection, concizumab-mtci, 0.5 mg ",,,137.73,137.73,1
RC,891,"Injection, corticotropin (acthar gel), up to 40 units ",,,6755.53,6755.53,1
RC,891,"Injection, corticotropin (ani), up to 40 units ",,,5892.73,5892.73,1
RC,891,"Injection, cosibelimab-ipdl, 2 mg ",,,37.82,37.82,1
RC,891,"Injection, cosyntropin, 0.25 mg ",,,26.83,26.83,1
RC,891,"Injection, crizanlizumab-tmca, 5 mg ",,,214.4,214.4,1
RC,891,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,2613.6,2613.6,1
RC,891,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,3037.68,3037.68,1
RC,891,"Injection, crovalimab-akkz, 10 mg ",,,909.99,909.99,1
RC,891,"Injection, cyclophosphamide (auromedics), 5 mg ",,,0.86,0.86,1
RC,891,"Injection, cyclophosphamide (baxter), 5 mg ",,,6.14,6.14,1
RC,891,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,0.83,0.83,1
RC,891,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,15.02,15.02,1
RC,891,"Injection, cyclophosphamide (sandoz), 5 mg ",,,6.02,6.02,1
RC,891,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,1.27,1.27,1
RC,891,"Injection, cyclosporine, 250 mg ",,,122.43,122.43,1
RC,891,"Injection, cytarabine, 100 mg ",,,1.32,1.32,1
RC,891,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2984.21,2984.21,1
RC,891,"Injection, dactinomycin, 0.5 mg ",,,557.16,557.16,1
RC,891,"Injection, dalbavancin, 5 mg ",,,24.75,24.75,1
RC,891,"Injection, dalteparin sodium, per 2500 iu ",,,26.17,26.17,1
RC,891,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.1,0.1,1
RC,891,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.08,0.08,1
RC,891,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.05,0.05,1
RC,891,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.08,0.08,1
RC,891,"Injection, daptomycin, 1 mg ",,,0.05,0.05,1
RC,891,"Injection, daratumumab, 10 mg ",,,116.77,116.77,1
RC,891,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,90.8,90.8,1
RC,891,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,5.07,5.07,1
RC,891,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,5.07,5.07,1
RC,891,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,85.01,85.01,1
RC,891,"Injection, daunorubicin, 10 mg ",,,40.84,40.84,1
RC,891,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.1,5.1,1
RC,891,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.11,1.11,1
RC,891,"Injection, decitabine, 1 mg ",,,1.65,1.65,1
RC,891,"Injection, deferoxamine mesylate, 500 mg ",,,14.16,14.16,1
RC,891,"Injection, degarelix, 1 mg ",,,7.36,7.36,1
RC,891,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,5480271.03,5480271.03,1
RC,891,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,23.96,23.96,1
RC,891,"Injection, denosumab, 1 mg ",,,48.69,48.69,1
RC,891,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,46.05,46.05,1
RC,891,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,43.25,43.25,1
RC,891,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,49.17,49.17,1
RC,891,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,32.18,32.18,1
RC,891,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,51.66,51.66,1
RC,891,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,26.14,26.14,1
RC,891,"Injection, depo-estradiol cypionate, up to 5 mg ",,,85.5,85.5,1
RC,891,"Injection, desmopressin acetate, per 1 mcg ",,,5.63,5.63,1
RC,891,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,4.47,4.47,1
RC,891,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.18,0.18,1
RC,891,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,336.25,336.25,1
RC,891,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,82.07,82.07,1
RC,891,"Injection, diazepam, up to 5 mg ",,,14.04,14.04,1
RC,891,"Injection, diazoxide, up to 300 mg ",,,167.54,167.54,1
RC,891,"Injection, dicyclomine hcl, up to 20 mg ",,,15.46,15.46,1
RC,891,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.46,0.46,1
RC,891,"Injection, digoxin immune fab (ovine), per vial ",,,8525.53,8525.53,1
RC,891,"Injection, digoxin, up to 0.5 mg ",,,17.11,17.11,1
RC,891,"Injection, dihydroergotamine mesylate, per 1 mg ",,,90.57,90.57,1
RC,891,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.3,0.3,1
RC,891,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.07,0.07,1
RC,891,"Injection, dimenhydrinate, up to 50 mg ",,,12.74,12.74,1
RC,891,"Injection, diphenhydramine hcl, up to 50 mg ",,,1.14,1.14,1
RC,891,"Injection, dipyridamole, per 10 mg ",,,13.88,13.88,1
RC,891,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,1235.82,1235.82,1
RC,891,"Injection, dobutamine hydrochloride, per 250 mg ",,,13.0,13.0,1
RC,891,"Injection, docetaxel (beizray), 1 mg ",,,76.05,76.05,1
RC,891,"Injection, docetaxel (docivyx), 1 mg ",,,83.51,83.51,1
RC,891,"Injection, docetaxel, 1 mg ",,,0.92,0.92,1
RC,891,"Injection, dolasetron mesylate, 10 mg ",,,6.06,6.06,1
RC,891,"Injection, donanemab-azbt, 2 mg ",,,6.83,6.83,1
RC,891,"Injection, dopamine hcl, 40 mg ",,,1.32,1.32,1
RC,891,"Injection, dostarlimab-gxly, 10 mg ",,,407.68,407.68,1
RC,891,"Injection, doxercalciferol, 1 mcg ",,,0.51,0.51,1
RC,891,"Injection, doxorubicin hydrochloride, 10 mg ",,,4.5,4.5,1
RC,891,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,492.92,492.92,1
RC,891,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,118.57,118.57,1
RC,891,"Injection, doxycycline hyclate, 1 mg ",,,0.15,0.15,1
RC,891,"Injection, droperidol, up to 5 mg ",,,11.9,11.9,1
RC,891,"Injection, durvalumab, 10 mg ",,,142.15,142.15,1
RC,891,"Injection, ecallantide, 1 mg ",,,954.94,954.94,1
RC,891,"Injection, eculizumab, 2 mg ",,,73.76,73.76,1
RC,891,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,52.68,52.68,1
RC,891,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,68.95,68.95,1
RC,891,"Injection, edaravone, 1 mg ",,,25.05,25.05,1
RC,891,"Injection, edetate calcium disodium, up to 1000 mg ",,,10069.74,10069.74,1
RC,891,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,227.7,227.7,1
RC,891,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,56.64,56.64,1
RC,891,"Injection, efgartigimod alfa-fcab, 2mg ",,,53.81,53.81,1
RC,891,"Injection, eflapegrastim-xnst, 0.1 mg ",,,64.28,64.28,1
RC,891,"Injection, elivaldogene autotemcel, per treatment ",,,5247000.0,5247000.0,1
RC,891,"Injection, elliotts' b solution, 1 ml ",,,19.04,19.04,1
RC,891,"Injection, elosulfase alfa, 1 mg ",,,514.72,514.72,1
RC,891,"Injection, elotuzumab, 1 mg ",,,13.27,13.27,1
RC,891,"Injection, elranatamab-bcmm, 1 mg ",,,308.2,308.2,1
RC,891,"Injection, emapalumab-lzsg, 1 mg ",,,633.83,633.83,1
RC,891,"Injection, emicizumab-kxwh, 0.5 mg ",,,91.81,91.81,1
RC,891,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,60.57,60.57,1
RC,891,"Injection, enfuvirtide, 1 mg ",,,0.54,0.54,1
RC,891,"Injection, enoxaparin sodium, 10 mg ",,,0.89,0.89,1
RC,891,"Injection, epcoritamab-bysp, 0.16 mg ",,,93.92,93.92,1
RC,891,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,1.44,1.44,1
RC,891,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,1.39,1.39,1
RC,891,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,0.71,0.71,1
RC,891,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,1.78,1.78,1
RC,891,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,4.75,4.75,1
RC,891,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,1.52,1.52,1
RC,891,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.5,0.5,1
RC,891,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.51,0.51,1
RC,891,"Injection, epirubicin hcl, 2 mg ",,,2.92,2.92,1
RC,891,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,12.06,12.06,1
RC,891,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.2,1.2,1
RC,891,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,1.3,1.3,1
RC,891,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,13.0,13.0,1
RC,891,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,1.7,1.7,1
RC,891,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.7,1.7,1
RC,891,"Injection, epoprostenol, 0.5 mg ",,,24.55,24.55,1
RC,891,"Injection, eptifibatide, 5 mg ",,,5.38,5.38,1
RC,891,"Injection, eptinezumab-jjmr, 1 mg ",,,33.91,33.91,1
RC,891,"Injection, eravacycline, 1 mg ",,,2.13,2.13,1
RC,891,"Injection, eribulin mesylate, 0.1 mg ",,,126.65,126.65,1
RC,891,"Injection, ertapenem sodium, 500 mg ",,,11.91,11.91,1
RC,891,"Injection, erythromycin lactobionate, per 500 mg ",,,150.53,150.53,1
RC,891,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.33,0.33,1
RC,891,"Injection, esmolol hydrochloride, 10 mg ",,,0.4,0.4,1
RC,891,"Injection, esomeprazole sodium, 1 mg ",,,2.1,2.1,1
RC,891,"Injection, estradiol valerate, up to 10 mg ",,,11.86,11.86,1
RC,891,"Injection, estrogen conjugated, per 25 mg ",,,646.34,646.34,1
RC,891,"Injection, estrone, per 1 mg ",,,0.54,0.54,1
RC,891,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,2119.95,2119.95,1
RC,891,"Injection, etelcalcetide, 0.1 mg ",,,3.89,3.89,1
RC,891,"Injection, eteplirsen, 10 mg ",,,276.39,276.39,1
RC,891,"Injection, ethacrynate sodium, 1 mg ",,,30.15,30.15,1
RC,891,"Injection, ethanolamine oleate, 100 mg ",,,855.74,855.74,1
RC,891,"Injection, etoposide, 10 mg ",,,1.49,1.49,1
RC,891,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,6090892.5,6090892.5,1
RC,891,"Injection, evinacumab-dgnb, 5mg ",,,326.09,326.09,1
RC,891,"Injection, exagamglogene autotemcel, per treatment ",,,3847800.0,3847800.0,1
RC,891,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,3.04,3.04,1
RC,891,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,2.87,2.87,1
RC,891,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,8.78,8.78,1
RC,891,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,5.91,5.91,1
RC,891,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,2.46,2.46,1
RC,891,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,5.35,5.35,1
RC,891,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,4.06,4.06,1
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,2.59,2.59,1
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,2.57,2.57,1
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,2.33,2.33,1
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.95,1.95,1
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,3.53,3.53,1
RC,891,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,4.39,4.39,1
RC,891,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,3.68,3.68,1
RC,891,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,7.41,7.41,1
RC,891,"Injection, factor x, (human), 1 i.u. ",,,16.42,16.42,1
RC,891,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,17.79,17.79,1
RC,891,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,30.24,30.24,1
RC,891,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,51.58,51.58,1
RC,891,"Injection, famotidine, 0.25 mg ",,,0.02,0.02,1
RC,891,"Injection, faricimab-svoa, 0.1 mg ",,,54.24,54.24,1
RC,891,"Injection, fentanyl citrate, 0.1 mg ",,,1.91,1.91,1
RC,891,"Injection, ferric carboxymaltose, 1 mg ",,,1.82,1.82,1
RC,891,"Injection, ferric derisomaltose, 10 mg ",,,36.18,36.18,1
RC,891,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.38,0.38,1
RC,891,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.38,0.38,1
RC,891,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.68,1.68,1
RC,891,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.46,0.46,1
RC,891,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.53,0.53,1
RC,891,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.58,0.58,1
RC,891,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,1.7,1.7,1
RC,891,"Injection, fitusiran, 0.04 mg ",,,218.84,218.84,1
RC,891,"Injection, floxuridine, 500 mg ",,,7014.1,7014.1,1
RC,891,"Injection, fludarabine phosphate, 50 mg ",,,359.25,359.25,1
RC,891,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,841.19,841.19,1
RC,891,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,559.0,559.0,1
RC,891,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,874.32,874.32,1
RC,891,"Injection, fluorouracil, 500 mg ",,,3.4,3.4,1
RC,891,"Injection, fluphenazine decanoate, up to 25 mg ",,,9.22,9.22,1
RC,891,"Injection, fluphenazine hcl, 1.25 mg ",,,12.13,12.13,1
RC,891,"Injection, folic acid, 0.1 mg ",,,0.08,0.08,1
RC,891,"Injection, fomepizole, 15 mg ",,,10.79,10.79,1
RC,891,"Injection, fondaparinux sodium, 0.5 mg ",,,1.32,1.32,1
RC,891,"Injection, fosaprepitant (focinvez), 1 mg ",,,4.21,4.21,1
RC,891,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.07,0.07,1
RC,891,"Injection, fosaprepitant, 1 mg ",,,0.18,0.18,1
RC,891,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,1.16,1.16,1
RC,891,"Injection, foscarnet sodium, per 1000 mg ",,,13.79,13.79,1
RC,891,"Injection, fosdenopterin, 0.1 mg ",,,29.02,29.02,1
RC,891,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,864.9,864.9,1
RC,891,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,2.19,2.19,1
RC,891,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,7.01,7.01,1
RC,891,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,44.73,44.73,1
RC,891,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,68.76,68.76,1
RC,891,"Injection, fulvestrant, 25 mg ",,,8.15,8.15,1
RC,891,"Injection, furosemide (furoscix), 20 mg ",,,485.4,485.4,1
RC,891,"Injection, furosemide, 1 mg ",,,0.03,0.03,1
RC,891,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.84,2.84,1
RC,891,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.95,2.95,1
RC,891,"Injection, gadobutrol, 0.1 ml ",,,0.5,0.5,1
RC,891,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,2.39,2.39,1
RC,891,"Injection, gadopiclenol, 1 ml ",,,5.31,5.31,1
RC,891,"Injection, gadoterate meglumine, 0.1 ml ",,,0.15,0.15,1
RC,891,"Injection, gadoteridol, (prohance multipack), per ml ",,,2.29,2.29,1
RC,891,"Injection, gadoxetate disodium, 1 ml ",,,24.3,24.3,1
RC,891,"Injection, galsulfase, 1 mg ",,,847.44,847.44,1
RC,891,"Injection, gamma globulin, intramuscular, 1 cc ",,,80.77,80.77,1
RC,891,"Injection, gamma globulin, intramuscular, over 10 cc ",,,264.48,264.48,1
RC,891,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,99.0,99.0,1
RC,891,"Injection, ganciclovir sodium, 500 mg ",,,56.18,56.18,1
RC,891,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.18,3.18,1
RC,891,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,8.73,8.73,1
RC,891,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,677.23,677.23,1
RC,891,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,5.35,5.35,1
RC,891,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,396.28,396.28,1
RC,891,"Injection, givosiran, 0.5 mg ",,,199.62,199.62,1
RC,891,"Injection, glatiramer acetate, 20 mg ",,,427.81,427.81,1
RC,891,"Injection, glofitamab-gxbm, 2.5 mg ",,,4687.12,4687.12,1
RC,891,"Injection, glucagon (gvoke), 0.01 mg ",,,3.91,3.91,1
RC,891,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,222.75,222.75,1
RC,891,"Injection, glucagon hydrochloride, per 1 mg ",,,241.44,241.44,1
RC,891,"Injection, glucarpidase, 10 units ",,,741.02,741.02,1
RC,891,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.21,2.21,1
RC,891,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,2.23,2.23,1
RC,891,"Injection, glycopyrrolate, 0.1 mg ",,,0.61,0.61,1
RC,891,"Injection, gold sodium thiomalate, up to 50 mg ",,,22.59,22.59,1
RC,891,"Injection, golimumab, 1 mg, for intravenous use ",,,18.63,18.63,1
RC,891,"Injection, golodirsen, 10 mg ",,,316.8,316.8,1
RC,891,"Injection, granisetron hydrochloride, 100 mcg ",,,0.26,0.26,1
RC,891,"Injection, granisetron, extended-release, 0.1 mg ",,,6.4,6.4,1
RC,891,"Injection, guselkumab, 1 mg ",,,111.89,111.89,1
RC,891,"Injection, haloperidol decanoate, per 50 mg ",,,10.02,10.02,1
RC,891,"Injection, haloperidol, up to 5 mg ",,,1.3,1.3,1
RC,891,"Injection, hemin, 1 mg ",,,58.26,58.26,1
RC,891,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,1.9,1.9,1
RC,891,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.03,0.03,1
RC,891,"Injection, heparin sodium, per 1000 units ",,,0.36,0.36,1
RC,891,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,115.88,115.88,1
RC,891,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,115.88,115.88,1
RC,891,"Injection, histrelin acetate, 10 micrograms ",,,1.65,1.65,1
RC,891,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,2.05,2.05,1
RC,891,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,2.51,2.51,1
RC,891,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.54,0.54,1
RC,891,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,181.32,181.32,1
RC,891,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.59,0.59,1
RC,891,"Injection, hyaluronidase, up to 150 units ",,,52.06,52.06,1
RC,891,"Injection, hydralazine hcl, up to 20 mg ",,,7.08,7.08,1
RC,891,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,36.53,36.53,1
RC,891,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,891,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.02,0.02,1
RC,891,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,8.98,8.98,1
RC,891,"Injection, hydroxyzine hcl, up to 25 mg ",,,25.03,25.03,1
RC,891,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,15.43,15.43,1
RC,891,"Injection, ibalizumab-uiyk, 10 mg ",,,128.17,128.17,1
RC,891,"Injection, ibandronate sodium, 1 mg ",,,14.95,14.95,1
RC,891,"Injection, ibuprofen, 100 mg ",,,5.25,5.25,1
RC,891,"Injection, ibutilide fumarate, 1 mg ",,,361.71,361.71,1
RC,891,"Injection, icatibant, 1 mg ",,,518.38,518.38,1
RC,891,"Injection, idarubicin hydrochloride, 5 mg ",,,65.6,65.6,1
RC,891,"Injection, idursulfase, 1 mg ",,,921.06,921.06,1
RC,891,"Injection, ifosfamide, 1 gram ",,,40.72,40.72,1
RC,891,"Injection, iloprost, 0.1 mcg ",,,9.42,9.42,1
RC,891,"Injection, imetelstat, 1 mg ",,,95.98,95.98,1
RC,891,"Injection, imiglucerase, 10 units ",,,70.67,70.67,1
RC,891,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,4.29,4.29,1
RC,891,"Injection, immune globulin (alyglo), 500 mg ",,,203.16,203.16,1
RC,891,"Injection, immune globulin (asceniv), 500 mg ",,,826.53,826.53,1
RC,891,"Injection, immune globulin (bivigam), 500 mg ",,,131.08,131.08,1
RC,891,"Injection, immune globulin (cutaquig), 100 mg ",,,22.98,22.98,1
RC,891,"Injection, immune globulin (cuvitru), 100 mg ",,,29.01,29.01,1
RC,891,"Injection, immune globulin (hizentra), 100 mg ",,,23.96,23.96,1
RC,891,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,121.82,121.82,1
RC,891,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,81.72,81.72,1
RC,891,"Injection, immune globulin (xembify), 100 mg ",,,25.36,25.36,1
RC,891,"Injection, immune globulin (yimmugo), 100 mg ",,,40.13,40.13,1
RC,891,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,149.72,149.72,1
RC,891,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,80.98,80.98,1
RC,891,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,106.67,106.67,1
RC,891,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,82.05,82.05,1
RC,891,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,77.62,77.62,1
RC,891,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,132.66,132.66,1
RC,891,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,31.02,31.02,1
RC,891,"Injection, inclisiran, 1 mg ",,,20.81,20.81,1
RC,891,"Injection, incobotulinumtoxin a, 1 unit ",,,8.73,8.73,1
RC,891,"Injection, indigotindisulfonate sodium, 1 mg ",,,15.35,15.35,1
RC,891,"Injection, inebilizumab-cdon, 1 mg ",,,817.66,817.66,1
RC,891,"Injection, infliximab, excludes biosimilar, 10 mg ",,,51.22,51.22,1
RC,891,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,44.22,44.22,1
RC,891,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,46.27,46.27,1
RC,891,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,551.55,551.55,1
RC,891,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,42.97,42.97,1
RC,891,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,4647.67,4647.67,1
RC,891,"Injection, insulin, per 5 units ",,,0.81,0.81,1
RC,891,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,299.9,299.9,1
RC,891,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,83.64,83.64,1
RC,891,"Injection, interferon beta-1a, 30 mcg ",,,5832.21,5832.21,1
RC,891,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,992.52,992.52,1
RC,891,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,57.87,57.87,1
RC,891,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,21.5,21.5,1
RC,891,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,59.63,59.63,1
RC,891,"Injection, interferon, gamma 1-b, 3 million units ",,,17403.36,17403.36,1
RC,891,"Injection, ipilimumab, 1 mg ",,,308.83,308.83,1
RC,891,"Injection, irinotecan liposome, 1 mg ",,,109.51,109.51,1
RC,891,"Injection, irinotecan, 20 mg ",,,2.52,2.52,1
RC,891,"Injection, iron dextran, 50 mg ",,,29.88,29.88,1
RC,891,"Injection, iron sucrose, 1 mg ",,,0.36,0.36,1
RC,891,"Injection, isatuximab-irfc, 10 mg ",,,137.91,137.91,1
RC,891,"Injection, isavuconazonium, 1 mg ",,,1.67,1.67,1
RC,891,"Injection, isoniazid, 1 mg ",,,0.5,0.5,1
RC,891,"Injection, itraconazole, 50 mg ",,,1549.73,1549.73,1
RC,891,"Injection, ixabepilone, 1 mg ",,,230.59,230.59,1
RC,891,"Injection, ketorolac tromethamine, per 15 mg ",,,0.56,0.56,1
RC,891,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,1.49,1.49,1
RC,891,"Injection, labetalol hydrochloride, 5 mg ",,,0.43,0.43,1
RC,891,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,143.3,143.3,1
RC,891,"Injection, lanreotide, (cipla), 1 mg ",,,53.11,53.11,1
RC,891,"Injection, lanreotide, 1 mg ",,,58.94,58.94,1
RC,891,"Injection, laronidase, 0.1 mg ",,,65.92,65.92,1
RC,891,"Injection, lefamulin, 1 mg ",,,1.35,1.35,1
RC,891,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,36.8,36.8,1
RC,891,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,26.57,26.57,1
RC,891,"Injection, leucovorin calcium, per 50 mg ",,,5.92,5.92,1
RC,891,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2913.19,2913.19,1
RC,891,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,232.17,232.17,1
RC,891,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,1144.37,1144.37,1
RC,891,"Injection, levetiracetam, 10 mg ",,,0.05,0.05,1
RC,891,"Injection, levocarnitine, per 1 gm ",,,38.1,38.1,1
RC,891,"Injection, levofloxacin, 250 mg ",,,3.56,3.56,1
RC,891,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,2.13,2.13,1
RC,891,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.08,0.08,1
RC,891,"Injection, levorphanol tartrate, up to 2 mg ",,,4.97,4.97,1
RC,891,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,11.48,11.48,1
RC,891,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,10.43,10.43,1
RC,891,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,12.23,12.23,1
RC,891,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.02,0.02,1
RC,891,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.07,0.07,1
RC,891,"Injection, lidocaine hydrochloride, 1 mg ",,,0.08,0.08,1
RC,891,"Injection, lincomycin hcl, up to 300 mg ",,,7.79,7.79,1
RC,891,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,44.27,44.27,1
RC,891,"Injection, linezolid, 200 mg ",,,4.09,4.09,1
RC,891,"Injection, linvoseltamab-gcpt, 1 mg ",,,164.18,164.18,1
RC,891,"Injection, liothyronine, 1 mcg ",,,64.83,64.83,1
RC,891,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,430.98,430.98,1
RC,891,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,365.46,365.46,1
RC,891,"Injection, lorazepam, 2 mg ",,,2.74,2.74,1
RC,891,"Injection, lovotibeglogene autotemcel, per treatment ",,,5354879.29,5354879.29,1
RC,891,"Injection, lumasiran, 0.5 mg ",,,540.74,540.74,1
RC,891,"Injection, lurbinectedin, 0.1 mg ",,,349.97,349.97,1
RC,891,"Injection, luspatercept-aamt, 0.25 mg ",,,70.54,70.54,1
RC,891,"Injection, magnesium sulfate, per 500 mg ",,,0.71,0.71,1
RC,891,"Injection, mannitol, 250 mg ",,,0.08,0.08,1
RC,891,"Injection, margetuximab-cmkb, 5 mg ",,,87.9,87.9,1
RC,891,"Injection, marstacimab-hncq, 0.5 mg ",,,82.81,82.81,1
RC,891,"Injection, mecasermin, 1 mg ",,,763.93,763.93,1
RC,891,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,216.03,216.03,1
RC,891,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.79,0.79,1
RC,891,"Injection, meloxicam (azurity), 1 mg ",,,1.75,1.75,1
RC,891,"Injection, melphalan (apotex), 1 mg ",,,106.89,106.89,1
RC,891,"Injection, melphalan (evomela), 1 mg ",,,32.06,32.06,1
RC,891,"Injection, melphalan (hepzato), 1 mg ",,,1311.75,1311.75,1
RC,891,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,199.11,199.11,1
RC,891,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,12.67,12.67,1
RC,891,"Injection, meperidine hydrochloride, per 100 mg ",,,14.55,14.55,1
RC,891,"Injection, mepivacaine hydrochloride, per 10 ml ",,,6.15,6.15,1
RC,891,"Injection, mepolizumab, 1 mg ",,,52.5,52.5,1
RC,891,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,3.25,3.25,1
RC,891,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,2.44,2.44,1
RC,891,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,3.58,3.58,1
RC,891,"Injection, meropenem, 100 mg ",,,0.61,0.61,1
RC,891,"Injection, mesna, 200 mg ",,,2.19,2.19,1
RC,891,"Injection, methadone hcl, up to 10 mg ",,,24.27,24.27,1
RC,891,"Injection, methocarbamol, up to 10 ml ",,,6.93,6.93,1
RC,891,"Injection, methotrexate sodium, 50 mg ",,,4.42,4.42,1
RC,891,"Injection, methyldopate hcl, up to 250 mg ",,,15.99,15.99,1
RC,891,"Injection, methylergonovine maleate, up to 0.2 mg ",,,35.66,35.66,1
RC,891,"Injection, methylnaltrexone, 0.1 mg ",,,3.47,3.47,1
RC,891,"Injection, methylprednisolone acetate, 1 mg ",,,0.18,0.18,1
RC,891,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.4,0.4,1
RC,891,"Injection, metoclopramide hcl, up to 10 mg ",,,1.57,1.57,1
RC,891,"Injection, metoprolol tartrate, 1 mg ",,,0.21,0.21,1
RC,891,"Injection, metronidazole, 10 mg ",,,0.05,0.05,1
RC,891,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.61,0.61,1
RC,891,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.36,0.36,1
RC,891,"Injection, micafungin sodium, 1 mg ",,,0.43,0.43,1
RC,891,"Injection, midazolam hydrochloride, per 1 mg ",,,0.28,0.28,1
RC,891,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.23,0.23,1
RC,891,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.26,0.26,1
RC,891,"Injection, milrinone lactate, 5 mg ",,,1.95,1.95,1
RC,891,"Injection, minocycline hydrochloride, 1 mg ",,,4.39,4.39,1
RC,891,"Injection, mirikizumab-mrkz, 1 mg ",,,69.45,69.45,1
RC,891,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,117.36,117.36,1
RC,891,"Injection, mitomycin, 5 mg ",,,46.96,46.96,1
RC,891,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,63.71,63.71,1
RC,891,"Injection, mogamulizumab-kpkc, 1 mg ",,,418.23,418.23,1
RC,891,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,13.76,13.76,1
RC,891,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,20.05,20.05,1
RC,891,"Injection, morphine sulfate, up to 10 mg ",,,7.34,7.34,1
RC,891,"Injection, mosunetuzumab-axgb, 1 mg ",,,1079.99,1079.99,1
RC,891,"Injection, motixafortide, 0.25 mg ",,,43.69,43.69,1
RC,891,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,38.59,38.59,1
RC,891,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,10.96,10.96,1
RC,891,"Injection, moxifloxacin, 100 mg ",,,14.42,14.42,1
RC,891,"Injection, mycophenolate mofetil, 10 mg ",,,0.66,0.66,1
RC,891,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.25,0.25,1
RC,891,"Injection, nafcillin sodium, 20 mg ",,,0.08,0.08,1
RC,891,"Injection, nalbuphine hydrochloride, per 10 mg ",,,5.64,5.64,1
RC,891,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.25,0.25,1
RC,891,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.12,0.12,1
RC,891,"Injection, naltrexone, depot form, 1 mg ",,,7.01,7.01,1
RC,891,"Injection, nandrolone decanoate, up to 50 mg ",,,6.62,6.62,1
RC,891,"Injection, natalizumab, 1 mg ",,,40.13,40.13,1
RC,891,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,40.13,40.13,1
RC,891,"Injection, naxitamab-gqgk, 1 mg ",,,1132.05,1132.05,1
RC,891,"Injection, necitumumab, 1 mg ",,,9.45,9.45,1
RC,891,"Injection, nelarabine, 50 mg ",,,86.97,86.97,1
RC,891,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,1.4,1.4,1
RC,891,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,2.33,2.33,1
RC,891,"Injection, nesiritide, 0.1 mg ",,,49.6,49.6,1
RC,891,"Injection, nicardipine, 0.1 mg ",,,0.12,0.12,1
RC,891,"Injection, nipocalimab-aahu, 3 mg ",,,53.91,53.91,1
RC,891,"Injection, nitroglycerin, 5 mg ",,,2.76,2.76,1
RC,891,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,332.9,332.9,1
RC,891,"Injection, nivolumab, 1 mg ",,,55.47,55.47,1
RC,891,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,45.75,45.75,1
RC,891,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,156.09,156.09,1
RC,891,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,16.98,16.98,1
RC,891,"Injection, nusinersen, 0.1 mg ",,,2121.54,2121.54,1
RC,891,"Injection, obinutuzumab, 10 mg ",,,134.99,134.99,1
RC,891,"Injection, ocrelizumab, 1 mg ",,,98.34,98.34,1
RC,891,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,77.2,77.2,1
RC,891,"Injection, octafluoropropane microspheres, per ml ",,,65.93,65.93,1
RC,891,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,310.78,310.78,1
RC,891,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,1.02,1.02,1
RC,891,"Injection, ofatumumab, 10 mg ",,,102.68,102.68,1
RC,891,"Injection, olanzapine, 0.5 mg ",,,1.17,1.17,1
RC,891,"Injection, olanzapine, long-acting, 1 mg ",,,5.26,5.26,1
RC,891,"Injection, olipudase alfa-rpcp, 1 mg ",,,652.74,652.74,1
RC,891,"Injection, omadacycline, 1 mg ",,,6.81,6.81,1
RC,891,"Injection, omalizumab, 5 mg ",,,69.0,69.0,1
RC,891,"Injection, onabotulinumtoxina, 1 unit ",,,10.74,10.74,1
RC,891,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,4395977.17,4395977.17,1
RC,891,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,4268693.98,4268693.98,1
RC,891,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.15,0.15,1
RC,891,"Injection, oprelvekin, 5 mg ",,,407.83,407.83,1
RC,891,"Injection, oritavancin (kimyrsa), 10 mg ",,,72.14,72.14,1
RC,891,"Injection, oritavancin (orbactiv), 10 mg ",,,47.14,47.14,1
RC,891,"Injection, orphenadrine citrate, up to 60 mg ",,,13.56,13.56,1
RC,891,"Injection, oxacillin sodium, up to 250 mg ",,,1.4,1.4,1
RC,891,"Injection, oxaliplatin, 0.5 mg ",,,0.13,0.13,1
RC,891,"Injection, oxymorphone hcl, up to 1 mg ",,,3.86,3.86,1
RC,891,"Injection, oxytocin, up to 10 units ",,,4.47,4.47,1
RC,891,"Injection, paclitaxel protein-bound particles, 1 mg ",,,9.93,9.93,1
RC,891,"Injection, paclitaxel, 1 mg ",,,0.25,0.25,1
RC,891,"Injection, palifermin, 50 micrograms ",,,60.59,60.59,1
RC,891,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,23.91,23.91,1
RC,891,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,21.37,21.37,1
RC,891,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,24.88,24.88,1
RC,891,"Injection, palonosetron hcl, 25 mcg ",,,1.07,1.07,1
RC,891,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,91.23,91.23,1
RC,891,"Injection, pamidronate disodium, per 30 mg ",,,20.49,20.49,1
RC,891,"Injection, panitumumab, 10 mg ",,,287.74,287.74,1
RC,891,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,6.24,6.24,1
RC,891,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,15.81,15.81,1
RC,891,"Injection, pantoprazole sodium, 40 mg ",,,14.19,14.19,1
RC,891,"Injection, papaverine hcl, up to 60 mg ",,,75.8,75.8,1
RC,891,"Injection, paricalcitol, 1 mcg ",,,1.68,1.68,1
RC,891,"Injection, pasireotide long acting, 1 mg ",,,983.9,983.9,1
RC,891,"Injection, patisiran, 0.1 mg ",,,166.49,166.49,1
RC,891,"Injection, pegaspargase, per single dose vial ",,,46899.7,46899.7,1
RC,891,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,243.89,243.89,1
RC,891,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,210.18,210.18,1
RC,891,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,219.96,219.96,1
RC,891,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,197.41,197.41,1
RC,891,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,224.22,224.22,1
RC,891,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,261.13,261.13,1
RC,891,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,131.18,131.18,1
RC,891,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,185.01,185.01,1
RC,891,"Injection, pegloticase, 1 mg ",,,6310.46,6310.46,1
RC,891,"Injection, pegulicianine, 1 mg ",,,61.89,61.89,1
RC,891,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,368.61,368.61,1
RC,891,"Injection, pembrolizumab, 1 mg ",,,101.06,101.06,1
RC,891,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,53.01,53.01,1
RC,891,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,15.94,15.94,1
RC,891,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,17.49,17.49,1
RC,891,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,8.58,8.58,1
RC,891,"Injection, pemetrexed (pemfexy), 10 mg ",,,13.18,13.18,1
RC,891,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,116.29,116.29,1
RC,891,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,2.41,2.41,1
RC,891,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,18.13,18.13,1
RC,891,"Injection, pemetrexed dipotassium, 10 mg ",,,135.33,135.33,1
RC,891,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.54,0.54,1
RC,891,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,6.67,6.67,1
RC,891,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,11944.35,11944.35,1
RC,891,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,32.21,32.21,1
RC,891,"Injection, penicillin g benzathine, 100,000 units ",,,51.93,51.93,1
RC,891,"Injection, penicillin g potassium, up to 600,000 units ",,,1.12,1.12,1
RC,891,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,16.53,16.53,1
RC,891,"Injection, pentamidine isethionate, 1 mg ",,,0.26,0.26,1
RC,891,"Injection, pentazocine, 30 mg ",,,45.19,45.19,1
RC,891,"Injection, pentobarbital sodium, per 50 mg ",,,60.79,60.79,1
RC,891,"Injection, pentostatin, 10 mg ",,,4333.44,4333.44,1
RC,891,"Injection, peramivir, 1 mg ",,,2.77,2.77,1
RC,891,"Injection, perflutren lipid microspheres, per ml ",,,65.93,65.93,1
RC,891,"Injection, pertuzumab, 1 mg ",,,28.08,28.08,1
RC,891,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,99.38,99.38,1
RC,891,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.86,1.86,1
RC,891,"Injection, phenobarbital sodium, up to 120 mg ",,,39.02,39.02,1
RC,891,"Injection, phentolamine mesylate, up to 5 mg ",,,424.79,424.79,1
RC,891,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.25,0.25,1
RC,891,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.21,0.21,1
RC,891,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.02,0.02,1
RC,891,"Injection, phenytoin sodium, per 50 mg ",,,0.69,0.69,1
RC,891,"Injection, phytonadione (vitamin k), per 1 mg ",,,5.21,5.21,1
RC,891,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.8,1.8,1
RC,891,"Injection, plasminogen, human-tvmh, 1 mg ",,,63.34,63.34,1
RC,891,"Injection, plazomicin, 5 mg ",,,5.79,5.79,1
RC,891,"Injection, plerixafor, 1 mg ",,,54.02,54.02,1
RC,891,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,226.43,226.43,1
RC,891,"Injection, porfimer sodium, 75 mg ",,,46179.54,46179.54,1
RC,891,"Injection, posaconazole, 1 mg ",,,0.58,0.58,1
RC,891,"Injection, potassium chloride, per 2 meq ",,,0.21,0.21,1
RC,891,"Injection, pozelimab-bbfg, 1 mg ",,,151.35,151.35,1
RC,891,"Injection, pralatrexate, 1 mg ",,,647.99,647.99,1
RC,891,"Injection, pralidoxime chloride, up to 1 gm ",,,171.67,171.67,1
RC,891,"Injection, procainamide hcl, up to 1 gm ",,,354.44,354.44,1
RC,891,"Injection, prochlorperazine, up to 10 mg ",,,5.49,5.49,1
RC,891,"Injection, progesterone, per 50 mg ",,,1.09,1.09,1
RC,891,"Injection, promethazine hcl, up to 50 mg ",,,5.51,5.51,1
RC,891,"Injection, propofol, 10 mg ",,,0.15,0.15,1
RC,891,"Injection, propranolol hcl, up to 1 mg ",,,19.19,19.19,1
RC,891,"Injection, protamine sulfate, per 10 mg ",,,2.76,2.76,1
RC,891,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,24.83,24.83,1
RC,891,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,2.84,2.84,1
RC,891,"Injection, pyridoxine hcl, 100 mg ",,,24.59,24.59,1
RC,891,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,194.55,194.55,1
RC,891,"Injection, radiesse, 0.1 ml ",,,576.16,576.16,1
RC,891,"Injection, ramucirumab, 5 mg ",,,124.53,124.53,1
RC,891,"Injection, ranibizumab, 0.1 mg ",,,111.95,111.95,1
RC,891,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,125.73,125.73,1
RC,891,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,137.74,137.74,1
RC,891,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,116.99,116.99,1
RC,891,"Injection, rasburicase, 0.5 mg ",,,630.61,630.61,1
RC,891,"Injection, ravulizumab-cwvz, 10 mg ",,,369.07,369.07,1
RC,891,"Injection, regadenoson, 0.1 mg ",,,4.79,4.79,1
RC,891,"Injection, remdesivir, 1 mg ",,,11.39,11.39,1
RC,891,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,334477.41,334477.41,1
RC,891,"Injection, remimazolam, 1 mg ",,,4.6,4.6,1
RC,891,"Injection, reslizumab, 1 mg ",,,19.02,19.02,1
RC,891,"Injection, reteplase, 18.1 mg ",,,4792.56,4792.56,1
RC,891,"Injection, retifanlimab-dlwr, 1 mg ",,,50.16,50.16,1
RC,891,"Injection, rezafungin, 1 mg ",,,17.8,17.8,1
RC,891,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,130.19,130.19,1
RC,891,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,45.41,45.41,1
RC,891,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,56.53,56.53,1
RC,891,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,8.0,8.0,1
RC,891,"Injection, rifampin, 1 mg ",,,0.28,0.28,1
RC,891,"Injection, rilonacept, 1 mg ",,,56.03,56.03,1
RC,891,"Injection, rimabotulinumtoxinb, 100 units ",,,21.91,21.91,1
RC,891,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,24.09,24.09,1
RC,891,"Injection, risperidone (risperdal consta), 0.5 mg ",,,17.82,17.82,1
RC,891,"Injection, risperidone (rykindo), 0.5 mg ",,,21.5,21.5,1
RC,891,"Injection, risperidone (uzedy), 1 mg ",,,41.51,41.51,1
RC,891,"Injection, risperidone, (perseris), 0.5 mg ",,,20.08,20.08,1
RC,891,"Injection, rituximab 10 mg and hyaluronidase ",,,59.86,59.86,1
RC,891,"Injection, rituximab, 10 mg ",,,122.36,122.36,1
RC,891,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,51.61,51.61,1
RC,891,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,33.43,33.43,1
RC,891,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,22.59,22.59,1
RC,891,"Injection, romidepsin, lyophilized, 0.1 mg ",,,50.82,50.82,1
RC,891,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,47.06,47.06,1
RC,891,"Injection, romiplostim, 1 microgram ",,,18.33,18.33,1
RC,891,"Injection, romosozumab-aqqg, 1 mg ",,,20.11,20.11,1
RC,891,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.08,0.08,1
RC,891,"Injection, rozanolixizumab-noli, 1 mg ",,,38.61,38.61,1
RC,891,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,60.72,60.72,1
RC,891,"Injection, sargramostim (gm-csf), 50 mcg ",,,102.12,102.12,1
RC,891,"Injection, sculptra, 0.5 mg ",,,3.56,3.56,1
RC,891,"Injection, sebelipase alfa, 1 mg ",,,891.3,891.3,1
RC,891,"Injection, secretin, synthetic, human, 1 microgram ",,,66.38,66.38,1
RC,891,"Injection, secukinumab, intravenous, 1 mg ",,,29.77,29.77,1
RC,891,"Injection, sermorelin acetate, 1 microgram ",,,2.21,2.21,1
RC,891,"Injection, siltuximab, 10 mg ",,,287.23,287.23,1
RC,891,"Injection, sincalide, 5 micrograms ",,,178.53,178.53,1
RC,891,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.73,143.73,1
RC,891,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,3.94,3.94,1
RC,891,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,3.58,3.58,1
RC,891,"Injection, sodium thiosulfate (hope), 100 mg ",,,1.45,1.45,1
RC,891,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,157.49,157.49,1
RC,891,"Injection, somatropin, 1 mg ",,,272.56,272.56,1
RC,891,"Injection, spesolimab-sbzo, 1 mg ",,,108.45,108.45,1
RC,891,"Injection, sterile cefuroxime sodium, per 750 mg ",,,3.28,3.28,1
RC,891,"Injection, streptomycin, up to 1 gm ",,,66.43,66.43,1
RC,891,"Injection, streptozocin, 1 gram ",,,289.33,289.33,1
RC,891,"Injection, succinylcholine chloride, up to 20 mg ",,,2.46,2.46,1
RC,891,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.07,0.07,1
RC,891,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,29.9,29.9,1
RC,891,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,293.16,293.16,1
RC,891,"Injection, sutimlimab-jome, 10 mg ",,,32.41,32.41,1
RC,891,"Injection, tafasitamab-cxix, 2 mg ",,,23.38,23.38,1
RC,891,"Injection, tagraxofusp-erzs, 10 micrograms ",,,589.51,589.51,1
RC,891,"Injection, taliglucerase alfa, 10 units ",,,67.09,67.09,1
RC,891,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,122.0,122.0,1
RC,891,"Injection, talquetamab-tgvs, 0.25 mg ",,,123.55,123.55,1
RC,891,"Injection, tarlatamab-dlle, 1 mg ",,,2586.74,2586.74,1
RC,891,"Injection, tbo-filgrastim, 1 microgram ",,,0.41,0.41,1
RC,891,"Injection, tebentafusp-tebn, 1 microgram ",,,367.11,367.11,1
RC,891,"Injection, teclistamab-cqyv, 0.5 mg ",,,56.93,56.93,1
RC,891,"Injection, tedizolid phosphate, 1 mg ",,,3.23,3.23,1
RC,891,"Injection, telavancin, 10 mg ",,,11.6,11.6,1
RC,891,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,240.88,240.88,1
RC,891,"Injection, temozolomide, 1 mg ",,,17.16,17.16,1
RC,891,"Injection, temsirolimus, 1 mg ",,,49.63,49.63,1
RC,891,"Injection, tenecteplase, 1 mg ",,,325.78,325.78,1
RC,891,"Injection, teplizumab-mzwv, 5 mcg ",,,63.34,63.34,1
RC,891,"Injection, teprotumumab-trbw, 10 mg ",,,607.05,607.05,1
RC,891,"Injection, terbutaline sulfate, up to 1 mg ",,,4.88,4.88,1
RC,891,"Injection, teriparatide, 10 mcg ",,,130.53,130.53,1
RC,891,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.23,0.23,1
RC,891,"Injection, testosterone cypionate, 1 mg ",,,0.03,0.03,1
RC,891,"Injection, testosterone enanthate, 1 mg ",,,0.08,0.08,1
RC,891,"Injection, testosterone undecanoate, 1 mg ",,,3.51,3.51,1
RC,891,"Injection, tetanus immune globulin, human, up to 250 units ",,,920.9,920.9,1
RC,891,"Injection, tezepelumab-ekko, 1 mg ",,,29.01,29.01,1
RC,891,"Injection, thiamine hcl, 100 mg ",,,2.56,2.56,1
RC,891,"Injection, thiotepa (tepylute), 1 mg ",,,63.61,63.61,1
RC,891,"Injection, thiotepa, not otherwise specified, 1 mg ",,,9.47,9.47,1
RC,891,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,3506.81,3506.81,1
RC,891,"Injection, tigecycline, 1 mg ",,,0.94,0.94,1
RC,891,"Injection, tildrakizumab, 1 mg ",,,195.03,195.03,1
RC,891,"Injection, tirofiban hcl, 0.25 mg ",,,5.26,5.26,1
RC,891,"Injection, tislelizumab-jsgr, 1mg ",,,96.15,96.15,1
RC,891,"Injection, tisotumab vedotin-tftv, 1 mg ",,,323.6,323.6,1
RC,891,"Injection, tobramycin sulfate, up to 80 mg ",,,3.33,3.33,1
RC,891,"Injection, tocilizumab, 1 mg ",,,9.12,9.12,1
RC,891,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,12.49,12.49,1
RC,891,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,7.33,7.33,1
RC,891,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,9.21,9.21,1
RC,891,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,7.66,7.66,1
RC,891,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,8.12,8.12,1
RC,891,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,8.68,8.68,1
RC,891,"Injection, tofersen, 1 mg ",,,264.02,264.02,1
RC,891,"Injection, topotecan, 0.1 mg ",,,3.48,3.48,1
RC,891,"Injection, toripalimab-tpzi, 1 mg ",,,65.98,65.98,1
RC,891,"Injection, trabectedin, 0.1 mg ",,,645.27,645.27,1
RC,891,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.2,0.2,1
RC,891,"Injection, tranexamic acid, 5 mg ",,,0.21,0.21,1
RC,891,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,98.85,98.85,1
RC,891,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,121.16,121.16,1
RC,891,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,93.03,93.03,1
RC,891,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,59.04,59.04,1
RC,891,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,49.19,49.19,1
RC,891,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,92.43,92.43,1
RC,891,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,17.21,17.21,1
RC,891,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,62.49,62.49,1
RC,891,"Injection, travoprost, intracameral implant, 1 microgram ",,,324.85,324.85,1
RC,891,"Injection, tremelimumab-actl, 1 mg ",,,236.33,236.33,1
RC,891,"Injection, treosulfan, 50 mg ",,,52.16,52.16,1
RC,891,"Injection, treprostinil, 1 mg ",,,91.06,91.06,1
RC,891,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,78.84,78.84,1
RC,891,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.49,1.49,1
RC,891,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,30.99,30.99,1
RC,891,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,30.76,30.76,1
RC,891,"Injection, triamcinolone diacetate, per 5 mg ",,,0.54,0.54,1
RC,891,"Injection, triamcinolone hexacetonide, per 5 mg ",,,16.09,16.09,1
RC,891,"Injection, trilaciclib, 1mg ",,,9.06,9.06,1
RC,891,"Injection, trimethobenzamide hcl, up to 200 mg ",,,94.41,94.41,1
RC,891,"Injection, triptorelin pamoate, 3.75 mg ",,,774.48,774.48,1
RC,891,"Injection, triptorelin, extended-release, 3.75 mg ",,,6144.2,6144.2,1
RC,891,"Injection, ublituximab-xiiy, 1mg ",,,113.44,113.44,1
RC,891,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,23.18,23.18,1
RC,891,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,19.39,19.39,1
RC,891,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,7.49,7.49,1
RC,891,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,364.11,364.11,1
RC,891,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,5.53,5.53,1
RC,891,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,104.33,104.33,1
RC,891,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,5.3,5.3,1
RC,891,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,7.47,7.47,1
RC,891,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,20713.62,20713.62,1
RC,891,"Injection, valproate sodium, 5 mg ",,,0.07,0.07,1
RC,891,"Injection, valrubicin, intravesical, 200 mg ",,,2096.36,2096.36,1
RC,891,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.02,0.02,1
RC,891,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,891,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.26,0.26,1
RC,891,"Injection, vancomycin hydrochloride, 10 mg ",,,0.05,0.05,1
RC,891,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,1.39,1.39,1
RC,891,"Injection, vasopressin (baxter), 1 unit ",,,2.52,2.52,1
RC,891,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,1.95,1.95,1
RC,891,"Injection, vasopressin, 1 unit ",,,0.87,0.87,1
RC,891,"Injection, vedolizumab, intravenous, 1 mg ",,,34.62,34.62,1
RC,891,"Injection, velaglucerase alfa, 100 units ",,,640.46,640.46,1
RC,891,"Injection, velmanase alfa-tycv, 1 mg ",,,767.63,767.63,1
RC,891,"Injection, verteporfin, 0.1 mg ",,,19.09,19.09,1
RC,891,"Injection, vestronidase alfa-vjbk, 1 mg ",,,462.25,462.25,1
RC,891,"Injection, viltolarsen, 10 mg ",,,111.67,111.67,1
RC,891,"Injection, vinblastine sulfate, 1 mg ",,,8.5,8.5,1
RC,891,"Injection, vinorelbine tartrate, 10 mg ",,,8.2,8.2,1
RC,891,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,1.11,1.11,1
RC,891,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,3.02,3.02,1
RC,891,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,2.18,2.18,1
RC,891,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,2.46,2.46,1
RC,891,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,5065.65,5065.65,1
RC,891,"Injection, voriconazole, 10 mg ",,,1.07,1.07,1
RC,891,"Injection, vutrisiran, 1 mg ",,,8281.8,8281.8,1
RC,891,"Injection, zanidatamab-hrii, 2 mg ",,,41.25,41.25,1
RC,891,"Injection, zenocutuzumab-zbco, 1 mg ",,,55.39,55.39,1
RC,891,"Injection, ziconotide, 1 microgram ",,,17.26,17.26,1
RC,891,"Injection, zidovudine, 10 mg ",,,2.49,2.49,1
RC,891,"Injection, ziprasidone mesylate, 10 mg ",,,9.69,9.69,1
RC,891,"Injection, ziv-aflibercept, 1 mg ",,,14.21,14.21,1
RC,891,"Injection, zolbetuximab-clzb, 2 mg ",,,55.52,55.52,1
RC,891,"Injection, zoledronic acid, 1 mg ",,,50.95,50.95,1
RC,891,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,201135.0,201135.0,1
RC,891,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Innovamatrix pd, 1 mg ",,,28.1,28.1,1
RC,891,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,1.37,1.37,1
RC,891,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,56.07,56.07,1
RC,891,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,2349.8,2349.8,1
RC,891,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,8.3,8.3,1
RC,891,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,14.45,14.45,1
RC,891,"Insulin (fiasp), per 5 units ",,,1.12,1.12,1
RC,891,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,24.92,24.92,1
RC,891,"Insulin (lyumjev), per 5 units ",,,0.99,0.99,1
RC,891,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,5.16,5.16,1
RC,891,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Integra flowable wound matrix, injectable, 1 cc ",,,4670.82,4670.82,1
RC,891,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Interfyl, 1 mg ",,,64.27,64.27,1
RC,891,Intrauterine copper contraceptive (miudella) ,,,2350.26,2350.26,1
RC,891,Intrauterine copper contraceptive (paragard) ,,,2349.6,2349.6,1
RC,891,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,78.94,78.94,1
RC,891,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,358.56,358.56,1
RC,891,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,106065.8,106065.8,1
RC,891,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2289.77,2289.77,1
RC,891,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,3823.88,3823.88,1
RC,891,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,167.54,167.54,1
RC,891,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,287.13,287.13,1
RC,891,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,773.95,773.95,1
RC,891,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,1071.91,1071.91,1
RC,891,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,653.93,653.93,1
RC,891,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,1572.47,1572.47,1
RC,891,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,1430.14,1430.14,1
RC,891,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",,,160.92,160.92,1
RC,891,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",,,39.72,39.72,1
RC,891,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,34.27,34.27,1
RC,891,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,7.16,7.16,1
RC,891,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,0.73,0.73,1
RC,891,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,23.69,23.69,1
RC,891,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,601.21,601.21,1
RC,891,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.15,0.15,1
RC,891,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.13,0.13,1
RC,891,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,2.21,2.21,1
RC,891,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,290.73,290.73,1
RC,891,"Leuprolide acetate, per 1 mg ",,,249.98,249.98,1
RC,891,"Leuprolide injectable, camcevi, 1 mg ",,,65.92,65.92,1
RC,891,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,3.3,3.3,1
RC,891,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.53,0.53,1
RC,891,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.15,0.15,1
RC,891,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,640.4,640.4,1
RC,891,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,1937.07,1937.07,1
RC,891,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,2519.43,2519.43,1
RC,891,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,2097.84,2097.84,1
RC,891,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,2519.43,2519.43,1
RC,891,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,927730.39,927730.39,1
RC,891,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.91,1.91,1
RC,891,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.71,0.71,1
RC,891,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.25,0.25,1
RC,891,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,428.34,428.34,1
RC,891,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,527.9,527.9,1
RC,891,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,8732.51,8732.51,1
RC,891,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1688.15,1688.15,1
RC,891,"Mannitol, administered through an inhaler, 5 mg ",,,1.95,1.95,1
RC,891,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Matristem micromatrix, 1 mg ",,,13.08,13.08,1
RC,891,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,193.28,193.28,1
RC,891,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,571.56,571.56,1
RC,891,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Melphalan; oral, 2 mg ",,,7.72,7.72,1
RC,891,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,349.64,349.64,1
RC,891,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,350.43,350.43,1
RC,891,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,39.12,39.12,1
RC,891,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,525.94,525.94,1
RC,891,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,498.43,498.43,1
RC,891,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,147.69,147.69,1
RC,891,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",,,447.05,447.05,1
RC,891,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,497.34,497.34,1
RC,891,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",,,1.8,1.8,1
RC,891,"Methotrexate (jylamvo), oral, 2.5 mg ",,,30.87,30.87,1
RC,891,"Methotrexate (xatmep), oral, 2.5 mg ",,,36.8,36.8,1
RC,891,"Methotrexate; oral, 2.5 mg ",,,0.23,0.23,1
RC,891,"Methylprednisolone oral, per 4 mg ",,,0.23,0.23,1
RC,891,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Microlyte painguard, per square centimeter ",,,209.78,209.78,1
RC,891,"Miglustat, oral, 65 mg ",,,70.39,70.39,1
RC,891,"Miro3d fibers, per milligram ",,,27.09,27.09,1
RC,891,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Mitomycin pyelocalyceal instillation, 1 mg ",,,533.23,533.23,1
RC,891,"Mitomycin, intravesical instillation, 1 mg ",,,459.24,459.24,1
RC,891,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,18.73,18.73,1
RC,891,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,3.71,3.71,1
RC,891,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.51,0.51,1
RC,891,"Mycophenolate mofetil, oral, 250 mg ",,,0.23,0.23,1
RC,891,"Mycophenolic acid, oral, 180 mg ",,,0.53,0.53,1
RC,891,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,38.82,38.82,1
RC,891,"Myriad morcells, 4 milligrams ",,,21.78,21.78,1
RC,891,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Neoxflo or clarixflo, 1 mg ",,,56.27,56.27,1
RC,891,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,656.35,656.35,1
RC,891,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,1321.57,1321.57,1
RC,891,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,209.98,209.98,1
RC,891,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Novashield or novogen wound matrix, per square centimeter ",,,209.78,209.78,1
RC,891,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,459112.5,459112.5,1
RC,891,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,253.69,253.69,1
RC,891,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.03,0.03,1
RC,891,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1026.23,1026.23,1
RC,891,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,2378.48,2378.48,1
RC,891,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,121.39,121.39,1
RC,891,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.11,1.11,1
RC,891,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,159.41,159.41,1
RC,891,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,571.71,571.71,1
RC,891,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,425.45,425.45,1
RC,891,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,444.36,444.36,1
RC,891,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,516.29,516.29,1
RC,891,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,568.01,568.01,1
RC,891,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,220.23,220.23,1
RC,891,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,94.41,94.41,1
RC,891,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Prednisolone oral, per 5 mg ",,,1.22,1.22,1
RC,891,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,3.65,3.65,1
RC,891,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Procenta, per 100 mg ",,,9801.5,9801.5,1
RC,891,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,1.29,1.29,1
RC,891,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.48,0.48,1
RC,891,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.38,3.38,1
RC,891,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,454.05,454.05,1
RC,891,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,399.6,399.6,1
RC,891,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,581.53,581.53,1
RC,891,"Rabies vaccine, for intradermal use ",,,390.82,390.82,1
RC,891,"Rabies vaccine, for intramuscular use ",,,520.11,520.11,1
RC,891,"Radioelements for brachytherapy, any type, each ",,,101.95,101.95,1
RC,891,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,77046.96,77046.96,1
RC,891,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,282.3,282.3,1
RC,891,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,631.62,631.62,1
RC,891,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,635.68,635.68,1
RC,891,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,631.75,631.75,1
RC,891,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,720.64,720.64,1
RC,891,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1100.88,1100.88,1
RC,891,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",,,1178.22,1178.22,1
RC,891,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1178.22,1178.22,1
RC,891,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.33,0.33,1
RC,891,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,217.01,217.01,1
RC,891,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,132.0,132.0,1
RC,891,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1096.84,1096.84,1
RC,891,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,4514.4,4514.4,1
RC,891,"Ringers lactate infusion, up to 1000 cc ",,,4.29,4.29,1
RC,891,"Rolapitant, oral, 1 mg ",,,7.28,7.28,1
RC,891,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,308.24,308.24,1
RC,891,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,203.18,203.18,1
RC,891,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,817.31,817.31,1
RC,891,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,5213.67,5213.67,1
RC,891,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,4792.69,4792.69,1
RC,891,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.17,0.17,1
RC,891,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.51,0.51,1
RC,891,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.33,0.33,1
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,333.15,333.15,1
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,242.65,242.65,1
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,266.72,266.72,1
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,156.42,156.42,1
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,108.03,108.03,1
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,277.81,277.81,1
RC,891,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,316.67,316.67,1
RC,891,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,92844.16,92844.16,1
RC,891,"Sirolimus, oral, 1 mg ",,,2.1,2.1,1
RC,891,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,209.78,209.78,1
RC,891,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.02,0.02,1
RC,891,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,446.41,446.41,1
RC,891,"Sodium phosphate p-32, therapeutic, per millicurie ",,,459.1,459.1,1
RC,891,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,6841.46,6841.46,1
RC,891,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.35,0.35,1
RC,891,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Suzetrigine, oral 1 mg ",,,0.54,0.54,1
RC,891,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,0.97,0.97,1
RC,891,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,3.07,3.07,1
RC,891,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,2.11,2.11,1
RC,891,"Tacrolimus, immediate release, oral, 1 mg ",,,0.38,0.38,1
RC,891,"Tacrolimus, parenteral, 5 mg ",,,428.93,428.93,1
RC,891,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,16.5,16.5,1
RC,891,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,867.45,867.45,1
RC,891,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,2138.32,2138.32,1
RC,891,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,1279.61,1279.61,1
RC,891,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,1321.02,1321.02,1
RC,891,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,101.95,101.95,1
RC,891,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,1541.31,1541.31,1
RC,891,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2644.26,2644.26,1
RC,891,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,179.67,179.67,1
RC,891,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,50.14,50.14,1
RC,891,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,187.21,187.21,1
RC,891,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,106.36,106.36,1
RC,891,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",,,1308.9,1308.9,1
RC,891,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,85.98,85.98,1
RC,891,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,34.72,34.72,1
RC,891,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",,,47.39,47.39,1
RC,891,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",,,18.18,18.18,1
RC,891,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,74.96,74.96,1
RC,891,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,743.46,743.46,1
RC,891,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,1088.88,1088.88,1
RC,891,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,1239.81,1239.81,1
RC,891,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,192.89,192.89,1
RC,891,"Temozolomide, oral, 5 mg ",,,0.66,0.66,1
RC,891,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,21.5,21.5,1
RC,891,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,21.5,21.5,1
RC,891,"Testosterone pellet, implant, 75 mg ",,,123.7,123.7,1
RC,891,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,63.94,63.94,1
RC,891,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,1298.2,1298.2,1
RC,891,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,65.14,65.14,1
RC,891,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,91.49,91.49,1
RC,891,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1013398.34,1013398.34,1
RC,891,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,98.65,98.65,1
RC,891,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",,,12.82,12.82,1
RC,891,"Topical administration, prademagene zamikeracel, per treatment ",,,5504103.0,5504103.0,1
RC,891,"Topotecan, oral, 0.25 mg ",,,206.61,206.61,1
RC,891,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,1302.15,1302.15,1
RC,891,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,7.72,7.72,1
RC,891,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.11,1.11,1
RC,891,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,274.54,274.54,1
RC,891,"Typhoid vaccine, live, oral ",,,232.22,232.22,1
RC,891,Unlisted immune globulin ,,,706.02,706.02,1
RC,891,"Ustekinumab, for intravenous injection, 1 mg ",,,19.17,19.17,1
RC,891,"Ustekinumab, for subcutaneous injection, 1 mg ",,,672.72,672.72,1
RC,891,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.02,0.02,1
RC,891,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.23,0.23,1
RC,891,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,380.14,380.14,1
RC,891,"Varicella-zoster immune globulin, human, for intramuscular use ",,,3899.36,3899.36,1
RC,891,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Vincristine sulfate, 1 mg ",,,13.38,13.38,1
RC,891,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Woundex flow, bioskin flow, 0.5 cc ",,,4235.01,4235.01,1
RC,891,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xcellistem, 1 mg ",,,25.74,25.74,1
RC,891,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,505.38,505.38,1
RC,891,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Yellow fever vaccine, live, for subcutaneous use ",,,507.54,507.54,1
RC,891,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,93760.51,93760.51,1
RC,891,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,891,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,235.88,235.88,1
RC,891,"injection, busulfan, 1 mg ",,,1.12,1.12,1
RC,892, Pharmacy - Extension of 025x and 063x - Special Processed Drugs - FDA Approved Gene Therapy  ,,,,,0
RC,892,"361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"5% dextrose in lactated ringers infusion, up to 1000 cc ",,,9.98,9.98,1
RC,892,5% dextrose/normal saline (500 ml = 1 unit) ,,,2.13,2.13,1
RC,892,5% dextrose/water (500 ml = 1 unit) ,,,3.09,3.09,1
RC,892,"510(k) skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,Ac5 advanced wound system (ac5) ,,,9900.0,9900.0,1
RC,892,"Acapatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Acesso, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram ",,,14.09,14.09,1
RC,892,"Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Advograft one, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Afamelanotide implant, 1 mg ",,,4856.64,4856.64,1
RC,892,"Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1271523.0,1271523.0,1
RC,892,"Affinity, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg ",,,0.4,0.4,1
RC,892,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ",,,0.13,0.13,1
RC,892,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme ",,,0.35,0.35,1
RC,892,"Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Alloderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Alloply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Alloskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amchothick, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"American amnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg ",,,2.92,2.92,1
RC,892,"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ",,,643.53,643.53,1
RC,892,"Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amniocore, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amniotx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Anacaulase-bcdb, 8.8% gel, 1 gram ",,,113.4,113.4,1
RC,892,"Anthrax vaccine, for subcutaneous or intramuscular use ",,,191.5,191.5,1
RC,892,"Anti-inhibitor, per i.u. ",,,3.99,3.99,1
RC,892,"Antithrombin iii (human), per i.u. ",,,6.77,6.77,1
RC,892,"Apis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Apligraf, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Aprepitant, oral, 5 mg ",,,3.94,3.94,1
RC,892,"Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms ",,,1.2,1.2,1
RC,892,"Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Artacent c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Ascendion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Ascent, 0.5 mg ",,,113.75,113.75,1
RC,892,"Autologous cultured chondrocytes, implant ",,,138148.31,138148.31,1
RC,892,"Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,877551.05,877551.05,1
RC,892,"Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Azathioprine, oral, 50 mg ",,,0.3,0.3,1
RC,892,"Azathioprine, parenteral, 100 mg ",,,420.35,420.35,1
RC,892,"Azithromycin dihydrate, oral, capsules/powder, 1 gram ",,,21.5,21.5,1
RC,892,"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use ",,,374.72,374.72,1
RC,892,"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use ",,,374.72,374.72,1
RC,892,"Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Bcg live intravesical instillation, 1 mg ",,,5.59,5.59,1
RC,892,"Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10°9 pfu/ml vector genomes, per 0.1 ml ",,,1657.56,1657.56,1
RC,892,"Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Biobrane, per square centimeter ",,,209.78,209.78,1
RC,892,"Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Biodfence, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Biovance, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,807329.49,807329.49,1
RC,892,"Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg ",,,7.72,7.72,1
RC,892,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg ",,,1.82,1.82,1
RC,892,"Buprenorphine, oral, 1 mg ",,,2.06,2.06,1
RC,892,"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine ",,,31.19,31.19,1
RC,892,"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine ",,,15.66,15.66,1
RC,892,"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine ",,,16.47,16.47,1
RC,892,"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine ",,,9.62,9.62,1
RC,892,"Busulfan; oral, 2 mg ",,,16.7,16.7,1
RC,892,"Cabergoline, oral, 0.25 mg ",,,0.25,0.25,1
RC,892,"Calcium acetate, oral, 23 mg (for esrd on dialysis) ",,,0.05,0.05,1
RC,892,"Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) ",,,1100.67,1100.67,1
RC,892,"Capecitabine, oral, 50 mg ",,,0.05,0.05,1
RC,892,"Capsaicin 8% patch, per square centimeter ",,,5.64,5.64,1
RC,892,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml ",,,402.67,402.67,1
RC,892,"Caregraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Chikungunya virus vaccine, recombinant, for intramuscular use ",,,680.63,680.63,1
RC,892,"Chloroprocaine hcl ophthalmic, 3% gel, 1 mg ",,,0.97,0.97,1
RC,892,"Choline c-11, diagnostic, per study dose up to 20 millicuries ",,,4152.11,4152.11,1
RC,892,"Choriofix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Choriply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Chromic phosphate p-32 suspension, therapeutic, per millicurie ",,,257.93,257.93,1
RC,892,"Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries ",,,3164.63,3164.63,1
RC,892,"Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,971016.44,971016.44,1
RC,892,"Cinacalcet, oral, 1 mg, (for esrd on dialysis) ",,,1.63,1.63,1
RC,892,"Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie ",,,337.84,337.84,1
RC,892,"Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie ",,,2.21,2.21,1
RC,892,"Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Complete aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Complete aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Complete sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Copper cu-64, dotatate, diagnostic, 1 millicurie ",,,980.56,980.56,1
RC,892,"Coretext or protext, per cc ",,,5313.0,5313.0,1
RC,892,"Corplex p or theracor p or allacor p, per milligram ",,,188.91,188.91,1
RC,892,"Corplex, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ",,,81.26,81.26,1
RC,892,"Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams ",,,0.54,0.54,1
RC,892,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams ",,,1.34,1.34,1
RC,892,"Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Cyclophosphamide; oral, 25 mg ",,,2.72,2.72,1
RC,892,"Cyclosporine, oral, 100 mg ",,,2.36,2.36,1
RC,892,"Cyclosporine, oral, 25 mg ",,,1.04,1.04,1
RC,892,"Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Cygnus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Cytal, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use ",,,3582.93,3582.93,1
RC,892,"Dacarbazine, 100 mg ",,,6.35,6.35,1
RC,892,"Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use ",,,130.68,130.68,1
RC,892,"Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dermabind tl + or dermabind tl x,  per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dermapure, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dexamethasone (hemady), oral, 0.25 mg ",,,0.71,0.71,1
RC,892,"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg ",,,152.71,152.71,1
RC,892,"Dexamethasone, oral, 0.25 mg ",,,0.05,0.05,1
RC,892,"Dexmedetomidine, oral, 1 mcg ",,,1.45,1.45,1
RC,892,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a ",,,2.28,2.28,1
RC,892,"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use ",,,30.31,30.31,1
RC,892,"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use ",,,129.84,129.84,1
RC,892,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use ",,,233.1,233.1,1
RC,892,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use ",,,218.96,218.96,1
RC,892,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intr",,,329.88,329.88,1
RC,892,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use ",,,61.12,61.12,1
RC,892,"Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 h",,,94.25,94.25,1
RC,892,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,91.03,91.03,1
RC,892,"Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ",,,6.42,6.42,1
RC,892,"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,2.72,2.72,1
RC,892,"Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"E-graft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Edetate disodium, per 150 mg ",,,0.54,0.54,1
RC,892,"Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,117.88,117.88,1
RC,892,"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv) ",,,0.81,0.81,1
RC,892,"Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Ensifentrine, inhalation suspension, fda approved final product, non-compounded, administered through dme, unit dose form, 3 mg ",,,86.0,86.0,1
RC,892,"Enverse, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Epicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Epieffect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Epifix, injectable, 1 mg ",,,31.96,31.96,1
RC,892,"Epifix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Epixpress, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Esano a, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Esano ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Esano aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Esketamine, nasal spray, 1 mg ",,,31.65,31.65,1
RC,892,"Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each ",,,309.03,309.03,1
RC,892,"Etonogestrel (contraceptive) implant system, including implant and supplies ",,,2525.21,2525.21,1
RC,892,"Etoposide; oral, 50 mg ",,,143.29,143.29,1
RC,892,"Everolimus, oral, 0.25 mg ",,,2.05,2.05,1
RC,892,"Excellagen, 0.1 cc ",,,287.1,287.1,1
RC,892,"Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Factor ix (antihemophilic factor, purified, non-recombinant) per i.u. ",,,2.26,2.26,1
RC,892,"Factor ix, complex, per i.u. ",,,2.81,2.81,1
RC,892,"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram ",,,4.36,4.36,1
RC,892,"Factor viia (antihemophilic factor, recombinant)-jncw (sevenfact), 1 microgram ",,,3.63,3.63,1
RC,892,"Factor viii (antihemophilic factor (porcine)), per i.u. ",,,9.01,9.01,1
RC,892,"Factor viii (antihemophilic factor, human) per i.u. ",,,2.29,2.29,1
RC,892,"Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified ",,,2.59,2.59,1
RC,892,"Fecal microbiota, live - jslm, 1 ml ",,,106.13,106.13,1
RC,892,"Ferric citrate, oral, 3 mg ferric iron, (for esrd on dialysis) ",,,0.05,0.05,1
RC,892,"Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries ",,,2614.71,2614.71,1
RC,892,"Florbetapir f18, diagnostic, per study dose, up to 10 millicuries ",,,3012.31,3012.31,1
RC,892,"Flortaucipir f 18 injection, diagnostic, 1 millicurie ",,,612.15,612.15,1
RC,892,"Flotufolastat f 18, diagnostic, 1 millicurie ",,,1107.51,1107.51,1
RC,892,"Floweramnioflo, 0.1 cc ",,,297.0,297.0,1
RC,892,"Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Fluciclovine f-18, diagnostic, 1 millicurie ",,,531.75,531.75,1
RC,892,"Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram ",,,17.08,17.08,1
RC,892,"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ",,,711.5,711.5,1
RC,892,"Fluorodopa f-18, diagnostic, per millicurie ",,,1411.66,1411.66,1
RC,892,"Fluoroestradiol f 18, diagnostic, 1 millicurie ",,,759.69,759.69,1
RC,892,"Flurpiridaz f 18, diagnostic, 1 millicurie ",,,874.5,874.5,1
RC,892,"Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries ",,,3207.62,3207.62,1
RC,892,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms ",,,2.94,2.94,1
RC,892,"Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,2538.39,2538.39,1
RC,892,"Foundation drs+ duo, per square centimeter ",,,209.78,209.78,1
RC,892,"Foundation drs+ solo, per square centimeter ",,,209.78,209.78,1
RC,892,"Gallium ga-67 citrate, diagnostic, per millicurie ",,,37.47,37.47,1
RC,892,"Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie ",,,1932.65,1932.65,1
RC,892,"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie ",,,789.56,789.56,1
RC,892,"Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie ",,,598.13,598.13,1
RC,892,"Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie ",,,599.78,599.78,1
RC,892,"Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie ",,,907.71,907.71,1
RC,892,"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie ",,,81.89,81.89,1
RC,892,"Gallium ga-68, dotatoc, diagnostic, 0.01 mci ",,,5.96,5.96,1
RC,892,"Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Gefitinib, oral, 250 mg ",,,480.15,480.15,1
RC,892,"Gemcitabine intravesical system, 225 mg ",,,120595.63,120595.63,1
RC,892,"Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Goserelin acetate implant, per 3.6 mg ",,,2227.38,2227.38,1
RC,892,"Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Graftjacket xpress, injectable, 1 cc ",,,3295.88,3295.88,1
RC,892,"Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a ",,,97.43,97.43,1
RC,892,"Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible ",,,542.19,542.19,1
RC,892,"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use ",,,62.07,62.07,1
RC,892,"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use ",,,26.93,26.93,1
RC,892,"Helicoll, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use ",,,279.87,279.87,1
RC,892,"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use ",,,121.65,121.65,1
RC,892,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use ",,,70.97,70.97,1
RC,892,"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use ",,,51.81,51.81,1
RC,892,"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use ",,,82.12,82.12,1
RC,892,"Hepatitis B immune globulin (HBIg), human, for intramuscular use ",,,231.35,231.35,1
RC,892,"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use ",,,121.8,121.8,1
RC,892,"Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use ",,,292.97,292.97,1
RC,892,"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use ",,,124.0,124.0,1
RC,892,"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use ",,,124.0,124.0,1
RC,892,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use ",,,271.29,271.29,1
RC,892,"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use ",,,271.29,271.29,1
RC,892,"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use ",,,54.78,54.78,1
RC,892,"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml ",,,0.43,0.43,1
RC,892,"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml ",,,0.36,0.36,1
RC,892,"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml ",,,0.13,0.13,1
RC,892,"Histrelin implant (supprelin la), 50 mg ",,,67936.16,67936.16,1
RC,892,"Histrelin implant (vantas), 50 mg ",,,7770.72,7770.72,1
RC,892,"Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use ",,,651.35,651.35,1
RC,892,"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use ",,,186.83,186.83,1
RC,892,"Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.98,209.98,1
RC,892,"Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml ",,,237.11,237.11,1
RC,892,"Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg ",,,11.1,11.1,1
RC,892,"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ",,,174.21,174.21,1
RC,892,"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose ",,,869.2,869.2,1
RC,892,"Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg ",,,1.12,1.12,1
RC,892,"Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose ",,,122.81,122.81,1
RC,892,"Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg ",,,29.91,29.91,1
RC,892,"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose ",,,1081.31,1081.31,1
RC,892,"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ",,,180.0,180.0,1
RC,892,"Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg ",,,5.15,5.15,1
RC,892,"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ",,,11.48,11.48,1
RC,892,"Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg ",,,17.41,17.41,1
RC,892,"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg ",,,5.4,5.4,1
RC,892,"Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg ",,,6.07,6.07,1
RC,892,"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 ho",,,3.3,3.3,1
RC,892,"Hypertonic saline solution, 1 ml ",,,0.17,0.17,1
RC,892,"Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,923638.78,923638.78,1
RC,892,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms ",,,262.33,262.33,1
RC,892,"Immune globulin (Ig), human, for intramuscular use ",,,197.13,197.13,1
RC,892,"Immune globulin (IgIV), human, for intravenous use ",,,157.92,157.92,1
RC,892,"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each ",,,39.9,39.9,1
RC,892,"Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries ",,,2854.98,2854.98,1
RC,892,"Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries ",,,6782.57,6782.57,1
RC,892,"Indium in-111 labeled autologous platelets, diagnostic, per study dose ",,,7915.66,7915.66,1
RC,892,"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose ",,,1820.26,1820.26,1
RC,892,"Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie ",,,1371.91,1371.91,1
RC,892,"Indium in-111 pentetate, diagnostic, per 0.5 millicurie ",,,1230.27,1230.27,1
RC,892,"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries ",,,3301.55,3301.55,1
RC,892,"Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries ",,,2766.04,2766.04,1
RC,892,"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use ",,,161.96,161.96,1
RC,892,"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use ",,,161.96,161.96,1
RC,892,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ",,,42.47,42.47,1
RC,892,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ",,,20.39,20.39,1
RC,892,"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ",,,92.3,92.3,1
RC,892,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use ",,,18.2,18.2,1
RC,892,"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use ",,,36.42,36.42,1
RC,892,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use ",,,22.08,22.08,1
RC,892,"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use ",,,38.31,38.31,1
RC,892,"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use ",,,161.96,161.96,1
RC,892,"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use ",,,81.68,81.68,1
RC,892,"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use ",,,49.02,49.02,1
RC,892,"Infusion, albumin (human), 25%, 20 ml ",,,35.03,35.03,1
RC,892,"Infusion, albumin (human), 25%, 50 ml ",,,87.58,87.58,1
RC,892,"Infusion, albumin (human), 5%, 250 ml ",,,87.58,87.58,1
RC,892,"Infusion, albumin (human), 5%, 50 ml ",,,17.52,17.52,1
RC,892,"Infusion, d5w, 1000 cc ",,,5.07,5.07,1
RC,892,"Infusion, dextran 40, 500 ml ",,,642.05,642.05,1
RC,892,"Infusion, normal saline solution , 1000 cc ",,,3.61,3.61,1
RC,892,"Infusion, normal saline solution, 250 cc ",,,1.16,1.16,1
RC,892,"Infusion, normal saline solution, sterile (500 ml = 1 unit) ",,,2.24,2.24,1
RC,892,"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies ",,,103.82,103.82,1
RC,892,"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies ",,,1733.72,1733.72,1
RC,892,"Injection abciximab, 10 mg ",,,951.77,951.77,1
RC,892,"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu ",,,7.43,7.43,1
RC,892,"Injection fluconazole, 200 mg ",,,6.39,6.39,1
RC,892,"Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,73.79,73.79,1
RC,892,"Injection, abobotulinumtoxina, 5 units ",,,14.69,14.69,1
RC,892,"Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,1
RC,892,"Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg ",,,0.08,0.08,1
RC,892,"Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg ",,,0.1,0.1,1
RC,892,"Injection, acetaminophen 10 mg and ibuprofen 3 mg ",,,0.15,0.15,1
RC,892,"Injection, acetaminophen, not otherwise specified,10 mg ",,,0.08,0.08,1
RC,892,"Injection, acetazolamide sodium, up to 500 mg ",,,40.19,40.19,1
RC,892,"Injection, acetylcysteine, 100 mg ",,,0.84,0.84,1
RC,892,"Injection, acyclovir, 5 mg ",,,0.03,0.03,1
RC,892,"Injection, adalimumab, 1 mg ",,,269.25,269.25,1
RC,892,"Injection, adalimumab-aaty, biosimilar, 1 mg ",,,36.3,36.3,1
RC,892,"Injection, adalimumab-adbm, biosimilar, 1 mg ",,,133.62,133.62,1
RC,892,"Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg ",,,32.11,32.11,1
RC,892,"Injection, adalimumab-fkjp, biosimilar, 1 mg ",,,94.23,94.23,1
RC,892,"Injection, adalimumab-ryvk biosimilar, 1 mg ",,,43.46,43.46,1
RC,892,"Injection, adamts13, recombinant-krhn, 10 iu ",,,58.71,58.71,1
RC,892,"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) ",,,0.79,0.79,1
RC,892,"Injection, ado-trastuzumab emtansine, 1 mg ",,,69.63,69.63,1
RC,892,"Injection, aflibercept hd, 1 mg ",,,496.95,496.95,1
RC,892,"Injection, aflibercept, 1 mg ",,,1207.62,1207.62,1
RC,892,"Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg ",,,1355.31,1355.31,1
RC,892,"Injection, agalsidase beta, 1 mg ",,,375.51,375.51,1
RC,892,"Injection, aldesleukin, per single use vial ",,,5509.14,5509.14,1
RC,892,"Injection, alemtuzumab, 1 mg ",,,4026.69,4026.69,1
RC,892,"Injection, alglucosidase alfa, (lumizyme), 10 mg ",,,342.39,342.39,1
RC,892,"Injection, allopurinol sodium, 1 mg ",,,6.29,6.29,1
RC,892,"Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg ",,,9.34,9.34,1
RC,892,"Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg ",,,8.48,8.48,1
RC,892,"Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,0.79,0.79,1
RC,892,"Injection, alteplase recombinant, 1 mg ",,,156.9,156.9,1
RC,892,"Injection, amifostine, 500 mg ",,,722.52,722.52,1
RC,892,"Injection, amikacin sulfate, 100 mg ",,,1.01,1.01,1
RC,892,"Injection, aminocaproic acid, 1 gram ",,,2.59,2.59,1
RC,892,"Injection, aminophyllin, up to 250 mg ",,,18.69,18.69,1
RC,892,"Injection, amiodarone hydrochloride (nexterone), 30 mg ",,,4.11,4.11,1
RC,892,"Injection, amiodarone hydrochloride, 30 mg ",,,0.64,0.64,1
RC,892,"Injection, amisulpride, 1 mg ",,,15.77,15.77,1
RC,892,"Injection, amivantamab-vmjw, 2 mg ",,,37.34,37.34,1
RC,892,"Injection, amobarbital, up to 125 mg ",,,19.29,19.29,1
RC,892,"Injection, amphotericin b lipid complex, 10 mg ",,,30.86,30.86,1
RC,892,"Injection, amphotericin b liposome, 10 mg ",,,37.64,37.64,1
RC,892,"Injection, amphotericin b, 50 mg ",,,73.14,73.14,1
RC,892,"Injection, ampicillin sodium, 500 mg ",,,1.06,1.06,1
RC,892,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm ",,,2.23,2.23,1
RC,892,"Injection, anidulafungin, 1 mg ",,,0.81,0.81,1
RC,892,"Injection, anifrolumab-fnia, 1 mg ",,,30.21,30.21,1
RC,892,"Injection, antihemophilic factor viii/von willebrand factor complex (human), per factor viii i.u. ",,,2.06,2.06,1
RC,892,"Injection, apomorphine hydrochloride, 1 mg ",,,71.15,71.15,1
RC,892,"Injection, aprepitant (aponvie), 1 mg ",,,3.22,3.22,1
RC,892,"Injection, aprepitant, 1 mg ",,,2.79,2.79,1
RC,892,"Injection, argatroban (accord), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,3.0,3.0,1
RC,892,"Injection, argatroban (accord), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,7.84,7.84,1
RC,892,"Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) ",,,2.28,2.28,1
RC,892,"Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis) ",,,2.28,2.28,1
RC,892,"Injection, argatroban, 1 mg (for esrd on dialysis) ",,,1.67,1.67,1
RC,892,"Injection, argatroban, 1 mg (for non-esrd use) ",,,1.67,1.67,1
RC,892,"Injection, aripiprazole (abilify asimtufii), 1 mg ",,,9.93,9.93,1
RC,892,"Injection, aripiprazole (abilify maintena), 1 mg ",,,12.0,12.0,1
RC,892,"Injection, aripiprazole lauroxil, (aristada initio), 1 mg ",,,5.36,5.36,1
RC,892,"Injection, aripiprazole lauroxil, (aristada), 1 mg ",,,5.48,5.48,1
RC,892,"Injection, aripiprazole, intramuscular, 0.25 mg ",,,0.54,0.54,1
RC,892,"Injection, arsenic trioxide, 1 mg ",,,10.64,10.64,1
RC,892,"Injection, artesunate, 1 mg ",,,85.52,85.52,1
RC,892,"Injection, asparaginase, recombinant, (rylaze), 0.1 mg ",,,92.88,92.88,1
RC,892,"Injection, atezolizumab, 10 mg ",,,155.1,155.1,1
RC,892,"Injection, atezolizumab, 5 mg and hyaluronidase-tqjs ",,,52.72,52.72,1
RC,892,"Injection, atidarsagene autotemcel, per treatment ",,,7433250.0,7433250.0,1
RC,892,"Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg ",,,0.02,0.02,1
RC,892,"Injection, atropine sulfate, 0.01 mg ",,,0.17,0.17,1
RC,892,"Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg ",,,0.17,0.17,1
RC,892,"Injection, avacincaptad pegol, 0.1 mg ",,,170.61,170.61,1
RC,892,"Injection, avalglucosidase alfa-ngpt, 4 mg ",,,133.98,133.98,1
RC,892,"Injection, avelumab, 10 mg ",,,174.16,174.16,1
RC,892,"Injection, axatilimab-csfr, 0.1 mg ",,,91.82,91.82,1
RC,892,"Injection, azacitidine, 1 mg ",,,0.68,0.68,1
RC,892,"Injection, azithromycin, 500 mg ",,,3.2,3.2,1
RC,892,"Injection, aztreonam, 100 mg ",,,3.78,3.78,1
RC,892,"Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg) ",,,2.77,2.77,1
RC,892,"Injection, baclofen, 10 mg ",,,293.78,293.78,1
RC,892,"Injection, baclofen, 50 mcg for intrathecal trial ",,,89.66,89.66,1
RC,892,"Injection, basiliximab, 20 mg ",,,7940.31,7940.31,1
RC,892,"Injection, belatacept, 1 mg ",,,6.42,6.42,1
RC,892,"Injection, belimumab, 10 mg ",,,94.36,94.36,1
RC,892,"Injection, belinostat, 10 mg ",,,87.63,87.63,1
RC,892,"Injection, bendamustine hcl (bendeka), 1 mg ",,,21.29,21.29,1
RC,892,"Injection, bendamustine hydrochloride (vivimusta), 1 mg ",,,52.37,52.37,1
RC,892,"Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg ",,,23.0,23.0,1
RC,892,"Injection, bendamustine hydrochloride, 1 mg ",,,3.56,3.56,1
RC,892,"Injection, benralizumab, 1 mg ",,,269.54,269.54,1
RC,892,"Injection, benztropine mesylate, per 1 mg ",,,22.31,22.31,1
RC,892,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg ",,,11.5,11.5,1
RC,892,"Injection, betibeglogene autotemcel, per treatment ",,,4848228.0,4848228.0,1
RC,892,"Injection, bevacizumab, 0.25 mg ",,,3.07,3.07,1
RC,892,"Injection, bevacizumab, 10 mg ",,,122.69,122.69,1
RC,892,"Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg ",,,57.17,57.17,1
RC,892,"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg ",,,39.17,39.17,1
RC,892,"Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg ",,,42.65,42.65,1
RC,892,"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg ",,,85.12,85.12,1
RC,892,"Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg ",,,139.23,139.23,1
RC,892,"Injection, bezlotoxumab, 10 mg ",,,65.72,65.72,1
RC,892,"Injection, bimatoprost, intracameral implant, 1 microgram ",,,353.13,353.13,1
RC,892,"Injection, bivalirudin (endo), not therapeutically equivalent to j0583, 1 mg ",,,0.21,0.21,1
RC,892,"Injection, bivalirudin, 1 mg ",,,0.2,0.2,1
RC,892,"Injection, bleomycin sulfate, 15 units ",,,27.39,27.39,1
RC,892,"Injection, blinatumomab, 1 microgram ",,,270.53,270.53,1
RC,892,"Injection, bortezomib (boruzu), 0.1 mg ",,,41.93,41.93,1
RC,892,"Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg ",,,5.71,5.71,1
RC,892,"Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg ",,,11.5,11.5,1
RC,892,"Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg ",,,2.08,2.08,1
RC,892,"Injection, bortezomib, 0.1 mg ",,,3.71,3.71,1
RC,892,"Injection, brentuximab vedotin, 1 mg ",,,443.4,443.4,1
RC,892,"Injection, brolucizumab-dbll, 1 mg ",,,582.57,582.57,1
RC,892,"Injection, brompheniramine maleate, per 10 mg ",,,0.54,0.54,1
RC,892,"Injection, bumetanide, 0.5 mg ",,,0.78,0.78,1
RC,892,"Injection, bupivacaine liposome, 1 mg ",,,2.33,2.33,1
RC,892,"Injection, bupivicaine, not otherwise specified, 0.5 mg ",,,0.02,0.02,1
RC,892,"Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ",,,2753.59,2753.59,1
RC,892,"Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy ",,,688.4,688.4,1
RC,892,"Injection, buprenorphine extended-release (sublocade), greater than 100 mg ",,,3294.32,3294.32,1
RC,892,"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg ",,,3294.32,3294.32,1
RC,892,"Injection, buprenorphine hydrochloride, 0.1 mg ",,,6.88,6.88,1
RC,892,"Injection, burosumab-twza 1 mg ",,,822.89,822.89,1
RC,892,"Injection, butorphanol tartrate, 1 mg ",,,10.15,10.15,1
RC,892,"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units ",,,24.92,24.92,1
RC,892,"Injection, c-1 esterase inhibitor (human), berinert, 10 units ",,,125.48,125.48,1
RC,892,"Injection, c-1 esterase inhibitor (human), cinryze, 10 units ",,,108.08,108.08,1
RC,892,"Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units ",,,60.52,60.52,1
RC,892,"Injection, cabazitaxel, 1 mg ",,,381.23,381.23,1
RC,892,"Injection, cabotegravir and rilpivirine, 2mg/3mg ",,,39.9,39.9,1
RC,892,"Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,11.8,11.8,1
RC,892,"Injection, caffeine citrate, 5 mg ",,,3.0,3.0,1
RC,892,"Injection, calaspargase pegol-mknl, 10 units ",,,135.43,135.43,1
RC,892,"Injection, calcitonin salmon, up to 400 units ",,,2364.78,2364.78,1
RC,892,"Injection, calcitriol, 0.1 mcg ",,,1.96,1.96,1
RC,892,"Injection, calcium chloride, 2 mg ",,,0.05,0.05,1
RC,892,"Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg ",,,0.12,0.12,1
RC,892,"Injection, calcium gluconate, not otherwise specified, 10 mg ",,,0.05,0.05,1
RC,892,"Injection, calcium glycerophosphate and calcium lactate, per 10 ml ",,,18.74,18.74,1
RC,892,"Injection, canakinumab, 1 mg ",,,246.79,246.79,1
RC,892,"Injection, cangrelor, 1 mg ",,,33.03,33.03,1
RC,892,"Injection, caplacizumab-yhdp, 1 mg ",,,1322.08,1322.08,1
RC,892,"Injection, carboplatin (avyxa), 1 mg ",,,8.65,8.65,1
RC,892,"Injection, carboplatin, 50 mg ",,,4.85,4.85,1
RC,892,"Injection, carboprost tromethamine, 0.1 mg ",,,25.67,25.67,1
RC,892,"Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose ",,,2069.1,2069.1,1
RC,892,"Injection, carfilzomib, 1 mg ",,,92.8,92.8,1
RC,892,"Injection, carmustine, 100 mg ",,,398.97,398.97,1
RC,892,"Injection, casimersen, 10 mg ",,,274.23,274.23,1
RC,892,"Injection, caspofungin acetate, 5 mg ",,,5.91,5.91,1
RC,892,"Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg ",,,2.05,2.05,1
RC,892,"Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg ",,,1.4,1.4,1
RC,892,"Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg ",,,1.22,1.22,1
RC,892,"Injection, cefazolin sodium, 500 mg ",,,1.4,1.4,1
RC,892,"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg ",,,8.07,8.07,1
RC,892,"Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to maxipime, 500 mg ",,,9.75,9.75,1
RC,892,"Injection, cefepime hydrochloride, 500 mg ",,,2.1,2.1,1
RC,892,"Injection, cefiderocol, 10 mg ",,,3.99,3.99,1
RC,892,"Injection, cefotaxime sodium, per gm ",,,12.13,12.13,1
RC,892,"Injection, cefotetan disodium, 10 mg ",,,0.48,0.48,1
RC,892,"Injection, cefoxitin sodium, 1 gm ",,,5.87,5.87,1
RC,892,"Injection, ceftaroline fosamil, 10 mg ",,,7.01,7.01,1
RC,892,"Injection, ceftazidime and avibactam, 0.5 g/0.125 g ",,,172.84,172.84,1
RC,892,"Injection, ceftazidime, per 500 mg ",,,2.33,2.33,1
RC,892,"Injection, ceftobiprole medocaril sodium, 3 mg ",,,1.82,1.82,1
RC,892,"Injection, ceftolozane 50 mg and tazobactam 25 mg ",,,14.59,14.59,1
RC,892,"Injection, ceftriaxone sodium, per 250 mg ",,,0.71,0.71,1
RC,892,"Injection, cemiplimab-rwlc, 1 mg ",,,49.1,49.1,1
RC,892,"Injection, cerliponase alfa, 1 mg ",,,199.93,199.93,1
RC,892,"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,6.25,6.25,1
RC,892,"Injection, cetirizine hydrochloride, 0.5 mg ",,,27.92,27.92,1
RC,892,"Injection, cetuximab, 10 mg ",,,132.76,132.76,1
RC,892,"Injection, chloramphenicol sodium succinate, up to 1 gm ",,,96.33,96.33,1
RC,892,"Injection, chlordiazepoxide hcl, up to 100 mg ",,,34.17,34.17,1
RC,892,"Injection, chloroprocaine hydrochloride, per 1 mg ",,,0.07,0.07,1
RC,892,"Injection, chlorothiazide sodium, per 500 mg ",,,77.42,77.42,1
RC,892,"Injection, chlorpromazine hcl, up to 50 mg ",,,34.58,34.58,1
RC,892,"Injection, chorionic gonadotropin, per 1,000 usp units ",,,25.03,25.03,1
RC,892,"Injection, cidofovir, 375 mg ",,,925.3,925.3,1
RC,892,"Injection, cilastatin sodium; imipenem, per 250 mg ",,,10.43,10.43,1
RC,892,"Injection, cipaglucosidase alfa-atga, 5 mg ",,,152.46,152.46,1
RC,892,"Injection, ciprofloxacin for intravenous infusion, 200 mg ",,,1.25,1.25,1
RC,892,"Injection, cisplatin, powder or solution, 10 mg ",,,3.58,3.58,1
RC,892,"Injection, cladribine, per 1 mg ",,,14.4,14.4,1
RC,892,"Injection, clevidipine butyrate, 1 mg ",,,4.69,4.69,1
RC,892,"Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg ",,,3.83,3.83,1
RC,892,"Injection, clindamycin phosphate, 300 mg ",,,3.07,3.07,1
RC,892,"Injection, clofarabine, 1 mg ",,,18.05,18.05,1
RC,892,"Injection, clonidine hydrochloride, 1 mg ",,,29.57,29.57,1
RC,892,"Injection, coagulation factor ix (recombinant), ixinity, 1 i.u. ",,,3.25,3.25,1
RC,892,"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg ",,,216.41,216.41,1
RC,892,"Injection, codeine phosphate, per 30 mg ",,,1.65,1.65,1
RC,892,"Injection, colistimethate sodium, up to 150 mg ",,,23.55,23.55,1
RC,892,"Injection, collagenase, clostridium histolyticum, 0.01 mg ",,,129.28,129.28,1
RC,892,"Injection, concizumab-mtci, 0.5 mg ",,,137.73,137.73,1
RC,892,"Injection, corticotropin (acthar gel), up to 40 units ",,,6755.53,6755.53,1
RC,892,"Injection, corticotropin (ani), up to 40 units ",,,5892.73,5892.73,1
RC,892,"Injection, cosibelimab-ipdl, 2 mg ",,,37.82,37.82,1
RC,892,"Injection, cosyntropin, 0.25 mg ",,,26.83,26.83,1
RC,892,"Injection, crizanlizumab-tmca, 5 mg ",,,214.4,214.4,1
RC,892,"Injection, crotalidae immune f(ab')2 (equine), 120 mg ",,,2613.6,2613.6,1
RC,892,"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram ",,,3037.68,3037.68,1
RC,892,"Injection, crovalimab-akkz, 10 mg ",,,909.99,909.99,1
RC,892,"Injection, cyclophosphamide (auromedics), 5 mg ",,,0.86,0.86,1
RC,892,"Injection, cyclophosphamide (baxter), 5 mg ",,,6.14,6.14,1
RC,892,"Injection, cyclophosphamide (dr. reddy's), 5 mg ",,,0.83,0.83,1
RC,892,"Injection, cyclophosphamide (frindovyx), 5 mg ",,,15.02,15.02,1
RC,892,"Injection, cyclophosphamide (sandoz), 5 mg ",,,6.02,6.02,1
RC,892,"Injection, cyclophosphamide, not otherwise specified, 5 mg ",,,1.27,1.27,1
RC,892,"Injection, cyclosporine, 250 mg ",,,122.43,122.43,1
RC,892,"Injection, cytarabine, 100 mg ",,,1.32,1.32,1
RC,892,"Injection, cytomegalovirus immune globulin intravenous (human), per vial ",,,2984.21,2984.21,1
RC,892,"Injection, dactinomycin, 0.5 mg ",,,557.16,557.16,1
RC,892,"Injection, dalbavancin, 5 mg ",,,24.75,24.75,1
RC,892,"Injection, dalteparin sodium, per 2500 iu ",,,26.17,26.17,1
RC,892,"Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg ",,,0.1,0.1,1
RC,892,"Injection, daptomycin (hospira), not therapeutically equivalent to j0878, 1 mg ",,,0.08,0.08,1
RC,892,"Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg ",,,0.05,0.05,1
RC,892,"Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg ",,,0.08,0.08,1
RC,892,"Injection, daptomycin, 1 mg ",,,0.05,0.05,1
RC,892,"Injection, daratumumab, 10 mg ",,,116.77,116.77,1
RC,892,"Injection, daratumumab, 10 mg and hyaluronidase-fihj ",,,90.8,90.8,1
RC,892,"Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) ",,,5.07,5.07,1
RC,892,"Injection, darbepoetin alfa, 1 microgram (non-esrd use) ",,,5.07,5.07,1
RC,892,"Injection, datopotamab deruxtecan-dlnk, 1 mg ",,,85.01,85.01,1
RC,892,"Injection, daunorubicin, 10 mg ",,,40.84,40.84,1
RC,892,"Injection, daxibotulinumtoxina-lanm, 1 unit ",,,5.1,5.1,1
RC,892,"Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg ",,,1.11,1.11,1
RC,892,"Injection, decitabine, 1 mg ",,,1.65,1.65,1
RC,892,"Injection, deferoxamine mesylate, 500 mg ",,,14.16,14.16,1
RC,892,"Injection, degarelix, 1 mg ",,,7.36,7.36,1
RC,892,"Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose ",,,5480271.03,5480271.03,1
RC,892,"Injection, denileukin diftitox-cxdl, 1 mcg ",,,23.96,23.96,1
RC,892,"Injection, denosumab, 1 mg ",,,48.69,48.69,1
RC,892,"Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg ",,,46.05,46.05,1
RC,892,"Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg ",,,43.25,43.25,1
RC,892,"Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg ",,,49.17,49.17,1
RC,892,"Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg ",,,32.18,32.18,1
RC,892,"Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg ",,,51.66,51.66,1
RC,892,"Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg ",,,26.14,26.14,1
RC,892,"Injection, depo-estradiol cypionate, up to 5 mg ",,,85.5,85.5,1
RC,892,"Injection, desmopressin acetate, per 1 mcg ",,,5.63,5.63,1
RC,892,"Injection, dexamethasone 9 percent, intraocular, 1 microgram ",,,4.47,4.47,1
RC,892,"Injection, dexamethasone sodium phosphate, 1 mg ",,,0.18,0.18,1
RC,892,"Injection, dexamethasone, intravitreal implant, 0.1 mg ",,,336.25,336.25,1
RC,892,"Injection, dexrazoxane hydrochloride, per 250 mg ",,,82.07,82.07,1
RC,892,"Injection, diazepam, up to 5 mg ",,,14.04,14.04,1
RC,892,"Injection, diazoxide, up to 300 mg ",,,167.54,167.54,1
RC,892,"Injection, dicyclomine hcl, up to 20 mg ",,,15.46,15.46,1
RC,892,"Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis) ",,,0.46,0.46,1
RC,892,"Injection, digoxin immune fab (ovine), per vial ",,,8525.53,8525.53,1
RC,892,"Injection, digoxin, up to 0.5 mg ",,,17.11,17.11,1
RC,892,"Injection, dihydroergotamine mesylate, per 1 mg ",,,90.57,90.57,1
RC,892,"Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg ",,,0.3,0.3,1
RC,892,"Injection, diltiazem hydrochloride, 0.5 mg ",,,0.07,0.07,1
RC,892,"Injection, dimenhydrinate, up to 50 mg ",,,12.74,12.74,1
RC,892,"Injection, diphenhydramine hcl, up to 50 mg ",,,1.14,1.14,1
RC,892,"Injection, dipyridamole, per 10 mg ",,,13.88,13.88,1
RC,892,"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml ",,,1235.82,1235.82,1
RC,892,"Injection, dobutamine hydrochloride, per 250 mg ",,,13.0,13.0,1
RC,892,"Injection, docetaxel (beizray), 1 mg ",,,76.05,76.05,1
RC,892,"Injection, docetaxel (docivyx), 1 mg ",,,83.51,83.51,1
RC,892,"Injection, docetaxel, 1 mg ",,,0.92,0.92,1
RC,892,"Injection, dolasetron mesylate, 10 mg ",,,6.06,6.06,1
RC,892,"Injection, donanemab-azbt, 2 mg ",,,6.83,6.83,1
RC,892,"Injection, dopamine hcl, 40 mg ",,,1.32,1.32,1
RC,892,"Injection, dostarlimab-gxly, 10 mg ",,,407.68,407.68,1
RC,892,"Injection, doxercalciferol, 1 mcg ",,,0.51,0.51,1
RC,892,"Injection, doxorubicin hydrochloride, 10 mg ",,,4.5,4.5,1
RC,892,"Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ",,,492.92,492.92,1
RC,892,"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg ",,,118.57,118.57,1
RC,892,"Injection, doxycycline hyclate, 1 mg ",,,0.15,0.15,1
RC,892,"Injection, droperidol, up to 5 mg ",,,11.9,11.9,1
RC,892,"Injection, durvalumab, 10 mg ",,,142.15,142.15,1
RC,892,"Injection, ecallantide, 1 mg ",,,954.94,954.94,1
RC,892,"Injection, eculizumab, 2 mg ",,,73.76,73.76,1
RC,892,"Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg ",,,52.68,52.68,1
RC,892,"Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg ",,,68.95,68.95,1
RC,892,"Injection, edaravone, 1 mg ",,,25.05,25.05,1
RC,892,"Injection, edetate calcium disodium, up to 1000 mg ",,,10069.74,10069.74,1
RC,892,"Injection, efbemalenograstim alfa-vuxw, 0.5 mg ",,,227.7,227.7,1
RC,892,"Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc ",,,56.64,56.64,1
RC,892,"Injection, efgartigimod alfa-fcab, 2mg ",,,53.81,53.81,1
RC,892,"Injection, eflapegrastim-xnst, 0.1 mg ",,,64.28,64.28,1
RC,892,"Injection, elivaldogene autotemcel, per treatment ",,,5247000.0,5247000.0,1
RC,892,"Injection, elliotts' b solution, 1 ml ",,,19.04,19.04,1
RC,892,"Injection, elosulfase alfa, 1 mg ",,,514.72,514.72,1
RC,892,"Injection, elotuzumab, 1 mg ",,,13.27,13.27,1
RC,892,"Injection, elranatamab-bcmm, 1 mg ",,,308.2,308.2,1
RC,892,"Injection, emapalumab-lzsg, 1 mg ",,,633.83,633.83,1
RC,892,"Injection, emicizumab-kxwh, 0.5 mg ",,,91.81,91.81,1
RC,892,"Injection, enfortumab vedotin-ejfv, 0.25 mg ",,,60.57,60.57,1
RC,892,"Injection, enfuvirtide, 1 mg ",,,0.54,0.54,1
RC,892,"Injection, enoxaparin sodium, 10 mg ",,,0.89,0.89,1
RC,892,"Injection, epcoritamab-bysp, 0.16 mg ",,,93.92,93.92,1
RC,892,"Injection, epinephrine (adrenalin), not therapeutically equivalent to j0165, 0.1 mg ",,,1.44,1.44,1
RC,892,"Injection, epinephrine (bpi), not therapeutically equivalent to j0165, 0.1 mg ",,,1.39,1.39,1
RC,892,"Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg ",,,0.71,0.71,1
RC,892,"Injection, epinephrine (hospira), not therapeutically equivalent to j0165, 0.1 mg ",,,1.78,1.78,1
RC,892,"Injection, epinephrine (international medication systems), not therapeutically equivalent to j0165, 0.1 mg ",,,4.75,4.75,1
RC,892,"Injection, epinephrine in sodium chloride (baxter), 0.1 mg ",,,1.52,1.52,1
RC,892,"Injection, epinephrine in sodium chloride (endo), 0.1 mg ",,,0.5,0.5,1
RC,892,"Injection, epinephrine, not otherwise specified, 0.1 mg ",,,0.51,0.51,1
RC,892,"Injection, epirubicin hcl, 2 mg ",,,2.92,2.92,1
RC,892,"Injection, epoetin alfa, (for non-esrd use), 1000 units ",,,12.06,12.06,1
RC,892,"Injection, epoetin alfa, 100 units (for esrd on dialysis) ",,,1.2,1.2,1
RC,892,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units ",,,1.3,1.3,1
RC,892,"Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units ",,,13.0,13.0,1
RC,892,"Injection, epoetin beta, 1 microgram, (for esrd on dialysis) ",,,1.7,1.7,1
RC,892,"Injection, epoetin beta, 1 microgram, (for non esrd use) ",,,1.7,1.7,1
RC,892,"Injection, epoprostenol, 0.5 mg ",,,24.55,24.55,1
RC,892,"Injection, eptifibatide, 5 mg ",,,5.38,5.38,1
RC,892,"Injection, eptinezumab-jjmr, 1 mg ",,,33.91,33.91,1
RC,892,"Injection, eravacycline, 1 mg ",,,2.13,2.13,1
RC,892,"Injection, eribulin mesylate, 0.1 mg ",,,126.65,126.65,1
RC,892,"Injection, ertapenem sodium, 500 mg ",,,11.91,11.91,1
RC,892,"Injection, erythromycin lactobionate, per 500 mg ",,,150.53,150.53,1
RC,892,"Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg ",,,0.33,0.33,1
RC,892,"Injection, esmolol hydrochloride, 10 mg ",,,0.4,0.4,1
RC,892,"Injection, esomeprazole sodium, 1 mg ",,,2.1,2.1,1
RC,892,"Injection, estradiol valerate, up to 10 mg ",,,11.86,11.86,1
RC,892,"Injection, estrogen conjugated, per 25 mg ",,,646.34,646.34,1
RC,892,"Injection, estrone, per 1 mg ",,,0.54,0.54,1
RC,892,"Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,2119.95,2119.95,1
RC,892,"Injection, etelcalcetide, 0.1 mg ",,,3.89,3.89,1
RC,892,"Injection, eteplirsen, 10 mg ",,,276.39,276.39,1
RC,892,"Injection, ethacrynate sodium, 1 mg ",,,30.15,30.15,1
RC,892,"Injection, ethanolamine oleate, 100 mg ",,,855.74,855.74,1
RC,892,"Injection, etoposide, 10 mg ",,,1.49,1.49,1
RC,892,"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose ",,,6090892.5,6090892.5,1
RC,892,"Injection, evinacumab-dgnb, 5mg ",,,326.09,326.09,1
RC,892,"Injection, exagamglogene autotemcel, per treatment ",,,3847800.0,3847800.0,1
RC,892,"Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified ",,,3.04,3.04,1
RC,892,"Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu ",,,2.87,2.87,1
RC,892,"Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u. ",,,8.78,8.78,1
RC,892,"Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u. ",,,5.91,5.91,1
RC,892,"Injection, factor viii (antihemophilic factor, recombinant) (xyntha), per i.u. ",,,2.46,2.46,1
RC,892,"Injection, factor viii (antihemophilic factor, recombinant), (obizur), per i.u. ",,,5.35,5.35,1
RC,892,"Injection, factor viii fc fusion protein (recombinant), per iu ",,,4.06,4.06,1
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), (afstyla), 1 i.u. ",,,2.59,2.59,1
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u. ",,,2.57,2.57,1
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu ",,,2.33,2.33,1
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), (nuwiq), 1 i.u. ",,,1.95,1.95,1
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated, 1 i.u. ",,,3.53,3.53,1
RC,892,"Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl, (jivi), 1 i.u. ",,,4.39,4.39,1
RC,892,"Injection, factor viii, antihemophilic factor (recombinant), (esperoct), glycopegylated-exei, per iu ",,,3.68,3.68,1
RC,892,"Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u. ",,,7.41,7.41,1
RC,892,"Injection, factor x, (human), 1 i.u. ",,,16.42,16.42,1
RC,892,"Injection, factor xiii (antihemophilic factor, human), 1 i.u. ",,,17.79,17.79,1
RC,892,"Injection, factor xiii a-subunit, (recombinant), per iu ",,,30.24,30.24,1
RC,892,"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg ",,,51.58,51.58,1
RC,892,"Injection, famotidine, 0.25 mg ",,,0.02,0.02,1
RC,892,"Injection, faricimab-svoa, 0.1 mg ",,,54.24,54.24,1
RC,892,"Injection, fentanyl citrate, 0.1 mg ",,,1.91,1.91,1
RC,892,"Injection, ferric carboxymaltose, 1 mg ",,,1.82,1.82,1
RC,892,"Injection, ferric derisomaltose, 10 mg ",,,36.18,36.18,1
RC,892,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) ",,,0.38,0.38,1
RC,892,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) ",,,0.38,0.38,1
RC,892,"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram ",,,1.68,1.68,1
RC,892,"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram ",,,0.46,0.46,1
RC,892,"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram ",,,0.53,0.53,1
RC,892,"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram ",,,0.58,0.58,1
RC,892,"Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram ",,,1.7,1.7,1
RC,892,"Injection, fitusiran, 0.04 mg ",,,218.84,218.84,1
RC,892,"Injection, floxuridine, 500 mg ",,,7014.1,7014.1,1
RC,892,"Injection, fludarabine phosphate, 50 mg ",,,359.25,359.25,1
RC,892,"Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg ",,,841.19,841.19,1
RC,892,"Injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg ",,,559.0,559.0,1
RC,892,"Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg ",,,874.32,874.32,1
RC,892,"Injection, fluorouracil, 500 mg ",,,3.4,3.4,1
RC,892,"Injection, fluphenazine decanoate, up to 25 mg ",,,9.22,9.22,1
RC,892,"Injection, fluphenazine hcl, 1.25 mg ",,,12.13,12.13,1
RC,892,"Injection, folic acid, 0.1 mg ",,,0.08,0.08,1
RC,892,"Injection, fomepizole, 15 mg ",,,10.79,10.79,1
RC,892,"Injection, fondaparinux sodium, 0.5 mg ",,,1.32,1.32,1
RC,892,"Injection, fosaprepitant (focinvez), 1 mg ",,,4.21,4.21,1
RC,892,"Injection, fosaprepitant (teva), not therapeutically equivalent to j1453, 1 mg ",,,0.07,0.07,1
RC,892,"Injection, fosaprepitant, 1 mg ",,,0.18,0.18,1
RC,892,"Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg ",,,1.16,1.16,1
RC,892,"Injection, foscarnet sodium, per 1000 mg ",,,13.79,13.79,1
RC,892,"Injection, fosdenopterin, 0.1 mg ",,,29.02,29.02,1
RC,892,"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg ",,,864.9,864.9,1
RC,892,"Injection, fosphenytoin, 50 mg phenytoin equivalent ",,,2.19,2.19,1
RC,892,"Injection, fremanezumab-vfrm, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) ",,,7.01,7.01,1
RC,892,"Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg ",,,44.73,44.73,1
RC,892,"Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg ",,,68.76,68.76,1
RC,892,"Injection, fulvestrant, 25 mg ",,,8.15,8.15,1
RC,892,"Injection, furosemide (furoscix), 20 mg ",,,485.4,485.4,1
RC,892,"Injection, furosemide, 1 mg ",,,0.03,0.03,1
RC,892,"Injection, gadobenate dimeglumine (multihance multipack), per ml ",,,2.84,2.84,1
RC,892,"Injection, gadobenate dimeglumine (multihance), per ml ",,,2.95,2.95,1
RC,892,"Injection, gadobutrol, 0.1 ml ",,,0.5,0.5,1
RC,892,"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ",,,2.39,2.39,1
RC,892,"Injection, gadopiclenol, 1 ml ",,,5.31,5.31,1
RC,892,"Injection, gadoterate meglumine, 0.1 ml ",,,0.15,0.15,1
RC,892,"Injection, gadoteridol, (prohance multipack), per ml ",,,2.29,2.29,1
RC,892,"Injection, gadoxetate disodium, 1 ml ",,,24.3,24.3,1
RC,892,"Injection, galsulfase, 1 mg ",,,847.44,847.44,1
RC,892,"Injection, gamma globulin, intramuscular, 1 cc ",,,80.77,80.77,1
RC,892,"Injection, gamma globulin, intramuscular, over 10 cc ",,,264.48,264.48,1
RC,892,"Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg ",,,99.0,99.0,1
RC,892,"Injection, ganciclovir sodium, 500 mg ",,,56.18,56.18,1
RC,892,"Injection, garamycin, gentamicin, up to 80 mg ",,,3.18,3.18,1
RC,892,"Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg ",,,8.73,8.73,1
RC,892,"Injection, gemcitabine hydrochloride (avyxa), 200 mg ",,,677.23,677.23,1
RC,892,"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg ",,,5.35,5.35,1
RC,892,"Injection, gemtuzumab ozogamicin, 0.1 mg ",,,396.28,396.28,1
RC,892,"Injection, givosiran, 0.5 mg ",,,199.62,199.62,1
RC,892,"Injection, glatiramer acetate, 20 mg ",,,427.81,427.81,1
RC,892,"Injection, glofitamab-gxbm, 2.5 mg ",,,4687.12,4687.12,1
RC,892,"Injection, glucagon (gvoke), 0.01 mg ",,,3.91,3.91,1
RC,892,"Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg ",,,222.75,222.75,1
RC,892,"Injection, glucagon hydrochloride, per 1 mg ",,,241.44,241.44,1
RC,892,"Injection, glucarpidase, 10 units ",,,741.02,741.02,1
RC,892,"Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg ",,,2.21,2.21,1
RC,892,"Injection, glycopyrrolate (glyrx-pf), 0.1 mg ",,,2.23,2.23,1
RC,892,"Injection, glycopyrrolate, 0.1 mg ",,,0.61,0.61,1
RC,892,"Injection, gold sodium thiomalate, up to 50 mg ",,,22.59,22.59,1
RC,892,"Injection, golimumab, 1 mg, for intravenous use ",,,18.63,18.63,1
RC,892,"Injection, golodirsen, 10 mg ",,,316.8,316.8,1
RC,892,"Injection, granisetron hydrochloride, 100 mcg ",,,0.26,0.26,1
RC,892,"Injection, granisetron, extended-release, 0.1 mg ",,,6.4,6.4,1
RC,892,"Injection, guselkumab, 1 mg ",,,111.89,111.89,1
RC,892,"Injection, haloperidol decanoate, per 50 mg ",,,10.02,10.02,1
RC,892,"Injection, haloperidol, up to 5 mg ",,,1.3,1.3,1
RC,892,"Injection, hemin, 1 mg ",,,58.26,58.26,1
RC,892,"Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units ",,,1.9,1.9,1
RC,892,"Injection, heparin sodium, (heparin lock flush), per 10 units ",,,0.03,0.03,1
RC,892,"Injection, heparin sodium, per 1000 units ",,,0.36,0.36,1
RC,892,"Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml ",,,115.88,115.88,1
RC,892,"Injection, hepatitis b immune globulin (hepagam b), intravenous, 0.5 ml ",,,115.88,115.88,1
RC,892,"Injection, histrelin acetate, 10 micrograms ",,,1.65,1.65,1
RC,892,"Injection, human fibrinogen concentrate (fibryga), 1 mg ",,,2.05,2.05,1
RC,892,"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg ",,,2.51,2.51,1
RC,892,"Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) ",,,0.54,0.54,1
RC,892,"Injection, hyaluronidase, ovine, preservative free, per 1000 usp units ",,,181.32,181.32,1
RC,892,"Injection, hyaluronidase, recombinant, 1 usp unit ",,,0.59,0.59,1
RC,892,"Injection, hyaluronidase, up to 150 units ",,,52.06,52.06,1
RC,892,"Injection, hydralazine hcl, up to 20 mg ",,,7.08,7.08,1
RC,892,"Injection, hydrocortisone sodium succinate, up to 100 mg ",,,36.53,36.53,1
RC,892,"Injection, hydromorphone, 0.1 mg ",,,0.17,0.17,1
RC,892,"Injection, hydroxocobalamin, intramuscular, 10 mcg ",,,0.02,0.02,1
RC,892,"Injection, hydroxocobalamin, intravenous, 25 mg ",,,8.98,8.98,1
RC,892,"Injection, hydroxyzine hcl, up to 25 mg ",,,25.03,25.03,1
RC,892,"Injection, hyoscyamine sulfate, up to 0.25 mg ",,,15.43,15.43,1
RC,892,"Injection, ibalizumab-uiyk, 10 mg ",,,128.17,128.17,1
RC,892,"Injection, ibandronate sodium, 1 mg ",,,14.95,14.95,1
RC,892,"Injection, ibuprofen, 100 mg ",,,5.25,5.25,1
RC,892,"Injection, ibutilide fumarate, 1 mg ",,,361.71,361.71,1
RC,892,"Injection, icatibant, 1 mg ",,,518.38,518.38,1
RC,892,"Injection, idarubicin hydrochloride, 5 mg ",,,65.6,65.6,1
RC,892,"Injection, idursulfase, 1 mg ",,,921.06,921.06,1
RC,892,"Injection, ifosfamide, 1 gram ",,,40.72,40.72,1
RC,892,"Injection, iloprost, 0.1 mcg ",,,9.42,9.42,1
RC,892,"Injection, imetelstat, 1 mg ",,,95.98,95.98,1
RC,892,"Injection, imiglucerase, 10 units ",,,70.67,70.67,1
RC,892,"Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg ",,,4.29,4.29,1
RC,892,"Injection, immune globulin (alyglo), 500 mg ",,,203.16,203.16,1
RC,892,"Injection, immune globulin (asceniv), 500 mg ",,,826.53,826.53,1
RC,892,"Injection, immune globulin (bivigam), 500 mg ",,,131.08,131.08,1
RC,892,"Injection, immune globulin (cutaquig), 100 mg ",,,22.98,22.98,1
RC,892,"Injection, immune globulin (cuvitru), 100 mg ",,,29.01,29.01,1
RC,892,"Injection, immune globulin (hizentra), 100 mg ",,,23.96,23.96,1
RC,892,"Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,121.82,121.82,1
RC,892,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,81.72,81.72,1
RC,892,"Injection, immune globulin (xembify), 100 mg ",,,25.36,25.36,1
RC,892,"Injection, immune globulin (yimmugo), 100 mg ",,,40.13,40.13,1
RC,892,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,149.72,149.72,1
RC,892,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg ",,,80.98,80.98,1
RC,892,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,106.67,106.67,1
RC,892,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg ",,,82.05,82.05,1
RC,892,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg ",,,77.62,77.62,1
RC,892,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg ",,,132.66,132.66,1
RC,892,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin ",,,31.02,31.02,1
RC,892,"Injection, inclisiran, 1 mg ",,,20.81,20.81,1
RC,892,"Injection, incobotulinumtoxin a, 1 unit ",,,8.73,8.73,1
RC,892,"Injection, indigotindisulfonate sodium, 1 mg ",,,15.35,15.35,1
RC,892,"Injection, inebilizumab-cdon, 1 mg ",,,817.66,817.66,1
RC,892,"Injection, infliximab, excludes biosimilar, 10 mg ",,,51.22,51.22,1
RC,892,"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg ",,,44.22,44.22,1
RC,892,"Injection, infliximab-axxq, biosimilar, (avsola), 10 mg ",,,46.27,46.27,1
RC,892,"Injection, infliximab-dyyb (zymfentra), 10 mg ",,,551.55,551.55,1
RC,892,"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg ",,,42.97,42.97,1
RC,892,"Injection, inotuzumab ozogamicin, 0.1 mg ",,,4647.67,4647.67,1
RC,892,"Injection, insulin, per 5 units ",,,0.81,0.81,1
RC,892,"Injection, interferon beta-1a, 1 mcg for intramuscular use ",,,299.9,299.9,1
RC,892,"Injection, interferon beta-1a, 1 mcg for subcutaneous use ",,,83.64,83.64,1
RC,892,"Injection, interferon beta-1a, 30 mcg ",,,5832.21,5832.21,1
RC,892,"Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,992.52,992.52,1
RC,892,"Injection, interferon, alfa-2a, recombinant, 3 million units ",,,57.87,57.87,1
RC,892,"Injection, interferon, alfa-2b, recombinant, 1 million units ",,,21.5,21.5,1
RC,892,"Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu ",,,59.63,59.63,1
RC,892,"Injection, interferon, gamma 1-b, 3 million units ",,,17403.36,17403.36,1
RC,892,"Injection, ipilimumab, 1 mg ",,,308.83,308.83,1
RC,892,"Injection, irinotecan liposome, 1 mg ",,,109.51,109.51,1
RC,892,"Injection, irinotecan, 20 mg ",,,2.52,2.52,1
RC,892,"Injection, iron dextran, 50 mg ",,,29.88,29.88,1
RC,892,"Injection, iron sucrose, 1 mg ",,,0.36,0.36,1
RC,892,"Injection, isatuximab-irfc, 10 mg ",,,137.91,137.91,1
RC,892,"Injection, isavuconazonium, 1 mg ",,,1.67,1.67,1
RC,892,"Injection, isoniazid, 1 mg ",,,0.5,0.5,1
RC,892,"Injection, itraconazole, 50 mg ",,,1549.73,1549.73,1
RC,892,"Injection, ixabepilone, 1 mg ",,,230.59,230.59,1
RC,892,"Injection, ketorolac tromethamine, per 15 mg ",,,0.56,0.56,1
RC,892,"Injection, labetalol hydrochloride (hikma), not therapeutically equivalent to j1920, 5 mg ",,,1.49,1.49,1
RC,892,"Injection, labetalol hydrochloride, 5 mg ",,,0.43,0.43,1
RC,892,"Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) ",,,143.3,143.3,1
RC,892,"Injection, lanreotide, (cipla), 1 mg ",,,53.11,53.11,1
RC,892,"Injection, lanreotide, 1 mg ",,,58.94,58.94,1
RC,892,"Injection, laronidase, 0.1 mg ",,,65.92,65.92,1
RC,892,"Injection, lefamulin, 1 mg ",,,1.35,1.35,1
RC,892,"Injection, lenacapavir (only for use as hiv treatment), 1 mg ",,,36.8,36.8,1
RC,892,"Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,26.57,26.57,1
RC,892,"Injection, leucovorin calcium, per 50 mg ",,,5.92,5.92,1
RC,892,"Injection, leuprolide acetate (for depot suspension), per 3.75 mg ",,,2913.19,2913.19,1
RC,892,"Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg ",,,232.17,232.17,1
RC,892,"Injection, leuprolide acetate for depot suspension (lutrate depot), 7.5 mg ",,,1144.37,1144.37,1
RC,892,"Injection, levetiracetam, 10 mg ",,,0.05,0.05,1
RC,892,"Injection, levocarnitine, per 1 gm ",,,38.1,38.1,1
RC,892,"Injection, levofloxacin, 250 mg ",,,3.56,3.56,1
RC,892,"Injection, levoleucovorin (khapzory), 0.5 mg ",,,2.13,2.13,1
RC,892,"Injection, levoleucovorin, not otherwise specified, 0.5 mg ",,,0.08,0.08,1
RC,892,"Injection, levorphanol tartrate, up to 2 mg ",,,4.97,4.97,1
RC,892,"Injection, levothyroxine sodium (fresenius kabi), not therapeutically equivalent to j0650, 10 mcg ",,,11.48,11.48,1
RC,892,"Injection, levothyroxine sodium (hikma), not therapeutically equivalent to j0650, 10 mcg ",,,10.43,10.43,1
RC,892,"Injection, levothyroxine sodium, not otherwise specified, 10 mcg ",,,12.23,12.23,1
RC,892,"Injection, lidocaine hcl in 5% dextrose, 1 mg ",,,0.02,0.02,1
RC,892,"Injection, lidocaine hcl with epinephrine, 1 mg ",,,0.07,0.07,1
RC,892,"Injection, lidocaine hydrochloride, 1 mg ",,,0.08,0.08,1
RC,892,"Injection, lincomycin hcl, up to 300 mg ",,,7.79,7.79,1
RC,892,"Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg ",,,44.27,44.27,1
RC,892,"Injection, linezolid, 200 mg ",,,4.09,4.09,1
RC,892,"Injection, linvoseltamab-gcpt, 1 mg ",,,164.18,164.18,1
RC,892,"Injection, liothyronine, 1 mcg ",,,64.83,64.83,1
RC,892,"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine ",,,430.98,430.98,1
RC,892,"Injection, loncastuximab tesirine-lpyl, 0.075 mg ",,,365.46,365.46,1
RC,892,"Injection, lorazepam, 2 mg ",,,2.74,2.74,1
RC,892,"Injection, lovotibeglogene autotemcel, per treatment ",,,5354879.29,5354879.29,1
RC,892,"Injection, lumasiran, 0.5 mg ",,,540.74,540.74,1
RC,892,"Injection, lurbinectedin, 0.1 mg ",,,349.97,349.97,1
RC,892,"Injection, luspatercept-aamt, 0.25 mg ",,,70.54,70.54,1
RC,892,"Injection, magnesium sulfate, per 500 mg ",,,0.71,0.71,1
RC,892,"Injection, mannitol, 250 mg ",,,0.08,0.08,1
RC,892,"Injection, margetuximab-cmkb, 5 mg ",,,87.9,87.9,1
RC,892,"Injection, marstacimab-hncq, 0.5 mg ",,,82.81,82.81,1
RC,892,"Injection, mecasermin, 1 mg ",,,763.93,763.93,1
RC,892,"Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg ",,,216.03,216.03,1
RC,892,"Injection, medroxyprogesterone acetate, 1 mg ",,,0.79,0.79,1
RC,892,"Injection, meloxicam (azurity), 1 mg ",,,1.75,1.75,1
RC,892,"Injection, melphalan (apotex), 1 mg ",,,106.89,106.89,1
RC,892,"Injection, melphalan (evomela), 1 mg ",,,32.06,32.06,1
RC,892,"Injection, melphalan (hepzato), 1 mg ",,,1311.75,1311.75,1
RC,892,"Injection, melphalan hydrochloride, not otherwise specified, 50 mg ",,,199.11,199.11,1
RC,892,"Injection, meperidine and promethazine hcl, up to 50 mg ",,,12.67,12.67,1
RC,892,"Injection, meperidine hydrochloride, per 100 mg ",,,14.55,14.55,1
RC,892,"Injection, mepivacaine hydrochloride, per 10 ml ",,,6.15,6.15,1
RC,892,"Injection, mepolizumab, 1 mg ",,,52.5,52.5,1
RC,892,"Injection, meropenem (b. braun), not therapeutically equivalent to j2185, 100 mg ",,,3.25,3.25,1
RC,892,"Injection, meropenem (wg critical care), not therapeutically equivalent to j2185, 100 mg ",,,2.44,2.44,1
RC,892,"Injection, meropenem and vaborbactam, 10mg/10mg (20mg) ",,,3.58,3.58,1
RC,892,"Injection, meropenem, 100 mg ",,,0.61,0.61,1
RC,892,"Injection, mesna, 200 mg ",,,2.19,2.19,1
RC,892,"Injection, methadone hcl, up to 10 mg ",,,24.27,24.27,1
RC,892,"Injection, methocarbamol, up to 10 ml ",,,6.93,6.93,1
RC,892,"Injection, methotrexate sodium, 50 mg ",,,4.42,4.42,1
RC,892,"Injection, methyldopate hcl, up to 250 mg ",,,15.99,15.99,1
RC,892,"Injection, methylergonovine maleate, up to 0.2 mg ",,,35.66,35.66,1
RC,892,"Injection, methylnaltrexone, 0.1 mg ",,,3.47,3.47,1
RC,892,"Injection, methylprednisolone acetate, 1 mg ",,,0.18,0.18,1
RC,892,"Injection, methylprednisolone sodium succinate, 5 mg ",,,0.4,0.4,1
RC,892,"Injection, metoclopramide hcl, up to 10 mg ",,,1.57,1.57,1
RC,892,"Injection, metoprolol tartrate, 1 mg ",,,0.21,0.21,1
RC,892,"Injection, metronidazole, 10 mg ",,,0.05,0.05,1
RC,892,"Injection, micafungin in sodium (baxter), not therapeutically equivalent to j2248, 1 mg ",,,0.61,0.61,1
RC,892,"Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg ",,,0.36,0.36,1
RC,892,"Injection, micafungin sodium, 1 mg ",,,0.43,0.43,1
RC,892,"Injection, midazolam hydrochloride, per 1 mg ",,,0.28,0.28,1
RC,892,"Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.23,0.23,1
RC,892,"Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg ",,,0.26,0.26,1
RC,892,"Injection, milrinone lactate, 5 mg ",,,1.95,1.95,1
RC,892,"Injection, minocycline hydrochloride, 1 mg ",,,4.39,4.39,1
RC,892,"Injection, mirikizumab-mrkz, 1 mg ",,,69.45,69.45,1
RC,892,"Injection, mirvetuximab soravtansine-gynx, 1 mg ",,,117.36,117.36,1
RC,892,"Injection, mitomycin, 5 mg ",,,46.96,46.96,1
RC,892,"Injection, mitoxantrone hydrochloride, per 5 mg ",,,63.71,63.71,1
RC,892,"Injection, mogamulizumab-kpkc, 1 mg ",,,418.23,418.23,1
RC,892,"Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg ",,,13.76,13.76,1
RC,892,"Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg ",,,20.05,20.05,1
RC,892,"Injection, morphine sulfate, up to 10 mg ",,,7.34,7.34,1
RC,892,"Injection, mosunetuzumab-axgb, 1 mg ",,,1079.99,1079.99,1
RC,892,"Injection, motixafortide, 0.25 mg ",,,43.69,43.69,1
RC,892,"Injection, moxetumomab pasudotox-tdfk, 0.01 mg ",,,38.59,38.59,1
RC,892,"Injection, moxifloxacin (fresenius kabi), not therapeutically equivalent to j2280, 100 mg ",,,10.96,10.96,1
RC,892,"Injection, moxifloxacin, 100 mg ",,,14.42,14.42,1
RC,892,"Injection, mycophenolate mofetil, 10 mg ",,,0.66,0.66,1
RC,892,"Injection, nafcillin sodium (baxter), 20 mg ",,,0.25,0.25,1
RC,892,"Injection, nafcillin sodium, 20 mg ",,,0.08,0.08,1
RC,892,"Injection, nalbuphine hydrochloride, per 10 mg ",,,5.64,5.64,1
RC,892,"Injection, naloxone hydrochloride (zimhi), 0.01 mg ",,,0.25,0.25,1
RC,892,"Injection, naloxone hydrochloride, not otherwise specified, 0.01 mg ",,,0.12,0.12,1
RC,892,"Injection, naltrexone, depot form, 1 mg ",,,7.01,7.01,1
RC,892,"Injection, nandrolone decanoate, up to 50 mg ",,,6.62,6.62,1
RC,892,"Injection, natalizumab, 1 mg ",,,40.13,40.13,1
RC,892,"Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg ",,,40.13,40.13,1
RC,892,"Injection, naxitamab-gqgk, 1 mg ",,,1132.05,1132.05,1
RC,892,"Injection, necitumumab, 1 mg ",,,9.45,9.45,1
RC,892,"Injection, nelarabine, 50 mg ",,,86.97,86.97,1
RC,892,"Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg ",,,1.4,1.4,1
RC,892,"Injection, neostigmine methylsulfate, up to 0.5 mg ",,,2.33,2.33,1
RC,892,"Injection, nesiritide, 0.1 mg ",,,49.6,49.6,1
RC,892,"Injection, nicardipine, 0.1 mg ",,,0.12,0.12,1
RC,892,"Injection, nipocalimab-aahu, 3 mg ",,,53.91,53.91,1
RC,892,"Injection, nitroglycerin, 5 mg ",,,2.76,2.76,1
RC,892,"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg ",,,332.9,332.9,1
RC,892,"Injection, nivolumab, 1 mg ",,,55.47,55.47,1
RC,892,"Injection, nivolumab, 2 mg and hyaluronidase-nvhy ",,,45.75,45.75,1
RC,892,"Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram ",,,156.09,156.09,1
RC,892,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg ",,,16.98,16.98,1
RC,892,"Injection, nusinersen, 0.1 mg ",,,2121.54,2121.54,1
RC,892,"Injection, obinutuzumab, 10 mg ",,,134.99,134.99,1
RC,892,"Injection, ocrelizumab, 1 mg ",,,98.34,98.34,1
RC,892,"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq ",,,77.2,77.2,1
RC,892,"Injection, octafluoropropane microspheres, per ml ",,,65.93,65.93,1
RC,892,"Injection, octreotide, depot form for intramuscular injection, 1 mg ",,,310.78,310.78,1
RC,892,"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg ",,,1.02,1.02,1
RC,892,"Injection, ofatumumab, 10 mg ",,,102.68,102.68,1
RC,892,"Injection, olanzapine, 0.5 mg ",,,1.17,1.17,1
RC,892,"Injection, olanzapine, long-acting, 1 mg ",,,5.26,5.26,1
RC,892,"Injection, olipudase alfa-rpcp, 1 mg ",,,652.74,652.74,1
RC,892,"Injection, omadacycline, 1 mg ",,,6.81,6.81,1
RC,892,"Injection, omalizumab, 5 mg ",,,69.0,69.0,1
RC,892,"Injection, onabotulinumtoxina, 1 unit ",,,10.74,10.74,1
RC,892,"Injection, onasemnogene abeparvovec-brve, per treatment ",,,4395977.17,4395977.17,1
RC,892,"Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10°15 vector genomes ",,,4268693.98,4268693.98,1
RC,892,"Injection, ondansetron hydrochloride, per 1 mg ",,,0.15,0.15,1
RC,892,"Injection, oprelvekin, 5 mg ",,,407.83,407.83,1
RC,892,"Injection, oritavancin (kimyrsa), 10 mg ",,,72.14,72.14,1
RC,892,"Injection, oritavancin (orbactiv), 10 mg ",,,47.14,47.14,1
RC,892,"Injection, orphenadrine citrate, up to 60 mg ",,,13.56,13.56,1
RC,892,"Injection, oxacillin sodium, up to 250 mg ",,,1.4,1.4,1
RC,892,"Injection, oxaliplatin, 0.5 mg ",,,0.13,0.13,1
RC,892,"Injection, oxymorphone hcl, up to 1 mg ",,,3.86,3.86,1
RC,892,"Injection, oxytocin, up to 10 units ",,,4.47,4.47,1
RC,892,"Injection, paclitaxel protein-bound particles, 1 mg ",,,9.93,9.93,1
RC,892,"Injection, paclitaxel, 1 mg ",,,0.25,0.25,1
RC,892,"Injection, palifermin, 50 micrograms ",,,60.59,60.59,1
RC,892,"Injection, paliperidone palmitate extended release (erzofri), 1 mg ",,,23.91,23.91,1
RC,892,"Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg ",,,21.37,21.37,1
RC,892,"Injection, paliperidone palmitate extended release (invega sustenna), 1 mg ",,,24.88,24.88,1
RC,892,"Injection, palonosetron hcl, 25 mcg ",,,1.07,1.07,1
RC,892,"Injection, palonosetron hydrochloride (posfrea), 25 micrograms ",,,91.23,91.23,1
RC,892,"Injection, pamidronate disodium, per 30 mg ",,,20.49,20.49,1
RC,892,"Injection, panitumumab, 10 mg ",,,287.74,287.74,1
RC,892,"Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg ",,,6.24,6.24,1
RC,892,"Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg ",,,15.81,15.81,1
RC,892,"Injection, pantoprazole sodium, 40 mg ",,,14.19,14.19,1
RC,892,"Injection, papaverine hcl, up to 60 mg ",,,75.8,75.8,1
RC,892,"Injection, paricalcitol, 1 mcg ",,,1.68,1.68,1
RC,892,"Injection, pasireotide long acting, 1 mg ",,,983.9,983.9,1
RC,892,"Injection, patisiran, 0.1 mg ",,,166.49,166.49,1
RC,892,"Injection, pegaspargase, per single dose vial ",,,46899.7,46899.7,1
RC,892,"Injection, pegcetacoplan, intravitreal, 1 mg ",,,243.89,243.89,1
RC,892,"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg ",,,210.18,210.18,1
RC,892,"Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg ",,,219.96,219.96,1
RC,892,"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg ",,,197.41,197.41,1
RC,892,"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg ",,,224.22,224.22,1
RC,892,"Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg ",,,261.13,261.13,1
RC,892,"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg ",,,131.18,131.18,1
RC,892,"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg ",,,185.01,185.01,1
RC,892,"Injection, pegloticase, 1 mg ",,,6310.46,6310.46,1
RC,892,"Injection, pegulicianine, 1 mg ",,,61.89,61.89,1
RC,892,"Injection, pegunigalsidase alfa-iwxj, 1 mg ",,,368.61,368.61,1
RC,892,"Injection, pembrolizumab, 1 mg ",,,101.06,101.06,1
RC,892,"Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph ",,,53.01,53.01,1
RC,892,"Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg ",,,15.94,15.94,1
RC,892,"Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg ",,,17.49,17.49,1
RC,892,"Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg ",,,8.58,8.58,1
RC,892,"Injection, pemetrexed (pemfexy), 10 mg ",,,13.18,13.18,1
RC,892,"Injection, pemetrexed (pemrydi rtu), 10 mg ",,,116.29,116.29,1
RC,892,"Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg ",,,2.41,2.41,1
RC,892,"Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg ",,,18.13,18.13,1
RC,892,"Injection, pemetrexed dipotassium, 10 mg ",,,135.33,135.33,1
RC,892,"Injection, pemetrexed ditromethamine, 10 mg ",,,0.54,0.54,1
RC,892,"Injection, pemetrexed, not otherwise specified, 10 mg ",,,6.67,6.67,1
RC,892,"Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either h",,,11944.35,11944.35,1
RC,892,"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units ",,,32.21,32.21,1
RC,892,"Injection, penicillin g benzathine, 100,000 units ",,,51.93,51.93,1
RC,892,"Injection, penicillin g potassium, up to 600,000 units ",,,1.12,1.12,1
RC,892,"Injection, penicillin g procaine, aqueous, up to 600,000 units ",,,16.53,16.53,1
RC,892,"Injection, pentamidine isethionate, 1 mg ",,,0.26,0.26,1
RC,892,"Injection, pentazocine, 30 mg ",,,45.19,45.19,1
RC,892,"Injection, pentobarbital sodium, per 50 mg ",,,60.79,60.79,1
RC,892,"Injection, pentostatin, 10 mg ",,,4333.44,4333.44,1
RC,892,"Injection, peramivir, 1 mg ",,,2.77,2.77,1
RC,892,"Injection, perflutren lipid microspheres, per ml ",,,65.93,65.93,1
RC,892,"Injection, pertuzumab, 1 mg ",,,28.08,28.08,1
RC,892,"Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg ",,,99.38,99.38,1
RC,892,"Injection, phenobarbital sodium (sezaby), 1 mg ",,,1.86,1.86,1
RC,892,"Injection, phenobarbital sodium, up to 120 mg ",,,39.02,39.02,1
RC,892,"Injection, phentolamine mesylate, up to 5 mg ",,,424.79,424.79,1
RC,892,"Injection, phenylephrine hydrochloride (biorphen), 20 micrograms ",,,0.25,0.25,1
RC,892,"Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms ",,,0.21,0.21,1
RC,892,"Injection, phenylephrine hydrochloride, 20 micrograms ",,,0.02,0.02,1
RC,892,"Injection, phenytoin sodium, per 50 mg ",,,0.69,0.69,1
RC,892,"Injection, phytonadione (vitamin k), per 1 mg ",,,5.21,5.21,1
RC,892,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) ",,,1.8,1.8,1
RC,892,"Injection, plasminogen, human-tvmh, 1 mg ",,,63.34,63.34,1
RC,892,"Injection, plazomicin, 5 mg ",,,5.79,5.79,1
RC,892,"Injection, plerixafor, 1 mg ",,,54.02,54.02,1
RC,892,"Injection, polatuzumab vedotin-piiq, 1 mg ",,,226.43,226.43,1
RC,892,"Injection, porfimer sodium, 75 mg ",,,46179.54,46179.54,1
RC,892,"Injection, posaconazole, 1 mg ",,,0.58,0.58,1
RC,892,"Injection, potassium chloride, per 2 meq ",,,0.21,0.21,1
RC,892,"Injection, pozelimab-bbfg, 1 mg ",,,151.35,151.35,1
RC,892,"Injection, pralatrexate, 1 mg ",,,647.99,647.99,1
RC,892,"Injection, pralidoxime chloride, up to 1 gm ",,,171.67,171.67,1
RC,892,"Injection, procainamide hcl, up to 1 gm ",,,354.44,354.44,1
RC,892,"Injection, prochlorperazine, up to 10 mg ",,,5.49,5.49,1
RC,892,"Injection, progesterone, per 50 mg ",,,1.09,1.09,1
RC,892,"Injection, promethazine hcl, up to 50 mg ",,,5.51,5.51,1
RC,892,"Injection, propofol, 10 mg ",,,0.15,0.15,1
RC,892,"Injection, propranolol hcl, up to 1 mg ",,,19.19,19.19,1
RC,892,"Injection, protamine sulfate, per 10 mg ",,,2.76,2.76,1
RC,892,"Injection, protein c concentrate, intravenous, human, 10 iu ",,,24.83,24.83,1
RC,892,"Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity ",,,2.84,2.84,1
RC,892,"Injection, pyridoxine hcl, 100 mg ",,,24.59,24.59,1
RC,892,"Injection, quinupristin/dalfopristin, 500 mg (150/350) ",,,194.55,194.55,1
RC,892,"Injection, radiesse, 0.1 ml ",,,576.16,576.16,1
RC,892,"Injection, ramucirumab, 5 mg ",,,124.53,124.53,1
RC,892,"Injection, ranibizumab, 0.1 mg ",,,111.95,111.95,1
RC,892,"Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg ",,,125.73,125.73,1
RC,892,"Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg ",,,137.74,137.74,1
RC,892,"Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg ",,,116.99,116.99,1
RC,892,"Injection, rasburicase, 0.5 mg ",,,630.61,630.61,1
RC,892,"Injection, ravulizumab-cwvz, 10 mg ",,,369.07,369.07,1
RC,892,"Injection, regadenoson, 0.1 mg ",,,4.79,4.79,1
RC,892,"Injection, remdesivir, 1 mg ",,,11.39,11.39,1
RC,892,"Injection, remestemcel-l-rknd, per therapeutic dose ",,,334477.41,334477.41,1
RC,892,"Injection, remimazolam, 1 mg ",,,4.6,4.6,1
RC,892,"Injection, reslizumab, 1 mg ",,,19.02,19.02,1
RC,892,"Injection, reteplase, 18.1 mg ",,,4792.56,4792.56,1
RC,892,"Injection, retifanlimab-dlwr, 1 mg ",,,50.16,50.16,1
RC,892,"Injection, rezafungin, 1 mg ",,,17.8,17.8,1
RC,892,"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) ",,,130.19,130.19,1
RC,892,"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.) ",,,45.41,45.41,1
RC,892,"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu ",,,56.53,56.53,1
RC,892,"Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu ",,,8.0,8.0,1
RC,892,"Injection, rifampin, 1 mg ",,,0.28,0.28,1
RC,892,"Injection, rilonacept, 1 mg ",,,56.03,56.03,1
RC,892,"Injection, rimabotulinumtoxinb, 100 units ",,,21.91,21.91,1
RC,892,"Injection, risankizumab-rzaa, intravenous, 1 mg ",,,24.09,24.09,1
RC,892,"Injection, risperidone (risperdal consta), 0.5 mg ",,,17.82,17.82,1
RC,892,"Injection, risperidone (rykindo), 0.5 mg ",,,21.5,21.5,1
RC,892,"Injection, risperidone (uzedy), 1 mg ",,,41.51,41.51,1
RC,892,"Injection, risperidone, (perseris), 0.5 mg ",,,20.08,20.08,1
RC,892,"Injection, rituximab 10 mg and hyaluronidase ",,,59.86,59.86,1
RC,892,"Injection, rituximab, 10 mg ",,,122.36,122.36,1
RC,892,"Injection, rituximab-abbs, biosimilar, (truxima), 10 mg ",,,51.61,51.61,1
RC,892,"Injection, rituximab-arrx, biosimilar, (riabni), 10 mg ",,,33.43,33.43,1
RC,892,"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg ",,,22.59,22.59,1
RC,892,"Injection, romidepsin, lyophilized, 0.1 mg ",,,50.82,50.82,1
RC,892,"Injection, romidepsin, non-lyophilized, 0.1 mg ",,,47.06,47.06,1
RC,892,"Injection, romiplostim, 1 microgram ",,,18.33,18.33,1
RC,892,"Injection, romosozumab-aqqg, 1 mg ",,,20.11,20.11,1
RC,892,"Injection, ropivacaine hydrochloride, 1 mg ",,,0.08,0.08,1
RC,892,"Injection, rozanolixizumab-noli, 1 mg ",,,38.61,38.61,1
RC,892,"Injection, sacituzumab govitecan-hziy, 2.5 mg ",,,60.72,60.72,1
RC,892,"Injection, sargramostim (gm-csf), 50 mcg ",,,102.12,102.12,1
RC,892,"Injection, sculptra, 0.5 mg ",,,3.56,3.56,1
RC,892,"Injection, sebelipase alfa, 1 mg ",,,891.3,891.3,1
RC,892,"Injection, secretin, synthetic, human, 1 microgram ",,,66.38,66.38,1
RC,892,"Injection, secukinumab, intravenous, 1 mg ",,,29.77,29.77,1
RC,892,"Injection, sermorelin acetate, 1 microgram ",,,2.21,2.21,1
RC,892,"Injection, siltuximab, 10 mg ",,,287.23,287.23,1
RC,892,"Injection, sincalide, 5 micrograms ",,,178.53,178.53,1
RC,892,"Injection, sirolimus protein-bound particles, 1 mg ",,,143.73,143.73,1
RC,892,"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg ",,,3.94,3.94,1
RC,892,"Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote) ",,,3.58,3.58,1
RC,892,"Injection, sodium thiosulfate (hope), 100 mg ",,,1.45,1.45,1
RC,892,"Injection, sodium thiosulfate (pedmark), 100 mg ",,,157.49,157.49,1
RC,892,"Injection, somatropin, 1 mg ",,,272.56,272.56,1
RC,892,"Injection, spesolimab-sbzo, 1 mg ",,,108.45,108.45,1
RC,892,"Injection, sterile cefuroxime sodium, per 750 mg ",,,3.28,3.28,1
RC,892,"Injection, streptomycin, up to 1 gm ",,,66.43,66.43,1
RC,892,"Injection, streptozocin, 1 gram ",,,289.33,289.33,1
RC,892,"Injection, succinylcholine chloride, up to 20 mg ",,,2.46,2.46,1
RC,892,"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg ",,,0.07,0.07,1
RC,892,"Injection, sulfur hexafluoride lipid microspheres, per ml ",,,29.9,29.9,1
RC,892,"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ",,,293.16,293.16,1
RC,892,"Injection, sutimlimab-jome, 10 mg ",,,32.41,32.41,1
RC,892,"Injection, tafasitamab-cxix, 2 mg ",,,23.38,23.38,1
RC,892,"Injection, tagraxofusp-erzs, 10 micrograms ",,,589.51,589.51,1
RC,892,"Injection, taliglucerase alfa, 10 units ",,,67.09,67.09,1
RC,892,"Injection, talimogene laherparepvec, per 1 million plaque forming units ",,,122.0,122.0,1
RC,892,"Injection, talquetamab-tgvs, 0.25 mg ",,,123.55,123.55,1
RC,892,"Injection, tarlatamab-dlle, 1 mg ",,,2586.74,2586.74,1
RC,892,"Injection, tbo-filgrastim, 1 microgram ",,,0.41,0.41,1
RC,892,"Injection, tebentafusp-tebn, 1 microgram ",,,367.11,367.11,1
RC,892,"Injection, teclistamab-cqyv, 0.5 mg ",,,56.93,56.93,1
RC,892,"Injection, tedizolid phosphate, 1 mg ",,,3.23,3.23,1
RC,892,"Injection, telavancin, 10 mg ",,,11.6,11.6,1
RC,892,"Injection, telisotuzumab vedotin-tllv, 1 mg ",,,240.88,240.88,1
RC,892,"Injection, temozolomide, 1 mg ",,,17.16,17.16,1
RC,892,"Injection, temsirolimus, 1 mg ",,,49.63,49.63,1
RC,892,"Injection, tenecteplase, 1 mg ",,,325.78,325.78,1
RC,892,"Injection, teplizumab-mzwv, 5 mcg ",,,63.34,63.34,1
RC,892,"Injection, teprotumumab-trbw, 10 mg ",,,607.05,607.05,1
RC,892,"Injection, terbutaline sulfate, up to 1 mg ",,,4.88,4.88,1
RC,892,"Injection, teriparatide, 10 mcg ",,,130.53,130.53,1
RC,892,"Injection, testosterone cypionate (azmiro), 1 mg ",,,0.23,0.23,1
RC,892,"Injection, testosterone cypionate, 1 mg ",,,0.03,0.03,1
RC,892,"Injection, testosterone enanthate, 1 mg ",,,0.08,0.08,1
RC,892,"Injection, testosterone undecanoate, 1 mg ",,,3.51,3.51,1
RC,892,"Injection, tetanus immune globulin, human, up to 250 units ",,,920.9,920.9,1
RC,892,"Injection, tezepelumab-ekko, 1 mg ",,,29.01,29.01,1
RC,892,"Injection, thiamine hcl, 100 mg ",,,2.56,2.56,1
RC,892,"Injection, thiotepa (tepylute), 1 mg ",,,63.61,63.61,1
RC,892,"Injection, thiotepa, not otherwise specified, 1 mg ",,,9.47,9.47,1
RC,892,"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial ",,,3506.81,3506.81,1
RC,892,"Injection, tigecycline, 1 mg ",,,0.94,0.94,1
RC,892,"Injection, tildrakizumab, 1 mg ",,,195.03,195.03,1
RC,892,"Injection, tirofiban hcl, 0.25 mg ",,,5.26,5.26,1
RC,892,"Injection, tislelizumab-jsgr, 1mg ",,,96.15,96.15,1
RC,892,"Injection, tisotumab vedotin-tftv, 1 mg ",,,323.6,323.6,1
RC,892,"Injection, tobramycin sulfate, up to 80 mg ",,,3.33,3.33,1
RC,892,"Injection, tocilizumab, 1 mg ",,,9.12,9.12,1
RC,892,"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive",,,12.49,12.49,1
RC,892,"Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg ",,,7.33,7.33,1
RC,892,"Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical vent ",,,9.21,9.21,1
RC,892,"Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg ",,,7.66,7.66,1
RC,892,"Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, ",,,8.12,8.12,1
RC,892,"Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg ",,,8.68,8.68,1
RC,892,"Injection, tofersen, 1 mg ",,,264.02,264.02,1
RC,892,"Injection, topotecan, 0.1 mg ",,,3.48,3.48,1
RC,892,"Injection, toripalimab-tpzi, 1 mg ",,,65.98,65.98,1
RC,892,"Injection, trabectedin, 0.1 mg ",,,645.27,645.27,1
RC,892,"Injection, tranexamic acid in sodium chloride, 5 mg ",,,0.2,0.2,1
RC,892,"Injection, tranexamic acid, 5 mg ",,,0.21,0.21,1
RC,892,"Injection, trastuzumab, 10 mg and hyaluronidase-oysk ",,,98.85,98.85,1
RC,892,"Injection, trastuzumab, excludes biosimilar, 10 mg ",,,121.16,121.16,1
RC,892,"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg ",,,93.03,93.03,1
RC,892,"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg ",,,59.04,59.04,1
RC,892,"Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg ",,,49.19,49.19,1
RC,892,"Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg ",,,92.43,92.43,1
RC,892,"Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg ",,,17.21,17.21,1
RC,892,"Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg ",,,62.49,62.49,1
RC,892,"Injection, travoprost, intracameral implant, 1 microgram ",,,324.85,324.85,1
RC,892,"Injection, tremelimumab-actl, 1 mg ",,,236.33,236.33,1
RC,892,"Injection, treosulfan, 50 mg ",,,52.16,52.16,1
RC,892,"Injection, treprostinil, 1 mg ",,,91.06,91.06,1
RC,892,"Injection, triamcinolone acetonide (xipere), 1 mg ",,,78.84,78.84,1
RC,892,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg ",,,1.49,1.49,1
RC,892,"Injection, triamcinolone acetonide, preservative free, 1 mg ",,,30.99,30.99,1
RC,892,"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg ",,,30.76,30.76,1
RC,892,"Injection, triamcinolone diacetate, per 5 mg ",,,0.54,0.54,1
RC,892,"Injection, triamcinolone hexacetonide, per 5 mg ",,,16.09,16.09,1
RC,892,"Injection, trilaciclib, 1mg ",,,9.06,9.06,1
RC,892,"Injection, trimethobenzamide hcl, up to 200 mg ",,,94.41,94.41,1
RC,892,"Injection, triptorelin pamoate, 3.75 mg ",,,774.48,774.48,1
RC,892,"Injection, triptorelin, extended-release, 3.75 mg ",,,6144.2,6144.2,1
RC,892,"Injection, ublituximab-xiiy, 1mg ",,,113.44,113.44,1
RC,892,"Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg ",,,23.18,23.18,1
RC,892,"Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg ",,,19.39,19.39,1
RC,892,"Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg ",,,7.49,7.49,1
RC,892,"Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg ",,,364.11,364.11,1
RC,892,"Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg ",,,5.53,5.53,1
RC,892,"Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg ",,,104.33,104.33,1
RC,892,"Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg ",,,5.3,5.3,1
RC,892,"Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg ",,,7.47,7.47,1
RC,892,"Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10°13 vector genomes ",,,20713.62,20713.62,1
RC,892,"Injection, valproate sodium, 5 mg ",,,0.07,0.07,1
RC,892,"Injection, valrubicin, intravesical, 200 mg ",,,2096.36,2096.36,1
RC,892,"Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg ",,,0.02,0.02,1
RC,892,"Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg ",,,0.17,0.17,1
RC,892,"Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg ",,,0.26,0.26,1
RC,892,"Injection, vancomycin hydrochloride, 10 mg ",,,0.05,0.05,1
RC,892,"Injection, vasopressin (american regent), not therapeutically equivalent to j2598, 1 unit ",,,1.39,1.39,1
RC,892,"Injection, vasopressin (baxter), 1 unit ",,,2.52,2.52,1
RC,892,"Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit ",,,1.95,1.95,1
RC,892,"Injection, vasopressin, 1 unit ",,,0.87,0.87,1
RC,892,"Injection, vedolizumab, intravenous, 1 mg ",,,34.62,34.62,1
RC,892,"Injection, velaglucerase alfa, 100 units ",,,640.46,640.46,1
RC,892,"Injection, velmanase alfa-tycv, 1 mg ",,,767.63,767.63,1
RC,892,"Injection, verteporfin, 0.1 mg ",,,19.09,19.09,1
RC,892,"Injection, vestronidase alfa-vjbk, 1 mg ",,,462.25,462.25,1
RC,892,"Injection, viltolarsen, 10 mg ",,,111.67,111.67,1
RC,892,"Injection, vinblastine sulfate, 1 mg ",,,8.5,8.5,1
RC,892,"Injection, vinorelbine tartrate, 10 mg ",,,8.2,8.2,1
RC,892,"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg ",,,1.11,1.11,1
RC,892,"Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco ",,,3.02,3.02,1
RC,892,"Injection, von willebrand factor complex (human), wilate, 1 i.u. vwf:rco ",,,2.18,2.18,1
RC,892,"Injection, von willebrand factor complex (humate-p), per iu vwf:rco ",,,2.46,2.46,1
RC,892,"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes ",,,5065.65,5065.65,1
RC,892,"Injection, voriconazole, 10 mg ",,,1.07,1.07,1
RC,892,"Injection, vutrisiran, 1 mg ",,,8281.8,8281.8,1
RC,892,"Injection, zanidatamab-hrii, 2 mg ",,,41.25,41.25,1
RC,892,"Injection, zenocutuzumab-zbco, 1 mg ",,,55.39,55.39,1
RC,892,"Injection, ziconotide, 1 microgram ",,,17.26,17.26,1
RC,892,"Injection, zidovudine, 10 mg ",,,2.49,2.49,1
RC,892,"Injection, ziprasidone mesylate, 10 mg ",,,9.69,9.69,1
RC,892,"Injection, ziv-aflibercept, 1 mg ",,,14.21,14.21,1
RC,892,"Injection, zolbetuximab-clzb, 2 mg ",,,55.52,55.52,1
RC,892,"Injection, zoledronic acid, 1 mg ",,,50.95,50.95,1
RC,892,"Injection, zopapogene imadenovec-drba suspension, per therapeutic dose ",,,201135.0,201135.0,1
RC,892,"Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Innovamatrix pd, 1 mg ",,,28.1,28.1,1
RC,892,"Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg ",,,1.37,1.37,1
RC,892,"Instillation, ciprofloxacin otic suspension, 6 mg ",,,56.07,56.07,1
RC,892,"Instillation, hexaminolevulinate hydrochloride, 100 mg ",,,2349.8,2349.8,1
RC,892,"Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis) ",,,8.3,8.3,1
RC,892,"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units ",,,14.45,14.45,1
RC,892,"Insulin (fiasp), per 5 units ",,,1.12,1.12,1
RC,892,"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units ",,,24.92,24.92,1
RC,892,"Insulin (lyumjev), per 5 units ",,,0.99,0.99,1
RC,892,"Insulin for administration through dme (i.e., insulin pump) per 50 units ",,,5.16,5.16,1
RC,892,"Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Integra flowable wound matrix, injectable, 1 cc ",,,4670.82,4670.82,1
RC,892,"Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Interfyl, 1 mg ",,,64.27,64.27,1
RC,892,Intrauterine copper contraceptive (miudella) ,,,2350.26,2350.26,1
RC,892,Intrauterine copper contraceptive (paragard) ,,,2349.6,2349.6,1
RC,892,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) ",,,78.94,78.94,1
RC,892,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour ",,,358.56,358.56,1
RC,892,"Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose ",,,106065.8,106065.8,1
RC,892,"Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries ",,,2289.77,2289.77,1
RC,892,"Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries ",,,3823.88,3823.88,1
RC,892,"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries ",,,167.54,167.54,1
RC,892,"Iodine i-123 sodium iodide, diagnostic, per millicurie ",,,287.13,287.13,1
RC,892,"Iodine i-125 serum albumin, diagnostic, per 5 microcuries ",,,773.95,773.95,1
RC,892,"Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries ",,,1071.91,1071.91,1
RC,892,"Iodine i-125, sodium iodide solution, therapeutic, per millicurie ",,,653.93,653.93,1
RC,892,"Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie ",,,1572.47,1572.47,1
RC,892,"Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries ",,,1430.14,1430.14,1
RC,892,"Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie ",,,160.92,160.92,1
RC,892,"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie ",,,39.72,39.72,1
RC,892,"Iodine i-131 sodium iodide solution, therapeutic, per millicurie ",,,34.27,34.27,1
RC,892,"Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) ",,,7.16,7.16,1
RC,892,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram ",,,0.73,0.73,1
RC,892,"Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml ",,,23.69,23.69,1
RC,892,"Japanese encephalitis virus vaccine, inactivated, for intramuscular use ",,,601.21,601.21,1
RC,892,"Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Lamellas, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Lanthanum carbonate, oral, 5 mg (for esrd on dialysis) ",,,0.15,0.15,1
RC,892,"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to j0607 (for esrd on dialysis) ",,,0.13,0.13,1
RC,892,"Lecanemab-irmb, for intravenous injection, 1 mg ",,,2.21,2.21,1
RC,892,"Leuprolide acetate (for depot suspension), 7.5 mg ",,,290.73,290.73,1
RC,892,"Leuprolide acetate, per 1 mg ",,,249.98,249.98,1
RC,892,"Leuprolide injectable, camcevi, 1 mg ",,,65.92,65.92,1
RC,892,"Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg ",,,3.3,3.3,1
RC,892,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg ",,,0.53,0.53,1
RC,892,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg ",,,0.15,0.15,1
RC,892,"Levonorgestrel (contraceptive) implant system, including implants and supplies ",,,640.4,640.4,1
RC,892,"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg ",,,1937.07,1937.07,1
RC,892,"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg ",,,2519.43,2519.43,1
RC,892,"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg ",,,2097.84,2097.84,1
RC,892,"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg ",,,2519.43,2519.43,1
RC,892,"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,927730.39,927730.39,1
RC,892,"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ",,,1.91,1.91,1
RC,892,"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ",,,0.71,0.71,1
RC,892,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ",,,0.25,0.25,1
RC,892,"Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie ",,,428.34,428.34,1
RC,892,"Lutetium lu 177, dotatate, therapeutic, 1 millicurie ",,,527.9,527.9,1
RC,892,"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg ",,,8732.51,8732.51,1
RC,892,"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg ",,,1688.15,1688.15,1
RC,892,"Mannitol, administered through an inhaler, 5 mg ",,,1.95,1.95,1
RC,892,"Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Matrion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Matristem micromatrix, 1 mg ",,,13.08,13.08,1
RC,892,"Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use ",,,193.28,193.28,1
RC,892,"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use ",,,571.56,571.56,1
RC,892,"Mediskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Melphalan; oral, 2 mg ",,,7.72,7.72,1
RC,892,"Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use ",,,349.64,349.64,1
RC,892,"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use ",,,350.43,350.43,1
RC,892,"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use ",,,39.12,39.12,1
RC,892,"Meningococcal pentavalent vaccine, Men B-4C recombinant proteins and outer membrane vesicle and conjugated Men A, C, W, Y-diphtheria toxoid carrier, for intramuscular use ",,,525.94,525.94,1
RC,892,"Meningococcal pentavalent vaccine, conjugated Men A, C, W, Y- tetanus toxoid carrier, and Men B-FHbp, for intramuscular use ",,,498.43,498.43,1
RC,892,"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use ",,,147.69,147.69,1
RC,892,"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use ",,,447.05,447.05,1
RC,892,"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use ",,,497.34,497.34,1
RC,892,"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg ",,,1.8,1.8,1
RC,892,"Methotrexate (jylamvo), oral, 2.5 mg ",,,30.87,30.87,1
RC,892,"Methotrexate (xatmep), oral, 2.5 mg ",,,36.8,36.8,1
RC,892,"Methotrexate; oral, 2.5 mg ",,,0.23,0.23,1
RC,892,"Methylprednisolone oral, per 4 mg ",,,0.23,0.23,1
RC,892,"Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Microlyte painguard, per square centimeter ",,,209.78,209.78,1
RC,892,"Miglustat, oral, 65 mg ",,,70.39,70.39,1
RC,892,"Miro3d fibers, per milligram ",,,27.09,27.09,1
RC,892,"Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Mitomycin pyelocalyceal instillation, 1 mg ",,,533.23,533.23,1
RC,892,"Mitomycin, intravesical instillation, 1 mg ",,,459.24,459.24,1
RC,892,"Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Mometasone furoate sinus implant, (sinuva), 10 micrograms ",,,18.73,18.73,1
RC,892,"Most, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Mycophenolate mofetil (myhibbin), oral suspension, 100 mg ",,,3.71,3.71,1
RC,892,"Mycophenolate mofetil, for suspension, oral, 100 mg ",,,0.51,0.51,1
RC,892,"Mycophenolate mofetil, oral, 250 mg ",,,0.23,0.23,1
RC,892,"Mycophenolic acid, oral, 180 mg ",,,0.53,0.53,1
RC,892,"Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,38.82,38.82,1
RC,892,"Myriad morcells, 4 milligrams ",,,21.78,21.78,1
RC,892,"Natalin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Neoguard, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Neoxflo or clarixflo, 1 mg ",,,56.27,56.27,1
RC,892,"Netupitant 300 mg and palonosetron 0.5 mg, oral ",,,656.35,656.35,1
RC,892,"Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries ",,,1321.57,1321.57,1
RC,892,"Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure) ",,,209.98,209.98,1
RC,892,"Novachor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Novashield or novogen wound matrix, per square centimeter ",,,209.78,209.78,1
RC,892,"Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Nuform, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Nushield, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion ",,,459112.5,459112.5,1
RC,892,"Omeza collagen matrix or omeza complete matrix, per 100 mg ",,,253.69,253.69,1
RC,892,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage ",,,0.03,0.03,1
RC,892,"Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) ",,,1026.23,1026.23,1
RC,892,"Orion, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Palingen or promatrx, 0.36 mg per 0.25 cc ",,,2378.48,2378.48,1
RC,892,"Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Pellograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg ",,,121.39,121.39,1
RC,892,"Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosag",,,1.11,1.11,1
RC,892,"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml ",,,159.41,159.41,1
RC,892,"Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Piflufolastat f-18, diagnostic, 1 millicurie ",,,571.71,571.71,1
RC,892,"Pma skin substitute product, not otherwise specified (list in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use ",,,425.45,425.45,1
RC,892,"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use ",,,444.36,444.36,1
RC,892,"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use ",,,516.29,516.29,1
RC,892,"Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use ",,,568.01,568.01,1
RC,892,"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use ",,,220.23,220.23,1
RC,892,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use ",,,94.41,94.41,1
RC,892,"Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Prednisolone oral, per 5 mg ",,,1.22,1.22,1
RC,892,"Prednisone, immediate release or delayed release, oral, 1 mg ",,,3.65,3.65,1
RC,892,"Pretect, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Primatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Procenta, per 100 mg ",,,9801.5,9801.5,1
RC,892,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 4",,,1.29,1.29,1
RC,892,"Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to excee",,,0.48,0.48,1
RC,892,"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity ",,,3.38,3.38,1
RC,892,"Puraply am, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Puraply, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use ",,,454.05,454.05,1
RC,892,"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use ",,,399.6,399.6,1
RC,892,"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use ",,,581.53,581.53,1
RC,892,"Rabies vaccine, for intradermal use ",,,390.82,390.82,1
RC,892,"Rabies vaccine, for intramuscular use ",,,520.11,520.11,1
RC,892,"Radioelements for brachytherapy, any type, each ",,,101.95,101.95,1
RC,892,"Radiopharmaceutical, therapeutic, not otherwise classified ",,,77046.96,77046.96,1
RC,892,"Radium ra-223 dichloride, therapeutic, per microcurie ",,,282.3,282.3,1
RC,892,"Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Relese, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Renograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Repriza, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for intramuscular use ",,,631.62,631.62,1
RC,892,"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use ",,,635.68,635.68,1
RC,892,"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use ",,,631.75,631.75,1
RC,892,"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each ",,,720.64,720.64,1
RC,892,"Respiratory syncytial virus, monoclonal antibody, seasonal dose, 0.7 mL, for intramuscular use ",,,1100.88,1100.88,1
RC,892,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use ",,,1178.22,1178.22,1
RC,892,"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use ",,,1178.22,1178.22,1
RC,892,"Restorigin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram ",,,0.33,0.33,1
RC,892,"Revita, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Revitalon, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use ",,,217.01,217.01,1
RC,892,"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use ",,,132.0,132.0,1
RC,892,"Rho(D) immune globulin (RhIgIV), human, for intravenous use ",,,1096.84,1096.84,1
RC,892,"Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml ",,,4514.4,4514.4,1
RC,892,"Ringers lactate infusion, up to 1000 cc ",,,4.29,4.29,1
RC,892,"Rolapitant, oral, 1 mg ",,,7.28,7.28,1
RC,892,"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use ",,,308.24,308.24,1
RC,892,"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use ",,,203.18,203.18,1
RC,892,"Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries ",,,817.31,817.31,1
RC,892,"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries ",,,5213.67,5213.67,1
RC,892,"Sanograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each ",,,4792.69,4792.69,1
RC,892,"Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.17,0.17,1
RC,892,"Sevelamer carbonate (renvela or therapeutically equivalent), oral, powder, 20 mg (for esrd on dialysis) ",,,0.51,0.51,1
RC,892,"Sevelamer hydrochloride (renagel or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) ",,,0.33,0.33,1
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 10 mcg/0.2 mL dosage, for intramuscular use ",,,333.15,333.15,1
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use ",,,242.65,242.65,1
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use ",,,266.72,266.72,1
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,156.42,156.42,1
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 3 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,108.03,108.03,1
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use ",,,277.81,277.81,1
RC,892,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,316.67,316.67,1
RC,892,"Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Simplichor, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Simplimax, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Singlay, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion ",,,92844.16,92844.16,1
RC,892,"Sirolimus, oral, 1 mg ",,,2.1,2.1,1
RC,892,"Skin substitute, integra meshed bilayer wound matrix, per square centimeter ",,,209.78,209.78,1
RC,892,"Skin te, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, non-replicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use ",,,0.02,0.02,1
RC,892,"Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries ",,,446.41,446.41,1
RC,892,"Sodium phosphate p-32, therapeutic, per millicurie ",,,459.1,459.1,1
RC,892,"Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Strontium sr-89 chloride, therapeutic, per millicurie ",,,6841.46,6841.46,1
RC,892,"Sucroferric oxyhydroxide, oral, 5 mg (for esrd on dialysis) ",,,0.35,0.35,1
RC,892,"Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Summit ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Summit fx, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Surgicord, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Surgraft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Suzetrigine, oral 1 mg ",,,0.54,0.54,1
RC,892,"Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg ",,,0.97,0.97,1
RC,892,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg ",,,3.07,3.07,1
RC,892,"Tacrolimus, granules, oral suspension, 0.1 mg ",,,2.11,2.11,1
RC,892,"Tacrolimus, immediate release, oral, 1 mg ",,,0.38,0.38,1
RC,892,"Tacrolimus, parenteral, 5 mg ",,,428.93,428.93,1
RC,892,"Tag, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Talymed, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Tc-99m from domestically produced non-heu mo-99, ºminimum 50 percent», full cost recovery add-on, per study dose ",,,16.5,16.5,1
RC,892,"Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries ",,,867.45,867.45,1
RC,892,"Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries ",,,2138.32,2138.32,1
RC,892,"Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries ",,,1279.61,1279.61,1
RC,892,"Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries ",,,1321.02,1321.02,1
RC,892,"Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries ",,,101.95,101.95,1
RC,892,"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose ",,,1541.31,1541.31,1
RC,892,"Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries ",,,2644.26,2644.26,1
RC,892,"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries ",,,179.67,179.67,1
RC,892,"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries ",,,50.14,50.14,1
RC,892,"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries ",,,187.21,187.21,1
RC,892,"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries ",,,106.36,106.36,1
RC,892,"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries ",,,1308.9,1308.9,1
RC,892,"Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries ",,,85.98,85.98,1
RC,892,"Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries ",,,34.72,34.72,1
RC,892,"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries ",,,47.39,47.39,1
RC,892,"Technetium tc-99m pertechnetate, diagnostic, per millicurie ",,,18.18,18.18,1
RC,892,"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries ",,,74.96,74.96,1
RC,892,"Technetium tc-99m sestamibi, diagnostic, per study dose ",,,743.46,743.46,1
RC,892,"Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries ",,,1088.88,1088.88,1
RC,892,"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries ",,,1239.81,1239.81,1
RC,892,"Technetium tc-99m tetrofosmin, diagnostic, per study dose ",,,192.89,192.89,1
RC,892,"Temozolomide, oral, 5 mg ",,,0.66,0.66,1
RC,892,"Tensix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,21.5,21.5,1
RC,892,"Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram ",,,21.5,21.5,1
RC,892,"Testosterone pellet, implant, 75 mg ",,,123.7,123.7,1
RC,892,"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use ",,,63.94,63.94,1
RC,892,"Tetanus immune globulin (TIg), human, for intramuscular use ",,,1298.2,1298.2,1
RC,892,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use ",,,65.14,65.14,1
RC,892,"Thallium tl-201 thallous chloride, diagnostic, per millicurie ",,,91.49,91.49,1
RC,892,"Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Theramend, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Theraskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose ",,,1013398.34,1013398.34,1
RC,892,"Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams ",,,98.65,98.65,1
RC,892,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams ",,,12.82,12.82,1
RC,892,"Topical administration, prademagene zamikeracel, per treatment ",,,5504103.0,5504103.0,1
RC,892,"Topotecan, oral, 0.25 mg ",,,206.61,206.61,1
RC,892,"Total, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Transcyte, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg ",,,1302.15,1302.15,1
RC,892,"Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram ",,,7.72,7.72,1
RC,892,"Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to e",,,1.11,1.11,1
RC,892,"Truskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use ",,,274.54,274.54,1
RC,892,"Typhoid vaccine, live, oral ",,,232.22,232.22,1
RC,892,Unlisted immune globulin ,,,706.02,706.02,1
RC,892,"Ustekinumab, for intravenous injection, 1 mg ",,,19.17,19.17,1
RC,892,"Ustekinumab, for subcutaneous injection, 1 mg ",,,672.72,672.72,1
RC,892,"Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use ",,,0.02,0.02,1
RC,892,"Vadadustat, oral, 1 mg (for esrd on dialysis) ",,,0.23,0.23,1
RC,892,"Varicella virus vaccine (VAR), live, for subcutaneous use ",,,380.14,380.14,1
RC,892,"Varicella-zoster immune globulin, human, for intramuscular use ",,,3899.36,3899.36,1
RC,892,"Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Vendaje, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Via matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Vim, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Vincristine sulfate, 1 mg ",,,13.38,13.38,1
RC,892,"Vitograft, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Woundex flow, bioskin flow, 0.5 cc ",,,4235.01,4235.01,1
RC,892,"Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Woundplus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xcellistem, 1 mg ",,,25.74,25.74,1
RC,892,"Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xenon xe-133 gas, diagnostic, per 10 millicuries ",,,505.38,505.38,1
RC,892,"Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xwrap dual, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xwrap plus, per square  centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Yellow fever vaccine, live, for subcutaneous use ",,,507.54,507.54,1
RC,892,"Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries ",,,93760.51,93760.51,1
RC,892,"Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) ",,,209.78,209.78,1
RC,892,"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection ",,,235.88,235.88,1
RC,892,"injection, busulfan, 1 mg ",,,1.12,1.12,1
RC,900, Behavioral Health Treatment/Services General Classification  ,,,1911.0,1911.0,1
RC,901, Behavioral Health Treatment/Services Electroshock Treatment  ,,,585.0,1228.0,8
RC,901,Electroconvulsive therapy (includes necessary monitoring) ,,,979.0,1349.0,5
RC,901,Unlisted psychiatric service or procedure ,,,1278.0,1278.0,4
RC,905, Behavioral Health Treatment/Services Intensive Outpatient Services - Psychiatric  ,,,199.0,392.0,9
RC,905, Behavioral Health Treatment/Services Intensive Outpatient Services - Psychiatric  Adolescent,,,276.0,276.0,1
RC,905, Behavioral Health Treatment/Services Intensive Outpatient Services - Psychiatric  Dual Diagnosis,,,341.0,341.0,1
RC,905, Behavioral Health Treatment/Services Intensive Outpatient Services - Psychiatric  MH IOP Adult/Geriatric,,,276.0,276.0,1
RC,905,"Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessmen",,,979.0,1349.0,5
RC,905,"Intensive outpatient psychiatric services, per diem ",,,979.0,1349.0,5
RC,906, Behavioral Health Treatment/Services Intensive Outpatient Services - Chemical Dependency  ,,,199.0,319.0,8
RC,906, Behavioral Health Treatment/Services Intensive Outpatient Services - Chemical Dependency  Adult/Geriatric,,,497.0,569.0,2
RC,906, Behavioral Health Treatment/Services Intensive Outpatient Services - Chemical Dependency  Dual Diagnosis,,,341.0,341.0,1
RC,906, Behavioral Health Treatment/Services Intensive Outpatient Services - Chemical Dependency  MH IOP Adult/Geriatric,,,276.0,276.0,1
RC,906,"Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessmen",,,979.0,1349.0,5
RC,906,"Intensive outpatient psychiatric services, per diem ",,,979.0,1349.0,5
RC,912, Behavioral Health Treatment/Services Partial Hospitalization - Less Intensive  ,,,199.0,727.0,13
RC,912, Behavioral Health Treatment/Services Partial Hospitalization - Less Intensive  Adult/Geriatric,,,341.0,497.0,2
RC,912, Behavioral Health Treatment/Services Partial Hospitalization - Less Intensive  Dual Diagnosis,,,569.0,569.0,1
RC,912, Behavioral Health Treatment/Services Partial Hospitalization - Less Intensive  Mental Health,,,727.0,727.0,1
RC,912, Behavioral Health Treatment/Services Partial Hospitalization - Less Intensive  Substance Abuse,,,727.0,727.0,1
RC,912,"Alcohol and/or other drug treatment program, per diem ",,,212.0,212.0,1
RC,912,"Mental health partial hospitalization, treatment, less than 24 hours ",,,212.0,212.0,1
RC,913, Behavioral Health Treatment/Services Partial Hospitalization - Intensive  ,,,328.0,727.0,8
RC,913, Behavioral Health Treatment/Services Partial Hospitalization - Intensive  Adult/Geriatric,,,341.0,497.0,2
RC,913, Behavioral Health Treatment/Services Partial Hospitalization - Intensive  Dual Diagnosis,,,569.0,569.0,1
RC,913, Behavioral Health Treatment/Services Partial Hospitalization - Intensive  Mental Health,,,727.0,727.0,1
RC,913, Behavioral Health Treatment/Services Partial Hospitalization - Intensive  Substance Abuse,,,727.0,727.0,1
RC,913,"Alcohol and/or other drug treatment program, per diem ",,,212.0,212.0,1
RC,913,"Mental health partial hospitalization, treatment, less than 24 hours ",,,212.0,212.0,1
RC,914, Behavioral Health Treatment/Services Individual Therapy  ,,,328.0,328.0,1
RC,915, Behavioral Health Treatment/Services Group Therapy  ,,,357.0,727.0,6
RC,915, Behavioral Health Treatment/Services Group Therapy  Mental Health,,,727.0,727.0,1
RC,915, Behavioral Health Treatment/Services Group Therapy  Substance Abuse,,,727.0,727.0,1
RC,915,"Alcohol and/or other drug treatment program, per diem ",,,212.0,212.0,1
RC,915,"Mental health partial hospitalization, treatment, less than 24 hours ",,,212.0,212.0,1
RC,917, Behavioral Health Treatment/Services Bio Feedback  ,,,1911.0,1911.0,1
RC,918, Behavioral Health Treatment/Services Testing  ,,,1911.0,1911.0,1
RC,920, Other Diagnostic Services General Classification  ,,,1379.0,1379.0,1
RC,920,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist ",,,4033.0,4033.0,1
RC,920,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,4033.0,4033.0,1
RC,920,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by ",,,4033.0,4033.0,1
RC,920,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist ",,,4033.0,4033.0,1
RC,920,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) ",,,4033.0,4033.0,1
RC,920,"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time ",,,4033.0,4033.0,1
RC,920,"Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone) ",,,4033.0,4033.0,1
RC,921, Other Diagnostic Services Peripheral Vascular Lab  ,,,400.0,3290.0,8
RC,922, Other Diagnostic Services Electromyogram  ,,,1019.0,1019.0,1
RC,923, Other Diagnostic Services Pap Smear  ,,,,,0
RC,923,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,1
RC,923,All potassium hydroxide (koh) preparations ,,,5.83,5.83,1
RC,923,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,1
RC,923,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,1
RC,923,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,1
RC,923,"Cephalin floculation, blood ",,,4.95,4.95,1
RC,923,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,1
RC,923,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,1
RC,923,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,1
RC,923,"Congo red, blood ",,,4.95,4.95,1
RC,923,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,1
RC,923,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,4
RC,923,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,1
RC,923,Fern test ,,,9.74,9.74,1
RC,923,Hair analysis (excluding arsenic) ,,,4.95,4.95,1
RC,923,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,1
RC,923,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,1
RC,923,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,1
RC,923,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,1
RC,923,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,1
RC,923,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,1
RC,923,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,1
RC,923,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,1
RC,923,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,1
RC,923,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,1
RC,923,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,1
RC,923,Pinworm examinations ,,,4.27,4.27,1
RC,923,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,1
RC,923,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,1
RC,923,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,1
RC,923,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,1
RC,923,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,1
RC,923,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,1
RC,923,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,1
RC,923,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,1
RC,923,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,1
RC,923,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,1
RC,923,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,1
RC,923,"Thymol turbidity, blood ",,,4.95,4.95,1
RC,923,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,1
RC,923,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,1
RC,924, Other Diagnostic Services Allergy Test  ,,,181.0,181.0,1
RC,925, Other Diagnostic Services Pregnancy Test  ,,,,,0
RC,925,"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc ",,,51.31,51.31,1
RC,925,All potassium hydroxide (koh) preparations ,,,5.83,5.83,1
RC,925,Catheterization for collection of specimen(s) (multiple patients) ,,,3.0,3.0,1
RC,925,"Catheterization for collection of specimen, single patient, all places of service ",,,3.0,3.0,1
RC,925,Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel ,,,35.92,35.92,1
RC,925,"Cephalin floculation, blood ",,,4.95,4.95,1
RC,925,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ",,,18.05,18.05,1
RC,925,"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) ",,,6.47,6.47,1
RC,925,"Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count ",,,7.77,7.77,1
RC,925,"Congo red, blood ",,,4.95,4.95,1
RC,925,"Culture, bacterial, urine; quantitative, sensitivity study ",,,18.84,18.84,1
RC,925,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,114.43,246.92,4
RC,925,"Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limi",,,62.14,62.14,1
RC,925,Fern test ,,,9.74,9.74,1
RC,925,Hair analysis (excluding arsenic) ,,,4.95,4.95,1
RC,925,Handling and/or conveyance of specimen for transfer from the office to a laboratory ,,,5.58,5.58,1
RC,925,Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) ,,,6.63,6.63,1
RC,925,"Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is f",,,28.27,28.27,1
RC,925,"Hepatitis c antibody screening, for individual at high risk and other covered indication(s) ",,,46.35,46.35,1
RC,925,"Hiv antigen/antibody, combination assay, screening ",,,24.08,24.08,1
RC,925,"Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening ",,,19.57,19.57,1
RC,925,"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening ",,,18.29,18.29,1
RC,925,"Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening ",,,11.98,11.98,1
RC,925,"Infectious agent detection by nucleic acid (dna or rna); hepatitis c, screening, amplified probe technique ",,,35.09,35.09,1
RC,925,"Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be p",,,35.09,35.09,1
RC,925,"Mucoprotein, blood (seromucoid) (medical necessity procedure) ",,,4.95,4.95,1
RC,925,Pinworm examinations ,,,4.27,4.27,1
RC,925,"Post-coital direct, qualitative examinations of vaginal or cervical mucous ",,,25.0,25.0,1
RC,925,Prostate cancer screening; prostate specific antigen test (psa) ,,,19.31,19.31,1
RC,925,"Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision ",,,15.15,15.15,1
RC,925,"Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening ",,,31.94,31.94,1
RC,925,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision ",,,20.26,20.26,1
RC,925,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under ",,,27.05,27.05,1
RC,925,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under ",,,26.49,26.49,1
RC,925,"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system, under physician supervision ",,,43.97,43.97,1
RC,925,"Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision ",,,15.15,15.15,1
RC,925,"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ",,,24.67,24.67,1
RC,925,Semen analysis; presence and/or motility of sperm excluding huhner ,,,6.5,6.5,1
RC,925,"Thymol turbidity, blood ",,,4.95,4.95,1
RC,925,"Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s) ",,,120.72,120.72,1
RC,925,"Wet mounts, including preparations of vaginal, cervical or skin specimens ",,,15.15,15.15,1
RC,929, Other Diagnostic Service  ,,,845.0,1379.0,2
RC,929,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness ",,,4033.0,4033.0,1
RC,929,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,4033.0,4033.0,1
RC,929,"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a",,,4033.0,4033.0,1
RC,929,"Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist ",,,4033.0,4033.0,1
RC,929,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist ",,,4033.0,4033.0,1
RC,929,"Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by ",,,4033.0,4033.0,1
RC,929,"Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist ",,,4033.0,4033.0,1
RC,929,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) ",,,4033.0,4033.0,1
RC,929,"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time ",,,4033.0,4033.0,1
RC,929,"Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone) ",,,4033.0,4033.0,1
RC,940, Other Therapeutic Services General Classification  ,,,351.0,351.0,1
RC,942, Other Therapeutic Services Education/Training  ,,,181.0,181.0,1
RC,943, Other Therapeutic Services Cardiac Rehabilitation  ,,,351.0,351.0,1
RC,946, Other Therapeutic Services Complex Medical Equipment-Routine  ,,,,,0
RC,947, Other Therapeutic Services Complex Medical Equipment-Ancillary   ,,,,,0
RC,948, Other Therapeutic Services Pulmonary Rehabilitation  ,,,351.0,351.0,1
RC,949, Other Therapeutic Services Other Therapeutic Service  ,,,351.0,351.0,1
RC,950, Other Therapeutic Services (extension of 094x) (use 0940 for General Classification)  ,,,,,0
RC,951, Other Therapeutic Services Athletic Training  ,,,,,0
RC,952, Other Therapeutic Services Kinesiotherapy  ,,,,,0
TRIS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC ,,,247595.31,247595.31,1
TRIS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC ,,,92830.06,92830.06,1
TRIS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH ",,,174510.18,174510.18,1
TRIS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC ",,,136278.6,136278.6,1
TRIS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT ,,,88463.21,88463.21,1
TRIS-DRG,006,LIVER TRANSPLANT WITHOUT MCC ,,,40293.54,40293.54,1
TRIS-DRG,007,LUNG TRANSPLANT ,,,104739.44,104739.44,1
TRIS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT ,,,45912.81,45912.81,1
TRIS-DRG,010,PANCREAS TRANSPLANT ,,,58783.1,58783.1,1
TRIS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC ",,,56130.66,56130.66,1
TRIS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC ",,,31623.31,31623.31,1
TRIS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC ",,,21815.06,21815.06,1
TRIS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT ,,,89404.92,89404.92,1
TRIS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC ,,,44996.93,44996.93,1
TRIS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC ,,,44501.72,44501.72,1
TRIS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES ,,,281673.26,281673.26,1
TRIS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS ,,,58446.55,58446.55,1
TRIS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC ,,,72956.73,72956.73,1
TRIS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC ,,,43926.06,43926.06,1
TRIS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ ,,,26029.14,26029.14,1
TRIS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI ,,,50470.81,50470.81,1
TRIS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI ,,,32163.54,32163.54,1
TRIS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC ,,,31218.88,31218.88,1
TRIS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC ,,,24513.25,24513.25,1
TRIS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC ,,,19737.54,19737.54,1
TRIS-DRG,028,SPINAL PROCEDURES WITH MCC ,,,33551.02,33551.02,1
TRIS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS ,,,19552.3,19552.3,1
TRIS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC ,,,14665.89,14665.89,1
TRIS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC ,,,23563.42,23563.42,1
TRIS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC ,,,15467.37,15467.37,1
TRIS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC ,,,13136.71,13136.71,1
TRIS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC ,,,31708.92,31708.92,1
TRIS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC ,,,16692.48,16692.48,1
TRIS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC ,,,13137.45,13137.45,1
TRIS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC ,,,34420.4,34420.4,1
TRIS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC ,,,16737.5,16737.5,1
TRIS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC ,,,12191.31,12191.31,1
TRIS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC ",,,23671.17,23671.17,1
TRIS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE ",,,17612.05,17612.05,1
TRIS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC ",,,12672.5,12672.5,1
TRIS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC ,,,21255.64,21255.64,1
TRIS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC ,,,6310.79,6310.79,1
TRIS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC* ,,,12893.16,12893.16,1
TRIS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC* ,,,6437.73,6437.73,1
TRIS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC ,,,16415.73,16415.73,1
TRIS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC ,,,11122.66,11122.66,1
TRIS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC ,,,19601.74,19601.74,1
TRIS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC ,,,10405.31,10405.31,1
TRIS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC ,,,7441.43,7441.43,1
TRIS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,15089.5,15089.5,1
TRIS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,14130.09,14130.09,1
TRIS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A ",,,12045.19,12045.19,1
TRIS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC ,,,17068.87,17068.87,1
TRIS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS ,,,8758.79,8758.79,1
TRIS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC ,,,6448.8,6448.8,1
TRIS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC ,,,12031.9,12031.9,1
TRIS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC ,,,7960.26,7960.26,1
TRIS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC ,,,6116.69,6116.69,1
TRIS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC* ,,,11493.15,11493.15,1
TRIS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC* ,,,6535.15,6535.15,1
TRIS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC* ,,,4999.33,4999.33,1
TRIS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC ,,,13032.65,13032.65,1
TRIS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC ,,,6149.16,6149.16,1
TRIS-DRG,075,VIRAL MENINGITIS WITH CC/MCC ,,,7515.23,7515.23,1
TRIS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC ,,,3670.9,3670.9,1
TRIS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC ,,,8111.55,8111.55,1
TRIS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC ,,,6221.49,6221.49,1
TRIS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC ,,,13152.21,13152.21,1
TRIS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC ,,,9822.28,9822.28,1
TRIS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC ,,,7420.03,7420.03,1
TRIS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC ,,,13978.05,13978.05,1
TRIS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC ,,,8203.8,8203.8,1
TRIS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC ,,,6773.52,6773.52,1
TRIS-DRG,088,CONCUSSION WITH MCC ,,,11073.96,11073.96,1
TRIS-DRG,089,CONCUSSION WITH CC ,,,11555.88,11555.88,1
TRIS-DRG,090,CONCUSSION WITHOUT CC/MCC ,,,12493.9,12493.9,1
TRIS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC* ,,,11832.63,11832.63,1
TRIS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC* ,,,7174.27,7174.27,1
TRIS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC* ,,,5943.25,5943.25,1
TRIS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC ,,,29970.9,29970.9,1
TRIS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC ,,,19259.3,19259.3,1
TRIS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC ,,,19296.95,19296.95,1
TRIS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC ,,,23448.29,23448.29,1
TRIS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC ,,,14344.11,14344.11,1
TRIS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC ,,,12436.33,12436.33,1
TRIS-DRG,100,SEIZURES WITH MCC ,,,12112.34,12112.34,1
TRIS-DRG,101,SEIZURES WITHOUT MCC ,,,5541.04,5541.04,1
TRIS-DRG,102,HEADACHES WITH MCC* ,,,11857.73,11857.73,1
TRIS-DRG,103,HEADACHES WITHOUT MCC* ,,,6523.34,6523.34,1
TRIS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC ,,,22011.38,22011.38,1
TRIS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC ,,,11083.55,11083.55,1
TRIS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT ,,,12573.61,12573.61,1
TRIS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC ,,,15220.87,15220.87,1
TRIS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC ,,,8887.21,8887.21,1
TRIS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC ,,,2761.66,2761.66,1
TRIS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC ,,,4365.37,4365.37,1
TRIS-DRG,123,NEUROLOGICAL EYE DISORDERS ,,,5448.05,5448.05,1
TRIS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT ,,,10838.53,10838.53,1
TRIS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC ,,,4997.12,4997.12,1
TRIS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC ,,,17776.63,17776.63,1
TRIS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC ,,,8317.46,8317.46,1
TRIS-DRG,137,MOUTH PROCEDURES WITH CC/MCC ,,,8410.45,8410.45,1
TRIS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC ,,,5933.66,5933.66,1
TRIS-DRG,139,SALIVARY GLAND PROCEDURES ,,,10122.65,10122.65,1
TRIS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC ,,,3634.74,3634.74,1
TRIS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC ,,,2729.19,2729.19,1
TRIS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC ,,,12248.14,12248.14,1
TRIS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC ",,,10309.36,10309.36,1
TRIS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC ",,,6529.24,6529.24,1
TRIS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC ",,,3681.23,3681.23,1
TRIS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC* ",,,17345.63,17345.63,1
TRIS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC* ",,,10416.38,10416.38,1
TRIS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC* ",,,6529.98,6529.98,1
TRIS-DRG,149,DYSEQUILIBRIUM ,,,5745.47,5745.47,1
TRIS-DRG,150,EPISTAXIS WITH MCC ,,,10907.9,10907.9,1
TRIS-DRG,151,EPISTAXIS WITHOUT MCC ,,,4557.26,4557.26,1
TRIS-DRG,152,OTITIS MEDIA AND URI WITH MCC ,,,4848.04,4848.04,1
TRIS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC ,,,3203.0,3203.0,1
TRIS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC ",,,6867.25,6867.25,1
TRIS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC ",,,4506.33,4506.33,1
TRIS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC ",,,3636.21,3636.21,1
TRIS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC ,,,11477.65,11477.65,1
TRIS-DRG,158,DENTAL AND ORAL DISEASES WITH CC ,,,4836.97,4836.97,1
TRIS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC ,,,3693.78,3693.78,1
TRIS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC ,,,31959.11,31959.11,1
TRIS-DRG,164,MAJOR CHEST PROCEDURES WITH CC ,,,17669.62,17669.62,1
TRIS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC ,,,15046.7,15046.7,1
TRIS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC ,,,29832.15,29832.15,1
TRIS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC ,,,13840.04,13840.04,1
TRIS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,11828.95,11828.95,1
TRIS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY ,,,24382.62,24382.62,1
TRIS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE ,,,7652.5,7652.5,1
TRIS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC ,,,4903.39,4903.39,1
TRIS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC* ,,,9899.77,9899.77,1
TRIS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC* ,,,5536.61,5536.61,1
TRIS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC* ,,,4475.34,4475.34,1
TRIS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC ,,,13232.65,13232.65,1
TRIS-DRG,181,RESPIRATORY NEOPLASMS WITH CC ,,,8268.75,8268.75,1
TRIS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC ,,,6174.99,6174.99,1
TRIS-DRG,183,MAJOR CHEST TRAUMA WITH MCC ,,,6780.17,6780.17,1
TRIS-DRG,184,MAJOR CHEST TRAUMA WITH CC ,,,6332.19,6332.19,1
TRIS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC ,,,6451.01,6451.01,1
TRIS-DRG,186,PLEURAL EFFUSION WITH MCC ,,,9676.89,9676.89,1
TRIS-DRG,187,PLEURAL EFFUSION WITH CC ,,,6319.64,6319.64,1
TRIS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC ,,,4507.07,4507.07,1
TRIS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE ,,,5569.08,5569.08,1
TRIS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC* ,,,7344.75,7344.75,1
TRIS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC* ,,,5538.08,5538.08,1
TRIS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC* ,,,4073.12,4073.12,1
TRIS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC* ,,,7319.66,7319.66,1
TRIS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC* ,,,5183.84,5183.84,1
TRIS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC* ,,,3684.92,3684.92,1
TRIS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC ,,,10845.91,10845.91,1
TRIS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC ,,,6780.91,6780.91,1
TRIS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC ,,,5867.24,5867.24,1
TRIS-DRG,199,PNEUMOTHORAX WITH MCC ,,,8254.73,8254.73,1
TRIS-DRG,200,PNEUMOTHORAX WITH CC ,,,5098.96,5098.96,1
TRIS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC ,,,3372.0,3372.0,1
TRIS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC ,,,5115.2,5115.2,1
TRIS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC ,,,4160.94,4160.94,1
TRIS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS ,,,4801.54,4801.54,1
TRIS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC ,,,7824.46,7824.46,1
TRIS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC ,,,4901.17,4901.17,1
TRIS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS ,,,48393.28,48393.28,1
TRIS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS ,,,15263.68,15263.68,1
TRIS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES ,,,5723.33,5723.33,1
TRIS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES ,,,5533.66,5533.66,1
TRIS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES ,,,46751.2,46751.2,1
TRIS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT ,,,50056.04,50056.04,1
TRIS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,76941.28,76941.28,1
TRIS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,58396.38,58396.38,1
TRIS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA ,,,53864.95,53864.95,1
TRIS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,50576.34,50576.34,1
TRIS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,38019.71,38019.71,1
TRIS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER ,,,37373.94,37373.94,1
TRIS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC ,,,42185.82,42185.82,1
TRIS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC ,,,26980.44,26980.44,1
TRIS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC ,,,69057.78,69057.78,1
TRIS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC ,,,49664.89,49664.89,1
TRIS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC ,,,61732.95,61732.95,1
TRIS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC ,,,46949.73,46949.73,1
TRIS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC ,,,46425.73,46425.73,1
TRIS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC ,,,34598.26,34598.26,1
TRIS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC ,,,36683.9,36683.9,1
TRIS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC ,,,36134.82,36134.82,1
TRIS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC ,,,11341.11,11341.11,1
TRIS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC ,,,26180.44,26180.44,1
TRIS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC ,,,17511.68,17511.68,1
TRIS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC ,,,14973.64,14973.64,1
TRIS-DRG,245,AICD GENERATOR PROCEDURES ,,,37375.42,37375.42,1
TRIS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC ,,,17326.44,17326.44,1
TRIS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC ,,,13441.51,13441.51,1
TRIS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC ,,,31600.44,31600.44,1
TRIS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC ,,,19693.26,19693.26,1
TRIS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC ,,,13844.47,13844.47,1
TRIS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC ,,,22096.98,22096.98,1
TRIS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC ,,,13909.41,13909.41,1
TRIS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC ,,,8946.99,8946.99,1
TRIS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC ,,,25739.83,25739.83,1
TRIS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC ,,,16564.81,16564.81,1
TRIS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC ,,,18462.98,18462.98,1
TRIS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC ,,,15069.58,15069.58,1
TRIS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC ,,,10754.39,10754.39,1
TRIS-DRG,263,VEIN LIGATION AND STRIPPING ,,,23297.74,23297.74,1
TRIS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES ,,,21640.88,21640.88,1
TRIS-DRG,265,AICD LEAD PROCEDURES ,,,29640.26,29640.26,1
TRIS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC ,,,30077.91,30077.91,1
TRIS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC ,,,2807.42,2807.42,1
TRIS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC ,,,13200.18,13200.18,1
TRIS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC ,,,3583.08,3583.08,1
TRIS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC ,,,3310.01,3310.01,1
TRIS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC ,,,3365.36,3365.36,1
TRIS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC ,,,18104.3,18104.3,1
TRIS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC ,,,25384.11,25384.11,1
TRIS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC ,,,27416.61,27416.61,1
TRIS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC ,,,68834.9,68834.9,1
TRIS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR ,,,27257.94,27257.94,1
TRIS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC ,,,42526.79,42526.79,1
TRIS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,27177.5,27177.5,1
TRIS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES ,,,17811.31,17811.31,1
TRIS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC ",,,10897.56,10897.56,1
TRIS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC ",,,7803.8,7803.8,1
TRIS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC ",,,7176.48,7176.48,1
TRIS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC ",,,20682.94,20682.94,1
TRIS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC ",,,5670.19,5670.19,1
TRIS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC ",,,4906.34,4906.34,1
TRIS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC ",,,15471.8,15471.8,1
TRIS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC ",,,8771.34,8771.34,1
TRIS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC ,,,22169.31,22169.31,1
TRIS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC ,,,13983.22,13983.22,1
TRIS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC ,,,7616.34,7616.34,1
TRIS-DRG,291,HEART FAILURE AND SHOCK WITH MCC* ,,,7494.57,7494.57,1
TRIS-DRG,292,HEART FAILURE AND SHOCK WITH CC* ,,,4646.56,4646.56,1
TRIS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC* ,,,2668.67,2668.67,1
TRIS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC ",,,13059.22,13059.22,1
TRIS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC ",,,5193.43,5193.43,1
TRIS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC ",,,3728.46,3728.46,1
TRIS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC ,,,8184.61,8184.61,1
TRIS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC ,,,6340.31,6340.31,1
TRIS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC ,,,4807.45,4807.45,1
TRIS-DRG,302,ATHEROSCLEROSIS WITH MCC ,,,9245.88,9245.88,1
TRIS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC ,,,4228.84,4228.84,1
TRIS-DRG,304,HYPERTENSION WITH MCC ,,,9265.81,9265.81,1
TRIS-DRG,305,HYPERTENSION WITHOUT MCC ,,,4653.94,4653.94,1
TRIS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC ,,,10413.43,10413.43,1
TRIS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC ,,,6876.11,6876.11,1
TRIS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC ,,,7198.62,7198.62,1
TRIS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC ,,,3968.32,3968.32,1
TRIS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC ,,,3440.64,3440.64,1
TRIS-DRG,311,ANGINA PECTORIS ,,,4288.62,4288.62,1
TRIS-DRG,312,SYNCOPE AND COLLAPSE ,,,5132.91,5132.91,1
TRIS-DRG,313,CHEST PAIN ,,,4865.01,4865.01,1
TRIS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC ,,,15029.72,15029.72,1
TRIS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC ,,,6163.92,6163.92,1
TRIS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,4493.05,4493.05,1
TRIS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION ,,,43672.92,43672.92,1
TRIS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE ,,,37858.08,37858.08,1
TRIS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC ,,,36559.91,36559.91,1
TRIS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC ,,,19704.33,19704.33,1
TRIS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A ,,,21373.73,21373.73,1
TRIS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,17332.34,17332.34,1
TRIS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC ,,,38792.41,38792.41,1
TRIS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,30477.91,30477.91,1
TRIS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE ,,,26299.25,26299.25,1
TRIS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC ",,,31724.42,31724.42,1
TRIS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC ",,,22184.06,22184.06,1
TRIS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC ",,,14569.94,14569.94,1
TRIS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,26465.31,26465.31,1
TRIS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,18319.07,18319.07,1
TRIS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,14534.52,14534.52,1
TRIS-DRG,332,RECTAL RESECTION WITH MCC ,,,29660.92,29660.92,1
TRIS-DRG,333,RECTAL RESECTION WITH CC ,,,19051.19,19051.19,1
TRIS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC ,,,18140.47,18140.47,1
TRIS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC ,,,20120.57,20120.57,1
TRIS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC ,,,14306.47,14306.47,1
TRIS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC ,,,11375.06,11375.06,1
TRIS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC ,,,21158.22,21158.22,1
TRIS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC ,,,11394.25,11394.25,1
TRIS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC ,,,8145.5,8145.5,1
TRIS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC ,,,18805.43,18805.43,1
TRIS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC ,,,9306.4,9306.4,1
TRIS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC ,,,6560.24,6560.24,1
TRIS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC ,,,20413.56,20413.56,1
TRIS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC ,,,14135.25,14135.25,1
TRIS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC ,,,14580.27,14580.27,1
TRIS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC ,,,18625.35,18625.35,1
TRIS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC ,,,13929.35,13929.35,1
TRIS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC ,,,11166.2,11166.2,1
TRIS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC ,,,24527.27,24527.27,1
TRIS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC ,,,15472.54,15472.54,1
TRIS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,10538.15,10538.15,1
TRIS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC ,,,28168.65,28168.65,1
TRIS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC ,,,56763.14,56763.14,1
TRIS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC* ,,,8389.05,8389.05,1
TRIS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC* ,,,6031.08,6031.08,1
TRIS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC* ,,,5191.22,5191.22,1
TRIS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC* ,,,10206.05,10206.05,1
TRIS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC* ,,,5766.13,5766.13,1
TRIS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC* ,,,3881.97,3881.97,1
TRIS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC ,,,14561.82,14561.82,1
TRIS-DRG,375,DIGESTIVE MALIGNANCY WITH CC ,,,8445.87,8445.87,1
TRIS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC ,,,7572.06,7572.06,1
TRIS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC ,,,10711.58,10711.58,1
TRIS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC ,,,6470.2,6470.2,1
TRIS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC ,,,3901.16,3901.16,1
TRIS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC ,,,18015.74,18015.74,1
TRIS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC ,,,7512.28,7512.28,1
TRIS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC ,,,5298.97,5298.97,1
TRIS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC ,,,11310.86,11310.86,1
TRIS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC ,,,6702.68,6702.68,1
TRIS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC ,,,9189.06,9189.06,1
TRIS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC ,,,6479.79,6479.79,1
TRIS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC ,,,4653.2,4653.2,1
TRIS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC* ,,,6439.94,6439.94,1
TRIS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC* ,,,4484.93,4484.93,1
TRIS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC* ,,,3338.79,3338.79,1
TRIS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC ",,,7555.82,7555.82,1
TRIS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC ",,,4841.4,4841.4,1
TRIS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC ,,,9825.96,9825.96,1
TRIS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC ,,,6108.57,6108.57,1
TRIS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,4696.01,4696.01,1
TRIS-DRG,397,APPENDIX PROCEDURES WITH MCC ,,,18729.41,18729.41,1
TRIS-DRG,398,APPENDIX PROCEDURES WITH CC ,,,21373.73,21373.73,1
TRIS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC ,,,14312.37,14312.37,1
TRIS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL ,,,9023.74,9023.74,1
TRIS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC ",,,39098.69,39098.69,1
TRIS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC ",,,22962.67,22962.67,1
TRIS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC ",,,17648.95,17648.95,1
TRIS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,18772.22,18772.22,1
TRIS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,21759.71,21759.71,1
TRIS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH ,,,10400.88,10400.88,1
TRIS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC ,,,27060.89,27060.89,1
TRIS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC ,,,13565.5,13565.5,1
TRIS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC ,,,18240.1,18240.1,1
TRIS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC ,,,29184.9,29184.9,1
TRIS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC ,,,17730.14,17730.14,1
TRIS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC ,,,15649.66,15649.66,1
TRIS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC ,,,15519.03,15519.03,1
TRIS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC ,,,14553.71,14553.71,1
TRIS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC ,,,11776.55,11776.55,1
TRIS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC ,,,21437.19,21437.19,1
TRIS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC ,,,17764.09,17764.09,1
TRIS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC ,,,11464.36,11464.36,1
TRIS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC ,,,82905.19,82905.19,1
TRIS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC ,,,18194.35,18194.35,1
TRIS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC ,,,12290.21,12290.21,1
TRIS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,13842.26,13842.26,1
TRIS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,11372.85,11372.85,1
TRIS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT ,,,8716.72,8716.72,1
TRIS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC ,,,73806.92,73806.92,1
TRIS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC ,,,45652.28,45652.28,1
TRIS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC* ,,,16189.15,16189.15,1
TRIS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC* ,,,6621.49,6621.49,1
TRIS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC* ,,,4977.19,4977.19,1
TRIS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC* ,,,13351.48,13351.48,1
TRIS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC* ,,,7578.7,7578.7,1
TRIS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC* ,,,7444.38,7444.38,1
TRIS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC* ,,,12574.34,12574.34,1
TRIS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC* ,,,5443.62,5443.62,1
TRIS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC* ,,,3856.88,3856.88,1
TRIS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC* ",,,12070.27,12070.27,1
TRIS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC* ",,,7094.56,7094.56,1
TRIS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C ",,,4350.61,4350.61,1
TRIS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC ,,,9991.28,9991.28,1
TRIS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC ,,,7341.06,7341.06,1
TRIS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC ,,,5476.09,5476.09,1
TRIS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL ,,,60031.83,60031.83,1
TRIS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,34434.42,34434.42,1
TRIS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY ,,,35114.87,35114.87,1
TRIS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC ,,,24719.16,24719.16,1
TRIS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,49741.64,49741.64,1
TRIS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,39982.84,39982.84,1
TRIS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX ",,,32398.97,32398.97,1
TRIS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC ,,,45244.17,45244.17,1
TRIS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC ,,,19715.4,19715.4,1
TRIS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,36427.81,36427.81,1
TRIS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,26559.04,26559.04,1
TRIS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE ,,,16608.35,16608.35,1
TRIS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC ,,,35204.91,35204.91,1
TRIS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC ,,,28477.14,28477.14,1
TRIS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC ,,,20733.13,20733.13,1
TRIS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC ,,,25295.55,25295.55,1
TRIS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT ,,,14444.48,14444.48,1
TRIS-DRG,471,CERVICAL SPINAL FUSION WITH MCC ,,,26438.74,26438.74,1
TRIS-DRG,472,CERVICAL SPINAL FUSION WITH CC ,,,22388.5,22388.5,1
TRIS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC ,,,18718.34,18718.34,1
TRIS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC ,,,80074.17,80074.17,1
TRIS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC ,,,15057.78,15057.78,1
TRIS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC ,,,6750.65,6750.65,1
TRIS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,19327.2,19327.2,1
TRIS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ,,,15874.02,15874.02,1
TRIS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ,,,15023.83,15023.83,1
TRIS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC ,,,29328.08,29328.08,1
TRIS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC ,,,17024.59,17024.59,1
TRIS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC ,,,13394.28,13394.28,1
TRIS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES ,,,20073.34,20073.34,1
TRIS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC ,,,26436.53,26436.53,1
TRIS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC ,,,13657.76,13657.76,1
TRIS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,9521.9,9521.9,1
TRIS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC ,,,10395.71,10395.71,1
TRIS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC ,,,9805.3,9805.3,1
TRIS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC* ",,,29750.97,29750.97,1
TRIS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC* ",,,22340.53,22340.53,1
TRIS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC ",,,15580.29,15580.29,1
TRIS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,29701.52,29701.52,1
TRIS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,16630.49,16630.49,1
TRIS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT ,,,9219.31,9219.31,1
TRIS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC ,,,21526.49,21526.49,1
TRIS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT ,,,15499.11,15499.11,1
TRIS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC ,,,25027.65,25027.65,1
TRIS-DRG,501,SOFT TISSUE PROCEDURES WITH CC ,,,13981.01,13981.01,1
TRIS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC ,,,10510.84,10510.84,1
TRIS-DRG,503,FOOT PROCEDURES WITH MCC ,,,22864.52,22864.52,1
TRIS-DRG,504,FOOT PROCEDURES WITH CC ,,,12397.22,12397.22,1
TRIS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC ,,,11133.73,11133.73,1
TRIS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES ,,,11052.55,11052.55,1
TRIS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC ,,,14797.99,14797.99,1
TRIS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC ,,,12406.08,12406.08,1
TRIS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC ",,,25680.06,25680.06,1
TRIS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC ",,,22193.66,22193.66,1
TRIS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ ",,,11954.41,11954.41,1
TRIS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC ",,,10276.16,10276.16,1
TRIS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC ",,,8007.49,8007.49,1
TRIS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC ,,,24082.99,24082.99,1
TRIS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC ,,,16910.93,16910.93,1
TRIS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC ,,,14738.21,14738.21,1
TRIS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST ,,,21235.72,21235.72,1
TRIS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC ,,,16708.72,16708.72,1
TRIS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC ,,,13335.98,13335.98,1
TRIS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC ,,,23512.5,23512.5,1
TRIS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC ,,,19388.46,19388.46,1
TRIS-DRG,533,FRACTURES OF FEMUR WITH MCC ,,,12842.25,12842.25,1
TRIS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC ,,,4896.75,4896.75,1
TRIS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC ,,,10501.99,10501.99,1
TRIS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC ,,,5518.9,5518.9,1
TRIS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC ",,,7817.82,7817.82,1
TRIS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC ",,,5900.45,5900.45,1
TRIS-DRG,539,OSTEOMYELITIS WITH MCC* ,,,12532.27,12532.27,1
TRIS-DRG,540,OSTEOMYELITIS WITH CC* ,,,5809.67,5809.67,1
TRIS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC* ,,,6159.49,6159.49,1
TRIS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,13644.47,13644.47,1
TRIS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,9703.45,9703.45,1
TRIS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH ,,,4147.66,4147.66,1
TRIS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC ,,,24840.93,24840.93,1
TRIS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC ,,,10279.85,10279.85,1
TRIS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC ,,,7099.73,7099.73,1
TRIS-DRG,548,SEPTIC ARTHRITIS WITH MCC ,,,15817.93,15817.93,1
TRIS-DRG,549,SEPTIC ARTHRITIS WITH CC ,,,6306.36,6306.36,1
TRIS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC ,,,4520.36,4520.36,1
TRIS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC ,,,8393.47,8393.47,1
TRIS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC ,,,5346.94,5346.94,1
TRIS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC* ,,,10619.34,10619.34,1
TRIS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC* ,,,4608.92,4608.92,1
TRIS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ,,,10828.2,10828.2,1
TRIS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC ,,,5253.95,5253.95,1
TRIS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC ",,,8070.96,8070.96,1
TRIS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC ",,,3465.73,3465.73,1
TRIS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC ",,,12488.73,12488.73,1
TRIS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC ",,,12206.07,12206.07,1
TRIS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC ",,,8594.21,8594.21,1
TRIS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,9820.8,9820.8,1
TRIS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT ",,,5151.36,5151.36,1
TRIS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC* ,,,8638.5,8638.5,1
TRIS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC* ,,,7211.91,7211.91,1
TRIS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC* ,,,4981.62,4981.62,1
TRIS-DRG,570,SKIN DEBRIDEMENT WITH MCC ,,,19391.41,19391.41,1
TRIS-DRG,571,SKIN DEBRIDEMENT WITH CC ,,,11014.18,11014.18,1
TRIS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC ,,,12730.8,12730.8,1
TRIS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,53669.37,53669.37,1
TRIS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,28438.03,28438.03,1
TRIS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,14721.23,14721.23,1
TRIS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC ,,,40150.37,40150.37,1
TRIS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC ,,,25549.43,25549.43,1
TRIS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC ,,,13914.58,13914.58,1
TRIS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC ",,,14737.47,14737.47,1
TRIS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC ",,,16496.91,16496.91,1
TRIS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC ",,,17857.81,17857.81,1
TRIS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC ,,,22333.15,22333.15,1
TRIS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC ,,,21537.57,21537.57,1
TRIS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC ",,,28577.52,28577.52,1
TRIS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC ",,,21463.76,21463.76,1
TRIS-DRG,592,SKIN ULCERS WITH MCC* ,,,15854.09,15854.09,1
TRIS-DRG,593,SKIN ULCERS WITH CC* ,,,6746.96,6746.96,1
TRIS-DRG,594,SKIN ULCERS WITHOUT CC/MCC* ,,,7100.47,7100.47,1
TRIS-DRG,595,MAJOR SKIN DISORDERS WITH MCC ,,,10872.48,10872.48,1
TRIS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC ,,,3116.65,3116.65,1
TRIS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC* ,,,9978.74,9978.74,1
TRIS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC* ,,,6577.21,6577.21,1
TRIS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC* ,,,6302.67,6302.67,1
TRIS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC ,,,3329.94,3329.94,1
TRIS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC ,,,2690.07,2690.07,1
TRIS-DRG,602,CELLULITIS WITH MCC ,,,8191.26,8191.26,1
TRIS-DRG,603,CELLULITIS WITHOUT MCC ,,,4383.09,4383.09,1
TRIS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC ",,,12059.2,12059.2,1
TRIS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC ",,,5487.16,5487.16,1
TRIS-DRG,606,MINOR SKIN DISORDERS WITH MCC ,,,8188.3,8188.3,1
TRIS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC ,,,3153.55,3153.55,1
TRIS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC ,,,17330.13,17330.13,1
TRIS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC ,,,11159.56,11159.56,1
TRIS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,25880.8,25880.8,1
TRIS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,11453.29,11453.29,1
TRIS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH ",,,11618.61,11618.61,1
TRIS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC ,,,31918.52,31918.52,1
TRIS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC ,,,14561.82,14561.82,1
TRIS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC ,,,13844.47,13844.47,1
TRIS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,37310.48,37310.48,1
TRIS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,10586.86,10586.86,1
TRIS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR ",,,10255.49,10255.49,1
TRIS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC ",,,24740.56,24740.56,1
TRIS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC ",,,11717.5,11717.5,1
TRIS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC ",,,11118.24,11118.24,1
TRIS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC ",,,20062.27,20062.27,1
TRIS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC ",,,14271.05,14271.05,1
TRIS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC ",,,11770.64,11770.64,1
TRIS-DRG,637,DIABETES WITH MCC ,,,8162.47,8162.47,1
TRIS-DRG,638,DIABETES WITH CC ,,,4547.66,4547.66,1
TRIS-DRG,639,DIABETES WITHOUT CC/MCC ,,,3306.32,3306.32,1
TRIS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M ",,,8556.58,8556.58,1
TRIS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU ",,,4405.23,4405.23,1
TRIS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM ,,,8379.45,8379.45,1
TRIS-DRG,643,ENDOCRINE DISORDERS WITH MCC ,,,9851.06,9851.06,1
TRIS-DRG,644,ENDOCRINE DISORDERS WITH CC ,,,5989.75,5989.75,1
TRIS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC ,,,3889.35,3889.35,1
TRIS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC ,,,16418.68,16418.68,1
TRIS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC ,,,122133.77,122133.77,1
TRIS-DRG,652,KIDNEY TRANSPLANT ,,,26929.52,26929.52,1
TRIS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC ,,,30032.15,30032.15,1
TRIS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC ,,,20764.86,20764.86,1
TRIS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,13721.22,13721.22,1
TRIS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC ,,,32646.2,32646.2,1
TRIS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC ,,,17690.28,17690.28,1
TRIS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC ,,,13752.21,13752.21,1
TRIS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC ,,,13097.6,13097.6,1
TRIS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC ,,,9065.07,9065.07,1
TRIS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC ,,,8701.23,8701.23,1
TRIS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC ,,,25080.05,25080.05,1
TRIS-DRG,663,MINOR BLADDER PROCEDURES WITH CC ,,,12453.31,12453.31,1
TRIS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC ,,,7180.91,7180.91,1
TRIS-DRG,665,PROSTATECTOMY WITH MCC ,,,25568.62,25568.62,1
TRIS-DRG,666,PROSTATECTOMY WITH CC ,,,14330.09,14330.09,1
TRIS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC ,,,9062.12,9062.12,1
TRIS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC ,,,23920.63,23920.63,1
TRIS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC ,,,12713.83,12713.83,1
TRIS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC ,,,8006.01,8006.01,1
TRIS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC ,,,14704.26,14704.26,1
TRIS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC ,,,8842.93,8842.93,1
TRIS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC ,,,29450.59,29450.59,1
TRIS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC ,,,16634.18,16634.18,1
TRIS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC ,,,12498.32,12498.32,1
TRIS-DRG,682,RENAL FAILURE WITH MCC* ,,,8690.89,8690.89,1
TRIS-DRG,683,RENAL FAILURE WITH CC* ,,,5020.0,5020.0,1
TRIS-DRG,684,RENAL FAILURE WITHOUT CC/MCC* ,,,3239.16,3239.16,1
TRIS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC ,,,18876.28,18876.28,1
TRIS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC ,,,7973.54,7973.54,1
TRIS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC ,,,6473.89,6473.89,1
TRIS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC ,,,7880.55,7880.55,1
TRIS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC ,,,4390.47,4390.47,1
TRIS-DRG,693,URINARY STONES WITH MCC ,,,11014.18,11014.18,1
TRIS-DRG,694,URINARY STONES WITHOUT MCC ,,,4352.83,4352.83,1
TRIS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC ,,,9369.87,9369.87,1
TRIS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC ,,,3512.96,3512.96,1
TRIS-DRG,697,URETHRAL STRICTURE ,,,8829.64,8829.64,1
TRIS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC ,,,10054.75,10054.75,1
TRIS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC ,,,7226.67,7226.67,1
TRIS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC ,,,5068.7,5068.7,1
TRIS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC ,,,21137.56,21137.56,1
TRIS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC ,,,15715.35,15715.35,1
TRIS-DRG,709,PENIS PROCEDURES WITH CC/MCC ,,,19063.73,19063.73,1
TRIS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC ,,,10967.67,10967.67,1
TRIS-DRG,711,TESTES PROCEDURES WITH CC/MCC ,,,17070.34,17070.34,1
TRIS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC ,,,8169.12,8169.12,1
TRIS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC ,,,11407.54,11407.54,1
TRIS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC ,,,8205.28,8205.28,1
TRIS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC ,,,18327.93,18327.93,1
TRIS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC ,,,12050.35,12050.35,1
TRIS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC ,,,15487.3,15487.3,1
TRIS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC ,,,6495.29,6495.29,1
TRIS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC ",,,14825.3,14825.3,1
TRIS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC ",,,9361.01,9361.01,1
TRIS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,5371.29,5371.29,1
TRIS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC ,,,9586.11,9586.11,1
TRIS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC ,,,4729.22,4729.22,1
TRIS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC ,,,12147.77,12147.77,1
TRIS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC ,,,4062.05,4062.05,1
TRIS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC ,,,8673.18,8673.18,1
TRIS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC ,,,5504.87,5504.87,1
TRIS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC ",,,17448.95,17448.95,1
TRIS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC ",,,11022.29,11022.29,1
TRIS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC ,,,26464.57,26464.57,1
TRIS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC ,,,15868.85,15868.85,1
TRIS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC ,,,11997.21,11997.21,1
TRIS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC ,,,21023.91,21023.91,1
TRIS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC ,,,15538.95,15538.95,1
TRIS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT ,,,14657.77,14657.77,1
TRIS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC ,,,12650.36,12650.36,1
TRIS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC ,,,10663.62,10663.62,1
TRIS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC ",,,10538.15,10538.15,1
TRIS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC ",,,8927.8,8927.8,1
TRIS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC ",,,14447.43,14447.43,1
TRIS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC ",,,6045.1,6045.1,1
TRIS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES ,,,15618.67,15618.67,1
TRIS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC ,,,12240.02,12240.02,1
TRIS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC ,,,9922.64,9922.64,1
TRIS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC ",,,12688.73,12688.73,1
TRIS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC ",,,6825.92,6825.92,1
TRIS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC ",,,7868.74,7868.74,1
TRIS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC* ",,,10084.28,10084.28,1
TRIS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC* ",,,4438.44,4438.44,1
TRIS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC* ",,,4363.9,4363.9,1
TRIS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC ,,,4706.34,4706.34,1
TRIS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC ,,,3132.15,3132.15,1
TRIS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C ,,,4406.7,4406.7,1
TRIS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES ,,,10015.64,10015.64,1
TRIS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY ",,,6610.42,6610.42,1
TRIS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES ,,,2704.1,2704.1,1
TRIS-DRG,779,ABORTION WITHOUT D&C ,,,2941.74,2941.74,1
TRIS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC ,,,10485.75,10485.75,1
TRIS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC ,,,6918.18,6918.18,1
TRIS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC ,,,5758.01,5758.01,1
TRIS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC ,,,8487.2,8487.2,1
TRIS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC ,,,8667.28,8667.28,1
TRIS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY ",,,18251.91,18251.91,1
TRIS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE ",,,5529.97,5529.97,1
TRIS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS ,,,2272.36,2272.36,1
TRIS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS ,,,1634.71,1634.71,1
TRIS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS ,,,34157.67,34157.67,1
TRIS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS ,,,22835.0,22835.0,1
TRIS-DRG,795,NORMAL NEWBORN ,,,1000.75,1000.75,1
TRIS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC ,,,9560.28,9560.28,1
TRIS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC ,,,8194.95,8194.95,1
TRIS-DRG,799,SPLENIC PROCEDURES WITH MCC ,,,37100.88,37100.88,1
TRIS-DRG,800,SPLENIC PROCEDURES WITH CC ,,,18284.38,18284.38,1
TRIS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC ,,,15637.85,15637.85,1
TRIS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC ,,,80675.65,80675.65,1
TRIS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC ,,,17026.06,17026.06,1
TRIS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC ,,,11240.75,11240.75,1
TRIS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC ,,,4287.14,4287.14,1
TRIS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC ,,,3557.98,3557.98,1
TRIS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC ,,,3185.28,3185.28,1
TRIS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,18870.37,18870.37,1
TRIS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,6445.11,6445.11,1
TRIS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO ,,,4432.53,4432.53,1
TRIS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC ,,,8986.84,8986.84,1
TRIS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC ,,,4803.76,4803.76,1
TRIS-DRG,813,COAGULATION DISORDERS ,,,8464.32,8464.32,1
TRIS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC ,,,12018.62,12018.62,1
TRIS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC ,,,6176.47,6176.47,1
TRIS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC ,,,3936.58,3936.58,1
TRIS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC ,,,11661.42,11661.42,1
TRIS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC ,,,8686.47,8686.47,1
TRIS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,6694.56,6694.56,1
TRIS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC ,,,28683.79,28683.79,1
TRIS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC ,,,15472.54,15472.54,1
TRIS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC ,,,10053.27,10053.27,1
TRIS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC ,,,38672.12,38672.12,1
TRIS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC ,,,16917.58,16917.58,1
TRIS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC ,,,8687.2,8687.2,1
TRIS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,36375.41,36375.41,1
TRIS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,18103.57,18103.57,1
TRIS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. ,,,11614.92,11614.92,1
TRIS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,18157.45,18157.45,1
TRIS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE ,,,15792.09,15792.09,1
TRIS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC ,,,4777.19,4777.19,1
TRIS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC ,,,3298.2,3298.2,1
TRIS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC ,,,2247.26,2247.26,1
TRIS-DRG,834,ACUTE LEUKEMIA WITH MCC ,,,51069.34,51069.34,1
TRIS-DRG,835,ACUTE LEUKEMIA WITH CC ,,,17719.06,17719.06,1
TRIS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC ,,,18035.68,18035.68,1
TRIS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT ,,,23615.09,23615.09,1
TRIS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE ,,,10186.12,10186.12,1
TRIS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,9538.14,9538.14,1
TRIS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC* ,,,29604.1,29604.1,1
TRIS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC* ,,,12947.05,12947.05,1
TRIS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC* ,,,11953.67,11953.67,1
TRIS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,9201.6,9201.6,1
TRIS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,7796.42,7796.42,1
TRIS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES ,,,6976.48,6976.48,1
TRIS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC ,,,17280.68,17280.68,1
TRIS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC ,,,7538.11,7538.11,1
TRIS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC ,,,4152.09,4152.09,1
TRIS-DRG,849,RADIOTHERAPY ,,,22195.88,22195.88,1
TRIS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES ,,,64699.05,64699.05,1
TRIS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC ,,,31894.16,31894.16,1
TRIS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC ,,,11502.01,11502.01,1
TRIS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC ,,,6837.73,6837.73,1
TRIS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC* ,,,24795.92,24795.92,1
TRIS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC* ,,,12487.26,12487.26,1
TRIS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC* ,,,10424.49,10424.49,1
TRIS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC ,,,8673.92,8673.92,1
TRIS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC ,,,5298.23,5298.23,1
TRIS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS ,,,5493.8,5493.8,1
TRIS-DRG,865,VIRAL ILLNESS WITH MCC ,,,12145.55,12145.55,1
TRIS-DRG,866,VIRAL ILLNESS WITHOUT MCC ,,,4943.98,4943.98,1
TRIS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC ,,,14841.53,14841.53,1
TRIS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC ,,,7428.88,7428.88,1
TRIS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC ,,,3823.67,3823.67,1
TRIS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS ,,,58355.78,58355.78,1
TRIS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC ,,,11305.69,11305.69,1
TRIS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC ,,,5707.83,5707.83,1
TRIS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS ,,,31674.23,31674.23,1
TRIS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION ,,,4972.02,4972.02,1
TRIS-DRG,881,DEPRESSIVE NEUROSES ,,,2924.03,2924.03,1
TRIS-DRG,882,NEUROSES EXCEPT DEPRESSIVE ,,,4438.44,4438.44,1
TRIS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL ,,,8220.04,8220.04,1
TRIS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY ,,,14076.95,14076.95,1
TRIS-DRG,885,PSYCHOSES ,,,4421.46,4421.46,1
TRIS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS ,,,10453.28,10453.28,1
TRIS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES ,,,7301.21,7301.21,1
TRIS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA ",,,4090.09,4090.09,1
TRIS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY ",,,4598.59,4598.59,1
TRIS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC ",,,8132.95,8132.95,1
TRIS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC ,,,34378.33,34378.33,1
TRIS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC ,,,15300.58,15300.58,1
TRIS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC ,,,6620.76,6620.76,1
TRIS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC ,,,23248.29,23248.29,1
TRIS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC ,,,12152.2,12152.2,1
TRIS-DRG,906,HAND PROCEDURES FOR INJURIES ,,,11161.78,11161.78,1
TRIS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC* ,,,27871.97,27871.97,1
TRIS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC* ,,,12631.91,12631.91,1
TRIS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC* ,,,8955.1,8955.1,1
TRIS-DRG,913,TRAUMATIC INJURY WITH MCC ,,,13390.59,13390.59,1
TRIS-DRG,914,TRAUMATIC INJURY WITHOUT MCC ,,,6089.38,6089.38,1
TRIS-DRG,915,ALLERGIC REACTIONS WITH MCC ,,,12458.48,12458.48,1
TRIS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC ,,,3736.58,3736.58,1
TRIS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC* ,,,9696.07,9696.07,1
TRIS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC* ,,,4391.94,4391.94,1
TRIS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC* ,,,10730.77,10730.77,1
TRIS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC* ,,,5885.69,5885.69,1
TRIS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC* ,,,3361.67,3361.67,1
TRIS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC ",,,9831.87,9831.87,1
TRIS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC ",,,3640.64,3640.64,1
TRIS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT ,,,174903.51,174903.51,1
TRIS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC ,,,29860.93,29860.93,1
TRIS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC ,,,16802.45,16802.45,1
TRIS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT ,,,31901.54,31901.54,1
TRIS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY ,,,5039.92,5039.92,1
TRIS-DRG,935,NON-EXTENSIVE BURNS ,,,11975.81,11975.81,1
TRIS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC ,,,29724.4,29724.4,1
TRIS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC ,,,12942.61,12942.61,1
TRIS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ ,,,18559.67,18559.67,1
TRIS-DRG,945,REHABILITATION WITH CC/MCC ,,,12685.79,12685.79,1
TRIS-DRG,946,REHABILITATION WITHOUT CC/MCC ,,,9394.23,9394.23,1
TRIS-DRG,947,SIGNS AND SYMPTOMS WITH MCC ,,,6625.18,6625.18,1
TRIS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC ,,,6228.87,6228.87,1
TRIS-DRG,949,AFTERCARE WITH CC/MCC ,,,14896.14,14896.14,1
TRIS-DRG,950,AFTERCARE WITHOUT CC/MCC ,,,18926.46,18926.46,1
TRIS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS ,,,4208.18,4208.18,1
TRIS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA ,,,49743.12,49743.12,1
TRIS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA ",,,57102.63,57102.63,1
TRIS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC ,,,62552.89,62552.89,1
TRIS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC ,,,32374.61,32374.61,1
TRIS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC ,,,17691.02,17691.02,1
TRIS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC* ,,,21205.46,21205.46,1
TRIS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC* ,,,10063.6,10063.6,1
TRIS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC* ,,,7615.6,7615.6,1
TRIS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC ,,,50145.34,50145.34,1
TRIS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC ,,,21605.46,21605.46,1
TRIS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC ,,,14083.59,14083.59,1
TRIS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC ,,,7386.08,7386.08,1
TRIS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC ,,,7394.94,7394.94,1
TRIS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION ,,,10630.4,10630.4,1
TRIS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,36114.88,36114.88,1
TRIS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,14274.73,14274.73,1
TRIS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,12204.6,12204.6,1
TRIS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC ,,,27602.59,27602.59,1
TRIS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC ,,,11406.07,11406.07,1
TRIS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC ,,,7838.48,7838.48,1